Aestiva Anesthesia Machine Service Manual 0 Datex-Ohmeda Devoted to caring for lifeAestiva Anesthesia Machine Datex-Ohmeda products have unt serial numbers with coded logic which indicates a product s70up code, the year of manufacture and a sequential unit number for identification, AAA A 12345 ‘This alpha character indicates the year of product manufacture and when the serial number was assigned; *Y" = 1995, 2" » 1996, "A" = 1997, etc. “1 and "0" are not used. cé Aestiva, SmartVent, and Link-25 are registered trademarks of Datex-Ohmeda Inc. Other brand names or product names used in this manual are trademarks or registered ‘tademarks oftheir respective holders. 05/01 1006-0852.0001006-0852.000 05/01 Aestiva Anesthesia Machine Service Manual ‘This documentis not to be reproduced in any manner, nor are the contents to be disclosed to anyone, without the express authorization of the product service department, Datex-Ohmeda, ‘Ohmeda Drive, PO Box 7550, Madison, Wisconsin, 53707. © 2001 Dates-Ohmeda InoAestiva Anesthesia Machine Important ASCAUTION The information contained inthis service manual pertains only to those models of products, which are marketed by Dates-Ohmeda as ofthe effective date ofthis manual orthe latest revision thereof. Tis service manual was prepared for exclusive use by Datex-Ohmeda service personnel in light of their training and experience as well as the availabilty to them of parts, proper tools and test equipment. Consequently, Datex-Ohmeda provides this service manual to its customers purely asa business convenience and for the customer's general information only without warranty ofthe results with respect to any application of such information. Furthermore, because ofthe wide variety of circumstances under which maintenance and repait activities ‘may be performed and the unique nature of each individual's own experience, capacity, and ‘qualifications the fart that customer has received such information from Datex-Ohmeda does ‘not imply in anyway that Datex-Ohmeda deems said individual to be qualified to perform any ‘such maintenance or repair service. Moreover, it should not be assumed that every acceptable test and safety procedure or method, precaution, tool, equipment or device is referred to within, ‘or that abnormal or unusual circumstances, may not warrant or suggest different or additional procedures orrequirements. This manual is subject to periodic review, update and revision, Customers are cautioned to ‘obtain and consult the latest revision before undertaking any service of the equipment. ‘Comments and suggestions on this manual are invited from our customers. Send your ‘comments and suggestions tothe Manager of Technical Communications, Datex-Ohmeda, ‘Ohmeda Drive, PO Box 7550, Madison, Wisconsin 53707. ‘Senvicing of this product in accordance with this service manual should never be undertaken in the absence of proper tools, test equipment and the most recent revision to this service manual which is clearly and thoroughly understood. Technical Competence ‘The procedures described inthis service manual should be performed by trained and authorized personnel only. Maintenance should only be undertaken by competent individuals who have a ‘general knowledge of and experience with devices ofthis nature. No repairs should ever be undertaken or attempted by anyone not having such qualifications. vvatex-unmeaa strongly recommenas using only genuine replacement parts, manuractured or ‘old by Datex-Ohmeda for all repair parts replacements. Read completely through each step in every procedure before starting the procedure; any ‘exceptions may result in a failure to properly and safely complete the attempted procedure. 05/01 1906.0852.0001006-08520 05/01 Important Technical Competence 1 Introduction 1.4 What this manval includes 1.2 Standard senice procedures 1.21 Operation manuals 1.22 Senice manuals 1.3 Whatis an Aestiva 4.4 Configuration options. . .5 Symbols used in the manual oron the equipment 2 Theory of Operation 2.1 Theory overview 2.2 Gas iow through the anesthesia machine 2.2.1 Overview 2.2.2 Physical connections 2.2.3 Induction machine 2.2.4 System switch 2.2.5 Flow contol . 2.3 Row through the breathing system 2.3.1 Overview offlw paths 2.3.2 Manual ventiation ~ Circle Module. 2.3.3 Mechanical entation ~ Circe Module... 2.3.4 Fesh gasfiow . 2.3.5 Different breathing circuit modules 2.3.6 00, Bypass 23.7 Auli Conmon Gas tet ACEO} 2.4 Blectical and pneumatic signals 2.4.1 Summary of signals 2.4.2 Suto ung and wring connections 2.4.3 Breathing circuit module ID 2.4.4 Control pane switches .. 2.4.5 Canister oviteh Table of Contents 12 12 12 12 13 13 16 2410 241 243 243 244 27 2.20 222 2223 2.28 225 225 228 229 230 231Table of Contents 3 Checkout Procedure 3.1 Inspect the system 3.2 Blectical safety tests 3.3 Power failure test 3.4 Minimize alarms (optional) 3.5 Pipeline and cylindertests ... 3.6 Flow contol and pressure elie tests 3.7 Vapotzerback oressure test 3,8 Low-pressure leak test 3.9 Alarmitests. 2.10 Breathing yeter toete 3.11 Awiliay 0; flowmetertests 3.12 Integrated Suction Regulatortests 4 Repair Procedures 4.1 Senvicing the ventilator .. 4.2 How toed gas pressure from the machine 4.3 How to remove the rear panel 4.4 How to remove the side panels 4.5 Senvice the pneumatic manifold .... 4.5.1 Remove pneumatic manifold 4.5.2 Replace pipeline inlet iting 4.5.3 Replace pipeline niet iter 4.5.4 Replace pipeline inlet check valve 4.5.5 Replace pneumatic 0» power outlet 4.5.6 Rebuild fush egulator 4.5.7 Replace high-pressure elie valve 4.5.8 Change drive gas. 4.6 Senice the cylinder supply modules 4.6.1 Tightening procedure for high-pressure tube tings . 4.62 Replace primary regulator module (complete replacement) 4.63 Replace oyinder inlet filter 4.64 Replace oylinder Check NE... eee s ese 4.6.5 Replace 4th-and Sth-gas cylinder supply module 4.7 Senice pipeline and cylinder pressure gauges . 4.7.1 Remove gauge panel 4.1.2 Replace pipeline or cylinder pressure gauges 4.8 Replace system switch assembly. 05/01 32 32 33 33 34 36 39 3:10 344 aie 3.19 3.20 45 46 46 aT 8 48 49 410 441 a2 444 415 416 416 416 4a7 447 418 419 419 420 421 1006:452000Table of Contents 4.9 Senice the flowmeter module z 428 4.9.1 Remove front flowmeter panel shield. 428 4.9.2 Remove lowtubes for cleaning o replacement 425 4.9.3 Remove complete lowmeterhead oe s+ 426 4.9.4 Replace flowmeter modules . a 428 4.9.5 Replace flowmeter frame 432 4.9.6 Replace Op supply switch coe 433 4.9.7 Checkout procedure forO, supply switch z 433 4.98 Replace secondary regultr mand or balance regulator mani 434 4.9.9 Replace 0p or NO needle valves ..... 435 4.9.10 Replace 31d or Ath gas needievalves. 43t 4,10 Senice vaporizer manifold parts ....... a 438 44,1U.1 Mepai manitola por vate... 438 £410-2Chechout procedure formal po vate 439 4.10.3 Replace vaporizer manifold check valve . 439 4.10.4 Replace vaporizer pressure reli valve 442 4.10.5 Replace vaporizer manifold (complete replacement) .. co 4.11 Service common gas manifold 7 . 444 4.11.1 Replace common gas manifold... ...2++009 td 4.11.2 Replace common gas manifold check valve . 4a, 4.11.3 Replace Op fush switch pene coven 446 4.12 Senice the breathing system . z ccc AAT 4.12.1 Replace contol pane! cover z z 447 4.12.2 Replace contol panel microswtch 448 4.12.3 Replace Bagto-Vent microswitch... cee 449 £112.4Rapac adustablpesue iting APL) nob assembly... 452 412.5 Replace APL disc orcage . . ce SH 4.12.6 Replace alway pressure gauge «2... o 455 4.12.7 Remove orreplace canister and dishes a eoeesses 456 4.12.8 Replace breathing system conister release handle and release mechanism . 4-56 4.12.9 Replace canister microswitch coceeeeees 457 {.12.10Remave ent andreasubloos andthe blend coe 4.12.11 Replace circuit module identification printed circuit board (1D PCB) 4.12.12 Replace common gas outlet (CGO) assembly .. 4.12.13 Remove the bulkhead cr 4.12.14 Replace ACGO or ACGO microswitch 4.12.15 Disassemble ACGO to replace seals, 4.12.16 Replace sensor interface board (S18) 4.13 Remove orreplace drawer slides ... 4.19.1 Replace drawerlock assembly .--... +. 467 4.13.2 Remove orreplace lower shelves. a 4.68 4.13.3 Replace side panel for drawer enclosure... cone 468 1006.0452.000 05/01 ’Table of Contents 4.14 Replace 0, Flush components 4.14.1 Replace Op fush button 4.14.2 Replace O flush valve block. 4.15 Replace aur flowmeter or suction regulator 4.16 Repair replace display arm 4.17 Replace Front Casters. 4.18 Replace Back Casters 4.19 Replace fip-up shelf 4.20 Replace light package bulbs or panel 5 Maintenance 5.1 Aestva Planned Maintenance 5.1.1 very si (6) months, 5.1.2 Every twelve (12) months 5.1.3 Every twenty-four (24) months 5.2 Lubricate absorber canister locking mechanism 5.3 Dressing leaky seats in bellows pop-offand APL vale 6 Calibration 6.1 Primary Regulators 6.1.1 Testsetup 6.1.2 Testing Primary Regulators 6.1.3 Adjusting Primary Reguators 6.2 Secondary Regulators 6.2.1 Testing/Adjusting Secondary Regulators or Balance Regulators 6.3 Needle Valve Calibration . 63.1 Summary 63.20, Needle abe Cltraton Minimum Flow) 6.3.3N,0,C0p, and HeoxNeede Ve Catraon Minimum Fo) 6.2.4 AirHoodlo Vale Canraton Minionum Flow) 6.3.5 Needle Vale Calibration (Maximum Flow) 6.4 Linksystem calibration 6.5 0, Flush Regulator 6.6 Zero the pressure gauge 6.6.1 Checking the pressure gauge accuracy 6.7 0; Supply Faliure Alam — Induction 05/01 469 4.69 +70 an 472 a4 4.76 4q7 478 52 62 53 55 56 ST 62 62 cory 616 616 617 617 617 619 2622 2 626 e27 632 2 634 + 635 636 1006-0452-0001006.0452.000 08/01 7 Troubleshooting 7.4 General Troubleshooting. 