Aestiva MRI

Maintenance Procedures
Mfr. Description Page Date Issued: Revision Date:

04/2007
AA Aestiva/5 MRI 1 of 17 09/19/02 Number: 2.01
I. GENERAL INFORMATION
The following planned maintenance procedures are to be performed every 6 months, except where
specifically stated differently.
WARNING: This procedure contains limited warnings and cautions. Refer to the product
Service Manuals for a full listing of precautions.
WARNING: Datex-Ohmeda employees must follow the guidelines explained in HRFS451G,

Infection Control Procedures. Non Datex-Ohmeda users of this document must
follow the applicable institution policy for infection control.
II. VISUAL INSPECTION PROCEDURES
A. Machine Frame and External Connections

1. Check the condition and tightness of all cabinet, frame and shelf parts.
2. Check the casters for proper operation and mounting. DO NOT LUBRICATE THE
CASTERS. Check the brake for proper operation.
3. Check the storage drawers/flip-up shelf for smooth operation. Verify the end stops
function correctly.
4. Check the condition of all panels.
5. Check for proper mounting and smooth operation of all switches and rotary controls.
Ensure all associated knobs are secure.
6. Verify that all labels are in place and are clearly legible.
7. Check any external tubing, including rubber goods, hoses and pipeline hoses, and ensure
there is no visible deterioration and that they are securely attached.
8. Check all external electrical cabling. Ensure all is correctly connected and is not
deteriorated.
9. Verify that both Operation Manuals are present.
III. VENTILATOR PART REPLACEMENT
A. Battery Replacement (Every 6 months)

1. Ensure the System Master Switch is in the STANDBY position.
2. Disconnect power cord.
3. Loosen the 2 securing screws for the AC Inlet Module and remove the module.
CAUTION: The AC Inlet Module can weigh up to 15kg (33 lb.)!
4. Remove the screws securing the electronic compartment cover and remove the cover.
5. Disconnect the battery cable connector at the power supply PCB.
6. Remove the battery cable securing clamp at the upper perforated bracket.
7. Slide the battery out of its holding bracket.
8. Record the replacement date on the new battery and install the new battery.
9. Reassemble by reversing the above procedure. Ensure the battery cable is secured to
the upper perforated bracket to keep it clear of the AC Inlet connector. Also ensure the
AC Inlet module securing screws cannot be loosened without the use of a tool.
B. Free Breathing Valve Replacement (Every 24 months)

1. Remove the ventilator engine shroud.
MP 1032 The information contained in this document is CONFIDENTIAL INFORMATION and IS INTENDED ONLY FOR THE USE OF EMPLOYEES OF
GENERAL ELECTRIC COMPANY, IT’S SUBSIDIARIES, AFFILIATES OR DESIGNEES. Distribution or copying of this document by non-
employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
04/2007
2. Remove the scavenging module.

3. Remove the free breathing valve body from the ventilator engine by turning it
counterclockwise.
4. Inspect the seating edge of the valve for nicks or other damage.
5. Remove and replace the free breathing flapper valve. Cut the tail of the new valve flush
with the bottom of the check valve seat.
6. Remove and replace the valve body o-ring. Lubricate the new o-ring with a thin film of
Krytox.
7. Ensure that the seating edge of the valve body is clean.
8. Install the check valve body by turning it into the manifold clockwise. Hand tighten firmly.
IV. ANNUAL VENTILATOR TESTS
A. Supply Gas Inlet Filter

1. Disconnect the pipeline supplying the ventilator and bleed off pressure from the system.
2. Unscrew and remove the supply gas inlet filter from the bottom of the vent engine
manifold.
3. Visually inspect the supply gas inlet filter. Replace the element assembly if it is discolored,
debris is visible, or moisture has collected in the filter bowl.
4. Lubricate the o-ring with a thin film of Krytox.
5. Reinstall the Gas Inlet Filter.
B. Regulator Pressure Verification

1. Remove the ¼” Legris plug on the bottom of the vent engine manifold and install an
approved high pressure test device capable of reading 60 psi.
2. Connect the O2 pipeline supply.
3. Turn the System Master Switch to the ON position – push and hold the ventilator rotary
encoder knob during the boot sequence to enter the service mode.
4. Note the drive gas and altitude settings displayed during the boot sequence.
5. Select the Service Mode. Reset the drive gas or altitude if necessary.
6. Select “Cal Regulator” and push the rotary encoder knob to enter this mode.
7. Follow the rest of the instructions on the screen to verify the regulator pressure. Adjust
the regulator as necessary. The pressure should be 25 PSI + .2 psi.
C. Switch Checks
1. From the Service Mode main menu select Display I/O Signals.
2. Test each switch listed by the following methods. Ensure the status of each switch
changes appropriately.
a. Control Panel Cover: Open and close the control panel or move the switch lever with
your finger.
b. CO2 Bypass: Push on the switch button located in the cavity near the front and top of
the absorber canister.
c. ACGO Switch, if equipped: Cycle the ACGO lever.
d. Bag/Vent: Cycle the bag/vent switch.
e. O2 Sensor: Disconnect and connect the O2 sensor.
f. Canister: Open and close the absorber canister handle.
g. Breathing Circuit Switches 1-4: Use a small piece of paper or similar small object to
block the IR light beam of each switch. The switch numbers are (from left to right) 1,
3, 2. Switch 4 is not used. All switches are normally ON.
h. Verify DPL Switch is OFF.
i. O2 Flush: Push the O2 flush button. Must have O2 pressure.
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D. Error Log Check

1. From the Service Mode main menu select System Error Log.
2. Check for errors. If any error codes have been logged follow the appropriate service
troubleshooting procedures.
3. Clear the Error Log.
E. Alarm Log Check

