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let's talk about the Ventech one circuit
the typical ventilator circuit is
designed to work with just your
ventilator the Ventech one circuit had
to be specially designed so it was
capable of working with each of the
therapies within boxing that means we
had to redesign each circuit so it was
compatible with cough therapy we also
had to redesign each circuit so that it
could be compatible with our oxygen
direct system there are lots of
different circuit configurations and
we'll go through an example of each of
the different circuit configurations and
orient you on how to set up each circuit
but first let me give you an overview of
what's unique about the Ventech 1
circuit beyond being able to work with
all the different therapies first and
foremost the Ventech 1 circuit is a
smoothbore circuit that means we're
going to increase laminar flows and
decrease the turbulent air reaching the
patient it's also designed to be a 19
millimeter diameter - now we still have
the same 22 millimeter connection port
but the diameter of the tube itself is
19 millimeters that makes it a little
bit smaller for adults and a little bit
lighter and more convenient as well we
also when you're using heated circuits
feature in wall heated wire that's going
to create a very consistent heat
distribution throughout the circuit and
that's going to help minimize rainout
we've also done a few other things to
help minimize right now that we're very
proud of as well now let's talk about
each individual Ventech one circuit but
before we do that we have to set up the
bacterial filter a little tip for you to
remove the bacterial filter you first
have to push in and then turn if you
just try to take off the bacterial
filter without pushing in its gonna seem
a little bit hard to do so in this
example if I just if I just try to take
it off it's just not going to work it's
going to be tough if I push in and
remove the bacterial filter slides right
off
now the Ventech bacterial filter is
designed to be very low-profile so we
redesign this bacterial filter to make
it easier to transport so if you're
going in and out of small spaces rather
than having a big bacterial filter this
is designed to be very easy this is the
bacterial filter you will regularly
replace as you can see here we also have
an additional bacterial filter so boxin
has two bacteria filters this bacterial
filter is typically replaced at your
normal preventive maintenance cycle at
ten thousand hours this one
you replace regularly with your circuit
or more frequently depending upon what
your facility or physician guidelines
are as you can see on this bacterial
filter there's a little notch I'm gonna
line up this notch with the notch on
boxing once I line that up I push in and
I turn once I've connected the bacterial
filter the next step is to choose my
specific circuit now there's a couple
different ways to choose from the
multitude of the Ventech one circuit the
first thing is you have to know your
patient type so are you an adult or your
pediatric patient once you select your
adult or pediatric you will know if
you're using a 19 millimeter circuit or
a 15 millimeter circuit step 2 is to
choose the type of circuit so are you
selecting between an active a passive a
valveless or a mouthpiece patient
circuit once you select your valve then
you can move on to step 3 which is your
options you have two options within the
vent tech one circuit you can choose
from a heated or non heated circuit and
you can also choose from a circuit that
needs oxygen tube or doesn't need oxygen
to every single vent tech one circuit is
designed to work with cough so you don't
have to select that as an option now
let's go through each individual
configuration to give you an example of
how you're going to set up the vent tech
one circuit
the first thing you'll see when you look
at boxing are three different ports
below the bacterial filter the first one
is your active circuit port that's going
to connect my drive and sense lines to
boxing the second thing you'll see is
the oxygen port this is important
because this is where I'm going to
connect my oxygen tube to the circuit
and then you'll see your nebulizer if
I'm using the nebulizer this is where I
connect my nebulizer cup now for this
demonstration what's going to be
important is my active port and my
oxygen port so again I'll take my active
circuit with oxygen first thing I'm
going to do is I'm going to come over to
boxing I've already connected my
bacterial filter I'm gonna push in the
oxygen tube if I push in the oxygen tube
you'll notice it gets nice and snug once
it's nice and snug the next thing I can
do is I can connect the circuit to the
bacterial filter the last step is to
take the try lumen tube you'll see a
little male connector here that's just
going to orient itself to the little
smiley face on boxing and I simply screw
in once I've screwed it in you don't
need to over screw it in just get it
nice and tight I've got my active
circuit connection port I've got my
oxygen tube connected and I've got the
circuit connected to the bacterial
filter and that's all you need to do the
next step is to connect the active
circuit to the patient
now let's talk about the Ventech one
circuit with a passive valve with o2
first thing you'll notice that our
passive valve looks a little bit
different than other passive valves who
use one pretty small profile it's easy
to use and the second thing is there's
actually an integrated check valve
inside our passive valve that's going to
make the high inflation and exhalation
possible with cough therapy the other
thing you'll notice about this is that
we've got an integrated oxygen to the
integrated oxygen tube is designed to
work with the oxygen direct system in
boxa now good news is from the active
circuit this is a little bit easier to
do so step one all we have to do is
connect the oxygen tube to boxin I
simply push in the oxygen into you get a
nice snug feel second step I'm going to
do I'm going to connect the circuit to
