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0 Table of Contents

1 Introduction 1.1 What this manual includes 1-2


1.1.1 Software and hardware revision 1-2
1.2 Standard service procedures 1-3
1.2.1 User Reference Manual 1-3
1.2.2 Ventilator tests 1-3
1.3 Symbols used for this manual or the equipment 1-4
1.4 Abbreviations used for this manual or the equipment 1-6

2 Theory of Operation 2.1 General description 2-2


2.2 Centiva/5 Plus CC ventilator features 2-3
2.2.1 Safety features 2-3
2.3 Centiva/5 Plus CC ventilator main assemblies 2-4
2.4 Electrical components 2-5
2.5 Pneumatic components 2-12

3 Post-Service Checkout 3.1 Post-service checkout 3-2

4 Tests and Calibrations 4.1 Self tests 4-2


4.1.1 Power-up test 4-2
4.1.2 System test 4-3
4.1.3 In-operation test 4-6
See next page for more

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 0-1


0 Table of Content

4 Tests and Calibrations 4.2 Test lung test 4-7


(continued) 4.3 Service mode 4-10
4.4 Service mode check 4-12
4.5 Software and hardware revision 4-14
4.6 Ventilator “on-time” 4-15
4.7 Calibrations 4-16
4.7.1 O2 sensor calibration 4-17
4.7.2 Location of calibration points 4-19
4.7.3 AIR flow calibration 4-20
4.7.4 O2 flow calibration 4-22
4.7.5 Expiratory flow sensor calibration 4-24
4.7.6 Airway pressure sensor calibration 4-28
4.7.7 Overpressure relief valve calibration 4-30
4.7.8 Battery charging voltage calibration 4-31
4.8 Battery test 4-32
4.9 Free breathing valve test 4-34
4.10 Diagnostic test 4-35
4.11 Eventlog and trend download (service log) 4-37

5 Troubleshooting 5.1 Troubleshooting instructions 5-2


5.2 Alarms 5-4
5.3 Messages 5-11
5.3.1 Messages during power-up test 5-11
5.3.2 Messages during system test 5-16
5.3.3 Messages during O2 sensor calibration 5-27
5.3.4 Messages during operation 5-28
5.3.5 System shut down messages 5-32

6 Maintenance 6.1 General instructions 6-2


6.2 Maintenance schedule 6-3
6.2.1 Every twelve (12) months 6-3
6.2.2 Every twenty-four (24) months 6-4
6.2.3 Every sixty (60) month 6-4

7 Repair procedures 7.1 General instructions 7-3


7.2 Open the system 7-4
7.2.1 Remove the exp. Valve 7-5
7.2.2 Remove the control panel 7-8
7.2.3 Open the control panel 7-9
7.2.4 Control panel assemblies 7-10
7.2.5 Open the main engine 7-11
7.2.6 Remove the control panel mounting plate 7-12
7.2.7 Main engine assemblies 7-13
7.3 Service assemblies 7-15
7.4 Change the line voltage 7-16
7.5 Software replacement 7-17
7.5.1 Change the (A) EPROM 7-18
See next page for more

0-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


1 Table of Content

7 Repair procedures 7.5.2 Change the main (B) EPROM 7-19


(continued) 7.6 Change the unit of pressure 7-20
7.7 Change fuses 7-21
7.7.1 Change the line fuses 7-21
7.7.2 The control panel fuses 7-22
7.7.3 Change the main engine fuses 7-23
7.8 Repair control panel components 7-24
7.8.1 Replace ComWheel encoder 7-24
7.8.2 Replace PC board A 7-25
7.8.3 Replace Li-battery on PC board A 7-27
7.8.4 Replace PC board DCU 7-28
7.8.5 Replace LCD screen 7-29
7.8.6 Replace front housing with touch screen 7-30
7.8.7 Replace back cover 7-31
7.9 Repair main engine components 7-32
7.9.1 Remove back-up battery 7-32
7.9.2 Repair expiratory valve 7-33
7.9.3 Replace expiratory valve locking assembly 7-34
7.9.4 Replace expiratory valve locking spring 7-35
7.9.5 Repair inspiratory connection 7-36
7.9.6 Replace O2 sensor 7-37
7.9.7 Repair ON-Off switch 7-38
7.9.8 Replace or install On/Off switch interface
PC board 7-39
7.9.9 Replace gas inlet connectors 7-40
7.9.10 Replace gas inlet filters 7-41
7.9.11 Replace pneumatic assembly 7-42
7.9.12 Replace free breathing valve 7-43
7.9.13 Replace PC board B 7-44
7.9.14 Replace alarm speaker B 7-45
7.9.15 Remove sub chassis 7-46
7.9.16 Replace transformer 7-47
7.9.17 Replace fan 7-48
7.9.18 Replace line connector 7-49
7.9.19 Replace DC mains connector 7-50
7.9.20 Replace ground connector 7-51
7.9.21 Replace serial data connector 7-52

8 Illustrated Parts 8.1 Special instructions 8-2


8.2 Service tools 8-2
8.2.1 Calibration accessories kit, ST 2 8-2
8.2.2 Test lung kit, ST 3 8-2
8.2.3 “Service” flow screen ST5 8-2
8.2.4 Tool kit, ST 4 8-3
8.2.5 Test equipment specifications 8-3
8.2.6 Service cable 8-4
See next page for more

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 0-3


0 Table of Content

8 Illustrated Parts 8.3 Software 8-5


8.3.1 Software kit 8-5
8.4 Control panel spare parts 8-6
8.5 Expiration valve spare parts 8-12
8.6 Main engine spare parts 8-14

9 Schematics and 9.1 Pneumatic diagram 9-2


Diagrams 9.2 Electrical diagram 9-4
9.3 Component layout, PC board B 9-6
9.4 Component layout, PC board A 9-7
9.5 Tubes and connectors 9-8
9.6 Cable Routing 9-11
9.6.1 Cable routing for PC board B 9-11
9.6.2 Cable harness fixing routing 9-14
9.6.3 Pneumatic hose routing 9-14
9.7 List of fuses 9-15
9.8 Screw connectors 9-16
9.9 Accepted ranges 9-17
9.10 Sensor data ranges 9-18
9.11 DIP switch settings 9-18
9.12 Serial data transfer 9-19

10 Configuration and 10.1 Centiva/5 Plus configuration mode 10-2


optionalization 10.1.1 Access to configuration mode 10-3
10.1.2 Configuration modality 10-5
10.1.3 Exit configuration mode 10-6
10.1.4 Configuration parameters 10-7
10.2 Optionalization mode 10-9
10.2.1 Access to optionalization mode 10-10
10.2.2 Optionalization modality 10-11
10.2.3 Exit optionalization mode 10-13

11 Optional accessories 11.1 External battery pack 11-2


11.1.1 Replace battery 11-2
11.1.2 Replace battery pack connector cable 11-3
11.1.3 Replace fuse 0.8 A 11-4
11.1.4 Replace fuse 3.15 A 11-4
11.1.5 Spare parts for external battery pack 11-5
11.2 Cart 11-8
11.3 Compressor 11-9
11.4 Support arm 11-10

A1 Appendix A 1.1 Service Log Downloader A1-2

0-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


1 Introduction

In this section 1.1 What this manual includes 1-2


1.1.1 Software and hardware revision 1-2
1.2 Standard service procedures 1-3
1.2.1 User Reference Manual 1-3
1.2.2 Ventilator tests 1-3
1.3 Symbols used for this manual or the equipment 1-4
1.4 Abbreviations used for this manual or the equipment 1-6

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 1-1


1 Introduction

1.1 What this manual includes

This manual covers the service information for the

Centiva/5 Plus CC ventilator

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

Adult Pediatric Newborn Enter

The software revision code “3.nn.p” identifies:


- 3. = Centiva/5 Plus
- nn. = current base software release
- p = current patch number of software release (bug fixing
level)

The hardware revision code “o / r” identifies:


- o = front panel hardware revision
- r = main engine hardware revision.

1-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


1 Introduction

1.2 Standard service procedures

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.

WARNING Do not perform tests or maintenance on this instrument


while it is being used to ventilate a patient, possible injury
may result.

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 1-3


1 Introduction

1.3 Symbols used for this manual or the equipment

Warnings and Cautions tell you about dangerous conditions


that can occur if you do not follow all instructions in this manual.

WARNING Warnings indicate a condition that can cause injury to the operator or
the patient.

CAUTION Cautions indicate a condition that can cause damage to the


equipment. Read and follow all warnings and cautions.

Alarm silence touch key

Menu touch key

Normal
screen
Normal screen touch key

Left turn ComWheel to decrease value

Right turn ComWheel to increase value

Rotate ComWheel to change value

Push ComWheel to confirm selection (ENTER)

AC line supply active


+ -
DC supply active

Battery: 23 min. Internal battery supply active

Nebulizer active

Blue frame selection

White frame selection

1-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


1 Introduction

On (power)

Off (power)

Earth ground

Protective earth ground

Equipotential

Type B equipment

Input (Expiratory port)

Output (Inspiratory port)

Nebulizer gas supply

10101 Serial data transfer connection

This symbol indicates that the waste of electrical and electronic


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

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.

Attention, refer to product instructions, EN/IEC 60601-1

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 1-5


1 Introduction

1.4 Abbreviation for in this manual or the equipment

Vent. mode Ventilation mode


VCV Volume constant controlled Ventilation
a-VCV Assisted Volume controlled Ventilation
SIMV - VC Synchronized Intermittent Controlled Ventilation- volume constant
Bi-Level Bi Level pressure controlled ventilation
Bi-Level VG Bi Level pressure controlled, volume guarantee ventilation (optional)
PSV Pressure Support Ventilation
CPAP Continuous positive airway pressure
CPAP/PSV CPAP with apnea Bi-Level back up ventilation

APD Automatic patient detection


ARC Airway resistance compensation
ASR Automatic suction routine
NEB Nebulizer
NIV Non Invasive Ventilation
OCV Online oxygen calibration during ventilation
Endot.tube Endotracheal tube
Trach.tube Tracheal tube
NB Newborn extension (optional)
Newborn Newborn (optional)

Pmax Safety pressure, setting


Plimit Pressure limit, setting
Pinsp Inspiratory pressure, setting
PS Pressure Support pressure, setting
PEEP Positive End Expiratory Pressure, setting
Ppeak Highest airway pressure, measured within last breath, measured
Pplat Plateau pressure, measured
Pmean Mean airway pressure, measured
Pmin Lowest airway pressure, measured within last breath
Ppeep Positive End Expiratory Pressure, measured
PEEPi Intrinsic positive End Expiratory Pressure, measured
Paw Airway pressure in general

Rate Total number of breaths per minute, measured and setting


Ratesp Number of spontaneous breaths per minute, measured
I:E Inspiratory to Expiratory time ratio, setting
Ramp Ramp time between lower and upper Bi-level, setting
PS ramp Ramp time between PEEP level and PS pressure level, setting
Time window Trigger time window, setting
T-Insp Inspiration time, setting
I Inspiration time, calculated
E Expiration time, calculated
P Inspiratory pause time in % of inspiration time, calculated
t Time in general

1-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


1 Introduction

R Resistance of breathing system plus patient, measured


C Compliance of breathing system plus patient, measured

Vt Tidal volume, setting


TV Tidal volume, measured
MV Total minute volume, measured
MVsp Spontaneous minute volume, measured
MVsp % Percentage of spontaneous minute volume in total minute volume,
calculated
I-Flow Inspiratory flow, setting
Trigg. Trigger flow required to trigger an assisted breath, setting
Byflow Bias flow, setting
PS endflow End-of-flow criteria for PS pressure support, setting
Flow Flow in general

Fi-O2 Inspiratory O2 concentration, setting


O2-I Inspiratory O2 concentration, measured

Spiro Spirometry function


Loop V/P Volume versus Pressure loop
Loop F/V Flow versus Volume loop
Ref. loop Reference loop

I On (power), line supply


O Off (power), line supply

or AC Alternating current
or DC Direct current

Ref Stock number


SN Serial number
Rev. x.nn.p Software revision number, nn = version, p = patch

O2 40 … 80 PSI O2 gas supply input with a pressure range of 40 … 80 PSI


AIR 40 … 80 PSI AIR gas supply input with a pressure range of 40 … 80 PSI

24V/3A DC DC supply input with a voltage of 24 V and a maximum current of 3 A


Serial Port Connection for serial data transfer

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 1-7


1 Introduction

Notes

1-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

In this section 2.1 General description 2-2


2.2 Centiva/5 Plus CC ventilator features 2-3
2.2.1 Safety features 2-3
2.3 Centiva/5 Plus CC ventilator main assemblies 2-4
2.4 Electrical components 2-5
2.5 Pneumatic components 2-12

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 2-1


2 Theory of operation

2.1 General description

The Centiva/5 Plus CC ventilator is a microprocessor based,


electronically controlled, pneumatically driven ventilator with built-in
monitoring capabilities for
• Inspired oxygen concentration
• Airway pressure
• Airway flow
• Exhaled volume.

The ventilator is intended to be used:


• To ventilate patients, adults and children with 5 kg body weight
and up
• To ventilate newborn patients with 2 kg body weight and up
(optional)
• In intensive care, recovery room, intra clinical patient relocation,
general ventilation

The ventilator compensates for


• System compliance
• Inspiratory and expiratory resistance
• Leakage

The ventilator allows


• Invasive ventilation
• Non-invasive ventilation
• Nebulizer operation

The ventilator is capable of the following ventilation modes


(English name) (language specific name, if different)
• VCV, (a-VCV) VCV, CMV
• SIMV-VC SIMV/ASB, VACI/AI
• Bi-Level VG ™ Bi-Level VG ™ (optional)
• Bi-Level Bi-Level/ASB
• CPAP/PSV CPAP/AI, CPAP/ASB

2-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

2.2 Centiva/5 Plus CC ventilator features

• On-board diagnostic software to ease servicing.


• Ventilator hardware is tested during the initial power-up system
test.
• PEEP is generated electronically
• An exhalation valve modulates the patient’s pressure pattern.
• The exhalation valve assembly is electronically locked and can
be autoclaved.
• Double stage inspiration valves per gas modulate the patient’s
flow pattern.
• Sensors in the breathing circuit are used to control and monitor
patient ventilation and measure inspired oxygen concentration.
• User settings and microprocessor calculations control breathing
patterns.
• Main engine RS 232 serial digital communication port connects
to and communicates with external devices, using the Ohmeda
Com 1.0 protocol.
• Front panel RS 232 serial digital communication port connects to
and communicates with external devices, such as:
• PC or Laptop for downloading trend and event data
• Additional hardware components for future options
• Configuration screen to customize Centiva/5 Plus to customer
needs
• Multilanguage onboard software
• Touch screen capability
• Optionalization by serialized codes

2.2.1 Safety features • Dual redundant airway overpressure protection


• Electronically controlled (active) overpressure protection linked
to Pmax.
• Passive overpressure relief valve, set at fixed value (75 mbar)
• Sub atmospheric pressure relief valve (free breathing valve)
• Single gas operation capability
• Back-up battery supply for minimum 30 minutes operation

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 2-3


2 Theory of operation

2.3 Centiva/5 Plus CC ventilator main assemblies


The Centiva/5 Plus CC ventilator has three (3) user accessible main
assemblies

• The main engine


• The control panel
• The expiration valve

The user can separate these three assemblies without using any tools.

Main engine

Control panel

Expiration valve

Standard Newborn (optional)

2-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

2.4 Electrical components

The Centiva/5 Plus electrical components are described in the


following order
- Power supply
- Main engine
- Control panel.

On the next page an overview diagram shows all electrical


components in one diagram.

Most of the components are located on the two main boards


- Main board A (control panel)
- Main board B (main engine)
The following components are not located on the main boards
- EC 01, EC 02, EC 03, EC 04, EC 05, EB S10, EB S15 are
located within the mains engine’s cabinet
- EB S20 is located within the inspiratory connection
- EB M00, EB M03, EB M04, EB M08, EB M09, are located
within the pneumatic assembly
- EB M20, EB M21, EB M22 are located within the nebulizer
add on of the pneumatic assembly
- EA S05, EA S10, EA S11, EA S12, EA S13 are located within
the control panel’s cabinet.
- EA S15, EA S16, EA S20 are located within the front panel of
the control panel.

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2 Theory of operation

2-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

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.

Power supply priorities The priority in power supply is defined as


- # 1, AC line supply
- # 2, DC mains supply
- # 3, back up battery supply

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 2-7


2 Theory of operation

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.

Input micro B The following control sensors talk to the micro B.


- EB P11, EB P12, EBP13
- EB M00, EB P00, EB P10
- EB S11, EB S16, EB S20
- EB E11, EB E12
- EB M01, EB M06, EB E01, EB M11
- Data input from micro A is received via the internal serial port
(EB S01, EB S03

Output micro B Micro B talks to the following actors


- EB M02, EB M07, EB E02, EB M12, EB S25
- EB M03, EB M08, EB E03, EB E05
- EB M20, EB M21, EB M22
- Data output to micro A is made via the internal serial port (EB
S01, EB S03, EB S04)
- Data output to a serial communication ports is made via
galvanic isolators EB S30, EB P25 und SI 29.
- Data output to a nurse call system port is made via galvanic
isolators EB S35.
- Data output to the watchdog EB204.

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.

2-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

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).

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 2-9


2 Theory of operation

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.

2-10 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

Fan To avoid possible O2 concentration increase within the housing,


caused by leaks, a fan (EB S10) exchanges the gas within the housing.
The fan supply is fused by SI11. The fan’s proper operation is
monitored by a rotation monitor (EB S11) that reports to the micro B.

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 2-11


2 Theory of operation

2.5 Pneumatic components


The Centiva/5 Plus’s pneumatic components are described in the
following.
On the next page an overview diagram shows all pneumatic
components in one diagram.

Most of the components are located on the pneumatic assembly.

The following components are not located on the pneumatic assembly


- EB M01, EB M06, EB M11, EB E01, P05, P15, P22, P28 are
located within the PC board B
- EB 20, P23 are located within the inspiratory connector
- P26, P27, P29 are located within the expiratory valve
system

2-12 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

Centiva/5 Plus
Pneumatic overview
Revision 3.x
A.Schober 27.12.05
Salvia Lifetec

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 2-13


2 Theory of operation

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.

2-14 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


2 Theory of operation

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 2-15


2 Theory of operation

Notes

2-16 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


3 Post-service Checkout

In this section 3.1 Post-service checkout 3-2

TRM, Centiva/5 Plus,M1047448 CM-922026, rev. 3.51.f of 05/08 3-1


3 Post service check out

3.1 Post-service checkout


After servicing the Centiva/5 Plus CC ventilator, perform the following test
sequence:

• Power-up test (section 4.1.1)


• O2 sensor calibration (section 4.7.1)
• System test (section 4.1.2)
• Test lung test (section 4.2)

WARNING You must perform all post-service checks after maintenance


or service of the Centiva/5 Plus CC Ventilator. Failure to do so
may result in patient injury.

WARNING All components and accessories must be connected correctly.


All hoses and cables must be properly connected before
returning the ventilator to clinical use. Failure to do so may
result in patient injury.

After servicing the Centiva/5 Plus CC ventilator, perform a device safety


check and record the results in a protocol. A proposal for a Centiva /5 Plus
device safety check protocol is attached on the following page.

3-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


3 Post service check out

Centiva/5 Plus Device Safety Testing Protocol


Maintenance check every 12 months Product description: CC Ventilator
S/N: 170
SW: HW:

Location: OPT:

Specs not fulfilled


ID/INV.-No.: Specs fulfilled Remarks/ measured values

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

Test equipment used: Ser. No.: Repair required


Test facility:
Date: Tester:

TRM, Centiva/5 Plus, M1047448/CM-920026, rev. 3.51.f of 05/08 3-3


3 Post service check out

Notes

3-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Tests and Calibration

In this section 4.1 Self tests 4-2


4.1.1 Power-up test 4-2
4.1.2 System test 4-3
4.1.3 In-operation test 4-6
4.2 Test lung test 4-7
4.3 Service mode 4-10
4.4 Service mode check 4-12
4.5 Software and hardware revision 4-14
4.6 Ventilator “on-time” 4-15
4.7 Calibrations 4-16
4.7.1 O2 sensor calibration 4-17
4.7.2 Location of calibration points 4-19
4.7.3 AIR flow calibration 4-20
4.7.4 O2 flow calibration 4-22
4.7.5 Expiratory flow sensor calibration 4-24
4.7.6 Airway pressure sensor calibration 4-28
4.7.7 Overpressure relief valve calibration 4-30
4.7.8 Battery charging voltage calibration 4-31
4.8 Battery test 4-32
4.9 Free breathing valve test 4-34
4.10 Diagnostic test 4-35
4.11 Eventlog and trend download (service log) 4-37

TRM, Centiva/5 Plus,M1047448/ CM-922026, rev. 3.51.f of 05/08 4-1


4 Test and calibration

4.1 Self tests


The Centiva/5 Plus CC ventilator software includes self tests that
determine if the operating software is functioning properly and if the
electronic and pneumatic circuits are functional.
The self test includes:
• Power-up test
• System test
• In-operation test

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

• RAM and ROM System test


• Matching Test active, wait for 4 secs.

