EPV200 Portable Ventilator: Battery Powered Ventilator With Oxygen Source Required

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EPV200™ Portable Ventilator

Battery Powered Ventilator


With Oxygen Source Required

Patent Pending

1720 Sublette Avenue ■ St. Louis, MO 63110 USA


314-771-2400 ■ 800-444-3954 ■ FAX: 800-477-7701
www.alliedhpi.com

S168-570-001 REV. A

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Table of Contents

Section Description Page


1 Product Description 2
2 Product Intended Use 2
3 Explanation of Warnings 2
4 Explanation of Abbreviations 2
5 Specifications 3
6 Features 4
7 Operating the Ventilator 5-7
8 Alarms 8
9 Battery Replacement 9
10 Cleaning 9 - 10
11 Maintenance and Schedule 10 - 11
12 Check-out Procedure 12
13 Accessories 13
14 Warranty 13
15 Oxygen Cylinder Depletion Times 14 - 15
16 Symbols 15
17 Applicable Standards 16
18 Approximate Settings Based on Patient Height 17 - 18
19 Attaching EPV200 to Equipment 19

Model: EPV200 - Emergency Portable Ventilator with Assist Control

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1 Product Description
The EPV200 is an internal battery powered, electronically controlled, portable ventilator
that requires a 50 psi oxygen source to operate. The EPV200 has selectable tidal
volumes, BPM and inspiratory times based on the intended patient’s respiratory
requirements.
2 Product Intended Use
The EPV200 is intended to be used as an electronically controlled gas powered
emergency ventilator to provide emergency respiratory support by means of a face
mask or tube inserted into the patient’s airway. This ventilator is intended for use on
patients weighing greater than 20 kg (44 lbs). This ventilator is intended to be used in
the environments associated with emergency medical services (EMS), inter-hospital
transport and hospital facility usage. This ventilator is intended to be used in
temperatures of -9 to 50°C (15 to 122°F) and 5% - 95% relative humidity, non
condensing.

Biocompatibility testing has proven this ventilator to be safe for periods up to 14 days of
continuous use. Results beyond this length of time are not known.

CAUTION: Federal law restricts this device to sale by or on the order of a


physician.
CAUTION: The EPV200 should not be used on children with a weight of 20 kg
(44 lbs) or less.

3 Explanation of Warnings

Warning: Potential injury to the patient or operator exists.


Caution: Potential damage to the ventilator, breathing circuit or other equipment may
result.
Warnings and cautions should be read and understood before operating the ventilator.
4 Explanation of Abbreviations
Tv Tidal Volume
BPM Breaths per Minute
It Inspiratory Time
psi Pounds per Square Inch
cm H2O Centimeters of Water
kPa Kilopascal
ml Milliliters
LPM Liters Per Minute
mm Millimeters
LED Light Emitting Diode
CPR Cardio Pulmonary Resuscitation
HPA High Pressure Alarm
RH Relative Humidity

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5 Specifications

A. Gas Supply Pressure: 280 kPa (40.6 psi) to 600 kPa (87 psi) oxygen DISS
B. Breaths Per Minute (BPM): Accuracy: ±10%
BPM Range: 1 second inspiratory time = 0 and 5 to 30
BPM Range: 2 second inspiratory time = 0 and 5 to 20
C. Tidal Volume (Tv): Accuracy: ±10% with 100% oxygen
Tidal volume range 1 second inspiratory time = 200 ml to 600 ml
Tidal volume range 2 second inspiratory time = 400 ml to 1200 ml
D. Inspiratory Time (It): Accuracy: ±10%
1 second or 2 second selection
E. Safety Pressure Relief: Fixed at a maximum of 60 cm H2O
F. Low Source Gas Alarm: Activates at 275 to 241 kPa (40 to 35 psi) source
pressure.
G. High Airway Pressure Alarm Electronic: Activates at 45 cm H2O.
Alarm sound level is greater than 58 decibels.
H. Breath Delivery Alarm: Activates if the airway pressure does not go
above 9 cm H2O during a span of 15 seconds, or if a spontaneous breath is
detected.
I. Battery Life: Greater than 48 hours at room temperature (10 BPM and
2 seconds It)
J. Oxygen Inlet Filter: 65 micron sintered bronze
K. Leakage: The unit shall be designed so that pressurized oxygen is not allowed
to leak through any seals or fittings.
L. Gauge: 0-99 cm H2O accuracy ± 5% or 1 cm H2O, whichever is greater
M. Inspiratory and Expiratory Resistance: 5 cm H2O (.5kPa) maximum
N. Inadvertent PEEP: < 2 cm H2O
O. Inadvertent Continuing Expiratory Pressure: < 2 cm H2O
P. Dead Space: < 5.5% of minimum tidal volume
Q. Weight: 1.4 kg (3.1 lbs.) with batteries
R. Size: 3.5 x 7.0 x 9.3 (88.9 x 177.8 x 236.2 mm)
S. Operating Conditions: -9 to 50°C (15 to 122°F) 5% - 95% RH non condensing
T. Storage Conditions: -40 to 60°C (-40 to 140°F) 5% - 95% RH non condensing
U. Shipping Conditions: -40 to 60°C (-40 to 140°F) 5% - 95% RH non condensing
V. Breathing mode: Assist Control with ≤2 cm H2O required to trigger a
spontaneous breath.

