Air Taema NEFTIS ICU User manual

Taema
Maintenance Manual
YM027300 / Rev 0 / April 2006
Software Version V1.xx
www.airliquide.com www.taema.com
2
Taema
NEFTIS ICU
CONTENTS
Preface.............................................................................................................................................................................. 5
Terminology .................................................................................................................................................................... 6
Typography ..................................................................................................................................................................... 7
General safety instructions......................................................................................................................................... 8
1. operation/description.......................................................................................................................................... 10
1.1. Operating Principle...................................................................................................................................... 10
1.2. Functional Description ............................................................................................................................... 10
1.2.1. Block Diagram of Operation .................................................................................................................10
Electronics........................................................................................................................................................... 11
Power supply ...................................................................................................................................................... 11
Front panel (indicator lights, screen, etc.) ...................................................................................................... 11
Pneumatic Mechanism...................................................................................................................................... 12
Pneumatic Operation......................................................................................................................................... 13
1.2.2. Pneumatic Cabling Diagram................................................................................................................. 15
1.3. Description .................................................................................................................................................... 16
1.3.1. Front View ............................................................................................................................................... 16
1.3.2. View of the expiratory unit..................................................................................................................... 16
1.3.3. Rear View................................................................................................................................................ 17
1.3.4. View from Above .................................................................................................................................... 17
1.3.5. Blower View ............................................................................................................................................18
1.3.6. Inside View of Rear Cover .................................................................................................................... 18
2. Maintenance .......................................................................................................................................................... 19
2.1. Special Tools................................................................................................................................................. 19
2.2. Preventive Maintenance............................................................................................................................. 20
2.2.1. Annual Maintenance.............................................................................................................................. 20
Required spare parts ......................................................................................................................................... 20
2.2.2. 20,000-Hourly Maintenance*................................................................................................................ 21
Required spare parts ......................................................................................................................................... 21
Recommended additional spare parts ............................................................................................................ 21
2.3. Disassembly/reassembly protocol.......................................................................................................... 22
Notes on how to avoid damaging the connections ....................................................................................... 22
2.3.1. Removing the Rear Cover .................................................................................................................... 23
2.3.2. Removing the Battery ............................................................................................................................ 25
2.3.3. Removing the Top Cover ...................................................................................................................... 26
2.3.4. Removing the Metal Frame .................................................................................................................. 28
2.3.5. Removing the Front ............................................................................................................................... 29
2.3.6. Replacing the Actuator Board .............................................................................................................. 33
2.3.7. Replacing the Power Supply Board..................................................................................................... 34
2.3.8. Replacing the Inspiratory Valve ........................................................................................................... 37
2.3.9. Replacing the Solenoid Valve Assembly............................................................................................ 38
2.3.10. Replacing the O2 Proportional Valve ................................................................................................... 39
2.3.11. Replacing the Flow Rate Sensor Assembly....................................................................................... 40
2.3.12. Replacing the Mixer ............................................................................................................................... 40
2.3.13. Replacing the Touch Screen ................................................................................................................ 41
2.3.14. Replacing the Microprocessor Board.................................................................................................. 44
2.3.15. Replacing the Blower Outlet Filter ....................................................................................................... 45
2.3.16. Removing the Blower ............................................................................................................................ 46
2.3.17. Replacing the O2 Connector Filter ....................................................................................................... 47
2.4. Corrective Maintenance ............................................................................................................................. 48
2.4.1. Alarm Messages..................................................................................................................................... 48
