Sei sulla pagina 1di 54

A100 Circle Absorber

Service Manual

Quality and Assurance in Anaesthesia


IMPORTANCE OF PATIENT MONITORING

WARNING monitors are very desirable aids for the


anaesthetist but are not true clinical
monitors as the condition of the patient is
Anaesthesia systems have the capability to also dependent on his respiration and the
deliver mixtures of gases and vapours to the functioning of his cardio-vascular system.
patient which could cause injury or death
unless controlled by a qualified anaesthetist.
IT IS ESSENTIAL THAT THESE ELEMENTS
ARE MONITORED FREQUENTLY AND
There can be considerable variation in the REGULARLY AND THAT ANY
effect of anaesthetic drugs on individual OBSERVATIONS ARE GIVEN PRECEDENCE
patients so that the setting and observation OVER MACHINE CONTROL PARAMETERS IN
of control levels on the anaesthesia system JUDGING THE STATE OF A CLINICAL
does not in itself ensure total patient safety. PROCEDURE.
Anaesthesia system monitors and patient
IMPORTANT

Servicing and Repairs

In order to ensure the full operational life of this


absorber, servicing by a Penlon-trained engineer
should be undertaken periodically.

We recommend that the absorber should be


serviced on the following schedule:

(a) Six monthly inspection and


function testing.
(b) Annual service which includes
routine replacement of seals etc.,
as preventive maintenance.
(c) Five year service.
Details of these operations are in this
A100 Circle Absorber service manual,
which contains servicing procedures etc.
Servicing should be carried out by Penlon
trained engineers.

For any enquiry regarding the servicing or repair


of this device, contact the nearest accredited
Penlon agent:

or communicate directly with:

Technical Support
Penlon Limited
Barton Lane
Abingdon
OX14 3PH
UK

Tel: 44 (0) 1235 547076


Fax: 44 (0) 1235 547062
E-mail: technicalsupport@penlon.co.uk

Always give as much of the following


information as possible:
1. Type of equipment
2. Product name
3. Serial number
4. Approximate date of purchase
5. Apparent fault

(i)
FOREWORD

This manual has been produced to provide


authorised personnel with information on the
function, routine, performance and maintenance
checks applicable to the A100 Absorber.

Information contained in this manual is correct at


the date of publication. The policy of Penlon
Limited is one of continued improvement to their
products. Because of this policy Penlon Limited
reserves the right to make any changes which
may affect instructions in this manual, without
giving prior notice.

Personnel must take themselves familiar with


the contents of this manual and the machine
function before using the apparatus.

Copyright Penlon Ltd. 2003


All rights reserved.

(ii)
CONTENTS

Page No.

USER RESPONSIBILITY 1

1. WARNINGS AND CAUTIONS 2

2. PURPOSE 5

3. DESCRIPTION
3.1 Canisters 7
3.2 Inspiratory and Expiratory Non-return Valves (NRV) 7
3.3 Adjustable Pressure Limiting (APL) Valve 8
3.4 Bag/Ventilator Switch (optional) 8
3.5 Fresh Gas Inlet and Supply Tubing 9
3.6 Manometer 9
3.7 Absorber On/Off (Bypass) System 9
3.8 End Tidal Carbon Dioxide Monitoring 9
3.9 Positive End Expiratory Pressure (PEEP) Valve 10
3.10 Gas Flow Schematics 10

4. SPECIFICATION
4.1 General Dimensions and Weight 13
4.2 Resistance of Breathing System 13
4.2.1 Expiratory Resistance 13
4.2.2 Inspiratory Resistance 13
4.3 Internal Compressible Volume 14
4.4 System Leakage Rate 15
4.5 Canister Capacity and Resistance 15
4.5.1 Canister Capacity 15
4.5.2 Canister Resistance 15
4.6 Non-return valves 16

5. INSTALLATION AND OPERATION


5.1 Mounting the Absorber 17
5.2 System Connections 19
5.2.1 Breathing Hoses, Reservoir Bag and Ventilator 19
5.2.2 Fresh Gas 19
5.2.3 Anaesthetic Gas Scavenging 19
5.2.4 Oxygen Monitor 19
5.3 Filling and Changing CO2 Absorbent 20
5.4 Optional Accessories 21
5.4.1 Manometer 21
5.4.2 PEEP Valve 21

(iii)
CONTENTS

Page No.

6. PRE-USE CHECKS
6.1 Pre-use Checklist 22
6.2 Leak Test 23
6.3 APL Valve Test and Pressure Relief Valve Test 23
6.4 Non-return Valve Test 24
6.5 Bag/Ventilator Switch Test 24
6.6 Absorber On/Off (Bypass) Switch 25
6.7 PEEP Valve (if fitted) 25

7. USER MAINTENANCE
7.1 Maintenance and Service Policy 26
7.2 Canisters and Seals 26
7.3 Condensate Drainage 26
7.3.1 Polemount Models 26
7.3.2 In-board mounted models (Prima SP) 27
7.4 Non-return Valves 29
7.5 Manometer 29
7.6 PEEP Valve (if fitted) 29
7.7 APL Valve 29

8. STERILISATION
8.1 Bacterial Filters 30
8.2 Sterilisation Policy 30
8.3 Patient Circuit Components 30
8.4 Absorber Assembly 31
8.5 Sterilisation and Disinfectant Treatment Table 32

9. SERVICING 33

10. PARTS LIST 38

11. APPENDIX
Gas flow diagrams 41

User Notes 44

(iv)
USER RESPONSIBILITY

This device has been built to conform with Statements in this manual preceded by the
the specification and operating procedures stated following words are of special significance:-
in this manual and/or accompanying labels and
notices when checked, assembled, operated,
maintained and serviced in accordance with these
instructions. WARNING means there is a
To ensure the safety of this device it must be possibility of injury to
checked and serviced to at least the minimum yourself or others.
standards laid out in this manual. A defective, or
suspected defective, product must not under any
CAUTION means there is a possibility of
circumstances be used.
damage to the apparatus or
other property
The user must accept responsibility for any
malfunction which results from non-compliance
NOTE indicates points of particular
with the servicing requirements detailed in this
interest for more efficient and
manual.
convenient operation.
Additionally, the user must accept responsibility
for any malfunction which may result from misuse
of any kind, or non-compliance with other The reader must take particular notice of the
requirements detailed in this manual. warnings, cautions and notes provided throughout
this manual
Worn, broken, distorted, contaminated or missing
components must be replaced immediately.
Should such a repair become necessary it is
recommended that a request for service advice
be made to the nearest Penlon Service Centre.

This device and any of its constituent parts must


be repaired only in accordance with written
instructions issued by Penlon Limited and must
not be altered or modified in any way without the
written approval of Penlon Limited.
The user of this equipment shall have the sole
responsibility for any malfunction which results
from improper use, maintenance, repair, damage
or alteration by anyone other than Penlon or their
appointed agents.

USA and Canadian Federal Law restricts the sale


and use of this device to, or on the
order or, a licensed practitioner.

1
1. WARNINGS AND CAUTIONS

The following WARNINGS and CAUTIONS must 7. Vacuum systems must not be
be read and understood before using this connected direct to the APL valve. A
Anaesthetic Apparatus receiving system with positive and
negative pressure control functions
must be interposed. Systems must
WARNINGS comply with ISO 8835 Part 2. See 5.2.3.

8. Underfilling of canisters can lead to


General Information
inefficient CO2 absorption.
Overfilling may result in poor sealing of
1. Personnel must make themselves canisters due to caking of granules and
familiar with the contents of this abrasion of seals and canisters. See 3.1
manual and the function of the A100 and 5.3.
Absorber before use.

