Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
bellavista 1000/1000e
V19.02
2
Service Manual
bellavista 1000/1000e
3
Table of contents
Procedure ..................................................... 66
1. Introduction ................................................... 6
Format Key ..................................................... 6 9. Verification .................................................. 70
Important Remarks ......................................... 6 Overview ....................................................... 70
Factory Repair ................................................ 7 Required Material ......................................... 70
Contact ........................................................... 7 Procedure ..................................................... 71
Conditioning, Cleaning and Disinfection ......... 7
10. Diagnosing and Repair ............................... 80
Generation Overview ...................................... 7
Trouble Shooting Checklist ........................... 80
2. Description of the Ventilator ........................ 8 User Level Passwords .................................. 81
bellavista outside (pictures G3/G4) ................. 8 LOG Files Download ..................................... 81
Working Principle Pneumatics ...................... 10 Trending Data Download .............................. 82
Working Principle Electronics ....................... 14 O2 Sensor Replacement ............................... 83
O2 Sensor Calibration ................................... 83
3. Maintenance Schedule ............................... 16
O2 Inlet Filter Replacement ........................... 84
4. Software Upgrade ....................................... 18 O2 Trouble Shooting ..................................... 85
Overview ....................................................... 18 O2 Gas Path Test .......................................... 87
Install iVista ................................................... 18 Filter Mats Replacement ............................... 88
Upgrade Procedure ...................................... 19 Sinter bronze filter(s) Replacement .............. 88
Background on Upgrades ............................. 22 Touch Screen Calibration (until G5 only) ...... 89
Upgrade Trouble Shooting ............................ 23 Inspiration block / valve test .......................... 89
5. Service Menu Overview .............................. 24 Blower Check Valve Test .............................. 90
Battery Check ............................................... 90
6. Shipment Test ............................................. 30
Battery Replacement – Plastics housing ...... 91
Overview ....................................................... 30
Battery Replacement – Metal housing .......... 92
Required Material ......................................... 30
Spare Parts ................................................... 30 11. Technical Alarms List ................................. 94
Procedure ..................................................... 31 12. FAQ ............................................................ 126
7. Annual Maintenance ................................... 38 13. FlowAnalyser and CITREX ....................... 130
Overview ....................................................... 38 O2 two-point Calibration using bellavista .... 130
Required Material ......................................... 39 Zero! Calibration ......................................... 133
Spare Parts ................................................... 39 General Operation ...................................... 133
Preparation, Software Upgrade and
14. Spare Parts ................................................ 134
Replacements ............................................... 40
Calibration ..................................................... 43 15. Appendix A ................................................ 136
Tests ............................................................. 56 bellavista maintenance confirmation form .. 136
Final Checks and Verification ....................... 62
16. Index .......................................................... 138
Documentation .............................................. 63
4
5
1. Introduction
Welcome to bellavista. This manual instructs you how to Important Remarks
service your bellavista ventilator. Some parts serve as
Danger Only manufacturer-authorized trained
checklist for maintenance tasks.
professionals may perform maintenance
According to the EU Directive, bellavista is classified as a
and repair.
Class IIb medical device.
Appropriate measuring equipment, test-
Preventive maintenance and calibration has to be per-
ing devices and tools must be available.
formed according to the corresponding schedule (p. 16)
Danger Before and after each service task, bel-
lavista must be cleaned and disinfected.
Format Key
Danger Do not open bellavista and do not per-
This format emphasizes additional information of particu- form any repair task unless instructed
lar importance. so by imtmedical staff.
Danger Do not perform any repair task without
the corresponding step-by-step instruc-
This format emphasizes important information and warn-
tion provided by imtmedical staff.
ings.
Danger Before each repair task, bellavista must
be turned off and unplugged from mains
This format marks text exactly as shown on the bel-
supply.
lavista screen, the biomedical testing device or com-
Danger Repair must be performed in a clean en-
puter software (e. g. information text, button text,
vironment and with protection against
screen name).
electrostatic discharge ESD.
Danger In the event an error message is ob-
Bold and underlined text is used to emphasize single
tained during self-test or during the ven-
words or sentences of a text passage with special atten-
tilator check, do not use bellavista on a
tion.
patient!
Danger bellavista must not be used on a patient
in service mode. After service level login
restart bellavista before connecting it to
a patient.
Caution Do not sterilise in liquids or in the auto-
clave.
6
Introduction
7
2. Description of the Ventilator
No Description
1 Alarm lights
Red: Alarm e. g. high pressure
Yellow: Warning e. g. apnea backup acti-
vated
Blue: Info, e. g. battery operation
11 Cover O2 sensor
12 Speaker right
bellavista side view right (G2, G3)
8
Description of the Ventilator
No Description
26 Speaker left
27 Handle
31 Cover for dual limb adapter connection (until G4) bellavista back view
9
Working Principle Pneumatics
bellavista is a turbine driven ventilator. This leads to sev- possible. This leads to a significantly higher life span of
eral advantages, highlighted in our Technology Notes. the blower and a higher ventilation performance.
Unlike other ventilators, the flow and pressure to the pa- The turbine (16) is cooled with patient air. There is a by-
tient is delivered by the inspiration proportional valve (25) pass cooling air flow exiting bellavista through a sinter
and not by ramping up and down the level of the internal bronze filter (19) on the bottom of the device at any time.
turbine (16). The turbine (16) is running at a constant This bypass air flow sufficiently cools the blower as long
level and only adjusted if necessary to achieve a higher as it is not blocked.
pressure level or to reduce the noise of the ventilator, if
10
Description of the Ventilator
11
the expiratory phase the device closes the internal mush- other pneumatic connections are designed inside the two
room valve (34). The pressure on the port can release pneumatic blocks and the blower unit (1).
thanks to the small (factory adjusted) bypass (37)
through a diffusor (38). Therefore the membrane of the G4 (differences versus G5/G6)
external expiration valve can move to an open position. There is no difference between G5 and G4 from the
The blue connector (30) is for the connection of a proxi- pneumatics point of view.
mal pressure measurement line (used with patient circuit
system C). The proximal pressure at the patient is meas- G3 (differences versus G4)
ured with the proximal pressure sensor (29). The hardware options “Integrated Pneumatic Nebulizer”
If an optional proximal flow sensor is used (with patient and “Auxiliary Pressure” are not available for G3 devices.
circuit system D and E), the two pressure lines have to Hence, there is no additional high pressure O2 supply
be connected to the blue (30) and the white (33) patient connection for the nebulizer valve (43) between the inspi-
circuit system connectors. The differential pressure be- ration block (2) and the life block (3). Further, the life
tween the two lines is then measured by the proximal block (3) of G3 devices is not equipped with the corre-
flow differential pressure sensor (32). With this differen- sponding needed auxiliary pressure sensor (45), nebu-
tial pressure the software is able to calculate the proxi- lizer valve (43) and connectors ((44) and (46)) used for
mal flow at the patient side. The software frequently com- these two features.
pares the measured proximal flow with the measured in-
ternal inspiration flow. If the difference between the two G2 (differences versus G3)
measured flows is too high, there is either a serious G2 devices are equipped with a different blower unit (1)
problem with the patient circuit system or the pressure type for pressure up to 60 mbar. This blower unit (1) has
measurement lines of the proximal flow sensor are two sinter bronze filters (19) for the bypass cooling air.
blocked (e. g. by water drops as a result of condensa-
tion). If the software detects a high difference between
the two measured flow rates, it tries to rinse the tubes of
the proximal flow sensor by applying a small (compen-
sated) flow for a short time to them using the two rinse
valves (28 and 31). If the difference between the two
measured flow rates is still too high after a few rinse cy-
cles, the device alarms accordingly. The green connector
(46) can be used for the connection of an auxiliary pres-
sure measurement line. The auxiliary pressure is meas-
ured by the auxiliary pressure sensor (45). The yellow
connector (44) is the nebulizer pressure outlet. The flow
(8 L/min) for the pneumatic nebulizer is controlled by the
nebulizer valve (43). The nebulizer valve (43) is supplied
by high pressure oxygen.
