Anjue AJ 2103 Anesthesia Machine User Manual

Anesthesia Machine Users’ Manual
2011.10.18 Version
Anesthesia Machine
AJ-2103
Users’ Manual
Please Read the Manual before Use

Important Safety Indication
1. Thank you for your choosing our Anesthesia Machine, please carefully read and keep this Users’ Manual for
future use.
Terms declaration in this manual:
Warning: You should know how to protect the patient or doctor from hurt.
Caution: You should know how to protect the machine from being broken.
Notice: Emphasizing important information.
2. Please make the storage battery well connected to avoid bad influence to the patient caused by sudden blackout.
3. The AC power connected to the machine should have good protection grounded.
4. This machine is not explosion-proof equipment, so please do not operate the machine in any place with
explosive or flammable gases. Also it is not a liquid-proof equipment, if there is liquid on the surface, please
wipe it off immediately. do not let any liquid enter into the machine.
The ventilation pipe should be thoroughly cleaned and disinfected before using.
5.
Please make sure the machine is in good condition, NEVER operate the machine if there is is malfunction.
6.
7.
In order to avoid explosion, NO flammable anesthetic like aether or cyclopropane can be used. This machine
only meets the rules of GB9706.29-2006, and applies only non-flammable anesthetic.
8. This machine does not use flammable anesthetic like aether or cyclopropane, so it is not necessary to use
antistatic ventilation pipes or masks, which may cause burning when using high frequency electric surgical
equipment, so we do not suggest this kind of pipes or masks.
9.
The performance of this machine may be influenced by nearby high frequency surgical instruments or
short-wave equipment.
10.
There should be independent ventilation mode, such as simple respirator with mask, no matter what kind of
anesthesia system is being used(e.g. simple respirator with face guard)

11
This machine is with a suspended respirator pipe with a maximum load of kgf and a suspended anesthesia
loop rack with a maximum load of 30 kgf.
II
E x p l a n a t i o n t o Wo r d s a n d F i g u r e s
DANGER: Alert to high danger
WARNING: Alert to moderate danger
Notice: Attention to low dander
It refers to the B-type application part.
Please refer to attached documents
Read the top buoy readings
Fast oxygen
DC power supply
AC power supply
Battery charging
AUTO model ( IPPV,SIPPV,SIMV )
MAN model ( MAN )
III
Important Indication
1. The pressure-testing device fitted in the anesthesia system should meet the requirement specified in
YY0635.1-2008.
2. The oxygen concentration supervisor device fitted in the anesthesia system should meet the requirement
specified in ISO7767:1997.
3. The respirator-end dioxide supervisor device fitted in the anesthesia system should meet the requirement
specified in ISO9918:1993.
4. The adult anesthesia ventilation system fitted in the anesthesia system should meet the requirement specified
in YY0635.1-2008.
5. The exhale air amount supervisor fitted in the anesthesia system should meet the requirement specified in
51.101.4of GB9706.29-2006.
6. The pressure-limit device fitted in the anesthesia system should meet the requirement specified in 51.101.1of
GB9706.29-2006.
7. The ventilation system with alarm system fitted in the anesthesia system should meet the requirement
specified in 51.101.5of GB9706.29-2006.
8. The anesthesia gas convey device fitted in the anesthesia system should meet the requirement specified in
YY0635.3-2009.
9. Anesthesia gas supervisor fitted in anesthesia gas convey device should meet the requirements specified in
ISO11196:1996.
10.The anesthesia gas purification, convey and receiving system fitted in the anesthesia system should meet the
requirement specified in YY0635.2-2009.
11.This anesthesia system is provided with an anesthesia respirator which is in conformity with the requirements
specified in YY0635.4-2009.
12.No inflammable anesthetics such as ether and Cyclopropane shall be used in the anesthesia system. Only
noninflammable anesthetics that meet the requirements specified in GB9706.29—2006 DD can be used in this
anesthesia system.
13.Faults in the central air supply system may lead to failure of one or all the of devices connected with the
system
14.This anesthesia system is not suitable for environments with strong radiation or electromagnetic interference
such as MRI, as working in such environments may impair this equipment to varied degrees.
15.As GB9706.15-1999 is suitable for connection with all medical equipment or a single medical equipment and
one or more nonmedical electric equipments, even if no functional connection exists among individual parts of
equipment, when it is connected with an auxiliary net power source, it forms an electric medical system. When
the equipment is connected with an auxiliary power source socket, there exists a risk of leakage current;
16.Anesthesia respirator AC power must be provided with protective grounding.
17.Anesthesia respirator AC power must be provided with protective grounding. In case of uncertain protective
grounding or in case of doubts about external protective wire or about completeness of wiring, emergency
storage battery can be used provided that it is connected with net power to ensure normal operation;
18.The anesthesia ventilator is not the explosion proof product; therefore it cannot be used under flammable,
explosive and anesthetic gas environment.
19.This anesthesia respirator must be some distance away from walls instead of leaning against a wall or close to
a protective screen. Otherwise, flow of cool air will be hindered and the equipment will be overheated;
20.In case of need clogging of anesthesia machine air connector filter, replacement must be performed by
technicians from this company.
IV
21.This anesthesia respirator loop contains silicon rubber parts. Users should pay special attention to the possible
corrosive effect on the equipment parts from detergent or sterilizer. The silicon rubber parts are sealing rings.
See Chapter 7.6 for details.
22.The positions of parts in the anesthesia respirator loop are defined in the working map of the anesthesia
respirator loop diagram are not to be altered, especially the positions of the inhale valve, expiration valve, and
vent valve. The inhale valve, expiration valve and vent valve in integrated anesthesia respirator loop are fixed,
so there is no possibility of dysfunction in the anesthesia respirator loop due to parts position changes.
23.Substances in this system that contact gases include silicon rubber, copper with oxidized surface, engineering
plastics and metal nickel (for surface treatment)/ All these substances are oxidation-resistant. In normal
operation, they do not react to mixture of oxygen, air, nitrous oxide or anesthetic gases to yield poisonous or
hazardous substances. So this system is well-compatible to gases and anesthetics.
24.Sometimes there might be obstruction in the inhale and exhale valves of the anesthesia respirator loop. This
abnormality might result in accumulation of carbon dioxide. If blood oxygen desaturation or blackened face is
detected during operation, check if valve plate is stuck due to excessive moisture or if soda lime has deposited
on the valve plate to result in failure of actuation. The solution is to remove the valve cap, clean valve plate
and refit it;
25.In case this anesthesia system is fitted with devices other than factory fitted, the following sampling positions
are advised: take sample of End-tidal carbon dioxide at exhale end of monitoring device while taking sample
of oxygen concentration monitoring device and pressure monitoring device at the inhale end. AGSS device
may be directly connected to the integrated anesthesia respirator loop’s AGSS air outlet. Take sample of
anesthetic gas monitory device at the inhale end or at fresh air input end. Devices used in this anesthesia
system must comply to its corresponding standards. Refer to important introduction 1-10 for details.
26.When removing air bellow hood, the air bellow foundation must be fixed before turning left for loosening and
to right for tightening.
27.When removing bellow hood, overflow valve plate and valve seat can never be separated.
28.When the anesthesia respirator working pressure is below 200kPa±50kPa, the anesthesia machine will give a
pneumatic warning of excessively low pressure for at least 7s while the anesthesia respirator is not working.
To restore to normal working, please provide normally compressed gas source.
29.Pressure reducing valve, one-way valve and electromagnetic valve in the anesthesia respirator gas circuit are
all sensitive to gas direction, so the direction of installation must be correct. This part is provided with
direction indicators and gas circuit diagrams.
30.In case the anesthesia respirator is provided with built-in batteries, the machine will automatically switch to
built-in emergency battery and the function of the machine is still ensured in case the AC is off;
31.Anesthesia machine installation, debugging, inspection and application should be performed by qualified
technicians. Users should not make any adjustment so as to avoid invite unwanted troubles or damages as it
had been debugged before delivery;
32.In case of anesthesia machine damage during transportation, the forwarding company must be notified as soon
as possible and claim for compensation should be made; in case of discrepancy between the packing content
and the packing list, please immediately notify the manufacturer or our company’s authorized agency for
settlement;
33.In case the equipment tilts in a horizontal position, it does not lose balance if the tilting does not exceed 10°.
Devices added on the equipment will threaten the balance of the machine;
34.Anesthetic drugs are strongly volatile. When feeding drugs, the flow meter and the concentration adjusting
disk should never be opened, otherwise, anesthetic vapor should be ejected together with anesthetics to end in
unpredictable results;
35.No unclean unsterilized anesthetic machines or machines with potential risk should be enforced to work;
36.Chemical reactions will occur when different anesthetics are mixed. That will threaten the safety of patients.
Mixing of anesthetics in packing is prohibited;
37.Different anesthetics are different in evaporation characteristics. Each evaporator is for a certain anesthetic in
concentration indication. In case an evaporator holds anesthetic other than the designated anesthetic, the
output anesthetic vapor concentration can not be ensured;
V
38.To avoid volatility of anesthetics due to impact or oscillation, drug feeding should be performed in a slow
manner;
39.In spite of protective devices on the anesthesia machine, evaporators not in use should keep closed instead of
being open;
40.Before using the anesthesia machine, be sure to inspect the anesthetic gas conveying system, the monitoring
devices, the alarm system and the protective device of the anesthesia machine.
41.This anesthesia system is not provided with AGSS device, or end-tidal carbon dioxide gas monitoring device,
or anesthetic gas monitoring device. It is advised that anesthesia system is provided with such devices while
normal work with confirmation that the provided devices are inconformity with corresponding standards.
Please refer to important notes 1-10 for details. In case AGSS device is provided on the anesthesia system,
end-tidal oxygen dioxide gas monitoring device, pressure monitoring device, flow monitoring device and
anesthetic gas monitoring device should be inspected in accordance with the safety and technical
specifications.
42.Only on the condition that the gas flow in the evaporator is 0.5 -10 L/min and the output anesthetic
concentration is 0.5 -5 vol %, the allowable error range of evaporator output concentration can be ensured. The
evaporator can not be used between mark “OFF”(or “0”) and the first mark, as this range can not ensure the
allowable error of evaporator output concentration range;
43.When evaporator and anesthesia machine do not match, substantial leakage or change in anesthetic gas
concentration may result to lower or invalidate the function of the anesthetic machine;
44.The tidal amount of the anesthesia respirator is subject to IPPV frequency and inspiration-expiration ratio (I:
E);
45.In uncertain condition of the anesthesia machine trouble, please do not dismantle the anesthesia machine,
instead, get into contact with the after-sale department of our company;
46.The pressure relief device might produce a cry due to its pressure relieving function in case of overflow in the
flow meter;
47.The respirator pipe deposit water might spread diseases and might pollute the environment. Treatment of
deposit water should be performed in strict accordance with the state’s <Medical and Health Care Institution
Wastes Management Measures> and government’s environmental authority regulations and requirement;
48.Respiratory pipes between anesthesia respiratory loop and patient must be in conformity with the requirement
specified in YY0461-2003. Unwanted effect due to use of unqualified respiratory loop is not related to our
company;
49.The power switch of anesthesia ventilator is used for A.C. power as well as for the emergency battery. If the
anesthesia ventilator is running, turning this switch will stop its operation immediately.
50.The parts and materials of this anesthesia machine are confirmed and supplied by our company. Use of other
parts or materials will lower the degree of safety;
51.There is a revolving plate inside the flow sampling tube. Be careful not to destroy the completeness of the
membrane during washing process. And no residues should be left on the membrane; otherwise the flow
sampling of the ventilator will be inaccurate.
52.In case flow sampling pipe revolving plate is incomplete, or with unmovable residual impurity, or sampling
tube cracks, or softens, or becoming sticky, such flow sampling tubes should be abandoned;
53.The waste water and filth produced by cleaning the anesthesia machine may communicate diseases and pollute
environment. The treatment of the dirt should strictly follow the Administrative Measures for the Medical
Waste Control by the Medical and Health Institution issued by the Ministry of Public Health and the relevant
standards and requirements of the environmental protection institutions of the government.
54.The disposable items cannot be used repeatedly. The serviceable parts may be used for a year. In case the
serviceable term shortens to less than a year, the parts should be abandoned. Parts used may persistently use
till invalidity. (e.g. Silicon rubber may become disqualified and should be abandoned if they harden, crack or
leak to the extent of affecting normal operation.)
55.The operators are not allowed to replace the battery without authorization. If there are any problems, please
contact with the after-sales department of our company.
VI
56.The abandoned battery may pollute the environment; therefore the disposal of the battery must strictly follow
the relevant specifications and requirement issued by the government’s environmental protection institution.
57.In case of unsafe grounding wiring, the equipment should be provided with interior power supply. But net
power should be provided to ensure normal operation;
58.The anesthesia machine must work in specified working environment. When the storage environment is
beyond designated environment, the anesthesia machine should be working for 4 hours in its working
environment before it is reused. Otherwise the anesthesia machine can not ensure normal working;
59.“kPa”,“cmH2O” in the instruction book are pressure units in conformity with standard requirements, with
“1kPa=10 cmH2O” as converting relation.
VII
Contents
1 Summary................................................................................................................................................................. 1
1.1 Scope of application and major characteristics................................................................................................ 1
1.2 Working Environment.......................................................................................................................................1
1.3 Electromagnetic Compatibility Requirements................................................................................................. 1
2 Structure Feature and Working Principle............................................................................................................... 1
2.1 Main Unit.......................................................................................................................................................... 1
2.2 Anesthetic Breathing Loop............................................................................................................................ 3
2.3 Anesthesia Ventilator........................................................................................................................................ 7
2.4 Anesthesia evaporator.................................................................................................................................... 8
3 Technical Specifications......................................................................................................................................... 8
4 Size and Weight...................................................................................................................................................... 9
5 Assembly and Debug.............................................................................................................................................. 9
5.1 Preparation before Assembly.........................................................................................................................9
5.2 Installation of Anesthesia Machine............................................................................................................. 10
5.3 Pre-adjustment of Anesthesia Machine....................................................................................................... 10
5.4 Receiving test after Installation and Adjustment.......................................................................................10
6 Operation...............................................................................................................................................................12
6.1 Preparation and checking before use.............................................................................................................. 12
6.2 Operation of Anesthesia Machine...................................................................................................................13
6.3 Operation of Anesthesia Ventilator..............................................................................................................13
6.4 Operation of Stop Using.............................................................................................................................. 16
7 Safe guard and Accident Settlement..................................................................................................................... 17
7.1 Pressure relief device................................................................................................................................... 17
7.2 The sealing property of respiratory system................................................................................................. 17
7.3 Breathing tube..............................................................................................................................................17
7.4 Fuses............................................................................................................................................................ 17
7.5 Dealing with Improper Operation and Consequence.................................................................................. 18
7.6 The replacement of wearing parts, consumables and removable parts.......................................................18
7.7 Other security protection and incident handling......................................................................................... 19
8 Cleaning and disinfection of the anesthesia machine...........................................................................................20
8.1 Cleansing and Disinfection Procedures.......................................................................................................20
8.2 The Focus of Cleaning and Disinfection..................................................................................................... 20
8.3 Cleaning Methods........................................................................................................................................ 20
8.4 Disinfection Methods...................................................................................................................................21
9 Care and Maintenance.......................................................................................................................................... 21
9.1 Care and Maintenance of Anesthesia Machine........................................................................................... 21
9.2 Care and Maintenance of emergency storage battery(if equipped with).................................................... 21
9.3 Daily Maintenance.......................................................................................................................................21
VIII
10 Malfunction Analysis and Removal............................................................................................................... 21
11 Packaging, Transportation and Storage................................................................................................................ 23
11.1 Packaging................................................................................................................................................... 23
11.2 Transportation............................................................................................................................................ 23
11.3 Storage....................................................................................................................................................... 23
12 Others.................................................................................................................................................................... 23
13 Checklist................................................................................................................................................................23
13.1 Check interval before using.......................................................................................................................... 23
13.2 The checked items before using................................................................................................................... 23
14 Adding content about vent valve in anesthesia breathing circuit............................................................................ 24
IX
1 Summary
1.1 Scope of application and major characteristics
AJ-2103 Anesthesia machine is necessary anesthesia equipment in the surgical room, the main function is to
provide O2 to the patients, help them to inhale anesthetic and manage the respiration. This product is suitable for
patient inhale anesthesia and respiratory management during operation. (This product is suitable for children over 4
years old and for adults); this product has no contraindications. Relative contraindications include: aerothorax,
pneumomediastinum, chest drainage, empsyxis, bullae of lung, hypovolemic shock and acute myocardium
infarction.
AJ-2103 Anesthesia machine is equipped with precise vaporizer, safety device which can avoid anoxic, and
also necessary alarm system. During the process of anesthesia, the computerized gas-driven electric-control
anesthesia ventilator can manage the patients’ respiration. All the joints are standard joints. The big CO2 absorber
can reduce the repeated inspiratory of CO2.
1.2 Working Environment

