Philips Trilogy 200 - Manual

Trilogy200 clinical manual ii Chapter 3. Modes, Features, and Alarms......................................................................................................19 Therapy Modes ....................................................................................................................

Table of Contents iii High Vti Alarm .............................................................................................................44Low Vti Alarm .............................................................................................................44High Respiratory Rate Alarm...

Trilogy200 clinical manual iv Battery Disposal..........................................................................................................56First Time Use ..............................................................................................................56 Connect the Breath...

Chapter 1 Introduction 1 This chapter provides an overview of the Trilogy200 device. Package Contents The Trilogy200 system may include the following components. Some components are optional accessories that may not be packaged with the device. Clinical Manual AC Power Cord Flexible Tubing Universal...

Trilogy200 clinical manual 2 Intended Use The Philips Respironics Trilogy200 system provides continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation. Trilogy200 is intended for pediatric through adult patients weighing at least 5 kg (11 lbs.). Th...

Chapter 1 Introduction 3 Warnings and Cautions Caution: U.S. federal law restricts this device to sale by or on the order of a physician. Warnings A warning indicates the possibility of injury to the user or operator. Patient Monitoring Prior to placing a patient on the ventilator, a clinical assess...

Trilogy200 clinical manual 4 Personnel Qualifications Trilogy200 is a restricted medical device designed for use by Respiratory Therapists or other trained and qualified caregivers under the supervision of a physician. The prescription and other device settings should only be changed on the order of...

Chapter 1 Introduction 5 Operating and Storage Temperatures Do not use this device if the ambient temperature is warmer than 40˚ C (104˚ F). If the device is used at room temperatures warmer than 40˚ C, the temperature of the airflow may exceed 43˚ C. This could cause system alarms, thermal irritati...

Trilogy200 clinical manual 6 Remote Alarms When using a remote alarm, make sure you fully test the remote alarm connector and cable by verifying that: – Annunciated alarms on the ventilator are also annunciated on the remote alarm. – Disconnecting the remote alarm cable from the ventilator or from t...

Chapter 1 Introduction 7 Alarms Respond immediately to any alarm. It may indicate a potentially life-threatening condition. Refer to the Alarms and Troubleshooting chapters for more information.Visually monitor the patient and ventilator at all times during an Alarm Silence period. Allowing alarms t...

Trilogy200 clinical manual 8 Maintenance Follow the service recommendations provided in Chapter 7 of this manual.Periodically inspect electrical cords, cables, and the detachable battery pack for damage or signs of wear. Discontinue use and replace if damaged.Repairs and adjustments must be performe...

Trilogy200 clinical manual 10 Patient Circuit Exhalation valves, patient circuits, and water traps are shipped clean, not sterile. Cleaning and disinfection of these parts should follow individual institution processes and conform to guidelines provided by Philips Respironics with each accessory. Ex...

Chapter 1 Introduction 11 Contraindications If the patient has any of the following conditions, consult their health care professional before using the device in a non-invasive mode: • Inability to maintain a patent airway or adequately clear secretions • At risk for aspiration of gastric contents •...

Trilogy200 clinical manual 12 Symbols The following symbols appear on the device. Front Panel Symbol Description Therapy Start/Stop Alarm Indicator/Audio Pause ~ AC Power Indicator Rear and Side Panels Symbol Description ~ AC Power Connector Secure Digital (SD) Card Slot Serial Port Connector Remote...

Chapter 1 Introduction 13 Drip Proof Equipment For Airline Use. Complies with RTCA-D0160F section 21, category M. How to Contact Philips Respironics To have your device serviced, contact Philips Respironics Customer Service department at 1-724-387-4000 or 1-800-345-6443.

Chapter 2 System Description 15 This chapter describes the front and rear panel device controls and features. Front Panel Features The front panel contains the control buttons, visual indicators, and display screen. Buttons The following buttons are included on the front panel of the device. 1. Star...

Trilogy200 clinical manual 16 4. Left and Right Buttons These buttons allow you to select display options or perform certain actions specified on-screen. Visual Indicators Several power and alarm indicators appear on the front panel. 5. AC Power LED In the lower right corner of the front panel, a gr...

Chapter 2 System Description 17 1 2 3 Right Side Panel 4 Left Side Panel Side and Rear Panel Features The ventilator’s side and rear panels contain the following connectors and features, shown at right. 1. AC Power Inlet You can plug the AC power cord into this connector, located on the right side o...

