Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Datex-Ohmeda products have unit serial numbers with coded logic which indicates a product
group code, the year of manufacture and a sequential unit number for identification.
AAA F 12345
| 刑阳阳叫叫
saω呻a创砌川!怡
p
and whe凹nt怕.he serial numbe凹rwas as臼si堪gn附ed吭;
"Dn = 2000 , "En = 2001 , "Fn = 2002, etc.
叮. and "0' are not used.
CE
Aespire, ProTIVA, SmartVent, and Link-25 are registe陪d trademarks of Datex-Ohmeda Inc.
Other brand names or product names used in this manual are trademarks or registered
trademarks oftheir respective holders.
07/04 1009.0356"()00
Technical Reference Manual
This document is not to be reproduced in any manner, nor are the contents to be disclosed to
anyone, without the express authorization of the product service department, Datex-Ohmeda,
Ohmeda Drive, PO Box 7550, Madison, Wisconsin , 53707.
1009-0356-000 07/04
S/5 Aespire
Important
The information contained in this service manual pertains only to those models of products
which are marketed by Datex-Ohmeda as ofthe effective date ofthis manual orthe latest
陀vision thereof. 刊 is service manual was prepared for exclusive use by Datex-Ohmeda service
personnel in light of their training and experience as well as the availability to them of parts,
proper tools and test equipmen t. Consequently, Datex-Ohmeda provides this service manual to
its customers purely as a business convenience and forthe customer' s general information only
without warranty of the results with respect to any application of such information. Furthermore,
because ofthe wide variety of circumstances under which maintenance and repair activities
may be performed and the unique nature of each individual' s own experience, capacity, and
qualifications, the fact that customer has received such information from Datex-Ohmeda does
not imply in anyway that Datex-Ohmeda deems said individual to be qualified to perform any
such maintenance or repair service. Moreover, it should not be assumed that every acceptable
test and safety procedure or method, precaution, tool , equipment or device is referred to within ,
or that abnormal or unusual circumstances, may not warrant or suggest different or additional
procedures or 陀quirements.
This manual is subject to periodic review, update and revision. Customers are cautioned to
obtain and consult the latest revision before undertaking any service of the equipmen t.
Comments and suggestions on this manual are invited from our customers. Send your
comments and suggestions to the Manager ofTechnical Communications, Datex-Ohmeda ,
Ohmeda Drive, PO Box 7550, Madison , Wisconsin 53707.
& CAunON Servicing ofthis product in accordance with this service manual should never be
undertaken in the absence of propertools, test equipment and the most recent revision
to this service manual which is clearly and thoroughly understood.
Technical Competence
The procedu 陀s described in this service manual should be performed by trained and authorized
personnel only. Maintenance should only be undertaken by competent individuals who have a
general knowledge of and experience with devices of this nature. No repairs should ever be
undertaken or a位empted by anyone not having such qualifications.
Datex-Ohmeda strongly 陀commends using only genuine replacement parts, manufactured or
sold by Datex-Ohmeda for all repair parts replacements.
Read completely through each step in every procedure before starting the procedure; any
exceptions may result in a failure to properly and safely complete the attempted procedure.
07/04 1009.0356"()00
"
Table of Contents
Important . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
Technical Competence ............................... . .......................... ii
llntroduction
1. 1 Whatthis manual includes ................................................. .1-2
1.2 Standard service procedu陀s.. .. . . .. . .. .. .. .. .. .. .. . . . . . . .. . . . .. .. .. .. .. .. .. .1-2
1.2.1 User's Reference Manuals . .. .. .. .. .. .. . . .. .. . . .. .. . .. .. .. .. .. .. .. .. .. .1-2
1.2.2 Technical Reference Manuals ......................................... .1-2
1.3 What is an S/5 Aespire . . . . . . . . . . .. . . . . . . . . . . .. .. .. . . . . . . . . . . . . . .. . . . . . . .. . . .1-3
1.3.1 Aespire 100 ....................................................... .1-3
1.3.2 S/ 5 ProT1 VA ....................................................... .1-3
1.4 Configuration options . . . . . . . . . . . .. . . . . . . . . . . .. .. .. . . . . . . . . . . . . . .. . . . . . . . . . . .1-4
1.4.1 Standard configuration .............................................. .1-4
1.4.20ptions ........... . ............................................... .1-4
1. 5 Components .............. . ...................... . ....................... .1-4
1. 6 Symbols used in the manual oron the equipment .............................. .1-9
2 Theory of Operation
2.1 Theoryoverview ........... . ............................................... .2-2
2.2 Gas flowthrough the anesthesia machine ............. . ....................... .2-2
2.2.10verview .......... . ............................................... .2-2
2.2.2 Physical connections . . ... .. . . . . . . . . . . .. .. .. . . . . . . . . . . . . . .. . . . . . . . . . . .2-6
2.2.3 Suction 陀gu lators .......................... . ....................... .2-7
2.2.4 System switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8
2.2.5 Aow control . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .2-9
2.3 Flowthrough the breathingsystem ................... . ...................... 2-11
2.3.1 Overviewofflowpaths ..............................................2-11
2.3.2 Manual ventilation. .. . . .. . . . .. .. .. .. .. . . .. . . . . .. .. .. . .. .. .. .. .. .. ... 2-12
2.3.3 Mechanical ventilation . ... .. .. .. .. .. .. .. .. .. . . .. .. . .. .. .. .. .. .. .. .. . 2-15
2.3.4F陀sh gasand O 2 刊 ush f1 0w . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
3 Checkout Procedure
3.1lnspectthesystem ........................................................ .3-2
3.2 Pipeline and cylindertests .................................................. .3-3
3.3 Flow control, pressure relief, O2 supply alann, and 刊 ush f1 0w tests ..................3-4
3.3.1 With O2 monito川 ng.................................................. .3-4
3.3.2 Without O2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 3-6
3.3.3 Pressure 陀liefte筑s ................................................. .3-8
3.3.4 O2 supply alann test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8
3.3.5 Flush FlowTest ..................................................... .3-8
3.4 Vaporizer back pr,出sure test ... . ........................................... 3-10
3.5 Low-pressu陀 leak test ........ . . . . . .................. . . . ..... . ............ 3-11
3.5.1 Negative low-p陀ssure leak test ...................................... 3-11
3.5.2 ISO or BSI standard low-p陀ssure leak test ........ . .................... 3-12
3.6 Alarm tests .............. . . . . . . . . . ................ . . . . . .................. 3-14
3.7 Breathingsystem tests .................................................... 3-16
3.8 Auxiliary 02 f1 0wmetertests . . . . . . . . . . .. .. .. .. .. .. .. . . . . . . . .. .. .. .. .. .. .. .. . 3-18
3.9lntegrated Suction Regulatortests .......................................... 3-18
3.10 Powerfa i luret臼t ....... . . . . . . . . . ................ . . . . . .................. 3-19
3.11 日ectrical safety tests .................................................... 3-19
4 Repair Procedures
4.1 Servicingtheventilator ..................................................... .4-3
4.2 How to bleed gas pressure from the machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
4.3 Howto remove the rear panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
4.3.1 To 陀move the rear upper panel . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
4.3.2To 陀move the lower access panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
4.4 How to remove the tabletop . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
4.5 Replace pipeline inlet filter . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6
4.5.1 Replace pipeline inlet check valve ..................................... .4-6
4.6 Change drive gas .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .4-7
4.7 Service the cylindersupply modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8
4.7.1 TIghtening procedu陀 for high-pressu陀 tube fi四 ngs . ... ................... .4-8
4.7.2 Replace pri mary 陀gulator module (complete 陀placement) ................ .4-8
4.7.3 Replace cylinderinletfilter ........................................... .4-9
4.7.4 Replace cylinder check valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-9
4.7.5 Replace 3叫 -gas cylinder supply module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
4.8 Replace system switch assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4-11
N 07/ 04 1009.0356-0 00
Table of Contents
5 Maintenance
5.1 Aespire Planned Maintenance . .. . .. .. . . . . . . . . .. . . .. . . .. .. . .. .. .. .. .. . . .. . . . . .5-2
5.1.1 Everytwelve (12) months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .5-2
5. 1.2 Every twenty-four (24) months ........................................ .5-3
5.2 Auxiliary 02 f1 0wmetertests ... .. . .. .. . . . . . . . . .. . . .. . . .. .. . .. .. .. .. .. . . .. . . . . .5-4
5.3lntegrated Suction Regulatortests . .................. . ....................... .5-5
6 Calibration
6.1 P川 mary Regulators .........................................................6-2
6. 1. 1 Testsetup ......................................................... .6-2
6.1.2 Testing P时 mary Regulators . .................. . ........................6-3
6. 1.3 Adjusting Primary Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6
6.2 Secondary Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7
6.2.1 Testin g/ Adjusting Secondary Regulators or 8alance Regulators . . . . . . . . . . . . . .6-7
6.3 Flowmeter Needle Valve Calibration ...........................................6-8
6.3.1 O2 Needle Valve Calibration (Minimum Flow). . . . . . . . . . . . . . . . . . . . . . . . . . . .. 6-8
6.3.2 N20 Needle Valve Calibration (Minimum Row). . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
6.3.3 Air Needle Valve Calibration (Minimum Flow) . . . . . . . . . . . . . . . . . . . . . . . . . . .. 6-14
6.3.4 Needle Valve Calibration (Ma刘 mum Flow) .............................. 6-17
6.4 Unk system calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 6-18
6.5 O2 Flush Regulator ....................................................... 6-23
6.6 Airway pressure gauge .................................................... 6-24
6.6.1 Zero the pressu 陪 gauge............................................. 6-24
6.6.2 Checking the pressure gauge accuracy ................................ 6-25
7 Troubleshooting
7.1 GeneralTroubleshooting.. . ... .. . .. .. .. .. .. .. . . . . . . .. .. ... .. .. . . . . .. .. .. . . . . .7-2
7.2 Breathing System LeakTest Guide. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4
7.2.1 8reathing system leak test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5
7.2.2 Breathing System Troubleshooting Rowcharts ... . ........................7-7
7.2.3 Leak Isolation Tests ................................................ 7-12
VI 07/04 1009.0356"()00
Table of Contents
8 lIIustrated Parts
8.1 Service tools - Anesthesia machine ......................................... .8-3
8. 1. 1 TestDevices ....................................................... .8-3
8. 1.2 TestTools .......................................................... .8-4
8. 1.3 Secondary regulator pilot pressu陀 tool ................................. .8-5
8.2 External components - front view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6
8.3 缸ternal components - front view references ................................... .8-7
8.4 External Components - rearview . . . . . ................ . ....................... .8-8
8.5 Control module mounting for a ProTIVA machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9
8.6 Aespire 100 - exclusive components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
8.6.1 AC Inlet(Aespire 100).. .. . .. .. . . . . . . . . .. . . .. . . .. .. . .. .. .. .. .. . . .. . .. 8-12
8.6.2 Display mount (Aespire 100). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8-13
8.7 Front panel, gauges and system switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
8.8 Rear panel components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8-15
8.9Tabletopcomponents..... . ... . . . . . ................ . ...................... 8-16
8.10 Right-side Components .................................................. 8-17
8.11 External components - Iower assembly .............. . ...................... 8-18
8.12 Vent Engine Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8-19
8.13 Display cables, serial boa叫, AGSS f1 owtube, and sample retum . . . . . . . . . . . . . . . . . 8-20
8.14 AC Power cords .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8-21
8.15 AC InletjOutlet Components .. . . . . . ................ . ...................... 8-22
8.16 Pipeline inlet 币忧ings ..................................................... 8-24
8.17 Cylinder Gas Supplies ....... . . . . . .......................... . ............ 8-25
8.17.1 Cylinder inlet fi忧ings............................................... 8-26
8.18Vaporizermanifold ...................................................... 8-27
8.19 Flowmeter components .................................................. 8-28
8.19.1 Flowtube parts ................................................... 8-30
8.19.2 Secondary 陀gulatorcomponents.. .. .. .. .. .. .. . . ... . . .. . . . . .. .. .. ... 8-32
8.20 ABS to machine Interface Components ..................................... 8-34
8.20.1 Flush Regulator, Flush Valve, and ACGO Selector Switch . . . . . . . . . . . . . . . .. 8-35
8.21 B陀athing system interface ... . . . . . ................ . ...................... 8-36
In this section This section provides a general overview of the S/5 Aespire Anesthesia Machine.
