User Manual

SIESTA i TS
Anaesthesia Machine
Software Version 3.0

Dameca a/s
Islevdalvej 211
DK-2610 Roedovre, Denmark
Phone: +45 44 50 99 90, Telefax: +45 44 50 99 99
E-mail: info@dameca.com, www.dameca.com

User Manual for Anaesthesia Machine
Model SIESTA i TS
Software Version 3.0
Conformity according to the
Council Directive 93/42EEC
concerning Medical Devices.
Dameca
User Manual for SIESTA i TS
Important !
We are constantly developing our products, and
consequently reserve the right to make alterations
in design and equipment without prior notice.
DAMECA a/s issues a guarantee against manu-
facturing and material defects for a period of
one year from the date of delivery. Excepted
from this guarantee are rubber articles and
anaesthesia valves with plastic parts.
DAMECA a/s will repair or replace all defective
components during the period of warranty, pro-
vided (1) that the unit has been used correctly in
accordance with the instructions for use and (2)
that the instructions for maintenance have been
observed carefully.
Defective products or components must be
returned to DAMECA a/s with a detailed
description of the defect in question.
If repairs are carried out by anyone else than
DAMECA a/s or by a DAMECA a/s appointed
agent, the guarantee no longer applies.
Nobody but DAMECA a/s can issue any other
form for guarantee, either in writing or orally.
DAMECA a/s has no responsibility for any
translation of this English version of the manual.
Preventive maintenance of this unit should
be carried out at least once a year either by
DAMECA a/s or by an authorized technician.
Document No. 10650E-90
April, 2008
I
User Manual for SIESTA i TS

Left blank intentionally

II Dameca
 User Manual for SIESTA i TS

Contents
1. Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.1 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.2 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.3 Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.4 User Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.5 Responsibility of the Manufacturer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.6 Safety Features of the SIESTA i TS Anaesthesia Machine . . . . . . . . . . . . . . . . . . . . . . . 1-4

2. Safety Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

2.1 Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
2.2 Cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.3 Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

3. Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
3.1 Anaesthesia Gas Scavenging System (AGSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

4. Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
4.1 Set Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
4.2 Function Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
4.3 Operation of Electronic Gas Mixer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
4.4 Operation of Stopwatch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
4.5 Operation of Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19

5. Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
5.1 Respiration Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
5.2 Gas Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

6. User Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

6.1 Setup Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
6.2 Trend Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
6.3 Alarm Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
6.4 Menu Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15

Dameca III
User Manual for SIESTA i TS

Contents (continued)
7. Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
7.1 Integrated Breathing System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
7.2 Electronic Gas Mixer Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
7.3 Ventilator Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.4 Multigas Module Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.5 System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9
7.6 Overview of Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11

8. Maintenance and Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

8.1 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
8.2 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
8.3 IBS Patient Breathing System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
8.4 CO2 Absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.5 Hoses, Y-piece and Manual Breathing Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.6 Cleaning Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.7 After Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.8 Safety Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
8.9 Parts for the CO2 Absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
8.10 Parts for the IBS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

9. Tehcnical Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

9.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
9.2 Gases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
9.3 Electronic Gas Mixer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
9.4 Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
9.5 Integrated Breathing System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
9.6 Multigas Module (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
9.7 Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
9.8 Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
EMC Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

IV Dameca

1. Introduction
This manual is related to EGM software
version 3.0, ventilator software version
2.0 and multigas module (optional) software
version B7 or higher.
Dameca anaesthesia machine model SIESTA i
TS is applicable with most types of inhalation
anaesthesia. O2 and N2O, or O2 and AIR can
be administered, and anaesthetic vaporizer(s)
is connected to a back-bar.
The gas supply can be obtained from a central
gas supply system or from cylinders. There is
no difference in performance when supplied
from cylinders.
The machine is equipped with:
An electronic gas mixer (EGM) giving user
selectable gas mixes (O2/N2O or O2/AIR) in
a range of 0 – 20 L/MIN. If N2O is selected
as a mix to O2, the N2O percentage is
limited to max.75% (minimum 25% O2).
A real time clock and a stopwatch is
included in the electronic gas mixer.
A microprocessor controlled anaesthesia
ventilator with user selectable ventilation
modes:
- VCV Volume Controlled Ventilation
- PCV Pressure Controlled Ventilation
- SIMV Synchronised Intermittent
Mandatory Ventilation
- PSV Pressure Supported Ventilation
An integrated breathing system (IBS)
where Bag in Bottle and patient re-breathing
system (incl. absorber) are integrated into
one block. Thereby there are only 2 tubes
(inspiratory and expiratory) from the IBS
system to the Y-piece.
Dameca
User Manual for SIESTA i TS
An APL (Adjustable Pressure Limiting) valve
is integrated into the IBS, giving the user
a choice between manual ventilation or
spontaneous breathing.
A multigas module (optional) which measures
respiration rate and inspired and expired
concentrations of O2 , N2O, CO2 and AA
(anaesthetic agent). The multigas module
has automatic identification of AA, as well as
identification of a secondary AA, if present.
The electronic gas mixer, ventilator and optional
gas module are all microprocessor controlled,
with software installed.
The machine can be equipped with various
additional equipment such as:
Active scavenging system
Transfusion stand
Arm for patient monitor
Pin-index reduction valves for 4 L. gas
cylinders, or stand for 10 L. gas cylinders.
The design of the machine is very flexible towards
mounting of extra equipment and additional rails,
clamps etc. can easily be mounted on the machine.
1.1 Intended Use
The SIESTA i TS anaesthesia machine is inten-
ded for composition of anaesthetic breathing gas
and manual or automatic ventilation of patients
undergoing anaesthesia.
The SIESTA i TS anaesthesia machine is
intended for adult and paediatric patients.
Qualified anaesthesia personnel should operate
the SIESTA i TS anaesthesia machine only.
Before operating the machine mains electrical
power and pressurised gas must be connected
to the machine.
The machine is not MRI compatible.
1-1
User Manual for SIESTA i TS
1.2 Description
The electronic gas mixer (EGM) of the SIESTA i
TS controls the freshgas flow given to the patient
breathing system. The EGM continuously mea-
sures this flow to assure that it is in accordance
with the setting made by the user.
Besides the EGM controls and displays data
from electronic gas mixer, ventilator and
optional multigas module on its 15’’ display,
which is touch controlled.
The ventilator of the SIESTA i TS uses
compressed AIR or O2 to ventilate the patient
through the Bag in Bottle system, placed in
the integrated breathing system (IBS).
The ventilator continuously measures airway
pressure and inspired/expired volume (optional).
If a multigas module is not installed, the ventila-
tor can also measure inspired O2 by means of a
fuel cell sensor (optional) placed on the inspira-
tory port of the patient breathing system.
The integrated breathing system (IBS) of the
SIESTA i TS is a semi-closed patient breathing
system with one-way valves in both the inspira-
tory and expiratory limb, and an absorber for
eliminating CO2. The system is suitable for high
flow (app. the patient minute volume), medium
flow (app. 1-1.5 L/min) and low flow (app.
0.5-1 L/min) of freshgas for patient ventilation.
The IBS is a combination of a Bag in Bottle unit
and a patient re-breathing circuit. The IBS has
a standing bellows in order for the user to see
the controlled ventilation of the patient by the
movement of the bellows. Besides, in case of
a leakage, room air will not be drawn into the
system, and the leakage can be seen immediately
by the position of the bellows.
Integrated into the IBS is an APL valve which
is used for manual ventilation only.
1-2
The IBS uses a CO2 absorber i-SORB which
contains 900 gr. Sodalime. The absorber is
available as a re-usable or a disposable version.
If the absorber is disconnected from the IBS,
two valves automatically close the connections
to the absorber, in order not to loose gases.
The multigas module (optional) of the SIESTA i
TS uses a gas sample from the Y-piece to mea-
sure inspired and expired concentrations of O2 ,
N2O, CO2 and AA (anaesthetic agent). Besides,
the multigas module can detect if Ethanol or
Acetone is expired by the patient, and measure
the concentration. The multigas module has
automatic identification of AA.
If a secondary AA is present, the multigas
module also identifies this, and measures the
concentration.
When gas sample has been measured by the
multigas module, it is re-introduced to the pati-
ent breathing system, on the expiratory side.
The multigas module does not require re-cali-
bration, as the calibration is stable for life-time.
The 3 pcs. integrated power outlets (optional)
of the Siesta i TS are separated from the mains
power by a transformer. This transformer
supplies isolated power to the power outlets.
See section 9 regarding power rating for the
power outlets.
Note:
The parts of the SIESTA i TS do not
contain any latex.
Dameca
 User Manual for SIESTA i TS

Continous flow: 2 to 80 L/min

Note:
The SIESTA i TS contains batteries that
must be exchanged by a technician at
certain intervals, as prescribed in the
service manual.
Max. Peak flow: 120 L/min.
In VCV and SIMV mode the Tidal volume,
Resp. rate, I:E ratio and Insp. pause user settings
are continuously controlled by the ventilator in
order to stay within the 2 to 80 L/min continuous
flow limits.

Inspiratory flow = Tidal volume x Resp. rate x

1.3 Performance ((I+E)/I) x (100/(100-Insp. pause))

The electronic gas mixer of the SIESTA i TS is The integrated breathing system (IBS) of the
designed to give a freshgas mixture selected by SIESTA i TS has an expiratory and inspiratory
the user of: resistance of:

0 to 20 L/min O2 / N2O (O2 0-10 L/min, 60 L/min 30 L/min 5 L/min

N2O 0-10 L/min) Expiratory 4.5 2.0 0.3
or resistance (x100Pa) (x100Pa) (x100Pa)
0 to 20 L/min O2 / AIR (O2 0-10 L/min, Inspiratory 4.5 2.0 0.3
AIR 0-10 L/min) resistance (x100Pa) (x100Pa) (x100Pa)

This flow is led through the vaporizer rail, Compliance = 4 ml/hPa with adult tubings
where anaesthetic agent can be added by means (22mm diameter).
of a user selectable vaporizer.
By activating an oxygen by-pass valve, approx. The CO2 absorber i-SORB of the integrated
45 L/min of O2 will be added to the freshgas breathing system (IBS) is designed to optimize
flow, after the vaporizer rail. the flow through the absorber, so that all of the
sodalime is being used.
The SIESTA i TS has an integrated gas
scavenging system which removes excess
gases from an open reservoir. This system
must be connected to an AGSS power unit with
a flow of 30-40 L/min. If an external AGSS
power unit is not available, the SIESTA i TS
can be equipped with an integrated AGSS
power unit (optional).

The ventilator of the SIESTA i TS is designed

to give an inspiratory flow of: qusjob8.absorberkurver.tif

Dameca 1-3
User Manual for SIESTA i TS
1.4 User Setup
The SIESTA i TS can be set up to match user
preferences.
The following features can be installed when
the machine is manufactured:
Integrated patient suction
Auxiliary freshgas outlet and integrated
auxiliary O2 flowmeter
Multigas module
3 pcs. integrated power outlets
Extra O2 , AIR or VAC gas outlet
1 or 2 pcs. pin-index yokes for 4 L. gas cy-
linders or stand for 2 pcs. 10 L. gas cylinders
Power unit for AGSS
PSV accessible or not
The following parameters can be changed
after the machine has been manufactured:
Ventilator volume setting based on Tidal
volume or minute volume.
SIMV accessible or not.
If multigas module is not installed, oxygen
monitor based on external fuel cell sensor
can be activated or de-activated.
Volume monitor can be activated or
de-activated.
If volume monitor is activated, the volume
measurement can be configured in two ways:
Only expired volume
If the volume monitor is configured to »only
exp. volume«, the volume sensor must be placed
at the expiratory port of the patient breathing
system. The volume monitor will then measure
the expired tidal- and minute-volume only.
Full spirometry
If the volume monitor is configured to »full
spirometry«, the volume sensor must be placed
1-4
at the Y-piece of the patient breathing system.
The volume monitor will then measure expired
tidal- and minute volume, inspired tidal volume
(during manual ventilation) and a pressure/
volume graph (spirometry loop) can be selected
by the user.
All these settings can be changed in the service-
menu, by a super-user or a technician.
1.5 Responsibility of the
Manufacturer
Dameca a/s is responsible for the effects on
safety, reliability and performance of the
equipment only if:
Personnel authorized by Dameca a/s
carry out assembly, operations, extensions,
re-adjustments, modifications, periodical
service or repairs.
The pneumatic installation of the relevant
rooms complies with appropriate requirements.
The equipment is used in accordance with
this user manual.
1.6 Safety Features of the SIESTA
i TS Anasthesia Machine
Gas supply
O2, AIR and N2O supply failure alarm. Built-in
check valves to prevent reverse flow of gases.
The ventilator, patient suction (optional) and
AGSS power unit (optional) is powered by the
primary driving gas (AIR or O2 , normally AIR).
The optional patient suction can also be
powered by VAC (option).
Dameca

If the primary driving gas pressure is lost, a
driving gas valve automatically switches to
the secondary driving gas source (AIR or O2 ,
normally O2)
Electronic gas mixer
N2O cut-off if O2 supply fails.
Electronic O2/N2O ratio control (secures a
minimum of 25% O2 in an O2/N2O mix).
An MPL (Maximum Pressure Limiting) valve
opens if the pressure of the freshgas flow to the
auxiliary freshgas outlet exceeds 90 (x100Pa).
Dameca
User Manual for SIESTA i TS
Vaporizer rail
Back-bar for one or two vaporizers. The back-
bar for two vaporizers is fitted with interlock
system to assure that only one vaporizer can
be activated one at a time.
Ventilator
A high-pressure alarm will automatically force
the ventilator into its expiratory state, avoiding
dangerous overpressure situations.
In addition the ventilator has a built-in pressure
relief valve which opens at 90 (x100Pa).
1-5
User Manual for SIESTA i TS

Flow Diagram

qusjob42.SI1LW6~1.wmf

1-6 Dameca

2. Safety Precautions
Read this manual carefully and familiarize
yourself with the machine before you start
to operate the machine.
Always check the machine for proper function
before use.
A WARNING indicates a situation in which
the user or the patient may be in danger of
injury.
A CAUTION indicates a situation that may
lead to equipment damage or malfunction.
A NOTE indicates a point of particular interest
for more efficient and convenient operation.
2.1 Warnings
Do not open service hatches or covers. No
user-serviceable parts inside the machine.
A qualified service technician should
perform service.
The machine must be connected to correct
grounded hospital grade electrical outlets
only.
Always unplug the electric power cord
before cleaning or maintenance of the
machine. Let it dry completely before
reconnecting it to the electrical outlet.
Spillage of liquids may cause electrical
shock.
Check that all cables are in good working
condition before connecting the machine
to mains or patient.
Dameca
User Manual for SIESTA i TS
Do not use this machine in an environment
exceeding the EMC levels in EN60601-1-1-2.
External patient breathing systems used
with this machine must conform to EN740
or similar standard.
Bacterial filters used with this machine must
conform to EN 13328-1 or similar standard.
An anaesthetic vapour delivery device
connected to the machine shall comply
with ISO8835-4 or similar standard.
Heat and moisture exchangers used with this
machine must conform to EN ISO 9360 or
similar standard.
Humidifiers used with this machine must
conform to EN ISO 8185 or similar standard.
Suction units used with this machine
must conform to EN ISO 10079-1,
EN ISO 10079-2 and EN ISO 10079-3
or similar standard.
Medical gases and anaesthetic agents used
with this machine must conform to the
European pharmacopoeia.
Central gas supply used with this machine
must comply with EN737-1 or ISO7396 or
similar standard.
Note:
If the central gas supply fails, the
auxiliary gas outlet (optional) of
this machine will also fail.
2-1
User Manual for SIESTA i TS
A patient monitor connected to the patient
breathing system, may cause a leakage,
even if it is in stand-by mode.
The AGSS must be turned on whenever the
machine is in use.
Do not add, remove or modify any part of
the machine, unless authorised by Dameca a/s.
Explosion hazard
No oil or grease should be used in this
machine. This also applies to silicone
based lubricants and inflammable oil or
grease. Only PTFE based oxygen
compatible lubricants must be used,
(e.g. DAMECA special grease P/N 36825).
The machine is not suitable for use in the
presence of flammable anaesthetic agents
such as ether and cyclopropane. Only
anaesthetic agents complying with EN 740
or similar standards must be used.
Patient safety
Do not use the machine for a clinical
procedure without first ensuring that the
complete system is operating correctly.
If the multigas module of the Siesta i TS
is not installed, the machine should always
be used with a separate monitor for O2,
anaesthetic agent and CO2 concentrations.
This monitor must comply with the relevant
standards under the EU Medical Device
Directive.
If the volume monitor of the Siesta i TS is
not installed, the machine should always
be used with a separate monitor for expired
volume. This monitor must comply with
the relevant standards or the EU Medical
Device Directive
2-2
Ensure that all connections are secure and
check for proper operation of the machine
before use. In particular the patient breathing
system and O-rings should be checked to
ensure that connections are not loose, and
the patient breathing circuit is not leaking.
The use of antistatic or electrically condu-
ctive breathing tubes when utilizing high
frequency surgery equipment may cause
burns and is therefore not recommended
in any application of this machine.
Constant attention by a qualified individual
is required whenever a patient is under
anaesthesia or connected to a ventilator.
Some malfunction of equipment requires
immediate action.
When using the ventilator, alternative means
for ventilating the patient must be present.
When operating the machine, an alternative
oxygen supply must always be present.
Use only the anaesthetic agent for which
the vaporizer is calibrated. Using the wrong
agent in the vaporizer can be fatal for patients.
If a re-usable CO2 absorber is used, the
following must be taken into account during
change of soda-lime: Soda-lime dust is
caustic and can produce burns in the respira-
tory tract if inhaled. Breathing protection
must be used to ensure that no soda-lime
dust is inhaled by personnel or patient.
Do not start any test procedure of the
electronic gas mixer or the ventilator with
a patient connected to the machine.
The test procedures are designed to ensure
correct and safe function of the machine.
Do not bypass the test procedures unless
patient safety requires an immediate starting
up procedure.
Dameca

The O2 percentage in the patient circuit may
differ significantly from the O2 percentage
of the freshgas.
When using soda lime in absorbers, follow
the manufacturers instructions.
If the machine has been used with different
anaesthetic agents, residues of these agents
(PPM) may still remain in the machine
(vaporizer rail etc.). By setting a high
freshgas flow during a long period of
time these residues can be minimized.
Means to avoid cross infection between
patients must be used. See section 8
regarding maintenance and cleaning.
When connecting more than one external
equipment to the auxiliary power outlets
(optional), a high leakage current from one
equipment (f.ex. in case of a defective earth
conductor) will affect the leakage current
from the other equipment.
Note:
The auxiliary O2 flowmeter (optional)
is by-passing the MPL valve. The pres-
sure from the flowmeter may exceed
the pressure from the freshgas outlet.
Failure of operation
If the machine fails to respond as described,
do not use until qualified service personnel
have corrected the situation.
Occupational hazard
Do not use this machine in insufficiently
ventilated areas. Use scavenging system to
avoid increased concentrations of anaest-
Dameca
User Manual for SIESTA i TS
hetic gases in operating rooms. Observe
that the ball of the flowmarker is visible.
2.2 Cautions
Before connecting the power cord to the
electrical power supply outlet check that the
local voltage and frequency are as stated on
the TYPE label on the rear of the machine.
Do not attempt to connect other cables or
connectors to the auxiliary power outlets
(optional), than the ones intended for this
purpose.
Maximum load on side rails at table is
20 kg. Too much heavy equipment attached
at one side of the machine may cause the
machine to tilt.
Maximum total load on table plate
(including side rails) is 40 kg.
Maximum load on top plate is 40 kg.
Maximum torque on siderails is 20 Nm.
When closing the drawers of the machine,
observe that nothing gets squeezed or
damaged, with special attention to fingers.
Vaporizers used for Fluothane, Halothane or
other anaesthetic agents containing Tymol or
other stabilisers must be emptied every other
week, and the agent that is drained must be
destroyed.
Check calibration of vaporizers regularly
using a proper gas indicator (e.g.refracto-
meter or similar).
Authorised service personnel should service
this machine at least once a year.
2-3
User Manual for SIESTA i TS

Vaporizers should be serviced according Do not leave spare cylinder valves open
to the manufacturer’s instructions by an when using the machine on central gas
authorised service centre. outlets.