Latex Free: This product does not contain Latex.

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6 Features

3
14
7
5

5
5

12

11

9 10
5

13

6
5

8
5
4
5

1
5

Item # Description Item # Description


1 Tidal Volume Control 8 Anti-Suffocation Valve
2 Inspiratory Time Control 9 Patient Circuit Connection
3 BPM Control 10 High Airway Pressure Alarm
4 Oxygen Inlet 11 Low Source Gas Alarm
5 Airway Pressure Display 12 Low Battery Alarm
6 Power On/Off Switch 13 Breath Delivery Alarm if
Flashing
7 Battery Compartment 14 BPM Display

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7 Operating the Ventilator

Warning: This device should be operated only by qualified personnel


under approved medical direction.
Warning: Use only as directed. Improper usage or unauthorized
modification of this product may result in user or patient injury.
Warning: Unit is not MRI compatible.
Warning: Not for use in a toxic environment or in the presence of
flammable anesthetics.

● Connect to an oxygen source:


Located on the right side of the ventilator and marked with text is a diameter index
safety system (DISS) fitting. Connect a 50 psi oxygen source with a minimum of 40
LPM flow capacity to this fitting. The unit comes with a single use supply hose made of
PVC. A rubber reusable hose may be purchased and is recommended. See
accessories.
Warning: Proper tidal volumes may not be provided with a gas source
not meeting the specified requirements on page 4.
Warning: This device operates with medical gases under pressure,
including oxygen. Do not use this device while smoking or near open
flames or flammable materials.
Caution: In order to provide optimal performance, check all gas
supplies to assure that only clean, dry gas that is free of contaminants
and/or liquids is used.
The gas source may also be a high flow air/oxygen blend meeting the flow and pressure
requirements.

●Selectthe proper inspiratory time:


Press the ON/OFF button to activate the unit. The EPV200 has the options of a
2 second inspiratory time (this is used on adults with tidal volume requirements of more
than 600 ml) and a 1 second inspiratory time (this is used on children or adults). Push
the appropriate Inspiratory Time button and a green LED will show the selected
inspiratory time.

 Select the desired breaths per minute (BPM):


The EPV200 has a BPM range of 0 and 5 to 20 with a 2 second inspiratory time, and a
BPM range of 0 and 5 to 30 with a 1 second inspiratory time. Use the up and down
arrows above or below the text “BPM” to set the desired BPM. The BPM setting will be
displayed in the window above the selection arrows. The 0 BPM setting is used when
the patient is breathing spontaneously.

The American Heart Association Guidelines 2005 recommend a BPM rate of 8 to 12 for
an adult and 12 to 20 for a child. These are recommendations. Physician or medical
director instructions should always be followed.

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 Select the desired tidal volume (Tv):
Turn the tidal volume knob to the desired tidal volume setting. The flow to the patient is
different for each tidal volume.

Tidal Volume Setting Approximate Flow


(LPM)
It = 1 second It = 2 second
200 400 12
240 480 14.4
280 560 16.8
320 640 19.2
360 720 21.6
400 800 24
440 880 26.4
480 960 28.8
520 1040 31.2
560 1120 33.6
600 1200 36

 Verify the pressure relief setting:


This unit has a factory set pressure relief setting of less than 60 cm H2O. The 60 cm
H2O setting is a maximum, regardless of vent settings. The pressure relief setting will
vary slightly with tidal volume setting. Lower tidal volumes will have a slightly lower
pressure relief point. Always verify the relief pressure after the vent settings have been
selected. To check the actual relief pressure, block the end of the ventilator breathing
circuit and observe the reading on the airway pressure gauge. This will be the
maximum airway pressure. You should hear an audible alarm and see a flashing light
as this maximum pressure is reached.

