GE Aisys User manual

GE

Healthcare

|

Aisys

User’s

Software

Reference

Revision

|

7.X

|

Manual

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User

Responsibility

Inc., a General

CAUTION

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Advanced

Disposable

PSVPro,

of

names

Breathing

Multi SmartVent, Datex-Ohmeda,

used

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1

Introduction

Table

of

Contents

2

System

Controls

and

Intended Symbols Typeface

Abbreviations

Menus

System

Advanced

Optional

Non-circle ACGO Scavenging

Scavenging

Scavenging a gas

Aladin

Display

use

.......,...,..,.............,.......

used

in

the

manual

conventions

used

or

on

the

equipment........

........,,,,.,,,.,,,...,.

.........

overview

breathing

(optional)

cassette

controls

.................................

system

ABScomponenits.......................

circuit

the

from

....,......,..,.................

ACGO

an

controls

.................,...............

(ABS)

..............................

sample

auxiliary

monitor

........................

components

flow

manual

sample

................

flow

.........

breathing

............

circuit

ーー

2-10

2-10 2-11

1-2 1-4 1-7

1-7

2-2 2-5

2-7

2-8 2-9 2-9

2-12

3

Operation

M1179475

Anesthesia

Waveform Digit

field

Usingmenus

Turning

Start

¡IN

on

case Using Using Minimum

default customized

system

the

(start

display

fields

............................,......

...................

Alveolar

..............................

system

gas

flow)

settings

.........................

0.0

..,....................,,,...

........,,.,,,,............

...........................

settings

Concentration

.................,......

(MAC)

............

2-13 2-15 2-15

2-16

3-2 3-3 3-4 3-4 3-5

3-6

Aisys

n

Ventilator

Using Using

setup

quick Vent

Changing

Gas

setup

Using Using

quick Gas

Changing

Spirometry

Setting

loop

Scaling

Spirometry

Setting

setup patient

Selecting a data

Setting

spirometry

.........,..................,..,..

keys

Setup

ventilator

....,.................,.....,.

menu

..........,.....,...,..,.

modes

and

settings

............

..........,,...................,...,..

keys

Setup

gas circuit

し

.......,..........,....,.,,...

menu

and

type

に

にににに

type

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settings

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にに

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しに

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and

sensor

source

split

type

..................

........................

screen

......,............

3-7

3-7 3-8 3-8 3-9

3-9 3-9

3-9 3-10 3-11

3-12

3-13

3-14 3-14 3-15

3-15

Main

Menu Trends Cardiac Fresh

Screen

Select Screen

Alarm

Setting

Volume

MWTValarms

CO2

Auto

.....,.................,.............

......,...........,.....,............,

bypass

gas

usage

configuration

pad6 1 し

setup

............................,.......

alarm

apnea

..............................

.........,.............,......

..........,..................

レレ

ューにしに

ーーににに

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トト

................................

limits

........,...................

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alarms MV

................................,

limit

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トト

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トーーー

AltenateOZ2control..............................

EZchange Condenser

canister

(optional)

..,.....,..............

........................,....

ων

3-16 3-17 3-18

3-19

3-20

3-20 3-21

3-23

3-24

3-24 3-25

3-26

3-27 3-28

Passive

AGSS

(optional)

...............,.......,..

3-29

M1179475

AAA

4

Preoperative

5

Preoperative

Checkout

Tests

Active

Every Before

Inspect

Aladin

Flow Circuit Checkout

Leak < 250

AGSS Connecting Connecting

day

every

before

the

system

(optional)

active active

patient

cassette

and

pressure

compliance

menu

mil

No

................

...........................

AGSS

adjustable

your

first

with a flow

AGSS

patient

...........,..,.....

indicator

..............

.....,.,.,,.................,....

...............,................

installation

calibration compensation

.........................

.......................

....................

.........,.,,.............,.,,.,,.

...........,.,,,............,,,,,..

Yes............................,......,.....

.......

이

3-30 3-31 3-31

4-2 4-3

5-2

5-3

5-4 5-4 5-5

5-5

아다

5-5

Machine

Individual

check Machine Machine Machine

circuit Machine

System

...................,...............

check - system check - circuit check

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-

...............

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checks

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Positive

low

..

(machines

delivery

pressure

with

ACGO)

.......,........