Use only original DAMECA hoses and Pressure from cylinders may be higher than
accessories; other hoses and accessories the pressure from central outlets, and the
may cause malfunctions. cylinder supply could be depleted.

Use only original DAMECA O-rings; Disconnect the machine from mains and
other O-rings may cause problems if they medical gas supply, when not in use, to
are not of the same size or material. prevent pollution.

Note:
Tubings used with this product must fulfill the EN12342 standard, and
respiration bags must fulfill the EN1820 standard.

2.3 Symbols

Type B (EN60601-1) protection Protective earth.

against electrical shock.

Attention, consult accompanying Equipotentiality.

documents.

Adjusment for auxiliary O2 or ON/OFF

patient suction:
Turn counter-clockwise to increase.
Turn clockwise to decrease. WEEE Symbol, meaning that the
electronics must not be regarded
as normal waste.
ON/OFF switch for lamp.

2-4 Dameca
 User Manual for SIESTA i TS

3. Function
14
13
3
15
12
11 16
4 17
10 18
19
9 20
IBS 8
7 21
6
22
5
23
24

1 1

qusjob42.10653 front.png

Fig. 3-1 Anaesthesia machine model SIESTA i TS front view

1. Castors with brake 13. Transfusion stand (optional)

2. Drawers 14. Top shelf
3. AGSS ON/OFF (option) and flow marker 15. Main switch
4. Auxiliary oxygen flowmeter outlet 16. 15’’ TFT colour touch screen
(optional) 17. Control wheel
5. Auxiliary freshgas outlet (optional) 18. ON/OFF switch for light
6. CO2 absorber 19. Emergency flow switch
7. Lock for absorber 20. Back-bar for two interlock vaporizers
8. BAG connection 21. Integrated auxiliary oxygen flowmeter
9. APL valve (for manual ventilation only) (optional)
10. Bellows 22. Table with integrated rails
11. O2 flush 23. Integrated patient suction (optional)
12. Water trap for multigas module (optional) 24. Auxiliary freshgas outlet switch (optional)

Dameca 3-1
User Manual for SIESTA i TS

12

7
11 13

10
9
8
14
6 15
5
4
3
16
2
17

1 1

qusjob42.10653 bag.png

Fig. 3-2 Anaesthesia machine model SIESTA i TS rear view

1. Castors without brake 10. RS232 port

2. Lower fan
3. Yokes for spare cylinders (optional)
4. Grounding point
5. Mains power inlet switch
6. Mains power cord
7. Connections for patient flow sensor
(optional)
8. Auxiliary gas outlet (optional)
9. Auxiliary AGSS connection
11. Auxiliary power outlets (optional)
12. Upper fan
13. Gas inlets
14. Insp./Exp. connections for patient
breathing system
15. Lock for patient breathing system
16. Patient suction connection (optional)
17. Connection for optional O2 fuel cell
sensor

3-2 Dameca
 User Manual for SIESTA i TS

5 6 7 8 9

4
10
3

11

12
2

13

14
1
15

16

25 24 23 22 21 20 19 18 17
qusjob42.Fig. 3-3 with gasmodule.pdf

Fig. 3-3 Main display if multigas module is installed

1. Window for set freshgas flow
2. Window for measured freshgas flow
3. Window for set O2 percentage in
freshgas flow
4. Window for set total freshgas flow
5. Window for alarms and messages
6. Window for date and real time
7. Window for measurement of CO2
concentrations
8. Window for measurement of gas
concentrations
9. Window for stopwatch
10. Window for activating »normal screen«
11. Window for activating setup menu
12. Window for activating trend menu
13. Window for activating alarm menu
14. Window for activating »cancel alarms«
15. Window for measurement of respiration
data (optional)
16. Window for machine status VENT/
MANUAL/STBY)
17. Window for ventilation mode
18. Window for more ventilator settings
19. Window for PSV settings (optional)
20. Window for set inspiratory pressure
21. Window for set PEEP
22. Window for set I:E ratio
23. Window for set respiration rate
24. Window for set tidal volume
25. Window for respiratory graph,
pressure measurements and
high alarm setting.

Dameca 3-3
User Manual for SIESTA i TS

5 6 7 8 9

4
10
3

11

12
2

13

14
1
15

16

24 23 22 21 20 19 18 17
qusjob42.fig. 3-4 without gasmodule.PDF

Fig. 3-4 Main display if multigas module is not installed

1. Window for set freshgas flow
2. Window for measured freshgas flow
3. Window for set O2 percentage in
freshgas flow
4. Window for set total freshgas flow
5. Window for alarms and messages
6. Window for date and real time
7. Window for respiratory graph, pressure
measurements and high alarm setting
8. Window for measurement of inspired
O2 percentage (optional)
9. Window for stopwatch
10. Window for activating »normal screen«
11. Window for activating setup menu
12. Window for activating trend menu
13. Window for activating alarm menu
14. Window for activating »cancel
alarms«
15. Window for measurement of
respiration data (optional)
16. Window for machine status
(VENT/MANUAL/STBY)
17. Window for ventilation mode
18. Window for set inspiratory pause
19. Window for PSV settings (optional)
20. Window for set inspiratory pressure
21. Window for set PEEP
22. Window for set I:E ratio
23. Window for set respiration rate
24. Window for set tidal volume

3-4 Dameca

3.1 Anaesthesia Gas Scavenging System (AGSS)
The Siesta i TS anaesthesia machine has a
built-in scavenging system. This system
requires evacuation flow of 30-40 L/min.,
in order to remove excess gases from the
integrated patient breathing system to the
AGSS outlet on the rear of the machine.
The evacuation flow can be generated by the
permanent gas installation in the operating
room, or it can be generated by an air driven
ejector in the Siesta i TS machine, activated
with an ON/OFF switch located at left side of
the machine, next to the AGSS flow marker.
qusjob33.flowmark.pcx
Fig. 3-5 Flow marker
The air driven ejector is optional.
An AGSS flowmarker at left side of the
machine contains a yellow ball which is
visible when the flow is 25 L/min or more.
Note:
The AGSS flowmarker is for the IBS
(Integrated Breathing System) only.
If an external breathing system is
used, this system must be equipped
with an indicator for the AGSS flow.
Dameca
User Manual for SIESTA i TS
A built-in reservoir in the scavenging system is
open to the ambient air and serves as a relief of
the ejector vacuum.
An AGSS connector on the rear of the machine
is for connection of the machine to the central
scavenging system.
Warning:
The gases and agents used under
anaesthesia can pose a danger if
AGSS is not active, or the operating
room is not ventilated properly.
3.1.1 External Breathing System
If an external breathing system is used with the
machine (see section 4.1.3), the excess gases
from this system can be removed by connecting
it to the auxiliary AGSS connection on rear side
of the machine (9 on fig. 3-2).
Remove the plug from the auxiliary AGSS
connection (30 mm female cone) and connect
the external breathing system.
Warning:
The external breathing system must
have an open reservoir integrated into
the AGSS part of the system.
Otherwise the auxiliary AGSS flow
can create a sub-atmospheric pressure
in the external breathing system,
which can be dangerous to the patient.
When an external breathing system is no longer
used with the machine, re-mount the plug on the
auxiliary AGSS connection (30 mm female cone).
3-5
User Manual for SIESTA i TS

Left blank intentionally

3-6 Dameca
 User Manual for SIESTA i TS

4. Operation
4.1.1 Integrated breathing system
Note:
Before using the machine the first time
it must be electrical safety tested
according to EN 60601-1, and all
patient related parts must be cleaned.
2

1
5
Note:
3
Before connecting the machine to a
patient, a function test must be carried 6
out as described in section 4.2. 4

Note:
Check voltage rating on the type label
at the rear panel of the machine, qusjob42.10653-00 slange.pdf

before connecting it to the mains.

4.1 Set Up
Connect the machine to the mains.
Connect the machine to the pressurised
gases (400 - 600 kPa), vacuum (optional)
and AGSS.
Activate AGSS flow and check that the yellow
ball in the flow marker (3 on fig. 3-1) appears.
The AGSS flow can be generated by the
machine (optional) or by a unit in the AGSS
installation of the hospital. If the AGSS flow
must be generated by the machine, it can
be activated by pressing the red/green pin
placed above the flow marker (3 on fig. 3-1).
Assemble the integrated breathing system
(see section 8), connect it to the base (1)
and lock it by using the handle (2).
Connect i-SORB CO2 absorber (5) to the
integrated breathing system, by placing
it into the bracket underneath the base
and pulling up, until the lock »clicks«.
Caution:
If a disposable i-SORB CO2 absorber is
used with the system, the seal on a new
absorber must be removed, before the
absorber is connected to the integrated
breathing system.

Dameca 4-1
User Manual for SIESTA i TS
Connect inspiratory and expiratory hoses
(3) to the connections marked INSP and
EXP on the integrated breathing system,
including Y-piece (4) and bacteria filter
(P/N 38477). The bacteria filter can be
placed at the Y-piece or at the expiratory
connection of the IBS system.
Connect manual respiration bag (6) to the
connection marked BAG on the integrated
breathing system. A hose can be placed
between BAG connection and respiration
bag to give better flexibility for the user.
Note:
The respiration bag must be 1-3 L.
otherwise the leakage test of the
BAG system, included in the selftest,
may not work correctly.
Set the freshgas switch (24 on fig. 3-1) to
»Circle System«.
qusjob42.10653ny.pdf
4-2
Note:
If an i-SORB CO2 absorber is not
reinserted within 30 sec., a message
will be shown on the display:
»Absorber disconnected«.
If the ventilator is in automatic
ventilation mode, this message
will be followed by an alarm.
Note:
The integrated breathing system must
not be changed during use.
If the integrated breathing system is
disconnected, a message will be
shown on the display:
»Patientsystem disconnected«.
If the ventilator is in automatic
ventilation mode, this message
will be followed by an alarm.
Dameca
 User Manual for SIESTA i TS

4.1.2 Changing the CO2 absorber

qusjob42.11960uds ab.pdf

1. Take the handle of the absorber.
2. Push the knob above the handle of the
absorber to release it. The two absorber
valves will close in order to prevent loss
of gases during change.
3. Lift the used absorber out of the bracket.
4. Put the fresh absorber into the bracket.
5. Lift the handle until the lock gives a »click«.
6. The absorber is now attached to the patient
system.
In order to remove excess gases from the
breathing system, connect it to the to 30 mm
female cone marked AUX AGSS on the
rear of the machine (9 on fig. 3-2).
See section 3.1.1
Set the freshgas switch (24 on fig. 3-1)
to »Aux Outlet«.

Caution:
A bacteria filter should always be used
with the integrated breathing system.
Dameca bacteria filter P/N 38477-50
(50 pcs.) can be used.

4.1.3 External breathing system

Other breathing systems than the integrated
breathing system can be used with the
Siesta i TS anaesthesia machine.

Assemble the breathing system and connect

it to the auxiliary freshgas outlet (optional)
placed at left side of the writing table
(5 on fig. 3-1)
qusjob42.10653ny.pdf

Dameca 4-3
User Manual for SIESTA i TS
Note:
When the freshgas switch is set to
»Aux Outlet«, a message will be
shown on the display: »External
freshgasoutlet activated«. In this
situation the patient can only be
ventilated manually, as the ventilator
cannot be activated.
If the user tries to activate the ventilator,
a message will be shown on the display:
»Cannot start ventilator when external
freshgasoutlet is activated«.
Caution:
If the ventilator is in automatic
ventilation mode, when the freshgas
switch is set to »Aux Outlet«, the
ventilator will stop and an alarm
will start: »Ventilator stopped due to
external freshgasoutlet activated«.
4.1.4 Multigas module water trap
If an integrated gas module is installed, the water
trap (12 on fig. 3-1) must be installed prior to use.
Make sure the water trap is not filled with water,
and install it on the base on left side of the machine.
If the water trap is filled with water, it must be
replaced (P/N 41020-25).
The capacity of the water trap is 22 ml.
Attach a sample tube between the water trap and
the Y-piece, for example via a bacteria filter.
The sample tube must be 2 to 3 metres long and
have an internal diameter of at least 1.2 mm.
Dameca sample tube P/N 42630-100 (100 pcs.,
2m) or P/N 42630-200 (100 pcs., 3m) can be
used.
4-4
4.1.5 Patient volume sensor
The machine can be set up with volume monitor
(15 on fig. 3-3 or 15 on fig. 3-4), which uses a
flow sensor.
The machine uses two different flow sensors:
Paediatric flow sensor is used for patients with
tidal volume from 20 to 300 ml (insp./exp. flow
2-35 L/min.).
Adult flow sensor is used for patients with tidal
volume from 200 to 1500 ml (insp./exp. flow
10-120 L/min.).
If the flow sensor is placed on the expiratory
side, the expired tidal volume and minute
volume are measured.
If the flow sensor is placed at the Y-piece, the
inspired tidal volume is also measured, and a
spirometry-graph (pressure, volume) can be
shown on the main display.
In the service menu a super-user or a technician
can define the default value for placement of the
flow sensor.
In the spirometry-menu the user can change the
placement of the flow sensor. However the ma-
chine will always go back to default value, after
selftest or when the machine is powered off.
If the flow sensor is placed at the Y-piece, be
sure to place the sensor with the PATIENT
port facing the patient.
Dameca
 User Manual for SIESTA i TS

The actual settings for the flow sensor (type and placing) are shown in the window for respira-
tion graph. If flow sensor type and placing are not shown, this means the machine is installed
without any flow sensor.

Note:
A bacteria filter must always be placed between the patient and the flowsensor.

If the external flow sensor is used, tubings between flow sensor and connectors (7 on fig. 3-2)
on the machine must be connected.

External flowsensor kit P/N 10967-120

Item Qty Description Part No.

1 1 Spirometry tube 2 m 42632-091
2 1 Adult flow sensor, Re-usable 42632-06
3 1 Paed. flow sensor, Re-usable 42632-07
4 2 Single-use bacterial filter. 38477

Patient port

qusjob41.10967-120.pdf

Caution:
After selftest has been performed, the type of flow sensor (Adult/Paediatric)
must be defined in the setup menu.

Dameca 4-5
User Manual for SIESTA i TS

4.1.6 O2 fuel cell sensor

If an integrated gas module is not installed, the
machine can be set up with an O2 monitor (8 on
fig. 3-4), which uses an external fuel cell sensor.
Then the main display will look like the
following:
Place the O2 sensor on T-piece
(P/N 42012-07) in the patient
breathing system on the inspiratory
side. The O2 sensor must always face
upwards.

Connect cable between O2 sensor and

connector (17 on fig. 3-2) on rear panel
of the machine.

O2 Sensor kit P/N 10967-85

Item Qty Description Part No.

