Penggunaan Dan Perawatan Ventilator Philips EV300

PENGGUNAAN DAN PERAWATAN VENTILATOR
PHILIPS EV300
Ari Tri Mulyadi

Product & Application Support Manager
Company Profile PT. Berca Niaga Medika
BNM SUCCESSFULLY
IMPLEMENT ISO
13485:2016 (Medical
Devices)
2010 : BNM NEW
TRAINING CENTER
FACILITY
2001 : BNM
SUCCESSFULLY
IMPLEMENT ISO
SPIN OFF HP 9001:2015
1999 : BERCA NIAGA
MEDIKA FOUNDED
1995 : BERCA BUILDING
JL. ABDUL MUIS, NO 62
1993 : BERCA NIAGA
1985 : BERCA NIAGA

TAMA
1984 : BERCA NIAGA
PARTNERSHIP WITH
HEWLETT PACKARD
1971 : BERCA INDONESIA

FOUNDED
Company Profile PT. Berca Niaga Medika
Lampu Operasi
Imaging Meja Operasi
Ultrasound
Bedside Monitor EKG
bnmestores.bercaniaga.co.id
WA CARE: 08551006780
Ventilator Defibrilator Treadmill
C-Arm System… Mamografi
CTG/ Fetal Monitor Holter
Disposible/ Consumeble/ BHP
Ventilation Portfolio – Hospital Products
Trilogy EV300 V60/V60 Plus

Trilogy EV300
Introduction
The Trilogy EV300 ventilator provides:
Invasive and non-invasive positive pressure ventilation for
the care of patients ≥2.5 kg through adults.
The ventilator can measure, display, record, and alarm,

respiratory rate, and pulse rate data when integrated with
the appropriate accessories.
8” touchscreen and lockscreen
Quick access 100% oxygen flush button to deliver for 2

minutes
Simple
Modes and settings: Trilogy 202 to Trilogy EV300
Trilogy 202 Trilogy EV300 Description
Assist Control (Volume Control) mode provides volume-controlled mandatory or

AC
assist-control breaths. The set inspiratory time applies to all breaths.
A/C - VC
CV If you want to replicate CV mode where the ventilator triggers and cycles all breaths then set the trigger type to OFF.
Assist Control (Pressure Control) mode provides pressure-controlled mandatory or

PC
assist-control breaths. The set inspiratory time applies to all breaths. Optional AVAPS.
A/C - PC
T If you want to replicate T mode where the ventilator triggers and cycles all breaths then set the trigger type to OFF.
Synchronized Intermittent Mandatory Ventilation (Volume Control) mode is similar to SIMV-PC, but with volume
SIMV SIMV-VC
control.
Synchronized Intermittent Mandatory Ventilation (Pressure Control) mode is a pressure control mode that provides a
mixture of mandatory, assist-control and spontaneous breaths with optional pressure support. It guarantees one
PC-SIMV SIMV-PC
mandatory breath in each cycle. The breath rate determines the length of the cycle. Optional: Inspiratory Time
min/max. for the spontaneous breaths.
Simple
Pressure Support Ventilation mode is patient-triggered, pressure-limited, and flow-cycled. The patient
S PSV determines the breath rate and timing so it is recommended to set back-up ventilation. Optional: AVAPS and
Ti min/max.
Spontaneous/Timed is a bi-level therapy mode where each breath is patient-triggered and patient-cycled, or
S/T S/T
ventilator-triggered and ventilator-cycled.
In Continuous Positive Airway Pressure mode, all breaths are spontaneous with the CPAP set pressure
CPAP CPAP
delivered in both inhalation and exhalation.
AVAPS-Auto EPAP mode automatically adjusts pressure support, to maintain the target tidal volume, and
EPAP, to maintain a patent airway, within the set min/max ranges; and simplifies the set-up of the backup
AVAPS-AE AVAPS-AE
breath rate when set to auto.
Note: auto back-up rate maximum is 20bpm. Optional: Inspiratory Time min/max.
Simple
Once enabled, this setting treats inspiration time as a variable value for patient-initiated, patient-cycled
breaths.
Inspiratory Time
-
Min/Max
It is available in S/T, PSV, SIMV-PC, SIMV-VC, and AVAPS-AE modes, under Advanced in the Prescription
Settings window.
This sets the maximum rate of change in pressure between the min and max values while AVAPS is seeking a
AVAPS Rate AVAPS Speed
volume target.
PC Breath Available in AVAPS-AE mode. When PC Breath is on, the set inspiratory time applies to
-
(AVAPS-AE) all breaths.
In Trilogy EV300, available in A/C-VC mode under Advanced in the Prescription window. Sigh volume can be
Sigh Sigh set between 1.5 – 2.5 times the set volume and the frequency every 50 – 250 breaths. While in Trilogy, sigh
was fixed at 1.5 times the set volume every 100 breaths.
Available under Advanced in the Prescription window. When turned on an Apnea interval needs to be set in
Back-up
- the alarm settings tab. Within the apnea interval; if no breaths are triggered by the patient, the vent delivers
Ventilation
breaths at the set pressure of volume based on the Backup Rate and Backup Insp Time.
Adaptable
Dynamic parameters
Dyn C Dyn R Dyn Pplat AutoPEEP

