906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 3-3OperationThe unit has been designed to ease the learning transition commonly associated with newequipment. Turning the POWER switch to “1” starts an internal Self Check and beginsoperation with the default settings. The operator has the option of delivering volume targeted orpressure targeted breaths. An internal blender enables the unit to deliver oxygen concentrationsfrom 21 to 100% using its internal compressor and/or a standard medical-grade oxygen source.Additionally, low-pressure oxygen can be entrained through the Fresh Gas/Compressor Intakeusing the reservoir accessory except when a chemical/biological filter is connected. Whenusing the reservoir, the FIO2 should be set to 21% and enable the O2 Reservoir mode from theUser Menu (enabling this avoids nuisance alarms from the compressor inlet sensors). Theoperator should titrate the flow of oxygen to the reservoir to maintain an adequate SpO2 value.O2 Reservoir mode is indicated on the display with a plus “+” sign next to the FIO 2 value.Modes of OperationThe unit offers a range of modes using both pressure and volume targeting that can be selectedto optimally manage the patient.Assist/Control (AC) -- The patient receives either controlled or assisted breaths. When thepatient triggers an assisted breath, they receive a breath based on either the volume or pressuretarget.Synchronized Intermittent Mandatory Ventilation (SIMV) -- The patient receivescontrolled breaths based on the set breathing rate. Spontaneous breaths can be eitherunsupported demand flow or supported using Pressure Support. (This mode is not available inthe AEV® unit.)Continuous Positive Airway Pressure (CPAP) -- The patient receives constant positiveairway pressure while breathing spontaneously. Spontaneous breaths can be either demand flowor supported using Pressure Support.EMV+® , Eagle II™: The default CPAP provides positive end-respiratory pressure withand without Pressure Support. The operator has the option of adding leak compensation(NPPV) if desired to support the patient. The minimum baseline pressure (PEEP) inCPAP-NPPV is 3 cm H2O regardless of the Pressure Support setting.AEV® : Only provides for CPAP with leak compensation (NPPV) with or without PressureSupport. The minimum baseline pressure (PEEP) in CPAP-NPPV is 3 cm H 2O regardlessof the Pressure Support setting.Note: In the SIMV(P), SIMV(V), and CPAP modes, the sum (PEEP + PS) must be ≥ 3 cmH2O.Note: In transitioning from AC to either CPAP or SIMV, if the starting PEEP value is 3 cmH2O or less, the PEEP shall be set to 3.0 cm H2O during the transition. (This is toassure that there is never a situation when both the PS and PEEP are zero, which wouldviolate (PEEP + PS) ≥ 3 cm H2 O.Note: Negative pressure is not available in the expiratory phase.