Warning: Preset tidal volumes may not be delivered when the


maximum pressure limit is reached. Inspiratory times will remain
constant. However, no additional tidal volume will be delivered after
the pressure limit is reached.

 Connect the patient breathing circuit:


Located on the left side of the unit is a 22 mm connection for a patient breathing circuit.
The patient breathing circuit has been designed to fit with an oxygen mask (22 mm
outside diameter) or an endotracheal tube (15 mm inside diameter). Install the
corrugated tubing over the connector so that it is on securely. Follow the established
guidelines for maintaining the patient’s airway.

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 Verify the patient is receiving good ventilation:
Once the patient is connected to the ventilator, the patient should be observed to make
sure he has adequate chest rise and fall. The chest rise should be even and should
return to a normal position. If the patient does not have adequate chest rise, check the
tidal volume setting and patient connections and examine the patient for a possible
obstruction of the airway or other injury. The patient should be monitored to make sure
he is receiving proper ventilation.

The airway pressure gauge should be observed to make sure the patient is receiving
adequate positive pressure ventilation. If the gauge reading is low during the delivery of
a breath and the chest rise is also low, check the tidal volume setting and patient
connections and examine the patient for a possible obstruction of the airway or other
injury. The gauge reading should also be observed to make sure it is not too high.
Common numbers used in practice are a maximum of 20 cm H2O for an unprotected
airway and 30 cm H2O for a protected airway. Higher pressures may be required based
on the patient’s condition. Physician instructions should always be followed. A high
reading with a pressure limit alarm may indicate a blocked airway or a stiff lung. If you
are using a PEEP valve with the ventilator circuit, the PEEP pressure will not be
displayed on the gauge (Airway Pressure Display).

● Spontaneous breathing by the patient:


Should the patient begin to breathe spontaneously, the EPV200 will sense this breath
and deliver the set tidal volume at the corresponding inspiratory time. The breath timing
will be reset based on the selected BPM rate. For example, if 10 BPM was selected,
the next breath will be delivered 6 seconds after the start of the spontaneous breath.
The gas flow rate to the patient during a spontaneous breath is based on the tidal
volume selection as shown in the table on page 7. Should the patient demand exceed
the gas flow rate, the additional demand will be supplied by the ambient air. Ambient air
is pulled in through an anti-suffocation valve located in the breathing circuit connection
fitting.

Warning: Do not cover or block the anti-suffocation valve.


Warning: Should a mechanical problem develop or the patient appears
to be experiencing difficulty breathing while connected to the unit,
disconnect the unit immediately and ventilate by other means.

 Cold temperature operation:


Operating time will be significantly reduced if the batteries are stored at low
temperatures. At 15°F (-9°C) the battery life will be approximately 9 hours (10 BPM and
2 second It) before the low battery indicator turns on. The low battery indicator will still
give about a 2 hour low battery warning. Batteries should be replaced when the low
battery indicator appears, as run times are reduced at low temperatures. When the unit
stops operating you will receive a breath delivery alarm.

Warning: Batteries stored at temperatures below 15°F (-9°C) may not


have enough power to properly operate the solenoid valve in the unit,
resulting in tidal volumes that are not the indicated value.

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8 Alarms

This ventilator contains several alarms: high airway pressure, low source gas, low
battery, and breath delivery failure.

The high airway pressure alarm is an audible alarm with a red LED that is actuated
when the airway pressure during inspiration reaches 45 cm H2O. The safety pressure
relief will actuate at pressures between the alarm setting and 60 cm H2O.
Warning: Preset tidal volumes may not be delivered when the
maximum pressure limit is reached. Inspiratory times will remain
constant. However, no additional tidal volume will be delivered after
the pressure limit is reached.
This alarm is automatically cleared when 25 seconds pass without a high airway
pressure being detected.

The low source gas alarm is an audible alarm with a red LED that activates when the
source gas pressure drops below 40 to 35 psi. This is an indication that the unit will
stop functioning soon and that the unit may not be delivering proper tidal volumes.
Warning: Preset tidal volumes may not be delivered when the low
source gas pressure is reached.
This alarm clears when proper source gas pressure is restored for 15 seconds.

