ACM600 Series Anesthesia Machines Service Manual

ACM600 Series Anesthesia Machines Service Manual
ACM 600 Series Anesthesia Machines

Service Manual
Chapter 1 ACM600 Series Anesthesia Machines Gas Passage Tank
1.1 Malfunction and its solution:

Malfunction 1: The gas passage tank leaks
Reason: the inner film of the gas-driving switch is aging
Solution: replacing its inner film
Malfunction 2: When opening the gas supply, the gas passage tank always
has gas whistling sound
Reason: there is something wrong with the shift switch
Solution: replacing the shift switch or disconnect it to clean and reinstall
Malfunction 3: After closing the flowmeter, there is still gas inflating the
foldable bellow
Reason: the O2 flush switch cannot be reset
Solution: replace O2 flush switch
Malfunction 4: The floater in the glass tube of flowmeter calibrates

Reason analysis: unidirectional valve is damaged
Solution: replace the unidirectional direction valve
Chapter 2 ACM600 Series Anesthesia Machines outer gas circuit
2.1 Bellow assembly

Bellow housing
Foldable bellow
Bayonet table
2.2 Circle Absorber
2.3 common malfunction of the gas passage and the solutions

3
2.3.1 Simple checking methods of the gas passage

First connect the pipelines, set the manual/mechanical shift switch into
the mechanical mode, press the O2 flush switch to inflate the foldable
bellow to its full, then quickly pull out the connecting pipeline from the
circle absorber and block it with hands. If the foldable bellow doesnt go
down, the bellow and the connecting pipelines are ok and the problem
perhaps lies in the circle absorber. Then join the pipelines and connect
the inspiratory connector and the expiratory connector with one
pipeline. Connect the breathing bag, set the manual/mechanical shift
switch into the mechanical mode, press the O2 flush switch to inflate
the foldable bellow, and pinch the breathing bag with hand to make
the pressure gauge on the circle absorber point to 3Kpa and see the
pointers movements. If the pointer goes down quickly, the circle
absorber has some problem. If the pointer doesnt move, then the
circle absorber is all right.
2.3.2 Outer gas passage malfunction and solutions:

Malfunction 1: foldable bellow goes down continually
Reasons: Probably as follows:
1) Foldable bellow is broken or aging;
2) The corrugated hose that connects bellow and circle absorber is
4
broken or aging;
3) Patients breathing circuit is broken or
aging;
Foldable Bellow
4) Respiratory valve in the circle absorber is broken or aging or
not well-installed;
5) Soda lime absorber of the circle absorber is broken or aging;
Solution: replacing the spare parts that are
broken or aging
Soda Lime Absorber
Malfunction 2: the foldable bellow goes down to certain place and stands
still
Reason: spill over valves pressure has
been adjusted lower
Solution: readjust it
Spill Valve
Note: the spill over valve can be moved with wrench: clockwise
rotation means pressure decrease and counterclockwise rotation
means pressure increase. Its standard setting is 0.2~0.3Kpa. After
adjustment, connect the gas passage, adjust the flowmeter to 5L, and
5
at this time if the pressure gauge on the circle absorber is 0.2~0.3Kpa,

then it is ok now.
Malfunction 3: While using the machine, the foldable bellow still inflates
or swells, though the flowmeter isnt opened.
Reason: there is something wrong with the four-tube flowmeter or the O2
flush switch
Solutions:
replace
the
four-tube
flowmeter or the O2 flush switch
Malfunction 4: the bellow cannot be

compressed
or
cannot
be
enough
compressed at inspiration;
Reason: 1. The connecting corrugated
hose falls off
2. Anesthesia ventilators problem
3. The connecting line of the
manual/mechanical shift switch is
broken
4. The below housing is broken or aging
Solution: 1. Reconnect the corrugated hose
2. Overhaul the anesthesia ventilator
6
3. Replace manual/mechanical shift switchs connecting line

4. Replace bellow housing
Malfunction 5: the airway pressure is

too high at manual ventilation mode
Reason: APL valves pressure hasnt
been adjusted correctly
Solution: readjust APL valve
Note: when necessary to adjust, remove the round lid on the top of
APL valve, and screw off the six-angle screw above with six-angle
wrench, and adjust the six-angle screw below with six-angle wrench.
The upper limit is 6Kpa.
Malfunction 6: though the work pressure of the machine is enough, the

foldable bellow cannot be inflated when pressing the O2 flush switch.
Reason: the pipelines inside the gas passage tank fall off or are broken.
Solution: reinstall or replace pipelines
Malfunction 7: LED display monitors show value has big error