...............................

leak

test

(ACGO

systems

5-6 5-6 5-7

5-7 5-7 5-8

νεος

5-8 5-8 5-9

ennen

nne

5-9 5-9

5-10

only)....5-11

M1179475

1

Aisys

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wi

らし

し

6

Airway

7

Alarms

Modules

and

Troubleshooting

Airway

Parameters

Automatic

Calibration

Alarms

modules

Connection

Data

source

CO2

setup

O2

setup

Agentsetup

Spirometry

agent

Alarm

Silencing

priorities

........,.........................

to a patient

setup

......................................

alarms

................,......,.,......

...............,......,.....,,....

......................,,,,,........

..........,...,,,,,...............,.

..........................

setup

...........................,,.

identification

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.......................

0...

k

6-2 6-4 6-5 6-5 6-5 6-5 6-5 6-5 6-6 6-6

7-2

7-2 7-2

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8

Setup

and

Connections

Display

during

De-escalatinggalarms...........................

Battery

internalfailure................................

List

of

Alarm

Breathingsystemproblems

Electrical

Pneumatic

Setup Canister

When

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Removingan

changes

alarms

indicator

alarms

ranges

tests

..................,,,................

problems

warnings

setup

to

..............,....,........,.....

...............................

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......,................,.......

.............................

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changetheabsorbent

...........................

EZchangecanister..................

...................

7-2 7-3

7-3 7-3 7-4

7-13

7-15 7-17

7-18

7-19

8-2 8-4 8-5

8-6

n000000000000000000000

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Reusable

Multi

Absorber

canister

filling

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M1179475

van

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vo

Table

of

Contents

Electrical

Pneumatic

connections Mains Ouilets

Patient

Serial

inlet

..............,.........,..,..........

monitoring

port....,.,.....................,.,,.,..

connections

Pipeline

inlets Scavenging Sample

gas

............,..,...................

...........,........,............

return

Pneumaticpoweroutlet

Vacuum

Venturi Auxiliary

How

to Pin DIN

suction

02

install

gas

indexed

cylinder

flowmeter

cylinder

connections

...............,...,.........

battery

backup

.................

...............,..,...,....

........................,.......

port

....................,...

........................

regulator

cylinders

(optional)

..............

...............

.................

...................,....

yokes

.........,..,.....,..

.......................

8-9 8-9 8-9

8-9 8-10 8-11 8-11 8-11 8-12

8-12 8-13 8-13 8-14 8-15 8-15 8-15

9

User

Maintenance

High-pressureleaktest

How

to

attach

Repairpoliey Maintenance

equipment

....................................

summary

Datex-Ohmeda

Circuit

OZcelireplacement

Calibratitonmenu

Flow

and

pressure

Circuit

Airway

Backlight How

21%

100%

to

Oz

cell

O,

calibration

O;

calibration

gas

calibration

test

help

prevent

calibration

................,...................

........................

to

the

top

of

the

machine......

and

schedule

approvedservice

.........................

..,...,.,........

.................

.................................

calibration

.......................

«ον

εν

νεο

εκ

ρε νε ων

.............................

.......................,....

.............................

water

buildup

....................

8-16 8-17

9-2 9-2 9-3

9-4

9-5

9-6

9-6 9-7 9-7

M1179475

Aisys

10

Parts

Flow

sensor

module

.............,..,..,...,......

10-2

11

Specifications

and

Theory

Breathing Bellows Complete

Absorber

Exhalation

AGSS..............

EZchangecanistersysteem.........................

Condenser

Test

of

System

Gas

O2flow..................................1.

AlrandN20.................................

Mixed

circuitmodule

.................,..,..................

Advanced

canister

tools

valve

.....,..,...,..,......,..,..........

and

...........................,....

assembly

system

..........................

Breathing

1...

parts

System

.........................

........,.............,

...............

Operation

pneumatic

supplies

gas

circuits

.......,.........,.......

......,............,,..,........

...................................

10-3 10-4 10-5 10-6 10-7 10-8

10-9 10-10 10-11

11-2

11-4

11-4 11-4

'

' |

EZchange Condenser

Pneumatic

Gas

ACGO

Non-circle

Pneumatic Electrical Electricalpower

Power

Battery

Flow

specifications

Breathing

Gas

Physical

Environmental

canister

...................,..............

specifications

supplies

Port

relief

circuit

power

block

diagram

cord

...............,..,..,...,...,.,..

information

system

scavenging

specifications

requirements

...................,...,....