The low battery alarm is a red LED that indicates the battery is running low. The unit
will operate for approximately 2 hours after the alarm first turns on. The batteries
should be replaced when the low battery alarm turns on.
Warning: The displays on the unit will stay on after the unit has
stopped delivering breaths. Batteries should be replaced when a low
battery condition is encountered.
This alarm clears when the batteries have proper battery voltage.

The breath delivery alarm is a flashing red LED. This alarm uses the same light as the
high airway pressure alarm. The breath delivery failure alarm will sound when the
airway pressure does not reach 9 cm H2O in 15 seconds or when a spontaneous breath
is detected. This alarm may indicate that the patient has become disconnected from the
unit or the unit has stopped delivering breaths. This alarm clears when airway pressure
exceeds 9 cm H2O.

Silence Button – When an alarm occurs, the user may press the button for the
currently selected inspiratory time for 3 seconds to silence the alarm. This will turn off
the buzzer for 110 seconds as long as there are no other alarms. Pressing this button
will not clear the alarm LEDs.

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9 Battery Replacement

Loosen
screws on
battery
door in
4 places

Positive (+) end of battery


towards the top of the unit.
The batteries are replaced by loosening the 4 thumbscrews on the battery door located
on the front of the unit. The batteries should be removed by gently prying the top (+) of
the battery up and toward the bottom of the unit. Replace the batteries with 2 D size
alkaline batteries only. Do not mix new and old batteries when installing in unit. The
batteries must be inserted with the positive (+) end of the battery toward the top of the
unit. For ease of installation, install the bottom (-) of the battery first. Replace the
battery door and tighten the 4 thumbscrews.

Turn the unit on and verify that the displays turn on. Connect a 50 psi oxygen source to
the unit and verify that the unit does deliver breaths. The breath delivery alarm will
sound if the unit is not connected to a test lung. This is normal and not a concern. The
ventilator is now ready for use. Always turn the ventilator off when not in use to
preserve battery life. The ventilator does not turn off automatically.
Warning: Do not recharge alkaline batteries.

10 Cleaning

The EPV200 should be cleaned after each use. To clean the EPV200, keep the gas
supply hose on the unit to prevent contamination of the oxygen circuit.
Warning: Cleaning procedures should be performed in an environment
free of oil and petroleum based products.
The EPV200 has been designed to be water resistant, but the unit cannot be
submerged or sprayed down for cleaning.
Wipe the unit with a damp rag containing a mild detergent to remove any residue from
the surface. Once the residue has been removed, the unit may be wiped with isopropyl
alcohol or a cold disinfecting solution to kill bacteria. The unit should then be wiped with
water to remove any film left by the cold disinfecting solution. Make sure the unit is dry
before putting the unit away.

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Following is a list of tested cleaning solutions:
Isopropyl Alcohol: 70% IPA
Alconox: 1 tablespoon Alconox to 1 gallon H2O
Cetylcide: 2 tablespoon Cetylcide to 1 gallon H2O
Bleach: 10% bleach in H2O
Dispose of single patient use items per local biohazard standards.

11 Maintenance and Schedule

The EPV200 should be checked annually to insure proper function. Batteries should be
replaced if they are beyond the expiration date on the battery. Replace with D size
alkaline batteries.

Year 1:
Perform Yearly Verification of function and Calibration procedure. Check battery
expiration date; replace batteries as necessary.

Year 2:
Perform Yearly Verification of function and Calibration procedure. Check battery
expiration date; replace batteries as necessary. Replace disposable O2 inlet hose with 6
foot oxygen hose (see Accessories on page 14).
Replace main valve with piston, o-ring, and spring for units manufactured before April
2009. The manufacturing date is coded into the serial number for each unit. The first
four digits identify the year of manufacture, and the next two digits identify the month of
manufacture. Example: the serial number 20090403001 was manufactured in the year
2009 and in the month of April. All repairs should be performed by Allied Healthcare
Products trained and certified technicians.

Year 3:
Perform Yearly Verification of function and Calibration procedure. Check battery
expiration date; replace batteries as necessary.

Year 4:
Perform Yearly Verification of function and Calibration procedure. Check battery
expiration date; replace batteries as necessary.