A relevant advantage of the bellavista pneumatic design
is the low amount of necessary internal connection
tubes. There is one fixed plug connection with an adapter
between the blower unit (1) and the inspiration block (2)
and as less as three connection tubes. One from the O2
supply connector (4) to the inspiration block (2) and two
from the inspiration block (2) to the life block (3). All the
12
Description of the Ventilator
13
Working Principle Electronics
The mainboard (50) is located across the whole device (51) and the CFB board (53). EPC stands for Embedded
just under the back cover and has several user interfaces Power PC and the EPC board (51) hosts the visualisa-
directly connected to it. Located at the right hand side of tion controller (52) which is responsible for the user inter-
the device, there are the status LEDs (55), the connec- face. CFB is an abbreviation for Cold Fire Board and the
tion assist push button (56), the Ethernet interface (57), CFB hosts the ventilation controller (54) which is respon-
the two USB interfaces (58 and 59), the nurse call con- sible for the ventilation control. These two tasks – user
nector (60) and the bellavista bus connector (61). Lo- interface control and ventilation control – are completely
cated at the left hand side of the device, there is the sec- separated on the two processors. This is important for
ond connection assist push button (63), the connector for safety reasons. The two controllers communicate with
the CO2 sensor (64) as well as the connector for the each other over an internal USB interface. There is a
SpO2 sensor or an external monitoring system (65). communication surveillance between the two controllers
There are two controller boards mounted on the bel- which is active at any time. If one of them stops com-
lavista main electronics (50): the so called EPC board municating, the other one will alarm. The visualisation
14
Description of the Ventilator
controller (52) can alarm by showing messages on the Further, the AC power supply unit (83) with the AC power
display (69) and playing alarm sounds through the loud- supply interface connector (84) are connected to the
speakers (72) and (73). The ventilation controller (54) powerboard (77) as well. The powerboard (77) is con-
can alarm by playing a hardware generated buzzer nected to the main electronics (50) by a flat ribbon cable.
sound (“beep”) through the loudspeakers (72) and (73)
as well as flashing the alarm LEDs on the LED boards G4 (differences versus G5/G6)
(67) and (68). The two LED boards (67) and (68) are di- The USB interface for the bellavista USB stick (62) was
rectly connected to the main electronics (50). The micro- in use until G4. There is no other difference between G5
phone (66) on the main electronics (50) is to check the and G4 from the electronics point of view.
acoustic alarming system of bellavista. The cooling fan
(71) for the EPC board (51) is directly connected to the G3 (differences versus G4)
main electronics (50). Further, the inspiration propor- The lifeboard (75) of G3 devices is not equipped with the
tional valve (25), the O2 proportional valve (10), the O2 auxiliary pressure sensor (45) and the connector for the
safety valve (8) and the blower unit (1) – containing the nebulizer valve (43).
turbine (16) and the blower temperature sensor (18) –
are directly electrically connected to the main electronics G2 (differences versus G4)
15
3. Maintenance Schedule
Time interval Activity, Material
Inlet Filter Blower and Inlet Filter Cooling Fan Replacement (p. 88)
Monthly Requirement: Mandatory
Performed by: User or hospital technician
Material: Inlet filter blower and inlet filter cooling fan
16
Maintenance Schedule
17
4. Software Upgrade
18
Software Upgrade
Upgrade Procedure
If a USB stick is used for software upgrading for the first Switch on the bellavista and wait until the start-up is
time, it has to be made “bellavista-ready”: completed
Start iVista (internet connection required) Connect the “bellavista-ready” USB stick with the
Select Update bellavista bellavista
The application Update bellavista is password pro- bellavista automatically stores LOG files and device ID
tected. Password is available upon request from imtmed- on the USB stick. A small grey bar pops up in the upper
ical technical support. left corner of the screen showing the download progress.
Connect the USB stick with your computer Wait until the grey bar disappears, then disconnect
Select the USB stick (if more than one is connected) the USB stick from the bellavista
Click Prepare USB Stick
Wait, until the message USB stick prepared ap-
pears, then click OK
Disconnect the USB stick from your computer
19
c) Download Upgrade onto USB Stick
Select the bellavista serial number you want to up- the serial number MB100123.
Screenshot iVista
20
Software Upgrade
Reconnect the prepared USB stick with the bel- Wait until the software upgrade is completed and the
lavista bootloader software asks you to restart the device
(see screenshot below)
bellavista again automatically stores the actual LOG files
and device ID on the USB stick. A small grey bar pops
up in the upper left corner of the screen showing the
download process. After the download is completed, a
message that indicates that a software upgrade has
been detected appears in the grey bar in the upper left
corner of the screen.
A new button Software Update appears in the section During the prolonged start-up period the new version is
User (see screenshot below) initialized and then ready for use. If the update includes
the operating system, the device will ask for system time
and touch screen calibration.
21
e) Feedback to iVista Background on Upgrades
Screenshot iVista
22
Software Upgrade
23
5. Service Menu Overview
Picture Description
24
Service Menu Overview
Picture Description
matics”
Allows the controlling of all valves for diagnosing
purpose.
25
Picture Description
26
Service Menu Overview
Picture Description
27
Picture Description
28
Service Menu Overview
Picture Description
29
6. Shipment Test
Scope: This checklist guides through tests which should be performed prior to shipping an already used bel-
lavista to a customer (e.g. demo unit, rental). Some of the tests are optional and serve as a recommen-
dation. The checklist serves as a protocol at the same time.
Validity: For all bellavista 1000/1000e G2, G3, G4 G5 and G6
Overview
The Shipment Test contains the following checks and calibrations:
Reset all previous user data
Visual check and filter replacement (if required)
O2 cell calibration
Verification
Check of:
Alarming
External sensors SpO2 and CO2
Battery
Touch screen
Completeness of delivery
Required Material
IMT Analytics AG 300.116.000 FlowAnalyser PF-300, 304.333.000 CITREX H3, 301.858.000 CITREX H4 or
304.555.000 CITREX H5 with the following accessories:
IMT Analytics AG 302.531.000 Protection filter
IMT Analytics AG 300.548.000 Adapter set
imtmedical ag 301.167.000 Breathing circuit C (single limb with pressure measurement line, with exp. valve as mini-
mum specification) or alternatively any patient circuit system D or E
IMT Analytics AG 300.756.000 EasyLung test lung (as minimum specification) or alternatively any SmartLung type
(e. g. IMT Analytics AG 300.162.000 SmartLung Adult)
Oxygen supply 4…7 bar
Connection hose from pressurized air or oxygen supply to corresponding installed O2 connector (e. g. DIST or NIST)
Spare Parts
Inlet filter blower and inlet filter cooling fan (which may or may not be needed)
imtmedical ag 304.413.000 O2 Cell (which may or may not be needed)
imtmedical ag 030.811.020 Battery (which may or may not be needed)
30
Shipment Test
Procedure
Optional step
31
Picture What to do / Protocol OK
Visual Inspection
Warranty seals and type plate undamaged OK
Power supply cable undamaged ................ OK
.............................................................................
.............................................................................
.............................................................................
.............................................................................
.............................................................................
.............................................................................
Check Filters
Inlet filter blower (p. 88):
Replace monthly ................ replaced Yes No
Dense layer inside ...................................... OK
32
Shipment Test
Software Configuration
Slide to page three of the bellavista Main
Menu and select About bellavista
Check, if the latest software version is in-
stalled
Slide to page two of the About bellavista
menu
Check if the needed software options (e. g.
for a product demonstration) are installed (in-
stalled options highlighted)
Update / upgrade the software if necessary
(see p. 18)
USB Check
bellavista USB stick present (for G2, G3 and G4
only)
33
Picture What to do / Protocol OK
Verification
Perform a verification (see p. 70).
34
Shipment Test
Check Completeness
General:
Power cable
Breathing Circuit(s):
A C D E
Bacteria filter
Spare filter set
EasyLung
User manual
Optional:
Pulse oximetry sensor
Capnography sensor
Capnography sensor airway adapter
Trolley
Trolley supply arm
Carrying bag
Dual limb adapter / integrated exhalation
valve
Other .............................................................
Other .............................................................
Other .............................................................
35
Picture What to do / Protocol OK
Summary
All steps performed successfully: Yes No
Technician: ............................................................
Signature: ..............................................................
36
Shipment Test
37
7. Annual Maintenance
Scope: This checklist guides through the annual maintenance procedure and serves as a protocol at the same
time.