1 1 T-piece 42012-07
2 1 Oxygen sensor 42035-46
3 1 Cable for oxygen sensor 10967-86

qusjob41.10967-85.pdf

4-6 Dameca

4.2 Function Test
Turn on the mains power inlet switch on
rear side of the machine (5 on fig. 3-2).
Note:
When the mains power switch on
rear side of the machine is turned
on, the batteries inside the machine
will be charged at all times, inde-
pendent of whether the machine is
running or not. Therefore this switch
should be set to ON at all times.
Push the main switch on front of the machine
(15 on fig. 3-1) to set it to ON position.
Note:
If a »mains failure« alarm is given
when the main switch on front of
the machine is set to ON position,
this is most likely caused by the
mains power inlet switch on rear side
of the machine not being set to ON.
Note:
When the main switch on front of
the machine at a later time is pushed
in order to set it to OFF position, a
message will be shown on the screen:
»Machine closing down. Press ma-
ins switch to cancel«. Now a power
delay period of app. 20 seconds is
started. During this the machine
will continue to function as before.
Dameca
User Manual for SIESTA i TS
If the main switch on front of the machine is set
to ON during this period, the message will dis-
appear and the machine will continue to function.
If the main switch on front of the machine is NOT
set to ON position during this period, the ma-
chine will power off when the period has ended.
Note:
The integrated breathing system must
be assembled and connected, incl. hoses,
Y-piece and i-SORB CO2 absorber, be-
fore a function test can be carried out.
Warning:
The patient must not be connected to
the machine at power-up or during
the functional test.
Now the machine will power up and perform an
initial self-test checking the internal system for
safe condition and performing test sequence 1.
This takes approx. 1 minute.
Note:
If the machine is equipped with an inte-
grated multigas module, this module
will not be working until approx. 2 min.
after activating the main switch on front
panel. If the machine is equipped with
an O2 monitor which uses an external
fuel cell sensor, this monitor will not be
working until approx. 1 minute after
activating the main switch on front panel.
4-7
User Manual for SIESTA i TS
When the initial self-test has been successfully
completed, the machine is in Stand-by mode
and the full selftest can be performed.
4.2.1 FULL self test
During the FULL selftest the machine checks
its functions, measures the compliance of the
system and checks for leakages. The compliance
and leakage test includes the integrated breathing
system incl. hoses and Y-piece.
When the mains switch (15 on fig. 3-1) is set to
ON by the user, the machine automatically
performs test sequence 1 to ensure the correct
function of its mandatory components. Then test
sequence 2 is activated.
Note:
If a system related alarm (see section 7)
is detected after power-up of the
machine, the selftest is not started.
Instead the alarm is shown on the
display. When the alarm is no longer
active, press »cancel alarms« and the
selftest will start.
When »FULL TEST« is selected by the user
(by selecting »FULL TEST« in the selftest
menu, included in the setup menu, and pressing
the control wheel), start-up sequence is
activated before going to test sequence 1.
Note:
During the full selftest all alarms
are disabled.
4-8
Test sequences:
Start-up
Display: »Do you want to perform FULL
TEST: Y/N«
»Patient must NOT be connected
during test«
»Select Y or N and press to continue«
Change between Y and N by turning the
control wheel, and press enter to select.
By selecting Y the FULL selftest is started.
By selecting N the FULL selftest is bypas-
sed. This should only be done in case of an
emergency.
Even if the FULL selftest has been started, the
user can bypass the test by pressing the »normal
screen« field (10 on fig. 3-3), and the following
text will be shown:
Display: »Do you want to bypass selftest:
Y/N«
»Only bypass in case of an
emergency«
»Select Y or N and press to continue«
Change between Y and N by turning the
control wheel, and press enter to select.
By selecting Y the FULL selftest is bypas-
sed. This should only be done in case of
an emergency.
By selecting N the FULL selftest is started
again from the beginning.
Warning:
If the FULL selftest is bypassed, some
of the functions of the machine will
not be checked. The user must then
increase observation of the patient
during anaesthesia, in order to
maintain a safe function.
Dameca

Warning:
If the FULL selftest is bypassed, the
compliance and leakage of the integra-
ted breathing system are not measured.
The ventilator therefore uses the data
from last selftest, and therefore the set
tidal volume in VCV mode might not
be correct.
Note:
If the FULL selftest has been bypassed,
the text »SELFTEST BYPASSED«
is shown constantly on the main display.
Warning:
The FULL selftest must be carried
out at least one time per day, when
the machine is in use.
Warning:
The patient must not be connected to
the machine during the FULL selftest.
1. System and valves
Display: »System check running«
The internal safety system of the machine
(watchdog) and the valves for the electronic
gasmixer and the valves for the ventilator
are checked during this.
Dameca
User Manual for SIESTA i TS
2. Gasmixer test
Display: »Occlude Y-piece (use testadapter)«.
»Check gas evacuation (flow marker)«
»Set APL valve to 35 hPa«
»Open vaporizer«
»Press to start«
»If you want to leave this test, press
normal screen«
Place the Y-piece on the test plug at the BAG
connection of the integrated breathing system.
Check the yellow ball in the flow marker
(3 on fig. 3-1) is visible.
Set the APL valve in patient breathing system
(9 on fig. 3-1) to 35 hPa, and open the vaporizer.
Press the control wheel to confirm.
Display: »Electronic gas mixer test is running«
The functionality of the electronic gasmixer
is checked.
Note:
If the machine is setup with a separate
patient monitoring device with measure-
ment of gas concentrations, and the
sample flow is not returned to the
patient system, the tube for sample flow
must not be connected to the patient
system during the test. Otherwise the
leakage will be too high.
3. Filling of BAG
Display: »Leakage test of system is running«
The electronic gas mixer generates a flow
of 10 L/min O2 and 9.75 L/min AIR for
10 seconds to fill the respiration bag.
After this, the airway pressure in the patient
system is checked (should be 25 to 45 hPa).
4-9
User Manual for SIESTA i TS
4. Compliance and leakage, VENT
Display: »Leakage test of system is running«
The electronic gas mixer generates a flow of
10 L/min O2 and 9.75 L/min AIR for 10 seconds
to fill the bag in the Bag in Bottle system.
After this the electronic gas mixer generates
a flow of 5 L/min O2 and the pressure in the
patient system is checked (should be 1.5 to
4.5 hPa due to Bag in Bottle).
Then the compliance of the VENT system is
measured, based upon the volume required from
the ventilator to reach a 30 hPa pressure
in the patient system.
This 30 hPa pressure must be reached within
10 sec. at an inspiratory flow of 5 L/min., or an
error message will be shown on main display.
The compliance of the system must be from
2.0 to 10.0 ml/hPa, or an error message will
be shown on main display.
When the 30 hPa pressure is reached, the
leakage of the VENT system is measured, based
upon the pressure drop during time, taking into
account the compliance of the system.
If the pressure drops too fast for the leakage to
be measured, an error message will be shown on
main display:
Display: »Leakage too high«
»Check BiB, connectors and hoses«
»Press to repeat test«
When the control wheel is pressed, the compli-
ance and leakage test will be performed again.
If the leakage is more than 100 ml/min but
less than 1000 ml/min, an error message will
be shown on main display:
4-10
Display: »Leakage in VENT system XXX
ml/min. Accept: Y/N«
»Check BiB, connectors and hoses«
»Select N to repeat test. Select Y to
continue«
Change between Y and N by turning the
control wheel and press enter to select.
By selecting Y the measured leakage is
accepted, and the next test sequence will
be performed.
By selecting N the measured leakage is not
accepted, and the compliance and leakage
test will be performed again.
If the leakage is more than 1000 ml/min, an
error message will be shown on main display:
Display: »Leakage in VENT system XXX
ml/min.«
»Check BiB, connectors and hoses«
»Press to repeat test«
When the control wheel is pressed, the compli-
ance and leakage test will be performed again.
5. Leakage, BAG
The BAG/VENT valve in the integrated
breathing system is set to BAG and the
pressure in the patient system is measured
to detect possible leakage from the APL valve
or the respiration bag. If the pressure has
dropped to a value below 10 hPa, an error
message will be shown on main display:
Display: »Leakage in BAG system too high
(pressure below 10 hPa)«
»Check APL valve and resp. bag
(empty ?)«
»Press to repeat test«
When the control wheel is pressed, the compli-
ance and leakage test will be performed again.
Dameca

6. Leakage, BAG/VENT, exp. valve
and peep valve
Display: »Set APL valve at pat. circuit to
SP. Close vaporizer«
»Press to continue«
Set the APL valve to SP and close the vaporizer.
Press the control wheel to confirm.
Display: »Valve check running«
When a 30 hPa pressure is reached on the
outside of the bellows of the Bag in Bottle,
with the BAG/VENT valve in BAG position,
the leakage from the BAG/VENT valve and
from the expiration and peep valves inside the
ventilator is checked based upon the pressure
drop during time.
If the pressure drop is too high the ventilator
gives an error message:
Display: »Leakage in BiB system too high«
»Check BiB and change-over valve«
»Press to repeat test«
When the control wheel is pressed, the leakage
test for the BAG/VENT valve and the expiration
and peep valves inside the ventilator will be
performed again.
7. Test completed
Display: »Leakage in VENT system: XXX
ml/min«
»Compliance in VENT system: X.X
ml/hPa«
»Press to continue«
When the control wheel is pressed, the next text
appears on the display:
Display: »Refreshing gases in patient system«
Dameca
User Manual for SIESTA i TS
The electronic gasmixer generates a flow of 10
L/min O2 and 9.75 L/min. AIR for 10 seconds to
remove any anaesthetic agent from the patient system.
Then the nex text appears on the display.
Display: »Check alarm sound present«
»Press cancel alarms to confirm«
Check that the alarm sound is present, and press
»cancel alarms«. Then the next text appears on
the display:
Display: »Test completed. Check pat.
suction, vaporizer etc.«
»Adjust APL valve«
»Remove Y-piece from test adapter«
»If vol. monitor is installed, sensor
must be connected and defined«
»Read user manual«
»Press to finalize«
The APL valve should be adjusted as
desired by the user.
Y-piece should be removed from the testadapter
If the machine is set-up with volume monitor,
the type of sensor (Adult or Paediatric) must
be defined in the setup menu by the user.
When the control wheel is pressed, the
machine goes to STBY mode and all user
settings are set to default values.
Then the manual part of the selftest should
be performed, as described in section 4.2.3 to
4.2.15
4.2.2 LC self test
The LC (Leakage and Compliance) test can be used
for measuring compliance and checking for leak-
age if parts of the patient system (f. ex. hoses and
respiration bag) have been changed between two
patients.
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User Manual for SIESTA i TS
During the LC selftest the compliance of the
system is measured, and the leakage is checked.
The compliance and leakage test includes the in-
tegrated breathing system incl. hoses and Y-piece.
When LC TEST is selected by the user (by
selecting »LC TEST« in the selftest menu,
included in the setup menu, and pressing the
control wheel), the following test sequences
are activated.
Note:
During the LC selftest all alarms
are disabled.
Test sequences:
Start-up
Display: »Do you want to perform LC TEST:
Y/N«
»Patient must NOT be connected
during test«
»Select Y or N and press to continue«
Change between Y and N by turning the
control wheel, and press enter to select.
By selecting Y the LC selftest is started.
By selecting N the LC selftest is bypassed.
Even if the FULL selftest has been started, the
user can bypass the test by pressing the »normal
screen« field (10 on fig. 3-3), and the following
text will be shown:
Display: »Do you want to bypass selftest:
Y/N«
»Only bypass in case of an
emergency«
»Select Y or N and press to
continue«
4-12
Change between Y and N by turning the
control wheel, and press enter to select.
By selecting Y the LC selftest is bypassed.
By selecting N the LC selftest is started
again, from the beginning.
Warning:
If parts of the patient system have
been changed and the LC selftest is not
performed, the compliance and leakage
of the integrated breathing system are
not measured. The ventilator therefore
uses the data from last selftest, and
therefore the set tidal volume in VCV
mode might not be correct.
Note:
If the LC selftest has been bypassed,
the text »SELFTEST BYPASSED« is
shown constantly on the main display.
Warning:
The patient must not be connected to
the machine during the LC selftest.
Test sequence 2 to 7 from the FULL selftest
are carried out.
4.2.3 O2 monitor test
4.2.3.1 Fuel cell sensor
If the machine is set up with an O2 monitor
using an external fuel cell sensor (see section
4.1.6), the following test must be carried out:
Dameca

1. Set status to MANUAL. Y-piece must be
open to ambient air.
2. Set freshgas flow to 10 L/min AIR, and wait
until O2 % reading on main display is stable.
Check that the reading is 20-22 % O2. If not,
recalibrate the O2-monitor as described in
section 6.1.6.
3. Set freshgas flow to 10 L/min O2, and wait
until O2 % reading on main display is stable.
Check that the reading is 98-102 % O2. If
not, recalibrate the O2-monitor as described
in section 6.1.6.
4.2.3.2 Multigas module
If the machine is set up with an integrated
multigas module, the following test must
be carried out:
1. Set status to MANUAL. Y-piece must be
open to ambient air.
2. Set freshgas flow to 10 L/min AIR, and wait
until O2 % reading on main display is stable.
Check that the reading is 19-23 % O2.
3. Set freshgas flow to 10 L/min O2, and wait
until O2 % reading on main display is stable.
Check that the reading is 97-103 % O2.
4.2.4 Expired minute volume
If the machine is set up with a volume monitor
(see section 4.1.5), the following test must be
carried out:
Dameca
User Manual for SIESTA i TS
1. Attach a test lung to the Y-piece and start
the ventilator in VCV mode. Wait approx. 1
minute and read the measured expired minute
volume on main display. Check that this
corresponds to the set minute volume
(TVset x RRset). Check that the insp. and
exp. valves in the patient system are moving
during inspiration/expiration.
4.2.5 Airway pressure high alarm
1. Attach a test lung to the Y-piece and start the
ventilator. Read PEAK pressure on main
display and set airway pressure high alarm
limit 5 hPa below PEAK pressure.
Check that the »airway pressure high« alarm
starts and that the PEAK pressure is now
reduced by the new airway pressure high
alarm limit. Set the airway pressure high
alarm limit as before (above PEAK pressure)
and check that the alarm stops.
4.2.6 Mains failure alarm
1. Attach a test lung to the Y-piece and start the
ventilator. Disconnect mains cable to the
machine from the mains outlet. Check that
the »mains failure« alarm starts, and that the
machine continues to function. Re-connect
mains cable.
4.2.7 O2 flush
1. Set status to MANUAL. Occlude the
Y-piece. Press O2 flush and check that
the respiration bag is quickly filled.
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User Manual for SIESTA i TS
4.2.8 O2 alarm
1. Set freshgas flow 1 L/min O2 and 1 L/min
N2O. Disconnect O2 gas supply to the ma-
chine from the gas outlet and wait until the
O2 flow column on main display goes to zero.
Check that the »O2 supply pressure is low«
alarm is active, and check that the N2O flow
column is also zero. Re-connect O2 gas supply.
4.2.9 Spare cylinder test
If the machine is equipped with spare cylinders
for O2 or N2O, the following test must be
performed:
1. Disconnect the central gas supply tubings
for O2 and N2O.
2. Open the valves of the spare O2 and N2O
cylinders.
3. Set the »Carrier gas« in the setup-menu to N2O.
4. Set »Total freshgas flow« to 0.0 L/min.
5. Read the pressure on the spare cylinder
pressure regulator gauges on rear side
of the machine.
6. Check for sufficient cylinder pressure
(the pressure of the cylinders must never
be below 10 bar).
7. Close the spare cylinder valves.
8. Observe the pressure gauges for at least
one minute. The pressure must not
decrease.
9. Reconnect the central supply tubings to the
central gas supply.
4-14
4.2.10 Patient suction test
If the machine is equipped with a patient suction
unit, the user must check the functionality of
this unit by the following procedure:
1. Fully open the regulator on the suction unit.
2. Remove the plastic tubing from the suction
container and block the tube opening.
3. Start suction by activating the ON/OFF switch.
4. Verify that the vacuum gauge indicates a
vacuum of at least -0.7 kPa.
5. Adjust the desired vacuum by means of the
regulator knob.
6. Close the ON/OFF switch.
7. Re-mount the plastic tubing on the suction
container.
4.2.11 Vaporizer test
The user must check the functionality of the
vaporizer(s) by the following procedure:
1. Verify that the required vaporizer(s) is
connected.
2. Check that the regulator knob on the vapori-
zer(s) turns freely in the entire regulation
area and is locked in the »0« position.
3. Verify that the vaporizer is sufficiently filled.
Note:
Consult the vaporizer user manual.
Dameca

4.2.12 Aux. O2 flowmeter test
If the machine is equipped with an auxiliary O2
flowmeter unit, the user must check the functio-
nality of this unit by the following procedure:
1. Open the flow meter regulator (turn it
counter-clockwise).
2. Check that the flow can reach 10 ltr/min.
3. Close the regulator (turn it clockwise)
and check there is no flow.
4.2.13 Test of internal switches
1. Remove the CO2 absorber and check the
following message appears on the display
(after app. 30 sec.):
Display: »Absorber disconnected«
Re-mount the CO2 absorber and check the
message disappears.
2. Remove the integrated breathing system
(unlock handle) and check the following
message appears on the display:
Display: »Patientsystem disconnected«
Re-mount the integrated breathing system and
check the message disappears.
3. Activate the emergency freshgas switch and
check the following message appears on the
display:
Dameca
User Manual for SIESTA i TS
Display: »Emergency O2 flow activated«
»App. 5 L/min. added to the O2
flow setting«
De-activate the switch and check the message
disappears.
4. If the machine is equipped with an auxiliary
freshgas outlet, activate the switch and check
the following message appears on the display:
Display: »External freshgasoutlet activated«
De-activate the switch and check the message
disappears.
4.2.14 Daily check completed
1. Set status to STBY.
2. Go to Alarm menu and select »Alarm log«
and then »Reset«.
3. Go to Alarm menu and select »Set to
default«.
4. Press »Cancel alarms« to remove old
alarm text from the display.
Caution:
When the function test has been
completed, check that the alarm settings
are suitable for the patient, before
connecting the patient to the machine.
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User Manual for SIESTA i TS
4.3 Operation of Electronic Gas
Mixer
When the selftest is completed the electronic
gas mixer (EGM) is ready for use.
4 wheel.
3
2
1
4.3.1 Setting of freshgas flow
The freshgas flow can be set in two ways:
1. Setting the flow for each gas, by pressing the
set-flow value (1) on the main display. Then
the value is highlighted (blue) and the speci-
fic gasflow can be changed by turning the
control-wheel.
4-16
Turning the control wheel counter-clockwise
will decrease the flow.
Turning it clockwise will increase the flow.
The flow is changed immediately as the user
changes the set-flow by turning the control-
2. Setting the O2 percentage (3), or the total
flow (4), by pressing the appropriate field
on the main display.
Then the value is highlighted (blue) and
the gasflow can be changed by turning the
control-wheel.
Turning the control wheel counter-clockwise
will decrease the flow.
Turning it clockwise will increase the flow.
The flow is NOT changed, before enter is
pressed on the control-wheel.
The freshgas flow values (1), (3) and (4) on
main display are all set values.
The freshgas flow bargraphs (2) on main display
are all measured values.
If the set values and the measured values do not
match over a certain period of time, the machine
will generate an alarm.
If an oxygen flow less than 300 ml/min is set, a
message » O2 flow critical low« is displayed in
the alarm and message field (5 on fig. 3-3).
This message can be deleted by pressing
»cancel alarms«.
Dameca

If the total flow setting or the O2 set percentage
is changed in such a way that the O2, AIR or
N2O flow becomes less than 100 ml/min, this
flow will automatically be set to 0 L/min,
and the O2 set percentage will be changed
accordingly.
Note:
The freshgas flow can not be activated
if the machine status is STBY. Change
to MANUAL or VENT in order to
open freshgas flow.
Note:
The O2 percentage is a calculated
value based upon the measured flow
data, and not a value measured by an
oxygen analyser. In case of a hospital
pipeline cross connection, incorrect
values will result.
The O2 percentage in the patient
breathing system may differ signifi-
cantly from the O2 percentage of
the freshgas.
Note:
If the O2, AIR or N2O driving gas
pressure is lower than 2,5 (x100 kPa)
the appropriate alarm is activated.
Dameca
User Manual for SIESTA i TS
Note:
The displayed values are based
on STPD conditions (Standard
Temperature Pressure Dry).
Note:
The N2O supply is cut-off in case of
an oxygen failure. When reducing the
O2 flow, the N2O flow will be reduced
proportionally, securing a minimum
of 25% O2 in the freshgas. N2O will
be cut of at an O2 flow less than
100 ml/min.
4.3.2 Changing carrier gas
If the machine is set up with both AIR and
N2O as carrier gas for O2, this carrier gas
can be changed in the setup menu.
Press the setup menu field (11 on fig. 3-3)
and the first line of the menu will say
Carrier gas.
Press enter on the control wheel to activate
the Carrier gas setting.
Turn the control wheel to the desired carrier
gas, and press enter on the control wheel to
confirm the new setting.
The gas flow beside the O2-flow will now
change to the selected carrier gas. Besides
the carrier gas flow will change to the last
known flow setting for this specific gas.
Leave the menu by pressing the normal
screen field.
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User Manual for SIESTA i TS

4.3.3 Electronic gas mixer default settings

When the machine is turned OFF or the FULL selftest or the LC selftest has been performed,
the settings of the electronic gas mixer will change to default values:

Parameter Factory set value Limits

Freshgas flow 0.0 L/min 0.0, 0.3-10.0 L/min
O2 set % 100% Carrier gas AIR: 21-100%
Carrier gas N2O: 25-100%
O2-flow 0.0 L/min 0.0, 0.3-10.0 L/min
AIR-flow 0.0 L/min 0.0, 0.1-10.0 L/min
N2O-flow 0.0 L/min 0.0, 0.1-10.0 L/min
Carrier gas AIR AIR, N2O

4.4 Operation of stopwatch

Start the stopwatch by pressing the
»stopwatch« field.
The colour of the HH:MM:SS will change
from grey to green and the stopwatch will
start to count.
Reset the stopwatch by pressing the
»stopwatch« field twice (double-click).
This can only be done when the stopwatch
is stopped.

