Page 1 Transport Ventilator Instructions for use...
Page 2 This also contains detailed information about the device design and function as well as its individual components. NOTE Fritz Stephan GmbH offers training on the safe and efficient use of the EVE ventilator. Training material can also be requested. Please contact info@stephan-gmbh.com for more information.
Page 3: Table Of Contents
Functions in the System Settings menu ... 52 3.2.2 Measured value display ..........54 3.2.3 Function fields ............57 3.2.3.1 Measured value indicator switch ...... 57 3.2.3.2 Values .............. 57 3.2.3.3 Alarms .............. 59 3.2.3.4 Maneuver ............66 3.2.3.5 Graph ..............68  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 4 SpHb ..............95 4.2.2 Capnometry ............... 96 4.2.3 Flow ................97 4.2.4 Ventilation tube system ..........98 Display ................... 99 4.3.1 Measured values ............99 Setup ..................100 4.4.1 Oxygen configuration ..........101 4.4.2 I:E/Tinsp ..............102  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 5 Installing the SpO sensor ............ 121 Aerosol nebulization ............121 Operation ..................125 Test before every start-up ............ 125 6.1.1 Testing requirements ..........125 6.1.2 Test list ..............126 Switching the device on/off ..........127  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 6 (PC-SIMV) ....152 7.3.2.4 Non-invasive pressure-controlled synchronized intermittent mandatory ventilation (nPC-SIMV)155 7.3.2.5 Pressure-controlled assist/control ventilation (PC-ACV) ............156 7.3.2.6 Non-invasive pressure-controlled assist/control ventilation (nPC-ACV) ........157 7.3.2.7 Pressure-controlled assist/control ventilation + (PC-ACV+) ............ 158  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 7 ........191 Functional description ..............193 Troubleshooting ................195 10.1 List of errors ................ 195 10.2 Selftest error ................ 208 10.3 Moisture in the PNT B (flow sensor) ........209 Care and maintenance ..............211  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 8 12.1 Electromagnetic emissions ..........235 12.2 Electromagnetic immunity........... 236 12.3 Recommended separation distance ........239 Accessory list ................. 241 Warranty ..................245 List of figures ................. 247 List of tables ................... 251 Notes ....................253  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 9: General Information
NOTE The applied parts of the EVE (CO sensor, SpO sensor and ventilator breathing system (VBS)) are protected against defibrillation. For the SpO and CO module, the recovery time is under 5 seconds.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 10: Product Combination
 Pneumatic medication nebulizer 22m/22f Manufacturer: GaleMed 2. Flow sensors  Flow sensor, adults Manufacturer: Fritz Stephan GmbH  Flow sensor, children Manufacturer: Fritz Stephan GmbH  Pneumotachograph, preterm infants and newborns, type B for ventilator EVE Manufacturer: Fritz Stephan GmbH ...
Page 11 ® General information 4. NCPAP patient interfaces  EasyFlow NCPAP system Manufacturer: Fritz Stephan GmbH 5. Expiration valve Manufacturer: Fritz Stephan GmbH sensor Manufacturer: Masimo Masimo Rainbow Manufacturer: Masimo 7. Optiflow Junior Nasal Cannula Manufacturer: Fisher & Paykel 8. Optiflow + Nasal Cannula Manufacturer: Fisher &...
Page 12: Optional Components
PI, SpMet, SpCO, and SpOC (see supplemental pulse oximetry manual). Device name and manufacturer Device name Fritz Stephan GmbH Manufacturer - Medizintechnik - Kirchstraße 19 D-56412 Gackenbach  +49 (0)6439 9125 – 0  +49 (0)6439 9125 – 111  info@stephan-gmbh.com  www.stephan-gmbh.com  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 13: Intended Use
License Neo mode required nPC-SIMV License Neo mode required nPC-ACV License Neo mode required nPC-ACV+ License ACV+/nACV+ required nDUOPAP License Neo mode or NIV-DUOPAP required nCPAP License Neo mode required Tab. 1: Therapeutic scope  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 14: Contraindications
Do not throw the battery into a fire or open it with force! NOTE Before disposing of the device or any of its components, these must be cleaned and disinfected. Infectious disposable accessories must be disposed of as specified in the operating manual!  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 15: Introduction
The manufacturer does not accept any warranty claims resulting from Warranty incorrect operation or inadequate care and maintenance. The manufacturer only guarantees the safety and reliability of the device if it is operated in compliance with the operating manual.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 16: Abbreviations, Definitions, And Pictograms
Control knob for device operation Insp Inspiration (inhalation) Time period from the onset of the inspiration flow until the onset of the expiration flow Medium priority An alarm indicating that the user should intervene immediately. (IEC 60601-1-8).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 17 Perfusion index PRVC Pressure regulated volume control Pressure-controlled and volume-regulated ventilation Pressure support ventilation Pressure support ventilation PVI™ Pleth Variability Index Plethysmographic variability index PEEP Positive End Expiratory Pressure Positive end expiratory pressure Pinsp Inspiratory pressure  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 18 VC-SIMV Volume-controlled synchronized Volume-controlled synchronized intermittent intermittent mechanical ventilation mechanical ventilation Packaging unit Tidal volume Breathing volume Expiratory breathing volume Expiratory tidal volume Central gas supply Volume Tab. 2: Abbreviations and technical terms  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 19 Ventilation settings for adults pre-selected (see chapter 3.2.5) Ventilation settings for children pre-selected (see chapter 3.2.5) Ventilation settings for preterm infants and newborns preselected (see chapter 3.2.5) Non-invasive ventilation (see chapter 3.2.5) Invasive ventilation (see chapter 3.2.5)  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 20 Ethernet port Type BF applied part, defibrillator-protected The instructions in the operating manual must be observed Read operating manual Equipotential bonding Hazard symbol for ESD-sensitive parts Push lever up to unlock Manufacturer Manufacturing date Serial number  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 21 Humidity limits for storage and transport Atmospheric pressure limits for storage and transport Warning Do not use if the packaging is damaged Recyclable materials CE marking, indicates compliance with Directive 93/42/EEC concerning medical devices Tab. 3: Pictograms  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 22: Specifications
Dimensions (WxHxD) Weight Main device without 6.3 kg external battery Main device with 6.9 kg external battery Sound pressure level 46 dB (A) Sound power level 56 dB Maximum pressure 100 mbar (SFC) LIM, limit  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 23 The battery life of the ventilator is reduced at extreme temperatures. Brackets Ambulance bracket Dimensions 380 x 360 x 118 mm (W x H x D) Weight 3.5 kg Connections: 12 – 28 V DC  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 24 Spontaneous respiration with continuous positive airway pressure DUOPAP Ventilation support at two different pressure levels Volume-controlled continuous mandatory ventilation VC-CMV VC-SIMV Volume-controlled synchronized intermittent mechanical ventilation nPC-CMV Non-invasive pressure-controlled mandatory ventilation Non-invasive pressure-controlled synchronized nPC-SIMV intermittent mandatory ventilation  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 25 150 – 500 ml ventilation) 500 – 1000 ml 1000 – 2000 ml Flow limit Flow limitation 5 -30 / Off l/min Tinsp Inspiration time 0.2 – 30 s Texp Expiration time 0.2 – 30 s  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 26 : V = 4.0 ml +15%) (STPD, accuracy 0 – 3000 VTspon 0 – 3000 VTleak 0 – 100 l/min 0.01 0 – 999 MVspon l/min 0.01 0 – 999 Accuracy assumes an ambient temperature of 0 – 40° C.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 27 (see manufacturer data sheet for accuracy of MASIMO sensors) Pulse 0 – 239 (above "---") 0 – 100% 0.01 0.02 – 0.99 1 – 9.9% 10 – 20% SpM et 0 – 100 SpCO 0 – 100 SpOC ml/dl 0 – 35  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 28 0/ 250/ 500/ 750/ 1000 0/ 50/ 100/ 150/ 200 0/ 25/ 50/ 75/ 100 V' (l/min) [l/min] −200/ −100/ 0/ +100/ +200 −100/ −50/ 0/ +50/ +100 −50/ −25/ 0/ +25/ +50 −25/ −12.5/ 0/ +12.5/ +25  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 29 1 – 97 2 – 98/Off SpOC ml O 1 – 33 2 – 34, Off SpHb g/dl 2 – 24.5 Alarms Visual, acoustic, plain text message Sound Minimum setting 72 dB(A) Maximum setting 80 dB(A)  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 30 0.48 cmH₂O 7.5 l/min 0.63 cmH 10 l/min 0.78 cmH₂O 50 ml HME filter Air filter volume Adults Connections 22m/15f patient-side 22f/15m machine-side Luer lock Pressure drop at 50 l/min 0.2 kpa (EVE Consumption-free measurement  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 31 Exp. resistance (15 l/min) 0.0633 hPa/l/min Pediatrics Compliance 1.03 ml/hPa art. no.: Insp. resistance (15 l/min) 0.116 hPa/l/min 107061124 Insp. resistance (2.5 l/min) 0.076 hPa/l/min Exp. resistance (15 l/min) 0.12 hPa/l/min Exp. resistance (2.5 l/min) 0.1 hPa/l/min  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 33: Safety Instructions
