Vent User Manual Iss1

700/900 Series Ventilators
Operator User Manual

700/900 Series
Ventilators
User
Manual
MODIFICATIONS LABEL
ECN 1 ECN 2 ECN 3 ECN 4 ECN 5
ECN 6 ECN 7 ECN 8 ECN 9 ECN 10
0120
Part Number: 140UM000

Issue 1/ March 2006
700/900 Series Ventilators User Manual 1

IMPORTANT
Read this manual before operating the machine.
Read the Vaporizer manual before operating the
machine.
Read the Absorber manual before operating the
machine.
The user must be familiar with the machine and
its various functions before using it on a patient.
2 700/900 Series Ventilators User Manual

Contents
Contents
How to use this manual ......................................................................................8
SECTION 1 - INTRODUCTION............................................... 9
1.1 Symbols & Abbreviations ......................................................................... 10
1.2 Identify your Ventilator ............................................................................. 12
1.3 Description of the Ventilator ................................................................... 13
1.3.1 Overview ........................................................................................... 13
1.3.2 Features ............................................................................................. 14
1.3.2.1 Controls & Indicators ........................................................ 14
1.3.2.2 Microprocessor Control ................................................... 14
1.3.2.3 Dual Ventilation Mode .................................................... 14
1.3.2.4 Pressure Limit Control ...................................................... 14
1.3.2.5 Built-In Ventilator Pre-Use Test ...................................... 14
1.3.2.6 Comprehensive Pressure Monitoring and Alarms ..... 14
1.3.2.7 Spirometry ........................................................................... 15
1.3.2.8 Battery Backup ................................................................... 15
1.3.2.9 Calibration Connector ...................................................... 15
1.3.2.10 Data Output....................................................................... 15
1.3.3 Operating Modes ............................................................................. 16
1.3.3.1 Volume Control ................................................................ 17
1.3.3.2 Pressure Control ............................................................... 17
1.3.3.3 Pressure Support .............................................................. 18
1.3.3.4 SIMV + PSV........................................................................ 18
1.3.3.5 Inspiratory Pause .............................................................. 18
1.3.3.6 Sigh ...................................................................................... 19
1.3.3.7 Pressure Support .............................................................. 19
1.3.4 Principles of Operation ................................................................. 20
1.3.5 Parameters ...................................................................................... 22
1.3.5.1 PEEP.................................................................................... 22
1.3.5.2 Trigger ................................................................................. 23
1.3.5.3 Support Pressure .............................................................. 23
1.3.5.4 Fresh Gas Compensation ............................................... 23
1.3.5.5 Oxygen ................................................................................ 23
1.3.5.6 Tidal Volume ...................................................................... 23
1.3.5.7 Minute Volume ................................................................. 23
1.3.5.8 Expired Tidal Volume ....................................................... 23

Contents
1.3.5.9 BPM (Frequency Control) ............................................... 23

1.3.5.10 I:E Ratio.............................................................................. 24
1.3.5.11 Pressure Limit ................................................................... 24
1.3.5.12 Peak Pressure ................................................................... 24
1.3.5.13 Mean Pressure ................................................................. 24
1.3.5.14 Compliance....................................................................... 24
1.4 User Interface.............................................................................................. 25
1.4.1 Front Panel ....................................................................................... 25
1.4.1.1 Normal Screen .................................................................. 26
1.4.1.2 Activity Display Area ........................................................ 26
1.4.1.3 Alarms Display Area......................................................... 27
1.4.1.4 Parameter Display Area .................................................. 27
1.4.1.5 TrakWheel & Touchscreen .............................................. 28
1.4.1.5.1 Trak Wheel .................................................... 28
1.4.1.5.2 Touchscreen ................................................ 29
1.4.2 Battery Status LEDs ....................................................................... 30
1.4.3 Menu Tree ...................................................................................... 31
1.4.3.1 Setup Menu ..................................................................... 31
1.4.3.2 Defaults Menu ................................................................ 32
1.4.3.3 Alarm Setup .................................................................... 32
SECTION 2 - USING THE VENTILATOR................................... 33
2.1 Operation ................................................................................................... 33
2.1.1 Powering up the Ventilator ...................................................... 33
2.1.2 Starting the Ventilator.................................................................. 33
2.1.3 Stopping the Ventilator ............................................................... 33
2.1.4 Activating and monitoring Alarms ............................................ 33
2.1.5 End of Case .................................................................................... 33
2.1.6 Powering down the Ventilator .................................................. 33
2.2 Pre-use Testing .......................................................................................... 34
2.2.1 Pre-use Test Error Messages ....................................................... 37
2.2.2 Compliance Test Skipped ............................................................. 39
2.2.3 Fresh Gas ......................................................................................... 39
2.2.4 BAG/Standby/Run ......................................................................... 41
2.2.5 I:E Setting ......................................................................................... 42
2.2.6 Oxygen Calibration ........................................................................ 43
2.3 The Measurements Menu ........................................................................ 44
2.3.1 Adult and Pediatric ........................................................................ 45
2.4 Sensor Placement ....................................................................................... 46
2.5 The Waveform Select Menu .................................................................... 48
2.6 Spirometry ................................................................................................... 48

Contents
Recalling loops ........................................................................................... 49

2.6.1 Pressure/Volume ............................................................................ 50
2.6.2 Flow/Volume .................................................................................. 50
2.6.3 Pneumothorax during Laparoscopy .......................................... 51
2.7 Airway Pressure .......................................................................................... 52
2.7.1 Airway Flow ..................................................................................... 52
2.8 Mode Selection Menu ............................................................................... 53
2.8.1 Cardiac Bypass ................................................................................. 53
2.8.2 Setting Parameters .......................................................................... 54
2.9 Alarms ........................................................................................................... 55
2.9.1 Alarms Summary ............................................................................. 56
2.9.2 Pre-set Alarms.................................................................................. 57
2.9.3 Apnea Alarms ................................................................................... 57
2.9.4 Low Supply Gas Pressure Alarm ................................................. 57
2.9.5 Vent Inoperative Alarm .................................................................. 57
2.9.6 Setting Error Alarm ......................................................................... 58
2.9.7 Sustained Pressure Alarm .............................................................. 58
2.9.8 Power Fail and Battery Low Alarms ........................................... 59
2.9.9 No Charge ......................................................................................... 59
2.9.10 Comms Fail ...................................................................................... 59
2.9.11 PEEP Alarm ...................................................................................... 59
2.9.12 Under Pressure Alarm (PCV mode only) ................................. 59
2.10 User Defined Alarms ............................................................................... 60
2.10.1 Pressure High Alarm ..................................................................... 60
2.10.2 Pressure Low Alarm ..................................................................... 60
2.10.3 MV High Alarm .............................................................................. 60
2.10.4 MV Low Alarm ............................................................................... 60
2.10.5 High BPM Alarm ........................................................................... 61
2.10.6 Low BPM Alarm ............................................................................ 61
2.10.7 High Oxygen Alarm ...................................................................... 61
2.10.8 Low Oxygen Alarm ....................................................................... 61
2.10.9 Fresh Gas too High....................................................................... 61
2.11 Auto Alarms .............................................................................................. 62
2.12 The Alarms Menu ..................................................................................... 63
2.12.1 Setting Alarms .............................................................................. 63
2.12.2 Alarm Mute .................................................................................. 64
2.12.2.1 Setting the Alarm Mute Time................................. 64
2.12.3 Setting the Apnea Time .............................................................. 65
2.13 The Defaults Menu .................................................................................. 66

Contents
2.13.1 Change Names ............................................................................. 66

2.13.2 Save Hospital Defaults ................................................................ 68
2.13.3 Saving and Recalling Settings .................................................... 68
2.13.4 Save Current Settings .................................................................. 68
2.13.5 Recall Previous Settings.............................................................. 69
2.13.6 Configuration ................................................................................ 70
2.13.7 Setup............................................................................................... 70
2.13.8 Fresh Gas Calibration.................................................................. 71
2.13.9 Sigh Setting ................................................................................... 71
2.13.10 Absorber Setting ......................................................................... 71
2.13.11 System Information .................................................................... 71
SECTION 3 - INSTALLATION.................................................... 73
3.1 Cautions........................................................................................................ 73
3.2 Pre-use Checks ............................................................................................ 77
3.3 Discharged Battery ..................................................................................... 79
3.4 Exchanging Bellows Units......................................................................... 80
3.4.1 Installing Adult Bellows ................................................................. 81
3.5 Pre-use Test ................................................................................................. 82
3.5.1 Fresh Gas ........................................................................................ 82
3.5.2 Compliance...................................................................................... 82
SECTION 4 - ROUTINE USER MAINTENANCE ........................ 84
4.1 Weekly Checks............................................................................................. 84
4.1.1 Control Unit..................................................................................... 84
4.2 Six-Monthly Checks .................................................................................... 84
4.2.1 Bellows ............................................................................................. 84
4.3 Other Maintenance .................................................................................... 85
4.4 Exchanging Fuses ........................................................................................ 85
4.5 Cleaning and Sterilization ......................................................................... 86
4.5.1 Ventilator Surfaces ......................................................................... 86
4.5.2 Pop-off Valve Seat ......................................................................... 86
4.5.3 Patient Airway Flow Sensor......................................................... 88
4.5.4 Bellows ............................................................................................. 88
4.5.5 Methods of Sterilization ............................................................... 89
SECTION 5 - TROUBLESHOOTING.......................................... 91
SECTION 6 - APPENDICES ....................................................... 93
6.1 Performance Data ..................................................................................... 93
6.1.1 Notes on Performance Data ...................................................... 94
6.2 Dimensions ................................................................................................. 94
6.3 Factory Default Settings ........................................................................... 95

Contents
6.4 Fixed Features ............................................................................................ 96

6.5 Mode Dependant Features ..................................................................... 97
6.6 Associated Equipment & Accessories ................................................... 98
6.7 External Communication Specification ..............................................100
6.7.1 Data Transmission Settings ......................................................100
6.7.2 Protocol ........................................................................................100
6.7.3 Set Messages ................................................................................101
6.7.4 Breathing Modes .........................................................................101
6.7.5 Breathing Control .......................................................................101
6.7.6 Measured Value Messages........................................................102
6.7.7 Event Message.............................................................................102
6.7.8 Alarm Message ............................................................................103
6.7.9 Error Codes ..................................................................................104
SECTION 7 - NOTICES.............................................................105
7.1 Product Improvement ...........................................................................105
7.2 Responsibilities of the User ...................................................................105
7.3 Responsibilities of the Manufacturer ..................................................105
7.4 Disclaimer .................................................................................................106
7.5 Technology Disclaimer ...........................................................................106
7.6 Note to Service Personnel ....................................................................106
7.7 Copyright ..................................................................................................107
7.8 CE Marking ...............................................................................................107
7.9 Trademarks & Acknowledgements ......................................................108
7.10 Hazard Notices .......................................................................................109
7.10.1 Hazard Information ................................................................110
7.10.2 Cautionary Notices .................................................................113
SECTION 8 - GLOSSARY .........................................................116
SECTION 9 - INDEX .................................................................117
List of Figures
Figure 1 700/900 Series Ventilator ................................................................13
Figure 2 Pneumatic System D iagram ............................................................21
Figure 3 Front Panel ............................................................................................25
Figure 4 Airway Sensor Placement .................................................................47
Figure 5 Exchanging Bellows Units ................................................................80
Figure 6 Exchanging Fuses ................................................................................85
Figure 9 Removing the pop-off valve ............................................................87

Blease 700/900 Series Ventilators
How to Use This Manual

This manual is designed as a guide for learning to operate the 700/900 Series
Ventilators, and also as a reference tool to use once you are familiar with the
system.
For information on disclaimers, contact information, trademarks, cautions

warnings and hazards, refer to section 7 at the back of this manual.

Section 1 - 700/900 Series Ventilators 1. Introduction
1. Introduction
Welcome to the User and Routine Maintenance Manual for the Blease 700/900
Series Ventilators.
This handbook is intended for users of the ventilator and contains detailed
installation and operating instructions. It also includes cleaning and sterilization
methods, basic troubleshooting and routine maintenance procedures.
Personnel operating the ventilator must become thoroughly familiar with the
instructions contained in this handbook prior to using the ventilator with patients.
The Blease 700/900 Series ventilators are intended for use by a qualified
practitioner under the direction of a qualified anesthetist. When the ventilator is
connected to a patient, it is recommended that a licensed medical practitioner be
in attendance at all times to react to an alarm or other indication of a problem.
WARNING: Incorrect use of the equipment described herein may

result in injury to the patient. Read this manual before operating
the machine. You must be familiar with the machine and its
functions before using it on a patient.
To ensure correct functioning of the equipment it must be serviced at regular

intervals. The ventilator must be serviced or repaired only by qualified service
personnel using genuine Blease spare parts. Blease Medical will not otherwise
assume responsibility for the materials used, the work performed or any possible
consequences of the same.
In communication with Blease Medical, quote the model and serial number of the
equipment, with the approximate date of purchase.
If the unit is being returned for repair, indicate the nature of the fault or the work
you require to be carried out. Please obtain clearance from Blease Technical
Support before dispatch.

Symbols & Abbreviations Section 1 - 700/900 Series Ventilators
1.1 Symbols and Abbreviations

bpm BPM Breaths per minute
cmH2O Gauge pressure expressed in centimetres of water

CPAP Continuous positive airway pressure
PEEP Positive end expiratory pressure
I:E Ratio A ratio of inspiratory to expiratory time
IEC symbol to consult the instructions for use
IEC symbol denoting type of equipment (B)
WARNING: There is danger of personal injury to the

user or patient
Further relevant or helpful information
Power off
Power on
Dangerous voltage
l/m lpm Litres per minute
ml Millilitres
O2 Oxygen
psi Pounds per square inch
psig Pounds per square inch gauge
l Litres
IEC symbol for alternating current
Confers approval under theEuropean Medical Device Directive
E of C End of Case
This symbol indicates that the waste of electrical and electronic

equipment must not be disposed as unsorted municipal waste
and must be collected separately. Please contact an authorized
representative of the manufacturer for information concerning
the decommissioning of your equipment.

