[Music]
we're gonna provide a brief overview of
the Vox on alarm systems I really
encourage you to read chapter six and
the manual to get a thorough
understanding of how all the different
alarms work this is not designed to be a
complete study of the Vox and alarms
everyone's favorite question is where is
the alarm silenced button if you look
directly in the middle of auxin this is
the alarm silence button when you click
the alarm silence button you will see a
flashing light that lets you know that
all the alarms are silenced for 60
seconds that's important to know because
you could silence the alarm resolve an
alarm condition and a new alarm
condition could arise in that 60-second
time period but if you still have this
activated all the alarms are silenced
for 60 seconds the second thing I want
to highlight is this little icon up here
this is the alarm indicator this is
gonna let me know if there have been any
recent alarms if there are no alarms
it'll let me know there are no recent
alarms I like and see here there has
been one recent alarm it's showing me
that there was one recent alarm that was
resolved if I want to learn more about
that alarm condition all I have to do is
tap here and it'll tell me that was a
battery use alarm that caused that alarm
indicator to be activated the second
favorite question that people tend to
ask is how do I adjust the alarm volume
well you can do that with auxin first
let me exit out and go to the menu
screen if I go to the menu screen I can
see a number of different options here
but what I want to do is go to the
device settings if I go to the device
settings icon here the first thing that
you're gonna see is alarm volume
currently my alarm volume is set to low
if I want to adjust that setting all I
have to do is go to the edit function
here and select between low medium and
high the Vox and alarms range from 60
decibels to 85 decibels so 85 decibels
when you're at high is very loud you
will hear that the only thing louder is
the ennop alarm which we will also
demonstrate as we continue on
I'm gonna keep my alarm volume low I
promise you you will hear it throughout
our demonstration I'll exit out of here
the next thing that we're going to talk
about is how to actually set the alarms
so to set the alarms you have
ventilation alarms and you have oxygen
alarms let's focus for this purpose on
our ventilation alarms so to set our
ventilation alarms I'm going to exit out
of here I'm going to go to the therapy
screen and I'm going to go to the
ventilation icon by going to the
ventilation icon and selecting the
alarms I want to set for one of the
three presets go to settings and alarms
and then I simply scroll down I keep
scrolling down again I don't want to
scroll too fast I don't want to miss
anything and I'll see a little sub head
here for alarms everything under that
sub head is an alarm that I can set
related to the ventilation therapy so as
I continue to scroll down your
traditional alarms for the ventilator
can be seen here you have apnea breath
rate minute volume inspiratory pressure
high peep low peep patient circuit
disconnect off or delayed and
high-pressure delay none or on in this
case I want to first show you how to set
the inspiratory pressure the reason is
that has both a low and a high alarm
that is the most difficult thing to
learn in the alarm system but through
three steps we can get it done together
first step I want to show that I want to
set the inspiratory pressure so I can
see here my low and my high to edit
those all I have to do is go to the edit
button here and first step I have to
choose between the low and the high I
have to let Voxx and know which of the
two alarms I actually want to set so
let's say in this example I want to set
the low alarm the second thing I need to
do is choose on or off in this case I
can simply toggle between off and on to
set my low inspiratory pressure alarm
the third thing I need to do is set the
actual setting for the low inspiratory
alarm in this case I'm just going to
type in five I'm going to click OK and
the low inspiratory alarm has been set
if I need to set the high alarm it's the
same process now what I'd like to show
you is how to resolve some of these
alarm conditions the first alarm
condition that you might encounter is a
low maintenance alarm that's a low
priority alarm that's the only little
priority alarm that you're gonna find
within boxing
you will see a blue icon at the top it's
actually psy on this status bar it will
turn blue and it will let you know that
maintenance is required that alarm will
activate every eight hours to clear that
alarm you need to go into the alarm log
and clear the alarm after you've cleared
it it will then activate again eight
hours later the low maintenance alarm or
the low priority alarm is going to
return every eight hours and it is not a
audible alarm it is just a visual alarm
now for medium priority alarms when I
think about a medium priority alarm the
first thing that comes to mind is a
battery use alarm and there are numerous
low medium priority alarms but let's
focus on the battery use alarm I'm going
to demonstrate the medium priority alarm
and what you're going to see is a yellow
banner and then you're going to hear an
audible three tones every seven seconds
so let's demonstrate that right now I'm
connected to external power you can see
the external power icon here and you can
also see that boxin is charging if I
disconnect external power you will see
that I've activated a medium priority
alarm it is yellow and that alarm is
three tones every seven seconds to
resolve this alarm condition I can click
on battery use I can see the recent
alarms here I can silence the alarm but
as you can see it's still active so when