1. From the Service Mode main menu select the Alarm Log.
2. Clear the Alarm Log.
F. Diagnostic Tests
1. Select and run the following tests from the Service Mode Main Menu:
a. Test Panel Switches
b. Test Serial Ports (internal test only)
c. Test Flow Valve
d. Test Gas Inlet Valve
e. Test Pressure Limit Switch
G. Calibration
1. Select and run the following calibration routines from the Service Mode Main
a. Cal O2 Sensor
b. Cal Flow Sensor
c. Cal Pressure Sensitivity
d. Cal Flow Valve
e. Cal Bleed Resistor
2. Exit the Service Mode.
H. Battery Backup Test

1. Disconnect the AC power cord and verify that:
• The AC Power LED on the display panel is not lit.
• A momentary audio alarm is sounded.
• The “On Battery” message is displayed.
2. Reconnect the power cord and verify that the AC Power LED is lighted and the “On
Battery” message clears.
V. SCHEDULED PART REPLACEMENT – MACHINE
A. Vaporizer Port O-Rings (every 12 months)

1. Remove and replace all vaporizer port o-rings.
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VI. PERIODIC INSPECTIONS
A. High Pressure System/High Pressure Leak Test
NOTE: This test is only applicable to those gases with cylinder supplies. If there are
no cylinder supply yokes on the machine, skip this section and proceed to
step VII.
1. Ensure that the System Master Switch is in the STANDBY position.

2. Remove all pipeline connections.
3. Verify the auxiliary O2 flowmeter is OFF, if equipped.
4. Open all cylinder valves.
5. Close all cylinder valves. Verify that the cylinder pressure has not visibly dropped after
1 minute.
6. Loosen the "T" handles and pull the cylinders back to verify that the pin index and
strainer nipples are intact.
NOTE: It is normal to hear a momentary release of pressure.
7. For each double cylinder yoke:

a. Connect one cylinder to one of the double yokes and leave the second yoke
position unused.
b. Open the cylinder. Listen for a continuous leak at the unused yoke position. If
you hear a leak, repair or replace the cylinder yoke as necessary.
c. Close the cylinder and move it to the other yoke position. Repeat step b.
8. Reinstall all cylinders removed.
VII. MACHINE TESTS
A. Preparation (common gas outlet accessibility)

1. Remove the flow sensor module from the breathing system and set aside for later
inspection.
2. Disconnect the cable from the O2 sensor.
3. For circle breathing modules only, push the drain button for at least 10 seconds to drain
condensate into the absorber.
4. Remove the breathing module and set aside for later inspection.
5. Push the O2 flush to drain system.
B. Low Pressure Leak Test and Vaporizer Interlock Test

1. Verify the integrity of low pressure leak test device (squeeze bulb).
2. Attach low-pressure leak test device to the common gas outlet on the breathing
system bulkhead.
3. If ACGO is present, turn it to the OFF position.
4. Open all flow control valves 1 1/2 turns. Ensure there is no O2 flow.
5. Repeatedly squeeze and release the hand bulb of the device until it remains
collapsed.
6. If the hand bulb completely inflates in less than 30 seconds, locate and correct the leak.
7. Turn a vaporizer ON to its maximum setting, checking the concentration dial for
smooth operation.
8. Turn the vaporizer to 1%. Repeat steps 5 and 6 with the vaporizer ON.
9. Check the interlock system by ensuring that no other vaporizer may be turned ON.
10. Turn the vaporizer OFF.
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11. Repeat steps 7-10 for each mounted vaporizer.

12. Fully close all flow control valves to their minimum settings.
13. Remove the low pressure leak test device.
C. ACGO Leak Test (if equipped))

1. Attach a low-pressure leak test device (squeeze bulb) to the ACGO outlet.
2. Move the ACGO lever to the ACGO position.
3. Repeatedly squeeze and release the hand bulb until it remains collapsed.
4. If the hand bulb completely inflates in less than 30 seconds, locate and correct the leak.
5. Return the ACGO lever to the BREATHING SYSTEM position (off).
6. Remove the low-pressure leak test device.
D. Mixed Gas Outlet Pressure Relief Valve (every 12 months)

1. Connect all pipeline supplies.
2. Place the bag/vent switch to the bag position.
3. Turn the System Master Switch to the ON position.
4. Set oxygen flow control valve to 500 ml.
5. Attach an approved low pressure measuring device to the common gas outlet.
6. Ensure the common gas outlet relief valve relieves between 230 and 420 mmHg.
7. Remove the measuring device.
E. Balance Regulator/Low O2 Alarm
WARNING: Follow the appropriate agent evacuation/collection safety measures. Use

the hospital evacuation system with the service gas-evacuator tee. If
hospital evacuation system is not available, perform service in a
well-ventilated area.
Note: There are two different methods for performing the Pressure Sensor/Low O2 Alarm
test. Determine the output pressure of the gas supply module regulator and
perform the test that is applicable.
1. 97 PSI REGULATORS
a. Verify all pipeline supplies are connected and open all cylinder valves.
b. Ensure all cylinder gauges indicate pressure above the red zone of the gauge
c. Close cylinder valves only for gases which also have pipeline supplies.
d. Set all flowmeters for 3 L/min and observe the cylinder gauges.
e. Verify that the cylinder gauges Drop to 0 psi for gases with pipeline supplies.
f. Remove the oxygen pipeline supply and verify the following events occur in sequence:
1. Ventilator audio alarm activates.
2. Flowmeter floats for all gases, except Air, fall to zero. Air should continue to flow
without disruption.
g. Ensure that the message “No O2 Pressure” is displayed on the ventilator.
h. Close all flow control valves.
i. Re-establish the O2 pipeline supply.
j. Verify that the audio alarm silences and the message clears.
k. Proceed to Step F, O2 Flush Valve Test.
2. 45 PSI REGULATORS
a. Verify all pipeline supplies are connected and open all cylinder valves.
b. Close cylinder valves.
c. Ensure all cylinder gauges indicate pressure above the red zone of the gauge.
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d Turn the System Master Switch to the ON position.

