6 Installation and Maintenance

WARNING This section covers the regular maintenance procedures

(minimum requirements) needed to make sure that the
9100c NXT Anesthesia System — including the ventilator
— operates to specifications.

In this section 6.1 Installation Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

6.2 Planned Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.2.1 Parts replacement . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.2.2 Planned Maintenance Checkouts . . . . . . . . . . . . . 6-4
6.2.3 Planned Maintenance Checklist . . . . . . . . . . . . . . 6-6
6.3 Free breathing valve maintenance . . . . . . . . . . . . . . . . . 6-6
6.4 Adjust drive gas regulator . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.5 MOPV pressure relief valve test . . . . . . . . . . . . . . . . . . 6-8
6.6 Exhalation valve relief valve test . . . . . . . . . . . . . . . . . . 6-9
6.7 Upgrade kits installation . . . . . . . . . . . . . . . . . . . . . . . . 6-10
6.7.1 Display Arm Installation . . . . . . . . . . . . . . . . . . . 6-10
6.7.2 ACGO Installation . . . . . . . . . . . . . . . . . . . . . . . . 6-11
6.7.3 O2 Cell Installation . . . . . . . . . . . . . . . . . . . . . . . 6-14
6.7.4 CO2 Bypass Installation . . . . . . . . . . . . . . . . . . . 6-16

2089820-006 6-1
9100c NXT

6.7.5 Flip-up shelf Installation . . . . . . . . . . . . . . . . . . . 6-17

6-2 2089820-001
 6 Installation and Maintenance

6.1 Installation Checklist

Serial Number: Date: (YY/MM/DD)
Hospital: Performed by:

 1. Unpack and assemble the 9100c NXT System.

Note: install the AGSS first if equipped.

 2. If necessary, access the Service Mode – Languages menu and

select the correct language. Then restart the system to enter into
Normal Mode, check the language on the screen.

 3. Set the current date and time. Then restart the system to enter
into Service Mode.

 4. Access the Service Mode – Configuration/Upgrade menu.

 a. Enter the site Altitude in increments of 100 meters.

 b. Functional upgrade. Enable – Disable installed optional

monitoring and ventilation features purchased by the
customer (PCV mode, ACGO switch, CO2 bypass, O2
monitoring,Spirometry, Spontaneous modes).

 5. Access the Service Mode – Calibration menu. Perform the

following calibrations:

 a. set Calibration coefficient (Section 4.5.7)

 b. Paw Zero (Section 4.5.1)

 c. Paw Gain (Section 4.5.2)

 d. O2 Cell (Section 4.5.3)

 e. PEEP Valve (Section 4.5.4)

 f. Flow Zero (Section 4.5.5)

 g. Inspiratory Flow Valve (Section 4.5.8)

 6. Complete the System Checkout by performing the following

steps:

 a. Inspect the system (Section 3.2)

 b. Pipeline and cylinder tests (Section 3.3)

 c. Flow control test (Section 3.4)

 d. O2 supply alarm test (Section 3.5)

2089820-001 6-3
9100c NXT

 e. Flush flow test (Section 3.6)

 f. Vaporizer back pressure test (Section 3.7)

 g. Low-pressure leak test (Section 3.8)

 h. Alarm tests (Section 3.9)

 i. Breathing system tests (Section 3.10)

 j. Power failure test (Section 3.11)

 k. Checkout and calibration (Section 3.12)

 l. Electrical safety tests (Section 3.13)

6.2 Planned Maintenance

Do not perform testing or maintenance on the anesthesia machine
while it is being used on a patient. Possible injury can result.

6.2.1 Parts The system must be turned off before replacing any electrical
replacement components.
All parts should be replaced before performing the checks, tests, and
calibrations.