7.2 Breathing System LeakTests 7.2.1 Breathing System Troubleshooting Flowcharts 7.2.2 Breathing system leak est. 7.2.3 Leak Isolation Tests 8 Illustrated Parts 8.1 Service tools — Anesthesia machine 8.1.1 Secondary regulator pilot pressure tool 8.2 Touch-uo oaint 8.3 Casters, brake, and worksurface £84 Rear panel upper 8.5 Rear panel — lower 8.6 Side panels £87 Upper shroud pars lighting and bezel). 8.8 Compact/Induction label et nd headiame parts. {8.9 Induction machine pneumatic components 8,10 ACinlets and Power cords 8.10.1 AC Inlet Components... £8.11 Display folding mount -7900 £8.12 Display folding mount 7100 £8.13 Display Am 8.13.1 Am parts ist 8.13.2 Shoulder pars ist 8.13.3 Display mount pars 8.14 Oylinder Gas Supplies 8.14.1 Cinder inlet iting. 8.14.2Gas supply tee 8.15 Main manifold £815.15 flush regulator 8.15.2 Pipeline inlet tings 8.15.3 Main output manifold (front view) 8.16 Common gas manifold 8.17 Pressure gauges and gauge panel 8.17.1 Pressure gauge labels . 8.18 Flowmeter components 8.18.1 Flowtube parts 8.18.2 Secondary regulatorcompononts. Table of Contents 72 74 18 710 712 - 810 812 a3 ata 815 216 818 819 2.20 820 820 822 323 828 8.25 826 826 827 828 8.29 830 2 B31 a2 334 836Table of Contents 8.19 Vaporizer manifold ......... cee 3838 £8.20 Breathing System -senice parts 840 8.20.1 Breathing System - user replaceable pans ....... 842 8.20.2 Control Panel 848 8.20.3 Chassis Upper ......--. - 850 8.20.4 Bulkhead ceeeeseeeeeeeeees 852 8.20.5 Chassis Lower: - coe 854 8.20.6 Absorber CO,) bypass oom 8.55 8.20.7 BagArms 8.56 8.20.8 Aualiary common gas outlet(ACGO) «2 -..ecsseeeseees 857 £821 Anesthetic Gas Scavenging System — AGS cesses: B58 21.1 Passve AGS... ccs - 858 21.2 ActWe AGSS ceeeeeeeees OU £8.22 Fush Button/Valve 862 8.23 Drawer, Standard 11 cm Locking Seem 863 £8.24 Drawer and Sheit Accessory Mounting Kit 864 £8.25 Drawer, Optional 15 em Non-locking 7 coeeeeeessees B65 8.26 LowerSheve Kits ........ ceceeceeeeeeeeeeeees B66 8.26.1 Parts istforShelfKits. oo 866 8.27 Flpup shelt eee 868 8.28 Tubing charts z a 869 8.28.1 Copper tubing kits and Cylinder Supply 1ubing 2 869 8.28.2 Main Manifold Tubing ... See 870 8.28.3 2nd Cylinder (Air,N;O, 0) and CO» of Heliox Manifold Tubing .........+.. 871 8.28.4 Flowmeter. System Switch, and Vaporer Manifold Tubing, 82 8.28.5 Breathing System tubing seseeseeee TB £8.29 Integrated Suction Regulator and Auxiliary Op Flowmeter. sees BTM £8.29.1 Major Components (vacuum suction) . ara £8,29.2 Suction Housing Components soeeeseeseses 85 8.29.3 Regulator Assembly (3 mode)... = 876 8.29.4 Rear-PanelFitings cecteseeneeeeees iT 0.29.5 Aun Op Nowmeter- 70 8.29.6 Venturi Suction Housing Components 879 8.29.7 Venturi Suction Regulator font view (2 mode) 880 8.29.8 Venturi Suction Regulator rearview (2 mode) Bet 9 Schematics and Diagrams 7 05/01 10060852-000In this section 1006-0882.000 5/01 1 Introduction This section provides a general overview of the Aestiva Anesthesia Machine. 1.1 Whatthis manual includes 1.2 Standard service procedures 1.2.1 Operation manuals 1.2.2 Service manuals, 1.3 Whatis an Aestva 1.4 Configuration options 1.5 Symbols used inthe manval oren the equipment 12 12 42 42 13 13 161 Introduction 1.1 What this manual includes Anesthesia Machine Ventilator ‘MRI Machine This manual covers the service information for the Aestiva line of anesthesia machines. It covers the following components: * gas delivery components, + breathing system components, ‘= frame component (except those strictly associated with a specific ventilator) ‘The ventilators associated withthe Aestiva machine have their own service manuals: * forthe Aestiva 7900 SmartVent see service manual 1006-0453-000,, * forthe Aestiva 7100 Ventilator see service manual 1006-0836-000. ‘The Aestiva MRI Anesthesia Machine includes special components that allow itto operate in an MRI environment. + forMRI related issues see the service manual supplement 1006-0858-000. 1,2 Standard service procedures 12 1.2.4 Operation manuals 1.2.2 Service manuals You must have, and be familiar with, the operation manuals fo this product. Refer tothe Aestiva operation manuals ifyou need further information about the operation ofthe system. ‘You must determine where a problem is located before you can determine which service manual to use: * Use this manual for machine and breathing system related issues. * Use the appropriate Ventilator service manual for ventilator related issues. * Use the MRI service manual supplement for MRI componentissues. 05/01, 10060852.0001 Introduction 1.3 What is an Aestiva The Aestvais a flexible anesthesia delivery machine. A wide selection of frames, gases, and vaporzers gv the user fll onto of the system configuration. COptionsinciude pendant mounted systems, extra gas cinders or vaporizers, ‘and eto right-hand breathing systems. Components 2Vap Tilley 3VapTroley Pendant MRI_—Compact__—_Induction Tambor apoio 2 z 2 z 2 3 Number ofeeses Tod 2aed 208 Ford Ford Fars Optional gases Tic Hetox. or i, Fan or Wi, Heiow or ic Hix or Aror0; _ArorGOp (Heloxand CO ae 00, 0, 00, 0, cylinder ony) (uptotwo) Breatingsytemand ——LettorRight —attorRent Let vet Tek Tone ventilator pay (teftmachine) mounting Toialnunbertgiindes Usted Uptw5 Upto Upw4 __Uptod Upto (enaximum 2 pec as) Ventilators and monitors ‘The machine can be configured with either of two microprocessor-controlled ventilators (7900 SmartVent or Aestiva 7100 Ventilator that include ‘monitoring of certain patient parameters. ‘The ventilators include communication software that can output patient data through a serial communications port. Monitoring features can be futher expanded with additional Datex-Ohmeda ‘monitors. 1.4 Configuration options 1006-0852-000. 05/01 Figures 1-1 and 1-2 show the front and rear views ofthe machine. There are ‘some differences between models: * Breathing systems can be on the left or right side. The part locations are the smlera image, * ANSI and ISO systems use the same pneumatic manifold rotated 180°, ‘Viewed from the rear, ANSI units have the pneumatic outlet on the right and 180 units have iton the let. All models use the same relative cylinder positions with the O, cylinder farthest ftom the breathing system. * ANSI and ISO systems use the same flowhead assembly but the flowmeter modules are in opposite order. * Machines include active or passive gas scavenging. * Options include an auxiliary common gas outlet (ACGO), diferent breathing circuit modules (Circle and Bain/Mapieson D), a CO> (absorber) bypass, a suction regulator and an awliary O> flowmeter (in display arm), a folding ‘mount display bracket in place of the display arm. 131 Introduction Brake Conlster release ‘Audilanyommen gas outlet (ACEO) ‘ACG swt Breathing circult module 0, sensor Flow sensor module ‘push Pressure gauges (piplin 10, Flow controls 41. Light suttch and connector 12, Ventilator display 13, Vaporizer manifold 44, Pressure gauges (ylinder) 45, System siteh Figure 1-1 + Aestva with 7900 Ventilator (ront view) eevee 14 s/o 1006-0452.0004. ovtinder connections 2. Pipeline nets 3. Oxtet eeu breaker 44. Beetoeal 5. Cheult breaker (oral ouvercurent) 6. Cheult breaker (aalns inlet) 7. Overton safety tap (optional suction rg) 8. Pooumatic power (0,—D1ss 150) Figure 1-2 » hestva (rearview) 10060452000 08/01, 1 Introduction1 Introduction 1.5 Symbols used in the manual or on the equipment. ZX wamingsana A\ cautionstet you aboutdangerous conditions natcan ‘occur you do not follow all instructions inthis manual \Wamings tell about a condition that can cause injury to the operator or the patient Cautionstellabouta condition that can cause damage tothe equipment. Read and follow all wamings and cautions Other symbols replace words on the equipment orin Datex-Ohmeda manuals. No one device or manual uses all ofthe symbols. These symbols include: [1 onpowery Off (power) Standby CE O Standby or preparatory state for part of the equipment “ON" only for part ofthe equipment “OFF” only for partof the equipment © O Direct current ‘Ntemating current Protective earth ground Earth ground Frame or chassis ground Equipotential Plus, postive potarty +¢?t>+@ 2 Minus, negative polarity 16 Es Ed R [l16o- REF SN Alarm stlenve buwon ‘Alarm silence touch key (ec 6). Type B equipment ‘Type BF equipment ‘Type CF equipment Caution, 1S0 7000-0434 Attention, referto product instructions, IEC 601-1 Dangerous Voltage Input Output Movernent in one direction Movernentin two directions, ‘Stock Number Serial Number 05/01 10060852.000Vari = a Varabity in st ad eee I] Tasweyup Lamp, lighting, ilumination Unlock Open drain (remove liquid) fa q EB —_Coosedrain « 134°C —Autoclavable Not autoclavable Inspiratory flow (0, sensor connection ‘Alarm silence touch key & i 0% & End case touch key 1006.0452.000 05/01, 1 Introduction Read top of float Vacuum inlet ‘Suction bottle outlet Cylinder Isolation transformer Linkage system Risk of Explosion. Low pressure leak test Mechanical ventilation Bag position/ manual ventilation Expiratory flow 0, Flush button Volume alarms On/Off touch key Menu touch key 11 Introduction & 3a o> Or o Sis 18 Circle breathing citeuit module ‘The primary regulatoris set to pressure less than 345 kPa (50 psi) Absorberon Absorber off (CO, Bypass active) C€ European Union Representative qW (f* CO. ce Bain/Mapleson D breathing circuit module ‘The primary regulatoris set to pressure less than 414 kPa (60 psi) C0» Bypass Option ‘Systems with this mark agree with the European Council Directive (93/42/EEC) for Medical Devices when they are used as specified in their Operation and Maintenance Manuals, The xox the cetification ‘number ofthe Notified Body used by Datex-Ohmeda’s Quality Systems. 