it's important if I actually want to
clear this alarm if I'm going to be
transporting my patient that I come into
this screen and I click the clear icon
there that clear icon is actually going
to resolve the alarm condition I cannot
just hit the silence button I need to
hit the silence button so I'm less
stressed about hearing alarms
then I need to hit the clear list icon
here to resolve the alarm condition
that's an additional safety feature
because if you're losing power we want
to know that someone is there and aware
that the power external power has been
disconnected
now let's reconnect boxin to external
power you can see the box that has been
reconnected and I'm charging my
batteries again
now let's exit out of the alarm screen
here now let's go to a high priority
alarm now let's remember the alarms I
just set I just set my low inspiratory
pressure alarm and I have my circuit
disconnect alarm on as well because it's
an important alarm it is going to be a
high priority alarm a high priority
alarm is going to show a red banner with
ten tones every three seconds so again
my alarm volume is on low and I'm about
to disconnect the patient's circuit so
I'll reach around boxing and I will
disconnect the patient's circuit the
first thing I'm going to see as boxing
goes through this process is a low
inspiratory pressure alarm that's a high
priority alarm but then you're gonna see
it change as Vox and understands that
there's a true patient circuit
disconnect it's gonna let me know what
the alarms are if I want to see what's
happening within box and I can hit the
alarm silence button I can then go to
the alarm indicator and as you can see
I've got two high priority alarms that
are currently active I've got a patient
circuit disconnect alarm that's active
and a low inspiratory pressure alarm
that's active if I try to clear those
alarms you can see that I can't because
those alarm conditions have not been
resolved to resolve this alarm condition
I have to reconnect the circuit and
after Vox and recognises the circuit has
been reconnected you will see that the
alarm condition resolves itself once the
alarm condition is resolved you can see
the alarm indicator shows two recent
alarms and in the alarm log you can see
the low inspiratory pressure and the
patient's orchid disconnect alarm again
if I want to clear that log all I would
have to do is hit the clear list here
now that we've demonstrated how to set
your alarms related to your ventilator
box and also features alarms related
to the oxygen system to set alarms
related to the oxygen system all you
have to do is go back to the therapy
screen and then select the oxygen icon
once you're in the oxygen screen you
again see your three different presets
if I want to set an alarm related to the
oxygen system I go to the settings and
alarm icon and I scroll down until I see
the subhead for alarms this is going to
look very similar to what you saw
for ventilator alarms as you can see
here I can set my fio2 alarm other
things to note related to the oxygen
alarms there are two different alarms
within the vaccine system that relate to
low oxygen the first relates to the
internal oxygen concentrator if you see
a low Oh to concentration alarm that is
a medium priority alarm that means the
media bed and the oxygen concentrator is
ready to be replaced the other alarm
that you may see related to oxygen is
the very low fio2 alarm the very low
fio2 alarm means that the environment
that boxin is in is dropped below 18
percent fio2 times that you might see
that alarm or if you put Vox in in a bag
we often like to say the Vox and a
little bit more like a human it breathes
so if you put a bag over Vox on what
happens it starts breathing it starts
concentrating the oxygen that's in that
bag and it starts delivering it to the
patient what's left is just nitrogen so
over time the fio2 and that enclosed
environment starts to drop below 21% 21%
is of course what we're all breathing
and the air naturally today when that
fio2 drops below 18% boxin is going to
alarm to let you know there's not enough
oxygen in the enclosed space for Vox and
to concentrate the oxygen and deliver it
to the patient the other time that might
happen is if something other than a high
pressure oxygen source gets connected to
the high pressure oxygen port in that
case action would think that you're
delivering oxygen but you're actually
delivering some other form of gas box
and we'll let you know that if that
happens
another common thing that's important to
understand is how vox and connects to
remote alarm systems it's important to
know that boxing can connect remote
alarm systems but there are some
differences first and foremost we have
two different cables the white cable is
the normally closed cable the black
cable is the normally open cable now
different ventilator companies call open
and closed different things so it's very
important that you check and use the Vox
and cables for your remote alarm system
so once you determine what type of
remote alarm you're connecting to again
normally closed is white normally open
is black and it has it written on both
sides verify that these alarm systems
work a couple nuances that I do want to
highlight if you go into the therapy
screen and you go to ventilation again
you're going to your alarms and you're
scrolling down to the alarm delays so in
this case I've got a patient circuit
disconnect delay right now it's set at
one breath if I set that to two breaths
I've increased the delay before vaccin
will activate an alarm so what does that
mean
if Foxen is delaying an alarm and I'm
also connected to a rote remote alarm
system what that means is boxin is going
to go through two breath cycles so it's