Every twelve (12) months

(PM Kit Stock Number 2099998-001-S)
Replace the vaporizer port O-rings (Kit Stock Number 1102-3016-
000).
Replace the CO2 Bypass O-rings (Stock Number 1407-3104-000).
Replace the breathing system O-ring (Stock Number M1168795-S)

Every twenty-four (24) months

(PM Kit Stock Number 2099998-002-S)
In addition to the 12-month requirements, replace the following parts
every 24 months.
Replace the free breathing flapper valve (Stock Number 0211-1454-
100).
Replace the free breathing valve O-ring (Stock Number 1503-3208-
000).
Replace the filter Vent Engine (Stock Number 1504-3708-000)
Replace the inlet filter cylinder supply (Stock Number 2100454-001)
Replace the core filter gunmetal sinter (Stock Number M1167401-S)
Replace the battery 12070 sealed (Stock Number M1168045-S)

6-4 2089820-001
 6 Installation and Maintenance

Every forty-eight (48) months

In addition to the 24-month requirements, replace the following parts
every 48 months.
Replace the coin battery CPU (Stock Number M1160411)

6.2.2 Planned 1. Visual Inspection

Maintenance • Check condition and tightness of all displays, frame, drawers,
Checkouts arm, and top shelf parts; Check screws with marks
• Check the casters for proper operation and mounting
• Check external tubing, silicone tubes, hoses, and pipeline
hoses
2. Breathing Circuit and Bellow Assembly Test (refer to section 7.2)
• Perform Breathing system leak test
• Perform Bellow leak test
• Perform Bag Circuit leak test
• Test APL Valve
3. Safety Test
• Adjust Drive Gas Regulator (Refer to section 6.3)
• MOPV pressure relief valve test (Refer to section 6.4)
• Exhalation valve relief valve test (Refer to Section 6.5)
4. Service Mode test
• Display Discrete I/O Signals (Refer to section 4.4)
• PAW Zero (Refer to section 4.5)
• PAW Gain (Refer section 4.5)
• PEEP Valve (Refer to section 4.5)
• Flow Zero – Insp (Refer to section 4.5)
• Flow Zero – Exp (Refer to section 4.5)
• O2 Cell calibration (Refer to section 4.5)
• Inspiratory Flow Valve (Refer to section 4.5)
5. System Tests
• Cylinder test for High pressure leaks (Refer to section 3.3
• Pipeline Test (Refer to section 3.3)
• Flow Control Test (Refer to section 3.4)
• Low-pressure leak test (Refer to section 3.8)
• Alarm tests (Refer to section 3.12)
• Airway pressure gauge accuracy check (Refer to section
5.4.2)
• Power failure test (Refer to section 3.11)
• ACGO pressure relief valve test (Refer to section 3.14)
• Electrical Safety test (Refer to section 3.13)
6. Vaporizer back pressure and interlock test (Refer to section 3.7)

2089820-001 6-5
9100c NXT

6.2.3 Planned Use the 9100c NXT Planned Maintenance Checklist to record the test
Maintenance results.
Checklist • 2089820-PM

6-6 2089820-001
 6 Installation and Maintenance

6.3 Free breathing valve maintenance

1
3

Refer to Section 9.16 to access the Pneumatic Vent Engine.

1. Unscrew the valve seat (1) from the vent engine manifold.
2. Inspect the new flapper (2) and valve seat for nicks, debris and
cleanliness.

To replace the flapper 3. If necessary, clean the new flapper valve with alcohol.
valve
4. Pull the tail (3) of the new free breathing valve flapper through the
center of the valve sear until it is locked in place.

5. Trim the tail flush with outside surface of the valve seat (Refer to
the removed flapper).

6. Scissor the tail, ensure the tail is not longer than 3 mm.

7. Reassemble the system.

8. Perform the Preoperative Checkout Procedure (Refer to the

9100c NXT User’s Reference manual).

2089820-001 6-7
9100c NXT

6.4 Adjust drive gas regulator

1. Set the system switch to Off.

2. Disconnect all pipeline supplies.

3. Remove the plug on the test fitting (1), and attach the pressure
test device to the test fitting.

4. Remove the bellows assembly and exhalation valve.

5. Connect the pipeline supplies.

6. Set the system switch to On.

7. Enter the Service Mode. From the “Diagnostic Tests/Tools”

menu, select “Valve - Test Tool”.

