001 F LTV 1200 and 1150 Ops Manual

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LTV 1200, 1150 Ventilator, and

MR Conditional LTV 1200 System

Operators Manual
P/N 19802-001
Rev. F

Document Revision History


Document Revision Level

Revision Date

Rev. A, ECO 6557

05/14/10

Rev. B, ECO 6713

10/7/10

Rev. C, ECO 7022

5/8/12

Rev. D, ECO 80489

10/1/12

Rev. E, ECO 81024

February 2013

Rev. F, ECO 81227

March 2013

CareFusion
22745 Savi Ranch Parkway
Yorba Linda, CA 92887
U.S.A.

CareFusion Germany 234 GmbH


Leibnizstrasse 7
97204 Hoechberg
Germany

Customer Care:

+49 931 4972-0 tel


+49 931 4972-423 fax

800.754.1914 toll free


763.398.8500
763.398.8403 fax
[email protected]

Any product malfunctioning issues that


fall under Medical Device Directives
Essential Requirements should be
directed to
CareFusion Germany 234 GmbH.
[email protected]
carefusion.com

LTV 1200 and LTV 1150 are trademarks belonging to Carefusion Corporation.
Copyright 20102013 CareFusion Corporation or one of its subsidiaries. All rights reserved.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page i

Warranty
CareFusion warrants that the LTV 1200 / 1150 ventilator is free from defects in material and
workmanship for a period of one (1) year from the date of shipment, or 8,800 hours as measured on
the usage meter, whichever comes first, with the following limitations:
1) The internal battery is warranted for ninety (90) days from date of shipment.
CareFusion will, at its option, either repair, replace, or issue credit for products that prove to be
defective during the warranty period.
For warranty service or repair, the product must be returned to CareFusion or a service facility
designated by CareFusion, shipping prepaid by the Buyer.
LIMITATION OF WARRANTY
Ordinary maintenance, as specified in the LTV 1200 / 1150 Ventilator Operators and Service
Manuals, is not covered under the foregoing warranty.
The foregoing warranty does not apply to defects or damage to the unit resulting from:

Improper use or misuse

Improper or inadequate maintenance

Unauthorized modifications or repairs

Use of the unit with unauthorized accessories, e.g. external battery or AC adapter

Use or storage outside the specified environment

NO IMPLIED WARRANTIES
This warranty is exclusive. There are no other warranties expressed or implied.
LIMITATION OF LIABILITY
CareFusion shall not be liable for loss of profits, loss of use, consequential damages, or any other
claim based on breach of warranty. CareFusion liability for damages of any kind shall be limited to the
purchase price of the defective unit.

Page ii

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Notices
The LTV 1200 or 1150 ventilator complies with limitations as specified in IEC 601-1-2 for Medical
Electrical Equipment. It does however, use and radiate radio frequency energy.
The function of this machine may be adversely affected by the operation of other nearby equipment,
such as high frequency surgical diathermy equipment, short-wave therapy equipment, defibrillators,
or MRI equipment (except the MR Conditional LTV 1200).
The LTV 1200 and 1150 ventilator may emit and receive electromagnetic interference. Avoidance of
this exposure is recommended whenever possible.
The MR Conditional LTV 1200 System is comprised of only (i.e., no unauthorized accessories): an
MR Conditional LTV 1200 ventilator (P/N 18888-2XX), LTV 1200 MR Safe 15ft Patient Circuit (P/N
19189-001), MR Conditional Floor Stand (P/N 14982-001), and an LTV AC adapter (P/N 18053001).
The MR Conditional LTV 1200 System is suitable for use in both 1.5 and 3.0 Tesla (not to exceed
3.0 Tesla static magnetic field) shielded magnetic scanners (see Chapter 16 MR Conditional
System for more information).
To ensure that your use of the LTV 1200 MR Conditional System results in images that are free of
an unacceptable artifact, the LTV 1200 MR Conditional System should be tested prior to initial
clinical use (utilizing a suitable phantom) in each intended use MR environment utilizing the ventilator
power source (AC Adaptor or SprintPack Lithium-ion Power System) that will be selected for use.

European Regulatory Requirements per 93/42/EEC Medical Device Directives


CareFusion European Representative for vigilance reporting within the European Community is:

CareFusion Germany 234 GmbH


Leibnizstrasse 7
97204 Hoechberg, Germany
Main Office: 49.931.4972.0
Fax: 49.931.4972.423
Email: [email protected]
Any product malfunctioning issues that fall under Medical Device Directives Essential Requirements
should be directed to CareFusion Germany 234 GmbH.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page iii

Notice To Operators
Unsafe Operation - Operating the LTV 1200 / 1150 ventilator without a complete and thorough
understanding of its attributes is unsafe and may cause harm to the patient. It is important that this
manual be read and understood in its entirety before operating the ventilator.
Warnings and Cautions Section - Read the section on Warnings and Cautions carefully before
operating the LTV 1200 / 1150 ventilator.
Use and Maintenance - Any questions regarding installing, operating, or maintaining the LTV 1200
/1150 ventilator, should be directed to a certified CareFusion service technician or CareFusion.

Avis important
Fonctionnement dangereux - L'opration d'un ventilateur de la LTV 1200 / 1150 sans une
excellente comprhension de ses attributs est dangereuse et risque de blesser le patient. Il est trs
important de lire et de comprendre entirement ce manuel avant de faire fonctionner le ventilateur.
Section Avertissements et Attention - Lire attentivement la section Avertissements et Attention
avant de procder l'opration des ventilateurs de la LTV 1200 / 1150.
Utilisation et entretien - En cas de questions concernant l'installation, l'opration ou l'entretien des
ventilateurs de la srie LTV, veuillez vous adresser un technicien de service certifi de CareFusion
ou directement CareFusion.

Page iv

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Contents
Warranty ............................................................................................................................................. ii
Notices ................................................................................................................................................iii

Chapter 1 - Introduction ....................................................................................... 1-1


Operators Safety Information .......................................................................................................... 1-2
Warnings .......................................................................................................................................... 1-3
Cautions ......................................................................................................................................... 1-10

Chapter 2 - Ventilator Overview ........................................................................... 2-1


Indications for Use ........................................................................................................................... 2-2
Power/Supplies Required ................................................................................................................ 2-3
Information/Assistance .................................................................................................................... 2-4

Chapter 3 - Breath Types ..................................................................................... 3-1


Breath Types ................................................................................................................................... 3-1
Volume Control Breaths ............................................................................................................... 3-2
Pressure Control Breaths ............................................................................................................. 3-3
Pressure Support Breaths ............................................................................................................ 3-5
Spontaneous Breaths ................................................................................................................... 3-6

Chapter 4 - Ventilation Modes.............................................................................. 4-1


Control Mode ................................................................................................................................... 4-1
Assist/Control Mode......................................................................................................................... 4-1
SIMV Mode ...................................................................................................................................... 4-2
CPAP Mode ..................................................................................................................................... 4-3
NPPV Mode ..................................................................................................................................... 4-4
Apnea Backup ................................................................................................................................. 4-5
Volume Pressure Ventilation ........................................................................................................... 4-6
Bias Flow ......................................................................................................................................... 4-6

Chapter 5 - Using the Controls and Indicators ................................................... 5-1


Ventilator Controls ........................................................................................................................... 5-1
Ventilator Controls (continued) ..................................................................................................... 5-2
Setting a Control .............................................................................................................................. 5-3
Variable Controls ............................................................................................................................. 5-3
Buttons ............................................................................................................................................. 5-4
Set Value Knob ................................................................................................................................ 5-4
Extended Features .......................................................................................................................... 5-4
Bright, Dim and Blank Control Displays........................................................................................... 5-5
Flashing Controls ............................................................................................................................. 5-6
Dashes ............................................................................................................................................. 5-6
Control Limiting ................................................................................................................................ 5-6
Control Locking ................................................................................................................................ 5-7
Control Retention ............................................................................................................................. 5-7

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page v

Chapter 6 - Controls .............................................................................................. 6-1


Assist/Control - SIMV/CPAP - NPPV .............................................................................................. 6-1
Breath Rate ..................................................................................................................................... 6-2
Control Lock .................................................................................................................................... 6-3
High Pressure Limit ......................................................................................................................... 6-4
Inspiratory / Expiratory Hold ............................................................................................................ 6-5
Inspiratory Hold ............................................................................................................................ 6-6
Expiratory Hold ............................................................................................................................ 6-8
Inspiratory Time............................................................................................................................. 6-10
Low Minute Volume ....................................................................................................................... 6-11
Low Pressure ................................................................................................................................ 6-12
Low Pressure O2 Source ............................................................................................................... 6-13
Manual Breath ............................................................................................................................... 6-17
O2 % (O2 Flush) (LTV 1200 only) ................................................................................................ 6-18
On/Standby ................................................................................................................................... 6-20
PEEP Control ................................................................................................................................ 6-22
PEEP Control in NPPV Mode .................................................................................................... 6-22
Pressure Control ........................................................................................................................... 6-23
Pressure Support .......................................................................................................................... 6-24
Pressure Support in NPPV Mode .............................................................................................. 6-24
Select ............................................................................................................................................ 6-25
Sensitivity ...................................................................................................................................... 6-26
Set Value Knob ............................................................................................................................. 6-27
Silence Reset ................................................................................................................................ 6-28
Tidal Volume ................................................................................................................................. 6-29
Volume Pressure Mode ................................................................................................................. 6-31

Chapter 7 - Displays and Indicators .................................................................... 7-1


Airway Pressure .............................................................................................................................. 7-1
Display Window ............................................................................................................................... 7-1
Indicators ......................................................................................................................................... 7-1
Battery Level ................................................................................................................................... 7-2
Charge Status ................................................................................................................................. 7-4
External Power ................................................................................................................................ 7-5
NPPV ............................................................................................................................................... 7-6
Patient Effort.................................................................................................................................... 7-6
Vent Inop ......................................................................................................................................... 7-6

Chapter 8 - Monitored Data .................................................................................. 8-1


Automatic or Manual Data Display Scrolling ................................................................................... 8-2
PIP xxx cmH2O............................................................................................................................ 8-3
MAP xx cmH2O ........................................................................................................................... 8-3
PEEP xx cmH2O.......................................................................................................................... 8-3
f xxx bpm...................................................................................................................................... 8-3
Vte xxx ml .................................................................................................................................... 8-3
VE xx.x L ...................................................................................................................................... 8-3
Page vi

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

I:E xx:xx ........................................................................................................................................ 8-3


I:Ecalc xx:xx ................................................................................................................................. 8-4
Vcalc xxx Lpm .............................................................................................................................. 8-4
SBT xxx min ................................................................................................................................. 8-4
xxx f/Vt xx f ................................................................................................................................... 8-4

Chapter 9 - Ventilator Alarms............................................................................... 9-1


Alarms .............................................................................................................................................. 9-2
APNEA, APNEA xx bpm .............................................................................................................. 9-2
BAT EMPTY ................................................................................................................................. 9-3
BAT LOW ..................................................................................................................................... 9-5
DEFAULTS ................................................................................................................................... 9-7
DEFAULTS SET........................................................................................................................... 9-9
DISC/SENSE .............................................................................................................................. 9-10
HIGH f......................................................................................................................................... 9-11
HIGH O2 PRES (LTV 1200 only) .............................................................................................. 9-12
HIGH PEEP ................................................................................................................................ 9-13
HIGH PRES ................................................................................................................................ 9-14
HW FAULT ................................................................................................................................. 9-16
INOP ........................................................................................................................................... 9-17
LOW MIN VOL ........................................................................................................................... 9-18
LOW O2 PRES (LTV 1200 only) ............................................................................................... 9-19
LOW PEEP ................................................................................................................................. 9-20
LOW PRES ................................................................................................................................ 9-21
NO CAL DATA, NO CAL Monitor Display .................................................................................. 9-22
POWER LOST ........................................................................................................................... 9-23
POWER LOW ............................................................................................................................. 9-24
REMOVE PTNT ......................................................................................................................... 9-25
RESET / RESET 1 ..................................................................................................................... 9-26
SBT < f ....................................................................................................................................... 9-27
SBT > f ....................................................................................................................................... 9-28
SBT < f/Vt ................................................................................................................................... 9-29
SBT > f/Vt ................................................................................................................................... 9-30
SBT OFF .................................................................................................................................... 9-31
XDCR FAULT ............................................................................................................................. 9-32
Alarm Status Messages ................................................................................................................. 9-33
f PEEP OFF ................................................................................................................................ 9-33
HI f/Vt OFF ................................................................................................................................. 9-33
HI PEEP OFF ............................................................................................................................. 9-33
H&L PEEP OFF.......................................................................................................................... 9-34
HIGH f OFF ................................................................................................................................ 9-34
LMV LPPS OFF.......................................................................................................................... 9-34
LMV OFF .................................................................................................................................... 9-35
LO PEEP OFF ............................................................................................................................ 9-35
LOCKED ..................................................................................................................................... 9-35
LO f/Vt OFF ................................................................................................................................ 9-36
Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page vii

LPPS OFF.................................................................................................................................. 9-36


SBT f OFF .................................................................................................................................. 9-36
SBT f/Vt OFF ............................................................................................................................. 9-37
SBT HI f OFF ............................................................................................................................. 9-37
SBT LO f OFF ............................................................................................................................ 9-37
SBT TIME .................................................................................................................................. 9-38
WARMUP xx .............................................................................................................................. 9-38

Chapter 10 - Extended Features......................................................................... 10-1


Navigating the Extended Features Menus .................................................................................... 10-2
Alarm Operations .......................................................................................................................... 10-3
Alarm Volume ............................................................................................................................ 10-3
Apnea Interval ............................................................................................................................ 10-4
High Pressure Alarm Delay ....................................................................................................... 10-4
Low Peak Pressure Alarm ......................................................................................................... 10-4
High f .......................................................................................................................................... 10-5
High PEEP ................................................................................................................................. 10-5
Low PEEP .................................................................................................................................. 10-5
Patient Assist ............................................................................................................................. 10-6
Exit ............................................................................................................................................. 10-6
Vent Operations ............................................................................................................................ 10-7
Variable Rise Time..................................................................................................................... 10-8
Variable Flow Termination ......................................................................................................... 10-9
Variable Time Termination ....................................................................................................... 10-10
Pressure Control Flow Termination ......................................................................................... 10-11
Leak Compensation ................................................................................................................. 10-12
O2 Conserve ............................................................................................................................ 10-13
O2 Flush (LTV 1200 only)....................................................................................................... 10-14
Control Unlock ......................................................................................................................... 10-15
Language Selection ................................................................................................................. 10-15
Software Version...................................................................................................................... 10-16
Usage Meter ............................................................................................................................ 10-16
Communications Setting .......................................................................................................... 10-16
Set Date ................................................................................................................................... 10-17
Set Time................................................................................................................................... 10-18
Date Format ............................................................................................................................. 10-18
PIP LED ................................................................................................................................... 10-19
Model Number / Serial Number ............................................................................................... 10-19
Valve Home Position ............................................................................................................... 10-20
Set Defaults ............................................................................................................................. 10-20
O2 Cylinder Duration (LTV 1200 only) ................................................................................... 10-21
Queries ........................................................................................................................................ 10-23
Turning Presets Query on or off .............................................................................................. 10-23
LTV 1200 / 1150 Presets Table ............................................................................................. 10-24
Turning Leak Test Query on or off .............................................................................................. 10-25
SBT (Spontaneous Breathing Trial) Operations ......................................................................... 10-26
Page viii

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT Quick Start Feature.............................................................................................................. 10-29


SBT Alarms .................................................................................................................................. 10-29
Transducer Autozero ................................................................................................................... 10-30
Airway Pressure Transducer Autozero .................................................................................... 10-30
Bi-directional Flow Transducer Differential Autozero ............................................................... 10-31
Exhalation Flow Transducer Differential Autozero - Narrow .................................................... 10-31
Exhalation Flow Transducer Differential Autozero - Wide ....................................................... 10-32
Real Time Transducers ............................................................................................................... 10-33

Chapter 11 - Ventilator Checkout Tests ............................................................ 11-1


Alarm Test ..................................................................................................................................... 11-3
Display Test ................................................................................................................................... 11-4
Control Test ................................................................................................................................... 11-6
Leak Test ....................................................................................................................................... 11-8
Vent Inop Alarm Test ................................................................................................................... 11-10
Exit ............................................................................................................................................... 11-12

Chapter 12 - Operating Procedure..................................................................... 12-1


To Turn the Ventilator On .............................................................................................................. 12-1
Before Connecting the Ventilator to a Patient ............................................................................... 12-3
Procedure for Control Mode Set Up .............................................................................................. 12-5
Procedure for Assist/Control Mode Set Up.................................................................................... 12-6
Procedure for SIMV Mode Set Up ................................................................................................. 12-7
Procedure for CPAP Mode Set Up ................................................................................................ 12-8
Procedure for NPPV Mode Set Up ................................................................................................ 12-9
To Turn the Ventilator Off ............................................................................................................ 12-10
LTV Ventilator Settings Checklist .............................................................................................. 12-11

Chapter 13 - Cleaning, Disinfecting and Sterilizing ......................................... 13-1


Cleaning the Ventilator .................................................................................................................. 13-1
Cleaning or replacing the Fan Filter .............................................................................................. 13-2
Cleaning or replacing the Inlet Filter .............................................................................................. 13-3
Cleaning or Replacing the O2 Inlet Filter (LTV 1200 only) ........................................................... 13-4
Cleaning the Exhalation Valve and Reusable Patient Circuit ........................................................ 13-6

Chapter 14 - Power and Battery Operation ....................................................... 14-1


Using the AC Adapter .................................................................................................................... 14-2
Using an External Battery (Not for use with the LTV 1200 MR Conditional System) .................. 14-3
Using the Automobile Cigarette Lighter Adapter (Not for use with the LTV 1200 MR Conditional
System) .......................................................................................................................................... 14-6
Replacing the Automobile Adapter Fuse.................................................................................. 14-10
The Universal Power Supply (UPS) (Not for use with the LTV 1200 MR Conditional System) 14-10
The SprintPack Li-Ion Power System .......................................................................................... 14-11
Caring for the Internal Battery ..................................................................................................... 14-12
Battery Replacement ................................................................................................................ 14-12
Battery Disposal ....................................................................................................................... 14-12

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page ix

Chapter 15 - Troubleshooting ............................................................................ 15-1


Displays and Buttons .................................................................................................................... 15-2
Ventilator Performance ................................................................................................................. 15-6
Power and Battery Operation ...................................................................................................... 15-15
Alarms ......................................................................................................................................... 15-17
Checkout Test Failures ............................................................................................................... 15-24
Test Lung Operations .................................................................................................................. 15-26

Chapter 16 - MR Conditional System................................................................. 16-1


MR Conditional System Components ........................................................................................ 16-1
MR Conditional System Conditions for Operation .................................................................. 16-2

Appendix A - Ventilator Specifications .............................................................. A-1


Appendix B - Set Up / Maintenance .................................................................... B-1
Recommended Maintenance Schedule .......................................................................................... B-1
Service Assistance .......................................................................................................................... B-2

Appendix C - Installation and Checkout............................................................. C-1


Installation and Setup ......................................................................................................................C-1
Unpacking the Ventilator Instructions ....................................................................................... C-1
Protective Boots ........................................................................................................................... C-2
Protective Boot Removal ............................................................................................................. C-3
Protective Boot Installation .......................................................................................................... C-6
Patient Breathing Circuit Connection Instructions .................................................................. C-10
Oxygen Lines Connection Instructions ................................................................................... C-12
Patient Assist Call System Connection Instructions ............................................................... C-14
Communications Port ................................................................................................................ C-15
LTM Graphics Monitor (Not for use with the LTV 1200 MR Conditional System) ................ C-15
Using the Remote Alarm Cable ................................................................................................. C-16
Checking the Ventilator for Proper Operation ...............................................................................C-18
Ventilator Proper Operation Worksheet ..................................................................................... C-20

Appendix D - Principles of Operation ................................................................. D-1


Overview .........................................................................................................................................D-1

Appendix E - Event Trace .................................................................................... E-1


Event Codes .................................................................................................................................... E-3
Event Codes by Code # ............................................................................................................... E-3
Event Codes by Event Name....................................................................................................... E-6

Appendix F - Glossary ......................................................................................... F-1


Appendix G - Index............................................................................................... G-1

Page x

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 1 - INTRODUCTION
This Operators Manual contains detailed information and instructions which when adhered to ensure
the safe and effective set up, use and simple maintenance of the LTV 1200 / 1150 ventilator.
This manual is designed for use by Respiratory Therapists or other qualified and trained personnel
under the direction of a physician and in accordance with applicable state laws and regulations. It
contains the following:

Ventilator Overview

Installation and Checkout

Using the Controls and Indicators

Monitored Data

Ventilator Alarms

Extended Features

Ventilator Checkout tests

Operating Procedure

Troubleshooting

Cleaning, Disinfecting and Sterilizing

Set Up / Maintenance

Power and Battery Operation

Service tests, calibration, and major maintenance operations are described in the LTV 1200, 1150,
and 1100 Ventilator Service Manual (P/N 18603-001).

NOTE
Pressure Support and Pressure Control breaths on the LTV 1200 / 1150 are compensated for
PEEP. Delivered pressure is controlled by the Pressure Support or Pressure Control setting and is
affected by the PEEP setting. For example, a Pressure Support setting of 20cmH2O and a PEEP
setting of 10cmH2O results in a Peak Inspiratory Pressure (PIP) of 30cmH2O.

REMARQUE
La pression de support et le contrle de la pression des respirations sur le LTV 1200 / 1150 sont
compenss pour la pression expiratoire positive (PEP). La pression administre est contrle par le
rglage de la pression de support ou par le rglage du contrle de la pression et elle dpend du
rglage PEP. Par exemple, un rglage de la pression de support de 20 cmH2O et un rglage PEP de
10 cmH2O donnent une pression inspiratoire maximale (PImax) de 30 cmH2O.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-1

Operators Safety Information


All Operators are to read and understand the following information about Warning, Caution and
Note statements before operating the LTV 1200 / 1150 ventilator.

WARNING
WARNING statements alert the reader to potentially hazardous situations which, if not avoided,
could result in death or serious injury.

AVERTISSEMENT
Les noncs AVERTISSEMENT informent le lecteur de situations dangereuses qui, si elles ne
sont pas vites, peuvent entraner la mort ou des blessures graves.

CAUTION
CAUTION statements alert the reader to potentially hazardous situations which, if not avoided,
could result in equipment damage.

ATTENTION

Les noncs ATTENTION informent le lecteur de situations dangereuses qui, si elles ne sont pas
vites, peuvent causer des dommages lquipement.

NOTE
NOTE statements contain additional information to assist in the proper operation of the LTV 1200 /
1150 ventilator.

REMARQUE

Les noncs REMARQUE contiennent des informations supplmentaires pour aider l'opration
adquate des ventilateurs de la LTV 1200 / 1150.

Bold Text:

Words that appear in bold text typically represent text as it appears on the
ventilator itself, or as it is displayed on the ventilator user interface. Bold is also
occasionally used as emphasis.
Abbreviations: LTV 1200 / 1150 ventilator and the ventilator are used interchangeably throughout
this document. The MR Conditional LTV 1200 ventilator operates the same as an
LTV 1200 ventilator, except where noted throughout this manual.

Page 1-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Warnings

WARNING
Untrained Personnel Only properly trained personnel should operate the ventilator. The LTV
1200 / 1150 ventilator is a restricted medical device designed for use by Respiratory Therapists or
other properly trained and qualified personnel under the direction of a physician and in accordance
with applicable state laws and regulations.
Leak Testing the Patient Breathing Circuit The patient circuit must be leak tested in the VENT
CHECK mode before connection to the patient. In addition, the Ventilator Checkout mode should be
used to check for correct operation of the ventilator alarm, displays and controls. Harm to the patient
or ineffective ventilation may result from failure to leak test the patient breathing circuit before
connection to a patient. When using a heated humidifier, include it in the circuit when performing leak
testing.
Adjustable and Critical Alarms For safety purposes, all adjustable alarms and all critical alarms
must be checked to insure proper operation.
Alarms Function Verification - All alarms must be verified as functioning properly on a daily basis. If
any alarm malfunctions, immediately contact a certified CareFusion service technician or CareFusion.
Patient Monitoring - Patients who are dependent on a ventilator should be constantly monitored by
qualified personnel. Such personnel should be prepared to address equipment malfunctions and
circumstances where equipment becomes inoperative. An alternative method of ventilation should be
available for all patients dependent on the ventilator, and qualified personnel should be fully familiar
with emergency ventilation procedures.
Alternative Ventilation - It is recommended that an alternative means of ventilating the patient be
available at all times and that all ventilator operators be fully familiar with emergency ventilation
procedures.
Fire or Explosion - Operation of the LTV 1200 / 1150 ventilator in the presence of flammable gases
could cause a fire or explosion. Under no circumstances is the ventilator to be operated when
explosive gases are present. The presence of nitrous oxide or flammable anesthetics presents a
danger to the patient and operator.
Patient Breathing Circuit Disconnection - Inadvertent disconnection of the patient from the patient
breathing circuit can be dangerous.
Critical Alarms - Failure to set the critical alarms such as the Low Minute Volume alarm and the Low
Pressure alarm may cause non-detection (no alarm) for a disconnection of the lower sense line or the
exhalation valve drive line.
Exhalation Valve Diaphragm Patient ventilation may be ineffective or dangerous if the exhalation
valve diaphragm is damaged or worn out. The exhalation valve diaphragm must be inspected on a
daily basis and replaced whenever necessary.
Sustained HIGH PRES Alarm - During a sustained High Pressure alarm condition (HIGH PRES), the
ventilators turbine is stopped and gas is not delivered to the patient. Disconnect the patient from the
ventilator and ventilate the patient using an alternative method. See Chapter 15 - Troubleshooting,
Alarms for additional information concerning the HIGH PRES alarm.
BAT EMPTY Alarm - A BAT EMPTY alarm indicates the internal battery is almost depleted. Connect
the ventilator to an external power source immediately.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-3

WARNING
Battery run time - When the battery reaches the BAT LOW level, the ventilator will only run for
approximately 10 minutes before generating a battery empty alarm (BAT EMPTY). The approximate
time shown is based on tests using the nominal settings, a new battery and a full 8 hour charge cycle
as specified in Appendix A - Ventilator Specifications. Actual run time may be more or less depending
on ventilator settings, patient demand, and battery age or condition. It is highly recommended that an
alternate power source is connected PRIOR to the ventilator reaching the BAT EMPTY alarm
condition to ensure continuous, uninterrupted patient ventilation
INOP Alarm - If an INOP alarm occurs during operation, ventilate the patient using an alternative
method, disconnect the ventilator, and immediately contact a certified CareFusion service technician
or CareFusion.
NO CAL Condition - Operation of the LTV 1200 / 1150 ventilator under a NO CAL condition may
result in inaccurate pressure and volume measurements. Should this condition occur, disconnect the
patient from the ventilator, provide an alternative method of ventilation and immediately contact a
certified CareFusion service technician or CareFusion.
XDCR FAULT Alarm - Continued operation of the LTV 1200 / 1150 ventilator with an activated
XDCR FAULT alarm may result in inaccurate flow and volume measurements. Should this condition
occur, disconnect the patient from the ventilator, provide an alternative method of ventilation and
immediately contact a certified CareFusion service technician or CareFusion.
Personal Injury and Electric Shock - Operation of the LTV 1200 / 1150 ventilator if any of its
panels have been removed may result in electrical shock to the patient or operator. All servicing must
be performed by a certified CareFusion service technician.
Audible Alarms - Failure to immediately identify and correct audible alarm situations may result in
serious patient injury.
Equipment Malfunction or Failure - The LTV 1200 / 1150 ventilator has alarms to notify operators
of certain conditions and to cease operating upon detecting possible danger. In the event of
equipment failure, all ventilator operators should have an alternative method of ventilation available
and be fully familiar with emergency ventilation procedures.
Improperly Functioning Ventilator - Operation of a ventilator that does not appear to be working
properly may be hazardous. If the ventilator is damaged, fails Ventilator Checkout tests or
malfunctions in any way, discontinue its use and immediately contact a certified CareFusion service
technician or CareFusion.
Ventilator Checkout Tests Be aware that gas is not delivered to the patient during these tests.
Disconnect the patient from the ventilator and ventilate the patient using an alternative method before
running the Ventilator Checkout tests.
Ventilator Checkout and Maintenance Modes - The LTV 1200 / 1150 ventilator does not deliver
gas during the Ventilator Checkout mode (VENT CHECK) or Ventilator Maintenance mode (VENT
MTNCE) and should not be used to ventilate a patient during these tests.
Inspired Oxygen (FIO2) Concentration If the patient has a variable respiratory rate, his/her minute
ventilation will fluctuate. If exact concentrations of inspired oxygen (FIO2) are required to be delivered
to the patient, it is recommended that an accurate oxygen analyzer with alarms be used.
O2 Cylinder Duration Information (LTV 1200 only) - The accuracy of the displayed useable
amount of oxygen remaining in an external O2 cylinder (O2 DUR hh:mm) is dependant on the
precision of the pressure gauge used on the O2 cylinder and the accuracy of the information provided
by the operator in the O2 CYL DUR menu settings. The calculated/displayed useable amount of
oxygen information is to be used for reference purposes only.

Page 1-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

WARNING
Ventilation Variables and O2 Consumption - Variations in the patients minute ventilation, I:E ratio
and/or ventilator setting changes or equipment status (i.e. circuit leaks) affect the consumption rate of
oxygen. When warranted by a patients condition, it is recommended that a back-up cylinder or
alternative source of oxygen be available at all times.
Before Using Automobile Cigarette Lighter or Power Outlets - Before using Automobile Cigarette
Lighter or Power Outlets as a power source for the LTV 1200 / 1150, assure that the ventilators
internal battery is in good condition and fully charged. Poor cigarette lighter or power outlet
connections, electrical system defects (battery, charging system, etc.), or use of vehicle accessories
(air conditioner, high current lights, high power audio equipment, etc.) could result in less than the
required voltage being delivered to the ventilator, generate a POWER LOST alarm and switch the
ventilators power source to the internal battery.
Unauthorized Parts or Accessories Serious harm to the patient may result from the use of
unauthorized parts or accessories. Only items expressly approved by CareFusion may be used in
conjunction with the LTV 1200 / 1150 ventilators.
Unapproved Adapters Only CareFusion Accessories should be used to connect the ventilator to
Patient Assist Call Systems. These accessories incorporate safety features to reduce the risk of
shock. Do not attempt to modify these accessories in any way.
Patient Assist Call Connector Do not apply more than 25V rms or 32VDC to the Patient Assist
Call connector.
Ventilator Service and Repair - All servicing or repair of the LTV 1200 / 1150 ventilator must be
performed only by a service technician certified by CareFusion.
Patient Circuits CareFusion Patient Circuits, Exhalation Valve Assemblies and Water Traps are
shipped clean, not sterile.
Ultra Violet Light Sensitivity The material used in the tubing of the Reusable Patient Circuits is
not UV stable. Avoid exposure of the tubing to UV light.
Mounting Screws - Refer to the information contained in CareFusion Replacement Screws Kit, P/N
11149, to determine the appropriate accessories mounting screws or accessories replacement
screws location, type and length to use when removing or exchanging external accessories on an
LTV ventilator.
Mounting Screw Use Internal damage to the ventilator may result if the wrong length mounting
screws are used when installing or removing external accessories.
Patient Circuit Accessories - The use of accessories such as Speaking Valves, Heat-Moisture
Exchangers and Filters create additional patient circuit resistance and in the event of a disconnection,
may impede the generation of a Low Pressure alarm. Ensure that the Low Pressure alarm settings
accommodate these types of accessories when used in combination with patient circuits.
Low Minute Volume Control Settings - The Low Min. Vol. control should be set to its highest
clinically appropriate value. If there is a clinical need to set the Low Minute Volume alarm to lower
values or off (- - -), perform a clinical assessment to determine if an alternative monitor (i.e. a Pulse
Oximeter with an audible alarm, or a Cardio Respiratory Monitor) should be used.
The MR Conditional LTV 1200 System is specified as - An LTV 1200 Ventilator (P/N 188882XX), LTV 1200 MR Safe 15ft Patient Circuit (P/N 19189-001), MR Conditional Floor Stand (P/N
14982-001), and a LTV AC adapter (P/N 18053-001). Adding not approved parts or accessories may
cause patient and/or operator harm.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-5

AVERTISSEMENT
Personnel non qualifi - Seul le personnel qualifi doit oprer le ventilateur. Le ventilateur de la
1200 / 1150 LTV est un dispositif mdical restreint conu pour tre utilis par les inhalothrapeutes
ou autres personnes qualifies, et par le personnel qualifi sous la supervision d'un mdecin et en
conformit avec les lois et rglements applicables.
Contrle de ltanchit du circuit respiratoire du patient L'tanchit du circuit respiratoire du
patient (vrification de ventilation) doit tre vrifie en mode VENT CHECK avant le raccordement au
patient. En outre, on doit utiliser le mode Ventilator Checkout (vrification du ventilateur) afin de
sassurer du fonctionnement adquat de lalarme, des affichages et des commandes du ventilateur.
Le dfaut de vrifier ltanchit du circuit respiratoire du patient avant le raccordement un patient
peut tre nocif pour le patient ou provoquer une ventilation inefficace. Lorsquun humidificateur
chauffant est employ, il convient de linclure dans le circuit en procdant la vrification de
ltanchit.
Alarmes rglables et critiques Pour assurer la scurit et obtenir un fonctionnement adquat,
toutes les alarmes rglables et critiques doivent tre vrifies.
Vrification du fonctionnement des alarmes - Toutes les alarmes sonores et visuelles doivent tre
vrifies quotidiennement. Si une des alarmes fonctionne de faon inadquate, contactez votre
technicien de service certifi de CareFusion ou CareFusion.
Surveillance du patient Un personnel qualifi doit constamment surveiller les patients qui sont
relis un ventilateur. Le personnel doit tre en mesure de soccuper des dfectuosits de
fonctionnement de lquipement ainsi que des circonstances o ce dernier devient inoprant. Une
forme de ventilation alternative doit tre disponible tous les patients relis au ventilateur et le
personnel qualifi devrait tre pleinement familier avec les procdures de ventilation durgence.
Ventilation alternative - Il est recommand qu'un moyen alternatif de ventilation soit disponible en
tout temps, et que tous les oprateurs de ventilateur soient pleinement familiers avec les procdures
de ventilation d'urgence.
Feu ou explosion - L'opration des ventilateurs de la 1200 / 1150 LTV en prsence de gaz
inflammables peut causer un feu ou une explosion. Le ventilateur ne doit tre opr sous aucune
circonstance en prsence de gaz. La prsence d'oxyde nitreux ou d'anesthsiques inflammables
reprsente un danger pour le patient et l'oprateur.
Dbranchement du circuit respiratoire du patient - Le dbranchement accidentel du circuit
respiratoire du patient peut s'avrer dangereux.
Alarmes critiques Le dfaut de dfinir les alarmes critiques telles que lalarme basse ventilationminute et lalarme basse pression peut causer une non-dtection (absence dalarme) pour un
dbranchement du tube de dtection infrieur ou du tube dentranement de la soupape dexpiration.
Diaphragme de la soupape d'expiration - Une ventilation inefficace ou dangereuse pour le patient
peut rsulter si le diaphragme de la soupape est endommag ou us. Le diaphragme de la soupape
d'expiration doit tre vrifi quotidiennement, et remplac au besoin.
Alarme ALARME PMAX continue Dans des conditions dalarme de haute pression prolonges
(ALARME PMAX), la turbine du ventilateur s'arrte et le gaz nest plus transmis au patient.
Dbranchez le patient du ventilateur et utilisez une autre mthode de ventilation. Pour plus de dtails
sur ltat ALARME PMAX, reportez-vous au chapitre 15, Troubleshooting, Alarms.

Page 1-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

AVERTISSEMENT
Dure dutilisation de la batterie Lorsque la batterie atteint le niveau BAT INT BASS, le
ventilateur fonctionne pendant environ 10 minutes avant dmettre une alarme de batterie faible (BAT
INT VIDE). Cette dure approximative est base sur des tests avec des paramtres nominaux, une
nouvelle batterie et un cycle de chargement complet de 8 heures, tel que spcifi dans lAnnexe A
Spcifications du ventilateur. La dure dutilisation relle pourrait tre suprieure ou infrieure, selon
les paramtres du ventilateur, la demande du patient et lge ou ltat de la batterie. Il est fortement
recommand quune source dalimentation alternative soit connecte AVANT que le ventilateur
natteigne ltat dalarme BAT INT VIDE afin dassurer une ventilation continue et ininterrompue au
patient.
Alarme BAT EMPTY - Une alarme BAT EMPTY indique que la pile interne est pratiquement plat.
Branchez immdiatement le ventilateur une source d'alimentation externe.
Alarme INOP - Si une alarme INOP survient au cours de l'opration, ventilez le patient l'aide de la
mthode alternative, retirez immdiatement le ventilateur du service, et contactez immdiatement
votre technicien de service certifi de CareFusion ou CareFusion.
Condition NO CAL - L'opration continue du ventilateur de la srie LTV sous condition NO CAL
peut rsulter en mesures de pression et de volume errones. Si cette condition se prsente, le
ventilateur doit tre retir du service, et vous devez immdiatement contacter votre technicien de
service certifi de CareFusion ou CareFusion.
Alarme XDCR FAULT - L'opration continue du ventilateur de la srie LTV avec une alarme XDCR
FAULT active peut rsulter en mesures de dbit et de volume errones. Si cette condition se
prsente, le ventilateur doit tre retir du service, et vous devez immdiatement contacter votre
technicien de service certifi de CareFusion ou CareFusion.
Blessures personnelles et chocs lectriques - L'opration dun ventilateur de la srie LTV alors
que ses panneaux sont enlevs, peut causer un choc lectrique au patient ou l'oprateur. Tout
entretien doit tre effectu par un technicien de service certifi de CareFusion.
Alarmes sonores - L'chec identifier et corriger dans l'immdiat les situations d'alarmes sonores
peut causer des blessures au patient.
Mauvais fonctionnement ou panne de l'quipement - Des dispositifs lectromcaniques peuvent
mal fonctionner ou subir une panne. Le ventilateur de la srie LTV a t conu avec des alarmes,
pour dtecter et aviser les oprateurs de certaines conditions, et pour cesser d'oprer en cas de
conditions d'opration dangereuses. En cas de panne de l'quipement, tous les oprateurs du
ventilateur devraient avoir une forme de ventilation alternative leur disponibilit, et tre pleinement
familiers avec les procdures de ventilation d'urgence.
Ventilateurs fonctionnant de faon inadquate - L'opration d'un ventilateur dont le
fonctionnement semble inadquat peut reprsenter un danger. Si le ventilateur est endommag, s'il
choue les tests de vrification du ventilateur ou s'il fonctionne de faon inadquate, suspendez
l'utilisation de ce ventilateur et contactez immdiatement votre technicien de service certifi de
CareFusion.
Tests de vrification du ventilateur Noter que le gaz nest pas transmis au patient au cours de
ces tests. Dbrancher le patient du ventilateur et ventiler le patient laide dune forme de ventilation
alternative avant de procder aux tests de vrification du ventilateur.
Modes Vrification et Entretien du ventilateur - Le ventilateur de la srie LTV ne transmet pas le
mlange de gaz en mode Vrification du ventilateur (VENT CHECK) ou en mode Entretien du
ventilateur (VENT MTNCE), il ne devrait donc pas tre utilis pour ventiler un patient durant
l'excution de ces tests.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-7

AVERTISSEMENT
Concentration doxygne inspir (FIO2) Si la frquence respiratoire du patient est variable, sa
ventilation-minute va fluctuer. Lorsquune concentration exacte doxygne inspir (FIO2) est
ncessaire pour une transmission au patient, il est recommand dutiliser un analyseur de niveau
doxygne2 prcis, comportant des alarmes.
Informations sur la dure d'utilisation restante de la bouteille doxygne (LTV 1200) - La
prcision de laffichage de la quantit doxygne utilisable restante dans une bouteille doxygne
externe (O2 DUR hh:mm) dpend de la prcision de la jauge de pression utilise sur la bouteille et
de l'exactitude des informations fournies par loprateur dans les paramtres du menu DUREE CYL
O2. Les informations calcules et affiches sur la quantit doxygne utilisable ne doivent tre
utilises qu titre indicatif.
Variables de ventilation et consommation doxygne Les variations dans la ventilation par
minute du patient et dans le rapport inspiration/expiration, la modification des paramtres ou ltat du
matriel (fuite dans le circuit, par exemple) modifient le taux de consommation de loxygne. Lorsque
la situation du patient le permet, il est recommand qu'une bouteille doxygne de secours ou toute
autre source alternative doxygne soit disponible en permanence.
Avant toute utilisation dune prise dallume-cigare ou dune prise de courant Avant dutiliser
un allume-cigare ou une prise de courant comme source dalimentation du ventilateur LTV, vrifiez
que la batterie interne du ventilateur est en bon tat et entirement charge. Lutilisation dun allumecigare ou dune prise de courant fournissant un branchement de qualit mdiocre, des dfauts du
circuit lectrique (batterie, systme de charge, etc.), ou lutilisation daccessoires dautomobile
(climatisation, phares, chane stro et haut-parleurs forte consommation, etc.) peuvent affecter le
voltage dlivr au ventilateur et provoquer une sous-alimentation de celui-ci. Dans cette situation, le
ventilateur dclenche une alarme PAS ALIM SEC et utilise la batterie interne du ventilateur comme
source dalimentation.
Pices, accessoires et options non autorises - Des dommages l'quipement ou des blessures
au patient peuvent survenir suite l'utilisation de pices, accessoires et options non autorises.
Seuls les lments expressment approuvs par CareFusion doivent tre utiliss en conjonction
avec les ventilateurs de la srie LTV.
Accessoires non approuvs Lutilisation daccessoires qui ne sont pas expressment approuvs
par CareFusion pourrait entraner des conditions dangereuses. Seuls les accessoires de CareFusion
devraient tre utiliss pour brancher les ventilateurs aux systmes daide aux patients. Ces
accessoires comportent des caractristiques de scurit pour rduire les risques de choc. Nessayez
pas de modifier ces accessoires daucune faon.
Connecteur dappel daide aux patients Ne mettez pas plus de 25 V efficace ou 32 V c.c. au
connecteur dappel daide aux patients.
Entretien et rparation du ventilateur - Tout entretien ou rparation du ventilateur de la srie LTV
ne doit tre effectu que par un technicien de service certifi de CareFusion.
Circuits du patient Les circuits du patient du CareFusion, les valves expiratoires et les collecteurs
deau sont expdis propres, mais pas striles.
Sensibilit la lumire ultraviolette Les matriaux utiliss pour la tubulure des circuits du patient
ne sont pas stables sous rayons UV. viter dexposer la tubulure la lumire UV.
Vis de montage des accessoires Voir les renseignements fournis dans la trousse de vis de
remplacement de CareFusion, numro de pice 11149, pour dterminer lemplacement, le type et la
longueur des vis de montage daccessoires ou des vis de remplacement pour accessoires utiliser
lors de la dpose ou de lchange daccessoires externes sur un ventilateur de la srie LTV.

Page 1-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

AVERTISSEMENT
Utilisation des vis de montage Vous pourriez causer des dommages internes au ventilateur si
des vis de montage de mauvaise longueur sont utilises lors de linstallation ou de la dpose des
accessoires externes.
Accessoires du circuit du patient - Lutilisation daccessoires tels que les membranes vocales, les
changeurs thermohydriques et les filtres, produit une rsistance additionnelle dans le circuit de
patient et en cas de dbranchement, elle risque dempcher la gnration de lalarme de basse
pression. Sassurer que les paramtres de lalarme de basse pression sadaptent ces types
daccessoires lorsquils sont utiliss avec les circuits du patient.
Rglages du contrle de volume bas par minute - Le contrle du volume bas par minute doit tre
ajust la plus haute valeur clinique approprie. Si lalarme de volume bas par minute doit tre
ajuste des valeurs infrieures ou mise larrt (- - -) pour satisfaire aux besoins cliniques,
effectuer une valuation clinique afin de dterminer si lutilisation dun autre moniteur (c.--d.,
sphygmo-oxymtre muni dune alarme sonore ou un moniteur cardio-respiratoire) savre pertinente.
Le systme RM conditionnelle LTV 1200 est spcifi comme - un ventilateur LTV 1200 (P/N
18888-2XX), circuit de patient LTV 1200 de 4,6 m (15 pi) sans danger pour la RM (P/N 19189-001),
support de plancher RM conditionnelle (P/N 14982-001), et un adaptateur LTV c.a. (P/N 18053001). Ajouter des pices ou accessoires non approuvs pourrait mener des dangers au patient
et/ou l'oprateur.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-9

Cautions

CAUTION
Ventilator Sterilization To avoid irreparable damage to the LTV 1200 / 1150 ventilator, do not
attempt to sterilize it.
Cleaning Agents To avoid damaging the ventilators plastic components and front panel, do not
use cleaning agents containing ammonium chloride, other chloride compounds, more than 2%
glutaraldehyde, phenols, or abrasive cleaners.
Ventilator Immersion - Do not immerse the ventilator in liquids.
Reusable Patient Circuit Components - To avoid degradation of the reusable patient circuit
components, do not exceed the following constraints:
50 cleaning cycles or 1 year (whichever comes first)
Steam Autoclave:
Pressure:
20 PSIG
Temperature:
275F (135C)
Time:
6 minutes
Liquid Sterilizing Agent:
Do not use any of the following solutions to clean, disinfect, or sterilize the patient circuit:

Ketone

Chlorinated solutions

Phenol (>5%)

Chlorinated hydrocarbons

Inorganic acids

Aromatic hydrocarbons

Formaldehyde

Hypochlorite

Liquid agents containing more than


2% glutaraldehyde

Pasteurization:
A 30-minute warm water detergent and a 30-minute 165F (74C) hot water cycle.
Drying in a sterile drier for more than 1 hour or 140F (59C).
Gas (ETO):
Temperature:
131F (55C)
Differential Pressure Ports - A low pressure air nozzle with flow less than 10 liters per minute
should be used for cleaning the differential pressure ports.
Exhalation Valve Cleaning - Do not pour or spray liquid cleaners into the exhalation valve.
Patient Wye Installation After cleaning, install the patient wye in the patient circuit so the proximal
sense lines are oriented up while operating.

Page 1-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

CAUTION
Care of the Exhalation Valve - The exhalation valve is a delicate assembly and may be damaged if;
Care is not exercised when handling or cleaning it.
Cleaning instruments or foreign bodies are inserted into it.
High-pressure gas nozzles are used to dry it.
Front Panel Cleaning Do not pour or spray liquid cleaners onto the front panel.
Care of Bacterial Filters If bacterial filters are used in conjunction with the LTV 1200 / 1150
ventilator, comply with all procedures as specified by the filter manufacturer.
Wet or Damp Filters - Do not install a wet or damp filter into the LTV 1200 / 1150 ventilator. This
could damage the ventilator.
Oxygen Supply Contamination - The accuracy of the oxygen delivery capabilities of LTV 1200 /
1150 ventilator can be compromised by foreign debris contamination in the oxygen supply system. To
reduce the risk of airborne contaminants entering the ventilator, ensure that any oxygen supply
connected to the ventilator is clean, properly filtered1 and that the ventilators O2 Inlet Port Cap is
securely installed on the O2 Inlet Port whenever the ventilator is not connected to an external oxygen
supply.
Proximal Sense Lines - Do not remove the proximal sense lines from the patient wye.
Automobile Cigarette Lighter and Power Outlets Automobile cigarette lighter and power outlets
are normally wired for a positive center contact and ground sleeve contact. Connecting the ventilator
to an improperly wired outlet will cause the adapter fuse to blow and may damage the adapter or the
ventilator.
Automobile Cigarette Lighter Outlet Power Rating - Running a ventilator from an improperly rated
automobile cigarette lighter outlet (less than 20 amperes) may cause a fuse in the automobile to blow,
causing the ventilator and possibly other accessories in the automobile to stop operating.
Automobile Cigarette Lighter Adapter - Do not operate the ventilator from the Automobile Cigarette
Lighter Adapter while starting the vehicle or when jump starting the automobile battery. Doing so may
cause damage to the ventilator.
Automobile Cigarette Lighter Adapter Tip - Use care when disconnecting the Automobile Cigarette
Lighter Adapter after use, its tip may be hot.
Automobile Cigarette Lighter Outlet Depending on the condition of the automobile battery,
whether the automobile is turned off, being started or running, automobile cigarette lighter outlets can
provide varying levels of voltage (in some, the outlet only operates when the vehicle is running).
Verify which power source the ventilator is using by checking the External Power LED on the
ventilator.
Remote Alarm - Always verify that the remote alarm properly reports the LTV 1200 / 1150 ventilator
alarms before use.
Remote Alarm - Always follow the remote alarm manufacturers usage and maintenance
requirements to guarantee proper function of the device.

In addition to the existing internal O2 Inlet filter, P/N 19845-001, an External, In-Line Oxygen Filter (P/N 14470)
is available from CareFusion.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-11

CAUTION
External Battery Pack - The External Battery Pack should only be connected to the LTV 1200 /
1150 ventilator using the CareFusion External Battery Cable (PN 10802). This cable is pre-wired and
properly terminated to ensure safe connection of the External Battery Pack to the ventilator.
Electrical Grounding In the event of a loss of electrical protective ground, touching the ventilator
could result in electrical shock. To ensure grounding and avoid this danger, use only the unmodified
power cord originally supplied with the LTV 1200 / 1150 ventilator, maintained in good condition and
connected to a properly wired and grounded electrical power outlet.
Do not cover the ventilator To avoid damage to the ventilator, do not cover while operating or
position relative to other objects such that the operation or performance of the ventilator may be
adversely affected. Ensure that sufficient space exists around the ventilator while in use to allow free
circulation of gases.
Electrostatic Discharge The use of electrically conductive hoses and tubing is not recommended.
The use of such materials may result in damage to the ventilator from electrostatic discharge.
External DC Power Source or External Battery - When connecting the LTV 1200 / 1150 ventilator
to an external DC power source or external battery, use only the approved method and connectors
specified in Chapter 14 - Power and Battery Operation.
AC Power Source - When connecting the ventilator to an AC power source, use only the approved
LTV AC Power Adapter.
AC Power Earth Ground Validity If the validity of the AC power earth ground connection is in
doubt, use the internal battery, an external battery, or an external DC power source to operate the
LTV 1200 / 1150 ventilator.
Fuse Fire Hazard Replacement of existing fuses with fuses with different voltage or electrical
current ratings may cause a fire.
Storage Temperature - Storing the LTV 1200 / 1150 ventilator at temperatures above 60C (140F)
for long periods can damage the internal battery and cause expected battery duration to degrade.
Patient Assist Call Connector Do not apply more than 25V rms or 32VDC to the Patient Assist
Call connector.
Ventilator Checkout Tests - LTV 1200 / 1150 ventilator Checkout tests must be performed before
initial use of the ventilator. Rerun the tests whenever a question about the ventilators operation
arises.
Release Button - To avoid damaging the ventilator or the power connector, push the release button
on the connector before removing it from the ventilator power port or the power port pigtail connector.

Page 1-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

ATTENTION
Strilisation du ventilateur - Afin d'viter des dommages irrparables au ventilateur de la 1200 /
1150 LTV, ne tentez pas de striliser ce dernier.
Produits de nettoyage - Afin d'viter d'endommager les composants plastiques et le panneau frontal
du ventilateur, n'utilisez pas des produits de nettoyage contenant : chlorure d'ammonium, composs
de chlorure, plus de 2% de glutaraldhyde, ou phnol.
Immersion du ventilateur - Ne pas immerger le ventilateur dans des liquides, incluant les produits
strilisants.
Composants rutilisables du circuit du patient Pour viter la dgradation des composants
rutilisables du circuit du patient, ne dpassez pas les limites suivantes:
50 cycles de nettoyage ou 1 an (le premier des deux prvalant)
Autoclave vapeur:
Pression :
20 lb/po2
Temprature :
275F (135C)
Dure :
6 minutes
Agent de strilisation liquide:
Il ne faut utiliser aucune des solutions suivantes pour nettoyer, dsinfecter ou striliser le circuit
du patient :

Ctone

Solutions contenant du chlore

Phnol (>5%)

Hydrocarbures contenant du chlore

Acides inorganiques

Hydrocarbures aromatiques

Formaldhyde

Hypochlorite

Les agents liquides contenant plus


de 2% de glutaraldhyde

Pasteurisation:
Un cycle avec dtergent leau tide pendant 30 minutes et leau chaude 165F
(74C) pendant 30 minutes.
Schage dans un schoir strile pendant plus de 1 heure ou 140F (59C).
Gaz (ETO):
Temprature :
131F (55C)
Ports de pression diffrentielle - Une source de gaz dbit faible (moins de 10 ppm) doit tre
utilise pour le nettoyage des fluides et de dbris des ports de pression diffrentielle.
Nettoyage de la soupape d'expiration - Ne pas asperger une solution nettoyante dans la soupape
d'expiration.
Installation de la soupape d'expiration - Aprs le nettoyage, installez la soupape d'expiration dans
le circuit du patient de sorte que les lignes de dtection soient alignes vers le haut pendant
lopration.
Entretien de la soupape d'expiration - La soupape d'expiration est une pice fragile et peut tre
endommage si :

Des prcautions ne sont pas prises lors de sa manipulation ou de son nettoyage.


