Warnings, Cautions, and Notes.....................................................................................................................................................................................vii
Theory of Operation ............................................................................................................................................ 1 - 1
Parts List...............................................................................................................................................................................................................1 - 13
Key to Symbols.................................................................................................................................................................................................. 1 - 14
Work Light Board.............................................................................................................................................................................................. 1 - 42
The Breathing System .................................................................................................................................................................... 1 - 44
Pneumatic PEEP ................................................................................................................................................................................................1 - 47
Ventilator in Standby ...................................................................................................................................................................................... 1 - 47
Breathing System Components.................................................................................................................................................................. 1 - 47
CPU Board ...........................................................................................................................................................................................................1 - 57
Ventilator Control and Drive........................................................................................................................................................ 1 - 60
Ventilator Control and Drive Board ...........................................................................................................................................................1 - 70
Infrared Communication Board .................................................................................................................................................................. 1 - 79
Anesthesia Signal Interface Board.............................................................................................................................................................. 1 - 80
Breathing System Heater...............................................................................................................................................................................1 - 81
Electrical Flow Control System.................................................................................................................................................... 1 - 81
BFCS Position Board ........................................................................................................................................................................................ 1 - 85
Total Flow Meter Backlight Board ..............................................................................................................................................................1 - 86
Air Flow Sensor Interface Board..................................................................................................................................................................1 - 86
Calibrate the AG Module ...............................................................................................................................................................................2 - 30
Gas Module Verification.................................................................................................................................................................................2 - 32
Gas Delivery System Tests............................................................................................................................................................................. 2 - 32
Line Pressure Gauges Accuracy Test .........................................................................................................................................................2 - 35
N2O Cylinder Leak Test ..................................................................................................................................................................................2 - 35
AIR Cylinder Leak Test..................................................................................................................................................................................... 2 - 36
Line Pressure Leak Tests................................................................................................................................................................................. 2 - 36
Breathing System Checks.............................................................................................................................................................. 2 - 38
Waste Gas Scavenger Test (if available) ................................................................................................................................................... 2 - 38
Internal Gas Connections Test..................................................................................................................................................................... 2 - 38
Drive Gas Pressure Loss Alarm, N2O Cutoff Test................................................................................................................................... 2 - 42
PCV Adult Ventilation Mode Test ............................................................................................................................................................... 2 - 46
Pressure Support (PS) Ventilation Mode Test ........................................................................................................................................ 2 - 47
Alarms and Fail safe Functions.................................................................................................................................................... 2 - 48
Set Up....................................................................................................................................................................................................................2 - 48
Test the Line Voltage Alarm.......................................................................................................................................................................... 2 - 50
Top Light and Auxiliary Light Test..............................................................................................................................................................2 - 50
For 2 vaporizer Mount .................................................................................................................................................................................... 2 - 51
For 3 vaporizer Mount .................................................................................................................................................................................... 2 - 51
Vaporizer Accuracy Test ................................................................................................................................................................ 2 - 52
List of Periodic Maintenance Parts to be Replaced and Checked .....................................................................................3 - 4
Battery Maintenance and Replacement .....................................................................................................................................3 - 8
Breathing System Leak Test.............................................................................................................................................................................3 - 9
Automatic Backup Flow Control Test........................................................................................................................................................ 3 - 16
Check the AG Module Accuracy................................................................................................................................................................. 3 - 20
Gas Module Verification.................................................................................................................................................................................3 - 21
Gas Delivery System Tests............................................................................................................................................................................. 3 - 21
Check the Sensor Zero Point........................................................................................................................................................................ 3 - 24
Check the Flow Sensor Accuracy................................................................................................................................................................3 - 25
Check the Pressure Sensor Accuracy.........................................................................................................................................................3 - 28
Total Flow Sensor Self Test............................................................................................................................................................................ 3 - 33
Line Pressure Gauges Accuracy Test .........................................................................................................................................................3 - 33
N2O Cylinder Leak Test ..................................................................................................................................................................................3 - 34