9. Do not use the Penlon A100 Absorber


2. Trichloroethylene must not be used in without ensuring that it passes all
association with soda lime. pre-use checks. See Section 6.

3. This unit is restricted to use with non- 10. After servicing and cleaning
flammable anaesthetic agents only. procedures, verify positive action of the
bag/ventilator and absorber On/Off
(bypass) selector switches (if fitted)
4. The A100 Circle System Absorber must before the unit is used clinically.
only be used when securely mounted in
an upright position. Check that at all times the actuator
a) The inspiratory and expiratory non- shaft on each switch is free to move
return valves (NRV) are gravity from one end of its travel to the other.
operated.
b) Spillage of absorbent may
Using the absorber
contaminate the breathing system.
See 3.2/5.1
11. Models with a bag/ventilator switch -
Before using the absorber if no ventilator is connected to the
absorber, care must be taken to ensure
that the bag/ventilator switch is kept in
5. The use of patient Y-pieces the Bag position, to avoid loss of gas
containing non-return valves in from the breathing system and to
connection with the Penlon Circle maintain the reservoir bag in the
System Absorber is hazardous, system. However, when no ventilator is
because two sets of non-return valves connected, the ventilator port must be
may easily be connected in left uncapped. See 3.4
opposition, by error.

12. Condensation, which may collect in the


6. Breathing hoses and bags used with bottom of the absorber is caustic and
the apparatus must comply to ISO care must be taken not to spill it on the
5367 (Hoses) and ISO 5362 (Breathing skin when draining the trap provided.
Bags) respectively. The resistance After draining ensure that the drain
and compliance of these hoses and valve is fully closed.
bags provide essential factors for the
See section 7.3.
satisfactory use of this system.

2
WARNINGS AND CAUTIONS

13. Kinking of the fresh gas tube is a CAUTIONS


known cause of anaesthetic accident
and the use of unsuitable tubing can
contribute to this situation. See 3.5. 1. On twin canister models, efficient use of
soda lime absorbent is only achieved if the
newly refilled canister is replaced in the
14. The absorber On/Off (bypass) control upper position.
selector switch isolates the absorber
circuit from the breathing system, and
its use allows refilling of the absorbent 2. Do not sterilise (autoclave) the manometer
canisters during a clinical operation. (if fitted).
If the selector switch is left in the
Absorber OFF position excessive 3. Do not autoclave the canisters.
levels of CO2 will build up within the Always remove the canisters if the
breathing circuit. absorber is to be steam autoclaved (see
It is strongly recommend that a section 8.5).
capnometer is used in conjunction with
this system to prevent the risk of
hypercapnia. 4. If the absorber has to be lifted or
carried by hand, always support the weight
of the unit under the base. Do not lift
15. Any breathing system utilising the the absorber by gripping any of the
A100 absorber must be fitted with: components attached to the manifold
blocks at the top of the absorber - the
a) An oxygen monitor complying with
manometer, APL valve, breathing circuit
ISO 7767.
connectors, etc.
b) A minute volume monitor.
c) A breathing system integrity alarm.
5. Do not use any ventilator with the A100
absorber that does not comply with ISO
8835 part 2.

3
4
2. PURPOSE

The A100 Absorber is designed for use as part of


a closed breathing system for anaesthesia,
providing CO2 absorption in conjunction with the
appropriate breathing hoses, reservoir bags and
patient connections.

Depending on the flow of fresh gas relative to


patient minute volume, the patient may receive
fresh gas or partial recirculated gas, as
determined by the anaesthetist.

As an option, the absorber can be supplied with


an on/off (bypass) control which enables the
canister containing the absorbent material to be
excluded from the breathing circuit. The purpose
of this is to enable CO2 levels to be increased, or
to allow the absorbent to be changed whilst the
patient is still ventilated.

The system may also incorporate as on option a


Bag/Ventilator switch. This enables the device to
be used:
a) for spontaneous breathing or manually
assisted ventilation in the Bag mode,
b) with an anaesthesia ventilator when
Ventilator is selected.

Further options allow for an integral manometer,


and an uncalibrated PEEP facility which can be
fitted into the expiratory valve.

5
1
13 14 15

2
3
12
4

11

10

A100 Circle System Absorber twin canister model


with optional on/off (bypass) switch, bag/ventilator switch and manometer

1. Adjustable pressure limiting valve (APL valve) 8. Upper canister


2. Inspiratory non-return valve (NRV) 9. Hook breathing circuit hose
3. Inspiratory hose connector 10. Expiratory hose connector
4. Bag/ventilator switch (optional) 11. Expiratory non-return valve (NRV)
5. Reservoir bag 12. Pole mount block
6. Canister clamp wheel 13. Manometer (optional)
7. Lower canister 14. Absorber on/off (bypass) switch
15. Manifold block

6
3. DESCRIPTION

3.1 Canisters Further Information


Mounting the absorber section 5.1
Note absorbers with single or twin canisters are Refilling the absorbent section 5.3
available (single canister illustrated below). Cleaning section 7.2
Draining condensate section 7.3
Sterilisation and autoclaving section 8

3.2 Inspiratory and Expiratory


Non-return Valves (NRV)

The valves are positioned on the top of the


manifold block and control the direction of the gas
flow through the system.

Capacity Each valve consists of a stainless steel disc


located over a valve seat, and operates by
Each canister is designed to hold 1.3 kg of loose
gravity. The steel discs are retained by guides on
absorbent, or to take prepacks.
the inside of the valve dome to prevent lateral
The maximum fill level is marked on the canister movement.
equivalent to 1500 ml of absorbent.
The valves are visible through transparent domes
THIS MUST NOT BE EXCEEDED, but filling and the operation of each valve can be visually
should be to a level within 12 mm (0.5 in) of this checked as the patient breathes in and out.
line. IT IS IMPORTANT THAT THE ABSORBER IS
In addition, the absorber must only be used when MOUNTED UPRIGHT SO THAT THESE
securely mounted in an upright position spillage VALVES MOVE IN A TRULY VERTICAL
of absorbent may contaminate the breathing PLANE, WITH THE VALVE SEATS
system see WARNING, in section 5.1. HORIZONTAL.

Seals The valves are detachable for cleaning, and the


Canisters each have a rubber seal attached at attachment of accessories (e.g. a PEEP valve can
their lower end. The top seal attached to the be fitted at the expiratory valve position).
metalwork of the frame is identical to the canister
seals.

Further Information
Twin canister models Mounting the absorber section 5.1
a) Gas flow is upward through the Pre-use check section 6
canisters so that the lower unit will be
Cleaning section 7,4
exhausted first.
Sterilisation and autoclaving section 8
b) The upper and lower canisters are
interchangeable.

