Trilogy Evo

Quick start guide

for clinicians
Overview 2
Available circuit options 4
Key menu windows 8
Set up and deliver therapy 10
Appendices 13
 Overview
Proximal Accessory Inspiratory port
pressure port USB port (to patient)

Active exhalation
valve line connection
for Active PAP and
Active Flow circuits

Alarm
indicator/
alarm silence
button

Dual Limb
On/off active exhalation
(standby) Flow sensor valve connection
button cable connector (from patient)

2
 Air inlet Low flow USB port and remote
foam filter oxygen inlet alarm or nurse call
connectors (RJ9)

Detachable
battery
access
door

FiO2 sensor AC power DC power

access panel connector connector

Oxygen blending module

may not be part of your
device model

3
 Available circuit options
Passive circuit

Tracheostomy Mask
tube without
integrated
leak

Exhalation
leak valve
(exhalation Mask with
port) integrated
leak

A. C
 onnect the bacteria filter on the
circuit to the inspiratory port.

4
Active PAP circuit

Active
exhalation
valve

A
B

Proximal
pressure port

Connect
to mask
or trach

A. Connect the bacteria filter on the

circuit to the inspiratory port.

B. Connect the proximal pressure

line (wider diameter than active
exhalation valve line) to the
proximal pressure port.

C. C
 onnect the active exhalation valve
pressure line to the active exhalation
valve line connection.

5
 Available circuit options (continued)

Active Flow circuit

Active
exhalation
valve Flow
sensor
A
B
C E

D Proximal Connect
pressure port to mask
or trach

A. Connect the bacteria filter on the D. Attach the flow sensor cable to
circuit to the inspiratory port. the flow sensor cable connector.

B. Connect the proximal pressure E. A

 ttach the flow sensor to the active
line (wider diameter than active exhalation valve on the circuit.
exhalation valve line) to the
proximal pressure port.

C. Connect the active exhalation valve

pressure line to the active exhalation
valve line connection.

6
Dual Limb circuit

A
B
C F
D
E

Connect to
mask or trach

A. Connect the bacteria filter end D. Attach the bacteria filter end of the
of the colored inspiration tube clear expiration tube to the AEV.
to the inspiratory port.
E. Attach the flow sensor cable to
B. Connect the proximal pressure line to the flow sensor cable connector.
the proximal pressure port.
F. Attach the flow sensor to the Y-shaped
C. Install the active exhalation valve into connector on the circuit.
the recessed AEV port. Press until both
sides click into place.

7
 Available circuit options (continued)

MPV circuit

F
E
D

A. Fully extend and straighten the circuit D. Attach the reducer cuff and then the
support arm. See the diagram below. bacteria filter onto the device-end of
the circuit tube.
B. Feed the circuit tube (15mm) through
the center of the circuit support arm E. C
 onnect the bacteria filter on the
until it exits the other end. circuit to the inspiratory port on the
Trilogy Evo.
C. Attach the clamp to a wheelchair
if required. F. A
 ttach the coupler and miniature
flextube (optional) onto the circuit
support arm before connecting your
chosen patient interface.

B
C

8
Key menu windows
Gaining full access
There are full and limited access levels. On a new device, full
Standby
Not Ventilating
access is the default setting. If the device is in limited access,
gain temporary full access with these steps:
Prescriptions New Patient

S/T Passive
Prescription 1 IPAP EPAP Breath Rate Insp. Time

15 cmH2O 5 cmH2O 15 BPM 1.5 s

+ Add Prescription

To edit prescription settings, select

Start Ventilation

12:45pm
1. Press and hold the digital clock in the status
bar (bottom right of the touch screen) and then
the alarm silence button (front panel) and keep
1 1 holding both together for 5 seconds.
2. A confirmation pop-up will appear. Release
the button and clock, and make a selection
in the pop-up to enter full access mode. The
Full Access icon will appear in the status bar.
After these steps, the device will revert to limited access after
5 minutes of inactivity. To stay in full access, go to options,
device options and set menu access level default to “Full”.

