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Service Manual Inspiration

Ventilators
Revision E of this service manual: Part Number EVM500019 INSPIRATION Ventilators Service Manual 02/2015

2015 eVent Medical, Ltd. All right reserved. No part of this Service Manual may be reproduced or stored in a
database or retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or
otherwise, without the prior written permission of eVent Medical.

This manual is intended to provide the necessary information required to service and maintain the eVent Medical
Inspiration ventilator system. It is intended for use by certified biomedical engineers or engineers with equivalent
experience in the maintenance of respiratory life support equipment. eVent Medical strongly recommends that
engineers attend a technical training seminar conducted by eVent Medical or authorized local agents. The
ventilator should be operated, serviced, and calibrated by trained professionals. US Federal Law restricts this
device to sale by or on the order of a physician.

This manual is intended for use with the Inspiration Ventilators. It is subject to technical modification and may be
revised or replaced by eVent Medical at any time without prior notice. We recommend you have the most current
version of this manual. Nothing in this manual shall limit or restrict in any way eVent Medicals right to revise or
otherwise change or modify, without notice, the equipment (including its software) described herein. In the
absence of an express, written agreement to the contrary, eVent Medical has no obligation to furnish any such
revisions, changes, or modifications to the owner or user of the equipment (including its software) described
herein.

This manual and its illustrations apply to the following Inspiration Ventilators:

United States International


PN F7300000-5i-US PN F7300000-5i
PN F7300000-5i-US-NC PN F7300000-5i-NC
PN F7300000-7i-US PN F7300000-7i
PN F7300000-7i-US-NC PN F7300000-7i-NC
PN F7300000-LS
PN F7300000-LS-NC

Installed software / firmware versions are displayed upon power up on the initial screen. Smart Sigh, Smart
Nebulizer, CLININET, AND VIRTUAL REPORT are trademarks of eVent Medical. INSPIRATION is a registered trademark of
eVent Medical. Other acronyms and products referenced in this manual may be trademarked by separate
companies.

eVent Medical will provide upon request certain technical, operation, sales and marketing information that will
assist clinicians and trained service professionals.

United States Europe


eVent Medical eVent Medical, Ltd
60 Empire Drive Caulfield House Kiltrogue,
Lake Forest, CA 92630 Claregalway Co
Tel: +1 949 900 1917 Galway, Ireland
Fax: +1 949 900 1905 Tel: +353 89 8536035
tomgcaulfield@gmail.com

www.event-medical.com

PRIVILEGED AND CONFIDENTIAL COMMUNICATION This document contains confidential and/or legally privileged
information. The information is intended only for use by eVent Medical, Ltd. authorized service representatives. Any
unauthorized disclosure, copying, distribution, or use of the contents of this document is strictly prohibited.

Inspiration Ventilator Service Manual EVM500019 Rev. E 1


Revision History
Author Rev Description of Changes Date Created
Eric Reilly A Initial Release 07 Jun 2012
Added assembly drawing for new configuration of F710300B
Eric Reilly B 09 Jul 2012
Updated Parts List
Removed F730760
Bonnievon
C Replaced F810004 with EVL250001-031 25 Jan 2013
Castillo
Updated drawings in section 7.23 & 7.24
Added Revision History Table
Updated Lock/Unlock Icon
Updated Settings & Specifications
Eric Reilly D Added new part number for Sensor Boards installed in ventilators with software 30 Jan 2013
6.4.0 or later
Corrected typo in Performance Verification Testing
Updated Performance Verification Testing Matrix
Eric Reilly E Updated for new repackaged 7i 11 Feb 2015

Inspiration Ventilator Service Manual EVM500019 Rev. E 2


Table of Contents
1. Introduction to the Inspiration Ventilator ..................................................................................................10
1.1. Intended Use..........................................................................................................................................10
1.2. Recommended Equipment ....................................................................................................................11
1.3. Basic Specifications ................................................................................................................................12
1.4. Notices ...................................................................................................................................................24
1.5. Device Labels and Symbols ....................................................................................................................26
1.6. Safety .....................................................................................................................................................28
1.7. Responsibilities and Guarantees............................................................................................................28
1.8. Basic Safety Information and Warnings.................................................................................................28
1.9. Electromagnetic Compatibility Declaration ...........................................................................................30
2. Theory of Operation ...................................................................................................................................32
2.1. Overview of Operation ..........................................................................................................................32
2.2. Pneumatic System .................................................................................................................................33
2.3. Gas Inlet System ....................................................................................................................................35
2.4. Blender System ......................................................................................................................................38
2.5. Gas Delivery System...............................................................................................................................42
2.6. Proximal Measurement System .............................................................................................................44
2.7. Exhalation System ..................................................................................................................................46
2.8. Oxygen Monitoring ................................................................................................................................47
2.9. Nebulizer System ...................................................................................................................................48
2.10. Electronic System...................................................................................................................................49
2.11. Power Input ...........................................................................................................................................56
2.12. Power Supply .........................................................................................................................................56
2.13. Internal Batteries ...................................................................................................................................57
2.14. External Battery .....................................................................................................................................58
2.15. Power Board ..........................................................................................................................................59
2.16. Sensor Board ..........................................................................................................................................60
2.17. Motherboard .........................................................................................................................................61
2.18. Processor Board .....................................................................................................................................62
2.19. Video Carrier Board and Sodimm Module .............................................................................................63
2.20. Inverter Board ........................................................................................................................................63
2.21. LCD Assembly .........................................................................................................................................64
2.22. Front Panel Membrane Switch ..............................................................................................................64

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2.23. Membrane Adaptor Board.....................................................................................................................64
3. Power On Self Test (POST) ..........................................................................................................................65
3.1. POST Technical Faults ............................................................................................................................66
4. User Calibrations .........................................................................................................................................68
4.1. Proximal Flow Sensor Calibration ..........................................................................................................69
4.2. Proximal Flow Sensor Calibration Error Codes ......................................................................................70
4.3. System Test ............................................................................................................................................73
4.4. System Test Error Codes ........................................................................................................................76
4.5. Oxygen Sensor Calibration .....................................................................................................................78
4.6. Oxygen Sensor Calibration Error Codes .................................................................................................81
5. Technical Settings & Configurations ...........................................................................................................82
5.1. System Information Screen ...................................................................................................................83
5.2. Select Language Screen .........................................................................................................................83
5.3. Select Date & Time Screen.....................................................................................................................84
5.4. User Configuration Screen 1 ..................................................................................................................84
5.5. User Configuration Screen Feature Configuration (SW 6.6.0 or later) ...............................................84
5.6. CliniNet Configuration Screen 1.............................................................................................................85
5.7. CliniNet Configuration Screen 2.............................................................................................................86
5.8. Access Engineering Screen.....................................................................................................................87
5.9. Engineering Screen Passcode Entry .......................................................................................................87
5.10. Engineering Configuration Entry - 1 (Feature Setup) Screen.................................................................88
5.11. Engineering Configuration 2 (Advanced Setup) Screen (SW 6.5.1 or earlier) .......................................89
6. Fabrication Tests (FabTest Entry) ...............................................................................................................90
6.1. Fabrication Test 1 FT01 (Outputs) ......................................................................................................90
6.2. Fabrication Test 2 FT02 (Inputs) .........................................................................................................91
6.3. Fabrication Test 3 FT03 (Memories) ...................................................................................................93
6.4. Fabrication Test 4 FT04 (Power, Pic)...................................................................................................94
6.5. Fabrication Test 5 FT05 (Sensor Adj.) .................................................................................................97
6.6. Fabrication Test 6 FT06 (Adj. Values)..................................................................................................98
6.7. Fabrication Test 7 FT07 (Flow Adjust).................................................................................................99
6.8. Fabrication Test 8 FT08 (Cal. Values) ................................................................................................101
6.9. Fabrication Test 9 FT09 (PV1 Adjust) ................................................................................................102
6.10. Fabrication Test 10 FT10 (Mixer) ......................................................................................................103
6.11. Fabrication Test 11 FT11 (Diagnose) .................................................................................................104
6.12. Fabrication Test 12 FT12 (Tempdrift) ...............................................................................................105

Inspiration Ventilator Service Manual EVM500019 Rev. E 4


6.13. Troubleshooting Fabrication Tests ......................................................................................................106
7. Assembly/Disassembly Drawings..............................................................................................................110
7.1. F710300C Bottom Block Assembly ...................................................................................................110
7.2. F710300D Top Block Assembly .........................................................................................................111
7.3. F710300A Sensor Block Assembly Page 1 .........................................................................................112
7.4. F710300A Sensor Block Assembly Page 2 .........................................................................................113
7.5. F710300A Sensor Block Assembly Page 3 .........................................................................................114
7.6. F710400 Blender Block Assembly Configuration 1 ...........................................................................115
7.8. EVM200141 Valve Holder Block Assembly .......................................................................................116
7.9. F710400 Blender Block Assembly Configuration 2 ...........................................................................117
7.10. F710300E Safety Valve Module Assembly ........................................................................................118
7.11. F710300B Front Block Assembly Configuration 1 .............................................................................119
7.12. F710300B Front Block Assembly Configuration 2 .............................................................................120
7.13. F720300 Pneumatic Block Assembly Page 1 .....................................................................................121
7.14. F720300 Pneumatic Block Assembly Page 2 .....................................................................................122
7.15. F720300 Pneumatic Block Assembly Page 3 .....................................................................................123
7.16. F720300 Pneumatic Block Assembly Page 4 .....................................................................................124
7.17. F720200 Lower Housing Assembly ...................................................................................................125
7.18. F720240 Battery Module Assembly ..................................................................................................126
7.19. F720600 Compressor Module Assembly Configuration 1 ................................................................127
7.20. F720600 Compressor Module Assembly Configuration 2 ................................................................128
7.21. EVM200079 Back Panel Assembly ....................................................................................................129
7.22. EVM200076 Display Module Assembly Page 1 .................................................................................130
7.23. EVM200076 Display Module Assembly Page 2.................................................................................131
7.24. EVM200077 Enclosure Front Assembly ............................................................................................132
7.25. EVM100000 Inspiration Top Level Assembly Page 1 ........................................................................133
7.26. EVM100000 Inspiration Top Level Assembly Page 2 ........................................................................134
7.27. EVM100000 Inspiration Top Level Assembly Page 3 ........................................................................135
7.28. EVM100000 Inspiration Top Level Assembly Page 4 ........................................................................136
7.29. Inspiration 7i with Swivel .....................................................................................................................137
7.30. EVM110001..........................................................................................................................................138
7.31. EVM10001............................................................................................................................................139
7.32. EVM200285 Nose Cones ...................................................................................................................140
7.33. EVM200305 - CO2 & SPO2 Plates ........................................................................................................141

Inspiration Ventilator Service Manual EVM500019 Rev. E 5


7.34. EVM200305 CO2 & SPO2 Plates .......................................................................................................142
7.35. EVM110000..........................................................................................................................................143
7.36. EVM10000 7i Main Box .....................................................................................................................144
7.37. EVM11000 Main Box.........................................................................................................................145
7.38. EVM200291 Adapter PCB .................................................................................................................146
7.39. EVM200289 Compressor Assembly ..................................................................................................147
7.40. EVM200290 7i Back Panel Assembly ................................................................................................148
7.41. EVM11000 Main Box.........................................................................................................................149
7.42. EVM11000 Main Box.........................................................................................................................150
7.43. EVM11000............................................................................................................................................151
7.44. EVM200302 Swivel and Panel...........................................................................................................152
7.45. EVM200302 17 Swivel & Panel .......................................................................................................153
7.46. EVM200287 17 LCD Panel Sheet 1 ..................................................................................................154
7.47. EVM200287 17 LCD Panel Sheet 2 ..................................................................................................155
7.48. EVM200302 12 Swivel & Panel .......................................................................................................156
7.49. EVM200286 12 LCD Panel Sheet 1 ..................................................................................................157
7.50. EVM200286 12 LCD Panel Sheet 2 ..................................................................................................158
7.51. EVM200288 PCB Assembly, Sheet 1 .................................................................................................159
7.52. EVM200288 PCB Assembly, Sheet 2 .................................................................................................160
8. Rebuilding NVRAM....................................................................................................................................161
8.1. When Needed ......................................................................................................................................161
8.2. Configure Settings ................................................................................................................................161
8.3. Checksum Test .....................................................................................................................................163
8.4. Fab Test 5, 7 & 9 ..................................................................................................................................163
9. Preventative Maintenance Schedule ........................................................................................................164
9.1. Recommended Preventative Maintenance: ........................................................................................164
10. Performance Verification ..........................................................................................................................165
10.1. Test Equipment and Service Materials ................................................................................................166
10.2. Cleaning and Inspection.......................................................................................................................166
10.3. Performance Testing Guidelines ..........................................................................................................166
10.4. Electrical Safety Test ............................................................................................................................168
10.5. Internal Battery Test ............................................................................................................................168
10.6. Performance Tests ...............................................................................................................................169
10.7. Troubleshooting Performance Verification .........................................................................................177

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11. Software Download Procedure .................................................................................................................179
11.1. Universal Download Tool .....................................................................................................................179
12. Parts List ....................................................................................................................................................180
13. Communication Interface .........................................................................................................................187
13.1. Nurse Call Port Configuration ..............................................................................................................187
13.2. Serial (RS-232) Port Configuration .......................................................................................................188
13.3. Serial (RS-232) Port Setup ....................................................................................................................188
13.4. Serial (RS-232) Protocol .......................................................................................................................189
13.5. Serial (RS-232) Port Commands ...........................................................................................................189
13.6. RSET (Clear Ventilator Buffer) ..............................................................................................................189
13.7. SNDA (Send Ventilator Settings and Data) ..........................................................................................189
14. Report / Warranty Claim Form .................................................................................................................194

Inspiration Ventilator Service Manual EVM500019 Rev. E 7


FIGURE 1: INSPIRATION PNEUMATIC MANIFOLD ........................................................................................................................... 33
FIGURE 2: PNEUMATIC DIAGRAM ................................................................................................................................................... 34
FIGURE 3: GAS INLET SYSTEM ........................................................................................................................................................ 35
FIGURE 4: HIGH PRESSURE INLET DISS CONNECTORS ........................................................................................................................ 36
FIGURE 5: WATER TRAPS & INLET FILTERS ....................................................................................................................................... 37
FIGURE 6: BLENDER SYSTEM ......................................................................................................................................................... 38
FIGURE 7: BLENDER FLOW MEASUREMENT ...................................................................................................................................... 38
FIGURE 8: COMPRESSOR UNLOADING VALVE (SOL 3) ........................................................................................................................ 40
FIGURE 9: COMPRESSOR .............................................................................................................................................................. 40
FIGURE 10: TANK ASSEMBLY (RESERVOIR) ....................................................................................................................................... 41
FIGURE 11: TANK OVERPRESSURE VALVE (OPV) .............................................................................................................................. 41
FIGURE 12: GAS DELIVERY SYSTEM ................................................................................................................................................ 42
FIGURE 13: SAFETY VALVE ASSEMBLY ............................................................................................................................................. 43
FIGURE 14: PROXIMAL MEASUREMENT SYSTEM ............................................................................................................................... 44
FIGURE 15: EXHALATION SYSTEM................................................................................................................................................... 46
FIGURE 16: OXYGEN MONITORING ................................................................................................................................................ 47
FIGURE 17: NEBULIZER SYSTEM ..................................................................................................................................................... 48
FIGURE 18: INSPIRATION 5I WIRING DIAGRAM ................................................................................................................................. 50
FIGURE 19: INSPIRATION 7I WIRING DIAGRAM ................................................................................................................................. 55
FIGURE 20: POWER INPUT ............................................................................................................................................................ 56
FIGURE 21: POWER SUPPLY .......................................................................................................................................................... 56
FIGURE 22: INTERNAL BATTERIES ................................................................................................................................................... 57
FIGURE 23: INTERNAL BATTERY WIRING DIAGRAM............................................................................................................................ 57
FIGURE 24: EXTERNAL BATTERY INPUT ............................................................................................................................................ 58
FIGURE 25: POWER BOARD .......................................................................................................................................................... 59
FIGURE 26: SENSOR BOARD .......................................................................................................................................................... 60
FIGURE 27: MOTHER BOARD ........................................................................................................................................................ 61
FIGURE 28: PROCESSOR BOARD ..................................................................................................................................................... 62
FIGURE 29: VIDEO CARRIER BOARD & SODIMM MODULE .................................................................................................................. 63
FIGURE 30: INVERTER BOARD........................................................................................................................................................ 63
FIGURE 31: LCD ......................................................................................................................................................................... 64
FIGURE 32: FRONT PANEL MEMBRANE SWITCH ................................................................................................................................ 64
FIGURE 33: MEMBRANE ADAPTOR BOARD ...................................................................................................................................... 64
FIGURE 34: POST SCREEN............................................................................................................................................................ 65
FIGURE 35: NEW PATIENT STARTUP SCREEN .................................................................................................................................... 68
FIGURE 36: CALIBRATIONS ............................................................................................................................................................ 68
FIGURE 37: CALIBRATE FLOW SENSOR START.................................................................................................................................. 70
FIGURE 38: CALIBRATE FLOW SENSOR START ......................................................................................................................... 70
FIGURE 39: CALIBRATE FLOW SENSOR START.................................................................................................................................. 70
FIGURE 40: CALIBRATE FLOW SENSOR START.................................................................................................................................. 70
FIGURE 41: SYSTEM TEST START .................................................................................................................................................. 74
FIGURE 42: SYSTEM TEST WAIT ................................................................................................................................................. 74
FIGURE 43: SYSTEM TEST BLOCK WYE! ........................................................................................................................................... 74
FIGURE 44: SYSTEM TEST RUNNING ............................................................................................................................................... 75
FIGURE 45: SYSTEM TEST OK ........................................................................................................................................................ 75
FIGURE 46: O2 SENSOR CALIBRATION START ................................................................................................................................... 79
FIGURE 47: O2 SENSOR CALIBRATION RUNNING............................................................................................................................... 79
FIGURE 48: O2 SENSOR CALIBRATION RUNNING 100% ..................................................................................................................... 80
FIGURE 49: O2 SENSOR CALIBRATION OK ....................................................................................................................................... 80
FIGURE 50: TECHNICAL SETTINGS ................................................................................................................................................... 82
FIGURE 51: INPUT CODE 2634...................................................................................................................................................... 82
FIGURE 52: SYSTEM INFORMATION ................................................................................................................................................ 83
FIGURE 53: SELECT LANGUAGE ...................................................................................................................................................... 83
FIGURE 54: SELECT DATE & TIME .................................................................................................................................................. 84
FIGURE 55: USER CONFIGURATION SCREEN ..................................................................................................................................... 84
FIGURE 56: USER CONFIGURATION SCREEN ..................................................................................................................................... 85

Inspiration Ventilator Service Manual EVM500019 Rev. E 8


FIGURE 57: CLININET CONFIGURATION SCREEN 1 ............................................................................................................................. 86
FIGURE 58: CLININET CONFIGURATION SCREEN 2 ............................................................................................................................. 86
FIGURE 59: ACCESS ENGINEERING SCREENS ..................................................................................................................................... 87
FIGURE 60: ENTER CODE 3455 ..................................................................................................................................................... 87
FIGURE 61: SERVICE SCREENS........................................................................................................................................................ 88
FIGURE 62: ENGINEERING CONFIG 1 (FEATURE SETUP) ...................................................................................................................... 88
FIGURE 63: ENGINEERING CONFIG 3 (ADVANCED SETUP) ................................................................................................................... 89
FIGURE 64: ENTER CODE 4284 ..................................................................................................................................................... 89
FIGURE 65: FAB TEST ENTRY ......................................................................................................................................................... 90
FIGURE 66: FAB TEST 1 (OUTPUTS) ................................................................................................................................................ 91
FIGURE 67: FAB TEST 2 (INPUTS) ................................................................................................................................................... 91
FIGURE 68: FAB TEST 3 (PERIPHERAL) ............................................................................................................................................ 93
FIGURE 69: FAB TEST 4 (POWER, PIC) ............................................................................................................................................ 94
FIGURE 70: FAB TEST 5 (SENSOR ADJUST) ....................................................................................................................................... 97
FIGURE 71: FAB TEST 6 (SENSOR ADJUST VALUES) ............................................................................................................................ 98
FIGURE 72: FAB TEST 7 (FLOW SENSOR ADJUST) .............................................................................................................................. 99
FIGURE 73: FAB TEST 8 (CAL. VALUES) ......................................................................................................................................... 101
FIGURE 74: FAB TEST 9 (PV1 ADJUST) ......................................................................................................................................... 102
FIGURE 75: FAB TEST 10 (MIXER) ............................................................................................................................................... 103
FIGURE 76: FAB TEST 11 (DIAGNOSE) .......................................................................................................................................... 104
FIGURE 77: FAB TEST 12 (ADJUST TEMP. DRIFT DP2, DP3)............................................................................................................. 105
FIGURE 78: ELECTRICAL SAFETY TEST SETUP................................................................................................................................... 168
FIGURE 79: TEST SETUP ............................................................................................................................................................. 170
FIGURE 80: UNIVERSAL DOWNLOAD TOOL .................................................................................................................................... 179
FIGURE 81: NURSE CALL PORT CONFIGURATION ............................................................................................................................. 188
FIGURE 82: RS-232 PORT CONFIGURATION .................................................................................................................................. 188
FIGURE 83: MISCA RESPONSES ........................................................................................................................................... 190

Inspiration Ventilator Service Manual EVM500019 Rev. E 9


1. Introduction to the Inspiration Ventilator

This section briefly describes the INSPIRATION Ventilator systems safety information, controls and indicators.

Reference this manual and the INSPIRATION Ventilator System User Manual when performing any maintenance on the
ventilator.

1.1. Intended Use


The Inspiration Ventilator System is designed for use on patient population sizes from Neonatal through Adult
who require respiratory support or mechanical ventilation and weight a minimum of 0.3kg (0.66lb). The
Inspiration Ventilator System is to be used by healthcare professionals in hospitals or healthcare facilities and
intra-hospital transport to provide continuous positive pressure ventilatory support using medical oxygen and
compressed medical air from either an internal air compressor or external air sources to deliver oxygen
concentrations of 21% to 100%. Ventilatory support can be delivered invasively or noninvasively to patients
who requires Assisted/Control Ventilation, Synchronized Intermittent Mandatory Ventilation or Spontaneous
Ventilation.
INSPIRATION Ventilators include the following features:

User-selected oxygen concentration


Volume or pressure based breaths delivered in controlled, synchronized intermittent mandatory or
spontaneous modes
Flow or pressure breath triggering
Apnea monitoring and ventilation backup system
Numeric or waveform display of user-defined ventilator data
Respiratory mechanics monitoring
Smart Sigh breaths delivered at user-defined frequency and breath amplitude
User-defined Smart Nebulizer functions
EZ-Flow sensor allows proximal flow monitoring
Prioritized alarm system
Spontaneous Positive Airway Pressure (SPAP) and Volume Targeted Ventilation (VTV) modes
Non Invasive Ventilation (NIV) available in all modes
Auto Control
Accommodates the optional integrated Phasein Capnography Module (7i only)
CliniNet Server option allows real-time access to the ventilator for centralized data management
User-configurable graphic user interface (GUI)
Ideal Body Weight (IBW) Calculator

Only qualified and properly trained personnel should attempt to use, service, or maintain the ventilator:
read this manual carefully and keep within reach of the device.
Do not use the ventilator in the presence of flammable anesthetics.
Before operating the ventilator, check for proper operation by performing the System Test, Alarms Test,
and Calibration procedures described in this manual.

Inspiration Ventilator Service Manual EVM500019 Rev. E 10


1.2. Recommended Equipment
This equipment is recommended for servicing all INSPIRATION Ventilators:

Test Equipment
Pneumatic analyzer TSI Certifier FA Plus or equivalent
Electrical safety tester Biotek 601 Pro or equivalent
Desktop / Laptop PC Local supply
Software download cable eVent Medical PN F910085 or equivalent
Standard Ethernet cable Local supply
Adult tubing system Local supply
Pediatric tubing system Local supply
Infant tubing system Local supply
Proximal Flow Sensor, adult eVent Medical PN F910203
Proximal flow sensor, infant eVent Medical PN F910204
Exhalation cover eVent Medical PN F710214
Exhalation membrane eVent Medical PN F710213
Test lung kit eVent Medical PN EVM200012
High pressure oxygen source Local supply (medical grade)
High pressure air source Local supply (medical grade)
External power source Local supply
Isopropyl alcohol cleaner Local supply

Hand Tools
Flat-bladed Screwdriver
Philips Screwdrivers, No. 1, 2
Allen wrenches, 1.5 mm, 2mm, 2.5mm, 3mm, 4mm, 5mm
Open end wrenches, 4-mm, 8mm, 10mm, 14mm, 16mm, 17mm, 18mm, 19mm, 20mm
Socket wrench, 11 mm
Torx Drivers, T8, T20
Static dissipative service kit

Inspiration Ventilator Service Manual EVM500019 Rev. E 11


1.3. Basic Specifications
This section provides the basic specifications for the INSPIRATION ventilator system.
For an exhaustive list of specifications, see the Inspiration User Manual.
Pressures are shown on the Inspiration in cmH 2O, mbar and Hectopascals (hPa). mbar and hpa are used by
some institutions instead. Since 1 mbar equals 1 hPa, which equals 1.016 cmH 2O, the units may be used
interchangeably.

