Professional Documents
Culture Documents
TBird® Series
Ventilators
Warranty
TBird ventilation systems are warranted to be free from defects in material and workmanship and to
meet the published specifications for two (2) years or 8,000 hours, whichever occurs first.
The liability of Bird Products under this warranty is limited to replacing, repairing or issuing credit, at the
discretion of Bird Products, for parts that become defective or fail to meet published specifications
during the warranty period; Bird Products will not be liable under this warranty unless (A) Bird Products
is promptly notified in writing by Buyer upon discovery of defects or failure to meet published
specifications; (B) the defective unit or part is returned to Bird Products, transportation charges prepaid
by Buyer; (C) the defective unit or part is received by Bird Products for adjustment no later than four
weeks following the last day of the warranty period; and (D) Bird Product's examination of such unit or
part shall disclose, to its satisfaction, that such defects or failures have not been caused by misuse,
neglect, improper installation, unauthorized repair, alteration or accident.
Any authorization of Bird Products for repair or alteration by the Buyer must be in writing to prevent
voiding the warranty. In no event shall Bird Products be liable to the Buyer for loss of profits, loss of
use, consequential damage or damages of any kind based upon a claim for breach of warranty, other
than the purchase price of any defective product covered hereunder.
Bird Products warranties as herein and above set forth shall not be enlarged, diminished or affected by,
and no obligation or liability shall arise or grow out of the rendering of technical advice or service by
Bird Products or its agents in connection with the Buyer's order of the products furnished hereunder.
Limitations of Liabilities
This warranty does not cover normal maintenance such as cleaning, adjustment or lubrication and
updating of equipment parts. This warranty shall be void and shall not apply if the equipment is used
with accessories or parts not manufactured by Bird Products or authorized for use in writing by Bird
Products or if the equipment is not maintained in accordance with the prescribed schedule of
maintenance.
The warranty stated above shall extend for a period of two (2) years from date of shipment or 8,000
hours of use, whichever occurs first, with the following exceptions:
1. Components for monitoring of physical variables such as temperature, pressure, or flow are
warranted for ninety (90) days from date of receipt.
2. Elastomeric components and other parts or components subject to deterioration, over which Bird
Products has no control, are warranted for sixty (60) days from date of receipt.
3. Internal and optional external batteries are warranted for ninety (90) days from the date of
receipt.
The foregoing is in lieu of any warranty, expressed or implied, including, without limitation, any warranty
of merchantability, except as to title, and can be amended only in writing by a duly authorized
representative of Bird Products.
Notices
Copyright Notice
Copyright © 2002 Bird Products Corporation, a subsidiary of VIASYS Healthcare, Palm Springs,
California.
This work is protected under Title 17 of the U.S. Code and is the sole property of Bird Products
Corporation. No part of this document may be copied or otherwise reproduced, or stored in any
electronic information retrieval system, except as specifically permitted under U.S. Copyright law,
without the prior written consent of Bird Products Corporation. For more information, contact:
Trademark Notices
TBird is a registered trademark of Bird Products Corporation, a subsidiary of VIASYS Healthcare, in
the United States and some other countries. All other brand names and product names mentioned in
this manual are trademarks, registered trademarks, or trade names of their respective holders.
EMC Notice
This equipment generates, uses, and can radiate radio frequency energy. If not installed and used in
accordance with the instructions in this manual, electromagnetic interference may result. The
equipment has been tested and found to comply with the limits set forth in EN60601-1-2 for Medical
Products. These limits provide reasonable protection against electromagnetic interference when
operated in the intended use environments described in this manual.
MRI Notice
This equipment contains electromagnetic components whose operation can be affected by intense
electromagnetic fields.
Do not operate the ventilator in an MRI environment or in the vicinity of high-frequency surgical
diathermy equipment, defibrillators, or short wave therapy equipment. Electromagnetic interference
could disrupt the operation of the ventilator.
Regulatory Notice
Federal law restricts the sale of this device except by or on order of a physician.
Safety Information
Please review the following safety information prior to operating the ventilator. It lists warnings,
cautions, and notes pertinent to the safe operation of the ventilator. Attempting to operate the ventilator
without fully understanding its features and functions may result in unsafe operating conditions.
If you have a question regarding the installation, set up, operation, or maintenance of the ventilator,
contact Bird Products Technical Support as shown in Appendix A Contact & Ordering Information.
Terms
WARNINGS identify conditions or practices that could result in serious adverse reactions or
potential safety hazards.
CAUTIONS identify conditions or practices that could result in damage to the ventilator or other
equipment.
NOTES identify supplemental information to help you better understand how the ventilator
works.
Warnings
The following warnings apply any time you work with the ventilator.
• To avoid explosion, do not operate the ventilator in the presence of flammable anesthetics or
in an atmosphere of explosive gases. Operating the ventilator in flammable or explosive
atmospheres may result in fire or explosion.
• To avoid personal injury and the risk of electric shock, as well as damage to the ventilator, do
not operate the ventilator with its covers or panels removed. Refer all servicing to a Bird
Certified Service Technician.
• All electromechanical systems are subject to malfunction or failure from both internal and
external causes. Although the ventilator has been designed to detect and notify you of various
conditions by means of alarms, and to shut down in case of possible unsafe operating
conditions, anyone operating the ventilator should be trained to respond with a well-rehearsed
procedure to provide emergency ventilation in case the ventilator ceases to operate.
• Care should be taken to ensure that the patient does not disconnect from the patient breathing
circuit. Such disconnections could be hazardous to the patient.
• Use an accurate oxygen analyzer having high and low alarms to monitor oxygen
concentrations. This is required to ensure the desired fraction of inspired oxygen (FiO2) is
being delivered to the patient. Consult a physician to determine the desired concentration of
inspired oxygen to be delivered.
• Do not attach a one-way check valve to the outlet of the exhalation valve. Doing so may
adversely affect the operation of the ventilator and may be harmful to the patient.
• Do not operate the ventilator without setting the adjustable alarms. All adjustable alarms must
be set to ensure safe operation. Ensure that all critical alarms, such as the Low Pressure
alarm, have been set.
• Operating an improperly functioning ventilator may be harmful to the patient or operator. If the
ventilator does not start up properly, or fails to pass the User Verification Tests (described in
Chapter 7), remove it from service and contact your Bird Certified Service Technician.
• Do not operate the ventilator unless you are trained to do so. The ventilator is a restricted
medical device intended for use by qualified, trained personnel under the direction of a
physician. Operation by untrained personnel may result in unsafe operating conditions.
• Do not operate the ventilator unless qualified personnel are in attendance to promptly respond
to alarms, inoperative conditions, or sudden malfunctions. Patients on life-support equipment
should be visually monitored at all times. Qualified personnel should be prepared to provide an
alternate form of ventilation, if needed.
• Lower air density at higher altitudes will effect tidal volume delivery and exhaled tidal volume
measurements. Please refer to Chapter 6, Special Functions, for details on how to
compensate for higher altitudes.
• Do not ignore audible alarms occurring at the ventilator. Alarms indicate conditions that require
your immediate attention.
• Do not try to service or repair an improperly functioning ventilator yourself. Contact your Bird
Certified Service Technician for all repairs and service.
• Do not use parts, accessories, or options that have not been authorized for use with the
ventilator. Using unauthorized parts, accessories, or options may be harmful to the patient or
damage the ventilator.
• Do not connect the ventilator to a patient without first pressure testing the patient breathing
circuit (see Chapter 7, User Verification Tests). Failing to pressure test the patient breathing
circuit may result in injury or inadequate therapy. If using a heated humidifier be sure to
include it in the circuit when pressure testing.
• Check the exhalation valve diaphragm daily. A worn or damaged exhalation valve diaphragm
may result in improper patient ventilation. Replace the diaphragm as necessary.
• Check all audible and visual alarms daily to make sure they are operating properly. If an alarm
fails to activate, contact your Bird Certified Service Technician.
• Although the system will continue to ventilate with a XDCR FAULT alert, the accuracy of the
tidal volume, minute volume, and pressure measurements may be reduced. Remove the
ventilator from service and contact your Bird Certified Service Technician.
• Make sure the High Pressure alarm limit is not set above the Over Pressure Relief setting.
Otherwise, a HIGH PRES alarm will not occur and the patient may be subjected to sustained
high pressures.
• Although the system continues to ventilate when a NO CAL DATA alert is present, the
accuracy of the volume and pressures may be reduced. The system may generate pressures
and volumes that are inconsistent with the front panel settings. Remove the ventilator from
service and contact your Bird Certified Service Technician.
Cautions
The following cautions apply any time you work with the ventilator.
• A protective ground connection by way of the grounding conductor in the power cord is
essential for safe operation. Upon loss of protective ground, all conductive parts, including
knobs and controls, which may appear to be insulated, can render an electric shock. To avoid
electrical shock, plug the power cord into a properly wired receptacle, use only the power cord
supplied with the ventilator, and make sure the power cord is in good condition.
• To avoid fire hazard, use only the fuse specified in the ventilator’s parts list and is identical in
type, voltage rating, and current rating to the existing fuse. (See the TBird Ventilator Series
Service Manual, P/N L1314, for more information). Fuses should only be changed by a Bird
Certified Service Technician.
• To minimize the potential for electrostatic shock, do not use anti-static or electrically
conductive hoses and tubing with the ventilator.
• Run the User Verification Tests (described in Chapter 7) prior to clinical application, at least
once a month (or as specified by your department guidelines), and any time you suspect the
ventilator is not operating properly.
• Do not store the ventilator in hot areas for prolonged periods of time. Temperatures above
80°F (27 °C) can shorten battery life. Failing to charge the ventilator while in storage may also
shorten battery life.
• When the integrity of the external power earth conductor arrangement is in doubt, operate the
ventilator from its internal battery or the optional external battery.
• The maximum voltage that can be applied to the Patient Assist Call modular connector is 25
volts rms or 31 VDC.
The following cautions apply when cleaning the ventilator or sterilizing ventilator accessories.
For more information, see Chapter 9, Cleaning And Sterilization.
• Do not clean or dry the ventilator with a high-pressure air gun. Applying high-pressure air to
the ventilator may damage the internal components of the pneumatic circuit and render the
ventilator inoperable.
• Do not over clean the ventilator. Repeated use of a cleaning agent can cause residue build-up
on critical components. Excessive residue build up can affect ventilator performance.
• Do not wash, rinse, soak, pasteurize, ethylene-oxide sterilize, or immerse the Bird Products
main flow bacteria filter in liquid sterilizing agents. Use a steam autoclave to sterilize the main
flow bacteria filter.
• Do not sterilize the ventilator. Standard sterilization techniques may damage the ventilator.
• Do not use cleaning agents that contain phenols, ammonium chloride, chloride compounds, or
more than 2% glutaraldehyde. These agents may damage the ventilator’s plastic components
and front panel overlay.
• When cleaning the ventilator:
Symbols
The following symbols may be used on the instrument or in accompanying documentation.
Symbol Compliance Meaning
Symbol #5032 IEC 60417 This symbol is located on the rating plate. It indicates the equipment is
Symbol #01-14 IEC 30878 suitable for alternating current.