05/01 1006-0452.0002 Theory of Operation In this section 2.1 Theory overview aaa : 22 2.2 Gas ow through the anesthesia machine ......++ +++ 22 2.2.1 Overview a ae 22 2.2.2 Physical connections... ; 26 2.2.3 Induction machine emo 28 2.24 System switeh cones 20 2.2.5 Flow contol... . 2at 23 Flow trough the beatings — 2413 2.3.1 Overview offlw paths pone 243 2.3.2 Manual ventilation ~ Circle Module - 214 2.3.3 Mechanical ventilation ~ Circe Module — sees QT 2.3.4 Fresh gasflow . 220 2.3.5 Different breathing circuit modules... : 222 2.9.6 00, Bypass .....-- 223 23:7 Aun Common Gas Outet(ACSO) 224 2.4 Electical and pneumatic signals... Serene 2.25 2.4.1 Summary of signals concen 225, 2.4.2 Subfloortubing and wing connections «........++++ 2.28 2.4.3 Breathing circuit module 1D ceeeceeeeeenecees 229 2.4.4 Control pane! switches 230 2.4.5 Canister switch 1006-0452-000 05/01 a2 Theory of Operation 2.1 Theory overview This section describes: ‘The flow of gas through the anesthesia machine. ‘The flow of gas through the breathing system. * Flectical signals between the anesthesia machine, including the breathing system, and the ventilator. 2.2 Gas flow through the anesthesia machine 2.2.1 Overview — Referto Figure 2-1 Gas supplies Gas goesinto the system through a pipeline (2) or cylinder(4) connection, All (items 1-6) connections have indexed fitings, filters, and check valves (one-way valves). ‘Gauges show the cylinder (3) and pipetine (2) pressures. ‘A primary regulator (5) decreases the cylinder pressures to approximately pipeline levels. A pressure relief valve (6) helps protect the system from high pressures To help prevent problems with the gas supplies: * Install yoke plugs on all empty cylinder connections. * When a pipeline supply is connected, keep the cylinder valve closed. O, flow Pipeline or regulated cylinder pressure supplies 0, directly to the pneumatic (items 7-14, 27) outlet and othe ventilator supply connection (7a). A second regulator (13) decreases the pressure forthe flush valve (44a) and the auxlary flowmeter (27) ‘The flush valve supplies high flows of 0 tothe fresh gas outlet when you push the flush button. Te flush pressure switch (44b) monitors activation of the flush valve. When the system switch (8) is On, Op flows tothe rest of the system and there {.a minimum flow of 25 to 75 mL/min through the O» flowmeter (12). ‘Asecondary regulator (10) supplies a constant 0, pressure to the flowmeter. ‘An electrical switch (9) monitors the Op supply pressure. the pressure oo low, an alarm appears onthe ventilator display. 22 05/01. 10060452000Alt, N20, and third gas flow {items 7b, 8, and 15-23) Mixed gas (items 24-26) 1006.0452.000 05,01 2 Theory of Operation Pipeline orreguated cylinder pressure supplies Air(7b) directly tothe ventilator (Air Ventilators). When the system switch (8) is On, air flows to the restof the system. A secondary reguator (48) supplies the air low control valve. Because there is no balance regulator, airflow continues atthe setrate (19) duringan 0> supply failure. Balance regulators (18, 21) control the NO and the optional gas (C02, Heliox) pressure supply tothe needle valve flow controls (16, 22). Op secondary regulator pressure ata pilot port controls the output ofthe balance regulator. N20, CO>, and Helio output pressures drop with decreasing 0 supply pressure and shut off hypoxic gas low before the O» supply pressure reaches zero {chainlink system (Link-25) onthe NO and 0» flow controls (26, 44) helps keep the 0, concentration higher than 21% (approximate value) at the common ge outlot ‘The mixed gas goes from the flowmeter outlet, through the vaporizer manifold ‘and vaporizer (25) thats On, tothe fresh gas outlet, and into the breathing system. A pressure relief valve (26) sets the maximum outlet pressure. 232 Theory of Operation Key to Numbered Components Key to Symbols 24 1. Pipeline pressure gauge 2. Pipeline inlet 3. Cylinder pressure gauge 4. Gytinder inet 5. Primary regulator (ylinder pressure) 6. High-pressure ree valve (883 KPa / 128 psi)” 7. Supply connections forthe ventilator a. Op drive gas b. Airdrive gas 8, System switch 9. Switch for low 0, supply pressure alarm (used withthe ventilator) 10.05 secondary regulator(207 kPa / 30 psi)* 11.09 flow control valve 12.05 flow tubes 13.0, flush and auslary flowmeter regulator (131 kPa / 19 psi)* 14.02 Flush a. Flush valve b. Pressure switch (used withthe ventilator) 15.N0 balance regulator 16.N20 flow control valve 17.N0 flow tubes 18 Airsecondary regulator(207 kPa / 30 psi)® 19,Airflow control valve 20.Airflow tube 21. Optional gas balance regulator 2.0ptional gas flow control valve 23.Optional gas flow tube 24.Naporizer port valve 25.Vaporzer 26.Low-pressure relief valve (38 kPa / 5.5 psi)* 27.Aunliary flowmeter (optional) 28,Common gas outlet (660) 29.Pneumatic outlet (0>) 30.Test por (primary regulator) 31. Test port (secondary/balance region) * Approximate values 1 >+<__ Pneumatic Connection ° Filter Direction otFow a ‘Check Valve 05/01 1006-0852.0002 Theory of Operation A. Oylinder Supplies Pneumatic Manifold (C. Flowmeter Head D. Vaporizer Manifold E, Common Gas Manifold Figure 2-1 + Preumatc circuit 100652000 05/012 Theory of Operation 2.2.2 Physical Figure 2-4 shows the physical path that the gas takes. To show all, connections connections, the gas manifold (B) and the flowhead (C) have the front and the back views nextto each other. Figure 2-5 shows some ofthe actual parts. Figure 2:2 + Typical tubing connections pictorial 26 /01 10060852000Pipeline pressure gauge Pipeline init Cylinder pressure gauge OMlader inet Primary regulators (onde Ozhigh pressure rll valve NO high-pressure relief ave Alchigh pressure relief vate ‘Vent crv gas (02) Vent rv gas (AK) Systom switch Swit, low O supply pressure alarm 0, secondary regulator (05 ow contrat vave 05 fowtubes sh eg 0; Fushvale (0 Flush pressure switch (Vent feedback) NO balance regulator N50 flow control aie 0 flowtubes ‘Alrsecondary regulator Allow congo ave wtb a gas balance regulator rn 3 gas flow contrl valve Optional gas flowtubes Vaportze portale Vanorzers Lowpressure relief vale Toaular/0, Flowmeter ' ‘Common gas outlet (C0) Preumaticoutet (03) Test ports (primary rutator) Testports (sacondan/balance regulators) ag’ 1” ag Sree septs Flownea Front Vaportzer manifold ‘Common gas manifold (Chan ink type guard (LINK-25) Not shown pltorially Not shown Rear Figure 2-3 » Typical components 10060852.000 05,01 2 Theory of Operation2 Theory of Operation 2.2.3 Induction machine Figure 2.4 + Induction machine tubing 24 Te Induction machine does not include a breathing system or a ventilator ‘Mined gas and 0, Flush output from the common gas manifold (E) ow directly to the Common Gas Outlet (CGO) atthe front ofthe machine. A pneumatic alarm assembly (9) taps into the O> supply atthe pneumatic manifold (B) and sounds the 0» Supply Failure alarm when O> pressure falls below the threshold. The alarm assembly consists of three parts: a canister(@) that hold a volume ‘ofpressurized 0p, a pressure regulator (), and a whistle (I that sounds the alarm. The regulator keeps the canister pressurized as long as the supply pressure is higher than the alarm imi. When supply pressure falls below the Alarm limit, the regulator releases the pressure from the canister through the whistle alarm 05/01 1006-0882.000(0 Suppl Faure alarm assembly 0, supply pressure at preumatie manifold ‘Common gas outiet Canister reseroir ‘Alarm regulator Woiete ~seges Figure 2-5 * induction macnine components 1006-0452.000 05/01 2 Theory of Operation 292 Theory of Operation 2.2.4 System switch The Aestiva machine can include a system switch rom one of two manufactures: Telemechenique or Arman. The system switch has two positions: On and Standby. Inthe Standby position The switeh: + Cuts of powerto the ventlatr. * Stops 0» and Ar. {itnout©> pressure, the balance regulators stop Np 0, CO>, and Helios.) Inthe On position —Theswitcn: * Supplies power tothe ventilator, * Supplies 0» and Ai (adeauate Os oressure allows N 0, C02. and Heliox eas flow) [Rear View Telemechanique pin (Port) ‘Air ut (Port 4) Wiring Harness ‘Airin(Port 3) ‘0p Out (Port) Rear View Alan Og in(Port3) ‘Arta (Port 3) ‘Air Out Port 4) ing Hames 0, Out (Port) 05/01 1006-520002.2.5 Flow control Minimum flows 2 Theory of Operation Needle valves (one for each gas) adjust gas flows. Clockwise rotation ‘decreases flow. Counterclockwise increases flow. Mechanical stops set minimum flows forall gases and maximum lows for CO and Helio. The ink system sets the maximum ratio of Nz0 to 0 The Link 25 Proportioning System sets a minimum 0, concentration in the fresh gas stream when only 0, and N20 are used. Use of an absorber or another gas can still cause a hypoxic mixture to be delivered, especialy at ow 0, flow rates. [Atminimum flow, two tabs prevent clockwise rotation