Puritan Bennett™

980 Series Ventilator

Software Update Addendum

Operator's Manual Addendum

0123
U.S. Patents: www.covidien.com/patents.
© 2020 Covidien. All rights reserved.
COVIDIEN, COVIDIEN with logo, and Covidien logo and Positive Results for Life are U.S. and internationally registered trademarks of
Covidien AG. ™* brands are trademarks of their respective owner. Other brands are trademarks of a Covidien company.
The information contained in this addendum is the sole property of Covidien and may not be duplicated without permission. This
addendum may be revised or replaced by Covidien at any time and without notice. Ensure this addendum is the most current
applicable version. If in doubt, contact Covidien’s technical support department.
While the information set forth herein is believed to be accurate, it is not a substitute for the exercise of professional judgment.
The ventilator should be operated and serviced only by trained professionals. Covidien’s sole responsibility with respect to the
ventilator and software, and its use, is as stated in the limited warranty provided.
Nothing in this document shall limit or restrict in any way Covidien’s right to revise or otherwise change or modify the equipment
(including its software) described herein, without notice. In the absence of an express, written agreement to the contrary, Covidien has
no obligation to furnish any such revisions, changes, or modifications to the owner or user of the equipment (including its software)
described herein.
Covidien is a Medtronic company.
Symbols
CE Mark—Signifies compliance with Medical Device Directive 93/42/EEC

0123

European Community (EC) authorized representative

Manufacturer—Ventilator manufacturer

i
ii
 Table of Contents
1 Software Enhancements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Update to 4.7.2 NIV Breathing Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Update to 4.7.3 NIV Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Update to 4.7.4 Conversion from Invasive to NIV Ventilation Type . . . . . . . . . . . . . . . . . . . . . 4
Update to 5.4.2 Communication Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Update to 5.4.7 SNDF Command . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Update to Table 5-2. MISCF Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Update to 6.6.21 Driving Pressure (PDRIVE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Update to Table 11-9. Ventilator Settings Range and Resolution . . . . . . . . . . . . . . . . . . . . . . . 6
Update to Table 11-11. Patient Data Range and Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Update to Table B-1. Maximum Leak Compensation Flow Based on Patient Type . . . . . . . 6
Update to Table B-2. DSENS Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Update to Table D-3. Humidifier Volumes—Neonatal Patients . . . . . . . . . . . . . . . . . . . . . . . . . 7

Operator's Manual Addendum English 1

2 Operator's Manual Addendum English
1. Software Enhancements
1.1. Overview
This addendum describes enhancements to the 980 Ventilator System and changes to the
980 Ventilator System Operator’s Manual.
1

1.2. Update to 4.7.2 NIV Breathing Interfaces

The following non-vented interfaces are compatible with the use of NIV/CPAP on the
Puritan Bennett 980 ventilator:
Full-face mask — ResMed Mirage™* non-vented full face mask
Nasal mask — ResMed Ultra Mirage™* non-vented mask
Infant nasal prongs — Argyle™* nasal prongs, Hudson RCI™* Infant Nasal prongs, Fisher &
Paykel™* nasal prongs, Medin™* nasal prongs, and Ram cannula
Uncuffed neonatal ET tube — Shiley™ Uncuffed tracheal tube, Murphy (3.0 mm)

1.3. Update to 4.7.3 NIV Setup

To function as intended, DSENS needs to be set between the LEAK data value displayed while
the patient is connected, and the LEAK data value displayed when the interface is open to
ambient and not connected to the patient.
To set DSENS with NIV interfaces when Leak Sync is enabled
1. After adjusting the patient settings, start ventilation.
2. Ensure that Leak Sync is enabled and set DSENS to the highest setting.
3. Select LEAK (L/min) to be displayed in the patient data banner.
4. With the NIV interface connected to the breathing circuit and open to ambient, use
the patient data value called LEAK to quantify the leak in L/min.
5. Set the DSENS (in L/min) below the leak rate (in L/min) to ensure that the disconnect
alarm is violated during a disconnect. Note that this will cause a CIRCUIT
DISCONNECT alarm.
6. Connect the patient interface to the patient and ensure that the CIRCUIT
DISCONNECT alarm is resolved.
7. DSENS needs to be set higher than the LEAK data value displayed while the patient is
connected and lower than the LEAK data value displayed when the interface is
open to ambient and not connected to the patient.
8. Periodically assess the leak rate, especially with PEEP changes, and adjust the DSENS
setting as needed to ensure the presence of an alarm during disconnect and the
absence of nuisance alarms while the interface is connected to the patient.
9. Always use alternative methods of monitoring during NIV.