Stop the stopwatch by pressing the

»stopwatch« field again, and the HH:MM:SS
will change from green to grey and the
stopwatch will stop counting.

4-18 Dameca

4.5 Operation of Ventilator
When the selftest is completed the machine is
in stand-by mode, ready for automatic ventilation
after adjustment of the ventilation parameters.
The following parameters can be set when the
machine status is »STBY«, »MANUAL« or
»VENT«.
A. Ventilation mode
During automatic ventilation the following
ventilation modes are available:
VCV (Volume Controlled Ventilation)
PCV (Pressure Controlled Ventilation)
SIMV (Synchronized Intermittent Mandatory
Ventilation) (optional)
PSV (Pressure Supported Ventilation)
In VCV mode the set tidal volume is delivered
to the patient during inspiration by a constant
inspiratory flow.
This inspiratory flow is adjusted continously
by the ventilator in order to deliver the set
tidal volume to the patient, independent of
system compliance and actual freshgas flow.
VCV is also known as »CMV« or »IMV«.
Dameca
User Manual for SIESTA i TS
In PCV mode the set inspiratory pressure above
PEEP is applied to the patient during inspira-
tion, by a decelerating inspiratory flow.
This inspiratory flow is adjusted continuously
by the ventilator in order to reach the set
inspiratory pressure and hold this pressure du-
ring the inspiration phase, independent of sy-
stem compliance and actual freshgas flow.
If the set inspiratory pressure is not reached
during inspiration, the ventilator generates a
PRESSURE LIMIT alarm (see section 7.3.8).
In SIMV mode the patient can trigger a VCV
inspiration during the expiration phase by
applying a decrease of the airway pressure in
the patient system. In the ventilator settings
menu the user can define at which decrease
of the airway pressure a VCV inspiration
should be triggered. The decrease of the airway
pressure is relative to the set PEEP. If the patient
has not triggered an inspiration during the
expiration phase, the ventilator automatically
gives a VCV inspiration.
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User Manual for SIESTA i TS
The time where the patient can trigger an inspi-
ration is called »trigger-window«. This trigger-
window is calculated when the mode is changed
to SIMV and is equal to the cycle time (inspira-
tion + expiration) of the previous mode. When
Trigger-window:
Trigger-window:triggering
triggeringpopossible
ssible
For security reasons the patient can never
trigger a new inspiration, when the ventilator
is already performing an inspiration, and just
after an inspiration has taken place.
Triggering is never possible during
insp.time + 200msec.
In SIMV mode the tidal volume and inspiration
time should be the same as it was in VCV mode,
even when the user prolongs the expiration
time to force the patient to start spontaneous
breathing during wake-up.
Therefore the setting of inspiration time and
volume is different in SIMV mode.
Inspiration time:
The inspiration time in SIMV mode is shown
beneath the »I:E ratio« setting.
4-20
the set resp. rate in SIMV is decreased, to force
the patient to start spontaneous breathing
during wake-up, the trigger-window is kept
at the end of the expiration phase, see picture
below:
Time, pressure graph in previous mode.
Time, pressure graph in SIMV mode.
Therefore the trigger-window is limited, so
that it can never enter the inspiration-time
plus a 200 msec. period thereafter
The patient can only trigger one inspiration in
each trigger window.
Time, pressure graph in SIMV mode.
If the Resp. rate, or Insp. pause is changed, the
ventilator automatically calculates a new
I:E ratio, in order to keep the inspiration
time the same.
Example:
Default settings and Resp.rate is set to 20.
This gives an inspiration time of 1 sec.
If SIMV mode is selected and the resp.rate is
then set to 10 (in order to increase expiration
time in SIMV), the I:E ratio is automatically
changed from 1:2 to 1:5, in order to keep the
inspiration time at 1 sec.
Dameca

In SIMV mode the I:E ratio can go from 1:1
to 1:9.9, since inverse I:E ratio is not allowed
in SIMV mode. Therefore Resp. rate and Insp.
pause cannot be adjusted to a setting which
gives an I:E ratio outside the 1:1 to 1:9.9
Example:
Default settings and resp.rate is set to 20.
This gives an inspiration time of 1 sec.
If SIMV mode is selected, the resp.rate can
be set from 6 resp/min (gives I:E ratio of 1:9.0)
to 30 resp/min (gives I:E ratio of 1:1).
If the user wants to change the inspiration time
in SIMV mode, select »I:E ratio« and adjust
with the control wheel. When the I:E ratio is
adjusted, the new inspiration time is shown on
the display. However, this new setting will not
be effective until the control wheel is pressed.
Set volume:
If the ventilator is installed with »Minute
volume« as set volume, the tidal volume in
SIMV mode is shown beneath the »MV set«
setting.
If the Resp. rate is changed, the ventilator
automatically calculates a new minute volume
setting in order to keep the tidal volume the
same.
Example:
Default settings and Resp. rate is set to 20.
This gives a tidal volume of 300 ml.
If SIMV mode is selected, and the resp.rate
is then set to 10 (in order to increase expiration
time in SIMV), the set minute volume is
automatically changed from 6.0 to 3.0, in
order to keep the tidal volume at 300 ml.
Dameca
User Manual for SIESTA i TS
If the user wants to change the tidal volume in
SIMV mode, select »MV set« and adjust with
the control wheel. When the set minute volume
is adjusted, the new tidal volume is shown on
the display. However this new setting will not
be effective until the control wheel is pressed.
Note:
In the service-menu it can be defined
whether SIMV mode shall be available
or not. This definition can be changed
by a super-user or a technician.
In PSV mode it is only the patient who controls
the ventilator, as the ventilator does not give any
mandatory inspirations to the patient. Therefore
this mode is for patient with a certain degree of
spontaneous respiration, where the ventilator
assists the respiration of the patient.
Inspiration:
When the patient starts an inspiration, and the
inspiratory flow at the Y-piece (measured by the
flow sensor) is higher than the set »Insp. trig.«,
the ventilator starts an inspiration, to reach the
set »Support pressure«.
When this »support pressure« is reached, the
ventilator maintains the pressure in the rest of
the inspiration phase.
Expiration:
The inspiration stops and the expiration starts if
one of the following conditions are met:
1. The pressure reaches the »high alarm«
(same as for the other ventilation modes).
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2. The inspiration time is more than 2.5 sec.
(if flow sensor is »Adult«) or 1.5 sec.
(if flow sensor is »Paed.«)
3. The patient inspiratory flow at the Y-piece
(measured by the flow sensor) is lower than
the set »Exp. trig«.
The »Exp. trig.« is set as a % of the measured
peak flow during inspiration.
Ventilation backup:
If the patient does not trigger an inspiration
before the »PSV backup« period has ended, a
»PSV BACKUP MODE ACTIVATED,
SWITCHING TO PCV« alarm starts (see section
7.3.14) and the ventilator automatically switches
to PCV mode.
The alarm disappears when the »cancel alarms«
button is pressed.
Note:
PSV mode is an option which can be
installed on the machine by Dameca
or an authorized technician.
Note:
PSV mode is only available if the
volume sensor is placed at the Y-piece.
Press the Vent. mode field and select the desired
mode with the control wheel (17 on fig. 3-1).
Press the control wheel to confirm the selected
mode. The ventilation mode will not change
until the control wheel is pressed.
4-22
B. Tidal volume/Minute volume (active in
VCV or SIMV mode only)
The tidal volume/minute volume delivered
by the ventilator in VCV or SIMV mode is
automatically compensated for the compliance
of the breathing system and for the freshgas
flow.
TV,patient = TV,ventilator + TV,freshgas -
TV,compliance
During automatic ventilation in VCV or SIMV
the ventilator automatically calculates the
correct inspiratory flow to give the patient the
desired tidal volume/minute volume, indepen-
dent of other ventilator settings (respiration
rate, I:E ratio, inspiratory pause etc.) and of
the compliance and freshgas flow.
Press the TV set / MV set field and select the
desired tidal volume / minute volume with the
control wheel (17 on fig. 3-1).
Press the control wheel to confirm the selected
tidal volume/minute volume.
The tidal volume/minute volume will not
change until the control wheel is pressed.
In the service menu it is defined whether the set
volume should be tidal volume or minute volume.
This definition can be changed by a super-user
or a technician.
(Minute volume = Tidal volume x Resp. rate).
C. Respiration Rate
The number of controlled respirations pr. minute.
Press the RR set field and select the desired
respiration rate with the control wheel
(17 on fig. 3-1). Press the control wheel to
confirm the selected respiration rate.
The respiration rate will not change until the
control wheel is pressed.
Dameca

D. I:E Ratio
The timing between the inspiratory and the
expiratory phase.
Press the I:E Ratio field and select the desired
I:E ratio with the control wheel (17 on fig. 3-1).
Press the control wheel to confirm the selected
I:E ratio.
The I:E ratio will not change until the control
wheel is pressed.
Note:
Some combinations of tidal volume,
respiration rate, I:E ratio and inspiratory
pause cannot be set on the ventilator,
because the continous inspiratory flow
must be between 2 and 80 L/min.
If the 2 L/min. or the 80 L/min. limit
is reached, a message will be shown
on the display.
Inspiratory flow = Tidal volume x respiration
rate x ((I+E)/I) ) x (100/(100-insp.pause %)).
Example on min. inspiratory flow:
Tidal volume = 20ml, I:E = 1:2, Insp. pause = 0
These settings give a min. respiration rate of 34.
Example on max. inspiratory flow:
Respiration rate = 20, I:E = 1:2, Insp. pause = 0
These settings give a max. tidal volume of 1330ml.
E. PEEP
The ventilator can generate PEEP (Positive
End Expiratory Pressure).
If PEEP is set to OFF, the PEEP in the patient
system will be app. 3 hPa (depending on the
freshgas flow) due to the Bag in Bottle system.
Dameca
User Manual for SIESTA i TS
Press the PEEP field and select the desired
PEEP with the control wheel (17 on fig. 3-1).
Press the control wheel to confirm the selected
PEEP.
The PEEP will not change until the control
wheel is pressed.
Note:
PEEP + Inspiratory Pressure can
max. be 70 hPa.
Note:
PEEP cannot be set above the High
alarm setting.
F. Inspiratory Pressure (active in PCV
mode only)
The inspiratory pressure above PEEP applied
to the patient in PCV mode.
The ventilator controls the inspiratory flow
in order to reach this pressure during start
of inspiration.
When the set inspiratory pressure above PEEP
is reached, the ventilator makes a pressure
plateau until the expiration phase.
Press the P insp. field and select the desired
inspiratory pressure with the control wheel
(17 on fig. 3-1).
Press the control wheel to confirm the selected
inspiratory pressure.
The inspiratory pressure will not change until
the control wheel is pressed.
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User Manual for SIESTA i TS
Note:
PEEP + Inspiratory Pressure can
max. be 70 hPa.
G. PSV settings
If the machine is set up with PSV, the patient
can control the inspiration and expiration of the
ventilator, via the following settings.
Inspiratory trigger flow
The inspiratory flow the patient must apply, in
order for the ventilator to start an inspiration.
Press the Insp. trig. field and select the desired
inspiratory trigger flow with the control wheel
(17 on fig. 3-1).
Press the control wheel to confirm the selected
inspiratory trigger flow.
The inspiratory trigger flow will not change un-
til the control wheel is pressed.
Expiratory trigger flow
The inspiratory flow measured during inspira-
tion, at which the ventilator will stop inspiration
and go to expiration.
The expiratory trigger flow is a percentage of
the PEAK flow measured during inspiration.
Press the Exp. trig. field and select the desired
expiratory trigger flow percentage with the
control wheel (17 on fig. 3-1).
Press the control wheel to confirm the selected
expiratory trigger flow.
The expiratory trigger flow will not change until
the control wheel is pressed.
Support Pressure
The inspiratory pressure above PEEP applied to
the patient in PSV mode.
4-24
Press the P Supp. field and select the desired
support pressure with the control wheel
(17 on fig. 3-1).
Press the control wheel to confirm the selected
support pressure.
The support pressure will not change until the
control wheel is pressed.
H. High alarm
Press the number shown to the right of the value
for measured PEAK pressure.
Adjust the high alarm setting by turning the
control wheel, and confirm by pressing the
control wheel.
The new alarm limit will not be effective until
the control wheel is pressed.
In PCV mode the high alarm will automatically
be set 10 hPa higher than Inspiratory Pressure +
PEEP.
In PSV mode the high alarm will automatically
be set 10 hPa higher than support pressure +
PEEP.
If the measured airway pressure during auto-
matic ventilation is higher than the high alarm
limit, the ventilator will immediately go into
expiration state, and the alarm will start.
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Note:
During an »airway pressure high«
alarm, the freshgas will automatically
be set to 0.3 L/min O2, in order to
avoid dangerous over-pressure situa-
tions in case of high freshgas flow.
When the alarm is no longer active,
the freshgas flow will automatically
be set to the original values.
PS: This functionality can be
disabled in the service-menu,
by a super-user or a technician.
Note:
High alarm is active during automatic
ventilation only.
Note:
High alarm cannot be set below the
PEEP setting.
I. More ventilator settings
The secondary ventilator settings are placed in
a menu.
Press the »More settings« field (18 on fig. 3-3)
in order to open the menu, and get access to the
following settings:
Inspiratory pause (active in VCV and
SIMV mode only)
The percentage of the inspiratory time, in which
the inspiratory flow is closed in VCV or SIMV
mode.
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User Manual for SIESTA i TS
Turn the control wheel (17 on fig. 3-1) until
Insp. pause is highlighted, and press the control
wheel in order to activate setting of inspiratory
pause.
Turn the control wheel in order to change the
insp. pause setting, and then press the control
wheel to confirm the new setting.
The inspiratory pause will not change until the
control wheel is pressed.
SIMV trigger point
If ventilation mode is set to SIMV, the patient
can trigger a VCV inspiration during the expira-
tion phase, by applying a decrease of the airway
pressure in the patient system.
The decrease of airway pressure is relative to
the set PEEP.
Turn the control wheel (17 on fig. 3-1) until
SIMV trig is highlighted, and press the control
wheel in order to activate setting of SIMV
trigger point.
Turn the control wheel in order to change the
SIMV trigger point setting, and then press the
control wheel to confirm the new setting.
The SIMV trigger point will not change until
the control wheel is pressed.
Note:
In the service menu it can be defined
whether SIMV should be accessible
or not. This definition can be changed
by a super-user or a technician.
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User Manual for SIESTA i TS
PSV backup period
If ventilation mode is set to PSV, and the patient
does not trigger en inspiration before the PSV
backup period has ended, the ventilation mode
will automatically change from PSV to PCV.
Turn the control wheel (17 on fig. 3-1) until
PSV backup is highlighted, and press the con-
trol wheel in order to activate setting of PSV
backup period.
Turn the control wheel in order to change the
PSV backup period setting, and then press the
control wheel to confirm the new setting.
The PSV backup period will not change until
the control wheel is pressed.
Note:
In the service menu it can be defined
whether PSV should be accessible or
not. This definition can only be
changed by a technician.
Sigh
The ventilator can generate a sigh in VCV or
SIMV mode.
A sigh is a certain percentage tidal volume
being added during inspiration.
4-26
The tidal volume percentage being added and
how often this should occur can be defined in
the setup menu.
Press enter on the control wheel to activate the
Sigh sub menu.
The sigh sub menu has the following settings:
Activate
Frequency
Added TV %
Actual selection is highlighted.
Activate the setting by pressing the control
wheel (17 on fig. 3-1).
Change the setting by turning the control
wheel, and press enter to confirm.
The setting will not change, before enter is
pressed on the control-wheel
The sigh functionality is activated only if
activate is set to Y.
On the display is shown whether sigh is
activated or not.
Leave the menu by pressing the normal
screen field.
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4.5.1 Start Automatic Ventilation
Press the Status field, and select VENT with
the control wheel (17 on fig. 3-1),
Press the control wheel in order for the ventila-
tor to start ventilating the patient with the set
parameters.
All parameters can be changed in VENT mode.
Note:
If the freshgas flow is set to 0.0 L/min
when the automatic ventilation is star-
ted, the electronic gas mixer will auto-
matically start an O2-flow of 300 ml/min.
4.5.2 Stop Automatic Ventilation
Press the Status field and select MANUAL
with the control wheel (17 on fig. 3-1).
Press the control wheel in order for the ventila-
tor to stop automatic ventilation of the patient.
When the status is set to MANUAL, the
patient can be ventilated manually with
the respiration bag.
Adjust the APL valve (9 on fig. 3-1) in order to
limit the airway pressure during manual ventilation.
All parameters can be changed in MANUAL mode.
Note:
If the freshgas flow is set to 0.0 L/min
when the manual ventilation is started,
the electronic gas mixer will automati-
cally start an O2-flow of 300 ml/min.
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User Manual for SIESTA i TS
Note:
The APL valve is for manual
ventilation only.
4.5.3 Set Machine to Stand-by
If a patient is not connected to the anaesthesia
machine, it can be set to stand-by in order to
stop ventilation and freshgas flow and disable
all alarms related to the patient.
Press the Status field, and select STBY with
the control wheel (17 on fig. 3-1),
All parameters except freshgas flow settings
can be changed in STBY mode.
Note:
If the status is changed directly from
VENT to STBY, an alarm will start and
the text »Do you want to set machine
status to STBY ? Y/N« will be shown
on the display. The status will not
change until Y or N has been selected.
If the user selects Y, the status will be
changed to STBY.
If the user selects N, the status will still
be VENT.
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User Manual for SIESTA i TS