7
DESCRIPTION

3.3 Adjustable Pressure 3.4 Bag/Ventilator Switch


Limiting (APL) Valve (Optional)
The Penlon APL valve is a spring loaded On the right hand side of the absorber
stainless steel disc valve, providing breathing manifold block is a spring loaded lever which in
system pressure control, and excess pressure the vertical position shows the word Ventilator. In
relief. this position the ventilator is in circuit.
The spring pressure can be varied by rotating the A
control knob on top of the valve. In the fully
Ventilator mode
counterclockwise position the minimum pressure
In Ventilator
is 1.9 cmH2O at 30 L/min. This can be increased
mode the
by clockwise rotation.
reservoir bag is
closed off from
60 the breathing
system and the
ventilator
Pressure connection port
(cmH2O) (A) at the rear of
the manifold
block, is in circuit.
WARNING The APL valve is out of circuit
when the system is in Ventilator mode. The
ventilator must be equipped with a pressure
1.9 relief valve.
0 0.5 1.0 1.5 2.0
Turns Clockwise Moving the lever down against its spring results in
a sudden reversal of the spring action, pulling the
lever rapidly to the horizontal position where the
word Bag is exposed.
As shown in the graph above, further There is no intermediate position of the lever.
clockwise rotation causes a rapid increase in
opening pressure so that in the fully closed
position, the valve functions as a 60 cmH2O Bag mode
excess pressure relief valve. The breathing bag acts as an additional over-
pressure protection device, preventing pressure
exceeding 60 cmH2O.
AGSS connector WARNING If no ventilator is connected to
the absorber, care must be
On UK specification models, the APL valve is
taken to ensure that the bag/
fitted with 30 mm taper connector.
ventilator switch is kept in the
US specification models have a 19 mm taper Bag position, to avoid gross
connector. loss of gas from the breathing
system and to maintain the
Further Information reservoir bag in the system.
The ventilator port must be left
Pre-use check section 6.3
uncapped when no ventilator
Sterilisation section 8.5 is connected.

Further Information
Gas flow schematic section 3.10
Pre-use check section 6

8
DESCRIPTION

3.5 Fresh Gas Inlet and 3.7 Bypass System (Optional)


Supply Tubing
It is strongly recommended that a
The fresh gas inlet connector is screwed into the capnometer is used in conjunction with this
rear of the manifold block (labelled A see system to prevent the risk of hypercapnia.
illustration at section 3.4). The bypass system opens a valve to allow
The absorber is supplied with a fresh gas hose expiratory gas to pass direct to the APL valve and
assembly with attached end fitting, and no bag, or ventilator, without passing through the
substitute should be employed. absorbent.
This facilitates:
a) canister refill during clinical use of the
WARNING Kinking of the fresh gas tube
system.
is a known cause of
anaesthetic accident and the b) CO2 levels can be increased.
use of unsuitable tubing The bypass is operated by a lever at the front of
can contribute to this the manifold block, located between the
situation. inspiratory and expiratory connectors.
The lever shows Absorber ON in the vertical
position and Absorber OFF when the lever is
moved down to the horizontal position to open the
bypass. The lever has a spring action to prevent it
3.6 Manometer (optional)
being left in a mid-position.
Note that with the absorber ON all the
NOTE: The use of a manometer is strongly expiratory gas will pass through the
recommended at all times. absorbent canisters.

The manometer is located on the top of the


manifold block to the rear of the expiratory valve Further Information
and can be swivelled to face in the desired CO2 monitoring section 3.8
direction.

Manometer scale: 10 to +100 cmH2O


3.8 End Tidal Carbon Dioxide
Manometer accuracy: 5%
(within range Monitoring
+10 to 80 cmH2O)

The use of end tidal carbon dioxide monitoring


CAUTION Remove the manometer before is strongly recommended to support the most
autoclaving the absorber unit. effective use of the Penlon Circle A100 Absorber
System.
Connection of a suitable analyser must be made
Further Information between the patients airway and the patient
Installation section 5.4 connection Y-piece.
Detailed instructions are provided by the
manufacturers of the analyser.

9
DESCRIPTION

3.9 PEEP Valve (optional)

The valve is used to generate positive end


expiratory pressure (PEEP), which is infinitely
variable from zero to 20 cmH2O.
The value is fitted into the expiratory valve port on
the top of the manifold block, in place of the
existing valve components.

It is recommended that a manometer, reading


directly from the breathing circuit, is used when
a PEEP valve is fitted.

Further Information
CO2 monitoring section 3.8
Installation section 5.4.2

3.10 Gas Flow Schematics

The following pages contain gas flow schematics

1. Absorber basic model


2. Absorber with bypass and manometer
3. Absorber with bypass, bag/ventilator switch
and manometer
4. Absorber with bypass, bag/ventilator switch,
manometer, and PEEP valve

Further Information
Gas flow diagrams section 10

Component layout
In all models the gas flow through the canisters is
from bottom to top.
Note that the bag/ventilator connection is between
the absorber and the patient. Bag squeezing or
the use of mechanical ventilation does not result
in the transport of dust toward the patient, but
tends to drive dust back into the absorber.

10
DESCRIPTION

Circle System Absorber Basic Model

Flow
through
canister

Key to Gas Circuit Schematics

1. Patient 7. Breathing bag


2. Manometer (optional) 8. Inspiratory NRV (Non return valve)
3. Expiratory NRV (non-return valve) 9. Absorber On/Off (bypass) control / mechanical
4. APL (adjustable pressure limiting) valve link (optional)
5. Absorber canister
6. Fresh gas inlet

Circle System Absorber with On/Off


(Bypass) and Manometer

Flow Flow
through through
canister bypass

11
DESCRIPTION

Circle System Absorber with On/Off


(Bypass), and Bag/Ventilator Switch, and
Manometer

Flow
Flow
through
through
canister
bypass

Key to Gas Circuit Schematics

1. Patient
2. Manometer (optional)
3. Expiratory NRV (non-return valve)
Note: not fitted if PEEP valve is used)
4. APL (adjustable pressure limiting) valve
5. Absorber canister
6. Fresh gas inlet
7. Bag/ventilator control / mechanical link
8. Breathing bag
9. Ventilator
10. Inspiratory NRV (Non-return valve)
11. On/Off (bypass) control / mechanical link
12. PEEP valve (optional)
Note: fitted in place of expiratory NRV

Flow Flow
through through
canister bypass

Circle System Absorber with On/Off


(Bypass), and Bag/Ventilator Switch,
Manometer, and PEEP Valve

12
4. SPECIFICATION

NOTE: Information in this section complies with the requirements


of ISO 88352.

4.1 General Dimensions


Overall height 380 mm (single canister)
470 mm (twin canister)
Width 186 mm
Depth 240 mm

Weight (empty) 5.7 kg (single canister)


6.2 kg (twin canister)

Mounting system 25 mm (1 inch) diameter


polemount

4.2 Resistance of Breathing System


Resistances listed in 4.2.1 and 4.2.2 are measured with:
(A) An absorber fitted with 1060 mm (42 inch) breathing
hoses complying with ISO 5367, and a Penlon Safelock
Y-piece.
(B) Absorber only.

Both canisters filled to the MAX level with fresh absorbent, and the APL
valve fully open.

4.2.1 Expiratory Resistance


Tested with a flow of 6 L/min of air through the fresh gas inlet and an
induced flow of 60 L/min through the breathing system.
(A) expiratory resistance: less than 0.6 kPa (6 cmH2O)
(B) expiratory resistance: less than 0.5 kPa (5 cmH2O)

By-pass (absorber OFF)


Tested with an induced flow of 60 L/min through the breathing system.
(A) expiratory resistance: less than 0.4 kPa (4 cm H2O)
(B) expiratory resistance: less than 0.35 (3.5 cmH2O)

Bacterial Filter:
Bacterial filters may be used in this breathing system provided they do
not raise the resistance values of the whole system to above 0.6 kPa
(6 cmH2O).

13
SPECIFICATION

4.2.2 Inspiratory Resistance


Tested with a flow of 6 L/min of air through the fresh gas inlet
and an induced flow of 60 L/min through the breathing system.

