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Exhalation Valve and Flow Sensor Assembly P/N 51000-40076

Figure 4.15 Exhalation Valve and Flow Sensor Assembly

Removal
1. Referring to the instructions in this chapter, remove the following components:
• UIM and the top cover.
• Exhalation filter & watertrap.
2. Remove the third (and last) screw from the exhalation assembly cover of the left hand corner
of the AVEA. Remove the cover.
3. Pull the locking shroud of the connector back and disconnect the sensor from the chassis.
4. Grasp the rubber elbow and slide it towards you and remove.
5. Gently remove the exhalation flow sensor by pulling straight towards you.
6. Push in the locking tab on the exhalation valve body and twist the body counterclockwise to
remove.
7. Remove the silicon diaphragm from the exhalation valve assembly.
8. Disconnect the two wires from the wiring harness.
9. Carefully cut the cable tie retaining the exhalation valve.

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10. Remove the (2) KEPS nuts and Phillips screws from the top and bottom of the exhalation
valve assembly and the bracket. (recommend using a 3/8 box or open-end wrench for this
task)
11. Remove the exhalation valve by sliding it out of the brackets and slightly spreading the mount
so as not to damage the wires..

CAUTION
Ensure that you do not damage the small wires when removing the exhalation valve.

Installation
1. Position the exhalation assembly onto the chassis by lining up the screw holes on the front
panel and sliding it into the exhalation valve bracket.

CAUTION
Ensure that you do not damage the small wires when installing the exhalation valve.
2. Install the (2) Phillips screws through the top and bottom of the exhalation valve assembly and
the bracket and secure with (2) KEPS nuts.
3. Connect the cables to the wiring harness.
4. 4. Leaving room for the gas delivery engine, run the wire harness under the tab in the
exhalation valve assembly bracket.
5. Insert the silicon diaphragm into the exhalation valve body by seating it into the lip with the
point out.
6. Install the exhalation valve body; line up the flange on the valve body with the tabs on the
receptacle and twist clockwise until secure.
7. Install the exhalation flow sensor by sliding it into the gasket with the tubing facing up and
ensure the tubing is under the retaining notch.
8. Slide the blue rubber elbow sensor boot in by lining it up with the grooves.
9. Attach the connector to the chassis by pulling back the plastic sleeve and pushing it into place.
10. Push the locking clip back to secure the sensor.
11. Reinstall the exhalation assembly cover using 2 of the 3 screws (side and bottom front).
12. Referring to the instructions in this chapter, re-install the following components:
• UIM and the top cover.

Heater Assembly P/N 51000-40824

Removal
1. Remove the (4) Phillip #1screws holding the shield.
2. Remove (2) KEP nuts at the base.
3. Disconnect the 3-pin and 2-pin connectors and label.
4. Remove (2) 11/32 KEP nuts on the back of the front panel shielding the flow sensor PCB.
5. Remove (2) Phillips #2 screws from the front panel.

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6. Remove corner piece
7. Remove screws (4) Phillip #1 holding shield.
8. Remove heater assembly
9. The top cover.
• Exhalation Valve and Flow Sensor Assembly
• Remove the screws holding the shield and remove shield.
• Remove heater assembly
Installation
When removing and installing the corner and heater assembly, do not replace the plastic piece of the
front panel or the bottom piece of the ventilator until corner/heater assembly is in place.
1. Referring to the instructions in this chapter, install the following components:
2. Reinstall heater assembly into the shield using (4) Phillips #1 screws.
3. Attach corner to the base assembly using (3) KEPS nuts and (2) Phillips #2 screws.
• Re-attach heater.
• Re-attach shield.
• Exhalation Valve and Flow Sensor Assembly
• UIM and the top cover.

Microswitch, Top Cover P/N 68294

Figure 4.16 Top Cover Microswitch

Removal
1. Referring to the instructions in this chapter, remove the following components:
• UIM and the top cover.
2. Remove attachment screws, disconnect and lift off the microswitch.
Installation
1. Reattach using screws provided. Re-connect the wiring.
2. Referring to the instructions in this chapter, install the following components:
• UIM and the top cover.

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EMI Shield

Removal
1. Referring to the instructions in this chapter, remove the following components:
• UIM and the top cover.
2. Remove the protective box cover by removing the (1) Phillips screw.
3. Remove the EMI shield protective box by removing the (2) KEPS nuts that secure it.
Installation
1. Replace the EMI shield protective box and secure it with (2) KEPS nuts.
2. Replace the protective box cover and secure with (1) Phillips screw.
3. Referring to the instructions in this chapter, install the following components:
• UIM and the top cover.

Front Interface Panel P/N 51000-40635

Removal
1. Referring to the instructions in this chapter, remove the following components:
• UIM and the top cover.
• Ventilator assembly (from the base).
• Gas delivery engine assembly.
2. Remove the flow sensor cover by removing the (3) SEMS screws.
3. Remove the (2) KEPS nuts, the EMI shield, brass bracket, and ribbon cable.
4. Turn the unit over and support it on 2x4 pieces of wood so as not to put the entire weight of the unit on the 4
standoffs.
5. Remove (7) Phillips screws; (2) from the lower back panel and (5) from the bottom panel.
6. Remove bottom panel
7. Remove (2) screws from the top of the front panel.
8. Loosen (2) KEPS nuts from the bottom that hold the front panel.
9. Pull off the front panel.
10. Loosen (1) KEPS nut from the bottom and (4) screws on the front panel.
11. Remove the blue tubing from the nebulizer to the front panel.
12. Gently pull the blue ribbon cable through the narrow slot at the top center of the front interface panel and the
rest of the wiring through the recessed compartment in the chassis.
Installation
1. Gently feed the blue ribbon cable through the narrow slot at the top center of the front panel and
the wiring through the recessed compartment in the chassis.
2. Attach the blue tubing from the nebulizer to the front panel.

