Aespire View
Aespire View
02/09 M1170027
Technical Reference Manual
This document is 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.
M1170027 02/09 i
Aespire View
Important
The information contained in this Technical Reference Manual pertains only to those
models of products which are marketed by Datex-Ohmeda as of the effective date of
this manual or the latest revision thereof. This Technical Reference Manual was
prepared for exclusive use by Datex-Ohmeda service personnel in light of their training
and experience as well as the availability to them of parts, proper tools and test
equipment. Consequently, Datex-Ohmeda provides this Technical Reference Manual to
its customers purely as a business convenience and for the customer's general
information only without warranty of the results with respect to any application of such
information. Furthermore, because of the wide variety of circumstances under which
maintenance and repair activities may be performed and the unique nature of each
individual's own experience, capacity, and qualifications, the fact that customer has
received such information from Datex-Ohmeda does not imply in any way 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 or requirements.
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 to the Manager of Technical
Communications, Datex-Ohmeda, Ohmeda Drive, PO Box 7550, Madison, Wisconsin
53707.
w CAUTION Servicing of this product in accordance with this Technical Reference 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 in this Technical Reference 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 of
this nature. No repairs should ever be undertaken or attempted by anyone not having
such qualifications.
Datex-Ohmeda strongly recommends using only genuine replacement parts,
manufactured or sold 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.
ii 02/09 M1170027
Table of Contents
Important . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ii
Technical Competence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ii
1 Introduction
2 Theory of Operation
iv 02/09 M1170027
Table of Contents
3 Checkout Procedure
M1170027 02/09 v
Aespire View
vi 02/09 M1170027
Table of Contents
5 Calibration
7 Troubleshooting
8 Software Installation
9 Repair Procedures
M1170027 02/09 ix
Aespire View
x 02/09 M1170027
Table of Contents
10 Illustrated Parts
M1170027 02/09 xi
Aespire View
In this section This section provides a general overview of the Aespire View anesthesia machine.
1.1 What this manual includes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.2 Standard service procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.2.1 User’s Reference Manuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.2.2 Ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.3 System overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
1.4 Configuration options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
1.4.1 Standard configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
1.4.2 Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
1.5 System components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
1.6 Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7
Other equipment Other equipment may be attached to the system on the display mount, the
top shelf, or on the side dovetail rails. Consult separate documentation
relative to these items for details.
1.2.1 User’s Reference Some sections of this manual refer you to the User’s Reference Manual for the
Manuals Aespire View anesthesia machine. To expedite repairs, you must have, and be
familiar with, the User’s Reference Manual for this product.
Refer to the Aespire View User’s Reference Manual if you need further
information about the operation of the system.
1.2.2 Ventilator tests Service calibration functions let Datex-Ohmeda trained users and Datex-
Ohmeda service personnel perform ventilator setup functions, tests,
calibration and measurements from the front panel display.
Normal operational tests, calibration, and troubleshooting can be performed
on the Aespire View Ventilator without removing components from the system.
Repair may require removing the ventilator components from the anesthesia
machine.
w WARNING Section 4, “Self Tests and Service Mode” must be performed whenever
you access any internal component of the Ventilator to verify that all
critical parts of the Ventilator are still operational and within
specification.
w WARNING After the Ventilator has been serviced, you must perform “Post -Service
Checkout” to verify the entire Anesthesia System is properly functioning
before the system can be returned to clinical use (Section 3).
AC.20.013
16
15
14
13
12 1
2
11 3
10 4
9 5
6
12
1
11
2
3
4
10 5
7
6
AC.20.002
8
1. Dovetail rails
2. Vaporizer
3. Pipeline pressure gauge(s) (upper row)
4. Cylinder pressure gauge(s) (lower row)
5. System switch
6. Integrated suction (optional)
7. Auxiliary O2 flowmeter (optional)
8. Brake
9. O2 flush button
10. Breathing system
11. Flow controls
12. Ventilator display
Figure 1-2 • Aespire View anesthesia machine (front view - right side)
1
2
3
4
8
AC.20.012
7
6
m On (power)
A Alarm silence button
l Standby
j Type B equipment
† Direct current
wW Attention, refer to product instructions,
IEC 60601-1
p Alternating current
O Dangerous voltage
y Earth ground
Electrical output
Y Equipotential
Pneumatic output
Pipeline Cylinder
z Lock
Isolation transformer
U Close drain
Risk of Explosion.
Í Not autoclavable
r Mechanical ventilation
134°C Autoclavable
R Bag position/ manual ventilation
q Inspiratory flow
Q Expiratory flow
Systems with this mark agree with the Indicates that the waste of electrical and
European Council Directive (93/42/EEC) electronic equipment must not be
for Medical Devices when they are used disposed as unsorted municipal waste
as specified in their User’s Reference and must be collected separately. Please
manuals. The xxxx is the certification contact an authorized representative of
number of the Notified Body used by the manufacturer for information
Datex-Ohmeda’s Quality Systems. concerning the decommissioning of
equipment.
USB port
2.1 Overview
The Aespire View anesthesia machine includes a microprocessor based, electronically-
controlled, pneumatically-driven ventilator with built in monitoring systems for inspired
oxygen, airway pressure and exhaled volume. The ventilator is an integral part of the
anesthesia machine.
2.1.1 Features • Sensors in the breathing circuit are used to control and monitor patient ventilation
and measure inspired oxygen concentration. This lets the ventilator compensate for
compression losses, fresh gas contribution, valve and regulator drift and small
leakages in the breathing absorber, bellows and system.
• Positive End Expiratory Pressure (PEEP) is regulated electronically. During mechanical
ventilation the software maintains the set airway pressure. PEEP is not active when
mechanical ventilation is off.
• User settings and microprocessor calculations control breathing patterns. User
interface settings are kept in non-volatile memory.
• Mechanical ventilation is started with the Bag/Vent switch on the breathing system.
• Ventilator hardware is regularly monitored by software tests.
• An RS-232 serial digital communications port connects to and communicates with
external devices.
• An exhalation valve modulates flow in the pressure mode.
• Pressure and volume modes are selectable by the operator.
• All pneumatic components are located on one manifold.
• Exhausted drive gas and bellows pressure relief valve gases are mixed and go through
the ventilator exhalation valve.
• Exhalation valve block is autoclavable.
• Excess fresh gas released from the bellows and ventilator drive gas is transferred from
the exhalation valve to the Anesthesia Gas Scavenging System (AGSS).
• Optimized for service with a low number of components.
2.1.2 Modes The system has the following modes of mechanical ventilation:
• VCV - Volume Control Ventilation (standard)
• PCV - Pressure Control Ventilation (optional)
• SIMV/PSV - Synchronized Intermittent Mandatory Ventilation with Pressure Support
Ventilation (optional)
• PSVPro - Pressure Support Ventilation (optional)
• SIMV-PC - Pressure Support Ventilation with Pressure Control Ventilation (optional)
• PCV-VG - Pressure Control Ventilation Volume Guarantee (optional)
AC.20.002
2
AC.20.012
AC.20.013
2.2.1 Ventilator The ventilator control electronics is found in the display unit (CPU board) and the lower
control electronics electrical enclosure at the rear of the machine (DAQ board).
The DAQ board includes the regulated power circuits and the digital data acquisition
circuits.
The universal power supply receives AC power from the machine’s AC Inlet module
through the isolation transformer, inline fuses, and a line filter. It converts AC power to
raw DC power that feeds into the power supply circuits of the DAQ board.
All the power necessary to operate the ventilator and light package comes from the
power circuits. The digital circuits supply machine data to the display CPU and drive the
pneumatic vent engine.
The CPU controls system operation and external communication ports.
A 12 volt battery provides backup power to operate the ventilator in case of mains
power failure.
AB.74.145
AC Power
100-120 VAC Outlets
220-240 VAC
50/60 Hz
AC Inlet
(Voltage Specific) Isolation Universal
Line Filter
-Line Filter Transformer Power Supply
-System Breaker Fuses
-Universal Inrush Board
2.2.2 Display unit The display unit is mounted externally on the left side of the machine: on a
GCX long arm or on a folding mount.
External connections The Display Unit accommodates the following external connections:
• System Interface (1).
• Serial Port (Public)
— standard RS-232 interface for external communication (2).
• Serial Port (Proprietary)
— software download (debug) port (3).
• USB port
— standard USB 2.0 interface (4) - future expansion.
• Network connection
— standard Ethernet port for network connectivity (5) - future expansion.
5 1
4 3 2
2.2.3 Enhanced Sensor The Enhanced Sensor Interface Board (ESIB) is located under the tabletop.
Interface Board (ESIB) The ESIB serves as the interface between the DAQ board and the breathing
circuit sensors and several machine switches.
The ESIB processes signals from the:
• Inspiratory and expiratory flow sensors
• O2 sensor
• Auxiliary Common Gas Outlet (ACGO) switch
• Bag/Vent switch
• ABS On switch
• Drive Pressure Limit (DPL) switch
• Manifold pressure transducer
• Patient airway pressure transducer
• Module ID (hard-wired for circle circuit)
• Canister release switch
• Absorber CO2 Bypass switch (hard-wired to On for EZchange canister)
2.2.4 Pneumatic Vent The pneumatic Vent Engine is located in the back chamber of the breathing
Engine system that is shielded to contain EMI emissions. The enclosure includes the
Vent Engine and the Vent Engine Connector Board.
The pneumatic Vent Engine comprises the hardware that drives the ventilator
bellows. It includes:
• a drive gas inlet filter
• a gas inlet valve (GIV) - 12V
• a supply gas pressure regulator
• a flow control valve - 12V
• a drive gas check valve
• a mechanical over pressure relief valve (MOPV)
• a bleed resistor
• a free-breathing check valve
2.3 Electrical
2.3.1 Block diagram The Aespire View Ventilator electronic/electrical subassemblies or modules
include:
• Universal power supply (AC to DC converter)
• Data Acquisition (DAQ) board (with power supply and digital circuits)
• Control module (Ventilator display) includes CPU
• Enhanced Sensor Interface Board (ESIB)
• Total Flow Sensor (TFS) - optional
Vent
Engine
Board
Inlet Flow
Valve Control
Valve
Vent Engine
Bag/Vent
Switch
ABS On
Switch CO2 DAQ
Bypass
Canister
Switch
ESIB
Inspiratory and Expiratory flow
transducers
Expiratory Drive Pressure Limit Switch Power
Flow Sensor Manifold Pressure Transducer Isolation Supply
Bulkhead Transformer Fuses Line
Connector Patient Airway Pressure Filter
Inspiratory Transducer
Flow Sensor VCHGR = 16.0 V Typical
Inrush VMAIN = 12.5 V Typical
O2 Sensor Board
ACGO AC Inlet
Select
AB.74.132
with
O2 Circuit Breaker 12V Battery
Flush and
Breathing System Line Filter
Tabletop Switch Lower Chassis
Power
Cord
2.3.2 System The DAQ board is the interface between the CPU in the display unit and the machine
communications components.
The CPU communicates with the Total Flow Sensing (TFS) module through a RS-422
serial channel. System software acquires fresh gas flow information through this
communication channel. RS-422 signals are routed from the CPU board through the
main cable to the DAQ board, then from the DAQ board through the TFS cable to the
TFS module. The baud rate for TFS communication is set at 115.2 Kbaud.
The Public Serial Port is a RS-232C communication channel. This is a serial port used
to communicate with vital signs monitors or computers. Public serial port baud rate is
set at 19.2 Kbaud.
Proprietary Serial Port is a RS-232C communication interface. This serial port is used
for software download, calibration/service purposes, and software development
debug/testing. The Proprietary serial port baud rate is set at 115.2 Kbaud.
115.2 Kbaud
RS-422
Keypads
Color LCD
and
Display
ComWheel
AB.74.146
Pneumatic
ESIB TFS
Engine
Off State: When the machine is in the “Off” state, there is no machine activity. Circuitry on the
Data Acquisition (DAQ) board monitors the On/Standby switch for movement.
• AC Power is not
connected to the If the On/Standby switch is moved to the “On” position while the machine is in the “Off”
machine and the
On/Standby Switch is in state (machine is not connected to AC mains supply), the circuitry on the DAQ board
the “Standby” position. evaluates the battery output voltage level. If the battery voltage is greater than
approximately 12.157V, the DAQ board uses the battery to power the machine.
Standby State:
If the machine state changes from the “Off” state to the “Standby” state (machine
• AC Power is connected
to the machine while the connected to AC mains supply), the mains AC enters U-frame AC/DC Power Supply. The
On/Standby Switch is in AC power is converted to 12.5VDC and 16VDC by the U-frame. The U-frame output
the “Standby” position. 12.5VDC and 16VDC are connected to the DAQ board.
On State: • 12.5VDC powers the machine electrical system.
• AC Power is connected • 16VDC is used to charge the battery.
to the machine and the
On/Standby Switch is If the machine state changes from the “Standby” state to the “On” state, the circuitry
set to the “ON” position.
on the DAQ board converts the 12.5VDC to various voltage rails to run on-board
circuitries and support modules connected to the DAQ board. Among the voltage rails
generated on the DAQ board, 5.8 VDC is used to power the display unit.
The CPU board converts the incoming 5.8VDC to local needed power rails (5VDC,
3.3VDC and 1.5VDC). When 3.3VDC reaches Micro Monitor Chip (DS1819A) voltage
trip point (3.0V), the reset signal to the CPU chip is deactivated and the CPU begins to
execute the program.
Software performs the following actions and self-tests:
• Backup buzzer is set to on by default on power up. The software turns it off within 100
ms of software startup.
• Sequential watchdog test.
• Display a bootup screen containing the GE-Datex Ohmeda logo and a progress bar.
• Test the data integrity of the application code image stored in Flash memory.
• Disable Ethernet communication channel.
• Video memory test.
• Write data to all EDC (main) memory locations to ensure that all EDC memory
checkbits are initialized.
Upon the successful completion of the preceding activities, the software loads the
application image into main system memory and begins executing.
Battery Charger The lead-acid battery is connected into the battery charge bus VBAT (TP1). When AC
power is not available, the system operates from battery power. When AC power is
available, the system charges the battery, drawing charging power from VCHGR (TP10)
supply, which is supplied from the AC to DC power supply. When AC power is present,
VCHGR is at 16 volts and charging current to the lead-acid battery is adjusted based
upon battery condition.
Charger Modes The battery charger operates in one of three modes: bulk-charge, over-charge and float
charge.
• Bulk-charge mode is initiated when AC power is cycled (and VCHGR drops below
4.5Vdc) or when the charger is in the float-charge state and the battery voltage drops
below 12.3Vdc (nominal). During bulk-charge, the VBAT voltage is adjusted to
maintain a constant charge current of 400mA (nominal). When the battery voltage
reaches 14Vdc (nominal), the charger switches to over-charge mode.
• The Over-charge voltage can vary from 13.513Vdc to 15.50Vdc, the range is so large
because the chargers reference compensates the voltage as necessary to properly
charge the battery at varying ambient temperatures. Over-charge mode maintains the
battery charging current at 400mA (nominal) until the battery voltage reaches
14.7Vdc (nominal). The bulk charge current can vary from 356mA to 444mA worst
case. At this point the charge controller changes from constant-current mode to
constant-voltage mode and the VBAT voltage to 13.7Vdc (nominal).
• The Float-charge voltage can vary from 12.605Vdc to 14.475Vdc, the range is so
large because the charger reference compensates. The battery charging current is
allowed to vary to whatever value in the range of 0 to 400mA that will maintain the
float voltage level.
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Unit On Standby Switch The unit is switched from Standby to On when the System switch is turned to the On
and Circuitry position.
VSWB Regulator The VSWB (TP2) regulator supplies power to the back-up buzzer. The input to this
regulator is the greater of (VCHGR 16V), (VMAIN 12.5V - TP14) or (VBAT 12V). The input
is the VCHGR supply unless the unit is on running battery or the VCHGR supply has
failed. The output voltage will typically be 14.88 volts but can vary from 8 to 15.5 volts
when on battery.
VSW Regulator The VSW (TP7) regulator supplies power to the supply monitor and selection circuitry.
The input to this regulator is the greater of (VCHGR 16V), (VMAIN 12.5V) or (VBAT 12V).
The input is the VCHGR supply unless the unit is on running battery or the VCHGR
supply has failed. The output voltage will typically be 14.88 volts but can vary from 8 to
15.5 volts when on battery.
Supply Monitor and A 1.225 volt reference is used to compare against a scaled VMAIN voltage. If VMAIN is
Selection Circuitry greater then 11.60 typically, but can range from 11.797 to 11.417 volts it will be
selected to power VBUS (TP12). If VMAIN is not ok VBAT will power VBUS if its voltage is
(nominally) 12.157 volts but can range from 11.962 volts to 12.353 volts. VBAT will
power VBUS until either VMAIN recovers or the battery voltage drops below (nominally)
10.436 volts. If neither VMAIN nor VBAT are ok, they will both be disconnected from
VBUS and the unit will turn off.
5.8V switcher This +5.8 volt output (TP25) powers the following supplies: 5.8V_CPU, 5V_DAQ,
3.3V_DAQ and 5.8V Total Flow. The input to this switcher is VBUS which can range from
10.5 to 13 volts. Its output is typically 5.8 volts but can range from 5.51 to 6.09 volts
with an output current up to 4 amps.
5V Regulator The 5V regulator (TP20) powers circuits on the DAQ board. The input to this regulator is
5.8 volts but can range from 5.51 to 6.09 volts.
VDD (3.3V) Regulator The 3.3V regulator (TP30) powers circuits on the DAQ board. The input to this regulator
is 5.8 volts but can range from 5.51 to 6.09 volts.
+5.8V_CPU Current This supply (TP24) powers all the circuitry on the CPU board except the backlights. The
Limiter input to this part is 5.8 volts but can range from 5.51 to 6.09 volts. This circuit is
designed to provide a 5.8-volt output, which can range from 5.21 to 6.09 volts with a
current up to 1.89 amps.
GIV (Gas Inlet Valve) The driver is capable of controlling a 1.5-Watt valve operating at 12.5 volts. The power
Drive to this valve is 10VA limited. To turn on the valve the GIV_ON and /HI_PRES_RST
signals both need to be logic level high.
TSK_LT Current Limiter This supply (TP5) powers the task lights. This circuit provides an output voltage from 10
to 13 volts with a current up to 1 amp.
PWR_BKL Current This supply (TP22) powers the LCD backlights. The input to this part is VBUS, which can
Limiter range from 13 to 10.5 volts. This circuit provides an output voltage from 10 to 13 volts
with a current up to 760m amps.
+6VA Regulator The +6VA regulator (TP16) powers analog circuits on the DAQ board. The input to this
regulator is VBUS, which can range from 13 to 10.5 volts. This regulator provides a 6.10
volt output, which can range from 5.8 to 6.3 volts with a current up to 60mA.
-6VA Regulator This supply (TP23) powers analog circuits on the DAQ board. The input to this regulator
is the +6V supply, which can range from 5.8 to 6.3 volts. This regulator provides a –6
volts output, which can range from -5 to -6.3 volts with a current up to 40mA.
+15 Volt Switcher The +15V switcher (TP8) powers the 12V SIB and 12V Valves regulators. The input to
this switcher is VBUS, which can range from 10.5 to 13 volts. Its output is typically 15
volts but can range from 14.25 to 15.75 volts.
+12V Regulator - SIB The +12V regulator (TP13) powers the ESIB board. The input to this regulator is typically
15V but can range from 14.25 to 15.75 volts. This regulator is designed to provide a
12.51 volt output, which can range from 12.12 to 12.90 volts.
5.8V (Total Flow This supply (TP32) powers the total flow sensor board. The input to this part is 5.8 volts,
Sensing Voltage) which can range from 5.51 to 6.09 volts. This circuit provides an output voltage from
Current Limiter 5.21 to 6.09 volts.
12V (SIB BRD Voltage) This supply (TP38) powers the ESIB board. The input to this part is 12.51 volts, which
Current Limiter can range from 12.12 to 12.90 volts. This circuit provides an output voltage from 11.82
to 12.90 volts.
10VA Valve Power - This supply (TP19) powers the inlet and flow valves. The input to this part is 12.51 volts,
Current Limiter which can range from 12.12 to 12.90 volts. This circuit provides an output voltage from
11.82 to 12.90 volts.
12.5V Regulator (Power The 12.5V regulator (TP15) powers the flow and inlet valves. The input to this regulator
for Valves) is 15 volts but can range from 14.25 to 15.75 volts. This regulator provides a 12.51 volt
output, which can range from 12.12 to 12.90 volts.
Instrumentation Instrumentation amplifiers are used to buffer the differential voltage input signals from
Amplifiers the ESIB board and convert them to unipolar signals.
SIB Digital Input Twelve inputs from the ESIB board are connected to a parallel port that can be read by
Signals the CPU.
DPL_SW Signal Under normal conditions, the DPL switch is closed, holding DPL_SW at ground
potential. If the DPL switch opens due to high pressure, it sets the
/HI_PRES signal to become active, which resets the flow output to 0 volts.
Multiplexors for A/D Two one-of-eight multiplexers are used to route sixteen additional channels to the A/D
Channels converter. Signals MUX_A0, MUX_A1, and MUX_A2 control which two channels are
routed to the A/D.
Back-up Buzzer The buzzer is powered by VSWB supply rail. The output from this regulator is typically
15V but can be as low as 10V when powered by the battery. The input to this regulator
is 16V and 12.5V from the AC to DC power supply and the battery voltage. These
voltages are connected together through OR diodes; the highest voltage will supply the
regulator input. If any of these supplies are available, the alarm has power.
