Trouble shooting

Anesthesia machine Product,

Global Technical Support Department

August-2013

© 2011 Mindray Confidential

 Trouble shooting
I. What is we need before doing the trouble shooting?
1. Software checking and upgrade
2. Using leakage test tools and calibration tools
3. User and factory flow calibration and pressure calibration
4. To use valve test tool
5. How to do test-lung operation? to see alarm logbook.
II. What we need to feedback when problem happen?
III. Common failures
1. leakage
2. Failures about Tidal Volume.
3. Failures about pressure monitoring
4. Other Failures

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  Software Ver. of the machine

you can take photo and give to us. For there are a lot of problems are caused
by the software. In the factory maintains menu

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  Software Ver. of the machine
1. The relationship between the software and hardware

Software Name Matched hardware WATO EX-55/65

WATO EX-20/30/35
(SN:DA/DB/ER/RS-
(SN:DW/DY/EA-**)
**)
Host software Main board √ √
Ventilator module Monitor Board √ √
Auxi ctrl module Auxiliary Monitor Board √ √
Power system Power Board √
E-flow meter Electronic flow-meter √
Boot software Main board √ √
Keyboard software The keyboard √ √
IR comm software Infrared communication
board √ √
Heating module Heating control Board √
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  Software Ver. of the machine
2. Please consider following points before the software upgrade.
 For the machines with bios 2.0,you can not upgrade the bios to 3.1,
you can just upgrade the system to 03.00.01. If you want to upgrade
the software upper than it, you need to change the CPU board also.
 For the machines with bios 3.0,you can first upgrade it to 3.1,then the
other software to the latest.
 For the machines with bios 3.1,you can upgrade all to the latest
software as table shows.

Boot software Boot software version

BIOS
version 2.0 3.0/3.1
System Update Tool version 2.0 The latest Ver.
host system software version 03.00.01 The latest Ver.
ventilator module version 3.9 The latest Ver.
auxi ctrl module version 1.6 The latest Ver.
power system version 1.6 The latest Ver.
E-flowmeter version 1.7 The latest Ver.

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 What do we need?

 Software
Upgrade tool
Upgrade software package

 Tools
PC with network card
 standard net cable

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 Preparation

 Install the Upgrade Tool

 Record/Check the Original BIOS/Software Version
 Config PC and Anesthesia Machine

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 Install the Upgrade Tool

Double Click the “systemupdatetool”

Select the installation language

Input the Serial Number: 26582640

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 Install the Upgrade Tool

After the installation successfully finished, there will be a

shortcut key show as below

System Update Tool for [Link]

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 Record the Original Software Version

Anesthesia Machine:
1. Select [Maintenance] → [Factory
Maintenance]
2. Input Password as required.
3. Select [System Info] → [Version]
4. Write down the Version

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 Config PC and Anesthesia Machine

PC:
IP Address: 192.168.23.X
Subnet Mask: [Link]

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 Config PC and Anesthesia Machine

Anesthesia Machine:
1. Select [Maintenance] →
[User Maintenance] → [Set IP
Address>>].
2. In the [Set IP Address] menu,
set IP address: 192.168.23.X
3. Select [Ok] to activate the
current IP address.

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 Config PC and Anesthesia Machine

Connect the Anesthesia Machine ,

with net cable. Switch on the
machine, check the status of the local
area connection at the lower right
corner of computer ( OR ). If
the connection is unusual, please
check the cable and ports.

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 Upgrade Procedure

1. Choose “Wato Series”, then click the “OK”.

[Link] the “select package”.

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 Upgrade Procedure

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 Upgrade Procedure

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 Upgrade Procedure

Wait for a few minutes till you see “Upgrade Completed” message on screen.

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  Software upgrade note
3. Please consider following points when doing the software upgrade.
 Before upgrade, please record the old software version of machine in
case of recovery. Go to “Maintenance”  ”factory Maintenance”
”system information”  ”version information”
 Ensure that you click "Start (Single)" button first, then switch on the
anesthesia machine to upgrade.
 For the machine with BOOT software Ver3.1, you can force it to
“upgrade mode” by continue pressing any key button when switch on
the machine.

