User’s Manual

MTV1000 Ventilator System

User’s Manual can be modified without announcement for performance improvement.

Screens and pictures on User’s Manual may be different from actual product.

Eng. Ver. 2.3 2016-08-17

Table of Contents
1. About User’s Manual .................................................................................................................... 5
1.1 Cautions ............................................................................................................................................ 5
1.2 Warranty ........................................................................................................................................... 5
1.3 Revision History ............................................................................................................................. 5
1.4 Symbols ............................................................................................................................................. 5
2. Precautions ..................................................................................................................................... 7
2.1. Cautions for storage .................................................................................................................. 7
2.2. Cautions when using the product ........................................................................................ 8
2.3. Cautions on Electrical Safety ................................................................................................. 9
2.4. Cautions for Electronic Safety ............................................................................................. 10
3. Appearance and Specification ................................................................................................. 11
3.1. Overview ...................................................................................................................................... 11
3.2. Appearance.................................................................................................................................. 12
3.2.1. Front View ......................................................................................................................... 12
3.2.2. Rear View .......................................................................................................................... 13
3.2.3. Left Side View ................................................................................................................... 14
3.2.4. Right Side View ................................................................................................................ 15
3.2.5. Top View ............................................................................................................................ 16
3.3. Specification ............................................................................................................................... 17
3.3.1. General Characteristics ................................................................................................... 17
3.3.2. Electric Specification ........................................................................................................ 17
3.3.3. Setting Parameter Specification ..................................................................................... 18
3.3.4. Useful Function Description ............................................................................................ 19
3.3.5. Alarm Specification .......................................................................................................... 19
3.3.6. External Specification ...................................................................................................... 20
3.3.7. Environmental Specification ........................................................................................... 20
3.4. Internal and External Symbols ........................................................................................... 21
3.5. Maintenance and Repair ........................................................................................................ 22
3.6. Cleaning ........................................................................................................................................ 23
4. Installation and Set-Up ............................................................................................................. 24
4.1. External Power Supply ........................................................................................................... 24
4.1.1. Description on Commercial Power ................................................................................. 24
4.1.2. External Battery ............................................................................................................... 25
4.2. Internal Battery ......................................................................................................................... 26
4.2.1. Power Status Indicator .................................................................................................... 27
4.2.2. Internal Battery Replacement Method .......................................................................... 28
4.3. Oxygen (O2) Supply ................................................................................................................. 29
4.4. Bacteria Filter ............................................................................................................................. 30
4.5. Movement Method .................................................................................................................... 30
4.6. Installation Guide according to Circuit Type ................................................................. 31
5. Getting Started with MTV1000 ............................................................................................... 33
5.1. General Operation Sequence ............................................................................................... 33
5.2. Quick Ventilation Operation Sequence (Dual Ventilation Mode) .......................... 35
5.2.1. Accessing the quick ventilation mode ........................................................................... 35
5.2.2. Accessing the clinical screens ........................................................................................ 36
5.2.3. Programming ventilation options ................................................................................... 37
5.3. Quick Ventilation Operation Sequence (Single Ventilation Mode) ....................... 38
5.3.1. Accessing the quick ventilation mode ........................................................................... 38
5.3.2. Accessing the clinical screens ........................................................................................ 39
5.3.3. Programming ventilation options ................................................................................... 40
6. System Management .................................................................................................................. 41
6.1. KEY Panel ..................................................................................................................................... 41
6.1.1. Encoder .............................................................................................................................. 41

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 6.1.2. Alarm Lamp ....................................................................................................................... 41
6.1.3. Key Pad Description ......................................................................................................... 42
6.1.4. Power Status LED ......................................................................................................... 42
6.2. Vent Mode .................................................................................................................................... 43
6.2.1. Modes available with dual limb circuit .......................................................................... 43
6.2.2. Modes available with single limb circuit (External Exhalation Valve) ....................... 44
6.3. Measurement Information .................................................................................................... 45
6.4. Graphs ........................................................................................................................................... 46
6.5. Alarm Messages......................................................................................................................... 47
6.6. Ventilation Parameter Setting ............................................................................................. 48
6.7. Monitoring menu ....................................................................................................................... 51
6.7.1. E Flow(End of Exhaled flow) ........................................................................................... 50
6.8. Graphics menu ........................................................................................................................... 51
6.9. Tools menu .................................................................................................................................. 52
6.10. Events menu ........................................................................................................................ 53
6.11. System menu ...................................................................................................................... 54
6.11.1. SETUP ......................................................................................................................... 54
6.11.2. DATE ........................................................................................................................... 55
6.11.3. Calibration .................................................................................................................. 56
6.11.4. Patient ........................................................................................................................ 57
6.12. Alarm Setting ...................................................................................................................... 58
6.13. Useful Hot-key .................................................................................................................... 60
6.14. Miscellaneous ..................................................................................................................... 61
7. Appendix ........................................................................................................................................ 62
7.1. Setting Parameter Description ............................................................................................ 62
7.1.1. Trigger Function .................................................................................................................... 62
7.1.2. Inspiratory Rise Time ........................................................................................................... 63
7.1.3. Respiratory Rate ................................................................................................................... 63
7.1.4. Apnea Time ............................................................................................................................ 63
7.1.5. PEEP ......................................................................................................................................... 63
7.1.6. I:E Ratio/ Inspiratory Time ................................................................................................. 63
7.1.7. Volume Level Setting ........................................................................................................... 63
7.1.8. Controlled / Supported Pressure Level ............................................................................. 64
7.1.9. O2 Cencentration ................................................................................................................... 64
7.1.10. Sigh Time ................................................................................................................................ 64
7.1.11. Proximal Sensor On/Off ....................................................................................................... 64
7.1.12. Mask On/Off ........................................................................................................................... 64
7.1.13. En_Sense ................................................................................................................................ 64
7.1.14. Ex_Sense ................................................................................................................................ 64
7.1.15. Predicted Body Weight ......................................................................................................... 65
7.2. Ventilation Modes ..................................................................................................................... 66
7.2.1. V-ACV(Volume Assist Control Ventilation) .................................................................... 66
7.2.2. V-SIMV(Volume based Synchronized Intermittent Mandatory Ventilation) ............. 68
7.2.3. P-ACV(Pressure Assist Control Ventilation) .................................................................. 72
7.2.4. P-SIMV(Pressure based Synchronized Intermittent Mandatory Ventilation) ........... 74
7.2.5. PRVC(Pressure Regulated Volume Control Ventilation) .............................................. 76
7.2.6. SPONT+(Spontaneous Ventilation) ............................................................................... 78
7.2.7. AUTO .................................................................................................................................. 81
7.3. Operating Theory ...................................................................................................................... 81
7.4. Accessories .................................................................................................................................. 82
7.5. Alarm Operation according to ventilation mode .......................................................... 85
7.6. SpO2 / EtCO2 Monitoring ........................................................................................................ 86
7.6.1. SpO2 / EtCO2 Connection Information .......................................................................... 86
7.6.2. SpO2 Monitoring ............................................................................................................... 86
7.6.3. EtCO2 Monitoring .............................................................................................................. 87

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 7.7. Test Summary ............................................................................................................................ 89
7.7.1. Guidance and manufacturer’s declaration - ................................................................. 89
electromagnetic emissions ............................................................................................................ 89
7.7.2. Guidance and manufacturer’s declaration –................................................................. 89
electromagnetic immunity ............................................................................................................. 89
7.7.3. Guidance and manufacturer’s declaration –................................................................. 90
electromagnetic immunity ............................................................................................................. 90
7.7.4. Recommended separation distances ............................................................................. 92
7.8. Product Warranty Policy ........................................................................................................ 93

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 1. About User’s Manual

This user’s manual is provided to users with MTV1000 Ventilator product.

Since this user’s manual is compatible with MTV1000 Ventilator, it may not be used with other
products manufactured by our company. In case of loss or damage in user’s Manual, you may
refer to MEK-ICS web site for downloading the manual file.

URL: http://www.mek-ics.com

MTV1000 user’s manual includes precautions and risks to users prior to use of ventilator.
Please read all precautions for use thoroughly before operating the product.

You may easily find information with the table of contents during operation.

If you have any inquiries on details of the product, contact our company or visit Customer
Service Center.

1.1 Cautions
This document contains proprietary information that is protected by copyright.
Under copyright law, this document cannot be reproduced, modified or otherwise amended
without prior approval.

1.2 Warranty
Contents in this publication may change without notice.
MEKICS takes no responsibility for any problems and damages caused by performance or
different data from the details of this document.

1.3 Revision History

The part numbers and revision number indicated in this document represent the current
version.
The revision number does not change even if any subdocuments are revised.
The revision number may change when major part numbers or technical information in the
document change.

1.4 Symbols
Symbols appear on the interior and exterior of the product and in this User Manual.
The symbols represent important cautions and advice to the user. Please read the following
symbols carefully and be well informed of them for the use and storage of the product.

DANGER
This symbol represents “DANGER.”
It is associated with possible matters that may greatly harm the product or the patient, or
might even cause the patient’s death.

WARNING
This symbol represents “WARNING.”
It is associated with possible matters that may harm or cause irreversible damage to the
product or the patient.

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 CAUTION
This symbol represents “CAUTION.”
It is associated with possible matters that may damage the product or harm the patient.

ATTENTION
This symbol is associated with safety issues that the user should give attention to and be
well informed of before using the product. How to use the product is described in each
section of this manual.

NOTE
This symbol is associated with issues you should note regarding the surrounding
environment or additional references to the descriptions in this manual. It does not pertain
to possible damages to the product or the patient.

▣ This User Manual may differ from the actual product in terms of functionality.
▣ If deemed necessary, the company may make any improvement to the product to enhance
its performance, without prior notification, MEKICS has no obligation to apply the same
specification change to the products already sold.

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 2. Precautions

2.1. Cautions for storage

Below are precautions for storage.
Prior to using the product, user must check the surrounding environment.

WARNING

Do not store the product in a place exposed to humidity.

Do not store the product in a place exposed to direct sunlight.

Do not store the product in a place near a heating device.

Do not store the product in a place with extreme thermal variation.

(Proper storage temperature: -20C–50C)

Do not store the product in a very humid place or in a place with

poor ventilation. (Proper storage humidity: 10%–90%)

Do not install or place the product where it may fall or be dropped.

Do not store the product in a place that may cause the patient any
harm.
Do not store the product in a place where the product could be
exposed to extreme impact or vibration.

Do not store the product in a place where the product could be

exposed to chemicals or explosive gases.

Be careful to prevent dirt, especially metal materials, from getting

inside the product.

If the product dysfunctions, do not disassemble the product yourself.

Only MEKICS’ service personnel and designated service technicians
are authorized to disassemble the product for repair or battery
replacement. If you disassemble the product yourself, you will not
receive any service for the product.

Turn off the product when you do not use it for a while.

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 2.2. Cautions when using the product
The following are cautions when using the product. Please read them thoroughly before
use.

WARNING
1. It is extremely dangerous to use or store the product in a place exposed to chemicals
or explosive gases.
2. Do not disjoint or disassemble the product, doing so will cancel the product warranty.
3. Do not connect the product to a power supply before completing the installation. This
may damage the product.
4. Before using the product, ensure that the settings of all the sensors and functions are
correct. Only authorized, well-informed personnel should use the Ventilator unit.
5. The proper functionality of the product should be verified regularly.
6. Do not use the product on more than one patient at a time.
7. Do not use the product in a place exposed to high humidity.
8. It is very dangerous to operate the product with wet hands.
9. Do not use the product in a place exposed to direct sunlight.
10. Do not use the product in a place with extreme temperature variations.
The proper temperature ranges from 10C to 40C.
11. Do not use the product near a heating device.
12. Do not use the product in a very humid place or a place with poor ventilation.
13. The proper humidity ranges from 0% to 95%.
14. Do not use the product in a place where the product could be exposed to extreme
impact or vibration.
15. Be careful to prevent dirt, especially metal materials, from getting inside the product.