e. Set all flowmeters for 3 L/min and observe the cylinder gauges.
f. Verify that the cylinder gauges for pipeline supplied gases have not dropped to 0 psi.
Such a drop would indicate that the flowmeters are being supplied by the cylinders.
Adjust cylinder regulator as necessary.
g. Remove the oxygen pipeline supply and verify the following events occur in sequence:
1. Ventilator audio alarm activates.
2. Flowmeter floats for all gases, except Air, fall to zero. Air should continue to flow
without disruption.
h. Ensure that the message “No O2 Pressure” is displayed on the ventilator.
i. Close all flow control valves.
j. Re-establish O2 pipeline supply.
k. Verify that the audio alarm silences and the message clears.
F. O2 Flush Valve Test

1. Depress O2 flush valve for 3-5 seconds.
2. Ensure a high rate of flow is heard and the low O2 supply alarm does not activate.
VIII. BREATHING SYSTEM DISASSEMBLY, INSPECTION AND TESTS

A. Bag to Vent Switch
1. Visually inspect the toggle for signs of interference or buildup.
•Clean or replace as necessary.
2. If there is any indication of interference, check the clearance between the rounded
surface of the toggle and the control panel with a 0.05mm (0.002 inch) feeler gauge.
•Insert the gauge at a corner as shown and test all along the surface to the other
corner.
•Minor interference can be removed with extra fine sandpaper.
•If the clearance cannot be achieved with light sanding, the toggle should be
replaced.
B. Flow Sensor Module
1. Inspect the housing, tubing and connectors of both flow sensors. Ensure the tubing is not
kinked.
2. Inspect the flow sensor connector mounted in the absorber. Ensure the electrical and
pneumatic connection points are clean with no residue.
3. Replace any components that look damaged or worn.
4. Set aside for later installation.
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C. Breathing Circuit Module/ O2 Sensor

1. Remove the O2 sensor.
2. Inspect the sensor and o-ring. Replace if physically damaged.
3. Inspect the sensor cable. Replace if physically damaged or worn.
4. Disassemble the breathing circuit module and inspect the seals, check valve disks and
check valve seats. Replace as necessary.
NOTE: Bain/Mapleson D breathing circuit modules do not have check valves.
5. For circle circuit modules, inspect the drain valve o-ring and seal. Replace as necessary.
Check for proper operation. Clean any contamination that may be present.
6. Reassemble the breathing circuit module.
7. Reinstall the O2 sensor and set the module aside.
8. Repeat steps 1-7 for every breathing circuit module available.
D. Bag Arm
1. (For long bag arm only) Check the bag arm for free rotation at both ends. Check the
rotation end stops for proper function.
2. Remove the bag arm from the absorber and set aside.
E. Airway Pressure Gauge Check

1. Rotate the pressure gauge. Ensure free rotation to both stops.
2. Ensure the pressure gauge needle is at zero. Adjust as necessary through adjustment
hole in the right side of the absorber.
3. Connect an approved low-pressure test device capable of reading 40 cmH2O, syringe, and
airway pressure gauge test adapter to the black (or gray) pressure gauge port on the
absorber bulkhead to verify the airway pressure gauge accuracy at the following pressures:
0 ± 1 cmH20 (0 ± 0.7 mmHg)

40 ± 1 cmH20 (29.4 ± 0.7 mmHg)
-5 ± 3 cmH20 (-3.7 ± 2.2 mmHg)
4. Remove the test device.
F. Breathing System Control Panel

1. Cycle the bag/vent switch several times. Ensure it snaps firmly from one position to the
other.
2. Turn the APL knob the full range of motion. Ensure it operates smoothly and that detents
are felt between 30 and 70 cmH20.
3. Open the control panel on its hinge and inspect the following:
a. Ensure the microswitch wires in the hinge area are free to move and are not pinched
or damaged.
b. Ensure the pressure gauge sensing tube is not stretched, pinched or damaged.
c. Push in the spring-loaded APL actuator piston several times. Ensure smooth motion
and that it moves in/out as the APL knob is rotated.
G. Bellows Inspection
1. Remove the bellows assembly and completely disassemble.
2. Inspect all removed components. Check that the bellows housing is not cracked, chipped
or damaged. Also check the condition of the housing lettering. Replace any components
that appear damaged, distorted or worn. Clean any that are contaminated.
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3. Reassemble the bellows assembly. Ensure all components are secure.
H. Bellows Drop Test

1. Invert the bellows assembly and ensure the bellows is fully extended.
2. Insert a test plug in the port closest to the flat edge of the bellows base.
3. Rotate the bellows assembly upright. The bellows must not fall more than 100 mL/minute.
Locate and correct the leak, as necessary.
4. Remove the test plug from the bellows base.
5. Upright the bellows assembly and ensure the bellows is fully collapsed.
6. Reinstall the test plug into the port closest to the flat edge of the bellows base.
7. Invert the bellows assembly. The bellows must not fall more than 100 mL/min. Locate
and correct the leak, as necessary.
8. Remove the test plug.
I. Bellows Pop-off Valve Test

1. Close the absorber control panel without reinstalling the bellows assembly.
2. Connect two of the connectors of the Aestiva Leak Test Tool (the two closest to each
other) to the pressure gauge and common gas outlet ports of the absorber.
3. Determine the effect of the test tool tubing resistance:
a. Ensure the remaining connector of the Aestiva test tool is open to atmosphere.
b. Increase the O2 flow to 10 L/min. and note the circuit pressure on the breathing
system gauge. This pressure will be needed for step 7.
4. Return the O2 flow to minimum.
5. Install the remaining connector of the Aestiva test tool to the bellows base port closest to
the flat edge of the bellows base.
6. Use O2 flush to fill the bellows.
7. Increase the O2 flow to 10L/min. Observe the breathing system pressure gauge and
ensure the circuit pressure remains between 1 and 5 cmH2O above the pressure recorded
in step 3b.
J. Bellows Retention Test