Des instruments de nettoyage ou des corps trangers sont insrs dans celle-ci.
Des pistolets de gaz haute-pression sont utiliss pour l'asscher.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-13

ATTENTION
Nettoyage du panneau frontal - Ne pas asperger des solutions nettoyantes ou les laisser s'couler
sur le panneau frontal.
Entretien des filtres bactriens - Les filtres bactriens ne devraient pas tre immergs dans un
liquide. Un autoclave vapeur devrait tre utilis pour le nettoyage des filtres bactriens.
Filtres mouills ou humides - Ne pas installer des filtres mouills ou humides dans les ventilateurs
de la srie LTV. Cela pourrait endommager le ventilateur.
Contamination de la rserve doxygne La prcision de la capacit dalimentation en oxygne
des ventilateurs LTV peut tre compromise par la prsence de corps trangers dans le systme
dalimentation en oxygne. Afin de diminuer le risque de prsence dagents contaminants
atmosphriques dans le ventilateur, assurez-vous que la rserve doxygne relie au ventilateur est
propre et filtre de manire adquate2, et que le bouchon de lorifice dalimentation en oxygne est
correctement install chaque fois que le ventilateur nest pas reli une source d'oxygne externe.
Conduites de dtection Nenlevez pas les conduites de dtection qui se trouvent sur les divisions
en Y du circuit du patient.
Allume-cigare et prises de courant Lallume-cigare et les prises de courant sont habituellement
cbls de faon obtenir un contact central positif et un contact du manchon la terre. Le
branchement du ventilateur dans une prise qui nest pas cble adquatement aura pour effet de
faire sauter le fusible de ladaptateur et pourrait endommager ladaptateur ou le ventilateur.
Puissance nominale des prises dallume-cigare Le branchement dun ventilateur une prise
dallume-cigare qui ne possde pas la tension suffisante (moins de 20 ampres) peut faire griller un
fusible de lautomobile, causant ainsi larrt du ventilateur et ventuellement, celui dautres
accessoires de lautomobile.
Adaptateur pour allume-cigare Ne faites pas fonctionner le ventilateur laide de ladaptateur
pour allume-cigare lorsque vous dmarrez le vhicule ou lorsque vous faites une connexion
provisoire de la batterie d'un vhicule. Vous pourriez ainsi endommager le ventilateur.
Embout adaptateur pour allume-cigarette dautomobile - Aprs l'utilisation, dbrancher
ladaptateur pour allume-cigarette dautomobile avec prcaution car son embout peut tre chaud.
Prise dallume-cigare dautomobile Selon la condition de la batterie de lautomobile, si le moteur
est coup, dmarr ou est en marche, les prises dallume-cigare dune automobile peut gnrer des
niveaux de tension varis (sur certains modles, la prise ne fonctionne que si le moteur est en
marche). Vrifier la source dalimentation utilise par le ventilateur indique par la DEL External
Power du ventilateur.
Alarme distance Assurez-vous toujours que lalarme distance indique de faon adquate les
alarmes du ventilateur LTV avant dutiliser le ventilateur.
Alarme distance Suivez toujours les exigences dutilisation et dentretien du fabricant de lalarme
distance afin dassurer le fonctionnement adquat de lappareil.
Bloc-piles externe Le bloc-piles externe ne doit tre branch quaux ventilateurs de la 1200 / 1150
LTV laide du cble pour piles externes de CareFusion (No pice 10802). Ce cble est prcbl et
ses terminaisons assurent une connexion scuritaire entre le bloc-piles externe et le ventilateur.
Mise lectrique la terre - En cas de perte de la mise lectrique la terre de protection, toutes les
pices conductrices peuvent transmettre un choc lectrique. Pour viter un choc lectrique, n'utilisez
que le cordon d'alimentation d'origine non modifi fourni avec les ventilateurs de la 1200 / 1150 LTV,
maintenus en bonne condition, et branchs une prise adquatement cble et mise la terre.

En plus du filtre interne de lorifice dalimentation en oxygne, dont le numro de pice est 19845-001,
CareFusion propose un filtre oxygne externe, de numro de pice 14470.

Page 1-14

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

ATTENTION
Ne recouvrez pas le ventilateur En vue dviter le risque de dommages du ventilateur, ne le
recouvrez pas pendant son fonctionnement ou ne le positionnez pas en relation avec dautres objets
de sorte que le fonctionnement ou le rendement du ventilateur puisse en tre ngativement affect.
Assurez-vous quun espace suffisant existe autour du ventilateur pendant son utilisation afin de
permettre une bonne circulation des gaz
Choc lectrostatique L'utilisation de tuyaux et de tubes conductibles n'est pas recommande.
L'utilisation de ces matriaux risque de causer une dcharge lectrostatique qui endommagerait le
ventilateur.
Source de courant continu ou pile externe - Lorsque vous branchez les ventilateurs de la 1200 /
1150 LTV sur une source de courant continu ou sur une pile externe, utilisez seulement les
mthodes et les connecteurs approuvs spcifis au chapitre 14 - Alimentation et opration avec pile.
Source d'alimentation c.a. - Lorsque vous branchez le ventilateur sur une source d'alimentation
c.a., utilisez l'adaptateur c.a. LTV approuv.
Validit de la mise la terre de l'alimentation c.a. - Si vous doutez de la validit de la mise la
terre de l'alimentation c.a., utilisez la pile interne, une pile externe ou une source externe de courant
continu, pour oprer le ventilateur de la 1200 / 1150 LTV.
Danger d'incendie des fusibles - Le remplacement des fusibles existants par des fusibles de type,
d'amprage et de courant lectrique diffrent peut causer un incendie.
Temprature d'entreposage - L'entreposage du ventilateur de la 1200 / 1150 LTV des
tempratures suprieures 60 C (140 F) durant des priodes prolonges peut endommager la pile
interne et causer l'usure prmature de la pile.
Connecteur dappel daide aux patients - Ne mettez pas plus de 25 V efficace ou 32 V c.c. au
connecteur dappel daide aux patients.
Tests de vrification du ventilateur - Les tests de vrification du ventilateur doivent tre effectus
avant de relier le patient au ventilateur. Effectuez les tests lors de doutes relativement l'opration
adquate du ventilateur.
Bouton de dclenchement Pour viter d'endommager le ventilateur ou le connecteur
d'alimentation, appuyer sur le bouton de dclenchement situ sur le connecteur avant de le retirer du
port d'alimentation du ventilateur ou du raccord de queue de cochon du port d'alimentation.
Ne recouvrez pas le ventilateur Afin dviter tout risque de dommages au ventilateur, ne le
recouvrez pas pendant son fonctionnement et positionnez-le de manire ce que son
fonctionnement ou son rendement ne puisse tre gn par dautres objets. Assurez-vous quun
espace suffisant existe autour du ventilateur pendant son utilisation afin de permettre une bonne
circulation des gaz.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 1-15

Symbols
Symbol

Compliance3
ISO 3864
(Prev. IEC 348)
Symbol No.B.3.1

Application

Caution (refer to
accompanying
documents)

Used to direct the user to the instruction


manual where it is necessary to follow
certain specified instructions where
safety is involved.

IEC 417
Symbol No.
417-IEC-5016

Fuse

To indicate the fuse boxes, for example,


and their location.

IEC 417
Symbol No.
417-IEC-5035

Output

To identify an output terminal when it is


necessary to distinguish between inputs
and outputs.

IEC 417
Symbol No.
417-IEC-5019

Protective earth
(ground)

To identify any terminal which is


intended for connection to an external
protective conductor for protection
against electric shock in case of a fault
or the terminal of a protective earth
(ground) electrode.

IEC 417
Symbol No.
417-IEC-5333

Type BF
equipment.

To mark a type BF equipment complying


with IEC Publication 601.

IEC 417
Symbol No.
417-IEC-5031

Direct Current

To indicate on the rating plate that the


equipment is suitable for direct current
only; to identify relevant terminals.

IEC 417
Symbol No.
417-IEC-5032

Alternating current

To indicate on the rating plate that the


equipment is suitable for alternating
current only; to identify relevant
terminals.

IEC 417
Symbol No.
417-IEC-5172

Class II equipment

To identify equipment meeting safety


requirements specified for Class II
equipment.

Sound; audio

Used to identify controls or terminals


related to audio signals.

Waste Container

To identify Waste Electrical and


Electronic Equipment (WEEE) that is not
to be disposed of as unsorted municipal
waste and is to be collected separately.

MR Conditional

To identify equipment that has been


demonstrated to pose no known hazards
in a specified MR environment with
specified conditions of use.

IEC 60417
Symbol No. 5182
Directive
2002/96/EC

ASTM F2503-05

Title

Reference IEC Medical Electrical Equipment, 2nd. Edition 1988

Page 1-16

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 2 - VENTILATOR OVERVIEW


The LTV 1200 / 1150 ventilator is a lightweight, high performance ventilator that is designed to
provide the maximum functionality in the smallest possible package. The LTV 1200 / 1150 ventilator
provides the following features:

High performance ventilation in a small lightweight package (10.5 x 13.5 x 3.25, 14.5 lbs).
Turbine technology allows the ventilator to operate without an external compressed gas source.
CPAP4, SIMV5, Control, Assist/Control and Apnea Backup ventilation modes.
NPPV6 mode ventilation.
Volume Control, Pressure Control and Pressure Support ventilation.
Spontaneous Breathing Trial (SBT) to assist with weaning and discontinuation of ventilatory support.
Variable alarm settings including High Peak Pressure, Low Peak Pressure, Low Minute Volume,
Apnea, High Breath Rate, High PEEP and Low PEEP.
Oxygen Bleed-in from a Low-Pressure Oxygen source.
Oxygen Blending from a High-Pressure Oxygen source, O2 Flush, and O2 Cylinder Duration (LTV
1200 only).
Lockable front panel controls.
Monitors for Breath Rate (f), I:E Ratio, MAP, Minute Ventilation (VE), PEEP, PIP and Tidal
Volume (Vte).
Real-time patient circuit pressure display with Peak Inspiratory Pressure indicator.
Variable termination conditions for Pressure Support breaths, including maximum inspiratory time
termination and percentage of peak flow.
Selectable Percentage of Peak Flow termination for Pressure Control breaths.
Presets to facilitate rapid patient set-up.
Leak Compensation to improve triggering when a circuit leak is present.
Single or dual tone output capabilities.
Operation from a variety of power sources including AC power, internal battery and external DC
power sources.

Continuous Positive Airway Pressure


Synchronized Intermittent Mandatory Ventilation
6
Non-invasive Positive Pressure Ventilation
5

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 2-1

Indications for Use


The LTV 1200 / 1150 ventilator is intended to provide continuous or intermittent ventilatory support
for the care of the individuals who require mechanical ventilation. The ventilator is a restricted medical
device intended for use by qualified, trained personnel under the direction of a physician. Specifically,
the ventilator is applicable for adult and pediatric patients weighing at least 5kg (11 lbs.), who require
the following types of ventilatory support:

Positive Pressure Ventilation, delivered invasively (via endotrach tube or trach tube) or
non-invasively (via mask or nasal prongs).
Assist/Control, SIMV, CPAP, or NPPV modes of ventilation.

The ventilator is suitable for use in institutional, home, or transport settings.


The MR Conditional LTV 1200 System is suitable for use in both 1.5 and 3.0 Tesla (not to exceed
3.0 Tesla static magnetic field) shielded magnetic scanners (see Chapter 16 MR Conditional
System for more information).

CAUTION: Federal law restricts this device to sale by or on the order of a physician.

Page 2-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Power/Supplies Required
To operate the LTV 1200 / 1150 ventilator, you will need the following:

Power source:

CareFusion AC Adapter P/N 18053-001, 110V or 220V AC power


source, or 11V to 15V DC power source. This may be an external
battery or a DC power system7.

For enriched FIO2:

High-pressure oxygen source providing between 40 PSIG and 80


PSIG (LTV 1200 only), or Low-flow, low-pressure oxygen source
providing less than 10 PSIG.

WARNING
Untrained Personnel Only properly trained personnel should operate the ventilator. The LTV
1200 / 1150 ventilator is a restricted medical device designed for use by Respiratory Therapists or
other properly trained and qualified personnel under the direction of a physician and in accordance
with applicable state laws and regulations.
Patient Monitoring - Patients who are dependent on a ventilator should be constantly monitored by
qualified personnel. Such personnel should be prepared to address equipment malfunctions and
circumstances where equipment becomes inoperative. An alternative method of ventilation should be
available for all patients dependent on the ventilator, and qualified personnel should be fully familiar
with emergency ventilation procedures.

AVERTISSEMENT
Personnel non qualifi - Seul le personnel qualifi doit oprer le ventilateur. Le ventilateur de la
1200 / 1150 LTV est un dispositif mdical restreint conu pour tre utilis par les inhalothrapeutes
ou autres personnes qualifies, et par le personnel qualifi sous la supervision d'un mdecin et en
conformit avec les lois et rglements applicables.
Surveillance du patient Un personnel qualifi doit constamment surveiller les patients qui sont
relis un ventilateur. Le personnel doit tre en mesure de soccuper des dfectuosits de
fonctionnement de lquipement ainsi que des circonstances o ce dernier devient inoprant. Une
forme de ventilation alternative doit tre disponible tous les patients relis au ventilateur et le
personnel qualifi devrait tre pleinement familier avec les procdures de ventilation durgence.

Airline carriers typically allow only dry cell batteries on board aircraft. However, some airlines may allow an
electrical cord to be plugged in if arranged in advance. CareFusion recommends checking with the intended
carrier well in advance before traveling.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 2-3

Information/Assistance
For additional information or troubleshooting assistance concerning the operation of the LTV 1200 /
1150 ventilator, and the MR Conditional LTV 1200 System, contact a certified CareFusion service
technician or:
CareFusion Respiratory Systems
22745 Savi Ranch Parkway
Yorba Linda, California 92887-4645, USA
Customer Care: 800.754.1914
763.398.8500
Fax: 763.398.8403
Email: [email protected]
Website: www.carefusion.com

Page 2-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 3 - BREATH TYPES


This chapter contains information regarding the breath types available on the LTV 1200 / 1150
ventilator. It covers how breaths are initiated, limited and cycled, and when each type of breath is
given.
The following terms are used in discussing how breaths are given:
Initiate

What causes a breath to be given. Breaths may be initiated by a patient trigger, a


push of the Manual Breath button, or by the ventilator based on the set breath rate
and ventilation mode.

Limit

How the breath is controlled. Breaths may be limited to a maximum circuit pressure
or flow.

Cycle

What causes the breath to be cycled from the inspiratory phase to the exhalation
phase. Breaths may be cycled by the ventilator when a set time or delivered volume
has been reached, or when an alarm condition such as a high pressure limit has
been reached.

Breath Types
Breaths are defined by how they are initiated, limited and cycled. The breath types are Machine,
Assist, and Patient.

Initiated By Limited By Cycled By -

Machine
Ventilator
Ventilator
Ventilator

Assist
Patient
Ventilator
Ventilator

Patient8
Patient
Ventilator
Patient

Breaths may be given in any of the following forms: Volume Control, Pressure Control, Pressure
Support and Spontaneous.These breaths are given as described in the sections below.
In addition, the following parameters apply to all breaths:

The Minimum Inspiratory Time is 300 ms.


The Minimum Exhalation Time is 346 ms.
When patient triggers are enabled, triggers are detected during exhalation after the Minimum
Exhalation Time has expired.

Pressure Support or Spontaneous

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 3-1

Volume Control Breaths


For Volume Control breaths, the set Tidal Volume is delivered over the set Inspiratory Time and flow
is delivered in a decelerating taper flow waveform. Peak flow is calculated based on the Tidal Volume
and Inspiratory Time and the final flow is 50% of the peak flow. Volume breaths may be machine or
assist type breaths.

When the combination of inspiratory time and tidal volume result in an initial flow of <20 Lpm, the final
flow remains at 10 lpm and the waveform is flattened.

Page 3-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Pressure Control Breaths


For Pressure Control breaths9, flow is delivered to elevate the circuit pressure to the Pressure Control
setting and maintain it at that pressure for the set Inspiratory Time. Pressure Control breaths may be
machine or assist type breaths.

Adjusting the Rise Time Profile changes the flow and pressure waveforms for Pressure Control
breaths.

Pressure Control and Pressure Support breaths do compensate for PEEP. For example, a Pressure Control
setting of 20cmH2O and a PEEP setting of 10cmH2O results in a Peak Inspiratory Pressure (PIP) of 30cmH2O
(20 cmH20 over the set PEEP).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 3-3

Pressure Control Breaths (cont)


Pressure Control breaths have an optional flow termination criteria. If PC Flow Termination is ON
Pressure Control breaths may be time or flow terminated. If the flow drops to the set FLOW TERM
level before the inspiratory time is completed, the inspiration is cycled.

Page 3-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Pressure Support Breaths


For Pressure Support breaths10, flow is delivered to elevate the circuit pressure to the Pressure
Support setting and maintain it at that pressure until the flow drops below a variable percentage of the
peak flow. Pressure Support breaths may also be cycled by a variable time limit, or by exceeding 2
breath periods. Pressure support breaths are patient type breaths.

For some patients, it may be useful to adjust the variable flow termination percentage. Adjusting the
FLOW TERM setting between 10% and 40% will change the length, volume and comfort of the
inspiration.

10

Pressure Control and Pressure Support breaths do compensate for PEEP. For example, a Pressure Control
setting of 20cmH2O and a PEEP setting of 10cmH2O results in a Peak Inspiratory Pressure (PIP) of 30cmH2O
(20 cmH20 over the set PEEP).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 3-5

Spontaneous Breaths
For Spontaneous breaths, flow is delivered to meet patient demand and maintain the circuit pressure
at the measured PEEP from the previous breath. The breath is cycled when the flow drops below the
Pressure Support Flow Termination setting, or below 3 lpm. Spontaneous breaths may also be
terminated by exceeding 2 breath periods. Spontaneous breaths are patient type breaths.

Page 3-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 4 - VENTILATION MODES


The LTV 1200 / 1150 ventilator provides the following modes of ventilation:
Control
Assist/Control
SIMV - Synchronized Intermittent Mandatory Ventilation
CPAP - Continuous Positive Airway Pressure
Apnea Backup Ventilation
NPPV - Non-Invasive Positive Pressure Ventilation
Each of these modes is described below.

Control Mode
Control mode ventilation is selected when Assist/ Ctrl is selected and Sensitivity is set to a dash -.
In Control mode, Volume or Pressure Controlled machine breaths are given at the rate specified by
the Breath Rate setting and no triggered breaths are allowed.

Assist/Control Mode
Assist/Control ventilation is selected when Assist/ Ctrl is selected and Sensitivity is on. In
Assist/Control mode, the ventilator guarantees a minimum number of Volume or Pressure Controlled
breaths are given. The patient may trigger additional Volume or Pressure Controlled assist breaths.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 4-1

SIMV Mode
SIMV mode is selected when SIMV/CPAP is selected and the Breath Rate is set between 1 and 80.
In SIMV mode, machine, assist and patient breaths may be given.
For the first patient trigger detected within a breath period, an assist breath is given. For all
subsequent patient triggers within the same breath period, spontaneous patient breaths or pressure
support if set, are given.
At the beginning of a breath period, if no triggered breaths were given in the previous breath period, a
machine breath is given. If there was a patient trigger in the previous breath cycle, the ventilator will
not give a machine breath in the current breath period unless the set Apnea Interval is exceeded.

NOTE
LTV ventilators provide an Apnea Backup mode of ventilation. When the set Apnea Interval
(maximum time allowed between the beginning of one breath and the beginning of the next breath) is
exceeded, the APNEA alarm is generated and the ventilator will enter Apnea Backup ventilation
mode.

REMARQUE
Les ventilateurs LTV procurent un mode de ventilation de secours pour lapne. Lorsque lintervalle
de lapne tabli (dure maximum alloue entre le dbut dune respiration et le dbut de la respiration
suivante) est excd, lalarme APNEA est gnre et le ventilateur entre en mode de ventilation de
secours pour lapne.

Page 4-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

CPAP Mode
CPAP mode is selected when SIMV/CPAP is selected and the Breath Rate is set to dashes - -. In
CPAP mode, when a patient trigger is detected, a patient breath is given. Breaths will be Pressure
Support or Spontaneous breaths according to the Pressure Support setting.

NOTE
LTV ventilators provide an Apnea Backup mode of ventilation. When the set Apnea Interval
(maximum time allowed between the beginning of one breath and the beginning of the next breath) is
exceeded, the APNEA alarm is generated and the ventilator will enter Apnea Backup ventilation
mode.

REMARQUE
Ventilateur LTV procurent un mode de ventilation de secours pour lapne. Lorsque lintervalle de
lapne tabli (dure maximum alloue entre le dbut dune respiration et le dbut de la respiration
suivante) est excd, lalarme APNEA est gnre et le ventilateur entre en mode de ventilation de
secours pour lapne.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 4-3

NPPV Mode
Non-invasive Positive Pressure Ventilation, (NPPV) can be selected as the primary mode of
ventilation. In the NPPV mode, the ventilator cycles between IPAP (Pressure Support) and EPAP
(PEEP). When a patient trigger is detected, a Pressure Support patient breath is given.

WARNING
Masks used with the LTV 1200 / 1150 must be non-vented (no holes or leak vents). With a vented
mask, the patient's exhaled air escapes through holes or vents in the mask, elbow or swivel
connector. With a non-vented mask, the patient's exhaled air escapes through the ventilator
exhalation valve. Using a vented mask will deplete the oxygen supply faster, and also may lead to
patient-ventilator dysynchrony.
Excessive leakage can also occur if the mask is not properly sealed to the patients face.

REMARQUE
Les masques utiliss avec le LTV 1200 / 1150 ne doivent pas tre ventils (ni trous ni
panchements dair). Avec un masque de ventilation, lair que le patient expire schappe par les
trous ou la ventilation du masque, le coude ou le connecteur pivotant. Avec un masque qui na pas de
ventilation, lair que le patient expire schappe travers la valve dexpiration du ventilateur. Utiliser
un masque de ventilation va puiser la rserve doxygne plus rapidement et peut aussi causer une
dysynchronie entre le patient et le ventilateur.
Des fuites excessives peuvent aussi se produire si le masque nest pas proprement tanche sur le
visage des patients.

Page 4-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Apnea Backup
The LTV 1200 / 1150 ventilator provides an Apnea Backup mode of ventilation. Apnea Backup
ventilation begins when the time since the last breath start is greater than the set Apnea Interval.
When an apnea alarm occurs:

If an inspiration is in progress, the ventilator cycles to exhalation.


The ventilator begins Apnea Backup ventilation in the Assist/Control mode according to the
current control settings. The active controls are displayed at full intensity, and all other controls
are dimmed.

The breath rate for Apnea Backup mode is determined as follows:

If the set Breath Rate is = 12 bpm, the Apnea breath rate is the set Breath Rate.
If the set Breath Rate is < 12 bpm and the set Breath Rate is not limited by other control settings,
the Apnea breath rate is 12 bpm.
If the set Breath Rate is limited to <12 bpm, the Apnea breath rate is the highest allowed rate.

The ventilator exits the Apnea Backup mode and returns to the previous mode of ventilation when the
operator resets the Apnea alarm or when two consecutive patient-initiated breaths occur.
The Apnea Interval may be changed using the Extended Features menu.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 4-5

Volume Pressure Ventilation


The LTV 1200 / 1150 ventilator offers both Volume and Pressure ventilation.
When Volume is selected, all machine and assist breaths are Volume Control breaths. Breaths are
given according to the Tidal Volume and Insp. Time controls. For more information on Volume
Control breaths, see Chapter 6 - Controls, Tidal Volume.
When Pressure is selected, all machine and assist breaths are Pressure Control breaths. Breaths
are given according to the Pres. Control and Insp. Time controls. For more information on Pressure
Control breaths, see Chapter 6 - Controls, Pressure Control.

Bias Flow
The LTV 1200 / 1150 ventilator provides a constant bias flow of 10 Lpm during exhalation to assist
with patient triggering. When the O2 Conserve option is ON, the bias flow is 0 lpm and assistance
with patient triggering is reduced. For more information on bias flow using the O2 Conserve option,
see Chapter 10 - Extended Features, O2 Conserve.

WARNING

O2 Conserve When CONSERVE ON is selected, the LTV 1200 automatically sets the bias flow to
0 lpm and selects pressure triggering. Certain patients may experience difficulty triggering a breath
with a bias flow of 0 lpm.

AVERTISSEMENT

Conservation dO2 Lorsque CONSERVE ON est slectionn, le LTV 1200 rgle automatiquement
le dbit corrig 0 l/min et slectionne lenclenchement de la pression. Certains patients peuvent
prouver des difficults pour enclencher un souffle respiratoire de 0 l/min de dbit corrig.

Page 4-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 5 - USING THE CONTROLS AND INDICATORS


Ventilator Controls
The following diagram shows how the LTV 1200 front panel controls and displays are arranged.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 5-1

Ventilator Controls (continued)


The following diagram shows how the LTV 1150 front panel controls and displays are arranged.

Page 5-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Setting a Control
There are 5 kinds of controls on the LTV 1200 / 1150 ventilator. They are:
Variable Controls

Controls and alarms that have front panel displays.

Buttons

Push buttons that select an option or perform a function.

Set Value Knob

Used to set control values and navigate extended features


menus.

Extended Features

Ventilation options that do not have front panel controls but are
available through a special menu.

Mechanical Controls

Controls, such as Over Pressure Relief, that are hardware


regulated and not operator adjustable.

The following sections describe how to set each kind of control.

Variable Controls
To set a variable control:
1) Select the control by pushing the associated button. The display for the selected control will be
displayed at normal brightness, but the remaining control displays will dim.
2) Change the control value by rotating the Set Value knob. Rotate clockwise to increase and
counter-clockwise to decrease the value. Turning the control knob slowly will change the setting
by a small increment. Turning the control knob more quickly will change the setting by a larger
increment.
3) Deselect the control by:

Waiting 5 seconds, or
Pushing the selected button again, or
Selecting another control, or
Pushing the Control Lock button

When the control is deselected, all displays will return to their normal brightness. The new control
value goes into effect as soon as the control is deselected.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 5-3

Buttons
Button controls do one of three things:
Turn a feature on or off, such as Control Lock.
Toggle between two features, such as Volume or Pressure ventilation.
Perform a function, such as Manual Breath.
Push the button to activate the feature or change the feature state. A green LED next to the button
indicates when a feature is on.
For Mode buttons, there is a second confirmation push required. To toggle between modes:
1) Push the mode button. The associated LED will flash for 5 seconds.
2) To confirm the mode change, push the mode button again while the LED is flashing. The
ventilator will begin operating in the new mode.
To prevent an accidental shutdown, the ventilator requires a longer push of the On/Standby button to
put the ventilator in the Standby state. To put the ventilator in Standby, push and hold the
On/Standby button for 3 seconds.

Set Value Knob


Use the Set Value knob to set control values and navigate extended features menus.
To change the setting for a variable control, select the control then turn the knob clockwise or
counter-clockwise until the desired setting is reached.
For information on how to use the Set Value knob to navigate the extended features menus, see
Chapter 10 - Extended Features.

Extended Features
The Extended Features menus allow you to set ventilation parameters that do not have dedicated
front panel controls. For information on how to use the Set Value knob to navigate the extended
features menus, see Chapter 10 - Extended Features.

Page 5-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Bright, Dim and Blank Control Displays


Variable controls will be displayed at normal or dimmed intensity, or may be blanked. A display will be
displayed at normal intensity:

When it is selected for change. All other displays will be dimmed.


When it is active in the current ventilation mode. Dimmed displays are not active in the current
mode.

NOTE
Be sure to set any controls that may be used in Apnea Backup ventilation to appropriate values. Even
though these controls are dimmed, they will be used if apnea should occur.

REMARQUE
Assurez-vous de rgler aux valeurs appropries, tous les contrles susceptibles d'tre utiliss en
mode ventilation de secours pour l'apne. Mme si ces contrles sont en veilleuse, ils seront utiliss
en cas d'apne.

A display will be displayed at dimmed intensity:

When another control is selected for change.


When it is not active in the current ventilation mode.

A display will be blank:

To conserve battery power while operating from battery power:


If no button pushes or control knob activity occurs for 60 seconds, the displays are turned off.
The display window, 7-segment control displays, and LEDs are turned off. Anytime an alarm
occurs, or if an alarm message is already displayed, the display window will remain active.
The Airway Pressure display is always active.
To turn the displays back on, push any button or turn the control knob.
When an option, such as oxygen blending, is not installed.
When a control feature is not available, such as during Ventilator Checkout tests.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 5-5

Flashing Controls
Variable controls and alarms will be displayed solid or flashing. A flashing control means one of the
following things:

If you are changing a control setting, and the display flashes, you have reached a limited value for
the control. Control Limiting is covered later in this section.
If an alarm display flashes, it indicates that an alarm has occurred or is occurring. See Chapter 9 Ventilator Alarms for more information on this.
If a control display flashes, it indicates a special condition such as time termination of a pressure
support breath. For more information, see Chapter 6 - Controls.
If the Control Lock LED flashes, it indicates you have tried to change the control settings while
the front panel controls are locked. For more information, see Chapter 6 - Controls, Control Lock.

Dashes
If a control display is set to dashes - - , it indicates that control is turned off, or is not available in
the current ventilation mode.

Control Limiting
Variable control settings may be limited to less than their specified range for any of the following
reasons:
To prevent inverse I:E ratios of greater than 4:1
To ensure a minimum inspiration time of 300 ms
To ensure a minimum exhalation time of 346 ms
To ensure a minimum initial flow of 10 lpm for Volume Controlled breaths
To ensure a maximum initial flow of 100 lpm for Volume Controlled breaths
When you are updating a control and have reached a limited condition, the following things happen:
The control stops updating and will remain displayed at the highest (or lowest) allowed value.
The control display will flash.
The displays for other controls involved in the limited condition will flash.
To set the control to a value outside the limited range, you will need to change the settings for other
controls involved in the limit condition. For instance, if the Breath Rate is set to 12, the maximum
allowed Inspiratory Time is 4.0 seconds. To set the Inspiratory Time to more than 4.0 seconds, you
must first decrease the Breath Rate.

Page 5-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Control Locking
The front panel controls may be locked so that settings cannot be accidentally changed. When the
controls are locked, the Control Lock LED will be on. If you try to select or change a control while the
Control Lock is on, the message LOCKED will be displayed in the display window and the Control
Lock LED will flash.
Two different levels of difficulty can be set for control unlocking: Easy and Hard. The Easy unlocking
method should be used when only trained personnel have access to the ventilator. The Hard method
should be used when children or others may have access to the ventilator and you want to prevent
accidental changes to the control settings. Easy unlocking is the default and this setting is changed
using the Extended Features menus11.
To turn the Control Lock on:
1) Push the Control Lock button.
The Control Lock LED is on whenever the front panel controls are locked.
If you push a button while the controls are locked:
1) The Control Lock LED will flash.
2) LOCKED will be displayed in the display window.
3) The button push is ignored.
To turn the Control Lock off with Easy unlocking:
1) Push the Control Lock button.
To turn the Control Lock off with Hard unlocking:
1) Push and hold the Control Lock button for 3 seconds.
These controls are not affected by the Control Lock and operate even when the Control Lock is on:
Manual Breath, Silence Reset, Select.

NOTE
The Control Lock button also serves as an escape key from the Extended Menu.

REMARQUE
Le bouton de verrouillage sert aussi de touche d'chappement pour quitter le menu Fonctions
avances.

Control Retention
Once a control value is set, that value will be retained in non-volatile memory12. The settings retained
in non-volatile memory may be used when the ventilator is next powered up.

11
12

See Chapter 10 - Extended Features, Control Unlock for more information.


Non-volatile memory is memory that is not erased when the ventilator is turned off or disconnected.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 5-7

Page 5-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 6 - CONTROLS
This section explains how each of the LTV 1200 / 1150 ventilator front panel controls work.

Assist/Control - SIMV/CPAP - NPPV


This button toggles between Assist/Control, SIMV/CPAP, and NPPV modes of ventilation. Each
press of the button advances or confirms your selection as follows:

One press selects the first mode in the series (Assist/Control) and the associated LED flashes.
A second press confirms the selection and the associated LED lights solid.
If you press the button again, the SIMV/CPAP LED flashes. Pressing again confirms and causes
the SIMV/CPAP LED to light solid green.
Press once more to select NPPV mode and the NPPV LED flashes. To confirm NPPV mode you
must press again but be aware that the NPPV LED will continue to flash until the IPAP and EPAP
values have been set.
For more information see Procedure for NPPV Mode Set Up, in Chapter 12 Operating
Procedure.

NOTE
When Assist/Control is selected, the ventilator will be in Control or Assist/Control mode, depending
on the Sensitivity setting.

If Sensitivity is set to dashes - -, the ventilator will be operating in Control mode.


If Sensitivity is set to any other value, the ventilator will be operating in Assist/Control mode.

When SIMV/CPAP is selected, the ventilator will be in SIMV or CPAP mode, depending on the
Breath Rate setting.

If Breath Rate is set to dashes - -, the ventilator will be operating in CPAP mode.
If Breath Rate is set to any other value, the ventilator will be operating in SIMV mode.

REMARQUE
Lorsque Aide / Contrle est slectionn, le ventilateur sera en mode Contrle ou Aide, selon le
rglage de la sensibilit.
Si la sensibilit est rgle sur Traits - - , le ventilateur fonctionnera en mode Contrle.
Si la sensibilit est rgle sur toute autre valeur, le ventilateur fonctionnera en mode Aide /
Contrle.
Lorsque le mode SIMV/CPAP est slectionn, le ventilateur sera en mode SIMV ou CPAP, selon le
rglage du dbit respiratoire.
Si le dbit respiratoire est rgl sur Traits - - , le ventilateur fonctionnera en mode CPAP.
Si le dbit respiratoire est rgl sur toute autre valeur, le ventilateur fonctionnera en mode SIMV.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-1

Breath Rate
Use the Breath Rate control to establish the minimum rate of machine or assist breaths that the
ventilator will deliver per minute.
To set the Breath Rate:
1) Push the Breath Rate button.
2) Change the setting using the Set Value knob.
Range: - -, 1 - 80 bpm

NOTE
When SIMV/CPAP is selected, the ventilator will be in SIMV or CPAP mode, depending on the
Breath Rate setting.

If Breath Rate is set to dashes - -, the ventilator will be operating in CPAP mode.
If Breath Rate is set to any other value, the ventilator will be operating in SIMV mode.

REMARQUE
Lorsque le mode SIMV/CPAP est slectionn, le ventilateur sera en mode SIMV ou CPAP, selon le
rglage du dbit respiratoire.

Si le dbit respiratoire est rgl sur Traits - - , le ventilateur fonctionnera en mode CPAP.
Si le dbit respiratoire est rgl sur toute autre valeur, le ventilateur fonctionnera en mode SIMV.

Page 6-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Control Lock
The LTV 1200 / 1150 ventilator front panel controls may be locked so that settings are not
accidentally changed. Two different levels of difficulty can be set for control unlocking: Easy and
Hard. Easy unlocking is the default and this setting is changed using the Extended Features menus13.
For more information on using the Control Lock, see Chapter 5 - Control Locking.
To turn the Control Lock on:
1) Push the Control Lock button.
The Control Lock LED is on whenever the front panel controls are locked.
To turn the Control Lock off with Easy unlocking:
1) Push the Control Lock button.
To turn the Control Lock off with Hard unlocking:
1) Push and hold the Control Lock button for 3 seconds.
These controls are not affected by the Control Lock and operate even when the Control Lock is on:
Manual Breath, Silence Reset, Select.

13

See Chapter 10 - Extended Features, Control Unlock for more information.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-3

High Pressure Limit


Use the High Pressure Limit to establish the maximum pressure permitted the patient circuit. When
this limit is reached:
A HIGH PRES alarm is displayed
The audible alarm is sounded
Inspiration is terminated and exhalation begins
The turbine is stopped to allow the circuit pressure to evacuate when the high pressure condition
persists for more than four times the set inspiratory time or more than 3.0 seconds, whichever is less.
To set the High Pressure Limit:
1) Push the High Pres. Limit button.
2) Change the setting using the Set Value knob.
Range: 5 - 100 cmH2O

Page 6-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Inspiratory / Expiratory Hold


Pushing the Insp/Exp (Inspiratory/Expiratory) Hold control button causes the ventilator to toggle
between the following messages in the display window. Each push causes the next item in sequence
to be displayed:
INSP HOLD
EXP HOLD
Normal monitor display
While INSP HOLD or EXP HOLD is displayed:

The Insp/Exp Hold control button LED will flash on and off.
If the Insp/Exp Hold control button is not pushed within 60 seconds, the message will be
removed and the LED will turn off.
Pushing the Select, Silence Reset or Control button will return the display to normal and the
LED will stop flashing.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-5

Inspiratory Hold
An Inspiratory Hold maneuver holds the inspiratory phase of a delivered breath for a duration
sufficient to determine Pres pressure and static lung compliance of the patient.
To perform the Inspiratory Hold maneuver:
1) Push the Insp/Exp (Inspiratory/Expiratory) Hold control button once and the display window will
toggle from normal monitor display to INSP HOLD.
2) Push and hold the Insp/Exp (Inspiratory/Expiratory) Hold button during a volume inspiration.

The ventilator will perform an Inspiratory Hold on the next Volume breath.

P Plat14 --- will be displayed in the display window.

All buttons that are not lockable will operate normally.

All buttons that are lockable will be ignored.


3) Continue holding the button until the Volume inspiration is completed. During the maneuver:

The exhalation valve will remain closed.

Flow will be set to 0 LPM.

P Plat xxx will be displayed in the display window, where xxx is the real time circuit
pressure.

The breath period will remain in inspiration phase so no breath triggers are allowed.

DISC/SENSE and HIGH PRES alarms will terminate the maneuver.


4) Release the button when the pressure setting is P Plat (or when 6.0 seconds elapse, whichever
comes first):

The exhalation valve will be opened and a normal exhalation phase will begin.

The display will cycle every 2 seconds between Pres xxx where xxx is the change in
pressure15, C Static xxx where xxx is the static compliance16 and
P Plat xxx where xxx is the plateau pressure.

NOTE
Breath period timing and apnea timing will be suspended while the maneuver is performed. As a
result, the apnea alarm will not alarm during the maneuver.

REMARQUE
La synchronisation de la priode de respiration et la synchronisation de lapne sont interrompues
pendant la manuvre. Ainsi, lalarme dapne ne se dclenche pas au cours de la manuvre.

Range:

P Plat
Pres
C Static

0 - 100 cmH2O
0 - 100 cmH2O
1 999 ml/cmH2O

14

P Plat is Plateau pressure reached during Inspiratory Hold maneuver.

15

Pres is calculated as P Plat Pressure PEEP measured from previous breath.


C Static is calculated as Set Delivered Volume / Pres.

16

Page 6-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

NOTE
The ventilator will not perform an Inspiratory Hold maneuver during Pressure Control, Pressure
Support or Spontaneous breaths.
If the button is held during exhalation or any non-volume inspiration:

The associated LED will be blinking.

All buttons that are not lockable will operate normally.

All buttons that are lockable will be ignored.


If the button is released before the inspiration is complete, the display will return to INSP HOLD.
Once the maneuver is completed, if any buttons are touched or an alarm occurs, the Pres, C Static
or P Plat display will be cleared.
After 60 seconds, the display will be cleared.

REMARQUE
Le ventilateur neffectue pas une manuvre de maintien de linspiration au cours du contrle de
pression, du soutien de pression et de ventilations spontanes.
Lorsque le bouton est maintenu pendant lexhalation ou toute inspiration sans volume:

Le LED correspondant demeure allum en continu.

Tous les boutons non verrouillables fonctionnent normalement.

Tous les boutons verrouillables sont ignors.


Lorsque le bouton est relch avant la fin de linspiration, laffichage indique INSP HOLD.
Au terme de la manuvre, lactionnement dun bouton ou le dclenchement dune alarme entranent
leffacement de laffichage Pres, C Static ou P Plat.
Laffichage est efface aprs 60 secondes.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-7

Expiratory Hold
An Expiratory Hold maneuver holds the expiratory phase of a delivered breath for a duration sufficient
to determine the AutoPEEP of a patient.
To perform the Expiratory Hold maneuver:
1) Push the Insp/Exp (Inspiratory/Expiratory) Hold button twice and the display widow will toggle
from normal monitor display to EXP HOLD.
2) Push and hold the Insp/Exp (Inspiratory/Expiratory) Hold button during a Volume or Pressure
Control exhalation and the ventilator will perform an Expiratory Hold at the end of that exhalation.

Exhalation will proceed normally with the exhalation valve open and normal bias flow.

All buttons that are not lockable will operate normally.

All buttons that are lockable will be ignored.

The breath will remain in exhalation phase.

If a Patient Effort is detected, the maneuver will be terminated and the appropriate breath
will be given.

DISC/SENSE and HIGH PRES alarms will terminate the maneuver.


3) Continue holding the button until P Exp with a numeric value is displayed, or the next breath is
scheduled to begin, either due to Breath Rate or a Manual Breath button push. During the
maneuver:

The exhalation valve will be closed.

Flow will be set to 0 LPM.

P Exp xxx will be displayed in the display window, where xxx is the real time circuit
pressure17.

The breath will remain in expiration phase.

DISC/SENSE and HIGH PRES alarms will terminate the maneuver.

If a Patient Effort is detected, the maneuver will be terminated and the appropriate breath
will be given.
4) Release the button (or when 6.0 seconds elapse, whichever comes first):

A normal inspiration phase will begin.

AutoPEEP xxx will be displayed where xxx is the autoPEEP17.

Any machine breath starts or apnea alarms that were held off will resume.

NOTE
Breath period timing and apnea timing will be suspended while the maneuver is performed. As a
result, the apnea alarm will not alarm during the maneuver.

REMARQUE
La synchronisation de la priode de respiration et la synchronisation de lapne sont interrompues
pendant la manuvre. Ainsi, lalarme dapne ne se dclenche pas au cours de la manuvre.
Range:

17

P Exp
AutoPEEP

0 - 100 cmH2O
0 - 100 cmH2O

AutoPEEP is calculated as P Exp at end of Expiratory Hold maneuver minus P Exp at end of normal
exhalation (monitored PEEP).

Page 6-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

NOTE
The ventilator will not perform an Expiratory Hold maneuver during Pressure Support or Spontaneous
breaths.
If the button is held during inspiration or during Pressure Support or spontaneous exhalation:
The associated LED will be blinking.
All buttons that are not lockable will operate normally.
All buttons that are lockable will be ignored.
If the button is released before the expiration is complete, the display will return to EXP HOLD.
Once the maneuver is completed, if any buttons are touched or an alarm occurs, the AutoPEEP
display will be cleared.
After 60 seconds, the AutoPEEP display will be cleared.

REMARQUE
Le ventilateur neffectue pas une manuvre de maintien de lexpiration au cours du soutien de
pression ou de ventilations spontanes.
Lorsque le bouton est maintenu pendant linspiration, le soutien de pression ou des ventilations
spontanes:

Le LED correspondant demeure allum en continu.

Tous les boutons non verrouillables fonctionnent normalement.

Tous les boutons verrouillables sont ignors.


Lorsque le bouton est relch avant la fin de lexpiration, laffichage indique EXP HOLD.
Au terme de la manuvre, lactionnement dun bouton ou le dclenchement dune alarme entranent
leffacement de laffichage AutoPEEP.
Laffichage AutoPEEP est efface aprs 60 secondes.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-9

Inspiratory Time
This control sets the length of the inspiratory period for Volume Controlled and Pressure Controlled
breaths.
The Insp. Time setting, along with the Volume control setting are used to determine the peak flow for
Volume controlled breaths. While the Inspiratory Time is being updated, the Calculated Peak Flow will
be displayed in the display window.
To set the Inspiratory Time:
1) Push the Insp. Time button.
2) Change the setting using the Set Value knob.
Range: 0.3 - 9.9 sec

Page 6-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Low Minute Volume


The Low Minute Volume alarm sets the minimum expected exhaled Minute Volume. The exhaled
Minute Volume is recalculated after every breath. If the Minute Volume does not meet or exceed the
Low Minute Volume setting:

A LOW MIN VOL alarm is displayed


The audible alarm is sounded

To set the Low Minute Volume alarm:


1) Push the Low Min. Vol. button.
2) Change the setting using the Set Value knob.
Range: Off, 0.1 - 99 L

WARNING
Low Minute Volume Control Settings - The Low Min. Vol. control should be set to its highest
clinically appropriate value. If there is a clinical need to set the Low Minute Volume alarm to lower
values or off (- - -), perform a clinical assessment to determine if an alternative monitor (i.e. a Pulse
Oximeter with an audible alarm, or a Cardio Respiratory Monitor) should be used.

AVERTISSEMENT

Rglages du contrle de volume bas par minute - Le contrle du volume bas par minute doit tre
ajust la plus haute valeur clinique approprie. Si lalarme de volume bas par minute doit tre
ajuste des valeurs infrieures ou mise larrt (- - -) pour satisfaire aux besoins cliniques,
effectuer une valuation clinique afin de dterminer si lutilisation dun autre moniteur (c.--d.,
sphygmo-oxymtre muni dune alarme sonore ou un moniteur cardio-respiratoire) savre pertinente.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-11

Low Pressure
The Low Pressure alarm can be set to apply to All breaths or to Volume Control and Pressure Control
breaths only. (For information on selecting breath types, see Chapter 10 - Extended Features, Low
Peak Pressure Alarm.) The Low Pressure alarm establishes the minimum expected circuit pressure
for the selected breath types. If the circuit pressure does not meet or exceed the Low Pressure
setting:

A LOW PRES alarm is displayed


The audible alarm is sounded

To set the Low Pressure alarm:


1) Push the Low Pressure button.
2) Change the setting using the Set Value knob.
Range: - -, 1 - 60 cmH2O

WARNING
Patient Circuit Accessories - The use of accessories such as Speaking Valves, Heat-Moisture
Exchangers and Filters create additional patient circuit resistance and in the event of a disconnection,
may impede the generation of a Low Pressure alarm. Ensure that the Low Pressure alarm settings
accommodate these types of accessories when used in combination with patient circuits.

AVERTISSEMENT

Accessoires du circuit du patient - Lutilisation daccessoires tels que les membranes vocales, les
changeurs thermohydriques et les filtres, produit une rsistance additionnelle dans le circuit de
patient et en cas de dbranchement, elle risque dempcher la gnration de lalarme de basse
pression. Sassurer que les paramtres de lalarme de basse pression sadaptent ces types
daccessoires lorsquils sont utiliss avec les circuits du patient.

Page 6-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Low Pressure O2 Source


(LTV 1200 only) When selected, this option allows oxygen to be supplied from a low pressure / low
flow oxygen source such as an oxygen concentrator or line mounted flow meter. Oxygen from the low
pressure source is mixed with air inside the ventilator. The O2 percent delivered to the patient is
determined by the O2 inlet flow and the total minute volume and is not regulated by the ventilator. Use
the Input O2 Flow chart (page 6-15) to determine the correct O2 flow for the desired FIO2.
When the Low Pressure O2 Source option is selected and a high O2 pressure source is attached
to the ventilator, an Automatic High O2 Switch Over safety response generates a HIGH O2 PRES
alarm, switches the ventilator to High Pressure O2 Source mode and sets the percentage of
oxygen to be delivered in the gas flow to 21%.
When the Low Pressure O2 Source option is not selected, a high pressure oxygen source is
expected, and oxygen blending is done within the ventilator. The ventilator expects an oxygen source
with a pressure of 40 - 80 PSIG. The O2 percent delivered to the patient is determined by the O2 %
(O2 Flush) setting on the ventilator front panel.
To toggle the state of the Low Pressure O2 Source:
1) Push and hold the Low Pressure O2 Source button for three (3) seconds.

While the Low Pressure O2 Source button is being held, the associated LED will be flashing

When the Low Pressure O2 Source is selected, the associated LED will be on continually

While Low Pressure O2 Source is on:

The O2 Inlet Pressure Low alarm is inactive.


The O2 Pressure High alarm is set to activate at > 10 PSIG.
The O2 % (O2 Flush) display will display dimmed dashes and O2 % cannot be set.
Oxygen inlet flow must be set to obtain the desired oxygen percentage.

WARNING

Inspired Oxygen (FIO2) Concentration If the patient has a variable respiratory rate, his/her minute
ventilation will fluctuate. If exact concentrations of inspired oxygen (FIO2) are required to be delivered
to the patient, it is recommended that an accurate oxygen analyzer with alarms be used.

AVERTISSEMENT

Concentration doxygne inspir (FIO2) Si la frquence respiratoire du patient est variable, sa


ventilation-minute va fluctuer. Lorsquune concentration exacte doxygne inspir (FIO2) est
ncessaire pour une transmission au patient, il est recommand dutiliser un analyseur de niveau
doxygne2 prcis, comportant des alarmes.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-13

Low Pressure O2 Source (cont.)

NOTE

The Oxygen Inlet High Pressure alarm at 10 PSIG is only active when Low Pressure O2 Source is on.

REMARQUE

L'alarme de haute pression d'entre de l'oxygne rgle sur 10 PSIG ne sera active que lorsque la
source de basse pression O2 est active.

While Low Pressure O2 Source is off:

The O2 Inlet Pressure Low alarm is set to activate at less than 35 PSIG.
The O2 Pressure High alarm is set to activate at greater than 85 PSIG.
The O2% (O2 Flush) may be used to set the desired percentage of oxygen.

NOTE

The Oxygen Inlet High Pressure alarm at 85 PSIG and Oxygen Inlet Low Pressure alarm at 35 PSIG
are only active when Low Pressure O2 Source is off and the O2 % (O2 Flush) setting is greater than
21%.

REMARQUE

L'alarme de haute pression d'entre de l'oxygne rgle sur 85 PSIG, et l'alarme de basse pression
d'entre de l'oxygne rgle sur 35 PSIG ne seront actives que lorsque la source de basse pression
O2 est dsactive et que le rglage du O2 % (Flush O2) est suprieur 21%.

When the Oxygen Blending option is not installed (LTV 1150 only):
The Low Pressure O2 Source button is only active when the oxygen blending option is installed.
Oxygen may still be supplied through the low pressure, low flow inlet, but the Low Pressure O2
Source button, O2 % (O2 Flush) control, and the Oxygen Inlet Pressure alarms are inactive.

Page 6-14

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Low Pressure O2 Source (cont.)


Low Pressure O2 Blending:
Oxygen will be applied through the low pressure, low flow inlet. Use this chart to determine the
approximate O2 flow required to deliver the desired FIO2.

WARNING

Inspired Oxygen (FIO2) Concentration If the patient has a variable respiratory rate, his/her minute
ventilation will fluctuate. If exact concentrations of inspired oxygen (FIO2) are required to be delivered
to the patient, it is recommended that an accurate oxygen analyzer with alarms be used.

AVERTISSEMENT

Concentration doxygne inspir (FIO2) Si la frquence respiratoire du patient est variable, sa


ventilation-minute va fluctuer. Lorsquune concentration exacte doxygne inspir (FIO2) est
ncessaire pour une transmission au patient, il est recommand dutiliser un analyseur de niveau
doxygne prcis, comportant des alarmes.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-15

Low Pressure O2 Source (cont.)


To determine the required O2 input flow:
1) Find the desired FIO2 (bottom of chart).
2) Calculate the patients minute ventilation rate by using the following formula: Tidal volume x
breath rate.
3) Follow the FIO2 up to the applicable slanted VE (minute volume) line (right side of chart).
4) Read across horizontally to the left side of chart to the required Input O2 Flow (lpm).

To determine the delivered O2 concentration:


1) Find the Input O2 Flow (left side of chart).
2) Follow the Input O2 Flow across horizontally to the right to the applicable slanted VE (minute
volume) line.
3) Read down to the FIO2 (bottom of chart).

Page 6-16

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Manual Breath
Use the Manual Breath button to deliver one (1) Machine breath. The breath will be a Volume
Control or Pressure Control breath as defined by the current ventilator settings. The Manual Breath
LED is on during the Manual Breath inspiration.
To deliver a Manual breath:
1) Push the Manual Breath button.
The Manual Breath button is only active during exhalation.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-17

O2 % (O2 Flush) (LTV 1200 only)


The O2% (O2 Flush) button is a dual function control (O2 % and O2 Flush).

When being used to set the percentage of oxygen delivered by the ventilator through the oxygen
blending system (O2%), push and release the O2% (O2 Flush) button, as described below.
When being used to elevate the delivered FIO2 to 100% for a preset period of time (O2 Flush), push
and hold the O2% (O2 Flush) button for 3 seconds, as described in Chapter 10 - Extended Features,
O2 Flush
The O2% (O2 Flush) control establishes the percentage of oxygen to be delivered through the oxygen
blending system. Oxygen blending requires a high pressure oxygen source and is active only when
Low Pressure O2 Source is not selected18. When Low Pressure O2 Source is selected, this control is
displayed as dashes --- and may not be modified.
To set the percentage of oxygen delivered by the ventilator:
1) Push and release the O2% (O2 Flush) button.
2) Change the setting using the Set Value knob.
Range: 21 - 100 %

WARNING
Inspired Oxygen (FIO2) Concentration If the patient has a variable respiratory rate, his/her minute
ventilation will fluctuate. If exact concentrations of inspired oxygen (FIO2) are required to be delivered
to the patient, it is recommended that an accurate oxygen analyzer with alarms be used.

AVERTISSEMENT
Concentration doxygne inspir (FIO2) Si la frquence respiratoire du patient est variable, sa
ventilation-minute va fluctuer. Lorsquune concentration exacte doxygne inspir (FIO2) est
ncessaire pour une transmission au patient, il est recommand dutiliser un analyseur de niveau
doxygne prcis, comportant des alarmes.

CAUTION

Oxygen Supply Contamination - The accuracy of the oxygen delivery capabilities of LTV 1200
ventilator can be compromised by foreign debris contamination in the oxygen supply system. To
reduce the risk of airborne contaminants entering the ventilator, ensure that any oxygen supply
connected to the ventilator is clean, properly filtered and that the ventilators O2 Inlet Port Cap is
securely installed on the O2 Inlet Port whenever the ventilator is not connected to an external oxygen
supply.

18

For information on using a low pressure, low flow source, see Low Pressure O2 Source in this section.

Page 6-18

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

O2 % (O2 Flush) (cont.)

ATTENTION
Contamination de la rserve doxygne La prcision de la capacit dalimentation en oxygne
des ventilateur 1200 LTV peut tre compromise par la prsence de corps trangers dans le systme
dalimentation en oxygne. Afin de diminuer le risque de prsence dagents contaminants
atmosphriques dans le ventilateur, assurez-vous que la rserve doxygne relie au ventilateur est
propre et filtre de manire adquate, et que le bouchon de lorifice dalimentation en oxygne est
correctement install chaque fois que le ventilateur nest pas reli une source d'oxygne externe.

NOTE
The Oxygen Inlet High Pressure alarm at 85 PSIG and Oxygen Inlet Low Pressure alarm at 35 PSIG
are only active when Low Pressure O2 Source is off and the O2% (O2 Flush) setting is greater than
21%.

REMARQUE
L'alarme de haute pression d'entre de l'oxygne rgle sur 85 PSIG, et l'alarme de basse pression
d'entre de l'oxygne rgle sur 35 PSIG ne seront actives que lorsque la source de basse pression
O2 est dsactive et que le rglage du O2% (O2 Flush) est suprieur 21%.

When the Oxygen Blending option is not enabled:


O2 % (O2 Flush) is only available when the oxygen blending option is enabled. Oxygen may still be
supplied through the low pressure low flow inlet19, but the Low Pressure O2 Source and O2 % (O2
Flush) controls, and the Oxygen Inlet Pressure alarms are inactive.

19

See Low Pressure O2 Source in this chapter for more information.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-19

On/Standby
This button switches the LTV 1200 / 1150 ventilator between Standby and On.
When the ventilator is on, the On/Standby LED will be on. The ventilator will operate on external
power if it is available, or internal battery, if there is no external power or the external power source is
depleted. The internal battery will be charged from the external power source while the ventilator is
operating on external power.
When the ventilator is in Standby, the On/Standby LED will be off, however, the internal battery will
continue to charge.
To turn the ventilator on from the Standby state:
1) Push the On/Standby button.
If both the Leak Query and the Presets Query are disabled/off when the ventilator is powered up and
passed POST, the ventilator will begin ventilation using the settings in use during the last power
cycle.
If the Leak Query feature is enabled/on when the ventilator is powered up, ventilation and alarm
activation are suspended and the message NEXT is displayed (see Queries in Chapter 10 Extended
Features for additional information).
To proceed to the patient size query (if Presets Query if enabled/on) or to enable the suspended
alarms and begin ventilation with the settings in use during the last power cycle (if Presets Query is
disabled/off), press the Select button while NEXT is displayed
OR

To perform a leak test of the patient circuit prior to connecting the ventilator to the patient,
1)
Connect the patient circuit to the ventilator.
2)
With a clean, gloved hand or 4 X 4 gauze pad, occlude the proximal end of the
patient circuit.
3)
Turn the Set Value knob until LEAK TEST is displayed.
4)
Press the Select button. REMOVE PTNT is flashed in the display window and the
audible alarm will sound.
5)
Press the Silence Reset button to clear the alarm and to start the leak test. SET
TURBINE will be displayed for a short period and the leak test starts (see Leak Test
in Chapter 11 - Ventilator Checkout Tests for additional information).