Table of Contents
Revision History ................................................................................................................................... 3
Warranty ................................................................................................................................................ 4
Notices................................................................................................................................................... 5
Copyright Notice.............................................................................................................................................................. 5
Trademark Notices .......................................................................................................................................................... 5
EMC Notice ..................................................................................................................................................................... 5
MRI Notice....................................................................................................................................................................... 5
Intended Use Notice........................................................................................................................................................ 6
Regulatory Notice............................................................................................................................................................ 6
Declaration of Conformity Notice..................................................................................................................................... 6
Safety Information ................................................................................................................................ 7
Terms .............................................................................................................................................................................. 7
Warnings ......................................................................................................................................................................... 7
Cautions .......................................................................................................................................................................... 9
Symbols......................................................................................................................................................................... 11
Table of Contents ................................................................................................................................12
Chapter 1 Introduction ........................................................................................................................15
TBird Series Models, Options & Configurations ............................................................................................................ 15
Requirements to Operate a TBird Ventilator ................................................................................................................. 16
What to Do if the Ventilator Fails................................................................................................................................... 16
Operator Replaceable Components.............................................................................................................................. 17
Chapter 2 Controls and Displays ......................................................................................................19
How To Set a Control .................................................................................................................................................... 19
Front Panel - Monitor Section........................................................................................................................................ 22
Front Panel - Alarm Section .......................................................................................................................................... 22
Front Panel - Control Section ........................................................................................................................................ 24
Front Panel - Power Section ......................................................................................................................................... 28
Front Panel - Special Control Section ........................................................................................................................... 30
Front Panel - Patient Connectors .................................................................................................................................. 33
Rear Panel .................................................................................................................................................................... 34
Chapter 3 Monitored Parameters .......................................................................................................37
Chapter 4 Alarms and Alerts ..............................................................................................................39
The AVS Series Ventilator is available in three configurations: AVS, AVS II and AVS III. The AVS and
AVS II can easily be upgraded in the field using Configuration Memory Cards. The VS and VSO2
ventilators are excellent for critical care and sub-acute care environments. The TBird Legacy ventilator
completes the family as a homecare capable version. Packaged in a compact, lightweight unit, the
TBird Ventilators provide all the features you would expect in larger ventilators.
WARNING
Do not operate the ventilator unless qualified personnel are in attendance to promptly respond to alarms,
inoperative conditions, or sudden malfunctions. Patients on life support equipment should be visually monitored at
all times. Qualified personnel should be prepared to provide an alternate form of ventilation, if needed.
Variable Controls
These controls are used to set ventilation parameters and alarms. Set the control by pressing the
button located below its display. While the control is selected, all other control displays are dimmed.
Turn the front panel control knob until the desired setting appears in the control’s display. The new
setting takes effect upon the next breath. The other controls will illuminate again when the operator
either:
• Presses the button again, or
• Presses a button for another variable control, or
Control2
Pushbuttons
These buttons allow you to perform a front panel action, such as delivering a manual breath, or turning
a feature, such as the sigh breath feature, on or off. When the button is on, the integrated LED
illuminates. To toggle the button on or off, just press and release the button.
Dimmed Controls
A control dims when it is not available in the currently selected mode. Although dimmed, the control
retains its setting so you can switch modes without having to reset the control. You can also set a
dimmed control prior to switching to a mode in which the control will be active.
Flashing Controls
A control may flash for several reasons:
1. There is a pre-set limit on the range of possible settings for the control, and you have reached
that limit. The ventilator monitors all control settings and will automatically limit the range of
certain controls to prevent incompatible settings. This is to ensure the following:
• A minimum exhalation time of 250 msec for all breaths.
• A minimum inhalation time of 30 msec for all breaths.
• A minimum high pressure alarm setting of at least 5 cmH2O above PEEP for all modes.
• A maximum inverse I:E ratio of 4:1.
• A peak flow > bias flow.
2. A required control has not been set. If a control is required in a particular mode, the ventilator
flashes the control until you set it. When you set the Low Peak Pressure alarm limit to OFF, for
example, the setting flashes to remind you to set the alarm before leaving the machine.
3. An alarm is active. When an alarm occurs, the associated display will flash. This enables you to
identify the cause of the alarm at a glance.
4. An alternate exhalation criteria has been met for a Pressure Support or Pressure Control breath.
In Pressure Support, ordinarily a Termination Flow (TERMSENS) ends the inspiratory phase. If
the Time Limit (VARITIME) has been reached first, the Pressure Support control will flash. In
Pressure Control, ordinarily the Inspiratory Time control ends the inspiratory phase. If Flow
Termination (FLOWTERM) is set and is reached first, the Pressure Control display will flash.
1 The Assist/Control button selects both the Control and Assist Control modes of ventilation. To select the Control mode, set the Sensitivity to OFF.
Effort Indicator
Display only. Illuminates briefly when the patient’s inspiratory effort meets or exceeds the Sensitivity
setting and the breath is patient initiated.
Note
The alarm is disabled in the CPAP mode and during spontaneous and Pressure Support breaths. The alarm is enabled in
CPAP mode when a manual or sigh breath is delivered.
Control Knob/Lock
Used to set variable controls (e.g., Breath Rate, Tidal Volume), select Special Functions, and run User
Verification Tests (UVTs), this control allows you to dial through a range of values or a sequence of
selections. Also allows you to lock and unlock the front panel.
To set a variable control, press the control’s button and turn the Control Knob clockwise to increase the
setting or counter-clockwise to decrease the setting. The faster you turn the knob the faster the setting
will change.
To lock or unlock the front panel controls, press the Control Knob. When locked, the green LED next to
the lock icon illuminates. Locking or unlocking the front panel has no effect on the actual setting of the
controls. Locking the front panel’s controls prevents unauthorized personnel from changing the
ventilator’s settings. All controls except the Monitor Select, Manual Breath, 100% O2 3 Min (VSO2,
AVS, II, III) and Alarm Silence/Reset button are secured when locked.
Note
When operating in CPAP mode, certain controls must be set to clinically appropriate levels even though they are dimmed and
inactive. Should the patient become apneic, the ventilator uses these settings when providing Apnea Backup ventilation. The
TBird Ventilator Series can provide Apnea Backup ventilation in Volume Control, Pressure Control or Volume Assured
Pressure Support (VAPS), depending on the current settings. Refer to Chapter 5, for more information.
WARNING
Lower air density at higher altitudes will effect tidal volume delivery and exhaled tidal volume measurements.
Please refer to Chapter 6, Special Functions, for details on how to compensate for higher altitudes.
Note
When operating in CPAP mode, certain controls must be set to clinically appropriate levels, even though they are dimmed and
inactive. If the patient becomes apneic, the ventilator will use these settings to provide Apnea Backup ventilation. The TBird
Ventilator Series can provide Apnea Backup ventilation in Volume Control, Pressure Control or Volume Assured Pressure
Support (VAPS), depending on the current settings. Refer to Chapter 5, Unpacking, Setup and Operating Procedures, for more
information.
In a VAPS breath, the Peak Flow Control sets the minimum flow generated and determines the
exhalation criteria. It also sets the flow at which VAPS breaths guarantee the set minimum Tidal
Volume.
The flow rate can be set between 10 and 140 L/min. The new flow rate takes effect on the next machine
or assist inspiration.
The inspiratory flow is delivered in either a square or decelerating waveform and is measured in liters
per minute (L/min) delivered at Body Temperature Pressure Dry (BTPD).
Note
The ventilator can deliver up to 180 lpm for patient breaths (spontaneous and pressure support).
Sensitivity Control
Sets the threshold below baseline flow at which the patient can flow trigger a breath between 1 and 20
lpm or OFF. New settings take effect immediately.
Breaths can be flow triggered any time during the exhalation phase following the minimum exhalation
time. When the patient begins to inhale, flow is diverted from the bias flow into the patient’s lungs. If the
rate of this ‘patient flow’ exceeds the Sensitivity setting, the ventilator triggers a breath. The lower the
Sensitivity level, the lower the patient effort required to trigger the breath.
If Sensitivity is set to a value, the patient is allowed to flow trigger breaths. If Sensitivity is turned OFF,
the ventilator provides a pure Control Mode Ventilation (CMV), prohibiting the patient from triggering
breaths.
WARNING
Make sure the Sensitivity is set to an appropriate value (1- 20 L/min). If set to OFF, the patient will be unable to
trigger breaths.
PEEP/CPAP Control
Sets the PEEP/CPAP pressure level between 0 and 30 cmH2O. New settings take effect immediately.
WARNING
Delivered percentage oxygen may be higher than set at elevations above 5,000 feet.
set a Flow Termination threshold for Pressure Control. The clinician determines this value and sets it in
the Special Functions (see Chapter 6), Vent Setup, Flow Termination (FLOWTERM). If this value is
set, the breath will terminate when either the set Inspiratory Time or the set FLOWTERM is reached,
whichever occurs first. When a breath is terminated because of flow rather than time, the Pressure
Control setting flashes.
For VAPS breaths, this control sets the inspiratory pressure above baseline (PEEP) for the pressure
supported portion of the breath.
AC Indicator
This indicator remains on as long as sufficient AC power is present. It turns off if AC power fails or falls
below acceptable limits. If this occurs, the ventilator automatically switches to battery power and
generates a BATTERY ON alert.
Sigh Button
Turns sigh breath feature ON or OFF. To operate, press the button. When ON, the green LED
illuminates.
A sigh breath is a Volume Control breath in which the Tidal Volume is equal to 1.5 times the Tidal
Volume setting. When you press this button, the ventilator delivers a sigh breath on the next assist or
machine breath regardless of how that breath is initiated. The ventilator then delivers a sigh breath
once every seven (7) minutes or 100 breaths, which ever occurs first.
When a sigh breath is delivered:
• The Tidal Volume is increased by 50%.
• The effective breath period is increased by 50%.
• The inspiratory time is increased by 50% (not to exceed a maximum of 5.5 seconds). If the
Tidal Volume cannot be delivered in 5.5 seconds, the maximum possible Tidal Volume is
delivered for the current flow setting.
• The preset high pressure alarm limit is increased by 50% (not to exceed a maximum of 120
cmH2O).
Sigh breaths are not available in Pressure Control
is displayed where Palvd is the alveolar distending pressure and Cst is static compliance.
The green LED now turns off and normal ventilator operation is resumed. The maneuver fails if the
Inspiratory Hold button is released too soon or a stable plateau could not be obtained. To clear the
display from the monitor window, press the Monitor Select Button.
Note
The HIGH PRES alarm will automatically cancel the Inspiratory Hold maneuver.
where nn is the real time airway pressure, mm is the ending exhalation pressure and pp is the
measured AutoPEEP.
AutoPEEP characterizes the patient’s end expiratory alveolar pressure. This value is continuously
updated until six (6) seconds has elapsed or the button is released. At the end of the maneuver,
AutoPEEP is calculated as the difference between Pex and Paw.
Normal ventilation resumes at the end of the maneuver.
Note
The HIGH PRES alarm will automatically cancel the Expiratory Hold maneuver.
Note
The HIGH PRES alarm will automatically cancel the MIP/NIF maneuver.
Note
Although the system continues to ventilate without an established flow cal value, indicated by the flashing LED, the accuracy of
the exhaled tidal volume and minute volume measurements and the sensitivity may be reduced.