4.5.4 Ventilator default settings

When the machine is turned OFF or the FULL selftest or the LC selftest has been performed,
the settings of the ventilator will change to default values:

Parameter Factory set value Limits

Ventilation mode VCV VCV, SIMV, PCV
Tidal Volume/Minute Volume 500 ml / 6.0 L 20-1500 ml / 0.2-60.0 L
Respiration rate 12 bpm 4-80 bpm
I:E ratio 1:2 3:1 - 1:9.9
PEEP OFF OFF, 4-20 (x100Pa)
Inspiratory pressure 17 (x100Pa) 7-67 (x100Pa)
PSV insp. trigger flow 3 L/min. 1-10 L/min
PSV exp. trigger flow 40% 10-80%
PSV support pressure 7 (x100Pa) 4-50 (x100Pa)
High pressure alarm 30 (x100Pa) 10-80 (x100Pa)
Inspiratory pause 0% 0-70%
SIMV trigger point -3.0 (x100Pa) -0.5 to -10.0 (x100Pa)
PSV backup period 30 sec. 10-40 sec.
Sigh Activate: N Activate: Y-N
Frequency: 100 bpm Frequency: 50-150 bpm
Added TV: 50% Added TV: 30-80%

4-28 Dameca

5. Measurements
The Siesta i TS performs a number of measure-
ments, depending on the configuration of the
machine.
5.1 Respiration Measurements
5.1.1 Volume measurements
Measurement of expired minute volume and
inspired/expired tidal volume can be shown
on the display, if the Siesta i TS is set up with
a patient flow sensor (see section 4.1.5).
If the flow sensor is placed on the expiratory
side, the expired tidal volume and minute
volume are measured.
If the flow sensor is placed at the Y-piece, the
inspired tidal volume is also measured, and a
spirometry-graph (pressure, volume) can be
shown on the main display.
In the service menu a super-user or a technician
can define the default value for placement of
the flow sensor.
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User Manual for SIESTA i TS
In the spirometry menu the user can change the
placement of the flow sensor. However the ma-
chine will always go back to default value, after
selftest or when the machine is powered OFF.
The measured expired minute volume is shown
as »MV exp« in litres, based on the expired
tidal volumes during the last 60 sec. Beside the
actual value for the expired minute volume are
the high and low alarm limits for the expired
minute volume.
The measured inspired and expired tidal volume
for each breath is shown as »TV insp/exp« in
ml. When the ventilator is set to automatic
ventilation and the ventilation mode is VCV or
SIMV, the inspired tidal volume is not shown,
as the tidal volume is controlled by the machine,
based on the ventilator settings.
Accuracy of volume measurements
The patient flow sensor used for measuring
expired minute volume and inspired/expired
tidal volume measures the actual inspiration/
expiration flow in real-time.
The machine then integrates this real-time
flow during time, in order for the volume
measurement to be shown on the display.
This inspired/expired flow measured by the
patient flow sensor is dependent upon the actual
gas concentrations of the flow being measured,
due to the different densities for the gases
If the Siesta i TS is set up with an integrated
multigas module, the measured minute volume
and tidal volume will be calculated based upon the
actual gas concentrations at the patient flow sensor.
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User Manual for SIESTA i TS
If an integrated multigas module is not installed,
the measured minute volume and tidal volume
will be calculated based upon the set gas
concentrations of the freshgasflow.
Therefore, if the gas concentration at the
patient flow sensor is different from the gas
concentration of the freshgasflow, this will
affect the accuracy of the volume measurement.
5.1.2 Respiration rate measurement
The measured respiration rate for the patient is
shown in breaths per minute as »RR«.
Beside the actual value for the respiration
rate are the high and low alarm limits for the
respiration rate.
Note:
The measurement of the respiration rate
is based on the measured CO2 concen-
trations from the patient. Therefore the
measurement of respiration rate is only
present if the machine is set up with an
integrated multigas module.
5-2
5.1.3 Respiration graph
On the display a time-pressure or a pressure-
volume graph is shown, depending on the user
setting in the setup menu (see section 6.1)
5.1.4 Pressure measurements
Beside the graph, some measured pressures are
shown.
The maximum pressure detected during last
inspiration is shown as PEAK pressure.
The pressure detected at the end of last inspira-
tion period is shown as Plateau pressure.
The pressure detected at the end of last expira-
tion period is shown as PEEP.
5.1.5 Compliance
Beside the graph, the calculated compliance is
shown as ml/hPa.
Compliance = expired tidal volume /
(meas. Plateau - meas. PEEP).
Compliance tells which pressure increase is
needed in order to deliver a certain tidal
volume to the patient.
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 User Manual for SIESTA i TS

5.2 Gas Measurements

Measurement of expired and inspired gas concentrations in the patient breathing system can be
shown on the display, if the machine is set up with an integrated multigas module (optional).

The multigas module measures the gas concentrations based upon a sample taken from the
Y-piece.

This sample flow is 200 ml/min, and is re-introduced to the patient breathing system,
on the expiratory side.

Thereby no gases are lost due to the integrated multigas module.

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User Manual for SIESTA i TS

Parameter Data range Resolution For example:

Insp O2 % 0-100 % 1% Exp AA = 2 % SEV and Exp N2O = 30 %,
gives the following MAC value:
Exp O2 % 0-100 % 1%
Insp N2O % 0-100 % 1%
MAC = (2/2,05) + (30/100) = 1,28.
Exp N2O % 0-100 % 1%
Insp CO2 % 0-10 % 0.1 % If the patient age has been defined in the setup
Exp CO2 % 0-10 % 0.1 % menu (see section 6.1.1), the MAC value will
Insp AA % HAL, ENF, 0.1 % be corrected accordingly:
ISO: 0-7,5 %
SEV: 0-9 % MAC corrected = MAC x 10 (-0,00269 x (40-age))
DES: 0-20 %
Exp AA % HAL, ENF, 0.1 % according to W.W. Mapleson in British Journal
ISO: 0-7,5 % of Anaesthesia 1996; 76: 179-185
SEV: 0-9 %
DES: 0-20 %
Note:
If the patient age has not been defined
in the Patient data menu (see section
Note: 6.1.1) the MAC value will be based
During use, the multigas module will on a patient age of 40 years.
automatically initiate zero calibration
at certain intervals. During a zero cali-
bration, the message »Gasmodule cali-
brating« will be shown on the display. 5.2.2 Anaesthetic agent
During this, the gas measurement
values will not be present on the display. The multigas module automatically identifies
the anaesthetic agent, which is then shown on
the display.

The primary anaesthetic agent is shown in the

5.2.1 MAC value »Gas measurement« field.
The MAC (Minimum Alveolar Concentration)
value is shown on the display, as a calculated If a secondary anaesthetic agent is present
value based upon the following: (for example due to a change in the anaesthetic
agent being used), a message will be initiated,
MAC = (Exp AA % / X) + (Exp N2O % / 100) and the secondary agent will be shown on the
display, in the message-field (5 on fig. 3-3) as:
where X depends upon the actual anaesthetic agent.;
X(HAL) = 0,75 % »Secondary agent HAL/ENF/ISO/SEV/DES
X(ENF) = 1,7 % identified at insp/exp x.x/y.y %«.
X(ISO) = 1,15 %
X(SEV) = 2,05 %
X(DES) = 6,0 %

5-4 Dameca

5.2.3 Detection of ethanol
The multigas module checks the expired gases
from the patient for concentrations of ethanol
(alcohol) at all time.
If ethanol is detected, a message will be
initiated, and the ethanol concentration will
be shown on the display, in the message-field
(5 on fig. 3-3) as: »Ethanol identified at
insp/exp x.x/y.y %«.
5.2.4 Detection of acetone
During start up and before an anaesthetic agent
is identified, the multigas module can check for
concentrations of acetone in the expired gases
from the patient.
Press the »Acetone check« field in the CO2-
curve field (7 on fig. 3-3), and the gas module
will check for concentrations of acetone.
When the check has been performed, a message
will be shown on the screen, indicating whether
acetone has been detected or not.
Note:
During a check for acetone, the gas
measurement values will not be
present on the display.
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User Manual for SIESTA i TS
Note:
When an anaesthetic agent has been
detected by the multigas module, the
»Acetone check« field will no longer
appear on the display, as the detection
of acetone is not accurate, when an
anaesthetic agent is present.
5.2.5 CO2 graph
On the display a CO2 graph is shown.
Beside the graph, the inspired and expired
CO2 concentrations are shown digitally.
The measurement-unit for the CO2
concentrations can be changed in
the setup menu (see section 6.1.7).
Note:
If the freshgas flow is 0.0 L/min., the
machine status is »MANUAL« or
»STBY« and there is no detected
respiration rate for more than 10 min.,
the multigas module goes to standby
mode.
»Gasmodule is in standby mode«,
»Open freshgas flow or start ventilator
to activate« is shown on the display.
When freshgas flow or ventilator is
activated the multigas module will
start again, and measurements will
be shown after app. 20 sec.
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Left blank intentionally

5-6 Dameca
 User Manual for SIESTA i TS

6. User Menus
Siesta i TS has a number of menus that can The following settings can be accessed in
be accessed by the user: the setup menu:

Setup menu Carrier gas (only if both AIR and N2O

Trend menu are activated in the service menu).
Alarm menu Patient data (sub-menu).
Spirometry (sub-menu, only if volume
sensor is activated).
Graph (sub-menu).
Vent. settings (sub-menu).
Selftest (sub-menu).
O2 % calibration (only if multigas module
is not installed, and O2 monitor with
external fuel cell sensor is activated
in the service menu).
Gas meas. setup (sub-menu).
Clock (sub-menu).
Reset settings & data.
Print report (only if print option is installed).
Service (sub-menu).

Actual selection is highlighted.

Activate the setting by pressing the control

wheel (17 on fig. 3-1).

For Carrier gas, change the setting by turning

the control wheel, and press enter to confirm.

The setting will not change, before enter is

pressed on the control-wheel.

6.1 Setup Menu

Note:
When pressing the setup menu field, the setup Service menu requires a password
menu appears on the right side of the display. for access.
Select a setting by turning and pressing the
control wheel (17 on fig. 3-1).

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User Manual for SIESTA i TS
6.1.1 Patient data
When patient data is selected, a sub menu will
appear on the display, with the following settings:
Age
Ideal Weight
In this menu, the patient age and ideal weight
can be defined.
Actual selection is highlighted.
Activate the setting by pressing the control
wheel (17 on fig. 3-1).
Change the setting by turning the control
wheel, and press enter to confirm.
The setting will not change, before enter
is pressed on the control-wheel
Note:
The patient age and ideal weight
cannot be changed when the ventilator
is in automatic ventilation mode.
When the patient age has been defined, the
MAC value on the display (present only if
multigas module is installed) will be corrected
for the patient age, according to the following
equation:
Parameter Factory set value
Patient age 40 years
Patient ideal weight
6-2
MAC corrected = MAC x 10(-0,00269 x (40-age))
according to W.W. Mapleson in British Journal
of Anaesthesia 1996; 76: 179-185
Note:
If the patient age has not been defined
by the user, the MAC value will be
based on a patient age of 40 years.
When the patient age and the ideal weight have
been defined, the ventilator settings of tidal/
minute volume and respiration rate will change,
in accordance with the patient data.
These new suggested ventilator settings are
based on »Radfords Nomogram«.
Note:
If the patient age and ideal weight
have not been defined by the user, the
ventilator settings will be based on a
patient age of 40 years, and an ideal
weight of 70 kg. This gives a set tidal
volume of 500 ml and a set respiration
rate of 12 bpm.
Limits
2-150 years
70 kg 5-100 kg
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6.1.2 Spirometry
When spirometry is selected, a sub menu will
appear on the display, with the following settings:
Sensor.
Placing.
Save loop as ref (only if pressure-volume
graph is shown on the display).
Remove ref loop (only if a spirometry loop
has previously been saved by the user).
In this menu the settings for the volume
monitor can be defined.
Actual selection is highlighted.
Activate the setting by pressing the control
wheel (17 on fig. 3-1).
Change the setting by turning the control
wheel, and press enter to confirm.
The setting will not change, before enter is
pressed on the control-wheel
Note:
The spirometry menu is present, only
if volume sensor is activated in the
service menu.
The user must define whether an Adult or a
Paediatric flow sensor is used in the patient
system for measurement of volumes.
Adult sensor: Tidal Volume 200 to 1500 ml
(insp./exp. flow 10-120 L/min.)
Paed. sensor: Tidal Volume 20 to 300 ml
(insp./exp. flow 2-35 L/min.)
The selected sensor is shown on the display.
The user can also define where the volume
sensor is placed, in the patient circuit
(At Y-piece, At EXP cone or no sensor).
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User Manual for SIESTA i TS
If the pressure-volume graph is shown on the
display, a spirometry reference loop can be
saved by the user. By doing so, the latest
pressure-volume loop will be saved in the
memory and shown constantly on the
pressure-volume graph as a yellow line.
The user can remove this loop or save a new
reference loop, which will then overwrite the
old reference loop.
Note:
The save loop as ref setting is present,
only if the user has decided that the
pressure-volume graph should be shown
on the display (see section 6.1.3).
Parameter Factory set value Limits
Patient Adult Adult,
flow sensor Paediatic
6.1.3 Graph
When graph is selected, a sub menu will appear
on the display with the following settings:
Type (only if it is defined in the service
menu that volume sensor is placed at
the Y-piece).
T-scale.
In this menu the settings for the respiration
graph shown on the display can be defined.
Actual selection is highlighted.
Activate the setting by pressing the control
wheel (17 on fig. 3-1).
Change the setting by turning the control wheel
and press enter to confirm.
The setting will not change, before enter is
pressed on the control wheel
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User Manual for SIESTA i TS

Actual selection is highlighted.

Note:
The type setting is present, only if it has
been defined in the service menu that
volume sensor is placed at the Y-piece.
Activate the setting by pressing the control
wheel (17 on fig. 3-1).
Change the setting by turning the control wheel,
and press enter to confirm.

By selecting type, the user can decide which re- The setting will not change, before enter is pres-
spiration graph should be shown on the display. sed on the control wheel.
The user can choose between the following
types of graphs: By selecting Insp. pause the user can set a
certain percentage of the inspiratory time, in
Time-Pressure curve which the ventilator should stop the inspiratory
Pressure-Volume loop flow, before switching to expiration. Thereby
a pressure plateau is added to the inspiration.
By selecting T-scale, the user can decide the re-
solution of the time-scale on the time-pressure
graph. Note:
Setting an insp. pause will affect the
Parameter Factory set value Limits inspiration in VCV and SIMV mode
Graph type Time-Pressure Time- only.
Pressure
Pressure-
Volume
T-scale 20 sec. 10, 20, 30, If the machine is installed with SIMV, the
60 sec. patient can trigger an inspiration during the
expiration phase, by applying a decrease of
the airway pressure in the patient system.
By selecting SIMV trig point the user can de-
6.1.4 Vent. settings fine at which decrease of the airway pressure
When Vent. settings is selected, a sub menu this VCV inspiration should be triggered.
will appear on the display, with the following The decrease of airway pressure is relative to
settings: the set PEEP.

Insp. pause If the machine is in PSV mode and the patient

SIMV trig point (only if SIMV is installed) has not made a supported breath before the
PSV backup (only if PSV is installed) PSV backup time has ended, the machine will
Sigh automatically change to PCV mode, and an
Hide PSV settings (only if PSV is installed) alarm will be given.

In this menu the secondary settings for the By selecting PSV backup the user can define
ventilator can be defined. the length of this PSV backup time.

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The machine can generate a sigh during VCV 6.1.6 O2 % calibration

or SIMV ventilation.
When O2 % calibration is selected, the exter-
By selecting Sigh the user can activate or nal O2 fuel cell sensor can be calibrated.
deactivate the sigh function, and adjust the
settings for the sigh function.
See section 4.5 chapter I for further explanation.
Caution:
If the three primary parameters for PSV is If the O2 % calibration is activated,
shown on the display, and the selected
the machine will go to STBY mode.
ventilation mode is not PSV, the user can
select Hide PSV settings in order to hide
these three PSV parameters on the display.

6.1.5 Selftest
When selftest is selected, a sub-menu will appear
on the display, with the following settings: Note:
The O2 % calibration menu is present,
Full test only if multigas module is not installed,
LC test and O2 monitor with external fuel cell
sensor is activated in the service menu.
In this menu the full selftest or the LC selftest
can be started.
Actual selection is highlighted.
Start the selftest by pressing the control wheel
(17 on fig. 3-1).
See section 4.2 regarding selftest.
Note:
The O2 sensor should be placed on the
Note: inspiratory port of the patient breathing
Full test and LC test can only be select- system. Use T-piece (P/N 42012-07),
ed if the machine is in STBY mode. and place O2 sensor facing upwards.

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If O2 % calibration is activated, the sensor will
be calibrated, by following these sequences:
A. Place O2 sensor on the inspiratory port of
the patient circuit, including hoses.
Y-piece must be open to ambient air.
Press enter on the control wheel
(17 on fig. 3-1) to confirm.
B. The electronic gas mixer automatically
sets a freshgas flow of 10 L/min AIR.
Now waiting for stable O2 percentage
is shown on the display.
When the O2 percentage has stabilised, the
next step of the calibration procedure will
be started.
C. The electronic gas mixer automatically
closes the AIR freshgas flow, and sets
a freshgas flow of 10 L/min. O2.
Now waiting for stable O2 percentage is
shown on the display.
When the O2 percentage has stabilised, the
next step of the calibration procedure will
be started.
D. Press enter on the control wheel (17 on
fig. 3-1) to save the calibration.
Press the normal screen field in order
not to save the calibration.
O2 calibration should be done if the test
described in section 4.2.3.1 cannot be
succesfully completed.
If calibration cannot be carried out, the O2
sensor could be defective.
New O2 sensor has P/N 42035-46.
6-6
6.1.7 Gas measurement setup
When gas meas. setup is selected, a sub menu will
appear on the display, with the following settings:
Exp. O2 %
Insp. N2O %
Exp. N2O %
Resp. rate
MAC
CO2 unit
In this menu it can be defined which measure-
ments performed by the multigas module should
be shown on the display.
Actual selection is highlighted.
Activate the setting by pressing the control
wheel (17 on fig. 3-1).
Change the setting by turning the control wheel,
and press enter to confirm.
The setting will not change, before enter is
pressed on the control-wheel.
Note:
The gas measurement menu is present,
only if the multigas module is installed
By selecting a parameter, the user can decide
whether the parameter should be shown on the
display or not.
Note:
Due to safety not all gas measurement
parameters can be removed from the
display.
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 User Manual 10970

Parameter Factory set value Limits

Exp. O2 % ON ON - OFF
Insp. N2O % ON ON - OFF
Exp. N2O % ON ON - OFF
Resp. rate ON ON - OFF
MAC ON ON - OFF
CO2 unit % %, kPa, mmHg

6.1.8 Clock
When clock is selected, a sub menu will appear
on the display, with the following settings:
Day
Note:
Month If the full selftest or LC test has been
Year carried out, or the machine has been
Hour powered OFF, the settings and data
Minute will automatically be reset.
Second

In this menu the setting of the clock can be

changed for the machine.
Actual selection is highlighted.
Activate the setting by pressing the control
wheel (17 on fig. 3-1).
Change the setting by turning the control
wheel, and press enter to confirm.
The setting will not change, before enter
is pressed on the control-wheel
Note:
The clock settings cannot be changed
unless a password has been given in
the service menu.
6.1.9 Reset settings & data
When Reset settings & data is selected by the
user, the alarm log and all the trend data will be
reset and all the settings made by the user will
go back to default values.
Reset settings & data can be used before a new
case is started.
Note:
If Reset settings & data has been
selected, the trend data and the alarm
log cannot be restored.
6.1.10 Print report
If the machine is installed with printer option,
the user can get a print out of the trend data, the
alarm log and the selftest data.
By selecting Print report the print job is sent to
the external printer, via the external adapter box.
Note:
The external adapter box and printer
must be supplied by Dameca A/S as
a kit.

