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consent of Respironics.
The Esprit and Respironics V200 ventilators are microprocessor-controlled,
electrically powered mechanical ventilators. They are intended for use by
qualified medical personnel to provide continuous or intermittent ventilatory
support for adult, pediatric, and neonatal patients as prescribed by a
physician. They are intended for use in either invasive or non-invasive
applications in institutional environments.
The Esprit and Respironics V200 ventilators meet or exceed all applicable
safety requirements, consensus guidelines, U.S. regulatory statutes, and
international regulatory standards for life support/mechanical ventilation
devices.
Read this manual thoroughly prior to performing service or maintenance on the
ventilators. This manual contains advanced troubleshooting, calibration, and
maintenance instructions. All maintenance and repair work should be
performed by qualified biomedical technicians who have received appropriate
training and authorization to provide maintenance, repair, and service for the
Esprit and Respironics V200 ventilators.
Review the Esprit or Respironics V200 Operator’ s Manual and become familiar
with the operation before running tests, checking operational readiness, or
initiating patient use. The operator’s manual includes important information
about ventilator safety and operation.
Schematic diagrams of the Esprit and Respironics V200 ventilators are
available upon request.
For additional information about accessories or related equipment, such as
humidifiers and remote alarm systems, refer to the appropriate instruction
manual prior to operating the ventilator.
WARNING:Patients on life-support equipment should be visually monitored by competent
medical personnel, since life-threatening circumstances may arise that may
not activate alarms. Heed all appropriate alarms and follow the instructions
and warnings in this service manual and the operator’s manual. Always check
life-support equipment for proper operation before use.
NOTE:The Esprit or Respironics V200 Operator’s Manual lists all applicable
warnings and cautions. Review these notices thoroughly before operating
the ventilator.
The following table lists the recommended tools, test equipment, and
materials required for ventilator service and maintenance (Table 1-1). Test
equipment must meet the requirements in Table 1-2.
Table 1-1: Recommended Test Equipment, Tools, and Materials
DescriptionManufacturer and Model
Test Equipment
Adapter, USB to serialRespironics P/N 1022895
Analog output port signal selectorRespironics P/N 1010891
Digital multimeter (DMM) and frequency counter
accurate to three decimal places
Electrical safety analyzerDale LT 544D or equivalent
Throughout this manual the following definitions apply:
WARNING:A condition that could cause injury to a patient or operator if the operating
instructions in this manual are not followed correctly.
CAUTION:A condition that could cause damage to, or shorten the service life of,
the Esprit/Respironics V200 Ventilator.
2.1 General WarningsWARNING:Do not obstruct the emergency air intake near the oxygen water trap/inlet
filter assembly.
WARNING:Never troubleshoot while a patient is connected to the ventilator, since normal
operation is suspended.
WARNING:If the ventilator has been operating, the exhalation filter heater conductor may
be hot. Use caution when removing the filter.
WARNING:To prevent disease transmission, use protective equipment when handling
contaminated bacterial filters or other patient accessories.
WARNING:To avoid personal injury, always disconnect external AC and DC power
sources and high-pressure oxygen sources from the ventilator before
servicing.
WARNING:Explosion hazard. Do no operate the ventilator in the presence of flammable
anesthetic agents.
2.2 General CautionsCAUTION:Troubleshooting and repair should be performed only by a qualified
service technician. Respironics Factory Service Training is highly
recommended prior to performing service procedures on the Respironics
Ventilator. Contact Customer Service at 1-800-345-6443 or 724-3874000 for more information.
CAUTION:Use only Respironics ventilator repair/service parts. Only Respironics
parts are designed for use in this ventilator. Use of non-Respironics repair
parts may alter ventilator reliability resulting in damage. Use of nonRespironics repair parts will affect your warranty. Contact Customer
Service at 1-800-345-6443 or 724-387-4000 for more information.
CAUTION:Do not modify oxygen diameter index safety systems (DISS) connector on
The Esprit and Respironics V200 ventilators are microprocessor-controlled
devices that can deliver air, oxygen, or a mixture of air and oxygen to the
patient’s lungs in a predetermined manner to augment or replace the work
normally performed by the patient’s respiratory system. It uses
electromechanical control circuits, flow and pressure monitors, and software
programs to deliver breaths as a flow or pressure controller.
