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Prima 450 and 460 User Manual 56530 en F 2020 PDF
Prima 450 and 460 User Manual 56530 en F 2020 PDF
Prima 450 and 460 User Manual 56530 en F 2020 PDF
A N A E S T H E S I A S O LU T I O N S
IMPORTANT
USA
Penlon Inc.
11515 K-Tel Drive
Minnetonka
MN 55434
USA
Tel: Toll Free: 800-328-6216
Tel: 952-933-3940
Fax: 952-933-3375
E-mail: customer.service@penlon.com
This manual has been produced to provide authorised The Importance of Patient Monitoring
personnel with information on the function, routine
performance and maintenance checks applicable to the Prima WARNING
450/460 anaesthetic machine range. Anaesthetic systems have the capability to deliver mixtures
of gases and vapours to the patient which could cause injury
Information contained in this manual is correct at the date of or death unless controlled by a qualified anaesthetist.
publication.
The policy of Penlon Limited is one of continued improvement There can be considerable variation in the effect of
to its products. Because of this policy, Penlon Limited reserves anaesthetic drugs on individual patients so that the setting
the right to make any changes which may affect instructions in and observation of control levels on the anaesthesia systems
this manual, without giving prior notice. does not in itself ensure total patient safety. Anaesthesia
system monitors and patient monitors are very desirable
Personnel must make themselves familiar with the contents aids for the anaesthetist but are not true clinical monitors as
of this manual and the machine’s function before using the the condition of the patient is also dependent on the patient’s
apparatus. respiration and the functioning of the cardio-vascular
system of the patient.
IT IS ESSENTIAL THAT THESE ELEMENTS ARE MONITORED
FREQUENTLY AND REGULARLY AND THAT ANY
OBSERVATIONS ARE GIVEN PRECEDENCE OVER MACHINE
CONTROL PARAMETERS IN JUDGING THE STATE OF A
CLINICAL PROCEDURE.
Before using any monitoring system or device with the
anaesthetic machine, the user must check that it conforms to
the latest revision of the relevant standard.
User Responsibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
3. Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1 General Construction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.2 Gas Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.3 Gas Supply Safety Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3.4 Mechanical Anti-Hypoxic Device (AHD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3.5 Pressure Gauges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3.6 Flowmeters and Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.7 Vaporizers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.8 Common Gas Outlet (CGO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
3.9 Electrical Power Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
3.10 Auxiliary Gas Outlets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
3.11 A200SP Absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
3.12 AV-S Ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
4. Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
4.1 Physical Dimensions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
4.2 Gas Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
4.3 Flowmeters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
4.4 Gas Pressures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4.5 Auxiliary Gas Outlets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4.6 Oxygen Failure Warning Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
4.7 Oxygen Flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
4.8 Mechanical AHD System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
4.9 Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
4.10 Electrical Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
4.11 Device Classification and Labelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Appendix 1. Disposal at end of useful life: risk assessment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Appendix 2. Optional extras and approved accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Appendix 3. Labelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Appendix 4. Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
This anaesthetic machine has been built to conform with the Statements in this manual preceded by the following words
specification and operating procedures stated in this manual are of special significance:
and/or accompanying labels and notices when checked,
assembled, operated, maintained and serviced in accordance WARNING
with these instructions.
means there is a possibility of injury to yourself or others.
To ensure the safety of this device it must be checked and
serviced to at least the minimum standards laid out in this CAUTION
manual. A defective, or suspected defective, product must not means there is a possibility of damage to the apparatus or
under any circumstances be used. other property.
The user must accept responsibility for any malfunction which
results from non-compliance with the servicing requirements NOTE
detailed in this manual. indicates points of particular interest for more efficient and
convenient operation.
Additionally, the user must accept responsibility for any
malfunction which may result from misuse of any kind or non- Always take particular notice of the warnings, cautions and
compliance with other requirements detailed in this manual. notes provided throughout this manual.
Worn, broken, distorted, contaminated or missing components
must be replaced immediately. Should such a repair become
necessary it is recommended that a request for service advice
be made to the nearest Penlon accredited agent.