CAUTION
1. This product is used to determine patient status. Other clinical information must be
used together for accurate diagnosis.
2. Take care not to cause pain on patients from tightening sensors. Also, take care not
to tangle patients with sensor cables.
3. If measurement values displayed on the screen are considered inaccurate, measure
another patient for comparison.
4. Do not use one product on two patients simultaneously.

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 2.3. Cautions on Electrical Safety
The following are cautions on electrical safety. Please read carefully before using the
product.

WARNING
1. The rated power input for this product is AC 100~220V / 50–60Hz.
2. Connect the power plug to an AC power outlet with an earth terminal.
3. Note that neither the company nor any representative of the company will be
responsible for any issues arising from the use of any power source out of the rated
power input.
4. Only authorized personnel who are trained to service the product may disassemble
the product. Note that neither the company nor any representative of the company
will be responsible for any electric shock, short circuit or product damage caused by
unauthorized disassembly. Failure to comply will cancel the product warranty and
make the product ineligible for service.
5. If the power cord or sensor cable is damaged, immediately stop using the product
and replace the power cord or cable. Using the product when the power cord or
sensor cable is damaged may cause an electric shock, short circuit, current leakage
or product damage.
6. Do not bump or move the product while the power cord or sensor cable is connected
to it. This may cause patient injuries or product malfunctions.
7. When using the product with other devices, use a separate AC power source for the
other devices to ensure the patient’s safety.
8. Do not use an anti-electrostatic or conductive tube for the product.
9. Auxiliary equipment and accessories provided by MEKICS are qualified items that
meet electrical safety standards. The use of other companies’ products or unproven
items may cause injury to the patient or product damage.

CAUTION
Only use auxiliary equipment provided by the MEKICS Head Office or MEKICS’
designated representatives.

ATTENTION
1. This product uses 10.8V, 4400mAh (2ea), Li-ion battery.
2. When charging battery, connect the AC cable. Take care to prevent metal substances
from contacting the battery charging terminal.

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 2.4. Cautions for Electronic Safety
The following are cautions on electromagnetic wave safety. Please read carefully before
using the product.
The product is Electromagnetic Wave Safety Standard CLASS II-A qualified.

WARNING
1. A strong electromagnetic wave may affect the performance of the product.
Basically, the product is designed to not suffer functional disorders by surrounding
electromagnetic waves. Notwithstanding, strong electromagnetic waves may cause
the product to malfunction. This may include displaying incorrect calculation values,
disappearance of measurements and noises affecting the wave pattern. If such
errors continue, contact the MEKICS Technical Service Center or authorized dealers
for assistance.

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 3. Appearance and Specification

This chapter provides information on the appearance and specifications of the MTV1000
ventilator System.
.

3.1. Overview
This product is a ventilator for adults, pediatric, which configures breathing method, tidal
volume, Respiratory, oxygen concentration and breathing ratio to resolve the hypoxia
shown in pulmonary emphysema or respiratory disease patients. Though the ventilator can
safely manage breathing in a patient using various alarm functions and safety devices,
other clinical information must be used simultaneously for precise diagnosis of patients.

Display
This product displays various ventilation information of the patient on a 7-inch color
TFT LCD. The LCD displays graphs of pressure, volume and flow, as well as
measurement values of the patient. In addition, it is extremely easy to access menu
through touch screen and encoder. Real-time graphs and values can be saved and
represented using trend function, along with various warning messages.
When an alarm sounds function is turned off, an alarm is displayed visually on the
screen.

Electric Performance
The rated voltage of this product is 100VAC – 240VAC. In case of problems in input
power, fuse internalized in the product can be used to protect the product.
Battery pack (Li-ion battery, 10.8V, total 8800mAh) applied to the product includes two
large capacity batteries. The product can be operated up to three hours without AC
power supply. The battery remaining status is displayed at the bottom of the screen. In
addition, the battery pack can easily be attached and detached.
The battery pack can be charged by connecting AC power (100VAC – 240VAC) from
external sources. The battery can be charged more quickly with power-off status.

Connection of External Instruments

Equipment connected to the SIP/SOP on the EUT shall either comply with IEC 60601-1
or shall allow the system to comply with IEC 60601-1-1.

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 3.2. Appearance
3.2.1. Front View

D E

A B

No. Part Name Description

A LCD Monitor Displays the status of ventilator system and patient

Includes various input buttons and encoder to handle the

B Key Panel
ventilator

C Speaker Creates various sounds such as alarms and warnings

Alarm Displays alarm status using LED colors

D
Status LED Normal : Green / Alarm : Red, Blue
Power Displays power currently used
E
Status LED AC Power : Green / Battery Power : Orange

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 3.2.2. Rear View

No. Part Name Description

A Battery Cover Cover used to replace battery

B O2 Change Cover Cover used to replace O2 cell

WARNING
Be careful about polarity when replacing the battery. If polarity is reversed, the product
can be damaged. Prevent the terminal from contacting metals.
For batteries, auxiliary products designated by our company must be used.

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 3.2.3. Left Side View

A
E

D G

No. Part Name Description

A SpO2 Port Connects SpO2 Probe

B EtCO2 Port Connects EtCO2 module
Output port of gas supplied to the patient is connected to
C Inspiration Port
the patient through a circuit
Input port of gas coming out of the patient is connected
D Expiration Port
to the patient through a circuit
Proximal
E Connects proximal pressure line
Pressure Input
Exhalation
F Drive Line Connects Exhalation Valve Control line
Outlet
Nebulizer Port
G Connects Nebulizer Accessory
(Option)

WARNING
If you do not use the Proximal Pressure Port should not cover.

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 3.2.4. Right Side View

C
E

D
G

No. Part Name Description

External
A Terminal connecting external battery
Battery Input
B AC Inlet Connects AC power cord

C Power Switch Standby power on / off

D COMM RS-232 communication port

Low Flow O2
E Connects oxygen concentrator
Supply Inlet
F Air Filter Filters inhaled air gas
High Pressure
G Connects high pressure oxygen tank
O2 Supply Inlet

ATTENTION
Do not touch RS-232 Port, Video Output Port, USB-A Type Port, and USB-B Type Port with
metal substances. Also, turn off the power when connecting cables to these ports.

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 3.2.5. Top View

A
B

No. Part Name Description

A Handle Handle for easy movement of ventilator

B Port Cover Cover to protect ports for external communication

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 3.3. Specification

3.3.1. General Characteristics

User-friendly menu configuration
Easy menu setting with encoder and touch screen
Two alarm functions (speaker, buzzer)
External battery can be used

3.3.2. Electric Specification

Commercial power input 100 ~ 240 VAC, 50/60 Hz

Fuse capacity 250V / 6.3A
Power consumption 150 VA
External battery input 12VDC @ 7A lead battery
Internal battery 10.8V, 4400mA Li-ion battery 2 EA
(Total 8800mAh)
Three hours of use under normal operation
Charging time: Up to four hours
Replaced after two years of use
Communication Upgradable (MAIN, Pneumatic board)
Display 7” LCD (Resolution: 800 * 480)

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 3.3.3. Setting Parameter Specification

Item Range Measurement Condition Default Value

10 ~ 150 kg (Volume)
BW
1 ~ 150 kg (Pressure)
Inspiratory ± (1.7 + 4% of the actual
5 ~ 80 cmH2O 20 cmH2O
Pressure reading) cmH2O
± (1.7 + 4% of the actual
PEEP 0 ~ 50 cmH2O 3 cmH2O
reading) cmH2O
Inspiratory time 0.2 ~ 9.9 sec ± 10 % 1.7 sec
Enable inhalation
10 ~ 80 % - 30 %
trigger(EnSENS)
Exhalation trigger
10 ~ 80 % - 30 %
sensitivity(ExSENS)
± (1.7 + 4% of the actual
Pressure Support 0 ~ 60 cmH2O 5 cmH2O
reading) cmH2O
Trigger sensitivity
OFF, 0.5 ~ 20 cmH2O - 3 cmH2O
Pressure
Trigger sensitivity
OFF, 0.5 ~ 20 lpm - 7 lpm
Flow
± 15 % (VTIDAL>100ml)
Tidal Volume 50 ml ~ 2500 ml 10 ml/kg
±20ml (VTIDAL≤100ml)
Rate 2 ~ 60 bpm ± 2 bpm 12 bpm
O2 % 21 ~ 100 % ±3% 30 %
Sigh OFF/30/60/90/120 RPB OFF
OFF, MANUAL
BTPS - -
DRY/MANUAL HUMID
MASK ON/OFF - -
Proximal Pressure
ON/OFF - -
Sensor(Option)
Single with Ex.Valve /
Limb Type - -
Dual
± (1.7 + 4% of the actual
Pressure Limit 5 ~ 80 cmH2O 50 cmH2O
reading) cmH2O
V SENS 20 ~ 500 ml - 100ml
Nebulizer(Option) 10~180min - 30 min
Trise Fast, Medium, Slow - Fast

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 3.3.4. Useful Function Description

Function Description
Measures patient’s lung resistance, compliance, elasticity, time
Inspiration pause
constant
Manual Inspiration Delivers one mandatory breath
Touch-Key lock Disable touch-key function
Graph freeze Freezes waveform & loop graphs
Alarm silence Turns off alarm sound for 2 minutes
Alarm reset Clear active alarms
Sound Volume Controls alarm sound volume

3.3.5. Alarm Specification

Item Range

PRESSURE HIGH OFF, 0 cmH2O ~ 120 cmH2O

PRESSURE LOW OFF, 0 cmH2O ~ 110 cmH2O
VTIDAL High OFF, 20 ml ~ 2500 ml
VTIDAL LOW OFF, 10 ml ~ 2400 ml
O2 HIGH OFF, 0% ~ 100%
O2 LOW OFF, 0% ~ 80%
RATE HIGH 2 ~ 150 BPM
RATE LOW 0 ~ 148 BPM
VE MIN HIGH 0.5 ~ 50 LPM
VE MIN LOW 0.0 ~ 49.0 LPM
O2 Pressure Fail -
AIR LEAK 10 ml ~ 500 ml, OFF
APNEA 2 ~ 60 sec
VENT INOP -
O2 CELL ERROR -
CIRCUIT OPEN -
BATTERY MODE -
LOW BATTERY DC power loss
COM ERROR -
SpO2 High(optional) OFF, 52 ~ 100%
SpO2 Low(optional) 51 ~ 100%
PR High(optional) 26 ~ 250 bpm
PR Low(optional) 25 ~ 249 bpm
EtCO2 High(optional) 0.0 ~ 15.0 %
EtCO2 Low(optional) OFF, O.O ~ 14.9%
INS High(optional) 0.0 ~ 15.0 %

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 INS Low(optional) OFF, 0.0 ~ 14.9 %
RESP High(optional) 3 ~ 150 rpm
RESP Low(optional) 2 ~ 149 rpm

3.3.6. External Specification

Main body size 25 x 15.6 x 37.1 (Width x Depth x Height) cm

Main body mass 8 Kg
Inspiratory limb connector ISO 22mm conical male
Expiratory limb connector ISO 22mm conical male
Oxygen supply inlet DISS male / female

3.3.7. Environmental Specification

Operating Temperature range 10 to 40 ℃ (50 ~ 104 ℉)

Operating Atmosphere Pressure range 700 to 1060 mbar (10.2 ~ 15.4 psi)
Operating Altitude range Up to 3000 m (9,842 ft)
Operating Humidity range 0 to 95 %
Storage Temperature range -20 to 50 ℃
Storage Atmosphere Pressure range 500 to 1060 mbar (7.3 ~ 15.4 psi)
Storage Altitude range Up to 6560 m (20,000 ft)
Storage Humidity range 10 to 90 %
2.56 ~ 7.3 Kgf/㎠
O2 supply pressure range or 2.4 ~ 6.9 bar
or 35 ~ 90 psig

International Standards
This product selected and acquired the following international standards.