AIR Cylinder Leak Test..................................................................................................................................................................................... 3 - 34
Line Pressure Leak Tests................................................................................................................................................................................. 3 - 35
Breathing System Checks.............................................................................................................................................................. 3 - 37
Waste Gas Scavenger Test (if available) ................................................................................................................................................... 3 - 37
Internal Gas Connections Test..................................................................................................................................................................... 3 - 37
Drive Gas Pressure Loss Alarm, N2O Cutoff Test................................................................................................................................... 3 - 40
PCV Adult Ventilation Mode Test ............................................................................................................................................................... 3 - 43
Pressure Support (PS) Ventilation Mode Test ........................................................................................................................................ 3 - 44
Alarms and Fail safe Functions.................................................................................................................................................... 3 - 44
Set Up....................................................................................................................................................................................................................3 - 44
Test the Line Voltage Alarm.......................................................................................................................................................................... 3 - 47
Top Light and Auxiliary Light Test..............................................................................................................................................................3 - 47
For 2 vaporizer Mount .................................................................................................................................................................................... 3 - 48
For 3 vaporizer Mount .................................................................................................................................................................................... 3 - 48
Vaporizer Accuracy Test ................................................................................................................................................................ 3 - 49
System Calibration..............................................................................................................................................................................4 - 3
Total Flow Sensor Calibration (factory) ....................................................................................................................................................4 - 53
Calibrate the AG Module ...............................................................................................................................................................................4 - 56
Adjust the back pressure valve....................................................................................................................................................................4 - 60
Repair and Troubleshooting............................................................................................................................... 5 - 1
Identify the problem ..........................................................................................................................................................................................5 - 2
Use the proper equipment ..............................................................................................................................................................................5 - 2
Clean up the repair area....................................................................................................................................................................................5 - 2
CPU Board Runtime Alarm ...............................................................................................................................................................................5 - 8
Power Board Runtime Alarm...........................................................................................................................................................................5 - 8
Runtime Alarms of Flow Sensor Board.....................................................................................................................................................5 - 10
Ventilator Control Board Runtime Alarm.................................................................................................................................................5 - 16
Real-time Alarms of External AG Module.................................................................................................................................................5 - 19
Runtime Alarms of Internal AG Module ........................................................... 5 - 22
Pneumatic Circuit System Problems......................................................................................................................................... 5 - 23
Tools for on-site Maintenance ..................................................................................................................................................................... 5 - 23
Gas Supplies and Drive Gas ..........................................................................................................................................................................5 - 32
Anesthetic Gas Delivery System..................................................................................................................................................................5 - 41
Breathing System ............................................................................................................................................................................................. 5 - 53
Sensors and Valves Problems ...................................................................................................................................................... 5 - 71
Correspondence with Pneumatic Circuit Components ..................................................................................................................... 5 - 71
Correspondence with Hardware Components ..................................................................................................................................... 5 - 71
Preparations before Using Diagnostic Tests........................................................................................................................................... 5 - 72
Zero Points of Flow & Pressure Sensors Problems ............................................................................................................................... 5 - 72
Connections and Measurement of the Flow Sensors Problems......................................................................................................5 - 73
Connections and Measurement of the Pressure Sensors Problems.............................................................................................. 5 - 73
Opening State of the Inspiratory Valve Problems ................................................................................................................................ 5 - 75
Opening States of the PEEP Safety Valve Problems............................................................................................................................. 5 - 75
Opening State of the PEEP Valve Problems............................................................................................................................................5 - 76
Basal Flow Adjustment of O2 Needle Valve............................................................................................................................................ 5 - 77
Hardware and Electrical Problems............................................................................................................................................. 5 - 79
Software Update and Software Configuration Activation................................................................................................ 5 - 81
Repair and Disassembly ...................................................................................................................................... 6 - 1
Prepare for Disassembly...................................................................................................................................................................6 - 2
Bleed Gas Pressure..............................................................................................................................................................................................6 - 2
Disassemble the Assemblies........................................................................................................................................................... 6 - 3
Disassemble the Internal Assemblies of the Machine Upper Half.....................................................................................................6 - 3
Disassemble the Work Surface.................................................................................................................................................................... 6 - 27
Disassemble the Auxiliary Work Surface.................................................................................................................................................. 6 - 36
