This Product will perform in conformity with the description thereof contained
in this User’s Reference manual and accompanying labels and/or inserts,
when assembled, operated, maintained, and repaired in accordance with the
instructions provided. This Product must be checked periodically. A defective
Product should not be used. Parts that are broken, missing, plainly worn,
distorted, or contaminated should be replaced immediately. Should repair
or replacement become necessary, Datex-Ohmeda recommends that a
telephonic or written request for service advice be made to the nearest
Datex-Ohmeda Customer Service Center. This Product or any of its parts
should not be repaired other than in accordance with written instructions
provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel.
The Product must not be altered without the prior written approval of
Datex-Ohmeda. The user of this Product shall have the sole responsibility
for any malfunction which results from improper use, faulty maintenance,
improper repair, damage, or alteration by anyone other than Datex-Ohmeda.
w CAUTION U.S. Federal law restricts this device to sale by or on the order of
a licensed medical practitioner. Outside the U.S.A., check local
laws for any restriction that may apply.
Datex-Ohmeda products have unit serial numbers with coded logic which
indicates a product group code, the year of manufacture, and a sequential
unit number for identification.
AAA F 12345
This alpha character indicates the year of product
manufacture and when the serial number was
assigned; “D” = 2000, “E” = 2001, “F” = 2002, etc.
“I” and “O” are not used.
S/5 Aespire, Link-25, Disposable Multi Absorber, Reusable Multi
Absorber, SmartVent, Tec 6 Plus, and Tec 7 are registered trademarks of
Datex-Ohmeda Inc.
Other brand names or product names used in this manual are trademarks or
registered trademarks of their respective holders.
Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . 1-3
1009-0632-000
1-1
Aespire 7900
What is an Aespire 7900?
The Aespire 7900 is a compact, integrated and intuitive anesthesia delivery
system. The ventilator portion provides mechanical ventilation for patients
during surgery as well as monitoring and displaying various patient
parameters.
The system uses a microprocessor-controlled ventilator with internal
monitors, electronic PEEP, Volume Mode, and other optional features. A serial
interface permits communication to cardiovascular and respiratory gas
monitoring.
Illustrations in this manual may not cover all types of options available. Other
equipment may be attached to the system on the top shelf or on the side
dovetail rails. Consult with your Datex-Ohmeda representative for details
about systems available in your location.
The Aespire 7900 is not suitable for use in an MRI environment.
1-2
Figure 1-1 • Aespire 7900 example
1009-0632-000
Symbols used in the manual or on the equipment
1 Introduction
w WARNINGS and w
can occur if you do not follow all instructions in this manual. Read and follow
all warnings and cautions.
WARNINGS tell about a condition that can cause injury to the operator or the
patient.
CAUTIONS tell about a condition that can cause damage to the equipment.
A Note provides additional information to clarify a statement in text.
An Important statement is similar to a Note, but provides a comment of
greater emphasis.
Other symbols replace words on the equipment or in Datex-Ohmeda manuals.
No one device or manual uses all of the symbols. These symbols include:
On (power)
øø
øø
Off (power)
O
Standby
o
Standby or preparatory state for part of the
q
equipment
CAUTIONS tell you about dangerous conditions that
Not autoclavable
ÍÍ
ÍÍ
Type B equipment
mm
mm
Type BF equipment
µµ
µµ
Type CF equipment
HH
HH
p
œ
†
∏
x
y
å
t
T
“ON” only for part of the equipment
“OFF” only for part of the equipment
Direct currentThis way is up.
Alternating current
Protective earth ground
Earth groundOutput
Frame or chassis ground
r
Alarm silence button
Equipotential
Y
wwwwWW
Caution, ISO 7000-0434
ww
ww
Attention, refer to product
WW
instructions, IEC 601-1.
N
N
Dangerous Voltage
ππ
ππ
Input
≈≈
≈≈
REF Stock Number
NN
SSSSNN
Serial Number
Bag position/ manual ventilation
R
VariabilityRead top of float
Variability in stepsVacuum inlet
1009-0632-000
1-3
Aespire 7900
++
++
Plus, positive polaritySuction bottle outlet
--
--
P
N
ˆ
z
Z
44
CC
1111333344
°CC
u
Minus, negative polarity
Lamp, lighting, illuminationCylinder
Movement in one directionIsolation transformer
Movement in two directionsLow pressure leak test
Lock
OO
OO
O
Flush button
2
++
++
22
22
Mechanical ventilation
r
Unlock
Close drain
U
Autoclavable
Expiratory flow
Q
Open drain (remove liquid)Alarm silence touch key
q
t
XXXX
Inspiratory flowMenu touch key
O2 sensor connectionAlarm silence touch key
(Tec 6)
Volume alarms On/Off touch keyEnd case touch key
Systems with this mark agree with the
European Council Directive (93/42/EEC) for
Medical Devices when they are used as
specified in their Operation and Maintenance
Manuals. The xxxx is the certification number
of the Notified Body used by Datex-Ohmeda’s
Quality Systems.