Notes

1. Description Section 1 - 700/900 Series Ventilators
1.2 Identify your Ventilator
Use the table below to identify your ventilator model in

order to then refer to relevant sections of the manual.
700 Series 900 series

710 730 750 950 970 990
Screen size 8.4” 8.4” 8.4” 8.4” 8.4” 8.4”
Display Mono Mono Mono Color Color Color
Interface Touch & Touch & Touch & Trak Touch & Touch & Touch &
Trak Trak Trak Trak Trak
Tidal volume
compensation
Fresh gas compensation Optional for Optional for Optional for Optional for Optional for Optional for
OEM/stand OEM/stand OEM/stand OEM/stand OEM/stand OEM/stand
alone alone alone alone alone alone
Configurable preset or
measured compliance
Vent mode
Volume Control
Pressure Control
SIMV + PSV
Pressure Support
Vent monitoring
Oxygen
Exhaled volume
monitoring
Airway Pressure
Pressure waveform
Flow waveform
Spirometry Loops
Data Output

Section 1 - 700/900 Series Ventilators 1. Description
1.3 Description of the Ventilator
1.3.1 Overview
The 700/900 series ventilator is an advanced, microprocessor-controlled,
pneumatically driven ventilator which has been designed specifically for the
mechanical ventilation of adult and pediatric patients under general anesthesia.
The control unit houses the electronic and pneumatic control systems. It sets the
desired ventilatory parameters and generates alarm, warning and status messages.
The control unit also calculates and implements the functions necessary to drive
the bellows pneumatically.
The bellows assembly comprises a base and a bellows housing.
The 700/900 series ventilator is designed for use with a circle-type absorber and is
ideally suited to both low-flow and high-flow applications. The ventilator may also
be used with either a Bain-type coaxial circuit or a Jackson-Rees/Ayres T-piece
type pediatric circuit by using an adaptor.
There are variations based on the drive gas used (air or oxygen) and the drive gas
connector type (depending on the eventual country of use).
See 6.6 Associated Equipment and Accessories in the Appendices for ordering
information for the various types.
Throughout this manual, all figures and descriptions refer to a UK-

specification 700/900 series ventilator with oxygen drive gas supply.
Figure 1 700/900 Series Ventilator

1.3.2 Features
1.3.2.1 Controls and Indicators

The operating parameters of the ventilator are set by a combination of touch
screen and Trak Wheel. Parameter values are shown on the touch screen.
1.3.2.2 Microprocessor Control

The built-in microprocessor control system makes it easy to upgrade and
customize the unit.
1.3.2.3 Dual Mode Ventilation

The ventilator can be used as either a flow generator or a pressure generator and
in both cases it is time cycled. Ventilation can therefore be tailored to meet all
patient requirements as each mode has an adult and pediatric application. In
addition to this the ventilator can be patient flow triggered.
1.3.2.4 Pressure Limit Control
This prevents barotrauma and gives maximum safety by ensuring accurate, safe
ventilation to a pre-set pressure limit.
1.3.2.5 Built-in Ventilator Pre-use Test

A ventilator Pre-use Test system ensures accurate ventilator delivery irrespective
of system back-pressure.
1.3.2.6 Comprehensive Pressure Monitoring and

Alarms
Selectable functions allow Airway, Peak and Mean pressure monitoring
spirometry, together with high, low and built-in airway flow detected Apnea
alarms.
Alarms are activated to guard reliably against disconnection, circuit leakage and
unachieved set volumes. The alarms are audible and visible. When activated, the
alarms are listed on the display.
The mains and battery alarms also have light emitting diode (LED) indication.

1.3.2.7 Spirometry
The 700/900 series ventilator offers a simple, accurate and user- selectable display
of set and monitored tidal volumes.
The user also has a choice of one of the following on-screen waveforms:
1) Airway Pressure
2) Pressure/Volume
3) Flow/Volume
4) Airway Flow
1.3.2.8 Battery Back Up

The internal battery is automatically charged when the ventilator is connected to
the mains electrical supply. If the ventilator is in the 'ON' position and the mains
electrical power fails, the battery will provide continued operation of the ventilator
for a minimum of one hour if fully charged. A discharged battery takes approx. 8
hours to fully charge.
Low Battery Indicator
The mains fail alarm will be activated and a
battery symbol will appear in the alarms
panel. Symbol indicates how much charge is
left in the battery.
1.3.2.9 Calibration Connector

A 9-way D-type connector labeled CALIBRATION PORT is situated at the rear of
the ventilator. This is not an RS232 port and is used purely for calibration of the
700/900 series ventilator in conjunction with a special lead. Further details can be
obtained from Blease Technical Support.
1.3.2.10 Data Output

A 9-way D-Type connector is provided for RS232 connection of data to external
monitor systems.
Improper connection of equipment or any power sources to the

calibration port may permanently damage the ventilator. Only a
qualified technician should connect monitoring equipment to the
recorder output. Such equipment must be Blease-compatible and
meet the regulatory standards of the countries in which the
ventilator is used.

1.3.3 Operating Modes
Some features of the ventilator are only available in certain

ventilatory modes
There are four ventilation modes; Volume Control, Pressure Control, Pressure
Support and SIMV + PSV.
The differences between the Adult and Pediatric modes are:
• The ventilator sustained pressure requires a greater pressure 'movement' in
adult mode to avoid being activated.
• Setting alarms and limits are, in general, optimized for lower pressures and
volumes to be used in pediatric mode.
WARNING: Short inspiratory times may result in inconsistent

breath delivery. Avoid control combinations which may produce
very short inspiratory times (<150 ms).
WARNING: Pressure limiting is a safety feature and is also used

in adult and pediatric mode to provide ventilation (PCV). It
should not be used for any other purpose, such as creation of
micro-breaths or emulation of specialized high frequency/low
volume ventilation systems, otherwise injury to the patient may
result.

1.3.3.1 Volume Control

Volume Control Ventilation is a time cycled mode that delivers a set volume into
the circuit within a set time. The 700/900 series ventilator ensures that the
delivered volume is independent of any compression losses in the absorber,
bellows and associated tubing. Changes to fresh gas do not cause a permanent
change to the delivered volume, the ventilator automatically re-adjusts the
delivered tidal volume within the next few breaths.
When the tidal volume limit is reached, the ventilator immediately cycles into
expiration.
1.3.3.2 Pressure Control

Pressure Control Ventilation is a time-cycled mode where the ventilator maintains
the set inspiration pressure for the inspiratory period. The user sets the required
pressure.
The ventilator delivers volume until the set pressure limit is reached; then
maintains the pressure until the end of the inspiratory time.
The effect of Volume and Pressure modes on the pressure and flow waveforms is
shown below:
Volume Control Mode Pressure Control Mode
Set pressure limit
Insp
Flow
Exp

1.3.3.3 Pressure Support

When a patient takes a spontaneous breath from an anesthetic system the work
of breathing is harder than normal. To overcome this, the 700/900 series
ventilator detects the negative flow caused by the patient's attempt to breathe
and then initiates flow to assist the patient with the spontaneous breath. The flow
continues until the breathing circuit pressure reaches a pre-set value.
The user must set two parameters: the Trigger threshold (5 to 15 L/min), and the
Support Pressure which is referenced to the PEEP level (5 to 30 cm H2 O).
1.3.3.4 SIMV + PSV

Synchronized Intermittent Mandatory Ventilation (SIMV) is an extension of the
spontaneous mode in so far as the patient can take breaths on demand with
optional pressure support, but some mandatory breaths are included. The user
must set a Trigger threshold and Support Pressure, as for Pressure Support, and a
Tidal Volume and Breathing Rate.
To prevent hyperventilation, any changes in the breathing rate are only allowed to
take place slowly. If the patient fails to make any effort to breathe, the SIMV
function automatically defaults to the ventilation function, identical to Volume
Control Mode at the set SIMV rate.

1.3.3.5 Inspiratory Pause

When pause is activated, a percentage of the inspiratory time is used as a plateau
prior to the start of the expiratory phase. This means that the I:E ratio is
maintained irrespective of the duration of the pause. The pause feature is found
under the Mode Selection menu and is user selectable from 0-50%.
1.3.3.6 Sigh
When Sigh is activated, the delivered tidal volume in Volume Control Mode is
increased by the set percentage of the duration of one breath at the set
frequency. The default percentage is 10% and default frequency is once every
tenth breath.
1.3.3.7 Pressure Support

In Pressure Support mode the PS + PEEP
patient controls when the ventilator PEEP
starts to deliver and when the Trigger Pressure
ventilator cycles into expiration. Peak Flow (up to 100 LPM)

Exp. Theshold (25%)
The start in inspiration is set by the Flow
flow trigger, once the patient has

made an attempt to breathe that
exceeds the set flow trigger the
ventilator will deliver at the support Insp. Exp.
Volume
pressure until the flow is reduced to
25% of the peak flow. The ventilator will then go into expiration.
In Pressure mode bpm, tidal volume and I:E ratio are all monitored values.

1.3.4 Principles of Operation

For active inspiration, the flow control valve is opened to provide a specific gas
flow into the bellows assembly. Simultaneously the expiratory solenoid closes and
pressure is generated in the bellows assembly producing an inspiratory flow to
the patient.
The flow and pressure are measured and monitored by the microprocessor
feedback system.
Expiration occurs when the flow control valve is closed and the expiratory
solenoid opens and releases the gas from the bellows assembly.
In Pressure Control Mode the set pressure is achieved during inspiration and
maintained at that level by allowing a controlled bypass through the expiratory
valve. This allows the required pressure level to be maintained whilst
compensating for any fresh gas flow into the patient circuit.
For expiration the expiratory solenoid is opened which releases the gas from the
bellows assembly.
During all modes of ventilation an autozero is periodically applied to the flow

sensors just prior to a breath being delivered; at this point there is no flow
through the sensors, this ensures that the measured values are maintained as
accurately as possible regardless of environmental variations.

Figure 2 Pneumatic System
PEEP
VALVE INSP
SOCKET CONTROL
BOARD
75cmH2O
EXHAUST
RELIEF
PORT
VALVE EXPIRATORY
SOLENOID
VALVE
34.5 psi
FLOW CONTROL VALVE
PNEUMOTACHOGRAPH
DRIVE
GAS GAS
SUPPLY OUTLET
INLET PORT
36-101 psi
FILTER
2.5-7 BAR
Section 1 - 700/900 Series Ventilators
MAIN AIRWAY FLOW FRESH GAS

REGULATOR SENSOR INLET SENSOR INLET
700/900 Series Ventilators User Manual

LOW
SUPPLY
PRESSURE
DETECTOR
36psi
AUTO ZERO VALVE
AUTO ZERO VALVE
PT2 PT4 PT5 PT3 PT1
PRESSURE FLOW PEEP DUMP

SWITCH VALVES VALVE VALVE
PL5 PL4 PL8 PL5
INSPIRATORY DRIVE PATIENT PATIENT FRESH
FLOW PRESSURE PRESSURE AIRWAY FLOW GAS FLOW
CONTROLLER BOARD POWER SUPPLY BOARD PRESSURE INTERFACE BOARD

1. Description
21
1.3.5 Parameters
The following parameters can be set and/or monitored when the ventilator is in
operation.
1.3.5.1 PEEP
The 700/900 series ventilator
PEEP
continuously monitors and P(cmH2O)
displays the Positive End
Expiratory Pressure (PEEP). By
default, a PEEP of 2 - 4 cm H2O is
introduced to the circuit, caused PEEP OFF
(Resident PEEP
2-4cmH2O) O
by the bellows assembly, which is
shown as OFF. A PEEP value T
between 3 and 20 cm H2O can be
P(cmH2O)
set from the panel, with an
automatic alarm of more than Pressure Control
25% above the set value. MIN 8cmH2O (Adult)

5cmH2O (paed)
A minimum difference of 8 cm SET PEEP

(3-20cmH2O)
H2O in adult and 5 cm H2O in ped

is enforced between the set PEEP T
level and the pressure controls shown below.
MODE PRESSURE CONTROL
Volume Control Pressure Limit
Pressure Control Set Pressure
Pressure Support Support Pressure
SIMV + PSV Support Pressure + Pressure Limit
When the user changes a value such that it does not comply with the required
difference the box surrounding the feature being adjusted and the value of the
feature causing limiting to be enforced is highlighted red. The value being
adjusted could either be the PEEP level or the relevant pressure control.
The user can then:

• Accept the value being adjusted, in which case it will be set to the nearest
acceptable value.
• Adjust the value to a non-conflicting value.
If the user does not make the change before end of time allowed for adjustment
the value will set to the nearest acceptable value.

1.3.5.2 Trigger
The level of negative flow caused by the patient's attempt to breathe before the
ventilator initiates flow to assist the patient with the spontaneous breath.
Range 5 to 15 L/min all modes (SIMV + PSV and Pressure Support).
1.3.5.3 Support Pressure

Breathing circuit pressure level for assistance with patient's spontaneous breath.
Range 5 cm H2O to 30 cm H2O SIMV + PSV and Pressure Support (PEEP

referenced).
1.3.5.4 Fresh Gas Compensation

0 l/m to 30 l/m of fresh gas can be compensated for and displayed on screen.
1.3.5.5 Oxygen
A fuel cell sensor can be connected to allow monitoring of 0% to 100% O2, with
alarms of 18% to 110%. The sensor can be calibrated
1.3.5.6 Tidal Volume

Volume to be delivered by the ventilator in each breath.
Range 20 ml to 1500 ml all modes.
1.3.5.7 Minute Volume

Measured volume delivered by the ventilator per minute.
Range 0.3 l/m to 25 l/m all modes.
1.3.5.8 Expired Tidal volume

Expired tidal volume is measured by the sensor in the breathing circuit, in either
mechanical ventilator spontaneous breathing mode. The measured value is
displayed in the tidal volume window.
1.3.5.9 BPM (Frequency Control)

The mechanical frequency of the ventilator in breaths per minute (BPM).

1.3.5.10 I:E Ratio

The ratio of the inspiratory time to the expiratory time.
Range 2.0:1 to 1:5.0 all modes.