Ventilation Modes
Assisted Control Mandatory Ventilation CMV
Synchronized Intermittent Mandatory
SIMV
Ventilation
Spontaneous Ventilation SPONT (CPAP + PS)
Nasal Continuous Positive Airway Pressure
NCPAP+
with Rate and Base Flow Control
Auto Control Auto Control
Non-Invasive Ventilation NIV

Breath Types
Volume Controlled Breaths VCMV, VSIMV
Pressure Controlled Breaths PCMV, PSIMV, PS
Volume Targeted Ventilation
Pressure Regulated Volume Control PRVCCMV, PRVCSIMV
Volume Support VS
Spontaneous Positive Airway Pressure SPAP

Patient Types
Adult (IBW 41 kg)
Pediatric (IBW 9.7 to 40 kg)
Infant (IBW 0.3 to 9.6 kg)

Breath Triggering
Pressure triggering 0.5 to 20.0 cmH2O
Flow triggering
Adult 0.2 to 25.0 l/min
Pediatric 0.1 to 15.0 l/min
Infant 0.1 to 10.0 l/min
If flow triggering is disabled, the default Ptrig is 2 cmH2O.

Additional Settings

Inspiration Ventilator Service Manual EVM500019 Rev. E 12


Additional Settings
Respiratory Rate
Adult 1 to 60 b/min

Pediatric 1 to 120 b/min

Infant 1 to 150 b/min

Accuracy:

0 to 100 b/min 1 b/min

> 100 b/min + 2 bpm or 2%, whichever is greater

Tidal Volume and Target Tidal Volume

Adult 300 to 2000 ml

Pediatric 40 to 500 ml

Infant 5 to 100 ml
The minimum Vt setting (2, 5 or 10 ml) is determined by the ventilator configuration. This value can be set
or reconfigured by a trained service technician. See section 4.2.3 for more information.
Accuracy (Compliance & BTPS Compensated):

2 to 40 ml 2 ml + 5%

41 to 2000 ml 10 ml + 5%

Heliox (10 ml + 10%) (Adult & Pediatric Only)

PEEP / CPAP

0 to 50 cmH2O or 0 to (90 cmH2O Pcontrol, Psupport), whichever is less

Accuracy:

(2 cmH2O + 4%)

Pcontrol (Adult & Pediatric)


5 to 90 cmH2O or 5 to (90 cmH2O PEEP), whichever is less

Pcontrol (Infant)
2 to 90 cmH2O or 2 to (90 cmH2O PEEP), whichever is less

Accuracy:

All Patient Types (2 cmH2O + 4%)

Psupport
0 to 90 cmH2O or 0 to (90 cmH2O PEEP), whichever is less
Accuracy:

All Patient Types (2 cmH2O + 4%)

Inspiration Ventilator Service Manual EVM500019 Rev. E 13


Additional Settings

Peak Flow (US Philosophy Configuration) Mandatory

Adult 1.0 to 120 l/min

Pediatric 1.0 to 90 l/min

Infant 1.0 to 60 l/min

Accuracy:

1 to 10 l/min (1 l/min + 10%)

11 to 180 l/min (5 l/min + 10%)

Peak Flow Spontaneous

Adult 1 to 180 l/min

Pediatric 1 to 90 l/min

Infant 1 to 60 l/min

I-Time (Ti) (US Philosophy Configuration) 0.1 to 10 sec

I:E Ratio (European Philosophy Configuration) 1 : 9.0 to 4.0 : 1

Accuracy (Ti, Tp & Te):

< 10.0 seconds 0.01 sec

10.0 seconds 0.1 sec

NIV
On or Off
Non-Invasive ventilation can be enabled in all modes except NCPAP+

Plateau (Inspiratory Pause)

US Philosophy Configuration 0.00 to 42.0 sec

European Philosophy Configuration 0 to 70% of Breath Cycle Time

Accuracy

Both Philosophies (0.05 seconds + 1%)

Oxygen (FiO2) 21 to 100%

Accuracy

Inspiration Ventilator Service Manual EVM500019 Rev. E 14


Additional Settings
Normal Delivery (3 %) full scale

With Internal Compressor (6 %) full scale

Flow Pattern

Decel. (Decelerating)

De 50% (Decelerating 50%)

Square

Exhalation Sensitivity (Esens %)

10 to 80% of Peak Flow

Auto Control

On or Off

Time 3 to 60 sec

Apnea Backup Modes (All Patient Types)


V-CMV PRVC-CMV

V-SIMV PRVC-SIMV

P-CMV SPAP

P-SIMV

SPAP Mode Settings

Inspiration Ventilator Service Manual EVM500019 Rev. E 15


SPAP Mode Settings
Phigh
5 to 50 cmH2O or 5 to (Plow 50) cmH2O and (90-Psup high)

Plow

0 cmH2O to Phigh setting

Psup High
5 to 90 cmH2O or (90 cmH2O Phigh setting), whichever is less

Psup Low
0 to 90 cmH2O or (90 cmH2O Plow setting), whichever is less

Thigh
0.1 to 59.8 or (60 Tlow setting), whichever is less

Tlow
0.2 to 59.9 or (60 Thigh setting), whichever is less

Cycles/min

Adult 1 to 60 c/min

Pediatric 1 to 120 c/min

Infant 1 to 150 c/min

H : L (see time values) 1:59 to 59:1

Phigh + Psup High will not exceed 90 cmH2O


Plow + Psup Low will not exceed 90 cmH2O

Monitored / Displayed Patient Values


Basic
Ppeak (peak pressure during a breath) 0 to 120 cmH2O
Accuracy (2 cmH2O + 4%)

Pmean (average mean pressure) 0 to 120 cmH2O


Accuracy (2 cmH2O + 4%)

PEEP (pressure at the end of exhalation) 0 to 120 cmH2O


Accuracy (2 cmH2O + 4%)

Inspiration Ventilator Service Manual EVM500019 Rev. E 16


Monitored / Displayed Patient Values
Vti (delivered tidal volume) 0 to 5000 ml

Accuracy

0 to 40 ml (2ml + 5%);

41 to 5000 ml (10 ml + 5%)

0.0 to 50.0 ml/kg


Vti/kg (delivered tidal volume/weight)
Normalized to IBW

Vte (exhaled tidal volume) 0 to 5000 ml

Accuracy

0 to 40 ml (2ml + 5%);

41 to 5000 ml (10 ml + 5%)


Displayed as Vte--- if proximal flow
sensor is disabled

0.0 to 50.0 ml/kg


Vte/kg (exhaled tidal volume/weight)
Normalized to IBW

Ve (exhaled minute volume) 0.0 to 50.0 l/min


Accuracy (0.01 l/min + 5%)
Displayed as Vi if proximal flow
sensor is disabled.

0.0 to 999 ml/kg


Ve/kg (exhaled minute volume/weight)
Normalized to IBW

Ve Spont (spontaneous exhaled minute volume) 0.0 to 50.0 l/min


Accuracy (0.01 l/min + 5%)
Displayed as Vi Spont if proximal flow
sensor is disabled.

Rate (measured mandatory and spontaneous breaths per


0 to 300 b/min
minute)
Accuracy
0 to 100 b/min 1 b/min
> 100 b/min + 2%
Rate Sp. (measured spontaneous breaths per minute) 0 to 300 b/min

Inspiration Ventilator Service Manual EVM500019 Rev. E 17


Monitored / Displayed Patient Values
Accuracy
0 to 100 b/min 1 b/min
> 100 b/min + 2%

Advanced
Ti (inspiration time) 0.10 to 99.9 sec
Accuracy 0.01 sec

Te (expiratory time) 0.10 to 99.9 sec


Accuracy 0.01 sec

PF(peak inspiratory flow) 0.0 to 300 l/min

PFe (peak expiratory flow) 0.0 to 300 l/min

I : E (ratio of inspiratory time to expiratory time) 1 : 99.0 to 99 : 1.0

H:L (Ratio of time at high and low PEEP levels when SPAP is
1 : 599.0 to 299.0 : 1
active)

Ti/Ttot (calculated ITime divided by cycle time) 1.0 to 99.9 %

Leak (averaged calculated leak (1Vte/Vti)) 0 to 100%

21 to 100%
O2 (oxygen concentration) ----
if O2 sensor is disabled

HeO2 (Heliox concentration) 15 to 103%

Spont% 1h (percentage of spontaneous breaths for the last 1


0 to 100 %
hour)

Spont% 8h (percentage of spontaneous breaths for the last 8 0 to 100 %


hours)
Mechanics
Auto PEEP (Total PEEP minus Set PEEP) 0 to 100 cmH2O

Inspiration Ventilator Service Manual EVM500019 Rev. E 18


Monitored / Displayed Patient Values

Pplateau (pressure at end of pause) 0 to 120 cmH2O


Accuracy: (2 cmH2O + 4%)

RR/Vt (RSBI) (rapid shallow breathing index, calculated 0 to 3000 b/min/l


breathing rate divided by tidal volume)

Cstat (static compliance, lung stiffness) 0 to 300 ml/ cmH2O

Cstat/kg (static compliance per weight) 0.00 to 5.00 ml/ cmH2O-kg


Normalized to IBW

Rinsp (ratio of airway occlusion pressure to maximum negative 0 to 1000 cmH2O/l/se


airway pressure)
With the proximal flow sensor selected Off monitored patient data will be derived from measurements
taken at the internal sensors. In this condition Vte, Ve may not be monitored and flow triggering is not
available.

C20/C (ratio of dynamic compliance during last 20% of 0.00 to 5.00 %


inspiration to total dynamic compliance) Normalized to IBW

Real Time Curves


Pressure + Time Pressure Over Time: measured proximally or internally in cmH2O
Flow + Time Flow Over Time: measured proximally or internally in l/min
Volume + Time Volume Over Time: measured proximally or internally in ml
Pressure-Volume Loop: measured proximally or internally in cmH2O and ml.
P V Loop
Pressure displayed on x-axis and volume on the y-axis
Flow-Volume Loop: measured proximally or internally in l/min and ml. Flow
F V Loop
is displayed on the y-axis and volume on the x-axis
Pressure-Flow loop: measured proximally or internally in cmH2O and l/min.
P F Loop
Flow is displayed on the x-axis and Pressure on the y-axis
One or two curves can be selected to display. The ventilator implements an autoscale feature for each
curve selection. The CLININET applet provides an autoscaling feature, manual scaling feature and allows
the curves to be paused.
Delivered FiO2 Oxygen 15 to 103 %
Inspiratory Oxygen Concentration Accuracy: 5% of full scale
HeO2
Oxygen 0 to 79 %
Inspiratory Heliox Concentration

Alarm Limit Settings

Inspiration Ventilator Service Manual EVM500019 Rev. E 19


Alarm Limit Settings
Pressure Alarms
Ppeak High 1 (or 1 > Ppeak Low) to 90 cmH2O
Ppeak Low 0 to 89 (or 1 < Ppeak High) cmH2O
Pmean High 1 (or 1 > Pmean Low) to 90 cmH2O
Pmean Low 0 to 89 (or 1 < Pmean High) cmH2O,
respectively
Volume Alarms
Vti Limit High Adult: 0 to 2500 ml or Off
Pediatric: 0 to 700 ml or Off
Infant: 0 to 300 ml or Off
Vte High Adult: 5 (or 5 > Vte Low) to 2500 ml
or Off
Pediatric: 2 (or 2 > Vte Low) to 700 ml
or Off
Infant: 1 (or 1 > Vte Low) to 300 ml or
Off
Vti High is displayed if proximal flow sensor is disabled.
Vte Low Adult: 0 to 2495 (or 5 < Vte High) ml
or Off
Pediatric: 0 to 700 (or 2 < Vte High)
ml or Off
/Infant: 0 to 300 (or 1 < Vte High) ml
or Off
Vti Low is displayed if proximal flow sensor is disabled.
Ve High 0.10 (or 0.10 > Ve Low) to 50.0 l/min
Vi High is displayed if proximal flow sensor is disabled.
Ve Low 0.0 to 50.0 l/min (or 0.10 < Ve High)
Vi Low is displayed if proximal flow sensor is disabled.
Respiratory Rate Alarms
Resp rate High 2 (or 1 > Resp rate Low) to 200 b/min
Resp rate Low 1 to 199 (or 1 < Resp rate High) b/min
Oxygen Delivery Alarm Automatic Setting
22 to 101 %
High FiO2 Ventilator software automatically
sets alarm limit to 7% above Oxygen
% setting.
20 to 99 %
Low FiO2 Ventilator software automatically
sets alarm limit to 7% below Oxygen
% setting.
Other Alarms
Apnea (interval) 3 to 60 sec

Inspiration Ventilator Service Manual EVM500019 Rev. E 20


Alarm Limit Settings
Apnea (setting) On or Off
Leak rate 20 to 100 %
AUTO SET automatically sets upper and lower alarm limits based on monitored data.

AUTO SET does not change alarm limits that are Off.

Alarm Priority
High Priority

Air Supply Low Minute Volume

Apnea Backup Active Low Oxygen

Battery too Low Low Pressure

Connect AC Now Low Tidal Volume

Device Alert Occlusion

Disconnection Oxygen Supply

Heliox Pres Low- Use Air P. Line On Right Side?

Heliox Supply PetCO2 High

High Minute Volume PetCO2 Low

High Oxygen Speaker Fault

High Pressure Technical Fault (TF-1 to TF-29)

High Tidal Volume Valv Low

Imminent Shutdown Valv/min Low

Internal Pressure Low/Disconnect VteCO2 Low

Medium Priority

Battery Low Pmean Low

Check Pcontrol / Pmax PT Effort Detected

Check Psupport / Pmax Replace CO2 Adaptor

Ck. CO2 Sensor Replace Sample Line

Ck. Sample Line SBT High Frequency

Ck.CO2 Adaptor SBT High RSBI

CO2 Sensor Accuracy? SBT Low Frequency

Compressor SBT Low RSBI

Inspiration Ventilator Service Manual EVM500019 Rev. E 21


Alarm Priority
High External Voltage Target Volume Not Met

High Frequency Valv High

High Leak Rate Valv/min High

High Temperature Vti Limit Reached

Low Frequency Zero CO2 Sensor


Pmean High
Information Messages (Low Priority)

100%O2 Cal. not avail Mem CPU not protected

Audible AC power disconnect / reconnect tone Mem power no protect

Battery in use Mem sensor no protect

Battery not available Nebulizer not avail

Flow cal. not available No CO2 Sensor

Flow trigger not avail O2 sensor not avail

Gas connected; Heliox? SBT Active

Increase O2 not avail SBT Canceled

Inverse ratio set SBT Off

Logbook cleared Suction Active

Maneuver Active

Power and Gas Supply


AC input 100 to 240 VAC (50/60 Hz)
Power consumption 120 VA (W)
DC input 24 VDC +/- 10%

Battery Backup (with fully charged battery)


Without the Internal Compressor > 120 min
With the Internal Compressor < 120 min

Battery Backup when the Inspiration is combined with the Deluxe and / or Transport plus battery.
Battery Backup On compressor > 240 min
Battery Backup off compressor > 600 min (with fully charged battery)
Oxygen inlet supply pressure 29 to 86 psi (2 to 6 bar) clean, dry,
and oil-free medical grade
Oxygen inlet supply flow 180 l/min (STP, dry required)
Air inlet supply pressure 29 to 86 psi (2 to 6 bar) clean, dry,

Inspiration Ventilator Service Manual EVM500019 Rev. E 22


Power and Gas Supply
and oil-free medical grade
Air inlet supply flow 180 l/min (STP, dry required)
Heliox inlet supply pressure 29 to 86 psi (2 to 6 bar) clean, dry,
* Heliox gas source and oil-free 80% / 20% Only

Internal compressor 15.8 l/min minute volume at 14.5 psi


(1 bar). Compressor operation is
enabled or disabled in configuration
screen
Earth leakage current < 300 A
Enclosure Leakage current 50 A Maximum

Environmental Data
Ventilator
Operating temperature 10 to 40 C at 10 to 80 % relative
humidity
Storage temperature -10 to 60 C at 5 to 95 % relative
humidity
Atmospheric operating pressure 10 to 15.6 psi (700 to 1060 mbar)
Operating altitude < 9999 ft (3048m) above sea level
Atmospheric Pressure Operating: 52.5 to 120 kPa
(maximum altitude 15,000 ft/4572 m)
Storage (sidestream): 20 to 120 kPa
(maximum altitude 38,600 ft/11,760
m)
* After condensation, store the unit for over 24 hours in an
Storage (mainstream): 500 to 1200
environment with a relative humidity below 95% non-condensing
hPa (maximum altitude 15,000
ft/4572 m)

Physical Data
Inspiration Ventilator System
Width x Depth x Height (Ventilator) 13.75 x 16 x 21 in. (35 x 40 x 53 cm)
Weight of Ventilator 53 lbs (24 kg)
EZ-Flow Proximal Flow Sensor
Dead space: 6.9 ml
Sensor length: 3.25 in. (6.35 cm)
Adult/Pediatric Flow Sensor
Sensor weight: 6.3 grams
Vt range: 100 ml and above
Dead space: 0.75 ml
Sensor length: 2.0 in. (5.1 cm)
Pediatric/Infant Flow sensor
Sensor weight: 4.0 grams
Vt range: 1 99 ml

Technical Data

Inspiration Ventilator Service Manual EVM500019 Rev. E 23


Physical Data
Maximum limited pressure 120 cmH2O via a dedicated pressure relief valve
Maximum operating pressure 100 cmH2O controlled by high pressure alarm setting
Measuring and display devices Pressure measurements are made by solid-state pressure
transducers positioned to monitor internal operating,
inspiratory, and expiratory circuit pressures
Flow and volume measurement Flow measurements are made by one of two differential
pressure flow sensors, and are integrated with time to
calculate inspiratory and expiratory volumes. Flow and
volume measurement ranges are according to monitored
data specifications
Oxygen measurement A galvanic cell is positioned in parallel to the inspiratory
manifold to measure the delivered oxygen
concentrations from 0 to 103%.
Display & Touch Screen All data appears on a touch screen enabled color liquid
crystal display (LCD)

1.4. Notices

Copyright Notice Trademark

Copyright 2015 eVent Medical, Ltd.

This work is protected under Title 17 of the U.S. Code and is the sole property of the Company. No part of this document
may be copied or otherwise reproduced, or stored in any electronic information retrieval system, except as specifically
permitted under U.S. Copyright law, without the prior written consent of the Company.

Inspiration Ventilator Service Manual EVM500019 Rev. E 24


Trademark Notice
Inspiration is a registered trademark of eVent Medical. Smart Sigh, Smart Nebulizer, CliniNet and Virtual Report
trademarks of eVent Medical. All other brand names, acronyms and products referenced in this manual may be
trademarked by separate companies.

Notice of Conformity
The Inspiration Ventilator Systems comply with the requirements of directive
93/42/ EEC concerning Medical Devices and therefore bears the CE mark. 0120

Standards to which conformity is declared:

o IEC 601-1 o EN60601-1


o IEC 601-1-2 o EN60601-1-2
o IEC 60601-2-12: 2001 o EN 794-1
o ASTMF1100-90 o EN 46001
o ASTM F1054-87 o ISO 9001
o ISO 5356-1

CE Notified Body
SGS UK

Classification
Classified as protection class I, Type B, internally powered, drip-proof adult / IEC 60601-1:1988 +
pediatric / infant ventilator for continuous operation. A1:1991+A2:1995

Regulatory Notice
US Federal Law restricts the sale of this device except by or on the order of a physician.

Inspiration Ventilator Service Manual EVM500019 Rev. E 25


1.5. Device Labels and Symbols

5i 7i

On/Off Standby key

Alarm Mute key

% O2 Increase key

Manual Inspiration key

Vent Inop indicator

Mains power connected


indicator

Indicates there is an active


alarm

This icon indicates that


alarm mute is silencing
current alarms, and appears
above the ACTIVATE, LOCK,
or UNLOCK buttons when
Alarm mute is active.

This icon indicates that 2-


minute alarm pre-silence is
active, and appears above
the ACTIVATE, LOCK, or
UNLOCK buttons when
Alarm mute is active.

Backup battery time status

On External Battery backup

Indicates the settings and


screen are locked
Lock / Unlock control is
located on Special screen

Inspiration Ventilator Service Manual EVM500019 Rev. E 26


5i 7i

Nebulizer nipple connector

Flow sensor connector

Ethernet Ethernet Ethernet connection port

RS232 RS232 RS232 connection port

Nurse call connection port

Refer to manual for


Information, directions and
or warnings intended to
prevent potential harm or
damage to the patient,
caregiver and device.
Designates type BF
equipment per IEC 601-1

O2 2-6bar (29-86psi) O2 2-6bar (29-86psi)


Oxygen inlet port label

Air 2-6bar (29-86psi) Air 2-6bar (29-86psi)


Air inlet port label

DC Input: DC Input:
24VDC 24VDC DC input connector
90W 90W
3.75A 3.75A
AC-Input: AC-Input:
100-240VAC 100-240VAC
50/60Hz 50/60Hz AC input connector
140VA 140VA
Fuse: 3.15AT Fuse: 3.15AT

O2 Sensor O2 Sensor Oxygen sensor location

SN: SN: Device serial number

Gas flow to patient from


ventilator

Gas flow from patient to


ventilator

Do not obstruct port or


Caution! Do Not Obstruct! Caution! Do Not Obstruct!
outlet

Internal battery
compartment

Inspiration Ventilator Service Manual EVM500019 Rev. E 27


5i 7i
Indicates WEEE (Waste
Electrical and Electronic
Equipment) Registration per
EU WEEE Reg. No. IE 00761,
Directive, 2002/96/EC

The internal compressor is


not installed

1.6. Safety
The symbols below are used to draw your attention specifically to the remaining dangers associated with
proper use and to emphasize important technical requirements.

Information or directions/warnings intended to prevent potential damage to the


patient, caregiver, or device.

Explanatory notes and comments relevant to the Inspiration Ventilator.

1.7. Responsibilities and Guarantees


The manufacturer assumes no responsibility and exonerates itself accordingly from liability
claims where the operator or any third party has:

Used the device improperly

Failed to follow the operating instructions.

Disregarded any warnings, cautions or other technical data.

Modified the device in any way.

Operated the device using accessories that are not listed in the associated product
documentation, or do not meet applicable international standards.

1.8. Basic Safety Information and Warnings


The INSPIRATION should only be operated and maintained by personnel with appropriate
technical and clinical training. All patients requiring ventilation must be monitored appropriately
by competent medical personnel.

US Federal Law restricts this device to sale by or on the order of a physician.


Only medical air and medically pure oxygen should be used for ventilation. Do not use
anesthetics and potentially explosive gases. Ensure that the air and oxygen supplies are
completely oil-free.

Inspiration Ventilator Service Manual EVM500019 Rev. E 28


To avoid any potential fire hazard, keep all matches, lighted cigarettes, and other sources of
ignition away from the device.

Ensure that an alternate source of ventilation is always available when using the INSPIRATION
Ventilator System.
When the INSPIRATION Ventilator is connected to an external device via the serial port, the
power cord should be in use to ensure proper grounding.
Do not replace any accessories or other parts of the INSPIRATION while a patient is being
ventilated.
Do not use the INSPIRATION Ventilator unless an internal battery with at least a minimal charge is
installed.
If the INSPIRATION Ventilator has been stored for an extended period, recharge the battery
before use.
Maintenance should always be conducted in compliance with all relevant safety regulations.
Check that the remote alarm system (nurse call) is activated before leaving the patient
unattended.
Repairs, assembly, and use must be conducted by trained personnel, and the ventilator must be
checked by trained personnel annually.
A bacteria filter can be placed between the To Patient outlet and the patient breathing circuit to
prevent cross contamination.
A bacteria filter can be placed between the ventilators exhalation cover and the patient
breathing circuit to prevent possible contaminated patient exhaled gas entering the room.
Do not sterilize the INSPIRATION Ventilator System.
Before each use, check the water traps on the gas inputs for any residual water or particles.
If any damage to the ventilator is apparent, its life-supporting function can no longer be
guaranteed. Stop using the ventilator immediately and use an alternate form of ventilation.
Do not operate the ventilator in positioned next to a curtain that could block the flow of cooling
air, thereby causing the equipment to overheat.
Adding attachments or other components or sub-assemblies to the ventilator breathing system
may cause the pressure gradient to increase across the ventilator breathing system, measured
with respect to the patient connection.
To avoid electrical shock while servicing the ventilator, be sure to disconnect the ventilator from
all power sources.
The INSPIRATION Ventilator complies with the requirements of IEC 60601-1-2 (EMC Collateral
Standard), which include E-field immunity and ESD requirements. However, even though the
device is compliant at the levels of immunity specified in the standard, certain transmitting
devices (cellular phones, walkie-talkies, cordless phones, paging transmitters etc.) emit radio
frequencies that could potentially interrupt ventilator operation if located in close proximity to
the ventilator. Practitioners should be aware that radio frequency emissions are additive, and
that the ventilator must be located a sufficient distance from transmitting devices to avoid
interruption.
Do not operate the ventilator in a magnetic resonance imaging (MRI) environment.
Consult with your institutions biomedical engineering department in case of interrupted
ventilator operation, and before relocating any life support equipment.
Preventive Maintenance, cleaning and sterilization activities must be conducted in accordance
with the procedures and recommended intervals detailed in of this manual to ensure prolonged
operation of the ventilator.

Inspiration Ventilator Service Manual EVM500019 Rev. E 29


1.9. Electromagnetic Compatibility Declaration

Guidance and Manufacturer's Declaration - Electromagnetic Emissions


The ventilator is intended for use in the electromagnetic environment specified below. The user of the ventilator should assure that it is
used in such an environment.
Emissions Test Compliance Electromagnetic Enforcement - Guidance
The ventilator uses RF energy only for its internal function. Therefore,
RF Emissions CISPR 11 Group 1 its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment
RF Emissions CISPR 11 Class A
The system is suitable for use in all establishments, including
Harmonic emissions
Class A domestic establishments and those directly connected to the public
IEC 61000-3-2
low voltage supply network that supplies buildings used for domestic
Voltage fluctuations/flicker emissions IEC purposes
Complies
61000-3-3

Guidance and Manufacturer's Declaration - Immunity


Guidance and Manufacturer's Declaration - Immunity

The ventilator is intended for use in the electromagnetic environment specified below. The user of the ventilator should assure that it is
used in such an environment.

Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment - Guidance

Electrostatic Floors should be wood, concrete or ceramic


+/- 6kV contact +/- 6kV contact
Discharge (ESD) tile. If floors are covered with synthetic
material, the relative humidity should be at
+/- 8kV air +/- 8kV air
IEC 61000-4-2 least 30%.

Electrical Fast +/- 2kV for power +/- 2kV for power Mains power quality should be that of a
Transient/burst supply lines. supply lines. typical hospital environment

+/- 1 kV for +/- 1 kV for


IEC 61000-4-4 Input/output lines Input/output lines

+/- 1kV differential Mains power quality should be that of a


+/- 1kV differential
Surge mode typical hospital environment
mode
IEC 61000-4-5 +/- 2 kV common
+/- 2 kV common mode
mode

Voltage dips, short <5% Ut


interruptions and (>95% dip in Ut ) for a
<5% Ut
voltage variations on 0.5 cycle
(>95% dip in Ut ) for a 0.5
power supply input
cycle
lines. 40% Ut
(60% dip in Ut) for 5 Mains power quality should be that of a typical
40% Ut
IEC 61000-4-11 cycles hospital environment. If the user of the ventilator
(60% dip in Ut) for 5 cycles
requires continued operation during power
70% Ut mains interruptions, it is recommended that the
70% Ut
(30% dip in Ut) for 25 ventilator be powered from an external battery.
(30% dip in Ut) for 25 cycles
cycles
5% Ut
5% Ut
(>95% dip in Ut ) for 5 sec
(>95% dip in Ut ) for 5
sec

Power Frequency Power frequency magnetic fields should be at


(50/60 Hz) magnetic 3 A/m 3 A/m levels characteristic of a typical location in a
field. typical hospital environment.

Inspiration Ventilator Service Manual EVM500019 Rev. E 30


IEC 61000-4-8

* Note Ut is the A.C. mains voltage prior to application of the test level.

Portable and mobile RF communications


equipment should be used no closer to any part
of the ventilator, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
Conducted RF the transmitter.
3 Vrms 150 kHz to 80 MHz
3 Vrms
outside ISM bands (a) Recommended separation distance:
IEC 61000-4-6

10 Vrms
10 Vrms

150 kHz to 80 kHz in


Radiated RF

IEC 61000-4-3
10 V/m

10 V/m

80 MHz to 2.5 GHz


Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended
separation distance in meters (m) (b)
Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey. (c) should be less than the compliance level in each
frequency range (d)

Interference may occur in the vicinity of equipment marked with the following symbol.

Electromagnetic Compatibility Declaration


Note 1: At 80 MHz and 800 MHz, the higher frequency applies.

Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.

(a) The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553
MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.

(b) The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range of 80 MHz
to 2.5 GHz are intended to decrease the likelihood that mobile/portable communication equipment could cause
interference if it is inadvertently brought in to the patient areas. For this reason, an additional factor of 10/3 is used in
calculating the recommended separation distances for transmitters in these ranges.

(c ) Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the ventilator is used exceeds the applicable RF
compliance level above, the ventilator should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the ventilator.

Inspiration Ventilator Service Manual EVM500019 Rev. E 31


(d) Over the frequency range of 150 kHz to 80 MHz, field strengths should be less than 1V/m.

Recommended separation distances between portable and mobile RF communications equipment and the
Inspiration Ventilator
The ventilator is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The use of the
ventilator can help to prevent electro-magnetic disturbances by maintaining the minimum distance between portable and mobile RF
communications equipment prior (transmitters) and the ventilator as recommended below, according to the maximum output of
power of the communications equipment.
Separation Distance According to Frequency of Transmitter (meters)
150 kHz to 80 MHz 150 kHz to 80 MHz in 80 MHz to 800 MHz 800 MHz to 2.5 GHz
Outside ISM Bands ISM Bands
Rated Maximum Output
of Power of Transmitter
(watts)

0.01 0.12 0.12 0.12 0.23

0.1 0.38 0.38 0.38 0.74

1 1.2 1.2 1.2 2.3

10 3.8 3.8 3.79 7.4

100 12 12 12 12

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be
determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.

Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

The ISM (industrial, scientific and medical) bands between 150 Hz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz to
Note 2:
13.567 MHz; 26..957MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz

An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM
Note 3: frequency bands between 150 KHz and 80 MHz and in the frequency range 80MHz to 2.5 GHz to decrease the likelihood that
mobile/portable communications equipment could cause interference if it is advertently brought into patient areas.

These guidelines may not apply in all situations. Electromagnetic propagations affected by absorption and reflection from
Note 4:
structures, objects and people.

Inspiration Ventilator Service Manual EVM500019 Rev. E 32


2. Theory of Operation
This section includes an in depth overview of the INSPIRATION Series ventilator system. The pneumatic and
electronic subsystems are described in detail. Also covered is an explanation for how the firmware interfaces with
the subsystems to control ventilator operation.

2.1. Overview of Operation


The INSPIRATION Ventilator System includes two major subsystems which deliver respiratory support at
operator-set parameters:

The Pneumatic System


Controlled by the microprocessor
Supplies conditioned air and oxygen to the patient system
The Electronic System
Applies and supervises the power sources
Provides electronic control of ventilator components

High pressure air and oxygen enter the ventilator from an external source via the high-pressure gas
connectors. Two solenoids control the amount of air and oxygen supplied to the tank. Gas supplied to the
patient exits the tank through a proportional valve, which is servo-controlled using feedback from internal flow
and pressure sensors. An active expiratory valve regulates pressure levels in the patient tubing system during
inspiration and exhalation.
Pressure sensors, flow sensors, and other sensors are used throughout the system to provide feedback
measurements to the microprocessor. After undergoing digital conversion, these measurements control
breath delivery, patient monitoring, and system monitoring.
The operator uses an encoder switch, touch sensitive user interface display, and front panel keys to select
ventilation parameters.
The ventilator can operate using power from AC mains, an external 24 VDC battery, an external 24 VDC power
source, or internal batteries. If AC mains power is unavailable, the ventilator runs on power from the external
battery (if available) or internal batteries.

Inspiration Ventilator Service Manual EVM500019 Rev. E 33


2.2. Pneumatic System
The Inspiration Ventilators pneumatic subsystem uses an innovative manifold that is designed to eliminate
internal ventilator tubing. A microprocessor-controlled blending system regulates and mixes high-pressure
source gases for delivery to the patient without requiring in-line regulators. Internal and proximal transducers
provide continuous feedback to control breath delivery and monitor patient data.

Figure 1: INSPIRATION Pneumatic Manifold

The pneumatic subsystem (Figure 1) includes the following component systems:

Gas inlet system


Air/Oxygen blending system
Gas delivery system
Safety valve system
Proximal measurement system
Exhalation system
Oxygen monitoring system
Nebulizer system

Inspiration Ventilator Service Manual EVM500019 Rev. E 34


Figure 2: Pneumatic Diagram

Inspiration Ventilator Service Manual EVM500019 Rev. E 35


2.3. Gas Inlet System

Inlet Check Valves (CV1, CV2) F810061


High Pressure Inlet DISS Connectors F710215 (O2) & F710216 (Air)
Water Traps (WT1 & WT2) F910016
Inlet Filters (F1, F2) F910205
Gas Inlet Block F710313

CV2 Gas Inlet Block

DISS Air
Connector
DISS O2
Connector
CV1
F2
F1 WT2

WT1

Figure 3: Gas Inlet System

The gas inlet system (Figure 3) permits the connection of high-pressure air and oxygen sources to the
ventilator via the high-pressure connectors. It filters the gas by removing moisture and particulate
matter (5um), and then it directs the gasses to the blending system. The components, which
comprise the gas inlet system, are described in the following paragraphs.

2.3.1. Inlet Check Valves (CV1 & CV2)


Inlet check valves allow unobstructed high-pressure gas to flow into the ventilator, while preventing gas
flow back to the high-pressure gas supplies. CV1 is located in the O2 supply path and CV2 is located in
the Air supply path.

Inspiration Ventilator Service Manual EVM500019 Rev. E 36


2.3.2. High Pressure Inlet DISS Connectors

DISS O2
Connector
(F710215)

DISS Air
Connector
(F710216)

Figure 4: High Pressure Inlet DISS Connectors

The Inspiration ventilator is supplied in its standard configuration with two DISS (Diameter
Indexed Safety System) high-pressure fittings for the connection of medical grade air and
oxygen (Figure 4).

Oxygen DISS Connector supply pressure Range: 29 to 86 psi (2 to 6 bar)

Air DISS Connector supply pressure Range: 29 to 86 psi (2 to 6 bar)

Inspiration Ventilator Service Manual EVM500019 Rev. E 37


2.3.3. Water Traps & Inlet Filters

Inlet Filter

Water Trap Bowl

Figure 5: Water Traps & Inlet Filters

High-pressure gas enters the water trap (Figure 5) and is directed into the bowl, where moisture in the gas is
trapped. Oxygen passes through filter F1 and Air through filter F2. These particulate filters are designed to
remove moisture and small amounts of particulates that may be present in medical grade air.

Failure to replace the inlet filters at the required maintenance interval may compromise the operation of
components downstream of the system. If the air or oxygen sources are susceptible to moisture and/or
contaminants, use additional filter/water traps or hydrophobic filters upstream of the ventilator inlets.
The Inlet Filters are not intended to perform the primary cleaning of air & moisture

Inspiration Ventilator Service Manual EVM500019 Rev. E 38


2.4. Blender System

SV2 Air

SV1 O2

P1
DP1

Figure 6: Blender System

Air & O2 Blender Solenoid Valves (SV1, SV2)


Blender Impact Filters (F3, F4)
Blender Flow Measurement System (FS1/dP1)
Internal Compressor (COMP)
Compressor Unloading Valve (SOL 3)
Tank Assembly (Reservoir)
FS1 Tank Pressure Transducer (P1)
Tank Over-Pressure Valve (OPV)

Figure 7: Blender Flow Measurement

The blending system (Figure 6) uses two solenoid valves and a flow measurement system to blend air and
oxygen. The microprocessor controlled solenoid valves use feedback from the flow measurement system to keep
the tank pressurized with the correct mixture of air and oxygen.
A pressure sensor in the tank (P1) determines when a blending cycle is required. The frequency of the blending
cycles depends on gas usage, which is determined by ventilator settings and other requirements such as purge
flow and oxygen sample flow.
The ventilator maintains tank pressure at an acceptable range according to patient type. A blending cycle begins
when the microprocessor determines that more gas is required in the tank to meet current requirements. Gas
requirements are based on patient settings, base/bias flow for triggering, proximal purge flow, and oxygen
settings.

Inspiration Ventilator Service Manual EVM500019 Rev. E 39


At each blending cycle, the microprocessor determines the volume of gas required from each of the high-
pressure supply systems to refill the tank with the correct air and oxygen mixture. The microprocessor energizes
the blender valves sequentially during the blending cycle to supply the required gas volumes. When a blender
valve is energized, the microprocessor monitors the flow delivered through the blender flow sensor. When it
determines the correct volume of air or oxygen has been delivered, the corresponding valve is de-energized.
The blending system maintains an accurate air and oxygen mixture regardless of the supply conditions. If supply
pressures and flows fluctuate, the microprocessor adjusts blending valve operation times as needed to maintain
the correct mix of air and oxygen.
Blender Solenoid Valves (SV1, SV2)
The microprocessor energizes blender solenoid valves as needed to ensure the correct mixture of gas is
maintained within the tank. The solenoid valves are mounted on a separate dampened block to reduce the
sound of valve operation. Each solenoid valve connects to two extension tubes that direct gas to and from the
valve
Blender Impact Filters (F3, F4)
The blender impact filters are located between the outlet of each blender solenoid valve and the inlet of its
extension tube (F3 - Oxygen, F4 - Air). The sintered bronze impact filters collect any particulates greater than
approximately 40 m.
Blender Flow Measurement System (FS1, dP1)
The Blender Flow Measurement System (Figure 7) measures gas flow delivered through the blender solenoid
valves (SOL1, SOL2) during each blending cycle. The flow measurement system includes a sintered bronze
resistive element (FS1) positioned in the path of gas flow and a corresponding differential pressure sensor (dP1),
located on the Power board.
Gas flow through the resistive element (FS1) causes a pressure differential which is measured by pressure
transducer (dP1). Because the pressure differential is directly proportional to the amount of gas flow through the
resistive element, this measurement is used to determine the correct gas mixture in the tank
Compressor switchover: If FS1/dP1 measures a flow less than 30 l/min during a normal blending cycle, the
microprocessor senses a loss of the high-pressure air supply and turns on the optional internal backup
compressor, if installed. The microprocessor senses the air supply is restored when FS1/dP1 measures a flow
greater than 36 l/min, and turns off the internal compressor.

Internal Compressor (COMP)


An optional internal compressor (Figure 9) is available for the ventilator. In the event of a loss of the high-
pressure air supply, the ventilator turns on the internal compressor. The dual-piston compressor operates on DC
voltage, allowing operation on internal battery power.

Inspiration Ventilator Service Manual EVM500019 Rev. E 40


The compressor draws room air into the pneumatic system through a sintered bronze inlet filter located at the
rear of the pneumatic module. Air flows through the upper pneumatic block (Sensor Block 2) and into the
compressor. Compressed air exits the compressor, flows through Sensor Block 2, the compressor-unloading valve
(SOL3.)

Figure 9: Compressor Figure 8: Compressor Unloading Valve (Sol 3)

Air from the internal compressor flows through the compressor unloading solenoid valve (SOL3) and it is directed
to either atmosphere or to the air blender solenoid Sol2. SOL3 (Figure 8) is a three-way solenoid with Normally
Open (N.O.), Normally Closed (N.C.), and Common (COMM) ports. The normally open port vents to atmosphere.
SOL3 remains de-energized during compressor startup, allowing the compressor to start with no load. SOL3 is
then energized to route the compressor output to the tank via the air blender solenoid Sol2. A small bronze
muffler attached to the normally open port of SOL3 silences the sound of venting air.

Inspiration Ventilator Service Manual EVM500019 Rev. E 41


2.4.1. Tank Assembly (Reservoir)
The tank holds mixed gas, which is available for patient delivery and other incidental requirements such as purge
flow. The tank (Figure 10) consists of several separate interconnected chambers that provide approximately one
liter of compressible volume. The pressure in the tank is maintained within a pressure range specific to the
selected patient type.

Figure 10: Tank Assembly (Reservoir)

2.4.2. Tank Over-Pressure Valve (OPV)


The tank over-pressure valve (OPV) is incorporated
into the upper block of the tank (Figure 11). The OPV is
factory-set to open in the event that internal tank
pressure exceeds 1.8 bar (26 psi).

Figure 11: Tank Overpressure Valve (OPV)

2.4.3. Tank Pressure Transducer (P1)


The tank pressure transducer (P1), located on the Power Board, continuously monitors the internal tank
pressure. The microprocessor uses internal tank pressure to determine when blending cycles are required.

Inspiration Ventilator Service Manual EVM500019 Rev. E 42


2.5. Gas Delivery System

PV1

P3
dP3
FS2 P2
dP2

Figure 12: Gas Delivery System

Inspiratory valve (PV1)


Internal flow measurement system (FS2/dP2)
Internal pressure measurement transducer (P2)
High pressure relief valve (HPRV)
Safety valve (SV)
The gas delivery system (Figure 12) supplies and monitors mixed gas delivery to the patient according to
operator-selected settings. The inspiratory proportional valve (PV1) controls breath delivery parameters and
supplies mixed gas to the patient tubing system.
Inspiratory Valve (PV1)
The microprocessor varies a pulse width modulation (PWM) signal to open and close the proportional inspiratory
valve (PV1) as needed to provide required inspiratory flow. The microprocessor uses feedback from the flow
measurement system (FS2/dP2) to determine flow from PV1. PV1 controls all breath parameters except oxygen
concentration (FiO2).

Inspiration Ventilator Service Manual EVM500019 Rev. E 43


Internal Flow Measurement System (FS2/dP2)
The internal flow measurement system (FS2/dP2) monitors flow delivered through the inspiratory valve (PV1).
The internal flow measurement system includes a resistive mesh element (FS2) positioned at the outlet of PV1.
Gas flow passing through FS2 causes a pressure differential pressure, measured by pressure transducer dP2 on
the Sensor board. Because differential pressure measured at dP2 is directly proportional to the amount of gas
flow through FS2, the microprocessor uses feedback from FS2/dP2 to regulate PV1 operation for volume and
flow delivery applications.
Internal Pressure Measurement Transducer (P2)
Internal pressure measurement transducer (P2) continuously monitors breath delivery system pressure. The
microprocessor uses this measurement to regulate operation of the inspiratory valve (PV1) and the expiratory
valve (PV2) for pressure delivery applications.
High Pressure Relief Valve (HPRV)
To protect the patient from harm that might result from a continuous high pressure event, a high pressure relief
valve (HPRV) is included in the safety valve block (Figure 13). The HPRV is a mechanical relief valve that
automatically vents venting excess pressure to atmosphere when pressure in the patient system exceeds 120
cmH2O (this is called cracking pressure).

SV

HPRV

Figure 13: Safety Valve Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E 44


Safety Valve (SV)
To provide the patient with an open breathing path to ambient air in the event of an emergency, a safety valve
(SV) is included in the safety valve block (Figure 13). The safety valve includes a solenoid valve and sealing disc.
The solenoid valve is energized during normal operation, which extends the plunger that seats the sealing disc
and closes the ambient port).
In the event of a critical error condition (technical fault), the solenoid is de-energized. This condition, called
safety valve open (SVO), retracts the valve plunger from the sealing disc. The sealing disc remains loosely in
position on its sealing surface and acts as an inspiratory check valve. Any inspiratory effort from the patient
displaces the sealing disc and allows and inspiratory flow to be drawn from atmosphere. Patient exhalation
pushes the sealing disc against its sealing surface and closes off the ambient port. During a SVO condition, the
patient can exhale through the open exhalation system

2.6. Proximal Measurement System

Proximal flow measurement (FS3, dP3)


Proximal pressure transducer (P3)
Proximal purge system (R2, R3)
Proximal over-pressure protection (CV3, CV4)

Figure 14: Proximal Measurement System

The proximal measurement system uses a proximal flow sensor and transducers on the Sensor board to measure
patient exhaled tidal volume and proximal airway pressure. The ventilator also uses the proximal flow sensor for
flow triggering.
The proximal flow sensor is optional. If unused, you must configure the ventilator to turn off the flow sensor.
Turning off the proximal flow sensor disables flow triggering and patient monitoring derived from proximal
measurements.
A continuous proximal purge flow (rinse flow) clears the sensing lines of moisture and patient secretions, and
prevents contamination from entering the ventilator. Check valves protect the differential pressure transducer
from over-pressure damage in the event that flow sensor tubes become occluded.
Proximal Flow Measurement (FS3, dP3)
The proximal flow sensor (Figure 14) provides feedback on patient exhaled volumes and flow triggering. The flow
sensor is available in two sizes (adult/pediatric and infant/pediatric) and as single patient use or reusable (sensor
body only.) The proximal flow measurement system includes a flow sensor (FS3) positioned directly in the patient
exhaled gas path, and a corresponding differential pressure sensor (dP3) on the Sensor board.
Gas flow passing through the flow sensor (FS3) causes a pressure drop across the sensor. The two outer tubes of
the flow sensor carry the pressure signals to dP3. The pressure differential measured at dP3 is directly
proportional to the gas flow through the flow sensor. The microprocessor uses this information to calculate and
display values for exhaled tidal volume (Vte), exhaled minute volume (Ve), and exhaled spontaneous minute
volume (Ve Spont). The microprocessor also uses this information to make alarm (volume) decisions and
determine if the patient flow-trigger threshold has been reached.

Inspiration Ventilator Service Manual EVM500019 Rev. E 45


Proximal Pressure Transducer (P3)
The proximal pressure transducer (P3) on the Sensor board continuously monitors pressure at the patient wye.
P3 tees into the upstream pressure line of the proximal flow sensor. The microprocessor uses this measurement
to calculate and display values for peak pressure (Ppeak), plateau pressure (Pplateau), mean pressure (Pmean),
and end exhalation pressure (PEEP). The microprocessor also uses this measurement to make alarm (pressure)
decisions and determine if the patient pressure trigger threshold has been reached.
Proximal Purge System (R2, R3)
A continuous proximal purge flow (rinse flow) clears the flow sensor lines of moisture and patient secretions, and
prevents contamination from entering the ventilator. Two restrictors/orifices (R2, R3) on Sensor Block 2 provide
a small purge flow (approximately 4ml/min nominal) from the tank through each of the proximal flow sensor
lines. The purge flow restrictors are matched during the manufacturing process to ensure that they do not offset
differential pressure transducer (dP3) measurements.
Proximal Over-Pressure Protection (CV3, CV4)
The proximal measurement system includes two check valves (CV3/CV4) to protect the differential pressure
transducer (dP3) from over-pressure damage to that could result from an occlusion of a proximal flow sensor
line. CV3 and CV4 have a cracking pressure of 100 cmH2O and allow flow in either direction in the event of an
over-pressure condition. If the pressure differential between the proximal pressure lines exceeds 100 cmH2O,
each check valve opens and vents the excess pressure to the opposite proximal line, equalizing the pressure on
both sides of dP3.

Inspiration Ventilator Service Manual EVM500019 Rev. E 46


2.7. Exhalation System
The exhalation system (Figure 15) seals the patient system during the inspiratory phase of ventilation. During the
expiratory phase the exhalation system opens to allow patient exhalation and the set level of PEEP.
Exhalation System
Expiratory Valve (PV2)
Exhalation Cover and Exhalation Membrane make up the Exhalation Valve (EV)

PV2

Exhalation Membrane

Exhalation Valve Cover

Figure 15: Exhalation System

The exhalation system includes a reusable cover and a membrane that seals the patient system under the control
of the expiratory proportional valve (PV2).
During a volume-targeted inspiration, PV2 is fully energized to apply the maximum closing force on the expiratory
membrane and cover. PV2 remains fully closed throughout all volume-controlled breath deliveries.
During a pressure-targeted inspiration, PV2 is energized to the position that maintains target pressure. PV2
releases any excess pressure within the system based on feedback from the internal pressure transducer P2.
During exhalation, PV2 is proportionally controlled as required to maintain the set PEEP level.
During a critical error condition (technical fault), PV2 is fully de-energized to complement a safety valve open
(SVO) condition. In the de-energized state, any patient inspiratory effort closes the exhalation membrane, and any
expiratory effort opens the exhalation membrane, allowing exhaled gases to vent to atmosphere.
The proximal measurement system uses a proximal flow sensor and transducers on the Sensor board to measure
patient exhaled tidal volume and proximal airway pressure. The ventilator also uses the proximal flow sensor for
flow triggering.
Expiratory Valve (PV2)

Inspiration Ventilator Service Manual EVM500019 Rev. E 47


The microprocessor controls PV2 by varying the pulse width modulation (PWM) signal. The PWM signal applies
force to the PV2 plunger, which in turn presses the exhalation membrane and cover to seal the patient tubing
system. The microprocessor controls PV2 based on feedback from internal pressure transducer P2.
Exhalation Valve (EV)
The exhalation valve (EV) consists of exhalation membrane and exhalation cover.
The exhalation membrane seals the patient system when the PV2 plunger presses it against the seating surface
of the exhalation cover. The exhalation membrane is reusable and is certified for up to 10 sterilization cycles
with maximum temperature of 134 C (275 F).
The exhalation cover provides a seat for the exhalation membrane. It includes a From Patient port for
connecting expiratory tubing. Exhaust ports around the circumference of the cover minimize expiratory
resistance. The exhalation cover is reusable and is certified for up to 100 sterilization cycles with maximum
temperature of 134 C (275 F).

2.8. Oxygen Monitoring


The oxygen monitoring system (Figure 16) continuously monitors the oxygen percentage being delivered to the
patient in real-time.

Oxygen Sensor Oxygen Sensor Block

Figure 16: Oxygen Monitoring

Restrictor/orifice (R1) provides a small sample flow (0.4 l/min nominal) of blended gas from the tank. The
sample flow is directed through a jet into the galvanic fuel cell oxygen sensor (OS). The sample gas is then
vented to atmosphere.

Inspiration Ventilator Service Manual EVM500019 Rev. E 48


The output voltage from the OS is proportional to the partial pressure of oxygen in the sampled gas. The
sensor board receives this voltage, and the microprocessor uses this information to display the measured
oxygen % on the monitoring screen. The ventilator activates a preset alarm when the monitored oxygen % falls
outside of the allowed range.
To ensure accurate oxygen monitoring, replace the oxygen sensor every 12 months or as required. The
ventilator User calibration screen provides an automated full-scale oxygen sensor calibration. The ventilator
also performs a single-point calibration whenever the 100% O2 function completes its five-minute time
interval.

2.9. Nebulizer System


The ventilator includes a pneumatic, microprocessor controlled, smart nebulizer system (Figure 17). Because
the inlet source to the nebulizer is the ventilator tank, the monitored oxygen percentage is unaffected during
nebulizer therapy. The microprocessor assesses the amount of gas passing to the nebulizer circuit on a breath-
by-breath basis and adjusts the volume and pressure delivered through the inspiratory valve as needed to
compensate. This allows the ventilator to maintain delivered tidal volumes and pressures within an acceptable
level of accuracy.

Nebulizer (SOL4)

Front Block

Figure 17: Nebulizer System

The nebulizer solenoid valve (SOL4) turns off when inspiratory flow drops below 5 l/min. The internal nebulizer
is not available when the infant patient type is selected. The nebulizer solenoid is a two-way, normally closed
valve. The flow required for nebulization comes from tank gas passing through SOL4. During inspiration in
volume or pressure targeted ventilation, SOL4 is energized, diverting gas through the nebulizer circuit.