Trilogy200 clinical manual 18 9 5 7 8 6 10 11 12 Rear Panel 5. Serial Connector You can use this connector to connect the device to a computer running PC Direct or Sleepware software or to other Philips Respironics devices such as Alice 5 and AOM. Use the Trilogy RS232 Serial Cable to connect the ve...

Chapter 3 Modes, Features, and Alarms 19 Therapy Modes The device provides Pressure Control Ventilation (PCV) and Volume Control Ventilation (VCV) for non-invasive and invasive patients. Pressure Control ventilation delivers a prescribed pressure to the patient according to set breath rate and set i...

Trilogy200 clinical manual 20 Breath Types There are four breath types that apply to the Volume Control and Pressure Control ventilation therapy modes: • Spontaneous • Mandatory • Assisted • Sigh Spontaneous Breath A Spontaneous breath is triggered by the patient. Breaths are initiated by the patien...

Chapter 3 Modes, Features, and Alarms 21 Therapy Mode Table The following table summarizes all of the therapy modes and the settings available in each mode. Some settings in the table are dependent upon other settings. For instance, if the circuit type is set to Active with Flow, then the Flow Trigg...

Trilogy200 clinical manual 22 Pressure Control Ventilation Therapy Modes Pressure Control ventilation modes deliver a prescribed pressure to the patient. Continuous Positive Airway Pressure (CPAP) Mode In the Continuous Positive Airway Pressure (CPAP) mode, the device delivers a continuous pressure ...

Trilogy200 clinical manual 24 Timed (T) Mode In Timed (T) mode, the device delivers bi-level pressure support. This mode delivers Mandatory breaths only. A Mandatory breath is delivered according to the prescribed BPM and inspiratory time settings. This also means that the ventilator will not respon...

Chapter 3 Modes, Features, and Alarms 25 Pressure Control (PC) Mode In Pressure Control (PC) mode, the device delivers bi-level pressure support. This mode delivers Assist and Mandatory breaths. This mode is identical to S/T mode, except that all breaths have a fixed inspiratory time. = Mandatory Br...

Trilogy200 clinical manual 26 During the time window, if patient effort is detected, either a Spontaneous or an Assist breath is delivered for the first effort. If the last breath delivered was Mandatory, then a Spontaneous breath is delivered for the first patient effort of the window. If the last ...

Chapter 3 Modes, Features, and Alarms 27 Volume Control Ventilation Therapy Modes Volume Control ventilation modes deliver a prescribed inspired tidal volume according to a set Breath Rate and a set Inspiratory Time. Control Ventilation (CV) Mode In Control Ventilation (CV) mode, the device delivers...

Trilogy200 clinical manual 28 Assist Control (AC) Mode In Assist Control (AC) mode, the device delivers volume control therapy. This mode provides Assist and Mandatory breaths. An Assist breath is started when there is patient effort, but it is ended when the Inspiratory Time setting has been met. A...

Chapter 3 Modes, Features, and Alarms 29 During the time window, if patient effort is detected, either a Spontaneous or an Assist breath is delivered for the first effort. If the last breath delivered was Mandatory, then a Spontaneous breath is delivered for the first patient effort of the window. I...

Trilogy200 clinical manual 30 Therapy Mode Features The device has several additional features that enhance patient comfort. Flex Comfort Feature The device consists of a special comfort feature called Flex. The device provides the Flex feature in CPAP mode and S mode. This feature is only available...

Chapter 3 Modes, Features, and Alarms 31 Bi-Flex In S mode, the Bi-Flex attribute adjusts therapy by inserting a small amount of pressure relief during the latter stages of inspiration and during the beginning part of exhalation. In the following diagram, the bold lines represent Bi-Flex in comparis...

Trilogy200 clinical manual 32 Rise Time In S, S/T, PC, T, PC-SIMV, and SIMV modes, rise time is the amount of time it takes the device to change from the expiratory pressure setting to the inspiratory pressure setting. Rise time levels of 1, 2, 3, 4, 5, or 6 progressively reflect slowed response of ...

Chapter 3 Modes, Features, and Alarms 33 IPAP Max IPAP Min EPAP TIME 15 30 45 60 TIME 15 30 45 60 PRESSURE Target Volume VOLUME Flow Pattern Types Two flow patterns are available in Volume Control ventilation therapy modes: • Square • Ramp Square With a square wave pattern, airflow is generally cons...

Trilogy200 clinical manual 34 Ramp With a ramp flow pattern, the airflow starts high and decreases throughout inspiration of the breath. 50% of Peak Flow FLOW TIME For the active circuit in volume modes, peak flow is required to be a minimum of 20 l/min. The wave form may be flattened when the combi...