..........................

................................

........................,....

relief

.................................

................,.............

specifications....................

.........................

outlet

........,...............

...........................

.........,.................

.............................

...........................

......................

11-10

11-11

11-12 11-13

11-13

11-5 11-5

11-5

11-5 11-5 11-6

11-7

11-9

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n r

n

~

- i

-

vi

M1179475

と

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a

á

Airway

Gas

module

specifications......................

specifications

...........................

11-14 11-14

Typical

Suction

Ventilator

O2

performance

regulators

theory

monitoring Ventilation Ventilation Ventilation

Ventilator

operating

Pneumaflcg

Fresh Pressure

Volume

gas

..,.....,...,................,....,

.............,......,,...,,....,,...

Oxygeh

Ventilator

Electronically

Aladin,

accuracy

controlled

cassettes

.........................

(optional)

......................

..........,,....,....,.,,....,..

theory modes modes mode

compensation

に

ににににににににレに

of

operation

...............

......,.....,,,............

factory

transition

specifications

しし

にしににににに

default

settings

.....,..........,.,..

..................

にににににーーにトト

ーー

................,,....

トト

トー

トト

トー

レト

data

...,.....,...............

vaporizer

.............,....,,.....,..

and

Aladin

.........

レレ

トト

cassette

トト

ーーー

ーーーー・

トト

. .

11-15 11-16

11-17 11-18 11-18 11-26 11-26

11-27

11-27 11-27 11-27 11-27 11-27 11-28 11-29

11-30

Aladin

Electromagnetic

Guidance

cassettes

compatibility

and

manufacturer's

.............................

(EMC)

................

declaration

-

electromagneticemissions.....................

Guidance electromagnetic

Recommended

Electricalsafey

IEC

60601-1Classification........................

Standards

System

Integral

Not

and

manufacturer's

immunity

separation

declaration

.....................

distances

........,....

................................

......................,.............

components

...........,........................

integral

..................,.....,,...,.,.

............................

-

11-31 11-32

11-32

11-33 11-35 11-36 11-37

11-37 11-38

11-38

vii

x

ai

Aisys

12

Super

13

Vaporizer

User

Mode

cassettes

Install/Service

Using super

Menus

...............,......,.....,,....,,....

Cumulative

Volumeapneasetup

Setting Trends Setting

Parameter Page

Configuring

time

setup colors

Setup

menu

user

gas

and

settings

case

.............,.,...,...,.....

mode

usage

date

...................,.........,,..

and

................,.........,.....

defaults

..................,......

..............,....,.....

..........................

units

........................

...........,.....,..........

.....................

12-2 12-3 12-4

12-4 12-5

12-6 12-7 12-9

12-10 12-10

12-12

LU 47 7 Er

On EU

CU ON ED

AB ED CU ED CB

CU D

Index

Warranty

Vaporizer

Aladin,

Aladin Installing Cleaning

Draining

Draining Filling

FillingwithEasy-Filsystem.....................

Filling

Filling Filling Filling

..............,....,,.....,....,,...,.

cassette

cassettes

.....................,..,..,...,,,....

cassettes

halothane

Aladin,

Aladin

cassettes

with with

cassettes with with with

variants

..............................

....................,..........

cassettes

Quik-Fil Saf-T-Fil

keyed Ouik-Fil

Saf-T-Fil

filler

.....,...........,.....

.......................

......................

...........................

system

bottle . ....................

.........................,

system

bottle

.....................

system

..................

...................

.....................

13-2 13-2 13-4 13-6 13-6

13-6

13-7 13-7 13-8

13-9 13-10 13-12 13-12 13-14 13-15

CB CB CB

D CB CB CB

CB CB OÙ OU

CB CB

CB UD

1

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M1179475

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100,

1

Introduction

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1

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In

WARNING

this

section

Read

understand *

ㆍ

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»

Before *

・

If a test Datex-Ohmeda

equipment.

each

All

system

All

warnings

How

using

Complete

section.