(A) inspiratory resistance: less than 0.6 kPa (6 cmH2O)


(B) inspiratory resistance: less than 0.45 kPa (4.5 cmH2O)

By-pass (absorber OFF)


Tested with a flow of 6 L/min of air through the fresh gas inlet
and an induced flow of 60 L/min through the breathing system:
(A) inspiratory resistance: less than 0.35 kPa (3.5 cmH2O)
(B) inspiratory resistance: less than 0.3 kPa (3 cmH2O)

Bacterial Filter:
Bacterial filters may be used in this breathing system provided they do
not raise the resistance values of the whole system to above 0.6 kPa
(6 cmH2O).

4.3 Internal Compressible Volume


These figures are measured with:
(A) An absorber fitted with 1060 mm (42 inch) breathing
hoses complying with ISO 5367, and a Penlon Safelock
Y-piece.
(B) Absorber only.

Note that the reservoir bag is not fitted and the bag mount blocked.

(A) Volume required to raise the system pressure to 3 kPa


(30 cmH2O) = 180 ml
(B) Volume required to raise the system pressure to 3 kPa
(30 cmH2O) = 170 ml

Other disposable breathing hoses may give different figures; the


supplier of the hose will provide compressible volume figures.

14
SPECIFICATION

4.4 System Leakage Rate


These figures are measured with:
(A) An absorber fitted with 1060 mm (42 inch) breathing
hoses complying with ISO 5367, and a Penlon Safelock
Y-piece.
(B) Absorber only.

The patient connection port is sealed and the APL valve fully closed.

(A) Absorber ON and Absorber OFF


Leakage rate: less than 50 ml/min at 3 kPa (30 cmH2O)
(B) Absorber OFF, canister removed.
Leakage rate: less than 50 ml/min at 3 kPa (30 cmH2O)

4.5 Canister Capacity and Resistance


4.5.1 Canister Capacity
When filled to the MAX level mark, each canister holds 1.3 kg (2.87 lb)
of absorbent (1500 ml).

Recommended absorbent Soda lime or barium lime, with a colour


indicator, 4-8 mesh, supplied in bulk.
Alternatively, pre-packs may be used.
Note
i) The absorber canisters are not electrically conductive.
ii) Cleaning and sterilisation details are given in section 7.

4.5.2 Canister Resistance


The resistance of a freshly filled canister is less than 0.2 kPa (2 cmH2O)
at 60 L/min.

15
SPECIFICATION

60 Flow
4.6 Non-return Valves (L/min)
Pressure drop across the inspiratory and 50
expiratory non-return valves at an air
flow of 60 L/min: 0.1 kPa (1 cmH2O). 40

Note that flow characteristics are 30


identical for valves in a dry or wet
condition. 20
A wet valve is defined as a valve in a
flow of humidified gas, such that 10 Pressure
moisture is visible on the surface of the (kPa)
valve. 0.02 0.04 0.06 0.08 0.01

16
5. INSTALLATION AND OPERATION

5.1 Mounting the Absorber

CAUTION
If the absorber has to be lifted or carried by hand,
always support the weight of the unit under the
base.
Do not lift the absorber by gripping any of the
components attached to the manifold blocks at the
top of the absorber the manometer, APL valve,
breathing circuit connectors, etc.

Polemount bracket
A 25 mm (1 inch) diameter pole clamp is
provided on the rear of the absorber.
Suitable pole mount brackets are provided on the
Penlon Prima anaesthetic machine, as illustrated.

WARNING
The Penlon A100 Circle Absorber System must
only be used when securely mounted in an
upright position.
a) Non-return valves are gravity operated
b) Spillage of absorbent may contaminate the
breathing system.

Inboard Mounting System - Prima SP


Please refer to the Prima SP user instruction
manual for installation and connection details.

Further Information
Condensate Drainage section 7.3

17
INSTALLATION AND OPERATION

AV900 VENTILATOR
(REAR VIEW)

PRESSURE MONITOR
LINE
EXHAUST TO
SCAVENGE VENTILATOR SENSOR LINE
SYSTEM DRIVE GAS FOR O2 MONITOR
(AV900 OPTION)

J
F
FRESH
G GAS
A SUPPLY
B
D
L
C H
E

CIRCLE
SYSTEM DRIVE
ABSORBER GAS
K

PATIENT

Breathing Circuit Connections

A Inspiratory hose connection E Fresh gas hose J Bacterial filter


B Expiratory hose connection F CGO block K Heat and moisture
C Reservoir bag connector G APL valve exchanger
D Ventilator connection H Spirometer L Auxiliary gas outlet
(anaesthetic machine)

Note
1) To protect the expiratory limb of the breathing circuit, and the spirometer (H), use a
breathing circuit bacterial filter (J), or a heat and moisture exchanger (K) at the
patient tee-piece.
2) Follow the instructions given in the relevant user manuals for connections to analysers
and monitors.
3) Prima SP Inboard Mounting System
Refer to the Prima SP user instruction manual for installation and connection details.

18
INSTALLATION AND OPERATION

5.2 System Connection


B A E
5.2.1 Breathing System Hose, Reservoir
Bag, Ventilator
Inspiratory (A) and expiratory (B) hose connectors and
the reservoir bag connector (C) are 22 mm male, C
complying with ISO 5356/1. The ventilator connection
point (D) is also 22 mm male.
Hose and bag connections are fitted with Penlon
Safelock high security fittings.
See section 9 for ordering information for Penlon
breathing system components and accessories.

5.2.2 Fresh Gas Supply


The fresh gas hose assembly (E) supplied with the unit
has a Penlon connector at the absorber inlet and a 22
mm Safelock taper at the other end.
This should be connected to the common gas
outlet (F) of the anaesthetic machine.
F G
D

5.2.3 Anaesthetic Gas Scavenging


(AGS)
The outlet of the APL valve (G) is either a 30 mm
or 19 mm taper (US specification), which can be rotated
to a convenient position to attach an AGS system hose.
WARNING Vacuum systems must not be
connected direct to the APL valve.
A receiving system with a positive
and negative pressure control
function must be interposed.
Systems must comply with the
requirements of ISO 8835 part 2.

5.2.4 Oxygen Monitor


Penlon Oxygen Monitor - the sensor must be attached:
Sensor
a) at the inspiratory valve, or Inspiratory
b) at the CGO block, using a standard 15 mm Tee valve
adaptor
Refer to the user instruction manual for AV900 or
Prima SP.
The use of an oxygen monitor (and a carbon dioxide
analyser) is highly recommended when using any
partial rebreathing anaesthetic system.

19
INSTALLATION AND OPERATION

5.3 Filling and Changing CO2 Refilling with absorbent


Absorbent
WARNING Underfilling of canisters can
WARNING If the absorbent is to be lead to inefficient CO2
changed during clinical use, absorbtion. Overfilling may
the bypass switch must be in result in poor sealing of
the Absorber OFF position, canister due to caking of
and adequate fresh gas granules and abrasion of
flow must be maintained to seals and canisters.
prevent excessive build up WARNING Condensation, which may
of CO2. collect in the bottom of the
absorber, is caustic. Avoid
skin contact when draining.
After draining, ensure that
the drain valve is fully
closed (see section 7.3).

1. Using pre-packed soda lime, the packing


seals must be removed from the fresh pre-
pack following the makers instructions.
(a) Check that the canister is clean and empty
of dust or soda lime granules, including the
underside of the rubber seal.
(b) Insert the pre-pack into the canister.
Follow the instructions provided by the
pre-pack manufacturer.
2. Using bulk packed soda lime, check the
canister in the same manner, then place it
on a horizontal surface and fill it with soda
lime up to the MAX line, but not above it.