Chapter 3 Modes, Features, and Alarms 35 Sigh Feature The sigh feature is available for Volume ventilation modes only.When the sigh feature is enabled, the ventilator delivers a sigh breath in place of every 100th mandatory or assisted breath delivered regardless of the mode of operation (i.e., AC, ...

Trilogy200 clinical manual 36 Triggering The device can be set to trigger breaths using the Auto-Trak or Flow Trigger sensitivity features. Digital Auto-Trak Sensitivity An important characteristic of the device is its ability to recognize and compensate for unintentional leaks in the system and to ...

Chapter 3 Modes, Features, and Alarms 37 Auto-Trak Sensitivity An essential feature of the device while operating in all modes is its ability to effectively sense spontaneous breathing efforts, which causes the ventilator to trigger to inspiration and cycle to expiration. Because no preset sensitivi...

Chapter 3 Modes, Features, and Alarms 39 Spontaneous Expiratory Threshold (Inspiration to Expiration): A second method used to cycle to expiration during spontaneous breathing in all modes except T, CV, AC, and SIMV, is called Spontaneous Expiratory Threshold (SET). The SET rises in proportion to th...

Trilogy200 clinical manual 40 Volume Control Cycle (Inspiration to Expiration) (Only available during Volume Control Therapy) An Inspiratory Time setpoint limits the time spent in inspiration during breathing in all modes. Once the time limit is reached, the unit automatically cycles to expiration. ...

Chapter 3 Modes, Features, and Alarms 41 BTPS Compensation All flows and volumes used in Trilogy are expressed in BTPS - Body Temperature atmospheric Pressure Saturated with H 2 O. All pressures are expressed relative to atmospheric pressure. Ventilator Alarms This section describes all of the venti...

Trilogy200 clinical manual 42 Check Circuit Alarm This is a high priority alarm. It occurs when the device detects a problem with the patient circuit, such as pinched or detached tubing, water condensation in the proximal pressure lines, or problems with the active exhalation device. Low Circuit Lea...

Chapter 3 Modes, Features, and Alarms 43 Circuit Disconnect Alarm This is a high priority alarm. It occurs when the breathing circuit is disconnected or has a large leak. The device continues to operate. The alarm will automatically terminate when the circuit is reconnected or the leak is fixed. Apn...

Trilogy200 clinical manual 44 High Vti Alarm This is a high priority alarm. It occurs when the delivered tidal volume is greater than the High Vti alarm setting for three consecutive breaths. The device continues to operate. The alarm will automatically terminate when a breath occurs in which the de...

Chapter 3 Modes, Features, and Alarms 45 For pressure modes, the alarm occurs when the delivered pressure exceeds the target patient pressure by 5 cmH 2 O or more during the inspiratory phase. The device will automatically cycle to the expiratory phase and continue to operate. The alarm will automat...

Trilogy200 clinical manual 46 Low Battery Alarm The Low Battery alarm occurs when the last battery available is low or nearly depleted. This alarm occurs in two stages. When approximately 20 minutes of battery run time remains, a medium priority alarm is generated, and the device continues to operat...

Chapter 3 Modes, Features, and Alarms 47 If the problem is not corrected, the device will generate a reminder message once per day, or whenever power is cycled, until the issue is corrected. Additionally, if the device is powered off, a reminder message will immediately appear when the device is tur...

Trilogy200 clinical manual 48 Check External Battery Info Message This info message occurs when a bad connection exists to the external battery or the external battery failed. The device continues to operate using power from the detachable battery, if available, or the internal battery. Battery Depl...

Chapter 4 Ventilator Setup 49 This chapter provides instructions on how to assemble the ventilator. It includes the following setup information: • Properly positioning the device • Installing the air filter • Supplying power to the device • Connecting the breathing circuit • Connecting a water trap ...

Trilogy200 clinical manual 50 Position the Device Place the ventilator on a flat, level surface. Or, as an alternative, you can place the device in the optional in-use bag. The in-use bag is required for portable use in order to properly secure the ventilator. Do not operate the ventilator while on ...

Chapter 4 Ventilator Setup 51 Note: This device is activated (i.e., ‘powered on’) when the AC power cord is connected or any of the three battery sources is available. Pressing the Start/Stop button turns the airflow on or off. CAUTION The device may only be operated at temperatures between 5˚ C and ...

Trilogy200 clinical manual 52 Securing the Power Cord Using the Cord Retainer CAUTION Do not use the same external battery to operate both the ventilator and any other equipment such as power chairs. CAUTION An external battery should only be connected to the ventilator using the Philips Respironics...

