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TRM Centiva-Plus e PRINT 00-APP 3-51-f 051908
TRM Centiva-Plus e PRINT 00-APP 3-51-f 051908
1.1.1 Software and This manual includes test and calibration procedures for software
hardware revision revision 3.02.p. and hardware revision 3/4, including options
- “Bi-level VG”
- “Newborn”
- “Trend”.
- “Spirometry”
The software (SW) and the hardware (HW) revision code are displayed
during the ventilator power-up test and during the system test in the
upper left corner in the screen.
Centiva/5 + Bi-Level VG
Newborn
Trend
09:36:53
2006-11-21
SW 3.02.p HW 3/4 Spirometry
Bypass
system test
System test
Make sure no patient is connected while Unlock
performing the System test. exp. valve
Complete system set up, seal y-piece
Start system test by pressing <Enter> Calibrate
O2 sensor
Align
touch screen
Ensure silver exp. valve is in place
Retain
Body weigth 55 kg trend data
1.2.1 User Reference You must have, and be familiar with, the user reference manual for this
Manual product. Study the Centiva/5 Plus CC ventilator user reference manual
if you need further information about the operation of the system.
1.2.2 Ventilator tests Service calibration functions let trained service personnel perform
ventilator setup functions, tests, measurements and calibrations from
the front panel display. Normal operational tests, calibrations and
troubleshooting can be performed on the Centiva/5 Plus without
opening the system’s cabinet. Repair will require opening the system’s
cabinet. Calibration of the following parameters requires opening the
system’s cabinet:
• Inspiratory O2 flow
• Inspiratory AIR flow
• Expiratory flow
• Airway pressure
• Battery charging voltage
WARNING After the Centiva/5 Plus has been serviced, you must
perform “Post Service Checkout” to verify the system is
properly functioning before the system can be returned to
clinical use.
Special notice Some information in this manual can possibly point the reader to
electronic troubleshooting and component repair/replacement level of
service. This information, when supplied, is only supplied to add clarity
to service or troubleshooting statements. Datex-Ohmeda Service
Personnel are mandated by Company Policy to service electronic
equipment to a board replacement level only.
• Read completely through each step in every procedure before
starting the procedure; any exceptions can result in a failure to
complete the attempted procedure properly and safely.
• Unless otherwise specified, values in this manual are nominal.
• Sections in this manual begin on odd numbered or right-hand
pages. If there is no text on the preceding, backup even numbered
page, it is labeled “Notes” for your use if you wish.
• Figures that require more than one page have the title and main
text on the left (even numbered) page. Additional figure information
is on the facing (odd numbered) page.
The Centiva/5 Plus CC ventilator may be used together with additional
accessories, such as trolleys, compressors etc. These accessories
come with a separate service manual. Use this manual together with
the manuals for additional accessories.
WARNING Warnings indicate a condition that can cause injury to the operator or
the patient.
Normal
screen
Normal screen touch key
Nebulizer active
On (power)
Off (power)
Earth ground
Equipotential
Type B equipment
Systems with this mark comply with the European Council Directive
(93/42/EEC) for Medical Devices when they are used as specified in
0123 their Operation and Maintenance Manuals. The “0123” is the
certification number of the Notified Body used by the manufacturer’s
Quality Systems.
or AC Alternating current
or DC Direct current
Notes
The user can separate these three assemblies without using any tools.
Main engine
Control panel
Expiration valve
AC line supply Line supply gets via line inlet and fuse SI 0 (EC 01) to the integrated line
main switch (EC 02) and from there to the transformer (EC 03). The
transformer is designed to be switched between 115 V and 230 V line
voltages. For details see section 4. “Change the line voltage”.
From the secondary side of the transformer the supply voltage gets to
the secondary transformer fuses (SI21/22) and from there to the base
supply (EB P14) via a relay switch (EB P01) that is controlled by the
power management of micro B.
DC mains supply The 24 V DC mains supply gets via external DC inlet (EC 04) to the DC
line fuses (SI 23) and from there to the base supply (EB P14) via a relay
switch (EB P02), controlled by the power management of micro B.
Back up battery supply The internal battery supply (EC 05) gets via the battery fuse (SI 24) to
the base supply (EB P14) via a relay switch (EB P03), controlled by the
power management of micro B. To enable the recharging of the
battery when necessary, a charger (EB P05) feeds the battery via a
fuse (SI 25), when the FET switch (EB P04) disconnects the internal
battery from the base supply (EB P14). This way, the battery can be
charged by both main supplies, but only when the power
management of micro B is active. A deep discharge control (EB P06)
cares for the internal battery’s life by prohibiting deep discharging.
Power management Voltage sensors deliver information to the micro B about the current
line voltage (EB P11), the current external DC voltage (EB P12) and the
internal battery voltage (EB P13).
With the ON/OFF button (EB P00) signal micro B turns system on or off.
The micro B manages the three power sources. Line supply and DC
main supply are treated as priority mains supply. A ventilation mode
can only be started, if one of these two supplies is available.
When one of these supply lines is active micro B checks charging
status of the internal battery and recharges it if necessary. If the main
supply line fails the system turns to supply via internal battery,
reduces power consumption by turning off the expiratory valve heater
and reducing the screen’s back light brightness.
On board power supply The main board B creates three bus supplies by a +13 V bus (EB P07)
micro B via a bus fuse (SI 26), a +15V bus (EB P08) via a bus fuse (SI 27) and a +5
V bus (EB P09) via a bus fuse (SI 28). For analog OP Amps a symmetrical
+- 12 V supply is created by EB P08.
The alarm system (EB S15), the fan (EB S10) and the control panel are
supplied by an OR from both +13V and +15V supply lines.
The watchdog (EB S02) controls the +13V (EBP30) and +15V (EBP31)
power supply of the safety functions of valve supply etc. In case of a
detected malfunction of one or both of the microprocessors the
watchdog is able to move the system into a fail-safe status by turning
off the bus supplies.
Safety Micro B talks to the watchdog system (EB S02 on PC board B, enabling
micro A to react in case of a malfunction of micro B and to allow the
watchdog to shut down the system. The watchdog has access to the
audible alarm too.
On board power supply The control panel supply voltage with +13V/15V is delivered from the
micro A main engine to the panel supply fuse (SI 1), the inverter supply fuse
(SI 2) and the alarm supply fuse (SI 4).
From SI 1 the +13V/15V (EA P08) is supplied to the +5V supply (EA P01),
the 5.0V reference (EA P03) and the alarm LED’s (EA S20). Beyond the
fuse SI 3, the 5 V bus EA P02 is distributed to the micro A (EA S00), the
DCU Graphics board (EA S12), the VGA display (EA S13), the buttons (EA
S15) and the Com wheel (EA S16).
From SI 2 the +13V/15V is supplied to the back light inverter (EA S11),
that supplies the Display back lights (EA S10).
From SI 4 the +13V/15V is supplied to the alarm horn system (EA S05).
Input The interface components ComWheel (EA S16) and buttons (EA S15)
talk to micro A directly. Data input from micro B is received via the
internal serial port (EA S01). The alarm horn control (EA S06) talks to
micro A.
Output Micro A controls output signals to the alarm LED’s (EA S20), the audible
alarm (EA S05) the back light inverter (EA S11) and the VGA display via
the graphic DCU board (EA S12). Data output to micro B is made via the
internal serial port (EA S01).
Safety Micro A talks to the watchdog system (EA S02) on PC board B, enabling
micro B to react in case of a malfunction of micro A. The watchdog has
access to the audible alarm, too.
Microprocessor A The micro A handles all data displayed in the screen, as well as audible
and visual alarm indicators within the control panel. The A EPROM is
loaded with the language specific issues. The A EEPROM allows storing
a “shadow” data set. Disconnection of the control panel during
operation will cause the watchdog system to activate and micro B to
shut down the system.
Graphic display Graphic display of data in the VGA screen (EA 9) is performed via a DCU
graphic board (EA 8).
Exp. valve heater To prevent the expiratory flow sensor from condensing water the
expiratory valve assembly is heated by the Exp. valve heater (EB E10),
supplied by the base supply via the fuse SI 41. The temperature is
controlled by micro B and the heater monitor (EB E12).
AIR flow A pressure sensor for AIR supply (EB M04) tells the micro B about the
pressure status of the AIR gas supply. Micro B generates AIR flow by
opening the proportional, double staged AIR flow valve (EB M03). The
AIR flow sensor (EB M01) measures the generated AIR flow and reports
this to micro B. To prevent the AIR flow pressure sensor from drifting,
the pressure sensor is periodically zeroed (pneumatically) by use of an
offset valve (EB M02).
O2 flow A pressure sensor for O2 supply (EB M09) tells the micro B about the
pressure status of the O2 gas supply. Micro B generates O2 flow by
opening the proportional, double staged O2 flow valve (EB M08). The
O2 flow sensor (EB M06) measures the generated O2 flow and reports
this to micro B. To prevent the O2 flow pressure sensor from drifting,
the pressure sensor is periodically zeroed (pneumatically) by use of an
offset valve (EB M07).
Exp. Valve (PEEP) The expiratory valve is a magnetic proportional valve system (EB E03)
that is controlled by micro B. Built in the expiratory assembly, the
expiratory flow sensor (EB E01) measures the expiratory flow via a
stainless steel flow screen and a pressure sensor. To prevent the exp.
flow pressure sensor from drifting, the pressure sensor is periodically
zeroed (pneumatically) by use of an offset valve (EB E02).
P airway The airway pressure is measured by the airway pressure sensor (EB
M11). To prevent the airway pressure sensor from drifting, the pressure
sensor is periodically zeroed (pneumatically) by use of an offset valve
(EB M12).
O2 sensor A fuel cell type O2 sensor (EB S20) measures the inspiratory O2
concentration and reports to micro B. Calibration is semi automatic.
Over pressure relief valve A solenoid valve operates as an over pressure relief valve (EB S25)
controlled by micro B.
Exp. valve locking motor The expiration valve locking motor system (EB E05) is controlled by
system micro B in current limiting and movement direction.