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6.1.11 Service 6.2 Trend Menu

When service is selected, a sub menu will appear When pressing the trend menu field, the trend
on the display, with the following settings: menu appears in right side of the display.

1. password The actual trend data are shown in the center

2. password of the display.
3. password
Versions Select a setting by turning and pressing the
Calibration control wheel (17 on fig. 3-1).
Installation
Miscellaneous The following settings can be accessed in the
setup menu:
By selecting versions, the user activates a
sub menu with information about the software Page
versions for the different components inside Table
the Siesta i TS. 1. Column
2. Column
The calibration, installation and 3. Column
miscellaneous sub menu are only accessible 4. Column
when the correct password has been given. 5. Column
However, the super-user password can be given, Rate
in order for the user to be able to change the Print (only if print option is installed)
default settings of the Siesta i TS. Reset
Selftest data
Gas usage
Caution:
If the super-user password has been When the trend menu is activated, the latest
given in the service menu, all changes data are shown.
made in the setup menu, trend menu and
alarm menu (except expired minute By selecting page, the user can view the trend
volume alarm limits and high pressure data for other times.
alarm limit) will be stored as new default
settings when the machine is turned off. Each page contains 17 set of parameters.
When a page is filled with data, a new page
is created.
999 pages of trend data can be stored in the
memory of the electronic gas mixer.
Note:
The factory default settings can be By selecting table, the user can decide whether
installed again, in the service menu, table A, B, C, D or E should be shown.
by a technician.
On each table 5 columns with set or measured
parameters are displayed.

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By selecting 1. to 5.column, the user can design entered the super-user password in the service
the contents of the trend tables. However, these menu (see section 6.1.9).
settings are not available unless the user has

The factory setup for the trend tables is the following:

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By selecting rate, the user can define the inter- 6.2.1 Selftest data
val between the logging of trend information.
Rate can be selected from 1 second to 10 min. By selecting selftest data, a sub menu is
Default value is 5 minutes. activated.

If the machine is installed with printer option, In this sub menu the user can view information
the user can get a print out of the trend data, by regarding the last performed selftest:
selecting print.
Test type
By selecting reset, the user can reset all the Test time
trend data. Leakage in VENT system
Compliance in VENT system

Note:
If reset has been selected, the trend 6.2.2 Gas usage
data cannot be restored.
By selecting Gas usage, as sub menu is
activated.

In this sub menu the accumulated use of the

Note: anaesthetic agents (HAL, ENF, ISO, SEV, DES)
Reset trend data before a new case and of the gases used in the freshgas flow
is started. (O2, AIR, N2O) are shown.

It is the intension to show the gas usage for each

patient, and therefore the accumulated usage of
gases will be reset by the following user actions:
Note:
If full selftest or LC test has been Performing full selftest or LC test
carried out, or the machine has been Selecting »Reset settings & data« in the
powered OFF, the trend data are setup menu
automatically reset. Selecting »Reset« in the trend menu
Powering OFF the machine

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6.3 Alarm Menu

When pressing the alarm menu field, the alarm
menu appears in right side of the display.
Select a setting by turning and pressing the
control wheel (17 on fig. 3-1).
The following alarm settings can be accessed
in the alarm menu:
CO2 alarms (only if multigas module
is installed).
High pressure.
Gas meas. alarms (sub-menu, only if
multigas module is installed).
High O2 % (only if multigas module is not
installed, and O2 monitor with external fuel
cell sensor is activated in the service menu).
Low O2 % (only if multigas module is not
installed, and O2 monitor with external fuel
cell sensor is activated in the service menu).
High MV exp (only if volume sensor is
activated in the service menu).
Low MV exp (only if volume sensor is
activated in the service menu).
High resp. rate (only if multigas module
is installed).
Low resp. rate (only if multigas module
is installed).
Set to default.
Alarm log (sub-menu).
Actual selection is highlighted. Activate the set-
ting by pressing the control wheel (17 on fig. 3-1).
A number of the alarm settings can be changed
immediately, by turning the control wheel, and
press enter to confirm.
The setting will not change, before enter is
pressed on the control-wheel.
Warning:
The alarms should be adjusted
according to the patient and should
not be adjusted to extreme settings.

Alarm limit Factory set value Resolution Limits

High pressure 30 (x100 Pa) 1 (x100 Pa) 10-80 (x100 Pa)
High O2 % OFF 1% 19-100 % and OFF
Low O2 % 18 % 1% 18-100 %
High MV exp 133 % of set MV * 0.1 L 0.1-80.0 L and OFF
Low MV exp 66 % of set MV * 0.1 L 0.0-79.9 L and OFF
High resp. rate OFF 1 per min. 4-80 and OFF
Low resp rate 4 1 per min. 4-80 and OFF
* »OFF« when the anaesthesia machine status is set to »STBY« or MANUAL«

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6.3.1 CO2 alarms 6.3.2 Gas measurement alarms

When status is »MANUAL«, the alarms When gas measurement alarms is selected, a
for Exp/Insp CO2 and Respiration rate can sub menu will appear on the display, with the
be disabled by setting »CO2 alarms« to OFF following settings:
in the alarm menu.
Insp O2 high Exp CO2 high
On the display is shown whether the CO2 Insp O2 low Exp CO2 low
alarms are set to ON or OFF. Exp O2 high Insp AA low
Exp O2 low Exp AA low
When status is changed to »STBY« or »VENT«, Insp N2O high Insp AA high
»CO2 alarms« are automatically set to ON, Insp CO2 high Exp AA high
and the alarm limits for Exp/Insp CO2 and Insp CO2 low
Respiration rate are set to default values.
Besides »CO2 alarms ON/OFF« is no longer
shown on the display, and can no longer be In this menu, the alarm limits for the gas
selected in the alarm menu. concentrations measured by the multigas
module can be defined.

Warning: Actual selection is highlighted. Activate the set-

If the alarms for Exp/Insp CO2 and ting by pressing the control wheel (17 on fig. 3-1).
Respiration rate are disabled, special
Change the setting by turning the control
attention must be given to the patient,
wheel, and press enter to confirm.
since no alarm will be given in case
of an apnea.
The setting will not change, before enter is
pressed on the control-wheel

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Alarm limit Factory set value Resolution Limits

Insp O2 High OFF 1% 18-100 % and OFF
Insp O2 Low 18 % 1% 18-100%
Exp O2 High OFF 1% 10-100 % and OFF
Exp O2 Low 10 % 1% 10-100 %
Insp N2O High Fixed 82 %
Insp CO2 High * 3% 0.1 % 1-3 % and OFF
Insp CO2 Low * OFF 0.1 % 1-3 % and OFF
Exp CO2 High * 8% 0.1 % 0-15 % and OFF
Exp CO2 Low * OFF 0.1 % 0-15 % and OFF
Insp AA High HAL: 2.2 % 0.1 % HAL, ENF, ISO, SEV:
ENF: 5.1 % 0-15 %
ISO: 3.4 %
SEV: 5.1 %
DES: 18 % DES: 0-30 %
Insp AA Low OFF 0.1 % 0-15 % and OFF
DES: 0-30 %
Exp AA High HAL: 1.5 % 0.1 % HAL, ENF, ISO, SEV:
ENF: 3.4 % 0-15 %
ISO: 2.3 %
SEV: 3.4 %
DES: 12% DES: 0-30 %
Exp AA Low OFF 0.1 % 0-15 % and OFF
DES: 0-30 %

* The values for Insp CO2 High/Low and Exp CO2 High/Low are dependent upon the unit
for CO2 measurements (%, kPa or mm Hg), as defined by the user in the setup menu.

6.3.3 Expired minute volume alarm limits

When status is »VENT«, the machine automatically sets the High MV exp and Low MV exp
alarm limits +/- 33 % around the set minute volume for the ventilator.

For example, if TV set is 500 ml and RR set is 12, the set minute volume is 6.0 L, and the
alarm limits will then be:

High MV exp: 8.0 L

Low MV exp: 4.0 L

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Once the user sets the High MV exp or the Low
MV exp alarm limit, these limits are no longer
set +/- 33 % around the minute volume for the
ventilator, but will remain »fixed«.
When a FULL selftest or a LC selftest has been
carried out, the functionality of the automatic
setting is regained.
Note:
Both alarm limits are automatically
set to »OFF« when the anaesthesia
machine status is set to »STBY« or
»MANUAL«. However the user can
still change these alarm limits.
6.3.5 Alarm log
When alarm log is selected, the alarm log
menu appears on the right side of the display.
The actual alarm log data are shown in the
center of the display.
Select a setting by turning and pressing the
control wheel (17 on fig. 3-1).
The following settings can be accessed in the
alarm log menu:
Page
Print (only if print option is installed)
Reset
When the alarm log menu is activated, the latest
data are shown

By selecting page, the user can view the alarm

6.3.4 Set alarms to default
When set alarms to default is selected, the
user will be prompted to answer Y or N.
If Y is selected, all the alarm limits will be
set to default values.
data for other times.
Each page contains 17 sets of parameters.
When a page is filled with data, a new page is
created. 100 alarms can be stored in the alarm-
log. If the alarm log is full »Alarm log full« will
be shown at the end of the log.

The layout of the alarm log table is as follows:

Table A

Time Alarm
HH:MM:SS

If the machine si installed with printer option, the user can get a print out of the alarm log,
by selecting print.
By selecting reset, the user can reset all the alarm log data.

Note:
If reset has been selected, the alarm log data cannot be restored.

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 User Manual for SIESTA i TS

Note:
If FULL selftest or LC test has been carried out, or the machine has been powered
OFF, the alarm log is automatically reset.

6.4 Menu Structure

The menu structure is organised in order to make settings as user friendly as possible.

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6.4 Menu Structure (continued)

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6.4 Menu Structure (continued)

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6.4 Menu Structure (continued)

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6.4 Menu Structure (continued)

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Left blank intentionally

6-20 Dameca

7. Alarms
The Siesta i TS anaesthesia machine has a built-
in alarm system for all the measured parameters,
as well as for the safe function of the machine.
All alarms are audible and visible. Most of the
audible alarms can be disabled for 120 sec. by
means of the cancel alarms key (14 on fig. 3-3).
If an audible alarm is disabled, the alarm will
be shown in yellow letters in the message field
(5 on fig. 3-3), and a timer at the end of the
alarm text will count down from 2 minutes.
When an alarm is active, the cancel alarms field
on the display flashes in a red colour.
When an alarm is no longer active, the cancel
alarms field no longer flashes, and the alarm
text is still shown the display, in the message
field (5 on fig. 3-3), until the user confirms
having observed the alarm, by pressing the
cancel alarms field.
Note:
If the anaesthesia machine status is set
to STBY, all alarms relating to the pati-
ent are disabled. System alarms (such
as mains failure alarm) are still enabled.
An overview of all the alarms is shown in
section 7.6
7.1 Integrated Breathing System
Alarms
The following alarms are in relation to the
integrated breathing system:
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User Manual for SIESTA i TS
Patient system disconnected
Absorber disconnected
7.1.1 Patientsystem disconnected
The »patientsystem disconnected« alarm is acti-
vated, if the IBS patientsystem is disconnected
from the IBS-base on the side of the machine.
Connect the IBS to the IBS-base and lock by
using the handle on back of the IBS-base.
During the alarm the ventilator cannot be
started.
If the ventilator is running when the alarm is
activated, a »ventilator stopped due to patient-
system disconnected« alarm is activated, the
ventilator is stopped and status changed to
MANUAL.
7.1.2 Absorber disconnected
The »absorber disconnected« alarm is activated
if the CO2 absorber has not been connected to
the IBS system for more than 30 sec. Connect
the CO2 absorber to the IBS, and lift the handle
until the lock gives a »click«.
7.2 Electronic Gas Mixer Alarms
The following alarms are in relation to the
electronic gas mixer:
O2 flow is critical low
O2/AIR/N2O pressure is low
Electronic gas mixer fan stopped
O2/AIR/N2O freshgas flow is out of control
Electronic gas mixer battery low
External freshgas outlet activated
Emergency O2 flow activated
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User Manual for SIESTA i TS
7.2.1 O2 flow is critical low
The »O2 flow is critical low« alarm is activated,
if the O2 freshgas flow is set to less than
300 ml/min.
This is done in order to prevent unintended
setting of a low O2 freshgas flow.
If the O2 freshgas flow is increased to a value
above 300 ml/min, the alarm will stop.
Note:
Whenever the O2 freshgas flow is set
to less than 300 ml/min, the alarm will
appear, but the alarm sound will not be
repeated.
7.2.2 O2/AIR/N2O pressure is low
The »O2 pressure is low« alarm is activated, if
the O2 inlet pressure to the machine is less than
2.5 (x100 kPa).
The »AIR pressure is low« alarm is activated,
if the AIR inlet pressure to the machine is less
than 2.5 (x100 kPa).
The »N2O pressure is low« alarm is activated,
if the N2O inlet pressure to the machine is less
than 2.5 (x100 kPa).
The alarm sound can be cancelled for 2 minutes,
but the alarm itself cannot be cancelled. Check
that the relevant gas is connected to the gas inlet
of the machine (8 on fig. 3-2). If this is OK, then
check the inlet pressure for the gas in question.
Note:
If the pressure of the primary drivegas
(normally AIR) is less than 2.5 (x100kPa),
then the machine will automatically
switch to the secondary drivegas
(normally O2), for use in ventilator
and suction units.
7-2
7.2.3 Electronic gas mixer fan stopped
The »electronic gas mixer fan stopped« alarm
is activated, if the upper fan placed on the
upper rear panel is stalled (12 on fig. 3-2).
Take off the filter placed in front of the fan,
and check whether the fan is working.
Note:
The filter placed in front of the fan
should be cleaned regularly.
New filter has P/N 36715-01.
7.2.4 O2/AIR/N2O freshgas flow is
out of control
The »O2 freshgas flow is out of control« alarm
is activated, if the measured O2 freshgas flow
(shown as bargraph) does not match with the
set flow (shown as digits).
The »AIR freshgas flow is out of control« alarm
is activated, if the measured AIR freshgas flow
(shown as bargraph) does not match with the set
flow (shown as digits).
The »N2O freshgas flow is out of control« alarm
is activated, if the measured N2O freshgas flow
(shown as bargraph) does not match with the set
flow (shown as digits).
If the alarm does not disappear after app.
10 seconds, and an »O2/AIR/N2O pressure
is low« alarm is not present at the same time,
call for technical assistance.
7.2.5 Electronic gas mixer battery low
The »electronic gas mixer battery low« alarm is
activated, if the capacity of the internal battery
for the electronic gas mixer and the optional
multigas module is too low to secure proper
function of the electronic gas mixer and the
multigas module during a mains power failure.
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 User Manual for SIESTA i TS

When the battery capacity is so low that the 7.3 Ventilator Alarms
electronic gas mixer and the multigas module
cannot be powered by the battery, »closing The following alarms are in relation to the
down« is also shown on the display. ventilator:
After approx. 20 sec. the machine will automati-
cally power off in order not to discharge the Airway pressure high
battery completely. System pressure high
Connect the machine to mains in order for the Disconnection
electronic gasmixer battery to re-charge. Drivegas low
The machine can be used when the battery has Ventilator fan stopped
been charged to a safe capacity. Ventilator battery low
System pressure
Pressure limit
Note: Freshgas high
During an »electronic gasmixer battery Insp. O2 % high/low (only if multigas
low« alarm, the audible alarm cannot module is not installed, and O2 monitor
be disabled. with external fuel cell sensor is activated
in the service menu)
Expired minute volume high/low (only if
volume sensor is activated in the service menu)
Ventilator mains power failure
7.2.6 External freshgas outlet activated
The »external freshgasoutlet activated« alarm is
activated if the external freshgasoutlet on the
7.3.1 Airway pressure high
machine is activated. The »airway pressure high« alarm is activated
if the measured pressure in the patient breathing
During the alarm, the ventilator cannot be started. system is higher than the high alarm limit.
If the ventilator is running when the alarm is
activated, a »ventilator stopped due to external When the airway pressure reaches the high
freshgasoutlet activated« alarm is activated, pressure alarm limit, the ventilator goes to
the ventilator is stopped and status changed expiration phase to avoid dangerous over-
to MANUAL. pressure situations.