An AND gate drives the gate on an N-Channel FET. Under normal operation the output
of this AND gate is high, which turns on the FET and silences the buzzer. This AND gate
is powered by the VDD supply. When the On/Standby switch is turned to the On
position the VSWB supply powers on before the VDD supply causing the buzzer to
sound until the VDD supply is up and the circuitry is initialized by software.
The following control the buzzer:
• VDD – The VDD supply rail powers the gates that control the buzzer. If VDD fails the
buzzer will sound because the AND gate output will be low turning off the FET.
• CPU_5V_MON – This signal is from the CPU board and is pulled up on the DAQ board.
The CPU board needs to drive this signal low or the alarm will sound. The +5V on the
CPU board is monitored and if it goes out of range the CPU board will sound the buzzer
by driving the CPU_5V_MON low. The +5V on the CPU powers the audio and flow
sensor interface, which, is only used on the DAQ BRD.
• RESET_DAQ – This signal is from the CPU board and is pulled up on the DAQ board.
The CPU board needs to drive this signal low or the alarm will sound. This is the same
as a system reset on the CPU board. If the 3.3V or 1.5V supplies on the CPU board are
low or the watchdog is not serviced the RESET_DAQ bit will go low and sound the
alarm.
• /+5.8V_CPU_FAULT – This signal monitors the +5.8V_CPU voltage and will go low if
this supply has any fault or interrupt condition. If this output drops out the CPU board
will not be functional.
• /BUZ_TST - this signal is used to test the buzzer. If it is driven low the buzzer will sound
until it is returned high.
D/A Converter and Flow The DAC7551 is a 12-bit, voltage output digital to analog converter.
DAC Driver SPI-Compatible Serial Interface Up to 50 MHz
ESIB Connector
/CPU_RST (from CPU Con) with Serial /SW[1..4] (to eSIB Con) SW[1..4] (to Digital I/O BLK)
Interface
SPI (3) (from SPI DIF BLK) O2_CONC (2) (to A/D BLK)
FLW_SENS_BRD_DISC (to FGF Sensors Con)
P_EXP (2) (to A/D BLK)
P_INSP (2) (to A/D BLK)
/LOW_O2_SW HI_PRES_ACTV (to HI PRES BLK) P_PAT (2) (to A/D BLK)
Machine O2_FLUSH ADC_EOC (to A/D BLK) PT_MANIF (2) (to A/D BLK)
Interface HI_PRES (2) (to HI PRES BLK)
Connector
On_Stby (to PWR BLK) I2C (3) (from CPU Con)
DIGITAL I/O BLK EEP_PWR_EN (from Digital I/O BLK )
BUZZER BLK
CS BLK
CPU Con
/HI_PRES_RST (from HI PRES BLK)
LVDS Dual
GND (12) Line Driver
PWR_BKL (4) (from PWR BLK)
with Dual SPI DIF BLK
Line
Receiver
SPI (6) (to SPI DIF BLK)
FLW_DAC
TFS COM (2) RS-422 SPI (3) (to D/A Valves BLK, A/D BLK, Digital I/O BLK)
Transceiver
I2C (3) (to eSIB BLK)
Pins Reserved for USB (2)
FLW_SENS_BRD_DISC (to Digital I/O BLK)
Display Serial Spare #1 (2) (to Test Header) FLW_SENS (to A/D BLK)
CPU Flow Valve
Serial Spare #2 (2) (to test header) Valve_10VA_PWR (to PWR BLK)
FLW_SENSOR_5.8V (from PWR BLK)
Board Drive
Valve_10VA_PWR (from PWR BLK)
Connector eMBC(5) Communications (to E-GAS Con) GIV Drive /MECH_VENT_EN (from Digital I/O BLK)
CPU 5V MON (to Buzzer BLK)
G IV_RET (Low side drive)
Flow Valve Drive A 12-bit DAC is used to control the Inspiratory Flow Valve. The DAC outputs a voltage
Circuitry from 0 to 4.095 volts (nominal). The flow valve driver will deliver 0 to 127.969 mA,
respectively, to a 75-ohm proportional valve. The flow valve driver incorporates a
shutdown control that allows shutdown by over pressure detection circuitry.
SPI Address Generation SPI_CS0, SPI_CS1 & SPI_CS2 are routed through a 3 to 8 decoder. Four chip selects
are generated for the following SPI devices: D/A converter, A/D converter, and two
16-bit I/O ports.
SPI Driver DS90LV049 is a 3V LVDS Dual Line Driver with Dual Line Receiver. This driver accepts
LVTTL/LVCMOS signals and translates them to LVDS signals. On the other hand, the
receivers accept LVDS signals and translate them to 3V LVTTL/LVCMOS signals.
Input/Output Ports The 23S17 is a 16-Bit I/O Expander with Serial Interface. Features:
16-bit remote bidirectional I/O port
I/O pins default to inputs
High speed SPI Interface up to 10 MHz
High Pressure Logic /HI_PRES signal originates from the DPL_SW routed onto the board from the SIB
connector. On the DAQ board it is initialized high and then inverted before it is
called /HI_PRES. During normal operation this signal will be high. If the DPL_SW is
over pressured this signal will become low (active). When active it sets the
HI_PRES_ACTV. When HI_PRES_ACTV is active the flow output will be cleared to zero
flow. If the ESIB connector becomes disconnected the pull-up on the DAQ board will
also cause /HI_PRES_ACTV to become active.
FLW Sensors The power to the flow sensors EEPROM is turned on and off via output port
Communications bit /EEP_PWR_EN. The clock is routed to the flow sensor EPROMs through a MAX3084
high-speed transceiver for RS-485.
2.4.4 Enhanced The Enhanced Sensor Interface Board (ESIB) is the link between the flow transducers,
Sensor Interface the patient airway pressure transducer, the manifold pressure transducer, the oxygen
sensor, the Drive Pressure Limit switch, and the DAQ board.
Board (ESIB)
The ESIB provides an interface for the ACGO switch, the Bag/Vent switch, the canister
release switch, control panel cover switch (ABS On/Off), CO2 bypass switch (hard-
wired On), and breathing circuit ID switches (hard-wired to denote circle system). All of
the switch signals are filtered for EMI immunity and protected against ESD.
Respiratory gas flow, to and from the patient, is monitored by measuring the
differential pressure across a variable orifice in each flow sensor. The pressure
transducers for measuring the differential pressure are on the ESIB. The patient airway
pressure and the pressure in the ventilator manifold are measured by pressure
transducers on the ESIB. Conditioning circuitry is supplied for these transducers and
for the Oxygen sensor used in the breathing circuit.
Bag/Vent
Switch
ABS On
Switch
Canister
Switch
CO2 Bypass Circle
Patient
Circuit
DAQ
Low
Inspiratory Flow INSP
White Transducer
Inspiratory Flow ± 3.5 cmH2O ABS Paw
Sensor Port 1
High
Vent Engine
AB.74.144
Black
Manifold
Patient -20 to 120 DPL
Blue Airway cmH2O Switch
Black
Expiratory Flow Transducer
Sensor
-20 to 120
Yellow cmH2O
Low
Bulkhead
Expiratory Flow Manifold White
Transducer Pressure
± 3.5 cmH2O Transducer
O2 Amplifier
High
Connector
ACGO
EMI Filters and
ESD Suppressors
+5V
Regulator ACGO
+5V E2_PWR
INSP_CLK
EXP_CLK EEPROM SCLK+
INSP_DATA
Clock SCLK-
EXP_DATA
GND Receiver
INSP_DATA
EXP_DATA
BAG_VENT BAG_VENT
Switch / Flow Sensor
CPCVR_OPEN CPCVR_OPEN
Connector
SW1
SW2 SW1
SW3 SW2
SW4 SW3
+12V SW4
SIB_ID
DPL Switch
OVER_PRESS
MANIF
MANIF_RET
Manifold Pressure
INSP
Transducer
INSP_RET
EXP
Inspiratory Pressure Adjustable Gain
Transducer EXP_RET
O2
Noise Exp Exp
Filter IA Buffer O2_RET
O2_DISCONNECT
Airway Pressure Adjustable Gain and Offset +12V
Transducer
AB.74.093
Noise Manif Manif
Filter IA Buffer
+6.0V
+6.0V ANALOG
Adjustable Gain and Offset Regulator
O2 Sensor
Connector
2.5.1 Drive gas Drive gas (O2 or Air) enters the Vent Engine (1) at a pressure of 241 to 690 kPa (35 to
filter and Gas Inlet 100 psi) through a 2-micron filter (2) that is located under the Gas Inlet Valve (3).
Valve During normal operation the Gas Inlet Valve (GIV) is open to let supply gas flow. The GIV
shuts off supply gas to the ventilator under failure conditions detected by the CPU or
over-pressure switch. The output from the GIV stays at the filtered supply gas pressure.
Inspiratory
Flow Control
Valve
Drive 25 psi
1 Gas
@15 LPM
Inlet
Valve
Vent to Amb
Balance
30 psi Regulator Air (opt)
2 Link 25 Link 25
2.5.2 Pressure The pressure regulator (4) is a non-relieving pressure regulator that regulates high
regulator pressure filtered supply gas down to 172 kPa (25 psi).
Inspiratory
4 Flow Control
Valve
200 m
25 psi
@15 LPM
Gas
Inlet Con
Valve 1.0
if co
Vent to Ambient
Balance
Regulator Air (opt)
Link 25
2.5.3 Flow control The flow control valve (5) modulates the incoming 172 kPa (25 psi) drive gas to an
valve output from 0 to 120 liters per minute at pressures ranging from 0 to 100 cm H 2O.
Vent Engine
Atmosphere
Free
Breathing
Check Valve
Mechanical Popoff
Overpressure Valve Valve
5 (110 cm H2O)
Inspiratory
Flow Control
Valve
20
25 psi
@15 LPM
Gas
Inlet C
Valve
if
2.5.4 Drive Gas The Drive Gas Check Valve (6) is used downstream of the flow control valve to create
Check Valve the pilot pressure for closing the exhalation valve during inspiratory phases, The DGCV
is biased shut by an integral weight that supplies approximately 3.5 cm H 2O of bias
(DGCV) pressure before permitting flow downstream to the bellows assembly. When the
ventilator is exhausting flow from the breathing circuit, the DGCV permits the exhalation
valve pilot pressure to be de-coupled from the circuit pressure. This permits the
exhalation valve to open and lets gas flow to the exhaust and the gas scavenging
system.
6 t Engine
Atmosphere
Free
Breathing
Check Valve
Mechanical Popoff
Overpressure Valve Valve
(110 cm H2O)
(1
Drive Gas Check
Valve (3.5 cm Exhalation Valve
H2O bias) (2.0 cm H2O bias)
0-10 LPM
0-10 LPM
Inspiratory 0-20 LPM
Flow Control
Valve
200 mL Reservoir
25 psi
@15 LPM
Gas
Inlet Control Bleed to Amb
Valve 1.0 LPM @ 3.0 cm
if continuous (rate de
V t t A bi t
2.5.5 Bellows The Bellows assembly is the interface between drive gas and patient gas in the
Pressure Relief breathing system. The pressure relief valve (or pop-off valve) in the bellows
assembly (7) controls the pressure in the breathing circuit and exhausts excess patient
Valve gas through the exhalation valve.
The pressure relief valve is normally closed, maintaining approximately 1.5 cm H 2O in
the breathing circuit in a no-flow condition, enough to keep the bellows inflated. It is
piloted closed during inspiration and remains closed until the bellows is refilled during
exhalation. It will exhaust ≤ 4 L/min excess fresh gas flow at ≤ 4 cm H 2O.
ine
Atmosphere
Free
Breathing
Check Valve
hanical Popoff
rpressure Valve Valve
cm H2O)
200 mL Reservoir
25 psi
@15 LPM
Gas
Inlet Control Bleed to Am
Valve
7 @
2.5.6 Exhalation The exhalation valve contains an elastomeric diaphragm that is used along with the
valve flow valve to control the pressures in the breathing circuit. The exhalation valve
includes two male ports on the bottom for:
• Bellows drive gas (8)
• Exhalation valve pilot (9) - (manifold pressure)
The exhalation valve includes three ports on top that connect to the bellows base
manifold:
• Drive gas pass through (10)
• Drive gas return and pop-off valve flow (11)
• APL exhaust flow to scavenging (12)
A port at the back of the exhalation valve (13) connects to the down tube that directs all
the exhaust flows to the scavenging receiver.
The exhalation valve is normally open. Approximately 2 cm H2O of pilot pressure is
necessary to close the valve. When the exhalation port is open, gas flows from the
bellows housing to the scavenging port.
13
mosphere
11
12 ve
10
Popoff
Valve Valve Bag/Ven
(10 cm H2O)
8 9 e Gas Check
e (3.5 cm Exhalation Valve
O bias) (2.0 cm H2O bias)
0-10 LPM Drive Gas
0-10 LPM Patient and Fres
ory 0-20 LPM Total Typical Flow
rol
ve
V t t A bi t
2.5.7 Mechanical The Mechanical Overpressure Valve (MOPV) is a mechanical valve (14) that operates
Overpressure Valve regardless of electrical power. It functions as a third level of redundancy to the
ventilator's pressure limit control functions, supplying pressure relief at approximately
110 cm H2O.
Vent Engine
Atmosphere
Free
Breathing
Check Valve
Mechanical Popoff
Overpressure Valve Valve
(110 cm H2O)
Inspiratory
Flow Control
Valve
200
25 psi
@15 LPM
Gas
2.5.8 Reservoir The reservoir (15) is a 200 ml chamber that dampens the manifold (pilot) pressure
and bleed resistor pulses to the exhalation valve.
The bleed resistor (16) is a “controlled leak” from 0 to 12 l/min in response to circuit
pressures from 0 to 100 cm H2O. The small quantity of pneumatic flow exhausting
through the bleed resistor permits control of the exhalation valve's pilot pressure by
modulation of the valve output. The bleed resistor exhausts only clean drive gas and
must not be connected to a waste gas scavenging circuit. The output is routed away
from the electrical components to make sure that systems using oxygen drive gas meet
the 10VA limitation requirement for oxygen enrichment.
Popoff
e Valve Bag/Vent
(10 cm H2O)
as Check
.5 cm Exhalation Valve
as) (2.0 cm H2O bias)
0-10 LPM Drive Gas
0-10 LPM Patient and Fresh Ga
0-20 LPM Total Typical Flow
15
16
5.4 psi
2.5.9 Free The free breathing valve (17) helps assure the patient can spontaneously breathe. The
breathing valve ventilator is programmed to supply a specified number of breaths per minute to the
patient. If, in between one of these programmed cycles, the patient needs a breath
(spontaneous), the free breathing valve permits the patient to inhale. The free
breathing valve is closed on mechanical inspiration.
Vent Engine
Atmosphere
Free
Breathing
Check Valve
Mechanical Popoff
Overpressure Valve Valve
(110 cm H2O)
17
Inspiratory
Flow Control
Valve
200
25 psi
@15 LPM
Gas
2.5.10 Breathing circuit Two flow sensors are used to monitor inspiratory and expiratory gas flow. The
flow sensors inspiratory flow sensor is downstream of the gas system inspiratory check
valve. Feedback from the inspiratory transducer is used to supply tidal
volumes that make allowances for the effects of fresh gas flow and circuit
compressibility. The expiratory flow sensor is located at the input to the gas
system expiratory check valve. Feedback from the expiratory flow sensor is
used to supply signals for expiratory tidal volume monitoring and the breath
rate.
Patient
Inspiratory
r Flow Sensor
P DP P P P
LS
Manifold Pressure
Trans
Paw Trans
Drive Pressure
Limit Switch
Enhanced Sensor Interface Board
Power Supplies The DAQ board supplies +5.8Vdc to the TFS board. The +5.8Vdc supply is used to
power the flow sensors and to generate the +3.3Vdc supply used on the board.
The +3.3Vdc supply is the main logic interface supply used for all components on the
TFS board.
Power on Reset / Brown The TFS board is designed with a Power-on Reset and brown out protection circuit.
out protection
Microcontroller The TFS board is designed with the Atmel ATmega324P, which is an 8-bit
microcontroller. The design of the board utilizes the UART, I2C, and parallel I/O external
interfaces on the microcontroller. The microcontroller also provides several internal
capabilities such as counters/timers, Watchdog, SRAM, EEPROM, and FLASH program
memory.
The device is programmed only with bootcode at time of board manufacture.
Application code is loaded through the DAQ/TFS cable, which provides RS-422
communication.
UART The board utilizes one UART (UART0) on the microcontroller. The microcontroller
communicates to the transceiver (U3), which translates the signal into an RS-422
signal, which is sent to a host.
I/O The board utilizes three I/O pins on the microcontroller (PB2, PD4, PD5 on the
microcontroller). Each of these pins controls an LED by pulling the line low. The LED’s
are used to indicate functionality and activity on the TFS board.
Internal Memory The ATMega324P has internal SRAM, EEPROM and FLASH memory. The SRAM is
2Kbytes, the EEPROM is 1Kbytes and the FLASH is 32Kbytes.
RS-422 Transceiver The Transceiver on the board (U3) is an RS-422 transceiver. The asynchronous side of
the transceiver is connected to the microcontroller internal UART (UART0). The RS-422
side of the converter connects to the transceiver on the HOST through the DAQ/TFS
cable.
LEDs The TFS board includes 3 LEDs that indicate activity and functionality of the board.
Each LED is connected to an I/O pin on the microcontroller. When the I/O pin on the
microcontroller is pulled low, the LED is lit.
Flow Sensors The TFS board accommodates up to three flow sensors. The communication interface
of the flow sensors to the microcontroller is I2C.
Internal FLASH Memory The ATMega324P has 32K bytes of internal FLASH for Application code, Boot Code,
and Boot Code Revision.
Internal EEPROM The ATMega324P has 1K bytes of internal EEPROM for Assembly Part number, revision,
Memory and compatibility code Assembly Serial number and CRC (last two bytes are not used),
Error Log Index and Error Log.
- !
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+//&} 0
#*
(&
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':++ ':++
#!.
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#5 !"
1:
1~( (&
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2.7.1 Overview Refer to Figure 2-21 for the related pneumatic circuit diagram and to Figure 2-22 for
typical tubing connections between components.
Gas supplies Gas comes into the system through a pipeline (2) or cylinder (4) connection. All
connections have indexed fittings, filters, and check valves (one-way valves). Gauges
show the pipeline (1) and cylinder (3) 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 adequate, keep the cylinder valve closed.
O2 flow Pipeline or regulated cylinder pressure supplies O2 directly to the ventilator (7a for O2
drive gas) and the venturi suction (21a for O2 drive gas) supply connection. An
additional regulator (13) decreases the pressure for the flush valve (14a) and the
auxiliary flowmeter (25).
The flush valve supplies high flows of O2 to the fresh gas outlet (26 or 27) when you
push the flush button. The flush pressure switch (14b) monitors activation of the flush
valve.
When the system switch (8) is On, O2 flows to the rest of the system. If present, the O2
flow is directed through the O2 flow sensor (30a) in the optional TFS module (F).
A secondary regulator (10) supplies a constant O2 pressure to the O2 flow control valve
(11). There is a minimum flow of 25 to 75 mL/min through the O 2 flowmeter (12).
The O2 pressure switch (9) monitors the O2 supply pressure. If the pressure is too low,
an alarm appears on the ventilator display.
Air and N2O flow Pipeline or regulated cylinder pressure supplies Air directly to the ventilator (7b for Air
drive gas) and the venturi suction (21b for Air drive gas) supply connection.
When the system switch (8) is On, Air flows through the Air TFS sensor (30b if present)
to the Air flow control valve (19). Because there is no balance regulator, air flow
continues at the set rate during an O2 supply failure.
A balance regulator (15) controls the N2O supply pressure to the N2O flow control
valve (16). The O2 secondary regulator pressure at a pilot port controls the output of
the balance regulator. The N2O output pressure drops with decreasing O2 supply
pressure and shuts off hypoxic gas flow before the O2 supply pressure reaches zero.
A chain link system (Link-25) on the N2O and O2 flow controls (16, 11) helps keep the
O2 concentration higher than 21% (approximate value) at the common gas outlet.
Mixed gas The mixed gas goes from the flowmeter outlet, through the vaporizer manifold (D) and
vaporizer (23) that is On, to the ACGO selector switch (E). A pressure relief valve (24)
limits the maximum outlet pressure.
The ACGO selector switch directs the mixed gas to the selected circuit — to the
breathing system (26) or to the ACGO (27).
N2O Air O2 O2
4 4 4 4
3 3 3 3
25
5 5 5 5
A A A A
28 28 28 28
2 2 2
B B B
6 1 6 1 6 1
21b 21a
7b 7a
13
8 14a
F
30a 30c 30b
C 14b E
9 10 15
29
29 29
11 Link 25 16 Link 25
19 26
to ABS
12 17 20 27
to ACGO
D
24
22 22
22 22
AB.74.133
A. Cylinder Supplies
B. Pneumatic Manifold
C. Flowmeter Head
D. Vaporizer Manifold
E. ACGO Select Switch
F. Total Flow Sensor (optional) 23 23
2.7.2 Physical Figure 2-22 shows the physical path that the gas takes.
connections
C - Flowmeter
AB.74.135
22 22 12 17 20
D - Vaporizer Manifold
24 9 27
14a E ACGO
11 16
10 15 19 14b
O2 N2O Air
29 29 29 26
ABS
TFS
(optional) 30a 30c 30b
13
8
1 1 1
3 3
25
AUX O2
B
2 N2O 6
B Vacuum
2 O2 6
Suction
Regulator
B
2 Air 6
5 5 Suction
21
7b 4 4
28 28
21
7a A A
Vent Drive
SCM
A
Venturi Drive Gas
Air or O2 B
CV
VM
Suction
C
AB.74.049
2.7.4 System The system switch has two positions: On and Standby.
switch
System Switch
(electrical)
System Switch
(pneumatic)
O2 Out (Port 4)
Air In (Port 3)
O2 In (Port 3)
(Rear View)
2.7.5 Flow control Needle valves (one for each gas) adjust gas flows. Clockwise rotation decreases flow.
Counterclockwise increases flow. Mechanical stops set minimum flows for all gases.