Troubleshooting for alarms 002 and 004........................................................................................................ 52
Troubleshooting for alarm 033 ......................................................................................................................... 52
2.5. Operation Monitoring and Calibration Protocols ................................................................................ 54
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2.5.1. Preface..................................................................................................................................................... 54
2.5.2. Operation Check .................................................................................................................................... 54
2.5.3. Additional Checks .................................................................................................................................. 56
Mixer Airtightness............................................................................................................................................... 56
Inspiratory valve airtightness............................................................................................................................ 57
Blower .................................................................................................................................................................. 58
O2 Cell................................................................................................................................................................. 58
Nebulizer ............................................................................................................................................................. 58
2.5.4. Maintenance Mode ................................................................................................................................59
Accessing maintenance mode (Calibration) .................................................................................................. 59
Using Maintenance Mode ................................................................................................................................. 59
Calibrating the machine .................................................................................................................................... 59
Pressure sensor calibration.............................................................................................................................. 60
Calibrating the Low-Pressure Sensors (around 100 mbar) ......................................................................... 60
Calibrating the High-Pressure Sensor (approx. 3.5 bar).............................................................................. 62
Calibrating the NEFTIS ICU Flow Rate Sensors........................................................................................... 63
Calibrating the ventilation flow rate sensors ..................................................................................................64
Calibrating the actuators ................................................................................................................................... 67
Predictive Maintenance (under development) ............................................................................................... 68
2.5.5. Advanced Maintenance Mode.............................................................................................................. 69
Accessing Advanced maintenance mode ...................................................................................................... 69
Using Advanced Maintenance Mode .............................................................................................................. 69
2.5.6. Expert Mode............................................................................................................................................ 72
Introduction .........................................................................................................................................................72
Access ................................................................................................................................................................. 72
Use ....................................................................................................................................................................... 72
Description .......................................................................................................................................................... 74
NEFTIS ICU
3. Bill of Material....................................................................................................................................................... 75
3.1. Main Components........................................................................................................................................ 75
3.2. Kits and Miscellaneous Parts ................................................................................................................... 80
4. NEFTIS ICU Recommissioning Sheet............................................................................................................. 81
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NEFTIS ICU
PREFACE
This document is a maintenance manual and is not intended to replace the user manual in any way.
The objective of this document is to provide additional information to trained individuals who are both competent and qualified to carry out preventive and/or corrective maintenance on NEFTIS ICU KC023000 units.
It contains technical information that is the property of Taema and that may not be divulged without the prior agreement of Taema.
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NEFTIS ICU
TERMINOLOGY
Warning
Notifies the user of the possibility of a minor or serious injury that could arise when handling the ventilator, whether correctly or incorrectly.
Attention
Notifies the user of the possibility of a technical problem or malfunction of the ventilator that could arise when handling the ventilator, whether correctly or incorrectly.
Note
Highlights a piece of information.
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TYPOGRAPHY
Font Example Function
NEFTIS ICU
Lucida Console, bold excessive pressure
See Section 3.1
Italic
Solenoid valve
Bold, italic
monitoring patient exhalation
Text from the screen
Text referring to another section of the manual.
Text in the index
Highlights an important point in a sentence.
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NEFTIS ICU
GENERAL SAFETY INSTRUCTIONS
P
RECAUTIONS FOR OXYGEN USE
No incandescent source nearby
No fatty substances.
P
RECAUTIONS IN THE EVENT OF AN OXYGEN LEAK
No smoking
Avoid all sources of flame or spark
Close the oxygen supply valve
Air the room while there is a leak and for at least 20 minutes afterwards
Air one's own clothing.
ELECTRICAL SUPPLY
Check that the voltage in the mains plug used correctly corresponds to the electrical characteristics of NEFTIS
As NEFTIS
ICU has an internal battery, it is preferable to leave the unit plugged into the
electrical power supply, with the On/Off switch in the On position in STANDBY mode, to keep the battery charged.
If it is stored, the NEFTIS ICU should be charged regularly with the On/Off switch in On position, connected to the electrical power supply, in STANDBY mode, for at least 10 hours, to keep the battery charged. The interval between two recharges must not exceed three weeks (batteries charged),
In the event of prolonged storage (more than three weeks), keep the battery disconnected. When returning the unit to service, perform a test of battery characteristics (see Section 2.5.5).
P
UTTING NEFTIS ICU IN SERVICE
Before each use, check that the audible and visual alarms (red indicator on keyboard) are operative, and carry out checks as listed in the 'recommissioning' sheet.