After several seconds, the display shows LEAK xx.x PASS or LEAK xx.x FAIL indicating the Leak
Test results. The Leak Test will fail if the flow through the flow valve is greater than 1 lpm.
If the test failed, see Chapter 15 Troubleshooting for additional information.
If the test passed, Press the Select button and turn the Set Value knob until EXIT is displayed and
press the Select button to restart the ventilator.

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LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

If the Presets Query feature is enabled/on when the ventilator is powered up, and NEXT has been
selected or the Leak Test Query is disabled/off, ventilation and alarm activation are suspended and
the message SAME PATIENT is displayed (see Queries in Chapter 10 - Extended Features).

To enable the suspended alarms and begin ventilation with the settings in use during the last
power cycle, press the Select button while SAME PATIENT is displayed

OR

To enable the suspended alarms and begin ventilation with Presets values appropriate for a
new patient, turn the Set Value knob until NEW PATIENT is displayed and press the Select
button. Then turn the Set Value knob until the desired patient type is displayed (INFANT,
PEDIATRIC or ADULT) and press the Select button (see LTV 1200 / 1150 Presets Table in
Chapter 10 Extended Features for detailed settings information)

Turning the Set Value knob until EXIT is displayed and pressing the Select button
returns the ventilator to the SAME PATIENT menu option/message

If no controls are activated for three (3) seconds while either the NEXT, LEAK TEST, SAME
PATIENT or NEW PATIENT options are being displayed, an audible alert sounds. Activation of any
control resets the 3 second delay of the audile alert.
To prevent autocycling, the Leak Compensation feature (if enabled/on) is suspended during the first
30 seconds of operation.
To prevent nuisance alarms, the LOW MIN VOL alarm (Low Minute Volume) is suspended for the
first 20 seconds and the HIGH f alarm (High Breath Rate) is suspended for the first 60 seconds of
operation.
To put the ventilator into Standby:
1) Push and hold the On/Standby button for 3 seconds.
2) An Inop alarm will occur. To cancel the Inop alarm, push the Silence Reset button.
Verify a confirming audible chirp occurs after the alarm is silenced.
3) The Vent Inop LED will remain lit for a minimum of 5 minutes.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-21

PEEP Control
The PEEP control establishes the Positive End Expiratory Pressure.
To set the PEEP:
1) Push the PEEP control button.
2) Change the setting using the Set Value knob.
Range: 0 20 cmH2O
The LTV 1200 / 1150 has PEEP Compensated Pressure Support and Pressure Control.
On the left waveform (breath), the ventilator is set to deliver Pressure Support (or Pressure Control)
of 20 cmH2O with no PEEP. The span or delta is 20 cmH2O.
On the right waveform, the vent is set to deliver Pressure Support (or Pressure Control) of 20 cmH2O.
Note that 5 cmH2O of PEEP have been added. This ventilator compensates for the added PEEP by
automatically increasing the Pressure Support (or Pressure Control) in order to maintain the same
span or delta of 20 cmH2O.

To view the measured PEEP in the display window:


1) Use the Select button to display the measured PEEP in the display window.

PEEP Control in NPPV Mode


When NPPV mode is selected, the PEEP control is used to set the EPAP value.

Page 6-22

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Pressure Control
This control establishes the target pressure above the PEEP setting for Pressure Control breaths.

NOTE
Pressure Control and Pressure Support breaths do compensate for PEEP. Delivered pressure is
controlled by the Pressure Control setting and is affected by the PEEP setting. For example, a
Pressure Control setting of 20cmH2O and a PEEP setting of 10cmH2O results in a Peak Inspiratory
Pressure (PIP) of 30cmH2O.

REMARQUE
Le contrle de la pression et la pression de support des respirations compensent la PEP. La pression
administre est contrle par le rglage du contrle de la pression et elle dpend du rglage PEP.
Par exemple, un rglage du contrle de la pression de 20 cmH2O et un rglage PEP de 10 cmH2O
donnent une pression inspiratoire maximale (PImax) de 30 cmH2O.
The inspiratory time for the Pressure Control breath is determined by the Inspiratory Time setting.

The ventilator controls inspiratory flow to maintain the set circuit pressure for the set time.
To set the Pressure Control level:
1) Push the Pres. Control button.
2) Change the setting using the Set Value knob.
To select Pressure Control:
1) Toggle the Volume Pressure mode to select Pressure ventilation20.
Range: 1 - 99 cmH2O
Flow Termination for Pressure Control breaths may be enabled under Extended Features21. If flow
termination is enabled, the Pres. Control display will flash briefly after each flow terminated breath.
The Rise Time profile for Pressure Control breaths may be selected under Extended Features22.

20

See Chapter 6 - Controls for more information on how to select Pressure ventilation.
See Chapter 10 - Extended Features for how to set the Variable Flow Termination percentage and enable
Flow Termination for Pressure Control breaths.
22
See Chapter 10 - Extended Features for how to set the Flow Rise Time profile.
21

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-23

Pressure Support
This control establishes the target pressure above the PEEP setting for Pressure Support patient
breaths. If Pressure Support is set to dashes - -, all patient breaths will be given as Spontaneous
breaths. Inspiratory flow for Pressure Support and Spontaneous breaths is controlled to meet the
patient demand.

NOTE
Pressure Control and Pressure Support breaths do compensate for PEEP. Delivered pressure is
controlled by the Pressure Support setting and is affected by the PEEP setting. For example, a
Pressure Control setting of 20cmH2O and a PEEP setting of 10cmH2O results in a Peak Inspiratory
Pressure (PIP) of 30cmH2O.

REMARQUE
Le contrle de la pression et la pression de support des respirations compensent la PEP. La pression
administre est contrle par le rglage du contrle de la pression et elle dpend du rglage PEP.
Par exemple, un rglage du contrle de la pression de 20 cmH2O et un rglage PEP de 10 cmH2O
donnent une pression inspiratoire maximale (PImax) de 30 cmH2O.

To set Pressure Support:


1) Push the Pres. Support button.
2) Change the setting using the Set Value knob.
Range: - -, 1 - 60 cmH2O
Pressure Support breaths may be terminated by flow or by time.
Flow Termination: Pressure Support breaths are flow terminated when the flow decreases to a set
percentage of the peak flow23 delivered for that breath.
Time Termination: Pressure Support breaths are time terminated24 when the inspiratory time exceeds
two breath periods, or when the inspiratory time exceeds the set Time Termination Limit25 before the
flow termination criteria is reached. The Pres. Support display will flash briefly after each time
terminated breath.
The Rise Time profile for Pressure Support breaths may be selected under Extended Features25.

Pressure Support in NPPV Mode


When NPPV mode is selected, the Pres. Support control is used to set the IPAP value.

23

See Chapter 10 - Extended Features to set the Variable Flow Termination for Pressure Support breaths.
Only Pressure Support breaths are flow and/or time terminated (Time Termination must be enabled).
25
See Chapter 10 - Extended Features to set the Variable Time Termination or Flow Rise Time profile.
24

Page 6-24

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Select
Use this button to change the monitor in the display window and to select items in the Extended
Feature menus.
Monitored Data:
The monitored data displays may be automatically or manually scrolled.
To cycle through the available monitored data automatically from a halted scan:
1) Push the monitor Select button twice within 0.3 sec.
2) Pushing the Select button once while scan is active will halt scanning and the currently
displayed data will remain in the display window.
3) Each time you push the button once, the next data item in the list will be displayed.
4) To resume scan, push the Select button twice.
The monitored data is displayed for 3 seconds.
Extended Features:
To enter the Extended Features menu:
1) Push and hold the Select button for 3 seconds.
The first Menu Item will be displayed, for example: ALARM OP
For more information on how to use the Extended Features menu, see Chapter 10 - Extended
Features.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-25

Sensitivity
Use the Sensitivity control to establish the threshold level to allow the patient to flow trigger delivered
breaths.
A flow trigger occurs when:

The O2 Conserve feature is OFF (CONSERVE OFF),


The Sensitivity is set to any value from 1 to 9 (Sensitivity is in lpm, when O2 Conserve is OFF),
And the ventilator is in exhalation phase,
And the minimum exhalation time has expired,
And the flow is greater than or equal to the Sensitivity setting.

The LEAK measurement displayed in the RT XDCR DATA menu can be used to help select an
appropriate sensitivity value. Typically, the sensitivity value is set higher than the displayed LEAK
measurement. For instance, if the LEAK measurement were up to 2.53, a minimum sensitivity of
three (3) would be appropriate.
A pressure trigger occurs when:

The O2 Conserve feature is ON (CONSERVE ON),

The Sensitivity is set to any value from 1 to 9 (Sensitivity is in cmH2O when O2 Conserve is ON),

And the ventilator is in exhalation phase

Backup pressure triggers are enabled when the setting is any value other than a dash -.
A backup pressure trigger occurs when:

The Sensitivity is set to any value from 1 to 9,


And the ventilator is in exhalation phase,
And the minimum exhalation time has expired,
And the airway pressure drops below -3 cmH2O.

When a trigger is detected, the Patient Effort LED is illuminated briefly.

NOTE
Triggers are disabled when the Sensitivity setting is set to -.

REMARQUE

Les amorces sont dsactives lorsque le rglage de la sensibilit est rgl sur - .

To set Sensitivity:
1) Push the Sensitivity button.
2) Change the setting using the Set Value knob.
Range: 1 - 9, -, 1 is the most sensitive, 9 is the least sensitive and - is off.

Page 6-26

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Set Value Knob


Use the Set Value knob to establish control values and navigate extended features menus.
Variable Controls:
To change the setting for a variable control:
1) Push the button for the control to be modified.
2) Turn the Set Value knob clockwise to increase the value, or
3) Turn the Set Value knob counter-clockwise to decrease the value.
To change the setting by small increments, turn the knob slowly. To change the setting by larger
increments, turn the knob more quickly.
Extended Features:
To navigate through a list of items in an Extended Features menu:
1) Turn the Set Value knob clockwise to display the next menu item, or
2) Turn the Set Value knob counter-clockwise to display the previous menu item.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-27

Silence Reset
Use this button to silence an alarm for 60 seconds, to reset an alarm, to start a 60 second preemptive
silence period, and to permanently silence the Vent Inop and Standby alarms. Two important
definitions for understanding how the Silence Reset button works:

Active alarm:
Inactive alarm:

An alarm for which the condition currently exists.


An alarm that has occurred, but for which the condition no longer
exists.

Silencing and Clearing Alarms:


To silence an active alarm for 60 seconds:
1) Push the Silence Reset button. The audible alarm will be silenced for 60 seconds. Once the
silence period expires, the audible alarm will resume sounding.
To clear an inactive alarm:
1) Push the Silence Reset button. The visual alarm displays will be cleared.
To cancel an active alarm:
1) Push the Silence Reset button twice. The audible alarm will be silenced and the visual alarm
displays will be cleared and the silence period will be terminated.
Preemptive Silence Period
To start a preemptive silence period:
1) Push the Silence Reset button. A 60 second silence period will begin. For any alarms that occur
during the silence period, the visual displays will flash, but the audible alarm will remain silenced
until the end of the silence period.
Vent Inop and Standby alarms:
To silence the Vent Inop or Standby alarm:
1) Push the Silence Reset button. The audible alarm will be permanently silenced, but the Vent
Inop LED will remain lit for a minimum of 5 minutes. This does not adversely affect battery life.

Page 6-28

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Tidal Volume
Use the Tidal Volume control to establish the volume of gas which the ventilator will produce and
deliver during Volume Controlled breaths. Flow is delivered in a taper waveform over the set
Inspiratory Time. The peak flow is calculated based on the Tidal Volume and Inspiratory Time with a
maximum flow of 100 lpm and a minimum flow of 10 lpm. Flow is decelerated from the calculated
peak flow to 50% of the calculated peak flow.

While the Tidal Volume is being updated, the Calculated Peak Flow is displayed in the display
window.
The Effect of Altitude or Barometric Pressure on Delivered Tidal Volume
Altitude / barometric pressure have an affect on the actual tidal volume delivered to the patient by the
LTV ventilator.
To prevent potential over delivery of tidal volume when Volume ventilation is required, use the
following instructions to calculate a Tidal Volume control setting necessary to compensate for the
effect of altitudes above 6,500 feet sea level or barometric pressures less than 605 mmHg.
1) Ascertain the pertinent environmental condition (altitude or barometric pressure) in which the
ventilator is to be operated.

Altitude26 - ascertain the altitude if the ventilator is to be operated at altitudes above


6,500 feet sea level and is NOT contained within a pressurized compartment (e.g. a
pressurized aircraft cabin)

Barometric Pressure27 - ascertain the barometric pressure of the pressurized


compartment that the ventilator is to be operated within
2) Refer to the table on the next page, select the row in which the listed altitude or barometric
pressure is closest to the pertinent environmental condition and scroll across to the Volume
Compensation Factor column to determine the associated compensation factor.
3) Per the equation shown below, the Tidal Volume (ml) control setting to be used/set is equal
to the Intended Tidal Volume (ml) to be delivered, divided by the Compensation Factor.

26
27

Altitude Feet from sea level


Barometric Pressure Atmospheric pressure measured in millimeters of Mercury absolute (mmHg)

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-29

Tidal Volume (cont.)


Altitude
(feet)

Barometric
Pressure
(mmHg)

Volume
Compensation
Factor

Altitude
(feet)

Barometric
Pressure
(mmHg)

Volume
Compensation
Factor

6,500

605

1.10

11,500

502

1.21

7,000

595

1.11

12,000

496

1.22

7,500

584

1.12

12,500

486

1.23

8,000

574

1.13

13,000

476

1.24

8,500

564

1.15

13,500

465

1.26

9,000

553

1.16

14,000

460

1.27

9,500

543

1.17

14,500

450

1.28

10,000

533

1.18

15,000

440

1.29

10,500

522

1.19

15,500

434

1.30

11,000

512

1.20

16,000

424

1.32

To set the Tidal Volume:


1) Push the Tidal Volume button.
2) Change the setting using the Set Value knob.
3) Push the Tidal Volume button again to deselect the setting and accept the new value.
Range: 50 - 2000 ml

NOTE

Be sure that Volume ventilation is selected.

Volume ventilation at higher altitudes or lower barometric pressures and the use of compensated
Tidal Volume settings will result in the display of diminished Exhaled Tidal Volume monitored
values (Vte). Calculate/set Tidal Volume control values based on the tidal volume intended to be
delivered to the patient, not on the Exhaled Tidal Volume monitored values (Vte) displayed by the
ventilator.

REMARQUE

Assurez-vous que le volume de ventilation est slectionn.

Si l'altitude est plus haute ou que la pression baromtrique est plus faible que la normale et que
les paramtres de volume respiratoire sont compenss, l'utilisation de la ventilation volumtrique
fera diminuer les valeurs du volume respiratoire mesures (Vte). Calculez et slectionnez les
valeurs de contrle du volume respiratoire en fonction du volume respiratoire que le patient doit
recevoir, et non en fonction des valeurs mesures du volume respiratoire (Vte) affiches par le
ventilateur.

Page 6-30

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Operators Manual
P/N 19802-001 Rev. F

Volume Pressure Mode


Use this button to toggle between Pressure control and Volume control modes of ventilation.
To toggle between the modes:
1) Push the mode button once. The associated LED will flash for 5 seconds.
2) To confirm the mode change, push the mode button again while the LED is flashing.
The ventilator will begin operating in the new mode as soon as the mode change is complete.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 6-31

Page 6-32

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Operators Manual
P/N 19802-001 Rev. F

Chapter 7 - DISPLAYS AND INDICATORS


This section describes each of the LTV 1200 / 1150 ventilator front panel displays.

Airway Pressure
The Airway Pressure display is a bar of 60 LEDs that is used to display the real-time airway circuit
pressure. The displayed pressures range from -10 cmH2O to 108 cmH2O in increments of 2 cmH2O.
In addition to displaying the real-time airway pressure, a single LED is lit showing the Peak Inspiratory
Pressure of the previous breath.

Display Window
The display window is a 12 character, 5x7 dot matrix array that is used to display alarms, monitored
data, and Extended Features menu items. Messages are displayed with the following priorities
(highest to lowest):

Alarm Messages28
Extended Features Menu Items29
Monitored Data30

Indicators
The following section describes the purpose of the LED indicators on the front panel that do not have
associated front panel controls.

28

See Chapter 9 - Ventilator Alarms and Chapter 6 - Controls, Silence Reset for more information on how to
clear alarm displays.
29
See Chapter 10 - Extended Features for more information on how to use the Extended Features Menus.
30
See Chapter 8 - Monitored Data and Chapter 6 - Controls, Select for more information on displaying monitors.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 7-1

Battery Level
The Battery Level indicator shows the level of available internal battery power while running from the
internal battery. When the ventilator is running from an external power source, the Battery Level
indicator is off. When running from the internal battery at the nominal settings shown below, the
indicator shows the following levels:
Alarm

LED
Color

Battery Level

--

Green

Internal battery level is acceptable

45 minutes

BAT LOW

Amber

Internal battery level is low

10 minutes

BAT EMPTY

Red

Internal battery level is critically low

5 minutes

Approximate Battery Time


(Total time: 60 mins)

Nominal Settings
Mode

Assist/Control, Volume

PEEP

Breath Rate

15 bpm

Tidal Volume

800 ml

Lung Compliance

Inspiratory Time

1.5 sec

ET Tube Resistance

5.87 cmH2O/L/s

2 lpm

Battery Temperature

25 C

Sensitivity

02 % (LTV 1200 only)

5 cmH2O
21%
50 ml/cmH2O

When an LTV 1200 / 1150 ventilator is operated on its internal battery to the point that the internal
battery is completely depleted, the ventilator will shut down. If the ventilator remains in this state, the
internal battery may recharge slightly within a few seconds / minutes and cause the ventilator to
automatically restart and operate for a short period of time. This cycle may repeat several times,
depending on the condition of the internal battery.

Page 7-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Battery Level (cont)

WARNING
Battery run time - When the battery reaches the BAT LOW level, the ventilator will only run for
approximately 10 minutes before generating a battery empty alarm (BAT EMPTY). The approximate
times shown here are based on tests using the nominal settings, a new battery and a full 8- hour
charge cycle as specified in Appendix A - Ventilator Specifications. Actual run time may be more or
less depending on ventilator settings, patient demand, and battery age or condition. It is highly
recommended that an alternate power source is secured PRIOR to the ventilator reaching the BAT
EMPTY alarm condition to ensure continuous, uninterrupted patient ventilation.

AVERTISSEMENT
Dure dutilisation de la batterie Lorsque la batterie atteint le niveau BAT INT BASS, le
ventilateur fonctionne pendant environ 10 minutes avant dmettre une alarme de batterie faible (BAT
INT VIDE). Cette dure approximative est base sur des tests avec des paramtres nominaux, une
nouvelle batterie et un cycle de chargement complet de 8 heures, tel que spcifi dans lAnnexe A
Spcifications du ventilateur. La dure dutilisation relle pourrait tre suprieure ou infrieure, selon
les paramtres du ventilateur, la demande du patient et lge ou ltat de la batterie. Il est fortement
recommand quune source dalimentation alternative soit connecte AVANT que le ventilateur
natteigne ltat dalarme BAT INT VIDE afin dassurer une ventilation continue et ininterrompue au
patient.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 7-3

Charge Status
The Charge Status indicator shows the charge state of the internal battery. This LED is on when the
ventilator is supplied with external power and the internal battery is being charged. The charge status
is indicated as follows:
LED Color

Charge Status

Flashing Amber

The ventilator is performing pre-charge testing of the battery before


starting the charge process. This occurs when external power is first
connected. The process normally takes a few seconds but may take up to
an hour on a deeply discharged battery.

Green

The internal battery is charged to full level. While in this state, the charger
will continue to trickle charge the battery.

Amber

The internal battery is being bulk charged. The battery has not reached a
full charge level yet.

Red

The ventilator has detected a charge internal battery fault. The internal
battery cannot be charged.

CAUTION
Charge Fault - If the Charge Status LED indicates a charge fault, contact a certified CareFusion
service technician immediately.
Internal Battery Use: The internal battery is intended for use during short periods while switching
between external power supplies, in emergencies or for short duration transports. The length of time
the ventilator will operate on internal power is a function of factors such as settings, charge level and
condition of the battery; therefore, the use of the internal battery as a standard operating practice is
not recommended.

ATTENTION
Erreur de charge - Si le DEL de l'tat de charge indique une erreur de charge, veuillez contacter
immdiatement un technicien de service certifi CareFusion.
Utilisation de la batterie interne: La batterie interne est conue pour tre utilise sur de courtes
priodes pendant la commutation entre des connexions dalimentation externe, les situations
durgence ou les transports de courte dure. La dure pendant laquelle le ventilateur fonctionnera sur
lalimentation interne dpend de facteurs tels, la configuration, le niveau de la charge et la condition
de la batterie; lutilisation de la batterie interne pour l'opration normale nest donc pas
recommande.

Page 7-4

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Operators Manual
P/N 19802-001 Rev. F

External Power
The External Power indicator shows the level of external power while the ventilator is operating from
an external power source. When the ventilator is running from the internal battery, the External
Power indicator is off. When running from external power, the indicator shows the following levels:
(See Chapter 7 - Battery Level for approximate battery time.)
LED Color

Power Level

Green

External Power level is acceptable

Amber

External Power level is low

External power may be provided by connecting the ventilator to an external DC power source,
external battery or to the LTV AC Power Adapter.

CAUTION
AC Power Source - When connecting the ventilator to an AC power source, use only the approved
LTV AC Power Adapter.
External DC Power Source or External Battery - When connecting the LTV 1200 / 1150 ventilator
to an external DC power source or external battery, use only the approved method and connectors
specified in Chapter 14 - Power and Battery Operation.
Internal Battery Use: The internal battery is intended for use during short periods while switching
between external power supply connections, emergency situations or short duration transports. The
length of time the ventilator will operate on internal power is a function of many factors such as
settings, charge level and condition or age of the battery; therefore, the use of the internal battery as
a standard operating practice is not recommended.

ATTENTION
Source d'alimentation c.a. - Lorsque vous branchez le ventilateur sur une source d'alimentation
c.a., utilisez l'adaptateur c.a. LTV approuv.
Source de courant continu ou pile externe - Lorsque vous branchez les ventilateurs de la 1200 /
1150 LTV sur une source de courant continu ou sur une pile externe, utilisez seulement les
mthodes et les connecteurs approuvs spcifis au chapitre 14 - Alimentation et opration avec pile.
Utilisation de la batterie interne: La batterie interne est conue pour tre utilise sur de courtes
priodes pendant la commutation entre des connexions dalimentation externe, les situations
durgence ou les transports de courte dure. La dure pendant laquelle le ventilateur fonctionnera sur
lalimentation interne dpend de plusieurs facteurs tels, la configuration, le niveau de la charge et la
condition ou lge de la batterie; lutilisation de la batterie interne pour l'opration normale nest donc
pas recommande.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 7-5

NPPV
The NPPV31 indicator LED is lit when NPPV mode is selected. For more information on NPPV mode,
see NPPV Mode in Chapter 4 - Ventilation Modes and Procedure for NPPV Mode Set Up in Chapter
12 Operating Procedure.

Patient Effort
This LED is lit briefly each time a patient trigger is detected. See Chapter 6 - Controls, Sensitivity for
more information on patient triggers.

Vent Inop
The Vent Inop LED is lit any time the ventilator is in the Inop state. This occurs when:
The ventilator is put into Standby using the On/Standby button.
The ventilator power sources, both external and internal, are insufficient to operate the ventilator.
A Vent Inop alarm sounds.
An audible alarm sounds continuously when the ventilator enters the Vent Inop state, and may be
silenced by pushing the Silence Reset button.
While in the Vent Inop state, the ventilator is set to a safe state, allowing the patient to breathe
spontaneously from room air.

31

Non-Invasive Positive Pressure Ventilation

Page 7-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 8 - MONITORED DATA


This section describes each of the monitored data displays and how the data is calculated. Monitored
data is shown in the Display Window and is actively updated whenever alarms and extended features
are not displayed.

NOTE
Some monitored data depends on valid transducer calibrations. If valid calibration data is not
available, the monitored data display will be replaced with the message NO CAL.

REMARQUE
Certaines donnes surveilles dpendent de la validit du calibrage du transducteur. Si des donnes
de calibrage valides ne sont pas disponibles, le donnes surveilles affiches seront remplaces par
le message NO CAL.

WARNING
NO CAL Condition - Operation of the LTV 1200 / 1150 ventilator under a NO CAL condition may
result in inaccurate pressure and volume measurements. Should this condition occur, disconnect the
patient from the ventilator, provide an alternative method of ventilation and immediately contact a
certified CareFusion service technician or CareFusion.

AVERTISSEMENT
Condition NO CAL - L'opration continue du ventilateur de la 1200 / 1150 LTV sous condition NO
CAL peut rsulter en mesures de pression et de volume errones. Si cette condition se prsente, le
ventilateur doit tre retir du service, et vous devez immdiatement contacter votre technicien de
service certifi de CareFusion ou CareFusion.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 8-1

Automatic or Manual Data Display Scrolling


The monitored data displays may be automatically or manually scrolled.
To cycle through the available monitored data automatically from a halted scan:
1) Push the monitor Select button twice within 0.3 seconds.
2) Pushing the Select button once while scan is active will halt scanning and the currently
displayed data will remain in the display window.
3) Each time you push the button once, the next data item in the list will be displayed.
4) To resume scan, push the Select button twice.
The monitored data is displayed for 3 seconds, in the following order:
Display

Monitored Data

Units

PIP
MAP
PEEP
f
Vte
VE
I:E
I:Ecalc

Peak Inspiratory Pressure


Mean Airway Pressure
Positive End Expiratory Pressure
Total Breath Rate
Exhaled Tidal Volume
Minute Volume
I:E Ratio
Calculated I:E ratio based on Breath Rate and
Inspiratory Time
Calculated Peak Flow for Volume Breaths
Remaining time for SBT mode of ventilation
Total Breath Rate divided by the Average
Exhaled Tidal Volume, and the Total Breath

cmH2O
cmH2O
cmH2O
Breaths Per Minute
Milliliters
Liters
Smaller unit normalized to 1
Smaller unit normalized to 1

Vcalc
SBT min32
f/Vt f33

Liters Per Minute


Minutes
f/Vt and Breaths Per Minute

Following the displayed monitored data, the Alarm Informational Messages listed below (when
applicable) will be displayed for 3 seconds.

NOTE
While automatic scrolling is active and when applicable, the following messages34 will also be
displayed along with the monitored data:
* LMV OFF
* HI f/Vt OFF
* SBT HI f OFF
* HIGH f OFF35
* LO PEEP OFF
* LPPS OFF
* LO f/Vt OFF
* SBT LO f OFF
* HI PEEP OFF
* H&L PEEP OFF
* LMV LPPS OFF * SBT f/Vt OFF
* SBT f OFF
* f PEEP OFF35

REMARQUE
Lorsque le dfilement automatique est actif, et en fonction du contexte, les messages suivants seront
galement affichs avec les donnes surveilles :
* Vmin ARRET
* f/Vt max NON
* VST fmax NON * f HTE ARRET
* PEP MIN OFF
* PminAI ARRET * f/Vt min NON
* VST fmin NON * PEPmax ARRET * AL PEP ARRET
* Vm-Pmin NON * VST f/Vt NON
* VST f NON
* f PEP ARRET

32

SBT min is only displayed during the Spontaneous Breathing Trial (SBT) mode of ventilation.

33

f/Vt f is only displayed during, and for four hours after, the Spontaneous Breathing Trial (SBT) mode of
ventilation has ended.
34
See Chapter 9 - Ventilator Alarms, for additional information.
35
HIGH f OFF and f PEEP OFF messages are not displayed during SBT ventilation.

Page 8-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

PIP xxx cmH2O


The Peak Inspiratory Pressure (PIP) monitor displays the greatest pressure measured during the
inspiratory phase and the first 300 ms of exhalation36.
Monitored PIP data is measured and displayed at the completion of inspiration.

MAP xx cmH2O
The Mean Airway Pressure (MAP) monitor displays a running average of the airway pressure for the
last 60 seconds. MAP data is recalculated and displayed in 10 second intervals.

PEEP xx cmH2O
The Positive End Expiratory Pressure (PEEP) monitor displays the pressure in the patient circuit at
the completion of exhalation. PEEP data is displayed at the completion of exhalation.

f xxx bpm
The Total Breath Rate displays the breaths per minute based on the last 8 breaths, and includes all
breath types. Total Breath Rate is recalculated and updated at the end of each exhalation or every 20
seconds.

Vte xxx ml
The Exhaled Tidal Volume (Vte) monitor displays the tidal volume as measured at the patient wye.
Vte data is recalculated and displayed at the completion of every exhalation. The default setting is
measured and displayed after one breath. The Exhaled Tidal Volume display can be changed by an
authorized CareFusion trained service technician to display the average of of the last 2, 3, 4, 5, 6, 7,
or 8 breaths.

VE xx.x L
The Minute Volume (VE) monitor displays the exhaled tidal volume for the last 60 seconds as
calculated from the last 8 breaths. VE data is recalculated and displayed at the completion of every
exhalation or every 20 seconds, whichever occurs first.

I:E xx:xx
The I:E Ratio displays the unitless ratio between measured inspiratory time and measured exhalation
time. The smaller of the inspiratory and exhalation times is normalized to one. Both normal and
inverse I:E Ratios are displayed.

36

This is done to protect the patient, since often the highest pressure is obtained at the beginning of the
exhalation phase.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 8-3

I:Ecalc xx:xx
The Calculated I:E ratio (I:Ecalc) display is based on the set Breath Rate and Inspiratory Time. The
display is updated in real-time while either setting is being changed. In modes where Vcalc is
displayed during Inspiratory Time changes, the display can be toggled between Vcalc and I:E calc
using the Select button.

Vcalc xxx Lpm


The Calculated Peak Flow is based on the Tidal Volume and Inspiratory Time settings. Vcalc is
included in the list of monitored values when Volume ventilation is selected, and is not included when
Pressure ventilation is selected. Vcalc is automatically displayed when Tidal Volume or Inspiratory
Time37 is selected for change. When both controls are deselected, the previously displayed monitored
data will be restored to the display window.

SBT xxx min


During the Spontaneous Breathing Trial (SBT) mode of ventilation, the monitor displays the time
remaining until the number of minutes preset in the SBT OP, MINUTES menu have elapsed. When
this preset time has elapsed, the SBT mode of ventilation is terminated, an SBT OFF alarm is
generated and the ventilator returns to the previously set modes/settings.

xxx f/Vt xx f
During a Spontaneous Breathing Trial (SBT), when DISPLAY ON has been selected in the SBT
DISPLAY f/Vt menu, the monitor displays the current values of the Total Breath Rate divided by the
Average Exhaled Tidal Volume (f/Vt), and the Total Breath Rate (f).
f/Vt is computed every time the Total Breath Rate (f) or Total Minute Volume (VE) is calculated.
At the completion of the SBT mode of ventilation, the final values of the Total Breath Rate divided by
the Average Exhaled Tidal Volume (f/Vt), and Total Breath Rate (f) are displayed and retained for an
additional four hours.

37

Vcalc is only displayed while Inspiratory Time is selected if Volume Mode is selected. Vcalc is displayed any
time Tidal Volume is selected regardless of the current ventilation mode.

Page 8-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 9 - VENTILATOR ALARMS


When conditions requiring immediate operator interaction are detected by the LTV 1200 / 1150
ventilator, an alarm is generated. Some alarms can reset themselves, for instance, a high pressure
alarm that is caused by a cough. Other alarms require some action from the operator and the audible
and visual alarms will continue until the problem is corrected.
When an alarm occurs:

A flashing alarm message appears in the display window.


An audible alarm sounds.
Any associated control displays flash.
Depending on the alarm, other actions may be taken, such as terminating an inspiration or
opening the exhalation valve.
When an alarm condition clears:

The audible alarm is silenced.


The alarm message continues to flash in the display window.
Any associated control displays continue to flash.

WARNING
Adjustable and Critical Alarms For safety purposes, all adjustable alarms and all critical alarms
must be checked to insure proper operation.
Audible Alarms - Failure to immediately identify and correct audible alarm situations may result in
serious patient injury.

AVERTISSEMENT
Alarmes rglables et critiques Pour assurer la scurit et obtenir un fonctionnement adquat,
toutes les alarmes rglables et critiques doivent tre vrifies.
Alarmes sonores - L'chec identifier et corriger dans l'immdiat les situations d'alarmes sonores
peut causer des blessures au patient.

The following sections describe what alarms can occur on the LTV 1200 / 1150 ventilator and how to
correct them.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-1

Alarms

APNEA, APNEA xx bpm


When the time since the start of the last breath is longer than the set Apnea Interval, the APNEA
alarm is generated. When an Apnea alarm occurs, the ventilator will enter Apnea Backup ventilation
mode. For more information on Apnea Backup mode, see Chapter 4 - Ventilation Modes, Apnea
Backup. For more information on the variable Apnea Interval, see Chapter 10 - Extended Features.
When an APNEA alarm occurs:

Any inspiration in progress is terminated.


The ventilator changes to Apnea Backup ventilation.
The APNEA xx bpm backup ventilation breath rate is displayed.
Control displays used while in Apnea Backup mode are illuminated and all other control displays
are dimmed.
The audible alarm is sounded.

While in Apnea Backup mode, the alarm will continue to sound and the alarm message and breath
rate will be flashed in the display window. Apnea backup mode will continue until the operator resets
the alarm or the patient triggers 2 consecutive breaths.
When the APNEA alarm is reset by 2 consecutive triggered breaths:

Apnea Backup Ventilation terminates and the ventilator returns to the previous mode.
The APNEA alarm message remains flashing in the window but the breath rate is no longer
displayed.
Control displays used in the selected ventilation mode are illuminated and all other control
displays are dimmed.
The audible alarm is silenced.

To reset the APNEA alarm and exit Apnea Backup ventilation:


1) Push the Silence Reset button twice.

Page 9-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

BAT EMPTY
When the ventilator is operating on internal battery power and the battery charge level falls below the
empty threshold, the BAT EMPTY alarm is generated. For patient safety, this alarm can only be
silenced once for 30 seconds and cannot be silenced preemptively. After the 30 seconds has
elapsed, the alarm cannot be silenced again and will continue to sound and display until an alternate
power source is provided or the battery is depleted and the ventilator goes INOP. This alarm will
always sound at maximum volume.

WARNING
BAT EMPTY alarm - A BAT EMPTY alarm indicates the internal battery is almost depleted. Connect
the ventilator to an external power source immediately.

AVERTISSEMENT
Alarme BAT EMPTY - Une alarme BAT EMPTY indique que la pile interne est pratiquement plat.
Branchez immdiatement le ventilateur une source d'alimentation externe.

When a BAT EMPTY alarm occurs:

The Battery Level LED displays red.


The BAT EMPTY message is displayed.
The audible alarm is sounded.

NOTE
Volume of the BAT EMPTY alarm cannot be lowered. For patient safety, this alarm will always sound
at full volume.

REMARQUE
Le volume de lalarme batterie faible ne peut tre rduit. Pour la scurit des patients, le volume de
lmission de cette alarme est toujours fort.
To temporarily silence the BAT EMPTY alarm:
1) Push the Silence Reset button once to silence the audible alarm for 30 seconds only.
The BAT EMPTY alarm can only be silenced once and cannot be reset until the battery is recharged
or external power is applied.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-3

BAT EMPTY (cont.)

NOTE
When the battery reaches empty, the ventilator may run for approximately 5 minutes before
shutdown, based on the nominal settings, a new battery and a full 8 - hour charge cycle as specified
in Appendix A - Ventilator Specifications. Actual run time may be more or less depending on ventilator
settings, patient demand, and battery age.
Internal Battery Use: The internal battery is intended for use during short periods while switching
between external power supply connections, emergency situations or short duration transports. The
length of time the ventilator will operate on internal power is a function of many factors such as
settings, charge level and condition or age of the battery; therefore, the use of the internal battery as
a standard operating practice is not recommended.

REMARQUE
Lorsque la batterie atteint le niveau Vide, le ventilateur continuera de fonctionner pendant environ
cinq minutes avant de steindre, dans le cas de rglages nominaux, dune nouvelle batterie et dun
cycle de charge complet de huit heures, tel que spcifi dans lannexe A, Ventilator Specifications. La
dure de fonctionnement relle peut tre infrieure ou suprieure, suivant les rglages du ventilateur,
les besoins du patient et lge de la batterie.
Utilisation de la batterie interne: La batterie interne est conue pour tre utilise sur de courtes
priodes pendant la commutation entre des connexions dalimentation externe, les situations
durgence ou les transports de courte dure. La dure pendant laquelle le ventilateur fonctionnera sur
lalimentation interne dpend de plusieurs facteurs tels, la configuration, le niveau de la charge et la
condition ou lge de la batterie; lutilisation de la batterie interne pour l'opration normale nest donc
pas recommande.
When an LTV 1200 / 1150 ventilator is operated on its internal battery to the point that the internal
battery is completely depleted, the ventilator will shut down. If the ventilator remains in this state, the
internal battery may recharge slightly within a few seconds / minutes and cause the ventilator to
automatically restart and operate for a short period of time. This cycle may repeat several times,
depending on the condition of the internal battery.

Page 9-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

BAT LOW
When the ventilator is operating on internal battery power and the battery charge level falls below the
low threshold, a BAT LOW alarm is generated.
When a BAT LOW alarm occurs:

The Battery Level LED is displayed Amber.


The BAT LOW message is displayed.
The audible alarm is sounded.

To reset the BAT LOW alarm:


1) Push the Silence Reset button twice.

WARNING
Battery run time: When the battery reaches the BAT LOW level, the ventilator will only run for
approximately 10 minutes before generating a battery empty alarm (BAT EMPTY). This approximate
time is based on tests using the nominal settings, a new battery and a full 8 hour charge cycle as
specified in Appendix A - Ventilator Specifications. Actual run time may be more or less depending on
ventilator settings, patient demand, and battery age or condition. It is highly recommended that an
alternate power source is connected PRIOR to the ventilator reaching the BAT EMPTY alarm
condition to ensure continuous, uninterrupted patient ventilation

AVERTISSEMENT
Dure dutilisation de la batterie Lorsque la batterie atteint le niveau BAT INT BASS, le
ventilateur fonctionne pendant environ 10 minutes avant dmettre une alarme de batterie faible (BAT
INT VIDE). Cette dure approximative est base sur des tests avec des paramtres nominaux, une
nouvelle batterie et un cycle de chargement complet de 8 heures, tel que spcifi dans lAnnexe A
Spcifications du ventilateur. La dure dutilisation relle pourrait tre suprieure ou infrieure, selon
les paramtres du ventilateur, la demande du patient et lge ou ltat de la batterie. Il est fortement
recommand quune source dalimentation alternative soit connecte AVANT que le ventilateur
natteigne ltat dalarme BAT INT VIDE afin dassurer une ventilation continue et ininterrompue au
patient

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-5

BAT LOW (cont)

NOTE
Internal Battery Use: The internal battery is intended for use during short periods while switching
between external power supply connections, emergency situations or short duration transports. The
length of time the ventilator will operate on internal power is a function of factors such as settings,
charge level and condition or age of the battery; therefore, the use of the internal battery as a
standard operating practice is not recommended.

REMARQUE
Utilisation de la batterie interne: La batterie interne est conue pour tre utilise sur de courtes
priodes pendant la commutation entre des connexions dalimentation externe, les situations
durgence ou les transports de courte dure. La dure pendant laquelle le ventilateur fonctionnera sur
lalimentation interne dpend de plusieurs facteurs tels, la configuration, le niveau de la charge et la
condition ou lge de la batterie; lutilisation de la batterie interne pour l'opration normale nest donc
pas recommande.

When an LTV 1200 / 1150 ventilator is operated on its internal battery to the point that the internal
battery is completely depleted, the ventilator will shut down. If the ventilator remains in this state, the
internal battery may recharge slightly within a few seconds / minutes and cause the ventilator to
automatically restart and operate for a short period of time. This cycle may repeat several times,
depending on the condition of the internal battery.

Page 9-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

DEFAULTS
All controls and extended features on the LTV 1200 / 1150 ventilator have factory-set default values.
When the operator makes changes to the controls or extended features settings, the ventilator stores
the new settings in non-volatile memory38. During POST, the ventilator checks the stored settings. If
the ventilator detects an invalid stored setting, the DEFAULTS alarm occurs and the affected settings
are set to the default values.
When a DEFAULTS alarm is generated:
An audible alarm is sounded.
The DEFAULTS message is flashed in the display window.
All affected controls or features are set to their default values.
To reset the DEFAULTS alarm:

1)
2)

Push the Silence Reset button twice.


Select and return the control(s) or features to the desired settings.

NOTE
Be sure to check all Controls, Alarms and Extended Features options and return them to the desired
settings.
Repeated occurrences of the DEFAULTS alarm may indicate a problem with the ventilators nonvolatile memory. Please immediately contact a certified CareFusion service technician.
Control values are re-set to default values each time the ventilator is turned on, only if an invalid
stored setting is detected during POST.

REMARQUE
Assurez-vous de procder la vrification de toutes les options de contrles, d'alarmes et de
caractristiques tendues, et de les retourner aux rglages souhaits.
L'occurrence rptitive des alarmes PAR DFAUT peut indiquer un problme avec la mmoire non
volatile du ventilateur. Veuillez contacter immdiatement un technicien de service certifi de
CareFusion.
Les valeurs de contrle sont rtablies leurs valeurs par dfaut chaque fois que le ventilateur est
allum, seulement si un paramtre en mmoire non valable est dtect au moment du diagnostic
automatique de mise sous tension.

38

Non-volatile memory is memory that is not erased when the ventilator is turned off or disconnected.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-7

DEFAULTS (cont.)
The factory-set default Control settings are:
See Chapter 6 - Controls, for detailed information concerning specific Controls.
Control - Default
Breath Rate - 12 bpm
Control Lock Data Display Scrolling High Pressure Limit Inspiratory/Expiratory Hold Inspiratory Time Low Minute Volume Low Pressure Low Pressure O2 Source
(LTV 1200 only) -

On
Auto-On
20 cmH2O
Off
1.5 sec
2.5 Lpm
5 cmH2O

Control - Default
O2 % (O2 Flush)
21%
(LTV 1200 only) PEEP Pressure Control Pressure Support Sensitivity Tidal Volume Ventilation Mode Volume Pressure Mode -

0 cmH2O
1 cmH2O
1 cmH2O
2 Lpm
500 ml
Assist/Control
Volume

Off

The factory-set default Extended Features settings are:


See Chapter 10 - Extended Features, for detailed information concerning specific Features.
Feature - Default
Alarm Volume Apnea Interval Com Setting39 Control Unlock Date Format High f Alarm -

85 dBA
20 sec
Data
Easy
MM/DD/YYYY
High f Off

High f Alarm Delay - 30 sec

Feature - Default
Patient Assist Presets Query Patient Size PC Flow Termination PIP LED Rise Time Profile -

SBT Display f/Vt Alarm - Off

High PEEP Alarm - PEEP +5 cmH2O


HP Alarm Delay Language Leak Compensation Leak Test Query Low PEEP Alarm LPP Alarm NPPV Mode O2 Conserve -

Normal
On
INFANT
Off
On
4

No Delay
English
On
Off
PEEP -5 cmH2O
All Breaths
Off
Off

SBT FIO2 - 21%


SBT High f Alarm SBT High f/Vt Alarm SBT Low f Alarm SBT Low f/Vt Alarm SBT Mode SBT Mode Run Time SBT PEEP SBT Pressure Support -

35 bpm
105 f/Vt
10 bpm
70 f/Vt
Off
20 min
0 cmH2O
10 cmH2O

O2 Cylinder Duration
2000 psi or 138 bar
(LTV 1200 only) -

Variable Flow Termination - 25%

O2 Cylinder Duration
622 liters
(LTV 1200 only) -

Variable Time Termination - 1.5 sec

O2 Flush Period
3 min
(LTV 1200 only) -

39

This feature is not reset to default values when the SET DEFAULTS option is used in Extended Features.

Page 9-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

DEFAULTS SET
The DEFAULTS SET alarm is generated when the LTV 1200 / 1150 ventilator is first powered up
after the SET DEFAULTS40 option has been used to reset all controls and extended features settings
to their factory-set default values41.

Language, Time/Date Format and Com settings are not reset to default values when the SET
DEFAULTS option is used in Extended Features.

When a DEFAULTS SET alarm is generated:

The DEFAULTS SET message is flashed in the display window.


The audible alarm is sounded.

To reset the DEFAULTS SET alarm:


1) Push the Silence Reset button twice.

2)

Select and return the control(s) and extended features settings to the desired settings.

NOTE
Be sure to check all Controls, Alarms and Extended Features options and return them to the desired
settings.

REMARQUE
Assurez-vous de procder la vrification de toutes les options de contrles, d'alarmes et de
caractristiques tendues, et de les retourner aux rglages souhaits.

40
41

See Chapter 10 - Extended Features, Set Defaults for additional information.


See Chapter 9 - Ventilator Alarms, DEFAULTS for factory-set default values.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-9

DISC/SENSE
When the ventilator detects one of the following conditions, the DISC/SENSE alarm is generated:
When a sense line is pinched or blocked.
When a sense line has become disconnected.
When a sense line is occluded (e.g., excessive condensation in the line).
The ventilator detects circuit pressure during the beginning of each inspiration. If an appropriate
pressure change is not detected, a DISC/SENSE alarm occurs. While the DISC/SENSE alarm is
active, the ventilator cannot sense the circuit pressure so the breath is terminated.
When a DISC/SENSE alarm occurs:

Inspiration is immediately terminated and exhalation begins.


The DISC/SENSE message is flashed in the display window.
The audible alarm is sounded.

To reset the DISC/SENSE alarm:


1) Push the Silence Reset button to silence the alarm.
2) Push the Silence Reset button to reset the alarm.

Page 9-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

HIGH f
When the Total Breath Rate (f) exceeds the high breath rate and time period alarm values, the HIGH
f alarm is generated.

To prevent nuisance alarms, the HIGH f alarm is suspended for the first 60 seconds of ventilator
operation after power up and passing the Power On Self Tests.

When a HIGH f alarm occurs:

The HIGH f message is flashed in the display window.

The audible alarm is sounded.

To reset the HIGH f alarm:


1) Push the Silence Reset button once to silence the audible alarm.
2) Push the Silence Reset button twice to reset the alarm (silences the audible alarm and clears the
flashing display).

When the HIGH f alarm is reset (Silence Reset button pushed twice), the alarm is
suspended for the next 60 seconds.

The 60-second suspension of the HIGH f alarm is only enabled when the alarm is manually
silenced/reset by pushing the Silence Reset button twice. It is not enabled when the HIGH f
alarm is automatically silenced/reset because the patients breath rate no longer exceeds the
set HIGH f alarm value.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-11

HIGH O2 PRES (LTV 1200 only)


When the average oxygen inlet pressure exceeds the acceptable limit for the type of oxygen source,
the HIGH O2 PRES alarm is generated.

If Low Pressure O2 Source is selected, the inlet pressure is >10 PSIG.


If Low Pressure O2 Source is not selected and the oxygen concentration is set to greater than
21%, the inlet pressure is >85 PSIG.
When the Low Pressure O2 Source option is selected and a high O2 pressure source is attached to
the ventilator, an Automatic High O2 Switch Over safety response generates a HIGH O2 PRES alarm,
switches the ventilator to High Pressure O2 Source mode and sets the percentage of oxygen to be
delivered in the gas flow to 21%.
When a HIGH O2 PRES alarm occurs:

The HIGH O2 PRES message is flashed in the display window.


The O2 % (O2 Flush) control display is flashed.
The audible alarm is sounded.

To reset the HIGH O2 PRES alarm:


1) Push the Silence Reset button to silence the alarm.
2) Adjust the oxygen inlet pressure.
3) Push the Silence Reset button to reset the alarm.

Page 9-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

HIGH PEEP
When the patient circuit positive end expiratory pressure (PEEP) exceeds the High PEEP alarm
setting, the HIGH PEEP alarm is generated.
When a HIGH PEEP alarm occurs:

The HIGH PEEP message is flashed in the display window.


The audible alarm is sounded.

To reset the HIGH PEEP alarm:


1) Push the Silence Reset button once to silence the audible alarm.
2) Push the Silence Reset button twice to reset the alarm (silences the audible alarm and clears the
flashing display).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-13

HIGH PRES
When the pressure in the patient circuit is greater than the High Pressure Limit setting, the HIGH
PRES alarm is generated. When this alarm occurs, any inspiration in progress is terminated and the
exhalation valve is opened. The turbine is stopped to allow the circuit pressure to evacuate when the
high pressure condition persists for more than four times the set inspiratory time or more than 3.0
seconds, whichever is less.

WARNING

Sustained HIGH PRES Alarm - During a sustained High Pressure alarm condition (HIGH PRES), the
ventilators turbine is stopped and gas is not delivered to the patient. Disconnect the patient from the
ventilator and ventilate the patient using an alternative method. See Chapter 15 - Troubleshooting,
Alarms for additional information concerning the HIGH PRES alarm.

AVERTISSEMENT

Alarme ALARME PMAX continue Dans des conditions dalarme de haute pression prolonges
(ALARME PMAX), la turbine du ventilateur s'arrte et le gaz nest plus transmis au patient.
Dbranchez le patient du ventilateur et utilisez une autre mthode de ventilation. Pour plus de dtails
sur ltat ALARME PMAX, reportez-vous au chapitre 15, Troubleshooting, Alarms.

Immediate or delayed audible alarms for high pressure conditions can be selected using the
Extended Features42. If immediate notification is selected, the audible alarm will sound on every high
pressure occurrence. If Delayed notification is selected, the audible alarm will sound on the second or
third consecutive breath terminated by the HIGH PRES alarm. The audible alarm will sound anytime
a high pressure condition persists which stops the turbine.

NOTE

The High Pressure alarm output signal is generated by the ventilators Patient Assist Port for use with
Remote Alarm systems. This signal is dependent on the selected setting (NORMAL or PULSE) in the
Extended Features, PNT ASSIST menu. See Chapter 10 - Extended Features, Alarm Operations, for
instructions on setting the Patient Assist Port output signal for use with single or dual tone Remote
Alarm systems.

REMARQUE

Le signal de sortie correspondant lalarme de pression leve est gnr sur le port dassistance au
patient pour une utilisation avec des systmes dalarme distance. Ce signal dpend du rglage
choisi (NORMAL ou IMPULSION) dans le menu Fonctions avances, PNT ASSIST. Reportez-vous
au chapitre 10, Extended Features, Alarm Operations pour plus de dtails sur le rglage du signal de
sortie sur le port dassistance au patient et sur son utilisation avec des systmes dalarme distance
frquence simple ou double.

42

For more information on selecting the High Pressure Alarm Delay, see Chapter 10 - Extended Features.

Page 9-14

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

High PRES (cont.)


The HIGH PRES alarm becomes inactive and is automatically silenced using the following criteria:
High Pressure
Limit Setting

Circuit Pressure at which HIGH PRES alarm is silenced

31 to 100 cmH2O

Less than 25 cmH2O

8 to 30 cmH2O

More than 5 cmH2O lower than current High Pressure Limit Setting

5 to 7 cmH2O

Less than 2 cmH2O

When a HIGH PRES alarm occurs:

Inspiration is immediately terminated and exhalation begins.


The HIGH PRES message is flashed in the display window.
The High Pressure Limit control display is flashed.
The audible alarm is sounded.

To reset the HIGH PRES alarm:


1) Push the Silence Reset button to silence the alarm.
2) Resolve the high pressure problem.
3) Push the Silence Reset button to reset the alarm.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-15

HW FAULT
When the ventilator detects one of the following hardware faults, the HW FAULT alarm is generated:

The cooling fan is not operating, or the fan filter may be blocking the fan (see page 13-2 for
cleaning and installation instructions).
A problem is detected with the analog to digital converters.
A problem is detected with the flow valve.
A problem is detected with the processor.
A problem is detected with the EEPROM memory.
A problem is detected writing data to the EEPROM during system shutdown.
A problem is detected with the audible alarm circuitry.
A problem is detected with the alarm sounder.
The HW FAULT alarm may occur as a result of ESD43 or other transient causes. If the problem is
temporary, the alarm will automatically silence when the condition clears. If the problem persists, or
you experience repeated HW FAULT alarms, immediately contact a certified CareFusion service
technician or CareFusion.

To determine the type of hardware fault detected by the ventilator, see Appendix E - Event
Trace.

When a HW FAULT alarm occurs:

The HW FAULT message is flashed in the display window.


The audible alarm is sounded.

To reset the HW FAULT alarm:


1) Push the Silence Reset button twice.
2) If the alarm occurs again, immediately contact a certified CareFusion service technician or
CareFusion.

NOTE

Repeated or continuous HW FAULT alarms may indicate a hardware failure that could prevent the
ventilator from performing within its specifications. Remove the ventilator from service and
immediately contact a certified CareFusion service technician or CareFusion.

REMARQUE

Des erreurs HW FAULT rptitives ou continuelles peuvent indiquer une panne matrielle qui
pourrait empcher le ventilateur de fonctionner l'intrieur des limites spcifies. Retirer le
ventilateur du service, et contactez immdiatement un technicien de service certifi de CareFusion ou
CareFusion.

43

Electrostatic Discharge.

Page 9-16

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

INOP
An INOP alarm is generated when:
The ventilator is switched from On to Standby.
The ventilator detects any condition that is deemed to make the ventilator unsafe.
When an INOP occurs, the ventilator shuts down and sets the hardware to a safe state so the patient
can breathe from room air.
When an INOP alarm occurs:

Inspiratory flow is stopped and the exhalation valve is opened, allowing the patient to breathe
spontaneously from room air.
The oxygen blending solenoids are closed.
The INOP LED is illuminated red.
The audible alarm is sounded continuously.
To silence the INOP alarm:
1) Push the Silence Reset button to silence the alarm. Verify a confirming audible chirp occurs after
the alarm is silenced44.

WARNING
Alternative Ventilation - It is recommended that an alternative means of ventilating the patient be
available at all times and that all ventilator operators be fully familiar with emergency ventilation
procedures.
INOP Alarm - If an INOP alarm occurs during operation, ventilate the patient using an alternative
method, disconnect the ventilator, and immediately contact a certified CareFusion service technician
or CareFusion.

AVERTISSEMENT
Ventilation alternative - Il est recommand qu'un moyen alternatif de ventilation soit disponible en
tout temps, et que tous les oprateurs de ventilateur soient pleinement familiers avec les procdures
de ventilation d'urgence.
Alarme INOP - Si une alarme INOP survient au cours de l'opration, ventilez le patient l'aide de la
mthode alternative, retirez immdiatement le ventilateur du service, et contactez immdiatement
votre technicien de service certifi de CareFusion ou CareFusion.