the bacterial filter and the third step
all I have to do is connect the passive
valve to the patient and again the
passive valve is going to feature a
permanent leak at all times
now I'm going to talk about the event
ech one valveless circuit so the good
news about the valveless circuit it's
the easiest of all configurations to set
up as you can see here I don't have a
valve this is actually a pediatric
circuit so if you look at it it's a
little bit smaller than the adult
circuits that we've been using to
connect the valve the circuit and again
you might be using a valveless circuit
if you're doing anything with a mask
with a permanent leak or if you're
running the high flow system within
boxing to connect the valve the circuit
all you have to do is to connect to
boxing with the bacterial filter and
connect the other end to your patient
now let's talk about the Ventech one
circuit mouthpiece circuit now there's a
couple things we did with the mouthpiece
circuit to make life a little bit easier
and that's what we generally like to do
at Ventech life systems we like to look
at all the typical pain points you have
in administering care and we like to
find ways to make things better now many
of you have used a mouthpiece patient
circuit before this is going to look
very similar to what you've used before
we did redesign the clamp to make it a
little bit easier to use and to make it
more secure but the best thing that we
did is we made it easier to replace your
circuit so first step and setting up a
mouthpiece circuit is you got to get the
circuit inside the mouthpiece holder so
I will do that simply by sliding the
circuit through the mouthpiece now
anyone that's done this before will
probably recognize this is going in a
little bit easier than you're used to
doing that's one of the things that
we're most proud of here how we design
our mouthpiece circuit now at the other
end of the circuit you can connect any
of your traditional mouthpiece
accessories that the patient might need
to simply connect the mouthpiece circuit
devoxx in just like your valveless
circuit all you have to do is connect
this to the unit make sure it's secure
and snug and then you can connect this
to your wheelchair or your desk or
anything else that the patient might
need
now let's talk about using a heated
circuit with oxygen while using the
humidifier bypass you might ask what's a
humidifier bypass well I might push back
and say have you ever tried to run cough
therapy using a heated circuit while
hooked up to a humidifier chances are
you probably have never done this before
there's no other system out there other
than Vox then that allows you to stay
connected to the same device using a
heated circuit and remain connected to
your humidifier and run your coffee
repiy so we developed the humidifier
bypass the emitter buyer bypass is
designed to go on the humidifier and
just as it sounds
bypass the humidifier when you're
running your coffee repiy but most
importantly it allows you to get
humidified air to the patient during
installation so we'll talk about that a
little bit how that works but as I'm
delivering coffee to the patient and the
patient is inhaling they're going to get
humidified air no other coughs system
allows you to do that as the patient's
exhaling and of auxin is sucking back
air we're gonna bypass humidifier so
that water vapor doesn't get back to
boxing so this is the most complicated
circuit you have to set up in boxing but
by now you're an expert so this will be
fairly easy to do so step one take your
commit afire bypass and I'm going to
connect it to the commit of fire all I
have to do is line up the bypass with
your humidifier and push down you'll see
it gets nice and snug easily connected
to the humidifier I want to make sure
that the end with the circuit is facing
the bacteria folder once I have it
connected to humidifier all I have to do
is connect it to the bacterial filter
now I've connected a humidifier bypass
I'm gonna run you through a little bit
of how the airflow is going to work so
during insufflations I'm going to send
air to the patient it's going to go down
through the water chamber it's going to
pick up that humidified air as it exits
the humidifier bypass and it goes to the
circuit the patient's going to receive
humidified air as I'm going through
exhalation patient
exhaling airs going back we have a
series of check valves here and what's
going to happen is this check valve is
going to close if that check valves
closed the water vapor can no longer
reach back up into the circuit so this
is something unique to the Ventech one
circuit but it's what's going to make it
possible for you to run the coffee repiy
while you're connected to a heated
circuit and oxygen now next step I've
got to connect the circuit to the
patient so again I am using an active
circuit with oxygen so I'm going to
connect the circuit to the other end
humidifier bypass simply connect the
circuit to the bypass as you can see
here I've got a space for a temp probe
I'm not going to connect the temp probe
this is my oxygen tube and this is my
active try lumen tube so this is going
to be just like what you saw when you
set up your active circuit but they're
both a little bit longer so that I can
extend past the humidifier and connect
to Vox
so step one I'm going to connect my
oxygen tube simply come over here push
in and I've connected my oxygen again
it's gonna feel nice and snug next I've
got my tri lumen - I'm gonna line up the
male connector I'm gonna push in and I'm
gonna screw the Tri lumen tube so that
it's connected to boxing again don't
have to screw too hard but you just want
to make sure it's nice and firm once
both of those are connected I've
connected my humidifier bypass I've
connected my circuit to the humidifier
and now all I have to do is connect the
patient to the active valve and again
this is the event tech one circuit that
has the tri lumen tubes for the active
valve once you've connected the Ventech
one circuit you then need to configure
the ventilation settings to mirror that
specific circuit so to do that what you
