Datex-Ohmeda Aespire 7900 Reference Manual

Aespire 7900
User’s Reference Manual—Part 2
Setup, Cleaning and Sterilization, Maintenance and Troubleshooting
User Responsibility
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.
Table of Contents
Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . . . v
1 Setup and Connections
Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
When to change the absorbent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Reusable Multi Absorber canister filling . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Pneumatic and electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
How to install gas cylinders (high pressure leak test) . . . . . . . . . . . . . . . . . . 1-8
2 Cleaning and Sterilization
Pin indexed cylinder yokes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
DIN cylinder connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
How to attach equipment to the top shelf . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Breathing system cleanable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
CIDEX sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Remove the breathing system bag hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Disassemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Disassemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Assemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
1009-0633-000
Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-23
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-25
i
S/5 Aespire
3 User Maintenance
Mechanical cleaning in washer or washer-disinfector . . . . . . . . . . . . 2-26
Manual cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
High level disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Datex-Ohmeda approved
service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Breathing system maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
O
sensor replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
2
sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
O
2
21% O
100% O
sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
2
sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
2
Flow sensor zeroing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11
4 Alarms and Troubleshooting
5 Parts
How to prevent water build-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
About alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Alphabetical list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Breathing system problems (no alarm) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Electrical problems (power failure, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18
Alarm settings range and default values . . . . . . . . . . . . . . . . . . . . . . . . . . .4-19
Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
6 Specifications and Theory of Operation
ii
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
1009-0633-000
O
flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
2
Air and N
O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
2
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
System specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Pneumatic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Electromagnetic compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Guidance and manufacturer's declaration
- electromagnetic emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Recommended separation distances . . . . . . . . . . . . . . . . . . . . . . . . .6-12
Figure 6-2 legend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15
System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15
Drawers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15
Ventilator display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Humidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Altitude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Breathing system specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Minimum monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22
Ventilation operating specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-23
1009-0633-000
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26
Delivery accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
Monitoring accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28
Venturi suction regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28
iii
S/5 Aespire
Continuous suction regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28
Warranty
Auxiliary O
flowmeter (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28
2
iv
1009-0633-000
Symbols used in the manual or on the equipment
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
“ON” only for part of the equipment
p
“OFF” only for part of the equipment
œ
Direct current This way is up.
Alternating current
Protective earth ground
x
Earth ground Output
y
Frame or chassis ground
r
Alarm silence button
å
Equipotential
Y
ww
ww WW
wwwwWW
N
N
ππ
ππ
REF Stock Number
NN
SSSSNN
R
t
Variability
Caution, ISO 7000-0434
Attention, refer to product instructions, IEC 601-1.
Dangerous Voltage
Input
Serial Number
Bag position/ manual ventilation
Read top of float
1009-0633-000
v
Aespire 7900
T
++
++
P
N
ˆ
z
Z
Variability in steps Vacuum inlet
Plus, positive polarity Suction bottle outlet
Minus, negative polarity
--
--
Lamp, lighting, illumination Cylinder
Movement in one direction Isolation transformer
Movement in two directions Low pressure leak test
Lock
OO
OO
O
Flush button
2
++
++
22
22
Mechanical ventilation
r
Unlock
Close drain
U
44
1111333344
°CC
u
q
t
CC
Autoclavable
Expiratory flow
Q
Open drain (remove liquid) Alarm silence touch key
Inspiratory flow Menu touch key
O2 sensor connection Alarm silence touch key
(Tec 6)
Volume alarms On/Off touch key End case touch key
vi
1009-0633-000
Table of Contents
XXXX
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.
European Union Representative
1009-0633-000 vii
Aespire 7900
viii 1009-0633-000
1 Setup and Connections
In this section
Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Pneumatic and electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
How to install gas cylinders (high pressure leak test) . . . . . . . . . . . . . . . . . . 1-8
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
How to attach equipment to the top shelf . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
1009-0633-000
1-1
Aespire 7900
Important Datex-Ohmeda strongly recommends that you use O
equipment. Refer to local standards for mandatory monitoring.
