Mekant: User Manual

Copyright ○,C2009 MEKICS Co., Ltd.
All rights reserved
MEKANT User Manual

Ventilator System
MEK ICS Co., Ltd.

5F, A-BLDG,WooLimLion, #144-3, Sangdaewon-dong,
Jungwon-gu, Seongnam-si, Gyeonggi-do, Korea 462-725
TEL : +82-70-7119-2500
FAX : +82-31-735-2761
URL : http://www.mek-ics.com 0470
Definitions
This operator’s manual uses three special indicators to convey information of a

specific nature. They include as follow:
Warning
Indicate a condition that can endanger the patient or the ventilator operator.
Caution
Indicate a condition that can damage the equipment.
NOTE :
Indicates points of particular emphasis that make operation of the ventilator

more efficient or convenient.
MV2000(Touch) Ver 2.0
Section 1 : Introduction .................................................................................... 1
1-1. Warnings and Cautions ........................................................... 2
1-2. General description ................................................................... 5

1-2-1. Front picture and the explanation ................................... 5
1-2-2. Back side picture and explanation .................................. 7
1-2-3. Left side picture and explanation .................................... 9
1-2-4. Right side picture and explanation .................................. 10
1-3. Specifications ............................................................................. 11

1-3-1. Features .......................................................................... 11
1-3-2. Electrical .......................................................................... 11
1-3-3. Functional Specifications ...................................... .......... 12
1-3-4. Pneumatic ........................................................................ 16
1-3-5. Physical data ................................................................... 16
1-3-6. Environmental data .......................................................... 16
1-4. Standards and safety ................................................................. 17

1-5. Symbols ..................................................................................... 18
1-6. Maintenance .............................................................................. 21
Section 2 : Installation and set up ................................................................... 23
2-1. Installation ................................................................................. 23
2-2. External electrical supply ................................................... 23

2-2-1. AC description ......................................................... 23
2-2-2. External battery ........................................................ 25
2-3. Internal battery ................................................................... 26

2-3-1. Internal battery Indicator .......................................... 27
2-3-2. How to change internal battery ................................ 28
2-4. Oxygen and Air supply .............................................................. 29
2-5. Filters ........................................................................................ 30
2-6. Transportation ........................................................................... 31
2-7. Fuse replacement instruction .................................................... 32

Section 3 : Operating instructions .................................................................. 35
3-1. Front panel ................................................................................ 35

3-1-1. Rotational Control Knob .................................................. 35
3-1-2. Keypad ............................................................................ 36
3-1-3. LED Indicators ................................................................. 37
3-2. Operating ................................................................................... 37

3-2-1. Operating procedure and how to use .............................. 37
3-3. Display ....................................................................................... 40

3-3-1. Status information ............................................................ 41
3-3-2. Waveform and alarm status ............................................. 42
3-3-3. Menu and setting information .......................................... 43
3-3-4. TOUCH information ......................................................... 44
3-3-4-1. VENT TOUCH screen ......................................... 45
3-3-4-2. Waveform screen ................................................ 46
3-3-4-3. Menu screen ....................................................... 47
3-3-4-4. Setting screen ..................................................... 48
3-4. Start MV2000 ............................................................................. 49

3-4-1. VENT MODE .................................................................... 50
3-4-1-1. VACV ................................................................... 51
3-4-1-2. VSIMV ................................................................. 53
3-4-1-3. PACV ................................................................... 56
3-4-1-4. PSIMV ................................................................. 58
3-4-1-5. SPONT ................................................................ 61
3-4-1-6. tBiLEVEL ............................................................. 63
3-4-1-7. NIV ....................................................................... 66
3-4-1-8. PRVC ................................................................... 68
3-4-1-9. AUTO ................................................................... 71
3-4-2. Monitoring ........................................................................ 72

3-4-3. Graphics .......................................................................... 73
3-4-4. Tools ................................................................................ 76
3-4-5. Events .............................................................................. 77
3-4-6. SYSTEM .......................................................................... 78

3-4-6-1. SETUP ................................................................. 78
3-4-6-1-1. BWF ................................................... 79
3-4-6-1-2. Nebu. Time ......................................... 79
3-4-6-1-3. O2 SENSOR ...................................... 79
3-4-6-1-4. Trend Init. ........................................... 79
3-4-6-1-5. BTPS .................................................. 80
3-4-6-1-6. Sound Vol. .......................................... 80
3-4-6-1-7. Altitude ................................................ 80
3-4-6-1-8. Air Temp. ............................................. 80
3-4-6-2. PATIENT ..................................................................... 81

3-4-6-3. Date ............................................................................ 82
3-4-6-4. Calibration ................................................................... 83
3-4-6-4-1. SELF CALIBRATION ................................. 84
3-4-6-4-2. O2 CALIBRATION ..................................... 84
3-4-6-4-3. INS-EXP CALIBRATION ........................... 84
3-4-6-4-4. EtCO2 CALIBRATION ............................... 85
3-4-7. ALARM SET ................................................................... 86
Section 4 : Alarms ............................................................................................ 87
4-1. General Information .................................................................. 87

4-2. Alarm Massage ......................................................................... 88
Appendix ........................................................................................................... 90
A. Operating theory ............................................................................ 90
B. Communications ............................................................................ 92
C. Parts accessories ......................................................................... 95
Service Calls ……………………………………………………..........………………. 97

Section 1
Section 1 : Introduction .................................................................................... 1

1-1. Warnings and Cautions ........................................................... 2
1-2. General description ................................................................... 5
1-2-1. Front picture and the explanation ................................... 5
1-2-2. Back side picture and explanation .................................. 7
1-2-3. Left side picture and explanation .................................... 9
1-2-4. Right side picture and explanation .................................. 10
1-3. Specifications ............................................................................. 11
1-3-1. Features .......................................................................... 11
1-3-2. Electrical .......................................................................... 11
1-3-3. Functional Specifications ...................................... .......... 12
1-3-4. Pneumatic ........................................................................ 16
1-3-5. Physical data ................................................................... 16
1-3-6. Environmental data .......................................................... 16
1-4. Standards and safety ................................................................. 17
1-5. Symbols ..................................................................................... 18
1-6. Maintenance .............................................................................. 21
Section 1 : Introduction
This operator’s manual explains the way of installation and usage for MEKANT.
Notice for use explains general information to be careful while using the
product and other notices are written with each function. Users are
recommended to be aware of notice for use and all menus before using the
product.
This operator’s manual is allowed to use by doctors or authorized persons who

are permitted to use, or designed to use by qualified and trained persons for
using this products.
Service, test, correction and main continuous working will be written in service
manual of MEKANT Ventilator. However, service manual is allowed to be
possesed by authorized persons by MEKICS.
1 Ventilator User’s Manual

1-1. Warnings and Cautions

Warning
━ Please make sure to use MEKANT by authorized persons and read the manual
before use. Check the setting figure of various sensors and devices before
use. Users shall check out whether the environment is OK before use.
━ Please be aware of the manual provided by the manufacturer when it is used

or kept.
━ Do not use it near inflammable anesthetic to avoid any possible explosion.

━ Do not disassemble or open the main body to avoid electrical impulse.
Disassembly of the equipment shall be allowed by service staffs approved by
MEKICS Co., Ltd.
━ Users shall be careful with circuit joint to be connected with patients.

━ Always shall be careful with leakage of electrical current and consult with
hospital technical engineer if any doubt.
━ In case of abnormal working or any damage in the equipment, it shall not be
used for patients.
━ Do not touch patient, table or the equipment if a defibrillator is used.
━ Disposable stuffs and disposable circuit for patients shall not be reused.
━ Reusable stuffs used for patients shall be sterilized or washed for reuse.
━ Check out the level before setting alarm. Alarm limitation shall be done for the
current selected group. Alarm setting can be changed by level change.
━ Do not correct calibration while used for patient. Please correct it after
disconnection from patient if any doubt.
━ Insulate power source in case that the equipment is wet and call a hospital
technical engineer.
━ Please connect earth cable to earth connection port to protect patients and the
product.
━ Do not disassemble the product in any case.
━ Do not install the various kinds of sensor to patients too strongly and not to be
entangled.
━ Do not reuse it if you find this symbol 2 on the accessory, which means
disposable stuff.
━ MEKANT shall be tested regularly if it is working in normal condition.
━ Accessories are aseptic products, so the package shall not be torn before use
and products shall be free from any defects or cracks.

Caution
━ MEKANT as respiration assistant equipment for adult helps for normal
breathing by setting breathing way, breathing volume, breathing times, oxygen
density, breathing rate etc in order to solve hypoxia to be appeared from
emphysema of the lungs patients or respiratory disease patients. It is
respiratory assistant equipment with various alarm function and safety device
for safe respiration management, but above all, should be used together with
other clinical information for patients’ safety and diagnosis.
━ Avoid the place where there is moisture.
━ Do not handle the equipment with wet hands.
━ Avoid the place under direct rays.
━ Use the equipment within the limits of temperature 10 ~ 40 centigrade and

humidity 30 ~ 75%
━ Do not place the equipment near electronic heater.
━ Do not place the equipment under high humidity and bad ventilation.
━ Do not place the equipment where it is possible to take vibration or sudden

shock.
━ Do not place the equipment where to be damaged by explosive gas or

chemicals.
━ Protect the equipment from dust or metal scrap.
━ Pull out power code with plug grasped, instead of cable.
━ Check out the main equipment and sensor at the same time after cleaning the
equipment. Do not use if there is any damage in the equipment.
━ Make the cable and sensor clean after use. Clean them by towel with alcohol
soaked and do not use benzene or gasoline.
━ Do not use the equipment in dangerous place. Always be careful with the
possibility of bad influence by environment.
━ It is possible to be flew more current than allowed when the assistant device is
used. Consult with hospital engineer or authorized local dealer.
━ Check out the basic auxiliary device regularly. Do not use a damaged or
electrical unstable device. Consult with hospital engineer if any doubt.
━ Do not use the goods beyond standard certified one. This product shall be
used under standard certification. Manufacturer does not take responsibility for
the problem occurred while using the product beyond standard certification.
━ The product can be disassembled by educated and authorized staffs. If a user

violates this item, after sales service is not provided.

━ Do not install the various kinds of sensor to patients too strongly and not to be
entangled.
━ Do not place the product where it is possible to fall to a patient.
━ Do not move the equipment when power code or high pressure hose cage is
connected. It will be harmed for patient or the equipment has an error by itself
━ If a measured figure is turned out not to be correct, consult with hospital

engineer or authorized local dealer.
━ Connect the equipment isolated from other devices electronically for patients’
electrical safety.
━ Accessories of MEKANT shall be used with the ones provided by MEKICS or

MEKICS’s designated dealer or listed in the manual. MEKICS or MEKICS’s
designated dealer provide standard certified products only.
━ MEKANT shall be tested regularly if it is working well.
━ Turn off main switch located backside of the product after use.
━ Place the product in stable position.
━ Use the sensor and cable provided and designated by manufacturer, and
consult with hospital engineer or authorized local dealer if you want to use
other products.
━ Replace the disposable sensor after use.
━ Sep up the equipment when it is needed.
━ Minimize patient’s move when it is used.
━ Make high pressure hose and cable clean after use. Clean them by towel with
alcohol soaked and do not use benzene or gasoline.
━ The Oxygen Air pressure which is impressed pneumatic block should be

between 35PSI and 90PSI. Otherwise, it would affect the equipment.
━ Move the equipment with fastened to avoid any possible damage to other
products or people by the monitor or cable.
━ Basically, MEKANT is designed not to have functional disorder by surrounded

electronic wave. But, it is possible to be occurred any disorder due to high
frequency of surrounding. It may be possible to calculate wrong figure, lose
present figure or show noisy wave. Please ask MEKICS technical service
center or local distributor if you need help.
━ Please turn off the power to recharge the battery when it is not used.
━ MEKANT ventilator system is a product conforming to Class II a.

