Mindray A8 Operating Instruction

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Operating Instructions

Anesthesia System

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Operating Instructions

Anesthesia System

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OPTIMIZER® is a registered trademark of Mindray DS USA, Inc.

Selectatec® is a registered trademark of Datex-Ohmeda Inc.

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Table of Contents

Table of Content

Safety.................................................................................................................................................................... 1 - 1

Safety Information ........................................................................................................................................................................................................1 - 2

Warnings................................................................................................................................................................................................................1 - 2

Cautions.................................................................................................................................................................................................................1 - 7

Notes.......................................................................................................................................................................................................................1 - 10

Symbols.............................................................................................................................................................................................................................1 - 11

Product Description............................................................................................................................................. 2 - 1

Introduction ....................................................................................................................................................................................................................2 - 2

Indications For Use.............................................................................................................................................................................................2 - 2

Structure and Composition ............................................................................................................................................................................2 - 2

Functions and Features....................................................................................................................................................................................2 - 2

Equipment Views...........................................................................................................................................................................................................2 - 4

Main Unit (Front View)......................................................................................................................................................................................2 - 4

Main Unit (Rear View)........................................................................................................................................................................................2 - 7

Main Unit (Left View).........................................................................................................................................................................................2 - 9

Main Unit (Right View)......................................................................................................................................................................................2 - 11

Main Unit (Top View).........................................................................................................................................................................................2 - 12

Breathing System ...............................................................................................................................................................................................2 - 13

Negative Pressure Suction Device................................................................................................................................................................2 - 14

Installation and Disassembly.............................................................................................................................. 3 - 1

Unpacking........................................................................................................................................................................................................................3 - 3

Initial Setup......................................................................................................................................................................................................................3 - 3

Vaporizer ..........................................................................................................................................................................................................................3 - 4

Filling and Draining the Vaporizer ...............................................................................................................................................................3 - 5

Negative Pressure Suction Device...........................................................................................................................................................................3 - 5

Turn on Negative Pressure Suction Device...............................................................................................................................................3 - 6

Turn off Negative Pressure Suction Device...............................................................................................................................................3 - 6

High-flow Nasal Cannula Oxygen (HFNC) Tube.................................................................................................................................................3 - 7

Anesthetic Gas Scavenging System (AGSS).........................................................................................................................................................3 - 8

Active AGSS ..........................................................................................................................................................................................................3 - 8

Passive AGSS ........................................................................................................................................................................................................3 - 9

Connect Anesthesia System with Information System ...................................................................................................................................3 - 11

Connect Anesthesia System with Information System Through Serial Interface .......................................................................3 - 11

Connect Anesthesia System with Information System Through Ethernet....................................................................................3 - 11

Connect Anesthesia System to Patient Monitor ................................................................................................................................................3 - 12

Connect Anesthesia System to Patient Monitor Through Serial Interface ....................................................................................3 - 12

Connect Anesthesia System with eGateway.......................................................................................................................................................3 - 12

System Interface .................................................................................................................................................. 4 - 1

Main Screen.....................................................................................................................................................................................................................4 - 2

System Information Title ............................................................................................................................................................................................4 - 3

Patient Information............................................................................................................................................................................................4 - 3

Set Patient Information in Anesthesia System .............................................................................................................................4 - 5

Retrieve Patient Information from ADT Server ............................................................................................................................4 - 5

Synchronize Patient Information ......................................................................................................................................................4 - 5

Timer (Elapsed Timer/Countdown Timer).................................................................................................................................................4 - 6

Alarm and Prompt Message...........................................................................................................................................................................4 - 7

Audio Pause/Alarm Reset icon ......................................................................................................................................................................4 - 7

Screen Brightness...............................................................................................................................................................................................4 - 8

Volume ...................................................................................................................................................................................................................4 - 8

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Table of Contents

Date and Time .....................................................................................................................................................................................................4 - 8

Battery Status.......................................................................................................................................................................................................4 - 9

Fresh Gas Flow Display................................................................................................................................................................................................4 - 10

Electronic Flow Control System ....................................................................................................................................................................4 - 10

Total Flow Control Mode .....................................................................................................................................................................4 - 11

Direct Flow Control mode ...................................................................................................................................................................4 - 12

OPTIMIZER® ...............................................................................................................................................................................................4 - 13

Backup Flow Control System..........................................................................................................................................................................4 - 15

Waveform/Parameter/Spirometry/Trend Display Zone..................................................................................................................................4 - 15

Waveform/Parameter Screen.........................................................................................................................................................................4 - 17

Spirometry Screen..............................................................................................................................................................................................4 - 17

Loop Type ..................................................................................................................................................................................................4 - 18

Show Reference ......................................................................................................................................................................................4 - 18

Save Loop ..................................................................................................................................................................................................4 - 19

Review Loops ...........................................................................................................................................................................................4 - 19

Freeze loop ...............................................................................................................................................................................................4 - 21

Mini Trends Screen.............................................................................................................................................................................................4 - 21

Compl/PEEP Trend Screen ..............................................................................................................................................................................4 - 22

Ventilation Mode Tabs.................................................................................................................................................................................................4 - 23

System Soft Key..............................................................................................................................................................................................................4 - 23

History.....................................................................................................................................................................................................................4 - 24

List Trends .................................................................................................................................................................................................4 - 24

Graphic Trends ........................................................................................................................................................................................4 - 25

Event Log ...................................................................................................................................................................................................4 - 26

Screen .........................................................................................................................................................................................................4 - 26

Export ..........................................................................................................................................................................................................4 - 27

Lung Recruitment (Optional).........................................................................................................................................................................4 - 27

Flow Pause ............................................................................................................................................................................................................4 - 27

Cardiac Bypass Mode........................................................................................................................................................................................4 - 28

Screens ...................................................................................................................................................................................................................4 - 28

Alarms.....................................................................................................................................................................................................................4 - 28

Alarm Reset...........................................................................................................................................................................................................4 - 28

Audio Pause..........................................................................................................................................................................................................4 - 28

Setup Menu .....................................................................................................................................................................................................................4 - 28

Ventilation.............................................................................................................................................................................................................4 - 29

Oxygen (O2)..........................................................................................................................................................................................................4 - 31

AG Settings (AG module configured)..........................................................................................................................................................4 - 31

Information...........................................................................................................................................................................................................4 - 31

Screen.....................................................................................................................................................................................................................4 - 33

Export System Data ...........................................................................................................................................................................................4 - 34

Calibrate.................................................................................................................................................................................................................4 - 35

System ....................................................................................................................................................................................................................4 - 35

Calibrate .....................................................................................................................................................................................................4 - 35

Setup ...........................................................................................................................................................................................................4 - 37

Profiles ........................................................................................................................................................................................................4 - 40

Network ......................................................................................................................................................................................................4 - 42

Information ...............................................................................................................................................................................................4 - 45

Service Tab............................................................................................................................................................................................................4 - 45

Status Screen..................................................................................................................

Volume Exchanger.............................................................................................................................................................................................4 - 46

Automatic Ventilation, Flow Pause or Bypass ..............................................................................................................................4 - 46

Manual Ventilation .................................................................................................................................................................................4 - 46

.................................................................................................4 - 46

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Table of Contents

Gas Supply Pressure Monitoring...................................................................................................................................................................4 - 46

AGSS........................................................................................................................................................................................................................4 - 47

Preoperative Tests............................................................................................................................................... 5 - 1

Requirements of Preoperative Tests ......................................................................................................................................................................5 - 2

Preoperative Checklist.................................................................................................................................................................................................5 - 3

Introduction..........................................................................................................................................................................................................5 - 3

Suggested Preoperative Checklist ...............................................................................................................................................................5 - 3

Inspect the System........................................................................................................................................................................................................5 - 5

System Check..................................................................................................................................................................................................................5 - 6

Auto System Check............................................................................................................................................................................................5 - 6

Leak & Compliance Test...................................................................................................................................................................................5 - 7

Power Failure Alarm Test............................................................................................................................................................................................5 - 7

Pipeline Test....................................................................................................................................................................................................................5 - 7

O Pipeline Test................................................................................................................................................................................................5 - 7

Air Pipeline Test...................................................................................................................................................................................................5 - 8

Basic Ventilation Test...................................................................................................................................................................................................5 - 8

Backup Gas Cylinder Test ...........................................................................................................................................................................................5 - 9

Check Cylinder Pressure...................................................................................................................................................................................5 - 9

High Pressure Leak Test of O

High Pressure Leak Test of N

Cylinders ....................................................................................................................................................5 - 9

O Cylinders.................................................................................................................................................5 - 9

High Pressure Leak Test of Air Cylinders....................................................................................................................................................5 - 10

Flow Control System Test...........................................................................................................................................................................................5 - 10

Vaporizer Test.................................................................................................................................................................................................................5 - 12

Vaporizer Back Pressure Test..........................................................................................................................................................................5 - 12

Vaporizer Leak Test............................................................................................................................................................................................5 - 12

Breathing System Test.................................................................................................................................................................................................5 - 13

Inspiratory and Expiratory Check Valve Tests ..........................................................................................................................................5 - 13

APL Valve Test......................................................................................................................................................................................................5 - 13

Alarm Test ........................................................................................................................................................................................................................5 - 14

Prepare for Alarm Tests....................................................................................................................................................................................5 - 14

Concentration Monitoring and Alarm Test.........................................................................................................................................5 - 14

Minute Volume (MV) Too Low Alarm Test.................................................................................................................................................5 - 15

Apnea Alarm Test ...............................................................................................................................................................................................5 - 15

Continuous Airway Pressure Too High Alarm Test.................................................................................................................................5 - 16

Airway Pressure (Paw) Too High Alarm Test.............................................................................................................................................5 - 16

Airway Pressure (Paw) Too Low Alarm Test..............................................................................................................................................5 - 16

AG Module Alarm Test......................................................................................................................................................................................5 - 16

Inspect the AGSS ...........................................................................................................................................................................................................5 - 17

Check Passive AGSS......................................................................................................................................................................................................5 - 17

Inspect the Negative Pressure Suction Device...................................................................................................................................................5 - 17

Pre-operation Preparations .......................................................................................................................................................................................5 - 17

Operations............................................................................................................................................................ 6 - 1

Powering On the Anesthesia System....................................................................................................................................................................6 - 2

Powering Off the Anesthesia System....................................................................................................................................................................6 - 2

Patient Setup...................................................................................................................................................................................................................6 - 3

Standby Mode .....................................................................................................................................................................................................6 - 3

Enter Standby mode ........................................................................................................................................6 - 3

Exit Standby mode ..........................................................................................................................................6 - 4

Set Patient Information....................................................................................................................................................................................6 - 4

Sensor Calibration...................................................................................................................................................................................................6 - 4

Set Fresh Gas...................................................................................................................................................................................................................6 - 4

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Table of Contents

, N2O and Air Inputs ..............................................................................................................................................................................6 - 4

Set O

Set Anesthetic Agent ........................................................................................................................................................................................6 - 4

Select the Desired Anesthetic Agent ...............................................................................................................................................6 - 5

Adjust the Concentration of Anesthetic Agent ...........................................................................................................................6 - 5

Set Ventilation ................................................................................................................................................................................................................6 - 5

Change Ventilation Mode ...............................................................................................................................................................................6 - 5

Set Manual Ventilation Mode.........................................................................................................................................................................6 - 6

Settings Before Starting the Automatic Ventilation Mode..................................................................................................................6 - 7

Volume Control Ventilation (VCV)................................................................................................................................................................6 - 7

Set Pressure Control Ventilation (PCV) .......................................................................................................................................................6 - 8

Set Pressure Control Ventilation - Volume Guarantee (PCV-VG).......................................................................................................6 - 9

Synchronized Intermittent Mandatory Ventilation (SIMV)..................................................................................................................6 - 9

Synchronized Intermittent Mandatory Ventilation–Volume Control (SIMV-VC) .............................................................6 - 10

Synchronized Intermittent Mandatory Ventilation–Pressure Control (SIMV-PC) ...........................................................6 - 10

Synchronized Intermittent Mandatory Ventilation–Volume Guarantee (SIMV-VG) ......................................................6 - 10

Set Continuous Positive Airway Pressure/Pressure Support Ventilation (CPAP/PS)..................................................................6 - 13

Set Airway Pressure Release Ventilation (APRV) (Optional)................................................................................................................6 - 14

Lung Recruitment Ventilation (Optional)..................................................................................................................................................6 - 14

One-Step Recruitment ..........................................................................................................................................................................6 - 15

Multi-Step Recruitment ........................................................................................................................................................................6 - 16

Parameter Monitoring ..........................................................................................................................................................................6 - 17

Freeze Trend .............................................................................................................................................................................................6 - 17

Other Features................................................................................................................................................................................................................6 - 17

Auxiliary Common Gas Outlet (ACGO) Mode...........................................................................................................................................6 - 17

Monitor...................................................................................................................................................................................................................6 - 18

High-flow Nasal Cannula Oxygen (HFNC) .................................................................................................................................................6 - 19

Start Automatic Ventilation.......................................................................................................................................................................................6 - 20

Stop Automatic Ventilation.......................................................................................................................................................................................6 - 21

Relationships of Ventilation Parameters...............................................................................................................................................................6 - 21

Anesthetic Gases and O2 Concentration Monitoring ....................................................................................... 7 - 1

MAC Values......................................................................................................................................................................................................................7 - 3

Agent Usage Calculation............................................................................................................................................................................................7 - 4

Agent Consumption Speed.......................................................................................................................................................................................7 - 4

Identify External AG Module .....................................................................................................................................................................................7 - 5

AG Measurement Preparation..................................................................................................................................................................................7 - 6

AG Module Settings.....................................................................................................................................................................................................7 - 7

Set Operating Mode..........................................................................................................................................................................................7 - 7

Set AG Flow Rate.................................................................................................................................................................................................7 - 7

Unit..........................................................................................................................................................................................................7 - 7

Set CO

Scale........................................................................................................................................................................................................7 - 7

Set CO

Set O

O Scale .......................................................................................................................................................................................................7 - 7

Set N

Set AA Scale..........................................................................................................................................................................................................7 - 8

Set Alarm Limits ..................................................................................................................................................................................................7 - 8

Measurement Limits.....................................................................................................................................................................................................7 - 9

Troubleshooting............................................................................................................................................................................................................7 - 10

Sample Gas Recirculation...........................................................................................................................................................................................7 - 10

Calibrate the AG Module............................................................................................................................................................................................7 - 11

Alarms and Messages .......................................................................................................................................... 8 - 1

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Table of Contents

Alarm System Self-Test.....................................................................................................................................................................................8 - 2

Types of Alarms and Messages......................................................................................................................................................................8 - 2

Alarm Indicators..................................................................................................................................................................................................8 - 2

Alarm Display..................................................................................................................................................................................................................8 - 4

Display Rules of Alarm Messages..................................................................................................................................................................8 - 5

Setting Alarm Volume .................................................................................................................................................................................................8 - 6

Pause Alarm Audio........................................................................................................................................................................................................8 - 7

Setting Alarm Limits.....................................................................................................................................................................................................8 - 8

Auto Alarm Limits...............................................................................................................................................................................................8 - 10

View Active Alarms .......................................................................................................................................................................................................8 - 11

Alarms and Prompt Messages ..................................................................................................................................................................................8 - 12

Physiological Alarm Messages.......................................................................................................................................................................8 - 12

Technical Alarm Messages..............................................................................................................................................................................8 - 18

Startup Alarm Messages ......................................................................................................................................................................8 - 18

CPU Board Runtime Alarm ..................................................................................................................................................................8 - 21

Power Supply Board Runtime Alarm ...............................................................................................................................................8 - 22

Flow Control System Runtime Alarm ..............................................................................................................................................8 - 23

Ventilator Control Board Runtime Alarm .......................................................................................................................................8 - 24

AG Module Alarm Messages ...............................................................................................................................................................8 - 27

AGSS Alarms .............................................................................................................................................................................................8 - 29

HFNC Module Alarms ............................................................................................................................................................................8 - 29

Prompt Message.................................................................................................................................................................................................8 - 29

Prompt Messages Displayed in Alarms Area ................................................................................................................................8 - 29

Maintenance ........................................................................................................................................................ 9 - 1

Maintenance Schedule................................................................................................................................................................................................9 - 3

Breathing System Service...........................................................................................................................................................................................9 - 3

Flow Sensor Calibration..............................................................................................................................................................................................9 - 4

21% Oxygen Calibration..................................................................................................................................................................................9 - 4

100% O2 Calibration..........................................................................................................................................................................................9 - 5

