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Description
The iVent201 is a compact, portable, fully-featured, microprocessor-controlled ventilator. The
iVent is MRI compatible. A turbine-powered air source and a rechargeable internal battery
provide freedom from wall air and power outlets. An intuitive turn-and-click control knob,
quick-choice pushbuttons, and a bright, well organized, easy-to-read screen allow rapid control
and continuous real-time monitoring of patient ventilation.
The Versamed iVent is the only ventilators that can be used in the MRI special
procedure area.
Intended patient population: WARNING: According to the manufacturer, Do not
use the iVent201 ventilator to treat premature babies, neonates, or infants weighing
less than 10 kg/ 22 lb.
Available Modes of Ventilation

Assist/Control
Volume Controlled A/C
Pressure Controlled A/C
Volume Controlled SIMV
Pressure Controlled SIMV
Continuous Positive Airway Pressure (CPAP)
Pressure Support Ventilation (PSV)
Adaptive Bi-Level

See Section 400 Mechanical Ventilators, for standard procedure, orders, house formula and
complications. See Versamed I-vent 201Manual of Operation for complete description of
controls and alarms.
Performance Characteristics

Ventilator Respiratory Rate 1-50 BPM

Tidal Volume 100- 2000ml
Inspiratory Pressure Limit 5- 80 cmH20
Inspiratory Time - .3 to 3 or Adaptive I-time
Peak Flow 120 L/min or Adaptive Flow
Peak Flow (spontaneous) up to 180 L/min
0xygen - .21 100% +/-5% of set value
PEEP 0-20 cmH20
Trigger Sensitivity 1-20 l/min(flow trigger)or off, -.5 to -20cmH20 or off
Psup 0 to 60cmH20
Postive Pressure Relief Valve 80cmH20
Pressure Control 5 to 80cmH20
Operating Time when Battery fully charged 2 hours.

RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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(The ventilator will switch to internal battery use when it detects a loss of external power. The
battery is automatically charged when attached to an external power source, whether the
ventilator is operating, in Standby mode, or switched off.)
Advanced Settings:

Adjustable rise time

Preset Parameters by Patient Weight

Adaptive Peak Flow can determine and deliver Inspiratory Peak Flow Rate according to a
target mandatory tidal volume, maintaining a 1:2 I:E ratio

Adaptive I-Time allows the ventilator to determine and deliver a respiratory cycle time to
sustain a 1:2 I:E ratio

The iVent201 Adaptive Bi-Level Flow enables leak-tolerance for facemask ventilation or
pediatric patients with cuffless ETT

Easy Exhal is an advanced PEEP mode designed to reduce expiratory work of breathing
for patients who present with respiratory insufficiency.

Waveforms and Diagnostics Packages

Pressure, Flow, Volume Waveforms Software Package

Real Time Pressure, Flow and Waveforms

Waveform History Browsing

Trending of Monitored Data

Respiratory Diagnostics Software Package

Pressure, Flow and Volume Loops

Lung Mechanics (Compliance, Resistance, Mean Airway Pressure)

iVent Operation
Vent Setup

1. Assemble and connect patient circuit leaving red cap on patient wye, only place red cap
on exhalation valve if the Operation Verification Test will be performed.
2. Place bacteria filter at ventilator outlet, attach inspiratory limb.
3. Connect both sensor lines to front panel of iVent.
4. Connect blue Control Line to front panel (color coded blue dot).
5. Place HME & ETCO2 adapter at the patient wye.
6. Place red cap on the open end of the Exhalation valve and red cap at patient wye.

RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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7. To turn on the power, press the green on/off switch on rear panel.
After Power on Self-Test the screen asks you to select the patients (ideal) body weight.
Default ventilator parameters will be set based on IBW.
(parameters can be changed at any time regardless of IBW settings)
Perform Operation Verification Test

Operation Verification Test must be performed before connecting circuit to the patient. This
checks the integrity of the breathing circuit.
Two plastic red caps included in the circuit package for covering the ends of the patient
circuit are required for the O.V.T.
1. Turn control knob to highlight OVT.
2. Confirm with control knob and follow instructions on the screen.
Once O.V.T. passes, ventilation can begin
3. Remove RED cap from expiratory limb of the patient circuit prior to patient
connection
***Always return the iVent201 to Standby mode before powering down as you
would to shut down your computer.

RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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Selecting Ventilator Mode for the iVent201:

The Mode Selection box of the display is on the top right side of the LCD display. To change the
mode:
1. Turn the control knob to highlight the Mode Selection box in upper right hand corner.
Six types of mode & Standby are available.
2. When the desired mode is highlighted, press the Control knob to accept it.
3. This will bring up a parameter screen where you can either accept the default
ventilation parameters or change any of them.
4. To begin ventilation, highlight Accept and press to confirm.
Most of the parameters are presented in the form of numerals inside an oval dial. Turning the
control knob for a selected values increases or decreases the value as indicated by the numerals
inside the oval:

Set values are represented by black numbers on solid teal.