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

code. For details of


exp. valve

error messages refer


to section 5.3.1
“Messages during
power up test”.
Enter

4-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

4.1.2 System test After having passed


the power-up test, Centiva/5 + Bi-Level VG
Newborn
09:36:53
2006-11-21
the Centiva/5 Plus SW 3.nn.p HW 0/r
Trend
Spirometry
Bypass
ventilator prompts system test
System test
with a short audible Make sure no patient is connected while Unlock
sound and moves to performing the System test.
Complete system set up, seal y-piece
exp. valve

the “Start system Start system test by pressing <Enter>


Calibrate
O2 sensor
test” screen:
Align
touch screen
Ensure silver exp. valve is in place
Connect the Retain
Centiva/5 Plus Body weigth 55 kg trend data

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

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-3


4 Test and calibration

If a malfunction is
identified during this Centiva/5 + Bi-Level VG
Newborn

system test, the


Trend
SW 3.nn.p HW o/r Spirometry
corresponding System test # 24_1
message appears in
the screen, including Exp. flow sensor value too high with AIR flow

the according failure Check oxygen sensor calibration


Check expiration valve for resistance
code. For details of Ensure valve matches selected patient type
error messages refer Repeat test by pressing <Enter>

to section 5.3.2
“Messages during
system test”. Enter

After having passed


the system test, the Centiva/5 + Bi-LevelNewborn
VG

system prompts the SW 3.nn.p HW 0/r


Trend
Spirometry
user to open the System test
y-piece, to allow
Open y- piece
testing for
inspiratory
resistance.
Disconnect the
y-piece from the
sealer. The system
will recognize
Adult
opening the y- piece
automatically and then proceeds with the test.

After calculating the


inspiratory Centiva/5 + Bi-Level VG
Newborn
resistance, the SW 3.nn.p HW 0/r
Trend
Spirometry
Centiva/5 Plus CC System test
ventilator will display
the measured data System test OK. To start ventilation <Enter>

in the screen. Compliance 2.3 ml/cmH2O


Resistance 0.8 cmH2O/L/s
Leakage 60 ml/min
Nebulizer flow 7.3 L/min

Adult

4-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

Special note To interpret deviation of measured data, be aware that:


• Values for compliance, resistance and leakage depend upon
the breathing circuit used.
• The compliance and leakage values represent the entire
system (breathing circuit, nebulizer (if applicable) and
ventilator).
• The resistance value represents the inspiratory resistance of
breathing circuit and ventilator up to the y-piece.
• Filters and HME may significantly increase the resistance
values.
• Other breathing circuit designs, such as co-axial systems, may
significantly increase the resistance values.

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.

Because of this measurement capability Centiva/5 Plus is able to learn


the particular jet nebulizer type, used by this user or hospital.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-5


4 Test and calibration

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

If a malfunction is identified, the system will display alarms or


messages on the screen. For details of error messages refer to section
5.3.4 “Messages during operation”.

4-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

4.2 Test lung test

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

At the end of the system test


1. Connect the test lung (ST 3) to the y-piece.
2. Select patient type “Adult”.
3. Push the ComWheel or the <Enter> button to start ventilation.

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:

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-7


4 Test and calibration

Default ventilator settings Verify the following ventilator settings:


• Ventilation mode = Bi-Level
• Patient type = Adult
• Soft key FiO2 = 50 %
• Soft key Rate = 10 /min
• Soft key I:E = 1 : 2
• Soft key Ramp = 0.2 s
• Soft key P-Insp. = 10 cm H2O
• Soft key PEEP = 3 cm H2O
• Soft key PS = 5 cm H2O
• Soft key Trigg. = 6.0 L/min
• Parameter menu PS Ramp = 0.2 s
• Parameter menu ByFlow = 3.0 L/m
• Parameter menu Time window = 60%
• Parameter menu PS endflow = 25%
• Parameter menu Buzzer = 100%
• Parameter menu Brightness = 100%

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.

4-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-9


4 Test and calibration

4.3 Service mode


The Service Mode is used to test or troubleshoot the major
components of the Centiva/5 Plus CC ventilator.
For safety reasons the service mode is not accessible during the
regular operation mode. The service mode is only accessible during
and at the end of the power-up test or the system test.

Note Maintenance should only be undertaken by competent individuals


who have a general knowledge of and experience with devices of this
nature. No repair should ever be undertaken or attempted by anyone
not having such qualifications.

To enter the service mode, push the following sequence of buttons


within a time frame of 1 second:
1. ”Adult” left side
2. “Adult” right side
3. “ComWheel”.

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

Adult Pediatric Newborn Enter

1 3 4
I

4-10 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

The system will prompt with the following service screen:

Pushing the “EXIT” button returns the system to normal operation.

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 proper operation of the


following functions:
1. Pat. Pressure = airway pressure measurement
2. Exp. flow = expiratory flow measurement
a. Exp. Flow Adu = Silver exp. Valve detected at the last
system test
b. Exp. Flow Nbo = Blue (NB) exp. Valve detected at the last
system test
3. Air flow = inspiratory AIR flow setting
a. Air flow ON = AIR supply pressure OK
b. Air flow OFF = Air supply pressure below 2.2 bar (32 PSI)
4. O2 flow = inspiratory O2 flow setting
a. O2 flow ON = O2 supply pressure OK
b. O2 flow OFF = O2 supply pressure below 2.2 bar (32 PSI)
5. O2 concentr. = inspiratory O2 concentration measurement.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-11


4 Test and calibration

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 allows verifying of proper operation of the


expiratory valve locking mechanism.
13. Open = unlock the expiratory valve assembly
14. Close = lock the expiratory valve assembly
15. Drawer = detected status of locking mechanism
a. Drawer< - -> = exp. valve assembly removed
b. Drawer OK = exp. valve assembly position for lock in
properly detected

The service mode allows verifying of proper operation of the Nebulizer.


16. Nebul. OFF = turn nebulizer supply off
17. Nebul. ON = turn nebulizer supply on

The service mode allows the following calibration to be initialized:


18. O2 cal = O2 sensor calibration.

The service mode displays the following elapsed times:


19. Power-on time = total time, device was supplied with mains
supply.
20. Operation time = total time, device was in a ventilation mode.

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

4-12 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

4.4 Service mode check


To identify possible malfunctions displayed as a result of the system
test, the following sequence should be used to verify proper gas
supply and operation of the inspiratory and expiratory valves.

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-13


4 Test and calibration

4.5 Software and hardware revision


The Centiva/5 Plus CC Ventilator’s software is stored in two (2)
independent EPROM:
• 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).

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.

In normal operation mode during power-up and system test the


current software and hardware revision is displayed at the top left in
the screen. See chapter 1.1.1.

In service mode the current software and hardware revision is


displayed at the top left of the service menu.

The software revision code “3.nn.p” identifies:


- 3. = Centiva/5 Plus
- nn. = current base software release
- p = current patch number of software release (bug fixing
level)

The hardware revision code “o / r” identifies:


- o = front panel hardware revision
- r = main engine hardware revision.

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4 Test and calibration

4.6 Ventilator “on-time”


The Centiva/5 Plus CC ventilator’s software stores two “on times”.
• Power-on time
• Operation time.

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.

Both time information are displayed in the Service mode screen.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-15


4 Test and calibration

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.

These procedures may be performed in any order. However, the


procedures are presented in a logical sequence to minimize the
amount of disassembly and reassembly required. This sequence also
ensures best matching of inspiratory and expiratory flow and volume
data.

When performing the O2 calibration you do not need to open the


system’s housing.

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 Rated values may vary with software revisions.

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.

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4 Test and calibration

4.7.1 O2 sensor The Centiva/5 Plus CC Ventilator performs an automatic calibration of


calibration the O2 sensor during the O2 calibration routine. This routine requires an
O2 gas supply.
The calibration routine performs the 100% (gain) calibration only.

Special notice To ensure proper gas mixture at the O2 sensor, connect a tube to the
inspiratory connector.

There are two ways to access the O2 calibration routine:


• In the user system test menu.
• In the service mode.
The calibration routines are identical.

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:

1. Use the ComWheel to select “Calibrate O2 sensor”


2. Push the ComWheel to confirm selection.
3. O2 calibration starts

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4 Test and calibration

Access in service mode From the service mode the O2 calibration is started by pushing the
“O2cal” button.

O2 calibration procedure The procedure starts with the following screen:

This calibration procedure


takes at least 60 seconds.
The remaining test time Centiva /5
counts down on the screen. Oxygen sensor calibration
During this time the Calibrationtime 42 sec
O2-Concentration 21%
measured concentration is
displayed. If any malfunction
is identified during this
procedure, the
corresponding message
STOP
appears in the message box
area. For details of error
messages refer to section 5.3.3 “Messages during O2 sensor
calibration”.
Pushing the “Stop” button stops the calibration procedure and retains
the former calibration data. The system returns to the menu it started
from.

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.

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4 Test and calibration

4.7.2 Location of The calibration for


calibration points
1. AIR flow sensor (AIR
2. O2 flow sensor (O2)
3. Expiratory flow sensor (Exp.)
4. Battery changing end voltage (Ubat)

is performed with the main engine opened. The calibration


adjustments are located on PC board B. Removing the internal battery
makes the calibration points easy to reach.
The calibration points for the pressure/flow transducers are located
right above the corresponding pressure transducer and always with
the offset to the left and the gain to the right.
The calibration point for the charger voltage is located below the
relays.
The calibration points are circled on the following sketch:

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-19


4 Test and calibration

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:

1. Ensure that the system is turned OFF and line power is


disconnected.
2. Open main engine according to section 7.2.4.
3. Remove internal back-up battery according to section 7.9.1.
4. Re-insert exp. valve assembly.
5. Connect line power and gas supply and turn ON 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 ACTUAL RATED
connect the external flow Pat.Pressure 0 mbar 0 mbar
measurement device to Exp.flow
AIR flow ON
513 Digit
254 Digit
500 Digit
250 Digit
the inspiratory O2 flow ON 251 Digit 250 Digit
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 AIR for the measured gas
on the flow measurement device.
12. Select the “AIR” and “x 1” button.
13. Verify the flow to be 0 L/Min on
the external flow measurement
device.
14. Check the “AIR flow” “Actual” to
be at the “Rated” value ± 50
digits.
15. If not, readjust the “Zero” for the AIR flow sensor with R 316 on the
main board B to read “Rated” value ± 10 digits.

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4 Test and calibration

Continuation from previous page

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-21


4 Test and calibration

4.7.4 O2 flow The O2 flow calibration is divided into two parts


calibration
• The offset calibration
• The gain calibration

Offset calibration The Offset calibration can only be performed in service mode. The gain
calibration is performed by using an external flow measurement
device.

To calibrate the O2 flow sensor follow this preparation sequence:

1. Ensure that the system is turned OFF and line power is


disconnected.
2. Open main engine according to section 7.2.4.
3. Remove internal back-up battery according to section 7.9.1.
4. Re-insert exp. valve assembly.
5. Connect line power and gas supply and turn ON the system.
6. Verify that the system
performs the power-up ACTUAL RATED

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.

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4 Test and calibration

Continuation from previous page

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-23


4 Test and calibration

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.).

To calibrate the expiratory flow sensor follow this preparation


sequence:

1. Ensure that the system is turned OFF and line power is


disconnected.
2. Open main engine according to section 7.2.4.
3. Remove internal back-up battery according to section 7.9.1.
4. Re-insert exp. valve ACTUAL RATED
assembly. Pat.Pressure 0 mbar 0 mbar
Exp.flow 513 Digit 500 Digit
5. Connect line power and AIR flow ON 254 Digit 250 Digit
gas supply and turn ON O2 flow ON 251 Digit 250 Digit

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.

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4 Test and calibration

Continuation from previous page

Gain correction 13. Remove the expiration valve


assembly inserted in the Centiva/5
Plus. Unscrew the 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.
14. Carefully remove the flow screen and store it in a safe place so
that it can be re-installed in an undamaged condition for regular
operation.
15. For calibration purpose insert the
“Service” Flow screen ST5 (zero
tolerance), p/n M1063267 and
install the flow screen retainer.
Note If “Service” Flow screen ST5 is not
available, reference step 35 for
calibration procedure using existing flow
screen.
16. Select the “Press” button and use the ComWheel to increase the
“Pat. Pressure” “Rated“ to read to 10 mbar.
17. Select the “AIR” and “x1” button.
18. Use the ComWheel to increase the “AIR flow” “Rated” to read 30
L/min. The units in the
ACTUAL RATED
service menu change Pat.Pressure 0 mbar 0 mbar
from Digits to L/Min. Exp.flow 29,8 l/min 500 Digit
AIR flow ON 730 Digit 30 l/min
19. Check the “Exp. flow” O2 flow ON 251 Digit 250 Digit
“Actual” to read “Cal30”
± 0.5 L/Min.
20. If not, readjust the “Gain” for the exp. flow sensor with R 333 on
the main board to read “Cal30” ± 0.5 L/Min.
21. Use the ComWheel to decrease
the Exp. flow to read 0 L/min.
22. Check the “Exp. flow” “Actual” to
be at the “Rated” value ± 100
digits.
23. If not, readjust the “Zero” for the
Exp. flow sensor with R 336 on
the main board to read the
“Rated” value ± 10 digits.
24. Use the ComWheel to increase
the AIR flow to read 10 L/min on
the “AIR flow” “rated” line.

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4 Test and calibration

Continuation from previous page

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

Offset correction 35. Perform offset calibration as described in steps 1 to 12 in chapter


Gain correction 4.7.5.
36. For the gain correction without using a “service” flow screen you
need to know the current flow screen’s tolerance. This tolerance
is visible on the rim of the flow screen.
37. For gain correction start with step 13 in chapter 4.7.5.and remove
the built-in flow screen according to step 14.
38. Read and note the “Insp” % tolerance in the flow screen
correction table below.
39. Insert the flow screen again into the expiration valve assembly
and screw the flow screen retainer.

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4 Test and calibration

40. Perform gain correction as described in step 16 to 30 in chapter


4.7.5.
41. At step 19 use, the new value from the flow screen correction
table for step 19 that matches with the noted flow screen
tolerance. (Example: Tolerance = + 4.5 %, calibration value for
step 19 is 28.7 l/min)
42. At step 25 use, the new value from the flow screen correction
table for step 25 that matches with the noted flow screen
tolerance. (Example: Tolerance = + 4.5 %, calibration value for
step 25. is 9.6 l/min)
43. At step 28 use, the new value from the flow screen correction
table for step 28 that matches with the noted flow screen
tolerance. (Example: Tolerance = + 4.5 %, calibration value for
step 28 is 57.3 l/min).

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

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-27


4 Test and calibration

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:

1. Ensure that the system is turned OFF and line power is


disconnected
2. Open main engine according to section 7.2.4:
3. Remove internal back-up battery according to section 7.9.1:
4. Re-insert exp. valve assembly:
5. Connect line power and gas supply and turn ON the system:
6. Verify that the system performs the power-up test:
7. Start the service mode according to section 4.3.:
8. Connect the standard breathing system to the inspiratory and
expiratory port. Connect a standard 15 male/female y-piece elbow
with a LUER lock gas sample port to the y-piece:
9. Seal the open end of the y-piece elbow using the seal port on the
exp. valve assembly:
10. Connect the external pressure measurement device to the LUER
lock connection of the Y-piece elbow:
11. Turn on the pressure measurement device and let it warm up
according to manufacturers instructions:
12. Select the “PRESS” button and verify no
flow is activated:
13. Verify the pressure to be 0 mbar on the
ext. pressure meter.
14. Check the “Pat. Pressure” “Actual” to be
at 0 ± 0.5 mbar:
15. If not, readjust the “Zero” for the Airway
pressure sensor with
R 326 on the main board to read 0 ± 0.1
mbar.

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4 Test and calibration

Continuation from previous page

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-29


4 Test and calibration

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:

1. Ensure that the system is turned OFF and line power is


disconnected.
2. Open main engine according to section 7.2.4.
3. Re-insert exp. valve assembly.
4. Connect line power and gas supply and turn ON the system.
5. Verify that the system performs the power-up test.
6. Start the service mode according to section 4.3.
7. Connect one tube to the
inspiratory port. ACTUAL RATED
Pat.Pressure 75,2 mbar
8. Seal the open end of the Exp.flow 510 Digit
92 mbar
500 Digit
tube with a 22 mm AIR flow ON
O2 flow ON
530 Digit
251 Digit
20 l/min
250 Digit
stopper plug (e.g. P/N
2900-0001-000).
9. Select the “Air” and “x 1” button.
10. Use the ComWheel to increase the AIR flow to read 20 L/Min.
Note: Increase flow slowly by small steps to avoid oscillation
of the over pressure relief valve.
11. Watch the “Pat. Pressure” increase and stabilize at a certain
pressure level.
12. Check the “Pat. Pressure” “Actual” to be at 75 ± 2 mbar.
13. If not, readjust the overpressure relief valve by turning the valve
cap until “Pat. Pressure” “Actual“ reads 75 ± 2 mbar. Turning
clockwise increases pressure, counterclockwise lowers pressure.

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4 Test and calibration

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.

To calibrate the maximum charging voltage:

1. Ensure that the system is turned OFF and line power is


disconnected.
2. Open main engine according to section 7.2.4.
3. Re-insert exp. valve assembly.
4. Connect line power and gas supply and turn ON the system.
5. Verify that the system performs the power-up test.
6. Start the service mode according to section 4.3.
7. Disconnect X 23, battery supply connector, on main board.
8. Connect the negative voltmeter lead to ground at the electric
mounting plate.
9. Connect the positive voltmeter lead to Pin 7 (+) on X23 on the main
B board.
10. Verify that the voltage is 26.8 ± 0.1 V.
11. If not, adjust R 215 until the voltmeter displays 26.8 ± 0.1 V.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-31


4 Test and calibration

4.8 Battery test a.


b.

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.

Note When system is operated in extended temperature areas (10 to 40°C),


such as burn units, the expected battery life is reduced and battery
replacement is recommended every 12 months.

If in the meantime battery’s capacity is doubted, perform the following


test to verify proper battery capacity. A stop watch is needed.

1. Connect AC line supply to Centiva/5 Plus.


2. Turn ON Centiva/5 Plus and wait for the power up test to
terminate.
3. Set up Centiva/5 Plus with a breathing system and perform the
system test.
4. Start ventilation in default settings (Adult, Bi-Level) with a test lung
(according to section 4.2) connected.
5. Centiva/5 shows the operational screen. Check the battery status
line to be OFF as an indicator for a fully charged battery. If battery
status line is active wait until the battery is fully charged and the
battery status indicator is OFF.
6. Turn OFF the AC line supply main switch to disconnect AC supply
and start the stop watch.
7. Centiva/5 Plus operates now on battery only. Be aware that during
operation and discharging the battery a high priority alarm for an
empty battery can appear.
8. Wait until either.
a. operation time is > 30 min
b. or a permanent alarm indicates a watchdog system failure
“0036” “battery empty and no line supply”
c. or Centiva/5 Plus automatically shuts down with a completely
discharged battery and then stop the stop swatch.
9. The operation time shown in the stop watch shall exceed 30
minutes.
a. If battery operation time is > 30 minutes, the battery is OK and
can remain installed within the Centiva/5 Plus until scheduled
replacement has to take place during standard maintenance.
b. If battery operation time is < 30 minutes perform battery
refreshing process as described below.

4-32 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

Continuation from previous page

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.

10. Perform the discharging and recharging process as described in


the battery test procedure above, for three times in a row.
11. After the third charging and discharging process the operation
time, measured by the stop watch should exceed 30 minutes.
a. If battery operation time is > 30 minutes, the battery is OK and
can remain installed within the Centiva/5 Plus until scheduled
replacement has to take place during standard maintenance
(24 months).
b. If battery operation time is < 30 minutes battery needs
replacement. Please note serial number of the Centiva/5 on
top of the battery.

Special notice It is important that the discharging process and the recharging
process are not interrupted.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-33


4 Test and calibration

4.9 Free breathing valvec. test


d.

The Centiva/5 Plus CC Ventilator allows a spontaneous breathing


patient to breath room air in case of a total gas supply fail. In this case
the free breathing valve allows draining in room air during inspiration
and the PEEP valve allows expiration.
To check proper operation of the free breathing valve:

1. Turn ON Centiva/5 Plus.


2. Wait for the power up test to terminate.
3. Start the service mode according to 4.3.
4. Verify that O2 flow and AIR flow are set to “zero” (no inspiratory
flow).
5. Set up Centiva/5 Plus with a breathing system.
6. Set up the breathing system with a bacterial filter at y-piece.
7. Breathe normally through the bacterial filter at the y-piece.
8. Verify proper room air intake through the free breathing valve.
9. In case of high resistance or blocked free breathing valve replace
free breathing valve according to section 7.9.10.

4-34 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

4.10 Diagnostic tests e.


f.

The Centiva/5 Plus CC Ventilator software has diagnostic tests built-in


to ease servicing. When in service mode these diagnostic routines are
active. Start the service mode and the system will display the following
screen:

Pat. Pressure The actual airway pressure is displayed here.

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.

O2 concentration The actual O2 concentration 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 .