Inspiration Ventilator Service Manual EVM500019 Rev. E 49


2.10. Electronic System
The ventilator can be powered by one of three available electrical power sources; AC mains, the internal battery or
an external DC power source (i.e. external battery or external 12 VDC power supply). During operation, the
microprocessor controls the pneumatic breath delivery system and continuously monitors breath delivery and
ventilator parameters. The operator uses the touch screen interface, the keyboard, and encoder switch to select
ventilator settings.
The Electronic System includes the following systems:
Power input
Power supply
Internal battery
External DC circuitry
Power board
Sensor board
Motherboard
Processor board
Video Carrie Board
Sodimm Module
LCD
Inverter
Lexan screen
Encoder switch
Touch screen

Inspiration Ventilator Service Manual EVM500019 Rev. E 50


Figure 18: Original Inspiration 5i Wiring Diagram

Inspiration Ventilator Service Manual EVM500019 Rev. E 51


Inspiration with Swivel Main Box Wiring Diagram

Inspiration Ventilator Service Manual EVM500019 Rev. E 52


Inspiration with Swivel 12.1 LCD Front Panel Wiring Diagram

Inspiration Ventilator Service Manual EVM500019 Rev. E 53


Inspiration with Swivel 17 LCD Front Panel Wiring Diagram

Inspiration Ventilator Service Manual EVM500019 Rev. E 54


Inspiration 5i w/new LCD (non-swivel) - Wiring Diagram

Inspiration Ventilator Service Manual EVM500019 Rev. E 55


Figure 19: Original Inspiration 7i - Wiring Diagram

Inspiration Ventilator Service Manual EVM500019 Rev. E 56


2.11. Power Input
The power input components of the Inspiration comprise of the ventilator power cord and a medical grade power inlet
receptacle incorporating a line filter (Figure 20). The inlet filter is suitable to accommodate AC line voltages of 100-240VAC
50-60 Hz, and is fused at 2 x 3.15 amperes to accommodate both the high and low voltage ranges.

AC-Input:
100-240VAC
50/60Hz
140VA
ACT Fuse: 3.15AT

Figure 20: Power Input

2.12. Power Supply


The power supply (Figure 21) includes a medical-grade high efficiency supply with auto ranging characteristics. It is rated for a
supply voltage range of 100 to 240 VAC at 50 to 60 Hz. The power supply provides a single regulated 24 VDC output routed to
the power board. The power board generates other voltages required for ventilator operation. The power supply incorporates
power fail circuitry which provides an output signal to the power processor in the event of a loss or decrease of AC supply
voltage.

Figure 21: Power Supply

Inspiration Ventilator Service Manual EVM500019 Rev. E 57


2.13. Internal Batteries
In the event of a loss of AC power, the internal battery (Figure 22) provides temporary backup power. Two 12-VDC sealed
lead-acid battery cells are connected serially at the Power board, which provide a 24 VDC backup supply.
The internal battery is rated at 7.2 amp/hours. With a full charge the internal battery should power ventilator operation, with
high pressure gas supplies and nominal settings in use, for 120 minutes. With the internal compressor in use, battery life is
120 minutes.
Replace the internal battery every 24 months to ensure that reliable battery backup is available. The ventilator charges the
internal battery when it is connected to AC power.

Figure 22: Internal Batteries

Figure 23: Internal Battery Wiring Diagram

The Internal Battery must be connected per the Internal Battery Wiring Diagram
(Figure 23). This diagram can also be found on the inside of battery compartment
cover.

Inspiration Ventilator Service Manual EVM500019 Rev. E 58


2.14. External Battery
To supplement the AC mains and the internal battery, the operator has the option of using an external 24VDC battery. An
external DC receptacle is provided on the ventilators rear panel to allow connection of the external battery or external 24VDC
power source (Figure 24).

DC-Input:
24VDC
90W
3.75A

Figure 24: External Battery Input

The external battery is not charged by the ventilator; therefore an external battery
charger must be used to recharge the external battery after use.

Inspiration Ventilator Service Manual EVM500019 Rev. E 59


2.15. Power Board
The Power board is mounted vertically in the ventilator pneumatic chassis, and includes:
Power system software storage: The Power board includes a power processor chip with a flash EPROM that stores power
system software. An RS232 connector adjacent to the power processor chip allows software updates.
Power processor reset switch: The reset switch is used during power system software updates and for troubleshooting.
Power source management: The power processor monitors available power sources at all times and controls the
transition between them. AC mains power always takes highest priority and powers the ventilator when available. If AC
mains power is unavailable, the ventilator switches to external 24-VDC power (if available) and then to the internal 24-
VDC battery.
Internal battery charging and monitoring: The Power board charges the internal battery whenever AC mains power is
connected, regardless of whether the ventilator is switched on or not.
Pneumatic control: Power board circuitry controls all the valves in the pneumatic chassis according to signals from the
main microprocessor on the Processor board.
Blender pressure measurements: The Power board includes pressure transducers dP1 (blender flow sensor) and P1 (tank
pressure), which are used to regulate blender operation.
Input/output interfaces: The Power board includes interface circuitry for the RS232 (RJ45 connector), Ethernet (RJ45
connector), and nurse call (RJ12 connector) interfaces.
Main processor supervision: The power processor performs continuous monitoring and diagnostic checks on the main
microprocessor located on the Processor board. If this monitoring detects a problem that might compromise safe
ventilator operation, the power processor annunciates an error and the ventilator enters a safety-valve-open condition.

From Power Supply

Main Alarm Speaker


Back-up alarm

From
Ethernet Cable to PV2 Software
From
Video Carrier Board Download
Valves
Port
From Compressor
From
Batteries

Ethernet
Serial
Port Numb

RS232 Port

Nurse
Call

P1 Tank Pressure DP1 Sensor Board Mother Board Power Reset


Connector Connector Switch

Figure 25: Power Board

Inspiration Ventilator Service Manual EVM500019 Rev. E 60


2.16. Sensor Board
The Sensor Board (Figure 26) is mounted vertically in the ventilator pneumatic chassis, and provides feedback to the
microprocessor during breath delivery. The Sensor Board includes four pressure transducers that are used for breath delivery,
proximal measurements, and the internal oxygen measurement system.
Breath Delivery Transducers
The Sensor Board includes the two breath delivery (inspiratory) pressure transducers: dP2 (inspiratory flow sensor) and P2
(internal pressure), which are used to regulate the inspiratory proportional valve (PV1) during breath delivery.

Proximal Measurement Transducers


The Sensor Board includes two proximal pressure transducers: dP3 (proximal flow sensor) and P3 (proximal pressure), which
provide the microprocessor with feedback on patient exhaled gases.

Oxygen Sensor Interface


Circuitry on the Sensor Board interfaces with the internal oxygen sensor.

Barometric pressure transducer


The Sensor Board includes a barometric pressure transducer that is used to correct flow and pressure measurements.

A/D Converters
Analog to digital converters (ADC): ADC circuitry on the Sensor Board converts analog information from electronic
components (pressure transducers, temperatures, power supply, etc.) to digital signals that the microprocessor can use.

From Power Board J1 Jumper (Fab Test 12)

DP2
DP3 P3 P2
From O2
Sensor

Figure 26: Sensor Board

Inspiration Ventilator Service Manual EVM500019 Rev. E 61


2.17. Motherboard
The Motherboard (Figure 27) is the primary interconnection and communications bus between the pneumatic chassis
electronics, the Processor Board and the display module electronics.

NVRAM Non-Volatile Random Access Memory


Non-volatile random access memory (NVRAM) chip: Stores critical information (ventilator and alarm settings,
calibration look-up tables, date and time information, ventilator running hours, alarm and technical error logs, etc.). A
replaceable lithium battery with an approximate life of 10 years powers the NVRAM.

Dual Port RAM


Provides a memory location to support the CliniNet Interface.

From Display From Backlight


Adapter Board Inverter Board
Video Carrier
Processor Board Location
Board
Location

NVRAM Dual Port RAM


Battery

Rotary Encoder
Connector
Main Connector
to Power Board
Figure 27: Mother Board

Inspiration Ventilator Service Manual EVM500019 Rev. E 62


2.18. Processor Board
The Processor board (Figure 28) controls overall ventilator operation and breath delivery, and includes a
microprocessor and associated circuitry.
User interface: Monitors and decodes the outputs from the front panel encoder switch and user interface hard keys.
Includes de-bounce circuitry to prevent inadvertent input from the user interface.
Graphic interface: Interfaces the microprocessor with the CliniNet board to control flat panel LCD operation.
Breath delivery control: Interfaces with pneumatic chassis electronics (the Power and Sensor boards) to control
ventilation. Analog information from the pneumatic system transducers go to ADCs, where it is converted to digital
information, which the microprocessor uses to regulate pneumatic system operation.
Alarm management: Processor board circuitry continuously compares operator-set alarm limits with measurements
from the pneumatic system (via ADC) and elsewhere, to detect violations of alarm limits. If an alarm is detected the
microprocessor commands an alarm message be displayed with the appropriate level of visual and audible indication.
Power processor supervision: The microprocessor performs continuous monitoring and diagnostic checks on the power
processor chip on the Power board. If it determines that safe ventilator operation might be compromised, the
ventilator annunciates an error condition and enters a safety valve open condition.

Figure 28: Processor Board

Inspiration Ventilator Service Manual EVM500019 Rev. E 63


2.19. Video Carrier Board and Sodimm Module
The Video Carrier Board and Sodimm Module (Figure 29) is mounted on the reverse side of the Motherboard and connects to the
LCD assembly with an 8-bit parallel interface. The Sodimm Module receives display commands from the microprocessor, which
are processed by an onboard 32-bit microcontroller into the required display format.

LED Membrane
Connector Sodimm Module

Touch Screen ETCO2 Cable


Connector Connector (7i only)

LCD Connector

Video Carrier Board

Ethernet
Connector to
Power Board

Figure 29: Video Carrier Board & Sodimm Module

2.20. Inverter Board

The Backlight Inverter board (Figure 30) receives a single 12-VDC signal from the Motherboard. The Backlight Inverter
board has dual outputs that drive the dual backlights used on the ventilator display.

Connector to LCD Connector to LCD

Connector to
Mother Board

Figure 30: Inverter Board

Inspiration Ventilator Service Manual EVM500019 Rev. E 64


2.21. LCD Assembly
The LCD assembly (Figure 31) includes a color LCD module composed of the amorphous silicon thin film transistor liquid
crystal display (a-Si TFT LCD) panel structure with driver circuitry for the thin film transistor (TFT) array and backlight. Screen
resolution is 800 x 600.

Figure 31: LCD

2.22. Front Panel Membrane Switch


The Membrane Switch has four keys for selecting 100% O2, Manual inspiration, Standby, and Alarm silence. The Front Panel
also includes a Vent Inop indicator (red LED) and an AC Mains power indicator (green LED).

Figure 32: Front Panel Membrane Switch

2.23. Membrane Adaptor Board

To Motherboard

Connector to Front Membrane Switch Connector to Front Membrane Switch

Figure 33: Membrane Adaptor Board

Inspiration Ventilator Service Manual EVM500019 Rev. E 65


3. Power On Self Test (POST)
The ventilator performs POST each time the ventilator powers up.

Figure 34: POST Screen

POST performs a complete check of ventilator operation before use. The order of the tests (each test requiring
more hardware than the previous) allows POST to systematically identify any problem components.

POST Test 1: Tests external RAM components


POST Test 2: Tests internal processor RAM
POST Test 3: Tests for correctness of the program code in ROM used in flash memory locations
POST Test 4: Tests the integrity of NVRAM data, ADC initialization, integrity of EPROM memory locations,
etc.

If POST detects an error condition, the ventilator attempts to enter a known state and annunciates appropriate
alarm messages. If a failure occurs during the early part of POST, the ventilator halts the POST screen and sounds
a continuous alarm. If a failure occurs later in POST, the ventilator displays the POST screen with applicable
technical fault (TF) error code in the Self-Test field and sounds a high-priority alarm.
Regardless of when the error is detected, ventilation is not possible until that error is corrected. See section for
definitions and corrective actions for POST error codes.

Inspiration Ventilator Service Manual EVM500019 Rev. E 66


3.1. POST Technical Faults

Error Number Definition Symptom Corrective Action


Configuration EEPROM
1. Checksum Error 1. Replace Mother Board
TF-1 2. Defective Processor
memory defective Mother
2. Replace Processor Board
Board

1. Reseat the Sensor Board Ribbon Cable


1. Checksum Error 2. Reseat the Mother Board Ribbon Cable
Configuration EEPROM
2. No communication with 3. Replace the Sensor Board Ribbon Cable
TF-2 Sensor Board
memory defective Sensor
4. Replace the Mother Board Ribbon Cable
Board
3. Defective Processor 5. Replace the Sensor Board
6. Replace the Processor Board

1. Check Fab Test 12. If the calibration has been


successfully completed the message Drift Ok will
Sensor gains calibration appear at the bottom of the screen. Otherwise
Sensor Gains not valid the message Drift Values not valid will be shown.
TF-3 values integrity check
Sensor Board EEPROM If this is the case the Sensor Board Drift
violation
Calibration will need to be re-run. (Follow the
onscreen prompts)
2. Replace the Sensor Board

1. Reseat the Sensor Board Ribbon Cable


1. Checksum Error 2. Reseat the Mother Board Ribbon Cable
Configuration EEPROM
2. No communication with 3. Replace the Sensor Board Ribbon Cable
TF-4 Sensor Board
memory defective Power
4. Replace the Mother Board Ribbon Cable
Board
3. Defective Processor 5. Replace the Power Board
6. Replace the Processor Board
1. Check NVRAM (Fab Test 3)
TF-5 Checksum Error
NVRAM is defective 2. Clear NVRAM (Fab Test 3). See Section
Or Rebuilding NVRAM.
NVRAM battery is dead 3. Replace NVRAM lithium battery
TF-6 Unable to save Log Entry
4. Replace the Mother Board

1. Re-run Fab Test 5 (Cal zero)


Pressure Sensors Offset
Pressure Sensor offsets are 2. Replace the Sensor Board
TF-7 Values integrity check
not valid in the NVRAM 3. Replace the Mother Board
violation
4. Replace the Power Board

1. Re-run Fab Test 7


2. Check NVRAM (Fab Test 3)
Flow Sensors values integrity The Internal Flow Sensor Data
TF-8 check violation in the NVRAM is not valid
3. Clear NVRAM (Fab Test 3). See Section
Rebuilding NVRAM.
4. Replace the Mother Board

1. Set the correct altitude on the User Configuration


Altitude compensation value Altitude compensation data in
TF-9 integrity check violation NVRAM is not valid
Screen.
2. Replace the Sensor Board

1. Ensure that the Main System Software and the


Power Software are compatible revisions
SW Version of the Power
Power Processor SW version 2. Reseat the Motherboard Ribbon Cable
TF-11 check
Processor and System
3. Re-load the Power Software and/or the Main
Processor are not compatible
System Software
4. Replace the Power Board

1. AD Converter 1 Setup is 1. Check the Status ADC in Fab Test 2


invalid 2. Reseat the Sensor Board Ribbon Cable
TF-12 2. Connection with the AD
ADC1 data is not valid
3. Reseat the Mother Board Ribbon Cable
Converter 1 lost 4. Replace the Sensor Board Ribbon Cable

Inspiration Ventilator Service Manual EVM500019 Rev. E 67


1. AD Converter 1 Setup is 5. Replace the Mother Board Ribbon Cable
invalid 6. Replace the Sensor Board
TF-13 2. Connection with the AD
ADC2 data is not valid 7. Replace the Processor Board
Converter 1 lost 8. Replace the Power Board

Difference of reference 1. Reseat the Sensor Board Ribbon Cable


The ADC1 and ADC2 values on
TF-14 voltage of ADC1 to ADC2 is
the Sensor Board are not valid
2. Replace the Sensor Board Ribbon Cable
out of range 3. Replace the Sensor Board
1. This Technical Fault may appear if the unit is left
ADC1 value on the Sensor
TF-15 Board is invalid
on, not plugged in and the batteries drain
completely.
Source Voltage Amplifiers are
2. Reseat the Sensor Board Ribbon Cable
out of range
ADC2 value on the Sensor 3. Replace the Sensor Board Ribbon Cable
TF-16 Board is invalid 4. Replace the Sensor Board
5. Replace the Power Board
1. Reseat the Sensor Board Ribbon Cable
The Supply Voltage for AD The Sensor Board supply 2. Replace the Sensor Board Ribbon Cable
TF-17 Conversion is out of range voltage is out of range 3. Replace the Sensor Board
4. Replace the Power Board
Memory addressing is out of 1. Re-install the system software
TF-18 Software Error
bounds 2. Replace the Processor Board
1. Reseat the Mother Board Ribbon Cable
2. Reset the Power Board (press the small black
No Valid data from the Power button on the front of the Power Board)
Communication with the
TF-19 Power Processor was lost
Processor and no supervision 3. Re-install the Power Board Software
of the system processor 4. Replace the Mother Board Ribbon Cable
5. Replace the Power Board
6. Replace the Processor Board
P2 Pressure Sensor Value is
TF-20 1. Improper calibration out of range 1. Re-run Fab Test 5 (Cal zero)
2. Hardware damaged dP2 Pressure Sensor Value is 2. Replace the Sensor Board
TF-21 out of range
TF-24 Software Tasks corruption 1. Re-install the system software
Operation System Error
2. Replace the Processor Board
TF-25 Software Tasks overflow
1. Re-run Fab Test 9
PV1 Offset or Gain Integrity PV1 Valve data not valid in
TF-27 Check violation NVRAM
2. Replace the Power Board
3. Replace the Mother Board
The difference between the 1. Verify the temperature reading for both boards
Temperature Sensors on the on Fab Test 2 (they should be relatively close)
TF-28 Temperature Sensor Failure
Sensor Board and Power 2. Replace the Sensor Board
Board is too large 3. Replace the Power Board
Incompatible Sensor Board Old Revision Sensor Board is Replace the Sensor Board with the newest
TF-29 Revision installed revision board

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4. User Calibrations

The ventilator provides a Calibrations


option at the patient startup screen.
Select the Calibrations button to gain
access to the three User Calibrations:
Prox. Flow Sensor, System Test and O2
Sensor.

Figure 35: New Patient Startup Screen

The Calibrations screen allows you to


select which calibration to perform,
and displays the calibration current
calibration status.

Figure 36: Calibrations

Inspiration Ventilator Service Manual EVM500019 Rev. E 69


4.1. Proximal Flow Sensor Calibration
Flow sensor calibration is run by the user in order to define the performance characteristics of the proximal flow sensor prior
to use. The calibration data derived during this procedure is stored in NVRAM and used during normal operation to ensure
accurate proximal measurements.
The manufacturer recommends that flow sensor calibration is performed routinely prior to use; between patients and at all
times following its replacement or sterilization. Failure to perform proximal flow sensor calibration as required may lead to
inaccuracies in exhaled volume measurements (Vte), and problems with flow triggering characterized by insensitivity or auto
triggering.
During the first part of flow sensor calibration the device exercises the inspiratory proportional valve (PV1) to ensure it opens
fully. Once the proportional valve is exercised, the device checks to see the reservoir pressure (P1) remains below 100cmH2O
pressure. Failure at this stage results in an emptying tank error accompanied by an appropriate error number. On successful
completion of this first test the device recharges the reservoir for the next steps.
Next, with zero flow conditions, the device performs a re-zero for all of the transducers which are used for the calibration.
Internal flow sensor (dP2), internal pressure (P2), proximal flow sensor (dP3) and proximal pressure (P3) are zeroed prior to
being used for the calibration.
Next the inspiratory valve (PV1) is opened to deliver a flow of 30 l/min into the patient tubing system and through the
proximal sensor located at the wye. The flow passing through the proximal element (FS3) results in a proportional differential
pressure reading internally at transducer dP3. The microprocessor assesses the reading and the resultant gain to determine
that it is within limits, and which limit it falls within; Adult/Pediatric or Infant/Pediatric. If the values fall within limits the
calibration proceeds to the next stage. If the values fall outside of both ranges or if some other issue is detected the
calibration terminates and displays an appropriate error message.
During the next part of the procedure the device checks the characteristics at a second lower flow value. If the values seen in
the previous step are found to fall within Pediatric /Infant limits a flow of 6 l/min is used for this calibration. If the values seen
in the previous step are found to fall within Adult/Pediatric limits a flow of 10 l/min is used for this calibration.
The inspiratory valve (PV1) is opened to deliver the second lower flow into the patient tubing system and through the
proximal sensor at the wye. The microprocessor assesses the reading at dP3 and associated gain to determine if it is within
limits. In the event that readings are within limits this step and the calibration as a whole passes. In the event that readings
at this stage are outside of limits an error code specific to the stage and the nature of the problem detected is displayed on
screen.

Perform a flow sensor calibration before each patient use and following flow sensor replacement or sterilization. Failure to
perform proximal flow sensor calibration can lead to inaccuracies in exhaled volume measurements (Vte) and flow triggering
problems (insensitivity or auto-triggering).

The Proximal Flow Sensor Calibration requires at least one high-pressure gas source.

Inspiration Ventilator Service Manual EVM500019 Rev. E 70


Performing a flow sensor calibration defines the
performance characteristics of the proximal flow
sensor before use. The calibration data is stored
in NVRAM and used during normal operation to
ensure accurate proximal measurements.
The flow sensor can be positioned proximally at
the circuit Wye or distally at the expiratory port.
During flow sensor calibration, the flow sensor
position will be defined by the user as (Prox.) if
the flow sensor is positioned proximally at the
circuit Wye or (Exp.) if the flow sensor is
positioned at the expiratory port. Only
Adult/Pedi flow sensors are allowed to be
positioned at the ventilators expiratory port.

To begin the calibration, first connect a complete


Patient Circuit (including a Proximal Flow Sensor)
to the ventilator and select START.

Figure 37: Calibrate Flow Sensor START

Block the breathing circuit Wye and then press


the OK button. Once the OK button is pressed,
the STOP button will be displayed and the flow
sensor calibration will begin.

Figure 38: Calibrate Flow Sensor START

Inspiration Ventilator Service Manual EVM500019 Rev. E 71


When instructed, unblock the wye.

Figure 39: Calibrate Flow Sensor START

When the Calibration is complete, you will see


one of two messages, depending on which
Proximal Flow Sensor you are using:
Ped..Neonate, Ok
Or
Adult..Ped, Ok
If an error should occur during the calibration it
will appear here. Use the chart below to
troubleshoot any errors.