AJ-2103 anesthesia machine is an ordinary medical equipment defined in GB 9706.1－2007 <Medical Electric
Equipment Part I: Safety General Requirements>,the mark “ ” on the anesthesia machine is the mark of type B.
The machine is normal equipment which is not waterproof, but It can work continuously.
The anesthesia ventilator is not the explosion proof product; therefore it cannot be used under flammable,
explosive and anesthetic gas environment.
Anesthesia normal application environment and working test conditions:
——Environment Temp :10 -40 ℃
——Relative Humidity: ≤80 %
——Atmospheric Pressure: 96 kPa -104 kPa
——Gas Supply: O2: Rated pressure280 kPa -600 kPa, flow velocity≤200L/min;
N2O: Rated pressure280 kPa -600 kPa, flow velocity≤200L/min .
——Power Supply: AC 220V±22V, 50 Hz±1Hz, Single phase alteration current power with protective ground.
Input power: 100 VA
—— Standard of fuses: Net power: RF1-20 F2AL250V; Emergency storage battery: 5RF/F5AL250V.
—— Specification of Emergency battery: JS-14.8V-2.2AH.
Notice: The AC power supply must be provided with sound grounding.
1.3 Electromagnetic Compatibility Requirements
The anesthesia ventilator should not be used in the environment with strong radiation and strong
electromagnetic interference, e.g. MRI.
Notice: The A.C. power supply for the anesthesia ventilator should be well grounded.In
case of uncertain completeness of protective grounding or in case of doubt about the
completeness of external guard wire and wiring, only the emergency storage battery can
be used. But connection with the net power supply must be performed to ensure normal
work of the machine.
Notice: The anesthesia ventilator is not the explosion proof product; therefore it cannot be
used under flammable, explosive and anesthetic gas environment.
Notice: The anesthesia ventilator should be placed some distance away from the wall. Do
not place it against the wall or near the barriers, or it will interfere with the cold air flow
and thus causing the overheating of the equipment.
2 Structure Feature and Working Principle
The anesthesia machine consists of machine rack, flow meter, anesthetic evaporator, anesthetic respirator loop
and respirator. Note: The anesthetic evaporator refers to type K-III manufactured by our company (Enflurane,
Isoflurane, Sevoflurane) evaporator. The evaporator interface is the special interface manufactured by our company
which can be dismantled with special tools.
2.1 Main Unit
The anesthesia machine uses compressed O2, N2O and compressed air which come from cylinder or central
gas system in the hospital. In order to ensure the safe use of the machine, the machine is also equipped with backup
O2 connection. Pressure of all the gases should be 280kPa-600 kPa. There are filters at all the connections in order
to stop grain bigger than100μm entering into the working system of the machine.
To avoid misconnection of gas source, the anesthesia machine gas source admission conduits are for the same
type of gas, not interchangeable, with different gas admission conduits indicated with different colors for easy
identification, with blue conduits as oxygen admission conduits and grey conduit as the nitrous oxide gas admission
conduits.
Notice: In case of filter clogging, replacement should be performed by professionals from

our company.
After entering to the machine, O2 and N2O mixed into one gas which will be divided into four gases. The first
one enters the pressure-reducing valve, becomes 300KPa, and enters the flow meter. The pressure of gas from
cylinder or central gas system may change along with the temperature or stored gas volume. Pressure-reducing
valve can make the gas pressure stable and meet the requirement of the anesthesia machine. The pressure value
after being decompressed can show on the O2 pressure meter and N2O pressure meter. The second gas goes to the
pressure inspection device, the machine will alarm if the gas pressure is lower than 200KPa+50KPa. The third gas
goes to the common gas exit through the quick O2 supply valve, so as to quickly supply O2 to the patients in
emergency. The fourth gas will be connected to the anesthesia ventilator, and will become the driving gas of the
ventilator.
The compressed N2O will go through the pressure-reducing valve and enter into the flow meter after pressure
being reduced to 300KPa.
The flow meter adjusts all the gases and transports the mixed gas to the vaporizer, and then the mixed gases,
together with anesthetic will be sent to the anesthetic breathing loop by outlet of common gas.
A pressure adjuster must be used when using cylinder. The output pressure should be 400KPa. The variety of
pressure from the output port should be not more than 8 kPa if the input pressure variety is about 1000 kPa. There
is safety valve on the output end of the adjuster, if there is malfunction or if the output pressure is too high because
of manmade reason, the safety valve will exhaust gas automatically to make the output pressure become rating
value.
The structural working principle is as in Figure 1.
flowmeter
Nitrous oxide
cut-off valve No-return valve
vaporizer vaporizer
N 2o O2 Safety overflow valve
Fresh gas outlet

Oxygen gauge
φ40
nitrous oxide gauge
Ventilator drive gas source
φ40
reducing valve
reducing valve
No-return valve No-return valve No-return valve

Quick oxygen supply valve
filter filter filter
N2O connector O2 connector reserve oxygen connector
N 2o O2 O2
Figure 1: Working principle figure of anesthesia machine
2
The flow meter can not display the flow, but also adjust the flow of air, O2, and N2O linkage device and N2O
closure device in the flow meter. So that, if only turn on the O2 valve, the N2O may be closed. However, if turns on
the N2O valve, Oxygen flow control valve automatically opens. This can ensure the O2 concentration. If turn on O2
and N2O, N2O flow will decrease along with the reduction of O2 flow. If nitrous oxide is gradually turned down
with oxygen flow unchanged, with the lowered pressure of oxygen flowing into the flow meter, the flow meter will
automatically reduce nitrous oxide till complete close.
To avoid pressure rise in anesthetic gas convey device to over 10 kPa due to clogging of fresh gas outlet, a
pressure relief device (safety gas relief valve) is provided between flow meter and evaporator gas conduit to avoid
excessive pressure in the convey device.
Since the unlocking switch will make the pressure at the outlet of driving gas fluctuate, when the machine is
under working, the application of check valve isolates is adverse effects to vaporizer.
2.2 Anesthetic Breathing Loop
Anesthetic breathing loop is a liaison airway device to the patients. The main purpose is to deliver the mixed
gas to the patients, and meanwhile, the patients complete regular respiration like breathing in oxygen and breathing
out CO2 via this circle. It has two modes: Auto and Manual. Under auto mode, the patients’ respiration is controlled
by the machine; while under the manual mode, the patients’ respiration is controlled by doctor through the way
pressing leather bag that connected to the circle.
2.2.1. Anesthetic respirator loop main specifications
A, Leakage: Anesthetic respirator loop total leakage does not exceed 150ml with pressure 3kPa.
B, Impedance: Anesthetic respirator loop is in a manual condition. With anesthesia machine frequency set at
20 times/min, tidal volume at 1000ml, admit gas flow into the respirator system’s patient connecting end
with all gas flow end closed, the patient position pressure should be ≤0.6kPa.
C, APL exhaust valve
a:Control direction: The exhaust valve is controlled with rotation, with clockwise turning gradually
increase pressure limits.
b:Pressure limit control range: ≤12.5kPa
c: Starting pressure: In normal working environment, the exhaust valve minimum starting pressure is 0.2
kPa, In wet condition, the minimum starting pressure is 0.3 kPa
d: For pressure-flow characteristics, please refer to Chapter 14 for detail
D, Compliance: The compliance of the entire respiratory system: ≤4×10-2 ml/Pa，the compliance of the cycle
parts:≤3×10-2 ml/Pa.
E, Soda lime pot volume: Integrated anesthetic respirator loop volume: 2200ml.
2.2.2. Anesthesia respirator loop working principle diagram is as follows:
Fresh gas Input Port