Validity: For all bellavista 1000/1000e G2, G3, G4, G5 and G6
Overview
The Annual Maintenance contains the following actions:
Software upgrade
Filter replacement
Calibration of
Pressure zero and gain
O2 cell
Inspiration flow
O2 blender flow
Blower
Offset of inspiration, O2 and Mushroom valve
Nebulizer valve
Touch screen test and calibration if required
Audio and alarming test
Battery test and replacement if required
External sensors and interfaces test
Electrical safety test
Verification
38
Annual Maintenance
Required Material
IMT Analytics AG 300.116.000 FlowAnalyser PF-300, 304.333.000 CITREX H3, 301.858.000 CITREX H4 or
304.555.000 CITREX H5 with the following accessories:
IMT Analytics AG 302.531.000 Protection filter
IMT Analytics AG 300.548.000 Adapter set
Plug (protection cap) to block the flow channel output
Two short 22 mm tubes
imtmedical ag 301.167.000 Breathing circuit C (single limb with pressure measurement line, with exp. valve as mini-
mum specification) or alternatively any patient circuit system D or E
IMT Analytics AG 300.756.000 EasyLung test lung (as minimum specification) or alternatively any SmartLung type
(e. g. IMT Analytics AG 300.162.000 SmartLung Adult)
Oxygen supply 4…7 bar, flow up to 90 L/min
Optional: Pressurized air 4…7 bar, flow up to 90 L/min (pressurised air can be used instead of oxygen for the most
calibration steps)
Connection hose from pressurized air or oxygen supply to corresponding installed O2 connector (e. g. DIST or NIST)
Flat blade screwdriver size 5 or 6
USB 2.0 memory stick
Computer with Internet connection
Electrical safety test instrument
Clean and relatively noise-free room (some tests involve the audible clicking of valves)
For G4 and above bellavista with the option 301.180.015 Integrated Pneumatic Nebulizer:
imtmedical ag 302.321.000 Pneumatic Nebulizer Kit 22mm
Spare Parts
imtmedical ag 301.972.000 (plastics housing type) or 301.972.001 (metal housing type) Annual Maintenance Kit
imtmedical ag 304.413.000 O2 Cell (which may or may not be needed)
imtmedical ag 030.811.020 Battery (which may or may not be needed)
39
Preparation, Software Upgrade and Replacements
Document Preparation
Please print out this checklist (available as PDF
document from imtmedical ag technical support).
Alternatively, the bellavista maintenance confir-
mation form can be used (see 136).
Check Completeness
General:
Power cable
Breathing Circuit(s):
A C D E
Bacteria filter
Spare filter set
EasyLung
User manual
Optional:
Pulse oximetry sensor
Capnography sensor
Capnography sensor airway adapter
Trolley
Trolley supply arm
Carrying bag
Dual limb adapter / integrated exhalation
valve
Other .............................................................
Other .............................................................
Other .............................................................
40
Annual Maintenance
Visual Inspection
Warranty seals and type plate undamaged . OK
Power supply cable undamaged ................ OK
Next annual maintenance due: ............................
.............................................................................
.............................................................................
.............................................................................
.............................................................................
.............................................................................
.............................................................................
Software Upgrade
See p. 18 for details
Replacements
Replace inlet filter blower (see p. 88) ......... OK
Dense layer inside ....................................... OK
41
Picture What to do / Protocol OK
Prepare bellavista
Change to user level Service
(Password see p. 81)
Versions documentation
Go to service screen #1 Versions
UI-Software: .........................................................
XP-Embedded: ......................................................
42
Annual Maintenance
Calibration
IMPORTANT:
Make sure that the FlowAnalyser PF-300 /
CITREX and the bellavista are warmed up
(30 min in stand-by)
Check the last calibration date of your
FlowAnalyser / CITREX (annual calibration
necessary!)
Set FlowAnalyser PF-300 / CITREX to:
Gas type: Air / O2 Auto
Gas standard: AP21
Perform “Zero!” Calibration on Flow Analyser
PF-300 / CITREX (see p. 133)
Calibrate O2 sensor of the FlowAnalyser PF-
300 / CITREX (two-point-calibration, see
p. 130)
ALWAYS use a bacteria filter between bel-
lavista and the FlowAnalyser PF-300 / CIT-
REX to prevent contamination of the flow
measurement channel
43
Picture What to do / Protocol OK
Calibrations
Go to service screen #4 Calibrations
44
Annual Maintenance
45
Picture What to do / Protocol OK
46
Annual Maintenance
47
Picture What to do / Protocol OK
48
Annual Maintenance
O2 flow calibration
49
Picture What to do / Protocol OK
50
Annual Maintenance
51
Picture What to do / Protocol OK
52
Annual Maintenance
53
Picture What to do / Protocol OK
O2 concentration calibration
Important:
Ensure bellavista has been warmed up by
running for 30 min prior to this calibration.
Ensure your environment is well vented, as
even slightly increased O2 levels >21% of the
room air will lead to significant errors and
problems with this calibration.
54
Annual Maintenance
55
Tests
Valves Test
56
Annual Maintenance
Left Right
Red OK OK
Yellow OK OK
Blue OK OK
57
Picture What to do / Protocol OK
58
Annual Maintenance
Batteries Check
Battery A Battery B
59
Picture What to do / Protocol OK
USB Test
Use a USB stick to check the functionality of all
three USB ports:
Change to user level Advanced
Go to page two of the bellavista Main Menu
menu and select Data Assist
Go to page two Data Assist – Trend Export
Plug in the USB stick to all USB ports and
ensure that the USB stick is recognized by
the software (symbol with the name of the
USB stick appears in the section on the top
of the screen)
Left side upper USB port ............................. OK
Left side lower USB port ............................. OK
Right side USB port (until G4 only) ............. OK
Change to user level Service
Selftest
Go to service screen #13 Tests
Select Start selftest
Wait, until all Sub tasks are done
Check if all Sub tasks have been done suc-
cessfully
All sub tasks = ........................................ OK
60
Annual Maintenance
If available
61
Final Checks and Verification
Restart bellavista
Shut down bellavista
Restart bellavista
bellavista starts up without error messages
or alarms. .................................................... OK
Verification
Perform a verification (see p. 70).
62
Annual Maintenance
Documentation
Summary
All steps performed successfully: Yes No
Technician: ...........................................................
Signature: .............................................................
Feedback to imtmedical
Download the actual LOG files (see p. 81)
Send the LOG files and a copy of this Docu-
ment to:
technicalsupport@imtmedical.com
63
8. Electrical Safety Test
Scope: The electrical test ensures the electrical safety of bellavista with all accessories.
Validity: For all bellavista 1000/1000e G2, G3, G4, G5 and G6 including accessories
Warning Perform this test only if you are familiar with electrical testing.
Caution Do not test Protective Conductor Resistance on G2, G3 and G4 bellavista (plastics housing)! It is unnec-
essary (see p. 65).
Overview
This test ensures electrical safety. It consists of
Protective Conductor Resistance Test
Insulation Measurement
High Voltage Measurement
Leakage Current Measurement
Patient currents
Required Material
Use your electrical testing equipment
64
Electrical Safety Test
be connected to ground if they can come in con- Test re- Measurement of protective conductor resistance?
tact with dangerous voltage in a first fault condi- quirement:
Yes No
tion.
Inside bellavista, power lines are double-isolated
and internally fixed so that they cannot contact metal
parts in case of first fault conditions. Single fault Test performed with bellavista G2, G3 and
The touchable metal parts of bellavista are con- condition Safety Tester between G4 (plastics housing)
protective earth contact accessible conduc-
nected to earth for potential equalization only. This
of mains plug and ac- tive parts cannot be-
connections are not designed to withstand a 25A
cessible conductive come live in Single
current which is applied by a Protective Conductor parts which become Fault condition and
Resistance Test. bellavista could be damaged by live in Single fault con- are not connected to
such a test. dition. protective earth!
Nevertheless bellavista is not a class II device. Test current Test currents available CAUTION: Do not ap-
(Varying by Safety ply test current gen-
Tester): erated by Safety
200 mA Tester between Pro-
10 A tective earth contact
25 A of mains plug and ac-
cessible conductive
parts!
65
Procedure
Visual Inspection
Power cable insulation and connectors
undamaged .................................................. OK
Sensor cable insulation and connectors
undamaged .................................................. OK
All connectors visibly undamaged ............... OK
Measurement
Insulation Measurement
Measures the insolation resistance of the short-
circuited mains terminals (L and N) against Pro-
tective Ground using 500 VDC
Insulation Resistance RINS > 2.00 MOhm..... OK
66
Electrical Safety Test
G2, G3 and G4 (plastics housing): Push probe into the gap between
housing and USB connector housing to ensure good contacting.