O2 Sensor Calibration Error Codes...............................................................................................................................................................9 - 6

Handling of Gathered Water.....................................................................................................................................................................................9 - 7

Avoid Water Gathering.....................................................................................................................................................................................9 - 7

Clear Gathered Water........................................................................................................................................................................................9 - 7

Electrical Safety Inspection........................................................................................................................................................................................9 - 7

Auxiliary Outlet Test..........................................................................................................................................................................................9 - 8

Electrical Safety Test..........................................................................................................................................................................................9 - 8

Cleaning and Disinfection..........................................................................................................................................................................................9 - 8

Cleaning Agents and Disinfectors/Autoclaving......................................................................................................................................9 - 9

Exterior ...................................................................................................................................................................................................................9 - 10

Disassembly ..............................................................................................................................................................................................9 - 11

Cleaning and Disinfection (Choose One) .......................................................................................................................................9 - 18

Autoclaving (Additional Reprocessing) ..........................................................................................................................................9 - 19

Reassembly ...............................................................................................................................................................................................9 - 19

Check Before the Next Use ..................................................................................................................................................................9 - 27

Negative Pressure Suction Device................................................................................................................................................................9 - 27

Cleaning ............................................................................................................................................................9 - 28

Disinfection ......................................................................................................................................................9 - 28

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Table of Contents

Check Before the Next Use ..................................................................................................................................................................9 - 29

Periodic Maintenance..................................................................................................................................................................................................9 - 29

Product Specifications.......................................................................................................................................10 - 1

Standards Compliance .............................................................................................................................................................................................10 - 2

Safety Designations................................................................................................................................................................................................... 10 - 4

Physical Specifications.............................................................................................................................................................................................. 10 - 4

Environmental Specifications................................................................................................................................................................................ 10 - 6

Electrical Specifications............................................................................................................................................................................................ 10- 6

Main Electrical Power Specifications........................................................................................................................................................ 10 - 6

Battery Power Specifications....................................................................................................................................................................... 10 - 7

Auxiliary Electrical Outlets............................................................................................................................................................................ 10 - 8

Communication Ports.................................................................................................................................................................................... 10 - 8

Pneumatic Specifications........................................................................................................................................................................................ 10 - 8

Pipeline Supply................................................................................................................................................................................................. 10 - 8

Cylinder Supply................................................................................................................................................................................................ 10 - 9

Auxiliary Common Gas Outlet (ACGO) .................................................................................................................................................... 10 - 9

Anesthetic Vaporizer...................................................................................................................................................................................... 10 - 9

Drive Gas............................................................................................................................................................................................................. 10 - 9

Controls ........................................................................................................................................................................................................10 - 9

Breathing System Specifications .......................................................................................................................................................................... 10 - 9

Breathing System Volume............................................................................................................................................................................ 10 - 9

Volume Exchanger Volume ......................................................................................................................................................................... 10 - 10

Absorber Assembly................................................................................................................................................................................ 10 - 10

Breathing System Connections.................................................................................................................................................................. 10 - 10

APL Valve............................................................................................................................................................................................................ 10 - 11

Resistance........................................................................................................................................................................................................... 10 - 12

Breathing System Temperature Controller............................................................................................................................................10 - 14

Breathing Circuit Parameters...................................................................................................................................................................... 10- 14

Unidirectional Valve Opening Pressure................................................................................................................................................... 10 - 14

Anesthetic Gas Scavenging System (AGSS)...................................................................................................................................................... 10 - 14

Negative Pressure Suction device........................................................................................................................................................................ 10 - 14

Monitor Module.......................................................................................................................................................................................................... 10 - 15

AG Module .........................................................................................................................................................................................................10 - 15

Alarms ...................................................................................................................................................................................................... 10 - 18

Effect of Interfering Gas on AG Measured Value ...................................................................................................................... 10 - 19

Monitor Mode................................................................................................................................................................................................... 10 - 20

Oxygen Monitor Using Oxygen Cell......................................................................................................................................................... 10 - 20

Alarms ...................................................................................................................................................................................................... 10 - 20

Effect of Interfering Gas on Oxygen Cell Measured Value .................................................................................................... 10 - 20

Agent Usage Calculation and Agent Usage Speed............................................................................................................................. 10 - 20

Ventilator Specifications.......................................................................................................................................................................................... 10 - 21

Displays and Controls Specifications .................................................................................................................................................................. 10- 24

Electronic Controls.......................................................................................................................................................................................... 10 - 24

Pneumatic Controls........................................................................................................................................................................................ 10 - 24

Response Time of the Anesthesia System to an Increase in O2 Concentration (From 21% to 90%/100%).............................. 10-26

Accessories ...........................................................................................................................................................A - 1

Parameters and Factory Defaults.......................................................................................................................B - 1

Limits..................................................................................................................................................................................................................................B - 2

Main Menu.......................................................................................................................................................................................................................B - 3

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Table of Contents

Volume..............................................................................................................................................................................................................................B - 6

History ...............................................................................................................................................................................................................................B - 6

Lung Recruitment .........................................................................................................................................................................................................B - 6

Fresh Gas Control ..........................................................................................................................................................................................................B - 6

Patient Information ......................................................................................................................................................................................................B - 7

Ventilation Mode...........................................................................................................................................................................................................B - 7

Ventilation Linkage Parameters...............................................................................................................................................................................B - 10

Constraints Among Ventilation Parameters........................................................................................................................................................B - 14

Operating Principles............................................................................................................................................ C - 1

Pneumatic Diagram......................................................................................................................................................................................................C - 2

Electric System Structure............................................................................................................................................................................................C - 6

Abbreviations, Symbols, and Units of Measure ................................................................................................D - 1

Abbreviations ................................................................................................................................................................................................................ D - 2

Units of Measure........................................................................................................................................................................................................... D - 3

Electromagnetic Compatibility........................................................................................................................... E - 1

Preparation for Malignant Hyperthermia Susceptible Patients...................................................................... F - 1

Malignant Hyperthermia Causes, Effects and Treatment ...............................................................................................................................F - 2

Malignant Hyperthermia Washout.........................................................................................................................................................................F - 2

Washout Procedure for Malignant Hyperthermia Susceptible Patients with Anesthesia Delivery Systems...............................F - 2

References........................................................................................................................................................................................................................F - 4

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Intellectual Property Statement

Rx only: U.S. Federal Law restricts this device to sale by or on the order of a

physician or other practitioner licensed by state law to use or order the use of this device.

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray, or of others.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rental, adaptation, translation or any other derivative work of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

, and are the trademarks, registered or otherwise, of Mindray in China and other countries. All other trademarks that appear in this manual are used only for informational or editorial purposes. They are the property of their respective owners.

This posting serves as notice under 35 U.S.C.§287(a). for Mindray patents: http:// www.mindrayna.com/patents.

Responsibility on the Manufacturer Party

Contents of this manual are subject to change without prior notice.

All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for the effects on safety, reliability and performance of this product, only if:

• all installation operations, expansions, changes, modifications and repairs of this product are

conducted by Mindray authorized personnel;

• the electrical installation of the relevant room complies with the applicable national and local

requirements; and

• the product is used in accordance with the instructions for use.

WARNING: It is important for the hospital or organization that employs this

NOTE: This equipment must be operated by skilled/trained clinical

equipment to carry out a reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.

professionals.

Warranty

THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.

Exemptions

Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

This warranty shall not extend to:

Anesthesia System Operator’s Manual ix

Page 14

• Malfunction or damage caused by improper use or man-made failure.

• Malfunction or damage caused by unstable or out-of-range power input.

• Malfunction or damage caused by force majeure such as fire and earthquake.

• Malfunction or damage caused by improper operation or repair by unqualified or unauthorized

service people.

• Malfunction of the instrument or part whose serial number is not legible enough.

• Other malfunctions not caused by instrument or part itself.

Phone Numbers and How To Get Assistance

A network of service representatives and factory-trained distributors is available. Prior to requesting service, perform a complete operational check of the instrument to verify proper control settings. If operational problems continue to exist, contact the Service Department at 877.913.9663 (toll free) for Technical Support or 650.316.3199 (outside North America) for assistance in determining the nearest field service location.

Please include the instrument model number, the serial number (located on the back of the Anesthesia System), and a description of the problem with all requests for service.

Warranty questions should be directed to a local representative. A list of offices, along with their phone numbers, is provided at the end of this manual.

NOTE: Upon request, calibration instructions or other information will be

provided to assist the user’s appropriately qualified technical personnel in repairing those parts of the Anesthesia System which are designated as repairable.

Manufacturer and Address

Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address: Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan,

Shenzhen 518057, P.R. China

x Anesthesia System Operator’s Manual

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Foreword

The Operator’s Manual for the A8 Anesthesia System (herein referred to as Anesthesia System, Equipment, A8) contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety.

This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any question, please contact us.

This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed.

Intended Audience

This manual is for clinical professionals who are expected to have a working knowledge of medical procedures, practices and terminology as required for monitoring of critically ill patients.

Illustrations

All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on your anesthesia system.

Responsibilities of Operators

The proper function of the Anesthesia System can only be guaranteed if it is operated and serviced in accordance with the information provided in this manual and by an authorized Mindray service representative. Non-compliance with this information voids all guarantee claims.

The Anesthesia System must be operated by qualified and trained personnel only. All operators must fully observe this operator’s manual and relevant additional documentation. They must also comply with the WARNINGS, CAUTIONS, and NOTES detailed in this manual.

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Responsibilities of Operators

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1.0

Safety

Safety Information....................................................................................................................................................................................1-2

Symbols ....................................................................................................................................................................................................... 1-11

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Safety Information Safety

1.1 Safety Information

WAR NIN G — Indicates a potential hazard or unsafe practice that, if not avoided, could result in death, serious injury or property damage to the patient or user.

CAUTION — Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury, product malfunction, damage or property loss to the patient or user.

NOTE — Provides application tips or other useful information to ensure that you get the most from your product.

1.1.1 Warnings

WARNING: Do not operate the anesthesia system before reading this manual.

WARNING: All analog or digital equipment connected to this system must be

certified passing the specified IEC standards (such as IEC 60950 for data processing equipment and IEC 60601-1 for medical electrical equipment). All configurations shall comply with the valid version of IEC 60601-1. The personnel who are responsible for connecting the optional equipment to the I/O signal port shall be responsible for medical system configuration and system compliance with IEC 60601-1.

WARNING: This equipment must only be operated by trained, skilled medical staff.

WARNING: Before putting the system into operation, the operator must verify that

the equipment, connecting cables, and accessories are in correct working order and operating condition.

WARNING: The equipment must be connected to a properly installed power outlet

WARNING: Multiple AC power outlets are provided on the rear of the equipment.

WARNING: Do not place MPSOs on the floor.

WARNING: Connect the anesthesia system to an AC power source before the

WARNING: Do not open the equipment housings. All servicing and future upgrades

WARNING: Do not rely exclusively on the audible alarm system for patient monitoring.

WARNING: Adjustment of alarm volume to a low level may result in a hazard to the

with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect it from the power line or operate from the equipment’s internal battery supply.

These outlets are intended to supply power to additional equipment that form a part of the anesthesia system (i.e. vaporizers, etc.). Do not connect other equipment to these outlets, as patient leakage current may be affected. Each outlet is rated 3 A. The total current that may be drawn through all outlets is 5 A on the system. Do not attempt to exceed these load ratings. Do not connect additional Multiple Portable Socket Outlets (i.e. Multiple outlet extension cords) (MPSOs) or extension cords to these outlets.

internal battery is depleted.

must be carried out only by trained and authorized Mindray personnel.

patient.

WARNING: Alarm settings should be customized according to different patient

situations. Constantly keeping the patient under close surveillance is the most reliable way for safe patient monitoring.

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Safety Safety Information

WARNING: The physiological parameters and alarm messages displayed on the

WARNING: Dispose the packaging material, observing the applicable waste

WARNING: To avoid the possibility of explosion, do not use the equipment in the

WARNING: Fresh gas flow must never be switched off before the vaporizer is

WARNING: To avoid the risk of electric shock, this equipment must only be

WARNING: The use of anti-static or electrically conductive breathing tubes, when

WARNING: Possible electric shock hazard. The equipment may only be opened by

screen of the equipment are for the caregiver’s reference only and cannot be directly used as the basis for clinical treatment.

control regulations and keeping it out of children's reach.

presence of flammable anesthetic agents, vapors or liquids. Do not use flammable anesthetic agents such as ether and cyclopropane for this equipment. Use only non-flammable anesthetic agents that meet the requirements specified in ISO 80601-2-13. The anesthesia system can be used with Halothane, Isoflurane, Sevoflurane and Desflurane. Only one anesthetic agent can be used at a time.

switched off. The vaporizer must never be left switched on without a fresh-gas flow. Otherwise, anesthetic agent vapor at a high concentration can get into the equipment lines and ambient air, causing harm to people and materials.

connected to a supply mains with protective earth.

utilizing high frequency electric surgery equipment, may cause burns, and is therefore not recommended in any application of this equipment.

authorized service personnel.

WARNING: The patient should be visually monitored by qualified personnel.

WARNING: Set the alarm limits properly based on the patient conditions so that

WARNING: Connection of both medical and non-medical equipment to the

WARNING: Electric shock and fire hazard. Do not clean the equipment while it is

WARNING: Disconnect the power plug from the mains supply before removing the

WARNING: Malfunction of the central gas supply system may cause more than one

WARNING: The anesthesia system will cease to deliver gas when the gas supply

WARNING: Standard gas terminal connectors tailored to the attributes of gases

In certain situations, life-threatening circumstances may occur that may not necessarily trigger an alarm.

the alarm is triggered before a hazardous situation occurs. Incorrectly set alarm limits may result in operating personnel not being aware of drastic changes in the patient’s condition.

auxiliary mains socket outlet(s) may increase the leakage currents to values exceeding the allowable limits.

powered on and/or plugged into an outlet.

rear panels or servicing the equipment.

or even all devices connected to it to stop their operation simultaneously.

pressure is smaller than 200 kPa.

should be used on the gas supply hose assembly to avoid damage to people and materials from improper connectors used.

WARNING: Use a cleaning and disinfection schedule that conforms to your

Operator’s Manual of Anesthesia System 1 - 3

institution's disinfection and risk-management policies.

Page 20

Safety Information Safety

• Refer to the material safety data sheet as applicable.

• Refer to the operation and maintenance manuals of all disinfection equipment.

• Do not inhale fumes produced during any disinfection process.

WARNING: Use extreme care while handling the CO

irritant.

absorbent as it is a caustic

WARNING: Use care in lifting and manipulating vaporizers during the installing

process as their weight may be greater than expected, based on their size and shape.

WARNING: Do not use talc, calcium stearate, corn starch or similar materials,

as these materials may enter the patient's lungs or airway, causing irritation or injury.

WARNING: All gas supplies should be of medical grade.

WARNING: Single use breathing tubes, face masks, sensors, soda lime, water traps,

sampling lines, airway adapters, and other single use items may be considered potential biologically hazardous items and should not be reused. Dispose of these items in accordance with hospital policy and local regulations for contaminated and biologically hazardous items.

WARNING: To avoid endangering the patient, do not perform test or maintenance

when the equipment is in use.

WARNING: Review the performance specifications of the disposal system that the

transferring and receiving systems are intended to be used with, to ensure compatibility.

WARNING: The equipment should not be used adjacent to or stacked with other

equipment. If adjacent or stacked use is necessary, the equipment should be observed to verify normal operation in the configuration in which it will be used.

WARNING: Ensure that the current alarm presets are appropriate before use on

each patient.

WARNING: A hazard can exist if different alarm presets are used for the same or

similar equipment in any single area.

WARNING: Due to the size and weight of the equipment, it should only be moved

by qualified personnel.

WARNING: Overloading machine may cause tipping. Equipment attached to the

side of the equipment should be within the rated weights to prevent dumping of the machine.

WARNING: Excess load may cause a tip hazard while moving the equipment.

Before moving, remove all equipment from the top shelf and all monitoring equipment installed to the side of the equipment. Use care when moving the equipment up or down a slope, around a corner, and across threshold. Do not attempt to roll the equipment over hoses, cords, or other obstacles.

WARNING: Leaks or internal venting of sampled gas may affect accuracy. Perform

proper preoperative tests to ensure that the equipment is operating properly. Leaky circuits can not be used.

WARNING: Connecting the equipment's exhaust port to the hospital’s waste gas

scavenging system is strongly recommended to prevent exposure of hospital personnel to the waste gas.

