USER MANUAL

o_two e700
AUTOMATIC TRANSPORT VENTILATOR
01EVE700

e700 User Manual (15PL1009 - Rev.16 Sep 2020)

 TABLE OF CONTENTS
1. Safety 4
2. Intended Use 7
3. Overview 8
3.1. Control and Display Layout 8
3.2. Function Keys 9
3.2.1. ON/OFF 9
3.2.2. Control Selection Knob 9
3.2.3. Lock 10
3.2.4. Alarm Silence 10
3.2.5. Waveform 10
3.2.6.Screen Brightness 11
3.2.7. Cancel 11
3.2.8.Pause/Resume 11
3.2.9.Manual / Inspiratory Hold 12
3.3. External Connectors 13
3.4. Patient Circuit 14
3.5. Display 15
3.5.1. Screen Layout 15
3.5.2. Live Monitoring Parameters 18
3.6. Symbols & Notations 19
4. Preparation For Use 20
4.1. Set up 20
4.1.1. Connecting electrical power supply 20
4.1.2. Installing / replacing the battery 20
4.1.3. Connecting the gas supply 21
4.1.4. Connecting patient circuit 22
4.1.5. Turning Ventilator ON 22
4.2. Pre-use check 22
5. Operate Instructions 26
5.1. Startup & setting the ventilation parameters 26
5.2. Ventilation modes 30
5.2.1. A/C V (Assist Control Ventilation) 31
5.2.2. SIMV (Synchronized Intermittent
33
Mandatory Ventilation)

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 5.2.3. BiLVL (Biphasic Positive Airway Pressure) 35
5.2.4. CPAP (Continuous Positive
37
Airway Pressure)
5.2.5. CPR mode 39
5.3. Turning Ventilator OFF 41
6. Post use 42
6.1. Disconnect device after use 42
6.2. Storage 42
7. Alarms and Indicators 42
7.1. Ventilation Alarms 42
7.2. Battery status indicator 45
7.3. LEDs 46
8. Cleaning, Preventive Maintenance & Servicing 47
8.1. Cleaning & Disinfection 47
8.2. Charging the Battery 47
8.3. Ambient Air entrainment Filter 48
8.4. Preventive Maintenance and Servicing 49
9. Technical Data 50
9.1. Specifications 50
9.2. Circuit Description 52
9.3. Battery and Power Supply 52
9.4. Battery Operating time 53
9.5. Electromagnetic Compatibility 53
9.6. Oxygen consumption 55
9.7. Oxygen Concentration delivered against
55
different back pressures
10. Trouble Shooting 56
11. Abbreviations and Acronyms 57
12. Accessories 58
13. Warranty 58

e700 User Manual 3

 1. Safety

WARNING
• U.S. Federal Law restricts this device to sale by or on the order
of a physician.

• The ventilator shall only be used for the purposes specified

under “Intended Use”.

• The ventilator should only be used by qualified personnel

trained in its use.

• Strict adherence to all instructions contained within this manual

is essential for safe use.

• During use, the patient must be constantly monitored by

qualified personnel.

• Alternate means of ventilation such as a manual resuscitator

must be available in case of power failure or malfunction.

• Keep away from open flames, sparks and grease/oil. To avoid

the risk of fire or explosion this ventilator must not be used
with flammable gases or anaesthetic agents. Operating the unit
in a confined space will elevate ambient oxygen levels.

• The ventilation setting will turn off during battery replacement

while the device is in operational mode and the external power
supply is not connected.

• Only use O-Two specified hoses, patient circuits, batteries

and external power supplies to avoid affecting the output
performance of the ventilator. Antistatic or conductive hoses
or tubing are not used in the Ventilator Breathing System.

• Unauthorized modification of this medical device is prohibited.

Do not disassemble or modify any part of the ventilator except
where described in this manual. Any unauthorized disassembly
will void the warranty.

• Do not use this ventilator in toxic environments as entrainment

of ambient air during spontaneous breathing or air mix
mode may permit toxic gases to be delivered to the patient.

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 • Do not use this ventilator within a Magnetic Resonance Imaging
(MRI, NMR, NMI) suite.

• Do not use this ventilator in hyperbaric (high pressure) chambers.

• Do not use the external electrical power supply outdoors as

moisture may affect its function.

• Do NOT allow the power supply plug to contact the patient.

• The performance of this ventilator may be affected if used

near portable and mobile RF telecommunication devices (cell
phones) within the minimum distance specified in section 9.5
of this user manual.

• The intake and exhaust ports on the patient valve must be left
unobstructed for proper function & safety.

• When using a bacterial filter or HME (Heat Moisture Exchanger)

connect the bacterial filter or HME to the patient connection
between the elbow and the endotracheal tube or face mask,
note that this action will increase the dead space. Bacterial
filters or HME may increase breathing resistances.

• Use pressure regulators maintaining a minimum output flow of

120 L/min at a dynamic pressure of minimum 45 PSI to ensure
the proper functioning of the ventilator.

• Operation of this ventilator outside the environmental condition

range specified in this manual may result in a reduction and or
failure in the ventilator’s performance. In extreme temperature
conditions the effect is not noticeable in terms of delivered
ventilations but may cause excessive wear in the ventilator or its
components over time. Extreme low temperatures reduce the
operating time of the battery (Refer to 9.4 battery operating
Time).

• Operation of this ventilator outside the supply pressures range

detailed in this manual may result in reduction in the ventilator’s
performance, component failure, low pressure alarm or possible
loss of automatic cycling.

• Operation of this ventilator outside the electrical power range

detailed in this manual may result in reduction or failure in the
ventilator’s performance. Component failure, inadequate power
of internal components may occur.

e700 User Manual 5

 • Operation of this ventilator below sea level or above 4,000 m
(13,000 feet) may result in reduction or failure in the ventilator’s
performance, low pressure alarm or possible loss of automatic
cycling.

• The ventilator is intended for use in the prehospital, intrahospital,

interhospital and ground transport environments only.

• Connecting the patient circuit to a patient prior to turning on the

ventilator may cause a calibration error.

CAUTIONS
• When the ventilator is not in use, always turn off the gas supply.

• Never allow oil or grease to come into contact with any part of
the cylinder, regulator, or ventilator.

• After use, always ensure that all components are cleaned in

accordance with the instructions provided in this manual. (See
section 8.1 - Cleaning and Disinfection).

• The use of this device in a carrying case may result in an increase

in oxygen concentration or lower than intended ventilation
volume when used in the 60 % air mix mode. When air mix
mode is being used it is recommended that the ventilator be
placed in its normal operating orientation and the air intake on
the side of the ventilator is not obstructed.

• Never operate the ventilator without an intake filter being fitted,

otherwise particles may contaminate the ventilator and affect
its function.

• This ventilator must only be serviced by the manufacturer or its

authorized service centers.

• Device, single use patient circuits and battery packs should be

safely discarded in accordance with local state and institutional
laws and procedures. .

• Spare O-Two patient circuits are recommended at all times.

• The design of this Ventilator does not incorporate a negative

pressure phase during either automatic or manual ventilation.

6 e700 User Manual

 • The external power supply and battery are component parts of
the medical electrical equipment system.

• The ventilator is considered as a high flow device as its

maximum flow output at pressure of 40.6 PSI is around 100
L/min. It should only be connected to a pipeline system that
allows for the indicated high flow to avoid interfering with the
operation of adjacent equipment.

• Always ensure that all components are assembled correctly

and ready for use.

• When selecting very small tidal volumes during ventilation of

infants, take into consideration the dead space in the patient
circuit.

2. Intended Use
The e700 is a time-cycled, volume-constant and pressure-controlled
emergency and transport ventilator designed for use in the pre-
hospital, intra-hospital, inter-hospital and transport settings. It is
intended for use with Adult, child, infant patients with a tidal volume
from 50 ml upwards who are in respiratory and/or cardiac arrest or
respiratory distress and who require the ventilatory support.

e700 User Manual 7

 3. Overview
3.1. Control and Display Layout

N
A

B
M
C

D
L
E

F G H I J

Figure 01

A Warning indicator H Pause/Resume key

B Battery operation indicator I Lock key

C External power indicator J Waveform selection key

D Battery charging indicator K Cancel key

E Manual/Inspiratory Hold key L Confirmation indicator light

F Screen brightness key M Control Selection Knob

G Alarm Silence key N ON/OFF key

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 3.2. Function Keys
While all ventilation parameter settings are controlled by the
Control Selection Knob (M) in Figure 1, there are a number of key
membrane buttons which control additional ventilator functions:

3.2.1. ON/OFF
To turn on the ventilator, Press the ON/OFF button (N) in Figure 01
for one second, during that second the associated green LED will
start flashing at a high frequency. After 1 second the ventilator will
turn on but without ventilation until the appropriate patient size
symbol is selected. If the button is pressed and released for less
than a second, the ventilator will remain OFF.