Patient Currents
Patient Leakage Current AC
Normal Condition:
IPLAC-NC < 0.10 mA ........................................ OK
Wrap sensors with 20 x 10 cm aluminum foil and connect to bellavista. Single Fault Condition:
The wrapping simulates holding the sensor in a hand. IPLAC-SFC < 0.50 mA ....................................... OK
Patient Leakage Current DC
Normal Condition:
IPLDC-NC < 0.01 mA ........................................ OK
Single Fault Condition:
IPLDC-SFC < 0.05 mA ....................................... OK
Contact with probe for current measurements.
Patient Auxiliary Current AC
Normal Condition:
Connect sensors:
IPAAC-NC < 0.10 mA ........................................ OK
301.113.000 Diagnostic Package “Pulse Oximetry”
Single Fault Condition:
301.114.000 Diagnostic Package “Capnography”
IPAAC-SFC < 0.50 mA ....................................... OK
Patient Auxiliary Current DC
Normal Condition:
IPADC-NC < 0.01 mA ........................................ OK
Single Fault Condition:
IPADC-SFC < 0.05 mA ....................................... OK
Residual Current
IRC < 3.5 mA ................................................. OK
67
Picture What to do / Protocol OK
Summary
All steps performed successfully: Yes No
Technician: ............................................................
Signature: ..............................................................
68
Electrical Safety Test
69
9. Verification
Scope: This checklist guides through tests which should be performed to verify bellavistas calibration and gen-
eral functionality. Some of the tests are optional and serve as a recommendation. The checklist serves
as a protocol at the same time.
Validity: For all bellavista 1000/1000e G2, G3, G4, G5 and G6
Overview
The Verification contains the following checks:
Oxygen supply check
Ventilation test
Alarming system test
Battery check
Pressure sensors verification
O2 flow verification
Inspiration flow verification
Required Material
IMT Analytics AG 300.116.000 FlowAnalyser PF-300, 304.333.000 CITREX H3, 301.858.000 CITREX H4 or
304.555.000 CITREX H5 with the following accessories:
IMT Analytics AG 302.531.000 Protection filter
IMT Analytics AG 300.548.000 Adapter set
Plug (protection cap) to block the flow channel output
Two short 22 mm tubes
imtmedical ag 301.167.000 Breathing circuit C (single limb with pressure measurement line, with exp. valve as mini-
mum specification) or alternatively any patient circuit system D or E
IMT Analytics AG 300.756.000 EasyLung test lung (as minimum specification) or alternatively any SmartLung type
(e. g. IMT Analytics AG 300.162.000 SmartLung Adult)
Oxygen supply 4…7 bar, flow up to 90 L/min
70
Verification
Procedure
IMPORTANT:
Make sure that the FlowAnalyser PF-300 /
CITREX and the bellavista are warmed up
(30 min in stand-by)
Check the last calibration date of your
FlowAnalyser PF-300 / CITREX (annual cali-
bration necessary!)
Set FlowAnalyser PF-300 / CITREX to:
Gas type: Air / O2 Auto
Gas standard: AP21
Trigger: Adult
Perform “Zero!” Calibration on Flow Analyser
PF-300 / CITREX (see p. 133)
Calibrate O2 sensor of the FlowAnalyser PF-
300 / CITREX (two-point-calibration, see
p. 130)
ALWAYS use a bacteria filter between bel-
lavista and the FlowAnalyser PF-300 / CIT-
REX to prevent contamination of the flow
measurement channel
71
Picture What to do / Protocol OK
Parameter Expected OK
72
Verification
Stop ventilation
Connect a circuit system D or E to bellavista
Go to bellavista Start Screen and select the
connected circuit system type (invasive type)
Perform a Circuit Test
Circuit test successful .................................. OK
Connections according to picture (shown for
circuit system D)
Set ventilation settings: Mode V-A/C,
VtInsp 500 mL, PEEP 5 mbar, Rate 15 bpm,
TInsp 1.7 s, Plateau 0%, Flow Trig 4.0 L/min,
Pattern Dec50
Set the upper alarming limit for PPeak to
30 mbar (to avoid pressure limitation)
Start ventilation and wait 3 minutes
Check the reading of the following monitoring
parameters on your bellavista and FlowAna-
lyser PF-300 / CITREX:
Parameter Expected OK
TInsp 1.4…2.0 s
VTInsp 425…575 mL
VTExp 425…575 mL
73
Picture What to do / Protocol OK
Battery Check
Ensure that the battery is charged > 90%
Remove power supply cable
Mains supply failed message appears ........ OK
Visual feedback (LEDs) .............................. OK
Acoustic feedback ....................................... OK
Wait about one minute
Battery remaining time shows >4 h ............. OK
Re-insert power supply cable
Message disappears ................................... OK
Acoustic feedback ....................................... OK
Battery status shows it is charging .............. OK
74
Verification
75
Picture What to do / Protocol OK
76
Verification
Restart bellavista
Shut down bellavista
Restart bellavista
bellavista starts up without error messages
or alarms. ..................................................... OK
77
Picture What to do / Protocol OK
Summary
All steps performed successfully: Yes No
Technician: ............................................................
Signature: ..............................................................
78
Verification
79
10. Diagnosing and Repair
Step Action
1 Check the external periphery (e. g. patient circuit system, tubes, proximal flow sensor, exhalation valve, …)
Screenshot iVista
If there is an update available, perform a software upgrade by following the sections c), d) and e) of the
software upgrade procedure (starting at p. 20)
3 If the device is showing one or more alarm/warning messages (check alarm history as well):
Check the alarm list in the bellavista User Manual for reasons and remedies
Check the technical alarm list (see p. 94) for reasons and remedies
If the device is not showing an alarm/warning message:
Check the Diagnosing and Repair section (see p. 80) for reasons and remedies
Check the FAQ section (see p. 126) for reasons and remedies
Service password
Until G5: service!
G6 and above: bv!service
81
Trending Data Download
Bellavista creates trending data and real time trending
data (if software option Real Time Trending is installed)
which protocol the ventilation monitoring.
If you don’t have the iVista software installed on your
computer: Download and install it (see p. 18)
Follow the instructions in the sections a) and b) on
p. 19 to make a USB stick “bellavista-ready” and to
download the LOG files
Go to page two of the bellavista Main Menu and se-
lect Data Assist
bellavista screenshot
Wait until the message “The export has completed
successfully” appears, then press OK
Remove your USB stick from bellavista
82
Diagnosing and Repair
Open cover
Disconnect cable
from O2 sensor (use
a small flat blade
screwdriver size 0 or
1 to release the
snap)
bellavista screenshot
Unscrew O2 sensor
Go to page three of the bellavista Main Menu and
with O2 Sensor Tool
select Calibration Assist
301.909.000
Select O2 Sensor Calibration
Screw in new O2
Select Calibrate
sensor
Wait until the calibration is done
Connect cable
Check the calibration date and time
Close cover
O2 Sensor Tool 301.909.000 Check the calibration type
Calibrate O2 sensor
(see p. 83) If oxygen supply (4…7 bar, up to 90 L/min) is connected
to the device, bellavista will automatically perform a two-
point calibration at 21% and 100% FiO2 (2P indicates that
During the sensor change the two alarms “Oxygen sen-
a two-point calibration has been performed). If no oxygen
sor failed” and “Oxygen sensor requires calibration” will
supply is connected to the device, bellavista will perform
occur until you finished the whole procedure. You can si-
a one-point calibration at 21% (ambient air) only (1P indi-
lence the alarms by pressing on the message.
cates, that a one-point calibration has been performed).
If you connected oxygen supply but bellavista only per-
Dispose depleted O2 sensors in accordance with local formed a one-point calibration:
waste disposal regulations.