Figure 40: Calibrate Flow Sensor START

Inspiration Ventilator Service Manual EVM500019 Rev. E 72


4.2. Proximal Flow Sensor Calibration Error Codes

Error Number Error Message Definition Corrective Action


1. Verify that proximal flow sensor is
connected to the tubing system and
its outlet is open.
Error 12 High Pressure Pressure is out of range
2. Replace the Proximal Flow Sensor.
3. Re-run Fab Test 7
4. Re-run Fab Test 9

Error 13 dP2 failed to zero


1. Re-run Fab Test 5 (Cal Zero)
Error 14/15 Deviation High dP3 failed to zero 2. Replace Sensor Board (
EVM300074)
Error 16 P3 failed to zero

Differential pressure at dP3 too low


Error 17 at high flow
Differential pressure at dP3 at high
Error 18 flow between infant/adult ranges
Differential pressure at dP3 too high 1. Perform system test and verify that
Error 19 at high flow
the Patient Circuit is not leaking
Differential pressure at dP3 too low
Error 20 2. Verify that proximal flow sensor is
at low flow
correctly connected to the Patient
Differential pressure at dP3 too high Circuit and that the outlet is open.
Error 21 Deviation High
at low flow
3. Replace the Proximal Flow Sensor.
Coefficient (a) too low
Error 22 4. Re-run Fab Test 5 (Cal Zero)
5. Re-run Fab Test 7
Coefficient (a) too high
Error 23 6. Replace Sensor Board (EVM300074)
Coefficient (b) too low
Error 24
Coefficient (b) too high
Error 25

1. Replace the Proximal Flow Sensor.


2. Check NVRAM (Fab Test 3)
NVRAM damaged; calibration data
Error 26 Saving Data
cannot be saved 3. Clear NVRAM (Fab Test 3). See Section
Rebuilding NVRAM.
4. Replace the Motherboard (EVM300074)

1. Verify that patient wye is open during


the calibration
2. Verify that there is no leak from the
Tank will not empty; pressure Blender Solenoids into the tank (Fab
Error 27 Emptying Tank
remains greater than 100 mbar Test 1)
3. Verify that PV1 is opening and there is
flow from the patient port
4. Replace PV1

Inspiration Ventilator Service Manual EVM500019 Rev. E 73


Error Number Error Message Definition Corrective Action
1. Perform system test and verify that the
Patient Circuit is not leaking
Error 28 Low Pressure Pressure at P2 is less than 15 mbar
2. Replace the Proximal Flow Sensor
3. Re-run Fab Test 9

Pressure at P2 is greater than 40 1. Replace the Proximal Flow Sensor


Error 29 High Pressure
mbar 2. Re-run Fab Test 9

1. Perform system test and verify that the


Flow for dynamic calibration is too Patient Circuit is not leaking
Error 30 Deviation High
high 2. Replace the Proximal Flow Sensor
3. Replace the Sensor Board ( EVM300074)

1. Perform system test and verify that the


Dynamic calibration coefficients not Patient Circuit is not leaking
Error 31 Deviation High
OK
2. Replace the Proximal Flow Sensor

1. Verify that an adequate high-pressure Air or


O2 source is connected.
2. Perform a visual inspection of the Inlet
No High Pressure Gas supply is
Error 32 Gas Supply
available
Check Valves (CV1, CV2) F810061
3. Verify that the Air & O2 Blender Solenoids
are opening and closing properly (Fab Test
1)

1. Perform the System Test and verify that the


During high flow, the differential Patient Circuit is not leaking
Error 33 Deviation High pressure measured by the dP3 high
2. Verify that proximal flow sensor is correctly
gain transducer is too low
connected to the Patient Circuit and that
the outlet is open
3. Replace the Proximal Flow Sensor
During high flow, the differential
4. Re-run Fab Test 5 (Cal Zero)
Error 34 Deviation High pressure measured by the dP3 high
gain transducer is too high 5. Re-run Fab Test 7
6. Replace Sensor Board (EVM300074)

1. Perform system test and verify that the


Error 37 Deviation High Coefficient (a) high gain too low
Patient Circuit is not leaking
2. Verify that proximal flow sensor is correctly
Error 38 Deviation High Coefficient (a) high gain too high
connected to the Patient Circuit and that
the outlet is open
Error 39 Deviation High Coefficient (b) high gain too low
3. Replace the Proximal Flow Sensor
4. Re-run Fab Test 5 (Cal Zero)
Error 40 Deviation High Coefficient (b) high gain too high
5. Re-run Fab Test 7

Infant Flow Sensor not detected (will 1. Verify that an Infant Proximal Flow Sensor is
Error 43 Wrong Sensor Type only appear on vents configured as connected
Infant Only) 2. Replace the Proximal Flow Sensor

Inspiration Ventilator Service Manual EVM500019 Rev. E 74


4.3. System Test

The System Test may be run by the user in order to verify the integrity of the patient tubing system components. Running the system
test allows the operator to quantify any leakage from the patient tubing system prior to clinical patient use.
During the system test the device also quantifies the compliance characteristics of the patient tubing system. The calculated system
compliance (ml/cmH2O) will then be used on a breath by breath basis to compensate for circuit effects and ensure that volume
delivery and measurements are maintained to specification.
The manufacturer recommends the system test is performed routinely between patients and when the patient tubing system or
components thereof are replaced or modified. Failure to perform system test as required may lead to leaks or incorrect compliance
factors influencing breath delivery and monitoring functions.
During the first part of system test the device exercises the inspiratory proportional valve (PV1) to ensure it opens fully. Once the
proportional valve is exercised, the device checks to see the reservoir pressure (P1) remains below 100cmH2O pressure. Failure at this
stage results in an emptying tank error accompanied by an appropriate error number. On successful completion of this first test the
device recharges the reservoir for the next steps.
Next, with zero flow conditions, the device performs a re-zero for all of the transducers which are used for the calibration. Internal
flow sensor (dP2) and internal pressure sensor (P2) are also zeroed prior to being used for the calibration.
On completion of this step the device displays a message in the test progress field prompting the user to block wye. The user should
block the wye with an appropriate stopper then confirm to proceed.
Once the device receives this confirmation PV2 is closed, and PV1 is opened to deliver a flow of 6 l/min into the patient system. As the
system pressure passes 10cmH2O compliance flow detection starts, and the pressure continues to rise to a target of 50cmH2O. Once
this pressure is reached PV1 is closed and PV2 remains closed.
After a short stabilization period (~ 1 second), the device holds the system closed for 4 seconds during which it monitors the pressure
drop at P2. The test passes if the leakage detected is less than or equal to 3cmH2O/second. If the leakage falls outside this range the
test fails and a fault specific error code is displayed.

Inspiration Ventilator Service Manual EVM500019 Rev. E 75


Prior to starting the System Test,
connect a complete Patient
Circuit to the ventilator. Leave
the wye open. Select START

Figure 41: System Test START

Wait a few moments

Figure 42: System Test WAIT

Inspiration Ventilator Service Manual EVM500019 Rev. E 76


Block Wye!...

Figure 43: System Test Block Wye!

The ventilator will


then pressurize the
Patient Circuit.

Figure 44: System Test Running

Inspiration Ventilator Service Manual EVM500019 Rev. E 77


When the calibration is
complete the text Ok will
appear. If an error occurs,
an Error Code will appear
instead. See the table
below for a description of
each Error Code.

Figure 45: System Test Ok

It is recommended that at least one high-pressure gas source is connected to perform


the System Test. However, if an internal compressor is installed in the unit, the
System Test can be run with no high pressure gas source connected.

Inspiration Ventilator Service Manual EVM500019 Rev. E 78


4.4. System Test Error Codes

Error Number Error Message Definition Corrective Action


1. When prompted to block the wye, ensure a
complete seal.
2. Ensure the Exhalation Membrane is
installed correctly and undamaged.
3. Inspect the Exhalation Valve Cover for
damage.
Excessive pressure drop during
Error 6 Pressure Drop 4. With a single tube, connect the Patient Port
calibration
and the Exhalation Valve Cover and run the
System Test.
5. Run the System Test with no Patient Circuit
attached and verify flow at the Patient Port
(from PV1).
6. Replace the Sensor Board (EVM300074).

1. Verify that there is no forward leak through


the PV1 Valve (Fab Test 1)
Excessive pressure rise during 2. Verify that the Nebulizer (Sol 4) is not
Error 7 Pressure Rise
calibration leaking
3. Replace the Sensor Board
(F710512/EVM300074)

1. Ensure a closed patient system.


2. Ensure the exhalation membrane is installed
correctly and undamaged.
3. Inspect the exhalation cover for damage.
The Patient System cannot be
Error 8 Max Time To Pressure 4. Run system test with single tubing limb
adequately pressurized
connect between outlet & exhalation cover.
5. Remove system tubing and verify flow from
PV1
6. Replace Sensor board ( EVM300074)

1. Re-run Fab Test 5 (Cal Zero)


Error 10 Deviation High Flow at dP2 Sensor is out of range
2. Re-run Fab Test 7

1. Ensure the patient wye is open at the


beginning of the calibration
Error 11 Error Emptying Tank 2. Verify that there is no leak from the Blender
Solenoids into the tank (Fab Test 1)
Tank pressure remains greater than
3. Run the System Test with no Patient Circuit
100 mbar
attached and verify flow at the Patient Port
(from PV1).
Error 12 Emptying Tank
4. Replace the Power Board ( EVM300074)
5. Replace PV1 (F910309)

Error in the compliance calculation of


Error 13 Deviation High 1. Ensure a closed patient system.
the Patient Circuit

Inspiration Ventilator Service Manual EVM500019 Rev. E 79


4.5. Oxygen Sensor Calibration

Oxygen sensor calibration is run by the user in order to define the performance characteristics of the internal oxygen sensor prior to use.
The calibration data derived during this procedure is stored in NVRAM and used during normal operation to ensure accurate
measurement of the patient inspired FiO2 level.
The manufacturer recommends that oxygen sensor calibration is performed routinely between each patient use and following
replacement of the oxygen sensor or Sensor board. Failure to perform oxygen sensor calibration as required may lead to inaccuracies in
the monitored oxygen percentage.
The device performs a two point calibration procedure using 100% oxygen and then 21% oxygen. The inspiratory valve (PV1) is opened
to deliver a flow of approximately 10 l/min into the patient system. As the open PV1 draws gas from the reservoir the blending system
refills it to maintain the required oxygen concentration.
Starting with 100% oxygen the device allows a period of time for the reservoirs oxygen concentration to stabilize and then a further
period to allow the sensor reading to stabilize. On completion the microprocessor compares the reading and associated gain against
limits. If the reading falls outside of limits the calibration stops and a specific error code is displayed. If the reading falls within limits the
process is repeated for 21% oxygen.

The Oxygen Sensor Calibration requires the use of a high pressure oxygen supply as
well as an air supply (either an external high pressure source or the internal
compressor)

Inspiration Ventilator Service Manual EVM500019 Rev. E 80


Prior to beginning the Oxygen
Sensor Calibration, first ensure
high pressure Oxygen and Air
sources are connected to the
ventilator and the Oxygen Sensor is
properly connected. Then select
START.

Figure 46: O2 Sensor Calibration Start

Figure 47: O2 Sensor Calibration Running

Inspiration Ventilator Service Manual EVM500019 Rev. E 81


Figure 48: O2 Sensor Calibration Running 100%

When the calibration is complete


the text Ok will appear. If an error
occurs, an Error Code will appear
instead. See the table below for a
description of each Error Code.

Figure 49: O2 Sensor Calibration Ok

Inspiration Ventilator Service Manual EVM500019 Rev. E 82


4.6. Oxygen Sensor Calibration Error Codes

Error Number Error Message Definition Corrective Action


1. Replace Oxygen Sensor (F910028)
2. Check NVRAM (Fab Test 3)
Error 2 Saving Data NVRAM is damaged 3. Clear NVRAM (Fab Test 3). See Section
Rebuilding NVRAM.
4. Replace the Motherboard (F720510)
1. Ensure that an adequate high pressure O2
source is connected to the ventilator
2. Ensure that the Oxygen Sensor is properly
connected
3. Replace Oxygen Sensor (F910028).
Error 3 Deviation High Calibration error at 100%
4. Perform a visual inspection of the Inlet
Check Valves (CV1, CV2) F810061; replace
if necessary
5. Replace the Sensor Board (F710512)
6. Replace the Oxygen Sensor Block (F720314)
1. Ensure that an adequate high pressure Air
source is connected to the ventilator, or
that the Internal Compressor is installed and
enabled
2. Ensure that the Oxygen Sensor is properly
connected
Error 4 Deviation High Calibration error at 21%
3. Replace Oxygen Sensor (F910028).
4. Perform a visual inspection of the Inlet
Check Valves (CV1, CV2) F810061; replace
if necessary
5. Replace the Sensor Board (F710512)
6. Replace the Oxygen Sensor Block (F720314)
1. From the Config Tab select O2 Sensor and
Oxygen Sensor is not available for verify that the O2 Sensor is On.
Error 8 Sensor Not Available
calibration 2. Ensure that the Oxygen Sensor is properly
connected
1. Ensure that an adequate high pressure O2
source is connected to the ventilator
2. Perform a visual inspection of the Inlet
Check Valves (CV1, CV2) F810061; replace
Error 9 Oxygen Not Available Oxygen supply is not available if necessary
3. Verify that the Oxygen Blender Solenoid,
SV1 (F910018) is opening and closing
properly (Fab Test 1)

Inspiration Ventilator Service Manual EVM500019 Rev. E 83


5. Technical Settings & Configurations

To access the Technical Settings


screen, select the Config Tab, then
Technical.

Figure 50: Technical Settings

Next, input the code 2634.

Figure 51: Input Code 2634

Inspiration Ventilator Service Manual EVM500019 Rev. E 84


5.1. System Information Screen

The System Information Screen


will appear first. Use this screen
to verify/check software and
hardware revisions.

Figure 52: System Information

5.2. Select Language Screen

To change the Language, select Set


Language.

Figure 53: Select Language

Inspiration Ventilator Service Manual EVM500019 Rev. E 85


5.3. Select Date & Time Screen

To change the Date & Time select


Set Date / Time.

Figure 54: Select Date & Time

5.4. User Configuration Screen 1

Select User Configuration.

On this screen the Compressor


Backup function can be enabled
or disabled.

The Philosophy can be changed


from US to European.

The Altitude can be adjusted for


local conditions.

The RS232 Protocol can be


changed.

Figure 55: User Configuration Screen

5.5. User Configuration Screen Feature Configuration (SW 6.6.0 or later)

Inspiration Ventilator Service Manual EVM500019 Rev. E 86


Figure 56: User Configuration Screen

Patient Range Allows the device to be configured for All Patients, Ped/Neo or Infant Only.

VTV Allows the device to be configured with Volume Targeted Ventilation

Auto Control Auto Control function may be checked On or Off

SPAP SPAP function may be checked On or Off

Heliox Heliox function may be checked On or Off

Neb. Interval Nebulizer interval function may be checked On or Off

Optional Features:
Tube Compensation Tube compensation feature may be checked On or Off.

SBT SBT feature may be checked On or Off.

RM Advanced Recruitment Maneuvers feature may be checked On or Off.

Suction Support Suction Support feature may be checked On or Off.

5.6. CliniNet Configuration Screen 1

Inspiration Ventilator Service Manual EVM500019 Rev. E 87


The CliniNet Configuration
Screen can be used to view the
IP Address of the ventilator.

In order for the ventilator to


obtain an IP address
automatically when plugged into
a network, DHCP must be
enabled.

Here you can also set the Access


Code for the CliniNet Virtual
Report software

Figure 57: CliniNet Configuration Screen 1

5.7. CliniNet Configuration Screen 2

The CliniNet Configuration 2


screen allows the user to identify
the ventilator for use with the
CliniNet Virtual Report Software.

Figure 58: CliniNet Configuration Screen 2

Inspiration Ventilator Service Manual EVM500019 Rev. E 88


5.8. Access Engineering Screen

To access the Engineering


Screen, select Engineering from
the Technical Settings menu.

Figure 59: Access Engineering Screens

5.9. Engineering Screen Passcode Entry

Enter the numeric code 3455.

Figure 60: Enter code 3455

Inspiration Ventilator Service Manual EVM500019 Rev. E 89


5.10. Engineering Configuration Entry - 1 (Feature Setup) Screen

Select 1. Feature Setup to open the Engineering Configuration 1 (Feature Setup) screen.

Figure 61: Service Screens Figure 62: Engineering Config 1 (Feature Setup)

Compressor Humidification Type None

This configuration allows the hardware version for the internal Humidity type none may be selected On or Off. When selected On, the full
compressor to be configured appropriately. It may be set to either list of humidity types are available to the user including None. None maybe
Not present if no internal compressor is installed or big (8009) if the useful for demonstration purposes using a mechanical test lung and no
humidification corrections are needed.
internal compressor is installed.

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5.11. Engineering Configuration 2 (Advanced Setup) Screen (SW 6.5.1 or earlier)

Figure 64: Enter code 4284 Figure 63: Engineering Config 3 (Advanced Setup)
7i Only*
Nebulizer interval - Nebulizer interval function may be selected On or Off.
VTV - Allows the device to be configured with Volume Targeted Ventilation. Note: This function has not been approved for use in the United States and
should be selected off.
Auto Control - Auto Control function may be selected On or Off.
Rexp value - Rexp value function may be selected On or Off.
SPAP - SPAP function may be selected On or Off.
Vt setting min. - Allows the device to be configured for a minimum tidal
Patient Range - Allows the device to be configured for All patient ranges or volume setting of 2m,5ml, or10ml.
Infant Only.
Advanced Monitors and ETCO2 CO2 monitoring function may be turned On
Heliox - Heliox function may be selected On or Off. Note: This function has or Off.
not been approved for use in the United States and should be selected off.
Tube Compensation Function may be turned On or Off.
SBT Function may be turned On or Off.

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6. Fabrication Tests (FabTest Entry)

Figure 65: Fab Test Entry

Using any of the Fab Tests in an inappropriate way or by untrained personnel may
seriously damage the ventilator.

If using high pressure gases during troubleshooting with Fab Test 1 it should be noted
that internal tank pressure will not be regulated. It is recommended that gases be
regulated at source to approximately 1.5 bar (20 psi) to avoid opening the reservoir
over-pressure valve.

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6.1. Fabrication Test 1 FT01 (Outputs)

Fabrication Test 1 - Outputs (Figure 66) allows the service technician to perform troubleshooting procedures and
control a number of the components and circuits within the pneumatic and electronic systems.

Each of the Pneumatic Valves and associated electronic circuits within the system may be energized in order to
confirm correct operation. To perform a test to a given pneumatic valve, use the following procedure:

Select Master and switch to On. Master must be switched on before any other pneumatic components may be
enabled.

With the master enabled,


select the valve or
combination of valves, as
required to meet your
testing goals. Proportional
valves may be cycled
through their full control
range; PV1 0-1000, PV2 0-
1000.

With the required


components switched on
the technician may observe
the device for the response
appropriate to each test to
determine whether its
operation is normal. On
completion each item
should be turned Off.

To check PV1: open SOL1 or


SOL2 to charge the reservoir Figure 66: Fab Test 1 (Outputs)
with gas, cycle PV1 through
its control range; observe flow from the To Patient Port.

To check SOL1 or SOL2; open either SOL1 or SOL2 (whichever required), open SOL 4; observe flow from the
nebulizer port.

By using these controls individually or in combination the devices pneumatic components may be tested for
functionality.

To check the Nurse Call operation attach a nurses call test box to the nurse call RJ12 connector on the rear panel
and connect a multi-meter or continuity tester. Switch nurse call Off/On and observe the test equipment for the
required response.

To check the Back Up Alarm Operation turn the Speaker On. Select Speaker Vol to adjust up and down.

6.2. Fabrication Test 2 FT02 (Inputs)

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Figure 67: Fab Test 2 (Inputs)

Fabrication Test 2 - Inputs (Figure 67) allows the service technician to observe the 16 channels of measured data used as
inputs to the microprocessors AD converter. This measured data is for reference only. The status of ADC1 and ADC2 may
be used for troubleshooting. See the Fab Test 2 section of the Troubleshooting of Service Screens table (Section). This
screen also allows a functional check to be performed on the user control panel keys.
The information included below lists and provides some additional detail of the individual A/D converter signals:
Using Fab Test 2 the operation of each of the front panel keys may be verified. This is performed by pressing each of the
keys and monitoring the pressed keys field on screen for the appropriate response.
The Touch Screen can also be calibrated from this screen. Select Touch and follow the onscreen prompts to complete
the calibration.

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6.3. Fabrication Test 3 FT03 (Memories)

Figure 68: Fab Test 3 (Peripheral)

Fabrication Test 3 Peripheral Memories (Figure 68) allows the service technician to perform a checksum test on
peripheral memory locations and verify installed hardware and software versions.

NVRAM Clear - Using this function clears all the stored information in NVRAM. Clearing NVRAM is recommended only
after all other troubleshooting attempts fail. Clearing NVRAM requires the ventilator to be completely re-configured and
re-calibrated. If NVRAM must be cleared see the Rebuilding NVRAM instructions in Section 8.

NVRAM Check - Using this function performs a full checksum pattern test of the NVRAM device and reports the pass/fail
status.

EEPROM Board - This function reveals a pull down menu allowing the technician to select which board is available for
test. The technician may select between the Sensor board, Power board Motherboard PCB.

Check EEPROM - Once the appropriate board has been selected (as described above) this function is used to perform a
full checksum pattern test of its EEPROM devices. The device performs the test and reports a pass/fail status.

Board Version - This function allows the revision of the selected PCB to be determined without need for physical
inspection.

Jumpers - This function allows the technician to identify whether the selected PCB has any jumpers present without the
need for physical inspection.

Versions - Allows the revisions for system, power and software versions to be determined; along with hardware revisions
for the Graphic Board, Sensor board, Power board, and Controller (Motherboard) PCB, without the need for physical
inspection.

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6.4. Fabrication Test 4 FT04 (Power, Pic)

Fabrication Test 4 Power Controller (Figure 69) allows the service technician to view data and values
pertaining to the Power board, power processor and related areas:

Power Supply - This area permits the service engineer to review the current power supply status. Measured
values are available for
the following:

U line power supply


voltage output derived
from line voltage
U batteries internal
battery voltage
U external external
DC supply voltage

Additionally in this area


of the screen the active
power source status is
verified. The following
values are displayed at
any time:

Line AC power in use


Batt internal battery
in use
External external DC
supply in use Figure 69: Fab Test 4 (Power, Pic)

Battery (2 x 12v) - This area of the screen permits the technician to view information pertaining to battery
condition and charging status. The values available in this area are as follows:
Battery Switch Provides an indication of the status of the 2 battery circuits
Capacity Current battery capacity, as a value (mAh) and as a percentage of maximum capacity. The left hand
figure (a) represents current mAh measurement from the internal battery. The right hand figure (b) represents
the maximum capacity available on the battery at last calibration cycle. The middle figure denotes the current
capacity as % (a/b).
Control Indicates whether battery charging is active. On denotes battery being charged. Off denotes no
charging.
Batt status Indicates the battery condition. OK denotes battery OK and available for use or charging.
OFFLINE denotes battery which is damaged, disconnected or in a severely depleted condition.

Battery Disconnection allows the service technician to disconnect the internal batteries for shipment or
storage. This feature is available only if the ventilator is connected to AC Power and the internal batteries are
installed and connected. If the ventilator is running on the internal batteries, or the internal batteries are
disconnected, the feature will be unavailable. Once the battery disconnection has been enabled, the
ventilator will not run on the internal batteries.

If the battery disconnection has been enabled and the ventilator is not turned off, battery functionality can be
turned back on by toggling the Battery Disconnection button to Connected.

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If the battery disconnection has been enabled and the ventilator has been turned off, battery functionality will
be re-enabled automatically once the ventilator is connected to AC power.

Battery Force Charge If the Battery Status displays Damaged (combined battery voltage <19V), the ventilator
will not recharge the internal batteries. The Battery Force Charge feature allows the service technician to
manually charge the internal batteries. This should only be attempted if replacement batteries are not
immediately available, as replacement of depleted batteries is always preferable.

To begin the Battery Force Charge, select the Start button. Allow the batteries to charge between 1 and 2
hours. To end the Battery Force Charge, select the Stop button. If the force charge is successful, the internal
batteries voltage (U batteries) will read 24 V.

If the batteries do regain a full charge, the Internal Battery Test must be run to ensure the batteries are
capable of supplying enough power to run the ventilator for a minimum of 2 hours. The Internal Battery Test
can be found at the end of this manual in the Performance Verification Section.

If the batteries do not regain a full charge they must be replaced.

If the Battery Status is Shorted, the Battery Force Charge feature will be unavailable.

Following is a brief table illustrating how different combinations of values from the above parameters may be
used to define the current condition of internal batteries and associated circuitry:

Switch Control Status Actual State


In-Line Off OK 1. Internal battery in use
Off Off OK 1. Internal battery fully charged
Split On OK 1. Internal battery on charge
1. Internal battery voltage <9.5 VDC.
Off Off Damaged 2. Internal batteries incorrectly connected.
3. Battery charging circuit damaged.
1. Internal batteries not connected.
2. Internal batteries incorrectly connected.
Off Off Offline
3. Internal battery shorted
4. Replace Power board
1. Internal batteries incorrectly connected.
Off Off Shorted
2. Battery charging circuit damaged. (Power Board)

Battery Calibration

The battery calibration function allows the service technician to perform a calibration of the internal batteries.
This calibration procedure updates available capacity figure shown on the farthest right position in the capacity
section of Fab Test 4. The calibration runs automatically but does require operator action at certain points
during the procedure.

To perform the calibration, select Calibrate Batts. With the selection made the device first charges the internal
batteries fully. With the internal batteries charged the device alarms to highlight this fact and to prompt the
operator to disconnect the AC power cord. On confirmation that AC mains is disconnected the device starts
the internal compressor (if available), opens Sol 4, and runs a discharge cycle (note if internal compressor is

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not available this stage takes a considerable length of time). As the internal battery reaches the point of being
flat the device alarms once again to highlight this fact and to prompt the operator to reconnect the AC power
cord. Again on confirmation the device recharges the internal batteries fully. On completion the message
Calibration Stopped is displayed and the capacity figure is updated.

Communications - This area of the screen permits the service engineer to view information pertaining to
communications between the main system processor (Mc) and the power interface controller (Pic). The
information available in these areas is as follows:

Packages Sent Incremental number denoting the number of data packages exchanged between the power
processor (PIC) containing power status information.
Pic Errors Incremental number denoting the number of communication errors detected by the power
processor (PIC).
Mc cmd ack err Incremental number denoting the number package acknowledgement errors detected by
the main microprocessor. PIC did not send an acknowledgement for a package sent by main processor.
Mc checksum err Incremental number denoting the number of checksum errors detected by the main
processor. Main processor has received a package with a bad checksum.
Status Indicates the status of communications between the Pic and the Mc.
Master Switch Indicates the condition of the pneumatic master control switch.

Miscellaneous - This area of the screen permits the service engineer to review miscellaneous information
pertaining to the current condition of the Power control system. The information available in this area is as
follows:

I main (Mc, 24v Indicates the main system current draw measured at the Mc.
SW version Pic Displays the current SW revision for the Pic.
Off request Indicates whether there are pending off requests.

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6.5. Fabrication Test 5 FT05 (Sensor Adj.)

Figure 70: Fab Test 5 (Sensor Adjust)

Fabrication Test 5 Sensor Adjust (Figure 70) allows the service technician to perform a zeroing operation on
all of the devices pressure transducers. Additionally the screen allows a calibration of purge flow offsets.

Running the Cal zero calibration is required upon the replacement of either the Sensor board or the Power
board. In addition to this, it is recommended that these procedures are performed prior to performing any of
the internal calibration procedures in order to eliminate any offsets.

The sensor zero adjustment may be performed at any time troubleshooting suggests it is necessary.

Remove all pressure from the device prior to performing the zero procedure. Ensure all tubing, including
proximal sensor tubing, is removed from the device.

Select Cal Zero. The calibration runs automatically as each sensor is zeroed. The device will report a pass or fail
status. The sensors that will be zeroed are: P1 Tank, dP1 Mixer, P2 Valve, dP2 valve, P3 Proximal, dP3
Proximal, dP3 Prox High Gain and Oxygen Sensor.

Each onscreen box should turn green indicating the corresponding pressure transducer was successfully
zeroed.

The Cal rinse flow allows the device to quantify the amount of offset of dP3 (proximal flow) which may be
caused by the effects of proximal purge flow. The slightest difference between the purge flows passing
through the sensing lines and channels causes an offset on dP3. Reservoir pressure affects the amount of
purge flow which is produced therefore as the reservoir pressure varies, the dP3 offset will also vary. Rinse
flow calibration quantifies the affects at a range of pressures.