The link system sets the maximum ratio of N2O to O2.
w WARNING The Link 25 Proportioning System sets a minimum O2 concentration in the fresh
gas stream when only O2 and N2O are used. Use of an absorber or another gas
can still cause a hypoxic mixture to be delivered to the patient, especially at low
O2 flow rates.
Minimum flows At minimum flow, two tabs prevent clockwise rotation of the valve stem. One tab is on
the stop collar; the other is on the valve body.
Valve
Stem
Stop
Collar
Link system The chain link system helps assure an approximate minimum 1 to 3 ratio of flow
between O2 and N2O. When engaged (minimum O2 concentration), a tab on the O2
knob is in contact with a tab on the O2 sprocket so that the O2 and N2O knobs turn
together:
• an increase in N2O flow causes an increase in O2 flow,
• a decrease in O2 flow causes a decrease in N2O flow.
Linkage Tabs
O2 Knob
Note For systems with the optional Total Flow Sensor module, the TFS module performs flow
monitoring only; it does not control flow delivery.
Higher concentrations of O2 are possible when the link system is not engaged: either by
reducing the N2O flow below the point of engagement or by increasing O 2 flow above
the point of engagement.
When the N2O flow is below the point of engagement, increasing the N 2O flow turns the
O2 sprocket without changing the O2 flow. At the point of engagement, the tab on the
O2 sprocket makes contact with the tab on the O2 knob. Once the linkage is engaged,
turning the N2O flow control counterclockwise (increase in N2O flow) also turns the O2
knob counterclockwise (increase in O2 flow) to maintain a nominal 25% minimum O2
concentration.
Decreasing the N2O flow from the engagement point rotates the tab on the O2 sprocket
away from the tab on the O2 knob. Increasing the O2 flow rotates the knob tab away
from the sprocket tab. Either action increases the O2 concentration above 21%.
Sufficiently decreasing O2 flow or increasing the N2O flow brings the two tabs back into
contact and engages the linkage.
The kick-in point is defined as the N2O flow at which the N2O valve becomes engaged
with the O2 valve flowing at 200 mL/min. This engagement point is an arbitrary
benchmark that assists in calibrating the proportioning system. The position of the
kick-in is set in the factory. During field calibration, you set the O 2 flow to 200 mL/min
and the N2O flow to the kick-in flow (usually in the range of 400 to 700 mL/min) and
then install the sprockets with the O2 knob/sprocket engaged.
Manual inspiration The Bag/Vent switch closes the ventilator path (B)..
Gas flows from the bag (1), through the absorber (2), into the breathing circuit module,
and through a unidirectional valve (inspiratory check valve) to the patient (3).
During inspiration, fresh gas (FG) flows from the machine into the inspiratory limb,
upstream of the inspiratory check valve.
AP
FG
B
3
1 2 3
AB.82.026
1
AP Airway Pressure
B Bag/Vent switch to Bag
FG Fresh Gas
1 Flow to absorber
2 Flow from absorber
3 Inspiratory flow
Manual expiration The Bag/Vent switch keeps the ventilator path closed (B).
Gas flows from the patient (4), through a unidirectional valve (expiratory check valve),
and into the bag (5).
During exhalation, fresh gas flows backwards through the absorber (FG) into the
expiratory limb, downstream of the expiratory check valve.
For machines that are plumbed to return sample gas to the breathing system, the
returned gas (SGR) enters the breathing system after the expiratory check valve.
AP
FG
SGR
5
B
AB.82.027
5
FG
AP Airway Pressure
B Bag/Vent switch to Bag
FG Fresh Gas
SGR Sample Gas Return
4 Expiratory flow
5 Flow to bag
APL Valve The APL valve sets a pressure limit for manual ventilation.
As you turn the APL knob, it puts more or less force on the APL disc and seat (D/S). If
the circuit pressure is too high (6), the disc and seat inside the diaphragm opens and
vents gas to the scavenging system (7).
D/S
7 6
7
AB.82.028
7
Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the
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) to the patient
(3).
During inspiration, fresh gas flows into the inspiratory limb, upstream of the inspiratory
check valve.
AP
D
FG
1 V
AB.82.029
P
2
AP Airway Pressure
D Drive gas
FG Fresh Gas
P Pilot pressure
V Bag/Vent switch to Vent
1 Flow to absorber
2 Flow from absorber
3 Inspiratory flow
Mechanical expiration Drive-gas flow stops and the exhalation valve opens. Exhaled gas flows from the
patient (4), through a unidirectional valve (expiratory check valve) and into the bellows
(5). Residual drive gas (D) flows out of the bellows to the scavenging system (6).
If PEEP is selected, static pressure on the pilot port of the exhalation valve sets the
PEEP level.
During exhalation, fresh gas flows backwards through the absorber (FG) into the
expiratory limb, downstream of the expiratory check valve.
For machines that are plumbed to return sample gas to the breathing system, the
returned gas (SGR) enters the breathing system after the expiratory check valve.
AP
FG
SGR
D
5 5
AB.82.030
FG
AP Airway Pressure
D Drive gas
FG Fresh Gas
SGR Sample Gas Return
4 Expiratory flow
5 Flow to bellows
6 To scavenging
Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the
(EZchange and exhalation valve.
condenser Drive gas (D) pushes down on the bellows. Gas flows from the bellows (1), through the
ON) absorber (2a), Condenser (2b), and through a unidirectional valve (inspiratory check
valve) to the patient (3).
During inspiration, fresh gas flows into the inspiratory limb, upstream of the inspiratory
check valve.
AP
D
FG
1 V
D
2b
P
2a
AB.82.081
AP Airway Pressure
D Drive gas
FG Fresh Gas
P Pilot pressure
V Bag/Vent switch to Vent
1 Flow to absorber u
2a Flow from absorber
2b Flow from condenser
3 Inspiratory flow
Figure 2-29 • Mechanical inspiration through Condenser with EZchange Canister and Condenser ON
Mechanical expiration Drive-gas flow stops and the exhalation valve opens. Exhaled gas flows from the
(EZchange and patient (4), through a unidirectional valve (expiratory check valve) and into the bellows
condenser (5). Residual drive gas (D) flows out of the bellows to the scavenging system (6).
ON) If PEEP is selected, static pressure on the pilot port of the exhalation valve sets the
PEEP level.
During exhalation, fresh gas flows backwards through the Condenser and absorber
(FG) into the expiratory limb, downstream of the expiratory check valve.
For machines that are plumbed to return sample gas to the breathing system, the
returned gas (SGR) enters the breathing system after the expiratory check valve.
AP
FG
SGR
D
5 5
6
FG
AP Airway Pressure FG
D Drive gas
AB.82.083
FG Fresh Gas
SGR Sample Gas Return
4 Expiratory flow
5 Flow to bellows
6 To scavenging
Figure 2-30 • Mechanical expiration through Condenser with EZchange Canister and Condenser ON
Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the
(EZchange and exhalation valve.
condenser Drive gas (D) pushes down on the bellows. Gas flows from the bellows (1), through the
OFF) EZchange module bypassing the absorber (2), and through a unidirectional valve
(inspiratory check valve) to the patient (3).
During inspiration, fresh gas flows into the inspiratory limb, upstream of the inspiratory
check valve.
AP
D
FG
1 V
3
2
D
P
AP Airway Pressure
D Drive gas
FG Fresh Gas
AB.82.082
P Pilot pressure
V Bag/Vent switch to Vent
1 Flow to absorber
2 Bypass flow
3 Inspiratory flow
Figure 2-31 • Mechanical inspiration with EZchange Canister and Condenser OFF
Mechanical expiration Drive-gas flow stops and the exhalation valve opens. Exhaled gas flows from the
(EZchange and patient (4), through a unidirectional valve (expiratory check valve) and into the bellows
condenser (5). Residual drive gas (D) flows out of the bellows to the scavenging system (6).
OFF) If PEEP is selected, static pressure on the pilot port of the exhalation valve sets the
PEEP level.
During exhalation, fresh gas flows backwards through the EZchange module (FG) into
the expiratory limb, downstream of the expiratory check valve.
For machines that are plumbed to return sample gas to the breathing system, the
returned gas (SGR) enters the breathing system after the expiratory check valve.
AP
FG
SGR
D
5 5
6
FG
AP Airway Pressure
D Drive gas
AB.82.084
FG Fresh Gas
SGR Sample Gas Return
4 Expiratory flow
5 Flow to bellows
6 To scavenging
Figure 2-32 • Mechanical expiration with EZchange Canister and Condenser OFF
Pop-off valve The pop-off valve limits the pressure inside the bellows to 2.5 cm H 2O above the drive
gas pressure. This normally occurs when the bellows reaches the top of the housing at
the end of exhalation (5).
Excess gas (6) vents to the scavenging system (7) through the pop-off valve and the
exhalation valve.
5 5
AB.82.031
7
5 Flow to bellows
6 Pop-off flow
7 To scavenging
To ABS breathing Fresh gas (1) flows from the vaporizer manifold outlet to the ACGO Selector Switch.
system With the ACGO Selector Switch in the ABS position, fresh gas flow is channeled to the
breathing system through port 3.
The O2 supply (2) is channeled to the O2 Flush valve.
When activated, O2 flush flow joins the fresh gas flow in the ACGO Selector Switch.
From
O2 Supply
From
Flowhead
1
ABS
Absorber
AB.91.120
2 5.4 psi
O2 Flush
Switch
ACGO
Selector
Switch O2
3 Sensor
1 Insp Flow
AB.74.060
1
Paw Trans
ACGO
Selector
Switch ACGO
ACGO
Variant
Auxiliary Common Gas Fresh gas (1) flows from the vaporizer manifold outlet to the ACGO Selector Switch.
Outlet With the ACGO Selector Switch in the ACGO position, fresh gas flow is channeled to the
ACGO outlet.
At the ACGO outlet, a small sample is diverted to the O 2 Sensor in the ABS for O2
monitoring.
The O2 supply (2) is channeled to the O2 Flush valve.
When activated, O2 flush flow joins the fresh gas flow in the ACGO Selector Switch.
From
O2 Supply
From
Flowhead
O2 Cell
Absorber
O2 Sense
AB.91.121
2 5.4 psi
O2 Flush
Switch ACGO
Selector
Switch
O2
3 Sensor
ACGO 1 Insp Flow
AB.74.061
1
Paw Trans
ACGO
Selector ACGO
Switch ACGO
Variant
w WARNINGS After any repair or service of the system, complete all tests in this section.
If a test failure occurs, make appropriate repairs and test for correct operation.
w WARNING Do not leave gas cylinder valves open if the pipeline supply is in use.
Cylinder supplies could be depleted, leaving an insufficient reserve
supply in case of pipeline failure.
Before testing the system, ensure that:
• The equipment is not damaged.
• Components are correctly attached.
• The breathing circuit is correctly connected, not damaged.
• Pipeline gas supplies are connected.
• Cylinder valves are closed.
• Models with cylinder supplies have a cylinder wrench attached to the
system.
• Models with cylinder supplies have a reserve supply of O 2 connected to
the machine during system checkout.
• The casters are not loose and the brakes are set and prevent movement.
• The power cord is connected to a wall outlet. The mains indicator comes
on when AC Power is connected.
w WARNING Do not leave gas cylinder valves open if the pipeline supply is in use.
Cylinder supplies could be depleted, leaving an insufficient reserve
supply in case of pipeline failure.
5. Connect the pipeline supplies one at a time and ensure that the
corresponding gauge indicates pipeline pressure.
Set the O2 flow Set the Air flow (L/min) O2 monitor range
(L/min)
4.0 3.0 61% to 71%
3.5 6.0 45% to 55%
1.5 8.0 28% to 38%
Possible Causes of Failure • Large leak in breathing system (if long filling time).
• Flush regulator setting (Section 5.7).
• Flush regulator cross-connection (if long filling time).
• ACGO selector valve inlet cross-connection (if short filling time).
From To
O2 Supply O2 Flush Valve
(and optional Auxiliary O2 Flowmeter
O2 Flush Output
ACGO
Selector
Switch
From
Vaporizer Manifold
w WARNING Do not use a system with a low-pressure leak. Anesthetic gas will go into
the atmosphere, not into the breathing circuit.
ACGO Outlet
4. Turn off all vaporizers.
5. Test the anesthesia machine for low-pressure leaks:
a. Open the flow controls one and a half turns counterclockwise.
b. Connect the test device to the ACGO outlet.
c. Compress and release the bulb until it is empty.
d. The vacuum causes the floats to move. This is usual. If the bulb
completely inflates in 30 seconds or less, there is a leak in the low-
pressure circuit.
6. Test each vaporizer for low-pressure leaks:
a. Set the vaporizer to 1%.
b. Repeat step 5.
c. Set the vaporizer to OFF.
d. Test the remaining vaporizers.
7. Disconnect the test device.
8. Turn all flow controls fully clockwise (minimum flow). Do not over tighten.
w WARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test (1 l/min
for one minute).
Turn off all vaporizers at the end of the low-pressure leak test.
9. Flush the system with O2:
a. Set the system switch to On.
b. Set the O2 flow to 1 l/min.
c. Continue the O2 flow for one minute.
d. Turn the O2 flow control fully clockwise (minimum flow).
e. Set the system switch to Standby.
w CAUTION Do the positive pressure leak test at the ACGO outlet only.
1. Set the ACGO selector switch to ACGO.
2. Turn all flow controls fully clockwise (minimum flow).
3. Using the positive pressure leak test adapter, connect the ISO or BSI
specific leak test device to the ACGO outlet. Push the adapter into the
ACGO outlet throughout the test to get a good seal.
.5
1.5
1
.4
.5
2
.3
L/min O2
2.5
.2
0
.1
kP
3
(Top View) (Front View)
3.5
4. Keep flowmeter of the test device vertical for accurate results.
5. Fully open the needle valve on the test device (counterclockwise).
w CAUTION If the needle valve is not fully open, this test can damage the pressure
gauge on the test device.
6. Set the system switch to On.
7. Open the O2 flow control and set a total flow of 0.4 l/min through the
flowmeter on the test device.
8. Make sure that the pressure gauge on the test device reads zero and that
all other flow controls are fully closed.
9. Close the needle valve on the test device until the test gauge reads:
ISO 5358 3 kPa
BSI 4272.3 20 kPa
w WARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test (1 l/min
for one minute).
Turn all vaporizers OFF at the end of the low-pressure leak test.
14. Flush the system with O2:
a. Set the system switch to On.
b. Set the O2 flow to 1 l/min.
c. Continue the O2 flow for one minute.
d. Turn the O2 flow control fully clockwise (minimum flow).
e. Set the system switch to Standby.
Check Valves 3. Make sure that the check valves on the breathing circuit module work
correctly:
a. The Inspiratory check valve rises during inspiration and falls at the start
of expiration.
b. The Expiratory check valve rises during expiration and falls at the start
of inspiration.
Service Mode Tests 5. Enter the Service Mode: Push and hold the adjustment knob on the
ventilator’s display and set the system switch to On.
a. Select and confirm “Service Mode”.
b. Select and confirm “Breathing System Leak Test” (Section 4.3.6).
c. Follow the instructions on the screen.
d. The leak rate should be less than 200 ml/min.
Note: If test fails, see Section 7.2, “Breathing System Leak Test Guide”.
w WARNING Make sure that there are no test plugs or other objects caught in
the breathing system.
If the indicator is not on, the display assembly is not receiving power.
• Verify AC power to the machine (reset circuit breaker).
• Check fuses in machine’s isolated secondary (toroid output).
2. Set the system switch to On.
3. Unplug the power cord with the system turned on.
4. Make sure that the power failure alarm comes on.
5. Make sure the following message is on the ventilator display:
• “Plug in power cable. On Battery”.
6. Connect the power cable again.
7. Make sure the alarm cancels.
2. Make sure that the resistance to ground is less than 0.2Ω between an
exposed metal surface and the ground pin on the power cord.
w WARNING Post-Service Checkout is required after you complete this section. You must
perform Section 3.1 Post-service checkout after performing any maintenance,
service or repair. Failure to do so may result in patient injury.
In this section To ensure proper operation, the system includes several tests that run automatically
(self tests) and a series of menu pages that a qualified service person can use to test,
calibrate, or troubleshoot ventilator related components in the machine (Service Mode).
4.1 Self tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
4.2 Service Mode Confirmation menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
4.3 Main Menu - Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
4.3.1 Alarm Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
4.3.2 Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6
4.3.3 Test GIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7
4.3.4 Test Drive Pressure Limit Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8
4.3.5 Test Serial Ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
4.3.6 Breathing System Leak Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
4.3.7 Display A/D Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
4.3.8 Display Discrete I/O Signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
4.3.9 Display Battery Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
4.3.10 Display TFS Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
4.3.11 Test Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
4.3.12 Flow Valve Test Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19
4.3.13 Adjust Drive Gas Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
4.3.14 Software Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21
4.3.15 O2 Calibrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
4.3.16 Calibrate Flow Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
4.3.17 Calibrate Flow Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
4.3.18 Bleed Resistor Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
4.3.19 Service Calibrations Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26
4.3.20 System Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27
4.3.21 User Select Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
4.3.22 Option Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
4.1 Self tests The system software includes self tests that determine whether the operating
software is functioning properly and whether the electronic circuits on the
circuit boards are functional.
The self tests include:
• Powerup tests
• Continuous tests
• Periodic tests
Continuous tests These tests are run continuously during normal operation and alarms are
associated with each test. A failure causes an alarm to display on the screen
in the alarm display area.
• Flow valve electrical feedback
• Supply voltage checks
• Battery voltage checks
The flow valve feedback signal is tested in non-mechanical and mechanical
ventilation states. The flow valve is closed in non-mechanical ventilation.
6.15 06.00v16
Any menu can be selected by pressing the control knob. The software version,
software date, and total system hours at the top of the Service Mode main
menu are not selectable.
Go to Normal Operations Provides the means to exit the service mode via system reset.
4.3.1 Alarm Log The Alarm Log displays up to 10 of the most current alarm messages that have
been logged. Each log entry shows:
• Bootup Count - number (the bootup count is incremented each time the
machine is turned on).
• Time (ms) - the time in milliseconds since bootup when the latest alarm
condition occurred.
• # Times - the number of times that the specific alarm condition has occurred
during the noted bootup count.
• Alarm - message associated with the particular alarm condition.
Clear Alarm Log Select to clear the alarm log. The system will ask you to confirm that you want
to clear the log.
The error address and software revision are important pieces of information to
note if technical support is required.
The bottom left corner of the screen displays additional information:
• Bootup Count Last Cleared
• Current Bootup Count
Clear Error Log To clear the error log, select “Clear Error Log”. The system asks you to confirm
that you want to clear the error log.
4.3.3 Test GIV To test the GIV (gas inlet valve) the software first closes the GIV and opens the
flow valve to the calibrated flow of the bleed resistor and waits for the flow to
stabilize (about 2 seconds).
Once the flow is stabilized, the software checks to see if manifold pressure
has dropped to less than 0.5 cm H2O. If manifold pressure does not drop
below 0.5 cm H2O, the test fails.
GIV Test FAIL instructions Failure can be caused by a valve or DAQ board malfunction.
Use a multimeter to measure the resistance of the GIV solenoid;
it should be approximately 75 ohms.
• If necessary, replace the GIV solenoid (Section 9.25.2).
Use a multimeter to measure the voltage at the inlet valve connector on the
pneumatic connection board. The voltage should be between 11.82 and
12.90 volts when the GIV is powered open.
• If the voltage is between 11.82 and 12.90 volts,
service the GIV (Section 9.25.3).
• If the voltage is less than 11.82 volts,
replace the DAQ board (Section 9.24.1).
4.3.4 Test Drive Pressure The software tests the pressure limit switch to make sure that it trips at the
Limit Switch correct manifold over pressure. The software opens the flow valve to a value
where pressure continues to increase. It then waits for the DPL (Drive Pressure
Limit) switch to trip. The pressure at which the DPL switch tripped is indicated.
If the DPL switch never trips (within 15 seconds) the test fails. If the DPL switch
does not trip at a pressure within the correct tolerance, the test fails.
Drive Pressure Limit Switch FAIL 1. Go to the Discrete I/O signal menu and check the DPL (Drive Pressure Limit)
instructions switch status (Off).
2. Remove the tabletop (Section 9.3).
3. Disconnect the black inline connector for the DPL switch tubing.
4. Connect a pressure test device to the DPL switch side of the open tubing.
5. Apply 104 +5/-4 cm H2O (76.5 +3.8/-2.9 mm Hg) to activate the switch.
Verify status change on the I/O signal screen (On).
6. If problem continues, replace ESIB.
DPL switch
tubing
4.3.5 Test Serial Ports The display unit includes two serial port:
• a Public Port (Com 2), which is a standard RS-232 serial port.
• a Proprietary Port (Com 1), which is used to download software.
Each port can be tested separately or both ports can be tested together.
3 2 6
13
Each test routine sets up the serial port circuits so transmitted data is echoed
directly back to the receive circuits. The test fails if the data sent out is not
equal to the data received.
If either test fails, replace the CPU board (Section 9.24.1).
4.3.6 Breathing System The Breathing System Leak Test allows you to test the ventilator portion of the
Leak Test breathing circuit for leaks.
Note For the breathing system leak test to function correctly, the flow valve must be
calibrated (see section 4.3.17).