1 - 4 Operator’s Manual of Anesthesia System

Page 21

Safety Safety Information

WARNING: Pins of connectors identified with the ESD warning symbol should not

WARNING: Operation of the equipment below the minimum flow values may cause

WARNING: This equipment/system is intended for use by healthcare professionals

WARNING: Ensure that an independent means of ventilation (e.g. a self-inflating

WARNING: The use of accessories with damaged packaging may cause

WARNING: Before using the anesthesia system after cleaning or disinfecting, power

WARNING: If the equipment is damaged in any way that compromises the safety of the

WARNING: Oxygen, when present in high concentrations, can significantly

be touched. Connections should not be made to these connectors unless ESD precautionary procedures are used.

inaccurate results.

only. This equipment/system may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures, such as reorienting or relocating the equipment, or shielding the location it was placed.

manual resuscitator with mask) is available whenever the equipment is in use.

biocontamination or failure. The operator should check the integrity of accessory packaging before use.

on the system and follow the on-screen prompts to perform leak test and compliance test. See (Pages 5-7) 5.4.2"Leak & Compliance Test".

patient or user, discontinue use and attach a visible label indicating that the equipment is unusable. Please contact Mindray Technical Support.

increase the chance of fire or explosion. Oil and grease may be ignited at the same time. Therefore, oil and grease should not be used where oxygen enrichment may occur.

WARNING: Use of lubricants not recommended by Mindray may increase the danger of

WARNING: Low-pressure regulators and flow-meters are susceptible to high

WARNING: Do not disassemble the low-pressure regulator, flow-metering device,

WARNING: Check the specifications of the Anesthetic Gas Scavenging System

WARNING: Avoid connecting two or more hose assemblies in series as this may

WARNING: A hazard may exist due to the use of improper connectors. Ensure all

WARNING: Avoid replacing a high-pressure flexible connection with one of lower

WARNING: Reusing breathing circuits or reusable accessories that are not

fire or explosion. Please use lubricants as approved by Mindray.

pressure, and may burst if improperly maintained or disassembled while under pressure. Changing or disassembling connectors should be performed only by qualified personnel.

or connector while under pressure. Sudden release of pressure may cause injury.

(AGSS) and the specifications of the anesthesia system to ensure compatibility and to prevent a mismatched processing system.

cause a loss of pressure and flow.

assemblies use the proper connectors.

nominal inlet pressure.

disinfected may cause cross-contamination. Disinfect the breathing circuits and reusable accessories before use.

Operator’s Manual of Anesthesia System 1 - 5

Page 22

Safety Information Safety

WARNING: Inspect all breathing system components carefully before each use.

Ensure all components contain no obstructions or debris that can cause a potential hazard to the patient.

WARNING: Use breathing circuits and manual bags in accordan ce with ASTM F1208

and compatible with standard 22mm male conical fittings per ASTM specifications F1054.

WARNING: The mains plug is used to isolate the anesthesia system circuits

electrically from the supply mains. Do not place the anesthesia system to a place where it is difficult to operate the plug.

WARNING: Do not touch the patient when connecting external devices via the I/O

signal ports or replacing the oxygen cell to prevent patient leakage current from exceeding the requirements specified by the standard.

WARNING: If the Drive Gas Pressure Low alarm occurs when the gas supply

pressure is greater than 200 kPa, contact your service personnel or Mindray.

WARNING: Make sure that CO

can be fully absorbed by the absorbent after the

CO2 absorbent is replaced or a CO2 absorbent canister is installed.

WARNING: Before moving the anesthesia system, remove the objects from the top

shelf and bracket to prevent the system from tilting.

WARNING: AGSS is not recommended to be used when the breathing tubes

between the waste gas disposal system and AGSS get clogged, the extracted flow of the waste gas disposal system is deficient or the waste gas disposal system fails to work properly, as the waste gas in the AGSS may flow out to the atmosphere at a rate higher than 100 mL/min.

WARNING: When anesthetic gas delivery equipment needs to be configured for

the anesthesia system, make sure to configure a monitor that is compliant with the ISO 80601-2-55 standard for monitoring the anesthetic gas concentration monitoring, and make sure that the anesthetic gas concentration monitoring range of the monitor can fully cover the adjustable range of values of the anesthetic gas delivery equipment.

WARNING: When the Isoflurane anesthetic vaporizer is used, confirm whether the

set concentration of the vaporizer exceeds the monitorable range of the AG module. If it is the case, the anesthesia system won't be able to guarantee the monitoring precision of the AG module. For the monitorable range of the AG module configured in this anesthesia system, See (Pages 10-15) 10.10.1"AG Module".

WARNING: According to international laws and regulations, the equipment is

required to monitor the O

concentration when applied to patients. If

the equipment you are using is not configured with this feature, please use a monitor compliant with the corresponding international standards for O

concentration monitoring. The gas sampling tube of

the monitor should be connected to the Y-shaped three-way valve of the breathing system of the equipment.

WARNIN G: CO

concentration monitoring is recommended when the equipment is

applied to patients. If the equipment you are using is not configured with this feature, please use a monitor compliant with the corresponding international standards for CO sampling tube of the monitor should be connected to the Y-shaped three-

concentration monitoring. The gas

way valve of the breathing system of the equipment.

1 - 6 Operator’s Manual of Anesthesia System

Page 23

Safety Safety Information

WARNING: The anesthesia system may lose its balance if it is tilted more than 10

WARNING: Do not move the anesthesia system after unpacking it.

WARNING: No modification of this equipment is allowed.

WARNING: The service personnel must be properly qualified and thoroughly

WARNING: External exhaust outlets of Anesthesia System shall not be located to

WARNING: If the equipment/system is used in RFID environment, such as RFID

1.1.2 Cautions

CAUTION: To ensure patient safety, use only parts and accessories specified in this

CAUTION: At the end of its service life, the equipment, as well as its accessories,

degrees. Use extreme caution when moving or resting the equipment on slopes of over 10 degrees. Before moving, remove all equipment from the top shelf, all monitoring equipment mounted to the side of this machine, all brackets, cylinders, objects on the top self and worktable and in the drawers.

familiar with the operation of the equipment.

place which has any electrical component.

marking belt, chest card, mobile RFID reader and door control system, it may be disrupted by the operation of nearby RFID equipment. It may be necessary to take mitigation measures, such as re-orienting or relocating the equipment/system away from RFID equipment.

manual.

must be disposed of in compliance with the guidelines regulating the disposal of such products, and in accordance with local regulations for contaminated and biologically hazardous items.

CAUTION: Magnetic and electrical fields are capable of interfering with the proper

CAUTION: This system operates correctly at the electrical interference levels

CAUTION: Perform the daily checks specified on the checklist. In case of a system

CAUTION: Before starting the equipment, users must be familiar with the

CAUTION: If the equipment does not function as described, it must be examined

CAUTION: Handle the equipment with care to prevent damage or functional faults.

CAUTION: Ensure that the gas supply of the equipment always complies with the

performance of the equipment. Ensure that all external devices operating in the vicinity of the equipment comply with the relevant EMC requirements. Mobile phones, x-ray equipment, and MRI equipment are possible sources of interference as they may emit higher levels of electromagnetic radiation.

identified in this manual. Higher levels can cause nuisance alarms that may stop automatic ventilation. Be aware of false alarms caused by high-intensity electrical fields.

fault, do not operate the system until the fault has been corrected.

information contained in this Operator’s Manual and must have been trained by an authorized representative.

and repaired as necessary by qualified service personnel before being put back to use.

technical specifications.

Operator’s Manual of Anesthesia System 1 - 7

Page 24

Safety Information Safety

CAUTION: Before clinical use, the equipment must be correctly calibrated and/or

the respective tests must be performed, as described in this Operator’s Manual.

CAUTION: If system faults occur during the initial calibration or testing, the

equipment should not be operated until those faults have been corrected by a qualified service personnel.

CAUTION: After servicing, functional, sensor, and system tests must be performed

before clinical use.

CAUTION: Only vaporizers with Selectatec Interlock-Systems may be used with

this equipment.

CAUTION: Each time you replace the vaporizer, please carry out leak test for the

breathing circuit.

CAUTION: Use cleaning agent sparingly. Excess fluid could enter the equipment

and cause damage.

CAUTION: Do not autoclave any parts of the equipment unless specifically

identified as autoclavable in this manual. Clean the equipment only as specified in this manual.

CAUTION: To prevent system damage:

• Refer to the documentations provided by the manufacturer of the cleaning agent.

• Never use organic, halogenated or petroleum-based solvents, anesthetic agents, glass cleaning agents, acetone or other irritant agents.

• Never use abrasive agents (i.e. steel wool or silver polish) to clean components.

• Keep all liquids away from electronic components.

• Prevent liquid from entering the equipment.

• All cleaning solutions used must have a pH value between

7.0 and 10.5.

CAUTION: Never immerse the oxygen sensor or its connector into any type of

liquid. Dispose the O specifications.

sensor according to the manufacturer's

CAUTION: Do not fumigate using peracetic acid or formaldehyde.

CAUTION: The valve disc in each of the inhalation and exhalation valve assemblies

on the breathing system is fragile and must be handled with care while disassembling the valve cage from the valve assembly.

CAUTION: Only connect Mindray approved devices to the equipment's

communication ports. Devices connected to the ethernet ports must comply with IEC 60950.

CAUTION: Do not connect any non-isolated devices to the DB9/RS232C interface

of the equipment.

CAUTION: Do not connect any devices to the SB ports other than Mindray

approved USB storage devices and a supported USB mouse.

CAUTION: Do not wash the inner surface of the oxygen sensor.

1 - 8 Operator’s Manual of Anesthesia System

Page 25

Safety Safety Information

CAUTION: Do not perform soaking or high-temperature processing on the

O2sensor.

CAUTION: Users should monitor oxygen percentage (FiO

O2/Air Flow Meters. Without oxygen monitoring, it would be impossible to

%) when using the Auxiliary

know the concentration of oxygen delivered to the patient.

CAUTION: The equipment is NOT suitable for use in a magnetic resonance imaging

(MRI) environment.

CAUTION: To ensure measurement accuracy and to avoid possible damage to the

equipment, use only Mindray-approved cables and accessories.

CAUTION: Use the power cord provided with the product. If a substitute is

necessary, use power cord in compliance with the specification.

CAUTION: Do not use a damaged device or accessory. Periodically check all cables

(e.g., AC line cord and patient connection cables) for damage that may occur through normal use. Replace cables if damaged in any way.

CAUTION: Use of other oxygen sensors may cause improper oximeter performance.

CAUTION: Unintended movement may occur if the casters are not locked.

The operator should lock casters during use of the equipment.

CAUTION: Unsecured devices may slide off the top shelf. Devices should be

securely attached to the top shelf.

CAUTION: The voltage on the auxiliary outlets should be the same voltage as the

outlet into which the equipment is plugged. Ensure that devices plugged into the auxiliary outlets are rated for the same supply voltage as the equipment.

CAUTION: During the transport and storage of the vaporizer, block the gas inlet

and outlet of the vaporizer with plugs to prevent foreign substances from entering the vaporizer.

CAUTION: Do not use any flow outlets as handles when moving the equipment.

The flow outlets may become damaged. Use the metal side bars on the main body when moving the equipment.

CAUTION: Do not push down on the bag arm forcefully or hang heavy objects

onto it. Excessive weight may bend and damage the bag arm.

CAUTION: Use caution when disconnecting [quick connectors], as the sudden

release of pressure may cause injury.

CAUTION: Avoid factors that can contribute to deterioration of the hose

assemblies. Factors include excessive bending, crushing, abrasion, system pressures and temperatures that exceed hose ratings, and improper installation.

CAUTION: Be careful in lifting and manipulating the breathing system during

disassembly of the system.

CAUTION: When the electronic flow control system is disabled, the backup flow

control system will be enabled. The initial flow of backup flow control system is 1 L/min of O

. The backup flow control system display only

has a total flowmeter which can display a maximum flow of 15 L/min.

Operator’s Manual of Anesthesia System 1 - 9

Page 26

Safety Information Safety

CAUTION: Turn the flow control knob of the backup flow control system slowly.

CAUTION: Prevent or avoid using and storing the gas supply hose assembly in an

1.1.3 Notes

NOTE: Figures in this manual are provided for reference purposes only.

NOTE: Put the equipment in a location where you can easily see the screen and

NOTE: Keep this manual close to the equipment so that it can be obtained

NOTE: The software was developed in compliance with IEC 60601-1.The

To avoid damaging the control valves, do not turn further when the flowmeter reading is out of range. When turning a flow control knob clockwise to decrease flow, the flowmeter should reach 1 L/min before the knob reaches its most clockwise mechanical stop (off ) position. Do not turn any further when the knob has reached the off position. Turning a flow control knob counter clockwise increases flow.

environment exposed to ultraviolet light or oxidizing agents, or in a high-temperature or moist environment to avoid damage to people and materials because of the release of pressure from aged hoses in the assembly.

Screens may differ based on the system configuration and selected parameters.

access the operating controls.

conveniently when needed.

possibility of hazards arising from software errors is minimized.

NOTE: This manual describes all features and options. Your equipment may

not have all of them.

NOTE: The equipment is intended to be operated with its integral Breathing

Pressure monitoring in use.

NOTE: The equipment is intended to be operated with its integral Breathing

Pressure limiting devices in use.

NOTE: The equipment is intended to be operated with its integral Expiratory

Volume monitoring in use.

NOTE: The equipment is intended to be operated with its integral Breathing

System integrity Alarm System in use.

NOTE: The equipment is intended to be operated with its integral Continuous

Pressure Alarm in use.

NOTE: The equipment is intended to be operated with its integral O2

monitoring in use.

NOTE: An Anesthesia Vapor Delivery Device is to be used with an Anesthetic

Agent Monitor complying with ISO 80601-2-55. The connection of Patient Circuit and Agent monitor should be made by a sample line.

NOTE: Continuously monitor the anesthetic agent concentration when using the

NOTE: Check the liquid level of the anesthetic agent before and during all

anesthesia system to ensure accurate output of the anesthetic agent.

operations. When the liquid level is below the warning line, more anesthetic agent needs to be added. Refer to the vaporizer Instructions For Use for filling the vaporizer and other information.

1 - 10 Operator’s Manual of Anesthesia System

Page 27

Safety Symbols

NOTE: The system is designed to be equipped with an anesthetic vapor

NOTE: The battery supply of this equipment is not a user serviceable component.

NOTE: Areas designated for the servicing of oxygen equipment shall be clean,

NOTE: Opening the cylinder valve quickly may cause unexpected pressure

NOTE: Changes in inlet pressure, outlet resistance, or ambient temperature

NOTE: The power supplies, terminal units and pipeline systems can be

NOTE: Regional or national regulations that apply to manufacturers of

NOTE: The product does not contain latex parts.

NOTE: The operator should stay right in front of the equipment within four

delivery device that complies with ISO 80601-2-13.

Only an authorized service representative can replace the battery supply. If the system is not used for a long time, contact a service representative to have the battery supply disconnected. The disposal of battery should comply with local regulations. At the end of the battery life, dispose of the battery supply in accordance with local regulations.

free of oil and grease, and not be used for the repair of other equipment.

difference and lead to potential fire or explosion hazard due to the oxygen pressure shock. Open and close the cylinder valve slowly.

may affect the accuracy of flow values.

supplied by one or several different manufacturers.

medical equipment can exist.

meters away from the display to facilitate observation of the displayed information on the equipment.

NOTE: Some alarm settings on this equipment are not configurable by users.

NOTE: The tidal volume and minute ventilation displayed on this equipment

are measured in BTPS conditions. The fresh gas flow is measured in STPD conditions.

NOTE: For the method of connecting this equipment to an external monitor or other

devices, please see Anesthesia System Bracket Installation Instructions.

NOTE: All the materials of this equipment exposed to gases are compatible

with O

NOTE: To avoid abnormal gas supply, the anesthesia system has a 758 kPa

pressure relief valve installed at the gas supply inlet. When the gas supply pressure is abnormally elevated, the pressure relief valve is turned on to ensure the proper operation of the anesthesia system. When the pressure relief valve is on, the anesthesia system and the O flush are both operating properly, and their P-F (pressure/flow) characteristics are consistent with those under rated conditions. The pressure at the high-pressure O and the maximum flow rate meets requirements in the specifications.

NOTE: The defibrillation restoration time is 15 seconds unless otherwise stipulated.

1.2 Symbols

The following table provides descriptions of symbols that are used on the equipment and/or within this manual.