Check the oxygen supply (4…7 bar, up to 90 L/min)
Danger Do not exchange the O2 sensor dur- Check if the O2 supply concentration in the section
ing a running ventilation on a patient. O2 Functions of the Configuration Assist is set to
Danger Explosion hazard, corrosion hazard: 100% oxygen
Do not dispose of O2 sensors in fire. Allow bellavista to warm-up another 15min
Do not disassemble O2 sensors Try it again
forcefully. If it still doesn’t work with the two-point calibration, per-
form the blower check valve test (see p. 89)
83
O2 Inlet Filter Replacement
A replaceable metal
mesh filter is situated
behind the DISS or
NIST adapter to pro-
tect the O2 Inlet from
dust. However this is
just a safety filter
301.560.000
O2 Filter and Water Trap (DISS)
301.561.000
O2 Filter and Water Trap (NIST)
84
Diagnosing and Repair
O2 Trouble Shooting
Follow the instruction below and go on step-by-step, if
This section describes how to do trouble shooting in case
the problem is still pending after performing the previous
of O2 dosing issues. Use the below checklist if you en-
point.
counter alarms regarding the O2 dosing or supply (e. g.
1. Follow the steps 1, 2 and 3 of the general trouble
Alarm 151 – “O2 concentration low” or Alarm 224 – “Mis-
shooting checklist on p. 80.
match between delivered and measured FiO2”) or if you
2. Check, if an original imtmedical O2 sensor is applied
observe too low O2 dosing (mismatch between setting
and make sure that its housing is not damaged (e. g.
and measurement).
cracked).
General information about O2 dosing:
If not: use a new, original imtmedical O2 sensor.
The last 10% of O2 take 1…2 minutes for fine tuning.
See p. 83 for replacement details.
Did you wait long enough?
3. Calibrate the O2 sensor with oxygen supply con-
In some cases a high peak flow of the patient cannot
nected and the ventilation stopped (see p. 83).
be supplied with 100% O2 due to the limitations of
4. Connect bellavista to a different O2 supply source (if
the O2 supply. Instead of limiting the inspiratory flow
possible an oxygen cylinder) to eliminate the oxygen
(compromising the ventilation performance), bel-
supply as root cause. Alternatively, connect a differ-
lavista instead adds some turbine air. This results in
ent bellavista to the used oxygen supply and check,
a slight, mostly temporarily reduction of FiO2. This ef-
if you can observe the same problem.
fect can also be caused by a settings change (e. g.
5. If not already done in step b): use a new, original
of PInsp).
imtmedical O2 sensor.
Too low O2 dosing can have four different main root
See p. 83 for replacement details.
causes:
6. Collect information for imtmedical ag technical sup-
a) O2 supply (e. g. supply concentration significantly
port, if the problem is still pending:
lower than 100%, not enough flow to cover the peak
1. Take a picture of the O2 sensor
flow demand, pressure too low, …)
2. Disconnect all external tubing
b) Technical problem of the bellavista (e. g. internal
3. Restart bellavista
flow sensors defective, internal flow sensors not well
4. Connect a USB stick to bellavista
calibrated, defective valve, …)
5. Connect oxygen supply (4...7 bar)
c) O2 cell (e. g. depleted or nearly depleted sensor, not
6. Change to user level Service
well calibrated sensor, defective sensor)
7. Go to service screen #4 Calibrations
d) Patient demand (peak flow, peak pressure)
8. Perform a screenshot (press and hold the
Main Menu for three seconds, then select
Screenshot)
9. Scroll down until you see the last calibration step
named O2 concentration calibration
10. Perform the calibration (see p. 54)
11. Perform a screenshot
Continuation see next page…
85
12. Go to service screen #16 Function blocks and
slide to page two called Service controller
13. Select Flow Controller O2
14. Set Pressure to 10 mbar
15. Set Flow to 20 L/min
bellavista screenshot
16. Perform a screenshot
17. Slide to page 1 called Function blocks
18. Perform a screenshot
19. Slide to page 2 called Service controller
20. Switch off the controller by pressing Off
21. Go to service screen #13 Tests
22. Slide to page three called Insp Valve Test
23. Select Start Insp Valve Test
24. Wait until the test has finished
Remarks:
Test duration is approximately 15 minutes
Alarm 300 may be activated during the test
25. Connect oxygen supply (4...7 bar)
26. Slide to page four called O2 Valve Test
27. Select Start O2 Valve Test
28. Wait until the test has finished
29. Slide to page four called Flow Sensor Test
30. Select Start Flow Sensor Test
31. Wait until the test has finished
32. Restart bellavista
33. Download the LOG files of the device (see p. 81)
34. Send the photo and all screenshots (on the USB
stick), as well as the downloaded LOG files to
imtmedical ag technical support with the remark
“O2 trouble shooting results” for analysing
86
Diagnosing and Repair
bellavista screenshot
Perform a screenshot (press and hold the
Main Menu button for three seconds, then select
Screenshot)
Connect oxygen supply 4…7 bar
Perform a screenshot
Set O2 Saf. val. to “on”
Perform a screenshot
Wait for 30 seconds
Perform a screenshot
Set O2 Saf. val. to “off”
Perform a screenshot
Wait for 30 seconds
Perform a screenshot
Set O2 val. to “on”
Perform a screenshot
Restart bellavista
Download the LOG files of the device (see p. 81)
Send the LOG files to imtmedical ag technical sup-
port with the remark “O2 gas path test” for analyzing
87
Filter Mats Replacement Sinter bronze filter(s) Replacement
Remove the inlet filter cooling fan incl. cover at the
Inlet filter cooling fan
back side of the device (for protection)
Use only original filters. Lay the device on the back side to access the bot-
Open cover at the back tom of it as shown in the picture below
side of the ventilator
Place filter mat firmly
88
Diagnosing and Repair
If the touch screen is severely decalibrated: This test should be performed as trouble shooting, when-
Connect a USB mouse to bellavista (a mouse ever the machine is showing “Inspiration valve or device
pointer should appear on the screen and be control- leaky” alarms (such as alarm 315, 400 or 401)
lable by the USB mouse. If this is not the case, re-
start bellavista and try it again) 1. Disconnect all external tubing
Use the USB mouse pointer to perform steps 1, 2 2. Check if the O2 sensor is tightly applied and that its
and 3 of the instruction below housing is not damaged (e. g. cracked)
3. Restart bellavista
Change to user level Service (password see p. 81) 4. Change to user level Service
Go to service screen #7 Display / User Input 5. Go to service screen #16 Function blocks
6. Set Insp. Val to “off” (0 steps)
Always perform touch screen test before calibration and
7. Set Blower voltage to 30%
calibrate only if necessary (select Test touchscreen and
8. Set Blower to “on”
check if the cursor cross is following your finger)
9. Perform a screenshot Perform a screenshot (press
and hold the Main Menu button for three seconds,
Select Calibrate touchscreen
then select Screenshot)
Calibrate from a normal user position (bellavista on 10. Block the inspiration output connector with your hand
trolley height, person standing in front). If you calibrate
looking straight at the screen it may be inconvenient for
the user.
and hold the Main Menu button for three seconds, Check the Full charge capacity of both batteries:
then select Screenshot) Replace related battery if Full charge capacity
Connect oxygen supply 4…7 bar is ≤ 2150 mAh
Go to service screen #16 Function blocks Replace both batteries if the sum of Full charge
Slide to the second page called Service controller capacity of the two batteries is < 4300 mAh
Set Pressure to 10 mbar If a battery replacement is necessary, please see p.
Set Flow to 20 L/min 91 for details.
Select Flow Controller O2
bellavista screenshot
Perform a screenshot
Switch off the controller by pressing Off
Restart bellavista
Download the LOG files of the device (see p. 81)
Send the LOG files to imtmedical ag technical sup-
port with the remark “Blower check valve test” for an-
alyzing
90
Diagnosing and Repair
Remove the three screws of the battery cover using the back side of the device
an Allen key screw driver size 2.5 If you have to replace only one battery, please make
sure that you choose the right one. The battery connect-
ors are marked with the corresponding label (A and B).
91
Battery Replacement – Metal housing
Remove the three screws of the battery cover using
Danger Never attempt to disconnect or con-
an Allen key screw driver size 2.5
nect the battery during operation.
92
Diagnosing and Repair
Slide out the batteries to the middle to remove them Apply the battery holder part, then tighten the two fix-
ing screws
Exchange the battery Connect the two batteries and guide the cables as
Slide in the batteries from the middle to position shown in the pictures below
them
93
11. Technical Alarms List
No Message Reason, Remedy
200 Invalid calibration data - do not use device bellavista requires calibration (one or more calibration
steps have not been completed). Please perform a
complete annual maintenance on the device (see p.
