GE Healthcare j Aisys | User's Reference Manual Software Revision 7.xDatox-Ohmeda, Inc., a General Electric Company, doing business as GE Healthcare. User Responsibility CAUTION This Product will perform in conformity with the description thereof Contained in this User's Reference manual and accompanying labels and/or inserts, when assembled, operated, maintained, and repaired in accordance with the Instructions provided. This Produet must be checked periodically. A defective Product should not be used. Parts that are broken, missing, plainly worn, distorted, or contaminated should be replaced immediately. Should repair or replacement become necessary, Datex-Ohmeda recommends that a telephonic or written request for service advice be made to the nearest Datex-Ohmeda Customer Service Center. This Product or any of its parts should not be repaired other than In accordance with written instructions provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel. The Product must not be altered without the prior written approval of Datex-Chmeda, Ths user ofthis Product shall have the sole responsibilty for any malfunction which results from improper use, faulty maintenance, improper repair, damage, or alteration by anyone other than Datex-Ohmeda. U.S. Federal law restricts this device to sale by or on the order of a licensed medical praclitioner. Outside the U.S.A., check local laws for any restriction that may apply. 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. The serial number can be in one of two formats. ARAXTITIt AAAXXT17T11AA [The X represents an alpha |The XX represents a number character indicating the year indicating the year the product the product was manufactured; |was manufactured; 04 = 2004, H = 2004, J = 2005, etc. land. |05 = 2008, ete. [0 are not used. Alsys, Carestation, Easy-Fil, Advanced Breathing System, ComWheol, D-fend, EZchange, Disposable Multi Absorber, Reusable Mult! Absorber, PSVPro, SmartVent, Aladin, and Aladin; are registered trademarks of Datex-Ohmeda, inc. Other brand names or product names used in this manual are trademarks or registered trademarks of thelr respective holders. VERBOVOVCAUABBABBKOOAOOOORO0U HBREEE DBE BBBRIVIBIBIBIBIDIDTable of Contents 1 Introduction Intended use sreieretie ets te eee reefcretirei te 12 Symbols used in the manual or on the equipment. .... ot Typeface conventions used Abbreviations . 2 System Controls and Menus System overview . ‘Advanced breathing system (abs) components 25 Optional ABS components 27 2.8 Non-circie circuit ACGO (optional) : 29 Scavenging the ACGO sample flow . 29 Scavenging from an auxiliary manual breathing circuit 2-10 -2-40 241 212 =-243 245 ee 2B eee 2-46 Scavenging a gas monitor sample flow . Aladin cassette controls Display controls . . Anesthesia system display Waveform fields . Digit field. Using menus .. 3 Operation Turing on the system ......06.ceeeeeeeeeeeeeeeeees Start case (start gas OW) «6... 6. eee eeeeeeeeeeeeeeee Using default settings .. Using customized settings - Minimum Alveolar Concentration (MAC) . End case ni79475 iAisys Ventilator setup... Using quick keys... Using Vent Setup menu .......... Changing ventilator modes and settings ............38 Gas setup ..... Using quick keys ..... Using Gas Setup menu. : Changing gas and settings 0... eee eeeeee eae 39 Changing circuit type . 340 Spirometry sees 344 Setting loop type 2... eee... 312 Scaling ... 3413 Spirometry setup lee ate 3-14 ‘Setting patient and sensor type a4 Selecting a data source ......... 3415 Setting spirometry split screen... eee eeeeeeee 345 Main Menu 3416 Trends 7 Cardiac bypass .. 3-18 Fresh gas usage . Screen configuration 3-19 -3-20 Select page ... .3-20 Soreen setup 321 Alarm setup... + 3-23 ‘Setting alarm limits 3-23 Volume apnea 7 cece B24 MTV alarms . 6... 2.2220. e cece cece ese 3-24 CO2 alarms . 3-24 Auto MV limit Altemats 02 control . EZchange canister (optional) = 3-25 7 + 3-26 aide tee tie eeiceeletataticte 3-27 -3-28 3-29 Condenser (optional) . Passive AGSS (optional) Min79475 nTable of Contents Active AGSS (optional) ....... Connecting active AGSS with a fiow indicator . Connecting active adjustable AGSS ............. 331 3-30 4 Preoperative Checkout Every day before your first patient . . Before every patient .. 5 Preoperative Tests Inspect the system ........ ‘Aladin cassette installation . Flow and pressure calibration . Circuit compliance compensation Checkout MENU... ..e ee seeeeeeeeeeeeeeeeseeeeeee Leak < 250 mi No .. Yes . Machine Check... 0.6.2. 00ecceeee ee ereeeeneeeeeees Machine check - system . Machine check - circuit . Machine check - circuit 2 . Machine check - monitor Individual checks . . ‘System . Cireui 7 Circuit 02 cell Low P leak Low P leak (machines with ACGO) . Agent delivery iin Positive low pressure leak test (ACGO systems only) ....5-11 wani79475 iilAisys 6 Airway Modules Airway modules . Connection to a patient . Parameters setup .. Data source . C02 setup 2 setup . Agent setup .. 26.66. eee eee eee Spirometry setup Automatic agent identification Calibration 7 Alarms and Troubleshooting 8 Setup and Connections PMT e at het la aati betta 7-2 Alarm priorities ....... 6c eee eveveeeeeeeeeeeeees 7-2 een TEA eRe fete etait 7-2 Display changes during alarms .. . De-escalating alarms . Battery indicator .... Internal failure... 6. e cess scan eee eeee eee eees List of alarms . Alarm ranges . Alarm tests Breathing system problems ...... oeiee eae TAT Electrical problems . Pneumatic problems Setup warnings Canister setup .. a When to change the absorbent ......... Removing a canister .. Removing an EZchange canister ....... Reusable Multi Absorber canister filling . . wart79475, Pee eee en eee cre eee FVAUDVAVVLDD ILD ViVa ty9 User Maintenance Mrt79475, Table of Contents Electrical connections... + 89 Mains inlet . -89 Outlets ... : : 189 Patient monitoring battery backup ......... 0.00205 89 Serial port... Pneumatic connections Pipeline inlets . Scavenging .........seeeee Sample gas return port. Pneumatic power outiet . Vacuum suction regulator (optional) ..... Venturi suction regulator (optional) .............. ‘Auxiliary 02 flowmeter (optional) How to install gas cylinders . Pin indexed cylinder yokes ....... DIN cylinder connections ...........eeeereeeeeee High-pressure leak test ......... How to attach equipment to the top of the machine . . . Repair policy . Maintenance summary and schedule . 9-2 Datex-Ohmeda approved service 0... ........9-3, Circuit 02 cell replacement Calibration menu . Flow and pressure calibration . Circuit O, cell calibration oo... . cece : 21% Op calibration . 100% O2 calibration . .. Airway gas calibration . Backlight test How to help prevent water buildup ............ 0.0000 97Alsys 10 Parts Flow sensor module ........... Breathing circuit module. Bellows. erecta Complete Advanced Breathing System Absorber canister.............. Exhalation valve assembly AGSS .. EZchange canister system Condenser . Test tools and system parts .......... : 11 Specifications and Theory of Operation ‘System pneumatic circuits Gas supplies O2 flow ... Air and N20 Mixed gas EZchange canister . Condenser . Pneumatic specifications Gas supplies ., ACGO Port relief... Non-circle circuit relief . Pneumatic power outlet Electrical block diagram . Electrical power . Power cord Battery information . . Flow specifications . . Breathing system specifications Gas scavenging : Physical specifications ..........20...00.0. . Mn479475 s aTable of Contents Airway module specifications . . 11-14 11-14 1-15 11-16 Gas specifications .. Typical performance . ‘Suction regulators (optional) . . Ventilator theory M17 2 monitoring theory of operation 11-18 Ventilation modes ; 14-18 Ventilation modes factory default settings ......... 11-26 Ventilation mode transition. . . -14-26 Ventilator operating specifications . 14-27 Pneumatics 214-27 Fresh gas compensation 14-27 Pressure ...... 1-27 Volume . 211-27 Oxygen . 11-27 Ventilator accuracy data 11-28 Electronically controlled vaporizer and Aladin cassette . .11-29 Aladin, cassettes 11-30 11-34 11-32 Aladin cassettes . Electromagnetic compatibility (EMC) .. Guidance and manufacturer's deciaration - electromagnetic emissions 11-32 Guidance and manufacturer's declaration - electromagnetic immunity ....- 11-33 11-35 Recommended separation distances . Electrical safely .. 11-36 IEC 60601-1 Classification - 14-87 Standards 14-37 System components. 11-38 Integral 11-38 Not integral... = 11-38 wani7e475 vilAisys 12 Super User Mode 13 Vaporizer cassettes Index Warranty vil Install/Service menu... Using super user mode ........ 02... cece ee eee 123 Menus ... Cumulative gas usage ... Volume apnea setup Setting time and date Trends setup ........ Setting colors and units, Parameter seitings .. ves fe PagelSetupie tne cca eae tetctt Configuring case defaults 00.0... eee ee eeu 12-12 Vaporizer oo... Aladin, cassette variants . Aladin cassette variants Installing cassettes... 6... eee cece eeeeeee eee 13-6 Cleaning Draining cassettes . Draining halothane cassettes . Filling Aladin, cassettes 0.2.00. .00..2 0 0c ce eee eee Filling with Easy-Fil system ... Filling with Quik-Fil system Filling with Sef-T-Fil bottle . Filling Aladin cassettes .......... Filling with keyed filer system Filling with Quik-Fil system Filling with Sef-T-Fil bottle . Mat70475 VOOWPVPVVOOOOOKWEa Ss . . 2 2 2 = = = = = = = = = PH DODBRIBIRIRIDNt179475: WARNING In this section 1 Introduction Read each component's User's Reference manual and understand the following before using this system: * All system connections. + Allwamings and cautions. + How to use each system component. * How to test each system component. Before using the system: * Complete all of the tests in the “Preoperative Tests” | section. | + Test all other system components. If a test fails, do not use the equipment. Have a Datex-Ohmeda trained service representative repair the i equipment. Intended use. Symbols used in the manual or on the equipment Typeface conventions used 6.00... .eeeeeeeeeeeeeeee Abbreviations . .Aisys Intended use 12 WARNING Aisys means Anesthesia Integrated System. The Aisys Carestation is scalable, flexible, and functionally Integrated, featuring the most advanced design, ventilation, respiratory monitoring, and breathing system. In addition, module bays allow for the physical integration of legacy Datex-Ohmeda patient monitors and supports mounting of other GE Healthcare monitors. Optionally, the open architecture design supports mounting ‘of non-Datex-Ohmeda pationt monitors, record keeping, and ‘connections to the hospital information system. The INview movable *Be7 pry de 2£Oo Direct current Alternating current ‘Caution Warning > Attention, refer to product instructions > Refer to product instructions Pinch hazard a te] Electrical input Electrical output Flectical inpuvoutput ‘Sample gas inlot to scavenging 3? 262 6 14 1179475; » eee ee Ec Et URC RRR etre reer S Seat ata ea eee eM ween ELPnoumatic iniot [a LAT SN Serial number [ Equpotentiat 4 (vatabiy B Suton Bote ott Maxum IMAX, eExnausT) | sus" Plus, positive polarity Bag position/manval ventilation Inspiratory flow Movement in one direction Lock Isolation transformer ey ED TN we 134°C Autocovbe ii Te way up = ¢MH20 “Lettings are approximate Mnir9475, REF 200 VACUUM = Vr (mL) 1 Introduction Pneumatic outlet ‘Stock number Lamp, lighting, tumination Variability in steps ‘Vacuum iniet Vacuum Bollows volumes are approximate ‘Minus, negative polarity Mechanical ventilation Expiratory flow Movernent in two directions: Unlock Low prossure leak test Not autoclavable 02 cell connection Anesthetic Gas Scavenging System EelAisys cette on anton Sn: Cobvormcteinase een ha a Battery in use. Bar indicates amount of battery power remaining, Read to center of float EZchange canister (CO2 bypass) CX No battery/battery failure oe i vege Open drain (remove liquid) Close drain f gan sim Cylinder Systems with this mark agree withthe Authorized representative inthe ce European Counc Drsctve 9a427 Lee] REP] Evropeon Community, ‘a EEC) for Mocical Devioos when they ‘98 used as specified in thelr User's Reference manuals. The 2000 is the Certification number of tha Notified Body used by Datex-Ohmede’s Quality Systems. Date of manufacture Indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal wasto ‘and must be collected separately. Please contact an authorized ‘representative of the manufacturer for information concerning the ‘decommissioning of equipment. ‘This product consists of devices that ‘may contain mercury, which must be ‘recycled or disposed of in accordance with local, stata, or country laws. (Within this system, the backlight GOST R Russian cortiication J Manufacturer ‘Caution: feceral law prohibits dispensing without prescription. POA ARAN ANAARADANANA AANA Aaa lamps in the monitor display contain = meroury. = i Enhanced tamperature sensing Agent level unknown fod 1-6 1179475 Cc ©1 Introduction Indicates amount of agent remaining. anesthesia machine, place the display oa) sop sntg sg. Be viene teeing 1 Imrekolngcoien sen Typeface conventions used Names of hard keys on the display and modules are written In bold typeface; for example, Normal Screen. ‘Menu items are written in bold italic typeface; for example, Vent Setup. Messages that are displayed on the screen are enclosed in single quotes; for example, ‘Check sample gas out.’ When referring to different sections and other documents, the names are written in Italic typeface and enclosed in double quotes; for ‘example, “System Controls and Manus.” Abbreviations Abbreviation Definition A AN Anesthetic agent ABS Advanced breathing system acco Auxliary Common Gas Outlet Aas Anesthesia Gas Scavenging System Ait o2 ‘Altemate 02 APL Adjustable pressuresimiting APN Apnea c cco Common Gas Outlet coz Carbon dioxide Compl Compliance E er Endidal concentration e102 End-tidal carbon dioxide E102 End-tdal oxygen Exp Expiratory F Fl Fraction of inspired gas Fico2 Fraction of inspired carbon dioxide Min79475, 17Aisys Abbreviation Definition FLET Difference between Inspiratory and expiratory concentrations Fi02 Fraction of inspired oxygen FV Flow-votume loop 1 le Inspiratory-expiratory ratio Insp Inspiratory Insp Pause —_Inspriatory pause time ™ MAC Minimum Alveolar Concentration Mv Minute volume Mvexp Expired minute volume Mvinsp Inspired minute volume N N20 Nitrous oxide ° 02 ‘Oxygen P Pair Air supply pressure Paux Auxiliary pressure Paw Airway pressure Pov Pressute controled ventilation Povve Pressure controlled ventlation - volume guaranteed PEEP Positive end expiratory pressure PEEPo Extrinsic positive end expiratory pressure Pexp Expiratory pressure Pe Prossure-fow loop Pinsp Inspiratory pressure limit High pressure limit Pmax Maximum pressure Pmean Mean pressure P02 ‘Oxygen supply pressure Ppsak Peak pressure Polat Plateau pressure Psupp ‘Suppor pressure Psv Pressure supported ventilation PSVPro Pressure supported ventilation with apnea backup Py Pressure-volume loop M1179475:nani70476 Abbreviation R Rate Raw RR s sinViPsv SIMV-PC 1 Introduction Definition Respiratory rate Airway resistance Respiratory rate ‘Synchronized intermittent mandatory ventilation with pressure supported ventilation ‘Synchronized intermittent mandatory ventilation - pressure controlled Tidal volume Expired tidal volume Inspired tidal volume Carbon dioxide production Volume controlled ventilation Volume 192 System Controls and Menus WARNING — Do not use antistatic or electrically-conductive breathing tubes or masks, They can cause bums if used near high- frequency surgical equipment. A\ Explosion Hazard. Do not use this system with flammable anesthetic agents. In this section system overview......... ie ‘Advanced breathing system (ABS) components . Display controls . , Anesthesia system display . Using menus. mti79475 otAisys System overview 4 1 = 2 > 3 : 7 : 5 - - 7 = 18 = 8 j > a : 4. Light switch 9. 02 flush button i 2. Dovetail 10. Advanced breathing system = 3. Aladin cassette and active bay 11. Awilory 02 fow control (optional) ~ 4. Alternate 02 control 12 Anesthesia display sak 5. System switch 13. Patient monitoring modules (optional) ~ 6. Mains indicator 14, Patient monitoring display (optional) pen 7. Integrated suction (optional) 16. Aiadin cassette storage bay oa 8. Brake = Figure 2-1 + Front view = 22 M1179475 is creepers2 System Controls and Menus tom, Figure 24 Dosoription| 4 [Alternate O2 control ‘Altemate 02 control activates automatically in the case of certein failures or errors. If can also be activated manually by pushing the Atemate 02 control burton if the display fails. Tum the knob counterclockwise to increase the flow. Tum the knob clockwise to decrease the flow. See “Altemato 02 contin th Operation section, Us | °O 5 _ [System switeh ‘Sot the switch to the On ()) position to pormit gas flow and to turn on the system. ol [Mains indicator Tha mal aor will come on when AC power is connactad. 7 _|Integrated suction “Turn the switch to MAX for ful vacuum. Turn the switch to Off (0) for no vacuum. Turn (eptional) the switch to On () for adjustable vacuum. When in adjustable vacuum, tur the knob clockwise to increase the vacuum and counterclockwise to decrease the vacuum. &_|Brake Push down fo lock Lif to release Ay ayy 9 |O2fush bution Push the 02 flush button to supply high flows of O2 to the breathing systam. < 71 [Auxiliary 2 flow ‘control (optional) "Tum the knob counterclockwise to increase the fow, Tum the Knob clockwise fo decroase the flow. wan179475, 23Aisys 0 a goa nag 1. Serial port 7. Mains inlet = 2 Collection bottle connection 8. System circuit breaker = 3, Cylinder wrench (key) storage 9. Equipotantial stud oe 4, Cylinder yoke 10. Outlet circuit breaker = 5. AGSS (Anesthesia Gas Scavenging System) 11. Isolated electrical outlet <= 6. Pipeline connections: Figure 2-2 + Rear view 24 Mit70475 c c ee2 System Controls and Menus Advanced breathing system (ABS) components 8 s y 1. Expiratory check valve 8. Breathing system release 2. Inspiratory check valve 9. Manual bag port 3. Inspiratory low sensor 410, Adjustable pressure-imiting (APL) valve 4. Expiratory flow sensor 41. BagiVent switch 5. Absorber canister 12, Bollows assembly 6. Absorber canister release 18. Airway module (optional) 7. Leak test plug Figure 2-3» Advanced breathing system Mant70475 25 eedAisys term, Figure 23 Description 3,4 Inspiratory flow sensor Flow sensors provide volume measurements for some monitoring Expirator ow sensor | functions and tidal voiume delve 3 [Absorber canister lease [Push to remove the canister. This caises the breathing syalam fo vent > the room (uniass the EZchange canister option is insaled). Be sure to hold the canister bythe handle before releasing the canister. 70 {Aajustable pressure‘iniing | Adjusts breating yetom pressure Init during manual vertlalon. The (GPL valve scala shows approxmate pressures, Above 30 cmH, the kab wl click 2s tums, 7 Selects between manual vnilaon (ag) or mechanical venation (ventilator). 26 uttrears AMON AANA ONAN NANNANAANANAANANDANAAABAAAAAG)Optional ABS components Bag support arm ‘Auxiliary Common Gas Outlet (ACGO) switch ACGO port EZchange canister module (CO2 bypass) Ezchange canistor release ‘Condenser drain button Condenser 2 System Controls and Menus Figure 2-4 » Breathing system options Rom, Figure 2-4 Description 1 Bag support arm ‘Squeeze the bution to raise or lower the arm. | > 2 [Auxiliary Common Gas Set switch fo ACGO poston for fresh gas to ow through the AGGO port The Outlot (ACGO) switch _| ACGO may be used to provide fresh gas to an auxiiary manus beating cut 5 [EZchange canister Push to drop the canister fo EZchange position. This eeais the breathing circu release parmiting continued venilation and rebreathing of exhated gases, Bo sure to hold the canister by the handle before releasing the canister. [6 Condenser drain button [Push to drain water out of the condenser. tatt7a47s 27Aisys 28 Non-circle circuit WARNING Frosh gas flow is diverted around the inspiratory check valve and out {through the inspiratory port when non-circle ventilation is selected. This fresh gas source may be used with circuits without CO2 absorbent capability (for example, Mapleson variants). Mechanical Ventilation is not available when using the non-circle circuit. Tidal volume monitoring is not available. 02 monitoring of fresh gas is available automatically when using the Non-circle circuit ifthe system has the airway module option or the O2 Cell monitoring option. Fresh gas oxygen concentration Is displayed on the screen, Set the alarm limits appropriately. Note that fresh gas oxygen concentration may not reflect FiO2 when using those types of circuits, Use an external O2 monitor when using @ rebreathing circuit with the non- cirele circuit. ‘Systems with both an airway module and an 02 cell wil display the circuit 02 value obtained from the airway module, Do not use an external ventilator when using the non-circle circuit, Do not use the non-circle circuit to drive extemal ventilators or for jet ventlation. The maximum pressure at the non-circle circuit can be up to 27 kPa (4 psi). Use a breathing circuit with pressure relief. 1179475 HHONONKHNNNDKKE HO’ & @ & « rag NH ganas2 System Controls and Menus ACGO (optional) Fresh gas flow is directed through the Auxiliary Common Gas Outlet (ACGO) on the front of the machine when the ACGO swit. ACGO position. Mechanical ventilation Is not available when operating an auxiliary manual breathing circut with fresh gas from the ‘ACGO. The Bag/ent switch, APL valve, and bag arm are not part of the external circult. Volume and pressure monitoring are not available, WARNING — The Bag/Vent switch and the APL valve do not control the ACGO or any breathing circuit connected to the AGCO. Do not use these controls when using a breathing circuit with fresh gas from the ACGO. Patient injury may occur. AX Volume and pressure monitoring are not available through the system when using the ACGO port. Monitor the patient using other methods. (02 monitoring of fresh gas Is available automatically when the ACGO Is selected if the system has the airway module option or the O2 cali monitoring option. A sample of the fresh ges is diverted to the O2 cell in the breathing system. The sample flow to the O2 cell is dependent ‘on the pressure in the external circult. The sample flow reduces the fresh gas flow rete to the auxiliary breathing circuit equal to the amount diverted to the 02 cell. Fresh gas oxygen concentration is displayed on the screen. Set the alarm limits appropriately. Note that fresh gas oxygen concentration ‘may not reflect FIO2 during spontaneous breathing or in rebreathing circuits. Use an external 02 monitor if using a rebreathing circuit on ACGO. ‘Systems with both an airway module and an 02 cell will display the circuit 02 value obtained from the airway module, Do not use an extemal ventlator on the ACGO. Do not use the ACGO to drive external ventilators or for jet ventilation. WARNING The maximum pressure at the ACGO can be up to 55 kPa (8 psi). Use a breathing circuit with pressure relief. Scavenging the A sample of the fresh gas Is diverted to the airway module or the O2 ACGO sample flow cell inthe breathing system to shaw the 02 numerics on the screen. This sample flow should be scavenged when an auxiliary manual breathing circu is used with N20 or volatile anesthetics. If scavenging is not connected, the sample flow is emptied into the room, To connect the scavenging: 1. Attach a circle breathing circuit to the inspiratory and expiratory ports. 