Reasons: Flow sensors wheel has dirt
Solutions: Clean the flow sensor
Malfunction 8: At the time of O2 flush, gas still goes through the

mechanical mode passageway when shifting to manual mode; vice versa.
Reasons: the inner film of the switch is aging or frayed
Solution: replace its inner film
Malfunction 9: From manual to

mechanical
mode,
the
shift
switchs
inner
switch returns slowly

Reasons:
the
spring has lost its elasticity

Solutions: replace the switch
valve core
Chapter 3 Flow meter

3.1 Four-tube flow meter
3.1.1
ACM603 ACM603B
ACN606ACM607BACM606B
ACM607 ACM608B
all
use
four-tube flowmeter. (See the picture

on the right)
3.1.2 slim tube: 0.1L/min2L/min
thick tube: 2.5L/min10L/min
3.1.3 four tubes are of O2 and N2O
Compensation adjustment
3.2 Five-tube flowmeter

3.2.1 ACM618B anesthesia machine uses five-tube flowmeter (see the
picture below)
3.2.2 N2O: 0L/min10L/min
O2: 0L/min10L/min
Air: 0L/min10L/min
Base
flow:
130L/min
190L/min
9
3.3 Flowmeters common malfunctions and their solutions

Malfunction 1: O2/N2O flow linkage ratio is invalid
Reasons: Gear loosens
Solutions: Refasten the gear
Malfunction 2: after closing the knob tightly, the floater cannot return to
the bottom position
Reason: The adjustment knob is frayed and cannot be sealed
Solution: Replace the flowmeter
10
Chapter 4 Vaporizer
4.1 ACM600 series anesthesia machines equipped vaporizers
4.1.1 ACM102 vaporizer (see the picture on the right)
ACM102 vaporizers dial has a
symbol, which is the knob place to
add anesthetic agent.
1) Concentration adjusting range:
0.55.0VOL
2) Possessing the function of flow
and temperature compensation
4.1.2 ACM105/ACM108 Vaporizer

1) Concentration adjusting range: 0.25.0VOL
2) Possessing the function of flow and temperature compensation
ACM 105 Vaporizer
ACM108 Vaporizer
11
4.1.3 DRAGER Vaporizer

1) Concentration adjusting range:
0.25.0VOL
2) Possessing the function of flow and
temperature compensation
3)
Temperature
compensation:
15C35C
4) Perfusion between the maximum and minimum graduation
5) It neednt be emptied on the process of transportation
4.2 Vaporizers common malfunctions and their solutions

Malfunction 1: vaporizer leaks
Reasons: 1) Bypass valves seal ring is aging
2) The agent discharge outlet hasnt been screwed down
3) Part of the inject bases seal ring is aging
Solutions: replace the aging seal ring or screw down the agent discharge
outlet
Malfunction 2: dials knob cannot be easily twisted

Reasons: It hasnt been installed well or the spare parts are not of good
quality
Solutions: Reinstall or replace the spare parts
12
Malfunction 3: the output concentration is not accurate (cannot

anesthetize patients)
Reasons: The inner double-sheet metal or other parts have become
distorted or aging
Solutions: Need to re-regulate or repair (send back to the our company to
re-regulate or repair)
Notice: vaporizer is a kind of precision instruments, needing to be

regulated with high-precision instrument. It is usually hard to mend
it on the spot. If with serious problem, it should be sent back to the
company to be dealt with.
13
Chapter 5 Anesthesia ventilator

5.1 Summary
5.1.1 The anesthesia ventilators that are equipped on the anesthesia
machines of various types
603
603-1
606
607
60
603B
606B
608B
618B
803
812A
812A 813A 805A
8
802A
802A
802
814A
5.1.2 Misoperation and solutions of other simple malfunctions

Phenomenon
Digital
doesnt
Possible reasons
Solutions
pipeline 1 Power cable disconnect

flash, 2 Power off
1 Connect the cable

2 Turn on the power
ventilator doesnt 3 Fuse is blown out
supply
work
3 Replace the fuse
The
suddenly
working
ventilator
stops
The
power
supply
Manual ventilation
during fails
operation,
the
indicator light is off

with sound alarm
1 Patients pipeline is 1 Check the patients
14
blocked
Upper
airway 2
pressure limit
pipeline and adjust it
Patients
airway
is 2
blocked
Check
patients
condition
3 Upper airway pressure 3 Reset the alarm limit

limit is set too low
4 Recalculate ventilation
4 Ventilation parameters parameters

change
Airway
pressure 1
gauge
Connecting
between
hoses 1 Reconnect the pipe
inspiration
passage and flow sensor

gets loose or is connected 2 Replace gas supply
reversely
2. Gas supply is out
1 Flow sensors plug gets 1. Re-insert
Tidal
volume
display is too low
loose
2. Connect the pipelines
2 Circuit leaks
properly
3 Expiration valve leaks
3.
Replace
expiration
valve
Probe
5.2 The common malfunctions and Solutions about the 802A
804A
812A
813A Anesthesia Ventilators
Malfunction 1: There is no tidal volume
15
display on the LED window