38).
94
Technical Alarms List
224 Mismatch between delivered and measured FiO2 The O2 concentration delivered by the oxygen blender
is not the same measured by the O2 cell. This alarm
mostly occurs in combination with alarm No 151
(please check alarm history and see No 151 for details
too).
Possible reasons:
O2 sensor calibration required
O2 supply concentration is lower than 100% and
wrong O2 supply concentration configured
O2 sensor nearly depleted
O2 sensor defective
Internal flow measurement calibration required
Inspiration block defective
Remedies:
Calibrate O2 sensor (see p. 83)
In some hospitals, the concentration of the O2 sup-
ply is a little bit lower than 100%.
If this is the case, set the O2 supply concentra-
tion to Below 100% oxygen in order to widen the
alarm limits:
1. Go to page two of the bellavista Main Menu
and select Configuration Assist
2. Select O2 Functions
3. Set the O2 supply concentration to Below
100% oxygen
225 Oxygen sensor soon depleted Exchange (see p. 83) and calibrate O2 sensor (see
p. 83)
95
No Message Reason, Remedy
Possible reasons:
Inlet filter blower blocked
Inlet filter cooling fan blocked
Ambient temperature too high
Extreme ventilation settings (high pressure, low
flow)
Sinter bronze filter blocked
Remedies:
Replace inlet filter blower (see p. 88)
Replace inlet filter cooling fan (see p. 88)
Replace sinter bronze filter (see p. 88)
Move to cooler environment, if possible
Reduce O2 concentration, if possible
Reduce inspiratory pressure, if possible
Increase inspiratory time, if possible
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
96
Technical Alarms List
97
No Message Reason, Remedy
Background information:
Since the blower is cooled with patient air, the following
reasons lead to warming up:
high inspiratory pressure (blower needs to runs
high)
small minute volume
high FiO2 (thus most of the minute volume is O2
and not air through the blower)
There is a bypass cooling-flow exiting bellavista through
a sinter bronze filter at the bottom of the device. This
bypass flow sufficiently cools the blower in any of the
above circumstances. Two reasons however may lead
to over temperature:
the airflow through the bottom of bellavista is
somehow blocked (unit is placed on some soft sur-
face)
the sinter bronze filter at the bottom is blocked by
dust or mildew (mostly a consequential effect of a
blocked inlet filter blower)
the blower filter is blocked
98
Technical Alarms List
Possible reasons:
Sinter bronze filter blocked
Inlet filter blower blocked
Ambient temperature too high
Extreme ventilation settings
Inlet filter cooling fan blocked
Remedies:
Replace sinter bronze filter (see p. 88)
Replace inlet filter blower (see p. 88)
Replace inlet filter cooling fan (see p. 88)
Move to cooler environment, if possible
Reduce O2 concentration manually, if possible
Reduce inspiratory pressure, if possible
Increase inspiratory time, if possible
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
99
No Message Reason, Remedy
Possible reasons:
Sinter bronze filter blocked
Inlet filter blower blocked
Ambient temperature too high
Extreme ventilation settings
Inlet filter cooling fan blocked
Remedies:
Replace sinter bronze filter (see p. 88)
Replace inlet filter blower (see p. 88)
Replace inlet filter cooling fan (see p. 88)
Move to cooler environment, if possible
Reduce O2 concentration manually, if possible
Reduce inspiratory pressure, if possible
Increase inspiratory time, if possible
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
100
Technical Alarms List
270 O2 input pressure too high - No O2 dosing possible The O2 safety valve has switched off the O2 supply be-
cause the input pressure was measured too high.
Possible reasons:
Wrong O2 supply pressure range configured
O2 pressure > 7bar
Defective O2 supply pressure sensor
Remedies:
Check O2 supply pressure range configuration:
1. Go to page two of the bellavista Main Menu
and select Configuration Assist
2. Select O2 Functions
3. Check the setting O2 supply pressure
101
No Message Reason, Remedy
102
Technical Alarms List
103
No Message Reason, Remedy
278 Internal O2 Sensor Concentration High The internal O2 sensor on the main electronics (availa-
ble in G6 and higher) detected an O2 concentration
higher than 23.5% for more than 60 seconds.
Possible reasons:
O2 enriched air is getting to the machine through
the cooling fan (e. g. due to an external O2 leak
near the machine or an exhalation valve positioned
closed to the cooling fan while a ventilation with
high O2 setting is running on a test lung)
Internal O2 leak
The sensor on the main electronics is defective
Remedies:
Ensure that no Oxygen enriched air can get to the
machine through the cooling fan
If possible, take a screenshot of the service screen
#3 Sensors and send it to imtmedical ag technical
support
Perform the O2 gas path test (see p. 87) for trou-
ble shooting
300 Technical failure 300 - Device in failsafe A serious technical error has occurred. This technical
failure stops ventilation and puts all valves in a safe
status.
301 Technical failure 301 - Watchdog failure, firmware run- Restart bellavista.
ning If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support immediately.
104
Technical Alarms List
304 Technical failure 304 - Selftest timeout - Restart the Restart bellavista.
ventilator
This alarm may occur during the first start-up after a
software upgrade (due to the prolonged start-up proce-
dure caused by the necessity of a touch screen calibra-
tion).
305 Technical failure 305 - Communication to CFB discon- Communication between embedded PC and CFB (pro-
nected cessor which controls the ventilation) is temporarily in-
terrupted.
Usually communication will be resumed after a short
period of time are no negative effects on ventilation.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
306 Technical failure 306 - Sound system broken The microphone has not detected the alarm sound.
Possible reasons:
Both loudspeakers are defective
Defective microphone on the main electronics
Very rarely this can be due to noisy environment
(exhibition)
System volume has been set to 0% in the service
screen #8 Audio / Alarming and an alarm is
pending
Remedies:
Restart bellavista
Check the loudspeakers using the service screen
#8 Audio / Alarming
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
105
No Message Reason, Remedy
309 Technical failure 309 - Nurse call failed The software reads back the status of the nurse-call re-
lais. If this status is not correct, this alarm comes up.
This alarm has nothing to do with the alarming system
which may or may not be connected.
Check the nurse call relais using the service screen
#6 Output cfb Misc.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
106
Technical Alarms List
313 Technical failure 313 - Buzzer test failed During the selftest at the start-up the microphone has
not detected the buzzer sound.
Possible reasons:
An old software is installed (buzzer sound analys-
ing software algorithm has been improved)
Buzzer electronics defective
Defective microphone on the main electronics
Very rarely this can be due to noisy environment
(exhibition)
Remedies:
Update the software
Check the loudspeakers using the service scree
#8 Audio / Alarming
Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
107
No Message Reason, Remedy
314 Technical failure 314 - Loudspeaker test failed During the selftest at the start-up the microphone has
not detected the buzzer sound.
Possible reasons:
Defective loudspeaker
Defective microphone on the main electronics
Very rarely this can be due to noisy environment
(exhibition)
Remedies:
Check the loudspeakers using the service scree
#8 Audio / Alarming
Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
315 Technical failure 315 - Inspiration valve or device leaky Possible reasons:
No O2 sensor is applied
O2 sensor not properly inserted or leaking
An old software is installed (inspiration valve con-
trolling algorithm has been improved)
Defective inspiration valve or block
Remedies:
Check, if the O2 sensor is screwed in well and not
damaged (see p. 83)
Update the software
If it is a recurring error, please perform the inspiration
block / valve test (see p. 89) for trouble shooting.
108
Technical Alarms List
109
No Message Reason, Remedy
318 Technical failure 318 - Inspiration valve failsafe failed Restart bellavista.
or occlusion in inspiration tube
This alarm may occur after an inspiration block or
blower unit exchange. If this is the case, please pro-
ceed as follows:
1. Change to user level Service
2. Go to service screen #4 Calibrations
3. Perform the Zero pressure calibration (see p. 44)
4. Restart the device
320 Technical failure 320 - Battery faulty - no battery opera- The battery is possibly defective and needs replace-
tion possible - do not disconnect mains supply! ment (see p. 91).
Take a screenshot of the service screen #9 Batteries,
download the LOG files of the bellavista (see p. 81)
and contact imtmedical ag technical support.