1.3.5.11 Pressure Limit
The breathing system maximum pressure limit.
Range 10 cm H2O to 50 cm H 2O Paed.
10 cm H2O to 70 cm H 2O Adult.
1.3.5.12 Peak Pressure

Range 0 cm H2O to 100 cm H 2O
1.3.5.13 Mean Pressure

Range 0 cm H2O to 100 cm H 2O
1.3.5.14 Compliance
System compliance in ml/ cm H2 O
Patient compliance in ml/ cm H2 O

Section 1- 700/900 Series Ventilators 1. Description
1.4 User Interface
1.4.1 Front Panel

The front panel of the 700/900 series ventilator has the following controls and
indicators:
1 LCD Touch Screen (700 monochrome, 900 Color)

2 Battery-Status LEDs
3 Trak Wheel
Figure 3 Front Panel

1.4.1.1 Normal Screen

The normal screen is divided into three display areas: Activity, Alarms and
Parameters.
Alarms
Activity
Parameters
1.4.1.2 Activity Display Area

The activity area includes a graphical display updated in real time to show the
breathing cycle. The graph is auto-scaled to fit on the y-axis and to show three
cycles on the x-axis.
Status Line
Graphical
Display
Peak
Marker

Below the waveform, the status line shows:

• the current ventilator mode (Volume Control, Pressure Control, Pressure
Support or SIMV + PSV);
• Adult or Ped mode;
• Pause (when selected);
• Sigh (when selected).
1.4.1.3 Alarms Display Area

The alarm display lists any active alarms, with the most recent at the top of the
list. The alarm settings for the current mode of operation are shown at the
bottom of the alarm display area.
1.4.1.4 Parameter Display Area

The parameters display comprises of an array of windows, each of which displays
a parameter that has been selected for monitoring, or a level that has been set
for the current function.
If a parameter has a pre-set level, as well as a monitored value, the pre-set level is
indicated at the bottom left of the parameter window and the monitored value is
shown in the larger font to the right of the window.
Parameter
Monitored
Value
Pre-set
Level

1.4.1.5 Trak Wheel & Touch Screen

The Trak Wheel is a rotary encoder, incorporating a switch, which functions in a
similar way to a computer mouse when turned left or right. It allows control of
the on-screen cursor and the option to vary numerical data.
1.4.1.5.1 Trak Wheel
Selecting a Parameter
1. Turn the Trak Wheel in either direction until the required parameter is
highlighted.
2. Press the Trak Wheel to select the item.
The selection is cancelled if the Trak wheel is not moved for

approximately 5 seconds.
Editing a Parameter
1. When a parameter is selected, turn the Trak Wheel clockwise to increase
the numerical value or anticlockwise to decrease the value.
2. Press the Trak Wheel when the required value is displayed to confirm
selection.
Selecting a Menu I tem
1. Within a menu, turn the Trak Wheel clockwise to descend the menu or
anticlockwise to ascend the menu. If a menu item is displayed in white, it is
not selectable at this time.
2. Press the Trak Wheel to confirm selection.
User adjustable parameters can be set from the normal screen:
1. Turn the Trak Wheel until the desired parameter is highlighted. When the
cursor reaches the end of one row it will move to the other.
2. Press the Trak Wheel. The parameter is highlighted, indicating that it can be
edited.
3. Rotate the Trak Wheel until the required value is indicated.
4. Press the Trak Wheel again to confirm the new value.

1.4.1.5.2 Touchscreen
Setting Parameter
Be sure to use your fingertip to activate the touchscreen, do not use pens or
pencils or any other sharp instruments as these will damage the touchscreen.
• Touch box for the parameter you want to change.
• The up and down and confirm buttons are now active.
• Press up or down button until you have the desired setting.
• Press confirm to confirm setting.
To change settings.
• Menu keys on the right of the screen
• Press appropriate setup or alarm button
• Another menu box will appear
• Select parameter
• Press return until normal screen is restored.
Note If confirm button is not pressed the old value will be restored.
Combination of both touchscreen and trakwheel can be used.

1.4.2 Battery Status LEDs
Icon Color Function
Mains Failure - the mains power supply has failed

RED and the ventilator is running from its internal
battery.
Battery Low - the battery is running low and the

AMBER mains supply should be connected to recharge the
battery immediately.
Battery Charging - the mains power supply is

GREEN available and the battery is charging.
This indicator glows green when the ventilator is
switched on.
To preserve battery life, never store the ventilator with its

battery discharged, Do not store the ventilator in close
proximity to heat sources of any kind.

SETUP
1.4.3 Menu Tree
1.4.3.1 Setup Menu

OXYGEN CALIBRATION
MEASUREMENTS
WAVEFORM SELECT
SYSTEM INFORMATION
MODE
DATE/TIME SETUP
PRE-USE PERFORM CHECK
SERVICE MODE
CONFIGURATION
BACKLIGHT

Section 1 - 700/900 Series Ventilators
DEFAULTS
1.4.3.2 Defaults Menu
SAVE CURRENT SETTINGS SAVE HOSP DEFAULTS RECALL CHANGE NAMES
ALARM LIMITS
ALARM SETUP
1.4.3.3 Alarm Setup
MUTE TIME
APNEA TIME

Section 2 - 700/900 Series Ventilators 2. Operation
2. Using the Ventilator

This section describes how to:
• switch on the ventilator;
• select the operating mode and functions;
• set the operating parameters.
WARNING: Short inspiratory times may result in inconsistent breath delivery.

Avoid control combinations which may produce very short inspiratory times
(<150 ms).
WARNING: Pressure limiting is a safety feature and is also used in adult and
pediatric mode to provide ventilation (Pressure Control). It should not be used
for any other purpose, such as creation of micro-breaths or emulation of
specialized high frequency/low volume ventilation systems, otherwise injury to
the patient may result.
WARNING: Patient circuit disconnection is a hazard to the patient. Take extreme

care to prevent such an occurrence.
Monitored values require a few minutes to stabilize after initial activation.
Despite this, the ventilator and set values will function correctly.
2.1 Operation
2.1.1 Powering Up the Ventilator
To power up the 700/900 series ventilator Press and Hold the trakwheel for four
seconds. The screen will then turn ON and give access to the pre-use test. The
ventilator powers up in Standby with monitoring in standby.
2.1.2 Starting the Ventilator
The ventilator is started by selecting the Run/Standby button on screen.
2.1.3 Stopping the Ventilator
The ventilator is stopped by selecting the Run/standby button on screen.
2.1.4 Activating and monitoring alarms
Monitoring and monitoring alarms are activated with breath
detection.
2.1.5 End of Case
With the ventilator stopped and in bag mode the end of case
button is active. With selection of end of case the options
shown on following screen diagram are available.
2.1.6 Powering down the Ventilator
To power down the 700/900 series ventilator select End of case button on the
screen. One of the options is to power down. Select Yes to the question ‘power
down YES or NO’. The ventilator will then turn OFF.
SA

2. Using the Ventilator

This section describes how to:
• switch on the ventilator;
• select the operating mode and functions;
• set the operating parameters.
WARNING: Short inspiratory times may result in inconsistent breath delivery.

Avoid control combinations which may produce very short inspiratory times
(<150 ms).
WARNING: Pressure limiting is a safety feature and is also used in adult and
pediatric mode to provide ventilation (Pressure Control). It should not be used
for any other purpose, such as creation of micro-breaths or emulation of
specialized high frequency/low volume ventilation systems, otherwise injury to
the patient may result.
WARNING: Patient circuit disconnection is a hazard to the patient. Take extreme

Monitored values require a few minutes to stabilize after initial activation.
Despite this, the ventilator and set values will function correctly.
Powering Up the Ventilator

To power up the 700/900 series ventilator fitted to the Sirius, turn the gas supply
switch on (clockwise) on the Sirius trolley. The screen will then turn ON and give
access to the pre-use test. The ventilator powers up in Standby with monitoring
in standby.
Starting the Ventilator
The ventilator is started by turning the BAG/VENT switch to VENT on the
absorber.
Stopping the Ventilator
The ventilator is stopped by turning the BAG/VENT switch to BAG on the
absorber.
Activating and monitoring alarms
Monitoring and monitoring alarms are activated with breath detection.
End of Case
With the ventilator stopped and in bag mode the end of case
button is active. With selection of end of case the options
shown on following screen diagram are available.
Powering down the Ventilator
To power down the 700/900 series ventilator turn the gas
supply switch to OFF (anticlockwise). The ventilator will then turn OFF.
SIR

2. Operation Section 2 - 700/900 Series Ventilators
2.2 Pre-use Testing
Please read the following instructions in conjunction with the

information on Compliance compensation contained in the
Installation section of this manual.
The patient airway flow sensor head must be in the patient circuit in
order to carry out compliance compensation.
The option to run a Pre-Use Test for Compliance Compensation is built into the
Startup menu. (model numbers shown on screens would be different dependant
on configuration).
The opening screen at switch on. The warning screen if the pre-use is
cancelled.
Following YES this is the start screen for the pre-use tests. Follow all on screen
instructions.

At this stage 1 of 2 screens may appear depending on how the gas analyzer is
set-up. The left screen is if the analyzer is scavenged or the right screen if the
analyzer exhaust is returned to the circle.
The instructions given are the preparation for performing 3 ventilator tests.
1. PEEP Valve calibration, 2. Calculation of system dead space (compliance), 3. Leak Test.
Having calibrated the PEEP valve and measured the dead space the leak test starts
on the left and concludes with the right hand screen after 20 seconds.
Having successfully passed the leak test the option is given to test the Manual or
Bag system of ventilation. Making a no decision at this point will enter the
normal run screen. Yes will follow on to the preparation for system test.

The following 3 screens are the Gas Machine Tests.
NB. This is just a set of instructions it is not an active test. Set the controls as instructed and
carry out the manual test as instructed making the necessary observations that all is working as
correctly.
Having proved that the manual system works the ventilator can be tested at
nominal settings of TV 500 mL, 12 BPM, I:E 1:2.0 Set up the system as described
Press the track wheel when ready and set the Bag/Vent switch to Vent. Ensure
that the Bag and Bellows are full. Observe the displayed wave form and expired
volume are consistent with the expected result. Other tests can be carried out at
the users discretion.
When this test is completed satisfactorily the system is ready for use.
If the optional external PEEP valve is tested during the Pre-Use test. If the valve is
replaced or fitted during use the Pre-Use test must be carried out to ensure
continued accurate operation.

2.2.1 Pre-use Test Error Messages
If errors are encountered during the pre-use test then one of the following
screens will be displayed. The screens are designed to give an indication of what
may have caused the error and possible solution.
This screen suggests that the patient pressure is too high (>4cmH2O) to begin the
test.
If the absorber is not set to Vent when starting the test the system will give a
reminder.
Fresh Gas too High. Reduce and Re-Start.

Pull forwards a couple of cm, Check the gauges for correct gas
check no foreign objects are supply.
between the absorber and main
frame, push absorber fully back.
Failure to fill the bellows at the If the system has a leak that is
start of the tests will be too large or if the circuit is not
occluded correctly the test will
fail at this point.
NB. It has been noted that this can be caused by fitting a Re-Breathing bag to the “Y”
connector instead of occluding the circuit on the plug provided on the absorber.
If a leak is detected the above causes are the possible places to look. It should be
noted that these are not the only leak possibilities, small holes in the sensor
tubing, Cracks in Breathing circuits are sometimes possibilities too.

Below are the screens that set-up the conditions affecting the opening Pre-use
screens regarding gas analyzer exhaust positioning.
The gas analyzer exhaust gas can be dealt with in two ways a) it can be simply
exhausted to atmosphere (scavenged) or b) it may be returned to the circle.
These choices need to made by the hospital and the selection made at the time
of commissioning the system. The selection can have marked effects on he leak
tests carried out during the pre-use testing.
If the sample line is disconnected but the exhaust is returned to the circle then it
may mask leaks by providing an additional gas input. If the reverse situation I.e.
the sample line is connected but the exhaust is not then it would constitute a
leak.
2.2.2 Compliance test skipped

If the operator chooses
not to carry out a
compliance pre-use test'
the information below
will be displayed on
screen.
The opening screen. The warning screen that

proceeds if the pre-use
2.2.3 Fresh Gas is cancelled.
Fresh Gas Flow Compensation has several effects on the operation of the
ventilator. In normal conditions the volume added to each breath due to fresh
gas flow / time is deducted from the driving gas volume that is used to compress
the bellows, this gives a volume at the "Y" piece that is constant.
In some situations when the normal correction cannot be completed an alarm

will be caused and advice given as to what to do when correction cannot be
made by reducing drive gas.

2.2.4 Standby/Bag/
Run
By turning the absorber to VENT
the ventilator will automatically
run.
By returning switch to BAG the

ventilator will go into BAG mode.
The diagram shows a breath as

flow into and away from the Expiration
+2LPM
patient
Inspiration -2LPM
The Breath is detected when:-

• Inspired is passing down thro -2LPM
• Expiration is when passing from -2LPM and up thro +2LPM
• The breath ends when the next transition is made thro +2LPM and down to -2LPM
• The breathing detection that activates “Bag Mode” is after 3 such transitions has taken
place in <30 seconds
After a breathing pattern is detected the Apnoea detector is made active. This will detect a
failure to breath after the user set period.
The ventilator in STANDBY will on detecting a spontaneously breathing patient switch to
BAG mode and STANDBY on screen will be replaced by the word “BAG”. In this condition
all relevant alarms will be active.
The alarms not in use at this time are:
• Pressure Low
• MV Low
The system will when set to RUN change the on screen display to VENTILATION and
operate as the selected mode.

Whilst in BAG mode all monitoring is still active and

alarms are active with the exception of low/high MV,
low/high BPM and PEEP alarms.
To cancel these and return to Standby mode press End

of Case button on screen and then select an option.
The following is a summary of the alarm messages, under various conditions.
The ‘normal’ situation at mid-high tidal volumes is that there will be the option to
change either I:E or fresh gas. The I:E is highlighted in red, and the value to set
the fresh gas to is displayed in the alarm panel (i.e. in this case 10 LPM).
If the tidal volumes are low, the allowable fresh gas flow will be low, and where
the suggested calculated fresh gas flow would be less than 2 LPM, the ventilator
would say “Reduce Fresh Gas”.

In some cases, at high fresh gas flow, the calculated I:E would be outside the
range of I:E settable on the ventilator. The maximum I:E settable on the ventilator
is 1:5.0. i.e. if calculated I:E should be 1:7 which is not possible. Then the only
option is to reduce the fresh gas flow. Thus the I:E will NOT be forced red, and
will be left at it’s set value.
2.2.5 I:E Setting

In the case where the I:E is forced to a value in RED, when you rotate to it, THAT
value, rather than the previously set value will be displayed.
So initial condition becomes present, I to E is calculated.

Now rotate to It. It IMMEDIATELY shows the correct value, just CLICK and
accept.
If nothing happens during the first 12 seconds of the alarm the suggested I:E will
be forced. The alarm will continue to sound.
2.2.6 Oxygen Calibration

The Oxygen Calibration menu allows adjustment of the displayed oxygen
concentration to match the gas that the probe is exposed to; this is normally
100% pure oxygen.
NOTE: Calibration is only possible if the ventilator is in Standby

and a probe is connected.
1. Ensure O2 is selected as monitored parameter.

2. Press the Setup menu key, Oxygen Calibration.
3. Expose the probe to 100% pure oxygen flow or 21% room air.
4. Adjust the displayed value to 100% or 21% as applicable by turning and
pressing the Trak wheel.
5. Press the Trak wheel again to start the calibration process. This takes
approximately one minute and a countdown is displayed whilst it is in
progress.
6. Once the calibration process is complete return to the main screen, stop the
flow of pure oxygen and expose the probe to room air for a few minutes.
7. The oxygen concentration should nominally read 20.9+/-0.5%.

