Puritan Bennett TM

560 Ventilator
Technical Education
Service Seminar
Gen I to Gen II Product Line Evolution
PB540 (U.S.A. 2009 and
Canada 2010)

Legendair (2003)

PB560
(International 2010)
 Meeting Market Needs additional
to Legendair
 Real-time battery life
indicator

 Waveform menu

 Data Management PC
software (USB) Puritan
Bennett™ Respiratory
Insight Software
 Meeting Market Needs
 Leak compensation is available in
pressure-based ventilation modes.
 Leak compensation is used with non-
invasive ventilation with a vented
mask & single-limb patient circuit
with a proximal pressure line but no
exhalation valve.
 Vented masks typically have a
known leak-rate associated with
them. The leak from the mask is
estimated at the end of exhalation
and this leak is taken into account in
the patient’s inspired volume
measurements.
 Meeting Market Needs
 The PB560 can check the configuration of the patient circuit and
high priority alarms will sound when the ventilator settings are
incompatible with the circuit used. Some examples:
1. inspiratory pressure greater than 30 without an exhalation valve in
the patient circuit
2. expiratory pressure less than 4 without an exhalation valve in the
patient circuit
3. using CPAP mode with an exhalation valve in the patient circuit
4. using volume ventilation without an exhalation valve in the patient
circuit
5. inspiratory or expiratory pressure difference less than 5 without a
valve in the patient circuit
 The ventilator immediately detects when the circuit has been
changed. Additionally, alarms will sound if a mode change is
made that violates any of the aforementioned conditions.
 No Emergency Transport
 It is expected that the
Puritan Bennett 560
Portable Ventilator will be
used by patients during
transport by wheelchair or
motor vehicle, but it IS
NOT intended to be an
"emergency transport
ventilator" in the context
of ISO 10651-3.
 PB560 Overview

 Weighs 9.9 lbs

 Dimensions: 15.25 cm H x 24 cm W x

31.5 cm D
 Operational Noise: < 30 dBA at 1 m

 Adjustable alarm sound level (65 - 85 dB)

 Multiple Power Sources: AC Mains,

External DC, and Internal Battery

 PB560 Ventilation Ranges & Tolerances
 Volumes: 50 – 2000 mls
 Pressures: 5 – 55 mbar
 Time: 0.3 to 6.0 s
 Rate: 1– 60 BPM
 Inspiratory Sensitivity:
 Exhalation Sensitivity:
 Vt Sigh: Vt x 1 to Vt x 2
 I:E: 1:4 to 1:1
 I/T: 20% - 50%
(+/- 10ml + 10%)
(+/- 1 mbar + 10%)
(+/- 10%)
(+/- 1 BPM)
Range: 1 – 5
Range: 5 to 95%
(+/- 20ml + 20%)
(+/- 50ms or 10%)
(+/- 50ms or 10%)
 PB560 Overview

 AC input range:
 100 V AC – 240 V AC nominal
(84 V AC – 264 V AC)
 50 Hz – 60 Hz nominal
(47 Hz – 63 Hz)
 180 VA max
 430 BTU’s per hour
 PB560 Overview

 Internal battery – Lithium ion 26

VDC (nominal), 4.8 Ah full load
capacity
 Average operating time at these settings:
11 Hours when Vt = 200 mls PIP = 10cmH2O Rtot = 20 bpm

9 Hours when Vt = 300 mls PIP = 20cmH2O Rtot = 15 bpm

6.5 Hours when Vt = 500 mls PIP = 30cmH2O Rtot = 15 bpm

*4.5 Hours when Vt = 750 mls PIP = 45 cmH2O Rtot = 20 bpm

*Maximum ventilator settings
 Internal Battery
 Internal battery must be in the ventilator to charge (no external
charger)
 Is not recharged while powered by external DC
 Charging Current:
 Standby: 1.5 A/h (charge-time duration - 6 hours)

 During ventilation: 0.5 A/h (charge-time duration - 13 hours)

 Shelf Life:
 Installed in ventilator (without recharging): 6 months
 Not installed in ventilator (spare): 24 months
 PB560 Overview
LCD Display Control Panel

Lateral and Exhalation

Front Air Vents Valve
Port

FiO2 Sensor
Connection

Exhaled Gas Outlet

Patient Connection Port
From Patient Port
Patient Pressure Monitoring Port
 PB560 Overview
Handle ON/OFF
(I/O)
Air Inlet Switch
Filter w/Protective
Cover