Identifies potentially dangerous situations that may result in minor or moderate injury to the patient or user or damage to the medical device if not avoided. NOTE Identifies additional information that is useful for device operation and intended to avoid problems during use.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 34: Danger
Do not use any combustible or anesthetic gases. DANGER Use of the device in the vicinity of magnetic resonance imaging systems may degrade its functionality, which can potentially put the patient and operator at risk.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 35: Warning
If the ventilator is to be operated with additional O , the O supply pressure must be 2.8 – 6 bar (see chapter 1.9). WARNING The displayed O concentration is not a measurement. Instead, the gas concentration is calculated from the flow rates.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 36 Therefore, do not use antistatic or electro-conductive patient tubing or lines. WARNING Never pull on patient tubing or electrical cables. This may cause the device to tip over or drop.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 37 PC-CMV in the case of suction. To prevent the occurrence of negative pressures, the PEEP must be set to a minimum of 4 mbar. WARNING Treat the individual parts carefully to avoid mechanical damage. Only use correctly prepared parts to operate the device.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 38 When adding system components or sub-assemblies to the ventilation system of the ventilator, the pressure gradient across the ventilation system, measured at the patient connection port, may negatively affect the performance data of the ventilator.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 39 If adjacent or stacked use is necessary, the medical electrical equipment or system should be monitored to verify its intended operation in the configuration in which it is used. WARNING No modifications to the EVE are permitted without the manufacturer's authorization!  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 41: Design And Functional Description
Design and functional description Design and functional description Front view Fig. 1: Front view 1 Touchscreen display 4 Function buttons 2 Transport handle with alarm 5 Control knob indicator 3 Control panel 6 Removable display cover  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 42: Alarm Indicator
Fig. 2: Front view with display cover 3.1.1 Alarm indicator The alarm indicator in the transport handle notifies the user about alarm occurrences. It flashes yellow for medium priority alarms and red for high priority alarms.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 43: Control Panel
0.5 s will then start or switch to the selected ventilation mode. Pressing this key will start ventilation using the standard parameters for Fast tracking key for preterm infants and preterm infants and newborns (see chapter 6.6). newborns  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 44 Pressing the key again after 5 s has passed will start a new 2 minute countdown. NOTE During therapeutic procedures, the acoustic alarm can be completely suppressed for 2 min by pressing the alarm suppression button before the occurrence of the first alarm.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 45 The internal batteries are charged automatically as needed. The battery charge indicators tell you the current battery level. The indicator is green when an oxygen cylinder with sufficient fill Oxygen supply indicator pressure is connected.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 46: Function Buttons
At the same time, the display for the set oxygen concentration changes to the pre-set “Preoxy” value. The alarm limits for oxygen concentration are adjusted automatically. The button is green while pre-oxygenation is in progress.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 47 Pressing the control knob for three seconds will lock the touchscreen. Lock/unlock touchscreen Press the control knob again for three seconds to unlock the touchscreen. When you tap the locked touchscreen, a lock icon appears in the "System Settings" field (see chapter 3.2.7).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 48 It can be selected using the touchscreen or by pressing the control knob again. When changing a numeric parameter, the control knob must be used to confirm this in order to accept the modified value.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 49: Touchscreen Monitor
8 Measurement value display (ventilation mode and flow sensor with alarm limits display and selection) 5 System field 9 Time display (Access system settings / touchscreen lock state indicator) 6 System field (Energy supply indicator)  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 50: General Information About Touchscreen Navigation
When selected, the color of a function field/tab changes from green to white. In case of navigation, no further confirmation is necessary. For safety-relevant functions (e.g. when changing the ventilation mode), a second button appears for confirming the selection. Fig. 7: Selecting a function field  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 51: Setting Options And Parameters
Selecting a parameter field changes its color to yellow. The value can Parameter now be changed using the control knob. Pressing the control knob again will accept the value, and the field color changes back to gray. Fig. 9: Changing values  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 52: Functions In The System Settings Menu
Fig. 10: "Return" field Single drop-down box Pressing a drop-down box opens a list of possible options below the box. Use the control knob or touchscreen to make a selection. Fig. 11: Single drop-down box  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 53 The change is discarded. Fig. 13: "Close" field NOTE Except for the menu for setting the ventilation parameters (see chapter 3.2.3.6), a menu can also be closed by selecting any other menu or a field on the touchscreen.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 54: Measured Value Display
Five measured values are displayed. Three sets of 5 measured values each are available. Only one set can be displayed at a time. Use the function field to switch between the sets (see chapter 3.2.3.1).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 55 VTleak Leak Flow V´min Minimum flow l/min V´max Maximum flow l/min Time Tinsp Inspiration time Texp Expiration ftotal Total respiratory rate 1/min (mechanical + spontaneous respiratory rate) fspon Spontaneous respiratory rate 1/min Inspiration time ratio  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 56 (HP alarm) or yellow (MP alarm), depending on the alarm priority. In addition, an error message appears in the status, alarm, and info display. Fig. 15: Color change when alarm limits are breached  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 57: Function Fields
(see chapter 3.2.2). The active set is indicated by a number in the function field. 3.2.3.2 Values Pressing this function field opens the "Values" sub-menu. This provides an overview of the measured values currently determined by the Values ventilator. Fig. 17: Values sub-menu  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 58 The last 1000 values can be displayed on the monitor. In total up to 1100 entries can be saved in the device. If this value is exceeded, the oldest entries are automatically overwritten. NOTE The logbook data can be saved on the internal SD card (see chapter 4.4.9).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 59: Alarms