2.3 The Measurements Menu

The Measurements Selection menu allows the operator to assign parameters to
the second row of on-screen buttons.
The features available will depend on the operating mode.
1. Press Setup Menu.

2. Select Configuration Menu.
3. Select Measurements.
The Measurements Selection Menu opens.
3. Turn the Trak Wheel to highlight a feature on the menu, for example Fresh
Gas.
4. Press the Trak Wheel. The left-hand button on the second row of displayed
parameters is highlighted.
5. Turn the Trak Wheel to highlight each button in turn until a new one is
selected.
6. Press the Trak Wheel again to assign Fresh Gas to the highlighted button and
return to the Features Selection menu. Follow the same process to un-assign
a button.
7. Select Return to close Measurements Selection Menu.
8. Select Return to close the Main menu and go back to the normal screen.

2.3.1 Adult and Pediatric
1. Place ventilator into BAG or Standby.
2. To select either Adult or Pediatric mode

press the Defaults Menu button.
3. Change selection and press return.
4. Or place into BAG or Standby mode and

press on the Adult/Pediatric button on the
main screen and change selection
5. Alternatively whilst in BAG or Standby mode

press the adult or pediatric button on the
screen, select and return.
Option can only be changed whilst

ventilator is in BAG or Standby mode and
not in run mode.

2.4 Sensor Placement

The sensor can be placed at two locations in the circuit at the patient, or at the
absorber expiratory port.
1. Place ventilator into Bag mode or Standby, to place

into Bag mode turn absorber switch to bag. To
place into standby place absorber in Bag mode then
press end of case on the screen and choose one of
the options to place ventilator into Standby mode.
2. Press Sensor button on screen.
This can only be done in standby mode and

not in run mode.
3. Select Absorber or Patient position using the Trak Wheel.
4. Select either “Sensor At Patient” or “Sensor At Absorber” and press the Trak
Wheel to confirm.
5. To come out of Standby, turn absorber switch to VENT.
When the sensor is at the absorber expiratory port the ventilator can only be run
in Volume Control and Pressure Control modes.
Placing the sensor at the absorber has several implications on the running of the
ventilator.
1. There is no inspired volume measurement box. If this was previously selected

as a feature when the sensor is chosen to be at absorber, the box is forced
off the screen. The “Inspired Volume” feature is grayed out and inaccessible.
2. The user cannot select to view spirometry graphs. Waveform Select is grayed
out and inaccessible in the menu. If the graph was previously set to “Flow/
Pressure” or “Flow/Volume” when “Sensor at Absorber” is chosen, the graph is
forced to be pressure.
3. If the sensor placement setting is different between adult and pediatric, a

warning banner is displayed when switching between adult and pediatric or
when the ventilator is first turned on. The banners are “Check Sensor Fitted At
Patient” and “Check Sensor Fitted at Absorber”. If adult and pediatric have
the same sensor placement, no banner is displayed.
If you start to run and then immediately go into the menus, this may occur
whilst in the menus. If it does the banner is displayed and you are forced
back to the run screen.

If the absorber position is changed and it is required that this change be

permanent the user must either save current settings or save hospital
defaults.
4. When switching to run from standby, a sensor position check is performed. If
the sensor is not in the position that has been set a banner is displayed
“check sensors position (either at patient or at absorber)”.
P P
Patient Airway
Patient Airway
Flow Sensor
Flow Sensor
Connector
Connector
O2 O2
% %
Spirometry
Spirometry
Sensor Head
Sensor head
YYCircuit
Circuit
YYCircuit
Circuit
Patient Airway
Flow Sensor
Patient Airway
Flow Sensor
Connector
Connector
Spirometry
Spirometry
Sensor Head
Sensor Head
At Patient At Absorber
Figure 4 Airway Sensor Placement with Blease Absorber with

Sensor at Patient and Sensor at Absorber

2.5 The Waveform Select Menu

From the Waveform Select option, the operator can choose to view one of two
Spirometry loops (Pressure/Volume or Flow/Volume) as an Airway Pressure
display and Airway flow display and Airway Flow waveform.
Select the desired display using the Trak Wheel.
In all modes the airway pressure bar is shown to the left of the trace area. This
shows the real time airway pressure. The peak value of the last breath is also
displayed.
Previous Peak
Real Time Pressure Level
2.6 Spirometry
Once either of the spirometry waveforms has been selected from the waveform
menu, an extra box (’Store Loop’) becomes available on screen for selection.

Once the user is satisfied that the patient is in a stable pre-operative condition,
the next loop to be displayed can be saved.
To save the loop, highlight the loop button directly below the loop and confirm.
A message that states saving, will be displayed. The next loop will be saved and
displayed in red. Up to 6 loops can be saved.
Any one of the stored loops can be recalled by highlighting the stored loop
button, then use the trakwheel up/down arrows to select the required loop, then
confirm.
By using the highlighted button, you can select which loop defined by time to
recall and display or turn the saved function off. As shown below.
2.6.1 Recalling loops
Recall a
Loop
(by saved
time) Turn
saved
Loop OFF
Save a
Loop
(Time of
saving is
displayed
next to
button)

2.6.2 Pressure/Volume
2.6.3 Flow/Volume

2.6.4 Pneumothorax during Laparoscopy - Diagnosis &

Treatment
Case Evolution
I. Intra-abdominal CO2 Insufflation

- Compliance drops
- Pplat increases
II. Pneumothorax Occurs

- Compliance drops further
- Pplat increases further
- ETC02 increases more sharply
* (The occurrence of pneumothorax
was confirmed through fluoroscopy)
III. Treatment with PEEP

- Compliance improves
- Pplat decreases gradually
- ETC02 decreases
IV. Deflation of the abdomen

2.7 Airway Pressure

This waveform represents the airway pressure. The Trace autoscales so that the
amplitude is 80% of the available height. The high and low points are shown on
the left of the area bordering the trace. The zero graticule is shown as a black
dotted line.
When the pressure is greater than or equal to zero, the trace is blue and when it
is less than zero, it is shown in green.
Zero Graticule
2.7.1 Airway Flow
Expired from patient
Inspired to patient
This waveform represents the airway flow. The Trace autoscales so that the
amplitude is 80% of the available height. The scale to the side still shows airway
pressure. The zero graticule is shown as a black dotted line.
The flow to the patient is shown as green and the expired flow is shown as blue.

2.8 Mode Selection Menu

Refer to Section 1.6.3 for descriptions of the modes available.
2. Select Mode using the Trak wheel.
3. From the Mode selection menu,

(shown above) select the required new
mode using the Trak wheel.
A cross in the check box next to the

menu indicates that it is selected.
4. Each mode enables different options - the available functions are those which
are displayed in black text.
Before changing mode when the ventilator is in run mode, a prompt

screen will appear asking you to confirm or adjust the main
parameter for that mode. As shown below.
5. Alternatively, highlight mode on the main screen to select. Use arrows on

screen or trak wheel to change selection.
If the Trak wheel is not moved for approximately 30 seconds the

display will automatically return to the main screen.
Compliance Measurement is displayed only in Volume Control and

SIMV + PSV modes.
2.8.1 Cardiac Bypass
This selection represents the same standby function as End Case, except the case
timer does not stop and measurement of flow in the patient circuit does not
bring the ventilator back out of standby.
To exit Cardiac Bypass turn the ventilator ON by activating the bag to vent switch
or end the selection of Cardiac Bypass in the ventilator control menu.

2.8.2 Setting Parameters

1. From the normal Run screen, turn the Trak Wheel to the desired parameter
and press.
2. The selected parameter window is highlighted. Turn the Trak Wheel clockwise
to increase the set value or anti-clockwise to decrease the set value.
The value will not increase above the high pre-set limit, or decrease below the
low pre-set limit.
3. When the required value is displayed, press the Trak Wheel.

2.9 Alarms
The 700/900 series ventilator contains a number of pre-set and user-defined
alarms for patient monitoring and monitoring of the ventilator itself.
WARNING: An audible alarm indicates an anomalous condition

that may result in damage to the equipment or injury to the
patient. The cause of each alarm should be investigated and any
necessary measures taken to remove the alarm condition.
WARNING: The pressure high and pressure low alarms are

important for patient care.
When an alarm is activated:
• an audible warning sounds;
• a flashing message appears in the activity zone of the display;
• the alarm is added to the list of active alarms in the alarm zone on the
screen.
The active alarm is displayed on the list in the alarm zone for a minimum Of
30 seconds. If the alarm condition is removed during this time, the alarm is
automatically cleared from the list. If more than one alarm is activated, each new
alarm is added to the top of the list.
Check alarms periodically at clinically suitable intervals. If the

audible alarm or visual indicator of any alarm function fails to
activate during any alarm condition, or fails to reset after the
alarm has been cleared, refer the unit to an authorized
technical engineer.

2.9.1 Alarms Summary

The available alarms are summarized in the table below. Each alarm is described
in detail later in this section.
ALARM RANGE/SETTING
Apnea (Default) 30 seconds User Defined 15-60 secs.
Low Supply Gas Pressure Pre-set. 35 ±0.5 psig.
Vent Inoperative Pre-set. System Failed.
Setting Error Pre-set. Ventilatory parameter set out of range.
Sustained Pressure Pre-set. less than 5 cm H2O (adult) or 3 cm H2O in

(paediatric) change in pressure per breath.
Power Fail Pre-set. Mains electrical supply failure
Battery Low Pre-set. <15 minutes battery life remaining.
No Charge Pre-set. Mains supply ON, battery not charging.
Comms fail Pre-set. Internal communications error.
Pressure High User defined. 5 cm H2O to 70 cm H2O.
Pressure Low User defined. 4 cm H2O to 50 cm H2O.
MV High User defined. 2 l/m to 25 l/m adult. 1 I/m to 25 I/m ped.
MV Low User defined. 1 l/m to 24 l/m adult. 0 I/m to 24 I/m ped.
High BPM User defined. 1 BPM to 99 BPM.
Low BPM User defined. 0 BPM to 98 BPM.
High Oxygen User defined. 19% to 110%.
Low Oxygen User defined. 18% to 109%.
PEEP Error Pre-set.
Under Pressure Pre-set.
Fresh Gas too High Pre-set

2.9.2 Pre-set Alarms
2.9.3 Apnea Alarm

Once an initial breath has been detected, the alarm is activated if the ventilator
ceases to record a tidal volume for the set apnea time.. This is the case when the
system is selected to either BAG or VENT.
2.9.4 Low Supply Gas Pressure Alarm

Activates when the pressure of the gas supply falls below that required for correct
ventilator operation.
As a safety precaution while this alarm is active, the ventilator flow delivery
system is prevented from trying to compensate for the lack of supply gas by
opening the flow control valves further. This stops the large surge of flow that
may otherwise occur if the supply gas is suddenly re-applied, particularly when a
bottled supply is changed.
WARNING: If the supply gas pressure is reduced, the patient

minute volume may be reduced and injury to the patient could
result. Do not use the ventilator if the supply pressure cannot be
maintained.
2.9.5 Vent Inoperative Alarm

Activates if an internal fault is detected.
WARNING: The Vent Inoperative alarm indicates that the

ventilator cannot provide ventilation functions. Under no
circumstances should the ventilator be used on a patient while
this alarm is activated.

2.9.6 Setting Error Alarm

The setting error alarm is activated under the following conditions where the
ventilator’s performance limits are exceeded:
• The ventilator settings (BPM, I:E, TV) require a flow greater than 100 Ipm or
less than 1.5 Ipm.
• Mode switch setting is indeterminate.
• The internal feedback systems cannot accurately provide what is set.
• On occasions when extreme control settings are used, a difficult

combination of patient compliance and resistance may cause the ventilator
to exceed its specification as the feedback systems attempt to compensate,
but do not quite reach what is set.
2.9.7 Sustained Pressure Alarm

Activated if the patient breathing system pressure does not go through a pre-set
absolute pressure change as a breath is delivered. Two failed breaths activate the
alarm; two good breaths clear it. The pressure changes must be in a positive and
negative direction for each breath, and therefore the alarm will be activated if
there is a build-up of pressure.
Less than 5 cm H2O (adult) or 3 cm H2O (pediatric) change in pressure per

breath.

2.9.8 Power Fail and Battery Low Alarms

These alarms are indicated by a change in color of the LED adjacent
to the display. Unde r normal conditions the LED will be GREEN.
A few seconds after mains failure occurs, the Power Fail indicator is illuminated. If
the condition persists for more than one minute, the alarm is activated and the
LED remains illuminated RED.
To conserve power, the display is switched off while the Power Fail alarm is
activated. To restore power to display press a key or turn trak wheel.
The ventilator continues to function normally, powered by its internal battery for
a minimum of 1 hour.
When the internal battery is nearly exhausted and has less than 15 minutes of
running capacity left, the Battery Low alarm is activated and the Battery Low
indicator is illuminated AMBER.
This is an estimated time and should not be relied on.
When mains power is restored, the Battery Low indicator may remain lit for a few
minutes as the battery recharges.
If the Battery Low indicator illuminates without a mains failure, there may be a
battery or charging fault. The ventilator will then have no battery backup and
must not be used until the fault has been repaired.
2.9.9 No Charge
Mains supply ON, battery not charging.
2.9.10 Comms Fail

Internal communications error between control and monitoring systems.
2.9.11 PEEP Alarm

Activated if the measured PEEP is more than 25% above the set value, or above
5cm H2O if PEEP is not set.
2.9.12 Under Pressure Alarm (PCV mode only)

Activated when the peak pressure is less than 80% of the set pressure and greater
than the lower pressure limit.

2.10 User Defined Alarms
2.10.1 Pressure High Alarm
In pressure control mode the high pressure alarm is 25% above set pressure. In
Volume Control mode, SIMV and Pressure Support modes the pressure high
alarm limit is set via pressure limit setting on main screen. It will be activated if
one of the following occurs:
• The patient breathing system pressure rises significantly above that set
limit.
• The patient breathing system pressure has not fallen after a pressure-
terminated breath has cycled into expiration.
• Pressure cycling occurs in adult ventilation mode.
Due to the connection with the pressure limit control, it is

possible with some patients that the alarm may occasionally be
activated when pressure limiting at low pressures in pediatric
mode.
The alarm is automatically cleared when the pressure falls.
2.10.2 Pressure Low Alarm

The alarm is automatically cleared on the second breath that exceeds the alarm
limit, if within 20 seconds. The pressure low alarm is activated if the pressure falls
below the set PEEP + 4cmH2O for more than 20 secs.
2.10.3 MV High Alarm

Range 2 Ipm to 25 Ipm adult mode.
Range 1 lpm to 25 lpm ped mode.
Activated when the monitored expired volume exceeds the set limit. When the
expired volume falls below the alarm limit, the alarm immediately clears.
2.10.4 MV Low Alarm

Range 0 Ipm to 24 adult mode.
Range 0 lpm to 24 lpm ped mode.
Activated when the monitored expired volume falls below the set limit.

