Datex-Ohmeda Inc.
3030 Ohmeda Drive
53707-7550 MADISON, WIS
USA
Tel. +1-608-221 1551, Fax +1-608-222 9147
www.us.datex-ohmeda.com
All specifications are subject to change without notice.
Document No. 800 1009-1
June 2001
Datex-Ohmeda Division,
Instrumentarium Corp.
P.O. Box 900, FIN-00031
DATEX-OHMEDA, FINLAND
Tel. +358 10 394 11 Fax +358 9 146 3310
www.datex-ohmeda.com
Instrumentarium Corp. All rights reserved.
Table of contents
TABLE OF CONTENTS
S/5 Compact Airway Modules
TABLE OF CONTENTSI
TABLE OF FIGURESIII
INTRODUCTION1
1 SPECIFICATIONS2
1.1 General specifications ..............................................................................................................................2
1.2.6 MAC ................................................................................................................................................3
1.3 Gas specifications ....................................................................................................................................3
1.3.1 Normal conditions............................................................................................................................4
2.1.4 Gas exchange measurement...........................................................................................................12
2.2 Main components...................................................................................................................................13
2.2.1 Gas sampling system......................................................................................................................13
2.2.5 Gas exchange ................................................................................................................................19
2.2.6 CPU board .....................................................................................................................................19
2.2.7 OM board.......................................................................................................................................20
2.3 Connectors and signals...........................................................................................................................21
3 SERVICE PROCEDURES22
3.1 General service information.....................................................................................................................22
3.1.1 OM measuring unit .........................................................................................................................22
3.1.3 OM, TPX, and PVX measuring unit....................................................................................................22
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Datex-Ohmeda S/5 monitors
3.1.4 Serviceable or exchangeable parts..................................................................................................22
3.2 Service check.........................................................................................................................................23
3.3.3 CPU board .....................................................................................................................................31
3.3.4 Software of CPU board ...................................................................................................................32
3.3.5 Instructions after replacing software or CPU board ...........................................................................32
3.4 Adjustments and calibrations..................................................................................................................32
3.4.1 Gas sampling system adjustment ...................................................................................................32
5.1 General menu ........................................................................................................................................43
5.2 Gases service menu ...............................................................................................................................44
5.3 Spirometry service menu ........................................................................................................................46
6 SPARE PARTS48
6.1 Spare parts list.......................................................................................................................................48
C rev. 01..................................................................................................................................................49
Figure 9TPX measuring unit .............................................................................................................................17
Figure 10OM measuring unit .........................................................................................................................18
Figure 14Calibration data stored in EEPROM..................................................................................................20
Figure 15Module bus connector pin layout ....................................................................................................21
Figure 16Pneumatic unit and reference gas connection block.........................................................................25
Document No. 800 1009-1
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iv
Document No. 800 1009-1
INTRODUCTION
X
V
V
X
This section provides information for maintenance and service of the S/5 Compact Airway
modules. The Compact Airway modules are double width plug-in modules. M-C, M-CO, M-COV, MCOVX, M-CAiO, M-CAiOV, M-CAiOVX and M-CAiOVX/SERVICE are designed for use with the S/5
monitors. The modules provide airway and respiratory measurements.
Letters in the module name stand for:
M = plug-in module, C = CO
A = anesthetic agents, and i = agent identification
About M-CAiOVX/SERVICE module
The M-CAiOVX/SERVICE module is meant for service purposes only. It can be used as a loan
module if the module in the hospital should be sent to the factory for repair. The specifications that
apply to the M-CAiOVX apply also to the M-CAiOVX/SERVICE module. Module differences: the
colour of the front mask is green, the front panel has a “SERVICE” text and there are no front panel
keys equipped.
Table 1Options for Compact Airway modules
Compact Airway modules
and N2O, O = patient O2, V = patient spirometry, X = gas exchange,
NOTE: Do not use identical modules in the same monitor simultaneously. The M-C, M-CO, M-COV,
M-COVX, M-CAiO, M-CAiOV, M-CAiOVX and M-CAiOVX/SERVICE are considered identical modules.
NOTE: The Compact Airway Module and Airway Module, G-XXXX, cannot be used simultaneously in
the same monitor.
NOTE: The Compact Airway modules cannot be used in the Extension Frame, F-EXT4.
NOTE: Anesthetic agents and N
O values are not displayed with Critical Care main software, but
2
when present in the module they are calculated for compensation of CO
agents
Agent IDSpirometryGas
exchange
and O2.