Disassemble the Display................................................................................................................................................................................6 - 38
Remove the Module Rack Assembly ......................................................................................................................................................... 6 - 47
Remove the Module Rack Fan .....................................................................................................................................................................6 - 48
Remove the Panel of Pressure Gauges.....................................................................................................................................................6 - 49
Disassemble the Vacuum Suction Related Assembly......................................................................................................................... 6 - 57
Remove the Auxiliary Gas Outlet Assembly............................................................................................................................................ 6 - 59
Remove the Rotating Block of Breathing Circle .................................................................................................................................... 6 - 60
Remove the AGSS Assembly ........................................................................................................................................................................6 - 61
Remove the Electronically Controlled ACGO Drive Valve.................................................................................................................. 6 - 62
Remove the Built-in Anesthesia Module..................................................................................................................................................6 - 63
Remove the ACGO Assembly (electronically controlled)................................................................................................................... 6 - 65
Disassemble the Base Assembly................................................................................................................................................................. 6 - 67
Disassemble the Breathing System........................................................................................................................................... 6 - 71
Remove the Breathing Tubes....................................................................................................................................................................... 6 - 71
Remove the Flow Sensor ............................................................................................................................................................................... 6 - 72
Remove the Manual Bag................................................................................................................................................................................6 - 73
Remove the Absorbent Canister................................................................................................................................................................. 6 - 74
Remove the CO2 Bypass Assembly............................................................................................................................................................6 - 76
Remove the Prepak Handle ..........................................................................................................................................................................6 - 77
Remove the Contact Switch of the L-shaped Handle ......................................................................................................................... 6 - 78
Remove the Patient Circle Assembly.........................................................................................................................................................6 - 79
Remove the Bellows Assembly....................................................................................................................................................................6 - 80
Remove the Pop-off Valve Assembly ........................................................................................................................................................ 6 - 81
Disassemble the Expiratory/Inspiratory Check Valve Assemblies ..................................................................................................6 - 82
Remove the Water Collection Cup.............................................................................................................................................................6 - 83
Remove the Airway Pressure Gauge ......................................................................................................................................................... 6 - 84
Remove the Bag Arm ...................................................................................................................................................................................... 6 - 84
Remove the Back Upper Cover and Back Lower Cover Assemblies............................................................................................... 6 - 85
Remove the Front Upper Cover, Median Plate and Front Lower Cover Assemblies ...............................................................6 - 87
Disassemble the Automatic/Manual Ventilation Switch Assembly ............................................................................................... 6 - 90
Remove the APL Valve Assembly ............................................................................................................................................................... 6 - 92
Diagrams and Tables..........................................................................................................................................................................................7 - 3
Phone Numbers and How to Get Assistance............................................................................................................................8 - 3
A7™ Service Manual046-006272-00v
Table of Contents
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vi046-006272-00A7™ Service Manual
ForewordIntroduction
Foreword
This Service Manual is intended as a guide for technically qualified personnel performing repair and
calibration procedures.
Warnings, Cautions, and Notes
Please read and adhere to all warnings, cautions, and notes listed here and in the appropriate areas
throughout this manual.
A WARNING is provided to alert the user to potential serious outcomes (death, injury, or serious
adverse events) to the patient or the user.
A CAUTION is provided to alert the user to use special care necessary for the safe and effective use of
the device. They may include actions to be taken to avoid effects on patients or users that may not be
potentially life threatening or result in serious injury, but about which the user should be aware.
Cautions are also provided to alert the user to adverse effects on this device of use or misuse and the
care necessary to avoid such effects.
A NOTE is provided when additional general information is applicable.
Warnings
WARNING:Whenever using anesthetic gases, nitrous oxide, oxygen, or any
WARNING:Use only an approved lubricant on any O-ring in contact with oxygen.
WARNING:For continued protection against fire hazard, replace all fuses with the
WARNING:In order to prevent an electric shock, the machine (protection class I)
WARNING:Remove all accessory equipment from the shelf before moving the
WARNING:Possible explosion hazard. Do not operate machine near flammable
WARNING:The use of anti-static or electrically conductive respiration tubes, when
hospital gas, always follow the appropriate agent evacuation/
collection procedures. Use the hospital gas evacuation system.
Krytox® is the recommended oxygen service lubricant.
specified type and rating.
may only be connected to a correctly grounded mains connection
(socket outlet with grounding contact).
anesthesia machine over bumps or on any inclined surface. Heavy top
loading can cause the machine to tip over causing injury.
anesthetic agents or other flammable substances. Do not use
flammable anesthetic agents (e.g., ether or cyclopropane.)
utilizing high frequency electric surgery equipment, may cause burns
and is therefore not recommended in any application of this machine.
WARNING:Possible electric shock hazard. The machine may only be opened by
authorized service personnel.
A7™ Service Manual046-006272-00vii
IntroductionCautions
WARNING:Compressed gasses are considered Dangerous Goods/Hazardous
WARNING:Avoid exposure to respiratory gases by always directing the fresh gas
WARNING:When using the AG module to perform AG measurements on the
WARNING:Remove the airway sampling line from the patient’s airway and seal the
WARNING:Before connecting the exhaust line to the sample gas outlet on the
WARNING:Perform factory calibration in the working environment after
Materials per I.A.T.A (International Air Transport Association). and
D.O.T. (Department Of Transport) regulations. It is a violation of federal
and international law to transport dangerous goods without the
packages being appropriately identified, packed, marked, classified,
labeled and documented according to D.O.T. and I.A.T.A. regulations.
Please refer to the applicable I.A.T.A. Dangerous Goods Regulations
and /or the Code of Federal Regulations 49 (Transportation, Parts 171-
180) for further information.
flow from the fresh gas outlet to the waste gas scavenger.
patients who are receiving or have recently received anesthetic
agents,connect the outlet to the waste gas disposal system to prevent
the medical staff from breathing in the anesthetic agents.
sample port while nebulized medications are being
delivered.Nebulized medications interfere with accuracy gas reading.
compact airway module,ensure the other end is connected to the
sample gas return port on the anesthesia machine.Incorrect
connections may cause patient injury.
completion of anesthesia machine assembling.Contact us if factory
calibration is required during system use.