EN60601-1:1990 Electric Safety

EN60601-1-1:2001 Electromechanical Safety
EN60601-1-2:2001 Electromagnetic Compatibility Requirement and tests
IEC 60601-2-12:2001 Particular requirements for the safety of lung ventilators for medical
use

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 3.4. Internal and External Symbols
Symbols used on the interior and exterior of the product are described. Check description
on each symbol prior to using the product.

No. Name Symbol Description

Attention This symbol indicates that user must

Consult consult accompanying document
1
accompanying (User’s Manual) prior to operation.
document IEC 60601-1

This symbol indicates that the device is

2 Stand-By in stand-by to use its functions.
IEC 417-5009

This symbol displays AC plug without

3 AC power plug ground poles. This is for AC power.
IEC 417-5534

5 AC Power AC Power Operation

4 Battery Power Battery Power Operation

5 External battery This symbol indicates external battery.

6 Graph Freeze Freezes currently displayed graph.

7 Exit Removes menu tree from the screen.

Turning off audible alarm sound for two

8 Alarm silence
minutes
9 Alarm reset Resetting alarm LED and messages

10 Alarm sound Off Alarm sound is off or mute.

11 Touch-key unlocked Enable touch-key function

12 Touch-key locked Disable touch-key function

13 Manual Inspiration Delivering one mandatory inspiration

Nebulizer
14 Nebulizer is turned On/Off.
(Option)

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 3.5. Maintenance and Repair
Period of regular inspection and maintenance on this device and patient circuit system are
as described in the following table.

Period Subject Details

All bacteria filters
Inspect whether all filters are
- Inspiratory filter
normally attached
- Expiratory filter
Inspect connection state,
Daily
Patient circuit system leakage, clogging, and
moisture
Collector vial, gas supply water Check moisture state and
traps empty it if necessary
Patient circuit system, all
When patient is changed, or at After replacement, used parts
bacteria filters, and
least once every 15 days are cleaned and sterilized
humidification chamber
Every 6 months Entire equipment Perform test
Every year or after 100 times Replacement to new filters and
All bacteria filters
of autoclave disposal of used filters
Between 1 ~ 2 years Oxygen cell Replacement to new cell
Oxygen cell calibration using
Whenever necessary Oxygen cell
O2/CAL button
Replacement of parts using
Every 10,000 hours Various auxiliary products
10,000 Hours Service Kit.

CAUTION
User must inspect installation state and abnormalities in filters and patient circuit system
every day with unaided eyes. If abnormalities are found, corresponding parts must be
immediately supplemented or replaced.

CAUTION
When changing the patient or every 15 days when using the product long-term for a
patient, patient circuit system including all bacteria filters must be replaced. Used parts
must be cleaned and sterilized.

CAUTION
All components of patient circuit system excluding bacteria filters can be sterilized using
any of ETO (ethylene oxide) gas method, steam autoclave method, and chemical
sterilization method.
However, only steam autoclave method can be used for bacteria filters. Sterilization is
performed for about 20 minutes at 132˚C.

CAUTION
Bacteria filters must be replaced to new filters every year or when the number of
autoclaves reaches 100. For oxygen sensor, lifespan may be reduced by high FiO2 or high
temperature.

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 3.6. Cleaning
Regular cleansing prevents problems in function and performance of this product.
Take the following steps to avoid contamination and unnecessary damage.

WARNING
1. If undesignated, dangerous substances are used for cleaning, no free repair service
will be provided on the damaged product regardless of warranty period.
2. Take care on the main body and sensors after cleaning. Do not use damaged or
aged device.
3. Once a month, clean the exterior of the product using soft cloth soaked in warm
water or alcohol.
4. Do not use lacquer, paint, thinner, ethylene or oxidizer that may damage the
product.
5. Do not place accessories in liquids or detergents.
6. Take care to prevent liquids from entering the product or sensor probe during use.

WARNING
1. Do not arbitrarily dispose of the product.
2. Do not discard disposable sensor in places with risks.
3. Be careful about environmental contamination.

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 4. Installation and Set-Up

When installing or moving the device, be careful not to place impact on the product.

4.1. External Power Supply

External commercial power or battery power can be used.

4.1.1. Description on Commercial Power

External commercial power connector is on left side of the product.

WARNING
If rating is incorrect, user and product can be damaged.
Power cord must be connected to the outlet attached to the ground.
Damaged power cord or sheath must be replaced.
When external DC power or AC power is connected, power LED is turned on indicating
which power is being supplied.

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 4.1.2. External Battery
External battery connector pinout is as follows.

1
2
3
4

Pin Name Description

1 Not connected
2 Not connected
3 GND Grounding
4 +VCC External battery input

CAUTION
Do not short any pins of Ext. Batt. Connector. It may damage internal electric circuit.
Be careful about polarity when connecting and replacing batteries.
Use rated voltage of 12V DC and current must be 7A or above.

WARNING
Fuse is internalized in the product.
Time Lag Type, 250V, 6.3A

NOTE
Internal battery is not charged while external battery is being used.

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 4.2. Internal Battery
Internal battery is used to supply power to the product when the patient is moving.
Battery is automatically charged when external commercial power is supplied. Once
commercial power supply is terminated or power supply is suspended accidentally, power
is automatically switched to internal battery. Remaining battery status is indicated on the
LCD.

WARNING
Battery must be charged before use. Replace the battery if it is considered inadequate.
If battery gets low, measurement information relating ventilation may result in errors. If
remaining battery is low, connect to commercial power.
Be careful about polarity when replacing battery. Connect (+) to red and (-) to black. If
polarity is mistaken, it may damage the product.
Do not short battery terminal. (Battery may explode and cause harm on human body)
Use rated voltage and current. (10.8V, 4400mA)
In case of abnormality in battery, contact [Customer Service team] to receive necessary
follow-up.

CAUTION
Fuse is internalized in the product.
Time Lag Type, 250V, 6.3A

Internal battery can be influenced by the number of discharges during use, degree of
discharge, surrounding temperature, and charging voltage. Battery can ordinarily be used
for two years.

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 4.2.1. Power Status Indicator
This symbol shows current power status. It is displayed on the bottom right side of the
LCD screen. The status is classified into 5 states.

No. Figure Description

1 AC power on

2 Battery remains 80% ~ Full

3 Battery remains 50% ~ 80%

4 Battery remains 20 % 50%

Battery remains Empty ~ 20%.

With this status, the symbol keeps blinking and
5 beep sound is made. To protect the battery, power
is automatically blocked and the device is turned off
after about five minutes.

NOTE
When the product is used over two hours with internal battery, ventilator may not operate
properly. Measurement values such as TIDAL Volume can be relatively small.

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 4.2.2. Internal Battery Replacement Method

No. Figure Description

Unscrew the six screws on both sides of the

1
battery cover.

After removing battery cover, separate battery

2
pack.

There are two batteries. Replace the wanted

3
battery and assemble in a reverse sequence.

WARNING
Place battery connector in the correct position when replacing battery. If the connector is
misplaced, it may damage the product.

CAUTION
All bolts are tightened clockwise and loosened counterclockwise.

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 4.3. Oxygen (O2) Supply
Oxygen gas can be supplied in two ways. One is using high pressure O2 port, and the other
is low flow O2 port.

No. Figure Description

1 High Pressure O2 supply

2 Low flow O2 supply

WARNING
Since oxygen tank pressure is high, always keep oil away from connector to prevent
explosion.
Before connecting or disconnecting high pressure hose, close oxygen tank valve first.
Check that high Pressure O2 supply pressure is appropriate (35~90 PSI).
High pressure hose must be kept away from people during use and transportation.

If low flow O2 supply is not used, keep low flow O2 port closed up.

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 4.4. Bacteria Filter
Bacteria filter is used for patient safety.

WARNING
Filter must be used before connecting the device to the patient.
If accessory has 2 symbol, it is disposable and must not be reused.
In order to use reusable accessories, sterilize and clean them first.
Filters must be provided and designated by our company. Consult with hospital supply
engineer or locally authorized seller when using other products.
This product must only be operated with authorized standard products. Our company is
not responsible for problems caused by use of unauthorized products.
Since accessories are aseptic products, packages must only be opened before use. There
must be no flaws or defects in the packages.

4.5. Movement Method

No. Figure Description

1 Move the product using handle.

WARNING
When moving the product, keep the LCD frontal. Prior to moving, make sure that parts and
power cords are arranged.

WARNING
When using cart, disable the lock that fixates wheels on the product before movement.
Lock the wheels after movement.

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 4.6. Installation Guide according to Circuit Type

MASK Type
Mask Mask Proximal
Circuit Type
without Exhalation with Exhalation Pressure Port
Hole Hole
Dual limb circuit O X O
Single limb circuit
O X O
with Exhalation valve
SETUP MODE SETTING SETUP
MENU
– Limb Type - MASK ON or OFF - Proximal ON/OFF

Circuit Type A. Dual limb circuit without external Exhalation Valve

(Non-vented Mask Type)

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Circuit Type B. Single limb circuit with external Exhalation Valve
(Non-vented Mask Type)

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 5. Getting Started with MTV1000

5.1. General Operation Sequence

No. Item Figure Description

Preparing Connect Patient circuit and

Refer to “Installation Guide according
1 patient circuit appropriate accessories to the
to Circuit Type”
and accessories product.

A. Connect power cord to AC

power inlet. AC commercial
power LED is turned on.
2 Preparing power B. Position power switch at stand-
by symbol.
C. System fail buzzer sound is
created.

When stand-by switch is pushed for

two seconds, power is normally
supplied and system fail sound
disappears. Wait for preparation of
3 Turning on power various sensors.

Screen state: “Initial” word is

displayed at first. Afterwards
“Ready” appears.

CAUTION
Buzzer alarm sound is created when power switch is positioned at stand-by.
If there is no buzzer sound, check the problem in power supply and fuse.

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No. Item Figure Description
A
A. Add a new patient
C or load last patient
setting.
B. Select patient type.
Selecting
C. If height of the
4 Patient
patient is decided,
Type
PBW (predicted
body weight) is
automatically
calculated.
B

A
A. Click “READY”
button to see
ventilation modes
Selecting screen.
5 Ventilation B. Select appropriate
Mode ventilation mode.
For more details,
refer to “Vent.
Mode” section.
B

A. Set appropriate
Selecting parameters for
6 Ventilation selected vent mode.
Parameter B. Push accept button
to start ventilation.

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 5.2. Quick Ventilation Operation Sequence (Dual
Ventilation Mode)
MTV1000 allows you to save two sets of ventilation parameters. Only physicians and
competent nursing, technical staff are permitted to access the clinical screens. The patient
must not handle clinical screen directly.

5.2.1. Accessing the quick ventilation mode

No. Item Figure Description

A. Select “System”
menu ->
C “Patient” button.
Entering B. Input the SVC
Quick Code “97”.
1
ventilation C. Push “Enter” key.
B
mode Then ventilator
will change the
A Quick ventilation
mode.

Normal Mode Initial

Standby
Standby screen will
2 Screen
change the Quick
Changing
mode Initial Screen.

Press directly on the

appropriate screen
Quick
icons to access
3 Ventilation
display screens and
Mode
select parameters
(M1 or M2)

A. Select “System”
menu ->
“Patient” button.
B. Reinput the SVC
Standby
Code “97”.
4 Screen
C. Push “Enter” key.
Rechanging
The ventilator will
change the
normal
ventilation mode.

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 5.2.2. Accessing the clinical screens

Only physicians and competent nursing, technical staff are permitted to access the clinical
screens. The patient must never be told how to access these screens.

