This Product will perform in conformity with the description thereof contained
in this Operation 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.
Aestiva, S/5, PSVPro, Tec 5, Tec 6 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 . . . . . . . . . . . . . . . . . . . .1-5
1006-0938-0001-1
1-2
Aestiva
How to use this manual
The Aestiva comes with several user manuals. This manual describes the
controls and how to use them.
Section 1 shows the different models and supplies information about the
symbols used on the equipment.
Section 2 shows control locations.
Section 3 tells you how to use the controls.
Section 4 is a two-page, preoperative checklist.
The appendix provides complete instructions for the preoperative tests shown
on the checklist.
The Aestiva/5 7900 can be equipped with several optional ventilation
functions. References made in this manual to Heliox mode, and SIMV and
PSVPro modes, are only applicable to systems equipped with these functions.
Use this manual together with Part 2, which includes setup, troubleshooting,
calibration, and maintenance procedures.
What is an Aestiva?
The Aestiva is a flexible, accessible and intuitive anesthesia delivery system. A
wide selection of frames, gases, and vaporizers give you full control of the
system configuration.
Options include pendant mounted systems, extra gas cylinders or vaporizers,
and left or right-hand breathing systems.
Model
Number of vaporizers232
Number of gases2 or 32, 3, or 42 or 3
Optional gases (Heliox and CO
cylinder only)
Breathing system and ventilator
display mounting
Total number of cylinders (maximum 2
per gas)
are
2
2 Vap. Trolley3 Vap. TrolleyPendant
Air or Heliox; CO
Left or right sideLeft or right sideLeft or right side
Up to 4Up to 5Up to 2
Air, Heliox, CO2 (up to two)Air or Heliox; CO
2
2
1-21006-0938-000
1 Introduction
Ventilators and monitors
The system uses a microprocessor-controlled ventilator with internal monitors,
electronic PEEP, multiple modes of ventilation, and a pressure waveform display. Built-in connectors and communication software permit optional
cardiovascular and respiratory gas monitoring.
1-3
1006-0938-0001-3
Aestiva
1-4
Two vaporizer positions, left-hand
configuration with basic display
mount.
AA.96.025
Two vaporizer positions, left-hand
configuration with arm display
mount.
AA.96.016
AA.96.019
Three vaporizer positions, left-hand
configuration with arm display
mount.
Three vaporizer positions, right-hand
configuration with arm display mount.
Figure 1-1 • Aestiva systems
AA.96.028
Pendant with arm display mount.
AA.96.102
1-41006-0938-000
Symbols used in the manual or on the equipment
Warnings and wCautions tell you about dangerous conditions that can
w
occur if you do not follow all instructions in this manual.
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. Read
and follow all warnings and cautions.
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:
1 Introduction
1-5
l
O
o
q
p
œ
†
~
x
On (power)
Not autoclavable
Í
Off (power)
Type B equipment
m
Standby
Type BF equipment
µ
Standby or preparatory state for part of
the equipment
“ON” only for part of the equipment
H
Type CF equipment
Caution, ISO 7000-0434
w
“OFF” only for part of the equipment
wW
Direct current
N
N
Alternating currentDangerous Voltage
Protective earth ground
Attention, refer to product
instructions, IEC 601-1
This way up
Earth ground
y
Electrical inputElectrical output
Pneumatic inletPneumatic outlet
1006-0938-0001-5
Aestiva
1-6
r
å
Y
t
T
+
Frame or chassis ground
Alarm silence button
EquipotentialSystems with this mark agree with
VariabilityRead top of float
Variability in stepsVacuum inlet
Plus, positive polaritySuction bottle outlet
REF
SN
Stock Number
Serial Number
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 DatexOhmeda’s Quality Systems.
-
P
N
ˆ
z
Z
Minus, negative polarity
Lamp, lighting, illuminationCylinder
Movement in one directionIsolation transformer
Movement in two directionsLinkage system
LockRisk of Explosion
UnlockLow pressure leak test
O2+
O2 Flush button
1-61006-0938-000
1 Introduction
134°C
R
u
q
t
Autoclavable
Bag position/ manual ventilation
Mechanical ventilation
r
Open drain (remove liquid)
Close drain
U
Inspiratory flow
Expiratory flow
Q
O2 sensor connectionEnd case
The primary regulator is set to pressure
less than 345 kPa.
European Union Representative
The primary regulator is set to
pressure less than 414 kPa.
