Puritan Bennett™ 980 Ventilator System
Product Training Touch Screen Handout
                                         Breathe More
                                                NATURALLY
                                                Information and Best Practices for More Effective Training
    -
2
Welcome to the Puritan Bennett™ 980 ventilator
product training.
         During your training session, your trainer will review certain
         features and operations of the Puritan Bennett™ 980 ventilator.
         This handout provides a copy of certain images of the touch
         screen and explanations of some functions, and space for you
         to take notes. This handout is also intended to be used as a
         reference once training is complete.
           THANK YOU. WE LOOK FORWARD TO WORKING WITH YOU.
         This handout is intended to supplement, not replace, the Operator’s Manual, which should always be available
         while using the ventilator. Should you encounter any questions or concerns not covered in this handout or the
         Operator’s Manual, contact Technical Support at 1-800-255-6774 or your local Covidien representative.
                                                                                                                         3
                                                                      -
    Vent Startup                                                          New Patient Setup
    Just after Power-On Self-Test (POST), you have the option to          After you select New Patient or Same Patient, the Setup screen
    select from New Patient, Same Patient or SST.                         appears, offering:
    Select SST to perform the Short Self-Test or if preferred, skip       New Patient - Quick Start
    the SST and select New Patient or Same Patient.                       1.	Touch “New Patient.”
                                                                          2.	Enter PBW or Gender and Height.
                                                                          3.	Touch “Quick Start.”
                                                                          4.	Connect the circuit wye adapter to the patient’s airway or
                                                                             interface connection to initiate ventilation at the institutionally
                                                                             configured default settings that are based on PBW/Gender and
                                                                             Height.
                                                                          New Patient
                                                                          1.	Touch “New Patient.”
                                                                          2.	Enter PBW or Gender and Height.
                                                                          3.	Adjust ventilation/alarm settings and then touch “Start.”
                                                                          4.	Connect the circuit wye adapter to the patient’s airway or
                                                                             interface connection to initiate ventilation at your specified
4                                                                            settings.
Same Patient Setup                                              Apnea
Same Patient                                                    Within the Setup screen, you can touch the Apnea tab
                                                                and program:
1.	The previous ventilator settings are displayed.
                                                                •	 Ventilation Type
2.	Connect the circuit wye adapter to the patient’s airway or
   interface connection to initiate ventilation at the same     •	Mode
   settings in use prior to powering the ventilator off.
                                                                •	 Mandatory Type
                                                                •	 Trigger Type
                                                                •	 All settings pertinent to the Ventilation Type, Mode, Breath
                                                                   Type and Trigger Type that have been selected for Apnea
                                                                   ventilation.
                                                                Apnea settings are also used for manual inspiration.
                                                                                                                                  5
                                                                           Ventilator Data is Stored in
    Alarms                                                                 Various Logs
    • The Alarm tab displays six columns of alarm settings and
       current patient values.
    • The white shading area within the alarm column refers to
       the recent range of patient data values for the last 200 breaths.
    • The Puritan Bennett™ 980 ventilator uses yellow and red on the
       360 degree dome, banner and alarm columns to visually
       differentiate urgency.
    • The Puritan Bennett 980 ventilator uses three different audible
       tones to differentiate urgency.
    • Alarm decibel level increases in the event of an unattended
       alarm after 30 seconds and then again at 60 seconds.
    • The alarm banner (not shown in the picture) provides
       information and recommendations.
6
Configurable Patient Data                                             Large Font Dropdown
There are eight patient data cells displayed across the top of        Swipe down on the tab from the vital patient data banner
the touch screen. The four on the right can be swiped to the          to open the additional patient data screen. Then swipe the tab
left or right to display additional cells. You can configure each     down again to open the large font data display. This view shows
individual cell to display the most appropriate data for your         14 data/waveforms/loops measurements. Data is displayed in a a
patient situation. Double tap a cell to show the data available for   larger font for easy viewing. You can also configure the data that
viewing, and select the patient data parameter to be displayed.       appears in these cells by double tapping a cell.
                                                                                                                                           7
                                                                          -
    Waveform Layout                                                           Pause, Cursor and Scales
    Touching the Waveform Layout Icon opens the Graphs tab, Large             To pause the graphics, touch the pause icon, which automatically
    Font tab and Patient Data tab.                                            generates a cursor for numerical interpretation
                                                                              of graphical data.
    • The Graphs tab allows for five configurations of waveforms.
                                                                              You can move the cursor left or right by touching the screen
    • The Large Font tab allows for five configurations of numerical
                                                                              and dragging the cursor left or right or turning the knob on
       patient data.
                                                                              the bezel.
    • The Patient Data tab allows for five configurations of numerical
       patient data.