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3. Tighten (1) KEPS nut on the bottom and (4) screws on the front interface panel.
4. Position the front panel and install (2) KEPS nuts on the bottom and (2) screws on the bottom of
the front panel.
5. Position the back panel and install (7) Phillips screws; (2) on the lower back panel and (5) on the
bottom panel.
6. Turn the unit over.
7. Install the (2) KEPS nuts, the EMI shield, brass bracket, and ribbon cable.
8. Attach the flow sensor cover by installing the (3) SEMS screws.
9. Referring to the instructions in this chapter, install the following components:
• Ventilator assembly onto the base.
• Gas delivery engine assembly.
• UIM and the top cover.

Driver transition board P/N 51000-40829

Figure 4.17 Driver transition board

Removal
1. Referring to the instructions in this chapter, remove the following:
• UIM and the top cover.
• Gas delivery engine assembly.
• Fan assembly connections
• Scroll compressor connections.
• Front interface panel connections.
2. Disconnect the wiring to the power supply board and the battery.

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3. Remove the spiral wrap to the alarm connector, and feed the wires out of the hole in the chassis
one connector at a time.
4. Remove the (2) Phillips screws and flat washers from the chassis.
5. Remove the Phillips screws on the board bracket and remove the board from the bracket.
Installation
1. Mount the driver transition board into the first half of the bracket; place the board on the three
round threaded studs with the cables spread outward, and secure the (3) Phillips screws.
2. Place the flat side of the other half of the bracket on the two mounting pins and slide it down.
3. Install (1) Phillips screw from the front to the rear of the bracket and leave finger tight.
4. Align the bracket over the two threaded holes in the chassis and install (2) Phillips screws using flat
washers.
5. Align the driver transition board; slide in the gas delivery engine assembly, carefully connect it to
the driver transition board, adjusting the bracket as necessary.
6. Once the alignment is complete, secure the driver transition board and the height adjustment pin
on the bracket, and then remove the gas delivery engine assembly.
7. Feed the top wiring harness through the small hole in the front right of the chassis, one connector
at a time.
8. Install the spiral wrap, leaving the alarm connector hanging off to the side.
9. Make the appropriate connections to the power supply board and to the battery.
10. Referring to the instructions in this chapter, install the following components:
• Front interface panel.
• Scroll compressor.
• Fan assembly.
• Gas delivery engine assembly.
• UIM and the top cover.

Alarm Speaker P/N 51000-40818

Removal
1. Referring to the instructions in this chapter, remove the following components:
• UIM and the top cover.
• Ventilator assembly from the base.
• Bottom cover.
• Front panel.
2. Turn the unit over and support it on 2x4 pieces of wood to avoid putting the entire weight of the unit
on the 4 standoffs.
3. Disconnect the wire to the driver transition board.
4. Remove the (2) 11/32 KEPS nuts that secure the speaker and lift the speaker off of the threaded
studs.

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Installation
1. Position the speaker onto the two threaded studs and secure with (2) 11/32 KEPS nuts.
2. Connect the wire to the driver transition board.
3. Referring to the instructions in this chapter, install the following components:
• Bottom cover.
• Front panel.
• Ventilator assembly onto the base.
• UIM and the top cover.

Nebulizer P/N 51000-40818

Removal
1. Referring to the instructions in this chapter, remove the following components:
• UIM and the top cover.
• Ventilator assembly from base.
• Bottom cover.
2. Cut tie wraps on the nebulizer booster.
3. Remove wire harness.
4. Disconnect the two solenoid connectors to the driver transition board.
5. Disconnect the tubing from the accumulator.
6. 6 Remove the (3) KEPS nuts that secure the nebulizer; (2) on the left side and (1) on the right,
Maneuver the nebulizer out from behind the accumulator.
7. Disconnect blue tube just in front of the solenoid.
Installation
1. Turn the unit over and support it on 2x4 pieces of wood so as not to put the entire weight of the unit
on the 4 standoffs.
2. Position the nebulizer onto the three threaded studs and using ong needle-nosed pliers, secure
with (3) 11/32 KEPS nuts; (2) on the left side and (1) on the right.
3. Connect the tubing from the accumulator to the left side of the nebulizer.
4. Feed the tubing from the gas delivery engine through the U-shaped notch on the left side of the
chassy and connect it to the nebulizer.
5. Connect the two solenoid connectors from the driver transition board.
6. Referring to the instructions in this chapter, install the following components:
• Bottom cover.
• Gas delivery engine assembly.
• UIM and the top cover.

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Figure 4.18: Nebulizer Assembly showing ports

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 AVEA Ventilator Systems 89

Accumulator P/N 51000-40748

Removal
1. Referring to the instructions in this chapter, remove the following components:
• UIM and the top cover.
• Gas delivery engine assembly.
• Ventilator assembly from base.
• Bottom cover.
• Front panel.
• Speaker.
• Nebulizer.
2. Disconnect the solenoid cable from the driver transition board.
3. Disconnect the tubing from the solenoid drain panel.
4. Remove the (4) 11/32 KEPS nuts; one from each corner.
5. Remove the accumulator, twisting to carefully remove the gas delivery engine supply tubing out of
the slot on the bottom left of the chassis.
Installation
1. Turn the unit over and support it on 2x4 pieces of wood so as not to put the entire weight of the unit
on the 4 standoffs.
2. Rotate the supply tube to the gas delivery engine into the slot on the bottom left of the chassis.
3. Position the accumulator by sliding the two notches over the threaded studs at the bottom and
seating the top onto the two mounting studs.
4. Secure the accumulator with (4) 11/32 KEPS nuts, one on each corner.
5. Connect the tubing to the solenoid drain panel.
6. Connect the solenoid cable to the driver transition board.
7. Referring to the instructions in this chapter, install the following components:
• Speaker.
• Bottom cover.
• Front panel.
• Nebulizer.
• Ventilator assembly onto the base.
• Gas delivery engine assembly.
• UIM and the top cover.