Year 5:
Perform Yearly Verification of function and Calibration procedure. Check battery
expiration date; replace batteries as necessary.
The unit has a life expectancy of 5 years based on normal usage and proper
maintenance. A comprehensive rebuild will be necessary at this time, and should be
performed by Allied Healthcare Products trained and certified technicians.

10

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Yearly Verification of function and Calibration:

Equipment Required
 Certified gas flow analyzer, capable of measuring BPM, inspiratory time and
tidal volume
 Regulated 50 psi oxygen source
 New batteries
 36 inches of 22 mm corrugated tubing or the allied patient circuit provided.

Procedure
 Connect the 50 psi oxygen source to the oxygen inlet connector.
 Connect the 22 mm corrugated tubing to the patient circuit connection valve, and
the other end to the gas analyzer.
 Turn the tidal volume, inspiratory time and BPM to the values indicated in the
table below. Monitor the values to evaluate acceptability of the unit.

Inspiratory Inspiratory BPM BPM Tidal Tidal


Time Time Acceptable Setting Acceptable Volume Volume
Setting Values Value Setting Acceptable
(seconds) (seconds) (ml) Value
(ml)
2.0 1.8 - 2.2 20 18 -22 400 360 - 440
2.0 1.8 - 2.2 10 9 - 11 800 720 - 880
2.0 1.8 - 2.2 10 9 - 11 1200 1080 -1320
1.0 0.9 – 1.1 30 27 - 33 200 180 - 220
1.0 0.9 – 1.1 20 18 - 22 400 360 - 440
1.0 0.9 – 1.1 20 18 - 22 600 540 - 660

 To test pressure relief, turn tidal volume to 640 ml, block the patient end of the
22 mm corrugated tubing or patient circuit while monitoring the airway
pressure display. The airway pressure should not exceed 60 cm H2O. The
High Airway Pressure alarm should sound and a red LED should be activated.
 To test the breath delivery failure alarm, remove all obstructions from the patient
circuit connection valve and allow the ventilator to cycle. The breath delivery
alarm should sound, and a red LED should be flashing.
 To test the low source gas alarm, reduce the inlet pressure source to below
35 psi. The low source gas alarm should sound and a red LED should be
flashing.

Should the unit fail any of these tests, contact the Allied Healthcare Products, Inc.,
Technical Support Center in St. Louis: 314-771-2400 or 800-411-5136.

11

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12 Check-out Procedure

The unit should be checked for proper operation before each use. This can be done
after cleaning to prepare the unit for the next use.

Set the ventilator to the following settings:


 BPM = 10
 Tidal Volume = 640
 Inspiratory Time = 2 seconds

General Operation Check:


1. Connect a 50 psi oxygen source to the unit and turn the power on. The unit
should begin to cycle.
2. Using a stop watch, count the number of breaths delivered in 1 minute
(60 seconds).
 Confirm that between 9 and 11 breaths have been delivered.
 Confirm that the inspiratory time is significantly shorter than the expiratory
time. (At the settings noted above, the ventilator should provide a 2.0 second
inspiratory time and a 4.0 second expiratory time.)
3. Connect the 22 mm corrugated tubing or the allied patient circuit provided, to
the patient circuit connection port. (See Item 9 Under Features On Page 4).
Block the patient end of the corrugated tubing.
 Confirm that the airway pressure does not exceed 60 cm H2O by monitoring
the airway pressure display on the face of the ventilator.
 An alarm will sound at approximately 45 cm H2O.
4. Visually inspect the anti-suffocation valve in the patient circuit connection port to
verify that the valve is flush to the contour of the round inner surface and that no
gap exists.

Alarm Mode Check:


1. Low source gas:
 Reduce the source gas pressure to below 35 psi and monitor that the red
LED display turns on and an audible alarm sounds. Return the source gas
pressure to 50 psi, and the alarm should clear in 15 seconds.
2. High airway pressure:
 Block the patient circuit connection port, and monitor the red LED display for
high airway pressure, and an audible alarm will sound. The mechanical
pressure relief should limit the airway pressure to less than 60 cm H2O.
3. Breath delivery:
 Clear the patient circuit connection port and allow the ventilator to cycle for at
least 20 seconds. The airway pressure display should not exceed 9 cm H2O
for 15 seconds. Monitor that the red LED is flashing on the breath delivery
failure alarm, and an audible alarm will sound.
Should the unit fail any of these tests, contact Allied Healthcare Products, Inc.,
Technical Support Center in St. Louis: 314-771-2400 or 800-411-5136.