Chapter 4 Ventilator Setup 53 Detachable Battery Pack Philips Respironics offers a detachable Lithium-Ion battery pack. To use the detachable battery pack, snap the battery into place on the back of the ventilator, as shown in the following illustration. When the device is not connected to an AC pow...

Trilogy200 clinical manual 54 One side of the detachable battery has a set of LEDs that indicate the amount of charge left on the battery. You can press the button below the LEDs to view how much charge remains: LED Battery Capacity All 5 LEDs are lit 80-100% capacity 4 LEDs are lit 60-79% capacity ...

Chapter 4 Ventilator Setup 55 DC Power Indicators The internal, detachable, and external battery symbols that will display on the Monitoring screen are shown below. The detachable and external battery symbols will only appear on-screen if a detachable or external battery is attached to the device. B...

Trilogy200 clinical manual 56 DC Power Indicator Description Red Low Battery Indicator When the device detects that an in-use battery’s charge is nearly depleted (has approximately 10 minutes of charge left), the inside of the box surrounding the battery symbol turns red. In addition to the battery ...

Chapter 4 Ventilator Setup 57 Connect the Breathing Circuit to the Ventilator Complete the following steps to set up your patient circuit. 1. If you are using a bacteria filter, connect one end of the flexible tubing to the outlet of the bacteria filter, and connect the bacteria filter inlet to the ...

Chapter 4 Ventilator Setup 59 Universal Porting Block Exhalation Valve Line Exhalation Valve Port Proximal PressureLine Proximal PressurePort Exhalation Valve Porton Universal Porting Block Trilogy Universal Active PAP Tube Adapter Refer to the instructions included with the Active Exhalation Device...

Trilogy200 clinical manual 60 C. Connect the flow lines and the exhalation valve line to the Universal Porting Block on the ventilator as shown below. • Connect the White Striped Flow Line to the top, striped port on the Universal Porting Block on the device. • Connect the other Flow Line to the mid...

Chapter 4 Ventilator Setup 61 Connect Supplemental Oxygen (Optional) To attach supplemental oxygen to the device: 1. Connect the oxygen tubing to the Oxygen Inlet Quick Connect. Then, connect the Quick Connect to the Oxygen Inlet on the back of the ventilator. Oxygen Inlet Oxygen Source Tubing Oxyge...

Trilogy200 clinical manual 62 Connect the Remote Alarm (Optional) You can use a remote alarm as a nurse call system or in-house remote alarm system. It can generate an alarm at a distance of up to 91 meters (300 feet) from the ventilator. An audible tone sounds and a red light blinks to indicate tha...

Chapter 5 Viewing and Changing Settings 63 This chapter explains how to scroll through the ventilation screens and change ventilation settings. It also describes how to connect the ventilator to the patient once the settings are complete. Keypad Lock Feature There is a Keypad Lock feature that users...

Trilogy200 clinical manual 64 Accessing the Startup and Monitor Screens 1. After you press the button to begin therapy, the Startup screen appears momentarily, indicating the device name and the software version. 2. The next screen that appears is the Monitor screen. The appearance of this screen wi...

Chapter 5 Viewing and Changing Settings 65 Monitor Screen – Detailed View On If Detailed View is turned on in the Options menu, the Monitor screen will look like the screen shown below. Monitor Panel Measured Settings Panel Status Panel This screen contains more detailed information about the therap...

Trilogy200 clinical manual 66 Monitor Screen Indicators This section describes the following indicators: • Monitor Panel Indicators • Measured Settings Panel Indicators • Status Panel Indicators Monitor Panel Indicators All of the indicators that may appear on the Monitor Panel are described in deta...

Chapter 5 Viewing and Changing Settings 67 Indicator Description Low Pressure Indicator L If you enable a volume therapy mode, this indicator appears below the manometer bar, indicating the low pressure alarm setting. High Pressure Indicator H If you enable a volume therapy mode, this indicator appe...

Trilogy200 clinical manual 68 Measured Settings Panel All of the indicators that may appear on the Measured Settings panel (available only in Detailed view), are described in the following table. Indicator Description PIP Peak Inspiratory Pressure displays the maximum pressure delivered to the patie...

Chapter 5 Viewing and Changing Settings 69 Status Panel Indicators All of the indicators that may appear on the Status Panel are described in the following table. Indicator Description Indicates that the device is in Full Menu Access mode, which means you can adjust all prescription settings. Philip...