1. 1 Whatthis manual includes ................................................. .1-2
1. 2 Standard service procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.2.1 User's Reference Manuals . .. .. .. .. .. .. .. .. .. . . .. .. . .. .. .. .. .. .. .. .. .. .1-2
1.2.2 Technical Reference Manuals .. .. .. . . .. . . .. . . . . . . . . . . . . . .. . . . . .. .. . . . . .1-2
1.3 What is an S/5 Aespire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
1.3.1 Aespi陀 100 ........ . ...................... . ....................... .1-3
1.3.2 S/5 ProT1 VA ....................................................... .1-3
1.4 Configuration options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
1.4.1 Standard configuration .............................................. .1-4
1.4.20ptions ........................................................... .1-4
1. 5 Components ............................................................. .1-4
1. 6 Symbols used in the manual or on the equipment ...... . ....................... .1-9
Ventilator The ventilator associated with the S/5 Aespire machine has its own Technical
Reference Manual:
• forthe7100Ventilatorsee manuaI1006-0836-000.
Other equipment Other equipment may be attached to the system on the display mount, the
top shelf, or on the side dovetail rails. Consult separate documentation
relative to these items for details.
1.2.1 User's Reference Some sections ofthis manual referyou to the User' s Reference Manual forthe
Manuals S/5 Aespire. To expedite repairs, you must have, and be familiar with, the
User' s Reference Manuals forthis product.
Refer to the S/5 Aespire User's Reference Manual if you need further
information about the operation ofthe system.
1.2.2 Technical You mustfirstdetermine where a problem is located before you can determine
Reference Manuals which Technical Reference Manual to use:
• Use this manual for machine and breathing system related issues.
• Use the 7100 Ventilator manual forventilator related issues.
1.3.1 Aespire 100 The Aespire 100 machine is based on the standard S/5 Aespire machine with
the following exceptions to available features or options:
• does not include the RS232 Seriallnterface
• does not inciude the 8i-level LED light strip
• the 2 Vap manifold is standard (does not suppo忧 1 Vap manifold)
• not available with AC power outlets (a 陀a used by AC Inlet)
• uses 4-inch casters instead of 5-inch casters
1.3.25/ 5 ProTIVA The S/5 ProTIVA is a special adaptation ofthe S/5 Aespire machine for use
with 8 8raun intravenous drug delivery components.
1.5 Components
刊 e following figures show the front and rear views of the machine.
There are some differences between models.
Figure 1-1 • S/5 Aespi 陀 (front view - left side)
Figure 1-2 • S/5 Aespi 陀 (front view - right side)
Figure 1-3 • S/5 Aespi 陀 (rearview)
Figure 1-4 • S/5 ProTIVA with a typical B Braun fluid manager (fm) system
18
17
16
·A·-··A·A·A·--
'BA 唔句。句
2
4···AM
8 7 6 3
2 4
5
8
1 7
7 5 6
1
2
3
ea
,
。,,
5
3
2 4
Figure 1-4 • S/5 Proη以 with a typical B Braun fluid manager (fm) system
1.6 Symbols
nH .... 1m I1 or on the equi ment
War
甜川
r盯『
occur i汗f you do not follow all ins剑.tr阳uctions i川nt怕hi怡s manua l..
Warnings tell about a condition that can cause injury to the operator or the
patien t.
Cautions tell about acondition that can cause damage to the equipmen t. Read
and follow all warnings and cautions.
Other symbols replace words on the equipment or in Datex-Ohmeda manuals.
No one device or manual uses all ofthe symbols. Th ese symbols include:
圆
On (power) Alarm silence button
。 回
Off(power)
Alarm silence touch key σec 6) .
。 因
Standby or preparatory state for part of Type BF equipment
the equipment
•
。
"OFF" only for part of the equipment
A Caution , ISO 7000-0434
Direct current
AA Attention , referto product instructions,
IEC 601-1
i Earth ground
G争 Electrical output
专 Equipotential
曰争 Pneumatic output
~
二ú- La mp , lighting, illumination
Cylinder
自 Lock
]II[ Isolation transformer
⑧ Risk of Explosion.
134 0 C
因
Autoclavable
Mechanical ventilation
⑧ 生
Not autoclavable Bag positionj manual ventilation
。
Circle breathing circuit module
f飞~
\...../ ... Absorber on
A CO 2 Bypass Option
C02
。协
ννA
灿阳阳阳叫…
阳sω
M
b恼阳则
or仙
叫 r巾b CE
M皿
Systems with this mark ag陀ewith the
European Council Directive (93/42/
EEC) for Medical Devices when they
are used as specified in their
Operation and Maintenance Manuals.
The 以)()( is the certification number of
(E European Union Representative
the Notified Body used by Datex-
Ohmeda's Quality Systems.
Gas supplies Gas comes into the system through a pipeline (2) or cylinder (4) connection.
AII connections have indexed fittings, filters , and check valves (one-way
valves). Gauges show the pipeline (1) and cylinder (3) pre臼ures.
A primary regulator (5) decreases the cylinder pressu 陀s to approximately
pipeline levels. A pressu 陀 relief valve (6) helps protect the system from high
pressures.
To help prevent problems with the gas supplies:
• Install yoke plugs on all empty cylinder connections.
• When a pipeline supply is adequate, keep the cylinder valve closed.
Air and N20 flow Pipeline or 陀gulated cylinder pressure supplies Air directJ y to the ventilator
(7b for Air drive gas) and the venturi suction (21b for Air drive gas) supply
connection.
When the system switch (8) is On , air flows to the rest of the system.
Asecondary 陀gulator (18) supplies the Airflow control valve (19). Because
there is no balance regulator, air flow continues at the set rate during an O2
supply failure.
A balance regulator(15) controls the N20 supply pressureωthe N20flow
control valve(16). The O2 secondary regulator pre臼ure at a pilot port controls
the output ofthe balance regulator. The N20 output pressure drops with
decreasing O2 supply pressure and shuts off hypoxic gas flow before the O2
supply pressure reaches zero.
A chain link system (Unk-25) on the N20 and O2 flow controls (16, 11) helps
keep the O2 concentration higherthan 21% (approximate value) at the
common gas outlet.
Mixed gas Th e mixed gas goes from the flowmeter outlet, through the vaporizer manifold
and vaporizer (23) that is On , to the ACGO selector switch (E). A pressure relief
valve (24) sets the maximum outlet pressure.
The ACGO selector switch directs the mixed gas to the selected circuit - to the
breathingsystem (26) orto the ACGO (27).
* Approximate values
Filter
Direction of Flow
CheckValve
N20 02 02
4
28
2
〉令-
28
2
国
1 3'- 1
14a
问: 1E
气§汇汇盯口-
-二丁~丁丁
y丁吏1? Fr
~~ 川
且 1F- ------ 气"'_'" - }.-f" _..... __ : 19 川
26
)(回岳阳 27
「一 - 一一一 -L 马~liD
A. CyllnderSupplles
B. Pneumatlc Manlfold
C. Rowmeter Head
D. Vaporlzer Manlfold
E. ACGO Select Swltch
2.2.2 Physical Figure 2-2 shows the physical path that the gas takes.
connections
lg
i;!
I~
Vent Drlve
Suctlon
c
nu
2.2.4 System switch The system switch has two positions: On and Standby.
System Swltch
(elect时cal)
③⑤
Sy富temSwltch
(pneumatlc)
O2 Out (Port 4)
AlrOut(port4)-10 011卜~旦旦旦旦L
川{川)-1001性___/
(RearVlew)
2.2.5 Flow control Needle valves (one for each gas) adjust gas flows. Clockwise rotation
decreases flow. Counterclockwise increases flow. Mechanical stops set
minimum flows for all gases. The link system sets the maximum ratio of N2 0 to
O2 ,
Minimum flows At minimum flow, two tabs p陀vent clockwise rotation of the valve stem. One
tab is on the stop collar; the other is on the valve body.
Valve
Stem
Link system The chain link system helps assure an approximate minimum 1 to 3 ratio of
flow between O2 and N2 0. When engaged (minimum O2 concentration), a tab
on the O2 knob is in contact with a tab on the O2 sprocket so that the O2 and
N20 knobs turn together:
• an increase in N2 0 flow causes an increase in O2 f1 ow,
• a decrease in O2 f1 0w causes a decrease in N20 flow.
L inkage Tabs
¥.
工
0 2 Knob
Higher concentrations of O2 are possible when the link system is not engaged:
eitherby 陀ducing the N2 0 flow below the point of engagement or by
inc陀asing O2 flow above the point of engagement.
When the N20 flow is below the point of engagement, increasing the N2 0 flow
turns the O2 sprocket without changing the O2 flow. At the point of
engagement, the tab on the O2 sprocket makes contact with the tab on the O2
knob. Once the linkage is engaged , turning the N2 0 flow control
counterclockwise (increase in N20 flow) also turns the O2 knob
counterclockwise (increase in O2 flow) to maintain a nominal25% minimum
O2 concentration.
Decreasing the N2 0 flow from the engagement point rotates the tab on the O2
sprocket away from the tab on the O2 knob. Increasing the O2 flow rotates the
knob tab away from the sprocket tab. Either action increases the O2
concentration above 21 %. Sufficiently decreasing O2 flow or increasing the
N2 0 flow brings the two tabs back into contact and engages the linkage.
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engaged with the O2 val忖veflowingat200 mLjr阿m 川
T引1刊川i川
n . This engagement point is
an arbitrary benchmark that assists in calibrating the proportioning system.
Th e posi创 on of the kick-in is set in the factory. During field calibration , you set
the O2 flowto 200 mνmin and the N20 flow to the kick-in flow (usually in the
range of400ω700mνmin) and then install the sprockets with the O2
knobjsprocket engaged.
Maximum flows AII gas flows in Canada require maximum flow stopS. A maximum stop collar
on the body of the needle valve and a stop collar on the stem of the needle
valve set the maximum flow.
At maximum f1 ow, a tab on the stop collar hits the tab on the maximum stop
collar and prevents you from turning the knob further counterclockwise. As
you decrease the flow , the valve stem moves towa 叫 the needle valve
assembly and clears the tab.
Maxlmum
. . . - Stop Collar
ValveStem
Valve Body
StopCollar
2.3.1 Overview of flow This section looks at three types offlow paths.
paths • Ventilation pa伽s: How gas flows from the drive source (bag or bellows) to
and from the patient.
• Fresh gas paths: Fresh gas can flow from the machine interface directly to
the patient through the inspiratory check valve, orthrough the abso巾er into
the expiratory flow , or directly to an external circuit through the optional
auxiliary common gas outlet.
• Scavenged gas paths: APL or Pop-o仔.
Manual expiration The BagjVent switch keeps the ventilaωr path closed (8 ).
(Rgu 陀 2-5)
Gas flows from the patient (4), through a unidirectional valve (expiratory
check valve), and inωthe bag(5).
During exhalation , fresh gas flows backwards through the absorber (FG) into
the expiratory limb , downstream of the expiratory check valve.
For machines that a 陀 plumbed to return sample gas to the breathing system ,
the returned gas (SGR) enters the breathing system afterthe expiratory check
valve (Referto section 4.13).
AP Airway Pressure
B B agNent switch to Bag
FG Fr esh Gas
SGR Sampl e Gas Return
4 Exp让atory flow
5 Flow to bag
APLValve The APL valve sets a p陀ssure limit for manual ventilation.
(Figure 2-6) As you turn the APL knob , it puts more or less force on the APL disc and seat
(0 /5 ). If the circuit pressure is too high (6), the disc and seat inside the
diaphragm opens and vents gasωthe scavenging system (7).
Mechanical inspiration The BagjVent swi也h closes the manual path (V). Pilot pressure (P) closes the
(Rgure 2-7) exhalation valve.
Drive gas (0 ) pushes down on the bellows. Gas flows from the bellows (1),
through the absorber (2), and through a unidirectional valve (inspiratory
check valve) to the patient (3).
。uring inspiration , fresh gas flows into the inspiratory limb, upstream of the
inspiratory check valve.
Mechanical expiration Drive-gas flow stops and the exhalation valve opens. Exhaled gas flows from
(Rgu 陀 2-8) the patient (4), through a unidirectional valve (expiraωry check valve) and
into the bellows (5). Residual drive gas (0 ) flows out of the bellows to the
scavenging system (6).
If PEEP is selected, static pressure on the pilot port of the exhalation valve
sets the PEEP level.
During exhalation , fresh gas flows backwards through the absorber (FG) into
the expiratory limb , downstream of the expiratory check valve.
For machines that a 陀 plumbed to return sample gas to the breathing system ,
the returned gas (SGR) enters the b陀athing system afterthe expiratory check
valve (Referto section 4.13).
AP Airway Pressure
o Drive gas
FG FreshGas
SGR Sampl e Gas Return
4 Exp让atory ßow
5 Flow to bellows
6 To scavenging
Pop-offvalve(Fi gure 2-9) The pop-o仔 valve limits the pre臼U 陀 inside the bellows to 2.5 cm H20 above
the drive gas pre臼ure. Th is normally occurs when the bellows reaches the top
of the housing at the end of exhalation.