WARNING:Do not perform testing or maintenance on A7 anesthesia machine
WARNING:Items can be contaminated due to infectious patients.Wear sterile
WARNING:Obey infection control and safety procedures.Used equipment may
while it is being used on a patient.Possible injury can result.
rubber gloves.Contamination can spread to you and others.
contain blood and body fluids.
Cautions
CAUTION:This device uses high pressure compressed gas. When attaching or
disconnecting backup gas cylinders, always turn the cylinder valves
slowly. Use the A7 flow meters to bleed down the pressure, watching
the cylinder gauge indicate the depleting cylinder pressure, before
disconnecting the cylinder from the yoke. Always open and close
cylinder valves fully.
CAUTION:This device operates using compressed gas at high pressures from the
CAUTION:Refer to section 3.3 Periodical Maintenance Schedule for assistance
hospital central supply. When connecting gas supply lines attach the
hose connection to the machine before connecting the quick
disconnect fitting to the hospital source. Disconnect the supply hose
from the hospital source connection prior to disconnecting it from the
A7 gas connection fittings.
when performing scheduled periodic maintenance.
viii046-006272-00A7™ Service Manual
NotesIntroduction
CAUTION:Do not leave gas cylinder valves open if the pipeline supply is in use
CAUTION:Use cleaning agent sparingly. Excess fluid could enter the machine,
CAUTION:This machine must only be operated by trained, skilled medical staff.
CAUTION:Perform the electrical safety inspection as the last step after
CAUTION:After changing the CO2 absorbent, carry out a vaporizer and system
CAUTION:Only Selectatec™ compatible vaporizers with Interlock-System may be
CAUTION:After each exchange of a vaporizer, carry out a system Leak test.
CAUTION:Do not clean the machine while it is on and/or plugged in.
CAUTION:Pressing "cancel" at any time during the procedure will cancel the
CAUTION:Depleted sodalime changes color. Replace the sodalime if
and the system master switch is turned to 'ON'. If used simultaneously,
cylinder supplies could be depleted, leaving an insufficient reserve
supply in the event of pipeline failure.
causing damage.
completing a repair or after routine maintenance. Perform this
inspection with all covers, panels, and screws installed.
leak test.
used with the A7 unit.
session's settings and reload the previously-stored calibration
coefficients.
approximately 2/3 of the absorber content is discolored. CO2 absorbent
can be safely changed without stopping mechanical ventilation.
CAUTION:This equipment contains parts sensitive to damage by electrostatic
discharge (ESD). Use ESD precautionary procedures when touching,
removing, or inserting parts or assemblies.
CAUTION:The watertrap collects water drops condensed in the sampling tube and
therefore prevents them from entering the AG module.If the collected
water reaches a certain amount, you should drain it to avoid airway
blockage.
CAUTION:The watertrap has a filter preventing bacterium,vapor and patient
secretions from entering the module.After a long-term use,dust or
other subtances may compromise the performance of the filter or even
block the airway.In the case, replace the watertrap.Replacing the
watertrap once a month is recommended.
CAUTION:Strong scavenging suction on the AG monitor exhaust port nay change
the operating presure of the monitor and cause inaccurate readings or
internal damage.
Notes
NOTE:Unauthorized servicing may void the remainder of the warranty. Check
with the factory or with a local authorized distributor to determine the
warranty status of a particular instrument.
Electrical and Pneumatic Connections .......................................................................................................................................1-4
Gas Flow ......................................................................................................................................................................................................1-12
Anesthesia System Components.................................................................................................................................................1-42
The Breathing System......................................................................................................................................................................... 1-44
Ventilator Control and Drive........................................................................................................................................................... 1-49
Electrical Flow Control System...................................................................................................................................................... 1-81
The A7 Anesthesia System is a simple and convenient anesthetic gas delivery system that produces
anesthesia gas and controls delivery of anesthesia gas by using a configured vaporizer. It supports
automatic and manual ventilation. It can also monitor various parameters of patients, such as the
airway pressure, inspired tidal volume and expired tidal volume.
The A7 Anesthesia System provides the following ventilation modes:
•Volume Control Ventilation (VCV), which includes the Pressure Limit Ventilation (PLV) function
•Pressure Control Ventilation (PCV) with/without the Volume Guarantee (VG) ventilation mode
•Synchronized Intermittent Mandatory Ventilation (SIMV) with the VC mode
•SIMV with the PC mode
•Pressure Support (PS) ventilation mode
•Spontaneous ventilation in Manual mode with the Airway Pressure Limit (APL) fully open
•Manual Ventilation through the use of a breathing bag
•Electronic Positive End Expiratory Pressure (PEEP) is available in all ventilation modes. Control over
inspiratory flow (Tslope) is possible in PCV, SIMV, and PS modes. Automatic fresh gas
compensation helps patients suffer less from manual changes in fresh gas flow rate. The
traditional bellows system is driven by gas and makes patient ventilation clearly visible.