To turn off the ventilator, Press and hold the ON/OFF button for 4
seconds, the green power LED will start flashing at a high frequency.
After 4 seconds the ventilator will turn off and all ventilation will
stop. If the button is pressed and held for less than 4 seconds, the
ventilator will stay ON.

WARNING
At approximately 2% of full battery capacity, the ventilator will not
start when in the off position or will shut down when operating.

3.2.2. Control Selection Knob

The Control Selection Knob (M) (Figure 01) is used to navigate
between parameters, change modes, select primary function change
when rotated, and to confirm function changes when pressed.
Diagram below illustrates path of cursor when Control Selection
Knob is rotated clockwise.

Control Selection Knob

rotation contour

Direction for clockwise

knob rotation shown

e700 User Manual 9

 3.2.3. Lock
Lock function will disable all buttons and the Control Selection
Knob except for the ON/OFF, Alarm Silence and Day/Night but-
tons, which are enabled at all times.

To lock the key membrane or cancel the lock function:

1. Press the Lock key (I) (Figure 01). The Lock symbol will be
displayed on the screen.
2. To cancel the Lock function, press the Lock key (I) again.

Note: During the Lock function, if any locked key is pressed or the
control knob is pressed or rotated, the Lock symbol on the left of the
screen will flash with these actions.

3.2.4. Alarm Silence

The Alarm Silence key (G) (Figure 01) will silence the audible alarm
for 120 seconds. It could be also selected without an active alarm to
silence potential alarms. This function is activated or deactivated by
pressing the Alarm Silence key once.

When selected, the Alarm Silence symbol will be displayed on the

left of the screen.

CAUTION
Repetitive use of alarm silence without identification of cause of
alarm may pose potential harm to the patient.

3.2.5. Waveform
Pressing the Waveform selection key (J) (Figure 01) will switch
between the pressure and volume ventilation waveforms.

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 3.2.6. Screen brightness
Pressing the Screen Brightness key (F) (Figure 01) will switch
between 4 different brightness levels as follows:

1. Light background with dark color text and waveform at 100%

light intensity.
2. Light background with dark colored text and waveform at 35%
light intensity.
3. Dark background with light colored text and waveform at 100%
light intensity.
4. Dark background with light colored text and waveform at 35%
light intensity.

Note: This feature is active in ventilation mode screens only.

3.2.7. Cancel
The Cancel key (K) (Figure 01) allows the operator to return to the
previous settings if the last unconfirmed changes in settings are not
required.

3.2.8. Pause/Resume
During activation of the Pause/Resume key (H) (Figure 01), the
ventilator will stop ventilating with all un-locked keys kept active
except for the Manual/Inspiratory Hold key (E).

To activate the Pause function, proceed as follows:

1. Press the Pause/Resume key (H) (Figure 01). The Pause symbol
will flash on the left of the screen along with the confirmation
symbol as well as the Confirmation indicator (L) (Figure 01)
to guide users to activate the pause function by pressing the
Control Selection Knob (M) (Figure 01).
2. The symbol will flash for 10 seconds and then disappear if
the Control Selection Knob (M) (Figure 01) is not selected.
Users can also press the Cancel key (K) (Figure 01) to quit this
selection before the 10 seconds.

e700 User Manual 11

 3. Once activated, a flashing yellow pause symbol will be displayed
on the screen and the ventilator will pause ventilation.

Note:
A. During Pause, there will be an audible alarm associated with
a flashing yellow Warning indicator (A) (Figure 01) every 15
seconds. Users can press the Alarm Silence key to disable the
audible alarm for 2 minutes but the yellow Warning indicator
will continue flashing every 15 seconds.
B. During Pause, users can change and confirm new ventilation
settings but no ventilation will occur until the Pause function
is disabled.

4. To cancel the Pause function, press Pause/Resume key (H)

(Figure 01) again. The “Resume” symbol will flash on
the screen along with the confirmation symbol and the
Confirmation indicator (L) (Figure 01) to guide users to resume
ventilation by pressing the Control Selection Knob (M) (Figure 01).
5. When ventilation is resumed, the ventilator will recommence
ventilation with current settings shown on the screen unless
new set-up selections were made.

3.2.9. Manual/Inspiratory Hold

During the exhalation phase, if the Manual/Inspiratory Hold key (E)
(Figure 01) is pressed, a mandatory breath will be initiated and either
the flow rate or set pressure control parameter will be delivered as
long as the Manual/Inspiratory Hold key remains pressed or until
the I-time setting is achieved.

After I-time if the button still pressed, the ventilator will switch to
inspiratory hold function in which the ventilator will cut the flow
but will keep the exhalation port closed in order to block exhaled
gas from going to ambient resulting in the maintenance of lung
pressure.

The maximum inspiratory hold time is 6 seconds. After that time,

the ventilator will switch to exhalation phase by opening airway
pressure to ambient.

Note: Manual/ Inspiratory Hold function exists in all modes except

CPAP and CPR.

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 3.3. External Connectors

O DC Input connector
O
P Air Intake filter T

Q Sensor connector #1 P

R Sensor connector #2
Q
S
S 22mm gas output connector

T Gas supply input R

Battery door

Relieve Flapper

Air/O2 Exhaust Port

Figure 02

e700 User Manual 13

 3.4. Patient circuit

U V

Y Z
W
X λ

Figure 03

U Breathing Control Hose Y Breathing Valve

V Sensing hoses Z Flow sensor adapter

W One Way Intake Valve λ Elbow

X Exhalation port

Note: To avoid entanglement of the patient circuit tubing and pressure

sensing hoses during movement of the patient, the pressure sensing
hoses and the 22mm corrugated hose are contained within in a close
fitting, non-woven fabric sheath.

14 e700 User Manual

 3.5. Display

3.5.1. Screen Layout

The screen is divided into 7 sections as shown below and each
section is dedicated to display the following parameters:

Section 1: Battery status during charge and discharge.

Live ventilation parameters (Vte, Mve, Pawpeak, PawAV,
Section 2:
Rate)
Section 3: Ventilation Modes (A/C V, SIMV, BiLVL, CPAP & CPR)
Section 4: Alarms/ Warnings.
Section 5: Ventilation waveforms.
Section 6: Set up parameters
Confirmation request/ Patient effort/ Invalid or
Section 7:
Conflict setting

1 3
2
7

4
5
6

Figure 04

Note: By changing the ventilation mode, section 6 of the display will

change accordingly to reflect the default or set up parameters for
each mode.

e700 User Manual 15

 The followings are screen layouts for each ventilation mode:

A/C screen layout

SIMV screen layout

BiLVL screen layout

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 CPAP screen layout

CPR screen layout

e700 User Manual 17

 3.5.2. Live Monitoring Parameters
The following Live Monitoring Parameters are displayed at the
section 2 of the screen:

PawAV (cmH2O): Paw AV is the average patient airway pressure

measured during the last 60 seconds. This measurement is
monitored by the ventilator at all times and modes. The number on
the display will be updated every 15 seconds.

Mve (L): Minute volume is the total exhaled volume for the last
60 seconds as calculated using the last 8 breaths. The Mve will
constantly change as the value is recalculated and displayed at the
end of exhalation phase. When unit is first turned on or resumed
after pause or on selecting a new mode, the Mve calculation will
be based on first then second then third and so on until the 8th
exhaled tidal volume when the above logic will be followed.

Rate (bpm): Rate (BPM) is the rate at which breaths are delivered in
one minute. It is the monitored breath rate calculated by measuring
the time interval (Tb in seconds) between 2 breaths. Rate (BPM)
= 60 / Tb. The number is updated after each breath. This number
will be displayed for both mandatory and spontaneous breathing
phases.

Vte (ml): Tidal volume is the volume exhaled from the patient in
mandatory, spontaneous or PSV (Pressure Support Ventilation)
breaths. Vte is calculated by the measurement of the entire expired
flow displayed as a volume. Vte display will be updated at the
beginning of the next inspiratory phase (The end of exhalation
phase).

PawPeak (cmH2O): Peak air way pressure is the maximum pressure

measured during the inspiratory phase. The displayed number on
the screen represents the maximum pressure during mandatory
inspiratory phase of A/CV, SIMV, BiLVL, CPR modes as well as
spontaneous inspiratory phase of CPAP mode. This number will be
updated at the end of each inspiratory phase.

Note: Mve, Rate and Paw are not active during CPR mode and
displayed with “--“

18 e700 User Manual

 3.6. Symbols and Notations

Consult instructions for use.

Warning! Risk of injury and possible

negative patient outcome.

Warns of material damage and negative

patient outcome.

Offers useful tips to assist in the proper

use of the equipment.

Confirmation Symbol

Invalid Setting Symbol

Conflict Setting Symbol

Keep away from open flames.

No smoking around ventilator.

Ingress protection rating: Splash-proof.

Do not immerse.

Class II equipment.
Protection against electric doesn’t rely on Basic
Insulation only, additional safety precautions such as
Double or Reinforced insulation are provided.

