User Manual

Puritan Bennett
TM

560 Ventilator
COVIDIEN, COVIDIEN with logo, and the Covidien logo and Positive Results for Life are U.S. and inter-
nationally registered trademarks of Covidien AG. ™* brands are trademarks of their respective owners.
All other brands are trademarks of a Covidien company.
The information contained in this manual is the sole property of Covidien and may not be duplicated
without permission. This manual may be revised or replaced by Covidien at any time and without
notice. You should ensure that you have the most current applicable version of this manual; if in
doubt, contact Covidien's Technical Support department or visit the product manuals web page at:
www.medtronic.com/covidien/support/product-manuals
While the information set forth herein is believed to be accurate, it is not a substitute for the exercise
of professional judgment.
The ventilator should be operated and serviced only by trained professionals. Covidien’s sole respon-
sibility with respect to the ventilator, and its use, is as stated in the limited warranty provided.
Nothing in this manual shall limit or restrict in any way Covidien’s right to revise or otherwise change
or modify the equipment (including its software) described herein, without notice. In the absence of
an express, written agreement to the contrary, Covidien has no obligation to furnish any such revi-
sions, changes, or modifications to the owner or user of the equipment (including its software)
described herein.
To obtain information about a warranty, if any, contact Covidien Technical Services at 1 800 635 5267
or your local representative.
Purchase of this instrument confers no express or implied license under any Covidien patent to use
the instrument with any ventilator that is not manufactured or licensed by Covidien.
 Table of Contents
Preface

Purpose of This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi

Qualification of Personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Extended Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Service Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii

1 Safety Information

1.1 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

1.2 Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.2.1 General Warnings Regarding Use of Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.2.2 Warnings Regarding Installation and Environment of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.2.3 Warnings Regarding Electrical Power Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.2.4 Warnings Regarding Hoses and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
1.2.5 Warnings Regarding Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
1.2.6 Warnings Regarding PC Connection and USB Memory Devices . . . . . . . . . . . . . . . . . . . . . .1-14
1.2.7 Warnings Regarding Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14
1.2.8 Warnings Regarding Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-17
1.2.9 Warnings Regarding Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-19
1.3 Symbols and Markings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19
1.4 Labels (Identification and Instruction Information) . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24

2 Ventilator Overview

2.1 Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

2.1.1 Target Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
2.1.2 Target Environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
2.1.3 Target Operators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
2.2 Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
2.3 Operational Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.3.1 Safety Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.3.2 Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.3.3 Oxygen Enrichment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.3.4 Breathing Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.4 Device Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.5 Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.6 Back Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
2.7 Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
2.8 Ventilation Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
2.9 Alarm Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
2.10 Waveforms Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

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2.11 USB Memory Device Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
2.12 If Ventilator Failure Occurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

3 Alarms and Troubleshooting

3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

3.2 Alarm Level of Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.3 Alarm Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.4 Alarm Logs Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.5 Pausing the Audible Portion of Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.6 Pausing and Resetting Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.7 Reactivating Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
3.8 Overview of Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
3.9 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
3.9.1 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
3.9.2 Additional Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-25

4 Installation and Assembly

4.1 Ventilator Startup Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

4.2 Connecting to External AC Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
4.3 Connecting to an External DC Power Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
4.4 Patient Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
4.4.1 Choosing the Patient Circuit Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
4.4.2 Installing the Patient Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
4.5 Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
4.5.1 Air Inlet Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
4.5.2 Bacteria Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17
4.6 Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
4.7 Exhalation Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19
4.8 Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
4.8.1 Administering Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-20
4.8.2 Connecting the Oxygen Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21
4.8.3 Connecting the FiO2 Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-23
4.9 Using the Dual Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
4.9.1 Fitting the Ventilator into the Dual Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
4.9.2 Wearing the Dual Bag as a Backpack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26
4.9.3 Securing the Ventilator on a Wheelchair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26
4.9.4 Securing the Ventilator in a Personal Vehicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-28
4.10 Mounting the Ventilator on a Utility Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29

iv User Manual
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5 Operating Procedures

5.1 Turning on the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

5.2 USB Menu Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
5.2.1 USB Memory Device Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.2.2 USB Memory Device Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.3 Starting Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.4 Stopping Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.5 Turning Off the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

6 Internal Battery

6.1 Battery Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

6.2 Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.3 Testing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.4 Recharging the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.5 Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

7 Cleaning

7.1 Cleaning the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

7.2 Cleaning the Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
7.3 Cleaning the Exhalation Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.4 Pneumatic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

8 Routine Maintenance

8.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

8.2 Expected Service Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
8.3 Calibrating the Exhalation Flow Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.4 Calibrating the FiO2 Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.5 Replacing the Air Inlet Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.6 Recommended Schedule of Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
8.6.1 Preventive Maintenance Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
8.6.2 Maintenance of the Internal Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
8.6.3 Periodic Test of the Internal Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
8.6.4 Replacement of the Internal Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
8.7 Service Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

A Specifications

A.1 Physical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

A.2 Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

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A.3 Indicators and Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
A.4 Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
A.5 Monitored Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
A.6 Range, Resolution, and Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
A.7 Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
A.8 USB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
A.9 Pneumatic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
A.10 Manufacturer’s Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-10
A.11 Standards Compliance and IEC Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-13
A.11.1 General Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-13
A.11.2 Collateral Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-13
A.11.3 Particular Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14
A.11.4 Air Transportation Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14

B Modes of Ventilation

B.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

B.2 Assist/Control (A/C) Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
B.3 SIMV Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
B.4 CPAP Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
B.5 PSV Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

C Operational Verification Checklist

D Unpacking and Preparation

E Alarms Tests

E.1 Low Pressure Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2

E.2 Max Leak Test (Only NIV) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
E.3 Circuit Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
E.3.1 Accessing the Circuit Check Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
E.3.2 Performing the Circuit Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
E.3.3 Troubleshooting a Failed Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
E.3.4 Returning to Ventilation Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
E.4 Power Failure Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
E.5 Occlusion Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-8
E.6 Battery Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-9
E.7 Involuntary Stop Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-10

F Parts and Accessories

G Glossary

vi User Manual
 List of Figures
Figure 1-1.   Locations of Labels—Top-Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25
Figure 1-2.   Locations of Labels—Front-Left View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25
Figure 1-3.   Location of Labels and Markings—Rear View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26
Figure 1-4.   Location of Labels—Bottom View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26
Figure 2-1.   Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Figure 2-2.   Back Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Figure 2-3.   Control Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Figure 2-4.   Ventilation Menu Display (on standby at left; during ventilation at right) . . . . . . . . . . . . . . . . . . 2-8
Figure 2-5.   Alarm Menu (on standby at left; during ventilation at right) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Figure 2-6.   Waveforms Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Figure 2-7.   USB Memory Device Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Figure 3-1.   Front Panel (Alarm Control Key). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Figure 3-2.   Alarm Messages (in Ventilation menu at left, in Alarm menu at right) . . . . . . . . . . . . . . . . . . . . . . 3-3
Figure 3-3.   Accessing the Alarm Logs Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Figure 3-4.   Alarm Logs Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Figure 3-5.   Alarm Logs Screen (no alarm activated). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Figure 3-6.   Pausing the Audible Portion of Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Figure 3-7.   Ventilator Screen (alarm paused indicator) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Figure 3-8.   Reactivating Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Figure 3-9.   Alarm Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Figure 4-1.   The Power Cable Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Figure 4-2.   Inserting the Power Cable Holder into the Notch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Figure 4-3.   Power Cable Connected to the Ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Figure 4-4.   Power Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Figure 4-5.   Connecting the DC Power Cable to the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Figure 4-6.   Connecting the Ventilator to an External DC Power Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Figure 4-7.   Single-Limb Patient Circuit With Exhalation Valve (including accessories). . . . . . . . . . . . . . . . . 4-10
Figure 4-8.   Closeup of Exhalation Valve Tube and Proximal Pressure Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Figure 4-9.   Double-Limb Patient Circuit (including accessories). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Figure 4-10.   Closeup of Exhalation Valve Tube and Proximal Pressure Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Figure 4-11.   Close-up of Exhalation Bacteria Filter Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Figure 4-12.   Single-Limb Patient Circuit Without Exhalation Valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Figure 4-13.   Air Inlet Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
Figure 4-14.   Bacteria Filter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
Figure 4-15.   Humidifier. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
Figure 4-16.   Removing the Exhalation Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19
Figure 4-17.   Rear Panel Oxygen Inlet Port and Coupler. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21
Figure 4-18.   Connecting the Oxygen Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
Figure 4-19.   Disconnecting the Oxygen Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Figure 4-20.   Connecting the FiO2 Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
Figure 4-21.   Using the Dual Bag as a Backpack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26
Figure 4-22.   Using the Dual Bag on a Wheelchair (with double-limb circuit on left; with
single-limb circuit on right) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27
Figure 4-23.   Using the Dual Bag in a Personal Vehicle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28

User Manual vii

 List of Figures
Figure 4-24.   Mounting the Ventilator on the Utility Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
Figure 4-25.   Securing the Ventilator on the Utility Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
Figure 4-26.   Puritan Bennett™ 560 Ventilator Mounted on Utility Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
Figure 5-1.   Turning on the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Figure 5-2.   VENTILATION ON/OFF Button and Standby Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Figure 5-3.   Welcome Menu Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Figure 5-4.   Ventilation Menu Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Figure 5-5.   Selecting the USB Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Figure 5-6.   Selecting Transfer Continuously . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Figure 5-7.   Selecting Transfer Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Figure 5-8.   Prompt to Start Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Figure 5-9.   Starting Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Figure 5-10.   Stopping Ventilation (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Figure 5-11.   Stopping Ventilation (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Figure 6-1.   Internal Battery Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Figure 6-2.   Battery Reserve Capacity as a Percentage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Figure 6-3.   Battery Reserve Capacity in Hours and Minutes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Figure 6-4.   Power Indicators when Charging the Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Figure 7-1.   Removing the Exhalation Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Figure 7-2.   Puritan Bennett ™ 560 Ventilator Pneumatic Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Figure 8-1.   Blocking the Patient Circuit (single-limb circuit at left; double-limb circuit at right) . . . . . . . . 8-2
Figure 8-2.   Calibrating the Exhalation Flow Sensor (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Figure 8-3.   Calibrating the Exhalation Flow Sensor (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Figure 8-4.   Calibrating the Exhalation Flow Sensor (3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Figure 8-5.   Calibrating the FiO2 Sensor (1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Figure 8-6.   Calibrating the FiO2 Sensor (2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Figure 8-7.   Calibrating the FiO2 Sensor (3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Figure 8-8.   Replacing the Air Inlet Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
Figure E-1.   Ventilator Screen (Patient Disconnection alarm shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
Figure E-2.   Ventilator Screen (High Leakage alarm shown). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
Figure E-3.   Circuit Check Screen (before starting). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
Figure E-4.   Blocking the Patient Circuit (single-limb circuit at left; double-limb circuit at right) . . . . . . . . E-5
Figure E-5.   Circuit Check (running) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Figure E-6.   Circuit Check (complete, passed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
Figure E-7.   Circuit Check (complete, failed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
Figure E-8.   Ventilator Screen (AC Power Disconnection alarm shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-8
Figure E-9.   Blocking the Patient Circuit (single-limb circuit at left; double-limb circuit at right) . . . . . . . . E-8
Figure E-10.   Ventilator Screen (Occlusion alarm shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-9
Figure E-11.   Ventilator Screen (AC Power Disconnection alarm shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-10

viii User Manual

 List of Tables
Table 1-1.   Ventilator Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19
Table 1-2.   Ventilator Labels and Markings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24
Table 3-1.   Overview of Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Table 3-2.   Alarms and Corrective Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Table 3-3.   Additional Troubleshooting and Corrective Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25
Table 5-1.   USB Memory Device Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Table 5-2.   Ventilator to USB Device Data Transfer Times . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Table 6-1.   Internal Battery Reserve Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Table 7-1.   Approved Cleaning Solutions for Exterior Ventilator Surfaces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Table 8-1.   Preventive Maintenance Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
Table A-1.   Physical Description (excluding accessories) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Table A-2.   Electrical Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Table A-3.   Internal Lithium Ion Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Table A-4.   Power Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Table A-5.   Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Table A-6.   Audio Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Table A-7.   Performance Parameter Specifications and Tolerances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Table A-8.   Monitored Parameter Tolerances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Table A-9.   Ventilator Range, Resolution, and Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Table A-10.   Environmental Conditions for Storage or Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Table A-11.   Environmental Conditions for Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Table A-12.   USB Memory Device Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Table A-13.   Data Transfer Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Table A-14.   Airway Resistances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Table A-15.   Patient Circuit Resistances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Table A-16.   Air Inlet Resistance (Filter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Table A-17.   Oxygen Inlet Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Table A-18.   Performance Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Table A-19.   Electromagnetic Emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11
Table A-20.   Electromagnetic Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11
Table A-21.   Electromagnetic Immunity—Conducted and Radiated RF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-12
Table A-22.   Compliant Cables and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-12
Table C-1.   Operational Verification Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
Table D-1.   Items Included with Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
Table F-1.   List of Consumables and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1
Table F-2.   List of Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-2

User Manual ix
 Page Left Intentionally Blank

x
 Preface

Purpose of This Manual

This manual contains important information regarding the safe operation of your Puritan Bennett™
560 ventilator. Your ventilator is an electrical device that can provide years of useful service with the
proper care, as described in this manual.
Ensure that you read and understand the instructions contained in this manual before operating the
ventilator.

< WARNING:
Before operating the ventilator, read, understand, and strictly follow the information contained in
Chapter 1, Safety Information.

Qualification of Personnel
Installation and maintenance of the device must be made by authorized and trained personnel. In
particular, training for the handling of products sensitive to electrostatic discharges must include the
use of electrostatic discharge (ESD) protection devices and knowledge of the meaning of the symbol
at left, as well as using original spare parts and respecting quality assurance and traceability rules
approved by Covidien.

Warranty
Information regarding your product warranty is available from your sales representative or Covidien.

Extended Service
The Puritan Bennett™ 560 ventilator offers extended service contracts/warranties for purchase when
the ventilator is purchased. Please contact your local Covidien sales or service representative for addi-
tional information.

xi
Preface

For online technical support, visit the SolvITSM Center Knowledge Base
by clicking the link at www.medtronic.com/covidien/support/solvit-
center-knowledge-base/. Here, you will find answers to frequently
asked questions about the product and other Covidien products 24
hours a day, 7 days a week. If you require further assistance, contact
your local Covidien representative.

Service Centers

Covidien Argentina Covidien Asia Covidien Australia Covidien Austria GmbH

Pacheco Trade Center Singapore Regional Service 52A Huntingwood Drive C-Mill Gebouw K
Marcos Sastre 1990, El Talar, Centre Huntingwood, NSW 2148 Jan Campertstraat 21-A
Buenos Aires, Argentina, 15 Pioneer Hub, #06-04 Australia 6416 SG Heerlen, Netherlands
B1610CRH Singapore 627753 [T] 01 20609 1143
[T] +61 1800 350702
[T] +54 01157898107 [T] +65 6578 5288 [F] 01 20609 2457
[F] +61 2967 18118
[F] +54 114863 4142 [F] +65 6515 5260 [E] techservices.csAustria@
medtronic.com

Covidien Belgium BVBA/SPRL Covidien Brazil Covidien Canada Covidien Chile

C-Mill Gebouw K Av. Das Nações Undias 12995 19600 Clark Graham Camino lo Boza (Ex 8395) Pude-
Jan Campertstraat 21-A Andar 23 - Brooklin Baie d'Urfe, QC, H9X 3R8 huel
6416 SG Heerlen, Netherlands São Paulo, SP Canada Santiago
[T] 0220 08260 Brasil 04578-000 [T] 514 695 1220 (ext 4004) Chile
[F] 0270 06690 [T] +5511 2187 6200 [F] 514 695 4965 [T] +562 739 3000
[E]techservices.csBel- [F] +5511 2187 6380 [F] +562 783 3149
[email protected]

Covidien China Covidien Colombia Covidien Costa Rica Covidien ECE

2F, Tyco Plaza Avenida Calle 116 # 7-15 / Global Park, Parkway 50 Organizačni Složka
99 Tian Zhou Rd Oficina 1101 La Aurora de Heredia Prosecká 852/66
Shang Hai 200233 Torre Cusezar, Bogotá, Colombia Costa Rica 190 00 Praha 9
P.R. China [T] +57 1 7427300 [T] +506 2239 5386 Czech Republic
[T] +86 4008 1886 86 [F] +571 619 5425 [F] +506 2239 5319 [T] +420 241 095 735
[F] +86 2154 4511 18 [F] +420 239 016 856

Covidien Danmark A/S Covidien Deutschland GmbH Covidien ECE Covidien Finland OY
C-Mill Gebouw K C-Mill Gebouw K Galvahiho 7 / A C-Mill Gebouw K
Jan Campertstraat 21-A Jan Campertstraat 21-A 832104 Bratislava Jan Campertstraat 21-A
6416 SG Heerlen, Netherlands 6416 SG Heerlen, Netherlands Slovakia 6416 SG Heerlen, Netherlands
[T] +45 43 68 21 71 [T] +49 6951709670 [T] +421 2 4821 4573 [T] +358 972519288
[F] +45 43 31 48 99 [F] +49 69299571608 [F] +421 2 4821 4501 [F] +358 972522072
[E]techservices.csDenmark@ [E] techservices.csGermany@ [E] techservices.csFinland@
medtronic.com medtronic.com medtronic.com

xii User Manual

 Service Centers

Covidien France SAS Covidien Hong Kong Covidien ECE s.r.o. Covidien India
C-Mill Gebouw K Unit 12 - 16, 18/F Magyarországi Fióktelepe 10th Floor Building No 9B
Jan Campertstraat 21-A BEA Tower Mariássy u.7. DLF Cyber City Phase III Gurgaon
6416 SG Heerlen, Netherlands Millennium City 5 1095 Budapest Haryana - 122002
[T] +33 151 323 510 4187 Kwun Tong Road Hungary India
[F] +33 157 327 010 Kwum Tong, Kowloon, [T] +36 1 880 7975 [T] +91 1 244 709800
[E] techservices.csFrance@ Hong Kong [F] +36 1 778 9459 [F] +91 1 244 206850
medtronic.com [T] +852 3157 7299
[F] +852 2838 0749

Covidien Ireland Covidien Israel Covidien Italia S.p.A Covidien Japan Inc.
C-Mill Gebouw K 3 HaCarmel Street, Kochav C-Mill Gebouw K Technical Support Center
Jan Campertstraat 21-A Yokneam Building Jan Campertstraat 21-A 83-1, Takashimadaira 1-Chome
6416 SG Heerlen, Netherlands Yokneam Elit 6416 SG Heerlen, Netherlands Itabashi-ku, Tokyo
[T] +353 0 1 4073173 Israel 20692 [T] +39 02 91 483320 175-0082 Japan
[F] +353 0 1 9075668 [T] +972 4 6309423 [F] +39 02 91 294863 [T] +81 0 3 6859 0120
[E] techservices.csIreland@ [F] +97 2774704093 [E} techservices.csItaly@ [F] +81 0 3 6859 0142
medtronic.com [E] service.repair.israel@ medtronic.com
medtronic.com

Covidien Korea Covidien Mexico Covidien Nederland BV Covidien New Zealand

5F, Hibrand Living Gwan, #215, Autopista México-Querétaro C-Mill Gebouw K Cnr Manu Tapu Dr & Joseph
Yangjae-Dong, Seocho-Gu KM 34.5 Nave 3 Cortina 113 Jan Campertstraat 21-A Hammond Pl.
Seoul, Korea Cuautitlán Izcalli 54740 6416 SG Heerlen, Netherlands Auckland Airport
[T] +822 570 5459 México, Estado de México [T] +31 202061470 New Zealand
[F] +822 570 5499 [T] 5255 5804 1524 (ext. 1410) [F] +31 707709229 [T] +64 508 489 264
[F] 5255 5536 1326 [E] techservices.csItaly@
medtronic.com

Covidien Norge AS Covidien Panama Covidien Polska Covidien Portugal Lda.

C-Mill Gebouw K Parque Industrial Costa del Esta C-Mill Gebouw K C-Mill Gebouw K
Jan Campertstraat 21-A Calle Primera, Edificio # 109 Jan Campertstraat 21-A Jan Campertstraat 21-A
6416 SG Heerlen, Netherlands Panama City, Panama 6416 SG Heerlen, Netherlands 6416 SG Heerlen, Netherlands
[T] +47 24159887 [T] +507 264 7337 [T] +48 223060034 [T] +351 21 761 62 44
[F] +47 23024955 [F] +507 236 7408 [F] +48 223060853 [F] +351 800 781385
[E] techservices.csNorway@ [E] techservices.csPoland@ [E] techservices.csPortugal@
medtronic.com medtronic.com medtronic.com

Covidien Puerto Rico Covidien Russia Covidien Saglik A.S. Covidien South Africa
Palmas Industrial Park Tupikovy proezd, Building 1, LTD.ŞTI Waterfall Distribution Campus
Road 869 Km 2.0 Bdlg. #1 Marushinsky, Krekshino village Akçaburgaz Mah. 1567 Sok. No. 2 Cnr Bridal Veil Road & K101 Pre-
Cataño, PR 00962 Moscow, Russia DHL Depolama Tesisleri toria Main Road
[T] 787 993 7250 (ext. 7221/22) [T] +7 495 995 1898 Esenyurt Istanbul, Turkey Midrand
[F] 787 993 7234 [F] +7 495 933 6468 [T] +90 212 6223 500 South Africa 1685
[E] service.repair.russia@ [F] +90 212 6720 722 [T] +27 11 542 9584
medtronic.com [E] service.repair.turkey@ [F] +27 86 604 8360
medtronic.com [E]service.repair.southafri-
[email protected]

User Manual xiii

Preface

Covidien Spain S.L. Covidien Sverige AB Covidien Switzerland Covidien Thailand

C-Mill Gebouw K C-Mill Gebouw K C-Mill Gebouw K 99 Soi Rubia
Jan Campertstraat 21-A Jan Campertstraat 21-A Jan Campertstraat 21-A Sukhumvit 42 Road
6416 SG Heerlen, Netherlands 6416 SG Heerlen, Netherlands 6416 SG Heerlen, Netherlands 13-14 Fl., Berli Jucker Building
[T] +34 91 275 48 54 [T] +46 8517 61573 [T] +41 44 511 82 71 Prakanong, Klongtoey
[F] +34 91 276 89 33 [F] +46 8502 52110 [F] +41 44 511 16 34 Bangkok 10110, Thailand
[E] techservices.csSpain@ [E] techservices.csSweden@ [E] techservices.csSwitzer- [T] +66 2 207 3100
medtronic.com medtronic.com [email protected] [F] +66 2 657 6325

Covidien UK
C-Mill Gebouw K
Jan Campertstraat 21-A
6416 SG Heerlen, Netherlands
[T] +44 0 2030271757
[F] +44 0 2036848869
[E] [email protected]

xiv User Manual

1 Safety Information

1.1 Definitions
This manual uses three indicators to highlight critical information: warning, caution, and note.
They are defined as follows:

WARNING
Indicates a condition that can endanger the patient or the ventilator operator.

Caution
Indicates a condition that can damage the equipment.

Note
Indicates points of particular emphasis, that make operation of the ventilator more efficient or con-
venient.

It is essential to read, understand and follow these instructions before using the Puritan Bennett™
560 ventilator.
In order to use the ventilator correctly and efficiently and to help prevent incidents, please pay
particular attention to section 1.2, Warnings, as well as all warnings and cautions contained
throughout this manual.

: Note:
Many ventilator functions are not accessible when the Locking key is enabled.
For additional assistance contact your clinician or equipment representative.

1.2 Warnings

1.2.1 General Warnings Regarding Use of Equipment

< WARNING:
The ventilator must be used only under the responsibility and on the prescription of a doctor.

1-1
Safety Information

< WARNING:
The ventilator must be used according to its intended use. Refer to section 2.1, Indications for Use.

< WARNING:
Be aware this manual describes how to respond to the ventilator, but does not tell you how to respond
to the patient.

< WARNING:
While the ventilator is in use, an alternative means of ventilation should always be available in the event
of a ventilator problem. This is particularly true for ventilator-dependent patients. Supplementary
observation, appropriate for the patient’s condition, is also recommended.

< WARNING:
To ensure that ventilation continues uninterrupted, ensure alternative power sources are available (AC
power source, extra batteries, or an auxiliary DC car adapter). Be prepared for the possibility of power
failure by having an alternative means of ventilation ready for use—particularly for ventilator-
dependent patients.

< WARNING:
Do not allow a patient to remain connected to the ventilator when ventilation is stopped, because a
substantial quantity of exhalation gas, primarily carbon dioxide, may be inhaled by the patient. In some
circumstances, inhaling carbon dioxide may lead to under-ventilation, suffocation, and serious injury or
death.

< WARNING:
Always have immediate access to an alternative means of ventilation, which is ready for use, to avoid
patient death or serious injury.

< WARNING:
The ventilator must not be used with flammable anesthetic substances.

< WARNING:
Do not start ventilation until you ensure that the device is suitably assembled, that the air inlet filter is
properly installed and is not obstructed, and that there is proper clearance all around the unit. Also
ensure that the patient circuit is suitably connected to both the ventilator and the patient and that the
patient circuit, including all hoses, is not damaged or obstructed.

< WARNING:
A ventilator-dependent patient should always be monitored by trained and competent medical
personnel. Ensure that the patient’s caregiver is able and prepared to take suitable action in the event
the ventilator identifies an alarmed condition or experiences a problem.

< WARNING:
Do not use a patient circuit with a leak accessory for ventilator-dependent patients.

1-2 User Manual

 Warnings

< WARNING:
Refer to this manual for equipment compatible with this ventilator. It may be unsafe to interconnect this
equipment with other equipment not described in this manual.

< WARNING:
Before dispensing the ventilator to caregivers or the patient for home use, ensure the Locking Key is
activated so that critical ventilator settings are not modified.

< WARNING:
Do not perform ventilator alarm tests while the patient is connected to the ventilator. Provide the
patient with an alternate means of ventilation before conducting these tests.

< WARNING:
Verify the functionality of the alarms before connecting the patient to the ventilator. Refer to Appendix
E, Alarms Tests.

< WARNING:
If the ventilator fails the alarm tests or if you cannot complete the tests, refer to Chapter 3, Alarms and
Troubleshooting or call your equipment supplier or Covidien.

< WARNING:
When an alarm condition is triggered, or there is evidence of a patient-ventilator fault or problem,
examine the patient first before examining the ventilator.

< WARNING:
A continuous alarm condition will be activated if the ventilator power switch is turned off while
ventilation is in progress. When the power switch is turned back on again, ventilation will resume
without having to press the VENTILATION ON/OFF button.

< WARNING:
To reduce the risk of infection, wash your hands thoroughly before and after handling the ventilator or
its accessories.

< WARNING:
A patient treated by mechanical ventilation is highly vulnerable to the risks of infection. Dirty or
contaminated equipment is a potential source of infection. Clean the ventilator and its accessories
regularly and systematically before and after each use and following any maintenance procedure to
reduce the risks of infection. The use of a bacterial filter at the ventilator’s outlet (TO PATIENT) port—or
both ports if a double-limb circuit is used—is recommended. Refer to Chapter 7, Cleaning.

< WARNING:
Handle the ventilator with care during and after use, particularly when ambient temperatures are high.
Some ventilator surfaces may become hot, even if safety specifications are not exceeded.

User Manual 1-3

Safety Information

< WARNING:
Do not connect the ventilator to any device other than a PC with a dedicated compatible Puritan
Bennett™ software package.

< WARNING:
The ventilator system is not intended to be a comprehensive monitoring device and does not activate
alarms for all types of conditions. For a detailed understanding of ventilator operations, be sure to
thoroughly read this manual before attempting to use the ventilator system.

1.2.2 Warnings Regarding Installation and Environment of Use

< WARNING:
Even though the Puritan Bennett™ 560 ventilator meets current safety standards, the internal Lithium-
ion battery of the device exceeds the 100Wh threshold and is therefore considered to be Dangerous
Goods (DG) Class 9 – Miscellaneous, when transported in commerce. As such, the Puritan Bennett™ 560
ventilator and/or the associated Lithium-ion battery are subject to strict transport conditions under the
Dangerous Goods Regulation for air transport (IATA: International Air Transport Association),
International Maritime Dangerous Goods code for sea and the European Agreement concerning the
International Carriage of Dangerous Goods by Road (ADR) for Europe. Private individuals who transport
the device are excluded from these regulations although for air transport some requirements apply. For
air transport; the Puritan Bennett™ 560 ventilator is permitted as checked-in or carry-on baggage. Two
spare batteries per person may be taken on board as carry-on luggage only, with the prior approval of
the airline. This classification and regulatory requirements may vary depending upon the country and
mode of transport. Therefore it is recommended that users verify with the carrier / airline as to which
measures to take before the voyage.

< WARNING:
To minimize the risk of damage, you must use the ventilator’s dual bag to transport the ventilator.
Ventilator accessories are listed in Table F-1.  

< WARNING:
When using the ventilator in a carrying case, only use a carrying case that is listed in the instructions for
use to prevent adverse ventilator performance, which can consequently result in patient death.

< WARNING:
Regularly clean the ventilator’s dual bag according to manufacturer’s recommendations.

< WARNING:
The ventilator should never be immersed in any liquid, and any liquid on the surface of the device
should be wiped away immediately.

1-4 User Manual

 Warnings

< WARNING:
To avoid damage to the ventilator, in particular the batteries or electrical components, fluids must not
be allowed to enter the device, particularly through the air inlet filter or the cooling apertures located
in the side, rear, and bottom panels of the ventilator.

< WARNING:
To ensure correct and lasting operation of the device, ensure that the ventilator is installed and
operated in the environmental conditions recommended in Appendix A, Specifications.

< WARNING:
Do not leave power cables lying on the ground where they may pose a hazard.

< WARNING:
Do not operate the ventilator in a magnetic resonance imaging (MRI) environment. Doing so could
cause a ventilator malfunction.

< WARNING:
Do not operate the ventilator in the presence of active high frequency (HF) surgical equipment. Doing
so could cause a ventilator malfunction.

< WARNING:
Do not operate the ventilator in direct sunlight, near heat sources, outdoors, or near installations where
liquid may pose a risk without first providing adequate protection for the device.

< WARNING:
Avoid using the ventilator, if possible, in dusty environments. Dusty environments may require more
vigilant monitoring, cleaning, and/or replacement of air intake and other filters.

< WARNING:
Ensure that the ventilator’s immediate surroundings allow for the proper operational connection of the
device without folding, pinching, or damaging any of the required cables or tubes, and that the
connection of the patient circuit to the patient provides for a secure, comfortable fit.

< WARNING:
Ensure that the ventilator is not positioned or located such that the AC and DC connections at the back
of the ventilator are difficult to access.

< WARNING:
Do not cover the ventilator or place in a position that affects proper operation, e.g., blocking a front or
lateral opening.

User Manual 1-5

Safety Information

< WARNING:
Place the ventilator in a safe place when ventilating and according to the recommendations in this
manual.

< WARNING:
Do not place the ventilator in a position where a child, pet or pest can reach it, or in any position that
might cause it to fall on the patient or someone else.

< WARNING:
To ensure correct and lasting operation of the ventilator, ensure that its air circulation holes (main inlet
or cooling) are never obstructed. Place the device in an area where air can freely circulate around the
ventilator and avoid installing it near floating fabrics, such as curtains.

< WARNING:
If the ventilator has been transported or stored at a temperature that differs more than ±20°C (±36°F)
from the temperature in which it will be operating, the ventilator should be allowed to stabilize in its
operating environment for at least 2 hours prior to use. When the ambient temperature is 20°C, 2 hours
are required to warm the ventilator from the minimum storage temperature or to cool the ventilator
from the maximum storage temperature prior to use.

< WARNING:
If the ambient temperature where the device is operated is greater than 35°C (95°F), the temperature of
the patient circuit or the flow supplied at the device outlet may exceed 41°C (106°F), and the patient
circuit may reach up to 60°C (140°F). This may lead to undesirable side effects for the patient. To avoid
injury to the patient move the patient and the ventilator to a cooler location. For more information,
contact Covidien.

< WARNING:
The default setting for altitude compensation is YES. Altitude compensation should always be set to YES
for accurate volume delivery calculations at all elevations.

< WARNING:
To reduce the risk of a fire hazard, keep matches, lighted cigarettes, and all other sources of ignition
(such as flammable anesthetics and/or heaters) away from the ventilator and oxygen hoses.

< WARNING:
Regularly check the cleanliness of the air inlet filter located on the rear of the ventilator. If necessary,
replace the filter before the recommended replacement period is over (see Chapter 8, Routine
Maintenance). This is particularly important when the ventilator is installed on a wheelchair, because
environmental conditions may cause the filter to become dirty more rapidly.

< WARNING:
Handle the ventilator with care during and after use, particularly when ambient temperatures are high.
Some ventilator surfaces may become hot, even if safety specifications are not exceeded.

1-6 User Manual

 Warnings

< WARNING:
Exercise care to avoid any potential significant risks of reciprocal interference posed by the ventilator
and accessories during specific investigations or treatments.

1.2.3 Warnings Regarding Electrical Power Supplies

< WARNING:
The operator should connect the ventilator to an AC power source whenever available, for safer
operation.

< WARNING:
The maximum recommended shelf life of the internal battery is 2 years. Do not use a battery that has
been stored for 2 years prior to its first use.

< WARNING:
Periodic recharging is important to help maximize useful life of the battery. Do not store the internal
battery for extended periods, without recharging, as this may reduce the maximum life.

< WARNING:
For the AC (“mains”) power cable to be properly secured, the attachment located on the power cable
must be fitted into the power cable holder incorporated in the battery access cover and located under
the AC (mains) power socket. Refer to section 4.2, Connecting to External AC Power.

< WARNING:
The power supply to which the ventilator is connected (both AC and DC) must comply with all
applicable standards and provide electrical power corresponding to the voltage characteristics
inscribed on the rear of the ventilator to ensure correct operation. Refer also to the electrical
specifications found in Appendix A, Specifications.

< WARNING:
Ensure that the ventilator’s internal battery is fully charged before connecting the ventilator to an
external DC power source. Powering the ventilator using an external 12–30 VDC power source (via the
DC power cable) does not enable its internal battery to recharge.

< WARNING:
Due to the internal battery’s limited reserve capacity, the ventilator should only be operated on the
internal battery when no other power source is available. Ensure that the internal battery never
becomes fully discharged.

< WARNING:
When using a car auxiliary adapter (cigarette lighter) ensure the car has been started prior to plugging
in the ventilator’s DC adapter. Refer to section 4.3, Connecting to an External DC Power Source.