2. Occlude the breathing circuit by connecting the Y-piece to the leak test plug located behind the expiratory port, 3. Check for clinically correct settings. wn73475, 29Aisys Scavenging from an auxiliary manual breathing circuit Scavenging a gas monitor sample flow 4, Chock the position of the Bag/Vent switch, + Ifthe Bag/Vent switch is set to mechanical ventilation mode, the bellows fils slowly with the sample flow. When the bellows is full, the sample flow goes to the AGSS. (Mechanical ventilation does not start when the ACGO switch is set to ACGO.) + Ifthe Bag/Vent switch is set to the bag mode, set the APL valve to MIN, and attach a bag, The bag fils siowly with tho sample flow. When the bag is full, the sample flow goes to the acss. ‘Scavenge the exhaust if an auxiliary manual breathing circult Is used with N20 or volatile anesthetics. An auxiliary inlet is available for active and passive AGSS units. It provides a female connection with 30 mm - 30 mm male connector (ora 30 mm -19 mm male connector) into the auxiliary port under the breathing system. Do not use these connectors as an outlet for exhaust flow. ‘The auxiliary inlet is a convenience inlet to the air brake of active AGSS units. There is a reservoir to capture exhaust flows highor than the extract flow. A soparate exhaust hose is needed from the auxiliary manual breathing circuit to the disposal point for all AGSS units. ‘Sample gas from a gas monitor can be scavenged using the sample gas return port or the AGSS. + To scavenge from a gas monitor using the sample gas return Port, connect the tubing from the monitor to the sample gas retum port. + To scavenge from a gas monitor using the AGSS, connect tubing ‘rom the monitor to the male luer inlet on the bottom of the AGSS underneath the breathing system. Mi179475, hi POONA OOO E , NOON HOHOHOODONO ONAN ADNAN OADM NN2 System Controls and Menus Aladin cassette The electronically controlled vaporizer consists of the internal controls electronic control unit and the Aladin agent cassette. See the "Vaporizer" section for more information. Handle with release trigger Look Liquid level indicator 1. Agent filing port Figure 2-5 + Aladin, cassette Mtt79475 244Aisys Display controls 4, Silence Alarms key 2. Menu keys 3. ComWheel 4, Normal Sersen key 5. Quick keys 6 Timer keys. 7. MVITV Alarms key 8 Alarm LEDs Figure 2-6 + Display controls Push to silence any active, silenceable high and medium priorty alarms or to suspend/acknowiedge any non-active medium or high priority alarms. Alarm is silenced for 120 seconds or alarm is suspended for 90 seconds. Push to show corresponding menu. Push to select a menu item or confirm a setting. Turn clockwise or counterclockwise to scroll menu items or change setiings, Push to remove ali menus from the screen Push to change corresponding gas setting or ventilator setting. Turn the ComWheel to make a change. Push the Comhee! fo activate the change. Push to start or stop the timer. Push to reset the timer back to z0ro, Push to tum off the MV and TV alarms. Push again to tum the MV and TV alarms on. ‘Tum on sold or flash to indicate alarm pric Mit79475 a) cHangnnngoonnnnHnnnngnnnnngggNANNngnNnggangangaaees2 System Controls and Menus 7 | C | Measured Urn 8 nee sa B00 % oa % 10 nq 0.0%: 0.0 | EO2 % “46 O° i 100 “100° j Ee Faw i WY Win Wesp at q 00 6.5%" 645 "cy a a 1. Split sorven area showing electronic gas flow indicators 2. Alarm sence symbol and countdown 3. Alarm message fields 4, Waveform feds 5. General message field or ner field 6. Clock 7. Batiory indleatorfeld 8. Measured values fick! 9. Pipeline and cylinder supply or respiratory data or digit field 10. Ventiator setings | 11. Ventilation mode | 12, Gas settings | Figure 2-7 + Normal view | uit79475 213 a eeAisys When a menu key is selected, the menu field overlays the gas flow indicators and the waveform fields start at the right edge of the menu. 2 PEEP RR ih 6 107 ax AS 0.0 00 wate 0.0 acc % Rood « 0.0: 0.0" 02 Foe ts = 100° Teak poe Amin 7 .00 | Off | 675 fe eee Figure 2-8 + Menu view 244 TA Tis Vow a 6.5%, 645% Mit7947s AB 7H 1 1 1 1 ! I I I l I I 1 I I 1 1 1 I 1 1 l 1 1 | | | I I I | | | | I I I I | | | | | J HONDHDONDANAONHNOANNAOODONNNNNAHDHANAAAAHAAAAAAARR,———————— EEE Waveform fields ni179475 Digit field 2 System Controls and Menus Up to three waveforms can be shown on the normal screen view. Each waveform can be set to show specific information such as Paw, ‘agent, flow, or CO2 data. The corresponding numaric information shows in the measured values field to the right of the waveform. If the waveform is set to show the agent and no airway module is inserted, that waveform and numeric areas are blank. When one waveform is turned off, that waveform and the corresponding numerics information are removed from the normal screen view. The remaining waveforms and numerics increase in size tofill he waveform area. When two waveforms are tumed off, those ‘waveforms and the corresponding numerics information are removed ‘rom the normal screen view. The remaining waveform increases in size and is centered in the waveform area. See “Screen configuration” in the "Operation" section for more information. “The digit field can be set to show specific information such as gas supply, flow, or agent. Ifthe digit field is set to show agent and no airway module is inserted, the area Is blank, Paw, 02, and elther TVexp or CO2 must show on the display during a case. If any of these parameters is not selected to show on the display, the digit field information is replaced with the missing parameter. See "Screen configuration” in the “Operation” section for more information.Aisys Using menus 216 Push a menu key to display the corresponding menu. Use the ComWhee! to navigate the menu. Menu title Current selection Adjustment window Submenu Instructions or help information Menu iterns Figure 2-9 + Menu example 1, Push the menu key to display the corresponding menu. 2. Tum the ComWhee! counterclockwise to highlight the next menu item. Tum the ComWhes! clockwise to highlight the previous menu item, 3. Push the ComWhee! to enter the adjust ment window or @ submenu, 4. Tur the ComWheel clockwise or counterclockwise to highlight the desired selection. 5. Push the ComWhee!l to confirm the selection. Select Normal Screen or push the Normal Screen key to exit the menu and return to the normal monitoring display. (Select Previous Menu to return to the last displayed menu, if avallable.) Mat79476 | HOON NNO OOOOH UNO re ae aac3 Operation WARNING — Ventilator alarms indicate potential hazard conditions. All alarms that occur should be investigated to help ensure adequate patient safety. A, Maintain sufficient fresh gas flow when using sevoflurane. 4. Desiccated (dehydrated) absorbent material may produce dangerous chemical reactions when exposed to inhalation anesthetics, Adequate precautions should be taken to ensure that absorbent does not dry out. Turn off all gases when finished using the system. In this section — Turning on the system .. Start case (start gas flow). End case. Ventilator setup Gas setup Spirometry . Spirometry setup. Main Menu ... Screen configuration. ‘Alarm setup. Alternate 02 control . EZchange canister (optional) Condenser (optional) Passive AGSS (optional) . Active AGSS (optional) Nv179476 atAisys Turning on the system 32 CAUTION Note 1. Plug the power cord into an electrical outlet. Make sure the system circuit breaker is on, + The mains indicator is it when AC power is connected. + Battery is charging if it is not already fully charged. 4. System switeh 2. Mains indicator Figure 3-1 + Mains indicator and system switch 2. Check that the breathing system is properly connected. Do not tum on the system with the right-hand (inspiratory) port plugged. 3. Tum the System switch to On, + The display shows the power-up screen. + The system does a series of automated self tests. Perform a Machine Check before the first case of the day. 5. Perform a preoperative checkout before each case, See the “Preoperative Checkout" section, ‘The system must perform a power-up self test after 12 hours of remaining on. If the system has been on fonger than 12 hours without power-up self test, the “Turn power Off and On for self tests’ alarm ‘occurs, Tum the power off and than back on between cases to resolve the alarm, i79475, | erry | i | | | | | | | | | ! | I I 1 1 J J I J I 1 1 J J J JHHNHNHONAAHANNNNAANNROOHO ee3 Operation Start case (start gas flow) wni79475 Note WARNING Access the Start Case menu by pushing the Start/End Case key or by selecting Start Case from the Checkout menu, Use the Start Case menu to set the case data and to start the gas flow. Start Case Default Settings Patient Weight ‘Set Vent By Weight Pationt Age Other Gas C02 Alerms Volume Apnea ‘Statt Caso Now ‘The Default Settings has five selections. The first four selections are case types. The fifth selection is Last Case, The case type in the first slot shows as the default when the Start Gase menu is opened. Case types are configured in the install/Service - Case Defaults menu, The Install/Service menu is only accessible by a Super Usor ora service person. See the “Super User Mode” section for more information on the Start Case menu defaults, ‘The values of Patient Weight, Patient Ago, Other Gas, and Volume Apnea are configured to the default casa type by the Super User. €O2 Alarms setting Is set to 'On’ when the Start Case menu is opened, Volume Apnea is not shown on the Start Case menu when the Volume Apnea Selection is set to Disable in the Install/Service menu. The Set Vent By Weight menu item is accessible when the ventilation mode is set to VCV or PCV-VG. Use this setting for breath rato and tidal volume celculations based on the set patient weight. ‘The Default Settings selection shows ‘Welght’ when Set Vent By Weights selected. Make sure that the patient breathing circult is correctly assembled and that the ventilator settings are clinically appropriate before starting ventilation. Incorrect breathing circuit assembly and incorrect ventilator settings can injure the patient. 33,Aisys 34 Using default settings Using customized settings 4, Sotthe Bag/Vent switch to Bag. 2, Push the Start/End Case key. + The case defaults are shown on the menu. + The Default Settings selection shows the preset case type. 3, Verify or change the settings on the Start Case menu. Solect Start Case Now. Gas flow starts. The case type, ventilator settings, ventilation mode, alarm settings, and gas settings can be changed before starting a case. Use the Vent Setup menu, Alarm Setup menu, or Gas Setup menu to change settings not shown on the Start Case menu before starting a case. Return to the Start Case menu from these menus to make additional adjustments or to start a case. 1. Set the Bag/Vent switch to Bag. 2. Push the Start/End Case key. 3. Verity or change the settings on the Start Case menu. + Select a case type or Last Case from the Default Settings. + Make adjustments to the other settings as appropriate for the case. + The Default Settings selection changes to show ‘Preset if any changes to the settings are made. 4, To change the alarm settings: + Push the Alarm Setup key. + Select Adjust Settings, + Change the settings + Select Back. + Make any other changas to the alarm setup. + Select Previous Menu to return to the Start Case menu to make additional adjustments, 5. To change ventilator settings: + Push the Vent Setup key. + Select Adjust Settings. + Change the settings + Select Exit to return to the Start Case menu. 6. To change the ventilation mode: + Push the Vent Setup key. + Select the desired mode. + Select Confirm or adjust the settings and select Confirm to ratum to the Start Case menu, wav170475, K mMANAANAAANAANAANANAANAANAAAANAAANANAAANAAAAAAAAASMinimum Alveolar Concentration (MAC) wi7ea76 3 Operation 7. To change the gas settings: + Push the Gas Setup key. + Select Adjust Settings. + Change the settings. + Select Exit to return to the Start Case menu, 8. To change the balance gas: + Push the Gas Setup key. + Select the balance gas to use with 02. + Select Exit or adjust the settings and select Exit to retum to the Start Case menu. 8. To change the circuit type + Push the Gas Setup key. + Select the circuit type. + Select Confirm or adjust the settings and select Confirm to retum to the Start Case menu 10. From the Start Case menu, select Start Case Now. Gas flow starts. ‘The adjusted Minimum Alveolar Concentration (MAC) is calculated based on the patient age entered in the Start Case menu. The default patient age of selected case type Is used if no patient age is entered, ‘The MAC value [s caloulated from the exhaled gas concentration and the related affects based on the age ofthe patient. Typically, younger patients have better liver function and can clear a drug faster, resulting in a higher MAC value. The MAC calculation used is based ‘on the Eger formula, When two agents are detected, the MAC values of each agent are added together. The MAC value range is 0.0 to 9.9, ‘The adjusted MAC value shows on several areas of the screen including in the mini-trend, agent waveform numetic information, gases dist field, and graphical trends page. MAC data shows as, dashes if there is not an airway module installed in the module bay. 35Aisys 1 | End case a Use the End Case menu to stop gas flow and end the patient alarms. al “1 | End Case el Ed Caso Now Sey | Noma Soren aH ca eee mt a 7 a Set the Bag/Vent switch to Bag. vd Push the Start/End Case key. 71 Select End Case Now to put the ‘system in standby (stops gas - I flow and patient alarms), a I vd wd - 4 ~t ~ ~ 4 ~4 “oH i ~ 4 ~ oe ~ 4 ~ ot ok “5 ~o ~ | ~o ~o ~- I 36 nets70475 5 5Ventilator setup WARNING A Important. Using quick keys a79475: 3 Operation Access the Vent Setup menu by pushing the Vent Setup key. The system has up to six modes of mechanical ventilation: * Volume Conttol Ventiation (VCV). + Pressure Control Ventilation (PCV) (optional), + Synchronized Intermittent Mandatory Ventilation/Pressure Support (SIMV/PSV) (optional). * Pressure Support Ventiation (PSVPro) (optional). + Synchronized Intermittent Mandatory Ventiation-Pressure Control (SIMV-PC) (optional). * Pressure Control Ventilation-Volume Guaranteed (PCV-VG) (optional). Vent Setup Adjust Settings Mode: vev Pov SIMVIPSV PsvPro sIMV-PC POv-ve Spirometry Normal Screen Most anesthetic agents will cause patients to have reduced ventilatory responses to caroon dioxide and to hypoxemia. Therefore, triggered modes of ventilation may not produce adequate ventilation, The use of neuromusoular blocking agents will reduce the patient's breathing response, which will interfere with triggering. Refer to the “Specifications and Theory of Operation” section for ‘more Information on ventilation modes. ‘The main ventilator settings for each mode can easily be changed using the ventilator quick keys. 1. Push a ventilator quick key to selact the corresponding ventilator setting, 2. Tum the ComWheel to make @ change. 3. Push the ComWhee! to activate (confirm) the change. 37Aisys Using Vent Setup menu Changing ventilator modes and settings 38 Push the Vent Setup key. + Adjust Settings is selected by default + An arrow to the right of the mode indicates the current mode. Push the Com\heel to enter the adjustment window for the selected mode. Use the ComWhes! to navigate the adjustment window and to change a velue, Push the ComWheal to activate the change. Push the Normal Screen key or select Exit. Push the Vent Setup key. ‘Select the mode and push the ComWhoel to enter the adjustment window. Use the ComWhee! to navigate the adjustment window and to change a value. Select Confirm to activate the mode. ManiT9475, LONNAAHOANANAOHNANH ANE AON OOOH AaaGas setup Using quick keys Using Gas Setup menu Changing gas and mni7947s: settings 3 Operation ‘Access the Gas Setup menu by pushing the Gas Setup key. Use the Gas Setup ment to adjust the 02% and total flow, to change the balance gas, and to change the circuit type. Gas Setup Adjust Settings ce N20 Arr Circuit: Circle Non-Cirele Norma! Screen ‘The 02% and total flow can easily be changed using the gas quick keys. 1, Push a gas quick key to select the corresponding gas setting. 2. ‘Tum the ComWhee! to make a change. 3. Push the ComWhee! to activate (confirm) the change, 1, Push the Gas Setup key. + An arrow to the right of the balance gas i currently being used with 02. + Adjust Settings is selected by default. 2. Push the ComWheel to enter the adjustment window. Use the ComWheel to navigate the adjustment window and change a value, Push the ComWheel to activate the change. 5. Push the Normal Screen key or select Exit, cates the gas Push the Gas Setup key. 2. Select the balance gas to use with 02 and push the ComWheel to enter the adjustment window. 3. Use the ComWheel to navigate the adjustment window and change a value. Push the ComWheel fo activate the change. 5. Push the Normal Screen key or select ExitAisys Changing circuit type 1. Push the Gas Setup key. i + Adjust Settings is selected by default. 7 * Anarrow to the right of the circuit type indicates the circuit tt currently in use. 2. Use the ComWhes! to select Circle or Non-Cirele and enter the adjustment window. 3. Confirm or change and confirm the settings. Push the Normal Screen key or select Exit. 310 Mit79475 HOKCEKHONKAOOKHRA Ne ieee3 Operation Spirometry ‘There are three types of spirometry loops: Pressure-Volume (P-V), Flow-Volume (F-V) and Pressure-Flow (P-F). View, save, and erase spirometry loops and set the loop scaling in the Spirometry menu. Access the Spirometry menu by pushing the Spirometry key. Use the Spirometry menu to: * View a specific loop type; select Loop Type and set the loop type. + Adjust the loop scaling; select Scaling and set the scale type. * Access the Splrometry Setup menu; select Spiro ‘Setup. * Store a loop to memory; select Save Loop. Up to six cops can be saved. * View a saved loop; select Reference Loop and the time at which the loop was saved. * Erase a saved loop; select Erase Loop and the time at which the loop was saved, Splrometry Loop Type Pv Sealing Spiro Sotup Save Loop Reference Leop None Erase Loop None Previous Menu 79479 anAisys 312 Setting loop type Note ‘The spirometry loops show in the spirometry window end can be set to show alongside the waveforms as the split screen, Volume axis Pressure axis Real-time loop Reference loop (appears on display in white) Figure 3-2 + Example of a P-V loop To set the loop type: 1. Push the Spirometry key, 2. Select Loop Type and sot the loop type. + Set to P-F for Paw-Fiow, + Set to F-V for Flow-Volume, + Set to P-V for Paw-Volume, ‘The loop type can also be set in the Spirometry Setup menu, Push the Main Menu key, and select Parameters Setup - Spiromotry Setup - Loop Type. Mtn70475 Ooanen QUBE BEEBE Reese ene gana3 Operation Scaling The scales shown in the spirometry loop graph are set in the Scaling menu. The available settings for the volume, Paw, and flow graph ‘axes are dependent on the set patient type of adult or pediatric. The AUTO selection automatically adjusts the volume, Paw, and flow ‘axes of the loop graph based on the minimum and maximum breath reading shown in the waveform, ‘The Linked selection links the adjustment of the volume, Paw, and fiow axes of the loop graph together. Change one of the scales and the remaining two scales automatically change based on the one set scale. ‘The Indep selection allows the axes of the loop graph to be changed separately for the volume, Paw, and flow axes. Sealing Scaling AUTO Vol Scale Paw Scale Flow Scale Previous Menu. 4, Push the Spirometry key. Select Scaling, 3, Sat the scale type to AUTO, Linked, or Indep. + IFAUTOis selected, tho scales are automatically set. i + If Linkedis selected, set one of the scales volume, Paw, or flow. The other two scales adjust based on the set scale. + If Indep is selected, set the volume scale, set the Paw scale, and set the flow scale, 1179475 3413,Aisys Spirometry setup Note Setting patient and a4 sensor type Push the Spirometry key and select Spiro Setup to access the Spirometry Setup menu. Use the Spirometry Setup menu to: + Sot the patient and sensor type, + Select a data source. + Set the loop type. + Change the volume shown on the spirometry split screen to MVexp of TVexp. + Set split-screen view. + Access the Paw and MVexp elarm limits. ‘The Spirometry Setup menu is also accessible through Main Menu - Parameters Setup - Spirometry Setup, Spirometry Setup Patient and Sensor Type Adult Data Source Vent Loop Type P-V Tory TV Split Seren None Paw Alarm MVexp Alerm Previous Menu Patient and sensor type refer to the style of airway adapter used with the airway module. If spirometry data is obtained from the airway module, ensure that the sensor type matches the airway adapter used. Ifthe sensor type is not set correctly, the Information displayed may ot be accurate, 4. Push the Spirometry key. 2. Select Spiro Setup - Patient and Sensor Type. 3. Select Adult or Pedi depending on the sensor used. + Adult refers to the Delite sensor. + Pedi refers to the Pedi-ite sensor. ni79475 \ Vaeoneal PR er ore ee re eo Ce Cee eee eC ee cree ee er eee eo ea Vag LO OOQanaag leigi gi era gyeee nner nee ee 3 Operation Selecting a data Several monitoring parameters can be obtained from the ventilator or source the airway module. ‘When setting the airway module as the data source, make sure that a Date or Pedl-ite sensor Is properly connected on the airway module, Ifthe sensor is not properly connected, but the airway module is, installed, the waveform shows no flow. The gas monitor samples and displays room air, If information is not available through the airway module, information comes from the internal ventilator sensors. Ifthe intemal ventilator sensor readings disagree with the airway module sensor readings, the associated alarm occurs, Information that i retrieved from the alrway module is identified with the module data indicator, See the “Airway Modules” section for more information. Figure 3-3 Airway module data indicator Push the Spirometry key. Select Spiro Sotup - Data Source, Select Patient or Vent as the primary source for information, + If Pationtis selected, the airway module will be the first source for information, + If Ventis selected, the internal sensors of the ventilator will be the first source for information. 4. Push the Normal Screen key or select Previous Menu. Setting spirometry spirometry loops can be viewed alongside tho waveforms on the Split screen normal screen. To set up the spirometry spit screen: 1, Push the Spirometry key. 2, Select Spiro Setup. Select Split Screen - Spiro. Push the Normal Screen key. nani79475: 345Aisys 7 Main Menu o Menus and settings available through the Main Menu include ~ Trends, System Status, Cardiac Bypass, Fresh Gas Usage, en Screen Setup, Parameters Setup, and Calibration. 