110
Technical Alarms List
323 Technical failure 323 - Battery failure - no battery oper- Possible reasons:
ation possible - do not disconnect mains supply! The battery has been used until it was completely
flat (empty)
The battery is defective and needs replacement
(see p. 91)
Remedies:
Connect bellavista to mains power supply and let
the batteries charge for about 30 min. The alarm
should disappear as soon as the battery is
charged until a certain level.
If it is a recurring error, take a screenshot of the service
screen #9 Batteries, download the LOG files of the
bellavista (see p. 81) and contact imtmedical ag tech-
nical support.
324 Technical failure 324 - Battery faulty The battery is defective and needs replacement (see p.
91). If it is a recurring error, take a screenshot of the
service screen #9 Batteries, download the LOG files of
the bellavista (see p. 81) and contact imtmedical ag
technical support.
Note: when connected to mains power supply at all
times, bellavista may be used with only one battery.
325 Technical failure 325 - ePC fan does not rotate cor- Restart bellavista.
rectly If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
111
No Message Reason, Remedy
330 Technical Failure 330 - KEApi driver not initialized Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
112
Technical Alarms List
340 Technical failure 340 - 12V voltage too low Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
113
No Message Reason, Remedy
344 Technical failure 344 - 24V step motor voltage low Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
347 Technical failure 347 - 24V step motor voltage too low Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
349 Technical failure 349 - 24V step motor voltage high Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
This alarm may occur during the first two start-ups after
a software upgrade due to reorganization tasks of the
internal memory.
114
Technical Alarms List
380 Technical failure 380 - Internal O2 surveillance sensor Update the software to the latest version (see p. 18). If
defect this doesn’t help, please download the LOG files of the
bellavista (see p. 81) and contact imtmedical ag tech-
nical support immediately.
386 Technical failure 386 - Unknown alarm from CFB Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
387 Technical failure 387 - No O2 dosing possible An internal high pressure has been detected. Since
this can only come from the O2 supply both, O2 propor-
tional valve and O2 safety valve are now blocking the
O2 supply.
Remedies:
Perform the O2 gas path test (see p. 87) for trouble
shooting
115
No Message Reason, Remedy
388 Technical failure 388 - No O2 dosing possible An internal O2 overpressure has been detected:
PO2Regulated (which should be ≤2.5 bar) is higher
than 3.5bar.
Possible reasons:
Leaking of O2 pressure regulator
Remedies:
Perform the O2 gas path test (see p. 87) for trouble
shooting
390 Technical failure 390 - Malfunction of pulse oximeter Restart bellavista and check the external SpO2 sensor.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
391 Technical failure 391 - Malfunction of CO2 / gas sensor Restart bellavista and check the external CO2 sensor.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedical ag
technical support.
116
Technical Alarms List
396 Technical failure 396 - 11V Standby voltage low Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
397 Technical failure 397 - 11V Standby voltage high Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
400 Technical failure 400 - Inspiration valve or device leaky Possible reasons:
No O2 sensor is applied
No sinter bronze filter is applied
O2 sensor not properly inserted or leaking
An old software is installed (inspiration valve con-
trolling algorithm has been improved)
Defective inspiration valve or block
Remedies:
Check, if the O2 sensor is screwed in well and not
damaged (see p. 83)
Check, if the sinter bronze filter is inserted (see
p. 83)
Check, if the sinter bronze filter is screwed in well
and not damaged (see p. 83)
Update the software
If it is a recurring error, please perform the inspiration
block / valve test (see p. 89) for trouble shooting.
117
No Message Reason, Remedy
401 Technical failure 401 - Inspiration valve or device leaky Possible reasons:
No O2 sensor is applied
No sinter bronze filter is applied
O2 sensor not properly inserted or leaking
An old software is installed (inspiration valve con-
trolling algorithm has been improved)
Defective inspiration valve or block
Remedies:
Check, if the O2 sensor is screwed in well and not
damaged (see p. 83)
Check, if the sinter bronze filter is inserted (see
p. 83)
Check, if the sinter bronze filter is screwed in well
and not damaged (see p. 83)
Update the software
If it is a recurring error, please perform the inspiration
block / valve test (see p. 89) for trouble shooting.
118
Technical Alarms List
514 Technical failure 514 - Scaled periphery sensor value Restart bellavista.
out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
515 Technical failure 515 - Scaled ventilation sensor value Restart bellavista.
out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
517 Technical failure 517 - PWM module A out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
518 Technical failure 518 - MAX665 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
519 Technical failure 519 - LTC1760 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
520 Technical failure 520 - MCP230 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
521 Technical failure 521 - PCA9532 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
522 Technical failure 522 - Calibration data out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
119
No Message Reason, Remedy
540 Technical failure 540 - Scaled periphery sensor value Restart bellavista.
out of range - failsafe Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
542 Technical failure 542 - Scaled ventilation sensor value Restart bellavista.
out of range - failsafe Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
544 Technical failure 544 - ADC 2 value out of range - fail- Restart bellavista.
safe If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
545 Technical failure 545 - aStepInspValve value out range Restart bellavista.
- failsafe If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
120
Technical Alarms List
549 Technical failure 549 - ADC 2, rConcO2Scaled value Restart bellavista and exchange the O2 sensor (see p.
out of range 83).
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
121
No Message Reason, Remedy
569 Technical failure 569 - PWM, aPwmO2Valve value out Restart bellavista.
of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
570 Technical failure 570 - Scaled ventilation sensor value Restart bellavista.
out of range - failsafe Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
122
Technical Alarms List
571 Technical failure 571 - Scaled periphery sensor value Restart bellavista.
out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
572 Technical failure 572 - PWM module B out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
580 Technical failure 580 - Qspi interrupt catched runtime Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
581 Technical failure 581 - Qspi interrupt caught unknown Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
123
No Message Reason, Remedy
582 Technical failure 582 - I2C interrupt catched runtime Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
583 Technical failure 583 - I2C interrupt catched unknown Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
584 Technical failure 584 - Firmware heap out of memory Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedical ag technical support imme-
diately.
589 Technical failure 589 - Reference voltage ADC1 invalid Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
590 Technical failure 590 - Reference voltage ADC2 invalid Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
591 Technical failure 591 - Reference voltage ADC3 invalid Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
124
Technical Alarms List
592 Technical failure 592 - Reference voltage ADC4 invalid Restart bellavista.
If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
593 Technical failure 593 - Reference voltage QADC inva- Restart bellavista.
lid If it is a recurring error, take a screenshot of the service
screen #2 ADCs (in stand-by condition), download the
LOG files of the bellavista (see p. 81) and contact
imtmedical ag technical support.
997 Test alarm (high priority) Test alarm which can be activated in service screen
#8 Audio / Alarming
998 Test alarm (medium priority) Test alarm which can be activated in service screen
#8 Audio / Alarming
999 Test alarm (info priority) Test alarm which can be activated in service screen
#8 Audio / Alarming
125
12. FAQ
Why can there be a big difference between VtInsp and VtExp measurement?
If you have a big difference between VtInsp and VtExp measurement, please first check the accuracy specifications in the
bellavista user manual:
Example: Let’s assume that the real tidal volume (not the measured one) is 500 mL. With adult settings this can lead to
the following valuable ranges of the measured values of bellavista:
VtExp: 500 mL ±15% = 425…575 mL
VtInsp: 500 mL ±15% = 425…575 mL
The worst case valuable difference between the measurement of VtInsp and VtExp in this example can be 150 mL
(575 mL – 425 mL).
Of course it is very unlikely that one measured value is at the very upper tolerance edge while the other one is at the very
lower tolerance edge at the same time.
Anyway, a big difference between the measured values of VtInsp and VtExp can have the following reasons:
The proximal flow sensor has not been calibrated during the last circuit system test.
General remedy: Perform a circuit system test.
Remedy for neonatal applications: If the installed software version is V4.2.200.0 or lower, please update to
V4.2.300.0 as the neonatal proximal flow sensor calibration in negative (backwards) direction has been introduced
with this software version in order to improve the VtExp measurement. For the neonatal proximal flow sensor calibra-
tion in negative direction, a corresponding neonatal proximal flow sensor calibration adapter is required. This adapter
comes with every new neonatal proximal flow sensor. However, some older or early shipped neonatal proximal flow
sensors may not include this calibration adapter. Therefore, we offer 10 packs of them (see bellavista Product Cata-
logue for details or contact imtmedical customer supprt).