Operator's Manual Addendum English 3

 1.4. Update to 4.7.4 Conversion from Invasive to NIV
Ventilation Type
Note: Before switching to non-invasive ventilation from invasive ventilation when the
EtCO2 sensor was used, ensure the EtCO2 option is disabled.

1.5. Update to 5.4.2 Communication Setup

To specify the communication configuration for the ventilator
1. Touch the configure icon in the constant access icons area of the GUI. A menu
appears with several tabs.
2. Touch the Comm Setup tab. The Comm Setup screen appears allowing three ports
to be configured. These ports can be designated as DCI, DCI 2.0, DCI 3.0, Philips,
Spacelabs, or Waveforms.

1.6. Update to 5.4.7 SNDF Command

MISCF 1225* 169 <STX> FIELD 5, … FIELD 173, <ETX> <CR>
1 2 3 4 5 6 7

1 Response code to SNDF command 5 Data field, left-justified and padded with
spaces
2 Number of bytes between <STX> and <CR> 6 End of transmission (03 hex)
3 Number of data fields between <STX> and 7 Terminating carriage return
<ETX>
4 Start of transmission (02 hex) * 1229 if Philips is selected for serial port in
communication setup

Note: Ensure your external devices are compatible with the latest DCI software to prevent
incompatibilities as data fields may have been modified.

1.7. Update to Table 5-2. MISCF Response

Component Description
Field 8 Ventilation Type (NIV______ or Invasive_ or HFO2T____) (9 characters)
Field 9 Mode (A/C___, SIMV__, SPONT_ or CPAP__) (6 characters)
Field 11 Spontaneous Type (PS____, TC____, VS____, PA____) (6 characters)
Field 12 Trigger Type setting ( -Trig, P-Trig, IESYNC) (6 characters)
Field 18 PEEP/CPAP setting in cmH2O (6 characters)
Field 56 Disconnect sensitivity (DSENS) setting in %, L/min or OFF (6 characters)
Field 78 Monitored Inspired tidal volume (VTI) in L# (6 characters) # VTL (L), If Leak Sync ON.
Field 87 Monitored Positive end expiratory pressure (PEEP) in cmH2O (6 characters)
Field 91 Monitored total PEEP (PEEPTOT) from expiratory pause maneuver in cmH2O (6 characters)
Field 101 Proximal Flow Sensor state (ON or OFF) (6 characters)

4 Operator's Manual Addendum English

 (continued)
Component Description
Field 116 Inadvertent Power Off alarm* (6 characters)
Field 127 Procedure error alarm* (6 characters)
Field 128
Field 146 1
Compliance limited tidal volume (VTI) alarm* (6 characters)
Technical malfunction A50* (6 characters)
1
Field 1471 Technical malfunction A55* (6 characters)
Field 148 1
Technical malfunction A60* (6 characters)
Field 149 1
Technical malfunction A65* (6 characters)
Field 150 Technical malfunction A70* (6 characters)2
Field 151 Technical malfunction A75* (6 characters)3
Field 152 Technical malfunction A80* (6 characters)4
Field 153 High ETCO2 Alarm* (6 characters)
Field 158 LEAK in L/min (6 characters)
Field 159 VLEAK in mL (6 characters)
Field 161 ETCO2 (mmHg) when COM port is set to DCI 2.0 or DCI 3.0 (6 characters). Otherwise Blank
Field 1625 Inspiratory Compliance ratio (C20/C) (6 characters)
Field 163 5
Three times Inspiratory Time Constant (3TauI) in seconds (6 characters)
Field 164 5
Delivered mL/kg Volume (VTI/PBW)#.
# VTL/PBW (mL/kg), If Leak Sync ON. (6 characters)
Field 1655 Monitored Driving Pressure (PDRIVE) in cmH2O (6 characters)
Field 166 5
Monitored Positive End Expiratory Pressure at Patient Interface (PEEPIF) in cmH2O (6 char‐
acters)
Field 1675 Monitored End Inspiratory Pressure at Patient Interface (PI END IF) in cmH2O (6 characters)
Field 168 5
Monitored Constant Flow ( ) in L/min (6 characters)
CONST

Field 1695 IE Sync Trigger Sensitivity (ISYNC) setting (6 characters)

Field 170 5
IE Sync Cycle Sensitivity (ESYNC) setting (6 characters)
Field 171 5
Constant flow ( CONST) setting in L/min (6 characters)
Field 172 5
Ventilator State (6 characters)
6

Field 173 5
Nebulizer State7 (6 characters)
*Possible responses are: NORMAL, LOW, MEDIUM, HIGH, or RESET.
1
Fields 146 to 149 are blank for DCI 3.0.
2
Nebulizer Inoperative Alarm*, when COM port is set to DCI 3.0.
3
CO2 Monitor Inoperative Alarm* when COM port is set to DCI 3.0.
4
Low EtCO2 Alarm*, when COM port is set to DCI 3.0.
5
Fields 162 to 173 are configured for DCI 3.0, otherwise Blank.
6
Possible Ventilator State responses are: STNDBY (Stand-By Mode), SAFPCV (Safety PCV),
BREATH (Normal Breathing Mode), DISCON (Circuit Disconnect), OCCLUD (Occlusion),
SVOPEN (Safety Valve Open), BUV (Backup Ventilation), MIX-BUV (Mixer Backup
Ventilation), HFO2T, APNEA.
7
Possible Nebulizer State responses are: ON, OFF, SUSPND (Suspended).