ofthe valve stem. One tab ison the stop collar, the otheris on the valve body. ‘stop Tabs ~ ° Valve Body Valve Stem, Stop Collar The chain ink system helps assure an approximate minimum 1 to 3 ratio of flow between 0 and NO. When engaged (minimum 0» concentration), tab onthe 0, knab isin contact with a tab on the 0, sprocket sothat the 0, and NO knobs tum together: + an increase in N20 flow causes an increase in flow, + a decrease in 0 flow causes a decrease in N20 flow. Linkage Tabs Q) Knob an2 Theory of Operation Maximum flows Higher concentrations of 0 are possible when the link system is not engaged: either by reducing the Nz0 flow below the point of engagement or by increasing Q, flow above the point of engagement. \When the Np0 flow is below the pointof engagement, increasing the N20 flow ‘tums the 0, sprocket without changing the O flow, tthe point of engagement, the tab on the 0, sprocket makes contact with the tab onthe O knob. Once the linkage is engaged, tuning the NzO flow control ‘counterclockwise (increase in N20 flow) also tums the O, knob ‘counterclockwise (increase in 0, flow) to maintain a nominal 25% minimum 0, concentration. Decreasing the N70 low from the engagement point rotates the tab onthe 0» sprocket aay from the tab onthe 0, knob. Increasing the O> flow rotates the ‘nob tab away from the sprocket tab Either ation increases the 0> concentration above 25%. Sufficient decreasing 0 flow or increasing the NO flow brings te two tabs back into contact and engages the linkage. The kickin points defined as the NO flow at which the NO valve becomes engaged with the Op valve lowing at 200 ml/min. This engagement pointis an arbitrary benchmark tat assist in calibrating Uh proportioning system. The position ofthe kck-inis setin the factory. During field calibration, you set the 0, flow to 200 mL/min and the N30 flow to the kickin flow (usuallyin the range of 400 to 700 mL/min) and then install the sprockets withthe O> nob sprocket engage. ‘Amaximum stop collar on the body of the needle valve and a stop collar on, the stem of the needle valve set the maximum CO, and Heliox flow all gas flows in Canada require maximum flow stops) ‘At maximum flow, a tab on the stop collar hits the tab on the maximum stop collar and prevents you from turning the knob further counterclockwise. AS. you decreace the flow, the valve stem moves toward the needle valve ‘assembly and clears the tab, Sopa I ae Stem ° mn 4 vent Stop Cotar 05/01, 1006.0852.000,2 Theory of Operation 2.3 Flow through the breathing system 2.3.1 Overview of flow This section looks at three types of flow paths. paths «ventilation paths: How gas lows from the dive source (bag or bellows) to and from the patient. * Fresh gas paths: Fresh gas can flow directly to the patient circuit (Bain/ Mapleson ), into the absorber through the common gas outlet, or diecty to anextemal circuit through the optional auxiliary common gas outlet. * Breathing circuit paths: The Aestiva has two breathing circuit modules ‘Circle and Bain/Mapleson D. Each breathing circuit andes fresh gas, recirculation, and exhaust flow differently 10060452000 05/01,2 Theory of Operation 2.3.2 Manual ventilation — Circle Module Manual inspiration The Bag/Vent switch closes the ventilator path (B). (Figure 2-6) Gas fows rom the bag (1), through the absorber (2), into the breathing circuit module, and through a unidirectional valve (inspiratory check valve) to the patient (3). B Bag/Vent switch to Bag 1 Flow to absorber 2 Flow from absorber 3. Inspiratory flow Figure 2-6 » Gas flow during manual inspiration 2a 05/01. 1906.0452.0002 Theory of Operation Manual expiration The Bag/Vent switch keeps the ventilator path closed (B). (Figure 2-7) Gas ows from the patient (4), through a unidirectional vale (expiratory ‘check valve), and into the bag arm (5). B Bag/Vent switch to Bag 4 Expiratory flow 5 Flow to bag ‘Figure 2-7 « Flow during manual expiration 1005-0452-000 05/01 24s2 Theory of Operation APLValve Figure 2-8) A APL Valve D/S APL disc and seat 6 APL flow 7 To scavenging Figure 2.8 « Fw through the APL Vahe The APL valve (A) sets a pressure limit for manual ventilation. ‘As you tum the APL knob, i puts more orless force on the APL disc and seat (DIS). Ifthe circuit pressure is too high (6), the disc and seat inside the diaphragm opens and vents gas to the scavenging system (7). 05/01 1006.0452.0002 Theory of Operation 2.3.3 Mechanical ventilation — Circle Module Mechanical inspiration The Bag/Vent switch closes the manual path V). Pilotpressure (P)closes the (Figure 2-9) exhalation valve, Drive gas (D) pushes down on the bellows. Gas flows from the bellows (1), through the absorber 2), and through a unidirectional valve (inspiratory check valve) tothe patient(3), V Bag/Vent switch to Vent P. Pilot pressure D Drive gas 1 Flow to absorber 2. Flow from absorber 3 Inspiratory flow Figure 2.9 + Mechanica inspiration 10060852.000 05/01 2a2 Theory of Operation Mechanical expiration _Drive-gas flow stops and the exhalation valve opens. Exhaled gas flows from (Figure 2-10) the patient (4), through a uniirectional valve (expiratory check valve) and into the bellows (8). Residual drive gas (D) flows outof the bellows tothe scavenging system (6). PEEP is selected, static pressure on the pilot pot ofthe exhalation valve sets the PEEP level V Bag/Vent switch to Vent D Drive gas 4 Expiratory flow 5 Flow to bellows 6 To scavenging Figure 2-10 + Flow through the APL abe 218 (05/01 1008.0852.0002 Theory of Operation Pop-offvalve The pop-off valve limits the pressure inside the bellows to 2.5 om H,0 above the drive (Figure 2-11) _gaspressure. This normally occurs when the bellows reaches the top of the housing at the end of exhalation Excess gas (7) vents to the scavenging system (6) through the pop-off valve and the exhalation valve. V Bag/Vent switch to Vent 6 To scavenging 7 Pop-off flow Figure 2-11 « Flow trough the pop-of ave 1006-0452.000 05/01 2492 Theory of Operation 2.3.4 Fresh gas flow Common Gas Outlet only (Figure 2-12) 1 Fresh gas CGO Comman Gas Outlet 2 Inspiratory limb 3 Through absorber 2 Expiratory flow Figure 2-12 + Fresh gas flow 220 Fresh gas (1) flows from the common gas manifold of the anesthesia machine and through the Common Gas Outlet (CGO) on the bulkhead, During inspiration, fresh gas flows into the inspiratory limb (2) of the circle module. During esnatation, fresh gas flows backwards through the absorber (3) into the expiratory limb ofthe circle module (4). 05/01 1006-0852.0002 Theory of Operation Auxiliary In systems with an Auiliary Common Gas Outlet (ACGO), the fresh gas (1) from the Common Gas Outlet common gas outlet manifold of te anesthesia machine frst flows to the ACGO. The (Figure 2-13) ACGO switch directs the fresh gas flow etherto the CGO outlet on the bulkhead ofthe Breathing System orto the ACGO outlet at the front ofthe Breathing System. The usiliary outlet provides fresh gas to extemal circuit. ‘The O, sensor's located in the circuit modules. A restricted port on the bulkhead provides a fresh gas sample (2) for 0 monitoring ofthe ACGO out. 1 Fresh gas, CGO Comman Gas Outlet ACGO Auxiliary Comman Gas Outlet 2 ACGO sample to 0, sensor Figure 2-13 + Sampling and lw through the aux fresh gas outlet 1006.52.00. 05/012 Theory of Operation 2.3.5 Different breathing circult modules ‘The earlier figures show the Circle breathing cieuit module. This s the standard ‘module supplied with the system, For specific needs, a Bain/Mapleson D breathing circuit module is also available. Fach module has identification tabs as detailed in section 2.4.3. Bain/MaplesonD The Bain/Mapleson D module has: (Figure 2-14). no check valves. * Low compliance + Passages that route the fresh gas(1) tothe patient connection. + Portingto the absorber is blocked (CO. monitor is recommended), 4 Fest gas 2 Flow to/from patient 2B To/from bag 2V To/from bellows Figure 2-14 + Bain/Mapleson D breathing circuit module 05/01 1008.0482.0002 Theory of Operation 2.3.6 CO, Bypass Note: The CO» Bypassis an option thatis not availabe in all markets. The CO, Bypass is a mechanical assembly that takes the place of the top dish ofthe absorber assembly. When in lace the upper housing of the bypass assembly presses against the activator ofa microswitc thats located in the pan ofthe breathing system. This tells the ventilator that an absorber bypass installed nthe machine, With absorber canisters locked in place, the bypass assembly is compressed. Inthe ‘compressed state, valves inside the bypass assembly route the gs flow through the absorber canisters, 2s in machines that do not have a bypass installed When the absorber canisters are released, the bypass assembly expands. nthe expanded state, the valves in the bypass assembly route the gas back into the main ‘manifold, bypassing the canisters. Additonaly, when the bypass microswitch s activated (bypass installed) and the canister release microswitchis not (release open), the ventilator displays the “No CO, absorption” message Figure 2-15 * CO» Bypass 1008.0852-000 05/022 Theory of Operation 2.3.7 Auxiliary Common Gas Outlet (ACGO) ‘When you pull the lever down (awsliry position), a ramp in the lever pushes on the T end ofa spring loaded actuator rod, Seals on the rod send Fresh gas and O» Flush gas to the auxliary common gas outlet (ACGO). A portion of the gasis diverted to the Op sensor. Apin on the other end of the rod activates a microswitch. ‘When you pull the lever up, the spring pushes the rod back to its resting position, the seals send gas to the common gas outlet (CGO), and the pin releases the switch, 1. Lever 2. Tendof actuator rod 3. Ramp 5. Opflshin 6. Tocommon gas outlet (00) 7. Aullary common gas outlet (ACGO) 8 To, sensor (va one-way vale) 9. Sulteh 10. Pin Figure 2-16 » Auilary Common Gas Outlet (ACGO) switch 224 05/01. 