7 System Status shows the status of gas supplies, electrical supplies, a and software settings. hea See “Soren configuration” for information on the Sereen Setup ow menu item. 2 ‘See “Parameters sotup"In the “Airway Modules" section for more o information on the Parameters Setup menu item, “ ‘See the “User Maintenance” section for more information on i calibrations. a Main Menu a Trends fer Systom Status =. Cardiac Bypass Off J Fresh Gas Usage oe Screen Setup Parameters Setup Calibration Normal Scroen o “ o © 316 wsare4rs ‘eke eee eee ee3 Operation Trends There are three views for patient trends: measured (numerical), settings, and graphical. Trend information is saved every 1 minute for the most recent 24 hours. Trends Cursor Next Page View Measured Settings Grephical Time Scale Previous Menu 4, Push the Trends key. 2, Select the desired view. + An arrow indicates the current trend view, ‘Select Cursor to scroll through the current trend view. Push the ComWheel to retum the highlight to Cursor. Select Next Page to view additional parameters. Push the Normal Screen key or select Previous Menu. pane masi79475, 347Aisys a8 Cardiac bypass Manual ventilation cardiac bypass WARNING VCV cardiac bypass (optional) WARNING ‘There are two types of cardiac bypass. Manual ventilation cardiac bypass Is standard. VCV cardiac bypass is optional. Manuel ventilation cardiac bypass suspends alarms for patients on cardiac bypass when the ventilator is not mechanically ventilating. The volume, apnea, low agent, CO2, and respiratory rate alarms are suspended. The alarms are enabled when cardiac bypass is tumad off or mechanical ventilation is started, Manual ventilation cardiac bypass and VCV cardiac bypass modes should only be used when the patient is receiving extra-corporeal oxygenation by means of a heart-lung machine. These modes of ventilation are not intended to provide metabolic levels of ventilation to the patient. 1. Set the Bag/Vent switch to Bag, 2. Push the Main Menu key. 3. Set Cardiac Bypass to On. + The general message ‘Cardiac Bypass’ shows in the waveforms and in the general message field when manual ventilation cardiac bypass is active, ‘Systems with VCV cardiac bypass enabled can mechanically ventilate while in VCV mode, The VCV mode is the only ventilation mode available while using VCV cardiac bypass, The volume, apnea, low agent, CO2, low Paw, and respiratory rate alarms are suspended, ‘The alarms are enabled when VCV cardiac bypass is tumed off or mechanical ventilation is stopped. Manual ventilation cardiac bypass and VCV cardiac bypass modes should only be used when the patient is receiving extra-corporeal oxygenation by means of a heart-lung machine. These modes of ventilation are not intended to provide metabolic levels of ventilation to the patient. 1. Start mechanical ventilation in VCV mode, 2, Push the Main Menu key. 3. Sot Cardiac Bypass to On. + The PEEPis set to 5 cmH20. + TV settings of less than 170 mi prior to starting cardiac bypass remain at the set TV. + TV settings of more than 170 m! prior to starting cardiac bypass change to 170 ml + PEEP and TV settings can be changed after entering cardiac bypass mode. 4, The general message ‘VCV Cardiac Bypass’ shows in the waveforms and in the general message field when VCV cardiac bypass is active. mat79475 AP Tangy ‘ fe gNnnnnnannean noonnannnnng nag | | | | | | | I | | 1 I | | | I 1 1 I I 1 1 1 1 I I i I 4 iwni79475 Fresh gas usage 3 Operation Use the Fresh Gas Usage selection to view the volume of 02, Air, N20, and agents used for the three most recent cases. Data only ‘shows for gases available on the system. Agent data shows the three. most recently used agents. 1. Push the Main Menu key. 2. Select Fresh Gas Usage. 3. Select the patient case to view. 4. Push the Normal Screen key or select Previous Menu. 319Aisys Screen configuration Each case type selected on the Start Case menu has a corresponding screen configuration for the normal screen. Four additional normal screen views are available through the Select Page menu. The case type screen configurations and the normal screen views are set by the Super User in the Install/Service menu, ‘Areas of the normal screen can be customized to show specific Information. Use the Screen Setup menu to customize the normal screen view. Select page Use the Select Page menu to quickly change of return the normal soreen view to a case type view. Select Page Page: Default Screen PAW TUBES Loors BIG WAVE \ LOCAL Normal Screen 1. From the normal screen with no menus showing, push the ‘ComWhee!. + An arrow to the right of the menu item indicates the page view that is in use, + Acorresponding message shows in the general message area. + Ifno arrow shows on the Select Page menu, a customized normal screen view is in use. 2. Select a view or select Normal Screen to leave the selections unchanged. 3-20 Mat794753 Operation Screen setup — Waveform, digit feld, fresh gas control styl, split screen, sweep ‘speed, and brightness are adjusted in the Screen Setup menu, Changes made to all settings (except Brightness) ‘during a case are not saved when the case is ended. The set Brightness remains until itis changed again or until the system power is turned off. ‘Screen Setup Waveform Field 1 Paw Waveform Field 2 Flow Waveform Fieid3 CO2 DigitFeld AA. Fresh Gas Controls 02% ‘Split Sereen None ‘Sweep Speed Fast Brightness 4 Install Service Previous Menu Waveform fields The waveforms can be set to show agent, CO2, flow, Paw, or can be set to off. Waveforms cannot be set to the same value (excapt for off). Hwaveform Is set to the same value as another waveform, the previously set waveform changes to off and is removed from the normal screen 1. Push the Main Menu key. 2. Solect Screen Sotup. 3. Select the waveform field and make the change. 4, Push the Normal Screen key or select Previous Menu, Digit field The digit fold can be set to show gas supply, flow, or agent. 1. Push the Main Menu key. 2. Select Screen Setup - Digit Field. 3. Select the Supply, Flow, or AA. + IfAA\is selected, an airway module must be inserted or the digit field will be blank. 4. Push the Normal Screen key or select Previous Menu, i179475; 3-24Aisys Setting gas controls and screen configuration Split screen ‘Sweep speed 3-22 ‘There are two ways to configure gas controls: 02% with total flow or Individual gas flow. The Super User can set the gas control for the facility. Or the Super User can set the gas control to allow the user to select the setting, Selecting 02% shows 02% as the first quick key and total flow limin as the second quick key. This gas control configuration adjusts the balance automatically when either the 02% or the total flow Is changed. Selecting Flow shows balance gas l/min as the one quick key and 02 Uimin as the other quick key. This gas control/screen configuration allows individual control of the gasses. 4, Push the Main Menu key. 2. Select Screen Setup - Fresh Gas Controls. 3, Select the desired view. 4, Push the Normal Screen key or selact Previous Menu. Gas and agent delivery, trends, spirometry loops, or a Paw gauge can be shown as a spilt screen alongside the waveforms on the normal screen. To change the normal screen to show a split screen: 4. Push the Main Menu key. 2. Select Screen Setup - Split Screen, 3. Select the desired view. 4. Push the Normal Screen key or select Previous Menu. ‘The waveform draw rata can be set to fast (6.25 mms) or slow (0.625 mmis). When the sweep speed is changed, the waveforms are redrawn at the new rate. 4. Push the Main Menu key. 2, Select Screen Setup - Sweep Speed. 3. Set the speed. 4. Push the Normal Seré n key or select Previous Menu. nwi79475 h oO HOKAGE NANO NANDOOOGD LANNE NANMNAMONMNINAAAY € yaqnagg |3 Operation Alarm setup Alerm limits, alarm volume, and other alarm settings are adjusted in the Alarm Setup menu. Alarm history is also accessed through this menu, Selecting Default Limits loads the default settings as set by the Super User or the factory defaults if no Super User settings have been entered. Setting Leak Audio to Offsilences audio alarms for small leaks. Leak Audio is automatically set to On and cannot be changed when either the Low MV alarm limits are off or the MV/TV Alarms is set to Off, ‘The apnea time delay is the amount of time that can pass without the system detecting a measured breath before the apnea alarm occurs. ‘The apnea time delay range is 10 to 30 seconds. Set the Apnea Time in 1 second increments, ‘Alarm Setup Adjust Sottings Volume Apnea of MVITV Alarms On Leak Audio On C02 Narms On Auto MY Limit of Deteut Limits Alarm Volume 3 [Apnea Time 30 Alarm History Previous Menu Setting alarm Ii 4. Push the Alarms Setup key. 2, Select Adjust Settings. 3. Scroll to the desired alarm. 4, Select alarm limit and set the limit. 5. Push the Normal Screen key or select Back. mit79475 3:23Aisys 3:24 Volume apnea Note MV/TV alarms CO2 alarms Volume Apnea is not shown on the Alarm Setup menu when the Volume Apnea Selection is set to Disable in the Install/Service menu. Set Volume Apnea to Off to disable the volume apnea alarm during ‘manual ventiiation. ‘Volume Apnea Off shows in the general ‘message field, The volume apnea alarm remains disabied untl the Bag/Vent switch Is set fo ventilator or Volume Apnea is set to On. 1. Push the Alarm Setup key. 2, Select Volume Apnea and set to On or Off. 8. Push the Normal Screen key or select Previous Menu. When Volume Apnea is set to Off during manual ventlation and then ‘mechanical ventilation is started, the volume apnea alarms are active, Volume Apnea - Off requires confirmation through a pop-up window when manual ventilation is resumed, ‘The MV and TV alarms can be turned off. When the volume alarms are disabled, ‘MV/TV Alarms Off appears in the goneral message field, The volume alarm limits waveform numerics show as dashes during a case, Ifthe MV and TV alarms are set to Off during manual ventilation, the alarms remain off until the Bag/Vent switch is set to ventilator or the MV/TV Alarms is set to On. ‘The MV and TV elarms retain the last value set during mechanical ventilation. If MV/TV Alarms is set to On during mechanical ventilation, it remains on when manual ventilation starts. If MV/TV Alarms is sot to Off during mechanical ventilation it remains off when manual ventilation starts, 1. Push the Alarm Setup key. 2. Select MV/TV Alarms and set to On or OFF. 3. Push the Normal Screen key or select Previous Menu. CO? information is obtained from the airway module installed in the anesthesia system module bay, The CO2 elarms setting has no affect if there is no airway module in the anesthesia system. Set CO2 Alarms to Off during manual ventilation to disable the CO2 ‘Apnea’ alarm, ‘EtCO2 low,’ 'E{CO2 high,’ and 'FiCO2 high. Absorbent OK?’ alarms. The ‘CO2 Alarms Off message shows in the general message field. The CO2 alarm limit waveform numerics show ‘as dashes during a case. !f CO2 Alarms is sot to Off, the alarms remain disabled until the Bag/ Vent switci is set to ventilator, the case is ended, or the CO2 Alarms is set to On. 1. Push the Alarm Setup key. 2. Select CO2 Alarms and set to On or Off. 3. Push the Normal Screen key or select Previous Menu. mani79475: c | | | | | | | | | | | | | I 1 1 1 I I ! ! 1 1 ! 1 1 1 1 I 1 1 1 I i 1 i I i 1 i i aanaaannna3 Operation Auto MV limit — Mv alarm limits can be calculated automatically for mechanical ventilation when in VCV or PCV-VG modes and volume compensation is enabled. Set Auto MV Limit to On for automatic caloulations of the MV alarm limits. The MV alarm limits continue to be automatically calculated until Auto MV Limitis sot to Off oF until an MV alarm limit is manually adjusted during mechanical ventilation, If the automatic calculation of the low or high minute volume alarm limit exceeds the allowable limit, the minimum or maximum alarm is used. 4. Push the Alarm Sotup key. 2. Select Auto MV Limit and set to On. 3. Push the Normal Screen key or select Previous Menu. mani79475, 3:25Aisys Alternate 02 control 3-26 WARNING WARNING The Alternate 02 control is not an auxiliary source of O2. Alternate 02 control delivers agent and 02 through an independent pneumatic peth to the selacted patient circult and is connected to the system 02 supply. Altemate O2 control activates automatically in the case of certain failures or errors. It can also be activated manually. When Alternate 2 control is enabled, flow from the electronic mixer is stopped and the agent concentration is set to off. 02 is flowing through the Alternate 02 control to ‘the breathing system. To activate anesthetic agent flow to the breathing system, set the agent to the desired concentration. Agent delivery cannot be activated in the case of certain electronic mixer or agent delivery failures. The Agent quick key will be blank if agent delivery is unavailable. The Alternate O2 control is available approximately 20 seconds after the system is turned on. The Alternate 02 flow is adjustable to approximatley 0.5 Vin to 10 Umin as indicated on the fiow tube. 4. Push the Alternate 02 ON/OFF button, 2. The O2 flow is indicated on the flow tube. 3. Use the flow control to adjust the 02 flow. 4, Set the agent to the desired concentration. 5. . To end Alte mate 02 control, push the Altemate 02 ONIOFF button. ©— O+;—: 4. ONIOFF button 2. Flow tube 3. Flow control Figure 3-4 + Altemate 02 contro! 9179475; at 7) ANNONA ANAAANHADANDNHADANANHANNNDNNHNHHNHNOHDOOHGAG 23 Operation EZchange canister (optional) Push the absorber canister release to activate the EZchange canister mode. The canister will swing down to the EZchange position. The EZchange canister mode seals the breathing circuit when the canister holder is down. This permits continued ventlation and rebreathing of exhaled gases while easily replacing the absorber canister. ‘Systems with EZchange canister have the following label on the canister holder. When the system is in EZchange position, the message ‘CO2 Absorber Out of Circuit’ shows in the waveform area on the anesthesia display. To return to absorber mode, reinsert the canister into the holder and push the canister back up and snap It into absorber position. When the canister is in the absorber position, the exhaled gas flows through the absorber, removing CO2. Note Check the absorber canister to ensure it has side rails. If the canister does not have side rails, it will not work in the EZchange canister holder. mnt7ae7s 327Aisys Condenser (optional) 3-28 ‘The condenser removes water in the system that is produced from the reaction of CO2 gas with the absorbent. When fresh gas flow settings of less than the patient minute volume are used during ventilation, the amount of re-breathed gas increases. More CO? flows through the breathing system increasing the absorbent consumption. The moisture buildup in the breathing systom is also increased. ‘The condenser is connected between the outlet of the absorber canister and the inlet of the circuit module. Moisture in the gas Is condensed into water droplets, which nun into the condenser's reservoir. Visually check the condenser reservoir dally. Drain the reservoir dally. 1. Place a container under the reservolr, 2. Push the drain button to empty any water in the condenser. 2 1 1 Drain button 2. Reservoir 3. Condenser Figure 3-5 + Condenser Matt79475 nf NHONNNANOANNNHHHHOHHNHOHAAHHONNOHHHRHAKHNOHHNANANSSEE EE EE EEE EOE) 3 Operation Passive AGSS (optional) 1179475 WARNING Always verify the proper operation of any gas scavenging system; ensure the scavenging system is not occluded The passive AGSS (Anesthesia Gas Scavenging System) contains both positive and negative pressure relief valves to protect the breathing system and the patient. The outlat is a 30-mm tapered connector on the bottom of the receiver. There is also a connector that may be used for scavenging the sample from a gas monitor. The male luer inlet connection is located near the 30 mm connector. Passive AGSS is intended primarily for use in operating room environments which have no active gas extraction system for waste gas disposal. The disposal syste generally consists of large diameter tubing directly linking the passive AGSS with the building exterior. The tubing should be as large in diameter and as short as possible for the particutar application. Passive AGSS may also be used with a non-recirculating ventilation system for waste gas disposel. The tubing connection from passive AGSS to the non-recirculating ventilation system should be an open connection, essentially at atmospheric pressure, For example, to an exhaust gril, 3:29Aisys Active AGSS (optional) 3-30 WARNING Always verify the proper operation of any gas scavenging system; ensure the scavenging system is not occluded. ‘There are several versions of the optional active AGSS (Anesthesia Gas Scavenging System) available depending on the hospital's type of waste gas disposal system. Each version has a two-lter reservoir to capture peak exhaust flows that briefly exceed the extract flow. The disposal system normally centrains room air through an air brake (located in a receiver underneath the breathing system), but wil! spill from this port during extended periods of high exhaust flow. Its effectiveness is limited by the extract flow of the particular active AGSS device. * The active low flow system is for use with high vacuum disposal systems. It requires a vacuum system capable of a continuous nominal flow of 36 Vmin and 300 mmHg (12 inHg) or greater vacuum pressure. A flow indicator on the system indicates when the unitis in operation. * The active high flow system is for use with low vacuum (blower type) disposal systems. This requires a system capable of providing a continuous nominal flow of 50 Yimin, A flow indicator on the system indicates when the unit is in operation. + Another version is the active adjustable flow. It provides the ‘capability to adjust the flow with a needle valve (located in a receiver underneath the breathing system) and a visual indicator bag which should be properly inflated. It requires a vacuum system capable of a continuous nominal flow of 36 /min and 300 mmHg (12 inHg) or greater vacuurn pressure. + The active low flow system with a 12.7 mm hose barb connector 's for use with low vacuum disposel system. it requires an extemal venturi system with flowmeter and 36 Uimin extract flow. * The active fow flow system with a 25 mm barb connector is for use with low vacuum disposal systems. It requires an extornal Vventuri/elector system with 36 limin extract flow. A flow indicator on the system indicates when the unitis in operation. * The active low flow system with 30 mm ISO taper is for use with low vacuum disposal systems. It requires an external venturi? ‘ejector system with 36 l/min extract flow, A flow indicator on the system indicates when the unit is in operation Mtt0476Connecting active AGSS with a flow indicator Note Connecting active adjustable AGSS at 79475 ‘To use the optional active AGSS on a system that has a flow Indicator, connect it as follows. ‘1. Connect the proper hose to the AGSS outlet connector on the bottom of the AGSS underneath the breathing system. Attach the other end to the hospital disposal system, 2, With the AGSS operating, verity that the flow indicator ball on the flow indicator rises to the green zone, indicating adequate flow. The ball In the upper red zone indicates excessively high extraction flow. The ballin the lower red zone indicates extraction flow rate is too low or a blocked filter. 3. Complete the tests in the “Preoperative Tests” section of this manual, The active adjustable AGSS option flow rate is limited to 30 Vmin with this option. To use the optional active AGSS installed on the system which uses the three-liter bag as a visual indicator, connect it as follows: ‘1. Connect 2 disposal hose to the DISS connector on the needle valve on the bottom of the AGSS (underneath). The hose should be flexible and reinforced to help prevent kinking and crushing. 2. Attach the other end of the hose to the hospital disposal system, 8. Attach the three-liter bag to the 30 mm auxiliary ¢ port on the bottom of the AGSS. 4. Use the needle valve to adjust the flow rate to match the amount of gas being scavenged. Use the visual indicator bag when adjusting the flow rate, The bag should remain partially inflated when the flow rata Is adequate. 5. Complete the tests in the “Preoperative Tests” section of this manual, 3 OperationWARNING In this section ani70475: 4 Preoperative Checkout Read each component's User’s Reference manual and understand the following before using this system: + All system connections. + All warnings and cautions. + How fo use each system component. + Howto test each system component. Before using the system: + Complete all of the tests in the “Preoperative Tests” section. + Test all other system components. Ifa test fails, do not use the equipment. Have a Datex-Ohmeda trained service representative repair the equipment. Every day before your first patient ......0......... 242 Before every patient ........... 200.022 eee eee eees 43 AtAisys Every day before your first patient 42 o ood 00 Of goa gq a Check that necessary emergency equipments avaliable and in good condition, Check that the equipment is not damaged and that components are correctly attached, Check that pipeline gas supplies are connected and cylinders are installed, (Check that the amount of iquid agent in the cassette is adequate, Install the agent cassette into the active bay, The cassett io Properly inserted when the agent is identified on the display. Check that the breathing circuit is correctly connected, not damaged, and the breathing system contains sufficient absorbent. Tum the System switch to On, Connect scavenging and verify operation, Calibrate the flow sensors. Do a Flow and Pressure callbration in the Calibration menu. Do a Machine Check in the Checkout menu, De an Agent Delivery check in the Checkout menu for each agent cassette that will be used during the day, Check that an adequate reserve 02 supply is avallable. Check that the ventilator functions correctly: * Connect a test lung to the patient Y. * Set the ventiiator to VCV mode and the settings to TV at 400 ml, RR at 12, LE at 4:2, Tpause at Off, PEEP at Off, and Pmax at 40. + Set the gas flow to the minimum settings, + Startacase. * Sot the Bag/Vent switch to ventilator, * Fill the bellows using 02 flush, * Check that mechanical ventilation starts. Check that the bellows inflate and deflate. Check that the display shows the correct ventilator data. Check that there are no inappropriate alarms. Set the appropriate controls and alarm limits for the case, mani79475,4 Preoperative Checkout Before every patient Note This check does not need to be done before the first case of the day If the “Every day before your first patient” checklist wes done, Check that necessary emergency equipment is available and in good. condition. 11 Ifthe cassette was changed since the last case: * Check that the amount of liquid agent in the cassette is adequate. + Check that the cassette is properly inserted. The cassette is Properly Inserted when the agent is identified on the display. Chock that the breathing circuit is correctly connected, not damaged, and the breathing system contains sufficient absorbent. Leak check the breathing system: + Set the Bag/Vent switch to Bag, close the APL valve (set to 70), and occlude the patient Y. + Pressurize the breathing system to approximately 30 omH20 using the 02 flush button. + Ensure that the pressure remains fixed for at least 10 seconds. 1 Check that the ventilator functions correctiy: + Connect a test lung to the patient Y.. + Set the ventilator to VCV mode and the settings to TV at 400 mi, RR at 12, LE at 4:2, Tpause at Off, PEEP at Off, and Pmax at 40, + Sot the gas flow to the minimum settings. + Starta case. + Set the Bag/Vent switch to ventilator. + Fill the bellows using 02 flush. + Check that mechanical ventilation starts. Check that the bellows inflate and deflate, Check that the display shows the correct ventilator data, Check that there are no inappropriate alarms. Make sure that the alarms function. See the “Alarm tests.” C1 Set the appropriate controls and alarm limits for the case. 79476 435 Preoperative Tests In this section Inspect the system Aladin cassette installation............