Important European Standard EN 740 and International Standard IEC 60601-2-13/ISO
8835-1 require exhaled volume monitoring, O with EN 12342, or ISO 7767) and CO or ISO 9918) be used with this equipment.
Important European Standard EN 740 and International Standard IEC 60601-2-13/ISO
8835-1 also require anesthetic agent monitoring (in accordance with ISO
11196) be used when anesthetic vaporizers are in use.
ww
ww
WARNING Always make sure that the pipeline supply hoses and the
monitoring (in accordance with EN 864
2
monitoring with this
2
monitoring (in accordance
2
breathing circuit components are not toxic and will not:
• Cause an allergic reaction in the patient.
• React with the anesthetic gases or agent to produce dangerous by-products.
w To prevent incorrect values or equipment malfunction, use only
Datex-Ohmeda cables, hoses and tubing.
w
w
w
Desiccated absorbers can be hazardous in the presence of anesthetic agents. Adequate precautions should be taken to ensure that soda lime in absorbers does not become desiccated. Turn off all gases when finished using the system.
This system operates correctly at the electrical interference levels of IEC 60601-1-2. Higher levels can cause nuisance alarms that may stop mechanical ventilation.
To help prevent false alarms from devices with high-intensity electrical fields:
• Keep the electrosurgical leads away from the breathing system and the flow and oxygen sensors.
• Do not put the electrosurgical leads on any part of the anesthesia system.
1-2
w
To protect the patient when electrosurgical equipment is used:
1009-0633-000
Canister setup
ww
ww
• Monitor the correct operation of all life support and monitoring equipment.
• Keep backup manual ventilation available in case the electrosurgical equipment prevents safe use of the ventilator.
• Do not use conductive masks or hoses.
WARNING Obey applicable safety precautions:
1 Setup and Connections
w
w
w
w
w
w
Do not use the absorber with chloroform or trichloroethylene.
The Disposable Multi Absorber is a sealed unit which should not be opened or refilled.
Avoid skin or eye contact with the contents of the absorber. In the event of skin or eye contact, immediately rinse the affected area with water and seek medical assistance.
Do not change the absorber during ventilation.
Inspect absorbent color at the end of a case. During non-use, absorbent can go back to the original color. Refer to the absorbent labeling for more information about color changes.
Desiccated (dehydrated) absorbent material may produce dangerous reactions when exposed to inhalation anesthetics.
1009-0633-000
w
For systems with dual absorbent canisters, the carbon dioxide absorbent material in both canisters shall be changed at least weekly systems the absorbent material shall be changed every day
, preferably every Monday morning. For single canister
,
preferably at the start of the day.
1-3
Aespire 7900
w
w
w
w
Carbon dioxide absorbent material shall be changed whenever users cannot assure the degree of hydration of the absorbent. Such conditions may include finding a machine with fresh gas that has been flowing for an unknown period of time, or using a machine that is used infrequently.
All fresh gas flows shall be terminated when the machine is NOT in use. (User manuals describe how to achieve null flows).
Users are advised to consider the use of low-flow techniques when the machine is in use
and whenever clinically appropriate to
maintain hydration of the absorbent material.
Always perform a breathing system leak test in the Bag Mode after opening the absorber.
The absorber canister is available in two versions: Disposable Multi Absorber and Reusable Multi Absorber. Both are removed and installed on the breathing system in the same way.
When to change the
absorbent
Each canister holds 800 g of loose absorbent. Datex-Ohmeda recommends Medisorb absorbent.
Both absorber versions should only be used with air, oxygen, nitrous oxide, halothane, enflurane, isoflurane, desflurane and sevoflurane.
A gradual color change of the soda lime in the canister indicates absorption of carbon dioxide. The color change of the soda lime is only a rough indicator. Use carbon dioxide monitoring to determine when to change the canister.
Discard the absorbent when it has changed color. If left standing for several hours, soda lime may regain its original color giving a misleading indication of activity.
Read the canister instructions completely before using the product.
