This Product will perform in conformity with the description thereof contained in this operating
manual and accompanying labels and/or inserts, when assembled, operated, maintained, and
repaired in accordance with the instructions provided. This Product 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 Field Service Support 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-Ohmedas Quality Assurance Department. The user of this Product shall have the
sole responsibility for any malfunction which results from improper use, faulty maintenance,
improper repair, damage, or alteration by anyone other than Datex-Ohmeda.
w CAUTION U.S. Federal and Canadian law restrict this device to sale by or on the order of a licensed
medical practitioner. Outside the U.S.A. and Canada, 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.
AAA A 12345
1006-0802-000 07/01
Table of Contents
1 Introduction
How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . 1-3
Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Operator maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Datex-Ohmeda approved service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
2 Cleaning and Sterilization
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Patient path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Scavenging path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Clean and sterilize . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
To wash (by hand or machine) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Autoclave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Assemble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Disassemble the patient path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Canister disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Disassemble the scavenging path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . .2-13
CIDEX sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
How to clean and sterilize the optional CO2 Bypass assembly . . . . . . . . .2-15
1006-0802-000 07/01 i
Aestiva/5 7100
ii 07/01 1006-0802-000
Table of Contents
iv 07/01 1006-0802-000
1 Introduction
The last section, Troubleshooting, tells you what causes each alarm and what
you can do about it.
Use this manual (Part 2) with Part 1 which includes the operating instructions
and preoperative checkout.
Note: The Aestiva/5 7100 can be equipped with several optional ventilation
functions. References made in this manual to Pressure Mode, O 2 Monitoring,
Volume Monitoring, Volume Compensation, and Pressure Waveform Display
are only applicable to systems equipped with these functions.
y Earth ground.
Output.
r Frame or chassis ground. REF Stock Number.
Alarm silence button. SN Serial Number.
Y Equipotential.
R Bag position/ manual ventilation.
t Variability. Read top of float.
134C
C Autoclavable.
r Mechanical ventilation.
q
Inspiratory flow. Expiratory flow.
Q
t O2 sensor connection. Alarm silence touch key.
AB43045
< 414 kPa
(60 psi).
OT.01.205.tif
AB.23.179
(Tec 6).
Absorber off (CO2 Bypass active). Systems with this mark agree with
AB.23.179 the European Council Directive
XXXX (93/42/EEC) for Medical Devices
when they are used as specified in
their Operation and Maintenance
Manuals. The xxxx is the
certification number of the
Notified Body used by Datex-
Ohmedas Quality Systems.
Operator maintenance.
Minimum
Frequency Maintenance
Datex-Ohmeda approved
service
Minimum
Frequency Maintenance
Refer to the manufacturers data if you have questions about a cleaning agent.
Do not use organic, halogenated, or petroleum based solvents, anesthetic
agents, glass cleaners, acetone, or other harsh cleaning agents.
Do not use abrasive cleaning agents (such as steel wool, silver polish or
cleaner).
Keep all liquids away from electronic parts.
Do not permit liquid to go into the equipment housings.
Do not soak synthetic rubber parts for more than 15 minutes. Swelling or faster
aging can occur.
Only autoclave parts that are marked 134 C.
Summary
Patient path The shaded parts in Figure 2-1 send exhaled gas back to the patient. They may
require more frequent cleaning/sterilization than parts in Figure 2-2. Refer to
your hospitals infection control policy.
Autoclave (134 C) or
AB.23.003 wash (mild detergent pH <10.5)
AB.23.079
Scavenging path
AB.23.003
Autoclave (134 C) or
wash (mild detergent pH <10.5)
AB.23.080
Figure 2-2 Shaded parts do not send gas back to the patient
The Disassembly part of this section tells you how to remove parts for
cleaning.
AB.23.085
Scavenging path
AB.23.083
Use a mild detergent (pH <10.5). Then, rinse and dry completely. All parts
except the O2 sensor, and flow sensors can be washed.
User maintenance tells you how to disassemble parts and clean inside them if
necessary.
Autoclave
Patient path
Metal only
AB.23.087
Upside down
AB.23.086
Scavenging path
AB.23.083
Autoclave at 134 C. Inspect the parts for deterioration. The user Maintenance
section tells you how to do this.
Special requirements
AB.23.088
*
To clean the circuit O2 sensor, wipe it with a damp cloth. Do not put the sensor
in liquid.
To clean/disinfect metal or plastic flow sensors, use the flow sensor cleaning
procedures. Do not get the connectors wet.
Disassemble the bellows assembly before you wash it. If not, it will take a
very long time to dry. Hang the bellows upside down to dry.
Assemble the bellows assembly before you autoclave. Autoclave the bellows
assembly upside down.
w WARNING Do not use talc, zinc stearate, calcium carbonate, corn starch or
equivalent materials to prevent tackiness. These materials can go into
the patients lungs and airways and cause irritation or injury.
w CAUTION Do not put the circuit O2 sensor or flow sensor connector in liquid.
w Do not clean the interior surfaces of the flow sensors. Use a damp cloth
on external surfaces only.
Assemble The Set-up section tells you how to assemble the breathing system.
The Preoperative tests in part 1 (the first half of this manual), tell you how to
test the system for correct operation.
Step 1
Open the access panel.
AA.96p.009
Step 2
Push up on the latch located
under the flow sensor module.
AA.96p.010
Step 3
Remove the flow sensor
module. You will feel some resistance.
Continue to pull.
AA.96p.011
Step 4
Disconnect the cable and
remove the O2 sensor.
AA.96p013, 014
Step 5
Completely loosen the
thumbscrew on the breathing circuit
module.
AA.96p016
Step 6
Using the thumbscrew, continue to pull.
You will feel some resistance. Remove
the breathing circuit module.
AA.96p017
Step 7
Push the metal button to the
first stop. Pull out the bag arm.
AA.96p018
Step 8
Push the metal button to the
second stop and open the top panel.
AA.96p020
Step 9
Push the release button and remove
the bellows assembly (pull up).
AA.96p021, 23
Step 10
Remove the main manifold.
AA.96p024
Autoclave assemblies marked 134 C. Refer to the Section Clean and
sterilize for complete instructions.
Canister disassembly
w CAUTION To prevent damage, pull the release handle forward. Then turn the
handle.
Step 1
Pull the release handle forward.
wZ
AA.96p026
Step 2
Turn the release handle clockwise.
AA.96p028
Step 3
Pull down and out on the canisters.
AA.96p029
Step 4
Push in the buttons on each side of the
top dish.
AA.96p053
Step 5
Lift up the drain dish.
Remove the top dish and drain dish.
AA.96p054
Continue with the next section or go to Cleaning and Sterilization.
Exhalation valve
AB.23.089
Scavenging reservoir
w Do not use high pressure gas or brushes to clean the flow sensors.
w Do not use cleaning solvents that are not approved for use with
polycarbonates (e.g. CIDEX Plus).
CIDEX sterilization Both Datex-Ohmeda and the manufacturer of CIDEX (Johnson & Johnson)
have tested this procedure.
CIDEX must be 14 day mixture, with activator vial
(REF REORDER # 2245).
One liter of this solution cleans four (4) flow sensors.
Procedure
a. b. c.
AB.48.068
4. Keep the solution in the tubes for the
sterilization period.
AB.48.047
6. Rinse as indicated in CIDEX
instructions.
precautions:
Maximum vacuum 30 in Hg
Maximum flow 10 l/min
Maximum pressure 345 kPa (50 psi)
Step 1
Remove the absorber canisters. (Also described in Canister disassembly in this section.)
a. Pull the canister release handle forward.
w CAUTIONTo prevent damage, pull the canister release handle forward before turning the handle.
b. Turn the release handle clockwise.
c. Lift out the canisters.
Note: The canisters should drop under their own weight when released. If they do not, clean and lubricate the pins in
the drain dish and sockets in the base.
Step 2
Release the CO2 Bypass assembly by
pushing both buttons (one on each side
of the assembly).
AA.96p053
Step 3
Pull down on the CO2 Bypass assembly
(a) to remove it and lift the drain dish
(b) up.