Type BF applied part

e700 User Manual 19

 4. Preparation for Use
4.1. Setup
4.1.1. Connecting the electrical power supply
The e700 is designed to operate using one of the following power
options:

• Internal rechargeable battery pack

• AC/DC external power supply.

CAUTION
• A fully charged battery must always be installed for safety
reasons, even when operating from an external power supply,
so that continuous ventilation is not interrupted in the absence
of external power.
• The use of batteries, other than those specified, may cause the
ventilator to fail and/or endanger the patient and operator.
• Connect the ventilator to an external electrical source right
away if the “Battery Empty” alarm is triggered.

4.1.2. Installing / replacing the battery

1. Ensure the ventilator is turned off and unplugged from the
mains electrical supply.
2. Turn the two screw knobs on the battery compartment cover
anticlockwise and open the cover downwards.
3. Disconnect the battery leads and pull out the battery pack
using its stand-off.

CAUTION
Always use the battery stand off to pull out the battery pack,
never pull the battery by its leads (Figure 05).

4. Insert the fully charged battery such that the battery stand-
off is positioned upwards (as per illustration below), attach
battery connectors. Close cover and turn screw knob clockwise
to secure.

20 e700 User Manual

 Battery Battery
Stand off Connectors

Figure 05

4.1.3. Connecting the Gas Supply

1. Connect the gas supply hose to the gas supply input (T) in
Figure 02 of the e700.
2. Connect the other end of the hose to the pressure outlet of the
pressure regulator or wall outlet of piped medical oxygen system.
3. Turn cylinder valve slowly and fully.

WARNING
Extra care must be taken when handling oxygen:
• The e700 must only be used with medical oxygen.
• Only use approved medical oxygen compressed gas cylinders.
• Always begin use with a full oxygen cylinder.
• Secure oxygen cylinders so they do not fall over.
• Keep away from excessive heat to avoid the risk of explosion.
• Do not grease or lubricate oxygen fittings, cylinder valves and
pressure reducers, and do not handle with greasy hands to
avoid the risk of fire.
• Only open or close cylinder valves by hand or with the correct
cylinder wrench. Open the cylinder valve slowly, at least two full
turns, counter clockwise. Do not use any other tools.
• Do not smoke or work in areas where open flames are present.
Oxygen supports combustion and exacerbates fires.
• Only use a pressure reducer with an overpressure relief valve to
limit the delivery pressure in case of a regulator failure!
• To avoid ventilator malfunction do not attach the ventilator to
a flow control valve or flow meter.

e700 User Manual 21

 4.1.4. Connecting the Patient Circuit
1. Attach the O-Two patient circuit (Figure 03) to the 22mm gas
output connector (S) (Figure 02).
2. Connect the sensing hoses (V) (Figure 03) of the patient circuit
to their corresponding connectors (Q) & (R) (Figure 02).
3. Attach a face mask to the patient port of the patient circuit. For
invasive ventilation, attach an endotracheal tube (ETT) instead.
The size of ETT shall be appropriate for the intended patients.
It is recommended to use ETT with no cuff for infant patients.

WARNING
DO NOT connect the patient circuit to a patient or attach the test
lung until the ventilator is turned on (Step 4.1.5) and three solid
silhouettes start up figures (Figure 06) are displayed.

4.1.5. Turning the Ventilator ON

To turn on the ventilator, Press the ON/OFF key (N) (Figure 01) for
one second. During that second the associated green LED will start
blinking at a high frequency. After 1 second the ventilator will turn
on but with no ventilation at this point.

If the key is pressed and released for less than one second, the
ventilator will remain OFF.

Note: A/C V with volume control (VCV) is the default start-up

ventilation mode for the e700.

4.2. Pre-use Checks

The following checks must be performed and confirmed by the
healthcare provider in the following cases:

• Prior to use
• After replacing hoses, patient circuits or batteries
• At least every 6 months.

22 e700 User Manual

 1. Visually inspect the ventilator for mechanical damage
2. Ensure that battery is fully charged.
3. Ensure the e700 is connected to a gas supply (Cylinder or
piping system) capable of delivering flow of 120 L/min and
maintaining a minimum pressure of 45 PSI (3 Bar) and a
maximum 87 PSI (6 Bar) output pressure.
4. Ensure that the patient circuit and monitoring hoses have been
properly connected.
5. Ensure Performance check (Leak & Function test): To undertake
the performance check, you will need the following:

• Full Oxygen cylinder.

• Calibrated test lung (Provided with the unit).
• Oxygen pressure regulator capable of delivering flow of 120 L/
min and maintaining a minimum pressure of 45 PSI (3 Bar) and
a maximum 87 PSI (6 Bar) output pressure.
A. Connect Input hose to input connector (T) (Figure 02) and the
other end of the input hose to the pressure regulator or wall outlet.
B. Connect the power supply to the DC input socket and plug the
power supply into the mains electrical supply.
C. Connect the sensing hoses of patient circuit to sensor connectors
#1 (Q) and #2 (R) and connect the corrugated hose of patient
circuit to output connector (S) (Figure 02).
D. Once the ventilator is started, connect the other end of patient
circuit to test lung.

WARNING
Prior to use, the operator shall check that the alarm pre-set value is
appropriate for the patient being ventilated.

e700 User Manual 23

 Input Leak Test
Once all connections are verified, open the cylinder valve slowly, at
least two full turns, counter clockwise. From the pressure regulator
gauge reading, ensure the cylinder pressure is above 650 PSI (45
bar) otherwise replace with new oxygen cylinder.

Once pressurized, turn off the oxygen cylinder and observe the
output pressure on the gauge of the regulator. Note that to perform
this test, a regulator with cylinder and output pressure readings
are needed. If pressure does not drop more than 0.5 PSI every 30
seconds, the system is free from leaks.

To identify and repair the input leak:

1. Release the remaining gas from the system.

2. Tighten all connecters firmly.
3. Open the cylinder valve slowly, at least two full turns, counter
clockwise.
4. If leak still present, spray oxygen compatible leak detector on
hose and connectors. Turn off the regulator and replace the
input hose or regulator if necessary. Repeat from 1. to confirm
correction of the leak.

Note: If a leak is still present and no external leak was detected using
the above processes, the unit must be returned to the manufacturer
or its authorised service center for service or repair.

Output Leak Test

1. Open the cylinder valve slowly, at least two full turns, counter
clockwise.
2. Turn on ventilator and select child default setting.
3. Press and hold manual key (E) (Figure 01) and observe the
pressure wave form on the screen. If pressure drops immediately,
inspect patient circuit connections and ensure all connectors
are attached. If the leak is still present replace the circuit and
repeat from 1. To confirm correction of the leak.

Note: If a leak is still present and no external leak was detected using
the above processes, the unit must be returned to the manufacturer
or its authorised service center for service or repair.

24 e700 User Manual

 Function check
After confirming no leaks are present in the ventilator, input hose
and patient circuit, with the mains electrical supply connected,
proceed as follows:

1. Turn on the ventilator and select child default setting by

depressing the control knob (M) (Figure 01).
2. Let the ventilator cycle a minimum of five (5) breathes
and during cycling disconnect power supply, the ventilator
should switch immediately to internal battery power. The LED
indicators should also switch to show the ventilator is running
on the internal battery.
3. Check battery level. Do not run the ventilator if the battery level
is low, install a fully charged battery before continuing with the
testing.
4. During ventilator cycling, observe the presence of the pressure
wave and the live ventilation parameters on the screen.
5. Disconnect the test lung and check for the BCI (Breathing
Circuit Integrity) visual alarm associated with yellow warning
indicator. The BCI audible alarm associated with red warning
indicator will activate with a delay of 15 seconds.
6. Block the patient output completely, the Pmax alarm should be
activated.
7. Re-connect the test lung, the BCI visual and audible alarms
should be de-activated.
8. Change the tidal volume (Vt) and observe the changes in the
lung movement, live ventilation parameters, and the pressure
wave form.
9. Change the ventilation rate (bpm) and observe changes in the
lung movement, live ventilation parameters and the pressure
wave form.
10. Change the I:E ratio or inspiratory time (Ti) and observe the
changes in the lung movement, live ventilation parameters and
the pressure wave form.
11. Turn off PEEP and observe changes in the lung movement, live
ventilation parameters and the pressure wave form.
12. Activate pause, night mode, and flow waveform to ensure
proper functioning of each control and observe the changes in
the screen display.
13. Turn off the oxygen cylinder and check for low pressure and no
pressure audible and visual alarms.
14. Turn off the Ventilator by pressing ON/OFF key for 4 seconds.

e700 User Manual 25

 5. Operating Instructions
5.1. Start Up and Setting the Ventilation Parameters

A. Turn on the ventilator:

Ensure that the gas supply is turned on before start up to ensure

that the calibration process is performed correctly.