Inflating gas
Manually/Auto Inspiratory Oxygen Concentration

Bellows
Change-over Switch valve Sampling port
APL Exhaust Positive and Pressure Signal

Valve Negative Table Sampling Patient
Open to Sodium Lime Expiratory

Air Store Flow Sensor
atmosphere Tank Valve
/ AGSS
Notice: The positions of all parts in the anesthesia respirator loop are defined in the
anesthetic respirator loop working principle diagram. These positions are
unchangeable, especially those of inhale valve, exhale valve, exhaust valve and inhale
valve and exhale valve in the integrated anesthetic respirator loop are not detachable,
and so there is no risk of dysfunction of parts due to position shift.
Notice: This anesthetic respirator loop contains silicon rubber parts. Users should
pay attention to cleaning and sterilization of the silicon rubber parts so as to avoid
corrosive damage to the equipment parts from detergents or disinfectants. These
silicon rubber parts are the sealing rings. Please refer to Chapter7.6 of the instruction
manual.
3
Notice: In this system, substances contacting gas are silicon rubber, copper with
oxidized surface, engineering plastics and metal nickel (for surface treatment). These
substances are oxidation resistant and in normal operation, they do not react to
mixture of oxygen, air, nitrous oxide, and anesthetic gas and therefore no poisonous
substance will result. So this system is compatible to gases and anesthetics.
Notice: While working, there might be obstruction in the anesthesia respirator loop
inhale valve and exhale valve. This abnormality may result in deposit of carbon
dioxide. In operation, if blood oxygen desaturation or blackened face of patient is
detected, please check if it is due to excessive moisture which has stuck valve plates
together or if soda lime depot has developed on the valve plate to result in
abnormality. The solution is to remove the valve cap, to clean the valve plate and
resume them in place.
Notice: In case this anesthesia system is fitted with devices other than factory fitted,
the following sampling positions are advised: take sample of End-tidal carbon dioxide
at exhale end of monitoring device while taking sample of oxygen concentration
monitoring device and pressure monitoring device at the inhale end. AGSS device
may be directly connected to the integrated anesthesia respirator loop’s AGSS air
outlet. Take sample of anesthetic gas monitory device at the inhale end or at fresh air
input end. Devices used in this anesthesia system must comply with its corresponding
standards. Refer to important introduction 1-10 for details.
2.2.3. Integrated anesthesia respirator loop
2.2.3.1 Integrated anesthesia respirator loop Front view
Integrated anesthesia respirator loop, as shown in Figure 2.
2
16
3
15
14 4
5
13
6
12 7
11 8
10
9
Figure 2Integrated anesthesia respirator loop

1. Bellows
2. Positive and negative pressure meter, monitoring gas passage pressure in the loop
3. Install racks and tighten screws.
4. Inlet for new fresh air
4
5. Anesthesia respirator pressurized gas inlet, connected to anesthesia respirator machine for output of
pressurized gas
6. Pressure signal output port, connected to anesthesia respirator machine pressure signal output port
7. AGSS exhaust port, connected to the conveyor of purified anesthetic gas and receiving system, which are
in conformity with YY0635.2-2009
8. Expiration valve
9. Sodium lime tank
10. Exhale port, first connected to flow sensor vent, then connected to respirator conduit Φ22, with
photoelectrical signal connected to anesthesia machine-side flow signal input port.
11. Connector of the reservoir bag
12. Interface of Oxygen concentration sensor
13. Inspiration mouth., Connect Φ22respirator conduit
14. APL valve
15. Respiration valve
16. Manual/Auto Switcher
2.2.3.2 Working flow of integrated anesthesia respirator loop
The anesthetic breathing loop works at “Manual” mode when switch the “Manual/ Auto” valve to “Manual”.
(As shown in Figure 2). First press oxygen quick supply valve on the anesthesia body to convey oxygen into fresh
gas outlet into anesthesia respirator loop air sac. Press air sac to enable sac gas to enter the body of patient together
with gas mixture from anesthesia body by way of inhale valve and exhale conduit which is connected to inhale
conduit. The inhale valve is a one-way to allow gas to enter anesthesia respirator loop interior by way of respiratory
conduit, instead of reversing. The exhaled gas flows to the respiratory conduit which is connected to the exhale
valve (not indicated in the diagram). The exhaled valve conveys carbon dioxide by way of carbon dioxide absorber
into anesthesia respirator loop and then return to the gas sac. The exhale valve, also a one-way valve contrary to the
inhale valve, leads gas by way of respiratory conduit into anesthesia respiratory loop interior instead of reversing,
in an everlasting circulation.
Gas flows first to the inhale valve, enters patient’s body by way of respiratory conduit. Carbon dioxide in the
gas from patient chemically reacts with soda lime in the absorber and is partially absorbed. While the anesthesia
machine sending oxygen and anesthetic gas that patient needs to the anesthetic breathing loop continuously through
input of mixed gas.
You can read the airway pressure from pressure gauge each time you press the reservoir bag . Adjust APL
valve to setup the maximum of airway pressure. Spare gas will be discharged when airway pressure exceed the
setup value.
When Manual/auto valve switch to auto, bellows works instead of leather bag in manual. Driving gas flows
into bellow through inlet of driving gas and forms driving pressure at the outside of folded leather of bellow to
instead of manual mode.
Notice: In case of mechanical control, be sure to keep the bellow full of gas.
The expiratory gas from patients is more than that from bellows leather bag because the inspiratory gas to
patients is not only the gas in bellows’ leather bag, but also from the new mixing gas in anesthesia main unit.
There’s a automatically adjusting equipment in the inner part of bellows, which could remove the useless gas, we
can connect anesthetic gas purification and receiving system with the useless gas outlet.
During the working process, the output gas flow rate value from anesthesia machine could get sample from the
flow sensor of expiratory air valve and expiratory breathing circuit;when needing to monitor the Oxygen
concentration, you can put the Oxygen concentration sensor to the joint part. CO2 monitoring system is connected
to the expiratory end of ventilation system, and anesthetic gas monitor sample can be obtained from the inlet of
mixing gas or inspiration mouth.
2.2.3.3 The assembly of integrated anesthesia breathing circuit
The integrated anesthesia breathing circuit has integrated each breathing component to one loop body, in which
there are parts that can be disassembled without using special tools, including: suction valve, exhalation valve, soda
lime canister, and bellow.
Inspiratory valve and expiratory valve: Directly pull out the valve cover by manually rotating, and then you can see
the flapper valve plate.
Soda lime canister: Remove the soda lime canister with both hands clinging to the body and rotate to the left. We
recommend you using soda lime as carbon dioxide absorbent. When soda lime turns to white, it should be replaced.
Remove the soda lime canister as above method and replace with new one, hold onto the tank with one hand, and
lift the bottom of the soda lime tank with another, then align threaded end, push up and turn right. The soda lime
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canister’s volume is 2200ml, which can be used continuously for about 6 hours after filled with soda lime.
Notice: Apart from the thread lock, our company’s special made seal ring is also used on
the seal. The seal ring is made of silicone, which must be replaced when it becomes
hard, cracked or damaged. If it’s difficult for the soda lime canister to assemble for the
first time, you can apply some medical Vaseline in the tank mouth slightly.
The principle and installation of the bellow in anesthesia machine breathing circuit:
Warning: the directly connection between exhaust gas blow vent and negative pressure
system is strictly forbidden, otherwise it will lead to air leakage in anesthesia breathing
circuit.
Initial stage of the inspiratory, as shown in Figure 3

1, Expiration valve
2, Anesthesia respirator pressurized gas
3, Gas anesthesia breathing circuit
4, Safety overflow valve
5, To the anesthesia breathing circuit
Figure 3, initial stage of the inspiratory
The initial stage of the exhalation，As shown in Figure 4

6, The anesthesia ventilator pressurized gas
7, Anesthetic breathing loop
Figure 4 The initial stage of the exhalation
End-expiratory phase As shown in Figure

8, The over pressure
and excessive loop gas
Figure 5 End-expiratory phases

Nomo gram of bellow components, as shown in Figure 6:
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1、 Bellows cover
2、 Folding bag
3、 Pallet
4、 Overflow valve diaphragm
5、 Locking spring
6、 Seal ring
7、 Base
Figure 6 Nomo grams of bellow components
Notice: While dismantling the bellow cover, you need to fix the bellow base before
rotating, turn left to release, and turn right to lock.
Warning: Be sure not to separate the overflow valve diaphragm and valve seat.
Notice: integrated anesthesia breathing circuit has integrated the bellow base to the
loop body, and therefore there is no bellow seat in the integrated anesthesia breathing
circuit. Installation sees 1-6, Figure 6.
2.3 Anesthesia Ventilator
The anesthesia ventilator uses the pneumatic power control ventilator.
Driven anesthesia ventilator working pressure: 300kPa, flow ≤ 200L/min. The pressure has been adjusted
in the anesthesia machine.
Oxygen by driving anesthesia ventilator forms certain volume of gas through the flow rate adjustment valve.
Then it passes anesthetic breathing loop of the anesthesia machine to drive movement of bellows and ventilate
mechanically to the patients.Ventilator maximum inhalation flow ≤ 60L/min, maximum pressure ≤ 6kPa.
The anesthesia ventilator adopts high-speed electromagnetic valve, high sensitivity flow sensor, pressure
sensor and single chip-control system for setting, monitoring and adjusting the parameters of ventilation pressure,
ventilation time and ventilation volume, etc. The ventilator could ventilate to patient mechanically according to the
setup frequency, I/E ratio and tidal volume when the anesthetic takes efficiency and patients lose conscience to
breathe himself; the ventilator could inhale and exhale with patient synchronously when the patient has conscience
to breathe himself after operation.
If the anesthetic breathing loop stays in “manual” status, the ventilator could also monitor and show the tidal
volume, ventilation frequency and airway pressure etc. although it doesn’t take part in the role of breath control.
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The anesthesia ventilator gas circuit schematic is as follows:
Main control Flow adjustment Safety overflow Open to

Ventilator driving
Venturi
valve valve valve atmosphere
source gas
Reducing Pressure Pressure