2.10.5 High BPM Alarm

Range 1 BPM to 99 BPM
Activated when the monitored BPM exceeds the set level.
2.10.6 Low BPM Alarm

Range 0 BPM to 98 BPM
Activated when the monitored BPM falls below the set level.
2.10.7 High Oxygen Alarm

Range 19 % to 110 %
Activated when the monitored oxygen level rises above the set level.
2.10.8 Low Oxygen Alarm

Range 18 % to 109 %
Activated when the monitored oxygen level falls below the set level.
2.10.9 Fresh Gas Too High

Activated in two ways:
1) during compliance compensation if fresh gas goes above basal flow.
2) during Ventilation if fresh gas is more than 65% of required tidal volume.

2.11 Auto Alarms

The user can choose to automatically set the alarm parameters at any time while
the ventilator is running.
This is done by highlighting the AUTO SET once off is displayed.

AUTO SET
The ventilator requires parameters to stabilize, before the alarms can
be set.
The set values are ± 25% of the current monitored value. Except in AUTO SET
the following cases:- OFF
• pressure where the minimum value is always 4 cm H2O.

AUTO SET
SET
• oxygen where minimum value is 18%.
If the user changes any of the user selectable parameters or

changes mode the set alarms will be cancelled and returned
to the values set previous to turning them on. When this
occurs the ventilator will beep and a message displayed on
screen.
If the user goes into the Set Alarms Menu whilst the auto
alarms are set the previous values set will be restored
without warning.
The user can restore the previous set of alarm limits at any
time by either selecting Off in the auto box, or going into the
Alarm Limits Menu and making no changes.

2.12 The Alarms Setup Menu

2.12.1 Setting Alarms
From the Alarms Setup Menu, high and low alarms appropriate to the mode of
operation and the particular patient can be set.
High and low alarms are linked intelligently so that a low alarm
value greater than a high alarm value cannot be set.
1. Press Alarm Setup Menu.

2. Select Alarm Limits
3. Turn the Trak Wheel to highlight and select the desired alarm, then press the
Trak Wheel.
Only those alarms that are relevant to the current operating

mode are displayed.
4. Alarm levels can be set by turning the Trak Wheel clockwise (increase) or
anti-clockwise (decrease).
5. When the required value is displayed, press the Trak Wheel to set the
parameter.
6. Select Return to close the screen and return to the alarm options.

2.12.2 Alarm Mute

Alarms can be muted for a pre-set time, up to a maximum of 2 minutes, by
pressing Mute.
2.12.2.1 Setting the Alarm Mute

Time
1. Press Alarm Menu.
2. The alarm menu opens. Select Mute Time.
The Mute Time Selection menu opens.
3. Select the required mute time in the range

shown.
A cross in the check box next to a menu item

indicates that it is selected.
4. Select Return to close the menu.

2.12.3 Setting the Apnea Time
1. Press Alarm Setup Menu.
2. The Alarm Setup Menu opens. Select Apnea

Time.
The Apnea Time Selection menu opens.
4. Select the required Apnea time in the

range shown using the Trak wheel.
A cross in the check box next to a menu

item indicates that it is selected.
5. Select Return to close the menu.

2.13 The Defaults Menu
From the Defaults menu it is possible to:
• save the current settings so that they can be re-used later;
• set hospital defaults;
• select previously stored settings
• change setting names;
• change the basic setup of the ventilator;
The first three items can be stored in Adult or Pediatric mode. Ensure
that the Patient Selection Switch is in the required position before
selecting these items.
Note: Certain options are password protected. Contact the

distributor for further information.
2.13.1 Change Names
A user name must be set before any settings can be saved.
1. Press Defaults Menu. The Defaults Menu opens.

2. Select Change Names. The Change Names menu opens.
3. Select one of the names displayed using the Trak Wheel. The first character of
the name is displayed in Red when the Track wheel is pressed.
4. Turn the Trak Wheel clockwise to move through the alphabet from A to Z
and then through the numbers 1 to 0. To insert a space, use the under-score
character ( _ ).
5. Press the Trak Wheel when the desired character is displayed to enter the
character and move the cursor on to the next letter.
6. Repeat steps 3 and 4 until the name is complete. A total of 10 characters

must be entered - even if there are spaces. Pressing the Trak wheel at the 10th
character will cause the name to be saved.
7. Press Default Menu again to save the name and exit the menu.

2.13.2 Save Hospital Defaults
This menu option allows the change of default start up settings from the factory
set ones and is password protected. Contact the distributor for further details.
1. Press Defaults Menu. The Default Menu

opens.
2. Select 'Save Hospital Defaults'.
3. Enter the password one letter at a time

using the Trak Wheel.
4. Press the Trak Wheel to store the ventilator's current settings as the start up
settings.
2.13.3 Saving and Recalling Settings
The configuration of the ventilator can be saved and recalled. This includes all
user-settable features, alarm limits etc.
Two totally different sets of parameters can be set up - one for

Adult and one for Pediatric.
2.13.4 Save Current Settings

1. Press Default Menu.
2. The Default Menu opens. Using the Trak Wheel, select Save Current
Settings?
3. The Save As menu opens. Select a name from the menu.
4. Press the Trak Wheel to initiate the save. A message will be displayed played
stating the setting (Adult or Ped), and the saved name.
5. Select Return to close the Save As

menu.

2.13.5 Recall Previous Settings

1. Press Default Menu.
2. The Default Menu opens. Using the Trak Wheel, select Recall Settings?
3. The Recall Settings menu opens. Select a name from the menu using the Trak
Wheel
4. Press the Trak Wheel to initiate recalling parameters. A message will be

displayed stating the mode (Adult or Ped), and the recalled name.
5. Select Return to close the Save As menu.

2.13.6 Configuration
By selecting the Configuration option, the following menu is displayed:
2.13.7 Set Up
The Set up menu allows the user to:
• calibrate the fresh gas sensor
• enable absorber switching
Please Note: These options are password protected. Contact the

supplier for further information.
2. Select configuration.
3. Select Service Mode.
4. Enter the password supplied by the distributor.

2.13.8 Fresh Gas Calibration
The CGO of the trolley must be open to atmosphere for the

calibration to be accurate.
1. Put the ventilator into Standby.
2. Enter the Setup Menu and choose Configuration and then Service Mode.
In order to continue, the password will need to be obtained

from Blease. This is a multi point calibration.
3. Disconnect the gas supply and turn off cylinders to ensure that there is no gas
flow when zero is set. Having set zero reconnect the gas supply and turn on
the cylinders, you will be prompted for each required flow, after each flow has
been set there will be an audible beep to confirm.
The calibration can be aborted at any time - doing so will cause the last set of
saved calibration values to be used. If the user inadvertently sets the same
flow for two readings, the calibration will automatically be aborted.
2.13.9 Sigh Setting

1. Enter the Setup Menu and choose Configuration and then Service Mode.
In order to continue, the password will need to be obtained from

Blease.
2. Select Sigh setting.
3. The volume of the sigh breath can be set to the volume plus 5% - 60% of the
set volume in increments of 5%. (Default settings are 1-10 and 10%).
4. The frequency can be set to between 1 in 10 breaths to 1 in 100 breaths.
2.13.10 Absorber Setting

1. Having pressed the Setup button and chosen Configuration, select Absorber
Setting from the menu.
2. If Bag/Vent switch detection is provided, select Absorber Fitted from the

options otherwise, leave it unchecked.
2.13.11 System Information

This menu shows important details regarding the ventilator for reference
purposes.

Notes

Section 3 - 700/900 Series Ventilators 3. Installation
3. Installation
3.1 Cautions
An explosion hazard could occur if this equipment is used with

flammable anesthetic agents such as ether or cyclopropane. To avoid
the risk of explosion, use this equipment only with anesthetic agents
that comply with the requirements on non-flammable anesthetic
agents in the IEC standard 'Particular Requirements for the Safety of
Anesthetic Machine s'.
Use of a driving gas other than oxygen or air may damage the
ventilator and will cause inaccurate operation, resulting in po tential
injury to the patient. Do not use any other driving gas.
The performance of this equipment may be adversely affected by
extremes of temperature. The equipment should not be used if the
ambient temperature is below 10o C (50o F) or above 40 o C (104o F).
The use of antistatic or electrically conductive breathing tubes and
high frequency electric surgery equipment may cause burns and is
therefore not recommended in any application of this machine. The
ventilator is not suitable for use with flammable anest hetic agents
such as ether and cyclopropane and therefore the use of antistatic
breathing tubes and face masks is in any case un necessary.
This equipment may be damaged if the gas supply pressure is too

high. The ventilator must only be connected to gas pipeline supply
lines that are fitted with pressure relief valves that limit the supply
pressure to less than 7 bar.
The ventilator may be adversely affected by the operation of

equipment such as high frequency surgical (diathermy) equipment,
defibrillators or short-wave therapy equipment in the vicinity.

3. Installation Section 3 - 700/900 Series Ventilators
Cautions Cont.
To preserve battery life, never store the ventilator with its battery
discharged. Do not store or use the vent ilator in close proximity to
heat sources of any kind.
In the event of a mains electrical power failure when the ventilator is

running from its internal battery, do not remove the mains plug from
the mains supply as this would prevent the immediate resump tion of
normal operation when the mains power is restored.
Excessive electronic noise caused by poorly regulated devices may

interfere with the proper functioning of the ventilator. To avoid this,
do not connect the ventilator to the same mains supply o utlet as
electrically noisy equipment such as electrocautery units. Do not use a
mains extension lead to connect the ventilator to the mains electrical
supply.
The driving gas is discharged through the port on the rear panel of the
ventilator. This port m ust be completely free of any obstruction and
should have nothing connected to it. The exhaust gas is oxygen or air
and does not contaminate the environment.
A negative or positive pressure applied to the EXHAUST port of the

bellows assembly results in po sitive pressure in the patient breathing
system. The scavenging system must therefore not generate more
than 5 cm H2O positive or negative pressure when connected to the
ventilator. The use of an AGSS to EN 740 1999 is recommended. Do
not connect a PEEP va lve to the EXHAUST port of the bellows base.
This will increase the pressure inside the bellows and cause it to
detach from the base, resulting in a serious malfunction. Any problem
arising from an improperly functioning scavenging system is solely the
responsibility of the user.

Notes

Notes

3.2 Pre-Use Checks
Prior to connecting the ventilator to a patient, the unit must be

run to verify that it is functioning correctly. Before using the
ventilator, check that all connections are correct and that there
are no leaks.
1. Switch on the mains power supply.
2. Check that the audible alarm sounds at switch on.
3. Select and carry out the procedure for pre-use tests.

This will perform the compliance test and leak test the system.
4. Follow the on screen instructions.

Other alarms may also be activated ie. the sustained pressure.
CAUTION: Injury to the patient may result if a faulty ventilator is

used. If there is any malfunction, do not use the ventilator. Refer
to Troubleshooting for help. If the malfunction cannot be
rectified, call an authorized technical engineer or return the
ventilator to the supplier.
CAUTION: If an alarm condition is ignored, injury to the patient

may result. Always check the alarms before connecting the
ventilator to a patient. If the audible alarm or the visual
indicator of any alarm function fails to activate during an alarm
condition, or fails to reset after the alarm has been cleared, the
ventilator must not be used. Contact an authorized technical
engineer.

3.3 Discharged Battery

If the internal battery is fully discharged, the power failure alarm will not function.
Charging the battery for 2 hours from a discharged state will allow a minimum of
2 minutes of continuous audible alarm. The audible alarm should be verified
before returning the unit to service.
A fully charged battery (8 hours) in serviceable condition will allow the ventilator
to run for a minimum of one hour.
CAUTION: To preserve battery life, never store the ventilator with

its battery discharged. Do not store or use the ventilator in close
proximity to heat sources of any kind.

3.4 Exchanging Bellows Units
Figure 5 Exchanging Bellows Units
A Adult Bellows Cover

B Adult Bellows

3.4.1 Installing the Adult Bellows

1. Remove the bellows housing by twisting it slightly anti-clockwise until the
bayonet tabs are free, then lift it from the base.
2. Mount the adult bellows.
3. Push the adult bellows housing down over the bellows, then twist it slightly
clockwise to engage the bayonet tabs.
WARNING: At pressures above 10 cm H2O differential positive

pressure, the bellows may be dislodged from the mounting ring,
resulting in a dangerous malfunction of the ventilator. Do not
exceed the stated pressure.

3.5 Pre-use Test

3.5.1 Fresh Gas
Fresh gas (FG) flow adds to the delivered Tidal Volume (TV) during the inspiratory
period. To compensate, the delivered volume must be reduced.
The formula for this reduction is:
Effective TV = TV - (( FG Flow Rate/60) x Insp Time (sec))
For example:
Let FG flow = 5 LPM, TV = 600 ml, frequency = 10 BPM, I:E = 1:2.0

5000 x 2 seconds = 166 ml
60
The new effective TV is:

600 - 166 = 434 ml
3.5.2 Compliance
Compression of gas in the dead space within the breathing system reduces the
tidal volume delivered to the patient. In an ideal ventilator, the Set TV would be
the volume of gas that is delivered to the patient's lungs. This cannot be achieved
because the anatomy of the patient is unknown. However, the Set TV can be
accurately delivered from the catheter mount, thus reducing Set TV errors to a
minimum.
To calculate the effect of breathing system compliance on the delivered TV it is

necessary to measure the capacity or compliance (Cs) of the system. This can only
be done as part of a pre-use check procedure.
1. Switch the unit ON. The compliance menu will be displayed.
The patient airway flow sensor head must be in the patient

circuit in order to carry out
compliance compensation.
2. You will be offered this screen.
3. Select Yes to Compliance Compensation

and follow the instructions on screen.

The ventilator delivers a breath of known volume to the breathing circuit,

records the pressure (cm H2 O) achieved and verifies that a leak is not
present.
3. The dead space is calculated as follows:

Volume in ml = dead space compliance Cs
Pressure
This value is retained in memory until the ventilator is switched off or
retested.
4. When the ventilator is set to use on a patient and when the ventilation is
stable, the total compliance of system and patient Ct is measured. The TV can
then be increased to compensate for the volume lost due to compression
within the breathing system. The increase in tidal volume is calculated by the
formula:
Set TV x (1 + Cs ) = new TV
Ct - C
For example:
A system test measurement at a TV of 200 ml gave a pressure rise of 25 cm
H2O.
Cs = 200 ml =8
25 cm H2O
Running the ventilator on a patient with a set 500 ml TV gave a peak
pressure of 20 cm H2 O.
Ct = 500 ml = 25
20 cm H2O
To calculate the increase in TV:
500 x (1 + 8 ) = 735 ml
25 - 8
Thus the 735 ml is the actual ventilator output into the breathing circuit to give
500 ml at the catheter mount. The value must be recalculated every time volume
controlled ventilation starts.