1-2. General Description
MEKANT as respiration assistant equipment for adult helps for normal breathing
by setting breathing way, breathing volume, breathing times, oxygen density,
breathing rate etc in order to solve hypoxia to be appeared from emphysema of
the lungs patients or respiratory disease patients.
It is a respiration assistant equipment with various alarm function and safety

device for safe respiration management, but above all, should be used together
with other clinical information for patients’ safety and diagnosis
1-2-1. Front picture and the explanation
ⓑ LCD MONITOR
ⓒ KEY FRONT
ⓐ CIRCUIT ARM SOCKET

ⓐ CIRCUIT ARM SOCKET
ⓗ NEBULIZER PORT
ⓓ INSPIRATION PORT
ⓖ CARRIAGE GRIP ⓕ EXPIRATION LEVER
ⓔ EXPIRATION PORT
Figure 1-1. Front picture

Part Description
ⓐ CIRCUIT ARM SOCKET Install Circuit Arm for patient.
ⓑ LCD MONITOR Show the condition of various ventilators and patients.
ⓒ KEY FRONT Key button and encoder.
ⓓ INSPIRATION PORT Joint hole to connect to patient.
ⓔ EXPIRATION PORT Joint hole to connect from patient.
ⓕ EXPIRATION LEVER Lock or unlock lever for Expiration Assembly.
ⓖ CARRIAGE GRIP Using to move the ventilator.
ⓗ NEBULIZER PORT Connection to spray medicines
Table 1-1. Front picture description
Warning
Be careful because heated exhalation assembly due to
moisture during exhalation.

1-2-2. Back side picture and the explanation
Figure 1-2. Back side picture

Part Description
ⓐ SPEAKER For alarm and sound.
ⓑ VGA VGA cable connection hole to show patient condition on the other Monitor.
ⓑ COMM Cable connection hole to connect PC or central connection.
ⓑ TO PNEUMATIC Connection hole to connect to the main body.
ⓒAC INLET Connection hole for AC power input.
ⓓEXTERNAL BATTERY Connection hole for external battery.
ⓔPOWER SWITCH Power on/off switch for common use.
Connection hole to connect to main body using high pressure hose to
ⓕO2 INLET
approve O2 gas.
Connection hole to connect to the main body, using high pressure hose to
ⓖAir INLET
approve air gas. Device to filter the moisture in the Air.
Outlet to exhaust the over pressed air when the pressure of air tank is
ⓗTANK RELEAF
over than 40 PSI.
ⓘBATTERY DOOR Door to replace the internal battery.
ⓙTO MONITOR Connection for monitor.
ⓚCOMM Connection hole for pneumatic communication.
Table 1-2. Back side picture description
Warning
You should be careful with battery’s polarity when it is exchanged.
Products can be damaged when polarity is connected wrongly.
It should be careful of battery’s terminal to be short on the metal part

1-2-3. Left side picture and the explanation
ⓐ LOCKER
Figure 1-3. Left side picture
Part Description
Locker to disassemble main body with cart.
ⓐ LOCKER
Pull to unlock and push to lock.
Table 1-3. Left side picture description

1-2-4. Right side picture and the explanation
ⓐ O2 CHANGE DOOR
ⓑ INSPIRATION RELIEF
Figure 1-4. Right side picture
Part Description
ⓐ O2 CHANGE DOOR Door to be used for exchanging O2 Sensor.

Safety valve to exhaust by software, hardware and
ⓑ INSPIRATION RELIEF
mechanically when the equipment is out of order.
Table 1-4. Right side picture description
Warning
Do not stop up safety valve to exhaust by software, hardware and mechanically
when the equipment is out of order.

1-3. Specifications
1-3-1. Features
User friendly POP-up Menu with rotary and push/pull Encoder.

100% O2, Inspiration Pause, Expiration Pause, Key-Lock ,
Manual and/or Auto Nebulizer
Dual Alarm ( Speaker / Buzzer ) system
External battery ( for Mobile application )
1-3-2. Electrical Specifications
AC input voltage 100 - 120 VAC, 10A 50/60 Hz

200 - 240 VAC, 5A 50/60 Hz
AC input FUSE Rating 250V/6.3A
Power consumption 84 W max
External DC input voltage 12V @ 7A Pb battery
Internal battery Battery ; 12V / 7A Pb battery

Operating time: 3 hours minimum .
Recharge time; 4 Hours max.
Please change it after 2 years use.
It can be used for 30 minutes normally. On the
other hand, it will be more than 30 minutes if
power consumption is small.
Communication Central interface ; RS-232 serial interface

Baud rate 115,200bps,
Upgrade (Main board, Pneumatic board)
Display 12.1” LCD monitor,
800*600,

1-3-3. Functional Specifications
MODE
V-ACV Volume Assist Controlled Ventilation

Controlling patient’s mechanical artificial respiration based on air
volume and adjusting inspiration and exhalation time by force.
V-SIMV Volume based Synchronized Intermittent Mandatory Ventilation

Controlling artificial respiration based on air volume in accordance with
patient’s voluntary respiration.
SPONT Spontaneous Ventilation

Give pressure support centering on voluntary respiration.
P-ACV Pressure based Assistance Controlled Ventilation

Controlling patient’s mechanical artificial respiration based on pressure.
P-SIMV Pressure based Synchronized Intermittent Mandatory Ventilation

Controlling artificial respiration based on pressure in accordance with
patient’s voluntary respiration.
tBiLEVEL Same as SPONT and exist Upper PEEP (Refer to SPONT mode)
NIV Non Invasive Ventilation

During artificial respiration by mask type, not tubing type, P-ACV
working in allowance of air leakage. (Refer to P-ACV mode)
PRVC Pressure Regulated Volume Controlled Ventilation

Breaths are delivered mandatorily with a constant flow to assure
present volumes.
AUTO Start quickly according to body weight. (Working in P-ACV mode)

SETTING PARAMETER
Setting range Condition Default

BW 3 kg ~ 150 kg 10ml/kg
Pressure 5 ~ 80 cmH2O ±(1.7 + 4% of the actual 30 cmH2O
reading) cmH2O
Plateau Time (pause) 0 ~ 2 sec 0.1 sec
PEEP 0 ~ 45 cmH2O ±(1.7 + 4% of the actual 3 cmH2O
reading) cmH2O
High PEEP 5 ~ 45 cmH2O ±(1.7 + 4% of the actual +15 cmH2O
reading) cmH2O
Low PEEP 0 ~ 45 cmH2O ±(1.7 + 4% of the actual +3 cmH2O
reading) cmH2O
High PEEP time 0.2 ~ 24 sec ±10 % 1 sec
Low PEEP time Infinite
Setting range Condition Default

Inspiration time 0.2 ~ 9.9 sec ±10 % 1 sec
Fend 25 ~ 100 % 100 %
TRISE 0.1 ~ 0.5 ± 0.05 0.1sec
EnSENSE % 10 ~ 60 % 30 %
ExSENSE % 10 ~ 60 % 30 %
Pressure Support 0 ~ 45 cmH2O ±(1.7 + 4% of the actual 0 cmH2O
reading) cmH2O
Trigger sensitivity 0.5 ~ 20 cmH2O ±(1.7 + 4% of the actual 5 cmH2O
Pressure reading) cmH2O
Trigger sensitivity 0.5 ~ 20 L/min ±15 % (VMIN>3lpm) 5 lpm
Flow ±0.5lpm (VIMIN≤3lpm
Volume 5 ml ~ 2500 ml ±15 % (VTIDAL>100ml) 10 ml/kg
±20ml (VTIDAL≤100ml)
Rate 2 ~ 120 bpm ±2 bpm 20 bpm
O2 % 21 ~ 100 % ±3 % 30 %

Setting range Default

Nebulizer 10 ~ 180 min off
Limited 200ml
Flow trigger
base flow cannot use
Inspiration pause Resistance measurement off
Expiration pause Compliance measurement off
Manual Inspiration Setting tidal volume off
100% O2 3 minutes off
AUTO MODE(Emergency Start Ventilation)
Setting range
I:E 1:2
O2 60 %
Mode PACV
Inspiration Pressure 25 cmH2O
Inspiration time 1 sec
Expiration time 2 sec
Respiration rate 20 bpm
PEEP 3 cmH2O
Trigger type Pressure
Trigger sensitivity 3 cmH2O
Rise % 50 %
Alarm limit Auto set
E-sense 30 %

Alarms
Setting range
PRESSURE HIGH 5 cmH2O ~ 120 cmH2O
PRESSURE LOW 0 cmH2O ~ 50 cmH2O
VTIDAL HIGH 5 ml ~ 2500 ml ,OFF
VTIDAL LOW 0 ml ~ 2500 ml
PEEP HIGH 6 cmH2O ~ 45 cmH2O
PEEP LOW 0 cmH2O ~ 7 cmH2O
O2 HIGH 1% ~ 100%, OFF
O2 LOW 0% ~ 100%
R-R HIGH 3 ~ 150 BPM
R-R LOW 2 ~ 149 BPM
VMIN HIGH 0.1 ~ 50 LPM
VMIN LOW 0 ~ 49.9 LPM
AIR FAIL -
O2 FAIL -
AIR LEAK 0 ml ~ 500 ml
AIR OBST -
APNEA OFF, 10 ~ 60 sec
VENT INOP -
O2 SENSOR ERR -
CIRCUIT OPEN -
BATTERY MODE -
LOW BATTERY DC power loss
COM ERROR

1-3-4. Pneumatic Specifications
O2 and air supply Pressure range 35 ~ 90 psi

Flow 150 L/min (STPD, dry required)
100 % O2 Suction button– auto calibration
Oxygen sensor life 10,000 hours or 1 Years of use, normal
Safety pressure Pneumatic 30 psi +/- 10 %
Internal pressure Limit
Inspiration Pressure Limit 85 cmH2O +/- 10% ;
Mechanical release valve
Double safety mechanism
for over pressure
1-3-5. Physical Data
Dimensions of device 38 W x 43 D x 69 H cm
(Width x depth x height of device)
Weight of device 35 Kg (with Battery)
Dimensions of Cart 49 W x 56 D x 77 H cm
(Width x depth x height of device)
Weight of Cart 28 kg
Connectors
Inspiratory limb connector ISO 22mm conical male
Expiratory limb connector ISO 22mm conical male
Air and Oxygen inlets DISS male / female

1-3-6. Environmental Data
Operating environment Temperature : 10 to 40 °C (50 ~ 104℉)

Atmosphere 700 to 1060 mbar (10.2 ~ 15.4 psi)
Altitude -443 ~ 3280 m (-1350 ~ 10,000 ft)
Storage environment
Temperature -10 to 60 °C
Relative humidity 10 to 85 %
Atmosphere 500 to 1060 mbar (7.3 ~ 15.4 psi)

Altitude up to 6560 m (20,000 ft )
Oxygen/Air inlet supply pressure 35 ~ 90 psi
1-4. Standard and Safety requirements

MEKANT is in conformity with the following tables. Obtainment of license and
required testing has been completed.
EN60601-1:1990 General requirements for Safety
EN60601-1-1:2001 Electromechanical Safety
EN60601-1-2:2001 Electromagnetic Compatibility Requirement and tests
IEC 60601-2-12:2001 Particular requirements for the safety of lung ventilators

for medical use

1-5. Symbols and Labels
Descriptions for marking on MEKANT ventilator and its operational manuals.
No Name Symbol Explanation
Provision of power by switching on and off the

1 POWER ON/OFF system.
IEC 601-1
It is indicated terminal which do not need ground

electric potential to make equipotential by
2 Equipotential-ity connecting with each part of system or
equipment.
IEC601-1, IEC 417-5021
Attention,
Indicates the necessity to refer to the operational
Consult
3 manual prior to equipment operation.
accompanying
IEC 601-1
documents
Indicates the stand-by mode of the system.