If an inactive alarm recurs, it becomes current and appears in the alarm history. Manually deleting an inactive alarm from the alarm history moves the next internally stored alarm into the on-screen alarm history.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 60 If limits are breached during the current ventilation, the corresponding parameter field turns yellow or red, depending on the alarm priority. Fig. 19: Alarms sub-menu 1 Name and unit 3 Current measured value 2 Upper limit 4 Lower limit  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 61 Adult: Child: Child: (PC mode) Preterm infants Preterm infants and and newborns: newborns: 0.42 0.78 fspon 1/min Apnea mmHg EtCO Vol.% Set value −10% Set value +10% minimum maximum 100% Tab. 6: Preset alarm limits  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 62 4 – 60 Pulse 30 – 230 35 – 235/Off 1 Tab. 7: Adjustable alarm limits Auto Pressing the »Auto« field sets the PAW, MVe, VTe, EtCO and PEEP limits to the system's automatic alarm limit presets.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 63 If configured in the setup menu, the alarm limits for FiO , PAW LOW and PEEP are always set automatically. Parameter Unit Lower limit Upper limit Set value −10 Set value +10 minimum 21% maximum 100% PEEP mbar Set value + 5  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 64 The settings are automatically saved when shutting down the device and are retained when restarting the device. When the mainboard software is updated, all settings in the menu are reset and may need to be manually reactivated.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 65 NOTE The "Apnea alarm activated" setting switches on each time the device is started and cannot be saved as the default value. Fritz Stephan GmbH recommends supplementing patient monitoring with external monitoring if the apnea alarm is deactivated.  Fritz Stephan GmbH...
Page 66: Maneuver
EVE now automatically detects the spontaneous breathing effort by the patient, closes the system and measures the P0.1 value. When the measurement is complete, the determined value appears in the display. The three most recent measured values are saved and displayed for reference purposes.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 67 When the bar graph is completely filled, the SpHb measurement can be performed by pressing the »Start« field. When the measurement is complete, the measured value appears on the display. The three most recent measured values are saved and displayed for reference purposes.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 68: Graph
Fig. 24: Configurable parameters for standard SIMV ventilation 1 Optionally selectable 2 Current ventilation mode additional functions for the indicator ventilation mode 3 Ventilation parameters  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 69: Parameter Display
Fig. 25: Parameter display for PC-CMV ventilation mode To change a parameter, select the corresponding field. The field then turns yellow. You can now change the value using the control knob.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 70: Ventilation Mode Display
5 Patient type 3 Additional function for 6 Icon for non-invasive ventilation mode ventilation Selecting this field opens a ventilation menu (see chapter 6.8) where you can adjust the settings to the current ventilation scenario.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 71: Energy Supply Indicator
Pictogram Meaning Green Capacity between 75 – 100% Yellow Capacity between 40 – 74% Capacity between 1 – 39% Tab. 9: Charge level indicator  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 72 3.2.7 System settings Fig. 29: "System Settings" field Pressing this field opens the "System Settings" sub-menu (see chapter 4). NOTE This field contains a lock icon if the touchscreen is locked (see chapter 3.1.3).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 73: Status, Alarm And Info Display
Preoxygenation display corresponding icon, and the preset preoxygenation time starts to count down. Nebulization display Pressing the »Aerosol« button (see chapter 3.1.3) displays the corresponding icon, and the preset nebulization time starts to count down.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 74: Graphic Display
The top field of the graphic display always shows the pressure curve. The remaining fields can be freely configured by selecting them. NOTE The system automatically adapts the scaling of the curves and scales to the current measured values.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 75: Configuring The Measurement Curves
Select a measurement curve on the display to change it. Fig. 33: Graphic display, changing the display A window with all available measurement curves (volume, flow, CO plethysmogram) opens. You can now select the desired option. Fig. 34: Selecting the measurement curve  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 76: Configuration Of Loops And Trends
Pressing the corresponding field lets you display the desired loop in the graphic display. Fig. 35: Selecting loops Pressing the »X« field closes the selection window and shows the loop including its measured values in the graphic display.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 77 Design and functional description Fig. 36: Loop (here V‘(P)) 1 Loop If the »Trends« field is selected, available options are displayed on the Trends right. Fig. 37: Trends selection 1 Monitoring time setting 2 Trend selection  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 78 Selectable trends Ppeak MVespon SPMet Pplat Vt spon ftotal Pulse SPMet Pplat/ PEEP Pmean Vt leak fspon SPCO Mve/ Mvespon PEEP SPOC ftotal/ fspon Tab. 11: Displayable trends  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 79: Left Side View
The maximum load of the attachment hook is 15 kg. Attachment hook It can be used to attach the EVE  a standard rail (10 x 25 mm)  hospital beds (Ø 38 mm)  Stretchers  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 80: Right Side View
Fig. 39: Right side view 1 Insp. = gas outlet opening 3 SpO sensor connection Inspiration tube connection 4 CO sensor connection 2 Exp. = gas return opening 5 Flow sensor connection Expiration tube connection 6 Aerosol nebulizer connection  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 81 ® Design and functional description Bottom view Fig. 40: Bottom view 1 Fan 2 Cover for the SD card slot  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 82: Rear View
Pressing the field shows the current charge level using LEDs. Reset button Pressing the Reset button causes the EVE to restart. However, it does not reset the ventilator to factory settings.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 83: Brackets
3.7.1 Ambulance bracket Fig. 42: Ambulance bracket 1 EVE attachment hook 4 Lock/unlock latch 2 EVE bracket 5 EVE safety catch 3 EVE interface 6 12/24 V on-board power supply input  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 84: Helicopter Bracket
(item 6) and then the bracket (item 2) lock into place with a click. To remove the ventilator, press the lock/unlock latch (item 5). The device releases and can be removed from the bracket.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 85: Carry System
5 Bag for tube system and accessories 3 Manometer WARNING Only use the original carry system from F H, otherwise device RITZ TEPHAN damage may result. 3.7.3.1 Built-in pressure regulator NOTE Observe the manufacturer’s service and operating manuals!  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 87: System Settings
Sensors  Display  Setup They are described below. NOTE Changes are automatically saved when exiting a sub-menu and remain in effect when restarting the device, with the exception of the Masimo Rainbow SET® parameters.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 88: System
System Settings System This lets you access the following sub-menus:  Info  Display  Time  Function Fig. 46: System  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 89: Info
Settings made in the "Display" sub-menu are also used when switching manually between day/night mode in the function area (see chapter 3.1.3). 4.1.3 Time and Date This sub-menu lets you set the date and time.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 90: Function
Lets you set duration of the preoxygenation (10 – 180 s) that is triggered when the »Preoxy« button is pressed. Setting for the inspiratory oxygen concentration administered when the Preoxy % »Preoxy« button is pressed. You can select an inspiratory oxygen concentration between 21 and 100%.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 91: Sensors
The configured settings are used for the current ventilation process when exiting the menu. The user-defined configuration for the Masimo sensors is not permanently saved. Restarting the ventilator will reset it to the factory settings.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 92: Settings
This lets you switch the frequency of the sensor from 50 Hz (default Frequency setting value) to 60 Hz. Selecting this function enables the acoustic pulse signal. Otherwise, the Smart Tone Smart Tone is disabled.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 93: Parameter
The number of measurement parameters is optional and can be configured upon customer request. Parameters not contained in the package are grayed out and not selectable. NOTE The SpOC parameter can only be selected if SpHb is activated.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 94: Spo
The signal averaging time can be set to 2 – 4, 4 – 6, 8, 10, 12, 14, or 16 s. Averaging Time The oximeter continuously measures the values over the preset time and then displays the mean value.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 95: Sphb