12

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13 Accessories

Description Part Number


6-foot Oxygen Hose L535026
Oxygen Regulator L270-220
3-foot Ventilator L599-130
Circuit with Swivel,
Adult Mask and Filter
(case of 10)
Adult Oxygen Mask L595161-10
(case of 10)
Child Oxygen Mask L595162-10
(case of 10)
PEEP Valve* LPEEP
(case of 12)
Hook & Loop Strap L770-CPR-VEL
(case of 15)

*When using a PEEP valve, the airway pressure display will not show the PEEP
pressure.

14 Warranty

LIMITED ONE (1) YEAR WARRANTY


Allied Healthcare Products, Inc.(Allied) warrants this product to be free from Disclaimer of Other Warranties:
defects in material and workmanship for a period of (1) year from the date of
manufacture. This Warranty is expressly conditioned on compliance with all THIS WARRANTY IS IN PLACE AND IN LIEU OF ALL OTHER
inspection and preventative maintenance requirements as set by applicable WARRANTIES OR REPRESENTATIONS, EXPRESSED OR IMPLIED,
government agencies and as specified by Allied. INCLUDING, BUT NOT LIMITED TO, WARRANTIES OF MERCHANTABILITY
OR FITNESS FOR SPECIFIC PURPOSE, BY OPERATION OF LAW OR.
This Warranty is extended by Allied only to the first purchaser of the product OTHERWISE.
from either Allied or from an authorized Allied distributor.
This Warranty does not apply to malfunction or damage resulting from
ALLIED’S OBLIGATIONS AND PURCHASER’S REMEDIES UNDER THIS accident, alteration, misuse of the product, improper preventative maintenance,
WARRANTY ARE LIMITED AS FOLLOWS: In the event of a defect, malfunction, or storage at extreme temperatures or extreme environments beyond design limits, or,
failure to conform to this Warranty, purchaser shall return this product to Allied with where appropriate, improper use of the product by untrained persons. This Warranty
shipping charges prepaid, within a reasonable time after discovery of such defect, does not apply to any plastic or rubber components since they can be affected
malfunction or failure to conform. Allied shall repair or replace (at Allied’s option) adversely by undue exposures to heat, sun, water, ozone, or to other deteriorative
this product if it is defective, malfunctions or fails to conform to this Warranty, and elements.
shall return it to purchaser with shipping charges prepaid and without any additional
charges due to costs of repair or replacement. Allied has not authorized any other firm or person to make any representations
concerning this product nor to assume on Allied’s behalf any liability in any way
In the event the product returned by purchaser is not defective, has not connected with the sale or use of this product.
malfunctioned and does conform to this Warranty, Allied shall not be obligated to
repair or replace the product and shall not be obligated for shipping charges for This Warranty becomes void immediately should any repairs of, or alterations
return of the product to the purchaser. to this warranted product be made without authorization by Allied.

Allied shall in no event be liable for any consequential damages, nor for loss,
damages or expenses directly or indirectly arising from the use of this product.

13

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15 Oxygen Cylinder Depletion Times

These times are approximate and assume full cylinder capacity. Always monitor the
cylinder pressure and low pressure alarm to make sure you do not run out of oxygen.

E Cylinder Capacity = 682 Liters Oxygen Capacity


(4.6 Liters Water Capacity)
Breaths Per Minute
8 9 10 12 14 15 18 20 22 24 26 28 30
1200 67 60 54 46 39 37
1000 80 72 65 54 47 44
800 98 88 80 67 58 54
600 127 115 104 88 76 72 60 54 50 46 42 39 37
500 149 135 123 104 90 85 72 65 59 54 50 47 44
400 180 163 149 127 111 104 88 80 73 67 62 58 54
300 225 206 189 163 143 135 115 104 96 88 82 76 72
200 293 274 256 225 200 189 163 149 137 127 119 111 104
Tidal
Volume

Jumbo D Cylinder Capacity = 637 Liters Oxygen Capacity


(4.0 Liters Water Capacity)
Breaths Per Minute
8 9 10 12 14 15 18 20 22 24 26 28 30
1200 63 56 51 43 37 34
1000 75 67 61 51 44 41
800 92 82 75 63 54 51
600 119 107 97 82 71 67 56 51 46 43 40 37 34
500 139 126 115 97 85 79 67 61 55 51 47 44 41
400 168 152 139 119 104 97 82 75 68 63 58 54 51
300 210 192 177 152 134 126 107 97 89 82 76 71 67
200 274 256 239 210 187 177 152 139 128 119 111 104 97
Tidal
Volume

