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This package includes an addendum to the

e360 Operating Manual for the software update to


version UNV 7.0. Please insert this addendum to
the back of the e360 Operating Manual.

If you have any questions or need additional


information please contact Newport Medical.
1.800.451.3111 (US only)
+1.714.427.5811
email: info@ventilators.com

ADD360-2 A0811
Software Addendum
e360 Ventilator
Software 7.0
Addendum
OPR360U A0509 5-1

e360 Ventilator
Software 7.0
Addendum
Introduction............................................................ A-1
Respiratory Mechanics......................................... A-1
P0.1.................................................................... A-1
Negative Inspiratory Force (NIF)...................... A-4
Changes to Weaning Data Set......................... A-6
Capability to Disable O2 Sensor........................... A-7
Update of Inspiratory Tidal Volume and
Expiratory Tidal Volume ....................................... A-8
FlexCycle* (Automatic Expiratory Threshold
Management)......................................................... A-9

5-1 OPR360U A0509

*For e360S-US. Previously available on e360E-WW and e360P-WW models.


Software 7.0 Addendum A
This addendum section describes the features that were added on the
software version 7.0 and later for all e360 ventilator models. Please
refer to the operating manual, OPR360U, for a complete listing of
warnings, cautions and information on the proper use and operation of
the e360 ventilator.
OPR360U A0509 5-1

Introduction
Units with software version 7.0 offer the following additional features:

Respiratory Mechanics:
• P0.1
• Negative Inspiratory Force
• Changes to Weaning Data Set
Capability to Disable O2 Sensor
Update Inspiratory Tidal Volume (VTI) and Expiratory Tidal Volume (VTE)
displayed values simultaneously
FlexCycle (Automatic Expiratory Threshold Management)*

Respiratory Mechanics
P0.1 Measurement

While ventilating, the P0.1 measurement function is available for


assessing the patient’s respiratory drive. This measurement can be
used as one of the tools to predict weaning success from ventilatory
support.

This function is enabled via the P0.1 button on the Technical Screen. It
is available in all modes and breath types. It is not available when Non
Invasive Ventilation (NIV) is activated.

Ensure that the trigger setting is optimized before performing this


function. The P0.1 measurement is the difference between the
pressure at which a patient effort (trigger) is detected and the pressure
100 milliseconds later.

5-1 OPR360U A0509

*For e360S-US. Previously available on e360E-WW and e360P-WW models.

ADD360-2 A0811 A-1


A Software 7.0 Addendum

OPR360U A0509 5-1

Figure 1. TECHNICAL Screen showing location of P0.1


Measurement button

To Perform a P0.1 Measurement

1. Press the Setup & Calibration menu button on the control panel.
2. Touch TECHNICAL.
3. Touch P0.1 to enable the function. (See Figure 1) The screen
will change to the Main Screen.
4. Touch START P0.1 to initiate the measurement. (Figure 2)
The measurement result will be displayed after the first patient
trigger is detected.

5-1 OPR360U A0509

Figure 2. Main screen showing the location of the


START P0.1 button

A-2 ADD360-2 A0811


Software 7.0 Addendum A
5. Touch SAVE to store the measurement result and the screen
image. The measurement will be logged in the Event History
and the screen image will be stored in the Screen Files List.
OPR360U A0509 5-1

Figure 3. Main screen showing location of SAVE button

6. Touch START to resume normal plotting on the screen.



Explanation of P0.1 Measurement Function Conditions

After the P0.1 Measurement Function is activated the following


condition occurs:
• Ventilation continues according to user settings but a 3-minute
timing window opens within which the user may touch START
P0.1. The function times out if the measurement is not started
within this time frame.

After START P0.1 is touched the following conditions occur:


• Ventilation continues per user settings.
• Backup ventilation is disabled for one minute.
• When the e360 detects a patient trigger, it imposes a 100
millisecond delay before delivering inspiratory flow to
the patient.
• Normal operation resumes after the first patient trigger
5-1 or after one minute if no trigger is detected. OPR360U A0509

ADD360-2 A0811 A-3


A Software 7.0 Addendum
Negative Inspiratory Force (NIF) Maneuver
(also referred to as Maximum Inspiratory Pressure (MIP) or PIMAX)

While ventilating, the Negative Inspiratory Force (NIF) Maneuver is


available for measuring airway pressure during a maximum inspiratory
OPR360U A0509 5-1
effort. This measurement is used to assess the patient’s inspiratory
muscle strength.

This function is enabled via the NIF button on the Technical Screen.
The NIF Maneuver is available in all modes, with and without Non
Invasive Ventilation (NIV) activated.

