Quick Guide

This quick guide does not replace the instructions for

use. The operation of the ventilator requires a complete
analysis and understanding of the User’s Manual.

Remember that the ventilator model may vary according

to different markets. Some functions are optional and
are not available in all markets.
Table of Contents
1 General Description
4 Setting Up the Ventilator
1.1 Front Panel
1.2 Lower Block of Connections 4.1 Start-Up
1.3 Rear Panel 4.2 Initial Configuration
1.4 Overall User Interface 4.3 Initial Calibration
1.4.1 Control Settings
1.4.2 Monitored Parameters
1.4.3 Keys
5 Basic Use of the Ventilator
1.4.4. Graphics
5.1 Selecting the Ventilation Mode
1.5 Connection to the Gas Source
5.2 Access to the Ventilation Modes
1.6 Connection to the Power Source
5.3 Access to the Alarms Menu
5.4 Alarms Configuration
2 Expiratory Set 5.5 Standby
5.6 Oxygen Therapy Configuration
2.1 Description of the Expiratory Set
2.2 Assembly of the Expiratory Set
2.3 Installing the Expiratory Set 6 Cleaning and Maintenance

Appendix: Ventilation Modes

3 Connecting Accessories
Appendix: Alarms
3.1 Patient Circuits
3.2 Proximal Flow Sensor
3.3 Capnograph
1 General Description

1.1 Front Panel

1 Touch screen.
2 Alarm signals.
3 Alarm Limits Configuration Key.
4 Paused Audio Key. 2
5 Menu Key.
6 Selection of Ventilation Mode Key. 3
1
7 Rotary Knob. 4
8 Esc Key.
9 Ctrl Key. 5

10 Manual Inspiratory/Expiratory Pause Key. 6

11 Manual Inspiration Key.
12 %O2 Suction Key. 7
13 Screen Lock Key.
14 Power Supply Indicators.
P2 P1 Prox O2 % CO2
EXP. INSP.

https://youtu.be/3OwbVjf5sY4
14 13 12 11 10 9 8

Quick Guide 3
1 General Description

1.2 Lower Connection Block

1 Connection for the Expiratory Set.

2 Connection for the Expiratory Set
Pneumotachograph Hoses.
3 O2 Cell.
4 Connection for the nebulization hose.
5 To Patient Inspiratory Port.
6 CO2 Port.
7 Connection for Proximal Pneumotachograph. 7

P2 P1 Prox O2 % CO2
EXP. INSP.

https://youtu.be/mvHCwxY2vn4
1 2 3 4 5 6

Quick Guide 4
1 General Description

1.3 Rear Panel

1 Cooling Air Outlet.

2 Loudspeaker.
3 RS-232 Port. 1

4 VGA Port. 2

5 Power Switch.
3
6 Power Socket.
4
7 Air Inlet.
8 Oxygen Inlet.
5

7 8

https://youtu.be/502kJ9zbUNg

Quick Guide 5
1 General Description

1.4 Main Display

1.4.1 Controls Settings 1

1 Alarm Limits of Monitored Variables.

2 Ventilatory Parameters Adjustable by the User.

https://youtu.be/hBlii2i3VXk

Quick Guide 6
1 General Description

1.4 Main Display

1 2 3 4 5 6 7 8

1.4.2 Monitored Parameters

1 Inspiratory Peak Flow (L/min).

2 Inspiratory Time (s). 9

3 Expiratory Time (s). 10

4 I:E Ratio. 11

5 Total Rate (rpm). 12

6 Expiratory Tidal Volume 13

(L for ADL/PED and mL for NEO-INF). 14

7 Expiratory Minute Volume (L/min). 15

8 Oxygen Monitor (%).

9 Battery Charge Indicator
10 Lung Icon.
11 Peak Pressure.
12 Tracheal Pressure.
13 Plateau Pressure.
14 Mean Pressure.
15 PEEP.

https://youtu.be/hBlii2i3VXk

Quick Guide 7
1 General Description

1.4 Main Display

1.4.3 Touch Screen Buttons

1
1 Graphics.
2 Freeze. 2

3 Measurements. 3

4 Save Loop. 4
5 Nebulizer.
5
6 Help.
7 Standby. 6

https://youtu.be/hBlii2i3VXk

Quick Guide 8
1 General Description

1.4 Main Display

1.4.4 Graphics

1 Pressure. 1

2 Volume. 4
3 Flow.
2
4 Pressure-Volume Loop.
5 Flow-Volume Loop.

3 5

https://youtu.be/hBlii2i3VXk

Quick Guide 9
1 General Description

1.5 Connection to the Gas Source

1 Connect the green high-pressure oxygen

supply hose to the oxygen inlet.
Always use medical
grade gases
2 Connect an air filter or water trap to the air
inlet. This filter goes between the air inlet
and the yellow high-pressure air hose.

3 Connect the yellow high-pressure air

supply hose to the filter inlet. 2
2

3 1
1

https://youtu.be/502kJ9zbUNg

Quick Guide 10
1 General Description

1.6 Connection to the Power Source

Power cord connection.