NOTE
An INOP alarm is generated as a part of the normal process of switching the ventilator from On to the
Standby state and does not indicate a problem with the ventilator. The INOP LED will remain lit for a
minimum of 5 minutes and does not affect battery life.

REMARQUE
Une alarme INOP est gnre au cours du processus normal de commutation du ventilateur de la
position On (Marche) la position Standby State (tat dattente), et nindique pas un problme de
fonctionnement du ventilateur. La DEL INOP restera allume durant au moins 5 minutes et naffecte
en rien la dure de vie de la batterie.

44

The audible chirp occurs after the Inop Alarm sounds for longer than 0.8 seconds and is then silenced.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-17

LOW MIN VOL


When the exhaled minute volume (VE) is less than the Low Minute Volume setting, the LOW MIN
VOL alarm is generated.

To prevent nuisance alarms, the LOW MIN VOL alarm is suspended for the first 20 seconds of
ventilator operation after power up and passing the Power On Self Tests.

When a LOW MIN VOL alarm occurs:

The LOW MIN VOL message is flashed in the display window.


The Low Min. Vol. control display is flashed.
The audible alarm is sounded.

To reset the LOW MIN VOL alarm:


1) Push the Silence Reset button twice.

WARNING
Low Minute Volume Control Settings - The Low Min. Vol. control should be set to its highest
clinically appropriate value. If there is a clinical need to set the Low Minute Volume alarm to lower
values or off (- - -), perform a clinical assessment to determine if an alternative monitor (i.e. a Pulse
Oximeter with an audible alarm, or a Cardio Respiratory Monitor) should be used.

AVERTISSEMENT

Rglages du contrle de volume bas par minute - Le contrle du volume bas par minute doit tre
ajust la plus haute valeur clinique approprie. Si lalarme de volume bas par minute doit tre
ajuste des valeurs infrieures ou mise larrt (- - -) pour satisfaire aux besoins cliniques,
effectuer une valuation clinique afin de dterminer si lutilisation dun autre moniteur (c.--d.,
sphygmo-oxymtre muni dune alarme sonore ou un moniteur cardio-respiratoire) savre pertinente.

Page 9-18

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

LOW O2 PRES (LTV 1200 only)


When the average oxygen inlet pressure is less than the minimum inlet pressure of 35 PSIG, the
LOW O2 PRES alarm is generated. This alarm is only active when Low Pressure O2 Source is not
selected and the oxygen concentration is set to greater than 21%.

NOTE
The LTV 1200 / 1150 features an enhanced Low O2 Pressure alarm algorithm which allows for a
brief, temporary drop of the O2 pressure supply while maintaining delivered O2 %.

REMARQUE
Le LTV est caractris par un algorithme amlioralarme de pression doxygne basse, lequel
permet la chute brve et temporaire de lapprovisionnement de pression doxygne basse tout en
maintenant le % doxygne administr.

When a LOW O2 PRES alarm occurs:

The LOW O2 PRES message is flashed in the display window.


The O2% (O2 Flush) control display is flashed.
The audible alarm is sounded.

To reset the LOW O2 PRES alarm:


1) Push the Silence Reset button to silence the alarm.
2) Reset the ventilators oxygen inlet pressure.
3) Push the Silence Reset button to reset the alarm.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-19

LOW PEEP
When the patient circuit positive end expiratory pressure (PEEP) is less than the Low PEEP alarm
setting, the LOW PEEP alarm is generated.

To prevent nuisance alarms, the LOW PEEP alarm is suspended for the first three (3) breaths or
60 seconds (whichever is longer) after power on and ventilation begins45.

When a LOW PEEP alarm occurs:

The LOW PEEP message is flashed in the display window.


The audible alarm is sounded.

To reset the LOW PEEP alarm:


1) Push the Silence Reset button once to silence the audible alarm.
2) Push the Silence Reset button twice to reset the alarm (silences the audible alarm and clears the
flashing display).

45

When the LOW PEEP alarm is reset (Silence Reset button pushed twice), the alarm is
suspended for the next 60 seconds45.

The 60 second suspension of the LOW PEEP alarm is only enabled when the alarm is
manually silenced/reset by pushing the Silence Reset button twice. The suspension is not
enabled when the LOW PEEP alarm is automatically silenced/reset because the patients
PEEP no longer exceeds the set LOW PEEP alarm value45.

The Low PEEP alarm suspension is only available with software version 05.07 or higher installed.

Page 9-20

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

LOW PRES
When the peak inspiratory pressure for a selected breath is less than the Low Pressure setting, the
LOW PRES alarm is generated. The Low Pressure alarm can be set to apply to all breaths (ALL
BREATHS) or to Volume Control (VC) and Pressure Control (PC) breaths only. (For information on
selecting breath types, see Chapter 10 - Extended Features, Low Peak Pressure Alarm.)
When a LOW PRES alarm occurs:

The LOW PRES message is flashed in the display window.


The Low Pressure control display is flashed.
The audible alarm is sounded.

To reset the LOW PRES alarm:


1) Push the Silence Reset button twice.

WARNING
Patient Circuit Accessories - The use of accessories such as Speaking Valves, Heat-Moisture
Exchangers and Filters create additional patient circuit resistance and in the event of a disconnection,
may impede the generation of a Low Pressure alarm. Ensure that the Low Pressure alarm settings
accommodate these types of accessories when used in combination with patient circuits.

AVERTISSEMENT

Accessoires du circuit du patient - Lutilisation daccessoires tels que les membranes vocales, les
changeurs thermohydriques et les filtres, produit une rsistance additionnelle dans le circuit de
patient et en cas de dbranchement, elle risque dempcher la gnration de lalarme de basse
pression. Sassurer que les paramtres de lalarme de basse pression sadaptent ces types
daccessoires lorsquils sont utiliss avec les circuits du patient.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-21

NO CAL DATA, NO CAL Monitor Display


When the ventilator detects invalid or missing calibration records on power up, the NO CAL DATA
alarm is generated. When this happens, default calibration values are used, and although the
ventilator will continue to operate, the accuracy of volumes and pressures may be reduced.
A NO CAL message is posted in place of affected monitored values when the ventilator is operating
without valid transducer calibration data.
When the NO CAL DATA alarm occurs:

The NO CAL DATA message is flashed in the display window.


The audible alarm is sounded.
The ventilator continues to operate.
Default transducer data is used.
Vte, PIP, MAP, PEEP, and VE monitored values are displayed as NO CAL.

To clear the NO CAL DATA alarm:


1) Push the Silence Reset button twice. This will clear the alarm and the ventilator will continue to
operate; however, the NO CAL message will still be displayed in place of affected monitored
values.
2) Take the unit out of service and perform the Calibration procedure46.
To clear the NO CAL message:
1) Take the unit out of service and perform the Calibration procedure46.

WARNING
NO CAL Condition - Operation of the LTV 1200 / 1150 ventilator under a NO CAL condition may
result in inaccurate pressure and volume measurements. Should this condition occur, disconnect the
patient from the ventilator, provide an alternative method of ventilation and immediately contact a
certified CareFusion service technician or CareFusion.

AVERTISSEMENT
Condition NO CAL - L'opration continue du ventilateur de la 1200 / 1150 LTV sous condition NO
CAL peut rsulter en mesures de pression et de volume errones. Si cette condition se prsente, le
ventilateur doit tre retir du service, et vous devez immdiatement contacter votre technicien de
service certifi de CareFusion ou CareFusion.

46

For more information on the Calibration procedure, see the LTV 1200 / 1150 Ventilator Service Manual,
p/n 18603-001.

Page 9-22

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

POWER LOST
When the ventilator is powered up without an external source of power, or is operating on external
power and switches to the internal battery, the POWER LOST alarm is generated.

The change to internal battery is made when the external power voltage drops below the usable
level.
There is no interruption in ventilation.
When a POWER LOST alarm occurs:

The POWER LOST message is flashed in the display window.


The External Power and Charge Status LEDs are turned off.
The Battery Level LED is lit showing the internal battery charge level.
The ventilator begins operating from the internal battery.
The audible alarm is sounded.
After 60 seconds, the displays are turned off to conserve battery power.47

To reset the POWER LOST alarm:


1) Push the Silence Reset button twice.

47

To turn the displays on, push any button or turn the Set Value knob.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-23

POWER LOW
When the ventilator is operating on external power and the voltage drops to the low level, the
POWER LOW alarm is generated.
When a POWER LOW alarm occurs:

The POWER LOW message is flashed in the display window.


The External Power LED is displayed amber.
The audible alarm is sounded.

To reset the POWER LOW alarm:


1) Push the Silence Reset button twice.

Page 9-24

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

REMOVE PTNT
When the ventilator is powered up in the Ventilator Checkout or Ventilator Maintenance modes, the
REMOVE PTNT alarm is generated to remind you to remove the patient from the ventilator before
proceeding. Use the Ventilator Checkout mode to check for correct operation of the displays and
controls and to check the patient circuit for leaks. Ventilator Maintenance mode is used by technical
personnel to perform maintenance or calibration.

WARNING
Ventilator Checkout and Maintenance Modes - The LTV 1200 / 1150 ventilator does not deliver
gas during the Ventilator Checkout mode (VENT CHECK) or Ventilator Maintenance mode (VENT
MTNCE) and should not be used to ventilate a patient during these tests.

AVERTISSEMENT
Modes Vrification et Entretien du ventilateur - Le ventilateur de la 1200 / 1150 LTV ne transmet
pas le mlange de gaz en mode Vrification du ventilateur (VENT CHECK) ou en mode Entretien du
ventilateur (VENT MTNCE), il ne devrait donc pas tre utilis pour ventiler un patient durant
l'excution de ces tests.

When you enter Ventilator Checkout mode or Ventilator Maintenance mode, a REMOVE PTNT
alarm occurs:

The REMOVE PTNT message is displayed.


The audible alarm is sounded.

To reset the REMOVE PTNT alarm:


1) Push the Silence Reset button twice.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-25

RESET / RESET 1
A RESET or a RESET 1 alarm occurs if the ventilator restarts following a condition other than being
shut down by pressing the On/Standby button.
The ventilator runs an ongoing set of self-tests to verify that it is operating correctly. If the ventilator
detects a condition that makes safe ventilator operation uncertain, it reinitializes itself to allow the
more sophisticated Power On Self Tests (POST) to be performed. If the POST does not detect any
further problems, the ventilator will resume operation and a RESET or a RESET 1 alarm is posted. If
the POST detects a problem that could cause continued operation to be unsafe, a ventilator INOP will
occur.
Conditions that could cause a RESET or a RESET 1 alarm:
Operating the ventilator on the internal battery until it is fully depleted.
Electrostatic Discharge (ESD)
Other transient causes.
When a RESET or a RESET 1 alarm is generated:
An error code is written to the Event Trace indicating the type of problem detected.
The ventilator resets itself and performs the Power On Self Tests (POST).
If no further problems are detected, the ventilator resumes operation.
The RESET or RESET 1 message is flashed in the display window.
The audible alarm is sounded.
To reset the RESET or a RESET 1 alarm:
1) Push the Silence Reset button twice.

NOTE
When a RESET or RESET 1 alarm has occurred, check the Event Trace for more information about
the problem. See Appendix E - Event Trace for more information about events.
Repeated occurrences of the RESET or RESET 1 alarm may indicate a problem with the ventilators
hardware. Please immediately contact a certified CareFusion service technician.

REMARQUE
Lorsqu'une alarme RESET ou RESET 1 se produit, vrifiez le suivi de l'vnement pour obtenir plus
d'informations sur le problme. Consultez l'Annexe E - Suivi de l'vnement, pour plus d'informations
propos de l'vnement.
Des occurrences rptitives de l'alarme RESET ou RESET 1 peuvent indiquer un problme matriel
avec le ventilateur. Veuillez contacter immdiatement un technicien de service certifi de CareFusion.

Page 9-26

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT < f
When the Spontaneous Breathing Trial (SBT) mode of ventilation is on and the Total Breath Rate ( f )
is less than the SBT LOW f setting (low limit of breath rate range) for 30 seconds, the SBT < f alarm
is generated.
For additional information concerning the Spontaneous Breathing Trial (SBT) mode of
ventilation, see SBT (Spontaneous Breathing Trial) Operations in Chapter 10 - Extended
Features.
When a SBT< f alarm is generated:
The SBT < f message is flashed in the display window.
The audible alarm is sounded.
To reset the SBT < f alarm:
Push the Silence Reset button once to silence the audible alarm.
Push the Silence Reset button twice to reset the alarm (silences the audible alarm and clears
the flashing display).
When the SBT < f alarm is reset (Silence Reset button pushed twice), the alarm is
suspended for the next 60 seconds.
The 60-second suspension of the SBT < f alarm is only enabled when the alarm is manually
silenced/reset by pushing the Silence Reset button twice. It is not enabled when the SBT <
f alarm is automatically silenced/reset because the patients breath rate is no longer less
than the set SBT LOW f alarm value.
When an SBT alarm has been active in excess of 5 minutes, the SBT mode of ventilation is
terminated, the ventilator clears the alarm status, silences the audible alarm and returns to
its previous mode of ventilation / settings. To remove the flashing SBT alarm message from
the display window, push the Silence Reset button.

1)
2)

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-27

SBT > f
When the Spontaneous Breathing Trial (SBT) mode of ventilation is on and the Total Breath Rate ( f )
is greater than the SBT HIGH f setting (high limit of breath rate range) for 30 seconds, the SBT > f
alarm is generated.
For additional information concerning the Spontaneous Breathing Trial (SBT) mode of ventilation, see
SBT (Spontaneous Breathing Trial) Operations in Chapter 10 - Extended Features.
When a SBT > f alarm is generated:
The SBT > f message is flashed in the display window.
The audible alarm is sounded.
To reset the SBT > f alarm:
1) Push the Silence Reset button once to silence the audible alarm.

2)

Push the Silence Reset button twice to reset the alarm (silences the audible alarm and clears
the flashing display).
When the SBT > f alarm is reset (Silence Reset button pushed twice), the alarm is
suspended for the next 60 seconds.
The 60-second suspension of the SBT > f alarm is only enabled when the alarm is manually
silenced/reset by pushing the Silence Reset button twice. It is not enabled when the SBT >
f alarm is automatically silenced/reset because the patients breath rate is no longer greater
than the set SBT HIGH f alarm value.
When an SBT alarm has been active in excess of 5 minutes, the SBT mode of ventilation is
terminated, the ventilator clears the alarm status, silences the audible alarm and returns to
its previous mode of ventilation / settings. To remove the flashing SBT alarm message from
the display window, push the Silence Reset button.

Page 9-28

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT < f/Vt


When the Spontaneous Breathing Trial (SBT) mode of ventilation is on and the monitored f/Vt (Total
Breath Rate divided by the Average Exhaled Tidal Volume) is less than the LOW f/Vt setting (low limit
of the f/Vt range) for 30 seconds, the SBT < f/Vt alarm* is generated.
For additional information concerning the Spontaneous Breathing Trial (SBT) mode of ventilation, see
SBT (Spontaneous Breathing Trial) Operations in Chapter 10 - Extended Features.
When a SBT < f/Vt alarm is generated:
The SBT < f/Vt message is flashed in the display window.
The audible alarm is sounded.
To reset the SBT < f/Vt alarm:
1) Push the Silence Reset button twice.
When the SBT < f/Vt alarm is reset (Silence Reset button pushed twice), the alarm is
suspended for the next 60 seconds.

The 60-second suspension of the SBT < f/Vt alarm is only enabled when the alarm is
manually silenced/reset by pushing the Silence Reset button twice. It is not enabled when
the SBT < f/Vt alarm is automatically silenced/reset because the patients breath rate is no
longer lower than the set LOW f/Vt alarm value.

When an SBT alarm has been active in excess of 5 minutes, the SBT mode of ventilation is
terminated, the ventilator clears the alarm status, silences the audible alarm and returns to
its previous mode of ventilation / settings. To remove the flashing SBT alarm message from
the display window, push the Silence Reset button.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-29

SBT > f/Vt


When the Spontaneous Breathing Trial (SBT) mode of ventilation is on and the monitored f/Vt (Total
Breath Rate divided by the Average Exhaled Tidal Volume) is greater than the HIGH f/Vt setting (high
limit of the f/Vt range) for 30 seconds, the SBT > f/Vt alarm* is generated.
For additional information concerning the Spontaneous Breathing Trial (SBT) mode of ventilation, see
SBT (Spontaneous Breathing Trial) Operations in Chapter 10 - Extended Features.
When a SBT > f/Vt alarm is generated:
The SBT > f/Vt message is flashed in the display window.
The audible alarm is sounded.
To reset the SBT > f/Vt alarm:
1) Push the Silence Reset button once to silence the audible alarm.
2) Push the Silence Reset button twice to reset the alarm (silences the audible alarm and clears
the flashing display).
When the SBT > f/Vt alarm is reset (Silence Reset button pushed twice), the alarm is
suspended for the next 60 seconds.
The 60-second suspension of the SBT > f/Vt alarm is only enabled when the alarm is
manually silenced/reset by pushing the Silence Reset button twice. It is not enabled when
the SBT > f/Vt alarm is automatically silenced/reset because the patients breath rate is no
longer greater than the set HIGH f/Vt alarm value.
When an SBT alarm has been active in excess of 5 minutes, the SBT mode of ventilation is
terminated, the ventilator clears the alarm status, silences the audible alarm and returns to
its previous mode of ventilation / settings. To remove the flashing SBT alarm message from
the display window, push the Silence Reset button.

Page 9-30

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT OFF
When the minutes preset in the SBT OP, MINUTES menu have elapsed and a Spontaneous
Breathing Trial (SBT) mode of ventilation is terminated, the SBT OFF alarm is generated.
For additional information concerning the Spontaneous Breathing Trial (SBT) mode of ventilation, see
SBT (Spontaneous Breathing Trial) Operations in Chapter 10 - Extended Features.
When a SBT OFF alarm is generated:
The SBT OFF message is flashed in the display window.
The audible alarm is sounded for 3 seconds.
To clear the SBT OFF flashing display:
1) Push the Silence Reset button.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-31

XDCR FAULT
When a transducer autozero test fails, the XDCR FAULT alarm is generated. Transducer autozeros
are scheduled at periodic intervals during ventilator operation. This allows the ventilator to adjust the
zero pressure readings as the ventilator warms up and environmental conditions change. If an
autozero test fails, it will be automatically rescheduled to run again on the next breath. The XDCR
FAULT alarm will remain active until a valid autozero can be done. If the XDCR FAULT persists,
remove the ventilator from service and immediately contact a certified CareFusion service technician
or CareFusion.
When a XDCR FAULT alarm occurs:

The autozero for the transducer is rescheduled to run again on the next breath.
The XDCR FAULT message is flashed in the display window.
The audible alarm is sounded.

To reset the XDCR FAULT alarm:


1) Push the Silence Reset button twice.

WARNING
XDCR FAULT alarm - Continued operation of the LTV 1200 / 1150 ventilator with an activated
XDCR FAULT alarm may result in inaccurate flow and volume measurements. Should this condition
occur, disconnect the patient from the ventilator, provide an alternative method of ventilation and
immediately contact a certified CareFusion service technician or CareFusion.

AVERTISSEMENT

Alarme XDCR FAULT - L'opration continue du ventilateur de la 1200 / 1150 LTV avec une alarme
XDCR FAULT active peut rsulter en mesures de dbit et de volume errones. Si cette condition se
prsente, le ventilateur doit tre retir du service, et vous devez immdiatement contacter votre
technicien de service certifi de CareFusion ou CareFusion.

NOTE
Repeated or continuous XDCR FAULT alarms may indicate a problem with the ventilator that could
prevent the ventilator from performing within its specifications. Discontinue use of the ventilator and
immediately contact a certified CareFusion service technician.

REMARQUE
Des alarmes XDCR FAULT rptitives ou continuelles peuvent indiquer un problme qui pourrait
empcher le ventilateur de fonctionner l'intrieur des limites spcifies. Retirer le ventilateur du
service, et contactez immdiatement un technicien de service certifi de CareFusion.

Page 9-32

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Alarm Status Messages

f PEEP OFF
The f PEEP OFF message is displayed when;

The High Breath Rate alarm is turned off by being set to HIGH f OFF and,

The High PEEP alarm is turned off by being set to HI PEEP OFF.
This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the f PEEP OFF message:
1) Push any front panel button or turn the Set Value knob.
The f PEEP OFF message is not displayed during SBT mode.

HI f/Vt OFF
The HI f/Vt OFF message is only displayed during the Spontaneous Breathing Trial mode of
ventilation when the SBT High f/Vt alarm is turned off by being set to HI f/Vt OFF.
This is an informational message only. The message is displayed when monitored data is being
scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the HI f/Vt OFF message:
1) Push any front panel button or turn the Set Value knob.

HI PEEP OFF
The HI PEEP OFF message is displayed when;

The High PEEP alarm is turned off by being set to HI PEEP OFF and,

The High Breath Rate alarm (HIGH f) is turned on.


This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the HI PEEP OFF message:
1) Push any front panel button or turn the Set Value knob.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-33

H&L PEEP OFF


The H&L PEEP OFF message is displayed when;

The High Breath Rate alarm (HIGH f) is turned on/set to a value and,

Both the High PEEP and Low PEEP alarms are turned off
This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the H&L PEEP OFF message:
1) Push any front panel button or turn the Set Value knob.

HIGH f OFF
The HIGH f OFF message is displayed when;

The High Breath Rate alarm is turned off by being set to HIGH f OFF and,

The High PEEP alarm (HIGH PEEP) is turned on.


This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the HIGH f OFF message:
1) Push any front panel button or turn the Set Value knob.
The HIGH f OFF message is not displayed during SBT mode.

LMV LPPS OFF


The LMV LPPS OFF message is displayed when;

The Low Minute Volume alarm is turned off by being set to dashes and,
The LPP alarm is set to VC/PC ONLY. When this setting is selected, the Low Pressure alarm
applies only to Volume Control and Pressure Control breaths.
This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the LMV LPPS OFF message:
1) Push any front panel button or turn the Set Value knob.

Page 9-34

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

LMV OFF
The LMV OFF message is displayed when;

The Low Minute Volume alarm is turned off by being set to dashes and,

The LPP alarm is set to ALL BREATHS.


This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the LMV OFF message:
1) Push any front panel button or turn the Set Value knob.

LO PEEP OFF
The LO PEEP OFF message is displayed when;

The Low PEEP alarm is turned off by being set to LO PEEP OFF and,

The High Breath Rate alarm (HIGH f) is turned on/set to a value.


This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the LO PEEP OFF message:
1) Push any front panel button or turn the Set Value knob.

LOCKED
The LOCKED message is displayed when a button is pushed while the controls are locked. No
audible alarm is given.
When a LOCKED message is displayed:

The LOCKED message is flashed in the display window for 5 seconds or until the controls are
unlocked.
Control settings may not be changed.

There are two methods for unlocking the controls: EASY and HARD. The unlock method is selected
under the Extended Features menus48.
To unlock the controls with EASY unlocking:
1) Push the Control Lock button.
To unlock the controls with HARD unlocking:
1) Push and hold the Control Lock button for 3 seconds.

48

See Chapter 10 - Extended Features, Control Unlock for more information.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-35

LO f/Vt OFF
The LO f/Vt OFF message is only displayed during the Spontaneous Breathing Trial mode of
ventilation when the SBT Low f/Vt alarm is turned off by being set to LO f/Vt OFF.
This is an informational message only. The message is displayed when monitored data is being
scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the LO f/Vt OFF message:
1) Push any front panel button or turn the Set Value knob.

LPPS OFF
The LPPS OFF message is displayed when;

The LPPS alarm is set to VC/PC ONLY (when this setting is selected, the Low Pressure alarm
applies only to Volume Control and Pressure Control breaths), and,

The LMV alarm is not set to dashes - -.


This is an informational message only. The message is displayed at power up, when monitored data
is being scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the LPPS OFF message:
1) Push any front panel button or turn the Set Value knob.

SBT f OFF
The SBT f OFF message is only displayed during the Spontaneous Breathing Trial mode of
ventilation when;
The SBT High Breath Rate alarm is turned off by being set to SBT HI f OFF and,
The SBT Low Breath Rate alarm is turned off by being set to SBT LO f OFF.
This is an informational message only. The message is displayed when monitored data is being
scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the SBT f OFF message:
1) Push any front panel button or turn the Set Value knob.

Page 9-36

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT f/Vt OFF


The SBT f/Vt OFF message is only displayed during the Spontaneous Breathing Trial mode of
ventilation when;
The SBT High f/Vt alarm is turned off by being set to HI f/Vt OFF and,
The SBT Low f/Vt alarm is turned off by being set to LO f/Vt OFF.
This is an informational message only. The message is displayed when monitored data is being
scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the SBT f/Vt OFF message:
1) Push any front panel button or turn the Set Value knob.

SBT HI f OFF
The SBT HI f OFF message is only displayed during the Spontaneous Breathing Trial mode of
ventilation when the SBT High Breath Rate alarm is turned off by being set to SBT HI f OFF.
This is an informational message only. The message is displayed when monitored data is being
scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the SBT HI f OFF message:
1) Push any front panel button or turn the Set Value knob.

SBT LO f OFF
The SBT LO f OFF message is only displayed during the Spontaneous Breathing Trial mode of
ventilation when the SBT Low Breath Rate alarm is turned off by being set to SBT LO f OFF.
This is an informational message only. The message is displayed when monitored data is being
scrolled automatically, and when no front panel activity is detected for 60 seconds.
To clear the SBT LO f OFF message:
1) Push any front panel button or turn the Set Value knob.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 9-37

SBT TIME
The SBT TIME message is displayed during the Spontaneous Breathing Trial mode of ventilation
when only two (2) minutes of SBT mode of ventilation remain.
This is an informational message only.
When a SBT TIME message is generated:
The SBT TIME message is flashed in the display window.
The audible alarm is sounded.
To reset the SBT TIME message:
1) Push the Silence Reset button once to silence the audible alarm.
2) Push the Silence Reset button twice to reset the alarm status message (silences the audible
alarm and clears the flashing display).

WARMUP xx
When the ventilator is first powered up, the transducers require up to 60 seconds of warm-up time
before they will operate within their normal tolerances. During this warm-up period, the ventilator will
not allow you to run the leak test or calibration. If you select an option that is not available during the
warm-up period, the WARMUP xx message is displayed. When the warm-up period has expired, the
message is removed.
When a WARMUP message occurs:

The WARMUP message and the remaining warm-up time are displayed in the window.
The ventilator does not allow the restricted functions to be performed.

To reset the WARMUP message:


1) The WARMUP message will automatically reset when the warm-up period has expired.

Page 9-38

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 10 - EXTENDED FEATURES


This section describes the options and features available under the Extended Features Menus and how
to access them.
The Extended Features menus shown below are representative of the LTV 1200 / 1150 ventilator.

Alarm Operations, Ventilator Operations, Transducer Autozero and Real-time Transducers are
covered in this chapter. The other items are covered in Chapter 11 - Ventilator Checkout Tests,
Appendix E - Event Trace, and in the LTV 1200, 1150, and 1100 Ventilator Service Manual (P/N
18603-001).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-1

Navigating the Extended Features Menus


To enter the Extended Features menu (in normal ventilation mode):
Push and hold the Select button for three seconds.
To view the next item in a menu:
Turn the Set Value knob clockwise.
To view the previous item:
Turn the Set Value knob counterclockwise.
To enter a menu item or select a setting:
Push the Select button.
To exit a menu:
Turn the Set Value knob until the EXIT option is displayed, then push the Select button.
To toggle the state of an option on or off:
Push the Select button.

NOTE
You cannot enter the Extended Features menu when the controls are locked.

REMARQUE
Vous ne pouvez pas accder au menu Fonctions avances lorsque le verrouillage est activ.

Page 10-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Alarm Operations
Use the Alarm Operations menu to set up alarm conditions that are not available directly from front
panel controls. The menu is set up as follows:
ALARM OP
ALARM VOL
APNEA INT
HP DELAY
LPP ALARM
HIGH f
HIGH PEEP
LOW PEEP
PNT ASSIST
EXIT

Alarm Volume
Use this menu item to set the loudness of the audible alarm.
To modify the Alarm Volume:
1) Push the Select button while ALARM VOL is displayed.
2) VOL xx dBA is displayed.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Range: 60 - 85 dBA

NOTE
Fixed Volume Alarms The volume of the Battery Empty alarm cannot be lowered. For patient
safety, this alarm always sounds at full volume.
If the battery depletes to point that the ventilator goes INOP, the Vent Inop audible alarm sounds at
maximum volume for a minimum of 5 minutes. The Vent Inop audible alarm is capacitor driven and
the volume is therefore not user modifiable.

REMARQUE
Alarmes volume fixe - Le volume de lalarme de batterie faible ne peut tre rduit. Pour la scurit
des patients, le volume de cette alarme est toujours fort.
Si la batterie est suffisamment dcharge pour que le voyant INOP du ventilateur sactive, lalarme
sonore Vent Inop oprera son maximum de volume pendant 5 minutes au moins. Lalarme sonore
Vent Inop est contrle par un condensateur et son volume ne peut donc pas tre modifi par
lutilisateur..

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-3

Apnea Interval
Use this menu item to establish the apnea interval. The apnea interval is the maximum time allowed
between the beginning of one breath and the beginning of the next breath.
To modify the Apnea Interval:
1) Push the Select button while APNEA INT is displayed.
2) APNEA xx sec is displayed.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Range: 10 - 60 sec

High Pressure Alarm Delay


Use this menu item to select immediate or delayed audible notification for High Pressure alarms.
When NO DELAY is selected, the audible alarm is sounded for all High Pressure alarms.
When DELAY 1 BRTH or DELAY 2 BRTH is selected and a high pressure condition occurs, the
breath is terminated and the HIGH PRES message is posted. The audible alarm is not sounded until
the number of consecutive breaths with a high pressure condition meets the delay setting, (two
breaths for DELAY 1, three breaths for DELAY 2).
Any time a high pressure condition persists for more than 3 seconds, the audible alarm will be
sounded, regardless of the delay setting.
To modify the High Pressure Alarm Display:
1) Push the Select button while HP DELAY is displayed.
2) NO DELAY, DELAY 1 BRTH, or DELAY 2 BRTH is displayed.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Options: NO DELAY, DELAY 1 BRTH, DELAY 2 BRTH

Low Peak Pressure Alarm


Use the LPP ALARM item to select the type of breaths that the Low Pressure alarm applies to.
When ALL BREATHS is selected, the Low Pressure alarm setting applies to all breath types:
Volume Control, Pressure Control, Pressure Support, and Spontaneous. When the peak pressure
during any breath does not exceed the Low Pressure setting, the LOW PRES alarm will occur.
When VC/PC ONLY is selected, the Low Pressure alarm setting applies only to Volume Control and
Pressure Control breaths. It does not apply to Pressure Support and Spontaneous breaths. When the
peak pressure during any Volume Control or Pressure Control breath does not exceed the Low
Pressure setting, the LOW PRES alarm will occur.
Options: ALL BREATHS, VC/PC ONLY

Page 10-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

High f
Use this menu item to set the high breath rate and time period alarm values. When the Total Breath
Rate ( f ) exceeds the set high breath rate and time period alarm values, an audible alarm will be
sounded and a flashing HIGH f message will be displayed.
To set the high breath rate and time period alarm values:
1) Push the Select button while HIGH f is displayed and f is displayed.
2) Push the Select button while f is displayed and HIGH f OFF or f xx bpm is displayed.
3) Turn the Set Value knob until the desired setting is displayed, push the Select button and the
high breath rate alarm value is set.
Range: 5 - 80 bpm (in increments of 1) - HIGH f OFF
4) Turn the Set Value knob until TIME is displayed, push the Select button and xx sec is displayed.
5) Turn the Set Value knob until the desired setting is displayed and push the Select button. The
high breath rate time period alarm value is set.

Range: 0 - 60 seconds, in increments of 10

High PEEP
Use this menu item to set a high PEEP alarm. When the current PEEP value exceeds the set high
PEEP alarm value, an audible alarm will be sounded and a flashing HIGH PEEP message will be
displayed.
To modify the HIGH PEEP alarm value:
1) Push the Select button while HIGH PEEP is displayed.
2) HI PEEP OFF or PEEP +XX cmH20 is displayed.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Range: PEEP +3 through PEEP +20 cmH20, HI PEEP OFF

Low PEEP
Use this menu item to set a low PEEP alarm. When the current PEEP value is less than the set low
PEEP alarm value, an audible alarm will be sounded and a flashing LOW PEEP message will be
displayed.
To modify the LOW PEEP alarm value:
1) Push the Select button while LOW PEEP is displayed.
2) LO PEEP OFF or PEEP -XX cmH20 is displayed.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Range: PEEP -3 through PEEP -20 cmH20, LO PEEP OFF

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-5

Patient Assist
Use the PNT ASSIST menu item to configure the Patient Assist port output signal to be generated for
use with remote alarm systems.
Allows for the changing of the patient assist alarm output signal used with remote alarm systems,
which in turn will allow users a means of distinguishing the high pressure alarm (HIGH PRES) from
other alarms.
To select the Patient Assist output signal:
1) Push the Select button while PNT ASSIST is displayed.
2) NORMAL or PULSE is displayed.

When NORMAL is selected, the ventilator sets the Patient Assist Port output signal continuously
on for all alarms and is for use with single tone remote alarm and patient assist call systems.
NORMAL is the factory set default setting.

When PULSE is selected, the ventilator sets the Patient Assist Port output signal continuous on
for the HIGH PRES alarm, cycles the Patient Assist output signal on / off for all other alarms and
is for use with dual tone remote alarm systems.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Range: PULSE or NORMAL

Exit
To return to the top of the ALARM OP menu:
1) Push the Select button while EXIT is displayed.

Page 10-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Vent Operations
Use the Vent Operations menu to set up ventilator controls and options that are not available directly
from front panel controls. The menu is set up as follows:
VENT OP
RISE TIME
FLOW TERM
TIME TERM
PC FLOW TERM
LEAK COMP
O2 CONSERVE
O2 FLUSH (LTV 1200 only)
CTRL UNLOCK
LANGUAGE
VER xx.xx
USAGE xxxxx.x
COM SETTING
SET DATE
SET TIME
DATE FORMAT
PIP LED
LTV xxxx / xxxxxx
VHome xxx
SET DEFAULTS (accessed through Vent Check menu)
O2 CYL DUR (LTV 1200 only)
EXIT

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-7

Variable Rise Time


Use the Variable Rise Time option to select the rise time profile for Pressure Control and Pressure
Support breaths. The rise time profiles are numbered 1 through 9 where 1 is the fastest rise time and
9 is the slowest rise time. Starting with the fastest rise time, each time is 33% longer than the
previous one.

To modify the Rise Time Profile:


1) Push the Select button while RISE TIME is displayed.
2) PROFILE x is displayed.
3) Turn the Set Value knob until the desired Rise Time Profile is displayed.
4) Push the Select button.
Range: 1 to 9, where 1 is the fastest and 9 is the slowest

Page 10-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Variable Flow Termination


Use the Variable Flow Termination to select the percentage of peak flow used for cycling Pressure
Support breaths. Pressure Support breaths are cycled from inspiration to exhalation when the flow
reaches the set percentage of the peak flow, or when flow goes below 2 lpm.
When Pressure Control Flow Termination is enabled, the Variable Flow Termination setting is used
for flow termination of Pressure Control breaths as well.

Peak
Flow

High
Percentage
of Peak Flow

Peak
Flow

Low
Percentage of
Peak Flow

Inspiratory
Flow

Inspiratory
Flow

To modify the Variable Flow Termination:


1) Push the Select button while FLOW TERM is displayed.
2) % OF PEAK xx is displayed.
3) Turn the Set Value knob until the desired Variable Flow Termination percentage is displayed.
4) Push the Select button.
Range: 10% to 40%

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-9

Variable Time Termination


Use the Variable Time Termination to select the maximum inspiratory time for cycling Pressure
Support breaths. Pressure Support Breaths are cycled from inspiration to exhalation if this time is
reached before the flow reaches the set percentage of the peak flow. When a breath is cycled based
on the time setting, the Pres. Support display is flashed briefly.

Peak
Flow

Set Percentage of
Peak Flow

Set Time
Termination

To modify the Variable Time Termination:


1) Push the Select button while TIME TERM is displayed.
2) TERM x.x sec is displayed.
3) Turn the Set Value knob until the desired Variable Time Termination is displayed.
4) Push the Select button.
Range: 0.3 to 3.0 sec

Page 10-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Pressure Control Flow Termination


Use the Pressure Control Flow Termination option to enable or disable flow termination for Pressure
Control breaths.
When this option is ON, Pressure Control breaths are cycled at the set percentage of the peak flow if
it is reached before the set Inspiratory Time elapses. The percentage of peak flow is set in the
Variable Flow Termination option.
When this option is OFF, Pressure Control breaths are cycled when the set Inspiratory Time is
reached.

Set pressure is
maintained and
inspiratory flow
goes to zero

Peak
Flow

Breath terminates
at percentage of
peak flow
Breath
terminates
at set Insp
Time

Peak
Flow
Set Percentage of
Peak Flow

Set
Pressure

Set
Pressure

Paw

Paw

Set Insp Time

Set Insp Time

PC FLOW TERM set to OFF

Pressure Control Breath terminates normally

PC FLOW TERM set to ON

Pressure Control Breath terminates at the same


Percentage of Peak Flow as Pressure Support breaths

To modify the Pressure Control Flow Termination setting:


1) Push the Select button while PC FLOW TERM is displayed.
2) PC FLOW ON or PC FLOW OFF is displayed.
3) Turn the Set Value knob until the desired state is displayed.
4) Push the Select button.
Options: ON or OFF

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-11

Leak Compensation
Use the Leak Compensation option to enable or disable tracking of the baseline flow49 to improve
triggering when a circuit leak is present.
When Leak Compensation is on, the system is gradually adjusted to maintain set sensitivity if the leak
is stable and there is no autocycling.

If a leak is unstable during exhalation, it will not be detected and will not be compensated for.

Leak Compensation can compensate for a maximum patient circuit leak of 6 Lpm.

If autocycling is occurring, it can be manually eliminated as follows:


1) Set Sensitivity to OFF (see Chapter 6 - Sensitivity), or higher than the leak amount (see
Chapter 10 - Real Time Transducers, LEAK xx.xx Lpm).

2)
3)
4)

Set Leak Compensation to LEAK COMP ON (see instructions below).


Wait for a period of 10-15 breaths.
Reset sensitivity to desired level (see Chapter 6 - Sensitivity).

To modify the Leak Compensation setting:


1) Push the Select button while LEAK COMP is displayed.

2)
3)
4)

LEAK COMP ON or LEAK COMP OFF is displayed.


Turn the Set Value knob until the desired state is displayed.
Push the Select button.

Options: ON or OFF

49

Baseline flow is used for flow triggering detection and Vte calculation/accumulation.

Page 10-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

O2 Conserve
Use the O2 Conserve option to minimize the use of oxygen from an O2 source while maintaining the
FIO2 during inspiration.
When CONSERVE ON is selected, the ventilator provides a bias flow of 0 lpm and automatically
selects pressure triggering. Oxygen is supplied during inspiration, but not during expiration. O2
Conserve ON reduces trigger sensitivity and should be used when the conservation of oxygen is
necessary.
When CONSERVE OFF is selected, the ventilator provides a bias flow of 10 lpm and automatically
selects flow triggering. O2 Conserve OFF provides the best trigger sensitivity and should be used
when the conservation of oxygen is not a priority.

The O2 Conserve option is not affected by turning the ventilator on or off. The ventilator retains
the desired setting through power up and power down cycles.

If O2 Conserve is set to ON, the message BIAS FLO OFF will scroll through the alphanumeric
display when the ventilator is in operation.

To modify the O2 CONSERVE setting:


1) Push the Select button while O2 CONSERVE is displayed.

2)
3)
4)

CONSERVE ON or CONSERVE OFF is displayed.


Turn the Set Value knob until the desired state is displayed.
Push the Select button.

Options: ON or OFF

WARNING
O2 Conserve When CONSERVE ON is selected:

The LTV 1200 automatically sets the bias flow to 0 lpm and selects pressure triggering. Certain
patients may experience difficulty triggering a breath with a bias flow of 0 lpm.

Delivered FIO2 can be lower than the set value when tidal volumes are less than 100 ml.

AVERTISSEMENT
O2 Conserver Quand CONSERVE ON est slectionn :

Le LTV 1200 rgle automatiquement le flux 0 lpm et slectionne le dclencheur de pression.


Certains patients peuvent prouver des la difficult dclencher une respiration avec un flux de 0
l/min.

Le FI02 peut diminuer la valeur slectionne quand le volume courant est de moins de 100 ml.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-13

O2 Flush (LTV 1200 only)


Use the O2 Flush option to elevate the delivered FIO2 to 100% for a preset period of time.
To initiate an O2 Flush:
1) Push and hold the O2 % (O2 Flush) button (FIO2) on the ventilator front panel for three seconds to
initiate the elevation (ramp up) of delivered FIO2 to 100% for the preset number of minutes.

The FIO2 percentile displayed will change to 100 and the O2 Flush maneuver will start
immediately (regardless of the current ventilation mode, breath rate or phase).

O2 Flush will not be initiated if Low Pressure O2 Source is selected.

O2 Flush will stop when the preset minutes have elapsed or the O2 % (O2 Flush) button is
pushed again.

When stopped, the delivered FIO2 percentile will return (ramp down) to the preset O2 %
setting.

To modify the O2 Flush setting:


1) Push the Select button while O2 FLUSH is displayed and xxx min is displayed.
2) Turn the Set Value knob until the desired amount of minutes is displayed and push the Select
button. The O2 Flush time period is set.
Range: 1 to 3 minutes, in increments of 1

Page 10-14

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Control Unlock
Use the Control Unlock option to select the Easy or Hard unlocking method for unlocking the controls.
The Easy unlocking method should be used when only trained personnel have access to the
ventilator. The Hard method should be used when children or others may have access to the
ventilator and you want to prevent accidental changes to the control settings.
When the Easy method is selected, unlock the controls by pushing the Control Lock button.
When the Hard method is selected, unlock the controls by pushing and holding the Control Lock
button for 3 seconds.
To modify the Control Unlock setting:
1) Push the Select button while CTRL UNLOCK is displayed.
2) UNLOCK EASY or UNLOCK HARD is displayed.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Options: EASY or HARD

Language Selection
Use the Language Selection option to select the language used in the display window for all
messages, alarms and menus.
To modify the Language setting:
1) Push the Select button while LANGUAGE is displayed.
2) ENGLISH or the currently selected language is displayed.
3) Turn the Set Value knob until the desired language is displayed.
4) Push the Select button.
Options:
ENGLISH
(U.S.)

DANSK
(Danish)

DEUTCH
(German)

ESPANOL
(Spanish)

FRANCAIS
(French)

ITALIANO
(Italian)

NORSK
(Norwegian)

PORTUGUES
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Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-15

Software Version
Use the Software Version option to verify the software version installed in the ventilator. The software
version number is displayed as: VER xx.xx

Usage Meter
Use the Usage Meter to view the time the ventilator has been in use. It is updated every 1/10th hour
up to 139,000.0 hours and is displayed as: USAGE xxxxxx.x

Communications Setting
The ventilator may be connected to a printer, a graphics monitor, or a modem, or may be set up to
output system diagnostic data. Use the Communications Setting option50 to select the
communications protocol for data transmission.

Use the MONITOR setting to communicate with an LTM Graphics Monitor.

To modify the Communications Setting:


1) Push the Select button while COM SETTING is displayed.
2) DATA or the currently selected protocol is displayed.
3) Turn the Set Value knob until the desired protocol is displayed.
4) Push the Select button.
Options: DATA, MONITOR, PRINTER, and MODEM

50

Only DATA and MONITOR (for LTM Graphic Monitors compatible LTV ventilators) are available at this time.

Page 10-16

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Set Date
Use the Set Date option to view or set the current date stored in the ventilator.
To view the Date:
1) Push the Select button while SET DATE is displayed.
2) The current date is displayed in the currently selected date format.
3) Push the Control Lock button to exit.
To modify the Date:
1) Push the Select button while SET DATE is displayed.
2) The current date is displayed in the currently selected date format (MM/DD/YYYY, DD/MM/YYYY,
or YYYY/MM/DD).
3) Push the Select button, YEAR xxxx is displayed.
4) Turn the Set Value knob until the desired year is displayed.
5) Push the Select button, MONTH xx is displayed.
6) Turn the Set Value knob until the desired month is displayed.
7) Push the Select button, DAY xx is displayed.
8) Turn the Set Value knob until the desired day is displayed.
9) Push the Select button to accept the new date.
Range: 1/1/1998 - 12/31/2097

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-17

Set Time
Use the Set Time option to view or set the current time stored in the ventilator.
To view the Time:
1) Push the Select button while SET TIME is displayed.
2) The current time is displayed.
3) Push the Control Lock button to exit.
To modify the Time:
1) Push the Select button while SET TIME is displayed.
2) The current date is displayed as hh:mm:ss.
3) Push the Select button, HOUR xx is displayed.
4) Turn the Set Value knob until the desired hour is displayed.
5) Push the Select button, MIN xx is displayed.
6) Turn the Set Value knob until the desired minute is displayed.
7) Push the Select button to accept the new date. The seconds are automatically reset to 00.
Range: 00:00:00 - 23:59:59

Date Format
Use the Date Format option to select the display format for the current date.
To modify the Date Format:
1) Push the Select button while DATE FORMAT is displayed.
2) MM/DD/YYYY or the currently selected date format is displayed.
3) Turn the Set Value knob until the desired format is displayed.
4) Push the Select button.
Options: MM/DD/YYYY, DD/MM/YYYY, YYYY/MM/DD

Page 10-18

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

PIP LED
Use the PIP LED option to turn the display of the PIP LED on the airway display on or off. When the
PIP LED is on, the Airway Pressure display LED representing the Peak Inspiratory Pressure of the
previous breath remains lit during exhalation.
To modify the PIP LED Setting:
1) Push the Select button while PIP LED is displayed.
2) PIP LED ON or PIP LED OFF is displayed.
3) Turn the Set Value knob until the desired setting is displayed.
4) Push the Select button.
Options: ON or OFF

Model Number / Serial Number


Use the Model Number / Serial Number option to view the LTVs model or serial number, and to verify
LTM Graphics Monitor compatibility.
To view the LTV model number:
1) Turn the Set Value knob while in the VENT OP menu until LTV xxxx is displayed.

2)

The model number is displayed as: LTV xxxx where xxxx is the model of the ventilator.

The model number is set when the ventilator is manufactured.


Push the Control Lock button to exit, or the Select button to display the serial number option.

To view the LTV serial number:


1) Push the Select button when the LTV model number (LTV xxxx) is displayed.

2)

The serial number is displayed on the left side of the display area as: xxxxxx where xxxxxx
is the serial number of the ventilator.

The serial number is set when the ventilator is manufactured.


Push the Control Lock button or the Select button to return to the model number option.

To verify LTM Graphics Monitor Compatibility:


1) Push the Select button when the LTV model number (LTV xxxx) is displayed.

2)

The message LTM will be displayed on the right side of the display area if the ventilator was
originally manufactured or upgraded by CareFusion to accommodate the LTM Graphics
Monitor.
Push the Control Lock button or the Select button to return to the model number option.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-19

Valve Home Position


Use the Valve Home Position option to view the home position for the LTVs flow valve. The home
position is displayed as: VHome xxx where xxx is the home position for the valve installed in the
ventilator.
The home position is determined by the revision of the flow valve and is set when the ventilator is
manufactured or when the flow valve is replaced by a certified CareFusion service technician.

Set Defaults
The SET DEFAULTS option is only displayed and accessed through the Ventilator Checkout menu
(VENT CHECK) or Ventilator Maintenance menu (VENT MTNCE) and is used to reset user settable
Controls and Extended Features settings to their factory-set default values. See Chapter 9 - Ventilator
Alarms, DEFAULTS for factory-set default values.
To enable the Ventilator Checkout menu:
To enable the Ventilator Checkout menu, the patient must be disconnected from the ventilator
(ventilate the patient using an alternative method of ventilation), the ventilator must be turned off, and
a special power on sequence used to turn it back on. See Chapter 11 - Ventilator Checkout Tests for
important information and instructions, prior to proceeding.
To set the default values:
1) When the VENT CHECK menu is displayed, turn the Set Value knob until VENT OP is displayed
and push Select.
2) Turn the Set Value knob until DEFAULTS is displayed and push Select. SET DEFAULTS will
be displayed.
3) Push Select while SET DEFAULTS is displayed. DEFAULTS will be displayed.

Except for the Language selected and the Date/Time settings and format, all user settable
Controls and Extended Features options are reset to their factory-set default values.
A DEFAULTS event is recorded in the Event Trace log (see Appendix E - Event Trace for
additional information) along with the date and time the settings were reset.

To exit the Ventilator Checkout menu and enter normal ventilation mode:
1) Turn the Set Value knob through the Ventilator Operations sub-menus until EXIT is displayed,
and push the Select or Control Lock button. VENT OP will be displayed.
2) When VENT OP is displayed, turn the Set Value knob until EXIT is displayed, and push the
Select or Control Lock button.

POST will be performed, the ventilator will begin ventilation using the factory set default
settings and a DEFAULTS SET alarm will be generated (see Chapter 9 - Ventilator Alarms,
DEFAULTS SET for additional information and instructions to reset the DEFAULTS SET
alarm).

Page 10-20

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

O2 Cylinder Duration (LTV 1200 only)


Use the O2 Cylinder Duration option to calculate the approximate remaining usable time (in hours and
minutes) of an external O2 cylinder.

To obtain an accurate duration time estimate, the current cylinder pressure must be entered prior
to each calculation.

WARNING

O2 Cylinder Duration Information - The accuracy of the displayed useable amount of oxygen
remaining in an external O2 cylinder (O2 DUR hh:mm) is dependant on the precision of the pressure
gauge used on the O2 cylinder and the accuracy of the information provided by the operator in the O2
CYL DUR menu settings. The calculated/displayed useable amount of oxygen information is to be
used for reference purposes only.
Ventilation Variables and O2 Consumption - Variations in the patients minute ventilation, I:E ratio
and/or ventilator setting changes or equipment status (i.e. circuit leaks) affect the consumption rate of
oxygen. When warranted by a patients condition, it is recommended that a back-up cylinder or
alternative source of oxygen be available at all times.

AVERTISSEMENT

Informations sur la dure d'utilisation restante de la bouteille doxygne - La prcision de


laffichage de la quantit doxygne utilisable restante dans une bouteille doxygne externe (O2 DUR
HH:MM) dpend de la prcision de la jauge de pression utilise sur la bouteille et de l'exactitude des
informations fournies par loprateur dans les paramtres du menu DUREE CYL O2. Les
informations calcules et affiches sur la quantit doxygne utilisable ne doivent tre utilises qu
titre indicatif.
Variables de ventilation et consommation doxygne Les variations dans la ventilation par
minute du patient et dans le rapport inspiration/expiration, la modification des paramtres ou ltat du
matriel (fuite dans le circuit, par exemple) modifient le taux de consommation de loxygne. Lorsque
la situation du patient le permet, il est recommand qu'une bouteille doxygne de secours ou toute
autre source alternative doxygne soit disponible en permanence.

To modify the O2 Cylinder Duration settings:


1) Push the Select button while O2 CYL DUR is displayed and CYL TYPE is displayed.
2) Push the Select button while CYL TYPE is displayed and SIZE xxx l is displayed.
3) Turn the Set Value knob until the applicable O2 cylinder size is displayed (volume in compressed
Liters), push the Select button and the cylinder size is set.
Range: 75 - 9,900 compressed Liters, in increments of 1.
This setting is retained by the ventilator (through shut downs and power ups) until re-set by
an operator, and used to calculate the remaining oxygen.
After changing this, or any ventilation setting, wait approximately 20 seconds before selecting
CALCULATE, to allow the ventilator to monitor the oxygen flow that will be used in the
calculation and display of the remaining usable time of the external O2 cylinder.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-21

O2 Cylinder Duration (cont.)


4) Turn the Set Value knob until CYL PRES is displayed, push the Select button and xxx psi is
displayed.
5) Turn the Set Value knob until the applicable cylinder pressure is displayed, push the Select
button and the cylinder pressure is set.

Range: 100 - 2300 psi, in increments of 25, or


Range: 5 - 150 bar, in increments of 1 (if the selected language uses the bar unit of
measurement)
This setting is not retained by the ventilator through shut downs and power ups, will be reset
to the factory set default value if the Language setting is changed, and will need to be
reviewed/reset by the operator each time the O2 Cylinder Duration option is used.
After changing this, or any ventilation setting, wait approximately 20 seconds before selecting
CALCULATE, to allow the ventilator to monitor the oxygen flow that will be used in the
calculation and display of the remaining usable time of the external O2 cylinder.
6) Turn the Set Value knob until CALCULATE is displayed and push the Select button.

To obtain an accurate duration time estimate, the current cylinder pressure must be entered
prior to each calculation.
After changing any ventilation setting, wait approximately 20 seconds before selecting
CALCULATE, to allow the ventilator to monitor the oxygen flow that will be used in the
calculation and display of the remaining usable time of the external O2 cylinder.
When CALCULATE is selected, the ventilator uses the current ventilation values and settings
to calculate the remaining usable time of the external O2 cylinder specified and displays O2
DUR hh:mm (O2 duration in hours and minutes) for 60 seconds or until the message is
acknowledged by pushing the Select or Control Lock button, or by rotating the Set Value
knob on the front panel.
Breath to breath variations may cause slightly different results in consecutive calculations.

Page 10-22

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Queries
Use the Queries section of the Extended Features menu to:

Turn the Presets (Patient Size) Query feature on or off

Turn the Leak Test Query feature on or off


The Presets Query (when enabled/on) is active upon turning the ventilator on and allows the operator
to select the patient size using preset settings (Infant, Pediatric, or Adult).
The Leak Test Query (when enabled/on) is active upon turing the ventilator on and allows the
operator to perform an initial leak test of the patient circuit, prior to connecting the patient to the
patient circuit and ventilator.
The menu is set up as follows:
QUERIES
PRESETS
LEAK QUERY
EXIT

Turning Presets Query on or off


1) After entering the Extended Features menu, turn the Set Value knob until QUERIES is displayed
and press the Select button.
2) Turn the Set Value knob until PRESETS is displayed, press the Select button and PTNT QUERY
is displayed. Press the Select button and QUERY ON or QUERY OFF is displayed.
3) Turn the Set Value knob until the desired setting is displayed and press the Select button.
If QUERY ON is selected, when the ventilator is next powered up and passes POST, NEXT has
been selected (if Leak Query is enabled/on), ventilation and alarm activation are suspended and
the message SAME PATIENT is displayed.