Static Compliance of respiratory Airway Resistance Plateau pressure is the Estimate of the pressure
system (lungs + chest wall), Estimate of the maximum pressure applied (above PEEP) that exists in
measured dynamically. Ratio change in pressure to small airways and alveoli the patient airway at the
between the change in volume divided by the air flow during positive-pressure end of exhalation.
to the change in pressure. through the airways. mechanical ventilation.
Breathing Circuit
Passive circuit: 4
Option 1 3 5
1 Bacteria/Viral filter
2 Exhalation leak port
3 Non-vented (without integrated leak) Non-invasive Invasive
NIV mask
4 Tracheostomy tube
(trach adapter not shown and optional to connect to circuit)
1
5 Endotracheal Tube (ETT)
With this option, if limited

supply of filters the one at the
device outlet could be omitted
as long as the filter between
the interface and leak port
remains.
Passive circuit: 4
Option 2 3 5
2 FEP exhalation leak port
3 Non-vented (without integrated leak) Non-invasive Invasive
NIV mask
4 Tracheostomy tube 2
1
5
Endotracheal Tube (ETT)
Passive circuit: 6
Option 3 – J circuit 5 7
1 Bacteria/viral filter
2 Wye (Y) connector
3 Exhalation leak port Non-invasive Invasive
4 End cap
5 Non-vented (without integrated leak) 2
NIV mask 1
6 Tracheostomy tube
7 Endotracheal Tube (ETT) 1

3
4
Dual Limb circuit: 8
Option 1 7 9
2 Proximal pressure line
3 Dual Limb active exhalation valve Non-invasive Invasive
4 Flow sensor cable

5 Dual limb circuit 6
1
6 Flow sensor (EFS)
7 Non-vented (without integrated leak)
5
NIV mask
8 Tracheostomy tube
(trach adapter not shown and optional to connect to circuit) 2
3
9 Endotracheal Tube (ETT)
(trach adapter not shown and optional to connect to circuit) 4
Dual Limb circuit: 8
Option 2 – extra filter after the 7 9
EFS
2 Proximal pressure line
3 Dual Limb active exhalation valve Non-invasive Invasive
4 Flow sensor cable

5 Dual limb circuit
1
6 Flow sensor (EFS)
7 Non-vented (without integrated leak)
NIV mask 6
8 Tracheostomy tube
9 Endotracheal Tube (ETT) 5

2
3
4
Trilogy EV300 Ventilator Overview
1. On/Off indicator
2. AC power indicator
3. Alarm silence
button/alarm indicator
4. Alarm lens
5. Touchscreen
6. Ambient light sensor

1. Handle
2. FiO2 sensor door

3. Power cord retainer
4. Air vents
5. Air inlet
6. O2 blending module
(OBM)
7. O2 inlet fitting
1. USB port
2. Inspiratory port (to patient)
3. Proximal pressure port
4. Active exhalation valve line

connection for ActivePAP
and Active flow circuits
5. Dual-limb active
exhalation valve connection
(from patient)
6. Flow sensor cable

connection
1. AC power connector
2. Air vents
3. Low flow O2 inlet

4. Detachable battery door
5. Micro USB port for service
6. USB port
7. Remote alarm connector (RJ9)
8. DC power connector
To Start the ventilator:

1. Press the On/Off button on the
front panel.
2. Listen for a minimum of three

beeps as the ventilator performs system
startup checks. The beeps test the alarm
signals to ensure proper functions. Ensure
that no system messages appear.
3. Watch as the light bar and alarm

silence button blink once red and once
yellow.
4. Confirm that the power sources

are connected and power is sufficient.
©2020 Koninklijke Philips N.V. All Rights Reserved.