E
LECTROMAGNETIC COMPATIBILITY
NEFTIS
NEFTIS
ICU conforms to the protection requirements of Directive 93/42/CEE.
ICU operation can be affected by the use of appliances in its immediate proximity,
such as diathermic, high frequency electro-surgery units, defibrillators, cell phones or, more generally, by electromagnetic interference that exceeds the levels set by standard EN 60 601­1-2.
A
T HIGH AMBIENT TEMPERATURE
The NEFTIS
ICU ventilator heats the respiratory gas by 4 to 6°C above the ambient
temperature according to the parameters selected. At ambient temperatures over 35°C, the respiratory gas temperature can exceed 40°C. In this case, the ventilator will trigger an alarm.
I
N THE EVENT OF OXYGEN SUPPLY FAILURE
In normal operation, the NEFTIS coming from the central supply or a cylinder, at ratios depending on the FiO supply fails, the NEFTIS ICU replaces the unavailable oxygen with ambient air. All ventilation parameters are maintained, except for the FiO informs you of the situation.
ICU (indicated on the manufacturer's plate on the rear panel).
ICU delivers a mixture composed of ambient air and oxygen
setting. If the O
2
, which becomes equal to 21%. An alarm
2
2
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NEFTIS ICU
USING THE NEFTIS ICU
In compliance with standard EN 60 601-1 (Appendix A Para. 6.8.2.b): "The manufacturer, assembler, installer or importer only consider themselves responsible for the safety, reliability and characteristics of a unit if the: Assembly, extensions, settings, changes or repairs were carried out by personnel authorized by them,
Electrical installation of the corresponding area is compliant with IEC recommendations,
Unit is used in compliance with the instructions for use.
If the accessories used by a user do not conform to the manufacturer’s instructions, the manufacturer is relieved of all responsibility in the event of an incident.
If spare parts used during scheduled maintenance do not conform to the manufacturer’s specification, the manufacturer is relieved of all responsibility in the event of an incident.
Ventilation must not be started immediately after storage or transportation under conditions that differ from the recommended operating conditions.
NEFTIS
ICU must not be used with inflammable anaesthetic agents or explosive products.
Do not use anti-static or electrically conductive ducts or tubes.
NEFTIS
For correct operation of the NEFTIS
ICU must not be used exposed to direct sunlight.
ICU, maintain free circulation of air, keeping rear and
underneath air inlets completely unobstructed.
The manufacturer has anticipated the majority of possible malfunctioning cases for NEFTIS and these are normally covered by the internal monitoring system. It is nevertheless recommended, in case of complete patient dependence, to provide an additional system that is completely autonomous, and which can be used to check the effectiveness of the ventilation, as well as an emergency device, such as a manual IM5 insufflator.
C
LEANING AND MAINTENANCE OF NEFTIS
Do not use abrasive powders, alcohol, acetone or other easily flammable solvents.
NEFTIS
ICU must be checked on a regular basis. To schedule and record maintenance
operations, refer to the maintenance sheet in the user manual.
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NEFTIS ICU
1. OPERATION/DESCRIPTION
1.1. OPERATING PRINCIPLE
The blower is controlled by a microprocessor and is slaved to a volume control unit or a pressure control unit according to the selected ventilation mode.
NEFTIS
The mixer provides a precise and variable concentration between 21% and 100% oxygen. The O
The expiratory circuit includes:
The expired gas flow rates are measured by the hot wire sensor whose signal is processed by the electronics to obtain spirometry data.
ICU does not generate negative pressure during the expiratory phase.
concentration of the insufflated mixture is measured by the FiO2 sensor.
2
a two-way patient valve,
an expired gas flow rate sensor (hot wire);
a special trap.