2
1
Document No. 800 1009-1
Datex-Ohmeda S/5 monitors
1 SPECIFICATIONS
1.1 General specifications
Module size, W × D × H75 × 228 × 112 mm, 2.9 × 9.0 × 4.4 in
Module weight1.6 kg/3.7 lbs
Operating temperature+10...+40 °C
Storage temperature-25...+70 °C
Atmospheric pressure666...1060 hPa /
Humidity10...95 % non-condensing (in airway 0...100 %, condensing)
Power consumption12.6 W Prms, 14.6 W momentary
Protection against electrical shock
(67...106 kPa)
(500...800 mmHg)
(666...1060 mbar)
Type BF
1.2 Typical performance
1.2.1 CO
1.2.2 O
1.2.3 N2O
2
Measurement range0...15 vol% (0...15 kPa, 0...113 mmHg)
Measurement rise time< 400 ms typical
Accuracy±(0.2 vol% +2 % of reading)
Gas cross effects< 0.2 vol% (O
concentration is below 0.1%, 0.0% is displayed.
If CO
2
2
Measurement range0 to 100 vol%
Measurement rise time< 400 ms typically
Accuracy±(1 vol% +2% of reading)
Gas cross effects< 1 vol%; anesthetic agents
Fi-Et differenceresolution 0.1 vol%
O
2
Measurement range0 to 100 %; N2O
Measurement rise time< 450 ms typically
Accuracy±(2 vol% +2% of reading)
Gas cross effects< 2 vol%; anesthetic agents
< 2 vol%; N
, N2O, anesthetic agents)
2
O
2
2
Document No. 800 1009-1
1.2.4 Respiration Rate (RR)
Measurement range4...60 breaths/min
Detection criteria1 % variation in CO
1.2.5 Anesthetic Agents (AA)
Measuring range
Hal, Enf, Iso0 to 6 vol%
Sev0 to 8 vol%
Des0 to 20 vol%
Measurement rise time< 400 ms typically
Accuracy±(0.15 vol% +5% of reading)
Gas cross effects< 0.15 vol% N
Resolution is two digits when the AA concentration is below 1.0 vol%.
If AA concentration is below 0.1 vol%, 0.0% is displayed.
Identification threshold0.15 vol% typically
Identification time< 20 s (for pure agents)
Airway humidity0...100 %, condensing
Sampling rate200 ±20 ml/min. (sampling line 2-3 m, normal conditions)
Sampling delay2.5 seconds typical with a 3 m sampling line
Total system response time2.9 seconds typical with a 3 m sampling line, including sampling
Display update ratebreath-by-breath
Automatic compensation for pressure, CO
0.2 vol% +10% of total conc.
OETN
+
2%
Formula 1
100
delay and rise time
O and CO2-O2 collision broadening effect.
2-N2
Warm up time2 min. for operation with CO
, O2, and N2O
2
5 min. for operation of anesthetic agents
30 min. for full specifications
Autozeroing intervalImmediately after ‘calibrating gas sensor’ and 2, 5, 10, 15, 30, 45,
60 minutes after start-up, then every 60 minutes
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Datex-Ohmeda S/5 monitors
1.3.1 Normal conditions
Accuracy specifications apply in normal conditions (after 30 minutes warm-up period):
Ambient temperature18...28 °C, within ±5 °C of calibration
Ambient pressure500...800 mmHg, ±50 mmHg of cal.
Ambient humidity20...80 % RH, ±20 % RH of cal.
Non-disturbing gases
− Ethanol C
− Acetone (< 0.1%)
− Methane CH
− Nitrogen N
− Carbon monoxide CO
− Nitric Oxide NO (< 200 ppm)
− water vapor
Maximum effect on readings
− CO
− O
− anesthetic agents < 0.15 vol%
Effect of Heliumdecreases CO
OH(< 0.3%)
2H5
(< 0.2%)
4
2
< 0.2 vol%
2
, N2O < 2 vol%
2
readings < 0.6 vol% typically
2
1.3.2 Conditions exceeding normal
Accuracy specifications under the following conditions; :
Ambient temperature10...40 °C, within ±5 °C of calibration
Ambient pressure500...800 mmHg, ±50 mmHg of calibration
Ambient humidity10...98 % RH, ±20 % RH of calibration
During warm-up 2 to 10 minutes (anesthetic agents 5-10 minutes), under normal conditions
During warm-up 10 to 30 minutes, under normal conditions
Accuracy specifications under the following condition (during warm-up 2 to 10 minutes):
Airway Pressure(Paw)
Accuracy±2 cmH2O
Tidal volume
Accuracy±10 % or 100 ml (adult), ±10 % or 10 ml (pediatric)
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1.5 Gas exchange specifications
Mathemathical integration of airway flow and gas concentration for intubated, mechanically
ventilated and/or partly spontaneously breathing patients.
NOTE: These specifications apply only when a 2 meter gas sampling line is used, and a Y-piece
with a physical dead space less than 8 ml.
Compact Airway modules
NOTE: These specifications only apply if the FiO
0.2 % during the inspiratory cycle at the measurement point.