18 © 2011 Mindray Confidential

 Trouble shooting
I. What is we need before doing the trouble shooting?
1. Software checking and upgrade
2. Using leakage test tools and calibration tools
3. User and factory flow calibration and pressure calibration
4. To use valve test tool
5. How to do test-lung operation? to see alarm logbook.
II. What we need to feedback when problem happen?
III. Common failures
1. leakage
2. Failures about Tidal Volume.
3. Failures about pressure monitoring
4. Other Failures

19 © 2011 Mindray Confidential

 Using leakage test tools and calibration tools
 VT PLUS HF Gas Flow Analyzer
VT PLUS HF has the capability to measure either high- or low-flow and pressure,
replacing the need for gauges and flow meters.

 Website ：
[Link]
[Link]?PID=56859

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 Using leakage test tools and calibration tools
 Flow Analyzer PF-300
The FlowAnalyser ventilator tester measures flow, pressure, temperature, humidity
and O2concentrations bidirectionally.

 Website:
[Link]
[Link]#2

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 Using leakage test tools and calibration tools
 Calibration set FRU
communication connector(PCB and cables) between VT Plus/PF-300 and AM

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 Using leakage test tools and calibration tools
 Anesthesia machine test and maintain kit : VT(mindray) and Test tools

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 Using leakage test tools and calibration tools

 Anesthesia machine test and maintain

kit : VT(mindray)

 Can only use by mindray staff and can

not sell to distributor

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  Anesthesia machine test and maintain kit : Test tools

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 Contents

Flow sensor measuring principle

Calibration principle

Flow calibration

Pressure calibration

Valves-diagnosing tool

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 Flow sensor measuring principle

Flow sensor measurement

 Basis ： Get one-to-one correspondence relationship between
respiratory signals and electronic signal.

Flow sensor P1 P2

Process
处理电路 CPU

Transducer
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 Flow sensor measuring principle

Bernoulli principle

P1 P1
P2

V1 V2 V1

Via ,we can get electronic signal of pressure,

then calculate flow
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 Transducer measuring principle

电信号AD
Electronic signal
Correspondence relationship

测量过程

Character curve
校准过程

 Direct proportion relationship

呼吸信号
Respiratory signal

Flow （ L/Min ） 0 1.5 3.5 …… 75 80

Example
Electronic signal 500 620 750 …… 2150 2800

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 Contents

Transducer measuring principle

Calibration principle

Flow calibration

Pressure calibration

Valves-diagnosing tool

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 Calibration purpose

Get standard feature curve of electronic signal and

respiratory parameters, as follows:

Inlet gas flow regulator 、 flow sensor 、 Venturi 、

Proportional PEEP valve 、 pressure sensor

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 User flow calibration principle

Benchmark ：
Venturi (built-in sensor)

Venturi

Calibration for Inspiratory/Expiratory flow sensors ：

Create their feature curve by benchmark

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 Factory calibration principle

Benchmark ：
VT-PLUS or calibration kit(FPM-65)

FPM-65

Flow/Pressure calibration ：

Create Inspiratory/Expiratory flow sensors/Venturi feature curve by benchmark

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 Contents

Transducer measuring principle

Calibration principle

Flow calibration

Pressure calibration

Valves-diagnosing tool

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User flow calibration
----Air-way connection

1 2

1. Remove folding bag

2. Block the outlet of Y piece
3. Remove water collection cup 3

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 User flow calibration (for flow sensor)

Under STANDYBY mode

System maintenance-->Flow Sensor Cal.

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User flow calibration steps
Calibrate the flow sensor as follows:
1. Make sure that the system is Standby.
2. Select the [Maintenance] QuickKey and then select [Flow Sensor
Cal. >>] to open the [Flow Sensor Cal.] menu.
3. Turn off all fresh gas inputs.
4. Make sure that the patient is disconnected from the system and the
bag/mechanical ventilation switch is set to the position.
5. Remove the folding bag from the bellows and reinstall the bellows
housing.
6. Plug the Y piece into the leak stopper to close the breathing circuit.
7. Remove the water collection cup.
8. Select [Start] from the menu to start to calibrate the flow sensor. The
screen prompts [Calibrating].

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 Factory flow calibration (operated by qualified engineer only)
Connect inlet flow regulator,3 flow sensors and benchmark in
series into one pneumatic circuit

4
2 15
1 12
3 Flow

Flow

10
驱动气 16 Benchmark
定标工装

Drive gas
14
7 Flow

11
P
9 13
5 6 8
P

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 Factory flow calibration
----Air-way connection

Remove
folding bag

Take off water

collection cup

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 Factory flow calibration
----Air-way Connection

Water Collection Cup

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 Factory flow calibration
----Air-way Connection
Airflow path

High-flow inlet port

High-flow outlet port

Water Collection Cup

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 Factory flow calibration
----communication

Two kinds of communication cables for Anesthesia machine to

communicate with FPM-65 to get precise flow values directly.