Inflating gas
valve valve Epithelium
Notice: when the anesthesia ventilator working pressure is less than 200kPa ± 50kPa, low
aerodynamic pressure alarm will be started, the alarm time is not less than 7s, and the
anesthesia ventilator can not work properly. In order to return to normal work, please provide
the compressed air source that complied with the normal work.
Notice: the pressure reducing valve, check valve and solenoid valve in anesthesia ventilator gas
circuit are air flow direction sensitive components; therefore they can not be installed in the
wrong directions. There are directions or gas circuit schematics in the components.
Notice: if there is built-in emergency battery in anesthesia ventilator, the anesthesia respiratory
shall automatically turn to use the built-in emergency battery in the case of AC power loss, and
the anesthesia ventilator function will not be affected.
2.4 Anesthesia evaporator
Notice: when vaporizer is not applied to the anesthesia machine, the performance of vaporizer
could be degraded, drug leakage due to interface not match.
The anesthesia evaporator is K-Ⅲ type evaporator produced by our own company.
The working principle and instruction for use of the vaporizer should be attached to the Users’ Manual.
3 Technical Specifications
3.1 Working mode: Circulation close, half-close, half-open
3.2 Gas requirement: Pressure is Medical O2 and N2O of 280kPa -600kPa
3.3 The maximum error of the pressure gauge must not exceed ± 4% of full scale.
3.4 O2 and N2O are both equipped with special pressure regulators with safety valve.The relief valve should
exhaust when the pressure does not exceed twice of the rated delivery pressure.
3.5 When the oxygen gas source pressure that goes to the anesthesia machine low to 200 kPa ± 50 kPa, alarm
will sound for more than 7s.
3.6 The flow meter range of O2 and N2O is:0.1 L/min -10 L/min
3.7 Flow meter is equipped with O2--- N2O ratio controlling device to make sure the Oxygen concentration is no
less than 25 %
3.8 Rapid Oxygen-supply flow rate:25 L/min -75 L/min
3.9 Anesthetic gas concentration adjustment range of vaporizer: 0% -5%, The concentration error should
between -20% to +30%, or can not be over -5% to +7.5% of the maximum scale (whichever is greater value)
3.10 Anesthesia ventilator
3.10.1. Ventilation mode: IPPV SIPPV, SIMV, MAN.
3.10.2. Respiratory Frequency: 2 times / min ~ 99 times / min, acceptable error range: ±15%.
3.10.3. Intermittent Mandatory Ventilation Frequency: 2 times / min ~ 20 times / min.acceptable error range:
±15%.
3.10.4. Inspiration and expiration time ratio (I: E):1:0.5-1:8，acceptable error range: ±15 %.
3.10.5. Tidal volume adjustment range: 50 ml-1500 ml, acceptable error range:100 ml and below ± 20 ml,other
±15%.
3.10.6. Tidal volume display range: 20 ml ~ 1500 ml, acceptable error range: 100 ml and below ± 20 ml,other
±15%.
3.10.7. Inspiratory trigger pressure adjustment range: -10 cmH2O ~ 20 cmH2O, error ± 2 cmH2O.
3.10.8. The conversion time between auxiliary breathing and controlled breathing: 6 s,acceptable error range:+1
s ,-2 s.
3.10.9. Positive pressure of end-expiratory: 02 to 20 cmH2O, acceptable error range: ± 2 cmH2O or ± 20%.
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3.10.10. Sigh: each 100 breaths has a deep breath, the inspiratory time is 1.5 times of the setting value.acceptable
error range: ±15%.
3.10.11. Maximum safe pressure ≤ 12.5 kPa.
3.10.12. Pressure restrict:10-60 cmH2O，acceptable error range:±10%.
3.10.13. Airway pressure upper limit alarm range 10-60 cmH2O，acceptable error range:±2 cmH2O，Or ± 20%
(whichever is greater), alarm when the airway pressure rose to the alarm value; Airway pressure lower
limit alarm range 4-20 cmH2O，acceptable error range:±2 cmH2O,or ± 20%(choose the large value from
two).
3.10.14. Ventilation alarm: maximum ventilation alarm value adjustment range 3 ~ 30L/min, acceptable error
range: ±20%; ventilation lower limit alarm value adjustment range 1~ 10L/min, acceptable error
range±20%.
3.10.15. Tidal volume alarm: Tidal volume upper limit alarm rang0.01-2.0L, acceptable error range: ±20%; Tidal
volume lower limit alarm range 0-1.8L, acceptable error range±20%.
3.10.16. Oxygen concentration alarm: Oxygen concentration upper limit alarm range 21%-100%,acceptable error
range:±5%;Oxygen concentration lower limit alarm range 10%-80%,acceptable error range:±5%;
3.10.17. Choke alarm:The alarm started in 15s ± 5s in the event of pressure consistently higher than 2 cmH2O, and
tidal volume less than 140m,acceptable error range:±0.5s.
3.10.18. Pipeline taking off alarm:The alarm started in 15s ± 5s in the event of pressure consistently lower than
5cmH2O, and tidal volume less than 140m,acceptable error range:±0.5s.
3.10.19. Sustained high pressure alarm: the advanced alarm will sound when the anesthesia breathing circuit
pressure is consistently higher than 25 cmH2O and maintain 15 +1 s.
3.10.20. Power supply alarm (if equipped with battery): The alarm will sound when standby power is lower than
DC14 V, allowable error ± 0.5 V. When alarm, the anesthesia ventilator screen prompts low battery.
3.10.21. The emergency battery work prompts (if equipped with battery): the continuous work time of emergency
battery power maintains ventilator is ≥ 30 min after the interrupt of AC and DC power, accompanied by
alarm tone prompt.
3.10.22. Visual signal alarm: alarm signal stays uninterrupted if alarm state does not clear, the silencing time of
sound signal is <120 s.
3.10.23. The noise of the anesthesia machine would work properly not greater than 65dB (A)
4 Size and Weight
4.1 Size: 1330 mm×560 mm×600 mm
4.2 Weight: 53 kg
5 Assembly and Debug
Notice: Installation, adjustment, checking and use all should be operated by professional
persons. When delivering the Anesthesia machine to client, it has been adjusted, there’s no
need to adjust it again for the users in order not to lead to unexpected malfunction or
damage.
5.1 Preparation before Assembly
1) Confirm the Anesthesia machine and its attachments are intact; the products in packaging carton are the same
as the shipping list. You’d better keep the packaging carton and cushion packing well for next transportation.
Notice: if any damage is found of Anesthesia machine during transportation, you should
connect with transportation station immediately and claim for compensation; if you find
the content of products is not the same as shipping list, you should inform manufacturer
or designated agency for answer.
2) Become familiar to the working principle, structure features and control panel of anesthesia machine and
ventilator based on the Users’ Manual.
3) Check the source of medical compressed O2 and N2O to confirm the pressure meets the requirement of
280-600kPa. If it supplies with cylinder, you should also check whether the inner gas is sufficient, the
pressure-reducing valve is good or not, installation performance etc.
4) Check single-phase AC power supply of anesthesia machine to confirm the voltage has met the
requirements of AC 220 V and have good grounded protection. Also you should confirm that the
emergency storage battery has been connected.
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5.2 Installation of Anesthesia Machine
1) Installation of truckles: two truckles with brake should be installed in the front of machine, and two
without brake installed in the back.
2) Push the machine to expected position and lock the brakes on truckles to make it stable.
3) Install the vaporizer to its own bracket on the anesthesia machine and fasten the hexagon screw.
4) Fasten the integrated anesthetic breathing loop to the bracket on the lower left part of the machine (The
pressure signal, fresh gas output as well as the rapid oxygen supply connector have been sequentially
connected during installation),and connect well of the reservoir bag..
5) The oxygen concentration director should be mounted on the oxygen concentration monitoring probe interface
in integrated circuit, (see Figure 2), and then connect the oxygen concentration sampling signal line on the left
side of anesthesia machine to the oxygen concentration probe.
6) Flow sensor blow dryer should be installed on the exhalation port in anesthesia breathing circuit, and the flow
signal photoelectric card on the side of the anesthesia machine should be stuck in the middle position of the
flow sensor hairdryer.
7) Connect two breathing circuits on the Y-shaped connector (debug dedicated), one connects to the suction port
of the anesthesia breathing circuit, the other connects to the exhalation port of the anesthesia breathing circuit
through flow sensor; Y-shaped connector connects to the simulated lung or the air reserve bag.
8) Connect anesthesia machine to compressed O2 and N2O source by high pressure windpipe. Note: Oxygen
tube is blue, N2O tube is gray, two tubes can not be interchanged since the tie-in are different.
9) Plug the anesthesia machine into AC 220V power outlet with well-grounded individual AC.
Notice: If the machine slopes 10 degree in the horizontal condition, it will not lose balance with
common collocation; however, if you add other equipment to the machine, which will degrade the
machine’s stability.
5.3 Pre-adjustment of Anesthesia Machine
1) Check the pressure meters all show 0.
2) Check the pressure meter of monitoring system, their values are 280-600kPa when connecting O2 and
N2O.
Notice: O2 (or N2O) pressure-reducing valve should be used correctly
A, connect pressure-reducing valve with cylinder and make them fixed;
B, ensure the pressure-reducing valve is closed (adjust the button counter-clockwise to loose
direction till end.)
C, open the cylinder gas valve;
D, Adjust the pressure output knob, clockwise to increase and counterclockwise to reduce. Pay
attention to ensure that the anesthesia machine working pressure is between 280 ~ 600 kPa.
The oxygen (laughing gas) pressure reducing valve can only be used for pressure regulating but not as
gas switch.
3) Turning the button of adjusting flow valve on the flow meter, you can see: the buoyage moves quickly
when adjusting the flow meter and the buoyage keeps stable after adjusting the flow meter.
4) Turn manual-auto switch to manual, and block the outlet of Y-shaped connector. Press rapid Oxygen supply
valve, the 3 L volume reservoir bag could be full within 3~5 second, and there will be reading of airway
pressure from pressure meter in the anesthetic breathing loop.
5) Turn it to auto, turn on the power supply of anesthesia ventilator, and setup the working parameters as
follows: tidal volume 0.50 L, ventilation frequency 10 times/min, I/E ratio 1:2,you can observe that the
simulated lung or reservoir bag according to the anesthesia ventilator frequency of ventilator, and
inspiratory air valve and expiratory air valve in the anesthetic breathing loop act well.
5.4 Receiving test after Installation and Adjustment
1） High pressure pipeline sealing performance test of anesthesia machine
Turn off the flow adjustment valve on the flow meter, and connect with compressed gas source, you can
observe the reading of output pressure of compressed O2 source from driving gas output pressure meter. The
reading of O2 pressure meter and N2O pressure meter is around 280kPa, cut off the compressed gas source, there
should be no obvious drop of reading from pressure meters of anesthesia machine within 5 min.
2） Low pressure pipeline sealing performance test of anesthesia machine
Turn manual-auto switch to manual, block the outlet of Y-shaped connector , and press rapid Oxygen supply
valve, you can see the reservoir bag swells because of full of air;You should stop gas supply when the airway pressure
value is close to 3 kPa, adjust the flow meter to maintain the loop airway pressure at 3 kPa, and the meter indication
should not be higher than 150 ml.
3） Anesthesia breathing circuit breathing, exhalation valve function tests
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Connect the gas source, and select the anesthesia breathing circuit to manual mode. Connect the respiratory circuit
and air reserve bag. The test lung or air reserve bag should be connected to the patient side. Inflate the bag with rapid
oxygen supply, pinch the bag. While pinching, the suction valve open, and exhalation valve close. While loosening, the
suction valve close, and exhalation valve open. Under normal circumstances, the two valves are alternately switched and
two valve plates work flexible, without block phenomenon.
4） O2 & N2O flow meter linkage function test
Turn on compressed gas source, the output of anesthesia machine connects with air. Turn the flow adjustment
valve on the flow meter, you can observe: the laughing gas flow is closed when separately unscrew the oxygen flow
regulating valve; but he oxygen flow is accordingly opened when separately unscrew the nitrous oxide flow control valve.
At this point, if you turn down the nitrous oxide flow, the oxygen flow keeps the same, but if you turn down the oxygen
flow progressively, the laughing gas flow will reduce accordingly to close.The flow should be stable in common
condition, and the flow ratio between O2 and N2O is 1:1.5.
5） N2O automatically cut off and O2 supply malfunction alarm test
Turn on compressed gas source, the output of machine connects with air. Turn on both flow adjustment valve
of O2 and N2O, and gradually reduce the input compressed O2 pressure, then observe the O2 pressure meter, the
reading of N2O is descending as that O2 descends, until N2O flow volume is totally cut off and the anesthesia
machine alarms no less than 7s.
6） Anesthesia ventilator low pressure circuit sealing performance test
Connect gas source and power, open the anesthesia ventilator, and set its mode to IPPV, frequency: 10 times / min,
inspiration and expiration ratio: 1:2, turn down the tidal volume, and block the expiration circuit in anesthesia breathing
circuit, observe the pressure waveform when anesthesia ventilator reaches the pressure peak, see whether there is
significant pressure downtrend. If there is no clear downward trend, it indicates that the anesthesia ventilator
low-pressure circuit did not leak.
7） Tidal volume of anesthesia ventilator test
Turn off the flow adjustment valve of O2 and N2O; setup the anesthesia machine parameters as follows:
ventilation frequency 10 times/min, I/E ratio 1:2. Setup the tidal volume; you can observe that the reading keeps
table after ventilation for 3 or 4 times, and the range is no less than 50 m L -1200m L. If using the simulated lung,
also can observe the error between tidal volume (when keeps stable) and simulated lung is no more than ±15%,100
and below 100 ml maximum error does not exceed ± 20 ml.
8） Alarm function test
Test frequency: each time after turning on the machine and before take into use.
Test condition: Turn off the flow adjustment valve of O2 and N2O, setup the anesthesia machine parameters
as follows: ventilation frequency 10 times/min, I/E ratio 1:2.
a) The upper limit alarm of anesthesia ventilator airway pressure should be set at about 4 kPa. Under normal
work condition, block the Y-shaped connector output, increase tidal volume, observe the airway pressure
value on the anesthesia ventilator, when the indication reaches to predetermined value, anesthesia
ventilator will send visual and auditory alarm signals, in regards of the visual alarm, the red alarm
indicator is flashing at a certain frequency, and the alarm display box shows the content of “upper
pressure limit alarm”, the alarm is advanced.
b) Reduce the tidal volume, observe the airway pressure anesthesia ventilator, when the pressure indication
down to a set value, the anesthesia ventilator should send visual and auditory alarm signals, in regards of
the visual alarm, the yellow alarm indicator is flashing at a certain frequency, and the alarm display box
shows the content of “lower pressure limit alarm”, the alarm is intermediate level.
c) Adjust the tidal volume, when the tidal volume increase or decrease to alarm set value, anesthesia
ventilator should send visual and auditory alarm signals, the lower limit of the tidal volume alarm is
advanced alarm, the upper limit of the tidal volume alarm is mid-level alarm.
d) Adjust the tidal volume, when the tidal volume increase or decrease to alarm set value, anesthesia
ventilator should send visual and auditory alarm signals, the lower limit of the tidal volume alarm is
advanced alarm, the upper limit of the tidal volume alarm is mid-level alarm.
e) Adjust the oxygen concentration upper and lower limit alarm values, when the oxygen concentration
exceeds the alarm value, anesthesia ventilator should send visual and auditory alarm signals, the lower
limit of the oxygen concentration is mid-level alarm, the upper limit of the oxygen concentration alarm is
mid-level alarm.
f) Power supply malfunction alarm: When the anesthesia ventilator is under normal work condition, unplug
the AC power plug(Note: Not to turn off the power switch) anesthesia ventilator continues to work
properly, and makes alarm chirping, which shall not be less than 30 s. When the DC supply voltage is
lower than 14V ± 0.5V, anesthesia respiratory will make low battery alarm sound, and with low battery
image. When both the AC and DC fail, the ventilator continues to make alarm sound, which shall last no
less than 120 s. Low battery is advanced alarm.
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g) Sound alarm signal disappearing time no longer than 120s，if alarm condition continues, the alarm signal
is continuous.
6 Operation
6.1 Preparation and checking before use
1) Air source checking: to check O2, N2O in the cylinder is sufficient or not, whether the output from cylinder
or hospital center could meet the requirement of 280-600kPa and connected pipeline between compressed
air source and anesthesia machine is good or not.
2) Power supply checking: to check whether network voltage is in the range of AC 220V±22V, 50±1Hz,
protection grounded is good or not, the power supply pin is inserted well or not.
3) Checking the using record, cleaning and disinfection record of anesthesia machine (including ventilator)
to confirm the performance.
Warning: Compulsory working is prohibited if anesthesia machine is not cleaned &
disinfected totally or bearing safety hidden trouble！
4) CO2 absorber checking: clean out the sodium lime in the absorber, wipe the inner part clean and fill in new
sodium lime.
5) Add anesthetic to vaporizer, the steps are as follows:
a) Check the dial of anesthetic concentration first, you should Notice that the dial should be on 0 which
means the vaporizer is in the closed condition when you add anesthetic to the vaporizer.
Warning: The volatility of anesthetic is very strong.In the process of dosing, flowmeter
and concentration adjustment plate are forbidden to open, otherwise the anesthetic
vapor may eject with liquid anesthetic, and cause unpredictable consequences;
b) Check whether the anesthetic name and vaporizer need to be added is consistent with anesthetic and
check the validity period of it, also cleaning the disinfected dosing container.
Danger: Different anesthetic mixed together will cause chemical reaction, which is
harmful to the patient. So it is forbidden to mix some kinds of anesthetic and take into
use.
Warning: As different anesthetic has different evaporation features, and the
concentration mark made by vaporizer is according to specific anesthetic. If it is not the
specific anesthetic designated in the vaporizer, which can not promise the concentration
of output vapor.
c) Turn on the button to open mouth of anesthetic adding, and inject anesthetic to the mouth, you can see the
anesthetic flow to the vaporizer slowly. Observe the anesthetic liquid level from glass observing window
of vaporizer; the level can not only be lower than the lowest reticle on the window. But also it can not be
higher than the highest reticle on the window.
Notice: Anesthetic injection must be slow to prevent the volatility of anesthetic because
of vibration.
d) After the process of c, button of anesthetic adding should be screwed down to avoid the volatilization
from the mouth.
e) After adding the anesthetic and you can use the vaporizer after keeping it stay still more than 10min to
make stable homeostasis of anesthetic volatilization and coacervation.
Notice: Although the machine has taken certain measures, it is also forbidden to open
even the vaporizer is not taken into use.
6) Simulate the way to do ventilation to the patient. You can use rapid Oxygen-supply valve to fill in gas to
anesthesia circulation circuit repeatedly, and flush useless gas in the anesthesia circulation circuit and breath
ventilation pipeline with pure O2.
7) Adjust and setup anesthesia ventilator parameters.
Notice: Before starting up, please make sure that the pressure in the breathing circuit is
zero. (Disconnect the Screw tube and then turn on the power of the anesthesia
ventilator), and if there is one alarm sound while stating up, means that the pressure
initial value is zero. and if there is continuous “da-da-da” alarm sound while stating
up, means that the pressure initial value is too high, which could cause the
malfunctioning work of anesthesia ventilator.
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Notice: before using anesthesia machine, make sure to check the anesthetic gas delivery
system, monitoring devices, alarm systems and protection devices.
Notice: This anesthesia system is not equipped with AGSS device, the end - tidal carbon
dioxide gas monitoring device, nor the anesthetic gas monitoring device. We suggest
that you should equip with the above devices when the anesthesia system is working
properly, and confirm the above supporting devices must comply with the appropriate
standards, see important affirms 1-10. The supporting devices of anesthesia system,
such as AGSS device, end-tidal carbon dioxide gas monitoring device, pressure
monitoring device, flow monitoring device and anesthetic gas monitoring device must
be checked in accordance with their safety and technical requirements before trial
using.
6.2 Operation of Anesthesia Machine
1) The most critical operation to anesthesia machine is the control of anesthesia concentration and
management of breath. The ways to manage patient breath can be manual and automatically control the
patient breath by setup parameters. You should pay special attention to the reading of each meter on
anesthesia machine and ventilator and judge whether they are applicable to the patient requirement.
Generally speaking, even the readings of meters are very accurate, we can only take is as reference, and the
patient actual condition is the key point.
2) The way opening vaporizer is like this: take hold of the concentration adjustment plate, turn it to add the
concentration of output anesthetic, and stop turning when it reaches the expected concentration.
Notice: If only gas flow through vaporizer between 0.5 -10 L/min, output anesthetic
concentration is between 0.5 -5 vol%, the vaporizer output concentration could be
ensured in the acceptable error range. Vaporizer is forbidden to use from the scale
“OFF”(or “0”)to the first scale, because the vaporizer output concentration can not be
ensured in the acceptable error range during this scale.
3) Calculation of anesthetic
Use dosage of anesthetic(mL)≈ output concentration of vaporizer(vol%)× fresh gas flow volume(L/min)×
time(hour)× 3
This is a formula from experience. For example, we suppose the output concentration is 1.5 vol%, the reading
sum of O2 and N2O from flow meter is 2 L/min, operation time is 8 hours, then the anesthetic dosage in the
vaporizer can not be less than :1.5×2×8×3 = 72(mL).
For the sake of safety, the actual prepared anesthetic dosage is more than the value we calculated.
4) Before the removal of anesthesia, the vaporizer should be turned off first. Take hold of the concentration
adjustment plate to 0, and confirm the 0 position lock switch has been locked tightly.
Notice！if the vaporizer and anesthesia machine does not match, it will lead to the actual
leaking or change of concentration, and make the anesthesia machine performance
degraded or can not be used.
5) In regards of the evaporator dosage, its maximum level is approximately 120 ml, and its minimum level is
approximately 30 ml.
6) The anesthesia machine input pressure is 400 kPa, and flow rate is no greater than 200L/min, while
anesthesia ventilator is ventilating, the recommended gas flow rate should be not less than 0.6 L / min, and
0.7 ~ 1 L / min oxygen flow is recommended under artificial circulation closed anesthesia, so as to ensure
the supply of oxygen needs of the patients, > 2 L / min oxygen flow is recommended under artificial
semi-closed anesthetic, so as to ensure the supply of oxygen needs of patients.
7) After using for 1 year, the machine should receive whole parts inspection, including vaporizer.
8) The main role of low Oxygen malfunction alarm and N2O cut off equipment is: When the medical oxygen
pressure drops, the nitrous oxide flow will be gradually reduce to the closure. At the same time, the
anesthesia machine will make not less than 7s alarm tweet.
6.3 Operation of Anesthesia Ventilator
6.3.1 The operation method of anesthesia ventilator is as follows:
6.3.3.1 Anesthesia ventilator front panel is as the following figure:
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Alarm indication: when the ventilator makes high-level alarm sound, the alarm indication is red light,
and flashes in accordance with the frequency of high-level alarm. When the ventilator makes
intermediate alarm, the alarm indication is yellow light, and flashes in accordance with the frequency
of intermediate alarm
Mode setup: if you press this key, it will enter mode setup interface.
Alarm setup: press this key one time; you will enter the setup interface. Press the MUTE+USE button
and ALARM button at the same time, the system will enter into the alarm query interface and query old
alarm content.
Monitoring parameter: you can enter monitoring parameter interface by pressing this key.
Mute + use button: Press this button to make the alarm sound off <120 seconds when the anesthesia
ventilator alarms, but the alarm won’t be eliminated; in addition, you can enter alarm query interface
after the alarm is cleared, press this button to fresh alarm information (high-level alarm won’t be
refreshed unless you shut down the ventilator and restart).
Shuttle: this key is used to the data choosing, adjusting and confirming.
The ventilation volume knob: adjust the knob to adjust the tidal volume (ventilation). Please see the
tidal volume (ventilation) monitoring value on breathing screen display for specific value.
6.3.3.2 The parameters are set as follows:
1. Mode : IPPV,SIPPV,SIMV,MANUAL
2. Frequency: range: 2-99 times/min.
3. SIMV frequency: Use under SIMV mode, range from 2 to 20 times / min.
4. I/E ratio: range 1:0.5-1:8.0.
5. Tidal volume adjustment range: 50-1500 ml.
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6. Tidal volume range: 20-1500 ml.
7. Airway Pressure Upper Limit: Alarm upper limit setting range 10-60 cmH2O.
8. Airway Pressure Lower Limit: Alarm lower limit setting range4-20 cmH2O.
9. Tidal volume upper limit: Alarm upper limit setting range 0.01-2.0L.
10. Tidal volume lower limit: Alarm lower limit setting range0-1.8L.
11. Ventilation upper limit: Alarm upper limit setting range 3-30 L/min.
12. Ventilation lower limit: Alarm lower limit setting range1-10 L/min.
13. Oxygen concentration upper limit: Alarm upper limit setting range 21%-100%.
14. Oxygen concentration lower limit: Alarm lower limit setting range10%-80%.
15. Respiratory trigger pressure: Limit range -10 cmH2O-+20 cmH2O.
16. Limit pressure: range 10-60 cmH2O.
17. PEEP: range 02-20 cmH2O.
18. Sigh: There is a deep breath per 100 breathing; inspiratory time is 0.5 times longer than setting.
6.3.2 Synchronized Intermittent Positive Pressure Ventilation mode (SIPPV)
“Assist / Control" (SIPPV) mode is the most common mode. Press the "mode setting” and enter mode setting
interface, rotate the shuttle flying key, when turns to SIPPV, press the shuttle key twice to select SIPPV mode,
using shuttle flying to select“ 》》》》 ”, and press the shuttle flying again for confirmation to enter the parameter
setting interface of this mode.
After selecting the desired adjustment parameters by rotating shuttle flying horizontally, press the shuttle
flying, at this moment, the desired parameter adjusted value will have a background block, adjust the parameters by
rotating shuttle flying horizontally, then press the shuttle flying again to confirm the adjusted parameters. Keep the
cursor in the rear of SIMV, and press the shuttle flying key twice to exit this interface.
This mode is mainly applied to patients without spontaneous breathing or extremely weak spontaneous
breathing. If the patient without spontaneous breathing, the anesthesia ventilator will set to intermittent positive
pressure ventilation (IPPV) in accordance with present parameters, that is control breathing; If the spontaneous
breathing has been restored, the anesthesia ventilator ventilation will automatically synchronized with the patient's
spontaneous breathing(SIPPV), that is assisted breathing. After the first spontaneous breathing is finished, if the
second spontaneous breathing hasn’t come in a long time, then the time interval for anesthesia breathing machine
automatically turned from the suction state to the expiratory state is 6s.
The parameters that can be set in this mode including: frequency, (Inspiration and expiration) ratio, trigger,
PEEP, pressure limit, SIGH.
Parameters preset should be operated on test lung. Procedure is as follows:
1) Turn on the gas source and the power to confirm anesthesia breathing machine is under "SIPPV" mode.
2) Adjust the data of “machine control frequency”.
3) According to the needs of patients to select Inspiration and expiration time ratio (I: E).
4) Set the tidal volume to the desired value. For adults, the initial settings can be set to 10 ml / kg (per
kilogram body weight) and then make fine adjustments according to the actual situation of the patient.
5) Airway pressure indicating changes in airway pressure all the time. Adjust the “airway pressure limit”
according to displayed airway pressure peak value, and the airway pressure limit should be set slightly higher than
the pressure peak value.
6) Set “inspiratory trigger pressure”. When the patient’s spontaneous breathing has been restored, the
inspiratory trigger pressure will send synchronous ventilation signal to anesthesia ventilator. Generally speaking,
the inspiratory trigger pressure can be set to 1 cmH2O lower than the minimum airway pressure of spontaneous
breathing
7) Adjust "PEEP", and observe the minimum airway pressure in airway pressure gauge at the end of exhalation,
and thus determine the suitability of end-expiratory positive pressure setting. Under normal circumstances,
“PEEP” set shouldn’t be no more than 5 cmH2O.
The test lung can only be removed after the above adjustment is set up, and connect the anesthesia ventilator
with patients.
After the connection between anesthesia ventilator and patient airway, it is necessary to carefully observe the
patient's symptoms, lung inflations, and make further fine adjustment to the anesthesia ventilator state according to
guardianship instrumentation and arterial blood gas analysis data so as to achieve the best ventilation effect.
Notice: The anesthesia ventilator tidal volume can be effected by IPPV frequency and
Inspiration and expiration ratio (I: E) as well as other factors.
6.3.3 “Iintermittent positive-pressure ventilation” mode (IPPV)