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Safety Information

< WARNING:
Even if the internal battery charging indicator is off, charging of the battery may sometimes be
incomplete if the ambient temperature is above 40°C (104°F) because of the battery’s internal heat
safety device.

< WARNING:
When the Low Battery alarm is triggered, immediately connect the ventilator to an AC power supply to
maintain ventilation and recharge the internal battery.

< WARNING:
Batteries should be disposed of according to environmental legislation in your country and locality.

< WARNING:
Never expose any batteries to direct flame.

< WARNING:
Ensure that the AC power cable is in perfect condition and not compressed. The device should not be
turned on if the AC power cable is damaged.

1.2.4 Warnings Regarding Hoses and Accessories

< WARNING:
The ventilator must not use, nor be connected to, any anti-static or electrically conductive hoses,
tubing, or conduits.

< WARNING:
Minimum and maximum VTE alarm parameters must be properly set to warn in the event of patient
disconnection.

< WARNING:
Before opening the packaging for the patient circuit, ensure that no damage is evident to the packaging
or its contents. Do not use if evidence of damage exists.

< WARNING:
The patient circuit should not be changed during ventilation.

< WARNING:
On a DAILY basis, inspect the patient circuit to ensure that it shows no signs of damage, is properly
connected, and is operating correctly without leakage.

< WARNING:
Single use accessories should not be reused.

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 Warnings

< WARNING:
The exhalation block is intended for single use by a single patient . It may periodically be cleaned, but
it cannot be disinfected or sterilized. To maintain good measurement quality when used continuously,
clean the exhalation block periodically (refer to section 7.3, Cleaning the Exhalation Block). The
exhalation block should be changed every 4 months and cannot be reused with any other patient.

< WARNING:
During invasive ventilation (when an artificial airway bypasses the patient’s upper respiratory system),
the patient’s upper respiratory system cannot humidify the incoming gas. For this reason, a humidifier,
to minimize drying of the patient’s airway and subsequent irritation and discomfort, must be used.

< WARNING:
If exhaled tidal volume measurements are required to ensure correct patient ventilation a double-limb
patient circuit configuration must be used in order to detect leaks. In this case, both the minimum and
maximum VTE alarm parameters must be properly set to warn in the event of patient disconnection.

< WARNING:
Failing to replace a dirty air inlet filter or operating the ventilator without a filter may cause serious
damage to the ventilator.

< WARNING:
Before cleaning the ventilator, first disconnect the ventilator and the patient circuit.

< WARNING:
If the ventilator is used indoors, the condition of the air inlet filter should be checked monthly. If the
ventilator is used outdoors or in a dusty environment, the filter should be checked weekly and replaced
as necessary.

< WARNING:
The air inlet filter is not reusable; do not attempt to wash, clean, or reuse it.

< WARNING:
The patient circuit should always be positioned to avoid hindering the patient's movements, to prevent
accidental disconnection or leakage, and to minimize the risk of patient strangulation.

< WARNING:
For pediatric use, ensure that the patient circuit type fits, and, in all respects, is suitable for use with a
child. Use a pediatric circuit for patients that weigh under 53 lb. (23 kg). To ensure proper performance
of the ventilator, use a recommended patient circuit; see Table F-2.  

< WARNING:
Resistance of the exhalation valve and accessories (water traps, filters, HMEs, etc.) must be as low as
possible.

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Safety Information

< WARNING:
Adding attachments to the ventilator breathing system can cause the pressure during exhalation at the
patient connection port to increase.

< WARNING:
The exhalation valve must allow rapid discharge of the circuit pressure. Ensure that the exhalation valve
is always clean and its evacuation aperture (exhaust port) is never obstructed.

< WARNING:
Users must always possess an additional breathing circuit and exhalation valve while using the Puritan
Bennett™ 560 ventilator.

< WARNING:
Always ensure that the humidification device is positioned lower than both the ventilator and the
patient. Use water traps, if necessary, to limit water in the patient circuit and periodically empty these
water traps. Take precautions when discarding the fluid in the water trap. Discard per local ordinance
for proper disposal.

< WARNING:
Use of a nebulizer or humidifier can lead to an increase in the resistance of inspiratory and exhalation
filters. Monitor the filters frequently for increased resistance or blockage.

< WARNING:
If a heated humidifier is used, you should always monitor the temperature of the gas delivered to the
patient. Gas delivered from the ventilator that becomes too hot may burn the patient's airway.

< WARNING:
Adding accessories to the ventilator breathing circuit, such as a humidifier and water trap(s), may result
in a decrease in tidal volume delivered to the patient due to the added compressible volume of the
accessory. Always assure that the patient is receiving the appropriate inspired volume when altering
the breathing circuit configuration.

< WARNING:
The level of inspiratory resistance of the circuit and accessories (bacteria filter, humidifier, HMEs, etc.)
must be as low as possible. Settings—particularly the Patient Disconnection alarm, maximum inspired
volume (Max VTI), and minimum inspired volume (Min VTI) settings—must be periodically adjusted
according to changes in the patient circuit resistance—especially when filters are replaced.

< WARNING:
To ensure proper performance of the ventilator, use a patient circuit recommended by Covidien in this
manual; refer to Chapter 4, Installation and Assembly and Appendix F, Parts and Accessories. The total
specified length of the patient circuit tubing as measured from the ventilator outlet to the ventilator
inlet is 1.1 meters (3.6 feet) to 2.0 meters (6.6 feet). The tubing must conform to all applicable standards
and must be fitted with Ø 22 mm terminals that also conform to all applicable standards. Ensure that

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 Warnings

both the length and the internal volume of the patient circuit are appropriate for the tidal volume: a
corrugated tube of Ø 22 mm for adult patients, and a corrugated tube of Ø 15 mm for pediatric patients
with a tidal volume lower than 200 ml.

< WARNING:
To ensure proper performance of the ventilator, use only accessories (including oxygen accessories)
approved and recommended by Covidien. See Appendix F, Parts and Accessories or contact your
customer services.

< WARNING:
To reduce the likelihood of disconnection and to prevent adverse ventilator performance, use only
accessories compatible with the ventilator. Compatibility is determined by reviewing the instructions
for use of either the ventilator or the accessories.

< WARNING:
When using non-invasive ventilation (NIV) without an exhalation valve, use a vented nose or face mask
or a non vented combined with a leak accessory. When using non-invasive ventilation (NIV) with an
exhalation valve, use a non-vented mask.

1.2.5 Warnings Regarding Settings

< WARNING:
Before starting ventilation, always verify that all settings are properly set in accordance with the
required prescription.

< WARNING:
Before starting ventilation, ensure that the device is properly assembled and that the air inlet, cooling
vents, and alarm sound diffusion holes are not obstructed. Ensure also that the patient circuit is of the
proper configuration (double or single limb), properly connected to the ventilator, and that the circuit
hoses are neither damaged nor compressed and contain no obstructions or foreign bodies.

< WARNING:
The CPAP mode does not provide a set respiratory rate. Do not use this mode for ventilator-dependent
patients.

< WARNING:
Do not allow a patient to remain connected to the ventilator when ventilation is stopped, because a
substantial quantity of exhalation gas, primarily carbon dioxide, may be inhaled by the patient.

< WARNING:
Alarm volume should be adjusted with respect to the ventilator’s operating environment and so that
the patient's caretakers can hear the alarms. The audible alarm vents located at the front of the device
should never be obstructed. The alarm can be paused with the Alarm Pause function by pressing the
ALARM CONTROL key twice once the alarm has been declared.

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Safety Information

< WARNING:
Ensure that the I Sens setting is not set to OFF when ventilating patients capable of triggering
spontaneous breaths.

< WARNING:
The ventilator offers a variety of breath delivery options. Throughout the patient’s treatment, the
clinician should carefully select the ventilation mode and settings to use for that patient, based on
clinical judgment, the condition and needs of the patient, and the benefits, limitations, and
characteristics of the breath delivery options. As the patient’s condition changes over time, periodically
assess the chosen modes and settings to determine whether those are best for the patient’s current
needs.

< WARNING:
In adult or pediatric use ensure that the adjusted tidal volume is compatible with the needs of the
patient.

< WARNING:
When changing the mode during ventilation, significant transitions of pressure, flow or cycling rate
might occur, depending on the difference between the modes. Before setting the new mode, first
ensure that the settings between the different modes are compatible. This reduces the risk of
discomfort and harm to the patient.

< WARNING:
Do not conduct the ventilator alarm test while the patient is connected to the ventilator. Switch the
patient to an alternate means of ventilation before testing.

< WARNING:
The Min PIP alarm setting must be adjusted for the patient, but must also be set high enough to allow
the Patient Disconnection alarm to trigger properly. Perform the low pressure test to ensure the alarm
is properly set.

< WARNING:
The Max Leak alarm setting must be adjusted for the patient, but must also be set low enough to allow
the High Leakage alarm to trigger properly. Perform the max leak test to ensure the alarm is functioning
properly. This alarm only applies to leak configuration (NIV).

< WARNING:
If Apnea Time is set to a value higher than 60/Control R then the Apnea alarm will not activate.

< WARNING:
If an Apnea alarm is required, set the Apnea setting to YES in the Preferences Menu.

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 Warnings

< WARNING:
The Apnea alarm should be set to YES for ventilator dependent patients.

< WARNING:
Setting any alarm limits to OFF or extreme high or low values can cause the associated alarm not to
activate during ventilation, which reduces its efficacy for monitoring the patient and alerting the
clinician to situations that may require intervention.

< WARNING:
Ensure the Insp Time setting is compatible with the physiological requirements of the patient.

< WARNING:
Adjustable alarms should not be systematically canceled; instead, they should be adjusted according to
the needs and condition of the patient.

< WARNING:
Do not pause, disable, or decrease the volume of the ventilator’s audible alarm if patient safety could
be compromised.

< WARNING:
A continuous alarm condition will be activated if the ventilator power switch is turned off while
ventilation is in progress. When the power switch is turned back on again, the ventilation will resume
without having to press the VENTILATION ON/OFF button.

< WARNING:
In the SIMV mode the use of a double-limb circuit is recommended. The Min VTE setting should remain
active in the event that pressure losses are present on the patient circuit downstream from the proximal
pressure link. In such cases the Patient Disconnection alarm would not be systematically activated in
case of a disconnection of the circuit.

< WARNING:
The inspiration trigger threshold should be carefully modified in order to avoid the risk of false
triggering or “autotriggering” of the ventilator. For example, Level 0P, the most sensitive mode, is
recommended for pediatric use. However, for an adult, this setting may result in autotriggering.

< WARNING:
The sound level of the alarms should be adjusted according to the installation environment and the size
of the area monitored by the patient’s caregiver. Ensure that the alarm sound apertures at the front of
the device are never obstructed.

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Safety Information

1.2.6 Warnings Regarding PC Connection and USB Memory Devices

< WARNING:
Do not connect the ventilator to any device other than a PC with a dedicated compatible Puritan
Bennett™ software package.

< WARNING:
Always verify the file ID before using a USB memory device to transfer data between the ventilator and
a PC.

< WARNING:
USB connections are not intended for connection to any devices other than the specified USB flash
storage (see section 5.2.1, USB Memory Device Specifications).

1.2.7 Warnings Regarding Maintenance

< WARNING:
Never use a ventilator or any components or accessories that appear to be damaged. If any signs of
damage are evident, contact your equipment supplier or Covidien.

< WARNING:
To ensure proper servicing and avoid the possibility of physical injury to personnel or damage to the
ventilator, only personnel authorized and qualified by Covidien should attempt to service or make
authorized modifications to the Puritan Bennett™ 560 ventilator.

< WARNING:
If you cannot determine the cause of a problem with your ventilator, contact your equipment supplier.
Do not use the ventilator until the problem has been corrected.

< WARNING:
To ensure proper performance of the ventilator, the preventative maintenance schedule should be
followed. For further information contact Covidien.

< WARNING:
On a daily basis, ensure the proper connection and operation of the patient circuit.

< WARNING:
If a problem with the ventilator is suspected, FIRST CHECK THAT THE PATIENT IS NOT IN DANGER. If
necessary, remove the patient from the ventilator and provide an alternative means of ventilation.

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 Warnings

< WARNING:
After assembling, cleaning, or reassembling the patient circuit, and on a daily basis, inspect the hoses
and other components to ensure that there are no cracks or leaks and that all connections are secure.

< WARNING:
Use all cleaning solutions and products with caution. Read and follow the instructions associated with
the cleaning solutions you use to clean your ventilator. Use only those solutions listed in Table 7-1.  

< WARNING:
Never use a liquid cleaner inside the patient circuit, or on any component of a gas pathway. Clean the
patient circuit only as specified by the manufacturer's instructions.

< WARNING:
Do not attempt to open, repair or otherwise service the ventilator yourself. Doing so might endanger
the patient, damage the ventilator, or void your warranty. Only personnel authorized and qualified by
Covidien should repair, open or service the ventilator.

< WARNING:
If the ventilator is damaged, or its external housing is not correctly closed, or it behaves in a way that is
not described in this manual (excessive noise, heat emission, unusual odor, alarms not triggered during
the start-up procedure), the oxygen and power supplies should be disconnected and use of the device
stopped immediately.

< WARNING:
The exhalation block is intended for single use by a single patient . It may periodically be cleaned, but
it cannot be disinfected or sterilized. To maintain good measurement quality when used continuously,
clean the exhalation block periodically (refer to section 7.3, Cleaning the Exhalation Block). The
exhalation block should be changed every 4 months and cannot be reused with any other patient.

< WARNING:
Ensure that the exhalation block is completely dried after cleaning and prior to use.

< WARNING:
When an exhalation block is set up, each time it is removed, or after installing a new exhalation block on
the machine, it is essential that the exhalation flow sensor be recalibrated before the exhalation block
is used. Refer to section 8.3, Calibrating the Exhalation Flow Sensor.

< WARNING:
The patient circuit is intended for single use by a single patient and should be changed according to
the manufacturer’s recommendations and according to the patient circuit lifetime. Refer to the
instructions for use supplied by the manufacturer of the patient circuit (included with the ventilator)
and Chapter 4, Installation and Assembly.

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Safety Information

< WARNING:
A patient treated by mechanical ventilation is highly vulnerable to the risks of infection. Dirty or
contaminated equipment is a potential source of infection. Clean the ventilator and its accessories
regularly and systematically before and after each use and following any maintenance procedure to
reduce the risks of infection. The use of a bacterial filter at the ventilator’s outlet (TO PATIENT) port—or
both ports if a double-limb circuit is used—is recommended. Refer to Chapter 7, Cleaning.

< WARNING:
Regularly check the cleanliness of the air inlet filter located on the rear of the ventilator. If necessary,
replace the filter before the recommended replacement period is over (see Chapter 8, Routine
Maintenance). This is particularly important when the ventilator is installed on a wheelchair, because
environmental conditions may cause the filter to become dirty more rapidly.

< WARNING:
For environmental protection, the ventilator and its components, whatever their respective conditions
of operation, cannot be disposed of with household waste and must be submitted for suitable selective
collection and possible recycling. Observe all applicable regulations when disposing of the ventilator
and any of its components.

< WARNING:
Before using the ventilator’s internal battery, ensure that the battery is fully charged and that the
charge holds. Back up ventilators or those in storage should be connected to an AC power source to
protect the integrity of the battery.

< WARNING:
The maximum recommended shelf life of the internal battery is 2 years. Do not use a battery that has
been stored for 2 years prior to its first use. Periodic recharging is important to help maximize useful life
of the battery. Do not store the internal battery for extended periods, without recharging, as this may
reduce the maximum life.

< WARNING:
To connect the ventilator to an external power source, first ensure the ventilator’s I/O (power) switch is
off (O). Then, connect the desired power cable to the ventilator. Finally, connect the power cable to the
external power source.

< WARNING:
To disconnect the ventilator from an external power source, first power down the ventilator. Then,
disconnect the power cable from the external power source and, finally, the ventilator.

< WARNING:
Connect the external DC power source by first connecting the power cable to the ventilator and then to
the external DC source. Follow the reverse procedure to disconnect the device from the external DC
power source.

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 Warnings

< WARNING:
Connect the external electrical power source by first connecting the power cable to the ventilator and
then to the external power source. Follow the reverse procedure to disconnect the device from
electrical power sources.

1.2.8 Warnings Regarding Oxygen

< WARNING:
The ventilator must not be used with flammable anesthetic substances.

< WARNING:
Oxygen therapy for patients with respiratory failure is a common and effective medical prescription.
However, be aware that inappropriate oxygen use may potentially lead to serious complications,
including, but not limited to, patient injury.

< WARNING:
Strictly follow the instructions provided in section 4.8.2, Connecting the Oxygen Supply, which include
the use of a flow regulator and special oxygen connector.

< WARNING:
To avoid injury to the patient and/or possible damage to the ventilator: before connecting the
ventilator to the oxygen supply, ensure a flow meter (flow regulator) is connected to the ventilator to
regulate the oxygen supply to the required specification.

< WARNING:
The Puritan Bennett™ 560 ventilator can be used with an optional oxygen analyzer with minimum and
maximum concentration alarms. Always measure the delivered oxygen with a calibrated oxygen
analyzer (FiO2 kit) that features a minimum and maximum concentration alarm in order to ensure that
the prescribed oxygen concentration is delivered to the patient.

< WARNING:
The Puritan Bennett™ 560 ventilator is designed to deliver a percentage of oxygen equal or lower than
50%. Do not exceed this value as this may cause the ventilator to malfunction and put the patient at risk.

< WARNING:
Ensure that the oxygen supply pressure to the machine never exceeds 7 psi (50 kPa) or a flow of 15 lpm.
For volume and sensitivity tolerances, refer to Table A-7.  

< WARNING:
In the event of an oxygen leak, shut down the supply of oxygen at its source. In addition, remove and/
or keep any incandescent source away from the device, which may be enriched with oxygen. Circulate
fresh air into the room to bring the oxygen level down to normal.

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Safety Information

< WARNING:
The hose connecting the ventilator to the oxygen source must be designed exclusively for use with
medical-grade oxygen. Under no circumstances should the oxygen hose be modified by the user. In
addition, the hose must be installed without the use of lubricants.

< WARNING:
Ensure that the only gas supplied to the ventilator through the dedicated oxygen supply connector is
medical-grade oxygen.

< WARNING:
The coupler must not remain connected to the oxygen inlet unless it is also connected to a leakproof,
external oxygen gas source. When an oxygen supply is not being used with the ventilator, disconnect
the oxygen source completely from the ventilator.

< WARNING:
To prevent any interference with the internal sensors of the ventilator, do not install a humidifier
upstream of the ventilator.

< WARNING:
To ensure stability, when the Puritan Bennett™ 560 ventilator is mounted on a cart, the weight of the
oxygen bottle should not exceed 14 kg (30 lbs).

< WARNING:
The oxygen supply hose ages even when it is not in use and should be replaced periodically. Follow the
expiration date, if any.

< WARNING:
The oxygen supply must be regulated using a flow meter connected to the source gas outlet.

< WARNING:
The oxygen supply must be shut off when ventilation is interrupted. Before disconnecting the oxygen
hose, allow the ventilator to continue for a few cycles without oxygen to flush the patient circuit of
excess oxygen.

< WARNING:
Before connecting the oxygen supply, ensure that the stud on the oxygen inlet is protruding outwards.

< WARNING:
Inspect the oxygen coupler before use to ensure it has its black O-ring attached and in good condition.
Do not use an oxygen coupler with a missing, damaged, or worn O-ring.

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 Symbols and Markings

1.2.9 Warnings Regarding Electromagnetic Interference

< WARNING:
The Puritan Bennett™ 560 ventilator requires special precautions for electromagnetic compatibility and
should be installed and started according to the recommendations found in Appendix A, Specifications.
In particular, the use of nearby mobile and portable communications equipment using radio
frequencies, such as mobile telephones or other systems exceeding the levels set in the IEC 60601-1-2
standard, may affect its operation. Refer to section A.10, Manufacturer’s Declaration.

< WARNING:
Portable RF communications equipment (including peripherals such as antenna cables and external
antennas) should be used no closer than 30 cm (12 inches) to any part of the ventilator, including cables
specified by the manufacturer. Otherwise, degradation of the performance of this equipment could
result.

< WARNING:
The use of any accessory other than those specified, with the exception of the power supplies or cables
sold by Covidien, may lead to an increase in electromagnetic emissions or a decrease in the equipment
protection against electromagnetic emissions. If the ventilator is used adjacent to such accessories or
stacked with such devices, the ventilator’s performance should be monitored to verify normal
operation.

1.3 Symbols and Markings

Table 1-1.  Ventilator Symbols
Symbols Descriptions
It is essential to read, understand, and follow these instructions before using the Puritan Bennett™ 560 venti-
lator (ISO 7000-0434A).
This symbol appears on the ventilator’s back panel, see item 5 in Table 1-2.  
It is mandatory to read, understand, and follow these instructions before using the Puritan Bennett™ 560 Ven-
tilator (ISO 7010-M002). This symbol appears on the ventilator’s air inlet label, see item 5 in Table 1-2.  

Type BF applied part (IEC 60417-5333).

A regulatory standard classification for protection against electrical shock for the part of the device that con-
tacts the patient.
This symbol appears on the ventilator’s back panel; see item 5 in Table 1-2.  
Direct current, DC (IEC 60417-5031).
This symbol appears on the ventilator’s front panel and back panel; see Figure 1-1, and item 9 in Figure 1-3.
Alternating current, AC (IEC 60417-5032).
This symbol appears on the ventilator’s front panel and back panel; see item 8 in Figure 1-3, and item 10 in
Figure 2-3 (page 2-7).
Internal battery.
This symbol appears on the ventilator’s front panel; see item 10 in Figure 2-3 (page 2-7).

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Safety Information

Table 1-1.  Ventilator Symbols (Continued)

Symbols Descriptions
Insulation class II equipment (IEC 60417-5172).
A regulatory standard classification for protection against electric shock. Class II equipment relies on double
insulation rather than protective earthing.
This symbol appears on the ventilator’s back panel; see item 5 in Table 1-2.  
Index of Protection rating for the ventilator’s enclosure, defined in IEC 60529 (BSEN60529).
The first digit, 3, indicates protection against the intrusion of small foreign bodies (including fingers, tools,
wires, etc. with a diameter greater than 2.5 mm) into the ventilator. The second digit, 2, indicates protection
against water dripping or falling vertically when the enclosure is tilted at an angle up to 15° from its normal
position, as well as an environment featuring water vapor condensation and/or light rain.
This rating appears on the ventilator’s back panel; see item 5 in Table 1-2.  
CSA—Canadian Standards Association.
This symbol appears on the ventilator’s back panel; see item 5 in Table 1-2.  

CE—Conformity European
Signifies compliance with the medical device directive 93/42/EEC as amended by 2007/47/EC.
This symbol appears on the ventilator’s back panel; see item 5 in Table 1-2.  

This combined symbol appears on the ventilator’s UP/UNFREEZE key; see item 4 in Figure 2-3 (page 2-7).
This key is used to: move the LCD display’s cursor upwards, line-by-line; increase the value of displayed and
selected parameter settings; restart (“unfreeze”) waveforms tracing.
This combined symbol appears on the ventilator’s DOWN/FREEZE key; see item 6 in Figure 2-3 (page 2-7).
This key is used to: move the LCD display’s cursor downwards, line-by-line; decrease the value of displayed
and selected parameter settings; stop (“freeze”) waveforms tracing.
This symbol appears on the ventilator’s ENTER key; see item 5 in Figure 2-3 (page 2-7).
This key is used to confirm command actions.

This combined symbol appears on the ventilator’s ALARM CONTROL key; see item 2 in Figure 2-3 (page 2-7).
This key is used to: cancel the audible portion of alarms for 60 seconds at a time; cancel an alarm.
For more information, see Appendix E, Alarms Tests.
This symbol appears on the ventilator’s MENU key; see item 7 in Figure 2-3 (page 2-7).
This key is used to access the ventilator’s menus via the ventilator’s front panel LCD display.

This symbol (IEC 60417–5009) appears on the ventilator’s VENTILATION ON/OFF button; see item 8 in Figure
2-3 (page 2-7).
This button is used to start and stop ventilation.

TO PATIENT port.
This symbol appears on the front right of the ventilator, adjacent to the TO PATIENT port; see item 1 in Fig-
ure 1-1.  

FROM PATIENT port (double-limb option).

This symbol appears on the front left of the ventilator, adjacent to the FROM PATIENT port; see item 4 in Fig-
ure 1-1.  

Patient proximal pressure port.

This symbol appears on the front right of the ventilator, adjacent to the proximal pressure and TO PATIENT
ports; see Figure 1-1, and item 3 in Figure 1-4.  

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 Symbols and Markings

Table 1-1.  Ventilator Symbols (Continued)

Symbols Descriptions
Exhalation valve pilot port.
This symbol appears on the front right of the ventilator, adjacent to the exhalation valve and TO PATIENT
ports, indicating the connection of the tubing between the patient circuit exhalation valve; see Figure 1-1,
and item 3 in Figure 1-4.  
Oxygen inlet.
This marking appears on the back panel of the ventilator, adjacent to the oxygen inlet port; see item 2 in Fig-
ure 1-3.  

Nurse call connection.

This symbol appears on the back panel of the ventilator, adjacent to the nurse call receptacle; see item 12 in
Figure 1-3.  
Note: Nurse call is not intended for use in the home environment.
Switch in “Off” position (IEC 60417-5008).
This symbol appears on the I/O (power on/off) switch on the back panel of the ventilator to indicate the
switch’s “Off” position. See item 2 in Figure 2-2 (page 2-6).

Switch in “On” position (IEC 60417-5007).

This symbol appears on the I/O (power on/off) switch on the back panel of the ventilator to indicate the
switch’s “On” position. See item 2 in Figure 2-2 (page 2-6).

Software lock enabled.

This symbol appears at upper left in the ventilator’s LCD display when the keyboard Locking key is enabled.

Internal battery.
This symbol appears at top center in the ventilator’s LCD display to indicate that the ventilator is being
powered by its internal battery. See item 1 in Figure 2-4 (page 2-8), and Chapter 6, Internal Battery, for more
information.
Pressure rise times (inspiratory phase) parameter.
These symbols appear on the ventilation mode menu screens. In pressure ventilation modes, you can select
one of four rise times with setting 1 representing the fastest rise time and setting 4 representing the slowest.
Flow shape (“flow distribution shape”, inspiratory phase) parameter.
These symbols appear on the ventilation mode menu screens; selectable for V A/C mode only. In volume ven-
tilation mode you can select between Square (SQ), Descending (D) or Sinusoidal (S) flow patterns.
Selected line (filled square).
When making menu choices, this graphic indicates the line on which the cursor is currently positioned.

Non-selected line (empty square).

When making menu choices, this graphic indicates a line on which the cursor is currently not positioned.

Locked parameter line.

When making menu choices, this graphic indicates a line that cannot be selected (the Locking key is enabled).
Active parameter line.
When making menu choices, this graphic indicates that the current parameter is selected and can be
changed. See Chapter 5, Operating Procedures.

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Table 1-1.  Ventilator Symbols (Continued)

Symbols Descriptions
Inspiratory effort detected.
This symbol appears in the front panel display’s Status window when the patient triggers a breath.

Parameter adjustment bar.

This graphic shows the current setting for parameters such as display contrast and alarm volume in the Pref-
erences menu.
WEEE (Waste Electrical and Electronic Equipment).
This symbol means that this product must not be disposed of with household waste. Observe local ordinanc-
es for proper disposal. See item 5 in Table 1-2.  

Year of manufacture.

Manufacturer.

Authorized representative.

Audio paused (ALARM CONTROL key pressed once).

This symbol means the sounding of audible alarms is currently disabled. This period lasts 60 seconds. For
more information, see section 3.5, Pausing the Audible Portion of Alarms.

Alarm paused (ALARM CONTROL key pressed twice).

This symbol means one or more alarms have been paused, or reset/canceled. The alarm is paused until the
alarm condition is corrected and the condition reoccurs. For more information, see section 3.6, Pausing and
Resetting Alarms.
Alarm off (Apnea off).
This symbol means that the Apnea alarm has been set to OFF in the Preferences menu. For more information,
see section 3.6, Pausing and Resetting Alarms.
Exhalation valve detected.
This symbol means that an exhalation valve has been detected during ventilation.

No exhalation valve detected.

This symbol means that no exhalation valve has been detected during ventilation.

Single patient use only (ISO 7000-1051).

This symbol means that the labeled device is for use by a single patient only.

Freeze waveforms.
This symbol means the tracing of patient pressure and flow waveforms is currently paused or “frozen.”

Follow instructions for use (ISO 7000-1641).

This symbol directs the user to observe and adhere to the instructions contained in the product’s user man-
uals.
USB port.
This symbol indicates a communications port for interfacing with a USB connector. See item 11 in Figure 1-3.  

1-22 User Manual

 Symbols and Markings

Table 1-1.  Ventilator Symbols (Continued)

Symbols Descriptions
PC connection.
This symbol indicates a port that can be used by authorized Covidien product service personnel or Covidien
service personnel for software maintenance. See item 10 in Figure 1-3.  

Atmospheric pressure limitations. See section A.7 for specifications.

Humidity limitations. See section A.7 for specifications.

Temperature limitations. See section A.7 for specifications.

Fragile.

Keep dry.

Keep away from direct sunlight.

This side up.

Stacking limitation.
The number shown (represented by “n”) indicates the maximum number of additional identical packages
that may be stacked on top of a package containing this device, when this device is correctly packaged.
For the Puritan Bennett™ 560 ventilator, n = 2.
Lithium battery.
This symbol Indicates that the contents of the package contain lithium batteries.

User Manual 1-23

Safety Information

1.4 Labels (Identification and Instruction Information)

Various labels or specific markings are affixed to the ventilator that describe precautions to be taken
for the correct use of the ventilator and contribute to the traceability of the product. See Table 1-2
and the figures on the following pages for illustrations of these labels and markings and their loca-
tions on the ventilator. Use the item numbers in Table 1-2 to locate the labels in Figures 1-1 through
1-4.

Table 1-2.  Ventilator Labels and Markings

1. TO PATIENT port label 2. Oxygen inlet marking and label 3. Exhalation valve and patient 4. FROM PATIENT port, exhala-
(Figures 1-1 and 1-4) (Figure 1-3) pressure connection label tion limb connection of patient
(Figures 1-1 and 1-4) circuit—single use exhalation
block label
(Figures 1-1, 1-2, and 1-4)

1—Location of AC power cable

receptacle
5. Air inlet label 6. Exhaled gas outlet label 7. Identification label 8. AC power (mains) cable
(Figure 1-3) (Figure 1-2) (Figure 1-4) receptacle marking
(Figure 1-3)

1—Location of DC power cable

receptacle
9. External DC cable receptacle 10. PC connection marking 11. USB port marking 12. Nurse call cable receptacle
marking (Figure 1-3) (Figure 1-3) marking
(Figure 1-3) (Figure 1-3)

13. FiO2 label

(Figures 1-1 and 1-4)

1-24 User Manual

 Labels (Identification and Instruction Information)

: Note:
The item number callouts in the following figures correspond to those listed in Table 1-2.  

Figure 1-1.  Locations of Labels—Top-Front View

Figure 1-2.  Locations of Labels—Front-Left View

User Manual 1-25

Safety Information

Figure 1-3.  Location of Labels and Markings—Rear View

Figure 1-4.  Location of Labels—Bottom View

1-26 User Manual

2 Ventilator Overview

2.1 Indications for Use

The Puritan Bennett™ 560 Ventilator is indicated for the continuous or intermittent mechanical
ventilatory support of patients weighing at least 11 lb (5 kg) who require mechanical ventilation.
The ventilator is a restricted medical device intended for use by qualified, trained personnel under
the direction of a doctor. It is essential to read, understand, and follow these instructions before
using the Puritan Bennett™ 560 Ventilator.

2.1.1 Target Patients

Specifically, the ventilator is applicable for adult and pediatric patients who require the following
general types of invasive or non-invasive ventilatory support, as prescribed by an attending
doctor:
• Positive Pressure ventilation

• Assist/Control, SIMV, or CPAP modes of ventilation

• Breath types including Volume Control, Pressure Control, and Pressure Support

2.1.2 Target Environments

The ventilator is suitable for use in institutional, home, and portable settings. It is not intended for
use in Emergency Medical Service (EMS) such as an emergency transport.
The Puritan Bennett™ 560 Ventilator is suitable for use on commercial aircraft, per FAA require-
ments. See section A.11, Standards Compliance and IEC Classification. Patients traveling with the
Puritan Bennett™ 560 Ventilator may be required by their airline to demonstrate evidence of com-
pliance with the RTCA/DO-160F standard, as well as other requirements. Contact your airline prior
to travel to determine airline specific requirements and documentation.

< WARNING:
Even though the Puritan Bennett™ 560 Ventilator meets current safety standards, the internal
Lithium-ion battery of the device exceeds the 100Wh threshold and is therefore considered to be
Dangerous Goods (DG) Class 9 – Miscellaneous, when transported in commerce. As such, the Puritan
Bennett™ 560 Ventilator and/or the associated Lithium-ion battery are subject to strict transport
conditions under the Dangerous Goods Regulation for air transport (IATA: International Air Transport

2-1
Ventilator Overview

Association), International Maritime Dangerous Goods code for sea and the European Agreement
concerning the International Carriage of Dangerous Goods by Road (ADR) for Europe. Private
individuals who transport the device are excluded from these regulations although for air transport
some requirements apply. For air transport; the Puritan Bennett™ 560 Ventilator is permitted as
checked-in or carry-on baggage. Two spare batteries per person may be taken on board as carry-on
luggage only, with the prior approval of the airline. This classification and regulatory requirements may
vary depending upon the country and mode of transport. Therefore it is recommended that users verify
with the carrier / airline as to which measures to take before the voyage.

2.1.3 Target Operators

< WARNING:
This ventilator must be used only under the responsibility and on the prescription of a doctor.
The ventilator may be operated by the following caregivers:
• Respiratory therapists

• Doctors

• Nurses

• Homecare providers

• Patient and patient’s families

For more details on knowledge and skill requirements for operating the Puritan Bennett™ 560 ven-
tilator, please consult your clinician.
It is the responsibility of the clinician or clinical educator to ensure that both the patient and the
caregiver fully understand the topics necessary for operation of the ventilator.