Home standby window

The Home standby window loads after the device is turned on
Standby
Not Ventilating

Prescriptions New Patient

S/T Passive
Prescription 1 IPAP EPAP Breath Rate Insp. Time

15 cmH2O 5 cmH2O 15 BPM 1.5 s

+ Add Prescription

12:45pm
To edit prescription settings, select

Start Ventilation

12:45pm

Prescriptions Touchscreen lock

Therapy prescriptions are To prevent accidental therapy changes, use
listed here, for selection. One touchscreen lock. Lock the screen anytime
default prescription is present with the status bar shortcut shown here.
for a new patient In the device options screen, you can activate
automatic touchscreen lock, which will engage
after 5 minutes of inactivity

9
 Key menu windows (continued)

Prescription settings window

Tap the prescriptions icon for the prescription settings window
Standby
Not Ventilating

Prescription 1 Start Ventilation

Alarm
settings
Circuit EPAP IPAP Insp. Time Breath Rate

Passive 5 cmH2O 15 cmH2O 1.5 s 15 BPM

Trigger Type Trigger Sens. Flow Cycle Sens. Rise Time
Switch tabs
Mode

S/T Auto Trak Auto Auto 2 to view alarm

settings
Advanced

Circuit Using Default Calibration

?
Type Circuit Size
Active
Infant Pediatric
Passive Active PAP Humidification
(9-13mm) (14-18mm)
Adult/Pediatric Adult On Off
Active Flow Dual Limb
(19 mm) (20-22mm)

12:45pm

Settings selection grid Start Ventilation

Tap any setting in the selection grid Tap Start Ventilation to
to bring up that setting’s user control deliver the prescription
in the space below the grid currently displayed
Initial view of the screen (for
Options window
Key Menu Screens section)
Tap the options icon for the options menu window
Standby
Not Ventilating

Options

Device Options Calibration & Setup

Data Transfer Alarm & Event Log

Information Prescription Preferences

12:45pm

Within this window, change device options, run

calibrations and tests, and view and work with data.

10
Set up & deliver therapy
Configure for a new patient
Standby
Not Ventilating

Prescriptions New Patient

S/T Passive
Prescription 1 IPAP EPAP Breath Rate Insp. Time

15 cmH2O 5 cmH2O 15 BPM Select Prescription

1.5 s Name Accept Cancel

+ Add Prescription
Prescription (#) Daytime

Nighttime Exercise

Mouthpiece Weaning

Transport Emergency
To edit prescription settings, select
Exacerbation Other

Start Ventilation

12:45pm

1. New patient 2. Select new prescription

Tap New Patient to clear Select a name for the initial, default
logged patient data and prescription for the new patient
prescriptions, preparing the
3. Confirm filter
device for a new patient’s use
Acknowledge use of a bacterial filter
with the circuit

Prescription settings: circuit

Standby
Not Ventilating

Daytime Start Ventilation

Alarm
Circuit EPAP IPAP Insp. Time Breath Rate
Settings
Passive 5 cmH2O 15 cmH2O 1.5 s 15 BPM
Switch tabs
Trigger Type Trigger Sens. Flow Cycle Sens. Rise Time
Mode
Auto Trak Auto Auto 2
to view alarm
S/T
settings
Advanced

Circuit Using Default Calibration

?
Type Circuit Size
Active
Infant Pediatric
Passive Active PAP Humidification
(9-13mm) (14-18mm)
Adult/Pediatric Adult On Off
Active Flow Dual Limb
(19 mm) (20-22mm)

12:45pm

Settings selection grid

Tap any setting in the selection grid to bring up that setting’s user control in the
space below the grid. The Circuit setting is selected and displayed by default

11
 Set up & deliver therapy (continued)

Prescription settings: mode

Standby
Not Ventilating

Daytime Accept Cancel

Circuit Tidal Volume PC Min/Max PEEP Insp. Time

Passive 400 mL 10/20 cmH2O 5 cmH2O 1.5 s

Mode Breath Rate Trigger Type Trigger Sens. Rise Time

A/C-PC AVAPS 15 BPM Auto Trak Auto 2

AVAPS Speed
Advanced 5 cmH2O/min

Mode

A/C-PC AVAPS-AE PSV SIMV-PC MPV-PC

AVAPS

A/C-VC S/T CPAP SIMV-VC MPV-VC On Off

12:45pm

Mode settings
Tap Mode to choose a therapy mode or to add AVAPS. An unsaved
change indicator ( ) is visible until you tap Accept to save new values

Prescription settings: advanced

Standby
Not Ventilating

Daytime Start Ventilation

Circuit Tidal Volume PC Min/Max PEEP Insp. Time

Passive 400 mL 10/20 cmH2O 5 cmH2O 1.5 s

Mode Breath Rate Trigger Type Trigger Sens. Rise Time

A/C-PC AVAPS 15 BPM Auto Trak Auto 2

AVAPS Speed
Advanced 5 cmH2O/min

Advanced ?
Insp. Time
Backup Ventilation Sigh Min/Max Enable

On Off On Off On Off

12:45pm

Advanced settings
Tap Advanced to access specialized features,
which vary by mode and circuit