1-4
1009-0633-000
1 Setup and Connections
Removing a canister
The absorber canister is available in two versions: Reusable Multi Absorber and Disposable Multi Absorber. Both are removed and installed on the breathing system in the same way.
3
2
4
5
1
7
1. Disposable Multi Absorber canister
2. System canister release latch
3. System canister support pin
4. Canister handle
5. Absorbent
6. Reusable Multi Absorber canister
7. Water reservoir
Figure 1-1 • Canister
6
1009-0633-000
1-5
Aespire 7900
1. Hold the canister by the handle and push on the release latch (1) to unlock the canister.
2. Remove the canister by tilting it downward and off the two support pins.
1
Reusable Multi
Absorber canister
filling
1. Turn the canister upside down and, using your thumbs, turn the cover locking ring counterclockwise to unlock it.
2. Push up with your thumbs to release the seal.
3. Lift off the cover to remove it.
4. Remove and discard the foam filters (1), the absorbent and any water in the reservoir.
1-6
1
5. To clean and disinfect the canister, see “Absorber canister” in section 2 Cleaning and Sterilization.”
1009-0633-000
1 Setup and Connections
w WARNING
The filters must be in place to prevent dust and particles from entering the breathing circuit.
6. When dry, place a new filter in the bottom of the canister, pour soda lime into the canister and place a new filter over the soda lime before closing and locking the cover. Wipe off any soda lime dust. Align the cover slots with the canister locking tabs and press the cover down into place. Turn the cover locking ring clockwise to lock the cover in place. Ensure cover is properly sealed to prevent leaks and spillage. Alignment of the arrows helps to indicate correct assembly.
7. When replacing the canister, make sure it is resting on both support pins before latching it into place.
Pneumatic and electrical connections
w WARNING
Equipment connected to the electrical outlets can increase the leakage current. Regularly test the leakage current.
An optional isolation transformer kit is available to reduce total leakage current.
w CAUTION
Mains inlet
Outlets
Use only medical grade gas supplies. Other types of gas supplies may contain water, oil, or other contaminants.
Arrow shows the mains power inlet and cord.
Labels show outlet voltage ratings and circuit breaker amp ratings.
1009-0633-000
1-7
Aespire 7900
Pipeline Inlets
The gas supplies also supply these devices through internal connections:
The venturi suction regulator (optional)
The auxiliary O
Ventilator drive gas
flowmeter (optional)
2
Serial port
RS-232C signal standards
The ventilator has an RS-232C electrical interface. The RS-232C connector allows serial input/output of commands and data.
15-pin Female D connector - Data Communications Equipment configuration (DCE):
Pin 1 - Monitor On/Stby
Pin 5 - Signal ground
Pin 6 - Receive data
Pin 9 - Monitor On/Stby Rtn
Pin 13 - Transmit data
How to install gas cylinders (high pressure leak test)
Pin indexed cylinder
1. Find the cylinder wrench.
1-8
yokes
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1 Setup and Connections
2. Close the cylinder valve on the cylinder to be replaced.
3. Fully loosen the tee handle.
4. Open the cylinder yoke.
w WARNING
5. Remove the used cylinder and the used gasket.
6. Remove the cap from the cylinder valve on the new cylinder.
7. Point the cylinder outlet away from all items that can be damaged by a release of high pressure gas.
8. Quickly open and close the cylinder valve. This removes dirt from the cylinder outlet.
No gasket or more than one gasket can cause a leak.
9. Install a new gasket.
10. Align the cylinder post with the index pins.
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11. Close the yoke gate and tighten the tee handle.
12. Install a cylinder plug and gasket in all empty cylinder yokes.
13. Do a high pressure leak test:
Disconnect pipeline supplies.
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Turn off the auxiliary O
flowmeter and venturi suction.
2
Set the system switch to Standby.
Open the cylinder.
Record the cylinder pressure.
Close the cylinder.
If the air or oxygen cylinder pressure decreases more than 5000 kPa
(100 psi) in one minute, there is a significant leak.
For N
O cylinders, a pressure decrease of 690 kPa (100 psi) in one
2
minute represents a significant leak.