Always keep the device connected to the
main power supply.
Power cord

Main Power Supply

P2 P1 Prox O2 % CO2
EXP. INSP.

Battery Status

Quick Guide 11
2 Expiratory Set

2.1 Description of the Expiratory Set

Expiratory valve

Silicone diaphragm

Distal expiratory
pneumotachograph

Mylar

Base

Quick Guide 12
2 Expiratory Set

2.2 Assembly of the Expiratory Set

1 Locate the diaphragm in the cap of the set, B

taking into account that the annular recess

located in the center of the diaphragm A
must be facing down. (B in A)

2 Then, place the cap on the body, so that the

side tabs of the cap are located on the inner
circumference of the body. (A + B in C) C

3 Turn the cap clockwise until the side tabs

stop.

https://youtu.be/Wf02t3D9Z5M

Quick Guide 13
2 Expiratory Set

2.3 Installing the Expiratory Set

1 Introduce the expiratory set into the exhalation

port at the lower block of connections, such EXP.
P2 P1 Prox O2 %
INSP.

that the connectors for the hoses that run

toward P1 and P2 face to the front.

2 Make a quarter turn, so that the exhaled gases

outlet faces towards the left. 2

3 Connect the upper silicone hose to P2 and the

lower silicone hose to P1.

P2 P1 Prox O2 %
EXP.

https://youtu.be/Wf02t3D9Z5M

Quick Guide 14
3 Connecting Accessories

3.1 Assambly of the Expiratory Set

Connect the following accessories as indicated

in the figure.

1 Expiratory Set together with the hoses of

the distal pneumotachograph.

2 Connect a bacterial viral filter to the patient

port of the ventilator.
2
1
3 Inspiratory limb of the patient circuit with
water traps.

4 Expiratory limb of the patient circuit with

the water traps.

5 Active humidifier. Use the short limb of the

3
circuit to connect the “To Patient” port to
the chamber. 4

Quick Guide 15
3 Connecting Accessories

3.2 Proximal Flow Sensor (*)

P2 P1 Prox O2 %
1 Connect the Proximal Flow Sensor to the EXP. INSP.

Lower Terminal Block.

2 Position the sensor over the Y-connector so

that the hoses are facing up, as indicated by
the marking on the sensor.

* Available only for the GraphNet advance and GraphNet neo.

2
https://youtu.be/KCh6YljBdxQ

Quick Guide 16
3 Connecting Accessories

3.3 Capnograph

Assemble the Capnograph components as

follows:
P2 P1 Prox O2 % CO2
EXP. INSP.

1 CO2 Sensor.

2 Place the adapter on the sensor,

connecting one of its ends to the Y-piece of
the breathing circuit.

3 Connect the sensor cable to the CO2

connection port.

CO2 Sensor

* Available only for the GraphNet advance.

Quick Guide 17
4 Setting Up the Ventilator

4.1 Start-Up

Turn on the ventilator by pressing the

ON/OFF switch at “ ”

ON/OFF
Turns the ventilator
on and off.

Quick Guide 18
4 Setting Up the Ventilator

4.2 Initial Configuration

The first screen that the ventilator will show will

allow the Selection of the Patient Category and
Tidal Volume (VT) based on Ideal Body Weight
(IBW), for which the desired option must be
selected and the corresponding parameters
adjusted.

Select the humidification system to be used. The

humidification system options are: Active or Passive.

Press on the screen the desired option.

https://youtu.be/Hcgbevjl1-c

Quick Guide 19
4 Setting Up the Ventilator

4.3 Initial Calibration

To correctly calibrate the ventilator it is

necessary that all the elements are correctly
connected: patient circuit, humidifier, filters. 1

Plug
1 Occlude the Y-connector.
2 Press the encoder knob.

This process takes 30 seconds. In the event that

the calibration is unsuccessful, a message with
an Error Code and descriptive information will
appear on the screen.

Any breathing patient circuit may be used as

long as it satisfies the characteristics
pre-established by the respirator.

Quick Guide 20
5 Basic Use of the Ventilator

5.1 Selecting the Ventilation Mode

Once the initial calibration has been carried out,

the device will display the Operative modes
menu on the screen.

To select the ventilation mode, the encoder knob

can be used or it can be done directly through
the touch screen.

Once the ventilation mode has been selected, the

following information will appear on the screen:

In the lower section the parameters of the

ventilation mode to be configured.

Quick access to alarms, located in the

upper section and in the lower left section.

Quick Guide 21
5 Basic Use of the Ventilator

5.1 Selecting the Ventilation Mode

The default values can be accepted by pressing

the encoder knob and the ventilation begins, or
these values and alarms can be modified by
following these steps:

1 Press on the key to modify. The color of the

selected field will change.

2 Rotate the encoder knob until the desired

value is reached.

3 Press the encoder knob to confirm the

desired value. 1 2

Once all the parameters have been set, press the

knob to start ventilation. 3

https://youtu.be/EE7kAK9pwWQ

Quick Guide 22
5 Basic Use of the Ventilator

5.2 Access to the Ventilation Modes

To access the operating modes menu, the [Mode]

key must be pressed.

