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Ventilator – Respironics Trilogy 202

The Trilogy ventilator is a volume-control and pressure control ventilator rolled into one system. It can be used for both invasive and noninvasive ventilation. Versatile breath delivery and setup options provide great continuity of care. This Philips ventilator is known for its simplicity and versatility. The versatile breath delivery and setup options free you from burdensome equipment exchanges. The Trilogy 202 has the unique ability to compensate for leaks in both pressure and volume control modes, using simpler passive circuits may support significant time and cost savings. The Philips Trilogy 202 supports both active and passive exhalation breathing circuits to accommodate changes in circuit preferences.

Trilogy Ventilator Features

This trilogy ventilator features a compact design with a long-life internal battery for intra-hospital transport. It supports active and passive circuits for invasive and noninvasive ventilation and has an innovative leak compensated volume control.

Intra-Hospital Transport

The Trilogy machine allows freedom of movement, the three-hour internal battery, and optional three-hour detachable battery provide sufficient power for intra-hospital transports. The three-hour battery allows for plenty of time for any delays or detours the clinician may encounter in the transport process. This small Philips ventilator has an integrated carrying handle, and a weight of about 12.3 lbs or 5.6 kg, which facilitates convenient handling during an intra-hospital transport.

Data Storage

The Respironics Trilogy ventilator has a secure digital (SD) card slot that conveniently stores historical ventilator data. The data is stored so that you can review treatment trends using our DirectView software. Using DirectView software you can view; Breath-by-breath waveforms, short-term and long-term trends, and statistics and usage patterns. Clinicians are also able to upload prescription via SD card.

The Versatility of the Trilogy Ventilator

The integrated Auto-Trak algorithm improves patient-ventilator synchrony by adjusting to changing breathing patterns and dynamic leaks. The auto-adaptive triggering, cycling, and leak adjustments help reduce the time clinicians spend adjusting alarm thresholds and re-fitting masks. It offers all the conventional volume-control modes such as; AC, SIMV (with or without PS), and CV. When cuff leaks are detected during invasive or noninvasive ventilation, the ventilator has a unique ability to compensate for pressure. Setup is simple with the trilogy 202, whether you are in a sub-acute or chronic care environment. The color screen and intuitive user-interface allow rapid changes in settings for a wide range of patients. The system is integrated blender provides oxygen administration from 21 percent to 100 percent. The Trilogy ventilator has the ability to support two different treatment prescriptions.

When prescribed, the Trilogy ventilator provides numerous special features to help make therapy more comfortable. For example, the ramp function allows you to lower the pressure when trying to fall asleep. The air pressure will gradually increase until the prescription pressure is reached. Additionally, the flex comfort feature provides increased pressure relief during the expiratory phase of breathing. The ventilator can be operated using several different power sources including the Lithium-Ion battery. The battery is automatically used when the detachable lithium-Ion battery pack, external lead acid battery, or AC power is not available.

Trilogy Ventilator Specifications

Physical Specifications

• Dimensions
• Height: 9 In (23 cm)
• Width: 11.2 In (28.45 cm)
• Depth: 6.5 in (16.68 cm)

Electrical Specifications

• AV Voltage Source: 100 to 240 VAC, 50/60 Hz, 2.1 A
• Detachable Battery
  • Voltage: 14.4 VDC
  • Capacity: 71 Wh
  • Chemistry Type: Lithium-Ion
• Internal Battery
  • Voltage: 14.4 VDC
  • Capacity: 71 Wh
  • Chemistry Type: Lithium-Ion
• Type of Protection Against Electric Shock: Class II/Internal Powered Equipment
• The degree of Protection Against Electric Shock: Type BF Applied Part
• The degree of Protection Against Ingress of Water: Device: Drip Proof, IPX1
• Mode of Operation: Continuous
• Fuses: There are no user-replaceable fuses.
• Power Consumption: 2.1 A @ 100 VAC = Watts of Power Consumption

Pressure Specifications

• Output: 4 to 50 pressure units (maybe cmH2O, hPA, or mBar depending on device setup)

SD Card and SD Card Reader

Use only SD cards and SD card readers available from Respironics or the following:

• SanDisk Standard SD Card – 2.0 GB
• SD Card Reader/Writer

Control Accuracy

IPAP

• Range: 5 to 50¹ pressure units²
• Accuracy: Greater of 2 pressure units or 8% of setting

EPAP

• Range
  • 0 to 25 pressure units for Active Circuits
  • 4 to 25 pressure units for Passive Circuits
• Accuracy: Greater of 2 pressure units or 8% of setting

CPAP

• Range: 4 to 20 pressure units
• Accuracy: Greater of 2 pressure units or 8% of setting

PEEP

• Range
  • 0 to 25 pressure units for Active Circuits
  • 4 to 25 pressure units for Passive Circuits
• Accuracy: Greater of 2 pressure units or 8% of setting⁴