To repair a leak:
Install a new cylinder gasket and tighten the tee handle.
Do this step again. If the leak continues, do not use the system.
wCAUTION 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.
DIN cylinder
1. Close the cylinder valve on the cylinder to be replaced.
connections
2. Loosen the adapter and remove the cylinder.
3. Remove the cap from the cylinder valve on the new cylinder.
4. Point the cylinder outlet away from all items that can be damaged by a release of high pressure gas.
5. Quickly open and close the cylinder valve. This removes dirt from the cylinder outlet.
6. Install the cylinder.
7. Do a high pressure leak test:
Disconnect pipeline supplies.
Turn OFF the auxiliary flowmeter and the venturi suction.
Set the system switch to Standby.
Open the cylinder.
Record the cylinder pressure.
Close the cylinder.
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wWARNING Do not leave gas cylinder valves open if the pipeline supply is in
Installation notes
1 Setup and Connections
If the cylinder pressure decreases more than 5000 kPa (725 psi) for
O
and air in one minute, there is a significant leak.
2
For N2O cylinders, a pressure decrease of 690 kPa (100 psi) in one
minute represents a significant leak.
To repair a leak:
Install a new cylinder gasket and tighten the adapter.
Do this step again. If the leak continues, do not use the system.
use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure.
When the system is installed, the Datex-Ohmeda representative will check the following settings and change them if necessary.
wWARNING These settings can only be changed by qualified personnel.
Language.
Automatic calculation of VE alarm limits during mechanical ventilation.
Altitude.
Ventilator drive gas.
User Select Defaults.
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How to attach equipment to the top shelf
wWARNING The top shelf has a weight limit of 34 kg (75 lb).
Place the equipment between the straps. Fold the straps over each other and fully tighten and fasten them with the hook and loop surfaces.
wWARNING If you do not fully tighten the strap, equipment can fall off the
shelf.
1-12 1009-0633-000
2 Cleaning and Sterilization
In this section
Breathing system cleanable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Remove the breathing system bag hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Disassemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Disassemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Assemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-23
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-25
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w WARNING Obey applicable safety precautions:
• Read the material safety data sheet for each cleaning agent.
• Read the operation and maintenance manual for all sterilization equipment.
• Wear gloves and safety glasses. A damaged O leak and cause burns (contains potassium hydroxide).
• Do not breathe the fumes.
w CAUTION To help prevent damage:
• Refer to the manufacturer’s data if you have questions about a cleaning agent.
• Do not use organic, halogenated, or petroleum based solvents, anesthetic agents, glass cleaners, acetone, or other harsh cleaning agents.
• Do not use abrasive cleaning agents (such as steel wool, silver polish or cleaner).
• Keep all liquids away from electronic parts.
• Do not permit liquid to go into the equipment housings.
sensor can
22
22
2-2
• Do not soak synthetic rubber parts for more than 15 minutes. Swelling or faster aging can occur.
• Only autoclave parts marked 134°C.
• Cleaning solutions must have a pH of 7.0 to 10.5.
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Breathing system cleanable parts
1
2 Cleaning and Sterilization
2
3
8
4
7
5
6
1. Bellows assembly
2. APL Valve Ramp
3. APL Diaphragm
4. Breathing circuit module (O
5. Absorber canister (reusable only)
6. Flow sensor cover
7. Flow Sensor Module (plastic flow sensors not autoclavable)
8. Exhalation Valve assembly
sensor not autoclavable)
2
Figure 2-1 • Autoclavable assemblies
Parts marked 134°C are autoclavable or washable by hand or machine (mild detergent pH <10.5). Rinse and dry completely. All parts except the O
sensor
2
and disposable flow sensors can be washed.
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If the flow sensors are plastic, refer to the “How to clean and disinfect the flow
sensors” procedure. If metal, they can be autoclaved at 134°C.
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Special requirements
To clean the circuit O sensor in liquid.
To clean/disinfect metal or plastic flow sensors, use the flow sensor cleaning procedures. Do not get the connectors wet.