Removing the canisters


Refitting the canisters
1. Turn the clamp wheel at the base of the
absorber fully clockwise (8 to 9 turns). This
leaves space between the top and bottom CAUTION Efficient use of soda lime is
of the canister frame for the canisters to be only achieved if the newly
removed sideways after disengaging the refilled canister is replaced in
rubber seals by vertical movement. the upper position.
2. On twin canister models, the absorbent in 1. Refit the canisters into the frame, with the
the lower canister is always exhausted newly filled canister in the top position.
first, so the canisters should be rotated as
Make sure that all seals, and the
follows:
canisters align correctly as you tighten the
(a) lift the canisters from the frame and place clamp screw by clockwise rotation.
the top canister to one side, for refitment in
2. Leak test the absorber see section 6.2.
the lower position,
(b) replace the absorbent in the lower
canister, and then refit in the top
position see procedure below.

20
INSTALLATION AND OPERATION

5.4 Optional Accessories

5.4.1 Manometer

The manometer is located on the top of the


manifold block, to the rear of the expiratory valve.
To fit a manometer to an existing absorber, first
remove the blanking plug, then carefully screw
the adaptor into the manifold block. Fit the
manometer to the adaptor.

Function test the absorber, checking for leaks at


the manometer, before clinical use.

CAUTION Remove the manometer before


autoclaving the absorber unit.

5.4.2 PEEP Valve A

It is recommended that a manometer, reading


directly from the breathing circuit, is used
B
when the PEEP valve is fitted.
A positive end expiratory pressure (PEEP) valve
can be fitted into the expiratory valve port on the
top of the manifold block, in place of the existing
valve components

1. Unscrew the expiratory valve plastic dome


(A). Check that the steel disc (B) is in place C
- the face with the white marking must be
uppermost.
2. Fit the PEEP valve (C) to the manifold
block.
3. Function test the absorber before
clinical use.

21
6. PRE-USE CHECKS

6.1 Pre-use Checklist

1. Check the absorbent, replace if necessary.


Before refitting the canisters, check that
the sealing surfaces are clean and dust
free before clamping tightly.

2. Connect the fresh gas hose to the


anaesthetic machine.
Note that the anaesthetic machine must be
leak tested before the absorber pre-use
checks are made.

3. Leak test the absorber see section 6.2

4. Carry out a function check and


pressure relief test on the APL valve
see section 6.3.

5. Check the inspiratory and expiratory non-


return valves for correct operation see
section 6.4.

6. Check the Bag/Ventilator switch (if


fitted) for correct operation see
section 6.5.

7. Check the Absorber On/Off switch (if


fitted) for correct operation see
section 6.6.

8. Check the PEEP valve (if fitted) for


correct operation see section 6.7.

9. Repeat the absorber leak test see


section 6.2.

22
PRE-USE CHECKS

The procedures detailed in sections 6.2 to


6.6 must be carried out in the order listed.
The absorber must be attached to an
anaesthetic machine, which must be leak
tested before the checks are carried out.
If a manometer is fitted, check that it is zeroed B
before use. C

6.2 Leak Test B

On models with a bypass facility, the absorber


bypass switch level must be set to
its vertical Absorber ON position.
On models with a bag/ventilator option, check
that the bag (A) is correctly fitted, and set the
switch lever to Bag. A
Connect the fresh gas hose to the machine CGO
block outlet.
Use a breathing system hose to connect the
patient ports (B) to form a closed, leak-free circuit.
Close the APL valve (C).

1. Turn on a flow of 2 L/min of oxygen and 3. If no manometer is fitted, inflate the bag
pressurise the system. with a flow of 5 L/min.
2. If a manometer is fitted, stop the gas flow Check that the bag can be deflated with
when the system pressure reaches 3 kPa gentle squeezing.
(30 cmH2O) and check that pressure is
maintained, i.e. the pressure must not fall
Pressure Relief
to zero in less than one minute.
4. Close the APL valve fully (clockwise).
3. If no manometer is fitted, stop the flow
when the bag is fully inflated and check 5. If a manometer is fitted, remove the
that pressure is maintained by observing reservoir bag (A) and block the bag port.
the bag, i.e. the bag must not deflate
within one minute.
Use the flow controls on the anaesthesia
machine to produce a high flow of gas into
6.3 APL Valve Test and the system and check that the APL valve
provides excess pressure relief. The
Pressure Relief Test manometer reading must not exceed 6
kPa (60 cmH2O) 10% at 6 L/min.
APL Valve Function
1. Open the APL valve (C).
Refit the reservoir bag.
Check that gas escapes freely from the
system through the valve outlet. 6. If a manometer is not fitted, fully inflate
the bag, turn off the gas flow and squeeze
the bag.
APL Valve Flow Resistance
Check that the APL valve provides excess
2. If a manometer is fitted, set maximum flow
pressure relief.
and check that the retained pressure is
less than 0.5 kPa (5 cmH2O).

23
PRE-USE CHECKS

6.4 Inspiratory and Expiratory


Non-return Valve Test
1. Detach the hose connecting the inspiratory
(A), and expiratory (B) connectors.
2. Check that the APL valve (C) is closed.
3. Block the inspiratory valve outlet (A) with a
suitable bung, and inflate the reservoir bag B
(D) with a 2 L/min oxygen flow. C
E
4. Turn off the gas flow and check that the bag
does not empty by reverse flow through the
expiratory valve (B).
5. Remove the bung and attach a spare
reservoir bag to the inspiratory valve
connector (A).
A
6. Turn on a 2 L/min oxygen flow and fully
inflate this bag (and the absorber reservoir
bag).
7. Turn off the gas flow. Check that gas cannot D
be forced through the inspiratory valve by
gentle squeezing of the spare bag on the
valve outlet.
8. Remove the bag from the inspiratory
connector (A).

6.5 Bag/Ventilator Switch (if


fitted) C
1. Refit the breathing hose between the F
inspiratory (A) and expiratory (B) connectors.
2. Move the lever (E) to its vertical Ventilator
position.
3. Close the APL valve (C).
4. Set a flow of 10 L/min and check that there is
a flow out through the ventilator connection
port (F).
5. Move the lever to its horizontal Bag position.
6. Check that the flow through (F) ceases, and
the bag inflate.
7. When the pressure in the system reaches 3
kPa (30 cmH2O), turn off the flow of gas.
8. Reselect Ventilator and check that the
system momentarily empties through the
ventilator connection port (F), but the bag
remains inflated.
9. Squeeze the bag, there should be no loss
of pressure.

24
PRE-USE CHECKS

6.6 Absorber On/Off Switch


(if fitted)

1. Move the absorber On/Off level (A) to its A


horizontal OFF position.
2. On models with a Bag/Ventilator option, C
select Bag.
3. Pressurise the system and when the
pressure in the system reaches 3 kPa
(30 cmH2O), turn off the flow of gas.
4. Unscrew the clamp wheel (B) at the base
of the absorber, and detach the canisters.
5. Check that pressure is maintained in the
system, i.e. the pressure must not fall to D
zero in less than one minute.
6. Select Absorber ON, check that the
system exhausts through the canisters.
7. Tighten the canister clamp wheel check B
that the canisters and seals align correctly
during refitment.

6.7 PEEP Valve (if fitted)

1. Disconnect the fresh gas hose from the


anaesthetic machine.
2. Use the hose connecting the inspiratory
(C), and expiratory (D) connectors to
connect the anaesthetic machine CGO to
the expiratory connector.
3. On models with a Bag/Ventilator option,
select Ventilator.
4. Set a flow of 10 L/min.
5. Turn the PEEP valve control knob fully
clockwise and check that the pressure
in the system rises to approximately 20
cmH2O.
6. Turn the control knob fully anti-
clockwise and check that the pressure
falls.
7. Carry out an absorber leak test see
section 6.2.