The A7 fresh gas electronic flow metering system inherits the features of a traditional anesthesia
system and moreover is enhanced in ease of use. The dual-tube electronic flow meter displays more
precise readouts. A knob guard prevents inadvertent movement of the flow control knobs. Gas
supply gauges indicate the pipeline and cylinder gas supply pressures in real time. An auxiliary O2
flow meter is placed on the upper left to make it convenient to read the O2 flow rate. The O2 flush
button is in the traditional position near the front left corner of the table top.
Safety systems within the A7 work to prevent hypoxic mixtures from being delivered to the patient.
Nitrous oxide will not be delivered unless oxygen pressure is present.
The heating system of the A7 patient breathing circuit minimizes condensed water and sends warm
and humidified gas back to the patient. The pressure gauge, APL valve and manual breathing bag of
the patient breathing circuit support fast plug and unplug to facilitate their installation and
maintenance. The APL valve has a rotary knob that provides a clear view of the manual breathing
pressure setting. The sodalime absorber canister can be opened and closed quickly through a handle.
It can absorb sodalime in standard Pre-paks or loose-fill sodalime. A drainage valve is configured for
the sodalime absorber canister.
Two flow sensors are configured on the patient breathing circuit to monitor the flow of inspired and
expired gases and monitor the airway pressure. The operator can rotate and fix the patient breathing
circuit as required. In addition, the patient breathing circuit is equipped with a side plug for gas
leakage detection. The Anesthesia Gas Scavenging System (AGSS) connectors are at the rear of the
A7.
1 - 2046-006272-00A7™ Service Manual
Theory of OperationIntroduction
When the A7 uses AC power supply, the A7 power management system supplies power for its main
system while charging its internal battery. In case of an AC power failure, the A7 operates on battery
power, two new batteries supporting normal running in a minimum of 90 minutes. The main system
switch can power on and off the system. The four auxiliary AC sockets on the A7 at the rear of the
machine operate independent of the main system switch.
NOTE:The warmer for the patient breathing circuit system does not operate
when the A7 is working on battery power.
NOTE:If the main switch is set to OFF, the O2 supply is turned off.
A7™ Service Manual046-006272-001 - 3
Electrical and Pneumatic ConnectionsTheory of Operation
1.2Electrical and Pneumatic Connections
1.2.1Electrical Connections
FIGURE 1-1
1 - 4046-006272-00A7™ Service Manual
Theory of OperationElectrical and Pneumatic Connections
No.DescriptionP/N
B1Power Board (A7)115-018145-00
B2Battery Interface Board801-0631-00109-00
B3CPU Board115-040636-00
B4IndicatorLight Board051-001257-00
B5Infrared Communication Board801-0621-00165-00
B6Anesthesia Signal Interface Board801-0613-00033-00
B7Display Interface Board051-001258-00
B8Backlight Inverter Board
B9Warning Light Board801-0631-00019-00
B10Touchscreen Control Board801-0631-00018-00
B11Encoder Board051-001260-00
B12Flow Meter Lighting Board
B13Top Lighting Board801-0631-00039-00
B14Mother Board
B15-16Ventilator Control Board801-0631-00027-00
B17Sensor Interface Board801-0631-00089-00
B18Electronic Flow Control System (EFCS) Monitor Board115-018150-00
switch (14) and regulator (15). Where, the pressure switch (14) and regulator (15) are shared by the
pipeline and cylinder gas supply limbs. The following figure is the block diagram.
The following table lists parameters of key components.
NameSupplierDescription of FunctionsKey Index
Applied to compressed air, O2 and N2O .
Adjusts pressure and ensures
RegulatorCamozzi
Pressure
switch
Pressure
relief valve
A7™ Service Manual046-006272-001 - 15
AIR LOGIC
MindrayPrevents gas pressure too high.
constant output pressure at the
regulator outlet.
Reports an alarm when the gas
supply is insufficient. Pressure
switches are configured on the
O2, N2O and air limbs.
Pressure range: 0.05 to 1 MPa (7 to 145 psi)
Flow: 160 L/min (At 10 bar (145 psi) inlet
pressure, 4bar (58 psi) outlet pressure, with
0.5bar (7 psi) drop)
Precision: 0.5 to 100 PSI, +/- 0.5 tolerance on
the initial starting pressure
Alarm type: an alarm will be reported when
the gas supply pressure reduces to 32 PSI.
Pressure resistance: 300 PSI
Startup pressure: 758 kPa±20 kPa (110 psi ±
2.9 psi)
Leakage volume requirement: The leakage
volume should be smaller than 5 ml/min for
a 600 kPa pressure relief valve.