Pressure

• Range: 4 to 20 pressure units
• Accuracy: Greater of 2 pressure units or 8% of setting

Pressure Support

• Range: 0 to 30 pressure units³
• Accuracy: Greater of 2 pressure units or 8% of setting⁴

Tidal Volume

• Range: 50 to 2000 ml⁵
• Accuracy
  • Greater of 10 ml or 10% of setting (Active Circuits)
  • Greater of 15 ml or 15% of setting(Passive Circuits)

Breath Rate

• Range
  • 0 to 60 BPM for AC mode
  • 1 to 60 BPM for all other modes
• Accuracy: Greater of +/- BPM or +/-10% of the setting

Time Inspiration

• Range: 0.3 to 5.0 seconds
• Accuracy: +/- 0.1 second

Rise Time

• Range: 1 to 6⁶
• Accuracy: +/- 2 pressure units (the device will increase to a pressure of 0.67* (IPAP – EAPAP) +/- 2 pressure units @ the set rise time multiplied by 100 ms for pressure supports less than or equal to 25.)

Ramp Start Pressure

• Range
  • 0 to 25 pressure units for active circuits
  • 4 to 25 pressure units for passive circuits
  • 4 to 19 pressure units in CPAP
• Accuracy: 8% of setting + 2% Full Scale

Ramp Length

• Range: Off, 5 to 45 minutes
• Accuracy: +/- 2 minutes

Flex

• Range: Off, 1 to 3⁷
• Accuracy: N/A

Flow Trigger Sensitivity

• Range: 1 to 9 l/min
• Accuracy: N/A

Flow Cycle

• Range: 10 to 90%
• Accuracy: N/A

Apnea Rate

• Range: 4 to 60 BMP
• Accuracy: Greater of 1 BPM or 10% of setting

FiO2 Output

• Range: 21% to 100%
• Accuracy
  • 21% to 50% is +/- 3%
  • 50% to 95% is +/- 5%
  • 100% is -5%

O2 Input Pressure Rating

• Range: 40 to 87 PSI

¹Limited to 25 pressure units when using the Bi-Flex feature in S mode.
²Pressure units may be cmH2O, hPa, or mBar depending on device setup.|
³The difference between the Inspiratory Pressure and the Expiratory Pressure must never be more than 30 pressure units.
⁴Pressure Support and PEEP not to exceed 50 pressure units.
⁵Reflects compensation for BTPS.
⁶The range of values corresponding to the tenths of seconds (e.g., a setting of 4 indicates a Rise Time of 0.4 seconds).
⁷Flex is not available when AVAPS is active. Flex is not available with Active Circuits.

Trilogy Ventilator Buttons

Start/Stop Button – This button turns the airflow on or off for starting or stopping therapy.

Alarm Indicator and Auto Pause Button – This button serves two purposes. First, it temporarily silences the audible portion of an alarm. It also acts as an alarm indicator. When silencing an alarm, if the cause of the alarm is not corrected, the alarm sounds again after one minute. Each time the button pressed, the alarm silence period resets to one minute.

Up/Down Button – this button allows you to navigate the display menu and edit device settings.

Left and Right Buttons – these buttons allow you to select the display options or perform certain actions specified on-screen.

Visual Indicators

AC Power LED – In the lower right-hand corner of the front panel, a green LED indicates that the AC power is applied to the device. This light remains on as long as adequate AC power is available.

Keypad Backlight LEDs – The Start/Stop, Up/Down, and Left/Right buttons all have white LEDs that light up if the keypad backlight is turned on in the device Options menu.

Red Alarm LED – On the Audio Pause button, a red light flashes to indicate a high priority alarm.

Yellow Alarm LED – ON the Alarm Indicator/Audio Pause button, yellow light flashes to indicate a medium priority alarm. A solid yellow light indicates a low priority alarm.

Power Sources

The ventilator accesses power from potential sources in the following order:

• AC Power
• External Battery
• Detachable Battery Pack
• Internal Battery

AC Power Source

An AC power cord is provided with the device. You can connect the pronged end of the power cord to a wall outlet that is not controlled by a wall switch and connect the socket end of the cord to the power inlet on the back of the device.

External Battery

The ventilator can operator from a 12 VDC deep cycle marine-type (lead acid) battery using the Respironics Trilogy ventilator External Battery Cable. This cable is pre-wired and properly terminated to ensure safe connection of an external battery to the ventilator. Battery operating time depends on the characteristics of the batter and usage of the device. Due to a variety of factors, including battery chemistry, battery age, and use profile, the capacity of the external battery is shown on the Trilogy ventilator display is only an estimate of the actual remaining capacity.

Detachable Battery

Respironics offers a detachable Lithium-ion battery pack. To use the detachable battery pack, snap the battery into place on the back of the ventilator. When the device is not connected to an AC power source or an external battery, the detachable battery will power the device, if attached. The length of time the ventilator will operate on battery power depends on many factors such as device settings, battery charge level, and condition or age of the battery. When fully charged, a new battery can power the ventilator for approximately three hours under typical patient conditions.