2.2 Contraindications
This ventilator is not for use with anesthetic gases, and is not intended for use as an emergency
transport ventilator.

2-2 User Manual

 Operational Use

2.3 Operational Use

The Puritan Bennett™ 560 ventilator uses a micro-turbine to provide ventilatory support to patients.
Clinicians may use a variety of interfaces to connect patients to the ventilator for continuous or
intermittent ventilatory support. Some examples include mouthpieces; nasal masks or full face
masks; endotracheal tubes or tracheotomy tubes. User-selectable ventilation modes are:
• Assisted Controlled Volume (V A/C)

• Assisted Controlled Pressure (P A/C)

• Volume Synchronized Intermittent Mandatory Ventilation (V SIMV)

• Pressure Synchronized Intermittent Mandatory Ventilation (P SIMV)

• Continuous Positive Airway Pressure (CPAP)

• Pressure Support Ventilation with apnea ventilation (PSV/ST)

2.3.1 Safety Net

Incorporated in the ventilator design is an alarm system that continuously monitors both patient
and machine for signs of specific errors or faults that could lead to an unsafe condition. Should any
of these errors or faults be detected, the alarm system announces the specific alarm condition both
audibly and visually. The machine-related alarm conditions are factory set, whereas the patient-
related alarm conditions are defined by alarm-threshold values selected by an operator (a clinician
or a caregiver). For more information, see Chapter 3, Alarms and Troubleshooting.

2.3.2 Settings

A software key, known as the Locking key, restricts access to ventilation parameter settings and ven-
tilation mode changes in order to distinguish between clinician usage and patient usage.

2.3.3 Oxygen Enrichment

Oxygen may be supplied from an external, low pressure source, but the oxygen flow must be
limited to 15 lpm (50 kPa, 500 mbar). The ventilator automatically compensates for the extra flow
created by the external oxygen supply (see Chapter 4, Installation and Assembly.)

2.3.4 Breathing Circuit

The ventilator can be used with a single- or double-limb patient circuit. If exhaled volume monitor-
ing is required (such as ventilator dependent patients), use the double-limb circuit for exhaled tidal
volume monitoring. For more information, see section 4.4, Patient Circuit.

User Manual 2-3

Ventilator Overview

< WARNING:
Users must always possess an additional breathing circuit and exhalation valve while using the Puritan
Bennett™ 560 ventilator.

2.4 Device Classification

The ventilator’s IEC/EN 60601-1classification is as follows:
• Protection/insulation class (electric shock): Class II

• Protection index of enclosure: IP32

• Degree of protection against risk of electric shock: BF

• Power: External (AC–mains, or DC–cigarette lighter) or internal (DC–battery)

• Operation mode: Continuous operation

For additional information, see Appendix A, Specifications.

2-4 User Manual

 Front Panel

2.5 Front Panel

Figure 2-1.  Front Panel

1 LCD display—Shows information about the ventilator, including 6 Exhalation valve port—Nipple for providing piloting
patient hours and software version, ventilation modes and settings, pressure to the exhalation valve. Controls the open-closed
and monitored and calculated patient data and waveforms. The position of the exhalation valve.
display also allows the user to view and, using the control panel,
adjust the ventilator’s operating and alarm configuration settings.

2 Control panel—Features the controls for setting up and operat- 7 Lateral and front openings—Vents that allow for air cir-
ing the ventilator, and LEDs to indicate the ventilator's power culation to cool the ventilator’s internal components. In
source, ventilation on/off status, and alarm priority level. Control addition, these openings function as sound ports for
functions include turning on and off the ventilation, configuring audible alarms.
ventilation modes, pausing audible alarms, canceling alarms, and WARNING: Do not cover or obstruct these openings.
setting device and alarm parameters.

3 FiO2 sensor connection—Connection for FiO2 sensor, which mon- 8 From patient port—Exhaled volume measurements are
itors the amount of oxygen in the patient circuit. taken from this port, through which a portion of the
exhaled gas is diverted to the exhalation flow sensor.
VTE is calculated from this flow measurement.1

4 Patient connection port—Provides an outlet for the gas to be 9 Exhaled gas outlet—Exhalation valve connects here.
delivered to the patient via the patient circuit.

5 Patient pressure monitoring port—Nipple for monitoring proxi-

mal patient pressure.
1. If exhaled tidal volume monitoring is required, use the double-limb circuit.

User Manual 2-5

Ventilator Overview

2.6 Back Panel

Figure 2-2.  Back Panel

1 Ergonomic carrying handle. 7 PC cable connector:

USB mini-B connector used for Puritan Bennett™ ventilator
test software.
WARNING: Do not connect the ventilator to any device other
than a PC with a dedicated compatible Puritan Bennett™ soft-
ware package.

2 I/O (power) switch with protective cover: 8 O2 inlet port:

Device powered on in position I; device switched off in posi- Connects the ventilator to a low pressure oxygen source via an
tion 0. adapter connected to the O2 inlet (see section 4.8, Oxygen).

3 AC power (mains) cable connector. 9 Nurse call output connector:

Used to connect the ventilator to the nurse call system.
Note: Nurse call is not intended for use in the home environ-
ment.

4 AC power (mains) cable holding system: 10 USB memory device connection:

Secures AC power cable to avoid accidental disconnection. USB connection to be used with the Puritan Bennett™ Respira-
tory Insight software package. There are two USB type A ports.
WARNING: USB connections are not intended for connection
to any devices other than the specified USB flash storage (per
section 5.2.1, USB Memory Device Specifications).

5 Access cover for the internal battery. 11 Air inlet filter:

Filters air as it enters the ventilator.
6 DC power cable connector with key.

2-6 User Manual

 Control Panel

2.7 Control Panel

Figure 2-3.  Control Panel

1 Alarm indicators (two LEDs): 6 DOWN/FREEZE key:

Red indicator: • Moves the cursor down and decreases parameter values.
• Continuous: Very high priority (VHP) alarm activated. • During ventilation, freezes the waveform shown in the Wave-
• Flashing: High priority (HP) alarm activated. form menu.
Yellow indicator:
• Flashing: Medium priority (MP) alarm activated.
• Continuous: Low priority (LP) alarm activated.
2 ALARM CONTROL key: 7 MENU key:
• Press once to pause an audible alarm for 60 seconds. Changes the menu shown. From the Ventilation menu screen,
• Press twice to halt visual and audible alarms. If alarm is reme- press this key to show the Alarm menu screen.
died, the alarm is canceled (other than the high pressure alarm). When a USB memory device is inserted into the ventilator,
press this key to show the USB memory device screen.
3 Display screen: 8 VENTILATION ON/OFF button:
Shows modes, ventilation settings, patient data and waveforms, • ON: Press briefly and release to start ventilation.
configuration of the ventilator, and alarm management. • OFF: Press and hold for 3 seconds, then press again to stop
ventilation.
4 UP/UNFREEZE key: 9 Ventilation status indicator:
• Moves the cursor up and increases parameter values. • Blue indicator illuminated: Device is turned on and ventilation
• During ventilation, reactivates waveform tracing in the Wave- is off (on standby).
form menu. • Blue indicator off: Ventilation is on.
5 ENTER key: 10 Electrical power source indicators:
• Access to a setting value and validation of the modification of • AC power indicator lit: AC power source connected.
this setting. • DC power indicator lit: DC power source connected.
• Access to a sub-menu. • Internal battery indicator lit continuously: Internal battery in
use (no external power source connected.)
• Internal battery indicator flashing: Battery charging.

User Manual 2-7

Ventilator Overview

2.8 Ventilation Menu

Figure 2-4.  Ventilation Menu Display (on standby at left; during ventilation at right)

1 General information line: 2 Ventilation settings: 3 Preferences menu access line:

Shows the current ventilation mode, Shows the specific ventilation parameter Highlight this line and press the
along with the following: values for the currently selected ventilation ENTER key to show the Preferences
mode. menu.
: Battery symbol if the ventilator is
powered by the internal battery.

: Audio paused symbol if an alarm is

currently inhibited.

: Alarm paused symbol if an alarm

has been canceled manually and the
cause of the alarm remains.

: Apnea alarm deactivation symbol.

: Exhalation valve symbol.

: No exhalation valve symbol.

ABS: Absolute symbol.
REL: Relative symbol.
4 Bargraph: 5 Status/monitored data window: 6 Alarm conditions window:
Shows pressure generation during ven- • Ventilation stopped (standby): Shows the • For active alarms, scrolls through active
tilation. message, “PRESS TO START VENTILA- alarm messages in flashing reverse video.
TION.” • For inactive alarms, shows the last alarm
• Ventilation on: Parameters are monitored along with its trigger date and end-of-
and shown. event time.
See Chapter 3, Alarms and Troubleshooting
• The Inspiratory effort detected symbol
for details.
appears adjacent to the monitored I:E ratio
when the patient actively triggers a breath.

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 Alarm Menu

2.9 Alarm Menu

Figure 2-5.  Alarm Menu (on standby at left; during ventilation at right)

1 Title line: 2 Alarm settings: 3 Access line to Alarm Logs menu.

Shows ventilation mode and the follow- Shows the specific alarm parameter Highlight this line and press the ENTER
ing symbols: values for the currently selected ventila- key to show the Alarm Logs menu.
tion mode, which are: See section 3.4, Alarm Logs Menu.
: Battery symbol if the ventilator is • Minimum and maximum alarm thresh-
powered by the internal battery. old settings
: Audio paused symbol if an alarm is • Current monitored patient readings, or
currently inhibited. hyphen (–) when ventilation is in standby

: Alarm paused symbol if an alarm has

been canceled manually and the cause of
the alarm remains.

: Apnea alarm deactivation symbol.

: Exhalation valve symbol.

: No exhalation valve symbol.

4 Status/monitored data window: 5 Alarm message window:
• Ventilation stopped (standby): Shows • For active alarms, scrolls through active alarm messages in flashing reverse video.
the message, “PRESS TO START VENTI- • For inactive alarms, shows the last alarm along with its trigger date and end-of-event
LATION.” time.
• Ventilation on: Parameters are moni- See Chapter 3, Alarms and Troubleshooting for details.
tored and shown.
• The Inspiratory effort detected
symbol appears adjacent to the mon-
itored I:E ratio when the patient actively
triggers a breath.

User Manual 2-9

Ventilator Overview

2.10 Waveforms Menu

The display of waveforms (see Figure 2-6) is optional and can be selected using the Menu key.
The Waveform menu is only accessible when ventilation is active.

Figure 2-6.  Waveforms Menu

1 Title line: 2 Graphic zone: 3 Numeric zone:

Shows ventilation mode and the follow- Shows the patient’s pressure and flow Shows monitored data.
ing symbols: waveforms as a function of time.

: Battery symbol if the ventilator is

powered by the internal battery.

: Audio paused symbol if an alarm is

currently inhibited.

: Alarm paused symbol if an alarm has

been canceled manually and the cause of
the alarm remains.

: Apnea alarm deactivation symbol.

: Freeze waveforms symbol if the
tracing of patient waveforms has been
halted during ventilation.

: Exhalation valve symbol.

: No exhalation valve symbol.

2-10 User Manual

 USB Memory Device Menu

2.11 USB Memory Device Menu

Figure 2-7.  USB Memory Device Menu

1 Title line 3 USB Memory Device menu

2 Ventilator serial number 4 Dialogue box

2.12 If Ventilator Failure Occurs

If a problem with the ventilator is suspected, first check that the patient is not in danger. If nec-
essary, remove the patient from the ventilator and provide an alternate means of ventilation.
Keep in mind that troubleshooting information is available in this manual to assist you in the event
of a problem. See Chapter 3, Alarms and Troubleshooting.
If you cannot determine the cause of a problem, contact your equipment supplier or Covidien. See
section 8.7, Service Assistance.

User Manual 2-11

Ventilator Overview

Page Left Intentionally Blank

2-12 User Manual

3 Alarms and Troubleshooting

3.1 Overview
The alarms or faults generated by the Puritan Bennett™ 560 ventilator are classified into two cat-
egories:
• Ventilation (or utilization) alarms

• Technical faults

Alarms indicate events likely to affect the ventilation in the short term and necessitate rapid inter-
vention (see section 3.9, Troubleshooting).
Some of the ventilator alarms are adjustable, depending on ventilation modes. Automatic, non-
adjustable alarms also exist to create a safety net for safer patient ventilation.
Technical faults do not directly affect machine operation. Therefore, the user is not alerted to tech-
nical faults. Only authorized and trained technicians may consult the maintenance menu (see the
service manual).

< WARNING:
Setting any alarm limits to OFF or extreme high or low values can cause the associated alarm not to
activate during ventilation, which reduces its efficacy for monitoring the patient and alerting the
clinician to situations that may require intervention.

< WARNING:
When an alarm condition is triggered, or there is evidence of a patient-ventilator fault or problem,
examine the patient first before examining the ventilator.

< WARNING:
Do not pause, disable, or decrease the volume of the ventilator’s audible alarm if patient safety could
be compromised.

: Note:
Many ventilator functions are not accessible when the Locking key is enabled. For additional assistance
contact your clinician or equipment representative.

3-1
Alarms and Troubleshooting

: Note:
Default alarm setting preferences should be entered prior to using the ventilator.

: Note:
All configurable alarm settings are recorded in the ventilator’s nonvolatile internal memory, and are retained
when powering down or in the event of a total loss of power.

3.2 Alarm Level of Priority

The alarm hierarchy for signaling the level of alarm criticality is listed as follows:
• Very high priority (VHP): Immediate critical situation; ventilation is impossible: Continuous sound sig-
naling / with or without continuous red LED illumination / with or without message / with or without display
lighting (it is possible for an alarm condition to occur that may not have both a message and lighting)

• High priority (HP): Critical situation in the short term; ventilation is potentially compromised:
High speed intermittent sound signaling / flashing red LED illumination / with message / with display light-
ing

• Medium priority (MP): Critical situation in the long term; ventilation is not affected in the short term:
Medium speed intermittent sound signaling / flashing yellow LED illumination / with message / with display
lighting

• Low priority (LP): Ventilation is not affected in the short term, but potential for delayed minor injury
or discomfort: Medium speed intermittent sound signaling / continuous yellow LED illumination / with
message / with display lighting

: Note:
If there is no corrective action and if the audible alarm is not inhibited (Audio Paused) or reset (Alarm Reset)
within 60 seconds, high priority alarms will sound at the maximum level.

3-2 User Manual

 Alarm Display

3.3 Alarm Display

: Note:
The alarm indicator LEDs to the left of the ALARM CONTROL key on the Puritan Bennett™ 560 ventilator are
designed to be visible to the operator at any position where the ventilator is visible to the operator. Specific
alarm detail (shown in the alarm message area) is designed to be readable from up to four meters from the
screen, at a viewing angle of up to 30°.
The ventilator is constructed to meet the compliance requirements of the IEC 60601-1-8 alarm standard.
During operation, when an alarm is activated, the following events occur:
• One of the red or yellow alarm indicators to the left of the ALARM CONTROL key illuminates and possibly
flashes.

• An alarm tone sounds.

• A message is shown and flashes in reverse video at the bottom of the Ventilation menu or Alarm menu.

Figure 3-1.  Front Panel (Alarm Control Key)

1 Alarm Control key

Figure 3-2.  Alarm Messages (in Ventilation menu at left, in Alarm menu at right)

1 Alarm messages

User Manual 3-3

Alarms and Troubleshooting

: Note:
When an alarm is triggered, if the current menu shown is not the Ventilation parameters or Alarm menu, the
display automatically switches to one of these menus to show the alarm message.

: Note:
In the event several alarms are activated at the same time, the highest priority audible and visual alarm is
highlighted; however, all active messages are shown, in the sequence in which they occurred.

3.4 Alarm Logs Menu

All alarms are recorded in the ventilator’s nonvolatile internal memory at the time of activation,
and are retained when powering down or in the event of a total loss of power.
The Alarm Logs menu shows the last eight alarms activated, along with their date and time of acti-
vation.
To access the Alarm Logs menu:
1. Press the MENU key to access the alarm setting menu (if this is not the menu currently shown).

2. Press the DOWN key until the cursor is on the Alarm Logs line at the bottom of the page. The display
appears as shown in Figure 3-3:

Figure 3-3.  Accessing the Alarm Logs Menu

3. Press the ENTER key. The Alarm Logs screen is shown.

3-4 User Manual

 Alarm Logs Menu

Figure 3-4.  Alarm Logs Screen

: Note:
When no alarm has been activated, the message “NO DATA” is shown on the screen (see Figure 3-5).

Figure 3-5.  Alarm Logs Screen (no alarm activated)

For more information on the User’s clear alerts line, see section 3.7, Reactivating Alarms.
To dismiss the Alarm Logs screen manually:
1. Ensure that the cursor is on the Back line.

2. Press the ENTER key.

The Alarm Logs screen is dismissed automatically:

• After 15 seconds if no keyboard action is detected

• When a high priority alarm is triggered

: Note:
Only qualified service personnel may access all alarms and events recorded by the ventilator. Qualified personnel
should see the service manual for further information.

User Manual 3-5

Alarms and Troubleshooting

3.5 Pausing the Audible Portion of Alarms

< WARNING:
Do not pause, disable, or decrease the volume of the ventilator’s audible alarm if patient safety could
be compromised.
To pause the audible portion of activated alarms for 60 seconds at a time, press the ALARM CONTROL
key. This causes the following:
• The audible portion of all activated alarms is paused.

• The visual portions (light indicator and message) of activated alarms remain visible.

• The audio paused symbol is shown at the top right of the screen while the audio pause function is active.

Figure 3-6.  Pausing the Audible Portion of Alarms

If several alarms are activated at the same time, pressing the ALARM CONTROL key affects all current
alarms.
The audible portion of activated alarms is automatically reactivated if the following occurs:
• After 60 seconds, if the cause or causes of the alarm or alarms persist

• Whenever a new alarm is activated

: Note:
If a key is stuck or held down for 45 seconds, a keypad alarm will occur.

3-6 User Manual

 Pausing and Resetting Alarms

3.6 Pausing and Resetting Alarms

< WARNING:
Alarm volume should be adjusted with respect to the ventilator’s operating environment and so that
the patient's caretakers can hear the alarms. The audible alarm vents located at the front of the device
should never be obstructed. The alarm can be paused with the Alarm Pause function by pressing the
ALARM CONTROL key twice once the alarm has been declared.

< WARNING:
When an alarm condition is triggered, or there is evidence of a patient-ventilator fault or problem,
examine the patient first before examining the ventilator.
Some alarms are not automatically canceled when the condition causing the alarm clears (for exam-
ple, high pressure). Some alarms can be paused manually even if the cause or causes of their acti-
vation remain.
To manually pause an alarm, press the ALARM CONTROL key twice.
• The alarm is paused until the alarm condition is corrected and the condition reoccurs: the audible por-
tion, light indicator, and message are all halted (for alarms that can be paused manually).

• The alarm paused symbol is shown at the top right of the Ventilation, Alarms, and Waveforms screens.
See Figure 3-7.  

Figure 3-7.  Ventilator Screen (alarm paused indicator)

When no other alarms are currently activated, the last alarm canceled is shown continuously in the
alarm message window in the Alarms menu, along with the date and time of its activation. The High
Pressure alarm must be manually reset. See section 3.8, Overview of Alarms.
To manually reset the High Pressure alarm, press the ALARM CONTROL key twice. The visual alarms
will be reset.

User Manual 3-7

Alarms and Troubleshooting

3.7 Reactivating Alarms

Alarms that have been paused and whose activation conditions continue to exist can be reactivated.
To reactivate alarms, proceed as follows:
1. Press the MENU key to access the alarm setting menu, if this is not the menu currently shown.

2. Press the DOWN key to position the cursor on the Alarm Logs line, if this is not already the case. See Fig-
ure 3-8.  

Figure 3-8.  Reactivating Alarms

3. Press the ENTER key, to confirm access to the Alarm Logs menu.

4. Press the UP key to position the cursor on the User’s clear alerts line. See Figure 3-9.  

Figure 3-9.  Alarm Logs

5. Press the ENTER key for at least 3 seconds. The following events occur:

• A beep sounds.

• An audible alarm sounds.

• An alarm indicator illuminates.

3-8 User Manual

 Overview of Alarms

• The messages of all active alarms are shown in a loop in the Ventilation and Alarm menus.

• The audio paused symbol disappears (if it was shown).

• The alarm paused symbol disappears.

3.8 Overview of Alarms

: Note:
The message: “*IF PERSISTS RESTART/SRVC” will occur only if the alarm condition continues for longer than 30
seconds.

: Note:
Many ventilator functions are not accessible when the Locking key is enabled. For additional assistance,
contact your clinician or equipment representative.

Table 3-1.  Overview of Alarms
Alarm message Cause/ventilator response Priority Audio Paused Alarm Paused
available available
AC POWER DISCONNECTION Cut-off of the AC (mains) power supply. If the Power Yes Yes
Alarm activation occurs: Fault alarm is
active: MP
• Immediately if the Power Fault alarm is OFF
Otherwise: LP
• After 5 seconds if the Power Fault alarm is ON and
ventilation is stopped
• After two breath cycles when ventilation is in prog-
ress
Consequence: Switchover to external DC power
supply if present; if not, to the internal battery.
APNEA NOTE: The Apnea alarm is equivalent to a hypoventi- MP Yes Yes (except for
lation alarm. CPAP)
No inspiratory trigger detected by the ventilator after
the apnea time set in PSV, CPAP, P SIMV, and V SIMV
modes.
Automatically clears itself after three successive
patient breaths.
BATTERY FAULT1 Ventilator has detected an internal battery fault. MP Yes Yes
RESTART/SRVC Consequence: The internal battery is disabled from
use.
BATTERY FAULT2 No internal battery detected. MP Yes No
RESTART/SRVC
BUZZER FAULT1 Defective operation of the buzzers. MP Yes No
RESTART/SRVC
BUZZER FAULT2 Failure detected in the very high priority buzzer. MP Yes Yes
RESTART/SRVC Consequence: No audible alarm in case of Power
Supply Loss alarm.

User Manual 3-9

Alarms and Troubleshooting

Table 3-1.  Overview of Alarms (Continued)

Alarm message Cause/ventilator response Priority Audio Paused Alarm Paused
available available
BUZZER FAULT3 Battery charge failure due to incorrect voltage. HP Yes No
RESTART/SRVC Contact your service representative for assistance.

BUZZER LOW BATTERY Buzzer battery failure. The battery buzzer voltage is MP Yes Yes
too low.
Internal technical problem that prevents the battery
sounding the Power Supply Loss alarm.
CALIBRATE FiO2 An FiO2 sensor is detected and has not been calibrat- MP Yes Yes
ed.
CALIBRATION FAIL Failure of one calibration point of the internal exhaled MP Yes Yes
flow sensor.
Consequence: Failed calibration point is replaced by
the default point.
CHECK BATTERY CHARGE Internal battery charging failure. MP Yes No
*IF PERSISTS RESTART/SRVC Consequence: Charging of the internal battery
impossible.
CHECK EXH VALVE* Inspired tidal volume during exhalation <20% of HP Yes No
*IF PERSISTS RESTART/SRVC Inspired tidal volume and inspired tidal volume >20
mL.
Exhalation valve obstructed.
Alarm activation occurs after two breath cycles or
after 5 seconds, whichever is greater.
CHECK EXH VALVE PRESSURE Internal ventilation fault related to exhalation valve HP Yes Yes
detection sensor (pressure sensor).
CHECK FiO2 SENSOR FiO2 measurement is less than 18%. HP Yes No
Recalibrate or change FiO2 sensor.

CHECK PROXIMAL LINE1* NOTE: The Check Proximal Line 1 alarm is equivalent MP Yes No
*IF PERSISTS RESTART/SRVC to a continuous positive pressure alarm.
Loss of signal from the proximal pressure sensor.
Consequence: Switch to internal pressure sensor for
the pressure measurement.
Alarm activation occurs in the event of signal loss, and
under the following conditions (time is in seconds):
• Disconnection time +2 or (60/R-Rate +2), whichever
is greater, in P A/C and V A/C mode
• Disconnection time +2 or (Apnea time +4),whichev-
er is greater, in CPAP and PSV mode
• Disconnection time +2 or (60/R-Rate + Insp time +2),
whichever is greater, in P SIMV and V SIMV mode
CHECK REMOTE ALARM No activation of nurse call or remote alarm system MP Yes Yes
when an alarm is in progress.

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 Overview of Alarms

Table 3-1.  Overview of Alarms (Continued)

Alarm message Cause/ventilator response Priority Audio Paused Alarm Paused
available available
CHECK SETTINGS Alarm activation occurs: MP Yes Yes
• Systematically after software versions have changed.
• Loss of memorized parameters
Consequence:
• Locking key disabled
• Out-of-range settings are replaced by their default
values
CONNECT VALVE OR CHANGE • No exhalation valve connected with PEEP set to less HP Yes No
PRESS than 4 mbar
• Pi set to more than 30 mbar when relative pressure
is set to OFF.
CONTROLLED CYCLES The ventilator is delivering apnea ventilation at set N/A N/A N/A
back up rate.
COOLING FAN Ventilator cooling fan operating speed not suited to MP Yes Yes
RESTART/SRVC the internal ambient temperature of the device.

DC POWER DISCONNECTION Cut-off of the external DC power supply. LP Yes Yes

Consequence: Switchover to the internal battery.
DEVICE FAULT3 Failure in the 24 V power supply. HP Yes No
RESTART/SRVC
DEVICE FAULT5 Detection of a fault in the electrical power supply MP Yes Yes
RESTART/SRVC system.
Alarm activation occurs once the ventilator is on for at
least 3 seconds, and a power supply fault is detected
for at least 5 seconds thereafter.
Consequence: The internal battery capacity is not
shown beside the battery symbol.
DEVICE FAULT7 Detection of a fault in internal voltage measurement. HP Yes No
RESTART/SRVC
DEVICE FAULT9 POST RAM error. RAM read/write does not match VHP No No
RESTART/SRVC memory setting.

DEVICE FAULT10 POST FLASH checksum error. Startup FLASH comput- VHP No No
RESTART/SRVC ed checksum does not match memory setting.

DEVICE FAULT11 POST EEPROM error. Startup EEPROM does not match VHP No No
RESTART/SRVC memory setting.

DEVICE FAULT12 POST reference voltage error. 5V or 10V reference VHP No No

RESTART/SRVC voltage error.

DEVICE FAULT13 Software version error. VHP No No

RESTART/SRVC
E SENS FAULT OR CIRC LEAK At least four of the last six breaths within the last MP Yes No
minute are terminated by time.

User Manual 3-11

Alarms and Troubleshooting

Table 3-1.  Overview of Alarms (Continued)

Alarm message Cause/ventilator response Priority Audio Paused Alarm Paused
available available
EMPTY BATTERY Internal battery capacity <10 minutes or 3%. (battery If AC power is No No
voltage <22.5 V) not connected:
Consequence: Ventilation comes to a halt. HP
If AC power is
connected: LP
EXH VALVE LEAKAGE Abnormally high expired flow during the inspiratory MP Yes No
phase of three consecutive breaths (in double-limb
setup).
Alarm activation occurs after three consecutive
breaths.
FiO2 SENSOR MISSING No FiO2 sensor detected and the FiO2 alarm is active. HP Yes Yes

HIGH / LOW BATTERY TEMP* Battery temperature out of tolerance. MP Yes Yes
*IF PERSISTS RESTART/SRVC Consequence: Battery charging stops.
HIGH FiO2 The level of oxygen delivered by the ventilator MP Yes No
exceeds the Max FiO2 level set for 45 seconds.

HIGH INT TEMP COOL VENT* Device internal ambient temperature out of tolerance MP Yes Yes
*IF PERSISTS RESTART/SRVC range.

HIGH LEAKAGE The leak estimated by the ventilator exceeds the HP Yes No
Max leak alarm threshold.
HIGH PRESSURE Alarm activation occurs after three consecutive HP Yes No
breaths, under the following conditions: NOTE: When (The visual
• In V A/C or V SIMV modes, if inspiratory pressure is alarm condi- portion of the
higher than Max PIP during three consecutive cycles. tion clears, alarm may be
• In PSV, CPAP, P A/C, or P SIMV modes, if inspiratory alarm priority paused)
pressure is higher than (P Support or P Control + indicator must
PEEP) + 5 mbar up to 29 mbar or + 10 mbar over 30 be manually
mbar during three consecutive cycles. reset by press-
• In PSV or CPAP mode and P Support is set to off, if ing .
inspiratory pressure is higher than PEEP + 10 mbar Automatically
during three consecutive cycles. resets upon
Consequence: Switch to exhalation phase. activation of
lower priority
alarm.
HIGH RATE Rate measured greater than Max Rtot set during three MP Yes No
consecutive breaths.
Alarm activation occurs after three consecutive
breaths.
HIGH VTE Exhaled tidal volume greater than Max VTE set during MP Yes No
three consecutive breaths (in double-limb setup).
Alarm activation occurs after three consecutive
breaths.
HIGH VTI Inspired tidal volume greater than Max VTI set during HP Yes No
three consecutive breaths in PSV, CPAP, P A/C, P SIMV,
and V SIMV modes.
Alarm activation occurs after three consecutive
breaths.

3-12 User Manual

 Overview of Alarms

Table 3-1.  Overview of Alarms (Continued)

Alarm message Cause/ventilator response Priority Audio Paused Alarm Paused
available available
INSP FLOW Inspiratory flow is constant (±1 lpm) with normal HP Yes No
RESTART/SRVC turbine temperature and speed conditions. Contact
your service representative for assistance.
INTENTIONAL VENT STOP Ventilation has been stopped voluntarily by the care- HP Yes Yes
giver or patient.
KEYPAD FAULT Keyboard key held down for more than 45 seconds. HP No No
RESTART/SRVC*
*IF PERSISTS RESTART/SRVC
LOW BATTERY Internal battery capacity <30 minutes or 8%. If AC power is Yes No
not connected:
HP
If AC power is
connected: LP
LOW FiO2 The level of oxygen delivered by the ventilator is MP Yes No
below the Min FiO2 level set for 45 seconds.

LOW VTE Exhaled tidal volume less than Min VTE set during MP Yes No
three consecutive breaths (in double-limb setup).
Alarm activation occurs after three consecutive
breaths.
LOW VTI Inspired tidal volume less than Min VTI set during MP Yes No
three consecutive breaths in PSV, CPAP, P A/C, P SIMV,
and V SIMV modes.
Alarm activation occurs after three consecutive
breaths.
OCCLUSION Occurs in valve configuration when measured tidal HP Yes No
CHECK CIRCUIT* volume is less than 20 ml for PSV, P A/C, and P SIMV
modes.
*IF PERSISTS RESTART/SRVC
Alarm activation occurs after two breath cycles or
after 5 seconds, whichever is greater, if the tidal
volume is less than 20 mL.
OCCLUSION Occurs in leak configuration when the leak level is not HP Yes No
CHECK CIRCUIT sufficient to flush the CO2 from patient exhalation.
The built-in leak in the mask may be obstructed.
The built-in leak for the mask is not sufficient for the
settings.

User Manual 3-13

Alarms and Troubleshooting

Table 3-1.  Overview of Alarms (Continued)

Alarm message Cause/ventilator response Priority Audio Paused Alarm Paused
available available
PATIENT DISCONNECTION* Alarm activation occurs under the following condi- HP Yes No
*IF PERSISTS RESTART/SRVC tions (time is in seconds):
• Disconnection time or 60/R-Rate, whichever is great-
er, in P A/C and V A/C mode
• Disconnection time or (Apnea time +2 sec), which-
ever is greater, in CPAP and PSV mode
• Disconnection time or (60/R-Rate + Insp time),
whichever is greater, in P SIMV and V SIMV mode.
If the flow is greater than 130 lpm during the inspira-
tory phase.
In V A/C and V SIMV modes, if patient pressure is lower
than Min PIP.
In PSV, CPAP, P A/C modes and P SIMV if patient pres-
sure is lower than (P Support + PEEP) –20% or (Pi +
PEEP) –20%.
POWER FAULT Detection of a fault in the electrical power supply MP Yes Yes
RESTART/SRVC system.

POWER SUPPLY LOSS • Electrical power supply to the machine is interrupted VHP No—Alarm No—Alarm
(no message) with the I/O (power) switch when ventilation is in cancel only cancel only
progress.
• Battery fully discharged when it was the only source
of power to the ventilator.
Consequence: Ventilation stops immediately. Ventila-
tion restarts immediately when the switch is pressed
or after restoration of the AC or DC supply.
PRES SENS FLT1 Faulty internal pressure sensor signal. HP Yes No
RESTART/SRVC Alarm activation occurs after 15 seconds.
PROX SENS FLT2 Faulty proximal pressure sensor signal. MP Yes Yes
RESTART/SRVC Alarm activation occurs after 15 seconds.
REMOVE VALVE The ventilation settings are not compatible with the HP Yes No
CPAP MODE type of patient circuit used.
Remove exhalation valve to start CPAP ventilation.
REMOVE VALVE OR CHANGE The ventilation settings are not compatible with the HP Yes No
PRES type of patient circuit used.
With a valve circuit, the difference between Pi and
PEEP should not be less than 5 mbar.
SOFTWARE VERSION ERROR Detection of a wrong software version. N/A N/A N/A
TURB OVERHEAT Turbine speed too low and temperature too high. HP No No
RESTART/SRVC Consequence: Ventilation stops immediately and O2
supply stops.
UNKNOWN BATTERY The internal battery is not recognized as a Puritan MP Yes No
Bennett™ product battery.

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 Troubleshooting

Table 3-1.  Overview of Alarms (Continued)

Alarm message Cause/ventilator response Priority Audio Paused Alarm Paused
available available
VALVE MISSING Connect exhalation valve to start ventilation in V A/C HP Yes No
CONNECT VALVE or V SIMV / P SIMV modes.

VTI NOT REACHED* Measurement and calculation of tidal volume do not HP Yes No
*IF PERSISTS RESTART/SRVC match Vt set during six consecutive breaths in VOL
inspired and V SIMV modes.
Alarm activation occurs after six consecutive
breaths—once the ventilator has reached its perfor-
mance limits.

3.9 Troubleshooting

< WARNING:
This manual tells you how to respond to ventilator alarms, but it does NOT tell you how to respond to
the patient.