Medium (default), and Long. The oximeter continuously measures the values over the preset period and then displays the mean value. SpHb Precision This lets you set the signal precision to the following levels: 0.1 (default), 0.5, and 1.0.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 96: Capnometry
(optional). Fig. 53: Capnometry In addition, you can select the unit (mmHg, kPa, and Vol.%) and choose to run zero calibration on the sensor (see chapters 8.1.5 and 8.2.5). Fig. 54: Running zero calibration  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 97: Flow
Fig. 55: Configuring the flow sensor Select from the following settings for the flow sensor:  Adult  Infant (child)  PNT B  Furthermore, the flow trigger can be switched on or off here.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 98: Ventilation Tube System
Fig. 56: Presetting for the patient tube system ATTENTION Fritz Stephan GmbH explicitly recommends that only patient tube systems included in the list of accessories are used. Otherwise, ventilator function may be impaired! If it is necessary to use a non-standardized tube system that has not been tested by H, select the "Other Tube System"...
Page 99: Display
This sub-menu lets you configure the measured value display. Fig. 57: Display sub-menu 4.3.1 Measured values The three sets of the measured value display (see chapter 3.2.2) can be freely configured by the user in this sub-menu. Fig. 58: Configuring the measured values  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 100: Setup
The Setup menu lets you make changes and configure settings that directly affect the ventilator's therapy settings. For this reason, this area is protected by a 4-digit code 1948 to be entered on the touchscreen. Fig. 59: Entering the code  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 101: Oxygen Configuration
The "I:E/Tinsp," "Language," "Touchscreen," "Factory Settings," "Service Software," "Deep Sleep," "Logbook," and "Pressure units" fields are only available in Standby mode. 4.4.1 Oxygen configuration Select this option when using oxygen with a concentration of 93%. Oxygen93  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 102: I:e/Tinsp
Fig. 61: I:E/Tinsp configuration When you activate the "Display All Parameters" field, all current breathing cycling values are shown in the parameter display. Fig. 62: Parameter display with and without activated breathing cycling display  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 103: Language
This sub-menu lets you reset the EVE to factory settings by pressing the corresponding field followed by a restart. 4.4.6 Service Software Pressing the Start button will start the service software from the SD card.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 104: Deep Sleep Mode
The alarm volume must be selected so it can be heard over ambient noise. Otherwise, the patient may be put at risk because the user may not be able to hear acoustic indicators for existing alarms.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 105: Logbook
You can switch the protocol for the Patient Data Management System (PDMS) on or off here. 4.4.12 Pressure units The unit for the displayed pressure can be selected here. The following options are possible:   mbar   Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 107: Preparation For Use
CAUTION Immediately degrease equipment and facilities for oxygen that are contaminated by oil and grease using suitable solvents. Never work on oxygen equipment or facilities with dirty hands, gloves, or cloths.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 108: Connecting The Oxygen Cylinder
Pressurized gas cylinders must be protected from dangerous heating (> 50° C), e.g. from heaters or open flames. CAUTION Handle the valves of oxygen cylinders manually only and open them slowly. Always point the valve opening and handwheel away from the body.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 109 Except during use, oxygen cylinders may only be transported with an approved valve protector (e.g. cylinder cap) and if sufficiently protected against sliding or rolling. CAUTION Change the pressurized gas cylinder in time to ensure sufficient operating time.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 110: Sample Calculation: O Oxygen Consumption
Basic flow at 95% oxygen = 2 l/min The minute volume is calculated by multiplying the tidal volume with the �� respiratory rate: �� = �� ∗ �� = 500 �� ∗ 12 1/�� = 6 ��  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 111: Changing The Oxygen Cylinder
At very high temperatures the basic flow may rise, but due to the blower module the EVE can provide ventilation without any added oxygen at any time. 5.1.3 Changing the oxygen cylinder NOTE Before changing the pressurized gas cylinder, refer to the operating manual of the pressure regulator.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 112: Connection To The Central Gas Supply
The device can also be operated with an oxygen concentrator. Connect the O hose to the O quick coupling on the left side of device (see chapter ) and to the oxygen concentrator in accordance with the manufacturer instructions.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 113: Energy Supply Connection
12 V or 24 V using the ambulance or helicopter bracket. Connect the power plug to the 12/24 V socket on the back of the corresponding ambulance bracket (see chapters 3.7.1 and 3.7.2).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 114: Internal Energy Supply
The specified run time assumes a new battery with a capacity of 100%. The operating time can be affected by the age of the battery, the charging cycles, and the charge level and can therefore deviate from specifications.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 115: Charging The External Battery
Installing additional components may cause increased dead space, resistance, and compliance in the ventilation tube system. CAUTION A patient filter (HME filter) should not be used together with an external patient gas humidification system because this causes increased resistance.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 116: Eve Adults Emergency Single-Use Tube System
5.3.1 EVE adults emergency single-use tube system Fig. 66: EVE adult emergency single-use tube system 1 Tube system 4 Patient filter (optional) 2 Proximal expiration valve 5 Expiration valve adapter 3 Flow sensor for adults 6 Flow sensor adapter  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 117: Eve Pediatric Single-Use Tube System
Preparation for use 5.3.2 EVE pediatric single-use tube system Fig. 67: EVE pediatric single-use tube system 1 Tube system 4 Distal expiration valve 2 Flow sensor for children 5 Flow sensor adapter 3 Patient filter (optional)  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 118: Configuration For Use Of The Easyflow Ncpap System118
Do not tilt the expiration valve or press it in with force. Danger of breakage! lets you use both distal (away from the patient) and proximal (close to the patient) expiration valves.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 119: Connecting The Distal Expiration Valve
Flow sensor, adult 11 ml The flow sensor is connected between the expiration valve and the endotracheal tube (ETT). Fig. 69 and Fig. 70 show the additional connection of a CO sensor and a bacterial filter.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 120: Installing The Patient Filter
"Sensors/Flow" menu (see chapter 4.2.3). Installing the patient filter CAUTION Using a patient filter (HME filter) may increase (airway) resistance. In addition, the increased dead space volume when connecting a filter must be taken into account.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 121: Installing The Spo Sensor
Select the medication dose carefully. If the medication dose is too high, it may negatively affect the ambient air. CAUTION The accuracy of the ventilator may be impaired by the gas added by the nebulizer.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 122 Aerosol nebulization is automatically synchronized with inspiration. NOTE In volume-controlled mode, the volume is automatically compensated for during nebulization. For medication nebulization, install the nebulizer as shown in Fig. 71 and fill according to the operating manual provided with the nebulizer.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 123 "Function" menu (see chapter 4.1.4) in the system configuration. The nebulization ends automatically at the end of the set time or when pressing the button again. NOTE Follow the operating manual provided with the nebulizer for installation and filling!  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 125: Operation
The last safety check must have been carried out as scheduled. Visual check of the safety check sticker.  The device is completely assembled and connected.  The internal battery must be fully charged. DANGER Never operate device if it has failed one of the tests!  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 126: Test List