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 AVEA Ventilator Systems 91

Chapter 5 Operational Verification Procedure

(OVP)
WARNING
Verification Testing should always be done off patient.

Set up
1 Plug the AVEA into a suitable AC Power source and connect an adult patient circuit and an
adult test lung.

NOTE
Manufacturer recommends the use of a nondisposable adult patient circuit and test lung in testing VIASYS ventilatory
equipment:.

2 Turn power on.

3 Select New Patient when prompted. The Safety Valve Open alarm will activate. Press
Patient Accept. (This will re-set the controls to the default settings shown at the end of this
procedure).
4 Select Patient Size and select Adult. Press Size Accept. Leave the settings at the defaults
and verify that a Vent-Inop. Alarm is not activated.
5 Ensure that Leak Comp and Humidifier active are off. Press Setup Accept.

User Verification Tests (UVT)

The following tests are part of the User Verification testing performed before connection to a new
patient.
The POST test
The first part of the testing, the POST or Power On Self Test is transparent to the user and will only
message if the ventilator encounters an error. This test is run automatically and performs the following
checks:
• Processor Self Check
• ROM Check Sum
• RAM Test
The POST will also check the audible alarms and the LEDs at which time the audible alarm sounds and
the LEDs on the User Interface Module flash. Normal ventilation commences at the culmination of the
POST.

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Extended Systems Test (EST)

1 Connect a medical grade oxygen source to the unit (20 TO 80 psi).
2 Press the Setup membrane button to access the Setup screen.
3 Press Size Accept to pass the next displayed screen.

Figure 5.1
4 Press the EST touch screen icon to highlight. (A message will appear instructing you to remove
the patient and block the patient circuit wye.) Remove the test lung and plug the wye connector.

Figure 5.2
5 After confirming that the patient has been disconnected and the circuit wye blocked press the
Continue (Cont) button. (The ventilator will perform the EST and display a countdown clock.)

Figure 5.3

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During this test the ventilator will perform:
• Patient circuit leak test
• Patient circuit compliance measurement
• Two point calibration of the oxygen sensor
The patient circuit compliance measurement and leak test are performed simultaneously with the
oxygen sensor calibration. The maximum time for the EST is 90 seconds.
To restart the EST at any time select the Cancel button to return to the set up screen.

Figure 5.4

After each test is complete the ventilator will display a “Passed” or “Failed” message next to the
corresponding test.
Once the test is complete press the continue button to return to the set up screen.

Note
If you do not connect the ventilator to an oxygen supply, the O2 Sensor Calibration will immediately fail.

Manual Alarms Testing

This testing verifies the following alarms:

Low PEEP alarm Low O2 alarm

High Ppeak alarm High O2 alarm
High Ppeak, Sust Low Ppeak alarm
Low Ve alarm Loss of AC alarm
High Ve alarm Circuit Disconnect
High Vt alarm High Rate Alarm
Low Vt alarm Apnea Interval alarm

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CAUTION
Although failure of any of the above tests will not prevent the ventilator from functioning, it should be checked to make
sure it is operating correctly before use on a patient.

Note
To ensure proper calibration of the oxygen sensor, you should always perform an EST prior to conducting Manual Alarms Testing.

WARNING
User Verification Testing should always be done off patient.

CAUTION
Following each alarm verification test, ensure that the alarm limits are reset to the recommended levels shown in this
chapter before proceeding to the next test.
Table 5.1: Test Setup Requirements
Adult Setting Pediatric Setting Neonate Setting

Air Supply Pressure 20-80 psig (2.1 bar) Same Same

O2 Supply Pressure 20-80 psig (2.1 bar) Same Same
AC Line Voltage Varies Internationally Same Same
Patient Circuit 6’ (2 m) Adult 6’ (2 m) Adult Infant
Compliance 20 ml/cmH2O 20 ml/cmH2O N/A
Resistance 5 cmH20/L/sec 5 cmH20/L/sec N/A

To conduct Manual Alarms Testing on the AVEA ventilator using default settings, complete the following
steps (A table describing the default settings for Adult, Pediatric and Neonatal patient sizes is included in
this manual).
Table 5.2: Ventilation Setup

Vent Setup Adult Setting Pediatric Setting Neonate Setting

ET tube Diameter 7.5 mm 5.5 mm 3.0 mm
ET Tube Length 30 cm 26 cm 15 cm
Artificial Airway Off Off Off
Compensation
Leak Compensation Off Off Off
Circuit 0.0 ml/cmH2O 0.0 ml/cmH2O ml/cmH2O NOT
Compliance active in Neonates.
Compensation
(Circ Comp)
Humidification Active On Active On Active On
Patient Weight 1 kg 1 kg 1 kg

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Table 5.3: Primary Controls

Adult Setting Pediatric Setting Neonate Setting

Breath Type/Mode
Volume A/C Volume A/C TCPL A/C
Breath Rate (Rate) 8 bpm 12 bpm 20 bpm
Tidal Volume 500 ml 100 ml N/A
(Volume)
Peak Flow 60 L/min 20 L/min 8 L/min
Inspiratory Pressure 15 cmH2O 15 cmH2O 15 cmH2O
(Insp Pres)
Inspiratory Pause 0.0 sec 0.0 sec 0.0 sec
(Insp Pause)
Inspiratory Time (Insp 0.5 sec 0.5 sec 0.35 sec
Time)
PSV 0 cmH2O 0 cmH2O 0 cmH2O

PEEP 6 cmH2O 6 cmH2O 3 cmH2O

Inspiratory Flow 1.0 L/min 1.0 L/min 1.0 L/min

Trigger (Flow Trig)
%O2 21% 21% 21%
Table 5.4: Advanced Settings

Adv. Settings Adult Setting Pediatric Setting Neonate Setting

Vsync
0 (off) 0 (off) N/A
Vsync Rise 5 5 N/A
Sigh 0 (off) 0 (off) N/A
Waveform 1 (Dec) 1 (Dec) 1 (Dec)