25
7. MAINTENANCE

7.1 Maintenance and 7.3 Condensate Drainage


Service Policy
This section of the User Manual describes WARNING Condensation, which may
simple procedures which, if regularly performed, collect in the bottom of the
will keep the system in good working order absorber is caustic and care
between the servicing procedures laid down in must be taken not to spill it
the separate Service Manual. on the skin when draining
No tools or special equipment are needed for the trap provided. After
these user maintenance procedures. draining ensure that the
drain valve is fully closed.
These procedures should be performed daily, or
whenever the absorbent is renewed in the
canister.
The Pre-use Checks in section 6.1 must then
be performed.

Service Frequency
Servicing and repairs must only be carried
out by Penlon-trained technicians and
engineers.

(a) Six-monthly inspection and function


testing.
(b) Annual service which includes routine
A
replacement of seals etc., as preventive
maintenance.

7.2 Canister and Seals 7.3.1 Polemount Models


Cleanliness is the essential requirement for these Weekly:
components. Soda lime tends to adhere strongly 1. Attach a tube (A) to the drain trap tube
to surfaces when it has become exhausted. and drain the condensate into a suitable
To ensure good sealing, the seals and the container such as a 100 ml beaker.
canisters should be scrubbed under running
Open the drain valve by turning the lever.
water to remove particles of soda lime, whenever
these items are removed for recharging. 2. Allow all liquid to drain out, then close the
drain valve.
Attention to the seal and sealing edge on
the frame is also important. These can be wiped Dilute the liquid with water before
with a wet cloth, or scrubbed under running water disposal.
when the complete system is dismantled for
3. Remove the tube
sterilisation or disinfection.
See section 8.4.

26
MAINTENANCE

7.3.2 In-board Mounted Models


(Prima SP)

NOTE An additional condensate collection


A system is fitted under the absorber valve block.

Daily Procedure:
1. Check the level of liquid in the bottle (A).
If the bottle is more than half full, unscrew
carefully and dispose of the contents -
dilute the liquid with water before disposal.
Wear suitable protective gloves if the
bottle is full.
Refit the bottle.

Weekly Procedure:
1. Drain the condensate from the base of the
absorber canister, as follows:
Attach a tube (B) to the drain trap tube and
drain the condensate into a suitable
container (such as a 100 ml beaker).
Open the drain valve by turning the lever.
Allow all liquid to drain out, then fully close
the drain valve and remove the hose.
Dilute the liquid with water before disposal.
2. Check the hoses (C and D) that connect
the valve block and canister assembly.
B
WARNING
Condensate may have collected inside
C the hoses.
This condensate may be caustic, and
care must be taken to avoid skin
contact.
If condensate is visible, wear suitable
protective gloves, carefully disconnect
each hose, and drain the liquid into a
suitable container.
Dilute the liquid with water before disposal.
3. Reconnect the hoses.
4. Check that all the hoses connecting the
absorber and ventilator are correctly fitted
D
and secure - refer to the illustrations on
the next page.

27
MAINTENANCE

Prima SP
In-board A100
Absorber and
Ventilator Bellows
(Ventilator control unit
mounted on side bracket
or shelf)

Prima SP
In-board A100
Absorber
(Ventilator mounted
on side bracket or
shelf)

28
MAINTENANCE

7.4 Inspiratory and


Expiratory Non-return
Valves
A
The non-return valves should be opened and
the valve discs and domes rinsed under
running water, and carefully dried.
It is essential not to bend the disc (A) during
this process, otherwise the system will not
pass the Function Check in section 5.

Refit the disc - the face with the white marking


must be uppermost.

7.5 Manometer (if fitted)

The manometer must be removed from the


absorber, before any sterilisation or disinfection
process is applied.
Depress the quick release clip to detach the
manometer from the adaptor on the absorber.
CAUTION Do not sterilise the manometer.

7.6 PEEP Valve (if fitted)

Unscrew the PEEP valve from the absorber.


Check that the sealing face of the valve disc is
clean.
Check the condition of the seal (B), and replace if
worn or damaged. Order Part No. 39883. B

7.7 APL Valve

Cleaning - unscrew the valve from the absorber


and, with the valve in the open position, wash in a
warm water and soap solution, then rinse
thoroughly.

Do NOT wash in an automatic


cleaning/washing machine.

Sterilisation - see section 8.5. The valve must be


in the open position.

29
8. STERILISATION

8.1 Bacterial Filters


The use of respiratory bacterial filters is highly
recommended.
These are normally fitted:
A) on the expiratory side only, or
B) at the patient Y-piece if it is an heat and moisture
exchange (HME) type.
Refer to the diagram in section 5 Breathing Circuit
Connections, and the information on flow resistance in
sections 4.2.1, and 4.2.2.
Filters may be sterilisable or single use. Please read
the labelling supplied by their manufacturer.

8.2 Sterilisation Policy


When bacterial filters are used, hoses, filters and the
patient Y-piece are either treated as single use
disposable items or should be disinfected or sterilised
between patients (see 8.3).
The remainder of the system should be disinfected or
sterilised at regular intervals (see 8.5).

If bacterial filters are not used, the complete system


should be disinfected or sterilised either -
A) every 2 or 3 days, or
B) following each patient use, or
C) at an interval set by the hospital infection control
committee.
Always follow the guidelines in section 8.5.

8.3 Patient Circuit Components


The components should be separated, washed with
warm soap and water solution, rinsed in warm water
and air dried.
For suitable treatment, see section 8.5.

30
STERILISATION

8.4 Absorber Assembly


C
Cleaning Procedure Before
Sterilisation
F
WARNING Condensation, which may collect
in the bottom of the absorber is
caustic and care must be taken not
to spill it on the skin when draining
the trap provided. After draining
ensure that the drain valve is fully
closed. See section 7.3
E B
CAUTION When the absorber is lifted or carried
by hand, always support the weight of
the unit under the base.
Do not lift the absorber by gripping
any of the components attached to the
manifold blocks at the top of the
absorber the manometer, APL valve,
breathing circuit connectors, etc.

CAUTION Do NOT clean any component in an


A
automatic cleaning/washing machine.

1. Drain the condensate from the absorber


see section 7.3.
Dilute the liquid with water before disposal.
2. Remove the canisters (A), dispose of soda lime.
Thoroughly scrub off all particles of absorbent.
3. Detach the inspiratory and expiratory non-return
valve assemblies (B) unscrew the dome (C)
and take out the valve discs (D).
Carefully wash all components in a warm water
and soap solution, then rinse and air dry.
Do not bend the discs.
4. Wash the frame internally with warm water.
5. Remove the manometer (E), if fitted. See section
7.5.

Refitting
Note - Refit the discs - the face with the white marking
(F) must be uppermost.

31
STERILISATION

8.5 Sterilisation and Disinfectant Treatment Table

Component Soap water Cidex Sonacid Steam Maximum


(Note 1) Autoclave Temperature
oF oC

Breathing hoses yes yes yes 278 137


(Penlon)

Safelock fittings yes yes yes 278 137

Reservoir bag yes yes yes 278 137


(Penlon)

Manifold block yes yes yes 278 137


(including non-
return valves)

Frame assembly yes yes yes 278 137

Canisters yes yes no

APL valve yes yes yes 278 137

Pressure gauge no no no

PEEP valve yes yes yes 278 137

General Notes:

1. Thorough rinsing in warm water and drying in air should follow chemical disinfection.
2. Do NOT clean any component in an automatic cleaning/washing machine.
3. Before clinical use, ALWAYS carry out the Pre-use Checks listed in section 6 of this manual.