1. Decrease O2 flow to minimum.
2. Occlude the small pop-off valve port on the bottom and directly in the middle of the
bellows assembly.
3. Use the O2 flow control to obtain a steady pressure of 15 cmH2O on the absorber
pressure gauge.
4. Check the bellows for proper retention at the bellows base. Replace the bellows as
necessary or if 15 cmH2O cannot be obtained.
5. Remove the Aestiva Leak Test Tool and set the bellows assembly aside.
K. Breathing System Manifold

1. Remove the breathing system manifold from the absorber and completely disassemble.
2. Inspect the APL valve diaphragm, disk and cage. Replace any that look damaged,
distorted or worn. Clean any that are contaminated.
3. Inspect all seals. Replace any that look damaged, distorted or worn. Clean any that are
contaminated.
4. Inspect the bag/vent valve components; poppets, retainers and o-rings. Replace any that
look damaged, distorted or worn. Clean any that are contaminated. Slightly lubricate the
bag to vent poppets “O” Rings with Krytox.
5. Reassemble the manifold and set aside for later installation.
L. Exhalation Valve Assembly (ventilator)

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1. Remove the exhalation valve assembly from the absorber and completely disassemble.
2. Inspect all exhalation valve components. Replace any that look damaged, distorted or
worn. Clean any that are contaminated. Sparingly lubricate the standpipe U-cup seal with
Kryrox.
3. Inspect the AGSS “Y” seal. Replace it if it looks damaged, worn, or distorted. Ensure it is
fully seated on the absorber sub-floor.
4. Reassemble the exhalation valve and set aside for a later test.
M. Absorbent Canister
1. Release the canister lock ensuring that the handle operates properly and smoothly.
Lubricate the absorber canister locking mechanism.
2. Push down the bottom dish and remove the absorbent canisters.
3. Remove the upper dish/lower dish assembly with corrugated tube attached and inspect.
Replace any parts that look damaged, distorted or worn. Clean any that are contaminated.
Ensure corrugated tube is tightly secured at both ends.
4. Inspect the transfer tube and seal in the rear of the canister area. Ensure the seal is
properly attached to the scavenging pipe. Replace any parts that look damaged, distorted
or worn. Clean any that are contaminated.
5. Reassemble the canister assembly and canisters in the absorber in the reverse order.
Lock the canister in place. Ensure the canister handle operates smoothly and locks into
position.
N. Passive Internal Gas Scavenging, if equipped

1. Remove the vent engine cover at the rear of the absorber.
2. Remove the scavenging assembly.
3. Inspect the scavenging outlet seal. Replace if damaged, distorted or worn. Clean if
contaminated.
4. Inspect the positive pressure dead weight relief valve. Ensure it is clean and the retainer
is securely attached.
5. Inspect the negative pressure relief valve disk. Ensure it is clean and the retainer is
securely attached.
6. Invert the scavenging assembly to ensure both the weight and disk move freely without
sticking.
7. Set the scavenging assembly aside.
O. Active Internal Gas Scavenging (AGSS), if equipped

1. Remove the vent engine cover at the rear of the absorber.
2. Remove the scavenging assembly.
3. Inspect the scavenging outlet seal. Replace if damaged, distorted or worn. Clean any that
are contaminated.
4. Inspect the filter. Clean or replace as required.
5. Set scavenging assembly aside.
P. Externally Mounted Active Scavenging System (If equipped)
NOTE: The old style relief valve may allow a negative pressure indication up to -2
cmH2O. If you find an old style relief valve, replace it with the new style valve
assembly.
1. Check and/or replace as necessary:

a. 1/4 inch vacuum hose.
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b. All unused evacuation ports must be capped.

c. Evacuation hoses.
d. Three (3) liter evacuation bag.
e. 19 mm scavenger tee for gas monitors.
f. Ensure that the double 19 mm connector, if fitted, is located beneath the scavenger
valve.
2. Inspect and Clean
a. Remove positive and negative relief valve components.
b. Clean inside of manifold and beneath negative pressure button.
c. Clean needle valve and seat assembly. Lubricate the needle valve threads w/ Krytox,
as necessary.
d. Replace positive and negative pressure gaskets as needed.
e. Reassemble the valve.
3. Functional Check
a. Note the position of the interface needle valve.
b. Close the interface needle valve.
c. Adjust the O2 flow to 6 L/min.
d. Observe for the following:
1) In less than 1 minute, the evacuation bag should fill and the positive pressure
valve should relieve.
2) The absorber gauge should not indicate a pressure rise of more than 4 cmH2O.
e. Reduce O2 to minimum.
f. Open the needle valve one full turn.
1) Occlude the absorber exhalation port using the test plug.
2) Negative pressures should not show on the absorber gauge.
3) Verify that the evacuation bag is completely collapsed, the negative relief valve
has relieved, and the absorber gauge is at 0 cmH2O.
g. Return the needle valve to the position noted in step a.
Q. MOPV Pressure Relief Valve Test (every 12 months)