Nebulizer valves The micro B controls the nebulizer valves (EB M20, EB M21 and EB M22)
in gas selection between O2 and Air and duration of opening.
Watchdog The watchdog (EB S02) controls both microprocessors A and B and
turns off the + 15V WD and +13 V WD supply line, in case of detected
malfunction of program or micros. Thus the system is able to shut
down in a fail-safe mode.
Microprocessor B The micro B handles all controls and sensors, as well as the audible
alarm indicator within the main engine and the serial port
communication. The B EPROM is loaded with the control software. The
B EEPROM allows storing a “shadow” data set.
A and B EEPROM Both micros store data, such as calibration and “learned” values into
the according EEPROM in a “father” and “grandfather” sequence. For
safety reasons this sequence is doubled, which results in total in four
data store sequences. That is why successfully performing five (5)
system test is necessary for rewriting of all storage levels after
replacing PC board A or B.
Centiva/5 Plus
Pneumatic overview
Revision 3.x
A.Schober 27.12.05
Salvia Lifetec
Gas supply The gas supply connectors for O2 (P 01) and AIR (P 11) are screw
connectors that can be localized to country specific needs (NIST; DISS
etc.). Within the gas connectors there are easy to remove sinter filters
for each gas, to protect the system from particles.
Pressure reducer Pressure reducers for O2 (P 31) and AIR (P 32) regulate the input
pressure to a stabilized level of approx. 2.8 bar (39,5 PSI).
Pressure sensor Pressure sensors for O2 (P 02) and AIR (P 12) monitor the gas pressure
input to be above a minimum operating pressure of 1.9 bar (27 PSI).
O2 flow control Two proportional flow valves control the O2 flow, operating as double
staged valves. The first stage valve (P 03) controls the flow between 0
and approx. 43 l/min. Flow demands beyond this level will cause the
second stage valve (P 04) to open. A flow screen (P 06) generates a
differential pressure from the generated flow, which is measured by
the O2 flow pressure sensor (EB M06). The offset valve (P 05) allows
zeroing the pressure sensor (pneumatically) for online offset
calibration.
AIR flow control Two proportional flow valves control the AIR flow, operating as double
staged valves. The first stage valve (P 13) controls the flow between 0
and approx. 43 l/min. Flow demands beyond this level will cause the
second stage valve (P 14) to open. A flow screen (P 16) generates a
differential pressure from the generated flow, which is measured by
the AIR flow pressure sensor (EB M01). The offset valve (P 15) allows
zeroing the pressure sensor (pneumatically) for online offset
calibration.
Airway pressure The airway pressure within the breathing system is measured by the
airway pressure sensor (EB M11). The offset valve (P 22) allows zeroing
the pressure sensor (pneumatically) for online offset calibration.
Free breathing valve To avoid sub atmospheric pressure a free breathing valve (P 19) allows
ambient air intake in case of a gas supply problem.
Overpressure relief valves To avoid airway pressures beyond a level of 75 mbar (cmH2O) a
passive over pressure relief valve (P 20) is provided. To avoid airway
pressures beyond an adjustable level, set by the Pmax setting, an
active over pressure relief valve (P 21) is provided.
O2 sensor The inspiratory O2 sensor (EB S20) is located within the inspiratory
port.
Patient connection The breathing circuit (P 24) connects the machine via the inspiratory
port (P 23) and the expiratory port (P 26) to the patient.
Expiratory valve The airway pressure within the system is controlled by the expiration
pressure valve (P 27).
Expiratory flow A flow screen (P 29) is built into the expiratory valve assembly and
generates a differential pressure from the generated flow, which is
measured by the Exp. flow pressure sensor (EB E01. The offset valve (P
28) allows zeroing the pressure sensor (pneumatically) for online offset
calibration. The second port of the differential pressure is ambient.
Notes
Location: OPT:
1 Outside appearance
1.1 Housing, marking and buttons without damage
1.2 Power cord and appliance inlet without damage
1.3 O2 and Air hoses without damage
1.4 Expiration valve assembly without damage, flow screen
clean
1.5 Accessories, rubber and silicone parts without damage
2 Functional tests (for details refer to the current TRM)
2.1 Power up and System test shall be performed without
error message
2.2 Perform O2-Sensor calibration
2.3 Service mode values are within the specified ranges
2.4 Perform Service mode check according to TRM
2.5 Perform test lung test according to TRM
2.6 Verify measured O2- (O2-I)
2.7 Verify gas failure alarm for O2 and Air
2.8 Verify line power failure alarm and proper function of back
up supply
2.9 Verify battery condition according to TRM
3 Test of electrical safety
3.1 Protective earth resistance < 0.2 Ω Value:
3.2 Enclosure leakage current < 0.1 mA Value:
3.3 Earth leakage current < 0.5 mA Value:
3.4 Insulation resistance >2MΩ Value:
3.5 Verify line power supply fuse to match with selected
voltage
Remarks: Recharge back up battery after test !!
Device meets requirements
Notes
4.1.1 Power-up test The power-up test is started automatically when the system is turned
ON and takes at least 5 secs. The remaining test time counts down in
the screen. During this power-up test, Centiva/5 Plus will check proper
function of
• Microprocessor
A and B Centiva/5 + Bi-LevelNewborn
VG
• Watchdog
Trend
SW 3.nn.p HW 0/r Spirometry
software
versions in
EPROM A and B
• External power
supply, AC and
DC (if
applicable)
• Internal battery
back-up
• Fan
• Heater
• Expiration valve locking system
• Audible alarm system
• Back up battery capacity
If a malfunction is
identified during this Centiva/5 + Bi-Level VG
Newborn
power up test, the SW 3.nn.p HW o/r
Trend
Spirometry
corresponding
System test # 02_1
message appears in
the screen, including No line supply
the according failure Check line power cord and fuse Unlock
ventilator to a
Adult Pediatric Newborn Enter
breathing circuit and
seal the open end of
the y-piece by pushing it onto the sealer located on the expiratory
valve block. Select the type of patient, appropriate to the breathing
circuit attached.
Note The system test parameter will vary with the patient type selected to
match the breathing circuit’s specifications.
Push the ComWheel to start the system test. This system test takes at
least 40 secs. The remaining test time counts down in the screen.
During the system test, the system will check proper function of:
• O2 gas
supply
• O2 flow
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW 0/r Spirometry
valves
System test
• O2 flow
Test active, wait for 40 secs.
sensor
• AIR gas
supply
• AIR flow
valves
• AIR flow
Adult
sensor
• Nebulizer gas supply
• Pressure sensors
• Expiration valve
• Safety valves
• Exp. flow sensor
• O2 sensor
• Back up battery capacity
If a malfunction is
identified during this Centiva/5 + Bi-Level VG
Newborn
to section 5.3.2
“Messages during
system test”. Enter
Adult
The nebulizer test will be performed every time, though the system
detects automatically, if a nebulizer is connected to the breathing
circuit or not.
• If so, the particular nebulizer flow of this type of jet nebulizer is
measured, displayed and stored within the EEPROM.
• If not, the nebulizer flow test is bypassed and the last
measured flow data (stored in the EEPROM) is used for
compensation, if the user activates the nebulizer function later.
4.1.3 In-operation During operation the Centiva/5 Plus CC Ventilator continuously checks
test the following safety relevant functions and parameters:
• Inspiratory flow sensors
• Expiratory flow sensor
• Inspiratory pressure sensor
• O2 sensor
• AIR gas supply
• O2 gas supply
• Line power supply
• Battery charging status
• Internal power supply
• Fan
• Heater
• Buttons and ComWheel
• Microprocessor A and B
• Watchdog
• Checksums of all safety relevant data
The Test lung test is used to verify the overall functionality of the
ventilator and to observe the results of the continuous in-operation
tests. The power-up test and the system test of the Centiva/5 Plus CC
ventilator verify all safety relevant functions.
Perform the power-up test and the system test with a standard
disposable breathing circuit with:
• 22 mm corrugated dual lumen tube
• 70” length
The following screen will appear with the “Adult” default settings:
Bi-Level Adult
MV -E 12.5
2.5
3 .5 L
M S
Ins p.
V t-E h old
Paw 35 0 mL
P peak 21 Exp .
14cm H2 O h old
P min
3cmH2 O M an u al
br ea th
O2-I 55
P peak 14 cmH2O P EE Pi 0.0 cmH2O MV sp 0.0 L
45
50 % AS R
P plat 14 cmH2O V t-I 365 ml MV sp 0% Rate 40
P mean 11 cmH2O Rate s p 0.. .
/Min
P min 3 cmH2O R 7 c mH2O/ L/ s 8
10 1/m in
P peep 3 cmH2O C 34 ml/cmH2O RSB I --
--
Fi0 2 Rate I :E Ra mp Pin sp PEEP PS Tr g
i g. No rma l
50 10 1: 2. 0 0. 2 10 3 5 6. 0 s cree n
% 1/Mi n se c + PEEP cmH2O + PEEP L/Mi n
Test lung graphics The graphical data will vary with the breathing circuit and test lung
used. Verify that the quality of the graphics is comparable to that
shown on the screen above:
Default alarm settings Verify the following alarm settings (red figures) :
• Alarm limits MV E max = 12.0 L
• Alarm limits MV E min = 2.5 L
• Alarm limits Leakage = 25 %
• Alarm limits Pmax =23 cm H2O
• Alarm limits Apn.del. = 20 Sec
• Alarm limits Rate max = 40/Min
• Alarm limits Rate min = 8/Min
• Patient data O2-I max = 55 %
• Patient data O2-I min = 45 %
Test lung alarm Using the default ventilator and alarm settings will automatically
cause an MV min alarm. Thus, the visual and audible alarm system will
be checked.
Test lung numeric data The measured data will vary with the breathing circuit and test lung
used. Verify the data to be in the following range of values:
• MV E = 1.5 to 2.5 L
• TV E = 130 to 230 mL
• Ppeak = 12 to 15 cmH2O
• Pmin = 2 to 5 cmH2Or
• O2-I = 45 – 55 %
• Rate = 9 – 11 /Min
Test lung test mode To verify proper mode changing and volume accuracy:
change 1. Note the measured tidal volume (TV) in Bi Level mode.