Gas FlowTheory of Operation
The following figure shows the physical pipeline gas supply inlet assembly of the system, including
the gas supply inlet assembly and regulators. The gas supply inlet assembly integrates the filter,
pressure relief valve, pressure switch and check valve. Gases regulated by the regulator will be output
to the flow control systems EFCS and BFCS.
FIGURE 1-6
The following figure shows the models of the gas supply inlet assembly and regulator. The gas from
the pipeline gas supply (280~600 kPa) enters the system through the gas supply connector. After
being cleaned by the internal filter of the inlet assembly, the gas is output to the regulator and
degraded to about 200 kPa. (The filter can be replaced after the pipeline gas supply connector is
removed).
FIGURE 1-7
1 - 16046-006272-00A7™ Service Manual
Theory of OperationGas Flow
FIGURE 1-8
As shown in the following figure, the gas from the cylinder gas supply is divided into two limbs after
being cleaned by the filter. One limb is directly connected to the high pressure gauge and the other
limb is degraded to 440 kPa by the high pressure reducing valve and then output from the check
valve. After the gas from the cylinder gas supply is mixed with the gas from the pipeline gas supply,
the gas mixture is output to the regulator. Currently, the system provides only a cylinder connector.
The connector complies with CGA V-1. Cylinders of the E size are supported. The capacity of a
cylinder is limited; therefore, it is recommended that the cylinder gas supply is used as the backup
gas supply to prevent gas supply exhaustion.
FIGURE 1-9
A7™ Service Manual046-006272-001 - 17
Gas FlowTheory of Operation
FIGURE 1-10
1.3.4.3System Switch Assembly
The system switch assembly is the pneumatic circuit on-off valve of the breathing system. It controls
the on and off of the pneumatic circuit and provides system power-off signal when the pneumatic
circuit is switched on, implementing synchronous on/off control on the pneumatic and electrical
circuits of the system. When the system switch knob is rotated clockwise, the valve stem pushes the
valve core to switch on the pneumatic circuit and triggers the tact switches on the system switch
assembly to switch on the electrical circuit at the same time. When the system switch knob is rotated
counterclockwise, the pneumatic and electrical circuits will be switched off at the same time. There is
an exhaust limb on the system switch, which functions to exhaust the residual gas in the backup limb
at power-off to prevent the residual gas in the backup limb from lifting the float of the total
flowmeter.
The system switch assembly is equipped with two tact switches, providing the same functions and
located at symmetrical positions. This design is only used to ensure that one tact switch can operate
properly when the other tact switch fails. When the two PINs of either tact switch are shorted, the
system power supply will be switched on.
1 - 18046-006272-00A7™ Service Manual
Theory of OperationGas Flow
FIGURE 1-11
1.3.4.4Flow Control System - EFCS
FIGURE 1-12
A7™ Service Manual046-006272-001 - 19
Gas FlowTheory of Operation
The following figure shows the pneumatic block structure of the EFCS. The three gases, after being
regulated, go through the proportional valves, through limb sensors, through the gas mixing
chamber, and into the three-way valve. Then, the gas mixture returns to the total flow sensor and
finally output to the mechanical float flow meter. Hardware boards and various hardware interfaces
are available under the pneumatic block.
FIGURE 1-13
1.3.4.5Flow Control System - BFCS
The BFCS of the A7 comprises two mechanical needle valves that are used to control the flow of the
O2 and air limbs and control the O2-AIR ratio. After passing through the two independent check
valves in the mixing chamber, the gases of the two limbs are mixed and finally output.
1.3.4.5.1BFCS - Motor
The motor of the BFCS provides the force for withdrawing the backup needle valve assembly, and
locates and fastens the backup needle valve assembly by using electromagnet.
1 - 20046-006272-00A7™ Service Manual
Theory of OperationGas Flow
FIGURE 1-14
1.3.4.5.2BFCS - Needle Valves
The needle valve assembly controls the valve port openness by converting the rotation movement of
the knobs into the linear movement of the valve core and thus controls the gas flow. The needle
valve assembly is configured with a tact switch. When a needle valve is closed, the valve core triggers
the tact switch to monitor the close status of the needle valve and feed back the status to the control
unit.
The following figure is a model of the BFCS backup needle valve module.
A7™ Service Manual046-006272-001 - 21
Gas FlowTheory of Operation
FIGURE 1-15
FIGURE 1-16
1 - 22046-006272-00A7™ Service Manual
Theory of OperationGas Flow
1.3.4.5.3Back Pressure Valve
The back pressure valve stabilizes the pressure at the upstream inlet and prevents continual fluctua-
tion of the system flow due to load changes. The following figure shows the position of the back pres-
sure valve in the system.