The scale of the selected value is represented by a dark blue ribbon indicator which
moves around the periphery of the oval.

Recommended ranges are outlined in green

Values outside recommended ranges are outlined in red.

Other parameter settings are adjusted on a slider gauge.

The chosen values are not operational until you confirm your selection by pressing the control
knob, which will take you back to the Main screen. The new value you have selected will now be
shown in black.
Mode Options

CMV & SIMV: CMV can be delivered with a mandatory flow setting with a square flow
waveform or adaptive flow.

AdaptiveFlow:
o A variable Inspiratory Peak Flow Rate is delivered to meet the targeted tidal
volume, while maintaining a 1:2 I:E ratio regardless of the patients respiratory
rate. The iVent defaults to adaptive flow and adaptive I-time when powered on.
o Adaptive Flow and Adaptive I-Time work together only in volume controlled
modes (SIMV and A/C).
o Adaptive Flow and Adaptive I-Time are automated ventilator controls to
determine peak inspiratory flow and inspiratory time during breath delivery.
o Changes in the overall breath rate are tracked and the Adaptive I-Time algorithm
will seek to adjust the inspiratory time over approximately 10 breaths in order to
maintain the I:E ratio at 1:2. The Adaptive Flow algorithm will accommodate
changes in the I-time and automatically adjust the peak flow so that the delivery
of the set tidal volume for the I-time determined by the Adaptive I-Time
algorithm is assured.

RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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o If respiratory rate increases, the inspiratory time will decrease and the mandatory
peak inspiratory flow will increase to deliver the set tidal volume. If respiratory
rate decreases, the inspiratory time will increase and the mandatory peak
inspiratory flow will decrease to deliver the set tidal volume.
To disable Adaptive Flow:
1. Manually change the peak inspiratory flow control setting. The range for manual peak
inspiratory flow is 10 to 120 liters per minute.
2. The manually set flow rate will be displayed with a circled M symbol next to the peak
inspiratory flow value.
Pressure Support

The ventilator maintains an elevated target pressure during inspiration. The Pressure Support
setting is a pressure above PEEP. Pressure Support breaths are always initiated and terminated
by the patient and controlled by the ventilator. When the patient initiates a pressure support
breath, the ventilator raises the inspiratory flow to meet the patients demand at the airway
pressure.
Termination of a pressure support breath will occur when:
a. the flow decreases to 25% of the peak flow; or
b. the airway pressure exceeds a value 5 cmH2O above target pressure; or
c. three seconds or two breath periods have elapsed; whichever occurs first.
At that point, the ventilator terminates flow, allowing the patient to exhale.
Patient Triggering

A patient may trigger a breath by creating an inspiratory effort detected by the ventilator. The
iVent201 has three methods for triggering breaths.
Pressure trigger. The breath is initiated when airway pressure drops below the baseline in an
amount greater than the set sensitivity value.
Flow trigger. The breath is initiated when initial inspiratory flow generated by patients effort is
greater than the set sensitivity value.
Dual trigger. The breath is initiated when either flow or pressure exceeds the set sensitivity
values. The triggering type and level of effort required to initiate a breath are set using the
Sensitivity Control. When the dual pressure/flow trigger is selected, the patient breath can be
initiated by flow or pressure sensitivity levels which ever is exceeded first.

RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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Breath Types

The upper left corner of the Tidal Volume portion of the Main Screen indicates the type of breath
delivered, by displaying one of several icons beside the exhale volume.

Double Bar no measurement

Mandatory Breaths
a. Pink Fan: Mandatory Assist Breath (patient initiated)
b. Blue Fan: Mandatory Ventilator Breath (ventilator initiated)

Green Sigh: Sigh Breath

Pink Man: Pressure Support Breath

Green Z: Automatic Zeroing of Sensors

Blue P: Purge sensor lines function activated

Changing Individual Alarm Settings

Highlighting and clicking Alarm Settings on the Main Menu will bring up the Alarm Settings
screen:

Note: To save any alarm change the Accept button must be highlighted and selected.
Otherwise changes will not be accepted.
Auto Alarm Settings

The Auto Settings feature sets all the alarms in the Alarm Settings window to the current patient
measured ventilation parameters. Selecting Auto Settings will bracket the measured values for
each parameter in the Alarm Settings window with appropriate limits for those parameters. For
other alarm setting features, see manual.
RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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Advanced Settings:
The Advanced Settings screen allows you to switch or adjust several patient and ventilator
parameters.
To access the Advanced Settings menu:
1. Click the Menu box on the Main Screen
The Main Menu is displayed.
2. Select Advanced Settings, confirm with knob.
Sigh Breath

