COVID-19 Quick Configuration Guide...COVID-19 Quick Configuration Guide VentecLife.com 1 COVID-19 Quick Configuration Guide This guide provides basic instructions for setting up and

COVID-19 Quick Configuration Guide

VentecLife.com 1

COVID-19 Quick Configuration Guide

This guide provides basic instructions for setting up and configuring VOCSN. It includes initial settings that can be used and modified as needed to begin treatment of patients suffering from the symptoms associated with COVID-19.

These basic setup instructions are intended for use in an emergency response situation. In-depth clinical instructions are available online at VentecLife.com/VOCSNmanual.

1 CONNECT FILTER AND PATIENT CIRCUITThe example graphic below shows how to set up an Active circuit type.

Note: If there’s also an O2 tube with your circuit, connect it to the “O2” port under the bacterial filter. (You can still deliver oxygen without one.)

VOCSN VOCSNBACTERIAL

FILTER

PATIENT CIRCUIT“Active” circuit type shown.

Yours may or may not also include an O2 tube.

ACTIVE

O2(if included)

CONNECTPATIENTLATER

(STEP 9)

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2 CONNECT EXTERNAL OXYGENConnect high-pressure or low-pressure oxygen to the back of VOCSN.

After connecting it, turn the oxygen source on.

3 CONNECT POWERPlug the power cord into an outlet and the power block. Then, plug the other end into the back of VOCSN and screw the connector clockwise.

4 POWER ONPress the On/Off button on the lower right side of VOCSN.

Note: VOCSN will emit a series of beeps and clicks as it starts up. These are normal.

5 SKIP THE PRE-USE TEST (FOR NOW)Press EXIT on the Pre-Use Test screen. You will run a Pre-Use Test in step 8, after configuring VOCSN.

HIGH PRESSURE (wall oxygen or oxygen tank)

LOW PRESSURE(requires inlet adapter)

TOUCHSCREEN

ALARM SILENCE

ON/OFF

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6 CHANGE “UNLOCK REQUIRED?” TO “NO.”VOCSN default settings include a Clinician Access feature that will lock the device after 15 minutes. To prevent control settings from being locked while you are setting up and using VOCSN, turn this feature off.

VOCSN has four main navigation tabs - Home, Therapy, Monitors, and Menu.

a Press the Menu tab, and then select CLINICIAN ACCESS.

b Locate the device serial number on back of the device. It’s on a label on lower left, next to the SN symbol.

c Enter the last four digits of the serial number using the numeric pad on the touchscreen, and then press ACCEPT.

d Select DEVICE SETTINGS next. Scroll to UNLOCK REQUIRED?, press it to highlight it, and then press EDIT > in the right side of the blue banner.

e Change the control setting to NO, and then press ACCEPT.

f When done, press the < EXIT tab in the upper left hand

corner.

0 5 10 15 20 25 30L H

MY VOCSN

i

LOGSPRE-USE TEST DEVICESETTINGS

SETTINGS& ALARMS

CLINICIAN ACCESS

No Alarms

PRESSURE (cmH20)

Therapy MenuMonitorsHome

SIMV-PRESV

0 5 10 15 20 25 30L H

EDIT

INSUFFLATION TIME 3.0 seconds

ALARM VOLUME Medium

DATE 2017-09-30

TIME 02:32 PM

CALIBRATE TOUCHSCREEN

UNLOCK REQUIRED? Yes

PRESET 2PRESET 2PRESET 1PRESET 1DEVICE

SETTINGSPRESCRIPTIONSEXIT

No Alarms

PRESSURE (cmH20)

SIMV-PRESV

0 5 10 15 20 25 30L H

EDIT

INSUFFLATION TIME 3.0 seconds

ALARM VOLUME Medium

DATE 2017-09-30

TIME 02:32 PM

CALIBRATE TOUCHSCREEN

UNLOCK REQUIRED? Yes

PRESET 2PRESET 2PRESET 1PRESET 1DEVICE

SETTINGSPRESCRIPTIONSEXIT

No Alarms

PRESSURE (cmH20)

SIMV-PRESV

EDIT

NOW ACTIVEHIGH FLOW

EDIT

MOBILE

PRESS TO EDITPRESS TO EDIT

PRESS TO EDIT

ACCEPTCANCEL

No

Yes

0 5 10 15 20 25 30L H

Menu

MY VOCSN

i

LOGSPRE-USE TEST DEVICESETTINGS

Therapy MenuMonitorsHome

SETTINGS& ALARMS

CLINICIAN ACCESS

Click OK to enter ClinicianAccess mode.