Patient Outlet.
22mm OD outlet for patient circuit.
Exhalation valve
Connector for exhalation valve body and tubing from patient.
6. Lower the High Pressure Limit Control to 5-15 cmH2O (or to the value dictated by hospital
protocol) below the Over Pressure Relief setting.
This control must be set 5-15 cmH2O above the high-pressure limit
WARNING
Make sure the high-pressure alarm limit is not set above the Over Pressure Relief setting. Otherwise, a HIGH
PRES alarm will not occur and the patient may be subjected to sustained high pressures.
Rear Panel
Power Switch
Switches the ventilator between STANDBY and ON. Press the upper half of the switch to turn the
ventilator ON. Press the lower half of the switch to return the ventilator to STANDBY.
When ON, the ventilator will operate on AC, internal battery, or optional external battery power,
depending on the power source available.
When in STANDBY position and plugged into an AC power source, the ventilator charges the internal
battery and optional external batteries.
Definitions
Alarms
When the ventilator detects an operating condition that requires your immediate attention, it activates
the audible alarm, flashes a message in the alarm window, and flashes any dedicated indicators or
controls associated with the alarm. The audible and visual components of the alarm remain active for
as long as the condition causing the alarm exists. Once the condition no longer exists, the audible
component automatically clears itself. The visual component may or may not be automatically cleared,
depending on the nature of the alarm. If the visual component is not automatically reset, press the
Alarm Silence/Reset button. To clear the audible portion of an alarm, press the Alarm Silence/Reset
button.
The volume of the audible alarm can be physically adjusted using the alarm volume control on the back
panel.
Alerts
When the ventilator detects an operating condition that needs to be addressed, it flashes an alert
message in the monitor window to signal you to the condition. After addressing an alert, press the
Alarm Silence/Reset button to clear the alert.
Alarms
APNEA Alarm
Cause
The elapsed time between inspiratory starts has exceeded the current apnea interval. The elapsed time
is measured from the start of one inspiration to the start of the next, regardless of breath type (machine,
assist, or patient).
Ventilator Response
The ventilator:
• Switches to Apnea Backup ventilation, which is delivered in the Assist/Control mode.
• Sounds the audible alarm.
• Displays APNEA xx BPM in the alarm window, where xx is the apnea ventilation breath rate.
• Resets the breath rate to 12 bpm if the set rate is less than 12 bpm.
• Highlights the controls used for breaths given during Apnea Backup ventilation.
Note
You cannot switch modes when the ventilator is providing Apnea Backup ventilation.
Corrective Action
The audible portion of this alarm clears itself automatically whenever two successive breaths are
initiated by the patient. To clear the visual portion, press the Alarm Silence/Reset button.
To manually silence and reset the alarm, and cancel Apnea Backup ventilation, press the Alarm
Silence/Reset button twice.
Cause
This alarm occurs when the ventilator is operating on AC power and the AC power either fails or AC
power is removed.
Ventilator Response
The ventilator:
• Immediately switches to battery backup (without interrupting ventilation).
• Sounds the audible alarm.
• Turns the AC indicator OFF.
• Illuminates the Ext. Bat power indicator, if the optional external battery is present.
• Illuminates the Int Bat power indicator, if the optional external battery is not present.
• Displays BATTERY ON in the alarm window.
Corrective Action
To clear the alarm, press the Alarm Silence/Reset button twice.
When the ventilator is operating on battery power, the front panel lamps are turned OFF to conserve
power. They will illuminate whenever front panel activity is detected. If an alarm message is displayed
in the alarm window, the window will stay illuminated. The Airway Pressure Manometer remains
illuminated at all times.
Cause
This alarm occurs when the ventilator’s on-going self-tests detect an anomaly. The ventilator
reinitializes itself to invoke the more sophisticated Power-On Self Tests (POST).
Corrective Action
Press the Alarm Silence/Reset button twice to clear the audible and visual alarm.
Note
Although the ventilator continues to operate normally when this alarm is present, contact your Bird Certified Service
Technician.
Cause
This alarm occurs when the patient breathing circuit becomes kinked, occluded, or disconnected. It also
occurs if a problem is detected with one of the internal transducers used to measure the patient
breathing circuit pressure.
The ventilator checks the patient breathing circuit in all modes, except during the inspiratory phase of
pressure support breaths.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays CIRC FAULT in the alarm window.
• Cycles into the exhalation phase.
When this condition occurs, the ventilator stops flow and opens the exhalation valve.
Corrective Action
The audible alarm automatically clears itself when the problem is corrected. The visual portion of the
alarm remains in effect until you press the Alarm Silence/Reset button.
Cause
The ventilator is shipped from the factory with built-in default settings for all operational parameters.
Once you set a front panel control, the corresponding default value for that control is overridden by the
new setting. The new setting is then stored in EEPROM so that it can be retained even when the
ventilator is turned off. When you turn the ventilator on, the retained settings are automatically restored
If something happens that prevents the ventilator from retrieving the retained settings from EEPROM,
the ventilator restores the original factory default settings, allowing the ventilator to continue to operate
safely. This alarm notifies you that the ventilator is operating on the default settings.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays DEFAULTS in the alarm window.
Corrective Action
To clear the alarm, press the Alarm Silence/Reset button twice and set the front panel controls to the
desired settings.
Note
If this alarm occurs frequently, contact your Bird Certified Service Technician.
Cause
This alarm occurs when the ventilator switches from external battery power to internal battery power.
Ventilation is continued without interruption.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays EXT BATTERY message in the alarm window.
Corrective Action
To clear the alarm, press the Alarm Silence/Reset button twice.
The audible alarm automatically clears itself when you plug the ventilator into an AC source. The visual
portion of the alarm remains in effect until you press the Alarm Silence/Reset button.
Cause
This alarm occurs when the speed of the cooling fan drops below acceptable limits.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays FAN FAULT in the alarm window.
Corrective Action
Press the Alarm/Silence Reset button twice to clear the audible and visual alarm
Remove the ventilator from service as soon as possible and contact your Bird Certified Service
Technician.
Cause
This alarm occurs when the total breath rate meets or exceeds the High Breath Rate alarm setting.
Ventilator Response
When total breath rate exceeds the alarm setting the ventilator:
• Sounds the audible alarm.
• Flashes the High Breath Rate control.
• Displays the HIGH BREATH in the alarm window.
Corrective Action
This alarm stays in effect until the total breath rate falls below the High Breath Rate alarm setting.
The audible alarm automatically clears itself when the total breath rate falls below the High Breath
Rate alarm setting. The visual portion of the alarm remains in effect until you press the Alarm
Silence/Reset Button.
Cause
This alarm occurs when the % O2 is set to a value greater than 21 and inlet pressure at the oxygen
inlet exceeds 65 PSIG (4.3 bar).
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays HIGH O2 in the alarm window.
Corrective Action
The audible alarm resets itself when the inlet pressure falls back into range.
To manually clear the alarm:
• Reconnect the ventilator to a known good oxygen source.
• Adjust the oxygen inlet pressure to between 40 – 60 PSIG (2.8 – 4.2 bar).
• Press the Alarm Silence/Reset button.
Cause
This alarm occurs when the patient breathing circuit pressure fails to return to the set PEEP +15
cmH2O during exhalation.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays HIGH PEEP in the alarm window.
Corrective Action
To clear the alarm, correct the condition causing the alarm and press the Alarm Silence/Reset button
twice.
The audible alarm automatically clears itself when the PEEP returns to within 15 cmH2O of PEEP. The
visual portion of the alarm remains in effect until you press the Alarm Silence/Reset button.
Cause
This alarm occurs when the patient breathing circuit pressure exceeds the High Pressure Limit alarm
setting by at least 1 cmH2O during any portion of a breath.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Flashes the High Pressure Limit control.
• Displays HIGH PRES in the alarm window.
• Immediately terminates inspiration and cycles into the exhalation phase.
By immediately cycling into the expiratory phase, the ventilator allows the pressure in the patient
breathing circuit to return to the baseline pressure. It also allows the exhalation valve to regulate the
pressure at the currently set PEEP level.
Corrective Action
The audible alarm automatically clears itself if patient breathing circuit pressure falls to within 5 cmH2O
of PEEP. The visual portion of the alarm remains in effect until you press the Alarm Silence/Reset
button.
If the patient breathing circuit pressure does not fall back to PEEP + 5 cmH2O within three (3) seconds
after entering the exhalation phase, the ventilator stops the flow, and the exhalation valve opens. Flow
restarts when PEEP + 5 cmH2O is reached.
Cause
This alarm occurs when the ventilator’s on-going self-tests have detected a problem with the ventilator
hardware, or the internal temperature of the ventilator has exceeded acceptable limits.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays HW FAULT message.
Corrective Action
To clear the alarm, press the Alarm Silence/Reset button twice.
Ensure that the fan filter is free from obstruction. If the alarm reoccurs, this indicates that there is an
internal hardware fault. Remove the ventilator from service and contact your Bird Certified Service
Technician.
Cause
This alarm occurs when the ventilator is being powered from the internal battery and the battery’s
remaining power drops to the medium or low power level.
Ventilator Response
This alarm occurs when battery power drops to medium power. The ventilator:
• Chirps the audible alarm every three seconds
• Turns the Int Bat Power Source indicator from green to yellow.
• Displays the LOW BATTERY message.
The alarm can be cleared by pressing the Alarm Silence/Reset button twice.
This alarm occurs again when battery power drops to low power. The ventilator:
• Sounds the audible alarm continuously.
• Turns the Int Bat Power Source indicator from yellow to red.
• Displays the LOW BATTERY message.
This alarm cannot be cleared unless you plug the ventilator into an AC source or connect the external
battery.
Corrective Action
Find another power source.
The audible alarm automatically clears itself when you attach an external battery or plug the ventilator
into an AC source. The visual portion of the alarm remains in effect until you press the Alarm
Silence/Reset button.
Cause
This alarm occurs when the % O2 control is set to a value greater than 21 and the pressure at the
oxygen inlet falls below 35 PSIG (2.4 bar).
Ventilator Response
If the pressure becomes too low, the ventilator:
• Sounds the audible alarm.
• Displays the LOW O2 message.
Corrective Action
The audible portion of the alarm resets itself when the inlet pressure comes back into range.
Reconnect the ventilator to a known good oxygen source.
Adjust the oxygen inlet pressure to 40 – 60 PSIG (2.8 – 4.2 bar).
Cause
This alarm occurs when the patient breathing circuit pressure fails to exceed the Low Pressure Alarm
setting during the inspiratory phase of a machine or assist breath.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Flashes the Low Pressure Alarm control display.
• Displays the LOW PRES message.
Corrective Action
The audible alarm automatically clears itself when a subsequent machine or assist breath exceeds the
currently set Low Pressure Limit. The visual portion of the alarm remains in effect until you press the
Alarm Silence/Reset button.
Note
This alarm is disabled in CPAP mode and during spontaneous and Pressure Support breaths. The alarm is enabled in CPAP
mode when a manual or sigh breath is delivered.
Cause
This alarm occurs when the patient’s exhaled minute volume fails to exceed the Low Minute Volume
alarm setting. The ventilator calculates the exhaled minute volume based on information received from
the exhalation valve flow transducer.
