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
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 currentThis way is up.
†
Alternating current
∏
Protective earth ground
x
Earth groundOutput
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 stepsVacuum inlet
Plus, positive polaritySuction bottle outlet
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
44
1111333344
°CC
u
q
t
CC
Autoclavable
Expiratory flow
Q
Open drain (remove liquid)Alarm silence touch key
Inspiratory flowMenu touch key
O2 sensor connectionAlarm silence touch key
(Tec 6)
Volume alarms On/Off touch keyEnd 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.
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
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• 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
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w
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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
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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
1009-0633-000
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.
1009-0633-000
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.
1-9
Aespire 7900
•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.
wCAUTIONDo 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.
1-10
1009-0633-000
wWARNINGDo 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.
wWARNINGThese 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.
1009-0633-000 1-11
Aespire 7900
How to attach equipment to the top shelf
wWARNINGThe 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.
wWARNINGIf you do not fully tighten the strap, equipment can fall off the
• 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.
1009-0633-000
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.
1009-0633-000
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.
2-3
Aespire 7900
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
1009-0633-000
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
23
5
1009-0633-000
2-5
Aespire 7900
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
2-6
1009-0633-000
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
1009-0633-000
2-7
Aespire 7900
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.
1
2-8
1009-0633-000
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