1. Monitoring with the Vision
Alarms
BiPAP Vision Product Manual Monitoring

2. Alarm Overview Alarm: Warning Signal of an Event
Event: A Noteworthy Happening
An abnormal clinical occurrence
Requiring clinical awareness or action
BiPAP Vision Product Manual Monitoring

3. Alarm Overview Events Are Related To:
Technical performance of the ventilator system or
Patient’s clinical condition
BiPAP Vision Product Manual Monitoring

4. Alarm Overview Two Types of Alarms System Adjustable
BiPAP Vision Product Manual Monitoring

5. Alarm Overview Alarm Indications Visual Audible Two Tones Alarm Reset
Manual
Self-canceling
Nurse Call/Remote
BiPAP Vision Product Manual Monitoring

6. System Alarms Check Ventilator Performance Preset and Not Adjustable
Continuous Tone
BiPAP Vision Product Manual Monitoring

7. System Alarms Ventilator Inoperative Check Ventilator
Pressure Regulation
Proximal Pressure Line
O2 Flow
Exhalation Port
Disconnect
BiPAP Vision Product Manual Monitoring

8. Ventilator Inoperative
System Alarm
Audible & Visual
Why?
System Malfunction
AC Power Failure
What Happens?
Ventilator Powers Down
Valves Open to Atmosphere
allows spontaneous breathing
BiPAP Vision Product Manual Monitoring

9. Check Ventilator Abnormal Operating Condition What Happens?
System Alarm
Audible & Visual
Manual Reset
Abnormal Operating Condition
What Happens?
Ventilator Continues to Operate
Unit Requires Service
Visual Indicator Remains Until Condition Corrected
BiPAP Vision Product Manual Monitoring

10. Check Ventilator Why? What Happens? Internal Battery Voltage is Low
System Alarm
Visual & Audible
Manual Reset
Why?
Internal Battery Voltage is Low
What Happens?
Internal Battery Cannot Sustain Audible Alarm
AC Power Will Trickle Charge
Error Code 205
BiPAP Vision Product Manual Monitoring

11. Pressure Regulation Why? What Happens? Proximal and Set Pressure Vary
System Alarm
Audible & Visual
Self-canceling
Why?
Proximal and Set Pressure Vary
+/- 5 cm H2O
What Happens?
Ventilator Sends Available Flow to Achieve Set Pressure
P Regulation
BiPAP Vision Product Manual Monitoring

12. Proximal Line Disconnect
System
Audible & Visual
Self-canceling
Proximal Line Disconnect
Why?
Proximal Pressure < 1 cmH2O
What Happens?
Ventilator Continues to Deliver Set Pressure
ProxLine Disc
BiPAP Vision Product Manual Monitoring

13. Oxygen Flow Why? What Happens? Insufficient Oxygen Flow
System Alarm
Audible & Visual
Manual Reset
Why?
Insufficient Oxygen Flow
What Happens?
FIO2 Cannot be Maintained Ventilator Continues to Deliver Set Pressure
O2 Flow
BiPAP Vision Product Manual Monitoring

14. Exhalation Port Why? What Happens?
System Alarm
Audible & Visual
Self-Canceling
Why?
Baseline Flow Decreases Below Intentional Leak Rate
5L/min or 50%
What Happens?
Ventilator Continues to Deliver Set Pressure
Exh Port
BiPAP Vision Product Manual Monitoring

15. Learn Function Learns Base Flow Upon system start-up
After mode changes
Activated manually
With circuit condition changes
Modify Alarms screen
BiPAP Vision Product Manual Monitoring

16. Disconnect Alarm Why? What Happens? Patient Disconnect
System Alarm
Audible & Visual
Self-Canceling
Why?
Patient Disconnect
High flow rates for 4 seconds
What Happens?
Disconnect
Ventilator decreases flow to idle
BiPAP Vision Product Manual Monitoring

17. Flow Limit Control What Is It ? Recognizes Patient Disconnection
Decreases total flow to idle
Flow Returns to Normal
Spontaneous patient trigger
BiPAP Vision Product Manual Monitoring

18. Benefits of System Alarms
Monitor Operating Specifications
Warn of Abnormal Operating Conditions
Visual Messages Facilitate Troubleshooting
BiPAP Vision Product Manual Monitoring

19. Adjustable Alarms Monitor Specific Patient Parameters
Clinician Adjustable
Multiple Tone
BiPAP Vision Product Manual Monitoring

20. Adjustable Alarms High Pressure Low Pressure Apnea Low Rate High Rate
Low Pressure Delay
Apnea
Low Rate
High Rate
Low Minute Ventilation
BiPAP Vision Product Manual Monitoring

21. High Pressure Why? What Happens? Inspiration is Terminated
Adjustable Alarm
Audible & Visual
Self-canceling
Why?
Proximal Pressure Exceeds Hi P Alarm Limit
What Happens? Inspiration is Terminated
Safety Feature
Hi P
BiPAP Vision Product Manual Monitoring

22. Low Pressure & Low Pressure Delay
Adjustable Alarm
Audible & Visual
Self-canceling
Why?
Proximal Pressure Below Lo P
Limit for Set Time Delay
What Happens?
Ventilator Continues to Function
Lo P
BiPAP Vision Product Manual Monitoring

23. Setting Pressure Alarms
Hi P and Lo P
Bracket IPAP
Lo P Delay
According to patient condition
BiPAP Vision Product Manual Monitoring

24. Apnea
Adjustable Alarm
Audible & Visual
Self-canceling
Why?
Absence of Spontaneous Trigger for Set Time Interval
What Happens?
Timed Breaths are Delivered at Set Rate
Apnea
BiPAP Vision Product Manual Monitoring

25. Apnea (con’t) Audible resets only when condition is corrected
Two spontaneous triggers
Safety feature
Apnea Can be Disabled
BiPAP Vision Product Manual Monitoring

26. Low Rate Why? Setting Lo Rate Alarm Limits
Adjustable Alarm
Audible & Visual
Self-canceling
Why?
Total Respiratory Rate is Below Lo Rate Limit
Setting Lo Rate Alarm Limits
Set Below Total Respiratory Rate
And Above Set Rate
BiPAP Vision Product Manual Monitoring

27. High Rate Why? Total Respiratory Rate is Above Hi Rate Limit
Adjustable Alarm
Audible & Visual
Self-canceling
High Rate
Why?
Total Respiratory Rate is Above Hi Rate Limit
Setting Hi Rate Alarm Limits
Set Above Total Respiratory Rate
BiPAP Vision Product Manual Monitoring

28. Low Minute Ventilation
Adjustable Alarm
Audible & Visual
Self-canceling
Why?
Minute Ventilation Falls Below Set Lo MinVent Limit
Setting Lo MinVent alarm limits
Set ~ 20% < Total Minute Ventilation
Use MinVent estimation
BiPAP Vision Product Manual Monitoring

29. Benefits of Adjustable Alarms
Monitor Patient Conditions
Warn of Critical Changes in the Patient
as determined by the clinician
Visual Messages Facilitate Troubleshooting
BiPAP Vision Product Manual Monitoring