This mode only applies to patients without spontaneous breathing.
The parameters can be set in this mode including: frequency (breathing) ratio, PEEP, pressure limiting, SIGH.
15
In accordance with 6.3.2, set the anesthetic ventilator to IPPV mode. Parameter setting is the same with
6.3.2.In this mode, you can still open (or close) end-expiratory positive pressure function.
6.3.4 Synchronized Intermittent Mandatory Ventilation (SIMV)
SIMV mode is applicable to spontaneously breathing patients, this mode could help patient to become less
depend on the ventilator. In this mode, you should conduct a mandatory ventilation at a certain time interval, after
the completion of the first ventilation, the next ventilation should be conducted at short intervals, during the
intermittent period, the patient can breathe spontaneously in accordance with their own breathing frequency.
Parameters setup under SIMV mode are: frequency, inspiratory to expiratory ratio, trigger, pressure limit, sigh,
SIMV frequency.
The cycle of Mandatory ventilation depends on the setup of “SIMV frequency”.
1) According to 6.3.2 method, set the anesthesia ventilator into SIMV mode.
2) Adjust the frequency of IPPV, Inspiration and expiration ratio, tidal volume, pressure limiting and independent
inspiratory trigger pressure as well as other parameters to ensure that the patients achieve a desired and best
breathing index.
3) "Inspiratory trigger pressure" should be gradually adjusted from "0 cmH2O" to "10 cmH2O" so as to exercise
and control patients’ ability to spontaneous breathing and their respiration. Tidal volume adjustment in this
mode should be more careful, because with the influence of inspiratory trigger pressure, the tidal volume can
alter patients’ respiratory parameters, such as inspiratory time, respiratory rate, inhaled tidal volume and other
life indicators.
4) In this mode, you can turn on (or off) the end-expiratory positive pressure function.
6.3.5 “Manual” mode(MANUAL)
This mode is used to anesthesia induction and recovery from anesthesia.
According to 6.3.2 method, set the anesthetic ventilator to "MANUAL" operating mode.
When using this breathing mode, you should pay attention that that the working mode of the anesthetic
breathing loop should be consistent to that of the anesthesia ventilator after entering this mode, you should turn the
switch to hand bladder condition. Rapid Oxygen supply will make he reservoir bag sufficient, and then you can
help the patient to breath by pinching the reservoir bag. Parameters setup under this mode are: tidal volume
monitored by ventilator, ventilation volume, breath frequency, airway pressure etc.
Notice: In manual mode, you should exhaust the gas after a while pinching, and
supplied with fresh oxygen to continue operating. Or you can keep operating in a
semi-closed mode.
Notice: In the manual mode, if there is continuous “da-da-da” alarm sound while
pitching the air storage bag with hands, means that the pressure in breathing circuit has
exceeded the pressure upper limit alarm value.
6.3.6 If the AC power fails during anesthesia ventilator use process, it will automatically turns to the DC power
supply and work according to originally set parameters. If the DC power supply is also interrupted, the
anesthesia ventilator will stop expiration, but there still will be fresh airflow supply, and the patient can
spontaneously breathing, the work state of anesthesia machine should be converted to artificial.
6.3.7 The pressure supplied from medical gas pipeline will be kept even anesthesia system stops delivering gas.
6.4 Operation of Stop Using
After operation, the machine can be taking away after the patient could breathe by himself and all of his life
sign has been reach to the requirement to stop machine help. First please take away Y 形接头 connected with
patient, observe the patient independent breath condition, if you can find he has resumed to normal condition, you
can take away the face mask or tracheal tube. Then:
1) Clear the useless gas in the anesthetic breathing loop by rapid Oxygen-supply valve;
2) Close O2 and N2O cylinder, or put off the gas supply joint from center gas supply system.
3) Turn on O2 flow control valve and N2O flow control valve, discharge the remained compressed gas. Turn off
the flow control valve when O2 and N2O pressure meter reach 0.
4) Turn off the power supply switch; pull out the power supply pin.
5) Clean and disinfect the parts needed.
6) Fill in the anesthesia machine using record.
Warning: If the anesthesia machine failure is uncertain, please do not disassemble it
easily. You should get in touch with our company's service department.
16
7 Safe guard and Accident Settlement
7.1 Pressure relief device
The anesthesia machine system has multiple pressure relief devices.
This anesthesia machine has compressed gas adjusting device. Before entering anesthetic machine ventilation
system, the input gas source pressure has dropped to 400 kPa through pressure regulator. There is a safety valve at
the output end of pressure regulator, if the pressure regulator breaks down or the output pressure is higher than 700
kPa due to human reason, the safety valve will automatically exhaust to make the gas output pressure reach the
rated working pressure.
In order to avoid the pressure in anesthetic gas conveying device higher than 10 kPa due to the fresh gas
output port block, therefore a pressure relief device is installed between the flow meter and the evaporator air
circuit, so as to prevent excessive pressure inside the transporting device.
In order to avoid excessive pressure in the anesthesia ventilation system under manual state, adjustable
pressure relief device is equipped in the system, its adjustment range ≤ 12.5 kPa in anesthesia breathing circuit.
Under machine control state, in order to avoid excessive high pressure at exhalation state in anesthesia
breathing circuit that is caused by too high oxygenating flow from flow meter, the bellow connected in series to the
anesthesia breathing circuit has 4 kPa security out gassing function. That means at the machine control expiratory
state, when the pressure in circuit exceeds this one, the bellows will automatically out gassing, so as to ensure that
the airway pressure in anesthesia breathing circuit will not be higher than this value.
Under machine control condition, as the pressure in respiratory system is too high while inhaling due to circuit
block, our anesthesia ventilator applies gas circuit with Venturi effect, so as to ensure that the pressure in the
respiratory system does not exceed 6 kPa .
Notice: When the flow meter flow is too high, the pressure relief device might make
"whining" sound due to pressure relief.
7.2 The sealing property of respiratory system