By using the patient circuit to establish a closed loop, you can measure the
leak rate.
• The leak rate is the fresh gas flow needed to maintain 30 cmH2O.
• The system should have a leak rate <200 mL/min.
4.3.7 Display A/D The software displays the A/D values for each of the A/D channels.
Channels
Remarks This selection displays a listing of A/D Channels which are at various values
depending upon the set parameters.
Refer to the following table for additional details for each of the displayed
channels.
Inspiratory Flow2 1800-2300 Near Zero l/min -120 to 120 l/min Zero Offset Reading (nominal 2050
Counts)
Expiratory Flow2 1800-2300 Near Zero l/min -120 to 120 l/min Zero Offset Reading (nominal 2050
Counts)
Airway Pressure2 550-1050 Near Zero cm H2O -20 to 120 Zero Offset Reading (nominal 800 Counts)
cmH2O
Manifold Pressure2 550-1050 Near Zero cm H2O -20 to 120 Zero Offset Reading (nominal 800 Counts)
cmH2O
O2 Concentration 0-4095 0 to 100% Count weight and limits are determined
during O2 calibration
Flow Current Sense 0-4095 0 to 125 mA
Flow DAC Feedback 0-4095 0 to 4.095 V
+12V SIB Supply 1779-2322 10.47 to 13.55 V +12V SIB Supply
5.8 Voltage Test 1997-2565 4.95 to 6.35 V
Analog Ground Test 0.000 to 0.015 V
Flow Sensor +5.8V Test 5.21 to 6.09 V
Backligh(t) Power Test 9.35 to 13.65 V
Battery Current 700-4000 -0.6 to 6.0 A -300 to -600 mA = Battery charging.
>[-600] mA = Battery charger fail.
>300 mA = Plug in power cable. On battery.
>6 A = Battery current high.
Battery Voltage 1740-3976 7.0 to 16 V <7 V = Battery failure low.
<11.65 V = Low battery voltage.
>16 V for 10s = Battery failure high.
4.3.8 Display Discrete The Discrete I/O Signals menu displays discrete binary signals associated with
I/O Signals machine switch positions.
There are several types of switches in the machine:
• some switches are mechanically operated
• some switches are pneumatically operated
• some switches are electronic
4.3.9 Display Battery The software displays the battery charge status. This checks the battery
Status charge current.
Note: A negative current value means the battery is charging.
4.3.10 Display TFS Status The Display TFS Status menu shows the flows seen by the Total Flow Sensor
(TFS) module. It also reports the status of the individual sensors.
If the “Module status” reads “Module not detected” and there is a module
connected, check that the cable between the DAQ board and the TFS module
is properly plugged in.
0x******08 O2 Flow Sensor measuring greater than the max allowed flow. Decrease O2 flow
and verify that the flow measurements track with it. If the flow measurements do
not change as the flow is decreased, replace the O2 Flow Sensor.
0x****03** AIR Flow Sensor CRC error. Replace the AIR Flow Sensor.
0x****08** AIR Flow Sensor measuring greater than the max allowed flow. Decrease AIR flow
and verify that the flow measurements track with it. If the flow measurements do
not change as the flow is decreased, replace the AIR Flow Sensor.
0x**03**** N2O Flow Sensor CRC error. Replace the N2O Flow Sensor.
0x**08**** N2O Flow Sensor measuring greater than the max allowed flow. Decrease N2O flow
and verify that the flow measurements track with it. If the flow measurements do
not change as the flow is decreased, replace the N2O Flow Sensor.
0x01 O2 Flow Sensor is not installed or functioning. If a sensor is installed and reporting
0xFF, replace the sensor.
0x01 AIR Flow Sensor is not installed or functioning. If a sensor is installed and reporting
0xFF, replace the sensor.
0x01 N2O Flow Sensor is not installed or functioning. If a sensor is installed and
reporting 0xFF, replace the sensor.
Note If all installed sensors are not active, check that the cable is plugged into the
TFS and DAQ board. If this does not address the issue, replace the TFS board.
4.3.11 Test Keypad In the Test Keypad menu, the software is set up to receive keyboard button
presses and rotary encoder turns.
Press each button and turn the encoder one full turn in both directions.
When a button is pressed and held, the icon on the screen next to the button
will contain an “x”.
After testing all the buttons and the control knob, select “Test Encoder Knob
Turn”.
As you turn the encoder knob, verify that:
• each click of the encoder in the clockwise direction increments the clockwise
total.
• each click of the encoder in the counterclockwise direction increments the
counterclockwise total.
Remarks If any of the selected buttons fail the test, replace the corresponding
membrane switch assembly (Section 9.23.7). If the encoder knob test fails,
replace the rotary encoder assembly (Section 9.23.2).
4.3.12 Flow Valve Test The Flow Valve Test Tool is available for test and troubleshooting purposes
Tool only. It allows you to manually control the flow valve setting from 0 (closed) to
120 LPM, in 1 LPM increments, and observe key pressure and flow
measurements on the same screen.
This is mainly used to test the drive gas circuit and MOPV valves as detailed in
the MOPV test procedure (Section 6.4). However, it can also be used for other
troubleshooting procedures whenever a set flow is required.
Note The flow will be set to zero upon entering this screen.
Use the ComWheel/encoder to set and confirm a flow setting.
The flow does not turn off automatically; set/confirm the flow to zero to stop
flow.
4.3.13 Adjust Drive Gas The Adjust Drive Gas Regulator procedure establishes the required flow rate
Regulator through the drive gas regulator for proper calibration.
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 (shown below) and performing the above procedure.
If required, adjust the regulator to 172 ±1.72 kPa (25 ±0.25 psi) through the
access hole in the Vent Engine cover (Refer to section 9.25.1).
4.3.14 Software Upgrade The Software Upgrade menu is used with the Software Update Utility to load
Aespire View system software.
Refer to Section 8 for details.
4.3.15 O2 Calibrations The O2 Calibrations take into account the altitude setting. Before starting the
calibrations, ensure that the altitude setting (in Calibrations/System
Configuration) is set to the appropriate altitude for the machine location.
Note: Ensure that the ACGO switch is in the ABS position.
For the 21% O2 calibration, software reads the A/D value for the O2 sensor
when the O2 sensor is exposed to room air (21% O2).
• If this A/D value is not within the tolerance, the calibration fails.
• If the calibration passes, the A/D value is stored in the EEPROM.
The sensor must be calibrated at 21% O2 before calibration at 100% O2.
Remarks Remove the O2 sensor from the breathing system and expose it to room air.
The displayed reading should be 21% ±2% to pass the calibration
requirements.
Reinstall the sensor that passed the 21% test in the breathing system and
expose it to 100% O2
• Ensure that the patient port (Insp) is not blocked; O2 must flow past the
O2 sensor to complete the calibration.
Select “Start 100% O2 Calibration” to begin test.
If it displays readings higher or lower than required to pass, replace the
sensor.
4.3.16 Calibrate Flow The software calibrates the inspiratory flow, expiratory flow, airway pressure
Sensors and manifold pressure transducers for zero flow/pressure offset voltage. It
does so by reading the A/D values for inspiratory flow, expiratory flow, airway
pressure and manifold pressure when the flow sensor module has been
disconnected from the bulkhead connector. If the A/D values are not within
the correct tolerance, the calibration fails. If the calibration passes, the offset
A/D values at which the inspiratory flow, expiratory flow, airway pressure and
manifold pressure transducers were calibrated at, are stored in the EEPROM.
Remarks Check that the Bag/Vent selection switch is in the vent position. If the flow
valve calibration test fails immediately, the most likely fault is a failed
manifold transducer. It can also be a failed regulator or the regulator could
need calibration. Another cause could be a failed flow valve.
Calibration procedure
Follow the instructions on the screen to complete the calibration:
• Set the drive gas
• Set the altitude
• Calibrate the Flow Valve
• Start Calibration
Software procedure
The software performs the calibration as follows:
1. Opens the flow valve to the high-pressure starting point
(where manifold pressure is 91-92 cm H2O).
2. Waits for the pressure to stabilize.
3. Once the pressure is stabilized, sets the flow to a predetermined level.
4. Wait for the pressure to stabilize.
5. Repeat steps 1-4, replacing step 3 with progressively smaller flows.
There are 17 points that are calculated for the bleed resistor calibration. If the
calibration passes, the calculated bleed resistor calibration points are stored
in EEPROM.
Remarks If the bleed resistor calibration test fails, check altitude and drive gas settings.
Ensure that the breathing circuit gas is exhausting out the scavenging port
during the test. A negative finding indicates a massive circuit leak. Check for
proper regulator pressure calibration. Ensure that the Flow Valve Cal test was
conducted properly. Otherwise, failure indicates a calibration problem with
the flow valve.
4.3.19 Service The Schedule Service Calibrations menu lists which setting or calibration
Calibrations Required must be performed when the “Service Calibration” alarm appears in normal
operation. After the setting or calibration is properly completed, the text for
that setting or calibration is removed from the list.
Altitude
Remarks The Set Service Calibration menu item is used by the factory to activate the
Service Calibration alarm and require that all settings and calibrations be
performed when the Aespire View machine is set up for operation at its
permanent location.
There is no need to set the “Service Calibration” alarm in the field.
Select “No” when the following warning appears if you selected the
“Set Service Cal” menu item.
If you select “Yes”, you will have to perform all the calibrations listed on the
“Service Calibrations Required” screen.
4.3.20 System The System Configuration menu includes settings that are tailored to the
Configuration specific machine.
Drive Gas Either O2 or Air can be used as the drive gas for the ventilator’s pneumatic
engine. To compensate volume calculations for the specific density of the
drive gas used, the drive gas selection on this menu must match the actual
drive gas.
To change the actual drive gas, refer to Section 9.26.
w CAUTION If you change the drive gas, you must also change the drive gas selection
on this service setup screen. If the drive gas selection and the actual
drive gas do not agree, volumes will not be correct.
MV Alarm Limits The setting for MV Alarm Limits determines how the MV Alarm Limits are set:
• If MV Alarm Limits is set to User Adjustable, the user sets the limits on the
Alarm Settings menu.
• If MV Alarm Limits is set to Automatic, the ventilator software calculates the
high and low MV alarm limits and sets them to ±20% of the set MV. The user
is still able to change the limits through the Alarm Settings menu in the Main
Menu.
Language The text shown in the normal mode of operation is language sensitive.
However, the service confirmation and calibration modes are shown in
English.
• Chinese
• Czech
• Danish
• Dutch
• English
• Estonian
• Finnish
• French
• German
• Greek
• Hungarian
• Italian
• Japanese
• Korean
• Norwegian
• Polish
• Portuguese
• Russian
• Spanish
• Swedish
• Turkish
Color Use the color configurations to set the desired color for a parameter and its
associated waveform or reset the colors to the factory default.
TFS Gas Settings This menu defines the gases that are to be enabled. This setting should match
the hardware installed on the machine.
If a sensor is installed on the machine but not enabled on this menu, the flow
measurement will not be displayed.
4.3.21 User Select The User Select Defaults menu determines the control settings used by the
Defaults system at power up.
Settings related to optional ventilation modes will only appear in the User
Select Defaults if the optional modes are active. These settings include:
• Rate for SIMV and PSVPro
• Trig Window
• Flow Trigger Level
• End of Breath
• Tinsp
Powerup/End Case Settings If Last Case is selected, the system saves settings when the unit is turned off
and powers up with the same settings. If Facility Defaults is selected, the
system powers up with the default facility settings and returns to default
settings when End Case is selected.
w CAUTION Ask the customer BEFORE changing any default settings. Make sure that
they understand these options can only be set in Service Mode.
The following parameters may be set in User Select Defaults:
• Alarm Volume
• Ventilation Mode
• Tidal Volume (TV)
• Inspired Pressure (Pinsp) (optional)
• Respiratory Rate for VCV, PCV, and PCV-VG
• Respiratory Rate for SIMV/PSV, SIMV-PC, and PSVpro (optional)
• I:E Ratio
• Pressure Limit (Pmax)
• Inspiratory Pause (Tpause)
• Low O2 Alarm Limit
• High O2 Alarm Limit
• Low MV Alarm Limit
• High MV Alarm Limit
• Low TVexp Alarm Limit
• High TVexp Alarm Limit
• Trigger Window (optional)
• Flow Trigger Level (optional)
• End of Breath (optional)
• Inspiration Time (Tinsp) (optional)
• Rise Rate with Auto
• Rise Rate without Auto (optional)
4.3.22 Option The Option Configuration menu is used to configure the software to enable
Configuration the optional features that the customer has purchased.
The currently enabled features are shown in the Available Options portion of
the menu:
• On = enabled
• Off = not enabled
• PCV-VG On is displayed only if the feature is enabled; if not enabled, the
option is not displayed.
w WARNING After adjustments and calibration are completed, always perform the checkout
procedure. Refer to Section 3 of this manual.
In this section This section covers calibration procedures for components of the Aespire View
anesthesia machine.
5.1 Primary Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
5.1.1 Test setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
5.1.2 Testing Primary Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3
5.1.3 Adjusting Primary Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6
5.2 Secondary Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7
5.2.1 Testing/Adjusting Secondary Regulators or Balance Regulators . . . . . . . . . . . . . .5-7
5.3 Flowmeter Needle Valve Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
5.3.1 O2 Needle Valve Calibration (Minimum Flow) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
5.3.2 N2O Needle Valve Calibration (Minimum Flow). . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.3.3 Air Needle Valve Calibration (Minimum Flow) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
5.4 Link system calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
5.5 Flow Valve Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-22
5.6 Bleed Resistor Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-24
5.7 O2 Flush Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-25
5.8 Airway pressure gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-26
5.8.1 Zero the pressure gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-26
5.8.2 Checking the pressure gauge accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-27
w WARNING When testing/adjusting N2O regulators, nitrous oxide flows through the
system. Use a safe and approved procedure to collect and remove it.
w WARNING Wear safety glasses while test device is connected to the test port.
w CAUTION Be careful not to plug the output of the primary regulator without having
a pressure relief valve in the output circuit.
1. Set the system switch to Standby.
2. Disconnect all pipeline supplies.
3. Remove the upper rear panel (Section 9.2).
4. If equipped, turn the auxiliary O2 flowmeter control fully clockwise (no flow).
5. Install a full cylinder in the cylinder supply to be tested. It is essential that
the cylinder be within 10% of its full pressure.
6. Remove the plug from the test port and connect a test device capable of
measuring 689 kPa (100 psi).
Remove Plug
5.1.2 Testing Primary There are two variations of the test procedure for the primary regulators:
Regulators • Test A — For primary regulators that supply drive gas to the ventilator.
• Test B — For all gases not used to supply drive gas to the ventilator.
Test A For primary regulators that supply drive gas to the ventilator (O 2 or Air):
Under low flow conditions, the output pressure of a properly adjusted/
functioning regulator should fall within specifications listed in step 4. Under
high flow conditions, the output pressure should not drop below the
specifications in step 10.
1. Remove the bellows assembly.
2. Slowly open the cylinder valve.
3. Set the system switch to On.
4. Low Flow Test: Set the fresh gas flow to 0.05 L/min (or minimum flow for
O2). When checking an Air regulator on systems that have a single
flowtube, open the needle valve 1/8 turn from the minimum stop to
achieve a flow close to 0.05 L/min.
• Close the cylinder valve and allow the pressure to decay to 2068 kPa
(300 psi) as indicated on the cylinder gauge (upper limit of the red band).
The flow may be temporarily increased to facilitate the decay.
• At the time that the cylinder pressure reaches 2068 kPa (300 psi), set
the system switch to Standby.
• Within one minute, the test device must stabilize between:
(60) DIN 372–400 kPa (54–58 psi)
(50) Pin Indexed 310–341 kPa (45.0–49.5 psi).
- If the test device pressure does not stabilize within one minute,
replace the cylinder supply.
- If the test device stabilizes within one minute, but the readings are
not within specifications, readjust the regulator (Section 5.1.3).
5. Slowly open the cylinder valve.
6. Enter the Service Mode:
(Push and hold the adjustment knob on the ventilator’s display and set the
system switch to On.)
7. Select and confirm “Service Mode.”
8. Select and confirm “Flow Valve Test Tool.”
9. Select and confirm “Set Flow (L/min).”
Test B For all gases not used to supply drive gas to the ventilator:
Under low flow conditions, the output pressure of a properly adjusted/
functioning regulator should fall within specifications listed in step 4. Under
high flow conditions, the output pressure should not drop below the
specifications in step 7.
1. If the cylinder supply being tested is N2O, connect a source of O2 and set
the O2 flow control to the minimum stop (pilot pressure for secondary
regulator).
2. Slowly open the cylinder valve for the regulator being tested.
3. Set the system switch to On.
4. Low Flow Test: Set the flow of the gas being tested to 0.05 L/min (or
minimum flow for O2). When checking a regulator on systems that have a
single flowtube, open the needle valve 1/8 turn from the minimum stop to
achieve a flow close to 0.05 L/min.
• Close the cylinder valve and allow the pressure to decay to 2068 kPa
(300 psi) as indicated on the cylinder gauge (upper limit of the red band).
The flow may be temporarily increased to facilitate the decay.
• At the time that the cylinder pressure reaches 2068 kPa (300 psi), set
the system switch to Standby.
• Within one minute, the test device must stabilize between:
(60) DIN 372–400 kPa (54–58 psi)
(50) Pin Indexed 310–341 kPa (45.0–49.5 psi).
- If the test device pressure does not stabilize within one minute,
replace the cylinder supply.
- If the test device stabilizes within one minute, but the readings are
not within specifications, readjust the regulator (Section 5.1.3).
5. Slowly open the cylinder valve.
6. Set the system switch to On.
7. High Flow Test: Set the flow control valve to the maximum indicated flow
on the flow tube.
• The test device reading must be greater than:
(60) DIN 221 kPa (32 psi)
(50) Pin Indexed 221 kPa (32 psi)
- If the test device reading under “high flow” conditions is less than
specified, readjust the regulator per the procedure in Section 5.1.3;
however, set the regulated pressure higher by the difference you
noted in this step plus 7 kPa (1 psi). This adjusts the “low flow”
regulated output to the high side of the specification so that the
“high flow” regulated pressure can fall within the specification.
- If the regulator subsequently fails the “low flow” specification
(step 4) because the reading is too high, replace the cylinder supply.
8. Set the system switch to Standby.
9. Close the cylinder valve.
10. Bleed the system of all pressure.
11. Disconnect the test device and plug the test port (pull on the plug to
ensure it is locked in the fitting).
12. Replace the rear panel(s).
13. Perform the checkout procedure (Section 3).
5.1.3 Adjusting Primary Important: Cylinder supplies in an Aespire View machine must have all
Regulators primary regulators set to the same pressure range: (50) Pin Indexed or
(60) DIN. If a regulator is replaced, the replacement regulator must be set (as
required) to the same specification as the one removed.
Important: Install a full cylinder in the cylinder supply to be adjusted. It is
essential that the cylinder be within 10% of its full pressure.
If the cylinder supply being adjusted is N2O, connect a source of O2 and set
the O2 flow control to the minimum stop (pilot pressure for secondary
regulator).
To adjust the primary regulators, follow the procedure in Section 5.1.1 to gain
access to the regulators.
O2
Adjust
Test Ports
4. Set the flow of the tested gas and of O2 as detailed in the chart.
5. Verify that the output of the tested regulator is within the range listed in the
chart.
w CAUTION: Do not force the needle valve against the seat. Overtightening the valve
can cause the minimum flow setting to drift out of specifications.
1. Set the system switch to Standby.
2. Remove the flowmeter panel shield (Section 9.7.1).
Note: If adjusting an existing needle valve,
• remove the N2O and O2 knob and sprocket assemblies,
• and loosen the O2 stop collar setscrews.
3. Slide a stop collar onto the valve stem with the stop tab toward the valve.
Do not tighten setscrews.
Stop
Valve Stop Tab
Stop Collar Tab
Valve Stem
7. Turn the collar clockwise until the collar stop tab contacts the minimum
stop tab on the valve body. Do not turn the valve stem.
Collar Stop
Valve
Stop
Collar
Collar stop must be on
CCW side of valve stop.
8. Carefully pull the collar back so there is a slight gap between collar and the
valve body (but still engages the valve stop).
Collar Gap
Setscrew
(example)
9. Tighten the collar setscrews. Start with the one opposite the tab if possible.
10. Turn the valve stem counterclockwise at least one revolution to make sure
the collar tab clears the valve stop.
Stop must clear
w WARNING You must be in a well ventilated room or use a gas evacuation device at
this time. Anesthetic vapors exhausted into the room air can be harmful
to your health.
w CAUTION: Do not force the needle valve against the seat. Overtightening the valve
can cause the minimum flow setting to drift out of specifications.
1. Disconnect all pipeline supplies and close all cylinder valves.
2. Remove the upper rear panel (Section 9.2.1).
Note: If adjusting an existing needle valve,
• remove the N2O and O2 knob and sprocket assemblies,
• and loosen the O2 stop collar setscrews.
3. Remove the flowmeter panel shield (Section 9.7.1).
4. Disconnect the tube from the pilot port on the N2O regulator.
5. Disconnect the 4-mm outlet tube from the back of the N2O pipeline
manifold.
Connect to
N20 pilot port
7. Slide a stop collar onto the valve stem with the stop tab toward the valve.
Do not tighten setscrews.
Stop
Valve Stop Tab
Stop Collar Tab
Valve Stem
Float
N2O
Filter
11. Disconnect the tubing from the inlet of the vaporizer manifold (closest to
flowhead).
12. If the machine has an Air option, bleed down the air supply. Air can inflate
the bubble (next step) if it is not shut off.
13. Apply a small amount of leak detection fluid (Snoop) to the end of the tube
to form a bubble.