1906.0452.0002 Theory of Operation 2.4 Electrical and pneumatic signals 2.4.1 Summary of signals 7900 SmartVent 7100 Ventilator 1006.0852.000 05/01 Reterto the appropriate ventilator service manual fo further details ‘Switches tll the ventilator about the breathing system: * Optical switches in the bulkhead look forthe type of breathing circuit module orifthe module is missing. * A microswitch on the shaft ofthe canister release looks for open canisters (leak). * Amicroswitch in the pan ofthe Breathing System tells the ventilator if the optional Absorber Bypass is installed. This permits operation with the canisters open. + Amicroswitch on the back ofthe control panel tels the system ifthe panelis open (leak) or closed (APL and BTV functionality). + Amicroswitch next tothe Bag/Vent mechanism identifies the switch positon. The system uses this to stat and stop mechanical ventilation. + Asaitch on top ofthe aualary common gas outlet tells the system which outlets in use. With the auxiliary outletin use, the ventilators not operational; only Op monitoring of fresh gasis available, Formachines with a 7900 SmartVent(eferto Figure 2-17), pneumatic sample lines connect to the sensor interface board (SIB): * Manifold Pressure Transducer, + Drive Gas Prescure Limit Switch (OPLS), + Expratory Flow Pressure Transducer, + Inspiratory Flow Pressure Transducer, += Patient Away Pressure Transducer. Formachines with a 7100 Ventilator (refer to Figure 2-18), pneumatic sample tines connectto the monitoring interface assembly (MIA): * Inspiratory Flow Pressure Transducer, + Bpirator Flow Pressure Transducer. ‘The patient aliway pressure transducer forthe 7100 Ventilators located on the pneumatic engine board2 Theory of Operation From Oz Sensor 3] © | sensor interface Board | way Pressure ‘ranedicer }uS. w Y 8 a) Flow Sensor Bulkhead Connector Canister Release Lt Breathing Cireuit ID Figure 2.17 + Pneumatic and switch cannections for machines with 7900 Smanvent 226 “pets, (Drive Pressure Limit Switch) ER] Absorber Bypass Pilot Drive Pressure Gas 05/01 10060852.000,2 Theory of Operation From OO miroswtch poe a “ 6 ¢ — we —- nom mel a © Th i i i i i ws 2 = =e Motoring Intrtaes Exiatory ow muy Presse Transducer Absorber Bypass © a a W Conta i Board i y e ‘ow Sensor Bulkhead Connector ‘Figure 2-18 + Pneumatic and switch connections formachines with 7100 Ventilator 1006-0852.000 05/012 Theory of Operation 2.4.2 Subfloor tubing and wiring connections Figure 2 19 has the rear subfloor and the bulkhead cover removed to show the tubing andthe wiring. ttem | olor | Use with 7900 ventilator ‘Use with 7100 Ventilator 6 | Bue xpiatoryfow pressure wansducer Expiratry flow pressure ansducer 7__[Yetow | Sipiratory ow pressure ansducer« nprator flow pressure wansducer+ @ | white | Inspiratory Now pressure vansducer Inspiratory flow pressure Wansducer 9 | Black | inspiratory ow pressuretransducer> | Inspiratory flow pressure wansducer + and patient airway pressure tansducer 10 | wnte | Ventilator manifold pressure Ntused 11 | stack | Ventiatorarve gas pressure Notused 1 Inspiratory flow senor connections Explratary flow sensor connections Tube connection for alway press transducer (7100 ony) 4. Sensor interace cable (Breathing Crclt D board, Flow sensors, (60, Bypass smth, Canister vith, ‘Bag/Ventewtah, Cover switch) 5. Sensor interface board (SIB-7900) Monitoring interface assembly (MIA-7100) ‘Figure 2-19 + Poeumatic tubing connections 228 05/01 190608520002 Theory of Operation 2.4.3 Breathing circuit module ID Tabs on the back ofthe breathing circuit module and optical sansors on the Module ID ‘board tel the ventilator what type of module is connected. 1, Tabs 2) Module 0 Boars eure 2-20 + Module 10 board 1006-0482.000 08/01 2282 Theory of Operation 2.4.4 Control panel switches Figure 2.21 shows the Bag/Vent switch (4) and the control panel switch (2). When the Bag/Vent switch is setto Bag, the contacts closed. Whenitis setto Vent, the contact opens. ‘When you close the control panel the contacts closed. When you open the ppanel, the contract opens. Figure 2.21 + Control panel switches 05/01 1006-0852.0002 Theory of Operation 2.4.5 Canister switch Figure 2-22 shows the canister switch. When the canister release is clased, a tongue Pushes in the contact and an off-center cam pushes the canisters up. To open the release, pulit forward. When the collar clears the stop, turn the release clockwise. This ‘moves the tongue away from the contact, which opens, and moves the cam away from the canisters. were nonnerss Canlster oleate cam Coliar Tongue ‘Suteh Release closed Release open (Viewed from bottom, looking up on switch) Figure 2:22 « Canister release switch 1006.0852.000 05/01 zatNotes 1006 0452-0003 Checkout Procedure Inthissection 3.1 nspectthe system o 32 3.2 Electrical safety tests 32 3.3 Power allure test. or 33 3.4 Minimize alarms (optional) 3.5 Pipeline and cylinder tests 3.6 Flow conto and pressure rele tests . 36 3.7 Vaparzerback pressure test ces . 39 3.8 low-pressure leaktest ceceeeeeeneeenseees B10 3.9 Alarmtests cesses 34 3.10 Breathingsystem tests... . ee 3.16 3.11 Auilion/ Op fowmetertests.... . 39 3.12 Integrated Suction Regulator tots 3.20 AX WARNINGS After any repair or service of the Aestiva, complete al tests in this section Before you do the tests in this section: Complete all necessary calibrations and subassembly tests. Refer to the individual procedures fora list of necessary calibrations, = Completely reassemble the system. Ifa test failure occurs, make appropriate repairs and test for correct operation. 10060452-000 05/01 a3 Checkout Procedure 3.1 Inspect the system A. CAUTION The weight limit on each accessory shelfis 46 kg (100 Ib) ‘Systems without accessory shelves have a weight limit on the top surface of 46 keg (100 Ib). ‘The folding side shelf has a weight limit of 23 kg (100 Ib). Make sure that: 1. The equipmentis not damaged. 2, Allcomponents are cont attached 3. Pipeline gas supplies are connected. 4, Cylinder valves are closed on models with elinder supplies, AX WARNING Do not leave gas cylinder valves open ifthe pipeline supply is in use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. 5. Models with cylinder supplies have a cylinder wrench attached to the system, 6. Ontrolley model, make sure the casters are not loose and the brake is set, ‘and prevents movement. ~oR- t 3 t -Make sure tne system i completely assembled ana ail accessory devices are 3.2 Electrical safety tests connected to electrical outlets. 1. Connect an approved test device (e.g. UL, CSA, or AAMI) and verify that the leakage currents less than: Voltage ‘Max, Leakage Current 120/100 Vac 300 HAmps 220/240 Vac 500 wAmps 2. Make sure thatthe resistance to ground is ess than 0.202 between an ‘exposed metal surface and the ground pin on the power cord, 32 05/01 100608520003.3 Power failure test 3 Checkout Procedure 41. Conmect the power cord to a wall outlet. The mains indicator comes on when AC Poweris connected. Ifthe indicatorisnot on, the stem doesnothave mains (electrical power. Use a different outlet. Close the circuit breaker or replace or connect the power cable. 2. Setthe system switch to On. > oO! ; i 3. Unplug poner cod wth ne syste tuned on 4, Make srt powefalie alamcomeson 5, Male sure oloning messages on te velar spay * "On Battery - Check Power” for 7900 ventilator, * “On Battery - Power OK?" for 7100 ventilator. 6. Connect the power cable again. 7. Make sure the alarm cancels. 3.4 Minimize alarms (optional) ‘Set the ventilator controls to decrease the number of alarms. 1. Cuntul Keys, Volume alarms: OFF + Plimit: 100 om H,0 2. Alarm menu: Low 0,: 21% «High O,: OFF 3. Bagy/Vent switch: Bag 333 Checkout Procedure 3.5 Pipeline and cylinder tests AS CAUTION — To prevent damage: = Open the cylinder valves slowly. = Donot force the flow controls. Ityour system does not use cylinder supplies, do not do steps 2 and 3. 1, Disconnect the pipeline supplies and close all cylinder valves. Ifthe pipeline and the cylinder pressure gauges are not at zero: @. Connect an 0, supply. b. Tum On the system, ifitis not already on, 6 Sete Mow vom to nd range. 4. Make sure that all gauges but 0» go tozer. , Disconnect the 0, supply. 4. Make sure that the 0, gauge goes to zoro. As pressure decreases, alarms for low 0, supply pressure should occur. 2. Make sure thatthe cylinders are full: a. Open each cylinder valve. . Make sure that each cylinder has sufficient pressure. fnot, close the applicable cylinder valve and installa ful 3. Testone cylinder at a time for high pressure leaks: Set the system switch to Standby, which stops the 0» flow. >. Disconnect all accessories from the pneumatic outlet. Tum OFF the auniiary 0; owmeter. Open the cylinder. Record the cylinder pressure. a b. © a e 1. Close the cylinder valve. e Record the cylinder pressure ater one minute. Ifthe pressure decreases more than indicated below, there isa leak. {600 kPa (400 peig) for machines with 7900 Ventilator ‘5000 kPa (725 psig) for machines with 7100 Ventilator, Install a new cylinder gasket and do this step again. hh. Repeat step 3 forall cylinders. i. Close oylinder valves. 