2. Change the ventilation mode to VCV.
3. Verify the noted tidal volume (TV) to be the set VT in VCV.
4. Allow the ventilator to cycle for five (5) breaths to stabilize.
5. Verify that the quality of the graphics is comparable to that
shown on the screen below.
6. Verify that averaged measured tidal volume (TV) is within the
tolerance:
TV = VT ± (15 ml + 10%) .
Note This software revision has BTPS correction. Using a test lunge will
cause a constant deviation of the measured volume of –2 %. To ease
servicing this BTPS correction is not active when in service mode.
Centiva/5 + Bi-Level VG
Newborn
Trend
09:36:53
2006-11-21
SW 3.nn.p HW o/r Spirometry
Bypass
system test
System test
Make sure no patient is connected while Unlock
performing the System test. exp. valve
Complete system set up, seal y-piece
Start system test by pressing <Enter> Calibrate
O2 sensor
Align
The system will display
Ensure silver exp. valvethe
is infollowing
place screen: touch screen
Retain
Body weight 55 kg trend data
1 3 4
I
Note Software revision 3.nn.p has BTPS correction. To ease servicing this
BTPS correction is not active when in service mode.
The service mode allows verifying the following internal values of the
system:
6. Line voltage = main bus supply voltage
a. Line voltage AC = AC line supply detected
b. Line voltage DC = DC line supply detected
7. Panel voltage = control panel supply voltage
8. Valve voltage = valve supply voltage
9. Battery voltage = internal back-up battery voltage
10. Controller A/B = microprocessor A/B supply voltage
11. Heater power = expiratory valve heater power dissipation
12. Temper. I/E = Inspiratory / expiratory temperature.
The service mode displays the following PEEP valve data (Exp. valve):
21. G = gain value
22. GR = gain value corrected
23. O = offset value
24. OR = offset value corrected
25. K = correction factor
1. Ensure proper O2, AIR and line supplies are connected before
turning ON the system.
2. Wait for the power-up test to complete, and then start the service
mode according to 4.3.
3. Check the actual sensor offset values for Pat. Pressure, Exp. flow,
AIR flow and O2 flow to be in the “no re-adjustment necessary”
range according to section 9.9 “Sensor data ranges”.
4. Connect the inspiratory and expiratory ports with one tube.
5. Verify proper AIR supply pressure and proper function of the AIR
pressure switch by AIR flow “ON”.
6. Verify proper AIR flow function by selecting “AIR” and “x 10” and
increasing the flow by use of the ComWheel.
7. Use the ComWheel to verify that the AIR flow can be returned to
zero.
8. Verify proper O2 supply pressure and proper function of the O2
pressure switch by O2 flow “ON”.
9. Verify proper O2 flow function by selecting “O2 ” and “x 10” and
increasing the flow by using the ComWheel.
10. Use the ComWheel to verify that the O2 flow can be returned to
zero.
11. Verify proper expiratory flow function by comparing the data
displayed with the set O2 flow.
12. Select “AIR”, “x 1” and adjust the ComWheel for an AIR flow of 20
L/Min.
13. Verify proper Airway pressure function by selecting “Pressure” and
increasing the pressure setting by use of the ComWheel.
14. Verify proper O2 concentration while changing Air and O2 flows.
Note Both EPROM’s must have the same revision level. During the power-up
test, the system compares the software revisions in both EPROM. If
they do not match, an error message is displayed in the message box.
The power-on time recognizes the total time that the system is
connected to line power supply AND is switched ON, no matter in what
mode.
The operation time only counts the time in total, the system is in a
(any) ventilation mode.
4.7 Calibrations
In the Centiva/5 Plus CC Ventilator the following components may be
calibrated during service:
1. O2 concentration sensor
2. AIR flow sensor
3. O2 flow sensor
4. Expiratory flow sensor
5. Airway pressure sensor
6. Battery charging end voltage.
For all other calibrations open the main engine housing first, according
to section 7.2.4.
Important note The expiratory flow sensor calibration is performed anytime, the
system test is performed. That replaces the routine calibration of the
expiratory flow sensor.
Only in case of a B-Board change (requiring a basic calibration of the
system), or if the expiratory flow sensor has problematic identified, a
re-calibration procedure necessary.
Important note Always allow the Centiva/5 Plus to warm up for at least 15 minutes
prior to any calibration procedure.
BTPS correction note All software revisions have BTPS correction in operation mode. To ease
servicing this BTPS correction is not active when in service mode.
AIR – O2 mixing To ensure consistent O2 – AIR mixture over a variety of flow settings
always calibrate both, the AIR flow sensor and the O2 flow sensor,
when having the need to calibrate one of the two flow sensor lines.
Special notice To ensure proper gas mixture at the O2 sensor, connect a tube to the
inspiratory connector.
Access in user system test Push the menu button after completion of the power-up test to access
menu the user system test menu. The system will prompt with the following
screen:
Access in service mode From the service mode the O2 calibration is started by pushing the
“O2cal” button.
Special notice After performing an O2 calibration, flush the system with AIR. This will
avoid possible misinterpretations of the FiO2 measurement, caused by
high concentrations of O2 within the internal tubes and pneumatic
components.
4.7.3 AIR flow The AIR flow calibration is divided into two parts
calibration
• The offset calibration
• The gain calibration
The Offset calibration is performed with the use of the service mode
only. The gain calibration is performed by using an external flow
measurement device.
Offset calibration To calibrate the AIR flow sensor follow this preparation sequence:
Gain calibration 16. Use the ComWheel to increase the AIR flow to read 30.0 L/min
on the “AIR flow” “Rated”. The units in the service menu
change from Digits to L/Min.
17. Verify that the external flow meter device reads 30 ± 1.5L/Min.
18. If not readjust the “Gain” for the AIR flow sensor with R 313 on
the main board to read 30 ± 1.5 L/Min.
19. Use the ComWheel to decrease the AIR flow to read 0 L/min.
20. Check the “AIR flow” “Actual” to be at the “Rated” value ± 50
digits.
21. If not, readjust the “Zero” for the AIR flow sensor with R 316 on
the main board to read the “rated” value ± 10 digits.
22. Use the ComWheel to increase the AIR flow to read 10.0 L/min
on the “AIR flow” “Rated” The units in the service menu change
from Digits to L/Min”.
23. Verify that the ACTUAL RATED
external flow meter Pat.Pressure 0 mbar 0 mbar
device reads 10 ± 0.5 Exp.flow
AIR flow ON
513 Digit
350 Digit
500 Digit
10 L/Min
L/Min. O2 flow ON 251 Digit 250 Digit
24. If not, go back to step 16. Change setting for 30 l/min within
the tolerance in the desired direction to match the 10 ± 0.5
L/Min.
25. Use the ComWheel to increase the AIR flow to read 60.0 L/min
on the “AIR flow” “Rated”.
26. Verify that the external flow
meter device reads 60 ± 3.0
L/Min.
27. If not, go back to step 16.
Change setting for 30 l/min
within the tolerance in the
desired direction to match
the 60 ± 3.0 L/Min.
28. If the AIR flow cannot be
calibrated within the three
flow specifications, check AIR gas filter.
Note Best results for linearity match with all three test flows are received
when the “Gain” is adjusted initially at 30 l/min value in step 16. to read
29.8 L/min on the external flow meter device.
Offset calibration The Offset calibration can only be performed in service mode. The gain
calibration is performed by using an external flow measurement
device.
test. Pat.Pressure
Exp.flow
0 mbar
513 Digit
0 mbar
500 Digit
AIR flow ON 254 Digit
7. Start the service mode O2 flow ON 251 Digit
250 Digit
250 Digit
according to section
4.3.
8. Use a 10” 22 mm tube to connect the external flow
measurement device to the inspiratory connection.
9. Verify that the direction of flow is correct for the measurement
device.
10. Turn on the flow measurement device and let it warm up
according to manufacturers
instructions.
11. Select O2 for the measured gas
on the flow measurement
device.
12. Select the “O2” and “x 1”
button.
13. Verify the flow to be 0 L/Min on
the external flow measurement
device.
14. Check the “O2 flow” “Actual” to be at the “Rated” value ± 50
digits.
15. If not, readjust the “Zero” for the O2 flow sensor with R 306 on
the main board B to read the “Rated” value ± 10 digits.
Gain correction 16. Use the ComWheel to increase the O2 flow to read 30.0 L/min on
the “O2 flow” “Rated” The units in the service menu change from
Digits to L/Min.
17. Verify that the external flow meter device reads 30 ± 1.5 L/Min.
18. If not, readjust the “Gain” for the O2 flow sensor with R 303 on
the main board to read 30 ± 1.5 L/Min.
19. Use the ComWheel to decrease the O2 flow to read 0 L/min.
20. Check the “O2 flow”
“Actual” to be at the ACTUAL RATED
Pat.Pressure 0 mbar 0 mbar
“Rated” value ± 50 Exp.flow 513 Digit 500 Digit
digits. AIR flow ON
O2 flow ON
254 Digit
351 Digit
250 Digit
10 L/Min
21. If not, readjust the
“Zero” for the O2 flow sensor with R 306 on the main board to
read the “Rated” value ± 10 digits.
22. Use the ComWheel to increase the O2 flow to read 10.0 L/min on
the “O2 flow” “Rated”.
23. Verify that the external flow meter device reads 10 ± 0.5 L/Min.
24. If not, go back to step 16. Change setting for 30 l/min within the
tolerance in the desired
direction to match the 10 ± 0.5
L/Min.
25. Use the ComWheel to increase
the O2 flow to read 60.0 L/min
on the “O2 flow” “Rated”.
26. Verify that the external flow
meter device reads 60 ± 3.0
L/Min.
27. If not, go back to step 16.
Change setting for 30 l/min
within the tolerance in the desired direction to match the 60± 3.0
L/Min.
28. If the O2 flow cannot be calibrated within the three flow
specifications, check O2 gas filter.
Note Best results for linearity match with all three test flows are received
when the “Gain” is adjusted initially at 30 l/min value of step 16. to
read 29.8 L/min on the external flow meter device.