14

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D Cylinder Capacity = 414.6 Liters Oxygen Capacity
(2.8 Liters Water Capacity)
Breaths Per Minute
8 9 10 12 14 15 18 20 22 24 26 28 30
1200 41 37 33 28 24 22
1000 49 44 39 33 29 27
800 60 54 49 41 35 33
600 77 70 63 54 46 44 37 33 30 28 26 24 22
500 91 82 75 63 55 52 44 39 36 33 31 29 27
400 109 99 91 77 67 63 54 49 44 41 38 35 33
300 137 125 115 99 87 82 70 63 58 54 50 46 44
200 178 166 155 137 122 115 99 91 84 77 72 67 63
Tidal
Volume

16 Symbols

Degree of protection against electric shock: Type BF

Caution: Consult accompanying documents


5 to 95%
Non-condensing

% Relative Humidity: 5 to 95%

Storage Temperature Range: -40°F to 140°F

On/Off

15

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17 Applicable Standards

This equipment has been tested and found to comply with the EMC limits for the Medical Device
Directive 93/42/ECN (EN 55011 and EN 60601-1-2). These limits are designed to provide
reasonable protection against harmful interference in a typical medical installation. There is no
guarantee that interference will not occur in a particular installation. If this equipment does
cause harmful interference with other devices, which can be determined by turning the
equipment off and on, the user is encouraged to try to correct the interference by one or more of
the following measures:
 Reorient or relocate the receiving device
 Increase the separation between the equipment
 Connect the equipment into an outlet on a circuit different from that which the
other device(s) is connected.
Consult the manufacturer or field service technician for help

The EPV200 is intended to provide emergency respiratory support for children and adults. The
product is intended to meet the following safety and performance standards:

Performance and Safety Requirements


 ASTM F920 – Performance and Safety Requirements for Resuscitators Intended for Use
with Humans
 ISO 10651-3 – Lung Ventilators for Medical Use – Particular Requirements for
Emergency and Transport Ventilators
Electrical Safety Requirements
 IEC 60601-1 – Medical Electrical Equipment – General Requirements for Basic Safety
and Essential Performance
Transportation and Storage Requirements
 MIL-STD-810E – Shock, Vibration and Storage Requirements

The above listing of standards is not intended to be a complete listing of standards reviewed and
tested during the development of this product. It also may not reflect latest versions, as
standards change. Allied Healthcare Products, Inc. regularly reviews the standards and updates
the products to ensure compliance as necessary.

For the latest revision of the instruction manual, please refer to the company website at
www.alliedhpi.com

This manual is also available in other languages. Please call 314-771-2400 for more
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18 Approximate Settings Based on Patient Height

Flow Rates and I:E Ratios


By Tidal Volume and Breaths Per
Minute

2 Second Inspiratory Time


Tidal Volume 400 480 560 640 720 800 880 960 1040 1120 1200
Height Male
=((IBW-50)/2.3)+60
inch 56 59 63 66 70 73 77 80 83 87 90
@10 ml/Kg 4' 8" 4' 11" 5' 3" 5' 6" 5' 10" 6' 1" 6' 5 " 6' 8" 6’11” 7’3” 7’6”
(cm) (142.2) (149.9) (160.0) (167.6) (177.8) (185.4) (195.6) (203.2) (210.8) (220.9) (228.6)
Height Female
=((IBW-45.50)/2.3)+60
inch 58 61 65 68 72 75 78 82 85 89 92
@10 ml/Kg 4' 10 5' 1" 5' 5" 5' 8" 6' 0" 6' 5" 6' 8" 6' 10" 7’1” 7’5” 7’8”
(cm) (147.3) (154.9) (165.1) (172.7) (182.9) (190.5) (198.1) (208.3) (215.9) (226.1) (233.7)
Flow Rate 12 14.4 16.8 19.2 21.6 24 26.4 28.8 31.2 33.6 36
8 BPM = I:E (1 TO - ) 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8
9 BPM = I:E (1 TO - ) 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3
10 BPM = I:E (1 TO - ) 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0
11 BPM = I:E (1 TO - ) 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7
12 BPM = I:E (1 TO - ) 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5
13 BPM = I:E (1 TO - ) 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3
14 BPM = I:E (1 TO - ) 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1
15 BPM = I:E (1 TO - ) 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0
16 BPM = I:E (1 TO - ) 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9
17 BPM = I:E (1 TO - ) 0.8 0.8 0.8 0.8 0.8 0.8 0.8 0.8 0.8 0.8 0.8
18 BPM = I:E (1 TO - ) 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7
19 BPM = I:E (1 TO - ) 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6
20 BPM = I:E (1 TO - ) 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5
Ideal Body Weight Kg
@10 ml/Kg 40.0 48.0 56.0 64.0 72.0 80.0 88.0 96.0 104.0 112.0 120.0