, air and N2O.

outlet will be elevated to 758 kPa,

Operator’s Manual of Anesthesia System 1 - 11

Page 28

Symbols Safety

SYMBOL DESCRIPTION SYMBOL DESCRIPTION

Caution! Warnings

Temperature limitation Humidity limitation

Keep dry

This way up

Recyclable

Ambient: temperature range

Electrical: alternating current (AC)

Electrical: equipotentiality

Electrical: fuse or circuit breaker

Atmospheric pressure limitation

Fragile, handle with care

Stacking limit by number

Ambient: humidity range

Electrical: internal battery

Electrical: protective earth (ground)

Video signal port

Electrical: powered-on Electrical: powered-off

Electrical: input/output

Pipelined gas supply Gas cylinder

Gas Outlet Gas Inlet

Maximum value Minimum value

1 - 12 Operator’s Manual of Anesthesia System

Gas flow: flow control knob

Page 29

Safety Symbols

134°C

Material: polyethylene sulfone (PPSU)

Assemble volume exchanger

Material: polysulfone

Disassemble O

sensor

O2 Sensor Connector Gas: O2 flush button

Lock/Unlock: locked Lock/Unlock: unlocked

Manual ventilation Automatic ventilation

Water Drain Watertrap

No heavy objects: Do Not Crush

Do Not Oil

Autoclavable

Caution: Hot

Not Autoclavable

Direction

Electrical: light Weight limit

ACGO mode

Automatic ventilation mode

Filter Access APL valve

Canister opened Canister closed

Negative pressure suction device

Negative pressure gas supply

Operator’s Manual of Anesthesia System 1 - 13

Page 30

Symbols Safety

3179617

Identifier: manufacturer’s reference/catalog

Identifier: serial number

number

Applied parts of defibrillator proof type BF equipment

IPX1

Protection level of anesthesia system against splashing water

Identifier: Manufacturer

Refer to instruction manual/booklet

MR Unsafe - keep away from magnetic resonance imaging (MRI) equipment

Conforms to AAMI Std. ES 60601-1, IEC Std.60601- 1-6, IEC Std.60601- 1-8, ISO Std. 80601-2-13, ISO Std. 80601-2-55. Certified to CSA Std. C22.2 NO. 60601-1, NO.60601-1-6, NO.60601-1-8, NO.606012-10, NO.80601-2-13, NO.60601-2-26, NO.80601-2-55.

Electrical: WEEE (Waste of Electrical and Electronic Equipment) Marking. Separate treatment from general waste at end of life.

Rx Only

U.S. Federal Law restricts this device to sale by or on the order of a physician or other practitioner licensed by state law to use or order the use of this device.

Battery is fully charged. AC power is connected and it is powering

Alarm Audio Off icon

the system.

Battery is partially charged. AC power is connected. It is charging the battery and powering the

Alarm Audio Pause icon

system.

Battery is fully charged and it is powering the system. AC power

Alarm Off icon

is not connected.

Battery is partially charged and it is powering the system. AC

Low priority message

power is not connected.

1 - 14 Operator’s Manual of Anesthesia System

Page 31

Safety Symbols

Battery level is low and it is powering the system. Recharging recommended. AC power is not connected.

Battery is not installed High priority message

Medium priority message

Operator’s Manual of Anesthesia System 1 - 15

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Symbols Safety

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1 - 16 Operator’s Manual of Anesthesia System

Page 33

2.0

Product Description

Operator’s Manual of Anesthesia System 2 - 1

Page 34

Introduction Product D escription

2.1 Introduction

2.1.1 Indications For Use

The Anesthesia System is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic and to maintain a patient's ventilation.

The Anesthesia System is intended for use by licensed clinicians in the administration of general anesthesia, for patients requiring anesthesia within a health care facility, and can be used in adult, pediatric and neonate populations.

High Flow Nasal Cannula (HFNC) is indicated for delivery of nasal high flow oxygen to spontaneously breathing adult patients. It can be used for pre-oxygenation and short-term supplemental oxygenation (up to 10 minutes) during intubation in operating rooms. It is not intended for apneic ventilation. HFNC is indicated for use in adults only.

WARNING: This anesthesia system is intended for use by qualified anesthesia

personnel only or under their guidance. Personnel for using the equipment should receive complete pre-use training. Unauthorized personnel, or personnel who have received no training, must not perform any operations on the equipment.

WARNING: The equipment is not suitable for use in an MRI environment.

2.1.2 Structure and Composition

The Anesthesia System consists of main unit, anesthetic ventilator, anesthetic gas delivery system, anesthetic breathing system (including the airway pressure gauge, volume exchanger, CO and expiratory check valves, inspiratory and expiratory flow sensors, exhaust valve, Auto/Manual switch, manual bag port, inspiratory and expiratory ports and connectors), Anesthetic Gas Scavenging System (AGSS), negative pressure suction device, anesthetic gas monitoring module, O

2.1.3 Functions and Features

The anesthesia system is intended to provide continuous or intermittent general inhalation anesthesia and maintain ventilation for patients. This equipment also provides ventilation monitoring for patients. The anesthesia system is applicable to patient environments.

Applied parts of the anesthesia system are the breathing tubes and masks. Connect the patient to the Anesthesia System via the breathing circuit. The anesthesia system provides the following ventilation modes:

• Manual ventilation

• Volume Control Ventilation (VCV)

• Pressure Controlled Ventilation

• Pressure Controlled Ventilation (PCV)

• Pressure Controlled Ventilation-Volume Guarantee (PCV-VG)

• Synchronized Intermittent Mandatory Ventilation (SIMV)

• Synchronized Intermittent Mandatory Ventilation – Volume Control (SIMV-VC)

• Synchronized Intermittent Mandatory Ventilation – Pressure Control (SIMV-PC)

• Synchronized Intermittent Mandatory Ventilation – Volume Guarantee (SIMV-VG)

• Continuous Positive Airway Pressure/Pressure Support Ventilation (CPAP/PS)

• Airway Pressure Release Ventilation (APRV) (optional)

The anesthesia system provides the following frequently-used features or configurations:

absorbent canister, inspiratory

cell and accessories.

2 - 2 Operator’s Manual of Anesthesia System

Page 35

Product Description Introduction

• Cardiopulmonary bypass

• Monitor mode

• Lung Recruitment (optional)

• High-flow Nasal Cannula Oxygen (HFNC)

•Flow pause

• Anesthetic breathing system purge

•Agent usage calculation

• Anesthetic gas monitoring (with paramagnetic O

sensor)

• Oxygen concentration monitoring

• Screen saver

• AGSS visualization

• Auxiliary Common Gas Outlet (ACGO)

• Sample gas return to the anesthesia breathing system

• Negative pressure suction

• External auxiliary worktable

• Vaporizer Parking Spot

Operator’s Manual of Anesthesia System 2 - 3

Page 36

Equipment Views Product D escription

2.2 Equipment Views

2.2.1 Main Unit (Front View)

Figure 2-1 Main Unit (Front View)

PARTS DESCRIPTION

A1 Alarm LED The alarm LED may turn red, yellow or cyan, indicating

different priorities. Red = high priority, yellow = medium priority, cyan = low priority, off = no alarms.

A2 Main Screen See "System Interface" on Pages 4-1.

A3 The flow or O

control knob of the electronic flow control system.

2 - 4 Operator’s Manual of Anesthesia System

concentration

Rotate the knob to adjust the flow or O

concentration.

Page 37

Product Description Equipment Views

PARTS DESCRIPTION

A4 High-flow Nasal Cannula

Oxygen (HFNC)

There is a float in the flow tube, and the scale line that the middle of the float is aligned to indicates the current gas flow. There is a flow control knob on the flowmeter to control the flow. Rotate the knob counter clockwise to increase the gas flow and rotate the knob clockwise to reduce the gas flow.

A5 Total flow control knob for

Rotate the knob to adjust the total flow of the HFNC.

HFNC

A6 Oxygen concentration control

knob for HFNC

Rotate the knob to adjust the O

concentration of the HFNC.

A7 Negative pressure gauge Used to indicate the negative pressure.

A8 Negative pressure suction

switch

Used to switch the work mode of the negative pressure suction device. FULL, OFF and REG modes are available. FULL mode indicates that the negative pressure suction device works with the maximum pressure continuously and the control knob is inoperative. OFF mode indicates that the negative pressure is turned off and the negative pressure suction device is inactive. REG mode indicates that the pressure of the negative pressure suction device can be adjusted with the negative pressure control knob. Rotate the knob counter clockwise to increase the negative pressure. Rotate the knob clockwise to reduce the negative pressure.

A9 O

Flush button Used to provide high-flow O2 for the inspiratory branch of

the breathing system.

A10 Oxygen sensor cover Open the cover to install the O2sensor.

A11 Negative pressure suction

tube clamp

A12 ACGO (independent outlet and

switch)

A13 Negative pressure suction

liquid collection bottle

Used to retain the tubes of the negative pressure suction device.

ACGO switch is used to enable/disable the ACGO feature. ACGO independent outlet is used to output fresh gas.

Used to collect the hydrops, hematocele, pus and other contaminants from the patient’s pharynx.

A14 Storage drawers Three (3) storage drawers (lockable) are available.

A15 Liquid collection bottle and

humidifier bracket

Used to support the negative pressure suction liquid collection bottle and humidifier.

A16 Main control knob of display Press the main control knob to select an item on the menu or

confirm the settings. Rotate the knob clockwise or counter clockwise to scroll the items on the menu or change the settings.

A17 Status display Used to display the status of gas supply pressure, volume

exchanger, AGSS and heating module of the breathing system.

A18 Total flowmeter of Backup

Display the total flow of Backup Flow Control System.

Flow Control System

A19 Backup Flow Control System

(BFCS) Cover

Pull the BFCS cover switch outward to start the BFCS. Rotate the flow control knob to control the air and O the knob counter clockwise to increase the gas flow and

flows. Rotate

rotate the knob clockwise to reduce the gas flow.

A20 Vaporizer Mount Spot Used to install two Selectatec vaporizers. One installing stem

can support two vaporizers. The vaporizer is equipped with an internal interlocking mechanism, limiting the use of only one vaporizer and the delivery of one anesthetic agent in one operation.

A21 Battery charging indicator The indicator is on when the battery is being charged.

Operator’s Manual of Anesthesia System 2 - 5

Page 38

Equipment Views Product D escription

PARTS DESCRIPTION

A22 AC status indicator The indicator is on when the system is connected to an AC

power source.

A23 System switch Used to switch on or off the system.

A24 Key lock The key and lock to lock a drawer.

A25 Gas supply pressure gauge Used to indicate the pressure of the O

gas cylinders for the anesthesia system.

, air and N2O backup

A26 Volume exchanger cover Pull the unlocking button in the bottom right corner

outward as per instructions on the equipment to open the volume exchanger cover.

A27 Caster lock Lock/release the brakes for front two casters when

depressed.

A28 Caster The system moves with the help of casters. Caster lock of the

equipment is controlled by the central brake and caster brake.

A29 Humidifier The humidifier should be connected to the tube when the

High-flow Nasal Cannula Oxygen (HFNC) feature is enabled.

A30 Top Shelf Top shelf surface.

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Product Description Equipment Views

2.2.2 Main Unit (Rear View)

Figure 2-2 Main Unit (Rear View)

PARTS DESCRIPTION

B1 Display arm Used to install the display.

B2 Breaker The breaker for each auxiliary output power outlet.

B3 Auxiliary AC power outlet Four auxiliary AC power outlets are available.

B4 Hanger Used to hang cables and gas supply hoses.

B5 Pipelined gas supply ports The connecting ports for pipelined gas supply of O

air and N

Operator’s Manual of Anesthesia System 2 - 7

Page 40

Equipment Views Product D escription

PARTS DESCRIPTION

B6 Negative pressure source port Used to connect to the wall-mounted negative pressure

B7 Waste Gas Scavenging outlet Used to connect to the waste gas disposal system.

B8 Overfill protection The overfill protection of the negative pressure suction

B9 Network interfaces (CS1, CS2) Used to connect to other equipment with network cables.

B10 SB interfaces (SB1, SB2,

SB3, SB4)

B11 Equipotentiality Used to provide a grounding point. Used to eliminate the

B12 Communication interface (SP1) RS232 communication interface.

B13 Power input socket Used to connect to the power cord.

B14 Video signal port Used to connect to an external display.

B15 Cylinders Supply tanks containing high pressure O2, Air, and N2O to

source of the hospital.

NOTE: Please use a waste gas disposal

system that complies with the ISO 80601-2-13 standard.

device, used to prevent backflow of effluent after the bottle is full to ensure pipeline and tube safety.

Used to connect to a USB device.

CAUTION: Do not connect any devices to

the SB ports other than Mindray approved USB storage devices and a supported USB mouse.

electric potential difference between the ground wires of different devices to ensure safety.

act as backup supply if the pipeline pressure is removed.

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Product Description Equipment Views

2.2.3 Main Unit (Left View)

Figure 2-3 Main Unit (Left View)

Operator’s Manual of Anesthesia System 2 - 9

Page 42

Equipment Views Product D escription

PARTS DESCRIPTION

C1 Installing rail Used to install the standard attachment arms of the monitor and

other equipment. Installing rails are available on both sides of the equipment.

C2 High-flow Nasal

Cannula Oxygen

Used to output O (HFNC) feature is enabled.

when the High-flow Nasal Cannula Oxygen

(HFNC) outlet

C3 Module slot Used to be inserted with and recognize the AG module mentioned

in this manual.

C4 AGSS flow control knob Rotate the knob clockwise or counter clockwise to adjust the flow

in the AGSS until the float in the Status Screen is located between Min and Max scale lines.

C5 Sample gas return port The sample gas return port of the Gas module.

C6 Auxiliary hi gh-pressure

outlet

C7 Oxygen sensor cover

Used to connect to an external device (such as an air-jet ventilator) for hyperbaric O2 venting.

Used to open the O2sensor cover.

switch

C8 Handle The maximum force capacity of the handle is 10 kgf (22 lbf).

WARNING: The handle in intended to be used for installing

and dissembling the breathing system only and shall not be used for pushing/pulling/lifting the anesthesia system.

C9 Handle The handle is intended to be used for pushing/pulling/rotating the

anesthesia system, with a maximum force capacity of 80 kgf (176 lbf).

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Product Description Equipment Views

2.2.4 Main Unit (Right View)

Figure 2-4 Main Unit (Right View)

PARTS DESCRIPTION

D1 Work lamp switch Used to turn on/off the work lamp. Three settings are

available: off, low-light and high-light. Users can only turn on the work lamp when the system is switched on.

D2 Work lamp Located beneath the display to illuminate the worktable.

D3 Installing rail Used to install the standard attachment arms of the

monitor and other equipment.

D4 External auxiliary worktable

(optional)

D5 Handle The handle is intended to be used for pushing/pulling/

Operator’s Manual of Anesthesia System 2 - 11

External auxiliary worktable, 180-degree rotatable horizontally. Maximum supporting weight: 15kg (33 lbs).

rotating the anesthesia system, with a maximum force capacity 80 kgf (176 lbf ).

Page 44

Equipment Views Product D escription

Front

Rear

2.2.5 Main Unit (Top View)

Figure 2-5 Main Unit (Top View)

PARTS DESCRIPTION

E1 Airway pressure gauge

E2 Manual/Auto switch Used to switch between the automatic ventilation and

E3 Handle The handle is intended to be used for pushing/pulling/

E4 Workbench Workbench surface (stainless steel), with a maximum force

Used to indicate the airway pressure of patients.

NOTE: It is normal to have a minor difference

between the airway pressure gauge reading and the electronically monitored value. When the difference is greater than 15%, please contact your service personnel or Mindray.

manual ventilation modes.

rotating the anesthesia system, with a maximum force capacity 80 kgf (176 lbf).

capacity of 30 kgf (66 lbf).

2 - 12 Operator’s Manual of Anesthesia System

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Product Description Equipment Views

F10

PARTS DESCRIPTION

E5 APL valve

Used to set the rotary pressure regulating valve of the breathing system during manual ventilation. Its scales represent the approximate pressure values. Set the APL valve to the SP position during spontaneous respiration. Elevate the APL valve upward as needed to release the pressure quickly. At a flow of 3L/min, the pressure of the APL valve should be between 1cmH in dry or humid conditions. At a flow of 30L/min, the pressure of the APL valve should be between 1cmH

O and 3cmH2O (exclusive) either

O and 5cmH2O

(exclusive) either in dry or humid conditions.