Ventilator Response
When the calculated value falls below the front panel setting, the ventilator:
• Sounds audible alarm.
• Flashes the Low Minute Volume display.
• Displays the LOW VOLUME message.
Corrective Action
Check the humidifier assembly and patient circuit for leaks.
The alarm stays in effect until the patient’s exhaled minute volume exceeds the Low Minute Volume
alarm setting.
The audible alarm automatically clears itself when the patient’s exhaled minute volume exceeds the
Low Minute Volume alarm setting. The visual portion of the alarm remains in effect until you press the
Alarm Silence/Reset button.
If the alarm activates continuously, consult the ordering physician to evaluate the alarm and ventilator
settings.
Cause
This alarm occurs when a transducer’s zero point has drifted out of range.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Displays the XDCR FAULT message.
Corrective Action
To clear the alarm, press the Alarm Silence/Reset button twice.
If this does not clear alarm, replace the exhalation valve body and reseat the diaphragm. Perform a
manual flow cal and press the Alarm Silence/Reset to clear the alarm.
WARNING
Although the system will continue to ventilate with a XDCR FAULT alarm, the accuracy of the tidal volume, minute
volume and pressure measurements may be reduced. Remove the ventilator from service and contact your Bird
Certified Service Technician.
Cause
A condition has developed that could affect the continued safe operation of the ventilator.
Ventilator Response
The ventilator:
• Sounds the audible alarm.
• Illuminates the Vent Inop indicator.
• Ceases operation.
• Returns to a safe state so the patient can breathe spontaneously from room air.
Corrective Action
Provide an alternate means of ventilation for the patient. Turn the power switch to the STANDBY
position and press the Alarm Silence/Reset button to silence the audible alarm. Then remove the
ventilator from service and contact your Bird Certified Service technician.
Alerts
APNEA Alert
Cause
This alert occurs immediately following the POST and informs the user as to the current Apnea Interval
setting. To adjust the Apnea Interval, see Apnea Setting in Chapter 6, Special Functions.
Ventilator Response
Informational only. This is normal in the power-up procedure.
Corrective Action
To clear the alert, press the Monitor Select button.
BIAS Alert
Cause
This alert occurs following the Power On Self Tests (POST) and informs the user of the current Bias
Flow setting. To adjust the Bias flow, see Bias Flow in Chapter 6, Special Functions.
Ventilator Response
Informational only. This is normal in the power-up procedure.
Corrective Action
To clear the alert, press the Monitor Select button.
Cause
This alert occurs when the ventilator powers up in CPAP mode or when CPAP mode is selected. This is
a reminder to check ventilator settings that will be used during Apnea Backup ventilation.
Ventilator Response
Informational only
Corrective Action
When operating in CPAP mode, certain controls must be set to clinically appropriate level even though
they are dimmed and inactive. Should the patient become apneic, the ventilator uses these settings
when providing Apnea Backup ventilation. A CHECK BKUP alert will be displayed as a reminder to
verify that Apnea Backup ventilation parameters are appropriately set.
Check the following settings to ensure that they are clinically appropriate:
• Tidal Volume • Inspiratory Time
• Peak Flow • Inspiratory Pause
• Breath Rate • VAPS
• Pressure Support • Square Waveform
• Pressure Control • Apnea Interval
To clear the alert, press the Monitor Select button.
Cause
This alert occurs every 500 hours to remind you to check the air intake filter on the back panel to see if
it needs to be cleaned or replaced.
Ventilator Response
When this alert occurs, the FILTER message appears in the monitor window.
Corrective Action
Remove and clean or replace the air intake filter (refer to Chapter 9, Cleaning and Sterilization)
Press the Monitor Select button to clear the alert.
Cause
This alert occurs when you attempt to change a control setting while the front panel controls are locked.
Ventilator Response
• The ventilator displays the LOCKED message in the monitor window.
Corrective Action
To clear the alert, press the Monitor Select button or unlock the controls.
Cause
This alert occurs when you attempt to set a control to a value that is incompatible with other control
settings.
This alert will occur:
• If Tidal Volume, Breath Rate, Peak Flow, Inspiratory Pause, and Inspiratory Time are set to
values which would cause the minimum inspiratory time to be less than 300 ms or minimum
exhalation time to be less than 250 ms, regardless if they are active or inactive.
• If Tidal Volume, Breath Rate, Peak Flow, Inspiratory Pause, and Inspiratory Time are set to
values which would cause an inverse I:E ratio of greater than 4:1.
• If High Pressure is decreased to within 5 cmH2O of PEEP, or PEEP is increased to within 5
cmH2O of the High Pressure setting.
• If Peak Flow is set to a value which is below Bias Flow.
Ventilator Response
The ventilator will not allow these parameters to be exceeded and will flash the affected controls. The
ventilator displays LIMITED in the monitor window.
Corrective Action
To clear the alert, deselect the control or set the affected controls to compatible settings. If a limited
alert occurs during a ventilator parameter change, carefully review all of the new parameter settings.
Cause
This alert occurs when the ventilator cannot detect the presence of an AVS exhalation valve body.
Ventilator Response
The ventilator:
• Displays FLOW SENSOR in place of Vte and VE in the monitor window.
Corrective Action
This alert remains in effect until the ventilator detects an AVS exhalation valve body.
To clear the alert, ensure that an AVS exhalation valve body is installed:
• Reseat the exhalation valve body, or
• Replace the exhalation valve body with a new one.
Cause
This alert occurs when the Power On Self Tests (POST) detect a problem with the transducer
calibration data stored in the EEPROM.
Ventilator Response
The ventilator:
• Replaces the current calibration data with the default values.
• Displays the NO CAL DATA message.
The message cannot be cleared and remains in the window until the problem is corrected by a Bird
Certified Service Technician. Any alert or special function messages that occur while this message is
active temporarily overwrite the message. Monitored parameters do not overwrite the message.
Corrective Action
Although the system continues to operate, remove the ventilator from service and contact your Bird
Certified Service Technician.
WARNING
Although the system continues to ventilate when a NO CAL DATA alert is present, the accuracy of the volume and
pressures may be reduced. The system may generate pressures and volumes that are inconsistent with the front
panel settings. Remove the ventilator from service and contact your Bird Certified Service Technician.
Cause
This alert occurs while the ventilator is processing data from a newly installed AVS exhalation valve
body.
Ventilator Response
The ventilator:
• Displays NEW SENSOR in place of Vte and VE in the monitor window.
Corrective Action
None is required. This is a temporary event that occurs when a new valve body is installed. The alert
will clear automatically.
Cause
This alert occurs when the Power On Self Tests (POST) detect a problem with the transducer
calibration data stored in the EEPROM.
Corrective Action
Although the system continues to operate, remove the ventilator from service and contact your Bird
Certified Service Technician.
WARNING
Although the system continues to ventilate when a NO CAL DATA alert is present, the accuracy of the volume and
pressures may be reduced. The system may generate pressures and volumes that are inconsistent with the front
panel settings. Remove the ventilator from service and contact your Bird Certified Service Technician.
TermSens
Cause
This alert occurs during the course of power up. It alerts the clinician to the existing setting in Special
Functions for the Termination Sensitivity, as a % of Peak Flow, for a Pressure Supported breath.
Ventilator Response
Informational only. This is normal in the power-up procedure.
Corrective Action
Press the Monitor select button to clear.
Varitime
Cause
This alert occurs during the course of power up. It alerts the clinician to the existing value in Special
Functions for the Variable Time termination, maximum inspiratory phase for a Pressure Supported
breath.
Ventilator Response
Informational only. This is normal in the power-up procedure.
Corrective Action
Press the Monitor select button to clear.
list of Heated Humidification devices and accessories is located in the Bird Products Hospital Price List.
L1332.
If you are not using a heated humidifier, ignore the steps that reference it. If using optional components,
refer to the installation instructions provided with those components.
To attach the patient breathing circuit, refer to Figure 5.1 and do the following:
1. Install the exhalation valve diaphragm and exhalation valve body into the ventilator. The
exhalation valve body is properly installed when the safety release latch engages: you will hear it
click into place.
2. Attach one end of the short circuit tubing to the patient outlet port.
3. Attach the other end of the circuit to the main bacteria filter and connect the outflow end of the
bacteria filter to the humidifier’s inlet port. Make sure the airflow through the bacteria filter is in
the proper direction. The humidifier can be attached to either side rail of the ventilator, or if you
are using a Bird Products ventilator stand, to the dovetail bracket on the stand.
4. Connect the inspiratory leg of the patient airway circuit tubing to the outlet of the heated
humidifier.
5. Connect the exhalation leg of the patient breathing circuit to the exhalation valve body.
6. Connect the two water traps, the patient wye, and the remaining circuit components
7. Relieve stress on the patient connections by using the Bird Products Circuit Support Arm.
Before using the ventilator, check the ventilator’s performance as described later in this chapter.
WARNING
Introduction of oxygen into the TBird Legacy and VS ventilator may increase delivered tidal volumes. Tidal
volumes should be monitored to ensure the desired volume is delivered.
Figure 5.3 Attaching a Low Flow Oxygen Source (Legacy and VS).
CAUTION
The maximum voltage that can be applied to the Patient Assist Call modular connector is 25 volts rms or 31 volts
DC.
Connect the ventilator to the Patient Assist Call System by plugging into the Patient Assist Call jack
shown in Figure 5.5.
Patient Assist
Connection
• Upon successfully completing the POST, the ventilator begins operating using retained
settings or defaults.
• The Flow Cal LED flashes. The LED will continue to flash until the Auto Flow Cal software
obtains a valid value or until a manual Flow Cal maneuver is performed.
• The ventilator exhibits a flashing Apnea Interval setting.
3. Press the Monitor Select button to clear the display. The current Bias Flow setting is displayed.
4. Press the Monitor Select to clear the display. The current Termination Sensitivity setting is
displayed.
5. Press the Monitor Select to clear the display. The current Variable Time Termination setting is
displayed.
6. Press the Monitor Select button to clear the display. The system begins to display the
monitored parameters.
Performance Checks
Note
If any portion of the following performance check fails and you are unable to correct the problem, contact your Bird Certified
Service Technician.
Control Setting
Tidal Volume 500 ml
Peak Flow 60 L/min
Breath Rate 12 bpm
PEEP/CPAP 5 cmH2O
Sensitivity OFF
Pressure Support OFF
% O2 21
Pressure Control OFF
Inspiratory Time 0.3 sec
Inspiratory Pause OFF
Sigh OFF
Square Waveform OFF
Bias Flow 10
Autoscan ON
Altitude 500 ft.
Low Minute Volume DIS LMV OFF
Alarm Range
Termination Sensitivity 25%
Variable Time 3.0 sec
Termination
Flow Termination OFF
Note
Refer to Chapter 6, Special Functions, for instructions on setting these controls.
Note
Approximate numbers and values depend on test set-up.