4 stand-by
IEC417-5009
Start Indicate the activation of the equipment.

5
(of action) IEC 417-5104
Indicates appropriateness for the equipment
against direct current and designate the
6 Direct current
connecting part.
IEC 601-1, IEC 417-5031
Battery capacity indicator
FULL Charging 80% Charging
7 Battery check
50% Charging 20% Charging
Low Charging

Indicates the AC plug without ground earth.

8 AC Power plug
IEC 417-5534Pr
It should be indicated rating sticker that

equipment is suitable for only direct current (D.C).
9 Battery +
Also, indicate it is related connecting part.
-
IEC 601-1, IEC 417-5031
EXT.
10 EXT. BATT Indicates external battery for vehicle use.
BATT
Indicates manual operation of the apparatus.

11 Manual control
ISO7000-0096
12 CLEAR Clears the menu tree from the display.
Dangerous Warns the high voltage.

13
voltage IEC601-1, IEC417-5036, ISO 3864
O2 Indicate 100% O2 MODE.

14 100% O2 MODE
100% This mode can by ON / OFF by O2 100% KEY
Indicate NEBULIZER MODE.

NEBULIZER This mode can be ON / OFF by NEBULIZER
15
MODE KEY, and the operating time is set from 10 to 180
minutes.
MANUAL
Supply the respiration to the patient when
16 INSPIRATION
pressing the MANUAL INSPIRATION KEY.
KEY

INSPIRATION
17 Increase INSPIRATION TIME to 1 second.
HOLD
EXPIRATION
18 Increase EXPIRATION TIME to 2 second.
HOLD
Indicate ALARM SOUND OFF or MUTE.

ALARM SOUND
19 This function can be ON / OFF by pressing 2
OFF Or MUTE
MIN KEY.
Table 1-5. Description of Symbols

1-6. Maintenance
The following table shows the periodic check point and maintenance method for
MEKANT ventilator system and the circuit system.
Period Subject Check point

Bacteria Filters
- Inspiratory Filter Check if all filters are in good position.
- Expiratory Filter
Daily Check the connection, leakage,
Patient Circuit System
Blockage and moisture.
Collector Vial, Gas Supply Check if there is moisture and
Water Traps remove it if necessary.
Minimum Every half Patient Circuit System, all
Exchange everything, and cleaning
month or when Bacteria Filters and
and sterilizing used one.
changed the patient Humidification Chamber
Every Half year All system Conduct EST
Every year or After
Exchange to new filter and scrap
100 times All Bacteria Filters
used one
autoclaving
Between 1 year and
Oxygen Sensor Exchange to new one
2 year
Conduct Oxygen sensor calibration
When necessary Oxygen Sensor
by pressing 100% O2/CAL.
Exchange appropriate components
Every 10,000 hours Various components
using 10,000 hours PM kit.
Table 1-6. Check and Maintenance Period

Caution
User should check the installation status and problem of the filters and
patient circuit system with naked eyes every day. In case of any
problem, replace or exchange the parts in problem right away.
When patient is changed or one patient uses it for a long period,

exchange the patient circuit system including bacteria filter in every 15
days, and clean and sterilize the used one.
All the components of patient circuit system excluding bacteria filter

can be sterilized by any way among ETO(Ethylene Oxide) gas
sterilization, Steam Autoclave and Chemical sterilization. But, only
Steam Autoclave is available for bacteria filter.
Sterilization shall be done for about 20 minutes at 132 degree

centigrade. Exchange to new bacteria filter after one year use or 100
times of Autoclave use.
Oxygen sensor is valid for 2 years, but it can be shortened in case of

using at the condition of high FiO2 or high temperature.

Section 2
Section 2 : Installation and set up ................................................................... 23
2-1. Installation ................................................................................. 23
2-2. External electrical supply ................................................... 23
2-2-1. AC description ......................................................... 23
2-2-2. External battery ........................................................ 25
2-3. Internal battery ................................................................... 26
2-3-1. Internal battery Indicator .......................................... 27
2-3-2. How to change internal battery ................................ 28
2-4. Oxygen and Air supply .............................................................. 29
2-5. Filters ........................................................................................ 30
2-6. Transportation ........................................................................... 31
2-7. Fuse replacement instruction .................................................... 32
Section 2 : INSTALLATION AND SET UP

2-1. Installation
When installing and moving the equipment, it is required to stay shock free.
2-2. External electrical supply

MEKANT is capable to receive both AC and DC power supply.
2-2-1. AC description
External AC connector is located on the rear side of the apparatus.
Refer to Figure 2-1.
Figure 2-1. External AC and DC Power Supply Sockets

Warning
Prior to applying AC or DC to the ventilator, the line frequency has to
be adjusted to the local standard otherwise it might cause damages to
the apparatus.
Power Cord has to be plugged in to the concentric plug on the ground.
Replace covered wire in case of wear and tear.
Please apply the ground cable in order to protect the patient and the
apparatus.
Maintain the same level of input & output voltage.
Caution
Cable Clips are used in order to affix the AC code and also to prevent
disconnection.
When connected to DC or AC, LED display will be turned on to indicate the

connection.

2-2-2. External battery
①
④
③
②
Pin Name Direction Explanation
① Not connected Not used

② GND Pins for the ground.
③ +VCC Pins to connect external battery
④ Not connected Not used
Table 2-2. Pin Setting of MV2000 Ventilator External Battery
Warning
Watch for polarity when connecting the battery.
Note that when external battery is used, internal battery will not be
charged.
It should be used for rating voltage, 12V 7A and Electric current
should be more than 7A.
Caution
Cover the Port Pin by putting the cap when the external battery is not
in use.
Do not make pin to be shorted because internal Battery is damaged
when EXT. BATT is opened, or each pin is shorted.
Please put a cap next to terminal when EXT. BATT is not used.
NOTE :
Fuse is built in the machine.
ATO® Fuse (Fast-Acting Type), Catalog Number 257 015, Ampere
Rating (A) 5A, Body color code : blue
Vehicle outlet power supply is used.

2-3. Internal battery

Internal battery for MV2000 is used for the provision of power when moving the
patients. Recharge of the battery is done while AC power connected as the
apparatus simultaneously utilizes the power from the same source of AC. In case
of power failure, the operation will be done by internal battery.
Warning
When replacing the battery, watch for polarity. Red for +, Black for -.
Inappropriate connection might cause damages to the apparatus.
Short-circuit might cause explosion of the battery or harm human body
due to high voltage.
It should be used for rating voltage, 12V 7A and Electric current
should be more than 7A.
We recommend that you should contact the distributor or CS team if
you find any problems in the internal battery.
Caution
When difficulties of power supply arise or when transferring the
patients, the battery needs to be charged. Replace the battery if it is in
deficiency.
In case of the lowest battery voltage, there may be an error in the
measured value.
In case of low battery, use the machine after connection to AC
common electric power.
NOTE :
Fuse is built in the machine.
ATO® Fuse (Fast-Acting Type), Catalog Number 257 015, Ampere
Rating (A) 5A, Body color code : blue
Internal Battery may be affected by the number of times for discharge,
surrounding temperature, charging voltage. Generally it can be used
more than 2 years.

2-3-1. Internal battery indicator
It displays battery capability. This is displayed on the upper right hand corner of
the LCD display. The battery capacity will be displayed in 5 main statuses.
Battery Indicator Level Status Explanation
Full Charging
80% Charging
50% Charging
20% Charging
In case of discharging status, the system will

Low Charging be automatically turn off to protect the battery
5 minutes later.
Table 2-3-1. Internal battery Indicator

2-3-2. How to change internal battery
No. Figure Explanation
Unscrew 4 screws on the lower rear

ⓐ
cover that is for Battery
You can see the internal battery. After

ⓑ changing battery, assemble the battery
cover.
Table 2-3-2. How to change internal battery
Warning
When replacing the battery, watch for polarity.
Red for +. Black for -.
Inappropriate connection might cause damages to the apparatus.

Short-circuit might cause explosion of the battery or harm human body
due to high voltage.
Caution
All of bolt is locked when turned clockwise. All of bolt is loosed when
turned counter clockwise.

2-4. Oxygen and Air supply
MEKANT is the system to provide oxygen and air to patients. Oxygen and Air
are provided through the adaptor end at the rear by pressure (35 ~ 90 PSI) and
get mixed to have appropriate concentration.
1. O2 consists of green adaptor and green

high pressure hose.
ⓐ
2. Air input consists of a yellow color.
Table 2-4. Connection way of high pressure hose
Warning
Check the oxygen and air connector to be free from oil to prevent from
explosion.
When you supply or stop oxygen and air, be careful when it’s
assembled and disassembled because high pressure hose can harm
to human body due to inside pressure.
Caution
Check and see if the Oxygen and Air pressure is set at exact pressure
range prior to ventilator application.
When high pressure hose is used or moved, pay attention to wiring not
to be tripped over persons.

2-5. Filters
Use 2 filters between MEKANT Product and patient for the safety of patients.
Before supplying for patient INS. Filter is used, and exhalation filter is used at
the place for exhaled air from patient’s body in order not to supply polluted air
to patient.
Warning
Contaminated gas might be in exposure to patients if the air was
provided without applying filter.
Do not reuse the accessories when symbol is found since it

represents its category as disposable.
Replace the disposable sensor with the new one after single use.
Reusable materials which are used for patients shall be sterilized

and washed for reuse.
Caution
Filters must be MEKICS genuine or designated products. If you

wish to use other makes, please consult biomedical engineers at
the hospitals, or local authorized dealer.
Please use quality certified product, otherwise manufacturer will

not be responsible for any problems caused by this.
All accessories are aseptic; therefore the wrapping has to be

intact before opening and use.

2-6. Transportation
ⓐ 1. Move the product by handle.
Table 2-6. Handle of the Cart
Warning
When moving the apparatus, please make sure that the LCD
Monitor is fixed properly since this might cause damage to the
Device.
Please move the product when components and power cords are
in order.
Caution
Before moving the system, unlock the locker on the caster.