1. Occlude the 2 silicone ports beneath the exhalation valve as described below.
a. Locate the 2 ports on the absorber sub floor that are inside the molded outline of the
exhalation valve.
b. Install the white standpipe tube from the exhalation valve, with the u-cup seal side up,
into the exhalation valve port which is offset from center.
c. Push the standpipe tube down the silicone drive gas port to within 1/2” from as far as it
can be pushed.
d. Occlude the other silicone port within the molded outline of the exhalation valve with a
stopper.
2. Turn the System Master Switch to the ON position and enter the Service Mode by pushing
in and holding the Ventilator rotary encoder knob during the boot sequence.
3. Select Flow Valve Test Tool from the menu.
4. Select and activate a flow of 20 L/min from the ventilator screen.
5. Move the Bag/Vent switch to the Vent position.
6. Occlude the top of the white standpipe tube with your thumb.
7. Check the “manifold pressure” reading on the service screen. The MOPV valve is
functioning correctly if the pressure reading is less than 120cmH2O.
8. Turn the System Master Switch to the STANDBY position.
9. Remove the stopper from the exhalation valve port.
10. Remove the standpipe from the remaining exhalation valve port.
11. Install the exhalation valve into the breathing system.
12. Install the white standpipe into the exhalation valve.
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NOTE: If the MOPV Valve doesn’t pass the above test, adjust the height of the white
standpipe in the exhalation valve port. Adjusting the height of the standpipe will
eliminate the drive pressure limit switch from the circuit and allow the test to be
performed.
R. Reassembly of Absorber
1. Install the exhalation valve.
2. Install the breathing system manifold.
3. Install the bellows assembly.
4. Close the breathing system control panel.
5. Install the bag arm.
6. Install the breathing circuit module and connect the O2 sensor cable.
7. Install the flow sensor module.
8. Install the gas scavenging (AGSS) module.
NOTE: For the 12 and 24 month PM, the AGSS module must be left out for accessibility
to the AGSS area later in this procedure. It will be reinstalled in the Ventilator
section.
IX. BREATHING SYSTEM LEAK TESTS
A. Breathing System Leak Test – Ventilator Circuit

1. Turn the System Master switch to the Off position.
2. Set the Bag/Vent switch to Vent.
3. Connect a hose between the inhalation and exhalation ports of the flow sensor module.
4. Use O2 flush to fill the bellows. While filling, the pressure gauge must not exceed 15
cmH20.
5. Release the O2 flush button.
6. Observe the bellows. If it falls more than 100 mL/min, a leak exists and should be
corrected.
7. If equipped with CO2 bypass option, open the canister handle to activate the CO2 bypass.
Repeat steps 4–6. Close the canister handle to return to the normal CO2 absorber mode.
B. Breathing System Leak Test – Bag Circuit

1. Remove the hose from the exhalation port of the flow sensor module.
2. Attach the free end of the hose to the Bag arm.
3. Set the Bag/Vent switch to Bag.
4. Set the APL valve to maximum (fully clockwise).
5. Turn the System Master Switch to the ON position.
6. Use the O2 needle valve to obtain a pressure of 30 cmH20 on the breathing system
pressure gauge.
7. Decrease the O2 flow to 250 ml/minute.
8. The pressure gauge should not decrease from 30 cmH20. Locate and repair leaks as
necessary.
C. APL Valve Test (Every Visit)

1. Increase O2 flow to 3L/min. The pressure gauge should read between 60 and 85 cmH20.
Replace valve body as necessary.
2. Push the O2 flush and ensure the pressure does not increase to more than 85 cmH20.
Replace valve body as necessary.
3. Slowly turn the APL knob counter-clockwise. Verify the pressure decreases smoothly with
every click of the knob as indicated on the pressure gauge.
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4. When the APL valve is set to minimum (fully counter-clockwise), the pressure gauge
should read close to zero (approximately 0.5 – 1.1 cmH20).
5. Push O2 flush and ensure the pressure maintains near zero.
6. Remove the tube between the inhalation and bag arm ports.
(Every 12 Months)
1. Check and zero the pressure gauge as required (Refer to section 6.6).
2. Ensure that the AGSS is on and operational.
3. Plug the patient connection by connecting it to the test port on the
handle.
4. Plug the bag arm with a test plug.
5. Fully open the APL to MIN.
6. Set the O2 flow to 3 L/min. The pressure indicated on the pressure
gauge should not exceed 3.0 cm H2O.
7. Adjust the total fresh gas flow to 30 L/min*. The pressure indicated on
the pressure gauge should not exceed 4.0 cm H2O.
8. Check the valve at mid-range settings of about 20, 30, and 50 while
flowing 30 L/min. Note that scale markings are only approximate. The
pressure should stabilize at each setting; however, fluctuations within
an 8 cm H2O range (min to max) are acceptable**. Ensure that the APL
valve exhibits a tactile detent feel when turning in the 30–70 cm H2O
range and that the knob does not rotate on its own.
9. Set the APL to 70 while flowing 30 L/min. The pressure indicated on the
pressure gauge should be between 60–85 cm H2O, including any
fluctuations**.
10. Set the APL to MIN.
11. Remove the plug from the bag arm and replace it with the bag. The bag should fully
inflate.
12. Reduce the O2 flow to minimum and all other flow controls off.
13. The bag should remain inflated.
* To achieve 30 L/min total fresh gas flow, set the O2 flow to 15 L/min and the
Air flow to 15 L/min. Alternatively, set the O2 flow to 15 L/min and the N2O flow
to the maximum stop less approximately 1/2 turn.
WARNING Nitrous oxide flows through the system during this test. Use a safe
and approved procedure to collect and remove it.
** Pressure fluctuations can occur with this test due to the steady high flow rate
used. However, there should be no fluctuations or spikes outside of an 8 cm
H2O range (min to max) at any setting. This will not occur during normal
bagging operation with lower fresh gas flow rates.
WARNING Make sure that there are no test plugs or other objects caught in the
breathing system.
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X. ADDITIONAL MACHINE CHECKS
A. Internal Active Gas Scavenging Test, if equipped

1. Connect a vacuum source to the scavenging port capable of at least a 36 L/min draw.
2. Ensure the scavenging flowmeter reading is in the acceptable range and not in the red
zones.
B. Flowmeter Verification, every 12 months