Trilogy200 clinical manual 70 Indicator Description A black box displays around the battery that is currently supplying power to the ventilator when AC power is not available. (In the status panel shown above, the external battery is in use, so the symbol displays.) A yellow lightning bolt symbol di...

Chapter 5 Viewing and Changing Settings 71 On-Screen Button Panel The illustration below shows the on-screen button panel on the Main Menu screen, in relation to the buttons on the front of the device. On-Screen Button Panel At the very bottom of the display screen is the on-screen button panel. Thi...

Trilogy200 clinical manual 72 Changing and Viewing Settings in Full Menu Access Mode Clinicians can view and change settings using the Menu screens when the device is in Full Menu Access mode. To enter the Menu screens from the Monitor screen, press the Up button on the ventilator. The Main Menu scr...

Chapter 5 Viewing and Changing Settings 73 Changing the Device Settings and Alarms From the Main Menu screen, use the Up/Down button to highlight the Settings and Alarms menu, and press the Right button to select the menu. Device Settings Common to All Therapy Modes Some of the settings on this menu...

Trilogy200 clinical manual 74 Note: See Chapter 3 for detailed information about each therapy mode. Note: Refer to the chart in Chapter 3 to easily review all of the settings available in each therapy mode. Note: This chapter describes how to enable all of the device settings, including device alarm...

Chapter 5 Viewing and Changing Settings 75 The Passive circuit provides leak compensation. When using the Passive circuit in Volume Ventilation, the set Vti is delivered to the patient above the calculated circuit and cuff (or mask) leak. This is different from traditional active circuit ventilation...

Chapter 5 Viewing and Changing Settings 77 Low Minute Ventilation This setting enables or disables the Low Minute Ventilation alarm. The alarm activates when the calculated minute ventilation is less than or equal to this setting. You can choose Off to disable this alarm, or you can increase or decr...

Trilogy200 clinical manual 78 Low Inspiratory Pressure This setting configures the Low Inspiratory Pressure alarm. It is only user-settable in CV, AC, and SIMV modes. It cannot be set lower than PEEP + 2 cm H 2 O or higher than the High Inspiratory Pressure. For passive circuits, you can increase or...

Chapter 5 Viewing and Changing Settings 79 When Trigger Type is set to Flow Trigger, Flow Trigger Sensitivity Leak Compensation, and Flow Cycle Sensitivity become active, and the trigger initiates based on the Flow Trigger Sensitivity setting. 3. Flow Trigger Sensitivity If you set the Trigger Type ...

Trilogy200 clinical manual 86 Viewing and Changing Options Menu Items From the Main Menu screen, select the Options item. The Options menu appears, shown in the screen below. The following settings are available on the Options menu. • Menu Access – You can select Full or Limited menu access. Full me...

Chapter 5 Viewing and Changing Settings 87 All pressure units on the screens will display in the unit of measure selected here. • Alarm Volume – You can adjust the volume of the device alarms using this setting. Select either Loud or Soft as the alarm volume options. • Keypad Lock – You can enable o...

Chapter 5 Viewing and Changing Settings 89 • Operational Hours – The operational hours displays the total number of hours that the device blower has been on since the last time this value was reset. You can reset this value to zero (0) if desired (e.g., each time you give the device to a new patient...

Trilogy200 clinical manual 90 Viewing the Event Log From the Main Menu screen, you can select Event Log to access the Event Log screen. The event log displays a list of all events that have occurred, such as ventilator setting changes, ventilator inoperative conditions, alarms, etc., in chronologica...

Chapter 5 Viewing and Changing Settings 91 Updating Prescriptions Using the SD Card With the Trilogy200 , you can update the patient’s prescription using the SD Card. This feature lets you update a single prescription or both prescriptions if the dual prescription feature is enabled. The prescriptio...

Trilogy200 clinical manual 92 Note: Make sure you closely review the prescription and confirm that all settings are correct. Note: If both prescriptions of a dual prescription are being updated, you must accept the primary prescription using the OK button before being able to review the secondary pr...

Chapter 5 Viewing and Changing Settings 93 Message Cause Action Prescription Change Failed Displayed when an error occurs during the prescription update. This is caused by an attempt to set a value for a prescription parameter that is not valid for the therapy mode or an attempt to set a prescriptio...

Trilogy200 clinical manual 94 Changing and Viewing Settings in Limited Menu Access Mode After you press the button and access the Monitor screen, you can view and change settings using the Menu screens. To enter the Menu screens from the Monitor screen, press the Up button on the ventilator. The Mai...