14. Turn the valve stem clockwise until the bubble no longer inflates. Do not
turn more than 10 degrees clockwise past this point.
10 degrees
N2O
16. Turn the collar clockwise until the collar stop tab contacts the minimum
stop tab on the valve body. Do not turn the valve stem.
Collar Stop
Valve
Stop
17. Carefully pull the collar back so there is a slight gap between collar and the
valve body (but still engages the valve stop).
Collar
Gap
Setscrew
(example)
18. Tighten the collar setscrews. Start with the one opposite the tab if
possible.
19. Turn the valve stem counterclockwise at least one revolution to make sure
the collar tab clears the valve stop.
Stops must clear
N2O O2
w CAUTION: Do not force the needle valve against the seat. Overtightening the valve
can cause the minimum flow setting to drift out of specifications.
1. Set the system switch to Standby.
2. Disconnect all pipeline hoses and close all cylinder valves except for air.
3. Remove the flowmeter panel shield (Section 9.7.1).
4. Remove the upper rear panel (Section 9.2.1).
Note: If adjusting an existing needle valve,
• remove the Air knob,
• and loosen the Air stop collar setscrews.
5. Slide a stop collar onto the valve stem with the stop tab toward the valve.
Do not tighten setscrews.
Stop
Valve Stop Tab
Stop Collar Tab
Valve Stem
Float
Air
Filter
8. Disconnect the tubing from the inlet to the vaporizer manifold (left end of
manifold).
9. Apply a small amount of leak detection fluid (Snoop) to the end of the tube
to form a bubble.
10. Turn the needle valve clockwise until the bubble no longer inflates. Do not
turn more than 10 degrees clockwise past this point.
10 degrees
Air
12. Turn the collar clockwise until the collar stop tab contacts the minimum
stop tab on the valve body. Do not turn the valve stem.
Collar Stop
Valve
Stop
Collar
Collar stop must be on
CCW side of valve stop.
13. Carefully pull the collar back so there is a slight gap between collar and the
valve body (but still engages the valve stop).
Collar
Gap
Setscrew
(example)
14. Tighten the collar setscrews. Start with the one opposite the tab if
possible.
15. Turn the valve stem counterclockwise at least one revolution to make sure
the collar tab clears the valve stop.
Stops must clear
w WARNING You must be in a well ventilated room or use a gas evacuation device at
this time. Anesthetic vapors exhausted into the room air can be harmful
to your health.
1. Set the system switch to Standby.
2. Remove the flowmeter panel shield (Section 9.7.1).
3. Put the plastic spacer on the N2O needle valve spindle.
4. Turn the O2 and the N2O needle valves clockwise to their minimum stop
position.
Spacer
5. Put the chain onto the O2 knob/sprocket assembly and the N2O sprocket.
Note: The N2O sprocket set screws should be away from the valve.
6. Install the chain and sprockets onto the needle valve stems as an
assembly. Press the O2 knob/sprocket against the O2 minimum stop
collar.
Sprocket/Chain
Assembly
7. Tighten the setscrews in the O2 knob. Do not tighten the N2O sprocket
setscrews.
Note: If O2 label is on the knob, turn the knob so that the identification label
is horizontal before tightening the setscrews.
8. Turn on the O2 and the N2O gas supplies (pipeline or cylinder).
9. Set the system switch to On.
10. Adjust the needle valves:
• O2 needle valve: 200 ±10 mL/min.
• N2O needle valve: 600 ±25 mL/min.
Turn
counter-
clockwise
13. Holding the O2 knob, rotate the N2O sprocket counterclockwise until all
slack is removed from the chain.
14. Lightly tighten both N2O sprocket setscrews.
15. Turn the N2O needle valve clockwise to the minimum stop position.
16. Install the N2O knob. Turn the knob so that the identification label is
horizontal before tightening the setscrews.
17. Turn the N2O needle valve counterclockwise, and check that the oxygen
flow increases as N2O flow increases.
18. Turn the O2 needle valve clockwise, and check that the N2O flow
decreases as O2 decreases.
19. Check the proportioning system concentration (increasing N 2O flow).
Observe the following precautions:
• Start with both valves at the minimum setting.
• Adjust only the N2O needle valve.
• Increase the N2O flow as specified in the table below and make sure the
O2 concentration is in the allowed range.
Note: Allow the O2 monitor to stabilize. At the lower flows, the O2 monitor
may take up to 90 seconds to stabilize.
• Ensure that the patient port (Insp) is not blocked; O2 must flow past the
O2 sensor to complete the calibration.
• If you overshoot a setting, turn the O2 needle valve clockwise until the
N2O flow decreases to the previous setting before continuing the test.
1 22% to 29%
2 22% to 29%
6 22% to 29%
9 22% to 29%
3 22% to 29%
2 22% to 29%
1 22% to 29%
If both tests meet the criteria, calibration is complete (go to the next step).
If either test fails to meet the criteria, return to step 10 and adjust N 2O to
a lower or higher setting.
If: Then:
Concentration Low Decrease N2O
Concentration High Increase N2O
A Calibration procedure:
B 1. On the Service Mode menu, select Calibrate Flow Valve.
2. Push the ComWheel to enable the Stage 1 calibration.
3. When Stage 1 is completed, remove the plug from the Manifold port and
insert the calibrated orifice (C).
4. Push the ComWheel to enable the Stage 2 calibration.
(May take two minutes before you see any effects of the test on the screen.)
5. When Stage 2 is completed, select Go to Service Mode Menu.
C C
Calibrated Flow Orifice
1504-3016-000
A
Calibration setup
Plug the Drive Port (A) and the Manifold Port (B) on the interface valve.
B
Calibration procedure
1. On the Service Mode menu, select Bleed Resistor Calibration.
2. Select Start Calibration.
3. When the test is completed, select Go to Service Modes Menu.
Jam nut
Adjustment screw
5.8.1 Zero the pressure 1. Attach a patient circuit to the Breathing System. Leave the patient end
gauge open.
2. Set the Bag/Vent switch to Bag.
3. Adjust the APL valve to maximum.
4. Remove the lens from the pressure gauge:
• Apply a slight pressure with your thumb and finger tips around the outer
edge of the lens.
• Turn the lens counterclockwise to remove it.
5. Adjust the pressure gauge to zero.
6. Plug the patient circuit.
7. Press and release the O2 flush button to sweep the needle across the
pressure gauge.
8. Remove the plug from the patient circuit to relieve the pressure in the circuit
and recheck the zero setting of the pressure gauge.
9. If required, repeat zero and span procedure.
10. Replace the lens cover.
Zero Adjust
5.8.2 Checking the The accuracy of the airway pressure gauge can be checked by using the
pressure gauge accuracy following:
To
Test Device
To
Low-pressure Source
(Syringe)
To
Pressure Gauge Fitting
w WARNINGS Do not perform testing or maintenance on the Aespire View Anesthesia Machine
while it is being used on a patient. Possible injury can result.
Obey infection control and safety procedures. Used equipment may contain
blood and body fluids.
6.2.1 Every twelve (12) Perform the following steps every 12 months.
months For details, refer to the sections listed.
Parts Replacement
Replace the vaporizer port o-rings (Section 9.9.1)
(Kit Stock Number 1102-3016-000)
8. Total flow sensing test, if equipped with this option (Section 3.5).
9. Pressure relief tests (Section 3.6)
16. Integrated suction regulator tests, if equipped with option (Section 6.6)
6.2.2 Every twenty-four In addition to the 12-month requirements, replace the following parts every
(24) months 24 months. All machine and ventilator parts should be replaced before
performing the checks, tests, and calibrations.
1. Replace the internal backup battery (Section 9.24.4)
(Stock Number 1009-5682-000).
2. Replace the free breathing flapper valve (Section 6.3)
(Stock Number 0211-1454-100).
3. Replace the free breathing valve o-ring (Section 6.3)
(Stock Number 1503-3208-000).
C B
1. Unscrew the valve seat (A) from the side of the interface manifold.
2. Inspect the flapper (B) and valve seat for nicks, debris and cleanliness.
To replace the flapper valve 3. If necessary, clean the new flapper valve with alcohol.
4. Pull the tail (C) of the new free breathing valve flapper through the center
of the valve seat until it locks in place.
5. Trim the tail with 2 to 3 mm protruding outside surface of the valve seat
(refer to the removed flapper).
2. Plug the inspiratory flow (drive pressure) port of the exhalation valve with a
stopper.
Exhalation valve
Test procedure 1. Set the system switch to On and enter the Service Mode.
2. Select “Flow Valve Test Tool”.
3. Select “Set Flow Valve”.
4. Set flow of 30 L/min.
5. 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.
6. Set the system switch to Standby.
7. Remove the stopper from the inspiratory flow port.
8. Reassemble the system.
9. Perform the checkout procedure (Section 3).
Flow Accuracy Test Note: To check flow accuracy, be sure that the flow test device is capable of
measuring 0 to 15 L/min with an accuracy of ±2% of reading.
1. Connect the flowmeter outlet to the flow test device.
2. Adjust the flowmeter so the center of the ball aligns with the 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 of the
selected settings in the table below.
Gauge Accuracy The gauge needle should come to rest within the zero range bracket when no
suction is being supplied. Gauges which do not comply may be out of
tolerance.
Note To check gauge accuracy, be sure that the test gauge is capable of measuring
0 to 550 mm Hg with an accuracy of ±1% of reading.
1. Connect the suction patient port to the test gauge.
2. Turn the mode selector switch to I (ON).
3. Ensure that the vacuum test gauge is in agreement with the suction vacuum
gauge ± 38 mm Hg/5 kPa at the following test points.
Test points
Suction vacuum gauge Test gauge tolerance
100 mm Hg (13.3 kPa) 62–138 mm Hg (8.3–18.4 kPa)
300 mm Hg (40 kPa) 262–338 mm Hg (35–45 kPa)
500 mm Hg (66.7 kPa) 462-538 mm Hg (61.6–71.7) kPa)
Flow Test Note: To check flow accuracy, be sure that the flow test device is capable of
measuring 0–30 L/min with an accuracy of +/- 2% of reading.
1. Connect the patient port of the suction regulator to the flow test device.
2. Rotate the suction control knob fully clockwise (increase).
3. Turn the mode selector switch to I (ON) and verify that the flow rate is:
• at least 20 L/min.
4. Disconnect the test flowmeter.
Vacuum Bleed Test 1. Occlude the patient port of the suction regulator.
2. Set the vacuum regulator gauge to 100 mm Hg/13 kPa.
3. Turn the mode selector switch to O (OFF) and observe the gauge needle. It
must return to the zero range bracket or stop pin within 10 seconds.
w 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.
7.2.1 Breathing This test checks for leaks in Vent Mode and Bag Mode components. It is part of the
system leak test overall checkout procedure, Section 3.12 “Breathing system tests.” It is repeated here
for testing convenience.
w 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.
1. Verify that AGSS is operating. For systems that have a flow indicator on the side,
make sure that the flow indicator shows a flow in the green (normal) region.
2. Zero the airway pressure gauge (Section 5.8.1).
Check Valves 3. Make sure that the check valves on the breathing circuit module work correctly:
a. The Inspiratory check valve rises during inspiration and falls at the start of
expiration.
b. The Expiratory check valve rises during expiration and falls at the start of
inspiration.
w WARNING Make sure that there are no test plugs or other objects caught in the
breathing system.
7.2.2 Breathing
System
Troubleshooting
Flowcharts
Start
Pass
Leak in
Bag Vent
AB.74.042
Bag Mode,
Go to Flowchart 2 Mode Vent Mode, Mode Go to Flowchart 3
only or Both? only
Pass
Go to Flowchart 4
Flowchart 1
M1170027 02/09 7-7
Aespire View
Leak in
Bag Mode only
Perform Test 4
Testing the bag port,
APL Valve, and Bag/Vent Pass
Switch, and Negative
Pressure Relief Valve
AB.74.043
components and repeat
Fail Breathing System Leak Test
(Section 7.2.1)
No
Fail
Inspect
APL/BTV Manifold O-Ring seal
and Negative Pressure Relief;
replace as necessary.
Replace APL components
and repeat Test 4.
If test fails the second time,
inspect APL component;
replace as necessary.
Flowchart 2
7-8 02/09 M1170027
7 Troubleshooting
Leak in
Vent Mode only
Perform Test 6
Pass Testing the bellows assembly,
and Bag/Vent Switch
Perform Test 8
AB.74.044
Testing the bellows and Inspect Exhalation Valve
bellows Pop-off and Drive Circuit
Fail
Pass
Perform Test 7
Testing the Bag/Vent Switch,
Negative Relief Valve,
Bellows Base Manifold, Pass
bellows and Pop-off Valve
Fail
Perform Test 8
Pass Testing the bellows and
bellows Pop-off
Check/Replace:
Pop-off diaphragm,
Bellows Housing,
U-Cup seal,
and Bellows integrity
Flowchart 3
M1170027 02/09 7-9
Aespire View
Fail
Perform Test 9
Fail Testing the Flow Sensor Pass
Module, Circuit Module, and
Absorbent Canister
AB.74.129
Perform Test 14 and 15 Perform Test 11 Replace the Negative Check/Replace the following
Testing the Flow Testing the Circuit Pressure Relief Bag/Vent parts: Upper Seal,
Sensors, Bulkhead Module Disk, and o-ring
connectors and tubing
Pass Fail
Pass Fail
Flowchart 4
7-10 02/09 M1170027
7 Troubleshooting
Leak in
Flow Sensor Module
or Circuit Module
Check/Replace
Check/Replace the seals
AB.74.048
Flow Sensors or
bulkhead connector on the Circuit Module and
O-Rings the O-Ring on the O2 cell
Flowchart 5
M1170027 02/09 7-11
Aespire View
AB.74.130
the EZchange / the Condenser Reservoir
Condenser Module Valve Drain Seal
Housing o-rings
Flowchart 6
7-12 02/09 M1170027
7 Troubleshooting
7.2.3 Leak The previous flowcharts refer you to the following tests.
Isolation Tests These tests require the use of the Low Pressure Leak Test Device and the Leak Test Tool
Kit (refer to Section 10.1, "Service tools").
The Leak Test Tool Kit includes:
• the Machine Test Tool
• the Circuit Test Tool
• and various Test Plugs
When performing these tests, ensure that the ACGO selector switch is set to the ABS
position.
Test 3: Testing the airway pressure gauge, and Port 1 and Port 3 u-cup seals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
Test 4: Testing the bag port cover, the APL valve, the Bag/Vent switch, and the negative pressure relief valve . . . . . . . . . 7-17
Test 6: Testing the bellows module and the Bag/Vent switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-19
Test 7: Testing the bellows, the bellows pop-off valve, the bellows base manifold, and the Bag/Vent switch. . . . . . . . . . . 7-20
Test 9: Testing the flow sensor module, the circuit module, and the soda lime canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-22
Test 10: Testing the circuit module and the canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23
Test 11: Testing the circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23
Test 12: Testing the inspiratory side of the circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-24
Test 13: Testing the negative pressure relief valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-25
Test 14: Testing the flow sensors only. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-26
Test 15: Testing a flow sensor including the Ventilator Monitoring Assembly and interfacing components . . . . . . . . . . . . . . 7-27
w 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.
w CAUTION Do not use O2 Flush for leak isolation tests. Do not leave pressurized systems
unattended. High pressure and equipment damage may result.
Pressure Sense
Port
Airw
ay P
ath
Alignment Post
Back View
ath
ay P
Airw
Alignment Post
2. Attach the low-pressure leak test device to the Machine Test Tool.
3. Plug the two pressure orifices.
4. Repeatedly squeeze and release the hand bulb until it remains collapsed.
5. If the bulb inflates in less than 30 seconds, locate and correct the leak.
Test 3 Testing the airway pressure gauge, and Port 1 and Port 3 u-cup seals
Alignment
Post
1. Attach the Machine Test Tool to the breathing system interface ports (using the
alignment post) as shown above.
2. Turn all of the flow controls fully clockwise (minimum flow).
3. Set the system switch to On.
4. Occlude the tapered plug.
• At minimum flow, the airway pressure gauge reading should increase.
• If not, there is a leak in the tested circuit.
Test 4 Testing the bag port cover, the APL valve, the Bag/Vent switch, and the
negative pressure relief valve
Plug
APL
Scavenging
Port
Plug
Bag Port
1. Separate the Bellows Module from the Circuit Module and re-install the Bellows
Module.
2. Occlude the Bag Port connector.
3. Connect the Machine Test Tool to the interface ports as shown above.
4. Set the Bag /Vent switch to Bag and close the APL Valve (70 cm H 2O).
5. Slowly increase the O2 flow to achieve 30 cm H2O.
• The leak rate is equal to the flow needed to maintain 30 cm H 2O.
• The leak rate should be less than 200 mL/min.
Note: If the bellows rises, it indicates a leak in the Bag /Vent Switch.
Plug
Bag Port
Note If required, set up the Machine Test Tool and breathing system as shown in Test 4.
1. Slide the Bellows Module away from the machine.
2. Remove the APL ramp and diaphragm.
3. Insert a Test Plug into the APL scavenging port, as shown above.
4. Slide the Bellows Module partially back onto the machine casting.
5. Ensure that the Bag Port is plugged and that the Bag/Vent switch is set to Bag.
6. Slowly increase the O2 flow to achieve 30 cm H2O.
• Leak rate is equal to the flow needed to maintain 30 cm H 2O.
• The leak rate should be less than 200 mL/min.
1. Separate the Bellows Module from the Circuit Module and re-install the
Bellows Module.
2. Enter the Service Mode (Section 4.2).
a. Select and confirm “Service Mode”.
b. Select and confirm “Breathing System Leak Test” (Section 4.3.6).
3. Follow the instructions on the screen.
• At step 6, connect the Machine Test Tool to the interface ports as shown
above, instead. Continue with steps 7, 8, and 9 on the screen.
• The leak rate should be less than 200 mL/min.
Test 7 Testing the bellows, the bellows pop-off valve, the bellows base
manifold, and the Bag/Vent switch
Note If required, set up the Machine Test Tool and breathing system as shown in
Test 7.
Test 9 Testing the flow sensor module, the circuit module, and the soda lime
canister
Plug
1. Separate the Bellows Module from the Circuit Module and re-install the Circuit/Flow
Sensor Module.
2. Connect short tubing between the inhalation and exhalation ports of the breathing
system.
3. Insert an appropriate test plug in the outlet port of the Circuit Module.
4. Enter the Service Mode: Push and hold the adjustment knob on the ventilator’s
display and set the system switch to On.
a. Select and confirm “Service Modes.”
b. Follow the menu structure outline below to reach the adjustment for the
inspiratory flow valve. Select and confirm at each step.
• “Diagnostics Tests/Tools”
• “Display A/D Channels”
c. Record the Inspiratory and Expiratory Flow actual values.
Note: The Inspiratory and Expiratory Flow actual values should be near zero.
5. Slowly increase the O2 flow to achieve 30 cm H2O.
• The leak rate is equal to the flow needed to maintain 30 cm H 2O.
• The leak rate should be less than 200 mL/min.
6. Observe the Inspiratory and Expiratory Flow actual values. The values should be near
zero, as previously recorded in step 4.
Note: If one channel indicates flow, see “Inaccurate Volume Ventilation
Troubleshooting” (Section 7.7.3).
7. Release Pressure.
Plug
Plug
Plug
Plug
Loop
Plug
AB.23.115
Note: To ensure a air-tight
seal, use the corresponding
plug as illustrated for the
original flow sensor (A)
or the new,
moisture resistant
(offset) flow sensor (B).
B
AB.82.069
Test 15 Testing a flow sensor including the Ventilator Monitoring Assembly and
interfacing components
AB.82.070
Note: To ensure a air-tight
seal, use the corresponding
plug as illustrated for the
original flow sensor (A)
or the new,
moisture resistant
(offset) flow sensor (B).
B
AB.82.068
Troubleshooting For problems that do not generate any error or alarm messages, even though the system
instructions may not be functioning correctly:
• refer to Section 7.6, "Mechanical/electrical troubleshooting guide".
For system problems that result in an Alarm or Error message:
• refer to Section 7.3, "System Error Log".
• refer to Section 7.4, "Alarm messages".
• refer to Section 7.5, "Immediate System Shutdown error codes".
To help isolate a problem:
• refer to Section 7.7, "Troubleshooting Flowcharts".
To locate specific test points:
• refer to Section 7.9, "Power supply test points".
• refer to Section 7.10, "TFS test points".
Important If the system experiences extreme electrical interference, it may interrupt mechanical
ventilation. If this interruption occurs, the system generates an internal reset function
and resumes normal operation after two (2) seconds. For situations where continuous
electrical interference is experienced by the ventilator, causing a continuous
interruption, the ventilator's internal reset repeats until the interference ceases.
If the electrical interference is continuously present and mechanical ventilation is
interrupted for approximately 30 seconds, the system produces a continuous beeping
audio alarm. Manual ventilation of the patient must be performed while the
mechanical ventilation is interrupted. When the electrical interference ceases, the
continuous beeping audio alarm can be silenced only by turning the system OFF and
after five seconds back ON.
PEEP high. Minimum Paw > 100 cm H2O for Check tubing for kinks, blockages,
Blockage? Shutdown 10 seconds. disconnects.
(*4) Calibrate the flow sensors.
If persists, check/replace:
• power supply outputs (Section 7.9)
• toroid output fuses (Section 10.12)
Positive SIB Minimum ESIB +12V supply First, verify that the +15V Analog Supply
Vref Out-of- Shutdown voltage out-of-range Counts value is between1914 and 2262. If not
Range (*4) in range, see the +15V Analog Out-of-Range
alarm for diagnostics.
Then, check the +12V ESIB Supply.