To enable the suspended alarms and begin ventilation with the settings in use during the last
power cycle, press the Select button while SAME PATIENT is displayed
OR
To enable the suspended alarms and begin ventilation with Presets values appropriate for a
new patient, turn the Set Value knob until NEW PATIENT is displayed and press the Select
button. Then turn the Set Value knob until the desired patient type is displayed (INFANT,
PEDIATRIC or ADULT) and press the Select button
Turning the Set Value knob until EXIT is displayed and pressing the Select button
returns the ventilator to the SAME PATIENT menu option/message
If no controls are activated for three (3) seconds while either the NEXT, LEAK TEST, SAME
PATIENT or NEW PATIENT options are being displayed, an audible alert sounds. Activation
of any control resets the 3 second delay of the audible alert.
If QUERY OFF is selected, when the ventilator is powered up and passes POST, it will
proceed to the leak test query (if Leak Query is enabled/on) or begin ventilation (appropriate
alarms enabled) using the settings in use during the last power cycle (if Leak Query is
disabled/off).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-23

LTV 1200 / 1150 Presets Table


Infant
(5 kg 10 kg)

Feature/Function

Pediatric
(10 40 kg)

Adult
(> 40 kg)

Alarm volume

85

85

85

HP delay

NO DELAY

NO DELAY

NO DELAY

LPP alarm

ALL BREATHS

ALL BREATHS

ALL BREATHS

High f alarm

80 bpm, 30 sec

60 bpm, 30 sec

40 bpm, 30 sec

High PEEP alarm

PEEP +5 cmH2O

PEEP +5 cmH2O

PEEP +5 cmH2O

Low PEEP alarm

PEEP -3 cmH2O

PEEP -3 cmH2O

PEEP -3 cmH2O

Rise Time

FLOW TERM

35%

30%

25%

TIME TERM

TERM 0.5 sec

TERM 1.0 sec

TERM 2.0 sec

PC FLOW TERM

Off

Off

Off

Leak Comp

LEAK COMP ON

LEAK COMP ON

LEAK COMP ON

Breath Rate

20 bpm

15 bpm

12 bpm

Breath type

Pressure

Pressure

Volume

Tidal Volume

50 ml

250 ml

500 ml

Insp. Time

0.3 sec

0.7 sec

1.0 sec

Pres. Control

15 cmH2O

15 cmH2O

15 cmH2O

Pres. Support

10 cmH2O

10 cmH2O

10 cmH2O

Sensitivity

2 Lpm

3 Lpm

3 Lpm

High Pres. Limit

30 cmH2O

30 cmH2O

40 cmH2O

Low Pressure

10 cmH2O

10 cmH2O

10 cmH2O

Low Min. Vol.

0.5 L

1.0 L

3.0 L

PEEP

0 cmH2O

0 cmH2O

0 cmH2O

Mode

Assist/Ctrl

Assist/Ctrl

Assist/Ctrl

Page 10-24

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Turning Leak Test Query on or off


1) After entering the Extended Features menu, turn the Set Value knob until QUERIES is displayed
and press the Select button.
2) Turn the Set Value knob until LEAK QUERY is displayed, press the Select button and either
QUERY ON or QUERY OFF is displayed.
3) Turn the Set Value knob until the desired setting is displayed and press the Select button.
If QUERY ON is selected, when the ventilator is next powered up and passes POST, ventilation
and alarm activation are suspended and the message NEXT is displayed.

To enable the suspended alarms, begin ventilation with the settings in use during the last
power cycle, and proceed to the patient size query (if Presets Query is enabled/on), press the
Select button while NEXT is displayed
OR

To perform a leak test prior to connecting the ventilator to the patient, turn the Set Value
knob until LEAK TEST is displayed and press the Select button (see On/Standby in Chapter
6 - Controls for additional information)

If the leak test QUERY OFF is selected, when the ventilator is powered up and passes POST, it will
proceed to the patient size query (if Presets Query is enabled/on) or immediately begin ventilation
with (appropriate alarms enabled) using the settings in use during the last power cycle (if Presets
Query is disabled/off).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-25

SBT (Spontaneous Breathing Trial) Operations


Use the SBT Operations menu to set up ventilator controls and options that are not available directly
from front panel controls. The menu is set up as follows:
SBT OP
SBT START
PRES SUPPORT
PEEP
SBT FIO2 (LTV 1200 only)
MINUTES
HIGH f/Vt
LOW f/Vt
SBT HIGH f
SBT LOW f
DISPLAY f/Vt
EXIT
Using the Spontaneous Breathing Trial option you can temporarily minimize ventilatory support and
perform clinical assessments of a patients dependence on, or ability to be removed from positive
pressure ventilation. SBT mode should be used only while attended by a Respiratory Therapist or
other properly trained and qualified personnel.

WARNING
Untrained Personnel Only properly trained personnel should operate the ventilator. The LTV
1200 / 1150 ventilator is a restricted medical device designed for use by Respiratory Therapists or
other properly trained and qualified personnel under the direction of a physician and in accordance
with applicable state laws and regulations.

AVERTISSEMENT
Personnel non qualifi - Seul le personnel qualifi doit oprer le ventilateur. Le ventilateur de la
1200 / 1150 LTV est un dispositif mdical restreint conu pour tre utilis par les inhalothrapeutes
ou autres personnes qualifies, et par le personnel qualifi sous la supervision d'un mdecin et en
conformit avec les lois et rglements applicables.

Page 10-26

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT Operations (cont.)


When the Spontaneous Breathing Trial mode is turned on (SBT ON selected);

The ventilator switches to CPAP mode.

Pressure Support and FIO2 control settings on the front panel are overridden with the values
preset in the SBT OP menus.

The High Breath Rate alarm (HIGH f) in the ALARM OP menu is disabled (as long as the SBT
mode is on).

The Spontaneous Breathing Trial mode will be terminated and ventilation will return to the
previously set modes/settings when;

The minutes preset in the SBT OP, MINUTES menu have elapsed.

An SBT alarm (SBT < f, SBT > f, SBT < f/Vt, or SBT > f/Vt) has been active in excess of 5
minutes (see Chapter 9 - Ventilator Alarms for additional information).

An Apnea alarm (APNEA) is generated and the ventilator automatically enters the Apnea Backup
mode of ventilation (see Chapter 9 - Ventilator Alarms for additional information).

A High Pressure alarm (HIGH PRES) is generated during which the ventilators turbine is stopped
to allow the circuit pressure to evacuate (see Chapter 9 - Ventilator Alarms for additional
information).

The operator selects SBT OFF in the SBT OP, SBT START menu.

The operator pushes any control button, other than the O2% (O2 Flush), Manual Breath, Select,
Control Lock or Silence Reset.

To modify the Spontaneous Breathing Trial settings:

1)

2)

Turn the Set Value knob until SBT START is displayed, push the Select button, and SBT OFF
or SBT ON is displayed.
Turn the Set Value knob until the desired setting is displayed, and push the Select button.

When SBT ON is selected, the Spontaneous Breathing Trial ventilation mode is turned
on using the current SBT menu settings. If the SBT menu settings were not previously
reset, the factory set default settings will be used (see DEFAULTS in Chapter 9 Ventilator Alarms for additional information). All SBT menu settings are to be reviewed
for applicability and/or set as necessary, prior to selecting the SBT ON menu
option.

When the Spontaneous Breathing Trial ventilation mode is active and SBT OFF is
selected, the Spontaneous Breathing Trial ventilation mode is terminated and ventilation
returns to the previously set modes/settings.

Turn the Set Value knob until PRES SUPPORT is displayed, push the Select button and xx
cmH2O is displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT Pressure Support value is set.

3)

Range: 0 - 30 cmH2O, in increments of 1

Turn the Set Value knob until PEEP is displayed, push the Select button, and xxx cmH2O is
displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT PEEP value is set.

Range: 0 20 cmH2O, in increments of 1

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-27

SBT Operations (cont.)


4)

Turn the Set Value knob until SBT FIO2 is displayed, push the Select button, and xxx O2% is
displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT O2% value is set.

Range: 21 - 100 %, in increments of 1


5) Turn the Set Value knob until MINUTES is displayed, push the Select button, and xxx MIN is
displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT ventilation mode run time is set.

Range: 15 - 120 minutes, in increments of 5


6) Turn the Set Value knob until HIGH f/Vt is displayed, push the Select button, and xxx f/Vt is
displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT high f/Vt alarm value is set (see SBT > f/Vt in Chapter 9 - Ventilator Alarms, for additional
information).

Range: HI f/Vt OFF or 70 - 900 f/Vt, in increments of 5


7) Turn the Set Value knob until LOW f/Vt is displayed, push the Select button, and xxx f/Vt is
displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT low f/Vt alarm value is set (see SBT < f/Vt in Chapter 9 - Ventilator Alarms, for additional
information).

Range: LO f/Vt OFF or 5 - 90 f/Vt, in increments of 5


8) Turn the Set Value knob until SBT HIGH f is displayed, push the Select button, and xxx bpm is
displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT high f alarm value is set (see SBT > f in Chapter 9 - Ventilator Alarms, for additional
information).

Range: SBT HI f OFF or 15 - 80 bpm, in increments of 1


9) Turn the Set Value knob until SBT LOW f is displayed, push the Select button, and xxx bpm is
displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT low f alarm value is set (see SBT < f in Chapter 9 - Ventilator Alarms, additional
information).

Range: SBT LO f OFF or 1 - 40 bpm, in increments of 1


10) Turn the Set Value knob until DISPLAY f/Vt is displayed, push the Select button, and DISPLAY
OFF or DISPLAY ON is displayed.
Turn the Set Value knob until the desired setting is displayed, push the Select button, and the
SBT scrolling display status (on or off) of the monitored xxx f/Vt value is set (see Automatic or
Manual Data Display Scrolling in Chapter 8 - Monitored Data, for additional information).

Exit
To return to the top of the SBT OP menu:

1)

Push the Select button while EXIT is displayed.

Page 10-28

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT Quick Start Feature


In addition to the extended features, the SBT Operation may also be initiated through the SBT Quick
Start feature. Pressing and holding the Manual Breath button for three seconds activates the SBT
mode, SBT ON is displayed in the display window, and the SBT settings that are set in the extended
features menu are enabled.
Pressing any control button on the ventilator front panel (except O2% (O2 Flush), Silence Reset,
Select, Control Lock, and Manual Breath) will exit SBT mode and ventilation continues with the
settings previously displayed on the ventilator.

SBT Alarms
For information concerning SBT related alarms, see Chapter 9 - Ventilator Alarms.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-29

Transducer Autozero
Use the Transducer Autozero menu to manually schedule transducer autozeros and to view previous
autozero results. Autozeros are automatically scheduled at appropriate intervals during ventilator
operation, so manual scheduling of autozeros is not commonly performed, but may occasionally be
done.
The menu is set up as follows:
XDCR ZERO
AP xxxx P
FDb xxxx P
FDw xxxx P
FDn xxxx P

Airway Pressure Transducer Autozero


Use this item to view the Airway Pressure Transducer Autozero results and schedule the Airway
Pressure Transducer Autozero to be run.
To view the Airway Pressure Transducer Autozero results:
1) The previous results, AP xxxx P, are displayed. The final P indicates the previous zero results
were within the required tolerance and the previous autozero passed. If a final F is displayed, the
previous zero results were outside the required tolerance and the autozero failed. An asterisk
indicates that an autozero is scheduled for the next breath.
2) Turn the Set Value knob to display the EXIT option.
3) Push the Select button.
To schedule the Airway Pressure Transducer Autozero:
1) The previous results, AP xxxx P, are displayed.
2) Push the Select button. An asterisk appears, the pass / fail indicator is removed from the display
and the test is scheduled for the next breath.
3) After the autozero is run on the next breath, the new autozero value and the pass / fail indicator
are displayed.
If an autozero fails, it will be automatically rescheduled for the next breath.

Page 10-30

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Bi-directional Flow Transducer Differential Autozero


Use this item to view the Bi-directional Flow Transducer Differential Autozero results and schedule
Autozeros to be run.
To view the Bi-directional Flow Transducer Differential Autozero results:
1) The previous results, FDb xxxx P, are displayed. If the results are displayed as FDb xxxx -, the
Bi-directional Flow Transducer is not installed on your unit. The final P indicates the previous zero
results were within the required tolerance and the previous autozero passed. If a final F is
displayed, the previous zero results were outside the required tolerance and the autozero failed.
An asterisk indicates that an autozero is scheduled for the next breath.
2) Turn the Set Value knob to display the EXIT option.
3) Push the Select button.
To schedule the Bi-directional Flow Transducer Differential Autozero:
1) The previous results, FDb xxxx P, are displayed.
2) Push the Select button. An asterisk appears, the pass / fail indicator is removed from the display
and the autozero test is scheduled for the next breath.
3) After the autozero is run on the next breath, the new autozero value and the pass / fail indicator
are displayed.
If the autozero fails, it will be automatically rescheduled for the next breath.

Exhalation Flow Transducer Differential Autozero - Narrow


Use this item to view the Exhalation Flow Transducer Differential Autozero Narrow results and
schedule the Exhalation Flow Transducer Differential Autozero - Narrow to be run.
To view the Exhalation Flow Transducer Differential Autozero Narrow results:
1) The previous results, FDn xxxx P, are displayed. The final P indicates the previous zero results
were within the required tolerance and the previous autozero passed. If a final F is displayed, the
previous zero results were outside the required tolerance and the autozero failed. An asterisk
indicates that an autozero is scheduled for the next breath.
2) Turn the Set Value knob to display the EXIT option.
3) Push the Select button.
To schedule the Exhalation Flow Transducer Differential Autozero - Narrow:
1) The previous results, FDn xxxx P, are displayed.
2) Push the Select button. An asterisk appears, the pass / fail indicator is removed from the display
and the autozero test is scheduled for the next breath.
3) After the autozero is run on the next breath, the new autozero value and the pass / fail indicator
are displayed.
If the autozero fails, it will be automatically rescheduled for the next breath.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-31

Exhalation Flow Transducer Differential Autozero - Wide


Use this item to view the Exhalation Flow Transducer Differential Autozero - Wide results and
schedule the Exhalation Flow Transducer Differential Autozeros - Wide to be run.
To view the Exhalation Flow Transducer Differential Autozero Wide results:
1) The previous results, FDw xxxx P, are displayed. The final P indicates the previous zero results
were within the required tolerance and the previous autozero passed. If a final F is displayed, the
previous zero results were outside the required tolerance and the autozero failed. An asterisk
indicates that an autozero is scheduled for the next breath.
2) Turn the Set Value knob to display the EXIT option.
3) Push the Select button.
To schedule the Exhalation Flow Transducer Differential Autozero - Wide:
1) The previous results, FDw xxxx P, are displayed.
2) Push the Select button. An asterisk appears, the pass / fail indicator is removed from the display
and the autozero test is scheduled for the next breath.
3) After the autozero is run on the next breath, the new autozero value and the pass / fail indicator
are displayed.
If the autozero fails, it will be automatically rescheduled for the next breath.

Page 10-32

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Real Time Transducers


Use the Real Time Transducer data to view the real time activity in the ventilator. The real time
transducer menu is set up as follows:
RT XDCR DATA
AP
xx.xx cmH20
FDb
xx.xx cmH2O
FDw xx.xx cmH20
FDn
xx.xx cmH20
FTw or FTn xx.xx Lpm
FTb
x.xx
Lpm
LEAK xx.xx Lpm
FVd
xx.xx cmH20
FV
xx.xx Lpm
STEP xxxx
TS
xxxx rpm
O2
xx.xx PSI (LTV 1200 only)
BV
xx.xx VOLTS
EV
xx.xx VOLTS
PPP
xx.xx cmH2O
RT EXIT
Each item displays real time activity in the displayed units. For some items, transducer counts can
also be displayed. Pushing Select while the item is displayed displays additional transducer data51.
Display
AP xx.xx

Real Time Data


c
mH20

Airway pressure as measured at the patient wye using the high side
proximal sense line.

FDb xx.xx cmH20

Flow differential pressure as measured at the patient wye using the bidirectional transducer. Differential pressure is measured between the
high and low side proximal sense lines.

FDw xx.xx cmH20

Flow differential pressure as measured at the patient wye using the


wide scale transducer. Differential pressure is measured between the
high and low side proximal sense lines.

FDn xx.xx cmH20

Flow differential pressure as measured at the patient wye using the


narrow scale transducer. Differential pressure is measured between the
high and low side proximal sense lines. The narrow scale transducer is
only used for differential pressures between -0.35 cmH2O and 0.35
cmH2O (approximately -15 Lpm to 15 Lpm).

FTb xx.xx Lpm

Flow in Lpm calculated from the differential pressure measured at the


patient wye using the bi-directional transducer.
Transducer count display is not available for this item.

51

For more information, see the LTV 1200, 1150 and 1100 Ventilators Service Manual, p/n 18603-001.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 10-33

Display

Real Time Data

LEAK xx.xx Lpm

Leak flow calculated from the differential pressure transducer,


measured at the patient wye during exhalation. This value will be
approximately 0.0 when the ventilator is autocycling. Eliminate
autocycling by turning the sensitivity off before reviewing this
measurement.

FTw xx.xx Lpm


or
FTn xx.xx Lpm

Flow in Lpm calculated from the differential pressure measured at the


patient wye. When the value is calculated using the wide scale
differential pressure, FTw is displayed. When the value is calculated
using the narrow scale differential pressure, FTn is displayed.
When Leak Compensation is on, FTw xx.xx and FTn xx.xx Lpm values
are offset by the value of LEAK xx.xx Lpm.
Transducer count display is not available for this item.

FVd xx.xx cmH20

Differential pressure as measured across the flow valve.

FV xx.xx Lpm

Flow valve flow in Lpm calculated from the differential pressure


measured across the flow valve.
Transducer count display is not available for this item.

STEP xxxx

Commanded flow valve motor step position.


Transducer count display is not available for this item.

TS xxxx rpm

The monitored speed of the turbine in rpms.

O2 xx.xx PSI

Oxygen inlet pressure in PSIG as measured at the inlet pressure


transducer.

BV xx.xx VOLTS

Internal battery voltage.

EV xx.xx VOLTS

External power voltage.

PPP xx.xx

Page 10-34

mH2O

Pressure in the PEEP accumulator (PEEP Pilot Pressure)

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 11 - VENTILATOR CHECKOUT TESTS


This chapter details five test procedures accessed through the Vent Check menu and used to verify
the proper operation of the LTV 1200 /1150. These tests should be performed as shown in the
schedule in Appendix B - Set Up / Maintenance for periodic maintenance and testing of the ventilator.
The five test procedures are:
Test

Test used to:

Alarm Test

Verify that the audible alarm is working correctly.

Display Test

Verify that the ventilator displays are working correctly.

Control Test

Verify that the buttons and the Set Value knob are working correctly.

Leak Test

Test the patient circuit for leaks.

Vent Inop Alarm Test

Verify that the Vent Inop alarm is working correctly.

The Vent Check Menu is set up as follows:


VENT CHECK
ALARM
DISPLAY
CONTROL
LEAK
EXIT

WARNING
Ventilator Checkout Tests Gas is not delivered to the patient during these tests. Disconnect the
patient from the ventilator and ventilate using an alternative method before running the Ventilator
Checkout tests.
Leak Testing the Patient Breathing Circuit The patient circuit must be leak tested in VENT
CHECK mode before connection to the patient. Ventilator Checkout mode should also be used to
check for correct operation of the alarms, displays and controls. Harm to the patient or ineffective
ventilation may result from failure to leak test the patient breathing circuit before connection to a
patient. When using a heated humidifier, include it in the circuit when leak testing.

AVERTISSEMENT
Tests de vrification du ventilateur Noter que le gaz nest pas transmis au patient au cours de
ces tests. Dbrancher le patient du ventilateur et ventiler laide dune forme de ventilation
alternative avant de procder aux tests de vrification du ventilateur.
Contrle de ltanchit du circuit respiratoire du patient L'tanchit du circuit respiratoire du
patient (vrification de ventilation) doit tre vrifie en mode VENT CHECK avant le raccordement au
patient. En outre, on doit utiliser le mode Ventilator Checkout (vrification du ventilateur) afin de
sassurer du fonctionnement adquat de lalarme, des affichages et des commandes du ventilateur.
Le dfaut de vrifier ltanchit du circuit respiratoire du patient avant le raccordement un patient
peut tre nocif pour le patient ou provoquer une ventilation inefficace. Lorsquun humidificateur
chauffant est employ, il convient de linclure dans le circuit en procdant la vrification de
ltanchit.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 11-1

To enable the Ventilator Checkout menu:

1)
2)
3)
4)
5)

Disconnect the patient from the ventilator and ventilate the patient using an alternative method.
Turn the ventilator off.
Ensure that the AC Adapter is connected to a valid AC power source and verify that the External
Power and Charge Status LEDs are illuminated.
Push and hold the Select button. Continue to hold the Select button and press the On/Standby
button. REMOVE PTNT should be displayed; if not, power down the ventilator and repeat steps
2 through 4.
An audible alarm (alternating on/off tone) will sound while REMOVE PTNT is displayed.

6)

Clear the alarm by pressing the Silence Reset button. The audible alarm silences, and the
display changes to VENT CHECK.

7)

Push the Select button. The first Ventilator Checkout Test, ALARM, is displayed.

Page 11-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Alarm Test
Use the Alarm Test to verify that the audible alarm is working correctly.
To run the Alarm Test:
1) Push the Select button while ALARM is displayed.
2) Verify that the audible alarm is sounded.
If a Patient Assist Call System or Remote Alarm is connected to the ventilators Patient Assist
Port, verify the device also activates (audible/visual), as specified by its manufacturer.
3) When the alarm has sounded for at least 2 seconds, push the Select button again.
The audible alarm is silenced and the next menu item is displayed.
4) Verify a confirming audible chirp occurs after the alarm is silenced.

If the Alarm Test fails, see Chapter 15 - Troubleshooting for more information.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 11-3

Display Test
Use the Display Test to verify that the ventilator displays are working correctly.
To run the Display Test:
1) Push the Select button while DISPLAY is displayed.
2) All segments of the 7-segment control displays, all dots of the dot-matrix window displays and all
LEDs are illuminated.

NOTE
The display states for the External Power, Vent Inop, and Charge Status LEDs are not tested in the
Display Test.

The External Power and Charge Status LEDs are tested and verified when the AC adapter is
connected to the ventilator (see page 11-2).
The Vent Inop LED is tested and verified during the Vent Inop Alarm Test (see page 11-11).

REMARQUE
Ce test daffichage ne comprend pas ltat daffichage des DEL External Power, Vent Inop, et
Charge Status.

Les DEL External Power et Charge Status sont tests et vrifis lorsquon branche ladapteur
CA au ventilateur (voir page 11-2).
Le DEL Vent Inop est test et vrifi en mme temps que lavertisseur du Vent Inop (voir page
11-11).

Page 11-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Display Test (cont)


Verify displays are illuminated in the following colors:
Display

Color

Display

Color

Airway Pressure Display

Green

Assist/Control Mode LED

Green

SIMV/CPAP Mode LED

Green

Display Window

Red

Breath Rate

Green

NPPV Mode LED

Green

Tidal Volume

Green

Inspiratory / Expiratory

Green

Pressure Control

Green

Manual Breath LED

Green

Inspiratory Time

Green

Low Pressure O2 Source LED


(LTV 1200 only)

Green

Pressure Support

Green

Control Lock LED

Green

O2 % (O2 Flush)
(LTV 1200 only)

Green

PEEP

Green

Sensitivity

Green

Patient Effort LED

Green

High Pressure Limit Alarm

Red

External Power LED

Not tested

Low Pressure Alarm

Red

Charge Status LED

Not tested

Low Minute Volume Alarm

Red

Battery Level LED

On/Standby LED

Green

Vent Inop LED

Volume Mode LED

Green

Silence Reset LED

Pressure Mode LED

Green

Amber
Not tested
Red

3) To end the display test, push the Select button again and the next menu item is displayed.
If the Display Test fails, see Chapter 15 - Troubleshooting for more information.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 11-5

Control Test
Use the Control Test to verify that the ventilator buttons and the Set Value knob are working
correctly.
To run the Control Test:
1) Push the Select button while CONTROL is displayed.

2) SELECT is displayed in the display window.

Page 11-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Control Test (cont)


3) Test each control by pressing each button, one at a time. When pressed, verify that the name of
the button pressed is displayed in the display window. Control names are as shown in the table
below.
Control

Display

Display Select

SELECT

Breath Rate

BREATH RATE

Tidal Volume

TIDAL VOLUME

Pressure Control

PRES CONTROL

Inspiratory Time

INSP TIME

Pressure Support

PRES SUPPORT

O2 % (O2 Flush)
(LTV 1200 only)

O2%

Sensitivity

SENSITIVITY

High Pressure Alarm

HIGH PRES

Low Peak Pressure

LOW PRES

Low Minute Volume

LOW MIN VOL

Silence Reset

SILENCE

On/Standby

ON / STNDBY

Volume & Pressure

MODE VOL/PRS

Assist/Control & SIMV/CPAP

MODE A/C S/C

Inspiratory / Expiratory Hold

IE HOLD

Manual Breath

MANUAL BRTH

Low Pressure O2 Source


(LTV 1200 only)

LOW PRES O2

Control Lock

CONTROL LOCK

Set Value knob rotate Left

ROTATE LEFT

Set Value knob rotate Right

ROTATE RIGHT

PEEP

PEEP

4) Test the Set Value knob by turning it clockwise and counterclockwise. Verify that the direction of
rotation is displayed in the display window.
5) To exit the control test, push the Select button again and the next menu item is displayed.
If the Control Test fails, see Chapter 15 - Troubleshooting for more information.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 11-7

Leak Test
Use the Leak Test to test the patient circuit for leaks.
To run the Leak Test:
1) Attach all patient circuit accessories (such as water traps, heated circuits and humidifiers) to the
patient circuit.
2) Connect the patient circuit to the ventilator.
3) With a clean, gloved hand or 4X4 gauze pad, occlude the proximal end of the patient circuit.

4) Push the Select button while LEAK is displayed.

NOTE
The Leak Test cannot be run until the ventilator has been running for 60 seconds. If you attempt to
run the leak test before the warm-up period has completed, a WARMUP xx message will be
displayed. When the warm-up period is complete, the Leak Test menu item is redisplayed.

REMARQUE
Le test de fuites ne peut s'excuter tant que le ventilateur n'a pas fonctionn durant 60 secondes.
Si vous tentez d'excuter un test de fuites avant que la priode de rchauffement ne soit
complte, un message WARMUP xx sera affich. Lorsque la priode de rchauffement est
complte, les lments du menu Test de fuites sont de nouveau affichs.

Page 11-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Leak Test (cont)


5) To perform the Leak Test, the ventilator does the following:
a) Closes the exhalation valve and sets the flow valve to a near-closed state. The display briefly
shows HOMING VALVE.
b) Elevates the turbine motor speed. The display shows SET TURBINE. If the display shows
LEAK xx.x FAIL, see Chapter 15 - Troubleshooting for more information.
c) Elevates the circuit pressure. The display shows PRES xx.x cmH2O where xx.x is the realtime airway pressure.
d) Sets the flow valve to a near closed position. The display shows FLOW xx.x Lpm where xx.x
is the flow through the flow valve.
e) After several seconds, the display shows LEAK xx.x PASS or LEAK xx.x FAIL indicating the
Leak Test results. The Leak Test will fail if the flow through the flow valve is greater than 1
Lpm.
6) To exit the Leak Test, push the Select button again and the next menu item is displayed.
If the ventilator fails the Leak Test, see Chapter 15 - Troubleshooting for more information.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 11-9

Vent Inop Alarm Test


Use the Vent Inop Alarm Test to verify that the Vent Inop alarm is working correctly.
To run the Vent Inop Alarm Test:

1)

To run the Vent Inop Alarm Test, the ventilator must be on (running) for at least 60 seconds and
the Ventilator Checkout menu must be enabled.

When the Ventilator Checkout menu is enabled, VENT CHECK, ALARM, DISPLAY,
CONTROL, LEAK, or EXIT is displayed in the ventilator display area.

2)

Turn the ventilator off by pressing and holding the On/Standby button for a minimum of 3
seconds. DO NOT push the Silence Reset button.

3)

Observe the ventilator for 15 seconds.

Listen for the alarm tone

Watch the Vent Inop LED

Page 11-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Vent Inop Alarm Test (cont)

4)

For all ventilators, verify that both of the following conditions existed;

The alarm tone sounded continuously for the full 15-second duration.

The Vent Inop LED illuminated continuously for the full 15-second duration.

5)

If a Patient Assist Call System or Remote Alarm is connected to the ventilators Patient Assist
Port, verify the device also activates (audible/visual), as specified by its manufacturer.

6)
7)

Silence the alarm by pressing the Silence Reset button.


Verify the following;

A confirming audible chirp occurred after the alarm was silenced.

If the Inop Alarm fails the test, discontinue use of the ventilator and immediately contact a certified
CareFusion service technician.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 11-11

Exit
To exit the vent check mode and return to normal ventilation mode at any point proceed as follows:

Enter normal ventilation mode:


1) Turn the Set Value knob to scroll through the main menu entries (VENT OPS, ALARM OPS,
VENT CHECK, etc.) until EXIT is displayed.
2) Push the Select button while EXIT is displayed.
3) Alternatively, push the Control Lock button until normal ventilation mode is restored.
POST will be performed and the ventilator will begin ventilation using the previously stored settings.

Page 11-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 12 - OPERATING PROCEDURE


This section describes how to turn the LTV 1200 / 1150 ventilator on and off, and how to set up the
ventilation modes.

NOTE
Before operating the MR Conditional LTV 1200 System in the MR environment/MR Suite, see
Chapter 16 - MR Conditional System, for additional safety and setup information.

In the absence of an external power source, the ventilator automatically begins operation using the
internal battery. Do not operate the LTV 1200 / 1150 exclusively on the internal battery as a standard
operating practice. The internal battery should be used for emergency situations only or for short
periods while switching between external power supply connections.

REMARQUE
Avant d'utiliser le systme MR Conditional LTV 1200 dans un milieu de RM/Suite RM, reportezvous au Chapitre 16 systme MR Conditional, pour d'autre information sur l'installation et la
scurit.

Sil ny a pas de source dalimentation externe, le ventilateur salimente automatiquement de la pile


interne. Ne pas utiliser le LTV 1200 / 1150 exclusivement avec la batterie interne en tant que
procdure dexploitation normale. La batterie interne doit tre rserve aux situations durgence
seulement ou pour de courtes priodes de temps pendant le transfert entre des sources
dalimentation externes.

To Turn the Ventilator On


1) Connect the unit to an external source of power. The AC power adapter may be used or the
ventilator may be connected to an external battery.

The External Power LED is lit to indicate the external power source voltage level.
The ventilator begins charging the internal battery from the external source.
The Charge Status LED is lit to indicate the charge progress.

2) Push the On/Standby button and the ventilator will commence operation:

52

The On/Standby LED is lit.


The Power On Self Tests52 (POST) are performed:
The front panel displays light up.
The audible alarm activates for 1 second (to be verified by operator).
A confirming audible chirp sounds (to be verified by operator).
POST messages (CPU, SRAM, INT VECTOR, ROM CRC and EEPROM) are flashed in
the message window.

Power On Self Tests - A set of self-tests the ventilator performs when turned on to verify the operational
integrity of the Processor, Displays, Audible Alarm, Confirming Audible Chirp, SRAM, Program Memory and
EEPROM (some tests require operator visual and/or audible verification).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 12-1

To Turn the Ventilator On (cont.)


If the Power On Self Tests are passed successfully;
If both the Leak Query and the Presets Query are disabled/off when the ventilator is powered up and
passed POST, the ventilator will begin ventilation using the settings in use during the last power
cycle.
If the Leak Query feature is enabled/on when the ventilator is powered up, ventilation and alarm
activation are suspended and the message NEXT is displayed (see Queries in Chapter 10 Extended
Features for additional information).
To proceed to the patient size query (if Presets Query if enabled/on) or to enable the suspended
alarms and begin ventilation with the settings in use during the last power cycle (if Presets Query is
disabled/off), press the Select button while NEXT is displayed
OR

To perform a leak test of the patient circuit prior to connecting the ventilator to the patient,
6)
Connect the patient circuit to the ventilator.
7)
With a clean, gloved hand or 4 X 4 gauze pad, occlude the proximal end of the
patient circuit.
8)
Turn the Set Value knob until LEAK TEST is displayed.
9)
Press the Select button. REMOVE PTNT is flashed in the display window and the
audible alarm will sound.
10)
Press the Silence Reset button to clear the alarm and to start the leak test. SET
TURBINE will be displayed for a short period and the leak test starts (see Leak Test
in Chapter 11 - Ventilator Checkout Tests for additional information).

After several seconds, the display shows LEAK xx.x PASS or LEAK xx.x FAIL indicating the Leak
Test results. The Leak Test will fail if the flow through the flow valve is greater than 1 lpm.
If the test failed, see Chapter 15 Troubleshooting for additional information.
If the test passed, Press the Select button and turn the Set Value knob until EXIT is displayed and
press the Select button to restart the ventilator.

Page 12-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

If the Presets Query feature is enabled/on when the ventilator is powered up, and NEXT has been
selected or the Leak Test Query is disabled/off, ventilation and alarm activation are suspended and
the message SAME PATIENT is displayed (see Queries in Chapter 10 - Extended Features).

To enable the suspended alarms and begin ventilation with the settings in use during the
last power cycle, press the Select button while SAME PATIENT is displayed

To enable the suspended alarms and begin ventilation with Presets values appropriate
for a new patient, turn the Set Value knob until NEW PATIENT is displayed and press
the Select button. Then turn the Set Value knob until the desired patient type is
displayed (INFANT, PEDIATRIC or ADULT) and press the Select button (see LTV
1200 / 1150 Presets Table in Chapter 10 Extended Features for detailed settings
information)
Turning the Set Value knob until EXIT is displayed and pressing the Select
button returns the ventilator to the SAME PATIENT menu option/message

OR

If no controls are activated for three (3) seconds while either the NEXT, LEAK TEST, SAME
PATIENT or NEW PATIENT options are being displayed, an audible alert sounds. Activation of
any control resets the 3 second delay of the audible alert.
To prevent autocycling, the Leak Compensation feature (if enabled/on) is suspended during the
first 30 seconds of operation.
To prevent nuisance alarms, the LOW MIN VOL alarm (Low Minute Volume) is suspended for the
first 20 seconds and the HIGH f alarm (High Breath Rate) is suspended for the first 60 seconds of
operation.
If the Power On Self Tests fail;
The mode of failure (CPU, SRAM, INT VECTOR, ROM CRC or EEPROM) is displayed in the
message window and an audible alarm sounds continuously.

Turn the ventilator off by pushing the On/Standby button


Silence the alarm by pushing the Silence Reset button
Discontinue use of the ventilator and immediately contact a certified CareFusion service
technician or CareFusion

Before Connecting the Ventilator to a Patient


Perform the following steps before connecting the ventilator to a patient:

1)

If this is the initial use of the ventilator, follow the checkout procedures in Appendix C Installation and Checkout before proceeding.

2)

If desired, you may connect the ventilator to a Patient Assist Call system. See Appendix C Installation and Checkout for details.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 12-3

3)

If required, connect a low or high pressure oxygen source to the ventilator (high pressure O2
source is only available on the LTV 1200). If you connect a low pressure oxygen source, make
sure to select the Low Pressure O2 Source option on the front panel (LTV 1200 only). See
Appendix C - Installation and Checkout for connection and setup details.

WARNING
Inspired Oxygen (FIO2) Concentration If the patient has a variable respiratory rate, his/her minute
ventilation will fluctuate. If exact concentrations of inspired oxygen (FIO2) are required to be delivered
to the patient, it is recommended that an accurate oxygen analyzer with alarms be used.

AVERTISSEMENT
Concentration doxygne inspir (FIO2) Si la frquence respiratoire du patient est variable, sa
ventilation-minute va fluctuer. Lorsquune concentration exacte doxygne inspir (FIO2) est
ncessaire pour une transmission au patient, il est recommand dutiliser un analyseur de niveau
doxygne prcis, comportant des alarmes.

4)

Connect the Patient Circuit.53 To keep moisture out of the sense lines attached at the patient
wye, be sure to connect the exhalation valve and circuit to the wye so the proximal sense lines
are oriented up (see below). Connect a test lung to the circuit.

5)

Set any desired extended features options. For a detailed list of extended features see Chapter
10 - Extended Features.

6)

Select the ventilation mode and all controls, including PEEP, to prescribed values. Detailed
procedures for setting each mode are included later in this chapter.

53

The LTV Patient Circuit complies with ASTM Specification F 1246.

Page 12-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Procedure for Control Mode Set Up


Set any desired Extended Features options and:
1) Push the mode Select button twice to toggle the modes between Assist/ Ctrl and SIMV/CPAP.
Select the Assist/ Ctrl mode.

2)

Push the mode Select button twice to toggle between Volume and Pressure ventilation. Select
Volume or Pressure, as desired.

3)
4)

Establish the Breath Rate.

5)
6)

If Pressure ventilation is selected, establish the Pressure Control.

7)
8)
9)
10)
11)
12)

Set the desired percentage of oxygen to be delivered by the ventilator (LTV 1200 only).

If Volume ventilation is selected, establish the Tidal Volume. The calculated peak flow Vcalc is
displayed in the window while Tidal Volume is being changed.
Establish the Inspiratory Time. The calculated peak flow Vcalc is displayed in the window while
Inspiratory Time is being changed. Vcalc only applies to volume ventilation.
Set the Sensitivity to dashes -.
Set the High Pres. Limit alarm.
Set the Low Pressure alarm.
Set the Low Min. Vol. alarm.
Set the PEEP.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 12-5

Procedure for Assist/Control Mode Set Up


Set any desired Extended Features options and:
1) Push the mode Select button twice to toggle the modes between Assist/ Ctrl and SIMV/CPAP.
Select the Assist/ Ctrl mode.

2)

Push the mode Select button twice to toggle between Volume and Pressure ventilation. Select
Volume or Pressure, as desired.

3)
4)

Establish the Breath Rate.

5)
6)

If Pressure ventilation is selected, establish the Pressure Control.

7)
8)
9)
10)
11)
12)

Set the desired percentage of oxygen to be delivered by the ventilator (LTV 1200 only).

If Volume ventilation is selected, establish the Tidal Volume. The calculated peak flow Vcalc is
displayed in the window while Tidal Volume is being changed.
Establish the Inspiratory Time. The calculated peak flow Vcalc is displayed in the window while
Inspiratory Time is being changed. Vcalc only applies to volume ventilation.
Set the Sensitivity to a setting from 1 to 9.
Set the High Pres. Limit alarm.
Set the Low Pressure alarm.
Set the Low Min. Vol. alarm.
Set the PEEP.

Page 12-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Procedure for SIMV Mode Set Up


Set any desired Extended Features options and:
1) Push the mode Select button twice to toggle the modes between Assist/ Ctrl and SIMV/CPAP.
Select the SIMV/CPAP mode.

2)

Push the mode Select button twice to toggle between Volume and Pressure ventilation. Select
Volume or Pressure, as desired.

3)
4)

Establish the Breath Rate.

5)
6)

If Pressure ventilation is selected, establish the Pressure Control.

7)
8)
9)
10)
11)
12)
13)

Set the Pressure Support, if desired.

If Volume ventilation is selected, establish the Tidal Volume. The calculated peak flow Vcalc is
displayed in the window while Tidal Volume is being changed.
Establish the Inspiratory Time. The calculated peak flow Vcalc is displayed in the window while
Inspiratory Time is being changed. Vcalc only applies to volume ventilation.
Set the desired percentage of oxygen to be delivered by the ventilator (LTV 1200 only).
Set the Sensitivity to a setting from 1 to 9.
Set the High Pres. Limit alarm.
Set the Low Pressure alarm.
Set the Low Min. Vol. alarm.
Set the PEEP.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 12-7

Procedure for CPAP Mode Set Up


Set any desired Extended Features options and:
1) Push the mode Select button twice to toggle the modes between Assist/ Ctrl and SIMV/CPAP.
Select the SIMV/CPAP mode.

2)

Push the mode Select button twice to toggle between Volume and Pressure ventilation for
apnea backup. Select Volume or Pressure, as ordered.

3)
4)

Establish the Breath Rate to dashes - -.

5)
6)

If Pressure ventilation is selected, establish the Pressure Control for apnea backup.

7)
8)
9)
10)
11)
12)
13)

If Volume ventilation is selected, establish the Tidal Volume for apnea backup. The calculated
peak flow Vcalc is displayed in the window while Tidal Volume is being changed.
Establish the Inspiratory Time for apnea backup. The calculated peak flow Vcalc is displayed in
the window while Inspiratory Time is being changed. Vcalc only applies to volume ventilation.
Set the Pressure Support, if desired.
Set the desired percentage of oxygen to be delivered by the ventilator (LTV 1200 only).
Set the Sensitivity to a setting from 1 to 9.
Set the High Pres. Limit alarm.
Set the Low Pressure alarm for apnea backup.
Set the Low Min. Vol. alarm.
Set the PEEP.

Page 12-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Procedure for NPPV Mode Set Up


Set any desired Extended Features options and:
1) Push the Assist/Control, SIMV/CPAP mode button until the NPPV LED flashes. Press the
button once more to confirm. The NPPV LED continues to flash and SET IPAP displays. The
Pres. Support control display is bright and all other controls dim.
2) Turn the Set Value knob to adjust the IPAP value (shown in the Pres. Support LED window).
Press the Pres. Support button to confirm, SET EPAP will display. The PEEP control display is
bright and all other controls are dim.
3) Turn the Set Value knob to adjust the EPAP value (shown in the PEEP LED window). Press the
PEEP button to confirm.
4) The PEEP button push confirms NPPV operation and LED then turns solid.
5) Set the desired percentage of oxygen to be delivered by the ventilator (LTV 1200 only).
6) Set the High Pres. Limit alarm.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 12-9

To Turn the Ventilator Off


1) Disconnect the ventilator from the patient.
2) Push and hold the On/Standby button for 3 seconds. The ventilator ceases operating, the
audible alarm sounds continuously and the Vent Inop LED is lit.
3) Stop the audible alarm from sounding by pushing the Silence Reset button.
Verify a confirming audible chirp sounds immediately after the alarm is silenced54
4) The ventilator continues to charge the internal battery as long as it is connected to an external
power source.

NOTE
The Vent Inop LED will remain lit for a minimum of 5 minutes and does not affect battery life.

REMARQUE
La DEL Vent Inop restera allume durant au moins 5 minutes et naffecte en rien la dure de vie de
la batterie.

54

The audible Chirp occurs after the Inop Alarm sounds for longer than 0.8 seconds and is then silenced.

Page 12-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

LTV Ventilator Settings Checklist


The LTV 1200 / 1150 Ventilator Settings Checklist may be used by caregivers as a reminder that all
appropriate controls on the ventilator were properly set, adjusted and/or recorded.
Patient Name:

Ordered By:

Date:

Controls: (Fill in (x.x), or Confirm (X))

Check-up

Volume Mode:

- or -

Pressure Mode:

By:

Date:

Assist Control Mode:


- or - NPPV Mode:

- or -

SIMV / CPAP Mode:

By:

Date:

Breath Rate:

bpm

By:

Date:

Tidal Volume:

ml

By:

Date:

Pressure Control:

cmH2O

By:

Date:

Inspiratory Time:

Seconds

By:

Date:

Pressure Support:

cmH2O

By:

Date:

O2%:

By:

Date:

Sensitivity:

Lpm

By:

Date:

PEEP:

cmH2O

By:

Date:

Alarms: (Fill in (x.x), or Confirm (X))

Check-up

High Pressure Limit:

cmH2O

By:

Date:

Low Pressure Limit:

cmH2O

By:

Date:

Low Minute Volume:

Liters

By:

Date:

Extended Features-Alarms: (Fill in (x.x), or Confirm (X))


Apnea Interval:
High f:

Check-up

Seconds

By:

Date:

By:

Date:

HIGH f
OFF

- or -

High PEEP:

HI PEEP
OFF

- or -

cmH2O

By:

Date:

Low PEEP:

LO PEEP
OFF

- or -

cmH2O

By:

Date:

By:

Date:

By:

Date:

High Pressure Delay:

No Delay,

LPP Alarm:

All Breaths

Bpm

Seconds

1 BRTH - or - 2 BRTH
- or -

VC/PC Only

Extended Features-Ventilator: (Fill in (x.x), or Confirm (X))

Check-up

Rise Time Profile:

(1 to 9)

By:

Date:

Flow Termination:

10-40% of Peak Flow

By:

Date:

Pressure Support Time


Termination:

Seconds

By:

Date:

Pressure Control Flow


Termination:

YES

- or -

NO

By:

Date:

Leak Compensation:

ON

- or -

OFF

By:

Date:

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 12-11

Page 12-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 13 - CLEANING, DISINFECTING AND

STERILIZING

Cleaning the Ventilator


All ventilator external surfaces should be cleaned prior to initial use, before and after each patient
use, and as may be required.
To clean the ventilator:
1) Wipe the exterior surfaces of the ventilator with a clean, damp cloth. The use of an anti-bacterial
cleaning solution is recommended. Be sure to wipe away any residual cleaner.

CAUTION

Ventilator Sterilization To avoid irreparable damage to the LTV 1200 / 1150 ventilator, do not
attempt to sterilize it.
Cleaning Agents To avoid damaging the ventilators plastic components and front panel, do not
use cleaning agents containing ammonium chloride, other chloride compounds, more than 2%
glutaraldehyde, phenols, or abrasive cleaners.
Ventilator Immersion - Do not immerse the ventilator in liquids.
Exhalation Valve Cleaning - Do not pour or spray liquid cleaners into the exhalation valve.
Front Panel Cleaning Do not pour or spray liquid cleaners onto the front panel.

ATTENTION
Strilisation du ventilateur - Afin d'viter des dommages irrparables au ventilateur de la 1200 /
1150 LTV, ne tentez pas de striliser ce dernier.
Produits de nettoyage - Afin d'viter d'endommager les composants plastiques et le panneau frontal
du ventilateur, n'utilisez pas des produits de nettoyage contenant : chlorure d'ammonium, composs
de chlorure, plus de 2% de glutaraldhyde, ou phnol.
Immersion du ventilateur - Ne pas immerger le ventilateur dans des liquides, incluant les produits
strilisants.
Nettoyage de la soupape d'expiration - Ne pas asperger une solution nettoyante dans la soupape
d'expiration.
Nettoyage du panneau frontal - Ne pas asperger des solutions nettoyantes ou les laisser s'couler
sur le panneau frontal.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 13-1

Cleaning or replacing the Fan Filter


To clean the fan filter:
1) Using a small screwdriver, detach the fan filter grill from its housing.
2) Remove the fan filter by squeezing the foam filter gently with your fingers and pulling it out.

NOTE
Hardware Fault -If you touch the fan blades while removing the fan filter grill or filter, a HW FAULT
may occur. This is normal. Clear the HW FAULT alarm by using the Silence Reset button.

REMARQUE
Si vous touchez les pales du ventilateur en enlevant le grillage du filtre ou le filtre du ventilateur, une
alarme HW FAULT se produira. C'est une situation normale. Effacez l'alarme HW FAULT l'aide du
bouton Silence / Remise zro.

3)
4)
5)
6)
7)
8)

Gently bathe the filter in a solution of mild detergent and warm water.
Rinse thoroughly in warm water.
Examine the filter for excessive wear or damage. Discard and replace with a new filter if
necessary.
Allow the filter to thoroughly air dry before reinstallation.
Reinstall the filter.
Reposition the filter grill over the filter and apply light pressure until it fully seats (clicks) into the
filter housing.

CAUTION

Wet or Damp Filters - Do not install a wet or damp filter into the LTV 1200 / 1150 ventilator. This
could damage the ventilator.

ATTENTION
Filtres mouills ou humides - Ne pas installer des filtres mouills ou humides dans les ventilateurs
de la 1200 / 1150 LTV. Cela pourrait endommager le ventilateur.

Page 13-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Cleaning or replacing the Inlet Filter


To clean the Inlet Filter:
1) Remove the Inlet Filter by squeezing the foam filter gently with your fingers and pulling it out.

2) Gently bathe the filter in a solution of mild detergent and warm water.
3) Rinse thoroughly in warm water.
4) Examine the filter for excessive wear or damage. Discard and replace with a new filter if
necessary.
5) Allow the filter to thoroughly air dry before reinstallation.
6) Reinstall the filter.

CAUTION
Wet or Damp Filters - Do not install a wet or damp filter into the LTV 1200 / 1150 ventilator. This
could damage the ventilator.

ATTENTION
Filtres mouills ou humides - Ne pas installer des filtres mouills ou humides dans les ventilateurs
de la 1200 / 1150 LTV. Cela pourrait endommager le ventilateur.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 13-3

Cleaning or Replacing the O2 Inlet Filter (LTV 1200 only)


The O2 filter should be cleaned or replaced when it becomes soiled. Failure to do this can affect
ventilator performance.

CAUTION
Oxygen Supply Contamination - The accuracy of the oxygen delivery capabilities of LTV 1200
ventilator can be compromised by foreign debris contamination in the oxygen supply system. To
reduce the risk of airborne contaminants entering the ventilator, ensure that any oxygen supply
connected to the ventilator is clean, properly filtered55 and that the ventilators O2 Inlet Port Cap is
securely installed on the O2 Inlet Port whenever the ventilator is not connected to an external oxygen
supply.

ATTENTION
Contamination de la rserve doxygne - La prcision de la capacit dalimentation en oxygne
des ventilateurs LTV 1200 peut tre compromise par la prsence de corps trangers dans le
systme dalimentation en oxygne. Afin de diminuer le risque de prsence dagents contaminants
atmosphriques dans le ventilateur, assurez-vous que la rserve doxygne relie au ventilateur est
propre et filtre de manire adquate, et que le bouchon de lorifice dalimentation en oxygne est
correctement install chaque fois que le ventilateur nest pas reli une source d'oxygne externe.

To clean or replace the O2 Inlet Filter:


1) If a high pressure O2 source is being used, disconnect the high pressure O2 hose from the
oxygen block on the left side of the ventilator.
2) If a low pressure O2 source is being used, disconnect the O2 line from the barbed oxygen
adapter. Unscrew and remove the barbed adapter from the oxygen block on the left side of the
ventilator.

55

In addition to the existing internal O2 Inlet filter, P/N 19845-001, an External, In-Line Oxygen Filter (P/N 14470)
is available from CareFusion.

Page 13-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

3) Using a pick, gently remove the rubber O-Ring from inside the O2 inlet port. Use caution: Do not
damage the O-Ring while removing it. Tip the ventilator to allow the O2 Inlet Filter to slide out.

4) Clean the filter using a mild cleanser, warm water and a soft brush. Rinse the filter thoroughly to
remove all traces of the cleanser. Allow the filter to dry completely before replacing it in the
ventilator.
5) Inspect the filter for damage. If the filter is not intact, shows signs of damage or cannot be
completely cleaned, replace it with a new O2 Inlet Filter (P/N 19845-001) and O-Ring (P/N
10609), available from CareFusion.
6) Replace the filter by sliding it back into the O2 inlet port. Replace the O-Ring, making sure it is
completely tucked under the retaining lip on the inside of the O2 inlet port.
7) Reconnect the high pressure O2 line or the barbed adapter and low pressure O2 line.

CAUTION

Wet or Damp Filters - Do not install a wet or damp filter into the LTV 1200 ventilators. This could
damage the ventilator.

ATTENTION
Filtres mouills ou humides - Ne pas installer des filtres mouills ou humides dans les ventilateurs
de la 1200 LTV. Cela pourrait endommager le ventilateur.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 13-5

Cleaning the Exhalation Valve and Reusable Patient


Circuit

WARNING
Patient Circuits CareFusion Patient Circuits, Exhalation Valve Assemblies and Water Traps are
shipped clean, not sterile. The reusable patient circuit should be cleaned prior to initial use, and after
each patient use.
Ultra Violet Light Sensitivity The material used in the tubing of the Reusable Patient Circuits is
not UV stable. Avoid exposure of the tubing to UV light.

AVERTISSEMENT
Circuits du patient Les circuits du patient du CareFusion, les valves expiratoires et les collecteurs
deau sont expdis propres, mais pas striles. Le circuit du patient rutilisable doit tre nettoy
avant la premire utilisation et aprs chaque utilisation.
Sensibilit la lumire ultraviolette Les matriaux utiliss pour la tubulure des circuits du patient
ne sont pas stables sous rayons UV. viter dexposer la tubulure la lumire UV.

CAUTION
Proximal Sense Lines - Do not remove the proximal sense lines from the patient wye.
Care of the Exhalation Valve - The exhalation valve is a delicate assembly and may be damaged if;
Care is not exercised when handling or cleaning it.
Cleaning instruments or foreign bodies are inserted into it.
High-pressure gas nozzles are used to dry it.
Care of Bacterial Filters If bacterial filters are used in conjunction with the LTV 1200 / 1150
ventilator, comply with all procedures as specified by the filter manufacturer.

ATTENTION
Conduites de dtection Nenlevez pas les conduites de dtection qui se trouvent sur les divisions
en Y du circuit du patient.
Entretien de la soupape d'expiration - La soupape d'expiration est une pice fragile et peut tre
endommage si :
Des prcautions ne sont pas prises lors de sa manipulation ou de son nettoyage.
Des instruments de nettoyage ou des corps trangers sont insrs dans celle-ci.
Des pistolets de gaz haute-pression sont utiliss pour l'asscher
Entretien des filtres bactriens - Les filtres bactriens ne devraient pas tre immergs dans un
liquide. Un autoclave vapeur devrait tre utilis pour le nettoyage des filtres bactriens.

Page 13-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

CAUTION
Cleaning the Water Trap Do NOT use KlenZyme to clean CareFusion water traps. It will cause
deterioration of the water trap material.
Reusable Patient Circuit Components - To avoid degradation of the reusable patient circuit
components, do not exceed the following constraints:
50 cleaning cycles or 1 year (whichever comes first)
Steam Autoclave:
Pressure:
20 PSIG
Temperature: 275F (135C)
Time:
6 minutes
Liquid Sterilizing Agent:
Do not use any of the following solutions to clean, disinfect, or sterilize the patient circuit:

Ketone

Chlorinated solutions

Phenol (>5%)

Chlorinated hydrocarbons

Inorganic acids

Aromatic hydrocarbons

Formaldehyde

Hypochlorite

Liquid agents containing more than


2% glutaraldehyde

Pasteurization:
30-minute warm water detergent and 30-minute 165F (74C) hot cycle.
Drying in a sterile drier for more than 1 hour or 140F (59C).
Gas (ETO):
Temperature:

131F (55C)

Care of the Exhalation Valve - The exhalation valve is delicate and may be damaged if;
Care is not exercised when handling or cleaning it.
Cleaning instruments or foreign bodies are inserted into it.
High-pressure gas nozzles are used to dry it.
Differential Pressure Ports - A low pressure air nozzle with flow less than 10 liters per minute
should be used for cleaning the differential pressure ports.
Patient Wye Installation After cleaning, install the patient wye in the patient circuit so the proximal
sense lines are oriented up while operating.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 13-7

ATTENTION
Nettoyage du pige eau NE PAS utiliser KlenZyme pour nettoyer les piges eau CareFusion.
Le cas chant, le matriau composant le pige eau se dtriorera.
Composants rutilisables du circuit du patient Pour viter la dgradation des composants
rutilisables du circuit du patient, ne dpassez pas les limites suivantes:
50 cycles de nettoyage ou 1 an (le premier des deux prvalant)
Autoclave vapeur:
Pression :
20 lb/po2
Temprature :
275F (135C)
Dure :
6 minutes
Agent de strilisation liquide:
Il ne faut utiliser aucune des solutions suivantes pour nettoyer, dsinfecter ou striliser le circuit
du patient :

Ctone

Solutions contenant du chlore

Phnol (>5%)

Hydrocarbures contenant du chlore

Acides inorganiques

Hydrocarbures aromatiques

Formaldhyde

Hypochlorite

Les agents liquides contenant plus


de 2% de glutaraldhyde

Pasteurisation:
Un cycle avec dtergent leau tide pendant 30 minutes et leau chaude 165F (74C)
pendant 30 minutes.
Schage dans un schoir strile pendant plus de 1 heure ou 140F (59C).
Gaz (ETO):
Temprature :
131F (55C)
Entretien de la soupape d'expiration - La soupape d'expiration est une pice fragile et peut tre
endommage si :
Des prcautions ne sont pas prises lors de sa manipulation ou de son nettoyage.
Des instruments de nettoyage ou des corps trangers sont insrs dans celle-ci.
Des pistolets de gaz haute-pression sont utiliss pour l'asscher.
Ports de pression diffrentielle - Une source de gaz dbit faible (moins de 10 ppm) doit tre
utilise pour le nettoyage des fluides et de dbris des ports de pression diffrentielle.
Installation de la soupape d'expiration - Aprs le nettoyage, installez la soupape d'expiration dans
le circuit du patient de sorte que les lignes de dtection soient alignes vers le haut pendant
lopration.