Figure 2-3 shows these controls on the front of the S/5 Aespire.
ItemDescription
1Auxiliary Common
Gas Outlet switch
(ACGO)
Sends fresh gas to the ACGO when the switch is
activated. The ACGO may be used to provide fresh
gas to an external manual breathing circuit.
Mechanical ventilation is not available when the
auxiliary outlet is selected and a medium priority
alarm will sound and a message “Aux Gas Outlet On”
is displayed. Pressure and volume monitoring are
not available when the ACGO is selected. Fresh gas
oxygen monitoring is available when the ACGO is
selected.
The ACGO should not be used to drive external
ventilators or for jet ventilation.
Breathing system selected:
Auxiliary outlet selected:
2-6
4 & 7Flow sensorFlow sensors provide volume measurements for
some monitoring functions. All systems have flow
sensors in both positions of the flow sensor module.
1009-0632-000
O:
2 System Controls and Menus
ItemDescription
6Canister releasePush to remove the canister. This allows the
breathing system to vent to the room. Be sure to hold
the canister by the handle before releasing the
canister.
Note: Always do a leak test after operating the
canister release.
12APL valveAdjusts breathing system pressure limit during
manual ventilation. The scale shows approximate
pressures. Above 30 cm H
O, you will feel clicks as
2
the knob turns. Turn clockwise to increase. The
following example setting is at about 20 cm H
70
M
I
N
30
20
2
1009-0632-000
2-7
Aespire 7900
ItemDescription
13Bag / Mechanical
Ventilation switch
17Bag arm (optional)Squeeze at (1) to raise or lower the arm. The Bag arm
Selects between manual ventilation (bag) or
mechanical ventilation (ventilator).
Mechanical ventilation Off (gas to bag):
Mechanical ventilation On (gas to bellows):
rotates at (2).
2-8
ACGO
1
2
When you operate a breathing apparatus with fresh gas from the ACGO:
•Mechanical ventilation is not available.
•The pressure gauge, Bag/Vent switch, APL valve, and bag arm are not
part of the external circuit.
•Volume and pressure monitoring are not available.
•O
monitoring of fresh gas is available automatically when the ACGO is
2
selected if the system has the O
monitoring option.
2
1009-0632-000
2 System Controls and Menus
•Fresh gas oxygen concentration is displayed on the ventilation screen.
Set alarm limits appropriately. Note that fresh gas oxygen concentration
may not reflect FiO
Use an external O
•A sample of the fresh gas is diverted to the O
system.
•The sample flow to the O
external circuit. The sample flow reduces the fresh gas flowrate to the
external breathing circuit as shown in the graph.
•Do not use an external ventilator on the ACGO.
•Do not use the ACGO to drive external ventilators or for jet ventilation.
Estimate the mean pressure required for ventilation and determine a mean
sample flow rate from the graph:
3
in rebreathing circuits such as the Mapleson series.
2
monitor if using a rebreathing circuit on ACGO.
2
cell in the breathing
2
sensor is dependent on the pressure in the
2
Scavenging the ACGO
sample flow
2
/min
1
10
20
3040
cm H20
Figure 2-4 • Back pressure (cm H
If the external manual breathing circuit is to be used with N
anesthetics, the sample flow should be scavenged.
1. Occlude the patient circuit of the breathing system by using the leak test
plug located to the rear of the expiratory port.
2. Check for clinically correct settings. Set the Bag to Vent switch to the
ventilator mode. Alternatively set the Bag to Vent switch to the bag mode
and set the APL to MIN and attach a bag.
0) vs. flow to O
2
50607080
sensor (L/min)
2
O or volatile
2
1009-0632-000
3. The bellows, or bag, will fill slowly with the fresh gas sample flow and then
spill to the AGSS.
2-9
Aespire 7900
Scavenging from the
external manual
breathing circuit
Vaporizer controls
If the external manual breathing circuit is to be used with N
anesthetics, the exhaust should be scavenged.
An auxiliary inlet is available for active AGSS units. It provides a 30 mm male
connection into the auxiliary port under the breathing system.
•The auxiliary inlet is a convenience inlet to the air brake of active AGSS
units. There is a reservoir to capture exhaust flows higher than the extract
flow.
For all AGSS, a separate exhaust hose is necessary from the external manual
circuit to the disposal point.
Refer to the description in this section and the vaporizer operation and
maintenance manual for more detailed information on the vaporizer.
Figure 2-5 shows the vaporizer controls.
1
2
3
4
O or volatile
2
1. Lock Lever
2. Concentration Control and Release
3. Tec 6 Plus
4. Tec 7
Figure 2-5 • Vaporizer controls
ItemDescription
1 Lock leverTurn the lever fully clockwise to lock the vaporizer in
position.