+ Flow and pressure calibration. . Circuit compliance compensation ‘Checkout menu. Leak < 250 mi. Machine check .. Individual checks . . . a Positive low pressure leak test (ACGO systems only)... .5-11 i179475, etAisys Inspect the system 52 WARNING A The top shelf weight limit is 45 kg (100 Ib). Make sure that the breathing circult is correctly connected and not damaged. Replace the breathing circuit if it is damaged. Do not leave gas cylinder valves open if the pipeline supply is in use, Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. Before using the system, ensure that: +The equipment is not damaged. + Components are correctly attached. + The breathing clroult is correctly connected, not damaged, and the breathing system contains sufficient absorbent. + The Aladin cassette is locked in position and contains suffi agent. * Pipeline gas supplies are connected and the pressures are correct. + Cylinder valves are closed. + Models with cylinder supplies have a cylinder wrench attached to the system. + Models with cylinder supplies have a reserve supply of 02 connected to the machine during system checkout. + The necessary emergency equipment is available and in good condition. + Equipment for airway maintenance, manual ventilation, tracheal Intubation, and IV administration Is available and in good condition, + Applicable anesthetic and emergency drugs are available. + [fan optional 02 flowmeter is present, ensure there is adequate flow. + If an optional suction regulator is present, ensure there is adequate suction. + The casters are not loose and the brakes are set and prevent movement. + The power cord is connected fo an electrical outlet. The mains Indicator comes on when AC Power is connected. If the indicator isnot on, the system does not have mains (electrical) power. Use a different outlet, close the circult breaker, or replace or connect the power cable. Mitre47s THAOCHKROGHNHHHHHHBHHOBHOHHOBCHOOHHEEANONBAKAHNKNE5 Preoperative Tests Aladin cassette installation 1. Using the liquid level indicator, check that the cassette is filed to the appropriate level. 2. fusing Aladin, unlock the cassette handle before installing It into. the active bay. 3. Insert the cassette into the active bay unti a click is heard, An audible click indicates that the cassette is in position 4, Tum the lock on the handle to the horizontal position (Aladin, cassettes only). 5. The cassette is properly inserted when the agent Is identified on the display. Make sure that the displayed agent matches the cassette. Note Store the cassettes in the cassette bay when they are not in use. See the “Vaporizer cassettes” section for additional cassette information. wat7e476: 53Aisys Flow and pressure calibration Important Calibrate the flow sensors by removing them from the system, On- ‘screen instructions are available through Main Menu - Calibration - Flow and Pressure. Room temperature fluctuations of more than 5°C may affect sensor measurements. Recallbrate the flow sensors if the room temperature changes by more than 5°C. 1. Set the Bag/Vent switch to Bag. 2. Remove the flow sensor module. 3. Wait for ‘No insp flow sensor’ and ‘No exp flow sensor’ alarms to cour. 4. Reinsert the flow sensor module. Wail for alarms to clear, 5. Start mechanical ventilation when ready, Circuit compliance compensation WARNING Circuit compliance is determined during the Machine Check-System check or when the System check is done as an individual check, The ventilator adjusts gas delivery and monitoring to compensate for the compliance of the patient circuit if: + The system has @ gas analyzer installed. + The Machine Check is completed after the system is tumed on, Im volume modes, circult compliance compensation increases the volume delivered at the inspiratory port by taking into consideration the circuit compliance value. in all modes, circuit compliance compensation adjusts the exhaled volume measurements, Circuit ‘compliance compensation provides consistent ventilator accuracy at the patient circuit Perform a Machine Check after changing the patient tube type. Changing the patient breathing circuit after completing a Machine Check affects the volume delivery in volume ventilation modes and affects the exhaled volume measurements in all modes. Breathing circuits and breathing circuit components are available in many different configurations from multiple suppliers. Attributes of the breathing circuits such as materials, tube length, tube diameter, and configuration of components within the breathing circuit, may result in hazards to the patient from increased leakage, added resistance, or changed circuit compliance. It is recommended that a Machine Check be conducted prior to use with each patient. Mit70476 ANNNANANO NNN OO ee ee ee5 Preoperative Tests Checkout menu ‘The Checkout menu shows on the display after tuming on the system. To access the Checkout menu between cases, push the Checkout key. Step-by-step instructions show in the right window next to the Checkout menu during the checks, Use the Checkout menu to: + Perform a Machine Check, * Perform any of the individual checks. + Set the Leak < 250 ml setting, + View the Check Log. + Starta case, Checkout Machine Check ‘Leak < 250 ml No Individual Checks System Circuit Circuit 02 Cal Low P Leak Agent Delivery Check Log Start Case Leak < 250 ml ‘The Leak < 250 m! setting is used during the circuit leak check portion of the checkout procedures. This check tests for leaks in the ‘machine, breathing circult, patient circult, and manual bag. Tho default setting is No. Note Extraction of gas by external gas monitors may cause fallure of the leak checks during tests. No When Nois selected, the leak test will pass for leaks below 250 ml at 3 kPa (30 omH20) pressure with no user interaction required. For leaks between 250 ml and 750 mi, the user can fix the leak and rerun the test or accept the leak and continue. For leaks above 750 ml, the {est will fail and the user must fh the leak and rerun the test. ‘Yes _ Setto Yes to measure small leaks above 100 mi during the checkout procedures. Selecting Yes will display the measured leak at 3 kPa. (30 cmH20) pressure and result in the test taking somewhat longer. mant79475: 55Aisys Machine check 56 Note Note Machine check - system ‘The Machine Check or the individual checks must be performed at feast once within every 24-hour period. Perform the Machine Check at the start of each day. The machine check runs automatically and beeps to indicate when itis finished or If interaction is required, ‘The Machine Check does a Machine Check-System check, Machine Check-Circuit check, and a Machine Check-Circult 02 cell check (if circuit 2 cell is present). When one of the checks is completed, the next check begins. Any cassette may be used during the check. Use a non-desflurane cassette during the check to test the full functionality of the intemal electronic control unit, 1. Turn the System switch to On. 2. Select Machine Check and follow the instructions. 3. Ifa check fails, follow the instructions to perform a recheck or accept the results, 4. When the Machine Check is completed, start a case. In case of a patient emergency, the Machine Check may be bypassed by selecting Start Case from the Checkout manu, The general message ‘Please Do Checkout is displayed if a Machine Check is not completed with passing results within 24 hours, The Machine Check-System checks the Bag/Vent switch, proper {988 supply pressures, ventilator operation and leak, battery and electrical power, cireult compliance, and flow control operation. This Is a two-step check. 1. Set the Bag/Vent switch to Vent, 2. Open the patient Y. 3. (ACGO option only.) Set the ACGO switch to Circle. 4 Calibrate the flow sensors, Make sure the flow sensors are ‘securely latched when they are reinserted Select Start. The display shows the checks being run. + The system beeps when this portion of the check is done. * The results are shown on the display. Make sure the bellows is fully collapsed, ‘Occlude the patient Y, Select Continue. The display shows the checks being run. ‘When the check passes, the next check starts. pene Mt70476Machine check - circuit Machine check - circuit 02 Machine check - monitor 5 Preoperative Tests ‘The Machine Check-Clreuit checks the Bag/Vent switch, proper gas ‘supply pressures, airway pressure measurement transducer, APL valve, and manual circuit leak. 4. Occlude the patient ¥. 2. Set Bag/Vent switch to Bag. 3. Sot the APL valve halfway between 30 and 70. 4, (ACGO option only.) Set the AGGO switch fo Circle. 5, Select Start. The display shows the checks being run. + The system beeps when the check is done. + The results are shown on the display. 6. When the check passes, the next check starts. ‘The Machine Check-Circult 02 check measures the 02%. 4. Open the patient Y. 2. Set the Bag/Vent switch fo Vent. 3. (ACGO option only.) Set the ACGO switch fo Crete. 4. The display will show the 02%. Do not select Done when 21 is first displayed. Allow the reading to stabilize, then select Done. Calibrate the 02 cell if necessary. When External Gas Monitor is set to Yes by the Super User, the Machine Check-Monitor check ocours. This check is not a test. This check is a reminder to connect a respiratory gas monitor. 57Aisys Individual checks 58 System Note Circuit ‘The Machine Check or the individual checks must be performed at least once within every 24-hour period Individual checks allow the user to perform any combination of single ‘cheoks. These checks are helpful if there Is @ specific problem/alarm and the user wishes to test only that portion of the system, The checks do not automatically move on to the next check. After completing a check, do another check or start a case, Ifa chack fails, follow the instructions to perform a recheck or accept the results. The System check chocks the Bag/Vent switch, proper gas supply pressures, ventilator operation and leak, battery and electrical power, circuit compliance, and flow control operation. This is a two-step check. Any cassette may be used during the check. Use a non-desflurane cassette during the check to test the full functionality of the internal electronic control unit 1, Set the Bag/Vent switch to Vent. 2. Open the patient Y. 3. (ACGO option only.) Set the ACGO switch to Circle. 4. |. Callbrate the fiow sensors. Make sure the flow sensors are securely latched when they are reinserted, Select Start. The display shows the checks being run, + The system beeps when this portion of the check is done. + The results are shown on the display. Make sure the bellows is fully collapsed, Ocolude the patient Y. Select Continue. The display shows the chacks being run. ‘When the check passes, select Back. Select another check or select Start Case to go to the Start Case menu, eene ‘The Circuit check checks the Bag/Vent switch, proper gas supply Pressures, airway pfessure measurement transducer, APL valve, and ‘manual circuit leak. 4. Occlude the patient Y. . Set BagiVent switch to Bag. Set the APL valve halfway between 30 and 70. (ACGO option only.) Set the ACGO switch to Circle, Select Start. The display shows the checks being run. When the check passes, select Back. Select another check or select Start Case to go to the Start Case menu. NOeagen mrt70475 POON KRHOANHRAHARANARABABAAARADANO OAc5 Preoperative Tests Circuit 02 cell the circuit 02 Coll check measures the 02%. 1. Open the pationt Y. 2, Sot the Bag/Vent switch to Vent 3. (ACGO option only.) Set the ACGO switch to Circe. 4, |. The display will show the 02%. Do not select Done when 21 Is first displayed. Allow the reading to stabilize, then select Done. Calibrate the 02 cell if necessary, 5. Selact another check or select Start Case to go to the Start Case menu. Low P leak The positive pressure Low P Leak check measures machine leaks before the breathing system, between the common gas outlet and the high pressure pneumatics and inciudes the gas mixer and vaporizer. It measures low pressure pneumatic leaks with a pass or fail mit of 50 mi. 4. Occlude the inspiratory (right-hand) port. Select Start. 3. The display shows the chacks being run. The system beeps when the check is done, 4, Open the inspiratory port and reconnect the breathing circuit. 5. Select another check or select Start Case to go to the Start Case menu, Low P leak The negative Low P Leak check measures machine leaks before the (machines with ®reathing systam, between the commen gas outlet and the high JACGO) _ 788Su"2 pneumatics and includes the gas mixer and vaporizer. It ‘measures low pressure pneumatic leaks with a pass/fail limit of 50 ml. 1, Make sure the ACGO switch is set to ACGO, 2. Insert a non-desflurane cassette. 3. Attach the squeeze bulb to the ACGO outlet. 4, Squeeze (collapse) the bulb, 5. Ifthe bulb inflates in less than 30 seconds, select Fail. 6. Ifthe bulb remains collapsed, select Pass, 7. Remove the squeeze bulb from the ACGO outlet. Note Any cassette may be used during the check. Using a desflurane cassette only checks for leaks between the vaporizer and common gas outlet. mti79475 58Aisys 510 Agent delivery Note The agent delivery check checks the agent delivery system and the cassette. This check will release agent to the circu 1. Insert a cassette, connect a patient circuit, and connect ‘scavenging, Set the Bag/Vent switch to Vent. ‘Occlude the patient Y, {ACGO option only.) Set the ACGO switch to Circle. ‘Select Start. The display shows the checks being run. The system beeps when the check is done. Repeat the check once for each cassette, . When the check passes, select Back. 9. Select another check or select Start Case to go to the Start Case menu. oa hen 2x Any cassette may be used during the check, Use a non-desflurane cassette during the check to test the full functionality of the internal electronic control unit. mant79475 NQANMANAN ANAM AANA ANAM O&O OR6 Airway Modules In this section — Airway modules Parameters setup Automatic agent identification . Calibration. Mtze47s etAisys 1 Airway modules PP OOL The optional compact airway modules measure and monitor gases delivered to the patient and exhaled through the breathing circult. The modules consist of an infrared sensor for measuring GO2, N2O, and anesthetic agents; a paramagnetic 02 sensor, and a gas sampling system with the D-fend water separation system. ‘Systems with both an alrway module and an 02 cell wil display the pationt inspired 02 value obtained from the airway module, Respiratory rate is the frequency of peak (end tidal) COZ measurements per minute, A breath is defined as a change in the CO2 signal that exceeds 1% (8 mmHg). All concentrations ara measured and displayed breath by breath, WARNING — Remove the airway sampling line from the patient's airway and seal the sample port while nebulized medications are being delivered. Nebulized medications interfere with accurate gas reading, A\ Ifthe Data Source is set to Patient in the Spirometry Setup menu, no Paw, Flow, Agent, or CO2 waveforms or numeric information is displayed during the airway gas module warm-up period (approximately 2 minutes). Set the Data Source to Vent to display the waveforms and numeric information during the airway gas module warm- up period. CAUTION — Use only cables and accessories approved by GE Healthcare Finland Oy. Other cables and accessories may damage the system or interfere with measurement. Single-use accessories are not designed to be reused. 4X — Strong scavenging suction on the monitor exhaust port may change the operating pressure of the monitor and cause inaccurate readings or intemal damage. 62 Mrt7a76 PANNA ANAANNNDONANAOONO GAN ONHHANNHHHHHO OHH6 Airway Modules Uso only alrway modules that have anesthetic agent monitoring and (02 monitoring on this system. The following modules can be used on this system: E-CAIO, E-CAIOV, E-CAIOVX, M-CAIO, M-CAIOV, and M-CAIOVX. (E series modules must be software version 4.5 and above. M saties modules must be software version 3.2 and above.) Letters in the name of the airway modules stand for: + E= plug-in gas module + M= plug-in gas module + ©=CO2and N20 + A=anesthetic agents agent identification + O= patient 02 + V= patient spirometry + X= Gas exchange D-fond water trap ‘Samling line connector Water trap latch Reference gas inlet ‘Sample gas outtet Cooling fan Figure 6-1 * Compact alrway module nwi479475: 63Aisys Connection to a Patient WARNING 4. Check that the airway gas module is installed, 2, Check that the airway adapter connections are tight and that the adapter is correctly installed, 3. Check that the water trap container is empty and property attached Before connecting the exhaust line to the sample gas. outlet on the compact airway module, ensure the other end Is connected to the sample gas return port on the anesthesia machine. Incorrect connections may cause patient injury. 4. Connect the exhaust line from the sample gas return port to the sample gas outiet if N2O or volatile agents are used. (See the “Parts" section.) 5. Attach the gas sampling line to the sampling line connector on the water trap. 6. Tum the system on. The system does a series of automated self tests. The automatic agent identification is activated, 7. Connect the sampling line to the airway adapter. Take the gas ‘sample as close to the patient's airway as possible. Position the adapter’s sampling port upwards to prevent condensed water from entering the sampling line. 1. Airway module 2. Gas sampling line 3. ‘Airway adapter with sampling ne connector Figure 6-2 + Airway gases setup with compact airway module 1179475 MVOOMOMOOMOAOMONOAONAANAARAARARANAAMAK.«. POO ODO6 Ainway Modules Parameters setup Use the Parameters Setup menu to change the monitoring settings of the data source, CO2, 02, agent, and spirometry. Push the Main Menu key. Select Parameters Setup. Data source several monitoring parameters can be obtained from the ventilator or the airway module. Information that is retrieved from the airway module is identified with the module data indicator, Figure 6-3 + Airway module data indicator Set the Data Source to Patient or Vent to select the primary source for information. If Patients selected, the airway module will be the first source for information. if Vents selected, the internal sensors of the ventilator willbe the first source for information, ‘When setting the airway module as the data source, make sure that a alte oF Pedisite sensor is properiy connected on the airway module. If the sensor is not properly connected, but the ainway module is installed, the waveform shows no flow. The gas monitor samples and displays room alr. {f information is not available through the alway module, information comes from the intemal ventlator sensors. Ifthe internal ventilator sensor readings disagree with the alrway module sensor readings, the associated alarm occurs, CO2 setup — Change the size of the CO2 waveform by changing the scale height. ‘The scale units (%, KPa, and mmHg) are set by the Super User. Select C02 Alarm or Resp Rate Alarm to access and change the ‘alarm limits for the corresponding alarm, ©2 setup — Select 02 Alarm to access and change the 02 alarm limits. Agent setup Change the size of the agent waveform by changing the scale height. Solect Agent Alarm to access and change the agent alarm limits Spirometry setup Change the size of the Paw and Flow waveforms by changing the corresponding scale heights. Select Paw Alarm or MVexp Alarm to ‘access and change the alarm limits for the corresponding alarm. maii79475, 65Aisys Automatic agent identification Calibration 68 WARNING Airway modules with agent identification will automatically identity and select Halothane, Enflurane, Isoflurane, Sevoflurane, and Desfiurane. The inspiratory and expiratory concentrations of the ‘agent appear in the number field or the agent waveform field if selected. Minimum concentration for the identification is 0.15% volume. The agent selection remains active even if the concentration decreases below 0.15% volume during the case. ‘Automatic agent identificstion operates after the normal warm up of the gas module (approximately five minutes), Calibrate airway modules once every six months or whenever there are indications of errors in the gas readings. Use @ Datex-Ohmeda calibration gas and regulator to calibrate the modules. See the “Parts” section for the stock numbers of the calibration gas and regulator. Only use Datex-Ohmeda calibration gas. Do not use any other calibration gases or the calibration will not succeed During gas calibration, % units are used for CO? regardless of selected measuring units. 1. Turn on the power, Let the module warm up for 30 minutes before starting calibration 2. Altach the regulator to the calibration gas cylinder. 3. Attach a new sampling line to the water trap. Connect the loose end of the sampling ine to the regulator on the calibration gas cylinder. Push the Main Menu key. Select Calibration. Select Airway Gas. Wait until Feed Gas appears after each gas name: + (C02 Feed Gas.’ + (02 Feed Gas.” + 'N20 Feed Gas.” + ‘Agent Feed Gas.” 8. Open the regulator unti the gauge reads between 5 to 7 psi. Feed the calibration gas until the message ‘OK’ or ‘Adjust’ appears. + If an error ocours during calibration or if no gas Is fed, Calibr Error appoars after the gas name. Push the ComWh perform @ new calibration. wni79475: c co fos o oe co a G6 Airway Modules 9. Ifadjustments are needed + Do not close the regulator unt! all the adjustments have been made. + Select the gas to be adjusted and press the ComWheel. + Use the ComWheel to change the value unt it matches the calibration gas cylinder value. Push the ComWheel to confirm the change. + Repeat for each gas requiring adjustment. Mat179475 677 Alarms and Troubleshooting CAUTION No repair should ever be attempted by anyone not having experience in the repair of devices of this nature. See the. “Repair policy” in the “User Maintenance" section. WARNING fan alarm occurs, safeguard the patient first before performing troubleshooting or doing repair procedures. In this section Alarms. List of alarms Alarm ranges Alarm tests... Breathing system problems Electrical problems . Pneumatic problems Mat70476 TAAisys Alarms Alarm priorities Silencing alarms Display changes during alarms ‘Alarms are divided into technical alarms and parameter alarms. ‘These alarms may be high priority, medium priority, or informational, When an alarm occurs during a case, an alarm tone sounds and the alarm message is displayed in the alarm massage field, Technical alarms result from a technical problem and occur whether ‘oF not a patient is connected to the system. Parameter alarms are calculated limits and limits that are set by the user on the Alarm ‘Setup menu, Parameter alarms occur only during a case. Alarm priority is indicated by the color of the alarm message and the alarm LED located next to the alarm silence button, High-priority alarm messages appear in white text on a red background. During a high-priority alarm, the red LED flashes. Medium-priaty alarm messages appeer in yellow text on a gray background, During a medium-prioity alarm, the yellow LED flashes. Informational alarms appear in white text on a gray background. During an informational alarm, the yellow LED Is on solid. ‘When a high-priority alarm is active at the sams time as a medium- priorty alarm or an informational alarm, the red and yellow LEDs flash. When a high-priority alarm is active at the same time as an informational alarm, the red LED flashes and the yellow LED is on solid. When a medium-priority alarm is active at the same time as an Informational alarm, the yellow LED flashes. Pushing the Silence Alarms key changes the LED from flashing to on solid until the end ofthe alarm silence. Silencing an alarm stops the audible tone for 120 seconds. The alarm message shows in the alarm message field, Pushing the Silence Alarms key when no medium or high priority alarms are active suspends audible alarm tones for 90 seconds. Alarms in the apnea alatm farrily have special silence behavior to reduce apnea nuisance alarms. Apnea family alarms inolude ‘Apnea,’ '"TVexp low,’ EtCO2 low,’ ‘MVexp low,’ and 'RR low.” ‘When silencing an apnea family alarm, the audio tone for the active alarm is slienced for 120 seconds. The audible tone for any additional ‘apnea family alarm that occurs during the silence period is silenced for the remain time shown on the alarm silence countdown. Only the audible alarm tone is silenced. The alarm massages stil show in the alarm message fields, ‘APN’ shows above the alarm silence countdown when the audible tone silence is in affect for the apnea family alarms. Messages may appear in the waveform field during some alarms. If ‘more than one alarm has a message, the message for the highest priority alarm is displayed. The message is removed when the alarm 's resolved. Mit79475 ‘ ¢ ‘ PANRRANADAAAA AYOO 7 Alarms and Troubleshooting Ths color of the alarm text shown in the alarm message fields is dependent on the alarm priority. Messages for high-priority alarms se red text, Messages for mediun-priority alarms use yellow text, Informational messages use white text. ‘When the 0, pipeline supply pressure drons to less than 252 kPa (36 psi), the lower-tight comer of the display toggles between the O supply information and the set digit field. ‘Some patient parameter alarms, such as ‘Ppeak high’ and 'FiO2 low,’ will latch when the alarm condition is corrected, When an alarm is latched, it is displayed in whito text on a black background. Tho Parameter box will stop flashing, All the essociated waveform, numeric, and digit fleld messages are removed from the display. The flashing LED associated with that alarm changes trom flashing to on solid. The alarm will ramain in this condition unt itis acknowledged by pushing the Silence Alarms key or unti the alarm re-occurs. ‘When the alarm is acknowledged, itis removed from the soreen. If an ‘alarm has latched and the alarm re-occurs before itis acknowledged, the alarm will revert to an active state. De-escalating alarms some device related alarms, such as ‘Reverse Flow and "No insp flow sensor,’ will de-escalate priority when the alarm is acknowledged by pushing the Silence Alarms key. The audible alarm tone is ‘topped for that active alarm unti the alarm condition is resolved. The alarm message shows at the informational alarm level unti the alarm condition is resolved and the alarm is cleared. If that alarm reoccurs after ithas been resolved, the alarm occurs at its standard priority level. Battery indicator The color and fil amount of the battery in use symbol indicates the amount of battery power remaining. Green indicates greater than 10 minutes of battery power remaining. Yellow Indicates between 10 and 5 minutes of battery power remaining. Red indicates less than 5 minutes battery power remaining, Internal failure ‘intemal problem prevents normal operation.’ shows on tho display during 2 software or hardware failure that requires service. If this message occurs, contact a Datex-Ohmeda trained service representative. 170475 73Aisys Ifthe corrective action does net resolve the alarm message, contact a Datex-Ohmeds trained service representative Circuit pressures and volumetric flows are measured by the vantiator and alrway gas module. If the Data Souree is set to Patient, the cisplayed waveforms and numeric information are measured by the ainvay gas module. Although not displayed, the ventilator ‘measurements continue and if a measured value violates an alarm setting, the appropriate alarm occurs. The value highlighted in the Parameter numeric box may not appear to have violated the elarm setting. Changing the Data Source to Vent will display the circuit Pressures and volumetric flows measured by the ventilator. Cause Action List of alarms Message Priority AA, COZ ‘Medium ‘monitoring not connected Agentoutputnot Medium accurate. Schedule service, Extornal Gas Monitor setting is Set Extamal gas monitor satting io Yes ifthe set to No on the Install/Service system uses a stand-alone monitor for 02, menu, Exterial Gas Monitor AA, and CO2, setting is Yes on the Jnstall/ Service menu and the monitor condition changes to disconnected, Vaporizer detected a flow mater Contact a Datex-Ohmeda trained service femperature sensor failure and is representative, using a default temperature value. Airpressurelow. High (02% is setto Air at 21%. Air Ensure the alr pipeline and cylinder aro Inorease 02 %, pipeline pressure is jess than properly connected. Increase the O2% flow. 282 kPa (36 psi) and the air oylinder pressure dropped below 2638 KPa (384 psi) for one second, ‘ir supply Medium tr pipeline pressure is less than Ensure the air pipeline and oyindor aro pressure low 252 kPa (36 psi) and the air properly connected, evlinder pressure dropped below Contact a Datex-Ohmeda trained service 2635 kPa (381 psi) for one representative, second, ‘Apnea Medium ‘Apnea time delay (10-30 Check for leaks in the pationt circuit. Check seconds) has passed without a for patient eisconnection, measured breath. Apnea >i208 High 14 ‘Apnea time delay (20-30 seconds) has passed without a ‘change In the measured CO2 by atleast 1%, ‘Apnea time exceeds 120 ‘Check for leaks or blockages in the breathing seconds, Gireuit. Ensure the BagiVent switch isin the Vert position, Check the patient. na1179475 PAPA ARAR Awwne 7 Alarms and Troubleshooting Message Priority Cause Action Backup Mode Informational No spontaneous breathe in eet Select a new ventilation mode. active riod of time (Backup Time) The number of consecutive patient triggered ‘and 30 saconds have passed —_ breaths reaches the Exit Backup setting. since starting PSVPre mode, Broathing Infermational The breathing system isnot Push the breathing system onto the frame system loose latched. and ensure it latchas, Calibrate Informational —Fiow calibration fallure or more Calbrato the fow sensors, (remove) flow than 24 hours have passed sinco sensors the last flow sensor calibration, Calibrate 2 Informational Calibration failure or measured Calibrate the O2 cel. Replace the O2 call sensor 02s areater than 110%, necessary, Calibrate, dry,or Informational Patient volume mismatch Calibrate, dry or replace the flow sensors, replace flow ‘ccourred during the last case. Start a new casa. sensors Cannot deliver Informational Cassette output low is 6 Vin or Reduce the flow. agent setting at fat maximum for more than 10 set flow second ‘Cannot identity Medium ‘The identification coding of the Try another cassette. Contact a Datax- cassette Cassette cannot be interpreted. _Ohmeda trained service representative. ‘Cannot monitor Medium Air pipeline pressure is invalid. Check pipeline supply pressure. Air pipeline Contact @ Datox-Ohmeda trained service representative. Gannot monitor informational Hardware failure, ‘Contact a Datex-Ohmeda trained service gas supplies representative. Cannot monitor Medium ©, pipeline pressure is inv ‘Check pipeline supply pressure. 02 pipeline Cannotreadgas Medium Transducer failure, Contact a Datex-Ohmeda trained service ‘supply reprosentatve, pressures Cassette Medium ‘Agent level sensor indicates the Try another cassatie, Contact a Datox- overfiled, ‘cassette is overilod, Ohmeda trained service representative to replace cassette drain the cassette, Check agent Informational —Cassette raporiing a value of Fill the casselte. level. Do not fil comply. ‘yap while in use. Check agent Informational Cassette reporting a value of Use liquid level indicator on the cassette to Tovel empty. Agent level reporting is determine the amount of agent remeining. no longer available. Contact a Datex-Ohmeda trained service representative, Check casseite. Medium Gassette pressure is out of ‘Try another cassette. Sot agent. range. Remove and reinsert the cassette, ‘Agent flow interrupted or control Set the agent to the desired concentration, failure, mai73475 15Aisys Mossage Priority Cause Action Check ercult Medium Breaths detected in circle circu Check ire cireut connections end settings, connections ‘while non-cirol circu is selected ‘Check D-Fend Medium Water rep not attached, Check that the water top is propery aitached 10 the airway module Check iow Medium System hes detected an Ensure the intemal low sensors are sensors improper fiow pattom in the _cennected correctly. breathing circut. Chock sample Medium Possible blockage in away Gheck for lockage in the airway modula gas out ‘module sample gas outlet. sample gas outiet. Remove blockage, irout leak Vent TVoxp is less than half of Check forleaks nthe patient croul vont TVinep for atleast 30 Calibrate low sensors It problem persists, seconds, replace flow sensors, Cireuitleak Informational ‘Setting on Alarm Setup menu, Vent TVexp is less than 60% of vent TVinap silenced for t ieast 30 seconds, Message Indicatos that the Leak Audio alam is tumed off Coulty >756 Medium Powor supply temperature Shut down system as oon as possible, shutdown exceeds 75°C. Then, check cooling fans and fiers, possible Cooling fan Medium Fan reporting error. ‘Shut down systom as soon as possibie ‘oes service. Then, check cooling fans and fiters. System OK. Cooling fans Medium Fan reporing eror ‘Shut down sysiom as soon as possible. ‘alles. Mey Contact a Datex-Ohmeda treined service overheat. representative, Display panel Medium Communication lostbetween Turn the system off and back on, controls failure panel and key ped. ECO2high High E{CO2is greaterthan high alarm Check the patient and EICOa selings, Check limit if absorbent noods to be changed. EtCO2 low Informational EYCO2is less than alarm limit. Ensure the palentis properly intubated. Mecium efter 1 Priorty escalates fo Medium if Check for leaks or blockages in the patient rminute alarm isnot resolved fier 1 circuit. rrinute, “EDDES high Medium! EIDES is greater than alarm Sot the alarm limits appropriately. Dacroase Tit. the agent concentration, EIDES low Informational EXDES is less than alarm it. Check the fil level onthe vaporizors. Sot alarm limit appropriately, Increase the agent concentration, EENF high Mediumé (ENF Is greater han alarm Sel the alarm limits appropriately Decrease li. the agent concentration. EtENF low Informational ELENF Is less than alarm limit. Check the fillovel on the vaporizors. Sol alarm init appropriately Increase the agent concentration, 76 1179475 FONNNANNANNANNNANANANANANANANNANAANANANANANnANAAKR7 Alarms and Troubleshooting Message Priority Cause Action EtHAL high Medium EIHAL is greater than alarm mit. Set the alarm limits appropriately. Decrease the agent concentration. EtHALIow Informational ELHAL is less than alarm limit. Check the fil level on the vaporizers. Set alarm limit appropriately. Increase the agent concentration, EtlSO high Mediumt WSO is greater than alarm iit. Set the alarm limits appropriately, Decrease: the agent concentration. EtISO low Informational ESO is less than alarm limit, Check the fll level on tha vaporizers. Set alarm limit appropriately. Increase the agent concentration. E102 high Medium {E102 is greater than high alarm — Set the alarm limits appropriately. Decrease: limit. the O, concentration. F102 low Medium ‘£102 is less than low alarm limit. Set the alarm limits appropriately, Increase the 0, concentration. EISEVhigh Medium EISEV is greater than alarm Set tho alarm limite appropriately, Decrease limit the agent concentration. EtSEV low Informational__EISEV is less than alarm limit. Check the fil level on the vaporizers. Set alarm limit appropriately. Increase the agent concentration. FICOZhigh. High FICO2 is greater than alarm limit. Check if absorbent needs to be changed. Absorbent OK? Check the pationt. FIDES high Medium? FIDES is greater than alarm limit. Sot the alarm limits eppropriately. Decrease the agent concentration. FIDESlow Informational FIDES is lass than alarm limit. Check the fil level on the vaporizers. Set alarm limit appropriately. Increase the agent concentration FIENF high Medium? FIENF is greater than alarm limit. Set the alarm limits appropriately. Decrease the agent concentration. FIENF iow Informational FIENF is lass than alarm limit. Check the fl level on the vaporizers. Set alarm limit appropriately. Increase the agent concentration, FIHAL high Medium? FIHAL is greater than alarm limit, Set tho alarm limits appropriately. Decrease the agent concentration. FIHAL low Informational_-FIHAL is less than alarm mit. Check the fil level on the vaporizers. Set alarm limit appropriately. Increase the agent ‘concentration. FilSO high Medium FilSO is greater than alarm limit. Set the alarm lis appropriately. Decrease the agent concentration. FiISO low Informational _FilSQis less than alarm limit. Check the fil level on the vaporizers. Set, alarm limit appropriately. Increase the agent ‘concentration, FiO2 high’ ‘Medium Fi02 is greater than high alarm — Check the O, selfing. Recalibrate the O; cell lit and the airway module. mni79475 TIAisys Message Priotty cause Action FO2iow High Fi02 is less than low alarm lik. Check 0, seting. Check for leaks or FISEV high Medium FISEV low Informational Formech vent, Informational set Bag/Vent ‘itch Gas monitoring Medium not available IncreassiowMV Medium lit FISEV is greater than alarm limit. EV is less than alarm limit Bag/Vent switch is sot to Bag ‘and the ACGO swilch is set to. irate. Ainvay module hardware failure. Low MV limits offin SIMVIPSV, SIMV-PC, or PSVPro modes, blockages in the patient circuit, Sot the alarm limits appropriately, Decrease the agent concentration, (Check the fill level on the vaporizers. Set ‘alarm limit appropriately, Incroase the agent ‘concentration. ‘Move swich to tha Vent position to start mechanical ventilation. Replace ainvay modula, Then, tum power off ‘and back on between casas to clear the ‘alarm and receive module data, Increase Low MV alarm lit fo improve Patient disconnection detection. Insert cassette informational Cassette removal detected Reser the cassatte. during active dalvery. Inepiration Medium High aiway pressure, Check system for blockages. stopped ‘ntemal aiure. High Power controller software failure. Contact a Datex-Ohmeda trained servioe System may representative, shut down. Intemal feliure. Medium Power controller software failure. Contact a Datex-Ohmeda trained senice Systern may representative, shut down, ‘Memory laformational — Sofiware error. ‘Contact a Datex-Ohmeda trained service (EEPROM) representative failure Module fall. No Medium Airway module hardware fale, Replace module. a C02, AA 02 deta, Module not Informational The monitoring module detected Remove the incompalible modula, Use a compatiole snot compatible wth system Move BagiVent Medium ‘Switch to Bag MVexp high Medium MVexpiow Medium 78 software. Bag/Vent switch isin the wrong position. ‘MiVexp is greater than MVexp ‘high alarm limit (for nina breaths ‘oF one minute). MiVexp is less than MAVexp low alarm limit (for nine breaths or one minute, ‘compatible module. ‘Move switch to the Bag position. Chango TV, RR, iE, PEEP, or Tinsp to reset the minute volume to below the MVexp high ‘alarm lit ‘Change TV, RR, li, PEEP, or Tinsp to reset the minute volume to above the MVexp low alarm fit wer79478 NON NAAN OO AAA Od rere reed ee ee ee ee en ee ee eee7 Alarms and Troubleshooting Message Priority Cause ‘Action ‘N20 supply Medium 'NZ0 pipeline prossure is less Ensure the NO pipeline end cylinder are pressure low than 252 kPa (86 psi) end the property connected. 1N,O cylinder pressure is less than 2689 kPa (381 psi) Negative airway High’ Paw is less than -10 en H;0. Check for blockages in the patient cirout. pressure No battery Medium Battery or charging failure. Botween cases turn the system circult backup breaker off, then back on alter 15 seconds to reset the system. No battery Informational Monitor power cable Is. ‘Make sure the monitor power cable is backup for ‘unplugged. plugged in. monitor No expiiow Medium Electrical signals show the flow Connect tho flow sensor. Replaca the flow sensor ‘sensor is not connected. ‘sensor if necessary, No fresh gas High Possible patient detected while Disconnect the patient or start a case. flow! systems in checkout state. No/resh gas High Possible fresh gas flow occlusion Switch to circle circuit or bag the pationt, flow? or loss of gas pressure. Check pipeline supply connection. No insp flow Medium Electrical signals show the flow Connect the flow sensor. Replace the flow ‘sensor ‘sensor is not connected. ‘seneor if necessary. Oz {lush stuck Informational Switch is detected “on” ‘Check flush valve. Ensure fush vaive is not on? ‘continuously for more than 30 sticking. seconds. ‘©2 monitoring Medium ©; call not connected. Install alway gas module or connect the O, not connected coll. ‘©2 supply High (©; pipeline pressure is less than Ensure the O, pipeline and cylinder are pressure low 252 KPa (36 psi) and the Or properly connected. cylinder pressure dropped below 2633 kPa (381 psl) for one second. PEEP high. High Paw greater than or equal 0 _ Check for blockages in the paifent circuit. Blockage? ‘sustained limit for 18 seconds.” Plugin power Medium “The mains supply is not Ventiiate manually to save power. Make sure cable. On ‘connected or has failed and the the power cable is plugged in and system battery. system is using baltery power. circuit breaker is on. Ppeakhigh High Paw is greater than Pmax alarm Check for blockages in the patient circuit. limit. Ppeaklow. Medium Peak airway pressure is less Check for loaks in tho patient circuit. Leak? than low Pmin + 4 emH20 for 20 ‘consecutive seconds ifthe set respiratory rate Is four or higher ‘and 35 seconds ifthe set respiratory rate is less than four ‘breathstmin, mart79475 79Alsys Message Priority Cause Action Replace D-Fend Medium Bulldupin airway module sample Replace D-Fend. tine, Replace exp Informational EEPROM calibration data read Replace the expiratory flow sensor flow sensor failuro. Replace insp Informational EEPROM calibration data read Replace the inspiratory flow sensor flow sensor failure. Replace 02 Informations! Measured O2 is lees than 6%, Calibrate the O, call Raplace the O, caliF ‘sensor necessary. Reverse exn Medium Flow toward the patient seen in Check the flow sensor condition. Replace the flow. Check the expiratory flow sensor during expiratory check valve between cases. Zero valves OK? Inspiration for six breaths ina flow transducers between casos, row. Reverse Insp Medium Flow away from the patient seen Check the flow sensor condition, Replace the flow. Check Inthe inspiratory sensor during inspiratory check valve between cases. Zero vaives OK? expiration for six breaths ina flow transducers between cases, row, RR high Medium RRs greater than high alarm Set the alarm limits appropriately or adjust limit. the RR setting RR low Medium FR is loos than low alarm limit. Set the alarm limils appropriately or adjust the RR setting ‘Sample line Medium Airway module sample is Replace airway module sample line, blocked blocked. ‘Service Informational Calibration data is corrupt. Contact a Datex-Ohmeda trained service calibration representative, advised ‘Sei Alt O2 flow! Medium Muliple possible causes for the Contact a Datex-Ohmeda lreined service Agent delivery failure, representative. off Set AILO2 flow! Medium Software or hardware failure Contact a Datex-Ohmeda trained service Chock agent prevents mixed gas delivery. representative. setting! ‘System leak? Informational Leak detected between (Check for leaks in the breathing system. Ventilator and patiant circuit, System High Remaining battery poweris Plug in the power cable. Chack that the shutdown in <5 between zero and five minutes. _systern cirout breaker is on, in Try another Medium Vaporizer detectod a cassette Insert a different cassette. Contact a Datox cassotte. temperature failure, ‘Ohmeda trained service representative, Schedule service Tum power Off Informational System has been operating for Tum power off and back on belwean Gases fo and On for self longer than 12 hours without perform a self test. tests power-up self test, 7-10 Mirrors =e POR ONNANNNANN AANA RRR RA7 Alarms and Troubleshooting Messago Priority Cause Action Turn switch on High System sin therapy when Tum the System witch to On to continue te continue use System switch is tumed to therapy. The system will return to normal Standby. function. If System switch Is not tured to On within 6 seconds, the systern will shut down, TV not achieved Infornational Measured tdal volume Is less Check for leaks inthe patient rout. Check than set ida volume. for leaks in the breathing system. TVexptigh Medium “Texp is greater than TVexp Change TV, RR, IE, PEEP, or Tinsp or high alarm imi (for nine change the tidal volume to reset TVaxp high breaths). alarm init. TWexplow Medium ‘TVexp is less than TVexp low Change TV, RR, LE, PEEP, or Top or lar it (fr nine breaths). change the tidal volume to reset TVaxp low alarm nl. ‘Unable to drive Informational Bellows Is colapsed. ‘Check the drive gas. Increase frash gas fow bllows {er push the 0, fush button) to filtho bellows. Using battery. Medium Mains supply is OX, but the Shut down the eystom as eoon 2a possible. Power systemis running on the battery. Contact a Datex-Ohmeds trained sence ‘Controle fll representative. Vep leak? Try Medium Cassette leak. Agent fing Try another cassette. Do not attempt to fl ‘nother attompted during delivery. agent cassette while delivering egent. cassette. Internal issue with agent delivery Contact Datex-Ohmeda trained service hardware representative. Vaporizer falure Medium Internal isue with agent delivery Change anesthesia method or use an hardware. altemate machine. Shutdown the system a 8000 as possible and contact a Datex- (Ohmeda trained service representative, Ventiate High ‘Software or hardware failure Use a manual bag to venilata the pationt or manually! prevents mechanical ventlation, use an allerate machine. Shutcown the No pressure, no flow, andine system as soon as possible and contact a ‘volume monitoring fom Datex-Ohmeda trained service verttator representative. Ventiate Medium Software or hardware felure Use a manual bag to ventlate the patient or manually! prevents mechanical ventlation. use an altemate machine. Shutdown the Pressure, flow, and volume system as scon as possible and contact a monitoring from ventilator stil Datex-Ohmeda trained service available. representative. Ventlatorhas High Drive gas supply isnot sufficient Check drive gas supply. Use a manual bag to no drive gas to mechanically voniate, vontiat the patient unil the dive gas supply 1s restored. Vol end Apnea Informational Non circle circuits selected. Message will clear when orci croult ia monitoring off selected, Vol vent only. Medium Manifold pressure eror Use volume control ventilation mode. Shut No PEEP or Pressure control unavailable. down system as soon as possible. Contact a PSV, ‘Medium priority alarm when Bag! Datex-Ohmeda trained service Vent switch isin Vent and representative. running PCV, PSVPro, SIMV-PC, PCV-VG mod Miiro47s TtAisys Mossage Priority Cause Action Vol vent only, Informational Manifold pressure error. Continue to use volume control ventilation No PEEP or Pressure control unavailable, mode or ventlate manually. Shut down Psy. Informational priorty alarm when system as soon as possible. Contact a Bag/Vent switch is in Vent and Datex-Ohmeda trained service ‘not running PCV, PSVPro, SIMV- representative. PC, PCV-VG mode switch is in Bag; circult or ACGO is selected. Volume sensors Informational TVexp is greater than TVingp for Calibrate the flow sensors, Replace the flow disagree sik breaths, sensors if the message does not clear. Vaporizer Medium Manifold temperature reading or Change the agent seting, intornal ‘cassette temperature reading ie temperature ‘outside of the limit. outofrangs * The alarm priority escolates to High if tho alarm is not resolved alter 2 minutes. Fone Sustained pressure threshold is calculated from the pressure limit setting, The sustained lmitis calculated as follows: Mechanical entiation with PEEP Off Mechanical Ventilation with PEEP On: Mechanical Ventilation Off: For Pmax less than 30 cmH,0, the sustained pressure limit is 6 cmH,0. For Pmax between 30 and 60 cmH,O, the sustained pressure limit is 20% of Pmax. For Pmax greater than to 60 omH,0, the sustained pressure fmit is 12 emH,0, For Pmax less than 30 emH,0, the sustained pressure limi 1us 2 cmH,0. For Pmax between 30 and 60 cmiH,O, the sustained pressure limit is 20% of Pmax plus “set PEEP* minus 2 cmH,0. For Pmax greaisr than 60 cmH,O, the sustained pressure limit is 12 cmH,0 plus “set PEEP* ‘minus 2 omH,0, 6 emH,0 plus “sat PEEP" For Pmax betwoon 12 and 60 cmH,0, the sustained pressure limit is 50% of Prax, For Pmax greater than 60 cmH,O, the sustained prassure limit is 30 cmH;O, man179475 ‘ TP PP NMR ROAN AANA ANAM Aare7 Alarms and Troubleshooting Alarm ranges ‘The alarms names are listed tn order they appear on the Alarm Limits page accessible from the Alarm Setup menu. The alarms setting ranges show in the order they appear in the setting selections in the Alam Settings menu. See the “Super User Mode" section for mote information on the alarm default settings. ‘Alarm Range Increment Prax (only high) 72-100 omH20 T omiao 12-98kPa 0.1 kPa 42-98 mbar, hPa ‘mbar, thPa 8-78 mmHg ‘mm MV Fgh 5-300, OF min OB Umin iV Low OF O1-10.0Umin [0.1 Tin WV High 20-1600, Off mi 20m Low Of 5-20 mi Ent 20-1600 ml 20 RR High 2-700, Off bpm Topm RRLow (Of, = 8 bpm Tpm EICOZ igh 01-48%, OF foam 0.115, of KPa 0.1 Pa 4-118, Of mmHg mg EIGO2 Low Of 0.1- 14.9% 0.1% Jomo1-149KPa 0.4 kPa Jom 1114 mmkig | mmHg FiGO2 High fo. -16%, OF 0.1% 0A = 18, Off KPa 0.1 kPa 1-115, 0ffmmHg | t mmHg Fi02 High 19- 100%, OfF i FIG2Low 18-98% 7% E02 19 100%, OF 1% E102 Lov (Off, 1-29% 1% a FSO High 01-70% 0.1% FiISO Low (Off, 0.4 - 6.9% 0.4% He FISEV High ot -10.0% orm FISEV Low (On, 01-99% 01% FIDESHigh——~=«O4-2000% *o.t FIDES Low [Of 0.1-18.8% orm FIENF High © [04-70% 0.1% | FIENF Low (om, 01-69% 0.1% HAL High (04 -7.0% 0.1% FIHAL Low Of, 01-68% [0.1% EISO High (0A -7.0%, OFF 0% EUSO Low OF, 01-88% 0.1% 170476 73,Aisys ‘Alarm Rango | Increment EISEV High [04- 700%, OF O% EISEV Low OF, 04 -9.9% O7% EIDES High 01-20%, OF oi% EWES Low Of, 01 19.9% 7% EXENF High 01-70%, OF O1% EXENF Low Off, 07-65% O% EHAL High O.1-7.0%, OF O% ERHAL Low [On 07-60% [anv 1 7.14 wai179075 NOAA ne7 Alarms and Troubleshooting Alarm tests Test the system to verify that alarms are functioning. Note Ifan airway module Is installed, the FiO2 readings are taken from the module instead of from the 02 cell. A sampie line must be connected from the airway module to the breathing circult in order to test the O2 alarms. 