Please enter passcodefor clinician access

ACCEPTCANCEL

1 2 3

4 5 6

7

0

8 9

No Alarms

PRESSURE (cmH20)

SIMV-PRESV

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7 CONFIGURE VENTILATIONVOCSN has up to five Therapy buttons - Ventilation, Oxygen, Cough, Suction, and Nebulizer.

a Press the Therapy tab, Ventilation, and then SETTINGS & ALARMS.

b Use the tabs at the top of the Settings & Alarms screen to navigate between the three available presets.

c Press the Preset 2 tab. If Preset Enable, says Disabled next to it, press it to highlight it and then press EDIT > on the right side of the screen. Select Enable and then ACCEPT. Repeat this process for the Preset 3 tab.

d You are ready to configure Ventilation. To ensure you have access to all settings, set up ventilation using presets that are NOT active first. (At factory default settings, this means configuring Preset 2 and Preset 3 first.)

e To change a setting, scroll to the setting you would like to modify, press it to highlight it, and then press EDIT > on the right side of the blue banner. Enter the desired setting in the pop-up, and then press ACCEPT to confirm the change.

Note: See page 6 for generic COVID-19 ventilation settings that may be used as a guide for configuring

0 5 10 15 20 25 30L H

NEBULIZERSUCTIONCOUGHOXYGENVENTILATION

No Alarms

PRESSURE (cmH20)

SIMV-PRESV

Therapy MenuMonitorsHome

VENTILATION BUTTON

0 5 10 15 20 25 30L H

EXIT SETTINGS& ALARMS

Prepare patient circuit for ventilation,select preset, and press START to begin.

PRESET 1

SIMV-Pres

ACTIVE NOWSTARTNOW ACTIVE

No Alarms

PRESSURE (cmH20)

SIMV-PRESV

SETTINGS& ALARMS

0 5 10 15 20 25 30L H

EDIT

CIRCUIT TYPE

TIDAL VOLUME

BREATH RATE

INSPIRATORY TIME

PEEP

Active

500 mL

15 BPM

1.0 seconds

5 cmH20

PRESET 2PRESET 1EXIT PRESET 3NOW ACTIVE

No Alarms

PRESSURE (cmH20)

25 30H

PRESS TO EDIT

SIMV-PRESV

PRESS TABS AND CONFIGURE NON-ACTIVE PRESET(S): 2 & 3

THERAPY TAB

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VOCSN. These presets are intended for delivery of invasive volume or pressure ventilation (through an endotracheal tube), or non-invasive ventilation (using a mask).

f When you are done configuring the inactive Presets (2 and 3), press < EXIT.

g To set the Preset 1 settings, you must first ensure it is no longer active. Press the START button below Preset 2 or 3. Then, highlight Preset 1 and press SETTINGS & ALARMS again. You may now fully configure the final Preset 1 settings.

h Once all desired presets are configured press < EXIT to view the main Ventilation therapy screen. Select the Preset you would like to use to deliver therapy to the patient, and then press the START button beneath it.

0 5 10 15 20 25 30L H

EXIT SETTINGS& ALARMS

Prepare patient circuit for ventilation,select preset, and press START to begin.

NIV

Bi-Level

ACTIVE NOWSTARTSTART

INVASIVE V

AC-Vol AC-Pres

INVASIVE P

NOW ACTIVE

No Alarms

PRESSURE (cmH20)

AC-PRESV

PRESS START TO BEGIN USING THE DESIRED PRESET

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The settings shown on this page are designed to treat an average adult male experiencing the symptoms of COVID-19, through an endotracheal tube (invasive ventilation). If needed, a mask can also be used with the basic non-invasive ventilation settings shown.

Use and modify these basic COVID-19 starter settings as needed for the patient physiology and condition. Verify settings are appropriate for the patient before providing therapy.

Ventilation Setting Name Volume Ventilation Pressure Ventilation Non-invasive Ventilation

PRESET LABEL INVASIVE V INVASIVE P NIV

MODE AC-Volume AC-Pressure Bi-Level

PATIENT TYPE Adult Adult Adult

HUMIDIFICATION HME HME HME

CIRCUIT TYPE *Setting must match Circuit Type connected in step 1. See top of circuit label.

Active* Active*

Active*

Use a non-vented mask with Active circuits. Use a vented mask with Passive and Valveless circuits.