FIGURE 1-17
The following figure shows the structure model and the corresponding interface information.
A7™ Service Manual046-006272-001 - 23
Gas FlowTheory of Operation
FIGURE 1-18
1.3.4.6Three-way Valve
The three-way valve is a two-position three-way solenoid valve with two inlets and one outlet. The
two inlets are connected to the outputs of the EFCS and BFCS respectively, whereas the outlet is
connected to the total flow meter. The three-way valve implements pneumatic circuit switching
between the EFCS and BFCS. Upon power-on, the EFCS limb is switched on and the BFCS limb is
switched off; upon power-off, the EFCS limb is switched off and the BFCS limb is switched on. The
following figure shows the position of the three-way valve in the system.
FIGURE 1-19
1 - 24046-006272-00A7™ Service Manual
Theory of OperationGas Flow
The following figure shows the structure model and the corresponding interface information.
FIGURE 1-20
1.3.4.7Total Flow Meter
The mechanical float flow meter (range: 10 L/min, based on the central line of the float (steel ball))
monitors the fresh gas flow. Located on the main limb of the pneumatic circuit, the total flow meter
can monitor the total flow of the EFCS or BFCS. The following figure shows the position of the total
flow meter in the system.
FIGURE 1-21
A7™ Service Manual046-006272-001 - 25
Gas FlowTheory of Operation
The following figure shows the structure model and the corresponding interface information.
FIGURE 1-22
1.3.4.8Vaporizer Manifold
The vaporizer manifold (installation type: Selectatec) is used to bear the vaporizers and provide an
airtight chamber. In the chamber, the gas mixture and anesthetic gas converge into the fresh gas and
output to the downstream ACGO assembly. Each column on the manifold is a two-position three-
way valve. When no vaporizer is installed, the columns are at the original positions and the gas
mixture is delivered to the downstream through the bypass inside the manifold. When vaporizers are
installed, the columns are bended and the gas mixture is delivered to the manifold and output to the
downstream. The following figure shows the position of the vaporizer manifold in the system.
FIGURE 1-23
1 - 26046-006272-00A7™ Service Manual
Theory of OperationGas Flow
The following figure shows the structure model and the corresponding interface information.
FIGURE 1-24
1.3.4.9ACGO Assembly
The ACGO assembly is used to connect the fresh gas output from the vaporizer manifold and the O2
output from the O2 flush device to the breathing circuit of the anesthesia machine or to an
independent outlet. Mechanical and electrical ACGO configurations are available.
The electrical ACGO pushes the valve core by gas pressure after switching on the control gas supply
at a corresponding end to switch the ACGO state. The following figure is the diagram. For example,
the status needs to be switched to ACGO OFF. When this order is received, the two drive gas control
valves (two-position three-way solenoid valves in the upper part of the following figure) of the
electrical ACGO switch to the state shown in the following figure. On the left side (as shown in the
green arrows), the two connectors on the left and right of the valve are connected and the gas outlet
in the middle is closed; on the right side (as shown in the black arrows), the connector on the left is
disconnected and the connector on the right and the gas outlet in the middle are connected. In this
case, the drive O2 from the system switch passes through the control valve on the left, outputs to the
main ACGO valve shown at the lower part of the following figure and drives the valve core in the
middle rightwards. At the same time, the residential gas on the left side of the valve core is released
to the air through the drive gas control valve on the right side. If the gas on the right side is not
released, the drive gas on the left side cannot push the valve core. Therefore, the two states must be
available at the same time. The valve core pushes rightwards by the drive gas to implement ACGO
state switching. Then, the fresh gas will be output from the patient circuit outlet of the ACGO
assembly.
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Gas FlowTheory of Operation
FIGURE 1-25
If the system is configured with the anesthesia calculation function, corresponding sampling connectors will be integrated on the ACGO valve block. The positions (under the work surface) of the ACGO
assembly with the two configurations in the system are similar, as shown in the following figure.
FIGURE 1-26
Independent ACGO Outlet
When the ACGO assembly is switched to the ACGO state, the fresh gas will be output from the inde-
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Theory of OperationGas Flow
pendent ACGO outlet. Traditionally, the fresh gas is output from the ACGO limb integrated on the patient circuit. By contrast, the independent ACGO outlet is independent from the patient circuit. The
following figure shows the position of the independent ACGO outlet in the system. The gas input is
from the ACGO outlet on the ACGO assembly.
FIGURE 1-27
The following figure shows the structure model and the corresponding interface information.