4. Connect a test lung to the patient connection. 2. Start a case. 3. Set the Bag/Vent switch to Vent. 4, Set the ©, concentration to 30%, and allow the O2 reading to stabilize, + For machines configured to individual gas control, set the ©2 flow to approximately 500 mlimin and A\r flow to approximately 6 limin. 5. Testthe 0, alarms: + Set the F102 Low alarm limit to 50%. Make sure an FIO2 low alarm occurs. + Set the F/02 Low alarm limit back to 21% and make sure that the F/02 low alarm cancels. + Set the F102 High alarm limit to 50%. + Push the O, flush button. + Make sure the FiO2 high alarm occurs. + Sat the F102 High alarm limit back to 100%. Mako sure that the Fi02 high alarm cancels. 6. Tost the MVexp fow alarm: + Goto the Alarm Setup menu. + Set the MV Low alarm limit to greater than the measured minute volume. + Make sure that a MVexp low alarm occurs. + Set the MV Low alarm limit to off, 7. Test the Ppeak high alarm: + Set the Pmax to less than the peak airway pressure. + Make sure that the Ppeak high alarm occurs. + Set the Pmax to the desired level. 8, Test the PEEP high. Blockage? alarm: + Close the APL. valve, + Set the Bag/Vent switch to Bag. Mechanical ventilation stops. + Block the patient connection and push the O2 flush button. + Make sure that the PEEP high. Blockage? alarm occurs after approximately 15 seconds. mani9475 715Aisys 8. Test the Ppeak low. Leak? alarm: ‘+ Unblock the patient connection, + Set the Bag/Vent switch to Vent. + Set the tidal volume and total flow to minimum, * Other alarms such as MVexp low can occur. + Make sure that the Ppeak low, Leak? alarm occurs. 10. Set all alarm limits to approved clinical values. 1170475 NHeoqngnggngngnnganNAgnaaagaanannAanAaANnAaaBreathing system problems 7 Alarms and Troubleshooting ‘Symptom Problem ‘Solution ‘Gas scavenging fowis too low or too high, ‘Scavenging extract flow problem. [Use a different scavenging extraction system. Verify low is within speciication, Filter Blockage. Active systems have a flow indicator. Replace the fer. Refer to “Remove te |AGSS receiver fiter” in the "Advanced Breathing System Cleaning and Storiization” User's Reference manual. "The bellows fils when the Bagi Teak through BagiVent switch. Contact a Datex-Ohmoda trained service ‘Vent switch is set to Bag or the representative to repair the system, bag fs when the ewitch is set to ‘Vent. ‘The ventilator does not read the | Ventilator or absorber malfunction. | Ventilate manually. position ofthe Bag/Vent switch, ‘Contact a Datex-Ohmeda trained service representative to repair the system. ‘APL valve does not operate | APL. valve problem. Replace APL valve seal and diaphragm. correctly. Largo breathing system leak not quickly located (in bag mode). ‘Bag hose not connecied properly. Ensure that the bag hoses connecied to the bag port (below the APL valve). ‘Absorber canister not Installed correctly. Reinstall the absorber canister, ensure both pins are engaged. Boliows falls below top of Indicator during "Bellows assembly test.” Teakin the breathing system. ‘Check, clean, oF reposition the pressure relief valve. Ifthe problem persists, replace the pressure relief valve, bellows base, or bellows assembly. 1179475Aisys Electrical problems WARNING fa circuit breaker opens frequently, do not use the system, Have a Datex-Ohmeda trained service representative repair the system. ‘Symptom Probiom ‘Solution Wains indicators not on ‘The electrical power cable ls not [connecied, Connect the power cabie. The system circuit breaker (witch) is oft "Tum the droult Breaker on, The power cable is damaged, Replace the power cable, [The electrical socket the power cable connects to has no power, Use @ different electrical socket ‘An intemal fuse Ts open, ‘Contact a Datex-Ohmeda trained service representative to repair the system. anesthesia display does not maintain accurate time and date, The baiteryin the anasthesla display needs to be replaced. One electrical outlet does not have | The outlet circuit breaker is off. | Turn the croull breaker on power, ‘A circuit breaker opens frequently. | Equipment connected to the ‘Use a different power supply for Cutlets) uses more current than some of the equipment. the circuit breaker rating [The equipment connected to the | Contact @ Datex Ohmeda rained outlet has a short | service representative to repair the system, [The real time clock on the ‘Contact a Datex-Ohmeda trained service representative to repair the system, ‘Auaible alarm. System function stops. Screen Is blank. intemal power converier faluro Tum the system off ‘Contact a Datex-Ohmoda trained service representative to repair the system. twi179475 WNNHNN NOON HANOHANAAAANANANA ARMA HAAA eH HKPneumatic problems 7 Alarms and Troubleshooting /Symptom Probiom High-pressure leak test fails, Controls are not eat correctly. ‘Ensure no gas is flowing, turn off the auxiliary flowmeter, end repeat the test. Incorrect cylinder connection. Make sure thai thare is only one ‘oylinder gasket, the gasket isin i ‘good condition, and the 4 ‘connection is tight, Tow-pressure leak. ‘Anesthesia machine problem i | | | Solution i i ‘Contact a Datex-Ohmeda tained service representative, Mit79475, 7198 Setup and Connections In this section — Setup warnings Canister setup... Electrical connections Pneumatic connections... . . How to install gas cylinders. How to attach equipment to the top of the machine...... 8-17 mait7047s et—- Aisys Setup warnings WARNING g See “Standards” and “System components” in the “Specifications and Theory of Operation” section for information on specific monitoring requirements. Datex-Ohmeda strongly recommends the use of 02 monitoring and anesthetic agent monitoring with this equipment. Refer io local standards for mandatory monitoring. European, international, and national standards require the following monitoring be used with this system: + Exhaled volume monitoring, + 02 monitoring. + C02 monitoring. * Anesthetic agent monitoring be used when anesthetic vaporizers are in use. Always make sure that the pipeline supply hoses and the breathing circuit components are not toxic and will not: * Cause an allergic reaction in the patient. * React with the anesthetic gases or agent to produce dangerous by-products. To prevent incorrect values or equipment malfunction, use only Datex-Ohmeda cables, hoses and tubing, This system operates correctly at the electrical interference levels of IEC 60801-1-2. Higher levels can cause nuisance alarms that may stop mechanical ventilation. Mtt70476 ANNAN AAAs n8 Setup and Connections A\ To help prevent false alarms from devices with high- intensity electrical fields: + Keep the electrosurgical leads away from the breathing system, the flow sensors, and the oxygen cell. + Do not allow the electrosurgical leads to contact any part of the anesthesia system. + Do not use cell phones near the anesthesia system. A. To protect the patient when electrosurgical equipment is used: * Monitor the correct operation of all life support and monitoring equipment. + Keep backup manual ventilation available in case the electrosurgical equipment prevents safe use of the ventilator. 4. Do notuse antistatic or electrically-conductive breathing tubes or masks. They can cause burns if used near high- frequency surgical equipment. 4. Use only reservoir bags that comply with EN1820 on this system. A. __ Use only breathing tubes that comply with EN12342 on this system. 4. Amalfunction of the medical gas central supply system may cause all connected devices to stop. Mt79475 83Aisys Canister setup ‘The absorber canister is avaliable in two versions: Disposable Mult) ‘Absorber and Reusable Multi Absorber, Both are removed and installed on the breathing system in the same way. Each canister holds 800 grams of loose absorbent. The manufacturer recommends MedisorbTM absorbent. Both absorber versions should only be used with mixtures of alr, oxygen, nitrous oxide, halothane, enflurane, isoflurane, desflurane: and sevoflurane, paren paren Canister support pin Canister handle Disposable Mult Absorber canister Absorbent Expiratory water reservoir Canister release latch Reusable Multi Absorber canister Figure 8-1 + Canister Noahone Mit79475 AagAaAaANnaHES| yaANKANKAANE MINNA NHOAE PAN NHON8 Setup and Connections WARNING Obey applicable safety precautions: + Do not use the absorber with chloroform or trichloroethylene. + The Disposable Multi Absorber is a sealed unit which should not be opened or refilled. * Avoid skin or eye contact with the contents of the absorber. In the event of skin or eye contact, immediately rinse the affected area with water and ‘seek medical assistance. * Do not remove the absorber canister to change the canister or to change the absorbent while ventilating a patient unless the system is equipped with the EZchange canister module, + Change absorbent often to prevent the buildup of non-metabolic gases when the system is not in use. * Inspect absorbent color at the end of a case. During non-use, absorbent can go back to the original color. Refer to the absorbent labeling for more information about color changes. + Ifthe absorbent completely dries out, it may give off carbon monoxide (CO) when exposed to anesthetic agents. For safety, replace the absorbent. + Desiccated (dehydrated) absorbent material may produce dangerous chemical reactions when exposed to inhalation anesthetics. Adequate precautions should be taken to ensure that absorbent does not dry out. Tum off all gases when finished using the system. When to change the A gradual color change of the absorbent in the canister indicates absorbent absorption of carbon dioxide. The color change of the absorbent is only a rough indicator. Use carbon dioxide monitoring to determine when to change the canister, Discard the absorbent when it has changed color. If left standing for several hours, absorbent may regain its original color giving a misleading indication of activity. Read the absorbent manufacturer's instructions completely before using the product. Met79475 85Aisys Removing a canister 1. Hold the canister by the handle and push on the release latch to unlock the canister, as re068 2. Remove the canister by tilting it downward and off the two support pins. Removing an +. Hold the canister by the handle and push the canister cradle EZchange canister release latch to unlock the canister cradle, ances uan179475LS ccc Seca | 8 Setup and Connections Reusable Multi = 1. Tum the canister upside down and, using your thumbs, tum the Absorber canister cover locking ring counterclockwise to uniock it. filling parigase 2. Push up to release the seal. 3. Liftoff the cover to remove it 4, Remove and properly discard the foam fiers, the absorbent, and any water in the reservotr. WARNING _ Be careful when draining condensate from the absorber. The liquid is caustic and may burn skin. i person 5. Toclean and disinfect the canister, refer to the “Absorber canister cleaning’in the "Advanced Breathing System Cleaning and Sterilization" manual. 1179475; a7Aisys 6. Place a new fir in the bottom of the canister, pour absorbent into the canister and place a new filter over the absorbent before closing and locking the cover. Wipe off any absorbent dust. 7. Align the cover slots with the canister locking tabs and press the cover down into place. Tum the cover locking ring clockwise to lock the cover in place. Ensure cover is properly sealed to prevent leaks and spillage. Alignment of the arrows helps to Indicate correct assembly. WARNING The filters must be in place to help prevent dust and Particles from entering the breathing circuit. 8. When replacing the canister, make sure that itis soated properly ‘on the support pins or in the EZchange canister module before latching it into place. CRE EEE OD OE OEE OE ED NO RRO RRR eR Cr ee ee ee eee é uatt79476 ?8 Setup and Connections Electrical connections Mains inlet Arrow shows the mains power inlet and cord. Outlets Labels show outlet voltage ratings and circuit breaker amp ratings. ‘These are isolated outlets. Regularly test the leakage current. Patient monitoring the port for the battery backup of the Datex-Ohmeda S/St™ battery backup Anesthesia Monitor with 12inch dspiay is located above tho isolated outlets. mani79475, 89SS LL A I/_ i SS eee Aisys Serial port — tho system has an RS-232C electrical interface. The RS-232C Connector allows serial input/output of commands and data, The 15+ pin connector is located on the back of the display unit. The 15-pin female D connector - Data Communications Equipment configuration (DCE): + Pin 1~ Monitor On/Standby + Pin 5-Signal ground + Pin6-Receive data + Pin 9 - Monitor On/Standby Return + Pin 13 - Transmit data : » < 4 c = eS c c e 8-10 ars79475 Z c fe8 Setup and Connections Pneumatic connections CAUTION — Use only medical grade gas supplies, Other types of gas. supplies may contain water, oll, or other contaminants Which could affect the operation of the pneumatic system. ‘The gas supplies provide gas to these devices through internal ‘connections: *+ venturi suction regulator (optional). + auxiliary ©, flowmeter (optional). Pipeline inlets Aaree0o Scavenging The scavenging assembly is located below the bellows on the breathing system, Adapters may be necessary to interface to tho scavenging connector. See "Passive AGSS (optional)" and ‘Active AGSS (optional)" in the “Operation” section for more scavenging information. anaipots 1179475 ettNN ‘ Aisys Sample gas return Connect the Datex-Ohmeda sample gas exhaust tube to the gas Port — retum port, Exhaust gas will be directed to the scavenging system, Pneumatic power outlet NORMAN ARR so7507 oe wi179475, HAA AnhehonAAnAnDe |8 Setup and Connections Vacuum suction — The vacuum suction regulator uses an extemal vacuum supply. regulator (optional) Connect the vacuum connection to the source vacuum supply. Connect the collection bottle connection to the collection bottle. peer Extemal vacuum connection Overflow safaty trap Splash guard Collection bottle connection Figure 6-2 + External vacuum suction Venturi suction The venturi suction regulator uses the system air or 02 ‘supply regulator (optional) source. Connect the collection bottle connection to the collection bottle pareuras 4. Venturi muffler 2. Overflow safety trap 3. Splash guard 4. Collection bottle connection Figure 6-3 + Venturi suction na79876 813Aisys Auxiliary 02 flowmeter (optional) 1. Auxiliary 02 outlet 2. Auxiliary 02 flow contrat Figure 8-4 + Auxillary 02 flowmeter - = a4 at79475 anaannn |a 8 Setup and Connections How to install gas cylinders CAUTION Do not leave gas cylinder valves open if the pipeline supply is in use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. Pin indexed cylinder 1. Locate the cylinder wrench. Yokes 2. Close the cylinder valve on the cylinder to be replaced. Loosen the tee handle. 4. Open the cylinder yoke. 5, Remove the used cylinder and the used gasket. 6, Remove the cap (if equipped) from the cylinder valve on the new cylinder. WARNING — Make sure there is only one gasket on the cylinder connection. No gasket or more than one gasket can cause a leak, 7. Install anew gasket. 8. Align the cylinder post with the index pins. 1 9. Close the yoke gate and tighten the tee handle. 10. Make sure there is a cylinder plug and gasket in any empty ler yokes. 11. Perform a ‘High-pressure leak test.” DIN cylinder connections 4. Close the cylinder valve on the oylinder fo be replaced. 2. Loosen the adapter and remove the cylinder. 3. Remove the cap from the cylinder valve on the new cylinder. 4, Install the cylinder. 5. Perform a “High-pressure leak test.” 179475, B45Aisys High-pressure leak a6 test 1 Tum on the system, Disconnect pipeline supplies. Turn off the auxiliary 0, flowmeter and the venturi suction. Open the cylinder. Record the cylinder pressure. Close the cylinder. + Ifthe cylinder pressure decreases more than 690 kPa (100 psi) in one minute there is a significant leak. To repair leak, install a new cylinder gasket and tighten the adepter. Repeat the foak test. Ifthe leak continues, do not use the system. Mri79476a 8 Setup and Connections How to attach equipment to the top of the machine WARNING — The top of the machine has a weight limit of 45 kg (100 Ib). Check the stability of the system in its final configuration. Make sure that weight is evenly distributed throughout the system. 1, Locate the clips or slots. 2. Install the straps. See the “Parts” section for more information. 3. Fully tighten the straps. 4. Make sure the straps hold the equipment in position. WARNING Fully tighten the straps. If straps are not fully tightened, equipment can fall off the top of the machine, 1170476 a79 User Maintenance WARNING To help prevent fires: + Do not use lubricants that contain oil or grease. They may bum or explode in high O2 concentrations. + All covers used on the system must be made from antistatic (conductive) materials. Static electricity can cause fires. + Desicoated (dehydrated) absorbent material may produce dangerous chemical reactions when exposed to inhalation anesthetics. Adequate precautions should be taken to ensure that absorbent does not dry out. Tum off all gases when finished using the system. 4x Obey infection control and safety procedures. Used equipment may contain blood and body fluids. 4, Moveable parts and removable components may present a pinch or a crush hazard. Use care when moving or replacing system parts and components. In this section — Repair policy Maintenance summary and schedule . Circuit 02 cell replacement. Calibration menu, . Flow and pressure calibration Circuit O2 cell calibration. Airway gas calibration. Backlight test How to help prevent water buildup . mni79a7s, oAisys Repair policy ‘CAUTION Do not use malfunctioning equipment. Make all necessary repairs or have the equipment sarviced by a Datex-Onmeda trained service representative. After repair, test the equipment to ensure that itis ‘functioning properly, in accordance with the manufacturer's published specifications. To ensure full reliability, have all repairs and service done by a Datex-Ohmeda trained service representative. If this cannot be done, replacement and maintenance of those parts listed in this manual ‘may be undertaken by @ competent, trained individual having ‘experience in the repair of devices of this nature, No repair should ever be attempted by anyone not having experience in the repair of devices of this nature. Replace damaged parts with components manufactured or sold by Datex-Ohmeda, Then test the unit to ascertain that it complies with the manufacturer's published specifications. Contact the local Datex-Ohmeda Field Service Representative for service assistance, Maintenance summary and schedule 92 Note ‘These schedules indicate the minimum frequency of maintenance based on typical usage of 2000 hours per year. Service the ‘equipment more frequently if it is used more than the typical yearly usage. Local policies or regulations may require that maintenance be performed more frequently than stated here. Minimum Frequency _ [Maintenance Daily + Clean the extemal surfaces. + Perform a flow and pressure calibration. + Empty the water reservoir and replace the absorbent in the canister. Monthly + Perform a Backlight test + Porform 21% and 100% 02 cell calibrations. [During cleaning and [+ Inspect the parts for damage. Replace or setup repair as necessary. mart79475 HOHHONHODOHAANHAAODAA NAA atee ee Datex-Ohmeda approved service mntz9475 9 User Maintenance Minimum Frequency [Maintenance [As necessary + Insiall new oylinder gaskets on cylinder yokes, + Empty the water reservoir and replace the absorbent in the canister. + Empty the overfow trap on the optional suction regulator. + Replace the circuit 02 cel. (Under typical Use the cell meets specifications fort year) + Ropiace the cisposable fow sensor (piastc). (Under typical use the sensor meets specications fora minimum of 3 months.) + Replace the autoclavable flow sensors (metal), (Under typicel use the sensor meets ‘specifications for a minimum of 1 year.) Replace the receiver fiter(ective gas scavenging only.) + Calibrate the airway modules every 6 months Cr whan there are indications of errors inthe gas readings, Calbrats airway modules that {ot oxtonsive usage every 2 months. + Inspect and clean the fan filters (disolay, ower supply, and siwway module). This Is the minimum level of maintenance recommended by Datex-Ohmeda, Local regulations may contain additional maintenance requirements. Datex-Ohmeda advocates compliance with local regulations which meet or exceed imum level of maintenance. ‘Minimum Frequency | Maintenance Te months Have a Datex-Ohmeda trained service represenialive complete the scheduled service maintenance checks, test, calbrations, and parts replacements as defined in the Technical Reference manual. 