After 30 s, "O2 low!!" MP alarm level low set O level to 30%. appears Alarm: Connect test lung, set PAW UL to Airway pressure high!!! High pressure minimum, trigger peak pressure HP alarm appears. Tab. 13: Test list  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 127: Switching The Device On/Off
Sensor test External ADC channel 2 External ADC channel 9 External ADC channel 5 Difference between ADC channels 0 and 1 External ADC channel 7 Internal ADC channel 0 Test of the blower module Turbine test  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 128: Selftest Failed
A failed selftest means that the ventilator cannot currently be used. An error code appears. See chapter 10.2 for causes and information on troubleshooting. After the malfunction has been corrected, the selftest can be repeated. Fig. 73: Selftest failed  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 129: Standby Mode
(see chapter 3.1.2). These provide a quick and easy way to select the default ventilation parameters for preterm infants and newborns, children, and adults (see chapter 6.7.1).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 130: New Patient
Fig. 75: Selecting the patient type Press the »Confirm« button to save the settings and return the ventilator to the Standby screen. You can now select the »Start Ventilation« field. Press the »Mode Settings« field to change the ventilation mode.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 131: Ventilation Tube System
Otherwise, ventilator function may be impaired! If it is necessary to use a non-standardized tube system that has not been tested by H, select the "Other Tube System" option. Then enter the tube RITZ TEPHAN system's parameters manually.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 132: Default Ventilation Parameters
12 mbar 12 mbar Psupp 1 mbar 10 mbar 10 mbar Ramp time 0.1 s 0.2 s 0.2 s 5 ml 200 ml 500 ml Trigger Flow limit 9 l/min Tab. 14: Default ventilation parameters  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 133: Mode Settings
NOTE Volume alarms are not active during non-invasive ventilation methods. The "Mode Settings" menu first lets the user decide between invasive or non-invasive ventilation. Fig. 77: Mode Settings menu  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 134 License Neo mode required nDUOPAP License Neo mode required DUOPAP License Neo mode or NIV/DUOPAP required Spontaneous CPAP Standard nCPAP License Neo mode required Other therapy Standard High flow – O therapy Standard Tab. 15: Ventilation modes  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 135: Monitoring
For this purpose, the "Monitoring" field must be selected in the "Ventilation Settings" menu and the "SPO " field activated in the subsequent sub-menu. The Pleth and Pulse values are then displayed graphically. Fig. 78: Setting for SPO monitoring  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 136: Selecting The Ventilation Mode
This example uses invasive PC-SIMV to describe the selection of the ventilation mode. Proceed as follows:  Press the »Invasive« field in the menu. All available ventilation modes are displayed.  Select »PC-SIMV« and press the »Next« field. Fig. 79: Selecting the ventilation mode  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 137 Select a parameter. The parameter turns yellow. The value can now be changed using the control knob. Press the control knob or the »Confirm« field to complete your entry. Proceed analogously to configure the other ventilation parameters.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 138: Ending Ventilation
Ending ventilation To end the current ventilation process and switch to Standby mode, press and hold the »On/Off/Standby« button for 3 s (see chapter 6.2). Pressing the button for another 3 s turns the ventilator off.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 139: Ventilation Modes
A flow limit is available in NEO mode for non-invasive ventilation modes. The preset flow limit is 9 l/min. It can be set within a range of 5-30 l/min in the corresponding field or switched off completely. Fig. 82:Flow limit  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 140 Additional options Some ventilation modes provide additional options, such as  Pressure-regulated and volume-controlled ventilation (PRVC)  Pressure support ventilation (PSV)  Backup ventilation  Tube compensation  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 141 Spontaneous breathing is visualized in the curve display by a color Points to note in relation change in the ventilation curve. The color of the flow curve changes from to the visualization of magenta to orange. spontaneous breathing  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 142: Trigger Functionality
(optional). The "trigger threshold" is set in the »Trigger« field as flow in l/min. NOTE The internal flow trigger can be activated for all ventilation forms. The external flow sensor must first be switched off in the "Sensors/Flow" menu (see chapter 4.2.3).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 143: Mandatory Ventilation
The ETT positioned in the intubated patient's trachea prevents him from breathing. The smaller the diameter of the ETT, the more difficult it is to breathe in and out.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 144: Volume-Controlled Ventilation
"forces" the delivery of a preset inspiratory tidal volume. The ventilation pressure delivered changes with the mechanical parameters of the lungs. If compliance improves, the ventilation pressure needed to reach the selected tidal volume adjust to the lowest possible value.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 145 However, ETT leakage may prevent the total ventilator-delivered volume from reaching the lungs. Fig. 83: Volume-controlled ventilation VC-CMV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 146: Volume-Controlled Synchronized Intermittent Mandatory Ventilation (Vc-Simv)
In turn, too little distance to the respiratory gas flow signal can cause unintended triggering due to artifacts or leakage flows. For VC-SIMV, the EVE delivers a mandatory breath once an inspiratory flow reaches the preset trigger threshold.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 147 The actual total breathing frequency is shown in the "ftotal" measured value display of the monitor. This also shows the minute volume measurement as "MVtotal". Fig. 84: VC-SIMV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 148 4.4.2)  Positive end expiratory pressure (PEEP)  Tidal volume (VT)  Pressure support (Psupp) (relative set value with reference to PEEP)  Expiration trigger sensitivity (ETS) Tab. 19: VC-SIMV with PSV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 149: Pressure-Controlled Ventilation Modes
The lungs have now been filled within the time indicated on the time axis. The inspiratory pressure increase which can be set in the »Ramp time« field determines how the ventilation pressure reaches its maximum value within the inspiration time »Tinsp.«.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 150  Ramp time  Inspiration pressure (Pinsp) Tab. 20: PC-CMV NOTE The PC-CMV ventilation mode can be used with volume guarantee (PRVC) (see chapter 7.4.1). It also includes an option for tube compensation (see chapter 7.4.3).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 151: Non-Invasive Pressure-Controlled Mandatory Ventilation (Npc-Cmv)
 Inspiration time (Tinsp) and breathing frequency (the parameters for breathing cycling can be configured, see chapter 4.4.2)  Positive end expiratory pressure (PEEP)  Ramp time  Inspiration pressure (Pinsp)  Flow limitation (in NEO mode only) Tab. 22: nPC-CMV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 152: Pressure-Controlled Synchronized Intermittent Mandatory Ventilation (Pc-Simv)
As a result, the time by which the expiration time was reduced is added to the next following expiration times after each trigger event. This means that the average matches the mandatory base frequency set by the user.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 153 Tab. 23: PC-SIMV NOTE The PC-SIMV ventilation mode can be used with volume guarantee (PRVC) or pressure support (PSV) (see chapters 7.4.1 and 7.4.2). It also includes an option for tube compensation (see chapter 7.4.3).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 154  Inspiration pressure (Pinsp)  Positive end expiratory pressure (PEEP)  Ramp time  Pressure support (Psupp) (relative set value with reference to PEEP)  Trigger  Expiratory trigger sensitivity (ETS) Tab. 25: PC-SIMV with PSV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 155: Non-Invasive Pressure-Controlled Synchronized Intermittent Mandatory Ventilation (Npc-Simv)155
 Inspiration pressure (Pinsp)  Positive end expiratory pressure (PEEP)  Ramp time  Pressure support (Psupp) (relative set value with reference to PEEP)  Trigger  Expiratory trigger sensitivity (ETS) Tab. 27: nPC-SIMV with PSV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 156: Pressure-Controlled Assist/Control Ventilation (Pc-Acv)