< WARNING:
To ensure proper servicing and avoid the possibility of physical injury to personnel or damage to the
ventilator, only personnel authorized and qualified by Covidien should attempt to service or make
authorized modifications to the Puritan Bennett™ 560 ventilator.

3.9.1 Alarms

Table 3-2 offers a guide to the most likely ventilator alarms, possible reasons for the alarms, and cor-
rective actions.

< WARNING:
Do not attempt to open, repair or otherwise service the ventilator yourself. Doing so might endanger
the patient, damage the ventilator, and/or void your warranty. Only personnel authorized and qualified
by Covidien should repair, open or service the ventilator.

< WARNING:
When an alarm condition is triggered, or there is evidence of a patient-ventilator fault or problem,
examine the patient first before examining the ventilator.

: Note:
The ventilator screen must be unlocked before settings and parameters can be changed.

: Note:
Many ventilator functions are not accessible when the Locking key is enabled. For additional assistance,
contact your clinician or equipment representative.

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Alarms and Troubleshooting

Table 3-2.  Alarms and Corrective Actions

Alarm message or Possible reason for the alarm event Corrective action
symptom
AC POWER DISCONNECTION AC (“mains”) power source cut off. Cancel the alarm, and then check the supply cable and
the effective availability of a voltage on the AC power
(“mains”) port.
Starting with 12–30 VDC external power supply. Cancel the alarm.
Current-limiting fuse of the device blown. Replace the ventilator. Contact your customer service
representative for assistance.
APNEA Patient’s breathing effort less than the sensitivity Ensure the patient is breathing. Contact your customer
Note: The Apnea alarm is control setting. service representative for assistance.
equivalent to a hypoventila- Patient apnea. Examine the patient for breathing effort and stimulate if
tion alarm. necessary.
If patient status has changed, contact your customer
service representative for additional assistance.
Defective sensors. Contact your customer service representative to
arrange for a qualified technician to replace the defec-
tive component or components.
BATTERY FAULT1 Battery problem that prevents operation. Restart ventilator to see if alarm clears. If not, replace the
RESTART/SRVC ventilator. Contact your customer service representa-
tive for assistance.
BATTERY FAULT2 Internal battery missing or not detected. Restart ventilator to see if alarm clears. If not, replace the
RESTART/SRVC ventilator. Contact your customer service representa-
tive for assistance.
BUZZER FAULT1 Defective operation of the buzzers. Restart ventilator to see if alarm clears. If not, replace the
RESTART/SRVC Consequence: no audible tone when an alarm is ventilator. Contact your customer service representa-
activated. tive for assistance.

BUZZER FAULT2 Internal technical problem that prevents the very Ensure that the protective cover over the I/O (power)
RESTART/SRVC high priority Power Supply Loss alarm from trig- switch located on the rear of the device is intact and
gering. functioning properly. This cover helps prevent acciden-
tal pressing of the switch and stoppage of ventilation.
Ensure that the device is stabilized.
Contact your customer service representative for addi-
tional assistance.
BUZZER FAULT3 Internal technical problem that prevents the Restart ventilator to see if alarm clears. If not, replace the
RESTART/SRVC battery from correctly charging. ventilator. Contact your customer service representa-
tive for assistance.
BUZZER LOW BATTERY Internal technical problem that prevents the Connect the ventilator to an AC power source and
battery warning buzzer from sounding a Power power on using the I/O (power) switch located on the
Supply Loss alarm. rear of the ventilator.
Allow the ventilator to charge for a minimum of 15
minutes and up to 2 hours.
If alarm persists, restart ventilator to see if alarm clears. If
not, contact your customer service representative for
assistance.
CALIBRATE FiO2 An FiO2 sensor is detected and has not been cali- Calibrate FiO2 sensor. Contact your customer service
brated. representative for assistance.

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 Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
CALIBRATION FAIL Too large a difference between a calibration point There may be a leak in the circuit. Ensure an approved
and its tolerance range. circuit is in use (see circuit documentation).
Contact your customer service representative for assis-
tance.
Incorrect circuit type selected in the Preferences Verify the circuit selection matches the circuit in use.
menu. Contact your customer service representative for assis-
tance.
Exhalation block defective or not properly aligned. Reset alarm message and ensure all connections are
secure, verify circuit integrity, and verify the exhalation
block is properly seated.
Defective exhalation flow sensor. Contact your customer service representative to
arrange for a qualified technician to replace the defec-
tive component or components.
CHECK BATTERY CHARGE Battery charging impossible. Do not disconnect the ventilator from the AC power
supply. Ensure that the power cable is installed accord-
ing to the instructions in Chapter 4, Installation and
Assembly, so that the power cable cannot be involun-
tarily disconnected.
In the event the internal battery capacity is low, use an
alternate device to ventilate the patient.
Contact your customer service representative for assis-
tance.
CHECK EXH VALVE Obstruction or abnormal damage of the exhala- Contact your customer service representative for assis-
tion valve. tance.
Excessive moisture in the exhalation block. Verify exhalation valve is seated properly.
Reduce temperature of the humidifier.
Contact your customer service representative for addi-
tional assistance.
Defective connection or defective exhalation Reconnect the valve or replace the exhalation valve, the
valve tubing. exhalation valve pilot pressure tube, or both.
Defective inspiratory flow sensor. Contact your customer service representative to
arrange for a qualified technician to replace the defec-
tive component or components.
CHECK EXH VALVE PRESSURE The exhalation valve may not be detected by the Restart ventilator to see if alarm clears. If not, replace the
ventilator when ventilation is started. ventilator. Contact your customer service
The exhalation valve may be falsely detected representative for assistance.
when ventilation is started.
CHECK FiO2 SENSOR FiO2 measured is less than 18%. Contact your customer service representative for
assistance.

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Alarms and Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
CHECK PROXIMAL LINE1* No connection of the proximal pressure tube Reconnect the proximal pressure line.
*IF PERSISTS RESTART/SRVC when ventilation starts.
Note: The Check Proximal Proximal pressure line disconnected or obstruct- Reconnect the connection line or replace it if
Line 1 alarm is equivalent to a ed. obstructed.
continuous positive pressure Check for moisture or occlusion of the proximal line.
alarm.
Reduce humidifier temperature.
Switch to a heated wire circuit.
Contact your customer service representative for
additional assistance.
Defective proximal pressure sensor or internal leak Restart ventilator to see if alarm clears. If not, contact
of the machine. your customer service representative to arrange for a
qualified technician to replace the defective compo-
nent or components.
CHECK REMOTE ALARM Nurse call or remote alarm system is disconnect- Contact your customer service representative for assis-
ed. tance.
Relay control voltage problem. Carefully monitor the patient to detect possible alarm
triggering. Contact your customer service representa-
tive to arrange for maintenance.
CHECK SETTINGS Loss of memorized parameters. Contact your customer service representative for assis-
tance.
Software versions have changed. Contact your customer service representative for assis-
tance.
CONNECT VALVE OR CHANGE The ventilation settings are not compatible with Connect exhalation valve.
PRESS the type of patient circuit used. Contact your customer service representative for addi-
No exhalation valve connected with PEEP set to tional assistance.
less than 4 mbar. NOTE: Always consult the clinician before changing
Pi set to more than 30 mbar when relative pres- PEEP, FiO2, pressure, volume, or Rate settings.
sure is set to OFF.
CONTROLLED CYCLES The ventilator is delivering apnea ventilation at set Check that the patient circuit is correctly attached and
back up rate. the patient is correctly ventilated.
COOLING FAN Operating speed of the cooling fan not properly Restart ventilator to see if alarm clears. If not, replace the
RESTART/SRVC adjusted for the internal ambient temperature of ventilator. Contact your customer service representa-
the device. tive for assistance.
DC POWER DISCONNECTION 12–30 VDC power supply cut off when there is no Cancel the alarm, and then check the supply wiring and
AC (“mains”) power supply. the effective availability of voltage on the external
source.
Ventilator’s current-limiting fuse blown. Replace the ventilator. Contact your customer service
representative for assistance.
DEVICE FAULT3 24V supply failure. Restart ventilator to see if alarm clears. If not, replace the
IF PERSISTS RESTART/SRVC ventilator. Contact your customer service representa-
tive for assistance.
DEVICE FAULT5 Internal problem in the electrical power supply. Restart ventilator to see if alarm clears. If not, replace the
IF PERSISTS RESTART/SRVC ventilator. Contact your customer service representa-
tive for assistance.

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 Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
DEVICE FAULT7 Internal technical problem. Restart ventilator to see if alarm clears. If not, replace the
IF PERSISTS RESTART/SRVC ventilator. Contact your customer service representa-
tive for assistance.
DEVICE FAULT9 POST RAM error. RAM read/write does not match If patient has been disconnected, reconnect patient to
IF PERSISTS RESTART/SRVC memory setting. reset the fault.
If the error persists, restart ventilator to see if alarm
clears. If not, replace the ventilator. Contact your cus-
tomer service representative for assistance.
DEVICE FAULT10 POST FLASH checksum error. Startup FLASH com- Restart ventilator to see if alarm clears. If not, replace the
IF PERSISTS RESTART/SRVC puted checksum does not match memory setting. ventilator. Contact your customer service representa-
tive for assistance.
DEVICE FAULT11 POST EEPROM error. Startup EEPROM does not Restart ventilator to see if alarm clears. If not, replace the
IF PERSISTS RESTART/SRVC match memory setting. ventilator. Contact your customer service representa-
tive for assistance.
DEVICE FAULT12 POST reference voltage error. 5V or 10V reference Restart ventilator to see if alarm clears. If not, replace the
IF PERSISTS RESTART/SRVC voltage error. ventilator. Contact your customer service representa-
tive for assistance.
DEVICE FAULT13 Incorrect software version detected. Restart ventilator to see if alarm clears. If not, replace the
IF PERSISTS RESTART/SRVC ventilator. Contact your customer service representa-
tive for assistance.
EMPTY BATTERY Internal battery capacity is less than 10 minutes Reconnect the device to an AC power outlet, connect it
(or 3%)—battery operation overextended. to an external DC power source, or replace the battery.
NOTE: The internal battery can be charged only when
the ventilator is connected to an AC power supply.
E SENS FAULT Leak in the patient circuit, leak in patient artificial Check and properly connect the patient circuit connec-
OR CIRC LEAK airway or vented mask interface. tions.
Minimize the leak.
Ensure O2 connector is removed.
Check tracheotomy cuff.
Refit mask.
Use non-vented mask.
Contact your customer service representative for addi-
tional assistance.
NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

E sensitivity setting not properly adjusted. Contact your customer service representative for assis-
tance.
NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

EXH VALVE LEAKAGE Large leakage detected on the patient circuit Replace the exhalation valve, its control tube, or both.
return limb during the inspiratory phase.
Contaminated or defective exhalation flow Restart ventilator to see if alarm clears. If not, contact
sensor. your customer service representative to arrange for a
qualified technician to replace the defective compo-
nent or components.

User Manual 3-19

Alarms and Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
FiO2 SENSOR MISSING There is no FiO2 sensor, and FiO2 alarms are active. Contact your customer service representative for assis-
tance.
HIGH FiO2 The level of oxygen being delivered to the patient Contact your customer service representative for assis-
is higher than the Max FiO2 limit set. tance.
NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

HIGH INT TEMP Internal ambient temperature of the device out of If the ambient temperature is too low, place the device
COOL VENT the tolerance ranges. in a warmer environment.
If the ambient temperature is too high, place the venti-
lator in a cooler environment.
For example, ensure the ventilator is not in direct sunlight
or next to an air conditioning vent.
WARNING: In case of operation in a high ambient
temperature, handle the ventilator with care; some
portions of the device may have high surface tem-
peratures.
WARNING: In the case of high ambient temperatures,
it may take a significant period of time to cool the
internal temperature of the ventilator to the proper
operating range. To avoid injury to the patient,
ensure that the air inspired by the patient does not
exceed 41°C (106°F). If in doubt, replace the ventila-
tor.
NOTE: The temperature fault alarm does not interfere
with the operation of the ventilator.
NOTE: Ensure that you are operating the ventilator within
the proper temperature range (see Appendix A, Specifica-
tions).
Defective internal temperature probe or any other Replace the ventilator. Contact your customer service
technical anomaly. representative for assistance.
HIGH/LOW BATTERY TEMP* Battery temperature out of the tolerance ranges. If the ambient temperature is too low, place the device
*IF PERSISTS RESTART/SRVC Defective internal temperature probe or any other in a warmer environment.
technical anomaly inside the battery. If the ambient temperature is too high, place the venti-
lator in a cooler environment.
For example, ensure the ventilator is not in direct sun-
light or next to an air conditioning vent.
Restart ventilator to see if alarm clears. If the alarm
message persists, please contact technical services.
WARNING: In case of operation in a high ambient
temperature, handle the ventilator with care; some
portions of the device may have high surface tem-
peratures.
CAUTION: Do not attempt to charge a defective bat-
tery; such a battery cannot be charged.
NOTE: The temperature fault alarm does not interfere
with the operation of the ventilator.
NOTE: Ensure that the ventilator is being used accord-
ing to the operating instructions found in Appendix A,
Specifications.

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 Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
HIGH LEAKAGE The leak estimated by the ventilator exceeds the Readjust mask to reduce leakage.
Max Leak alarm threshold. Contact your customer service representative for addi-
tional assistance.
HIGH PRESSURE Adjustment of Max PIP too low (only for V A/C and Contact your customer service representative for assis-
V SIMV modes). tance.
NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

Airway obstruction. Check patient’s trachea and clear the obstruction. If the
filter is obstructed, replace the filter.
Proximal pressure tube or patient circuit obstruct- Clean the proximal pressure tube or the patient circuit
ed. or replace them.
Coughing or other high-flow exhalation efforts. Treat patient’s cough.
Pause the audible alarm, if necessary.
Patient inspiratory resistance or compliance Have physician determine if ventilator settings are
changes. appropriate for the patient.
Defective internal circuits of the machine or pres- Replace the ventilator. Contact your customer service
sure sensor. representative for assistance.
HIGH RATE Adjustment of the Max Rtot level too low. Contact your customer service representative for assis-
tance.
Adjustment of the I Sens level too low. Contact your customer service representative for assis-
tance.
Patient hyperventilating. Pause the audible alarm, and call for a medical team if
the symptoms persist.
Manage leaks.
Drain condensation from patient circuit.
Contact your customer service representative for addi-
tional assistance
Defective inspiratory flow sensor. Contact your customer service representative to
arrange for a qualified technician to replace the defec-
tive component or components.
HIGH VTE Adjustment of the Max VTE level too low. Contact your customer service representative for assis-
tance.
NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

Inappropriate patient circuit. Replace the patient circuit.

Ensure there is not excessive airflow near the exhalation
block (such as a fan).
Exhalation flow sensor not calibrated properly. Contact your customer service representative for assis-
tance.
Defective exhalation flow sensor. Contact your customer service representative for assis-
tance.

User Manual 3-21

Alarms and Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
HIGH VTI Adjustment of the Max VTI level too low (for PSV, Contact your customer service representative for assis-
CPAP, P A/C, P SIMV, and V SIMV modes). tance.
NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

Adjustment of the pressure level too high for the Contact your customer service representative for assis-
volume required (for PSV, CPAP, P A/C, P SIMV, and tance.
V SIMV modes). NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

A leak in the patient circuit causing increased bias Check and properly connect the patient circuit.
flow.
Inappropriate patient circuit. Replace with an appropriate circuit.
Defective flow sensor or internal leak in the Contact your customer service representative to
machine. arrange for a qualified technician to replace the defec-
tive component or components.
INSP FLOW Inspiratory flow is constant (±1 lpm) with normal Restart ventilator to see if alarm clears. If not, replace the
RESTART/SRVC turbine temperature and speed conditions. ventilator. Contact your customer service representa-
tive for assistance.
INTENTIONAL VENT STOP The user/caregiver has stopped ventilation using Check that the ventilation was switched off on purpose.
the VENTILATION ON/OFF button. Ventilation is
in standby.
KEYPAD FAULT Pressing a key for more than 45 seconds. Press and release keys in the normal, prescribed
RESTART/SRVC manner. Do not press keys for 45 seconds or more.
A key on the keyboard is stuck. If unsuccessful in releasing the stuck key or keys, restart
ventilator to see if alarm clears. If not, replace the venti-
lator. Contact your customer service representative for
assistance.
LOW BATTERY Internal battery capacity is less than 30 minutes Immediately connect the ventilator to an AC power
(or 8%)—battery operation overextended. outlet or to an external DC power source.
NOTE: The internal battery can be charged only when
the ventilator is connected to an AC power supply.
LOW FiO2 The level of oxygen being delivered to the patient Contact your customer service representative for assis-
is below the Min FiO2 limit set. tance.
NOTE: Always consult the clinician before changing
PEEP, FiO2, pressure, volume or Rate settings.

3-22 User Manual

 Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
LOW VTE Patient circuit obstructed. Clean, unblock, or properly connect the patient circuit.
Leak in the patient circuit. Check and properly connect the patient circuit connec-
tions.
May be caused by increased resistance across exhala-
tion filter (such as excessive moisture).
Exhalation block missing or disconnected. Contact your customer service representative for assis-
tance.
Adjustment of a Min VTE threshold when the Contact your customer service representative for assis-
patient circuit is in a single-limb configuration. tance.
WARNING: If exhaled tidal volume monitoring is
required, use the double-limb circuit.
Inappropriate patient circuit. Replace with an appropriate circuit.
Exhalation flow sensor not properly calibrated. Contact your customer service representative for assis-
tance.
Defective exhalation flow sensor. Contact your customer service representative for assis-
tance.
Adjustment of the Min VTE level too high. Contact your customer service representative for assis-
tance.
LOW VTI Adjustment of the Min VTI level too high (for PSV, Contact your customer service representative for assis-
CPAP, P A/C, P SIMV, and V SIMV modes) tance.
Adjustment of the pressure level not enough to Contact your customer service representative for assis-
reach the volume required (for PSV, CPAP, P A/C, P tance.
SIMV, and V SIMV modes).
Patient circuit obstructed or disconnected. Clean, unblock, or reconnect the patient circuit.
Inappropriate patient circuit. Replace with an appropriate circuit.
Defective flow sensor or internal leak in the Check patient and replace the ventilator. Contact your
machine. customer service representative for assistance.
OCCLUSION Patient circuit obstructed. Clean, unblock, or properly connect the patient circuit.
CHECK CIRCUIT
*IF PERSISTS RESTART/SRVC
OCCLUSION A non-vented configuration is being used or the Replace the nonvented circuit with a vented one.
CHECK CIRCUIT built-in leak in the mask or in the circuit may be Clean, unblock the mask or the circuit of the vented
obstructed or insufficient for the settings. Note system, or switch to a vented system with a larger leak
that a high patient or backup respiratory rate may configuration.
not sufficiently flush out CO2 in some vented
Contact your customer service representative for addi-
pediatric masks. tional assistance.

User Manual 3-23

Alarms and Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
PATIENT DISCONNECTION Adjustment of Min PIP too high. Contact your customer service representative for assis-
*IF PERSISTS RESTART/SRVC tance.
Leak or loose connection in the patient circuit. Check the patient circuit connections to the ventilator;
Circuit disconnection from patient or ventilator. examine all connections for leakage and tightness.
Replace the patient circuit if necessary.
Inspiratory flow exceeds 130 LPM. Contact your customer service representative for assis-
tance.
Inappropriate patient circuit. Replace with an appropriate circuit.
Defective internal circuits of the machine or pres- Restart ventilator to see if alarm clears. If not, contact
sure sensor. your customer service representative to arrange for a
qualified technician to replace the defective compo-
nent or components.
POWER FAULT Internal problem in the electrical power supply. Restart ventilator to see if alarm clears. If not, replace the
RESTART/SRVC ventilator. Contact your customer service representa-
tive for assistance.
POWER SUPPLY LOSS Electrical power supply cut off by the main switch Press the I/O (power) switch to restore electrical power
(without message) when ventilation is in progress. to the ventilator and allow ventilation to continue.
To stop ventilation, press the VENTILATION ON/OFF
button for 3 seconds, then release it. Press the VENTILA-
TION ON/OFF button again to confirm stop (see
Chapter 5, Operating Procedures).
The internal battery that supplies the ventilator is Immediately connect the ventilator to an AC power
entirely discharged. outlet or an external DC power source; otherwise, use
an alternate device to ventilate the patient.
PRES SENS FLT1 Defective internal pressure sensor. Restart ventilator to see if alarm clears. If not, contact
RESTART/SRVC your customer service representative to arrange for a
qualified technician to replace the defective compo-
nent or components.
PROX SENS FLT2 Defective proximal pressure sensor or internal leak Restart ventilator to see if alarm clears. If not, contact
RESTART/SRVC of the machine. your customer service representative to arrange for a
qualified technician to replace the defective compo-
nent or components.
REMOVE VALVE OR CHANGE The ventilation settings are not compatible with Remove exhalation valve. Contact your customer
PRES the type of patient circuit used. service representative for additional assistance.
REMOVE VALVE The ventilation settings are not compatible with Remove exhalation valve to start CPAP ventilation.
CPAP MODE the type of patient circuit used.

SOFTWARE VERSION ERROR Incorrect software version detected. Contact your customer service representative.
TURB OVERHEAT Turbine overheated because of blockage during Ensure lateral and front openings are not obstructed.
RESTART/SRVC operation. Check air inlet filter.
Restart ventilator to see if alarm clears. If not, replace the
ventilator. Contact your customer service representa-
tive for assistance.
UNKNOWN BATTERY Internal battery not recognized as a Puritan Ben- Contact your customer service representative.
nett™ product battery.

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 Troubleshooting

Table 3-2.  Alarms and Corrective Actions (Continued)

Alarm message or Possible reason for the alarm event Corrective action
symptom
VALVE MISSING CONNECT The ventilation settings are not compatible with Connect exhalation valve.
VALVE the type of patient circuit used.
VTI NOT REACHED Defective inspiratory flow sensor or internal leak of Restart ventilator to see if alarm clears. If not, replace the
*IF PERSISTS RESTART/SRVC the machine. ventilator. Contact your customer service representa-
tive for assistance.
I time is not long enough to deliver set VT. Contact your customer service representative.

3.9.2 Additional Troubleshooting

Table 3-3 provides other possible ventilator problems, causes, and corrective actions.

< WARNING:
If the device is damaged, its external housing is not correctly closed, or it behaves in a way that is not
described in this manual (excessive noise, heat emission, unusual odor, alarms not triggered during the
start-up procedure), the oxygen and power supplies should be disconnected and use of the device
stopped immediately.

< WARNING:
If you cannot determine the cause of the problem, contact your equipment supplier. Do not use the
ventilator until the problem has been corrected.

: Note:
Buzzer and battery alarms may occur when the unit is first powered on after the internal battery has been
completely drained. Connect to an AC power source and recycle power.

: Note:
Many ventilator functions are not accessible when the Locking key is enabled. For additional assistance,
contact your clinician or equipment representative.

Table 3-3.  Additional Troubleshooting and Corrective Actions

Conditions Possible causes Corrective actions
No access to the waveforms Display waveform set to OFF in Preferences menu. Contact your customer service representative for
assistance.
The screen backlight never Backlight set to YES in Preferences menu. Contact your customer service representative for
switches off during assistance.
ventilation
Alarm sound level too low or Adjustment of the alarm sound level is incompatible Contact your customer service representative for
too high with the patient’s environment. assistance.
Poor visibility of the displays Contrast adjustment is incompatible with the Contact your customer service representative for
luminosity of the environment. assistance.

User Manual 3-25

Alarms and Troubleshooting

Table 3-3.  Additional Troubleshooting and Corrective Actions (Continued)

Conditions Possible causes Corrective actions
Unusual display on the Problem with the display unit. Ensure that the ventilator is not exposed to direct
screen radiation from the sun.
Contact your customer service representative if the
problem persists.
The ventilator does not No external power source and the internal battery is Connect the ventilator to the AC power source.
operate after pressing I/O completely discharged.
(power) switch
Light noise Turbine noise. Replace the ventilator. Contact your customer service
representative for assistance.
Whistling noise or vibrations Filter, turbine silencer, or both have deteriorated. Replace the ventilator. Contact your customer service
representative for assistance.
Valve membranes damaged. Replace the ventilator. Contact your customer service
representative for assistance.
Excessive heat emitted Obstruction of main or secondary air inlets of the Remove obstructions from all blocked ventilator air
casings. inlets and outlets.
Condensation inside the Liquid entered the device. Replace the ventilator. Contact your customer service
device representative for assistance.

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4 Installation and Assembly

< WARNING:
Before operating the ventilator, read, understand, and strictly follow the information contained in
Chapter 1, Safety Information.

< WARNING:
A patient treated by mechanical ventilation is highly vulnerable to the risks of infection. Dirty or
contaminated equipment is a potential source of infection. Clean the ventilator and its accessories
regularly and systematically before and after each use and following any maintenance procedure to
reduce the risks of infection. The use of a bacterial filter at the ventilator’s outlet (TO PATIENT) port—
or both ports if a double-limb circuit is used—is highly recommended. Refer to Chapter 7, Cleaning.

4.1 Ventilator Startup Procedure

To set up the Puritan Bennett™ 560 ventilator and start ventilation:
1. Choose an area where air can circulate freely. Avoid proximity to loose fabrics, such as curtains, and
direct exposure to sunlight.

2. Set the ventilator on a flat and stable surface so that its feet are all in contact with the surface. The ven-
tilator may operate in any position, provided that the air inlets are not obstructed and the device
cannot fall and possibly cause damage, personal injury, or both.

3. Assemble and connect the patient circuit (see section 4.4.2, Installing the Patient Circuit), including the
following:

a. Air inlet filter (see section 4.5.1)

b. Bacteria filter (see section 4.5.2)
c. Humidifier (if used) (see section 4.6)
d. Oxygen sensor (connection to O2 supply) (see section 4.8.3)
4. Connect the oxygen supply to the ventilator. See section 4.8.2, Connecting the Oxygen Supply.

5. For instructions on switching to and operating from the internal battery, see section 6.2, Battery Oper-
ation. For instructions on connecting to DC power, see section 4.3, Connecting to an External DC Power
Source.

6. Confirm proper functioning of alarms. For testing instructions, see Appendix E, Alarms Tests.

4-1
Installation and Assembly

7. Turn on the ventilator. See section 5.1, Turning on the Ventilator.

8. Begin ventilation. See section 5.3, Starting Ventilation.

< WARNING:
The operator should connect the ventilator to an AC power source whenever available, for safer
operation.

< WARNING:
To ensure correct and lasting operation of the ventilator, ensure that its air circulation holes (main inlet
or cooling) are never obstructed. Place the device in an area where air can freely circulate around the
ventilator and avoid installing it near floating fabrics, such as curtains.

< WARNING:
Do not place the ventilator in a position where a child, pet or pest can reach it or in any position that
might cause it to fall on the patient or someone else.

< WARNING:
Ensure that the ventilator’s immediate surroundings allow for the proper operational connection of the
device without folding, pinching, or damaging any of the required cables or tubes, and that the
connection of the patient circuit to the patient provides for a secure, comfortable fit.

< WARNING:
Do not operate the ventilator in direct sunlight, near heat sources, outdoors, or near installations where
liquid may pose a risk without first providing adequate protection for the device.

< WARNING:
If the ambient temperature where the device is operated is greater than 35°C (95°F), the temperature of
the patient circuit or the flow supplied at the device outlet may exceed 41°C (106°F), and the patient
circuit may reach up to 60°C (140°F). This may lead to undesirable side effects for the patient. To avoid
injury to the patient move the patient and the ventilator to a cooler location. For more information,
contact Covidien.

< WARNING:
To reduce the risk of a fire hazard, keep matches, lighted cigarettes, and all other sources of ignition
(such as flammable anesthetics and/or heaters) away from the ventilator and oxygen hoses.

< WARNING:
Even if the internal battery charging indicator is off, charging of the battery may sometimes be
incomplete if the ambient temperature is above 40°C (104°F) because of the battery’s internal heat
safety device.

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 Connecting to External AC Power

< WARNING:
The use of any accessory other than those specified, with the exception of the power supplies or cables
sold by Covidien, may lead to an increase in electromagnetic emissions or a decrease in the equipment
protection against electromagnetic emissions. If the ventilator is used adjacent to such accessories or
stacked with such devices, the ventilator’s performance should be monitored to verify normal
operation.

< WARNING:
The Puritan Bennett™ 560 ventilator requires special precautions for electromagnetic compatibility and
should be installed and started according to the recommendations found in Appendix A, Specifications.
In particular, the use of nearby mobile and portable communications equipment using radio
frequencies, such as mobile telephones or other systems exceeding the levels set in the IEC/EN 60601-
1-2 standard, may affect its operation. Refer to section A.10, Manufacturer’s Declaration.

< WARNING:
The ventilator must not use, nor be connected to, any anti-static or electrically conductive hoses,
tubing, or conduits.

4.2 Connecting to External AC Power

The ventilator can use any of the following power sources:
• AC power from a suitable wall outlet

• DC power (12 to 30 volts)

• Internal battery power

• DC car adapter (cigarette lighter)

The ventilator will automatically select AC power for operation whenever AC power is available.

< WARNING:
The power supply to which the ventilator is connected (both AC and DC) must comply with all current
and applicable standards and provide electrical power corresponding to the voltage characteristics
inscribed on the rear of the ventilator to ensure correct operation.

< WARNING:
Ensure that the AC power cable is in perfect condition and not compressed. The device should not be
turned on if the AC power cable is damaged.

< WARNING:
Connect the external electrical power source by first connecting the power cable to the ventilator and
then to the external power source. Follow the reverse procedure to disconnect the device from
electrical power sources.

User Manual 4-3

Installation and Assembly

< WARNING:
Do not leave power cables lying on the ground where they may pose a hazard.
To prevent accidental disconnection of the AC power cable, use the power cable holder that is
inserted into the notch on the battery cover. See Figure 4-1.

Figure 4-1.  The Power Cable Holder

1 Power cable holder 2 Notch on battery cover

To secure the AC power cable:

1. Insert the power cable holder into the notch on the battery cover. See Figure 4-2.

Figure 4-2.  Inserting the Power Cable Holder into the Notch

1 Power cable holder

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 Connecting to External AC Power

2. Connect the female end of the ventilator’s AC power cable to the AC connector on the back of the ven-
tilator.

Figure 4-3.  Power Cable Connected to the Ventilator

3. Connect the male end of the AC power cable to the AC power outlet.

• The AC power indicator on the top left corner of the ventilator illuminates.

• The indicator flashes while the battery charges and then turns off when the battery is fully charged.

See Figure 4-4 on page 4-5.

If the AC power cable becomes disconnected or the AC power source fails, an AC Power Disconnec-
tion alarm signals an automatic switch to the external DC power source (if the DC power cable is
connected) or to the ventilator’s internal battery.
One of three power indicators, located on the upper left of the ventilator’s front panel, illuminates
to signal which of the possible power sources are currently in use by the device (see Figure 4-4).

Figure 4-4.  Power Indicators

: Note:
The only time the AC power indicator and other indicators are illuminated at the same time is when the
ventilator is connected to an AC supply and the battery is charging (indicator is flashing).

User Manual 4-5

Installation and Assembly

To disconnect the AC power cable:

1. Disconnect the AC power cable from the AC power outlet.

2. Disconnect the AC power cable from the ventilator’s AC connector at the rear of the device.

3. Grasp the AC power cable at the level of the power cable holder and turn the cable clockwise while
lifting it upwards and out of the holder.

4.3 Connecting to an External DC Power Source

< WARNING:
Ensure that the ventilator’s internal battery is fully charged before connecting the ventilator to an
external DC power source. Powering the ventilator using an external 12–30 VDC power source (via the
DC power cable) does not enable charging of its internal battery.

< WARNING:
When using a car auxiliary adapter (cigarette lighter) ensure the car has been started prior to plugging
in the ventilator’s DC adapter.

: Note:
An alternative means of ventilation should always be available, particularly when the patient is in transit or away
from wall power.

: Note:
While using the ventilator on external battery power it is vital that a qualified caregiver (capable of providing
necessary corrective actions in the event of alarm conditions) is present.
Whenever AC power is unavailable, the ventilator can operate from a continuously powered exter-
nal 12–30 VDC power source via a DC power cable that connects to the ventilator’s DC power input
receptacle. The DC auxiliary receptacle (cigarette lighter) in a personal vehicle can be used in this
way to provide power to the ventilator.

: Note:
When AC power is not available use an external DC power source prior to using internal battery power.

: Note:
The DC power cable is optional; see Appendix F, Parts and Accessories, for more information.

< WARNING:
Connect the external DC power source by first connecting the power cable to the ventilator and then to
the external DC source. Follow the reverse procedure to disconnect the device from the external DC
power source.

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 Connecting to an External DC Power Source

Figure 4-5.  Connecting the DC Power Cable to the Ventilator

1 Red alignment dots 3 Connector locking ring

2 DC power cable connector

To connect the DC power cable to the ventilator (see Figure 4-5):

1. Line up the red alignment dots on the ventilator’s DC power receptacle and on the DC power cable.

2. Push the DC power cable into the ventilator’s DC power receptacle.

• You will hear a locking click.

• The DC power indicator on the top left corner of the ventilator illuminates (see Figure 4-4).

Figure 4-6.  Connecting the Ventilator to an External DC Power Source

1 DC power cable 2 DC power input receptacle

To connect the ventilator to an external DC power source (see Figure 4-6):

1. If using the DC auxiliary receptacle in a personal vehicle, ensure that the engine is started prior to con-
necting the ventilator.

User Manual 4-7

Installation and Assembly

2. Connect the smaller connector on the DC power cable into the DC power input receptacle on the rear
of the ventilator.

3. Connect the larger connector on the DC power cable into the power source’s DC auxiliary receptacle.

If connecting the ventilator to the Puritan Bennett™ power pack external DC power source acces-
sory, refer to accompanying documentation for the power pack.
To disconnect the DC power cable from the ventilator (see Figure 4-5):
1. Slide the locking ring back, away from the ventilator.

2. Pull the DC power cable connector out from the input receptacle to disengage it.

A DC Power Disconnection alarm signals an automatic switch to the internal battery if the external
DC power source fails or becomes disconnected.

4.4 Patient Circuit

< WARNING:
Before opening the packaging for the patient circuit, ensure that no damage is evident to the packaging
or its contents. Do not use if evidence of damage exists.