1.2. FUNCTIONAL DESCRIPTION
1.2.1. BLOCK DIAGRAM OF OPERATION
O2 supply
Gaseous mixture
Patient tube
V. exp
Flow ctrl
Mask or
probe
PEEP control
Pressure measure
Flow measurement
Mechanism (housing)
Ventilation/pneumatic unit
measure
ment
Microprocessor board
Flow
ment
Electronics
Ventilator µP
Monitor µP
Inputs/Outputs
Settings: PEEP, Vt, Freq, Alarms, etc.
Touch screen
Front panel
LEDS
Mains power supply
Battery
Patient
Software: Ventilator
Monitor
Electrical connection
Pneumatic connection Mechanical connection
Logic connection
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NEFTIS ICU
ELECTRONICS
HE MICROPROCESSOR BOARD
T
The microprocessor board consists of two identical central processor units from Motorola, split into two sub-systems: The ventilator:
This sub-system is the processor dedicated to ventilation. It integrates the electronic conditioning stages associated with the sensors and the control of the electro-pneumatic components, the audible alarms, a dialog link and the exchanges with the monitor. The monitor: integrates a screen, the information exchange medium between the user and the NEFTIS
This sub-system is the MMI (Man Machine Interface) dedicated processor. It
ICU and
the electronic stages associated with the safety and the redundancy of the controls for certain components and alarms, as a link to the ventilator.
T
HE ACTUATOR BOARD
The actuator board includes all the actuator power controls (solenoid valve, valves, blowers, etc.).
POWER SUPPLY
The board power supply supplies power to the microprocessor board and to all the pneumatic actuators. This power can be supplied from the mains, from a direct current source connected to the NEFTIS device. The power supply board performs automatic switching between these different power sources and informs the microprocessor board of the power sources available. Linked to this sub-assembly, the internal battery provides a back-up power supply if the two other power sources are lost. However, the microprocessor board has a power supply cut-off command via the internal battery, in case battery protection is necessary.
ICU, known as an external DC source, or from the internal backup battery built into the
FRONT PANEL (INDICATOR LIGHTS, SCREEN, ETC.)
The NEFTIS controlled by the processor board. This screen is only visible thanks to its backlighting. The front panel is also equipped with LEDs indicating functions such as alarms and operational modes in NIV (Non-Invasive Ventilation). These displays are implemented on the microprocessor board. The front panel, at MMI level, has an interface with touch keys (touch-screen), a navigation coding wheel allowing the user to set and confirm parameters. Access is also possible by selecting the configuration zone from the touch-screen (dual access).
ICU screen consists of an LCD colour display equipped with CCFL back-lighting
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NEFTIS ICU
PNEUMATIC MECHANISM
ECHANICS
M
The pcb supports all the pneumatic components (solenoid valve, valve, flow rate sensor etc.). The pcb is mechanically decoupled from the housing. The blower enclosure unit plate of the housing. The rear cover
: covers the blower/mixer assembly and the internal battery unit. The NEFTIS ICU access and interface assembly is located on the rear plate (mains power, external DC, RS232, O2 inlet, etc.).
T
HE COMPLETE PNEUMATIC CIRCUIT
The complete pneumatic circuit consists of an assembly of components performing the pneumatic function of the NEFTIS Mixer
: The principle of this sub-system is to provide a precise and variable concentration between 21% and 100% oxygen. Blower
: This sub-system facilitates the supply of a gas flow at a given pressure. The inspiratory assembly pressure from an assisted valve. The expiratory assembly: control of the pressure level (PEEP). The electro-pneumatic components
: The blower associated with an air/O2 mixer is integrated in the rear
ICU. This simple system is sub-divided into five sub-systems:
: This sub-system allows the control of a flow rate or an inspiratory
This sub-system facilitates the evacuation of an expiratory flow rate with
(sensors and actuators).