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-35


4 Test and calibration

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:

• Ubatt > 29.0 V = Battery failure alarm


• Ubatt < 22.5 V = Battery low alarm
• Ubatt < 22.0 V = Battery depleted alarm

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.

Drawer “OK” indicates proper locking of the expiratory valve.


“< -- >” indicates removed expiratory valve.

ExpValve These data are used for manufacturing QM only.

4-36 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


4 Test and calibration

4.11 Event log and trend download (service log)


Centiva/5 Plus has a built in trend and event log book (service log). This
data is stored in a ring buffer and has a maximum capacity of 5,172
positions. In normal use that represents about 2 weeks continuous
trend data and about 1,000 event log topics.
In case of unclear anomalies or function issues this event log and
trend download can help to identify problems.

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

Trend option available When the option


“Trend” is available Centiva/5 + Bi-Level Newborn
VG 09:36:53
2006-11-21
on this Centiva/5 SW 3.nn.p HW 0/r
Trend
Spirometry
Plus start the system
Bypass
system test
System test
and perform a power Make sure no patient is connected while Unlock
up test. To see the performing the System test.
Complete system set up, seal y-piece
exp. valve

event and trend data Start system test by pressing <Enter>


Calibrate
push the “Retain O2 sensor

trend data” button Align


touch screen
Ensure silver exp. valve is in place
and verify it has
Retain
confirmed by Body weigth 55 kg trend data

changing color into


Adult Pediatric Newborn Enter
green before you
start performing a
system test. Apply a breathing system and a test lung and go into
normal default ventilation operation after system test. Follow URM
Centiva/5 Plus chapter 6.3.7 Read event and trend data to see the
requested information.

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 4-37


4 Test and calibration

The download requires


- a service cable P/N BE-126081 to connect Centva/5 Plus
and a PC. The Lemosa plug matches the socket at the
Centiva/5 Plus’ front panel (lower side), the D-Sub 9
matches a standard serial port of the PC.
- a standard Serial-To-USB converter to connect the service
cable to a Laptop with USB sockets. The D-Sub 9 plug of
the service cable is connected with the serial side of the
Serial-To-USB converter, the USB plug connects to the
Laptop.
- a dedicated software for serial data transfer.

Hardware connection To download trend data from Centiva/5 Plus’ service log to a Laptop or
PC follow this instruction:

1. Turn OFF Centiva/5 Plus.


2. Turn OFF PC or laptop
3. Connect the service cable with its Lemosa plug to the Centiva/5
Plus serial port at the control panel.
4. Connect the service cable with its D-Sub 9 plug to the serial port of
the PC. In case of using a laptop with USB connections only, use a
standard Serial-to-USB converter to connect the D-Sub 9 to the
USB connection.
5. Turn ON the PC or Laptop
6. Turn ON the Centiva/5 plus.
7. Wait for the power up test to terminate.
8. For downloading the service log stay either in system test screen
mode or move into service mode. Download in operation mode is
not enabled.
9. For downloading the service log use the “Centiva/5 Plus service log
downloader”. For more details refer to Appendix A 1.

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.

4-38 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

WARNING Post-Service checkout is required after you have completed


this section. You must perform Section “3/Post-Service
Checkout” after performing maintenance, service or repair.
Failure to do so may result in patient injury.

In this section 5.1 Troubleshooting instructions 5-2


5.2 Alarms 5-4
5.3 Messages 5-11
5.3.1 Messages during power-up test 5-11
5.3.2 Messages during system test 5-16
5.3.3 Messages during O2 sensor calibration 5-27
5.3.4 Messages during operation 5-28
5.3.5 System shut down messages 5-32

TRM, Centiva/5 Plus,M1047448/ CM-922026, rev. 3.51.f of 05/08 5-1


5 Troubleshooting

5.1 Troubleshooting instructions


The Centiva/5 Plus CC Ventilator software includes self test capability
to identify problems or malfunctions of the system. However, some
ventilator problems may not generate any message or alarm, even
though the ventilator is not be functioning correctly.
The self tests include:
• Power-up-test
• System test
• In-operation test
Additional self test capabilities are within the:
• O2 sensor calibration
User related alarms and messages will be displayed in the user
selected language to allow the operator to react, either by correcting
the problem or by calling an authorized service specialist.

The identified problem, malfunction or advice will be displayed with


either an alarm or a message on the screen.

Centiva/5 + Bi-Level VG
Newborn
Trend
SW 3.nn.p HW o/r Spirometry

System test # 02_1


No line supply

Check line power cord and fuse Unlock


exp. valve

Enter

While in power-up test, system test and O2 calibration the messages


will appear in the screen, showed above.

Be aware that system test messages may appear because of artifacts


during the system test sequence. These artifacts could be moving,
manipulating and handling of accessories and breathing circuit
components while performing the tests. In this case no malfunction of
Centiva/5 Plus has created the message performing the system test
again will allow to pass the system test successfully.

5-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

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

While in operation, the messages will appear in the operation screen.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-3


5 Troubleshooting

5.2 Alarms

No. Alarm Priority Set condition Action Reset condition


1 “Pressure High In all modes: User alarm. In all modes:
high” If Ppeak ≥ Pmax Check vent. settings Within the following
Sequence #2 to follow: AND breath
If Ppeak > (Pmax + 2 check breathing If Ppeak< (Pmax–2
cmH2O) system, PEEP valve cmH2O)
for blockage or and
kinked tubes Inspiratory safety
valve is closed.
2 “Pressure High VCV, SIMV, Bi-Level VG User alarm. VCV, SIMV, Bi-Level
low” mode: Check vent. settings VG mode:
If Ppeak < (PPEEP + 2 AND If Ppeak ≥ (PPEEP + 2
cmH2O) after 15 sec check breathing cmH2O) within the
from start of insp. system, PEEP valve following breath
Bi-Level mode: for leaks Bi-Level mode:
If Ppeak < ((Pinsp + PPEEP) /2 ) AND If Ppeak ≥ ((Pinsp +
– 0.5 cmH2O after 15 check LuerLock port PPEEP) /2) – 0.5
sec from start of insp. covers of HME, HMEF cmH2O within the
and filters for leaks following breath.
CPAP mode: CPAP mode:
If Ppeak < ((PS + PPEEP) /2 ) If Ppeak ≥ ((PS + PPEEP)
– 0.5 cmH2O after 15 /2) – 0.5 cmH2O
sec from start of insp. within the following
breath.
In all modes: And for all modes:
If Pairway < -1 cmH2O for If Pairway ≥ 0 cmH2O
more than 0.5 sec
3 “Pressure High In all modes: User alarm. In all modes:
sustained” If Pmin > (PPEEP + 2 Check vent. settings If Pmin < (PPEEP + 2
cmH2O) within one AND cmH2O) within the
breath check breathing following breath
In all modes: system, PEEP valve and
If Pairway > (Pset + 5 for blockage or Inspiratory safety
cmH2O) within 0.5 sec kinked tubes valve is closed

5-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

No. Alarm Priority Set condition Action Reset condition


4 “Apnea” High VCV, SIMV-VC, Bi-Level, User alarm. VCV, SIMV-VC, Bi-
mode: Check for apnetic Level, CPAP/PSV
System open (see patient mode:
messages) for longer AND Next expiration is
than Apnea time Check breathing detected and
system, PEEP valve Rate > 3 bpm
for leaks
CPAP/PSV mode: User alarm. CPAP/PSV mode:
Since the last expiration Bi-Level back up Restart CPAP/PSV
no breath is detected in mode is started. mode or start any
set apnea time Check for apnetic other mode
or measured rate patient. AND
< 4 bpm next expiration is
detected
and
Rate > 3 bpm.
5 “Leakage” High In all modes: User alarm. In all modes:
If measured leakage Check leakage alarm If measured
(((Vinsp-Vexp) / Vinsp) * 100) setting leakage ≤ set
> set leakage alarm (5% AND leakage alarm (5% -
- 95%) Check breathing 95%) within one
system, PEEP valve breath
for leaks
6 “Vt not High VCV, SIMV-VC modes: User alarm. VCV, SIMV-VC
delivered” If Ppeak ≥ Plimit Check vent. setting modes:
And AND If Ppeak < Plimit
Vt measured ≤ Vt set * check breathing AND
0.8 system, PEEP valve Vt measured > Vt
for blockage or set x 0.8 at the end
kinked tubes of inspiratory time
Bi-Level VG mode: Bi-Level VG mode:
If Vt measured ≤ Vt set * Vt measured > Vt
0.8 set x 0.8 at the end
of inspiratory time
7 “MV low” High In all modes: User alarm. In all modes:
If calculated MV over 61 Check MV min alarm If calculated MV >
seconds or over 10 setting set MV limit (0.5 – 50
breaths (which ever is AND L/min)
smaller) < set MV limit MV E
(0.5 – 50 L/min)
8 “MV high” High In all modes: User alarm. In all modes:
If calculated MV over 61 Check MV max alarm If calculated MV <
seconds or over 10 setting set MV limit (0.5 – 50
breaths (which ever is AND L/min)
greater) > set MV limit MV E
(0.5 – 50 L/min)

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-5


5 Troubleshooting

No. Alarm Priority Set condition Action Reset condition


9 “Sensor High In all modes: Check O2 flow In all modes:
mismatch” If any of the three flow sensor, AIR flow All of the three flow
sensor delivers sensor, exp flow sensors reaches
implausible data sensor zero range
OR AND AND
If the insp. pressure recalibrate all the inspiratory flow
sensor delivers sensors sensor reads > 5
implausible data AND verify proper L/Min and < 120
OR tubing between flow L/min for more than
If the insp. pressure sensors and PC 0.5 sec
sensor reads ≤ –9 board B AND
cmH2O for more than AND the expiratory flow
500 ms Replace PC board B if sensor reads > - 5
OR calibration does not L/Min and ≤ 140
If the insp. pressure remove the problem L/min for more than
sensor reads > 80 0.5 sec
cmH2O for more than AND
500 ms the inspiratory
OR pressure sensor
If an additional external reaches zero range
flow is detected AND
the inspiratory
pressure sensor
reads > -9 cmH2O
for more than 0.5
sec
AND
the inspiratory
pressure sensor
reads < 80 cmH2O
for more than 0.5
sec
AND
[(Vinsp- Vexp)/Vinsp]*
100 > -25%
10 “Battery High In all modes: Replace defective Battery voltage
failure” If sensed battery battery between 24 and
voltage > 29 V for more OR 28 V
than 1 sec. replace PC board B if
battery was not
defective
11 “Battery low” High In all modes: Recharge battery In all modes:
If sensed battery OR If sensed battery
voltage < 22.5 V for replace battery if not voltage > 24 V
more than 1 sec. rechargeable

5-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

No. Alarm Priority Set condition Action Reset condition


12 “Line supply Low In all modes: Check AC power In all modes:
fail” If DC supply < 22 V supply line, AC main If 95 VAC (200 VAC) ≤
AND switch, AC fuses, line supply voltage
line supply voltage < 95 primary and ≤ 135 VAC ( 255 VAC)
VAC (200 VAC) for more secondary AND
than 100 msec transformer Internal main bus
OR connection and PC 13v > 12.2 V
If line supply voltage > board fuses and
135 VAC (255 VAC) replace if necessary
13 “Fan failure” High In all modes : Check fan and In all modes:
If sensed fan rotation < replace if necessary If 2,820 rpm ≤
2,820 rpm sensed fan rotation
OR ≤ 5,160 rpm
If sensed fan rotation >
5,160 rpm
14 “Temperature Low In all modes: Check AIR Gas In all modes:
error” If the heater temp intake temperature If 5°C < heater
< 5° C when using a temp. < 60 °C
OR If the heater temp compressor (> 48°C) AND
> 60 °C OR if the heater current
OR If the heater current Check heater system is < 700 mA
> 700 mA and replace , if And if heater power
OR If heater power necessary is <14,4 VA
> 14,4 VA OR AND
OR if the heater temp. is replace PC board B if if the heater temp is
between 42 and 48°C replacing heater 42 to 48°C, PWM
and PWM out of range system does not signal within range
(all for more than 60 solve the problem
sec)
15 “O2 supply High In all modes: Check O2 supply, In all modes:
fail” If PWM signal reaches 0 filter, pressure If PWM signal FiO2
at O2 flow > 0 reducer and pressure set = 0.21
OR if PWM signal switch. OR
reaches maximum at Check O2 prop If the O2 pressure
O2 flow < 90 l/min valves, O2 flow sense control switch (2
OR O2 pressure switch tubes to PC board B bar, 29 PSI) is closed
permanently inactive Replace pneumatic AND
(Po2< 29 PSI) assembly. If 0.5V < valve O2 <
OR ADC values of O2 Replace PC board B if 11.5 V
flow sensor < 2/1024 or replacing the
> 1022/1024 pneumatic assembly
does not solve the
problem

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-7


5 Troubleshooting

No. Alarm Priority Set condition Action Reset condition


16 “AIR supply High In all modes: Check AIR supply, In all modes:
fail” If PWM signal reaches 0 filter, pressure If FiO2 set = 1.0
at AIR flow > 0 reducer and pressure OR
OR switch. if the AIR pressure
if PWM signal reaches Check AIR prop control switch (2
maximum at AIR flow < valves, AIR flow bar, 29 PSI) is closed
90 l/min sense tubes to PC AND
OR board B if 0.5V < valve AIR <
AIR pressure switch Replace pneumatic 11.5 V
permanently inactive assembly.
(Po2< 29 PSI) Replace PC board B if
OR replacing the
ADC values of AIR flow pneumatic assembly
sensor < 2/1024 or > does not solve the
1022/1024 problem
17 “Rate low” High In all modes: User alarm. In all modes:
If measured rate < set Check vent settings If measured rate ≥
rate low limit and patient set rate low limit
spontaneous
breathing
18 “Rate high” High In all modes: User alarm. In all modes:
If measured rate > set Check vent settings If measured rate ≤
rate high limit and patient set rate high limit
spontaneous
breathing
19 “Power PCB High In all modes: Power supply In all modes:
fail” If Main 5V A>5.5 V or < problem Main 5 V A, If 4.5 V< Main 5 V A
4.5 V (SS code 30xx) check fuses, replace < 5.5 V
OR PC board A. If 4.5 V < Main 5 V B
if Main 5V B > 5.5 V or < Power supply < 5.5 V
4.5 V (SS code xx30) problem Main 5 V B, If 11.5 V < Main 13 V
OR Main 13 V, Main 15 V, < 15 V
If Main 13V > 15.0 V or < check fuses, replace If 12.5 V < Main 15 V
11.5 V (SS code xx32) PC board B < 17 V
OR
If Main 15V > 17.0 V or <
12.5 V (SS code xx33)
20 “Display High In all modes: Check display In all modes:
failure” If connection between connection, replace If CPU handshake is
control panel and main DCU PC board. OK
engine is defective Replace PC board A if AND
OR DCU PC board is not If display back light
if display back light is defective supply ≥ 12 V
defective

5-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

No. Alarm Priority Set condition Action Reset condition


21 “O2 sensor High In all modes: Check O2 sensor In all modes:
fail” If O2 measured value ≤ calibration. If 10% < O2
10 % Check O2 sensor and measured value <
OR replace, if necessary. 120 %
If O2 measured value ≥ Replace PC board B ,
120 % if O2 sensor was not
defective
22 “O2 concentr. High In all modes: Check O2 sensor In all modes:
low” If O2 measured value < calibration. If O2 measured
set O2 low limit Check O2 sensor and value ≥ set O2 low
replace, if necessary. limit
Replace PC board B ,
if O2 sensor was not
defective
23 “O2 concentr. High In all modes: Check O2 sensor In all modes:
high” If O2 measured value > calibration. If O2 measured
set O2 high limit Check O2 sensor and value ≤ set O2 high
replace, if necessary. limit
Replace PC board B ,
if O2 sensor was not
defective
24 “P limit Low VCV, SIMV-VC modes: User alarm. VCV, SIMV-VC
reached” If Ppeak ≥ Plimit Check vent. setting modes:
AND check breathing If Ppeak < Plimit at
system, PEEP valve the end of
for blockage or inspiratory time
kinked tubes
25 “Button Low In all modes: Check ON/OFF Release button or
Failure” If a button is active for switch, ComWheel replace touch
more than 5 sec and touch screen. screen
Replace if necessary.
26 “DC supply High In all modes: Check external Restore 24 V DC
fail” If no AC supply active battery pack for supply
AND charging status and OR
external DC supply recharge, if restore external
connected necessary, or battery pack with
AND replace if not fully charged one
external DC supply fails rechargeable. OR
OR Replace PC board B, supply system by
If external battery if problem remains AC line supply
voltage < 22 V with proper working
external DC supply

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-9


5 Troubleshooting

No. Alarm Priority Set condition Action Reset condition


27 “Tube High Bi-Level VG mode: User alarm. Measured applied
occluded ?” If measured VT-E is < Check tube for volume is > 10% of
10% of set VT kinking or occlusion set VT
OR OR
If measured VT-E is < 20 > 20 ml (Adult) / 10
ml (adult mode) 10 ml ml (Pediatric)
(Pediatric mode)
28 “Exp. flow Low In all modes: User alarm. Measured
sensor?” If dirty exp. flow screen Check expiratory expiratory flow data
causes implausible flow screen for dirt is within the
values by e.g. and clean, if tolerances.
nebulisation or back necessary.
pressure to flow screen
exit by positioning
failures.

5-10 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-11


5 Troubleshooting

Code Message Type Set condition Action Reset condition


01-1 Watchdog System Watchdog Check SIO and A board If communication
controller A does shut problems are functions and replace between PC board
not open. down identified A-uC board if A and B is OK
error necessary
01-2 Watchdog System Watchdog Check SIO and A board If communication
controller A does shut problems are functions and replace between PC board
not close. down identified A –uC board, if A and B is OK
error necessary
01-3 Watchdog System Watchdog Check SIO and B board If communication
controller B does shut problems are functions and replace between PC board
not open. down identified B board, if necessary A and B is OK
error
01-4 Watchdog System Watchdog Check SIO and B board If communication
controller B does shut problems are functions and replace between PC board
not close. down identified B board, if necessary A and B is OK
error
02-1 No line supply, System Line power supply Check line power If line power
check line power shut fails supply, socket, power supply is restored
cord and fuse. down cord, plug, primary
error fuses, line switch and
fuses on B board
02-2 External power System External power Check external supply If external power
supply failure, shut supply voltage is voltage supply voltage is
voltage too high, down too high in the proper
check external error voltage range
power supply.
02-3 Internal power System Internal power Check B board Repeat test or
supply failure. shut supply fails. functions and replace Check power
System may not down B board, if necessary. supply system
be operated. error
Repeat test by
turning OFF and
ON again
03-1 Battery depleted System The internal back Recharge battery Battery has
(voltage < 22.0V) shut up battery is while system is reached sufficient
System not down depleted. supplied with line voltage level
ready for error power or external DC within 10 minutes
operation. If this power. of recharging.
message If not successful, Repeat test by
appears for replace battery turning Centiva/5
more than 10 OFF and ON
min, battery again.
needs
replacement.

5-12 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Code Message Type Set condition Action Reset condition


03-2 Battery is empty System The internal back Recharge battery Battery has
(voltage < 23.5V) shut up battery is while system is reached 24.0 V
If 24.0 V is not down empty. The battery supplied with line within 20 minutes.
reached in 20 error voltage is x V. power or external DC If not: Repeat test
min, battery power prior to by turning
needs operation. If not Centiva/5 OFF and
replacement. successful replace ON again
battery
03-3 Battery or System The internal back Check power supply Battery and
recharger shut up battery is function or replace B charger are
defective. down depleted board working properly
Repeat test by error OR Readjust charger
turning OFF and The recharger for voltage
ON again. the internal back Check battery and
up battery is replace battery, if
defective. necessary
03-4 Battery cannot System The internal back Check battery fuse Battery works OK
be switched on! shut up battery is not and replace battery, if
Repeat test by down operable. necessary.
turning OFF and error If not successful,
ON again. check battery and
replace, if necessary
04-1 Fan failure. System The internal fan is Check fan and replace Fan works OK
Repeat test by shut not operable. fan; if necessary
turning OFF and down
ON again. error
04-2 Temperature System The inspiratory Check inspiratory Temperature
sensor insp. shut temperature temp sensor and sensor delivers
Flow down sensor is not connector and replace proper signal
malfunctions. error operable. pneumatic assembly,
Repeat test by if necessary
turning OFF and
ON again.
05-1 Watchdog does System The heater is not Check expiration valve Heater can be
not turn off shut operable. control system for turned off
heater. Repeat down proper connections, if
test by turning error necessary replace
OFF and ON exp. valve control
again. assembly or B board
05-2 Exp. Flow sensor System Expiratory flow Check expiration valve Heater can be
heater cannot shut sensor heater fails. control system for turned on
be switched on. down proper connections, if
Repeat test by error necessary replace
turning OFF and exp. valve control
ON again. assembly or B board

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-13


5 Troubleshooting

Code Message Type Set condition Action Reset condition


05-3 Heater or heater System Expiratory flow Check expiration valve Heater current
current limiter shut sensor heater control system for limiter works OK
failure. Repeat down current limiter fails.
proper connections, if
test by turning error necessary replace
OFF and ON exp. valve control
again. assembly or B board
05-4 Heater System Expiratory flow Check expiration valve Heater
temperature shut sensor heater control system for temperature
sensor down temperature proper connections, if sensor works OK
malfunction. error sensor malfunction necessary replace
Repeat test by or defective. exp. valve control
turning OFF and assembly or B board
ON again.
Expiration valve System Expiration valve is Insert expiration valve Insert expiration
missing or not in shut not inserted assembly and let lock valve into valve
proper position. down OR Expiration valve lock
error is not properly OR assemble
assembled expiration valve
OR Expiration valve properly and
is not properly reinsert into valve
inserted lock
Expiration valve Cautio Expiration valve Remove expiration Unlock, remove
unlocked. Ready n locking mechanism valve from valve lock and reinsert
to be removed was operated to expiration valve
from device” unlock the
expiration valve
06-3 Malfunction of System Expiratory flow User may try to Insert expiration
locking shut sensor valve lock activate the locking valve into valve
mechanism of down malfunction or mechanism by system lock
expiration valve. error defective. test menu. If not OR assemble
Unlock exp. successful, replace expiration valve
valve again via expiration valve properly and
system test locking system reinsert into valve
menu. lock
07-1 EPROM versions System Panel EPROM Check EPROM versions Exchange entire
do not match. shut version and between A and B panel with a
Check software down internal main board. Verify that the matching version
rev. no. of panel error board EPROM EPROM are properly
and main versions do not inserted
engine. match.
08-1 Controller or System Controller or RAM Repeat system test for Controller or RAM
RAM on main shut problems are 5 times to load new is identified to be
PCB defective. down identified on main data into EEPROM or OK.
Repeat test by error PC board replace B board, if
turning OFF and necessary
ON again.