Excess gas (7) ventsωthe scavenging system (6) through the pop-o仔 valve
and the exhalation valve.
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10 ABS breathing system Fresh gas (1) flows from the vaporizer manifold outlet to the ACGO Selector
(Figure 2-10) Switch.
With the ACGO Selector Switch in the ABS position , fresh gas flow is
channeled to the breathing system.
The output ofthe O2 Flush regulator (2) is channeled to the O2 Flush valve.
When activated , O2 flush flow joins the fresh gas f1 0w in the ACGO Selector
Switch .
飞 J
、 f
Auxiliary Common Gas Fresh gas (1) flows from the vaporizer manifold outlet to the ACGO Selector Switch .
Outlet(Figu陀 2-11)
With the ACGO Selector Switch in the ACGO position , fresh gas flow is channeled to the
ACGO outle t.
At the ACGO outlet, a small sample is diverted to the O2 Sensor in the ABS for O2
monitoring.
刊e output of the O2 Flush regulator (2) is channeledωthe O2 Flush valve.
When activated , O2 flush flow joins the fresh gas flow in the ACGO Selector Switch.
J
f
& WARNINGS After any 陀pairorservice ofthe Aespire system , complete all te也 in this section.
If a test fa i lu 陀 occurs, make approp时ate repairs and test for correct operation.
&. WARNING Do not leave gas cylindervalves open ifthe pipeline supply is in use.
Cylinder supplies could be depleted , leaving an insufficient reserve
supply in case of pipeline failu 陀.
• Models with cylinder supplies have a cylinder w陀nch attached to the
system .
• Make sure the casters are not loose and the brake is set and prevents
movement.
自 自
& WARNING Do not leave gas cylindervalves open ifthe pipeline supply is in use.
Cylinder supplies could be depleted , leaving an insufficient reserve
supply in case of pipeline failure.
4. Connect the pipeline supplies one at a time and ensure that the
corresponding gauge indicates pipeline p陀ssu 陀.
3.3 Flow control , pressure relief, O2 supply alarm, and flush flow tests
If the system includes O2 monitoring, complete the flow control tests
in Section 3.3 .1, "With O2 mon 忧oring" .
If the system does not include O2 monitoring, complete the flow control
tests in Section 3.3.2, "Without O2 monitoring".
.&. WARNING Nitrous oxide (N 2 0) flows through the system during this test. Use a safe
and approved procedure to collect and remove it.
1. Set up the gas scavenging system.
a. Connect the AGSS to a gas scavenging system.
b. A忧.a ch a patient circuit and plug the patient port.
c. A忧.ach a bag to the bag po忧 (or plug the bag port).
d. Set the Bag/Vent switch to Bag.
e. Adjust the APL valve to minimum.
2. Connect the pipeline supplies or slowly open the cylinder valves.
3. Turn all flow controls fully clockwise (minimum flow).
4. Set the ACGO selector switch to ABS.
5. Turn on the system.
6. Confirm that the O2 sensor measu 陀s 21% in room air and 100% in pure
O2, If not, calibrate the O2 sensor.
7. Makesurethat:
• For a dual-tube O2 flowmeter,
the O2 flowtube shows 0.025 to 0.075 Ljmin.
• For a single-tube O2 flowmeter,
the O2 flowtube shows 0.175 to 0.225 Ljmin.
• The otherflowtubes show no gas flow.
8. Set the flow controls to mid range of each flowtube and make sure that the
flowtube floats rotate and move smoothly.
Note Ifthe system does not include N2 0 , skip steps 9 and 10.
9. Check the Li nk proportioning system concentration (inc陀asing N20 flow).
Observe the following precautions:
a. Start with all valves at the minimum se忧ing.
b. Adjust only the N2 0 flow control.
c. Increase the N20 flow as specified in the followingtable and make sure
the O2 concentration is in range.
Set 伽e02flow Set the Air flow (Lj mln) O2 monitor range
(Lj mln)
4.0 3.0 61%to 71%
3.5 6.0 45%to 55%
1.5 8.0 28%t038%
&. WARNING The following procedu陀 will test for any significant malfunction of the
Li nksystem butitwill notconfirm propercalibration . Periodiccalibration
procedures using an accurate and properly calibrated O2 monitor must
bepe斤ormed as recommended in the User's Reference Manual , Part 2 ,
section 3 User Maintenance .
.&. Nitrous oxide (N 2 0) flows through the system during this test. Use a safe
and approved procedure to collect and remove it.
1. Set up the gas scavengingsystem.
a. Connect the AGSS to a gas scavenging system.
b. A忧ach a patient circuit and plug the patient port.
c. A忧ach a bag to the bag port (or plug the bag po的.
d. Set the Bag/Vent switch to Bag.
e. Adjust the APL valve to minimum.
2. Connect the pipeline supplies or slowly open the cylinder valves.
3. Turn all flow controls fully clockwise (minimum flow).
4. Set the ACGO selector switch to ABS.
5. Turn on the system.
6. Make sure tha t:
• For a dual-tube O2 flowmeter,
the O2 flowtube shows 0.025 to 0.075 Ljmin.
• For a single-tube O2 flowmeter,
the O2 flowtube shows 0.175 to 0.225 Ljmin.
• The otherflowtubes show no gas flow.
7. Set the flow controls to mid range of each flowtube and make sure that the
flowtube floats rotate and move smoothly.
3.3.3 Pressure relief To check the pressure relief valve (vaporizer manifold ou tJ et).
tests 1. Tum all flow controls fully clockwise (minimum flow).
2. Set the ACGO selector switch to ACGO.
3. Connect a gauge or a digital manometerto the
ACGO ou tJ et usingthe positive pressu 陀 leak
test adapter.
4. Adjustthe O2 flowto 0.5νmin. Test
Adapter
5. Verify that the test device 陀ading stabilizes
within the following range:
31-60 kPa , 230-450 mm Hg, 4.5-8.5 psi.
6. Remove the test device and the adapter.
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Swltch
From
Vaporlzer Manlfold
.&. WARNING Anesthetic agent vapor comes out of the common gas outlet during this
test. Use a safe , approved procedure to remove and collect the agen t.
1. Set up the gas scavenging system.
a. Connect the AGSS to a gas scavenging system.
b. A忧.a ch a patient circuit and plug the patient po比
c. A忧.a ch a bag to the bag po忧 (or plug the bag port).
d. Set the BagjVent switch to Bag.
e. Adjustthe APL valve to minimum.
2. Set the ACGO selector switch to ABS.
3. Set the system switch to On.
4. Set the O2 flow to 6 Ljmin.
5. Makesu 陀 that the O2 flow stays constant and the float moves freely.
6. Adjust the vaporizer concentration from 0ω1 %one click at a time. Th e O2
flow must not decrease more than 1 Ljmin through the full range. Ifthe O2
flow decreases more than 1 Ljmin:
a. Install a different vaporizer and try this step again.
b. Ifthe O2 flow decreases less than 1 Ljmin with a different vaporizer, the
malfunction is in the first vaporizer.
c. Ifthe O2 flow also decreases more than 1 Lj min with a different
vaporizer, the malfunction is in the Aespire system. Do not use the
system until it is serviced (陀pair vaporizer manifold port valve).
7. Complete steps 3 through 5 for each vapo时zer and vaporizer position.
8. Set the system switch to Standby.
~ WARNING Do not use a system with a low-pressure leak. Anesthetic gas will go into
the atmosphere, not into the breathing circui t.
「
2. Set the system switch to Standby.
3. Set the ACGO selector switch to ACGO.
ACGOOutlet
4. Turn off all vaporizers.
5. Test the anesthesia machine for low-pressure leaks:
a. Open the flow controls one and a halfturns counterclockwise.
b. Connect the test device to the ACGO outlet.
c. Compress and release the bulb until it is empty.
d. Th e vacuum causes the floats to move. This is usua l. Ifthe bulb
completely inflates in 30 seconds or less, the陀 is a leak in the low-
pressu 陀 circuit.
Lh WARNING Agent mi刷res 行om the low-pressure leak test stay in the system.
Always f1 ush the system with O2 a佼erthe low-pressure leaktest( l Ljmin
for one minute).
Turn off all vaporizers at the end of the low-pressure leak test.
9. Flush the system with O2:
a. Set the system switch to On.
b. Set the O2 flow to 1 Ljmin.
c. Continue the O2 flow for one minute.
d. Turn the O2 flow control fully clockwise (minimum flow).
e. Set the system switch to Standby.
& CAunON 00 the positive pressure leak test at the ACGO outlet only.
1. Set the ACGO selector switch to ACGO.
2. Tum all flow controls fully clockwise (minimum flow).
3. Usingthe positive pre臼ure leak test adapter, connect the ISO or BSI
specific leak test device to the ACGO outlet. Push the adapter into the
ACGO ou tJ et throughout the test to get a good sea l.
.
Le ak Test Adapter
TestDevlce
(TopVlew)
|牺| TestDevlce
(Front V1 ew)
& CAUnON Ifthe needle valve is notfully open , this testcan damage the pressure
gauge on the test device.
6. Set the system switch to On.
7. Open the O2 f1 0w control and set a total f1 0w of 0.4 L/min through the
f1 0wmeter on the test device.
8. Make sure that the pressure gauge on the test device 陀ads zero and that
all other f1 ow controls are fully closed.
9. Close the needle valve on the test device until the test gauge reads:
l505358 3 kPa
B51 4272.3 20 kPa
.& WARNING Agent mi刷res from the low-pressu陀 leak 也st stay in the system .
Always f1 ush the system with 02 a佼erthe low-pressure leaktest(l L/min
for one minute).
Turn all vaporizers OFF at the end ofthe low-pressure leak test.
14. Flush the system with O2:
a. Set the system switch to On.
b. Set the O2 f1 0w to 1 L/ min.
c. Continue the O2 f1 0w for one minute.
d. Turn the O2 f1 0w control fully clockwise (minimum f1 0W).
e. Set the system switch to Standby.
..&. WARNING Objects in the breathingsystem can stop gas flowto the patien t. This can
cause i 时 ury or death:
• Do not use a test plug that is small enough to fall into the breathing
system.
1. Verify that AGSS is operating. For systems that have a flow indicator on the
side, make sure that the flow indicator shows a flow in the g陀en (normal)
reglon.
2. Zero the pressure gauge (Section 6.6.1).
Check Valves 3. Make sure that the check valves on the b陀athing circuit module work
correctly:
a. Th e Inspiratory check valve rises during inspiration and falls atthe sta此
of expiration.
b. Th e Expiratory check valve rises during expiration and falls at the start
of inspiration.
g. Ifthe bellows falls more than 100 mLjmin (ωP of indicator) , it has a
leak.
Service Mode Tests 5. Enter the Service Mode: Push and hold the adjustment knob on the
ventilator's display and set the system switch to On.
a. Select and confirm "Service Modes."
b. Follow the menu structure outline belowto reach the adjustmentforthe
inspiratory flow valve. Select and confirm at each step.
• "Diagnostics TestsjTools.
• "BreathingSystem LeakTest"
c. Follow the instructions on the screen.
d. The leak rate should be less than 200 mLjmin.
For machines with a single-tube O2 flowmeter, the pressure reading
should reach 30 cm H20 at minimum flows g陀aterthan 200 mLjmin.
Note: If test fails , see Section 7.2, "B 陀athing System Leak Test Guide".
g. Set the O2 flow to minimum and make sure that the value on the
inspiratory pressure gauge does not decrease below 0 cm H20.
8. Remove your hand or the test plug from the patient connection.
9. Setthe System switch to Standby.
Lh. WARNING Ma ke sure that there are no test plugs or other objects ca ught in
the breathingsyst em .
3. Rotate the flow control counterclockwise (increase). The ball should rise
immediately after rotation is begun. It should rise smoothly and steadily
with continued counterclockwise rotation. When a desired flow is set, the
ball should maintain in a steady position.
4. Occlude the auxiliary O2 outlet. The ball should rest at the bottom of the
flow tube and not move. A ball that does not rest at the bo忧om of the flow
tube indicates a leak and requires service.
5. Rotate the flow control clockwise to shut off the flow.
If the indicator is not on, the display assembly is not receiving AC power.
• Verify AC powerto the machine (陀set circuit breaker).
• Check fuses in display assembly's inlet module.
• Check fuses in machine's AC inlet assembly.
2. Setthesystem switch to On .
3. Unplug the power cord with the system turned on.
4. Make surethatthe powerfailure alarm comes on.
5. Make sure the following message is on the ventilator display:
• "0n Ba忧ery - Power OK?"