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A
e
NEFTIS ICU
PNEUMATIC OPERATION
1 : Inspiratory valve 4 : PEEP proportional solenoid valve 5 : Blower 6 : Enclosure/Mixer 7 : Expiratory valve 8 : O
proportional solenoid valve
2
9 : Expiratory flow sensor (hot wire) 10 : Inspiratory flow sensor (Honeywell) 11 :
O
flow sensor
2
12a,12b: Pressure sensors 13 : Balloon pressure sensor 14 : Ambient air inlet/safety valve 15 : Air intake 15 b: Air inlet filter
16 : O2 CELL 17 : I/E cycle management solenoid valve 18 : Solenoid drain valve 19 : Blower outlet flow sensor 20 : Blower outlet particle filter 21 : Insp P pressure sensor 22 : O
pressure sensor
2
23 : Nebulizer reducer 24 : Nebulizer solenoid valve 25 : O
connector
2
26 : Bacteriological filter 27 : Patient gas temperature sensor 28 : Laminar filter 29 : Blower inlet filter 30 : Ambient air connector 3/2 solenoid valve
O2
30
25
22
IR
15
15 B
8
N.F
28
23
11
6
29
24
5
20
19
1
10
4
17
Nebulizer circuit
21
27
T
12a
18
PEEPcircuit
12b
13
14
26
O2
16
7
9
The administering of ventilation cycles to a patient by NEFTIS ICU is the result of action involving three essential components: the pressure generator (the blower), the inspiratory valv (electro-pneumatic) and the PEEP solenoid valve (proportional solenoid valve).
Patient
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NEFTIS ICU
THE PRESSURE GENERATOR
The role of blower (5) is to guarantee the pressurisation required to deliver a ventilation cycle that conforms to the settings.
This blower draws the gaseous mixture from enclosure/mixer (6). Via O
proportional solenoid
2
valve (8) – connected to the network – this mixture can contain a variable rate of oxygen, from
21% to 100%.
For the following description of the inspiratory and expiratory phases, it is assumed that blower 5a has pressurized the circuit sufficiently.
NSPIRATORY PHASE
I
PEEP proportional solenoid valve (4) is kept open and both I/O solenoid valves (17) and (18)
(position open or closed) are closed. The output pressure from the blower is therefore at the level of the expiratory valve and thus seals the part of the circuit located between the patient and the expiratory valve. In other words, the gaseous flow is forced to focus on the patient only and cannot escape into the atmosphere.
The inspiratory cycle delivered to the patient is a result of the setting of inspiratory valve (1). If the mode selected is barometric, the inspiratory valve regulates in relation to the pressure sensor which indicates the highest value (12b if 12a is inoperative or inversely). If the mode selected is volumetric, the inspiratory valve regulates in relation to the flow rate sensor which indicates the highest value (10) (19 if 10 is inoperative or inversely).
E
XPIRATORY PHASE
In this phase, a PEEP level must be set. To do this, open at least one of the I/O solenoid valves
(17 and 18) in order to lower the pressure applied to the expiratory valve membrane (this same pressure guarantees the leak-tightness of the inspiratory phase) and proportional solenoid valve 4 controls the PEEP level required via pressure sensor P12a.
During this time, the inspiratory valve guarantees the flow rate regulation function via sensor (10). This flow rate allows rinsing of the circuit and easier detection of any inspiratory call by the patient.
Note
During NIV ventilation (thus leakage ventilation), the inspiratory valve can fulfil the additional role of an on-demand valve by adjusting the set pressure level if the leaks are too great.
UNCTION OF THE EXPIRATORY UNIT
F
The expiratory valve is integrated into this unit and a hot wire flow-rate sensor is added to measure the flow-rate exhaled by the patient. The restriction allows a reduction of the sound produced by the expiratory bag in the presence of PEEP. A silicone disc is inserted in the bag to absorb vibrations.
The ambient air plug valve enables the patient to breathe through the machine when it is switched off, with a resistance less than 6 hPa.