Reason: The flow sensors probe or the main board is damaged.
Solution: Replace flow sensors probe or main board.
Malfunction 2: The board parameters do not appear when opening the

machine.
Reason: The fuse is burned out or power
module is damaged.
Solution: Replace the fuse or power
module.
Advert: Check the power module whether
it is damaged, multimeter can be used to
check whether the output voltage is
correct.
Malfunction 3: When turn on the machine, it is easy to hang (each

parameter can not be adjusted, and the LED digital tube and indicator
light are all bright);
Reason: There is something wrong with the main board.
Solution: Replace the main board.
Malfunction 4: The anesthesia ventilator can work normally, but the

16
parameters cant be adjusted.

Reason: the connecting lines of the fore board become loose or aging or
damaged.
Solution: re-insert the surface line or replace
the surface film.
Malfunction 5: When the alarm appears,
804 Fore Board
there is only light but no alarm sound.

Reason: Scale the voltage of the buzzer. If there is voltage, then the
buzzer is damaged; if without voltage, then there is something wrong
with the main board.
Malfunction 6: The tidal volume cant be adjusted or cant be closed

tightly.
Reason: The tidal volume knob falls off.
Solution: Retighten the knob.
Malfunction 7: There is loud noise during

the machines working.
Reason: The expiration valve rubber sheet is
aging or distorted.
Solution: Replace the expiration valve
17
rubber sheet.
Malfunction 8: There is no driven gas output in the anesthesia ventilator.

Reason: We can use multimeter to check the electromagnetic valve, then
we will know whether the output voltage is normal; If the
electromagnetic valve is normal, then there must be something wrong
with the main board.
Solution: Replace the electromagnetic valve or main board.
Malfunction 9: It appears black on LCD

Screen (only ACM813A).
Reason: Inverter is not connected tightly or
damaged.
Solution: Re-insert the line or replace inverter.
Malfunction 10: There is nothing appears on the screen or no signal (only

ACM813A).
Reason: The signal wire of display control
board looses or the display control board is
damaged.
Solution: Retighten the signal wire or
18
replace display control board.

5.3 The parameters of Anesthesia Ventilators should be adjusted to
first choose, then adjust.
5.3.1 The adjustment of panel parameters.
1) Irradiance line: It displays the change of airway pressure, the red light
on the right and left means low voltage with high-pressure alarm.
Low pressure alarm: Avoid breath circuits leakage.
High-pressure alarm: It can protect patents lung, and avoid the hurt
from high pressure.
2) The adjustments of I/E ratio and respiration rate.
Press the I/E ratio or respiration rate key on the panel, adjust by the
two symbols of.
3) Tidal volume: Adjust with the flow knob, and calculate by the weight
of patients weight (kg)*(8-12).
* 4) Oxygen concentration: It can only appear but cant be adjusted.
5) Silence for 2 minutes: silence time for alarm.
6) There is an air entrance on the back panel of the ventilator. Using the
Venturi theory, it inhales air through oxygen pressure, thus save the
oxygen.
5.3.2 The adjustment of Ventilators inner parameters

When the ventilators malfunctions are caused by circuit board, we can
19
solve these problems by replacing it. Then we should regulate and adjust
parameters of the new circuit board to ensure the status of Ventilator.
The corresponding parameters of ACM 813A respective rheostat
6201372 control board: *R3 adjusts the increase of airway pressure, i.e.
the adjustment of Ppeak.
*R4 is used to adjust the zero point of airway pressure
*R35 is used to adjust the oxygen supply failure alarm
S1: SESR, the segments 1, 2, 3 adjust the modulus of tidal volume.
Segment 4 adjusts the airway pressure waveform when it is on, and
adjusts its close when it is off.
Notice: Above with#sign shouldnt be adjust randomly, and above
with *sign need special instrument.
20

ACM600 Series Anesthesia Machines Service Manual

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

ACM600 Series Anesthesia Machines Service Manual

Diunggah oleh

Hak Cipta:

Format Tersedia

ACM600 Series Anesthesia Machines Service Manual