have to do is first go to the therapy
screen once you're in the therapy screen
simply go to the ventilation icon when
I'm in the ventilation icon you'll
notice you have again three presets in
the currently active preset where it
says now active I cannot change my
circuit type but if I go to an
the other preset I can change my circuit
type so in this example I'm going to go
to the mobile preset and I'm going to go
to settings and alarms once I'm in the
settings and alarms all I have to do is
scroll down again
step one is I'm going to pick my patient
type in this case I have the option of
choosing between adult or pediatric as
you can see here I've set up an adult
circuit so I'm going to stay connected
to an adult circuit I'll click accept
step two I now need to let the device
know if I'm using a heated circuit or if
I'm using a non heated circuit in this
case I've got an HM II connected so I
can go to my edit button I can say I'm
using a humidifier or I'm using an HM II
in this case I'm using an HM II as you
know I will click accept and the device
knows that I'm heat using a non heated
circuit the next step is to choose a
circuit type there are several different
circuit types as you know to choose from
if I click the edit button all the
various circuit types become an option
active passive mouthpiece valveless
active with o2 and passive with o2 you
can see that I've got a passive valve
and I'm using a passive with o2 circuit
I'm gonna select the passive with o2
circuit I'll click accept now I know
that my ventilation settings are
currently configured for the specific
circuit I'll exit out of here and when I
go to activate the preset that's been
configured for my new settings and hit
start boxin is going to trigger a pre
use test so very important that you read
the popups this says verify circuit
configuration and press ok to begin the
pre use test I'm going to walk you
through how to perform a pre use test I
click OK and I'm going to go directly to
the pre use test now while running the
pre use test the minute I click Next
boxers are going to go into its standby
mode if I read the instructions on the
pre use test it's going to walk me
through step-by-step on how to run the
pre use test so this is a screen that's
just letting me know hey you're about to
run the pre use test once you click Next
you're in standby and it's giving you
instructions on how to run
the produce test so if I reclose least
f1 disconnect patient from ventilator at
exhalation valve disconnect o - - so you
can see there's two steps step one I'm
going to disconnect at the exhalation
valve so I'm not proximal to the patient
I'm not connected to the patient step 2
I'm going to disconnect the o2 to the o2
tube is right here I simply pull out the
o2 tube and I'm ready to begin I'm gonna
click start so the first step you'll
hear Vox and running it's checking the
o2 - it's checking to make sure the o2
tube is properly working you can see in
the little diagram here the o2 tube is
currently disconnected once boxin
completes this step it'll then say now
connect the o2 tube and keep the circuit
open circuit is open let's connect the
o2 - and I'll hit the next button again
as you can see I'm keeping the circuit
open I've got the o2 tube connected as
it says in the visual there and I'm
waiting for Vox and to verify the o2
tube is connected now I'll continue
closely reading the prompts disconnect
patient from ventilator at exhalation
valve so that's what I've done now keep
end of circuit open when performing this
step so everything is ready to go I'm
not connected to the patient I've got my
Oh - tube connected and I'm connected to
the bacterial filter I'll click start
boxing's going to run a full analysis of
all the systems while doing the pre use
test so what you're going to hear is the
click of the cough assist valve once you
hear that click and everything is
working correctly boxin will continue to
the next step if you read closely it's
now asking you to block all airflow at
the end of the patient circuit so this
is the end of the patient circuit I now
need to block that airflow of course if
I was working with a patient I would
absolutely have gloves to ensure safety
for the patient in this case I'm going
to block the airflow I'll click the next
button
compliance leak and measurement in
process I've got the leak the passive
valve leak open so I can verify that
that leak is working and as you can see
the pre use test is successful now I can
connect this to the patient and
once I've connected to the patient got
my hme here I can hit start and I'm
safely ventilating the patient we
encourage you to run the pre use test as
frequently as possible certainly every
time you power on boxing and certainly
every time you're switching between
circuits as a reminder boxin will prompt
you every time you switch circuits but
you can also access the pre use test by
going to the menu screen here and
choosing pre use test want to highlight
a few things just as a refresher look at
the top of your screen it's a good tip
ventilation is active and it's going to
say passive circuit with o2 that is the
current circuit I'm going to test so
that's based on whatever preset I'm
currently active and that's the circuit
type I've selected and that's what
boxing is going to verify if you don't
check that and you've set up the wrong
circuit for what you have set you will
fail the pre use test if you're running
into trouble and you're confused about
how to set up the vox in' system with
the Ventech one circuit a helpful little
reminder is to go to the patient circuit
help by clicking on the patient circuit
help you'll get a little icon here
that'll highlight where everything goes
so for example here it highlights the
bacterial filter lets me know that if
I'm using the humidifier bypassed what I
need to do where I connect the oxygen
the nebulizer the hme the secretion trap
etc it's a helpful little reminder if
you ever get confused as you're setting
up a multitude of different Ventech one
circuits
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you