4.7.5 Expiratory flow The Expiratory flow sensor calibration is divided into two parts
sensor calibration
• The offset calibration
• The gain calibration
Offset correction The Offset calibration can only be performed in service mode. The gain
calibration is performed by using the calibrated AIR flow system (refer
to section 4.7.3.).
the system.
6. Verify that the system performs the power-up test.
7. Start the service mode
according to section 4.3.
8. Use a 10” 22 mm tube to
connect the inspiratory and
expiratory ports.
9. Select the “AIR” and “x 1” button.
10. Verify the flow to be 0 L/Min on
the “AIR flow” ” Actual” line.
11. Check the “Exp. flow” “Actual” to
be at the “Rated” value ± 100
digits.
12. If not, readjust the “Zero” for the
Exp. flow sensor with R 336 on the main board to read the “Rated”
value ± 10 digits.
Note Verify the AIR flow has been calibrated according to 4.7.3 before
performing the expiratory flow gain calibration.
25. Check the “Exp. flow” “Actual” to read “Cal10” ± 0.5 L/Min.
26. If not, go back to step 18. Change setting for 30 l/min within the
tolerance in the desired direction to match the “Cal10” ± 0.5
L/Min.
27. Use the ComWheel to increase the AIR flow to read 60 L/min on
the “AIR flow” “Rated” line.
28. Check the “Exp. flow” “Actual” to read “Cal60” ± 3.0 L/Min.
29. If not, go back to step 18. Change setting for 30 l/min within the
tolerance in the desired direction to match the “Cal60” ± 3.0
L/Min.
30. When all three values match, calibration is performed properly.
31. Now unscrew flow screen
retainer in the exp. valve
assembly. For flow retainer
with a visible slot use the
stainless steel plate of the
PEEP valve to unscrew. For
other flow retainer use the
inspiration connection nut
from the tool kit ST4.
32. Remove “Service” Flow screen
and insert the original flow screen (customer flow screen).
33. Screw the flow retainer.
34. Perform a system test to verify proper operation of the valve
assembly.
Note For Centiva/5 NB (newborn extension) use always the silver Adult /
Pediatric (standard) expiration valve with the according “Service “ flow
screen to perform expiration flow sensor calibration
Calibration without In case expiration flow sensor calibration must be performed without a
“Service” flow screen ST5 “service” flow screen, follow this sequence
P/N M1063267
Flow screen correction Flow screen tolerance New value for New value New value
data table “Insp” step 19. for step 25. for step 28.
+ 9.99 % to + 9.00 % 27.2 9.1 54.3
+ 8,99 % to + 8.00 % 27.5 9.2 54.9
+ 7.99 % to + 7.00 % 27.8 9.3 55.5
+ 6.99 % to + 6,00 % 28.1 9.4 56.1
+ 5.99 % to + 5.00 % 28.4 9.5 56.7
+ 4.99 % to + 4.00 % 28.7 9.6 57.3
+ 3.99 % to + 3.00 % 28.9 9.7 57.9
+ 2.99 % to + 2.00 % 29.3 9.8 58.5
+ 1.99 % to + 1.00 % 29.6 9.9 59.1
+ 0.99 % to + 0.50 % 29.8 9.9 59.7
± 0.49 % 30.0 10.0 60.0
(Service flow screen)
- 0.50 % to – 0.99 % 30.2 10.1 60.3
- 1.00 % to – 1.99 % 30.5 10.2 60.9
- 2.00 % to – 2.99 % 30.8 10.3 61.5
- 3.00 % to – 3.99 % 31.1 10.4 62.1
- 4.00 % to – 4.99 % 31.4 10.5 62.7
- 5.00 % to – 5.99 % 31.7 10.6 63.3
- 6.00 % to – 6.99 % 32.0 10.7 63.9
- 7.00 % to – 7.99 % 32.3 10.8 64.5
- 8.00 % to – 8.99 % 32.6 10.9 65.1
- 9.00 % to – 9.99 % 32.9 11.0 65.7
4.7.6 Airway The Airway pressure sensor calibration is divided into two parts
pressure sensor
calibration • The offset calibration
• The gain calibration
The Offset calibration is performed with the use of the service mode
only. The gain calibration is performed by using an external pressure
measurement device. To calibrate the airway pressure sensor:
Gain correction 16. Select the “Press” button and use the ComWheel to increase the
“Pat. Pressure” “Rated“ to read to 60 mbar.
17. Select the “AIR” and “x1” button and use the ComWheel to
increase the “AIR flow” “Rated” to read 1 L/min. The units in the
service menu change from Digits to L/Min.
18. Check the “Pat. Pressure” “Actual” to read the “external pressure
measurement device” value ± 0.6 mbar.
19. If not, readjust the “Gain” for the Airway pressure sensor with
R 323on the main board to read “external pressure measurement
device value” ± 0.6 mbar.
20. Reduce the test pressure to 0 mbar by reducing the “Pat-
pressure” rated to 0 mbar and the AIR flow to 0 L/min. Open the
seal at the y-piece.
21. Verify the pressure to be 0 mbar on the ext. pressure meter.
22. Check the “Pat. Pressure” “Actual” to be at 0 ± 0.5 mbar.
23. If not, readjust the “Zero” for the Airway pressure sensor with
R 326 on the main board to read 0 ± 0.1 mbar.
4.7.7 Overpressure The overpressure relief valve calibration is performed with the use of
relief valve the service mode.
calibration To calibrate the overpressure relief valve:
4.7.8 Battery The internal back-up battery is recharged only when the system is
charging voltage connected to an external power source AND is in the ON state. For the
system to be in the ON state, both the line switch (located on the rear
calibration panel) and the ON-OFF button (located on the front panel – green
lamp) must be in the ON position To ensure proper recharging of the
sealed lead acid battery, the charger’s maximum voltage needs to be
adjusted whenever the battery is exchanged. Perform the voltage
calibration by using an external voltmeter device.
The Centiva/5 Plus internal back up battery has an expected life time
of 24 months under standard operation conditions (10 to 35°C). After
24 months this battery needs replacement.
Battery refreshing A battery with a capacity of less then 30 minutes can be refreshed to
gain capacity again by completely discharging and completely
recharging. The main aspect in that refreshing process is to empty the
battery down to its lowest accepted level, which is controlled by the
Centiva/5 Plus’s power management, and fully charge afterwards.
Special notice It is important that the discharging process and the recharging
process are not interrupted.
AIR flow ON The ON / OFF flag behind the AIR flow indicates the status of the
pressure switch. The flag is “ON” when an AIR supply pressure is
detected with > 1.9 kPa (27 PSI). The actual AIR flow data is displayed
here.
O2 flow ON The ON / OFF flag behind the O2 flow indicates the status of the
pressure switch. The flag is “ON” when an O2 supply pressure is
detected with > 1.9 kPa (27 PSI). The actual O2 flow data is displayed
here.
Line voltage AC The AC / DC flag behind the line voltage indicates the source of the
mains supply. The flag is “AC” when line supply is detected, the flag is
“DC” when 24 V DC supply is detected.
The line voltage is measured at the base supply line and represents
• the secondary transformer voltage, when connected to AC line
supply. Accepted voltage range is 19 to 29 V, which represents
the following line supply voltages
- 98 to 132 VAC at 115 VAC (50-60 Hz)
- 198 to 263 VAC at 230 VAC (50-60 Hz)
• the external DC voltage, when powered by DC line supply.
Accepted voltage range is 22.5 to 28 VDC .
Panel voltage The panel voltage measures the +13/15V control panel supply.
Accepted voltage range is 12.5 to 17.0 V.
Valve voltage The valve voltage is measured at the main bus 13 V WD (WD =
watchdog controlled bus). Accepted voltage range is 11.5 to 15.0 V.
Battery voltage The battery voltage measures the internal back-up battery voltage.
Accepted voltage range is 22.5 to 29 V. Additional data:
Controll. A/B The controller voltage is measured for each microprocessor, the micro
A and micro B supply bus. Accepted voltage range is 4.5 to 5.5 V.
Heater power The heater power measures the power dissipation of the expiratory
flow sensor heating system. Accepted power dissipation is < 12.0 W.
Temperature I/E The temperature for the inspiratory engine (I) and the expiratory flow
sensor (E) is displayed here. Accepted temperature is 5 to 48 °C.
There are two ways to access the event log and trend data.
- trend option is available and trend data is retained
- trend option is not available or trend data was not retained
Important note If the system has been started without activating the “Retain trend
data “ button the Centiav/5 Plus’ internal trend viewer has been reset
to the current date and time and older data is no longer visible to the
user. Internally older data are still stored and available for service
purpose. In this case follow the instruction for Centiva/5 plus without
trend option.
Trend option not available In case no trend option is available or the retain data button has not
been activated and Centiva/5 Plus’ internal viewer is reset, the internal
service log can be downloaded through the front side serial port at the
control panel to a PC or laptop.
Hardware connection To download trend data from Centiva/5 Plus’ service log to a Laptop or
PC follow this instruction:
WARNING Although the front side Lemosa port of the Centiva Plus is
galvanically isolated and allows connecting PC or laptop,
always perform a service log download when no patient is
connected and device is not in operation mode.
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry
Enter
Bi-Level Adult
MV -E 12.5
2.5
5.5
3 .5 Lite r
L
M S
Ins p.
V t-E h old
Paw 35 0 mL
P peak 21 Exp .
MV low
14cm H2 O h old
P min
3cmH2 O M an u al
br ea th
O2-I 55
P peak 14 cmH2O P EE Pi 0.0 cmH2O MV sp 0.0 L
45
50 % AS R
P plat 14 cmH2O V t-I 365 ml MV sp 0% Rate 40
P mean 11 cmH2O Rate s p 0.. .