5-14 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Code Message Type Set condition Action Reset condition


08-2 Controller or System Controller or RAM Repeat system test for Controller or RAM
RAM on front shut problems are 5 times to load new is identified to be
PCB defective. down identified on panel data into EEPROM or OK.
Repeat test by error PC board replace A board, if
turning OFF and necessary
ON again.
09-1 EPROM on main System EPROM problems Check proper seating EPROM is
PCB defective. shut are identified on of EPROM in socket identified to be
Repeat test by down main PC board and replace B EPROM, OK.
turning OFF and error if necessary
ON again.
09-2 EPROM on front System EPROM problems Check proper seating EPROM is
PCB defective. shut are identified on of EPROM in socket identified to be
Repeat test by down panel PC board and replace A EPROM, OK.
turning OFF and error if necessary
ON again.
09-3 EEPROM on System EEPROM problems Repeat system test for EEPROM is
main PCB shut are identified on 5 times to load new identified to be
defective. down main PC board data into EEPROM or OK.
Repeat test by error replace B board, if
turning OFF and necessary
ON again.
09-4 EEPROM on front System EEPROM problems Repeat system test for EEPROM is
PCB defective. shut are identified on 5 times to load new identified to be
Repeat test by down panel PC board data into EEPROM or OK.
turning OFF and error replace A board, if
ON again. necessary
10-1 Button defective System Any front panel Check button Check for
or permanently shut button or the connection within permanently
pressed. Release down ON/OFF button is control panel, if activated button
button or repeat error defective necessary replace on front panel
test by turning Or any button is front label with OR repeat test by
OFF and ON permanently active buttons turning OFF and
again. ON again
10-2 Buzzer on main System Buzzer problems Check connection PC Buzzer is identified
PCB defective. shut are identified on board B and Alarm to be OK.
Repeat test by down main PC board system, if necessary
turning OFF and error replace main alarm
ON again. system
10-3 Buzzer on front System Buzzer problems Check connection PC Buzzer is identified
PCB defective. shut are identified on board A and Alarm to be OK.
Repeat test by down panel PC board system, if necessary
turning ON and error replace front alarm
Off again. system

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-15


5 Troubleshooting

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>.

5-16 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Code Message Type Set condition Action Reset condition


14-2 Oxygen flow Advice Insufficient O2 Check for proper O2 O2 supply
valves do not supply pressure gas supply pressure
open or no exceeding 2 bar
signal from (28 PSI)
oxygen flow OR
sensor. repeat test by
Check O2 gas pushing <Enter>
supply and
press
<Enter>.”
14-3 Oxygen flow Advice O2 flow sensor Replace B board O2 flow offset
offset valve does offset valve valve operates
not react. problem identified properly
Repeat test by OR
pressing repeat test by
<Enter>. pushing <Enter>
15-1 Oxygen valves Advice O2 valves do not Check O2 valve and O2 valves operate
do not properly properly close replace pneumatic properly
close. OR assembly, if necessary OR
Check O2 gas O2 gas supply repeat test by
supply or repeat pressure too high pushing <Enter>
test by pressing Or O2 valve seat
<Enter>. dirty.
15-2 2nd oxygen flow Advice O2 flow valve Check O2 valve and 2nd O2 valve
valve does not problem identified replace pneumatic operates properly
react. Repeat assembly, if necessary oR
test by pressing Proceed with
<Enter>. system test by
pushing <Enter>
15-3 Malfunction in Advice O2 flow valve Check O2 valve and Repeat test by
oxygen valve problem identified replace pneumatic pushing <Enter>
testing. Test assembly, if necessary
takes too long,
repeat test by
pressing
<Enter>.
15-4 Limited flow in Advice O2 flow sensor Check gas supply O2 flow sensor
oxygen gas detects a max flow hose, plug, line and detects > 110
supply. Check of < 110 L/Min, filters for flow L/Min at 120 L/Min
gas supply for when 120 L/Min restrictions. test
sufficient flow flow is tested OR
delivery” repeat test by
Repeat test by pushing <Enter>
pressing
<Enter>.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-17


5 Troubleshooting

Code Message Type Set condition Action Reset condition


16-1 AIR flow sensor Advice AIR flow sensor is Recalibrate AIR flow AIR flow sensor
miscalibrated or miscalibrated line signal within
defective, OR proper offset
measured offset AIR flow sensor is range
out of range. defective OR
Repeat test by repeat test by
pressing pushing <Enter>
<Enter>.
16-2 AIR flow valves Advice Insufficient AIR Check for proper AIR AIR supply
do not open or supply pressure gas supply pressure
no signal from exceeding 2 bar
AIR flow sensor. (28 PSI)
Check AIR gas OR
supply repeat test by
Repeat test by pushing <Enter>
pressing
<Enter>.
16-3 “AIR flow offset Advice AIR flow sensor Replace B board AIR flow offset
valve does not offset valve valve operates
react. Repeat problem identified properly Or repeat
test by pressing test by pushing
<Enter>. <Enter>
17-1 AIR valves do Advice AIR valves do not Check AIR valve and AIR valves operate
not properly properly close replace pneumatic properly
close. Check AIR OR assembly, if necessary OR
gas supply or AIR gas supply repeat test by
repeat test by pressure too high pushing <Enter>
pressing OR
<Enter>. AIR valve seat
dirty.
17-2 2nd Air flow valve Advice Air flow valve Check AIR valve and Repeat test by
does not react. problem identified replace pneumatic pushing <Enter>
Repeat test by assembly, if necessary
pressing
<Enter>.
17-3 Malfunction in Advice AIR flow valve Check AIR valve and Repeat test by
AIR valve testing. problem identified replace pneumatic pushing <Enter>
Test takes too assembly, if necessary
long. Repeat test
by pressing
<Enter>.

5-18 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Code Message Type Set condition Action Reset condition


17-4 Limited flow in Advice Air flow sensor Check gas supply Air flow sensor
AIR gas supply. detects a max flow hose, plug, line and detects > 110
Check gas of < 110 L/Min, filters for flow L/Min at 120 L/Min
supply for when 120 L/Min restrictions. test or repeat test
sufficient flow flow is tested by pushing
delivery. <Enter>
Repeat test by
pressing
<Enter>.
18-1 Pressure sensor Advice Pressure sensor is Recalibrate pressure Pressure sensor
miscalibrated or miscalibrated sensor signal within
defective, OR proper offset
measured offset Pressure sensor is range
out of range. defective OR
Repeat test by repeat test by
pressing pushing <Enter>
<Enter>.
18-2 No pressure Advice No pressure Check PEEP Pressure increase
increase in increase measured membrane for proper is measured in the
breathing circuit. up to 30 cmH2O assembly and breathing circuit
Check breathing within 1 secs positioning and OR
circuit and caused by a non- replace PEEP repeat test by
expiration valve sealed y-piece membrane, if pushing <Enter>
for leaks. Press OR A leak in the necessary
<Enter>. breathing circuit
OR A leak in the
expiration valve
18-3 Pressure sensor Advice Pressure sensor Replace B board Pressure sensor
offset valve does offset valve offset valve
not react. problem identified operates properly
Repeat test by OR repeat test by
pressing pushing <Enter>
<Enter>.
19-1 Pressure sensor Advice Low pressure Check the breathing Pressure increase
malfunction. increase measured circuit for leaks and is measured in the
Leakage, check caused by a check the expiration breathing circuit
expiration valve. pressure sensor valve for proper OR
Repeat test by malfunction OR function and restart repeat test by
pressing a leak in the the system test. pushing <Enter>
<Enter>. breathing circuit
OR
A leak in the
expiration valve

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-19


5 Troubleshooting

Code Message Type Set condition Action Reset condition


19-2 Electronic Advice Electronic Check pressure safety Electronic
pressure safety overpressure relief valve and replace pressure safety
valve in valve in inspiration pneumatic assembly, valve opens
inspiratory line line does not react if necessary properly
does not open. OR OR
Repeat test by Pressure release repeat test by
pressing too slow pushing <Enter>
<Enter>.
20-1 No pressure Advice No pressure Check the breathing Pressure increase
increase in increase measured circuit for leaks and is measured in the
system. Leakage above 50 cmH2O seal y-piece breathing circuit
xxx mL/min. within 5 secs OR
Check y-piece, caused by a non- repeat test by
breathing circuit sealed y-piece pushing <Enter>
and expiratory OR
valve for leaks. A leak in the
Press <Enter>. breathing
exceeding 1.000
mL/min circuit

20-2 Leakage in Advice Leakage in Check the breathing Seal leaks


breathing circuit breathing circuit circuit for leaks OR
too high. exceeds 1.000 repeat test by
Leakage xxx mL/min. pushing <Enter>
mL/min. Check
y-piece,
breathing circuit
and expiration
valve for leaks
Press <Enter>.
20-3 Operational Advice Pressure increase Do not squeeze Proper pressure
valve measured with breathing circuit increase is
malfunction. sealed valves components while in measured in the
Repeat test by system test breathing circuit
pressing OR
<Enter>. repeat test by
pushing <Enter>
20-4 Proportional or Advice Pressure increase Do not squeeze Proper pressure
nebulizer valve measured with breathing circuit increase is
does not sealed valves components while in measured in the
properly close. system test or breathing circuit
Repeat test by check valves for leaks OR
pressing and replace repeat test by
<Enter>. pneumatic assembly, pushing <Enter>
if necessary

5-20 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Code Message Type Set condition Action Reset condition


21-1 Total resistance Advice Total resistance Check breathing Total resistance
too high. Check exceeding 15 circuit for kinked hoses below 15 cmH2O
breathing circuit cmH2O /L/s or components /L/s
and expiratory causing high OR
valve for resistance and check Accept high
resistance. expiratory valve resistance by
Accept by assembly pressing alarm
pressing Alarm silence button or
Silence Button repeat test by
or repeat test by pushing <Enter>
pressing
<Enter>.”
21-2 n/a
21-3 Expiratory valve Advice Expiratory valve Check breathing Expiratory valve
data not data do not match circuit for kinked hoses
data in proper
matching. Check with resistance or components range
breathing circuit. and compliance causing high OR
Press <Enter>. data resistance repeat test by
pushing <Enter>
21-4 Expiration valve Advice Expiration valve Check breathing Expiration valve
cannot control P cannot control circuit for leaks and can control
< 4 cmH2O. pressure < 4 check expiratory valve pressure < 4
Check proper cmH2O. for proper assembly cmH2O
assembly of and check breathing OR
expiration valve circuit for kinked hoses Proceed with
or repeat test by or components system test by
pressing causing high pushing <Enter>
<Enter>. resistance
22-1 Overpressure Advice Overpressure relief Check pressure safety Overpressure
relief valve valve reacts on valve and recalibrate relief valve
P < 65 cmH2O. pressure or replace pneumatic operates between
Repeat test by < 65 cmH2O assembly, if necessary 65 and 85 cmH2O
pressing OR
<Enter>. Proceed with
system test by
pushing <Enter>
22-2 Overpressure Advice Overpressure relief Check pressure safety Overpressure
relief valve P > valve reacts on valve and recalibrate relief valve
85 cmH2O. pressure > 85 or replace pneumatic operates between
Repeat test by cmH2O assembly, if necessary 65 and 85 cmH2O
pressing Or
<Enter>. Proceed with
system test by
pushing <Enter>

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-21


5 Troubleshooting

Code Message Type Set condition Action Reset condition


23-1 Exp. flow sensor Advice Expiratory flow Recalibrate expiration Expiratory flow
miscalibrated or sensor is flow sensor or clean or sensor signal
defective, miscalibrated replace expiratory within proper
measured offset OR flow screen, if offset range
out of range. Flow sensor is necessary OR
Repeat test by defective Or flow Proceed with
pressing screen is dirty or system test by
<Enter>. blocked pushing <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

5-22 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Code Message Type Set condition Action Reset condition


24-2 Exp. flow sensor Advice Expiration flow Check proper Expiration flow
value too low sensor value too expiration valve type sensor signal in
with AIR flow. low with AIR flow. is inserted (silver for proper range
Check oxygen OR adult/pediatric and OR
sensor Oxygen value blue for neonate) Proceed with
calibration. incorrect or remove expiration system test by
Check expiration OR valve from lock, pushing <Enter>
valve for silver Adult/Pedia reassemble and
resistance, valve assembly reinsert prior to restart
ensure valve inserted but the system test
matches Newborn mode or recalibrate O2 cell
selected patient selected or recalibrate Air flow
type or repeat line or replace
test by pressing pneumatic assembly
<Enter>.
24-3 Exp. flow sensor Advice Expiration flow Check proper Expiration flow
value too high sensor value too expiration valve type sensor signal in
with O2 flow. high with O2 flow. is inserted (silver for proper range
Check oxygen OR adult/pediatric and OR
sensor flow screen is dirty blue for neonate) Proceed with
calibration. or blocked Or check proper system test by
Check expiration OR expiration valve type pushing <Enter>
valve for oxygen value is inserted (silver for
resistance, incorrect adult/pediatric and
ensure valve OR blue for newborn)
matches blue Newborn Or remove expiration
selected patient valve assembly valve from lock,
type or repeat inserted but reassemble and
test by pressing Adult/Pedia mode reinsert prior to restart
<Enter>. selected the system test
or recalibrate O2 cell
or recalibrate Air flow
line or replace
pneumatic assembly

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-23


5 Troubleshooting

Code Message Type Set condition Action Reset condition


24-4 Exp. flow sensor Advice Expiration flow Check proper Expiration flow
value too low sensor value too expiration valve type sensor signal in
with O2 flow. low with O2 flow. is inserted (silver for proper range
Check oxygen OR adult/pediatric and OR
sensor Oxygen value blue for neonate) Proceed with
calibration. incorrect Or check proper system test by
Check expiration OR expiration valve type pushing <Enter>
valve for silver Adult/Pedia is inserted (silver for
resistance, valve assembly adult/pediatric and
ensure valve inserted but blue for newborn)
matches Newborn mode or remove expiration
selected patient selected valve from lock,
type or repeat reassemble and
test by pressing reinsert prior to restart
<Enter>. the system test
or recalibrate O2 cell
or recalibrate Air flow
line or replace
pneumatic assembly
25-1 Nebulizer flow Advice Expiration flow Check nebulizer to Expiration flow
with AIR out of sensor value too match specs and for sensor signal in
range. Repeat low with AIR proper operation and proper range
test by pressing Nebulizer flow. leak tightness OR
<Enter>. Proceed with
system test by
pushing <Enter>
Or call authorized
service specialist
25-2 Nebulizer flow Advice Expiration flow Check nebulizer to Expiration flow
with O2 out of sensor value too match specs and for sensor signal in
range. Repeat low with O2 proper operation and proper range OR
test by pressing Nebulizer flow. leak tightness Proceed with
<Enter>. system test by
pushing <Enter>
Or call authorized
service specialist
25-3 Nebulizer flow Advice Nebulizer flow data Check nebulizer to Nebulizer flow
data does not incorrect match specs and for data in proper
match. Repeat proper operation and range or proceed
test by pressing leak tightness and with system test
<Enter>. range of 4 – 12 l/min by pushing
at given pressure <Enter>
OR call authorized
service specialist

5-24 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Code Message Type Set condition Action Reset condition


26-1 Oxygen sensor Advice Oxygen sensor Verify proper O2 Oxygen sensor
value too low. value below 19% supply and re- values in proper
Re-calibrate O2 at 21% setting. calibrate the oxygen range OR proceed
sensor. Press sensor with system test
<Enter>.” Or replace O2 cell by pushing
<Enter>
26-2 Oxygen sensor Advice Oxygen sensor Verify proper Air Oxygen sensor
value too high. above 24% at 21% supply and re- values in proper
Re-calibrate O2 setting. calibrate the oxygen range OR Proceed
sensor. Press sensor with system test
<Enter>.” OR by pushing
replace O2 cell <Enter>
Open y –piece. Advice The test sequence Open y-piece or Opened y-piece.
requires opening remove y-piece from
the y-piece to sealer of expiration
measure the block
inspiratory
resistance
27-2 Measured Advice Inspiratory Check breathing Inspiratory
inspiratory resistance circuit for kinked resistance in
resistance too exceeding 6 hoses or components proper range
high. Check cmH2O /L/s. causing high OR
breathing circuit. resistance accept high
Accept by resistance by
pressing Alarm pressing Alarm
Silence Button or Silence Button or
repeat test by repeat test by
pressing pushing <Enter>
<Enter>.
27-3 Measured Advice Breathing circuit Check breathing Breathing circuit
resistance out of resistance above circuit for kinked resistance below
range. Check 30 cmH2O /L/s hoses or components 30 cmH2O /L/s
breathing circuit OR causing high OR
Press <Enter>.” Resistance could resistance and check resistance could
not be detected expiration valve for be detected
properly proper assembly and properly
do not manipulate OR
breathing system Proceed with
while in test system test by
pushing <Enter>
n/a “Low battery Advice Battery capacity Allow battery to Battery capacity
capacity not sufficient to recharge for at least sufficient to
identified, either support at least 2 30 minutes and repeat supply device for
battery is minutes of device test a minimum of 2
discharged or operation in back OR minutes in back
defective” up mode replace battery up mode

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-25


5 Troubleshooting

Code Message Type Set condition Action Reset condition


System test OK. Advice System test is Connect y-piece to n/a
To start finished. Total patient and start
ventilation Compliance, insp. ventilation by pushing
<Enter>. Resistance, total <Enter>
Compliance xx leakage, nebulizer
mL/mbar flow data of used
Resistance xx breathing circuit
cmH2O/L/s are identified and
Leakage x will be used for
mL/min compensation
Nebulizer flow x during following
l/min ventilation.
(last value) Exp. Flow of adapted
flow sensor data nebulizer is
re-adjusted“ measured or last
measured value is
used. Expiration
flow sensor was
readjusted

5-26 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

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

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-27


5 Troubleshooting

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

5-28 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

No. Message Type Set condition Meaning Reset condition


8 “Newborn” Advice In all modes: For all system settings Select Newborn to
System is in Newborn mode change
“Newborn mode” default values are
(Optional) used
9 Standby Advice System was System starts By-flow Connect a patient
moved into after 15 secs to to the y-piece
standby mode identify reconnection OR
of a patient (APD). All activate the
alarms are silenced On/Off Button for
more than 3 secs
to turn off the
system
10 Apnea vent. Cauti- No breathing Patient has stopped Activate any
on action is detected breathing for more ventilation mode
within the last than the apnea delay in the vent. mode
apnea time delay. time. System has menu
started apnea back up
ventilation mode
11 Pre oxygen xx. Advice Automatic suction Pre oxygenation Deactivate
routine ASR phase of automatic automatic suction
activated. 1st phase suction routine is in routine ASR
operation Or Disconnect
patient
12 Suction xx. Advice Automatic suction Suction is in process Deactivate
routine ASR for at least xx automatic suction
activated. 2nd. routine ASR
phase Or reconnect
patient
13 Post oxygen xx. Advice Automatic suction Post oxygenation Deactivate
routine ASR phase of automatic automatic suction
activated. 3rd suction routine is in routine ASR
phase operation for at least
xx .
14 Freeze Advice Graphic freeze Graphics in screen are Deactivate freeze
function was frozen free zed in function
activated place for better
analysis.
15 System open? Advice Pressure below System cannot detect Reconnect patient
PEEP sufficient pressure OR
OR increase. Activate the
patient On/Off button for
disconnected more than 3 secs
OR to turn off the
system system
disconnected