1.5.1 VO2 and VCO
Measurement range50...1000 ml/min
Resolution10 ml/min
Accuracy±10 % or 10 ml; when FiO
1.5.2 RQ
Measurement range0.6...1.2
Resolution0.05
level delivered to the patient is varing by less than
2
2
< 65 %
2
±15 % or 15 ml; when 65 % < FiO
< 85 %
2
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Datex-Ohmeda S/5 monitors
2 FUNCTIONAL DESCRIPTION
2.1 Measurement principle
2.1.1 CO2, N2O, and agent measurement
TPX is a side stream gas analyzer, measuring real time concentrations of CO2, N2O and anesthetic
agents (Halothane, Enflurane, Isoflurane, Desflurane, and Sevoflurane).
Sample
chamber
Temp sensor
Thermopile
detectors
Sample
gas out
Figure 1TPX sensor principle
Anesthetic agents or mixtures of two anesthetic agents are automatically identified and
concentrations of the identified agents are measured. TPX also detects mixtures of more than two
agents and issues an alarm.
TPX is a nondispersive infrared analyzer, measuring absorption of the gas sample at seven infrared
wavelengths, which are selected using optical narrow band filters.
The infrared radiation detectors are thermopiles.
Concentrations of CO
Sample
gas in
and N2O are calculated from absorption measured at 3-5 µm.
2
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Document No. 800 1009-1
Compact Airway modules
Figure 2Absorbance of N2O and CO
2
Identification of anesthetic agents and calculation of their concentrations is performed by
measuring absorptions at five wavelengths in the 8-9 µm band and solving the concentrations
from a set of five equations.
Figure 3Infrared absorbance of AAs
The measuring accuracy is achieved utilizing numerous software compensations. The
compensation parameters are determined individually for each TPX during the factory calibration.
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Datex-Ohmeda S/5 monitors
2.1.2 O2 measurement
The differential oxygen measuring unit uses the paramagnetic principle in a pneumatic bridge
configuration. The signal picked up with a differential pressure transducer is generated in a
measuring cell with a strong magnetic field that is switched on and off at a frequency of 165 Hz.
The output signal is a DC voltage proportional to the O
gases to be measured.
Sample in
Microphone
Electromagnet
concentration difference between the two
2
Mixture
out
Switched
magnetic
field
Figure 4O2 measurement principle
2.1.3 Patient spirometry
In mechanical ventilation breaths are delivered to the patient by a ventilator with a proper tidal
volume (TV), respiration rate (RR), and inspiration / expiration ratio in time (I:E) determined by the
settings of the ventilator.
The Patient Spirometry monitors patient ventilation. The following parameters are displayed:
− Expiratory and inspiratory tidal volume (TV) in ml
− Expiratory and inspiratory minute volume (MV) in l/min
− Expiratory spontaneous minute volume in l/min
− Inspiration/expiration ratio (I:E)
Airway pressure
− Peak pressure (P
− Mean airway pressure (P
monitors
− End inspiratory pressure (P
− PEEPi, PEEPe; available only in S/5 Critical Care and Compact Critical Care monitors
− Total positive end expiratory pressure (PEEP
Compact Anesthesia monitors
− Real time airway pressure waveform (P
− Static Positive end expiratory pressures (Static PEEP
S/5 Critical Care and Compact Critical Care monitors
Reference in
)
peak
); available only in S/5 Critical Care and Compact Critical Care
mean
)
plat
); available only in S/5 Anesthesia and
tot
)
aw
and Static PEEPe); available only in
i
10
Document No. 800 1009-1
Compact Airway modules
− Static Plateau pressure (Static Pplat); available only in S/5 Critical Care and Compact
Critical Care monitors
− Static Compliance (Static Compl); available only in S/5 Critical Care and Compact Critical
Care monitors
Airway flow
PEEP, P
peak
, P
mean
, and P
are measured by pressure transducer on the PVX board. Atmospheric
plat
pressure is used as a reference in measurement. The pressure measurement is made from the
airway part that is closest to the patient between patient circuit and intubation tube.
=intrinsic PEEP, PEEP
PEEP
i
-PEEP
tot
e
Static pressure measurement maneuvres are automatically identified based on a increased zero
flow period at the end of the inspiration or expiration.
Static Compliance is calculated if Static PEEP and Static P
measurements were done within a 2
plat
minutes period.
− Real time flow waveform (V')
− Compliance (Compl)
− Airway resistance (Raw)
− Pressure volume loop
− Flow volume loop
The measurement is based on measuring the kinetic gas pressure and is performed using the Pitot
effect. A pressure transducer is used to measure the Pitot pressure. The obtained pressure signal is
linearized and corrected according to the density of the gas. Speed of the flow is calculated from
these pressure values and TV value is then integrated. MV value is further calculated and averaged
using TV and RR (respiratory rate) values.