Step 4
Clean and sterilize the bypass
assembly:
a. Immerse the assembly into a so-
lution of mild detergent and wa-
ter.
b. Agitate the assembly in the solu-
tion while repeatedly actuating
and releasing the plate.
c. Rinse the assembly by immers-
ing it in clean water and agitat-
ing it again with the plate
actuated and released.
d. Autoclave the assembly at 134 a
C.
e. Cool about 40 minutes at room
temperature.
Note: Optionally, the Bypass assembly can be divided into two smaller sections for easier cleaning by releasing the
top clamp (a) and pulling the hose from the assembly. When reassembling, reattach the hose to the bottom part of
the assembly. Secure the hose with the clamp and pinch the clamp one notch past finger-tight with pliers.
Step 5
Reinstall the bypass assembly:
d
a. Reinstall the drain dish. c
b. Insert the bypass assembly.
c. Push back and adjust to locate
the access holes for the top b
ports.
d. Push the buttons on each side of
a
the assembly and push the as-
sembly up; both buttons should
snap into place.
e. Pull down on the assembly to
make sure it is locked into place.
Step 6
Reinstall the canisters:
a. Ensure seals and rim are free of soda lime dust.
b. Place the canisters in the drain dish.
c. Turn the canister release handle counterclockwise to its locked position while gently applying pressure on the
canisters to hold them against the canister guides.
Step 7
Test the Bag circuit for leaks according to the Breathing System tests in the Appendix section of Part 1 of the
Operation manual.
Do the test in both the Absorber mode and the Bypass mode.
Ensure the alarm message No CO2 Absorption activates when in Bypass mode. See CO2 Bypass mode operation
in section 3 of Part 1 of the Operation manual.
Step 8
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.
w WARNINGS 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.
w To prevent incorrect values or equipment malfunction, use only Datex-Ohmeda
cables, hoses and tubing.
w This system operates correctly at the electrical interference levels of IEC 601-1-2.
Higher levels can cause nuisance alarms that may stop mechanical ventilation.
w To help prevent false alarms from devices with high-intensity electrical fields:
Keep the electrosurgical leads away from the breathing system and the flow and
oxygen sensors.
Do not put the electrosurgical leads on any part of the anesthesia system.
Step 1
Install the main manifold.
AA.96p024
Step 2
Install the bellows assembly.
AA.96p022
Step 3
While pressing and holding
the metal button, gently close
the control panel.
AA.96p012
Step 4
While pressing down firmly on
the control panel, install the
bag arm.
AA.96p019
Step 5
AB.23.067
Look at the tabs on the rear or
the label on the front.
Mapleson
Step 6
AA.96p017
resistance. Continue to push.
Step 7
AA.96p016
Step 8
Step 9
Install the flow sensor
module.
You will hear a click
when it locks into
AA.96p011
position.
Refer to section 4/User
Maintenance, Flow
sensor maintenance.
Step 10
AA.96p009
Step 11
AB.23.182
Circle:
Insp
Exp
Mapleson D /
Bain Module:
To-fro
Insp Exp
AB.23.181
Oxygen Monitoring of the fresh gas is recommended and available for use with external
manual breathing circuits.
Common Gas Outlet 1. Attach a Tee piece to the CGO and make the fresh gas connection from the Tee piece
(CGO) to the external circuit.
2. Remove the O2 cell from the breathing circuit module, install the cell into the
adapter, and the cell with adapter into the Tee piece.
3. Fresh gas oxygen concentration is shown on the ventilation display. Set alarm limits
appropriately.
Note: The fresh gas oxygen concentration may not reflect fiO 2 in rebreathing circuits
such as the Mapleson series.
Auxiliary Common O2 monitoring of fresh gas is available automatically when the ACGO is selected.
Gas Outlet (ACGO)
(Optional) Fresh gas oxygen concentration is shown on the ventilation display. Set alarm limits
appropriately. Note that fresh gas oxygen concentration may not reflect fiO 2 in
rebreathing circuits such as the Mapleson series.
A sample of the fresh gas is diverted to the O2 cell in its standard location in the
breathing system.
The sample flow to the O2 sensor is dependent on the pressure in the external circuit.
The sample flow reduces the fresh gas flowrate to the external breathing circuit.
Scavenging the If the external manual breathing circuit is to be used with N2O or volatile anesthetics,
ACGO sample flow the sample flow should be scavenged.
1. Occlude the patient circuit of the Aestiva breathing system on the leak test port on
the breathing system handle.
2. Check for clinically correct settings. Set the Bag to Vent switch to the ventilator mode.
Alternatively set the Bag to Vent switch to the bag mode and set the APL to MIN and
attach a bag.
3. The bellows, or bag, will fill slowly with the fresh gas sample flow and then spill to the
AGSS.
Scavenging from the If the external manual breathing circuit is to be used with N2O or volatile anesthetics,
external manual the exhaust should be scavenged.
breathing circuit
An optional auxiliary inlet is available for active AGSS units. It provides a 30 mm male
swivel connection into the air brake of active AGSS units under the Aestiva breathing
system.
The optional auxiliary inlet is a convenience inlet to the air brake of active AGSS units.
Its effectiveness is limited by the extract flow of the particular active AGSS device.
There is no reservoir to capture exhaust flows higher than the extract flow.
For passive AGSS, a separate exhaust hose is necessary from the external manual
circuit to the disposal point.
Canister setup
Each canister holds 1.35 kg of loose absorbent or 1.13 kg of commercially packaged
(pre-pack) absorbent. Datex-Ohmeda recommends calcium, sodium or barium
hydroxide based absorbent.
w WARNING Change absorbent often to prevent the build up 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 appearance. Refer to the absorbent labeling for more information
about color changes.
If the absorbent completely dries out, it will give off CO (carbon monoxide) when
exposed to anesthetic agents. For safety, replace the absorbent.
Always perform a breathing system leak test in the Bag Mode after opening the
absorber.
Step 1
Pull the release handle forward.
AB.23.061
Step 2
Turn the release handle
clockwise.
AB.23.061
Step 3
Push in the buttons and install
the top dish and drain dish.
AA.96p054
Pull down to make sure the top
dish is locked in place.
Step 4
Fill the canisters with absorbent
and install them.
AA.96p029
Push down on the drain dish if
necessary.
Step 5
Push back on the canisters and
turn the release handle counter-
clockwise.
AA.96p028
Step 6
Push in the release handle.
AA.96p026
wCAUTION Use only medical grade gas supplies. Other types of gas supplies may contain water,
oil, or other contaminants.
Mains inlet
Arrow shows the mains inlet.
AA.96.116
Outlets
Labels show outlet voltage
ratings and circuit breaker
amp ratings.
AA.96.116
Tec 6 power
Arrow shows the Tec 6 power
connection (not on all
AA.96.095
models).
The Aestiva gas supplies also supply these devices through internal connections:
The venturi suction regulator (optional)
The external O2 flowmeter (optional)
Ventilator drive gas
Pneumatic outlet (optional)
Pipeline Inlets
Label identifies the gas.
AA.96.116
O2 Pneumatic outlet
AA.96.116
Scavenging
Adapters may be necessary.
Refer section 6/Illustrated
Parts.
AA.96.137
Suction regulator
Optional item.
AA.96.172
vacuum supply.
1. External
AA.96.227
vacuum (non-venturi)
2. Filter 1
2
3. Collection bottle 4
4. Patient connection
External O2 flowmeter
Optional item.
AA.96.2188
Serial port
Refer to the communications
appendix for command and
data formats.
AA.96.116
AA.96.123
2. Close the cylinder valve on the cylinder to be replaced.
AA.96.122
3. Fully loosen the tee handle.
AA.96.124
4. Open the cylinder yoke.
AA.96.125
6. Remove the cap from the cylinder valve on the new cylinder.
7. Point the cylinder outlet away from all items that can be damaged by a release of high
pressure gas.
8. Quickly open and close the cylinder valve. This removes dirt from the cylinder outlet.
To repair a leak:
Install a new cylinder gasket and tighten the tee handle.
Do this step again. If the leak continues, do not use the system.
w WARNING 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.
AA.96.127
2. Loosen the adapter and remove the cylinder.
AA.96.129
3. Remove the cap from the cylinder valve on the new cylinder.
4. Point the cylinder outlet away from all items that can be damaged by a release of high
pressure gas.