Chapter 5 Viewing and Changing Settings 95 Note: The Options, Alarm Log, and Information items are discussed in detail earlier in this chapter, in the “Changing and Viewing Settings in Full Menu Access Mode” section. Note: If you are currently using the primary prescription, the menu option will say...

Trilogy200 clinical manual 96 Viewing and Changing My Settings Menu Items To view or change the therapy settings available on the My Settings screen, use the Up/Down (Navigate) button to highlight the My Settings option on the Main Menu, and press the Right (Select) button. The My Settings Menu scre...

Chapter 5 Viewing and Changing Settings 97 If your health care professional has enabled Ramp on your ventilator, you can adjust the Ramp Start Pressure setting. The setting can be adjusted from 4.0 to your prescription pressure setting in increments of 1. • Flex – The optional Flex feature allows yo...

Trilogy200 clinical manual 98 Connecting the Ventilator to the Patient After you have finished adjusting your ventilator settings, perform the following steps to connect the ventilator to the patient. 1. Perform System Checkout Do not connect the ventilator to the patient until you perform the syste...

Chapter 6 Ventilator Alarms 99 This chapter describes the ventilator alarms and what you should do if an alarm occurs. There are three types of alarms: • High Priority – Require immediate response by the operator • Medium Priority – Require prompt response by the operator • Low Priority – Require op...

Trilogy200 clinical manual 100 Audible and Visual Alarm Indicators When an alarm condition occurs: • The alarm LED indicator on the Alarm Indicator/Audio Pause button lights • The audible alarm sounds • A message appears on the screen describing the type of alarm • The remote alarm (if applicable) i...

Chapter 6 Ventilator Alarms 101 Note: For the alarm indicators noted throughout this manual, each “dot” represents an audible beep. Audible Indicators An audible indicator sounds whenever a power failure or a high, medium, or low priority alarm is detected. Additionally, an audible indicator sounds ...

Trilogy200 clinical manual 102 • Informational Messages and Confirmation Audible Indicators – When an informational message appears on screen, a brief, 1- beep audible indicator sounds. Additionally, when the device detects that a certain action has been completed (for example, when the Start/Stop b...

Trilogy200 clinical manual 104 To turn the ventilator off from a Ventilator Inoperative condition, use the normal power off sequence. When the Start/Stop button is selected, the following screen will display. Select the Right button (Yes) to turn the ventilator off and stop the audible alarm. Select...

Chapter 6 Ventilator Alarms 105 Audio Pause and Alarm Reset Features This section describes the Audio Pause and Alarm Reset features. Audio Pause When an alarm occurs, you can temporarily silence the audible indicator by pressing the Alarm Indicator/Audio Pause button. The alarm is silenced for 60 s...

Trilogy200 clinical manual 106 Alarm Volume Control As explained in Chapter 5, you can adjust the Alarm Volume from the Options menu. You can select Loud or Soft, depending on your preference. What to Do When An Alarm Occurs Complete the following steps when an alarm occurs: 1. Whenever an alarm occ...

Chapter 6 Ventilator Alarms 107 Alarm Summary Table The following table summarizes all of the high, medium, and low priority alarms and informational messages. Alarm Priority Audible Visual (Alarm Indicator Button and Display) Device Action User/Clinician Action Loss of Power High • • Red flashing b...

Chapter 7 Cleaning and Maintenance 121 Cleaning the Ventilator The ventilator’s exterior surface and the exterior of the detachable battery pack (if using) should be cleaned before and after each patient use, and more often if needed. 1. Unplug the device and clean the front panel and exterior of th...

Trilogy200 clinical manual 122 Cleaning and Replacing the Air Inlet Filter Under normal usage, you should clean the gray foam filter at least once every two weeks and replace it with a new filter every six months or sooner if needed. 1. If the device is operating, stop the airflow by pressing the bu...

Chapter 7 Cleaning and Maintenance 123 Replacing the Air Inlet Path Foam Follow your institution’s protocol for how often you replace the air inlet path foam. To replace the foam, complete the steps below. 1. Using a screwdriver, remove the air inlet path cover by unscrewing the four screws as shown...

Trilogy200 clinical manual 124 3. Insert the new air inlet path foam in the slot, lining the large circular cutout on the foam up with the circular connection at the top of the air inlet path compartment on the device. Make sure the air inlet path foam is securely in place. 4. Replace the air inlet ...

Chapter 7 Cleaning and Maintenance 125 5. Place the circuit on a clean towel to dry. Do not wipe dry. The circuit must be completely dry before storing. 6. Reassemble the circuit when dry. Store in a plastic bag or dust- free area. 7. Inspect components for deterioration prior to use. Cleaning the E...