Compliance and airway resistance
Compliance is calculated for each breath from the equation
TV
Compl−−=
plat
exp
ei
PEEPPEEPP
Formula 2
Compliance tells how big a pressure difference is needed to deliver a certain amount of gas into
the patient.
The airway resistance, Raw, is calculated using an equation, that describes the kinetics of the gas
flow between the lungs and the D-lite. The equation states that the pressure at the D-lite can at any
moment of the breath be approximated using the equation
tVtVRaw
)()('
tp
=
)(
+×
++
iePEEPPEEPCompl
Formula 3
where p(t), V’(t) and V(t) are the pressure, flow and volume measured at the D-lite at a time t, Raw is
the airway resistance, Compl is the compliance and PEEP
expiratory pressure (PEEP
).
tot
+PEEPi is the total positive end
e
11
Document No. 800 1009-1
Datex-Ohmeda S/5 monitors
TM
D-lite
Patient Spirometry uses a specific sensor called D-liteTM flow sensor. Different types of the D-lite
sensors are available: adult sensor for measuring adults and pediatric sensor for children. Both are
available as reusable versions and D-lite sensor also for single use.
D-lite adapter is designed to measure kinetic pressure by two-sided Pitot tube. Velocity is
calculated from pressure difference according to Bernoulli's equation. Flow is then determined
using the calculated velocity.
v=
2dP×
(from Bernoulli's equation)Formula 4
ρ
F=v A×,
where:
F = flow (l/min), v = velocity (m/s), A = cross area (m
ρ
= density (kg/m3)
Finally the volume information is obtained by integrating the flow signal.
2.1.4 Gas exchange measurement
The gas exchange measurement uses the D-liteTM flow sensor and the gas sampler.
The basic data which is needed to obtain O
concentrations.
Concentrations have been corrected for delay and deformation during the transport of the gas
sample in a sidestream gas measurement sensor.
To obtain the amount of O
the amount that is inhaled.
2
), dP = pressure difference (cmH2O),
consumption and CO2 production are volumes and
2
consumed in ml/min, the amount which is exhaled is subtracted from
2
To obtain the amount of CO
the amount that is exhaled.
These amounts can be obtained by multiplying each measured volume piece (dv) by the
corresponding gas concentration:
and
Using inspiratory and expiratory minute volumes MV
concentrations fi and fe these equations can be rewritten as:
12
Document No. 800 1009-1
producted in ml/min, the amount which is inhaled is subtracted from
2
−
dvfdvfOO
VO
=2
ò
insp
VCO22Formula 6
=2
ò
exp
22
ò
dvfdvfCOCOò−
inspexp
and MVe and volume-weighted inspiratory
i
eOiO=2MVfe-MVfiVO22×× [ml/min]Formula 7
Formula 5
Compact Airway modules
iCOeCO=2MVfi-MVfeVCO22×× [ml/min]Formula 8
To obtain results which are less sensitive to errors in volume measurements, so-called Haldanetransformation is used. This means taking advantage of the fact that the patient is not consuming
nor producing nitrogen: the amount of nitrogen inhaled is equal to the amount
exhaled fi
and VCO2 can then be written as:
VO
2
× MVi=feN2×MVe.
N2
iOHaldO2)MVfef-(fi=VO22× [ml/min]Formula 9
iCOCOHald2)MVfi-fe(f=VCO22× [ml/min]Formula 10
with
f
Hald
= (1-fi
– fiO2 – fi
CO2
N2O
- fi
Ane1
– fi
Ane2
) / (1-fe
– feO2 – fe
CO2
N2O
- fe
Ane1
– fe
Ane2
)
EE=(5.5 × VCO
2
with Un=Urea Nitrogen Excretion = 13 g/day (for adults only).
2.2 Main components
The compact airway modules consist of:
• Gas sampling system
• TPX measuring unit
• OM measuring unit
• PVX measuring unit
• CPU board
• OM board
• PVX board
2.2.1 Gas sampling system
The sampling system takes care of drawing a gas sample to the analyzers at a fixed rate.
The gas sampling system samples the measured air to the module, and removes water and
impurities from it. A sampling line is connected to the water trap. The pump draws gas through the
sampling line to gas measuring units. After the measurements, the gas is exhausted from sample
gas out connector.
The M-COVX and M-CAiOVX modules have a different gas sampling system compared to the other
modules. A number of flow restrictors have been changed to create a bigger pressure difference
with ambient pressure in the gas sensors. The sample flow is however about the same (200
ml/min).
A bigger pressure difference makes the deformations of the gas concentration curves less sensitive
to high variations of the airway pressures thus meeting also the accuracy requirements of gas
exchange for these applications.
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Document No. 800 1009-1
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