Page 13-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

For purposes of cleaning or disinfecting, the patient circuit (tubing and all accessories) must
be detached from the ventilator:
1)

Detach the patient circuit from the ventilator.

2)

Detach the various components from the patient circuit.

3)

Disassemble the exhalation valve by using the small extrusion above the notch on the exhalation
valve cap to pry the valve cap and valve body apart. When opened, remove the diaphragm.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 13-9

To clean the exhalation valve, sense lines, wye and reusable patient circuit:
1)

2)

Remove all particulate matter and bathe for a minimum of 10 minutes using one of the following
solutions warmed to 95F to 150F (35C to 65.5C):
mild detergent, 50% water / 50% white vinegar solution, or liquid cleaner (e.g.,
KlenZyme or other enzymatic cleaner)
Ultrasonic cleaning is not recommended.
Rinse gently for 2 minutes and use a low flow air source (less than 10 L/min) to eliminate any
residual fluid.
To clean the water trap (if used), use a mild detergent solution followed by rinsing and drying
with a low-flow air source.

To high level disinfect the exhalation valve, sense lines, wye and reusable patient circuit:
1)
2)

Remove all particulate matter and bathe in a glutaraldehyde solution (e.g., Cidex (2%)) for 20
minutes.
Rinse gently for 2 minutes and use a low flow air source (less than 10 L/min) to eliminate any
residual fluid.

Sterilization:
Sterilization of the patient circuit components and water traps should follow individual institution
processes or guidelines.
To reassemble the exhalation valve and patient circuit:
1)

Insert the side of the diaphragm with the scalloped edge into the mating cavity on the inside of
the valve cap.

CAUTION
Valve assembly - If the diaphragm is inserted backwards when assembling the valve, it may
adversely affect the operation of the ventilator. Be sure to insert the side of the diaphragm with the
scalloped edge into the mating cavity on the inside of the valve cap.

ATTENTION
Assemblage de la valve Si le diaphragme est insr lenvers lors de lassemblage de la valve, il
peut entraver le fonctionnement du ventilateur. Sassurer dinsrer le ct du diaphragme dont le bord
est festonn dans la cavit commune lintrieur du couvercle de la valve.

Page 13-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

2)

Align the tab on the valve body with the notch on the valve cap and press until the cap and body
snap together.

NOTE
Be careful not to dislodge the diaphragm when snapping the parts together.

REMARQUE
Sassurer de ne pas dplacer le diaphragme lors de lassemblage des pices.

3)
4)

5)

Inspect the patient circuit and all accessories, replace any excessively worn or damaged
components and reassemble.
Reconnect the exhalation valve drive line, the sense lines and the inspiratory limb to the mating
ports on the side of the ventilator (see Patient Breathing Circuit Connection Instructions in
Appendix C - Installation and Checkout for detailed instructions).
Leak test the patient breathing circuit.

WARNING
Leak Testing Patient Circuits Leak test the patient circuit with all accessories connected before
connection to the patient. Failing to do this can result in ineffective ventilation and possible harm to
the patient. Refer to Leak Test in Chapter 11 Ventilator Checkout Tests for detailed instructions.

AVERTISSEMENT
Essais de fuite du circuit du patient Faire un essai de fuite du circuit du patient une fois que tous
les accessoires sont en place, avant de faire le raccordement final au patient. Lomission de cette
tape peut entraner une ventilation inefficace et pourrait blesser le patient. Pour obtenir les
consignes dtailles, consulter Essai de fuite dans le Chapitre 11 Tests de vrification du
ventilateur.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 13-11

Page 13-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 14 - POWER AND BATTERY OPERATION


The LTV 1200 / 1150 ventilator operates on Direct Current (11 to 15 VDC), supplied by an external
AC to DC power adapter, an external battery or other suitable external DC power source such as the
CareFusion Universal Power Supply or the SprintPack Lithium-ion Power System. The ventilator can
also be powered for short periods of time by its own internal battery (see note below).
When the ventilator is connected to an appropriate external power source, the ventilators
internal battery is continuously charged and will reach 90% charge status within 8 hours.
When the power connector on the ventilator is connected to the AC power adapter, the ventilator
is isolated from the power supply mains.
If an LTV 1200 / 1150 ventilator is allowed to operate on its internal battery to the point that the
internal battery is completely depleted, the ventilator will shut down. If the ventilator remains in
this state, the internal battery may recharge slightly within a few seconds / minutes and cause
the ventilator to automatically restart and operate for a short period of time. This cycle can repeat
several times, depending on the condition of the internal battery.
The only approved power sources for use with the MR Conditional LTV 1200 System are the
AC power adapter or the SprintPack Lithium-ion Power System mounted to the LTV 1200 MR
Conidtional Floor Stand when used inside the MR environment (see Chapter 16 - MR
Conditional System for additional information).

NOTE
The Charge Status LED is illuminated green when the internal battery is charged to >90% of its
capacity. If the Charge Status LED is red, is flashing amber for more than 1 hour, or does not show a
green Charge Status indication after 24 hours, the battery is defective and should be replaced.
Please immediately contact a certified CareFusion service technician.
Internal Battery Use: The internal battery is intended for use during short periods while switching
between external power supply connections, emergency situations or short duration transports. The
length of time the ventilator will operate on internal power is a function of many factors such as
settings, charge level and condition or age of the battery; therefore, the use of the internal battery as
a standard operating practice is not recommended.

REMARQUE
Le voyant du DEL Charge Status est vert lorsque la pile interne est charge plus de 90 % de sa
capacit. Si le voyant du DEL Charge Status est rouge, quil est jaune et clignote pendant plus dune
heure, ou quil naffiche pas un Charge Status vert aprs 24 heures, la pile est dfectueuse et il faut
la changer. Veuillez communiquer immdiatement avec un technicien de service certifi par
CareFusion.
Utilisation de la batterie interne: La batterie interne est conue pour tre utilise sur de courtes
priodes pendant la commutation entre des connexions dalimentation externe, les situations
durgence ou les transports de courte dure. La dure pendant laquelle le ventilateur fonctionnera sur
lalimentation interne dpend de plusieurs facteurs tels, la configuration, le niveau de la charge et la
condition ou lge de la batterie; lutilisation de la batterie interne pour l'opration normale nest donc
pas recommande.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 14-1

Using the AC Adapter


To run the ventilator from the CareFusion AC Power Adapter:56
1) Attach the power connector from the AC Adapter to the ventilator as shown here.

2) Connect the proper AC power cable (110V or 220V plug) to the AC Power Adapter.
3) Connect the 110V57 or 220V power cable to a suitable power source. Verify the External Power
LED shows green or amber.

CAUTION

Release Button - To avoid damaging the ventilator or the


power connector, push the release button on the connector
before removing it from the ventilator power port or the
power port pigtail connector.

ATTENTION

Bouton de dclenchement Pour viter d'endommager le ventilateur ou le connecteur


d'alimentation, appuyer sur le bouton de dclenchement situ sur le connecteur avant de le retirer du
port d'alimentation du ventilateur ou du raccord de queue de cochon du port d'alimentation.

While the ventilator is plugged in, the internal battery is continuously charged.

56
57

CareFusion AC Adapter, P/N 10537, 11537, or 18053-001


CareFusion Power Cord, P/N 10536

Page 14-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Using an External Battery

(Not for use with the LTV 1200 MR Conditional System)


Optional External Batteries58, Cables59 and Charger60 are available from CareFusion. The Large
External Battery Pack includes a large capacity battery and hard case with a fuse and power cable
and is pre-wired with a locking quick-connector. The Small External Battery Pack includes a medium
capacity battery, soft bag and power cable with fuse and locking quick-connector.

CAUTION
External Battery Pack - The External Battery Pack should only be connected to the LTV 1200 /
1150 ventilator using the CareFusion External Battery Cable (PN 10802). This cable is pre-wired and
properly terminated to ensure safe connection of the External Battery Pack to the ventilator.
Release Button - To avoid damaging the ventilator or the
power connector, push the release button on the connector
before removing it from the ventilator power port or the
power port pigtail connector.

ATTENTION
Bloc-piles externe Le bloc-piles externe ne doit tre branch quaux ventilateurs de la 1200 / 1150
LTV laide du cble pour piles externes de CareFusion (No pice 10802). Ce cble est prcbl et
ses terminaisons assurent une connexion scuritaire entre le bloc-piles externe et le ventilateur.
Bouton de dclenchement Pour viter d'endommager le ventilateur ou le connecteur
d'alimentation, appuyer sur le bouton de dclenchement situ sur le connecteur avant de le retirer du
port d'alimentation du ventilateur ou du raccord de queue de cochon du port d'alimentation.

To run the ventilator from an external battery:


1) Connect the battery cable quick-connector to the port on the external battery hard case or the soft
bag.

58

CareFusion External Battery P/N 10787 and Case P/N 10790.


CareFusion External Battery Cable P/N 10802.
60
CareFusion External Battery Charger P/N 10801.
59

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 14-3

2) Connect the power connector on the battery cable to the power port on the left side of the
ventilator as shown here. Verify the External Power LED shows green or amber.

While the ventilator is connected to the external battery, the internal battery is being continuously
charged.

NOTE
The External Battery Packs can only be recharged using the CareFusion External Battery Charger.
The External Battery Pack must be disconnected from the LTV 1200 / 1150 ventilator before
connecting to the External Battery Charger. The External Battery Pack can be fully recharged in 8
hours. See the instruction sheet that comes with the External Battery Charger for information on how
to properly configure the charger for your AC voltage and frequency.
The external battery is a sealed lead acid battery. Some states and countries require that these
batteries must be disposed of through an authorized recycling or hazardous materials center. Contact
the proper agency for appropriate disposal procedures.

REMARQUE
Les blocs-piles externes ne peuvent tre rechargs quen utilisant le chargeur de piles externe
CareFusion. Le bloc-piles externe doit tre dbranch du ventilateur de la 1200 / 1150 LTV afin
dtre branch au chargeur de piles externe. Il faut 8 heures pour recharger compltement le blocpiles externe. Consultez la feuille de directives incluse avec le chargeur de piles externe pour obtenir
des renseignements sur la faon de configurer adquatement le chargeur selon la tension alternative
et la frquence dont vous disposez.
La batterie externe est une batterie lacide sans entretien. Certains tats et pays exigent que lon
dispose de ces piles par lentremise dun centre autoris de recyclage ou de matires dangereuses.
Pour connatre les procdures appropries, communiquez avec lagence concerne.

Page 14-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

For more detailed information on using or charging the external batteries, or for information on
replacing battery box or bag fuse, see the LTV External Battery Kit Operator's Manual.61
The battery may be set and operated from any position, but always secure the battery box in place
and keep the battery box in a stable, accessible position near the LTV ventilator. Keep all cords
away from footpaths and moveable equipment, and tie them to unmoving surfaces such as the
ventilator stand or bed post.
Refer to your LTV External Battery Kit Operators Manual (P/N 10890) for other safety information,
extended operating procedures and troubleshooting techniques.

61

LTV Series External Battery Kit Operator's Manual, P/N 10890.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 14-5

Using the Automobile Cigarette Lighter Adapter


(Not for use with the LTV 1200 MR Conditional System)

An optional Automobile Cigarette Lighter Adapter62 is available to power the LTV 1200 / 1150
ventilator while operating in a vehicle. This adapter is designed to connect to high power pre-wired
+12V automobile cigarette lighter or auxiliary power outlets capable of supplying at least 20 amperes
of current.

Newer vehicles have Auxiliary Power Outlets, which typically have lower contact resistance and
higher amperage ratings than Automobile Cigarette Lighter Outlets and should be used when
available.
The use of third-party-installed automobile cigarette lighter-style power outlets is not
recommended (i.e. on battery boxes or wheelchairs).

WARNING
Before Using Automobile Cigarette Lighter or Power Outlets - Before using Automobile Cigarette
Lighter or Power Outlets as a power source for the LTV 1200 / 1150 ventilator, assure that the
ventilators internal battery is in good condition and fully charged.
Poor cigarette lighter or power outlet connections, electrical system defects (battery, charging system,
etc.), or use of vehicle accessories (air conditioner, high current lights, high power audio equipment,
etc.) could result in less than the required voltage being delivered to the ventilator. If this condition
occurs, the ventilator will generate a POWER LOST alarm and switch the ventilators power source to
the internal battery.

AVERTISSEMENT

Avant toute utilisation dune prise dallume-cigare ou dune prise de courant Avant dutiliser
un allume-cigare ou une prise de courant comme source dalimentation du ventilateur LTV 1200 /
1150, vrifiez que la batterie interne du ventilateur est en bon tat et entirement charge.
Lutilisation dun allume-cigare ou dune prise de courant fournissant un branchement de qualit
mdiocre, des dfauts du circuit lectrique (batterie, systme de charge, etc.), ou lutilisation
daccessoires dautomobile (climatisation, phares, chane stro et haut-parleurs forte
consommation, etc.) peuvent affecter le voltage dlivr au ventilateur et provoquer une sousalimentation de celui-ci. Dans cette situation, le ventilateur dclenche une alarme PAS ALIM SEC et
utilise la batterie interne du ventilateur comme source dalimentation.

62

CareFusion Automobile Cigarette Lighter Adapter P/N 11544.

Page 14-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

CAUTION
Automobile Cigarette Lighter and Power Outlets - Automobile cigarette lighter and power outlets
are normally wired for a positive center contact and ground sleeve contact. Connecting the ventilator
to an improperly wired outlet will cause the adapter fuse to blow and may damage the adapter or the
ventilator.
Automobile Cigarette Lighter Outlet Power Rating - Running a ventilator from an improperly rated
automobile cigarette lighter outlet (less than 20 amperes) may cause a fuse in the automobile to blow,
causing the ventilator and possibly other accessories in the automobile to stop operating.
Automobile Cigarette Lighter Adapter - Do not operate the ventilator from the Automobile Cigarette
Lighter Adapter while starting the vehicle or when jump starting the automobile. Doing so may cause
damage to the ventilator.
Automobile Cigarette Lighter Adapter Tip - Use care when disconnecting the Automobile Cigarette
Lighter Adapter after use, its tip may be hot.
Automobile Cigarette Lighter Outlet Depending on the condition of the automobile battery,
whether the automobile is turned off, being started or running, automobile cigarette lighter outlets can
provide varying levels of voltage (in some, the outlet only operates when the vehicle is running).
Verify which power source the ventilator is using by checking the External Power LED on the
ventilator.

ATTENTION
Allume-cigare et prises de courant Lallume-cigare et les prises de courant sont habituellement
cbls de faon obtenir un contact central positif et un contact du manchon la terre. Le
branchement du ventilateur dans une prise qui nest pas cble adquatement aura pour effet de
faire sauter le fusible de ladaptateur et pourrait endommager ladaptateur ou le ventilateur.
Puissance nominale des prises dallume-cigare Le branchement dun ventilateur une prise
dallume-cigare qui ne possde pas la tension suffisante (moins de 20 ampres) peut faire griller un
fusible de lautomobile, causant ainsi larrt du ventilateur et ventuellement, celui dautres
accessoires de lautomobile.
Adaptateur pour allume-cigare Ne faites pas fonctionner le ventilateur laide de ladaptateur
pour allume-cigare lorsque vous dmarrez le vhicule ou lorsque vous faites une connexion
provisoire de la batterie d'un vhicule. Vous pourriez ainsi endommager le ventilateur.
Embout adaptateur pour allume-cigarette dautomobile - Aprs l'utilisation, dbrancher
ladaptateur pour allume-cigarette dautomobile avec prcaution car son embout peut tre chaud.
Prise dallume-cigare dautomobile Selon la condition de la batterie de lautomobile, si le moteur
est coup, dmarr ou est en marche, les prises dallume-cigare dune automobile peut gnrer des
niveaux de tension varis(sur certains modles, la prise ne fonctionne que si le moteur est en
marche). Vrifier la source dalimentation utilise par le ventilateur indique par la DEL External
Power du ventilateur.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 14-7

CAUTION

Release Button - To avoid damaging the ventilator or the


power connector, push the release button on the connector
before removing it from the ventilator power port or the
power port pigtail connector.

ATTENTION
Bouton de dclenchement Pour viter d'endommager
le ventilateur ou le connecteur d'alimentation, appuyer
sur le bouton de dclenchement situ sur le connecteur
avant de le retirer du port d'alimentation du ventilateur
ou du raccord de queue de cochon du port d'alimentation.

To run the ventilator from an automobile cigarette lighter:


1) With the ventilator NOT connected to the outlet, start the automobile.
2) Connect the Automobile Cigarette Lighter Adapter to the automobile cigarette lighter or power
outlet on the vehicle and verify the LED on the adapter shows green.

Do not use a DC extension cord between the automobile cigarette lighter adapter and the
automobile cigarette lighter or power outlet port.

3) Attach the power connector of the adapter to the ventilator.

Page 14-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

4) Verify the ventilator is being powered by the vehicle battery, through the Automobile Cigarette
Lighter Adapter.

The vehicle battery is powering the ventilator if the External Power LED shows green.
An amber External Power LED and/or a POWER LOW alarm indicates the external power
level is low.
Immediately reconnect the ventilator to an alternate power source (i.e. the AC Adapter or
External Battery) until the cause of the problem (Automobile Cigarette Lighter Adapter
cable connection or the vehicle battery or power outlet), has been identified and corrected.

POWER LOST alarm indicates external power voltage has dropped below the usable level
and the ventilator has switched to internal power.
Immediately reconnect the ventilator to an alternate power source (i.e. the AC Adapter or
External Battery) until the cause of the problem (Automobile Cigarette Lighter Adapter
cable connection or the vehicle battery or power outlet), has been identified and corrected.

NOTE
The Automobile Cigarette Lighter Adapter contains a fuse and is designed to protect the LTV 1200 /
1150 ventilator from typical automobile power transients. The green LED on the adapter indicates the
adapter is connected and operating correctly. If the LED does not light, the adapter may not be
properly seated in the outlet or the fuse may be blown. Try reseating or turning the adapter to create
a better connection or change the fuse (see Chapter 14 - Replacing the Automobile Adapter Fuse).

REMARQUE
Ladaptateur pour allume-cigare contient un fusible et est conu pour protger les ventilateurs de la
1200 / 1150 LTV contre les transitoires dalimentation des automobiles. Le voyant DEL vert de
ladaptateur indique que ladaptateur est branch et quil fonctionne adquatement. Si le voyant ne
sallume pas, ladaptateur nest peut-tre pas bien install dans la prise ou le fusible est peut-tre
saut. Essayer de replacer ou de tourner ladaptateur de manire obtenir un meilleur raccordement
ou changer le fusible (se reporter au Chapitre 14 Remplacement du fusible de ladaptateur).

While the ventilator is connected to the Automobile Cigarette Lighter Adapter, the internal battery is
being continuously charged.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 14-9

Replacing the Automobile Adapter Fuse


To replace the fuse:
1) Unscrew the knurled nut.
2) Remove the contact point, nut, fuse and spring as shown below. Be careful not to lose the
internal spring, as the adapter will not operate correctly without it.
3) Replace the spring and new fuse as shown.
4) Ensure that the retaining ring is properly in place.
5) Replace the contact point and tighten the nut.

The Universal Power Supply (UPS)

(Not for use with the LTV 1200 MR Conditional System)

The CareFusion Universal Power Supply kit is a rechargeable external power source and backup
system for CareFusion devices. It has the following features:

AC/DC Converter

Backup Battery Charger

Power and Charge Status LED

Audible and visual alarms to indicate loss of mains power


The Universal Power supply provides an AC derived DC power source which is backed up by a
rechargeable 12 volt sealed lead - acid battery. It can power the ventilator and the graphics monitor.
For more information refer to the UPS Operators Manual, P/N 14492.

Page 14-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

The SprintPack Li-Ion Power System


The SprintPack is a portable, re-chargeable external power source. It accepts external LTV power
sources and has the following features:

Two no-maintenance high capacity HotSwap re-chargeable Lithium-ion batteries providing up


to six hours of mobile power for the LTV ventilator.

Ability to act as an Uninterruptible Power Supply (UPS) when an approved power source is
connected and the batteries are fully charged.
For more information about the SprintPack, see the SprintPack Li-Ion Power System Operators
Manual, P/N 18415-001.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 14-11

Caring for the Internal Battery


The LTV 1200 / 1150 ventilator uses a rechargeable, sealed lead acid internal battery.
To preserve maximum battery life:

Fully recharge the battery every 2 months while the ventilator is in storage. Recharge the battery
by plugging the ventilator into an AC power source for 24 hours. If the battery Charge Status
LED is not illuminated green within 24 hours, or if it is illuminated red, immediately contact a
certified CareFusion service technician or CareFusion.
Store the ventilator at temperatures less than 60C (140F).

CAUTION
Storage Temperature - Storing the LTV 1200 / 1150 ventilator at temperatures above 60C (140F)
for long periods can damage the internal battery and cause expected battery duration to degrade.
Internal Battery Use: The internal battery is intended for use during short periods while switching
between external power supply connections, emergency situations or short duration transports. The
length of time the ventilator will operate on internal power is a function of many factors such as
settings, charge level and condition or age of the battery; therefore, the use of the internal battery as
a standard operating practice is not recommended.

ATTENTION
Temprature d'entreposage - L'entreposage du ventilateur de la 1200 / 1150 srie LTV des
tempratures suprieures 60 C (140 F) durant des priodes prolonges peut endommager la pile
interne et causer l'usure prmature de la pile.
Utilisation de la batterie interne: La batterie interne est conue pour tre utilise sur de courtes
priodes pendant la commutation entre des connexions dalimentation externe, les situations
durgence ou les transports de courte dure. La dure pendant laquelle le ventilateur fonctionnera sur
lalimentation interne dpend de plusieurs facteurs tels, la configuration, le niveau de la charge et la
condition ou lge de la batterie; lutilisation de la batterie interne pour l'opration normale nest donc
pas recommande.

Battery Replacement
When necessary, the LTV 1200 / 1150 ventilators internal battery can be replaced by a trained
service technician. To replace the LTV internal battery, refer to the instructions for use provided with
the replacement battery kit, P/N 18634-001.

Battery Disposal
The LTV 1200 / 1150 ventilator uses sealed lead acid batteries. Some jurisdictions consider these
batteries hazardous materials subject to special disposal regulations. Contact the proper agency for
information on permissible methods of disposing of used batteries.

Page 14-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 15 - TROUBLESHOOTING
This chapter describes troubleshooting for the LTV 1200 / 1150 ventilator. Some problems can result
from improper operation and can easily be corrected without any modification to the ventilator. Other
problems may require that the ventilator be recalibrated or have parts replaced.
Do not attempt to repair or replace any part of the ventilator unless you are trained and
authorized for service on the LTV 1200 / 1150 ventilator.
This chapter is organized into five sections:
Displays and Buttons (See page 15-2)

Includes problems with control and window displays


and with setting controls.

Ventilator Performance (See page 15-6)

Includes problems with delivered or monitored


pressure, volume or PEEP, accuracy, sensitivity and
triggering.

Power and Battery Operation


(See page 15-15)

Includes problems with turning the ventilator on,


operating from external power sources, battery
operation or duration, and vent inops.

Alarms (See page 15-17)

Includes problems with recurring alarms.

Checkout Test Failures (See page 15-24)

Includes problems detected while performing the


VENT CHECK tests.

Test Lung Operation (See page 15-26)

Includes problems encountered when operating the


ventilator with a test lung.

The troubleshooting tables are organized by symptom, then by possible causes and methods of
diagnosing and resolving the problem. If you do not find the symptom you are looking for under one
section, you may find it listed under another section, or you may be able to diagnose the problem by
reading sections with related symptoms. For information on resolving problems that are not listed
here, contact CareFusion.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-1

Displays and Buttons


Some of the symptoms listed in this section are part of the normal operation of the ventilator and do
not indicate any problem with the ventilator. They are included here for completeness.
Symptoms

Possible Causes

What to Do

Pres. Control
display flashing.

Pressure Control breath


terminated by flow - PC
FLOW TERM is set to
on.

Pressure Control breaths are normally


terminated when the set inspiratory time expires.
Flow termination of Pressure Control breaths is
allowed when PC FLOW TERM is set to ON (see
page 10-11.) When a Pressure Control breath is
terminated by flow instead of time, the Pres.
Control display is flashed.

Pres. Support
display flashing.

Pressure support
breath terminated by
time - set under TIME
TERM.

Pressure support breaths are normally


terminated when the flow drops below the set
percentage of the peak flow. Pressure support
breaths may also terminate on time when the
variable time limit is reached before the flow
drops to the set level. (See pages 10-9 and 1010 for an explanation of the FLOW TERM and
TIME TERM features.) When a pressure support
breath is terminated based on time, the Pres
Support display is flashed.

High Pres. Limit


display flashing.

HIGH PRES alarm


occurred.

The High Pres. Limit display is flashed and the


HIGH PRES message is displayed when a high
pressure alarm occurs. The display will continue
to flash even after the condition clears. (See
page 6-4 for an explanation of the HIGH PRES
alarm feature.)

Low Pressure
display flashing.

LOW PRES alarm


occurred.

The Low Pressure display is flashed and the


LOW PRES message is displayed when a low
pressure alarm occurs. The display will continue
to flash even after the condition clears. (See
page 6-12 for an explanation of the LOW PRES
alarm feature.)

Low Min Vol display


flashing.

LOW MIN VOL alarm


occurred.

The Low Min Vol display is flashed and the


LOW MIN VOL message is displayed when a
low minute volume alarm occurs. The display will
continue to flash even after the condition clears.
(See page 6-11 for an explanation of the LOW
MIN VOL alarm feature.)

O2 % (O2 Flush)
display flashing
(LTV 1200 only).

LOW O2 PRES or
HIGH O2 PRES alarm
occurred.

The O2 % (O2 Flush) display is flashed and the


LOW O2 PRES or HIGH O2 PRES message is
displayed when a low or high O2 pressure alarm
occurs. The display will continue to flash even
after the condition clears. (See pages 9-19 and
9-12 for an explanation of the LOW O2 PRES
and HIGH O2 PRES alarm features.)

Page 15-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

Control display
flashing when setting
a control.

Control setting is
limited.

A control's value may be limited by the current


settings of other controls. (See page 5-6 for an
explanation of Control Limiting.)

A display or LED
does not illuminate.

Internal problem with


the ventilator.

Do a display test (see page 11-4 for instructions.)


If the display or LED does not illuminate,
immediately contact a certified CareFusion
service technician.

Ventilator is running
but displays are
turned off.

Displays are blanked


while on battery power.

To conserve battery life while running from the


internal battery, most of the displays are turned
off when no changes are made to the control
settings for 60 seconds. To turn the displays
back on, touch any control or button or turn the
Set Value knob.

Internal problem with


the ventilator.

Do a display test (see page 11-4 for instructions.)


If the display or LED does not illuminate,
immediately contact a certified CareFusion
service technician.

Control not active in


selected mode.

If a control is dimmed, it is not active in the


currently selected mode and changing it's setting
does not affect ventilation. (See page 5-5 for an
explanation of Bright, Dim and Blank Control
Displays.)

Controls are locked.

If the controls are locked, a LOCKED message


will be displayed when a control is selected.
To unlock in EASY mode, push the Control
Lock button. To unlock in HARD mode, push
and hold the Control Lock button for 3 seconds.
(See page 10-15 for an explanation of the CTRL
UNLOCK feature and Control Lock button.)

Control is not selected.

Before a control value can be changed, the


control must be selected. To select a control,
push the associated button. When a control is
selected it is displayed at normal intensity and all
other controls are dimmed. (See page 5-3 for an
explanation of how to use the controls.)

Controls are limited.

A control's value may be limited by the current


settings of other controls. To change the value of
the current control, change the value of the
flashing controls. (See page 5-6 for an
explanation of Control Limiting.)

Internal problem with


the ventilator.

Do a control test (see page 11-6 for instructions).


If the control does not operate, immediately
contact a certified CareFusion service technician.

Hard unlock method


selected under CTRL
UNLOCK.

Two unlock methods are available on the LTV


ventilator: (See pages 5-7 and 10-15 for an
explanation of CTRL UNLOCK.)
To unlock in EASY mode, push the Control
Lock button. To unlock in HARD mode, push
and hold the Control Lock button for 3 seconds.

A control doesn't
operate.
Set Value knob
doesn't operate.

Cant unlock the


controls.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-3

Symptoms

Possible Causes

What to Do

Volume Pressure
mode button does not
operate, both LEDs
are off.

Wrong model selected


in maintenance mode.

Immediately contact a certified CareFusion


service technician.

Pres. Control button


does not operate,
associated display is
off.

Wrong model selected


in maintenance mode.

Immediately contact a certified CareFusion


service technician.

O2 % (O2 Flush)
button does not
operate, associated
display is off
(LTV 1200 only).

Wrong model selected


in maintenance mode.

Immediately contact a certified CareFusion


service technician.

Low Pressure O2
Source button
associated LED does
not operate.

Wrong model selected


in maintenance mode.

Immediately contact a certified CareFusion


service technician.

LMV OFF is
displayed.

Low Minute Volume


alarm is turned off.

This is an informational message only (see


Chapter 9 - LMV OFF for an explanation of this
feature).

LMV LPPS OFF is


displayed.

Low Minute Volume


alarm is turned off and
the LPP ALARM has
been set to VC/PC
ONLY.

This is an informational message only (see


Chapter 9 - LMV LPPS OFF for an explanation of
this feature).

LPPS OFF is
displayed.

LPP ALARM has been


set to VC/PC ONLY.

This is an informational message only (see


Chapter 9 - LPPS OFF for an explanation of this
feature).

f PEEP OFF is
displayed.

The High Breath Rate


and High PEEP alarms
are turned off.

This is an informational message only (see


Chapter 9 f PEEP OFF for an explanation of this feature).

HI PEEP OFF is
displayed.

The High PEEP alarm


is turned off.

This is an informational message only (see


Chapter 9 - HI PEEP OFF for an explanation of
this feature).

HIGH f OFF is
displayed.

The High Breath Rate


alarm is turned off.

This is an informational message only (see


Chapter 9 - HIGH f OFF for an explanation of this
feature).

HI f/Vt OFF is
displayed.

The SBT High f/Vt


alarm is turned off
during the SBT mode of
ventilation.

This is an informational message only (see


Chapter 9 - HI f/Vt OFF for an explanation of this
feature).

LO f/Vt OFF is
displayed.

The SBT Low f/Vt alarm


is turned off during the
SBT mode of
ventilation.

This is an informational message only (see


Chapter 9 - LO f/Vt OFF for an explanation of this
feature).

Page 15-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

LO PEEP OFF is
displayed.

The Low PEEP alarm is


turned off.

This is an informational message only (see


Chapter 9 - LO PEEP OFF for an explanation of
this feature).

SBT f OFF is
displayed.

The SBT High Breath


Rate and SBT Low
Breath Rate alarms are
turned off during the
SBT mode of
ventilation.

This is an informational message only (see


Chapter 9 - SBT f OFF for an explanation of this
feature).

SBT f/Vt OFF is


displayed.

The SBT High f/Vt and


SBT Low f/Vt alarms
are turned off during
the SBT mode of
ventilation.

This is an informational message only (see


Chapter 9 - SBT f/Vt OFF for an explanation of
this feature).

SBT HI f OFF is
displayed.

The SBT High Breath


Rate alarm is turned off
during the SBT mode of
ventilation.

This is an informational message only (see


Chapter 9 - SBT HI f OFF for an explanation of
this feature).

SBT LO f OFF is
displayed.

The SBT Low Breath


Rate alarm is turned off
during the SBT mode of
ventilation.

This is an informational message only (see


Chapter 9 - SBT LO f OFF for an explanation of
this feature).

SBT TIME is
displayed.

The SBT mode of


ventilation will end in
two (2) minutes.

This is an informational message only (see


Chapter 9 - SBT TIME for an explanation of this
feature).

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-5

Ventilator Performance
Symptoms

Possible Causes

What to Do

Ventilator is
autocycling,
monitored volumes
are very small, RT
XDCR DATA item
FTx shows negative
flows during
exhalation and
positive flows during
inspiration.

Sense lines are


reversed.

The sense lines are not designed to be removed


from either the wye or the luer fittings. If the
sense lines have been removed and replaced
incorrectly, they may not seal correctly when
replaced. Replace the patient wye and sense
lines with a known good assembly.

Ventilator wont allow


patient to exhale.

Diaphragm installed
backwards or
incorrectly seated in
exhalation valve.

Open the exhalation valve and remove the


diaphragm. Reseat the diaphragm and snap the
valve cap back in place. See page 13-10 for a
diagram of correct exhalation valve assembly.

Sense lines occluded or


pinched.

Check high and low pressure sense lines to be


sure they are correctly attached and securely
seated at both the ventilator and wye ends.
Verify lines are not occluded or pinched.

Internal problem with


the ventilator.

Immediately contact a certified CareFusion


service technician.

Set pressure not


reached and turbine
is humming.
Turbine sounds like
inspiration even
during exhalation.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

Monitored volume is
high.
Delivered volume is
high.

Very small ET tube


connected directly to
wye.

A very small ET tube connected directly to the


wye may cause turbulence that causes the flow
differential to be read incorrectly. To reduce this
turbulence, add a short larger bore extension
between the ET tube and wye. In this case, the
monitored volume is high, but the delivered
volume is accurate.

Page 15-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

continued
Monitored volume is
high.
Delivered volume is
high.

Low side sense line or


elbow at patient wye
loose or leaking.
High or low sense lines
are occluded.
High or low sense ports
in the wye are
occluded.

Check high and low pressure sense lines to be


sure they are correctly attached and securely
seated at both the ventilator and wye ends.
Check the luer fitting connections for leaks.
Check the elbow connectors at the wye to be
sure they have not loosened or been broken
loose.
Verify lines are not occluded or pinched.

Sense lines are


reversed.

The sense lines are not designed to be removed


from either the wye or the luer fittings. If the
sense lines have been removed and replaced
incorrectly, they may not seal correctly when
replaced. Replace the patient wye and sense
lines with a known good assembly.

Failed autozero.

Perform an autozero under XDCR ZERO. See


page 10-30 for more information.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

Delivered volume is
twice the set
volume.

VHome setting does


not match flow valve.

Immediately contact a certified CareFusion


service technician.

Monitored volume is
low.
Delivered volume is
low.

Circuit leak.

Do a leak test and reseat or replace the leaking


parts or connections. See page 11-8 for
instructions.

High or low side sense


line or elbow at patient
wye loose or leaking.
High or low sense lines
are occluded.
High or low sense ports
in the wye are
occluded.

Check high and low pressure sense lines to be


sure they are correctly attached and securely
seated at both the ventilator and wye ends.
Check the luer fitting connections for leaks.
Check the elbow connectors at the wye to be
sure they have not loosened or been broken
loose.
Verify lines are not occluded or pinched.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-7

Symptoms

Possible Causes

What to Do

continued
Monitored volume is
low.
Delivered volume is
low.

Exhalation drive line


leaking or loose.
Exhalation valve
leaking during
inspiration.

Check the exhalation drive line at both the


ventilator and exhalation valve ends. Verify the
line is securely seated and not leaking.
Verify the exhalation valve is not leaking during
inspiration. If it is leaking, open the exhalation
valve and remove the diaphragm. Reseat the
diaphragm. See page 13-10 for a diagram of
correct exhalation valve assembly.
If necessary, replace the exhalation diaphragm,
or exhalation valve with a new one.

Sense lines are


reversed.

The sense lines are not designed to be removed


from either the wye or the luer fittings. If the
sense lines have been removed and replaced
incorrectly, they may not seal correctly when
replaced. Replace the patient wye and sense
lines with a known good assembly.

Leak Compensation is
not on.

Verify that the Leak Compensation extended


features option is set to On (default setting is on).
See page 10-12 for instructions.

Failed autozero.

Perform an autozero under XDCR ZERO. See


page 10-30 for more information.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

Delivered volume is
half the set volume.

VHome setting does


not match flow valve.

Immediately contact a certified CareFusion


service technician.

Delivered pressure is
low, PEEP is low,
ventilator is
autocycling.
Delivered pressure is
low.
Monitored pressure is
low.

Circuit leak.

Run a leak test and reseat or replace the leaking


parts or connections. See page 11-8 for
instructions.

Page 15-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

Continued
Delivered pressure is
low, PEEP is low,
ventilator is
autocycling.
Delivered pressure is
low.
Monitored pressure is
low.

High or low side sense


line or elbow at patient
wye loose or leaking.
High or low sense lines
are occluded.
High or low sense ports
in the wye are
occluded.

Check high and low pressure sense lines to be


sure they are correctly attached and securely
seated at both the ventilator and wye ends.
Check the luer fitting connections for leaks.
Check the elbow connectors at the wye to be
sure they have not loosened or been broken
loose.
Verify lines are not occluded or pinched.
Check the exhalation drive line at both the
ventilator and exhalation valve ends. Verify the
line is securely seated and not leaking.

Exhalation drive line


leaking or loose.
Exhalation valve
leaking during
inspiration.

Check the exhalation drive line at both the


ventilator and exhalation valve ends. Verify the
line is securely seated and not leaking.
Verify the exhalation valve is not leaking during
inspiration. If it is leaking, open the exhalation
valve and remove the diaphragm. Reseat the
diaphragm. See page 13-10 for a diagram of
correct exhalation valve assembly.
If necessary, replace the exhalation diaphragm,
or exhalation valve with a new one.

Sense lines are


reversed.

The sense lines are not designed to be removed


from either the wye or the luer fittings. If the
sense lines have been removed and replaced
incorrectly, they may not seal correctly when
replaced. Replace the patient wye and sense
lines with a known good assembly.

Leak Compensation is
not on.

Verify that the Leak Compensation extended


features option is set to On (default setting is on).
See page 10-12 for instructions.

Failed autozero.

Perform an autozero under XDCR ZERO. See


page 10-30 for more information.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-9

Symptoms

Possible Causes

What to Do

Delivered pressure is
high.
Monitored pressure is
high.

Diaphragm is
incorrectly seated in
exhalation valve.

Open the exhalation valve and remove the


diaphragm. Reseat the diaphragm and snap the
exhalation valve in place. See page 13-10 for a
diagram of correct exhalation valve assembly.

High or low side sense


line or elbow at patient
wye loose or leaking.
High or low sense lines
are occluded.
High or low sense ports
in the wye are
occluded.

Check high and low pressure sense lines to be


sure they are correctly attached and securely
seated at both the ventilator and wye ends.
Check the luer fitting connections for leaks.
Check the elbow connectors at the wye to be
sure they have not loosened or been broken
loose.
Verify lines are not occluded or pinched.
Check the exhalation drive line at both the
ventilator and exhalation valve ends. Verify the
line is securely seated and not leaking.

Failed autozero.

Perform an autozero under XDCR ZERO. See


page 10-30 for more information.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

Delivered pressure
increases towards
end of inspiration.

VHome setting does


not match flow valve.

Immediately contact a certified CareFusion


service technician.

Delivered flow is high.


Delivered flow is low.

Disconnected
Exhalation Drive Line.
Leaks in the Patient
Circuit.

Verify lines are not occluded or pinched.


Check the exhalation drive line at both the
ventilator and exhalation valve ends. Verify the
line is securely seated and not leaking.

Failed autozero.

Perform an autozero under XDCR ZERO. See


page 10-30 for more information.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

VHome setting does


not match flow valve.

Immediately contact a certified CareFusion


service technician.

Bias flow is 20 lpm or


5 lpm instead of 10
lpm.

Page 15-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

Sensitivity does not


appear to be
accurate.
Ventilator is
autocycling.

Circuit leak.

Run a leak test and reseat or replace the leaking


parts or connections. See page 11-8 for
instructions.

Sense lines are


reversed.

The sense lines are not designed to be removed


from either the wye or the luer fittings. If the
sense lines have been removed and replaced
incorrectly, they may not seal correctly when
replaced. Replace the patient wye and sense
lines with a known good assembly.

High or low side sense


line or elbow at patient
wye loose or leaking.
High or low sense lines
are occluded.
High or low sense ports
in the wye are
occluded.

Check high and low pressure sense lines to be


sure they are correctly attached and securely
seated at both the ventilator and wye ends.
Check the luer fitting connections for leaks.
Check the elbow connectors at the wye to be
sure they have not loosened or been broken
loose.
Verify lines are not occluded or pinched.
Check the exhalation drive line at both the
ventilator and exhalation valve ends. Verify the
line is securely seated and not leaking.

Pressure Control or
Pressure Support set
below PEEP.

Verify the control values are appropriately set.

Failed autozero.

Perform an autozero under XDCR ZERO. See


page 10-30 for more information.

Leak Compensation is
not on.

Verify that the Leak Compensation extended


features option is set to On (default setting is on).
See page 10-12 for instructions.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

O2 inlet pressure too


high when Low O2
Source selected.
O2 inlet flow too high
when Low O2 Source
selected.

Verify the low pressure O2 inlet has been


correctly calculated and set using the Input O2
Flow Chart (see page 6-15).
CareFusion recommends the use of an O2
monitor to verify delivered O2%. Adjust the
entrained O2 flow so the monitored value shows
the desired FIO2. (See pages 6-13 and 6-18 for
information on using the Low O2 Source and
O2% features.)

O2% is high.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-11

Symptoms

Possible Causes

What to Do

Continued
O2% is high.

Low Pressure O2
Source incorrectly
selected.

Verify that the Low Pressure O2 Source is on


when using a low flow, low pressure source and
off when using a high pressure source (LTV
1200 only). (See pages 6-13 and 6-18 for
information on using the Low Pressure O2
Source and O2% features.)

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

VHome setting does


not match flow valve.

Immediately contact a certified CareFusion


service technician.

O2 inlet flow too low


when Low Pressure O2
Source selected.

Verify the low pressure O2 inlet has been


correctly calculated and set using the Input O2
Flow Chart (see page 6-15).
CareFusion recommends the use of an O2
monitor to verify delivered O2%. Adjust the
entrained O2 flow so the monitored value shows
the desired FIO2. (See pages 6-13 and 6-18 for
information on using the Low Pressure O2
Source and O2% features.)

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

VHome setting does


not match flow valve.

Immediately contact a certified CareFusion


service technician.

Circuit leak.

Run a leak test and reseat or replace the leaking


parts or connections. See page 11-8 for
instructions.

Diaphragm incorrectly
seated in exhalation
valve.
Diaphragm installed
backwards.

Open the exhalation valve and remove the


diaphragm. Reseat the diaphragm and snap the
exhalation valve in place. See page 13-10 for a
diagram of correct exhalation valve assembly.

O2% is low.

PEEP not working.


PEEP low.
PEEP sags during
exhalation.

Page 15-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

Continued
PEEP not working.
PEEP low.
PEEP sags during
exhalation.

High side sense line or


elbow at patient wye
loose or leaking.

Check high and low pressure sense lines to be


sure they are correctly attached and securely
seated at both the ventilator and wye ends.
Check the luer fitting connections for leaks.
Check the elbow connectors at the wye to be
sure they have not loosened or been broken
loose.
Verify lines are not occluded or pinched.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

Patient effort
inadequate.

Some very small patients and patients with very


weak inspiratory efforts may not be able to
generate a 1 Lpm effort.

Failed autozero.

Perform an autozero under XDCR ZERO. See


page 10-30 for more information.

Leak Compensation is
not on.

Verify that the Leak Compensation extended


features option is set to On (default setting is on).
See page 10-12 for instructions.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

High or low sense lines


are occluded.
High or low sense ports
in the wye are
occluded.

Verify lines are not occluded or pinched and/or


clear the lines with a low flow (less than 10 lpm)
gas source.

Defective purge
solenoids.

Immediately contact a certified CareFusion


service technician.

Ventilator is on, gas is


not delivered and
turbine is running.

Failed calibration or
internal problem with
the ventilator.

Immediately contact a certified CareFusion


service technician.

Ventilator makes a
high pitched noise
when in Standby.

Battery charge circuit


running.

When the battery charge circuit is running in bulk


charge (the Charge Status LED is amber) the
ventilator may emit a high pitched sound that
some people can hear. This is normal.

Ventilator won't
trigger at sensitivity
setting of 1 Lpm.

Condensation in
sense lines.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-13

Symptoms

Possible Causes

What to Do

Ventilator gets
excessively hot.

Patient circuit leaks.


ventilator must run
harder to maintain
PEEP.

Perform a Leak Test and reseat or replace the


leaking parts or connections. See page 11-8 for
instructions.

Internal problem with


the ventilator.

Immediately contact a certified CareFusion


service technician.

Communications
setting is not set to
MONITOR mode.

Set communications setting to MONITOR mode.


See page 10-16 for instructions.

Ventilator requires
upgrades to be
compatible with LTM
Graphics Monitor.

Check LTM compatibility in the Model Number


menu. See page 10-19 for instructions.
If the ventilator is not LTM compatible, it will
require upgrading by a certified CareFusion
service technician to accommodate the LTM
Graphics Monitor.

Defective connections
between the LTM
Graphics Monitor and
the ventilator.

Check the Communications Data Cable


connection between the ventilators
communications port and the LTM Graphics
Monitors Data Port. See the LTM Graphics
Monitor Operators Manual, P/N 17754-001, for
detailed instructions.

Ventilator does not


work with LTM
Graphics Monitor.

Page 15-14

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Power and Battery Operation


Problem

Possible Causes

What To Do

The ventilator does


not power up.

Faulty power
connection, AC power
source or adapter and
depleted internal
battery.

Verify the power cord for the AC adapter is fully


seated. Connect the ventilator to a verified
source of AC power. Allow the internal battery to
charge a minimum of 8 hours.

Internal problem with


the ventilator.

Immediately contact a certified CareFusion


service technician.

Vent in Standby.

After the vent has been turned off and the


external power is reconnected, the Vent Inop
LED is lit. This is normal. Push the On/Standby
button to turn ventilator on.

Ventilator was running


on internal battery and
battery became
depleted.

Connect the ventilator to a good external power


source.

Vent Inop.

Power up the vent and check the EVENT


TRACE for events indicating the reason for inop.
See page E-1 for information on reading the
event trace.

Internal problem with


the ventilator.

Immediately contact a certified CareFusion


service technician.

Defective AC source.
AC adapter power cord
loose.

Make sure the AC adapter is securely plugged


into a verified source of AC power and is
securely connected to the ventilator. Verify the
power cord for the adapter is fully seated.

Defective AC adapter.

Replace the AC adapter.

Internal problem with


the ventilator.

Immediately contact a certified CareFusion


service technician.

Internal battery
depleted.

If the internal battery is depleted, charge the


internal battery for 8 hours by connecting the
external AC adapter and plugging it into a good
AC source.

Internal problem with


the ventilator.

Immediately contact a certified CareFusion


service technician.

Vent Inop LED is on


and ventilator is not
ventilating.

The ventilator doesnt


operate from external
power.

The ventilator does


not operate from
internal battery.
The ventilator shuts
off when external
power is removed.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-15

Problem

Possible Causes

What To Do

Battery doesnt reach


full charge.
Battery depletes too
quickly.

Internal battery deeply


discharged.

Charge the internal battery for 24 hours by


connecting the external AC adapter and plugging
it into a good AC source. If the battery is deeply
discharged, it may take several cycles of
charging and discharging for the battery to reach
a maximum charge.

Defective internal
battery or internal
problem with the
ventilator.

Immediately contact a certified CareFusion


service technician.

Internal battery
charging.

The Charge Status LED flashes amber while the


battery charging circuit evaluates the battery as a
part of the charge cycle. If the battery is found to
be OK, the Charge Status LED will change to
solid amber while the battery is charging. The
internal battery charges any time the ventilator is
connected to an external power source. If the
battery is deeply discharged, the Charge Status
LED may flash amber for up to an hour.

Defective internal
battery or internal
problem with the
ventilator.

Immediately contact a certified CareFusion


service technician.

Battery Charge
Status LED is
flashing red.

Defective internal
battery or internal
problem with the
ventilator.

Immediately contact a certified CareFusion


service technician.

Battery Charge
Status LED is solid
red.

Defective internal
battery or internal
problem with the
ventilator.

Immediately contact a certified CareFusion


service technician.

Battery Charge
Status LED is
flashing amber.

Page 15-16

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Alarms
Many alarms such as HIGH PRES or LOW O2 PRES can occur during normal operation. Information
on addressing alarms is covered in Chapter 9 Ventilator Alarms. Single occurrences of some
alarms, such as HW FAULT or RESET may be caused by ESD. If these alarms reoccur, and for other
alarms that do not usually occur during normal operation, follow the instructions in this section or
immediately contact CareFusion.

Multiple Alarm Priorities


When multiple active alarms occur at the same time, the alarm with the highest priority level will be
displayed. When a highest priority active alarm is reset, any remaining active alarms will be displayed
in order of priority one by one as each alarm is reset.
When multiple alarms occur:

A flashing alarm message appears in the display window showing the highest priority active
alarm.

An audible alarm will sound.

Any associated control displays will flash.

Depending on the alarm, other actions may be taken, such as terminating an inspiration or
opening the exhalation valve.

When an alarm is reset and other alarms have occurred at the same time, the active alarms will occur
in order of priority level until each alarm is individually reset.
Active alarms take priority over inactive alarms.
Priority levels
Alarm condition priority levels are categorized in one or more of the following levels: High Priority,
Medium Priority, or Low Priority.
Alarms (in order of priority):
Alarm Name Displayed

Alarm

Priority Level

1. INOP

Inoperable (ventilator shutdown)

High

2. REMOVE PTNT

Remove Patient

High

3. APNEA

Apnea

High

4. DISC/SENSE

Disconnect

High

5. BAT EMPTY

Internal Battery Empty

High

6. BAT LOW

Internal Battery Low

High

7. POWER LOST

External Power Lost

High

8. POWER LOW

External Power Low

High

63

63
If an INOP alarm condition occurs the ventilator will shut down and the Vent Inop LED on the front panel will
be illuminated red and the audible alarm will sound continuously. See Chapter 9 Ventilator Alarms for more
information on the INOP alarm.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-17

Alarm Name Displayed

Alarm

Priority Level

9. LOW O2 PRES
(LTV 1200 only)

O2 Pressure Low

High

10. HIGH O2 PRES


(LTV 1200 only)

O2 Pressure High

High

11. DEFAULTS

Defaults

High

12. NO CAL DATA

No Calibration Data

High

13. HW FAULT

Hardware Fault

High

14. RESET or RESET 1

Reset

High

15. HIGH PRES

High Pressure

High

16. LOW MIN VOL

Low Minute Volume

Medium

17. LOW PRES

Low Peak Pressure

Medium

18. XDCR FAULT

Transducer Fault

Medium

19. DEFAULTS SET

Defaults Set

Medium

20. HIGH PEEP

High PEEP

Medium

21. HIGH f

High Rate

Low

22. SBT > f

SBT High f

Low

23. SBT < f

SBT Low f

Low

24. SBT > f/Vt

SBT High f/Vt

Low

25. SBT < f/Vt

SBT Low f/Vt

Low

26. SBT OFF

SBT Off

Low

27. LOW PEEP

Low PEEP

Low

Page 15-18

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

HIGH PRES occurred


but alarm did not
sound.

Alarm silence was already


active (Silence Reset LED
is red).

The ventilator alarms can be silenced for


60 seconds by pushing the Silence Reset
button. If the alarm is already silenced
(Silence Reset LED is red), it will not
sound again until the silence period
expires.

High pressure alarm delay


is on - HP DELAY is set to
DELAY 1 BRTH or DELAY
2 BRTH.

When a high pressure condition is


detected, the HIGH PRES message is
displayed and the High Pres. Limit control
is flashed. If the HP DELAY option is set to
NO DELAY, the audible alarm is sounded
immediately.
When the HP DELAY option is set to
DELAY 1 BRTH or DELAY 2 BRTH, the
audible is not sounded until the second or
third consecutive breath with a high
pressure condition. (See page 10-4 for an
explanation of HP DELAY.)

Alarm automatically
silenced after 3 seconds
because condition cleared.

When an alarm occurs, the audible alarms


sound for a minimum of 3 seconds or for
as long as the condition exists. Some
alarms, such as HIGH PRES may clear
almost immediately and the alarm will
sound for only 3 seconds.

Alarm doesnt sound.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Ventilator wont
exhale, repeated HIGH
PRES alarms, turbine
stops and pressure
drops, then autocycles
up to HIGH PRES
again.

Diaphragm installed
backwards or incorrectly
seated in exhalation valve.

Open the exhalation valve and remove the


diaphragm. Reseat the diaphragm and
snap the exhalation valve in place. See
page 13-10 for a diagram of correct
exhalation valve assembly.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-19

Symptoms

Possible Causes

What to Do

continued
Ventilator wont
exhale, repeated
HIGH PRES alarms,
turbine stops and
pressure drops, then
autocycles up to
HIGH PRES again.

Exhalation Drive line


occluded or pinched.

Check the exhalation drive line to be sure it


is correctly attached and secured at both
the ventilator and exhalation valve ends.
Verify the line is not occluded or pinched.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Repeated
DISC/SENSE alarms.

High or low side sense lines


disconnected from vent or
wye.
High or low side sense line
or elbow at patient wye
loose or leaking.
High or low sense lines are
occluded.
High or low sense ports in
the wye are occluded.

Check high and low pressure sense lines


to be sure they are correctly attached and
securely seated at both the ventilator and
wye ends.
Check the luer fitting connections for leaks.
Check the elbow connectors at the wye to
be sure they have not loosened or been
broken loose.
Verify lines are not occluded or pinched.
Check the exhalation drive line at both the
ventilator and exhalation valve ends. Verify
the line is securely seated and not leaking.

Patient circuit disconnected


at patient, ventilator or
circuit component.