/Min
P min 3 cmH2O R 7 c mH2O/ L/ s 8
10 1/m in
P peep 3 cmH2O C 34 ml/cmH2O RSB I --
--
Fi0 2 Rate I :E Ra mp Pin sp PEEP PS Tr g
i g. No rma l
50 10 1: 2. 0 0. 2 10 3 5 6. 0 s cree n
% 1/Mi n se c + PEEP cmH2O + PEEP L/Mi n
5.2 Alarms
5.3 Messages
5.3.1 Messages
during power-up test
Code Message Type Set condition Action Reset condition
No line supply. Advice Line power supply Check line power If line power
fails supply, socket, power supply is restored
OR cord, plug, primary OR
external DC power fuses and line switch. If external DC
supply fails Check external battery power supply is
charging level, power reconnected
cord and plug.
Battery Advice Internal back up Recharge battery or If internal back up
depleted. battery empty replace, if necessary.batter is
recharged
“DC mains Advice External DC supply No service action If line power
supply” is active necessary supply is restored
Or If external DC
power supply is
disconnected
Test active, wait Advice System is in test No service action If test is
for xx secs. procedure for at necessary successfully
least xx seconds finished Or If test
has identified any
system
shutdown errors
00-1 Controller B no System Controller Check SIO and B board If communication
function. shut problems are functions and replace between PC
down identified B board, if necessary board A and B is
error OK
00_2 “System error System Battery on PC Do not operate system Call authorized
during previous shut board A defective on patient. Turn off service specialist.
ventilation or down or the unit without The “Service
front panel error Start up after a pressing "Service reset” button is to
battery “System error” reset" to prevent be used by the
discharged or during previous unknowing use of the service specialist
defective. ventilation system from another only.
(System shift
shutdown 4040)
Do not operate
system on
patient. Switch
off device and
contact
authorized
service
specialist.
5.3.2.Messages
during system test
Code Message Type Set condition Action Reset condition
“Make sure no Advice System has Complete system set Proceed with
patient is successfully up with breathing system test by
connected while passed power up system and airway pushing <Enter>
performing the test and is ready to management
system test. start system test components intended
Complete to be used upon
system set up, following breathing
seal Y-piece. mode. Seal y-piece by
Start system test plugging y-piece onto
by pressing the sealer at the
<Enter> expiration valve block
12-1 No O2 gas Advice Insufficient O2 Check for proper O2 O2 supply
supply. supply pressure gas supply and for pressure
Check O2 gas clean inlet gas filters. exceeding 2 bar
supply or for (28 PSI)
single gas AIR- OR
supply press repeat test by
<Enter> pushing <Enter>
13-1 No AIR gas Advice Insufficient AIR Check for proper AIR AIR supply
supply. supply pressure gas supply and for pressure
Check AIR gas clean inlet gas filters. exceeding 2 bar
supply or for (28 PSI)
single O2-supply OR
press repeat test by
<Enter> pushing <Enter>
14-1 Oxygen flow Advice O2 flow sensor is Recalibrate O2 flow O2 flow sensor
sensor miscalibrated line signal within
miscalibrated or OR proper offset
defective, O2 flow sensor is range
measured offset defective OR
out of range. repeat test by
Repeat test by pushing <Enter>
pressing
<Enter>.
23-2 Expiration flow Cau- Expiration flow Check tube from exp. Expiration flow
offset valve does tion sensor offset valve flow sensor port on offset valve
not react or problem identified valve assembly to B operates properly
wrong signal OR board and replace B OR
from expiration flow sensor is board, if necessary Proceed with
flow sensor. defective system test by
System may not Or flow screen is pushing <Enter>
be operated. dirty or blocked
Repeat test by
pressing
<Enter>.
23-3 Expiration flow Cau- Expiration flow Replace B board Expiration flow
offset valve does tion sensor offset valve offset valve
not react Repeat problem identified operates properly
test by pressing OR
<Enter>. Proceed with
system test by
pushing <Enter>
24-1 Exp. flow sensor Advice Expiration flow Check proper Expiration flow
value too high sensor value too expiration valve type sensor signal in
with AIR flow. high with AIR flow. is inserted (silver for proper range Or
Check oxygen OR adult/pediatric and Proceed with
sensor flow screen is dirty blue for newborn) system test by
calibration. or blocked or remove expiration pushing <Enter>
Check expiration OR valve from lock,
valve for oxygen value reassemble and
resistance, incorrect reinsert prior to restart
ensure valve OR the system test
matches blue Newborn or recalibrate O2 cell
selected patient valve assembly or recalibrate Air flow
type or repeat inserted but line or replace
test by pressing Adult/Pedia mode pneumatic assembly
<Enter>. selected
5.3.3 Messages
during O2 sensor
calibration
Code Message Type Set condition Action Reset condition
No signal: wrong Advice If sensor signal Ensure proper O2 gas Sensor signal
gas or sensor does not exceed supply exceeds 40%at
defective. 40% at calibration OR calibration with
with 99% O2 Replace O2 sensor 99% O2
Signal low: sensor Advice If sensor signal Ensure proper O2 gas If sensor signal is
used-up or sensor does not reach supply in between
failure. minimum data OR minimum and
sheet value at 99% Ensure proper AIR gas maximum data
OR supply sheet values at
21% O2 OR 21% with AIR
Replace O2 sensor AND
99% with O2
Signal high: sensor Advice If sensor signal Ensure proper O2 gas If sensor signal is
failure or PCB exceeds maximum supply in between
failure. data sheet value at OR minimum and
99% Ensure proper AIR maximum data
OR supply sheet values at
21% O2 OR 21% with AIR
Replace O2 sensor AND
Or B board 99% with O2
Calibration Advice If calibration settles Finish the calibration n/a
successfully properly at procedure
finished. 21% with AIR
AND
99% with O2
5.3.4 Messages
during operation
No. Message Type Set condition Meaning Reset condition
1 Battery xx Min. Advice In all modes: System power supply In all modes:
If line power supply from internal back up If line power is
fails battery. Remaining reconnected
OR operating time on OR
If external DC battery is “xx Min” If external DC
power supply fails power supply is
OR reconnected
If internal battery is OR
charging If internal battery
is fully charged
2 Tube: a, xx, yy% Advice In all modes: ARC is active for In all modes:
If Airway a type of tube with If ARC is turned off
resistance xx mm diameter and
compensation ARC yy % compensation
is used
3 No test Advice In all modes: System test to identify Perform system
If system test had breathing circuits test
not been compliance,
performed resistance and
leakage was not
performed. System
uses default data to
compensate.
4 Only O2 Advice In all modes: Only O2 gas supply Perform system
If during system with setting FiO2 test with AIR gas
test single gas default to 100% in all supply
operation for O2 modes
only was
confirmed
5 Only AIR Advice In all modes: Only AIR gas supply Perform system
If during system with setting FiO2 test with O2 gas
test single gas default to 21% in all supply
operation for AIR modes
only was
confirmed
6 Adult Advice In all modes: For all system settings Select “pediatric”
System is in “adult adult mode default to change
mode” values are used
7 Pedia Advice In all modes: For all system settings Select “Adult” to
System is in pediatric mode default change
“pediatric mode” values are used
Notes
WARNING The oxygen sensor is a fuel cell type sensor and contains
toxic material.
- Do not open the oxygen sensor.
- Do not dispose the oxygen sensor into open fire.
- Do not apply mechanical shock.
- If exposed to electrolyte (acid) wash immediately
with plenty of water.
The oxygen sensor must be disposed of in accordance with
applicable regulatory requirements in effect at the time and
place of disposal.
6.2.2. Every twenty In addition to the 12 month requirements, perform the following every
four (24) months twenty-four months:
6.2.3 Every sixty (60) In addition to the 24 month requirements, perform the following every
months sixty months:
7.2.1 Remove the The following procedures describe how to remove the expiration valve
exp. valve assembly of the Centiva/5 Plus CC Ventilator when:
a. external power supply is available and the ventilator is able to
control the expiration valve locking mechanism.
b. no external power supply is available, but the ventilator is still
able to control the expiration valve locking mechanism.
c. there is no power available or the ventilator is no longer able to
control the expiration valve locking mechanism.
a) Ext. power supply is Operate the system with the external power supply.
available and exp. valve
control is working 1. Connect the system to line power.
2. Turn ON the system.
3. Wait for the
automatic
power-up Centiva/5 + Bi-Level Newborn
Trend
VG 09:36:53
2006-11-21
system. Expiration
10
valve unlocked. 16cmH2O hold
Ready 2to be
Flow
L/Min 4
removed
6 8
from
10
device.
12 14 16 18 20 Pmin
3 Manual
8. When re-
-10
breath cmH2O
-20
O2-I 55
inserting the Ppeak 16 cmH2O P 3 cmH2O MV sp 0.0 L
PEEP
45
50 ASR %
system --
automaticall Fi02
50
Rate I:E
10 1:2.0 350
Vt Plimit
30
PEEP
3
I-Flow Trig. Normal
25 OFF screen
y locks the % 1/Min ml cmH2O cmH2O L/Min L/Min
Note The re-locking of the expiration valve after re-insertion only works with
an appropriate external power supply (line or DC) connected.
b) Ext. power supply is Operate the system with the internal back-up battery.
not available, but exp. 1. Turn ON the system.
valve control is
2. The system will prompt with an alarm message indicating that
working
line supply is missing.
3. Activate VCV Adult
Trend
MV-E
2.5
3.5
12.5
“unlock
10
M S
SW 3.nn.p HW o/r Spirometry Insp.
5 Vt-E hold
expiration System test # 02_1
Paw
cmH2O 2 4 6 8 10
350
12 14 16 18 20 mL
valve” 20
Ppeak
16
21 Exp.
hold
No line supply
10
cmH2O
3 Unlock
16 18
Manual
20
ComWheel -20
O2-I
breath
55exp. valve
cmH2O
selection.
PEEPi 40
Pmean 8 cmH2O R
Pmin 3 cmH2O
7 cmH2O/L/s
C 27 ml/cmH2O 8
10 1/Min
5. The locking --
mechanism Fi02 Rate I:E Vt Plimit PEEP I-Flow Trig.
releases the
Normal
50 10 1:2.0 350 30 3 25 OFF screen
% 1/Min ml cmH2O cmH2O L/Min L/Min
expiration
valve assembly.