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Prior to performing a rinse flow calibration it is recommended the Cal zero is performed. Connect high
pressure air with a pressure of at least 2 bar (29 psi) to the ventilator. Remove the proximal flow sensor tubing
from the ventilator. Select Cal rinse flow to commence calibration. The device operates the blending system to
pressurize the reservoir to approximately 1500 mbar. With the reservoir charged the device allows the
pressure to decay naturally through the purge flow and oxygen restrictors. The device checks dP3 offset
between certain ranges of reservoir pressure down through to zero. Values are stored in NVRAM and an
average result is displayed.

6.6. Fabrication Test 6 FT06 (Adj. Values)

Figure 71: Fab Test 6 (Sensor Adjust Values)

Fabrication Test 6 - Sensor Adjust (Figure 71) allows the service technician to review gain and offset data for
all of the devices internal transducers. This information is for reference use only and not typically used in the
field.

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6.7. Fabrication Test 7 FT07 (Flow Adjust)

Figure 72: Fab Test 7 (Flow Sensor Adjust)

Fabrication Test 7 Flow Sensor Adjust (Figure 72) allows the service technician to perform a detailed
calibration of the devices two internal flow measurement devices, FS1/dP1 blender flow sensor and FS2/dP2
internal flow sensor.
The flow sensor calibration procedure may be required upon the replacement of the Blender Module, blender
flow sensor (FS1/dP1), Front Interface Block, internal flow sensor (FS2/dP2), Sensor Board, Sensor Block 2, or
the Motherboard. In addition the flow sensor calibration procedure may be performed at any time as
troubleshooting suggests that it is necessary.
To perform this operation a calibrated flow analyzer is required. eVent Medical recommends the use of the
TSI Certifier Plus flow analyzer or equivalent measurement device. Please ensure that any instrument used
carries a valid calibration certificate. Test devices should be configured to measure Flow Air with ATP
(atmospheric temperature & pressure) correction. The test equipment set up is demonstrated in Figure below.
To perform the calibration, do the following:
Connect a regulated high-pressure gas source to the Air DISS fitting located on the back of the ventilator. To
begin, regulate the pressure to 0 bar.
Connect the high flow port of the Gas Analyzer to the To Patient Connector.
Turn the Pneumatics switch On. This will open the blender valves.
The PV1 (Insp) should be set to 500.
Slowly increase the regulated high pressure gas source until a flow of 5 lpm 0.05 lpm is observed on the Gas
Analyzer display.

Note: At this stage, an onscreen message will instruct you to wait 5 minutes in order to allow the unit to warm
up.
After 5 minutes readjust the regulator until a flow of 5 lpm 0.05 lpm is again observed on the Gas Analyzer
display.

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Once a steady flow of 5 lpm is achieved select the Gain Adjust Set Point for 5 lpm. The device will then
perform a self-calibration. When completed successfully, the message GainOk, saved; Adjust at 16 lpm will be
displayed.
Slowly increase the regulated supply pressure until a flow of 16 lpm 0.2 lpm is observed on the Gas Analyzer
display.
Once a steady flow of 16 lpm is achieved select the Gain Adjust Set Point for 16 lpm. The device will then
perform a self-calibration. When completed successfully, the message GainOk, saved; Adjust at 30 lpm will be
displayed.

Slowly increase the regulated supply pressure until a flow of 30 lpm 0.3 lpm is observed on the Gas Analyzer
display.

Once a steady flow of 30 lpm is achieved select the Gain Adjust Set Point for 30 lpm. The device will then
perform a self-calibration. When completed successfully, the message GainOk, saved; Adjust at 50 lpm will be
displayed.

Slowly increase the regulated supply pressure until a flow of 50 lpm 0.5 lpm is observed on the Gas Analyzer
display.

Once a steady flow of 50 lpm is achieved select the Gain Adjust Set Point for 50 lpm. The device will then
perform a self-calibration. When completed successfully, the message GainOk; Adjust at 100 lpm will be
displayed.

Slowly increase the regulated supply pressure until a flow of 100 lpm 1 lpm is observed on the Gas Analyzer
display.

Once a steady flow of 100 lpm is achieved select the Gain Adjust Set Point for 100 lpm. The device will then
perform a self-calibration. When completed successfully, the message Calibrated will be displayed.

When the calibration is complete, ensure that the small red box under each Gain Adjust Point has turned to
green. If one of the boxes is red, the calibration has failed at this Adjust Point. If necessary, rerun the
calibration.

Adjust the regulated high-pressure gas source back down to zero and remove it from the ventilator.
Turn the Pneumatics switch Off.

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6.8. Fabrication Test 8 FT08 (Cal. Values)

Figure 73: Fab Test 8 (Cal. Values)

Fabrication Test 8 Calibration Values (Figure 73) allows the service technician to review the calibration data
for the devices internal flow transducers and oxygen sensor. This information is for reference use only and not
typically used in the field.

Internal Flow Sensor This function permits the service engineer to observe the differential pressure and
associated gain for each of the flows defined during calibration (5, 16, 30, 50, 100 l/min).

O2 Sensor This function permits the service engineer to observe the gain and offset values for the O2
measurement cell as determined during the O2 sensor calibration procedure.

Ext Flow Sensor This function permits the service engineer to observe gain values for the proximal flow
sensor resulting from its calibration relative to the delivery transducer.

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6.9. Fabrication Test 9 FT09 (PV1 Adjust)

Figure 74: Fab Test 9 (PV1 Adjust)

Fabrication Test 9 PV1 Adjust (Figure 74) allows the service technician to perform a calibration of the devices
inspiratory proportional valve (PV1).

The PV1 Calibration may be required upon replacement of the inspiratory valve, Power Board, or the
Motherboard. In addition the proportional valve calibration procedure may be performed at any time as
troubleshooting suggests that it is necessary.

To perform this calibration, do the following:

Turn the Pneumatics switch On. This will open the blender valves.

Slowly increase the regulated supply pressure until the onscreen P1 Tank monitor reads 300 mbar 10 mbar.

Once a steady pressure of 300 mbar is achieved select the Pressure Adjust Set Point for 300 mbar. The
onscreen status will then display the message: Heating up; Wait for 200s.

After 200 seconds have passed, the status will display the message: Ready for 800 mbar.

Slowly increase the regulated supply pressure until the onscreen P1 Tank monitor reads 800 mbar 20 mbar.

Once a steady pressure of 800 mbar is achieved select the Pressure Adjust Set Point for 800 mbar. After a
few moments the status will display the message: Ready for 1300 mbar.

Slowly increase the regulated supply pressure until the onscreen P1 Tank monitor reads 1300 mbar 30 mbar.

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Once a steady pressure of 1300 mbar is achieved select the Pressure Adjust Set Point for 1300 mbar. After a
few moments, the onscreen status should display the message: Calibrated.

Once the calibration is complete, reduce the regulated high-pressure air source to 0.

6.10. Fabrication Test 10 FT10 (Mixer)

Fabrication Test 10 -
Mixer (Figure 75) allows
the service technician to
evaluate the function of
the Internal blending
system of the
Inspiration ventilator.
This information is for
reference use only and
not typically used in the
field.

The following settings


may be defined, the
combination of which
will allow any possible
blender scenario to be
simulated.
%FIO2 - Oxygen
percentage delivered.
Flow ATP/PWM -
Figure 75: Fab Test 10 (Mixer) Determines the level to
which PV1 is opened on
each cycle.
Adult - This menu allows settings for Adult, Pediatric or Infant patient types to be selected. This determines
the maximum tank pressure.
Start/Stop Allows ventilation to be commenced and stopped.
With the settings defined and in use the measurements area allows the following values to be monitored:
Status Start/Stop according to whether ventilation is active.
P1 Tank Current system tank pressure
P1 Tank Max Maximum system tank pressure
P1 Tank Min Minimum system tank pressure
TAir Activation time for Air supply valve SV2
TO2 Activation time for O2 supply valve SV1
Blender Flow Flow measured at FS1/dP1
Flow Air Flow from SV2 as measured at FS1/dP2
Flow O2 Flow from SV1 as measured at FS1/dP2
Oxygen O2% as measured at transducer
Oxygen filt O2% filtered signal

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6.11. Fabrication Test 11 FT11 (Diagnose)

Figure 76: Fab Test 11 (Diagnose)

Fabrication Test 11 - Diagnose (Figure 76) allows the service technician to view cumulative and diagnostic
data. The data available for this screen is as follows:

Total Hours This function allows the service technician to determine the total elapsed running hours of the
Inspiration system. Total running hours should be consulted when determining requirements for preventive
maintenance and should be recorded on the service report whenever work is performed.

Compressor Hours This function allows the service technician to determine the total running hours of the
internal compressor system. Compressor hours should be recorded on the service report whenever work is
performed.

CRC: Cyclic redundancy check status

Select Log: Selects All Logs, Alarm Log, Calibration Log, Settings Log, or Event Marker for display. These logs are
for reference use and cannot be cleared.

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6.12. Fabrication Test 12 FT12 (Tempdrift)

Figure 77: Fab Test 12 (Adjust Temp. Drift DP2, DP3)

Fabrication Test 12 - Adjust Temp drift dP2, dP3 (Figure 77) allows the service technician to perform a temperature drift
compensation for the differential pressure transducers dP2 (Internal flow sensor) dP3 (proximal flow sensor) and dP3 HG
(proximal flow sensor high gain).
Temperature drift compensation should be performed only when performance testing indicates that it may be necessary.
Indications may be an unexplained flow baseline rise or fall during ventilator operation.

Prior to beginning the Temperature Drift Calibration, observe the temperature at the top of the
screen. The temperature must be below 25 degrees Celsius. If the temperature is above this
level, turn the ventilator off and allow it to cool before proceeding.

Temperature drift compensation is performed as follows:


Ensure that the patient tubing, the proximal flow sensor, and inlet gases have all been removed from the device. Select
Start to begin.
The device will prompt the user to connect a jumper. Install a jumper in the vacant position on the top/middle of the
Sensor board (J1) (see Figure 26). With the jumper in place, close the front housing.
Select Ok to confirm the jumper is in position. Select Ok once more to confirm the front housing has been closed.
A two point calibration is performed by the device. The device takes and stores an initial cold reading and then starts the
internal compressor. The compressor is allowed to run for an extended period (approximately two hours) in order to
elevate the devices internal temperature following which a second reading is taken and stored.
On completion the device prompts you to Remove Jumper. Remove the jumper and select Ok to acknowledge
completion.

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6.13. Troubleshooting Fabrication Tests

Fab Test 1
Error Diagnosis Troubleshooting
1. Ensure Master is on
2. Ensure that the communication with
Power processor is alive (Fab Test 4)
Valve / Component does not Valve / Component does not 3. Ensure that that relevant output is on
cycle cycle when selected 4. Replace component relevant to the
output.
5. Replace Power Board
6. Replace Processor Board

Fab Test 2
Error Diagnosis Troubleshooting
1. Ensure all ribbon connectors are seated
ADC 1: Error Error On A to D Converter 1 correctly.
2. Replace Sensor Board
ADC 2: Error Error On ADC 2 3. Replace Power Board
4. Replace Processor Board
1. Ensure that the Membrane Switch is
properly connected
No response from pressed No machine response to 2. Replace the Membrane Switch
button pressing one or all Lexan button
3. Replace the Mother Board
4. Replace the Processor Board

Fab Test 3
Error Diagnosis Troubleshooting
1. Reseat the Processor Board
2. Clear NVRAM & repeat checksum
Bad checksum from non-volatile
NVRAM Check Sum Error (If this is done, see section Rebuilding
memory
NVRAM)
3. Replace the Mother Board
NVRAM Check Sum Error after Bad checksum from non-volatile
1. Replace snap heat battery of NVRAM
Power Up memory
1. Ensure that all ribbon cables are seated
Sensor board Checksum Error Bad checksum from Sensor board correctly
2. Replace the Sensor Board
1. Ensure that all the ribbon cables are seated
Motherboard Checksum Error Bad checksum from Motherboard correctly
2. Replace the Mother Board
1. Ensure that all ribbon cables are seated
Power board Checksum Error Bad checksum from Power board correctly
2. Replace the Motherboard

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Fab Test 4
Error Diagnosis Troubleshooting
1. Ensure that AC Power is connected
2. Check fuses
3. Check internal wiring:
AC Inlet to Power Supply &
U line low Power Supply output low Power Supply to Power board
4. Use a DMM to verify the output from the
Power Supply. If necessary replace the
Power Supply
5. Replace the Power Board
1. Ensure the batteries are charged
2. Replace the internal batteries
U Batteries low Internal Battery output low 3. Verify that the DC power harness is properly
connected
4. Replace the Power Board
1. Ensure external DC Supply is switched on
and harness connected
2. Check internal DC harness & connections to
U External low External DC output low external supply connector.
3. Check the fuses on the Power Board.
4. Replace the Power Board
Audio amplifier, speaker or
Speaker state not ok 1. Replace the Power Board
supervision circuitry damaged
1. Replace the internal batteries
Batt. status damaged Batteries flat
2. Replace the Power Board

Non secure communication 1. Replace the Controller cable (F920060)


Communication
between Power Processor and 2. Replace the Power Board
errors > 0
Main Processor 3. Replace Processor Board

Fab Test 5: Cal Zero


Error Diagnosis Troubleshooting
1. Ensure that all pressure is removed from
reservoir
Zero Error (P1, dP1) Unable to zero pressure transducer 2. Attempt re-zero once more
3. Replace the Power Board
4. Replace the Sensor Board
1. Ensure that all pressure is removed from
system
2. Ensure that the Patient Circuit & Proximal
Zero Error (P2, dP2, P3, dP3) Unable to zero pressure transducer Flow Sensor are disconnected
3. Attempt re-zero once more
4. Replace the Sensor Board

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Fab Test 5: Cal Rinse Flow
Error Diagnosis Troubleshooting
Error, Gas Supply Unable to pressurize tank 1. Connect high pressure air
1. Make sure the inlet check valves CV1 & CV2
Pressure in the tank dropped too are not blocked or leaking
Error, Leak
fast 2. Ensure that SOL4 , OPV and PV1 are not
leaking
1. Ensure that Proximal Flow Sensor is
disconnected
2. Check the internal tightness of both
Unable to measure the influence of proximal flow sensor lines
Error, Cal the rinse flow to the flow 3. Sensor Board: make sure that there is no
measurement leak between the block and the nipples of
the pressure transducers
4. Replace CV3 and/or CV4
5. Replace the Sensor Board

Fab Test 7
Error Diagnosis Troubleshooting
1. Ensure that tubing is securely connected
with no leaks
2. Assure Gas Flow Analyzer is operating
No flow measured on test flow properly
No flow
meter 3. Verify that the cable to PV1 is properly
connected
4. Replace PV1
5. Replace the Power Board
1. Make sure only Air is used for calibration
2. Re-run Fab Test 5 (Cal zero).
3. Ensure that measured flow is within
tolerance and gas standard is ATP (actual
Gain error during internal flow temperature and pressure)
Gain Errors High/Low
sensors calibration
4. Replace FS1 and /or FS2, depending on
error
5. If error is on dP2 replace the Sensor Board
6. If error is on dP1 replace the Power Board

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Fab Test 9
Error Diagnosis Troubleshooting
Tank pressure out of range 1. Assure Tank pressure is adjusted to
Error: Pressure High or Low
(300 100 mbar) 300mbar
1. Ensure that the High Pressure Air supply to
the device is stable and holding at the
Flow at start of calibration too high
Error: Flow high required level (may need to use better
(6022 > 4 l/min; 2833 > 30 l/min) pressure regulator)
2. Replace PV1

1. Ensure that the High Pressure Air supply to


the device is stable and holding at the
Pressure drop out of range during required level (may need to use better
Error: Pressure dropped pressure regulator)
calibration step
2. Re-run Fab Test 5 (Cal zero)
3. Replace PV1

1. Ensure that the High Pressure Air supply to


the device is stable and holding at the
Error: Adjusting Offset or gain value out of range required level (may need to use better
pressure regulator)
2. Replace PV1 valve

Fab Test 12
Error Diagnosis Troubleshooting
Error: Offset dP2
1. Ensure that all pressure is removed from
Error: Offset dP3 reservoir and gas inlet hoses are
Offset value out of range
disconnected
2. Run Fab Test 5 (Cal zero)
Error: Offset dP3 High Gain

Inspiration Ventilator Service Manual EVM500019 Rev. E 111


7. Assembly/Disassembly Drawings
7.1. F710300C Bottom Block Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.2. F710300D Top Block Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.3. F710300A Sensor Block Assembly Page 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.4. F710300A Sensor Block Assembly Page 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.5. F710300A Sensor Block Assembly Page 3

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.6. F710400 Blender Block Assembly Configuration 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.8. EVM200141 Valve Holder Block Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.9. F710400 Blender Block Assembly Configuration 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.10. F710300E Safety Valve Module Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.11. F710300B Front Block Assembly Configuration 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.12. F710300B Front Block Assembly Configuration 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.13. F720300 Pneumatic Block Assembly Page 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.14. F720300 Pneumatic Block Assembly Page 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.15. F720300 Pneumatic Block Assembly Page 3

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.16. F720300 Pneumatic Block Assembly Page 4

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.17. F720200 Lower Housing Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.18. F720240 Battery Module Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.19. F720600 Compressor Module Assembly Configuration 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.20. F720600 Compressor Module Assembly Configuration 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.21. EVM200079 Back Panel Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.22. EVM200076 Display Module Assembly Page 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.23. EVM200076 Display Module Assembly Page 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.24. EVM200077 Enclosure Front Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.25. EVM100000 Inspiration Top Level Assembly Page 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.26. EVM100000 Inspiration Top Level Assembly Page 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.27. EVM100000 Inspiration Top Level Assembly Page 3

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.28. EVM100000 Inspiration Top Level Assembly Page 4

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.29. Inspiration 7i with Swivel

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.30. EVM110001

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.31. EVM10001

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.32. EVM200285 Nose Cones

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.33. EVM200305 - CO2 & SPO2 Plates

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.34. EVM200305 CO2 & SPO2 Plates

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.35. EVM110000

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.36. EVM10000 7i Main Box

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.37. EVM11000 Main Box

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.38. EVM200291 Adapter PCB

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.39. EVM200289 Compressor Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.40. EVM200290 7i Back Panel Assembly

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.41. EVM11000 Main Box

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.42. EVM11000 Main Box

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.43. EVM11000

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.44. EVM200302 Swivel and Panel

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.45. EVM200302 17 Swivel & Panel

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.46. EVM200287 17 LCD Panel Sheet 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.47. EVM200287 17 LCD Panel Sheet 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.48. EVM200302 12 Swivel & Panel

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.49. EVM200286 12 LCD Panel Sheet 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.50. EVM200286 12 LCD Panel Sheet 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.51. EVM200288 PCB Assembly, Sheet 1

Inspiration Ventilator Service Manual EVM500019 Rev. E


7.52. EVM200288 PCB Assembly, Sheet 2

Inspiration Ventilator Service Manual EVM500019 Rev. E


8. Rebuilding NVRAM

8.1. When Needed


8.1.1. The NVRAM should only be cleared when all other troubleshooting options have been exhausted.
Clearing the NVRAM resets all ventilator configurations and clears all calibration information.

8.2. Configure Settings


8.2.1. Turn the ventilator On. Select Previous, then Accept. Navigate to the Config Tab and select Technical.
Enter the code 2634.
8.2.2. Select Engineering. Enter the code 3455 and select OK. The Service Screens will now be displayed.
8.2.3. From the Service Screens select 1.Feature Setup.
8.2.4. Use the following table to configure the available settings.

Function Set To
Compressor: big (8009) or Not present*
Humidification Type None On
Note*: For non-compressor units (-NC) change the Compressor setting to Not present.

For ventilators with software versions 6.5.1 or older:


8.2.5. Select Next to proceed to the Engineering Configuration 2 (Advanced Setup) screen.
8.2.6. Use the following table to configure the available settings.

Function International United States


VTV On On
Auto Control On On
SPAP On On
Patient Range All All
Heliox (21% O2, 79% He) On On
Nebulizer interval On On
Rexp value On On
VT Setting Min: 2ml 5ml
Advanced Monitors* On On
Advanced Monitors and ETCO2** On On
Tube Compensation*** On On
SBT*** On On
Recruitment Maneuver Tools*** On On

* Only available on Inspiration 5i ventilators


** Only available on Inspiration 7i ventilators
*** Available on 7is and only available on 5is as an upgrade Option. If the Option software for the feature is not
installed on a 5i the setting will not be displayed on the Engineering Configuration 2 (Advanced Setup) screen

Inspiration Ventilator Service Manual EVM500019 Rev. E


8.2.7. Select <<BACK twice.
For ventilators with software versions 6.6.0 or newer:
8.2.8. Select the <<BACK button twice to return to the Patient Startup screen.
8.2.9. Select Previous then ACCEPT.
8.2.10. Navigate to the Config tab and select Technical. Enter the code 2634.
8.2.11. Select User Configuration, then NEXT.
8.2.12. Ensure the following features are checked:

Tube Comp., SBT, RM Advanced & Suction Support are available only as upgrade options. If the option
software for the feature is not installed, the setting will not be displayed on the Feature Configuration
screen.
8.2.13. When complete, select ACCEPT.
All Ventilators:
8.2.14. From Patient Startup select Previous, and then Accept. Navigate to the Config Tab, then Clinical.
8.2.15. Turn the O2 Sensor On.
8.2.16. Select Technical and then Audio Level. Verify the Audio Level is set to 100%.
8.2.17. Select Technical. Enter the access code 2634.
8.2.18. From the Technical Settings menu, select User Configuration. Verify that the following settings have
been selected:

Function Set To
Compressor backup: On
Philosophy: Europe or US**
RS232 Protocol: Inspiration
Altitude above sea level: Set based on location
* If no compressor is installed set the Compressor Back-Up to Off.
** Customer Choice

Inspiration Ventilator Service Manual EVM500019 Rev. E


8.2.19. Select Set Date/Time. Adjust the settings to the current Date & Time and select Accept.
8.2.20. From the Technical Settings menu select Set Language. Select the desired language and then Accept.

8.3. Checksum Test


8.3.1. Select Engineering. When prompted, enter the code 3455 and select OK.
8.3.2. The Service Screens will now be displayed. Select FT03 (Memories).
8.3.3. Press the Check button in the top middle of the screen. Under Status the device should display the
message Checksum Ok.
8.3.4.Next, run the Checksum check for each of the following three boards:
Sensor PCB
Mother PCB
Power PCB
Each check should return a status of Checksum Ok

8.4. Fab Test 5, 7 & 9


8.4.1. Re-run Fabrication Test 5 FT05 (Sensor Adj.), Fabrication Test 7 FT07 (Flow Adjust) & Fabrication
Test 9 FT09 (PV1 Adjust). See Section 6 for detailed Fab Test Instructions

Inspiration Ventilator Service Manual EVM500019 Rev. E


9. Preventative Maintenance Schedule
9.1. Recommended Preventative Maintenance:

1 Year
Action Required Part Number
Replace Fan Filter F910214
Replace Inlet Gas Filters F910205
Replace Galvanic O2 Sensor (If necessary) F910028
Replace Rubber Buffers (If necessary) F810026
Inspect Compressor Inlet Filter (If necessary) F810044
Perform Performance Verification Test See Below

2 Year
Action Required Part Number
Replace Internal Batteries (If necessary) F820003

Notes

Prior to Preventative Maintenance, please make note of the Ventilators current


configuration and settings. When the maintenance is complete, verify that the settings
and configurations have not been altered.

Inspiration Ventilator Service Manual EVM500019 Rev. E


10. Performance Verification
This section is provided to allow the trained service technician to complete performance verification testing required periodically and post repair to
ensure operation to the manufacturers specifications. The performance verification procedure and certain relevant Fab Tests should be run periodically
or after a service has been performed as defined in Table 1 below:

Part # Description POST Software FAB Tests Performance Tests Electrical Safety
- Annual Preventative Maintenance Yes Update, if necessary 5 1-5 No
F720511
EVM300147 Power PCB Yes Power Software 5, 7 & 9 1-5 Yes
EVM300104
F710512
Sensor PCB Yes No 5, 7 & 9 1-5 Yes
EVM300074
F720510
Motherboard Yes No No 1-5 Yes
EVM300155
F730742 Inverter PCB Yes No No No Yes
RS232 Software
F910015 Processor PCB Yes No 1-5 Yes
System Software
F730741
EVM300140 LCD Panel Yes No No No Yes
EVM300141
F920109 Compressor Yes No No 5 Yes
F920066
Power Supply Yes No 5 1-5 Yes
EVM30064
F910018 Air & O2 Blender Solenoid (SV1 & SV2) Yes No 5 1-5 Yes
F920113 Nebulizer Solenoid (Sol 4) Yes No No No Yes
F910310 Exhalation Solenoid (PV2) Yes No 5 1-5 Yes
F910200 Comp. Unloading Valve (Sol 3) Yes No No 5 Yes
F910309 Prop. Solenoid Valve (PV1) Yes No 5, 7 & 9 1-5 Yes
EVM200060 Membrane Switch Yes No 2 (check membrane) No No
EVM200059 LED Membrane Yes No No No No
EVM300009
Video Carrier Board Yes No No 1-5 Yes
EVM300084
EVM300008 Applet
SODIMM Module Yes Monitor 5, 7 & 9 1-5 Yes
EVM300139 Graphics
EVM300013 Membrane Adaptor Board Yes No No No Yes
Table 1: Performance Verification Testing Matrix

Inspiration Ventilator Service Manual EVM500019 Rev. E


10.1. Test Equipment and Service Materials

Description Manufacturer / Part Number


Pneumatic Analyzer TSI Certifier Plus or equivalent
Electrical Safety Tester BioTek 601 Pro or equivalent
Adult Tubing System Local Supply
Pediatric Tubing System Local Supply
Infant Tubing System Local Supply
Adult EZ Flow Sensor F910321
Infant EZ Flow Sensor F910322
Tubing EZ Flow Sensor F910361
Exhalation Cover F710214
Test Lung Kit EVM200012
High Pressure Air Supply with Adjustable Pressure Regulator Local Supply (medical grade)
High Pressure Oxygen Source Local Supply (medical grade)

10.2. Cleaning and Inspection

To prevent transmission of disease, use protective equipment when handling


contaminated filters, HMEs or other patient accessories.
To prevent damage to ESD-sensitive components, always follow ESD guidelines when
servicing and handling components inside the ventilator.