Connect gas source and power, open the anesthesia ventilator, and set its mode to IPPV, frequency: 10 times /
min, inspiration and expiration ratio: 1:2, turn down the tidal volume, and block the expiration circuit in anesthesia
breathing circuit, observe the pressure waveform when anesthesia ventilator reaches the pressure peak, see whether
there is significant pressure downtrend. If there is no clear downward trend, it indicates that the anesthesia
ventilator low-pressure circuit does not leak.
If there is air leakage, components should be replaced piece by piece to find damaged parts.
If these measures taken do not help to solve the problem, please notify our company and the authorized
service agencies.
7.3 Breathing tube
If the anesthesia machine has been used for a long period, accumulated water will appear in the Ventilator tube.
The water should be removed immediately.
Warning: Accumulated water in Ventilator tube is prone to transmit diseases and

pollute the environment. Treatment of accumulated water must strictly comply with the
"Management of Medical Waste in Medical and Health Institutions” issued by Ministry
of Health the relevant specifications and requirements regulated by government
environmental protection agencies.
Warning: The anesthetic breathing loop and the patient's breathing circuit are used for
connecting the Ventilator should be consistent with the provisions of YY0461-2003.
Adverse reactions arise due to the use of other pipes which do not meet the
requirements has nothing to do with the company.
7.4 Fuses
The fuses of anesthesia ventilator are installed in the power socket of rear panel.
If the power of anesthesia ventilator system indicates that the battery is working (It means the work of
anesthesia ventilator is powered by the emergency storage battery) and there is no power outages, it must be the
result of fuses burnout or the poor supply of AC power. Fuses replacement must follow the following steps:
1) Do not flip the power switch when the anesthesia ventilator is working. Just unplug the anesthesia
ventilator power cord from the power outlet and the anesthesia ventilator will automatically be converted
to mode of emergency battery power supply. Now you can change the fuse.
Warning: The power switch of anesthesia machine is the switch both for AC power and
17
emergency battery. The working anesthesia ventilator will stop working immediately by
flipping this switch.
2) Open the cover of fuse seat and replace fuse tube.