CSIP Level 0. ATTENTION: THIS PAGE CONTAINS COPYRIGHTED MATERIALS THAT ARE CONFIDENTIAL AND/OR PROPRIETARY. ANY RELEASE OR DISTRIBUTION OF THIS MATERIAL, WITHOUT PERMISSION, IS A VIOLATION OF LAW.
User Interface
1. Menu bar
2. Workspace
3. Status bar
4. Monitored
parameters pane

Menu Bar
Use the menu bar to navigate, manage alarms, set ventilator options, and see the
active prescription:
1. Tap the Home button to go to the home window
2. Tap the Prescription Settingsbutton to work with prescriptions
3. Tap the Options button to work with device options
4. When in the home window, tap the Prescription List to see a list of prescriptions

Workspace
The workspace contents vary depending on the action you are
performing, For example, the workspace can show the standby window, prescription
window, or monitoring window.
To select a monitoring view:

1. Touch the Home button in the menu bar
2. In the home window, touch the Views button
3. In the views list, select a view

Workspace (View Lists)

Status Bar
Use the status bar to monitor device status and the availability of manual
therapeutic actions:
1. Deliver 100% Oxygen 6. Bluetooth data transfer

2. 100% Oxygen timer 7. Alarm silence
3. Automatic algorithm restart 8. Power sources and their status
4. Full access indicator 9. Device Actions menu
5. Bluetooth 10. System time

Monitored Parameters Pane
The monitored parameters pane shows values while delivering therapy.
Depending on the accessory, values such as SpO2 and pulse rate appear during ventilation and
standby.
Parameters that may appear:
• EtCO2: end tidal carbon dioxide
• FiO2: fraction of inspired oxygen
• MinVent: minute ventilation
• PIP: peak inspiratory pressure
• PR: pulse rate
• RR: respiratory rate
• SpO2: saturation of peripheral oxygen
• Vte: exhaled tidal volume
• Vti: inhaled tidal volume

Mode Changes
NOTE: When making mode changes, you may need to change patient circuit type
to be compatible with Mode selection.
1. Touch the
Prescription Settings icon
2. Touch the Mode tab
3. Select the
appropriate mode from
the dropdown menu
4. Touch Accept to
save the change

Setting Changes
1. Touch the
Prescription Settings
icon
2. Touch the tab of the

Setting to be changed
3. Use – or + to increase
or decrease setting
4. Touch Accept to save

the change

Overview
Alarm Changes
1. Touch the Alarm tab
2. Touch the tab of the

Setting to be changed
3. Use – or + to increase
or decrease setting
4. Touch Accept to save

the change

Device Options Screen
The Options tab allows access
to the following:
• Device Options
• Data Transfer
• Information
• Calibration & Setup
• Alarm & Event Log

Device Options Tab allows you
to set:
• Device language
• Alarm loudness Screen
• brightness Light bar on/off
• Auto screen lock Screen saver
• System date and format
• System time and format FiO2
• sensor on/off
• NFC on/off Bluetooth on/off
• Encryption on/off Pressure &
• CO2 units of measure
•
•
•

Data Transfer Tab allows you to:
• Exportalarm and event logs
• Install software updates
• Transfer Data
• Changes to alarms,
prescriptions, accessories and
oxygen
• 30-second averages of each therapy
parameter related to patient
provided thereapy CO2 monitored
data
• Oximeter data
• FiO2 monitored data
•

Information Tab provides the
following:
• Model number
• Serial number
• Software version number
• Hardware version number
• Internal battery serial number
• Detachable battery serial
number
• Operational Hours
• Total blower hours
• Total patient hours
• Software licenses

Calibration & Setup Tab allows
you to:
• Calibrate a patient circuit

• Select default circuit
calibration
• Leak test a patient circuit
• Calibrate the FiO2 sensor
• Zero CO2 sensor

Alarm & Event Log Tab allows

you to:
• View all alarms and events

related to the device
• When it occurred
• Brief description
• Filter the data

• Date range
• Event type
• Ascending/descending
• Page up/down
• Clear all events

Installing the Air Inlet Foam Filter:
1. Install the air inlet foam filter

into the filter cover.