32
9. SERVICING

Service Schedule

1 Initial Checks
1.1 Check serial numbers to determine service required.
1.2 Check general condition of Absorber and fittings.
1.3 Drain condensate from absorber. : Caution Caustic Solution
1.3 Check toggle labels for security of attachment.
If necessary, replace with new toggle with labels already attached.

2 On / Off Valve Assembly

2.1 Remove / disassemble valve.

2.2 Replace;
O' Ring 041220
O' Ring 041216
O' Ring 041207
O' Ring 39897 x2
O' Ring 041204 x3
O' Ring 020414
O' Ring 041219

2.3 Degrease Shaft A


Lightly lubricate Shafts A, B, C with Fomblin.
Reassemble Valve
NB; Use Loctite 242 at thread 'D' when assembling.

2 On / Off Valve Assembly


2.4 Replace grub screw as indicated at forward end of spindle A.
Use flat ended Allen key to achieve sufficient torque without rounding key-way.

NB; Retain grub screw with Loctite 242

3 Bag / Vent Valve Assembly 1


3.1 Removal / disassemble valve.

3.2 Check shaft B (Part No 39952) to see if modification embodied.


Measure distance along centre hexagonal section.
Old Style shaft = 27.3 mm across flats.
New Style shaft = 24.8 mm across flats.
NB. Replace old style shaft with new style shaft

3.3 Degrease Shaft A

3.4 Lightly lubricate Shafts with Fomblin.


3.5 Replace:

O' Ring 041220


O' Ring 041212
O' Ring 041204 x3
O' Ring 39896 x2
O' Ring 041207

33
SERVICING

3.6 Reassemble Valve


NB: Use Loctite 242 at point 'D' when assembling.

3.7 Replace grub screw as indicated at forward end of spindle A.


Fit with flat ended Allen key to achieve sufficient torque without rounding key-
way.

NB; Retain grub screw with Loctite 242

3.8 Fit connector to block apply Loctite 242 to threads.

Lower Block Assembly


4.1 Remove / disassembe.
Warning:
The Particles of absorbent may be CAUSTIC!
Additional Condensate may drip out!

Remove Canisters.

4.2 Clean all traces of absorbent from the lower Canister area.

4.3 Dismantle

4.4 Replace:
O' Ring 0501 x2
O' Ring 001
O' Ring 041218
Washer M4 Nylon 025609 x3

4.5 Reassemble

5 Upper Block Assembly

5.1 Dismantle

5.2 Replace:
O' Ring 041218
Washer M4 Nylon 025609 x 4
Cable Tie (Canister) 90252

5.3 Examine canister seals for signs of wear or perishing.


Examine canisters for cracks.
Clean seal faces and lightly smear with Fomblin

5.4 Reassemble

6 Bag / Vent Block Assembly

6.1 Refer to Service Manual for Removal / Assembly


Remove Block
6.2 Replace:
O-rings (2) - Internal
6.3 Refit Block.

34
SERVICE SCHEDULE

7 Inspiratory / Expiratory Non-return Valves.

7.1 Remove domes, wash and dry, examine for damage.

7.2 Remove valve discs and wash under running water and dry carefully.

7.3 Replace seals / O-rings

7.4 Refit valve discs and domes.

8 Manometer / Blanking plug

8.1 If Manometer fitted replace O-ring Part No 041218

8.2 If Blanking plug fitted replace O-ring Part No 041231

9 Miscellaneous
9.1 Replace remaining O-rings as supplied in Service kit referring to relevant diagrams.

9.2 Clean and lubricate clamp screw.

9.3 Verify accuracy of Manometer

10 Set Up

10.1 Connect absorber to anaesthetic machine that has been checked for LEAKS.
Check that manometer reads zero.
If no manometer fitted tee in 0 - 10 kPa ( 0-100 cmH2O) test gauge between Bag and bag
port.
For all tests refer to this gauge where manometer gauge mentioned.

11 Leak Test

11.1 Absorber bypass Switch to on (vertical position)

11.2 Ensure bag fitted to bag port and position lever to 'Bag' position.

11.3 Connect patient ports with hose to form a closed circuit.

11.4 Close APL valve.

11.5 Set a flow of 2 l/min on AM.

11.6 Stop the gas flow when Manometer reads 3 kPa (30 cmH2O).
Ensure pressure does not fall to zero within one minute.

12 APL Valve Test And Pressure Relief Test

12.1 Fully open APL valve

12.2 Set maximum flow rate.


Check that manometer indicates 5 cmH2O or less.
Turn off gas supply
12.3 Close the APL valve Fully.

35
SERVICE SCHEDULE

12.4 Use O2 flush


Check APL valve relieves pressure at 6 kPa
(60cm H2O) 10 % at 40 l/min flow rate.

13 Inspiratory and Expiratory Non-return Valve Test

13.1 Remove hose from patient ports.

13.2 Occlude Inspiratory port with suitable bung.

13.3 Fully close APL valve

13.4 Inflate bag with a 2 l/min flow rate


0 - 10 kPa (0-100 Cm H2O) test gauge indicates 3 kPa 30cm H20.
Turn off gas flow
Check that gauge does not return to zero within 60 secs.

13.5 Remove bung from inspiratory port and fit a second re-breathing bag.

13.6 Inflate both bags with 02 flush.


Remove bag from bag port.
Check rebreathing bag (on inspiratory port) does not deflate within 60 secs.

13.7 Remove bag from inspiratory port, refit bag to bag port.

14 Bag / Ventilator Switch Test

14.1 Refit hose to patient ports.

14.2 Select ventilator and ensure APL valve fully closed.

14.3 Set a flow of 10 l/min.


Check that gas flows out through 'To Ventilator' port at rear.
Move lever to Bag position
Check that the bag inflates and the flow 'To Ventilator' ceases.
When the pressure reads 3 kPa (30 cmH2O) turn off the flow of gas.

Select ventilator, pressure should drop momentarily.until switch makes.


Squeeze bag, there should be no loss of pressure.

15 Absorber On / Off Switch

15.1 Select OFF position. Select Bag position.

15.2 Pressurise the system to 3 kPa (30 cmH20) and turn off gas flow.

15.3 Remove absorber canisters.


Check that pressure does not fall to zero within one minute.

15.4 Select On position


Check that system pressure exhausts through canisters.

15.5 Replace canisters


Ensure correct alignment of seals and tighten canister wheel clamp.

36
SERVICE SCHEDULE

16 Peep Valve

16.1 Connect CGO of Anaesthetic machine to Expiratory port of absorber.


Use a length of suitable hose.

16.2 Set Bag / Vent selector to Vent position.

16.3 Set a flow of 10 l/min

16.4 Turn PEEP valve control knob fully clockwise.


Check that the pressure in the system rises to approx 2 kPa (20 cmH2O).
Turn control knob fully anticlockwise and ensure pressure falls.

17 Paperwork

17.1 Restore user settings.

17.2 Sign and date service card, indicate service 6, 12, or 60 month.

17.3 Attach service card to equipment.

17.4 Attach 'This Equipment Has Been Serviced Label' in prominent position.

17.5 Remove all tools, test equipment

17.6 THINK, carry out visual checks.

17.7 Fill out service report.

This check list is prepared for use by Penlon-trained Service Engineers.