going to be picking up an alarm
possibility for a period of time before
it actually activates the alarm so one
breath two breasts then Vox and
activates the alarm that's the first
opportunity that boxin will send a
signal to the remote alarm system that's
important because several seconds could
go by between those two breasts and when
the first signal reaches your remote
alarm system it's also important if your
alarm system also has a delay it's not
uncommon for facilities to have a 10 or
20 second delay so please factor that in
it's the delay of your alarm system plus
the delay you have set unboxing which
could be one or two breaths
now I'm going to demonstrate the
differences between a high priority
alarm and Ann Inaba LARM this as you can
see internal battery critically low this
is a high priority alarm now I want to
show you what happens if Foxen goes in
up I'm gonna simulate an in-app alarm by
taking all the available power away from
boxing as you can see here my internal
battery is empty I have no additional
removable battery I only have one
battery here as I remove this battery
box and we'll go in app because it does
not have enough power to operate as I
remove the battery you're going to hear
a series of very loud tones that are
different from the high pressure alarm I
have removed the battery boxin has gone
in up and what you are seeing is in a
red flashing light on the power icon the
screen is black and the alarm is
continuing this alarm is much louder
than what you're used to experiencing
even on a high alarm as you can see this
alarm is going to continue no matter
what volume I have the alarm set at the
ennop alarm is going to continue for
five minutes and this red light is going
to continue if you experience a Vox an
in-app alarm disconnect boxin from the
patient bag the patient connect the
patient to another device do not connect
a patient to vaccin return boxin to
Ventech life systems Moxon like anything
else is a machine things can happen to
any machine we've done everything we can
to ensure you never hear this alarm but
if you do take care and connect the
patient to another device to review
recent alarms and all recent events
there's a couple different ways you can
do that the first and the most common is
something to look in the recent alarms
icon here by hitting the status bar I
can see all the recent alarms that have
recent happen so I can see right now a
patient circuit disconnect was recently
happening about our use alarm and a low
inspiratory pressure alarm if I want to
see the events I can simply go from
alarms to events to see all the
available events
within boxing all I have to do is scroll
down here you can see on this particular
version I've got twelve hundred and
seventeen events that have happened as I
continue scrolling down you'll see a
couple different things one I can see
all the various alarms that have
happened within boxing I can also if you
see these little triangles expand and
see exactly what was happening here so
on this one patient circuit disconnect
alarm change I can see that I changed
the alarm setting here so I changed it
from a previous value of one breath
delay to a new value of two breaths and
this was on preset night so I've labeled
that preset night I want to keep
scrolling down again you can see there's
more information here if I keep
scrolling down what you will find is
that boxing is going to record all of
your various events that you're used to
seeing within boxing and it's also going
to record all of your various therapies
so unlike your typical ventilator Event
log that only records the activities of
the ventilator boxin because it has five
therapies is going to record activities
related to the oxygen concentrator the
coffee repiy the suction and the
nebulizer so as you can see here I can
see that my nebulizer was started and I
can see that my nebulizer was stopped if
I want to expand on that detail I can
see nebulizer duration was set at ten
minutes I can see that I was activated
at 3:22 and I can see that it was
stopped at 323 that lets me know that I
did not complete my full nebulizer
treatment all of the various therapies
of inboxing are logged and tracked now
what if I want to tell other people
about that or convey what vaccin has
been doing I can download those logs to
download the logs you can look down here
and you can see the event download icon
there I've already inserted a USB key in
the back of auxin once I've inserted a
USB key in the back of auxin all I have
to do to download all my event logs is
hit the events button here as you can
see again it's very important to follow
the prompts this will say press ok to
save event log data to a USB key my USB
keys already
go i click ok and you can see that i'm
actually uploading the data onto my USB
key as you can see i'm tracking my
progress here it won't take very long to
upload these logs i'm at 36% 44% 52%
once I finish the download box and we'll
say event log data saved please remove
USB key I will say ok now I've backed up
my logs and I can view those remotely
the second way that you can access these
logs is by going to the menu screen if I
go to the menu screen I can look for the
logs icon here by clicking the logs icon
I can see I've got my alarms and my
events boxin is a comprehensive system
to track everything that the patient is
doing including for everything related
to ventilation oxygen cough suction and
nebulizer it's also important to note
that in this video we have not covered
all the alarms available in boxing this
is not a thorough study of how the Vox
and alarm systems work remember to read
chapter 6 of the manual to have a full
understanding of using each alarm prior
to use of patients
you