This device and any of its constituent parts must be repaired
only in accordance with written instructions issued by Penlon
Limited and must not be altered or modified in any way
without the written approval of Penlon Limited. The user
of this equipment shall have the sole responsibility for any
malfunction which results from improper use, maintenance,
repair, damage or alteration by anyone other than Penlon or
its appointed agents.
USA and Canadian Federal Law restricts the sale and use of
this device to, or on the order of, a licensed practitioner.
The following WARNINGS and CAUTIONS must be read and 7. Only vaporizers with the Selectatec compatible interlock
understood before using this anaesthetic system. function will interlock if installed on a two station or
three station manifold.
WARNINGS The installation of non-interlock vaporizers allows the
possible operation of more than one vaporizer at the
1. This anaesthetic system is designed for use only with
same time.
non-flammable anaesthetic agents. It must not be used
with or in close proximity to flammable anaesthetic 8. The breathing system which conveys gases from the
agents, due to a possible fire or explosion hazard. anaesthetic machine to the patient and disposes of
expired gases is a vital part of the anaesthetic delivery
2. Exterior panels must not be removed by unauthorised
system.
personnel and the anaesthetic system must not be
operated with such panels missing. Unauthorised 9. Because breathing systems require frequent cleaning
personnel must not attempt to access fuses or other and disinfection they are not a permanent part of
electrical components. There is a possible electric shock the anaesthetic machine and therefore cannot be
hazard. directly under the control of the anaesthetic machine
To isolate the machine from the mains power supply, manufacturer. When mechanical ventilation is employed
disconnect the flexible mains cable from the hospital the patient breathing system must be connected directly
power outlet. to an over-pressure relief valve to prevent the possibility
Always use a mains power outlet socket that can be of barotrauma.
easily accessed.
10. Always perform a pre-use check of the machine,
3. No oil, grease or other flammable lubricant or sealant including vaporizers, ventilator, circle absorber and
must be used on any part of the machine in close monitors before clinical use. Follow the pre-use checklist
proximity to medical gas distribution components. (see section 5) as a minimum requirement.
There is a risk of fire or explosion. Many clinical incidents occur because of a failure to
check for correct function.
4. Attaching or removing a medical gas cylinder:
11. The machine must not be used if any of the alarm,
a) Follow appropriate manual handling guidelines when
monitoring or protection system devices are not
lifting.
functioning correctly.
b) Ensure that the machine yoke and cylinder faces
12. Auxiliary gas outlets: Flow rates greater than 60 L/min
are dust free and clean and that the sealing washer
could affect the fresh gas flow to the patient - see section
provided is in position between the cylinder valve and
3.10.
the yoke.
13. The gas supply failure systems within the anaesthetic
c) Tighten the yoke securely before opening the cylinder
machine will not necessarily operate as indicated in this
valve. Dust and dirt presents a fire hazard in the
manual during any procedures that are outside the scope
presence of high pressure gas. Leakage of high
of the indications for use of the machine:
pressure gas can cause serious injury.
a) Machine set to deliver Air only
5. The anaesthesia system must be connected to an
When the machine is operated with an Air flow only,
anaesthetic gas scavenging system (AGSS) to dispose
note that there may still be retained oxygen in the
of waste gas and prevent possible health hazards to
system, and that the oxygen supply visual indicator
operating room staff.
will continue to indicate green, even though oxygen is
This requirement must be observed during test
not being delivered.
procedures as well as during use with a patient.
b) Machine set to deliver Oxygen only through Auxiliary
6. Prima 450/460 machines must only be used with Sigma
Outlets
Delta vaporizers (or other Selectatec-compatible
The oxygen failure alarm is designed to operate
vaporizers) installed on the Selectatec-type backbar
during normal use of the machine, i.e. when
system.
providing controlled concentrations and flows of
Free-standing vaporizers may be accidentally tipped,
gases to a patient breathing system, as described in
resulting in excessive and uncalibrated volumes of
Section 2 (Purpose).
anaesthetic drug entering the breathing system
Do not use the machine solely to provide large flows
Do not install or connect any vaporizers of any
of oxygen, via the anaesthetic machine auxiliary
description between the common gas outlet (CGO)
outlets, to external devices which may not be
and the breathing system unless they are specifically
equipped with a supply failure alarm.
designed for such use.