Bias Flow 2.0 L/min 2.0 L/min 2.0 L/min

Inspiratory Pressure 1.0 cmH2O 1.0 cmH2O 1.0 cmH2O
Trigger (Pres Trig)
PSV Rise 5 5 5

PSV Cycle 25% 25% 10%

PSV Tmax 5 sec 5 sec 1.5 sec

Machine Volume 0L 0 ml 0 ml
(Mach Vol)
Volume Limit 2.50 L 500 ml 300.0 ml
(Vol Limit)
Inspiratory Rise (Insp 5 5 5
Rise)

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Adv. Settings Adult Setting Pediatric Setting Neonate Setting

Flow Cycle 0% (off) 0% (off) 0% (off)
T High PSV Off Off N/A

T High Sync 0% 0% N/A

T Low Sync 0% 0% N/A
Table 5.5: Alarm Settings

Adult Setting Pediatric Setting Neonate Setting

High Rate 200 bpm 200 bpm 200 bpm
High Tidal Volume 3.00 L 1000 ml 300 ml
(High Vt)
Low Tidal Volume 0.0 L 0.0 ml 0.0 ml
(Low Vt)
Low Exhaled 0.0 (off) 0.0 (off) 0.0 (off)
Minute Volume
(Low Ve)
High Exhaled 30.0 L/min 30.0 L/min 5.0 L/min
Minute Volume
(High Ve)
Low Inspiratory 3 cmH2O 3 cmH2O 3 cmH2O
Pressure (Low
Ppeak)
High Inspiratory 75 cmH2O 75 cmH2O 50 cmH2O
Pressure (High
Ppeak)
Low PEEP 3 cmH2O 3 cmH2O 1 cmH2O
Apnea Interval 20 sec 20 sec 20 sec
Table 5.6: Auxiliary Controls

Adult Setting Pediatric Setting Neonate Setting

Manual Breath
--- --- ---
Suction
--- --- ---
↑ O2 --- --- ---
Nebulizer ---
Inspiratory Hold --- --- ---
(Insp Hold)
Expiratory Hold --- --- ---
(Exp Hold)

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1. Make the appropriate connections for air and O2 gas supply. Connect the power cord to an
appropriate AC outlet. Attach an appropriate size patient circuit and test lung to the ventilator.
2. Power up the ventilator and select “NEW PATIENT” when the Patient Select Screen appears.
Accept this selection by pressing “PATIENT ACCEPT”. This will enable default settings for the
Manual Alarms Test.
3. Select the appropriate patient size for your test (Adult, Pediatric or Neonate) from the Patient Size
Select Screen. Accept this selection by pressing “SIZE ACCEPT”. Set Humidifier Active off.
4. Make any desired changes or entries to the Ventilation Setup Screen and accept these by pressing
“SETUP ACCEPT”.
5. Press Alarm Limits button on the upper right of the user interface.
6. Verify that no alarms are active and clear the alarm indicator by pressing the alarm reset button on
the upper right of the user interface.
7. Set the % O2 control to 100%. Disconnect the Oxygen sensor from the back panel of the ventilator
and verify that the Low O2 alarm activates. Return the O2 control setting to 21% with the sensor still
disconnected from the rear panel. Remove sensor from back panel. Provide blow-by to the sensor
from an external oxygen flow meter. Verify that the High O2 alarm activates. Return the % O2 to
21%, reconnect the Oxygen sensor to the back panel. Clear all alarm messages by pressing the
alarm reset button.
8. Set PEEP to 0. Set Low PEEP alarm to 0. Disconnect the patient wye from the test lung. Verify
that the Low Ppeak alarm activates, followed by the Circuit Disconnect alarm. This second alarm
should activate after the default setting of 20 seconds for the apnea interval has elapsed.
Reconnect the test lung to the circuit clear the alarm by pressing the reset button.
9. Disconnect the AC power cord from the wall outlet. Verify that the Loss of AC alarm activates.
Reconnect the AC power cord. Clear the alarm by pressing the reset button.
10. Occlude the exhalation exhaust port. Verify that the High Ppeak alarm activates, followed 5
seconds later by the activation of the High Ppeak, Sust. alarm.
11. Set the control setting for rate to 1 bpm. Verify that Apnea Interval alarm activates after the default
setting of 20 seconds. Return the control setting to its default value and clear the alarm by pressing
the reset button.
12. Set the Low PEEP alarm setting to a value above the default control setting for PEEP on your
ventilator. Verify that the Low PEEP alarm activates. Return the alarm setting to its default value
and clear the alarm by pressing the reset button.
13. 13.Set the High Ppeak alarm setting to a value below the measured peak pressure or in neonatal
ventilation, the default control setting for Inspiratory Pressure on your ventilator. Verify that the
High Ppeak alarm activates. Return the alarm setting to its default value and clear the alarm by
pressing the reset button.
14. 14.Set the Low Ve alarm setting to a value above the measured Ve on your ventilator. Verify that
the Low Ve alarm activates. Return the alarm setting to its default value and clear the alarm by
pressing the reset button.
15. 15.Set the High Ve alarm setting to a value below the measured Ve on your ventilator. Verify that
the High Ve alarm activates. Return the alarm setting to its default value and clear the alarm by
pressing the reset button.
16. Set the High Vt alarm setting to a value below the set Vt on your ventilator. Verify that the High Vt
alarm activates. Return the alarm setting to its default value and clear the alarm by pressing the
reset button.

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17. Set the Low Vt alarm setting to a value above the set Vt on your ventilator. Verify that the Low Vt
alarm activates. Return the alarm setting to its default value and clear the alarm by pressing the
reset button.
18. 18.Set the High Rate alarm to a value below the default control setting for rate on your ventilator.
Verify that the alarm activates. Return the alarm to its default setting and clear the alarm by
pressing the reset button.