Verify that the Counts value is between 1779
and 2322.
If +12V ESIB Supply A/D count is not in range,
remove ESIB to DAQ cable and recheck the
counts. If not in range, replace the DAQ board.
If +12V ESIB Supply A/D count is in range,
replace the ESIB to DAQ cable or the ESIB.
Ppeak low. Medium In-range Paw data Peak airway pressure < Check the breathing circuit for leaks.
Leak? available |Pmin| + 4 for 20 Check flow sensors hoses for leaks.
consecutive seconds. Perform flow sensor calibration.
Pmin is the baseline
Check ESIB to DAQ cabling.
pressure during a
breath. Replace the ESIB board.
Alarm condition becomes false or transition from Replace the DAQ board.
mechanical ventilation on to off.
Ppeak High High In-range Paw data Paw > Plimit Check Pressure limit setting is not set too low
(*2) available for ventilator settings and breathing circuit.
Alarm condition becomes false for 15 seconds or Check the breathing circuit for occlusions.
until the end of the next full inspiratory cycle. Perform flow sensor calibration.
Check ESIB to DAQ cabling.
Replace the ESIB board.
Replace the DAQ board.
Immediate System Shutdown error codes are displayed in a row at the bottom of the
Immediate Shutdown screen. The first three digits of the displayed error codes are
numeric and are defined below.
Bellows does not descend 1. Normal 1. If the fresh gas flow is greater than tidal volume,
during inspiration. the bellows may not descend.
2. Leak in breathing system 2. Check for leaks in drive gas circuit. Are twin tube
assemblies on the pneumatic engine lifted all the
way into the interface cuff?
Ventilator will not turn on 1. Machine interface harness 1. Ensure cable is plugged in properly at switch and
when remote on/off DAQ board (J4).
switch is turned on and AC 2. Remote on/off switch 2. Replace switch
LED is on
3. Power supply board 3. Replace power supply board
Erratic pressure waveform • Slight to moderate valve leakage 1. Check operation of drive gas check valve.
• O-Ring Seal, Housing to Main Manifold 2. Replace drive gas check valve.
Slow exhalation pressure • Alignment of seat and seal after assembly 3. Inspect and reassemble the exhalation valve
release • Loose mounting screws assembly; make sure to put it together correctly.
• Exhalation valve assembly
Mechanically delivered Failure to cease Volume Compensation when 1. Go to “Display I/O signals” screen in Service
volumes decrease Flush is used. Mode (Section 4.3.8). Press and release flush
significantly immediately • Flush switch button. Look for proper switch action.
following use of O2 Flush. 2. Check wire harness connections at switch and
ESIB.
3. Replace DAQ board.
AB.29.092
Review Active Alarms, Yes No to “No Display”
Error Log and Alarm Log Troubleshooting
Section 7.7.2
Diagnosis Are
achieved? there
alarms?
Use Alarm
Done Troubleshooting
Yes Section 7.45
Section Yes
No No
ALARMS SYMPTOMS
Proceed to
Alarms of Type: Yes “Breathing System Leak” Yes Bellows falls or leak
Patient Circuit Leak Troubleshooting detected
System Leak
*
No No
Alarms of Type:
Vt Compensation Off
Delivered Volume Mismatch Proceed to
Check Flow Sensors Yes “Inaccurate Volume Yes
Insp Reverse Flow Ventilation” Inaccurate ventilation
Exp Reverse Flow Troubleshooting
System Leak Section 7.7.3
Unable to drive Bellows
No No
Alarms of Type:
Low Paw Proceed to
Yes “No Ventilation” Yes Will not
Volume Apnea
Low Drive Gas Troubleshooting ventilate
Pressure System Section 7.7.4
Leak
No No
Proceed to
Alarms of Type: Yes “High Intrinsic PEEP” Yes Continuously high PEEP
Sustained Paw Troubleshooting during operation
High Paw Section 7.7.5
No display troubleshooting
Flowchart one of two Start
Turn on System
Power off.
Disconnect/reconnect both ends of DAQ/Display
cable.
Power on. Bellows cycles?
(Skip this step if already done once.)
No
Buzzer off?
Replace CPU board
Yes
Yes
Check 5.8V_CPU
on DAQ board. 12.5V OK?
TP24 Section 7.9 No
Disconnect DAQ/Display
Voltage OK? cable at DAQ board.
Yes Measure 12.5V
3 No on DAQ board.
TP22 Section 7.9
Check 3.3V to LCD display.
Yes Section 7.8 12.5V OK?
No
LED on?
AC.20.017
Reconnect DAQ/Display
Replace CPU board Yes cable.
No Disconnect inverters in
display unit.
Finished
No
Yes
Replace DAQ/Display cable
Replace LCD display
and inverters
Replace inverters
No display troubleshooting
Flowchart two of two 2
Disconnect DAQ/Display
cable
at DAQ board
5.8V OK?
Yes
No
Replace DAQ/Display cable
12.5V OK?
Yes
No
Replace DAQ board
16V OK?
No
Yes Replace:
• Line fuses at toroid
• Line filter
AC.20.018
• Mains switch
• Line cord
Replace AC/DC
power supply
Start
Verify pass?
Calibrate Flow No
Sensors
Section
Section4.3.16
4
Yes
Problem
continues?
Perform All
Yes Calibrations and
Re-evaluate
No
Sensor Problem: Problem
Examine for defect or water plug continues?
in lines. No Done
Yes
Do Bit counts on
either Insp/Exp Flow
channel vary more
than 10 from the
inital zero counts?
Perform the Flow Inspect pneumatic
Sensor Leak test lines for leaks or
Problem Solved: Yes water plugs between
Perform All Calibrations flow sensor and ESIB
Water, leaks
No or kinks?
Yes No
Inspect Breathing
Circuit check valves.
Replace seat and
disks as necessary.
Correct kinks or
AB.29.093
leaks. Replace Switch Insp and Exp
harness if necessary. pneumatic connections
and repeat previous test
Problem
Continues? Problem
No moves to
other sensor
channel?
Yes Replace bulkhead
harness Yes
Perform All
Calibrations and
Re-evaluate
No
Perform All
Calibrations and
Re-evaluate
Replace ESIB
Perform All
Calibrations and
Re-evaluate
Start
Does bellows
Does bellows return to top of
Verify pass? move? canister?
Calibrate Flow Proceed to
Sensors "Breathing System Leak"
Yes Yes No
Section4.3.16
Section 4 Troubleshooting
*
No No Yes
Regulator
pressure OK at
25 psi?
Check Hospital
No pressure supply
Yes Hospital
pressure OK?
Set Flow Valve to
120 L/min
Yes No
High flow gas
exhausts from
drive gas port? Verify operation of GIV.
Test Flow Valve Check/Replace
No inlet filter
Section 4.3.12 if necessary.
Yes
Correct Hospital
supply problem
Examine Exhalation Valve
and diaphragm
Does circuit
pressurize? Proceed to
"Breathing Circuit Leak" AB.29.096
No Troubleshooting
*
Yes
Check function
of drive pressure
pop-off valve
Start
Problem
Verify pass? continues?
Calibrate Flow
Sensors Transducer was out
Yes No of calibration
Section 4.3.16
Yes
No
Calibrate
Flow Valve
Yes
Problem
continues?
Intrinsic PEEP in
Yes No Vent mode only?
AB.29.105
2. Check APL disk for sticking. 2. Check exhalation valve for 2. Check filter on active systems.
3. Check for obstructions in main accurate assembly or sticking.
manifold downstream of APL or 3. Check for obstruction in breathing
in "Y" manifold. 3. Check for obstructions in bellows circuit down tube or "Y" manifold.
base upstream of exhalation valve.
4. Check breathing circuit for
4. Check for obstruction downstream incorrect assembly or obstructions.
of exhalation valve in connecting
tube or "Y" manifold.
+12.5V Backlight
TP28
Ground +3.3V for LCD
CR13
5.8V Green LED
J10 J9 J11
J7 TP42 J8
TP43
TP40
TP38 TP41 TP39
TP37 TP35
TP36 TP34
TP32 J5
TP31 TP33
TP30
TP29
TP27 TP24
TP26 TP23
TP25 TP22
TP20 TP21
J1 TP3
TP2 TP1
Power
Supply
N
12V Battery GND
1 1
1<
19
8.1 PC Requirements
Minimum requirements to run the application include:
• Personal computer using a Pentium 600 or higher microprocessor
• Windows 2000/XP
• 1024 by 768 resolution (or higher) video adapter
• Minimum of 128 MB of RAM, 256 MB recommended
• About 150 MB free hard disk space
• Microsoft-compatible mouse or equivalent device
• Serial Port or USB port with an RS-232 adapter
8.1.1 Port Setup By default, software download is channeled through the COM1 port on the PC.
Note: Ensure that no other application (such as PDA hot-sync) is using this port while
the Software Update Utility is running.
If other ports are available, you can select an available port after you launch the
Software Update Utility.
8.2.1 Overview When upgrading system software, the current settings for
the following are preserved:
• System Configuration (Section 4.3.20)
• User Select Defaults (Section 4.3.21)
• Option Configuration (Section 4.3.22)
However, when installing system software on a machine
after replacing a CPU board or the display unit, the above
settings must be reestablished as described in Section 8.3.
8.2.2 Software installation procedure 1. Connect a serial cable from the DB9 port on the display
unit to an available communications port on the PC used
to install software.
Software Download
(debug port)
Note: For new installations (after CPU board or display unit 5. Set the anesthesia machines system switch to On and
replacement), the “Software Upgrade Required” message will enter the Service Mode.
be displayed when the system is first turned on.
Select Next > to continue with the installation. 6. Select the Software Upgrade menu from the list of
choices.
8.3.1 KEY/BID The KEY/BID code for the replacement CPU board (display unit) is appropriate for
label machines that do not include any optional features. If the serviced machine included
optional features, access the Key Code Generator web site to obtain the appropriate
(Key Code) optional features Key Code.
1. Gather the following information (* denotes Required Information):
Requestor Information
* Email Address
* Full Name
* Organization
End User Information
Hospital Name
Address 1
Address 2
City
Postal Code
Country
Telephone
Information from the EXISTING Control Board being REMOVED
* Control Board ID number
* Control Board Key Code
Information from the REPLACEMENT Control Board being INSTALLED
* Control Board ID Number
Note For traceability, the Global Service and Support Helpdesk is copied on the e-mail.
w Obey infection control and safety procedures. Used equipment may contain
blood and body fluids.
w Some internal parts have sharp edges and can cause cuts or abrasions. Use care
when servicing internal components.
w When servicing the 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 can result in damage
to the flow valve and possible injury to the patient.
w After repairs are completed, always perform the checkout procedure. Refer to
Section 3 of this manual.
9.2.1 To remove 1. Bleed all gas pressure from the machine (Section 9.1).
the rear upper 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
panel
3. Disconnect all electrical cables.
4. To remove the rear panel, fully loosen the three captive screws that hold the panel in
place. Remove the panel.
• If the machine includes integrated suction, disconnect the two tube fittings from
the overflow safety trap manifold.
• If the machine includes electrical outlets, lower the panel and place it so that it
does not stress the power cable.
9.2.2 To remove 1. Disconnect the power cord from the AC mains supply.
the lower access 2. Bleed all gas pressure from the machine (Section 9.1).
panels
3. Ensure that all cylinder and pipeline pressures read zero before proceeding.
4. If present, remove the inboard cylinders.
5. Remove the small upper access panel (A) to access the TFS and Task Light cables.
A
6. Remove the large lower access panel (B) to access the electrical enclosure.
B
C
B
4. Install the new pipeline inlet filter in the pipeline inlet fitting. The new filter comes
with an o-ring.
5. Push the new check valve into the opening, using the same thin tool. The new check
valve includes an o-ring — orient the o-ring toward the pipeline inlet.
Note: Make sure to push the new check valve all the way back into the opening until
it bottoms out on the shoulder.
9.4.2 Replace the 1. Bleed all gas pressure from the machine (Section 9.1).
inlet manifold 2. Remove the rear panel (Section 9.2).
3. Disconnect the tubing from the manifold outlet(s).
4. Remove the two screw that hold the manifold to the side extrution.
3 1
2
4 5
5. Transfer the following item to the replacement manifold or install new as required.
• pipeline check valve (1)
• inlet filter (2)
• inlet fitting (3) and o-ring (4)
• relief valve (5)
6. To reassemble, perform the previous steps in reverse order.
7. Perform the checkout procedure (Section 3).
9.5.1 Tightening The cylinder pressure gauge is connected to the cylinder supply through a copper tube
procedure for with fittings at both ends. Use the following tightening procedure whenever you are
replacing a cylinder supply or a cylinder pressure gauge.
high-pressure
tube fittings 1. Insert the tubing into the fitting until the ferrule seats in the fitting.
2. Tighten the nut by hand.
3. Continue tightening the nut with a wrench until it reaches the original position (about
1/4 turn). You will feel an increase in resistance at the original position.
4. After reaching the original position, tighten the nut just slightly.
Note If you are installing a new tube that has not been tightened before, tighten the nut with
a wrench an additional 3/4 of a turn after the nut is finger tight.
9.5.2 Replace 1. Bleed all gas pressure from the machine (Section 9.1).
primary regulator 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
module (complete
3. Remove the rear panel (Section 9.2).
replacement)
4. Disconnect the high-pressure cylinder gauge fitting.
5. Disconnect the output tube fitting.
6. Remove the three mounting screws and
lockwashers.
7. To reassemble, perform the previous
steps in reverse order.
• Tighten the high-pressure fitting as
detailed in Section 9.5.1
• Pull on the cylinder output fitting to
ensure it is locked in place.
8. Check the output of the regulator
BEFORE you install the rear panel.
Adjust if necessary (Section 5.1).
9. Perform the checkout procedure
(Section 3).
9.5.3 Replace 1. Bleed all gas pressure from the machine (Section 9.1).
cylinder inlet filter 2. Open the cylinder yokes.
3. Remove the inlet adapter from the cylinder yoke, using a 4 mm hex wrench.
Note: A brass retaining ring keeps the filter inside the inlet adapter.
4. Thread a 6-mm screw (two turns only) into the brass retaining ring and pull it out.
w CAUTION Be careful not to crush the filter. Do not thread in the screw more than two full
turns.
9.5.4 Replace The cylinder check valve is not a replaceable item. If the check valve is defective, you
cylinder check must replace the complete cylinder supply module.
valve
Disconnect
Harness
6. Back out the system switch mounting screws just enough to allow the knob collar to
be released.
7. While holding the switch assembly, push in the knob and turn it counterclockwise.
8. Pull the knob and collar out from the front and remove the switch assembly.
Install the replacement 1. Turn back the system switch mounting screws until their tips recede.
switch 2. Orient the switch with the circuit board in the 6 o’clock position (facing down).
3. Install the switch assembly through the gauge panel.
4. Push the knob collar in with the indicator up and turn it clockwise until it locks.
5. Tighten the mounting screws. Make sure that the top edge of the switch assembly is
parallel to the top edge of the dashboard.
6. Insert the switch connector disconnected above into the J1 connector of the circuit
board. The connector’s tab will face down.
• Gently pull on the wire to ensure there is a good connection.
Connect Harness
7. Transfer the tubing from the old system switch to the new system switch on the
pneumatic module (pull on the tubing to ensure that it is locked into the module).
O2 Out (Port 4)
Air In (Port 3)
O2 In (Port 3)
(Rear View)
9.7.1 Remove 1. Bleed all gas pressure from the machine (Section 9.1).
front flowmeter 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
panel shield
3. The flowmeter panel is held in place with two latching tabs at the right side. To
remove the panel, release each latch by pushing it toward the center of the panel
with a thin rod (3-mm hex wrench) through the access hole in the shroud.
9.7.2 Remove 1. Remove the front flowmeter panel shield (Section 9.7.1).
flowtubes for 2. To remove a flowtube assembly, push up on the tube just enough to clear the bottom
cleaning or seal, pull out from the bottom until the tube clears the flowtube module, then pull
replacement down slowly to release it from the module.
w WARNING Floats are calibrated to a specific tube. Keep each float with its tube. Replace
tube and floats together. Interchanging floats can cause incorrect readings.
Disassemble the flowtube assemblies only when service is required. Excessive
cleaning can remove the antistatic coating from inside the tube. Damage to the
float requires replacement of the entire flowtube.
3. Disassemble the flowtube assembly.
Spring
O-ring
Float Stop
Float
Filter
O-ring
4. Completely clean, rinse, and dry the flowtube. Use hospital grade alcohol and a
flowtube brush (obtain locally).
5. Replace stops, filter and o-rings, as necessary. Lightly coat all o-rings with Krytox. Be
careful to not get any Krytox on the bottom of small flowtube float stops.
6. Reassemble the flowtube assembly.
7. Insert the flowtube, spring side first, into the top of the module with the scale
oriented forward.
8. Push up and slide the bottom of the flowtube into place on the bottom o-ring. It may
be necessary to rotate the tube to engage the index tabs.
Note: Be sure o-rings are inserted completely into the collar.
9. Push down on the tube to seat the bottom o-ring.
10. Reinstall the front flowmeter panel shield.
11. Perform the checkout procedure (Section 3).
O2 N20 Air
O2/Air modules O2/Air flowmeter modules are connected at the bottom with a long screw (A)
and nut (B) that is recessed. To remove, retain nut while loosening screw.
B A
Note The flowmeter modules are held together at the top with a u-clip. To separate the
modules, pivot the modules (front to back) 45 degree. The u-clip will disengage and
allow the modules to separate.
The flowmeter modules are interconnected at the top by a spacer tube. The o-ring on
the spacer tube makes a leak-tight seal.
U-Clip
Remove
N2O O2
g. The O2 and N2O flowmeter modules are held together by a single screw. Remove
the screw located on the side of the O2 flowmeter module.
h. Hold the flowmeter modules with the flowtubes facing you.
i. Grasp the modules at the bottom of the regulator manifolds and push the left
module away from you until the N2O module separates from the O2 module.
j. Pull the modules sideways to separate them at the top.
Save the u-clip, spacer tube, and the o-ring for reassembly.
6. To reassemble the flowmeter modules, perform the previous steps in reverse order.
Note: The u-clips must be reinstalled with the barbed leg to the left as viewed from
the front.
U-Clip
7. Install the screw through the O2 flowmeter module to lock the O2 and N2O flowmeter
modules together.
8. Reattach the pilot tube that goes to the balance regulator.
9. Install the flowhead into the machine (Section 9.7.3).
• If the machine includes a TFS module, refer to Section 9.8.
[Link] the tubing and the O2 supply switch harness.
[Link] needle valve calibration (Section 5.3).
12. Install the spacer on the N2O needle valve stem.
13. Install the chain on the O2 knob/sprocket assembly and the N2O sprocket.
14. Install the chain and sprockets on the needle valve stems as an assembly. Do not
tighten the set screws.
Sprocket/Chain
Assembly
15. Install the N2O knob. Snug one set screw to hold the knob in place.
16. Perform the link system calibration (Section 5.4).
17. Install the flowmeter panel shield.
18. Perform the checkout procedure (Section 3).
M1170027 02/09 9-17
Aespire View
9.7.5 Replace 1. Remove the front flowmeter panel shield (Section 9.7.1).
flowmeter frame 2. Remove the complete flowmeter head (Section 9.7.3).
3. Remove the TFS module if equipped (Section 9.8).
4. Separate the flowmeter modules as required (Section 9.7.4).
5. Remove the flowtubes (Section 9.7.2). Keep all the parts for reassembly.
6. Remove the gas identification panel by removing the two screws at the back of the
frame. Keep all the parts for reassembly.
7. Remove the flowmeter frame by loosening the four mounting screws at the back of
the regulator manifold.
Note: There is a retainer in each screw location that keeps each screw within the
manifold.
8. To reassemble, perform the previous steps in reverse order.
9. If replacing O2 or N2O frames, perform the link system calibration (Section 5.4).
10. Perform the checkout procedure (Section 3).
9.7.6 Replace O2 The O2 supply switch is located on the O2 flowmeter’s regulator module.
supply switch 1. Bleed all gas pressure from the machine (Section 9.1).
2. Remove the upper rear panel (Section 9.2).
3. Remove the two mounting screws from the O2 supply switch.
Adjustment
screw
4-mm hex
9.7.7 Checkout 1. Bleed all gas pressure from the machine (Section 9.1).
procedure for O2 2. Remove the upper rear panel (Section 9.2).
supply switch
3. Attach a gauge to the O2 primary regulator test port. (On pipeline only machines,
attach the gauge to a 6-mm O2 port).
4. Adjust the O2 flow control to minimum flow (clockwise).
5. Install an O2 cylinder and open the cylinder valve (for pipeline only, connect O 2
pipeline source).
6. Turn the system on.
7. Close the cylinder valve (disconnect pipeline from source) and watch the test gauge
as the O2 pressure bleeds down slowly.
Note: The “No O2 pressure” alarm should occur between descending pressure of
221–193 kPa (32–28 psi).
8. If adjustment is required, set the adjustment screw so that the “No O 2 pressure”
alarm occurs at 207 ±7 kPa (30 ±1 psi).
9. Disconnect the gauge and plug the test port
[Link] reassemble, perform the previous steps in reverse order.
11. Perform the checkout procedure (Section 3).
M1170027 02/09 9-19
Aespire View
9.7.8 Replace 1. Remove the front flowmeter panel shield (Section 9.7.1).
secondary 2. Remove the complete flowmeter head (Section 9.7.3).
regulator manifold
3. Remove the TFS module if equipped (Section 9.8).
or balance
regulator manifold 4. Separate the flowmeter modules (Section 9.7.4).