(If this is done, the oxygen flush flow will pass through
the vaporizer and may result in gross overdosage when
the flush valve is operated.)
14. The machine must not be fitted with more than three CAUTIONS
operator accessible mains socket outlets. There is a risk 1. Flowmeter needle valves are designed to seal with light
of an excessive leakage current. torque and may be damaged if tightened excessively.
Note that when the user connects equipment to a Do not force the control knob past either the fully open or
machine auxiliary outlet a medical electrical system is fully closed positions.
created as defined in IEC 60601-1. This can result in a
reduced level of safety (see also Caution 8). 2. Open cylinder valves slowly to avoid damage to pressure
reducing valves.
15. The use of antistatic or electrically conductive breathing Ensure that cylinder valves are at least one full turn open
hoses is not recommended when using high frequency when in use.
electrical surgery equipment (e.g. Diathermy). Burns
may be caused. 3. Under no circumstances should anaesthetic agents be
used for cleaning purposes.
16. To avoid the risk of electric shock, this equipment must
only be connected to a mains supply with a protective 4. After use, always disconnect the machine from the piped
earth. gas supply and/or close the gas cylinder valves.
Before any electrically powered machine is used
5. Mechanical AHD system - The oxygen flow control is
clinically for the first time, check that the hospital
restricted to prevent the needle valve from fully closing.
engineering department has carried out an earth
This ensures a minimum basal flow of oxygen.
continuity test.
DO NOT attempt to close the flow to zero.
17. Before using any additional electrical equipment Do not overtighten.
powered by the auxiliary sockets on the machine, check
6. Compressed gas supplies must be clean and dry.
that the additional equipment is correctly wired and is
earthed through its plug. 7. When the auxiliary gas outlets are in use on a machine
using cylinder supply only (i.e. if the pipeline supply is not
18. A missing or defective protective earth conductor may
in use), check flow rate requirements, and ensure that
increase earth leakage currents to the patient to values
adequate back-up cylinders are available.
exceeding the allowable limits, resulting in ventricular
fibrillation, or interference with the pumping action of 8. The requirements of IEC 60601-1 apply to any device
the heart. connected to the auxiliary electrical sockets. Users must
be aware of the risks of increased leakage currents when
19. Portable RF communications equipment (including
equipment is connected to the auxiliary power sockets
peripherals such as antenna cables and external
antennas) should be used no closer than 30 cm (12 9. In the event of malfunction of any device powered by the
inches) to any part of this device, including cables auxiliary sockets, check if the circuit breaker has tripped.
specified by the manufacturer. Otherwise, degradation of
the performance of this equipment could result. 10. On machines with pipeline connections, note that a
malfunction of the central gas supply within your facility
20. Additional equipment placed on the top shelf must be may cause immediate cessation of gas delivery and total
securely attached. anaesthesia system failure.
Take care when moving a fully loaded machine,
particularly when negotiating ramps. 11. Do not apply excessive pressure to the display screens.
Check that hoses or power leads are not trailing on the 12. The electronic flow display system (see section 3.6.3)
floor. is provided as a secondary indicator of the flow of gas
21. Accessories must be removed before the machine is through the conventional glass flow tubes.
transported. 13. Connect the external COMMS outlet only to approved
22. MRI compatibility - Prima 450 and 460 models are not devices using protocol provided by Penlon Ltd. Contact
MRI compatible. Technical Support Department for details.
23. To prevent patient injury in the event of total anaesthesia 14. Vaporizers: Read the instruction manual supplied with
system failure, an alternative means of ventilation must the vaporizer before clinical use.
be available whenever the device is in use.