NOTE
Repeat steps 11 through 17 with a pediatric circuit and test lung.
Repeat steps 11 through 17 with an infant circuit and test lung.

CAUTION
Although failure of any of the above tests will not prevent the ventilator from functioning, it should be checked to make
sure it is operating correctly before use on a patient.

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User Interface Module (UIM) Verification

Membrane Switch Tests

These tests verify the functioning of the membrane buttons surrounding the touch screen:
1. Alarm Silence (LED) - Disconnect the test lung from patient circuit. An audible alarm sounds. Press
the Alarm Silence button and verify that the audible portion of the alarm is disabled for 2 minutes (±
1 second)or until the Alarm Silence button is pressed again.
2. Alarm Reset - Reconnect the test lung to the patient circuit. The alarm message should turn yellow.
Press the Reset button to cancel the visual alarm message.
3. Alarm Limits - Press the Alarm Limits screen button. Press the button again to toggle the screen on
and off.
4. Manual Breath - Press this button during the expiration phase of a breath. Verify that the ventilator
delivers a single mandatory breath at current ventilator settings.
5. Suction (LED) - Press the Suction button, both Suction and ↑ %O2 LEDs should Illuminate, also
LOSS, O2 appears on the screen in the alarm window. Press Suction again, both Suction and ↑
%O2 LEDs should disappear, press Reset to clear visual alarm.
6. Increase O2 - Press the Increase O2 button (↑ %O2 ) Verify that the LED Illuminates, The LOSS O2
alarm activates. Press the button again and verify that the LED turns off. Press RESET to clear the
visual alarm.
7. Accept - Change any parameters, press accept and verify the new setting is entered.
8. Cancel - Change any parameters, press Cancel ensure new setting is canceled.
9. Expiratory Hold - Press the Expiratory Hold button. The pressure waveform should display as a flat
line for about 20 seconds in Adult and Pediatric Patient modes.
10. Inspiratory Hold - Allow to cycle then press this soft key & it will plateau at the top of the inspiratory
cycle in the adult and pediatric patient modes.
11. Nebulizer - Connect wall air to unit 20 to 80 psi. Press the Nebulizer button, verify that nebulization is
synchronized with breath rate. You will feel air coming out of the nebulizer fitting. Lower peak flow
< 14L/min and “neb not available” should appear.
12. Mode - Press the Mode button. Verify that the Mode sub screen appears.
13. Patient Size - Select a Patient size from the menu. Ensure the correct LED is displayed for the
patient size currently selected. Change patient size to Pediatric and then to Neonate. Verify correct
LED display for each one.
14. Panel Lock - Press the Lock button and verify no access to screen functions. The manual breath,
suction, increase O2 and alarm silence buttons are functional during panel lock.
15. Set-up - Press the Setup button and verify that the Setup screens appears. Press Size Accept,
Press Set up Accept.
16. Advanced Settings - Press the Advanced Settings screen button. Toggle the screen on & off. Verify
that the screen responds correctly.
17. Event - Press Events and verify the sub screen appears, press again to check that the Main screen
reappears.
18. Freeze - Press the Freeze button. All graphics screen update should cease, the wave forms freeze.
Measurement bar appears. Press again and ensure normal refresh of the waveform sweep continues
in the Main screen.

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19. Screens and Main buttons - Press the Screens button and the Screen Select screen should appear.
Press Monitor, the Monitor screen should display. Press Main and the screen should go back to
Main screen.

Field replacement and test of the AVEA Compressor Assembly

Refer to chapter 4 for disassembly of the User Interface Module (UIM) and top cover.
Follow the instructions given in Chapter 4 to remove and replace the compressor
assembly. Re-assemble the AVEA and test using this procedure.
The compressor sub-system on the AVEA includes a Compressor PC Board and the
Compressor. The sub-assembly is tested and calibrated at the factory and designed to
be field installed in the AVEA ventilator. This procedure verifies that the test ventilator
delivers the expected minute ventilation when the compressor is supplying air to the
ventilator (40 L/min). It also verifies that the compressor activates upon loss of the wall
air supply and de-activates when that supply is restored.
Equipment Required
• • AVEA Ventilator (Test ventilator)
• • Adult Patient Circuit
• • Device for measuring Parabolic Airway Resistance - RP5 (Usually available with test lung)
• • Adult Test Lung – Manley or Siemens recommended
• • Regulated Air Supply - Range > 30 psig

Note
All equipment is as stated or equivalent .

Test Procedure
1. Attach the adult patient circuit and test lung to the test ventilator. Connect to a regulated wall air supply
as indicated above.
2. Turn on the ventilator and set parameters shown in the table below.
3. Turn off the wall air supply.
4. Verify that the compressor activates
5. Verify that the “scroll” symbol is displayed in the bottom right corner of the UIM
6. Verify ventilator continues to ventilate and no alarms are activated
7. Allow ventilator to continue to cycle using the compressor for approximately two minutes.
8. Disconnect the expiratory limb of circuit. The Circuit Disconnect and Low Ppeak alarms should activate.

NOTE:
Leave expiratory limb disconnected for remainder of test

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9. Change the following ventilator settings:

Control Setting
Tidal Volume (Vt) 2.0L,
Rate 19 bpm,
Peak Flow 150 L/MIN.

10. Change the scale on Flow waveform graphic display to 300 L/min.
11. Allow ventilator to cycle for approximately two minutes then Press the Alarm Reset membrane button.
12. Verify that no alarms except for Circuit Disconnect and Low Ppeak are active
13. Press the Freeze button.
14. Verify the flow at the end of inspiration is between 67 and 83 L/min.
15. Re-connect wall air supply.
16. Verify compressor shuts off and ventilation continues uninterrupted using the wall air supply.