2-7. Fuse replacement instruction
ⓐ INLET FUSE
Figure 2-5. AC INLET FUSE
No. Name Figure Explanation
1. Pull the upper part of inlet toward you.

2. Fuses are located where two upper
arrows are and those are and those
lower 2 arrows indicate the direction
when inserted.
ⓐ INLET FUSE
3. Remove the existing fuse and insert the
new fuse as shown in the picture after
checking the rating.
4. Close the inlet by doing the steps
backward.
Table 2-3. How to change fuse

Section 3
Section 3 : Operating instructions .................................................................. 35

3-1. Front panel ................................................................................ 35
3-1-1. Rotational Control Knob .................................................. 35
3-1-2. Keypad ............................................................................ 36
3-1-3. LED Indicators ................................................................. 37
3-2. Operating ................................................................................... 37
3-2-1. Operating procedure and how to use .............................. 37
3-3. Display ....................................................................................... 40
3-3-1. Status information ............................................................ 41
3-3-2. Waveform and alarm status ............................................. 42
3-3-3. Menu and setting information .......................................... 43
3-3-4. TOUCH information ......................................................... 44
3-3-4-1. VENT TOUCH screen ......................................... 45
3-3-4-2. Waveform screen ................................................ 46
3-3-4-3. Menu screen ....................................................... 47
3-3-4-4. Setting screen ..................................................... 48
3-4. Start MV2000 ............................................................................. 49
3-4-1. VENT MODE .................................................................... 50
3-4-1-1. VACV ................................................................... 51
3-4-1-2. VSIMV ................................................................. 53
3-4-1-3. PACV ................................................................... 56
3-4-1-4. PSIMV ................................................................. 58
3-4-1-5. SPONT ................................................................ 61
3-4-1-6. tBILEVEL ............................................................. 63
3-4-1-7. NIV ....................................................................... 66
3-4-1-8. PRVC ................................................................... 68
3-4-1-9. AUTO ................................................................... 71
3-4-2. Monitoring ........................................................................ 72
3-4-3. Graphics .......................................................................... 73
3-4-4. Tools ................................................................................ 76
3-4-5. Events .............................................................................. 77

3-4-6. SYSTEM .......................................................................... 78
3-4-6-1. SETUP ................................................................. 78
3-4-6-1-1. BWF ................................................... 79
3-4-6-1-2. Nebu. Time ......................................... 79
3-4-6-1-3. O2 SENSOR ...................................... 79
3-4-6-1-4. Trend Init. ........................................... 79
3-4-6-1-5. BTPS .................................................. 80
3-4-6-1-6. Sound Vol. .......................................... 80
3-4-6-1-7. Altitude ................................................ 80
3-4-6-1-8. Air Temp. ............................................. 80
3-4-6-2. PATIENT ..................................................................... 81
3-4-6-3. Date ............................................................................ 82
3-4-6-4. Calibration ................................................................... 83
3-4-6-4-1. SELF CALIBRATION ................................. 84
3-4-6-4-2. O2 CALIBRATION ..................................... 84
3-4-6-4-3. INS-EXP CALIBRATION ........................... 84
3-4-6-4-4. EtCO2 CALIBRATION ............................... 85
3-4-7. ALARM SET ................................................................... 86

Section 3 : Operating instructions

3-1. Front panel
3-1-1. Rotational control knob
Rotating and Pressing the Encoder allows a user to navigate through and
make changes to the display element.
Left Rotating Right Rotating
- Menu Down - Menu Up
- Left Value - Right Value
Click
- Menu confirmation & storing
Figure 3-1. Encoder

3-1-2 Keypad
Figure 3-1-2. Keypad
Part
Picture Description
Number
Start Switch, Standby
1) If you press START switch for 0.5 sec, power would
be on.
In case of STOP OFF you want, switch should be
pressed for longer than 10 seconds in Vent
ⓐ
operating.
2) Switch should be pressed for longer than 5 seconds
in Vent Ready status.
3) In case of STANDBY you want, switch should be
pressed in Vent operating.
MANUAL INSPIRATION: This function which is for a
MANUAL
ⓑ respiration according to Ventilator's default is operated
INSPIRATION
once by pressing the key.
100% 100% O2 : If you press this button, 100% O2 is

ⓒ
O2 provided for 3 minutes.
CLEAR : It is used for clearance of menu when menu

ⓓ
is controlled by Knob

Part
Picture Description
Number
ACCEPT RUN : It is used when Ventilator is working

ACCEPT as its final value. If ACCEPT key is not pressed,
ⓔ
setting value would not be accepted on the change of
MODE and VENT SETTING. This is for the safe.
ALARM 2 MIN : This makes ALARM remove for 2

ⓕ 2MIN
minutes.
ALARM RESET : This actives when alarm is reset.

ⓖ RESET And previous alarm lamp is removed and the status of
NORMAL will be.
Encoder : Rotary switch for selecting function on the

ⓙ
pop-up menu.
Table 3-1-2. Keypad
3-1-3. LED Indicators

Part
Picture Description
Number
AC POWER ON LED : LED is on when machine is

ⓗ
connected to AC, otherwise, LED is OFF.
BATTERY ON LED : Battery is charged as the machine

is working when it is connected AC If it is not, battery
ⓘ ON LED is lighted because the machine is operating by
— ┼
internal battery. If both AC POWER ON LED and

BATTERY ON LED are OFF, battery should be charged.
Table 3-1-3. LED Indicators

3-2. Operating
Caution
Buzzer will be sounded when main power is on normally. Otherwise,
check something wrong on the main power. (power, battery, fuse)
ALARM LAMP (Warning or INOP) is on and buzzer is sounded if

ventilator has defect on working .
Connect the ventilator to the power is earthed.
3-2-1. Operating procedure and how to use
No. Picture Description
1 1) Connect high pressure hose and accessories.
1) Connect earthed cable to equipotential port and

earthed AC power.
2 2) Connect power cord to an electric outlet and AC

inlet.
3) Switch on POWER on the back side.

1) Switch on START on the Front Panel. System Fail

sound will be disappeared in case power is on
normally.
3
2) Wait for the calibration of each sensor.
It is presented normal INITIAL, and then normal
ventilator READY is appeared.
1) Set the present time and date..

(In an emergency, can be omitted.)
2) Enter patient’s bed number etc.
(In an emergency, can be omitted.)
3) In Standby Screen, Select patient's ages and input
patient's height. Press START button.
4) In top right corner, press Modes button and Choose
4
mode suitable for the patient.
Input other value as prescription. Adjust value by
pressing and rotating.
5) Select ACCEPT button.
6) Adjust alarms properly.
7) Check the wave form and figure on the monitor
normally.
Figure 3-2-1. Operating procedure and how to use

3-3. Display
Refer to 3-3-1
Refer to
3-3-2
Refer to
3-3-3
Figure 3-3. LCD Display
Explanation Reference
Measurement information Measurement of ventilator or patient factor. 3-3-1

Graph and alarm statue of ventilator or patient
Waveform and alarm status 3-3-2
factor.
Menu button and Setting value according to
Menu and Setting information 3-3-3
respiratory mode.
Table 3-3. Description of display explanation

3-3-1. Status and measurement information

It displays measurement information of ventilator or patient factor. It shows different
tables of measurement information to each Mode. By default, VE TIDAL, VE MIN, RRESP,
PPEAK and PMEAN be displayed. Press buttons in bottom left of the screen.
It can be change different values.
Measurement items are displayed by the page as follows.
Page number Displayed items
1 PPEAK, PPAUSE, PMEAN
2 PEEP, AutoPEEP, P 0.1
3 VI TIDAL, VE TIDAL, VE MIN
4 PEEPH, PEEPL, FPEAK
5 RRESP, RRSPONT, VEMIN SPONT
6 TI , T E, I : E
7 EXP.FLOW, RSBi, O2
8 CL, RA
9 HR, SpO2
10 EtCO2, Ins, RRESP
Table 3-3-1. Displayed items by the page
Displayed status can be confirmed in Monitoring Menu overall. If you want more information,
refer to [3-4-2. Monitoring].

3-3-2. Waveform and alarm status

It displays WAVE, ALARM STATUS and MESSAGE to ventilator or patient
factor. Refer to Section 4 for alarm information.
ⓐ Alarm message
ⓑ Freeze
Button
ⓒ WAVE
Figure 3-3-2. Waveform, Freeze and Alarm status
Part Number Display Explanation
Alarm It displays alarm message.

ⓐ
message Refer to Section 4 for alarm information.
Freeze If press Freeze button, measurement keep going but display stop.
ⓑ
button Press Freeze button again, display start again.
It displays waveforms of Pressure, Flow, Volume, SpO2(Option),
ⓒ WAVE EtCO2(Option), P-V. V-F, P-F graph and Trend graph.
Refer to [3-4-3. Graphics] for alarm information.
Table 3-3-2. Waveform and alarm status explanation

3-3-3. Menu and Setting information

It displays respiratory mode of VENT Mode. It shows different table of
setting table to each Mode.
ⓓ
ⓐ
Figure 3-3-3. Menu and Setting information Display explanation ⓔ
Part Number Display Explanation
ⓐ Menu Refer to [3-3-4-3. Menu Screen]
ⓑ Setting information Refer to [3-3-4-4. SETTING TOUCH]
It displays AC Power. (It maybe changed Battery

ⓒ
Status)
ⓓ TOUCH ON/OFF
ⓔ It displays ratio of I:E
Table 3-3-3. Setting information Display explanation

3-3-4. TOUCH SCREEN

MV2000(Touch) can be operated by screen touch. It displays the Touch Area on
screen. It is possible to touch the area within outlined area.
Figure 3-3-4. TOUCH Screen information
Part
Display Explanation Ref.
Number
VENT
ⓐ Select to change the vent mode. 3-3-4-1
TOUCH
If you TOUCH waveform screen, the waveform can be
ⓑ Waveform 3-3-4-2
converted to other waveforms.
Status Can be change different values.
ⓒ -
information Refer to [3-3-1. Status information]
ⓓ Menu Select to change the menu setting with touch. 3-3-4-3
Setting During vent mode operating, you can change the vent
ⓔ 3-3-4-4
screen setting value.
Table 3-3-4. TOUCH Screen information explanation

3-3-4-1. VENT TOUCH SCREEN
You can go directly to the breathing mode settings in [VENT] TOUCH area
Figure 3-3-4-1(1). VENT MODE SETTING SCREEN
If you choose VENT MODE, the following screen will appear. After entering the setting,
touch [ACCEPT] button, chosen mode will start. Refer to [3-4. MV2000 Start]
Figure 3-3-4-1(2). VENT MODE setting screen (V-ACV Mode)

3-3-4-2. Waveform screen
The border area is the waveform screen
Figure 3-3-4-2. Waveform screen information
If you TOUCH waveform screen, you can be change the measured graph.
Refer to [3-4-3. Graphics]

3-3-4-3. MENU SCREEN
As follow; TOUCH Menu screen or use encoder, for each menu screen appears.
Figure 3-3-4-3. MENU SCREEN information
For a description of each menu are as follows.
Part
Explanation Ref.
Number
Monitoring Overall, the measured data shows for each mode. 3-4-2
Graphics Can set Screen Layout and Trend Timing. 3-4-3
Tools Use Insp. hold and Exp. hold. 3-4-4
Events Can check Event occurred. 3-4-5