USB Key
Connectors AC Mains
Power
PC Cable Cord
Connector Connector

Nurse O2 Inlet DC Power Internal AC Power

Call Output Port Cable Battery Cord Retainer
(with adapter) Connector Air Vents
 PB560 Overview
Product Identification label located the bottom of the unit:

40966KC25P30

xxxxxxxxxxxx
xxxx
2010

The serial number is a 12 digit alpha-numeric

followed by the year of manufacture
 AC Power Indicator
Green LED lit = AC
560 Indicators
power connected Red LED = High
Priority Alarm

DC Power
Indicator
Green LED lit =
DC power source Yellow LED =
active Medium
Priority Alarm

Internal Battery Indicator:

• Green LED lit = Ventilator
is operating on Internal
Battery.
• Green LED flashing =
Internal Battery is charging.
Ventilator status Indicator:
• Green LED off = Internal When lit, blue LED =
Battery is charged.
Standby Mode. Helps user
find the ON/OFF key at night.
LED is OFF during ventilation.
 Menu Key

Ventilator Menu Alarm Menu Waveform Menu

MENU Key:
•Changes the displayed menu.
•When a USB memory device
is inserted into the 560, press
this key to display the USB
memory device screen.
 USB MEMORY DEVICE Screen

 Up to 48 hours worth of data

can be transferred from the
560 to a USB memory device.
 To record continuously, the
USB memory device must be
connected to the ventilator and
ventilation active.
 USB MEMORY DEVICE Screen

 This 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 service provider using the
Puritan Bennett™
Respiratory Insight
Software.
 USB MEMORY DEVICE

 All ventilator menus remain

accessible during data
transfer.
 The message “TRANSFER
IN PROGRESS...
REMAINING TIME” is
displayed during the
transfer time.
 Other functions of the USB
memory device are not
available during continuous
recording.
 Keys

Start and
Stop
Alarm
Ventilation
Control
Key
Key
Press and
HOLD for 3
seconds to
stop
ventilation
Enter
Key
Increase key and Play for
Decrease and waveforms
Pause key
 LCD Display: Mode Line
Modes are displayed here:

Ventilator
Menu:

Provides access to the Preferences Menu PIP and PEEP

for user configurable parameters. measurements
Alarm Messages Window
• Flashing reverse video
represents an active alarm.
• For multiple alarms, the highest
priority visual & audible alarm
is displayed first followed by
all the other alarms in the order
they were generated.
• When no alarms are currently
active, the last alarm cancelled
is displayed continuously.
• Power cycling the vent clears
the alarm messages window
display if there are no active
alarms present.
Status Window
Status Window displays:
• Standby mode when
ventilation is stopped
• Monitored values
during ventilation
• Just like the alarm
parameters, the
monitored values are
tied to the Mode
General information line
Exhalation valve detected

No exhalation valve detected

Audio Paused indicator

Alarm Reset/Alarm Paused

indicator

Apnea Alarm Deactivated

Internal battery indicator.

Indicates remaining internal
battery life in hours and minutes.
 Real Time Battery Indicator

When operation switches to internal battery:

 % remaining battery life displays initially

 After two minutes on internal battery, display switches

to remaining battery life in hours and minutes

Peak Inspiratory Pressure
Peak inspiratory pressure monitoring
convention:

 When the REL setting is selected,

PEEP is added to the inspiratory
pressure setting to determine the
peak inspiratory pressure
(monitoring).

 When the ABS setting is selected,

the inspiratory pressure setting
determines the peak inspiratory
pressure (monitoring) regardless of
the PEEP setting (Legendair™
convention).
 PB560 Modes
6 Ventilator Modes determine
the selectable parameters and
alarm settings are linked to
reduce the risk of clinically
inappropriate settings.
 PSV ST

 CPAP

 P A/C

 P SIMV

 V A/C

 V SIMV
 Product Features: 2 Menus

Setup and Preferences menus for

simplified user interface

Accessible via Maintenance Mode Accessible via Normal Operation

 Setup Menu

Ability to select I:E or I/T

Clear message showing Ti calculation when setting I:E ratio

 Setup Menu
• Ability to select relative pressure or absolute pressure
convention
• Default value: OFF (ABS configuration, as in Legendair™
ventilator)

• Relative airway pressure will be displayed during setting adjustment

• REL: When relative pressure = YES: inspiratory pressure setting + PEEP = peak
inspiratory pressure.
• ABS: When relative pressure = OFF: inspiratory pressure setting
will determine the peak inspiratory pressure.
 Setup Menu

Ability to change unit of pressure: mbar,

cmH2O, hPa
 Setup Menu

Ability to select positive or negative setting

of peak flow % threshold
E SENS: Positive and Negative Convention

positive

negative
 Setup Menu

 Ability to reset patient hours

 Erase trend memory

 Reset 24-hour ventilation report
 Does not clear alarm history
Preferences Menu
 Preferences Menu
• Ability to adjust backlight down to OFF*
• Adjust contrast level
• Audible alarm level adjustable (65-85 dB)
• Key sound: All tones on/ accept tone on/ key tone
on/off **

*Recommended if running on Internal Battery.