NOTE
1. Refer to Appendix 3 for labelling and symbols.
CAUTION
A malfunction of the central gas supply within your facility
may cause immediate cessation of gas delivery and total
anaesthesia system failure. (a) A diaphragm pressure regulator to reduce the pressure of
the compressed gas supply, and
Filters
(b) A pressure relief valve, factory set to 517 kPa (75 psi). This
To prevent dirt entering the gas system, a filter is fitted to each
prevents pressure build up under the diaphragm should any
cylinder yoke and pipeline inlet.
leakage develop across the reducing valve seat.
Gas Inlet Block
Secondary Pressure Regulator
Each individual cylinder or pipeline supply, is routed through a
A second stage regulator reduces the pressure supplied to
separate gas block.
each flowmeter control (see section 4.4).
Each gas block has an integral high pressure gauge tapping
The secondary regulators for oxygen and nitrous oxide
for direct mounting of a pressure gauge, and a non-return
enhance the performance of the mechanical AHD system.
valve to prevent back flow of gas.
Secondary regulation of the air supply aids the stabilisation of
In addition, cylinder gas blocks have: the output at the flowmeter.
Prima 450/460
1
USA specification
three-gas machine
with dual cascade
oxygen and nitrous
oxide flowmeters,
two vaporizers, and
optional electronic Air
O2
flow display.
2
N2O
1. Electronic flow
display
2. Flowmeter
assembly
3. Gas alarm
module
O2 N2O Air
3.4 Mechanical Anti-Hypoxic Device (AHD) 3.4.3 Gear Linkage - Nitrous Oxide Control
Gears connect the nitrous oxide control knob to an internal
oxygen needle valve. This ensures that there is always a
3.4.1 Introduction minimum oxygen concentration of 30% ±3%. This ratio is valid
The Mechanical AHD is housed within the flowmeter module at all flow rates.
and controls the relative flow rates of oxygen and nitrous
oxide.
3.4.4 Oxygen Basal Flow
A predetermined minimum oxygen concentration of 30% ±3%
To allow the system to function correctly, an oxygen basal flow
in the oxygen / nitrous oxide mixture is maintained over the
is continuously supplied.
flow range to prevent delivery of a hypoxic mixture.
Single flow tubes: 100 - 200 ml/min
Dual cascade system
3.4.2 Gas Delivery Switch (1) Flow tubes: 50 - 75 ml/min
This basal flow can only be turned on and off by using the Gas
Delivery Switch.
CAUTION
The oxygen control is restricted to prevent the needle valve
from fully closing. This ensures a minimum oxygen basal
flow.
DO NOT attempt to close the flow to zero. Do not overtighten
the knob.
NOTE
The switch also controls the electrical supply to the AV-S
interface circuit, and the Electronic Flow Display (if fitted).
3.6.1.1 Flowmeters A A
The flowmeters, mounted behind the perspex cover on the
left hand side of the machine, are length-indexed to prevent
inadvertent, incorrect installation.
All floats indicate flow rate in line with the upper surface as
shown above (A).
CAUTION
Needle valves are designed to seal with light torque and may
be damaged if tightened excessively.
DO NOT USE EXCESSIVE FORCE
NOTE
The gas delivery switch (see 3.4.2), positioned on the front
panel, controls the supply of oxygen and must be in the ON
position for normal operation of the machine.
Error messages
The “!” icon is displayed when a flow is 2
measured above the calibrated range (i.e.
over 10 L/min)
The “?” icon is displayed when the display
is unable to communicate with the sensor
assembly
“Calibration Error“: calibration information
is lost
“Memory Error” : the calibration procedure
is unable to save the new calibration data
CAUTION
Connect only to approved devices using protocol provided
by Penlon Ltd. Contact Technical Support Department for
details.
3.7 Vaporizers
CAUTION
Read the instruction manual supplied with the vaporizer
before clinical use.