< WARNING:
For pediatric use, ensure that the patient circuit type fits, and, in all respects, is suitable for use with a
child. Use a pediatric circuit for patients that weigh under 53 lb. (23 kg). For a list of recommended
patient circuits, see Table F-2.  

< WARNING:
If exhaled tidal volume measurements are required to ensure correct patient ventilation, a double-limb
patient circuit configuration must be used in order to detect leaks. In this case, both the minimum and
maximum VTE alarm parameters must be properly set to warn in the event of patient disconnection.

< WARNING:
The patient circuit should always be positioned to avoid hindering the patient's movements, to prevent
accidental disconnection or leakage, and to minimize the risk of patient strangulation.

< WARNING:
Ensure that the ventilator’s immediate surroundings allow for the proper operational connection of the
device without folding, pinching, or damaging any of the required cables or tubes, and that the
connection of the patient circuit to the patient provides for a secure, comfortable fit.

< WARNING:
The patient circuit is intended for single use by a single patient and should be changed according to
the manufacturer’s recommendations and according to the patient circuit lifetime. Refer to the

4-8 User Manual

 Patient Circuit

instructions for use supplied by the manufacturer of the patient circuit (included with the ventilator)
and Chapter 4, Installation and Assembly.

< WARNING:
After assembling, cleaning, or reassembling the patient circuit, and on a daily basis, inspect the hoses
and other components to ensure that there are no cracks or leaks and that all connections are secure.

< WARNING:
To ensure proper performance of the ventilator, use a patient circuit recommended by Covidien in this
manual; refer to Chapter 4, Installation and Assembly and Appendix F, Parts and Accessories. The total
specified length of the patient circuit tubing as measured from the ventilator outlet to the ventilator
inlet is 1.1 meters (3.6 feet) to 2.0 meters (6.6 feet). The tubing must conform to all applicable standards
and must be fitted with Ø 22 mm terminals that also conform to all applicable standards. Ensure that
both the length and the internal volume of the patient circuit are appropriate for the tidal volume: a
corrugated tube of Ø 22 mm for adult patients, and a corrugated tube of Ø 15 mm for pediatric patients
with a tidal volume lower than 200 ml.

< WARNING:
Adding accessories to the ventilator breathing circuit, such as a humidifier and water trap(s), may result
in a decrease in tidal volume delivered to the patient due to the added compressible volume of the
accessory. Always assure that the patient is receiving the appropriate inspired volume when altering
the breathing circuit configuration.

< WARNING:
Users must always possess an additional breathing circuit and exhalation valve while using the Puritan
Bennett™ 560 ventilator.

4.4.1 Choosing the Patient Circuit Type

Single-limb circuits are used with breathing modes where spirometry measurements are not required,
and double-limb circuits are used with breathing modes where spirometry is required. Be sure to
choose the appropriate circuit in the menu preferences; in particular, ensure that Pediatric Circuit Yes/
No is set to YES when using a pediatric circuit (refer to Appendix F, Parts and Accessories).
For information regarding validated circuits, visit the SolvITSM Center Knowledge Base by clicking the
link at www.medtronic.com/covidien/support/solvit-center-knowledge-base/ or contact your cus-
tomer representative.

4.4.2 Installing the Patient Circuit

The patient circuit is mounted depending on the setup of the circuit used and the accessories used.

: Note:
The following procedures describe the installation of the patient circuit with a humidifier, which is an optional
accessory. To add other optional accessories not shown here, see the installation instructions for the specific
accessories used.

User Manual 4-9

Installation and Assembly

Single-Limb Circuit (With Exhalation Valve)

Figure 4-7.  Single-Limb Patient Circuit With Exhalation Valve (including accessories)

1 Inspiratory bacteria filter 6 Exhalation valve tubing

2 Short circuit tubing 7 Proximal pressure tubing

3 Humidifier (optional accessory) 8 Patient proximal pressure port

4 Water trap 9 Exhalation valve port

5 Exhalation valve 10 FROM PATIENT port

: Note:
Some breathing circuits include water traps that are already connected. If so, simply verify that the connection
is secure and the tube shows no signs of damage, kinks, or obstructions.
To connect a single-limb circuit with an exhalation valve (see Figure 4-7):
1. Inspect the components of the patient circuit for any signs of damage, such as cracks (which might cause
leakage). Do not use damaged components to assemble the patient circuit.

2. Connect the proximal pressure tubing to the patient proximal pressure port on the ventilator. See Figure
4-8 for a detailed view.

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 Patient Circuit

3. Connect the exhalation valve tubing to the exhalation valve port on the ventilator. See Figure 4-8 for a
detailed view.

Figure 4-8.  Closeup of Exhalation Valve Tube and Proximal Pressure Tube

1 TO PATIENT port 3 Proximal pressure tube

2 Exhalation valve tube

4. Connect the inspiratory bacteria filter to the TO PATIENT outlet port on the ventilator.

5. Connect one end of the short circuit tubing to the inspiratory bacteria filter.

6. Connect the other end of the short circuit tubing to the inlet port of the humidifier.

7. If it is not already in place, connect a water trap to the outlet port of the humidifier and to the patient
circuit tubing.

8. Ensure the exhalation valve is placed as close as possible to the patient.

9. To protect the FROM PATIENT inlet port, as it is not used in this configuration, place the cap (if provided
with the breathing circuit) over the port opening.

User Manual 4-11

Installation and Assembly

Double-Limb Circuit

Figure 4-9.  Double-Limb Patient Circuit (including accessories)

1 Inspiratory bacteria filter 8 Exhalation valve tubing

2 Humidifier (optional accessory) 9 Exhalation valve assembly

3 Water traps 10 Exhalation (FROM PATIENT) port

4 Short circuit tubing 11 Exhalation bacteria filter

5 Patient wye 12 Patient proximal pressure port

6 Proximal pressure tubing 13 Exhalation valve port

7 Double-limb circuit tubing

: Note:
When shipped, the proximal pressure tube may already be connected to the patient wye. If so, simply verify that
the connection is secure and the tube shows no signs of damage, kinks, or obstructions.

: Note:
Some breathing circuits include water traps that are already connected. If so, simply verify that the connection
is secure and the tube shows no signs of damage, kinks, or obstructions.
To connect a double-limb circuit (see Figure 4-9):
1. Inspect the components of the patient circuit for any signs of damage, such as cracks (which might cause
leakage). Do not use damaged components to assemble the patient circuit.

4-12 User Manual

 Patient Circuit

2. Connect the proximal pressure tubing to the patient proximal pressure port on the ventilator. See Figure
4-10 for a detailed view.

3. Connect the exhalation valve assembly to the exhaled gas outlet on the left side of the ventilator, near
the left front corner.

4. Connect the exhalation valve tubing from the exhalation valve assembly to the exhalation valve port on
the ventilator. See Figure 4-10 for a detailed view.

Figure 4-10.  Closeup of Exhalation Valve Tube and Proximal Pressure Tube

1 TO PATIENT port 3 Proximal pressure tube

2 Exhalation valve tube

5. Connect the inspiratory bacteria filter to the TO PATIENT outlet port on the ventilator.

6. Connect one end of the short circuit tubing to the inspiratory bacteria filter.

7. Connect the other end of the short circuit tubing to the inlet port of the humidifier.

8. If it is not already in place, connect a water trap to the outlet port of the humidifier and to one tube from
the patient wye.

9. If it is not already in place, connect a second water trap to the other tube from the patient wye and to
the inlet port of the exhalation bacteria filter.

User Manual 4-13

Installation and Assembly

10. Using a circuit adapter, connect the exhalation bacterial filter to the FROM PATIENT inlet port. See Figure
4-11.

Figure 4-11.  Close-up of Exhalation Bacteria Filter Connection

Single-Limb Circuit (Without Exhalation Valve)

Figure 4-12.  Single-Limb Patient Circuit Without Exhalation Valve

1 Inspiratory bacteria filter 4 Short circuit tubing

2 Humidifier (optional accessory) 5 Patient circuit tubing

3 Water trap

To connect a single-limb circuit without an exhalation valve (NIV only) (see Figure 4-12):
1. Inspect the components of the patient circuit for any signs of damage, such as cracks (which might cause
leakage). Do not use damaged components to assemble the patient circuit.

4-14 User Manual

 Patient Circuit

2. Connect the inspiratory bacteria filter to the TO PATIENT outlet port on the ventilator.

3. Connect one end of the short circuit tubing to the inspiratory bacteria filter.

4. Connect the other end of the short circuit tubing to the inlet port of the humidifier.

5. If it is not already in place, connect a water trap to the outlet port of the humidifier and to the patient
circuit tubing.

6. Connect a mouthpiece or vented (NIV) interface to the end of the patient circuit.

For both types of circuits, connect the end of the proximal pressure tube as close as possible to the
patient (at the mouthpiece, mask or cannula entry, if possible) so that the ventilator can account for
all load losses due to the circuit and its potential accessories. If this is not possible, it is best to modify
the patient disconnection triggering threshold by doing one of the following: Set a Max VTI alarm
limit for pressure modes, or a Min VTE alarm limit for all ventilation modes if using a dual limb circuit.

: Note:
Ensure that the length and the internal volume of the patient circuit are compatible with the tidal volume:
Ringed tube Ø 22 mm for adults and ringed tube Ø 15 mm for pediatric patients with tidal volumes lower than
200 ml. Use, if necessary, a 22F-15M link on the outlet and a 15M-22M link on the exhalation block for a double-
limb circuit.

< WARNING:
When using non-invasive ventilation (NIV), without an exhalation valve, use a vented nose or face mask
or a non vented combined with a leak accessory. When using non-invasive ventilation (NIV), with an
exhalation valve, use a non vented mask.

< WARNING:
The level of inspiratory resistance of the circuit and accessories (bacteria filter, humidifier, and so on)
must be as low as possible. Settings—particularly the Patient Disconnection alarm, high inspired
volume (High VTI), and low inspired volume (Low VTI) settings—must be periodically adjusted
according to changes in the patient circuit resistance—especially when filters are replaced.

< WARNING:
Resistance of the exhalation valve and accessories (water traps, filters, HMEs, etc.) must be as low as
possible.

< WARNING:
The exhalation valve must allow rapid discharge of the circuit pressure. Ensure that the exhalation valve
is always clean and its evacuation aperture (exhaust port) is never obstructed.

< WARNING:
Do not start ventilation until you ensure that the device is suitably assembled, that the air inlet filter is
properly installed and is not obstructed, and that there is proper clearance all around the unit. Also
ensure that the patient circuit is suitably connected to both the ventilator and the patient and that the
patient circuit, including all hoses, is not damaged or obstructed.

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Installation and Assembly

< WARNING:
Adding accessories to the ventilator breathing circuit, such as a humidifier and water trap(s), may result
in a decrease in tidal volume delivered to the patient due to the added compressible volume of the
accessory. Always assure that the patient is receiving the appropriate inspired volume when altering
the breathing circuit configuration.

4.5 Filters

< WARNING:
Regularly check the cleanliness of the air inlet filter located on the rear of the ventilator. If necessary,
replace the filter before the recommended replacement period is over (see Chapter 8, Routine
Maintenance). This is particularly important when the ventilator is installed on a wheelchair, because
environmental conditions may cause the filter to become dirty more rapidly.
The ventilator features two filter types:
• Air inlet filter

• Bacteria filter

4.5.1 Air Inlet Filter

Consisting of foam and fine particle filter media and located at the rear of the ventilator, this filters
the air as it enters the ventilator.

Figure 4-13.  Air Inlet Filter

< WARNING:
The air inlet filter is not reusable; do not attempt to wash, clean, or reuse it.

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 Filters

< WARNING:
Failing to replace a dirty air inlet filter, or operating the ventilator without a filter, may cause serious
damage to the ventilator.

4.5.2 Bacteria Filter

It is highly recommended that you install a bacteria filter (see Figure 4-14) on both single- and
double-limb circuits.

Figure 4-14.  Bacteria Filter

A single-limb configuration uses one bacteria filter, at the TO PATIENT port. A double-limb configu-
ration uses two bacteria filters, one at the TO PATIENT port, and the other at the FROM PATIENT port.
• Connected to the TO PATIENT port: The filter protects the ventilator from contamination by the patient
(primarily, rebreathed gas). See Figure 4-7 (item 1), Figure 4-9 (item 1), and Figure 4-12 (item 1). When
connected here, the filter is called the inspiratory bacteria filter.

• Connected to the FROM PATIENT port: The filter protects the internal exhalation flow sensor from the
gases exhaled by the patient. See Figure 4-9 (item 11). When connected here (using a circuit adapter),
the filter is called the exhalation bacteria filter.

See the manufacturer’s instructions for more information about the use and maintenance of bacte-
ria filters.

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Installation and Assembly

4.6 Humidifier
The humidifier (Figure 4-15) adds moisture (water vapor) and warms the gas in the patient circuit. It
is inserted into the patient circuit between the TO PATIENT outlet port and the patient (see Figures
4-7, 4-9, and 4-12).

Figure 4-15.  Humidifier

< WARNING:
During invasive ventilation (when an artificial airway bypasses the patient’s upper respiratory system),
the patient’s upper respiratory system cannot humidify the incoming gas. For this reason, the use of a
humidifier, to minimize drying of the patient’s airways and subsequent irritation and discomfort, must
be used.

< WARNING:
Always position a humidification device so that it is lower than both the ventilator and the patient. Use
water traps, if necessary, to limit water in the patient circuit and periodically empty these water traps.
Take precautions when discarding the fluid in the water trap. Discard per local ordinance for proper
disposal.

< WARNING:
If a heated humidifier is used, you should always monitor the temperature of the gas delivered to the
patient. Gas delivered from the ventilator that becomes too hot may burn the patient's airway.

< WARNING:
Adding accessories to the ventilator breathing circuit, such as a humidifier and water trap(s), may result
in a decrease in tidal volume delivered to the patient due to the added compressible volume of the
accessory. Always assure that the patient is receiving the appropriate inspired volume when altering
the breathing circuit configuration.
When a humidification device is used, any condensation that forms in the patient circuit is collected
in the water trap (or traps). If you notice any moisture in the patient circuit, you need to replace the
wet circuit components with dry ones.

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 Exhalation Block

See the humidification device’s instructions for information on operating, cleaning, and sterilizing
the humidifier.

: Note:
It is the user’s responsibility to verify that any humidification system selected for use is compatible with the
Puritan Bennett™ 560 ventilator.

4.7 Exhalation Block

< WARNING:
The exhalation block is intended for single use by a single patient . It may periodically be cleaned, but
it cannot be disinfected or sterilized. To maintain good measurement quality when used continuously,
clean the exhalation block periodically (see section 7.3, Cleaning the Exhalation Block). The exhalation
block should be changed every 4 months and cannot be reused with any other patient.

< WARNING:
Ensure that the exhalation block is completely dried after cleaning and prior to use.

< WARNING:
When an exhalation block is set up, each time it is removed, or after installing a new exhalation block on
the machine, it is essential that the exhalation flow sensor be recalibrated before the exhalation block
is used.
The exhalation block requires calibration and should only be removed or cleaned by qualified per-
sonnel. See section 7.3, Cleaning the Exhalation Block for more information.

Figure 4-16.  Removing the Exhalation Block

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Installation and Assembly

4.8 Oxygen

4.8.1 Administering Oxygen

< WARNING:
The ventilator must not be used with flammable anesthetic substances.

< WARNING:
Oxygen therapy for patients with respiratory failure is a common and effective medical prescription.
However, be aware that inappropriate oxygen use may potentially lead to serious complications,
including, but not limited to, patient injury.

< WARNING:
To avoid injury to the patient and/or possible damage to the ventilator: before using the ventilator, use
a flow meter (flow regulator) to regulate the oxygen supply to specifications before connecting the
ventilator to the oxygen supply.

< WARNING:
Ensure that the oxygen supply pressure to the machine never exceeds 7 psi (50 kPa) or a flow of 15 lpm.
Refer to Table A-7 for volume and sensitivity tolerances.

< WARNING:
The Puritan Bennett™ 560 ventilator can be used with an optional oxygen analyzer with minimum and
maximum concentration alarms. Always measure the delivered oxygen with a calibrated oxygen
analyzer (FiO2 kit) that features a minimum and maximum concentration alarm in order to ensure that
the prescribed oxygen concentration is delivered to the patient.
Oxygen administered to the patient is introduced from an external source into the machine
through the oxygen connector at the rear of the ventilator. It is then integrated into the total
volume of delivered gas. Remove the oxygen inlet connector from the back of the ventilator when
external oxygen is not in use.
The specific oxygen flow to the patient depends on the physiological characteristics of the patient
and the ventilator settings.
The oxygen flow setting should be adjusted for each patient and established in relation to a cali-
brated oxygen monitor measurement. As the factors that affect administered oxygen flow may
change over time, you must ensure that these settings always correspond to the current oxygen
therapy objectives specified by the physician.

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 Oxygen

4.8.2 Connecting the Oxygen Supply

< WARNING:
Ensure that the only gas supplied to the ventilator through the dedicated oxygen supply connector is
medical-grade oxygen.

< WARNING:
The hose connecting the ventilator to the oxygen source must be designed exclusively for use with
medical-grade oxygen. Under no circumstances should the oxygen hose be modified by the user. In
addition, the hose must be installed without the use of lubricants.
Refer to Figure 4-17. An inlet port for an external low pressure oxygen source is available at the rear
of the ventilator. It is essential to also use the special coupler supplied with the ventilator to connect
the external low pressure oxygen source to the ventilator. The inlet port is also fitted with a non-
return airtight valve system, which includes a stud and a locking tab.

Figure 4-17.  Rear Panel Oxygen Inlet Port and Coupler

1 O2 inlet port 3 O2 inlet port locking stud

2 External oxygen supply coupler 4 O2 inlet port locking tab

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Installation and Assembly

< WARNING:
Before connecting the oxygen supply, ensure that the stud on the oxygen inlet (Figure 4-17, item 3) is
protruding outwards.

< WARNING:
Inspect the oxygen coupler (Figure 4-17, item 2) before use to ensure it has its black O-ring (Figure 4-18,
item 2) attached and in good condition. Do not use an oxygen coupler with a missing, damaged, or worn
O-ring.

Figure 4-18.  Connecting the Oxygen Supply

1 External oxygen supply coupler 4 Locking stud

2 Coupler O-ring 5 Locking tab

3 O2 inlet port

To connect the oxygen supply to the ventilator (see Figure 4-18):

1. Inspect the oxygen supply coupler to ensure that the black O-ring is not missing.

2. Push the coupler into the O2 inlet port on the ventilator. Ensure that the following occurs:

• The locking stud on the inlet port retracts.

• The locking tab on the inlet port is released, ensuring that the oxygen supply connection is locked
and secured in place.

To disconnect the oxygen supply from the ventilator:

1. Ensure that the oxygen source is turned off prior to placing the ventilator in standby or turning off the
ventilator.

2. Stop the oxygen flow from the oxygen supply.

3. Press the locking tab on the ventilator’s O2 inlet port to unlock the oxygen connection.

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 Oxygen

Figure 4-19.  Disconnecting the Oxygen Supply

4. Disconnect the oxygen supply by pulling the coupler out from the inlet port.

The locking stud on the inlet port (Figure 4-18, item 4) will then extend outwards, which is required
before the oxygen connector can be reconnected.

< WARNING:
The coupler must not remain connected to the oxygen connector unless it also connected to a leak-
proof, external oxygen gas source. When an oxygen supply is not being used with the ventilator,
disconnect the oxygen source completely from the ventilator.

< WARNING:
In the event of an oxygen leak, shut down the supply of oxygen at its source. In addition, remove and/
or keep any incandescent source away from the device, which may be enriched with oxygen. Circulate
fresh air into the room to bring the oxygen level down to normal.

< WARNING:
To prevent any interference with the internal sensors of the ventilator, do not install a humidifier
upstream of the ventilator.

4.8.3 Connecting the FiO2 Sensor

When administering oxygen, it is recommended to use a FiO2 oxygen sensor that can be connected
by means of a FiO2 measurement kit.

: Note:
The FiO2 sensor requires calibration and should only be removed or cleaned by qualified personnel. Home users
need to be trained by qualified personnel to perform these tasks.

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Installation and Assembly

: Note:
When using a new sensor, allow its temperature to become stable for about 20 minutes in ambient air before
installing it, calibrating it, and starting ventilation.

: Note:
A clinician or medical professional should be present when calibrating the FiO2 sensor.

Figure 4-20.  Connecting the FiO2 Sensor

1 FiO2 sensor connector 3 Proximal pressure tube

2 FiO2 sensor

To install the FiO2 sensor:

1. Remove the sensor from the airtight packaging.

2. Connect the FiO2 sensor connector to the FiO2 receptacle on the ventilator.

3. Connect the FiO2 sensor to a Ø15mm adapter.

4. Connect the adapter to the TO PATIENT outlet port on the ventilator.

5. Fit the patient circuit and any accessories after the adapter. If a bacteria filter is present in the circuit, it
should be placed just after the sensor, so that the sensor is directly between the ventilator and the bac-
teria filter.

: Note:
For information on calibrating the sensor once it is installed, see section 8.4, Calibrating the FiO2 Sensor.

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 Using the Dual Bag

4.9 Using the Dual Bag

The dual bag accessory allows the patient to carry the Puritan Bennett™ 560 ventilator on his or her
back, and also allows it to be secured to the back of a wheelchair or to the seat of a personal vehicle.

< WARNING:
Due to the internal battery’s limited reserve capacity, the ventilator should only be operated on the
internal battery when no other power source is available. Ensure that the internal battery never
becomes fully discharged.

< WARNING:
Do not operate the ventilator in direct sunlight, near heat sources, outdoors, or near installations where
liquid may pose a risk without first providing adequate protection for the device.

< WARNING:
To avoid damage to the ventilator, in particular the batteries or electrical components, fluids must not
be allowed to enter the device, particularly through the air inlet filter or the cooling apertures located
in the side, rear, and bottom panels of the ventilator.

< WARNING:
If exhaled tidal volume measurements are required to ensure correct patient ventilation a double-limb
patient circuit configuration must be used in order to detect leaks. In this case, both the minimum and
maximum VTE alarm parameters must be properly set to warn in the event of patient disconnection.

< WARNING:
To minimize the risk of damage, you must use the ventilator’s dual bag to transport the ventilator. See
Table F-1.  

< WARNING:
Before using the ventilator’s internal battery, ensure that the battery is fully charged and that the
charge holds. Back up ventilators or those in storage should be connected to an AC power source to
protect the integrity of the battery.

4.9.1 Fitting the Ventilator into the Dual Bag

< WARNING:
Ensure that the ventilator is switched off and disconnected from all external power supplies before
installation.
To fit the ventilator into the dual bag:
1. Disconnect the patient circuit from the ventilator.

2. Open the rear panel of the dual bag.

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Installation and Assembly

3. Slip the ventilator into the dual bag, front panel first. Push it in completely to ensure a snug fit.

4. Shut the rear panel of the dual bag ensuring that the hook and loop fastener strips are securely fastened.

If not mounting the dual bag on a wheelchair or in a personal vehicle, the patient circuit can be
reconnected to the ventilator. See section 4.4.2, Installing the Patient Circuit for details.

4.9.2 Wearing the Dual Bag as a Backpack

To carry the ventilator using the dual bag as a backpack, put the straps over the patient’s shoulders
so that the bag sits comfortably on the patient’s back. See Figure 4-21.

Figure 4-21.  Using the Dual Bag as a Backpack

4.9.3 Securing the Ventilator on a Wheelchair

< WARNING:
Do not connect the ventilator to the battery of a battery-powered wheelchair unless the connection is
listed in the instructions for use of the ventilator or the wheelchair, as this can affect the ventilator
performance, which can consequently result in patient death.

< WARNING:
Regularly check the cleanliness of the air inlet filter located on the rear of the ventilator. If necessary,
replace the filter before the recommended replacement period is over. This is particularly important
when the ventilator is installed on a wheelchair, because environmental conditions may cause the filter
to become dirty more rapidly.

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 Using the Dual Bag

Figure 4-22.  Using the Dual Bag on a Wheelchair (with double-limb circuit on left; with single-limb circuit on right)

To secure the dual bag onto a wheelchair with two push handles (see Figure 4-22):
1. Facing the back of the wheelchair, loop each backpack strap over one of the push handles.

2. Attach the nonadjustable side of the maintaining belt to the side clip of the dual bag.

3. Pass the maintaining belt forward around the back of the wheelchair.

4. Attach the adjustable side of the belt to the clip on the other side of the dual bag. Adjust the length of
the maintaining belt if needed to allow the belt to reach the clip.

5. Tighten the maintaining belt to secure the dual bag in place.

To secure the dual bag onto a wheelchair with a single push handle:
1. Unclip the two backpack straps from the side clips.

2. Clip the suspension belt onto the central ring.

3. Facing the back of the wheelchair, secure the dual bag on the wheelchair’s push handle.

4. Attach the nonadjustable side of the maintaining belt to the side clip of the dual bag.

5. Pass the maintaining belt forward around the back of the wheelchair.

6. Attach the adjustable side of the belt to the clip on the other side of the dual bag. Adjust the length of
the maintaining belt if needed to allow the belt to reach the clip.

7. Tighten the maintaining belt to secure the dual bag in place.

Once the dual bag is secured, the patient circuit can be reconnected to the ventilator. See section
4.4.2, Installing the Patient Circuit for details.

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Installation and Assembly

4.9.4 Securing the Ventilator in a Personal Vehicle

Figure 4-23.  Using the Dual Bag in a Personal Vehicle

To secure the dual bag in a personal vehicle (see Figure 4-23):

1. Unclip the two backpack straps from the side clips.

2. Clip the suspension onto the central ring.

3. Loop the suspension over the headrest of the front seat of the vehicle.

4. Attach the non-adjustable side of the maintaining belt to the side clip of the dual bag.

5. Pass the maintaining belt around the back of the front seat of the vehicle.

6. Adjust the length of the maintaining belt and attach the adjustable side of the belt to the clip on the
other side of the dual bag.

7. Connect a 12V DC car adapter cable to charge the ventilator using the personal vehicle’s battery. See
section 4.3, Connecting to an External DC Power Source.

Once the dual bag is secured, the patient circuit can be reconnected to the ventilator. See section
4.4.2, Installing the Patient Circuit for details.

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 Mounting the Ventilator on a Utility Cart

4.10 Mounting the Ventilator on a Utility Cart

As an alternative to using the dual bag for patient mobility, the Puritan Bennett™ 560 ventilator
can be mounted on a utility cart.
To mount the ventilator on the cart:
1. Match the mounting holes on the bottom of the ventilator to the mounting studs on the top of the utility
cart platform. See Figure 4-24.

Figure 4-24.  Mounting the Ventilator on the Utility Cart

1 Mounting holes 2 Mounting studs

2. Pass the dual bag maintaining belt underneath the utility cart platform and over the top of the ventilator,
then fasten the maintaining belt buckle. See Figure 4-25.

Figure 4-25.  Securing the Ventilator on the Utility Cart

3. Tighten the maintaining belt to secure the ventilator in place. See Figure 4-25.

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Installation and Assembly

Figure 4-26.  Puritan Bennett™ 560 Ventilator Mounted on Utility Cart

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5 Operating Procedures

5.1 Turning on the Ventilator

< WARNING:
Before operating the ventilator, read, understand, and strictly follow the information contained in
Chapter 1, Safety Information.

< WARNING:
If the ventilator has been transported or stored at a temperature that differs more than 20°C (36°F)
from the temperature in which it will be operating, the ventilator should be allowed to stabilize in its
operating environment for at least 2 hours prior to use.

< WARNING:
To reduce the risk of a fire hazard, keep matches, lighted cigarettes, and all other sources of ignition
(such as flammable anesthetics and/or heaters) away from the ventilator and oxygen hoses.

< WARNING:
While the ventilator is in use, an alternative means of ventilation should always be available in the
event of a ventilator problem. This is particularly true for ventilator-dependent patients.
Supplementary observation, appropriate for the patient's condition, is also recommended.

< WARNING:
To ensure that ventilation continues uninterrupted, ensure alternative power sources are available
(AC power source, extra batteries, or an auxiliary DC car adapter). Be prepared for the possibility of
power failure by having an alternative means of ventilation ready for use—particularly for ventilator-
dependent patients.

< WARNING:
Do not start ventilation until you ensure that the device is suitably assembled, that the air inlet filter
is properly installed and is not obstructed, and that there is proper clearance all around the unit. Also
ensure that the patient circuit is suitably connected to both the ventilator and the patient and that the
patient circuit, including all hoses, is not damaged or obstructed.

< WARNING:
The time required to reach essential performance and start ventilation from power on is
approximately 15 seconds.

5-1
Operating Procedures

< WARNING:
Users must always possess an additional breathing circuit and exhalation valve while using the Puritan
Bennett™ 560 ventilator.

< WARNING:
Verify the functionality of the alarms before connecting the patient to the ventilator.

< WARNING:
Before starting ventilation, always verify that all settings are properly set in accordance with the
required prescription.

< WARNING:
The ventilator offers a variety of breath delivery options. Throughout the patient’s treatment, the
clinician should carefully select the ventilation mode and settings to use for that patient, based on
clinical judgment, the condition and needs of the patient, and the benefits, limitations, and
characteristics of the breath delivery options. As the patient’s condition changes over time, periodically
assess the chosen modes and settings to determine whether those are best for the patient’s current
needs.

< WARNING:
If the ventilator fails the alarm tests or if you cannot complete the tests, refer to section 3.9,
Troubleshooting or call your equipment supplier or Covidien.

< WARNING:
Due to the internal battery’s limited reserve capacity, the ventilator should only be operated on the
internal battery when no other power source is available. Ensure that the internal battery never
becomes fully discharged.
To turn the ventilator on, set the I/O (power) switch (a covered, rocker-type switch located at the
rear of the ventilator) to the I position, as shown in Figure 5-1.  

Figure 5-1.  Turning on the Ventilator

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 Turning on the Ventilator

The following events occur:

• The ventilator is turned on.

• A Power On Self Test (POST) is carried out (when plugged in to an AC power source).

• The front panel indicators flash (except for the indicator showing the type of power supply in use, which
remains lit).

• The audible alarms briefly sound.

• The display’s backlight turns on.

• The Puritan Bennett™ logo is shown momentarily.

• The blue ventilator standby indicator (Figure 5-2, item 2) to the right of the VENTILATION ON/OFF button
(Figure 5-2, item 1) illuminates, indicating the device is in standby mode.

Figure 5-2.  VENTILATION ON/OFF Button and Standby Indicator

• A Welcome menu screen is shown for about 5 seconds, which includes the machine counter and the
patient counter, as shown in Figure 5-3.  

Figure 5-3.  Welcome Menu Screen

: Note:
If the ventilator had been previously stopped by use of the I/O (power) switch while ventilation was in progress,
the ventilator starts directly in ventilation mode and does not show the Welcome menu screen.

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Operating Procedures

: Note:
The alarm, technical fault, and event logs are stored in nonvolatile memory on the main CPU PCB, ensuring that
the information is retained when the ventilator is powered off and during power loss conditions.
To skip the Welcome menu, press VENTILATION ON/OFF to start ventilation immediately.
The Ventilation menu screen is then shown.

Figure 5-4.  Ventilation Menu Parameters

By default, the starting ventilation mode is the last one used, the settings being those that were
active when the machine was last stopped.
If the ventilator’s memory of the settings is faulty, a CHECK SETTINGS alarm is activated. If this occurs,
the desired parameters should be reset and saved; otherwise the machine will operate on default
parameter values.

5.2 USB Menu Parameters

The USB menu is accessible even if the Locking key has been enabled.
The USB menu is automatically shown when the USB memory device is connected to the ventilator,
when ventilation is either on or off.
Only one USB memory device may be connected at any time; otherwise, an error message will be
shown.
To access patient data via a PC, the Puritan Bennett™ Respiratory Insight software package is avail-
able for clinicians. Contact Covidien or your product representative for further information.

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 USB Menu Parameters

5.2.1 USB Memory Device Specifications

Table 5-1.  USB Memory Device Specifications

Characteristics Supported formats
USB compatibility USB flash memory USB 2.0 or USB 1.1, 32 bit format
Number of files Maximum 999 (sector size: 512-2048 bytes)
USB size 128 MB to 4GB (to guarantee accuracy of transfer time, at least 10% of the USB
memory device capacity must be free)

5.2.2 USB Memory Device Menu

To access the USB Memory Device menu when a USB memory device is connected, press the MENU
key several times, until the menu appears.

Figure 5-5.  Selecting the USB Menu

In case of high priority alarm activation the ventilator will automatically show the alarm page. To
return to the USB Memory Device menu, press the MENU key.
The adjustable parameters in this menu include the following:
• Transfer Continuously

• Transfer Trends

• Erase Key

Transfer Continuously

Up to 48 hours worth of data can be transferred from a ventilator to a USB memory device.
To record continuously, the USB memory device must be permanently connected to the ventilator
while ventilation is active.

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Operating Procedures

The following data will be recorded to the USB memory device:

• Monitoring: Pressure, inspired flow, exhaled flow and leak waveforms

• Trends: Leaks, VTI, VTE, Rate, I:E, M. Vol, PIP, and PEEP measurements

The data can be accessed by a doctor or service provider using the Puritan Bennett™ Respiratory
Insight software package.

Figure 5-6.  Selecting Transfer Continuously

To transfer continuous data from a ventilator to a USB memory device:

1. Use the UP or DOWN arrow keys to place the cursor at the Transfer Continuously position.

2. Press ENTER.

• The cursor changes to the plus/minus symbol.

• The parameter selected to be modified flashes.

3. Press UP or DOWN to change the selected parameter’s value.

4. Press ENTER to confirm the new parameter setting.

• The new parameter setting is shown continuously.

• The cursor is placed at the STOP position.

5. To manually stop continuous transfer, press ENTER.

If a parameter change is not confirmed by pressing ENTER before 7 seconds elapse, the ventilator
resets the parameter to its previous value.

: Note:
All ventilator menus remain accessible during transfer time.

: Note:
The message “TRANSFER IN PROGRESS... REMAINING TIME” is shown during the transfer time.

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 USB Menu Parameters

: Note:
Other functions of the USB memory device are not available during continuous recording.

: Note:
If the memory capacity on the USB memory device is insufficient the message “TRANSFER NOT ALLOWED - USB
CAPACITY INSUFFICIENT” is shown and data transfer is not allowed. Delete the data on the USB memory device
before restarting data transfer.