No. Item Figure Description

C A. Select “System” menu -

> “Patient” button.
Entering B. Input the SVC Code
1 Clinical “98”.
Screens C. Push “Enter” key. Then
B ventilator will change the
clinical screens.

Clinical The Clinical screen will

2
Screen display.

C A. Select “System” menu ->

“Patient” button.
Entering
B. Input the SVC Code “99”.
3 Quick Mode
C. Push “Enter” key. Then
Screens
B ventilator will change the
Quick Mode Screens.

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 5.2.3. Programming ventilation options

MTV1000 allows you to save two sets of ventilation parameters. From the main clinical screen
you can modify the M1 and M2 ventilation mode. When you have entered a program you can
make the desired modifications. There modification is automatically saved when you exit the
clinical setting menu.

No. Item Figure Description

B
Selecting a
A. Select M1 or M2 ventilation
ventilation
1 program.
program to
B. Select “Setting” Button.
setup

B
C. Select Patient type.
Selecting
D. Input patient height with
2 Patient type
encoder.
& Height
E. Push “Next” Button.
A C

F. Setup M1 ventilation value.

Program G. And push “SAVE” button will
3 Ventilation save M1 ventilation value.
Value “M2” setup is the same way
A to “M1”.

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 5.3. Quick Ventilation Operation Sequence (Single
Ventilation Mode)
MTV1000 allows you to save two sets of ventilation parameters. Only physicians and
competent nursing, technical staff are permitted to access the clinical screens. The patient
must not handle clinical screen directly.

5.3.1. Accessing the quick ventilation mode

No. Item Figure Description

A. Select “System”
menu -> “Patient”
C button.
Entering B. Input the SVC
Quick Code “95”.
1
ventilation C. Push “Enter” key.
mode B Then ventilator
will change the
Quick ventilation
A mode.

Normal Mode Initial

Standby
Standby screen will
2 Screen
change the Quick
Changing
mode Initial Screen.

Press directly on the

appropriate screen
Quick
icons to access
3 Ventilation
display screens and
Mode
select parameters
(M1)

D. Select “System”
menu ->
“Patient” button.
E. Reinput the SVC
Standby
Code “95”.
4 Screen
F. Push “Enter” key.
Rechanging
The ventilator will
change the
normal ventilation
mode.

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 5.3.2. Accessing the clinical screens

Only physicians and competent nursing, technical staff are permitted to access the clinical
screens. The patient must never be told how to access these screens.

No. Item Figure Description

C A. Select “System” menu

-> “Patient” button.
Entering B. Input the SVC Code
1 Clinical “98”.
Screens C. Push “Enter” key. Then
B ventilator will change
the clinical screens.

Clinical The Clinical screen will

2
Screen display.

D. Select “System” menu -

C > “Patient” button.
E. Input the SVC Code
Entering
“99”.
3 Quick Mode
F. Push “Enter” key. Then
Screens
B ventilator will change
the Quick Mode
Screens.

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 5.3.3. Programming ventilation options

MTV1000 allows you to save one set of ventilation parameters. From the main clinical screen
you can modify the M1 ventilation mode. When you have entered a program you can make
the desired modifications. There modification is automatically saved when you exit the clinical
setting menu.

No. Item Figure Description

B
Selecting a
A. Select M1 ventilation
ventilation
1 program.
program to
B. Select “Setting” Button.
setup

B
C. Select Patient type.
Selecting
D. Input patient height with
2 Patient type
encoder.
& Height
E. Push “Next” Button.
A C

F. Setup M1 ventilation
Program value.
3 Ventilation G. And push “SAVE” button
Value will save M1 ventilation
A value.

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 6. System Management

6.1. KEY Panel

6.1.1. Encoder
Spin the encoder on key panel to select wanted menu or configure wanted setting value.
Click the encoder button to select sub menu or save setting value.

Turn Left
Turn Right
-Descend menu
-Elevate menu
-Decrease setting value
-Increase setting value

Click
Select menu, save setting value

6.1.2. Alarm Lamp

Status Figure Color Description

Light is turned on if ventilator is
NORMAL GREEN being operated normally and
there is no alarm.
RED
WARNING Alarm has been occured
BLUE

CAUTION
Once alarm occurs in the device, red light blinking. This light is kept on until user pushed
“RESET” button even after the condition is removed.

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 6.1.3. Key Pad Description

No. Item Figure Description

1. Push for one second to turn power ON. Push for 10

Standby
1 seconds to turn power OFF.
Switch
2. Set ventilation mode to standby.

2 Alarm 2 Min Auditory alarm signal is not created for two minutes.

Existing alarm LED is turned off and alarm messages

3 Alarm Reset
disappears.

4 Exit Exit from current menu.

6.1.4. Power Status LED

No. Item Figure Description

Once AC commercial power is supplied, “AC

1 AC POWER ON LED POWER ON LED” is turned on. Internal
battery begins to charge.

If AC power is blocked, internal battery starts

2 BATTERY ON LED to operate and “BATTERY ON LED” is turned
on.

CAUTION
If “AC Power ON LED” and “Battery ON LED” are both OFF, internal battery has run out.

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 6.2. Vent Mode
Vent mode can be configured by selecting “READY” Button on the top right corner of the
screen.

6.2.1. Modes available with dual limb circuit

P-ACV Pressure Assist Control Ventilation

P-SIMV Pressure Synchronized Intermittent Mandatory Ventilation
SPONT+ Spontaneous Ventilation
PRVC Pressure Regulated Volume Control Ventilation
V-ACV Volume Assist Control Ventilation
V-SIMV Volume Synchronized Intermittent Mandatory Ventilation
This mode provides quick start of ventilation based on PBW(Predicted
AUTO
Body Weight). P-ACV or V-ACV modes are available.

NOTE
For more details on the mode, refer to Appendix.1 Ventilation Mode Specification

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 6.2.2. Modes available with single limb circuit (External Exhalation Valve)

P-ACV Pressure Assist Control Ventilation

P-SIMV Pressure Synchronized Intermittent Mandatory Ventilation
SPONT+ Spontaneous Ventilation
PRVC Pressure Regulated Volume Control Ventilation
V-ACV Volume Assist Control Ventilation
V-SIMV Volume Synchronized Intermittent Mandatory Ventilation
This mode provides quick start of ventilation based on PBW(Predicted
AUTO
Body Weight). P-ACV or V-ACV modes are available.

NOTE
For more details on the mode, refer to Appendix.1 Ventilation Mode Specification

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6.3. Measurement Information
Measurement information relating to ventilation is displayed on the left of the screen.
Measurement information list differs according to the ventilation mode. VTE, VE MIN, RATE,
PAW, and PEEP are displayed basically.
Other information can be checked by selecting “Monitoring” button. Refer to “Monitoring”
section for details.

Measurement
Information

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 6.4. Graphs
Pressure, flow, and volume waves are measured and displayed along with various trend
graphs.
Display layout can be changed in “Graphics” menu. For more details, refer to “Graphics”
section.

Wave Graphs

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 6.5. Alarm Messages
When alarm message occurs, cause of the alarm should be checked and resolved
immediately. Refer to the following table for more details.

Alarm
Messages

Message Description Cause Solution

O2 supply is not connected Inspect O2 supply connection.
O2 FAIL O2 FAIL O2 supply pressure is out of
Check O2 supply pressure.
range (35~90psi).
Ventilator system is in- Blower is defective
VENT INOP Contact customer service team.
operation. Sensor is defective.
O2 CELL ERR Problem of O2 cell O2 cell is defective. Replace O2 cell.
CIRCUIT OPEN Patient circuit is open. Leakage in circuit Inspect circuit connection.
AC Power loss. Connect AC power.
Battery Mode Battery power is on.
Power board is defective. Contact customer service team.
Inter-communication
COM ERROR error has been Cable is defective. Contact customer service team.
occurred.
Leakage in circuit. Replace circuit.
AIR LEAK Air is leaking.
Leakage in block. Contact customer service team.
Battery is defective. Replace battery.
LOW BATTERY Battery ran out.
AC Power loss. Connect AC power

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 6.6. Ventilation Parameter Setting
Once ventilation starts, parameter setting list for the current ventilation mode is displayed
on the right of screen. The setting list varies according to ventilation modes. Value of each
parameter can be changed using touch or encoder, and the change goes into effect
immediately.

Parameter Setting List

Setting list according to ventilation mode is as below.

Vent. Mode Setting list

V-ACV VTIDAL, RATE, PEEP, O2

V-SIMV VTIDAL, RATE, PEEP, O2
P-ACV PINSP, RATE, PEEP, O2
P-SIMV PINSP, RATE, PEEP, O2
PRVC VTIDAL, RATE, PEEP, O2
SPONT+ PS, APNEA Time, PEEP, O2
AUTO Identical to V-ACV Mode or P-ACV Mode Setting.

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 6.7. Monitoring menu
“Monitoring” menu shows all measuring information comprehensively.
Table 1 shows details on ventilation. Table 2 shows details on SpO2 and EtCO2.

Monitoring list according to ventilation mode is as below.

Item Unit Description
Paw cmH2O Airway pressure
P PEAK cmH2O Maximum inspiratory pressure
P MEAN cmH2O Mean airway pressure
P PAUSE cmH2O Pause inspiratory pressure
PEEP cmH2O Positive end expiratory pressure
Auto PEEP cmH2O Difference between measured PEEP and configured PEEP
VI TIDAL mL Inspiratory tidal volume (per breath)
VE TIDAL mL Expiratory tidal volume (per breath)
VE MIN LPM Expiratory minute volume (per minute)
PEEP H cmH2O High PEEP
PEEP L cmH2O Low PEEP
F PEAK LPM Maximum inspiratory flow
RESP.R BPM Respiratory
RR SPONT BPM Respiratory rate in spontaneous breath
VEMIN LPM Expiratory volume per min in spontaneous breath
SPONT
TI sec Inspiration time
TE sec Expiration time
I:E Inspiration to expiration ratio
Ex.End Flow LPM Expiration flow
RSBi b/min/mL Rapid shallow breathing index
O2 % Oxygen concentration in volume %
CL mL/ cmH2O Compliance
WOBv J/L Work of Breathing Ventilator
PR BPM Pulse Rate
SpO2 % Oxygen saturation in blood

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 EtCO2 mmHg End tidal carbon dioxide
iCO2 mmHg Inspiratory carbon dioxide
RESP RPM Respiratory through EtCO2
VI CO2 Ml Inspiratory CO2 Tidal Volume
VE CO2 Ml Expiratory CO2 Tidal Volume
VE MIN CO2 Ml Expiratory Minute CO2 Volume

6.7.1. E Flow(End of Exhaled flow)

The most important thing in deciding Exhalation time is whether sufficient exhalation has
taken place. If Exhalation time is too short, higher residual pressure called as Self PEEP (or
Auto PEEP) than PEEP pressure remains.

If the flow rate at the end of expiration is zero, then it means that lung pressure is enough
lowered down to PEEP pressure.

It means that the reference lung pressure at the end of exhalation is higher than PEEP. The
cause is short exhalation time.

In mandatory ventilation, if E_flow is not zero, Exhalation time is short and Self PEEP
exists, therefore you must lower the respiratory rate to use it.

On the other hand, if the respiratory rate is increased then you must check that E_flow is
zero after you increase the respiratory rate.

Upper figure : It is sufficient exhalation time and lung pressure is the same as PEEP and
E_flow is zero.
Lower figure : It is insufficient exhalation time and lung pressure is higher than PEEP and
E_flow is not zero.

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 6.8. Graphics menu
Screen layout can be changed in “Graphics” menu.

Item Description

Layout 1 Pressure, flow and volume graphs are displayed.