Installing the Particulate Filter:
1. Remove the filter cover by

twisting counterclockwise.
2. Pull to remove cover.
3. Align and twist the particulate

filter clockwise to secure.
4. Reinstall the filter cover.

Installing the Detachable Battery:
1. Open the detachable battery

door.
2. Insert the detachable battery

into the ventilator until the latch
clicks.
3. Close the detachable battery

door.

Installing the FiO2 Sensor:
1. Remove the screws that
secure the FiO2 sensor door to

the rear cover.
2. Remove the FiO2 sensor door.
3. Using the FiO2 sensor door,
install the FiO2 sensor hand

tight.
4. Connect the FiO2 sensor cable

to the FiO2 sensor.
5. Secure the FiO2 sensor door

with two screws.
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Penggunaan Dan Perawatan Ventilator Philips EV300

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PENGGUNAAN DAN PERAWATAN VENTILATOR

Ari Tri Mulyadi

1993 : BERCA NIAGA

1985 : BERCA NIAGA

1984 : BERCA NIAGA

1971 : BERCA INDONESIA

Trilogy EV300 V60/V60 Plus

The ventilator can measure, display, record, and alarm,

8” touchscreen and lockscreen

Quick access 100% oxygen flush button to deliver for 2

Assist Control (Volume Control) mode provides volume-controlled mandatory or

Assist Control (Pressure Control) mode provides pressure-controlled mandatory or

Trilogy 202 Trilogy EV300 Description

Trilogy 202 Trilogy EV300 Description

Dyn C Dyn R Dyn Pplat AutoPEEP

With this option, if limited

7 Endotracheal Tube (ETT) 1

4 Flow sensor cable

4 Flow sensor cable

9 Endotracheal Tube (ETT) 5

6. Ambient light sensor

2. FiO2 sensor door

2. Inspiratory port (to patient)

3. Proximal pressure port

4. Active exhalation valve line

6. Flow sensor cable

3. Low flow O2 inlet

5. Micro USB port for service

7. Remote alarm connector (RJ9)

To Start the ventilator:

2. Listen for a minimum of three

3. Watch as the light bar and alarm

4. Confirm that the power sources

©2020 Koninklijke Philips N.V. All Rights Reserved.

©2020 Koninklijke Philips N.V. All Rights Reserved.

2. Tap the Prescription Settingsbutton to work with prescriptions

3. Tap the Options button to work with device options

©2020 Koninklijke Philips N.V. All Rights Reserved.

To select a monitoring view:

2. In the home window, touch the Views button

3. In the views list, select a view

©2020 Koninklijke Philips N.V. All Rights Reserved.

Workspace (View Lists)

©2020 Koninklijke Philips N.V. All Rights Reserved.

1. Deliver 100% Oxygen 6. Bluetooth data transfer

©2020 Koninklijke Philips N.V. All Rights Reserved.

©2020 Koninklijke Philips N.V. All Rights Reserved.

2. Touch the Mode tab

©2020 Koninklijke Philips N.V. All Rights Reserved.

2. Touch the tab of the

4. Touch Accept to save

©2020 Koninklijke Philips N.V. All Rights Reserved.

1. Touch the Alarm tab

2. Touch the tab of the

4. Touch Accept to save

©2020 Koninklijke Philips N.V. All Rights Reserved.

• Calibration & Setup

• Alarm & Event Log

©2020 Koninklijke Philips N.V. All Rights Reserved.

©2020 Koninklijke Philips N.V. All Rights Reserved.

• Exportalarm and event logs

• Install software updates

©2020 Koninklijke Philips N.V. All Rights Reserved.