WARNING
1
All vaporizers must always be securely mounted, and
never used free-standing. Unmounted vaporizers may be
accidentally tipped resulting in uncalibrated and excessive
volumes of liquid anaesthetic drug entering the breathing
system.
Do not install or connect any vaporizer of any description
between the common gas outlet (cgo) and the breathing
system, unless it is specifically designed for such use. (If this
is done, the oxygen flush flow will pass through the vaporizer,
and severe overdosage may result).
NOTE
1. It is the user’s responsibility to ensure that the total sum
of leakage currents from additional equipment plugged
into the four auxiliary sockets (3) plus the leakage current
from the machine does not exceed the values specified
in any relevant national standards that may apply in the
country where the machine is in use (see also 3.9.2).
2. Each socket is protected with a 5 A fuse in both the live
and neutral circuits.
CAUTION
If any device powered by the auxiliary sockets malfunctions,
check if the circuit breaker has tripped.
WARNING
Portable RF communications equipment (including
peripherals such as antenna cables and external antennas)
should be used no closer than 30 cm (12 inches) to any part
of the Prima 400 series anaesthetic machine, including
cables specified by the manufacturer. Otherwise, degradation
of the performance of this equipment could result.
CAUTION
Cylinder supply
When the auxiliary gas outlets are in use on a machine using
cylinder supply only (i.e. if the pipeline supply is not in use),
check flow rate requirements, and ensure that adequate
A
back-up cylinders are available. 1
B
Supply pressure and flow rate C
2
Supply pressure: See section 4.5. D
Note:
All data is approximate
Work surface
Height 86 cm
Size: 58 cm x 25 cm
Loading: 30 kg (66 lb) - evenly distributed.
Top shelf: 71 cm x 35 cm
Loading: 30 kg (66 lb) - evenly distributed.
Drawers: 12 x 54.5 x 35 cm
Loading: 10 kg (22 lb) - evenly distributed
4.3 Flowmeters
Accuracy
0-1 L/min ± 100 ml
1-10 L/min ± 10% of reading on flow tube
Resolution 50 ml/min
4.9 Environmental
Operating Conditions
Temperature +10 to 38oC (50 to 100oF)
Atmospheric pressure range 70 to 106 kPa
Altitude 2438 m (8000 ft) maximum
Humidity 10-85% R.H. non-condensing.
Cleaning Wipe external surfaces with dry or damp cloth. Use mild
soap, or disinfectant solution if necessary (see section 6.1).
Overload protection Thermal circuit breaker built into the On/Off switch
Electromagnetic Compatibility
The Prima 450/460 meets the requirements of EN 60601-1-2 (electromagnetic compatibility - requirements and tests).
See also, Appendix 4.
Class 1 Classification
Type of protection against electric shock: Class 1
IPX0 Ingress Protection
Classification according to the degree of protection against ingress of water: IPX0 (not protected)
Labelling
Refer to Appendix 3
Patient Class
All patient types: No residual risks from phthalates that are carcinogenic, mutagenic, or toxic to reproduction.
WARNING
Pre-use checks must be performed before each period of
clinical use.
Note
These checks must be supplemented by periodic Function
Testing, and full Service Testing by a Penlon-trained engineer
to the Service Schedule given in the Prima 450/460 Service
Manual.
These checks will not in themselves ensure the safe use
of the apparatus, which remains the responsibility of the
qualified practitioner in charge of it.
Scavenging
1. Working and configured correctly
Monitors
1. Working and configured correctly
2. Alarms, limits and volumes set
Airway equipment
1. Full range required, working, with spares
NOTE:
Record this check in the patient record
Summary:
Don’t forget:
1. Self-inflating bag
2. Difficult airway equipment
3. Resuscitation equipment
4. Total intravenous anaesthesia (TIVA) and/or other infusion equipment
NOTE:
Record this check in the patient record
An incorrectly functioning machine must be repaired by a suitably qualified person
before use.
NOTE
a) When two cylinders are provided for a single gas, test
each separately, clearing pressure after each test by
opening the flowmeter valve.
b) Turn off the reserve cylinders during normal use.
c) Nitrous oxide: cylinder pressure does not indicate
cylinder content.