Among pressure-flow, flow-volume, and pressure-volume XY graph are

Layout 2
displayed.
Among pressure, flow, and volume, one wave graph is displayed with four
Layout 3
trend graphs.

Trend is saved at every breath.

Scrolling interval of the trend graph is adjusted by trend timing.

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 6.9. Tools menu
Insp. Hold function can be performed in “Tools” menu.

Item Description

Compliance, resistance, elastance and time constant of the patient

Insp. hold
are measured with addition of one second in inspiration hold time.

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 6.10. Events menu
“Events” Menu shows all events that occur.

Item Description
Events relating to changes in ventilation mode and parameter setting
Setting
are displayed
Alarm Events relating to alarm are displayed

ALL Both setting events and alarm events are displayed.

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 6.11. System menu
System menu is composed of “SETUP” menu that configures operating conditions of the
ventilator, “Date” menu that decides date and time, and “Calibration” menu that performs
various calibrations, and “Patient” menu that edit patient information.

6.11.1. SETUP

Item Range Unit STEP Description

Configure tidal volume per Kg of the patient’s
BWF 5~15 mL/kg 1
body weight(B/W).
Configure the use of O2 cell, whether to enable
or disable the sensor.
ON : O2 gas is used when O2 cell is normal.
O2 Cell ON / OFF - - OFF : This is when there is no O2 gas, lifespan of
O2 cell has expired, or O2 cell can not be used
for a different reason. There is no influence on
supply of O2 gas.
Trend Init ON / OFF - - Initialize trend data.
OFF - - BTPS is turned OFF.
BTPS is turned on in the condition that
Manual DRY - -
BTPS* humidifier is not used.
BTPS is turned on in the condition that
Manual Humid - -
humidifier is used.
Sound Vol. 10 ~ 100 % 10 Decide alarm sound volume.
ALTITUDE -100 ~ 5000 m 20 Configure altitude above sea level.
Air Temp 0 ~ 50 Celsius 1 Configure environmental temperature.
Configure the use of proximal pressure sensor.
Proximal ON / OFF - - OFF : Proximal Pressure Sensor Off
ON : Proximal Pressure Sensor On

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 Single with Ex. Configure Patient Limb Circuit Type.
Limb Type Valve - - Single Limb Circuit with Exhalation Valve/Dual
/ Dual Limb Circuit
English /
Spanish /
Language - - Configure language to be displayed
Italian/ Polish/
Turkish
Nebulizer
10 ~ 180 minute 10 Configure usage time of nebulizer.
(Option)

*BTPS is an abbreviation of "Body Temperature and Pressure Saturated with Water Vapor" and
refers to the state in which physical factors that influence volume inside body are taken into
consideration. This function compensates for volume of air supplied, considering difference
between body temperature and external temperature with altitude above sea level.

6.11.2. DATE

Item Description

Year Configure year.

Month Configure month.

Day Configure day.

Hour Configure hour.

Minute Configure minute.

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 6.11.3. Calibration
Various calibration functions are performed.

Item Range Description

START This function automatically controls offset of inspiratory and
Flow Zero
/OFF expiratory flow sensor.
OFF
O2 Cell Cal. /21% Perform calibration of O2 Cell.
/100%
START Perform adjustment of equilibrium for inspiratory flow and
Exp. Flow Auto Cal.
/OFF expiratory flow.
START
EtCO2 Initial Perform calibration of EtCO2 sensor.
/OFF
Touch Cal. ON/OFF Perform calibration of Touch Screen.
START
Leak. Test Analysis of leakage and compliance is conducted.
/OFF

CAUTION
When performing O2 calibration, both 21% and 100% must be carried out.

CAUTION
Before performing Exhalation Flow Auto calibration, inspiration port and expiration port
must be connected to tube.

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 6.11.4. Patient

Item Description
BED NUMBER Designate patient’s bed number.
ID Input patient’s ID number.
IP Input IP address for external connection using LAN.
PORT Input port number for external connection using LAN.
SVC Code Configure password for IP and port input.

When user attempts to enter a number, the following keyboard appears on the screen.

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 6.12. Alarm Setting
1/2 page shows alarms relating to ventilation. 2/2 page shows SpO2 and EtCO2 monitoring
alarms. Set appropriate alarm limit using touch and encoder.

Page Item Range Unit STEP Description

10 ~ 2500 Configure upper / lower limits for volume
VTE mL 10
,OFF per breath.
Configure upper / lower limits for volume
VE MIN 0.0 ~ 50 LPM 0.1
per minute.
Configure upper / lower limits for number
RATE 0 ~ 150 BPM 1
of breaths per minute.
1/2
0 ~ 120, Configure upper / lower limits for
PAW cmH2O 1
OFF pressure.
0 ~ 100, Configure upper / lower limits for oxygen
O2 % 1
OFF concentration.
10 ~ 500, Configure difference between inspiratory
AIR LEAK mL 10
OFF and expiratory volumes.

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Page Item Range Unit STEP Description
51 ~ 100, Configure upper / lower limits for oxygen
SpO2 % 1
OFF saturation in blood.
Configure upper / lower limits for heart
PR 25 ~ 250 BPM 1
rate.
Configure upper / lower limits for
2/2 EtCO2 0 ~ 10 % 0.1
expiratory CO2 concentration.
Configure upper / lower limits for
iCO2 0 ~ 10 % 0.1
inspiratory CO2 concentration.
Configure upper / lower limits for number
RESP 2 ~ 150 RPM 5
of CO2 breaths per minute.

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 6.13. Useful Hot-key
Nebulizer Graph Manual
Freeze Inspiration

Touch-Key
Lock

No. Item Description

1 Touch Lock Touch function is turned ON / OFF.
When Freeze button is pushed, measurement is continued but
2 Graph Freeze
graph display is stopped. Push the button again to unfreeze.
3 Manual Inspiration Deliver mandatory one breath.
It is a function for a patient to breathe in by nebulizing medicine
such as nebulizing type antibiotics, etc. In general, it delivers
Nebulizer
4 about 5~10ml.
(Option)
It is designed to provide a certain medicine during patient’s
inhalation by setting nebulizing time. But you must note that it
does not operate in volume ventilation mode of below 200ml.

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 6.14. Miscellaneous
I:E Ratio

Sound Volume Power Status

No. Item Description

1 Sound Volume Indicate current alarm sound volume setting.
2 Power Status Indicate which power is being supplied.
3 I:E RATIO Ratio of I:E is displayed as a graph.

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 7. Appendix

7.1. Setting Parameter Description

7.1.1. Trigger Function

Trigger sensitivity determines the patient’s effort during breath to induce ventilation from
ventilator.

Trigger sensitivity is configurable with flow trigger(FTRIG) or pressure trigger(PTRIG)

method. In general, flow trigger method can reduce the patient’s effort for breath.

Trigger sensitivity should be configured as high as possible without resulting in self(auto)-

triggering. Such setting increases patient-triggered ventilation and reduces auto-cycling by
the ventilator.

Pressure trigger is configurable within the range of 0.5 ~ 20 cmH2O (pressure trigger
setting is also related to PEEP setting).

Flow trigger refers to the amount of bias flow that must be inhaled by the patient to induce
new breath.

WARNING
The trigger sensitivity bar has different colors based on the setting. A light blue bar
indicates a normal setting for flow. A red bar indicates that triggering is required for flow.

The ventilator continuously delivers a gas flow during expiration, which is measured in the
expiratory channel.

1. Inspiration
Bias flow during expiration is 8 l/min.

WARNING
If the trigger sensitivity is set too high, a self triggering(auto-triggering) condition may be
reached. This condition can also be reached if there is leakage in the breathing system.
Triggering will then be initiated by the system and not by the patient. This should always
be avoided by decreasing the trigger sensitivity.

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 7.1.2. Inspiratory Rise Time

(Time adjustment from starting point of inspiration to time of peak flow or peak pressure)

The arrival time to peak flow or peak pressure is adjustable to second or percent of
respiratory cycle at the starting point of inspiration for each breath. If rise time is high,
increased flow/pressure and it is displayed through flow and pressure waveforms

Inspiratory rise time is applicable in Pressure Control, PRVC, SIMV-Pressure Control.

Configuration of inspiratory rise time is Fast, Medium and Slow.

In general, configured rise time must be higher than default system value in order to
deliver comfortable ventilation to the patient in support mode.

7.1.3. Respiratory Rate

Respiratory rate refers to the number of Respiratory or breaths per minute. The respiratory
rate is also used for calculation of tidal volume if the ventilator is configured for Minute
volume setting.

7.1.4. Apnea Time

Apnea time refers to set apnea time until beginning of controlled ventilation in Spont mode.
Range of setting is 2 ~ 60sec.

7.1.5. PEEP
Setting range of Positive End Expiratory Pressure (PEEP) is 0 ~ 50cmH2O. PEEP is
maintained in the alveoli and may prevent the collapse of the airways.

7.1.6. I:E Ratio/ Inspiratory Time

Inspiratory time setting in MTV1000 ventilator can be done in the following two methods.
- I:E ratio (regardless of change in Respiratory)
- Setting of inspiration time (regardless of change in Respiratory)

Once inspiration time is configured in the ventilator, pause time and inspiratory rise time
are automatically changed. Change in I:E ratio according to inspiration time and pause
time is displayed in information window on the bottom right corner of user interface.

7.1.7. Volume Level Setting

During initial setting for each mode of MTV1000 ventilator, volume of air supplied to the
patient can be configured by adjusting inspiratory tidal volume.

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 7.1.8. Controlled / Supported Pressure Level
In controlled pressure mode, inspiratory pressure (P. INSP) is configurable. Supplementary
pressure (P. SUPP) is configurable in supported Pressure Support, SIMV modes and
tBiLevel.

7.1.9. O2 Cencentration
The setting range of O2 concentration is 21 ~ 100%.
There is also an absolute minimum limit of alarm is 18% O 2 which is independent of
operating setting. If the value reaches below this point, O2 fail alarm will sound.
The screen only displays O2 concentration of 21% or higher. The alarm is delayed 60
seconds after changing the O2 concentration setting.

7.1.10. Sigh Time

It is support a big volume of the patient by providing 1.5times inhalation volume per each
certain breathing in volume mode.
The maximum of volume is 1,500ml.

7.1.11. Proximal Sensor On/Off

This option must be used for low flow pressure / flow supplemented patients who require
precise flow measurements and tube compensation such as premature and neonate
patients.
It is safe to use this function in supported ventilation below 200ml.
Appropriate sensor (for adults, for infants) must be used depending on the patient.

7.1.12. Mask On/Off

This option can be turned On/Off in all modes except for O2 stream and HFV.
Once turned On, leakage compensation ability is increased.

7.1.13. En_Sense
The EnSense means Inhalation-Trigger Enable Sensitivity. It is the function for next
inhalation trigger is triggered only when a certain volume exhalation must be taken place
proportionally to the inhalation volume.

If this function is used, it allows trigger of the patient and can restrict or prevent retrigger
phenomena and mandatory breathing can be successfully maintained.

Before the exhalation volume reach to En_Sense[%] of Vins(Supported Volume), the

trigger(Inhalation Trigger) is not enabled and system be could not go to next Inhalation
Phase by ‘En_Sense’ Function.
In case, Patient has high airway resistance and too much Ascites(Abdominal Dropsy). The
function has another solution to protect retriggering.

7.1.14. Ex_Sense

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 The ExSense means Exhalation Trigger sensitivity in pressure mode. The purpose is to
reduce exhalation W.O.B(work of breathing) of patient in pressure support ventilation(PSV).

It reduces patient’s expiring effort compared to the pressure detection mode in the past
and has equipment responses rapidly to the effort of the patient.

Expiration can be taken place only when it exceeds the target pressure after patient
finishes to inhalation. In this case, response speed is late and it needs patient’s effort.