6. Connect the power cable again.
7. Make sure the alarm cancels.
220/240Vac 500μAmps
2. Make sure that the resistance to ground is less than O.2Q between an
exposed metal surface and the ground pin on the power cord.
In this section This section covers the repair and 陀placement procedures for components of the
Aespire anesthesia machine.
4.1 Servicing the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
4.2 How to bleed gas p陀ssure from the machine . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .4-4
4.3 How to remove the rear panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
4.3.1 To 陀move the rear upper panel . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .4-4
4.3.2To 陀move the lower access panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
4.4 How to remove the tabletop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
4.5 Replace pipeline inletfilter .. .. .. . .. .. .. .. .. .. . . . . . . . . .. .. . .. .. .. .. .. .. .. .. . . .4-6
4.5.1 Replace pipeline inlet check valve ..................................... .4-6
4.6 Change drive gas .. .. . . . . .. .. .. . .. .. .. .. .. .. . . .. .. . . .. .. . .. .. .. .. .. .. .. .. .. .4-7
4.7 Service the cylinder supply modules . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . .. . . . . . . . . . . .4-8
4.7.1 nghtening procedu陀 for high-pressu陀 tubefittings ....................... .4-8
4.7.2 Replace p时 mary regulator module (complete replacement) ................ .4-8
4.7.3 Replace cylinderinletfilter ........................................... .4-9
4.7.4 Replace cylindercheckvalve.......................................... .4-9
4.7.5 Replace 3ω-gas cylindersupply module . . . . . .. . . .. .. . .. .. .. .. .. .. .. . . . 4-10
4.8 Replace system switch assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
4.9 Service the f1 0wmeter module .............................................. 4-13
4.9.1 Remove front f1 0wmeter panel shield .................................. 4-13
4.9.2 Remove f1 0wtubes for cleaning or replacement . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
4.9.3 Remove complete f1 0wmeter head .................................... 4-15
4.9.4 Replace f1 0wmeter modules ......................................... 4-16
4.9.5 Replace f1 0wmeter frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
4.9.6 Replace O2 supplyswitch ........................................... 4-21
4.9.7 Checkout procedure for O2 supply switch .............................. 4-21
4.9.8 Replace secondary regulator manifold or balance regulator manifold ....... 4-22
4.9.9 Replace O2 or N2 0 needle valves (on machines with N20) . . . . . . . . . . . . . . . .. 4-23
4.9.10 Replace an Air needle valve on all machines or an O2 needle valve on machines
without N2 0 ........................... . ... . ...................... . 4-25
.& Obey infection control and sa刷 procedures. Used equipment may contain
blood and bodyfluids .
.& Some internal pa由 have sharp edges and can cause cu岱 or abrasions. Use care
when servicing internal components.
.& A位.er repairs are completed , always perform the checkout procedure. Referto
Section 3 of this manua l.
4.3.1 To remove 1. Bleed all gas p陀ssure from the machine (Section 4.2).
the rear upper 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
panel
3. Disconnect all electrical cables.
4. To remove the rear panel , fully loosen the three captive screws that hold the panel in
place. Remove the panel.
• If the machine includes integrated suction , disconnect the two tube fi四 ngs from
the overflow safety trap manifold.
• If the machine includes electrical outlets, lower the panel and place it so that it
does not stress the power cable.
4.3.2 To remove 1. Bleed all gas p陀ssure from the machine (Section 4.2).
the lower access 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
panels
3. If present, remove the inboard cylinders.
4. Remove (two screws) the small upper access panel to access the 3rd cylinder
regulator (N 2 0) test po比
5. Remove (six screws) the large lower access panel to access the 3rd cylinder
陀gulator.
•
3. Install the new pipeline inlet filter in the pipeline inlet fi忧ing. Th e new filter comes
with an o-ring.
5. Push the new check valve into the opening, using the same thin too l. The new check
valve includes an o-ring - orient ittowa 叫 the pipeline inlet. Note: Make sure to push
the new check valve all the way back into the opening until it bottoms out on the
shoulder.
.& CAUTION If you change the drive gas, you must also change the drive gas selection on the
ventilator service setup screen . Referto Section 4 of the ventilatorTechnical
Reference manua l.
Ifthe drive gas selection and the actual drive gas do not agree, volumes will
not be correct.
The ventilatorwill alarm with the message "Low Drive Gas Press" ifthe selected
drive gas pressure , either O2 or Air, is lost.
& WARNING Be careful not to expose internal components to g陀ase or oil (except Krytox or
equivalent).
4.7.1 Ti ghtening The cylinder pressure gauge is connected to the cylinder supply through a copper tube
procedure for with fi忧ings at both ends. Use the foliowing tightening procedure whenever you are
陀 placing a cylinder supply or a cylinder pressu 陀 gauge .
high-pressure
tube fi忧ings 1. Insert the tubing into the fi忧ing until the ferrule seats in the fi忧ing.
2 . 币 ghten the nut by hand.
3. Continue tighteningthe nutwith a wrench until it reaches the original position (about
1/4 turn). You wili feel an increase in resistance at the 0时ginal position.
4. After 陀aching the original position, tighten the nutjust slightly.
Note If you are instaliing a new tube that has not been tightened before, tighten the nut with
a wrench an additional3/ 4 of a turn after the nut is finger tigh t.
4.7.2 Replace 1. Bleed ali gas p陀ssure from the machine (Section 4.2).
prima 叩 regulator 2. Ensure that ali cylinder and pipeline gauges read zero before proceeding.
module (complete
3. Remove the 陀ar panel (Section 4.3).
replacement)
4. Disconnect the high-pressure cylinder gauge fi创 ng.
5. Disconnect the output tube fi忧ing.
6. Remove the three mounting screws and
lockwashers.
7. To reassemble, perform the previous
steps in reverse order.
• nghten the high -pressure 白忧ingas
detailed in Section 4.7.1
• Puli on the cylinder output fi忧ingto
ensure it is locked in place.
8. Check the output of the regulator
BEFORE you instali the rear panel.
Adjust if necessary (Section 6.1).
9. Perforrn the checkout procedure
(Section 3).
.&. CAUnON Be careful not to crush the filter. Do not thread in the screw more than two full
turns.
)、
面[]< 0 巳口~
4. Remove the filter.
5. Install the new filter and brass retaining ring.
6. Install the inlet adapter in the cylinder yoke.
7. Perform the checkout procedure (Section 3).
4.7.4 Replace The cylinder check valve is not a replaceable item. If the check valve is defective , you
cylinder check must 陀 place the complete cylinder supply module.
valve
System Swltch
(electrical)
~Out( Port4)
(RearVlew)
4.9.1 Remove 1. Bleed all gas p陀ssure from the machine (Section 4.2).
front flowmeter 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
panel shield
3. Th e flowmeter panel is held in place with two latching tabs at the 崎htside . To
remove the panel, release each latch by pushing it toward the center ofthe panel
with a thin rod (3-mm hex wrench) through the access hole in the shroud.
4.9.2 Remove 1. Remove the front flowmeter panel shield (Section 4.9.1).
flowtubes for 2. To 陀move a flowtube assembly, push up on the tube just enough to clearthe bo忧om
cleaningor seal , pull out from the bo忧.om until the tube clears the flowtube module, then pull
replacement down slowly to release it from the module.
~ WARNING Floats are 创brated to a specific tub山ep each float with its tube. Replace
tube and 们 oats together. Interchanging floats can cause incorrect readings.
Disassemble the flowtube assemblies only when service 隐隐quired. Excessive
cleaning can remove the antistatic coating from inside the tube. Damage to the
float requires replacement ofthe entire flowtube.
3. Disassemble the f1 0wtube assembly.
R!!三串
Aoat stops are Indexed to
flowtubes and to flowtube
modules by gas.
Tabs and slots at both
connectlons must be
Tube -- 1 二
allgned to Install
flowtubes.
Aoat--
Alter--
O-rlng - -
4. Completely clean , rinse, and dry the f1 owtube. Use hospital grade alcohol and a
flowtube brush.
5. Replace stops, 制ter and o-rings , as necessary. Li ghtly coat all 0-阳gs with Krytox. Be
careful to not get any Krytox on the bottom of small f1 0wtube float stops.
6. Reassemble the flowtube assembly.
7. Inserttheflowtube, springside 币 rst, into the top of the module with the scale
oriented forward.
8. Push up and slide the bo忧om ofthe flowtube into place on the bottom o-ring. It may
be nece岱ary to rotate the tube to engage the index tabs.
Note: Be sure o-rings are inserted completely into the collar.
9. Push down on the tube to seat the bo忱。m o-nng.
10. Reinstall the front f1 0wmeter panel shield.
1 1. Perform the checkout procedure (Section 3).
N20ln
02 1n
Alrln
02 su PPIy Fresh gas out
swltch (for slngle-tube flowhead)
Open
O2 N2 0 Alr
@
. .• - _. ....•-_.
口…........ . 斗 @ @I@: @I@ @I [I 1111111111 "0
OV'Air modules O2/ Airflowmeter modules are connected at the bottom with a long sc酬 (A)
and nut (8) that is rece岱ed. To remove , retain nut while loosening screw.
Note The flowmeter modules are held together at the top with a u-clip. To separate the
modules, pivot the modules (front to back) 45 degree. The u-clip will disengage and
allow the modules to separate.
Th e flowmeter modules are interconnected at the top by a spacertube. The o-ring on
the spacer tube makes a leak-tight sea l.
,但啄u ilw
t
、
p』
HU
"v"""
nuF
"毡
ze
Spacer
Tube
Single-tube flowhead The outlet fitting for a single-tube flowhead is not an integral component of the O2
flowmeter. Th e outlet fi创 ng is a separate component that includes an o-ring seal and is
held in place with two u-clips.
5mall Large
U-Cllp O-rlng U-Cllp
Remove
。。
pl
、
HU
u nv
l
Ji
lw
l xe
TSan- -L· m -w
nvaw'-,,.-awwm-et r awAn"HM
Spacer
Tube
6. Install the screw through the O2 f1 0wmeter module to locks the O2 and N20
f1 0wmeter modules together.
SprocketjChaln
Assembly
13. Install the N2 0 knob. Snug one set screw to hold the knob in place.
14. Perform the link system calibration (Section 6.4).
15. Install the flowmeter panel shield.
16. Perform the checkout procedure (Section 3).
4.9.5 Replace 1. Remove the front flowmeter panel shield (Section 4.9.1).
flowmeter frame 2. Remove the complete flowmeter head (Section 4.9.3).
3. Separate the flowmeter modules as requi 陀d (Section 4.9.4).
4. Remove the flowtubes (Section 4.9.2). Keep all the parts for reassembly.
5. Remove the gas identification panel by removing the two sc陀ws at the back of the
frame. Keep all the pa此s for reassembly.
6. Remove the flowmeter frame by loosening the four mounting screws at the back of
the regulator manifold.
Note: There is a retainer in each screw location that keeps each screw within the
manifold.
7. To reassemble, pe斤orm the previous steps in reverse order.
8. If 陀placing O2 or N2 0 frames , pe斤。rm the link system calibration (Section 6.4).
9. Perform the checkout procedu 陀 (Section 3).
4.9.6 Replace O2 The O2 supply switch is located on the O2 flowmete r's regulaωrmodule.
supply switch 1. Remove the upper rear panel (Section 4.3).
2. Remove the two mounting screws from the O2 supply switch.
AdJustment
screw
4-mmhex
4.9.8 Replace 1. Remove the front flowmeter panel shield (Section 4.9.1).
secondary 2. Remove the complete flowmeter head (Section 4.9.3).
regulator manifold
3. Separate the flowmeter modules (Section 4.9.4).
。r balance
regulator manifold 4. Remove the flowmeter frame from the regulator manifold by 陀moving the four
screws at the rear of the regulaωr manifold (no need to remove flowtubes).
5. Remove the needle valve from the regulator manifold:
a. Unscrew the complete assembly together (stop collar, needle valve).
b. Replace the o-ring if nece臼ary.
6. Screw the needle valve into the new regulator manifold.
7. Removethe plugs and balance regulatorelbowfi忧ing (and O2 supply switch if an O2
module) from the old regulaωr manifold.
8. Install the plugs and balance regulator elbow fi忧ing (and O2 supply switch if an O2
module) into the new regulator manifold (puII on the plugs and fi忧ings to ensure that
they are locked into the manifold).
9. Reinstall the flowmeterframe to the 陀gulator manifold.
10. Reinstall all the flowmeter modules to the flowmeter head.
11. Reinstall the flowmeter head (Section 4.9.4).
12. 00 the necessary calibrations (Section 6).