Before starting the performance verification correct any problems found during the
preliminary inspection Failure to correct such problems can affect testing accuracy.

Clean and inspect the ventilator as follows:


Clean the ventilator exterior using appropriate germicidal or antibacterial agent. Clean all exterior
surfaces including gas connections, water traps and the mains cord.
Remove and inspect the ventilator fan inlet filter, and clean or replace as necessary.
Verify that air and oxygen fittings and water traps are securely attached to the ventilator.
Inspect inlet filters for excessive discoloration and replace as necessary.
Open the ventilator chassis and clean interior as necessary.
Visually inspect the ventilator interior and exterior for any obvious problems such as missing or broken
parts, loose assemblies, or disconnected wires, connectors or tubes. Repair as necessary before
performance verification testing.

10.3. Performance Testing Guidelines


Examine all test equipment before testing. Verify that equipment works correctly and that any
applicable calibration certification is up to date.

The ventilator is manufactured in a controlled environment with accurate pneumatic


and electronic test equipment. Performance verification test requirements have been
established with specified test equipment.

Inspiration Ventilator Service Manual EVM500019 Rev. E 168


Pneumatic testing: Allow the ventilator and pneumatic analyzer to run for at least 15 minutes. Perform
any self-calibrations (zero calibration, oxygen sensor calibration, etc.) only after the 15-minute warm-up
is complete. Set the pneumatic analyzer to ATP correction, gas type air/oxygen, and
inspiratory/expiratory trigger levels to 1 l/min.
To ensure systematic performance verification and logical fault diagnosis, perform tests in the order
given. If repeating a test, use the control settings defined at the beginning of that test.
Use the troubleshooting information in this section to determine the cause of any test failure.
If a problem occurs during performance verification, verify that you have followed all steps correctly and
that all required settings are correct before attempting any repairs.
Interrelationships between some settings can affect the order in which settings can be selected.

Alarms: Set any user-configurable alarms to the widest ranges possible to reduce the occurrence of
nuisance alarms during testing. Use the Alarm silence key as required during testing. Except for the
Alarm silence key, do not change settings during testing unless specifically instructed to do so.

Inspiration Ventilator Service Manual EVM500019 Rev. E 169


10.4. Electrical Safety Test
Electrical safety testing verifies that ground resistance and earth leakage current are within safe limits. Set up the
ventilator and electrical safety tester as shown (Figure 76).

Figure 78: Electrical Safety Test Setup

Follow these steps:

With the ventilator switched off, plug the ventilator mains cable into the electrical safety tester AC
receptacle.
Clip the ground test probe (electrical safety tester) to the retaining screw on the mains cable clamp
(ventilator back panel) or, if available, to the ground stud.
Use the electrical safety tester to measure ground resistance. Ground resistance must be < 0.2 .
Switch the ventilator on and allow it to successfully complete POST.
Use the electrical safety tester to measure leakage current in forward and reverse polarities. Earth leakage
current must be < 300 A for forward and reverse polarities.
Switch the ventilator off and disconnect the electrical safety tester.

10.5. Internal Battery Test


Prior to testing, ensure the internal batteries are fully charged. A minimum charge time of 8 hours is
recommended.
Connect the ventilator to AC power.
Connect a high pressure air source to the ventilator.
Turn the ventilator on. Connect an Adult patient circuit, Flow Sensor and test lung to the ventilator.
Perform the System Test and Flow Sensor Calibrations.
Select New Patient and choose a Patient Height of 150 cm. Select Accept.
Configure the ventilator with the following settings:

Trigger Resp Rate Vt Peep Oxygen Peak Flow Ptrig


Mode Flow Pat.
Type (b/min) (ml) (cmH2O) % (l/min) (cmH2O)
V-CMV Pressure 15 500 5 21 Square 30 5
Select Activate.
Disconnect AC power. Allow the ventilator to continue ventilation.
If the ventilator continues to ventilate for 120 minutes, the batteries are acceptable for use.
If the ventilator ceases ventilation prior to 120 minutes, the internal batteries must be replaced.

Inspiration Ventilator Service Manual EVM500019 Rev. E 170


10.6. Performance Tests

This section describes how to set up and run performance tests:

Performance Test Setup


Performance Test 1: Gas Volume Accuracy
Performance Test 2: Pressure Accuracy
Performance Test 3: Oxygen Delivery Accuracy
Performance Test 4: Alarm Operation
Performance Test 5: Gas Sources

Performance Test Setup

Before running performance tests, configure the ventilator as follows:

Note: The settings that are altered in the Engineering Configuration Entry screen must be recorded so that
the ventilator can be returned to its original configuration following performance testing.
10.6.1. From the Service Screens select 1.Feature Setup.
10.6.2. Use the following table to configure the Compressor and Humidifier settings:

Function Set To
Compressor big (8009)

Note: For non-compressor units the compressor setting should remain Not present.

Function Set To
Humidification Type On

10.6.3. For vents with software versions 6.5.1 or earlier:


Select NEXT and enter the code 4284. The Engineering Configuration 2 (Advanced Setup) screen
will appear. Ensure the Patient Range is set to All.
Select the <<Back button twice to return to the Patient Startup screen.
10.6.4. For vents with software versions 6.6.0 or newer:
Select the <<Back button twice to return to the Patient Startup screen.
Select Previous then ACCEPT.
Navigate to the Config tab and select Technical. Enter the code 2634.
Select User Configuration, then NEXT.
Ensure All Patients is checked.
Press and hold the Standby Key. Select Patient Setup.

Inspiration Ventilator Service Manual EVM500019 Rev. E 171


10.6.5. From the Patient Startup screen ensure the following setting:

Function Set To
Flow Sensor On
Humidification Type None

10.6.6. Select Calibrations and, if necessary, perform the available calibrations.


10.6.7. When the calibrations are complete, select <<BACK to return to the Patient Startup Screen.
10.6.8. From the Patient Option menu, select Previous, and then Accept.
10.6.9. Navigate to the Config tab and select Technical. Enter the code 2634.
10.6.10. Select User Configuration and ensure the following settings:

Function Set To
Compressor Backup On
Philosophy US
Altitude above sea level Adjust for local conditions

Note: For non-compressor units, the Compressor Backup option will not be available.

10.6.11. From the Technical Settings menu on the left hand side of the screen select the <<Back button.
10.6.12. Ensure that the O2 Sensor is turned On.
10.6.13. Connect a regulated high-pressure gas source to the Air and O2 DISS fittings located on the back
of the ventilator. Adjust the pressure to 4 1 bar.

Pressure Tee & Flow Sensor


O2 Sensor
ET
Tube Exh. Cover
w/membrane

T
Patient Circuit
Flow

Test Lung
Wye

Figure 79: Test Setup

Inspiration Ventilator Service Manual EVM500019 Rev. E 172


Fabrication Test 5 FT05 (Sensor Adj.)
10.6.14. Prior to beginning the Gas Volume Accuracy Tests, it is recommended that Fabrication Test 5
FT05 (Sensor Adj.) be completed. See Section 6.5 for detailed instructions.
Test 1 - Gas Volume Accuracy Test - Infant
10.6.15. Connect an Infant Patient Circuit to the ventilator. If necessary, re-perform the System Test and
Flow Sensor calibrations with the new circuit.
10.6.16. Connect the Gas Analyzer, Infant Flow Sensor, Infant Patient Circuit, Exhalation Cover with
membrane, wye, and ET Tube to the ventilator and infant test lung as shown above in Figure 79.
10.6.17. Set the Flow Trigger on the Gas Analyzer to 1 L/min.
10.6.18. Change the Patient setting to Infant (IBW 9.7) and select Accept.
10.6.19. Ensure the following settings:

Trigger Resp Rate Vt Peep Oxygen Peak Flow Ptrig


Mode Flow Pat.
Type (b/min) (ml) (cmH2O) % (l/min) (cmH2O)
V-CMV Pressure 40 20 5 21 Decel 6 5

10.6.20. Select Activate.


10.6.21. Allow the ventilator to cycle normally for 10 breaths. From the Alarms tab select AUTO SET to
adjust the alarm limits to acceptable levels.
10.6.22. On the Gas Analyzer numeric screen verify that the delivered volume (Vti) reading is 20 ml 3
ml.
10.6.23. From the Monitoring screen ensure that Vte monitor reading is also 20 ml 3 ml.
10.6.24. On the Gas Analyzer numeric screen verify that the measured respiratory rate (Frequency) is 40
b/min 0.5 b/min.
10.6.25. When the test is complete, return to the Patient Startup Screen.
Test 1 - Gas Volume Accuracy Test Pediatric
10.6.26. Connect a Pediatric Patient Circuit to the ventilator. Re-perform the System Test and Flow
Sensor calibrations with the new circuit.
10.6.27. Connect the Gas Analyzer, Infant or Adult Flow Sensor, Pediatric Patient Circuit, Exhalation
Cover with membrane, wye, and ET Tube to the ventilator and 1 liter test lung as shown above
in Figure 79.
10.6.28. Set the Flow Trigger on the Gas Analyzer to 1 L/min.
10.6.29. Change the Patient setting to Pediatric (9.7 IBW 40). Select Accept.
10.6.30. Ensure the following settings:

Trigger Resp Rate Vt Peep Oxygen Peak Flow Ptrig


Mode Flow Pat.
Type (b/min) (ml) (cmH2O) % (l/min) (cmH2O)
V-CMV Pressure 30 100 5 21 Decel 20 5

10.6.31. Select Activate.

Inspiration Ventilator Service Manual EVM500019 Rev. E 173


10.6.32. Allow the ventilator to cycle normally for 10 breaths. From the Alarms screen select Auto to
adjust the alarm limits to acceptable levels.
10.6.33. On the Gas Analyzer numeric screen verify that the delivered volume (Vti) reading is 100 ml
15 ml.
10.6.34. From the Monitoring screen ensure that Vte monitor reading is also 100 ml 15 ml.
10.6.35. On the Gas Analyzer numeric screen verify that the measured respiratory rate (Frequency) is 30
b/min 0.4 b/min.
10.6.36. When the test is complete, return to the Patient Startup Screen.
Test 1 - Gas Volume Accuracy Test Adult
10.6.37. Connect an Adult Patient Circuit to the ventilator. Re-perform the System Test and Flow Sensor
calibrations with the new circuit.
10.6.38. Connect the Gas Analyzer, Adult Flow Sensor, Adult Patient Circuit, and Exhalation Cover with
membrane, wye, and ET Tube to the ventilator and 1 liter test lung as shown above in Figure 79.
10.6.39. Set the Flow Trigger on the Gas Analyzer to 1 L/min.
10.6.40. Change the Patient setting to Adult (41 IBW). Select Accept.
10.6.41. Ensure the following settings:

Trigger Resp Rate Vt Peep Oxygen Peak Flow Ptrig


Mode Flow Pat.
Type (b/min) (ml) (cmH2O) % (l/min) (cmH2O)
V-CMV Pressure 20 300 5 21 Decel 35 5
10.6.42. Select Activate.
10.6.43. Allow the ventilator to cycle normally for 10 breaths. From the Alarms tab select AUTO SET to
adjust the alarm limits to acceptable levels.
10.6.44. On the Gas Analyzer numeric screen verify that the delivered volume (Vti) reading is 300 ml
25 ml.
10.6.45. From the Monitoring screen ensure that Vte monitor reading is also 300 ml 25 ml.
10.6.46. On the Gas Analyzer numeric screen verify that the measured respiratory rate (Frequency) is 20
b/min 0.3 b/min.
10.6.47. When the test is complete, return to Standby. Change the following settings:

Resp Rate Vt Peak Flow


(b/min) (ml) (l/min)
15 600 60

10.6.48. Select Activate.


10.6.49. Allow the ventilator to cycle normally for 10 breaths. From the Alarms screen select AUTO SET
to adjust the alarm limits to acceptable levels.
10.6.50. On the Gas Analyzer numeric screen verify that the delivered volume (Vti) reading is 600 ml
40 ml.
10.6.51. From the Monitoring screen ensure that Vte monitor reading is also 600 ml 40 ml.
10.6.52. On the Gas Analyzer numeric screen verify that the measured respiratory rate (Frequency) is 15
b/min 0.25 b/min.

Inspiration Ventilator Service Manual EVM500019 Rev. E 174


10.6.53. When the test is complete, return to Standby. Change the following settings:

Resp Rate Vt
(b/min) (ml)
8 1000

10.6.54. Select Activate.


10.6.55. Allow the ventilator to cycle normally for 10 breaths. From the Alarms tab select AUTO SET to
adjust the alarm limits to acceptable levels.
10.6.56. On the Gas Analyzer numeric screen verify that the delivered volume (Vti) reading is 1000 ml
60 ml.
10.6.57. From the Monitoring screen ensure that Vte monitor reading is also 1000 ml 60 ml.
10.6.58. On the Gas Analyzer numeric screen verify that the measured respiratory rate (Frequency) is 8
0.18 b/min.
10.6.59. When the test is complete, return to Standby.
Test 2 - Pressure Accuracy
10.6.60. Ensure the following settings:

Trigger Resp Rate Pcontrol Peep Oxygen Ti Trigger Rise


Mode
Type (b/min) (cmH2O) (cmH2O) % (s) (cmH2O) Time
P-CMV Pressure 8 10 0 21 6.0 5 10

10.6.61. Set the Flow Trigger on the Gas Analyzer to Auto-Triggering.


10.6.62. Select Activate.
10.6.63. Allow the ventilator to cycle normally for 10 breaths. From the Alarms tab select AUTO SET to
adjust the alarm limits to acceptable levels.
10.6.64. Using the Gas Analyzer, verify that the Peak Inspiratory Pressure (PIP) measurement is 10 2.25
cmH2O.
10.6.65. Change the Pcontrol setting to 50 cmH2O.
10.6.66. Using the Gas Analyzer, verify that the Peak Inspiratory Pressure (PIP) measurement is 50 3.25
cmH2O.
10.6.67. Change the Pcontrol setting back to 10 cmH2O and return to Standby.

Inspiration Ventilator Service Manual EVM500019 Rev. E 175


Test 2 - PEEP Accuracy
10.6.68. Change the following settings.

Trigger Resp Rate Pcontrol Peep Oxygen Ti Trigger Rise


Mode
Type (b/min) (cmH2O) (cmH2O) % (s) (cmH2O) Time
P-CMV Pressure 8 5 5 21 1.0 5 Fast

10.6.69. Select Activate.


10.6.70. Using the Gas Analyzer, verify that the PEEP measurement is 5 cmH2O 2.2 cmH2O.
10.6.71. Change the PEEP setting to 30 cmH2O.
10.6.72. Using the Gas Analyzer, verify that the PEEP measurement is 30 cmH2O 3.2 cmH2O.
10.6.73. Change the PEEP setting to 50 cmH2O.
10.6.74. Using the Gas Analyzer, verify that the PEEP measurement is 50 cmH2O 4 cmH2O.
10.6.75. Return to Standby.

Test 3 - Oxygen Percentage Accuracy


10.6.76. Adjust the following settings:

Trigger Resp Rate Pcontrol Peep Oxygen Ti Trigger Rise


Mode
Type (b/min) (cmH2O) (cmH2O) % (s) (cmH2O) Time
P-CMV Pressure 30 10 0 21 1.0 5 10

10.6.77. Select Activate.


10.6.78. Allow the ventilator to cycle normally for 2 minutes. From the Alarms tab select AUTO SET to
adjust the alarm limits to acceptable levels.
10.6.79. Change the O2% setting to 21%.
10.6.80. Using the Gas Analyzer, verify that the O2% readings on the Gas Analyzer numeric screen and
the ventilators O2% Monitor are between 20% and 24%.
10.6.81. Change the O2% setting to 60%.
10.6.82. Using the Gas Analyzer, verify that the O2% readings on the Gas Analyzer numeric screen and
the ventilators O2% Monitor are between 57% and 63%.
10.6.83. Change the O2% setting to 90%.
10.6.84. Using the Gas Analyzer, verify that the O2% readings on the Gas Analyzer numeric screen and
the ventilators O2% Monitor are between 87% and 93%.
10.6.85. Change the O2% back to 21%.

Inspiration Ventilator Service Manual EVM500019 Rev. E 176


Test 4 - Alarm Operation
10.6.86. Adjust the following settings:

Trigger Resp Rate Vt Peep Oxygen Peak Flow Ptrig


Mode Flow Pat.
Type (b/min) (ml) (cmH2O) % (l/min) (cmH2O)
V-CMV Pressure 15 500 0 21 Decel 45 5

10.6.87. Remove the adult test lung and ET tube from the proximal sensor outlet and leave the port open
to atmosphere. Verify that after a few breaths the ventilator high priority audible alarm sounds,
the alarm LED flashes, and the ventilator screen displays a Disconnection alarm message.
10.6.88. Press the Alarm silence button once to mute the audible alarm. Verify that alarm sound is
silenced, while visual alarm indicators remain active.
10.6.89. Press Alarm silence button again, and verify that the audible alarm resumes, while visual alarm
indicators remain active.
10.6.90. Press and hold the Alarm silence button until a short beep is heard. Verify that audible alarm is
silenced for approximately 2 minutes.
10.6.91. Reconnect the test lung and ET tube to the proximal sensor. Verify that the Disconnection and
related alarm conditions cancel after a few breaths.
10.6.92. Remove the test lung and ET tube from the proximal sensor and occlude the open port of the
proximal sensor. Verify that after a few breaths the high priority audible alarm sounds, the
alarm LED flashes, and the ventilator screen displays a High Pressure alarm message. Verify that
breath delivery truncates upon reaching the high pressure alarm limit.
10.6.93. Reconnect the test lung and ET tube to the proximal sensor.
10.6.94. Verify that the High Pressure and related alarm conditions cancel after a few breaths.
10.6.95. From the Settings tab, select Apnea Backup. Change the following settings:

Trigger Resp Rate Pcontrol Peep Ti Tapnea Rise


Mode +O2
Type (b/min) (cmH2O) (cmH2O) (s) (s) Time
P-CMV Pressure 15 20 0 0 1.0 20 1
10.6.96. Select Accept.
10.6.97. From the Proposed Mode menu change the Mode Type to SPONT, PS. Select Activate.
10.6.98. Verify that after 17 to 23 seconds, the high priority audible alarm sounds, the alarm LED flashes,
and the ventilator screen displays an Apnea backup active alarm message.
10.6.99. Verify that apnea backup ventilation starts according to the selected settings.
10.6.100. Squeeze the test lung to simulate two patient inspiratory efforts within a 10 second period.
Verify that apnea backup ventilation stops and that SPONT mode restarts.
10.6.101. Return to Standby.

Inspiration Ventilator Service Manual EVM500019 Rev. E 177


Test 5 - Gas Sources
10.6.103. Adjust the following settings:

Trigger Resp Rate Vt Peep Oxygen Peak Flow Ptrig


Mode Flow Pat.
Type (b/min) (ml) (cmH2O) % (l/min) (cmH2O)
V-CMV Pressure 15 500 0 30 Decel 45 5

10.6.104. Select Activate.


10.6.105. Disconnect the high pressure oxygen hose from the source. Verify that after a few breaths a
medium priority audible alarm sounds, the alarm LED flashes, and the ventilator screen displays
an Oxygen Supply alarm message. Verify that ventilation continues uninterrupted.
10.6.106. Verify that after a few more breaths a high priority audible alarm sounds, the alarm LED flashes,
and the ventilator screen displays a Low Oxygen alarm message. Verify that ventilation
continues uninterrupted.
10.6.107. Reconnect the high pressure oxygen hose to the source and verify that after a few breaths the
Oxygen Supply and Low Oxygen alarms cancel.
Units with Internal Compressor Only
10.6.108. Disconnect the high pressure air hose from the source. Verify that after a few breaths the
internal compressor starts and ventilation continues uninterrupted.
10.6.109. Reconnect the high pressure air hose to the source and verify that the internal compressor
system stops.
10.6.110. Return to Standby. Select the Config Tab then Technical. Enter the code 2634. From the
Technical Settings menu on the left hand side of the screen select User Configuration. Change
the Compressor backup to Off.
All Units
10.6.111. Select Activate.
10.6.112. Disconnect the high pressure air hose from the source. Verify that after a few breaths a medium
priority audible alarm sounds, the alarm LED flashes, and the ventilator screen displays an Air
Supply alarm message. Verify that ventilation continues uninterrupted.
10.6.113. After an additional number of cycles verify that a high priority alarm is enunciated and that is
accompanied by a flashing alarm LED and a High Oxygen alarm message. Again verify that
ventilation continues uninterrupted.
10.6.114. Disconnect the high pressure oxygen hose from the source.
10.6.115. Verify that after a few more breaths a high priority audible alarm sounds, the alarm LED flashes,
and the ventilator screen displays an Oxygen Supply and Int press low/Dis. alarm message.
10.6.116. Verify that after a few more breaths breath delivery ceases completely.
10.6.117. Reconnect both high pressure hoses to the appropriate sources. Verify that breath delivery
resumes and that all alarms cancel.
10.6.118. If applicable, turn the Compressor backup setting back On.
Note: Any settings that were altered during the course of the Performance Testing must now be
changed back to their original configurations.

Inspiration Ventilator Service Manual EVM500019 Rev. E 178


10.7. Troubleshooting Performance Verification

Volume Accuracy
Test Description Corrective Action
Re-perform the System Test with the complete Patient Circuit
Tidal Volume The Tidal Volume Readings are
(including the Flow Analyzer) to ensure the correct System
Readings (Vti) out of range
Compliance
1. Re-perform the System Test with the complete Patient
Circuit (including the Flow Analyzer) to ensure the
correct System Compliance
2. Ensure an ET Tube is installed between the Flow
Exhaled Tidal Analyzer and the Test Lung
The Exhaled Tidal Volume
Volume Readings 3. Ensure the correct orientation of the Proximal Flow
Readings are out of range
(Vte) Sensor
4. Re-perform the Proximal Flow Sensor Calibration
5. Replace the Proximal Flow Sensor
6. Rerun Fab Test 7
7. Rerun Fab Test 9
The Respiratory Rate
1. Verify the correct Trigger Type and Ptrig/Ftrig settings
(Frequency) is out of Range
Respiratory Rate 2. Re-perform the System Test to ensure there are no leaks
Readings (RATE) 3. Re-run Fab Test 5 (Cal zero)
The ventilator is auto-triggering 4. Replace the Sensor Board

Pressure Accuracy
1. Re-run Fab Test 5 (Cal zero)
Inspiratory
The Inspiratory Pressure 2. Re-run the System Test
Pressure Readings
readings are out of range 3. Inspect the Exhalation Valve Cover and Exhalation
(Ppeak)
Membrane for damage or wear
PEEP Pressure 4. Replace PV1
The PEEP is out of range 5. Replace PV2
Readings (PEEP)

Alarm Operation
Disconnect Alarm will not Ensure that the Test Lung has been removed from the Patient
Disconnect Alarm
activate Circuit.
1. Verify the Alarm Silence Icon appears when the Alarm
Silence button is pushed
The ventilator Alarms will not 2. Go to Fab Test 2 and again press the Alarm Silence
Alarm Silence
silence button. Verify that the text Mute is displayed
onscreen.
3. Replace the Membrane Switch
High Pressure The High Pressure Alarm will 1. Ensure the wye is fully occluded
Alarm not activate 2. Verify that the Ppeak Alarm setting is not set too high
The ventilator does not
properly transition to Apnea Ensure that the Apnea Backup is enabled
Apnea Alarm Backup mode Ensure that the selected mode is SPONT and no breaths are
The Apnea Alarm will not being delivered
activate

Inspiration Ventilator Service Manual EVM500019 Rev. E 179


Gas Sources
The O2 Supply Alarm will not
O2 Supply Alarm Ensure the O2 Supply has been completely disconnected
activate
1. Ensure the Compressor Backup feature is enabled
(Config Tab > Technical > User Configuration)
The Compressor does not start
Compressor Alarm 2. Ensure the Compressor Cable is secure and properly
when the Air Supply is removed
connected
3. Replace the Compressor
1. Verify that the Compressor Unloading Valve is operating
properly (Fab Test 1)
The Compressor stalls during
Compressor Stall 2. Check/replace the Compressor Inlet Filter
ventilation
3. Replace the Compressor Unloading Valve
4. Replace the Compressor
1. Ensure the Air Supply has been completely disconnected
The Air Supply Alarm will not 2. Ensure the Compressor Backup feature is disabled
Air Supply
activate (Config Tab > Technical > User Configuration)

Inspiration Ventilator Service Manual EVM500019 Rev. E 180


11.Software Download Procedure
11.1. Universal Download Tool

Figure 80: Universal Download Tool

The Universal Download Tool (EVM400016) must be used for all software downloads. See the Universal Download Tool User
Manual (DES-11-18-UM) for detailed software download instructions.