3) The specifications of the fuse: RF1-20 F2AL250V.The specifications of the emergency storage battery:
5RF/ F5AL250V, but its fuse is installed inside the machine.
Replaced fuse illustrated below:
Fuse
Power outlet Graphical representation of

opening the fuse holder (drawer)
7.5 Dealing with Improper Operation and Consequence

The improper operations of the anesthesia machine including:
1) Flow meter oxygenating amount is too low or closed. During the using process of the anesthesia machine, flow
meter oxygenating is to ensure the oxygen concentration in the anesthesia breathing circuit, and if the oxygen
concentration is too low, it may compromise patients’ safety. Solution: Flow of flow meter should not be less
than 0.6 L / min.
2) You shouldn’t fill the bellow while using anesthesia breathing machine to control breathing. Under this state, the
gas supply of anesthesia ventilator cannot be transferred to the patient's body, so patients can’t get enough
ventilation life required. Solution: while using the anesthesia ventilator to control breathing, first you need to fill
in the bellow by rapid oxygen supply so that the anesthesia breathing machine can drive the bellow to work
normally.
3) while using the anesthesia ventilator to control breathing, and the anesthesia breathing circuit is at "artificial"
state, even if the bellow is at filling state, anesthesia ventilator can not normally drive the bellow, and patients
can’t get enough ventilation life required. Solution: while using anesthesia ventilator to control breathing, you
need to ensure that the anesthesia breathing circuit is set at "machine control" state. Similarly, when the
anesthesia ventilator is in the "MANUAL" mode, the anesthesia breathing circuit should be set at the "artificial
"status, which means that the operating mode of the anesthesia ventilator and anesthesia breathing circuit must be
consistent.
Evaporator improper operations including: For details, refer to 6.1 5
Anesthesia ventilator improper operations including:
1) If there is no good grounding grid power, it’s likely that the machine can be electrified, and may lead to patient
or operator shock phenomenon. Solution: using the network power with protective ground.
2) Under "SIPPV" or "SIMV" mode, if the trigger sensitivity is set incorrectly, continuously trigger phenomenon
may occurs. Solution: this phenomenon occurs because the trigger is just at the critical value; all you need to do
is re-reduce trigger sensitivity.
7.6 The replacement of wearing parts, consumables and removable parts
Anesthesia machine wearing parts: Fuses, seal rings;
The fuse specification see chapter 7.4.
Seal rings specifications: φ7x1.9 φ10 x1.9 φ15x2.65 φ20x1.9, φ20x2.65 φ37x3.φ7x1.9 are flow
adjustment valve seal rings; φ10 x1.9 is gas source delivery pipe interface inner seal ring; φ15x2.65 is evaporator
interface seat inner seal ring; φ20x1.9 is fresh gas outlet seal ring; φ20x2.65 is evaporator interface seat outer seal
ring and oxygen concentration end cap seal ring; φ37x3 is integrated anesthesia breathing circuit breathing valve
seal ring.
Removable parts in the anesthesia machine including: breathing circuit, oxygen mask, flow sampling tube,
bellow, suction valve and exhalation valve in anesthesia breathing circuit, out of which, the breathing circuit and
oxygen masks are equipped by users, and not the debugging dedicated pipeline and masks provided by our
company.
18
Refer to chapter 7.4 for the replacement of fuse.
Breathing circuit and oxygen mask are removable parts. Each time installation must in accordance with 5.2 8
Chapter.
The replacement method of flow sampling pipe: this anesthesia ventilator is equipped with alternate flow
sampling tube, if the original one is damaged, you can replace it with a new one. Installation method see 5.2 7
chapter.
The replacement of bellow: If the bellow is leaking or damaged, users must contact the service department of
our Company, and operate under the guidance, the replacement or repair can also be operated by professional
technology staff from our Company.
The replacement of suction valve and exhalation valve: if there is cracking and damage on suction valve
cover or exhalation valve cover within anesthesia breathing circuit or valve plate of valve cover, you can replace
the spare valve cover and valve plate that are provided by our company.
Notice: the anesthesia machine parts and materials are approved and provided by our
company, replacement of other components or materials will reduce the minimum
safety degree.
7.7 Other security protection and incident handling

1) In order to prevent connection error of input O2, N2O, air, we adopt different colors of high pressure
pipelines: pipeline of O2 is blue, N2O is gray.
2) Inner pipeline gas color distinguish: pipeline color of O2 is blue, N2O is transparent, air is black and the
mixed gas is orange.
3) While dosing anesthetic pharmacy to the evaporator, the pharmacy liquid level must neither exceed the
upper limit of the scale on the observation nor the lower limit scale on the observation window.When
adding anesthetic to the vaporizer, the anesthetic added level can not exceed the upper scale of observe
window.
4) The slope of vaporizer can not exceed 45°, and you should press 0 to lock the switch before turning
concentration adjustment plate. You should not give over-pressure to the vaporizer, or it will damage the
inner parts. It is not good to disassemble or knock down the product because it has been passed the
inspection before taking into use. The product can not be disinfected, you can only make it dry by medical
compressed air, or send back to our company for correction if any problem you can not solve.
5) When transportation, the vaporizer must be disassembly from the machine and packaged separately. You
should also make the vaporizer inner part dry by medical compressed O2 before package, it costs 3~5 min.
6) The O2 pressure meter and O2 flow adjustment valve should not be close to grease to prevent the oxidation
burning from pure O2.
7) Protection grounded should be reliable when using this machine to ensure the safety of users.
8) Oxygen concentration in the air of the working environment restricted of this machine is not beyond 24 %.
9) There’s no relationship between the driving gas of the anesthesia ventilator and the composition of patient
inhaling gas, so the anesthesia machine O2 flow switch should be turned on when ventilation, which could
supply continuous fresh O2.
10) If the reservoir bag can not be totally compressed when patient inhales, it will lead to the insufficient tidal
volume supplied to the patient. In this case, you should check the smooth of airway, and increase driving
pressure properly, also turn the button of tidal volume to “big” direction and decrease the compensation of
O2 supply flow. If the reservoir bag can not be back to the original condition when patient exhales, it
indicates that respiratory circuit leaks a lot, you should check and correct immediately, and increase the
compensation of O2 supply flow to ensure the sufficient ventilation, or open PEEP.
11) Charge fully of the emergency storage battery after use, the interval time can not be longer than 12 hours. If
you don’t use it frequently, please ensure one time charging per month. When changing the battery, you
should pay special attention to the polarity——red line is connected to the anode, and black line to cathode.
The pole connection should be connection fastened to prevent from open circuit, heat or strike a light.
When transportation and use processes, the emergency storage battery must be erected, and prevent from
furious vibration.
Emergency storage battery is JS-14.8V-2.2AH, or it will affect the time in use.
Warning: You can not discard the useless emergency storage battery as you wish since it
will contaminate environment. Please send it to the callback body. You can not break
the rule regulated by national institute.
19
Notice: If there’s something uncertain of protection grounded lead, the machine should
be run by the inner power supply.But you should connect the grid power as soon as
possible to maintain normal work of the machine.
12) The size of ventilator is glass hull: RF1-20/ F2AL250V type fuse tube. When you change the fuse, you
should first turn off the power supply, then open fuse and install it well using expert tool.
13) Any gas impetus outlet pressure and flow features have no changing within the rating inlet pressure range
and two times of maximum rating inlet pressure.
8 Cleaning and disinfection of the anesthesia machine
8.1 Cleansing and Disinfection Procedures
The working anesthesia machine and anesthesia ventilator need daily disinfection, in other words, a new or
disinfected pipeline should be used everyday (including the pipeline used for the first time). Patient's exhaled
pipelines should be cleaned and disinfected. Two anesthesia machines can be used and disinfected alternately. 清
Cleaning and disinfection methods are as 8.3 and 8.4 below.
When the patient stops using anesthesia machine, the anesthesia machine should be terminally disinfected, that
is, anesthesia machines should be installed for use again after a thorough cleaning and disinfection. Long-term
disabled anesthesia machine should be cleaned and disinfected when it is used again.
Cleaning and disinfection work should have work records for future reference.
8.2 The Focus of Cleaning and Disinfection
The focus of cleaning and disinfecting:The fan filter net, machine surface and the user-accessible components
(flow sampling tube, breathing circuit)
8.3 Cleaning Methods
8.3.1 The anesthesia ventilator fan filter net cleaning:wash the filter with fresh water to clean the covered dust,
shake off the water and put it back in place. The working anesthesia ventilator should generally be
inspected and cleaned once every 24 hours.
8.3.2 Cleaning of the flow sampling tube: wash the flow sampling tubes with fresh water to clean the putum,
blood, oil and other residue on the surface. Wash the dirt on inner-wall with neutral detergent.
Notice: The traffic sampling tube has the rotating blades, so it should be washed
carefully in case of damaging the integrity of the diaphragm. The residue should not be
kept at the top, otherwise it will affect the accuracy of the flow sampling of ventilator.
Notice: if the rotating blades of flow sampling tube is incomplete, or there is residue
retained and cannot be cleared, or the sampling tube is cracked, soft, and sticky, then
the flow sampling tube should be scrapped.
8.3.3 The breathing circuit cleaning: Disposable breathing circuit does not need to be cleaned, but the treatment
must be dealt strictly comply with the relevant regulations promulgated by the Ministry of Health.
Reusable breathing circuit can be cleaned and disinfected in accordance with instructions, or rinse with
fresh water to get rid of the sputum, blood stains, grease and other dirt residues, and then wash the inner
wall with neutral detergent solution.
8.3.4 Cleaning of anesthesia machine: wipe away the dirt and dust on anesthesia machine and pulleys with soft
damped cloth or neutral detergent, and then dry it. There should be no liquid in the anesthesia ventilator
during the process of cleaning ,Otherwise this might cause machine damage or even result in the risk of
electric leakage and short circuit
The wastewater generated by cleaning the anesthesia machine is prone to transmit

diseases and pollute the environment. The treatment of these contaminants must strictly
comply with the"Management of Medical Waste in Medical and Health Institutions"
issued by Ministry of Health and the relevant specifications and requirements regulated
by government environmental protection agencies.
Warning: Disposable items should not be reused. For reusable parts, the normal useful
life is one year. But if it has affected the proper work after using for less than a year, it
must be scrapped. It can be used until it begins to affect the normal operation. (For
example, the silicone products can turn hard, cracked and leaked in less than a year,
which has affected the normal work of the anesthesia machine and should be discarded.
20
8.4 Disinfection Methods
Method One: Soak the clean flow sampling tube and other items into disinfectant for 30 to 60 minutes (Note
that if silicone products soak for a long time, they are prone to be damaged). The commonly used disinfectants
include bromo-geramine, peroxyacetic acid, and 84 disinfectants and so on. After soaking, rinse the flow sampling
tube with sterile saline or distilled water, and then hang dry.
Method two: put the clean flow sampling tube and other items inside the ethylene oxide sterilization tank for
conventional disinfection. If the patient has infectious diseases, the rinsed disinfected parts should be immersed into
medical alcohol with concentration of 70% for 1.5 hours. Then repeat the disinfection process.
9 Care and Maintenance
9.1 Care and Maintenance of Anesthesia Machine
Equipments with functional failure should not be used. Guarantee should be made that any maintenance of
anesthesia machine should be completed by our company or authorized agents. The performance of anesthesia
machine must be verified to comply with the description of this manual after the maintenance.
A thorough cleaning, disinfection and maintenance of anesthesia machine should be carried out every six
months. Specially-assigned person should be responsible for that. Maintenance records should be kept in archive.
Before restarting the anesthesia machine the anesthesia machine should undergo a comprehensive performance test
after the disuse for more than six months.
The “Malfunction Analysis and Failure Elimination” provided by this guide are the basic methods to deal with
the anesthesia ventilator failure. If failure still can not be ruled out, or failure repeatedly occurs, please promptly
notify our company and authorized service agencies.
9.2 Care and Maintenance of emergency storage battery(if equipped with)
Charge fully of the emergency storage battery after use, the interval time can not be longer than 12 hours.
If the emergency storage battery does not discharge for 6 months, it must conduct a maintenance treatment of
charge-discharge operation. To operate the anesthesia ventilator powered by the emergency storage battery until the
emergency storage battery can not continue to drive anesthesia ventilator, and then its charge the battery power.
When changing the emergency storage battery, you should pay special attention to the polarity——red line is
connected to the anode, and black(blue) line to cathode——definitely cannot connect it in wrong way. The pole
connection should be connection fastened to prevent from open circuit, heat or strike a light.
Don’t put the emergency storage battery near heat sources (such as the radiator). Don’t expose it to strong
direct sunlight. Don’t cover anything on the battery to prevent damage to the battery due to the high temperature.
Keep the battery surface clean. If there is spilled liquid on the battery, it must be immediately wiped clean.
When transportation and use processes, the emergency storage battery must be erected, and prevent from
furious vibration.
Warning: You cannot discard the useless emergency storage battery as you wish since it
will contaminate environment. You cannot break the rule regulated by national
institute.
Warning: The operators are not allowed to replace the battery without authorization. If
there are any problems, please contact with the after-sales department of our company.
9.3 Daily Maintenance
The parts should be installed into the anesthesia machine immediately after disinfection, and examine the basic
performance of machine according to Chapter 5 “Installation and Adjustment” to confirm each function keeps
good.
10 Malfunction Analysis and Removal
Malfunction phenomenon Cause of the analyses Elimination method
CO2 absorber is not installed closed. Re-installation