Setup preferences, patient information, date modified, calibration
System
settings are configured.
3-4-6
Alarms Set the alarms. 3-4-7

Table 3-3-4-3. MENU SCREEN explanation

3-3-4-4. SETTING screen

In breathing mode of operation, you can select the area of the SETTING screen (figure
3-3-4-3) and change the vent variable. If you re-click that variable, change the
breathing variable that is applied immediately.
Figure 3-3-4-3. SETTING TOUCH screen information (V-ACV mode)
Also, depending on the operating mode automatically changes SETTING screens.
VENT MODE SETTING screen list
V-ACV V Tidal, R RESP, T PAUSE, F PEAK, PEEP, O2
V-SIMV V Tidal, R RESP, T PAUSE, F PEAK, PEEP, O2
P-ACV P INSP, R RESP, T INSP, T RISE, PEEP, O2
P-SIMV P INSP, R RESP, T INSP, T RISE, PEEP, O2
SPONT P SUPP, T RISE, APNEA, T RIG, PEEP, O2
tBiLEVEL P SUPP, R RESP, TH PEEP, PEEP H, PEEP L, O2
NIV P INSP, R RESP, T INSP, T RIG, PEEP, O2
PRVC V Tidal, R RESP, T INSP, T RIG, PEEP, O2
AUTO P INSP, R RESP, T INSP, T RIG, PEEP, O2
Table 3-3-4-3. SETTING screen explanation

3-4. Start MV2000
To start MV2000, select the patient's condition and enter the patient's height in the
Standby screen, and press START button to begin. Press Modes button in the top
right corner to set the VENT mode. Also TOUCH ⓐ area, move immediately to
selected mode setting screen.
Figure 3-4. Standby screen
Explanation
Add a new patient or load Recently the patient setting.
If the patient's height decisions, according to age and gender

will automatically calculate IBW.(Ideal Body Weight).
Move immediately to selected mode setting screen.
If you enable Alarm AUTO, Start button is automatically set by

the Alarm.
Start MV2000.
Power off MV2000.
Table 3-4. Standby screen explanation

3-4-1. VENT MODE
MV2000 has the ventilation mode which are SIMV(VSIMV,PSIMV), ACV(VACV, PACV,
other company calls CMV to Mandatory Mode), Spontaneous Mode, tBi-Level, NIV,
PRVC and AUTO Mode.
Figure 3-4-1. VENT MODE menu
VENT Operating
Explanation Ref.
MODE MODE
Volume based Assistance Controlled Ventilation
V-ACV V-ACV It controls Patient Ventilation by force from air volume. And 3-4-1-1
it controls expiration time and inspiration time by force.
Volume based Synchronized Intermittent Mandatory
V-SIMV V-SIMV Ventilation. It controls Patient Ventilation to air volume from 3-4-1-2
Synchronized Intermittent Mandatory Ventilation
Pressure based Assistance Controlled Ventilation
P-ACV P-ACV 3-4-1-3
It controls Patient Ventilation by force from air pressure.
Pressure based Synchronized Intermittent Mandatory
P-SIMV P-SIMV It controls Patient Ventilation to air pressure from 3-4-1-4
Synchronized Intermittent Mandatory Ventilation.
Spontaneous Ventilation.
SPONT SPONT 3-4-1-5
It supports spontaneous breathing.
It is same to SPONT. And it has Upper PEEP. (Refer to
tBiLEVEL tBiLEVEL 3-4-1-6
SPONT)
Non Invasive Ventilation
NIV NIV It is mask type, not tubing type. It work P-ACV allow to 3-4-1-7
leakage. (Refer to P-ACV)
Pressure Regulated Volume Controlled Ventilation
PRVC PRVC Breath are delivered mandatorily with a constant flow to 3-4-1-8
assure present volumes.
Quick Start according to the weight of patient. (P-ACV
AUTO P-ACV 3-4-1-9
Controlled)
Figure 3-4-1. VENT MODE menu explanation

3-4-1-1. VACV
VACV (Volume based Assistance Controlled Ventilation) :

It controls Patient Ventilation by force from tidal volume. And it controls
expiration time and inspiration time by force. ViTIDAL means inspiration volume
to supply patient.
Figure 3-4-1-1. V-ACV SETTING screen

Setting
Item Unit Step Explanation
Range
It decides volume of 1 breath.
NOTE : It set the volume of patient weight. It is 10mL
VTIDAL 5 ~ 2500 mL 5
per 1kg. (You can set the volume per 1kg in [SYSTEM
- SETUP - BWF] Menu.)
RRESP 2 ~ 120 BPM 1 It set the respiratory rate per 1 minute.
Inspiration Pause Time. It set the inspiration pause
TPAUSE 0.0 ~ 2.0 sec 0.1
time.
PEEP 0 ~ 45 cmH2O 1 It set the PEEP pressure.( Base pressure of patient)
O2 21 ~ 100 % 1 It set the percent of O2 to patient.
FPEAK 5 ~ 180 LPM 1 It set the flow-peak (maximum velocity) to patient.
It set percent of Flow (supply velocity) / Fpeak (supply
FEND 25 ~ 100 % 5
maximum velocity) to End-tidal.
It set the sensitivity of one breath completion of patient
EnSENS 10 ~ 60 % 10 during to setting of percent of patient expiration
volume.
TRIGGER PRESSURE
- - It sets the type of trigger. It is Pressure or Flow type.
TYPE /FLOW
cmH2O Setting to detect spontaneous breathing signal, There
F(P)TRIG 0.5 ~ 20 0.5
/LPM are pressure and Flow type. User can select one.
SIGH OFF, 30, 60, It sets breathing rate timing in sigh mode. Don’t
RPB 30
MODE 90,120 support over 1500mL volume.
ACCEPT - - - Execute V-ACV Mode.
CANCEL - - - Go back to previous menu
Table 3-4-1-1. V-ACV SETTING screen explanation
A/C (Volume Control) - V-ACV
If MEKANT perceives spontaneous breathing it works the Assisted Mandatory Breath. If

not it works Controlled Mandatory Breath.
When MEKANT works in Volume Control Ventilation it decides inspiratory time for
setting of tidal volume and peak flow. Also inspiratory time is influenced by flow pattern
and plateau.
In the case of I:E ratio decides it for factor of inspiratory time and respiratory rate.
When you change the factor of I:E ratio and inspiratory time, you can know cycle time,
inspiratory time, expiratory time and I:E ratio through breath timing bar.

3-4-1-2. VSIMV
VSIMV (Volume based Synchronized Intermittent Mandatory Ventilation) :

It controls Patient Ventilation to tidal volume from Synchronized Intermittent Mandatory
Ventilation. ViTIDAL means inspiration volume to supply patient.
Warning
MEKANT synchronized spontaneous breathing or in case of without
spontaneous breathing signal MEKANT ventilate by pressure.
Figure 3-4-1-2. V-SIMV SETTING screen

Setting
Range
NOTE : It set the volume of patient weight. It is
VTIDAL 5 ~ 2500 mL 5
10mL per 1kg. (You can set the volume per 1kg
in [SYSTEM - SETUP - BWF] Menu.)
RRESP 2 ~ 120 BPM 1 It sets the respiratory rate per 1 minute.
Inspiration Pause Time
TPAUSE 0.0 ~ 2.0 Sec 0.1
It set the inspiration time.
It set the PEEP pressure. ( Base pressure
PEEP 0 ~ 45 cmH2O 1
of patient)
O2 21 ~ 100 % 1 It sets the percent of O2 to patient.
It sets the flow-peak (maximum velocity) to
FPEAK 5 ~ 180 LPM 1
patient.
It sets percent of Flow (supply velocity) / Fpeak
FEND 25 ~ 100 % 5
(supply maximum velocity) to End-tidal.
It sets the sensitivity of one breath completion
EnSENS 10 ~ 60 % 10 of patient during to setting of percent of patient
expiration volume.
It sets the sensitivity of one breath completion
ExSENS 10 ~ 60 % 10 of patient during to setting of percent of patient
inspiration volume.
TRIGGER PRESSURE It sets the type of trigger.
- -
TYPE /FLOW It is Pressure or Flow type.
Setting to detect spontaneous breathing signal,
cmH2O
F(P)TRIG 0.5 ~ 20 0.5 There are pressure and Flow type. User can
/LPM
select one.
It sets the pressure to patient during
PSUPP 0 ~ 45 cmH2O 1
spontaneous breathing.
ACCEPT - - - Execute VSIMV Mode.
Table 3-4-1-2. V-SIMV SETTING screen explanation

SIMV (Volume Control or Pressure Control) only Mandatory Breath
SIMV is a mixed ventilator mode that allows both mandatory and spontaneous breaths.
SIMV mode differs to other company. SIMV of MEKANT guarantees one of mandatory
breath per SIMV cycle. This mandatory breath works by patient initiated mandatory
(PIM or Assisted Mandatory) breath or ventilator initiated mandatory (VIM or Controlled
Mandatory).
As the below figure shows, each SIMV breath cycle (Tb) has two parts. One is the
mandatory interval (Tm) and the other is Spontaneous Interval (Ts). PIM is delivered,
the Tm interval ends and the ventilator switches to the spontaneous interval (Ts). If a
PIM is not delivered, the ventilator delivers a VIM at the end of the mandatory interval,
and then switches to the spontaneous interval.
In the SIMV mode of MEKANT, SIMV Breath Cycle is decided by respiratory rate of
setting. If respiratory rate is 12 times, SIMV Breath Cycle is 5 seconds. Mandatory
Interval is defined as whichever is less 0.6 x SIMV Breath Cycle, or 10 seconds.
Mandatory interval can be shorter according to PIM breath.

3-4-1-3. PACV
PACV(Pressure based Assistance Controlled Ventilation) :
It controls Patient Ventilation by force from air pressure.
Figure 3-4-1-3. P-ACV SETTING screen
Setting
Range
PINSP 5 ~ 80 cmH2O 1 It sets the pressure to patient during inspiration.
TINSP 0.2 ~ 9.9 sec 0.1 It sets the inspiration time.
It sets the PEEP pressure. (Base pressure of
PEEP 0 ~ 45 cmH2O 1
patient)
TRISE 0.1 ~ 0.5 sec 0.1 It sets the flow speed of gas to patient.
It sets the sensitivity of one breath completion of
EnSENS 10 ~ 60 % 10 patient during to setting of percent of patient
expiration volume.
TRIGGER PRESSURE It sets the type of trigger.
- -
TYPE /FLOW It is Pressure or Flow type.
cmH2O
F(P)TRIG 0.5 ~ 20 0.5 There are pressure and Flow type. User can select
/LPM
one.
ACCEPT - - - Execute PACV Mode
Table 3-10. PACV Menu Explanation

A/C (Pressure Control) PACV
When MEKANT provide pressure control ventilation of mandatory breath, it draws

inspiratory pressure instead of tidal volume and it sets I:E ratio or inspiratory tim
e instead of peak flow same as other company.
But as the below figure shows, it is differ to slope of increase – baseline (PEEP)
to Inspiratory pressure – according to setting of flow acceleration percent (FAP).
According to an increment of FAP setting value, slope of pressure is rapid. If not slope
of pressure is gentle. If you show slope of flow, you know that FAP is the change of
flow volume to patient. FAP sets PCV and PSV each other.
MEKANT keeps on pressure regularly during inspiration same as other company.