8. Select “Set Inspiratory FLow Valve” and activate a flow of 15

L/min.

9. Adjust the adjusting screw until pressure test device reads 172
kPa (25 psi).

10. Set the system switch to Standby when regulator is adjusted.

11. Reassemble exhalation valve and bellows assembly when

adjustment is complete.

Remarks The drive gas regulator should provide a constant gas input pressure
of 172 kPa (25 psi).
You can verify this pressure by attaching a pressure test device to the
regulator pressure port and adjusting the regulator to 172 ±1.72 kPa
(25 ±0.25 psi).

6-8 2089820-001
 6 Installation and Maintenance

6.5 MOPV pressure relief valve test

WARNING Objects in the breathing system can stop gas flow to the
patient. This can cause injury or death:
• Do not use a test plug that is small enough to fall into
the breathing system.
• Make sure that there are no test plugs or other objects
caught in the breathing system.

6.5.1 Test setup 1. Remove the breathing system.

2. Plug the drive gas outlet with the test adapter port 4.

6.5.2 Test procedure 1. Enter the Service Mode. From the “Diagnostic Tests/Tools”
menu, select “Valve - Test Tool”.
2. Select “Set Inspiratory Flow Valve” and activate a flow of 10 L/
min.

3. Carefully listen for the MOPV relief weight to be relieving and

“popping off” from its seat (a purring sound). This indicates the
valve is functioning correctly.

4. Set the system switch to Standby.

5. Remove the test adapter from the common gas outlet.

6. Reassemble the system.

7. Perform the Preoperative Checkout Procedure

(refer to the 9100c NXT User’s Reference Manual).

2089820-001 6-9
9100c NXT

6.6 Exhalation valve relief valve test

1. Connect the open end of the patient Y-piece to the bag port
handle.
2. Occlude the bag port.

3. Remove the scavenger receiver,

reservoir and side cover, if
equipped.
1
4. Connect the AGSS adapter (1) to
the down tube located under the
exhalation valve.

5. Occlude the AGSS adapter

(M1210946) with a stopper .

6. Set the APL valve to minimum and Bag/Vent switch to Bag

position.

7. Adjust the O2 flow to 6 L/min.

8. After 1 minute, observe the Patient Airway on the vent display

and/or airway pressure gauge. The pressure should indicate a
pressure rise of less than 10cmH2O.
Note: If the pressure rise is more than 10cmH2O, replace the
10cmH2O dead weight and seat. Repeat the test procedure after
the replacement.

9. Remove the occlusions from the down tube and bag port.
Remove the patient Y-piece from the bag port handle.

10. Reassemble in reverse order.

11. Perform the Preoperative Checkout Procedure

(Refer to the 9100c NXT User’s Reference Manual).

6-10 2089820-001
 6 Installation and Maintenance

6.7 Upgrade kits installation

6.7.1 Display Arm 1. Install the display arm mounting bracket to the grooves in the left
Installation pillar of the machine. Keep a space of 150mm between the
mounting bracket and the top panel, tighten the 4 screws in each
corner and the one screw in center of the mounting bracket.

2. Mount the display arm to the mounting bracket, screw the two
screws (1) to fix the display arm.

150mm

2089820-001 6-11
9100c NXT

6.7.2 ACGO
Installation
Installation 1. Remove the tabletop (Section 9.3).
2. Remove the blank label on the middle pan.

blank label

3. Clip the tie wraps (1) on tube 2, then remove tube 2.

1 4

4. Disconnect the 52 # tube (3) and 53# tube (4) from the CGO
valve (6).

5. Back out the two mounting screws (5) to remove the CGO valve
(6).

6. Stick the ACGO label to the machine.

6-12 2089820-001
 6 Installation and Maintenance

7. Back out the two screws (7) that fix the switch knob (8) to the
ACGO selector switch, then remove the switch knob.

10

8. Install the ACGO port assembly (9) to the machine, tighten the
two screws (10) to secure it.

9. Hold the selector knob with the indicator

mark facing down. Turn the chrome
collar to its maximum counterclockwise
position as shown in the right illustration.