The mechanic characteristic in PSV is not same in each ventilator. The Ex_Sense[%] is to
be decided by individual condition of patients.

If the patient doesn’t have enough spontaneous respiratory capacity, then inhalation must
be sufficiently taken place. Therefore Ex_Sense must be decreased.

7.1.15. Predicted Body Weight

It is not the actual body weight and is based on the metabolic rate, and it is used as basic
criteria to determine Respiratory volume per minute, tidal volume, breathing rate, etc., the
trend is on the basis of height than body weight in general.

It becomes the standard of tidal volume multiplied by a BW factor(ml/Kg) and is used to

determine proper Respiratory rate per minute.

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7.2. Ventilation Modes

7.2.1. V-ACV(Volume Assist Control Ventilation)

Volume control mode is based on mechanical ventilation method and the ventilator
delivers configured tidal volume to the patient.

VACV mode is a mode that controls mechanical ventilation of the patient based on air
volume. It controls inspiratory and expiratory times by force

In Assist/Control mode, Assisted/Controlled Mandatory Breath is provided regardless of

period once the device detects intention of the patient to breathe. If there is no intention
to breathe, air is supplied based on Assisted/Controlled Mandatory Breath period.

Item Range Unit Step Description

B/W 10~150 kg 1 Configure patient’s body weight.

VTIDAL 50 ~ 2500 mL 5 Air volume of the patient at a time
RATE 2 ~ 60 BPM 1 Configure number of inspirations per minute.
PEEP 0 ~ 50 cmH2O 1 Configure PEEP (base pressure of patient).
Configure O2 (oxygen) concentration of gas
O2 21 ~ 100 % 1
supplied to the patient.
TI 0.2 ~ 9.9 sec 0.1 Configure inspiration time (patient).
Configure sensitivity with which each breath is
EnSENS 10 ~ 80 % 5
completed by the patient using % expiration.
TRIGGER Pressure/ Configure spontaneous ventilation detection
- -
TYPE Flow method as pressure or flow type.

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 Configure sensitivity for detecting spontaneous
TRIGGER OFF, 0.5 ~ cmH2O/
0.5 ventilation by the patient. Choose between
Level 20 LPM
pressure or flow type.
Configure pressure limit supplied to the patient
P LIMIT 5 ~ 80 cmH2O 1
during spontaneous ventilation.
SIGH OFF/30/60/
RPB 30 1.5 times Air volume of the patient
MODE 90/120
MASK ON/OFF - - Configure mask on / off.
ACCEPT - - - Execute VACV Mode.
CANCEL - - - Move back to previous menu.

NOTE
Default value is configured in proportion to body weight of the patient.

The airway pressure is dependent on the tidal volume, inspiration time and the resistance
and compliance of the respiratory system. The set tidal volume will always be delivered.
An increase in the resistance and decrease in compliance will lead to an increased airway
pressure. To protect the patient’s lungs from excessive pressure, it is very important to
set the upper pressure limit to a suitable value.

Inspiratory Inspiratory
Time Time

It is possible for the patient to trigger extra breaths if they can overcome the pre-set
trigger sensitivity. It is also possible for the patient, by their own inspiratory efforts, to
receive a higher inspiratory flow and Tidal Volume during an inspiration than pre-set.

During volume control ventilation, peak flow is determined after configuration of tidal
volume and inspiratory time. Also in addition to the above two items, end flow and
plateau are items that influence peak flow.

Volume Control assures a preset tidal volume with constant flow during a preset
inspiratory time at a preset frequency.

When the preset tidal volume is delivered and after the preset pause time.

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 I:E ratio is determined by items that influence inspiratory time and by respiratory rate.

When changing setting values of I:E ratio or items that influence inspiratory time, breath
timing bar is displayed to show changes in cycle time, inspiratory time, expiratory time
and I:E ratio.

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 7.2.2. V-SIMV(Volume based Synchronized Intermittent Mandatory
Ventilation)

V-SIMV is a mode that controls ventilation based on volume according to spontaneous

ventilation of the patient. In other words, this mode combined control and pressure
support/ spontaneous function allows for preset mandatory breaths synchronized with
the patient’s breathing.

Spontaneous ventilation is done using configured time period or mechanical ventilation is

paralleled based on air volume if there is no spontaneous breathing.

The spontaneous/pressure supported breaths are defined by the setting for Pressure
Support.

WARNING
Mechanical ventilation is paralleled based on volume according to spontaneous ventilation
or in case of no spontaneous ventilation based on time period configured.

SIMV mode is a mode in which Mandatory Breath and Spontaneous Breath are mixed.

SIMV mode guarantees one mandatory breath per SIMV cycle. This mandatory breath is
either patient initiated mandatory (PIM or assisted mandatory) breath or ventilator
initiated mandatory (VIM or controlled mandatory) breath.

As in the figure below, each SIMV breath cycle is divided into two parts. One is
Mandatory Interval (Tm) and another is Spontaneous Interval (Ts). Once PIM breath is
delivered, mandatory interval ends and spontaneous interval (Ts) begins.

If PIM breath does not occur until mandatory interval ends, VIM breath is provided to the
patient as soon as mandatory interval ends and spontaneous interval begins.

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 In SIMV mode, SIMV Breath Cycle is determined by the number of breaths configured. If
Respiratory Rate is configured as 12 times, SIMV Breath Cycle is 5 seconds. Mandatory
Interval is configured as smaller value between 10 seconds and 0.6 x SIMV Breath Cycle.
Mandatory Interval may be shortened depending on PIM Breath.

Item Range Unit Step Description

B/W 10~150 kg 1 Configure patient’s body weight.
VTIDAL 50 ~ 2500 mL 5 Volume of the patient at a time
RATE 2 ~ 60 BPM 1 Configure number of inspirations per minute.
Configure time to convert to Apnea Mode if
APNEA 2 ~ 60 sec 1
patient shows no ventilation.
PEEP 0 ~ 50 cmH2O 1 Configure PEEP (base pressure of patient).
Configure O2 (oxygen) concentration of gas
O2 21 ~ 100 % 1
supplied to the patient.
TI 0.2 ~ 9.9 sec 0.1 Configure inspiration time (patient).
Fast/Mediu Configure arrival time to peak flow or peak
Trise - -
m/Low pressure.
Configure sensitivity with which each breath is
EnSENS 10 ~ 80 % 5
completed by the patient using % expiration.
Configure spontaneous ventilation detection
ExSENS 10 ~ 80 % 10
method as pressure or flow type.
Configure sensitivity for detecting spontaneous
TRIGGER PRESSURE/
- - ventilation by the patient. Choose between
TYPE FLOW
pressure or flow type.
OFF, 0.5 ~ cmH2O/ Configure sensitivity to detect spontaneous
F(P)TRIG 0.5
20 LPM ventilation by the patient.
Configure pressure supplied to the patient during
PS 0 ~ 60 cmH2O 1
spontaneous ventilation.

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 Configure pressure limit supplied to the patient
P LIMIT 5 ~ 80 cmH2O 1
during spontaneous ventilation.
MASK ON/OFF - - Configure mask on / off.
ACCEPT - - - Execute V-SIMV Mode.
CANCEL - - - Move back to the previous menu.

NOTE
Default value is configured proportional to body weight of the patient.

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 7.2.3. P-ACV(Pressure Assist Control Ventilation)

This mode controls mechanical ventilation of the patient based on pressure.

When providing pressure control ventilation using mandatory breath in A/C mode,
configure Inspiratory Pressure.
Since pressure is maintained constant during inspiration, flow pattern is in ramp form,
and Plateau function cannot be used.

Since exhalation valve is active exhalation valve, Airway Pressure control becomes more
active and precise. Therefore, increase in pressure caused when the patient talks or
coughs during inspiration can be controlled using exhalation valve. Spontaneous
ventilation by the patient is also allowed.

Item Range Unit Step Description

B/W 1~150 kg 1 Configure patient’s body weight.
PINSP 5 ~ 80 cmH2O 1 Configure pressure supplied during inspiration.
TI 0.2 ~ 9.9 sec 0.1 Configure patient’s inspiration time.
Fast/Mediu
Trise - - Configure arrival time to peak flow or peak pressure.
m/Slow
RATE 2 ~ 60 BPM 1 Configure number of inspirations per minute.
PEEP 0 ~ 50 cmH2O 1 Configure PEEP (base pressure of patient).
Configure O2 (oxygen) concentration of gas supplied to
O2 21 ~ 100 % 1
the patient.
Configure sensitivity with which each breath is
EnSENS 10 ~ 80 % 5
completed by the patient using % expiration.
TRIGGER Pressure/ Configure spontaneous ventilation detection method as
- -
TYPE Flow pressure or flow type.

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 OFF, 0.5 ~ cmH2O/ Configure sensitivity for detecting spontaneous
F(P)TRIG 0.5
20 LPM ventilation by the patient.
MASK ON/OFF - - Configure mask on / off.
ACCEPT - - - Execute PACV Mode.
CANCEL - - - Move back to the previous menu.

The delivered volume is dependent upon the pressure above PEEP, lung compliance and
resistance in the patient tube system and airways. This means that the Tidal Volume can
vary.

As the delivered tidal volume can vary it is very important to set alarm limits for Minute
Volume to adequate levels.

When pressure control ventilation is provided by mandatory breath in assist / control

mode, inspiratory pressure is configured. Since pressure is maintained constant during
inspiration, flow pattern is shown in the form of ramp. Plateau function cannot be used.

Inspiratory Inspiratory
Time Time

Pressure Control assures that the preset inspiratory pressure level is maintained
constantly during the entire inspiration.

The preset pressure level is controlled by the ventilator. The resulting volume depends on
the set pressure level, inspiration time and the patient’s lung mechanical properties
during each breath.

Since exhalation valve is active exhalation valve, airway pressure control becomes more
active and precise. Accordingly, exhalation valve is used to control increase in pressure
caused by talking or coughing of the patient during inspiration. It also allows the patient
to spontaneously breathe.

If the pressure increases to the set upper pressure limit, the expiratory valve opens and
the ventilator switches to expiration.

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 7.2.4. P-SIMV(Pressure based Synchronized Intermittent Mandatory
Ventilation)

This mode controls ventilation based on pressure according to spontaneous ventilation by

the patient. In other words, this mode combined control and pressure
support/spontaneous function allows for preset mandatory breaths synchronized with the
patient’s breathing.

Mechanical ventilation is paralleled based on air volume according to spontaneous

ventilation or in case there is no spontaneous ventilation using configured time period.

The spontaneous/pressure supported breaths are defined by the setting for Pressure
Support.

WARNING
Mechanical ventilation is paralleled based on volume according to spontaneous ventilation
or in case there is no spontaneous ventilation using configured time period.

SIMV mode is a mode in which Mandatory Breath and Spontaneous Breath are mixed.
SIMV mode guarantees one mandatory breath per SIMV cycle. This mandatory breath is
either patient initiated mandatory (PIM or assisted mandatory) breath or ventilator
initiated mandatory (VIM or controlled mandatory) breath.

As in the figure below, each SIMV breath cycle is divided into two parts. One is
Mandatory Interval ™ and another is Spontaneous Interval (Ts). After delivery of PIM
breath, Mandatory Interval ends and Spontaneous Interval (Ts) begins.

If PIM breath does not occur until the end of Mandatory Interval, VIM breath is provided
to the patient as soon as Mandatory Interval ends and Spontaneous Interval begins.