2. Ensure that all flowmeters are kept closed until gas
supplies are required.
5.2.3 Flowmeters
1
2
5.3.3 Selectatec Mounting System 2. Set one of the vaporizers (e.g. A, as shown) to the ‘On’
Up to two Selectatec compatible vaporizers may be fitted to a position.
Prima 450, and up to three to a Prima 460. 3. Check that the interlock bolt (1) has moved outwards.
To install the vaporizer: 4. Check that the second vaporizer (B) can not be switched to
1. Carefully offer the vaporizer up to the manifold. the ‘On’ position.
2. Check that the gas connection ports on the vaporizer are
aligned with the valves on the manifold.
3. Carefully lower the vaporizer onto the manifold and lock
the vaporizer into position by clockwise rotation of the
locking lever through 90o.
NOTE
Do not use excessive force to lock the vaporizer onto the
manifold. Damage to the locking fastener will result.
CAUTION
To prevent damage to the locking shaft, ensure that the gas
connection ports are aligned with the valves on the manifold,
and are correctly engaged, before tightening the locking
lever.
3
5.4.1 Power Supply Connection
1. Connect the machine power lead to a suitable mains
supply socket.
Check that the mains indicator light (1) is ON.
2. Set the auxiliary power supply switch (2) to ON.
Check for correct function of each auxiliary power outlet
(3)
3. Check all electrical equipment, including devices powered
by the auxiliary power outlets on the rear of the machine.
4. Machines with conventional flow tubes and flowmeter
lighting (4): Check for correct operation (section 3.9.3).
A200SP
9 4 8
6 5
NOTE
This machine must be fitted with a breathing system
complying with approved design parameters, at the selection
of the qualified practitioner.
The breathing system components do not constitute part of the
machine but connections between the machine and breathing
system should be verified as follows: 3
1. Fit a patient circuit to the inspiratory connector (1) and
expiratory connector (2) on the absorber, and a breathing
bag to the bag arm connector (3).
4
2. Set the bag/ventilator switch (4) on the absorber to ‘Bag’
3. Close the adjustable pressure limiting (APL) valve (5), and
occlude the patient connection port on the patient circuit.
Press the oxygen flush valve button on the front of the 2
machine briefly.
Check that the reservoir bag inflates and the manometer
(6) indicates approximately 40 cmH2O.
4. Release the oxygen flush valve.
Check that the pressure is maintained in the system
with less than 200 ml/min fresh gas delivered into the
breathing system, showing that no leaks are present. 1 5 6
5. If this test fails, recheck the low pressure system on the
machine (section 5.2.4).
If the low pressure test on the machine is successful,
check the ventilator and absorber, referring to the relevant
user instruction manual.
CAUTION
1. Replacement/Disposal - always follow the instructions
supplied with the filter or heat and moisture exchanger.
Always renew components at the recommended interval.
2. Follow the instructions in the relevant user manual for
connection to analysers and monitors.
3. Ventilator connections shown are for AV-S with
spirometry and oxygen monitor. For A200SP, refer also to
the user documentation supplied with the absorber.
4. Interface cabling is shown for Prima 450/460 On/Off
switch and A200SP Bag/Vent switch and spirometer
31
3 25 23 32
2
24
20 19 30
18
12
4 1
21
14 16 27 13
29 26 15 5 22
28 17 12
6
7 9
WARNING
1. Do not connect any vacuum system directly to the APL
valve on the absorber. A receiving system (1) with a
positive and negative pressure control function must
be interposed.
2. Systems must comply with ISO 80601-2-13.
5.7 Ventilator
Always follow the pre-use check procedures given in the
ventilator instruction manual. 2
• Check all hose and tubing connections for gas tightness.
• Check all wiring connections for correct fitment and
security.
AV-S Ventilator
Check the operation of the built in oxygen monitor system.