12
 Therapy settings
Standby
Not Ventilating

Daytime Accept Cancel

Circuit Tidal Volume PC Min/Max PEEP Insp. Time

Passive 400 mL 10/20 cmH2O 5 cmH2O 1.2 s

Mode Breath Rate Trigger Type Trigger Sens. Rise Time

A/C-PC AVAPS 15 BPM Auto Trak Auto 2

AVAPS Speed
Advanced 5 cmH2O/min
I:E Ratio 1:2.3
Inspiratory Time (s) Exp. Time 2.8 s ?

0.3 5.0

1.2

12:45pm

Adjust prescription parameters, then tap Accept to save values

Alarm settings
Standby
Not Ventilating

Daytime Accept Cancel

Circuit Tidal Volume MinVent Resp. Rate Circuit Disconnect

Passive Off/Off mL 3.5/Off L/min Off/45 BPM 10 s

Mode

A/C-PC AVAPS

Advanced

Breath Rate 15 BPM

Respiratory Rate Alarms (BPM)

1 90
Off Off

Off
A 45
B
12:45pm

Configure all user-settable alarms (A. Low threshold, B. High threshold)

Once all settings are configured, tap Accept to save the new values.
Then tap “Start Ventilation” to begin therapy

13
 Appendix A

Additional features
USB connections

USB connection
USB port for accessories:
• Pulse oximetry (SpO2) /
Pulse rate (PR)
• Capnography (EtCO2)
• Data management

USB connection
Additional USB port
available on opposite side

Fi02 sensor
Standby
Not Ventilating

Device Options

Language Alarm Volume Screen Brightness Light Bar

English Low 3 Off

Automatic Touchscreen
Menu Access Level Default Screen Saver Date and Format
Lock
Full Off Breath MM/DD/YYYY

Time and Format Device Units Bluetooth Manual Breath

12-Hour cmH2O, mmHg Not Enabled Off

FiO2 Sensor DC Power Charging NFC

On Off Off

FiO2 sensor
compartment 12:45pm

An FiO2 sensor may be

installed here. See
Under options, device options, tap the
manual for details
FiO2 Sensor option and ensure the control
is set to “On”

14
Appendix B

Monitoring
Home window during therapy
During ventilation, the monitoring view appears in the home window

Standby
A/C-PC AVAPS Passive
Daytime
Not Ventilating

Views
PIP
21.1 cmH2O

Vte
PC Min/Max
10/20 cmH2O 400 mL

Tidal Volume cmH2O

400 mL RR
PEEP
5 cmH2O
15 BPM
0 10 20 30
Breath Rate MinVent
15 BPM
Insp. Time
6.0 L/min

1.2 s

12:45pm

Spontaneous breath indicator

When the current breath is triggered by the patient,
this indicator appears filled (dark green)

Change monitoring view

Tap Views to access multiple monitoring options

Standby
A/C-PC AVAPS Passive
Daytime
Not Ventilating

Views
PIP
21.1 cmH2O

10:30
Vte
PC Min/Max
10/20 cmH2O 400 mL

Tidal Volume cmH2O

400 mL RR
PEEP
5 cmH2O
15 BPM
0 10 20 30
Breath Rate MinVent
15 BPM
Insp. Time
6.0 L/min

1.2 s

12:45pm

15
 Monitoring (continued)
Monitoring views
Each monitoring view shows parameters, a pressure bar, combinations of these,
or waveforms. The waveforms view is shown here.

Standby
A/C-PC AVAPS Passive
Daytime
Not Ventilating

Views
30 cmH2O
P PIP

20 21.1 cmH2O

10 Vte
PC Min/Max
10/20 cmH2O 400 mL
0
Tidal Volume 0s 1 2 3 4 5 6 7 8 9 10 11 12
400 mL 50 L/min
RR
PEEP
5 cmH2O
25
V
15 BPM

0
Breath Rate MinVent
15 BPM
Insp. Time
-25
6.0 L/min
-50
1.2 s 0s 1 2 3 4 5 6 7 8 9 10 11 12

12s

12:45pm

Inspiratory color-coding
The inspiratory phase of the waveforms is
color-coded. Orange indicates a ventilator-
initiated breath, while blue indicates
a patient-initiated breath