Remedy for G2 bellavistas: Perform a circuit system test after the device has been warmed up for at least 20 min. If
you perform the circuit test within the first 15 min after the start up, the proximal flow sensor will not be calibrated dur-
ing the circuit test because the temperature drifting effects of the sensors are too big at this moment.
The proximal flow measurement is affected by gas turbulences.
Remedy: If you are using a test lung, don’t connect the test lung directly to the proximal flow sensor because the gas
flow out of the test lung can cause turbulences in the proximal flow sensor which can affect the measurement of
VtExp. Use a tube between the proximal flow sensor and the test lung:
126
FAQ
What can I do if my touch screen isn’t working anymore (until G5 with resistive touch screen)?
1. Connect a USB mouse to bellavista (a mouse pointer should appear on the screen and be controllable by the USB
mouse. If this is not the case, restart bellavista and try it again)
2. Use your USB mouse to control bellavista
3. Change to user level Service (password see p. 81)
4. Go to service screen #7 Display / User Input
5. Select Test native colours (a red screen will be displayed)
6. Touch the screen with your finger. If the colour of the screen isn’t changing to green, the touch screen is defective
and needs to be replaced (please contact imtmedical ag technical support). If the colour of the screen is changing to
green, the touch screen is generally working but maybe severely decalibrated. If this is the case, please go on with
the next steps.
7. Touch the screen with your finger repeatedly until you see the service screen Display / User Input again
8. Use your USB mouse again to start the touch screen calibration (see p. 89)
Whenever the circuit system test fails, check the full external periphery (bacteria filter, circuit system, humidifier chamber,
proximal flow sensor, exhalation valve) as well as the integrated exhalation valve including its membrane (diaphragm).
Try it with a completely different periphery, if possible. If the circuit system abort message is “High Leak”, carefully check
if the O2 sensor is tightly screwed-in and not damaged (e. g. cracked). If all this doesn’t help, proceed as follows:
1. Disconnect all external tubing
2. Restart the machine
3. Change to user level Service (password see p. 81)
4. Go to service screen #2 ADCs
5. Take a screenshot
6. Download the log files
7. Send the log files together with the information that you have already tried it with different periphery to imtmedical ag
technical support
127
How can I force-quit / force-shut-down the machine?
For all bellavista models of hardware generation 5 (G5) and lower, just press and hold the power button for 10 seconds
For all bellavista models of hardware generation 6 (G6) and higher, perform the following sequence:
1. Push and release the power button
2. Wait for minimum 2 seconds and maximum 5 seconds
3. Press and hold the power button for 10 seconds
128
FAQ
129
13. FlowAnalyser and CITREX
CITREX H3 / H4
This is an instruction how to perform a two-point calibra- On your CITREX device: press the button to con-
tion of the CITREX H3 / H4 flow measurement device us- tinue
ing bellavista. Wait for two minutes (remaining time counts down)
On your bellavista device: set Pressure to 0 mbar
This procedure is valid for CITREX H3 / H4 firmware ver-
Select Flow Controller
sion 3.8.001 or higher. CITREX H3 / H4 firmware up-
On your CITREX device: press the button to con-
dates are available from imtmedical ag technical support.
tinue
Wait for two minutes (remaining time counts down)
Connect the two devices as shown in the picture be-
On your bellavista device: switch off the controller by
low
pressing Off
The oxygen sensor of your CITREX is now calibrated.
bellavista screenshot
Adjust Flow until you read 30 L/min on your CITREX
(value in brackets)
130
FlowAnalyser and CITREX
CITREX H5
bellavista screenshot
Adjust Flow until you read at least 30 L/min on your
CITREX (the tile «Flow» turns grey if the minimum
flow is reached)
On your CITREX device: select Start Calibration
Wait for two minutes (remaining time counts down)
On your bellavista device: set Pressure to 0 mbar
Select Flow Controller
On your CITREX device: press Continue
Wait for two minutes (remaining time counts down)
On your bellavista device: switch off the controller by
pressing Off
The oxygen sensor of your CITREX is now calibrated.
131
FlowAnalyser PF-300
bellavista screenshot
Adjust Flow until you read 25 L/min Current Flow
on your FlowAnalyser
On your FlowAnalyser device: select Continue
Wait for three minutes (remaining time counts down)
On your bellavista device: set Pressure to 0 mbar
132
FlowAnalyser and CITREX
CITREX 5
FlowAnalyser PF-300
133
14. Spare Parts
Please contact imtmedical ag technical support for a
complete spare parts list.
134
Spare Parts
135
15. Appendix A
This form can be used as documentation and confirmation of a performed bellavista annual maintenance.
Type
Serial number
Calibration valid
Type
Serial number
Calibration valid
I herewith confirm that the annual maintenance and verification on the above mentioned bellavista machine has been
performed successfully.
Name Date
Function Place
Company Signature
136
Appendix A
137
16. Index
AC supply 9 EasySend 7 Inlet filter cooling fan 9 Sinter bronze filter 9, 10, 12
Accessories type 65 Electrical test 64 Inspiration block 10, 12 Replacement 88
Alarm lights 8 Electronics Inspiration block / valve test Software upgrade 18
Alarms list 94 Backlight inverter 14, 15 89 Spare parts 134
Annual maintenance 38 CFB board 14 Inspiration proportional SpO2 sensor 8
Auxiliary pressure 9, 12 EPC board 14 valve 10, 11 Sterilising 7
Backlight inverter board 14, Lifeboard 14, 15 Internal turbine 10, 11 Test
15 Mainboard 14 iVista 18 Battery 90
Battery 9 Powerboard 14, 15 Life block 10, 12 External sensors 27
Check 90 Sensorboard 14, 15 Lifeboard 14, 15 Touch screen 89
Replacement 91, 92 EPC board 14 LOG file download 81 Touch screen 8
bellavista-ready 19 Factory defaults 29 Mainboard 14 Calibration 89
Block Schematics Factory repair 7 Maintenance confirmation Cleaning 7
Electronics 14 FAQ 126 form 136 Not working 127
Pneumatics 10 Filter Maintenance schedule 16 Test 89
Blower 10, 12 Inlet filter blower 9 Nebulizer port 9, 12 Trending data download 82
Blower check valve test 90 Inlet filter cooling fan 9 Nurse call 8 Trouble shooting
Buttons 8 O2 inlet filter 10, 11 O2 blender 10, 11 Blower check valve test
Calibration 43 Sinter bronze filter 9, 10, O2 concentration too low127 90
O2 sensor 83 12 O2 gas path test 87 Checklist 80
Touch screen 89 Sinter bronze filter O2 inlet filter 10, 11, 84 Inspiration block / valve
CFB board 14 replacement 88 O2 sensor 8, 10, 11 test 89
Circuit system test Filter mats replacement 88 Calibration 83 O2 85
Failing 127 FlowAnalyser 130 Replacement 83 O2 gas path 87
CITREX 130 O2 calibration 132 O2 supply 9, 10, 11 Upgrade
O2 calibration 130, 131 Zero! calibration 133 O2 trouble shooting 85 Background information
Zero! calibration 133 Force-quit 128 Passwords 81 22
Cleaning 7 Force-shut-down 128 Philips monitoring system 8 Download 20
CO2 sensor 8 Fuses 9 Powerboard 14, 15 Feedback 22
Conditioning 7 G1, G2, G3, G4, G5 7 Replacement Install 21
Configuration 29 Generation Battery 91, 92 Trouble shooting 23
Connection assist 8 1st Generation (G1) 7 Filter mats 88 USB 8
Connectors 8 2nd Generation (G2) 7 O2 inlet filter 84 USB stick
Contact 7 3rd Generation (G3) 7 O2 sensor 83 bellavista ready 19
Covers 8 4th Generation (G4) 7 Sinter bronze filters 88 Device information 19
DC supply 9 5th Generation (G5) 7 Selftest 28 Update data 20
Device class 6, 65 Generation overview 7 Sensorboard 14, 15 Update detection 19
Device configuration 29 HL7 8 Service menu overview 24 Verification 70
Device information file 19 Hotline 7 Setup 29 Version information 24
Device setup 29 Inlet filter blower 9 Shipment test 30
138
T +41 81 750 66 99 www.bellavista-ventilator.com
imtmedical ag Gewerbestrasse 8 9470 Buchs Switzerland
All ® and TM labelled brands and products are property of the company imtmedical and can not be used without written consent. Subject to changes.