4.9.9 Replace O2 For machines without N20, referto Section 4.9.10 for replacingthe O2 needle valve.
。 r N2 0 needle 1. Bleed all gas pressure from the machine (Section 4.2).
valves (on
2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
machines with
N2 0) 3. Remove the front flowmeter panel shield (Section 4.9.1).
4. Setthe O2 and N2 0 needle valves to their minimum position.
5. Loosen the set screws on the N2 0 knob, then remove the knob.
6. Loosenthesetsc陀ws on the N2 0 sprocket and the O2 knob.
7. To remove, grasp the O2 knobjsprocket, N20 sprocket, and chain as an assembly.
Remove as an assembly.
8. Remove the spacerfrom the N2 0 needle valve spindle.
9. Loosen the set screws on the needle valve stop collarforthe needle valve that is
being replaced.
10. Remove the stop collar.
11. To remove the needle valve from the flowmeter block, turn the needle valve
counterclockwise with a 16-mm wrench .
12. To install the new needle valve, turn it clockwise and tighten it with the wrench.
Note: Be sure the o-ring is prope叫y located on the tip of the needle valve.
&. WARNING The O2 and N20 needle valves are not the same. Patient inju叩 can result ifthe
wrong needle valve is installed in the f10wmeter block. You can identify the N20
needle valve by a groove located just below the top brass hex.
+
咽'
13. Install the stop collar on the new needle valve. Do not tighten the set sc陀ws .
14. Perform the needle valve calibration (Section 6.3).
15. After calibrating the needle valve, put the spacer the N2 0 needle valve spindle.
Spacer
SprocketjChaln
Assembly
4.9.10 Replace an For machines with N20, referto Section 4.9.9 for replacing the O2 needle valve.
Air needle valve on 1. Bleed all gas pressure from the machine (Section 4.2).
all machines or an
2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
O2 needle valve on
3. Remove the front flowmeter panel shield (Section 4.9.1).
machines without
N20 4. Loosen the set screws on the flow control knob and remove the knob.
5. Loosen the set screws on the stop collar and remove the collar.
6. If equipped , remove the maximum flow stop collar.
7. Using a 16-mm wrench , remove the needle valve by turning it counterclockwise.
8. Install the new needle valve and tighten.
Note: Be sure the o-ring is prope叫y located on the tip of the needle valve.
9. If equipped , install the maximum flow sωp collar (do nottighten).
10. Install the stop collar (do not tighten the screws).
11. Install the flow control knob on the shaft. Tighten one set screw to snug.
12. Reconnect the gas supplies.
13. Perform the flow control stop procedures explained in:
• Section 6.3.1 for O2 ,
• Section 6.3.3 for Air.
• Section 6.3.4 for maximum flow.
14. Install the flowmeter panel shield.
15. Perform the checkout procedu 陀 (Section 3).
母,
4. Disassemble as necessary to replace pa 也 . Th e following illustration shows the
pa民S .
Spring
一主
O-rlng
..
·.
‘.. ~..... J " .,. , , r ... Ö
........... .
5. When installing a new valve ca 此ridge assembly into the vaporizer manifold , put a
light coat of Krytox on the bottom p。而on ofthe ca此时 dge . Th e bottom po削 on ofthe
ca 忧ridge is defined as the brass surface that is inserted in the lowerspring. Note: Do
notapply 仰ytox to the valve sea l.
4.10.2 Checkout Use the Vaporizer Manifold Valve TestTool to perform the checkout procedure forthe
procedure for manifold port valve. This tool and test procedure are intended for use only when the
valve cartridge assembly is replaced.
manifold po此
valve
Note This replacement and test procedure is a service action and is not part ofthe
maintenance program.
1. Set the system switch to Standby.
2. After 陀placingthe valve ca忧ridge assembly, remove the vapo时zer port o-ring.
3. Attach the valve testerto the top ofthe valve by slidingthe bo位om of the tester onto
the o-ring groove.
4 . 币 ghten the tester screw down onto the valve until the screw bo忱。ms out on the top
of the valve. The tester o-ring should create a seal with the top of the valve.
5. Remove the upper rear panel (Section 4.3).
6. Remove the inlet tube from the vaporizer manifold.
7. Set the SCGO Selector switch to ACGO.
8. Test the negative low-pressure leak-test device:
a. Put you hand on the inlet ofthe leak-test device. Push hard for a good seal.
b. Remove all airfrom the bulb.
c. Th e bulb should not inflate in less than 60 seconds.
9. Attach the negative low-pressu 陀 leak-test device to the ACGO outlet.
10.Remove all airfrom the bulb. The bulb should not inflate in less than 45 seconds.
11. Remove the valve tester.
12. Reassemble the inlet tube, vapo时zerpo同 0-川 ng, and the upper 陀arpanel.
13. Conduct a negative low-pressu 陀 l eak test on the system (Section 3.5.1).
.&. WARNING If the valve test tool is not removed before flowing gas through the system ,
pneumatic head damage could resul t.
Note The valve body, o-ring, and flapper do not come out with the block. They stay intact at
the bottom ofthe vaporizer manifold.
6. Pull the f1 apper out ofthe valve body.
O-rlng
Aapper
Valve body E …· 、
。-rlng
Aapper
9. Replace the f1 apper by inserting the f1 apper stem and gently pulling the stem until
the f1 apper secures to the valve body.
10. Ughtly lubricate the o-ring with Krytox.
1 1. Place the lubricated o-ring on the valve body po忧 atthe bottom ofthe manifold.
12. Gently install the valve body in the manifold:
• Check that the o-ring makes a good seal between the manifold and the valve
body.
• Check that the f1 apper valve makes solid contact with the valve body.
13. Install the valve block.
14. Reconnect the tubing to the valve block. Pull on the tube to ensure that it is locked
in the fitting.
15. Install the vaporizerfront panel.
16. Perform the checkout procedure (Section 3).
6. From the back of the machine, remove the two sc陀ws (0) that hold the vertical
support to the vaporizer manifold.
7. Remove the vertical suppoπfrom the machine.
8. While holdingthe vapo时zer manifold , remove the two sc陀ws( 日 atthe righ仁hand
extrusion to release the manifold .
二〉。
ø.c:::::::::::可·
9. Install the new vaporizer manifold in reverse order. Do not fully tighten the screws
until they are all in place.
• Attach the new manifold to the right-hand e炕rusion (岛.
• Attach the vertical suppo此 to the vaporizer manifold (0).
• Attach the bottom of the vertical suppo忧 to the flowhead bracket (C).
• Attach the vertical suppo此 to the front bezel (8).
10. TIghten the mounting sc陀ws in the following order: E, 0 , C, 8.
11. Reassemble the machine.
12. Perform the checkout procedure (Section 3).
3 2 4 1
3. Disconnectthe fresh gas (2) and flush (3) tubes at the back ofthe switch.
4. Disconnectthe wires from the ACGO mode microswitch (4) atthe back ofthe selector
switch.
5. Disconnect the wires from the f1 ush p陀ssure switch (5) on top of the selector switch.
7. Back outthe selectorswitch mountingscrews (6) until the tips are flush with the face
of the mounting casting.
8. While pushing the selector knob towa 叫 the machine and holding it steady, push the
valve body towa 叫 the knob and rotate it counterclockwise to separate the valve
body from the knob assembly.
9. Remove the knob assembly and protective shroud from the machine.
13. Reconnect the wires to the flush p陀ssure switch atthe top of the valve
(upper and lowerterminals).
14. Replace the tabletop.
Test procedure 1. Confirm that flush flow and 5 Ljmin fresh gas flow are divertedωtheACGOpo此 and
the ABS in the respective knob positions.
2. Confirm that the ventilator display indicates ACGO mode when the valve is set in the
ACGO position.
3. Test the function ofthe flush pressure switch
(Service Mode - "Display Discrete 1/ 0 Signals").
4. Perform the low-pressure leak test (Section 3.5).
5. Perform the checkout procedure (Section 3)
• Adjust to just enough friction to p陀vent the bag arm from swinging sideways as
the bag height is being changed. Th e bag arm height is changed by squeezingthe
lock release lever (C) at the free end ofthe bag arm and rotating it to the desired
position.
5. Replace the ABS breathing system.
4.15.1 Servicing Service parts for the bag support arm include the upper and lower assemblies.
the bag suppo此 To replace either assembly:
arm 1. Remove the bag support arm from the machine (Section 4.15).
2. To separate the upper assembly
from the lower assembly, use a
small (2.5-mm) pin punch from the
bottom to drive the dowel pin up and
ou t.
3. To assemble the bag arm , apply a
lightcoat of Krytox to the area ofthe
upper arm (A) that extends into the
lower arm (including the dowel pin
groove).
A
c c
4. Insert the upper assembly into the lower assembly. Align the su 白 ce (8) ofthe upper
assembly with the surface (C) of the lower assembly.
5. Insert the dowel pin into the hole
。rom the top side as shown). Drive
the dowel pin into the bag arm until
it is flush with the top surface.
4.15.2 Replace 1. Remove the ABS breathing system from the machine.
friction pad in 2. Using an 8-mm socket, remove the
lower bag arm nut(A), shoulderwasher, and sp时 ng
assembly from the lower assembly.
3. Lift the bag support arm off of the
swivel post. Remove the old friction
pad.
A
4. Wipe any residue and friction
pa忧icles from the post.
Ef 飞
5. Before installing the new bag
p。此 housing, clean and
lubricate sparingly with Krytox
the exposed metal end (町 and
the guide slot (G) of the bag
support arm. I~画.\:1": G
4.17.1 Front panel 1. Bleed all gas p陀ssure from the machine (Section 4.2).
method 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
3. Remove the tabletop (Section 4.4).
4. Remove the gauge panel mountingscrews and move the panel fo附ard to access the
suction control module.
F A
(vacuum)
4. Remove the two screws (D) that hold the suction control module to the mounting
bracket.
5. Remove the 陀gulator assembly from the front panel.
6. Transferthe tubing to the new regulator:
. A忧.ach the vacuum source tube (white fi忧ing)ωthe lower connecωr( 曰.
. A忧.ach the suction tube (black 们创ng) to the upper connector (的.
7. Guide the tubes into the front panel opening.
8. While holdingthe 陀gulator assembly against the front panel , a忧ach the retaining
bracket to the 陀gulator. Tighten the screws to secure the regulator assembly.
9. If applicable, a忧.a ch the control po忧 tube to the pilot valve adapter (C).
10. Attach the vacuum and suction fi忧ing to the rear panel manifold.
11. Replace the rear panel.
12. Perform the checkout procedure (Section 3).
3. From the topside, rotate the BagjVent switch ca 此ridge counterclockwise until the
Bagjvent switch ou tJ et port (C) clears the bellows housing.
4.18.2 Replace To replace the latch assembly, you must disassemble the bellows base assembly to the
bellows base latch point where you can remove the guide (A) and latch assembly (8) as a unit.
assembly 1. Remove the Bag/Vent switch cartridge (Section 4.18.1).
2. Remove the two remainingsc陀ws (C) that hold the APLj BTV manifoldωthe bellows
base assembly. Remove the APLjBTV manifol.
E F
7. Mount the guidej latch assembly into the bellows base assembly.
8. Reassemble the breathing system in reverse order.
9. Perform the checkout procedure (Section 3).
.& WARNING Replacinga casterrequires atleasttwo people to maneuver and tip the machine.
Personal injury and/or machine damage is possible if one person a忧empts this
procedu陀 alone .
1. Disconnect all pipeline hoses from the wall and the machine, close all gas cylinders,
unplug the power cord , and set the system switch to standby.
.& CAUTION Remove the vaporizers before tipping the machine. If a vaporizer is inverted , it
must be set to 5% and pu电ed for 30 minutes with a 5 L/min flow. Th e interlock
system prevents purging more than one vaporizer at a time.
2. Remove the absorber, the vaporize邸, gas cylinders, drawers and all auxiliary
equipment.
.& CAUTION To prevent damage, do not tip the Aespire machine more 阳n 10 degrees 行om
ve 此ica l.
3. Block the opposite wheels; then, block up the machine until there is enough room to
remove the defective caster.
To block up the machine, tip and slide blocks under the caster base. Raise both
sides evenly until the unit is high enough to remove the caster.
4. Th e casters are threaded into the base
and held with a Loctite compound.
Remove the caster with an
appropriately sized open-end wrench.
5. If required, clean the treads ofthe new
caster with denatured alcoho l.
6. Apply Loctite 242 to the threads of the
new caster. Install the caster securely
into place.
7. Make sure the caster turns freely.
8. Carefully lower the machine to the floor.
9. Perform the checkout procedure (Section 3).
D B c
4.20.1 To replace 1. Using a small needle-nose pliers, disconnectthe switch hamess from the task-light
the task-light circuit board connector (8).
switch 2. Remove the two screws (C) that hold the switch retainer plate to the upper shelf.