 Inspiration time (Tinsp) and breathing frequency (f) (the parameters for breathing cycling can be configured, see chapter 4.4.2)  Inspiration pressure (Pinsp)  Positive end expiratory pressure (PEEP)  Ramp time  Trigger Tab. 28: PC-ACV NOTE  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 157: Non-Invasive Pressure-Controlled Assist/Control Ventilation (Npc-Acv)
 Inspiration time (Tinsp) and breathing frequency (the parameters for breathing cycling can be configured, see chapter 4.4.2)  Positive end expiratory pressure (PEEP)  Ramp time  Trigger Flow (in NEO mode only)  limitation Tab. 30: nPC-ACV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 158: Pressure-Controlled Assist/Control Ventilation + (Pc-Acv+)
The change to the PEEP level takes place either upon expiration of the set inspiration time or is patient triggered at incipient expiration by the patient. As a result, the patient controls the beginning, progress, and volume of the mechanically supported breath.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 159: Duopap
For this purpose, the »Trigger« field is used to set the trigger function. The flow trigger is used to initiate the changeover from the lower to the upper pressure level within a trigger window.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 160 This differentiates DUOPAP from other mixed ventilation modes where spontaneous and controlled breaths follow one after another. In addition, mechanical ventilation and spontaneous breathing can be combined simultaneously. Fig. 88: DUOPAP  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 161 4.4.2)  Positive end expiratory pressure (PEEP)  Ramp time  Pressure support (Psupp) (relative set value with reference to PEEP)  Trigger  Expiratory trigger sensitivity (ETS) Tab. 34: DUOPAP with PSV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 162: Non-Invasive Duopap (Nduopap)
(f) (the parameters for breathing cycling can be configured, see chapter 4.4.2)  Positive end expiratory pressure (PEEP)  Ramp time  Pressure support (Psupp) (relative set value with reference to PEEP)  Trigger Tab. 36: nDUOPAP with PSV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 163: Spontaneous Breathing
10 s opens. If an additional sufficient spontaneous breathing takes place during this time window, the respirator returns to normal CPAP ventilation. Ventilation mode Adjustable parameters  O CPAP  PEEP  Trigger  Backup Tab. 37: CPAP  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 164 Tab. 38: CPAP with backup Fig. 89: CPAP NOTE The CPAP ventilation mode can be used with pressure support (PSV) (see chapters 7.4.1 and 7.4.2). It also includes an option for tube compensation (see chapter 7.4.3).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 165: Ncpap
(PNT) in this mode. The pressure is measured proximally via the pressure measurement adapter set. Ventilation mode Adjustable parameters  O nCPAP  PEEP  Trigger  Backup  Flow limitation (in NEO mode only) Tab. 40: nCPAP  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 166: Therapy
Tab. 41: High-Flow ATTENTION The operating pressure, not the patient's inspiration pressure, is displayed on the ventilator. If the operating pressure is decreased via the PAW alarm limit, the flow to the patient also decreases.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 167: Additional Options For Ventilation Modes
»PEEP«, the inspiration time »Tinsp«, and the frequency »f« should be set as usual. In this case, however, the »VT« parameter field has special significance, because it is used to set the desired tidal volume.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 168 If lung compliance deteriorates, the ventilation pressure increases at maximum to the automatically set »Pmax«. As of this pressure, it will no longer be possible to apply the set tidal volume in full. The ventilator now reverts to pressure-controlled-only ventilation.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 169: Pressure Support Ventilation (Psv)
The ventilator uses the selected trigger threshold to detect the patient's inhalation efforts and then triggers a mandatory breath using the selected pressure support (Psupp). Without patient triggering, however, the ventilator does not provide pressure support.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 170 Expiration is initiated as soon as the flow has dropped to the previously set percentage for the inspiratory peak flow. The Expiration Trigger Sensitivity (ETS %) is used for this setting. Fig. 94: PC-SIMV with PSV parameter setting  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 171: Tube Compensation
The pressure in the tube system is visualized as a filled curve, the tracheal pressure as a single black line. Additional pressure support can significantly reduce the breathing effort for the patient. The following parameters must be set:  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 172 Ventilation modes  Compensation (%) Adjustable parameters  Tube diameter (mm) These settings can be configured directly in the respective ventilation menu. Fig. 96: Configuring tube compensation with PC-SIMV  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 173: Co 2 Measurement (Optional)
Data output The measuring data is output either numerically (see chapter 3.2.2) or graphically as curves on the display of the EVE (see chapter 3.2.9). Fig. 97: CO curve display  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 174: Measurement Using The Mainstream Technique
The IRMA™ CO analyzer is not designed for use as a standalone patient monitoring device. It must always be used in combination with other systems for monitoring the vital signs and/or together with professional patient observation.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 175: Specifications
It must always be used in combination with other systems for monitoring the vital signs. WARNING The IRMA™ probe may not be used with flammable anesthetics.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 176 The IRMA™ CO analyzer is not designed for use in MRI environments. WARNING Do not use the IRMA™ airway adapter together with metered-dose inhalers or medication nebulizers because this impairs the translucency of the adapter's view ports.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 177 The airway adapter must be replaced in case of moisture collection or condensation on the inside. WARNING Never make modifications to the device! WARNING Only use MASIMO brand IRMA™ airway adapters. WARNING Direct contact of the IRMA™ probe with the patient must be prevented.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 178: Installing The Co Measuring Probe
EVE monitor must be checked. Fig. 99: Airway adapter for adults/children and infants  Secure the IRMA™ probe to the IRMA™ airway adapter. The probe audibly locks into place when secured properly.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 179 Connect the socket of the airway adapter to the Y piece of the ventilation system. Fig. 102: Connecting the airway adapter's socket to the Y piece  Connect the socket of the airway adapter to the ETT tube.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 180 The gas section should be tested annually. NOTE After inserting the probe, a leakage test of the EVE patient system is recommended. WARNING The airway adapter must be replaced if moisture or condensation collect on the inside.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 181: Running Zero Calibration
4.2.2) to start the zero calibration. The probe's LED flashes green during zero calibration.  Every zero calibration must be followed by a functional test. If zero calibration is immediately followed by a "CO sensor zero calibration!" alarm, the procedure must be repeated.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 182: Probe Status Indicator
MASIMO ISA™ detector via a thin tube. This is where the measurement occurs. The benefit of this approach is that the weight near the ETT is not increased, reducing the risk of extubation. For this reason, this technique is particularly popular in pediatric and neonatal settings.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 183: Intended Use
It must always be used in combination with other systems for monitoring the vital signs and/or together with professional patient observation. 8.2.2 Specifications NOTE For detailed specifications about the MASIMO ISA™ CO analyzer, see the documentation included with the product.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 184: Warnings
Used disposable sample collection tubes must be disposed of as medical waste according to local regulations. WARNING Do not lift the ISA™ CO analyzer at the sample collection tube. This may cause the tube connection to detach, and the analyzer could drop onto the patient.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 185 Nomoline locking message appears on the EVE display. WARNING The ISA™ CO analyzer is not designed for use in MRI environments. During MRI scans, the analyzer must remain outside the MRI room.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 186 WARNING Do not create negative pressure in the Nomoline tube (e.g. using a syringe) to remove water condensation. WARNING Excessive positive or negative pressure in the patient system circuit.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 187 Do not position the ISA™ analyzer in a way where it is at risk of dropping onto the patient. WARNING Position the ISA™ analyzer securely to avoid device damage. WARNING Do not put strain on the ISA™ analyzer's cable.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 188: Installing The Isa™ Co Analyzer