Leaking of the anesthetic breathing
loop Breathing circuit connector is loose or Connect the connector or replace the
cracked breathing circuit
Switch does not work well It is used for a long time, the inner part Put little vaseline in the inner part of
doesn't work well switch.
Tidal volume of anesthesia ventilator Driving gas output pressure is not enough to Enhance the pressure to compressed O2
is insufficient 300 kPa source.
21
Flow sensor is loose Insert tightly of flow sensor
Flow sensor’s pin is loose Re-connection or change the pin
Flow sensor is damaged Change flow sensor
Tidal volume of anesthesia ventilator Change flow sensor or take off the flow
Flow sensor has remained vapor
is unstable sensor and make it naturally air-dry.
Prevent from strong sunlight or use

Flow sensor’s photoelectricity card was
something to be sheltered from strong
illuminated by strong sunlight
sunlight
Inspiratory valve does not work normally. Re-install of inspiratory valve.
The anesthetic breathing loop is leaking or Check the closeness of the anesthetic
Expiratory wave is smaller than
connection of expiratory monitoring sensor breathing loop or insert tightly of sensor
inspiratory wave.
has something wrong. or change the sensor
The button of anesthetic adding is not

Difficult to add medicine to Open the button of anesthetic adding
opened.
vaporizer
The speed of adding anesthetic is too fast. Slow down to add anesthetic
The input anesthesia machine compressed

Adjust gas source pressure
gas source is over-low.
O2 or N2O pressure meter shows Check the air tube joint, and change the
Leaking of machine pipeline
unprecise value leaking pipe
Pressure adjuster (pressure-reducing valve)

Adjust or change the pressure adjuster
malfunction
After AC power supply cuts off, the storage

Change a sufficient storage battery
battery is not sufficient.
Airway pressure lower limit of
Pressure is not enough inner O2 cylinder, the Check the inner pressure inside of the O2
anesthesia ventilator continually
pressure of O2 source is over-low cylinder, and change the O2 cylinder.
alarms
Malfunction of O2 cylinder pressure-reducing Adjust or change pressure-reducing
gauge or circuit of O2 transportation. gauge
The adjustment of tidal volume of I/E ratio is

Adjust I/E ratio and tidal volume
not appropriate.
Confront of patient independent breath and

Airway pressure alarm, airway Re-adjust the synchronized trigger valve
mechanical ventilation from anesthesia
pressure limit or airway pressure value
machine
upper limit continually alarms.
Setup of pressure upper limit is not proper. Adjust pressure upper limit setup value
Patient pipeline convulses or rising up

Use sputum removal product
because of secretion
Over-low of tidal volume from leaking of Check respiratory airway pipeline, absorb
airway or respiratory tract block up. sputum
flow sensor has error Repair flow sensor
The drainage tube of flow sensor fallen off. Connect sensor drainage tube well.
Continuous sound alarms
When AC power supply cut off, no storage
Connect with sufficient storage battery.
battery connected immediately
Storage battery has been used up or it has

Change storage battery
been damaged.
Storage battery works when the AC power supply pin is fallen off. Insert well of the power supply pin
network is in normal working
condition. Fuse is broken Change the fuse
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11 Packaging, Transportation and Storage
11.1 Packaging
The packaging should meet the requirement of GB/T 13384-2008. Each machine should be put to the specific
position inner the carton. Soft material is needed between connection of packaging carton and product to prevent
the loose and mutual friction. There should be damp-proof and rainproof measures inner the carton.
11.2 Transportation
1) Using original packaging carton and quakeproof pad according to regulation.
2) Transportation according to the symbol and labeling on packaging carton:
—— fragile;
—— up;
—— far from rain;
3) Covers to prevent from sunshine, rain or furious vibration when transportation in the open air. No
conversion or throw is permitted during load and unload period.
11.3 Storage
—— Environment temperature:-10 -55 ℃ .
—— Relative humidity:≤93 % .
—— Atmospheric pressure: 50 kPa -106 kPa.
—— Storage in the room no caustic gas but good ventilation.
Notice: The anesthesia machine must be running in the specified operating environment.
When the anesthesia machine storage environment goes beyond the specified
environment, you must let the anesthesia machine place in the work environment for
four hours before using, or the anesthesia machine cannot working properly.
12 Others
Except cleaning, disinfection and daily maintenance after every use, the anesthesia machine circulation
circuit needs to dismantle for cleaning of the water and sodium lime powder. The ventilator needs total disinfection
and maintenance half a year and vaporizer need to be examined half a year too; flow sensor need to be inspected
once two years, related maintenance action should be recorded and kept in the archives by responsible persons for
later check up.
If the machine is stopped using more than half a year, whole setup of performance inspection is needed when
starting to use again.
Malfunction analysis and removal in this Users’ Manual is the basic method to solve problems, if you can not
solve the problems or the malfunction repeats after adopting the method, please connect with us or authorized
service body.
If the machine has quality problems within one year of the sale date, we will supply service for free. However,
if the problems are out of misuse, dismantling without permission, damage from client’s own idea, we will service
with payment according to condition.
The anesthesia machine is professional medical equipment, its maintenance and repairs must be done by
trained professionals, and our company can provide required information to our training professionals (such as
schematics, parts lists, drawing statement, correction rules, etc.)
13 Checklist
13.1 Check interval before using
Pre-operation test should be carried out in the following cases
1, Before the first patient using each day
2, Before each patient using
3, Repair or maintenance according to the requirements
13.2 The checked items before using
Inspection
No. Inspection items
result
I Anesthesia machine part
1 If the gas cylinder capacity adequate
2 if the output pressure in steel cylinder or central air supply system satisfied (280-600
kPa)
3
If the pipeline between compressed air and anesthesia machine is in good condition,
23
and if the connection is right.

4 Check if the pressure gauge is zeroed before ventilation; and observe if the pressure
gauge pointer is in normal state after connected to gas source.
5 Unplug fresh gas export interface, and repeatedly press fast oxygen supply button, see
if it can work properly, at the same time feel if there are a large flow of gas ejecting at
the exit.
6 Open flow meter to see whether the flow floater is able to fly and drop without
blocking, and to feel if there is gas ejecting at fresh gas outlet (pay attention that the
evaporator should be in the off position
7 Turn on the oxygen and nitrous oxide while using nitrous oxide anesthesia, and try to
see if the oxygen flow meter’s oxygen and laughing gas connection is normal.
II Anesthesia machine part
1 See if the grid power is within certain range (AC 220V±22V,50Hz±1Hz)
2 Check if the grid power is well grounded, and if the power supply plug is stuck.
3 Turn on the gas source and the power, open the anesthesia ventilator. Set the
anesthesia ventilator mode to IPPV, frequency: 10 times / min, IE ratio: 1:2, turn down
tidal volume, block the expiratory tube in anesthesia breathing circuit, observe the
pressure waveform when the anesthesia ventilator reaches pressure peak, to check
whether there is significant pressure downtrend.
4 Turn on the gas source and power supply, open the anesthesia ventilator switch, and
see if the anesthesia ventilator display is normal. Unscrew the tidal volume knob, see
if the anesthesia ventilator can work, and feel if there is gas discharging at the mask.
5 When the mask is connected to the atmosphere, to see whether there are pressure low
limit alarm and ventilation low limit alarm in ventilator.
6 Block the mask with hands, see if the anesthesia ventilator pressure limit is under
normal work, and check if there is pressure upper limit alarm in anesthesia ventilator.
7 Connect air storage bag at the mask, and fill in the bellow with rapid oxygen supply to
see whether the bellow is able to rise and fall normally, if the pressure waveform and
flow waveform is complete, and whether the tidal volume, ventilation, pressure and
other parameters be displayed.
III Eevaporator part
1 Check if the evaporant in evaporator is consistent with the allowed using one.
2 Check if the evaporant is in useful life.
3 Check if the evaporant liquid level in evaporator is in the normal working range
IV Anesthesia breathing circuit part
1 Check if the circuit connection is correct
2 Check if the soda lime in carbon dioxide absorber is fresh
3 Connect all pipelines in anesthesia breathing circuit, and set the anesthesia breathing
circuit to artificial state, connect the air storage bag at the mask position, open flow
meter and keep 3kPa pressure in anesthesia breathing circuit, see if the flow meter
oxygenating can exceed 150 ml /.
4 Connect all pipelines in anesthesia breathing circuit, and set the anesthesia breathing
circuit to artificial state, connect the air storage bag at the mask position, pinch the air
storage bag to see if suction and exhalation valve is working properly, and whether the
valve plate has block phenomenon. Unscrew the APL valve, to see whether the gas in
anesthesia breathing circuit is able to discharge from AGSS mouth.
V Software information
1
The use records as well as cleaning and disinfection records of anesthesia machine
14 Adding content about vent valve in anesthesia breathing circuit.

14.1 Vent valve pressure-flow characteristic ( under the condition that vent vale is completed open)
24
Flow(L/min) Pressure(kPa)
30 0.3
40 0.5
50 0.8
60 1.2
14.2 The pressure released by vent valve pressure--flow characteristic
When the exhaust valve is in the flow of 30 l/min, the limit pressure is ≤7.5 kPa.
When the exhaust valve is in 0.5 kPa position, relevant pressure and flow characteristics is in the list below
10 0.1
20 0.25
30 0.5
40 0.65
50 1.0
60 1.5
When the exhaust valve is in 2 kPa position, relevant pressure and flow characteristics is in the list below
10 1.8
20 1.9
30 2.0
40 2.2
50 2.55
60 3.0
When the exhaust valve is in 6 kPa position, relevant pressure and flow characteristics is in the list below
10 5.6
20 5.75
30 6.0
40 6.25
50 6.5
60 6.7
25

Anjue AJ 2103 Anesthesia Machine User Manual

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Anesthesia Machine Users’ Manual

Please Read the Manual before Use

Important Safety Indication

anesthesia system is being used(e.g. simple respirator with face guard)

loop rack with a maximum load of 30 kgf.

DANGER: Alert to high danger

WARNING: Alert to moderate danger

Notice: Attention to low dander

It refers to the B-type application part.

Please refer to attached documents

Read the top buoy readings

AUTO model ( IPPV,SIPPV,SIMV )

MAN model ( MAN )

1.2 Working Environment

Notice: In case of filter clogging, replacement should be performed by professionals from

N 2o O2 Safety overflow valve

Fresh gas outlet

No-return valve No-return valve No-return valve

filter filter filter

N2O connector O2 connector reserve oxygen connector

Figure 1: Working principle figure of anesthesia machine

Fresh gas Input Port

Manually/Auto Inspiratory Oxygen Concentration

APL Exhaust Positive and Pressure Signal

Open to Sodium Lime Expiratory

Figure 2Integrated anesthesia respirator loop

Initial stage of the inspiratory, as shown in Figure 3

Figure 3, initial stage of the inspiratory

The initial stage of the exhalation，As shown in Figure 4

Figure 4 The initial stage of the exhalation

End-expiratory phase As shown in Figure

Figure 5 End-expiratory phases

Figure 6 Nomo grams of bellow components

Main control Flow adjustment Safety overflow Open to

Reducing Pressure Pressure

6.3.3 “Iintermittent positive-pressure ventilation” mode (IPPV)

7.2 The sealing property of respiratory system

Warning: Accumulated water in Ventilator tube is prone to transmit diseases and

2) Open the cover of fuse seat and replace fuse tube.

Power outlet Graphical representation of

7.5 Dealing with Improper Operation and Consequence

7.7 Other security protection and incident handling

The wastewater generated by cleaning the anesthesia machine is prone to transmit

Malfunction phenomenon Cause of the analyses Elimination method

CO2 absorber is not installed closed. Re-installation

Flow sensor’s pin is loose Re-connection or change the pin

Flow sensor is damaged Change flow sensor

Prevent from strong sunlight or use

Inspiratory valve does not work normally. Re-install of inspiratory valve.

The button of anesthetic adding is not

The input anesthesia machine compressed

Pressure adjuster (pressure-reducing valve)

After AC power supply cuts off, the storage

The adjustment of tidal volume of I/E ratio is

Confront of patient independent breath and

Patient pipeline convulses or rising up

flow sensor has error Repair flow sensor

Storage battery has been used up or it has

and if the connection is right.

14 Adding content about vent valve in anesthesia breathing circuit.

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