Table 5.7: Test Ventilator: (AVEA Ventilator)

Setup Patient Size Adult
ET Tube Diameter 7.5 mm
ET Tube Length 30 cm
Automatic Tube Compensation Off
(ATC)
Leak Compensation Off
Circuit Compliance Compensation 0.0 mL/cmH2O
(Circ Comp)
Humidification Off
Ideal Body Weight 1 Kg
Primary Controls Breath Type/Mode Volume A/C
Breath Rate (Rate) 15
BPM
Tidal Volume (Volume) 0.50 L
Peak Flow 45 L/MIN
Inspiratory Pause (Insp Pause) 0.00 second
Inspiratory Time (I-Time) ---
PSV ---
PEEP 0 cmH2O
Inspiratory Flow Trigger (Flow Trig) 20.0 L/MIN
% O2 21 %
Advanced Controls Vsync 0 (Off)
Vsync Rise ---
Sigh 0 (Off)
Waveform Decel.
Bias Flow 2.0 L/MIN

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Inspiratory Pressure Trigger (Pres 20.0 cmH2O

Trig)
PSV Rise ---
PSV Cycle ---
PSV Tmax ---
Machine Volume (Mach Vol) ---
Volume Limit (Vol Limit) ---
Inspiratory Rise (Insp Rise) ---
Flow Cycle ---
Alarm Settings High Rate 200 BPM
High Tidal Volume (High Vt) 3.00 L
Low Exhaled Minute Volume (Low 0 (Off)
Ve)
High Exhaled Minute Volume (High 30.00 L/MIN
Ve)
Low Inspiratory Pressure (Low 3 cmH2O
PPEAK)
High Inspiratory Pressure (High 50 cmH2O
PPEAK)
Low PEEP 0 cmH2O
Apnea Interval 20 seconds
Auxiliary Controls Manual Breath ---
Suction ---
ª %O2 Not enabled
Nebulizer Not enabled
Inspiratory Hold (Insp Hold) ---
Expiratory Hold (Exp Hold) ---
Air Supply Pressure > 30 psig
O2 Supply Pressure > 30 psig
AC Line Voltage 115 ± 10 VAC

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Checkout Sheet – AVEA Compressor Replacement

Date: _______________ Hours: __________
Old Compressor S/N: ____________ New Compressor S/N: ________________
AVEA Ventilator S/N: _____________ UIM Serial Number: __________________

TEST PASS FAIL

Compressor Activates when wall air is turned off
Scroll symbol displays when compressor activates
Ventilator continues to cycle and no alarms initiate
when wall air is turned off
Circuit Disconnect and Low Ppeak alarms initiate
when circuit is disconnected
No other alarms active after ventilator settings are
changed
Eng inspiration flow reading is between 67 and 83
L/min
Compressor shuts off when wall air is turned on
and ventilation continues uninterrupted

I here by certify that the product with the above Serial Number has passed all operational specification
and is certified for clinical use (The unit must be signed off before returning to clinical use.)
Signature: _________________________________ Date: _______________
Please complete this check sheet and fax to Regulatory Affairs at (760) 778-7301
Or mail to: Regulatory Affairs Department VIASYS Healthcare Critical care Division 1100 Bird Center Dr.
Palm Springs, Ca. 92262

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Power Indicators and Charging Verification.

Power the unit up. Verify the Power On

indicator is lit. It will be green.

Ensure that when the unit is connected to AC

Power the AC indicator is lit. It will be green.

If the unit is equipped with an external

battery, check and verify the external battery
charging and status indicators.
Check the internal battery (standard feature)
charging and status indicators.
The charging status indicators are:
Green: unit has a full charge
Yellow: unit in process of charging
Red: unit requires charging
Proceed with the rest of the O.V.P testing.

Battery Run Procedure

Figure 5.5
1. Plug unit in, turn power on and adjust settings as follows:
a. Mode: Pediatric, Volume A/C
b. Settings: 40 BPM, Volume 200ml, Peak Flow 30 L/min, PEEP 5cmH2O, Flow Trigger 20
L/min, and FIO2 21%.
c. Advanced Settings: Vsync off, Waveform Square, Bias Flow 3 L/min, and Pressure Trigger
20cmH2O.
2. Verify that the Power Indicator “EXT” is illuminated and the Power Status is on AC (~).
3. Verify battery indicator LED’s function and progressively charge from Red to Yellow to Green.
4. Disconnect AC Power.
5. Verify that unit runs on both internal and external batteries.
6. Verify that the Power status indicator “EXT” is illuminated indicating the ventilator is running on
external battery.
7. Turn unit off.

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Air/Oxygen Inlet Pressure Verification.

Note
All gases used for testing the AVEA should be verified clean medical grade gas sources. The ventilator should be operating in Adult
patient mode with all settings at defaults.

1. Apply a regulated 50 PSI medical air source to the AVEA Air Inlet on the
rear panel of the ventilator.
2. Apply regulated 50 PSI medical O2 Source to the O2 Inlet. (Verify the Air
and O2 Inlet monitors read 50 PSI (+/- 3 PSIG). You can check this by
scrolling to the air inlet and O2 inlet monitored parameter displays on the
left of the Main screen
or by pressing the screens button, selecting the
Monitor screen and scrolling to the air inlet and O2 inlet
parameters and Accept.

Figure 5.6
3. Lower the air inlet pressure gage to 18 psi. The compressor should turn on in a unit with compressor.
In a unit with no compressor, the Low Air alarm should activate.

Figure 5.7

4. Change the O2 percentage to 60%.

5. Lower the O2 inlet pressure gage to 18 psi. The Low O2 alarm should activate.

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Breath Rate Verification.

Note
Make sure the ventilator is set to Adult size and default settings.