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 In SIMV mode, SIMV Breath Cycle is determined by the configured number of breaths. If
Respiratory Rate is configured as 12 times, SIMV Breath Cycle becomes 5 seconds.
Mandatory Interval is configured as smaller value between 10 seconds and 0.6 x SIMV
Breath Cycle. Mandatory Interval may be shortened depending on PIM breath.
Item Range Unit Step Description
B/W 1~150 kg 1 Configure pressure supplied during inspiration.
PINSP 5 ~ 80 cmH2O 1 Configure pressure supplied during inspiration.
TINSP 0.2 ~ 9.90 sec 0.1 Configure patient’s inspiration time.
Fast/Mediu Configure arrival time to peak flow or peak
Trise - -
m/Slow pressure.
RATE 2 ~ 60 BPM 1 Configure number of inspirations per minute.
Configure time to convert to Apnea Mode if patient
APNEA 2 ~ 60 sec 1
shows no ventilation.
PEEP 0 ~ 50 cmH2O 1 Configure PEEP (base pressure of patient).
Configure O2 (oxygen) concentration supplied to the
O2 21 ~ 100 % 1
patient.
Configure sensitivity with which each breath is
ExSENS 10 ~ 80 % 5
completed by the patient using % inspiration.
TRIGGER Pressure/ Configure spontaneous ventilation detection
- -
Type Flow method as pressure or flow type.
OFF, 0.5 ~ cmH2O/ Configure sensitivity for detecting spontaneous
F(P)TRIG 0.5
20 LPM ventilation by the patient.
Configure pressure supplied to the patient during
PS 0 ~ 60 cmH2O 1
spontaneous ventilation.
MASK ON/OFF - - Configure mask on / off.
ACCEPT - - - Execute P-SIMV Mode.
CANCEL - - - Move back to the previous menu.

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7.2.5. PRVC(Pressure Regulated Volume Control Ventilation)

Pressure Regulated Volume Control (PRVC) is a mechanical ventilation mode based on auto
pressure control. Constant volume is maintained through target volume and pressure limit
setting.

The ventilator delivers a pre-set Tidal Volume. The pressure is automatically regulated to
deliver the pre-set volume but limited to 1 cmH2O below the set pressure limit.

PRVC assures a set target minute ventilation to the patient. The target volume is based
upon settings for Tidal Volume, frequency and inspiration time.

The inspiratory pressure level is constant during each breath, but automatically adapts in
small increments breath-by-breath to match the patient’s lung mechanical properties for
target volume delivery.

Despite advantages of pressure mode, instability of not guaranteeing inspiratory volume,

caused by long-term or acute change in patient’s respiratory status or long-term change in
lung compliance, is removed.

The ventilator delivers configured tidal volume. Pressure maintained for supply of
configured tidal volume is automatically adjusted within the range of pressure limit.

The first breath of a start sequence is a volume-controlled test breath with pressure of
16cmH2O. The measured pause pressure of this breath is then used as the pressure level
for the following breath.

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 Pressure Regulation Operation at Compliance Change of Patient

Item Range Unit Step Description

B/W 10~150 kg 1 Configure pressure supplied during inspiration.
VTIDAL 50 ~ 2500 mL 5 Air volume of the patient at a time
TINSP 0.2 ~ 9.9 sec 0.1 Configure patient’s inspiration time.
Fast/Mediu Configure arrival time to peak flow or peak
Trise - -
m/Slow pressure.
RATE 2 ~ 60 BPM 1 Configure number of inspirations per minute.
PEEP 0 ~ 50 cmH2O 1 Configure PEEP (base pressure of patient).
Configure O2 (oxygen) concentration supplied to the
O2 21 ~ 100 % 1
patient.
TRIGGER Pressure/ Configure spontaneous ventilation detection
- -
Type Flow method as pressure or flow type.
OFF, 0.5 ~ cmH2O/ Configure sensitivity for detecting spontaneous
F(P)TRIG 0.5
20 LPM ventilation by the patient.
Configure pressure limit supplied to the patient
P LIMIT 5 ~ 80 cmH2O 1
during spontaneous ventilation.
MASK ON/OFF - - Configure mask on / off.
ACCEPT - - - Execute P-SIMV Mode.
CANCEL - - - Move back to the previous menu.

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 7.2.6. SPONT+(Spontaneous Ventilation)

This mode provides pressure support based on spontaneous ventilation.

WARNING
If spontaneous ventilation is not detected for configured time while operating in this mode,
mode is automatically converted to the mode (V-ACV or P-ACV) configured in Apnea
Backup.

WARNING
Mode returns to Spontaneous ventilation mode once the patient breathes twice by
themselves.

Once the patient’s intention for spontaneous ventilation reaches sensitivity, flow is
provided to the patient. Pressure is maintained between sensitivity setting value and
pressure level 1 cmH2O below sensitivity setting.

Once pressure becomes 1 cmH2O larger than PEEP, exhalation valve is opened to begin
expiration.

If the patient falls into apnea during SPONT mode, Apnea Alarm goes off by itself and
Apnea Ventilation (V-ACV Mode or P-ACV Mode) is automatically started. This Apnea
Ventilation is operated according to items configured by user and the Respiratory rate is
automatically changed to 15 RPM.

The mode returns to Spontaneous Mode if the patient shows two spontaneous breaths in
10 seconds.

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Item Range Unit Step Description
B/W 10 ~150 kg 1 Configure patient’s body weight.
PEEP 0 ~ 50 cmH2O 1 Configure PEEP (base pressure of patient).
Configure O2 (oxygen) concentration supplied to the
O2 21 ~ 100 % 1
patient.
Configure sensitivity with which each breath is
EnSENS 10 ~ 80 % 5
completed by the patient using % expiration.
Configure sensitivity with which each breath is
ExSENS 10 ~ 80 % 5
completed by the patient using % inspiration.
TRIGGER Pressure/ Configure spontaneous ventilation detection method
- -
TYPE Flow as pressure or flow type.
OFF, 0.5 ~ cmH2O/ Configure sensitivity for detecting spontaneous
F(P)TRIG 0.5
20 LPM ventilation by the patient.
Configure pressure supplied to the patient during
PS 0 ~ 60 cmH2O 1
spontaneous ventilation.
Fast/Mediu Configure arrival time to peak flow or peak
Trise - -
m/Slow pressure.
Configure time to convert to Apnea Mode if patient
APNEA 2 ~ 60 sec 1
shows no ventilation.
APNEA
V-ACV/ Configure V-ACV or P-ACV when converting to
BACKUP - -
P-ACV Apnea Mode.
TYPE
APNEA
5 ~ 80 cmH2O 1 Configure pressure supplied during inspiration.
PINSP
APNEA
50 ~ 2500 mL 5 Volume of the patient at a time
VT
MASK ON/OFF - - Configure mask on / off.
ACCEPT - - - Execute SPONT+ Mode.
CANCEL - - - Move back to the previous menu.

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 7.2.7. AUTO

This mode provides an emergency quick start according to body weight.

V-ACV or P-ACV mode is selected for operation. This mode can be operated with
simplicity and stability during emergency. All settings are automatically configured and
mode can be operated as soon as body weight is entered.

Item Range Unit Step Description

B/W 10~150 kg 1 Configure patients’ body weight.
P-ACV/
Vent Mode - - Configure operation mode.
V-ACV
MASK ON/OFF - - Configure mask on / off.
ACCEPT - - - Execute AUTO Mode.
CANCEL - - - Move back to the previous menu.

NOTE
If you use the Oxygen gas of low flow through the Flowmeter, the effect of oxygenation may be
negligible according to High flow.

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 7.3. Operating Theory
Pneumatic system of the ventilator is composed of inspiratory flow control system, O2 gas
supply system, PEEP control system.

O2 gas supply system PEEP control system

Inspiratory flow control system

▣ Inspiratory flow control system

Blower controls inspiratory flow supplied to patient. There are three flow measurement
sensors. One is INS_DP2 for inspiratory flow measurement. Another is BLEND_DP1 for O2
gas flow measurement. The other is EXP_P4 for expiratory flow measurement.

▣ O2 gas supply system

PV valve controls O2 gas flow supplied to the tank.

▣ PEEP control system

LS1 valve controls positive end-expiratory pressure in the lungs.

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 7.4. Accessories

▣ Standard Accessories

Adult Test Lung 600ml

Or. No. PG0002_00
Info. Only Adult Model
EA 1

Power Cable Power Cable Clamp

Or. No. AC0017_00 Or. No. AS0330_00
Info. Info.
EA 1 EA 1

Power Fuse (250V 6.3A) High pressure O2 hose (3.5m)

Or. No. AZ0550_00 Or. No. AR0039_00
Info. Info.
EA 2 EA 1

Peep Pad Silicon Expiration Flow Sensor

Or. No. MA0105_01 Or. No. MA0107_01
Info. Info.
EA 2 EA 1

Truss head screw M3*10mm O2 Sensor ass'y - Installed

Or. No. AS0041_00 Or. No. MA0100_01
Info. Info.
EA 1 EA 1

User’s Manual Air Filter

Or. No. AS0168_00 Or. No. AS0139_00
Info. Info.
EA 1 EA 1

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▣ Option Accessories

Ventilator Cart Ventilator Circuit Arm

Or. No. PG0086_03 Or. No. PG0044_00
Info. Info.
EA 1 EA 1

Humidifier VHB15A Humidifier VHB10A

Or. No. PG0032_03 Or. No. PG0032_04
Info. Info.
EA 1 EA 1

SpO2 Sensor SpO2 Extension cable

Or. No. AC0007_00 Or. No. AC0145_00
Info. Info.
EA 1 EA 1

EtO2 Sensor EtO2 Extension cable

Or. No. PG0022_00 Or. No. AC0124_00
Info. Info.
EA 1 EA 1

Monitor External Cable

Or. No. AC0140_00
Info.
EA 1

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 7.5. Alarm Operation according to ventilation mode
Alarm operation is determined based on ventilation mode.

V Tidal V Tidal V Min V Min Paw Paw O2 O2 RATE RATE

MODE
High Low High Low High Low High Low High Low

V-ACV O O O O O O O O O O
V-SIMV O O O O O O O O O O
SPONT O X O O O X O O X X
P-ACV O O O O O O O O O O
P-SIMV O O O O O O O O O O
PRVC O O O O O O O O O O
AUTO O O O O O O O O O O

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 7.6. SpO2 / EtCO2 Monitoring
SpO2 and EtCO2 of the patient can be measured by additionally attaching SpO 2/EtCO2
modules. When the module is attached, SpO2/EtCO2 graph selection menu is added
automatically.

7.6.1. SpO2 / EtCO2 Connection Information

No. Figure Description

Prepare SpO2/EtCO2 Sensor

1
and each extension cable

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 Connect SpO2/EtCO2 cable to
the socket on which
2
SpO2/EtCO2 label is attached on
the right side.

3 Choose SpO2/EtCO2 Waveform

4 Check the measurement

WARNING
SpO2 extension cable connector is in bright silver color. EtCO2 extension cable connector is
in black color.
Be careful not to confuse between them when connecting cables.

Sensor can be damaged by incorrect connection. Please contact customer service team if
the sensor functions improperly after mistaking between two connectors.

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 7.6.2. SpO2 Monitoring

Oxygen saturation concentration shows the degree of saturation of hemoglobin that can
transport oxygen in the artery. That is, it displays the degree of currently transported
amount compared to oxygen transport by hemoglobin as a percentage.

WARNING
Use only SpO2 sensor certified by MEKICS. Otherwise, it may cause problems in
performance.
Incorrect methods such as tight fixation of sensor using fixing tape can harm the patient
on skin tissues.
Sensor should not be used on parts with artery catheter or vein syringe.
Do not use damaged SpO2 sensor or optical device.
Since the sensor is not waterproof, do not place in water and solvent or clean excessively.
Do not sterilize the sensor with ultraviolet ray, direct sunlight, steam or hydrogen
peroxide.

CAUTION
Do not use the sensor to patients with allergic symptoms to SpO2 sensor.
Do not use SpO2 sensor during MRI screening because there is risk of sensor burning.
Immediately remove the sensor if the patient calls for discomfort.