34 05/01. 1006-0452-00010060852.000 05/01 AX WARNING 3 Checkout Procedure Do not leave gas cylinder valves open ifthe pipeline supply isin use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure 4. Connect the pipeline supplies. '5. Use the chart below to check pipeline pressure: ANSI (USA and nt), Australian, Canadian, French, 345 KPa 50 psig) Japanese “TSO, Ralan, Scandinavian, South Afican, Spanish, 414 WPa (GO psig Swiss ‘Rustin, German 500 a TS BSED 383 Checkout Procedure 3.6 Flow control and pressure relief tests A\ WARNING Nitrous oxide (N20) flows through the system during this test. Use a safe and approved procedure to collect and remove it. 1. Setup the gas scavenging system. a. Connect the AGSS to a gas scavenging system, b, Attach a patient circuit and plug the patient port , Attach a bag to the bag arm. d, Setthe Bag/Vent switch to Bag. €. Adjust the APL valve to minimum, Connect the pipeline supplies or slowly open the cylinder valves, Tum all flow controls fully clockwise (minimum flow). Tum on the system, Confirm thatthe 0, sensor measures 21% in room airand 100% in pure 0. Ifnot, calibrate the O» sensor. 6. Make sure the 0, flowtube shows approximately 25 to 75 ml/min, The other flowtubes must show no gas flow. 7. Setthe flow controts to mid range ofeach flowtube and make sure thatthe flowtube floats rotate and move smoothly. 8. Check the proportioning system concentration (incteasing N70 flow. Observe the following precautions: ‘Start with all valves atthe minimum setting », Adjust only the N0 flow control. ¢. Increase the N,0 flow as specified inthe followingtable and make sure the 0, concentration sin range. Note Allow the 0, monitorto stabilize, Atthe lower lows, the 0 monitor may take up to 90 seconds to stabilize. 4. Ifyou overshoot a setting, turn the O> flow contol clockwise until the NO flow decreases to the previous setting before continuing the test. Set the N,0 flow (L/min) Measured 0; 015 21% minimum 08 21% minimum 08 21610 30% 10 21%10 30% 30 21610 30% 60 21810 30% 90 21810 30% 36 05/01, 10060852.00010060852.000 05/01 3 Checkout Procedure 9. Check the proportioning system concentration (decreasing O» flow). ‘Obsene the following precautions: a. ‘Start with N,0 valve at the maximum setting, Adjust only the 0, flow control. «©. Decrease the 0, flow as specified in the table and make sure the concentration isin the allowed range. Note Allow the 0 monitorto stabilize. Atthe lower flows, the 0 monitor may take up to 90 seconds to stabilize. 4, Ifyou overshoot a setting, tum the N0 flow control counterclockwise Lnti the Op flow increases tothe previous setting before continuingthe test. Set the 0, flow (L/min) Measured 02 30 21610 30% 20 21% 10 30% 10 219610308 03 21% 10 30% 10. Check the linearity ofthe low control for each additional gas. Use the appropriate table shown below. Sette 0, flow ‘St the Airflow (0; monitor range (ymin) (l/min) 40 30 SOT 35 60 45% 10 55% is 80 28% 038% Setthe Os low | Hellox—25%03,75%He | 0; monitorrange (/miny (ymin) 40 3.0 CB% 10 73% 35 60 48% 158% 15 80 Se waTe ‘Set the 0, flow C0, (0; monitorrange (min) (L/min) 20 02 86% 10 96% 05 05 45% to 55%3 Checkout Procedure 11, Check the pressure relief valve (vaporizer manifold outlet). ‘a, Tum al low controls fully clockwise (minimum flow). b, Connect a gauge or digital manometer to the Common Gas Outlet (CGO). Do not connect othe Auxiliary Common Gas Outlet (ACGO). . Adjust the 0, flow to 500 mL/min. 4. Verity thatthe test device reading stabilizes within tne following range: 31-60 KPa, 230-450 mm Hg, 4.5-8.5 ps 12. Setallfow controls to 3 L/min. 13. Stop the 0, supply. (Disconnect the pipeline supply or close the cylinder valve.) 14, Make sure that: ‘2. The low 0, supply alarm occurs. . N50, C05, Heliox, and 0, flows stop. The 0» flow stops last. ©. Airflow continues. a. Gas supply alarms occur on the ventilatorif the ventilator uses Op as the drive gas. 15, Tum all ofthe flow contots fully clockwise (minimum flow). 16. Reconnect the pipeline supplies. 38 05/01, 1006.0852.000,3 Checkout Procedure 3.7 Vaporizer back pressure test A. WARNING 1006-0452.000 05/01, Anesthetic agent vapor comes out ofthe common gas outlet during this test. Use a safe, approved procedure to remove and collect the agent. 41. Setup the gas scavenging system. 2. Connect the AGSS toa gas scavenging system, b. Attach a patient circuit and plug the patient port . Attach a bag to the bagarm, 4d, Setthe Bag/Vent switch to Bag, . Adjust the APL valve to minimum, . Tum the system on, Alarms can occur. Setthe 0p flow to 6 L/min, Make sure that the 0, flow stays constant and the float moves freely ‘Adjust he vaporizer concentration trom 0 to 1% one clck ata time. The O, flow must not decrease more than 1 L/min though the fll range. {the 0, flow decreases more than 1 L/min: ‘Install a different vaporizer and ty this step again. b. Ifthe 0, low decreaseslessthan 1 L/min with a diferent vaporizer, the ‘malfunction is inthe fist vaporizer. 6 Ifthe O- flow also decreases more than 1 L/min with a different vaporizer, the malfunction isin the Aestva. Do not use the Aestiva system until itis serviced (repair vaporizer manifold port vale. 6. Complete steps 3 through 5 for each vaporizer and vaporizer position. 7. Setthe system switch to Standby. 393 Checkout Procedure 3.8 Low-pressure leak test A. WARNING — Donotuse a system with a low-pressure leak. Anesthetic gas will go into the atmosphere, not into the breathing circuit. Negative 1, Tumonthe aualary common gas outlet (ACGO ~ some models). low-pressure leak test Ca acco 2. Or, access the common gas outlet (C60). Induction Machine eco = cook 9. Teatthe leak teat device: ‘2. Putyourhand on the inlet ofthe leak test device. Push hard fora good seal b. Squeeze the bulb to remove all air from the bulb. «, Ifthe bulb completely inflates inless than 60 seconds, replace the leak test device. 240 (05/01 10060852.0003 Checkout Procedure 4, Setthe system switch to Standby. 5, Tum off all vaporizer. 6, Testthe anesthesia machine for low-pressure leaks: ‘a, Tum the flow controls one and a half tums counterclockwise (CO, to maximum flow). b. Connect the test device tothe common or auxiliary gas outlet. . Compress and release the bulb unt itis empty. d, The vacuum causes the floats to move, This is usual. I the bulb ‘completely inflates in 30 seconds or less, there isa leak inthe low- pressure circuit. T. Testeach vaporizer for low-pressure leaks: a. Sethe vaporzerto 1%. b. Repeat step 6. ©. Setthe vaporizer to OFF. 4, Test the remaining vaporizer. 8. Disconnect the test device. 9. Tum all flow controls fully clockwise (minimum flow). Do not over tighten. AXWARNING Agent mixtures from the low-pressure leak test stay in the system, Always flush the system with O, after the low-pressure leak test (1 L/min for one minute). ‘Tum off all vaporizers at the end of the low-pressure leak test. 10.Remove all condensate from the breathing circuit module 11, Assemble the breathing system (if previously disassembled). 12, Flush the system with O,: Set the system switch to On. ‘Set the 0, flow to 1 L/min. Continue the O, flow for one minute Tum the 0 flow cont fully clockwise (minimum flow). Sette system switch to Standby. 1008-0452-00, 05/01 aut3 Checkout Procedure ISO or BSI standard Note (for systems with an ACGO): The ACGO includes a one-way valve that low-pressure leak test directs a small sample of gas tothe 02 sensor. Due to this, you cannot use positive-prescure to perform a low-pressure leak test through the auailiary outlet. 1. IFACGO is present, set the Outlet switch to common gas outlet. 4. Access the common gas outlet (CGO), H 2. Connect the leak test device to the common gas outlet with a section of ‘tubing, Forinduction Machines, connect the test device directly to the ‘common gas outlet. Note: Keop the flow tube vertical for accurate results. 3. Fully close all flow controls. 4, Fully open the neeae valve on the test device. ALCAUTION Ifthe needle vaive is not fully open, this test can damage the pressure gauge on the test device sa 05/01 1006.0852.000AXWARNING 1008-0452-00 05/01 3 Checkout Procedure '5. Open the AirorN,0 flow control and seta total ow of 0.4 L/min through the flowmeter on the test device. 66. Make sure thatthe pressure gauge on the test device reads zero and that all other flow controls are fully closed, 7. Close the needle valve on the test device unti the test gauge reads: 1805388 ‘ShPa BSI4z723___20KPa 8, Ifthe flow through the test device is less than 0.35 L/min (1S0) or 0.3 L/min (BSI), theres alow pressure leak the anesthesia machine, 9. Test each vaporizer for low-presoute lah. 4. Sethe vaporizerto 1%. b. Repeat steps 3 through 8. ©. Fully pen the needle valve on the test device to decrease the back pressure. 4. Tum the vaporizer OFF. €. Test the remaining vaporizers. Agent mixtures from the low-pressure leak tes stayin the system, ‘Always flush the system with 02 after the low-pressure leak test(1 L/min for one minute). ‘Tum al vaporizers OFF atthe end of the low-pressure leak test 410, Remove all condensate fu the breathing circuit module. 11, Assemble the breathing system, 12, Flush the system with O,: a. Setthe system switch to On b, Setthe 0; fow to 1 L/min, ¢. Continue the 0 ow forone minute. 