The APL valve and PAW gauge numerics are for reference only. Calibrated patient airway pressure is

displayed on the user screen.

2.2.6 Breathing System

Figure 2-6 Breathing System

PARTS DESCRIPTION

F1 Observation window of

expiratory/inspiratory check valve

Used to observe the status of expiratory and inspiratory check valves from outside the equipment.

F2 Leak test plug Used to connect to a breathing tube for leak tests.

Operator’s Manual of Anesthesia System 2 - 13

Page 46

Equipment Views Product D escription

PARTS DESCRIPTION

F3 Expiration connector The expiration connector of the breathing circuit.

F4 Inspiration connector The inspiration connector of the breathing circuit.

F5 Bag arm Used to connect to a manual ventilation bag.

F6 O

sensor port Used to install the O2 sensor to monitor the O2 concentration.

F7 Canister bypass assembly Used to maintain the pressure in the breathing circuit when

the soda lime in the CO2 absorbent canister is being replaced.

F8 Watertrap Used to collect the condensate water in the breathing

system. The watertrap must be emptied on a regular basis.

F9 CO2 absorbent canister The container for holding the CO2 absorbent (bulk CO2

absorbent or Pre-pak CO2 absorbent).

F10 Canister lock A latch to lock (horizontal)/unlock (vertical) the canister.

2.2.7 Negative Pressure Suction Device

Figure 2-7 Negative pressure suction device

PARTS DESCRIPTION

G1 Overfill Protection Prevents the fully collected waste liquid from flowing backward

G2 Negative pressure gauge Indicates negative pressure value.

G3 Negative pressure

adjustment knob

G4 Selector switch Switches over between the working modes of the negative

to ensure the tubing safety.

Adjusts the pressure of negative pressure suction device.

pressure suction device. It can be set to FULL, OFF, or REG. FULL indicates that the negative pressure suction device is working with the maximum pressure continuously that is taken from the wall and the adjustment knob does not function. OFF indicates that the negative pressure suction device is turned off and is not working. REG indicates that the negative pressure suction device works with the pressure adjusted through the negative pressure adjustment knob. Turn the knob counterclockwise to increase negative pressure and clockwise to decrease the negative pressure.

2 - 14 Operator’s Manual of Anesthesia System

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3.0

Installation and Disassembly

Breathing System......................................................................................................................................................................................3-3

Negative Pressure Suction Device .................................................................................................................................................3-5

High-flow Nasal Cannula Oxygen (HFNC) Tube....................................................................................................................3-7

Anesthetic Gas Scavenging System (AGSS) ............................................................................................................................. 3-8

Connect Anesthesia System with Information System.................................................................................................. 3-11

Connect Anesthesia System to Patient Monitor................................................................................................................ 3-12

Connect Anesthesia System with eGateway........................................................................................................................3-12

Operator’s Manual of Anesthesia System 3 - 1

Page 48

Installation and Disassembly

WARNING: Before installation, check the adequacy of the surface of the structure to

WARNING: This equipment must be installed by a factory authorized

WARNING: Continuous use of desiccated soda lime may endanger patient safety.

WARNING: When electrosurgical equipment is used, keep the electrosurgical leads

WARNING: Do not use masks or breathing tubes that are antistatic or conductive.

WARNING: This anesthesia system has waste gas exhaust ports. The operator of

CAUTION: The operational environment and the power source of the equipment

which the equipment is to be attached.

representative.

Adequate precautions should be taken to ensure that the soda lime in the CO2 absorbent canister does not become desiccated. Turn off all gases when finished using the system.

away from the breathing system, the O2 sensor, and other parts of the anesthesia system. Keep available backup manual ventilation and a respirator with mask in case the electrosurgical equipment prevents safe use of the ventilator. Ensure the correct operations of all life support and monitoring equipment.

They can cause burns if they are used near high frequency electrosurgical equipment.

the machine should pay attention to the disposal of the residual breathing gas scavenged.

must comply with the requirements as specified in the "Product Specifications" on Pages 10-1.

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Installation and Disassembly Unpacking

3.1 Unpacking

When the anesthesia system is delivered, IMMEDIATELY inspect the box for any damage.

a. If there is NO damage and ALL tip indicators on the box exterior are intact, then sign and

date the bill of lading or airway bill to indicate safe receipt of the equipment.

b. If there is DAMAGE or ANY of the tip indicators on the box exterior have been activated, then

conditionally accept the delivery and clearly describe the damages on the bill of lading or airway bill. BOTH the carrier and recipient must sign and date the bill of lading or airway bill. Save all damaged factory packaging until further instructed by Mindray. The receiver should immediately contact Mindray Customer Service.

3.2 Initial Setup

The initial setup of the anesthesia system must be performed by an authorized Mindray service representative. Please contact Mindray Technical Support for any additional assistance.

3.3 Breathing System

Please install the breathing system, refer to 9.7.3.4 "Reassembly".

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Vapo rize r Installation and Disassembly

Locking Mechanism Handle in

the Unlocked Position

3.4 Vaporizer

The equipment contains a 2-position vaporizer system to enable anesthetic agents to be introduced into the fresh gas flow. Two vaporizers are supported, but only one vaporizer can be used at a time. Isoflurane, Desflurane and Sevoflurane vaporizers can be used.

CAUTION: Only vaporizers with Selectatec® Interlock-Systems may be used with

this equipment.

WARNING: Use vaporizers compliant with ISO 80601-2-13. Refer to the vaporizer

manufacturer’s Instructions For Use for installing, filling or draining the vaporizer and other information.

WARNING: Use care in lifting and manipulating vaporizers during the installing

process as their weight may be greater than expected.

NOTE: The barometric pressure may differ from the calibration pressure of the

anesthetic vaporizer. This may cause an inaccurate output of the anesthetic agent. The operator should continuously monitor the concentration of anesthetic agent during system use to determine if the output concentration is accurate.

1. To replace or remove a vaporizer, lift each vaporizer straight up off the manifold. Do not pull the vaporizer forward. Do not rotate the vaporizer on the manifold.

2. Align the new vaporizer over the valve cartridges of the installing bar, slightly tilting back the vaporizer. Hang the vaporizer on the installing bar as shown in Figure 3-1. Ensure that the locking mechanism handle is in the unlocked position.

Figure 3-1 Vaporizer, unlocked

3. Rotate the locking mechanism handle clockwise into the locked position as shown in Figure 3-2.

NOTE: If installing a Desflurane vaporizer, refer to the manufacturer’s Instructions

For Use on installation and use of the vaporizer.

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Installation and Disassembly Negative Pressure Suction Device

Locking Mechanism Handle in

the Locked Position

Figure 3-2 Vaporizer, locked

4. Finally, check the following items:

a. Ensure that the top of the vaporizer is horizontal. If not, remove and reinstall the vaporizer.

b. If a vaporizer lifts off the manifold, repeat steps 1 through 3 to reinstall the vaporizer. If the

vaporizer lifts off a second time, do not use the system.

WARNING: For the anesthesia system, using or turning on more than onevaporizer

simultaneously is prohibited and prevented by a mechanical interlock. Do not ignore the safety mechanism.

3.4.1 Filling and Draining the Vaporizer

Install the vaporizers with a Selectatec® interlock system that are compliant with ISO 80601-2-13 on the unit. Refer to the vaporizer manufacturer’s Instructions For Use for filling or draining the vaporizer

and other information.

WARNING: Ensure that the correct anesthetic agent is used. The vaporizer is designed

with the specific anesthetic agent named on it and further indicated by color coded labeling. The actual output concentration of the anesthetic agent will vary if the vaporizer is filled with the wrong agent.

WARNING: The anesthetic liquid discharged from the vaporizer must not be used

3.5 Negative Pressure Suction Device

The negative pressure suction device comprises the negative pressure regulator, the liquid collection

bottle, the suction tube and the filter. It is primarily used to collect the hydrops, hematocele, pus and

other contaminants from the patient’s pharynx. The unit supports overfill protection to prevent backflow of effluent after the bottle is full to ensure pipeline and tube safety.

again. Please regard it as a dangerous chemical and dispose of it properly in accordance with local regulations.

1. Place the liquid collection bottle to the bracket. Connect the suction tube, the liquid collection bottle and the filter following the screen printed instructions.

Operator’s Manual of Anesthesia System 3 - 5

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Negative Pressure Suction Device Installation and Disassembly

Filter

Suction tube

Overfill protection connector

Liquid collection bottle

2. Insert the suction tube to the overfill protection connector. The negative pressure suction device is now fully installed.

Figure 3-3 Install the negative pressure suction device

NOTE: When installing the filter to the suction tube, pay attention to keeping

the side printed with IN facing the liquid collection bottle.

NOTE: Avoid twisting or bending suction tubes during use.

3. To disassemble the negative pressure suction device, pull out the suction tube, take out the liquid collection bottle and discard the filter. To replace the filter, please follow local regulations to dispose of discarded filters.

3.5.1 Turn on Negative Pressure Suction Device

1. Assemble the negative pressure suction device.

2. Occlude the suction tube inlet at the patient end.

3. Turn on the negative pressure pipeline supply.

4. Set the selector switch to REG.

5. Adjust the negative pressure regulating knob to keep the pressure gauge reading smaller

than -40kPa.

3.5.2 Turn off Negative Pressure Suction Device

Set the selector switch to OFF to turn off the negative pressure suction device.

WARNING: Keep the negative pressure suction switch in the OFF state when the

negative pressure suction device is not in use.

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Installation and Disassembly High-flow Nasal Cannula Oxygen (HFNC) Tube

Bracket

Humidifier

HFNC outlet

Breathing tubes

Humidifier gas outlet

Humidifier gas inlet

3.6 High-flow Nasal Cannula Oxygen (HFNC) Tube

1. Hang the humidifier on the bracket on the side of the anesthesia system.

Figure 3-4 Install the humidifier

2. Connect the gas inlet of the humidifier and the HFNC outlet of the anesthesia system with a

breathing tube. Connect the gas outlet of the humidifier and the patient with a breathing tube.

Figure 3-5 Connection hoses

3. To disassemble the humidifier, draw out the breathing tube and lift the humidifier upward.

Operator’s Manual of Anesthesia System 3 - 7

Page 54

Anesthetic Gas Scavenging System (AGSS) Installation and Disassembly

Connecting to the ACGO circuit

Connecting to the patient monitor via sampling tube

3.7 Anesthetic Gas Scavenging System (AGSS)

3.7.1 Active AGSS

• When the ACGO circuit needs to scavenge the gas to the AGSS, connect the AGSS port with the

ACGO as shown below.

Figure 3-6 Active AGSS (connecting to the ACGO circuit)

• When the gas path of the patient monitor does not meet the biological compatibility standard,

the patient monitor needs to scavenge the waste gas to the AGSS. Use the adapter as shown below.

Figure 3-7 Active AGSS (connecting to the patient monitor)

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Installation and Disassembly Anesthetic Gas Scavenging System (AGSS)

Connecting to the patient monitor via sampling tube

Connecting to the ACGO circuit

Connecting to the hospital's waste gas scavenging system

• When both the patient monitor and ACGO circuit need to scavenge the gas to the AGSS, use the

adapter as shown below.

Figure 3-8 Active AGSS (connecting to the patient monitor and ACGO circuit)

3.7.2 Passive AGSS

• When the ACGO circuit needs to scavenge the gas to the AGSS, use the adapter as shown below.

Figure 3-9 Passive AGSS (connecting to the ACGO circuit)

Operator’s Manual of Anesthesia System 3 - 9

Page 56

Anesthetic Gas Scavenging System (AGSS) Installation and Disassembly

Connecting to the patient monitor via sampling tube

Connecting to the hospital's waste gas scavenging system

Connecting to the patient monitor via sampling tube

Connecting to the ACGO circuit

Connecting to the hospital's waste gas scavenging system

• When the gas path of the patient monitor does not meet the biological compatibility standard,

the patient monitor needs to scavenge the waste gas to the AGSS. Use the adapter as shown below.

Figure 3-10 Passive AGSS (connecting to the patient monitor)

• When both the patient monitor and ACGO circuit need to scavenge the gas to the AGSS, use two

adapters (one adapter as Figure 3-9and one adapter as Figure 3-10) as shown below.

Figure 3-11 Passive AGSS (connecting to the patient monitor and ACGO circuit)

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Installation and Disassembly Connect Anesthesia System with Information System

3.8 Connect Anesthesia System with Information System

3.8.1 Connect Anesthesia System with Information System Through Serial Interface

The anesthesia system can be connected to the information system through a serial interface and

send its ventilation modes, status, parameters, alarms, alarm limits and patient information to the information system by the HL7 protocol.

1. The communication cable is connected to the communication interface of the anesthesia

system on one end and connected to the matched interface of the information system on the other end.

2. Select the icon to open the [Setup] menu.

3. Select the [System] soft key, enter the system password and confirm the password.

4. Select the [Network] tab in the system menu.

5. Select the [Serial] tab.

6. Set [Protocol] to [HL7].

7. Configure related settings. See 4.7.8.4 (Pages 4-42) "Network".

3.8.2 Connect Anesthesia System with Information System Through Ethernet

The anesthesia system can be connected to the information system through ethernet and send its

ventilation modes, status, parameters, alarms, alarm limits, patient information and waveforms to the

information system by the HL7 protocol.

1. The network cable is connected to the ethernet interface of the anesthesia system on one end

and connected to the matched interface of the information system on the other end.

2. Select the icon to open the [Setup] menu.

3. Select the [System] soft key, enter the system password and confirm the password.

4. Select the [Network] tab in the system menu.

5. Select the [HL7] tab.

6. Configure related settings. See 4.7.8.4 (Pages 4-42) "Network".

NOTE: The IP addresses of the anesthesia system and the information

system must be in the same segment.

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Page 58

Connect Anesthesia System to Patient Monitor Installation and Disassembly

3.9 Connect Anesthesia System to Patient Monitor

3.9.1 Connect Anesthesia System to Patient Monitor Through Serial Interface

The anesthesia system can be connected to a Mindray patient monitor through a serial interface and

the BeneLink module to send the ventilation modes, parameters, alarms, alarm limits, waveforms and patient information to the patient monitor via the MR-WATO protocol.

The anesthesia system can be connected to the Philips patient monitor through a serial interface and the IntelliBridge module to send the partial ventilation modes, parameters, alarms, alarm limits and

waveforms of the anesthesia system to the Philips patient monitor via the Philips IntelliBridge

protocol.

1. The communication cable is connected to the communication interface of the anesthesia

system on one end and connected to the matched interface of the monitor on the other end.

2. Select the icon to open the [Setup] menu.

3. Select the [System] soft key, enter the system password and confirm the password.

4. Select the [Network] tab in the system menu.

5. Select the [Serial] tab.

6. Set [Protocol] to [MR-WATO] or [Philips].

7. Configure related settings. See 4.7.8.4 (Pages 4-42) "Network".

3.10 Connect Anesthesia System with eGateway

The anesthesia system can be connected to the ADT server through eGateway to download

patient information from the ADT server. See 4.2.1.2 (Pages 4-5) "Retrieve Patient Information from

ADT Server".

With the anesthesia system connected to the eGateway, when key words are entered in the

anesthesia system and eGateway recognizes the patient information related to the key words, it will update the patient information to the anesthesia system synchronously. If the patient information in

the eGateway is updated, eGateway will also update the information to the anesthesia system

synchronously. See 4.2.1.3 (Pages 4-5) "Synchronize Patient Information".

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4.0

System Interface

System Information Title...................................................................................................................................................................... 4-3

Fresh Gas Flow Display.......................................................................................................................................................................4-10

Waveform/Parameter/Spirometry/Trend Display Zone................................................................................................4-15

Ventilation Mode Tabs........................................................................................................................................................................4-23

Setup Menu............................................................................................................................................................................................... 4-28

Status Screen............................................................................................................................................................................................ 4-46

Operator’s Manual of Anesthesia System 4 - 1

Page 60

Main Screen System Inter face

125

13 1514

4.1 Main Screen

Figure 4-1 Main Screen

SERIAL NO. MAIN SCREEN DESCRIPTION

1 Patient information Shows the information of the current patient, including

the patient type, weight and age. You can click on the section to view more personal information of the patient. See (Pages 4-3) 4.2.1 "Patient Information".

2 Gas Area The section displays parameter information in real time

when the Gas or O

3 Elapsed / Countdown Timer Displays elapsed time. Select to start,stop, or reset the timer.

Sensor module is configured.