ATTENTION
Inaccurate values and waves can result if sensor is used incorrectly as below.
▣ When sensor not certified by MEKICS is used or sensor is used incorrectly
▣ Functional disorder in hemoglobin
▣ When sensor is excessively exposed to medical light (especially xenon light), bilirubin
light, fluorescent light, infrared heating device, or direct sunlight
▣ Excessive movement by the patient
▣ Use of high frequency electric surgical instrument or cardiac resuscitator
▣ When pulse of venous blood measured at a spot where blood pressure is measured,
pressure bandage is used, artery catheter is used, or sensor is used inside blood vessel
▣ When the patient shows symptoms of hypotension, severe blood vessel contraction,
severe anemia or hypothermia
▣ When there is arterial occlusion nearby the sensor
▣ When the patient is experiencing cardiac arrest or shock

Heart rate may be inaccurate in the following situations.

▣ When sensor is tightened too much
▣ When sensor receives excessive medical light, bilirubin light or sunlight
▣ When measured with pressure bandage or at a spot pressured by cuffs

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 7.6.3. EtCO2 Monitoring

EtCO2 sensor displays CO2 concentration of the patient towards the end of inspiration as
a graph.

The IRMA CO2 main stream CO2 probe is intended to be connected to other medical
devices for display of real time and derived monitoring data of CO2.

It is intended to be connected to a patient breathing circuit for monitoring of

inspired/expired gases during anesthesia, recovery and respiratory care. It may be used
in the operating suite, intensive care unit, patient room and emergency medicine
settings for adult, pediatric and infant patients.

It shall always be used in combination with other vital signs monitoring devices and/or
professional human judgments of patient condition. The IRMA probe is intended to be
used by trained and authorized health care professionals only.

1 2 3 4 1
Stage Description
Initial stage of expiration in which gas inside anatomical dead space with almost no
1~2
carbon gas is discharged
Stage in which gas from pulmonary alveoli and gas inside anatomical dead space are
2~3
mixed and discharged
3~4 Stage in which gas from pulmonary alveoli is discharged
4 Partial pressure (concentration) of carbon dioxide towards the end of expiration
4~1 Inspiration

1) Setup Connection

A. Connect the IRMA analyzer interface cable to the “Gas Extension cable”.

Snap the IRMA probe on top of a new IRMA airway adapter. It will click into
place when properly seated.

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 B. A green LED indicates that the IRMA probe is ready for use.

C. Connect IRMA/airway adapter 15 mm male connector to the breathing circuit Y-

piece.

D. Connect the IRMA/airway adapter 15 mm female connector to the patient’s

endotracheal tube.

Alternatively, connect an HME (Heat Moisture Exchanger) between the patient’s

endotracheal tube and the IRMA probe. Placing an HME in front of the IRMA
probe protects the airway adapter from secretions and effects of water vapor
and eliminates the need of changing the adapter. It allows free positioning of
the IRMA probe as well.

Unless the IRMA probe is protected with an HME always position the IRMA
probe with the status LED pointing upwards.

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 E. Placement of IRMA Probe

I. When connecting IRMA probe to an infant patient circuit it is important to

avoid a direct contact between the IRMA probe and the infant's body.

II. If, for whatever the reason, the IRMA probe is in direct contact with any
parts of the infant's body an insulation material shall be placed between the
IRMA probe and the body.

WARNING
▣ The IRMA probe is intended for use by authorized and trained medical personnel only.
▣ The IRMA probe must not be used with flammable anesthetic agents.
▣ Disposable IRMA airway adapters shall not be reused. Reuse of the single use adapter
can cause cross infection.
▣ Used airway adapters shall be disposed of in accordance with local regulations for
medical waste.
▣ Do not use the IRMA Adult/Pediatric airway adapter with infants as the adapter adds 6
ml dead space to the patient circuit.
▣ Do not use the IRMA Infant airway adapter with adults as this may cause excessive
flow resistance.
▣ Measurements can be affected by mobile and RF communications equipment. It should
be assured that the IRMA probe is used in the electromagnetic environment specified
in this manual.
▣ Do not place the IRMA airway adapter between the endotracheal tube and an elbow as
this may allow patient secretions to block the adapter windows and result in incorrect
operation.
▣ Do not use the IRMA airway adapter with metered dose inhalers or nebulized
medications as this may affect the light transmission of the airway adapter windows.
▣ The IRMA probe is intended only as an adjunct in patient assessment. It must be used
in conjunction with other assessments of clinical signs and symptoms.
▣ Incorrect probe zeroing will result in false gas readings.
▣ Replace the adapter if rainout/condensation occurs inside the airway adapter.
▣ Use only PHASEIN manufactured IRMA airway adapters.
▣ The IRMA probe is not intended to be in patient contact.
▣ Only use CO2 components certified by MEKICS.

CAUTION
▣ Never sterilize or immerse the IRMA probe in liquid.
▣ Do not apply tension to the probe cable.
▣ Do not operate the IRMA probe outside the specified operating temperature
environment.
▣ Federal law restricts this device to sale by or on the order of a physician. (U.S.)
▣ The IRMA Airway Adapters are non-sterile devices. Do not autoclave the adapters as
this will damage them.

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7.7. Test Summary
7.7.1. Guidance and manufacturer’s declaration -
electromagnetic emissions

The MTV1000 is intended for use in the electromagnetic environment specified below. The
customer or the user of the MTV1000 should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment - guidance

The MTV1000 uses RF energy only for its internal

RF emissions function. Therefore, its RF emissions are very low
Group 1
CISPR 11 and are not likely to cause any interference in
nearby electronic equipment.

RF emissions
Class A
CISPR 11
The MTV1000 is suitable for use in all
Harmonic emissions establishments, including domestic establishments
Class A
IEC 61000-3-2 and those directly connected to the public low-
voltage power supply network that supplies
Voltage fluctuations / buildings used for domestic purposes.
flicker emissions Complies
IEC 61000-3-3

7.7.2. Guidance and manufacturer’s declaration –

electromagnetic immunity

The MTV1000 is intended for use in the electromagnetic environment specified below.
The customer or the user of the MTV1000 should assure that it is used in such an
environment.
IEC 60601 Compliance Electromagnetic environment
Immunity test
Test level level -guidance
Floors should be wood, concrete
Electrostatic
± 6 kV Contact ± 6 kV Contact or ceramic tile. If floors are
discharge (ESD)
covered with synthetic material,
± 8 kV air ± 8 kV air the relative humidity should be at
IEC 61000-4-2
least 30 %.
± 2 kV for power ± 2 kV for power
Electrical fast
supply lines supply lines Mains power quality should be
transient/burst
±1 kV for ±1 kV for that of a typical commercial or
input/output lines input/output lines hospital environment.
IEC 61000-4-4

± 1 kV differential ± 1 kV differential
Surge Mains power quality should be
mode mode
that of a typical commercial or
± 2 kV common ± 2 kV common
IEC 61000-4-5 hospital environment.
mode mode

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 < 5 % Uт < 5 % Uт
(> 95 % dip in (> 95 % dip in
Uт) Uт)
for 0.5cycle for 0.5cycle
Mains power quality should be
Voltage dips, that of a typical commercial or
40 % Uт 40 % Uт
short hospital environment. If the user
(60 % dip in Uт ) (60 % dip in Uт )
interruptions and of the MTV1000 image intensifier
for 5 cycle for 5 cycle
voltage variations requires continued operation
on power supply during power mains interruptions,
70 % Uт 70 % Uт
input lines it is recommended that the
(30 % dip in Uт) (30 % dip in Uт)
MTV1000 image intensifier be
for 25 cycle for 25 cycle
IEC 61000-4-11 powered from an uninterruptible
power supply.
<5 % Uт <5 % Uт
(< 95 % dip in (< 95 % dip in
Uт ) Uт )
for 5 s for 5 s
Power frequency Power frequency magnetic fields
(50/60 Hz) should be at levels characteristic
magnetic field 3A/m 3A/m of a typical location in a typical
commercial or hospital
IEC 61000-4-8 environment.

NOTE Uт is the a.c. mains voltage prior to application of the test level.

7.7.3. Guidance and manufacturer’s declaration –

electromagnetic immunity

The MTV1000 is intended for use in the electromagnetic environment specified below.
The customer or the user of the MTV1000 should assure that it is used in such an
environment.

Immunity IEC 60601 test Compliance

Electromagnetic environment - guidance
test level level
Mobile RF communications equipment should be
used no closer to any part of the MTV1000,
including cables, than the recommended
separation distance calculated from the equation
Conducted applicable to the frequency of the transmitter.
RF 3 Vrms
3 Vrms Recommended separation distance
IEC 61000- 150 kHz to 80
150 kHz to
4-6 MHz
80 MHz

80 MHz to 800 MHz

800 MHz to 2.5 GHz

3V/m
Radiated RF 3V/m where P is the maximum output power rating of
80 MHz to
IEC 61000- 80 MHz to 2.5 the transmitter in watts (W) according to the
2.5 GHz
4-3 GHz transmitter manufacturer and d is the
recommended separation distance in meters
(m).
Field strengths from fixed RF transmitters, as
deter-mined by an electromagnetic site survey, a

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 should be less than the compliance level in each
frequency range. b

Interference may occur in the vicinity of

equipment marked with the following symbol :

NOTE 1 ) At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2) These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due
to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured
field strength in the location in which the EUT is used exceeds the applicable RF compliance
level above, the EUT should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the
MTV1000.
b
Over the frequency range 150 kHz to 80MHz, field strengths should be less than [V 1] V / m.

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 7.7.4. Recommended separation distances

The MTV1000 is intended for use in an electromagnetic environment in which radiated RF

disturbances are controlled. The customer or the user of the MTV1000 can help Prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communications equipment (transmitters) and the MTV1000 as recommended
below, according to the maximum output power of the communications equipment.

Separation distance according to frequency of transmitter

[m]
Rated maximum
output power of 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
transmitter
[W]

V1= 3 Vrms E1= 3 V / m E1= 3 V / m

0.01 0.12 0.11 0.23
0.1 0.37 0.36 0.73
1 1.17 1.16 2.33
10 3.69 3.68 7.37
100 11.66 11.66 23.33
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in metres (m) can be estimated using the equation applicable to the
frequency of the transmitter, where p is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1) At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2) These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

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 7.8. Product Warranty Policy
A. This product was manufactured based on strict quality management and testing
process of our company.

B. Compensation criteria for product repair and replacement are as announced in

“Consumer Injury Compensation Rule” by the Economic Planning Board.

C. Warranty period for this product is regulated as two year since installation.
However, warranty period for LCD, battery and O2 cell is six months.

D. If the product shows defects under normal use during warranty period, our customer
service team will repair defects free of charge during warranty period.

E. Prescribed service fees are levied after repair in the following cases.
▣ Defect from natural disasters such as fire, earthquake and lightning
▣ Defect from inappropriate movement or carelessness in use of the product after
installation
▣ Defect from repair or renovation made by an individual other than service agents
designated by MEKICS

F. Preparations for repair requests

▣ If defect occurs, immediately stop the use and check details on the defect in this
manual.
▣ Before contacting our company’s customer service team for repair request, please
check model name, manufacture number, purchase date and problem.

CAUTION
If defect is caused by inappropriate handling or careless management of the product, the
manufacturer and its sales agencies are not responsible for any damages.

Contact us
For more information in detail, contact us to the following numbers and addresses.

[Manufacturer / Customer Service Team]

MEKICS Co., Ltd.
21, Sangjiseok-gil, Paju-Si, Gyeonggi-do, South Korea

TEL: +82- 07-7119-2520

FAX: 070-5052-5800
Web site: http://www.mek-ics.com

We are also receiving customer complaints through MEK ICS web site. If you experience
any discomforts or improvements to be made on the product, please feel free to contact
our company or its customer service team at any time.

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