 Preferences Menu
Intentional vent stop alarm
• If “YES,” then ventilator will alarm when the user
stops ventilation by pressing the blue “start/stop
ventilation button”
• Default value: YES
 Preferences Menu
Apnea alarm
• This activates/deactivates the audible portion of the apnea alarm
but not the apnea time setting
• If apnea alarm = OFF, still able to use control cycle alarm
• The apnea time setting can be set in the ventilation menu
 Preferences Menu

Set time delay before the disconnection alarm

will activate
• In some cases, the disconnection alarm will not activate
because other alarms will activate first
 Preferences Menu

Select waveform display (YES or

OFF)
 Preferences Menu

Activate pediatric circuit (15 mm diameter)

dead space compensation

• Pediatric single branch 0.3 ml/cmH2O

• Adult single branch and pediatric double
branch 0.6 ml/cmH2O
• Adult double branch 1.2 ml/cmH2O
 Ventilation Report
• Accessed from preference menu
• Shows average values from last 24 hours
• Updates every day at 8 a.m.
• Vent time = how many hours over the last 24 hours the
patient was ventilated
Alarms
 Audio Pause

 Press alarm control key once

 Silences all active alarms for 60 seconds
 Visual indicators (light and message) remain

present
 Reactivates
 After 60 seconds, if the cause of the alarm persists
 Immediately, if a new alarm condition occurs
 Alarm Pause

 Press alarm control key twice

 Alarm audio, light and message are halted
 Some alarms can not be paused

 Reactivate paused alarms

 Manually, through the alarm log menu (User’s
clear alerts)
 Apnea Alarm Disconnect

 Can be set (YES/OFF) in the preference menu

 If apnea time is set higher than 60/rate, then

alarm will not activate

 If alarm is set to “OFF,” apnea time setting will

still be active
PB560 Consumables and
Accessories
PB560 Alarm Priority Levels
 PB560 Consumables & Accessories
The ventilator is delivered with the following:

 One printed User’s Manual

 One Clinician’s Manual on CDROM (printed

copy available upon request)

 One patient circuit with valve

 One set of six (6) combination foam/fine particle

air inlet filters

 One carrying bag

 One O2 connector

 One AC power cable

 Consumables & Accessories

 Cart with e-cylinder

and humidifier bracket
 Consumables & Accessories

 Backpack*  Carrying Bag

*Dual bag can be machine washed

 Consumables & Accessories

 Inlet Air Filter (pack of 6)

 Oxygen Inlet Connector

 Consumables & Accessories

 Nurse Call Cable

(5 meters)
 Consumables & Accessories

 AC Power Cord
 Consumables & Accessories

 DC power cable (for

connection to an external
DC power source, such
as a car 12 volt DC
outlet)
 Consumables & Accessories

 Internal Battery  Exhalation Block

 Consumables & Accessories

 Inspiratory and Expiratory Bacteria Filters

 Consumables & Accessories

 FiO2 Measurement Kit

 FiO2 Cell
 Consumables & Accessories
Exhalation Valve

 Adult Single Limb Patient

Circuit with exhalation
valve and proximal pressure Inspiratory
tube (Pediatric Single Limb Tube
Patient Circuit also
available)
Exhalation Valve
Tube (clear)

Proximal Pressure
Tube (blue)
 Consumables & Accessories
Inspiratory
Tube
 Adult Single Limb
Circuit with proximal
pressure tube only.
 Used for CPAP, PSV ST
and P A/C modes leakage
ventilation applications.
 With leakage ventilation Proximal
Pressure
applications, no Tube
exhalation valve can be
attached.
 Adult Double Limb Patient Circuit
Expiratory
Patient Exhalation Water
Wye Valve Trap

Expiratory
Tube

Proximal
Pressure
Tube

Inspiratory
Tube
 Consumables & Accessories

 USB memory device  USB mini Type B cable

(128 MB minimum
memory requirement
and formatted in the 32-
bit file format)