In Volume control modes, the iVent permits sigh breaths. (A Sigh Breath volume is set to 1.5
times the set tidal volume.)
Rise Time

The iVent allows four possible values for Rise Time: Mid, High, Max or Auto. Use the
Advanced Settings menu to select the Rise Time value. The factory default setting is Auto.
Easy Exhale

Easy Exhale is an advanced PEEP mode designed for use with severe obstructive airway flow. It
introduces PEEP late in expiration in order to prevent airway pressure from falling below
alveolar pressure in situations where critical airway closure tends to create intrinsic PEEP. The
default setting for Easy Exhale is on.
Oxygen Supply

Use the Oxygen Supply section of the Advanced Settings menu to set the type of oxygen supply
you are using. High, for high-pressure supply, either from wall outlet or tank, using the internal
O2 mixer. When High is selected, the FiO2 displayed on the Main Screen will be the set FiO2
value. This is the factory default setting. (see manual for indications for other Oxygen Supply
Settings).
Adaptive Peak Flow

The rate for Adaptive Peak Flow can be adjusted with the Advanced Settings menu. The factory
default value is High. it is recommended you use High
Set Purge Interval

The iVent periodically sends a burst of air through the sensor hoses in order to clean them. The
Advanced Settings menu allows you to determine the frequency of automated sensor purges.
The factory default is 5 minutes. If you are using heated humidification it is recommended you
set the purge interval to every 1 minute.
Adaptive Bi-Level
Adaptive Bi-Level mode can compensate for high leaks (such as non-invasive ventilation) or
pressure support for high leak ET tube ventilation (Passy Muir or cuffless pediatric ETT).
Adaptive Bi-Level mode is a combination of two modes of ventilation: Pressure Control and
Pressure Support Ventilation where breath termination is controlled by the patient.
RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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If the patient does not make a spontaneous breathing effort, the ventilator will provide provide
PCV with preset PIP, PEEP, RR & I-time.
How %peak flow termination works:

Breaths can be terminated by a reduction in peak flow to a pre-selected percentage.

In high leak situations, cycling to exhalation by reduced flow will be easier for the
patient if the
% flow termination value is high. A low percent peak flow termination value will
mean that the mandatory I-time will dominate the inspiratory cycle. Therefore, if
the % peak flow parameter is set at a low level, the I-time setting must be
appropriate to avoid breath stacking.
Adaptive Bi-Level can be used for mask cpap with a nasal or full face mask. This
may never be an issue for us due to the fact that our primary use of this mechanical
ventilator will occur in the MRI suite. For further detail on Adaptive Bi-Level
application, see the iVent201 manual.
Before initial operation of the iVent, the battery should be charged for 10 hours.
The ventilator will switch to internal battery use when it detects a loss of external power. When
fully charged, the internal battery can supply approximately 1 to 2 hours of power, under typical
conditions and settings.
Full Recharge Procedure:
CAUTION: If the Low Battery or Empty Battery alarm appears, the
internal battery must be fully recharged, as described below.
Continued usage of the battery after the Empty Battery alarm appears may disable the batterys
charging capability and/or lead to battery failure.
To perform a full recharge procedure:

1. Plug the AC power cord into the ventilator. Verify that the amber Charge LED is lit.
2. Switch on the ventilator. When the opening window appears, select the 70kg patient
weight setting.
3. Set the pressure alarm to 60 (cm H20).
4. Connect the ventilator with a patient circuit to the Rp20 resistor and test lung
5. Press START on the ventilator.
6. Adjust the tidal volume (Vt) so that a PIP of 40 is attained on each breath
7. Disconnect the power cord. The battery alarm will sound and a pop-up window will
appear.
8. Press the red Silence button on the keypad to remove the popup window and stop the
alarm.
9. Now allow the ventilator to run off the battery continuously.
RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13

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10. When the Empty Battery alarm sounds, clear it by pressing the red Silence button on the
keypad.
11. Place the unit in Standby mode then switch it off. Connect the AC power cord.
12. Let the unit charge for at least 10 hours.
Cleaning
1. Disconnect Patient Circuit and dispose of in the MRI suite along with the bacteria filter
and sampling lines used.
2. Wipe the entire ventilator with the Green Top Clorox Hydrogen Peroxide and allow to
air dry. Use Peroxide wipes with gloved hands only.
3. Reassemble iVent with a clean circuit and the required adapters.
4. If the iVent is internally contaminated with any potentially infectious fluid, page RCS
Equipment Manager and the Director of Biomedical Engineering (415-719-9401) as
soon as possible and use the back up MRI ventilator until the contaminated ventilator is
disinfected, stored in room G106B.

RCS SFGH
Reviewed 11/07, 10/09, 11/10,

Revised 2/09, 3/09, 5/09, 10/09, 1/13