To turn on the ventilator, press the ON/ OFF key (N) (Figure 01) for
one second. During that second the associated green LED will start
blinking at a high frequency. After 1 second the ventilator will turn
on but with no ventilation at this point. If the key is pressed and
released for less than a second, the ventilator will remain OFF.

B. Start default ventilation:

Once the ventilator is turned on, 3, solid silhouette, start-up figures

(Figure 06) will be displayed on the screen representing Infant, Child
and Adult patient sizes.

Each patient size displayed during start-up comes with pre-set

parameters to help users to select the ventilation settings close to
their patient size. This will eliminate the need for a potentially lengthy
set up procedures prior to starting ventilation.

Note: Start-up figures are used during start up only and are not active
during ventilation.

26 e700 User Manual

 01:23:48 PM
11/07/20 o-two e700 v1.9.15

Figure 06 - Start-up Figures

Navigate among the three start-up figures by rotating the Control

Selection Knob (M) (Figure 01) and a square frame will move around
the selected figure. Once the desired patient size is selected, the
user must confirm the selection by pressing the Control Selection
Knob (M) (Figure 01) to start ventilation. If no selection occurs with-
in 20 seconds, the ventilator will start ventilation with child setting
as its default start-up (Figure 07).

Figure 07 - A/C V mode screen w/ default parameters (Child setting)

e700 User Manual 27

 Connect the patient valve to the patient; the ventilator will
commence volume controlled A/C V ventilation with the default
parameters selected (as listed in Table 1) depending on the selected
patient size (Figure 07). The user can pause the ventilation by
pressing the Pause/Resume key (H) (Figure 01) and adjust the
parameters to the patient’s requirements before commencing
ventilation if necessary.

TABLE 1
A/C V mode default settings

Infant Child Adult

AC/V SETTINGS
Rate (BPM) 30 15 10
Vt (ml) 100 250 500
Mv (L) (calculated values) 3.0 3.7 5.0
PEEP (cm H2O) 5 5 5
P max (cm H2O) 25 25 30
P min (cm H2O) 3 3 3
Mv max (L) 30 30 30
Mv min (L) 0.5 0.5 0.5
Ti (Sec.) 0.66 1.33 2.0
I:E 1:2 1:2 1:2
O2 (%) 100% 100% 100%
PCV (cm H2O) - - -
F trig. (L/min) 3 3 3

28 e700 User Manual

 C. Set up the desired ventilation settings:

Health care providers may choose or change the ventilation mode

or parameter setting any time during ventilation by the following
method:

Rotate the Control Selection Knob (M) (Figure 01) and move the
yellow cursor (Figure 08) to section 3 of the screen (Figure 04) for
ventilation mode setup, or to the parameter to be set up located
at section 6 of the screen (Figure 04). The user must confirm the
selection by pressing the Control Selection Knob (M) (Figure 01).
Once confirmed, the selected area will be highlighted with solid
contrast background (Figure 09).

Figure 08 - Showing frame around Parameter during selection

Figure 09 - Showing selected Parameter with solid contrasting background

e700 User Manual 29

 Navigate among the available settings by rotating the Control
Selection Knob (M) (Figure 01). Press the Control Selection Knob
(M) to choose the desired setting. The chosen setting will turn yellow
with the flashing confirmation symbol and the Confirmation
indicator (L) (Figure 01) to guide users to activate the setup by
pressing the Control Selection Knob (M) (Figure 01) again.

Press the Control Selection Knob (M) (Figure 01) to activate the
setup. Or repeat the above steps to continue to set up the other
parameters. The operator can also press the Cancel key (K) (Figure
01) to go back to the previous parameters before activation. Finally,
press the Control Selection Knob (M) (Figure 01) to activate the
multiple setting set up at once.

Note:
If no selection occurs within 10 seconds or the Control Selection Knob
(M) (Figure 01) is not pressed to confirm the changed parameter
setting within 10 seconds, changes will be cancelled and the previous
parameter values will remain.

5.2. Ventilation Modes

The e700 ventilator is equipped with a number of ventilation modes
to enable the healthcare provider to tailor the ventilator settings to
the patient’s specific respiratory requirements. Ventilation could be
delivered invasively (ET tube) or non-invasively (mask).

In all modes, should the patient demand more flow than set by Health
care provider, he/she can inhale the required volume from ambient.

Each ventilation mode has a default setting (based on the initial

patient size setting selection on startup) which will be initiated on
selection of that specific ventilation mode if no changes to the set-
tings are made.

Leak Compensation
In all ventilation modes the ventilator will automatically compen-
sate up to 30% of the required tidal volume Vt in case a leak is
detected. Beyond this limit, low Paw visual and audible alarms will
be activated to warn rescuer to either re-apply the mask or increase
the set tidal volume.

Note: When switching between ventilation modes, any shared parameter

will be carried over and any new parameter will be set to default.

30 e700 User Manual

 5.2.1. A/C V (Assist Control Ventilation)
In this mode the ventilator can deliver either volume ventilation
(VCV) if Tidal Volume (Vt) is selected (Figure 10.a) or pressure
ventilation (Figure 10.b) if Pressure Controlled Ventilation (PCV) is
selected. Choosing either mode will disable the other one which
will be displayed with (-) on the screen.
Volume control ventilation (VCV) with Tidal Volume and ventilation
Rate setting according to patient size is the default start up for this
mode (see Table-2 below).
During A/C V mode, the ventilator will deliver Controlled Mandatory
Ventilation (CMV) regardless of any patient’s effort if the trigger
(Trig.) is disabled (displayed with (-)).
The default trigger for A/C V is 3 L/min but can be adjusted up to
15 L/min.
If no inspiratory effort is detected during the trigger window, the
ventilator will initiate mandatory ventilation at the end of trigger
window. Should the patient demand more flow than set by user, he/
she can withdraw the excess from ambient.
TABLE 2 - Default Ventilation Setting- A/C V

DEFAULT
PARAMETER RANGE
INFANT CHILD ADULT
Tidal Volume (50 - 2000 ml) 100 250 500
Rate (5 - 60 BPM) 30 15 10
Calculated based on
Mv 3.0 3.7 5.0
Vt & f
I:E ratio (1:4 – 3:1) 1:2 1:2 1:2
Ti* (0.2 – 9 sec.) 0.66 1.33 2.0
PEEP (OFF, 4-20 cm H2O) 5 5 5
Off, unless Off, unless Off, unless
PCV (OFF, 4-50 cm H2O) selected selected selected
Trig. (OFF, 1 -15 L/min) 3 3 3
O2 % (100% or 60% O2) 100 100 100
Mv max (2 -40 L) 30 30 30
Mv min (0.5 – 35 L) 0.5 0.5 0.5
P max. 10 -80 cm H2O 25 25 30
0-20 cm H2O during I
P min. 3 3 3
time only
Refer to Manual and
Manual ready ready ready
I-Hold section

e700 User Manual 31

 * Ti may be limited below its range depending on set I:E ratio and rate.

Figure 10.a - a A/C V waveform with volume control

Figure 10.b - A/C V waveform with pressure control

32 e700 User Manual

 5.2.2. SIMV (Synchronized Intermittent Mandatory Ventilation)
In this mode the ventilator will deliver volume ventilation at the set
Tidal Volume (Vt) and Rate (bpm)

The default trigger for this mode is 3 L/min but can be adjusted
up to 15 L/min. if trigger condition is met, the ventilator will deliver
synchronized volume controlled mandatory ventilation.

In SIMV mode the selected breathing rate remains constant and

the time of spontaneous breathing window will change if patient
triggers the synchronized mandatory breath before the normal
start of inhalation phase (beginning of Ti).

If no effort was detected during the trigger period, the ventilator

will initiate mandatory ventilation at the end of trigger window.
Should the patient demand more flow than set by user, he/she can
withdraw the excess from ambient.

PSV (Pressure Support Ventilation - Figure 11.b)

PSV is a form of assisted ventilation for the patient who is breathing
spontaneously but whose respirations are insufficient. The ventilator
provides an inspiratory flow based on the patient’s inspiratory effort.
Ventilator sensitivity to the patient’s inspiratory effort is operator
adjusted by using the “Trig.” Control and the inspiratory flow rate is
tailored to the patient’s demand by the ventilator.

TABLE 3 - Default Ventilation Setting- SIMV

DEFAULT
PARAMETER RANGE
INFANT CHILD ADULT
Tidal Volume (50 - 2000 ml) 100 250 500
Rate (5 - 60 bpm) 30 15 10
Calculated based
Mv 3.0 3.7 5.0
on Vt & f
I:E ratio (1:4 – 3:1) 1:2 1:2 1:2
Ti* (0.2 - 9 sec) 0.66 1.33 2.0
PEEP (OFF, 4-20 cmH2O) 5 5 5
Off, unless Off, unless Off, unless
PSV (OFF, 4-35 cmH2O) selected selected selected
Trig. (1 -15 L/min) 3 3 3
20-80% of
Termination 50% 50% 50%
maximum set flow

e700 User Manual 33

 O2 % (100% or 60%) 100 100 100
Mv max (2 -40 L) 30 30 30
Mv min (0.5 – 35 L) 0.5 0.5 0.5
P max. 10 -80 cmH2O 25 25 30
0-20 cmH2O
P min. (during I time only) 3 3 3

Refer to Manual
Manual ready ready ready
and I-Hold section
* Ti may be limited below its range depending on set I:E ratio and rate.