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-29


5 Troubleshooting

No. Message Type Set condition Meaning Reset condition


16 Advice The nebulizer Nebulizer function is Turn OFF nebulizer
function was active. function.
activated
17 Advice The AC supply was System is supplied by Turn OFF or
activated. AC line power supply. disconnect AC line
supply
OR
turn on DC mains
line supply.
18 Advice The external DC System is supplied by Turn OFF or
+ -
supply was external DC power disconnect
activated. supply. external power
supply
OR
turn on AC mains
line supply.
19 I=xx s, P=yy %, Advice A soft key with a Information about the Push ComWheel
E=zz s direct influence to absolute timing: I= xx s to confirm
the ventilator inspiration time = xx displayed data
timing was secs
activated P= yy % inspiratory
pause = yy % of
inspiration time,
E= zz s expiration time
= zz secs
20 Apnea xx Caut- No breathing Patient has stopped Perform breathing
ion action is detected breathing for more activities and start
within the last than the apnea delay ventilation
apnea time delay. time. Elapsed time is support
xx secs
21 “I:E =xx:yy, E=z.zz Advice A parameter with a Information about the Push any blue
s” direct influence to I:E Ratio as a result of parameter to
(In Option the ventilator Tinsp and rate setting: return to normal
Newborn) timing was I:E xx:yy (inspiratory : operation
activated, e.g. expiratory ratio)
Tinsp, rate. E=zz.z s (expiration
time = z.zz secs)
22 “Switch off Caut- System in Standby Software switch off of Push any button
device? Yes: Enter, ion Or system open? Centiva /5 by to return to
No: any button” And On/Off button activating the <Enter> normal operation
activated for more button
than 3 secs

5-30 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

No. Message Type Set condition Meaning Reset condition


23 “Battery not fully Caut- System in Standby Battery is not yet fully Push any button
charged. Switch ion Or system open ? charged and system to return to
off: <Alarm silence And On/Off button denies being turned normal operation
button>” activated for more off. If necessary
than 3 secs Software switch off of
AND internal back Centiva /5 by
up battery not fully activating the <Alarm
charged silence> button
24 “System error # ” Caut- Any system error Refer to section 5.3.5
ion detected during “System shut down
permanent system messages”
check
25 “Cross limits? Advice Cross limit for e.g. The system prevents Accept to pass the
Confirm ” Pinsp, T-Insp, Peep to pass the cross limit. cross limits by
(In Option or PS is reached. pushing the
Newborn) ChomWheel
26 “CPAP/PSV Advice In Bi-Level VG the Patient is virtually in In Bi-Level VG the
reached since automatic setting CPAP mode practicing automatic setting
hh:mm:ss ” of Pinsp has a spontaneous of Pinsp is greater
(In Option Bi-Level reached the lower breathing trial. A stop than PS.
VG) limit and is watch starts to
identical to PS. indicate duration of
. this status.
27v “Use exp. filter ” Advice In all modes: The system starts the Turn the nebulizer
When nebulizer is nebulizer function. function off
activated, appears Or
for 15 seconds the 15 seconds
after start. have expired

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-31


5 Troubleshooting

5.3.5 System shut


down messages
The system shut down message displays in the format
“System shutdown error xxyy”
and is intended to be a help for complex failure analysis. The message
consist of a 4 digit code “ xxyy”, that represents the last information
status prior to the microprocessor systems turn down.
• The “xx” represents the last “safe” status of micro controller A
• The “yy” represents the last “safe” status of micro controller B

Error Alarming Set condition Possible failure Action


code uC
11yy A Timer 3 system Improper connection of Check cable from front
problem internal SIO cable panel bracket to X 14 on B
board and replace, if
necessary

Improper connection of Check front panel cable


external SIO cable and plug (Lemosa) and
(Control panel cable) Or replace, if necessary
Connection problem with
external SIO cable
connector (Lemosa plug)
Defective uC controller A Replace PC board A
or Defective safety diode
on PC board A
Defective Fuse SI 21, SI Check fuse SI 21 and SI 22
22 and replace, if necessary
13yy A Timer 6 system Defective uC controller A Replace PC board A
problem
14yy A Front side routine Defective uC controller A Replace PC board A
without function
15yy A SIO data non ESD or EMI problem Check environment for
plausible ESD or EMI source
Improper connection of Check front panel cable
external SIO cable and plug (Lemosa) and
(Control panel cable) Or replace, if necessary
Connection problem with
external SIO cable
connector (Lemosa plug)
Defective uC controller A Replace PC board A
17yy A SIO cannot send Defective uC controller A Replace PC board A
18yy A AD converter Defective uC controller A Replace PC board A
defective

5-32 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Error Alarming Set condition Possible failure Action


code uC
19yy A Improper Cable problem between Check cable and plug
communication PC board A and DCU
between uC A and board
DCU board Defective uC controller A Replace PC board A
Defective PC board A Replace PC board A
Defective DCU board Replace DCU board
20yy to A Safety relevant Defective uC controller A Replace PC board A
23yy data non plausible
30yy A 5 V bus A out of Fuse SI 3 defective Check fuse SI 3 and
range replace, if necessary
Defective PC board A Replace PC board A
Defective uC controller A Replace PC board A
33yy A Panel supply Fuse SI 1 defective Check fuse SI 1 and
voltage out of replace, if necessary
range Defective PC board A Replace PC board A
Defective safety diode Replace PC board B
on PC board B
xx10 B AD converter Defective uC controller B Replace PC board B
defective
xx11 B Timer 3 system Improper connection of Check cable from front
problem internal SIO cable panel bracket to X 14 on B
board and replace, if
necessary
Improper connection of Check front panel cable
external SIO cable and plug (Lemosa) and
(Control panel cable) Or replace, if necessary
Connection problem with
external SIO cable
connector (Lemosa plug)
Defective uC controller B Replace PC board B
xx12 B Timer 5 system Defective uC controller B Replace PC board B
problem
xx13 B Timer 6 system Defective uC controller B Replace PC board B
problem
xx14 B Front side routine Defective uC controller B Replace PC board B
without function Software down Restart and check
xx15 B SIO data non ESD or EMI problems Check environment for
plausible ESD or EMI source
Improper connection of Check front panel cable
external SIO cable and plug (Lemosa) and
(Control panel cable) Or replace, if necessary
Connection problem with
external SIO cable
connector (Lemosa plug)
Defective uC controller B Replace PC board B

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-33


5 Troubleshooting

Error Alarming Set condition Possible failure Action


code uC
xx16 B SIO data not ESD or EMI problems Check environment for
received ESD or EMI source
Improper connection of Check front panel cable
external SIO cable and plug (Lemosa) and
(Control panel cable) Or replace, if necessary
Connection problem with
external SIO cable
connector (Lemosa plug)
Defective uC controller B Replace PC board B
xx17 B SIO cannot send Defective uC controller B Replace PC board B
xx20 to B Safety relevant Defective uC controller B Replace PC board B
xx29 data non plausible
and
xx50
Xx27 B Check sum for Defective PC board B Replace PC board B
pressure sensor Calibration does not Recalibrate all sensors
data incorrect match
xx30 B 5 V bus B out of Fuse SI 28defective Check fuse SI 28 and
range replace, if necessary
Defective PC board B Replace PC board B
Defective uC controller B Replace PC board B
xx32 B 13 V bus (valve Defective power supply Replace PC board B
voltage) out of system
range
xx33 B 15 V bus (panel Defective power supply Replace PC board B
voltage) out of system
range Improper connection of Check front panel cable
external SIO cable and plug (Lemosa) and
(Control panel cable) Or replace, if necessary
Connection problem with
external SIO cable
connector (Lemosa plug)
xx35 B Internal battery Battery empty Recharge internal battery
empty
and fan too slow
xx36 B Internal battery Battery empty Recharge internal battery
depleted and check, if battery gets
proper recharged and
replace if necessary
xx40 - Watchdog relay Defective PC board B Replace PC board B
turned off Defective PC board A Replace PC board A

5-34 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


5 Troubleshooting

Error Alarming Set condition Possible failure Action


code status
4040 Message Content of 4040 Battery on PC board A Replace battery on PC
appears key was incorrect discharged or defective board A.
upon When having replaced
power up battery on PC board A,
test message returns upon first
power up and needs
acceptance by pressing
the <Service reset> button.
Device was shut Power supply failure on Replace PC board A.
down during PC board A When having replaced PC
previous board A, message returns
ventilation. upon first power up and
needs acceptance by
pressing the <Service
reset> button.
Message Micro A has Power supply failure on Replace PC board A.
appears initiated a reset. PC board A When having replaced PC
upon shut board A, message returns
down upon first power up and
during needs acceptance by
ventilation. pressing the <Service
reset> button.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 5-35


5 Troubleshooting

Notes

5-36 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


6 Maintenance

In this section 6.1 General instructions 6-2


6.2 Maintenance schedule 6-3
6.2.1 Every twelve (12) months 6-3
6.2.2 Every twenty-four (24) months 6-4
6.2.3 Every sixty (60) months 6-4

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 6-1


6 Maintenance

6.1 General instructions

WARNING Do not perform testing or maintenance on the Centiva/5


Plus CC ventilator while it is being used to ventilate a
patient. Possible injury can result.

WARNING Items can be contaminated due to infectious patients. Wear


sterile rubber gloves to protect against the spread of
infectious agents to you and others.

WARNING Obey infection control and safety procedures. Used


equipment may contain blood and other body fluids.

WARNING The internal back up battery is a sealed lead acid type


battery and contains toxic material.
- Do not open the battery.
- Do not short circuit battery terminals.
- Do not dispose the battery into open fire.
- Do not charge in a sealed box.
- Do not apply mechanical shock.
- If exposed to electrolyte (acid) wash immediately
with plenty of water.
The battery must be disposed of in accordance with
applicable regulatory requirements in effect at the time and
place of disposal.

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 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


6 Maintenance

6.2 Maintenance schedule


Perform the user maintenance from the procedures and schedules in
the Centiva/5 Plus CC ventilator User Reference manual.

6.2.1. Every twelve Perform the following every twelve months:


(12) months
1. Remove all user level breathing system assemblies and
components from the breathing system.
2. Remove the expiration valve from the main engine.
3. Open the main engine according to section 7.2.5.
4. Inspect the Centiva/5 CC Ventilator and the removed
components for distortion, deterioration and/or cracks.
5. Inspect and replace, if necessary, the expiration valve
components according to section 7.9.2.
6. Ensure that the UBD (use before date) of the O2 cell is at least 6
months. Replace the O2 sensor, if necessary, according to
section 7.9.6.
7. Replace O-ring on NIST connector (if applicable) at supply hose
for AIR and O2.
8. Perform AIR flow sensor calibration according to section 4.7.3.
9. Perform O2 flow sensor calibration according to section 4.7.4.
10. Perform expiratory flow sensor calibration according to section
4.7.5.
11. Perform Airway pressure sensor calibration according to section
4.7.6.
12. Perform Overpressure relief valve calibration according to
section 4.7.7.

13. Perform Battery charging voltage calibration according to


section 4.7.8.

14. Perform Battery test according to section 4.8.

15. Reassemble and close the main engine.

16. Perform the Post-service checkout according to section 3.1.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 6-3


6 Maintenance

17. Perform the electrical safety test for

• Ground resistance (< 0.2 Ω)

• Leakage current (< 500 uA)

• Insulation resistance (> 10 M Ω)


(according to VDE 751).

18. When device is operated in elevated temperature area replace


the internal back up battery according to section 7.9.1.

6.2.2. Every twenty In addition to the 12 month requirements, perform the following every
four (24) months twenty-four months:

1. Replace the internal back up battery according to section 7.9.1.

2. Replace the free breathing valve, according to section 7.9.12., if


necessary.

3. Replace the batteries(2) of the external battery pack according


to section 11.1.1 and charge installed batteries according to
URM section 5.1.2

6.2.3 Every sixty (60) In addition to the 24 month requirements, perform the following every
months sixty months:

1. Replace Li-battery on PC board A according to section 7.8.3

6-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

In this section 7.1 General instructions 7-3


7.2 Open the system 7-4
7.2.1 Remove the exp. Valve 7-5
7.2.2 Remove the control panel 7-8
7.2.3 Open the control panel 7-9
7.2.4 Control panel assemblies 7-10
7.2.5 Open the main engine 7-11
7.2.6 Remove the control panel mounting plate 7-12
7.2.7 Main engine assemblies 7-13
7.3 Service assemblies 7-15
7.4 Change the line voltage 7-16
7.5 Software replacement 7-17
7.5.1 Change the (A) EPROM 7-18
7.5.2 Change the main (B) EPROM 7-19
7.6 Change the unit of pressure 7-20
7.7 Change fuses 7-21
7.7.1 Change the line fuses 7-21
7.7.2 The control panel fuses 7-22
7.7.3 Change the main engine fuses 7-23
7.8 Repair control panel components 7-24
7.8.1 Replace ComWheel encoder 7-24
7.8.2 Replace PC board A 7-25
7.8.3 Replace Li-battery on PC board A 7-27
See next page for more

TRM, Centiva/5 Plus, M 1047448/CM-922026, rev. 3.51.f of 05/08 7-1


7 Repair procedures

In this section 7.8.4 Replace PC board DCU 7-28


(continued) 7.8.5 Replace LCD screen 7-29
7.8.6 Replace front housing with touch screen 7-30
7.8.7 Replace back cover 7-31
7.9 Repair main engine components 7-32
7.9.1 Remove back-up battery 7-32
7.9.2 Repair expiratory valve 7-33
7.9.3 Replace expiratory valve locking assembly 7-34
7.9.4 Replace expiratory valve locking spring 7-35
7.9.5 Repair inspiratory connection 7-36
7.9.6 Replace O2 sensor 7-37
7.9.7 Repair ON-Off switch 7-38
7.9.8 Replace or install On/Off switch interface
PC board 7-39
7.9.9 Replace gas inlet connectors 7-40
7.9.10 Replace gas inlet filters 7-41
7.9.11 Replace pneumatic assembly 7-42
7.9.12 Replace free breathing valve 7-43
7.9.13 Replace PC board B 7-44
7.9.14 Replace alarm speaker B 7-45
7.9.15 Remove sub chassis 7-46
7.9.16 Replace transformer 7-47
7.9.17 Replace fan 7-48
7.9.18 Replace line connector 7-49
7.9.19 Replace DC mains connector 7-50
7.9.20 Replace ground connector 7-51
7.9.21 Replace serial data connector 7-52

7-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.1 General instructions

WARNING Post-Service Checkout is required after you complete this


section. You must perform Section 3, “Post-Service
Checkout”, after performing any maintenance, service or
repair. Failure to do so may result in patient injury.

WARNING When servicing the Centiva/5 Plus CC Ventilator, extreme


care must be taken to avoid introducing foreign debris,
particularly metal chips generated by screw threads, into
the pneumatic flow passages of the ventilator. Failure to do
so may result in patient injury and damage to the flow
valve.

CAUTION Electrostatic discharge through circuit boards may damage


the components on them. Wear a static control wrist wrap
before touching the circuit boards

CAUTION Handle all circuit boards by their non-conductive edges.


Use anti-static containers when transporting them.

CAUTION To avoid damaging the pressure sensors on PC board B by


overpressure, caused by squeezed silicone pneumatic
hoses, do not squeeze the hoses during mounting or
dismounting hoses at the port of a transducer, or offset
valve or hose connection.

Always touch the silicone hoses at a rigid part of the


connection, such as the pressure transducer port, the offset
valve port, the hose connector port.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-3


7 Repair procedures

7.2 Open the System


The Centiva/5 Plus CC Ventilator has three (3) user accessible main
assemblies

• The main engine

• The control panel

• The expiration valve


- for Adult/Pediatric

- for Newborn (optional)

These three assemblies can be separated by the user without using


any tools. To be able to open the system remove the expiration valve
assembly first, to gain access to all the three body screws.
Removing the control panel is necessary to gain access to the main
engine from the front side.

7-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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

test to finish. SW 3.nn.p HW 0/r Spirometry


Bypass
system test
4. Activate System test
button Make sure no patient is connected while
performing the System test.
Unlock
exp. valve
“unlock Complete system set up, seal y-piece

expiration Start system test by pressing <Enter>


Calibrate
O2 sensor
valve”. Align
5. Push the Ensure silver exp. valve is in place touch screen

ComWheel Body weigth 55 kg


Retain
trend data
to confirm
selection. Adult Pediatric Newborn Enter

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-5


7 Repair procedures

6. The locking mechanism releases the expiration valve assembly


and the screen prompts with the following message
7. The VCV Adult

expiration Centiva/5 + Bi-Level VG MV-E 12.5


15
Newborn 3.5 L
valve can be 10
SW 3.nn.p HW o/r
Trend
Spirometry M
2.5
S
Insp.
removed 5 Vt-E
350
hold

from the System test


Paw
cmH2O 2 4 6 8 10 12 14 16 18 20 mL
Ppeak 21 Exp.
20

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 %

expiration Pplat 13 cmH2O P


Pmean 8 cmH2O
-.- cmH2O Rate sp 0 /Min Rate
R
PEEPi
7 cmH2O/L/s
10
40

valve, the Pmin 3 cmH2O C 27 ml/cmH2O 8 1/Min

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

valve assembly upon proper insertion and performs a power-up


test.

Note The re-locking of the expiration valve after re-insertion only works with
an appropriate external power supply (line or DC) connected.

7-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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

button Centiva/5 + Newborn


15
Bi-Level VG

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

4. Push the Flow


L/Min 2 4 6 8 10 Pmin12 14

3 Unlock
16 18
Manual
20

Check line power cord and fuse


-10

ComWheel -20
O2-I
breath
55exp. valve
cmH2O

to confirm Ppeak 16 cmH2O P


Pplat 13 cmH2O P
3 cmH2O MV sp
PEEP 0.0 L
-.- cmH2O Rate sp 0 /Min Rate
45
50 ASR %

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)

1. Remove the panel according to section 7.2.2.


2. Remove control panel mounting plate according to section 7.2.6.
3. Use a screwdriver to move up the locking mechanism of the
expiratory valve by inserting it into the screw hole of the motor
assembly and rotating upward. Be careful not to damage the
motor or the gearbox.
4. Remove the expiratory valve.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-7


7 Repair procedures

7.2.2 Remove the To remove the control panel assembly of the Centiva/5 Plus CC
control panel Ventilator, follow this sequence

1. Turn OFF the Centiva/5 Plus.


2. Move the control panel to a full angled position.
3. Push down the two stainless steel rods to disengage the control
panel upper locking mechanism and move the control panel
forward. The upper locking mechanism is now disengaged.
Hold the control panel tight.
4. Press the two locking pins of the lower locking mechanism
together to release the lower locking mechanism and move the
control panel forward.
The lower locking mechanism is now disengaged.
Hold the control panel tight.
5. Disconnect the control panel connector from the main engine
and remove the control panel completely.
6. Place the control panel on the backside to not damage or
scratch the touch screen.
7. To reassemble follow instruction above in reverse.

7-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.2.3 Open the To open the control panel of the Centiva/5 Plus CC Ventilator, follow
control panel this sequence

1. Remove the control panel from the main engine according to


section 7.2.2.
2. Remove the five screws securing the back cover and carefully
remove the back cover.
3. Pay attention to the serial cable in the back cover.
4. Upon reassembly pay attention to the position of serial cable to
prevent kinking of cables when mounting the back cover.
5. To reassemble follow instruction above in reverse.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-9


7 Repair procedures

7.2.4 Control panel The open control panel of the Centiva/5 Plus CC Ventilator.
assemblies

1) Encoder for ComWheel


2) Internal serial communication port
3) PC board, inverter, back light supply
4) Battery for real time clock
5) Alarm speaker A
6) DCU board
7) A EPROM
8) Control panel external serial port
9) PC board A

7-10 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.2.5. Open the main To open the main engine of the Centiva/5 Plus CC Ventilator follow this
engine sequence:

1. Turn ON the system.


2. Remove the expiration valve according to section 7.2.1.
3. Turn OFF the system.
4. Disconnect the line power supply.
5. Disconnect the gas supplies.
6. Turn the main engine upside down.
7. Use a 3 mm hex wrench to remove the three (3) screws in the
bottom.
8. Turn main engine back on its feet.
9. Remove upper housing cover by lifting it up and back.
10. To reassemble follow instruction above in reverse.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-11


7 Repair procedures

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.

7-12 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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)

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-13


7 Repair procedures

Main engine The main engine assemblies:

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

Sub chassis The sub chassis assemblies


14) Sub chassis
15) Alarm speaker B
16) Fan

7-14 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.3 Service assemblies


The following are the service assemblies of the Centiva/5 Plus CC
ventilator:

1. Software service kit (A&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.

For more details refer to section 8. “Illustrated Parts”.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-15


7 Repair procedures

7.4 Change the line voltage


The Centiva/5 Plus CC Ventilator is designed to run at both 230 VAC and
at 115VAC, but requires internal switching to the appropriate line
voltage. To change the line voltage, follow this sequence:
1. Open the main engine according to section 7.2.5.
2. Ensure that the line power supply is disconnected.
3. Ensure that the line switch is turned OFF.
4. Disconnect the main tube at the pneumatic assembly and
carefully pull it forward through the space under the expiratory
valve locking assembly.
5. Pull the three-position line power connector forward to
disconnect it from the transformer.
6. Change the line supply connector to the desired voltage
according to the following connection diagram and then
reconnect it to the transformer. Be sure to align the connector so
that all three pins are engaged.
230 V 115 V

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.