1. Remove the flow sensor module.
2. Remove the breathing circuit module.
3. Connect the flowmeter verification test device to the common gas outlet.
4. Perform a flowmeter verification test on the O2 flowmeter at the following flows: 500
mL/min, 1 L/min, and 5 L/min. (Do not use the ACGO for this test) ) Note: When using the
PTS 2000 or Certifier the flow tolerance is +/- 10% of nominal reading.
WARNING: Use the hospital evacuation system with the machine AGSS. If hospital
evacuation system is not available, perform service in a well-ventilated area.
5. Remove the flowmeter verification test device from the common gas outlet.
6. Install the breathing circuit module.
7. Install the flow sensor module.
C. PROPORTIONING SYSTEM
1. Connect a hose between the inhalation and exhalation ports of the flow sensor module.
2. Occlude the bag arm with a rubber stopper.
3. Set the Bag/Vent switch to Bag.
4. Adjust the APL Valve to minimum (fully counter clockwise).
5. Ensure all flow control knobs are set to minimum flow (fully clockwise). The O2 flow should
be between 25 and 75 mL/min.
6. Expose the O2 sensor to room air and perform the O2 calibration from the calibration menu
on the ventilator.
7. Reinstall the O2 sensor into the breathing system.
8. Use the N2O Flow Control Valve and perform the tests in Table A progressively from low to
high flows. Do not overshoot any setting. Allow the System O2 monitor to stabilize between
readings.
04/2007
TABLE A
Set the N2O The O2 monitor must read between
Flow to (L/min) the following percentages
System O2 Monitor
0.15 21% Minimum
0.5 21% Minimum
0.8 21 - 30%
1.0 21 - 30%
3.0 21 - 30%
6.0 21 - 30%
9.0 21 - 30%
9. Set the N2O flow to 10 L/min.

10. Increase the O2 flow to 6 L/min.
11. Use the O2 Flow Control Valve to perform the tests in Table B progressively from high to
low flows. Do not overshoot any setting. Allow the System O2 monitor to stabilize between
readings.
TABLE B
Set the O2 The O2 monitor must read between
Flow to (L/min) the following percentages
System O2 Monitor
3.0 21 - 30%
2.0 21 - 30%
1.0 21 - 30%
0.3 21 - 30%
12. Decrease N2O flow to minimum. The O2 float should not decrease at this time.
04/2007
13. Check for additional gas proportioning by using the appropriate table(s) below.
TABLE C
Oxygen Air Oxygen
Monitor Range
4 L/min 3 L/min 61-71%
3.5 L/min 6 L/min 45-55%
1.5 L/min 8 L/min 28-38%
TABLE D
Oxygen Heliox (25% Oxygen, 75% Oxygen
Helium Monitor Range
4.0 L/min 3.0 L/min 63-73%
3.5 L/min 6.0 L/min 48-58%
1.5 L/min 8.0 L/min 32-42%
TABLE E
Oxygen Carbon Dioxide Oxygen
Monitor Range
2 L/min 0.2 L/min 86-96%
0.5 L/min 0.5 L/min 45-55%
14. Set all gas flows to minimum.
04/2007
D. Vaporizer Flow Test
WARNING: Follow the appropriate agent evacuation/collection safety measures. Use

the hospital evacuation system with the service gas-evacuator tee. Use the
canister when appropriate vacuum systems are unavailable (Vapor
Absorption Kit).
1. Set the oxygen flow rate to 6 L/min.

2. Turn on a vaporizer. Slowly advance the vaporizer knob through a percentage range
of 0 to 1.0% while observing the oxygen flowmeter.
3. The oxygen flow rate should not drop more than 1 L/min at any position.
4. Repeat Steps 2 through 3 for each of the vaporizer positions on the manifold.
5. Set the O2 flow to minimum.
E. Volume Delivery Test (every 12 months)

1. Connect a test lung to a circle breathing circuit.
2. Set the Bag/Vent switch to Vent.
3. Adjust the anesthesia machine O2 flow to 2 L/min. Push the flush button to fill the
bellows. Select the following ventilator setup parameters:
• Volume Control Mode, Standard Circle
• Plimit = 75 cmH20
• Peep = Off
4. Set the ventilator parameters for VT , I:E and Rate per the following Table F. After
each setup change, allow several breaths to occur prior to taking the actual test
readings (after 6 breaths VTE should equal VT + 10%).
5. Allow three breath cycles to occur. Compare the actual volume readings with the
minimum/maximum volume readings in Table F.
TABLE F
Ventilator Settings Volume Readings (mL)
VT (mL) Rate I:E Minimum Nominal Maximum
500 10 1:3 450 500 550
1000 10 1:3 900 1000 1100
1000 10 1:5 900 1000 1100
6. Set the Bag/Vent switch to Bag. Ensure mechanical ventilation stops.

7. Remove the test lung.
F. GAUSS ALARM SELF TEST (If present)

1. Locate the Gauss alarm On/Off switch. The switch is located behind the machine rear
panel directly to the left of the 15 pin RS-232 Com 2 connector. Access the switch
through the rear panel grid with a 2mm hex wrench or similar object.
2. Cycle the Gauss alarm Off/On.
3. Verify the lights on the front bezel turn on and off in the following sequence: green,
amber, red, followed by an audible beep.
04/2007
4. Verify the light and tone sequence repeats 3 times.