Check the circuit and exhalation valve to


verify the circuit is securely connected and
the valve is intact. Open the exhalation
valve and remove the diaphragm. Reseat
the diaphragm and snap the valve cap
back in place. See page 13-10 for a
diagram of correct exhalation valve
assembly.

Page 15-20

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

continued
Repeated
DISC/SENSE alarms.

Exhalation drive line leaking


or loose.
Exhalation valve leaking
during inspiration.

Check the exhalation drive line at both


the ventilator and exhalation valve ends.
Verify the line is securely seated and not
leaking.
Verify the exhalation valve is not leaking
during inspiration. If it is leaking, open
the exhalation valve and remove the
diaphragm. Reseat the diaphragm. See
page 13-10 for a diagram of correct
exhalation valve assembly.
If necessary, replace the exhalation
diaphragm, or exhalation valve with a
new one.

Internal problem with the


ventilator.

Immediately contact a certified


CareFusion service technician.

Repeated XDCR
FAULT alarms.

Internal problem with the


ventilator.

Immediately contact a certified


CareFusion service technician.

HW FAULT alarm

Electro static discharge


(ESD).

Clear the alarm. Reduce static causing


conditions in the operating environment.

Fan was bumped or


temporarily stopped while
cleaning fan filter.

Clear the alarm. No further action


required if alarm does not reoccur.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact


a certified CareFusion service
technician.

RESET alarm occurs


after ventilator is
operated on internal
battery until it is fully
depleted.

Internal battery depleted.

This is a normal. Clear the alarm and


charge the internal battery (see page 1411 for instructions on charging the
internal battery).

RESET, CRC,
STACK, POST, or
RUNAWAY alarms

Electro static discharge


(ESD).

Clear the alarm. Reduce static causing


conditions in the operating environment.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact


a certified CareFusion service
technician.

Failed or missing calibration


records.

Immediately contact a certified


CareFusion service technician.

NO CAL DATA alarm.


NO CAL displayed in
place of monitored
values.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-21

Symptoms

Possible Causes

What to Do

DEFAULTS alarm.
Event Log shows
DEFAULTS.

Electro static discharge


(ESD).

Some or all control settings were found


to be invalid or out of range on power up
and were restored to the default settings.
Clear the alarm. Reduce static causing
conditions in the operating environment.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact


a certified CareFusion service
technician.

Total Breath Rate (f) exceeds


the set HIGH f alarm values.

Check HIGH f alarm values. See page


10-5 for instructions.

Patient Circuit leak, causing


autocycling.

Do a Leak test and reseat or replace the


leaking parts or connections. See page
11-8 for instructions.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact


a certified CareFusion service
technician.

Monitored PEEP exceeds the


set HIGH PEEP alarm value.
Patient circuit and/or
Exhalation valve occluded.

Check HIGH PEEP alarm value. See


page 10-5 for instructions.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact


a certified CareFusion service
technician.
Check the Remote Alarm cable
connection between the ventilators
Patient Assist Port and the Remote
Alarm System. See page C-16 for
instructions.
Replace Remote Alarm cable. See page
C-16 for instructions.
Contact Remote Alarm System
manufacturer or service personnel.
Immediately contact a certified
CareFusion service technician.
Set PNT ASSIST option to NORMAL.
See page 10-6 for instructions.
Contact Remote Alarm System
manufacturer or service personnel.
Immediately contact a certified
CareFusion service technician.

Repeated HIGH f
alarms.

Repeated HIGH PEEP


alarms.

Remote Alarm
System does not work
with the ventilator.

Remote Alarm
System (single tone
system) generates a
pulsating tone and
manufacturers
instructions indicate it
should be a
continuous tone.

Page 15-22

Defective or improper
connections.

Defective Remote Alarm


cable.
Defective Remote Alarm
System.
Internal problem with the
ventilator.
PNT ASSIST option set to
PULSE.
Defective Remote Alarm
System.
Internal problem with the
ventilator.

Disassemble, clean and reassemble the


Patient Circuit and Exhalation Valve. See
page 13-10 for a diagram of correct
exhalation valve assembly.

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

Remote Alarm System


(dual tone system)
only generates one
continuous tone.

PNT ASSIST option set to


NORMAL.
Defective Remote Alarm
System.
Internal problem with the
ventilator.
Incorrect Patient Assist
cable installed (Normally
Open versus Normally
Closed system/cable
mismatch)

Set PNT ASSIST option to PULSE. See


page 10-6 for instructions.
Contact Remote Alarm System
manufacturer or service personnel.
Immediately contact a certified CareFusion
service technician.
Establish whether the Patient Assist Call
System is a Normally Open or Normally
Closed system and verify the appropriate
Patient Assist Cable (Normally Open or
Normally Closed) is installed. See page C14 for instructions.
Check the Patient Assist Cable connection
between the ventilators Patient Assist Port
and the Patient Assist Call System. See
page C-14 for instructions.
Replace Patient Assist Cable.

Patient Assist Call


System does not work
with the ventilator.

Defective or improper
connections.

Patient Assist Call


System generates a
pulsating tone or light
and manufacturers
instructions indicate it
should be a
continuous tone or
light.
Repeated SBT > f
alarms.

Repeated SBT < f


alarms.

Repeated SBT > f/Vt


alarms.

Operators Manual
P/N 19802-001 Rev. F

Defective Patient Assist


cable.
Defective Patient Assist
Call System.
Internal problem with the
ventilator.
PNT ASSIST option set to
PULSE.
Defective Patient Assist
Call System.
Internal problem with the
ventilator.

Contact Patient Assist Call System


manufacturer or service personnel.
Immediately contact a certified CareFusion
service technician.
Set PNT ASSIST option to NORMAL. See
page 10-6 for instructions.
Contact Patient Assist Call System
manufacturer or service personnel.
Immediately contact a certified CareFusion
service technician.

Total Breath Rate (f)


exceeds the set SBT > f
alarm value.

Check SBT > f alarm value. See page 1028 for instructions.

Patient Circuit leak, causing


autocycling.

Do a Leak test and reseat or replace the


leaking parts or connections. See page
11-8 for instructions.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact a


certified CareFusion service technician.

Total Breath Rate (f) is less


than the set SBT < f alarm
value.

Check SBT < f alarm value. See page 1028 for instructions.

Patient Circuit leak.

Do a Leak test and reseat or replace the


leaking parts or connections. See page
11-8 for instructions.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact a


certified CareFusion service technician.

Total Breath Rate (f)


exceeds the set SBT > f/Vt
alarm value.

Check SBT > f/Vt alarm value. See page


10-28 for instructions.

LTV 1200 / 1150 Ventilators

Page 15-23

Symptoms

Repeated SBT < f/Vt


alarms.

Possible Causes

What to Do

Patient Circuit leak.

Do a Leak test and reseat or replace the


leaking parts or connections. See page
11-8 for instructions.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact a


certified CareFusion service technician.

Total Breath Rate (f) is less


than the set SBT < f/Vt
alarm value.

Check SBT < f/Vt alarm value. See page


10-28 for instructions.

Patient Circuit leak.

Do a Leak test and reseat or replace the


leaking parts or connections. See page
11-8 for instructions.

Internal problem with the


ventilator.

If problem reoccurs, immediately contact a


certified CareFusion service technician.

Checkout Test Failures


Symptoms

Possible Causes

What to Do

Alarm Test
Audible alarm level
excessive.

Alarm volume set too high.

Set the alarm volume under the Extended


Features Menu. (See page 10-3 for an
explanation of the ALARM VOL feature.)

Alarm Test
Audible alarm too soft.

Alarm volume set too low.

Set the alarm volume under the Extended


Features Menu. (See page 10-3 for an
explanation of the ALARM VOL feature.)

Alarm sounder blocked.

Check the alarm sounder opening in the


right side of the ventilator to verify the
opening is not blocked.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Alarm sounder blocked.

Check the alarm sounder opening in the


right side of the ventilator to verify the
opening is not blocked.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Audible alarm did not sound


long enough before test
was terminated.

Repeat the Alarm Test and allow audible


alarm to sound for at least 2 seconds
before pushing the Select button. (See
Alarm Test in Chapter 11 for instructions.)

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Alarm Test
Alarm does not sound.

Alarm Test
Confirming audible
chirp does not sound.

Display Test
A display or LED fails
to light.
Page 15-24

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Symptoms

Possible Causes

What to Do

Control Test
Correct message is
not displayed when
Set Value knob is
turned, or incorrect
message is displayed.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Control Test
Volume Pressure
Mode button, Pres.
Control button, O2 %
(O2 Flush) button
(LTV 1200 only), or
Low Pressure O2
Source (LTV 1200
only) button do not
display message when
pushed.

Wrong model selected in


maintenance mode.

Immediately contact a certified CareFusion


service technician.

Leak Test
Leak test fails

Circuit connections or
accessories are leaking.
Wye is not properly capped.

Reseat or replace the leaking circuit parts,


accessories or connections. Verify the wye
is securely capped.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Leak Test
Leak test fails with
LEAK --- FAIL
message.

Internal problem with the


turbine.

Immediately contact a certified CareFusion


service technician.

Vent Inop Alarm Test


Audible alarm too soft.

Alarm sounder blocked.

Check the alarm sounder opening in the


right side of the ventilator to verify the
opening is not blocked.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Alarm sounder blocked.

Check the alarm sounder opening in the


right side of the ventilator to verify the
opening is not blocked.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Vent Inop Alarm Test


The Vent Inop LED is
not illuminated.

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Vent Inop Alarm Test


Confirming audible
chirp does not sound.

Audible alarm did not sound


long enough before test
was terminated.

Repeat the Vent Inop Alarm Test and allow


audible alarm to sound for at least 15
seconds before pushing the Silence Reset
button. (See Chapter 11 - Vent Inop Alarm
Test for instructions.)

Internal problem with the


ventilator.

Immediately contact a certified CareFusion


service technician.

Vent Inop Alarm Test


Alarm does not sound.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 15-25

Test Lung Operations


Symptoms

Possible Causes

What to Do

Delivered pressure
higher than set
pressure on test lung.

Pressure> 40 cmH2O used


on small test lung
(CareFusion or Siemens
190.)

The compliance characteristics of some


small test lungs (CareFusion or Siemens
190) cause incorrect readings when high
pressures are used. For these lungs, use
pressures under 40 cmH2O or change to a
larger lung.

Monitored volumes
very high on test lung.

Test lung with small


aperture connected directly
to wye.

Some test lungs have a narrow opening or


a restrictor, which may cause jetting and
cause the flow differential to be read
incorrectly. To reduce the jetting effect,
add a short extension between the test
lung and the wye.

Very small ET tube


connected directly to wye.

A very small ET tube connected directly to


the wye may cause jetting and cause the
flow differential to be read incorrectly. To
reduce the jetting effect, add a short larger
bore extension between the ET tube and
the wye.

Page 15-26

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Chapter 16 - MR CONDITIONAL SYSTEM


This chapter provides information about using the MR Conditional LTV 1200 System in the magnetic
resonance (MR) environment.

NOTE

The MR Conditional LTV 1200 ventilator (P/N 18888-2XX)64 is different than the LTV 1200
ventilator (P/N 18888-0XX)64. This chapter is intended for use with the MR Conditional LTV
1200 System only. Contact CareFusion with any questions prior to use.
To ensure that your use of the LTV 1200 MR Conditional System results in images that are free
of an unacceptable artifact, the LTV 1200 MR Conditional System should be tested prior to
initial clinical use (utilizing a suitable phantom) in each intended use MR environment utilizing
the ventilator power source (AC Adaptor or SprintPack Lithium-ion Power System) that will be
selected for use.

REMARQUE

Le ventilateur MR Conditional LTV 1200 (P/N 18888-2XX) est diffrent du ventilateur LTV
1200 (P/N 18888-0XX). Ce chapitre porte seulement sur le systme MR Conditional LTV 1200.
Contactez CareFusion pour toutes questions avant d'utiliser le produit.
Pour vous assurer que votre utilisation du systme MR Conditional LTV 1200 produise des
images exemptes d'artefacts inacceptables, le systme MR Conditional LTV 1200 doit tre
test avant sa premire utilisation sur un patient (en utilisant un fantme adapt) dans chaque
environnement de RM o il sera utilis avec la source d'alimentation slectionne pour le
ventilateur (adaptateur C.A. ou systme pile au lithium SprintPack).

MR Conditional System Components


The MR Conditional LTV 1200 System is comprised of the following:

MR Conditional LTV 1200 Ventilator (P/N 18888-2XX)64,

LTV MR Conditional Floor Stand (P/N 14982-001),

LTV 1200 MR Safe 15ft (4.57m) Patient Circuit (P/N 19189-001), and

LTV AC Adapter (P/N 17527-001)

MR Conditional LTV 1200 System Optional Components:

LTV SprintPack Lithium-ion Power System (P/N 19222-001) with MR Conditional Floor Stand
Bracket (P/N 19871-001)

Oxygen Hose (P/N 10699)

If an O2 supply is required, both the O2 tank and regulator must be MR Conditional (non-magnetic).

64

The last two characters of the ventilator part number, referenced as XX, designate the specific language
configuration of the unit and range from 01 12.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 16-1

MR Conditional System Conditions for Operation


The MR Conditional LTV 1200 System is suitable for use in both 1.5 and 3.0 Tesla (not to exceed
3.0 Tesla static magnetic field) shielded magnetic scanners when operated under the following
conditions:

The LTV 1200 MR Conditional System shall always be used as an assembled system, using all
of the components (MR Conditional LTV 1200 ventilator, MR Conditional Floor Stand, MR Safe
15ft Patient Circuit, and the AC adapter or SprintPack Lithium-ion Power System with the MR
Conditional Floor Stand Bracket).

Put the MR Conditional LTV 1200 System outside the 100 Gauss field line (at least 9ft / 2.74m
from the bore opening) and in a position where the operator can always see the LTV 1200.
Always lock the two (2) locking caster wheels on the ventilator floor stand when used in the MR
environment.

Use only MR Conditional, non-magnetic (e.g., aluminum) oxygen cylinders, and MR Conditional
oxygen regulators if O2 is required.

Follow all institutional guidelines, MR Conditional procedures and precautions, and the LTV
1200 Operators Manual when operating in the MR environment.

WARNING

Only the MR Conditional LTV 1200 System (which includes the MR Conditional LTV 1200
ventilator, MR Conditional Floor Stand, MR Safe 15ft Patient Circuit, and the AC adapter) may
be used in the MR environment. To avoid patient harm and/or equipment damage, do not
operate the MR Conditional LTV 1200 System in the MR environment if any system component
is missing or not installed.

Failure to follow all warnings, the LTV 1200 Operators Manual, and all MR Conditional
procedures and precautions when the MR Conditional LTV 1200 System is used may cause
patient and/or operator harm and damage to the ventilator may occur. Contact CareFusion with
any questions.

Remove the LTV Carrying Strap (if attached) located at the top of the ventilator before entering
the MR environment.

AVERTISSEMENT

Dans un milieu de RM, seul le systme MR Conditional LTV 1200 (qui inclut le ventilateur MR
Conditional LTV 1200, le support de plancher MR Conditional, le circuit de patient de 4,6 m (15
pi) MR Safe et l'adaptateur de c.a.) peut tre utilis dans le milieu de RM. Pour viter tout
danger pour le patient et/ou tout dommage l'quipement, ne faites pas fonctionner le systme
MR Conditional LTV 1200 dans un milieu de RM si tout composant du systme manque ou
n'est pas install.

Ne pas suivre tous les avertissements, le manuel de l'oprateur LTV 1200 et toutes les
prcautions et procdures conditionnelles de RM lorsque le systme MR Conditional LTV 1200
est utilis pourrait mener des problmes pour le patient et/ou pour l'oprateur et des
dommages au ventilateur. Contactez CareFusion pour toutes questions.

Retirez la sangle de transport LTV (si elle est installe) qui se trouve sur le dessus du
ventilateur avant d'entrer dans le milieu de RM.

Page 16-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Example of the MR Conditonal LTV 1200 System placed outside the 100 Gauss field line (at
least 9ft / 2.74m from the bore opening) (AC power cord not shown for clarity).

NOTE

The use of Pressure Control ventilation is recommended with the 15ft patient circuit. If Volume
Control ventilation is selected when using the 15ft patient circuit, compressible volume should be
compensated. The compressibility factor is 4 ml/cmH2O.
Always plug the AC adapter power cord into a properly working power receptacle (with ground
connection) when operating in the MR environment.

REMARQUE

L'utilisation d'une ventilation contrle de pression est recommande avec le circuit de patient
de 4,6 m (15 pi). Si la ventilation contrle de pression est choisie en utilisant le circuit de
patient de 4,6 m (15 pi), il faut compenser le volume compressible. Le facteur de compressibilit
est de 4 ml/cmH2O.
Branchez toujours le cordon d'adaptateur de c.a. dans une prise qui fonctionne correctement
(avec connexion de masse) lorsque vous tes dans le milieu de RM.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page 16-3

WARNING

Put the MR Conditional LTV 1200 System outside the 100 Gauss field line (at least 9ft / 2.74m
from the bore opening) and in a position where the operator can always see the LTV 1200.
Always lock the two (2) locking caster wheels on the ventilator floor stand when used in the MR
environment.

Use only MR Conditional non-magnetic (e.g., aluminum) oxygen cylinders, and MR Conditional
oxygen regulators.

AVERTISSEMENT

Placez le systme RM conditionnelle LTV 1200 l'extrieur de la ligne de force de 100


Gauss (au moins 2,74 m/9 pi de l'ouverture d'alsage) et dans une position o l'oprateur peut
toujours voir le LTV 1200. Verrouillez toujours les deux (2) roulettes verrouilables sur le support
de plancher du ventilateur en utilisant dans l'environnement de RM.

Utilisez seulement des rgulateurs d'oxygne et des bobonnes d'oxygne non-magntique


(comme en aluminium) RM conditionnelle.

Page 16-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Appendix A - VENTILATOR SPECIFICATIONS


Modes and Breath Types
Breath Types

Volume Control, Pressure Control, Pressure Support, Spontaneous

Modes

Control, Assist/Control, SIMV, CPAP, NPPV, Apnea Backup

Variable Controls
Control

Range

Tolerance

Backup Pressure Trigger

-3 cmH2O

2 cmH2O

Breath Rate

--, 1 to 80 bpm

1 bpm or 10% of breath period,


whichever is less

Date Format

mm/dd/yyyy, dd/mm/yyyy,
yyyy/mm/dd

n/a

Display Select

Toggles between manual or


automatic display scrolling
and changes monitor
displayed.

n/a

Inspiratory/Expiratory
Hold

One push toggles monitor


window display between
normal display, INSP HOLD
and EXP HOLD.
While INSP HOLD is
displayed, a push and hold
initiates an Inspiratory Hold.

6 seconds maximum

While EXP HOLD is


displayed, a push and hold
initiates an Expiratory Hold.

6 seconds maximum

Inspiratory Time

0.3 to 9.9 seconds

0.05 seconds

Leak Compensation

On, Off

n/a

Language

English, Dansk, Deutsch,


Espan ol, Francais,
Italiano, Norsk, Portugues,
Svenska,

n/a

O2 %
(LTV 1200 only)

21% to 100%

O2 % mean: 21% to 50%:

(O2 Flush)
(LTV 1200 only)

O2:

95%

Time:

1, 2, or 3 minutes

0.1 sec

Presets Query

On, Off

n/a

Leak Query

On, Off

n/a

PEEP/CPAP

0 to 20 cmH2O

Uncalibrated

Operators Manual
P/N 19802-001 Rev. F

51% to 95%: 5
keep steady-state only

LTV 1200 / 1150 Ventilators

Page A-1

Control

Range

Tolerance

PIP LED Display

On, Off

n/a

Pressure Control

1 to 99 cmH2O

2 cmH2O or 8% whichever is
greater, steady-state only

Pressure Control Flow


Termination

On, Off

n/a

Pressure Support

--, 1 to 60 cmH2O

2 cmH2O or 8% whichever is
greater, steady-state only.

Set Date

1/1/1998 to 12/31/2097

n/a

Set Time

00:00:00 to 23:59:59

n/a

Sensitivity

1 to 9 Lpm, -

+ 1/- 0.5 lpm for setting of 1; 1


lpm for all other settings.

Tidal Volume65

50 to 2000 ml

10% or 10 ml, whichever is


greater for temperatures from 20C
to 30C only, standard atmospheric
pressure

Variable Flow
Termination

10% to 40%

15% or 2 lpm whichever is greater

Variable Rise Time

1 to 9

0.1 to 1.0 sec

Variable Time
Termination

0.3 to 3.0 sec

0.1 sec

Bias Flow

10 lpm during exhalation66

10% or 1 lpm, whichever is


greater

SBT Start

On - Off

n/a

SBT PS

0-30 cmH2O

2 cmH2O or 8% whichever is
greater, steady-state only.

SBT PEEP

0-20 cmH2O

2 cmH2O or 10%, whichever is


greater

SBT FIO2
(LTV 1200 only)

21-100%

O2 % mean: 21% to 50%:

SBT Minutes

15-120 minutes

n/a

SBT high f/Vt

70-120

20%

SBT low f/Vt

5-90

20%

SBT High f

15-80 BPM

1 bpm or within 5%, whichever is


greater

SBT Low f

0-40 BPM

1 bpm or within 5%, whichever is


greater

Display f/Vt

On - Off

n/a

51% to 95%: 5
keep steady-state only

65

For ventilator operation above 6,500 feet sea level or barometric pressures less than 605 millimeters of Mercury absolute
(mmHg), see Tidal Volume in Chapter 6 Controls for altitude and barometric pressure compensation information.
66
0 lpm when O2 Conserve ON is selected or 10 lpm when O2 Conserve OFF is selected.

Page A-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Alarms
Variable Alarms
Control

Range

Tolerance

Apnea Interval

10 to 60 seconds

0.5 seconds

High Breath Rate

Rate: 5 - 80 bpm - HIGH f OFF

1 bpm or within 5% of breath


period, whichever is greater.

Time: 0 - 60 sec

0.1 seconds

High PEEP

3 to 20 cmH2O above set PEEP

2 cmH2O or 10%, whichever is


greater.

Low PEEP

-3 to - 20 cmH2O below set


PEEP

2 cmH2O or 10%, whichever is


greater.

High Pressure Limit

5 to 100 cmH2O

5 to 20 cmH2O:
21 to 100 cmH2O:

HP Alarm Delay

No Delay, 1 Breath, 2 Breaths

Only audible portion of alarm


notification is delayed.

Low Minute Volume

0.1 to 99 liters

15% or the measured total breath


rate times 15 ml, whichever is
greater.

Low Peak Pressure

- -, 1 to 60 cmH2O

2 to 20 cmH2O:
21 to 60 cmH2O:

LPP Alarm

All Breaths, VC/PC Only

Select breath types Low Pressure


alarm applies to.

SBT High f/Vt

Off, 70 900 f/Vt

2 cmH2O or 10%, whichever is


greater

SBT Low f/Vt

Off, 5 90 f/Vt

2%

SBT High f

Off, 15 80 bpm

1 bpm or within 5% of the breath


period, whichever is greater

SBT Low f

Off, 1 40 bpm

1 bpm or within 5% of the breath


period, whichever is greater

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

2 cmH2O
4 cmH2O

2 cmH2O
4 cmH2O

Page A-3

Fixed Alarms
Control

Range

Tolerance / Indicators

Default Settings

EEPROM problem detected

n/a

DISC/SENSE
(Low Pressure Sense
Line Disconnect)

Positive (exhaled) airway flow


during first 200 ms of
inspiration and exhaled tidal
volume (Vte) of previous
breath is more than 4000 ml

n/a

DISC/SENSE
(High Pressure Sense
Line Disconnect)

Airway pressure changes by <


1 cmH2O during 200 ms after
inspiratory start
OR
After initial 200 ms of
inspiration airway pressure
drops below 0.125 cmH2O and
cant be raised more than 0.5
cmH2O in next 500 ms

0.5 cmH2O

n/a

External Power Lost

<9.5 V

2%

Hardware Fault

Hardware problem detected

n/a

Internal Battery Empty

< 11.5 V

2%

Battery Level
LED Red and
full volume
audible alarm.

Internal Battery Low

< 11.9 V

2%

Battery Level
LED Amber

Oxygen Inlet Pres. High


(LTV 1200 only)

High pres source: 85 PSIG


Low pres source: 10 PSIG

2 PSIG
1 PSIG

Oxygen Inlet Pres. Low


(LTV 1200 only)

< 35 PSIG

2 PSIG

Reset

Processor problem detected

n/a

Transducer Fault

Autozero value outside


manufacturers specifications

n/a

SBT Off

End of an SBT period

n/a

SBT Time

Two minutes remaining in an


SBT period

n/a

60 to 80 dBA at one meter

5 dBA

Volume
Alarm Volume
Inop
Ventilator Inop

Page A-4

Immediately upon a Ventilator INOP condition, the audible


indicator will begin sounding with a steady tone and the Vent Inop
LED shall illuminate. Depressing the alarm Silence Reset button
will silence the audible indicator.

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Mechanical Controls
Control

Range

Tolerance

Over Pressure Relief

125 cmH2O

N/A

Sub-Ambient Relief

Pressure Drop: 5 cmH2O

at 50 lpm

Internal Compliance
Compliance

< 0.1 mL/cm

Monitors
Monitor

Range

Tolerance

Calculated Peak Flow

10 to 100 lpm

2 lpm or 10%, whichever is greater

Exhaled Tidal Volume

0 to 4000 ml

15% or 15 ml, whichever is greater

I:E Ratio, Measured

99:1 and 1:99


Based on the measured
inspiratory / exhalation times

Accuracy for times are 50 ms or 5%,


whichever is greater

I:E Ratio, Calculated

1:99 to 4.0:1 based on set


breath rate and inspiratory
time

5%

Mean Airway Pressure

0 to 99 cmH2O

2 cmH2O or 10%, whichever is greater

O2 Cylinder Duration
(LTV 1200 only)

0 - 99 hours and 59 minutes

- 0 / + 40%

Peak Inspiratory
Pressure

0 to 120 cmH2O

2 cmH2O or 5%, whichever is greater

PEEP

0 to 99 cmH2O

2 cmH2O or 10%, whichever is greater

Total Breath Rate

0 to 250 breaths per minute

1 bpm or within 5% of the breath


period, whichever is greater

Total Minute Volume

0 to 99.9 liters

15%, or the measured total breath rate


times 15 ml, whichever is greater

SBT Minutes

15 120 minutes

0.1 seconds

f/Vt
and
f

0 4000

20%

0 250bpm

Total breath rate: 1 bpm or within 5%


of breath period, whichever is greater

Button Controls
Display

Function

Control Lock

Locks front panel controls, can be set to Easy or Hard unlocking

Manual Breath

Generates a machine breath

Standby/On

Puts ventilator in On or Standby state

Low Pressure O2 Source


(LTV 1200 only)

Selects Low Pressure O2 Source

Silence Reset

Silences and resets alarms

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page A-5

Displays
Display

Range

Tolerance

Airway Pressure

-10 to 108 cmH2O

3 cmH2O or 5%, whichever is


greater

Display Window

12 characters

n/a

Patient Effort

Green LED

n/a

Vent Inop

Red LED

n/a

External Power

Amber / Green LED

n/a

Charge Status

Red / Amber / Green LED

n/a

Battery Level

Red / Amber / Green LED

n/a

1 to 139,000 hrs

Below 100 hrs: 10%


100 hrs: 5%

Usage Meter
Usage Meter

Above

Packaging
Size

3 x 10 x 12 -OR- 3.25 x 10.5 x 13.5 with Protective Boots installed.

Weight

13.4 lbs -OR- 14.5 lbs with Protective Boots installed.

Sound Level
Sound Level

Shall not exceed 50 dBA (RMS) at one meter

Storage and Operating Conditions


Specification

Tolerance

67

Storage

Temperature

-20 to +60 degrees C

n/a

Humidity

10% to 95% Relative, non-condensing

n/a

Temperature

+5 to +40 degrees C

n/a

Humidity

15% to 95% Relative, non-condensing

n/a

Operating

Orientation
The ventilator functions within its performance specifications when operated in any orientation.
Inlet Air Filtration
The ventilator air filter is removable and cleanable by the operator. All filter materials are FDA
compliant for breathing circuits and meet burn requirements for UL 94HB.

67

LTV ventilators stored at temperatures outside of the specified Operating Temperature range are to be
allowed to stabilize to within the operating temperature range before turning the ventilator on.

Page A-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Storage and Operating Conditions (cont.)


Specification

Tolerance

Oxygen Inlet
DISS or NIST Connector Inlet Pressure Range
(LTV 1200 only)

40 to 80 PSIG

2 PSIG

Tapered Tubing Connector Inlet Pressure Range

0 to 10 PSIG

2 PSIG

Shock and Vibration


The ventilator is designed to withstand shock and vibration in accordance with relevant
requirements set forth in the following standards:
IEC 68-2-27

Shock

IEC 68-2-6

Vibration

IEC 68-2-34

Vibration

MIL-STD-810E

Shock, Ground Transport and Helicopter Transport Vibration

Spillage
The ventilator resists fluid spillage when tested in accordance with the relevant standards
specified in IEC 601-1 Clause 44.3.
External Surface Temperature
External surfaces

< 50C, ambient temperature of 35C

n/a

Communications
Port

Connector

Specification

Communications

RS232, DB9 connector

Protocol Options: Data, Monitor, Printer,


Modem

Patient Assist Call /


Remote Alarm

RJ11-4

Closed contact resistance: 1 ohm

Equipment Classification
Classification

The ventilator is rated as Class II equipment per IEC 601-1 Clause 6.11

Type

The ventilator is specified as Type BF equipment per IEC 601-1 Clause 6.11

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page A-7

Power
Feature

Range

Input Voltage

11 to 15 VDC

Tolerance / Indicators

External Power
AC Adapter

Input: 100 to 250 VAC,


50 to 60 Hz
Output: 13 VDC

2.5%

Full Power

Voltage 11.5 V

2%

Green LED

Low Power

Voltage < 11.0V and 9.5V

2%

Amber LED

External Power Off

Voltage < 9.5V

2%

LED off, switch to


battery

Hysteresis

Ventilator shall not resume


external power operation unless
voltage is 11.5V

2%

Nominal Current
Draw

Startup:
Running:

5.5 amps
3-4 amps

Nominal Power
Draw

Startup:
Running:

66 watts
36 - 48 watts

Leakage Current

Total leakage current to Earth ground for the ventilator with only
approved accessories attached, shall not exceed 500 microAmps
during normal operation, per IEC 601-1.
Total leakage current to Earth ground for the ventilator shall not exceed
one milliAmp when any single fault condition is present, per IEC 601-1.

Ground Resistance

Total impedance between the ground contact at the inlet power


connector and any accessible metal part shall not exceed 0.1 ohm, per
IEC 601-1.

Dielectric Strength

The ventilator shall be able to survive 1500 volts applied from either
phase of the AC power inlet to Earth ground for a period of one minute,
per IEC 601-1.

Page A-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Power (cont.)
Internal Battery
12V sealed lead acid battery. 4.5Ah.
Feature

Range

Full Power

Green LED

Medium Power

Amber LED

Low Power

Red LED

Charge Time

Battery shall be capable of being >90%


charged within 8 hours, from fully
discharged state to state indicated by
green Charge Status LED.

When external power is


present, and the vent is
running at the nominal load

Charge Status

Pre-Charge Qualification:
Battery Charging:
Battery >90% Charged:
Battery Fault:

Flashing Amber LED


Amber LED
Green LED
Red LED

Hysteresis

Ventilator shall not resume battery


operation unless the battery voltage
level is 11.8 V.

2%

Battery Duration Time Before


Ventilator Shutdown (total time):

Tolerance / Indicators

60 minutes*

Approximate Time from battery full


(green LED) to battery low (amber LED
and BAT LOW alarm):

45 minutes*

Approximate Time from battery low to


battery empty (red LED and BAT
EMPTY alarm):

10 minutes*

Approximate Time from battery empty


to ventilator shutdown (Vent Inop LED
and INOP alarm):

5 minutes*

* Times based on nominal load, new battery and full 8


hour battery charge.
DOT Requirements:

Nominal Load Settings:


Mode
PEEP
Breath Rate (bpm)
O2 % (LTV 1200 only)
Tidal Volume (ml)
Lung Compliance (ml/cmH2O)
Insp. Time (sec)
ET Resistance (cmH2O/L/S)
Sensitivity (lpm)
Battery Temp.

A/C
5
15
21
800
50
1.5
5.87
2
25 oC

Unregulated, meets the requirements of 49 CFR 173, 159 (d).

Agency Requirements
Regulatory Requirements
FDA Draft Reviewer Guidance for Ventilators, July, 1995.
Shipping Requirements
The ventilator, packed in its shipping container, conforms to the International Safe Transit
Association requirements for packaged products weighing less than 100 pounds.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page A-9

EMC and RF Environments


The following tables are provided in compliance with 60601-1-2 IEC:2001(E), and describe the
tested EMC limitations of the LTV Ventilator used with the LTM Monitor, LTV SprintPack and
LTV AC Adapter.68
Table 201 - 60601-1-2 IEC:2001(E)
Guidance and manufacturers declaration electromagnetic emissions

The LTV Ventilator is intended for use in the electromagnetic environment specified below. The customer or the user of the
ventilator should assure that it is used in such an environment.
Emissions test

Compliance

Electromagnetic environment guidance

RF emissions
CISPR 11

Group 1

The LTV Ventilator uses RF energy only for its internal function.
Therefore, its RF emissions are very low and are not likely to
cause any interference in nearby electronic equipment.

RF emissions
CISPR 11

Class B

Harmonic emissions
IEC 61000-3-2

Class A

The LTV Ventilator is suitable for use in all establishments,


including domestic establishments and those directly connected to
the public low-voltage power supply network that supplies
buildings used for domestic purposes.

Voltage fluctuations/ flicker emissions


IEC 61000-3-3

Complies

Table 202 - 60601-1-2 IEC:2001(E)


Guidance and manufacturers declaration electromagnetic immunity

The LTV Ventilator is intended for use in the electromagnetic environment specified below. The customer or the user of the
ventilator should assure that it is used in such an environment.
Immunity Test

IEC 60601 test level

Compliance Level

Electromagnetic environment
guidance

Electrostatic
discharge (ESD)
IEC 61000-4-2

6 kV contact

6 kV contact

8 kV air

8 kV air

Floors should be wood, concrete


or ceramic tile. If floors are
covered with synthetic material,
the relative humidity should be at
least 30 %.

Electrical fast
transient/burst
IEC 61000-4-4

2 kV for power supply lines

2 kV for power supply lines

1 kV for input/output lines

1 kV for input/output lines

Surge
IEC 61000-4-5

1 kV differential mode

1 kV differential mode

2 kV common mode

2 kV common mode

Voltage dips, short


interruptions and
voltage variations
on power supply
input lines
IEC 61000-4-11

<5 % UT
(>95 % dip in UT) for 0,5 cycle
40 % UT
(60 % dip in UT) for 5 cycles
70 % UT
(30 % dip in UT) for 25 cycles
<5 % UT
(>95 % dip in UT) for 5 sec

<5 % UT
(>95 % dip in UT) for 0,5 cycle
40 % UT
(60 % dip in UT) for 5 cycles
70 % UT
(30 % dip in UT) for 25 cycles
<5 % UT
(>95 % dip in UT) for 5 sec

Mains power quality should be that


of a typical commercial or hospital
environment. If the user of the

LTV Ventilator requires continued


operation during power mains
interruptions, it is recommended
that the ventilator be powered from
an uninterruptible power supply or
a battery.

Power frequency
(50/60 Hz)
Magnetic field
IEC 61000-4-8

3 A/m

3 A/m

Power frequency magnetic fields


should be at levels characteristic
of a typical location in a
commercial or hospital
environment.

NOTE

Mains power quality should be that


of a typical commercial or hospital
environment.
Mains power quality should be that
of a typical commercial or hospital
environment.

UT is the A.C. mains voltage prior to application of the test level.

68

The use of power supplies or accessories other than those listed may result in increased emission or decreased
immunity of the ventilator. The ventilator should not be used adjacent to or stacked with other equipment. If adjacent or
stacked use is necessary, observe and verify normal operation of the ventilator in the desired configuration.

Page A-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Table 203 - 60601-1-2 IEC:2001(E)


Guidance and manufacturers declaration electromagnetic immunity

The LTV Ventilator is intended for use in the electromagnetic environment specified below. The customer or the user of the
ventilator should assure that it is used in such an environment.
Immunity Test

IEC 60601 test level

Compliance Level

Electromagnetic environment - guidance


Portable and mobile RF communications equipment

should be used no closer to any part of the LTV


Ventilator, including cables, than the recommended
separation distance calculated from the equation
applicable to the frequency of the transmitter.

Recommended separation distance


Conducted RF
IEC 61000-4-6

3 Vrms
150 kHz to 80 MHz 69
outside ISM bands

3V

d 1.2 P

10 Vrms
150 kHz to 80 MHz in
ISM bands 70

10V

d 1.2 P

10 V/m
80 MHz to 2.5 GHz

10 V/m

d 0.60 P

Radiated RF
IEC 61000-4-3

d 1.2 P

80 MHz to 800 MHz

800 MHz to 2.5 GHz

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
70
distance in meters (m) .
Field strengths from fixed RF transmitters, as
71 ,
determined by an electromagnetic site survey
should be less than the compliance level in each
72
frequency range.
Interference may occur in the vicinity of equipment
marked with the following symbol:
X

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.

69

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.

70

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 is used in calculating the recommended separation distance for transmitters in these frequency ranges.
71
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 ventilator is used
exceeds the applicable RF compliance level above, the ventilator should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting
or relocating the ventilator.
72
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page A-11

Table 205 - 60601-1-2 IEC:2001(E)


Recommended separation distances between portable and mobile RF communications equipment and the
LTV Ventilator.

The LTV Ventilator is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
The customer or the user of the ventilator can help prevent electromagnetic interference by maintaining a minimum distance

between portable and mobile RF communications equipment (transmitters) and the LTV Ventilator as recommended below,
based on the maximum output power of the communications equipment.

Separation distance according to frequency of transmitter (m)


Rated maximum
output power of
transmitter (W)

150 kHz to 80 MHz


outside ISM bands

150 kHz to 80 MHz in


ISM bands

80 MHz to 800 MHz

800 MHz to 2,5 GHz

d 1 .2 P

d 0.60 P

0.01

0.12

0.12

0.060

0.12

0.1

0.37

0.37

0.19

0.36

1.2

1.2

0.60

1.2

10

37

37

19

36

100

12

12

6.0

12

d 1 .2 P

d 1 .2 P

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be
determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1

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

NOTE 2

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.

NOTE 3

An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM
frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz to decrease the likelihood
that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.

NOTE 4

These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.

Page A-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Appendix B - SET UP / MAINTENANCE


Recommended Maintenance Schedule
The LTV 1200 / 1150 ventilator is designed to operate for extended periods of time with minimal
routine maintenance. The following periodic maintenance is recommended:
Hours of Service73

Maintenance Required

Prior to initial use

While in storage, every


two months
Daily
If in use, a minimum of
once a month

Every 10,000 hours or two


years, whichever comes
first 75

Every 30,000 hours or six


years, whichever comes
first75

Charge the Internal Battery by plugging the ventilator into an AC power source for
24 hours.
Setup the ventilator/accessories per Appendix C - Installation and Checkout.
Check the ventilator for proper operation per Appendix C - Installation and
Checkout
Recharge the Internal Battery by plugging the ventilator into an AC power source
for 24 hours74.
Check the Inlet Filter, clean if necessary.
Check the Fan Filter, clean if necessary.
Check the ventilator per Chapter 11 - Ventilator Checkout Tests. While the
ventilator is off-patient, perform the Power (external) disconnect test*
Verify Vte or VE monitor *
Verify airway pressure or PIP monitor *
Verify delivered O2 concentration if not using an oxygen analyzer continuously,
See Appendix A - Ventilator Specifications for accuracy tolerances.
*
Use existing patient settings or example settings as shown in Appendix C Installation and Checkout
76
77

Replace the Internal Battery only with CareFusion battery P/N 18608-001.

Calibrate the Transducers.

Replace the Power Board.

Replace the Sounder Assembly.

Clean or replace the Interior Air Inlet Filter.

Clean or replace the O2 Inlet Filter. (LTV 1200 only)

Replace the Turbine Manifold Assembly.78

Replace the Solenoid Manifold.

Replace the Flow Valve.

Replace the Rotary Switch Assembly.

Replace the O2 Blender. (LTV 1200 only)

Replace the Fan Assembly.

Replace all Silicone Tubing.

Check the Thermo Pads for compression and replace if necessary.

73

To check the number of hours the ventilator has been in service, see Chapter 10 - Extended Features, Usage Meter.
If the battery is deeply discharged, it may take several charge and discharge cycles before it can be fully charged.
75
10,000 hour, two year and/or 30,000 hour, six year Extended Maintenance and ventilator repair must be performed by a
CareFusion factory trained service technician.
76
Replacement at 10,000 hours or 2 years is based on normal use of up to 200 charge cycles. The battery may need to be
replaced more frequently if it is being charged more often. The battery should also be replaced any time it fails to reach a full
charge, or if the ventilator runs for less than hour on a fully charged battery.
77

The LTV Internal Battery (P/N 18608-001) is contained in LTV Internal Battery Replacement Kit, P/N 18634-001.
78
The Turbine Manifold Assembly (part no. 11490) must be replaced after 30,000 hours of operation. A Turbine Manifold
Assembly six years or older with fewer than 30,000 hours may continue operation, as long as it passes the Performance

Checkout Test (found in the LTV service manual) at six years and every two years thereafter (until reaching 30,000 hours).
All other maintenance within the 30,000 hours, or six years of operation, is required at the specified service interval.
74

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page B-1

Service Assistance
For assistance in servicing the LTV 1200 / 1150 ventilator, and the MR Conditional LTV 1200
System, contact a certified CareFusion service technician, or:

CareFusion
22745 Savi Ranch Parkway
Yorba Linda, CA 92887
U.S.A.

CareFusion Germany 234 GmbH


Leibnizstrasse 7
97204 Hoechberg
Germany

Customer Care:

+49 931 4972-0 tel


+49 931 4972-423 fax

800.754.1914 toll free


763.398.8500
763.398.8403 fax
[email protected]

Any product malfunctioning issues that


fall under Medical Device Directives
Essential Requirements should be
directed to
CareFusion Germany 234 GmbH.
[email protected]
carefusion.com

Page B-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Appendix C - INSTALLATION AND CHECKOUT


Installation and Setup
Unpacking the Ventilator Instructions
1) Inspect the exterior of the ventilator transport container for evidence of damage during transit.
If present, notify the delivering service.
2) Take the ventilator and all accessories out of the transport container.
3) Confirm the presence of all items listed on the packing slip. Notify an authorized sales
representative or CareFusion of any discrepancies.
4) Examine all components for visible damage. If present, notify the delivering service.
5) Retain the transport container for potential ventilator service or maintenance returns.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-1

Protective Boots
Rubberized protective boots are installed on the top and bottom of all current versions of LTV
ventilators to protect them from accidental shocks and strikes to the casing. If desired, they may be
removed and/or re-installed using the following instructions.

WARNING
Mounting Screw Use Internal damage to the ventilator may result if the wrong length mounting
screws are used when installing or removing external accessories.
Accessories Mounting Screws - Refer to the information contained in CareFusion Replacement
Screws Kit, P/N 11149, to determine the appropriate mounting screws or replacement screws
location, type and length to use when removing or exchanging external accessories on an LTV
ventilator.

AVERTISSEMENT
Utilisation des vis de montage Vous pourriez causer des dommages internes au ventilateur si
des vis de montage de mauvaise longueur sont utilises lors de linstallation ou de la dpose des
accessoires externes.
Vis de montage des accessoires Voir les renseignements fournis dans la trousse de vis de
remplacement de CareFusion, numro de pice 11149, pour dterminer lemplacement, le type et
la longueur des vis de montage daccessoires ou des vis de remplacement pour accessoires
utiliser lors de la dpose ou de lchange daccessoires externes sur un ventilateur de la srie
LTV.

Page C-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Protective Boot Removal


Supplies/Tools Required:

Replacement Screws Kit, P/N 11149


Torque wrench (20 in-oz / 0.14 Nm to 60 in-oz / 0.42 Nm range)
Phillips-head screwdriver

To Remove the Upper Protective Boot79:

1)

Carefully place and support the disconnected ventilator in an upright position on a clean, dry
surface.

2)

Using a Phillips screwdriver, remove the two flat-head mounting screws and finish washers in
the legs of the upper boot (1) and the two flat-head mounting screws and finish washers in the
sides of the upper boot, as indicated in the illustration on the next page.

3)

Remove the upper boot and insert and thread two #4-40 pan-head mounting screws into the
screw holes in the ventilators back panel, as indicated in the illustration.

4)

Insert and thread two #4-40 X 1/4 flat-head mounting screws (5) with finish washers (6) into the
screw holes in the ventilators side panels, as indicated in the illustration.

5)

Finish washers (6) should be already in place.

Torque tighten the mounting screws to these specified values (do not over tighten to avoid
damage to the finish washers);

79

Requires the use of the 1/4 pan-head mounting screw (4).

Torque tighten the screws in the back panel of the ventilator to 60 in-oz (0.42 Nm)
Torque tighten the screws in the sides of the ventilator to 20 in-oz (0.14 Nm)

Refer to Page C-9 for information concerning the appropriate accessories mounting screws or accessories
replacement screws location, type and length to use when removing or exchanging external accessories on an
LTV ventilator.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-3

80

Item (1), Protective Boot, Upper (1), P/N 19033-001 (Purple)


Item (2), Protective Boot, Lower (1), P/N 19032-001 (Purple)
Item (3), #4-40 X 3/16 Pan-head screw (1), P/N 1043880
Item (4), #4-40 X 1/4 Pan-head mounting screws (2), P/N 1043580
Item (5), #4-40 X 1/4 Flat-head mounting screws (6), P/N 1043080
Item (6), Finish Washers (6), P/N 19119-00280

Contained in CareFusion Replacement Screws kit, P/N 11149.

Page C-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

To Remove the Lower Protective Boot81:

1)

Lay the ventilator down (front up) and use a Phillips-head screwdriver to remove the four flathead mounting screws and finish washers in the sides of the lower protective boot (2), as
indicated in the illustration.

2)

Remove the lower boot (2) and insert and thread four #4-40 X 1/4 flat-head mounting screws (5)
with finish washers (6) into the screw holes in the ventilators side panels, as indicated in the
illustration.

3)

Finish washers (6) should be already in place.

Torque tighten all four screws to 20 in-oz (0.14 Nm) (do not over tighten to avoid damage to the
finish washers).

Item (1), Protective Boot, Upper (1), P/N 19033-001 (Purple)


Item (2), Protective Boot, Lower (1), P/N 19032-001 (Purple)
Item (3), #4-40 X 3/16 Pan-head screw (1), P/N 1043882
Item (4), #4-40 X 1/4 Pan-head mounting screws (2), P/N 1043582
Item (5), #4-40 X 1/4 Flat-head mounting screws (6), P/N 1043082
Item (6), Finish Washers (6), P/N 19119-00282

81

Refer to Page C-9 for information concerning the appropriate accessories mounting screws or accessories
replacement screws location, type and length to use when removing or exchanging external accessories on an
LTV ventilator.
82
Contained in CareFusion Replacement Screws kit, P/N 11149.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-5

Protective Boot Installation


Supplies/Tools Required:

Item (1), Protective Boot, Upper (1) P/N 19033-001 (Purple)


Item (2), Protective Boot, Lower (1) P/N 19032-001 (Purple)
Replacement Screws Kit, P/N 11149
Torque wrench (20 in-oz / 0.14 Nm to 60 in-oz / 0.42 Nm range)
Phillips-head screwdriver

To Install the Upper Protective Boot83:


1)
2)

3)

Carefully place and support the disconnected ventilator in an upright position on a clean, dry
surface.
Using a Phillips-head screwdriver, remove the two upper back panel pan-head and two side
panel flat-head mounting screws indicated in the illustration.

Do not remove the mating finish washers.


Orient the upper protective boot (1) over the ventilator as shown in the illustration (next page).
Move the boot down into position on the top of the ventilator and align its four screw holes with
the corresponding holes in the ventilator back and side panels.

4) Insert and thread two #4-40 flat-head mounting screws with finish washers (6) through the screw
holes in the legs of the upper boot, as indicated in the illustration (next page).

83

Refer to page C-9 for information concerning the appropriate accessories mounting screws or accessories
replacement screws location, type and length to use when removing or exchanging external accessories on an
LTV ventilator.

Page C-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

5)

Item (5), #4-40 X 1/4 Flat-head mounting screw (1) P/N 1043084
Item (6), Finish Washers (8) P/N 19119-00284
Item (7), #4-40 X 1/2 Flat-head mounting screws (6) P/N 1033884
Item (8), #4-40 X 3/8 Flat-head mounting screws (2) P/N 1047484

Insert and thread two #4-40 X 1/2 flat-head mounting screws (7) with finish washers (6) through
the screw holes in the sides of the upper boot, as indicated in the illustration.

6) Torque tighten the mounting screws to these specified values (do not over tighten to avoid
damage to the finish washers).

84

Torque tighten the screws in the legs of the boot to 60 in-oz (0.42 Nm)
Torque tighten the screws in the sides of the boot to 20 in-oz (0.14 Nm)

Contained in CareFusion Replacement Screws kit, P/N 11149.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-7

To Install the Lower Protective Boot85:


1)

2)

3)
4)

Lay the ventilator down (front up) and use a Phillips-head screwdriver to remove the four flathead mounting screws in the ventilators side panels, as indicated in the illustration.

Do not remove the mating finish washers.


Orient the lower protective boot (2) to the ventilator as shown in the illustration. Move the boot
into position on the bottom of the ventilator and align its four screw holes with the corresponding
holes in the ventilator side panels.
Insert and thread four #4-40 X 1/2 flat-head mounting screws (7) with finish washers (6) through
the screw holes in the sides of the lower boot; as indicated in the illustration below.
Torque tighten all four screws in the boot to 20 in-oz (0.14 Nm) (do not over tighten to avoid
damage to the finish washers).

Item (5), #4-40 X 1/4 Flat-head mounting screw (1) P/N 1043086
Item (6), Finish Washers (8) P/N 19119-00286
Item (7), #4-40 X 1/2 Flat-head mounting screws (6) P/N 1033886
Item (8), #4-40 X 3/8 Flat-head mounting screws (2) P/N 1047486

85

Refer to page C-9 for information concerning the appropriate accessories mounting screws or accessories
replacement screws location, type and length to use when removing or exchanging external accessories on an
LTV ventilator.
86
Contained in CareFusion Replacement Screws kit, P/N 11149.

Page C-8

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-9

Patient Breathing Circuit Connection Instructions


1) Connect the main breathing tube to the 22 mm outlet port on the right side of the ventilator.
2) Connect the two exhalation flow transducer sense lines to the ports marked Flow Xducer on the
right side of the ventilator. These are non-interchangeable Luer fittings.
3) Connect the exhalation valve drive line to the port marked Exh Valve on the right side of the
ventilator.

CAUTION
Patient Wye Installation After cleaning, install the patient wye in the patient circuit so the proximal
sense lines are oriented up while operating.

ATTENTION
Installation de la soupape d'expiration - Aprs le nettoyage, installez la soupape d'expiration dans
le circuit du patient de sorte que les lignes de dtection soient alignes vers le haut pendant
lopration.

Page C-10

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Ventilator without Humidifier


1) Connect the main breathing tube to the 22mm outlet port on the right side of the ventilator.

2) Connect the two exhalation flow transducer sense lines to the ports marked Flow Xdcer on the
right side of the ventilator. These are non-interchangeable Luer fittings.
3) Connect the exhalation valve drive line to the port marked Exh Valve on the right side of the
ventilator.

Ventilator with Humidifier


1) Attach the main breathing tube to the outlet port on the humidifier.
2) Connect the humidifier circuit tube (not included in reusable circuit configurations) to the 22mm
outlet port on the right side of the ventilator and to the inlet port of the humidifier.

3) Connect the two exhalation flow transducer sense lines to the ports marked Flow Xdcer on the
right side of the ventilator. These are non-interchangeable luer fittings.
4) Connect the exhalation valve driveline to the port marked Exh Valve on the right side of the
ventilator.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-11

Oxygen Lines Connection Instructions

CAUTION

Oxygen Supply Contamination - The accuracy of the oxygen delivery capabilities of LTV
ventilators can be compromised by foreign debris contamination in the oxygen supply system. To
reduce the risk of airborne contaminants entering the ventilator, ensure that any oxygen supply
connected to the ventilator is clean, properly filtered87 and that the ventilators O2 Inlet Port Cap is
securely installed on the O2 Inlet Port whenever the ventilator is not connected to an external oxygen
supply.

ATTENTION
Contamination de la rserve doxygne La prcision de la capacit dalimentation en oxygne
des ventilateurs LTV peut tre compromise par la prsence de corps trangers dans le systme
dalimentation en oxygne. Afin de diminuer le risque de prsence dagents contaminants
atmosphriques dans le ventilateur, assurez-vous que la rserve doxygne relie au ventilateur est
propre et filtre de manire adquate87, et que le bouchon de lorifice dalimentation en oxygne est
correctement install chaque fois que le ventilateur nest pas reli une source d'oxygne externe.

For Operation from a High Pressure Oxygen Source (LTV 1200 only):
To operate from a high pressure (40 - 80 PSIG) oxygen source, connect an oxygen hose to the
female DISS88 oxygen inlet fitting labeled O2 INLET on the left side of the ventilator.

High pressure O2
hose

87

88

In addition to the existing internal O2 Inlet filter, P/N 19845-001, an External, In-Line Oxygen Filter (P/N 14470)
is available from CareFusion.
An NIST adapter (P/N 10702) for this connection is available from CareFusion upon request.

Page C-12

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

For Operation from a Low Pressure Oxygen Source (LTV 1200 only):
For operation from a low pressure oxygen source such as an oxygen concentrator, attach the low
pressure adapter to the inlet fitting labeled O2 INLET located on the left side of the ventilator. Then
attach the oxygen supply line to the hose barb on the adapter.

Low Pressure O2
adapter.

For Operation from a Low Pressure Oxygen Source (LTV 1150 only):
For operation from a low pressure oxygen source such as an oxygen concentrator, attach the low
pressure hose to the fitting labeled O2 INLET89 located on the left side of the ventilator.

89

O2 Inlet Port Cap is not shown for clarity.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-13

Patient Assist Call System Connection Instructions


The ventilator is configured to interface with a Patient Assist Call system requiring either normallyclosed or normally-open contact sets. Devices connected to the Patient Assist port must be IEC
60601-1-1 certified.
If your patient assist system is Normally Open, use Patient Assist Cable, Normally Open P/N
10780.
If your patient assist system is Normally Closed, use Patient Assist Cable, Normally Closed P/N
10779.
To connect the ventilator to the patient assist system:
1) Insert the telephone jack connector (RJ11-4) into the port labeled PATIENT ASSIST on the left
hand side of the ventilator.
2) Connect the jack on the other end of the cable to your patient assist system.