Figure 11.a - SIMV waveform w/o pressure support

Figure 11.b - SIMV waveform with pressure support

34 e700 User Manual

 5.2.3. BiLVL (Biphasic Positive Airway Pressure)
BiLVL mode is similar to SIMV but comes with pressure ventilation.
By setting both inhalation pressure (Pi) and exhalation pressure
(PEEP) levels, the ventilator will deliver pressure controlled
mandatory breaths at set rates (bpm). The default trigger for
spontaneous breathing window is 3 L/min but can be adjusted up
to 15 L/min.

Similar to SIMV, in BiLVL mode the selected breathing rate remains

constant and the time of spontaneous breathing window will change
instead if patient triggered the synchronized mandatory ventilation
before the normal start of the inhalation phase (beginning of Ti).

If no effort is detected during the trigger period, the ventilator

will initiate mandatory ventilation at the end of trigger window.
Should the patient demand more flow than set by user, he/she can
withdraw the excess from ambient.

PSV (Pressure Support Ventilation- Figure 12.b)

PSV is a form of assisted ventilation for the patient who is breathing
spontaneously but whose respirations are insufficient. The ventilator
provides an inspiratory flow based on the patient’s inspiratory effort.
Ventilator sensitivity to the patient’s inspiratory effort is operator
adjusted by using the “Trig.” Control and the inspiratory flow rate is
tailored to the patient’s demand by the ventilator.

Note: When calculating the peak/plateau pressure add the Pressure

Support level to the set PEEP level.

e700 User Manual 35

 TABLE 4 - Default Ventilation Setting- BiLVL

DEFAULT
PARAMETER RANGE
INFANT CHILD ADULT
Pi (OFF, 4-50 cm H2O) 15 15 15
Rate (5 - 60 BPM) 30 15 10

PEEP (OFF, 4-20 cm H2O) 5 5 5

I:E ratio (1:4 – 3:1) 1:2 1:2 1:2

Ti* (0.2 - 9 sec) 0.66 1.33 2.0
Off, unless Off, unless Off, unless
PSV (OFF, 4-35 cm H2O) selected selected selected
Trig. (1 -15 L/min) 3 3 3
20-80% of maximum
Termination 50% 50% 50%
set flow
O2 % (100% or 60% O2) 100 100 100
Mv max (2 -40 L) 30 30 30
Mv min (0.5 – 35 L) 0.5 0.5 0.5
P max. 10 -80 cm H2O 25 25 30
0-20 cm H2O
P min. (during I time only) 3 3 3

Refer to Manual and

Manual ready ready ready
I-Hold section

* Ti may be limited below its range depending on set I:E ratio and rate.

Figure 12.a - BiLVL waveform w/o pressure support

36 e700 User Manual

 Figure 12.b - BiLVL waveform with pressure support

5.2.4. CPAP (Continuous Positive Airway Pressure)

In CPAP mode, the ventilator will deliver a continuous flow rate
to generate airway pressure and use the control valve to maintain
CPAP levels (Figure 13).
There are 2 breathing modes available for the patient during CPAP.
The first mode is with spontaneous breathing when the optional
pressure support is set to “-”. In this option the ventilator adjusts
the amount of flow internally to maintain average airway pressure
close to CPAP setting.
The other mode is when the optional PSV (Pressure Support) is set
to a desired value. The ventilator will deliver the set PSV pressure
starting at triggering point and until the exhalation phase starts.

Note: The default trigger in CPAP mode is pressure trigger (P) which
is set at 2 cm H2O below CPAP settings.

The CPAP mode is equipped with APNEA back up ventilation in which

the ventilator switches to Assist Control ventilation (A/C V) when the
ventilator does not trigger patient’s spontaneous breathing for a period
of time (T APNEA) set by the user. The parameters of back up A/C
ventilation are defaulted to volume ventilation based on the initial start up
patient size selection unless changes are made by the user.

e700 User Manual 37

 The trigger changes from pressure trigger (P) to 3 L/min default flow
trigger when the ventilator switches to APNEA back up.

PSV (Pressure Support Ventilation)

PSV is a form of assisted ventilation for the patient who is breathing
spontaneously but whose respirations are insufficient. The ventilator
provides an inspiratory flow based on the patient’s inspiratory effort.
Ventilator sensitivity to the patient’s inspiratory effort is operator adjusted
by using the “Trig.” Control and the inspiratory flow rate is tailored to the
patient’s demand by the ventilator.

Note: When calculating the peak/plateau pressure add the Pressure

Support level to the set PEEP level.

TABLE 5 - Default Ventilation Setting- CPAP

DEFAULT
PARAMETER RANGE
INFANT CHILD ADULT
CPAP (4-20 cmH2O) 5 5 5
PSV (OFF, 4-35 cmH2O) OFF OFF OFF
(P or 1 -15 L/min)
Trig. P = 2 cmH2O P P P
below base line
(20 – 80 % of maximum set flow)
Termination or 2 cmH2O below baseline in 50 % 50% 50%
CPAP mode only
O2 % (100% or 60%) 100% 100% 100%
T APNEA (10-60 seconds) 20 20 20

Vt(A) (50 - 2000 ml) 100 250 500

Rate (A) (5 - 60 BPM) 30 15 10

Mv (A) Will be calculated based on Vt & f 3.0 3.7 5.0
I:E ratio (A) (1:4 – 3:1) 1:2 1:2 1:2
Mv max (2 -40 L) 30 30 30
Mv min (0.5 – 35 L) 0.5 0.5 0.5
P max. 10 -80 cmH2O 25 25 30

P min. 0-20 cmH2O during I time only 3 3 3

38 e700 User Manual

 Figure 13 - CPAP ventilation waveform

5.2.5. CPR mode

The CPR mode consists of timed chest compression audible prompts
coupled with automatically delivered breaths for both intubated
and mask ventilated patients. There is also a visual animated display
to guide the health care provider while performing CPR.

The CPR mode for masked ventilated patients is the default setting
for this mode but changes can be made between the 2 sub-modes
at any time.

The CPR mode for masked ventilated patients consists of 2 phases,

chest compression and ventilation. 30 chest compressions over
18 seconds are synchronized with audible prompts and on screen
visual animations, followed by two, 1 second, mandatory breaths
within a 5 second ventilation phase. The ratio between chest
compressions and ventilations is 30:2.

The CPR mode for intubated patients consists of continuous

compressions indicated by an audible prompt and visual animation
at a rate of 100 compressions per minute plus automatically
delivered breath every 6 seconds (10 BPM).

The default ventilation in CPR mode is flow controlled ventilation.

The default tidal volume is set according to the initial start-up

e700 User Manual 39

 patient size selection when switching to CPR mode but could be
adjusted to desired values. Optional pressure controlled ventilation
is provided by setting the PCV pressure parameter. If PCV parameter
is selected, the flow controlled ventilation will be disabled. The FiO2
is fixed at 100% oxygen during CPR mode.

TABLE 6 - Default Ventilation Setting- CPR

DEFAULT
PARAMETER RANGE
INFANT CHILD ADULT
Tidal Volume (50 - 1400 ml) 100 250 500
PCV (OFF, 4-50 cmH2O) OFF OFF OFF
Mv max (2 -40 L) 30 30 30
Mv min (0.5 – 35 L) 0.5 0.5 0.5
P max. (10 -80 cmH2O) 40 40 60
(0-20 cmH2O
P min. during I time only) 3 3 3

CPR FOR MASKED PATIENTS

On screen chest compressing animation On screen ventilation animation

Figure 14.a - CPR waveform for masked patient

40 e700 User Manual

 On screen intubated CPR animation

CPR FOR MASKED PATIENTS

Paw

Paw

100 times chest compressions per minute

Flow Flow
1s 1s

Ventilation frequency: 10 bpm

Figure 14.b - CPR waveform for intubated patient

5.3. Turning the Ventilator Off

Press and hold the ON/OFF key for 4 seconds, the Ventilator will
turn OFF.

e700 User Manual 41

 6. Post Use
6.1. Disconnect device after use

A. Turn off gas supply to the ventilator.

B. Disconnect gas supply hose.
C. Disconnect patient circuit from the output connector.
D. Unplug the power cable from mains if no charging is required.
E. Clean and disinfect according to section 8.1 in this manual.

6.2. Storage

Store ventilator within the following environmental range:

- 40oC to +60oC, Rh: 15% to 95%.