AV-S Ventilator Interface
Check the Interface Cable
Check for correct fitment of the interface cable (1) at the
socket (2), marked ‘Prima master’, on the rear panel of the 1
AV-S control unit, .
Check the interface system function
1. Turn the Gas Delivery Switch ON.
The ventilator will power-up.
2. While the Prima 450/460 power is ON, the ventilator can
be turned off and on, using the ventilator On/Off switch.
3. Turn the Gas Delivery Switch to OFF.
The ventilator will power-down.
WARNING
The anaesthetic machine must not be used if any alarm,
monitoring, or protection system devices are not functioning
correctly.
NOTE
All gases must be included in the pre-use check.
5. Reinstate the oxygen supply.
Check that the flow of nitrous oxide is reinstated, and that
the visual indicator (1) turns green again.
CAUTION
The canister (2) may contain condensate. Before removing
the absorber from the pole-mount assembly, refer to the
A200SP user manual for instructions on draining the canister
and disposing of absorbent.
1. Set the brakes on the anaesthetic machine castors.
3
2. Refer to the A200SP user manual and disconnect all 2
cable connectors and hoses.
3. Slacken the knob (3), and lift the absorber assembly from
the pole-mount.
Note
Removal/replacement of battery must only be undertaken by a trained technician.
WARNING
Only use accessories approved by Penlon Ltd.
Please contact Penlon Ltd. (see below), or your local Penlon Distributor.
UK Sales
Tel: 01235 547036
E-mail: uk.sales@penlon.com
International Sales
Tel: +44 1235 547001
E-mail: international.sales@penlon.com
USA
Penlon Inc.
11515 K-Tel Drive
Minnetonka
MN 55434
USA
Tel: Toll Free: 800-328-6216
Tel: 952-933-3940
Fax: 952-933-3375
E-mail: customer.service@penlon.com
Appendix 3. Labelling
On
Do not sit
Loading: 10 kg
Backbar leak check
Brightness level (dim light): Electrical power output socket for A200SP
Lighting system for models with conventional absorber
flow tubes
WARNING
The device should not be used adjacent to or stacked with other manufacturer’s equipment. If adjacent or stacked
use is necessary, the device should be observed to verify normal operation in the configuration in which it will be
used.
Required test 60601 test levels for equipment used Compliance level
in a professional healthcare facility
environment only
Electrostatic discharge (ESD) ± 8 kV contact ± 8 kV contact
IEC 61000-4-2 ± 2, 4, 8, 15 kV air ± 2, 4, 8, 15 kV air
Electrical fast transient / ± 2 kV for power supply lines ± 2 kV for power supply lines
burst
± 1 kV for input / output lines
IEC 61000-4-4
Surge ± 0.5, 1, 2 kV line(s) to earth, ± 0.5, 1, 2 kV line(s) to earth,
IEC 61000-4-5 ± 0.5, 1 kV line(s) to line(s) for power supply ± 0.5, 1 kV line(s) to line(s) for power supply
lines lines
± 2 kV line(s) to earth for input / output lines
Conducted RF 3 V - 150 kHz to 80 MHz 3 V - 150 kHz to 80 MHz
6 V - ISM bands between 150 kHz to 80 MHz 6 V - ISM bands between 150 kHz to 80 MHz
IEC 61000-4-6
Voltage dips and interruptions 0% UT (100 % dip in UT) for 0.5 cycle 0% UT (100 % dip in UT) for 0.5 cycle
IEC 61000-4-11
0% UT (100 % dip in UT) for 1 cycle 0% UT (100 % dip in UT) for 1 cycle
70% UT (30% dip in UT) for 25/30 cycles 70% UT (30 % dip in UT) for 25/30 cycles
0% UT (100% dip in UT) for 250/300 cycles 0% UT (100 % dip in UT) for 250/300 cycles
Power frequency (50 Hz) 30 A/m 30 A/m
Magnetic field
IEC 61000-4-8
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Penlon, InterMed and A200SP are trademarks of Penlon Limited. All other trademarks are the property of their respective owners.