1. Allow the ventilator to cycle and using a stopwatch, count the cycles and ensure the breath rate
matches the Rate setting of the AVEA.
2. Verify the following rates( +/- 2)
5 bpm
20 bpm
60 bpm

Blending Accuracy Verification.

Note
Make sure the ventilator is set to Adult size and default settings.

Record the readings from the external O2 Analyzer and the AVEA FIO2 (% O2) monitor/setting. Check the
FiO2 (% O2) readings per table below to compare set FIO2 to analyzed FIO2.
Table 5.8: FiO2 Readings
O2% Tidal Volume Breath Rate Peak Flow % Tolerance
21% 0.50L 25 30 L/min +/- 3%
30% 0.10 50 30 L/min +/- 3%
30% 0.50 25 30 L/min +/- 3%
60% 0.10 50 30 L/min +/- 3%
60% 0.50 25 100 L/min +/- 3%
90% 0.10 50 30 L/min +/- 3%
90% 0.50 25 30 L/min +/- 3%
100% 0.50 25 30 L/min +/- 3%

PEEP Verification
1. Connect an Adult test lung and accept the default settings.
2. Change the Rate to 4 bpm. Using the Paw (cmH2O) portion of the wave form screen, freeze and
measure baseline pressures at each of the following PEEP settings: (The tolerance is +/- 3.5 % of
reading or +/- 2 cm.)
6 cm
20 cm
40 cm

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Chapter 6 AVEA Software Upgrade

This document provides a brief overview of the procedure to upgrade ventilator software using the
RS232 serial port of the AVEA. The HyperTerminal utility available within the Windows environment is
used here as an example. Any suitable terminal emulation software would work as well.
Requirements
Computer with a serial port (COM1: or COM2:)
Terminal Emulation Software (for example, HyperTerminal works well) configured for serial
connection 115Kb,8,N,1 flow control OFF (see instructions below)
AVEA ventilator with Software Upgrade Utility Version 1.0 or higher installed.
A Serial cable to connect the computer to the serial port of the ventilator.
(A straight-through cable with null modem adapter or null modem cable with gender changer
both work fine).
New binary files for the ventilator: 63569X.bin (Monitor) & 63568X.bin (Control). “X" indicates
the revision of the released software, e.g. "63569E" is revision E.

Copying the Files

From a CD
With the CD inserted in the computer, copy the new software binary files to the computer hard drive as
follows:
1. Double click on “My Computer”.
2. Double click on the CD ROM Drive to open the window & display the files.
3. Right click on each of the files displayed in turn and select Copy, then right click on
the computer desktop and select Paste.
4. The files should appear on the desktop.
5. Remove the CD ROM from the computer drive.

From an e-mail attachment

1. Right click on the e-mail attachment. From the pop-up dialog box select Save As.
2. Browse to your desktop and click Save.
3. The files should appear on the desktop.

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Connecting the AVEA

1. Connect the serial cable to the computer COM port selected for use (usually Com1 or Com2).
Connect the other end to the ventilator serial port 1 shown here.

Serial port #1

Figure 6.1: Serial port

Opening the terminal emulation software (HyperTerminal is used here)

1. From your desktop, click on the START button at the lower left of the screen.
2. From the pop-up menu, select Programs, then Accessories, then Communications.
3. When the Communications pop-up appears, click on Hyper Terminal.

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Figure 6.2: Hyper Terminal

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110 AVEA Ventilator Systems 6: Software Upgrade

4. Double click on the HyperTerminal icon inside the HyperTerminal folder.

Figure 6.3: Hyper Terminal Options

5. The HyperTerminal window opens in the New Connection window.

Figure 6.4: New Connection

6. Type AVEA into the Name bar and click OK. The Connectivity window opens.

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Figure 6.5: Connect Using

7. In the Connect Using bar, type Direct to Com1 (or Com2 if that is your computer connection).
The Port Settings window opens

Figure 6.6: Port Settings

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112 AVEA Ventilator Systems 6: Software Upgrade

8. Enter the following values:

• Bits per second = 115200
• Data bits = 8
• Parity = None
• Stop bits = 1
• Flow control = None
9. Click OK. The AVEA HyperTerminal window opens.

Figure 6.7: Connected

Powering up the AVEA

1. Hold down Expiratory Hold key on the front membrane panel of the AVEA during the ventilator
power-up sequence until the front panel LED’s light up.
2. When the LED’s turn off, the Upgrade Utility banner should appear in the terminal software
(HypertTerminal) window. The connection is established and ready to transfer the new software.

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Figure 6.8: Using Hyper Terminal

3. Type DC at the command prompt and press ENTER to start the download for the Ventilator
Control software.

Figure 6.9: Xmodem Transfer

4. From the Transfer menu, select Send File

5. Ensure the protocol is set to “1K XMODEM”.
6. Click Browse and navigate to the desktop where you saved the binary files.

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114 AVEA Ventilator Systems 6: Software Upgrade

7. Select the file to transfer (63568X.bin) and click Send. The file will begin transferring and should
be monitored on the display. A confirmation will be displayed in the terminal window when the
file has successfully transferred.

Figure 6.10: Send File

Figure 6.11: Sending a File

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Figure 6.12: Confirmation

8. Repeat the process by typing DM at the command prompt and pressing RETURN to start the
download for the Ventilator Monitoring software.
9. Select the SendFile command from the Transfer menu
10. Ensure the protocol is set to “1K XMODEM”.
11. Select “63569X.bin” as the file to send for the monitor program.
12. When the transfer is complete, power-down the ventilator and disconnect from PC.

Checks
When you turn the Ventilator Back “ON“ the Power On Self Tests (POST) will be performed
automatically as detailed in the Operator’s Manual. When the MAIN screen displays, you will see the
new version (version 1.9) displayed on the bottom of the Touch Screen.
Confirm active waveforms are displayed on the MAIN screen.
Complete the checklist attached to this procedure and return or fax to VIASYS Critical Care Division
Regulatory Affairs Dept as follows:

Regulatory Affairs Dept.