"CO sampling line clogged!!" message appears on the EVE display. Fig. 106: Connecting the sample collection tube to the ISA™ CO analyzer 1 CO connection analysis adapter 2 Sample collection tube  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 189 The measured gas values should be checked regularly for accuracy by conducting comparative measurements. The gas section should be tested annually. NOTE After connecting the ISA™ CO analyzer, a leakage test of the EVE patient system is recommended.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 190: Running Zero Calibration
The status indicator of the ISA™ probe indicates the following operating states: LED color Meaning Green System ready for use Flashing green Zeroing in progress Sensor fault Flashing red Check sample collection tube Tab. 43: Status indicator  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 191: Cleaning The Co Analyzer
CAUTION Do not sterilize the ISA™ CO analyzer or submerge it in liquids. CAUTION The Nomoline sample collection tubes are not sterile. To prevent damage, do not autoclave any part of the sample collection tube.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 193: Functional Description
Optional MASIMO technology integration provides all Rainbow parameters. Furthermore, an optional non-invasive SpCO measuring procedure can be integrated. This allows immediate diagnosis of carbon monoxide poisoning and supports the user in patient treatment and monitoring tasks.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 194 Functional description Fig. 108: EVE pneumatics design  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 195: Troubleshooting
Alarm starts out as an MP alarm and becomes an HP alarm under defined conditions. HP alarms High priority alarm Flash frequency: 2 Hz Sequence Color code HP Notifications C-A-F-A-F C-A-F C2-B-A-G-F C2-B-A C2-C-C-C2-C C2-C-C C-C-C-C-C C-C-C  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 196 10 s. Run zero calibration for the CO sensor.  Clean the CO sensor; if necessary, replace the adapter  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 197  Check Δ Psupp setting  Paw limited by  Check Paw alarm Paw limited by PEEP PEEP settings  Check PEEP setting PEEP limited by  PEEP limited by  Check PEEP setting PEEPlim upper pressure alarm limit  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 198  Check Paw alarm limit  Ramp time limited  Check Pinsp setting Ramp limited by by Pinsp Pinsp  Check ramp time setting  Internal  Contact RTC error communication RITZ TEPHAN error customer service team  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 199  Check the settings and alarm limit for three adjust if necessary breaths  Check the alarm limits  Escalates to MP and adjust if necessary after 60 s  Check the tube system for leakage or disconnected parts  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 200  Battery 1  Check battery 1, replace Battery 1 temp. low undercooled if necessary  Do not operate the device at temperatures outside ambient conditions (see chapter 1.9).  Contact RITZ TEPHAN customer service  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 201  CO adapter  Replace the CO adapter Replace CO adapter malfunction or contamination sampling line  Sampling line is  Check the sampling line contaminated or clogged  Replace the sampling clogged line  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 202  Check the CO sensor sensor error detected  Replace the CO sensor  CO sensor or if necessary adapter  Use external CO contaminated. monitoring if necessary  CO sensor possibly incorrectly attached to the cuvette  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 203  In case of larger limit value deviations, contact F RITZ TEPHAN customer service Parameter error  Internal  Contact communication RITZ TEPHAN error customer service  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 204  If the blower frequency overheats, an HP  Reduce flow for O alarm is triggered therapy  Battery 1 and 2  Check the batteries, Battery 1 & 2 failure malfunction replace if necessary  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 205 PEEP level PAW alarm limit  Check the patient's  Airway tube kinked condition  Check the pressure alarm limits  Check the flow sensor and breathing tube  Check the ETT or mask  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 206  Check minute volume setting alarm limits  Leak  Check patient tube  Flow sensor system and connections malfunction for leakage  Check that the manual settings are correct, adjust if necessary  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 207  Check expiration valve for proper connection  Check mask and tube for proper connection P-Meas.: Check VBS  Pressure  Check patient tube measurement failure system Tab. 44: Troubleshooting  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 208: Selftest Error
 Check system for leakage  Check sealing plug on Y piece  If the error cannot be corrected, contact RITZ TEPHAN customer service, providing the error code displayed Tab. 45: Selftest error  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 209: Moisture In The Pnt B (Flow Sensor)
(see chapter 3.4) to let any moisture escape. Turn the measurement line connectors upward to prevent condensate Position the PNT from entering the measurement lines. Fig. 109: Turning the measurement line connectors upward  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 211: Care And Maintenance
CAUTION Do not sterilize the device in an autoclave, under pressure, or using ethylene oxide (EO). This will damage the device.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 212: Information About Cleaning Agents And Disinfectants
These agents can damage the device material and cause malfunctions. CAUTION Disinfectants based on amines and their derivatives can damage silicone parts (e.g. patient tubes) and are therefore not suitable for use on the device.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 213: Automated Cleaning And Disinfection
Load the automated cleaning and disinfection equipment in such a way that the inner and outer surfaces of the parts can be reached by the cleaning agent and no spots are missed.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 214 If necessary, repeat the cleaning and disinfection process. After this, dry the treated parts thoroughly (in a drying cabinet if necessary).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 215: Manual Cleaning And Disinfection
To manually clean the individual parts, pre-rinse them in warm water. Then clean the individual parts in the cleaning and disinfectant solution, if necessary using soft brushes or sponges. All secretions and other deposits and contamination must be completely removed.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 216: Cleaning And Disinfection Of Device Surfaces
WARNING When using wipe disinfection, ensure that no liquid enters the device. Liquid ingress can impair the operation of the device and thereby pose a risk to the patient.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 217: Sterilization
The hot steam sterilizer must be loaded according to the manufacturer’s instructions for use and the corresponding program started. Temperature Hold/dwell time 134° C 3 – 18 min. Tab. 47: Standard procedure for steam sterilization* *All standard steam sterilization procedures can be used.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 218: Carrying Out The Treatment
5. Dry the disinfected parts (in a drying cabinet if necessary), unless this happens inside the automated cleaning and disinfection equipment. Further information on automatic cleaning can be found in chapter 11.3.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 219 Further information on sterilization can be found in chapter 11.6. Storage After sterilization, store the system in the sterilization packaging, first ensuring it is dry and free of contamination. Additional information None  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 220: Preparing The Pnt B
2. Carefully pull both vortex bodies out on both sides of the flow sensor using the assembly tool. Preparing the PNT B Fig. 110: Preparing the PNT B Pressure measurement line Vortex body Connector 1 Hook Connector 2 PNT B assembly tool Pneumotachograph  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 221: Post-Treatment