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1 Second Inspiratory Time
Tidal Volume 200 240 280 320 360 400 440 480 520 560 600
Height Male
=((IBW-50)/2.3)+60
inch 47 49 50 52 54 56 57 59 61 63 64
@10 ml/kg 3' 11" 4' 1" 4' 2" 4' 4" 4' 6" 4' 8" 4' 9" 4' 11" 5' 1" 5' 3" 5' 4"
(cm) (119.4) (124.9) (127.0) (132.1) (137.2) (142.2) (144.8) (149.9) (154.9) (160.0) (162.6)
Height Female
=((IBW-
45.50)/2.3)+60 inch 49 51 52 54 56 58 59 61 63 65 66
@10 ml/kg 4' 1" 4' 3" 4' 4" 4' 6" 4' 8" 4' 10" 4' 11" 5' 1" 5' 3" 5' 5" 5' 6"
(cm) (124.5) (129.5) (132.1) (137.2) (142.2) (147.3) (149.9) (154.9) (160.0) (165.1) (167.6)
Flow Rate 12 14.4 16.8 19.2 21.6 24 26.4 28.8 31.2 33.6 36
8 BPM = I:E (1 TO - ) 6.5 6.5 6.5 6.5 6.5 6.5 6.5 6.5 6.5 6.5 6.5
9 BPM = I:E (1 TO - ) 5.7 5.7 5.7 5.7 5.7 5.7 5.7 5.7 5.7 5.7 5.7
10 BPM = I:E (1 TO - ) 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0
11 BPM = I:E (1 TO - ) 4.5 4.5 4.5 4.5 4.5 4.5 4.5 4.5 4.5 4.5 4.5
12 BPM = I:E (1 TO - ) 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0 4.0
13 BPM = I:E (1 TO - ) 3.6 3.6 3.6 3.6 3.6 3.6 3.6 3.6 3.6 3.6 3.6
14 BPM = I:E (1 TO - ) 3.3 3.3 3.3 3.3 3.3 3.3 3.3 3.3 3.3 3.3 3.3
15 BPM = I:E (1 TO - ) 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0
16 BPM = I:E (1 TO - ) 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8
17 BPM = I:E (1 TO - ) 2.5 2.5 2.5 2.5 2.5 2.5 2.5 2.5 2.5 2.5 2.5
18 BPM = I:E (1 TO - ) 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3 2.3
19 BPM = I:E (1 TO - ) 2.2 2.2 2.2 2.2 2.2 2.2 2.2 2.2 2.2 2.2 2.2
20 BPM = I:E (1 TO - ) 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0
21 BPM = I:E (1 TO - ) 1.9 1.9 1.9 1.9 1.9 1.9 1.9 1.9 1.9 1.9 1.9
22 BPM = I:E (1 TO - ) 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7 1.7
23 BPM = I:E (1 TO - ) 1.6 1.6 1.6 1.6 1.6 1.6 1.6 1.6 1.6 1.6 1.6
24 BPM = I:E (1 TO - ) 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5
25 BPM = I:E (1 TO - ) 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4 1.4
26 BPM = I:E (1 TO - ) 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3 1.3
27 BPM = I:E (1 TO - ) 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2 1.2
28 BPM = I:E (1 TO - ) 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1
29 BPM = I:E (1 TO - ) 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1
30 BPM = I:E (1 TO - ) 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0
Ideal Body Weight
Kg
@10 ml/Kg 20.0 24.0 28.0 32.0 36.0 40.0 44.0 48.0 52.0 56.0 60.0

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19 Attaching the EPV200 to Equipment

Using two hook and loop straps, the EPV200 can be attached to hospital or other equipment as
shown. (See Accessories on page 14.)

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