6. The expiration valve can be removed from the system.
c) No power available or Under normal conditions, the expiratory valve assembly can be
exp. valve control does removed by selecting an option in the service menu or the system test
not work menu. If this software function is no longer available or the locking
mechanism is not functioning properly, use the following procedure to
remove the expiratory valve assembly and gain access to the one
housing screw. (Emergency case)
7.2.2 Remove the To remove the control panel assembly of the Centiva/5 Plus CC
control panel Ventilator, follow this sequence
7.2.3 Open the To open the control panel of the Centiva/5 Plus CC Ventilator, follow
control panel this sequence
7.2.4 Control panel The open control panel of the Centiva/5 Plus CC Ventilator.
assemblies
7.2.5. Open the main To open the main engine of the Centiva/5 Plus CC Ventilator follow this
engine sequence:
7.2.6. Remove the To gain access from the front side of the main engine of the Centiva/5
control panel Plus CC Ventilator follow this sequence:
mounting plate
1. Open the main engine according to section 7.2.5.
2. Remove the front panel according to section 7.2.2.
3. Remove control panel mounting plate on main engine by
removing the two (2) screws in front.
4. Disconnect ground connection at the expiration valve locking
assembly.
5. Disconnect the serial connection “X14” at the PC board B.
6. To reassemble follow instruction above in reverse.
7.2.7 Main engine The open main engine of the Centiva/5 Plus CC Ventilator:
assemblies
1) 13)
12)
3)
11)
4)
10)
5) 6) 7) 8) 9)
1) PC board B.
2) Pneumatic assembly (below battery assembly).
3) Passive over pressure relief valve.
4) Expiration valve control assembly.
5) “Patient” tube.
6) Nebulizer port.
7) Patient connection assembly.
8) O2 sensor.
9) ON / OFF switch.
10) Line voltage selector.
11) Transformer.
12) Internal battery
13) B EPROM
2. Control panel.
a. Encoder for ComWheel
b. ComWheel button (grey)
c. PC board, inverter, back light supply
d. Li Battery for real time clock
e. Alarm speaker A
f. DCU board
g. PC board A
h. TFT display
i. Front housing with touch screen
j. Rear housing with mounting system
3. Maine engine
a. Control panel mount.
b. Expiratory valve assembly.
c. Expiratory valve control assembly.
d. Patient connection assembly.
e. O2 sensor.
f. Internal battery assembly.
g. Transformer.
h. PC Board “B”, w/o B EPROM.
i. Pneumatic assembly.
j. Fan assembly.
k. Alarm speaker B.
l. Line connector assembly.
m. ON /OFF switch assembly.
n. DC main connector assembly.
o. Ground stud assembly.
p. Serial data connection assembly.
q. Tubing kits.
r. Lower housing.
s. Upper housing.
7. Change the line supply fuses SI 0 a & b inside the line connector
according to the line supply voltage used:
- 2 x 1.6 A slow blow at 115 VAC line voltage
- 2 x 0.8 A slow blow at 230 VAC line voltage
For details refer to section 7.7.1.
8. Verify proper insertion of fuses and installation of the internal
connector to the transformer prior to re-assembly.
9. Verify proper labeling for fuse and supply voltage.
• The A EPROM is located on the control panel board (PC board A).
• The B EPROM is located on the main board (PC board B).
When installing a new software version, verify that both EPROM’s, the
A and the B, are from the same version. During the power-up test, the
system compares the software revisions in both EPROM’s. If they do
not match, an according message is displayed in the message box.
Correct!
Wrong!
7.5.1 Change the (A) Following languages are available in the software of the Centiva/5 Plus
EPROM CC ventilator.
a) English
b) German
c) Polish
d) Spanish
e) French
f) Italian
g) Portuguese
h) Dutch
To verify proper function, turn ON the system and perform the power-
up test. To configure desired language see chapter 10 for more details.
Special notice When updating software to 3.01.3 and up be aware that the message
“System error during previous ventilation or front panel battery
discharged or defective. (System shutdown 4040)” will appear after
first power up test. This is because the proper operation key must be
written once in the EEPROM. Confirm the message by pushing the
“Service reset” button. That will rewrite and store the proper operation
key and eliminate this message. During next power up test this
message will not appear any more.
7.5.2 Change the To replace the B EPROM follow the instruction below:
main (B) EPROM
1. Ensure that the system is turned OFF and line power is
disconnected.
2. Open main engine according to section 7.2.5.
3. Use a chip extractor to remove the current B EPROM.
4. Insert the new B EPROM (mark toward the left side).
5. Verify that the EPROM is properly inserted.
To verify proper function, turn ON the system and perform the power-
up test.
Always use the identical type and rating when replacing a fuse. For
details see list of fuses in section 9.7.
7.7.1 Change the To replace the line fuses inside the line connector, located on the back
line fuses side of the main engine, follow this sequence:
7.7.2 The control The Centiva/5 Plus CC ventilator’s control panel is protected by the
panel fuses following fuses:
Important note These fuses care for a fail safe mode of the micro A device in case of a
malfunction. In all known cases of a blown fuse parts of the electronic
of PC board A were causing it. These defective parts on PC board A
needs to be evaluated prior to re-activating the board into operation.
In case of replacing the fuse without investigating the cause of the
over current it must be estimated that a defective electronic part of PC
board A either may cause the fuse to blown again or may cause a
malfunction of the device later again.
7.7.3 Change the The Centiva/5 Plus CC ventilator’s main engine is protected by the
main engine fuses following fuses that are all located on the PC board B:
• SI 10 = Alarm speaker B = 0.315 A slow blow.
• SI 11 = Fan = 0.315 A slow blow.
• SI 21 = Transformer secondary 1 = 3.15 A slow blow.
• SI 22 = Transformer secondary 2 = 3.15 A slow blow.
• SI 23 = Line 24 V DC inlet = 3.15 A slow blow.
• SI 24 = Back-up battery = 3.15 A slow blow.
• SI 25 = Battery charger = 0.5 A slow blow.
• SI 26 = + 13 V bus = 3.15 A slow blow.
• SI 27 = + 15 V bus = 3.15 A slow blow.
• SI 28 = + 5 V bus = 0.5 A slow blow.
• SI 29 = isolated power supply (serial) = 0.315 A slow blow.
• SI 41 = Exp. Valve heater = 1.0 A slow blow.
Note Always use the identical type and rating when replacing a fuse. For
details see list of fuses in section 9.7.
To replace the fuses on the PC board B inside the main engine follow
this sequence:
1. Open the main engine according to section 7.2.5.
2. Disconnect the back-up battery connector X23.
3. Replace fuse.
4. Verify proper function after reassembly by performing a power-
up test.
5. If the fuse blows again, analyze the reason prior to another
replacement of fuses.
For location details of fuses refer to the component print of PC board B
in section 9.
7.8.1 Replace To replace the Centiva/5 Plus’ control panel’s ComWheel follow this
ComWheel encoder sequence:
Important Note 17) Accept the message by pressing the accept button.
18) Watch the system now performing the standard power-up test.
19) Run a complete system test and verify proper operation of the
Option menu system.
Serial number 190xxxxxx 20) Perform five (5) system tests successfully to rewrite all storage
levels in the A EEPROM.
Option key 12345678
Special notice Note that when pressing the “Save” button once the serial number
cannot be changed anymore.
7.8.3 Replace The Lithium battery buffering the flash RAM and the real time clock on
Li-battery on PC PC board A needs to be replaced every 5 years.
board A To replace the Lithium battery on PC board A, follow this sequence:
1) Remove the control panel according to section 7.2.2.
2) Open the panel according to section 7.2.3.
3) Disconnect main engine connector and remove rear housing.
4) Cut tie wrap of Lithium battery and carefully remove tie wrap
from PC board A.
5) Remove Lithium battery from battery bracket.
6) Insert new Lithium battery into battery bracket.
Watch for correct polarity prior to inserting!
7) Fix battery with a tie wrap.
To ease inserting the tie wrap into the two wholes on PC board A
bend the end of the tie wrap as shown in the picture.
8) Reconnect main engine connector and mount the rear housing
with the six screws.
9) Mount control panel to main engine according to section 7.2.2.
10) Turn ON the Centiav/5 Plus.
11) During Power
up test the Centiva/5 + Bi-Level Newborn
VG
7.8.5 Replace LCD To replace the LCD screen with integrated back lights, follow this
screen sequence:
7.8.6 Replace front To replace the front housing with integrated touch screen and EMI
housing with touch screen, follow this sequence:
screen
1. Remove the control panel according to section 7.2.2.
2. Open the panel according to section 7.2.3.
3. Remove PC board A according to section 7.8.2.
4. Remove TFT screen according to section 7.8.4.
5. Replace front housing with touch screen and EMV screen.
6. Reassemble TFT screen according to section 7.8.4.
7. Reassemble the PC board A according to section 7.8.2.
8. Verify proper function after reassembly by performing a power-
up test.
7.8.7 Replace back To replace the back cover of the control panel of the Centiva/5 Plus CC
cover Ventilator, follow this sequence
7.9.1 Remove back- The Centiva/5 Plus CC Ventilator is equipped with a built-in back-up
up battery battery that is designed to provide a minimum of 30 minutes of
battery operation.
To remove or replace the battery assembly BE-120104 follow this
sequence:
7.9.2 Repair The Centiva/5 Plus CC Ventilator is equipped with an expiration valve
expiratory valve locking mechanism that uses a motor driven locking system to
properly fix the expiration valve inside the system. To repair and
inspect expiration valve:
7.9.3 Repair The Centiva/5 Plus CC Ventilator is equipped with an expiration valve
expiratory valve locking mechanism that uses a motor driven locking system to
properly fix the expiration valve inside the system. To remove the
locking assembly expiration valve locking assembly:
7.9.4 Replace The Centiva/5 Plus expiration valve locking mechanism uses a spring
expiratory valve to secure the valve mechanism position. To remove the expiration
valve locking spring:
locking spring
1. Remove the expiration valve according to section 7.2.1.
2. Remove the control panel according to section 7.2.2.
3. Open the main engine according to section 7.2.5
4. Remove the control panel mounting plate according to section
7.2.6
5. Move down the locking mechanism of the expiratory valve using
a screwdriver inserted into the screw hole of the motor assembly
6. Carefully rotate downwards.
Important note Ensure that the cables are placed correctly in the cable run!