So it has Ramp shape of flow pattern and cannot use plateau function.
MEKANT is more activity and elaborateness for control of airway pressure becau
se it has exhalation valve and active exhalation valve. So it controls pressure to
exhalation valve in patient’s talk, cough. And it allows spontaneous breath. It is s
pecial function only MEKANT. It explain figure of next page.

3-4-1-4. PSIMV
PSIMV(Pressure based Synchronized Intermittent Mandatory Ventilation) :

This mode is that MEKANT control artificial respiration by spontaneous breath and
pressure.
Warning
MEKANT synchronized spontaneous breathing or in case of without
spontaneous breathing signal MEKANT ventilate by pressure.
Figure 3-4-1-4. P-SIMV SETTING screen

Setting
Range
Setting the patient pressure to once
PINSP 5 ~ 80 cmH2O 1
breath.
TINSP 0.2 ~ 9.9 sec 0.1 Setting the inspiration Time.
RRESP 2 ~ 120 BPM 1 Setting number of breath per minute.
PEEP 0 ~ 45 cmH2O 1 Setting PEEP pressure. (Base Pressure)
O2 21 ~ 100 % 1 Setting oxygen density.
TRISE 0.1 ~ 0.5 sec 0.1 It sets the flow speed of gas to patient
Setting sensitivity of expiration by ratio of
EnSENS 10 ~ 60 % 10
expiration capacity.
ExSENS 10 ~ 60 % 10
inspiration capacity.
TRIGGER PRESSURE cmH2O It set the type of trigger.

-
type /FLOW /LPM It is Pressure or Flow type.
cmH2O
TRIGGER 0.5 ~ 20 0.5 There are pressure and Flow type. User can
/LPM
select one.
Setting pressure of patient when it
PPS 0 ~ 45 cmH2O 1
is working spontaneous breathing.
ACCEPT - - - Execute P-SIMV Mode.
Table 3-11. PSIMV Menu Explanation

SIMV (Volume Control or Pressure Control) only Mandatory Breath
SIMV mode is able to work Mandatory Breath and Spontaneous Breath. MEKANT’s
SIMV mode is difference with other equipment. MEKANT’s SIMV mode guarantees at
least one Mandatory Breath per each cycle. This Mandatory Breath is one of the
alternative Patient Initiated Mandatory (PIM or Assisted Mandatory) Breath or Ventilator
Initiated Mandatory (VIM or Controlled Mandatory) Breath.
As bellow figure each SIMV Breath Cycle has two parts one is Mandatory Interval (Tm)
and other one is Spontaneous Interval (Ts). After receive PIM Breath signal the
Mandatory Interval was terminated and then to start Spontaneous Interval (Ts). If PIM
Breath does not happen until Mandatory Interval terminate It will finish Mandatory
Interval and then change to Spontaneous Interval with VIM Breath.
MEKANT SIMV mode’s SIMV Breath Cycle depend on number of breath. For example
if set Respiratory Rate is 12 SIMV Breath Cycle is 5 sec. Mandatory Interval is taken
smaller value maximum 10 sec or 0.6 x SIMV Breath Cycle. Mandatory Interval will be
shorter by PIM Breath.

3-4-1-5. SPONT
SPONT(Spontaneous Ventilation) :
It supports spontaneous breathing.
Warning
When MEKANT is working SPONT mode to apnea status during
setting time, it change mode(V-ACV) of Apnea Backup setting
automatically. It does change back SPONT mode, when 3 times
spontaneous breaths within 10 seconds in apnea backup mode.
Figure 3-4-1-5. SPONT SETTING screen

Setting
Item Unit STEP Explanation
Range
It sets the PEEP pressure. (Base pressure of
PEEP 0 ~ 45 cmH2O 1
patient)
ExSENS 10 ~ 60 % 10 patient during to setting of percent of patient
inspiration volume.
TRIGGER PRESSURE It sets the type of trigger. It is Pressure or Flow

- -
TYPE /FLOW type.
cmH2O
/LPM
select one.
It sets the pressure to patient during spontaneous
breathing.
If patient has not breath of setting time it works
APNEA OFF ~ 60 sec 10 Apnea mode. It does not detect breath of patient
during “OFF”
ACCEPT - - - Execute SPONT Mode.
Table 3-9. SPONT Menu Explanation
SPONT mode only
If spontaneous breath reaches to sensitivity, it makes pressure between setting of

sensitivity and 1 cmH20 through flow supply according to patient flow demand. If
Pressure is bigger than 1 cmH20, it starts expiration to opening Exhalation valve. If
patient has apnea breath, MEKANT occurs Apnea alarm and start Apnea ventilation
(VACV Mode).
It works setting of Respiratory Rate, Tidal Volume, Inspiratory Pressure, Peak Flow,
Inspiratory Time, FiO2 and so on.
It works same as pressure support ventilation. Also if patient has apnea breath,
MEKANT occurs Apnea alarm and start Apnea ventilation. But it change previous
spontaneous mode if patient has 3 times spontaneous breaths within 10 seconds.

3-4-1-6. tBiLEVEL
tBiLEVEL: It works same as SPONT mode and it has Upper PEEP.
Figure 3-4-1-6. tBiLEVEL SETTING screen
Setting
Range
Setting High PEEP Time. (Upper pressure
TH PEEP 0.2 ~ 24 sec 0.1
holding time).
RRESP 2 ~ 30 BPM 1 Setting patient’s number of breath.
PEEP HIGH 5 ~ 45 cmH2O 1 Setting High PEEP. (Upper pressure).
PEEP LOW 0 ~ 45 cmH2O 1 Setting Low PEEP. (Base Pressure of patient).
O2 21 ~ 100 % 1 Setting oxygen density of air
ExSENS 10 ~ 60 % 10
inspiration capacity.
TRIGGER PRESSUR It sets the type of trigger. It is Pressure or Flow
- -
TYPE E /FLOW type.
cmH2O
/LPM
select one.
Setting pressure of patient when it is working
spontaneous breathing.
ACCEPT - - - Execute tBiLEVEL Mode.
Table 3-4-1-6. tBiLEVEL SETTING Explanation

tBILEVEL Mandatory Breath
MEKANT’s tBILEVEL mode is complex mode it may happened Mandatory Breath and
Spontaneous Breath. Because it works as SIMV mode but it difference because
Spontaneous range not fixed. So, anytime it is able to Spontaneous Breath.
tBILEVEL has two level of PEEP to supply patient. The upper PEEP is PEEPHIGH and
lower PEEP is PEEPLOW. Mandatory Breath’s Inspiration is from PEEPLOW to PEEPHIGH
and Expiration is from PEEPHIGH to PEEPLOW . So tBILEVEL mode’s Mandatory Breath
is Pressure Control Ventilation. Each change time of before and after small zone is
changing zone, this zone purpose is to detect patient breath if it detect patient breath it
would adjust little early or late to start change inspiration and expiration for
synchronizing with patient breathing.
Setting parameters are Respiratory Rate, PEEPHIGH, PEEPLOW and so on, In case of
Pressure Support Ventilation there is more add Support Pressure, FAP, Essens and so
on.
MEKANT’s tBILEVEL mode supplies 1.5 cmH2O Pressure in Spontaneous Breath. If

user want to more high pressure support it will use Pressure Support Ventilation setting.
If Support Pressure + PEEPL value is higher than PEEPH It will be working pressure
support ventilation difference than Spontaneous breath works Pressure Support
Ventilation. Refer to the figure below.

tBILEVEL mode is able to work Spontaneous Breath any time it reduce fighting
between ventilator and patient. It can reduce sedation so patient gets over more sort
All of Spontaneous Breath supplies Pressure Support Ventilation so patient feel more
comfortable. If it using opposite I:E ratio it means very sort Expiratory Time it is Airway
Pressure Release Ventilation(APRV) status. This APRV is one of best way to apply
ARDS (Adult Respiratory Distress Syndrome).

3-4-1-7. NIV
NIV : Mask type ventilation, it works similar P-ACV mode with air leakage.
Figure 3-4-1-7. NIV SETTING screen
Setting
Range
PINSP 5 ~ 80 cmH2O 1 Setting the patient pressure to once breath.
TINSP 0.2 ~ 9.9 sec 0.1 Setting the inspiration Time
RRESP 2 ~ 106 BPM 1 Setting number of breath per minute.
PEEP 0 ~ 45 cmH2O 1 Setting PEEP pressure. (Base Pressure)
O2 21 ~ 100 % 1 Setting oxygen density.
TRIGGER PRESSUR It set the type of trigger. It is Pressure or Flow
- -
TYPE E /FLOW type.
cmH2O
/LPM
select one.
ACCEPT - - - Execute NIV Mode.
Figure 3-4-1-7. NIV SETTING screen explanation

▣ NIV (None Invasive Ventilation)
Mask type ventilation, it works similar P-ACV mode with air leakage. If air leak alarm
occurs frequently, adjust inspiration and expiration leak volume.
It can set [Alarm] => [AIR LEAK] menu.
NIV mode need to prepare unexpected leak air, at the same time, must supply a stable
pressure. During exhausted time, supply airway need to be feedback quickly.
By maintain flow trigger performance, it can be make stable PSV.

3-4-1-8. PRVC
PRVC (Pressure Regulated Volume Controlled Ventilation) :

Breaths are delivered mandatorily to assure present volumes, with a constant
inspiratory pressure continuously adapting to the patient’s condition. The flow
pattern is decelerating.
Figure 3-4-1-8. PRVC SETTING screen

Setting
Range
NOTE : It set the volume of patient weight. It is
VTIDAL 5 ~ 2500 ml 5
10mL per 1kg. (You can set the volume per 1kg in
[SYSTEM - SETUP - BWF] Menu.)
TINSP 0.2 ~ 9.9 sec 0.1 Setting the inspiration Time
It sets the PEEP pressure.( Base pressure of
PEEP 0 ~ 45 cmH2O 1
patient)
TRISE 0.1 ~ 0.5 sec 0.1 It sets the flow speed of gas to patient
EnSENS 10 ~ 60 % 10 patient during to setting of percent of patient
expiration volume.
TRIGGER PRESSURE It sets the type of trigger. It is Pressure or Flow

- -
TYPE /FLOW type.
cmH2O
F(P)TRIG 0.5 ~ 20 0.5 There are pressure and Flow type. User can select
/LPM
one.
PRESSURE It sets the patient pressure limit to set over

3 ~ 80 cmH2O 30
LIMIT pressure.
ACCEPT - - - Execute PRVC Mode
Table 3-4-1-8. PRVC SETTING screen explanation

PRVC (Pressure Regulated Volume Controlled Ventilation)

Despite of the advantage of the pressure mode, a long time or a sudden change in
status of the patient, or pure breathing changes for a long time, the PRVC mode
resolve this instability mode.
.
Initial Operation of PRVC ( 1st Breahing )
Pressure Regulation Operation at Compliance change of Patient

3-4-1-9. AUTO
AUTO :
Emergency Quick Start function it requirement patient body weight. It works PACV
Mode. This menu purpose is that in case of emergency patient user have to start
quickly so it has minimum stability. All parameters are setup default and user can
execute with only body weight. When "Auto Mode", on the top left corner, [AUTO] is
flashing.
Figure 3-4-1-9. AUTO SETTING screen
Setting
Range
ACCEPT - - - Execute AUTO Mode
Table 3-4-1-9. AUTO SETTING screen explanation

3-4-2. Monitoring
Overall, the measured data shows for each mode.
Table 1 : Display the contents about ventilator.
Table 2 : Display HR, SpO2, EtCO2, Ins, RRESP.
Figure 3-4-2-(1). Monitoring screen(Table 1)
Figure 3-4-2-(2). Monitoring screen(Table 2)

3-4-3. Graphics
By using Graphics menu, you can change each Screen Layout and Trend Timing.
Refer to [Figure 3-4-3(1)].
Figure 3-4-3(1). Graphics screen
You can change the update period of Trend screen.