The high alarm condition will end when one

7.2.7 Emergency O2 flow activated respiration without reaching the alarm limit
The »emergency O2 flow activated« alarm is has passed.
activated if the emergency O2 flow on the
machine is activated. This should only be done
if the electronic gas mixer is not functioning.
»App. 5 L/min added to the O2 flow« is shown Note:
as additional information. Airway pressure high alarm is active
If the electronic gas mixer is functioning, stop during automatic ventilation only.
the emergency O2 flow by changing the position
of the switch

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Note:
During an »airway pressure high«
alarm, the freshgas flow will automati-
cally be set to 0.3 L/min O2, in order
to avoid dangerous over-pressure situa-
tions in case of high freshgas flow.
When the alarm is no longer active, the
freshgas flow will automatically be set
to the orginal values. PS: This functio-
nality can be disabled in the service-
menu, by a super-user or a technician.
7.3.2 System pressure high
The »system pressure high« alarm is activated if
the ventilator pressure to Bag in Bottle is more
than 10 hPa higher than the »high alarm« limit.
This could be due to the bellows in the Bag in
Bottle system being empty.
When the Bag in Bottle pressure reaches the
high pressure alarm limit +10 hPa, the ventilator
goes to expiration phase to avoid dangerous
over-pressure situations.
The alarm condition will end, when one respira-
tion without reaching the limit has passed.
Note:
During a »system pressure high« alarm,
the freshgas flow will automatically be
set to 0.3 L/min O2, in order to avoid
dangerous over-pressure situations in
case of high freshgas flow. When the
alarm is no longer active, the freshgas
flow will automatically be set to the
orginal values. PS: This functionality
can be disabled in the service-menu,
by a super-user or a technician.
7.3.3 Disconnection
The »disconnection« alarm is activated if the
pressure in the patient breathing system does
not cross a PEEP +2 hPa limit in 15 sec.
7-4
Note:
If PEEP is set to OFF the limit is 5 hPa,
based on PEEP being 3 hPa due to Bag
in Bottle.
7.3.4 Drivegas low
The »ventilator drivegas low« alarm is activated
if the dynamic driving gas pressure at the
ventilator is less than 2.5 (x100kPa).
7.3.5 Ventilator fan stopped
The »ventilator fan stopped« alarm is activated,
if the lower fan placed on the lower rear panel
is stalled (2 on fig. 3-2).
Take off the filter placed in front of the fan, and
check whether the fan is working.
Note:
The filter placed in front of the fan
should be cleaned regularly. New
filter has P/N 36715-01.
7.3.6 Ventilator battery low
The »ventilator battery low« alarm is activated,
if the capacity of the internal battery for the
ventilator is too low to secure proper function
of the ventilator during a mains power
failure.
When the battery capacity is so low that the
ventilator cannot be powered by the battery,
»closing down« is also shown on the display,
and the ventilator automatically switches to
stand-by mode.
Dameca

After approx. 20 sec. the ventilator will
automatically power off in order not to
discharge the battery completely.
Connect the machine to mains and turn ON the
machine in order for the ventilator battery to
re-charge. The ventilator can be used when the
battery has been charged to a safe capacity.
Note:
During a »ventilator battery low«
alarm, the audible alarm cannot be
disabled.
7.3.7 System pressure
The »system pressure« alarm is activated if the
difference between the ventilator pressure to
Bag in Bottle and the airway pressure in the pa-
tient breathing system is more than 10 (x100Pa).
This could be due to the bellows in the Bag in
Bottle system being empty.
If the Bag in Bottle is filled, and the alarm does
not disappear after approx. 10 seconds, the bag
in bottle system must be checked.
7.3.8 Pressure limit
The »pressure limit« alarm is activated if the
max. airway pressure during PCV ventilation
is lower than the set inspiratory pressure.
7.3.9 Freshgas high
The »freshgas high« alarm is activated if the
freshgas flow is too high for the ventilator
settings in VCV or SIMV mode.
Ventilator inspiratory flow - freshgas flow
< 2 L/min.
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User Manual for SIESTA i TS
The alarm is generated in order for the tidal
volume given to the patient not to be higher
than the set tidal volume
Increase the tidal volume setting or decrease the
freshgas flow in order for the alarm to disappear.
7.3.10 Inspired O2 % high/low (only if
external O2 fuel cell sensor is
installed)
The »inspired O2% high« alarm is activated if
the O2% measured by the external O2 sensor
is higher than the alarm limit.
The »inspired O2% low« alarm is activated if
the O2% measured by the external O2 sensor
is lower than the alarm limit.
7.3.11 Expired minute volume high/low
(only if volume sensor is installed)
The »expired minute volume high« alarm is
activated, if the expired minute volume
measured using the external flow sensor,
is higher than the alarm limit.
The »expired minute volume low« alarm is
activated, if the expired minute volume,
measured using the external flow sensor,
is lower than the alarm limit.
7.3.12 Ventilator mains power failure
The »ventilator mains power failure« alarm is
activated if the mains power to the ventilator is
lost during use.
Note:
The internal batteries are primarily
intended for alarm back-up.
The machine will work normally
during this period. A »closing down«
alarm will appear before the ventilator
closes down in order not to completely
discharge the batteries.
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7.3.13 Measured TV too high
The »measured TV too high« alarm is given if
the tidal volume measured by the external flow
sensor is higher than 2000 ml (Adult sensor) or
500 ml (Paed. sensor).
7.3.14 PSV backup mode activated
The »PSV backup mode activated« alarm is
given if the machine is in PSV mode and the
patient has not made a supported breath before
the PSV backup time has ended.
If this alarm happens, the ventilator will
automatically change to PCV mode.
7.4 Multigas Module Alarms
The following alarms are in relation to the
optional multigas module:
Insp/exp O2 high/low
Insp N2O high
Insp/exp CO2 high/low
Insp/exp AA high/low
Resp rate high/low
Secondary agent identified
Ethanol detected
Gas measurement is in standby mode
Occlusion
Sample flow rate error
Invalid O2 sensor offset
Ambient CO2 too high
Sample cell pressure
7-6
Note:
The alarms related to the measured gas
concentrations are disabled until a re-
spiration rate is detected by the mult-
igas module based upon the measured
CO2 concentrations.
This means that the gas concentration
alarms are not active, until a patient is
connected to the anaesthesia machine
and breathing through the patient system.
Note:
When the anaesthesia of a patient has
been completed, and the patient is
disconnected from the machine, select
»Reset« in the trend menu (in order to
reset all trend data) and the gas concen-
tration alarms are once again disabled,
until a respiration rate has been
detected by the multigas module.
The trend data can also be reset by
performing the FULL selftest or the
LC selftest or by selecting »Reset
data & settings« in the setup menu.
7.4.1 Inspired/expired O2 % high/low
The »inspired O2 % high« alarm is activated
if the O2 % measured by the multigas module
is higher than the alarm limit.
The »inspired O2 % low« alarm is activated
if the O2 % measured by the multigas module
is lower than the alarm limit.
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Note:
If the inspired O2 % is less than 18,
the audible alarm cannot be disabled.
7.4.2 Inspired N2O % high
The »inspired N2O % high« alarm is activated
if the N2O % measured by the multigas module
is higher than 82 %.
Note:
The audible alarm cannot be disabled.
7.4.3 Inspired/expired CO2 % high/low
The »inspired CO2 % high« alarm is activated
if the CO2 % measured by the multigas module
is higher than the alarm limit.
The »inspired CO2 % low« alarm is activated
if the CO2 % measured by the multigas module
is lower than the alarm limit.
7.4.4 Inspired/expired AA % high/low
The »inspired AA % high« alarm is activated
if the AA % measured by the multigas module
is higher than the alarm limit.
The »inspired AA % low« alarm is activated
if the AA % measured by the multigas module
is lower than the alarm limit.
7.4.5 Resp. rate high/low
The »resp. rate high« alarm is activated if the
respiration rate measured by the multigas
module is higher than the alarm limit.
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User Manual for SIESTA i TS
The »resp. rate low« alarm is activated if the
respiration rate measured by the multigas
module is lower than the alarm limit.
7.4.6 Secondary agent identified
The »secondary agent identified« alarm is acti-
vated if the multigas module detects a secondary
anesthetic agent in the sample gas flow.
The agent type (HAL, ENF, ISO, SEV or DES)
is shown, and the actual inspired/expired con-
centration is also shown, in the CO2 graph field.
When a secondary agent is not identified any
longer, the alarm is cancelled.
7.4.7 Ethanol detected
The »ethanol detected« alarm is activated if
the multigas module detects ethanol in the
sample gas flow.
The actual inspired/expired concentration is
shown in the CO2 graph field.
When ethanol is not identified any longer, the
alarm is cancelled.
7.4.8 Gas measurements is in standby
mode
The »gas measurement is in standby mode«
alarm is activated when the multigas module
goes to stand-by mode, where the sample-flow
pump is stopped.
The stand-by mode is activated if the status is
STBY or MANUAL, freshgas flow is closed
and respiration rate is not detected, and this has
been the situation for more than 10 min. This is
done to increase the lifetime of the sample-flow
pump in the multigas module.
»Open freshgas flow or start ventilation to
activate« is shown as additional information.
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When freshgas flow or ventilation is started,
the multigas module is activated again, and the
measurement of gas concentrations is running
after app. 20 sec.
7.4.9 Occlusion
The »occlusion« alarm is activated if the
multigas module cannot achieve a sample flow.
Check that the sample-tube between Y-piece and
water trap is not blocked. Replace if necessary.
Check that the water trap is not filled with
liquid. Replace if necessary.
Note:
If the »occlusion« alarm has been
active for more than one minute, the
sample flow will stop, in order to
protect the samplepump.
When the sample-tube and/or watertrap
has been replaced, press »Exp. CO2«
in order to restart the samplepump.
Note:
The water trap should be replaced
minimum every 3 months.
7.4.10 Sampleflow rate error
The »sampleflow rate error« alarm is given if
the sampleflow measured by the gasmodule is
not according to the specifications.
This could be caused by an obstruction in the
sample flow line.
Check that the sample-tube between Y-piece and
water trap is not blocked. Replace if necessary.
7-8
Check that the water trap is not filled with
liquid. Replace if necessary.
7.4.11 Invalid O2 sensor offset
The »invalid O2 sensor offset« alarm is given if
the sensor used for measurement of O2 cannot
be calibrated by the gasmodule.
If this alarm happens, go to setup menu, select
gas meas. setup menu and select »Gasmodule
ini« in order to restart the gas module and
perform a new calibration.
7.4.12 Ambient CO2 too high
The gasmodule draws room air into the
measuring chamber at certain intervals, in
order to calibrate the module.
However, if the measured CO2 concentration
of the ambient (room) air is too high for the gas-
module to calibrate, the »ambient CO2 too high«
alarm is given.
If this alarm happens, increase the ventilation
of the room in which the machine is placed.
Then go to setup menu, select gas meas. setup
menu and select »Gasmodule ini« in order to
restart the gas module and perform a new
calibration.
7.4.13 Sample cell pressure out of range
The »sample cell pressure out of range« alarm is
given if the pressure measured in the measuring
chamber inside the gasmodule is too high or to low.
This could be caused by an obstruction in the
sample flow line.
Check that the sample-tube between Y-piece
and water trap is not blocked. Replace if necessary.
Check that the water trap is not filled with
liquid. Replace if necessary.
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 User Manual for SIESTA i TS

7.5 System Alarms

The following alarms are in relation to 7.5.2 Ventilator error
the system: An alarm is activated if a mal-function is
detected in the electronics of the ventilator.
Mains power failure
Ventilator out of order There are 2 different types of ventilator error
Gas module error alarms:
Machine closing down
Ventilator out of order
This alarm means that the ventilator is not
7.5.1 Mains power failure responding.
The »mains failure« alarm is activated if the
mains power is lost during use. Ventilator system failure
This alarm means that the ventilator has
detected a mal-function.

Note: During these alarms, the ventilator will change

The internal batteries are primarily to manual ventilation mode, and the patient
intended for alarm back-up. must be ventilated manually.
The machine will work normally
during this period. A »closing down«
alarm will appear before the machine Note:
closes down in order not to completely
The audible alarm cannot be disabled.
discharge the batteries.

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7.5.3 Gas module error
An alarm is activated if a mal-function, different
from the once listed in section 7.4, is detected in
the optional multigas module.
There are 5 different types of gasmodule error
alarms:
Gas module YELLOW correctable
If this alarm is activated, the gas measurement
data cannot be completely relied upon. The type
of error leading to this alarm can possibly be
corrected by the user or the gasmodule.
Gas module YELLOW service
If this alarm is activated, the gas measurement
data cannot be completely relied upon. The type
of error leading to this alarm can only be
corrected by a service technician.
Gas module RED correctable
If this alarm is activated, the gas measurement
data cannot be used. The type of error leading to
this alarm can possibly be corrected by the user
or the gasmodule.
7-10
Gas module RED service
If this alarm is activated, the gasmeasurement
data cannot be used. The type of error leading
to this alarm can only be corrected by a service
technician.
Gas module out of order
If this alarm is activated, the gas module is not
functioning at all, and the gas measurement is
not running.
7.5.4 Machine closing down
The »machine closing down« alarm is activated
if the mains switch on front of the machine is
set to OFF position.
»Press mains switch to cancel« is shown as
additional information.
If the mains switch is not activated again, the
machine will power down after approx. 20 sec.
If the mains switch is activated again within the
approx. 20 sec., the machine will not power
down, but continue to function as before.
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 User Manual for SIESTA i TS

7.6 Overview of Alarms

Patient related alarms:

Alarm Factory set value Resolution Limits Priority Audible

disable
Airway 30 (x100 Pa) 1 (x100 Pa) 10-80 High Yes
pressure high (x100 Pa)
High MV exp STBY/MANUAL: OFF 0.1 L 0.1-80.0 L High Yes
VENT: 133 % of set MV and OFF
Low MV exp STBY/MANUAL: OFF 0.1 L 0.1-79.9 L High Yes
VENT: 66 % of set MV and OFF
PSV backup 30 sec. 5 sec. 10-40 sec. Low -
mode activated
Insp O2 High OFF 1% 19-100 % Medium Yes
and OFF
Insp O2 Low 18 % 1% 18-100 % High Yes
Insp O2 <
18 %: No
Exp O2 High OFF 1% 10-100 % Medium Yes
og OFF
Exp O2 Low 10 % 1% 10-100 % High Yes
Insp N2O High Fixed at 82 % High No
Insp CO2 High 3% 0.1 % 1-3 % og OFF Medium Yes
Insp CO2 Low OFF 0.1 % 1-3 % og OFF Medium Yes
Exp CO2 High 8% 0.1 % 0-15 % og OFF Medium Yes
Exp CO2 Low OFF 0.1 % 0-15 % og OFF Medium Yes
Insp AA High * 0.1 % 0-30 % Medium Yes
Insp AA Low OFF 0.1 % 0-30 % og OFF Low -
Exp AA High * 0.1 % 0-30 % Medium Yes
Exp AA Low OFF 0.1 % 0-30 % og OFF Low -
Resp rate High OFF 1 pr. min. 4-80 og OFF Medium Yes
Resp rate Low 4 1 pr. min. 4-80 og OFF Medium Yes
Secondary agent - - - Low -
identified
Ethanol detected - - - Low -

* Default values for »Insp AA High« and »Exp AA High« depend on the anaesthetic agent
identifed by the mutigas module:
HAL ENF ISO SEV DES
Insp AA High 2.2 % 5.1 % 3.4 % 5.1 % 18 %
Exp AA High 1.5 % 3.4 % 2.3 % 3.4 % 12 %

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System related alarms:

Alarm Priority Audible disable

Patient system disconnected Low -
Ventilator stopped due to patientsystem Medium Yes
disconnected
Absorber disconnected Low -
(during MANUAL or STBY)
Absorber disconnected (during VENT) High Yes
O2 flow is critical low Low -
O2 pressure is low High Yes
AIR pressure is low High Yes
N2O pressure is low High Yes
Electronic gasmixer fan stopped High Yes
O2 freshgasflow out of control High Yes
AIR freshgasflow out of control High Yes
N2O freshgasflow out of control High Yes
Electronic gasmixer battery low High No
External freshgasoutlet activated Low -
(during MANUAL or STBY)
Ventilator stopped due to external Medium Yes
freshgasoutlet activated (during VENT)
Emergency O2 flow activated High Yes
System pressure high High Yes
Disconnection High Yes
Drivegas low High Yes
Ventilator fan stopped High Yes
Ventilator battery low High No
System pressure High Yes
Pressure limit High Yes
Freshgas high High Yes
Ventilator mains power failure High Yes
Measured TV too high Low -
Occlusion High Yes
Sample flow rate error High Yes
Invalid O2 sensor offset High Yes
Ambient CO2 too high High Yes
Sample cell pressure High Yes
Gas measurement is in standby mode Low -

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Alarm Priority Audible disable

Mains power failure High Yes
Ventilator out of order High No
Ventilator system failure High No
Gasmodule out of order High Yes
Gasmodule yellow correctable High Yes
Gasmodule yellow service High Yes
Gasmodule red correctable High Yes
Gasmodule red service High Yes
Machine closing down Low -
(during MANUAL or STBY)
Machine closing down (during VENT) High Yes

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8. Maintenance and Cleaning

Before using the machine it must be cleaned and
washed according to the guidelines in this section.

8.1 Maintenance
Preventive maintenance of the machine must be
carried out at least once a year by an authorized
technician.

Daily maintenance carried out by the user

is limited to:

Function control
Integrity control
Cleaning

8.2 Cleaning
8.2.1 Anaesthesia machine
Wipe the surface of the machine with a soft
cloth moistened with mild soapy water or
isopropyl alcohol. Wipe the machine with
a dry cloth.
Caution:
Avoid abrasive and corrosive cleaning
agents as they may damage the ma-
chine. Avoid organic fluids as acetone,
turpentine, thinner or similar.
8.3 IBS Patient Breathing System
qusjob42.11960-96.png
Fig. 8-1 IBS Patient System Overview
Remove the bottle (1), and remove bellows (2).
Remove the cover (3), and remove the
membrane (4).
Remove the APL valve (5) (note the release
button at the side of the IBS body).
Remove the caps (6) for the insp/exp valves
(7), and remove the valves.
Remove absorber valves: Inspiratory valve
(8) marked C and the expiratory valve (9)
marked B. To help disassemble the valves
use the tool (11).
Remove change-over valve (10) marked A.
To help disassemble the valve use the tool (11).

Before cleaning, the integrated patient breathing The IBS Patient System and the parts can
system must be disassembled as follows: now be cleaned and sterilized.

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8.4 CO2 Absorber 8.5 Hoses, Y-piece and Manual

Breathing Bag
Clean, disinfect and dry hoses, Y-piece and
manual breathing bag in accordance with
normal hospital routines.

8.5.1 Routine cleaning

All the parts of the patient breathing system
can be washed in a washing machine.

8.5.2 After an infected case

Soak all parts of the patient breathing system
in a disinfectant. Then wash according to the
instructions for routine cleaning.

8.5.3 After cleaning

Check visually that all parts are totally dry,
undamaged and connected properly.
qusjob42.11042.pdf

Fig. 8-2 CO2 absorber

If a re-usable CO2 absorber i-SORB is used
with the integrated patient breathing system,
unscrew the lid of the absorber (2) and
disassemble the components of the absorber
as shown in the figure.
Destroy the two filters (4) and the used
absorbent. Clean and sterilize as described
for the IBS patient system.
Note:
Some disinfectants, such as phenol and
aldehyde compounds, can be absorbed
and accumulated in plastic and rubber
parts, when disinfection has taken place
repeatedly.