3. Transferthe switch retainer plate to the new switch , counter-sunk side to the outside.
4. Mount the switch to the upper shelf.
5. Remount the task-light assembly. Ensure that the switch harness and the task-light
hamess wires a 陀 positioned in their 陀spective 陀cesses and are not pinched under
the task-light lens.
4.21.2 Removing If equipped , remove additional equipment 衍om the arm before removing the arm.
the display arm 1. Disconnect the cables from the display.
2. Removethe displayfrom the display
arm.
3. Remove the cables from the cable
clamps.
4. Loosen the screws that secu 陀 the
display arm in the dovetail.
5. If 陀quired , use a rubber mallet to
tap the display arm out ofthe
dovetai l.
• B - Monitoring
• C - Vent Engine
• D - Power cable
4. Install the dovetail extrusion loosely
to hold the cables in place.
5. Adjust the cable length outside the
machine to approximately 66 cm.
6. Securely tighten the extrusion mounting screws.
7.
through the cable clamps.
6. Attach the cables to the display.
If 陀quired, install cable tie in the
LLJ
locations shown.
• Place one cable tie close to the
pivot ofthe arm.
• Place the second cable between
the two straps.
• Place the third cable tie near the
display as shown.
8. Ensure that the cables a 陀 secured
so that they do not interfere with
display through the entire range of
motion.
。 C B A
A - Seriallsolation
B - Monitoring board
C- Vent Engine
D - Power cable
10 this sectioo This section covers the regular maintenance procedures (minimum requirements)
needed to make sure that the Aespire Anesthesia Machine - including the venti l ator 一
operates to specifications.
5.1 Aespire Planned Maintenance .. .. .. .. .. .. .. .. .. .. .. . .. ... . .. .. .. .. .. .. .. .. .. .5-2
5. 1. 1 Everytwelve (12) months. . .. .. . . . . . . . . .. . . .. . . . . . . . .. .. .. .. .. . . .. . . . . .5-2
5. 1.2 Every twenty-four (24) months ............... . .. ... ................... .5-3
5.2 Auxiliary O2 f1 0wmetertests ................................................. .5-4
5.3lntegrated Suction Regulator tests ... . ................ . .. .. .. ................ .5-5
A WARNINGS Do not perform testing or maintenance on the Aespire Anesthesia Machine while
it is being used on a patient. Possible i时ury can 陀sult.
Obey infection control and safety procedu陀s. Used equipment may contain
blood and bodyfluids.
5.1.1 Every twelve (12) Perform the following steps every 12 months.
months
Machine Parts Replacement Refer to the listed section in this manual. Perform the following step:
口 Replace the vaporizer po忱。rings (Section 4.10.1)
(附t Stock Number 1102-3016-000)
Machine Checks and Tests Refer to the Aespire User's Reference Manual , Part 2.
Perform the following steps:
7100 Ventilator Checks ,Tests Refer to the listed sections in the Aestiva 7100 Ventilator Service Manua l.
and Calibrations Perform the following steps:
口 2 . From the Venti lator Service Mode menu , pe斤Orm the following:
5.1.2 Every twenty-four In addition to the 12-month requirements, 陀 place the following pa 同severy
(24) months 24 months. AII machine and ventilator parts should be replaced before
performing the checks, tests, and calibrations.
7100 Ventilator Parts Refer to the listed sections in the Aestiva 7100 Ventilator Service Manual.
Replacement Perform the following steps:
3. Rotate the flow control counterclockwise (increase). The ball should rise
immediately after rotation is begun. It should rise smoothly and steadily
with continued counterclockwise rotation. When a desired flow is set, the
ball should maintain in a steady position.
4. Rotate the flow control clockwise to shut off the flow.
Row Accuracy Test Note: To check flow accuracy, be sure that the flow test device is capable of
measuring 0 to 15 Ljmin with an accuracy of :t2% of reading.
1. Connect the flowmeter outJ et to the flow test device.
2. Adjust the flowmeter so the center ofthe ball aligns with the selected test
point (observe that the ball maintains a steady position for 10 seconds).
3. The test device reading should be between the limits shown for each ofthe
selected se忧ings in the table below.
F1 0wTester Reading
Gauge Accuracy The gauge needle should come to rest within the zero range bracket when no
suction is being supplied. Gauges which do not comply may be out of
tolerance.
Note To check gauge accuracy, be sure that the test gauge is capable of measuring
oto 550 mm Hg with an accuracy of 土 1 % of reading.
1. Connect the suction patient port to the test gauge.
Testpoints
Suctlon vacuum gauge Test gauge tolerance
100 mm Hg (13.3 kPa) 62- 138 mm Hg(8.3- 18.4 kPa)
300 mm Hg (40 kpa) 262- 338 mm Hg(35- 45 kpa)
500 mm Hg (66.7 kPa) 462-538 mm Hg (6 1. 6幽 7 1. 7) kPa)
Flow Test Note: To check flow accuracy, be su 陀 that the flow test device is capable of
measuring 0 - 30νmin .
1. Connect the patient p。此 ofthe suction 陀gulatorto the f1 0w test device.
2. Rotate the suction control knob fully clockwise (increase).
3. Turn the mode selector switch to I (ON) and verify that the f1 0w rate is:
• atleast20 Ljmin .
4. Disconnect the test f1 owmeter.
Vacuum Bleed Test 1. Occlude the patient po忧 ofthe suction regulator.
2. Rotate the suction control knob a minimum oftwo full tums in the
clockwise direction (increase suction) to ensu 陀 itsse忧ing is not at the 0仔
position.
3. Occlude the patient port of the suction regulator.
4. Observe the suction gauge, the needle should not move.
5. Rotate the suction control knob fully counterclockwise to ensure its se忧ing
is atthe 仙lIyo仔 position.
6. Turn the mode selector switch to 1(ON).
7. Observe the suction gauge, the needle should not move.
.6 WARNING After adjustments and calibration are completed , always perform the checkout
procedu陀 . Referto Section 3 ofthis manua l.
In this section 刊 is section covers calibration procedures for components of the Aespire anesthesia
machine.
6.1 P川 mary Regulators ........................................................ .6-2
6. 1. 1 Testsetup .......... . ...................... . ....................... .6-2
6.1.2 Testing Primary Regulators ........................................... .6-3
6.1.3 Adjusting P川mary Regulators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6
6.2 Secondary Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7
6.2.1 Testin g/ Adjusting Secondary Regulators or 8alance Regulators . . . . . . . . . . . . . .6-7
6.3 Flowmeter Needle Valve Calibration ...........................................6-8
6.3.102 Needle Valve Calibration (Minimum Flow). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
6.3.2 N2 0 Needle Valve Calibration (Minimum Row). . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
6.3.3 Air Needle Valve Calibration (Minimum Flow) . . . . . . . . . . . . . . . . . . . . . . . . . . .. 6-14
6.3.4 Needle Valve Calibration (Maximum Flow) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
6.4 Li nksystem calibration . .. . .. .. .. .. .. .. .. . . .. .. .... . .. .. .. .. .. .. .. . . . . . . .. . 6-18
6.5 O2 Flush Regulator ....................................................... 6-23
6.6 Airway pressure gauge ...................... . ...................... . ...... 6-24
6.6.1 Zero the pressu陀 gauge............................................. 6-24
6.6.2 Checkingthe pressure gauge accuracy ................................ 6-25
&. WARNING When testingjadjusting N2 0 regulators, nitrous oxide flows through the
system. Use a safe and approved procedure to collect and remove it.
A WARNING Wear sa刷刷臼es while test device is connected to the test po陀
&. CAUTION Be careful not to plug the output of the primary regulator without having
a pressure reliefvalve in the output circui t.
1. Set the system switch to Standby.
唱
~ - Remove Plug
6.1.2 Testing Primary There are two variations ofthe test procedure forthe primary regulators:
Regulators • Test A - For primary regulators that supply drive gas to the ventilator.
• Test B - For all gases not used to supply drive gas to the ventilator.
TestA For primary regulators that supply drive gas to the ventilator (0 2 or Air):
Under low flow conditions, the output pressure of a properly adjusted/
functioning 陀gulator should fall within specifications listed in step 4. Under
high flow conditions, the output p陀ssure should not drop below the
specifications in step 12.
1. Remove the bellows assembly.
2. Slowly open the cylindervalve.
3. Set the system switch to On.
4. Low FlowTest: Setthe fresh gas flowto 0.05 L/min (or minimum f1 0w for
O2) , When checking an Air regulator on systems that have a single
f1 owtube, open the needle valve 1/8 turn from the minimum stop to
achieve a flow closeω0.05 L/min .
• Close the cylinder valve and allow the pressure to decay to 2068 kPa
(300 psi) as indicated on the cylindergauge (upper limit ofthe red band).
Th e flow may be temporarily increased to facilitate the decay.
• At the time that the cylinder pressu 陀 reaches 2068 kPa (300 psi), set
the system sw忧.ch to Standby.
• Within one minute , the test device must stabilize between:
(60) DIN 372 - 400 kPa (54-58 psi)
(50) Pin Indexed 310-341 kPa (45.0 - 49.5 psi).
Ifthe t臼.t device pressure does not stabilize within one minute,
replace the cylindersupply.
Ifthe test device stabilizes within one minute, but the readings a 陀
not within specifications , readjust the 陀gulator (Section 6. 1.3).
5. Slowly open the cylindervalve.
6. Enter the Service Mode:
(Push and hold the adjustment knob on the ventilator's display and set the
system switch to On.)
7. Select and confirm "Service Modes."
8. Follow the menu s钉uctu 陀 outline below to reach the adjus伽lent for the
inspiratory f1 0w valve. Select and confirm at each step.
• "Diagnosti臼 TestsjTools"
• "Valves - TestTool"
• "Set Inspiratory Valve"
Test B For all gases not used to supply drive gas to the ventilator:
Under low flow conditions, the output pressure of a properly adjusted/
仙nctioning regulator should fall within specifications listed in step 4. Under
high flow conditions, the output p陀ssu 陀 should not drop below the
specifications in step 7.
1. If the cylinder supply being tested is N2 0 , connect a source of O2 and set
the O2 f1 0w control to the minimum sωP (pilotp陀ssure for secondary
regulator).
2. Slowly open the cylinder valve for the regulator being tested.
3. Set the system switch to On.
4. Low FlowTest: Setthe flow ofthe gas beingtested to 0.05 L/min (or
minimum flow for O2) , When checking a regulaωr on systems that have a
single flowtube , open the needle valve 1/8 tum from the minimum stop to
achieve a flow closeω0. 05 L/min.
• Close the cylinder valve and allow the pre臼ure to decay to 2068 kPa
(300 psi) as indicated on the cylindergauge (upperlimitofthe red band).
刊e flow may be temporarily increased to facilitate the decay.
• At the time that the cylinder pressure reaches 2068 kPa (300 psi), set
the system switch to Standby.
• Within one minute , the test device must stabilize between:
(60) DIN 372 - 400 kPa (54- 58 psi)
(50) Pin Indexed 310-341 kPa (45.0-49.5 psi).
Ifthe test device pressure does not stabilize within one minute,
replace the cylinder supply.
If the test device stabilizes within one minute, but the readings a 陀
not within specifications, readjust the 陀gulator (Section 6.1.3).
5. Slowly open the cylindervalve.
6. Set the system switch to On.
7. High Flow Test: Set the flow control valve to the maximum indicated flow
on the flow tube.
• Th e test device reading must be greater than:
(60) DIN 221 kPa (32 psi)
(50) 阴nlnd剧创 221 kPa (32 psi)
If the test device 陀ading under "high flow" conditions is less than
specified , readjustthe regulatorperthe procedure in Section 6. 1. 3;
however, set the regulated pressure higher by the di仔erence you
noted in this step plus 7 kPa (1 psi). Th is adjusts the "Iow flow"
regulated output to the high side of the specification so that the
"high flow" regulated pressu 陀 can 旬 11 within the specification.
If the regulaωr subsequently fails the "Iow flow" specification
(step 4) because the reading is too high ,陀 place the cylinder supply.
8. Set the system switch to Standby.
9. Close the cylindervalve.
10. Bleed the system of all p陀ssure .
1 1. Disconnect the test device and plug the test port (pull on the plug to
ensure it is locked in the fitting).
12. Replace the rear panel(s).
13. Perform the checkout procedu 陀 (Section 3).
6.1.3 Adjusting Primary Important: Cylinder supplies in an Aespire machine must have all primary
Regulators 陀gulators setto the same pressure range: (50) Pin Indexed or (60) OIN. If a
陀gulator is replaced, the replacement 陀gulator must be set (as 陀quired)ω
the same specification as the one removed.