7.9.5 Repair The inspiratory connection assembly includes the O2 sensor, the
inspiratory connection to the pneumatic assembly and the connection to the
pressure measuring port. To replace the inspiratory connection
connection assembly:
7.9.6 Replace O2 The O2 sensor is located within the inspiratory connection assembly.
sensor To replace the O2 sensor:
7.9.7 Repair ON-OFF The ON-OFF switch is located on the right lower side of the front. The
switch ON-OFF switch is illuminated whenever the system is supplied by main
supply and the line switch on the back of the unit is turned ON. To
repair the light or the cover:
7.9.8 Replace or The On/Off switch interface PC board is an additional control system
install On/Off switch for the On/Off switch and is placed between B board and back up
battery:.
interface PC board
1. Turn OFF the system
2. Remove the expiration valve according to section 7.2.1.
3. Open the main engine according to section 7.2.5
4. Disconnect cables X15 and X24
5. Remove and discard nut.
6. Take the washer out of the kit and put it on the thread of the B-
board mounting stud.
7. Take the hex standoff out of the kit and screw it on to the B-
board mounting stud.
8. Insert the On/Off switch interface PC board on to the hex
standoff in a position, that cable X15 is on the right side.
9. Secure the On/Off switch interface PC board with the nylok nut.
10. Connect cables X15 and X24 from the Centiva cable set to the
On/Off switch interface PC board.
11. Connect the cables X15 and X24 of the On/Off switch interface
PC board to the according connectors on the PC board B of
Centiva.
12. Close the main engine according to section 7.2.5.
13. Re-assemble the control panel according to section 7.2.2.
14. Re-insert the expiration valve.
15. Verify proper function after reassembly by performing a power-
up and a system test.
7.9.9 Replace gas The pneumatic inlet has two gas connections, one for AIR and one for
inlet connectors O2. To match connector needs of different standards these gas
connections can be exchanged without opening the main engine. To
replace the gas inlet connectors:
Note Check that the gas inlet filters are properly seated.
There are different gas inlet connector standards available (NIST,
DISS f, DISS m, S90-116, G 3/8 BSPP)
Caution Ensure that gas connector type matches correct gas inlet
type. (AIR – AIR, O2 – O2) The gas connector type is marked
accordingly.
7.9.10 Replace gas Each of the gas inlets has a sinter filter to protect the pneumatic
inlet filters assembly from foreign material. If the filter's resistance is increased
due to debris, the system will alarm with a message during system test
to clean the filter element. To replace the filter:
Note Note that the filter for AIR and O2 are identical.
7.9.11 Replace The pneumatic assembly contains the four inspiratory valves, the flow
pneumatic control for O2 and AIR, the gas supply pressure sensors, the passive
and the active overpressure relieve valve, the free breathing valve and
assembly the pneumatic PC board with temperature sensor. To remove the
pneumatic assembly:
7.9.12 Replace free The free breathing valve is mounted on the pneumatic assembly.
breathing valve To remove the free breathing valve:
Note The stainless steel rod, that is connects with the over pressure relief
valve, opens the free breathing valve when activated. Ensure free
moving of the rod after reassembly of the over pressure relief valve.
7.9.13 Replace PC The PC board B is located on the sub chassis. To replace the PC
board B board B:
7.9.14 Replace The alarm speaker B is located on the rear of the sub chassis. To
alarm speaker B replace the alarm speaker:
7.9.15 Remove sub The sub chassis contains the PC board B, the alarm speaker B, the
chassis transformer assembly and the fan. To replace fan or transformer the
sub chassis must be removed. The sub chassis must also be removed
to gain access to the rear connectors (AC mains connector, DC mains
connector, ground connector, serial connector). To remove the sub
chassis:
7.9.16 Replace The transformer is mounted on the sub chassis. To remove the
transformer transformer:
7.9.17 Replace fan The fan is located on the sub chassis. To remove the fan:
7.9.18 Replace line The line connector is located on the rear of the main engine. To replace
connector the line connector:
Note The line cable ferrite needs to be placed according to the photo to
allow the sub chassis to be mounted properly.
7.9.19 Replace DC The DC main connector is located on the rear of the main engine. To
main connector replace the DC mains connector:
4 orange
5 red X 22
blue
6
7.9.20 Replace The ground connector is located on the rear of the main engine. To
ground connector replace the ground connector:
7.9.21 Replace serial The serial data connector is located on the rear of the main engine. To
data connector replace the serial data connector:
Important note Upon reinstallation, pay attention to have the small side of the D sub 9
facing down.
When replacing fittings, position the barb end in the same direction as
the original fitting to make the routing and connection of tubing easier.
8.2.2 Test lung The test lung kit (P/N AZ-381501) consist of
kit ST 3 • Test lung with built in resistor, Vt range = 50 – 500 ml
R approx. 15 – 25 mbar/l/s, , C approx. 10 - 30 ml/mbar
• Filter
Note This test lung kit is used for servicing the Centiva/5 Plus ventilator. Test
lungs with different compliance and resistance characteristics may
not match test lung related data in this service manual.
8.2.3 “Service” flow The “Service” flow screen (P/N M1063267) is a flow screen with
screen ST 5 tolerance “± 0.49 %”, used for calibration of the expiratory flow sensor
according to chapter 4.7.5.The flow screen comes in a plastic
protection case.
8.2.5 Test Instrumentation used to service the Centiva/5 Plus Ventilator must
equipment meet or exceed the following specifications:
specifications • Pressure meter
• Pressure range 0 – 90 mbar
• Accuracy ± 0.1 mbar
• Flow meter
• Flow range 0 – 150 L/Min
• Accuracy ± 0.05 L/Min or 2% of reading,
• Calibrated for AIR and O2
• Multi meter
• Type Standard multi meter
• Parameter VAC, VDC, AAC, ADC, Ohm
• Accuracy ± 1%
8.2.6 Service cable To download the service log (event log and trend data) the service
cable (P/N M1110865) has to be connected between the front panel
and the PC or Laptop.
8.3 Software
The software service kit provides the latest released software revision
and contains one set of A & B EPROM’s.
1) 4) 3) 2)
1) 2) 3) 4)
4) 6) 2) 1)
Centiva/5 Plus
Pneumatic overview
Revision 3.x
A.Schober 27.12.05
Salvia Lifetec
Legend to pneumatic
diagram
Identifier Description
P01 O2 input
P02 O2 supply pressure sensor
P03 Proportional solenoid, O2, flow # 1
P04 Proportional solenoid, O2, flow # 2
P05 Offset solenoid O2 flow
P06 Flow screen O2 flow
P07 Internal hoses
P11 AIR input
P12 AIR supply pressure sensor
P13 Proportional solenoid, AIR, flow # 1
P14 Proportional solenoid, AIR, flow # 2
P15 Offset solenoid, AIR flow
P16 Flow screen, AIR flow
P19 Spontaneous breathing valve (free breathing valve)
P20 Overpressure relief vale (passive)
P21 Pressure limiting solenoid (active)
P22 Offset solenoid airway pressure
P23 Inspiratory connector (patient connection)
P24 Breathing circuit
P25 Y-piece
P26 Expiratory connector (exp. valve)
P27 Expiratory (PEEP) valve
P28 Offset solenoid expiratory flow
P29 Flow screen, expiratory flow
P31 Pressure reducer O2
P32 Pressure reducer AIR
P33 Nebulizer gas selection solenoid
P34 Nebulizer O2 solenoid
P35 Nebulizer AIR solenoid
P36 Nebulizer connection
EB M01 AIR flow sensor
EB M06 O2 flow sensor
EB M11 Airway pressure sensor
EB E01 Expiratory flow sensor
EB S20 O2 sensor
Centiva/5 Plus
Electrical overview
Revision 3.x
A.Schober 27.12.05
Salvia Lifetec
Connectors on PC board A
(control panel)
Connectors on PC board B
(main engine)
Tubes
Within PC board B
A Transducer A Offset valve A Silicon, 5 mm φ
B Transducer B Offset valve B Silicon, 5 mm φ
C Transducer C Offset valve C Silicon, 5 mm φ
D Transducer D Offset valve D Silicon, 5 mm φ
9.6.1 Cable routing The following picture shows the correct order of the cable routing in PC
PC board B board B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
9.6.2 Cable harness The following pictures show the correct order for the fixation of the
fixing routing cable harness.
1.
2.
9.6.3 Pneumatic The following picture shows the routing of the pneumatic hoses
hose routing.
Internal fuses
230 V 115 V
Transformer connector
1 grey
X 21 2 orange
3 grey
External DC connector
4 orange
X 22 5 red
6 blue
7 red
X 23
8 blue
Connection Connect a RS 232 data cable at the rear side of Centiva/5 Plus at the
serial data connection (D-Sub 9 female) with the following Pin
constellation:
- Pin 2 receive data
- Pin 3 transmit data
- Pin 5 signal ground
Correct connection is provided with serial cable P/N BE-120116.
Protocol Centiva/5 Plus uses the Ohmeda com 1.0 serial protocol (Anestheisa
Ohmeda Com 1.0 ventilator, AESTIVA 7900 & 7100 Ventilators) as the default protocol.
This allows connecting Centiav/5 Plus to all data management
systems using this protocol.
When connecting to a /5 system use the DIS 7900 Non-Aestiva
connection box. This box provides the correct D-Sub 9 connector to
connect to the Centiva/5 Plus. Do not use the DIS 7900 AESTIVA with a
D-Sub 15. Proper communication with the DEIO Clinisoft data
management system is tested. For more details refer to information
provided by the data management distributor.