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1.2.2. PNEUMATIC CABLING DIAGRAM
Blower
NEFTIS ICU
Rear sheet assembly
5
25
Flow
sensors
Block
Enclosure
6
mixer
19
10
11
Safety valve
22
4
PEEP unit
18
Reducer
23
4
24
17
30
Nebulizer output
8
12a
12b
Front panel assembly
13
21
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Inspiratory valve
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1.3. DESCRIPTION
NEFTIS ICU
Mounting
knob
Expiratory
valve trap
1.3.1. FRONT VIEW
Touch screen
Milled screw spherical end
Milled screw
Expiratory
1.3.2. VIEW OF THE EXPIRATORY UNIT
valve
assembly
Exp valve disc
Expiratory valve membrane
O-ring
O-ring
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r
1.3.3. REAR VIEW
Rear cover
filte
NEFTIS ICU
Deflector
Power supply connector fuses
1.3.4. VIEW FROM ABOVE
Sub D board RS232 connectors
Base fan filter
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r
r
1.3.5. BLOWER VIEW
NEFTIS ICU
Battery mounting blade
Battery
Mixe
enclosure
Blowe
1.3.6. INSIDE VIEW OF REAR COVER
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2. MAINTENANCE
NEFTIS ICU
2.1. S
Pressure gauge, 0 – 5 bar Class 1 X X X O2 connector disassembly key YA004400 X X X Siemens test lung VS206103 X X X Integrator test lung KY000600 X X X Red restriction for integrator test lung KY241800 X X X Pressure connector T-fitting X X X Syringe X X X Digital voltmeter X X External oxygen meter X X Pressure gauge, 0 – 100 mbar Class 1 X X X 3-gas connector monitoring pressure gauge BJ060900 X X Mixer blanking plate YA017200 X X Battery maintenance cable YA017300 X X X
PECIAL TOOLS
Type of unit Part No.
Type of maintenance
Annual
4
yearly
Correctiv
e
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NEFTIS ICU
2.2. PREVENTIVE MAINTENANCE
2.2.1. ANNUAL MAINTENANCE
1- Internal dusting of device 2- Replace the four blue pressure sensor filters 3- Replace the blower output filter 4- Replace the blower dust filters located at the back of the unit 5- Replace the ventilator dust filter underneath the device 6- Replace the oxygen connector check valve end guide 7- Replace the O-rings of the black sleeve on the expiratory unit 8- Replace the expiratory valve membrane and disc 9- Replace the O-ring on the expiratory valve control pressure connector 10- Carry out a check on machine performance
Note
Whenever an internal component of the NEFTIS ICU is replaced (pressure sensor, flow rate sensors, microprocessor board, blower, etc.) the full adjustment and checking procedure should be carried out.
REQUIRED SPARE PARTS
DESCRIPTION
Acrodisc filters 5 Blower outlet filter 1 Rear cover filter 1 Base fan filter 1 Check valve end guide 1 Sleeve O-ring 1 Sleeve O-ring 1 Exp valve membrane 1 Exp valve disc 1 Exp valve connector O-ring 1
Standard maintenance time: 3 hours. Equipment downtime: 12 hours.
QUANTITY
NEFTIS ICU
ANNUAL
MAINT. KIT
KC026300
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2.2.2. 20,000-HOURLY MAINTENANCE*
1- Internal dusting of device 2- Replace the four blue pressure sensor filters 3- Replace the blower outlet filter 4- Replace the blower dust filter located at the back of the unit 5- Replace the fan dust filter underneath the device 6- Replace the oxygen connector check valve end guide 7- Replace the O-rings of the black sleeve on the expiratory unit 8- Replace the expiratory valve membrane and disc 9- Replace the O-ring on the expiratory valve control pressure connector 10- Replace the blower 11- Carry out a check on machine performance
REQUIRED SPARE PARTS
DESCRIPTION
Acrodisc filters 5 Blower outlet filter 1 Rear cover filter 1 Fan filter 1 Check valve end guide 1 Sleeve O-ring 1 Sleeve O-ring 1 Exp valve membrane 1 Exp valve disc 1 Exp valve connector O­ring Blower 1 MOLEX housing for female contact
Standard maintenance time: 4 hours. Equipment downtime: 12 hours.