5. Quickly open and close the cylinder valve. This removes dirt from the cylinder outlet.
6. Do a high pressure leak test:
a. Disconnect pipeline supplies.
b. Disconnect all equipment from the pneumatic outlet and turn OFF the auxiliary
flowmeter.
c. Set the system switch to Standby.
d. Open the cylinder.
e. Record the cylinder pressure.
f. Close the cylinder.
g. If the cylinder pressure decreases more than 5000 kPa (725 psi) for O 2 and air
in one minute, there is a significant leak.
h. For all other cylinder types, a pressure decrease of 690 kPa (100 psi) in one
minute represents a significant leak.
To repair a leak:
Install a new cylinder gasket and tighten the tee handle.
Do this step again. If the leak continues, do not use the system.
w WARNING 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.
Accessory shelf 1. Install the clips in the two slots nearest to the equipment.
AA71.145
2. Install the straps.
Large equipment.
Loop one time
(A, B, C)
B
A
C
A B
C
AA.50.015
Small equipment.
Loop two times
(A, B, C, D)
D A B
C
A B
C
w WARNING If you do not fully tighten the strap, equipment can fall off the shelf.
or:
AA.96.130, AB.72.012
2. Install the straps.
D C D C
or:
AA.96.135, AB.72.013
B A
B A
w WARNING If you do not fully tighten the strap, equipment can fall off the shelf.
Installation notes
When the system is installed, the Datex-Ohmeda representative will check the following
settings and change them if necessary.
wW
WARNING These settings can only be changed by qualified personnel.
Language.
Automatic calculation of VE alarm limits during mechanical ventilation.
Altitude.
Ventilator drive gas.
Heliox mode availability.
Upgrade, activation and deactivation of monitoring and ventilation features.
1
Use lubricants approved for anesthesia or O2 equipment, such as Krytox .
Do not use lubricants that contain oil or grease. They burn or explode in high O2
concentrations.
All covers used on the system must be made from antistatic (conductive)
materials. Static electricity can cause fires.
w WARNING Obey infection control and safety procedures. Used equipment may contain
blood and body fluids.
Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or have the
equipment serviced by an authorized Datex-Ohmeda service representative.
After repair, test the equipment to ensure that it is functioning properly, in
accordance with the manufacturers published specifications.
To ensure full reliability, have all repairs and service done by an authorized
Datex-Ohmeda service representative. If this cannot be done, replacement
and maintenance of those parts listed in this manual may be undertaken by a
competent, trained individual having experience in the repair of devices of this
nature.
Manifold maintenance
Step 1
Complete the Basic
disassembly to remove the
main manifold. (Refer to the
2/Cleaning and Sterilization
section.)
AB.23.094
Step 2
(APL valve)
Remove the diaphragm.
Replace it if:
AB.23.069
The diaphragm looks
worn.
The diaphragm fits over
the rim.
Step 3
(Seals)
Loosen the thumbscrew and
remove the plate.
AB.23.070
Step 4
(Seals con.)
Loosen the thumbscrews.
AB.23.073
Step 5
(Seals con.)
Open the manifold (top
middle, and bottom parts).
AB.23.074
Step 6
(Seals con.)
Replace the parts if they are
damaged or worn.
Side
AB.23.071
Top Bottom
Step 7
(Bag/Vent)
AB.23.077
Replace the parts if they are
damaged or worn.
Step 8
Put the parts together:
Make sure all gaskets are
fully seated.
AB.23.075
Fully tighten the OK OK
thumbscrews.
Step 9
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.
Step 1
Remove the exhalation valve.
(2/Cleaning and Sterilization
section.)
AB.23.089
Step 2
Remove the top cover.
AB.23.093
Step 3
Unscrew the lock ring (one
quarter turn) and remove the
cap.
AB.23.072
Step 4
Put the parts together :
AB.23.021
Step 5
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.
Step 1
b
Remove the receiver:
AB.23.091
a
Step 2
Replace the filter (a) (friction
fit with gasket.)
B.23.092
a
Step 3
Reassemble by: doing above steps 1a through 1c in opposite order.
Step 4
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.
w WARNING This system operates correctly at the electrical interference levels of IEC
601-1-2. Higher levels can cause nuisance alarms that may stop
mechanical ventilation.
Always make sure that the rear cover is installed.
Completely tighten the thumb screw.
Step 4
Push in the tab (a) and a
remove the cover.
AA.96p.037
Step 5
Remove the sensor and
install the new sensor with
the arrows up.
AA.96p.039
Keep the tubes straight.
Step 6
Slide on the cover.
Do not pinch the tubes.
AA.96p.038
Step7
Re-install the flow sensor module.
Step 8
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.
Step 1 - 6
Same steps as 1 - 6 of Disassemble the patient path in 2/Cleaning and
Sterilization.
Step 7
Hold in the tab.
AA.96p.041
Step 8
Remove the rear cover.
Note the rear seal is keyed to
fit a specific breathing circuit
module.
AA.96p.042
Step 9
Push in the tabs and remove
the top cover.
AA.96p.043
Step 10
Remove the seals.
Turn and pull to remove the
check valves.
Check movement of drain
button on circle-type
AA.96p.044
breathing circuit module.
Step 11
Do the steps in the opposite
order to assemble the
module.
AA.96p.045
Step 12
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.
Step 1
Remove the bellows
assembly from the breathing
system.
AA.96p.023
Step 2
Turn the housing counter-
clockwise and lift.
AA.96p.051
Step 3
Remove the bottom edge of
the bellows from the rim.
AA.96p.052
Step 4
Remove the disk from the
bellows.
AA.96p.031
Step 5
Remove the ring from inside
the top of the bellows.
AA.96p.032
Step 6
Push the latch toward the
center and remove the rim.
AA.96p.033
Step 7
Remove the pressure-relief
valve.
AA.96p.034
w WARNING Do not disassemble the pressure relief valve. This can damage the seat
or diaphragm and cause injury to the patient.
Step 8
Push the latch toward the
center and remove the
locking tabs.
AA.96p.035
Step 9
Remove the seal.
AA.96p.036
Step 10
Do these steps in the opposite order to assemble the bellows assembly.
If you see a dust-like powder on the bellows housing or on the bellows, apply a thin layer of KRYTOX lubricant to the
ribs of the bellows housing. Make sure the lubricant is applied smoothly and there are no lumps.
Make sure that:
a. The arrow on the seal points up.
b. You hear a double click when you install the rim.
c. The rim is locked in position.
d. The inner ring is correctly installed inside the top of the bellows.
e. Only the bottom ring of the bellows fits over the rim.
f. The housing is locked in position. You cannot lift it off.
Step 11
Perform the bellows assembly tests (which follow below) before reinstalling the bellows assembly on the system.
w WARNING Objects in the breathing system can stop gas flow to the patient. This can
cause injury or death:
Do not use a test plug that is small enough to fall into the breathing system.
Make sure that there are no test plugs or other objects caught in the breath-
ing system.
w WARNING The bellows assembly test does not replace the preoperative tests.
Always complete the tests in the section Preoperative tests before you
use the system with a patient.
This test makes sure that all components are correctly assembled. It is not an
alternative to a complete system checkout.
If there is a problem, disassemble the bellows assembly. Look for and replace
damaged parts.
Step 1
Hold the bellows assembly
vertical and close the
ports (A and B).
AA.96p.125
Step 2
Invert the bellows assembly.
The bellows must not fall
more than 100 ml/min.
If it does:
The ports are not tightly B
sealed. A
AA.96p.123
The bellows is incorrectly
installed.
The seal inside the
bellows is not correctly
installed (with its groove
pointed up).
Parts are damaged.
Step 3
Remove the plugs from the
ports. Permit the bellows to
fully extend.
AA.96p.048
Step 4
Close port C.
C
AA.96p.124
Step 5
Hold the bellows assembly
vertical. The bellows must not
fall more than 100 mL/min.
If it does:
AA.96p.050
The port is not tightly
sealed.
The bellows or the
pressure relief valve is not
correctly installed.
Parts are damaged.
Step 6
If the result for all the bellows assembly tests was passed, install it in the system.
Step 7
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.
O2 sensor calibration
Step 1
Push the Menu key to see
AB43046, AB.43.124
the main menu.
Step 2
AA.69.350, AB43069
Turn the knob to select
the Calibration screen.
Step 3
Push the knob to show
the next screen.
AB.43.115
Step 4
Push the knob to show
the calibration steps.