VIASYS Critical Care Division
1100 Bird Center Drive
Palm Springs, CA 92262
USA
Fax number: 1 760-778-7301

Note
The User Verification Tests (i.e. The EST and Manual Alarms Checks) detailed in the operator’s manual, should be performed
prior to patient connection.

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Software Install Verification

AVEA Ventilators
Date:__________________ Model: Comprehensive Basic
UIM Serial # ________________ Ventilator Serial # _________________
Prior Software Version (from MAIN screen) _________________
New Software version _________________

Installation Verification
Monitor processor __________* verified

Control processor __________ * verified

* Insert version indicated by device

Confirmation checks
Ventilator power up and POST
New software version displayed
Active waveforms on MAIN screen

Signature: _______________________________ Date:________________

Title: ___________________________________

SEND TO:
Regulatory Affairs Dept.
VIASYS Critical Care Division
1100 Bird Center Drive
Palm Springs, CA 92262
USA
Fax number: 1 760-778-7301

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 AVEA Ventilator Systems 117

Chapter 7 Calibration

Note
Prior to calibration, warm the unit for 30 minutes.

Transducer Calibration
Current copies of these documents can be obtained from VIASYS Healthcare Technical Support as
shown in Appendix A.
51000-40022 Gas Delivery Engine Schematic
51000-40697 Test Requirements, Gas Delivery Engine
51000-40843 Test Requirements, Pneumatic Module

Equipment Required.
The following list of parts & tools is recommended for calibrating the AVEA.

Table 7.1: Parts available from VIASYS Healthcare

Part Number Description Quantity

3001083 Catheter assy 1
51000-40094 Adult wye flow sensor 2
51000-40096 Connector, AUX port 1
52000-01193 Tube ftg, Tee 1/16 x 1/18 x 1/18 dia 3
32040 Tube ftg 1/8 to 1/16 dia reducer 2
32067 Tube ftg, tee 1/16 x 1/16 x 1/8 dia 1
52000-01205 Luer lock, male 1/16 dia 1
33980 Tubing, poly 12mm OD 1.50ft
52000-00133 Ftg, DISS, air, male ¼ NPT 1
32002 Ftg, fem R/A Elbow 12mm OD 1
52000-00132 Ftg, Oxygen, ¼ NPT x 9/16 male 2
51000-09558 Calibration syringe 1
51000-08258 O2 relay adjustment tool 1
54980-01903 Silicon tubing 10 ft

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118 AVEA Ventilator Systems 7: Calibration

Parts not supplied by VIASYS Healthcare

Calibrated Pressure Manometer (model RT200 made by TimeMeter, recommended)
Wall or bottled gas supply of pressurized Medical Air and Oxygen.
Connector and tubing from Bicore P/N 3001042 sensor
Connector and tubing for the Wye flow sensor
Coupler, fem – fem ¼ NPT
Ftg, ¼ male NPT to 1/8 hose barb
Calibrated O2 regulator 0-50 psig
Calibrated Air regulator 0-50 psig
Wrench, 3/8 – 6pt deep socket (long 3/8 drive or short ¼ drive)
Wrench, open ended 9/16 cross foot

Calibration setup
The generic setup shown in figure 7.1 is recommended for calibrating the low pressure ports of the
AVEA.

Calibration Syringe P/N 51000-09558

Tee fitting
Appropriate port adapter or fitting

To calibration port. The type

of connection depends on
To Pressure Manometer. the port connectivity.

Figure 7.1 Calibration setup #1 for low pressure gases

Note
Before using any test equipment [electronic or pneumatic] for calibration procedures, the accuracy of the
instruments must be verified by a testing laboratory. The laboratory master test instruments must be traceable to
the NIST (National Institute of Standards Technology) or equivalent. When variances exist between the indicated
and actual values, the calibration curves [provided for each instrument by the testing laboratory] must be used to
establish the actual correct values. This certification procedure should be performed at least once every six
months. More frequent certification may be required based on usage.

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Accessing the Calibration Screen

To access the calibration:
1. Hold down the Setup key during ventilator power-up
2. When the Service Functions screen appears (see figure
7.2), press Calibrate.
3. The Calibration menu screen will appear (see figure
7.3).

Figure 7.2 Service Functions Screen

Figure 7.3 Calibration Menu Screen

Inspiratory Pressure Calibration

1. From the Calibration screen

menu, press INSP PRES to
access the inspiratory pressure
transducer calibration screen.
See figure 7.4

Figure 7.4 Inspiratory pressure transducer calibration screen

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120 AVEA Ventilator Systems 7: Calibration

2. Disconnect the luer fitting and tube

from port E4 on the gas delivery
engine. See figure 7.5. and tubing
diagram in appendix B.

Figure 7.5 Port E4

3. With NOTHING attached to the port,
press the Zero (0) calibration button on
the touch screen.
4. Attach the calibration assembly shown
here to port E4 on the gas delivery
engine. To do this attach a length of
tube with the appropriate luer fitting to
the luer receptacle at E4 and connect to
the calibration assembly setup using a
barbed “T” fitting. To port E4
5. Using the calibration syringe P/N 51000-
09558, slowly apply negative pressure
to the port at E4. (Turn counter
clockwise for negative pressure). To calibration
To manometer syringe
6. Refer to the reading on the calibrated
Pressure Manometer (model RT200
made by TimeMeter, recommended).
When the correct reading of – 40
cmsH2O is obtained, press the
corresponding calibration button on the touch screen.
Figure 7.6
7. For positive pressure calibration, turn the syringe handle clockwise until the reading matches the
75 cmH2O number on the touch screen then press the corresponding button.
8. Press EXIT to exit.
9. Disconnect calibration set-up from E4.
10. Reconnect the luer fitting and tube into port E4 on gas delivery engine.

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