A menu with all the available ventilation modes

will be displayed.

By turning the knob, the remaining modes can be

viewed.

https://youtu.be/EE7kAK9pwWQ

Quick Guide 23
5 Basic Use of the Ventilator

5.3 Access to the Alarms Menu

To enter the full alarm menu, press the [Alarm

Limits] key.

A menu will be displayed with all the alarms

available to be configured, according to the
selected ventilation mode.

Quick Guide 24
5 Basic Use of the Ventilator

5.4 Alarms Configuration Upper alarm

LED indicator

In the presence of an alarm condition,

corresponding signals will be generated, both
auditory and visual on the screen, depending on
the priority:

High

Medium

Low

At the top of the ventilator is the upper alarm

LED indicator that provides a 360º view.

P2 P1 Prox O2 % CO2
EXP. INSP.

https://youtu.be/5brheSigcDo

Quick Guide 25
5 Basic Use of the Ventilator

5.5 Standby

To set the ventilator in Standby mode, the

corresponding key on the screen must be
pressed, confirming this action by then pressing
the encoder knob.

During Standby mode, the ventilator

does not provide ventilation, but when
returning from it, it maintains
the last configured parameters.

Quick Guide 26
5 Basic Use of the Ventilator

5.6 Oxygen Therapy Configuration

Set the ventilator in Standby mode, and press the

Oxygen Therapy key on the screen.

The ventilator will perform a shorten

calibration to verify sensors and valves
as well as a a CO2 sensor calibration.

https://youtu.be/8ZHTse1XeIo

Quick Guide 27
6 Cleaning and Maintenance

It is recommended to carry out a cleaning and disinfection

process after each patient, to preserve the good condition of
the ventilation and avoid cross contamination.

NO YES
The product should never be sprayed directly onto The products to be used can be:
any surface of the ventilator, as it could damage it.
Neutral enzymatic detergent.
It is important to bear in mind that the following Hydroalcoholic solution.
products should not be used: Neutral soap.
High-level disinfectant for medical devices.
Abrasive chemical solvents. The steps to follow are:
Acidic or alkaline substances.
Chlorinated solvents such as sodium 1 Turn off and unplug the ventilator.
hypochlorite. 2 Use a soft cloth soaked in the chosen
cleaning product.
3 Rub the cloth over the different sectors of
the ventilator.

Quick Guide 28
Appendix: Ventilation Modes*

Adult and Pediatric

VCV – Volume Control (Assisted/Controlled).

PCV – Pressure Control (Assisted/Controlled).
PRVC – Pressure Regulated Volume Control.
PSV – Pressure Support.
VSV – Volume Support.
CPAP – Continuous Positive Airway Pressure.
SIMV (VCV) + PSV – Synchronized Intermittent Mandatory Ventilation.
SIMV (PCV) + PSV – Synchronized Intermittent Mandatory Ventilation.
SIMV (PRVC) + PSV – Synchronized Intermittent Mandatory Ventilation.
MMV + PSV – Mandatory Minute Ventilation.
PSV + Tidal Volume Assured.
APRV – Airway Pressure Release Ventilation.
NIV – Non-Invasive Ventilation.
High Flow Oxygen Therapy.
AVA – Adaptative Ventilatory Assistance.

*GraphNet advance

Quick Guide 29
Appendix: Ventilation Modes*

Neonates-Infants

VCV – Volume Control (Assisted/Controlled).

PCV – Pressure Control (Assisted/Controlled).
PSV – Pressure Support.
VSV – Volume Support.
CPAP – Continuous Positive Airway Pressure.
PRVC – Pressure Regulated Volume Control.
TCPL – Time Cycled Pressure Limited.
SIMV(VCV) + PSV – Synchronized Intermittent Mandatory Ventilation.
SIMV(PCV) + PSV – Synchronized Intermittent Mandatory Ventilation.
SIMV(PRVC) + PSV – Synchronized Intermittent Mandatory Ventilation.
SIMV(TCPL) + PSV – Synchronized Intermittent Mandatory Ventilation.
CPAP with Continuous Flow (with leak compensation for NIV).
APRV – Airway Pressure Release Ventilation.
HFOT - High flow oxygen therapy.
NIV – Non-Invasive Ventilation.

*GraphNet advance

Quick Guide 30
Appendix: Alarms

Configurable Alarms

Maximum and minimum inspiratory pressure.

Maximum and minimum minute volume (exhaled).
Maximum and minimum tidal volume.
Maximum and minimum O2 percentage concentration.
Apnea.
Maximum High rate.
High and low PEEP.
Maximum and minimum ETCO2 (optional with capnography).

Non-configurable Alarms

Low O2 and air pressure.

Power loss.
Battery status.
Continuous high pressure.
Technical failure.
Disconnection.
Inadequate oxygen concentration.
Non-compensable leak.
Fan failure.

Quick Guide 31