AB43030
Step 5
Complete the steps
shown on the screen.
AB43024
Remove the O2 sensor
from the circuit.
Do not twist or stress
the cable.
Make sure the cable is
connected.
AB.23.068
Step 6
Push the knob to start
calibration.
AB43025
The screen shows
Calibrating during the
C
procedure.
AB.43.081
After a successful calibration, the screen shows Complete and a flashing Reinstall Sensor. After
installing the sensor, you can continue to 100% calibration (step 11) or exit to the normal screen (step 7).
Step 7
To exit, select Go to O2
AB.43.087
Cal Menu and push the
knob.
You can also press
the menu key to exit to
the normal screen
Step 8
Select Go to Main Menu
and push the knob.
Go to Main Menu
Step 9
Select Exit to Normal
Screen and push the
knob. Exit to Normal Screen
Step 10
If you are not doing the 100% calibration which follows, do a breathing circuit leak test before using the
system.
Step 11
Push the knob to show
the next screen.
AB43027
Step 12
Complete the steps
shown on the screen.
AB43027
With the O2 sensor in the
circuit, fill the circuit with
100% O2:
Push the flush button.
Then flow 100% O2 at 5
AA.96.113
L/min.
Step 13
Push the knob to start
calibration.
AB43028
Calibrating ... , followed by the result: Complete or FFailure.
The screen shows C
If the calibration fails,
do it again or
decrease the airway pressure. Then try again.
After repeated failures replace the O2 sensor and re-calibrate at 21%.
Continue with steps 14 through 16 to exit to a normal screen.
Step 14
To exit, select Go to O2
Cal Menu and push the
Go to O2 Cal Menu
knob.
You can also press
the menu key to exit to
the normal screen
Step 15
Select Go to Main Menu
and push the knob.
Go to Main Menu
Step 16
Select Exit to Normal
Screen and push the
knob. Exit to Normal Screen
Step 17
Do a breathing circuit leak test before using the system.
Step 1
Push the Menu key to see
AB43046, AB.43.124
the main menu.
Step 2
AA.69.350, AB43069
Turn the knob to select
the Calibration screen.
Step 3
Push the knob to show
the next screen.
AB.43.116
Step 4
Push the knob to show
the calibration steps.
AB.43.117
Step 5
Complete the steps
shown on the screen.
AB.43.117
Step 6
Push the knob to start
calibration.
AB.43.119
The screen shows
Calibrating during the
C
procedure.
After a successful
calibration, the screen
shows Complete and
a flashing Reconnect
AB.43.118
patient hoses.
Step 7
To exit, select Go to Cal
AB.43.118
Menu and push the
knob.
You can also press
the menu key to exit to
the normal screen.
Step 8
Select Go to Main Menu
and push the knob. Go to Main Menu
Step 9
Select Exit to Normal
Screen and push the Exit to Normal Screen
knob.
The system automatically corrects for zero offset when you unplug the flow
sensor connectors with power on. You must stop mechanical ventilation
before you calibrate the flow sensors.
Step 1
Push up on the latch under
the flow sensor module.
6p.011
Step 2
Remove the flow sensor
module. You will feel some
resistance. Continue to pull.
AA.96p010
Step 3
When calibration is complete, No Insp Flow Sensor
the screen shows, No Insp No Exp Flow Sensor
flow sensor and No Exp flow
sensor.
Step 4
Install the flow sensor
AA.96p.011
module.
Step 5
Do a breathing circuit leak test before using the system.
How much water is too much? A thin layer of water or a foggy look in the flow sensors is OK.
Where does the water Water comes from exhaled gas and a chemical reaction between CO 2 and the
come from? absorbent in the absorber.
At lower fresh gas flows more water builds up because less gas is scavenged
and:
More CO2 stays in the absorber to react and produce water,
More moist, exhaled gas stays in the absorber.
With a circle breathing circuit, push the drain button before every case (listed
in Pre-operative procedures).
If Check Flow Sensors alarms occur during a VERY LONG case, replace the
flow sensor module. Allow the original flow sensors to dry before you use
them again.
Ensure that water condensing in the breathing circuit tubes is kept lower than
the flow sensors and is not allowed to drain into the flow sensors.
Water condensation in the breathing circuit tubing can be eased using a Heat
& Moisture Exchange (HME) filter at the airway connection.
About alarms
The area at the top of the display (1) shows alarm information. If there are
more than four alarms at the same time, the lower priority alarms cycle every
two seconds.
AB43065
Alarm priority depends on the level of risk to the patient. High priority alarms
require immediate attention. If an alarm is related to control settings, the
limits flash and a box appears around the parameter.
12 Hour Test w Low System in use for more At end of case, move the Not necessary.
than 12 hours without a system switch from On to Informational.
power-up self test. Standby to On.
+12V / -12V Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Analog Out-of- (High) Monitoring is not reliable. service
Range representative.
Absorber Panel Medium (low The top panel is not Close the panel. ---
Open after completely closed.
acknowledge)
A/D Converter Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.
Apnea Alarm Low Normal condition after Monitoring resumes after first - - -
Standby End Case, power-up, or breath (mechanical) or 2
ACGO change from On to breaths within 30 sec (non-
Off. mechanical).
Apnea Alarm Off Low The cardiac bypass Apnea alarms are turned off ---
option is selected (Alarm when this option is selected.
Settings menu).
Aux Gas Medium (low The outlet selection Connect the patient circuit to - - -
Outlet On after switch is set to the the auxiliary outlet.
acknowledge) auxiliary common gas For mechanical ventilation or
outlet. ventilation with monitoring,
select the common gas
outlet.
Battery Charger Low The current in the battery System is operational, but Contact a qualified
Fail charging circuit is too may fail on battery if mains service
high. power is lost. representative.
Battery Low Battery is not fully Leave the system plugged in ---
Charging w charged. If power fails, to charge the battery.
the total backup time will
be < 30 minutes.
Battery Current Low Battery current > 6 amps System is operational, but Contact a qualified
High for 10 seconds. may fail on battery if mains service
power is lost. representative.
Battery Failure Low Battery voltage > 8 V for System is operational, but Contact a qualified
High 10 seconds. may fail on battery if mains service
power is lost. representative.
Battery Failure Low The battery voltage is too System is operational, but If the battery does
Low low (< 2 V) to supply the will fail on battery if mains not charge in 24
system if power fails. power is lost. hours, contact a
Leave the system plugged in qualified service
to charge the battery. representative.
Cal Flow Low The last flow sensor Calibrate the flow sensors. Contact a qualified
Sensors calibration failed. Look for water in the flow service
sensor tubes and dry if representative if
necessary. calibrating or
Replace sensor if necessary. replacing the sensor
does not correct
problem.
Calibrate O2 Low Calibration failure or O2% Does the sensor measure Calibrate the O2
Sensor > 110% 21% O2 in room air? sensor.
Replace sensor if necessary. Contact a qualified
service
representative if
calibrating or
replacing the sensor
does not correct
problem.
Canister Open Medium (low The canister release is Close the canister release. A switch checks the
after open, causing a large release position.
acknowledge) leak.
Cardiac Bypass Low The alarm limit settings Use the alarm limits menu to ---
are set for a patient on change this setting.
cardiac bypass. Apnea
alarms are off.
Check Flw Medium (low System has detected an Are the flow sensors correctly Inspect one way
Sensors w after improper flow pattern in installed? valves (breathing
acknowledge) the breathing circuit. Water build up in the flow circuit module.)
sensor tubes? Replace flow sensor
Is a flow sensor tube cracked module with the
or broken? spare. Check the
Improper check valve condition of the flow
operation? sensor and its tubing.
Circuit Leak Low Control setting on the This message tells you that ---
Audio Off Alarm limit menu. the audio alarm for circuit
leaks was turned off.
Connect Low The O2 sensor is not Connect the sensor. Contact a qualified
O2 Sensor connected to the cable. service
representative to
replace the cable.
CPU Failure Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
(High) Monitoring is not reliable. service
representative.
CPU Internal Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Error (High) Monitoring is not reliable. service
representative.
Exp Flow Sensor Low System cannot read the Operation continues with Replace the flow
Fail calibration data stored in reduced accuracy. sensor.
the sensor.