4. Tum the 0 flow control fly clockwise (minimum flow) €. Setthe system switch to Standby.3 Checkout Procedure 3.9 Alarm tests au |. Connect a test lung tothe patient connection. . Set the Bag/Vent switch to Vent. . Set the system switch to On. Sette controls: + Ventilation Mode: Volume control * Ventilator: Tidal Vol: 400 ml Rate: 12 IE Ratios1:2 Piimit:40 em #,0 PEER-OFF + Anesthesia Machine 0, flow: minimum flow (25-75 ml/min) All other gases: OFF Push Flush to fill the bellows. Make sure that: ‘a. Mechanical ventilation starts. ». A subatmospheric pressure alam does not occur, Note: With active gas scavenging, too much scavenging low can cause subatmospherc alarm. c. The ventilator displays the conect data 4d, The bellows inflate and deflate during mechanical ventilation. 7. Setthe 0, low control to 5 L/min. Make sure that: ‘a, The end expiratory pressure is approximately 0 cm H0. Note: Positive end expiratory pressure when PEEP i off may indicate that the scavenging systems not removing enough gas. b. The ventilator displays the comect data c. The bellows inflate and deflate during mechanical ventilation, Test the ow minute volume alan: Gotothe alarms menu. Setthe alarm limit fortow minute volume to 6.0 L/min, Make sure that a low minute volume alarm occurs. Gotothe alarms menu, ‘Set the low minute volume alarm to OFF. 05/01, 1906.0852.0003 Checkout Procedure 10. Test the high alway pressure alarm: a. SetPjmiet0 less than the peak airway pressure. Make sure thatthe high airway pressure alarm occurs, ©. SetPjmitt0 correct level. 11, Test the sustained airway pressure alam: ‘a. Setthe controls: APLyalve Closed Bag/Vent switch Bag, 'b, Mechanical ventilation stops when the Bag/Vent switch is set to Bag. Close the patient connection and push the 0 Flush button. 4. Make sure thatthe sustained pressure alarm occurs after approximately 15 seconds at the sustained pressure limit (6-30 em 1,0 varies with pressure limit 12, Test the apnea and low airway pressure alarms: ‘a. Remove the test lung from the patient connection. b. Other alarms such as low minute volume can occur. c. Make sure that the low airway pressure and apnea alarms occur. The ‘apnea alarm occurs after 30 seconds. 13.Test the 0, monitor and alarms: 2. Remove the O» sensor from the circuit module. b. Make sure the sensor measures approximately 21% 0 in room air . Setthe low 0» alarm to 50%, Make sure a low 0, alarm occurs. 4, Sethe low 0» alarm back to 21% and make sure that alarm cancels «. Putthe 0» sensor backin the circuit {Sethe High Op alarm to 50%. & Push the fush button toil he breathing system. fh, Make sure the high 0 alarm comes On. Setthe high 0, alam backto 100% and make sure that alarm cancels ‘After 2 minutes in pure O>, the sensor measures approximately 100% 05. 14, Settthe system switch to Standby. 1006 052.000 05/01 3453 Checkout Procedure 3.10 Breathing system tests AXWARNING One-way Valves 36 Objectsin he breathingsystem can stop gas flow to the patient. This can cause injury or death: + Donotuse a test plug that is small enough to fall into the breathing system, 1. Verify that AGSS is operating, Breathing systems with active scavenging havea flow indicator (A) onthe side. Make sure that the flow indicator ‘shows a flow inthe green (normal) region 2. With a circle breathing module, push the drain button (B) for 10 seconds ‘ormore to drain condensate into the absorber. 3. Zero the pressure gauge (Section 6.6). 4, Make sure thatthe one-way valves on the Circle breathing circuit module work conecty ‘a. The inspiratory check valve rises during inspiration and falls atthe start of expiration. 1, ne expiratory check vawve nses aunng expirauon and fais atte star. of inspiration. \Note: The Bain/Mapleson D circuit module does not have one-way valves, 05/01 1096-0452-000Ventilator Bellows 5. Service ModeTests 6. BagCircuit 7, 1006-0452.000 05/01 3 Checkout Procedure Ventilator bellows test: a. Setthe system switch to Standby. b. Setthe Bagy/Vent switch to Ventilator. ¢. Setall flow controls to minimum. 4. Close the breathing circuit atthe patient connection. Use yourhand or the test plug located in the handle of the breathing system. Push the 0» flush button unt the bellows is ful {The pressure must not increase to more than 15 cm H;0 on the pressure gauge Ifthe bellows falls more than 100 mL/min, ithas.a leak. Enter the Service Mode: Push and hold the adjustment knob on the ventiatorsulsplay an set ue system swt to On a, Select and confinm “Service Mode(s)” b. Follow the menu structure outline below toreach the adjustmentfor the inspiratory flow valve, Select and confirm at each step. 7900 7100 “Test forLeak™ “Diagnostis Tests Tools” “Breathing System Leak Test” . Follow the instructions on the screen, Testthe Bag circuit for leaks: a. Setthe system switch to On, b. Setthe Bagy/Ventilator switch to Bag. . Plug the Bag port; use yourhand orthe approved test plug. . Close the APL valve, Sette 0» flow to 200 ml/min, Close the patient connection usinga hand ortestplugon the breathing system handle) and pressurize the bag circuit with the O» fush button ‘0 approximately 30 om H:0. & Release the flush button. The pressure must not decrease. A pressure decrease large enough to see on the gauge indicates a leak. Look for and repairthe leak open drain plug, open canister, breathing circuit assembly not pushed on completely). h. fyoursystem has a CO, bypass, move the absorber canisterrelease to the bypass position and repeat steps fand gto look for leaks in the bypass mode.3 Checkout Procedure APLValve 8. Test the APL valve: 1. Check and zero the pressure gauge as required (Refer to section 6.6). b. Ensure that the AGSS ison and operational. ©. Plugthe patient connection by connecting itt the test parton the handle 4, Plugtne bag arn with atest plug, €. Fully open the APL to MIN. {. Setthe 0, flow to 3 L/min, The pressure indicated on the pressure gauge should not exceed 3.0 em #0. & Adjustthe total fresh gas low to 30 L/min*. The pressure indicated on the pressure gauge should not exceed 4.0 cm #0. h. Check the valve at mid-range settings of about 20. 30. and 50 while flowing 30 L/min, Note that scale markings are only approximate. The pressure should stabilize at each setting: however, fluctuations within ‘an 8 em ,0 range (min tomax) are acceptable**. Ensure that the APL. valve exhibits a tactile dtent fool when tuningin the 30-70 em #0 range and that the knob does not rotate on its own, iL Setthe APLto 70 while flowing30.L/min. The pressure indicated onthe pressure gauge should be between 60-85 cm H0, including any fluctuations** jj. Setthe APL to MIN. . Remove the plug from the bagarm and replace it withthe bag, The bag should fully inflate. |L_ Reduce the 0, flow to minimum and al other flow controls of 1m, The bag should remain inflated. + Teachieve 30 L/min total resh gas flow, set tne 0 flow to 25 L/min andthe Airflow to 151/min, Alternatively, set the 0p flow to 15 L/minand the NO flow to the maximum stop less approximately 1/2 tur, AX WARNING ‘Nitrous oxide flows through the system during this test. Use a safe and approved procedure to collect and remove it ** Pressure fluctuations can occur with ths test due tothe steady high flow rate used. However, there shouldbe no fluctuations o spikes outside ofan 8m 110 range (at to ax) aay sen, Ths wil wt wocur dng eran ‘bagging operation with lower fresh gas flow rates. 9. Setthe System switch to Standby AX WARNING — Make sure that there are no test plugs or other objects caught in the breathing system. 248 05/01 1006-0852.0003 Checkout Procedure 3.11 Auxiliary 0, flowmeter tests Flow Accuracy Test 1006-0452-000 05/08 1. Open the 0, cylinder valve or connect an 0» pipeline. 2. Rotate the flow control clockwise (decrease) to shut off the flow. The ball should rest at the bottom ofthe flow tube and not move. 3. Rotate the flow control counterclockwise (increase). The ball should rise immediately after rotation is begun. Itshould rise smoothly and steadily with continued counterclockwise rotation. When a desired flow is set, the ball should maintain a steady position 4, Rotate the flow control clockwise to shut off the flow. Note: Ta check flow accurary, he sure thatthe flow test device is capable of measuring 0-16 L/min. 1. Connect the flowmeter outlet to the flow test device. 2. Adjust the flowmeter so the center ofthe ball aligns withthe selected test point (observe that the ball maintains a steady position for 10 seconds), 3. The test device reading should be between the limits shown for each ofthe selected settings in the table below. Flow Tester Reading FlowmeterSetting Lower Limit Upper Limit min Ymin Yan 050 150 250 3.50 450 5.50 10 90 11.00 maximum 12.00 - (valve fully open) 4, Rotate the flow contol clockwise to shut ofthe flow. 5. Close the 0, cylinder valve or disconnect the 0 pipeline.3 Checkout Procedure 3.12 Integrated Suction Regulator tests Note Gauge Accuracy Note ‘There are two types of integrated suction regulators forthe Aestiva Anesthesia Machine: * Continuous Vacuum (three-mode), * Venturi (two-mode. Forthe Continuous Vacuum Suction Regulator tests a vacuum source of at least 500 mm Hg (67 kPa oF 20 in Hg) s required. The supply open flow must be a minimum of 50 L/min. Forthe Venturi Vacuum Regulator Suction tests an 0, or Air source of atleast 282 kPa (41 psi is required. ‘The gauge neeule should come to rest win Une ero range Uracket wen te suction is being supplied. Gauges which do not comply may be out of calibration. ‘To check gauge accuracy, be sure thatthe test gauge is capable of measuring (0- 150 mm Hg for standard gauges, or 0-550 mm Hg for high vacuum gauges. 