Disassemble the bellows assembly before you wash it. If not, it will take a very long time to dry. Hang the bellows upside down (extended) to dry. If not, the convolutions can stick together.
Assemble the bellows assembly before you autoclave. Autoclave the bellows assembly upside down.
sensor, wipe it with a damp cloth. Do not put the
2
w WARNING Do not use talc, zinc stearate, calcium carbonate, corn starch or
equivalent materials to prevent tackiness. These materials can go into the patient’s lungs and airways and cause irritation or injury.
w CAUTION
w
w
Do not put the circuit O
Do not autoclave the circuit O
Do not clean the interior surfaces of the flow sensors. Use a damp cloth on external surfaces only.
sensor or flow sensor connector in liquid.
2
sensor or the plastic flow sensors.
2
Inspect all parts for deterioration. Replace them if necessary.
The “Preoperative Tests” section in Part 1 of the User Reference Manual tells you how to test the system for correct operation.
How to clean and disinfect the flow sensors
w CAUTION Do not autoclave plastic flow sensors.
w Do not use high pressure gas or brushes to clean the flow sensors.
w Do not use cleaning solvents that are not approved for use with
polycarbonates (e.g. CIDEX Plus).
CIDEX sterilization
Both Datex-Ohmeda and the manufacturer of CIDEX (Johnson & Johnson) have tested this procedure.
CIDEX must be 14 day mixture, with activator vial (REF reorder #2245).
2-4
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2 Cleaning and Sterilization
One liter of this solution cleans four (4) flow sensors.
Procedure
1. Pull the latch to unlock the flow sensor module from the breathing system.
2. Pull the flow sensor module from the breathing system.
3. Remove the flow sensors from the module.
Completely loosen the thumbscrew (1).
Pull off the flow sensor cover (3) from the flow sensor holder (2).
Remove the flow sensor connectors (4) from the flow sensor holder.
Pull the flow sensors (5) from the flow sensor holder.
1
4
2 3
5
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4. Submerge the flow sensor and tubes in activated CIDEX solution. Keep the connector dry.
5. Keep the solution in the tubes for the sterilization period.
6. Submerge the flow sensor and tubes in distilled water. Again, do not get the connector wet.
7. Rinse as indicated in CIDEX instructions.
8. Do steps 6 and 7 again to remove all CIDEX.
9. COMPLETELY dry the flow sensor and the tubes before you use the sensor. Use a dry syringe or connect vacuum or pressure to remove all liquid from the sensor (sensor, tubes, and connector):
w CAUTION Dry for > 1 min with these precautions:
• Maximum flow 10 L/min
• Maximum pressure ±100 cmH
10. Reverse steps 2 and 3 to reassemble the flow sensor module. Be sure to align the flow sensor tubes with the grooves in the flow sensor holder.
11. Before you use the system, complete the “ Preoperative Tests ” in section 4 of the User Reference Manual, Part 1.
Remove the breathing system bag hose
1. Disconnect the bag hose (1) from the bag hose connector (2). Also remove the hose from the clip (3).
2. If bag arm option is present, remove the bag port elbow from the bag arm support. Push down on the release latch and slide the bag port elbow out of the holder.
O
2
1
3
2
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Remove the breathing system
1. Hold the canister (2) by the handle and push on the release latch (1) to unlock the canister.
2. Remove the canister by tilting it downward and off the two support pins.
3. Push the release button (3) and gently pull the latch handle (4) to release the breathing system.
2 Cleaning and Sterilization
1
2
3
4
4. Lightly grasp the rear handle (5) to support the breathing system. Slide the breathing system away from the workstation pulling with the latch handle.
5
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Disassemble the breathing system
The breathing system assembly can be disassembled for cleaning, sterilization and part replacement.
1. Remove the breathing system and place on a flat surface.
2. Pull the latch to unlock the flow sensor module from the breathing system.
3. Pull the flow sensor module from the breathing system.
4. Unscrew the sensor counterclockwise and remove it. To remove the sensor cable from the breathing system, press on the connector button (1) while pulling the connector out.
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