Exp Reverse Medium (low Flow through the Look at the check valves. Replace the
Flow after expiratory sensor during Water build up in the flow expiratory check
acknowledge) inspiration (for 6 breaths sensor tubes? valve.
in a row). Is a flow sensor tube cracked Check the flow
or broken? sensor condition.
Heliox Mode Low Control setting on When heliox is used, the ---
is On ventilation setup menu. ventilator must adjust volume
calculations.
High O2 Medium O2% > alarm high limit Is the limit set correctly? Calibrate O2 sensor.
setting. What is the O2 flow? Replace O2 sensor.
Did you just push Flush?
Does the sensor see 21% O2
in room air?
High Paw High Paw is greater than Plimit. Are Plimit and other controls ---
The ventilator cycles to set correctly? Look for
expiration. blockages.
Check patient connection.
High VE Medium The minute volume is > Check patient for ---
the set high limit. This spontaneous breathing.
alarm is suspended for 9 Adjust control settings.
breaths after you change
the ventilator settings.
Insp Flow Low The system cannot read Operation continues with Replace the flow
Sensor Fail the calibration data reduced accuracy. sensor.
stored in the sensor.
Insp Reverse Medium (low Flow through the Look at the check valves. Replace the
Flow after inspiratory sensor during Water build up in the flow inspiratory check
acknowledge) expiration (for 6 breaths sensor tubes? valve.
in a row). Is a flow sensor tube cracked Check the flow
or broken? sensor condition.
Inspiration High Drive gas safety switch Adjust controls. Contact a qualified
Stopped w activated (high pressure). Check systems for blockages. service
representative if
problem continues.
Invalid Circuit Low The system does not Make sure the breathing Contact a qualified
Module recognize the type of circuit module is correctly service
breathing circuit module installed. representative.
installed. Look for broken ID tabs or
Normally the system uses tape on the tabs.
the ID tabs to identify
circuits.
Low Battery Medium Voltage is <5.65V while Manually ventilate the Make sure power is
Voltage using battery power. patient to save power. connected and
Is the mains indicator light circuit breakers are
on? closed.
Low Drive Medium The ventilator does not Manually ventilate the Make sure that the
Gas Press detect supply pressure. patient. appropriate gas
supplies (O2 or air)
are connected and
pressurized.
Low O2 High O2% < alarm low limit Is the limit set correctly? Calibrate O2 sensor.
setting. Is the O2 flow sufficient? Replace O2 sensor.
Does the sensor see 21% O2 As sensors wear out,
in room air? the measured % O2
decreases.
Low Paw High Paw does not rise at least Are circuit connections Ok? Look for circuit
4 cm above Pmin during Look at the Paw gauge on the disconnection.
the last 20 sec. absorber.
Low VE Medium Exhaled minute volume < Check patient condition. ---
low limit alarm setting. Check tubing connections.
This alarm is suspended Check alarm settings.
for 9 breaths after the
ventilator settings are
changed.
Low V TE Medium Exhaled tidal volume < Check patient condition. ---
low limit alarm setting. Check tubing connections.
This alarm suspended for Check alarm settings.
9 breaths after you
change the ventilator
settings.
Memory Low The system cannot Default settings are used. Contact a qualified
(EEPROM) Fail access some stored Ventilation is still possible service
values. but service is necessary. representative.
Memory (Flash) Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.
Memory (RAM) Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.
Memory (Video) Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.
Monitoring Only Medium A severe malfunction Ventilate manually. Cycle Contact a qualified
prevents mechanical system power (On- Standby- service
ventilation. On). representative.
Other alarms may also If the alarm clears, restart
occur. mechanical ventilation.
No Circuit Low The patient circuit Install a module. Optical sensors look
Module module is not installed. Refer to the Setup section. for tabs on the back
of the module. Is the
module assembled?
Are sensors dirty?
No Exp Flow Medium (low Electrical signals show Connect the flow sensors. ---
Sensor after the flow sensor is not Make sure the flow sensor
acknowledge) connected . module is on all the way.
No Insp Flow Medium (low Electrical signals show Connect the flow sensors. ---
Sensor after the flow sensor is not Make sure the flow sensor
acknowledge) connected . module is on all the way.
No O2 pressure High (cannot The O2 supply has failed. Air flow will continue. ---
be silenced) Ventilate manually if
necessary.
Connect a pipeline supply or
install an O2 cylinder.
O2 Flush Failure Low The pressure switch that This alarm occurs if you hold If the alarm occurs
detects flush flow has down the Flush button for when flush is not in
seen a very long flush more than 30 seconds. use, contact a
(30 sec). qualified service
representative.
O2 Mon Medium An Oxygen cell has been The Oxygen Monitoring Contact a qualified
Disabled connected to a non- feature is not active on this service
active ventilator system. representative for
monitoring feature. activation of this
feature if provided or
contact a Datex-
Ohmeda sales
representative for
purchase of this
feature.
On Battery - Medium (low The mains supply is not Ventilate manually to save Make sure power is
Power OK? after connected or has failed power. connected and
acknowledge) and the system is using At full charge, the battery circuit breakers are
battery power. permits approx. 30 min of closed.
mechanical ventilation.
Patient Circuit Medium Exhaled volume <50% of Check breathing circuit Patient circuit leak
Leak? inspired volume for at and flow sensor audio can be turned
least 30 seconds connections. off in the alarm
(mechanical ventilation). settings menu.
Paw < -10 High Subatmospheric Check patient condition, Calibrate the flow
cmH2O pressure (<-10 cm H2O). spontaneous activity? sensors. With active
Increase fresh gas flow. Look scavenging, check
for high flow through gas the negative relief
scavenging. valve on the receiver.
PEEP Valve Minimum Indicates a failure of the Ventilate manually. Contact a qualified
(DAC) Failure Monitoring control circuit for the service
(Medium) PEEP Valve. representative.
PEEP Valve Minimum Indicates a problem with Ventilate manually. Contact a qualified
(Voltage) Failure Monitoring the PEEP Valve or the service
(Medium) connections to the PEEP representative.
Valve.
PEEP Safety Minimum Indicates a higher than Ventilate manually. Contact a qualified
Valve (Drive) Monitoring allowed current draw on service
Failure (Medium) the PEEP Safety Valve. representative.
PEEP Safety Minimum Indicates that the power Ventilate manually. Contact a qualified
Valve Failure Monitoring up test of the PEEP Safety service
(Medium) Valve Failed. representative.
Pinsp Not Low Indicates a problem with Check breathing circuit ---
Achieved breathing circuit connections. Check settings.
connections or that the
ventilator is unable to
deliver requested
pressure to the patient.
Pres/Vol Mon Medium (low Outlet selection switch is Connect the patient circuit ---
Inactive after set to aux. gas outlet. to the aux. gas outlet or
acknowledge) set the switch to the
common gas outlet for
normal operation.
Replace Low O2% < 5% Make sure patient receives Calibrate O2 sensor.
O2 Sensor O2. Replace O2 sensor.
Does the sensor read 21% O2
in room air?
Use different monitor.
Service Low Internal calibrations are The system is operational. Contact a qualified
Calibration w necessary for maximum service
accuracy. representative.
Select Medium Fresh gas may not flow to Turn ACGO off or connect the Note: the bag arm
Gas Outlet the patient. patient circuit to the ACGO. will not ventilate a
ACGO is On, but flow patient at the aux.
sensors have seen 3 outlet.
breaths in patient circuit
during the last 30
seconds.
Software Error Min. Indicates that a software Ventilate manually. Contact a qualified
Shutdown error has occurred. Monitoring is not reliable. service
(High) representative.
Sustained Min. shutdown Paw > 100 cm H2O for 10 Check tubing for kinks, Calibrate the flow
Airway Pressure (High) sec. blockages, disconnects. sensors.
Sustained Paw High Paw > sustained pressure Check tubing for kinks, Calibrate the flow
limit for 15 seconds. 1 blockages, disconnects. sensors.
System Leak? Low Leak detected between If you are using Heliox, select Calibrate the flow
ventilator and patient Heliox on the ventilator setup sensors.
circuit. menu. Look for leaks in the Drain water buildup
absorber system. from the breathing
Problem with flow sensors? system and inspect
for leaks (repair).
Inspect or replace
flow sensors.