7-16 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.5 Software replacement

The Centiva/5 Plus CC Ventilator’s software is stored in two


independent EPROM’s that come together in one software service kit:

• 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.

When installing a new software version or replacing EPROM, follow


these general instructions:

• Always exercise proper electro static discharge (ESD) process prior


and during handling of EPROM.
• Always use special EPROM removing tools.
• Use caution to prevent bending the EPROM pins
• For the “A” EPROM mark must match the mark in PC print.
• For the “B” EPROM mark must match mark of the socket.
• Seat EPROM in socket properly by pushing the EPROM into the
socket as deep as possible.

Correct!

Wrong!

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-17


7 Repair procedures

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

The language part of the software is stored in the A EPROM. There is


one A EPROM for all languages, because language selection is made
via the configuration menu. See chapter 10 for more details

Special notice Contact GE Healthcare to inquire about the availability of additional


languages.

To replace the A EPROM:

1. Ensure that the system is turned OFF and line power is


disconnected.
2. Remove control panel from main engine according to section
7.2.2.
3. Open control panel according to section 7.2.3.
4. Use a chip extractor to remove the current A EPROM.
5. Insert the new A EPROM (mark facing the panel housing).
6. Verify that the EPROM is properly inserted.

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.

7-18 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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.

Important note With SW Version 3.02.p the type of


EPROM has been changed.
The B EPROM of V3.00 or 3.01 has 28
pins, the B EPROM of V3.02.p has 32 pins.
A)
When installing a 32 pin EPROM (SW
3.02.p) into a B board that was using a
28 pin EPROM (SW 3.01.p -) follow this
instruction:
1. Remove both space holders A).
2. Change the position of the jumper B) to LOWER.
3. Insert the new B EPROM.
Ensure that the EPROM and the jumper are installed correctly.
Setting with 3.00 or 3.01.p

To verify proper function, turn ON the system and perform the power-
up test.

In case the jumper position remains unchanged or is in the wrong


position no component will be damaged, but during power up test the
following message appears on the screen: “Controller B no function”.
In addition a constant audible alarm will occur. In this case verify the
jumper position to be in LOWER.
Setting with 3.02.p

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-19


7 Repair procedures

7.6 Change the units of pressure


The Centiva/5 Plus CC ventilator allows changing the units of pressure
via the configuration menu. For more details see chapter 10.

7-20 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.7 Change fuses


The Centiva/5 Plus CC ventilator’s electronic system is protected by
several fuses, indicated in the overview diagrams (see section 9). The
fuses are located:

• in the line connector (SI O a and b)


• on PC board A ( SI 1 - SI 4)
• on PC board B (SI 10 - SI 41).

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:

1. Ensure that the system is turned OFF and line power is


disconnected.
2. Remove line power cord from line connector.
3. Using a small screwdriver open the two clamps of the fuse
compartment and pull it out carefully. The fuses are located in a
spring loaded mechanism for easy replacement.
4. Replace fuses according to the line 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.
5. Reinsert fuse compartment with the black nose facing
downwards and apply gentle pressure until both clamps lock in
place.
6. Verify proper function by connecting the system to line supply,
turning the mains switch to ON, and confirming that the green
ON-OFF button on the front of the unit is illuminated.
7. If the fuse blows again, analyze the reason prior to another
replacement of fuses.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-21


7 Repair procedures

7.7.2 The control The Centiva/5 Plus CC ventilator’s control panel is protected by the
panel fuses following fuses:

(in order from left to right)

a) SI 381 = + 5V controller voltage = 1.6 A slow blow.


b) SI 380 = control panel voltage input = 0.8 A slow blow.
c) SI 300 = LCD Backlight supply = 0.8 A slow blow.
d) SI 2 = Alarm horn supply = 0.315 A slow blow.
e) SI 1 = battery supply = 0.032 A fast blow. (Resistor)

Caution Do not replace a blown fuse. For safety reasons in case of a


blown fuse always replace the PC board A.

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.

With PC board A HW versions g and up these fuses are of a non-


changeable type.

To replace the PC board A follow the sequence described in section


7.8.2.

7-22 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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.

Note It is necessary to remove the battery according to section 7.9.1 to


access SI 10, SI 11, SI 25, SI 28 and SI 29. Replacement of these fuses
requires the use of long nose pliers.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-23


7 Repair procedures

7.8 Repair control panel components

7.8.1 Replace To replace the Centiva/5 Plus’ control panel’s ComWheel follow this
ComWheel encoder sequence:

1. Remove the control panel according to section 7.2.2.


2. Open the panel according to section 7.2.3.
3. Remove the ComWheel knob.
4. Unplug the ComWheel encoder connector.
5. Use a 14 mm wrench to remove the ComWheel nut.
6. Remove the ComWheel encoder from the panel.
7. Insert the new ComWheel encoder and reassemble as shown in
the picture with the washer on the inner side of the control panel
front housing.
8. Place the spring washer below the encoder nut on the outside of
the control panel front housing and carefully fix the nut using the
14 mm wrench.
9. Reconnect the encoder connection.
10. Close the panel according to section 7.2.3.
11. Place the ComWheel button onto the encoder. Pay attention that
the cut in the ComWheel button matches the cut on encoder
axis.
12. Verify proper function after reassembly by performing a power-
up test.

7-24 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.8.2 Replace To replace the PC board A, follow this sequence:


PC board A 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) Disconnect encoder connector, screen back light connector and
touch screen connector, TFT screen connector.
5) Unscrew the serial connector and remove plug carefully from
front housing.
6) Unscrew the three metal screws at the PC board’s corners.
7) Unscrew the one nylon screw to loosen the PC board A.
8) Remove the PC board A.
9) Note that P/N M1054879 (PC board A) comes w/o A EPROM, w/o
PC board DCU, w/o PC board inverter, w/o inverter cable, w/o
alarm speaker A and w/o lithium battery. Remove those
components from old PC board A and insert into new PC board A,
if applicable.
10) Remove the sticker with the service clearance key for later
serialization from the PC board A prior to mounting and keep it in
a safe place.
11) Insert the new PC board A, and fix the three metal screws.
12) Fix the one nylon screw at the encoder.
13) Reconnect encoder, back light, touch screen, TFT screen.
14) Reconnect main engine connector and mount the rear housing
with the six screws.
15) Turn ON the Centiav/5 Plus.
16) During Power
up test the Centiva/5 + Bi-Level Newborn
VG

system will SW 3.nn.p HW o/r


Trend
Spirometry
recognize the Accept
System test # 0_2
fact, that the
lithium Fatal error during previous ventilation
or front panel battery discharged or defective.
Option menu battery was (System shut down 4040)
Serial number 19000000 replaced and Accept by pressing <Accept>

Option key 12345678


an alarm will
notify the
Option menu user with the
Serial number 190xxxxxx following
Option key
message.
12345678

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

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-25


7 Repair procedures

21) A spare part PC board A comes without a specific serial number


on the EEPROM and allows for one time to be serialized after
installation. This one time serialization needs no additional codes
etc, but only works for one time per service PC board A.
22) Serialize the new PC board A according to the following
sequence:
a) Start Centiva/5 Plus and wait for the power-up test to finalize.
b) Start the optionalization mode according to section 10.2.1.
c) Move the frame to the serial number area. Note that the serial
number is “19000000”. Carefully enter the Centiav/5 Plus’
serial number (serial plate, rear side of main engine) according
to the procedure described in section 10.2.2.
23) Verify proper serial number entering prior to activating the
“Save” button.
a) Move the frame to the option key area and enter the Centiva/5
Plus’ released options (option key sticker, rear side of control
panel) according to section 10.2.2, if applicable.
b) Verify proper optionalization according to section 10.2.

Special notice Note that when pressing the “Save” button once the serial number
cannot be changed anymore.

7-26 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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

system will SW 3.nn.p HW o/r


Trend
Spirometry
recognize the Accept
System test # 0_2
fact, that the
lithium Fatal error during previous ventilation
or front panel battery discharged or defective.
battery was (System shut down 4040)
replaced and Accept by pressing <Accept>
an alarm will
notify the
user with the
following
message.

12) Accept the message by pressing the accept button.


13) Watch the system now performing the standard power-up test.
14) Run a complete system test and verify proper operation of the
system.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-27


7 Repair procedures

7.8.4 Replace To replace the PC board DCU, follow this sequence:


PC board DCU

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. Carefully lift PC board DCU from its two PC connectors.
5. Squeeze the nylon board secure lock to allow removing the CDU
board
6. Insert the new PC board DCU into the nylon board secure lock
and onto the two PC connectors
7. Push DCU board carefully to secure PC connection.
8. Close panel.
9. Verify proper function after reassembly by performing a power-
up test.

7-28 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.8.5 Replace LCD To replace the LCD screen with integrated back lights, follow this
screen sequence:

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. Unscrew the four chassis bolds, using a 5 mm wrench.
5. Carefully remove the TFT screen.
6. Insert a new TFT LCD screen.
7. Carefully adjust the bolds.
8. Reassemble the PC board A according to section 7.8.2.
9. Verify proper function after reassembly by performing a power-
up test.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-29


7 Repair procedures

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.

7-30 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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

1. Remove the control panel from the main engine. according to


section 7.2.2
2. Remove the five screws securing the back cover and carefully
remove the back cover.
3. Disconnect the serial cable in the back cover.
4. Remove serial plate from old cover and place it to the new back
cover.
5. Replace back cover with serial cable.
6. Upon reassembly pay attention to the position of serial cable to
prevent kinking of cables when mounting the back cover.
7. To reassemble follow instruction above in reverse.
8. Verify proper function after reassembly by performing a power-
up test.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-31


7 Repair procedures

7.9 Repair main engine components

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:

1. Open the main engine according to section 7.2.5.


2. Remove the control panel mounting plate according to section
7.2.6.
3. Use a 7 mm nut driver to remove the two stop nuts left and right
of the battery.
4. Remove the battery from the battery bracket. If replacing the
back-up battery, disconnect X 23.
5. Use a 7 mm nut driver to loosen the two stop nuts mounting the
battery bracket to the transformer assembly. Do not remove the
nuts from the bolts.
6. Shift the battery bracket backwards to center the stop nuts with
the large bore.
7. Lift the battery bracket up to remove.
8. For some calibration procedures, the back-up battery assembly
is removed to allow better access to PC board B. In those cases,
the back-up battery must stay connected to PC board B.
9. If replacing the entire assembly screw the two stop nuts M4 to
the transformer bolts with several turns.
10. Insert the new battery bracket with the stop nuts facing the large
bore in the bottom of the bracket.
11. Move the battery bracket forward to center the stop nuts with
the small bore.
12. Use a 7 mm nut driver to fix the stop nuts to the battery bracket
while carefully pulling the bracket forward to center the stop
nuts properly with the small bore while fastening.
13. Insert the battery block onto the battery bracket with its cable
and connectors facing the PC board B.
14. Fix the battery to the battery bracket with the two stop nuts by
using a 7 mm nut driver.
15. Connect the battery connector X 23 to the PC board B.
16. Mount the control panel plate.
17. Close the main engine.
18. Verify proper function after reassembly by performing a power-
up test.

Note Pay attention not to pinch or damage cables or tubes when


reassembling the battery.

7-32 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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:

1. Remove the expiration valve according to section 7.2.1.


2. Remove membrane plate (1) to gain access to the PEEP
membrane assembly (2).
3. Remove the PEEP membrane assembly (2) from the base of valve
(3) and replace membrane, if necessary.
4. In case the PEEP membrane assembly (2) is apart, lock the PEEP
membrane assembly together by inserting the silicon lock at the
PEEP top seal membrane (2a) through the PEEP PSU plate (2b)
(cut edge facing 2c) and then through the PEEP silicone
membrane (2c). Pull on the lock until the locking lip is fully
engaged.
5. Insert the PEEP membrane assembly into the expiration valve
with the sealing membrane (2c) facing down. The side of the top
seal (2a) marked “top” should be facing the top.
6. Inspect and clean flow measurement port.
7. Replace and grease o-ring (5) at flow measurement port.
8. Remove the flow screen retainer (8) by turning the retainer
counterclockwise; retainers with visible slot can be removed by
using steel membrane plate (1); retainers without visible slot can
be removed using the inspiration connection tool included in tool
kit ST 4 ( see page 8-3)
9. Carefully remove the flow screen (7) and o-ring (6).
10. Insert o-ring (8) and the flow screen (7).
11. Reinstall the flow screen retainer (8) by turning retainer
clockwise.
12. Verify proper function after reassembly by performing a system
test.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-33


7 Repair procedures

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:

1. Remove the expiration valve according to section 7.2.1.


2. Remove the control panel according to section 7.2.2.
3. Remove the control panel mounting plate according to section
7.2.6.
4. Open the main engine according to section 7.2.5.
5. Remove back-up battery according to section 7.9.1.
6. Disconnect X 42 on PC board B.
7. Disconnect the ground connection at the front of the assembly.
8. Disconnect tube A from the expiration valve locking assembly
(left side).
NOTE: Check caution note in section 7.1. !
9. Disconnect “patient” tube at the inspiratory connection.
10. Unscrew three screws at the bottom of the assembly, one on the
left side, two on the right side.
11. Remove the entire assembly by lifting it up and to the right.
12. When inserting the assembly, place the three screws into the
assembly before placing it into the system.
13. Fix the three screws at the bottom of the assembly.
14. Reconnect “patient” tube at the inspiratory connection.
15. Reconnect tube A to the expiration valve locking assembly.
NOTE: Check caution note in section 7.1. !
16. Reconnect the ground connection at the front of the assembly.
17. Reconnect X 42 on PC board B.
18. Insert back-up battery according to section 7.9.1.
19. Close the main engine; add the control panel and expiratory
valve.
20. Verify proper function after reassembly by performing a power-
up test.

7-34 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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 Be careful not to damage the motor or


the gearbox!

7. Remove the screws and then the


mounting plate.
8. Replace the flat spring.

Important note Ensure that the cables are placed correctly in the cable run!

9. Re-assemble the control panel mounting plate according to


section 7.2.6
10. Close the main engine according to section 7.2.5
11. Re-assemble the control panel according to section 7.2.2.
12. Re-insert the expiration valve. The re-locking of the expiration
valve after re-insertion only works on condition that an
appropriate external power supply (line or DC) is connected

Verify proper function after re-assembly by performing a power-up


and system test. Perform “Post service checkout” according to
section 3

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-35


7 Repair procedures

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:

1. Remove the expiration valve according to section 7.2.1.


2. Remove the control panel according to section 7.2.2.
3. Remove the control panel mounting plate according to section
7.2.6.
4. Open the main engine according to section 7.2.5.
5. Disconnect cable X 31 at the O2 sensor connection.
6. Disconnect “patient” tube of pneumatic assembly at the
inspiratory connection.
7. Use the “inspiratory connection nut” from ST 5 to unscrew the
black front nut of the inspiratory connection.
8. Remove the inspiratory connection from the housing.
9. Disconnect tube B (patient pressure line) from the inspiratory
connection. NOTE: Check caution note in section 7.1. !
10. Upon re-inserting the inspiratory connection, pay attention to
match the inner housing of the inspiratory connection with the
anti-turn of the lower cabinet.
11. Reconnect tube B from the inspiratory connection.
NOTE: Check caution note in section 7.1. !
12. Use the “inspiratory connection nut” from ST 5 to fix the black
front nut of the inspiratory connection.
13. Reconnect cable X 31 at the O2 sensor connection.
14. Close the main engine; add the control panel and expiratory
valve.
15. Verify proper function after reassembly by performing a power-
up test.

7-36 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.9.6 Replace O2 The O2 sensor is located within the inspiratory connection assembly.
sensor To replace the O2 sensor:

1. Remove the control panel according to section 7.2.2.


2. Remove the control panel mounting plate according to section
7.2.6.
3. Disconnect X 31 at the O2 sensor connection.
4. Remove the O2 sensor from the inspiratory connection assembly
by turning it counterclockwise.
5. Replace the O2 sensor and verify that the red seal is properly
positioned between the O2 sensor and the inspiratory
connection. Do not use a tool; fasten with medium hand power
only.
6. Reconnect X 31 at the O2 sensor connection.
7. Insert the panel mounting plate according to section 7.2.6.
8. Insert the control panel according to section 7.2.2.
9. Allow the new O2 sensor to stabilize for approximately 5 minutes
in room air prior to calibration.
10. After reassembly, perform an O2 calibration according to section
4.7.1.

CAUTION Use only genuine spare parts when replacing O2 sensor.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-37


7 Repair procedures

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:

1. Turn OFF the system.


2. Remove the green cover (1) by inserting a small screwdriver into
the cover slot and pulling forward.
3. Remove the white diffuser (2) with a small screwdriver.
4. Remove the bulb/LED (3) from switch body (4) with a 2 mm silicon
tube or small pliers.
5. Replace bulb/LED and reinsert white diffuser (3) and green cover
(2).

To replace the entire ON-OFF switch:

1. Remove the expiration valve according to section 7.2.1.


2. Remove the control panel according to section 7.2.2.
3. Remove the panel mounting plate according to section 7.2.6.
4. Open the main engine according to section 7.2.5.
5. Disconnect X 24 at PC board B.
6. Unscrew the plastic nut (5) on the inside of the housing.
7. Slide the nut over the switch body (4), cable and connector.
8. Pull the ON-OFF switch out from the front and replace.
9. Slide the nut over the switch body (4), cable and connector.
10. Fix the plastic nut (5) on the inside of the housing. Note that the
slotted end of the nut is toward the front.
11. Reconnect X 24 at PC board B.
12. Close the main engine; add the control panel and expiratory
valve.
13. Verify proper function after reassembly by performing a power-
up test.

CAUTION Centiva must be disconnected from AC- main supply.


Possible risk of short-circuit when using metal tools when
replacing bulb/LED. Switch OFF the main switch on the rear
side and unplug the AC power cable.

7-38 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-39


7 Repair procedures

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:

1. Turn the unit upside down.


2. Use a 22 mm wrench to unscrew the gas connector for AIR first.
3. Use a 22 mm wrench to unscrew the gas connector for O2.
4. Replace gas connector and first screw connector for O2.

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.

7-40 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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:

1. Remove the gas inlet connector according to section 7.9.9.


2. Remove and replace the gas filter from the gas connector.

Note Note that the filter for AIR and O2 are identical.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-41


7 Repair procedures

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:

1. Remove the gas inlet connector according to section 7.9.9.


2. Remove the expiration valve according to section 7.2.1.
3. Remove the control panel according to section 7.2.2.
4. Remove the control panel mounting plate according to section
7.2.6.
5. Remove the expiratory valve locking assembly according to
section 7.9.3.
6. Remove battery assembly according to section 7.9.1.
7. Remove the “patient” tube from the pneumatic assembly.
8. Disconnect the nebulizer tube at the nebulizer front connection.
9. Disconnect the flow measurement tubes C/C’ and D/D’ at the
tube connectors.
NOTE Check caution note in section 7.1. !
10. Disconnect the common “ambient” tube of pressure sensors on
the pneumatic assembly.
NOTE: Check caution note in section 7.1. !
11. Disconnect the flat cable X 44 on PC board B.
12. Disconnect ground connection at common ground on sub
chassis.
13. Disconnect the transformer connector according to section 7.4.
14. Unscrew the one mounting screw of the pneumatic assembly.
15. Remove the pneumatic assembly by lifting it up about 4 mm and
then pull gently forward.
16. Reassemble by following the instructions above in reverse.

The pneumatic assembly is tightly fitted within the assemblies.


Remove it carefully. To ease lifting either unscrew the transformer
power connector from the sub chassis or carefully bend the
transformer power connector 2 mm to the right. Reassembly of the
common ground connection requires a contact washer between sub
chassis and first connector and a spring washer between the last
connector and the nut.

7-42 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.9.12 Replace free The free breathing valve is mounted on the pneumatic assembly.
breathing valve To remove the free breathing valve:

1. Remove the pneumatic assembly according to section 7.9.11.


2. Disconnect the active pressure relief valve connector X8 from the
pneumatic assembly PC board.
3. Unscrew the two screws to remove the passive overpressure
relief valve solenoid.
4. Remove the solenoid moving core from the rod.
5. Turn the pneumatic assembly upside down.
6. Unscrew the four screws of the free breathing valve retainer.
7. Remove the free breathing valve retainer and the free breathing
valve from the pneumatic assembly.
8. While inserting the free breathing valve pay attention to proper
seating. Incorrect seating (e.g. with incorrect tension on the
valve’s silicon springs) can cause leaks.
9. Insert the free breathing valve retainer and fix it with the four
screws.
10. Add the solenoid moving core to the rod.
11. Fix the two screws of the passive over pressure relief valve
solenoid.
12. Reconnect the active pressure relief valve connector X8 to the
pneumatic assembly PC board.