Numerical Data
- Ventilation mode
- Ventilator settings
Vt
Rate
I-Flow
I:E
Plimit
- Alarm Settings
MV min
O2-I max
O2-I min
- Measured Data
Vt E
MV E
O2 – I
Rate
Ppeak
Pplat
Pmin
Vt-I
- Alarms
O2 Max
O2 Min
Apnea
MV E min
Pressure high
Pressure low
Pressure sustained
Sub atmospheric pressure
AC line supply fail
Low battery
O2 limit set error
Vent setting range error
1. Language
2. Date format
3. Units of pressure
4. Units CO2 (not applicable)
5. Unit of ideal body weight
6. Patient type
7. Cross over weight
8. Start ventilation mode
9. VC Type
For safety reasons (and with respect to ergonomic and user interface
safety theory) all Centiva/5 Plus within one particular application or
operation area (e.g. within one CC station) should be set to the identical
configuration, so that all machines within one operation area behave
identical in terms of user surface and default start.
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry
Option menu
Serial numbe r 171050107
Option ke y 12345678
Default settings
Language English
Date format DD.MM hh:mm
Unit M eas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Abort
Abort Safe
Save
10.1.1 Access to For safety reasons the Centiva/5 Plus’ configuration mode is not
configuration mode accessible during regular operation mode. The configuration mode is
only accessible during and at the end of the power-up test or the
system test via the service mode.
For legal reasons the service mode is not accessible on a user level.
Only trained service technicians should have access to the service
mode.
Centiva/5 + Bi-Level VG
Newborn
Trend
09:36:53
2006-11-21
SW 3.nn.p HW o/r Spirometry
Bypass
system test
System test
Complete system set up, seal y-piece Unlock
exp. valve
Start system test by pressing <Enter>
Calibrate
O2 sensor
Align
touch screen
Ensure silver exp. valve is in place
Retain
Body will
The system weight 55the
display kg following screen: trend data
1 2 3
1 2 3
Configuration mode now is activated and the system prompts with the
following screen:
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry
Option menu
Serial numbe r 171050107
Option ke y 12345678
Default settings
Language English
Date format DD.MM hh:mm
Unit M eas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Abort
Abort Safe
Save
Default settings
Language English
2. The selected parameter’s last Date format DD.MM hh:mm
value is framed. E.g. selected Unit Meas. cmH2O
Unit Co2 mmHg
parameter “Patient type”, last Unit IBW kg
value “Adult”. Patient type Adult
Cross over weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV
Default settings
4. The frame inverts colors to Language
Date format
English
DD.MM hh:mm
identify that the parameter Unit Meas. cmH2O
Unit Co2 mmHg
can be changed now. Unit IBW kg
Default settings
Language English
6. A new setting for this Date format DD.MM hh:mm
parameter is selected. E.g. Unit Meas.
Unit Co2
cmH2O
mmHg
selected parameter “Patient Unit IBW kg
type”, new value “Pediatric”. Patient type Pediatric
Cross over weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV
10.1.3 Exit After having made all desired changes to default settings exit the
configuration mode configuration mode with pushing the “Save” button to save all made
changes to the system.
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry
Option menu
Serial numbe r 171050107
Option ke y 12345678
Default settings
Language English
Date format DD.MM hh:mm
Unit M eas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Abort
Abort Safe
Save
Pushing the “Abort” button makes the system load the previous
settings, delete all made changes and return immediately to the power
up test screen.
10.1.4 Configuration Centiva/5 Plus allows user specific configuration of the default
parameters machine settings according to hospital’s needs for the following
parameters:
1. Language
User language for screen information, messages and alarms
with the following selections:
a. English
b. German
c. French
d. Dutch
e. Spanish
f. Polish
g. Portuguese
h. Italian
2. Date format
Date and time format in trend and event views with the
following selections:
a. MM-DD hh:mm (ISO time and date format)
b. MM/DD hh:mm (US time and date format)
3. Unit of Meas.
Unit of pressure for all pressure related information and
parameter with the following selections:
a. mbar
b. hPa
c. cmH2O
4. Unit CO2
This option is not yet available
5. Unit IBW
Unit of ideal body weight with the following selections:
a. kg
b. lbs
6. Patient type
Default type of patient upon start up with the following
selections:
a. Adult
b. Pediatric
c. Newborn (if newborn option is activated)
9. VC Type
Default upper pressure limit performance in volume with the
following selections: controlled ventilation modes:
a. PLV
b. PC
Note For safety reasons default ventilation mode upon start up in patient
type Newborn is always Bi-Level.
Note When ordering an option note the Centiva/5 Plus’ serial number,
displayed in the optionalization mode and in the service screen.
With the current software release 3.02.p the following options can be
cleared for operation:
1. Newborn
This option allows to ventilate patients with a body weight from
2 to 6 kg. This option requires a dedicated (blue) newborn
expiration valve assembly that comes with the option.
2. Bi-Level VG
This option is a lung protective, automatic compliance
compensating pressure controlled ventilation mode with a
volume guarantee.
4. Spirometry
This option allows to display lung mechanics information, such
as P/V and F/V loops.
TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08 10-9
10 Configuration and optionalization
10.2.1 Access to The access to the optionalization mode is identical with the access to
optionalization the configuration mode. For details refer to section 10.1.1.
mode Now the option menu is available and the system prompts with the
following screen
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry
Option menu
Serial numbe r 171050107
Option ke y 12345678
Default settings
Language English
Date format DD.MM hh:mm
Unit M eas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Abort
Abort Safe
Save
Option menu
12. The next digit of the option Serial number 171050101
key no is framed. E.g. “7”.
Option key 12345671
13. Repeat steps 4. to 11. until all digits are changed according to
the given option key.
Note Do not push the ComWheel twice to jump between digits. That will
activate the main frame and deletes all changes made so fare.
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry
Option menu
Serial numbe r 171050107
Option ke y 12345678
Default settings
Language English
Date format DD.MM hh:mm
Unit M eas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Abort
Abort Safe
Save
10.2.3 Exit After having released the desired options exit the optionalization mode
optionalization as you exit the configuration mode with pushing the “Save” button to
save all made changes to the system.
mode
Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry
Option menu
Serial numbe r 171050107
Option ke y 12345678
Default settings
Language English
Date format DD.MM hh:mm
Unit M eas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Abort
Abort Safe
Save
Pushing the “Abort” button makes the system load the previous
settings, delete all made changes and return immediately to the power
up test screen.
Notes
11.1.1 Replace The Centiva/5 Plus external battery pack needs replacement of the
battery batteries every 24 months. To replace the batteries follow this
sequence:
1. Disconnect the external battery pack from Centiva/5 Plus and lift
the Centiva/5 Plus from the external battery pack.
2. Disconnect the external battery pack from the charger, if
connected.
3. Open the external battery pack by remove the screws on top of
the aluminum plate.
4. Disconnect batteries from the relays and the connectors inside.
5. Remove the batteries from the housing.
6. Insert the new batteries.
7. Connect batteries to each other, to
the relay and connector as seen in
the wiring diagram
11.1.2 Replace To replace the connector cable from the external battery pack, follow
battery pack this sequence:
connector cable
1. Disconnect the external battery pack from Centiva/5 Plus
according to section 11.1.1.
2. Open the external battery pack by removing the screws on top
of the aluminum plate according to section 11.1.1.
3. Disconnect the connector cables inside by lifting the plugs from
the sockets.
4. Remove the battery pack connector cable using a 15 mm flat
spanner to unscrew the cable from the housing.
5. Insert the new battery pack connector cable through the case
and reconnect the connector cable inside. Connect the large
connector to the large terminal and small connector to small
terminal - reference pictures below.
6. Tighten the connector cable to the external battery pack housing
by using a 15 mm flat spanner.
Note The terminals on the control board are different sizes, is a one small
terminal and one is a large terminal. When connecting the battery
Note pack connector cable, connect the large connector to the large
terminal and small connector to small terminal.
11.1.3 Replace fuse To replace the 0.8 A fuse in the external battery pack, follow this
0.8 A sequence:
11.1.4 Replace fuse To replace the 3.1 A fuse in the external battery pack, follow this
3.1 A sequence:
3) 2) 1)
1) 2)
1) 2)
3) 4)
11.2 Cart
Replace castor This replacement instruction deals with the following carts
- P/N AZ-382133
- P/N AZ 382132.
The Centiva/5 Plus cart has in total four castors, two with brakes in the
front and two without brakes in the rear.
To replace a castor follow this sequence:
1. Remove Centiva/5 Plus from the cart.
2. Remove an active humidifier from the cart, if applied.
3. Remove the support arm from the cart.
4. Remove any additional parts mounted to the cart.
5. Carefully lay down the cart.
6. Remove castor by loosening upper castor bold using a 10 mm
wrench.
7. Remove castor.
8. Mount the new castor. Remember that front castors have brakes
and rear castors don’t.
9. Tighten 10 mm bold.
10. Verify proper function of castor and brake, if applied.
11.3 Compressor
Replace tube holder Replacement of the tube holder does not require any tools.
1. Loosen the handle crimping the ball joint of the tube holder.
2. Remove the tube holder out of the ball joint.
3. Replace tube holder.
4. Fix ball joint with handle.
WARNING Although the front side Lemosa port of the Centiva Plus is
galvanically isolated and allows connecting PC or laptop,
always perform a service log download when no patient is
connected and device is not in operation mode..
Hardware:
• RS-232 serial port
• USB port, when using a standard Serial-To-USB converter
• If your computer does not have an RS-232 port it is
possible to source locally a USB to RS-232 converter to
allow this connection
Installing and uninstalling The "Centiva/5 Service Log Downloader" is a stand alone executable
the software (CentivaLog.exe) and does not require installation. Simply copy it to the
desired location on your hard disk.
To uninstall delete the program file CentivaLog.exe
Using of the Centiva/5 Double click on the icon to start the service log downloader.
Plus service log
downloader The screen will show the service log downloader as follows:
During the process a progress bar and text prompts will provide
feedback.
Failure message When the connection is not properly working the service log
downloader will prompt with the message “ERROR”.
Close the service log After downloading close the program with the windows X on the right
downloader top corner.
What to do with the For further analysis use special excel templates, provided by
service log file? - GE global service
- Salvia Lifetec
- TIM
or send the file by email to the service help desk.
Manufacturer and owner Salvia Lifetec Geräte für Medizintechnik Gmbh & CO KG
of the copyright is Niederhöchstädterstr. 62
61476 Kronberg
Germany
Fon: +49 617393330
Fax: +49 6173933329
Notes