: Note:
In case of USB memory device disconnection or transfer error, the message “TRANSFER ERROR - USB
DISCONNECTION” or “TRANSFER ERROR - TECHNICAL PROBLEM” is shown. In this case, restart the transfer
process. If the problem persists, contact your technical service representative.

Transfer Trends

Up to 1 year’s worth of trend data can be transferred from a ventilator to a USB memory device.
Ventilation trends such as leaks, VTI, VTE, Rate, I:E, M. Vol, PIP, and PEEP measurements can be trans-
ferred from the ventilator to a USB memory device.
The data can be accessed by a doctor or service provider using the Puritan Bennett™ Respiratory
Insight software package.

Figure 5-7.  Selecting Transfer Trends

To transfer trend data from a ventilator to a USB memory device:

1. Use the UP or DOWN arrow keys to place the cursor at the Transfer Trends position.

2. Press ENTER.

• The cursor changes to the plus/minus symbol.

• The parameter selected to be modified flashes.

3. Press UP or DOWN to change the selected parameter’s value.

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Operating Procedures

4. Press ENTER to confirm the new parameter setting.

• The new parameter setting is shown continuously.

• The cursor is placed at the STOP position.

5. To manually stop trend transfer, press ENTER.

If a parameter change is not confirmed by pressing ENTER before 7 seconds elapse, the ventilator
resets the parameter to its previous value.

Table 5-2.  Ventilator to USB Device Data Transfer Times

Amount of trends data Transfer time from ventilator to
(in months) USB memory device
3 months Approximately 2 minutes
6 months Approximately 4 minutes
9 months Approximately 6 minutes
12 months Approximately 8 minutes

: Note:
The message “TRANSFER IN PROGRESS... REMAINING TIME” is shown during the transfer time.

: Note:
Other USB memory device functions are available during transfer of trends.

: Note:
If the memory capacity on the USB memory device is insufficient the message “TRANSFER NOT ALLOWED - USB
CAPACITY INSUFFICIENT” is shown and data transfer is not allowed. Delete the data on the USB memory device
before restarting data transfer.

: Note:
In case of USB memory device disconnection or transfer error, the message “TRANSFER ERROR - USB
DISCONNECTION” or “TRANSFER ERROR - TECHNICAL PROBLEM” is shown. In this case, restart the transfer
process. If the problem persists, contact your technical service representative.

5-8 User Manual

 Starting Ventilation

5.3 Starting Ventilation

Before starting ventilation, see Appendix C, Operational Verification Checklist, and set the parameter
values in the Preferences menu.

< WARNING:
Verify the functionality of the alarms before connecting the patient to the ventilator.

< WARNING:
Before starting ventilation, ensure that the device is properly assembled and that the air inlet, cooling
vents, and alarm sound diffusion holes are not obstructed. Ensure also that the patient circuit is of the
proper configuration (double or single limb), properly connected to the ventilator, and that the circuit
hoses are neither damaged nor compressed and contain no obstructions or foreign bodies.

: Note:
Many ventilator functions are not accessible when the Locking key is enabled. For additional assistance,
contact your clinician or equipment representative.
When the ventilator is in standby (the ventilator is on, but ventilation has not started), a message
that prompts the ventilator operator to press VENTILATION ON/OFF to start ventilation is shown in
the right-hand window of the Ventilation and Alarm menus (Figure 5-8).

Figure 5-8.  Prompt to Start Ventilation

To start ventilation, press and release VENTILATION ON/OFF (Figure 5-9, item 1).
• The blue light indicator, at the upper right of the VENTILATION ON/OFF button (Figure 5-9, item 2), turns
off.

• A beep sounds.

• Ventilation starts.

• The values of the monitored parameters are shown in the right-hand window.

User Manual 5-9

Operating Procedures

Figure 5-9.  Starting Ventilation

5.4 Stopping Ventilation

< WARNING:
Do not allow a patient to remain connected to the ventilator when ventilation is stopped, because a
substantial quantity of expiratory gas, primarily carbon dioxide, may be inhaled by the patient. In some
circumstances, inhaling carbon dioxide may lead to under-ventilation, suffocation, and serious injury or
death.
To stop the ventilator:
1. Press and hold the VENTILATION ON/OFF button (Figure 5-9, item 1) for 3 seconds. The following occurs:

• A message prompting the user to keep the button pressed appears on the monitoring window, as
shown in Figure 5-10.

Figure 5-10.  Stopping Ventilation (1)

• After 3 seconds, a new message appears that directs the user to press the button again to confirm ven-
tilation stop, as shown in Figure 5-11.

5-10 User Manual

 Turning Off the Ventilator

Figure 5-11.  Stopping Ventilation (2)

• A double beep sounds.

2. Release the VENTILATION ON/OFF button.

3. Press the VENTILATION ON/OFF button again within 5 seconds to confirm stop, otherwise ventilation will
continue.

• Ventilation stops.

• The blue LED located to the upper right of the VENTILATION ON/OFF button (Figure 5-9, item 2) illumi-
nates to indicate ventilation is on standby.

• A prompt for a new start of ventilation is shown (see Figure 5-8 on page 5-9).

5.5 Turning Off the Ventilator

< WARNING:
When the ventilator is switched back on after it was switched off while ventilation was in progress, it will
immediately begin ventilating—without the user first having to press the VENTILATION ON/OFF
button.

< WARNING:
Handle the ventilator with care after use, particularly when ambient temperatures are high. Some
ventilator surfaces may be very hot, even if safety specifications are not exceeded.
Set the I/O (power) switch to the O position to turn off the ventilator.
• The blue LED to the right of the VENTILATION ON/OFF button turns off.

• The ventilator screen switches off.

: Note:
When the ventilator is completely stopped, but is still connected to the AC power source (the green AC POWER
indicator is illuminated), the internal battery continues charging.

User Manual 5-11

Operating Procedures

: Note:
A continuous alarm condition will be activated if the ventilator power switch is turned off while ventilation is in
progress. When the power switch is turned back on again, the ventilation will resume without having to press
the VENTILATION ON/OFF button.

5-12 User Manual

6 Internal Battery

< WARNING:
Even though the Puritan Bennett™ 560 ventilator meets current safety standards, the internal
Lithium-ion battery of the device exceeds the 100Wh threshold and is therefore considered to be
Dangerous Goods (DG) Class 9 – Miscellaneous, when transported in commerce. As such, the Puritan
Bennett™ 560 ventilator and/or the associated Lithium-ion battery are subject to strict transport
conditions under the Dangerous Goods Regulation for air transport (IATA: International Air Transport
Association), International Maritime Dangerous Goods code for sea and the European Agreement
concerning the International Carriage of Dangerous Goods by Road (ADR) for Europe. Private
individuals who transport the device are excluded from these regulations although for air transport
some requirements apply. For air transport; the Puritan Bennett™ 560 ventilator is permitted as
checked-in or carry-on baggage. Two spare batteries per person may be taken on board as carry-on
luggage only, with the prior approval of the airline. This classification and regulatory requirements
may vary depending upon the country and mode of transport. Therefore it is recommended that users
verify with the carrier / airline as to which measures to take before the voyage.

< WARNING:
Ensure that the ventilator’s internal battery is fully charged before connecting the ventilator to an
external DC power source. Powering the ventilator using an external 12–30 VDC power source (via the
DC power cable) does not enable charging of its internal battery.

< WARNING:
The maximum recommended shelf life of the internal battery is 2 years. Do not use a battery that has
been stored for 2 years prior to its first use.

< WARNING:
Periodic recharging is important to help maximize useful life of the battery. Do not store the internal
battery for extended periods, without recharging, as this may reduce the maximum life.

< WARNING:
Do not attempt to replace the battery yourself. Replacement of lithium batteries or fuel cells by
inadequately trained personnel could result in a fire hazard. Replacement must be completed by
qualified service personnel only.

6-1
Internal Battery

6.1 Battery Capacity

The reserve capacity offered by the internal battery depends on the level of ventilation parameters,
the environmental conditions (primarily in terms of temperature) and the physiological character-
istics of the patient.
With a fully charged battery at a normal room temperature of 25°C (±5°C), the ventilator can be
expected to operate on internal battery power for the average durations shown in Table 6-1.  
Checking the battery charge level requires that the ventilator be running on battery power at the
time of the battery check. To check the battery charge level, temporarily disconnect the ventilator
from AC power (while in standby mode or while providing ventilation) and read the percent charge
level shown adjacent to the battery icon at the top of the ventilator's display screen.

Table 6-1.  Internal Battery Reserve Capacity

Displayed values Average operating time on internal battery power1

Vt = 200 ml (±5 ml) 11 hours (–10%)

PIP = 10 mbar (±2 mbar)
Rate = 20 bpm

Vt = 300 ml (±5 ml) 9 hours (–10%)

PIP = 20 mbar (±2 mbar)
Rate = 15 bpm

Vt = 500 ml (±5 ml) 6.5 hours (–10%)

PIP = 30 mbar (±2 mbar)
Rate = 15 bpm

Vt = 750 ml (±5 ml) 4.5 hours (–10%)

PIP = 45 mbar (±2 mbar)
Rate = 20 bpm
(maximum ventilation parameters)
1. Average durations shown are with a fully charged battery having less than 50 charge/recharge cycles.

The operational time of the ventilator when powered from a fully charged power source1 is 6.5
hours (-10%) under the following conditions:
• Delivered Volume = 800 ml (±5 ml)

• Rate = 20 bpm

• I:E = 1:2

• Backlight = OFF

• Resistance = 5 hPa/lps

• Compliance = 50 ml/hPa

6-2 User Manual

 Battery Operation

6.2 Battery Operation

< WARNING:
Before using the ventilator’s internal battery, ensure that the battery is fully charged and that the
charge holds. Back up ventilators or those in storage should be connected to an AC power source to
protect the integrity of the battery.

: Note:
Buzzer and battery alarms may occur when the unit is first powered on after the internal battery has been
completely drained. Connect to an AC power source and recycle power.

: Note:
In the event of AC power interruption or disconnection of the external AC or DC power supply, the ventilator
automatically switches to its internal battery and the following events occur:
• The internal battery indicator at the top left of the ventilator’s front panel is continuously lit. See Figure
6-1.

Figure 6-1.  Internal Battery Indicator

• A loss of external supply alarm is activated.

• The Battery symbol is shown at the top of the screen, on the general information line.

• Internal battery reserve capacity is shown to the right of the Battery symbol.

User Manual 6-3

Internal Battery

If ventilation is stopped, the internal battery reserve capacity is shown as a percentage of battery
charge. See Figure 6-2.  

Figure 6-2.  Battery Reserve Capacity as a Percentage

If the ventilator is running, the internal battery reserve is momentarily shown as a percentage. Then,
after the ventilator calculates the battery time remaining (which takes about 2 minutes, depending
on the power consumption of the ventilator), the internal battery reserve is then shown in hours
and minutes (rounded to the nearest 10 minutes). See Figure 6-3.  

Figure 6-3.  Battery Reserve Capacity in Hours and Minutes

The Low Battery and Empty Battery alarms (see Chapter 3, Alarms and Troubleshooting) are triggered
when the internal battery reserve is reduced.

< WARNING:
Due to the internal battery’s limited reserve capacity, the ventilator should only be operated on the
internal battery when no other power source is available. Ensure that the internal battery never
becomes fully discharged.

< WARNING:
When the Low Battery alarm is triggered, immediately connect the ventilator to an AC power supply to
maintain ventilation and recharge the internal battery.
From the time that an Empty Battery alarm is activated, if no external supply is connected to the
ventilator, other alarms may be triggered due to insufficient supply voltage.

6-4 User Manual

 Testing the Battery

In the final discharge phase, the Empty Battery alarm will become continuous, and ventilation may
be interrupted at any time during this phase.

: Note:
The Empty Battery alarm symbol may disappear shortly before the ventilator completely stops, but it always
triggers a final, continuous alarm.

6.3 Testing the Battery

The ventilator continuously and automatically checks the state of the internal battery, even when the
battery is not used as the main source of energy. The Battery Fault 1 alarm is activated whenever a
problem is detected in the battery or the charger.
However, on a monthly basis you should disconnect the ventilator from the external power supply to
check the integrity of the connections linking the internal battery to other ventilator components.

6.4 Recharging the Battery

In the event that the battery charge level is considered insufficient, as per the reserve capacity dis-
play, recharge of the internal battery is necessary. In general, it is recommended that the ventilator
be allowed to charge when the battery drops below 80%, and that the ventilator be recharged sys-
tematically after storage and before using it again.

: Note:
To avoid cycling and extend battery life while connected to an AC power source, the battery will not begin
charging until it has dropped below an 85%-90% charge.
To charge the internal battery, connect the ventilator to the AC power source.
• The AC power indicator illuminates (Figure 6-4, item 1).

• The internal battery indicator flashes (Figure 6-4, item 2).

Figure 6-4.  Power Indicators when Charging the Battery

When the battery charge is complete, the internal battery indicator turns off.

User Manual 6-5

Internal Battery

< WARNING:
Even if the internal battery indicator is off, charge of the battery may sometimes be incomplete
regardless of charge time when the ambient temperature is above 40°C (104°F). This is due to the
characteristics of the battery’s internal heat safety device.
Although it is not necessary to start the ventilator to charge the battery, charging the battery during
operation will increase the time required to fully charge the internal battery.
When recharging a depleted internal battery, it may be necessary to leave the ventilator on charge
for up to 6 hours if the ventilator is on standby and about 13 hours if ventilation is operating.

< WARNING:
Ensure that the ventilator’s internal battery is fully charged before connecting the ventilator to an
external DC power source. Powering the ventilator using an external 12–30 VDC power source (via the
DC power cable) does not enable charging of its internal battery.

6.5 Storage
If the ventilator is to be stored for an extended period of time, it is not necessary to remove the bat-
tery. However, the ventilator should be stored in cool, dry, well-ventilated environment, as follows:
• Temperature: approximately 21°C (70°F)

• Humidity: less than 80% RH

: Note:
When the device is in storage it should be recharged monthly to maximize battery life.

: Note:
If the battery is stored for more than 1 month at a temperature greater than 21°C (70°F), or for more than 1 or 2
weeks at a temperature greater than 45°C (113°F), the reserve capacity of the battery may be affected. It will then
be necessary to recharge the battery before using it again.

: Note:
If the ventilator has been in storage for longer than 30 days connect it to an AC power source, turn on the unit
by the I/O (power) switch at the rear of the ventilator, and let it charge for 15 minutes prior to starting ventilation.

: Note:
Fully charge the internal battery prior to disconnecting from AC power source (“mains”).

: Note:
The battery should not be stored for more than 2 years, whatever the conditions.

6-6 User Manual

7 Cleaning

< WARNING:
A patient treated by mechanical ventilation is highly vulnerable to the risks of infection. Dirty or
contaminated equipment is a potential source of infection. Clean the ventilator and its accessories
regularly and systematically before and after each use and following any maintenance procedure to
reduce the risks of infection. The use of a bacterial filter at the ventilator’s outlet (TO PATIENT) port—
or both ports if a double-limb circuit is used—is highly recommended.

< WARNING:
To reduce the risk of infection, wash your hands thoroughly before and after handling the ventilator
or its accessories.

7.1 Cleaning the Ventilator

Clean all external panels and surfaces before and after each patient use and as often as necessary
to keep the ventilator clean. You should clean the ventilator weekly, whenever it is soiled or dirty,
before any maintenance operation, and before storing the ventilator.

< WARNING:
Use all cleaning solutions and products with caution. Read and follow the instructions associated with
the cleaning solutions you use to clean your ventilator. Use only those solutions listed in Table 7-1.  

< WARNING:
The ventilator should never be immersed in any liquid, and any liquid on the surface of the device
should be wiped away immediately.

< WARNING:
To avoid damage to the ventilator, in particular the batteries or electrical components, fluids must not
be allowed to enter the device, particularly through the air inlet filter or the cooling apertures located
in the side, rear, and bottom panels of the ventilator.

7-1
Cleaning

To clean the surface of the ventilator:

1. Dip a clean, soft cloth into a mixture of mild soap and water, or other approved cleaning solution. For a
list of approved cleaning solutions, see Table 7-1.  

Table 7-1.  Approved Cleaning Solutions for Exterior Ventilator Surfaces

Description
Mild dishwashing detergent
70% isopropyl alcohol (rubbing alcohol)
10% chlorine bleach (90% tap water)
Glutaraldehyde
Hospital disinfectant cleaners
Hydrogen peroxide
15% ammonia (85% tap water)
Ammonia-based household cleaners
Household cleaners

2. Squeeze the cloth thoroughly to remove excess liquid.

3. Lightly wipe the external casing of the ventilator, taking care not to allow excess moisture to enter any
of the openings on the ventilator’s surface. See the warnings in this section.

4. Dry the ventilator surface with a clean, soft, lint-free cloth.

7.2 Cleaning the Accessories

Follow the accessory manufacturer’s instructions for cleaning the ventilator’s accessories and com-
ponents, including the patient circuit.

< WARNING:
After assembling, cleaning, or reassembling the patient circuit, and on a daily basis, inspect the hoses
and other components to ensure that there are no cracks or leaks and that all connections are secure.

< WARNING:
Never use a liquid cleaner inside the patient circuit, or on any component of a gas pathway. Clean the
patient circuit only as specified by the manufacturer's instructions.

7-2 User Manual

 Cleaning the Exhalation Block

7.3 Cleaning the Exhalation Block

< WARNING:
The exhalation block is intended for single use by a single patient . It may periodically be cleaned, but
it cannot be disinfected or sterilized. To maintain good measurement quality when used continuously,
clean the exhalation block periodically. The exhalation block should be changed every 4 months and
cannot be reused with any other patient.

< WARNING:
Ensure that the exhalation block is completely dried after cleaning and prior to use.

< WARNING:
When an exhalation block is set up, each time it is removed, or after installing a new exhalation block on
the machine, it is essential that the exhalation flow sensor be recalibrated before the exhalation block
is used.
The exhalation block can be easily removed for inspection, cleaning, or replacement. No special
tools are required. It is held in place by a single captive screw located on the bottom of the device.

Figure 7-1.  Removing the Exhalation Block

1 Exhalation block installed (captive screw shown) 2 Exhalation block removed

To remove the exhalation block (see Figure 7-1):

1. Ensure the ventilator is turned off.

2. Loosen the captive screw located on the bottom of the ventilator that secures the exhalation block (view
1).

3. Grasp the exhalation port and slide the exhalation block toward the left side of the ventilator to remove
it from its slot (view 2).

To reinstall a cleaned exhalation block or install a new exhalation block (see Figure 7-1):
1. Slide the exhalation block into its slot.

2. Tighten the captive screw (view 1) to secure the exhalation block in place.

User Manual 7-3

Cleaning

7.4 Pneumatic System

This section describes the components of the pneumatic system.
Figure 7-2 shows a pneumatic block diagram of the Puritan Bennett™ 560 Ventilator, including the
patient circuit. The main pneumatic components that can potentially get contaminated during use
are the air inlet filter (2); low pressure oxygen inlet /valve (36); oxygen solenoid valve (37); inlet and
outlet silencers (not shown); turbine assembly (3); exhalation solenoid valve (4); inspiratory block (6);
inspiratory flow sensor (7); proximal pressure sensor (14); inspiratory pressure sensor (13); exhalation
valve (internal valve) (22); exhalation block (21); exhalation flow sensor (17); barometric pressure
sensor (not shown); patient circuit (9, 10, 11, 12, 18, and 19); and inspiratory and expiratory bacteria
filters (8 and 20).

Figure 7-2.  Puritan Bennett™ 560 Ventilator Pneumatic Diagram

1 Turbine control PCBA 20 Exhalation bacteria filter

2 Air inlet filter 21 Exhalation block

3 Turbine 22 Exhalation valve

4 Exhalation solenoid valve 23 Display

5 Exhalation valve pressure sensor 24 CPU PCBA

6 Inspiratory block 25 Battery connection PCBA

7 Inspiratory flow sensor 26 Internal battery

8 Inspiratory bacteria filter 27 Cooling fan

7-4 User Manual

 Pneumatic System

9 Humidifier, nebulizer, or additional water traps (not shown) 28 Power supply (located above power management PCBA)

10 Inspiratory tubing 29 Power switch

11 Proximal pressure tube 30 AC input

12 Patient wye 31 DC input

13 Inspiratory pressure sensor 32 PC port

14 Proximal pressure sensor 33 Type A USB ports (2)

15 Exhalation valve pilot tube 34 SpO2 port (not used)

16 Buzzer PCBA 35 Nurse call port

17 Exhalation bacteria filter 36 Low pressure O2 inlet

18 Exhalation tubing 37 O2 solenoid valve

19 Water trap

The inspiratory filter protects the ventilator from contamination by the patient (primarily,
rebreathed gas). To prevent any risk of cross contamination the use of DAR™ filter (Ref: 351/5856 or
equivalent) is recommended to protect the patient outlet port and the exhalation block port.
If the inspiratory or expiratory bacteria filters have not been changed frequently (according to insti-
tutional protocol and/or manufacturer recommendation) and have not been installed properly on
the inlet and exhaust ports of the ventilator to prevent cross contamination, the entire inspiratory
block requires cleaning and disinfection, the expiratory block requires replacement, circuits and
filters require replacement, and flow sensor calibration should be considered before new patient
use.

User Manual 7-5

Cleaning

Page Left Intentionally Blank

7-6 User Manual

8 Routine Maintenance

8.1 Overview
This chapter lists routine maintenance procedures for the Puritan Bennett™ 560 ventilator.

< WARNING:
On a DAILY basis, inspect the patient circuit to ensure that it shows no signs of damage, is properly
connected, and is operating correctly without leakage.

< WARNING:
Do not attempt to open, repair or otherwise service the ventilator yourself. Doing so might endanger
the patient, damage the ventilator, and/or void your warranty. Only personnel authorized and
qualified by Covidien should repair, open or service the ventilator.

< WARNING:
Ensure that the ventilator is powered off and not in use before performing routine maintenance.

< WARNING:
Do not perform any maintenance activities while the ventilator is in use on a patient.

< WARNING:
Contact local authorities to determine the proper method to dispose of potentially hazardous parts
and accessories.

8.2 Expected Service Life

The Puritan Bennett™ 560 ventilator should have an expected service life of 10 years, provided
that the preventive maintenance schedule in the Puritan Bennett™ 560 ventilator service manual
is followed.

8-1
Routine Maintenance

8.3 Calibrating the Exhalation Flow Sensor

Each time the exhalation block or circuit is removed and reinstalled or after installing a new exhala-
tion block, the exhalation flow sensor must be recalibrated before using the ventilator. This process
is automatic and does not require the use of a measurement device.

: Note:
Perform calibration with either an adult or pediatric circuit. Use the appropriate Pediatric setting (Yes or No) in
the Preferences menu.
To calibrate the exhalation flow sensor:
1. Ensure the ventilator is on and in standby mode.

2. Ensure the Locking key is disabled.

3. Obstruct the patient circuit’s open connector. See Figure 8-1.  

Figure 8-1.  Blocking the Patient Circuit (single-limb circuit at left; double-limb circuit at right)

4. Press the MENU key to access the alarm settings menu—if this is not the menu currently shown.

5. Press the UP or DOWN key to place the cursor on the VTE setup line.

6. Press the ENTER key twice to access the Patient column (central column) of the VTE setup line.

• “OFF” flashes in the central column.

• “OFF” flashes in the window on the right.

• The message “Calibration Exp. Flow?” also appears in the window on the right.

8-2 User Manual

 Calibrating the Exhalation Flow Sensor

Figure 8-2.  Calibrating the Exhalation Flow Sensor (1)

7. Press the UP or DOWN key. “YES” is shown instead of “OFF”.

Figure 8-3.  Calibrating the Exhalation Flow Sensor (2)

8. Press the ENTER key to start calibration.

• The message “…Exp. calib. Processing…” is shown in the window on the right while calibration is in
progress.

Figure 8-4.  Calibrating the Exhalation Flow Sensor (3)

• The ventilator adjusts the speed of the blower to reach the initial calibration point.

• A short beep sounds to confirm the first adjustment.

• The ventilator automatically increases and adjusts the speed of the blower to reach the next calibra-
tion point.

User Manual 8-3

Routine Maintenance

• A short beep sounds to confirm the second adjustment.

• This process continues until adjustments are complete for all eight calibration points.

: Note:
The exhalation flow sensor calibration procedure, once initiated, must run to its conclusion.

: Note:
No message is shown when the ventilator passes calibration; a message is only shown if the calibration has failed.

In the event of calibration errors, the following events occur:

• The ventilator sounds a long beep at each point that fails calibration.

• An alarm is activated, and the message “CALIBRATION FAIL“ is shown.

• The ventilator takes the previously saved value as the default and automatically switches to the next cal-
ibration point.

If a Calibration Fail alarm occurs:

1. Ensure the exhalation block is properly seated.

2. Ensure an approved circuit is in use (see circuit documentation).

3. Check the integrity of the circuit and all connections.

4. Ensure the correct circuit type is selected in the ventilator preferences.

5. Repeat the calibration procedure keeping a tight seal over the end of the circuit during calibration.

8.4 Calibrating the FiO2 Sensor

Each time the FiO2 sensor is removed and reinstalled, and on a weekly basis, the FiO2 sensor must
be recalibrated before using the ventilator. This process does not require the use of a measurement
device.
To calibrate the FiO2 sensor:
1. Ensure the ventilator is on and in standby mode.

2. Ensure the Locking key is disabled.

3. Connect the FiO2 sensor to the ventilator. See section 4.8.3, Connecting the FiO2 Sensor.

4. Press the MENU key to access the alarm settings menu—if this is not the menu currently shown.

5. Press the UP or DOWN key to place the cursor on the FiO2 setup line.

8-4 User Manual

 Calibrating the FiO2 Sensor

6. Press the ENTER key twice to access the Patient column (central column) of the FiO2 setup line.

• “OFF” flashes in the central column.

• “OFF” flashes in the window on the right.

• The message “FiO2 Calibration?” also appears in the window on the right.

Figure 8-5.  Calibrating the FiO2 Sensor (1)

7. Press the UP or DOWN key. “YES” is shown instead of “OFF”.

Figure 8-6.  Calibrating the FiO2 Sensor (2)

8. Press the ENTER key to start calibration.

• The message “FiO2 calib. Processing…” is shown in the window on the right while calibration is in
progress.

User Manual 8-5

Routine Maintenance

Figure 8-7.  Calibrating the FiO2 Sensor (3)

• A short beep sounds to confirm that the FiO2 sensor has been calibrated.

9. Press the ENTER key to exit the FiO2 setup line.

: Note:
The FiO2 sensor calibration procedure, once initiated, must run to its conclusion.

In the event of calibration errors, the following events occur:

• An alarm is activated and the message “FiO2 CALIBRATION FAIL” is shown.

• The ventilator takes the previously saved value as the default.

8.5 Replacing the Air Inlet Filter

< WARNING:
Regularly check the cleanliness of the air inlet filter located on the rear of the ventilator. If necessary,
replace the filter before the recommended replacement period is over. This is particularly important
when the ventilator is installed on a wheelchair, because environmental conditions may cause the filter
to become dirty more rapidly.

< WARNING:
Failing to replace a dirty air inlet filter, or operating the ventilator without a filter, may cause serious
damage to the ventilator.

< WARNING:
The air inlet filter is not reusable; do not attempt to wash, clean, or reuse it.
If the ventilator is used indoors, the condition of the air inlet filter should be checked monthly. If the
ventilator is used outdoors or in a dusty environment, the air inlet filter should be checked weekly
and replaced as necessary.

8-6 User Manual

 Replacing the Air Inlet Filter

Figure 8-8.  Replacing the Air Inlet Filter

To replace the air inlet filter (see Figure 8-8):

1. Hold the filter between your fingers (view 1).

2. Remove the filter (view 2) and discard it as instructed by the responsible organization.

< WARNING:
Contact local authorities to determine the proper method to dispose of potentially hazardous parts and
accessories.

3. Place the new filter in the device, while ensuring that:

a. The fine particle side of the filter faces outwards, away from the ventilator.
b. The filter is properly installed in its housing. Proper installation of the filter prevents particles from
entering the device.

User Manual 8-7

Routine Maintenance

8.6 Recommended Schedule of Maintenance

8.6.1 Preventive Maintenance Intervals

Table 8-1 lists the periodic maintenance activities required for the Puritan Bennett™ 560 Ventilator.
Total machine hours appear on the welcome screen that appears when turning on the ventilator
with the power switch, in the Preferences menu during normal operation, and also when entering
maintenance mode.

: Note:
Only qualified service personnel should open, repair, or service the ventilator.

Table 8-1.  Preventive Maintenance Schedule

Frequency Part Maintenance

As needed Ventilator external surface Clean and disinfect. See section 7.1, Cleaning the Ventilator.

Ventilator dual bag Clean dual bag regularly (can be machine washed).

According to institutional proto- Inspiratory bacteria filter Replace.

col or manufacturer recommen-
dation Exhalation bacteria filter

Patient circuit

O2 sensor The oxygen sensor cannot be immersed in a cleaning or dis-

infecting solution, nor can it be sterilized.
If it becomes contaminated, replace.

With each new patient (also see Inspiratory bacteria filter Replace.
manufacturer’s recommenda-
tion) Exhalation bacteria filter Replace.
Recalibrate exhalation flow sensor after replacing filter.

Patient circuit Replace.

Check or replace once per Air inlet filter Replace.

month or more often. Note: In particularly dusty environments, replace the air
inlet filter more frequently to prevent clogging even if the
preventive maintenance period has not elapsed.
See section 8.5, Replacing the Air Inlet Filter for air inlet filter
replacement instructions.

Every 4 months or with each Exhalation block1 Replace exhalation block and calibrate exhalation flow
new patient sensor after reinstallation of exhalation block.
Refer to section 8.3, Calibrating the Exhalation Flow Sensor for
calibration instructions.

Every 15 000 hours of use Oxygen solenoid valve Replace.

Turbine Replace.

Exhalation solenoid valve Replace.

Cooling fan Replace.

8-8 User Manual

 Recommended Schedule of Maintenance

Table 8-1.  Preventive Maintenance Schedule (Continued)

Frequency Part Maintenance

Every 14 to 18 months of opera- FiO2 sensor Replace.

tion (or more often if persistent
calibration failures occur)

Every 2 years Inspiratory block Clean and disinfect the inspiratory block using one of the
disinfectants listed in Table 7-1.  2

Measurements check and These tasks should be performed by a qualified technician.

calibration

Battery, lithium-ion 4.8 Ah Replace.

memory

Battery, lithium, 3V Replace.

Buzzer PCBA Replace.

1 The exhalation block replacement frequency may be 3 months for patients ventilated by tracheotomy more than 12 hours per

day. The replacement frequency may be extended to 6 months for patients ventilated less than 12 hours per day, depending on
the frequency of technician visits.
2 To prevent cross contamination, both cleaning and disinfection of the inspiratory block and flow sensor calibration should be

considered before new patient use in the event that filters were not used at the inspiratory port or proximal Y piece.

< WARNING:
Regularly check the cleanliness of the air inlet filter located on the rear of the ventilator. Replace it when
necessary—even before the recommended replacement period has elapsed, and particularly when the
ventilator is installed on the wheelchair. Environmental conditions may cause the filter to become dirty
more rapidly.

< WARNING:
The exhalation block is intended for single use by a single patient . It may periodically be cleaned, but
it cannot be disinfected or sterilized. To maintain good measurement quality when used continuously,
clean the exhalation block periodically (refer to section 7.3, Cleaning the Exhalation Block). The
exhalation block should be changed every 4 months and cannot be reused with any other patient.

: Note:
For a list of parts and accessories, see Appendix F, or contact your customer service representative, or consult
www.puritanbennett.com.

: Note:
For all additional accessories not necessarily considered as consumables consult the manufacturer’s
recommendations.

: Note:
To prevent any risk of cross contamination, Covidien recommends the use of DAR™ filters (Ref: 351/5856 or
equivalent) to protect the patient outlet port and the exhalation block port.

User Manual 8-9

Routine Maintenance

Failure to observe these recommendations may result in a loss of performance, excessive overheat-
ing, a loss of certain functions and, in the long term, compromise the longevity of the ventilator.

8.6.2 Maintenance of the Internal Battery

The internal battery does not need to be removed to verify its correct operation.

8.6.3 Periodic Test of the Internal Battery

The ventilator continuously and automatically checks the state of the internal battery, even when
the internal battery is not used as the main power source.
However, the battery charge status should be checked MONTHLY by disconnecting the ventilator
from external power supplies (see section 6.2, Battery Operation). Such a test is imperative after
opening the ventilator or after a prolonged period of non-use (1 month or more), in order to ensure
the correct operation of internal connections linking the battery to other components.

< WARNING:
The maximum recommended shelf life of the internal battery is 2 years. Do not use a battery that has
been stored for 2 years prior to its first use.

< WARNING:
Periodic recharging is important to help maximize useful life of the battery. Do not store the internal
battery for extended periods, without recharging, as this may reduce the maximum life.

8.6.4 Replacement of the Internal Battery

< WARNING:
Do not attempt to replace the battery yourself. Replacement of lithium batteries or fuel cells by
inadequately trained personnel could result in a fire hazard. Replacement must be completed by
qualified service personnel only.
The internal battery should be replaced when the battery capacity drops below 3840 mAh. Keep in
mind that, for environmental protection, the ventilator and its components—including its internal
battery—cannot be disposed of with household waste. Submit the ventilator and its components
for suitable selective collection and possible recycling and observe all applicable regulations.

: Note:
As the total number of battery charge/discharge cycles approaches 300, a drop in potential of as much as 20%
may be detected.

8-10 User Manual

 Service Assistance

8.7 Service Assistance

< WARNING:
If a problem with the ventilator is suspected, FIRST CHECK THAT THE PATIENT IS NOT IN DANGER. If
necessary, remove the patient from the ventilator and provide an alternative means of ventilation.

< WARNING:
Do not attempt to open, repair or otherwise service the ventilator yourself. Doing so might endanger
the patient, damage the ventilator, and/or void your warranty. Only qualified service personnel should
open, repair or service the ventilator.
In the event of a problem with the ventilator, see Chapter 3, Alarms and Troubleshooting. If you
cannot determine the cause of the problem, contact your equipment supplier or Covidien.
For more information and local Covidien Technical Service contact details, see Service Centers in the
Preface.