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-43


7 Repair procedures

7.9.13 Replace PC The PC board B is located on the sub chassis. To replace the PC
board B board B:

1. Remove the control panel according to section 7.2.2.


2. Remove the control panel mounting plate according to section
7.2.6.
3. Open the main engine according to section 7.2.5.
4. Remove back-up battery according to section 7.9.1.
5. Disconnect electrical connectors X 21, X 22, X23, X 10, X15, X16, X
24, X 31, X 42 and X 44.
6. Disconnect exp. flow measuring tube A at the expiratory valve
control assembly.
7. Disconnect pressure measuring tube B at the tube connector.
8. Disconnect flow measurement tubes C/C’ and D/D’ at the tube
connectors.
9. Disconnect “ambient” tube for the pressure transducers at the T-
piece towards the pneumatic assembly.
10. Unscrew the three nuts (top left, top middle and top right), fixing
the PC board B to the sub chassis with a 5.5 mm wrench.
11. Remove the PC board B by lifting it forward and up.
12. Replace the PC board B and fix the three nuts.
13. Reconnect “ambient” tube, flow measurement tubes C/C’ and
D/D’, pressure measuring tube B and exp. flow measuring tube A.
14. Reconnect electrical connectors X 21, X 22, X23, X 10, X15, X16, X
24, X 31, X 42 and X 44.
15. Perform all calibrations according to section 4.7.1 to 4.7.8
16. Insert back-up battery according to section 7.9.2.
17. Close the main engine; add the control panel and expiratory
valve.
18. Perform five (5) system tests successfully to rewrite all storage
levels in the B EEPROM.

Important note Check caution note in section 7.1.!

7-44 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

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:

1. Open the main engine according to section 7.2.5.


2. Unplug alarm speaker connector X 16.
3. Remove the two mounting screws of the alarm speaker on the
back panel.
4. Replace the alarm speaker.
5. Mount the alarm speaker with a spacer per screw between sub
chassis and alarm speaker, the cable towards the middle of the
sub chassis.
6. Connect the alarm speaker connector X 16.
7. Close the main engine, add expiratory valve.
8. Verify proper function after reassembly by performing a power-
up test.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-45


7 Repair procedures

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:

1. Remove the control panel according to section 7.2.2.


2. Remove the control panel mounting plate according to section
7.2.6.
3. Open the main engine according to section 7.2.5.
4. Remove back-up battery according to section 7.9.1.
5. Remove the expiratory valve locking assembly according to
section 7.9.3.
6. Disconnect electrical connectors X 21, X 22, (X23), X 10, X15, X16,
X 24, X 31, (X 42) and X 44.
7. Loose tape fixing of cable X 10 on rear side of sub chassis.
8. Use a 7 mm nut driver to remove the common ground and
disconnect all ground lines from the sub chassis.
9. Disconnect the transformer connector according to section 7.4.
10. Disconnect pressure measuring tube B at the tube connector.
11. Disconnect flow measurement tubes C/C’ and D/D’ at the tube
connectors.
12. Disconnect “ambient” tube for the pressure transducers at the T-
piece towards the pneumatic assembly.
13. Disconnect the “patient” tube at the inspiratory connection to
gain better access to the front left sub chassis fixing nut.
14. Use a 7 mm nut driver to remove the two nuts left and right in
front of the transformer and the two nuts left and right behind
the transformer.
15. Lift the back of the sub chassis and move it up and forward.
16. Reassemble by following the instructions above in reverse.

Note Reassembly of the common ground connection requires a contact


washer between sub chassis and first connector and a spring washer
between the last connector and the nut.

7-46 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.9.16 Replace The transformer is mounted on the sub chassis. To remove the
transformer transformer:

1. Remove the sub chassis according to section 7.9.15.


2. Disconnect the three primary wires at the line connector.
3. Use a 7 mm wrench to unscrew the two nuts in front.
4. Use a 7 mm nut driver to unscrew the one nut in the back of the
transformer.
5. Replace the transformer.
6. When mounting the transformer keep the cables on the proper
side (left side seen from the front).
7. Fix the three nuts.
8. Reconnect the three primary wires at the line connector.
9. Connect the primary wires with the black lead in the center
position.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-47


7 Repair procedures

7.9.17 Replace fan The fan is located on the sub chassis. To remove the fan:

1. Remove the sub chassis according to section 7.9.15.


2. Unscrew the four screws with stop nuts.
3. Replace the fan.
4. When mounting the fan keep the cable on the proper side
(towards the inside) and the airflow indicator arrow on the fan
pointing down.
5. Fix the fan screws with stop nuts.

7-48 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.9.18 Replace line The line connector is located on the rear of the main engine. To replace
connector the line connector:

1. Remove the sub chassis according to section 7.9.15.


2. Bend the top and bottom plastic locks together.
3. Remove the line connector to the outside.
4. Replace the line connector.
5. When replacing the line connector, be sure to have the switch at
the top and remember to insert the proper line fuses according
to the selected line voltage.

Note The line cable ferrite needs to be placed according to the photo to
allow the sub chassis to be mounted properly.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-49


7 Repair procedures

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:

1. Remove the sub chassis according to section 7.9.15.


2. Disconnect the wires from connector X 22.
3. Use a 17 mm wrench to remove the nut from the connector on
the inside of the housing.
4. Remove the DC mains connector to the outside.
5. Replace the DC mains connector.
6. When replacing the DC mains connector be sure to reconnect
the wires to connector X 22 in the proper order.

4 orange

5 red X 22

blue
6

7-50 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


7 Repair procedures

7.9.20 Replace The ground connector is located on the rear of the main engine. To
ground connector replace the ground connector:

1. Remove the sub chassis according to section 7.9.15.


2. Use a 10 mm wrench to remove the nut from the connector.
3. Remove the ground connector to the outside.
4. Replace the ground connector.
5. When replacing the ground connector, be sure to mount the
outside label prior to reinsertion properly.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 7-51


7 Repair procedures

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:

1. Remove the sub chassis according to section 7.9.15.


2. Use a 5 mm nut driver to remove the nuts from the serial data
connector.
3. Remove the serial data connector to the outside.
4. Replace the serial data connector.

Important note Upon reinstallation, pay attention to have the small side of the D sub 9
facing down.

7-52 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


8 Illustrated Parts

In this section 8.1 Special instructions 8-2


8.2 Service tools 8-2
8.2.1 Calibration accessories kit, ST 2 8-2
8.2.2 Test lung kit, ST 3 8-2
8.2.3 “Service” flow screen ST5 8-2
8.2.4 Tool kit, ST 4 8-3
8.2.5 Test equipment specifications 8-3
8.2.6 Service cable 8-4
8.3 Software 8-5
8.3.1 Software kit 8-5
8.4 Control panel spare parts 8-6
8.5 Expiration valve spare parts 8-12
8.6 Main engine spare parts 8-14

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 8-1


8 Illustrated parts

8.1 Special instructions


Apply a thin coat of oxygen-use-approved lubricant to o-rings prior
to installation (unless otherwise noted).

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 Service tools

8.2.1 Calibration The calibration accessories kit (P/N MA-640008) consists of


accessories kit, ST 2 • 2 x 22 mm corrugated tube, 15”
• 22 mm sealer.

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.

Note A minimum resistance of 5 mbar/l/s is required.

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 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

8.2.4 Tool kit ST 4 The tool kit (P/N MA-640007) consist of


• Pozidrive, screw driver, PH L1
• Inspiration connection nut
• Nut driver, size M 7
• Allen wrench, size M 3
• Nut driver, size M 5.5
• Nut driver, size M 20/22
• Tightening key
• Calibration screw driver
• EPROM grip
• Tool bag
This tool kit is designed for field service. Other tools can be used as
long as their sizes match the above.

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%

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-3


8 Illustrated parts

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.

8-4 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

8.3 Software

8.3.1 Software Pos. Order Number Description


service kit 1 M1064823 BZ-529350 Centiva/5 Plus EPROM kit

The software service kit provides the latest released software revision
and contains one set of A & B EPROM’s.

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-5


8 Illustrated parts

8.4 Control panel spare parts

Mounting bracket Pos. Order Number Description


1 CM-510126 Control panel mounting bracket
2 DB-449133 Screw M5 x 10 (not shown, 2
required)

Front housing Pos. Order Number Description


1 M1072280 BM-352510, Front housing
with mounted front folio
with mounted touch screen
with mounted EMV shield
without encoder

8-6 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

ComWheel Pos. Order Number Description


1 898794 CW-769161, ComWheel button (grey)
for Encoder
2 ES-760290 Encoder for ComWheel with nut and
3 washer
4
5 CE-126187 Cable to ComWheel

PC board DCU Pos. Order Number Description


1 M1054877 EB-720740 DCU board C+, multi
language
2 M1063362 DI-502921 PC board locker pin

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-7


8 Illustrated parts

PC board A Pos. Order Number Description


1 M1054879 BE-121050PC board A, C+,
in transport frame
with neutral serial number for one
time serialization
without EPROM
without PC board DCU
without PC board inverter
without alarm speaker A.

Note To protect flex connectors keep PC board A in transport frame until


use.

8-8 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

PC board A LI battery Pos. Order Number Description


1 M1072369 ES-759159, 3 V Lithium - battery
2 M1072368 EY-799130, Tie wrap for lithium
battery

PC board Inverter Pos. Order Number Description


1 EB-720735 PC board, inverter, back light supply
2 BE-120091 Cable to inverter PC board
3 M1063379 DI-502702 Locker pin, 2 required

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-9


8 Illustrated parts

Display Pos. Order Number Description


1 M1054880 EB-720734 TFT display, 12”, with
back light
2 DB-452322 Screw, M3 x 8, 4 required
3 DI-502810 Spacer, 3.6, 4 required

Alarm speaker A Pos. Order Number Description


1 M1054881 ES-754809 Alarm speaker C+
2 DI-501702 Locker pin, 2 required
3 M1063380 DC-482804 Washer , plastic, 3,2 mm,
2 required

8-10 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

Control panel connecting Pos. Order Number Description


cable 1 M1049867 MA-120019 Control panel connecting
cable kit

Back cover Pos. Order Number Description


1 M1054902. BM-352430 Back cover for control
panel

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-11


8 Illustrated parts

8.5 Expiration valve spare parts


Expiration valve assembly Pos. Order Number Description
- Standard 1 BM-352385 Standard expiration valve assembly,
(silver) complete

Pos. Order Number Description


2 BM-352386 PEEP membrane assembly, complete
2a) CM-525531 PEEP TOP seal membrane
2b) CM-510130 PEEP PSU plate
2c) CM-510129 PEEP Silicone membrane
3 CM-510111 Stainless steel plate for PEEP
membrane
4 DO-628232 O-ring 30 x 2
5 DO-628204 O-ring 6 x 1.5, for flow measurement
port
6 CM-523034 Flow screen, Standard
7 CM-510133 Retainer for flow screen
- MA-640000 PEEP valve PM kit, consisting of Pos.
2, 4, 5
7 6 5 4 2 3

8-12 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

Expiration valve assembly Pos. Order Number Description


- Newborn 1 BM-352397 Newborn expiration valve assembly,
(blue) complete

Pos. Order Number Description


2 BM-352386 PEEP membrane assembly, complete
2a) CM-525531 PEEP TOP seal membrane
2b) CM-510130 PEEP PSU plate
2c) CM-510129 PEEP Silicone membrane
3 CM-510111 Stainless steel plate for PEEP
membrane
4 DO-628232 O-ring 30 x 2
5 DO-628204 O-ring 6 x 1.5, for flow measurement
port
6 CM-523035 Flow screen, Newborn
7 CM-510133 Retainer for flow screen
MA-640000 PEEP valve PM kit, consisting of Pos.
2, 4, 5
7 6 5 4 2 3

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-13


8 Illustrated parts

8.6 Main engine spare parts

Expiratory valve control Pos. Order Number Description


assembly 1 BM-352383 Expiration valve control assembly
(without expiration valve assembly)
2 DB-452322 Screw M3 x 8, 2 required
3 DH-473704 Washer, 3.2, 2 required
4 DA-444201 Screw M3 x 6, 1 required
5 CE-126092 Cable to B board

Locking spring Pos. Order Number Description


1 M1111499 CM-510123, Locking spring in
expiration valve assembly

8-14 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

Patient connection Pos. Order Number Description


assembly 1 BM-352210 Patient connection assembly,
without O2 sensor, without patient
tube
2 CM-510137 Front cone

O2 sensor Pos. Order Number Description


1 EB-758190 O2 sensor
2 CE-126096 Cable to O2 sensor

Patient tube Pos. Order Number Description


1 CS-615042 Patient tube, 22mm x 250 mm

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-15


8 Illustrated parts

Back-up battery assembly Pos. Order Number Description


1 M1054900 BE-120104 Battery pack, 24 V,
complete
2 DE-490460 Nut, M4 with washer, 2 required

Transformer Pos. Order Number Description


1 BE-120088 Transformer
2 EX-744350 Connector, line power (not shown)
3 DE-490460 Nut, M4 with washer, 3 required

8-16 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

PC board B assembly Pos. Order Number Description


1 BE-120120 PC Board B, without B EPROM
2 EF-761080 Fuse 0.5 A slow blow, 5 x 20 mm (not
shown)
3 M1148215 EF-761079 Fuse 0.8 A slow blow, 5 x
20 mm (not shown)
4 EF-761083 Fuse 1.0 A slow blow, 5 x 20 mm (not
shown)
5 M1148216 EF-761090 Fuse 3.15 A slow blow, 5 x
20 mm (not shown)
6 DG-463004 Nut, M3, 3 required
7 DI-502810 Spacer, 3.6, 3 required

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-17


8 Illustrated parts

Pneumatic assembly Pos. Order Number Description


1 BM-352396 Pneumatic assembly, complete
2 DG-460460 Screw M4 x 35

Free breathing valve Pos. Order Number Description


1 DO-626000 Free breathing valve

8-18 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

Gas connectors Pos. Order Number Description


1 CM-530043 NIST connector AIR
2 CM-530044 NIST connector O2
3 CM-530045 DISS connector AIR
4 CM-530046 DISS connector O2
5 CM-530047 BSBP G ¼ connector AIR
6 CM-530048 BSBP G ¼ connector O2
7 CM-530049 BSBP G 3/8 connector AIR
8 CM-530050 BSBP G 3/8 connector O2
9 CM-530051 S90/116 connector AIR
10 CM-530052 S90/116 connector O2
11 CM-530053 DISS FEMALE connector AIR
12 CM-530054 DISS FEMALE connector O2
13 DO-628208 O-ring 8,3 x 2,4, fits all connectors

Gas connector filters Pos Order Number Description


1 CM-525764 Sinter filter universal
2 DO-628203 O-ring 5x1 to sinter filter

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-19


8 Illustrated parts

Fan assembly Pos. Order Number Description


1 EM-777213 Fan, complete
2 DA-444224 Screw, M4 x 12, 4 required
3 DG-463013 Nut, M4 self secure, 4 required

Alarm speaker B Pos. Order Number Description


1 BE-120101 Alarm system for PC board B,
complete
2 DB-452322 Screw, M3 x 8, 2 required
3 DH-473704 Washer, 3.2, 8 required
4 DG-463004 Nut, M3, 2 required

8-20 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

Line connector assembly Pos. Order Number Description


1 BE-133434 Line connector assembly, complete
2 M1148215 EF-761079 Fuse 0.8 A slow blow, 5 x
20 mm, (for 230 V line voltage) (not
shown, 2 required)
3 EF-761085 Fuse 1.6 A slow blow, 5 x 20 mm, (for
115 V line voltage) (not shown, 2
required)

ON / OFF switch assembly Pos. Order Number Description


1 BE-120114 ON / OFF switch assembly, complete
2 ES-754476 Green cap
3 ES-754477 White inlay
4 EU-748295 LED light, green, 24 V

1) 4) 3) 2)

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-21


8 Illustrated parts

On/Off switch interface Pos. Order Number Description


PC board kit 1 M1099429 ME-510207 On/Off switch interface
PC board kit with
1) On/Off switch interface PC board
including fixed cables
2) Washer
3) Hex Standoff
4) Nylok Nut

1) 2) 3) 4)

8-22 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

DC main connector Pos. Order Number Description


assembly 1 BE-120095 DC Main connector assembly,
complete

Ground stud assembly Pos. Order Number Description


1 EY-750840 Ground stud
2 EY-750842 Color code plate
3 CM-919026 Label (not shown)
4 DG-463008 Nut M6
5 BE-120112 Cable to common ground (not
shown, 1 required)
6 DH-473763 Washer, contact M6/8 2-A4
7 DH-473707 Washer, spring A 6.5 (not shown, 1
required)

4) 6) 2) 1)

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-23


8 Illustrated parts

Serial data connector Pos. Order Number Description


assembly 1 BE-120094 Serial data connection assembly,
complete with nuts and bolts

Sub chassis Pos. Order Number Description


1 DE-490460 Nut M4 with washer (not shown, 4
required)

Tubing kit Pos. Order Number Description


1 MA-640002 Tubing kit, consisting of
- tube set A
- tube set B
- tube set C
- tube set D

Upper housing Pos. Order Number Description


1 BM-352408 Upper housing

8-24 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


8 Illustrated parts

Lower housing Pos. Order Number Description


1 CM-510157 Lower housing without assemblies
2 M1146915 BM-352211Housing feet (not shown,
4 required)
3 DG-460336 Screw, M4 x 70 mm (not shown, 1
required)
4 DG-460337 Screw, M4 x 110 mm (not shown, 2
required)
5 CX-526323 Locker pole (not shown, 1 required)

Labels Pos. Order Number Description


1 CM-919029 Serial number plate, without s/n
2 MA-640003 Labeling kit, 115V
3 MA-640005 Labeling kit, 230 V

Nebulizer parts Pos. Order Number Description


1 CM-522200 Nebulizer connection
2 DE-490708 Nut to nebulizer connection M8
3 CS-615052 PVC tube nebulizer, 4x1, 200 mm

TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08 8-25


8 Illustrated parts

Hardware kit Pos. Order Number Description


1 MA-640006 Hardware kit Centiva/5, consists of
- different nuts
- different bolds
- different washers
- different spacers
- etc.
to build a Centiva/5

Service tools Pos. Order Number Description


1 AZ-381501 Test lung kit, ST3
2 MA-640007 Tool kit. ST4
3 M1110865 Service cable

Line plug locking spring Pos. Order Number Description


1 EY-750691 Line plug locking spring

8-26 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

In this section 9.1 Pneumatic diagram 9-2


9.2 Electrical diagram 9-4
9.3 Component layout, PC board B 9-6
9.4 Component layout, PC board A 9-7
9.5 Tubes and connectors 9-8
9.6 Cable Routing 9-11
9.6.1 Cable routing for PC board B 9-11
9.6.2 Cable harness fixing routing 9-14
9.6.3 Pneumatic hose routing 9-14
9.7 List of fuses 9-15
9.8 Screw connectors 9-16
9.9 Accepted ranges 9-17
9.10 Sensor data ranges 9-18
9.11 DIP switch settings 9-18
9.12 Serial data transfer 9-19

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-1


9 Schematics and Diagrams

9.1 Pneumatic diagram

Centiva/5 Plus
Pneumatic overview
Revision 3.x
A.Schober 27.12.05
Salvia Lifetec

9-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

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

P 08, P 09, P 10, P17, P 18, Not applicable


P 30 Not applicable

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-3


9 Schematics and Diagrams

9.2 Electrical diagram

9-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

Centiva/5 Plus
Electrical overview
Revision 3.x
A.Schober 27.12.05
Salvia Lifetec

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-5


9 Schematics and Diagrams

9.3 Component layout, PC board B

9-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

9.4 Component layout, PC board A

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-7


9 Schematics and Diagrams

9.5 Tubes and connectors


Main board B with offset valves “Fluid automation”

9-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

Connectors on PC board A
(control panel)

Identifier Where located To connect No. of pins


X1 Control Panel PC board A Alarm speaker, control panel 2
ST1, ST4 Control Panel PC board A DCU board 16
X3 Control Panel PC board A Back light inverter 8
X5 Control Panel PC board A ComWheel 6
X 12 Control Panel PC board A TFT screen 24
X 14 Control Panel PC board A SIO, to main engine 4
X30 Control Panel PC board A Touch screen 5

Connectors on PC board B
(main engine)

Identifier Where located To connect No. of pins


X10 Main engine PC board B Serial com port 5
X12 Main engine PC board B N/A 4
X14 Main engine PC board B SIO, to control panel 4
X15 Main engine PC board B Fan 3
X16 Main engine PC board B Alarm speaker, main engine 2
X21 Main engine PC board B Mains, line supply, 3
transformer
X22 Main engine PC board B Mains, external DC supply 3
X23 Main engine PC board B Internal battery 2
X24 Main engine PC board B On- Off switch 4
X31 Main engine PC board B O2 sensor 3
X41 Main engine PC board B N/A 8
X42 Main engine PC board B PEEP valve assembly 10
X43 Main engine PC board B N/A 2
X44 Main engine PC board B Pneumatic assembly 16

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-9


9 Schematics and Diagrams

Tubes

Identifier From To Type

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

From PEEP valve control assembly to PC board B


A Expiratory flow port Offset valve A Silicon, 5 mm φ

From inspiratory connection assembly to PC board B


B Patient (Airway) Offset valve B Silicon, 5 mm φ
pressure port

From pneumatic assembly to PC board B


C AIR flow, upper port Offset valve C Silicon, 5 mm φ
C’ AIR flow, lower port Transducer C – T piece - Silicon, 5 mm φ, T piece
Offset valve C
D O2 flow, upper port Offset valve D Silicon, 5 mm φ
D’ O2 flow, lower port Transducer D – T piece - Silicon, 5 mm φ, T piece
Offset valve D
n/a Ambient port T-piece - transducer A, Silicon, 5 mm φ, T piece
T-piece - transducer B,
T-piece - offset valve A,
T-piece - offset valve B

From inspiratory connection assembly to pneumatic assembly


n/a Inspiratory port Exit of pneumatic “white” patient tube, 22
assembly mm φ

9-10 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

9.6 Cable routing

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-11


9 Schematics and Diagrams

5.