Test

Intended

components

the

to

use

to

test

all

other

fails,

ue

User's

following

connections.

and

each

the

system:

all

of

the

system

do

not

trained

しにににににににににににににに

before

cautions.

system

tests

use

component.

in

components.

the

equipment.

service

the

representative

Reference

using

“Preoperative

にににににトトにに

this

Have

トッ

manual

system:

レート

and

Tests”

a

repair

ーーしーー

the

1-2

1179475

Symbols Typeface

Abbreviations

used

conventions

in

the

manual

used

............,..,......,,.......,..,.

or

on

the

equipment

.........,..,....,........

........

1-4 1-7 1-7

1-1

ee

ВЯ

ας

Aisys

Intended

use

Aisys

means

The

Aisys

integrated,

respiratory

bays

allow patient monitors.

of

non-Datex-Ohmeda

connections

display

offering and

ventilation

This

anesthesia inhalation small

breathing response as

achieving

circuit This

anesthesia offering and

electronic

features

Ventilation

Anesthesia

Carestation

featuring

monitoring,

for

monitors

Optionally,

to

arm

helps

control

anesthetics,

time

90%

with a 2

Volume

optional

with spontaneously Mandatory Volume Control volume 5

ml

ventilation This

This and system’s circuit

Ventilation

Guarantee Ventilation, a patient of

20

ml.

can

be

measured.

of a broad

anesthesia integrated

is

fully

autoclavable.

elegance

volume,

is

scalable,

the

most

and

the

physical

and

supports the

open

patient

the

hospital

keep

the

of

all

hemodynamic,

parameters.

system

is

Air,

system

of

l/min

system Control

PEEP.

an

volume

less

than 7 seconds.

of

the

setting

fresh

uses Ventilation

The

Pressure

Apnea

breathing

(SIMV)

(PCV-VG),

In

Pressure

These

patient

system

uses

breathing

while

and

increasing

Integrated

System.

flexible,

advanced

breathing

integration

mounting architecture

monitors, information anesthetist’s

gas

designed

O2,

and

for

N20.

allows

change

gas

flow.)

SmartVent

with

proven

Control

Backup

patients,

SmartVent

Ventilation,

(PSVPro)

Synchronized

modes,

and

VCV

can

be

ventilated

Control

advanced

range.

the

Advanced

system

Its

minimizing

is

fully

integrated

the

easy

tube

work

and

functionally

design,

system.

of

legacy

of

record

system.

focus delivery,

ventilation,

In

addition,

Datex-Ohmeda

other

GE

design

supports

keeping,

The

on

the

anesthetic

mixing and

The

anesthesia

an

anesthetic

(Agent

response

measured

ventilation

tidal

volume

technology

Pressure

that

is Intermittent

Pressure

cardiac

Contro!

bypass.

using a minimal

Ventilation,

volumes

features

Breathing

to

remove design

connections,

surface

area.

module

Healthcare

mounting

and

INview

movable

patient

agent,

delivering

system's

agent

delivery

time

while

in

non-circle

technology

compensation

also

Support

used

for

Ventilation-

In

Volume

as

allow

for

the

System

and

disassemble

enhances

minimizing

by

defined

tidal

low

as

(ABS).

the

i

kani MM

σας

SAM

SE SR

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ας

RR RR

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==

—

—— i

:

i

WARNING

This

anesthesia

is

easy

to

add

investing

This

This well to

the

Explosion

in a new anesthesia system

trained

in

instructions

Hazard.

anesthetic

system

new

technologies

system.

system

must

only

the

use in

this

agents.

is

designed

is

not

be

operated

of

this User's

Do

not

for

and

ventilation

suitable

by

product.

Reference

use

this

expansion

capabilities

for

use

in

an

authorized

It

must

be

manual.

system

and

upgrades,

MRI

environment.

medical

operated

with

flammable

so

without

personnel

according

M1179475

it

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Introduction

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Note

Configurations standards represent cover

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documentation

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of

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this

product

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of

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accessory.

information.

in

product.

depend

this

manual

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Refer

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manual

to

the

local

market

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1-1 « Front

view

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1

Introduction

place

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Typeface

conventions

Abbreviations

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Names

typeface;

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Messages quotes;

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Abbreviation

A

AA ABS

AGSS

written

ACGO

Alt

02 APL APN

of

hard

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items

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italic

Definition

Anesthetic Advanced Auxiliary

Anesthesia Alternate Adjustable Apnea

on

the

Normal

in

bold

displayed

‘Check

sections

typeface

Controls

agent

breathing

Common

02

pressure-limiting

display

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italic

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sample

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enclosed

and

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modules

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gas

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other

in

system

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example,

enclosed

documents,

double

quotes;