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8.6 Cleaning Methods

8.6.1 Washing machinery
The washing machinery used must be construct-
ed to allow the washing of instruments and
anaesthesia equipment. The washing programme
and detergents used must be suitable for was-
hing rubber and plastic parts. The washing
procedure should be finalized by rinsing in
clean water, heat disinfection and drying.
Note:
The detergent shall have pH value
between 7 and 10 in final solution.
Warning:
When handling the IBS body after
cleaning, beware of residual hot water
in the internal channels.
8.6.2 Chemical disinfection
Observe the manufacturer’s instructions
carefully. Disinfectants must be suitable
for the components for which they are used.
Do not expose components to disinfectants
for longer time than needed.
Rinse all components in sterile water after
disinfection and dry at room temperature.
Note:
The lifetime of rubber parts can be
extended considerably by avoiding
decontamination and sterilization at
high temperatures.
8.6.3 Autoclaving
After being washed, the parts can be autoclaved
at 134OC for max. 7 min. a limited number of times
(app. 100 times).
8.7 After Cleaning
Check that all components are in correct
condition and completely dry.
Compressed Air can be used to remove residual
water from the components.
Apply a thin film of special grease(P/N 36825)
to the O-rings.
Reassemble the integrated patient breathing
system as follows:

Note:
Alcohol must not be used for disinfection.

Note:
Some disinfectants, such as phenol and
aldehyde compounds, can be absorbed
and accumulated in plastic and rubber
parts, when disinfection has taken
place repeatedly.
qusjob42.11960-96.png

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User Manual for SIESTA i TS
Mount the insp/exp valves (7) with the
groove in the valve body fitting the pin in
the IBS body. Check that the valves are
mounted correctly by carefully pushing the
valves in. Check that the membranes have
no visible damages. Change the membranes
if they are damaged (use valve P/N 11890-31).
Do not touch the valve flap.
Mount the valve caps (6).
Mount change-over valve (10) marked A.
To help assemble the valve use the tool (11).
Mount the absorber valves (8) and (9). To
help assemble the valves use the tool (11).
Mount the APL valve (5) (Press firmly until
the lock »clicks«).
Fit the membrane (4) into the housing and
mount the cover (3).
Mount the bellows (2).
Mount the bottle (1).
qusjob42.11042.pdf
8-4
If a re-useable CO2 absorber (i-SORB) is used
with the integrated patient breathing system,
change the two filters (4) (40 pcs. has P/N 11040-40).
Place one filter at the bottom of the absorber
canister (1) and fill with absorbent.
The following types of absorbent can be used:
Sofnolime, Medisorb, Prosorb, Sodalime, Lime-
pak, Agasorb, Sefasorb, Carbolime, Chemosorb,
Vitalime and Ventisorb.
Apply a thin film of special grease (P/N 36825) to
the O-ring (3).
Place the other filter on top of the sodasorb
(or similar) and mount the lid of the absorber
(2), including the O-ring (3).
In order to achieve optimum performance of the
absorber, knock it gently against a firm surface
(see the fig. below).
The circle can now be mounted onto the
SIESTA i TS machine.
qusjob42.absorber1.pdf
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 User Manual for SIESTA i TS

8.8 Safety Control

After cleaning and sterilization, reassemble and verify proper function of the system.

Do not add components to the system without making sure they are clean and
in good condition.

Do not use the system before a performance and leakage test has been carried out.

8.9 Parts for the CO2 Absorber

qusjob42.11042.pdf

Item Qty Description Part No.

1 1 Absorber 11042-02
2 1 Lid for absorber 11042-01
3 1 O-ring 36345
4 2 Filter (40 pcs.) 11040-40

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8.10 Parts for the IBS

Item Qty Description Part No.

1 1 Valve dome with O-ring 11890-40
2 2 Valve flap with seat 11890-31
3 1 Cover 51525-10
4 1 Membrane spill valve 51025-08
5 1 Bellows 11960-05
6 4 O-ring for APL valve 36252
7 1 O-ring for APL valve 36346
8 5 O-ring 22 mm 36267
9 2 Gasket for absorber valves 11960-23
10 2 Gasket for absorber valves 11960-24
11 2 O-ring 36333-1630
12 1 Spring 11960-45
13 1 Spring 11960-25
14 1 O-ring 36333-1830
15 1 O-ring 36332-2020
16 1 O-ring 36332-2120
17 1 O-ring 36330
18 1 O-ring 36274
19 2 O-ring 36343
20 1 O-ring 36344

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qusjob42.11960serviceparts.png

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9. Technical Data

Note:
All flow and volume measurements are related to STPD conditions
(Standard Temperature Pressure Dry).

9.1 General
Dimensions:
Height : 1510 mm
Width : 760 mm (including IBS)
Depth : 670 mm
Weight: : Approx. 140 kg (depending on configuration)

Electrical:
Class :I
Type :B
Mains voltage : 100/115/230 volt 50/60 Hz.
Power consumption (typical) : 130 VA + 20 VA (multigas module)
Battery capacity : 1.5 Ah (ventilator), 5.2 Ah (EGM and
multigas module)
Battery operation time : Approx. 30 minutes
Battery type : NiCd rechargeable (ventilator), sealed Pb
(EGM and multigas module)
Charge time : Approx. 12 hour

Note:
There are no changes in performance when the machine is battery powered.

Auxiliary power outlets (optional):

Max. power from each outlet : 360 VA
Fuse for each outlet : T1.6A (230V) / T3.15A (115V)
Max. power total : 460 VA
Fuse for all outlets in total : T2A (230V) / T4A (115V)

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9.2 Gases

Note:
All gases and anaesthetic agents must conform to the European Pharmacopeia.

Central gas supply:

Inlet pressure : 4-6 (x100kPa) for O2, N2O and AIR
Spare Gas Supply (optional):
Pin index for 4 ltr cylinders (O2 and N2O).
Pressure gauges:
Central gas supply (optional) : 0-10 (x100kPa) for O2, AIR and N2O
Gas cylinder (optional) : 0-315 (x100kPa) for O2
0-100 (x100kPa) for N2O
Auxiliary outlets (optional):
Flow for O2 or AIR : 100 L/min at 4 (x100kPa) static pressure
140 L/min at 6 (x100kPa) static pressure
>300 L/min at 12 (x100kPa) static pressure
AGSS:
Scavenging flow : 30-40 L/min
Gas Alarm:
Alarm start-pressure for O2, AIR and N2O : 2.5 (x100kPa)
Auxiliary freshgas outlet (optional):
Max. pressure limiting valve : 90 (x100Pa)
Auxiliary O2 flowmeter (optional):
Flow range : 0 to 10 L/min
Accuracy : 7.5% actual flow + 2.5% full scale
Patient suction unit (optional):
Max. vacuum : -0.8 (x100kPa)
Max. suction flow : 35 L/min

9.3 Electronic Gas mixer

Set parameters:
Freshgas flow : 0.0, 0.3 to 20.0 L/min
Flow resolution : 0 to 1.0 L/min: 0.05 L/min,
1.0 to 20.0 L/min: 0.1 L/min
O2 set % : 21 to 100 % (O2/AIR mix)
25 to 100 % (O2/N2O mix)
O2 set % resolution : 1 % (v/v)
Accuracy : +/- 5 % (v/v)
O2 flow range : 0.0, 0.3 to 10.0 L/min
AIR flow range : 0.0, 0.1 to 10.0 L/min

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N2O flow range : 0.0, 0.1 to 10.0 L/min

Accuracy (all gases) : 0.1 to 0.5 L/min : +/- 50 ml
0.5 to 10.0 L/min: +/- 10 % of reading
O2 emergency flow:
Fixed flow : 5.0 L/min +/- 20 %

O2 flush flow:
Fixed flow : Approx. 45 L/min

9.4 Ventilator
Driving gas (AIR or O2):
Pressure : Min. 3.0 (x100kPa) at 80 L/min.
Max. consumption (peak flow) : 120 L/min
Average consumption : Max. 80 L/min at 2.8 (x100kPa)

Pressure range:
Pressure limitation (Plim max) : 90 (x100Pa) (mechanical pressure limitation valve)
Max. adjustable working pressure : 80 (x 100Pa)
High pressure alarm : 10 to 80 (x100Pa)
Min. expiration pressure (Plim min) : +1 (x100Pa)
Cycling pressure : 1 to 80 (x100Pa)

Note:
Negative airway pressures are possible if the patient is breathing spontaneously only.

Set parameters
Tidal Volume : 20 to 1500 ml.
Accuracy : 20 to 250 ml: +/-10%, min. 10 ml
: 250 to 1500 ml: +/-5%, min. 25 ml
Minute volume : 0.2 to 60 L/min.

Frequency : 4 to 80 resp./min.
Accuracy : +/- 5 %

I:E Ratio : 3:1 and up to 1:9,9

PEEP : OFF, 4 to 20 (x100Pa)

Inspiratory pressure : 7 to 67 (x100Pa)

Inspiratory pause : 0 to 70 %

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Ventilation mode (controlled) : VCV, SIMV (option), PCV, PSV (option)

SIMV settings:
Trigger point : -0,5 to -10.0 (x100Pa)
PSV settings:
Support pressure : 4 to 50 (x100Pa)
Inspiratory trigger : 1 to 10 L/min.
Expiratory trigger : 10 to 80 %
PSV backup : 10 to 40 sec.
Test mode : LC TEST, FULL TEST
Sigh settings:
Interval : 50 to 150 respirations
Added tidal volume : 30 to 80 %

Note:
The sigh function is only active in VCV and SIMV mode only.

Airway pressure monitor

Measured parameters : PEAK, Plateau, PEEP, Compliance
(if vol. monitor is installed)
Pressure range : -10 to 99 (x100Pa)
Accuracy : +/-2 (x100Pa)
O2 % fuel cell monitor (optional):
Measuring range : 0 to 100 % O2 (V/V)
Accuracy : +/- 2 % O2 (V/V) at constant temperature and pressure
High O2% alarm : 19 to 100% and OFF
Low O2% alarm : 18 to 100%
Expected O2 sensor lifetime : Over 500.000 O2 percent hours under normal
conditions (equivalent to 33 months, when placed
in AIR at 25OC)
Cross interference : less than 1.25% O2 response to anaesthetic agents
Drift : less than 1% O2 over 24 hours
Rise time : less than 6 seconds for 90% of final value
Volume monitor (optional):
Measuring range Paed. sensor : 20 to 300 ml (insp./exp. flow: 2-35 L/min.)
Measuring range Adult sensor : 200 to 1500 ml (insp./exp. flow: 10-120 L/min)
Accuracy Paed. sensor : 20 to100 ml: +/- 10 ml
100 to 300 ml: +/- 10% of actual value
Accuracy Adult sensor : 200 to 500 ml: +/- 50 ml
500 to 1500 ml: +/- 10% of actual value

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High expired minute volume alarm : 0.1 to 80.0 L and OFF

Low expired minute volume alarm : 0.0 to 79.9 L and OFF

9.5 Integrated Breathing System

Dimensions:
Size : ø160 x 360 mm
Weight : 4 kg (complete system excl. i-SORB CO2 absorber)
APL valve:
Setting : SP, 5 to 75 (x100 Pa)
Accuracy : +-7 (x100Pa) at 4 L/min
i-SORB CO2 absorber:
Capacity : Approx. 900 gr.
Volume (empty) : 1420 ml

9.6 Multigas Module (optional)

Warm up time:
Time to match full specifications : 2 minutes after power up.

Water trap:
Capacity : 22 ml.

Measured parameters:
Insp. O2 : 0 to 100 %. Resolution: 1 %
Exp. O2 : 0 to 100 %. Resolution: 1 %
Insp. N2O : 0 to 100 %. Resolution: 1 %
Exp. N2O : 0 to 100 %. Resolution: 1 %
Insp. CO2 : 0 to 10 %. Resolution: 0.1 %
Exp. CO2 : 0 to 10 %. Resolution: 0.1 %
Insp AA : HAL, ENF, ISO: 0 to 7.5 %
SEV: 0 to 9 %
DES: 0 to 20 %
Resolution: 0.1 %
Exp. AA : HAL, ENF, ISO: 0 to 7.5 %
SEV: 0 to 9 %
DES: 0 to 20 %
Resolution: 0.1 %
Resp. rate : 0 to 100 breaths pr. min.
Ethanol : 0.0 to 0.15 %

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Calculated parameters:
MAC : 0 to 10. Resolution: 0.1

Gas measurement accuracy:

Breath rate 1 to 30 breaths pr. min:
O2 : +/- (2.5 % O2 + 5.0 % of actual reading)
N2O : +/- (1.5 % N2O + 5.0 % of actual reading)
CO2 : +/- (0.2 % CO2 + 5.0 % of actual reading)
Halothane : +/- (0.1 % HAL + 4.0 % of actual reading)
Enflurane : +/- (0.1 % ENF + 4.0 % of actual reading)
Isoflurane : +/- (0.1 % ISO + 4.0 % of actual reading)
Sevoflurane : +/- (0.1 % SEV + 4.0 % of actual reading)
Desflurane : +/- (0.1 % DES + 4.0 % of actual reading)
Ethanol : +/- 0.013 % Ethanol

Breath rate 31 to 60 breaths pr. min:

O2 : +/- 6 % O2
N2O : +/- (3.0 % N2O + 10.0 % of actual reading)
CO2 : +/- (0.4 % CO2 + 10.0 % of actual reading)
Halothane : +/- (0.2 % HAL + 8.0 % of actual reading)
Enflurane : +/- (0.2 % ENF + 8.0 % of actual reading)
Isoflurane : +/- (0.2 % ISO + 8.0 % of actual reading)
Sevoflurane : +/- (0.2 % SEV + 8.0 % of actual reading)
Desflurane : +/- (0.2 % DES + 8.0 % of actual reading)
Ethanol : +/- 0.025 % Ethanol

Cross-gas interference:
The multigas module will meet the specifications for accuracy, when the individual gases
are within the ranges specified in »measured parameters«.

Regarding cross-gas interference from Methane, Isopropanol or metered

dosed inhaler propellants, the following applies:

Methane : Up to 3000ppm Methane, the multigas-measurements will be

within specifications, except for measurement of Halothane
which may have an additional 0.1 % HAL in-accuracy.

Isopropanol : Up to 1000ppm Isopropanol, the multigas-measurements will

be within specifications, except for measurement of Ethanol
which may have an additional in-accuracy of up to 0.15 %
Ethanol.

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Metered dosed inhaler : CFC propellants such as CFC 11, 12 and 114 will have no
propellants effect on the multigas-measurements.
HFA-134a propellant can affect the measurement of
Enflurane, Halothane and Ethanol.
If this is the case the multigas module will give an alarm.

Note:
If the Ethanol concentration or the Acetone concentration is higher than
0.1 %, the accuracy of the gas measurements may be affected.

Resp. rate measurement accuracy:

Resp. rate : +/- 2 breaths pr. min.
Resp.rate detection : 0.8% CO2 variation in measured CO2

Gas measurement typical response times 10 - 90 %:

O2 : max. 550 msec.
N2O : max. 300 msec.
CO2 : max. 300 msec.
AA : max. 500 msec. (once agent has been identified)
Ethanol : max. 150 msec.

Primary anaesthetic agent identification:

A primary anaesthetic agent will be identified by the multigas module, if the concentrations are
higher than:
Halothane : 0.20 % HAL
Enflurane : 0.20 % ENF
Isoflurane : 0.20 % ISO
Sevoflurane : 0.24 % SEV
Desflurane : 0.30 % DES

Secondary anaesthetic agent identification:

A secondary anaesthetic agent will be identified by the multigas module, if the concentrations are
higher than:

Halothane : 0.20 % HAL + 16 % of primary agent (ENF,

ISO, SEV or DES)

Enflurane :0.20 % ENF + 5 % of primary agent (HAL or ISO)

+ 6 % of primary agent (DES)
+ 10 % of primary agent (SEV)

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Isoflurane : 0.20 % ISO + 5 % of primary agent (HAL or SEV)

+ 6 % of primary agent (ENF)
+ 18 % of primary agent (DES)

Sevoflurane : 0.24 % SEV + 5 % of primary agent (HAL,

ENF or ISO)
+ 6 % of primary agent (DES)

Desflurane : 0.30 % DES + 8 % of primary agent (HAL, ENF,

ISO or SEV)

For example:
Primary anaesthetic agent is 2.0 % Halothane.
The required Enflurane concentration to identify it as secondary agent is:
0.20 % ENF + 0.05x2 % = 0.30 % Enflurane.

Alarms:
Insp. O2 % high : 18 to 100 % and OFF. Resolution: 1 %
Insp. O2 % low : 18 to 100 %. Resolution: 1 %

Exp. O2 % high : 10 to 100 % and OFF. Resolution: 1 %

Exp. O2 % low : 10 to 100 %. Resolution: 1 %

Insp. N2O high : Fixed 82 %

Insp. CO2 high : 1.0 to 3.0 % and OFF. Resolution: 0.1 %

Insp. CO2 low : 1.0 to 3.0 % and OFF. Resolution: 0.1 %

Exp. CO2 high : 0.0 to 15.0 % and OFF. Resolution: 0.1 %

Exp. CO2 low : 0.0 to 15.0 % and OFF. Resolution: 0.1 %

Insp AA high : 0.0 to 30.0 %. Resolution: 0.1 %

Insp AA low : 0.0 to 30.0 % and OFF. Resolution: 0.1 %

Exp. AA high : 0.0 to 30.0 %. Resolution: 0.1 %

Exp. AA low : 0.0 to 30.0 % and OFF. Resolution: 0.1 %

Resp. rate high : 4 to 80 breaths pr. min. and OFF

Resp. rate low : 4 to 80 breaths pr. min. and OFF

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9.7 Environment
Storage temperature : -20 to + 50OC (optional O2-sensor: 0OC to +50OC)
Working temperature : 15 to 35OC
Relative humidity : 10 to 90% RH (non condensing)
Storage pressure : 630 to 1060 (x 100Pa)
Working pressure : 960 to 1060 (x 100 Pa)

9.8 Standards
Standards fulfilled:
Software : EN 60601-1-4
EMC : EN 55011; Group 1; Class B
Electrical safety : EN 60601-1
Function safety : EN 738-1, EN 739, EN 740, EN 837,
EN 980, EN 1281-1
Oxygen monitor (optional) : EN 12218, EN 12598, EN 13220

Classification according to EN 60601-1:

Class I Equipment : according to the type of protection against
electrical shock.
Type B Equipment : according to the degree of protection against
electrical shock.
Continuous Operation : according to the mode of operation

Classification according to EU Medical Device Directive 93/42/EEC:

The Dameca anaesthesia machine model Siesta i TS is classified as IIb

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10650E-90 April 08