4. Routine Maintenance Section 4 - 700/900 Series Ventilators
4. Routine User Maintenance

WARNING: Lethal voltages are present within this equipment
when it is connected to the mains electrical supply. Do not
remove any of the ventilator covers or panels. Refer all repairs
and servicing to an authorized technical engineer.
4.1 Weekly Checks

4.1.1 Control Unit
1. Connect the mains electrical power and turn the ventilator ON.
2. Disconnect the mains supply and check that the MAINS FAIL alarm activates.
3. Reconnect the mains electrical power and check that the alarm resets.
4. Turn the ventilator on.
5. Disconnect the O2 and Air hose and turn off the O2 cylinder. The SUPP GAS
LOW alarm should activate.
WARNING: Injury to the patient may result if a faulty ventilator

is used. If there is any malfunction, do not use the ventilator.
Refer to Troubleshooting for help. If the malfunction cannot be
rectified, call an authorized technical engineer or return the
4.2 Six-Monthly Checks

4.2.1 Bellows
Each time the bellows assemblies are opened for cleaning, all visible parts should
be inspected carefully and damaged components replaced. The bellows material
deteriorates with age and use, and should be examined and replaced, if necessary,
every six months.

Section 4 - 700/900 Series Ventilators 4. Routine Maintenance
4.3 Other Maintenance

Occasionally, maintenance may be required on items that are not covered by
periodic routine maintenance tasks.
Annual maintenance checks are to be performed by a qualified technical engineer.
4.4 Exchanging Fuses
WARNING: The use of incorrectly rated fuses constitutes a fire

hazard. Replace the two fuses only
with the correct type and rating of
fuse.
1. At the rear of the machine in the bottom left

hand corner is located the mains outlet.
2. There are two small tabs located here.
3. Pull these tabs toward you using finger and

thumb.
4. Fuses are now visible and can be exchanged.
5. Push compartment back into outlet
6. If the fuse fails a second time contact a

technical engineer.
Figures 6/7/8 Exchanging
fuses

4.5 Cleaning and Sterilization
WARNING: Ingress of liquid into the control unit may damage

the unit or result in injury to personnel. Ensure that no liquid
enters the control unit, and always disconnect the unit from the
mains electrical supply before cleaning.
WARNING: Do not clean the LCD Screen with liquid.

Use only a dry, soft, lint-free cloth.
4.5.1 Ventilator Surfaces

Clean the outside surfaces of the ventilator by wiping them with a damp cloth
soaked in a mild detergent solution. Ensure that all residues are removed after
cleaning by wiping with a dry, lint-free cloth. Never use abrasive cleaning material,
particularly on the screen.
The ventilator surfaces are not scratch-resistant. Do not use

abrasive cleaning agents otherwise damage to the surfaces will
result.
4.5.2 Pop-off Valve Seat

1. Remove the bellows housing and bellows.
2. Loosen the black thumbscrews and remove the pop-off valve.
3. Clean the valve seat carefully using a soft, lint-free cloth.
4. There is an O-ring located in the bellows base, (see opposite) which provides a
seal with the pop-off valve. After cleaning, check that the O-ring is in place, as
the ventilator cannot function correctly without it.
If the valve seat is damaged, the pop-off valve will leak and may
cause serious malfunction. Take care not to damage the
precision-molded surface of the valve seat while cleaning. Never
use a hard object or abrasive detergent. Use only a soft, lint-free
cloth.

G
D
Figure 9 Removing the Pop-off Valve
A Cover E Bellows Base

B Bellows F Fixing Screws
C Pop-off valve G O-ring
D Valve seat

4.5.3 Patient Airway Flow Sensor

The flow sensor can be hand or machine washed and disinfected with a suitable
disinfectant. Steam autoclaving must not exceed 134oC. The sensor can be
sterilized with ethylene oxide.
To clean the flow sensor, pour distilled water slowly and gently into the outlet
port. Water must not be directed into this port under pressure.
Chemical decontaminants or liquid sterilization agents will

damage the sensor and must NOT be used for cleaning or
sterilizing. If autoclaving the sensor, the autoclave must only be
used with distilled water.
Blanking cap on patient flow sensor is NOT autoclavable.
4.5.4 Bellows
Only the bellows base and the parts inside the bellows require
sterilization.
To avoid damage to the equipment:

Peak sterilization temperature must not exceed 134ºC.
Do not sterilize the control unit.
Gas sterilization should be followed by quarantine in a well-
ventilated area to allow dissipation of residual absorbed gas.
Follow the sterilization agent manufacturer's instructions.
The expiratory valve must be disassembled prior to autoclaving
to prevent the occurrence of clamping stresses.
The pediatric adapter, can be sterilized but must not be

autoclaved.
1. Pull absorber forward to disconnect the bellows base.
2. Loosen the two thumb screws retaining the bellows base and remove the
bellows base and housing from the control unit.
3. Remove the pop-off valve and pediatric bellows adapter (if fitted) and clean
and sterilize them separately.
4. Perform sterilization as specified in the table opposite.

4.5.5 Methods of Sterilization
ITEM METHOD
Bellows* Gas1, liquid2, autoclave 3
O-ring Gas1, liquid2, autoclave 3
Bellows housing* Gas1, liquid2, autoclave 3
Bellows base* Gas1, liquid2, autoclave 3
Pop-off valve Gas1, liquid2 autoclave3
Pop-off diaphragm Gas1, liquid2 autoclave 3
Control unit Do not sterilise
Patient Airway Flow sensor Gas1, liquid2, autoclave 134o C max

N.B. The white plastic blank is not
Autoclavable.
Notes:
1. Ethylene oxide, 54°C max.

2. Eg. Cidex, Sporicidin, Sonacide.
3. Steam autoclave, 134°C max.
The autoclavable bellows base has a 30 mm diameter exhaust

port, the canister is smokey grey with ribs around it and there
are four large lugs. The rubber bellows has a plastic coated
metal top plate. Older type canisters are clear with only two
lugs. Old style bellows have a solid plastic top plate.

4. Routine Maint e- Section 4 - 700/900 Series Ventilators
Notes

Section 5 - 700/900 Series Ventilators 5. Troubleshooting
5. Troubleshooting
The table below describes faults, their probable causes and recommended
corrective actions. If a fault persists, do not use the ventilator. Contact your Blease
service representative.
FAULT CAUSE ACTION
MAINS FAIL Power cable not connected. Connect power cable.

alarm activated
Defective mains supply. Check supply.
when
ventilator Blown Fuse(s). Exchange fuses.
switched on.
Bellows cannot Breathing system hose Check hose. Exchange if
be filled, or disconnected or leaking. damaged.
collapses. Broken bellows base. Exchange bellows base.
Defective or detached Check bellows. Exchange if
bellows. damaged.
Damaged pop-off valve. Exchange pop-off valve.
Missing or defective O-ring. Fit or exchange O-ring.
Check patient connections
Bellows Breathing system leak. Exchange hose.

progressively Open or defective pop-off Exchange pop-off valve.
deflates valve.
despite normal Damaged pop-off valve seat. Exchange pop-off valve seat.
fresh gas flow. Damaged bellows base O-ring.
Exchange O-ring.
Damaged bellows base.
Exchange bellows base.
Check patient connections.
Tidal volume Missing pop-off valve seat Fit O-ring.

incorrect or O-ring.
inconsistent. Partially detached or Check bellows. Change if
defective bellows. damaged.
Damaged pop-off valve disc or Exchange pop-off valve disc or
seat. seat.

5. Troubleshooting Section 5 - 700/900 Series Ventilators
FAULT CAUSE ACTION
Irregular rate when Defective mains Change mains supply

supply outlet. outlet.
electro-cautery is
used.
Defective eletro-cautery. Check and repair
electro-cautery.
PRESSURE LOW Disconnected or kinked Reconnect tube or
alarm activated but pressure pick-up tubing. remove kink.
ventilation normal.
Exchange tube if
damaged.
Tidal volume not Pressure limit set too low. Change pressure limit.
delivered and
PRESSURE Obstructions in breathing Remove obstructions.
CYCLING alarm system or bellows drive
activated.
SUPP GAS LOW Incorrect drive gas supply Check drive gas supply
alarm blinks on each pressure. pressure.
breath.
Kinked or obstructed drive Reconnect hose or
gas supply hose. remove kink.
Exchange hose if
damaged.
Unwanted PEEP and Defective or poorly Adjust or exchange
overfull bellows. regulated scavenging scavenging system.
system.
Partially obstructed Remove the obstruction.

exhaust.
High Gas Flow

BATT LOW alarm Defective or discharged Charge battery.
activated. battery.
Exchange if defective.

Section 6 - 700/900 Series Ventilators 6. Appendices
6. Appendices
6.1 Performance Data
CONTROL/PARAMETER RANGE/VALUE
Input power 90 – 265 VAC
Frequency 50/60 Hz
Current 500 mA max.
Power consumption 50 VA
Input supply gas 40 psig to 101 psig at 120 lpm
Adult bellows size 1600 ml
Adult minute volume 0.3 lpm to 25 lpm
Adult tidal volume 20 ml to 1500 ml
Pediatric minute volume 0.3 lpm to 25 lpm
Pediatric tidal volume 20 ml to 1500 ml
Rate 2 bpm to 99 bpm
I:E ratio 2.0:1 to 1:5.0
Pressure limit control:

Adult 10 cm H2O to 70 cm H2O
Pediatric 10 cm H2O to 50 cm H2O
Maximum working pressure range 5 cm H2O to 70 cm H2O
Altitude (self-compensating) 0 to 3,000 m
Compliance (see note) Calibrated as maximum % of set volume

Adult
Pediatric
PEEP 3 cm H2O to 20 cm H2O

6. Appendices Section 6 - 700/900 Series Ventilators
6.1.1 Notes on Performance Data

Both adult and pediatric compliance are increased by approximately 0.6 ml/cm
H2O when the ventilator bellows is separated from the control unit by 1.5 m of
22 mm tubing. This would be the case when the ventilator is installed as part of a
Blease Anesthesia work station where the bellows is behind the absorber.
6.2 Dimensions
Height 185 mm
Width 310 mm
Depth 310 mm (case)
Weight 10kg

6.3 Factory Default Settings

The tables below show the default settings at start-up.
These are default settings and can be changed to suit by going to the defaults
menu.
6.3.1 Volume Control Defaults at Startup
VOL RATE PRESSURE MINUTE VOL PRESS
(ML) (BPM) I:E LIMIT ALARM ALARM
(cm H 2O) LO / HI LO / HI
ADULT 500 12 1:2.0 50 1/25 4/50
PED 150 15 1:2.0 50 1/25 4/50
6.3.2 Pressure Control Ventilation Defaults at Start-up

VENT PRESS PRESS MINUTE
(cm H 2O) RATE ALARM VOL ALARM
LO /HI LO/HI
BPM
ADULT 15 12 4/18 1/25
PED 15 15 4/18 1/25
6.3.3 Pressure Support Defaults at Start-up
RATE MINUTE VOL PRESSURE

ALARM ALARM ALARM Trigger Support Pressure Limit
LO / HI LO / HI LO / HI
ADUL 2/99 1/25 4/50 5 10 50

T
PED 2/99 1/25 4/50 5 10 15

6.3.4 SIMV + PSV Defaults at Start-up
SUPPORT PRESS RATE MINUTE PRESS

PRESS LIMIT ALARM VOL ALARM BPM VOLUME PEEP I-TIME
(cm H2O) (cm H2O) LO / HI ALARM LO / HI
LO / HI
ADULT 10 50 2/99 1/25 4/50 12 500 OFF 2.0
PED 10 15 2/99 1/25 4/15 15 150 OFF 1.0
6.4 Fixed Features

COMPLIANCE FRESH PEEP OXYGEN
GAS
VOLUME Meas/Set Meas

CONTROL
PRESSURE Meas/Set Meas

SUPPORT
SIMV + PSV Meas/Set Meas
PRESSURE Meas/Set Meas

CONTROL

6.5 Mode Dependent Features
SIGH PAUSE PRESSURE PRESSURE BPM VOL/ I:E PRESSURE

SUPPORT SUPPORT FLOW LIMIT
TRIGGER PRESSURE
VOLUME
CONTROL
Set Meas/set Set Pressure
Limit
PRESSURE
SUPPORT
ALWAYS ALWAYS Meas Meas Meas Pressure
Limit
SIMV +
PSV
ALWAYS ALWAYS Meas/
set
Meas/set Meas/
set
Pressure
Limit
Set
PRESSURE
CONTROL
Set IFLOW Set Pressure

6.6 Associated Equipment and Accessories
Part Number Description
700/900 Ventilator User Manual
10110026 Adult bellows assembly complete PEEP
10110016 Bellows base assembly
83034 Adult bellows only
83035 Adult bellows cover only
80200026 Mains cable UK .5 m
80200027 Cordset connector lock UK

80200028 Mains cable US 2.5 m
80200029 Cordset connector lock US

80300026 T1A Fuse
81027 Corrugated Hose (17 mm x 200 mm)

ST2101 Corrugated tubing 42-in (22 mm)

Associated Equipment and Accessories cont.
1070002 High pressure pipeline 02 NIST to mini Schräder

10700003 High pressure pipeline 02 NIST to mini Schräder UK
81014 High pressure pipeline 02 DISS to DISS US
940603 High pressure pipeline air DISS to UK probe
S10637 Filter - patient pressure internal line
S10638 Luer female to male adapter
S10639 Luer male to male adapter
10110102 Blease patient airway flow sensor tubing assembly (3m)
10110103 Blease patient airway flow sensor tubing assembly (6m)
10110017 Pop Off Valve Assembly

6.7 External Communication Specification
6.7.1 Data Transmission Settings
RS232 Setup
Data Bits 8
Stop Bits 1
Parity None
Baud Rate 19200
Hardware handshaking not used.
6.7.2 Protocol
• All messages will be standard ASCII

• All messages from the ventilator will be prefixed with [.
• All messages will be delimited by a ‘\r’
• All messages will be continuously re-transmitted.
• There will be 4 basic message types as listed below. These
messages will be prefixed with the leading character to aid parsing.
Message Function
Set User set value
Measured Monitored measured value
Event Monitor events
Alarm Alarm status and message