User Manual 8-11

Routine Maintenance

Page Left Intentionally Blank

8-12 User Manual

A Specifications

A.1 Physical

Table A-1.  Physical Description (excluding accessories)

Ventilator weight 9.9 lb. (4.5 kg)
Ventilator dimensions 9.25 in wide x 12.40 in deep x 6.0 in high
(235 mm wide x 315 mm deep x 154 mm high)
Connectors Inspiratory limb connector: ISO 22 mm (OD) conical
Exhalation limb connector (on exhalation block): ISO 22 mm (ID) conical
Oxygen inlet: female connector with valve
Device airway volume 2000 ml
Breathing circuit volume
• Adult, dual limb 1150 ml
• Pediatric, dual limb 670 ml
• Adult, single limb 550 ml
• Pediatric, single limb 300 ml
Air inlet filter Dimensions: 70 mm long x 60 mm wide
Composition: Polypropylene fiber electrostatic filter material, which is laminated
onto polyurethane open-celled foam.
Efficiency: 99.999982% at 30 lpm (filtering microbes 3.3 μm)
Inspiratory bacteria filter requirement Maximum allowable flow resistance: 4mbar at 60 lpm

A.2 Electrical

Table A-2.  Electrical Supply
Voltage (nominal voltage range) Frequency Consumption
100 VAC to 240 VAC 50 Hz / 60 Hz 180 VA max
90–250 VAC (rated voltage range) 50 Hz / 60 Hz 180 VA max
12 VDC N/A 8.3 A
30 VDC N/A 3.3 A

A-1
Specifications

Table A-3.  Internal Lithium Ion Battery

Voltage 25.2 VDC
Full-load capacity 4.8 Ah
On standby: 1.5 Ah
Ampere-hour rating
During ventilation: 0.5 Ah
Watt hour rating 124 Wh to 126 Wh
Standby mode: 1.5 A/hr. (duration: <6 hr.)
Charging current
Ventilation mode: 0.5 A/hr. (duration: <13 hr.)
Average operating time at 25°C (±5°C) with a fully charged battery (having less than 50 charge/discharge cycles) at the following
displayed values:
Vt = 200 ml (±5 ml), PIP = 10 mbar (±2 mbar), Rate = 20 bpm 11 hr. (–10%)
Vt = 300 ml (±5 ml), PIP = 20 mbar (±2 mbar), Rate = 15 bpm 9 hr. (–10%)
Vt = 500 ml (±5 ml), PIP = 30 mbar (±2 mbar), Rate = 15 bpm 6.5 hr. (–10%)
Vt = 750 ml (±5 ml), PIP = 45 mbar (±2 mbar), Rate = 20 bpm 4.5 hr. (–10%)
(maximum settings)

A.3 Indicators and Alarms

Table A-4.  Power Indicators
Ventilation ON/OFF AC power DC power Internal battery
• Blue in standby mode Green Green • Flashing if the battery charge is in progress.
• Not lit if ventilation is in progress. • Continuously lit if the ventilator is powered by
the internal battery.

Table A-5.  Alarm Indicators
High priority Medium priority Low priority
Red flashing LED Yellow flashing LED Yellow continuously lit LED

Table A-6.  Audio Alarms
Audio paused Alarm volume Power down alarm volume
60 s ±1 s 50 dBA to 80 dBA Minimum 65 dBA
(Alarm volume setting MIN to alarm volume setting MAX)
Measurement uncertainty: ±3 dBA

A-2 User Manual

 Performance

A.4 Performance

: Note:
Performance specifications listed are applicable when dry gases are used in the patient system.

Table A-7.  Performance Parameter Specifications and Tolerances1

Settings Range Tolerances
Volume 50 to 2000 ml ±(10 ml +15%)
Pressure 5 to 55 mbar ±(1 mbar +10%)
Time 0.3 to 6.0 s ±10%
Rate 1 to 60 bpm ±1 bpm
Inspiratory Sensitivity 0P to 5 N/A
Exhalation Sensitivity 5 to 95% ±(4 lpm +10% of target exhalation flow) based on E Sens
within 50ms
Vt Sigh Vt×1 to Vt×2 ±(20ml +20%)
I:E Ratio 1:4 to 1:1 Insp. time ±50 ms and Exh. time ±50 ms or I:E ratio ±10%,
whichever is greater
I/T Ratio 20% to 50% Insp. time ±50 ms and Exh. time ±50 ms or I/T ratio ±10%,
whichever is greater
1. The ventilator parameters’ displayed values could vary based on patient settings.

A.5 Monitored Parameters

Table A-8.  Monitored Parameter Tolerances

Ventilator parameter Tolerances
Peak Inspiratory Pressure (PIP) ±(2 mbar +4%)

Positive End Expiratory Pressure (PEEP)1 ±(2 mbar +4%)

Inspiratory Tidal Volume (VTI) ±(10 ml +15%) and ±(20 mL +20%) in CPAP mode
above 200 mL or in NIV configuration
Exhalation Tidal Volume (VTE) ±(10 ml +15%)
Total Breath Rate (Rtot) ±1 bpm
I:E Ratio (I:E) Insp. time ±50 ms and Exh. time ±50 ms or I:E ratio
±10%, whichever is greater
I/T Ratio (I/T) Insp. time ±50 ms and Exh. time ±50 ms or I/T ratio
±10%, whichever is greater
Inspiratory Time (I Time) ±100 ms
Exhalation Time (E Time) ±100 ms

User Manual A-3

Specifications

Table A-8.  Monitored Parameter Tolerances (Continued)

Ventilator parameter Tolerances
Inspiratory Minute Volume (M VoI) ±(10 mL +15% VTI) ×Rate (with exhalation valve)
and ±(20 mL +20% VTI) ×Rate in NIV configuration
(without exhalation valve)
Vt Sigh ±(20ml +20%)
FiO2 ±(2.5% +2.5% FiO2)

Leak ±(3 lpm +20%)

Apnea Index (AI) ±1 ev/h
Apnea Time ±1 s
% Spontaneous (Spont) ±1%
Peak Airway Pressure (Paw) ±(2 mbar +4%)
1. The Puritan Bennett™ 560 ventilator does not have the capability to reduce pressure below the PEEP pressure during the
exhalation phase.

A.6 Range, Resolution, and Accuracy

Table A-9 lists the ranges, resolutions, and accuracies for ventilator settings, alarm settings, and
patient data.

Table A-9.  Ventilator Range, Resolution, and Accuracy

Ventilator settings Range, resolution, and accuracy
Mode Range: V A/C, P A/C, V SIMV, P SIMV, PSV, CPAP
Resolution: N/A
Accuracy: N/A
Default value: P A/C
Tidal volume Range: 50 mL to 2000 mL
(Vt) Resolution: 10 mL
Accuracy: ±(10 ml +15%) of setting
Default value: 500 mL
Depends on: Insp time, R-Rate in V SIMV and P SIMV
Depends on: Rate and I:E (I/T) in V A/C
Vt Target Range: 50 mL to 2000 mL
Resolution: 10 mL
Accuracy: Vt target < VTI < Vt target +20% if Max P is high enough to reach Vt target
Default value: OFF (100 mL)
Inspiratory Pressure Range: 5 mbar to 55 mbar in valve configuration
(Pi) Range: 6 mbar to 30 mbar in leak configuration
Resolution: 1 mbar
Accuracy: ±(1 mbar +10%) of Pi + PEEP setting
Default value: 15 mbar
Depends on: PEEP when Relative Pressure is set to YES

A-4 User Manual

 Range, Resolution, and Accuracy

Table A-9.  Ventilator Range, Resolution, and Accuracy (Continued)

Ventilator settings Range, resolution, and accuracy
Pressure support Range: OFF or 5 mbar to 55 mbar in valve configuration
(P Support) Range: 6 mbar to 30 mbar in leak configuration
Resolution: 1 mbar
Accuracy: ±(1 mbar +10%) of P Support + PEEP setting
Default value: 15 mbar
Depends on: PEEP when Relative Pressure is set to YES
I:E Ratio Range: 1:1 to 1:4
(I:E) Resolution: 1/0.1
Accuracy: Insp. time ±50 ms and Exh. time ±50 ms or I:E ratio ±10%, whichever is
greater
Default value: 1:2
I/T Ratio Range: 20% to 50%
(I/T) Resolution: 1%
Accuracy: Insp. time ±50 ms and Exh. time ±50 ms or I/T ratio ±10%, whichever is
greater
Default value: 33%
Inspiratory time Range: 0.3 s to 6.0 s in P A/C and V A/C modes; 0.3 s to 2.4 s in P SIMV and V SIMV modes
(Insp Time) Resolution: 0.1 s
Accuracy: ±10%
Default value: 1.5 s
Depends on: R-Rate, Vt in V SIMV mode
Depends on: R-Rate in P SIMV mode
Respiratory rate Range: 1 bpm to 60 bpm in V A/C and P A/C modes
(R-Rate) 1 bpm to 40 bpm in P SIMV and V SIMV modes
Resolution: 1 bpm
Accuracy: ±1 bpm
Default value: 13
Depends on: Insp Time and Vt in V SIMV mode
Depends on: Insp Time in P SIMV modes
Depends on: Vt in V A/C mode
Inspiratory sensitivity Range: 0P to 5
(I Sens) Resolution: 1
Accuracy: N/A
Default value: 2
In CPAP, I Sens is set to 2 and is not adjustable
Exhalation sensitivity Range: 5% to 95% of peak flow
(E Sens) Resolution: 5%
Accuracy: ±(4 lpm +10% of target exhalation flow) based on E Sens within 50ms
Default value: 25%
In CPAP, E Sens is fixed at 25% and is not adjustable

User Manual A-5

Specifications

Table A-9.  Ventilator Range, Resolution, and Accuracy (Continued)

Ventilator settings Range, resolution, and accuracy
Ramp Range: Square (SQ), descending ramp (D), sinusoidal (S)
(Flow Pattern) Resolution: N/A
Default value: Descending ramp (D)
In V SIMV, flow pattern is set to square and is not adjustable
PEEP Range: OFF (0.5 mbar) to 20 mbar
Resolution: 1 mbar
Accuracy: ±(1 mbar +10%) mbar
Default value: OFF
Depends on: Pi in P A/C and PSV modes when Relative Pressure is set to YES
Depends on: P Support and Pi in P SIMV mode when Relative Pressure is set to YES
Depends on: P Support in V SIMV mode when Relative Pressure is set to YES
Rise time Range: 1 to 4
Resolution: 1
Default value: 2
Depends on: Insp time
Backup rate Range: OFF or 4 to 40 bpm
Resolution: 1 bpm
Default value: 13
Depends on: Min I time
In P SIMV and V SIMV, Backup rate = Max (8, R-Rate)
Apnea time Range: AUTO or 1 to 60 s
Resolution: 1 s
Default value: AUTO
Depends on: Backup R
In PSV, Apnea time: AUTO = 60/Backup R
In V SIMV or P SIMV, Apnea Time: AUTO = 12
In CPAP, Apnea Time: AUTO = 30
Minimum Inspired Tidal Volume Range: 30 mL to 2000 mL
(Min VTI) Resolution: 10 mL
Default value: 300
Depends on: Max VTI
Maximum Inspired Tidal Volume Range: 80 mL to 3000 mL
(Max VTI) Resolution: 10 mL
Default value: 2000 mL
Depends on: Min VTI
Minimum Exhaled Tidal Volume Range: 30 mL to 1990 mL
(Min VTE) Resolution: 10 mL
Default value: 300
Depends on: Max VTE

A-6 User Manual

 Range, Resolution, and Accuracy

Table A-9.  Ventilator Range, Resolution, and Accuracy (Continued)

Ventilator settings Range, resolution, and accuracy
Maximum Exhaled Tidal Volume Range: 80 mL to 3000 mL
(Max VTE) Resolution: 10 mL
Default value: 1000
Depends on: Min VTE
Maximum Respiratory Rate Range: 10 bpm to 70 bpm in CPAP, P A/C, and V A/C modes and 17 bpm to 70 bpm in
(Max Rtot) P SIMV and V SIMV modes
Resolution: 1 bpm
Default value: OFF
Depends on: R-Rate
Minimum Peak Inspiratory Pressure Range: PIP–20% (not adjustable in pressure breath)
(Min PIP) Range: 2 to 52 (V SIMV); 2 to 82 (V A/C)
Resolution: 1
Default value: 2
Depends on: PEEP, Max PIP
Maximum Peak Inspiratory Pressure Range: PIP+20% (not adjustable in pressure breath)
(Max PIP) Range: 12 to 90 in volume breath
Resolution: 1
Default value: 40
Depends on: PEEP, Min PIP
Minimum inspiratory time Range: 0.1 to 2.8 s
(Min I time) Resolution: 0.1 s
Default value: AUTO (Rise time + 300 ms)
Depends on: Max I Time, Backup R, Rise time
Maximum inspiratory time Range: 0.8 to 3 s
(Max I time) Resolution: 0.1 s
Default value: AUTO (minimum of 3 s or 30/monitored rate)
Depends on: Min I Time, R-Rate
Minimum Fraction of Inspired Oxygen Range: 18 to 90%
(Min FiO2) Resolution: 1%
Default value: OFF
Depends on: Max FiO2

Maximum Fraction of Inspired Oxygen Range: 30 to 100%

(Max FiO2) Resolution: 1%
Default value: OFF
Depends on: Min FiO2

User Manual A-7

Specifications

A.7 Environmental
The following environmental conditions shall be observed:

Table A-10.  Environmental Conditions for Storage or Transport

Temperature Humidity Atmospheric pressure Altitude
-40°C to +70°C 10% to 95% RH 500 hPa to 1060 hPa -152 m to 3964 m
(-40°F to +158°F) (7.2 psi to 15.4 psi) (500 ft to 13 000 ft)

Table A-11.  Environmental Conditions for Operation

Temperature Humidity Atmospheric pressure Altitude
+5°C to 40°C 10% to 95% RH 600 hPa to 1100 hPa -152 m to 3964 m
(+41°F to 104°F) (8.7 psi to 16.0 psi) (500 ft to 13 000 ft)

Under extreme conditions of use, within the limits of a supply voltage of –20% and temperatures
ranging from normal to 45°C (113°F) with ≤75% RH, the ventilator should not malfunction nor endan-
ger the user. However, operating the device for prolonged periods or repeatedly under such extreme
conditions could result in premature aging of components and more frequent maintenance.

A.8 USB

Table A-12.  USB Memory Device Specifications

Characteristics Supported formats
USB compatibility USB flash memory USB 2.0 or USB 1.1
Memory file format USB 32 bit format (sector size: 512 - 2048 bytes)
Number of files Maximum 999
USB size 128 MB to 4 GB

Table A-13.  Data Transfer Characteristics

Ventilator data description Capacity
Trends capacity 86 MB
Events capacity 512 KB or 5500 events
Monitoring capacity 42 MB /48 hours

A-8 User Manual

 Pneumatic

A.9 Pneumatic

Table A-14.  Airway Resistances
Inspiratory Exhalation
1.0 mbar at 30 lpm flow ±0.1 mbar 0.5 mbar at 30 lpm ±0.1 mbar
3.7 mbar at 60 lpm flow ±0.1 mbar 1.1 mbar at 60 lpm ±0.1 mbar

Table A-15.  Patient Circuit Resistances1

Adult double limb Pediatric double limb

2 mbar at 60 lpm flow2 2 mbar at 30 lpm flow

1. Includes exhalation valve.

2. Values obtained from the manufacturer’s directions for use.

Table A-16.  Air Inlet Resistance (Filter)

1.1 cmH2O (1.079 mbar) at 30 lpm flow ±0.1 cmH2O

Table A-17.  Oxygen Inlet Specifications

Maximum pressure Maximum flow
50 kPa (7 psi) 15 lpm

Table A-18.  Performance Specifications

Working pressure 5 mbar–55 mbar

Sound pressure level 30 dBA (per NF EN ISO 17510-1 test conditions)

Does not exceed 55 dBA per EN ISO 80601-2-72 test conditions

Sound power level Does not exceed 63 dBA per EN ISO 80601-2-72 test conditions

Maximum pressure limit 90 mbar

Internal compliance (ventilator) 0.0001 l/mbar

Inspiratory triggering response time 100 ms

(Ttr)

Average total system response time <30 s

to change FiO2 from 21% to 90% O2

Drift of measurement accuracy FiO2 monitor will meet the accuracy requirements for at least 6 hours after the O2 sensor
has been calibrated, and when used in accordance with the instructions for use.

User Manual A-9

Specifications

A.10 Manufacturer’s Declaration

Tables A-19 through A-22 contain the manufacturer’s declarations for the ventilator’s electromagnetic
emissions and electromagnetic immunity, as well as a list of compliant cables.

< WARNING:
Portable and mobile RF communications equipment can affect the performance of the Puritan
Bennett™ 560 Ventilator. Install and use this device according to the information contained in this
manual.

Interference may occur in the vicinity of equipment marked with the following symbol:

< WARNING:
The ventilator should not be used adjacent to or stacked with other equipment, except as specified in
this manual. If adjacent or stacked use is necessary, the ventilator should be observed to verify normal
operation in the configurations in which it will be used.

< WARNING:
This equipment has been tested and found to comply with the EMC limits for IEC 60601-1-2 (EN 60601-
1-2), the EMC Collateral Standard. These limits are designed to provide reasonable protection against
harmful interference in a typical medical installation. The equipment generates, uses, and can radiate
radio frequency energy and, if not installed and used in accordance with these instructions, may cause
harmful interference to other devices in the vicinity or may cause degradation of the performance of
this equipment. However, there is no guarantee that interference will not occur in a particular
installation.
If this equipment does cause harmful interference with other devices, which can be determined by
turning the equipment off and on, the user is encouraged to try to correct the interference by one or
more of the following measures:
• Reorient or relocate the receiving device.

• Increase the separation between the equipment.

• Connect the equipment to an outlet on a circuit different from that to which the other device or
devices are connected.

• Consult the manufacturer or field service technician for assistance.

A-10 User Manual

 Manufacturer’s Declaration

Table A-19.  Electromagnetic Emissions
The ventilator is intended for use in the electromagnetic environment specified below.
The customer or the user of the ventilator should ensure that it is used in such an environment.
Phenomenon and standard Compliance Electromagnetic environment – guidance
Conducted and radiated RF emissions Group 1 The ventilator uses RF energy only for its internal functions. There-
CISPR 11/EN 55011 Class B fore, its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
Harmonic emissions Class A The ventilator is suitable for use in all establishments including
IEC 61000-3-2 domestic establishments and those directly connected to the
public low-voltage power supply network that supplies buildings
Voltage fluctuations and flicker Complies used for domestic purposes.
IEC 61000-3-3

Table A-20.  Electromagnetic Immunity
Phenomenon Basic EMC standard or test Immunity test levels for Home Healthcare
method environment
Electrostatic discharge IEC/EN 61000-4-2 ± 8kV contact
±2 kV, ±4 kV, ±8 kV, ±15 kV air
Electrical fast transients/bursts IEC/EN 61000-4-4 ±2 kV for power supply lines
±1 kV for input/output lines
100 kHz repetition frequency
Surge IEC/EN 61000-4-5 ± 0,5 kV, ± 1 kV line-to-line
± 0,5 kV, ± 1 kV, ± 2 kV line-to-ground
Voltage dips IEC/EN 61000-4-11 0% UT; 0,5 cycle
At 0°, 45°, 90°, 135°, 180°, 225°, 270° and 315°
0% UT; 1 cycle
and
70% UT; 25/30 cycles
Single phase: at 0°
Voltage interruptions IEC/EN 61000-4-11 0% UT; 250/300 cycle
Rated power frequency magnetic field IEC/EN 61000-4-8 30 A/m
(50/60 Hz)
NOTE: UT is the AC mains voltage prior to application of the test level.

User Manual A-11

Specifications

Table A-21.  Electromagnetic Immunity—Conducted and Radiated RF

Phenomenon Basic EMC standard or test Immunity test levels for Home Healthcare
method environment

Conducted disturbances induced by RF IEC/EN 61000-4-6 3V

fields 0,15 MHz–80 MHz
6 V in ISM and amateur radio bands1 between
0,15 MHz and 80 MHz
80% AM at 1 kHz

Radiated RF EM fields IEC/EN 61000-4-3 10 V/m

80 MHz to 2.7 GHz
80% AM at 1 kHz

Proximity fields from RF wireless commu- IEC/EN 61000-4-3 27 V/m, 18 Hz PM2, 385 MHz
nications equipment
28 V/m, 18 Hz PM, 450 MHz
9 V/m, 217 Hz PM, 710 MHz
9 V/m, 217 Hz PM, 745 MHz
9 V/m, 217 Hz PM, 780 MHz
28V/m, 18 Hz PM, 810 MHz
28 V/m, 18 Hz PM, 870 MHz
28 V/m, 18 Hz PM, 930 MHz
28V/m, 217 Hz PM, 1720 MHz
28 V/m, 217 Hz PM, 1845 MHz
28 V/m, 217 Hz PM, 1970 MHz
27 V/m, 217 Hz PM, 2450 MHz
9V/m, 217 Hz PM, 5240 MHz
9 V/m, 217 Hz PM, 5500 MHz
9 V/m, 217 Hz PM, 5785 MHz
1. The ISM (industrial, scientific, and medical) bands between 0,15 MHz 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. The amateur radio bands between 0,15 MHz and 80 MHz are 1,8 MHz to 2,0 MHz; 3,5 MHz to 4,0 MHz; 5,3 MHz to
5,4 MHz; 7 to 7,3 MHz; 10,1 MHz to 10,15 MHz; 14 MHz to 14,2 MHz; 18,07 MHz to 18,17 MHz; 21,0 MHz to 21,4 MHz; 24,89 MHz to 24,99 MHz; 28,0 MHz to
29,7 MHz; and 50,0 MHz to 54,0 MHz.
2. PM is the Pulse Modulation.

Table A-22.  Compliant Cables and Accessories

Cable or accessory Maximum length
UK AC power cable assembly 1.8 m (5.9 ft)
Japan AC power cable assembly 1.8 m (5.9 ft)
China AC power cable assembly 1.8 m (5.9 ft)
South Africa AC power cable assembly 1.8 m (5.9 ft)
India AC power cable assembly 1.8 m (5.9 ft)
Australia AC power cable assembly 1.8 m (5.9 ft)
Europe AC power cable assembly 1.8 m (5.9 ft)
Canada AC power cable assembly 1.8 m (5.9 ft)
Nurse call cable 5 m (16.4 ft)

A-12 User Manual

 Standards Compliance and IEC Classification

Table A-22.  Compliant Cables and Accessories (Continued)

Cable or accessory Maximum length
12V DC car adapter cable 5 m (16.4 ft)
Oxygen inlet connector n/a
Puritan Bennett™ power pack (4098100) n/a

A.11 Standards Compliance and IEC Classification

A.11.1 General Standards

• Medical Electrical Equipment: General Requirements for Safety IEC 60601-1

• The ventilator will be constructed to comply with the following product classifications as detailed in
Clause 5 of 60601-1:

– Class II Equipment

– Internally Powered Equipment

– Type BF Applied Parts

– IP32 with respect to access to hazardous parts and ingress of moisture

– Not suitable for use in the presence of flammable anesthetic mixtures

– Not suitable for sterilization

– Suitable for continuous operation

– Detachable power supply cable

• CAN/CSA-C22.2 No. 60601-1, Medical Electrical Equipment - Part 1: General requirements for basic safety
and essential performance

A.11.2 Collateral Standards

• Medical Electrical Equipment - Part 1: General Requirements for Safety -2- Collateral standard Electro-
Magnetic Compatibility requirements and tests IEC 60601-1-2 and EN 60601-1-2.

• Medical Electrical Equipment - Part 1: General Requirements for Safety -2- Collateral standard: Usability
IEC 60601-1-6 and EN 60601-1-6.

• General Requirements, tests, and guidance for alarm systems in medical electrical equipment and
medical electrical systems IEC 60601-1-8 and EN 60601-1-8.

User Manual A-13

Specifications

A.11.3 Particular Standards

• Particular requirement for basic safety and Essential performance of home healthcare environmental
ventilators for ventilator-dependent patients - EN ISO 80601-2-72.

• Anesthetic and respiratory equipment - Conical connectors - Part 1: Cones and sockets EN ISO 5356-1.

A.11.4 Air Transportation Standards

• Environmental Conditions and Test Procedures for Airborne Equipment - RTCA/DO-160.

A-14 User Manual

B Modes of Ventilation

B.1 Overview
This chapter is a general description of the various modes of ventilation and breath types available
with the Puritan Bennett™ 560 ventilator.

: Note:
The default ventilation mode setting is P A/C; for more information, see below.

B.2 Assist/Control (A/C) Modes

When set to an Assist/Control mode, machine-initiated breaths are delivered at a clinician-set
volume or pressure, inspiratory time, and rate. If the patient triggers a spontaneous breath
between machine breaths, the ventilator will deliver a breath based on the volume or pressure
settings and inspiratory time.
Whether initiated by the patient or the ventilator, all breaths are delivered at the same preset
volume or pressure and inspiratory time.
The names of the Assist/Control modes are:
• V A/C, if the breaths are based on a volume setting

• P A/C, if the breaths are based on a pressure setting

B.3 SIMV Modes

When set to a SIMV (Synchronized Intermittent Mandatory Ventilation) Mode, machine-initiated
breaths are delivered at a clinician-set volume or pressure, inspiratory time, and rate. These man-
datory breaths are synchronized with patient effort. If the patient triggers a spontaneous breath
between machine breaths, the ventilator will deliver a spontaneous breath, which is pressure-
supported.
CPAP spontaneous breaths are not available in SIMV modes.
The names of the SIMV modes are:
• V SIMV, if mandatory breaths are based on a volume setting

• P SIMV, if mandatory breaths are based on a pressure setting

B-1
Modes of Ventilation

B.4 CPAP Mode

In CPAP, the ventilator maintains a constant level of pressure in the patient’s airway.

B.5 PSV Mode

PSV mode maintains a constant level of pressure in the patient’s airway during exhalation. In addi-
tion, the ventilator applies a clinician-set pressure (Pressure Support) to each of the patient’s
breaths. This has the same benefits as CPAP, with the additional benefit of assisting the patient in
moving gas into his or her lungs.

B-2 User Manual

C Operational Verification Checklist

The operational verification and safety checks listed in Table C-1 below should be performed to
ensure the ventilator is operating properly in the following circumstances:
• Prior to using the ventilator with a patient

• Monthly while the ventilator is in use

• Following maintenance or changes in ventilator settings

If the ventilator fails any of the safety checks below, or if you cannot complete these checks, see
section 3.9, Troubleshooting or call the equipment supplier or Covidien (see section 8.7, Service
Assistance).

< WARNING:
Provide the patient with an alternate means of ventilation before conducting these tests.

< WARNING:
To reduce the risk of infection, wash your hands thoroughly before and after handling the ventilator
or its accessories.

Table C-1.  Operational Verification Checklist

1 Verify the proper appearance and cleanliness of the ventilator. Pass
2 Verify all of the labels and markings on the ventilator are clear and legible. Pass
3 Confirm the air inlet filter is clean and correctly installed. Pass
4 Ensure the AC power cable does not exhibit any signs of damage, such as kinks, breaks, or damaged insulation. Pass
5 Connect the AC power cable. Pass
Ensure that all power supply indicators on the front panel flash, except for the AC power supply (mains) indicator,
which should remain lit.
6 Push the I/O (power) switch to the I position to activate the ventilator test: Pass
Check that the two alarm indicators and the standby indicator (located close to the VENTILATOR ON/OFF
button) flash.
Ensure also that the two alarm buzzers sound.
7 Perform the functioning alarms tests. See Appendix E, Alarms Tests. Pass
8 Verify the alarm volume is adapted to the patient environment. Pass

C-1
Operational Verification Checklist

Table C-1.  Operational Verification Checklist

9 Verify that the preventive maintenance schedule for the ventilator is followed. See Chapter 8, Routine Mainte- Pass
nance.
10 Ensure the patient breathing circuit is correctly attached to the ventilator, with all the necessary components, Pass
and is free from any signs of damage and leaks. If exhaled volume monitoring is required, use the double-limb
circuit for exhaled tidal volume monitoring.

C-2 User Manual

D Unpacking and Preparation

The Puritan Bennett™ 560 ventilator is delivered with the items listed in Table D-1.

Table D-1.  Items Included with Ventilator

Item Quantity

Printed user's manual1 1

Clinician’s manual on CD2 1

Patient circuit and valve 1

Set of six combination foam/fine particle air inlet filters 1

Dual bag (carrying bag) 1

Oxygen connector 1

AC power cable 1
1. Language as requested by the customer.
2. A print copy is available upon request by the customer.

< WARNING:
Users must always possess an additional circuit and valve while using the Puritan Bennett™ 560
ventilator.

< WARNING:
To minimize the risk of damage, you must use the dual bag to transport the Puritan Bennett™ 560
ventilator.
To unpack and prepare the ventilator:
1. From the plastic bag, remove the following:

• Plastic pocket containing the clinician’s manual

• The ventilator and its components and accessories

2. Remove the patient circuit, the AC (“mains”) power cable, and the set of fine-particle air inlet filters.

3. Inspect the ventilator and ensure that:

D-1
Unpacking and Preparation

• The ventilator’s outer casing and the I/O (power) switch’s protective cover do not have any dents or
scratches, which may indicate possible damage

• The ventilator’s labels and markings are clear and legible

• The AC power cable does not exhibit any signs of damage, such as kinks, breaks, or cuts

< WARNING:
Never use a ventilator or any components or accessories that appear to be damaged. If any signs of
damage are evident, contact your equipment supplier or Covidien.

4. Clean the ventilator with a mild soap solution, if necessary (see Chapter 7, Cleaning).

5. Ensure that the air inlet filter is installed.

If using the ventilator in the dual bag (worn as a backpack, or secured on a wheelchair or in a per-
sonal vehicle), see section 4.9, Using the Dual Bag. If mounting the ventilator on a utility cart, see
section 4.10, Mounting the Ventilator on a Utility Cart.
To set up the patient circuit, see section 4.4, Patient Circuit.

D-2 User Manual

E Alarms Tests

Before connecting the ventilator to the patient, perform the following tests to ensure the ventila-
tor‘s alarms are working properly.

< WARNING:
Do not perform ventilator alarm tests while the patient is connected to the ventilator. Provide the
patient with an alternate means of ventilation before conducting these tests.

< WARNING:
If the ventilator fails any alarm test or if you cannot complete these tests, see the Troubleshooting
section (refer to Chapter 3, Alarms and Troubleshooting) of this manual or call your equipment
supplier or Covidien (refer to section 8.7, Service Assistance).

< WARNING:
The Min PIP alarm setting must be adjusted for the patient, but must also be set high enough to allow
the Patient Disconnection alarm to trigger properly. Perform the low pressure test (see section E.1,
Low Pressure Test) to ensure that the alarm is properly set.

< WARNING:
The Max Leak alarm setting must be adjusted for the patient, but must also be set low enough to allow
the High Leakage alarm to trigger properly. Perform the max leak test (see section E.2, Max Leak Test
(Only NIV)) to ensure that the alarm is functioning properly. This alarm only applies to leak
configuration (NIV).

: Note:
Many ventilator functions are not accessible when the Locking key is enabled. For additional assistance
contact your clinician or equipment representative.

: Note:
Most of these tests require that an approved patient circuit be connected to the ventilator. Ensure that your
patient circuit is properly connected prior to performing these tests.

E-1
Alarms Tests

E.1 Low Pressure Test

< WARNING:
The Min PIP alarm setting must be adjusted for the patient, but must also be set high enough to allow
the Patient Disconnection alarm to trigger properly. Perform the following test to ensure that the Low
PIP alarm is properly set.

: Note:
Before a low pressure test, the patient’s clinician should have set ventilation and alarm parameters appropriately,
and specified the circuit setup (single or dual).
To perform a low pressure test, do the following:
1. Press the VENTILATION ON/OFF key to start ventilation.

2. Keep the patient‘s end of the breathing circuit open and allow ventilation to continue.

3. Wait for the Apnea time setting plus 2 seconds (Apnea time is not always 5 seconds), then ensure that:

• The high priority indicator (flashing red LED) illuminates

• The audible alarm sounds

• The Patient Disconnection alarm is shown

Figure E-1.  Ventilator Screen (Patient Disconnection alarm shown)

4. Press the ALARM CONTROL key once to pause the audible alarm.

5. Press and hold the VENTILATION ON/OFF key for 3 seconds, then release it. Press the VENTILATION ON/
OFF key again to confirm stop.

• The ventilator will switch to standby mode

• Alarms are canceled

E-2 User Manual

 Max Leak Test (Only NIV)

E.2 Max Leak Test (Only NIV)

< WARNING:
The Max Leak alarm setting must be adjusted for the patient, but must also be set low enough to allow
the High Leakage alarm to trigger properly. Perform the following test to ensure that the alarm is
functioning properly. This alarm only applies to leak configuration (NIV).

: Note:
Before performing the max leak test, a clinician should set ventilation and alarm parameters appropriately.
To perform the max leak test:
1. Verify that the pressure tube of the patient circuit is properly connected to the appropriate fitting on
both the ventilator and the proximal pressure port (see page 4-14).

2. Press the VENTILATION ON/OFF key to start ventilation.

3. Keep the patient’s end of the breathing circuit open and allow ventilation to continue.

4. Allow the ventilator to deliver three consecutive breaths. At the beginning of the fourth breath, ensure
that:

• The high priority indicator (flashing red LED) illuminates

• The audible alarm sounds

• The High Leakage alarm is shown

Figure E-2.  Ventilator Screen (High Leakage alarm shown)

: Note:
If the ventilator detects a Patient Disconnect alarm, the ventilator will not declare a High Leakage alarm.

5. Press the ALARM CONTROL key once to pause the audible alarm.

User Manual E-3

Alarms Tests

6. Press and hold the VENTILATION ON/OFF key for 3 seconds, then release it.

7. Press the VENTILATION ON/OFF key again to confirm stop.

• Ventilation stops

E.3 Circuit Check

Perform a circuit check whenever replacing or altering a patient circuit.
Ensure the patient is fully disconnected from the ventilator prior to starting this test.

E.3.1 Accessing the Circuit Check Screen

: Note:
Before performing a circuit check, stop ventilation using the VENTILATION ON/OFF key, not the I/O (power)
switch. If the I/O (power) switch was used to stop ventilation, the circuit check function cannot be used unless
first stopping ventilation using the VENTILATION ON/OFF key.