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in

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for

in

names

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CGO

CO2 Compl

ET

EtCO2 EtO2 Exp

FICO2

Common Carbon Compliance

End-tidal End-tidal

End-tidal

Expiratory

Fraction

Gas

dioxide

concentration carbon oxygen

of

Outlet

dioxide

inspired

gas

carbon

dioxide

Aisys

Abbreviation

FI-ET

FiO2 F-V

I LE

Insp

Pause

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MV MVexp MVinsp

N N20 o 02

P

Definition

Difference

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inspiratory

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Fraction Flow-volume

Inspiratory-expiratory

of

inspired

loop

oxygen

ratio Inspiratory Inspriatory

Minimum Minute Expired Inspired

Nitrous

pause

Alveolar

volume

minute

oxide

time

Concentration

volume

Oxygen

and

expiratory

Pair Paux

Paw PCV PCV-VG PEEP PEEPe

Pexp

P-F

Pinsp Plimit Pmax

Pmean PO2 Ppeak

Pplat Psupp

PSV PSVPro PV

Air

supply

pressure Auxiliary Airway

Pressure Pressure Positive Extrinsic Expiratory Pressure-flow Inspiratory

High Maximum

Mean Oxygen Peak Plateau

Support

Pressure Pressure

pressure

controlled

end

expiratory

positive

pressure

supply

pressure

supported supported

loop

limit

Pressure-volume

ventilation ventilation - volume

pressure

end

expiratory

pressure

ventilation ventilation

loop

pressure

with

apnea

guaranteed

backup

1-8

M1179475

1

Introduction

Abbreviation

R Rate

Raw RR

s SIMV/PSV

SIMV-PC

T

TV TVexp TVinsp

VCO2 VCV

Vol

Definition

Respiratory Airway

resistance

Respiratory

Synchronized pressure

Tidal Expired Inspired

Carbon Volume Volume

supported

controlled

volume

tidal

dioxide

controlled

rate

intermittent

ventilation

intermittent

volume

production

ventilation

mandatory

ventilation

with

-

M1179475

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System

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and

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In

WARNING

this

A, — Explosion

section

Do

not

use

antistatic tubes frequency

anesthetic

Systemovemview.............................

Advanced

Display Anesthesia

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surgical

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system

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display

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11.

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12.

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Figure

M1179475

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Description Flow

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to

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by

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some

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canister.

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to

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canister

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options

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bypass)

Description

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Set

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the

switch

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M1179475

2-7

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Non-circie

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gas

flow through This

absorbent

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volume O2

non-circle

cell

Fresh alarm may external circle

Systems

circuit

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ventilation.

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monitoring

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monitoring

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oxygen

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not

reflect O2

circuit.

with

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value

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use

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concentration

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obtained

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when

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concentration

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M1179475

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System

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and

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ACGO

(optional)

WARNING

Fresh

gas

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operating ACGO. the available.

The ACGO

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with

Volume through the

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manual

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switch

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pressure

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in

flow

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the

when

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monitoring

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methods.

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airway

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sample

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auxiliary

cell.

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O2

from

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displayed

that

spontaneous

monitor

module

the

airway

on

the

or

for

jet

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circuit

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to

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using a breathing

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flow

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injury

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module.

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may

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cell

flow

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screen.

concentration

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in

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gas

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not

part

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circuit

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the

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the

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cell

to

the

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cell

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dependent

reduces

to

rebreathing

display

the

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the

circuit

on

the

ACGO

of

ACGO

M1179475

WARNING

Scavenging

sample

the

flow

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maximum

(8

psi).

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A

sample cell This

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scavenging

room.

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3.

of

in

the

breathing

sample

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connect

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test

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pressure

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clinically

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scavenging:

circuit

behind

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at

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N20

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circuit

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to

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the

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expiratory

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pressure

the

airway

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numerics

when

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anesthetics.

flow

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inspiratory

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module

auxiliary

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relief.

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on

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screen.

manual

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into

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sample

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switch

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the

if

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connection

mm

male

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for

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gas

the

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2-10

M1179475

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System

Controls

and

Menus

Aladin

cassette

controls

The

electronically

electronic

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1.

2.

3.

4.

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with

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release

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for

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cassette

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information.

consists

agent

of

the

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the

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2-11