Verify Low VE Low The circuit leak audio Set the low VE alarm. ---
Limit alarm is off (Alarm
Settings menu), but the
low VE alarm is not
consistent with the
ventilator settings.
Volume Mon Medium A flow sensor has been The Volume Monitoring Contact a qualified
Disabled connected to a non- feature is not active on this service
active ventilator system. representative for
monitoring feature. activation of this
feature if provided or
contact a Datex-
Ohmeda sales
representative for
purchase of this
feature.
V T Comp Off Medium The system supplies the Adjust V T manually and Replace the flow
(low after set breath but cannot continue without sensor module and
acknowledge) adjust ventilation for compensation, or change to select the mode
compliance and the pressure mode. again.
resistance losses, etc. In pressure mode set Pinspir. If the problem stops,
inspect the two flow
sensors.
V T Comp Medium (low A flow sensor has been The Volume Compensated Contact a qualified
Disabled after connected to a non- Delivery feature is not active service
acknowledge) active ventilator on this system. representative for
monitoring feature. activation of this
feature if provided or
contact a Datex-
Ohmeda sales
representative for
purchase of this
feature.
V T Not Low Tidal volume measured Adjust controls to supply Possible leak.
Achieved by inspiratory flow sensor adequate tidal volumes. Modify settings or
< set value 6 breaths in a Check I:E; Plimit; and volume check for system
row after the first minute settings. leaks.
of mechanical
ventilation.
V TE > Insp V T Low Expired volume > Check patient condition. Inspect one way
inspired volume for 6 Are the flow sensors correctly valves (breathing
breaths with a circle installed? circuit module.)
module. Water build-up in the flow Replace flow sensor
sensor tubes? module with the
Is a flow sensor tube cracked spare. Check the
or broken? condition of the flow
Improper check valve sensor and its tubing.
operation?
V T Delivery Too Low V T > 20% of set value for Reduce fresh gas
High six consecutive breaths. flow.
1
The sustained pressure threshold is calculated from the pressure limit setting. The sustained limit is calculated as
follows:
Mechanical For Plimits 30 cm H2O; the sustained pressure limit is 6 cm H2O plus Set PEEP.
Ventilation On - For Plimits between 30 and 60 cm H2O; the sustained pressure limit is 20% of the Plimit plus Set
Volume Mode PEEP.
For Plimits 60 cm H2O; the sustained pressure limit is 12 cm H2O plus Set PEEP.
Mechanical Sustained pressure limit is 50% of set Pinsp or 4 cm H 2O, whichever is greater, plus Set PEEP
Ventilation On and
Pressure Mode
Pmax Pmin must be less than 50% of set Pinsp or 4 cm H2O, whichever is greater.
Mechanical For Plimits 60 cm H2O; the sustained pressure limit is 50% of the Plimit setting.
Ventilation Off For Plimits > 60 cm H2O; the sustained pressure limit is 30 cm H2O.
Gas scavenging flow is too low. Suction supply problem. Use a different suction
supply.
The bellows fills when the Bag/ Leak through Bag/Vent Refer to Manifold
Vent switch is set to Bag or the switch. maintenance: APL Valve and
bag fills when the switch is set to Bag/Vent in Section
Vent. 4/Maintenance.
The ventilator does not read the Ventilator or absorber Ventilate manually. Contact a
position of the Bag/Vent switch. malfunction. qualified service
representative to repair the
system.
The ventilator does not correctly Broken identification tabs. Remove the module and look
identify the breathing circuit at the tabs on the rear. If there
module. is damage, use a different
module.
APL valve does not operate APL valve problem. Replace APL Valve seal and
correctly. diaphragm - Refer to
Manifold maintenance in
section 4/User Maintenance.
Large breathing system leak not Oval absorber seals in the Disconnect patient wye from
quickly located. bottom of the main system test plug.
manifold have been Reseat the absorber seals.
unseated.
wWARNING If a circuit breaker opens frequently, do not use the system. Have a
qualified service representative repair the system
Mains indicator is not ON. The electrical power Connect the power cable.
cable is not connected.
The electrical outlets do not The main outlet circuit Close the circuit breaker.
have power but the mains breaker is open.
indicator is ON.
One electrical outlet does not The outlet circuit breaker Close the circuit breaker.
have power. is open.
Tec 6 has no power. Not plugged into outlet. Connect power cable.
AA.96.108
(No Power) (OK) (No Power) (OK)
AA.96.109
2
3
4
1
4
Pneumatic problems
Symptom Problem Solution
High-pressure leak test Controls are not set correctly. Set the system switch to
fails. Standby and the auxiliary
flowmeter to OFF.
Low-pressure leak test The vaporizer is not correctly installed. Correctly install the
fails with a vaporizer on. vaporizer.
The vaporizer filler is loose (fill port type Tighten the filler.
vaporizer).
In this section This section lists user-replaceable parts only. For other components refer to the service
manual.
Breathing system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Main manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Exhalation valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Breathing Circuit Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
6 7
5
8
9
4
2
1a
AB.23.095
1b
12* 11 10
Main manifold
11
2c
2b
2a
10
9
3
AB.23.096
6
2
5
1
AB.23.071
Top Bottom
Exhalation valve
6
1
7
2
AB.23.021
5
1
2
AB.23.102, AB.23.183
7 3
1
4 6
2
5
7
4
6
5
Bellows
AB.23.055
7
In this section This section describes how to communicate between the ventilator and a data
collection system or an external monitor. It also tells you what data can be sent and
received.
External communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Protocol description (Datex-Ohmeda Com 1) . . . . . . . . . . . . . . . . . . . . . . . . 7-3
External communications
The ventilator has an RS-232C electrical interface. The RS-232 connector
allows serial input/output of commands and data.
Command Headers:
<ESC>VTD DISABLE CHECKSUM
<ESC>VTE ENABLE CHECKSUM
<ESC>VTQ ENABLE COMPRESSED MODE
<ESC>VTS SLAVE MODE (RESETS AUTO MODE)
<ESC>VTX AUTO MODE
<ESC>VT$ SEND SETUP DATA
<ESC>VT? SEND ALL DATA
<ESC>VTW ENABLE WAVEFORM DATA
Response Headers:
:VTD MEASURED DATA RESPONSE
:VTM SETUP DATA RESPONSE
:VTN NACK (negative acknowledge)
:VTQ STATUS DATA RESPONSE
:VTW WAVEFORM DATA RESPONSE
:VTR ALARM SILENCE SWITCH PRESSED RESPONSE
:VTY ACK (positive acknowledge)
NAK Response
:VTNc<CR>Negative Acknowledge Response.
Compressed-Data The Status Data Response will be transmitted every 1 second (if a change
Status Data Response occurs in the status data) or a minimum of once every 10 seconds. Note that
the status byte bit is set=1 for an active condition and 0 for an inactive
condition.
:VTQaaaabbbddddeeffggghhiijjjkkklllmmmnnnoooqrrrrrrrrrrrrc<CR>
Status Bytes Bitmaps The status bytes are a string of 12 bytes, starting from the left (Byte 1) to the
right (Byte 12). Each Byte has eight bits of data from D7 (MSB) to D0 (LSB).
Waveform Data If Waveform Data Mode is enabled, a Waveform Data Response will be
Response transmitted every 240 ms. Up to 2 blocks of fifteen (15) data samples taken
every 16 ms. will be sent with each message. Each data value is a 3-digit, zero
filled, right justified ASCII Hex representation of a 12 bit binary value.
:VTW[aaabbb...nnnooo][aaabbb...nnnooo]c<CR>
Waveform Data Response for each [max. of 2] waveform signal selected
aaa 1st 16 ms waveform sample (0 -> 000, 512 -> 200, 4095 ->
FFF)
bbb 2nd 16 ms waveform sample
...
nnn 14th 16 ms waveform sample
ooo 15th 16 ms waveform sample
Pressure
Range: -20 - 120 cmH2O
Scale:
Raw Scaled Xmit.
-20 0 000
0 512 200
120 3584 E00
Flow
Volume
Range: 0 - 2 L
Scale:
Raw Scaled Xmit.