5. Verify the green light is on.
G. GAUSS ALARM TEST (If present)

1. Verify the green light flashes every 7 seconds.
XI. ELECTRICAL SAFETY CHECKS
NOTE: Perform electrical Safety Tests every time the cover to a machineis removed.
NOTE: If tests are conducted with power from an isolated electrical power system, conduct the
tests as detailed below. Do not use an electrical jumper plug to defeat the isolation of
the power system.
A. Preparation
2. Disconnect all pipeline hoses from the medical gas outlets.
3. Disconnect all electrical monitors and accessories from the unit under test.
4. Plug the unit under test into the safety analyzer. Plug the analyzer into an AC wall outlet.
5. Set the safety analyzer to measure line voltage. Verify normal polarity is indicated.
6. Connect the grounding clip assembly to the safety analyzer.
B. Ground Resistance Check

1. Use the electrical safety analyzer to measure the resistance between the ground pin on
the line cord plug and the following points.
a. Any pipeline inlet.
b. The ground conductor of the DB-9 and DB-15 connectors on the rear panel.
c. The release latch of the gooseneck light connector.
d. The ground resistance must be equal to or less than 0.20 ohms.
C. Chassis Leakage Current

1. Measure the chassis leakage current for the following configurations, with the System
Master Switch in both STANDBY and ON positions.
a. Normal polarity, neutral closed, ground closed
b. Normal polarity, neutral closed, ground open
c. Reverse polarity, neutral closed, ground closed
d. Reverse polarity, neutral closed, ground open
2. The chassis leakage current must be less than 300 microamps for 120 VAC units.
D. Additional Electrical Test Steps

1. Record the results of the test on the appropriate form and affix to the machine.
3. Remove the electrical safety analyzer.
04/2007
XII. FINAL MACHINE CHECKS
1. Disconnect all test devices and reconnect pipeline hoses, monitors and accessories.
2. Verify correct operation of the light bar and/or gooseneck light (if equipped).
3. Ensure the following:
a. All vaporizers are OFF.
b. All flow control valves are at the minimum stop.
c. The APL valve is open (minimum setting, fully counterclockwise).
d. All panels and tray top are attached.
e. The pipeline hoses are connected.
f. All cylinder gauges are at zero.
g. All units are plugged into an appropriate power source.
4. Place the appropriate labels on the machine advising that routine service has taken place and
that the controls have been adjusted.
App A 04/2007
Appendix A
Required Tools
List excludes common hand tools.
Except where indicated by an asterisk (*), locally purchased tools of similar type and specifications may
be used.
Ensure test equipment is properly and currently calibrated. Test equipment accuracy must be taken into
account for all tests and checks.
* Special tool. Datex-Ohmeda part is required. No substitutes or local purchases.
* * Must be ordered if using High Pressure Manometer Fitting Kit 7000-0000-106.
Item # Description Datex-Ohmeda Part Number

1 Disposable Gloves 7000-0000-010 (medium/large)
7000-0000-009 (small)
2 Electrical Analyzer (BET 300AD, Dale 600 or 0175-2305-000 (Dale Model
equivalent) 600)
3 * Negative Pressure Leak Test Device (ANSI) 0309-1319-800
4 High-Pressure Digital Manometer, 0–100psi 7000-0000-054 (Meriam) No
Longer Orderable. (Use the
Meriam Smart Manometer or
equivalent if you do not have
this Manometer)
5 High Pressure Manometer Fitting Kit for Item # 4 7000-0000-106
(includes additional fittings for other Datex-
Ohmeda anesthesia equipment. Must also order
items marked **)
6 Low-Pressure Digital Manometer, 0-1,000mmHg 7000-0000-055 (Sensym) No
Longer Orderable. (Use the
Meriam Smart Manometer or
equivalent if you do not have
this Manometer)
7 Low-Pressure Manometer Fitting Kit for Item # 6 7000-0000-080
(includes additional fittings for other Datex-
Ohmeda anesthesia equipment)
8 Oxygen approved lubricant – Krytox or Vac-Kote 001-3854-000 (Krytox)
0220-0091-300 (Vac-Kote)
9 Test Plug / Stopper 2900-0001-000
10 Test Lung 0219-7210-300
App A 04/2007

11 * Positive Pressure Leak Test Device, BSI 1001-8975-000
12 * Positive Pressure Leak Test Device, ISO 1001-8976-000
13 Tubing Clamp 7000-0000-097
14 * Airway Pressure Gauge Test Adapter (similar 1406-8206-000
and equivalent part included in Low Pressure
Manometer Fitting Kit 7000-0000-080)
15 * Aestiva Leak Test Tool 1406-8205-000 (Pilot Run)
16 ** Adapter, 1/4” Tube Fitting to 1/8” NPTM, CPC 7000-0000-306
17 Tubing, 1/4” Nylon (order approx. 1 meter in 1001-3064-000 (Bruflex)
length)
18 Flow Verification Device, 0-10 L/min 0309-1324-810
(0.5, 1, 5 & 10 L/min)
19 Test Flowmeter, 6-50 L/min (min. requirement 1006-8431-000
0-30 L/Min.) Excludes tubing adapter.
20 20 cc Syringe w/ tube clamp (included in Low 7000-0000-076
Pressure Manometer Fitting Kit 7000-0000-080)
23 PTS 2000 Purchase Locally
24 TSI Certifier Purchase Locally
25 Feeler Gauge Purchase Locally
App B 04/2007
Appendix B
Required Parts
The following is a list of parts requiring periodic/scheduled replacement on the Aestiva MRI Anesthesia
Machine and are referred to in this procedure.
This list does not contain any non-scheduled parts replaced on an as-required basis. For these
parts, refer to Aestiva Service Manuals 1006-0452-000 and 1006-0453-000.
Part Description Datex-Ohmeda Part #
• Every 6 Months
1. Backup Battery 1503-3045-000
• Every 12 Months
1. Vaporizer Port O-Ring Kit 1102-3016-000
• Every 24 Months
1. Free Breathing Valve 0211-1454-100
2. O-Ring for Free Breathing Valve 1503-3208-000
App C 04/2007
Appendix C
Tools/Adapters to Assist in Servicing the Aestiva 3000
The following list is provided for convenience only should troubleshooting or repair be required during the
PM procedure.
Except where indicated by an asterisk (*), locally purchased tools of similar type and specifications may
be used.
Ensure test equipment is properly and currently calibrated. Test equipment accuracy must be taken into
account for all tests and checks.
* Special tool. Datex-Ohmeda part is required. No substitutes or local purchases.
* * Used with High Pressure Manometer Fitting Kit 7000-0000-106.