5. Remove the flowmeter frame from the regulator manifold by removing the four
screws at the rear of the regulator manifold (no need to remove flowtubes).
6. Remove the needle valve from the regulator manifold:
a. Unscrew the complete assembly together (stop collar, needle valve).
b. Replace the o-ring if necessary.
7. Screw the needle valve into the new regulator manifold.
8. Remove the plugs and balance regulator elbow fitting (and O 2 supply switch if an O2
module) from the old regulator manifold.
9. Install the plugs and balance regulator elbow fitting (and O 2 supply switch if an O2
module) into the new regulator manifold (pull on the plugs and fittings to ensure that
they are locked into the manifold).
[Link] the flowmeter frame to the regulator manifold.
11. Reinstall all the flowmeter modules to the flowmeter head.
[Link] the flowhead into the machine (Section 9.7.3).
• If the machine includes a TFS module, refer to Section 9.8.
13. Do the necessary calibrations.
9.7.9 Replace O2 For machines without N2O, refer to Section 9.7.10 for replacing the O2 needle valve.
or N2O needle 1. Bleed all gas pressure from the machine (Section 9.1).
valves (on 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
machines with
N2O) 3. Remove the front flowmeter panel shield (Section 9.7.1).
4. Set the O2 and N2O needle valves to their minimum position.
5. Loosen the set screws on the N2O knob, then remove the knob.
6. Loosen the set screws on the N2O sprocket and the O2 knob.
7. To remove, grasp the O2 knob/sprocket, N2O sprocket, and chain as an assembly.
Remove as an assembly.
8. Remove the spacer from the N2O needle valve spindle.
9. Loosen the set screws on the needle valve stop collar for the needle valve that is
being replaced.
10. Remove the stop collar.
11. To remove the needle valve from the flowmeter block, turn the needle valve
counterclockwise with a 16-mm wrench.
12. To install the new needle valve, turn it clockwise and tighten it with the wrench.
Note: Be sure the o-ring is properly located on the tip of the needle valve.
w WARNING The O2 and N2O needle valves are not the same. Patient injury can result if the
wrong needle valve is installed in the flowmeter block. You can identify the N2O
needle valve by a groove located just below the top brass hex.
13. Install the stop collar on the new needle valve. Do not tighten the set screws.
14. Perform the needle valve calibration (Section 5.3).
15. After calibrating the needle valve, put the spacer the N 2O needle valve spindle.
Spacer
16. Put the chain on the O2 knob/sprocket assembly and the N2O sprocket.
17. Install the chain and sprockets on the needle valve spindles as an assembly. Do not
tighten the set screws.
Sprocket/Chain
Assembly
18. Install the N2O knob. Do not tighten the set screws.
19. Perform the link system calibration (Section 5.4).
20. Install the flowmeter panel shield.
21. Perform the checkout procedure (Section 3).
9.7.10 Replace an For machines with N2O, refer to Section 9.7.9 for replacing the O2 needle valve.
Air needle valve on 1. Bleed all gas pressure from the machine (Section 9.1).
all machines or an 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
O2 needle valve on
machines without 3. Remove the front flowmeter panel shield (Section 9.7.1).
N2O 4. Loosen the set screws on the flow control knob and remove the knob.
5. Loosen the set screws on the stop collar and remove the collar.
6. If equipped, remove the maximum flow stop collar.
7. Using a 16-mm wrench, remove the needle valve by turning it counterclockwise.
8. Install the new needle valve and tighten.
Note: Be sure the o-ring is properly located on the tip of the needle valve.
9. If equipped, install the maximum flow stop collar (do not tighten).
10. Install the stop collar (do not tighten the screws).
11. Install the flow control knob on the shaft. Tighten one set screw to snug.
12. Reconnect the gas supplies.
13. Perform the flow control stop procedures explained in:
• Section 5.3.1 for O2.
• Section 5.3.3 for Air.
14. Install the flowmeter panel shield.
15. Perform the checkout procedure (Section 3).
A
B
6. Lift the TFS assembly upward to release it from the mounting bracket ( E).
Note: To aid in removal of the
TFS assembly, you can cut the
tubing segments between the
TFS assembly and the
flowmeter modules (D).
Refer to parts Section 10.16: E
F G
11. Remove the EMI cover from the TFS assembly (I).
12. Replace the TFS flow sensors (J) as needed.
13. To replace the TFS circuit board, transfer the flow sensors from the existing TFS
circuit board in the corresponding location on the replacement TFS circuit board.
Nipple
O-ring
Spring
O-ring
AA.96.287n
5. When installing a new valve cartridge assembly into the vaporizer manifold, put a
light coat of Krytox on the bottom portion of the cartridge. The bottom portion of the
cartridge is defined as the brass surface that is inserted in the lower spring.
Note: Do not apply Krytox to the valve seal.
6. Verify that the parts are free of dust and dirt.
7. To reassemble, perform the previous steps in reverse order.
8. Complete the port valve checkout procedure described in the following section
(Section 9.9.2).
9.9.2 Checkout Use the Vaporizer Manifold Valve Test Tool to perform the checkout procedure for the
procedure for manifold port valve. This tool and test procedure are intended for use only when the
valve cartridge assembly is replaced or troubleshooting pneumatic leaks.
manifold port
valve
Note This replacement and test procedure is a service action and is not part of the
maintenance program.
1. Set the system switch to Standby.
2. After replacing the valve cartridge assembly, remove the vaporizer port o-ring.
3. Attach the valve tester to the top of the valve by sliding the bottom of the tester onto
the o-ring groove.
4. Tighten the tester screw down onto the valve until the screw bottoms out on the top
of the valve. The tester o-ring should create a seal with the top of the valve.
5. Remove the upper rear panel (Section 9.2).
6. Remove the inlet tube from the vaporizer manifold.
7. Set the ACGO selector switch to ACGO.
8. Test the negative low-pressure leak-test device:
a. Put you hand on the inlet of the leak-test device. Push hard for a good seal.
b. Remove all air from the bulb.
c. The bulb should not inflate in less than 60 seconds.
9. Attach the negative low-pressure leak-test device to the ACGO outlet.
10. Remove all air from the bulb. The bulb should not inflate in less than 45 seconds.
11. Remove the valve tester.
12. Reassemble the inlet tube, vaporizer port o-ring, and the upper rear panel.
13. Conduct a negative low-pressure leak test on the system (Section 3.10.1).
w WARNING If the valve test tool is not removed before flowing gas through the system,
pneumatic head damage could result.
A
B
Note The valve body, o-ring, and flapper do not come out with the block. They stay intact at
the bottom of the vaporizer manifold.
6. Pull the flapper out of the valve body.
O-ring
Valve body
Flapper
Valve body
O-ring
Flapper
7. Using a hex wrench, put the wrench through one of the holes of the valve body and
pull down to remove the valve body and o-ring.
8. Verify that parts are free of dust and dirt.
9. Replace the flapper by inserting the flapper stem and gently pulling the stem until
the flapper secures to the valve body.
10. Lightly lubricate the o-ring with Krytox.
11. Place the lubricated o-ring on the valve body port at the bottom of the manifold.
12. Gently install the valve body in the manifold:
• Check that the o-ring makes a good seal between the manifold and the valve
body.
• Check that the flapper valve makes solid contact with the valve body.
13. Install the valve block.
14. Reconnect the tubing to the valve block. Pull on the tube to ensure that it is locked
in the fitting.
15. Install the vaporizer front panel and right side panel.
16. Perform the checkout procedure (Section 3).
A B
E D
[Link] the new vaporizer manifold in reverse order. Do not fully tighten the screws
until they are all in place.
• Attach the new manifold to the right-hand extrusion (E).
• Attach the vertical support to the vaporizer manifold (D).
• Attach the bottom of the vertical support to the flowhead bracket (C).
• Attach the vertical support to the front bezel (B).
[Link] the mounting screws in the following order: E, D, C, B.
[Link] the tubing to the vaporizer manifold (Section 10.28).
[Link] the machine.
[Link] the checkout procedure (Section 3).
Test procedure 1. Confirm that flush flow and 5 L/min fresh gas flow are diverted to the ACGO port and
the ABS in the respective knob positions.
2. Confirm that the ventilator display indicates ACGO mode when the valve is set in the
ACGO position.
3. Test the function of the flush pressure switch
(Service Mode - “Display Discrete I/O Signals”).
4. Perform the low-pressure leak test (Section 3.10).
5. Perform the checkout procedure (Section 3).
Procedure Sample gas return is directed to the scavenging system as a factory default. Perform
the following to reroute the sample gas back to the breathing system.
1. Remove the tabletop.
2. Port 4 (A) of the ABS breathing system is connected to the expiratory circuit,
downstream of the expiratory check valve. As a factory default, Port 4 is plumbed
with a length of tubing that is plugged (B) at the far end.
3. Remove the plug from the tube.
4. Find the sample return line at the left-rear corner of the pan assembly. The sample
return line includes an inline connector (C) at the point where the sample line goes
down into the vent engine housing.
5. Separate the scavenging tube, removing the inline connector from the portion of the
tube that extends into the vent engine housing. Plug the open end of the scavenging
tube (D) with the plug removed above.
6. Insert the inline connector from the sample return port into the open end of the return
tube (E) to Port 4. Pull on the connector to ensure that it is securely connected.
7. Replace the tabletop.
8. Perform the checkout procedure (Section 3).
Sample Sample
Return Return
Scavenging Scavenging
Downtube Downtube
C D
AB.74.119
AB.74.118
B
E
9.14.1 Servicing Service parts for the bag support arm include the upper and lower assemblies.
the bag support To replace either assembly:
arm 1. Remove the bag support arm from the machine (Section 9.14).
2. To separate the upper assembly
from the lower assembly, use a Dowel Pin
small (2.5-mm) pin punch from the
bottom to drive the dowel pin up and
out.
3. To assemble the bag arm, apply a
light coat of Krytox to the area of the
upper arm (A) that extends into the
Pin Punch
lower arm (including the dowel pin
groove).
A
C Groove
4. Insert the upper assembly into the lower assembly. Align the surface (B) of the upper
assembly with the surface (C) of the lower assembly.
5. Insert the dowel pin into the hole
(from the top side as shown). Drive
the dowel pin into the bag arm until
it is flush with the top surface.
Dowel Pin
1 3 4
B C
9.17.1 Front panel 1. Bleed all gas pressure from the machine (Section 9.1).
method 2. Ensure that all cylinder and pipeline gauges read zero before proceeding.
3. Remove the tabletop (Section 9.3).
4. Remove the gauge panel mounting screws and move the panel forward to access the
suction control module.
C A (suction - black)
(pilot)
B
(vacuum
white)
9.17.2 Rear panel 1. Lower the upper rear panel (Section 9.2).
method 2. Disconnect the white (A) vacuum and black (B) suction fittings from the rear panel.
Do not remove the tubing from the regulator.
3. If you are replacing a venturi drive suction control module, disconnect the tube (C)
from the pilot valve adapter.
(suction)
B A F
(suction) (vacuum)
D
(vacuum)
E
4. Remove the two screws (D) that hold the suction control module to the mounting
bracket.
5. Remove the regulator assembly from the front panel.
6. Transfer the tubing to the new regulator:
• Attach the vacuum source tube (white fitting) to the lower connector (E).
• Attach the suction tube (black fitting) to the upper connector (F).
7. Guide the tubes into the front panel opening.
8. While holding the regulator assembly against the front panel, attach the retaining
bracket to the regulator. Tighten the screws to secure the regulator assembly.
9. If applicable, attach the control port tube to the pilot valve adapter (C).
10. Attach the vacuum and suction fitting to the rear panel manifold.
11. Replace the rear panel.
12. Perform the checkout procedure (Section 3).
3. From the topside, rotate the Bag/Vent switch cartridge counterclockwise until the
Bag/Vent switch outlet port (C) clears the bellows housing.
9.18.2 Replace To replace the latch assembly, you must disassemble the bellows base assembly to the
bellows base latch point where you can remove the guide (A) and latch assembly (B) as a unit.
assembly 1. Remove the Bag/Vent switch cartridge (Section 9.18.1).
2. Remove the two remaining screws (C) that hold the APL/BTV manifold to the bellows
base assembly. Remove the APL/BTV manifold.
B
E
A E
3. To remove the guide/latch assembly, remove two mounting screws (D) from the
underside. Remove two additional mounting screws from the topside (E). Remove
the guide/latch assembly from the bellows base assembly.
4. Separate the latch assembly from the guide assembly.
5. To install the new latch assembly, put the spring (F) into place in the guide assembly
(long leg down).
6. Place the latch assembly on the guide assembly so that the latch engages the short
leg of the spring. Secure the latch assembly (G) to the guide assembly.
F G
B
C
A
D E
3. Remove the two M3 shoulder screws (C) that fasten the canister latch lever (D).
4. Remove the latch lever, the switch actuator lever (E) and the spring; discard the
spring.
5. Place the new spring on the module (as shown below). Position the switch actuator
lever over the spring. Ensure the spring hooks are fully engaged into the posts on the
manifold and the actuating lever.
6. Clean any residual Loctite debris from the M3 shoulder screws removed in Step 3.
7. Place the canister latch lever in position. Apply Loctite 242 to the threads of the two
M3 shoulder screw threads and secure the canister latch level.
8. Check the switch actuator lever to ensure free movement. If sticking is observed,
loosen the M3 shoulder screw approximately 1/8 of a turn until free movement of
the switch actuator lever is observed.
9. Install the module cover.
[Link] the EZchange module.
11. Verify that the following message appears on the screen when the absorber canister
is released.
• ‘No CO2 absorption’
12. Perform the checkout procedure (Section 3).
w CAUTION Remove the vaporizers before tipping the machine. If a vaporizer is inverted, it
must be set to 5% and purged for 30 minutes with a 5 L/min flow. The interlock
system prevents purging more than one vaporizer at a time.
2. Remove the absorber, the vaporizers, gas cylinders, drawers and all auxiliary
equipment.
w CAUTION To prevent damage, do not tip the Aespire machine more than 10 degrees from
vertical.
3. Block the opposite wheels; then, block up the machine until there is enough room to
remove the defective caster.
To block up the machine, tip and slide blocks under the caster base. Raise both
sides evenly until the unit is high enough to remove the caster.
4. The casters are threaded into the base
and held with a Loctite compound.
Remove the caster with an
appropriately sized open-end wrench.
5. If required, clean the threads of the new
caster with isopropyl alcohol.
6. Apply Loctite 242 to the threads of the
new caster. Install the caster securely
into place.
7. Make sure the caster turns freely.
8. Carefully lower the machine to the floor.
9. Perform the checkout procedure (Section 3).
A A A A
D B C
9.20.1 To replace 1. Using a small needle-nose pliers, disconnect the switch harness from the task-light
the task-light circuit board connector (B).
switch 2. Remove the two screws (C) that hold the switch retainer plate to the upper shelf.
3. Transfer the switch-retainer plate to the new switch, counter-sunk side facing out.
4. Mount the switch to the upper shelf.
5. Remount the task-light assembly. Ensure that the switch harness and the task-light
harness wires are positioned in their respective recesses and are not pinched under
the task-light lens.
9.21.1 Removing If equipped, remove additional equipment from the arm before removing the arm.
the display arm 1. Disconnect the cable from the display.
2. Remove the display from the display
arm.
3. Remove the cable from the cable
clamps.
4. Loosen the screws that secure the
display arm in the dovetail.
5. If required, use a rubber mallet to tap
the display arm upward out of the
dovetail.
w CAUTION The circuit boards are electrostatic sensitive. Use an anti-static workstation and
wear a wrist grounding strap when handling a circuit board.
9.23.1 Remove the The display unit is mounted on the left side of the machine:
display unit • on a GCX long arm
• or on a folding mount.
1. Disconnect the cables from the display unit.
2. Remove the four screws that hold the display unit to the arm or folding mount.
Folding mount
(1)
2. Lift the rear enclosure away from the front enclosure and set it aside.
(18)
(17)
(13) (15)
G
B
(17)
C D E
3. Remove the remaining three screws (circled) that hold the CPU board to the
mounting plate.
4. Remove the CPU board from the mounting plate.
5. Reassemble in reverse order.
6. Download the latest software (Section 8.2).
7. Reconfigure the Options Configuration (Section 4.3.22).
8. Reconfigure the System Configurations (Section 4.3.20).
9. Affix a new Key Code and Board ID label to the display’s rear enclosure.
D
A
B C
6. Remove the four screws (circled) that hold the LCD to the mounting plate.
7. Lift the left side of the LCD display slightly away from the mounting plate to pull some
of the display ribbon cable (H) to the top side of the plate. Flip the LCD over to the left
of the assembly.
8. Disconnect the display ribbon cable (I).
LCD
Display
I H
9.23.5 To replace The backlight replacement kit includes a backlight assembly (with two backlights) and
the backlights two inverters with mounting hardware. To replace the backlight assembly follow the
procedure in Section 9.23.4 to gain access to the assembly. To replace the inverters,
Note: When replacing a
backlight or a backlight follow the procedure in the next section.
inverter, you must 1. Remove the one screw (J) that holds the backlight assembly to the LCD.
replace both inverters
and the backlight 2. Slide the backlight assembly to the left to free it from the retaining tabs and then lift
assembly found in the
it out of the holder.
Backlight Kit.
G J
Slit
9.23.6 To replace The Display Unit includes two inverters (one for each backlight).
the Inverters The inverters “sandwich” the mounting plate. Follow the procedure in Section 9.23.4 to
Note: When replacing a gain access to the inverters. Replace one inverter at a time.
backlight or a backlight
inverter, you must 1. Disconnect the backlight cable (A) from the inverter.
replace both inverters
and the backlight
2. Remove the two Nylon screws (B) that hold the inverter to the backplate.
assembly found in the 3. Disconnect the inverter from the CPU harness (C).
Backlight Kit.
4. Reassemble in reverse order.
A A
B B
B
B
C
C
9.23.7 To replace Disassemble the Display Unit following procedures in the previous sections to the point
the front where you have removed the mounting plate assembly from the front enclosure.
enclosure or If you are replacing the front enclosure, you can transfer the encoder (13) assembly to
components the new enclosure; but, you must build up the replacement enclosure with:
• a new window (8)
• new membrane switches — right-side (9), lower (10), left-side (11)
• new keypad set (12)
• new EMC gasket (7)
If you are replacing a keypad or a membrane switch, you must replace both items.
(7)
(8)
(11, 12)
(9, 12)
(13) Nub
(10, 12)
To replace the window 1. Place the front enclosure face up on a flat surface.
2. Press down on one corner of the window to free it from the enclosure.
3. Work your way around the window until you can get a hold of it from the back.
4. Slowly pry the window from the enclosure.
5. Place the front enclosure face down on a flat surface, taking care not to damage the
encoder.
6. Remove any remaining residue from the mounting area; clean with isopropyl
alcohol.
7. Remove the inside protective material from the front of the window.
8. Peel the front outside frame of the release liner.
9. Lower the window straight down in the enclosure, noting the notch in the window and
the matching nub on the enclosure.
[Link] seating the window, position it in contact with the bottom and right sides of
the frame (see arrows) so that the larger gap between the window and the enclosure
is at the top and left edges (as viewed from behind).
[Link] the protective film from the back side of the window.
To replace a membrane 1. Remove the screw that attaches the grounding strap to the enclosure.
switch and keypad 2. Pry the membrane switch and keypad from the enclosure.
3. Remove any remaining residue from the mounting area; clean with isopropyl
alcohol.
4. Remove the backing from the membrane. Be sure to remove the small backing
below the flex cable. Be careful not to allow the ribbon cable to adhere to the
backing.
5. Insert the flex cable and ground strap through the slot in the enclosure. Ensure that
all of the ground strap passes through the slot an does not remain folded over under
the membrane.
Ground Strap
fully inserted
6. Carefully lower the membrane straight down to the enclosure. Seat the membrane in
place.
7. Remove the backing from the keypad and install it over the membrane switches.
8. Attach the ground strap to the enclosure.
To install the EMI To fully seal the Display Unit enclosure, you will need approximately 2.3 meters of
gasket EMC gasket (7). Cut the gasket into five strips shown below.
w CAUTION Disconnect the internal battery before attempting to remove or repair any circuit
board. Failure to do so may damage the internal electronics.
w CAUTION The circuit boards are electrostatic sensitive. Use an anti-static workstation and
wear a wrist grounding strap when handling a circuit board.
To access the electrical enclosure components:
1. Disconnect the power cord.
2. Remove the lower electronic access panel (Section 9.2.2).
3. Disconnect the battery cable by pressing the lock tabs on either side of the
connector and gently pulling on the connector.
1. DAQ board
2. Power supply
3. Battery
4. Battery connector
w CAUTION The circuit boards are electrostatic sensitive. Use an anti-static workstation and
wear a wrist grounding strap when handling a circuit board.
1. Disconnect the cable connectors from the top of the DAQ board.
2. Disconnect the remaining cables:
• the power supply cable at the lower-right side of the DAQ board.
• the task light harness at the lower-left side of the DAQ board.
3. Remove the hardware (A) at the upper left-hand corner that holds the CPU bracket to
the tab on the mounting plate.
Remove the four screws (circled) that hold the DAQ board to the mounting plate of the
electrical enclosure.
9.24.2 DAQ board Whenever you replace the DAQ board, perform the following tests:
tests • O2 Calibrations (Section 4.3.15)
• Calibrate Flow Sensors (Section 4.3.16)
• Calibrate Flow Valve (Section 4.3.17)
• Bleed Resistor Calibration (Section 4.3.18)
• Perform the Checkout Procedure (Section 3)
w CAUTION The circuit boards are electrostatic sensitive. Use an anti-static workstation and
wear a wrist grounding strap when handling a circuit board.