3. Attaching the vortex bodies to the assembly tool Post-treatment PNT B Fig. 111: Post-treatment PNT B 4 PNT housing 5 Vortex body O-ring of the vortex body 7 Assembly tool b Flat end of the assembly tool 8 Concentric tube system  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 222 Preparation for use of connection (3) marked with "P" on the reusable flow sensor adapter. the flow measurement 4. Connect the second pressure measurement line to the second adapter (reusable) connection (4) on the reusable flow sensor adapter.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 223 If this occurs, the measurement results for tidal volumes and minute volumes will be incorrect. Before using the flow sensor, leak and functional checks must be Function test performed (see chapter 7 of the operating manual).  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 224: Test Lung Neo With Tube Adapter
1. Check for residual water and carefully purge with sterile compressed air if necessary. 2. Connect the tube adapter and tube sleeve to the silicone tube. 3. Connect the connection tube to the test lung together with the tube adapter and tube sleeve  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 225 Storage After sterilization, store the system in the sterilization packaging, first ensuring it is dry and free of contamination. Additional information None  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 226: Treatment Table
Observe the manufacturer’s operating weekly manual! After every patient/ Test lung Neo with weekly tube adapter Reusable After every patient/ weekly expiration valve After every patient/ Reusable patient tube system weekly Type B After every patient/ weekly pneumotachograph  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 227: Safety Checks
All maintenance  Basic maintenance (annually)  Major maintenance (every five years) must be performed according to maintenance instructions by the authorized F H customer service team. RITZ TEPHAN  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 228: Servicing
TEPHAN ATTENTION Use only spare parts from F H for servicing, otherwise device RITZ TEPHAN damage may result. The following procedures must be performed regularly to ensure that the ventilator is operational at all times:  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 229 This involves completely discharging and recharging battery twice in a row Replacement after 500 load Authorized cycles, or if the battery capacity is RITZ TEPHAN below 50% after full charging customer service team Tab. 49: Servicing  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 230: Procedure
Remove the screw on the left side panel. Fig. 115: Removing the screw on the side panel  Slightly lift the housing cover and remove.  Replace the coarse filter. Fig. 116: Replacing the coarse filter  Replace the housing cover.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 231: Replacing The Hepa Filter
Install the new HEPA filter.  Replace side panel and coarse filter. 11.11.1.3 Replacing the fan filter  Remove the screw on the right side panel. Fig. 118: Removing the screw on the side panel  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 232 Fig. 119: Replacing the filter element NOTE When replacing the filter element, observe the correct installation direction. The filter has a slit on the front left side.  Replace and screw on the fan cover.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 233: Replacing The External Battery
Replacing the external battery To replace the external battery 2 (optional), squeeze together the two tabs on the rear of the battery. This automatically releases the battery from the device for replacement. Fig. 120: Replacing the external battery  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 235: Electromagnetic Emissions And Immunity
CISPR 11 low-voltage power supply network that also supplies Harmonics as defined in Class B buildings used for domestic purposes. IEC 61000-3-2 Voltage fluctuations/flicker as defined in IEC 61000-3-3 Tab. 50: Electromagnetic emissions (IEC 60601-1-2)  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 236: Electromagnetic Immunity
IEC 61000-4-4:2012 Surges as defined in +1 kV +1 kV Mains power quality should be IEC 61000-4-4:2012 Line-to-line Line-to-line that of a typical commercial or hospital environment. +2 kV +2 kV Line-to-earth Line-to-earth  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 237 ISM bands Conducted RF 10 V 10 V  effective value effective value disturbances as 150 kHz to 80 MHz defined in in ISM bands IEC 61000-4-6  for 80 MHz to 800 MHz  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 238 If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the ventilator. Over the frequency range 150 kHz to 80 MHz, field strength is less than 10 V/m.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 239: Recommended Separation Distance
These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. Tab. 52: Recommended separation distance (IEC 60601-1-2, Table 5)  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 241: Accessory List
107061360 Helicopter bracket with charging electronics 24 V DC 107061370 Docking station Light 107061660 EVE pressure regulator including connection tube 107063001 connection hose, 3 m, phthalate-free 110261270 DIN-NIST, EN 5359 safety tube, 2 m 170460434  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 242 O2 safety tube, 2 m 1 70460425 nasal cannula child, incl. O2 safety tube, 2 m 1 70060428 Headband for children's breathing mask 170060007 Headband for adult breathing mask 170060008 Small mask ring for breathing mask, size 0–1 170060005  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 243 Air-Soft breathing mask, size 5 (large adult) 170060037 Pediatric test lung, silicone, 30 ml, including tube adapter for 170060092 connection to Y piece Test lung GaleMed with adapter (Fritz Stephan GmbH) 107061207 Description Art. no. EasyFlow_nCPAP system Prongs (PU: 5) ...
Page 244 Accessory list Description Art. no.  170161024  170161025  170161026  170161027  170161028  170161029 Headband complete with 2 fixing straps and forehead pad (PU:1)  micro 170161040  mini 170161041  maxi 170161042  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 245: Warranty
See the corresponding chapters in this operating manual for additional information. Only F H or authorized professionals are allowed to RITZ TEPHAN manipulate or repair the device. Non-compliance voids the warranty. Improper handling of the device also voids the warranty.  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 247: List Of Figures
Fig. 25: Parameter display for PC-CMV ventilation mode ..... 69 Fig. 26: Invasive ventilation mode ............70 Fig. 27: Non-invasive ventilation ............70 Fig. 28: Energy supply indicator ............. 71 Fig. 29: "System Settings" field .............. 72  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 248 Fig. 56: Presetting for the patient tube system ........98 Fig. 57: Display sub-menu ..............99 Fig. 58: Configuring the measured values ..........99 Fig. 59: Entering the code ..............100 Fig. 60: Setup menu ................101 Fig. 61: I:E/Tinsp configuration ............102  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 249 Fig. 88: DUOPAP ................. 160 Fig. 89: CPAP ..................164 Fig. 90: PC-SIMV with PRVC parameter setting ......... 168 Fig. 91: PRVC ..................169 Fig. 92: PSV ..................170 Fig. 93: PC-SIMV with PSV parameter setting ........170  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 250 Fig. 116: Replacing the HEPA filter ............. 231 Fig. 117: Removing the screw on the side panel ........231 Fig. 118: Replacing the filter element ........... 232 Fig. 119: Replacing the external battery ..........233  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 251: List Of Tables
Tab. 24: PC-SIMV with PRVC ............. 154 Tab. 25: PC-SIMV with PSV ..............154 Tab. 26: nPC-SIMV ................155 Tab. 27: nPC-SIMV with PSV .............. 155 Tab. 28: PC-ACV .................. 156 Tab. 29: PC-ACV with PRVC .............. 157  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 252 Tab. 47: Treatment table ............... 227 Tab. 48: Servicing ................. 229 Tab. 49: Electromagnetic emissions (IEC 60601-1-2) ......235 Tab. 50: Electromagnetic immunity (IEC 60601-1-2) ......237 Tab. 51: Recommended separation distance (IEC 60601-1-2, Table 5) 239  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 253: Notes
® Notes Notes  Fritz Stephan GmbH GA-070T-0518V2.7-HAO-EN...
Page 254 Fritz Stephan GmbH - Medizintechnik - Kirchstraße 19 56412 Gackenbach  +49 (0)6439 9125 – 0  +49 (0)6439 9125 – 111  info@stephan-gmbh.com  www.stephan-gmbh.com...

Stephan EVETR Instructions For Use Manual

1 General Information

2 Safety Instructions

3 Design and Functional Description

4 System Settings

5 Preparation for Use

6 Operation

7 Ventilation Modes

8 CO 2 Measurement (Optional)

9 Functional Description

10 Troubleshooting

11 Care and Maintenance

12 Electromagnetic Emissions and Immunity

13 Accessory List

14 Warranty

15 List of Figures

16 List of Tables

17 Notes

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