Explosion Hazard. Do not use Aestiva systems with flammable
anesthetic agents.
w
WWWWAAAARRRRNNNNIIIINNNNGG
GG
Do not use antistatic breathing tubes or masks. They can cause
burns if you use them near high frequency surgical equipment.
4
AA.96.054
3
2
1
5
6
7
10
12
9
11
1.Breathing system (Figure 2-3)
2.Flow controls
3.Ventilator/monitoring display (Figure 2-5)
4.Light switch and Gooseneck lamp connector (some models)
5.Light (some models)
6.Dovetail rails
7.Vaporizers (Figure 2-4)
8.Gauge (cylinder pressure)
9.Gauge (pipeline pressure)
10. System switch
11. Flush button
12. Brake
8
2-2
Figure 2-1 • Aestiva (front view)
1006-0938-000
2
2 System Controls and Menus
Figure 2-1 shows these controls on the front of the Aestiva.
ItemDescription
System switchSet the switch to on to permit gas flow and to turn on the
monitoring.
On
Standby
AA.96.103
Flow controlsTurn the control counterclockwise to increase the flow and
clockwise to decrease. The system switch must be on.
Decrease
to the breathing
2
AA.96.105
O
flushPush O
2
Increase
Flush to supply high flows of O
2
system.
AA.96.106
1006-0938-000
Light switch Turns the light on and off.
OffOn
AA.96.107
BrakePush down to lock. Lift to release.
AA.96.100
2-3
Aestiva
The circuit breakers are on the rear panel of the Aestiva.
ItemDescription (Figure 2-2)
Circuit Breakers
System circuit breaker
Open
(No Power)
AA.96.108
Closed
(Power)
Outlet circuit breakers
Open
(No Power)
Closed
(Power)
3
AA.96.109
4
2-4
5
2
1
6
7
8
AA.96.053
1.Circuit Breaker for Electrical Outlet
2.Electrical Outlet
3.Circuit Breaker for Total Outlet Current
4.Circuit Breaker for Mains Inlet
5.Mains Inlet
6.Ventilator fuse
7.Pneumatic Outlet
8.Pipeline Connection
Figure 2-2 • Aestiva rear view
1006-0938-000
2
Breathing system controls
8
2 System Controls and Menus
9
10
7
6
5a
4
3
2
1
11
12
5b
13
AB.23.003
1. Canister release
2. Auxiliary common gas outlet (optional)
3. Outlet switch (Auxiliary Common Gas Outlet)
4. Door
5. Flow sensor /patient connection (circuit connections)
a.Inspiratory (Circle circuit module) or to-fro connection (Mapleson/Bain circuit module)
b.Expiratory (Circle circuit module) or fresh gas connection (Mapleson/Bain circuit module)
6. Breathing circuit module (Circle)
7. Bag arm
8. Bag/Vent switch
9. APL valve
10.Bellows
11.Pressure gauge
12.Check valves
13. O
sensor
2
Figure 2-3 • Breathing system parts
1006-0938-000
2-5
Aestiva
.
ItemDescription
,
Bag/Vent switchWhen you first turn on the system, mechanical ventilation is always off. To start mechanical
ventilation, move the switch from Bag to Vent.
Mechanical ventilation On (gas to bellows)
AB.23.059
Mechanical ventilation Off (gas to bag arm)
AB.23.060
APL valveLimits breathing system pressure during manual ventilation. The scale shows approximate
pressures. Above 30 cmH
30
70
~0 cmH2O
O, you will feel clicks as the knob turns.
2
Increase
20
5
~20 cmH2O
70
5
30
20
AB.23.064
Bag armOne arm is adjustable (push in and turn). The other is not.
Adjustable
Not adjustable
2-6
AB.23.023
AB.23.024
1006-0938-000
2
2 System Controls and Menus
ItemDescription
Canister release Open to replace soda lime or remove the canisters. Note, this also opens the breathing
system.
Pull
Turn
Open
Turn
Push
Close
CO
bypass (optional) Pulling and turning the canister release opens the canisters and activates the CO
2
mode. The CO
continued ventilation and rebreathing of exhaled gases.
bypass seals the breathing circuit when the canisters are open. This permits
2
AB.23.061
bypass
2
Drain plugUnscrew the plug to remove condensate.
1006-0938-000
AB.23.179
AB.23.062
2-7
Aestiva
ItemDescription
Outlet switch
(optional)
Sends fresh gas to the selected outlet when the system has an auxiliary common gas outlet.