For monitor board For WATO EX-55/65 For WATO EX-20/30

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 Factory flow calibration
---- A communication way

Cable A

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 Factory flow calibration
---- B communication way for WATO EX-55/65

CIS port To CIS port

Cable B
To FPM-65 series Port

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 Factory flow calibration
---- C communication way for WATO EX-20/30

Cable C

To FPM-65 series Port

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 Factory flow calibration
---FPM-65 setting

12
FLOW
OK 0 -5.8

-12 L/Min

12
PRESS
0 -5.8

-12 cmH2O

Note: 900S warming up is required every startup.

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 Factory flow calibration
---anesthesia machine setting

Under STANDYBY mode

System maintenance-->Factory maintenance-->Factory calibration
-->Flow calibration

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 Contents

Transducer measuring principle

Calibration principle

Flow calibration

Pressure calibration

Valves-diagnosing tool

48 © 2011 Mindray Confidential

Pressure calibration (operated by qualified engineer only)
Connect PEEP safety valve,2 pressure sensors and benchmark in
series into one pneumatic circuit

4
2 15
1 12
3 Flow

Flow
16
10 Patient
病人
Drive 驱动气
gas
14
7 9 Flow

11
P
13
5 6 8
P

Benchmark
定标工装

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 Factory Pressure calibration connection

P1 P2

FPM-65
定标工装

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 Factory Pressure calibration
FPM-65 setting

12
FLOW
OK 0 -5.8

-12 L/Min

12
PRESS
0 -5.8

-12 cmH2O

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 Factory Pressure calibration
Anesthesia machine setting

Under STANDYBY mode

System maintenance-->Factory maintenance-->Factory calibration
-->Pressure calibration

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 Calibration failure
Cases:
1 Failure in a moment:
Can not communicate with calibration kit normally
Pressure sensor zeroing is faulty
Valve problem ：
Valve signal is up to 1500, but flow is still 0
Bag/mechanical ventilation switches to bag ventilation status

2 Failure after period of time ：

Feature curve check in valve & sensor can not pass after
calibration:

53 © 2011 Mindray Confidential

 Contents

Transducer measuring principle

Calibration principle

Flow calibration

Pressure calibration

Valves-test tool

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 Valve measuring principle

电信号DA
Electronic signal

Valve feature curve

校准过程
 Make use of built-in curve
——test/check
控制过程

阀门输出流速
Respiratory signal

 Example: Flow （ L/Min ） 0 1.5 3.5 …… 75 76

Inlet gas flow valve feature curve Electronic signal 0 900 980 …… 1980 2300

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 Valves-test tool
Maintenance->Factory Maintenance->input password
->Diagnostic test/tools->valves-test tool

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 Valves-test tool functions

Check sensors sampling data and virtual values

Check valves status
Check accuracy of valve-calibrating data
Judge sensors working status by trends
… …

57 © 2011 Mindray Confidential

 Example1
Check sensors correspondence
吸气阀
呼气流量传感器
通气机内流
量传感器 Flow

Flow

呼气阀

Flow
Flow

吸气流量传感器

Around1600

 Remove folding bag

 Close Exhalation valve, switch on PEEP safety valve
Around 1800
 Set inlet gas valve to send fixed speed gas

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 Example2

50-1800

400-800

zero
？
59 © 2011 Mindray Confidential
 Trouble shooting
I. What is we need before doing the trouble shooting?
1. Software checking and upgrade
2. Using leakage test tools and calibration tools
3. User and factory flow calibration and pressure calibration
4. To use valve test tool
5. How to do test-lung operation? to see alarm logbook.
II. What we need to feedback when problem happen?
III. Common failures
1. leakage
2. Failures about Tidal Volume.
3. Failures about pressure monitoring
4. Other Failures

60 © 2011 Mindray Confidential

 What we need to collect when problem happen?
1. First is the SN of the machine, Then the software version of the machine, you
can take photo and give to us. For there are a lot of problems are caused by the
software.

61 © 2011 Mindray Confidential

 What we need to collect when problem happen?