2-10
1009-0632-000
ItemDescription
2 System Controls and Menus
2Concentration
control and release
Push the release and turn the concentration control
to set the agent concentration. The Tec 6 Plus
concentration control does not turn as long as the
warm-up indicator is on.
Åben
1009-0632-000
2-11
Aespire 7900
Ventilator controls
Optional Features
Control panel
13
The Aespire 7900 can be equipped with several optional ventilation functions.
References made in this manual to SIMV and PSVPro modes, are only applicable to systems equipped with these functions.
Ventilator controls include:
• Touch keys
•Menu screens
•A control knob
12
3
AB.90.025
4
5
11
10
9
78
12
1.Alarm silence (key)
2.Alarm message (display)
3.Volume alarms On/Off (key)
4.Menu key
5.Breathing circuit module (display)
6.Control knob
7.Control setting
8.Selection key
9.Ventilation mode (display)
10.Ventilator status (On or Off)
11.Mains indicator
12.End Case (key)
13.Measured values
Figure 2-6 • SmartVent controls and monitored data
All but two of the controls for the ventilator are located on the Ventilation/
Monitoring display. The two controls are:
6
2-12
1009-0632-000
2 System Controls and Menus
•The system switch, which powers the ventilator.
•The Bag/Vent switch, which starts and stops mechanical ventilation.
ItemDescription
Menu keyShows the main menu.
AB.90.036
Alarm silence key
Silences most alarms for 120 seconds.
and indicator
Pushing the key when no alarm is active pre-silences low
and medium priority alarms, except Minimum Monitoring,
for 90 seconds.
The "No O
Pressure" alarm cannot be silenced.
2
Remaining
silence time
Volume alarm key
Tur ns volume alarms on and off.
and status
Vol Alarms Off
End Case keyEnd Case helps to prevent false alarms when no patient is
connected. It:
•Puts the apnea and volume alarms into Standby.
•Returns user selections to the most common
settings: Cardiac bypass off; Alarm limits shown.
•Sets the PEEP to 0 cmH
O (default value).
2
•Sets Plimit to one of two values: facility default or
40 cmH
O.
2
•Forces the circuit Leak Audio to On.
Mechanical ventilation must be off (set the Bag/Vent switch
to Bag or select the auxiliary common gas outlet).
AB.29.004
1009-0632-000
AB.29.006
2-13
Aespire 7900
How to set controls
Step 1
Push the selection key below
the setting.
Step 2
Turn the knob to change the
setting.
The bottom of the screen shows control settings.
Notes:
•The ventilator will not allow the setting of values it cannot supply. A reject
tone will sound or a message will appear on the screen.
•If the incorrect key is pushed, wait ten seconds or push the correct key.
•If the new setting is not saved, the ventilator continues to use the old
setting.
AB.29.010
AB.29.002
Step 3
Push the knob or the key to
save the change.
AB.29.011
2-14
1009-0632-000
2 System Controls and Menus
How to use the menu
Step 1
Push the Menu key to see
the main menu.
Step 2
Turn the knob to select an
option (highlight).
Screens go back to the normal display 25 seconds after the last action.
During a calibration or other procedure, the screen shows the instructions.
AB29.013
AB.90.036
Step 3
Push the knob to show the
next screen.
1009-0632-000
AB90.037
AB.90.045
2-15
Aespire 7900
AB.90.036
Menu map
Figure 2-6 shows the menu map. The table tells you about some of the
options.
SE
AB.90.041
AB.90.054
V
Note: If the Alarm Settings page shows
E
Auto Limits On during mechanical
ventilation, the system automatically calculates alarm limits.
Figure 2-7 • Menu map
AB.90.045
AB.90.063
2-16
1009-0632-000
More about menu
functions
MenuOptionFunction
2 System Controls and Menus
MainCardiac Bypass
(In Progress/No)
Alarm SettingsCircuit Leak
(Audio On/Off)
Setup/
SIMV/PSVPro SetupShows additional ventilation settings for SIMV and PSVPro modes.
Calibration
O
Sensor CalShows menu for O
2
Inspiratory PauseAdds an inspiratory pause time to volume control breaths.
Heliox mode
(On/Off)
About Ventilator...Shows service level settings: software version; if facility defaults or the control
Screen and
Audio
Alarm Limits
(Show/Hide)
Tur ns off volume and apnea alarms when these are not appropriate (e.g., during
heart lung bypass).
Tur ns off the alarm tone for circuit leaks. You must set the low ◊
E
alarm first.
Select ‘Audio off’ if the circuit has a known leak (e.g., an uncuffed endotracheal
tube).
sensor calibration.
2
Tells the ventilator if heliox is in use.
settings from the previous case are used when the system is first turned on;
altitude; and drive gas (O
or Air).
2
’Show’ displays alarm limits next to the data on the screen.
Show LimitsHide Limits
Units of Measure
(Show/Hide)
’Show’ displays units under the data on the screen.
Show Units
Hide Units
1009-0632-000
2-17
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