When set to [1 RESP], Trend data will be updated each respiratory.

When Layout select, the screen arrangement will be change as follow.
Item Explanation
Layout 1
Pressure, Flow, Volume graphs are displayed.
Layout 2
Two graphs among Pressure, Flow, Volume are
displayed.
Two graphs among P-V, V-F, P-F are displayed.
Layout 3
displayed.
One graph among P-V, V-F, P-F are displayed.
Two trend graphs are displayed.
Layout 4
displayed.
Four trend graphs are displayed.

The method of selecting a graph, just touch the screen.
The TOUCH areas are [Figure 3-4-3(2)] as follow;
ⓑ ⓒ
Figure 3-4-3(2). Graphics TOUCH areas
Item Explanation
Waveform graph display.

ⓐ
When waveform TOUCH, select menu is displayed.
Loop graph display.
ⓑ
When Loop graph TOUCH, select menu is displayed.
Trend graph display.
ⓒ
When Trend graph TOUCH, select menu is displayed.
Table 3-4. Graphics menu explanation

3-4-4. Tools
This menu is to measure [Inspiration hold time] and [Expiration hold time].
Figure 3-4-4. Tools screen
Item Explanation
Insp. hold It measures for 1 second the compliance and resistance.
Exp. hold After EXPIRATION 1 second holding, it measures the AUTO PEEP.
Table 3-4-4. Tools Explanation

3-4-5. Events
When an event occurs, Events screen can be found at.
Figure 3-4-5. Events screen
Item Explanation
Setting When alarm setting change, events will be displayed.
Alarm When alarms appear, events will be displayed.
ALL All events will be displayed.

Table 3-4-5. Events explanation

3-4-6. SYSTEM
SYSTEM MENU is made up SETUP menu, PATIENT menu, DATE menu and
CALIBRATION menu.
Figure 3-4-6. SETUP MENU screen configuration
3-4-6-1. SETUP
It is setting for user. There are BWF, Nebulizer time, O2 sensor ON/OFF, Initial
Trend, BTPS ON/OFF, Sound Volume, Altitude, Air temperature.
Item Explanation Ref.

BWF Setting body weight of patient in mL/kg. 3-4-5-4-1
Nebu. Time Setting operating time of nebulizer(10 ~ 180 minutes) 3-4-5-4-2
O2 Sensor Set to use the O2 Sensor. 3-4-5-4-3
Trend Init Initialize Trend graph and Trend data. 3-4-5-4-4
BTPS BTPS ON/OFF switch. 3-4-5-4-5
Sound Vol. Adjust sound volume. 3-4-5-4-6
Altitude Set the altitude. 3-4-5-4-7
Air Temp Set the air temperature. 3-4-5-4-8
Table 3-4-6-1. SETUP MENU screen explanation

3-4-6-1-1. BWF
Set body weight of patient in mL/kg.
Setting
Range
BWF 5~15 mL/kg 1 Volume / Body weight
Table 3-4-6-1-1. B/W FACTOR explanation
3-4-6-1-2. Nebu. Time

Set nebulizer operating time in minute.
Setting
Range
Nebulizer
10 ~ 180 min 10 Setting operating time of nebulizer.
Time
Table 3-4-6-1-2. Nebu. Time explanation
3-4-6-1-3. O2 SENSOR
Set to use the O2 Sensor ON/OFF.
- ON : It is setting O2 sensor is normal.
- OFF : Set O2 sensor is abnormal or O2 Gas is empty.
Setting
Range
O2
ON / OFF - - Set to use the O2 Sensor ON/OFF.
SENSOR
Table 3-4-6-1-3. O2 SENSOR explanation
3-4-6-1-4. Trend Init.

Initialize Trend graph and Trend data.

3-4-6-1-5. BTPS
BTPS is "Body Temperature and Pressure Saturated with Water Vapor".
In respiratory physiology lung volumes and flows are standardized to barometric
pressure at sea level.
Setting
Range
BTPS ON / OFF - - BTPS ON/OFF switch.
Table 3-4-6-1-5. BTPS explanation
3-4-6-1-6. Sound Vol.

Adjust sound and beep volume.
Setting
Range
Sound Vol. 10 ~ 100 % 10 Set alarm sound volume.

Table 3-4-6-1-6. Sound Vol. explanation
3-4-6-1-7. Altitude
Set altitude height in meter.
Setting
Range
-100 ~
ALTITUDE METER 20 Set height of altitude.
5000
Table 3-4-6-1-7. Altitude explanation
3-4-6-1-8. Air Temp.

Set air temperature in centigrade.
Setting
Range
Air Temp 0 ~ 50 ℃ 1 Set air temperature of centigrade.
Table 3-4-6-1-8. Air Temperature explanation

3-4-6-2. PATIENT
Input the patient's information.
Figure 3-4-6-2. PATIENT screen
Item Mode Explanation
BED NUM. - Set BED Number
ID - Set the patient's ID number.

External communication with a LAN connection, Set the IP
IP -
address number.
External communication with a LAN connection, Set the IP
PORT -
PORT number.
PassWord - Enter the password(77) for IP and PORT.
Table 3-4-6-2. Patient screen explanation

3-4-6-3. Date
Set date and time.
There are main and pneumatic SW version information, Ventilator operating time.
Figure 3-4-6-3. Date screen

3-4-6-4. Calibration
You can perform the Calibration of Ventilator, O2 sensor, Ins-Exp, EtCO2.
Figure 3-4-6-4. Calibration screen
Item Explanation Ref.
SELF It is calibration mode for flow sensors. 3-4-6-4-1
O2 Calibration O2 Sensor 3-4-6-4-2

It is calibration mode for striking balance between
INS-EXP 3-4-6-4-3
inspiration flow sensor and expiration flow sensor.
EtCO2 Calibration EtCO2 Sensor 3-4-6-4-4
Table 3-4-6-4. Calibration explanation

3-4-6-4-1. SELF CALIBRATION
It is calibration mode for flow sensors. It has 2 flow sensor calibrations. One is
offset calibration of Inspiration flow sensor and the other is offset calibration of
expiration flow sensor.
CAUTION : Before calibration, MV2000 must be separated from patient.
Item Range Explanation
SELF CALIBRATION START / OFF Inspiration and expiration flow sensor offset calibration.
Table 3-4-6-4-1. SELF CALIBRATION explanation
3-4-6-4-2. O2 CALIBRATION
Calibrate O2 Sensor. Push the encoder button and O2 calibration start. After few
seconds O2 calibration is stopped. Measured O2 sensor calibration data is saved in
memory.

O2 CALIBRATION START / OFF Calibration O2 Sensor
Table 3-4-6-4-2. O2 CALIBRATION explanation
3-4-6-4-3. INS-EXP CALIBRATION

It is calibration mode for striking balance between inspiration flow sensor and
expiration flow sensor.

It is calibration mode for striking balance between
INS-EXP inspiration flow sensor and expiration flow sensor. Turn
START / OFF
CALIBRATION the encoders to the left and right, Ins Volume and Exp
Volume is adjusted to match.
Table 3-4-6-4-3. INS-EXP CALIBRATION explanation
Turn the encoders to the left and right, you should be adjusted to match the measured
data and setting data.
For more accurate INS-EXP CALIBRATION, operated the ventilator for 3 hours and
then INS-EXP CALIBRATION can get better results.
The important things to note that [EXP. GAS] setting is set to DRY GAS state, and then
start INS-EXP CALIBRATION. If [EXP. GAS] be set HUMID GAS, less volume is
measured.
BF means Base Flow. BF is the difference of inspiratory flow and expiratory flow.

3-4-6-4-4. EtCO2 CALIBRATION

If you have EtCO2 module, Calibration is performed.

EtCO2 CALIBRATION START / OFF CALIBRATION EtCO2
Table 3-4-6-4-4. EtCO2 CALIBRATION explanation

3-4-7. ALARM SET
To adjust alarm levels for each measured value, Turn the encoders to the left and right,
and then set the value.
Figure 3-4-7. Alarm setting screen

Item Setting Range Unit STEP Explanation
VE TIDAL HIGH 20 ~ 2500,OFF mL 10 Upper limit of patient’s capacity.
VE TIDAL LOW OFF, 0 ~ 2500 mL 10 Lower limit of patient’s capacity.
VE MIN HIGH 0.1 ~ 50.0 LPM 0.1 Upper limit of patient’s breath of capacity.
VE MIN LOW 0.0 ~ 49.9 LPM 0.1 Lower limit of patient’s breath of capacity.
R RESP HIGH 2 ~ 150 BPM 1 Upper limit of number of breath per minute.
R RESP LOW 2 ~ 150 BPM 1 Lower limit of number of breath per minute.
P PEAK HIGH 0 ~ 120, OFF cmH2O 1 Upper limit of patient’s pressure.
P PEAK LOW OFF, 0 ~ 120 cmH2O 1 Lower limit of patient’s pressure.
O2 HIGH 0 ~ 100, OFF % 1 Upper limit of oxygen’s density.
O2 LOW OFF,0 ~ 100 % 1 Lower limit of oxygen’s density.
Difference breath of capacity between Ins.
AIR LEAK 0 ~ 500 mL 10
Volume and Exp. Volume.
Table 3-4-7. ALARM screen explanation

Section 4
Section 4 : Alarms ............................................................................................ 87

4-1. General Information .................................................................. 87
4-2. Alarm Massage ......................................................................... 88
Section 4 : Alarms
4-1. General Information
All alarm indicates condition of each situation on LED display window. LCD
monitor shows their warning message.
Figure 4-1. Alarm screen

4-2. Alarm Message
If alarm message is indicated, check the current mode and solve the problem
according to it.
Item Alarm range

PRESSURE HIGH 5 cmH2O ~ 120 cmH2O
PRESSURE LOW 0 cmH2O ~ 50 cmH2O
VTIDAL HIGH 5 ml ~ 2500 ml ,OFF
VTIDAL LOW 0 ml ~ 2500 ml
PEEP HIGH 6 cmH2O ~ 45 cmH2O
PEEP LOW 0 cmH2O ~ 7 cmH2O
O2 HIGH 1% ~ 100%, OFF
O2 LOW 0% ~ 100%
R-R HIGH 3 ~ 150 BPM
R-R LOW 2 ~ 149 BPM
VMIN HIGH 0.1 ~ 50 LPM
VMIN LOW 0 ~ 49.9 LPM
AIR FAIL -
O2 FAIL -
AIR LEAK 0 ml ~ 500 ml
AIR OBST -
APNEA OFF, 10 ~ 60 sec
VENT INOP -
O2 SENSOR ERR -
CIRCUIT OPEN -
BATTERY MODE -
LOW BATTERY DC power loss
COM ERROR
1) AIR FAIL / O2 FAIL

Supplied pressure of Air and O2 is low. Check the Air and O2 line.
2) AIR OBST(Air Obstructed tube)

It is problem between breathing circuit and patient. Check the breathing circuit.
3) VENT INOP(Vent in- operation)

The ventilator is abnormal status. Check the all ventilator system.