16
Appendix C

Additional prescriptions
Adding another prescription
During therapy
Tap the prescription name to open the prescriptions list.
Tap Add Prescription then select the name and edit as needed

Standby
A/C-PC AVAPS Passive
Daytime
Not Ventilating

PIP
Daytime Start Ventilation
21.1 cmH2O

Circuit Tidal Volume PC Min/Max PEEP Insp. Time

A/C-PC AVAPS Passive Vte
Passive
Daytime 400 mL 10/20 cmH2O 5 cmH2O 1.2 s
400 mL
Mode Breath Rate Trigger Type Trigger Sens. Rise Time
Add Prescription
A/C-PC AVAPS 15 BPM Auto Trak Auto 2 RR
AVAPS Speed 15 BPM
Advanced 5 cmH2O/min
MinVent
6.0 L/min

12:45pm

Or

During standby
In the home window, tap Add Prescription
then select the name and edit as needed

Standby
Not Ventilating

Prescriptions New Patient

S/T Passive
Prescription 1 IPAP EPAP Breath Rate Insp. Time

15 cmH2O 5 cmH2O 15 BPM 1.5 s

+ Add Prescription

To edit prescription settings, select

Start Ventilation

12:45pm

17
 Additional prescriptions (continued)
Changing therapy
Prescription menu
In the home window, tap the prescription in the
menu bar to access the prescription menu
Standby
A/C-PC AVAPS Passive
Not Ventilating
Daytime

Views
PIP
A/C-PC AVAPS Passive
Daytime 21.1 cmH2O

Vte
A/C-PC AVAPS Passive
PC Min/Max
400
Nighttime
10/20 cmH2O mL

Tidal Volume cmH2O

400 mL RR
PEEP
5 cmH2O
15 BPM
0 10 20 30
Breath Rate MinVent
15 BPM
Insp. Time
6.0 L/min

1.2 s

12:45pm

Select prescription
Select a prescription
to switch therapy

Changing therapy Circuit note

in prescription settings The circuit settings must be the same
You can also change therapy in as the current prescription. If the circuit
the prescription settings window. settings differ, place the device into
Select a prescription then tap standby to change the physical circuit.
Switch Therapy. Then, select the prescription from the
home screen to start ventilation.
Switch Therapy

18
Appendix D

Settable alarms
The following alarms are available within each prescription,
depending on the therapy mode.

User-settable alarm Range of setting value

Circuit Disconnect Off; 5 to 60 seconds

Tidal Volume

Low Off; 10 to 2000ml (or High alarm setting value -5)

High Off; 10 (or Low alarm setting value +5) to 2000ml

Minute Ventilation

Low Off; 0.2 to 30l/min (or High alarm setting value -0.1)

High Off; 0.2 (or Low alarm setting value +0.1) to 30l/min

Respiratory Rate

Low Off; 1 to 90bpm (or High alarm setting value -1)

High Off; 1 (or Low alarm setting value +1) to 90bpm

Inspiratory Pressure

Low PEEP+1 to 89cmH2O (or High alarm setting value -1)

High 10 (or Low alarm setting value +1) to 90cmH2O

Apnea Interval 5 to 60 seconds

No Trigger Off; 0.5 to 15.0 minutes

19
 Appendix D

Settable alarms (continued)

The following alarms are available only when associated accessories are connected.

User-settable alarm Range of setting value

SpO2

Low Off; 50 to 99% (or High alarm setting -1)

High Off; 90 (or Low alarm setting +1) to 100%

Pulse Rate

Low Off; 18 to 300bpm (or High alarm setting value -1)

High Off; 18 (or Low alarm setting value +1) to 300bpm

EtCO2

Low Off; 1 to 100mmHg (or High alarm setting value -1)

High Off; 1 (or Low alarm setting value +1) to 100mmHg

FiO2

Low Off; 21 to 95% (or High alarm setting -1)