Figure 4. TECHNICAL Screen showing the location of the


NIF Maneuver button

To Perform a NIF Maneuver

1. Press the Setup & Calibration menu button on the control panel.
2. Touch TECHNICAL.
3. Touch NIF to enable the function. (See Figure 4) The screen will
change to the main screen with a pressure waveform displayed.
(See Figure 5)
4. Touch and hold the NIF (menu button) to perform the maneuver.
The e360 will temporarily cease all flow delivery while the button
5-1 is being touched. OPR360U A0509

A-4 ADD360-2 A0811


Software 7.0 Addendum A

OPR360U A0509 5-1

Figure 5. Main screen showing the location of the NIF button

5. Upon release of the NIF button, choose the ideal NIF value by
using the adjustment knob to move the cursor to the
appropriate point on the pressure waveform. The NIF value
displayed is the measured value at the selected pressure point.
6. Touch the SAVE button to store the measurement result and
the screen image. The measurement will be logged
in the Event History and the screen image will be stored in the
Screen Files List. (See Figure 6)

5-1 OPR360U A0509


Figure 6. Main screen showing the location of the
Save button and the NIF result

7. Touch START to resume normal plotting on the screen.

ADD360-2 A0811 A-5


A Software 7.0 Addendum
Explanation of NIF Maneuver Function Conditions

After the NIF Measurement is turned ON the following condition occurs;


• Ventilation continues according to user settings but a 3-minute
5-1
timing window opens within which the user may touch the NIF
OPR360U A0509

button. The function times out if the measurement is not


started within this time frame.

While a NIF maneuver is in progress (while NIF button is being


touched), the following conditions occur:
• PEEP is automatically set at ≤1 cmH2O.
• No flow is delivered from the ventilator.
• Expiratory minute volume (MVE) monitoring is paused.
• Backup ventilation and apnea alarms are disabled.

Normal operation resumes after the NIF button is released or 30
seconds elapse.

Changes to Weaning Data Set

Selected sets of data may be viewed on the GUI during ventilation


utilizing the Data Sets button at the bottom, lower right corner of the
GUI screen. The Data Sets are labeled: Basic, Mechanic, Weaning,
and Advanced. With software update 7.0, the Weaning data set now
includes the time-stamped P0.1 and NIF measurements (similar to
Cstat in Mechanic data set).

Note: The Numeric Screen does not display the P0.1 and NIF
measurements.

The following table lists the parameters displayed in each data set. This
table replaces the version on page 4-17 in the operating manual.

5-1 OPR360U A0509

A-6 ADD360-2 A0811


Software 7.0 Addendum A
Data Sets
Basic Mechanics Weaning Advanced
(settings)
Ppeak (Peak
OPR360U A0509 Time Constant RR Spont Slope/Rise 5-1
Pressure) (Respiratory Rate
Spontaneous)
PEEP Pplat P0.1 Exp. Thresh
(Plateau (Expiratory
Pressure) Threshold)
FiO2 Total PEEP MVE Spont Pause
(Minute Ventilation
Exhaled
Spontaneous)
MVE (Minute Cstat RSBI Open Exh.
Volume (Static (Rapid Shallow (Open
Exhaled) Compliance) Breathing Index) Exhalation
Valve)
VTE RI NIF Flow
(Tidal Volume (Inspiratory Waveform
Exhaled) Resistance) (Shape)
RRtot RE (Expiratory I:E Volume
(Total Resistance) (I:E Ratio) Target
Respiratory
Rate)

Capability to Disable O2 Sensor


Disabling the O2 sensor causes the FIO2 monitoring and FIO2 alarms
to be disabled and places an alarm-disabled icon in place of the
monitored FIO2 value on the Basic Data Set Bar. (See Figure 8)

WARNING While this function is disabled, use an external device for


FIO2 monitoring and alarms.

Ensure that an O2 sensor remains in place even while disabled.

To Disable the O2 Sensor

5-1 1. Press the Setup & Calibration menu button on the control panel.
OPR360U A0509
2. Touch the Sensors button, then touch the O2 Sensor button.
(See Figure 7)
3. Touch Disable to disable the O2 sensor, then touch Yes to
confirm.
4. Touch Exit.

ADD360-2 A0811 A-7


A Software 7.0 Addendum

OPR360U A0509 5-1

Figure 7. SENSORS screen showing location of the


O2 Sensor button

Figure 8. Basic Data Set Bar indicating that the O2 sensor


and alarms are disabled

To Enable the O2 Sensor

1. Press the Setup & Calibration menu button on the control panel.
2. Touch the Sensors button, then touch the O2 Sensor button.
(See Figure 7)
3. Touch Enable to enable the O2 sensor.
4. Touch Exit.

Update of Inspiratory Tidal Volume (VTI) and Expiratory Tidal


Volume (VTE)

5-1The displays for both VTI and VTE are updated simultaneouslyOPR360U
at the A0509
end of the expiratory period of each breath.

A-8 ADD360-2 A0811


Software 7.0 Addendum A
Expiratory Threshold and FlexCycle*
(Automatic Expiratory Threshold Managagment)

In addition to the manual selection for Expiratory Threshold, an


AUTO option* is also available. When Auto is selected, the ventilator
OPR360U A0509 5-1
automatically adjusts the Expiratory Threshold setting on a breath-by-
breath basis within the established range in order to end the breath
when the patient stops inhaling and prevent early or late cycling off. We
refer to this automated option as FlexCycle.

The Expiratory Threshold selection is retained after power down.

The user can choose an Expiratory Threshold value between 5 and


55% of peak flow or select AUTO. This function is accessed via the
Advanced Data Set at the bottom of the GUI screen.

For more information about the Expiratory Threshold function, see


Section 7, Explanation of Modes, Breath Types and Functions.

- End of Software 7.0 Addendum -

5-1 OPR360U A0509

*included in 7.0 and later software for e360S-US.


Previously available on e360E-WW and e360P-WW.

ADD360-2 A0811 A-9