BREATH RATE 15 BPM 15 BPM 15 BPM

INSPIRATORY TIME 1.0 seconds 1.0 seconds 1.0 seconds

TIDAL VOLUME 500 mL n/a n/a

PRESSURE CONTROL n/a 10 cmH2O n/a

PEEP 5 cmH2O 5 cmH2O

EPAP n/a n/a 5 cmH2O

IPAP n/a n/a 12 cmH2O above ambient

FLOW TRIGGER 3.0 L/min 3.0 L/min 3.0 L/min

FLOW CYCLE n/a n/a 25%

TIME CYCLE n/a n/a 1.5 seconds

PC FLOW TERMINATION n/a OFF n/a

RISE TIME n/a 3 3

APNEA RATE 12 Backup BPM 12 Backup BPM 12 Backup BPM

LEAK COMPENSATION ON ON ON

SIGH OFF n/a n/a

APNEA ALARM 20 seconds 20 seconds 20 seconds

BREATH RATE ALARM L =5 H =35 L =5 H =35 L =5 H =35

MINUTE VOLUME ALARM L =2.0 H =10.0 L =2.0 H =10.0 L =0.1 H =10.0

INSPIRATORY PRESSURE ALARM L =5 H =45 L =5 H =30 L =5 H =30

HIGH PEEP (or EPAP) 5 cmH2O above set PEEP 5 cmH2O above set PEEP 5 cmH2O above set EPAP

LOW PEEP OFF OFF OFF

PATIENT CIRCUIT DISCON. ALARM

3 breaths (leak up to 75 L/min)

3 breaths (leak up to 75 L/min)

10 breaths (leak 75 - 175 L/min)

HIGH PRESSURE DELAY 2 Breaths 2 Breaths 2 Breaths

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8 CONFIGURE AND START OXYGENOxygen therapy also includes three configurable presets.

a Press the Therapy tab, OXYGEN or EXTERNAL OXYGEN, and then SETTINGS & ALARMS.

b Change Oxygen therapy settings the same way you changed Ventilation settings: Scroll to the control you would like to modify, select the control to highlight it, and then press EDIT >. Press ACCEPT to confirm your selection.

c The following oxygen settings are designed to treat an average adult experiencing the symptoms of COVID-19. Modify these basic starter settings as needed for the specific patient and condition and verify settings are appropriate for the patient before providing therapy.

Oxygen Setting Name Settings - Maximum O2 Settings - Medium O2 Settings - Low Pres. O2

PRESET LABEL HIGH MEDIUM EXT LOW P

OXYGEN SOURCE External High Pressure External High Pressure Low Pressure O2

OXYGEN DELIVERY MODE FiO2 FiO2 O2 Bleed In

FIO2 100% 60% n/a

FIO2 ALARM L =80% H =OFF L =45% H =75% n/a

CHECK O2 ALARM n/a n/a ON

0 5 10 15 20 25 30

EXIT

L H

SETTINGS& ALARMS

No Alarms

PRESSURE (cmH20)

Ext. High-PressureFiO2

PRESET 3PRESET 2

21% 21%FiO2

Ext. High-Pressure

STOP THERAPYSTOP THERAPYSTARTSTART

21%FiO2

Ext. High-Pressure

PRESET 1

21 30 40 50 60 70 80 90 100

FiO2 MONITOR (%)O2 FLUSH

100%

AC-VOLV

SETTINGS& ALARMS

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d IMPORTANT: After configuration, you must press START under a preset to activate oxygen.

9 RUN A PRE-USE TESTPress the Menu tab, and then the PRE-USE TEST button.

Press NEXT, and then carefully follow the on-screen instructions.

You will be asked to perform actions with the patient circuit. When the Pre-Use Test passes, Ventilation (and Oxygen, if started) will begin automatically.

0 5 10 15 20 25 30

EXIT

L H

SETTINGS& ALARMS

No Alarms

PRESSURE (cmH20)

Low Pressure O2O2 Bleed In

EXT LOW PMEDIUM

60%FiO2

Ext. High-Pressure

STOP THERAPYSTOP THERAPYSTARTSTART

100%FiO2

Ext. High-Pressure

HIGH

21 30 40 50 60 70 80 90 100

FiO2 MONITOR (%)O2 FLUSH

100%

SIMV-VOLV

PRE-USE TEST

EXIT

NEXT

Ventilation is active: Preset 1 / Active Circuit

0 5 10 15 20 25 30L H

No Alarms

PRESSURE (cmH20)

AC-VOLV O

PATIENTCIRCUIT

HELP

Pre-Use Test

CAUTIONVentilation will pause.

If needed, disconnect the patient and provide backup ventilation before beginning this test.

PRESS START TO BEGIN DELIVERING OXYGEN

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10 CONNECT PATIENTConnect the patient circuit to a flex tube, HME(F), and then the patient’s endotracheal tube.

11 VOCSN IS NOW PROVIDING VENTILATION AND OXYGEN TO THE PATIENT.

Additional ResourcesFor manuals, training videos, and additional clinical resources,

see our COVID-19 support page online at:

VentecLife.com/COVID-19support

FLEX TUBE and HME(F)(provided by hospital)

PATIENT CIRCUIT(connected in step 1)

ENDOTRACHEAL TUBE(provided by hospital)

PATIENT

LBL-00175-000, Rev A