6.7.3 Set Messages
[SBxx’\r’ Set breaths/minute. xx = 2 digit bpm value

[SITxxx’\r’ Set inpiratory time(hundredths of secs) xxx = 3 digit time value
[SIFxxx’\r Set inpiratory flow (deciliters/minute) xxx = 3 digit time value
[SVxxx’\r’ Set tidal volume. xxx = 3 digit value in centiliters
[SLxx’\r’ Set pressure limit. xx = 2 digit value in cmH2O
[SRxx’\r’ Set I/E ratio. xx = 2 digit value * 10
[SPExx’\r’ Set PEEP value. xx = 2 digit value in cmH20
[SMON’\r’ Set mute on
[SMOFF’\r’ Set mute off
[SARES’\r’ Alarm reset
[SCCxxx’\r’ Compliance compensation mLiters/cmH2O
Set to 0 if no compensation
[SFZON’\r’ Close flow sensor zero valve
[SFZOFF’\r’ Open flow sensor zero valve
[SOFxx'\r' Set Serial Output Format where
xx=00 VueLink Format
xx=01 Standard Blease Output Format
xx=99 Flow Output
[SATOG\r - Standby switch has been toggled
6.7.4 Breathing modes
[SCMV’\r’ Continuous Mandatory Ventilation

[SSIMV’\r’ Synchronized Intermittent Mandatory Ventilation
[SSPONT’\r’ Spontaneous Ventilation (ASB mode)
[SPCV’\r’ Pressure Controlled Ventilation
6.7.5 Breathing control
[SSON’\r’ Set sigh on

[SSOFF’\r’ Set sigh off
[SPxx’\r’ Pause on for % xx of inspired
[SPOFF’\r’ Pause off
[SPTxx’\r’ Set pressure trigger level xx = -cmH2O
[SPSxx’\r’ Set pressure support level xx = cmH2O

6.7.6 Measured Value Messages
[MBxx’\r’ Measured breaths/minute. xx = 2 digit bpm value

[MTVxxx’\r’ Measured tidal volume. xxx = 3 digit value in centiliters
[MMVxxx’r’ Measured minute volume. xxxx = 3 digit value in deciliters
[MPPxxx ’\r’ Measured breath pressure peak xxx=3 digit value in cmH2O*10
[MPMxxx’\r’ Measured breath pressure min. xxx= 3 digit value in cmH20*10
[MOxxxx’\r’ Measured oxygen % concentration xxxx=4 digit value * 0.1%

[MIExx’\r’ Measured I:E ratio xx= 2 digit value *0.1
[MFGxxx’\r’ Measured fresh gas flow xxx=deciliters/minute
6.7.7 Event Message
[ESVxxx’\r’ Sign on software version (xxx implied period x.xx)

6.7.8 Alarm Messages

The alarm status will be sent every 4 sec’s unless an event had occurred which
requires the alarm status to be updated. The string sent will be as follows:
[MALMxxxxxxxx’\r’ Alarm status xxxxxxxx= 8 digit hex code as below
BIT ALARM RANGE/SETTING DESCRIPTION

0 Apnea Pre-set. 30 seconds (default). User Defined 15-60 secs.
1 Sustained Pressure Pre-set. less than 5 cm H 2O (adult) or 3 cm H 2O in

pediatric) change in pressure per breath.
2 Pressure Low User defined. 4 cm H 2O to 50 cm H 2O.
3 Low Supply Gas Pre-set. 35 ±0.5 psig.

Pressure
4 Setting Error Pre-set. Ventilatory parameter set out of range.
5 Power Fail Pre-set. Mains electrical supply failure
6 Battery Low Pre-set. <15 minutes battery life remaining.
7 No Charge Pre-set. Mains supply ON, battery not charging.

8 Comms fail Pre-set. Internal communications error.
9 Pressure High User defined. 5 cm H 2O to 70 cm H 2O.
10 MV High User defined. 1 l/m to 25 l/m.
11 MV Low User defined. 0 l/m to 24 l/m.
12 High BPM User defined. 1 BPM to 99 BPM.
13 Low BPM User defined. 0 BPM to 98 BPM.
14 High Oxygen User defined. 19% to 110%.

15 Low Oxygen User defined. 18% to 109%.
16 PEEP Error Pre-set.
17 Under Pressure Pre-set.
18 Vent Inoperative Pre-set. System Failed.
19 Press Limit High User defined
20 Fresh Gas Flow Too High Pre-Set
The relevant bits are set if an alarm has occurred unused bits should not ever be
set.

6.7.9 Error Codes
Error Error Name Description Error Error Name Description

Code Code
1 E_PIO_PORTA N/A 30 E_ADC_DPRESZERO_ Drive pressure zero

HIGH is too high
2 E_PIO_PORTB N/A
31 E_ADC_5VANEG The -5V supply is
3 E_ADC_VOLSET_UNDER TV pot is too low out of specification
4 E_ADC_VOLSET_OVER TV pot is too high 32 E_ADC_5VA The 5V Analog

supply is out of
5 E_ADC_BPMSET_UNDER BPM pot is too low specification
6 33 E_ADC_5VMAG The 5V Magtrak

E_ADC_BPMSET_OVER BPM pot is too high
supply is out of
7 E_ADC_IERATIOSET_UNDER I:E ratio pot is too low specification
8 34 E_ADC_5VALARM The 5V Alarm

E_ADC_IERATIOSET_OVER I:E ratio pot is too high
supply is out of
9 E_ADC_PRESLIMSET_UNDER Pressure limit pot is too low specification
35 E_ADC_5VD The 5V Digital

10 E_ADC_PRESLIMSET_OVER Pressure limit pot is too high
supply is out of
11 specification
E_ADC_PRESLOLIM_UNDER Low Pressure limit pot is too
low 36 E_ADC_6V The 6V supply is
12 out of specification
E_ADC_PRESLOLIM_OVER Low Pressure limit pot is too
high 37 E_TEST_LINK The 8 way test link
13 header is incorrect
E_ADC_PRESHILIM_UNDER High Pressure limit pot is too
low 99 E_MEM_UNPROTECT N/A
14 E_ADC_PRESHILIM_OVER High Pressure limit pot is too
high 100 E_COM0_IBUF_FULL N/A
15 E_ADC_COMPOT_UNDER N/A 101 E_COM0_DEV_ERR N/A

16 E_ADC_COMPOT_OVER N/A
102 E_COM1_IBUF_FULL N/A
17 E_ADC_DEVLINK_3_5 N/A
103 E_COM1_DEV_ERR N/A
18 E_ADC_DEVLINK_6_8 N/A
19 E_ADC_DEVLINK_9_11 N/A 104 E_PARAM_CHKSUM
20 E_ADC_FLOWZERO_LOW Flow zero is too low 105 E_PROG_CHKSUM N/A

21 E_ADC_FLOWZERO_HIGH Flow zero is too high
106 E_RAM_READ_WRITE N/A
22 E_ADC_INTREF N/A
23 E_ADC_TEST0 Internal i/o test line 0 failed
27 E_ADC_PPRESZERO_LOW Patient pressure zero is too

low
28 E_ADC_PPRESZERO_HIGH Patient pressure zero is too

high
29 E_ADC_DPRESZERO_LOW Drive pressure zero is too low

Section 7 - 700/900 Series Ventilators 7. Notices
7. Notices
7.1 Product Improvement
Blease Medical Equipment Limited has a policy of continued product

improvement and therefore reserves the right to make changes which may affect
the information contained in the manual without giving prior notice.
7.2 Responsibilities of the User
The 700/900 Series Ventilator conforms with the specifications and operating
procedures described in this manual and on any accompanying notices and labels
only if it has been installed, used and maintained in accordance with the
instructions. The safe function of the ventilator can only be guaranteed if it is
regularly checked and serviced at or in excess of the standards specified in this
manual.
If the ventilator is suspected of being worn, defective or otherwise unfit for use, it
should under no circumstances be used.
Broken, worn, missing or contaminated component must be replaced

immediately; contact the Blease distributor from whom the ventilator was
obtained for further service advice.
7.3 Responsibilities of the Manufacturer
The manufacturer accepts responsibility for the effects on safety, reliability and
performance of the equipment only if:
• assembly operations, extensions, adjustments, modifications and repairs are

carried out by persons with written authorization from the manufacturer;
• the equipment is used in accordance with the instructions for use;
• the electrical installation of the relevant room complies with the ‘Regulations
for the Electrical Equipment of Buildings’.
NB
If during the warranty period the equipment is serviced by an unauthorized party,
the warranty will be void.

7. Notices Section 7- 700/900 Series Ventilators
7.4 Disclaimer
Opening of the control unit by unauthorized personnel automatically voids all
warranties and specifications. The prevention of tampering is solely the user's
responsibility; the manufacturer assumes no liability for any malfunction or failure
of the ventilator if the control unit is opened.
7.5 Technology Disclaimer / Tamper Proof Seal

Unauthorized removal of or damage to seal will invalidate product warranty and
could affect accuracy and performance of this product.
In the interest of both patient and user safety no unauthorized calibration or

access to technical techniques and practices including calibration information of
this product will be issued.
The technical performance and characteristics of this product belong to Blease.

Under no circumstances will those details be issued to non-Blease personnel.
Technical data, calibration co-efficients and all intellectual property rights of this
product remain the property of Blease. To ensure correct functioning, the
equipment must be serviced at regular intervals.
7.6 Note to Service Personnel

The 700/900 Series Ventilators and integrated equipment must only be serviced
by Qualified Technical Engineers.
The contents of this manual are not binding. If any significant difference is found
between the product and this manual please contact Blease Medical Equipment
Limited for further information.
To ensure correct functioning, the equipment must be serviced at regular

intervals.
Blease Medical Equipment Limited recommends that the machine should be

serviced at intervals not exceeding three months. Qualified Technical Engineers
and genuine spare parts should be used for all servicing and repairs. Blease
Medical Equipment Limited will not otherwise assume responsibility for the
materials used, the work performed or any possible consequences of the same.

In communication with Blease Medical Equipment Limited, quote the model and
serial number of the equipment, with the approximate date of purchase. If the
equipment is being returned for repair, indicate the nature of the fault or the
work you require to be carried out.
Contact your local dealer:
Blease Medical Equipment Limited

Beech House • Chiltern Court • Asheridge Road • Chesham •
Buckinghamshire • HP5 2PX • England
Tel: +44 (0)1494 784422

Fax: +44 (0)1494 791497
e-mail (enquiries): sales@blease.com
e-mail (technical): support@blease.com
www.blease.com
7.7 Copyright
©2006, Blease Medical Equipment Limited. E & OE.
All rights reserved. The information contained in this publication may not be used
for any other purpose than that for which it was originally supplied.
This publication may not be reproduced in part or in whole without the written
consent of Blease Medical Equipment Limited.
7.8 CE Marking
0120
The product is labeled with the CE mark.

7. Notices Section 7 - 700/900 Series Ventilators
7.9 Trademarks and Acknowledgements

The following trademarks and acknowledgements may appear in Blease
Medical Equipment Manuals.
is the trademark of Abbott

Laboratories.
Da-LitesTM is a trademark of Blease Medical Equipment Limited UK.
Datum® is a registered trademark of Blease Medical Equipment

Limited UK.
Dowty is a trademark of Dowty Seals Limited.
Draeger is a trademark of Draegerwerk AG Germany.
Dzus is a trademark of Dzus Fasteners Limited.
Fomblin® is a registered trademark of Rocol Limited.
Frontline Sirius 1000® is a registered trademark of Blease Medical

Equipment Limited.

Equipment Limited.

Equipment Limited.
Legrand® is registered trademark of Legrand Electric Limited.
Loctite® is a registered trademark of Loctite Corporation USA.
Megger is a trademark of AVO Megger Instruments Ltd.
Plug-in® is a registered trademark of Draegerwerk DAG Germany.
Quik-Fil® is a trademark of Abbott Laboratories.
Rigel is a trademark of Seaward Electronics Ltd.
Scotchbrite® is a registered trademark of 3M.
SELECTATEC® is a registered trademark of Ohmeda/BOC UK Ltd.
Snoop® is a registered trademark of the Nupro® Company Ohio

USA.

Section 7- 700/900 Series Ventilators 7. Notices
7.10 Hazard Notices

This handbook contains important hazard information. You must read this
hazard information before using the Blease 700/900 Series Ventilators.
Warning Notices
Warning notices denote a potential hazard to the health and safety

of users and/or patients. These notices clearly state the nature of
the respective hazard and the means by which it can be avoided.
Warning notices appear in full in the preliminary pages and are

repeated at their points of application in the manual.
Caution Notices
Cautionary notices denote a potential hazard to the physical

integrity of equipment/software but NOT a danger to perso nnel.
These notices clearly state the nature of the hazard and the means
by which it can be avoided.
Relevant or helpful Information.

7.10.1 Hazard Information
Warnings
1. USE OF EQUIPMENT
Incorrect use of the equipment described herein may result in injury to
the patient. Read this manual before operating the machine. You must
be familiar with the machine and its functions before using it on a
patient.
2. SHORT INSPIRATORY TIMES

Short inspiratory times may result in inconsistent breath delivery. Avoid
control combinations which may produce very short inspiratory times
(<150 ms).
3. PRESSURE LIMITING
Pressure limiting is a safety feature and is also used in adult and
pediatric mode to provide ventilation (Pressure Control). It should not
be used for any other purpose, such as creation of micro-breaths or
emulation of specialized high frequency/low volume ventilation
systems, otherwise injury to the patient may result.
4. PATIENT CIRCUIT DISCONNECTION

Patient circuit disconnection is a hazard to the patient. Take extreme
5. AUDIBLE ALARM
An audible alarm indicates an anoma lous condition that may result in
damage to the equipment or injury to the patient. The cause of each
alarm should be investigated and any necessary measures taken to
remove the alarm condition.
6. REDUCED MINUTE VOLUME

If the supply gas pressure is reduced, the patient minute volume may
be reduced and injury to the patient may result. Do not use the
ventilator if the supply pressure cannot be maintained.