Inspiration Ventilator Service Manual EVM500019 Rev. E 181


12.Parts List

Part Number Description


5i PCB's & Electronics F730742 Backlight Inverter PCB, 12.1"
F720511 Power Board
EVM300147 Power Board*
F720510 Motherboard
EVM300008 Sodimm Module
EVM300009 Video Carrier Board
EVM300013 Membrane Adaptor Board
F710512 Sensor Board
EVM300074 Sensor Board**
F910015 Processor Board
EVL370005-SPE Touch Screen, Fujitsu
F730741 LCD Panel, 12.1"
EVM200059 LED Membrane
F920119 24V Power Supply
F920109 Compressor Motor
* For use only in 5i & 7i ventilators with Application Software version 6.5.0 or 6.5.1
**For use only in ventilators with Application Software version 6.4.0 or later

7i PCBs & Electronics EVM200258 17" Touchscreen


EVM200225 12.1" Touch Screen
EVM300115 17 Display Interface Board
EVM300111 12.1" Display Interface Board
EVM300129 Alarm LED Board
EVM300141 17" LCD Display
EVM300140 12.1 LCD Display
EVM200216-L Left Rubber Keypad
EVM200216-R Right Rubber Keypad
EVM300104 Power Board
EVM300139 SOM-3517 Module
EVM300084 Carrier Board
EVM300153 SPO2 Adaptor Board
EVM300155 Motherboard
EVM300107 Adapter Board
EVM300074 Sensor Board
EVM300064 24V Power Supply
EVM300144 Massimo MS-2040 SPO2 Sensor Board
F920109 Compressor Motor

Blocks EVM200141 Valve Holder Assembly


EVM200114 Barb Adaptor Block

Inspiration Ventilator Service Manual EVM500019 Rev. E 182


Part Number Description
F710301 Sensor Block 1
F710302 Pneumatic Top Block
F710304 Front Block
F710312 Safety Valve Block
F710313 Gas Inlet Block
F710324 Sensor Block 2
F710325 Safety Valve Block Cover
F710401 Blender Holder
F710402 Valve Holder
F710403 Blender Base Block
F720303 Base Block
F720314 Oxygen Sensor Block

Valves & Solenoids F910201 Tank Overpressure Valve


F910309 PV1 Inspiratory Valve
F910310 PV2 Exhalation Valve
F920110 Safety Valve Solenoid
F920111 Compressor Unloading Valve
F920113 Nebulizer Solenoid Valve
F910018 Blender Solenoid Valve

5i Plates & Panels EVM200074 Connection Plate


EVM200130 Back Plate w/Ground Stud, Grey
F720601 Compressor Plate
F730713 Back Plate, Grey
F730714 Battery Cover, Grey

7i Plates & Panels EVM200224 Back Plate


EVM200144 Backing Plate 1
EVM200250 Speaker Box
EVM200281 Backing Plate 2
EVM200252-01 Connector Plate, Nose Cone
EVM200252-02 CO2, Connector Plate, Nose Cone
EVM200252-03 CO2 & SPO2, Connector Plate, Nose Cone
EVM200261 17" Back Panel
EVM200221 Panel Mounting Plate
EVM200236 Position Plate
EVM200262 17'' LCD Mounting Bracket
EVM200283 Battery Cover
EVM200233 Power Supply Mounting Bracket
EVM200226 Handle Bracket

Inspiration Ventilator Service Manual EVM500019 Rev. E 183


Part Number Description
EVM200234 PCB Mounting Bracket
EVM200276 Mounting Bracket
EVM200232 Compressor Plate
EVM200265 Back Panel

5i Housing EVM200058 Enclosure, Front


EVM200061 Rear Housing
F730711 Bottom Housing, Metallic Grey

7i Housing EVM200207 Rear housing


EVM200204 Nose Cone
EVM200200-01 "T" Section, Left
EVM200200-02 "T" Section, Right
EVM200215 Monitor Mount, Right
EVM200229 Monitor Mount, Left
EVM200257 17" LCD Panel
EVM200220 Bottom Housing

Cables (All Vents) F730715 Encoder, 6.5 cable


F730732 Inspiration, Encoder Earth Cable
F920060 Controller Cable
F920061 Sensor Cable
F920064 O2 Sensor Cable
F920068 Mains Input Cable
F920071 Earth Cable, Chassis
F920072 Earth Cable, Power Board
F920073 Earth Cable, O2 Cover
F920074 Earth Cable, Top Housing
F920107 Valve Cable Harness
F920063 DC Input Cable
F930003 Earth Cable, 12.1

Cables (5i Only) F920108 Compressor Cable


F920066 Power Supply Cable
EVM300015 LCD Data Cable
EVM300014 Flat Ribbon Cable
EVM300007 Touch Screen Cable Extension
F730743 Inverter Cable

Cables (7i Only) EVM300097 40-Pin Main Cable


EVM300116 HDMI Cable

Inspiration Ventilator Service Manual EVM500019 Rev. E 184


Part Number Description
EVM300117 12.1" LCD Display Panel Data Cable
EVM300136 17" LCD Display Panel Data Cable
EVM300150 Keypad Button 12 Conductor Flat-Flex Cable
EVM300093 Alarm LED Extension Cable
EVM300119 Touch Screen Extension Cable
EVM300120 Keypad Button LED Extension Cable
EVM300121 Display Interface Board 12V/3.3V Power Cable
EVM300154 Power Supply Input Cable
EVM300123 Power Supply Output Cable
EVM300133 Knob Extension Cable
EVM300122 Speaker Extension Cable
EVM300134 Buzzer Cable
EVM300005 ETCO2 Cable
EVM300142 Backlight Control Cable
EVM300143 SPO2 Cable
EVM300135 17" LCD Backlight Control Flat-Flex Cable
EVM300118 Alarm LED Board Cable
EVM300146 MS-2040 14 Pin Mini Flex Instrument Cable
EVM300137 Left Keypad Cable - O2 & Manual
EVM300164 Compressor Cable
EVM300138 Right Keypad Cable - ON/OFF & Silence

Batteries F820003 Lead Acid Battery

Hardware EVL250001-021 Hex Socket Head Set Screw, M3x16


EVL250001-028 Hex Button Head Screw, M3x5
EVM200075 4-40 Jack Screw
EVL250001-031 Hex Socket Head Countersunk, M6x70
F730763 Hex Socket Head Cap Screw, M3x6
F810005 Hex Socket Head Cap Screw, M5x25
F810008 Hex Socket Head Cap Screw, M3x60
F810010 Hex Socket Head Cap Screw, M4x45
F810012 Hex Socket Head Cap Screw, M3x10
F810015 Hex Socket Countersunk Screw, M3x16
F810016 Hex Socket Head Cap Screw, M4x12
F810017 Hex Socket Countersunk Screw, M3x12
F810021 Hex Socket Countersunk Screw, M4x35
F810023 Hex Socket Head Cap Screw, M4x20
F810039 Hex Socket Head Cap Screw, M4x60
F810041 Hex Socket Head Cap Screw, M3x25
F810059 Hex Socket Head Cap Screw, M4x25

Inspiration Ventilator Service Manual EVM500019 Rev. E 185


Part Number Description
F810072 Hex Socket Head Cap Screw, M5x40
F810074 Hex Socket Head Cap Screw, M4x40
F810075 Hex Socket Head Cap Screw, M3x5
F810216 Hex Socket Countersunk Screw, M4x8
F810245 Hex Socket Countersunk Screw, M4x12
F810294 Phillips Pan Head Screw, 8-16 x 3/8"
F820009 Hex Socket Head Cap Screw, M4x50
F820011 Torx Socket Head Cap Screw, M4x16
F820021 Hex Socket Head Cap Screw, M3x10
F820022 Hex Socket Countersunk Screw, M3x10
F820023 Phillips Countersunk Screw, 4-40 x .1875
F830012 Hex Socket Head Cap Screw, M3x25
F710554 Big Washer, 4x15mm
F810018 Nut M3
F810019 Serrated M3 Lock Washer
F810052 Locating Pins 5MM OD x 12MM L
F810087 Distance Bolt, M3 x 7mm
F820016 Distance Pin M3x10mm
F830013 3mm Spring Washer

O-Rings EVM200145 O-Ring_AS568A-009_70A


F710405 O-Ring_AS568A-213_70A
F710408 O-Ring_AS568A-014_70A
F810007 O-Ring 1.5x10
F810024 O-Ring_AS568A-026_70A
F810029 O-Ring_AS568A-010_70A
F810031 O-Ring_75.5/VA75, 2.62 x 4.42
F810032 O-Ring FPM 75.5/VA75, 2.62x9.19
F810033 O-Ring _AS568A-008_70A
F810034 O-Ring 2x16
F810037 O-Ring, 1.5mm x 13mm
F810042 O-Ring_AS568A-017_70A
F810063 O-Ring FPM 75.5_VA75 1.78x2.9
F810067 O-Ring FPM 75.5_VA75 2x24
F810069 O-Ring FPM 75.5_VA75 2.5x22
F810085 O-Ring, FPM 75.5/VA75, 2.4 x 3.3mm
F810204 O-Ring 2x12
F810230 O-Ring_AS568A-130_70
F810242 O-Ring_AS568A-177_70

Tubing F810079 Compressor Supply Tubing

Inspiration Ventilator Service Manual EVM500019 Rev. E 186


Part Number Description

Fittings F920100 Blanking Cap


F920101 Cap for Compressor Valve
F910025 Compressor Connection Nipple

Restrictors F920023 Purge Flow restrictors


F910027 Restrictor O2 Measurement
F710330 Flow Sensor Nipple Restrictor

Check Valves F810061 Inlet Check Valve 7.5 mbar


F910030 Patient Conduit Over Pressure Check Valve 120 mbar
F910022 Purge Flow Over Pressure Check Valve 100 mbar

Fans F910006 Cooling Fan, 60mm x 60mm x 25mm


F910007 Cooling Fan Filter, with Fan Guard

Tape/Gaskets EVM200100 Gasket, Double Sided Tape


EVM300025 EMC Gasket (10.125" & 8.5")

Flow Sensors F910081 Internal flow Sensor-Resistive Assy.


F710406 Flow Sensor 1 Disc, Bronze

5i Uncategorized EVM200060 Membrane Switch


EVM200097 Plug, RS232 Port
EVM200099 Overlay, 5i Logo
F730221 Hinge, 12.1

7i Uncategorized EVM200101 Sticker, CO2 Icon


EVM200098 Overlay, 7i Logo
EVM300027 7i ETCO2 Cable Ferrite
EVM200277-01 7i Model Label
EVL250001-058 Nylon tip set screws
EVM200239 Swivel Shaft 1
EVM200247 Teflon Gasket
EVM200284 Ring Center Mount
EVM200239-01 Swivel Shaft 2
EVM200222 Alarm Bar

Uncatergorized (All) EVL200006 Side Rail


EVL200074 Encoder Knob, Grey
EVL200075 Ring, Knob Encoder
EVM200105 Spacer, .25ODx.17IDx.22L

Inspiration Ventilator Service Manual EVM500019 Rev. E 187


Part Number Description
EVM200143 Stainless Steel Ball 8mm
EVM200144 Stainless Steel Ball 6mm
EVM300026 LCD Cable Ferrite
EVM300028 Mains Cable Ferrite
F710215 DISS O2 Connector, Male
F710216 DISS Air Connector, Male
F710305 To Patient Connector
F710308 Oxygen Cell Tube
F710309 Locking Ring, Outer
F710310 Locking Ring, Inner
F710311 Hook
F710321 Spacer, Sensor Block 2
F710326 Sealing Disc, Safety Valve
F710327 Plunger, Security Valve
F710328-01 Flow Sensor Nipple, Blue Anodize
F710328-02 Flow Sensor Nipple, Clear Anodize
F710329 Nebulizer Nipple
F710331 Safety Valve Plunger
F710332 Safety Valve Seal Disc, Membrane
F710404 Extension Tubes
F710407 Impact Filter, Bronze
F710547 Inner Funnel
F720205 Sustainer Battery Support
F720217 Guide Rail
F720222 Drip Guard
F720241 Battery Holder
F720606 Support Bolt
F730754 Contact Clamp
F730755 Contact Clamp 2
F730758 Contact Flex PCB
F730759 Side Rail Spacer
F810001 DC Power Receptacle
F810026 Rubber Buffer Type B 10x8mm M4
F810044 Compressor Inlet Filter
F810052 Locating Pins 5MM OD x 12MM L
F810087 Distance Bolt, M3 x 7mm
F810097 Micro Fit 4 Pole Connector Fan Cable
F810098 Pin for Micro Fit Fan Cable
F810135 Fuse_3.15AT 250V
F810145 Protective Earth Ground Label
F810210 112m Cable Tie

Inspiration Ventilator Service Manual EVM500019 Rev. E 188


Part Number Description
F820004 Long Velcro Band
F820005 Short Velcro Strap
F820006 Damping Mat
F820013 Cable Grommet
F820016 Distance Pin M3x10mm
F820019 Threaded Bolt
F820020 Collar for screw, M3, (Power PCB)
F910008 Power Entry Module 4A Type 5220
F910009 P-Clip 6mm
F910016 Compressed Air Filter Water Trap
F910033 Warning Sticker
F910200 Silencer Compressor Unloading
F910295 Ethernet Cable Clamp

13. Communication Interface


For convenience the following section provides a detailed description of how to configure the Inspiration Ventilators nurse
call and serial communication ports.
For the serial communication interface, a full listing is provided for all relevant commands and SNDA responses.

13.1. Nurse Call Port Configuration

Inspiration Ventilator Service Manual EVM500019 Rev. E 189


The nurse call port allows the Inspiration series ventilator to be connected to a remote alarm system. Nurse
call pin assignments (floating contacts) are shown in Figure 79 below.

Figure 81: Nurse Call Port Configuration

13.2. Serial (RS-232) Port Configuration


Pin assignments for the Serial (RS-232) Port of the Inspiration series ventilator are as shown on Figure 80 below

Figure 82: RS-232 Port Configuration

13.3. Serial (RS-232) Port Setup


Serial port parameters for the Inspiration series ventilator are pre-configured and may not be adjusted by the user. The
settings in use are as follows:
Baud Rate: 9600
Data Bits: 8

Inspiration Ventilator Service Manual EVM500019 Rev. E 190


Stop Bits: 1
Parity: OFF
Flow Control: OFF

13.4. Serial (RS-232) Protocol


This protocol is specifically designed for the Inspiration ventilator family and allows complete monitoring of all settings
and measurements. For specific information about this protocol please refer to RS232 eVent Inspiration Protocol V1.1.

13.5. Serial (RS-232) Port Commands


The communications port responds to these commands facilitating communication to and from the ventilator using the
serial ports:
RSET: clears the data from the ventilators receive buffer
SNDA: tells the ventilator to send ventilator settings and monitored data to the host system

13.6. RSET (Clear Ventilator Buffer)


Enter the RSET command exactly like this:
RSET <CR>
Where <CR> is a carriage return. The ventilator only responds if it receives a carriage return. When the ventilator receives
the RSET command, it clears its receive buffer. The ventilator does not send a response to the host system.

13.7. SNDA (Send Ventilator Settings and Data)


Service Enter the SNDA command exactly like this:
SNDA<CR>
Where <CR> is a carriage return. The ventilator responds only if it receives a carriage return. When the ventilator receives
the SNDA command, it responds with a code MISCA, followed by the ventilator settings and monitored data information.
The MISCA response follows the format shown in Figure 81 below:

Inspiration Ventilator Service Manual EVM500019 Rev. E 191


Figure 83: MISCA Responses

The MISCA command response is designed to be compatible with the MISCA


command response from Puritan-Bennett Ventilators, including the 7200, 700 series
and 800 series. In the fields where the command response differs from that of the
Puritan-Bennett ventilators, the difference is noted in the field description.

Field Number Field Content


1 MISCA (5 characters)
2 706 (3 characters; the number of bytes between <STX> and <ETX>)
3 97 ( 2 characters; the number of fields between (<STX> and <ETX>)
4 <STX> (start of transmission)
5 Ventilator time (HH:MM_) (6 characters)
6 Not used (13 characters)
7 Not used (6 characters)
8 Not used (12 characters)
9 Mode setting (6 characters)
10 Respiratory rate setting (6 characters)
11 Tidal volume setting (6 characters)
12 Peak flow setting (6 characters)
13 O2% setting (6 characters)
14 Not used (6 characters)
15 PEEP/ CPAP setting (6 characters)
16 Plateau time (6 characters)

Inspiration Ventilator Service Manual EVM500019 Rev. E 192


17 Not used (6 characters)
18 Not used (6 characters)
19 Not used (6 characters)
20 Not used (6 characters)
21 Apnea interval (6 characters)
22 Apnea tidal volume setting (6 characters)
23 Apnea respiratory rate setting (6 characters)
24 Apnea peak flow setting (6 characters)
25 Apnea O2% setting (6 characters)
26 Pressure support setting (6 characters)
27 Inspiratory flow pattern (6 characters)
28 Not used (6 characters)
29 Nebulizer setting (On or Off) (6 characters)
30 100% O2 setting (On or Off) (6 characters)
31 Not used (6 characters)
32 Not used (6 characters)
33 Not used (6 characters)
34 Total respiratory rate (6 characters)
35 Exhaled tidal volume (6 characters)
36 Exhaled minute volume (6 characters)
37 Spontaneous minute volume (6 characters)
38 Peak airway pressure (6 characters)
39 Mean airway pressure (6 characters)
40 End inspiratory pressure (6 characters)
41 Not used (6 characters)
42 High pressure limit (6 characters)
43 Low inspiratory pressure (6 characters)
44 Not used (6 characters)
45 Low tidal exhaled tidal volume (6 characters)
46 Low exhaled minute volume (6 characters)
47 High respiratory rate (6 characters)
48 High pressure alarm status (6 characters)
49 Low inspiratory pressure alarm status (6 characters)
50 Not used (6 characters)
51 Low tidal volume alarm status (6 characters)
52 Low minute volume alarm status (6 characters)
53 High respiratory rate alarm status (6 characters)
54 Low O2 supply alarm status (6 characters)
55 Not used (6 characters)
56 Low internal battery alarm (6 characters)
57 Apnea alarm status ( 6 characters)

Inspiration Ventilator Service Manual EVM500019 Rev. E 193


58 Not used (6 characters)
59 Not used (6 characters)
60 Not used (6 characters)
61 Not used (6 characters)
62 Not used (6 characters)
63 Static compliance (6 characters)
64 Static resistance (6 characters)
65 Dynamic compliance (6 characters)
66 Dynamic resistance (6 characters)
67 Not used (6 characters)
68 Not used (6 characters)
69 Not used (6 characters)
70 Not used (6 characters)
71 Flow sensitivity setting (6 characters)
72 Not used (6 characters)
73 Not used (6 characters)
74 Not used (6 characters)
75 Not used (6 characters)
76 Not used (6 characters)
77 Not used (6 characters)
78 Not used (6 characters)
79 Not used (6 characters)
80 Not used (6 characters)
81 Not used (6 characters)
82 Not used (6 characters)
83 Not used (6 characters)
84 Not used (6 characters)
85 PC inspiratory pressure setting (6 characters)
86 Inspiratory time setting (6 characters)
87 Not used (6 characters)
88 PC apnea pressure setting (6 characters)
89 PC apnea rate setting (6 characters)
90 PC apnea inspiratory time setting (6 characters)
91 PC apnea O2% setting (6 characters)
92 Not used (6 characters)
93 Alarm silence state (6 characters)
94 Apnea alarm status ( 6 characters)
95 Disconnect alarm status (6 characters)
96 Not used (6 characters)
97 Not used (6 characters)
98 Not used (6 characters)

Inspiration Ventilator Service Manual EVM500019 Rev. E 194


99 Not used (6 characters)
100 Not used (6 characters)
101 Monitored I:E ratio (6 characters)
102 <ETX>
103 <CR>

Inspiration Ventilator Service Manual EVM500019 Rev. E 195


14. Service Report / Warranty Claim Form

Service / Warranty Information


Date Created: Service Type:
Requested By:

Customer / Distributor Details


Name: Address:
Company: City:
Title or Department: State/Province:
Phone Number: Postal Code:
E-Mail Address: Country:
Hospital Name: Hospital Address:

Equipment Details
Model: Serial Number:
Ventilator Hours: Compressor/Blower Hours:
Date of Installation: Date of event:

Inspiration Ventilator Software Information


Pre-Service Post-Service
SW Ventilator: SW Ventilator:
SW Graphic: SW Graphic:
SW Power: SW Power:
SW applet: SW applet:

Details of Work Performed & Description of Service


Please give a full description of the service performed. Include the following information, if applicable: PM due date,
error codes, alarm details, reported problems, and failure conditions.

Resolution

Inspiration Ventilator Service Manual EVM500019 Rev. E 196


Parts Used During Service / Repair
Part Number Description of Part SN Removed SN Installed Warrant Claim (Y/N)

Details of Patient Involvement (Death or Serious Injury; DORSI)


Was there a patient involvement? Yes No

Did Death or serious injury occur? Yes No

Was medical intervention required? Yes No

Other relevant information:

Condition of patient at the time of event :

Current condition of patient:

Name and contact information of medical


professional confirming DORSI:

Return this form and parts to:


eVent Medical
Telephone: +1.949.900.1917
60 Empire Dr.
Lake Forest, CA 92630
Fax: +1.949.900.1905
USA

E-Mail: service@event-medical.com

Inspiration Ventilator Service Manual EVM500019 Rev. E 197


INSPIRATION SERIES VENTILATOR PERFORMANCE VERIFICATION RECORD

Customer: Software Vent:


Software Power:
Software Graphic:
Model: 5i 7i LS Hardware Power:
Serial Number: Hardware Controller:
Next PM Due: Hardware Sensor:
Hardware Graphic:

Ventilator Hours: (FabTest 11) Compressor Hours: (FabTest 11)

Electrical Safety Tests Target Actual Adjusted


Ground Resistance <0.2 OHM
Forward Current Leakage <300A (all units) A A
Reverse Current Leakage <300A (all units) A A

Power On Self Test / Configuration Limit Result Pass Y / N


Self Test Status OK Yes No

Fabrication Test (FabTest 5) Limit Result Pass Y / N


Re-Zero All Pressure Transducers OK Yes No

Calibrations and System Leak Test: Limit Result Pass Y / N


System Leak Test Results OK Yes No
System Compliance N/A Yes No
Proximal Sensor Calibration OK Yes No
Oxygen Sensor Calibration OK Yes No

Performance Test 1
Limit Result Pass Y / N
Gas Volume Accuracy:
Tidal Volume (Vti) (Pneumatic Analyzer) 20ml +/- 3ml Yes No
Tidal Volume Exhaled (Vte) (Ventilator) 20ml +/- 3ml Yes No
Respiratory Rate (Pneumatic Analyzer) 40b/min +/- 0.5b/min Yes No

Tidal Volume(Vti) (Pneumatic Analyzer) 100ml +/- 15ml Yes No


Tidal Volume Exhaled (Vte) (Ventilator) 100ml +/- 15ml Yes No
Respiratory Rate (Pneumatic Analyzer) 30b/m in+/- 0.4b/min Yes No

Tidal Volume(Vti) (Pneumatic Analyzer) 300ml +/- 25ml Yes No


Tidal Volume Exhaled (Vte) (Ventilator) 300ml +/- 25ml Yes No
Respiratory Rate (Pneumatic Analyzer) 20b/min +/- 0.3b/min Yes No

Tidal Volume (Vti) (Pneumatic Analyzer) 600ml +/- 40ml Yes No


Tidal Volume Exhaled (Vte) (Ventilator) 600ml +/- 40ml Yes No
Respiratory Rate (Pneumatic Analyzer) 15b/min +/- 0.25b/min Yes No

Inspiration Ventilator Service Manual EVM500019 Rev. E 198


Tidal Volume (Vti) (Pneumatic Analyzer) 1000ml +/- 60ml Yes No
Tidal Volume Exhaled (Vte) (Ventilator) 1000ml +/- 60ml Yes No
Respiratory Rate (Pneumatic Analyzer) 8b/min +/- 0.18b/min Yes No

Performance Test 2:
Limit Result Pass Y / N
Pressure Accuracy:
Pcontrol (10cmH20) 10cmH20 +/- 2.25cmH20 Yes No
Pcontrol (50cmH20) 50cmH20 +/- 3.25 cmH20 Yes No
PEEP (5cmH20) 5cmH20 +/- 2.2 cmH20 Yes No
PEEP (30cmH20) 30cmH20 +/- 3.2 cmH20 Yes No
PEEP (50cmH20) 50cmH20 +/- 4.0 cmH20 Yes No

Performance Test 3
Limit Result Pass Y / N
Oxygen Delivery:
Oxygen 21% Analyzer 21% +/- 3% Yes No
Oxygen 21% Vent 21% +/- 3% Yes No
Oxygen 60% Analyzer 60% +/- 3 Yes No
Oxygen 60% Vent 60% +/- 3 Yes No
Oxygen 100% Analyzer 100% +/- 3 Yes No
Oxygen 100% Vent 100% +/- 3 Yes No

Performance Test 4
Limit Result Pass Y / N
Alarm Operation:
Disconnect Alarm On Yes No
Alarm Mute On On Yes No
Alarm Mute OFF Off Yes No
Alarm Mute Time 120 sec +/- 12 sec Yes No
Disconnect Alarm Reset Yes No

HIP Alarm On On Yes No


Alarm Reset Off Yes No

Apnea Alarm On On Yes No


Apnea Ventilation On Yes No
Apnea Ventilation Off Yes No

Performance Test 5
Limit Result Pass Y / N
Gas Sources: Test 1
Loss O2 Loss O2 Alarm Yes No
O2 Reset Alarm Cancels Yes No
Loss Air Compressor Starts Yes No
Air Reset Compressor Stops Yes No
Loss Air / Compressor Loss Air Alarm Yes No
Loss All Supply Loss Air / O2 Yes No
Loss All Supply Int. Pressure Low Yes No
Loss All Supply Reset Alarm Cancels Yes No

Service Representative:____________________________________________________ Date:____________________________

Inspiration Ventilator Service Manual EVM500019 Rev. E 199

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