4 Current ventilation mode Displays the current ventilation mode.

5 Waveform/parameter/

spirometry/trend display

Displays the waveforms, monitoring parameters, spirometry, trends.

zone

Table 4-1 Main Screen

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System Interface System Information Title

SERIAL NO. MAIN SCREEN DESCRIPTION

6 Alarm/prompt message zone Displays physiological alarms, technical alarms and prompt

messages. The most recent and top-priority alarm is displayed in the topmost section.

Other alarms are displayed in the lower section, grouped by priority for scrolled display. Select the zone to display a list of all active alarms.

See the table in Section "Alarms and Prompt Messages" on Pages 8-12 for a list of prompt messages and related priorities. Alarms with a high priority are displayed in red. Alarms with a medium priority are displayed in yellow. Alarms with a low priority are displayed in cyan. Prompt messages are displayed in white.

7 Number of active alarms Displays the current numbers of active alarms and prompts.

8 Audio Pause/Alarm

Reset icon

9 U disk icon The U disk icon is displayed when the anesthesia system

10 Screen brightness

adjustment icon

11 Volume adjustment icon Select the icon to adjust the alarm volume, the system alert

12 Setup icon Select the icon to open the [Setup] menu.

13 System date and time Displays the current system date and time. To adjust the date

14 Soft key field Displays the [History] soft key, the [Lung Recruitment]

15 Main power supply and

battery status icon

16 Ventilation mode and

settings parameter zone

17 Display zone of fresh gas

control/anesthetic agent consumption speed

When the [Audio Pause] or [Alarm Reset] soft key is selected, the Audio Pause or Alarm Reset icon is displayed along with a 120-second countdown timer.

recognizes that U disk is connected to the anesthesia system.

Select the icon to adjust the brightness of both the Main Screen or Status Screen.

volume, the key click volume.

and time, see "Date and Time" on Pages 4-8.

soft key, the [Flow Pause] soft key, the [Capture Event/ Screen] soft key, the [Alarms] soft key, the [Alarm Reset] soft key, the [Audio Pause] soft key, the [Bypass] soft key or the [Start Case] soft key. See (Pages 4-23) 4.6 "System Soft Key".

Displays the main power supply and battery status, See Pages 4-9 "Battery Status"

Displays tabs for ventilation modes. Each tab displays the ventilation mode and its parameters. Select a tab and the [Set Mode] soft key to change the ventilation mode. Select the parameter key to change the parameter settings. See "Set Ventilation" on Pages 6-5.

Displays the real-time flow and OPTIMIZER® information of O

or balance gas. Select the soft key zone to set the fresh

gas flow in the pop-up menu. Displays the anesthetic agent consumption speed and cost.

Table 4-1 Main Screen

4.2 System Information Title

4.2.1 Patient Information

An icon displaying the information of the current patient. Select the icon to open the Patient Information menu. You can set the data for patients and hospitals in the Patient Information menu.

Operator’s Manual of Anesthesia System 4 - 3

Page 62

System Information Title System Inter face

Figure 4-2 Patient information icon

Figure 4-3 Patient Information menu

NOTE: The equipment saves the latest patient parameter settings for each patient

type: Adult, Pediatric, and Neonate. Changing to another patient size does not clear the parameter settings for the previous patient size. For example, changing from Adult to Pediatric and back to Adult will result in the Adult patient parameter settings still being saved.

EDITABLE FIELD DESCRIPTION

Patient ID

Visit Number

First Name

Last Name

Size Radio option.

Gender Radio option.

Height

Age

Weig ht

IBW

Enter up to 30 digits for each field. The fields will be cleared when the equipment powers off or enters the standby mode.

Enter information using the virtual keyboard. The system will display prompt messages if the entered information exceeds the allowed range. The system will display <1 if the entered age is younger than 1.

Table 4-2 Patient information

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Page 63

System Interface System Information Title

EDITABLE FIELD DESCRIPTION

Bed

Room

Department

Faci lity

Table 4-2 Patient information

Enter up to 30 digits for each field.

4.2.1.1 Set Patient Information in Anesthesia System

NOTE: The patient type can be changed only when the equipment is in the

standby or manual mode.

1. Select the Patient Information icon to open the Patient Information settings menu.

2. Set the patient information.

3. Select to confirm the change and close the menu.

4.2.1.2 Retrieve Patient Information from ADT Server

The anesthesia system can be connected to the ADT server through eGateway to download patient information from the ADT server.

1. Connect the network cable.

2. Set the network and ensure that the network access is normal.

a. Enter Standby mode.

b. Select the icon to open the [Setup] menu.

c. Select the [System] soft key, enter the system password and confirm the password.

d. Select the [Network] tab in the system menu.

e. Select [ADT] and set the [ADT] to (on) on the pop-up screen.

f. Set [Destination IP] and [Port].

g. Select the [Tes t ] soft key.

h. Confirm that the test result is [Connected].

3. Select the [Find Patient] soft key in the Patient Information menu.

4. Enter the key information on the pop-up screen.

5. Select the [Search] soft key and a list of conforming patient information will be displayed on the

screen.

6. Select the desired patient information in the list and select the [Import] soft key. The imported

data includes patient ID, visit number, first name, last name, bed, room, department and facility.

4.2.1.3 Synchronize Patient Information

With the anesthesia system connected to the eGateway, when key words are entered in the anesthesia system and eGateway recognizes the patient information related to the key words, it will update the patient information to the anesthesia system synchronously. If the patient information in the eGateway is updated, eGateway will also update the information to the anesthesia system synchronously. Synchronizable patient information include: patient ID, visit number, last name, first name, date of birth, age, weight, height and gender.

1. Connect the network cable.

Operator’s Manual of Anesthesia System 4 - 5

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System Information Title System Inter face

Timer icon

2. Set the network and ensure that the network access is normal.

a. Enter Standby mode.

b. Select the icon to open the [Setup] menu.

c. Select the [System] soft key, enter the system password and confirm the password.

d. Select the [Network] tab in the system menu.

e. Select [MD2] and set the [MD2] to (on) in the pop-up screen.

f. Set [Destination IP] and [Port].

g. Select the [Tes t ] soft key.

h. Confirm that the test result is [Connected].

NOTE: Key information is defined by the eGateway. For specific

operations, see the eGateway Integrated Management and Installation Guide.

4.2.2 Timer (Elapsed Timer/Countdown Timer)

Displays the elapsed timer, the countdown timer or both of the two timers. The timer is located in the top left corner of the Main Screen. You can select the Timer icon to open the timer menu. (Figure 4-4)

Figure 4-4 Timer

Elapsed timer

Select the [Start] soft key to start the elapsed timer. Select the [Stop] soft key to stop the elapsed timer. Select the [Reset] soft key to reset the timer.

Countdown timer

Set the remaining time for countdown and select the [Start] soft key to start the countdown. Select the [Stop] soft key to stop the countdown timer. Select the [Reset] soft key to reset the timer. The system will pop up a dialog box and beep when the countdown is over. In the dialog box, select

to turn off the system beep.

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System Interface System Information Title

4.2.3 Alarm and Prompt Message

Displays physiological alarms, technical alarms and prompt messages. The most recent and toppriority alarm is displayed in the topmost section. Other alarms are displayed in the lower section, grouped by priority. In each group, the most recent alarm is displayed on the top of the list. Select the zone to display a list of all active alarms. See the table in Section "Alarms and Prompt Messages" on Pages 8-12 for a list of prompt messages and related priorities. Alarms with a high priority are displayed in red. Alarms with a medium priority are displayed in yellow. Alarms with a low priority are displayed in cyan. Prompt messages are displayed in white (Figure 4-5).

Figure 4-5 Alarms and Prompt Messages

4.2.4 Audio Pause/Alarm Reset icon

Select the [Audio Pause] soft key to display the Audio Pause icon and a 120-second countdown timer, indicating that all the audio alarms will be paused for 120 seconds.

When there is a medium priority or high priority alarm in the active alarms, select the [Alarm Reset] soft key to display the Alarm Reset icon and a 120-second countdown timer, indicating that all the current audio alarms will be paused for 120 seconds.

Figure 4-6 Audio Pause icon

Figure 4-7 Alarm Reset icon

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System Information Title System Inter face

4.2.5 Screen Brightness

Select the screen brightness adjustment icon to adjust the brightness of the Main Screen or Status Screen on the pop-up screen.

indicates the lowest brightness and indicates the highest brightness.

Figure 4-8 Screen brightness adjustment icon

4.2.6 Volume

Select the volume adjustment icon to adjust the alarm volume, the system alert volume, the key click volume on the pop-up screen.

indicates the lowest volume. indicates the highest volume. indicates that the volume is

turned off.

• Alarm Volume: it controls the volume of the physiological alarms and technical alarms.

• System Alert Volume: it controls the alert volume of the ventilation mode not selected and countdown timer

expired. It also controls the volume of Capture Event/Screen and power off.

• Key Click Volume: it controls the volume of key clicking.

Figure 4-9 Volume adjustment icon

4.2.7 Date and Time

Displays the current system date and time (Figure 4-10).

Figure 4-10 Date and time icon

To adjust the date and time:

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System Interface System Information Title

1. Enter Standby mode.

2. Select the icon to open the [Setup] menu.

3. Select the [System] soft key, enter the system password and confirm the password.

4. Select the [Setup] tab in the system menu.

5. Select the [Time/Date] tab.

6. Adjust [24 Hour Time], [Time Zone], [Date], [Time], [Date Format] and [Daylight Savings

Time] in the pop-up menu. See (Pages 4-37) 4.7.8.2 "Setup".

NOTE: Select [Daylight Savings Time], if applicable, before performing

other settings.

7. Select to confirm the changes.

4.2.8 Battery Status

Displays the main power supply and battery status(Figure 4-11).

Figure 4-11 Battery status icon

The power management system of the equipment supplies AC power to primary system features and charges the internal battery of the system. When the AC power supply suffers a fault, the equipment will be powered by the battery. See "Electrical Specifications" on Pages 10-6.

The equipment provides four (4) auxiliary AC power outlets. When the equipment is powered by its internal battery, the auxiliary AC power outlet is not live.

NOTE: To extend the service life of the battery, please use the battery at least

once every three months. Charge the battery before the battery runs out.

NOTE: Check and replace the battery regularly. The service life of the battery

NOTE: The battery’s power supply time depends on the equipment

NOTE: In the event of a fault with the battery, contact our company's

depends on the frequency and duration of use. Improper use of the battery may shorten its service life. It is recommended that the lead acid battery be replaced once every three (3) years.

configuration and operation.

maintenance personnel for replacement.

The anesthesia system is equipped with an internal chargeable battery to ensure normal operation of the system in a power failure. When the equipment is connected to an AC power supply, the battery is charged regardless of whether the equipment is on or off. In the event of a sudden power failure, the system will automatically switch to the battery power supply mode without interrupting the operation of the system. When the AC power supply resumes within a specified period of time, the battery will start to be charged and the system will automatically switch from the battery to the AC power supply to ensure continuous operation.

When the power failure lasts shorter than 60 seconds (inclusive), the alarming settings before the power failure will be automatically restored.

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Fresh Gas Flow Display System Interface

The battery icon on the screen indicates the status of the battery.

PARTS DESCRIPTION

Battery is fully charged. AC power supply is connected. Equipment is powered by the AC power supply. The solid part of the battery icon represents the remaining battery level.

Battery is partially charged. AC power supply is connected and charging the battery. Equipment is powered by the AC power supply.

Battery is fully charged. AC power is not connected. Equipment is powered by the internal battery.

Battery is partially charged. AC power is not connected. Equipment is powered by the internal battery.

Battery is low. The battery should be charged immediately to work as a safe backup power supply. AC power is not connected. Equipment is powered by the internal battery.

Battery is not installed.

Table 4-3 Battery status

Low battery may cause power supply faults. The equipment will trigger a high priority alarm and display [Low Battery Voltage!] in the Technical Alarm area. In this case, use the AC power supply to power the anesthesia system to resume its normal operation and charge the battery.

4.3 Fresh Gas Flow Display

4.3.1 Electronic Flow Control System

Displays the real-time flow of O2 or balance gas. The balance gas can be set to air or N2O.

The flow meter numerics display a precision to two decimal digits for flows < 1 L/min and one decimal digit for flows ≥ 1 L/min.

In this equipment, the electronically-controlled flow meter is called the Electronic Flow Control System (hereinafter referred to as the EFCS). EFCS has two control modes available: Total Flow and Direct Flow.

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System Interface Fresh G as Flow Di splay

Displays the O2 flow

Displays the flow of the balance gas

Sets the total flow of the

O2 and the balance gas

Sets the O2 concentration

The OPTIMIZER® indicator, is used to indicate the relationships between the settings and the optimizers. The green zone displays the OPTIMIZER®.

4.3.1.1 Total Flow Control Mode

The total flow control mode of the EFCS is shown in the figure below:

Figure 4-12 Total Flow Control Mode

Select the soft key in fresh gas flow display zone and open the following total flow control menu.

Figure 4-13 Total Flow Control menu

You can perform the following settings in the Total Flow Control menu:

• Set 100% O2 flow rate using quick keys.

• Set the [Control Mode] to [To tal Flo w] or [Direct Flow].

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Fresh Gas Flow Display System Interface

Displays the O2 flow

Displays the flow of the balance gas

Set the O

flow

Set the balance gas flow

The OPTIMIZER® indicator, is used to indicate the relationships between the settings and the optimizers. The green zone displays the OPTIMIZER®.

• Set the [Balance Gas] to [Air], [N

O] or [None].

• Set the total flow.

• Set the O

concentration value.

4.3.1.2 Direct Flow Control mode

The direct flow control mode of the EFCS is shown in the figure below:

Figure 4-14 Direct Flow Control mode

Select the soft key in fresh gas flow display zone and open the following direct flow control menu.

Figure 4-15 Direct Flow Control menu

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System Interface Fresh G as Flow Di splay

Triangle pointer

OPTIMIZER® zone

Indication

You can perform the following settings in the Direct Flow Control menu:

• Set 100% O2 flow rate using quick keys.

• Set the [Control Mode] to [To tal Flo w] or [Direct Flow].

• Set the [Balance Gas] to [Air], [N

• Set the balance gas flow.

• Set the O

flow.

O] or [None].

4.3.1.3 OPTIMIZER®

WARNING: The fresh gas OPTIMIZER® indicator must not be used when high-flow

NOTE: The OPTIMIZER® is effective only when the anesthesia system is

NOTE: The OPTIMIZER® feature will become ineffective and unavailable when

fresh gas is needed.

configured with the AG or the anesthesia system has access to the AG or CO

data from the monitor (Passport 12M / 17M), and the anesthesia

system is in the automatic ventilation mode.

the data for OPTIMIZER® calculation is not valid.

The OPTIMIZER® indicator, is used to indicate the relationships between the settings and the optimizers.

The green zone displays the OPTIMIZER® in a 1L/min range. The triangle pointers indicate the measured value of the total flow. If the triangle pointers are higher than the green zone, the triangle pointers and the indication text of [High] are in yellow. If the triangle pointers are in the green zone, the triangle pointers and the indication text of [Efficient] are in green. If the triangle pointers are lower than the green zone, the triangle pointers and the indication text of [Low] are in red (Figure 4-

16).

Figure 4-16 OPTIMIZER®

To enable or disable the OPTIMIZER® indicator, do the following:

1. Enter Standby mode.

2. Select the icon to open the [Setup] menu.

3. Select the [System] soft key, enter the system password and confirm the password.

4. Select the [Setup] tab in the system menu.

5. Select the [Optimizer] tab.

6. Set [Optimizer] to (off ) or (on).

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Fresh Gas Flow Display System Interface

If the anesthesia system is connected with the monitor, the anesthesia system can have access to the AG or CO2 data from the monitor (Passport 12M / 17M). Perform the following operations:

1. The network cable is connected to the ethernet interface of the anesthesia system on one end

and connected to the ethernet interface of the monitor on the other end.

2. Enter Standby mode.

3. Select the icon to open the [Setup] menu.

4. Select the [System] soft key, enter the system password and confirm the password.

5. Select the [Network] tab in the system menu.

6. Select the [Optimizer Source] tab.

7. Set the [IP Address] and [Multicast Address].

NOTE: The IP addresses of the anesthesia system and the monitor

must be in the same segment.

8. Select the [Tes t ] soft key. Make sure that the test result is [Pass].

The OPTIMIZER® indicator is invalid in the following circumstances:

• The automatic circuit leak test is not executed or fails.

• The Vt, MV, EtCO

• The alarms listed in the following table are triggered.

or FiCO2 parameter values are invalid.