Note: The ventilator operates within 5 minutes after being brought

back from minimum storage temperature to room temperature;

The ventilator operates within 2 minutes after being brought back

from maximum storage temperature to room temperature.

7. Alarms and Indicators

7.1. Ventilation Alarms

Visual and Audible alarms continue until the cause of the alarm is
resolved.

During alarm activation the user may press the Alarm Silence key
(G) (Figure 01) which will silence the audible alarm for 2 minutes
but the visual alarm will continue to flash until the cause of the
problem is resolved.

During “alarm silence”, should a new alarm develop, the Alarm

Silence function will continue and only the new visual alarm will be
shown flashing on the screen.

Alarms will be visible in section 4 or section 7 of the display (Figure

04).

42 e700 User Manual

 There could be multiple alarm/warning symbols visible on the
screen indicating multiple failures occurring at the same time. In
this case the visible and audible alarms will be based on highest
priority alarm.

All ventilation alarms of e700 are listed in the following Table-7.

TABLE 7 - Ventilation Alarms and Symbols

Visual Alarm Audible

Symbol Name Priority
Alarm Symbol Warning LED Alarm
Patient Circuit
disconnect High after Flashing yellow 15 sec. delay
Flashing Symbol for 15 seconds, Two bursts with
(Breathing 15 seconds then red five pulses
circuit Integrity)

Low Airway Two bursts with

LOW PAW High Flashing Symbol Red five pulses
Pressure

High Airway Two bursts with

HIGH PAW High Flashing Symbol Red five pulses
Pressure

Low minute Two bursts with

LowMv High Flashing Symbol Red five pulses
Volume

High Minute Two bursts with

HighMv High Flashing Symbol Red five pulses
Volume

Blocked Two bursts with

Blocked airway High Flashing Symbol Red five pulses
Airway

Leak (at 40% Two bursts with

High Flashing Symbol Red five pulses
below set Vt)

Low Inhalation Two bursts with

LowPi High Flashing Symbol Red five pulses
Pressure

No Oxygen Two bursts with

High Flashing Symbol Red five pulses
≤ 20 PSI

Low Oxygen One burst

Medium Flashing Symbol Yellow with 3 pulses
≤ 40 PSI

e700 User Manual 43

 Visual Alarm Audible
Symbol Name Priority
Alarm Symbol Warning LED Alarm
High input
pressure ≥ 90 High Flashing symbol Red Two bursts with
five pulses
PSI

APNEA High Flashing symbol Red Two bursts with

five pulses

Empty Battery High Flashing symbol Red Two bursts with

five pulses

Low Battery Low Flashing symbol N/A N/A

Pause N/A Flashing symbol Yellow every 15 N/A

seconds

Play N/A Flashing symbol N/A N/A

Lock N/A Solid symbol N/A N/A

Alarm Silence N/A Solid symbol N/A N/A

Solid symbol
Patient effort Low during N/A N/A
Patient effort

Invalid setting - Solid symbol

N/A During invalid N/A N/A
Refer to manual selection

Solid symbol
Setting Conflict N/A During invalid N/A N/A
selection

Flash symbol
Confirm N/A after primary N/A N/A
selection

Invalid setting is when the ventilator reaches its limits mechanically or

physically. In this case users can’t make adjustments from and beyond the
invalid setting adjustment.
Setting conflict is when the ventilator detects a conflict in the setting like reaching
the Pmax level. In this case users can make adjustments from and beyond the
conflict point while the symbol will be displayed during the adjustment.

44 e700 User Manual

 7.2. Battery Status Indicator

The battery status will be displayed in section 1 of the display (Figure

04). There are two different status indicators showing battery
discharging (Table-8.1) and charging (Table-8.2) status respectively.

TABLE 8.1 - Battery discharging status

1 Full Capacity

2 Approx. 75% of full capacity

3 Approx. 50% of full capacity

Approx. 25% of full capacity.

4 Symbol changes to yellow flashing

Approx. 5% of full capacity.

5 Symbol changes to red flashing with associated red colour LED

TABLE 8.2 - Battery charging status

1 Full Capacity

2 95% of full capacity

3 90% of full capacity

4 80% of full capacity

5 65% of full capacity

e700 User Manual 45

 WARNING
At approximately 2% of full battery capacity, the ventilator will not
start when it is turned off or will shut down when it is turned on.

Note: The battery capacity level is detected from measured voltages

and the capacities shown above are based on results from new
batteries tested at room and low temperature. Battery capacity levels
are subject to change when old batteries are used.

Fully charged Batteries shall be recharged after 6 months without

usage or when battery discharging LED turns orange and flashes.

The battery re-charge time is about 5.5 hours from fully discharged.
Batteries have a minimum of 200 discharge and charge cycles.

7.3. LEDs

Green color LED - Continuous when unit is ON and flashing

when unit is OFF.

Red or Yellow color LED – Flashing during alarm/ warning situation.

LED color depends on the severity of the failure.

Green color LED - Continuous when unit is connected to AC

power source during both ON and OFF phases.

Orange color LED - Continuous when unit is charging and off when
battery is fully charged during both ON and OFF phases.

During OFF phase this light will start flashing when battery capacity
drops to around 90 %.

Green color LED - Continuous when unit is operated

using internal battery.

46 e700 User Manual

 8. Cleaning, Preventive Maintenance & Servicing
8.1. Cleaning and Disinfection

Disinfect the ventilator housing and supply hose using a damp

cloth with a commercially available, legally marketed disinfectant
solution which is compatible with the materials of manufacture in
accordance with local protocols. Do not use chlorine based cleaning
agents. Make sure no liquids enter the ventilator connections or the
ventilator.

WARNING
Do not immerse the e700 Ventilator or patient circuit or supply
hoses in disinfectant or other liquids, serious electric shock
hazard and damage to the ventilator may occur. If the Ventilator
is accidently submerged in any liquid it must be returned to the
manufacturer for factory service.

Do not attempt to clean the intake filter or patient circuit. Using

a wet or damp filter may result in inaccurate parameters and
potentially damage the ventilator.

WARNING
RISK OF EXPLOSION!
Cleaning agents containing alcohol or grease become flammable
when combined with compressed oxygen and can cause explosions.

8.2. Charging the battery

1. Connect one end of the external power supply/charger to its

supply (100 to 240 Volts or on-board vehicle socket*) and the
other end to the DC input socket (O) (Figure 02) located on
the side panel of the ventilator. The LED indicators illuminate
as follows:

Green LED - Continuous when unit is connected to external power source

during both ON and OFF phases.

Orange LED - Continuous when unit is charging and off when battery is
fully charged during both ON and OFF phases.

e700 User Manual 47

 2. Turn unit ON and observe battery level (section 1 of the screen),
Refer to 7.2 Battery Status Indicator for exact battery charging
status. The battery shall be fully charged

CAUTION
The ambient temperature shall be between 0oC
and 35oC during battery charge.

Note:
• The Battery pack can be charged during operation.
• The Battery pack may be charged using external power supply
supplied with the unit or the optional DC to DC power supply.
• The Battery pack should be replaced after 200 charge/discharge
cycles or if the battery pack will not fully charge (as indicated on
the battery display on the ventilator) or if the ventilator doesn’t
run for more than 5 hours on a single charge.

8.3. Ambient Air Entrainment Filter

The e700 entrains ambient air through the internal Venturi system
for ventilation when the O2 concentration is set at 60%. This provides
not only decreased oxygen concentration but also increases the
ventilator operating time on an oxygen cylinder.

CAUTION
Always keep the ambient air entrainment port clear of obstructions.
Always replace the filter after use.

WARNING
Avoid particulate and/or gaseous pollutants in the ambient air!
The entrainment of pollutants into the ventilator may cause the
ventilator to malfunction or cause danger to the patient.

48 e700 User Manual

 8.4. Preventive Maintenance and Servicing

It is recommended that routine preventive maintenance (PM) and

servicing shall be carried out as per the following:
TYPE DESCRIPTION PROCEDURE CRITERIA SCHEDULE By
Charging User Manual Battery fully Every 6
PM User
battery Chapter 8.2 charged months
User Manual No leak Every 6
PM Leak test User
Chapter 4.2 observed months
No abnormal
User Manual Every 6
PM Function check function User
Chapter 4.2 months
observed
Manufacturer
Service Meet product Every 2
Servicing Level II service or authorized
Manual specifications years service center
Service Meet product Every 6
Servicing Full service Manufacturer
Manual specifications years

Preventive Maintenance
To ensure proper operation of the ventilator, regular inspection and
checking of the device and accessories for correct function should
be undertaken by a responsible member of staff. It is recommended
that a preventive maintenance record be maintained for each unit.

The battery should be charged and the ventilator be checked for

leakage and proper function at least every six months, and more
frequently in high use applications. Any malfunction unit should
be returned to the manufacturer or an authorized service center
since this product is not designed for field disassembly or service.
Unauthorized repairs will nullify the product warranty.