QUANTITY
1
1
NEFTIS ICU
NEFTIS ICU
20,000-HR
MAINT. KIT
KC026400
RECOMMENDED ADDITIONAL SPARE PARTS
DESCRIPTION
INTERNAL BATTERY KY569400 1 LITHIUM BATTERY, 3.6V ½ AA OXYGEN CELL YR049700 1 LCD CCFL FLUORESCENT TUBE
Note
Required spare parts are not include in the maintenance kit. However these parts could be replace in maintenance. Therefore it’s recommended to have them during an intervention.
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REFERENCE QUANTITY
VS106125 1
KY620500 1
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NEFTIS ICU
2.3. DISASSEMBLY/REASSEMBLY PROTOCOL
Any removal of a component part of the NEFTIS always requires a full check of the device (see level 2 recommissioning sheet).
NOTES ON HOW TO AVOID DAMAGING THE CONNECTIONS
YPE ELECTRICAL CONNECTORS
KK-T
These connectors should normally be removed by lifting the plastic clips and then pulling on the cable.
H
OSES ON THE ELECTRONIC PRESSURE SENSORS
The hoses should be removed from the electronic pressure sensors by pulling the hose with moderate force whilst working the hose clear of the sensor cable support sleeve. Avoid placing any mechanical stress on the sensor itself. Mechanical stress could sever the electrical tabs of these sensors. If possible, do not disconnect the hose from the sensor olive connector side, but from the Y- piece connector side. Handle the olive connectors with care. Avoid the application of any sudden depressurising or overpressure to the sensor. To do this, do not clamp the tube fully when connecting and de-connecting.
P
OLYURETHANE TUBE
®
A Polyurethane
Firstly, perform the same action as when connecting the pipe in the quick-fit connector.
When it is at the bottom of its housing, press on the black bushing, hold it down, and
Reinstallation is not difficult, but it is advisable to ensure that the tube is sufficiently lodged in its housing (5 to 8 mm) to avoid any leakage.
H
ANDLING OF COMPONENTS (AND ELECTRICAL CONTACTS IN GENERAL)
The tabs of components (e.g.: EPROM) and all the components intended to go in electrical contacts (e.g. connector base) should not be touched, because they are affected by the acidity of the skin.
E
LECTRONIC BOARDS
Use an anti-static apron when handling an electronic board. If you remove the board, place the soldered side on an antistatic apron (code VS206001). Handle with care and without applying any mechanical stress. Be aware of the relative mechanical fragility of the SMDs (surface mount devices).
The disassembly/reassembly of the microprocessor board must be performed with care. In particular, tools must not be allowed to slip, in case they damage the surrounding components or tracks.
E
LECTROSTATIC CHARGES
Before touching a component, touch an earthing connection to ensure that you are free of electrostatic charges.
tube is removed in two steps.
pull on the pipe. The tube comes out easily.
ICU, except the rear cover and the top cover,
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2.3.1. REMOVING THE REAR COVER
Position the mains cable as follows
NEFTIS ICU
Remove the screw from the rear cover
Disconnect the mains cable
Lift the rear cover by the left side (1) and
then by the right side (2)
2
1
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1
Pull (1) and then lift (2) the cover clear.
NEFTIS ICU
2
Disconnect the strand from the fans.
Remove the rear cover
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2.3.2. REMOVING THE BATTERY
Remove the rear cover (See Section
2.3.1)
Warning
The battery blade must be handled with care.
Unclip the lower blade using your middle
finger, whilst holding it with your thumb (see photo).
NEFTIS ICU
Disconnect the battery strand.
Remove the battery.
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2.3.3. REMOVING THE TOP COVER
Remove the rear cover and the battery
blade (See Sections 2.3.1 and 2.3.2)
Note
Leave the battery connected to avoid being subjected to a loud noise.
Remove the three M4 Phillips head
screws at the rear of the upper cover.
NEFTIS ICU
Remove the mounting lugs at the rear of
the upper cover.
Remove the milled screw and the arm
support screw.
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