Impo民:a nt: Install a 仙11 cylinder in the cylinder supply to be adjusted. It is
essential that the cylinder be within 10% of its full pressure.
Ifthe cylinder supply being adjusted is N20, connect a source of O2 and set
the O2 flow control to the minimum stop (pilot pressure for secondary
陀gulator).
To adjust the primary 陀gulators, follow the procedure in Section 6.1.1 to gain
access to the regulators.
~ WARNING When testing N20 regulators, nitrous oxide f1 0ws through the system.
Use a safe and approved procedure to collect and 陀move it.
Test Ports
.&. CAUTl ON: Do not force the needle valve against the sea t. Overtightening the valve
can cause the minimum f1 0w se忧ing to drift out of specifications.
1. Set the system switch to Standby.
2. Remove the flowmeter panel shield (Section 4.9.1).
Note: If adjusting an existing needle valve,
• remove the N2 0 and O2 knob and sprocket assemblies
(on machines with O2 only flowhead , remove the O2 knob) ,
• and loosen the O2 stop collar setscrews.
3 . Slide a stop collar onto the valve stem with the stop tab toward the valve.
Do not tighten setsc陀ws.
pCollar / Tab
\ h
4. Set the system switch to On.
5. Adjust the O2 needle valve to maintain a flow of
• 50 :!:25 mLjmin for dual tube flowmeters.
• 200 :1:25 mL. min for single tube flowmeters.
6. Push the stop collar against the valve body.
.....
7. Turn the collar clockwise until the collar stop tab contacts the minimum
stop tab on the valve body. Do not tum the valve stem.
CollarStop
Valve
Stop
...
9 . 币 ghten the collar setscrews. Start with the one opposite the tab if possible.
10. Turn the valve stem counterclockwise at least one revolution to make sure
the collar tab clears the valve stop.
j一--StOI阴阳棚
or仁|
If the stop does not clear:
a. Turn the valve stem back to minimum position.
b. Loosen the collar setscrews.
c. Repeat steps 6 through 9.
11. Tum the valve stem clockwise to the minimum stop.
12. Verify that the flow is within the
• 50 :!:25 mνmin range for dual tube flowmeters.
• 200 :!:25 mLjmin range for single tube flowmeters.
13. Setthe maximum stop collar if necessary (Section 6.3.4).
Note: Maximum stop collars are required in Canada for all gas flow
controls.
14. Calibrate the Li nk propo 时oning system (Section 6.4)
(on machines with O2 only flowhead , replace and set the knob so that at
minimum flow the label text is horizontal; 陀placethe 们owmeter shield).
.&. WARNING You must be in a well ventilated room or use a gas evacuation device at
this time. Anesthetic vapors exhausted into the room air can be harmful
to your health .
.&. CAUTl ON: Do not force the needle valve against the sea t. Overtightening the valve
can cause the minimum f1 0w se忧ing to drift out of specifications.
1. Disconnect all pipeline supplies and close all cylinder valves.
2. Remove the upper rear panel.
Note: If adjusting an existing needle valve,
• remove the N2 0 and O2 knob and sprocket assemblies,
• and loosen the O2 stop collar setscrews.
3. Remove the flowmeter panel shield (Section 4.9.1).
4. Disconnect the tube from the pilot port on the N2 0 regulator.
。。
5. Disconnect the 4-mm outlet tube from the back of the N20 pipeline
manifold.
Connectto
N2 0 pllot port
E咱B
6. Using a 4-mm tubejtee fixture (see Service Tools - Section 8.1.3), connect
a tube (tee end) to the N2 0 supply outlet at the back ofthe pipeline
manifold. Connect the outlet tube to the open connection on the tee
connector ofthe fixture. Connect the other end ofthe fixture to the N2 0 pilot
port at the front ofthe f1 owhead. This setup supplies pilot p陀ssure to the
N2 0 balancing regulator during the minimum stop calibration.
7. Slide a stop collar onto the valve stem with the stop tab toward the valve.
00 not tighten setscrews.
她吧L日/r / a 叫 a
4二、
Alter
11. Oisconnect the tubing from the inlet of the vaporizer manifold (closest to
flowhead).
12. Ifthe machine has an Airoption , bleed down the airsupply. Air can inflate
the bubble (next step) if it is not shut off.
13. Applya small amountof leak detection fluid (Snoop) to the end ofthetube
to form a bubble.
14. Tum the valve stem clockwise until the bubble no longer inflates. 00 not
turn more than 10 degrees clockwise past this point.
...
10degrees
.....
16. Tum the collar clockwise until the collar stop tab contacts the minimum
stop tab on the valve body. Do not tum the valve stem.
CollarStop
Valve
Stop
(example) ("'.
18. nghten the collar setscrews. Start with the one opposite the tab if
possible.
19. Tum the valve stem counterclockwise at leastone revolution to makesure
the collar tab c1 ears the valve stop.
I Stops must 曲创
。。
Lh CAUTl ON: Do not force the needle valve against the sea t. Overtightening the valve
can cause the minimum f1 0w se忧ing to drift out of specifications.
1. Set the system switch to Standby.
2. Oisconnect all pipeline hoses and close all cylinder valves except for air.
3 . Remove the flowmeter panel shield (Section 4.9.1).
协时J/ 可 / 阳圳Tab
w Þ 广灿灿
6. Set the system switch to On.
7. Adjust the needle valve until the float is nearly touching the filter, but not
quite.
Rowtube
衫二、
Alter
8. Oisconnect the tubing from the inlet to the vaporizer manifold (Ie仕 end of
manifold).
9. Applya small amount of leak detection f1 uid (Snoop)to the end ofthe tube
to form a bubble.
10. Tum the needle valve clockwise until the bubble no longerinflates. Do not
tum more than 10 degrees clockwise past this poin t.
10 degrees
4串.
.....
12. Tum the collar clockwise until the collar stop tab contacts the minimum
stop tab on the valve body. 00 not turn the valve stem.
CollarStop
Valve
Stop
Collar
Collar stop must be on
CCW slde of valve stop.
13. Carefully pull the collar back so there is a slightgap between collar and the
valve body (butstill engages the valve stop).
Collar
Setscrew
(example)
.....•
14. TIghten the collar setscrews. Start with the one opposite the tab if
possible.
15. Tum the valve stem counterclockwise at least one revolution to make sure
the collar tab clears the valve stop.
乒 协川U制ear
6.3.4 Needle Valve Note: Maximum stop collars are required in Canada for all gas needle valves.
Calibration (M拟imum 1. Calibrate the needle valve for minimum f1 ow:
F1 ow)
• Section 6.3.1 for O2
• Section 6.3.2 for N20
• Section 6.3.3 for Air
2. Turn the valve open 1/2 turn beyond the maximum indicated f1 ow.
3. Position the maximum stop collar so that its hook contacts the stop collar
tab on the counterclockwise side. Th e hook and tab should have
overlapping contact of about O.75 mm (about halfthe thickness ofthe stop
collartab).
Maxlmum
.....- Stop Collar
Needle Valve
Stop Collar Assembly
.& WARNING You must be in a well ventilated room or use a gas evacuation device at
this time. Anesthetic vapors exhausted into the room air can be harmful
to your health.
1. Set the system switch to Standby.
2. Remove the flowmeter panel shield (Section 4.9.1).
3. Put the plastic spacer on the N20 needle valve spindle.
4. Turn the O2 and the N2 0 needle valves clockwise to their minimum stop
position .
Spacer
5. Put the chain onto the O2 knobjsprocket assembly and the N2 0 sprocket.
Note: The N2 0 sprocket set screws should be away 行om the valve.
6. Install the chain and sprockets onto the needle valve stems as an
assembly. Press the O2 knobjsprocket against the O2 minimum sωp
colla r.
SprocketjChaln
Assembly
7. TIghten the setscrews in the O2 knob. 00 not tighten the N20 sprocket
setscrews.
Note: If 021abel is on the knob , turn the knob so thatthe identification label
is horizontal before tightening the setscrews.
8. Turn on the O2 and the N20 gas supplies (pipeline or cylinder).
9. Setthe system switch to On.
10. Adjust the needle valves:
• O2 needle valve: 200 土 10 mLjmin.
• N20 needle valve: 600 :t25 mLjmin.
Turn
counler-
clockwlse
阳
\山
12. Push the N20 sprocket against the plastic spacer.
13. Holding the O2 knob, rotate the N2 0 sprocket counterclockwise until all
slack is removed from the chain.
14. Li ghtly tighten both N20 sprocket setscrews.
15. Turn the N2 0 needle valve clockwise to the minimum stop position.
16. Install the N20 knob. Turn the knob so that the identification label is
horizontal before tightening the setscrews.
17. Turn the N20 needle valve countercloc阳i钮, and check that the oxygen
flow increases as N20 flow increases.
18. Turn the O2 needle valve clockwise, and check that the N20 flow
decreases as O2 decreases.
19. Check the proportioning system concentration (inc陀asing N20 flow).
Observe the following precautions:
• Start with both valves at the minimum se忧ing.
• Adjust only the N20 needle valve.
• Increase the N20 flow as specified in the table below and make sure the
O2 concentration is in the allowed range.
Note: Allowthe O2 monitorto stabilize. Atthe lowerflows, the O2monitor
may take up to 90 seconds to stabilize.
• If you overshoot a se忧ing, turn the O2 needle valve clockwise until the
N20 flow decreases to the previous se忧ing before continuing the test.
0.8 22%to29%
1 22%to29%
2 22%to29%
6 22%to29%
9 22%to29%
3 22%t029%
2 22%t029%
1 22%t029%
0.3 22%t029%
I伫 Th en:
Concentration Low Decrease N20
Concentration High Increase N20
Jam nut
""'.… t screw
6.6.1 Zero the pressure 1. Attach a patientcircuitωthe Breathing System. Leave the patient end
gauge .open.
8. Rem .ove the plugfrom the patient circuitt.o relieve the pressure in the circuit
and recheck the zero setting .of the p陀ssu 陀 gauge.
9. If required , repeatzer.o and span procedure.
10. Replace the lens cover.
ZeroAdJust
6.6.2 Checking the The accuracy ofthe airway pressure gauge can be checked by using the
pressure gauge accuracy following:
• a low-pressu 陀 test device (digital manometer or test gauge) with an
accuracy of 土2% of reading,
• a low-p陀ssure supply source (typically a syringe),
• and an airway pressure gauge test adapter.
Ocm H20 0 土1 cm H2 0
40 cm H2 0 40 土2 cm H2 0
-5 cm H2 0 -5 土2cm H2 0
To
TestDevlce
广」
h
To
Low.p陀ssure Source
OÜO
飞」
(Syrlnge) 卢
..
t肘。矿
阳
商ω··
""m'u'" db ,
销
毡'
HM m"
b
In this section Th is section covers the troubleshooting procedures forthe Aespire machine pneumatic
systems. Fortroubleshooting electrical systems, referto the 7100 VentilatorTechnical
Reference manua l.
7.1 GeneralTroubleshooting. . . . .... . .. .. . . . . .. .. . . . . . . .... .. . .. .. . . . . .. . . .. . . . . .7-2
7.2 B陀athing System LeakTest Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4
7.2.1 Breathingsystem leak test. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5
7.2.2 Breathing System Troubleshooting Rowcharts ............................7-7
7.2.3 LeaklsolationTests ................................................ 7-12
.& WARNING Objects in the breathingsystem can stop gas flowto the patient. Th is can
cause i 时 ury or death:
• Do not use a test plug that is small enough to fall into the breathing
system.
• Make sure thatthere are no test plugs or other objects caught in the
breathing system.
High Pressure Leak Pipeline leak Use a leak detector or Snoop to check for source of leak.
Repair or replace defective pa民S.
O2 flush valve Use a leak detector or Snoop to check for source of leak.
Make su陀 tubing connec甘onsa 陀 tight.
Replace valve if defeωive.
System switch Use a leak detector or Snoop to check for source of leak.
Make su陀 tubing connec甘onsa 陀 tight.
Replace switch if defective.
Cylinder not installed properly Make su陀 cylinder is ∞rrectJyalig川 ed.
v'erify 阶at tee
handles a陀 tight.
Cylinder gauges Use a leak detector or Snoop to check for source of leak.
Replace g同uge if defective.
Cylinder gaskets Use a leak detector or Snoop to check for source of leak.
Replace 白sket if defective.
Reliefvalves Use a leak detector or Snoop to check for source of leak.
Replace valve if defeωive.
LowP陀ssu陀 Leak Vaporizer not installed properly Reseat vaporizer if not installed properly.
(with vaporizer mounted) Have vaporizer serviced at vaporizer center if vaporizer
leaks.
Missing or damaged o-ring on vaporizer Check condition of o-rinι
mani旬Id Replace if missing or damaged.