ALARM MESSAGES

Apnea Yes

Apnea>2 min Yes

Apnea CO

Flow Sensor Failure Yes

Check Flow Sensors Yes

Pinsp Not Achieved Yes

Vt Not Achieved Yes

Patient Circuit Leak Yes

Ventilator Control Board Communication Stopped Yes

Drive Gas Pressure Low Yes

AG Module Error Yes

AG Self Test Error Yes

AG No Watertrap Yes

AG Change Watertrap Yes

AG Airway Occluded Yes

AG Zero Failed Yes

EtCO

FiCO

Absorber Canister Not Locked Yes

Over Range Yes

THE OPTIMIZER® INDICATOR BECOMES INVALID WHEN AN ALARM IS TRIGGERED

Yes

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System Interface Waveform/Parameter/Spirometry/Trend Display Zone

4.3.2 Backup Flow Control System

If the EFCS fails, the system automatically opens the Backup Flow Control System (hereinafter referred to as the BFCS) cover, and adjusts the gas flow with the needle valve of flowmeter. Before the EFCS is restored, you cannot disable the BFCS.

The BFCS screen is shown in the figure below:

Figure 4-17 Backup Flow Control System

After the BFCS is enabled, the system will automatically provide O valve to adjust the flow, and the flow will increase the flow from 1L/min. The total flowmeter is used to display the total flow. With the O calculate the O2 flow and balance gas flow. By pressing the [Audio Pause] or [Alarm Reset] button, you can disable the audio alarm of [Backup Flow Control is enabled].

When the EFCS is still on, you can pull the BFCS cover outward to start the BFCS. To disable the BFCS, close all the needle valves and press the [Disable Backup Flow Control] button on the screen. Then select [Ye s ] in the pop-up dialog box and close the BFCS cover to disable the BFCS.

When the [Low Battery Voltage!] alarm shows, the system will prompt to use the BFCS to control the flow. Please connect the system to an AC power supply as soon as possible.

concentration displayed on the screen, you can manually

flow at 1L/min. Rotate the needle

4.4 Waveform/Parameter/Spirometry/Trend Display Zone

Displays the pressure, flow rate, volume, CO2, O2, N2O, and AA waveforms; displays the monitoring parameters; displays spirometry; displays the mini trends and compl/PEEP trends.

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Waveform/Parameter/Spirometry/Trend Display Zone System Interface

Select this control to set the desired waveforms, parameters, spirometry and trends to display.

Select this control to set the desired spirometry screen to display.

Select the control to expand or collapse the zone on the right.

Scroll bar. Generally, scrolling the bar will show more data.

Figure 4-18 Waveform/parameter/spiometry/trend display zone

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System Interface Waveform/Parameter/Spirometry/Trend Display Zone

Select this control to select the desired waveforms and monitoring parameters to display on the pop-up screen.

Waveform and its monitoring parameters

Monitored parameters

4.4.1 Waveform/Parameter Screen

Displays the pressure, flow rate, volume, CO2, O2, N2O, and AA waveforms and monitoring parameters.

Figure 4-19 Waveform/parameter screen

4.4.2 Spirometry Screen

Spirometry loops reflect patient lung function and ventilation. They also indicate other related parameters such as compliance, over-inflation, breathing system leak, and airway blockage.

The system provides three types of spirometry loops: pressure - volume loop, flow - volume loop and pressure - flow loop. Loops data comes from pressure and flow data. A maximum of two loops are displayed at a time.

Four soft keys are displayed on the Spirometry screen: Loop Type, Show Reference, Save Loop and Review Loops.

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Waveform/Parameter/Spirometry/Trend Display Zone System Interface

Standard Spirometry

Select this control to expand the large loop screen. (The large loop screen displays one loop.)

Loop Type

Show Reference

Save Loop Review Loops

Figure 4-20 Spirometry (standard loop screen, two loops are displayed)

4.4.2.1 Loop Type

The [Loop Type] option is used to display the P-V, the F-V, or the P-F loop on the spirometry screen.

Figure 4-21 Soft keys of loops: Loop Type, Show Reference, Save Loop and Review Loops

4.4.2.2 Show Reference

Select [Show Reference] softkey only after saving a baseline via the [Save Loop] softkey.

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System Interface Waveform/Parameter/Spirometry/Trend Display Zone

[Show Reference] soft key is used to select and display the saved baseline loop and reference loop, or hide the loops (disable) in the loop window. The selected baseline loop or reference loop will be shown overlapped with the current loop. Only the most recent four reference loops saved will be displayed in the chronological order.

After the reference loop or baseline loop to display in the loop window are selected, the timestamp will also be displayed.

4.4.2.3 Save Loop

Select the [Save Loop] soft key to save the current loop (including its monitoring parameter data) as a baseline loop or reference loop. You can save a maximum of one baseline loop and four reference loops. Other loops can be saved to replace the baseline loop or reference loops. Only the most recent four reference loops are saved.

Review the saved baseline or reference loop with its numeric data (via [Review Loops] softkey) or displayed with the currently plotting loop on the same graph for comparison (via [Show Reference] softkey).

NOTE: A reference loop cannot be saved without first saving a baseline loop.

To save a baseline loop:

1. On the Spirometry Screen, select the [Save Loop] soft key. If no baseline loop has been saved,

the current loop will be automatically saved as a baseline loop.

2. If a baseline loop has been saved, a dialog box will pop up, offering the [baseline loop] and

[reference loop] options. After saving a loop as a [baseline loop], a confirmation box will pop up with a prompt message saying [Selecting 'Yes' will overwrite the current baseline loop saved. Confirm to continue?]. If [Ye s ] is selected, the currently saved baseline loop will be replaced. If [No] is selected, the save will be canceled.

To save a reference loop:

1. On the Spirometry Screen, select the [Save Loop] soft key. If a baseline loop has been saved,

a dialog box will pop up, offering the [baseline loop] and [reference loop] options. Select [reference loop].

You can save a maximum of four (4) reference loops and one (1) baseline loop along with their monitoring parameter data.

When the maximum of four (4) loops is reached, and the user attempts another save, a confirmation dialog will be displayed with the following text, [Selecting 'Yes' will overwrite the earliest saved reference loop. Confirm to continue?]. If [Ye s] is selected, the oldest data will be removed as the new data is added. If [No] is selected, the save will be canceled.

The System always makes the first saved loop as the baseline loop if no previous loops have been saved. Afterward, additional loops can be saved either as a baseline replacement or as a new reference loop.

4.4.2.4 Review Loops

Select the [Review Loops] soft key to display the [Review Loops] screen, with the following zones and options available:

Small Loop Window: These small loop windows display the baseline loop and the reference loops. The baseline loop (only one) is always displayed on the top. The reference loops (four at most) are displayed under the baseline loop. The reference loops are sorted in the chronological order from the earliest (up) to the latest (bottom).

The baseline loop information is displayed on the right side of the small baseline loop window.

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Waveform/Parameter/Spirometry/Trend Display Zone System Interface

Digital data zone

Selected loops (small)

Selected reference loops (large)

Delete a loop

Unselected loops

Loop Type

Large Loop Window: The loop window displays the enlarged view of the selected reference loop and is shown overlapped with the baseline loop.

Loops Type: Used to select the type of the loop to be reviewed. P-V loop, F-V loop and P-F loop options are available. P-V loop is the default option.

Delete Loops: The [Delete] option is used to delete a selected reference loop. After a reference loop is deleted, the new reference loop will move to the top. If no reference loops have been saved, the [Delete] key will be disabled (turning gray). The baseline loop cannot be deleted. It can only be replaced by a new baseline loop.

Figure 4-22 Review Loops window

Parameter data zone: Displays the monitoring parameter data related to the saved baseline loop and reference loops. Listed parameters include: time, minute expiratory volume (MV Exp), minute

inspiratory volume (MV Insp), expired tidal volume (Vt Exp), inspiratory tidal volume (Vt Insp), inspiration/expiration ratio (I:E), positive end-expiratory pressure (PEEP), respiratory rate (RR), peak inspiratory pressure (PEAK), inspiratory plateau pressure (Pplat), mean pressure (Pmean), dynamic airway compliance (Compl) and airway resistance (Raw).

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System Interface Waveform/Parameter/Spirometry/Trend Display Zone

Freeze softkey

Select this control to close the large loop screen and return to the standard loop screen. (The standard loop screen displays two loops.)

4.4.2.5 Freeze loop

Select the key to expand the large Spirometry loop screen, which contains the Freeze softkey.

When the Freeze softkey is selected, the system enters the Freeze status. The system pauses real-time refreshes of Spirometry on the screen to facilitate a brief review of the patient's data for more in-detail examination of the patient's conditions within the period of time. Tap the screen or rotate the main control knob to move the cursor to view the value at any point on the spirometry loop. Select the Freeze softkey again to exit the Freeze status. In Freeze status, if no operation is performed on the system for more than three minutes, the system exits Freeze status automatically.

Figure 4-23 Freeze loop (large loop screen, only one loop is displayed)

4.4.3 Mini Trends Screen

Mini trends screen displays trend waveforms that correspond to the waveforms. The Mini Trends duration can be set as follows:

1. Select the icon > [Screen] tab.

2. Set [Mini Trends Duration] to [5 Min], [15 Min], [30 Min], [1 Hour] or [2 Hour].

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Waveform/Parameter/Spirometry/Trend Display Zone System Interface

Mini Trends

Select this control to enable or disable the mini trends waveform on the pop-up screen.

Compl/PEPP trend

Select this control to enable or disable the Compl/PEEP trend on the pop-up screen.

Figure 4-24 Mini Trends

4.4.4 Compl/PEEP Trend Screen

Compl and PEEP trend waveforms are displayed at the same time on the pop-up screen. The Compl/ PEEP Trend duration can be set as follows:

1. Select the icon > [Screen] tab.

2. Set [Mini Trends Duration] to [5 Min], [15 Min], [30 Min], [1 Hour] or [2 Hour].

Figure 4-25 Compl/PEEP Trend

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System Interface Ventilation Mode Tabs

Ventilation mode zone

Setting paremeter zone Ventilation mode custom

soft key

System soft keys

4.5 Ventilation Mode Tabs

Displays tabs for ventilation modes. Each tab displays the ventilation mode and its parameters.

The ventilation modes on the screen can be customized. Select ventilation mode custom soft key to open [Vent Mode Setup] menu. In the opened menu, set the ventilation modes to be displayed in ventilation mode zone. The system will add one ventilation mode at a time according to the order of selection.

Figure 4-26 Ventilation Mode Tabs

To change the ventilation mode:

1. Select the desired ventilation mode tab, the [Set Mode] soft key will turn green and start to flash.

2. Optionally, select one or more parameter buttons to change the parameter settings of the

desired ventilation mode. Select " " in the pop-up dialog box of parameter settings to confirm the changes to the parameter.

3. Select the [Set Mode] soft key to finalize the ventilation mode.

NOTE: If the [Set Mode] soft key is not selected after several seconds,

the system will give audio alerts and then the desired ventilation mode will be canceled.

4.6 System Soft Key

System soft keys are provided on the right side of the Main Screen.

Figure 4-27 System soft keys

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System Soft Key System Inter face

Time of current cursor

4.6.1 History

Select the [History] soft key on the Main Screen to open the [History] menu. The menu contains the List Trends, the Graphic Trends, the Event Log, Screen and Export tabs. The List Trends, Graphic Trends and Event Log tabs on the History screen are associated. When you switch among the tabs, the cursor is automatically positioned to the record that is related to the previous page.

4.6.1.1 List Trends

On the [List Trends] screen, you can view the parameter data and events of a patient. If no display interval is set, the trends will be displayed based on the data with an interval of one minute by default.

Figure 4-28 List Trends

4.6.1.1.1 About List Trends

• The horizontal coordinates of a list trend show the time and date.

• List Trends displays the parameter name on the vertical axis and it is always visible.

• List Trends displays the trend records in descending order beginning with the most recent on the right side of

the grid.

• Graphic Trends are not stored when the system is in standby.

• List Trends can display the trend data of 48 consecutive hours.

• List Trends highlights the parameter data in the corresponding alarm color if an alarm condition existed for

the parameter at the time of trend record storage.

4.6.1.1.2 List Trend Events Buttons

Drag the horizontal or vertical progress bar to view the updated trend data.

BUTTON FUNCTION

Previous Event

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The cursor moves from the current event to the previous event.

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System Interface System Soft Key

Current cursor. The corresponding time is displayed on top of the cursor. If an alarm is issued at this time, the corresponding alarm information will also be displayed on top of the cursor.

A standby event happened at this time point.

The parame ter data of the time indicated by cursor.

Event marker. The dotted, colored line indicates an event occurred at that time. Event includes standby event and parameter alarm event. A standby event is marked with a dotted line in white. For physiological alarm occurrence, the dotted line is in the same color as alarm. If multiple events occurred, dotted line is in same color as the event of the highest alarm level. The event level can be specified as: high alarm level event > medium alarm level event > low alarm level event > capture event.

BUTTON FUNCTION

Next Event

The cursor moves from the current event to the next event.

Table 4-4 List Trend Events Buttons

4.6.1.1.3 Display Interval

In the List Trends menu, you can set the display interval to [1 Min], [5 Min], [10 Min], [15 Min], [30 Min], [1 Hour] and [2 Hour].

4.6.1.1.4 Display Group

In the List Trends menu, you can set the display group to [Gas], [Gas Flow], [Ventilator] and [All].

4.6.1.2 Graphic Trends

Graphic trends display allows the user to observe the trend of the physiological parameters. The trend is reflected through a curve. Every point on the curve corresponds to the parameter value at a specific time point. Graphic trends can also record standby and parameter alarm events Graphic trend data automatically displays in one minute intervals unless the zoom is selected.

Operator’s Manual of Anesthesia System 4 - 25

Figure 4-29 Graphic Trends

4.6.1.2.1 About Graphic Trends

• Graphic Trends store the data with the interval in 1 minute.

• Graphic Trends displays the trend records in descending order beginning with the most recent.

• Graphic Trends are not stored when the system is in standby.

• The display period of data is a rolling 48 hours of continuous data.

• Graphic Trends highlights the parameter data in the corresponding alarm color if an alarm condition existed

for the parameter at the time of trend record storage.

4.6.1.2.2 Graphic Trend Events Buttons

Drag the horizontal or vertical progress bar to view the updated trend data.

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System Soft Key System Inter face

BUTTON FUNCTION

Previous Event

Next Event

Table 4-5 Graphic Trend Events Buttons

The cursor moves from the current event to the previous event.

The cursor moves from the current event to the next event.

4.6.1.2.3 Zooming

In the Graphic Trends menu, you can set the zooming to [1 Min], [5 Min], [10 Min], [15 Min], [30 Min], [1 Hour] and [2 Hour].

4.6.1.2.4 Display Group

In the Graphic Trends menu, you can set the display group to[Gas], [Gas Flow], [Ventilator] and [All].

4.6.1.3 Event Log

The [Event Log] tab can record the technical alarms, physiological alarms, capture events, power-off delays, standbys, canceled power-off delays, system time changes, lung recruitments, system selftests and leak tests.

Figure 4-30 Event Log

NOTE: Event logs will not be cleared after the anesthesia system powers off.

NOTE: The system can store up to 10,000 events. After the number of events

exceeds 10,000, the earliest event will be overwritten by the latest event.

4.6.1.3.1 Filter

In the Event Log menu, you can set [Filter] to [High], [Medium], [Low], [Informational], [Activity] and [All On].

4.6.1.4 Screen

You can select and delete captured screens. Select the [Capture Event/Screen] soft key on the Main Screen to capture the current screen and save it as an image. You can save up to 50 captured screens.

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System Interface System Soft Key

4.6.1.5 Export

Insert a U disk to the USB interface of the equipment as per the prompts on the screen. Select the [Export] soft key to export list trends, graphic trends, event logs and captured screens to the U disk. The exported data is in the format of .html. Files in the format can be opened in Internet Explorer 8.0,

9.0, 10.0 and 11.0.

4.6.2 Lung Recruitment (Optional)

See (Pages 6-14) 6.6.10 "Lung Recruitment Ventilation (Optional)".

4.6.3 Flow Pause

Use [Flow Pause] to temporarily suspend fresh gas flow during the ventilation. Using [Flow Pause] while the breathing system is disconnected from patient prevents the flow of gas into the room. [Flow Pause] is available during both mechanical ventilation and manual ventilation.