Allow the ventilator to operate for two minutes. View the monitored parameters. The values
should appear as follows:
Parameter Value
Minute volume 6 L + 1.2 L
Tidal Volume 500 ml + 100 ml
I:E Ratio 1:6.1 + 10%
Breath Rate 12 bpm + 2 bpm
PIP Should equal manometer display + 5 cmH2O
MAP N/A
PEEP 5 cmH2O + 2 cmH2O
Inspiratory Time 0.68 seconds + .05 seconds
Note
The values presented in the table above are reasonable approximates. Your values may differ slightly due to variances in
testing set-up and equipment.
This checklist is for use during the TBird Operational Verification Procedure.
Model: VS VSO2 AVS AVSII AVSIII Legacy
Serial Number_______________ Hours______________ Date_____________
Verification Steps
10. After at least two minutes of operation compare the displayed readings
to the following:
Display Reading
Signature: _____________________________________________________
Procedure Complete
WARNING
Do not release the ventilator for use if it does not pass all of the verification procedures specified in this checklist.
For detailed information on performing a User Verification Test, see the appropriate Operator's Manual. Contact a
Bird Products Corporation Certified Service Technician to perform all needed service or calibration.
Control Mode
To set up the ventilator to operate in Control mode with Volume Control Breaths, do the following:
1. Press the Assist/Control button twice.
2. Set the Tidal Volume, Breath Rate and Peak Flow to the desired settings.
3. Set the Sensitivity to OFF.
4. Set the PEEP/CPAP, if desired.
5. Set Pressure Support to OFF.
6. Set desired % O2 (AVS models & VSO2).
7. Set Pressure Control to OFF.
8. Set the Inspiratory Pause, if desired (AVS models).
9. Set the alarm limits for High Pressure, Low Pressure, Low Min Volume and High Breath
Rate (Legacy, VSO2, AVS models) alarms
10. Set Sigh, if desired.
11. Set the Square Waveform, if desired (AVS III).
SIMV Mode
To set up the ventilator to operate in SIMV mode with Volume Control Breaths, do the following:
1. Press the SIMV button twice.
2. Set the Tidal Volume, Breath Rate and Peak Flow to the desired settings.
3. Set the Sensitivity to an appropriate value from 1 to 20 lpm.
4. Set the PEEP/CPAP, if desired.
5. Set Pressure Support to OFF.
6. Set desired % O2 (AVS models & VSO2).
7. Set Pressure Control to OFF.
8. Set the Inspiratory Pause, if desired (AVS models).
9. Set the alarm limits for High Pressure, Low Pressure, Low Min Volume and High Breath
Rate (Legacy, VSO2, AVS models) alarms.
CPAP Mode
To set up the ventilator to operate in CPAP mode, do the following:
1. Press the CPAP button twice.
2. Set the Tidal Volume, Breath Rate and Peak Flow for apnea ventilation.
3. Set the Sensitivity to an appropriate value from 1 to 20 lpm.
4. Set the PEEP/CPAP, to the desired level.
5. Set Pressure Support, if desired.
6. Set desired % O2 (AVS models & VSO2).
7. Set Pressure Control to OFF.
8. Set the Inspiratory Pause for apnea ventilation, if desired (AVS models).
9. Set the alarm limits for High Pressure, Low Pressure, Low Min Volume and High Breath
Rate (Legacy, VSO2, AVS models) alarms.
10. Set Sigh, if desired.
11. Set the Square Waveform for apnea ventilation, if desired (AVS III).
NOTE
In CPAP, Tidal Volume, Peak Flow, Inspiratory Pause, Breath Rate and the Low Pressure Alarm are dimmed. These controls
should be set to clinically appropriate values should Apnea occur and Volume Control Apnea Backup Ventilation is desired.
The ventilator will use these settings when delivering Apnea Backup Ventilation.
Function Description
Control Lock Enable Enables/disables the control lock.
Autoscan Enables or disables automatic scanning of monitored parameters.
BGM Interface Switches ventilator interface with Bird Graphics Monitor.
Bias Flow Sets the bias flow from 10 to 20 L/min.
Termination Sensitivity Sets the inspiratory termination point in a Pressure Support breath from 5 to 30
percent of peak flow.
Variable Time Termination Sets the maximum duration for the inspiratory phase of a Pressure Support breath
from 0.3 to 3.0 seconds.
Flow Termination Sets the inspiratory flow termination point in a Pressure Control breath from OFF,
5 to 30 percent of peak flow.
Display Language Selects the display language.
Selector
Software Versions Shows the software version numbers.
Hour Meter Shows the total hours of operation.
Turbine Shows the turbine serial number.
Altitude Sets the current elevation from –1,000 feet (-305m) to 10,000 feet (3,048m).
Function Description
Apnea Interval Sets the apnea interval from 10 to 60 sec.
Low Minute Volume Alarm Range Enables/Disables the Low Minute Volume Alarm from accepting a range of
OFF to 99.0L.
Remote Alarm Status Displays the remote alarm ID.
Function Description
XP Exhalation Gauge Pressure Shows the real-time pressure at exhalation valve.
TD Turbine Differential Pressure Shows the real-time differential pressure across the turbine.
XD Exhalation Differential Shows the real-time differential pressure across the exhalation flow
Pressure transducer.
XF Exhalation Flow Shows the real-time exhalation flow across the exhalation flow transducer.
TF Turbine Flow Shows the real-time inspiratory flow.
TS Turbine Speed Shows the real-time turbine speed.
TT Turbine Case Temperature Shows the turbine case temperature.
OP Oxygen Shows the oxygen inlet pressure.
IB Internal Battery Shows Internal Battery Voltage.
XB External Battery Shows External Battery Voltage.
FC Flow Cal Shows the current Flow Cal valve.
Function Description
XP Exhalation Gauge Pressure Autozeroes the exhalation pressure transducer. (N/A on Legacy)
TD Turbine Differential Pressure Autozeroes the turbine differential pressure transducer.
Autozero
XD Exhalation Differential Autozeroes the exhalation differential pressure transducer.
Pressure Autozero
Function Description
Events Codes Group Lists the most recent 256 event codes.
Function Description
User Verification Tests Cannot be accessed through the Special Functions. See Chapter 7, User
Verification Tests.
Function Description
Service Verification Tests Cannot be accessed through the Special Functions. See the TBird
Ventilator Series Service Manual (L1314).
Note
The User Verification Tests (UVT) and Service Verification Tests (SVT) appear after Event Codes but are set to OFF because
they cannot be selected while the ventilator is being used in treatment. See Chapter 7, User Verification Tests, for more
information on the UVTs. The SVTs are reserved for use by Bird Certified Service Technicians.
When working with the Special Functions, you can back out of the functions by pressing the control
knob. (The control knob acts like the escape key on a computer.)
Autoscan
Turns the monitored parameters autoscan feature ON (enabled) or OFF (disabled).
After accessing the Special Functions:
1. Turn the control knob until VENT SETUP appears.
2. Press the Monitor Select button. The LOCKS setting appears.
3. Turn the control knob until the AUTOSCAN setting appears:
AUTOSCAN ON
or
AUTOSCAN OFF
4. Press the Monitor Select button to toggle the setting ON or OFF.
5. Press the control knob to accept this setting and to exit the function and return to VENT SETUP.
Note
Because the ventilator retains setting between applications, always check the Bias Flow before applying the ventilator to a new
patient to make sure the Bias Flow is set appropriately.
Note
Be sure to press the Monitor Select button to accept the setting. Otherwise the bias setting reverts to the previous setting.
7. Press the control knob to exit the function and return to VENT SETUP.
Termination Sensitivity
Sets the inspiratory termination point in a Pressure Support breath from 5 to 30 percent of the peak
flow.
Note
Because the ventilator retains setting between applications, always check the Termination Sensitivity before applying the
ventilator to a new patient to make sure the Termination Sensitivity is appropriate.
Note
Be sure to press the Monitor Select button to accept the setting. Otherwise the Termination Sensitivity reverts to the previous
setting.
7. Press the control knob to exit the function and return to VENT SETUP.
Note
Because the ventilator retains setting between applications, always check the Variable Time Termination before applying the
ventilator to a new patient to make sure the Variable Time Termination setting is appropriate.
Note
Be sure to press the Monitor Select button to accept the setting. Otherwise the Variable Time Termination reverts to the
previous setting.
8. Press the control knob to exit the function and return to VENT SETUP.
Flow Termination
Sets the inspiratory termination point in a Pressure Control breath from OFF to 5 to 30 percent of the
peak flow.
Note
Because the ventilator retains setting between applications, always check the Flow Termination before applying the ventilator
to a new patient to make sure the Flow Termination is appropriate.
7. Press the control knob to exit the function and return to VENT SETUP.
Note
Be sure to press the Monitor Select button to accept the setting. Otherwise the language reverts to the previous setting.
7. Press the control knob to exit the function and return to VENT SETUP.
Software Version
Allows you to view the version number of the following installed software and firmware:
• MSP - Main Ventilator Software
• IOP - Input/Output Processor Software
• RMT - Remote Alarm Transmitter Software
• WDG - Hardware Watchdog Timer Firmware
After accessing the Special Functions:
1. Turn the control knob until VENT SETUP appears.
2. Press the Monitor Select button. The LOCKS setting appears.
3. Turn the control knob until VERSION appears.
4. Press the Monitor Select button. The MSP version number appears:
MSP x.xx
where x.xx is the installed software version number.
5. Turn the control knob to display the remaining software version numbers.
6. Press the control knob twice to exit the function and return to VENT SETUP.
Hour Meter
Allows you to view the number of hours the ventilator has been in operation (has been turned on).
Standby hours are not counted.
After accessing the Special Functions:
1. Turn the control knob until VENT SETUP appears.
2. Press the Monitor Select button. The LOCKS setting appears.
3. Turn the control knob until the hour meter reading appears.
HOURS xxx
Where xxx represents the number of hours the ventilator has been in operation.
4. Press the control knob to exit the function and return to VENT SETUP.
Turbine
Shows the turbine serial number. This number is used in servicing the ventilator.
After accessing the Special Functions:
1. Turn the control knob until VENT SETUP appears.
2. Press the Monitor Select button. The LOCKS setting appears.
3. Turn the control knob until the TURBINE appears.
4. Press the Monitor Select button to display the turbine serial number.
5. Press the control knob twice to exit the function and return to VENT SETUP.
Altitude Compensation
For proper functioning of the TBird volume monitoring system, it is necessary to set the correct
elevation. The default setting is 500 feet and should be changed to the operating elevation. The altitude
should be set when the ventilator is initially set up and when there is a change in altitude. The
operating elevation for the ventilator can be set between –1,000 and 10,000 feet or –305 to 3,048
meters.
WARNING
Lower air density at higher altitudes will effect tidal volume delivery and exhaled tidal volume measurements.
After accessing the Special Functions:
1. Turn the control knob until VENT SETUP appears.
2. Press the Monitor Select button. The LOCKS setting appears.
3. Turn the control knob until ALTITUDE appears.
4. Press the Monitor Select button. FEET is displayed.
5. Turn the control knob to select FEET or METERS.
Note
Be sure to press the Monitor Select button to accept the setting. Otherwise the altitude reverts to the previous setting.
9. Press the control knob two times to exit the function and return to VENT SETUP.
This table defines the variances that may occur in delivered and monitored Tidal Volumes, when the
system is operating in a high altitude environment and the altitude compensation has not been set.
Percentage adjustments in the following table are approximate values.