Whenever the ventilator is connected to AC power, it will automatically recharge the detachable battery pack. A completely discharge detachable battery will reach 80% charge status within 8 hours when charging at approximately 73 degrees Fahrenheit or 23 degrees Celsius ambient temperatures.

One side of the detachable battery has a set of LEDs that indicate the amount of charge left on the battery. You can press the button below the LEDs to view how much charge remains.

Internal battery

The device contains an internal battery that can be used as a backup power source. It is intended for use during short periods while switching between external power sources, emergency situations, or short durations when the user needs to be mobile. The length of time the ventilator will operate on internal power depends on many factors such as device settings, battery charge level, and condition or age of the battery. When fully charged, a new battery can power the ventilator for approximately three hours under typical patient condition.

Whenever the ventilator is connected to AC power, it will automatically recharge the internal battery. A completely discharged internal battery will reach 80% charge status within 8 hours when charging at 73 degrees Fahrenheit or 23 degrees Celsius ambient temperature.

Demo and Refurbished Ventilators

Soma Tech continues to be the leader in the refurbished medical equipment industry. Soma just celebrated our 25th anniversary and looks forward to excelling further in the medical refurbishment market. Soma Tech technically and cosmetically refurbishes ventilators back to their OEM specifications. Each ventilator is fully tested before it leaves the facility. Ventilators, like all of Soma Tech's products, are refurbished through; disassembly, inspection, cleaning, repair, replacement of necessary parts, calibration, and special cosmetic restoration. These ventilators, like all of Soma's products, are able to function as if they did the day they left the manufacturer.

Contact Your Sales Representative

Soma has a valued team of sales representatives who are more than willing to assist in any of your ventilator needs. Along with Soma's wide selection of demo and refurbished ventilator systems, Soma Tech also carries many other capital medical equipment including; ICU Equipment, C-arms, Infusion pumps, Patient Monitors, Anesthesia Machines, Surgical Tables, Ultrasound Machines, and far more. Please remember to contact Soma Tech if you have any questions regarding ultrasound machines or other medical equipment.

Frequently Asked Trilogy Ventilator Questions

What does the Trilogy 202 do?

The Philips Respironics Trilogy ventilator is an easy-to-use, lightweight, and versatile ventilator. Not only is this trilogy ventilator a volume-control ventilator, it is also a pressure-control ventilator. Supporting both invasive and noninvasive ventilation, the Trilogy ventilator supports both active and passive exhalation breathing circuits to accommodate changes in circuit preferences. It has a unique ability to compensate for leaks in both pressure and volume-control modes and has the ability to use simple passive circuits resulting in significant time and cost savings.

What is a BiPAP ventilator?

BiPAP stands for bilevel positive airway pressure. Unlike CPAP that uses a single continuous pressure, BiPAP uses two different pressures, one for inhalation (IPAP), and one for exhalation (EPAP). A BiPAP ventilator also referred to a BPAP ventilator, can be used to sense a significant shift in the patients breathing and compensate for this by adjusting pressures to maintain a steady breathing pattern. Sometimes patients cannot tolerate the continuous pressure delivered in a CPAP. Either the pressure is too high for them to adjust, or they struggle to exhale against the incoming pressure. BiPAP allows for a lighter EPAP pressure to make it easier to exhale.

What is a home ventilator used for?

A home ventilator is either used in a hospice setting for ultimate comfort during palliative care, or for ventilation at home. People with pulmonary diseases, such as COPD use ventilators at home. Their disease renders them unable to do basic tasks until their lungs are filled with oxygen that they normally can't breathe in on their own.

What is a trilogy device?

A trilogy ventilator is one that is also a ventilator. This ventilator helps to treat respiratory infections or respiratory diseases where a person needs assistance because they can not breathe on their own.

What is the difference between a trilogy and a BiPAP?

The trilogy ventilator can deliver either BiPAP or CPAP ventilation. BiPAP ventilation is when there are two pressure levels to the ventilation. The trilogy ventilator works on CPAP.

What is the difference between BiPAP and CPAP?

BiPAP and CPAP are both different modes of ventilation. CPAP is a continuous level of ventilation. BiPAP is used when there are two pressure levels. This is for people who need positive air pressure.

How does a ventilator work?

A ventilator works as it blows oxygen into the lungs for people who otherwise can't breathe well on their own. The oxygen goes into the lungs and is distributed to the heart where it is carried by the blood to other parts of the body.

Is being on a ventilator the same as life support?

Being on a ventilator and being on life support are two completely different situations. Life support is when a person is completely unconscious and can be in a coma. They would have invasive ventilation performed on them. Someone who is conscious can have noninvasive ventilation performed on them. This would be just the oxygen mask.

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Source: https://www.somatechnology.com/blog/products/trilogy-ventilator-philips-respironics-trilogy-202-trilogy-machine/

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