1. Disconnect the line power inlet connector (1) and the ground wire (2).
2. Disconnect the power outlet connector (3).
3. Remove the two screws (circled) that hold the power supply assembly to the
mounting plate of the electrical enclosure.
4. Transfer the power supply mounting bracket to the new power supply.
5. To install a new power supply, follow the removal instructions in reverse order.
6. Perform the Checkout Procedure (Section 3).
3
1
1. Line power
2. Chassis ground
3. Power output
9.24.4 Battery The battery is located in the lower-left corner of the electrical enclosure and held in
place with a formed bracket attached to the back plate.
1. Disconnect the battery cable from the terminals a the top of the battery.
2. Remove the screw that retains the mounting bracket.
3. Remove the battery.
4. Install a new battery by following these instructions in reverse order.
5. Perform the Checkout Procedure (Section 3).
6. Allow the battery to charge:
• A fully discharged battery may need 16 hours to charge.
7. Recycle old batteries in same packaging according to local regulations.
1
2
9.24.5 Replace The four cables (excluding the TFS cable) from the top edge connectors of the DAQ
DAQ cables board pass into the pan area through a cable raceway:
• Display cable
• Vent engine cable
• ESIB cable
• Machine switches cable (splits into three segments).
To replace these cables, you must remove the tabletop (Section 9.3).
3. If replacing more than one cable, place the display cable ( A) and the ESIB cable (B)
in the raceway in the order shown. The remaining cables can occupy the inner slots
in any order. Insure that all ferrites are below the pan.
A B
4. Slide the mounting plate into the side slots of the raceway.
5. Place the raceway over the right edge of the pan. Secure the plate to the pan.
6. Reassemble in reverse order.
9
5
6
2
7
3
9.25.1 To remove 1. Disconnect pipeline supplies; close cylinder valves; bleed off pressure (Section 9.1).
the Vent Engine 2. Remove the ABS breathing system.
3. Remove the Exhalation valve.
4. Remove the scavenging downtube.
5. Loosen the five captive screws (A) that hold the Vent Engine cover to the housing.
Raise the cover to access the Vent Engine.
F
Access
Regulator Adjustment
A F B
9.25.2 Replacing Refer to Section 6 for Vent Engine components that are to be serviced under regular
Vent Engine maintenance. Most of the components on the Vent Engine can be replaced by
removing the mounting screws and reusing them to secure the replacement part.
components
C D
A
G
B
Gas Inlet Valve (A) Inspect the two o-rings that seal it to the manifold. Replace as necessary.
To replace GIV shuttle valve components, refer to Section 9.25.3.
Inlet Filter (B) Install the filter with the smooth side facing up.
Inspect the o-ring. Replace as necessary.
Regulator (C) Inspect the two o-rings that seal it to the manifold. Replace as necessary.
Perform the Drive Gas Regulator calibration in Section 4.3.13.
Interface Manifold (D) Inspect the two o-rings that seal it to the manifold. Replace as necessary.
Lubricate o-rings sparingly with Krytox.
Drive Gas Check Valve Inspect the o-ring that seals it to the manifold. Replace as necessary.
(E) Clean the seat on the manifold and the seal on Drive Gas Check Valve with isopropyl
alcohol.
Inspiratory Flow Valve Note orientation of the flow valve. Inspect the two o-rings that seal it to the manifold.
(F) Replace as necessary.
Perform the Inspiratory Flow Valve calibration in Section 4.3.17.
Reservoir (G) Inspect the two o-rings: reservoir to manifold, reservoir to screw head.
Replace as necessary.
Inlet Valve Solenoid (H) Inspect seal between solenoid and GIV body.
Replace as necessary (included with solenoid).
9.25.3 Replacing Lubricate items marked with an asterisk (*) sparingly with Krytox.
GIV components
C*
G*
AB.23.149
*
AB.23.150
* E*
F*
AB.23.148
* D*
1. Remove the retaining ring (A) and the GIV cap (B).
2. Use pneumatic pressure to remove the shuttle. Cover the shuttle with a cloth and
briefly apply pressure (connect the drive gas hose or use pipeline pressure) through
the drive gas inlet.
3. Remove the upper o-ring (C) and the lower o-ring (D).
4. Install the lower o-ring (D*).
5. Lubricate the shuttle (E) at the three areas (*) shown: the circumference of the
shuttle where the upper and lower u-cup seals are placed and the body part of the
shuttle that slides along the lower o-ring.
6. Install the lower u-cup seal (F*) and the upper u-cup seal (G*) on the shuttle.
7. Press the shuttle assembly into the GIV manifold.
8. Install the upper o-ring (C*).
9. Install the cap (B) and the retaining ring (A).
10. Reassemble in reverse order.
The ventilator will alarm with the message “Low Drive Gas Press” if the selected
drive gas pressure, either O2 or Air, is lost.
1. Remove the rear panel (Section 9.2).
Note: The O2 and Air pipeline manifolds have a drive gas connection at the back. The
connection not in use is plugged.
2. Remove the plug from the new connection.
3. Disconnect the drive gas hose from the present connection.
4. Install the plug in this connection (pull on the plug to ensure that it is locked into the
fitting).
5. Reroute the drive gas hose so that it does not cause kinks in other tubing.
6. Connect the drive gas hose to the new connection (pull on the hose connector to
ensure that it is locked into the fitting).
7. Do a high-pressure leak test (Section 3.3).
8. Enter the service mode and select the correct drive gas.
9. Test the primary regulator. Verify that it functions within specifications now that it will
be supplying drive gas to the ventilator (Section 5.1).
10. Perform the checkout procedure (Section 3).
10.1.1 Software
Description Version Stock Number
Aespire View System Software 6.X M1171038-S
Serial download cable, 9-pin DSUB 1006-3900-000
10.1.2 Secondary Assemble the secondary regulator pilot pressure tool using a 4-mm tee and
regulator pilot pressure tubing as shown. This tool is used with N2O needle valve calibration
(Refer to section 5.3.2).
tool
1
2 3
Not Shown
Low-pressure Leak Test Device (negative pressure) 0309-1319-800
Low-pressure Leak Test Device (positive pressure - ISO) 1001-8976-000
Low-pressure Leak Test Device (positive pressure - BSI) 1001-8975-000
Flow test device capable of measuring 0–15 L/min Refer to section 6.5
with an accuracy of ±2% of reading
Vacuum test gauge capable of measuring 0 to 550 mm Hg Refer to section 6.6
with an accuracy of ±1% of reading
Test device capable of measuring 0–30 L/min (see Item 1 above) Refer to section 6.6
Leakage current test device Refer to section 3.16
Test device capable of measuring 689 kPa (100 psi) Refer to section 5.1
Low-pressure test device (digital manometer or test gauge) Refer to section 5.8.2
with an accuracy of ±2% of reading
1e 1f
(2) (2)
3
4
2
17
AC.20.002
13, 14
15, 16
9
7 10 (11)
AC.20.013
8
2 1 12 (11)
AC.20.002
9
1 14
10
15
11
7 12
AC.20.013
13
5
3
6
4
AB.91.029
4
2 3
3
9
6
5
10
2
7 11 5
5
14 (15, 16)
17 6 (7)
13 (15, 16)
10 (9)
12 (9) 11 (9)
XXX
5 4
2
2
4 (3) 2 (3)
1 2 (3)
1 (3)
14
2 (3)
7 (8, 9)
4 (5)
10.10 Drawer
3 1
2 2
5 (6)
4 (6) 6
1 Power Cord
Australia, 220-240 VAC AS 3112 outlets 1006-3888-000
China, 220-240 VAC AS GB2099 M1053942
Danish, 220-240 VAC 1011-3696-000
EURO and France, 220 VAC with CEE 7/7 1001-3380-000
India and South Africa, 220-240 VAC BS546 1006-3885-000
Japan, 100-120 VAC JIS-C3306 M1142139
Peru, 220-240 VAC NEMA 1006-3889-000
Swiss, 220-240 VAC SEV 1011 1006-3889-000
UK, 220-240 VAC BS1363 1006-3884-000
US, 100-120 VAC NEMA 1006-3907-000
10
4 7
11
1
6
12
2 (13, 14)
8
5
15, 16
AS 3112 AS 3112/GB2099
Australia China
9 8
1
4
3
5
10 2
9 12
4
1 11
3
5
8 7
Item Description Pin Index (Inboard) DIN (Inboard) DIN, Large Cylinder
(Inboard)
1 Gas supply O2 1006-3201-000 1006-3207-000 1006-3880-000
1 Gas supply N2O 1006-3225-000 1006-3208-000 1006-3881-000
1 Gas supply Air 1006-3203-000 1006-3209-000 -----
Pin Index (Outboard) DIN (Outboard)
2 Gas supply N2O 1009-8210-000 M1100261
2 Gas supply Air M1089363 M1089364
2e
2a 2b 2c 2d
1a 1b 1c 1d 1e
2b 2f
2h 2g
3 4
7
2
8
AA.96.287n
9
10
15
11
12
14
13
15
3 2 1 9
4 5 EMI Fence
(Note)
EMI Cover
10
8 7
5*
3
9***
10
8
11
7
* Both white/black and black/white O2 Knob labels included; use required label.
** Both N2O Knob and Air Knob labels included; use required label.
Not Shown:
O-ring Kit, flowtubes (includes 4 each of top and bottom o-rings for large 1006-8393-000
flowtube and 3 each of top and bottom o-rings for small flowtube).
Silicon tube kit, long, including cable ties 1006-8378-000
Silicon tube kit, short, including cable ties 1006-8379-000
2 1
4 3 4
9 5
10 6
11 7
12 8
4
5
3
3
1 2
6
7
3
10 7
8
13
15
14 11
12 17
12
AB.74.102
18
16
20
21
6 2
8
17 (9)
1
14 15 16
6
13 12 10 (11) 5 4 3 2
13
9a
(9b)
11
6 5 7 (8)
12
9c
9
2 (3, 4)
10
10.19 Serial and task-light cable, AGSS flowtube, and sample return
5 6 5 11
13 (11*, 12)
20
23 10**
6 (7, 8) 3 (4) 24 16 10 (11*, 12) 14 (15)
5
17
25
ABS Breathing System - complete (does not include flow sensors or O2 cell) Stock Number
All except Australia and New Zealand 1407-7008-000
Australia and New Zealand ONLY 1407-7016-000
1
AB.82.022
2 4
22
13
3
20 (21) 16 (17)
14
2 15
7
3
AB.82.008
4
10
18
6 (19)
11 (12)
5
AB.82.017
AB.82.019
2 3
6
10 7
2 3a
3b
3c
3 3d
4, 5 9
6 (11)
13, 11 14
15
12
AB.82.021
8** 16
7** 10 11
11
12*
13
4
AB.82.020
3
2 5 (6)
7
1
8
10.21.7 Bellows
AB.82.018
2
5
4 6
3 2
1a
2a
3a
4 2
2b
3b 2d
2c
3
AB.82.034
3c 2e
3d
6
7
5*
8
9
3e
10 11
AB.82.055
2
20
8
18 (19) 6 (7)
9
1
17
17
15 (16)
***
14
10
11
13
13 12
10.21.11 Condenser
1 2
3 4
16
15
6
14
14
5
12 (13)
11
7
17
8
10 9 10
22
AB.82.056
21
20 18
19
AB.75.p80
23
14 12 (13)
11
10
15
6 7
* When replacing a backlight or a backlight inverter, you must replace both inverters
and the backlight assembly found in the Backlight Kit (Item 4).
** Keypads will likely be damaged during membrane switch replacement, order parts
accordingly.
*** Apply Loctite 242.
1 7
2
3
6 (7)
9
23
8
12
AB.74.138
17
18
13
16 11
15 12
10 14
12
18
19
20
17
21 22 15 16
6
7
5
4 10
2 3
11 9
16
12 (13, 14)
8
1c
1d
10
1e 7
AB.23.150
1g
1f
1h 1 6
1b 5
1i
2
4
1a
1
1a
1b
1c
2 3 4
5 c
e 7
a
f
g
8
b d
1 Tees — (tube/tube/tube)
4 mm (N2O) 1202-3653-000
6 mm (O2) 1006-3544-000
8 mm (Air) 1006-3545-000
8 mm/6 mm/8 mm (SCGO pilot) 1009-3297-000
3/16 inch (CO2 and Heliox) 0213-4727-300
2 Tees — (tube/tube/standpipe)
6 mm (O2) 1006-3862-000
8 mm (Air - Drive gas) 1009-3370-000
3 Elbow — (tube/standpipe)
4 mm (N2O) 1006-3533-000
6 mm (O2) 1006-3534-000
8 mm (Air) 1006-3535-000
1/4 inch (mixed gas) 1006-3737-000
1/4 inch (45° - mixed gas) 1009-3368-000
4 Elbow — (tube/tube)
1/4 inch (mixed gas) 1202-3804-000
4 mm (N2O) 1009-3040-000
6 mm (O2) 1009-3041-000
5 Y
6 mm (O2) 1009-3043-000
8 mm (Air) 1009-3044-000
8 mm Y with tailpiece 1009-3360-000
1/4 inch (mixed gas) 1006-3065-000
6 Plug
4 mm (N2O) 1006-3530-000
6 mm (O2) 1006-3531-000
8 mm (Air) 1006-3532-000
3/16 inch (CO2 and Heliox) 1006-3835-000
Plugged 120
if no gauge From
O2 Supply
128 127 *
8 5 **
6 130 From *
9 Flowhead
131
1 2 136
10
129
125
129 4
230
3 4
129
137 2
7 *
*
128
11
White
Black
Blue
Yellow
White
Black
7
134 12
135
AB.74.072
*
125
144
145
149
Venturi Drive 150
Suction
AB.91.012
146
148
* With an inboard N2O cylinder supply, Item 106 is replaced with Item 107
and 109 joined with a tee fitting. The output of the N2O cylinder is routed
to the tee fitting with Item 108.
** With two inboard O2 cylinder supplies, Item 123 connects the second O2
cylinder supply to the first O2 cylinder supply.
*** If the TFS option is present, these short tubing pieces are available as a
service kit (Section 10.16). If the TFS option is not present, items 110,
113, and 106 connect directly to the corresponding flowmeter.
105
104
O2 N2O Air 103
TFS
(optional) 115
117 114
110 113
116
118
106
101
N2O
102
O2 219
147
100 111
150
Air 112 AB.74.135
TO
N2O Flowmeter
N2O 1
O2
Air
AB.74.126
305
111
5
N2O
304
O2 256
Air
4
AB.75.058
AB.74.127
*
305
111
N2O
304
O2 256 6
Air
112
AB.75.058
AB.74.128
15
1 2
16
TFS
2
O2 N2O Air 2
3 19 1
4 4
10
AB.74.134
9 5
9 14 DAQ
20 5
2 3
18
5
Power
Supply
8
L
6
13 N
GND
ESIB
17
7
12V Battery
12
11
10.31.1 Passive AGSS Items 1 through 12 are included in all AGSS kits.
1 2 3
6 (5)
7
11
4 (5)
17 15
(10, 9)
16
15 or
12 13
18 14
10.31.2 Adjustable AGSS Items 1 through 12 are included in all AGSS kits.
1 2 3
6 (5)
7
11
4 (5)
17 15 or
(10, 9)
16 12 13
18
14
10.31.3 Active AGSS Items 1 through 12 are included in all AGSS kits.
Active Low Flow with 12.7 mm hose barb connector Specific Parts
17d Connector, low flow 12.7 mm (1/2 inch) 1406-3574-000
18 -none-
1 2 3
6 (5)
7
11
4 (5)
17
(10, 9)
15
or
16 12 13
14
15, 18
17
9
suction
1 15
3 4 5
15
vacuum
15
suction 14
13
14 16
6 5 4 3b* 3a* 3 2 1a
*
7
8
9**
only with Venturi 10
9c
9a 9b
9 11
16
15 10
14
17
18
5 6*
1
4
12
2 (3)
11 10
9
7
13
11
3 (4)
6 5b 5a
4 6 7 11 (12)
3 5 10 9 7 13 14
4 (5) 6 (2, 3, 7)
1 (2, 3)
AC.09.002
AC.09.003
3
4
AC.09.004
AC.09.001
12 5
6
11
2 7
(3)
2 (3) 8 9
CO2 Bypass
and Condenser
APL valve Option
0-70 cm H2O
Vent Engine
Atmosphere
NO
Free
Absorber
Drain
Breathing
Check Valve NC Canister
Bag Drain
NC Button
NO
Mechanical Popoff
Overpressure Valve Valve Bag/Vent
(110 cm H2O)
(10 cm H2O) Atmosphere
Drive Gas Check Condenser
Valve (3.5 cm Exhalation Valve
H2O bias) (2.0 cm H2O bias)
0-10 LPM Drive Gas
0-10 LPM Patient and Fresh Gas
Inspiratory 0-20 LPM Total Typical Flow
Flow Control To Scavenging
Valve
O2 Flush 4 Sample Gas Return
(opt)
Aux O2
0-10 LPM
(opt) 35 psi
2nd O2
Reg 200 mL Reservoir Negative Pressure
0-120 LPM Flow Vent Drive 25 psi Expiratory Gas Monitor
@15 LPM relief valve Flow Sensor
Gauge P System Total Flow Sensor Gas
Switch (opt) Inlet Control Bleed to Ambient
Valve 1.0 LPM @ 3.0 cm H2O
O2 P-LINE if continuous (rate dependent)
Drain
P Gauge 110 psi Absorber
Relief Vent to Ambient Canister
NC
NO
Patient
O2 Cyl (opt)
P Gauge
* 5.4 psi
Drive Balance
Gas 30 psi Regulator Air (opt) O2
NO
Select Flush
Venturi
Switch O2 Inspiratory
Gauge P
NC Sensor Flow Sensor
O2 Cyl (opt)
Trans
Manifold Pressure
Paw Trans
Drive Pressure
Limit Switch
Flowmeter Module Airway
P Gauge 110 psi Pressure P
(Dual Flowtubes Optional)
Relief Gauge
Selectatec Manifold 5.5 psi Pressure
AB.74.131
Relief Valve
*== Test
Max 3 cylinders
Port Plug
= ABS Bulkhead Ports
2
1
VAP VAP
4 3
*
Scavenging
From System *
Scavenging
From System
Scavenging
From System*
Room
High or Low Air
Filter Flow Orifice
High or Low
Flow Connector to
Needle Valve Disposal System
30 mm Male Assembly with
Connector DISS EVAC
Connector
AB.74.031
Reservoir Reservoir Reservoir
Flow Indicator
Key to Symbols
= Plugged port (1/8 inch) for sample gas return.
= Plugged port (30 mm) for auxiliary breathing system scavenging.
= Open port (30 mm) for auxiliary breathing system scavenging.
* = Zero to 10 l/min drive gas; zero to 10 l/min patient and fresh gas; zero to 20 l/min total typical flow.
Note: Active AGSS systems with a 12.7 mm connector do not include the Flow Orifice and the Flow Indicator.
Vent
Engine
Board
Inlet Flow
Valve Control
Valve
Vent Engine
Bag/Vent
Switch
ABS On
Switch CO2 DAQ
Bypass
Canister
Switch
ESIB
Inspiratory and Expiratory flow
transducers
Expiratory Drive Pressure Limit Switch Power
Flow Sensor Manifold Pressure Transducer Isolation Supply
Bulkhead Transformer Fuses Line
Connector Patient Airway Pressure Filter
Inspiratory Transducer
Flow Sensor VCHGR = 16.0 V Typical
Inrush VMAIN = 12.5 V Typical
O2 Sensor Board
ACGO AC Inlet
Select
AB.74.132
with
O2 Circuit Breaker 12V Battery
Flush and
Breathing System Line Filter
Tabletop Switch Lower Chassis
Power
Cord
AB.74.133
27. To ACGO
28. Test port (primary regulator)
29. Test port (secondary/balance regulator)
30. Flow sensor
23 23
* Approximate values
A. Cylinder Supplies
B. Pneumatic Manifold
Key to Symbols Pneumatic Connection C. Flowmeter Head
D. Vaporizer Manifold
Filter E. ACGO Select Switch
F. Total Flow Sensor (optional)
Direction of Flow
Check Valve
Figure 11-4 • Pneumatic circuit diagram
Control/Display Module
Task Light
1 2
TFS
O2 N2O Air
AB.74.134
VEB Bag/Vent
white
black
ABS ON white
black DAQ
orange
Canister white CO2
Bypass
Power
Supply
GND
ESIB
ACGO
Auxiliary O2 Flowmeter
From
AB.74.135
Scavenging Downtube O2 Supply
Vaporizer Manifold
Sample
Return
* From
Vaporizer Manifold
Flowmeter
ACGO
Vent Engine
O2 N2O Air
Total
Flow
Sensor
White
Black
Blue
Yellow
White
Black
Aux O2
Enhanced
Sensor
Interface
Board N2O
AB.74.072
O2
ACGO See Vacuum
Note
ACGO Air
Selector
Switch
Suction
OUTLET
BREAKERS
COUNTRY SPECIFIC
OUTLETS
WHITE
Power Supply
EQUIPOTENTIAL STUD L
G
CHASSIS GROUND
5A
LINE FILTER FUSE
L L
5A
N FUSE
AB.74.136
N G
OUTLET
BREAKERS
COUNTRY SPECIFIC
OUTLETS
ISOLATION TRANSFORMER
VIO
AC INLET MODULE 8A
SYSTEM BREAKER (BRN) LINE IN LINE OUT BLK
BLK
WHITE
Power Supply
L
EQUIPOTENTIAL STUD
N
G
CHASSIS GROUND
5A
LINE FILTER FUSE
L L
5A
AB.74.137
N FUSE
N G
M1170027
12 09 002 01 01 02
Printed in USA