Ventilators are calibrated at 500 ft. above sea level (Palm Springs, California).
Apnea Interval
Sets the Apnea Interval – the length of time between two consecutive inspirations that, when elapsed,
triggers an Apnea alarm. Setting the Apnea Interval tells the ventilator how much time to allow between
successive breaths before generating an Apnea alarm. The interval is measured from the start of one
breath to the start of the next. If an inspiration is not initiated during this interval, the ventilator
automatically switches to Apnea Backup Ventilation.
The ventilator continues to provide Apnea Backup Ventilation until the patient initiates two successive
breaths. Apnea Backup Ventilation is then terminated and the ventilator reverts to its previous mode of
ventilation. Apnea Backup Ventilation can also be canceled by pressing the Alarm Silence/Reset
button twice.
Note
Because the ventilator retains settings between applications, always check the Apnea Interval before applying the ventilator to
a new patient to make sure the Apnea Interval is set appropriately.
Note
Be sure to press the Monitor Select button to accept the setting. Otherwise the Apnea Interval reverts to the previous setting.
2. Press the Monitor Select button. The exhalation pressure test appears:
XP xxx PASS
or
XP xxx FAIL
3. Where XP identifies the test and xxx is a reference number used by the service technician, and
PASS or FAIL shows the results of the previous test.
4. Press the Monitor Select button, if desired, to perform a manual autozero function. The autozero
will be performed on the next breath. The status of the test (pass or fail) is cleared until the test
ends. If the test fails, remove the ventilator from service and contact your Bird Certified Service
Technician.
5. Turn the control knob to view the exhalation differential pressure transducer and turbine
differential pressure transducer tests.
Table 7-1
UVT Description
Audible alarm Test Allows you to check the audible alarm
Lamp Test Allows you to check the front panel LEDs to make sure they are working properly
Switch Test Allows you to check the front panel controls to make sure they are working properly.
Displays the name of each control as it is activated.
Filter Test Allow you to check the differential pressure across the turbine’s inlet filter. PASS or
FAIL result shown.
Leak Test Allows you to test the patient breathing circuit for leakage.
Exit Exits UVTs.
WARNING
Disconnect the patient prior to accessing the UVTs. The ventilator does not deliver gas during the UVTs.
To access the User Verification Tests (UVTs), do the following
1. After disconnecting the patient, turn the ventilator OFF (i.e., STANDBY).
2. Press and hold the Monitor Select button.
3. While holding the Monitor Select button, turn the ventilator ON. Continue to hold the button until
the ventilator completes the Power On Self Tests (POST).
4. Release the Monitor Select button when the following message appears in the monitor window:
UVT ON
Alarm
Run this test to check the audible alarm.
1. Press the Monitor Select button to start the test. The audible alarm sounds.
2. Press the Monitor Select button again to silence the audible alarm, exit the test, and advance to
the next test.
Lamp
Run this test to check the front lamps to make sure they are functioning properly.
1. Press the Monitor Select button to start the test. The ventilator illuminates all displays,
windows, and green LEDs.
2. Press the Monitor Select button again to illuminate the displays, windows, and red LEDs.
3. Press the Monitor Select button again to exit the test and advance to the next test.
4. The AC, ON, Ext Bat Charge Status, Int. Bat Charge Status, and Vent Inop LEDs are not
affected by this test.
Switch
Run this test to check the front panel controls to make sure they are working properly.
1. Press the Monitor Select button. The word SELECT appears in the monitor window.
1If you would like to access the Special Functions described in Chapter 6, you may do so at this point. Just turn the control knob until VENT SETUP
appears, then refer to Chapter 6, Special Functions.
* If the Remote Alarm option is not installed, pressing this button will display SPARE
Note
Be sure to press the Monitor Select button; otherwise the test will not start.
Filter
Run this test to check the differential pressure across the turbine inlet filter. A high differential pressure
may indicate a dirty or occluded filter. This test cannot be run until the ventilator has been ON for 60
seconds.
1. Press the Monitor Select button. The turbine accelerates flow to 140 lpm and checks the
differential pressure to make sure it is within range. At the end of the test, the ventilator displays
a pass or fail message. If the test passes, the following message appears:
FILTER x.x P
where x.x is the average turbine differential pressure and P indicates the test passed.
If the test fails, the following message appears:
FILTER x.x F
where x.x is the average turbine differential pressure and F indicates the test failed:
2. If the test fails, clean or replace the air filter (see Chapter 9, Cleaning and Sterilization) and run
the test again. If the test fails again, contact a Bird Certified Service Technician.
3. Press the Monitor Select button to exit the test and advance to the next test.
Leak
Note
This test should be performed with all circuit accessories installed (e.g., humidifier, water traps, and so on.) Make sure al
connections are secure and all openings occluded before beginning the test.
Run this test to make sure the patient breathing circuit is not leaking.
1. Attach a test lung to the breathing circuit wye.
2. Press the Monitor Select button to run the test. The test begins by increasing the pressure in
the patient breathing circuit to 60 cmH2O. The ventilator then measures the pressure and
displays it as follows:
XP xx.x
where xx.x is the internal airway pressure.
3. The ventilator then waits eight seconds and measures the circuit pressure again. If the
difference between the starting and ending measurements is less than or equal to 6 cmH2O, the
test passes and the ventilator displays the following message:
XP xx.x PASS
where xx.x is the ending measurement.
4. Otherwise, if the difference is more than 6 cmH2O, the test fails and the ventilator displays the
following message:
XP xx.x FAIL
5.. If the test fails, refer to Chapter 8, Basic Troubleshooting.
6. Press the Monitor Select button to exit the test and advance to the EXIT selection.
Exit
To exit the UVTs and begin normal ventilator operation, press the Monitor Select button until EXIT
appears in the monitor window, otherwise turn the control knob to rerun any of the UVTs.
If a UVT Fails
Table 8-2 lists suggested corrective actions if a User Verification Test fails.
CAUTION
Do not sterilize the ventilator. Standard sterilization techniques may damage the ventilator.
Note
The disinfecting method described below results in a high-level of disinfection, as defined by a 1:1,000,000 reduction in
bacteria infection during laboratory testing.
CAUTION
Do not use cleaning agents that contain phenols, ammonium chloride, chloride compounds, or more than 2%
glutarealdehyde. These agents may damage the ventilator’s plastic components and front panel overlay.
Clean all external panels and surfaces before and after each patient use and as often as necessary to
keep it clean. Use only those cleaning materials that have been approved by your department.
CAUTION
When cleaning the ventilator:
• Do not use harsh abrasives.
• Do not immerse the ventilator in liquid sterilizing agents or liquids of any kind.
• Do not spray cleaning solution into the exhalation valve or directly onto the front panel.
• Do not allow cleaning solution to pool on the front panel.
After cleaning the ventilator, be sure to wipe off all cleaning agents to prevent residue buildup.
The exhalation valve assembly is a delicate precision assembly. Exercise care when removing, replacing, or
cleaning the assembly:
Do not insert cleaning instruments (cloth, brush, pipe cleaner, and so on) into the exhalation valve body.
Do not use a high-pressure gas nozzle to dry the exhalation valve body. High-pressure gas may damage the
differential pressure ports in the exhalation valve body.
CAUTION
The exhalation valve assembly is a delicate precision assembly. Exercise care when removing, replacing, or
cleaning the assembly:
Do not insert cleaning instruments (cloth, brush, pipe cleaner, and so on) into the exhalation valve body.
Do not use a high-pressure gas nozzle to dry the exhalation valve body. High-pressure gas may damage the
differential pressure ports in the exhalation valve body.
3. Using a low flow gas source (less than 10 lpm) ensure the differential pressure ports are free of
moisture and debris.
4. To avoid possible damage to elastomeric components, the peak temperature for Bird Products
accessories should not exceed 275°F (135°C) for steam autoclave.
5. Ultrasonic cleaning is not recommended. Liquid sterilizing agents containing more than 2%
glutaraldehyde are also not recommended. If such agents must be used, be sure to thoroughly
rinse and dry the assembly to prevent residue buildup. Residue buildup in the differential
pressure ports can cause inaccurate pressures and volume readings.
6. Prior to replacing the exhalation valve diaphragm, inspect it for excessive wear. If signs of
damage are found, obtain a new diaphragm.
7. Insert the diaphragm. Hold it by the center and set it into the exhalation valve-housing
receptacle. Gently tap around the perimeter until the diaphragm is firmly seated.
8. Line up the tabs of the exhalation valve body with the alignment slots on the exhalation valve
housing. Gently push the exhalation valve body into place and rotate it clockwise until he release
latch pops out. You will hear the exhalation valve body ‘click’ into place.
9. Gently pull on the exhalation valve body to make sure it is securely attached to the ventilator.
CAUTION
Be sure to check with the manufacturer of these chemicals and sterilizing equipment to ensure safe handling
procedures are followed.
Note
Bird recommends no more than 50 cycles cleaning/sterilization.
Note
If using a heated humidifier, Bird Products recommends that the heated humidifier meets ANSI Z-79.10 or equivalent standard.
CAUTION
Do not submerge bacteria filters in liquids of any kind. Instead, use a steam autoclave to sterilize the filters.
To avoid possible damage to elastomeric components, the peak temperature for Bird Products accessories should
not exceed 275°F (135°C) for steam autoclave.
Note
In Homecare applications It is recommended to have two (2) complete circuits and exhalation valve assemblies and clean
every other day. If pulmonary infection exists, then clean and disinfect daily.
Note
The main flow Bacteria Filter, P/N 09534, is compatible with steam autoclave ONLY.
CAUTION
It is not necessary to remove the four screws to remove the fan inlet filter. To do so will cause mounting hardware
to become loose within the ventilator, which may result in electrical damage.
Technical Service
Hours: 7:00 AM to 3:30 PM (PST) Monday through Friday
Phone: (760) 778-7200
Fax: (760) 778-7377
Ordering Information
This appendix contains part numbers and ordering information. For additional information or to place an
order, contact your local dealer, Bird Products representative or Bird Products Customer Service
Department.
Customer Service
Hours: 7:00 AM to 3:30 PM (PST) Monday through Friday
Phone: (800) 328-4139 (Not available in some international locations)
(760) 778-7200
Fax: (760) 778-7274
Physical Specifications
Dimensions
System AVS, VSO2, VS & Legacy
Width: 13.0 in (33.02 cm)
Depth: 14.5 in (36.83 cm)
Height: 11.0 in (27.94 cm)
Docking Bay
Width: 12.0 in (30.48 cm)
Depth: 13.5 in (34.29 cm)
Height: 3.0 in (7.55 cm)
Ext Battery
Width: 12.0 in (30.48 cm)
Depth: 11 in (27.94 cm)
Height: 1.0 in (2.54 cm)
Weight (approximate)
System AVS, VSO2, VS & Legacy
Unpacked <33 lbs (15 kg)
Shipping <45 lbs (20.5 kg)
Docking Bay
Unpacked 2.5 lbs (1.1 kg)
Ext Battery
Unpacked 10 lbs (4.5 kg)
Construction
Internal impact resistant frame, durable rubber exoskeleton.
Orientation
The ventilator can be oriented horizontally (feet parallel to floor) or vertically (feet perpendicular to
floor.)