High Off; 27 (or Low alarm setting +1) to 100%

20
Appendix E

Trilogy to Trilogy Evo

Trilogy Trilogy Evo
setting equivalent Description
Assist Control (Volume Control) mode provides volume-controlled
AC mandatory or assist-control breaths. The set inspiratory time applies
A/C-VC to all breaths.
If you want to replicate CV mode where the ventilator triggers and
CV
cycles all breaths then set the trigger type to OFF.
Assist Control (Pressure Control) mode provides
PC pressure-controlled mandatory or assist-control breaths. The
A/C-PC set inspiratory time applies to all breaths. Optional: AVAPS.
If you want to replicate T mode where the ventilator triggers and
T
cycles all breaths then set the trigger type to OFF.
Pressure Support Ventilation mode is patient-triggered,
pressure-limited, and flow-cycled. The patient determines the
S PSV
breath rate and timing so it is recommended to set back-up
ventilation. Optional: AVAPS and Inspiratory Time min/max.
Spontaneous/Timed is a bi-level therapy mode where each breath
S/T S/T is patient-triggered and patient-cycled, or ventilator-triggered and
ventilator-cycled.
In Continuous Positive Airway Pressure mode, all breaths are
CPAP CPAP spontaneous with the CPAP set pressure delivered in both
inhalation and exhalation.
Mouthpiece Ventilation (Volume Control) provides on-demand
AC volume-control ventilation using a Kiss trigger® that detects when
MPV-VC
(MPV on) the patient engages with the mouthpiece. No exhalation valve
is required.
PC Mouthpiece Ventilation (Pressure Control) is similar to MPV-VC,
MPV-PC
(MPV on) but with pressure control.
Synchronized Intermittent Mandatory Ventilation (Pressure
Control) mode is a pressure control mode that provides a mixture of
mandatory, assist-control and spontaneous breaths with optional
PC-SIMV SIMV-PC
pressure support. It guarantees one mandatory breath in each
cycle. The breath rate determines the length of the cycle. Optional:
Inspiratory Time min/max for the spontaneous breaths.
Synchronized Intermittent Mandatory Ventilation (Volume
SIMV SIMV-VC
Control) mode is similar to SIMV-PC, but with volume control.
AVAPS-Auto EPAP mode automatically adjusts pressure support,
to maintain the target tidal volume, and EPAP, to maintain a patent
AVAPS-
AVAPS-AE airway, within the set min/max ranges; and simplifies the set-up of
AE
the backup breath rate when set to auto. Note: auto back-up rate
maximum is 20bpm. Optional: Inspiratory Time min/max.

21
 Trilogy to Trilogy Evo (continued)

Trilogy Trilogy Evo

setting equivalent Description
Once enabled, this setting treats inspiration time as a
Inspiratory
variable value for patient-initiated, patient-cycled breaths.
Time Min/
It is available in S/T, PSV, SIMV-PC, SIMV-VC, and AVAPS-AE
Max
modes, under Advanced in the Prescription Settings window.
This sets the maximum rate of change in pressure
AVAPS
AVAPS Speed between the min and max values while AVAPS is seeking
Rate
a volume target.
Available in AVAPS-AE mode.
PC Breath
(AVAPS-AE) When PC Breath is on, the set inspiratory time applies to
all breaths.

Available without a static maneuver for mandatory or assisted-breaths in A/C-PC, A/C-

VC, SIMV-PC, or SIMV-VC modes with the passive, active flow, or dual limb circuits.

New lung mechanics

in Trilogy Evo Description
Lung compliance is the ratio of the tidal volume to the
alveolar pressure at the end of inspiration. In Trilogy Evo,
Dyn C Dyn C is an estimate of the static compliance of the pulmonary
system (lung and chest wall) measured dynamically (without
an inspiratory hold) in ml/cmH2O.
Airway resistance is the opposition to the motion of
gas within the airways. In Trilogy Evo, this value is Dyn R
Dyn R (dynamic resistance) and is an estimate of the change
in pressure divided by the air flow through the airways
measured in cmH2O/l/sec.
Plateau pressure is the maximum pressure applied to small
airways and alveoli during positive-pressure mechanical
ventilation. In Trilogy Evo, this value is Dyn Pplat (dynamic
Dyn Pplat
plateau pressure) and is the estimate of the maximum
alveolar pressure during inspiration (volume/Dyn C)
measured in cmH2O.
AutoPEEP is the estimate of the any pressure (above PEEP)
AutoPEEP that exists in the patient airway at the end of exhalation. In
Trilogy Evo, this value is AutoPEEP and is measured in cmH2O.

22
Notes

23
Respironics Inc.
1001 Murry Ridge Lane
309613
Page 2 of 2

Murrysville, PA 15668 USA

Respironics Deutschland GmbH & Co. KG 1140825
Gewerbestrasse 17 1140825 R03
82211 Herrsching, Germany
ZL 12/10/2019