To e nt er the [Flow Pause] state:

1. On the Main Screen, select the [Flow Pause] soft key.

2. Select [Ye s] on the pop-up screen to confirm the change. The system will enter the [Flow

Pause] state.

Figure 4-31 Flow pause

When the system is in the [Flow Pause] state:

• The fresh gas flow is turned off.

• The mechanical ventilation is suspended.

• Physiological alarms related to ventilation and gas are disabled.

• The countdown timer is enabled. The default countdown time is 60 seconds. You can select [+30 sec] button

to add 30 seconds to the current countdown time. The maximum countdown time is 2 minutes.

To exit the [Flow Pause] state:

• The system exits the [Flow Pause] state automatically when the countdown time is 00:00.

• Select [End Flow Pause] button to exit the [Flow Pause] state.

• The system exits the [Flow Pause] state automatically when the system enters Standby mode or the BFCS is

enabled.

After the system exits from the [Flow Pause] state:

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• The fresh gas flow resumes at the settings from before entering the [Flow Pause] state.

• Ventilation resumes in the same ventilation mode and with the same parameter settings as before entering

the [Flow Pause] state.

• Physiological alarms related to ventilation and gas are enabled.

4.6.4 Cardiac Bypass Mode

See (Pages 6-19) 6.7.3 "Cardiac Bypass Mode".

4.6.5 Screens

Select the [Capture Event/Screen] soft key, and the system will save the current screen as an image in the [png] format and log the current monitoring and event to the Event Log (See Pages 4-26 "Event Log" ). The anesthesia system can store up to 50 images.

4.6.6 Alarms

Select the [Alarms] soft key on the Main Screen to open the [Alarms] menu where you can set the alarm limits and view active alarms (See (Pages 8-1) 8.0 "Alarms and Messages").

4.6.7 Alarm Reset

See (Pages 8-8) 8.6 "Setting Alarm Limits".

4.6.8 Audio Pause

See (Pages 8-7) 8.4 "Pause Alarm Audio".

4.7 Setup Menu

Select the icon to open the [Setup] menu (Figure 4-33).

NOTE: The [System] soft key is only available in the standby mode.

NOTE: The [Service] tab is for use only by Mindray Technical Service. Please

contact Mindray Technical Support for details.

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4.7.1 Ventilation

Figure 4-32 Ventilation (taking AG module configuration for example)

Vt/IBW

The system calculates the default tidal volume in the ventilation mode based on the [Vt/IBW] value. It is available for the VCV, SIMV-VC, PCV-VG, and SIMV-VG modes.

Vt Source

Set the [Vt Source] to [IBW] or [Patient Type]. When the [Vt Source] is set to [Patient Type], changes to [IBW] won't impact [Vt] setting. When the [Vt Source] is set to [IBW], changes to [IBW] will impact [Vt] and [RR] settings based on the aforementioned Vt/IBW result.

Time Control

When [Time Control] is set to [I:E], the time control parameter in the VCV, PCV and PCV-VG ventilation modes is [I:E], and that in the PS and CPAP/PS ventilation modes is [Apnea I:E]. When [Time Control] is set to [Tinsp], the time control parameter in the VCV, PCV and PCV-VG ventilation modes is [Tinsp], and that in the PS and CPAP/PS ventilation modes is [Apnea Ti].

Pressure Display

Set the pressure monitoring to display on the Main Screen to [Plat] or [Mean].

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Plimit Line

Set the [Plimit Line] to (off ) or (on). The Plimit line function displays a dashed line in the Pressure waveform area to indicate the Plimit position. The Plimit line can be displayed in VCV, SIMV-VC, SIMV-VG and PCV-VG modes.

NOTE: The Plimit line does not affect the auto-scaling algorithm. If the Plimit

line is turned on but not visible, it may be because the line is positioned off the waveform scale.

Breathing System Warmer

The [Breathing System Warmer] can be set to (off ) or (on). If the [Breathing System Warmer ] is (off ), or if AC power is not connected, the system displays an icon to indicate that

the warmer is not active.

After cycling power, the Breathing System Warmer will return to the default state.

NOTE: The Breathing System Warmer is inactive when the equipment is

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4.7.2 Oxygen (O2)

Figure 4-33 Oxygen (O2)

Calibrate O2 Sensor

You can select the [Calibrate O2 Sensor] button to calibrate the O2 sensor. Follow the prompts on the screen to perform the operation: See "21% Oxygen Calibration" on Pages 9-4 for more information.

4.7.3 AG Settings (AG module configured)

See (Pages 7-1) 7.0 "Anesthetic Gases and O2 Concentration Monitoring" for more information.

4.7.4 Information

Displays the software version, network setup information and other related information of the equipment. The information is for view purpose only and does not support modifications.

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Figure 4-34 Information

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4.7.5 Screen

Figure 4-35 Screen

CO2 Location

When the AG module is configured, the system will display the CO2 waveform on the Main Screen. The [CO2 Location] can be set to [To p] or [Bottom]. Based on the [CO2 Location] setting, the system displays the CO2 waveform at the corresponding location on the Main Screen.

Mini Trends Duration

See (Pages 4-21) 4.4.3 "Mini Trends Screen" and (Pages 4-22) 4.4.4 "Compl/PEEP Trend Screen".

Screen Saver

Set the delay time for entering the screen saver or disable the screen saver feature by setting it OFF. When the system enters the screen saver status, the status screen is displayed as blank, and the Main Screen displays Mindray at random locations as the screen saver. The system will exit from the screen saver when it detects the following operations:

• A touch on the Main Screen

• An operation on the main control knob

• An operation on either Flow Control Knob

• The BFCS cover is opened/closed

• The ACGO is enabled

•The HFNC is enabled

• The Auto/Manual switch is flipped

• A module is inserted/withdrawn (AG module)

• An alarm is issued

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Clean Screen

When the [Clean] soft key is selected, the system will lock the screen for 10 seconds so that the display can be cleaned.

4.7.6 Export System Data

Figure 4-36 Export System Data

The anesthesia system can export system data. The system data includes the equipment information, logs, monitoring data, system information, historical data, captured screens and network information.

To export data from the system, follow the steps below:

1. As per the instructions on the screen, insert a U disk to the SB interface of the anesthesia system.

The icon is displayed on the Main Screen.

2. Select the [Export] soft key, and the system will check the remaining space of the U disk. If the

remaining space is enough, the system will export the system data. Exported file is encrypted in the format of blg except the captured screens.

3. After the export is complete, select the icon.

4. Select [Ye s] in the pop-up dialog box, and remove the U disk.

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4.7.7 Calibrate

Figure 4-37 Calibrate

Follow the prompts on the screen to calibrate the flow sensor. See (Pages 9-4) 9.3 "Flow Sensor Calibration" for more information.

4.7.8 System

The [System] menu is accessible only by authorized administrative service personnel with password access. The [System] menu can only be accessed in Standby mode.

NOTE: The authorized administrator should change the default password

4.7.8.1 Calibrate

immediately after the system is installed to prevent unauthorized access to the System menu. The password may contain up to 30 digits including numbers, letters (case sensitive) and special characters.

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Figure 4-38 Setup > System > Calibrate menu

MENU DESCRIPTION

sensor

Select [Begin] to calibrate the O See (Pages 9-4) 9.4 "O

Select [Begin] to zero the flowmeter and follow the prompts on the screen.

Zero Flow Meters

NOTE: Before zeroing the flowmeter, make sure that the gas

supply (O2, N2O and air) is disconnected.

Zero HFNC

AG module

Internal AG module

This menu shows when you configure the HFNC function. Select [Begin] to zero the HFNC module and follow the prompts on the screen.

This menu shows when you configure the AG module. See (Pages 7-11)

7.11 "Calibrate the AG Module".

This menu shows when you configure the internal AG module. See (Pages 7-11)

7.11 "Calibrate the AG Module".

Table 4-6 Calibrate menu

sensor and follow the prompts on the screen.

Sensor Calibration".

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4.7.8.2 Setup

Figure 4-39 Setup > System > Setup menu

MENU OPTION DESCRIPTION

When [Insp Pressure] is set to [Pinsp], the inspiration pressure parameter in the PCV and SIMV-

Ventilation Insp Pressure

PCV ventilation modes is [Pinsp]. When [Insp Pressure] is set to [ΔPinsp], the inspiration pressure

parameter in the PCV and SIMV-PCV ventilation modes is [ΔPinsp].

Table 4-7 Setup menu

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MENU OPTION DESCRIPTION

When the [Alarm Reset] is enabled, the Main Screen

Alarm Reset

will display the [Alarm Reset] soft key. When the [Alarm Reset] is disabled, the Main Screen will not display the [Alarm Reset] soft key.

When the [Capture Event/Screen] is enabled, the Main Screen will display the [Capture Event/

Capture Event/Screen

Screen] soft key. When the [Capture Event/Screen] is disabled, the Main Screen will not display the [Capture Event/Screen] soft key.

When the [Lung Recruitment] is enabled, the Main Screen will display the [Lung Recruitment] soft key.

Quick Key

Lung Recruitment (Optional)

When the [Lung Recruitment] is disabled, the Main Screen will not display the [Lung Recruitment] soft key.

When the [Flow Pause] is enabled, the Main Screen

Flow Pause

will display the [Flow Pause] soft key. When the [Flow Pause] is disabled, the Main Screen will not display the [Flow Pause] soft key.

When the feature is enabled, the [Bypass] soft key on the Main Screen is available in both the Auto

Bypass in Auto mode

Ventilation mode and Manual Ventilation mode. When the feature is disabled, the [Bypass] soft key is only available in the Manual Ventilation mode.

When the feature is enabled, related parameters of

AG (AG module configured )

Null for 30s from zeroing

Types o f Age nt

AG module will be invalid within 30s of starting zeroing AG module. When the feature is disabled, related parameters of AG module will be normal within 30s of starting zeroing AG module.

Set the types of anesthetic agent which need automatic recognition.

Language Sets the user interface text language.

Pressure Unit Sets the unit for pressure.

Unit Sets the unit for CO2.

Language/ Unit

Gas Supply Pressure Sets the unit for the gas supply pressure.

Agent Cost Unit Sets the agent cost unit.

Patient Height Sets the unit for patient height.

Patient Weight Sets the unit for patient weight.

Optimizer Enables or disables the OPTIMIZER® feature.

Optimizer

Agent Usage

Enables or disables the agent usage calculation feature.

Cost/ml of Liquid Agent Sets the cost of anesthetic agent per ml.

Configure the Clear History setting at the end of the

History Clear History

case. When this feature is enabled, the standby screen displays the [Clear History will delete all

List Trends and Event Logs at the start of case!].

Table 4-7 Setup menu

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MENU OPTION DESCRIPTION

24 Hour Time Enables or disables the 24 Hour Time.

Time Zone Selects to set the UTC time zone.

Time Sets the current time.

Date Format Sets the date format.

Date Sets the current date.

The [Daylight Savings] can be set to [Auto], [On] or [Off]. When the [Daylight Savings] is set to [Auto], the start time and end time of the daylight savings

Time/Date

Daylight Savings

should be set. When the [Daylight Savings] is set to [On], the system time is automatically adjusted. If the region or country where the equipment is

Daylight Savings

installed does not observe the daylight savings, set the [Daylight Savings] to [Off].

Sets the start time of [Daylight Savings]. If the

Start

[Daylight Savings] is set to [On] or [Off ], this setting cannot be selected.

Sets the end time of [Daylight Savings]. If the

End

[Daylight Savings] is set to [On] or [Off ], this setting cannot be selected.

Current Password Changes the system password. The authorized

New Password

Change Password

Confirm Password

administrator should change the default password immediately after the system is installed to prevent unauthorized access to the System menu. The password may contain up to 30 digits including numbers, letters (case sensitive) and special characters.

Quick Key 1

The quick key for the [Fresh Gas Control] menu can be set here. The option can also be used to set the flow rate and O

concentration.

Select to set the default fresh gas total flow when coming out of standby.

Flow Control

Quick Key 2

Quick Key 3

Quick Key 4

Total F low

Table 4-7 Setup menu

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4.7.8.3 Profiles

Figure 4-40 Setup > System > Profiles menu

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MENU OPTION DESCRIPTION

Delete 10 factory profiles are displayed by default. In practical application, the

Rename

Edit

Create

Import /

Export /

operator may make some changes to some settings and these changes can be saved as user profiles. The anesthesia system saves the profiles in real time and the saved profiles are called recent profiles.

Save User Profile: Select the [Create] soft key to set the profile name on the pop-up screen. After the profile is confirmed, the system will save the current profile as a user profile.

Restore Factory Profile: Select a user profile, and select the [Delete] soft key. The system will delete the user profile and restore the factory profile.

Load Profile Manually:

• In the standby mode, select the [Current Profile: xxxx] soft key and select the desired profile on the pop-up screen.

• Select the [Manual] ventilation mode, and select the [Load Profile] soft key on the pop-up screen, and then select the desired profile on the pop-up screen.

When the anesthesia system restarts within 60 seconds after an power outage, the system can automatically restore the recent profile. If the power outage lasts longer than 120 seconds, the anesthesia system will automatically load the user profile before the shutdown. If the power outrage lasts between 60 to 120 seconds, the anesthesia system may automatically restore the recent profile or automatically load the user profile before the shutdown.

Insert a USB storage device into the SB interface of the anesthesia system and import the profile duplicate from the USB storage device as per the prompts on the screen.

Insert a USB storage device into the SB interface of the anesthesia system and export the profile duplicate to the USB storage device as per the prompts on the screen.

Table 4-8 Profiles menu

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4.7.8.4 Network

Figure 4-41 Setup > System > Network menu

4 - 42 Operator’s Manual of Anesthesia System

Mindray A8 Operating Instruction

Specifications and Main Features

Frequently Asked Questions

User Manual

Table of Content

Intellectual Property Statement

Responsibility on the Manufacturer Party

Warranty

Exemptions

Phone Numbers and How To Get Assistance

Manufacturer and Address

Foreword

Intended Audience

Illustrations

Responsibilities of Operators

Safety

1.1 Safety Information

1.1.1 Warnings

1.1.2 Cautions

1.1.3 Notes

1.2 Symbols

Product Description

2.1 Introduction

2.1.1 Indications For Use

2.1.2 Structure and Composition

2.1.3 Functions and Features

2.2 Equipment Views

2.2.1 Main Unit (Front View)

2.2.2 Main Unit (Rear View)

2.2.3 Main Unit (Left View)

2.2.4 Main Unit (Right View)

2.2.5 Main Unit (Top View)

2.2.6 Breathing System

2.2.7 Negative Pressure Suction Device

Installation and Disassembly

3.1 Unpacking

3.2 Initial Setup

3.3 Breathing System

3.4 Vaporizer

3.4.1 Filling and Draining the Vaporizer

3.5 Negative Pressure Suction Device

3.5.1 Turn on Negative Pressure Suction Device

3.5.2 Turn off Negative Pressure Suction Device

3.6 High-flow Nasal Cannula Oxygen (HFNC) Tube

3.7 Anesthetic Gas Scavenging System (AGSS)

3.7.1 Active AGSS

3.7.2 Passive AGSS

3.8 Connect Anesthesia System with Information System

3.8.1 Connect Anesthesia System with Information System Through Serial Interface

3.8.2 Connect Anesthesia System with Information System Through Ethernet

3.9 Connect Anesthesia System to Patient Monitor

3.9.1 Connect Anesthesia System to Patient Monitor Through Serial Interface

3.10 Connect Anesthesia System with eGateway

System Interface

4.1 Main Screen

4.2 System Information Title

4.2.1 Patient Information

4.2.1.1 Set Patient Information in Anesthesia System

4.2.1.2 Retrieve Patient Information from ADT Server

4.2.1.3 Synchronize Patient Information

4.2.2 Timer (Elapsed Timer/Countdown Timer)

4.2.3 Alarm and Prompt Message

4.2.4 Audio Pause/Alarm Reset icon

4.2.5 Screen Brightness

4.2.6 Volume

4.2.7 Date and Time

4.2.8 Battery Status

4.3 Fresh Gas Flow Display

4.3.1 Electronic Flow Control System

4.3.1.1 Total Flow Control Mode

4.3.1.2 Direct Flow Control mode

4.3.1.3 OPTIMIZER®

4.3.2 Backup Flow Control System

4.4 Waveform/Parameter/Spirometry/Trend Display Zone

4.4.1 Waveform/Parameter Screen

4.4.2 Spirometry Screen

4.4.2.1 Loop Type

4.4.2.2 Show Reference

4.4.2.3 Save Loop

4.4.2.4 Review Loops