Monitoring and ventilation turn off when the auxiliary outlet is selected.
Breathing system selected
Auxiliary outlet selected
AB.23.063
2-8
1006-0938-000
2
Vaporizer controls
2 System Controls and Menus
Refer to the description in this section and the vaporizer operation and
maintenance manual for more detailed information on the vaporizer.
Figure 2-4 shows these controls.
ItemDescription
Lock leverTurn the lever fully clockwise to lock the vaporizer in
position.
AA.43.062
Concentration
control and release
Alarm Silence
Switch (Tec 6 only)
Push the release and turn the concentration control to
set the agent concentration. The Tec 6 concentration
control does not turn as long as the warm-up indicator
is on.
ben
Å
1
6
14
1
2
10
9
8
7
6
5
1
4
23
D
6
c
e
T
Push to silence alarms. Hold for four seconds to start
the speaker and light all indicators (alarm test).
> 4 sec = Alarm test
< 4 sec = Alarm silence
AA.43.064
AA.43.063
1006-0938-000
2-9
Aestiva
ItemDescription
Indicators
(Tec 6 only)
All indicators come on at the start. The warm-up
indicator goes off after approximately ten minutes
when the operational indicator comes on. Other
indicators come on during malfunctions.
5
4
3
!
Keep upright at all times
Lock
before
use
5
4
3
2
1
AA.43.015
AA.43.005
8
a
W
See manual for
r
Operational Instructions.
g
in
n
Factors affecting performance.
Service and maintena
recommendations
2
nce
e
t
a
d
e
c
i
v
r
e
s
t
x
e
N
1
.4
.6
.8
234
k
re
oc
L
fo
e
b
se
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Of
0%
.2
Tec 5
ce.
e
n
a
nc
na
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ns
s.
t
a
erform
d
nte
tio
on
i
e
c
p
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v
da
cti
g
r
es
ma
e
ru
s
en
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e
an
N
ll tim
Inst
l
om
affe
ice
for
ec
l
rs
r
rv
iona
e
to
ua
S
at
ac
ight at a
an
er
F
pr
m
Op
e
p u
Se
Warning
Kee
!
1
8
.
2
3
4
5
AA.13.032
e
n
a
r
lu
f
o
s
I
ly
n
O
e
s
U
6
nly
rane
se O
U
nflu
E
6
Tec 6
6
7
1.Power Cable (Only the Tec 6 Vaporizer)
2.Concentration Control
3.Concentration Control Release
4.Lock lever
5.Alarm Silence Switch (Tec 6 only)
6.Filler Port Controls
7.Indicators (Tec 6 only)
8.Battery Cover (Tec 6 only)
Figure 2-4 • Vaporizer controls
2-10
1006-0938-000
2
Ventilator controls
2 System Controls and Menus
Optional Features
Control panel
13
The Aestiva 7900 can be equipped with several optional ventilation functions.
References made in this manual to Heliox mode, and 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
1006-0938-000
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
10
11
Figure 2-5 • SmartVent controls and monitored data
9
78
6
2-11
Aestiva
All but two of the controls for the ventilator are located on the Ventilation/
Monitoring display. The two controls are:
• 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
and indicator
Volume alarm key
and status
Silences most alarms for 120 seconds.
Pushing the key when no alarm is active pre-silences
low and medium priority alarms, except Minimum
Monitoring, for 90 seconds.
The "No O2 Pressure" alarm cannot be silenced.
120
Remaining
silence time
Tur ns volume alarms on and off.
Vol Alarms OnVol Alarms Off
Vol Alarms Off
AB.29.004
2-12
1006-0938-000
2
2 System Controls and Menus
ItemDescription
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; and
Heliox mode off.
• Sets the PEEP to 0 cmH
• Sets Plimit to one of two values: facility default or
00
444400
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).
O (default value).
2
AB.29.006
1006-0938-000
2-13
Aestiva
How to set controls
Step 1
Push the selection key
below the setting.
Step 2
Turn the knob to change
the setting.
Step 3
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
Push the knob or the key
to save the change.
AB.29.011
2-14
1006-0938-000
2
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.
AB90.037
AB.90.045
1006-0938-000
2-15
Aestiva
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
::
NNNNooootttteeee::
If the Alarm Settings page shows ◊E Auto Limits during mechanical ventilation,
the system automatically calculates alarm limits.
Figure 2-6 • Menu map
AB.90.045
AB.90.063
2-16
1006-0938-000
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