0 512 200
2 3584 E00
3 5 5 5 5
28
27
1 2 3 1 2 3 1 2 3 3
6 6 6
14b 7 7
13
14a 8
21
15
10 18
9
11 LINK-25 19 16 LINK-25 22
12 20 17 23
24 24 26
Key to Symbols:
Pneumatic connection:
Filter:
Direction of flow: 25
AA.96.131
Check valve:
Gas supplies Gas goes into the system through a pipeline or cylinder connection. All
(Items 1-6) connections have indexed fittings, filters, and check (one-way) valves. Gauges
show the cylinder and pipeline pressures.
A regulator decreases the cylinder pressures to the appropriate system
pressure. A pressure relief valve helps protect the system from high pressures.
To help prevent problems with the gas supplies:
Install yoke plugs on all empty cylinder connections.
When a pipeline supply is connected, keep the cylinder valve closed.
w WARNING 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.
Air, N2O, and Balance regulators control the flow of N2O and the optional gas (CO2, Heliox)
third gas flow to the flow control valves. Oxygen pressure at a control port adjusts the output
of the regulator. This stops flow during an O2 supply failure and ensures that
(Items 7, 8, and 15-23)
the hypoxic gas pressures decrease with the O2 supply pressure. Changes in
O2 pressure do not affect Air.
A chain linkage on the N2O and O2 flow controls helps keep the O2
concentration higher than approximately 20% at the fresh gas outlet.
Pipeline or regulated cylinder pressure directly supply Air to the ventilator (Air
Ventilators). When the system switch is ON, air flows to the rest of the system.
A secondary regulator supplies the air flow control valve. Because there is no
balance regulator, air flow continues at the set rate during an O 2 supply
failure.
Mixed gas The mixed gas goes from the flowmeter outlet through the vaporizer that is ON,
(Item 26) to the fresh gas outlet, and into the breathing system. A pressure relief valve
sets the maximum outlet pressure.
System specifications
Pneumatic
Max. pipeline draw: Not to exceed 60 L/min at 280 kPa (41 psi) under steady
flow or averaged over 10 seconds.
100
90
Flow 80
(L/min)
70
60
50
40
30
20
10
Scale Scale
Gas Flow Range
(One Flow Tube) (Two Flow Tubes)
O2 0.05-15 L/min ------------------ 0.05 -0.95 L/min
1-15 L/min
N2O 0-10 L/min1 ------------------ 0.05 -0.95 L/min
1-10 L/min
Air 0-15 L/min 1-15 L/min 0.05 -0.95 L/min
1-15 L/min
He 0-15 L/min 0.5-15 L/min ------------------
CO2 0-0.5 L/min 0.05-0.5 L/min ------------------
Accuracy: At 20 C with gas supply pressures at 345 kPa (50 psi) and an
outlet pressure of 101.3 kPa (absolute) (14.7 psi) flowmeter accuracy agrees
with VDE 3513 Part 3, Accuracy Class 2.5 or better.
Electrical power
Supply voltage: 100-120 or 220-240 Vac 10% at 50 or 60 Hz.
UL and CSA rated systems (USA and Canada): <300 amps for the system
and all systems connected to electrical outlets.
IEC rated systems (Not USA and Canada): <500 amps for the system and
all systems connected to electrical outlets.
Note: Products connected to the electrical outlets may increase the leakage
current above these limits.
Power cord
Length: 5 meters.
Current capacity: 10 A.
Battery information The Aestiva/5 7100 is not a portable unit; a sealed lead acid battery supplies
battery backup. Batteries are used as backup power in case of a power failure.
Thus, the battery is in a float charge state most of the time. Batteries meet the
following:
Serial Adapter
Board
RS232
Control Board
MCF5206e ColdFire Processor
Memory and I/O Decoding
Flash, SRAM & EEPROM
SCR Circuitry
A/D D/A Converter
Watchdog System
Inspiratory Valve Control (10 VA limited)
Machine/Ventilator O2 Flush
PEEP Valve Control (10 VA limited)
On/Standby switch 12 VDC Supply (10VA limited)
DC Supply Monitoring
O2 Supply Battery Management
Breathing System
Physical specifications
All specifications are approximate values and can change without notice.
AB.43.074
System
2-vaporizer 3-vaporizer
Height: 135.8 cm (53.4 in) 135.8 cm (53.4 in)
Width: 75 cm (29.5) 93 cm (36.6 in)
Depth: 83 cm (32.7 in) 83 cm (32.7 in)
Weight: 136 kg (300 lbs) 154 kg (340 lbs)
Top shelf options:
Option: 87.5 cm W x 41 cm D 87.5 W x 41 cm D
(34.4 in W x 16.1 in D) (34.4 in W x 16.1 in D)
Option: 67.5 cm W x 41 cm D 67.5 W x 41 cm D
(26.6 in W x 16.1 in D) (26.6 in W x 16.1 in D)
Option: 47.5 cm W x 41 cm D
(18.7 in W x 16.1 in D)
Shelf weight limit: 46 kg (100 lbs) per shelf 46 kg (100 lbs) per shelf
Drawers Standard:
10.5 cm H x 38.5 cm W x 26 cm D (4.1 in H x 15.2 in W x 10.2 in D).
Optional:
14.5 cm H x 38.5 cm W x 26 cm D (5.7 in H x 15.2 in W x 10.2 in D).
Environmental requirements
Temperature
Operation: 10 to 40 C, (Oxygen cell operates to specifications at 10 to 40 C).
Storage: -5 to 50 C,
Oxygen cell storage is -5 to 50 C, 10 to 95% Rh, 500 to 800 mm Hg.
Humidity
Operation: 15 to 95% Rh, non-condensing.
Storage: 10 to 95% Rh, non-condensing per IEC 68-3.
Altitude
Operation: 500 to 800 mm Hg (3565 to -440 meters).
Storage: 375 to 800 mm Hg (5860 to -440 meters).
Compensation range: 525 to 795 mmHg (3,000 to -100 meters).
0
0 10 20 30 40 50 60
Flow rate (L/min)
07/01
BELLOWS POSITION 0.05 / 40.0
SENSE L/min
O2 FLUSH
50 L/min
EXPIRATORY
CHECK VALVE
ADJUSTABLE PRESSURE EXPIRATORY
LIMITING RELIEF VALVE FLOW
SENSOR
Breathing system schematic
(APL)
BAG/VENTILATOR
BAG/VENTILATOR
SWITCH DRAIN
EXHALATION
VALVE BAG
ABS IN
MANIFOLD
FLOW PATIENT
AGSS BREATHING SENSOR LUNG
200 mL CIRCUIT MODULE
VOLUME
Y MANIFOLD AGSS MODULE (FSM)
TRANSFER SYSTEM INSPIRATORY
(CIRCLE) CHECK VALVE
CALIBRATED
BLEED ORIFICE
PROPORTIONAL AIRWAY
PEEP VALVE INSPIRATORY
ATMOSPHERE FGF PRESSURE FLOW
4.5 VDC (N.C.) SENSE
10 L/min MAIN ABS OUT SENSOR
SUPPLY MANIFOLD
PRESSURE
SWITCH
(N.O.) 17 psi PEB P
CABLE TO INSPIRATORY
PEEP SAFETY VALVE VENTILATOR GAS IN GAS OUT O2 % MONITOR
BYPASS
4.5 VDC (N.C.) CONTROL OPTION
MODULE SENSE
SERVICE
INLET TEST
FILTER PORT AIRWAY
2 MICRON PRESSURE
XDUCER (PEB)
PNEUMATIC
PRESSURE ENGINE AIRWAY
ATMOSPHERE BOARD PRESSURE
REGULATOR PROPORTIONAL GAUGE
25 PSIG INSPIRATORY DRAIN CANISTER
BULKHEAD
MECHANICAL CONNECTOR
VALVE PRESSURE RELIEF VALVE RELEASE
241/689 241/689 172 4.5 VDC (N.C.) 110 cm H2O LEVER
kPa kPa kPa 70 L/min ABSORBER STANDARD
TRANSFER
FREE BREATHING TUBE
CHECK VALVE
1.4 cm H2O BYPASS
-10 TO
110 cm OPTION
H2O ATMOSPHERE SENSE
VENTILATOR PNEUMATIC ENGINE
ACGO INSPIRATORY
ELASTOMER POSITION 02% EXP INSP
RECEIVER (2L) SENSE FLOW FLOW
ELBOW XDUCER XDUCER
+10 CM H20
RELIEF
VALVE
80 L/min CONTINUOUS TO BAG/
@ 241/689 kPa BYPASS CANISTER VENTILATOR CONTROL BREATHING
DISPOSAL OPTION RELEASE POSITION PANEL CIRCUIT
SYSTEM DRAIN CANISTER SENSE LEVER SENSE OPEN/CLOSED ID (MIA)
30 mm -2 CM H20 RELEASE
OR DRAGER RELIEF
VALVE LEVER MONITORING INTERFACE ASSEMBLY
OR 12 mm ABSORBER/CO2 BYPASS
HOSE BARB PASSIVE GAS SCAVENGING INTERFACE OPTIONAL
RECEIVER (2L) MIA
SUPPLY HIGH OR LOW CABLE TO
TO FLOW RESTRICTOR FILTER VENTILATOR
AIR/OXYGEN ANESTHESIA DISPOSAL
MACHINE CONTROL
SYSTEM MODULE
DISS EVAC
OR BSI ROOM
OR BOC FLOW AIR
INDICATOR
(OPTIONAL)
8-15
AB.43.073
8 Specifications and Theory of Operation
Aestiva/5 7100
Ventilator theory
General The Aestiva/5 7100 ventilator pneumatics are located in the rear of the
breathing system. A precision flow valve controls the amount of flow provided
to the patient, while a second, smaller flow valve is used to control the
exhalation valve sealing pressure. Breaths are provided to the patient by
sealing the exhalation valve and providing flow to the breathing circuit. During
exhalation, the sealing pressure on the exhalation valve is released and flow
exhausts from the breathing circuit. Electronic control of PEEP is achieved by
maintaining a small amount of sealing pressure on the exhalation valve.