8
Prox Flow                                                           Tool Tips
Touching the wrench icon and then Options tab will reveal           Touch, hold and drag the question mark icon over an on-screen
the Prox Flow tab, where the Prox Flow sensor can be enabled        item and the function’s definition will be displayed.
or disabled.
                                                                    Another way to access the same information is to touch and hold
The Proximal Flow Option is used for measuring flows, pressures     an item on the GUI. The item will glow blue if it is enabled to
and tidal volumes of invasively ventilated neonatal patients with   display a definition.
predicted body weight (PBW) of 0.3 kg (0.66 lb)
to 7.0 kg (15.4 lbs) using ET tube sizes from 2.5 mm to 4.0 mm.
                                                                                                                                      9
     Respiratory Mechanics                                             Leak Sync
     Five respiratory mechanics maneuvers are available via the left   Through Vent Setup, you can touch “More Settings” and enable
     menu tab and by touching the Respiratory Maneuvers button.        or disable Puritan Bennett™ Leak Sync software.
     Inspiratory Pause and Expiratory Pause functions are also         When Leak Sync is enabled during invasive or noninvasive
     available on the bezel.                                           ventilation of neonatal, pediatric or adult patient types, the
                                                                       Puritan Bennett™ 980 ventilator will automatically detect and
                                                                       compensate for leaks.
                                                                       Leak Sync is available in A/C, SIMV, SPONT and BiLevel modes.
                                                                       Leak Sync is available during all breath types except Tube
                                                                       Compensation (TC) and PAV™*+ modes.
10
-
    Stand-By                                                      Status Display
    Stand-By State can be accessed through the left menu tab by   The status display is a separate display located on the breath
    touching the Stand-By button.                                 delivery unit (BDU). The status display provides the following
                                                                  information during normal ventilation:
    Reinstitution of ventilation will begin when the patient
    is reconnected or you touch the Exit Stand-By button.         •C
                                                                    urrent power source (AC or DC)
                                                                  •P
                                                                    resence of primary and extended batteries and their charging
                                                                    status
                                                                  • Relative available battery charge level
                                                                    ircuit pressure graph displaying pressure units, #PPEAK alarm
                                                                  •C
                                                                    setting and current PPEAK and PEEP values
                                                                  • Connection of air and oxygen
                                                                  • Ventilator operational hours
                                                                  • Visual indication of current alarm volume setting
                                                                                                                                     11
     VC+ Setup                                                       BiLevel to Inverse
     Through vent setup, you can select settings pertinent to VC+:   Through vent setup, you can select settings pertinent
                                                                     to BiLevel mode:
     • Ventilation Type—Invasive
     • Mode—A/C or SIMV                                              • Ventilation Type—Invasive
     • Mandatory Type—VC+                                            • Mode—BiLevel
     • Trigger Type—Pressure or Flow                                 • Mandatory Type—PC
     • Tidal Volume                                                  • Spontaneous Type—PS or TC
     • Inspiratory Time                                              • Trigger Type—Pressure or Flow
     • Respiratory Rate (frequency)                                  • Respiratory Rate (frequency)
     • O2                                                            • O2
     • #VTI alarm                                                    • PH —pressure setting at the TH
     • #PPEAK alarm                                                  • PL—pressure setting at the TL
                                                                     • TH or TL or TH to TL Ratio
12
PAV™*+ Mode Setup                                                 Monitoring PAV™*+ Mode
Through vent setup, you can select settings pertinent to PAV™*+   CPAV, RPAV and PEEPI are updated every four to 10 breaths.
mode:
                                                                  The Work of Breathing (WOB) bar shows two tags:
• Ventilation Type—Invasive
                                                                  •E  stimated work of breathing done by patient (WOBPT)
• Mode—Spont
                                                                  • The estimated effort needed for patient inspiration, including
• Mandatory Type—none                                                both patient and ventilator (WOBTOT)
• Spontaneous Type—PAV™*+
• Trigger Type—Pressure or Flow
• PEEP
• O2
• PAV™*+ Settings:
• % SUPP
• #VTI alarm
• #PPEAK alarm
• Tube Type and size (inner diameter)
                                                                                                                                      13
                                                                       -
                                                                           Alarm Management
     Setting Up Neonatal Nasal CPAP                                        in Neonate Nasal CPAP
     CPAP is available when circuit type is Neonatal and Ventilation       The volume alarms and displays of spirometry are removed.
     Type is NIV.
14
15
                        COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks
                        of Covidien AG. Proportional Assist and PAV are registered trademarks of The University of Manitoba, Canada. Used under
                        license. Other brands are trademarks of a Covidien company. ©2013, 14 Covidien. 13-VE-0083(1)
6135 Gunbarrel Avenue
Boulder, CO 80301
800-635-5267
covidien.com/rms