939 User Maintenance Calibration menu ‘Access the Calibration menu by pushing the Main Menu key and selection Calibration from the Main Menu. Select the calibration procedure and follow the instructions shown. See “Calibration” in the “Airway Modules” section for Information on calibrating the airway modules. See “Backlight test” for information on testing the backlights. Calibration Fiow and Pressure Circuit 02 Celt Airway Gas Backlight Test Provious Menu Flow and pressure calibration Calibrate the flow sensors by removing them from the system, On- screen Instructions are available through Main Manu - Calibration - Flow and Pressure. Important Room temperature fluctuations of more than 5°C may affect sensor measurements, Recalibrate the flow sensors if the room temperature changes by more than 5°C, 1. Set the Bag/Vent switch to Bag. 2. Remove the flow sensor module. 3. Wait for ‘No insp flow sensor’ and ‘No exp flow sensor’ alarms to cour, Reinsert the flow sensor module. Wait for alarms to clear. 5. Start mechanical ventilation when ready, n179475 osFn Aisys Circuit O, cell calibration 21% O, calibration 100% O, calibration 4. Push the Main Menu key. 2. Select Calibration, 3. Select Cireuit 02 Cell 4. Remove the flow sensor module. Unscrew the 02 cell to expose It to room air, ‘Select 21% 02 and push the Comheel to start calibration, Put the 02 cell back in and reconnect the flow sensor module ‘when the calibration passes. oe Ensure patient Y-piece is not plugged or there is no pationt tubing connected to the system, (ACGO option only.) Set the ACGO switch to Circle. 3. Set the BagiVent switch to Vent. 4. Select 100% 02 and push the ComMheel to start the calibration, 5. System will flow 02 to calibrate, Airway gas calibration 26 ‘The airway gas selection is only available on the Calibration menu when the system detects an alrway module and the module has completed the warm up phase. See the “Ainvay Modules" section for calibration instructions, Mitza475 NANMANAANAAAAAAwOA AA9 User Maintenance Backlight test Push the Main Menu key. Select Calibration. Select Backlight Tost. Select Start Test. ‘The display will show the test running on light 4 and then on light 2, If the display goes completely blank or fickers during the test, one of the lights has failed. Contact a Datex-Ohmeda trained service representative to replace the backlights. ares How to help prevent water buildup Pooled water in the flow sensors or water in the sensing lines may ‘cause false alarms. Small beads of water or a foggy appearance in the flow sensors is okay, ‘Water results from exhaled gas and the chemical reaction between CO? and the absorbent that takes place within the absorber canister. ‘At lower fresh gas flows more water builds up because loss gas is, scavenged and: + More CO2 stays in the absorber to react and produce water. + More moist, exhaled gas stays in the patient circuit and the absorber Solutions: + Equip systems with the optional condenser. See the “Parts” section for information, ‘+ Empty the water reservoir in the canister when changing the absorbent, + Ensure that water condensing in the breathing circuit tubes is, kept lower than the flow sensors and is not allowed to drain back into the flow sensors. + Water condensation in the breathing circuit tubing might be lessened by using a Heat and Moisture Exchange (HME) filter at the airway connection. Ni479475: a710 Parts Note This section lists user-replaceable parts only. For other components, refer fo the Technical Reference manual. In this section Flow sensor module Breathing circuit module 10-2 10-3 Bellows ........-.5 ; Complete Advanced Breathing System Absorber canister Exhalation valve assembly AGSS eee ‘ a Ezchange canister system ......--- 00-0 0seseeeeeees Condenser Test tools and system parts Manr9475 104Flow sensor module Item Description ‘Stock number Flow sensor module (dees not include fow _7407-7022-000 sensors) 7 Flow sensor cover “1707-3285-000 2 Flow sensor cuff 41407-3004-000 3” Flow sensor, disposable (plastic) 4803-3858-000 Flow sensor, autoclavable (metal) 1603-3244-000. 10-2 117947510 Parts Breathing circuit module Item Description ‘Stock number Broathing circuit module (does not include 02 — 1407-7002-000 cll, o-ring, or cat T___ Check valves circuit lens: *1407-3101-000 2 ‘Check vaive assembly 1406-8219-000 3 “O-ring for 02 cell or plug ‘4 O2 call (includes o-ring) 5 Cable, 02 cell = Plug (inekides o-ring; for systems without ©2 1503-3857-000 sensing) 10-3 Mat7e475Aisys Bellows Sate fc 2 item Description Stock number 1 eliows housing 4500-3117-000__ 2 Bellows 1500-3378-000 3 Rim 71500-3851-000, 4 Pressure relief valve assembly 1500-3377-000, 5 Latch, rim 1500-8352-000 “6 Manifold, bellows base 4407-3702-000, 7 Beillows base with latch 497-7006-000 S_Sesibase 1500-3359-000, = Diaphragm, APL 4706-3951-000 = Poppet, APL valve, 71406-3882-000 = Cage, APL 11406-3333-000 mati79475 ANAAAR AAA,10 Parts Complete Advanced Breathing System Item _ Description Stock number Completa beating eystem assombiyneudes; Flow sensor module (does not include iow sanaors) + Breathing circuit module does rot include APL vaive,02 cal, o-ing, or cable) ‘Complata bellows base + Canister not included = Autosiavable breathing assembly 1407-7017 000 = -Autoclavable breathing assembly, Australla _1407-7018-000 Mit70476 10-5 VVOwuuvuvvvvwvuvvvvvvvuvvvvuvvvvvevuvwevwvwwwvvvsyAisys Absorber canister 2 1 5 a tom Description Stock number “T—‘Wuitrabsorber, reusable (includes 40 pack of 1407-7006-600 ~ foam) (does not inlude abscrbent) 2 Gover assembiy, CO2 canistor 7008-8240-00 ‘3 Foam, 602 canister (pack of 40 1407-3207-000 4 O-ing 1407-8204-000 ‘5 Canister, CO2 with handle _—~ao7-3200-c00 ~ Mull absorber, disposable, wife to vlek pack B003758 of 6) - Multi absorber, disposable, pink to white (pack 8003963 of 6) 106 mai7e47sExhalation valve assembly Description Stock number Exhalation valve assembly 207-7005-000 it70475 10-7 |& 1 : @y Aisys oy 1 AGSS <4 1 oy Doserstion Stock number = <1 Common = ap. bab sane asa <1 Comecior let 30 mae w Tam male ———frenaees I Conti 20 rm mal ts 30 mm male” Noosa = Oring er conned 1881 {083555000 1 O-ring for receiver, 22 ID 4407-3104-000 1 “Out or usc, LATO _————aoraeoos— = Reservoir scavenger 1407-3003-000 1 “See, down ibs seayengse tar sap — oy Sea rcaher scavenge "aor son 000 = Thain 6 CIE ooss05000 1 Thamnbscrewe Hoes 053908005 7 ‘Valve, unidirectional (complete assembly) ~1406-8219-000 cS Passive AGSS xa “Ape, out 50m female oT mm Tale [paskTBHOGATE-TOD on ots oe ‘Eshaaths seas —— = Pug assembly 30mm ISO ~~ 1407-9008-000 — a 7 30 Ext Backup | Off, 1-6 : 7 F 2 F 2 spontaneous broaths 11-26 Ventilation mode transition Ventilation settings selectable through the Vent Setup menu are set to the factory default at start up of the system and at the end of each ‘case. The ventilation settings remain at the factory default until changed by the user. If ventilation setting is changed, the new setting remains active in all applicable modes until the setting is changed again. Exceptions include: + For modes that use RR 4 to 100, the RR transfers to the new mode at the set RR or 60 whichever Is smaller. For example, if the mode is use has RR of 75 and the new mode does not support a RR of 75, the RRs set at 60. + For modes that use RR 2 to 60, the RR does not transfer to modes that use RR 4 to 100. The RR is set to the factory default or the last set if previously used during the case. For example, if during the first case the RR (2 to 60) is set to 2 and the new mode ses RR 4 to 100, the RR is set to the factory default. + For modes that use I:E, when transfering to a mode that uses Tinsp, the Tinsp is set to a calculation of I:E or 5 seconds whichever is lower. man179475, NANANNNANANNHAKHNKANANNANNAMANNANMNANNANAANAANANAAAAAHnnn rere 11 Specifications and Theory of Operation Ventilator operating specifications Pneumatics Fresh gas compensation Pressure Volume Oxygen 1170475 ‘Gas source Anasthesia system ‘Gas composition ‘Medical Air or 02 Nominal supply pressure '350 KPa (60 pel) Pressure range at inlet 240 to 700 kPa (35 to 102 pal Peak gas flow $20 limin at 240 kPa (35 psi), O75 soconds ‘Continuous gas flow {80 lin at 240 KPa (35 pel) Flow valve range {to 120/imin at 240 KPa (35°pal Flow compensation range 200 mifmin to 16 Uinin Gas composition (02, N20, Air, anesthetic agents Patient airway pressure range -20 to ¥420 omi20, +/- 1 emH2O resolution High pressure alarm satrange 12 to 100 mH20, 1 om increment ‘Sustained pressure alarm range 6 to $0 omH20, 1 em increment Display range -20 to 120 omH20 “Tidal volume display rang (0 to 9689 mi, {mi resolution ‘Setting range 20 to 1500 mi ‘Minute volume 0.0 to 99.9 Iters, 0.1 er resolution Breath rate “to 100 bpm (non-spontaneous) 2 to 60 bpm (spontaneous) “bpm resolution Volume sensor pe ‘Variable flow orifice Display range ‘Oto 110% 02 Display resolution 1% increments ‘Sensor Galvanic fuel cell ‘Measurement rany ‘010 100% O2 ‘Measurement accuracy Belter than 2 3% of full scale Coll response time ‘35 seconds Note: Response time of coll and adapters is measured using the test ‘method described in ISO 7767 (1997). Tow 02 alarm range 18% to 99% High 02 alam setting 19% to 100% or OF Noto: Low 02 limit may not be set above high O2 limit. High 2 limit may ot be set below the low 02 lit, Expected cell ifs Four months of shelf ife (23°C room alt) and one year of normal operation. 41-27Aisys Ventilator accuracy data ‘The following accuracy data are based on patient conditions and settings described in ASTM F110‘. The ventilator is assumed to be ‘operating in volume mode. For the following to be true, the ventilator is operating with 100 percent oxygen in the breathing system; or itis connected to an anesthesia gas analyzer. ifthe ventilator is operating without being connected to an anesthesia gas analyzer, additional errors may occur as described in the gas composition chart. The minimum detectable breath size is 6.0 ml. Delivery accuracy Volums delivery accuracy ‘greater than 270 ml tidal volume - accuracy better than 7% Toss than 210 mi but greater than 60 mi tidal volume - accuracy better than 18 ml Tess than 60 rl tidel volume - accuracy betior than 10 ml ‘Volume monitoring accuracy (greater than 210 mi tidal volume eccuracy better than 99% Tess than 210 mil but greater than 60 mi tidal volume - accuracy better than 18m Toss than 60 mi del voiume - accuracy better than 10 mi Thepiratory pressure delivery accuracy _ greater of +/- 10% or #- 3 cmH20 PEEP dolivery accuracy + 4.5 omH0, Pressure monitoring accuracy ‘greater of #/- 8% or #/- 2 omHZO Note: Gas composition errors may be in adcition to the above normalized ‘accuracy. When adding errors, positive errors can have the effect of nulling out negative errors, Noto: Use of anesthetic agont could affect the errors by approximately -0.95%/% volume agent in normal mode, %02 NO sang aaraner Figure 11-8 + Gas composition related errors NOOO NOMOOHONOONONONONNNOANNNONNNANANDAANNOOTS 11-28 Man179475 eae11 Specifications and Theory of Operation Electronically controlled vaporizer and Aladin cassette Electronicelly controlled vaporizer for delivery of five agents: halothane, isoflurane, enfiurane, sevoflurane, and desfiurane. The cassettes can be handled safely without excessive leakage of anesthetic agent to the environment. The electronically controlled vaporizer is calibrated using 100% 02 at multiple flows, t setting ran Halothane, en‘lurane, isoflurane Oi, 0.2 to 5% in fresh gas flow, resolution 0.1% Sevoflurane (Off, 0.2 to B% in fresh gas flow, resolution 0.1% Deaflurane ‘Off, 1 to 18% in rosh gas flow, resolution 0.2% ‘Accuracy Halothane, enflurane, isoflurane, and _ £10% of setting or 20.2% viv, wichever sevoflurane in typical operating Is the greatest conditions. Frosh gas flow range 1 to 10 timin, Ambient temperature 18 to Halothane, enflurans, 420% of selling or 20.4% vi sevoflurane in other operating whichever s the greatest conditions. Frash gas flow range 0.2 to 40 Uimin, Ambient temperature 10 to 35°C. Desflurane in typical operating HO% of setting or 20.5% wv, ‘conditions, Frash gas flow renge 1 to whichever is the greatest 10 Uimin, Ambient temperature 18 to 25°C. Desflurane in other operating 320% of salting or 21% vi, whichever conditions. Fresh gas flow range 0.2 to Is the greatest 10 min. Amiblent temperature 10 fo 35°C. Note: Sevoilurane concentrations above 5% may not bs reached ifthe ambient ‘temperature is below 18°C and the fresh gas flow is above 5 /min. Note: For Aladin, desflurane, if not operating in enhanced temperature sensing ‘mode, the agent output accuracy calms above may not be met using high fresh 1988 flows and high concentration settings. Note: Sevoflurane and desflurane concentration at high fresh gas flows (greater than & limin) and high concentration stings (sevoflurane greater than 5%, desflurane greater than 12%) will dectine after some minutes of use. The rate of decline wil increase with higher setting, higher fresh gas flow, and lower ‘temperature. Note: The effect ofthe fresh gas composition and back pressure on the agant ‘concentration are included in the acouracy spectications. Note: Ambient pressure does not effect output accuracy. The system delivers the same %V/V within the specified allude range. Response time "To 00% of stop; measured at fresh gas_Less than 7 seconds at fresh gas fiow outlet of 2Umin wan179475, 14-29Aisys Aladin, cassettes 11-30 Filling Filing system Easy-Fik Adapler filer system for isoflurane, onfiurane, and sevoflurane. Quick-Fil: Filer systern compatible to ‘Abbot's system for sevoflurane. Saf-T-Fit Filler system compatible to tho Datex-Ohmeda Saf-T-Fil bottle for desflurane, Filing speed eater than 2 mis, ‘veriling protection ‘Overfiling prevention systems builtinto the cassetios. Liquid capacity Enf, Iso, Sev Des Maximum 20 mi 240 ‘Normal fl when indicator 125 mi (residual volume — 140 mi residual volume — shows empty 95 mi) 400 mi Casseite Empty weight 20ke Height Tem Dept 24 cm ‘width Ere team eee ee wwit79475, © © c c Cc € € Cc c c c G c © G c © G G G G 6 « c « « ¢ « ‘ ‘ ¢ ‘ « ‘ ‘ ‘ 6 ‘ ‘ ‘ « ‘ ¢ ‘14 Specifications and Theory of Operation Aladin cassettes Filling Filing system “Adapter filing: Rectangular keyed adapter filer eyatem for halothane, isoflurane, enflurane, and sevoflurana, Quick fit filer system compatible to abbot’s system for sevoflurane. Cylincrical Keyed adaptor: Filler system ‘compatible to the Datex-Ohmeda Saf- TFilbotle for desflurane, Filing speed ‘greater han 2 mils (Overfling protection ‘Overfling prevention systems builtinto the cassettes, Liquid capacity Maximum, 250m “Normal filwhen indicator shows emply 150ml (Fesidual volume 100 ml) Cassette Empty weight 2 kg: enflurane, Isoflurane, sevoflurane: with keyed filer, 2.5 kg: halothane with keyed filler, sevoflurane with Quik-Fi. 3 kg: desflurane. ight Tom Depth 23 om Width t4em 46 om with keyed filor ii70475 14-31Aisys Electromagnetic compatibility (EMC) Gui WARNING idance and manufacturer's declaration - electromagnetic emissions Changes or modifications to this equipment not expressly approved by the manufacturer could cause EMC issues with this or other equipment. Contact the manufacturer for assistance. This device is designed and tosted to comply with applicable regulations regarding EMC as follows. Use of portable phones or other radio frequency (RF) emitting equipment (that exceed electromagnetic interference levels specified in IEC 60601-1-2) near tho system may cause unexpected or adverse operati Monitor operation when RF emitters are in the vicinity. Use of other electrical equipment on or near this system may cause interference. Verify normal operation of equipment in the system before use on patients. The system Is suitable for use in the specified electromagnetic environment. The customer and/or the user of the system should ‘assure that is used In an electromagnetic environment as described below. Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 ‘The system uses RF energy only forts intemal function. Therefore, Ts RF CISPR 11 emissions are very low and are not ikely fo cause any interference in nearby elecironic equioment. i RF emissions lass B ‘The system is suitable for use in all establishments, including domestic CISPR 11 establishments and those directly connected to the public low-voltage power Harmonic Glass A Supply notwork that supplies buildings used for dornestic purposes, ‘emissions HEC 6100-32 Voliag Complies fluctuations! flicker emissions EC 6100-33, 11-32 mnt79475; ONNAANAAANRANRAANANANRAARAANRANAAARAAA AAA AAA EHR14 Specifications and Theory of Operation Guidance and The system is suitable for use in the specified electromagnetic manufacturer's environment. The customer and/or the user of the system should declaration - 22ure thetit/s used nn electromagnetic environment as described a below. electromagnetic immunity Power immunity Arnmunity test IEC 60601-41-2tastLovel_ Compliance levet tgetromagnetc environment guidance Electrosiallc discharge £6 KV contact ZERV contact Floors should be wood, concrete, or (ESD) IEC 61000-4-2 #8KV air £8 kVair ceramic tile. If floors are covered with ‘synthetic material, the relative humicty should be at least 30%, Electrical fast 2 RV Tor poner suppl) = 2RVTor poner supply Mains power quality shouldbe that of @ transiontourst IEC lines Ines typical commercial andr hosrital 61000-4-4 1 RV for inpuvoutput 1 KV for inpuvfoutput —_environrnont. ines fines SugeEC GOGO = TK diferent mode + 1 KV/diferenifal mode — Mains power quay shouldbe that ofe 2RV common mode 2KV cormon mode typical commercial andlor hospital a environment Vatage dpe, shot To change the name of the case, select Name. i + Select Clear to remove the existing name. = + Select up to 10 characters from the list. 7 + Select Delete to delete a character. 2 + Select Save to save the name and ciose the selection, = window, = + Select Reset to return the name to the factory default name. i * When the 10 character maximum Is reached, the name Is eS automatically saved. The selection window clos = 4, Select another item to change. Make the change. = 5. When finished setting the defaults, select Confirm. a 6. Repeat to set the defaults for the other default case types. = 7. Select Previous Menu to return to Install/Service - Page 2. iz 1242 mi79475 =Note 12 ‘Super User Mode Each case type has multiple settings. The default settings for the default case types show in the following table. Values in bold are different from the default case type ADULT. A * in‘ tes that the setting is not available for the default ventilation mode. Use the empty columns to write in facility changes. VCV ADULT settings are used as the default if the system does not have the optional ventilation mode shown. Default settings for default case types ADULT PEDIATRIC LocaL custom 1 Namo AOU PEDIATRIC TOCAL cUsTOMT | Patont and Sensor Type | Adult Podi Adutt cuit | Pationt Weight 70g t8kg 70kg 70a Patiant Age 4oy sy oy 4oy Other Gos Ar Ar Ne lr Creu Circle cre Chee Circo Dota Source Vent Vent Vont Vent ‘Vent Mode vov. pov vov_ vov__ Ww 00 ¥ "500 500 FR 2 . 2 2 ke 12 : 12 12 Tpaus of : on of PEEP of . of on Pmax 40 . 40 40 inep * e 7 * FR : 2 . * ke . 42 . : PEEP 7 on . : max : 40 . . Riso Rete 7 Ato : * o2% 100 100 100 100 Total Flow 6.00 6.00 0.20 6.00 ‘Swoop Spood Fast Fast Fast Fast Spit Screen Paw Gas Gas. Gas ‘Waveform Fld 4 Pew Paw Paw Pow Waveform Field 2 Flow Flow Flow Flow Waveform Field 3 coz coz coz coz Digit Fold AA AA AA [aa ‘Auto MV Lint Off off OFF Off Alarm Volume 3 3 1 3 NITY Alerme On On on On Volume Apnea on On on on MV High 100 100 of 10.0 MV Low 20 20 off 20 Whigh +1000 ‘1000 off ‘1000 Wow on on on of RR High of of of on RR Low oF of oF of EtCO2 High 80 80 80 80 ICO? Low 30 30 30 30 FiCO2 High of of or oF Foz High, off of of of FIO2 Low 2 at a 2 E102 High on on on on E102 Low of of oF on FSO High 5 8 5 5 eee mat179475 12-13ee ee Aisys Default settings for default case types L ADULT PEDIATRIC LOCAL CUSTOM 1 | FISO Low Tor OF or oF | ESO High oF oF on on ESO Low on on of of FISEV High 8 8 8 8 | FISEV Low on on oF or |! EISEV High of oF oF on | | ESEVLow or ofr or on FRDES High 18 15 15 15 FIDES Low on on ___ lon for EIOES High of of off of EIDES Low of on on oF ENF High 5 5 5 5 FIENF Low or on on on EIENF High on oF on on EIENF Low of on on of / FRAL Hn 5 : e 3 | FHALLow on on of of EVHAL High on | ofr oF on EWALLow of or | fon _ lor 2 12-14 (M1179475, es eeeMn179475: In this section 13 Vaporizer cassettes Vaporizer... 0.0. eee nese apes pea tia 13-2 Installing cassettes 66.6.6... 6 ecco e eee c eee ee eee 13-6 Cleaning Draining cassettes . Draining halothane cassettes Filling Aladin, cassettes Filling Aladin cassettes 134Se ee i Aisys Vaporizer The electronically controlled vaporizer consists of the intemal Slectronic contro unit and the Aladin agent cassette. The agent Cassettes are color coded, have indexed filing ports, and are ‘magnetically coded for each agent. The electronic control unit ‘governs the flow through the agent cassette and the agent Concentration in the fresh gas flow. Both the Aladin, end the Aladin cassettes can be used on this system. Remove the cassette ftom the active bay when not administering anesthetic agent. Store cassettes in the cassette bay when they are Tot in use. Store the cassettes and agent at the same temperature a the system. Aladin, cassette \ Aladin, cassettes have electronic agent level sensing. The agent Variants level shows graphically in the agent settings area of the screen the electronic agent level sensing is not functioning, the agent level tinknown symbol shows on the screen. In this case, refer to the liquid level indicator, Some Aladin, cassettes have intemal temperature sensing. available, an enhanced temperature sensing symbol shows on the {ront of the cassette and the symbol shows in the agent settings area of the screen, ‘There are three types of Aladin, cassette filer systerns. Enflurane, and isoflurane use a color-coded, Easy-Fil mechanism, Sevoflurane cassettes are available with a color-coded, Easy-Fil or Quik Fil Mechanism. The desflurane cassettes have a filing mechanism that is compatibie with Saf-T-Fil desflurane bottles, Note Sevoflurane Quik-Fil Aladin, cassettes are not avellable In all countries, Anesthetic agent | Filling systom Color code Enflrane Easy-Fil ‘Orange Isoflurane: Easy-Fil Purpie ‘Sevoflurane Easy-Fil or Quik Fi Yellow Besflurane Blue 13.2 wani79475 ee13 Vaporizer cassettes Assocs 1. Handle with release trigger 2. Lock 3, Agent fling port 4, Liquid level indicator Figure 13-1 + Aladin, desflurane cassette with Saf-T-Fil system 41. Handle with release trigger 2, Lock 3. Liquid level indicator 4. Agant filing port Figure 13-2+ Aladin, cassette for enflurane, isoflurane, and sevoflurane with Easy-Fil or Quik-Fil system nt79475: 13-3Aisys 13-4 Aladin cassette variants Note Aladin destturane cassettes have electronic agent level sensing. No other Aladin cassettes have electronic level sensing. The agent level shows graphically in the agent settings area of the screen, If the electronic agent level sensing Is not functioning, the agent level unknown symbol shows on the screen, ‘When electronic level sensing Is unavailable for an Aladin cassette, the agent level unknown symbol shows in the agent settings area of the screen. In this case, refer to the liquid level indicator. There are three types of Aladin cassette filler systems. Halothane, enflurane, and isoflurane use color-coded, keyed fillers, Sevoflurane cassettes are available with a color-coded, keyed filler or a Quik-Fil mechanism. The desflurane cassettes have a filing mechanism that Is compatible with Saf-T-Fil desfiurane bottles. Sevoflurane Quik-Fil Aladin cassettes are not available in all countries. [Anesthetic agent [Filling system (Color code: Halothane Keyed Red Enflurane Keyed (Orange Isoflurane: Keyed 1 ‘Sevoflurane: Keyed or Quik Fi { Desfiurane ‘Compatible with SakT-Fil Handle with release trigger Liquid level indicator ‘Agent filing port Lock and fil whee! eRe Figure 13-3+ Aladin cassette for halothane, enflurane, Isoflurane, and sevoflurane with keyed filler system 1179475 saagcanancnacnag @ o So o oe e Sc So cS cS cS cS Sc Sc S S S c c S Cc S S13 Vaporizer cassettes 1, Handle with release trigger 2. Liquid level indicator 3. Agent fling port Figure 13-4 + Aladin cassette for sevoflurane with Quik-Fil system g s g 1. Handle with release trigger 2. Liquid level indicator 3. Agent filing port Figure 13-6 + Aladin cassote for desflurane with Saf-T-Fil compatible filter system 170475 13:5| Aisys Installing cassettes Using the liquid level indicator check that the cassette is filled to the appropriate level. 