6.

7.

8.

9-12 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

9.

10.

11.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-13


9 Schematics and Diagrams

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.

9-14 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

9.7 List of fuses


230 V line voltage

Identifier Where located To secure Type Value


SI 0 a Line inlet connector Line supply 5 x 20 mm 0.8 A slow blow
SI 0 b Line inlet connector Line supply 5 x 20 mm 0.8 A slow blow

115 V line voltage

Identifier Where located To secure Type Value


SI 0 a Line inlet connector Line supply 5 x 20 mm 1.6 A slow blow
SI 0 b Line inlet connector Line supply 5 x 20 mm 1.6 A slow blow

Internal fuses

Identifier Where located To secure Type Value


SI 1 Control Panel PC board A Battery supply 5 x 20 mm 0.032 A fast blow
SI 2 Control Panel PC board A Buzzer supply 5 x 20 mm 0.315 A slow blow
SI 300 Control Panel PC board A LCD back light 5 x 20 mm 0.8 A slow blow
SI 380 Control Panel PC board A Control panel 5 x 20 mm 0.8 A slow blow
supply
SI 381 Control Panel PC board A 5 V controller 5 x 20 mm 1.6 A slow blow
supply
SI 10 Main engine PC board B Buzzer supply 5 x 20 mm 0.315 A slow blow
SI 11 Main engine PC board B Fan 5 x 20 mm 0.5 A slow blow
SI 21 Main engine PC board B Transformer sec. 1 5 x 20 mm 3.15 A slow blow
SI 22 Main engine PC board B Transformer sec. 2 5 x 20 mm 3.15 A slow blow
SI 23 Main engine PC board B Line DC inlet 5 x 20 mm 3.15 A slow blow
SI 24 Main engine PC board B Back-up battery 5 x 20 mm 3.15 A slow blow
SI 25 Main engine PC board B Battery charger 5 x 20 mm 0.5 A slow blow
SI 26 Main engine PC board B + 13 V bus 5 x 20 mm 3.15 A slow blow
SI 27 Main engine PC board B + 15 V bus 5 x 20 mm 3.15 A slow blow
SI 28 Main engine PC board B + 5 V bus 5 x 20 mm 0.5 A slow blow
SI 41 Main engine PC board B Exp. Valve heater 5 x 20 mm 1.0 A slow blow

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-15


9 Schematics and Diagrams

9.8 Screw Connectors


Line connector

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

Internal battery connector

7 red
X 23
8 blue

9-16 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

9.8 Accepted ranges


Mains line supply Accepted range
AC line voltage 115 V 98.0 to 132 V AC, 50 to 60 Hz
AC line voltage 230 V 198 to 263 V AC, 50 to 60 Hz
DC mains voltage 22.5 to 28.0 V DC
Power consumption < 50 W

Breathing circuit Accepted range


Total compliance 0.5 to 5.0 mL/mbar
Insp. resistance < 6.0 mbar/L/s (SW rev. 2.21 +)
Total resistance < 15 mbar /L/s (SW rev. 2.21 +)
Resistance test flow 60L/min in Adult mode, 30 L/min in Pediatric mode
Total leakage < 1,000 mL/min
Nebulizer supply pressure 16 to 20 kPa, 22.5 to 28.2 PSI (at given flow range)
Nebulizer flow range 4.0 to 12.0 L/min
Nebulizer gas source AIR at FiO2 < 60%, O2 at FiO2 >= 60 %

Service menu Accepted range


Line voltage AC 19.0 to 29.0 V DC
Line voltage DC 22.5 to 28.0 V DC
Panel voltage 12.5 to 17.0 V
Valve voltage 11.5 to 15.0 V
(Back up) Battery voltage 22.5 – 29.0 V DC
Controller A voltage 4.50 to 5.50 V DC
Controller B voltage 4.50 to 5.50 V DC
Heater power 0.0 to 12.0 W
Exp. temperature 5.0 to 48.0 °C
Insp. temperature 5.0 to 48.0 °C

Gas supply Accepted range


AIR supply pressure 280 to 600 kPa, 40 to 80 PSI
O2 supply pressure 280 to 600 kPa, 40 to 80 PSI
AIR pressure reducer
setting 2.7 to 2.8 kPa, 38.0 to 39.5 PSI
O2 pressure reducer
setting 2.7 to 2.8 kPa, 38.0 to 39.5 PSI
AIR supply pressure low
signal 1.6 to 2.2 kPa, 23 to 31 PSI
O2 supply pressure low
signal 1.6 to 2.2 kPa, 23 to 31 PSI
AIR supply flow Minimum 110 L/min
O2 supply flow Minimum 110 L/min
AIR supply flow low signal 106 to 108 L/min
O2 supply flow low signal 106 to 108 L/min
AIR 2nd stage flow valve
turn on 42 to 45 L/min
O2 2nd stage flow valve
turn on 42 to 45 L/min

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-17


9 Schematics and Diagrams

9.9 Sensor data ranges


The following data ranges deal with the four pressure sensors, used to
measure
• Pat. pressure = Airway pressure
• Exp. flow = Expiration flow, measured via differential pressure
• AIR flow = Inspiration flow AIR, measured via differential
pressure
• O2 flow = Inspiration flow O2, measured via differential
pressure

The sensor offset values are defined in different accepted ranges


• No readjust range = Offset value is within an area where re-
adjustment is not necessary.
• Max. auto correct range = Offset values are automatically
corrected by the software during auto zeroing
For sensor offset values that are outside the “No readjust” offset re-
adjustment is necessary.
According to the sensor’s warm-up drift always allow the Centiva/5 to
warm up for at least 15 minutes, before taking data or performing any
calibration.

Rated values vary with software revisions.

Type of Rated No readjustment necessary Max. automatic correction


sensor (Center) range range
Pat. 0.00 mbar - 0.8 to + 0.8 mbar - 3.0 to + 3.0 mbar
pressure
Exp. flow 500 digits 375 to 625 digits 25 to 975 digits
AIR flow 250 digits 175 to 325 digits 25 to 475 digits
O2 flow 250 digits 175 to 325 digits 25 to 475 digits

9.10 DIP Switch settings

PC Board A does not carry any DIP switches.

PC board B (P/N BE-120120) is equipped with a DIP switch for factory


setting and testing.

No setting is required in service.

Leave DIP switch setting as made during factory setting. If factory


setting is in doubt set all DIP switch (1 – 8) to OFF.

9-18 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


9 Schematics and Diagrams

9.11 Serial data transfer


Centiva/5 Plus provides capabilities to transfer ventilation parameter,
pressure - and flow waveform, all measured values and alarms to an
external data management system via a serial data protocol.

Centiva/5 Plus provides three protocols on demand to a data


management system:
- Ohmeda Com 1.0
- Ohmeda Com 1.3
- SalTim™ Com 1.0
Without any request from an external data management on the serial
port, Centvia/5 Plus disables the serial data transfer.
With a request from an external data management on the serial port,
Centvia/5 Plus activates the Ohmeda Com 1.0 protocol as the default.
On request from an external data management on the serial port
Centiva/5 Plus activates either the Ohmeda Com 1.3 or the SalTim Com
1.0 protocol.

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.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 9-19


9 Schematics and Diagrams

Transferred Information Waveforms


- Paw real Time
- Flow real time

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

9-20 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


10 Configuration and optionalization

In this section 10.1 Centiva/5 Plus configuration mode 10-2


10.1.1 Access to configuration mode 10-3
10.1.2 Configuration modality 10-5
10.1.3 Exit configuration mode 10-6
10.1.4 Configuration parameters 10-7
10.2 Optionalization mode 10-9
10.2.1 Access to optionalization mode 10-10
10.2.2 Optionalization modality 10-11
10.2.3 Exit optionalization mode 10-13

TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08 10-1


10 Configuration and optionalization

10.1 Centiva/5 Plus configuration mode


Centiva/5 Plus allows user specific configuration of the default
machine settings according to hospital’s needs for the following
parameters:

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.

Note This configuration is not accessible to the user to avoid miss-settings


of default configuration settings. It is only accessible for authorized
service personnel.

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

Patient type Adult


Cross ove r weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV

Abort
Abort Safe
Save

10-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08


10 Configuration and optionalization

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.

To access the configuration screen, first go into the service screen:

For legal reasons the service mode is not accessible on a user level.
Only trained service technicians should have access to the service
mode.

To enter the service mode, push the following sequence of buttons


within a time frame of 1 second:
1. ”Adult” left side
2. “Adult” right side
3. “ComWheel”.

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

Adult Pediatric Newborn Enter

1 2 3

TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08 10-3


10 Configuration and optionalization

Now, to enter the configuration mode push, the following sequence of


buttons within a time frame of 1 second:
1. ”x 10”
2. “OPEN”
3. “ComWheel”.

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

Patient type Adult


Cross ove r weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV

Abort
Abort Safe
Save

10-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08


10 Configuration and optionalization

10.1.2 Configuration All configurations operate on the same principle:


modality
1. Rotating the ComWheel moves a frame to any
parameter on the screen.

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

3. Confirm your selection by pushing the ComWheel.

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

Patient type Adult


Cross over weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV

5. Rotate the ComWheel to select from different


settings.

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

7. Confirm selection by pushing the ComWheel.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08 10-5


10 Configuration and optionalization

8. Confirmed change is Default settings


displayed. E.g. selected Language English
parameter “Patient type”, Date format
Unit Meas.
DD.MM hh:mm
cmH2O
confirmed new value Unit Co2 mmHg
Unit IBW kg
“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

Patient type Adult


Cross ove r weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV

Abort
Abort Safe
Save

The system immediately returns to the power up test screen allowing


normal operation.

Pushing the “Abort” button makes the system load the previous
settings, delete all made changes and return immediately to the power
up test screen.

10-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08


10 Configuration and optionalization

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)

TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08 10-7


10 Configuration and optionalization

7. Cross over weight


Weight to determine between patient Adult or Pediatric with
the following selections:
a. kg
b. lbs

8. Start ventilation mode


Default ventilation mode upon start up in patient type
selection Adult/Pediatric with the following selections:
a. VCV
b. SIMV-VC
c. Bi-Level VG (if Bi-Level VG option is activated)
d. Bi-Level
e. CPAP

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.

10-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08


10 Configuration and optionalization

10.2 Centiva/5 Plus optionalization mode

Centiva/5 Plus allows for optionalization several already on board


available software options by activating a particular option code.

This optionalization is only possible for one particular serial number


and for one particular software version and for the desired options.
The option key consists of information about
1. serial number of the device to optionalize
2. software version this option is valid for
3. options desired
Software options come with a serialized 8 digit option key. This option
key is printed on a small sticker. Place this sticker after optionalization
onto the rear side of the Control Panel of the Centiva/5 Plus, so that in
case it needs to be re-optionalized, the option key is available at the
machine.

Note When ordering an option note the Centiva/5 Plus’ serial number,
displayed in the optionalization mode and in the service screen.

Note If several options have to be optionalized on one machine only one


option key is necessary and one optionalization clears all desired
options at once,

Note This optionalization mode configuration is not accessible to the user.


It is accessible for authorized service personal only.

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.

3. Trend and event


This option allows to store, to display and to download all
measured data, ventilator settings, alarm settings over a period
of 14 days and up to 1000 events (e.g. alarms system messages
etc).

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

Patient type Adult


Cross ove r weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV

Abort
Abort Safe
Save

10-10 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08


10 Configuration and optionalization

10.2.2 To optionalize a received option key follow this sequence:


Optionalization
1. Rotate the ComWheel to select the option key by
modality moving a frame.

2. The option key’s last value is Option menu


framed. Serial number 171050101

Option key 12345678

3. Confirm made selection by pushing the ComWheel.

4. The last digit of the option key Option menu


no is framed. E.g. “8”. Serial number 171050101

Option key 12345678

5. Confirm made selection by pushing the ComWheel.

6. The frame inverts colors. Option menu


Serial number 171050101

Option key 1234567 8

7. Rotate the ComWheel to select the according


number for this digit.

8. A new setting for the selected Option menu


digit of the option key is Serial number 171050101
made. E.g. “1”.
Option key 1234567 1

9. Confirm made selection by pushing the ComWheel.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08 10-11


10 Configuration and optionalization

10. New setting for the selected Option menu


digit is made. Serial number 171050101

Option key 12345671

11. Rotate the ComWheel to select the next digit to


change.

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.

14. When done with all digits push ComWheel again to


return to the main frame.

15. The main frame surrounds the Option menu


option key and at the same Serial number 171050101
time the released option is
Option key 12345678
displayed in the upper (+) area
for options.

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

Patient type Adult


Cross ove r weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV

Abort
Abort Safe
Save

10-12 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08


10 Configuration and optionalization

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

Patient type Adult


Cross ove r weight 35 kg
Start vent. Mode Bi-Level
VC Type PLV

Abort
Abort Safe
Save

The system immediately returns to the power up test screen allowing


normal operation.

Pushing the “Abort” button makes the system load the previous
settings, delete all made changes and return immediately to the power
up test screen.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08 10-13


10 Configuration and optionalization

Notes

10-14 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.51.f of 05/08


11 Optional accessories

In this section 11.1 External battery pack 11-2


11.1.1 Replace battery 11-2
11.1.2 Replace battery pack connector cable 11-3
11.1.3 Replace fuse 0.8 A 11-4
11.1.4 Replace fuse 3.15 A 11-4
11.1.5 Spare parts for external battery pack 11-5
11.2 Cart 11-8
11.3 Compressor 11-9
11.4 Support arm 11-10

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 11-1


11 Optional accessories

11.1 External battery pack

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

Note Connect the connector cables in a


correct way.

8. Close the external battery pack


9. Connect the charger to the charging port of the external battery
pack.
10. Allow the battery pack to be charged at least 12 hours and verify
proper charging.

Note Always replace both batteries at the same time.

11-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


11 Optional accessories

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.

7. Close the external battery pack.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 11-3


11 Optional accessories

11.1.3 Replace fuse To replace the 0.8 A fuse in the external battery pack, follow this
0.8 A sequence:

1. Disconnect the external battery pack from Centiva/5 Plus


according to section 11.1.1.
2. Open the external battery pack by unscrewing the screws on top
of the aluminum plate according to section 11.1.1.
3. Replace the fuse.
4. Close the external battery pack.
5. Connect the battery pack to the Centiva/5 Plus.

11.1.4 Replace fuse To replace the 3.1 A fuse in the external battery pack, follow this
3.1 A sequence:

1. Remove the fuse holder by using a screwdriver.


2. Replace the fuse.
3. Insert the new fuse.

11-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


11 Optional accessories

11.1.5 Spare parts


for external battery
pack

External Battery Pack Pos. Order Number Description


1 M1146910 AZ-391975 Battery Pack
2 M1146915 BM-352211 Feet (4 pcs)
3 M1055800 KE-749293 Power Supply for the External
Battery Pack 230/115 V, 50/60 Hz
4 M1055801 EY-752151 Power supply line adapter for
EU ( no picture)
5 M1055802 EY-752152 Power supply line adapter for
UK (no picture)
6 M1055803 EY-752153 Power supply line adapter for
USA (no picture)

3) 2) 1)

Battery Pos. Order Number Description


1 M1146911 ES-759153 Lead acid battery, one, (two
needed)

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 11-5


11 Optional accessories

Fuses Pos. Order Number Description


1 M1148215 EF-761079 Fuse 0,8 A slow blow
2 M1148216 EF-761090 Fuse 3,15 A slow blow

1) 2)

Battery pack connector Pos. Order Number Description


cable 1 M1146914 BE-120151 Battery pack connector cable

Control board Pos. Order Number Description


1 M1149859 BE-121056 Control board external battery-
pack

11-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


11 Optional accessories

Housing Pos. Order Number Description


1 M1149860 CX-526250 Housing of the external
battery-pack
2 M1149861 CX-526251 Cover plate of the external
battery-pack
3 M1149858 CX-526253 Swivel plate
4 M1146915 CX-526254 Slider
5 M1149862 DO-627181 Foam pad (no picture)

1) 2)

3) 4)

Hardware kit Pos. Order Number Description


1 M1149996 MA-640011 Hardware kit Centiva/5
external battery pack, consists of:
different nuts
different pins
different screws
different washer
different b
ect.

to build a Centiva/5 external battery pack.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 11-7


11 Optional accessories

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.

Spare parts Pos. Order Number Description


1 M1054903 CW-768443 Castor for cart with brake
2 M1054904 CW-768442 Castor for cart without brake
3 M1054905 DE-495467 Cart “star” button for fixation

11-8 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


11 Optional accessories

11.3 Compressor

For detailed repair instruction see compressor service instruction,


supplied by the manufacturer.

Spare parts Product Order Number


Air inlet filter 5412902
Air outlet hose DISS nut and nipple, CGA V- 1505-3810-000
5 1160A
Air outlet hose, DISS body, ISO 5359 A3 1505-3812-000
Air outlet hose, SIS female, AS 2902 1505-3813-000
Air outlet hose, SS 87 524 30 1505-3814-000
Air outlet hose, NIST nut and nipple, ISO 1505-3811-000
5359 A3
Air outlet hose, NF S90-116 1505-3815-000
Mounting foam, 3 pieces 1505-3829-000
Mounting screws, M6x20 1505-3031-000
Nylon washer, M6 1505-3034-000
Pipeline air inlet O-rings (2) 1006-3614-000
Pipeline air inlet, DISS body, CGA V-5 9913-6557-800
1160A
Pipeline air inlet, DISS nut and nipple, ISO 1505-3830-000
5359 A3
Pipeline air inlet, SIS male, AS 2902 1505-3831-000
Pipeline air inlet, SS 87 524 30 1001-5854-000
Pipeline air inlet, NIST body, ISO 5359 A3 1001-2826-000
Pipeline air inlet, NF S90-116 1010-5154-000
Power cord clamp 1505-3033-000
Power cord clamp screws, M3x6 0140-6219-128
Power cord, 10A AS 3112 1500-3561-000
Power cord, 10A BS 1363 1500-3283-000
Power cord, 10A BS 546 1505-3817-000
Power cord, 15A NEMA 5-15 Hospital 1505-3816-000
Grade
Power cord, CEE 7/7 1500-3291-000
Power cord, SEV 1011 1500-3292-000
Water bottle kit 5612315

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 11-9


11 Optional accessories

11.4 Support arm

Replace tube holder Replacement of the tube holder does not require any tools.

To replace a tube holder follow this sequence:

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.

Spare parts Pos. Order Number Description


1 AZ-389130 Tube holder for support arm for breathing
system with 2 x 22 mm with ball joint
2 AZ-389131 Tube holder for support arm for breathing
system with 2 x 22 mm
3 AZ-389132 Tube holder for support arm for breathing
system with 1 x 22 mm

11-10 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


A1 Appendix

In this section A 1.1 Service Log Downloader A1-2

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 A1-1


A1 Appendix 1

Service log downloader

The “Service log downloader” is a software download tool that is


intended to download the service log of Centiva Plus onto a PC or
Laptop. This downloaded service log file can be either analyzed by
separate Parser programs or emailed to service help desk for further
analysis.

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..

Computer requirements: Operating system:


• Microsoft Windows 2000 or
• Microsoft Windows XP Professional or
• Microsoft Windows XP Home Edition

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:

1. Use the „Com Port“ drop down to select the computer’s


communication port that is connected with the service cable to
the Centiva/5 Plus.
In this example COM1 is selected.
A1-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08
A1 Appendix

2. Prior to downloading you need to tell the service log downloader


where to store the service log to download.
Open „Select file“, to select the folder where to store the service
log.

In this example it is folder “Centiva Logs”

Give the file a name that identifies:


- Name of device (in this example “Centiva+”)
- Serial number (in this example “SN190050123”)
- Date and time of download (in this example “041007” as
date 04/10/2007 and “1521” as time 15:21)

Now the screen looks like this:

Notice the “Start” button is now activated.

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 A1-3


A1 Appendix 1

3. Press the “Start” button to start the download.

During the process a progress bar and text prompts will provide
feedback.

Please note that the complete download process may take up to 5


minutes.

When the download completes successfully the prompt “FINISHED” is


displayed. The service log has been downloaded and stored in the file
selected in step 2.

A1-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08


A1 Appendix

Failure message When the connection is not properly working the service log
downloader will prompt with the message “ERROR”.

In this case check:


- the com port of the PC/laptop to be the correct one
- the connection of the service cable to the PC
- the connection between service cable and USB–RS 232
converter, if applicable
- the connection of the service cable to the Centiva plus

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

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08 A1-5


A1 Appendix 1

Notes

A1-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.51.f of 05/08

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