Trilogy200 clinical manual 126 4. Connect the patient circuit. Fit the ventilator-end of the flexible tubing onto the bacteria filter. Preventive Maintenance Your new Philips Respironics Trilogy ventilator includes a blank PM Service Due label affixed to the bottom of your device. The label is blank...

Chapter 7 Cleaning and Maintenance 127 The following table provides information on recommended periodic maintenance for your device. Time / Hours of Service Recommended Maintenance Prior to initial use on a patient • Charge Internal and Detachable Batteries to 100% capacity by plugging ventilator in...

Chapter 8 Troubleshooting 129 The ventilator is designed to respond to most issues with an appropriate alarm or information message. These messages appear on the display screen. Chapter 6 describes many of the alarms and what action you should take when the alarms occur. This chapter provides additi...

Chapter 8 Troubleshooting 131 Issue Why It Happened What To Do Excessive Warm Air Out of Mask The air out of the mask is much warmer than usual. The air filter may be dirty. Or, the device may be operating in direct sunlight or near a heater. Clean or replace the air filter as described in Chapter 7...

Chapter 9 Accessories 133 There are several accessories you can use with the ventilator. Adding a Humidifier Use of a humidifier may reduce nasal dryness and irritation by adding moisture to the airflow. If you are using a humidifier with the ventilator, refer to the instructions provided with the h...

Trilogy200 clinical manual 134 Supplemental Oxygen Warnings • When administering fixed-flow supplemental oxygen, the oxygen concentration may not be constant. The inspired oxygen concentration will vary, depending on the pressures, patient flows and circuit leak. Substantial leaks may reduce the ins...

Chapter 9 Accessories 135 Using a Nurse Call System You can use an institutional Nurse Call system with your device. There are several Philips Respironics cables available to connect a nurse call system to the device. Refer to the instructions included with your cable assembly if you have questions ...

Trilogy200 clinical manual 136 2. Push the SD card completely into the card slot until the card clicks into place. To remove the SD card, select the “Safely Remove SD Card” option from the main menu. After the “Remove SD Card” confirmation message appears, remove the card by pushing the card in unti...

Chapter 9 Accessories 137 Traveling with the System When traveling, the carrying case is for carry-on luggage only. The carrying case will not protect the system if it is put through checked baggage. For your convenience at security stations, there is a note on the bottom of the device stating that ...

Chapter 10 System Checkout Procedures 139 This chapter details the test procedures that should be performed by the clinician prior to connecting the device to the patient. Test the Active PAP, Active Flow, and Passive circuit types if you want to do a complete checkout on the device. The tests shoul...

Trilogy200 clinical manual 140 2. Verify that the device handle, SD Card door, and detachable battery are secure and in good working order. 3. Verify that the rubber feet are on the bottom of the device. Initial Setup 1. Connect the power cord to the device and then to an AC outlet. 2. Attach the te...

Chapter 10 System Checkout Procedures 141 Setting Value Trigger Type (passive circuit type) Auto-Trak Flow Trigger Sensitivity (Active PAP or Active Flow circuit type) 6.0 l/min Leak Compensation (Active Flow circuit type) On Flow Cycle Sensitivity (Active PAP or Active Flow circuit type) 20% Rise T...

Trilogy200 clinical manual 142 2. Verify the High Tidal Volume Alarm This procedure verifies that the High Tidal Volume alarm is working properly. For Passive and Active Flow circuits, this will verify the High Vte alarm. For Active PAP circuits, this will verify the High Vti alarm. It assumes that ...

Chapter 10 System Checkout Procedures 143 E. Restore Ventilator Settings Modify the ventilator settings and change the following value shown in Table 5. Setting Value High Vte/High Vti Off 3. Verify the Low Tidal Volume Alarm This procedure verifies that the Low Tidal Volume alarm is working properl...

Trilogy200 clinical manual 144 D. Verify Reset Wait 40 seconds and verify the following auto-reset conditions: • The High Priority audible indicator has stopped sounding • The red light on the Alarm Indicator/Audio Pause button has stopped flashing E. Restore Ventilator Settings Modify the ventilato...

Chapter 10 System Checkout Procedures 145 • The Circuit Disconnect alarm condition appears on the screen, highlighted in red D. Reconnect Test Lung Reconnect the test lung to the circuit. E. Verify Reset Wait at least 40 seconds and verify the following auto-reset conditions: • The High Priority aud...