2. Ifusing Aladin., unlock the cassette handle before installing it in the active bay. 3. Insert cassette into the active bay untl a click is heard, ensuring the cassette is in position. 4. Tur the lock on the handle to the horizontal position (Aladin, cassettes only). 5. The cassette is properly inserted when the agent is identified on the display, Make sure that the displayed agent matches the cassette, Note Store the cassettes in the cassette bay when they are not in use. Cleaning Remove the cassette from the machine. Clean the cassette surface with a cloth moistened in mild soap solution. CAUTION Do not wipe Aladin cassettes with alcohol or alcohol- based detergents. This may damage the surface of the cassette. Draining cassettes Note All types of Aladin cassettes must be emptied before shipping, Package the cassettes in suitable wrapping when shipping. 1. Remove the cassette from the machine, and place it on @ horizontal surface. Ensure that the valve pins on the back of the cassette do not come in contact with the machine or any other object. 2. Connect an empty bottie with the appropriate filler type to the Cassotte filler port and hold the connection tight, 3. Tum the cassette so that the agent flows into the bottie and wait Until the cassette Is empty, 4. To get the maximum amount of agent out, rock the cassette from left fo right and tip it forward and back several times, Remove the bottle, Retum the cassette to the horizontal position, After draining, the cassette needs to inserted into a machine with a high fresh gas flow and concentration set for at least 15 minutes to dry out the cassette. 13-6 Mtr7047613 Vaporizer cassettes Draining halothane cassettes ‘The decomposition of halothane causes the release of halides, which ‘may corrode metal components particularly in the presence of moisture. A preservative added to halothane by its manufacturers, to Impede decomposition, can leave a reside which may cause cassette components to stick. + Have the halothane cassettes drained every tiwo weeks. + If halothane is used infrequently, have the halothane cassette drained atter use, + Do not flow gas through the cassette to dry out the cassette. Filling Aladin, cassettes Remove the cassette from the machine before fillng the cassette. Ensure the cassette remains in @ horizontal position during filing. f the cassette Is tilted, the flow of liquid is shut off to prevent overfling. Ensure that the valve pins on the back of the cassette do not come in ‘contact with the machine or any other object that could depress the valve pins and let gas out of the cassette, Observe the liquid level indicator of the cassette during fling. When the liquid level reaches the full mark, stop filing. CAUTION — To avoid spray from anesthetic agent after filling, slowly remove the agent bottle from the filling port. WARNING Always remove the Aladin cassette from the machine and put it on a horizontal surface before filing. Never try to fill a cassette while itis in the machine. @ tax a a Mst79475, 13-7Aisys Filling with Easy-Fil 13.8, system WARNING WARNING Tho Easy-Fil system consists of three elements: +The bottle collar. + The bottle adepter. + The agent filing port Figure 13-6 + Aladin, cassette with Easy-Fil system Do not open or press the cassette filling port or the gas connection valves with fingers or any kind of instrument. Anesthetic agent liquid or gas may squirt into the air. 4, Remove the cassette from the machine, and place it on a horizontal surface. Ensure thet the valve pins on the back of the cassette do not come in contact with the machine or any other object. 2. Align the notches on the bottle adapter to the agent bottle collar, ‘and fighten the adapter onto the bottie. To avoid exposure to anesthetic agent during filling, ensure that the bottle adapter is properly connected to the bottle. 3. Remove the filing port cap from the cassette by turning the cap counterclockwise. 4, Align the bottle adapter keys with the index slots in the filing port. 5. Push the agent bottle firmly into the filing port, Let the agent flow into the cassette. Keep the agent bottle aligned with the filing port to prevent leakage while filing the cassette 6. Watch the liquid leve! indicator. When the liquid level reaches the {ull mark, slowly temove the bottle from the filing port. Removing the bottio quickly may cause the agent to splash or squirt out of the filing port. Mans79475 AAA ARRAN AAA AMANANANAANANAANAAARAANHANFilling with Quik-Fil mait79478 system WARNING 13 Vaporizer cassettes 7. Put the cap back on the filing port. 8. Remove the bottle adapter from the anesthetic agent bottle. Put the cap back on the agent bottle. Figure 13-7 + Alading cassette with Quik-Fil system Do not open or press the cassette filling port or the gas. connection valves with fingers or any kind of instrument, Anesthetic agent liquid or gas may squirt into the air. 4. Remove the cassette from the machine, and place it on a horizontal surface. Ensure that the valve pins on the back of the cassette do not come in contact with the machine or any other object. 2. Remove the yellow protective cap from the anesthetic agent bottle. Check that the filing mechanism on the bottle is not damaged. 3. Remove the filling port cap from the cassette by tuning the cap counterclockwise. 4. Align the bottle nozzle keys with the index siots in the filling port, 5. Push the agent bottle firmly into the filing port. Let the agent flow into the cassette, 8. Watch the liquid level indicator. When the liquid level reaches the full mark, slowly remove the bottle from the fing port. Removing the bottle quickly may cause the agent to splash or squitt out of the filing port. 7. Put the cap back on the fling port. 8. Put the cap back on the agent bottle. 13-9Aisys Filling with Saf-T-Fil 1340 bottle WARNING Figure 13-8 + Aladin, cassette with Saf-T-Fil mechanism Do not store filled or partially filled desflurane cassettes above the normal working temperature of 36°C/95"F. Storage at high temperature may cause the overpressure valve to vent desfiurane vapor into the ambient air. Do not open or press the cassette filling port or the gas connection valves with fingers or any kind of instrument. Anesthetic agent liquid or gas may squirt into the air. 1, Remove the cassette from the machine, and place it on a horizontal surface. Ensure that the valve pins on the back of the cassette do not come In contact with the machine or any other object. 2. Remove the cap from the desflurane bottie. Check that the o-ring is correctly fitted on the bottle nozzle. ana79475,13 Vaporizer cassettes _ mason 4. Bottle cap 2. Oring Figure 13-9 « Removing the bottie cap 3. Insert the nozzle into the filing port, and push the bottle firmly against the spring pressure unt it stops. 4. Keep tha bottle firmly inserted, and lift the bottie upwards. 5. Watch the liquid level indicator, Do not leave the bottle, Uunaltended while itis attached to the cassette. 6. When the liquid level reaches the full mark, lower the bottle to the lower stop position. Keep the bottle firmly inserted, Wait § seconds to allow the agent to drain from the filing port baci the bottle, 7. Slowly remove the bottle from the filing port. Removing the bottle Quickly may cause the agent to splash or squirt out of the filing Port, 8 Put the cap back on the agent bottle. to Mii79475 13614Aisys Filling Aladin cassettes 13-12 CAUTION WARNING ig with keyed filler system WARNING Remove the cassette from the machine before filing the cassette, Ensure the cassette remains in a horizontal position during filing. If the cassette Is tilted, the flow of liquid is shut off to prevent overtiling Ensure that the valve pins on the back of the cassette do not come in contact with the machine or any other object that could depress the valve pins and let gas out of the cassette. Observe the liquid level indicator of the cassette during filing. When the liquid level reaches the full mark, stop filing, To avoid spray from anesthetic agent after filling, slowly remove the agent bottle from the filling port. Always remove the Aladin cassette from the machine and put it on a horizontal surface before filing. Never try to fill a cassette while it is in the machine. Inaccurate anesthetic agent dosages may temporarily occur after filing if the temperature of the liquid is considerably different from the normal operating temperature. Figure 13-10 + Filing Aladin cassette with keyed filer system Do not open or press the cassette filing port or the gas connection valves with fingers or any kind of instrument. Anesthetic agent liquid or gas may squirt into the air. 1. Remove the cassette from the machine, and place it on a horizontal surface. Ensure that the valve pins on the back of the cassette do not come in contact with the machine or any other object. Mrtro47s OO i ee eeMnir0478: WARNING CAUTION 13 Vaporizer cassettes 2. Align the notches on the bottie adapter to the agent bottle calla, and tighten the adapter onto the bottle. To avoid exposure to anesthetic agent during filling, ensure that the bottle adapter is properly connected to the bottle. 3. Insert the keyed filler into the agent filing port on the cassette. Make sure that the square end of the filler is flush with the cassette body as shown. Ensure that the keyed filler is properly inserted into the filling port on the cassette. If air leaks into the system, the overfill protection mechanism of the cassette will not function properly. Overfilling the cassette may result in vaporizer delivery failure. 4, Lock the keyed filer by turning the lock an fil whee! fully clockwise. 5. Tum the bottle upside down. Check that the liquid flows evenly Into the cassette. If it does not, tighten the wheel unti the liquid starts to flow. 6. Walch the liquid level indicator. When the cassette is full, lower the bottle to stop the flow of liquid. 7. Turn the lock and fill wheel a half turn counterclockwise to close the filing port. Wait for the residual anesthetic agent to trickle back into the bottle, 8, Turn the lock and fill whee! fully counterclockwise, and remove the keyed filler from the filing port. 9, Remove the bottle adapter from the anesthetic agent bottle. Put the cap back on the agent bottle. 13-43Aisys Filling with Quik-Fil system WARNING 13-44 Figure 13-11 + Filing Aladin cassette with Quik-Fi system Do not open or press the cassette fling port or the gas. connection valves with fingers or any kind of instrument, Anesthetic agent liquid or gas may squirt into the alr. 1. Remove the cassette from the machine, and place it on a horizontal surface. Ensure that the valve pins on the back of the cassette do not come in contact with the machine or any other object. 2. Remove the yellow protection cap from the anesthetic agent bottle. Check that the filing mechanism of the bottio is not damaged. 3. Remove the filing port cap from the cassette by turing the cap counterclockwise, Insert the nozzle of the bottle into the filing port, Push the agent bottle firmiy into the filing port. Let the agent flow Into the cassette, 8. Watch the liquid level indicator. When the liquid level reaches the {ull mark, slowly remove the bottle frorn the fling port. Removing the bottie quickly may cause the agent to splash or squirt out of the filing port. 7. Put the cap back on the filing port. 8. Put the cap back on the agent bottle Met7e476 NAKNANAANAHANANANANADRAADADA AaFilling with Saf-T-Fil bottle CAUTION WARNING Nat79475 13 Vaporizer cassettes Figure 13-12 + Filing Aladin cassette with Saf-T-Fil bottle. Do not attempt to fill the cassette with desflurane that is warmer than 26°C/78°F. The overfill prevention system may lock and prevent cassette filling. Do not store filled or partially filed desflurane cassettes above the normal working temperature of 35°C/95°F. Storage at high temperature may cause the overpressure valve to vent desflurane vapor into the ambient air. Do not open or press the cassette filling port or the gas connection valves with fingers or any kind of instrument. Anesthetic agent liquid or gas may squirt into the air. 1. Remove the cassette from the machine, and place it on a horizontal surface. Ensure that the valve pins on the back of the cassette do not come in contact with the machine or any other object. 2. Remave the cap from the desflurane bottle, Check that the o-ring is correctly fitted on the bottle nozzle. 13-45Aisys 13-46 _ 1, Bottle cap 2, Oxing Figure 13-13 Removing the bottle cap 3. Insert the nozzle into the filing port, and push the bottle firmly ‘against the spring pressure unti it stops. 4. Keep the bottle firmly inserted, and lift the bottle upwards. When the liquid level reaches the full mark, lower the bottle to the lower stop position. Keap the bottle firmly inserted. Wait 5 seconds to allow the agent to drain from the filing port back into the bottle. 6. Slowly remove the bottle from the filing port. Removing the bottle ‘quickly may cause the agent to spiash or squirt out of the filing port. 7. Remove the bottie from the filing port. 8, Put the cap back on the agent bottle. 1179475A Abbreviations 1-7 Absorber canister changing absorbent 8-5 filing 8-7 parts 10-6 removing 8-6 setup 8-4 ACGO 2.9 port relief 11-5 Positive low-pressure leak test 5-11 ‘scavenging a gas monitor sample flow 2-10 scavenging from an auxiliary manual breathing circuit 2-10 scavenging the ACGO sample flow 2-8 Active AGSS 3-30 ‘Advanced breathing system 2-5 optional components 2-7 parts 10-5 AGSS active 3-30 connecting active adjustable 3-31 connecting active with a flow indicator 3-31 parts 10-8 passive 3-29 Air adjust 3-9 Airway modules 6-2 agent identification 6-6 calibration 6-6 connection to a patient 6-4 Parameter setup 6-5 specifications 11-14 Aladin 13-4 Aladin cassettes Aladin 13-4 Aladin2 13-2 cleaning and disinfection 13-6 filing Aladin cassettes 13-12 filling Aladin2 cassettes 13-7 installing cassettes 13-6 Aladin2 13.2 Mt179475, Index Alarm 7-2 battery indicator 7-3 de-escalating 7-3 display changes 7-2 internal feilure 7-3 list of 7-4 priorities 7-2 ranges 7-13 silencing 7-2 tests 7-15 Alarm priorities 7-2 Alarm ranges 7-13 Alarm setup 3-23 Auto MV limit 3-25 CO2 alarms 3.24 MVITV alarms 3-24 setting alarm limits 3-23 volume apnea 3-24 Alarm tests 7-15 Altemate 02 contro! 3-26 Anesthesia system display 2-13 Auto MV limit 3-25 Automatic agent identification 6-6 Auxiliary 02 flowmeter 8-14 Backlight test 9-7 Battery indicator 7-3 information 11-10 Battery indicator 7-3 Bellows assembly parts 10-4 Breathing circuit module Parts 10-3 Breathing system problems 7-17 specifications 11-11Aisys Cc Calibration 100% 0296 21% 0296 airway module 6-6 backlight fest 2-7 flow sensor 5-4 02 cell 9-6 Calibration menu 9-5 Canister setup 6-4 Cardiac bypass 3-18 Changing circuit type 3-10 Checkout menu 5-5 Circuit circle 3-10 non-circle 2-8, 3-10 non-circle relief 11-5 Circuit compliance compensation 5-4 CO? alarms 3-24 Condenser operation 3-28 parts 10-10 theory 11-6 Configuring case defaults 12-12 Connections electrical 8-9 pneumatic 8-11 Controis alternate 02 3-26 on the display 2-12 Cylinder installation 8-15 D De-escalating alarms 7-3 Digit field 2-15 setup 3-21 DIN cylinder connections 8-15 Display changes during alarms 7-2 Display controls 2-12 Electrical power specifications 11-9 problems 7-18 safety 11-36 Electrical block diagram 11-7 Electromagnetic compatibility 11-32 42 End case 3-6 Environmental requirements 11-13, Exhalation valve assembly parts 10-7 EZchange canister 3-27 parts 10-9 removal 8-6 theory 11-5 F Filling Aladin cassettes filling with Keyed filer system 13-12 filing with Quik-Fil system 13-14 filling with Saf-T-Fil bottle 13-15 Filling Aladin2 cassettes filing with Easy-Fil system 13-8 filling with Quik-Fil system 13-9 filling with Safe-T-Fil bottle 13-10 Flow and pressure calibration 9-5 Flow sensors parts 10-2 prevent water buildup 9-7 Flow specifications 11-10 Fresh gas usage 3-19 G Gas scavenging specifications 14-12 Gas setup 3-9 Gas supplies 11-4 specifications 11-5 H High-pressure leak test 8-16 How to attach equipment to the top of the machine 8-17 How to install gas oylinders 8-15 I IEC 60601-1 Classification 11-37 Individual checks 5-8 circuit 5-8 circuit 02 cell §-9 Low P leak 5-9 Low P leak (machines with ACGO) 5-9 system 5-8 Install/Service menu 12-2 Mr70475 1 1 ! 1 I ] | | | I I | | 1 1 | | i | | | | | | | | | | | | | | FAGADANDHADAGHHAODGOOODOOHOOANOOCO ODL OCO CAD BOIntended use 1-2 Internal failure 7-3, L Leak 5-5 List of alarms 7-4 Low Pressure Leak test §-9 MAC 3-5 Machine check 5-6 circuit 5-7 circuit 02 5-7 monitor 5-7 system 5-6 Main menu 3-16 Mains inlet 8-9 Maintenance schedule 9-2 Minimum Alveolar Concentration 3-5 MV/TV alarms 3-24 Negative low pressure leak test 5-9 Non-circle circuit 2-8 °o 02 cell calibration 9-6 replacement 9-4 theory 11-48 02 flow adjust 3-9 start 3-3 Outlets 8.9 Overview system 2-2 P Parameters setup 6-5 agent setup 6-5 CO2 setup 6-5 data source 6-5 02 setup 6-5 spirometry setup 6-5 Passive AGSS 3-29 Pin indexed cylinder yokes 8-15 mnn70475 Pipeline inlets 8-11 Pneumatic connections 8-11 problems 7-19 specifications 11-5 system pneumatic circuits 14-2 Positive low pressure leak tost (ACGO- systems only) 5-14 Preoperative Checkout 4-1 Preoperative Tests 5-1 Problems breathing system 7-17 electrical 7-18 pneumatic 7-19 Q Quick keys changing gas settings using 3-9 changing ventilator settings using 3-7 R Repair policy 9-2 Ss ‘Sample gas return port 8-12 Scavenging 8-11 ‘a gas monitor sample flow 2-10 CGO sample flow 2-9 from an auxiliary manual breathing circuit 2410 specifications 11-12 ‘Screen configuration 3.20 Screen setup 3-21 Select page 3-20 Serial port 8-10 Service schedule 9-3 Setting alarm limits 3-23 Setting gas controls 3-22 Setup changing circuit type 3-10 changing gas and settings 3-9 gas 3-9 vent 3-7 Setup warnings 8-2 Silencing alarms 7-2Alsys Specifications breathing system 11-14 flow 11-10 gas scavenging 11-12 physical 11-13 pneumatic 11-5 ventilator operating 11-27 Spirometry menu functions 3-11 scaling 313 setting loop type 3-12 Spirometry setup 3-14 selecting a data source 3-18 setting patient and sensor type 3-14 setting spirometry split screen 3-15 Split screen 3-22 Standards 11-37 ‘Start case 3-6 Start gas flow 3-3 Suction regulator specifications 11-16 Vacuum 8-13 Venturi 8-13 Super User menus case defaults 12-12 colors and units 12-9 cumulative gas usage 12-4 graphical trends 12-7 page setup 12-10 parameter settings 12-10 time and date 12-8 trends setup 12-7 volume apnea setup 12-5 Super User mode 12-1 menus 12-4 using 12-3, Sweep speed 3-22 ‘Symbols 1-4 ‘System components 11-38 overview 2-2 pneumatic circuits 11-2 turn on 3-2 System inspection 5-2 T Test tools and system parts 10-11 Trends 3-17 Troubleshooting breathing system 7-17 electrical 7-18 pneumatic 7-19 Turning system on 3-2 U Using menus 2-15 Vv Vacuum suction regulator 8-13 Vaporizer installation 5-3 Vaporizer cassettes fillng Aladin cassettes 13-12 filing Aladin2 cassettes 13-7 installing cassettes 13-6 Ventilation modes 11-18 POV-VG 11-25 pressure control 11-20 PSVPro 11-22 SIMVIPSV 11-21 SIMV-PC 11-24 volume control 11-19 Ventilator accuracy data 11-28 changing modes and settings 3-8 modes 11-18 operating specifications 11-27 setup 3-7 theory 11-17 Venturi suction regulator 8-13. Volume apnea 3-24 w Water buildup prevention 9-7 Waveform 2-45 setup 3-21 Mt479475; eeWarranty ‘This Product Is sold by Datex-Ohmeda under the warranties set forth in the following paragraphs. Such warranties are extended only with respect to the purchase of this Product directly from Datex-Ohmeda or Datex-Ohmeda’s Authorized Dealers as new merchandise and are extended to the Buyer thereof, other than for the purpose of resale. For a petiod of twelve (12) months from the date of original delivery to Buyer or to Buyer's order, but in no event for a period of more than ‘two years from the date of original delivery by Datex-Ohmeda toa Datex-Ohmeda Authorized Deeler, this Product, other than its expendable parts, is warranted against functional defects in materials ‘and workmanship and to conform to the descriation of the Product contained in this User's Reference manual and accompanying labels andlor inserts, provided that the same is properly operated under the conditions of normal use, that regular periodic maintenance and ‘service is performed and that replacements and repairs are made In accordance with the instructions provided, This same warranty is made for a period of thirty (30) days with respect to expendable parts. ‘The foregoing warranties shall not apply ifthe Product has been repaired other than by Datex-Ohmeda or in accordance with written instructions provided by Datex-Ohmeda, or altered by anyone other than Datex-Ohmeda, or If the Product has been subject to abuse, misuse, negligence, or accident. Datex-Ohmede's sole and exclusive obligation and Buyer's sole and exclusive remedy under the above warranties is limited to repairing or replacing, free of charge, at Datex-Ohmeda's option, a Product, hich is telephonically reported to the nearest Datex-Ohmeda Customer Service Center and which, iso advised by Datex-Ohmeda, 's thereafter retumed with a statement of the observed deficiency, not later than seven (7) days after the expiration date of the applicable warranty, to the Datex-Ohmeda Customer Service and Distribution ‘Center during normal business hours, transportation charges prepaid, land which, upon Datex-Ohmeda's examination, is found not fo conform with above warranties. Datex-Ohmeda shall not be otherwise llable for any damages including but not limited to Incidental damages, consequential damages, or special damages. There are no exprass or implied warranties which extend beyond the warranties hereinabove set forth. Datex-Ohmeda makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof.Chine eichicaica t= ealteare 30 iMoTuene Rrargiong Ten Fak udsag 201208 shang: Gina Tel06-23 sere ‘Hickory uaeneantets? Pesala etni Prond| Beet Froosio eNedet ars hind T3500 39921 ca Fov3s89 1683510 N28 Changing Rea, vas Notanetech North America Seveopmnert are Jonge. Chana Saap28 ‘sib oszesase ers ay Hertone Distribution Center fo, ecg: tare odeonwiseriesrsn Anarene & ae Faber Tatar loop resem paaiaietae emer mee wage ae ace ee er Sew ‘Mississauga, Ontario. site Conada Irconesg Scone Etre Segue sae Talszei 575 osas owt sa 77 Dotex-Ohmeda, inc, a General Electric Company, doing business as GE Healthcare. 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