7. VENT INOPERATIVE ALARM
The Vent Inoperative Alarm indicates that the ventilator cannot

provide ventilation functions. Under no circumstances should the
ventilator be used on a patient while this alarm is activated.
8. EXPLOSION HAZARD
An explosion hazard exists if this equipment is used with flammable

anesthetic agents such as ether or cyclopropane. To avoid the risk of
explosion, use this equipment only with anesthetic agents that
comply with the requirements on non-flammable anesthetic agents in
the IEC standard ‘Particular Requirements for the Safety of Anesthetic
Machines’.
9. DRIVING GAS
Use of a driving gas other than oxygen or air may damage the
ventilator and will cause inaccurate operation, resulting in potential
injur y to the patient. Do not use any other driving gas.
10. OPERATING TEMPERATURE

The performance of this equipment may be adve rsely affected by
extremes of temperature. The equipment should not be used if the
ambient temperature is below 10o C (50o F) or above 40 o C (104o F).
11. ANTI-STATIC OR ELECTRICALLY CONDUCTIVE BREATHING

TUBES
The use of anti -static or electrically conductive breathing tubes and
high frequency electric surgery equipment may cause burns and is
therefore not recommended in any application of this machine. The
ventilator is not suitable for use with flammable anesthetic agents
such as ether and cyclopropane and therefore the use of anti -static
breathing tubes and face masks is in any case unnecessary.
12. VENTILATOR MALFUNCTION

Injury to the patient may result if a faulty ventilator is used. If there is
any malfunction, do not use the ventilator.
Refer to Section 5 Troubleshooting for help. If the malfunction cannot

be rectified, call an authorized te chnical engineer or return the

13. ALARM OPERATION

If an alarm condition is ignored, injury to the patient may result.
Always check the alarms before connecti ng the ventilator to a patient.
If the audible alarm or the visual indicator of any alarm function fails
to activate during an a larm condition, or fails to reset after the alarm
has been cleared, the ventilator must not be used. Contact an
Authorized Technical Engineer.
14. BELLOWS PRESSURE

At pressures above 10 cm H2O differential positive pressure, the
bellows may be dislodged from the mounting ring, resulting in a
dangerous malfunction of the ventilator. Do not exceed the stated
pressure.
15. ELECTRIC SHOCK HAZARD

Lethal voltages are present within this equipment when it is
connected to the mains electrical supply. Do not remove any of the
ventilator covers or panels. Refer all repairs and servicing to an
Authorized Technical Engineer
16. FUSES FIRE HAZARD

The use of incorrectly rated fuses constitutes a fire hazard. Replace
the two fuses only with the correct type and rating of fuse.
17. LIQUID INGRESS

Ingress of liquid into the control unit may damage the unit or result in
injury to personnel. Ensure that no liquid enters the control unit, and
always disconnect the unit from the mains electrical supply before
cleaning.

Section 7- 700/900 Series Ventilators 7. Notices
7.10.2 Cautionary Notices
1. GAS SUPPLY PRESSURE
This equipment may be damaged if the gas supply pressure is too high.
The ventilator must only be connected to gas pipeline supply lines that
are fitted with pressure relief valves that limit the supply pressure to
less than 7 bar.
2. BATTERY LIFE
To preserve battery life, never store the ventilator with its battery
discharged. Do not store or use the ventilator in close proximity to heat
sources of any kind.
3. POWER FAILURE
In the event of a mains electrical power failure when the ventilator is

running from its internal battery, do not remove the mains plug fro m
the mains supply as this would prevent the immediate resumption of
normal operation when the mains power is restored.
4. ELECTROMAGNETIC INTERFERENCE
Excessive electronic noise caused by poorly regulated devices may

interfere with the proper functioning of the ventilator. To avoid this, do
not connect the ventilator to the same mains supply outlet into which
an electrocautery unit is connected.
5. EXHAUST GAS
The driving gas is discharged through the port on the rear panel
of the ventilator. This port must be completely free of any
obstruction and should have nothing connected to it. The exhaust gas
is oxygen or air and does not contaminate the environment.

6. BELLOWS EXHAUST
A negative or positive pressure applied to the EXHAUST port of the

bellows assembly results in positive pressure in the patient breathing
system. The scavenging system must therefore not generate more than
5 cm H 2O positive or negative pressure when connected to the
ventilator. The use of an AGSS to EN 740:1999 is recommended. Do
not connect a PEEP valve to the EXHAUST port of the bellows base.
This will increase the pressure inside the bellows and cause it to detach
from the base, resulting in a serious malfunction. Any problem arising
from an improperly functioning scavenging system is solely the
responsibility of the user.
7. DAMAGE TO INTERNAL COMPONENTS
Excessive penetration of fixing screws into the ventilator may damage

internal components. Ensure that the screws do not penetrate more
than 7 mm into the ventilator.
8. CLEANING AGENTS
The ventilator surfaces are not scratch-resistant. Do not use abrasive

cleaning agents otherwise damage to the surfaces will result.
Chemical decontaminants or liquid sterilization agents will damage the

sensor and must NOT be used for cleaning or sterilizi ng. If autoclaving
the patient sensor, the autoclave must only be used with distilled
water.
9. VALVE SEAT
If the bellows valve seat is damaged, the pop-off valve will leak and
may cause serious malfunction. Take care not to damage the precision-
molde d surface of the valve seat while cleaning. Never use a hard
object or abrasive detergent. Use only a soft, lint-free cloth.

Cautions continued.
10. STERILISATION (bellows)
To avoid damage to the equipment:
Peak sterilization temperature must not exceed 134ºC.
Do not sterilize the control unit.
Gas sterilization should be followed by quarantine in a well -ventilated

area to allow dissipation of residual absorbed gas.
Follow the sterilization agent manufacturer's instructions.
11. CALIBRATION PORT
Improper connection of equipment or any power sources to the

calibration port may permanently damage the ventilator. Only a
qualified technician should connect monitoring equipment to this
port. Such equipment must be Blease -compatible and meet the
regulatory standards of the countries in which the ventilator is used.
12. FLOW SENSOR TUBING
Check flow sensor tubing regularly for trapped water as it could affect
ventilator readings.

8. Glossary Section 8- 700/900 Series Ventilators
8. Glossary
Apnea Apnea occurs when the patient fails to receive or perform a

breath during a period of 30 seconds or as set.
Compliance Compensation for back-pressure.
I:E Ratio The ratio of the inspiratory time to the expiratory time.
LCD Liquid Crystal Display.
LED Light Emitting Diode.
MV Minute Volume (expired).
Pause When Pause is activated, a percentage of the inspiratory time

is used as a plateau before starting the expiratory phase.
PEEP Positive End Expiratory Pressure.
Pressure Control Pressure Control Ventilation
Pressure Support Spontaneous Breathing
PSV Pressure Support ventilation
Sigh If selected, the delivered volume is increased by 10% for

every 10th breath (volume ventilation only).
SIMV + PSV Synchronized Intermittent Mandatory Ventilation.
TV Tidal Volume.
Volume Control Controlled Mandatory Ventilation

Section 9 - 700/900 Series Ventilators 9. Index
9. Index
A B
Absorber Setting................................ 71 BAG .......................................................40
Activity Display Area......................... 26 Battery Backup ...................................15
Adult and Pediatric ........................... 45 Battery Status LEDs ...........................30
Airway Flow ........................................ 52 Bellows Adult (installing) .................81
Airway pressure................................. 52 Bellows Units (exchanging) .............80
Alarms ................................................. 55 BPM (Frequency Control) .................23
apnea ............................................... 57 Breathing Control ..............................101
auto .................................................. 62 Breathing Modes................................101
display Area .................................... 27 Built-in ventilator Pre-use test........14
fresh Gas Too High ........................ 61
high BPM ......................................... 61 C
high Oxygen .................................... 61 Calibration Connector.......................15
low BPM .......................................... 61 Cardiac Bypass ...................................53
low Oxygen ..................................... 61 Cautionary Notices ............................112
low Supply Gas Pressure.............. 57 Cleaning and sterilization ................86
MV high............................................ 60 bellows ............................................88
MV low ............................................. 60 patient airway flow sensor..........88
menu ................................................ 32 pop-off valve seat .........................86
messages ......................................... 103 Ventilator Surfaces .......................86
mute ................................................. 64 CE Marking ..........................................107
PEEP.................................................. 59 Change Names ...................................66
power fail & Low Battery ............. 59 Copyright .............................................107
pressure high .................................. 60 Configuration......................................70
pressure low ................................... 60 Configuration menu ..........................66
pre-set .............................................. 57 Control Unit ........................................84
setting .............................................. 63 Compliance ..................................... 24/82
setting Apnea Time ....................... 65 Compliance test skipped ..................39
setting Error .................................... 58 Controls & Indicators ........................14
setting Mute Time.......................... 64 Comms fail ..........................................59
setup..............................................32/63 Comprehensive pressure monitoring
summary.......................................... 56 ...............................................................14
sustained pressure alarm ............ 58
under Pressure ............................... 59
user Defined ................................... 60
vent Inop ......................................... 57
Appendices ......................................... 91
Associated equip & Accessories 98

9. Index Section 9 - 700/900 Series Ventilators
D G
Data Transmission Settings............. 100 Glossary .............................................. 116
Data Output ........................................ 15
Defaults Menu.................................... 32 H
Description of the Ventilator .......... 13 Hazard information .......................... 110
Discharged Battery ........................... 79 Hazard Notices………………………108
Disclaimer ........................................... 106
Dimensions ......................................... 94 I
Dual mode ventilation ..................... 14 Identify you ventilator ..................... 12
I:E Ratio ............................................... 24
E I:E Setting ............................................ 42
End of Case ......................................... 33 Inspiratory Pause .............................. 19
Event Codes ........................................ 104 Installation ......................................... 73
Event Message.................................... 102 Introduction ....................................... 9
Exchanging fuses ............................... 85
Expired Tidal Volume ....................... 23 M
External Communication Spec........ 100 Maintenance (other) ......................... 85
Mean Pressure ................................... 24
F Measurements Menu ........................ 44
Factory Default Settings................... 95 Measured Value Messages .............. 102
Features ............................................... 14 Menu Tree ........................................... 31
Fixed Features .................................... 96 Methods of Sterilization .................. 89
Flow/Volume ...................................... 50 Microprocessor Control ................... 14
Fresh Gas............................................. 39 Minute Volume .................................. 23
calibration ....................................... 71 Mode Dependant Features .............. 97
compensation ................................. 23 Mode Selection Menu....................... 53
Front panel ......................................... 25
N
Normal Screen ................................... 26
Note to Service Personnel ............... 106
No Charge ........................................... 59
O
Operating Modes............................... 16
Overview ............................................. 13
Oxygen................................................. 23
Oxygen Calibration ........................... 43

Section 9 - 700/900 Series Ventilators 9. Index
P Setting Parameters ............................55

Parameters ......................................... 22 Set Messages.......................................101
Parameters Display Area ................. 27 Setup.....................................................70
Peak Pressure .................................... 24 Setup Menu .........................................31
PEEP ..................................................... 22 Sigh .......................................................19
Performance Data ............................. 93 Sigh Setting .........................................71
Performance Data Notes ................. 94 SIMV + PSV ..........................................18
Pressure Control................................ 17 Six Monthly Checks............................62
Pressure Limit .................................... 24 Spirometry....................................... 15/48
Pressure Limit Control ..................... 14 Support Pressure .............................. 23
Pressure Support............................... 18 Switching ventilator ......................... 33
Pressure/Volume .............................. 50 Symbols & Abbreviations ................ 10
Pre-use Checks .................................. 77 System information .......................... 71
Pre-use Test Error Messages ........... 37
Pre-use Test........................................ 82 T
Pre-Use Testing.................................. 34 Technology Disclaimer .................... 106
Principles of Operation.................... 20 Tidal Volume...................................... 23
Pneumatic System ............................ 21 Touch Screen ..................................... 29
Pneumothorax during Laparoscopy 51 Trademarks & Acknowledgements 108
Product Improvement ...................... 105 Trak Wheel ......................................... 28
Protocol............................................... 100 Trigger ................................................. 23
Troubleshooting ................................ 91
R U
Recalling Loops ................................. 49 User Interface .................................... 25
Recall previous settings ................... 69 Using the Ventilator ......................... 33
Removing Pop-off valve .................. 87
Responsibilities of the user ............ 105 V
Responsibilities of the Manufacturer .... 102 Ventilator (using) .............................. 33
Routine user maintenance .............. 84 Powering up ........................... 33
Run ....................................................... 40 Powering down...................... 33
Starting .................................... 33
S Stopping .................................. 33
Save Current Settings ....................... 68 Volume Control ................................. 17
Save Hospital Defaults ..................... 68 Volume Ventilation........................... 17
Saving and recalling Settings ......... 68
Sensor placement ............................. 46 W
Waveform Select Menu.................... 48
Weekly Checks................................... 84

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700/900 Series Ventilators

Operator User Manual

ECN 1 ECN 2 ECN 3 ECN 4 ECN 5

ECN 6 ECN 7 ECN 8 ECN 9 ECN 10

Part Number: 140UM000

700/900 Series Ventilators User Manual 1

2 700/900 Series Ventilators User Manual

700/900 Series Ventilators User Manual 3

1.3.5.9 BPM (Frequency Control) ............................................... 23

4 700/900 Series Ventilators User Manual

Recalling loops ........................................................................................... 49

700/900 Series Ventilators User Manual 5

2.13.1 Change Names ............................................................................. 66

6 700/900 Series Ventilators User Manual

6.4 Fixed Features ............................................................................................ 96

700/900 Series Ventilators User Manual 7

How to Use This Manual

For information on disclaimers, contact information, trademarks, cautions

8 700/900 Series Ventilators User Manual

WARNING: Incorrect use of the equipment described herein may

To ensure correct functioning of the equipment it must be serviced at regular

700/900 Series Ventilators User Manual 9

1.1 Symbols and Abbreviations

cmH2O Gauge pressure expressed in centimetres of water

IEC symbol to consult the instructions for use

IEC symbol denoting type of equipment (B)

WARNING: There is danger of personal injury to the

Further relevant or helpful information

l/m lpm Litres per minute

psig Pounds per square inch gauge

IEC symbol for alternating current

Confers approval under theEuropean Medical Device Directive

This symbol indicates that the waste of electrical and electronic

10 700/900 Series Ventilators User Manual

700/900 Series Ventilators User Manual 11

1.2 Identify your Ventilator

Use the table below to identify your ventilator model in

700 Series 900 series

12 700/900 Series Ventilators User Manual

1.3 Description of the Ventilator

The bellows assembly comprises a base and a bellows housing.

Throughout this manual, all figures and descriptions refer to a UK-

Figure 1 700/900 Series Ventilator

700/900 Series Ventilators User Manual 13

1.3.2.1 Controls and Indicators

1.3.2.2 Microprocessor Control

1.3.2.3 Dual Mode Ventilation

1.3.2.5 Built-in Ventilator Pre-use Test

1.3.2.6 Comprehensive Pressure Monitoring and

14 700/900 Series Ventilators User Manual

1.3.2.8 Battery Back Up

1.3.2.9 Calibration Connector

1.3.2.10 Data Output

Improper connection of equipment or any power sources to the

700/900 Series Ventilators User Manual 15

1.3.3 Operating Modes

Some features of the ventilator are only available in certain

WARNING: Short inspiratory times may result in inconsistent

WARNING: Pressure limiting is a safety feature and is also used

16 700/900 Series Ventilators User Manual

1.3.3.1 Volume Control

1.3.3.2 Pressure Control

Volume Control Mode Pressure Control Mode