2. The logbook of Tech-alarm\Phys-alarm\setting, especially the logbook when

the problem happening, Feedback as much as possible, it is useful to estimate
the fault.

3. Other information about the problem from operator. Such as the frequency of
the problem? What the operator do when problem happen? The air-way
pressure or the Tidal volume?

4. What is unusual you find when you do the test lung operation or leak test?
Pls see the follow Pics of the failed machine.

62 © 2011 Mindray Confidential

 Trouble shooting
I. What is we need before doing the trouble shooting?
1. Software checking and upgrade
2. Using leakage test tools and calibration tools
3. User and factory flow calibration and pressure calibration
4. To use valve test tool
5. How to do test-lung operation? to see alarm logbook.
II. What we need to feedback when problem happen?
III. Common failures
1. leakage
2. Failures about Tidal Volume.
3. Failures about pressure monitoring
4. Other Failures

63 © 2011 Mindray Confidential

 Manual ventilation

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 Mechanical ventilation

65 © 2011 Mindray Confidential

 Failures about Tidal Volume.

Usually TVset≈ TVi ≈ TVe ≈ TV + Fmeter*Ti-Vcompensate-Vcost

TV: display from the bellows
Fmeter:the set value of flowmeter
Vcost:the cost voloume of patient
Vcompensate:the compensate volume from the AM

Failure ：
1. TVe< or > TVset ？
2. TV< Tvset ？ Or TV > Tvset

66 © 2011 Mindray Confidential

 Trouble shooting
I. What is we need before doing the trouble shooting?
1. Software checking and upgrade
2. Using leakage test tools and calibration tools
3. User and factory flow calibration and pressure calibration
4. To use valve test tool
5. How to do test-lung operation? to see alarm logbook.
II. What we need to feedback when problem happen?
III. Common failures
1. leakage
2. Failures about Tidal Volume.
3. Failures about pressure monitoring
4. Other Failures

67 © 2011 Mindray Confidential

 Other Failures 1
Trouble phenomena: The machine enter software upgrade interface when
switch on.
Reason: the membrane keyboard of the machine is broken.

PN description Type of machine

801-0621-00046-00 10.4″membrane keyboard SN begin with DA-****

801-0622-00002-00 8″membrane keyboard SN begin with DB-****

68 © 2011 Mindray Confidential

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 Other Failures-software

Trouble phenomena: The machine have the alarm error ‘RT Clock not exist’

This is software bug in Ver.04.10.00 and 04.10.01,Pls upgrade the host system
software to 04.11.00 or newer.

69 © 2011 Mindray Confidential

 Other Failures-software
Trouble phenomena: The machine can not identify the AG module.

First make sure that you have selected the AG module in factory maintenance.

Then make sure the setting gas usage is set to switch off in system setup.

70 © 2011 Mindray Confidential

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Other Failures-O2 sensor
Trouble phenomena: O2 calibration failure

1. First check the period of validity of the O2 sensor, this is the deadline.

2. check the AD of the O2 sensor, go to the menu: factory maintenance >>

diagnostic test >> display A/D channels >> ventilator:

71 © 2011 Mindray Confidential

Other Failures-O2 sensor

The state of the O2 sensor Normal range meaning

Disconnect the O2 sensor cable If the counts is not in the range, pls
2900 to 3500
from the machine. try to change the monitoring board.

Connect the sensor, cable and the If the A/D counts <150 ， it means
machine, then put the O2 sensor 150-500 that the sensor is use up, you need
to room air for three minutes. to replace it 。

Connect the sensor, cable and the If the A/D counts <790 ， it means
machine, then put the O2 sensor 790-2028 that the sensor is use up, you need
to 100% O2 for three minutes. to replace it 。

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Other Failures-hardware
 Issue 1. WATO EX-65 （ 0624). When start the machine, all lights are off,
and screen black. After 15s the machine starts. But few minutes, the
machine shut off by itself. (Battery is full, and AC power on)
 Replace the power board.

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 Operation with 3 Liter test lung
This is the normal picture, we can pay attention to the pressure \Flow \
TVe \CO2.

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 Operation with 3 Liter test lung
This is caused by expiration one-way valve, we can see the
inspiration flow is abnormal, and inspiration CO2 is too high.

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 Operation with 3 Liter test lung
This is caused by 3-way valve or monitor board, we can see the
base line is too high for the flow wave.

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 Thank you!

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