Other parts may be replaced at the discretion of the Engineer if signs of wear
are apparent.

37
10. PARTS LIST

Contact the Sales Department at Penlon Ltd

UK: International:
Tel: 01235 547036 +44 1235 547001
Fax: 01235 547023 +44 1235 547021
E-mail: uksales@penlon.co.uk export@penlon.co.uk

Fresh gas hose 52590


Manometer 58428
Breathing circuit (black rubber) 58436
PEEP valve 58429
Mounting pole 52584
Absorber detachables 52582

Note:
1. Absorber detachables consists of:
3 litre breathing bag
1.05 m (42 inch) breathing tube
Female mount
Connector mount
Facemask elbow
Y piece

2. All standard connectors are for use with 30 mm taper anti-pollution systems.
(Models compatible with 19 mm systems are available on request.)

38
A100 Absorber
Preventive Maintenance Kit
12 Month Service Kit
Part No. 58615
NOTE: At 60 Month Service, fit Kit No. 58609

Kit Contents
Part No Qty. Component Description
041261 1 O-ring - water trap (A100 built-in to Prima SP)
462631 1 Fresh Gas Hose - 1 m
103612 2 Cable Tie - fresh gas hose
043 4 O-ring - Neoprene (Safelock Connectors)
041216 1 O-ring - Viton
041207 2 O-ring - Viton
041204 3 O-ring - Viton
041212 1 O-ring - Viton
041219 1 O-ring - Viton
39883 2 Seal - Dome
0518 2 O-ring - Viton - Dome (early models)
39442 2 Valve Disc WARNING
011160 1 Corrugated Hose - Twin Canister Function test the absorber before
011162 1 Corrugated Hose - Single Canister clinical use.
See section 4 in the service manual.

041261

Water Trap (A100 inboard on Prima SP)

011160
(Twin canister)
011162
(Single canister)

462631
103612

39
PARTS LIST

041204

041219
041204
0501

043
041207

041216

043 043

0501

043

39442
041204
39883
0518

Note: 041207
Use O-ring
0518 on early
models

041212

40
PARTS LIST

Preventive Maintenance Kit


60 Month Service Kit
Part No. 58609

Kit Contents
Part No Qty. Component Description
041261 1 O-ring - water trap 462631 1 Fresh Gas Hose - 1 m
043 4 O-ring - Neoprene 103612 2 Cable Tie
39897 4 Seal
041216 1 O-ring - Viton 39896 1 Seal
041207 2 O-ring - Viton 041220 2 O-ring - Viton
041212 3 O-ring - Viton 041204 6 O-ring - Viton
041219 1 O-ring - Viton 020414 1 Circlip
01052 2 Grub Screw
39883 2 Seal - Dome 0501 5 O-ring - Viton
0518 2 O-ring - Viton - Dome 001 1 O-ring - Viton
(early models) 041214 3 O-ring - Viton
39442 2 Valve Disc 041231 3 O-ring - Viton
011160 1 Corrugated Hose 090252 1 Cable Tie - Canister Seal
(Twin Canister) (not shown)
025609 7 Washer - M4 Nylon
011162 1 Corrugated Hose
(Single Canister) 041218 3 O-ring - Viton

WARNING Function test the absorber before clinical use - see section 4

0432231

041218 (Manometer fitted)


0432231 (plug fitted)

0501

041222

025609 041261

011160 Water Trap (A100 inboard


011162
on Prima SP)
462631
103612
025609
001

41
041204 020414

041204
39897 041212

Absorber On/Off 041231


Switch Assembly 041219
39897
041204
0501
39897
041207 041216 043

043 0501
01052
043
041218
041220 (ventilator connection
0501
not fitted)

Bag/Vent Switch
On absorbers built before end 1999,
check if latest type shaft is fitted.
Measure distance X.
Old type: X = 27.3 mm 043
New type: X = 24.8 mm.
Fit a new shaft (order Part No 39952) 041231
if X = 27.3 mm.
39442
X 39883 041204
0518
Note:
39896 Use O-ring
0518 on
early models 041207

39897
041204 Bag/Vent Switch Assembly
041214

041212

01052

041212

041220
PEEP Valve (if fitted)
Check the condition of
the seal.
Order Part No. 39883
(not included in PMK)

42
11. APPENDIX

Gas flow diagrams

The following pages contain gas flow diagrams as follows:

1. Absorber ON / Bag ON Expired gas flows through the canisters.


The reservoir bag and APL valve are in
circuit.

2. Absorber OFF / Bag ON Expired gas bypasses the canisters. The


reservoir bag and APL valve are in circuit.

3. Absorber ON / ventilator ON Expired gas flows through the canisters.


The ventilator is in circuit.

4. Absorber OFF / Ventilator OFF Expired gas bypasses the canisters. The
ventilator is in circuit.

NOTE
1. The manometer (if fitted) is always in circuit, showing expiratory pressure.
2. The APL valve is out of circuit when the system is in Ventilator mode.
3. The absorbent canisters are sealed from the breathing circuit when the absorber is in
bypass mode (Absorber OFF).

41
Absorber ON / Bag ON

8 1. From patient, through expiratory


connector
7
2. Gas path to manometer
9
3. Expiratory non-return valve
4
10 4. Through the absorber On/Off
11 (bypass) control Absorber ON
3
5. Into absorbent canisters

6 6. Out of absorbent canisters


7. Fresh gas in
2
8. Flow from reservoir bag through
1 bag/ventilator control Bag
ON
9. Gas path to APL valve (bag in
circuit)
10. Inspiratory non-return valve
11. To patient, through inspiratory
5
connector

Absorber OFF / Bag ON

1. From patient, through expiratory


6
connector
5
2. Gas path to manometer
3. Expiratory non-return valve 7
4. Through the absorber On/Off 4
(bypass) control Absorber 8
OFF 3

5. Fresh gas in 9

6. Flow from reservoir bag through


bag/ventilator control Bag
2
ON
7. Gas path to APL valve (bag in
1
circuit)
8. Inspiratory non-return valve
9. To patient, through inspiratory
connector

Note that the absorbent canisters are


sealed from the breathing circuit when the
absorber is OFF.

42
8

Absorber ON / Ventilator ON

9
1. From patient, through expiratory
7 connector
2. Gas path to manometer
10
4 3. Expiratory non-return valve
11 4. Through the absorber On/Off
3 (bypass) control Absorber ON
5. Into absorbent canisters
6
6. Out of absorbent canisters
2 7. Fresh gas in
8. Flow from ventilator
1
9. Through bag/ventilator control
Ventilator ON
10. Inspiratory non-return valve
11. To patient, through inspiratory
connector
5

Absorber OFF / Ventilator ON


7
1. From patient, through expiratory 5
connector
2. Gas path to manometer
4
3. Expiratory non-return valve 8
4. Through the absorber On/Off 9
3
(bypass) control Absorber
OFF
5. Fresh gas in
6. Flow from ventilator 2

7. Through bag/ventilator control


1
Ventilator ON
8. Inspiratory non-return valve
9. To patient, through inspiratory
connector

Note that the absorbent canisters are


sealed from the breathing circuit when
the absorber is OFF

43
USER NOTES

44
USER NOTES

45
Cat. No. 52690
Doc. No. CS 103SM
March 2003

Copyright Penlon Ltd 2003 All rights reserved.

Penlon Limited,
Abingdon,
OX14 3PH,
UK.

Tel: 01235 547076


Fax: 01235 547062
E-mail technical support@penlon.co.uk uksales@penlon.co.uk export@penlon.co.uk

Potrebbero piacerti anche