Operator's Manual Addendum English 5

 1.8. Update to 6.6.21 Driving Pressure (PDRIVE)
While ventilating with PAV+™, Driving Pressure (PDRIVE) is the difference between Plateau
pressure and estimated PEEPTOT and represents the amount of pressure required to
overcome the elastic recoil of the lungs. PDRIVE can also be calculated by dividing VT by CPAV
(VT/CPAV).
PAV+™ software automatically performs a 300 ms end-inspiratory hold in a random pattern
every four to ten PAV+™ breaths. Each time the end-inspiratory hold is conducted this
pressure change is measured from the end expiratory lung pressure at the beginning of the
breath to the pressure at the end of the plateau maneuver.

1.9. Update to Table 11-9. Ventilator Settings Range and

Resolution
Setting Description Range and resolution
Disconnect sensitivity (DSENS) Leak Sync disabled: The percentage of Range (Leak Sync disabled): 20% to
returned volume lost, above which the 95% or OFF
ventilator declares a CIRCUIT DISCON‐ Range (Leak Sync enabled):
NECT alarm. NEONATAL:
Leak Sync enabled: The leak at PEEP Invasive: 1 L/min to 15 L/min
value in L/min, above which the venti‐
lator declares a CIRCUIT DISCONNECT NIV: 1 L/min to 30 L/min
alarm. PEDIATRIC: 1 L/min to 40 L/min
ADULT: 1 L/min to 65 L/min
Resolution (Leak Sync disabled): 1%
Resolution (Leak Sync enabled): 0.5
L/min for values < 10 L/min; 1 L/min
for values ≥ 10 L/min

1.10. Update to Table 11-11. Patient Data Range and

Resolution
Data value Description Range and resolution
Driving Pressure (PDRIVE) During PAV+™, PDRIVE is computed as Range: 0 cmH2O to 90 cmH2O
the pressure difference between Pla‐ Resolution: 0.1 cmH2O for 0 cmH2O to
teau Pressure and the estimated 9.9 cmH2O;1.0 cmH2O for values 10
PEEPTOT. cmH2O to 90 cmH2O

1.11. Update to Table B-1. Maximum Leak Compensation

Flow Based on Patient Type
Patient type Maximum leak compensation flow at Maximum total flow
PEEP
Neonatal Invasive: 15 L/min 50 L/min
NIV: 30 L/min (25 L/min if compressor
is the air source)

6 Operator's Manual Addendum English

1.12. Update to Table B-2. DSENS Settings

Breathing circuit type DSENS setting Maximum total flow

Neonatal Range: 50 L/min
Invasive: 1 L/min to 15 L/min
NIV: 1 L/min to 30 L/min
1
Default: 2 L/min (Invasive ventilation)
5 L/min (NIV)
Pediatric Range: 1 L/min to 40 L/min 120 L/min
Default: 20 L/min
Adult Range: 1 L/min to 65 L/min 200 L/min
Default: 40 L/min

1.13. Update to Table D-3. Humidifier Volumes—Neonatal

Patients
Manufacturer Model Description SST humidifier volume set‐
ting (mL)
Fisher & Paykel™* MR290 Neo/adult, disposable, auto‐ 5501
feed
Teleflex™* (Concha) 382-10 ConchaSmart 390
AirLife™* AH290 Disposable, autofeed 520

If the following neonatal patient circuits are used with a Fisher & Paykel™* MR850
1

humidifier, enter 500 mL as the humidifier volume:

• DAR neonatal patient circuit with single heated wire (DAR 307S9910)–for incubator use
• DAR neonatal patient circuit with single heated wire (DAR 307/8682)–not for incubator
use

Operator's Manual Addendum English 7

8 Operator's Manual Addendum English
i
 Covidien llc,
15 Hampshire Street, Mansfield, MA 02048 USA
www.covidien.com
+1 800 255 8522 [T]

Covidien Ireland Limited,

IDA Business and Technology Park, Tullamore, Ireland.

© 2020 Covidien. All rights reserved.

PT00119947 Rev. A
*PT00119947* 2020-05-12