Trilogy200 clinical manual 146 Setting Value PEEP 4 cm H 2 O Sigh Off Circuit Disconnect Off Low Inspiratory Pressure 6 cm H 2 O High Inspiratory Pressure 10 cm H 2 O Apnea Off All other alarms Off B. Verify the Alarm Wait up to 40 seconds and verify the following alarm signals: • The Medium Priorit...

Chapter 10 System Checkout Procedures 147 A. Change Ventilator Settings Modify the ventilator settings and change the following values shown below in Table 13. Setting Value Mode CV Tidal Volume 500 ml Breath Rate 12 BPM Inspiratory Time 1.0 seconds Flow Pattern Ramp PEEP 4 cm H 2 O Sigh Off Circuit...

Trilogy200 clinical manual 148 D. Verify Reset Wait 40 seconds and verify the following auto-reset conditions: • The High Priority audible indicator has stopped sounding • The red light on the Alarm Indicator/Audio Pause button has stopped flashing Battery Function Verification Make sure the batteri...

Trilogy200 clinical manual 150 Alarm and Event Log Clean-Up 1. In the Setup Menu, select Alarm Log . A. Press Clear to clear the log file. B. Press Yes to confirm. C. Press Finish to complete. 2. In the Setup Menu, select Event Log . A. Press Clear to clear the log file. B. Press Yes to confirm. C. ...

Chapter 11 Technical Specifications 151 Environmental Operating Storage Temperature 41° F to 104° F (5° C to 40° C) -4° F to 140° F (-20° C to 60° C) Relative Humidity 15 to 95% (non-condensing) 15 to 95% (non-condensing) Atmospheric Pressure 110 kPa to 60 kPa N/A The operating range for the chargin...

Trilogy200 clinical manual 152 Electrical AC Voltage Source: 100 to 240 VAC, 50/60 Hz, 2.1 A Detachable Battery: Voltage: 14.4 VDC Capacity: 4176 mAh Chemistry type: Lithium-Ion Internal Battery: Voltage: 14.4 VDC Capacity: 4176 mAh Chemistry type: Lithium-Ion Type of Protection Against Electric Sho...

Chapter 11 Technical Specifications 153 Control Accuracy Parameter Range Accuracy IPAP 4 to 50 1 cm H 2 O 2 Greater of 2 cm H 2 O or 8% of setting EPAP 0 to 25 cm H 2 O for Active Circuits 4 to 25 cm H 2 O for Passive Circuits Greater of 2 cm H 2 O or 8% of setting CPAP 4 to 20 cm H 2 O Greater of 2...

Trilogy200 clinical manual 154 Measured Patient Parameters Parameter Range Accuracy Vte/Vti 0 to 2000 ml Greater of 15ml or 15% of reading Minute Ventilation 0 to 99 l/min Calculation based on measured Vte or Vti and Respiratory Rate Estimated Leak Rate 0 to 200 l/min N/A Respiratory Rate 0 to 80 BP...

Chapter 12 Glossary 155 The following terms and acronyms appear throughout this manual. Term/Acronym Definition AC Power Alternating Current power AC Assist Control therapy mode; AC mode delivers Assisted and Mandatory breaths with a user-defined inspired tidal volume. This is a Volume Control mode....

Chapter 13 EMC Information 161 Guidance and Manufacturer’s Declaration - Electromagnetic Emissions This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Emissions Test Compliance Electromagnetic...

Trilogy200 clinical manual 162 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test IEC 60601 Test Level Complia...

Chapter 13 EMC Information 163 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test IEC 60601 Test Level Complia...

Trilogy200 clinical manual 164 Recommended Separation Distances between Portable and Mobile RF Communications Equipment and This Device The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this device can help ...

Index 165 Trilogy200 clinical manual Index A AC Power 51AC Power Inlet 17Air Filter Installation 50 Air Inlet Air Inlet Filter Cleaning 122Replacing 123 Air Inlet Path Replacing 123 Alarm and Event Log Clean-Up 148Alarm Log 89Alarms 102 Alarm Indicators 104Alarm Messages 104Alarm Reset 105Alarm Volu...

Trilogy200 clinical manual 166 DirectView Software 134 E EMC Information 159EPAP 81Ethernet Connector 18Event Log 90Exhalation Devices Cleaning 125 Exhalation Porting Block 18 F Flex 97Flex Comfort Feature 30, 80 Bi-Flex 30C-Flex 30 Flow Cycle Sensitivity 79Flow Pattern 84 Ramp 33Square 33 Flow Trig...

Limited Warranty 169 Respironics, Inc. warrants that the Trilogy200 system shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a period of two (2) years from the date of sale by Respironics, Inc. to the dealer. If the product fai...