Placement
The ventilator must be positioned so airflow into the back panel air intake is unobstructed. Minimum
suggested clearance for air circulation is 12 inches (30.48 cm).
Storage Requirements
The ventilator can be stored for long periods of time (more than 200 days) without any special
preparations. Prior to storing the ventilator, clean and dry it thoroughly and then enclose it in a plastic
bag to prevent dust from accumulating in the air intake or exhalation valve openings. The internal
battery does not need to be removed.
The batteries should be charged at least every two months while the ventilator is in storage
Indicators
Patient Effort Green Indicator N/A
Power Indicators
On Green Indicator N/A
AC Green Indicator N/A
Internal Battery Power Green Yellow, Red Indicator N/A
Internal Battery Charge Status Green, Yellow, Red Indicator N/A
External Battery Power Green, Yellow Indicator N/A
External Battery Charge Status Green, Yellow, Red Indicator N/A
Monitors:
Note
All testing and calculations were based on BTPD (Body Temperature Pressure Dry) conditions.
Electrical Specifications
AC
Voltage: 100-240 VAC
Frequency: 47-63 Hz
Power: 200 Watts
Power Factor: 0.97
Battery
Voltage: 48 VDC Supply (4x12 VDC batteries)
Note
Fuse should only be changed by Bird Certified Service Technicians.
Environmental Specifications
Environmental Temperature
Operating: +5 to 40 °C
Storage/Shipping: -20 to 60 °C
Relative Humidity
Operating: 15 to 95% relative, non-condensing
Storage/Shipping: 10 to 95% relative, non-condensing
Sound Level
<50 dBa (rms) at one meter
Pneumatic Specifications
Oxygen Inlet
Oxygen Bleed-in: Max 80 lpm or 0.5 PSI (.035 bar) (Legacy, VS)
Pressurized Oxygen: 40-60 PSIG (2.8 to 4.2 bar) (VSO2, Legacy O2, AVS)
Illustrations
To Find O2 Concentration
1. Select current O2 input flow on vertical axis.
2. Project horizontally right to current minute volume (VE from monitor display).
3. Project vertically down to horizontal axis and read oxygen concentration
Therapy Goal:
At the completion of training, the caregiver should understand and demonstrate the proper use, safety
procedures, maintenance and cleaning of the TBird Series of Ventilation Systems.
Objectives:
• Understands the purpose and therapeutic significance of the physician’s orders.
• Demonstrates proper setup and usage of the TBird Series of Ventilators.
• Understands how to turn the ventilator on and off.
• Understands how to assemble the patient breathing circuit.
• Understands the operation of the potential power sources.
• Understands how to connect the patient to the ventilator via the patient breathing circuit.
• Understands possible alarms, causes and prevention techniques to properly avoid
or correct problem situations.
• Understands cleaning and proper maintenance for ventilator and breathing circuit.
• Understands the use of a back-up ventilation device, how to identify potentially
hazardous patient situations and how to contact the correct support personnel.
Code Description
1 Information that the MSP received from the IOP is not recognized.
2 The IOP did not remove the data that the MSP sent to it for processing.
3 The MSP has waited a maximum of 50 ms for a response from the IOP.
4 A non-fatal error was found in MSP/IOP high-priority (servo-related) communication and the event is logged. Previous
data used to continue operation.
5 A non-fatal error was found in MSP/IOP low-priority communication and the event is logged. Previous data used to
continue operation.
6 The MSP has detected a breath phase which is not defined. This generates an event and defaults to exhalation.
7 The MSP has detected a mode that is not defined and generates an event.
8 The MSP has detected a undefined breath type that is not defined and generates an event.
9 A low priority, background task has failed to execute. This causes the MSP to log the event and prepare for a reset
sequence.
10 An IOP task has reported or is requesting information that is not defined.
11 An undefined breath type has been requested. After the event is logged, the MSP will default to Bias Flow.
12 After POST, the turbine EEPROM is run through a checksum test every 5 minutes. If this fails this event code is
generated. If this is a recurrent problem it would indicate a problem with the Turbine EEPROM or the parameters
memory on the Main PCB. This problem should also occur during POST if there is a hardware failure involved.
13 The area of memory used for communication between software tasks did not get accessed as expected.
14 The "Task Active" message expected from a task was not found in the communication memory area. The task may
have run, but the message was not correctly processed.
15 The wrong task responded to the "Tasks Active" message.
16 The queue containing messages to be sent to the IOP was full.
17 Turbine exceeds set flow parameter.
18 Turbine exceeds set speed parameter.
19 Turbine exceeds set exhalation pressure parameter.
20 Turbine exceeds set internal pressure parameter.
21 Turbine encoder speed exceeds set encoder parameter.
40 The MSP has accessed an area of memory that it should not use. The code in that area causes this event to be
logged.
41 The microprocessor used for the MSP has defined hardware requirements for communication to memory devices. This
event is generated when these requirements are not met.
42 The microprocessor used for the MSP has an internal WatchDog timer that is used for high priority interrupts and
event scheduling. It also is used to insure that the IOP is running. If the IOP has quit, this event is generated.
43 Of the 256 interrupts that are contained within the MSP microprocessor, TBird Legacy uses five. There are also five
that are defined by the processor hardware and are used to generate events.
44 See event code 43.
45 See event code 43.
46 See event code 43.
47 See event code 43.
48 Not used.
Code Description
49 After POST, this event may be triggered by a failure of the test performed at 5 minute intervals on the MSP WatchDog.
50 After POST, this event may be triggered by a failure of the checksum performed at 5 minute intervals on MSP ROM.
51 See event code 43.
52 See event code 43.
53 See event code 43.
54 See event code 43.
55 One of the task's message queue is full. It could not accept a new message.
56 The configuration key is not present (does not apply to Legacy and Legacy O2). Install configuration memory card
used for configuration. Insure that the correct configuration card is installed.
60 Parameters EEPROM has lost calibration data.
61 One of the pressure transducers on the Main PCBA has failed the autozero test. Check transducer tests in UVT to
determine which one. Contact a Bird Certified Service Technician for proper calibration.
62 User has been unsuccessful in performing a transducer calibration. Contact a Bird Certified Service Technician for
proper calibration.
63 Unit could not use settings stored in RAM and has gone to Default Settings. A Configuration or Software change has
been installed. Enter desired settings.
64 Vent powered-up. This is an expected code generated when the unit is turned on.
65 The ventilator has forced a self reset of microprocessor activity. This should be proceeded by the event codes
identifying the cause of the reset. Check events will be displayed in the alarm/monitor window the next time that the
unit is powered up.
66 This would indicate that the Turbine EEPROM may have been replaced without updating the Parameters data or that
the Turbine or Parameters EEPROM has been damaged. Perform the Turbine serial number entry procedure as
described in Chapter 6, Special Functions. Ensure that the serial number on the Turbine EEPROM matches the serial
number on the Turbine label.
67 The unit has switched from AC Power to either the External Battery or the internal battery. Check to see if wall AC has
been interrupted or has fallen below acceptable levels.
68 External Battery alert occurred. Allow external battery to charge.
69 Internal Battery alert occurred. Allow Internal Battery to charge.
200 CPU command failure. This is an IOP POST failure.
201 CPU timer failure. This is an IOP Post failure.
202 Internal RAM failure. This is an IOP POST failure.
203 External RAM failure. This is an IOP POST failure.
204 Program Memory Checksum calculation failure. This is an IOP POST failure.
205 The IOP has accessed an area of memory that it should not use. The code in that area causes this event to be logged.
206 The microprocessor used for the IOP has defined hardware requirements for communication to memory devices. this
event is generated when these requirements are not met.
210 There are two A to D converters associated with translating exhalation pressure When a comparison of these shows
significant difference this event code is generated.
211 There are two A to D converters associated with translating exhalation flow. When a comparison of these shows
significant difference this event code is generated.
212 There are two A to D converters associated with translating turbine pressure. When a comparison of these shows
significant difference this event code is generated.
213 There are two A to D converters associated with translating internal battery voltage. When a comparison of these
shows significant difference this event code is generated.
214 There are two A to D converters associated with translating external battery voltage. When a comparison of these
shows significant difference this event code is generated.
215 There are two A to D converters associated with translating Oxygen Pressure. When a comparison of these shows
significant difference this event code is generated.
216 There are two A to D converters associated with translating cooling gas temperature exiting the ventilator. When a
comparison of these shows significant difference this event code is generated.
Airway Pressure A real-time digital bar graph that displays the current patient breathing circuit pressure as
Manometer it rises and falls during a ventilatory cycle. Amber LEDs mark high and low pressure
alarm limits.
Alarm A combined audible and visual notification. When the ventilator detects an operating
condition that requires your immediate attention, it generates an alarm. The audible
component is typically an oscillating tone. The visual component is a message that
appears in the alarm window. A flashing control or an illuminated indicator sometimes
accompanies this message.
Alert An alert is a notification that the ventilator requires your attention. When the ventilator
detects an operating condition that may prevent the ventilator from performing to its
published specifications, but which will not adversely affect the patient, the ventilator
generates an alert. Alerts do not have an audible component; no tone sounds. But they
do have a visual component: a message appears in the monitor window.
Apnea Apnea occurs when the patient fails to receive a breath during the period of time
specified by the user-defined apnea interval.
Apnea Backup Ventilation that automatically starts when the patient apnea is detected.
Ventilation
Apnea Interval A period of time between 10 and 60 seconds, which is set using the Apnea, function in
the Special Functions. Lets you define how long the ventilator should wait between
breaths before initiating Apnea Backup Ventilation. The apnea alarm occurs when Apnea
Backup Ventilation is initiated.
Assist Breath Any positive pressure breath that is initiated by the patient, and controlled and terminated
by the ventilator. Assist breaths are only permitted in Assist/Control and SIMV modes.
Assist/Control A mode of ventilation in which the patient receives a fixed number of mandatory breaths.
Mode The patient may trigger some or all of the breaths.
Autozero The process of adjusting transducers to read a zero reference at ambient pressure.
AutoPEEP A measure of the end expiratory alveolar pressure calculated during an expiratory hold
(Intrinsic PEEP) maneuver.
Alveolar Calculated by subtracting PEEP from Plateau Pressure (Pplat) during an Inspiratory Hold
Distending maneuver. Used to calculate Static Compliance.
Pressure
Baseline The pressure at which the patient is maintained between breaths. The baseline is
established by the PEEP/CPAP setting.
TERM DEFINITION
Bias Flow A continuous flow through the patient breathing circuit. The level of Bias Flow can be set
from 10 to 20 lpm by using the Bias Flow function in the Special Functions
Bpm Breaths per minute.
Breath Period The length of time between machine initiated breaths. Depends on the Breath Rate
setting and is computed by dividing 60 seconds by the Breath Rate setting. When the
Breath Rate setting is 15 bpm, for example, the breath period is four seconds (i.e., 60 /
15). In this example, the ventilator initiates a breath every four seconds.
Breath Rate The number of breaths delivered in a minute.
BTPD Body Temperature, Pressure Dry
Button A push button switch used to toggle a function on or off.
Checksum A technique for detecting data errors.
Circuit See Patient Breathing Circuit.