1 Digital Multimeter 7000-0000-023
2 Electronic Leak Detector 7000-0000-004
3 * Extension Harness, AC Inlet Box 1006-4014-000
4 * Spring Compressor Tool, Bag/Vent Switch 1406-8230-000
5 * Vaporizer Manifold Port Valve Test Tool 1006-3967-000
6 Flexible Tubing, 4mm, 500mm 1001-3060-000
7 Plug, Blanking, 4mm 1006-3530-000 or 1001-3530-000
10 Plug, Blanking, 3/16” (4.76mm) 1006-3835-000
11 Plug, Blanking, 1/4” (6.35mm) 1503-3245-000
12 Plug, Blanking, 1/8” (3.18mm) 1006-3611-000
13 Tee, 4mm, tube/tube/tube 1202-3653-000
16 Tee, 3/16”, tube/tube/tube 0213-4727-300
17 Tee, 1/4”, tube/tube/tube 1202-3803-000
18 Tubing, 1/8” Nylon (order appropriate length) 1006-3718-000
19 Tubing, 3/16” Nylon (order appropriate 0994-6396-010
length)
App C 04/2007

20 Tubing, 4mm Nylon (order appropriate length) 1001-3060-000
23 ** Adapter, 1/8” Tube Fitting to 1/8” NPTM, 7000-0000-305
CPC
24 ** Adapter, 3/16” Tube Fitting to 1/8” NPTM, 7000-0000-064 & 7000-0000-058
CPC (this one is not a quick release (requires assembly)
connector)
25 ** Adapter, 4mm Tube Fitting to 1/8” NPTM, 7000-0000-067 & 7000-0000-066
CPC (requires assembly)
App D 04/2007
Appendix D *
Maintenance Procedure Revision Log
Description of Changes Originator Revision Date New Revision Number

1) Section VIII Step J-4, K-2, and L-1 added M. Rogers 07/2004 2.00
required lubrication.
2) Revised the confidentiality statement.
Section X, step C-9 removed statement M. Rogers 12/14/04 N/A
“Verify that you cannot turn the N2O flow
control knob more than 5 additional
turns counterclockwise”.
Per Care Engineering
Section VIII, Added the Bag/Vent switch M. Rogers 04/02/07 2.01
inspection per Rev “E” TRM
Section VII, Changed section D step 4 to 500 ml M. Rogers 04/02/07 2.01
per the TRM
Added the PTS 2000 and the Certifier to tools M. Rogers 04/02/07 2.01
list
Section IX step C. Added the 12 month APL M. Rogers 04/02/07 2.01
Test
Section X step B action 4. Added the specs for M. Rogers 04/02/07 2.01
using the PTS 2000 or Certifier when
performing the Flowmeter Verification Test
* Note: This document has been under revision control, but a revision history has not
been required to be included with this procedure. From this revision going forward, this
log will be updated to inform the user of changes made to this document.

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Maintenance Procedures

Mfr. Description Page Date Issued: Revision Date:

WARNING: Datex-Ohmeda employees must follow the guidelines explained in HRFS451G,

II. VISUAL INSPECTION PROCEDURES

A. Machine Frame and External Connections

III. VENTILATOR PART REPLACEMENT

A. Battery Replacement (Every 6 months)

CAUTION: The AC Inlet Module can weigh up to 15kg (33 lb.)!

B. Free Breathing Valve Replacement (Every 24 months)

2. Remove the scavenging module.

IV. ANNUAL VENTILATOR TESTS

A. Supply Gas Inlet Filter

B. Regulator Pressure Verification

D. Error Log Check

E. Alarm Log Check

H. Battery Backup Test

V. SCHEDULED PART REPLACEMENT – MACHINE

A. Vaporizer Port O-Rings (every 12 months)

VI. PERIODIC INSPECTIONS

A. High Pressure System/High Pressure Leak Test

1. Ensure that the System Master Switch is in the STANDBY position.

NOTE: It is normal to hear a momentary release of pressure.

7. For each double cylinder yoke:

VII. MACHINE TESTS

A. Preparation (common gas outlet accessibility)

B. Low Pressure Leak Test and Vaporizer Interlock Test

11. Repeat steps 7-10 for each mounted vaporizer.

C. ACGO Leak Test (if equipped))

D. Mixed Gas Outlet Pressure Relief Valve (every 12 months)

E. Balance Regulator/Low O2 Alarm

WARNING: Follow the appropriate agent evacuation/collection safety measures. Use

d Turn the System Master Switch to the ON position.

F. O2 Flush Valve Test

VIII. BREATHING SYSTEM DISASSEMBLY, INSPECTION AND TESTS

C. Breathing Circuit Module/ O2 Sensor

NOTE: Bain/Mapleson D breathing circuit modules do not have check valves.

E. Airway Pressure Gauge Check

0 ± 1 cmH20 (0 ± 0.7 mmHg)

4. Remove the test device.

F. Breathing System Control Panel

3. Reassemble the bellows assembly. Ensure all components are secure.

H. Bellows Drop Test

I. Bellows Pop-off Valve Test

J. Bellows Retention Test

K. Breathing System Manifold

L. Exhalation Valve Assembly (ventilator)

N. Passive Internal Gas Scavenging, if equipped

O. Active Internal Gas Scavenging (AGSS), if equipped

P. Externally Mounted Active Scavenging System (If equipped)

1. Check and/or replace as necessary:

b. All unused evacuation ports must be capped.

Q. MOPV Pressure Relief Valve Test (every 12 months)

IX. BREATHING SYSTEM LEAK TESTS

A. Breathing System Leak Test – Ventilator Circuit

B. Breathing System Leak Test – Bag Circuit

C. APL Valve Test (Every Visit)

X. ADDITIONAL MACHINE CHECKS