4) O2 SENSOR ERR
It is problem O2 sensor. Check O2 sensor.
5) CIRCUIT OPEN
It is problem between breathing circuit and patient. Check the breathing circuit.
6) BATTERY MODE
There is not connected to AC power. DC power is working.
7) COM ERROR
Between DSC and Pneumatic module, communication error is occurred. Check the
all ventilator system.

Appendix A
Appendix ........................................................................................................... 90
A. Operating theory ............................................................................ 90
B. Communications ............................................................................ 92
C. Parts accessories ......................................................................... 95
A. Operating theory
Pneumatic System of MEKANT is composed of 2 pcs of gas circuit. One is for
Oxygen, the other is for Air. Proportional solenoid Valve (PSOLs) is the core of
Pneumatic System. The PSOLs is controlled accurately by Flow sensor and
Microprocessor so that provide accuracy respiration to patient.
MEKANT’s Pneumatic System is divided into inspiratory module, expiratory module

and patient circuit system. Inspiratory module is subdivided into Gas supply, Flow
control, Safety Valve and Inspiration monitoring system.
Figure A-1. PNEUMATIC Block Diagram

Blending Part
Gas supply system provides the equipment high pressure air (35~90 psi ) and Oxygen
from external source of supply, and sense that supplying pressure is not adequate. The
high supplied pressure air and Oxygen is decompressed into 10 psi through each
regulator. Adjustment pressure of Regulator should be measured by pressure valve
(SV1, SV2).

Inspiration Part
Flow control system is the most important part in Pneumatic System. This is composed
of Flow sensor (DP2) and PSOLs (PV1). This system adjusts Tidal volume, Peak Flow,
Flow pattern, Respiratory Rate, Oxygen Percentage. Control of PSOLs is done on
measured value by Microprocessor. Flow sensor is Differential Pressure type.
Safety System
This is divided in Safety Valve section and Inspiration monitoring section. Safety valve
section release excess pressure in the equipment and make a patient breathe with
room air as a passageway.
Safety valve open and release pressure in case interior pressure reach to 115 cmH2O.
And it is a role of passageway to connect to room air in case equipment is defect or no
power, patient’s expiratory limb is closed.
Inspiration monitoring section monitor gas pressure and oxygen concentration provided
the patient. Monitor is measured by Absolute Pressure Transducer (PA) which is
attached inspiratory Pressure Transducer (P2). Oxygen is done by Oxygen sensor.
Expiration Part
This section is for Exhalation. PEEP/CPAP is controlled by Exhalation Valve during

exhalation. Exhalation Valve of MEKANT is Active type and is similar with PSOL. This
active exhalation valve makes tBiLEVEL mode possible and prevent pressure
increasing suddenly.
Flow sensor (DP4) measure Flow and Volume of patient’s expiration gas, and
Expiratory pressure Transducer(P4) measure pressure.
Patient Circuit System
Patient circuit system transits gas which is adjusted in Flow control system to patient,
and makes patient’s exhalation gas to exhalation system.
There is each Bacteria Filter on the connecting part of patient circuit system and
equipment. So they make patient circuit system separate from the ventilator. It makes
gas to be provided the patient heat and humidify in case humidifier is used.

Appendix B
B. Communications
VGA
⑤④③②①
⑩⑨⑧⑦⑥
⑮⑭⑬⑫⑪
Pin Name Direction Description

① RED Red Video (75ohm, 0.7p-p)
② GREEN Green Video(75ohm, 0.7p-p)
③ BLUE Blue Video(75ohm, 0.7p-p)
④ ID2 Not connected
⑤ GND Ground
⑥ RGND Red Ground
⑦ GGND Green Ground
⑧ BGND Blue Ground
⑨ KEY Not connected
⑩ SGND Sync Ground
⑪ ID0 Not connected
⑫ ID1 or SDA Not connected
HSYNC Horizontal Sync
⑬
CSYNC Composite Sync
⑭ VSYNC Vertical Sync
⑮ ID3 or SCL Not connected
Table B-1. VGA serial port pin out

RS-232(serial) port
A 9-pin male connector configured as data terminal equipment (DTE). Allowable current
is 0.2A at 10V DC (maximum).
⑤④③②①
dfgs⑨⑧⑦⑥

① CD(Carrier Detect) Not connected
② RxD(Receive Data) Receive data (RxD)
③ TxD(Transmit Data) Transmit data (TxD)
④ DTR(DataTerminal Ready) Not connected
⑤ SG(Signal Ground) Ground(GND)
⑥ DSR(Data Set Ready) Not connected
⑦ RTS(Request to Send) Not connected
⑧ CTS(Clear to Send) Not connected
⑨ RI(Ring Indicate) Not connected
Table B-2. RS-232 serial port pin out

Communication capabilities (cont)
NOTE :
The connection of accessories or equipment to the ventilator’s RS-232
and remote alarm ports requires electrical separation of conductive
earth (ground) connections between different items of equipment of a
system. The system cable assembly shielding can interconnect the
ventilator and other equipment, increasing the risk of excessive
enclosure leakage current from external equipment. For safe
connection, the shield conductor must have separation of 4mm
between the equipment and ventilator conductors, as show below:
Minimum shield
To Ventilator RS-232 and Cable conductive
Separation
remote alarm input connectors Shielding
4mm
Cable signal lines To accessory equipment

Cable shield earth to ventilator connector
Enclosure protective earth
LCD MONITOR POWER SUPPLY Connector

1

① NC Not connected
② GND GND
12V/ Max 5A, OUTPUT
③ +VCC(+12V/5A)
LCD MONITOR POWER SUPPLY
④ NC Not connected
Table B-3. LCD Monitor Power Connector port pin out

Parts accessories Appendix C
C. Parts accessories
▣ STANDARD
Part
Item Photo Q’ty Description
Number
1404035
Circuit Arm 1
20
1414000
1 Air Gas / Yellow
20
High Pressure Hose
1414000
1 O2 Gas / Green
30
1424016
Display Panel Cable 1
60
1405001
O2 Sensor 1 Inside the Factory
00
1406016
PEEP Silicone Plate 2
30
1406014
Test Lung 1
20
1417003
Operation Manual 1
80
1406005
Power Cord 1 3m, 220VAC
30

1413002
Ground Cable 1
00
1413001 INLET 50T 6.3A
Fuse 2
70 250V 20mm
1408007
Wrench Driver 2
20
1408007
Battery 1
20
1404010
Circuit Arm Fix Knob 1
00
1421004 O-Ring
53010(O-Ring) 12
00 for PEEP Module
1421004 O-Ring
53030(O-Ring) 3
10 for PEEP Module
1408003 M5x12mm Wrench

Monitor Fix Bolt 3
30 Bolt(For Monitor)
1500001
Body Cover 1
60

Contact Us
Service calls
Followings are telephone numbers and addresses for contacting various service, product
supplies and sales personnel.
Reaching open a service call with MEKICS Co., Ltd., contact the numbers listed below.
MEKICS Co., Ltd.
5F, A-BLDG,WooLimLion, #144-3, Sangdaewon-dong,

Jungwon-gu, Seongnam-si, Gyeonggi-do, Korea 462-725
Tel : + 82-70-7119-2500 Fax : + 82-31-735–2761
URL : www.mek-ics.com
e-mail : service@mek-ics.com
※ In the event of a malfunction or failure, contact Service Dept. of MEKICS Co., Ltd. along with
the model name, serial number, date of purchase and explanation of failure.
Authorized Representative
Pedro Pestana, Lda
Nif : 507662407
Fax : +351214414138
Telef. : +351914881444
0
Adress: Rua Bernardo Marques, n 3, 20 Dt
0
2770-199 Paco de Arcos

Portugal

Mekant: User Manual

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Copyright ○,C2009 MEKICS Co., Ltd.

All rights reserved

MEKANT User Manual

MEK ICS Co., Ltd.

This operator’s manual uses three special indicators to convey information of a

Indicates points of particular emphasis that make operation of the ventilator

Section 1 : Introduction .................................................................................... 1

1-1. Warnings and Cautions ........................................................... 2

1-2. General description ................................................................... 5

1-3. Specifications ............................................................................. 11

1-4. Standards and safety ................................................................. 17

Section 2 : Installation and set up ................................................................... 23

2-1. Installation ................................................................................. 23

2-2. External electrical supply ................................................... 23

2-3. Internal battery ................................................................... 26

2-4. Oxygen and Air supply .............................................................. 29

2-5. Filters ........................................................................................ 30

2-6. Transportation ........................................................................... 31

2-7. Fuse replacement instruction .................................................... 32

Section 3 : Operating instructions .................................................................. 35

3-1. Front panel ................................................................................ 35

3-2. Operating ................................................................................... 37

3-3. Display ....................................................................................... 40

3-4. Start MV2000 ............................................................................. 49

3-4-2. Monitoring ........................................................................ 72

3-4-6. SYSTEM .......................................................................... 78

3-4-6-2. PATIENT ..................................................................... 81

3-4-7. ALARM SET ................................................................... 86

Section 4 : Alarms ............................................................................................ 87

4-1. General Information .................................................................. 87

Service Calls ……………………………………………………..........………………. 97

Section 1 : Introduction .................................................................................... 1

This operator’s manual is allowed to use by doctors or authorized persons who

1 Ventilator User’s Manual

1-1. Warnings and Cautions

━ Please be aware of the manual provided by the manufacturer when it is used

━ Do not use it near inflammable anesthetic to avoid any possible explosion.

━ Users shall be careful with circuit joint to be connected with patients.

2 Ventilator User’s Manual

━ Avoid the place where there is moisture.

━ Do not handle the equipment with wet hands.

━ Avoid the place under direct rays.

━ Use the equipment within the limits of temperature 10 ~ 40 centigrade and

━ Do not place the equipment near electronic heater.

━ Do not place the equipment where it is possible to take vibration or sudden

━ Do not place the equipment where to be damaged by explosive gas or

━ Protect the equipment from dust or metal scrap.

━ Pull out power code with plug grasped, instead of cable.

━ The product can be disassembled by educated and authorized staffs. If a user

3 Ventilator User’s Manual

━ Do not place the product where it is possible to fall to a patient.

━ If a measured figure is turned out not to be correct, consult with hospital

━ Accessories of MEKANT shall be used with the ones provided by MEKICS or

━ MEKANT shall be tested regularly if it is working well.

━ Place the product in stable position.

━ Replace the disposable sensor after use.

━ Sep up the equipment when it is needed.

━ Minimize patient’s move when it is used.

━ The Oxygen Air pressure which is impressed pneumatic block should be