FIGURE 1-28
1.3.4.10O2 Flush Button Assembly
The O2 flush assembly is located on the work surface. When the O2 flush button is depressed, O2
rushes into the pneumatic circuit, and will be cut off when this button is released. The O2 supply gas
is at 0.2 MPa (29 psi), after being regulated, goes through the O2 flush valve and into the O2 flush inlet
of the ACGO assembly. The O2 flush assembly is not affected by the system switch. Flushing O2 can
be performed as long as O2 supply is normal. The O2 flush valve has a slide valve structure inside that
ensures automatic reset each time the valve is depressed and released via the spring. The following
figure shows the position of the O2 flush valve in the system.
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Gas FlowTheory of Operation
FIGURE 1-29
The following figure shows the structure model and the corresponding interface information.
FIGURE 1-30
1.3.4.11Auxiliary Gas Supply Assembly
The auxiliary gas supply assembly is composed of the oxygen and air limbs. Two needle valves are
used to control the flow of the auxiliary oxygen and air supplies, and corresponding glass tube flow
meters are used for flow monitoring. After being mixed, the oxygen and air are output. The following
figure shows the position of the auxiliary gas supply assembly in the system.
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FIGURE 1-31
The following figure shows the structure model and the corresponding interface information.
FIGURE 1-32
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1.3.4.12High Pressure O2 Output Assembly
The high pressure O2 input comes from the gas supply (280 to 600 kPa) ( 40 to 87 psi) directly and
provides high pressure O2 for the external ventilation device (jet ventilation devices). See “Auxiliary
Gas Supply Assembly” on page 1-30..
1.3.4.13Pneumatically-Controlled Module of Anesthetic
The pneumatically-controlled module of the anesthetic ventilator provides drive gas for the patient
to breathe. O2 (or AIR) from the gas supply inlet assembly enters the anesthetic ventilator and is
output in three pathways: drive gas entering the breathing system, drive gas discharged through the
AGSS outlet, and drive gas discharged through the PEEP outlet. The ventilator controls drive gas flow
to implement various ventilation modes and prevent excessively high pressure inside the pneumatic
circuit from injuring the patient. The following figure shows the pneumatic circuit diagram of the
anesthetic ventilator.
FIGURE 1-33
As shown in the preceding figure, the filter (10) filters drive gas again. The regulator (16) regulates
pressure (about 0.2 MPa (29 psi)) inside the pneumatic circuit. The proportional solenoid valve (17)
controls the inlet gas flow. Component 18 is a flow sensor of differential pressure type that monitors
gas flow in the drive gas circuit. The mechanical overpressure valve (19) ensures that the pressure in
the drive gas circuit does not exceed the safety pressure. It releases excess gas when gas pressure
exceeds 11 kPa (110 cm H2O). Component 24 is the expiratory valve.
The PEEP function is performed through the expiratory valve. Component 22 is a low-flow
proportional solenoid valve. When it opens, gas is bled from the pneumatic resistor (23), forming
relatively stable pressure in the pneumatic circuit from component 22 to component 23. Such
pressure is exerted on the membrane of the expiratory valve (24) to form PEEP.
To prevent excessively high pressure inside the pneumatic circuit from injuring the patient and
damaging the equipment, the pressure relief valve (20), which is a solenoid on-off valve, is placed
before the gas pathway of the expiratory valve. Component 21 is a pressure switch. When the drive
gas pressure is less than 140 kPa (20.3 psi), an alarm is triggered. Component 33 is a pressure sensor
that monitors the pressure at the expiratory valve which is closed. The mechanical pressure relief
valve (57) ensures that the tube pressure after the expiratory valve is less than 10 cm H2O.
The following figure is a picture of the pneumatically-controlled module of the anesthetic ventilator.
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FIGURE 1-34
1.3.4.14Breathing System
The breathing system provides a closed loop for the anesthetic gas. The expired gas from the patient
can be inspired in the inspiration phase to maintain the temperature and humidity conditions of the
patient's expired gas. During inspiration, the drive gas depresses the bag inside the bellows to force
the inside gas to enter the patient's lung. During expiration, the patient's expired gas goes into the
bag inside the bellows. The sodalime absorber canister (integrating 43 and 44) absorbs CO2 that the
patient expires. The following figure shows the pneumatic circuit of the breathing system.
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Gas FlowTheory of Operation
FIGURE 1-35
The breathing system is connected to the anesthesia machine main unit through the circuit adapter.
The breathing system is highly integrated, as its tubes are all internal as shown in the following figure.
FIGURE 1-36
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FIGURE 1-37
Mechanical and manual ventilation modes are selected through the Auto/Manual ventilation switch.
Excess water condensed from the exhaled gas is collected in the water collection cup, located on the
bottom side of the breathing system.
The breathing system is easily disassembled and is autoclavable at 134
o
C.
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Gas FlowTheory of Operation
1.3.4.14.1Mechanical Ventilation
FIGURE 1-38
1.3.4.14.1.1Drive Gas Path
In case of mechanical ventilation, during inspiration, gas flows through the Auto/Manual ventilation