Loose fill port Check fill po比 Tighten if loose.
N20 flow does not dec陀ase Defective pilot regulator Check pilot regulator. Replace if needed.
w忧h 02f1ow
Unit displays low O2 Low O2 supply switch Check switch. Calibrate or replace as appropriate.
P 陀ssu陀 with pipeline but
not with cylinders
Unable to begin mechanical ABS not fully engaged RemountABS.
ventilation No O2 supply Check O2 supply.
De仿ctive BagjVent swi也h Check BagjVent switch.
.&. WARNING Objects in the breathingsystem can stop gas flowto the patien t. This can
cause injury or death:
Do not use a test plug that is small enough to fall into the breathing
system.
Make sure thatthere are no test plugs or other objects caught in the
breathing system.
7.2.1 Breathing system This test checks for leaks in Vent Mode and Bag Mode components. It is part
leak test ofthe overall checkout procedure, Section 3.7 "B陀athing system tests .叮t is
陀peated here for testing convenience .
.& WARNING Objects in the breathingsystem can stop gas flowto the patien t. This can
cause injury or death:
• Do not use a test plugthat is small enough to fall into the breathing
system.
1. Verify that AGSS is operating. For systems that have a flow indicator on the
side, make sure that the flow indicator shows a flow in the g陀en (normal)
region .
2. Zero the pressure gauge (Section 6.6.1).
Check Valves 3. Make sure that the check valves on the breathing circuit module work
correctly:
a. Th e Inspiratory check valve rises during inspiration and falls atthe start
of expiration.
b. Th e Expiratory check valve rises during expiration and falls at the start
of inspiration.
g. Ifthe bellows falls more than 100 mνmin (ωP of indicator) , it has a
leak.
Service Mode Tests 5. Enter the Service Mode: Push and hold the adjustment knob on the
ventilator's display and set the system switch to On.
a. Select and confirm "Service Modes."
b. Followthe menu 处ructu 陀 outline belowto reach the adjustmentforthe
inspiratory flow valve. Select and confirm at each step.
• "Diagnostics Tests,斤。ols"
• "BreathingSystem LeakTest"
c. Followthe instructions on the screen.
d. The leak rate should be less than 200 mLjmin.
For machines with a single-tube O2 flowmeter, the pressure reading
should reach 30 cm H20 at minimum flows g陀aterthan 200 mLjmin.
Note: If test fails , see Section 7.2 , UBreathing System Leak Test Guide".
g. Set the O2 flow to minimum and make sure that the value on the
inspiratory pressure gauge does not decrease below 0 cm H20.
8. Remove your hand or the test plug from the patient connection.
9. Setthe System switch to Standby.
Lh. WARNING Ma ke sure that there are no test plugs or other objects ca ught in
the breathingsyst em .
Pass
BMO
9
aα 叫
"守。-yam-〈
·my Vent
Go to Flowchart 2 Mode Go to Flowchart 3
only
o-
伽m
OV 90ne
口uφl
RU
到
2MMM
MAU
Pass
Go to Flowchart 4
Flowchart 1
1009.Q356.000 07/04 7-7
S/5 Aespire
Perform Test 4
Testing the bag port ,
APL Valve, and BagNent Pass
Switch, and Negative
Pressure Relief Valve
Check or Replace
the BagNent Yes
Switch lower Seal
No
Perform Test 5
Testing the bag Pass
port cover se刽
Fail
Inspect
APUBTV Manifold O-Ring seal
and Negative Pressure Relief;
replace as necessary.
Flowchart 2
7-8 07/04 1009.0356'{)00
7 Troubleshooting
Perform Test 6
Pass Testing the bellows assembly,
and 8agNent Switch
ma
副C
tc
cm
刽咆
v w·
FUD
qqoqh
Perform Test 8 3r Ve
啊。
<hH
H ea
n
句
d
Testing the bellows and r-MH
i川·
y
bellows Pop-o何
飞ad
Fail
Pass
Perform Test 7
Testing the 8agNent Switch ,
Negative Relief Valve,
8ellows 8ase Manifold , Pass
bellows and Pop-off Valve
Fail
Perform Test 8
Pass I Testing the bellows and
bellows Pop-off
Check/ Replace:
Pop-off diaphragm ,
8ellows Housing ,
U-Cup seal,
and 8ellows integrity
Flo附阳 3
Perfonn Test 9
Testìng the Flow Sensor
Module, Circuìt Module, and
Soda Li me Canìster
Pe rform Test 10
Testing the Cìrcuit
Module and Canister
的守。h
Perform Test 14 and 15
Testing the Flow
Sensor骂,
"h
Bulkhead
咱吨
connectors and tubing
ad
Pass Fail
Pass Faìl
Flo附hart 4
7-10 07/04 1009-0356'{)00
7 Troubleshooting
Leak in
Flow Sensor Module
or Circuit Module
Check/ Replace
呻啡。
Flow Sensors or Check/ Replace the seals
-
on the Circuit Module and
R 国〈
bulkhead connector
O-Rings the O-Ring on the O2 cell
Flo附阳 5
7.2.3 Leak Isolat.ion Test.s The previous flowcharts refer you to the following tests.
These tests require the use ofthe Low Pressure Leak Test Device and the Leak
Test Tool Kit (refer to Section 8.1, "Serviceωols - Anesthesia machine".
The Leak Test Tool Kit includes:
• the Machine TestTool
• the Circui tTestTool
• and various Test Plugs
When performing these tests, ensure that the ACGO selector switch is set to
the ABS position.
Test 1 Veri切 ngthe integtityofthetesttools.................................... 7-13
Test 4 Testing the bag po此 cover, the APL valve, the BagjVent switch , and the negative
pressure reliefvalve .. . .. .. .. .. .. .. . . . . .. . . .. .. . .. .. .. .. .. .. .. . .. 7-16
Test5 TestingtheAPLdiaphram............................................. 7-17
Test 6 Testingthe b创 lows module and the BagjVentsw阳h ...................... 7-18
Test 7 Testingthe b创 lows, the bellows pop-o仔 valve, the bellows base manifold , and the
BagjVent switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7-19
Test 8 Testing the bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7-20
Test 9 Testing the flow sensor module, the circuit modu 怡, and the soda lime canister. 7-21
Test 10 Testing the circuit module and the canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7-22
Test 11 Testing the circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7-22
Test 12 Testing the inspiratory side ofthe circuit module . . . . . . . . . . . . . . . . . . . . . . . . .. 7-23
.& WARNING 0时ects in the breathingsystem can stop gas flowto the patient. This can
cause injury or death:
00 not use a test plug that is small enough to 旬 11 into the b陀athing
system.
Make sure thatthere are no test plugs or other objects caught in the
breathing system .
.& CAUTION 00 not use ~ Flush for leak isolation tests. 00 not leave pressurized
systems unattended. High pressure and equipmentdamage may resul t.
肉'USure Sense
Port '-
...
、
阳"瞻
BackVlew
r 寸E
2. Attach the low-pressure leak test device to the Machine TestTool.
3. Plug the two pressure orifices.
4. Repeatedly squeeze and release the hand bulb until it remains collapsed.
5. Ifthe bulb inflates in le臼 than 30 seconds, locate and correct the leak.
Test3 Testingtheai附ay pressure gauge , and PO此 1 and Port 3 u-cup seals
Test 4 Testing the bag po此 cover, the APL valve , the BagjVent switch, and
the negative pressure relief valve
1. Separate the Bellows Module from the Circuit Module and re-install the
B创 lows Module.
Note If required , set up the Machine Test Tool and breathing system as shown in
Test 4.
1. Slide the Bellows Module away from the machine.
2. Remove the APL ramp and diaphragm.
3. Inse同 a Test Plug into the APL scavenging po役, as shown above.
4. Slide the Bellows Module pa 削 ally back onto the machine casting.
5. Ensure that the Bag Port is plugged and that the BagjVent switch is set to
Bag.
6. Slowly increase the O2 f1 0w to achieve 30 cm H2 0.
• Leak rate is equal to the flow needed to maintain 30 cm H20.
• Th e leak rate should be le臼 than 200 mLjmin.
1. Separate the 8ellows Module from the Circuit Module and re-install the
8ellows Module.
2. Enterthe Service Mode: Push and hold the adjustment knob on the
ventilator's display and set the system switch to On.
a. Select and confirm "Service Modes."
b. Followthe menu structure outline belowto reach the adjustmentforthe
inspiratory f1 0w valve. Select and confirm at each step.
• "Diagnostics Tests.斤。ols"
• "BreathingSystem LeakTest"
3. Follow the instructions on the screen.
• Atstep 5, connect the Machine TestTool to the interface ports as shown
above , instead. Continue with steps 6 and 7 on the screen.
• Th e leak rate should be less than 200 mνmin.
GIII~
Test 7 Testing the bellows, the bellows pop-off valve, the bellows base
manifold , and the BagjVent switch
Note If required , set up the Machine Test Tool and breathing system as shown in
Test 7.
Test 9 Testing the flow sensor module, the circuit module , and the soda
lime canister
问ug
1. Separate the Bellows Module from the Circuit Module and re-install the
CircuitjFlow Sensor Module.
2. Connect short tubing between the inhalation and exhalation ports ofthe
breathing system.
3. Inse同 an appropriate test plug in the outlet port of the Circuit Module.
4. Enter the Service Mode: Push and hold the adjustment knob on the
ventilator's display and set the system switch to On.
a. Select and confirm "Service Modes."
b. Follow the menu structure outline belowto reach the adjustmentforthe
inspiratory f1 0w valve. Select and confirm at each step.
• "Diagno创臼 Tests斤。o l s"
Plug
Plug
Plug
阴ug
Loop ________.,-
6. Ifthe bulb inflates in 30 seconds or less, there is a leak in the flow sensor.
7. Ifthere a 陀 no leaks in the f1 0w sensors, go to Test 15.
In this section 8.1 Service tools - Anesthesia machine . ................ . ....................... .8-3
8. 1. 1 TestDevices ....................................................... .8-3
8. 1.2 TestTools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4
8.1.3 Secondary regulator pilot pr出
l sure tool ......... . ....................... .8-5
NotShown
Low-pressure Leak Test Device (negative pressure) 0309-1319-800
Low-p陀ssu陀 LeakTest Device (positive p陀ssu陀 -ISO) 1001-8976-000
Low-pressure Leak Test Device (positive pressure - BSI) 1001-8975-000
Flow test device capable of measuring 0 - 15υmin Referto section 3.8
with an accuracy of 士2% of reading
Vacuum test gauge capable of measuring 0 to 550 mm Hg Referto section 3.9
with an accuracy of 土 1 % of reading
Test device capable of measuring 0 - 30νmin (see Item 1 above) Referto section 3.9
Leakage current test device Referto section 3.11
Test device capable of measuring 689 kPa (100 psi) Refer to section 6.1
Low-p陀ssu陀 test device (digital manometer or test gauge) Referto section 6.6.2
with an accuracy of 土2% of reading
Test Devices
lb
/
^
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(2) (2)
3
4
2
8.1.3 Secondary Assemble the secondary 陀gulator pilot p陀ssure tool using a 4-mm tee and
regulator pilot pressure tubing as shown . 刊 is tool is used with N20 needle valve calibration.
tool
2 咱工三
11
\
、 10 (15, 13)
" Bm
Description Stock Number
12345678911111111
Caster, 125.mm with brake (front) 1006.3070-000
Caster, 125.mm no brake (陀ar) 1006-3071-000
Cove飞 cable channel 1009.3020.000
Uppershelf 1009-3022-000
Bolt, M6x40 0144-2131-911
Lockwasher, M6 internal 0144.1118-130
Gauge, airway pressure (includes mounting hardware) 1009.3034.000
Handle, side 1009-3033-000
Handle, Medirail 1009.3101.000
01234567
Screw, M6x12 Sems 0144-2436-106
Spacer 1009.3102.000
Screw. M6x70 0144-2131-923
Lockwasher M6 external 9213.0560.003
Screw, M6x20 0144-2131-921
Shim 1009.3131-000
Task Li ght PCB 1009.5504-000
Lens, Task Ught 1011-3308.000
Screw 0142-4254.106
18 Switch Assembly, task light 1009.5587-000
19 Plate, switch mounting retainer 1009.3143.000
Screw 0140.6226.107
····A···
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13
16
16
7 Th umbscrew 1406-3304-000
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1 1 2
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12 Ring,陀taining 1406-3319-000
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13 12 11
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1 Gas supply O2 1006-3201-000 1006-3207 -000 1006-3880-000
1 Gas supply N20 1006-3202-000 1006-3208-000 1006-3881-000
1 Gas supply Air 1006-3203-000 1006-3209-000
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