Level II service
The device shall be returned to the manufacturer or a service center
authorized by the manufacturer for Level II service every 2 years.

Manufacturer full service

The device shall be returned to O-Two Medical Technologies for
Manufacturer Full Service every 6 years.

WARNING
Any malfunctioning unit should be returned to the manufacturer or
an authorized service center since this product is not designed for
field disassembly or service.

e700 User Manual 49

 9. Technical Data
9.1. Specifications
DEVICE CLASS PER MDD II b
Protection against
CLASSIFICATION electric shock Class II, Type BF
PER IEC60601-1
Protection against water IP X4
POWER SOURCE (PNEUMATIC) Compressed Oxygen, 45 to 87 PSI (3-6 Bar)
POWER SOURCE (ELECTRIC) AC/DC power supply,
Rechargeable Lithium Battery
VENTILATION MODES A/C (VCV,PCV), SIMV w/ PSV, BiLVL w/ PSV,
CPAP w/ PSV, Mask CPR and Intubated CPR
SUPPORTING VENTILATION PSV: 0, 4-35 cm.H2O (± 10% or ± 2 cm.H2O)
VENTILATION RATE 5 – 60 (± 10% or ± 1 bpm)
MINUTE VOLUME (L) Calculated
TIDAL VOLUME (ML) 50 – 2000 (±20ml or ±15%) BTPS *
TIDAL VOLUME IN CPR MODE (ML) 50 - 1400 (±20ml or ±15%) BTPS *
MAXIMUM DELIVERED FLOW (L/MIN) 100 – 120
MANUALLY TRIGGERED VENTILATION Yes, set flow rate or pressure will be delivered
during I time then Inspiratory hold
MAXIMUM INSPIRATORY HOLD TIME 6 sec.
I:E RATIO 1:4 – 3:1 (± 20%)
PEEP (cmH2O) 0,4 - 20 (± 10% or ± 2 cmH2O)
PSV OFF, 4 – 35 (± 10% or ± 2 cmH2O)
CPAP (cmH2O) 4-20 (± 10% or ± 2 cmH2O)
O2 (%) 60 or 100 (± 15%)
PMAX (cmH2O) 10 – 80 (± 10% or ± 2 cmH2O)
PMIN (cmH2O) 0 – 20 (± 10% or ± 2 cmH2O)
PCV (cmH2O) 4-50 (± 10% or ± 2 cmH2O)
TI (SEC.) 0.2 – 9.0 (± 20%)
TRIGGER SENSITIVITY (L/MIN) 1mode
-15, or 2 cm.H2O below baseline in CPAP
only
INHALATION PRESSURE (cmH2O) 4-50 (± 10% or ± 2 cmH2O)
PRESSURE VENTILATION TERMINATION 20% - 80% of max. Flow
APNEA BACK UP TIME (SEC.) 10-60 (± 0.5s)
BATTERY OPERATING TIME AT ROOM > 16 hrs for default settings (Data obtained using
TEMPERATURE (HRS.) fully charged new battery)
ALTITUDE COMPENSATION up to 4000 m (13000 feet)
BUILT-IN BATTERY CHARGER Yes
AC/DC POWER SUPPLY 100-240 VAC/ 19 VDC, 4.74 A
PATIENT CIRCUIT Single use
MOUNTING BRACKET Smart Mount multi-configuration frame
DISPLAY 4.3" Color TFT
LIVE MONITORING Mve,Vte,Paw(AV),PAW(Peak), Rate (bpm), Battery
level
REAL TIME WAVEFORM Pressure or Flow
DAY/NIGHT DISPLAY MODE Yes
PARAMETER SETTINGS Control Selection Knob
LOCK KEY FUNCTION Yes

50 e700 User Manual

 PAUSE FUNCTION Yes
NOISE LEVEL IN NORMAL USE Less than 65 dBA
Gas Supply Pressure, Airway Pressure limits,
ALARMS Minute Volume limits, Battery status, APNEA,
(VISUAL AND AUDIBLE) Breathing Circuit Integrity, Leakage and Blockage
AUDIBLE SILENCE Yes, 120 second max
DIMENSIONS (MM) 250 x 200 x 155
WEIGHT (KG) 2.4 (w/ Battery), 1.77 (w/o Battery )
INTERNAL VOLUME OF THE COMPLETE approx. 690 ml without mask
RESPIRATORY SYSTEM (REUSABLE AND approx. 800 ml with mask
DISPOSABLE)
DEAD SPACE OF PATIENT VALVE WITH Approx. 35 ml
ELBOW
COMPLIANCE (DISPOSABLE) HOSE 16.6 ml/kPa
SYSTEM
RESISTANCE OF PATIENT HOSE SYSTEM Less than 6 cmH2O at 60 l/min
(INHALATION AND EXHALATION):
Operating- - 18oC to +40oC, Rh: 15% to 95%
Continuous
Ventilator Operating-
- 20oC to +50oC, Rh: 15% to 95%
Transient**
Storage - 40oC to +60oC, Rh: 15% to 95%
ENVIRONMENT Charge 0oC to +40oC
CONDITION
Battery Discharge - 20oC to +60oC
Pack - 20oC to +35oC, low humidity and no
Storage
corrosive gas atmosphere.
Patient Operating - 18oC to +50oC, Rh: 15% to 95%
Circuit Storage - 20oC to +60oC, Rh: 15% to 95%

Note: Measurement uncertainty: 5% for volume parameters and 6%

for pressure parameters.

* Volume measurements corrected to BTPS (Body Temperature 37oC, barometric

Pressure 101.3Kpa under Saturated 100% humidity) conditions.

**Transient Operation: The e700 is capable to keep its specifications when operated
in normal use for a period not less than 20 minutes under - 20oC and +50oC. This
ensures a typical long duration for emergency treatment at the scene prior to timely
removal of the patient to the next point of care. It is highly recommended that the
patient, the ventilator and the operator be moved to a more controlled environment
in case of extreme temperatures and humidity levels.

During transient operation, the maximum temperature of the VBS in contact with
patient may reach to +50oC. It is advised that patient contact period be limited to as
minimum as possible.

e700 User Manual 51

 9.2. Circuit Description
Flow
Sensor

Pressure
Sensors

Pressurized Pressure/ Optional

Flow Safety Ventilation Sensor
O2 Rate HME
control valve valve Adapter
Control Filter

Patient Circuit

Intake
Ambient Venturi Patient
Filter

Ventilator

When a gas source (medical oxygen) is supplied to the e700

ventilator via the gas input connection, the gas will flow into the
Flow control valve which is used to control both the flow and rate
of ventilation.

The output of this valve is connected to a selector switch which is

used to direct the flow path either directly to the ventilator output
(if 100% oxygen ventilation is required) or through a Venturi system
used to entrain air to provide an oxygen concentration of 60%.

9.3. Battery & Power Supply

Battery Pack Type 01 Type 02
Battery Cell Type Rechargeable Lithium Ion Cell
Type 4ICR19/65-3 4INR19/66-3
Nominal Capacity 7500 mAh, Min 111 Wh 6000 mAh, 86.4 Wh
Nominal Voltage 14.8 V 14.4 V
Max. Charging Current 3750 mA 5000 mA
Max. Charging Voltage 16.8 ± 0.1 V
Dimension mm / in 144 x 62 x 42 / 5,66 X 2,44 x 1,65
Weight 642 g / 1,41 lbs
Meet requirements Meet requirements
Test specification
of IEC62133:2012 of IEC62133:2017

52 e700 User Manual

 AC/DC Power Supply

Model PMP90-13-2 01CV0105

Input Voltage 100 - 240 VAC
Input Current 1.06 - 0.45 A
Input Frequency 47 - 63 Hz
Output Voltage 19 VDC
Output Current 4.74 A Maximum
DC Output Plug 2.5 x 5.5 x 11 mm
DC Output Cable Length 6’
AC Power Cord Length 6’
Weight 642 g
EMC performance Meet requirements of IEC60601-1-2

Meet requirements of
Safety Standards
IEC60601-1:2005

Note: Upon disconnecting AC Power supply, Ventilator will

automatically switch to Battery operation without affecting
ventilator behaviour.

9.4. Battery Operating Time

Battery operation time ranges from 22 hours in normal operating
temperature to 16 hours under extreme low operating temperature.

9.5. Electromagnetic Compatibility

O-Two e700 has been tested and complies with IEC 60601-1-2:2007
requirements.