: Note:
The circuit check screen cannot be accessed if the ventilator has been turned off without first being placed into
standby. If unable to access the screen using this procedure, follow the normal procedure for turning the
ventilator on, wait for it to enter standby mode, then follow the normal procedure for turning it off.
To access the circuit check screen:
1. Ensure that the ventilator’s I/O (power) switch is set to O (off).

2. Press and hold the MENU key, while turning the I/O (power) switch to I (on). Continue to hold down the
MENU key until the circuit check screen appears (approximately 3 seconds).

Figure E-3.  Circuit Check Screen (before starting)

E-4 User Manual

 Circuit Check

E.3.2 Performing the Circuit Check

To perform a circuit check:

1. Verify that the proximal pressure tube of the patient circuit is properly connected to the proximal pres-
sure port (see section 4.4, Patient Circuit).

2. Verify that the exhalation valve tube is connected to the exhalation valve port.

3. Block the patient connection port or patient wye of the patient circuit (see Figure E-4).

Figure E-4.  Blocking the Patient Circuit (single-limb circuit at left; double-limb circuit at right)

4. Activate the circuit check by pressing the ENTER key.

5. During the circuit check (which typically takes about 10 seconds to complete), the ventilator will do the
following:

a. Sound a short beep

b. Close the exhalation valve
c. Show Test Status as RUNNING (see Figure E-5)

Figure E-5.  Circuit Check (running)

User Manual E-5

Alarms Tests

d. Increase pressure to 30 mbar (±10% with no leak)

e. Show flow sensor measurement as Leak in Lpm (updated every 2 seconds)
f. Sound a short beep every time the flow measurement is updated
g. Sound a long audible beep once the check is complete
h. Show PASS (see Figure E-6) or FAIL (see Figure E-7) in the Test Status field

Figure E-6.  Circuit Check (complete, passed)

Figure E-7.  Circuit Check (complete, failed)

6. Review the results. A FAIL result indicates leak(s) of greater than 1 L/min exist.

To rerun the circuit check, press the ENTER key again.

To cancel the circuit check while it is running, press the UP, DOWN, ENTER, VENTILATION ON/OFF,
or MENU key.

E-6 User Manual

 Power Failure Test

E.3.3 Troubleshooting a Failed Check

If the circuit check fails, do the following:

1. Ensure an approved circuit is in use. See Table F-2.  

2. Check patient circuit connections to the ventilator, examining each for leakage and tightness.

3. Replace the patient circuit if necessary.

4. Rerun the circuit check.

5. If the failure persists, have the ventilator evaluated by a qualified technician.

E.3.4 Returning to Ventilation Mode

Once the circuit check is complete, cycle ventilator power to exit the test.
To exit the circuit check screen and return to ventilation mode:
1. Set the ventilator’s I/O (power) switch to O (off).

2. Wait for 30 seconds.

3. Set the ventilator’s I/O (power) switch to I (on).

The ventilator will proceed through its power-on routine, as described in section 5.1, Turning on the
Ventilator, and then will be in standby mode.

E.4 Power Failure Test

: Note:
If the ventilator is operating on either the external power supply or the internal battery, you must plug it in to an
AC power source before beginning this test.
To perform a power failure test:
1. Disconnect the ventilator from its AC power supply. Ensure that the following events occur:

• The low priority indicator (continuous yellow LED) illuminates

• An audible alarm sounds

• The DC power indicator illuminates if the DC power source is connected; otherwise, the internal
battery indicator illuminates

User Manual E-7

Alarms Tests

• The AC Power Disconnection alarm is shown

Figure E-8.  Ventilator Screen (AC Power Disconnection alarm shown)

2. Press the ALARM CONTROL key twice to reset the alarm.

3. Reconnect the ventilator to its AC power supply.

E.5 Occlusion Test

To perform an occlusion test:
1. Verify that the pressure tube of the patient circuit is properly connected to the appropriate fitting on
both the ventilator and the proximal pressure port (see section 4.4, Patient Circuit).

2. Block the patient end or patient wye of the patient circuit. See Figure E-9.  

Figure E-9.  Blocking the Patient Circuit (single-limb circuit at left; double-limb circuit at right)

3. Press the VENTILATION ON/OFF key to start ventilation.

E-8 User Manual

 Battery Test

4. After two breaths or after 5 seconds, whichever takes longer, ensure that the following events occur:

• The high priority indicator (flashing red LED) illuminates

• An audible alarm sounds

• The Occlusion alarm is shown; the Low VTI alarm may also activate

Figure E-10.  Ventilator Screen (Occlusion alarm shown)

5. Press the ALARM CONTROL key once to pause the alarm.

6. Unblock the patient end of the patient circuit, and connect the circuit to a test lung, if available. (Connect
the circuit quickly to avoid unnecessary triggering of the Patient Disconnect alarm.)

• The Occlusion alarm is canceled

• The Patient Disconnect alarm will trigger if no test lung is available

7. Press and hold the VENTILATION ON/OFF key for 3 seconds, then release it. Press the VENTILATION ON/
OFF key again to confirm stop.

• Ventilation stops

E.6 Battery Test

The ventilator is capable of testing the power of the battery (see Chapter 6, Internal Battery). You can
determine which power source the ventilator is using by checking the power indicator, located on
the top panel. The indicator light will be lit to indicate which power source is currently available.
To perform a battery test:
1. Disconnect the AC power supply cable (or the DC power cable, if it is connected) from the rear panel of
the ventilator.

• An AC Power Disconnection alarm will be shown

User Manual E-9

Alarms Tests

Figure E-11.  Ventilator Screen (AC Power Disconnection alarm shown)

2. Press the ALARM CONTROL key twice to reset the alarm. Ensure that the following events occur:

• The internal battery indicator to the upper-left of the display illuminates

• The battery symbol is shown at the top of the screen (along with its reserve capacity)

3. Connect the AC (mains) power supply. Ensure that the following events occur:

• The AC power indicator to the upper-left of the display illuminates

• The internal battery indicator to the upper left of the display is flashing, which indicates that the
battery is charging (this only occurs if the ventilator has run on battery power long enough to lose
enough charge that the charger will turn on)

• The battery symbol is no longer shown at the top of the screen

E.7 Involuntary Stop Test

To verify proper functioning of the very high priority audible alarm, perform the following.
1. Press the VENTILATION ON/OFF key to start ventilation.

2. Set the I/O (power) switch to the O (off) position to turn off the ventilator during ventilation. Ensure that
the following events occur:

• An audible alarm sounds continuously

• The ventilator turns off; there should be no alarm indicators illuminated and no alarm messages
shown

3. Press the ALARM CONTROL key once to cancel the audible alarm.

E-10 User Manual

F Parts and Accessories

Table F-1 provides a list of accessories that are available for the Puritan Bennett™ 560 ventilator. To
order parts or accessories, contact your equipment supplier or Covidien representative.
For a list of items delivered with the ventilator, see Appendix D, Unpacking and Preparation.

Table F-1.  List of Consumables and Accessories

Description

Carrying bag (grey)

Oxygen inlet connector

Ventilator cart

Dual bag (blue or pink), delivered with:

• Backpack padded straps, 2 each
• Suspension belt
• Carrying belt
WARNING: To minimize the risk of damage, you must use the ventilator’s dual bag to transport the ventilator.

AC (mains) power cable

DC power cable (for connection to an external DC power source, such as a car 12 volt DC outlet)

Nurse call cable (5 meters)

Exhalation block, single-patient use (blue)

Air inlet combi-filter, fine (pack of 6)

Note: This is the “foam plus fine particle” filter listed in Table 8-1 on page 8-8.

Internal battery

External battery

FiO2 measurement kit

FiO2 sensor

2-way and 3-way DAR™ valves

DAR™ inspiratory bacteria filters

Electrostatic filter, large (formerly Barrierbac)

Electrostatic filter, small (formerly Barrierbac S)

Electrostatic filter; small, angled port (formerly Barrierbac S Angled)

F-1
Parts and Accessories

Table F-1.  List of Consumables and Accessories

Description

Adult-pediatric electrostatic filter HME, large (formerly Hygrobac)

Adult-pediatric electrostatic filter HME, small (formerly Hygrobac S)

Adult-pediatric electrostatic filter HME, small, angled port (formerly Hygrobac S Angled)

Infant-pediatric electrostatic filter HME, small (formerly Hygroboy)

Adult-pediatric mechanical filter HME, large (formerly Hygroster)

Adult-pediatric mechanical filter HME, compact (formerly Hygroster Mini)

Mechanical filter, large (formerly Sterivent)

Mechanical filter, compact (formerly Sterivent S)

Mechanical filter, small (formerly Sterivent Mini)

Adult-pediatric HME (formerly Hygrolife II)

Table F-2 provides a list of consumable parts available for the ventilator.

< WARNING:
To ensure proper performance of the ventilator, use a patient circuit recommended by Covidien in this
manual; see Chapter 4, Installation and Assembly and Appendix F, Parts and Accessories. The total
specified length of the patient circuit tubing as measured from the ventilator outlet to the ventilator
inlet is 1.1 meters (3.6 ft) to 2.0 meters (6.6 feet). The tubing must conform to all applicable standards
and must be fitted with Ø 22 mm terminals that also conform to all applicable standards. Ensure that
both the length and the internal volume of the patient circuit are appropriate for the tidal volume: a
corrugated tube of Ø 22 mm for adult patients, and a corrugated tube of Ø 15 mm for pediatric patients
with a tidal volume lower than 200 ml.

Table F-2.  List of Circuits
Description Part number
DAR™ double-limb patient circuit with exhalation valve, 180 cm, PVC, adult 5094000
DAR™ double-limb patient circuit with exhalation valve, 180 cm, PVC, pediatric 5093900
DAR™ single-limb patient circuit with exhalation valve, 180 cm, PVC, adult 5093600
DAR™ single-limb patient circuit with exhalation valve, 180 cm, PVC, pediatric 5093500
DAR™ single-limb patient circuit without exhalation valve, 180 cm, PVC, adult 5093300
DAR™ single-limb patient circuit without exhalation valve, 180 cm, PVC, pediatric 5093100

: Note:
The responsible organization is accountable for the compatibility of the ventilator and all of the parts and
accessories used to connect to the patient before use.
For more information regarding parts and accessories for the Puritan Bennett™ 560 ventilator,
contact your service representative or www.covidien.com/rms/products.

F-2 User Manual

G Glossary

AC Power
Alternating current.
Alarm Pause
The audible and visual alarms cease and the alarm paused symbol appears. The symbol will
remain until the cause of the alarm is addressed. For example, when the ventilator is running on
internal battery, the AC Disconnection alarm may be paused, and the alarm paused symbol will
appear until the device is plugged into AC. The paused alarm will be captured in the alarm log
screen and can be reactivated.
Alarm Reset
Used only for the High Pressure alarm, this function resets the visual alarm message.
Apnea
The absence of breathing or a breathing pattern capable of supporting an individual's respiratory
needs.
Apnea Index (AI)
The apnea index is the average number of apnea events per hour of ventilation. It is based on the
Apnea alarm.
Apnea Time
Time allowed between breath starts before Apnea alarm occurs when no patient effort is detect-
ed.
Assist/Control
In Assist/Control mode, the ventilator delivers an assisted breath of a set volume or set pressure
when the patient's breathing effort creates a flow or pressure drop that is greater than the sensi-
tivity setting. In absence of patient breathing effort, the ventilator will deliver a controlled breath
of the set volume or pressure. (Does not apply in PSV/CPAP mode).
Assisted Breath
A volume or pressure breath triggered by the patient but then controlled and terminated by the
ventilator.
Audio Pause
Pauses the audible alarm for 60 seconds at a time and shows the audio paused symbol.

G-1
Glossary

Back Up Rate
Rate of control cycles in PSV or SIMV modes during apnea phase.
Battery Level
Display of the remaining battery capacity; located adjacent to the battery symbol.
Bias Flow
Turbine flow during exhalation phase through the patient circuit to avoid rebreathing.
bpm
An abbreviation for “breaths per minute,” which is the unit of measure for breath rate (see below).
Breath Rate
The total number of breaths, both machine and spontaneous, delivered by a ventilator in one
minute.
Caregiver
An individual who assists a patient with the tasks of daily living. This may be a family member, a live-
in assistant, or the nursing staff of a health care facility.
cmH2O
An abbreviation for “centimeters of water,” which is a unit of measure for pressure.
CPAP (Continuous Positive Airway Pressure)
Continuous airway pressure maintained throughout a spontaneous breath cycle.
Controlled Breath
A volume or pressure breath triggered, controlled and terminated by the ventilator.
DC Power
Direct current.
Double-Limb Patient Circuit
Patient circuit with a tube between the ventilator gas outlet and the patient for inspiratory gas and
another tube between the patient and the exhalation block for exhalation gas.
Exhalation Block
Part of the ventilator that allows the connection of the exhalation limb of the patient circuit. The
exhalation block is for single-patient use only.
Exhalation Phase
Phase of the breath cycle during which the patient exhales.
Exhalation Sensitivity
The exhalation sensitivity (E Sens) level is a percentage of peak flow at which a pressure-supported
breath will be terminated.

G-2 User Manual

 Exhalation Tidal Volume (VTE)
Volume exhaled by the patient at each exhalation phase.
Exhaled Tidal Volume (VTE)
Exhaled volume measured for all breath types through the exhalation block. Monitored value avail-
able only with double-limb patient circuit. Exhaled volume is computed using a five-breath average.
Fraction of Inspired Oxygen (FiO2)
Amount of oxygen delivered to the patient.
FiO2 Sensor
The sensor that measures the amount of oxygen being delivered to the patient.
Flow
Volume of gas delivered by the ventilator compared to time, expressed in liters per minute (lpm).
Flow Pattern (Ramp Setting)
This is the flow distribution shape during the inspiration phase. There are three flow patterns avail-
able: Square waveform or constant flow, Decelerated (sawtooth waveform) or decreasing flow and
Sinusoidal flow.
Freeze
Interruption of the waveform plot tracing on the ventilator’s display.
hPa
An abbreviation for “hectopascal”, which is a unit of measure for atmospheric pressure.
I:E Ratio
Inspiratory time versus exhalation time ratio.
Inspiratory Phase
Phase of the breath cycle during which the patient inspires.
Inspiratory Pressure (Pi)
The operator-set inspiratory pressure during a pressure control (PC) mandatory breath.
Inspiratory Sensitivity (I Sens)
Level of inspiratory effort the patient has to provide during the initiation of a machine breath. The
sensitivity levels (from 0P to 5) correspond to differences in flow compared to the bias flow. Level
0P is the most sensitive (for a pediatric use) and requires the least effort to trigger a breath. Level 5
requires the most amount of effort to trigger a breath.
Inspiratory Tidal Volume (VTI)
Volume delivered to the patient at each inspiratory phase.
I Time (Inspiratory Time)
Inspiratory time measure.

User Manual G-3

Glossary

Intentional Vent Stop Alarm

Ventilation has been switched off by the user/caregiver and the ventilator is in standby.
I/T Ratio
Inspiratory time versus total breath time ratio.
L
Liters (a unit of volume).
Leak
When ventilating with a double-limb circuit in leak configuration, it is the average unexpected leak
during each cycle and over the past 24-hour period. When ventilating with a single-limb circuit
there is no average leak.
LED
Light emitting diode; used as indicator lights on the ventilator’s front panel.
lpm
Liters per minute (a unit of volume flow rate).
Machine Hours
Counter for the total ventilation time since manufacture or the last CPU board change.
Mains
AC power supply.
Max Leak
The maximum alarm setting of a high leakage threshold. An alarm will be triggered in the event the
calculated leakage flow exceeds this limit.
Max Rtot (Total Breath Rate)
The maximum alarm setting to prevent hyperventilation or ventilator autotriggering. The High Rate
alarm will be triggered if the total breath rate exceeds the maximum limit set.
Max P (Maximum Inspiration Pressure)
Max P allows the ventilator to adjust the inspiratory pressure up to a maximum limit in order to
reach the target tidal volume (Vt Target).
mbar
An abbreviation for “millibar”, which is a unit of measure for atmospheric pressure.
Mean Airway Pressure
Average patient pressure during each breath.
Minimum Exhalation Time
Minimum exhalation time before allowing the patient inspiratory trigger.

G-4 User Manual

 Minimum Inspiratory Time
Minimum inspiratory time before allowing the patient to exhale.
M Vol (Minute Volume)
Flow delivered at each breath to the patient is measured by the inspiratory flow sensor and that
measurement is used to calculate minute volume (Vt × Rtot).
Non-Invasive Ventilation (NIV)
Patient ventilation without the use of an endotracheal tube; instead using interfaces such as masks,
nasal prongs, or uncuffed endotracheal tubes. NIV is also known as leak configuration.
P A/C (Pressure Assist/Control)
A ventilator mode which provides machine-initiated breaths delivered at a clinician-set pressure,
inspiratory time, and rate.
Patient Breath
Breathing cycle initiated by the patient.
Patient Circuit
Tubing between the ventilator and the patient.
Patient Counter
Counter of ventilation time for the patient.
Patient Effort
Inspiratory effort initiated by the patient.
Pause
Waveforms freezing function.
Paw (Peak Airway Pressure)
The Peak Airway Pressure is the average peak pressure during the inspiratory phase, measured by
each cycle and over the previous 24-hour period.
Peak Inspiratory Pressure (PIP)
The highest pressure measured in the patient circuit during the inspiration phase.
Positive End Expiratory Pressure (PEEP)
Pressure in the patient circuit at the end of expiration.
Pressure Control (P Control)
Augmentation of the patient's ventilation synchronously with inspiratory effort until a preset pres-
sure is met. Pressure is maintained throughout patient inspiratory flow, and is cycled to expiration
by time (controlled by the selected Inspiratory Time setting). Used in Assist/Control mode.

User Manual G-5

Glossary

Pressure Support (P Support)

Augmentation of the patient’s ventilation synchronously with inspiratory effort until a preset pres-
sure is met. Pressure is maintained until inspiratory flow is reduced to a percentage of peak flow that
depends on the exhalation sensitivity setting for the inspiration, when the ventilator cycles into
exhalation. Available in SIMV mode.
PSI
Pounds per square inch.
PSV (Pressure Support Ventilation)
Pressure support ventilation.
Rebreathing
The patient breathes his/her exhaled gas.
Respiratory Rate
The number of breath cycles (inspiration + expiration) completed within one minute. Normal
resting adult respiratory rates are from 12–20 breaths per minute (bpm).
Rise Time
This determines how the target pressure will be reached, and indirectly defines the minimum inspi-
ration time.
Rtot
Parameter measured by the ventilator equal to the total number of breaths per minute (bpm).
Sigh
A sigh is an increased volume of gas delivered to the patient at a set rate (for example, every 50
breaths).
Spont Cyc (Spontaneous Cycling)
This is the percentage of ventilation cycles initiated by the patient over the previous 24-hour period.
Standby
The operational mode of the ventilator where it is powered (I/O (power) switch set to the I position),
but is not ventilating the patient.
SIMV (Synchronized Intermittent Mandatory Ventilation)
A ventilator mode which provides a mechanism for synchronizing the ventilator-delivered breaths
with a patient's inspiration, as detected by the ventilator.
Tidal Volume (Vt)
Volume of gas delivered to the patient in a breath.
Unfreeze
Resumption of the waveform plot tracing on the ventilator’s display.

G-6 User Manual

 V A/C (Volume Assist/Control)
A ventilator mode which provides machine-initiated breaths are delivered at a clinician-set volume
inspiratory time, and rate.
Vent Time (Ventilation Time)
The ventilation duration data is based on the patient counter and shows the total ventilation time
in hours and minutes over the previous 24-hour period.
Volume Breath
Inspiration of the selected volume, delivered over the selected inspiratory time.

User Manual G-7

Glossary

Page Left Intentionally Blank

G-8 User Manual

Index
A INTENTIONAL VENT STOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13, 3-22
AC power KEYPAD FAULT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13, 3-22
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3 LOW BATTERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8, 3-13, 3-22, 6-4
Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5 LOW FIO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13, 3-22
AC Power Disconnection alarm LOW VTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13, 3-23
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9 LOW VTl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13, 3-23
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16 OCCLUSION CHECK CIRCUIT
Air circulation (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6, 4-2 In leak configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13, 3-23
Air inlet filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16 In valve configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13, 3-23
Replacing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6 PATIENT DISCONNECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Air transport POWER FAULT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Battery warning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4, 2-1, 6-1 POWER SUPPLY LOSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Use on commercial aircraft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1 PRES SENS FLT1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Alarm Logs menu PROX SENS FLT2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4 REMOVE VALVE CPAP MODE . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Dismissing REMOVE VALVE OR CHANGE PRES . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Automatically . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5 SOFTWARE VERSION ERROR . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Manually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5 TURB OVERHEAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
Alarm messages UNKNOWN BATTERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14, 3-24
AC POWER DISCONNECTION . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9, 3-16 VALVE MISSING CONNECT VALVE . . . . . . . . . . . . . . . . . . . . . 3-15, 3-25
APNEA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9, 3-16 VTI NOT REACHED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15, 3-25
BATTERY FAULT1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9, 3-16, 6-5 Alarms
BATTERY FAULT2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9, 3-16 Alarm Logs menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
BUZZER FAULT1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9, 3-16 Alarm menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
BUZZER FAULT2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9, 3-16 Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
BUZZER FAULT3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-16 Level of priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
BUZZER LOW BATTERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-16 NO DATA message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
CALIBRATE FIO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10, 3-16 Overview of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
CALIBRATION FAIL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-17 Pausing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
CHECK BATTERY CHARGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-17 Audible portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
CHECK EXH VALVE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-17 Reactivating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
CHECK EXH VALVE PRESSURE . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-17 Resetting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
CHECK FIO2 SENSOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-17 Technical faults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
CHECK PROXIMAL LINE1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-18 Tests
CHECK REMOTE ALARM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10, 3-18 Battery test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-9
CHECK SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-18 Circuit check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
CONNECT VALVE OR CHANGE PRESS . . . . . . . . . . . . . . . . . .3-11, 3-18 Involuntary stop test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-10
CONTROLLED CYCLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-18 Low pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
COOLING FAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-18 Max leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
DC POWER DISCONNECTION . . . . . . . . . . . . . . . . . . . . 3-11, 3-18, 4-8 Occlusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-8
DEVICE FAULT10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-19 Power failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
DEVICE FAULT11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-19 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
DEVICE FAULT12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-19 Ventilation (utilization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
DEVICE FAULT13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-19 Anesthetic gases (contraindication) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
DEVICE FAULT3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-18 Apnea (hypoventilation) alarm
DEVICE FAULT5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-18 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
DEVICE FAULT7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-19 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16
DEVICE FAULT9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-19 Assist/control (A/C) modes (description) . . . . . . . . . . . . . . . . . . . . . . . B-1
E SENS FAULT OR CIRC LEAK . . . . . . . . . . . . . . . . . . . . . . . . . .3-11, 3-19 Audible alarms, pausing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
EMPTY BATTERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12, 3-19, 6-4
EXH VALVE LEAKAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-19 B
FIO2 SENSOR MISSING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-20 Back panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
HIGH FIO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12, 3-20 Backpack use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26
Bacteria filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17
HIGH INT TEMP COOL VENT . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-20
Battery
HIGH LEAKAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-21
Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
HIGH PRESSURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-21
Charging (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8, 4-2, 6-6
HIGH RATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-21
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
HIGH VTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-21
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
HIGH VTI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-22
Recharging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
HIGH/LOW BATTERY TEMP . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12, 3-20
Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
INSP FLOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13, 3-22

Index-1
 Index
Reserve capacity display Check Settings alarm
Ventilation running . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Ventilation stopped . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6 Circuit check
Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5, 8-10, E-9 Accessing the Circuit Check screen . . . . . . . . . . . . . . . . . . . . . . . . . E-4
Battery Fault 1 alarm Performing the circuit check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9 Returning to ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16 Troubleshooting a failed check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
Battery Fault 1 alarm message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5 Classification of device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Battery Fault 2 alarm Cleaning
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16 Approved solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Battery, internal Exhalation block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Heat safety device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8, 4-2, 6-6 Pneumatic system description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3 Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Buzzer Fault 1 alarm Connect Valve or Change Pressure alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Buzzer Fault 2 alarm Connecting
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9 AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16 DC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Buzzer Fault 3 alarm FiO2 sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Oxygen supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16 Patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8, 4-9
Buzzer Low Battery alarm Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16 Controlled Cycles message
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
C Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Calibrate FiO2 alarm Cooling Fan alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Calibration CPAP (continuous positive airway pressure) mode
Exhalation flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2 (description) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
FiO2 sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Calibration Fail alarm D
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 DC power
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17 Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Capacity of the battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2 DC Power Disconnection alarm
Carbon dioxide (risk of inhalation and suffocation) Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
(warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2, 1-11, 5-10 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Cautions (definition) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 Device classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Check Battery Charge alarm Device Fault 10 alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Check Battery Charge alarm message . . . . . . . . . . . . . . . . . . . . . . . . .3-17 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Check Exhalation Valve alarm Device Fault 11 alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Check Exhalation Valve Pressure alarm Device Fault 12 alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Check FiO2 Sensor alarm Device Fault 13 alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Check Proximal Line 1 (continuous positive pressure) alarm Device Fault 3 alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Check Remote Alarm alarm Device Fault 5 alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Index-2
Index
High Internal Temperature alarm
Device Fault 7 alarm Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19 High Leakage alarm
Device Fault 9 alarm Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19 High Pressure alarm
Disconnecting Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
AC power cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21
DC power cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8 High priority (HP) alarm (definition) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Oxygen supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22 High Rate alarm
Double-limb patient circuit Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Installing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21
Dual bag High VTE alarm
Fitting ventilator into . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Securing in personal vehicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21
Securing on wheelchair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26 High VTI alarm
Wearing as backpack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22
E High/Low Battery Temperature alarm
E Sens Fault or Circuit Leak alarm Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19 Holes, air circulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6, 4-2
Electrical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 Hot ventilator surfaces (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Electromagnetic compatibility Hours counters (machine and patient) . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Emissions and use of accessories (warning) . . . . . . . . . . . . . 1-19, 4-3 Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18
Mobile/portable communications equipment
(warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19, 4-3 I
Empty Battery alarm Ignition sources (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6, 4-2
And other alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4 Indications for use
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19 Target environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8 Target operators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Exhalation block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19 Target patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3 Indicator and alarm specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-2
Exhalation flow sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2 Indicators
Exhalation Valve Leakage alarm AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12 Internal battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3, 6-5
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19 Ventilator standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Expected service life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1 Inspiratory Flow alarm
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
F Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22
FAA (United States Federal Aviation Administration) Installation and assembly
requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1 Connecting to power
Filters External AC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Air inlet filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16 External DC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Bacteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17 Exhalation block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-19
FiO2 sensor (connecting) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23 Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
FiO2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4 Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18
FiO2 Sensor Missing alarm Mounting on utility cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-29
Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-20
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12 Patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20 Using the dual bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
Front panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5 Ventilator start-up procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Intentional Vent Stop alarm
G Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G-1 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22
Internal battery
H Battery capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
High FiO2 alarm Battery operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12 Charging (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8, 4-2, 6-6
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20 Heat safety device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8, 4-2, 6-6

Index-3
 Index
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10 N
Periodic test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10 NO DATA message (Alarm Logs screen) . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Recharging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5 Notes (definition) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6 O
Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5 Occlusion (alarm) test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-8
testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-9 Occlusion alarm (leak configuration)
Involuntary stop test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-10 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23
K Occlusion alarm (valve configuration)
Keypad Fault alarm Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22 Operating procedures
Starting ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
L Stopping ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Level of priority (alarms) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 Turning off the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Liquids, avoiding ingress into ventilator (warning) . . . . . 1-5, 4-2, 4-25 Turning on the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Locking stud, oxygen inlet (warning) . . . . . . . . . . . . . . . . . . . . 1-18, 4-22 USB menu parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Low Battery alarm Operational use (general description) . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13 Breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22 Oxygen enrichment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Low Battery alarm (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4 Safety net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Low Battery alarm message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8 Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Low FiO2 alarm Operational verification checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13 O-ring, oxygen coupler (warning) . . . . . . . . . . . . . . . . . . . . . . .1-18, 4-22
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22 Overview of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Low pressure (alarm) test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2 Oxygen
Low priority (LP) alarm (definition) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 Administering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
Low VTE alarm Connecting FiO2 sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13 Connecting supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23 Coupler O-ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-18, 4-22
Low VTl alarm Disconnecting supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13 Enrichment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-23 Locking stud on inlet (warning) . . . . . . . . . . . . . . . . . . . . . . .1-18, 4-22
Using medical-grade only (warning) . . . . . . . . . . . . . . . . . .1-18, 4-21
M
Machine counter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 P
Maintenance Parts and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1
Recommended schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8 Patient circuit
Manufacturer’s declaration Choosing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Compliant cables and accessories . . . . . . . . . . . . . . . . . . . . . . . . . A-12 Installing
Conducted and radiated RF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-12 Double-limb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Electromagnetic emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11 Single-limb (with exhalation valve) . . . . . . . . . . . . . . . . . . . . . . 4-10
Electromagnetic immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11 Single-limb (without exhalation valve) . . . . . . . . . . . . . . . . . . . 4-14
Max leak (alarm) test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3 Length and internal volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Medium priority (MP) alarm (definition) . . . . . . . . . . . . . . . . . . . . . . . . 3-2 Patient counter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Menus Patient Disconnection alarm
Alarm Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Alarm menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24
USB Memory Device menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11 Pausing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Ventilation menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8 Performance specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Waveforms menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10 Personal vehicle use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28
Modes Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Description Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Assist/control (A/C) modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1 Pneumatic system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
CPAP (continuous positive airway pressure) mode . . . . . . . . . B-2 Power failure (alarm) test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
PSV (pressure support ventilation) mode . . . . . . . . . . . . . . . . . . B-2 Power Fault alarm
Synchronized intermittent mandatory ventilation Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
(SIMV) modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24
Monitored parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-3 Power On Self Test (POST) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Index-4
Index
Power Supply Loss alarm Single-limb patient circuit
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14 Installing
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24 Circuit with exhalation valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10
Pressure Sensor Fault 1 alarm Circuit without exhalation valve . . . . . . . . . . . . . . . . . . . . . . . . .4-14
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14 Software Version Error alarm
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Preventive maintenance intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24
Proximal Pressure Sensor Fault 2 alarm Specifications
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14 Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24 Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-8
PSV (pressure support ventilation) mode (description) . . . . . . . . . . B-2 Indicators and alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-2
Manufacturer’s declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-10
Q Monitored parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-3
Qualification of personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-3
Physical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
R Pneumatic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-9
Range, resolution, and accuracy specifications . . . . . . . . . . . . . . . . . A-4 Range, resolution, and accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-4
Reactivating alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8 Standards compliance and IEC classification . . . . . . . . . . . . . . . A-13
Recommended schedule of maintenance USB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-8
Internal battery maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10 Standards compliance and IEC classification specifications
Internal battery periodic test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10 Air transportation standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14
Internal battery replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10 Collateral standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-13
Preventive maintenance intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8 General standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-13
Remove Valve CPAP Mode alarm Particular standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14 Starting ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24 Stopping ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10
Remove Valve or Change Pressure alarm Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14 Synchronized intermittent mandatory ventilation (SIMV) modes
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24 (description) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
Repair by qualified personnel only (warning) 1-14, 1-15, 3-15, 8-1, 8-
11 T
Resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7 Target environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Returning to ventilation mode (circuit check) . . . . . . . . . . . . . . . . . . E-7 Target operators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Risk of fire (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6, 4-2 Target patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Routine maintenance Technical faults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Calibration Technical support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi
Exhalation flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2 Testing battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-9
FiO2 sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4 Transfer to USB memory device
Expected service life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1 Continuous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Recommended schedule of maintenance . . . . . . . . . . . . . . . . . . . 8-8 Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Replacing air inlet filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6 Transport, emergency (contraindication) . . . . . . . . . . . . . . . . . . . . . . . 2-2
Service assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11 Troubleshooting
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
S Other problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-25
Safety information Troubleshooting a failed circuit check . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 Turbine Overheat alarm
Labels Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24
Instruction information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24 Turning off the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Symbols and markings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19 Turning on the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Safety net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3 U
Service Unknown Battery alarm
Extended service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Qualification of personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24
Service centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xii Unpacking and preparing the ventilator . . . . . . . . . . . . . . . . . . . . . . . D-1
Technical support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi USB memory device
Service assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11 Data transfer characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-8
Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3 Data transfer times . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5, A-8

Index-5
 Index
USB menu VTI Not Reached alarm
Transfer continuously . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5 Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Transfer trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7 Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25
USB specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-8
W
V Warnings
Valve Missing alarm Definition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Cause & response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15 Electrical power supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-25 Electromagnetic interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19
Ventilation General (use of equipment) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8 Hoses and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3 Installation and environment of use . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Starting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
Stopping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10 Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17
VENTILATION ON/OFF button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
Ventilator USB memory devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Connections (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5, 4-2, 4-8 Waveforms menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Exhalation block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-19 Welcome Menu screen
Expected service life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1 Screen information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11 Skipping to start ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16 Wheelchair use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26
Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18
Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-24
Liquid ingress (warning) . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5, 4-2, 4-25
Mounting on utility cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-29
Parts and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1
Patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Pneumatic system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
potentially hot surfaces (warning) . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Recommended schedule of maintenance . . . . . . . . . . . . . . . . . . . 8-8
Repair (warning) . . . . . . . . . . . . . . . . . . . . . . 1-14, 1-15, 3-15, 8-1, 8-11
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
Symbols and markings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-19
Turning off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Turning on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Unpacking and preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
USB memory device specifications . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Use with dual bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
Ventilator overview
Alarm menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Back panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Device classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Front panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Indications for use
Target environments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Target operators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Target patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Operational use
Breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Oxygen enrichment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Safety net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Operational use (general) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
USB memory device menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Ventilation menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Ventilator failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Waveform menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Ventilator standby indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Very high priority (VHP) alarm (definition) . . . . . . . . . . . . . . . . . . . . . . . 3-2

Index-6
Part No. PT00106571 Rev A 2019-07

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