41. Connect the suction pationt pot tothe test gauge. 2. Tum the mode selector switch to I (ON). 3. Ensure that the gauge isin agreement with the vacuum test gauge: +£ 10 mm Hgy 1.3kPa forstandard vacuum gauges + £38 mm Hg/'5 kPa high vacuum gauges. Test points for standard vacuum gauges Tost gauge ‘Suction gauge tolerance 40 mm Hg (6.3 KPa) 30-50 mm Hg(4-6.7 KPa) £80 mm ig(10.7 kPa) 70-90 mm Hg(9.3-12 KPa) 140 mm Hg(18.7 KPa) 130-150 mm Hg (173-20) kPa) Test points for high vacuum gauges Test gauge ‘Suction gauge tolerance 100 mm Hg(13.3 KPa) 62-138 mm Hig(8.3-18.4 KPa) 300mm Hg(40KPa) 262-338 mm Hg(35~45 kPa) '500 mm Hg (66.7 KPa) 462-538 mm Hg (61.6-71.7)a) 05/01 1006:482.000Flow Test Regulation Test Vacuum Bleed Test Vacuum Leak Test 1006-0452-000 05/01 3 Checkout Procedure Note: To check flow accuracy, be sure that the flow test device is capable of ‘measuring 0-30 L/min, 1. Connect the patient port of the suction regulator tothe flow test device. 2. Rotate the suction control knob fully clockwise (increase) 3. Tum the mode selector switch to (ON) and verify thatthe flow rate is: + atleast 30 L/min for vacuum suction regulators, + atleast 20 L/min for venturi suction systems, 4, Disconnert the test flowmeter. 1, Tum the mode selector switch to1(ON). 2, Occlude the patient port ofthe suction regulator. 3. Setthe vacuum regulator gauge to 100 mm Hg/13 kPa, 4. Open and close the patient port several times. With the patient port occluded, the gauge should return to 100 mm Hg/13 KPa within a tolerance of « 10 mm Hg/ 1.3 kPa |. Occlude the patient port of the suction regulator. 2. Sette vacuum regulator gauge to 100 mm Hg/13 kPa. 3. Tum the mode selector switch to O (OFF) and observe the gauge needle. It ‘must tum to the zero range bracket or stop pin within 10 seconds. . Tum the mode selector switch to 0 (OFF) 2. Rotate the suction controt knob a minimum of two full tums in the Clockwise direction (increase suction) to ensure its setting is nat atthe off position. 3. Ocelude the patient port ofthe suction regulator. 4, Observe the suction gauge, the needle should not move. 5. Rotate the suction control knob counterclockwise seven to eight full tums to-ensure its settingis atthe fully off position. 6. Tum the mode selector switch toI(ON).. 7. Observe the suction gauge, the needle should not move,Notes 05/01 1006.0452.0004 Repair Procedures Inthis section This section covers the repair and replacement procedures for components of the ‘Aestiva Anesthesia Machine, 4.1 Senicing the ventilator cece 4.2 How to bleed gas pressure from the machine 46 4.3 How to remove the rea panel 46 4.5 How iremove Weshle panels voces ar 4.5 Senice the pneumatic manifold 48 4.5.1 Remove pneumatic manifold 48 4.5.2 Replace pipeline inlet iting soeeeeeehD 4.5.3 Replace pipeline niet fit... 49 4.5.4 Replace pipeline inlet check valve ......... coeees 10 4.5.5 Replace pneumatic 02 power outlet ant 4.5.6 Rebuild flush reguator........ ; 7 cones G2 4.5.7 Replace high-pressure relief valve cee AN 4.5.8 Change dive g25 sees. 445 10060852.000 05/01, “44 Repair Procedures ra 4.6 Senice the cylinder supply modules 4-16 4.6.1 Tightening procedure for high-pressure tube fitings 4-16 4.6.2 Replace primary regulator module (complete replacement) 4-16 4.6.3 Replace cylinder inlet fiter 4-17 4.6.4 Replace oylinder check vave 4-17 4.6.5 Replace Ath- and 5th-gas cinder supply module 4-18 4.7 Senice pipeline and cylinder pressure gauges 419 4.7.1 Remove gauge panel 4-19 4.7.2 Replace pipeline or cylinder pressure gauges 4-20 4.8 Replace system switch assembly 4-21 4.9 Senice the flowmeter module 4-24 4.9.1 Remove front flowmeter panel shield 4-24 4.9.2 Remove flowtubes for cleaning or replacement 4-25, 4.9.3 Remove complete flowmeter head 4-26 4.9.4 Replace flowmeter modules 4-28 4.9.5 Replace flowmeter frame 1-32 4.9.6 Replace 0 supply siteh 4.33 4.9.7 Checkout procedure for Q, supply switch 4-33 4.9.8 Replace secondary regulator manifold orbalance regulator manifold 4-34 4.9.9 Replace Oz orNzO needle valves 435 4.9.10 Replace 3rd or Ath gas needle valves 4-37 4.10 Senice vaporizer manifold pats 4-38 4.10.1 Repair manifold por valve 4-38 4.10.2 Checkout procedure for manifold port valve 4-39 4.10.3 Replace vaporizer manifold check valve 4-39 4.10.4 Replace vaporizer pressure reli valve 4-42 4.10.5 Replace vaporizer manifold (complete replacement) 4-43 4.11 Service common gas manifold 4-44 4.11.1 Replace common gas manifold 4-44 4.11.2 Replace common gas manifold check valve 4-45 4.11.3 Replace Op flush switch 4-46 05/01 10060852-000,1006-452.000 05/01 4 Repair Procedures 4.12 Service the breathing system 4-47 4.12.1 Replace control pane cover 4-47 4.12.2 Replace control pane! microswitch 4-48 4.12.3 Replace Bag,to-Vent microswitch 4-49 4.12.4 Replace adjustable pressure limiting (APL) knob assembly 4-52 4.12.5 Replace APL dsc orcage 4-54 4.12.6 Replace airway pressure gauge 4-55 4.12.7 Remove orreplace canister and dishes 4-56 4.12.8 Replace breathing system canister release handle and release ‘mechanism 4-56 4.12.9 Replace crise microswich 4-57 4.12.10 Remove te front and rear subfloors and the buknead cover 458, 4.12.11 Replace cicut module identification printed crcuitboard(1D PCB) 4-59 4.12.12 Replace common gas outlet (CGO) assembly 4-60 4.12.13 Remove the bulkhead 4-60 4.12.14 Replace ACGO oF CGO microswtch 461 4.12.15 Disassemble ACGO to replace seals 4-62 4.12.16 Replace sensor interface board (SB) 4-64 4.43 Remove orreplace drawer slides 4-66, 4.13.1 Replace dawerlock assembly 4.67 4.13.2 Remove oreplace lover shelves 4-68 4.13.3 Replace side panel for drawer enclosure 4-68 4.14 Replace 0» Flush components 4-6 4.14.1 Replace Op fush buton 4-69 4.14.2 Replace O fush vale block 4-70 4.15 Replace aula flowmeter or suction eguato 4-71 4.16 Repairor replace display am 4-72 4.47 Replace Font Casters 4-74 4.18 Replace Back asters 4-76. 4.19 Replace flip-up shelf 4-77 4.20 Replace light package bulbs orpanel 4-78 “64 Repair Procedures A\WARNING a4 Note To prevent fires: + Use lubricants approved for anesthesia or O> equipment, such as Krytox. * Donot use lubricants that contain oilor grease. They bum or explode inhigh 02 concentrations, * All covers used on the system must be made from antistatic (conductive) materials. Static electricity can cause fires. Obey infection contiol and safety procedures. Used equipment may contain blood and body fluids. ‘After repairs are completed, always perform the checkout procedure. Reter to Section 3 of this manual. Al pictures and ilustrations shown in Section 4 are froma left-hand machine. Orientation of pneumatic connections are reversed (rotated 180°) for right- hhand machines, 05/01 1006-0852.0004 Repair Procedures 4.1 Servicing the ventilator Vent CPU Vent power supply Display/ Control Module Vent Engine SIB/MIA Serial Adapter Board 1006-0652.000 05/01, ‘The Aestiva Anesthesia Machine can be configured with ether of two ventilators — the Aestiva 7900 SmartVent and the Aestiva 7100 Ventilator. Service information for these ventilators provided in separate service ‘manuals as detailed in Section 1.2.2. ‘Ventilator components are located in four areas ofthe Aestiva machine. * The Display/Contrl module. + The Electrical Enclosure located behind the AC Inlet module. ‘= The Vent Engine Housing located in the rear portion ofthe Breathing System. ‘The sensor interface (SIB-7900, MIA~7 100) located under the rear subfloor ofthe Breathing System, ‘Common machine components such ao awitches and acnaora which provide input to the ventilator and other Breathing System components that are ‘common to both ventilators are covered inthis manual. ‘The following components are associated with a particular ventilator and are covered in theirrespective service manuals, For the 7900 Ventilator the CPU boards located in the Electrical Enclosure. For the 7100 Ventilator the CPU is part ofthe Control Board located in the Control Module. For the 7900 Ventilator the power supply ands related components are located in the Electrical Enclosure. For the 7100 Ventilator the power supply is located in the Control Module. ‘The Display/Control Module Is specific to each ventilator. Refer to the respective service manual for details. The Vent Engine is specific to each ventilator. Refer to the respective service ‘manual for details. ‘The Sensor interface Board (SIB) forthe Aestiva 7900 Ventilator and the feamparahle ascembly, the Monitoring Interface Accambly (MIA), forthe Aestiva 7100 Ventilator are located in the Breathing System. With a few exceptions, the Breathing System components that interface with these assemblies are identical foreach ventilator, Forthe current revision levels ofthe service manuals, the replacement procedure forthe 7900 SIB is covered in this manual (Section 4.12.16). The replacement procedure for the 7100 MIA is covered inthe Aestiva 7100 Ventitator service manuel For the 7100 Ventilator, the SAB is located in the Electrical Enclosure. Forthe 7900 Ventilator, the serial data input/output functions are located on the CPU board. 45