Electromagnetic Emissions
O-Two e700 is intended for use in the electromagnetic environment
specified below. The user of O-Two e700 should assure that it is not
used in environments outside those specified:

e700 User Manual 53

 EMISSION TEST COMPLIANCE ELECTROMAGNETIC ENVIRONMENT
-GUIDANCE
The O-Two e700 uses RF energy only
for its internal function. Therefore, its RF
RF emissions Group 1 emissions are very low and are not likely
CISPR 11 to cause any interference with nearby
electronic equipment
RF emissions CISPR 11 Class B The O-Two e700 external power supply
is suitable for use in all establishments
Harmonic emissions Class A including domestic establishments and
IEC61000-3-2 those directly connected to the public
Voltage fluctuations/ low-voltage power supply network that
flicker emissions complies supply buildings used for domestic
IEC61000-3-3 purposes

Electromagnetic Immunity

IMMUNITY TEST IEC60601 REQUIRED ACTUAL COMPLIANCE

TEST LEVEL LEVEL
Electrostatic discharge ± 6 kV contact ± 8 kV contact
(ESD) IEC61000-4-2 ± 8 kV air ± 15 kV air
Electrical fast transient/ ± 2 kV for power supply
± 2 kV for power supply lines
burst IEC61000-4-4 lines
± 1 kV line to line; ± 1 kV line to line;
Surge IEC61000-4-5 ± 2kV line to earth ± 2kV line to earth
Voltage dips, short <5%UT for 0.5 cycle <5%UT for 0.5 cycle
interruptions and voltage 40%UT for 5 cycle 40%UT for 5 cycle
variations on power supply 70%UT for 25 cycle 70%UT for 25 cycle
input lines IEC61000-4-11 <5%UT for 5 s <5%UT for 5 s
Power frequency
(50/60Hz) magnetic field 3 A/m 30 A/m
IEC61000-4-8
3Vrms: 150 kHz to 80 MHz
Conducted RF 3 Vrms
outside ISM bands
IEC61000-4-6
10Vrms: 150kHz to 80 MHz in 10 Vrms
ISM bands

Radiated RF 10 V/m @ 30 V/m

IEC61000-4-3 80 MHz to 2.5 GHz

O-Two e700 is intended for use in the electromagnetic environment

in which radiated RF disturbances are controlled. The user can help
prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications
equipment (transmitters) and the O-Two e700 as recommended
below, according to the maximum output power of the
communications equipment:

54 e700 User Manual

 RATED SEPARATION DISTANCE (M)
MAXIMUM
OUTPUT 150kHz to 800
150kHz to 800 80 MHz to 800 80 MHz to 800
POWER OF MHz outside ISM
MHz in ISM bands MHz MHz
TRANSMITTER bands d = 3.5/3
W d = 1.2√ P d = 1.2√ P d = 1.2√ P
*√ P
0.01 0.12 0.12 0.12 0.23
0.1 0.4 0.4 0.4 0.7
1 1.16 1.2 1.2 2.3
10 3.8 3.8 3.8 7.3
100 12 12 12 23

9.6. Oxygen Consumption

For a “D” size cylinder (capacity of 425 liters), pressurized to 2015
PSI and with the e700 set to the Adult default setting (Vt= 500ml,
Rate= 10BPM, 100% Oxygen) the pneumatic operating time is 85
minutes without PEEP (0.2 min/L) and is 39 minutes with maximum
PEEP (0.089 min/L).

Duration of consumption of a cylinder in minutes is calculated

approximately by dividing the liter content by the minute volume
with or without PEEP.

9.7. Oxygen Concentration delivered against

different back pressures

O2 CONCENTRATION %

e700 User Manual 55

 10. Trouble shooting

WARNING
Please contact the manufacturer if a problem cannot be rectified.
For the safety of the patient and the Health care providers DO NOT
continue using the ventilator.

Message/
Cause Remedy
fault
Make sure mask fits / all patient circuit
Leaking mask, ETT,
parts are properly connected./change
disconnected patient circuit
patient circuit

Replace hose, check tube position,

Low Paw Low Airway Pressure
check ventilation settings and correct

Check patient, ventilation circuit,

High Paw High Airway Pressure check tube position, adjust Pmax
alarm value

Low Mv Low minute Volume Check patient / reset parameters.

High Mv High Minute Volume Check patient / reset parameters.

Low Pi Low inhalation pressure Check mask, patient Integrity

Blocked Airway Obstructed Airway Check airway, patient

Apnea, spontaneous breathing Switch to Assist Control ventilation,

failed or disconnection, faulty ensure connections tight, Replace
sensor patient circuit

No Oxygen ≤ 20 PSI Change Oxygen cylinder

Low Oxygen(40-21 PSI) Change Oxygen cylinder

Leakage, measured expiratory Check leakage in breathing system.

volume is 40% lower than set.

Resolve parameters conflict by

Invalid setting resetting out of range parameters

Battery No proper charging/Faulty Charge Battery as per instructions/

discharges battery Replace battery
quickly
Change Battery/connect power
e700 cannot be Battery empty/no power supply supply/ send to O-Two for repair or
switched on connected/defective service

56 e700 User Manual

 11. Abbreviations and Acronyms
TERM DESCRIPTION
A/C V Assist Control Ventilation
BCI Breathing Circuit Integrity (Patient circuit disconnect)
BiLVL Biphasic Positive Airway pressure
CPAP Continuous Positive Airway Pressure
CPR Cardio Pulmonary Resuscitation
Rate Ventilation rate (number of breaths per minute)
Termination % of Maximum flow value
I:E Ratio of inspiration time to expiration time
LED Light Emitting Diode
Mve Exhaled Minute Volume
Mv Minute volume
O2 (%) Percentage of Oxygen inspired
Paw (AV) Average airway pressure
Paw (peak) Peak airway pressure
PCV Pressure control Ventilation
PEEP Positive End Expiratory Pressure
Pi Inhalation Pressure
P min Minimum airway pressure
P max Maximum airway pressure
PSV Pressure Support Ventilation
SIMV Synchronized Intermittent Mandatory Ventilation
T APNEA Apnea Alarm time
Te Expiratory time
TFT Thin Film Transistor
Ti Inspiration time
Trig. Triggering flow rate
Vte Exhaled Tidal volume
Vt Tidal volume

e700 User Manual 57

 12. Accessories
ITEM PART ORDER NUMBER
O-Two Single-Use Electronic Transport Ventilator
1 01CV8030-cs
breathing circuit 6' (1.83 m) - case of 10
PVC 6’ (1.83 m) input pressure hose – 9/16” DISS
2 01FV4302
nut fitting
3 Intake filter - case of 10 01CV8040-cs
4 Power supply Cord (Canada and the US) 01CV0106
5 Battery Pack 01CV9100
6 e Ventilator External Power Supply 01CV0105
“SMART MOUNT” Mounting Bracket for Road
7 01EV7035
ambulance
8 1L Test lung 01TA1852
eSeries Automatic Transport Ventilator Carrying
9 01CV7050
Case – With sling-style shoulder strap

Note: When ordering the ventilator please specify the input hose and
power cable connectors required for the country of use.

13. Warranty
O-Two Warrants the e700 ventilator, when used in accordance with
the instructions contained within this Manual, for a period of two years
from the date of purchase except for the following cases:
1. Using unspecified parts/accessories
2. An attempt to service by unqualified persons/entities
3. Negligence
4. Normal wear and tear (filters, batteries, patient circuits)

58 e700 User Manual

 Note: O-Two Warrants the battery for a period of one year from the
date of purchase.

WARNING
It is recommended that the routine preventive maintenance shall
be carried out at least every 6 months from date of purchase.
Repair and general overhaul of the ventilator must be carried out
by trained service personnel. Evaluation of performance against
manufacturer’s specifications may be undertaken by suitably
qualified personnel to determine if the ventilator is functioning
within specification. Any ventilators deemed to be out of
specification must be returned to O-Two Medical Technologies Inc.
(or one of it’s approved Service Centers) for service and/or repair.

We recommend that a service contract be obtained with O-Two

Medical Technologies Inc. (or one of it’s approved Service Centers)
and that all repairs also be carried out by them.

Only authentic O-Two Medical Technologies Inc. spare parts must

be used for maintenance.

Liability for proper function or damage

The liability for the proper function of the apparatus is irrevocably
transferred to the owner or operator to the extent that the apparatus
is serviced or repaired by personnel not employed or authorized
by O-Two Medical Technologies Inc. or if the apparatus is used in a
manner not conforming to its intended use.

O-Two Medical Technologies Inc. cannot be held responsible for

damage caused by non-compliance with the recommendations given
above.

The warranty and liability provisions of the terms of sale and delivery
of O-Two Medical Technologies Inc. are likewise not modified by the
recommendations given above.

e700 User Manual 59

Your Representative is:

O-TWO MEDICAL
TECHNOLOGIES INC.
For your nearest Authorized O-Two Distributor
In North America call Toll Free 1-800-387-3405
EC REP

SERIAL N0: MedNet EC-REP GmbH

Borkstrasse, 10
48163 Münster, Germany

www.otwo.com
45A Armthorpe Road, Brampton, ON, Canada, L6T 5M4
Telephone: +1 905 792-OTWO (6896) N.A. Toll Free: +1 800 387 3405
Facsimile: +1 905 799 1339 Email: resuscitation@otwo.com