3) Test the connection by performing an Alarm test (see Chapter 11 - Ventilator Checkout Tests) or
by causing an alarm and verifying the patient assist call activates.

WARNING

Unapproved Adapters Only CareFusion Accessories should be used to connect the ventilator to
Patient Assist Call Systems. These accessories incorporate safety features to reduce the risk of
shock. Do not attempt to modify these accessories in any way.
Patient Assist Call Connector Do not apply more than 25V rms or 32VDC to the Patient Assist
Call connector.

AVERTISSEMENT

Accessoires non approuvs Lutilisation daccessoires qui ne sont pas expressment approuvs
par CareFusion pourrait entraner des conditions dangereuses. Seuls les accessoires de CareFusion
devraient tre utiliss pour brancher les ventilateurs aux systmes daide aux patients. Ces
accessoires comportent des caractristiques de scurit pour rduire les risques de choc. Nessayez
pas de modifier ces accessoires daucune faon.
Connecteur dappel daide aux patients Ne mettez pas plus de 25 V efficace ou 32 V c.c. au
connecteur dappel daide aux patients.

Page C-14

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Communications Port
The Communications Port on the LTV 1200 / 1150 ventilator allows for attachment to, and
communication with, accessories such as graphics monitors or printers. Currently the printer option is
only available for use by service personnel.
Use the Communications Setting option in the Extended Features menu to modify the
communications protocol (see Chapter 10 - Extended Features, Communications Setting for
instructions).

LTM Graphics Monitor

(Not for use with the LTV 1200 MR Conditional System)


The LTM Graphics Monitor is a thin, lightweight color graphics monitor accessory for LTM
compatible LTV ventilators.

For additional information regarding the LTM Graphics Monitor, contact CareFusion.

To install and setup an LTM Graphics Monitor, refer to the LTM Graphics Monitor Operators
Manual included with your Monitor.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-15

Using the Remote Alarm Cable


Use the Remote Alarm Cable (P/N 19103-001) to connect the LTV ventilator to third party, single or
dual tone remote alarm systems requiring a normally closed input signal terminated with a 51K ohm
series resistor. Devices connected to the Patient Assist port must be IEC 60601-1-1 certified.

See Chapter 10 - Extended Features, Alarm Operations, for instructions on setting the Patient
Assist Port output signal for use with single or dual tone remote alarm systems.
Because the ventilator does not include an internal series resistor in the Patient Assist output, a
special cable has been designed which incorporates the resistor into the cable assembly itself. The
series resistor allows the remote alarm to detect and report both ventilator alarms and a disconnected
remote alarm cable.
Do not apply more than 120 Volts AC (VAC) to a remote alarm when it is connected to the ventilator.

CAUTION
Remote Alarm Always verify that the remote alarm properly reports the LTV ventilator alarms
before use.
Remote Alarm Always follow the remote alarm manufacturers usage and maintenance
requirements to guarantee proper function of the device.

ATTENTION
Alarme distance Assurez-vous toujours que lalarme distance indique de faon adquate les
alarmes du ventilateur LTV avant dutiliser le ventilateur.
Alarme distance Suivez toujours les exigences dutilisation et dentretien du fabricant de lalarme
distance afin dassurer le fonctionnement adquat de lappareil.

To connect the ventilator to the remote alarm:


1) Plug the cables modular jack into the Patient Assist port on the side of the ventilator.
2) If the remote alarm has a female BNC plug, connect the cable directly to the remote alarm's input
cable or connector and twist to secure.

Page C-16

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

3) If the remote alarm has a male BNC plug, insert the included BNC adapter into the cable's
connector and twist to secure. Then connect the adapter to the remote alarm's input cable or
connector.

4) Create an alarm condition at the ventilator and verify that the remote alarm reflects the alarm
state properly.
5) Clear the ventilator alarm condition and verify that the remote alarm reflects the alarm state
properly.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-17

Checking the Ventilator for Proper Operation


1) Verify that the ventilator is functioning properly by performing the Ventilator Checkout Tests.90

Disconnect the patient from the ventilator and ventilate the patient using an alternative
method before running the Ventilator Checkout tests.

2) Connect the AC adapter to a valid AC power source. Connect the patient circuit to the ventilator
and to a test lung with a compliance of 10 ml/cmH2O and a resistance of 5 cm/L/sec. Do not
connect the Oxygen supply. Turn the ventilator on and proceed with the checkout as defined in
the following table:
Ventilator Settings and Procedure

Performance Requirement

A) Configure the ventilator settings as


follows, and run the equipment for at
least two minutes:
Mode: Volume, Assist/Ctrl
Low Press 02: Off
(LTV 1200 only)
Breath Rate: 12
Tidal Volume: 500
Insp. Time: 1 sec
Pressure Support: 0
O2%: 21 (LTV 1200 only)
Sensitivity: 3
High Pressure Limit: 100
Low Pressure Alarm: 5
Low Min Vol: 1.0
PEEP: 0

Selected Monitors should read as follows:

B) Set the O2% control to 22%


(LTV 1200 only)

LOW O2 PRES alarm activates after a short


pause

C) Reset O2% to 21 and clear the alarm


(LTV 1200 only). Set the Low Min.
Vol. alarm to 10 L

LOW MIN VOL alarm activates

D) Reset the Low Min. Vol. alarm to


1.0 and clear the alarm. Set the Low
Pressure alarm to 60.

LOW PRES alarm activates

E) Set the Low Pressure alarm to 5 and


clear the alarm. Set the High Pres.
Limit to 10 cmH2O below the Peak
Inspiratory Pressure.

HIGH PRES alarm activates

Exhaled Tidal Volume: 383 to 633 ml

I:E Ratio : 1:3.8 to 1:4.2

Total Breath Rate: 12 bpm

Total Minute Vol: 4.6 to 7.6 L

No alarms

F) Reset the High Pres. Limit alarm to


100 and clear the alarm.

90

See Chapter 11 - Ventilator Checkout Tests for more information

Page C-18

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Ventilator Settings and Procedure


G) Disconnect the high pressure sense
line from the ventilator
(see the illustration in Appendix C Patient Breathing Circuit
Connection Instructions)

Performance Requirement

DISC/SENSE alarm activates on the next


breath

H) Reconnect the high pressure sense


line and clear the alarm
I)

J)

Change control settings as follows:


Mode: Pressure, Assist/Cntl
Pressure Control: 20
PEEP: 20

Selected Monitors should read as follows:

Disconnect AC Adapter from


Ventilator at pigtail cable connector

Operators Manual
P/N 19802-001 Rev. F

PIP: 36 to 44 cmH2O

PEEP: 17 to 23 cmH2O

No alarms activate

POWER LOST alarm activates

Battery Level LED illuminates showing the


charge level

Ventilator continues to operate from the


internal battery

LTV 1200 / 1150 Ventilators

Page C-19

Ventilator Proper Operation Worksheet


SERIAL NUMBER: ________________
DATE: ________________
TEST
DESCRIPTION

CONDUCTED BY:

PAGE / MEAS.
STEP VALUE

_______________________

REQUIREMENT

PASS /
FAIL

Ventilator Checkout Tests (Chapter 11 -)


Alarm Test

11-3

Display Test
Control Test
Leak Test
Vent Inop Alarm Test

11-4
11-6
11-8
11-10

Audible alarm must activate for minimum 2


secs.
Confirming audible Chirp must activate
after alarm is silenced
All displays must light except Vent Inop
Correct messages displayed in window
X.X PASS, Record value displayed
Alarm sounded and Inop LED illuminated
15 secs.
Confirming audible Chirp must activate
after alarm is silenced

Checking the Ventilator for Proper Operation (Appendix C - Installation and Checkout):
Ventilator Settings:
Settings:
Mode: Volume, Assist/Ctrl
Low Press O2: Off
(LTV 1200 only)
Breath Rate: 12
Tidal Volume: 500
Insp. Time: 1 sec
O2%: 21 (LTV 1200 only)
Sensitivity: 3
High Pressure Limit: 100
Low Pressure Alarm: 5
Low Min Vol: 1.0
PEEP: 0

Page C-20

C-18
2) A)

Selected Monitors should read as follows:


Exhaled Tidal Volume: 383 to 633 ml
I:E Ratio : 1:3.8 to 1:4.2
Total Breath Rate: 12 bpm
Total Minute Vol: 4.6 to 7.6 L

No alarms

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Procedure:
Set the O2% control to 22%
(LTV 1200 only)
Reset O2% to 21 and clear the
alarm (LTV 1200 only). Set the
Low Min. Vol. alarm to 10 L
Reset the Low Min. Vol. alarm to
1.0 and clear the alarm.
Set the Low Pressure alarm to 60.
Set the Low Pressure alarm to 5
and clear the alarm.
Set the High Pres Limit to 10
cmH2O below the Peak Inspiratory
Pressure.
Reset the High Pres. Limit alarm to
100 and clear the alarm.
Disconnect the high pressure sense
line from the ventilator
Reconnect the high pressure sense
line and clear the alarm
Change control settings as follows:
Mode: Pressure, Assist/Cntl
Pressure Control: 20
PEEP: 20

C-18
2) B)
C-18
2) C)
C-18
2) D)
C-18
2) E)

C-18
2) F)
C-19
2) G)
C-19
2) H)
C-19
2) I)

LOW O2 PRES alarm activates after a short


pause
LOW MIN VOL alarm activates

LOW PRES alarm activates

HIGH PRES alarm activates.

DISC/SENSE alarm activates on the next


breath

Selected Monitors should read as follows:


PIP: 36 to 44 cmH2O
PEEP: 17 to 23 cmH2O
No alarms activate

Disconnect AC Adapter from


Ventilator at pigtail cable connector.

C-19
2) J)

POWER LOST alarm activates


Battery Level LED illuminates showing the
charge level.
Ventilator continues to operate from the
internal battery

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page C-21

Page C-22

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Appendix D - PRINCIPLES OF OPERATION


Overview
The LTV 1200 / 1150 ventilator utilizes an electromechanical pneumatic system under the control of
a microprocessor to deliver patient ventilation. The following diagram and description illustrates the
major components of the ventilator and their respective functions.

Room air enters the ventilator through a flexible foam Inlet Filter. After exiting the filter, the air enters
an Accumulator/Silencer where it mixes with oxygen delivered from the Oxygen Blender (LTV
1200 only) or Oxygen Bleed-in Block (LTV 1150 only). In addition, this chamber provides acoustic
silencing to reduce the Rotary Compressor input noise. Mixed gas then enters the Rotary
Compressor, where energy is added to the gas stream as required to meet the pressure and flow
delivery requirements of the current ventilation settings.
Gas exiting the Rotary Compressor output port enters another Silencer. This chamber dampens
acoustic noise from the Rotary Compressor. Upon exiting the silencing chamber, the gas flow splits
in two paths. Gas flow for ventilation diverts to the Flow Valve, while excess flow is recirculated
through the Bypass Valve to the inlet Accumulator/Silencer. The Bypass Valve maintains Flow
Valve inlet pressure high enough above Flow Valve outlet pressure to ensure a positive differential
pressure across the valve, yet low enough to ensure that excess energy is not wasted when
operating from batteries.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page D-1

Ventilation flow enters the Flow Valve, which controls all inspiratory gas flow to the patient. The valve
is driven by a rotary actuator, and translates circular motion to a poppet position, which in turn meters
flow to the patient. The valve is characterized such that gas flow is a known function of differential
pressure across the valve and actuator position. A Differential Pressure Transducer is provided to
measure the differential flow valve pressure.
Ventilation gas exiting the Flow Valve is connected to the Exhalation Valve by a patient circuit. The
Exhalation Valve provides the following functions:
1) Closes the exhalation port during inspiration to divert gas to the patient.
2) Opens the exhalation port during exhalation to allow patient gases to be exhausted to the
atmosphere.
3) Measures the exhaled flow using a fixed orifice type transducer. Transducer sensor ports are
located between the patient and ventilator connection ports.
The Solenoids (Pilot-in and Pilot-out) are used to control the pressure in the new pressure
accumulator that is used to control the exhalation valve on the patient circuit. The activation of the
exhalation circuit controls the PEEP (positive end expiratory pressure) at the patient wye during the
expiratory phase.
A PEEP Transducer is used to monitor the pilot pressure in the accumulator. This pilot pressure is
used in conjunction with the airway pressure transducer by the LTV software to control delivered
PEEP.
A Differential Pressure Transducer is provided to measure the delta pressure developed across the
flow transducer at the patient wye. This transducer also monitors volume and flow to trigger alarms.
The transducer is autozeroed to ambient pressure and the sense lines are purged to prevent moisture
migration into the transducer.
(LTV 1200 only) The Oxygen Blender accepts pressurized oxygen from an external source and as
directed by the control system meters the oxygen flow to meet the requirements of the current O2 %
setting and ventilation flow demand. The O2 Pressure Transducer measures inlet pressure and is
used by the blender control system to compensate the oxygen delivery for variations in oxygen inlet
pressure.
(LTV 1150 only) The Oxygen Bleed-in Block accepts low pressure oxygen from an external
regulated source.
The Sub-Ambient Relief Valve allows the patient to inspire spontaneously from room air in the event
of a failure of the main ventilator system. The Over Pressure Relief Valve provides an independent
mechanical means to limit the maximum inspiratory pressure. Both of these functions are physically
included in the Flow Valve Body.
The Airway Pressure Transducer measures pressure at the patient airway and is used for a
feedback signal during the delivery of pressure breaths. This transducer also monitors airway
pressure to trigger alarms. The transducer is autozeroed to ambient pressure and the sense lines are
purged to prevent moisture migration into the transducer.

Page D-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Appendix E - EVENT TRACE


The Event Trace is a list of events recorded by the ventilator. These events may be normal
conditions, such as turning the ventilator on or off, or alarm conditions such as HW FAULT or HIGH
PRES.

Initial occurrences of events are recorded the first time they occur after power up, along with the
date, time and associated data, if any.

A second occurrence of the same type of event (same event code) will be recorded as a
separate line item along with the latest date, time and associated data. The quantity of
occurrences is increased by one (1) (i.e. a quantity of two (2) will be displayed)).

Additional occurrences (3rd or more) of the same type of event will update the secondary
occurrence line items with the latest date, time, and associated data. The quantity of
occurrences will be increased by one (1) for each additional occurrence (i.e. the quantity of 2 will
be increased to 3).

NOTE
Event log entries are only one of many diagnostic tools used to troubleshoot the ventilator. Additional
information is often required to accurately identify the root cause of a problem. See Chapter 15 Troubleshooting for more information.

REMARQUE
Les entres du journal dvnements ne reprsentent que lun des nombreux outils de diagnostic
utiliss pour localiser les pannes du ventilateur. Des informations supplmentaires sont souvent
ncessaires pour identifier de faon prcise la source dun problme. Reportez-vous au Chapitre 15
Dpannage, pour de plus amples informations.
To view the events:
1) Enter the Extended Features menu by pushing and holding the Select button for 3 seconds.
2) Turn the Set Value knob until EVENT TRACE is displayed.
3) Push the Select button while EVENT TRACE is displayed.

xx:eventname is displayed.

xx is the chronological number of the event occurrence.

eventname is the name of the event.


4) Push the Select button.

xx:EyCz is displayed.

xx is the chronological number of the event occurrence.

y is the event code number of the event.

z is the quantity of occurrences since power up91.

91

The maximum number of occurrences recorded is 255.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page E-1

5) Push the Select button.

xx:eventdate is displayed.

xx is the chronological number of the event occurrence.

eventdate is the date92 of the first occurrence.


6) Push the Select button.

xx:hh:mm:ss is displayed.

xx is the chronological number of the event occurrence.

hh:mm:ss is the time of the first occurrence.


7) Push the Select button.

xx:data is displayed.

xx is the chronological number of the event occurrence.

data is the data associated with the first occurrence of this event.
For some events, the data field will be blank.
8) Push the Select button to return to the initial display.
9) Turn the Set Value knob clockwise or counterclockwise to view other events.
10) To exit the EVENT TRACE, turn to EXIT and push the Select button or push Control Lock.
For more information about how these codes are used, see the LTV 1200, 1150, and 1100 Ventilator
Service Manual (P/N 18603-001) or contact a certified CareFusion service technician.

92

Date is displayed in the currently selected date format.

Page E-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Event Codes
This section includes a list of the event codes that can be recorded in the Event Trace.

Event Codes by Code #


Code
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Event Name

Event

Associated Alarm

VENT 1
VENT 0
HOUR MTR
VENT CHK
APNEA 1
APNEA 0

Power on
Power off
Set hour meter
Set vent check
Apnea mode entered
Apnea mode exited
N/A
High side disconnect
Low side disconnect
Circuit disconnect exited
Internal battery empty occurred
Internal battery empty exited
Internal battery low occurred
Internal battery low exited
External power lost occurred
External power lost exited
External power low occurred
External power low exited
XDCR fault occurred
XDCR fault exited
O2 pressure low occurred
O2 pressure low exited
O2 pressure high occurred
O2 pressure high exited
Defaults, or Set Defaults occurred
No calibration data found
Fan fault occurred
Fan fault exited
N/A
N/A
Spurious interrupt occurred ms
Spurious interrupt occurred ls
ADC mismatch
ADC mismatch occurred
ADC mismatch cleared
Stepper motor lost sync occurred

None
None
None
Entered VENT CHECK mode
APNEA
APNEA

HIGH DIS
LOW DIS
DISC 0
BATMPT1
BATMPT0
BATLOW1
BATLOW0
EXT LST1
EXT LST0
EXT LOW1
EXT LOW0
XDC FLT1
XDC FLT0
O2 LOW 1
O2 LOW 0
O2 HI 1
O2 HI 0
DEFAULTS
NO CAL
FAN FLT1
FAN FLT0

INTRRPT1
INTRRPT2
AD MMTCH
AD MTCH1
AD MTCH0
SYNCER1

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

DISC/SENSE
DISC/SENSE
DISC/SENSE
BAT EMPTY
BAT EMPTY
BAT LOW
BAT LOW
POWER LOST
POWER LOST
POWER LOW
POWER LOW
XDCR FAULT
XDCR FAULT
LOW O2 PRES
LOW O2 PRES
HIGH O2 PRES
HIGH O2 PRES
DEFAULTS / DEFAULTS SET
NO CAL DATA
HW FAULT
HW FAULT

RESET 1
RESET 1
HW FAULT
HW FAULT
HW FAULT
HW FAULT
Page E-3

Code

Event Name

Event

Associated Alarm

37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60

SYNCER0
HOME ER1
HOME ER0
EEPROM
CRC
HI PRES1
HI PRES0
TBN ISTP
TBN ZERO
TBN ESTP
LOW VE 1
LOW VE 0
LO PRES1
LO PRES0
CLR EVNT
CLR CTRL
SET DATE
SET TIME

HW FAULT
HW FAULT
HW FAULT
HW FAULT
RESET
HIGH PRES
HIGH PRES
HIGH PRES
HIGH PRES
HIGH PRES
LOW MIN VOL
LOW MIN VOL
LOW PRES
LOW PRES
N/A
N/A
N/A
N/A

61

XDCR NAR

62

XDCR WID

63

XDCR BI

64

XDCR AIR

65

ADC1 VAL

66

TBN HSTP

67

LN VENT1

68

FLUSH ER

69

RAC ERR1

70

RAC ERR0

71

SNDRERR1

Stepper motor lost sync exited


Stepper motor home failure occurred
Stepper motor home failure exited
EEPROM degraded
Memory CRC check failed
High pressure occurred
High pressure exited
Turbine immediate stop occurred
Turbine set to zero flow occurred
Turbine emergency stop occurred
Low minute volume occurred
Low minute volume exited
Low peak pressure occurred
Low peak pressure exited
Event log cleared
Control settings cleared
Date set
Time set
N/A
Stack overflow detected
POST failure
Code runaway detected
Watchdog test run
Calibration records cleared
Differential pressure transducer Narrow channel fault
Differential pressure transducer Wide channel fault
Differential pressure transducer - Bidirectional channel fault
Airway pressure transducer fault
AD mismatch primary channel fault
value
Turbine Hold Stop occurred
Shutdown for other than pressing
On/Standby button
A problem is detected writing data to
the EEPROM during system
shutdown.
Problem detected with primary and/or
redundant audible alarm circuitry
Recovery from problem detected with
primary and/or redundant audible
alarm circuitry
Alarm sounder error

Page E-4

STACK
POST
RUNAWAY
WDOG TST
CLR CAL

LTV 1200 / 1150 Ventilators

RESET
RESET
RESET
Inop
N/A
XDC FLT1
XDC FLT1
XDC FLT1
XDC FLT1
HW FAULT
HIGH PRES
RESET
HW FAULT

HW FAULT
HW FAULT

HW FAULT
Operators Manual
P/N 19802-001 Rev. F

Code

Event Name

Event

Associated Alarm

72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87

SNDRERR0
HIGH f1
HIGH f0
HI PEEP1
HI PEEP0
HI SBTf1
HI SBTf0
LO SBTf1
LO SBTf2
HI f/VtT1
HI f/VtT0
LO f/VtT1
LO f/VtT0
SBT1
MON f/Vt
SBT0

88

CLR BREC

HW FAULT
HIGH f
HIGH f
HIGH PEEP
HIGH PEEP
SBT > f
SBT > f
SBT < f
SBT < f
SBT > f/Vt
SBT > f/Vt
SBT < f/Vt
SBT < f/Vt
N/A
N/A
N/A
N/A

89
90

LO PEEP1
LO PEEP0

Recovery from alarm sounder error


High breath rate alarm occurred
High breath rate alarm recovered
Monitored PEEP
Monitored PEEP
Total Breath Rate
Total Breath Rate
Total Breath Rate
Total Breath Rate
Rapid Shallow Breathing Index
Rapid Shallow Breathing Index
Rapid Shallow Breathing Index
Rapid Shallow Breathing Index
N/A
f/Vt value at SBT exit
SBT exit reason
Reclaims all incorrectly recognized
bad EEPROM records
Monitored PEEP
Monitored PEEP

91

NEW PTNT

New patient setup

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

LOW PEEP
LOW PEEP
N/A

Page E-5

Event Codes by Event Name


Event Name

Code

Event

Associated Alarm
HW FAULT
HW FAULT
HW FAULT
HW FAULT
APNEA
APNEA
BAT LOW
BAT LOW
BAT EMPTY
BAT EMPTY

AD MMTCH
AD MTCH0
AD MTCH1
ADC1 VAL
APNEA 0
APNEA 1
BATLOW0
BATLOW1
BATMPT0
BATMPT1

33
35
34
65
06
05
14
13
12
11

CLR BREC

88

CLR CAL
CLR CTRL
CLR EVNT
CRC

60
52
51
41

ADC mismatch
ADC mismatch cleared
ADC mismatch occurred
AD mismatch primary channel fault value
Apnea mode exited
Apnea mode entered
Internal battery low exited
Internal battery low occurred
Internal battery empty exited
Internal battery empty occurred
Reclaims all incorrectly recognized bad
EEPROM records
Calibration records cleared
Control settings cleared
Event log cleared
Memory CRC check failed

DEFAULTS

25

Defaults, or Set Defaults occurred

DISC 0
EEPROM
EXT LOW0
EXT LOW1
EXT LST0
EXT LST1
FAN FLT0
FAN FLT1

10
40
18
17
16
15
28
27

FLUSH ER

68

HI f/VtT0
HI f/VtT1
HI PEEP0
HI PEEP1
HI PRES0
HI PRES1
HI SBTf0
HI SBTf1
HIGH DIS
HIGH f0
HIGH f1
HOME ER0

82
81
76
75
43
42
78
77
08
74
73
39

Circuit disconnect exited


EEPROM degraded
External power low exited
External power low occurred
External power lost exited
External power lost occurred
Fan fault exited
Fan fault occurred
A problem is detected writing data to the
EEPROM during system shutdown.
Rapid Shallow Breathing Index
Rapid Shallow Breathing Index
Monitored PEEP
Monitored PEEP
High pressure exited
High pressure occurred
Total Breath Rate
Total Breath Rate
High side disconnect
High breath rate alarm recovered
High breath rate alarm occurred
Stepper motor home failure exited

Page E-6

LTV 1200 / 1150 Ventilators

N/A
N/A
N/A
N/A
RESET
DEFAULTS / DEFAULTS,
SET
DISC/SENSE
HW FAULT
POWER LOW
POWER LOW
POWER LOST
POWER LOST
HW FAULT
HW FAULT
HW FAULT
SBT > f/Vt
SBT > f/Vt
HIGH PEEP
HIGH PEEP
HIGH PRES
HIGH PRES
SBT > f
SBT > f
DISC/SENSE
HIGH f
HIGH f
HW FAULT

Operators Manual
P/N 19802-001 Rev. F

Event Name

Code

HOME ER1
HOUR MTR
INTRRPT1
INTRRPT2
LN VENT1
LO f/VtT0
LO f/VtT1
LO PEEP0
LO PEEP1
LO PRES0
LO PRES1
LO SBTf1
LO SBTf2
LOW DIS
LOW VE 0
LOW VE 1
MON f/Vt
NEW PTNT
NO CAL
O2 HI 0
O2 HI 1
O2 LOW 0
O2 LOW 1
POST

38
03
31
32
67
84
83
90
89
50
49
79
80
09
48
47
86
91
26
24
23
22
21
57

RAC ERR0

70

RAC ERR1

69

RUNAWAY
SBT0
SBT1
SET DATE
SET TIME
SNDRERR0
SNDRERR1
STACK
SYNC ER1
SYNCER0
TBN ESTP
TBN HSTP
TBN ISTP
TBN ZERO
VENT 0

58
87
85
53
54
72
71
56
36
37
46
66
44
45
02

Operators Manual
P/N 19802-001 Rev. F

Event

Associated Alarm

Stepper motor home failure occurred


Set hour meter
Spurious interrupt occurred ms
Spurious interrupt occurred ls
Shutdown for other than pressing On/Standby
Rapid Shallow Breathing Index
Rapid Shallow Breathing Index
Monitored PEEP
Monitored PEEP
Low peak pressure exited
Low peak pressure occurred
Total Breath Rate
Total Breath Rate
Low side disconnect
Low minute volume exited
Low minute volume occurred
f/Vt value at SBT exit
New patient setup
No calibration data found
O2 pressure high exited
O2 pressure high occurred
O2 pressure low exited
O2 pressure low occurred
POST failure
Recovery from problem detected with primary
and/or redundant audible alarm circuitry
Problem detected with primary and/or
redundant audible alarm circuitry
Code runaway detected
SBT exit reason
N/A
Date set
Time set
Recovery from alarm sounder error
Alarm sounder error
Stack overflow detected
Stepper motor lost sync occurred
Stepper motor lost sync exited
Turbine emergency stop occurred
Turbine Hold Stop occurred
Turbine immediate stop occurred
Turbine set to zero flow occurred
Power off

HW FAULT
None
RESET 1
RESET 1
RESET
SBT < f/Vt
SBT < f/Vt
LOW PEEP
LOW PEEP
LOW PRES
LOW PRES
SBT < f
SBT < f
DISC/SENSE
LOW MIN VOL
LOW MIN VOL
N/A
N/A
NO CAL DATA
HIGH O2 PRES
HIGH O2 PRES
LOW O2 PRES
LOW O2 PRES
RESET

LTV 1200 / 1150 Ventilators

HW FAULT
HW FAULT
RESET
N/A
N/A
N/A
N/A
HW FAULT
HW FAULT
RESET
HW FAULT
HW FAULT
HIGH PRES
HIGH PRES
HIGH PRES
HIGH PRES
None
Page E-7

Event Name

Code

Event

Associated Alarm
None
Entered VENT CHECK
mode
Inop
XDCR FAULT
XDCR FAULT
XDC FLT1

VENT 1

01

Power on

VENT CHK

04

Set vent check

WDOG TST
XDC FLT0
XDC FLT1
XDCR AIR

59
20
19
64

XDCR BI

63

XDCR NAR

61

XDCR WID

62

Watchdog test run


XDCR fault exited
XDCR fault occurred
Airway pressure transducer fault
Differential pressure transducer - Bidirectional channel fault
Differential pressure transducer - Narrow
channel fault
Differential pressure transducer - Wide
channel fault

Page E-8

LTV 1200 / 1150 Ventilators

XDC FLT1
XDC FLT1
XDC FLT1

Operators Manual
P/N 19802-001 Rev. F

Appendix F - GLOSSARY
TERM

DEFINITION

AC

Alternating Current.

Airway circuit

The airway tubing that connects the ventilator and the patient.

Airway pressure

The airway pressure measured at the exhalation valve.

Airway pressure display

A bar graph type display composed of 60 LEDs. This display shows


the real-time airway circuit pressure from 10 cmH2O to 108 cmH2O.

Alarm

An audible and visual announcement that an alarm condition has been


met. Audible notification includes an oscillating or continuous tone.
Visual notification may include flashing displays, illuminated LEDs, and
text messages shown in the display window.

Apnea

Apnea happens when the time between breath starts exceeds the set
apnea interval.

Apnea backup
ventilation

Apnea Backup Ventilation begins when an apnea alarm occurs and


continues until the patient initiates 2 consecutive breaths or the alarm
is canceled by an operator. Apnea Backup Ventilation is given in the
Assist/Control mode.

Apnea interval

The maximum period of time allowed between breath starts. If the time
between breath starts exceeds this interval, an Apnea alarm occurs.

Assist/Control mode

A mode of ventilation where the patient receives a minimum number of


machine and assist breaths. The available breath types are Volume
Control and Pressure Control.

Assist breath

A volume or pressure breath that the patient triggers, and which is


then controlled and cycled by the ventilator. Assist breaths may occur
in Assist/Control and SIMV modes.

Autozero

The procedure for determining the transducer zero offset for ambient
pressure.

Bias flow

A constant stream of gas through the patient circuit during the


exhalation phase of the breath.

bpm

Breaths Per Minute.

Breath period

The time between consecutive ventilator started breaths. The Breath


Period is determined by the Breath Rate per minute setting. For
instance, a Breath Rate of 6 would give a Breath Period of 10 seconds
(60 seconds divided by 6 bpm).

Breath rate, set

The minimum quantity of machine breaths given in a minute.

BTPD

Body Temperature, Pressure Dry.

Circuit

See airway circuit.

Circuit pressure

See airway pressure.

cmH2O

Centimeters of water. A unit of measure for pressure.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page F-1

TERM

DEFINITION

Control mode

A ventilation mode where the ventilator delivers machine breaths at a


set rate. In Control Mode, patient triggers are not allowed.

CPAP

Continuous Positive Airway Pressure. The ventilator continuously


maintains Positive gas pressure through the patient circuit during the
entire breath cycle.

CPAP mode

A ventilation mode where the patient triggers all breaths. Available


breath types are Pressure Support and Spontaneous.

Display window

A set of 12 dot-matrix displays used to show monitored data, alarm


messages and Extended Feature menu items.

EEPROM

Electrically Erasable Programmable Read Only Memory. Nonvolatile


electronic memory that is used by the ventilator to maintain calibration
data, control setting and other data when power is not applied to the
ventilator.

EPAP

Expiratory Positive Airway Pressure. The positive gas pressure in the


patient circuit during breath exhalation.

Event

Any condition noted in the ventilators event trace. This may include
both error conditions and normal operational events.

Exhaled tidal volume

See Tidal Volume.

Expiratory hold

A maneuver which holds the expiratory phase of a delivered breath for


a duration sufficient to determine the AutoPEEP of a patient.

Extended features

A set of ventilator controls and options that are not associated with
front panel controls. Extended Features are accessed through a menu
shown in the display window.

See Total Breath Rate, monitored.

Flow

The velocity of gas delivery to the patient, quantified in lpm.

Flow trigger

A patient effort in which the amount of bias flow routed into the
patients lungs exceeds the Sensitivity setting. A flow trigger will result
in delivery of an Assist or Patient breath, according to the ventilation
mode.

f/Vt

Total Breath Rate divided by the average Exhaled Tidal Volume.

f/Vt f

Total Breath Rate divided by the average Exhaled Tidal Volume, and
the Total Breath Rate.

I:E ratio, monitored

The ratio of the inspiration period to the expiration period for a breath.
The lesser value is normalized to 1.

I:E ratio, calculated

Calculated Inspiratory:Expiratory ratio, based upon the Inspiratory


Time setting and the Breath Rate setting

Inspiratory hold

A maneuver which holds the inspiratory phase of a volume delivered


breath for a duration sufficient to determine Pres pressure and static
lung compliance of the patient.

IPAP

Inspiratory Positive Airway Pressure. The positive gas pressure in the


patient circuit during breath inhalation.

Liters

Leak compensation

Leak Compensation improves triggering when a circuit leak is present.

Page F-2

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

TERM

DEFINITION

LED

Light Emitting Diode. An indicator that is illuminated on the front panel.

lpm

Liters Per Minute. Flow rate.

Machine breath

A volume or pressure breath that is started by the operator or the


ventilator, and is controlled and cycled by the ventilator. Machine
Breaths may occur in Control and Assist/Control modes. The operator
may cause a machine breath in any mode using the Manual Breath
Button.

Manual breath

A Machine Breath initiated by the operator pushing the Manual Breath


Button.

MAP

Mean Airway Pressure.

Mean airway pressure,


monitored

The average airway pressure over a series of breaths.

Minimum exhalation time

The minimum time required for exhalation is 346 msec. Control


settings are limited to ensure the Minimum Exhalation Time is
provided. Breaths may not be triggered during the Minimum Exhalation
Time.

Minimum inspiratory
time

The minimum time required for inspiration is 300 msec. Control


settings are limited to ensure the Minimum Inspiratory Time is
provided.

Minute volume,
monitored (VE)

The total volume exhaled by the patient for the last 60 seconds. VE is
refreshed at the conclusion of each breath and is based on the last 8
breaths.

MR Conditional

A designation given to an item that has been demonstrated to pose no


known hazards in a specified magnetic resonance (MR) environment
with specific conditions of use.
A designation given to an item that poses no known hazards in all MR
environments.

MR Safe
A designation given to an item that is known to pose hazards in all MR
environments.
MR Unsafe
msec

Millisecond: One one-thousandth of a second.

Non-volatile memory

Memory that is retained when ventilator is in Standby mode or


powered off.

O2

Oxygen.

Patient breath

A Pressure Support or Spontaneous breath that is started by the


patient, controlled by the ventilator and cycled by the patient. Patient
breaths may occur in SIMV and CPAP ventilation modes.

Patient effort

Inspiratory effort by the patient.

Peak inspiratory
pressure, monitored (PIP)

The maximum circuit pressure occurring during the inspiration and first
300 ms exhalation phase of a breath. PIP is measured at the patient
wye.

PEEP

Positive End Expiratory Pressure.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page F-3

TERM

DEFINITION

PIP

Peak Inspiratory Pressure.

Positive end expiratory


pressure, monitored
(PEEP)

The circuit pressure measured at the end of exhalation.

POST

Power On Self Tests. A set of self-tests the ventilator performs when


turned on to verify the operational integrity of the Processor, Displays,
Audible alarm, Confirming Audible Chirp, SRAM, Program Memory
and EEPROM (some tests require operator visual and/or audible
verification).

PreSet

A feature allowing ventilator parameters to be preset for an infant,


pediatric, or an adult patient.

Pressure control breath

A machine or assist breath where the circuit pressure is elevated to a


operator-set pressure for a operator-set period of time. Pressure
Control breaths have an optional flow termination criteria.

Pressure support breath

A patient breath where the circuit pressure is raised to an operator-set


pressure and maintained until flow decreases to an operator-set
percentage of the peak flow achieved. Pressure Support Breaths may
also be terminated by an operator-set maximum time, or by exceeding
2 breath periods.

Pressure Trigger

A patient effort in which the pressure below PEEP is less than the
Sensitivity setting. A pressure trigger will result in a delivered breath.

PSIG

Pounds per Square Inch Gauge. A unit for measuring pressure.

rpm

Revolutions per minute. Turbine speed is measured in rpm.

Scrolling, monitored data


display

Displays the monitored values statically or allows for automatic scroll


ing. While scrolling is active, each monitored value will be displayed
for 3 seconds then the next value will be automatically displayed.

SIMV

Synchronized Intermittent Mandatory Ventilation.

SIMV mode

A ventilation mode where a minimum number of machine or assist


breaths are given, and the patient is allowed to trigger additional
Patient breaths. Available breath types are volume control, pressure
control, pressure support, and spontaneous.

Spontaneous breath

A breath which the patient starts and cycles. Spontaneous breaths are
cycled at 10% of peak flow, set variable time termination, or when they
exceed 2 breath periods.

Spontaneous Breathing
Trial (SBT)

A ventilation mode used to temporarily minimize ventilatory support


and perform clinical assessments of a patients dependence on, or
ability to be removed from positive pressure ventilation.

Tidal volume, monitored


(Vte)

The exhaled volume quantified at the patient wye. Exhaled volume is


measured for all breath types.

Total breath rate,


monitored (f)

The quantity of breaths given per minute; includes all breath types.

Transducer

A measuring device. Transducers can be used to quantify flow or


pressure.

Vcalc

A monitor that displays the calculated peak flow for volume control
breaths. Vcalc is calculated based on the set tidal volume and the set
inspiratory time.

VE

See minute volume, monitored.

Page F-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

TERM

DEFINITION

Volume control breath

A machine or assist breath where a operator-set volume is delivered


over a operator-set time. Flow is delivered in a decelerating waveform
where the peak and final flows are calculated so that the final flow is
50% of the peak flow.

Vte

See tidal volume, monitored.

Operators Manual
P/N 19802-001 Rev. F

LTV 1200 / 1150 Ventilators

Page F-5

Page F-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

Appendix G - INDEX

A
AC Adapter 14-2
AC Power Source 14-2
Active Alarm 6-28
Airway Pressure Display See Displays:Airway Pressure
ALARM 11-3, 15-24
Alarm Clearing 6-28
ALARM OP 10-3
Alarm Operations 10-3
Alarm Silencing 6-28
Alarm Status Messages
f PEEP OFF 9-33
H&L PEEP OFF 9-34
HI f/Vt OFF 9-33
HI PEEP OFF 9-33
HIGH f OFF 9-34
LMV LPPS OFF 9-34
LMV OFF 9-35
LO f/Vt OFF 9-36
LO PEEP OFF 9-35
LOCKED 9-35
LPPS OFF 9-36
SBT f OFF 9-36
SBT f/Vt OFF 9-37
SBT HI f OFF 9-37
SBT LO f OFF 9-37
SBT TIME 9-38
WARMUP xx 9-38
Alarm Test 11-3, 15-24
ALARM VOL 10-3, 15-24
Alarm Volume 10-3, 15-24
Alarms
APNEA 4-2, 4-3, 9-2, 10-4
APNEA xx bpm 4-2, 4-3, 9-2
BAT EMPTY 9-3
BAT LOW 9-5
DEFAULTS 9-7, 15-22
DEFAULTS SET 9-9
DISC/SENSE 9-10, 15-20, 15-21
HIGH f 9-11, 9-20
HIGH O2 PRES 9-12, 15-2
HIGH PEEP 9-13
HIGH PEEP 10-5
HIGH PRES 6-4, 9-14, 10-4, 15-2, 15-19
HW FAULT 9-16, 13-2, 15-21
INOP 9-17
LOCKED 5-7
LOW MIN VOL 6-11, 9-18, 15-2

Operators Manual
P/N 19802-001 Rev. F

LOW O2 PRES 9-19, 15-2


LOW PEEP 9-20
LOW PEEP 10-5
LOW PRES 6-12, 9-21, 10-4, 15-2
NO CAL 8-1, 9-22
NO CAL DATA 9-22, 15-21
POWER LOST 1-5, 9-23, 14-6
POWER LOW 9-24
REMOVE PTNT 9-25
RESET 9-26, 15-21
SBT < f 9-27
SBT < f/Vt 9-29
SBT > f 9-28
SBT > f/Vt 9-30
SBT OFF 9-31
XDCR FAULT 9-32, 15-21
Apnea 4-2, 4-3, 9-2
Apnea Backup 4-2, 4-3, 4-5, 9-2
Apnea Backup Rate 4-5
APNEA INT 10-4
Apnea Interval 4-5, 10-4
APNEA xx bpm 4-2, 4-3, 9-2
Assist / Control Mode 4-1
Assist/Control/SIMV/CPAP/NPPV Mode 6-1
Audible Alarm Test 11-3
Audible Alarm Volume 10-3
Autocycling 15-6
Automatic High O2 Switch Over 6-13, 9-12
Automatic Scrolling 8-2
Automobile Cigarette Lighter Adapter 14-8
Autozero 9-32, 10-30

B
Backup Pressure Trigger See Triggers
BAT EMPTY 9-3
BAT LOW 9-5
Battery See Internal or External Battery
Battery Charge Status 7-4, 14-1
Battery Level 7-2
Bias Flow 4-6
Blanked Controls, Displays 5-5
Boot, Installation C-6
Boot, Removal C-3
Boots C-2
Breath Type
Pressure Control 3-3
Pressure Support 3-5, 4-4
Spontaneous 3-6
Volume Control 3-2

LTV 1200 / 1150 Ventilators

Page G-1

Button Controls 5-4

CRC 15-21
CTRL UNLOCK 10-15, 15-3

Calculated Peak Flow 6-29, 8-2, 8-4


Calibration B-1
Car Lighter Adapter 14-8
Cautions iv
Charge Status 7-4, 14-1, 14-12
Checklist, Ventilator Settings 12-11
Checkout Tests 11-1
Cigarette Lighter Adapter 14-8
Cleaning 13-1
Fan Filter 13-2
Inlet Filter 13-3
O2 Inlet Filter 13-4
Clearing Alarms See Alarms:Clearing
Com Port C-15
COM SETTING 10-16
Communications Port C-15
Communications Setting 10-16, C-15
Connecting to a Patient 12-3
Continuous Flow See Bias Flow
CONTROL 11-6
Control Lock 5-7, 6-3, 9-35, 15-3
Control Mode 4-1
Control Test 11-6
Control Unlock 10-15
Controls 5-1, 5-2, 5-3, 5-4, 6-1
Assist/Control/SIMV/CPAP/NPPV Mode 6-1
Blank 5-5
Dashes 5-6
Dimmed 5-5, 15-3
Flashing 5-6
High Pressure Limit 14-5, 15-2
Inspiratory Time 6-10
Limiting 5-6
Lock 5-7, 6-3, 9-35, 10-15, 15-3
Low Minute Volume 6-11, 15-2
Low Pressure 6-12, 15-2
Low Pressure O2 Source 6-13, 9-12
Manual Breath 6-17
O2% (O2 Flush) 6-14, 6-18, 6-19, 9-19, 10-27,
15-2, 15-4
On/Standby 6-20
PEEP Control 6-22
Pressure Control 6-23, 15-2
Pressure Support 6-24, 15-2
Select 6-25
Sensitivity 6-26
Set Value Knob 5-4, 6-27
Setting 5-3
Silence / Reset 6-28
Tidal Volume 6-29
Unlock 10-15
Volume Pressure Mode 6-31, 15-4
CPAP Mode 4-3

Page G-2

Dashes in Display 5-6


Date 10-17, 10-18
DATE FORMAT 10-18
Decelerating Waveform 3-2, 6-29
Default Controls Settings 9-8
Default Extended Features Settings 9-8
DEFAULTS 9-7, 15-22
DEFAULTS SET 9-9
Dimmed Controls, Displays 5-5, 15-3
DISC/SENSE 9-10, 15-20, 15-21
Disconnect, Sense Line 9-10
DISPLAY 11-4
DISPLAY f/Vt 10-28
Display Language 10-15
Display Select 11-7, A-1
Display Test 11-4
Display Window 7-1
Displays 5-1, 5-2, 7-1
Airway Pressure 7-1, 10-19
Battery Level 7-2
Blank 5-5
Charge Status 7-4
Dashes 5-6
Dimmed 5-5, 15-3
External Power 7-5
Flashing 5-6
NPPV 7-6
Patient Effort 7-6
Vent Inop 7-6
Window 7-1

E
Effort LED 6-26
EMC iii
EPAP 4-4, 6-1, 6-22, 12-9
ET Tube 15-26
Event Codes E-3
Event Trace E-1
Exhaled Minute Volume 8-3
Exhaled Tidal Volume 8-2, 8-3
EXP HOLD 6-5, A-1
Expiratory Hold 6-5, 6-8, A-1, F-2
Extended Features 5-4, 6-25, 6-27
Navigation 10-2
External Battery 14-3
Disposal 14-4
External Power 7-5, 14-4, 14-9

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

F
f 8-2, 8-3
f PEEP OFF 9-33
f/Vt f 8-2, 8-4
Fan Filter 13-2
Filter
O2 Inlet 13-4
Flashing Controls, Displays 5-6
FLOW TERM 3-4, 3-5, 6-23, 6-24, 10-9, 10-11
Flow Trigger See Triggers

H
H&L PEEP OFF 9-34
Help 2-4, B-2
HI f/Vt OFF 9-33
HI PEEP OFF 9-33
HIGH f 9-11, 9-20, 10-5, 15-22
HIGH f OFF 9-34
HIGH f/Vt 10-28
HIGH O2 PRES 9-12, 15-2
HIGH PEEP 9-13, 10-5, 15-22
HIGH PRES 6-4, 9-14, 10-4, 15-2, 15-19, 15-20
High Pressure Alarm Delay See HP DELAY
High Pressure Limit 14-5, 15-2
High Rate Alarm See HIGH f
Hours in Operation 10-16
HP DELAY 10-4, 15-19
Humidifier C-11
HW FAULT 9-16, 13-2, 15-21

I
IE Ratio 8-2, 8-3
Inactive Alarm 6-28
Inlet Filter 13-3
INOP 9-17
INSP HOLD 6-5, A-1
Insp/Exp 6-5, 6-6, 6-8
Inspiratory Hold 6-6, A-1, F-2
Inspiratory Time 6-10
Inspiratory/Expiratory 6-5, 6-6, 6-8, 9-8, A-1
Internal Battery 14-12
Battery Life 14-12
Charge Status 14-12
Charging 14-12
Disposal 14-12
Replacing 14-12
IPAP 4-4, 6-1, 6-24, 12-9

L
LANGUAGE 10-15
LEAK 11-8

Operators Manual
P/N 19802-001 Rev. F

Leak Compensation F-2


Leak Test 11-8
Leak Test Query 10-25
Limiting 5-6, 15-3
LMV LPPS OFF 9-34
LMV OFF 9-35
LO f/Vt OFF 9-36
LO PEEP OFF 9-35
LOCKED 5-7, 9-35, 15-3
LOW f/Vt 10-28
LOW MIN VOL 6-11, 9-18, 15-2
Low Minute Volume 6-11, 9-18, 15-2
LOW O2 PRES 9-19, 15-2
Low Peak Pressure Alarm See LPP ALARM, See Low
Pressure Alarm
LOW PEEP 9-20, 10-5
LOW PRES 6-12, 9-21, 10-4, 15-2
Low Pressure Alarm 6-12, 10-4, 15-2
Low Pressure O2 Source 6-13, 9-12
LPP ALARM 6-12, 10-4
LPPS OFF 9-36
LTM Compatibility 10-19
LTM Graphics Monitor C-15
LTV1200 10-19

M
Maintenance B-1
Manometer See Displays:Airway Pressure
Manual Breath Button 6-17
MAP 8-2, 8-3
Mean Airway Pressure 8-2, 8-3
Message Window See Displays:Window
Minimum Exhalation Time 3-1
Minimum Inspiratory Time 3-1
Minute Volume 8-2, 8-3
MINUTES 10-28
Mode Buttons 5-4
Model Number 10-19
Modes 4-1
Apnea Backup 4-2, 4-3, 4-5
Assist / Control 4-1
Control 4-1
CPAP 4-3
NPPV 4-4
Pressure 4-6, 6-31
SIMV 4-2
Volume 4-6, 6-31
Monitor Window See Displays:Window
Monitored Data See Monitors
Monitored Data Displays 6-25, 8-2
Monitors 6-25
Calculated Peak Flow 8-2, 8-4
Exhaled Minute Volume 8-3
Exhaled Tidal Volume 8-2, 8-3
f 8-3
f/Vt f 8-2, 8-4
IE Ratio 8-2, 8-3

LTV 1200 / 1150 Ventilators

Page G-3

MAP 8-2, 8-3


Mean Airway Pressure 8-2, 8-3
Minute Volume 8-2
NO CAL 9-22, 15-21
Peak Inspiratory Pressure 8-2, 8-3
PEEP 8-2, 8-3
PIP 8-2, 8-3
SBT min 8-2, 8-4
Total Breath Rate 8-2, 8-3
Vcalc 8-2, 8-4
VE 8-2, 8-3
Vte 8-2, 8-3
MR Conditional System 16-1

N
NIST Adapter C-12
NO CAL 8-1, 9-22, 15-21
NO CAL DATA 9-22, 15-21
Non-Invasive Positive Pressure Ventilation See NPPV
mode
NPPV Mode
Indicator 7-6
Nurse Call See Patient Assist Call

O
O2 Bleed In 6-16
O2 Conserve 10-13
O2 Cylinder Duration 10-21
O2 Flush 10-14
O2 Inlet Filter 13-4
O2% 15-2
O2% (O2 Flush) 6-14, 6-18, 6-19, 9-19, 10-27, 15-4
On/Standby Button 6-20
Operating Procedures 12-1
Connect to a Patient 12-3
Operating Theory D-1
Oxygen
Blending 6-18
Concentration, Bleed In 6-16
Concentrator 6-13
Connecting C-12
Source 2-3

Peak Flow 6-29


Peak Inspiratory Pressure 8-2, 8-3
PEEP 10-27
PEEP Control 6-22
PEEP, Monitored 8-2, 8-3
PIP 8-2, 8-3, 10-19
PIP LED 10-19
PNT ASSIST 10-6, 15-22, 15-23
Positive End Expiratory Pressure See PEEP,
Monitors:PEEP
POST 15-21
POWER LOST 1-5, 9-23, 14-6
POWER LOW 9-24
Power Source 2-3, 14-1
AC 14-2
Automobile Cigarette Lighter Adapter 14-8
External Battery 14-3
PRES SUPPORT 10-27
Presets 10-23
Presets Query 10-23
Presets Table 10-24
Pressure Control 6-23, 15-2
Pressure Control Breath 3-3
Pressure Control Flow Termination See PC FLOW
TERM
Pressure Mode 4-6, 6-31
Pressure Support 6-24, 15-2
Pressure Support Breath 3-5, 4-4
Pressure Trigger See Triggers
Preventative Maintenance B-1
Protective Boot, Installation C-6
Protective Boot, Removal C-3
Protective Boots C-2

R
Real Time Transducers 10-33
Remote Alarm Cable C-16
Remote Alarm System 15-22
REMOVE PTNT 9-25, 11-2
RESET 9-26, 15-21
RISE TIME 3-3, 6-23, 6-24, 10-8
Rise Time Profile See RISE TIME
RT XDCR DATA 10-33, 15-6
RUNAWAY 15-21

Patient Assist Call C-14


Patient Assist Call System 15-23
Patient Circuit
Connecting C-10
Humidifier C-11
Patient Connection 12-3
Patient Effort 6-26, 7-6
PC FLOW TERM 3-4, 6-23, 10-9, 10-11, 15-2

SBT < f 9-27, 15-23


SBT < f/Vt 9-29
SBT > f 9-28, 15-23
SBT > f/Vt 9-30, 15-23, 15-24
SBT f OFF 9-36
SBT f/Vt OFF 9-37
SBT FIO2 10-28
SBT HI f OFF 9-37

Page G-4

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

SBT HIGH f 10-28


SBT LO f OFF 9-37
SBT LOW f 10-28
SBT min 8-2, 8-4
SBT OFF 9-31
SBT OP 10-23, 10-26
SBT Operations 10-26
SBT Operations, DISPLAY f/Vt 10-28
SBT Operations, HIGH f/Vt 10-28
SBT Operations, LOW f/Vt 10-28
SBT Operations, MINUTES 10-28
SBT Operations, PEEP 10-27
SBT Operations, PRES SUPPORT 10-27
SBT Operations, SBT FIO2 10-28
SBT Operations, SBT HIGH f 10-28
SBT Operations, SBT LOW f 10-28
SBT Operations, SBT OP 10-23, 10-26
SBT Operations, SBT START 10-27
SBT Quick Start 10-29
SBT START 10-27
SBT TIME 9-38
Scrolled Automatically 9-33, 9-34, 9-35, 9-36, 9-37,

9-38

Scrolling 8-2, F-4


Select Button 6-25
Sensitivity 6-26
Serial Number 10-19
Service 2-4, B-2
SET DATE 10-17
Set Defaults 10-20
SET TIME 10-18
Set Up
Assist / Control Mode 12-6
Control Mode 12-5
CPAP Mode 12-8
NPPV Mode 12-9
SIMV Mode 12-7
Set Value Knob 6-27
Setting a Control See Controls:Setting
Settings, Ventilator Checklist 12-11
Silence / Reset Button 6-28
Silence Period 6-28
Silencing Alarms See Alarms:Silencing
SIMV Mode 4-2
Software Version 10-16
Specifications A-1
Spontaneous Breath 3-6
Spontaneous Breathing Trial (SBT) 10-26
STACK 15-21
Standby 6-20
Sterilizing 13-1

T
Taper Waveform 3-2, 6-29
Test
Alarm 15-24

Operators Manual
P/N 19802-001 Rev. F

Tidal Volume 6-29, 8-3


Time 10-18
TIME TERM 3-5, 6-24, 10-10, 15-2
Total Breath Rate 8-2, 8-3
Transducer Autozero 10-30
Transport Battery System 14-11
Triggers 3-1, 4-6, 6-26, 7-6
Troubleshooting 15-1

U
Universal Power Supply kit 14-10
Unlock 10-15, 15-3
Usage Meter 10-16
USAGE xxxxx.x 10-16

V
Valve Home Position 10-20
Variable Flow Termination See FLOW TERM
Variable Rise Time See RISE TIME
Variable Time Termination See TIME TERM
Vcalc 8-2, 8-4
VE 8-2, 8-3
VENT CHECK
exit 11-12
VENT CHECK Menu 11-1
Vent Inop 7-6
Vent Inop Alarm Test 11-10
VENT OP 10-7
Vent Operations 10-7
Ventilator Checkout C-18
Ventilator Checkout Test
Alarm Test 11-3
Control Test 11-6
Display Test 11-4
Leak Test 11-8
Vent Inop Alarm Test 11-10
Ventilator Checkout Tests 11-1
Ventilator Proper Operation Checkout
Worksheet C-20
VER xx.xx X 10-16
VHome 10-20, 15-7, 15-8, 15-10, 15-12
Volume Control Breath 3-2
Volume Mode 4-6, 6-31
Volume Pressure Mode 6-31, 15-4
Vte 8-2, 8-3

W
WARMUP xx 9-38
Warnings iv
Warranty ii
Waveform 3-2, 6-29
Worksheets
Ventilator Proper Operation Checkout C-20

LTV 1200 / 1150 Ventilators

Page G-5

XDCR ZERO 10-30, 15-7, 15-8, 15-9, 15-10, 1511, 15-13

XDCR FAULT 9-32, 15-21

Page G-6

LTV 1200 / 1150 Ventilators

Operators Manual
P/N 19802-001 Rev. F

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