Circuit Pressure The pressure in the patient breathing circuit as measured at the exhalation valve
transducer.
cmH2O Centimeters of water pressure.
Control Mode A mode of ventilation in which the patient receives a fixed number of breaths per minute.
The patient is not permitted to trigger breaths.
Controls Any button, switch, or knob that allows you to modify the ventilator’s behavior.
CPAP See continuous Positive Airway Pressure.
Continuous A positive pressure continually applied throughout the breath cycle.
Positive Airway
Pressure (CPAP)
CPAP Mode A mode of ventilation in which the patient is allowed to breathe spontaneously, initiating
al breaths. A continuous positive pressure is applied throughout the breath cycle.
Cst See Static Compliance.
Displays Show the current settings of variable controls.
EEPROM Electrically Erasable Programmable Read Only Memory. A type of programmable
memory that can retain data even when power is not present.
Event An anomalous condition that occurs during ventilator operation.
Event Code A numeric message produced and stored by the TBird software that records a ventilator
state. This can be the result of some normal operation or the result of some detected
malfunction. These codes assist in establishing a background for troubleshooting
processes.
Exhalation Phase The part of the breath cycle in which the patient exhales.
Exhalation Time The time required to complete an exhalation.
Exhaled Tidal The exhaled volume measured at the exhalation valve for all breath types.
TERM DEFINITION
Volume
Flow The rate at which gas is delivered. Measured in liters per minute (lpm).
Flow Trigger A way if initiating breaths in response to patient effort. When the patient attempts to
inhale, flow is diverted into the patient’s lungs. If the patient demand exceeds the
currently set sensitivity level, the ventilator triggers an assist breath.
Indicators An LED showing operational status.
I:E Ratio (I:E) Shows the ratio of the inspiratory to exhalation time for all breaths including spontaneous
breaths. The smaller number is normalized to one. The I:E ratio is updated at the end of
every breath. Inverse I:E ratios are displayed as well as regular I:E ratios.
Inspiratory Time The length of the inspiratory period measured from the start of inspiration to the start of
(Ti) exhalation.
Inspiratory Phase The phase of a breath in which the patient inhales or inspiratory flow is delivered into the
lungs under positive pressure.
L Liters. A unit of volume.
LED Light Emitting Diode
lpm Liters per minute. A unit of flow.
Machine Breath A ventilator delivered breath that is initiated, controlled, and terminated by the ventilator.
Machine breaths are only permitted in Control, Assist/Control and SIMV modes.
Manometer See Airway Pressure Manometer.
Manual Breath An operator-initiated machine breath that is delivered when you press the front panel
Manual Breath button. The ventilator delivers the type of breath currently set up in the
system.
MAP See Mean Airway Pressure.
Mean Airway Shows the MAP for the last minute and is based on a one minute moving average. The
Pressure (MAP) display is updated every 10 seconds.
Milliseconds A unit of time of 300 msec required to allow the patient to inhale.
Minimum A minimum time of 250 msec required to allow the patient to exhale before an inspiration
Exhalation Time can be initiated.
Minimum A minimum time of 300 msec required to allow the patient to inhale.
Inspiratory Time
Minute Volume Shows the average volume delivered to the patient each minute and is updated at the
(VE) end of each exhalation. The minute volume is calculated by multiplying the breath rate by
the average of the previous eight tidal volumes. Spontaneous breaths are included.
MIP/NIF Maximum Inspiratory Pressure/Negative Inspiratory Force. A measure of patient’s
inspiratory effort.
ML Milliliter. A unit of volume equal one-thousandth (10-3) of a liter.
Mode An operating state of the ventilator that determines the allowable breath types.
TERM DEFINITION
Monitored A measured value displayed in the monitor window.
Parameter
O2 Oxygen
Patient Breathing The tubing that provides the ventilatory interface between the patient and ventilator.
Circuit
Patient Breath Any ventilator-delivered breath that is initiated and terminated by the patient. Patient
breaths are only permitted in SIMV and CPAP modes.
Patient Circuit See Patient Breathing Circuit.
Patient Effort Any inspiratory effort initiated by the patient.
Palvd See Alveolar Distending Pressure.
Paw Airway Pressure. Measured in cmH2O at the exhalation valve.
Peak Inspiratory Shows the highest circuit pressure to occur during inspiration as measured at the
Pressure (PIP) exhalation valve. The display is updated at the end of inspiration. PIP is not updated for
spontaneous breaths.
PEEP See Positive End Expiratory Pressure.
Pex End Exhalation Pressure. Measured during an Expiratory Hold maneuver, and used to
measure Auto/PEEP.
PIP See Peak Inspiratory Pressure.
Positive End Shows the measured Positive End Expiratory Pressure. The display is updated at the
Expiratory end of the exhalation phase.
Pressure (PEEP)
POST See Power On Self Tests
Power On Self A group of built-in verification tests that run on power up and that check the internal
Tests (POST) electronic circuits to make sure everything is working properly.
Pplat Plateau Pressure. Measured during an Inspiratory Hold maneuver. Used to calculate
Static Compliance. (Cst).
Pressure Control A Machine or Assist breath in which the ventilator elevates the inspiratory pressure
Breath above the baseline (i.e., PEEP) for a set inspiratory time. Set using the front panel
Pressure Control.
Pressure Support A patient breath in which the ventilator elevates the inspiratory pressure above the
Breath baseline (i.e., PEEP) by an amount set using the front panel Pressure Support setting.
Pstart The Starting Pressure measured during a MIP/NIF maneuver. Used to calculate patient’s
inspiratory effort.
PSIG Pounds per square inch gauge. 1 PSIG = .07bar
rpm Revolutions per minute. A unit used to measure
Sigh Breath A Volume Controlled machine breath having a tidal volume equal to one-and-a-half times
(150% of) the current tidal volume setting.
TERM DEFINITION
SIMV Synchronized Intermittent Mandatory Ventilation
SIMV Mode A mode of ventilation in which all breath types (machine, assist, and patient) are allowed.
The first time the patient attempts to initiate a breath following the machine breath, the
ventilator delivers an assist breath. Further attempts in the same breath period result in
patient breaths.
Special Functions A group of software functions that you can access and use to set operating parameters
(such as the apnea interval and bias flow), set alarm conditions, view transducer
readings, and so on.
Spontaneous A breath that is initiated, controlled, and terminated by the patient.
Breath
Static Compliance Measurement of respiratory system compliance. Calculated by dividing set Tidal Volume
(Cst) by Palvd.
SVT See Service Verification Tests.
Service A group of built-in self-tests that are only available to Bird Certified Service Technicians.
Verification Tests
(SVT)
Terminated The transition from the inspiratory phase to the exhalation phase of a breath
Tidal Volume The amount of volume delivered in a breath
Ti See Inspiratory time.
Total Breath Rate Shows the total number of breaths per minute, including both spontaneous and machine
breaths. The displayed value is based on an eight-breath moving average and is updated
at the beginning of each inspiration.
Transducer An electromechanical device used to measure pressure and flow.
User Verification A group of tests you can run to check ventilator performance prior to connecting the
Tests (UVT) ventilator to a patient.
Ventilator When all internal systems are immediately forced into a safe condition and a vent inop is
Inoperative sounded. This is due to an internal failure or operating condition that could interfered with
Condition the continued safe operation of the ventilator.
VAPS See Volume Assured Pressure Support.
VE See Minute Volume.
Vent Inop A combined audible and visual notification to the user that a ventilator inoperative
condition ahs occurred.
Vte See Tidal Volume.
Volume Assured A Machine or Assist breath in which the ventilator elevates the inspiratory pressure
Pressure Support above the baseline by an amount set using the front panel Pressure Control setting. If
(VAPS) necessary, VAPS breaths will deliver additional flow determined by the Peak Flow setting
to achieve a guaranteed minimum Tidal Volume as specified by the front panel Tidal
Volume setting.
TERM DEFINITION
Window The alphanumeric display used to show alarms, alerts, monitored parameters, and
overall ventilator status.
Index
A C
fan filter · 95
filter check · 83 M
FiO2 · 7, 107
flashing control · 21 machine breaths · 25, 37, 119
flashing LED · 21 malfunctions · 87
Flow Cal · 15, 19, 33, 60, 70, 83, 87 manometer · 16, 22, 23, 33, 61, 62
flow termination · 74 Manual Breath · 15, 19, 24, 30, 83, 100, 117
flow triggered · 26 MAP · 37, 38, 62, 102, 117
maximum inspiratory flow rate · 25
Mean Airway Pressure · 37, 38, 102, 117
G
Medical Device Directive · 6
Graphics Monitor · 72 Minute Ventilation · 16
· 19, 23, 37, 42, 47, 48, 61, 70, 78, 83, 101,
102, 117, 119
H mode select button · 24
· 19, 24, 31, 37, 49, 50, 60, 71, 72, 73, 74, 75,
high pressure · 8, 9, 10, 21, 30, 62 76, 77, 78, 79, 80, 81, 82, 83, 84
high pressure alarm · 22 monitored parameters · 22, 24, 37, 60, 62, 69,
High Pressure alarm · 67 72, 120
high pressure alarm control · 23 MRI · 5
High Pressure Limit · 19, 20, 33, 34, 45, 62
hour meter · 76
O
I ON Indicator · 19
operator replaceable components · 17
incompatible settings · 21 ordering information · 97
inspiratory flow · 25, 26, 27, 70, 117 Over Pressure Relief Valve · 19, 33, 88
Inspiratory Hold · 15, 19, 31, 83, 101, 115, oxygen · 107
118 Oxygen · 16, 44, 46, 57, 58, 70, 79, 98, 100,
Inspiratory Pause · 15, 19, 20, 28, 42, 50, 51, 103, 107, 118
61, 65, 66, 67, 83
inspiratory termination point · 73
Inspiratory Time · 15, 16, 19, 20, 21, 27, 28, P
30, 37, 38, 42, 50, 51, 61, 62, 66, 83, 101,
102, 117 Peak Flow · 15, 19, 20, 25, 26, 29, 30, 31, 33,
intended use · 6 42, 50, 51, 61, 66, 83, 100, 119
internal battery · 9, 16, 17, 28, 29, 30, 34, 43, Peak Inspiratory Pressure · 27, 37, 38, 62, 102,
46, 59, 60, 85, 100 118
Internal Battery · 101 PEEP · 15, 16, 19, 20, 21, 23, 26, 27, 28, 29,
37, 38, 42, 44, 45, 51, 61, 62, 65, 66, 67, 83,
87, 100, 102, 115, 118
L percentage of oxygen · 27
performance check · 65
Lamp Test · 81 PIP · 16, 27, 33, 37, 38, 62, 102, 118
language · 75 Power Fail Check · 62
leak test · 84 power source · 16
Legacy · 6, 7, 16, 22, 27, 28, 31, 43, 57, 58, Power Switch · 19, 34, 35
66, 70, 98, 101, 102, 105 Pressure Control · 16, 20, 21, 22, 24, 25, 28,
limitation of liability · 4 31
low minute volume · 23 Pressure Support · 15, 16, 19, 20, 21, 22, 24,
low pressure alarm · 22, 115 25, 27, 31, 42, 47, 55, 61, 65, 66, 67, 69, 73,
83, 100, 118, 119