Volume measurements come from two flow sensors in the flow sensor module.
Two tubes from each sensor connect to a transducer. The transducer measures
the pressure change across each sensor, which changes with the flow. A third
pressure transducer measures the airway pressure at the outlet of the
breathing circuit. Safety redundant valves are used to limit the airway
pressure, based on the users Plimit setting.
With circle circuit modules, volume monitoring uses the right (expiratory) flow
sensor. The ventilator uses the other flow sensor to adjust the tidal volumes
being delivered into the patient circuit tubing for changes in fresh gas flow,
small leaks and gas compression within the breathing circuit. There is no
adjustment for compression in the patient circuit. If necessary, add the
compression loss to the tidal volume setting (Volume Control mode). The
average volume changes due to compression in the breathing circuit is small
(0.5 to 1.25 ml/cm H2O). When using the optional Bain circuit module, the
right hand flow sensor measures fresh gas flow, while the left hand sensor
measures the bidirectional flow to the patient.
Note that the 7100 provides a small amount of bleed flow through a
pneumatic resistor to control the exhalation valve. At high airway pressures
this can cause a slight hiss during inspiration.
wWARNING Do not try to silence the pneumatic resistor. If it is blocked, the ventilator
can malfunction and cause patient injury.
AB.43.122
Figure 8-1 Ventilation Setup Menu
Volume control
AB.29.068
Figure 8-2 Volume control diagram
VT Comp Off During some malfunctions in volume control mode, the ventilator
automatically turns volume compensation off. V T Comp Off continues to
supply the set tidal volume but cannot compensate for the effects of fresh gas
flow and breathing circuit compliance losses.
Limited inspired pressure mode Selecting Pressure mode generates a pressure plateau linked to the P inspired
setting.
While observing the monitored Pmax value, the user adjusts Pinspired until Pmax
is reached. The ventilator delivers a constant 30 L/m (inspiration) during this
mode.
Pinsp, Rate and I:E settings are used to create the breathing profile.
PEEP is available and is additive.
Fresh gas
compensation
Flow compensation range: 200 mL/min to 15 L/min.
Gas composition: O2, N2O, Air, Heliox, CO2 Anesthetic Agents.
Pressure
Patient airway pressure range: -20 to +120 cm H2O.
Patient airway display range: -9 to 99 cm H2O.
High pressure alarm set range: 12 to 99 cm H2O, 1 cm increment.
Sustained pressure alarm range: 6 to 30 cm H2O, 1 cm increment.
Volume
Tidal volume display range: 5 to 9999 mL, 1 mL resolution.
Setting range: 45 to 1500 mL.
Minute volume: 0.0 to 99.9 liters.
Breath rate: 4 to 65 bpm (breaths per minute), 1 bpm resolution.
Volume sensor type: Variable flow orifice.
Oxygen
Display range: 5 to 110% O2.
Display resolution: 1% increments.
Sensor type: Galvanic fuel cell.
Measurement range: 0 to 100% O2.
Measurement accuracy: 3% of full scale.
Cell response time: 35 seconds,1 10 - 90%.
Low O2 alarm range: 18% to 100%.
High O2 alarm setting: 21% to 100%.
Note: Low O2 limit may not be set above the high O2
limit, nor may the high O2 limit be set below the low
O2 limit.
Expected cell life: Four months of shelf life (23 C room air) and one
year of normal operation.
1. Response time of cell and adapter as measured using the test method
described in ISO 7767 (1988-12-15), clause 50.9.
Delivery accuracy
Volume control: > 200 mL tidal volume: Better than 10% of set V T.
(100% O2) 75 to 200 mL tidal volume: Better than 20 mL.
< 75 mL tidal volume: Better than 15 mL.
V T comp off: Better than: 15% of set V T.
Pressure mode: Inspiratory pressure: 2.0 cm H20 (repeatability
only).
(100% O2) PEEP: 2.0 cm H2O (repeatability
only).
Monitoring accuracy
Volume control: > 200 mL tidal volume: Better than 10% of V T.
(100% O2) 75 to 200 mL tidal volume: Better than 20 mL.
< 75 mL tidal volume: Better than 15 mL.
Pressure mode: Better than: 2.0 cm H20 or 5% of
reading whichever is greater.
AA.87.091
Note: Gas composition errors may be in addition to the above
normalized accuracy. When adding errors, positive errors can have
the effect of nulling out negative errors.
Note: Use of anesthetic agent could affect the errors by
approximately -0.95%/% volume agent in normal mode and
roughly -2.5%/% volume agent in Heliox mode.
Heliox Mode The effect on volume delivery and monitoring accuracies of Heliox mixtures is
within +8% to -15% when operating the Aestiva ventilator in the Heliox Mode.
O2 flowmeter (optional)
This Product is sold by Datex-Ohmeda under the warranties set forth in the fol-
lowing paragraphs. Such warranties are extended only with respect to the pur-
chase of this Product directly from Datex-Ohmeda or Datex-Ohmedas
Authorized Dealers as new merchandise and are extended to the Buyer there-
of, other than for the purpose of resale.
For a period of twelve (12) months from the date of original delivery to Buyer
or to Buyers order, but in no event for a period of more than two years from the
date of original delivery by Datex-Ohmeda to a Datex-Ohmeda Authorized
Dealer, this Product, other than its expendable parts, is warranted against
functional defects in materials and workmanship and to conform to the descrip-
tion of the Product contained in this operation manual and accompanying la-
bels and/or inserts, provided that the same is properly operated under the
conditions of normal use, that regular periodic maintenance and service is per-
formed and that replacements and repairs are made in accordance with the in-
structions provided. This same warranty is made for a period of thirty (30) days
with respect to expendable parts. The foregoing warranties shall not apply if
the Product has been repaired other than by Datex-Ohmeda or in accordance
with written instructions provided by Datex-Ohmeda, or altered by anyone oth-
er than Datex-Ohmeda, or if the Product has been subject to abuse, misuse,
negligence, or accident.
Datex-Ohmedas sole and exclusive obligation and Buyers sole and exclusive
remedy under the above warranties is limited to repairing or replacing, free of
charge, at Datex-Ohmedas option, a Product, which is telephonically reported to
the nearest Datex-Ohmeda Field Service Support Center and which, if so advised
by Datex-Ohmeda, is thereafter returned with a statement of the observed defi-
ciency, not later than seven (7) days after the expiration date of the applicable war-
ranty, to the Datex-Ohmeda Service and Distribution Center during normal
business hours, transportation charges prepaid, and which, upon Datex-Ohme-
das examination, is found not to conform with above warranties. Datex-Ohmeda
shall not be otherwise liable for any damages including but not limited to incidental
damages, consequential damages, or special damages.
W-1
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