10. Place the shroud over the knob and

guide the assembly into to the mid pan
opening.

11. Ensure that the two indicators on the

shroud align with label on the middle
pan and the alignment tab mates with
the alignment hole in the pan.

12. While holding the knob assembly

steady against the pan, place the 11

valve assembly over the knob actuator

(11). Using moderate force press the
two assemblies together. The knob
should rotate to the ACGO position.

13. While continuing to force the assemblies together, rotate the

knob assembly to the Breathing System position. The assemblies
should snap into place.

2089820-001 6-13
9100c NXT

14. Verify proper alignment of the knob with the setting indicators.
Tighten the mounting screws (12) evenly to secure the switch
assembly to the pan.

15. Connect the tubes and wires:

• Connect the flush gas tube (13) and fresh gas tube (16) to
the ACGO switch assembly.
• Unplug the tube (14) from the connector (15), then connect it
to the TEE connector (17).
• Connect the tube (18) of the ACGO assembly to connector
(15).
• Connect the silicone tube (19) to the connector (20) and
tighten it with a tie strap.
• Connect the wires to the ACGO mode microswitch(21) at the
bottom of the valve (top two terminals).
• Connect the wires to the flush pressure switch (22) at the top
of the valve (upper and lower terminals).

14

16

12 17
18

19
20
18

15

13

22

12

21

16. Replace the tabletop.

17. Perform the test procedure.

Test procedure 1. Confirm that flush flow and 5 L/min fresh gas flow are diverted to
the ACGO port and the Breathing System in the respective knob
positions.

6-14 2089820-001
 6 Installation and Maintenance

2. Confirm that the ventilator display indicates ACGO mode when

the ACGO selector switch is set in the ACGO position.

3. Test the function of the flush pressure switch. (Section "4.4.1

Discrete I/O Signal")

4. Perform the low-pressure leak test (Section 3.8).

6.7.3 O2 Cell
Installation
Installation 1. Remove the tabletop (Section 9.3).
2. Install the O2 cell connector (1009-5586-000) (1) to the machine
as shown below, clamp the connector with the lock ring (1406-
3277-000)(2). Connect the O2 cell connector to the control
sample board with harness (3) (M1194573).

2 1 3

3. Turn the screw (4) counterclockwise to unlock it and remove the

flow sensor module (5).

4. Install the O2 cell (6) and connect the O2 cell cable (7) to the

2089820-001 6-15
9100c NXT

breathing system (bottom).

5. Reinstall the tabletop.

6. Reinstall the flow sensor module.

7. Check the Discrete I/O signal status in Service Mode (Section

4.4.1), make sure that the O2 Sensor Status is “Connected”.

8. Perform breathing system leak test (Refer to Section 4.4.6).

9. Perform O2 cell calibration (Refer to Section 4.5.3)

6-16 2089820-001
 6 Installation and Maintenance

6.7.4 CO2 Bypass

Installation
Installation 1. Hold the canister handle and push the canister release latch to
remove the canister from the breathing system.

2. Hitch the CO2 bypass module to the breathing circuit module,

then push it upward till it is locked.

3. Install the canister to the canister cradle then push the cradle
upward till it is locked by the latch.

2089820-001 6-17
9100c NXT

4. Check the Discrete I/O signal status in Service Mode (Section

4.4.1), make sure that the Canister Status is “Open”.

5. Perform Breathing System Leak Test in service mode (Section

4.4.6).

6.7.5 Flip-up shelf 1. Turn off the system and unplug the AC power.
Installation 2. Remove the tabletop panel.

3. Secure the bracket to the pan using the three mounting screws.

4. Attach the Flip-up assembly to the right hand side of the middle
pan and secure it with the four mounting screws.

5. Lift up and fold the flip-up shelf several times to make sure it
works correctly.

6. Reinstall the tabletop panel.

6-18 2089820-001