The ventilators include a graphic user interface (GUI), internal blower, and
inspiratory module that mixes air and oxygen. The ventilators can operate from
a 40 to 90 psig (276 to 620 kPa) medical grade oxygen source for enriched
oxygen operation. It also includes multiple communications interfaces and an
internal power supply that can run from a 100 to 240 V AC 50/60 Hz or 24 V
DC power sources.
Schematic diagrams of the Esprit and Respironics V200 ventilators are
available upon request.
3.1 Pneumatic
System
The pneumatic system consists of these subsystems (see Figure 3-1):
•Internal blower (air source)
•Oxygen regulator (oxygen source)
•Inspiratory module
•Heated exhalation filter assembly
•Exhalation valve assembly
•Expiratory flow sensor
The internal blower generates the air pressure necessary for breath delivery,
eliminating the need for an external source of medical-grade compressed air.
An internal oxygen regulator controls wall oxygen pressure. The ventilator
mixes air and oxygen in the inspiratory module before delivery to the patient.
Based on operator settings, the central processing unit (CPU) controls the air
valve, oxygen valve, and exhalation valve through stepper motor controller
printed circuit boards (PCBs). As flow is delivered to the patient, the air and
oxygen flow sensors and two pressure sensors provide feedback to the CPU.
The pressure relief and safety valves in the inspiratory module provide for
patient safety in the event of an over-pressure condition or any component or
system failure that could interfere with the patient’s ability to breathe when
connected to the ventilator.
The exhalation filter reduces the risk of contamination or component damage
due to bacteria or moisture in expired gases. The exhalation filter is housed in
a heated sleeve, which reduces the relative moisture condensation in the
exhalation filter, exhalation valve, and expiratory flow sensor. Exhaled gas is
then vented to atmosphere.
Figure 3-1: Pneumatic System Block Diagram
Figure 3-2 shows the pneumatic system and its components.
The blower draws room air through the blower inlet filter (F1) and the muffler
(silencer) and outputs flow to the air valve assembly (AV). The blower inlet
filter removes coarse particulate from ambient air as it is entrained into the
blower assembly. See Chapter 4 for periodic maintenance information.
3.1.2Muffler (Silencer)
The muffler reduces the noise of air flow into the blower by channeling the air
through a baffled system lined with sound absorbing material.
3.1.3Blower
The blower draws room air though the air inlet filter and outputs the air that is
delivered to the patient, and provides the pilot pressure that can actuate the
safety valve. The blower contains a DC motor and a series of stator and
impeller assemblies. It can provide at least 200 LPM of flow.
Blower speed is automatically adjusted to account for differences in gas
density due to altitude. The altitude can be adjusted from the hardware screen
in Diagnostics mode. The high pressure alarm limit setting also affects blower
speed.
3.1.4Cooling Fan Filter
The cooling fan filter removes coarse particulate from ambient air entrained by
the cooling fan. See Chapter 4 for periodic maintenance information.
3.1.5Cooling Coil
The cooling coil is a copper tube connected to the outlet of the blower
dissipate heat from gas leaving the blower before it reaches the air valve.
3.1.6Cooling Coil Fan
The 24 V DC cooling coil fan removes the heat dissipated by the cooling coil
and blower.
The air valve assembly includes a stepper motor that meters air flow from the
blower to achieve the target flow under CPU control, based on operator
selected parameters. It can deliver up to 200 LPM of flow.
3.1.8Air Flow Sensor (FS1)
The air flow sensor measures flow from the air valve. The ventilator uses this
measurement to provide closed loop control of the air valve and to compute the
flow and volume delivered to the patient. A thermistor in the flow sensor
measures the temperature of the air and provides the microprocessor with
information to compensate the delivered flow.
3.1.9Oxygen Water Trap/Inlet Filter Assembly (F2)
The oxygen water trap/inlet filter assembly consists of a 5-micron (µ) filter to
remove particulate (both dry and liquid) from the oxygen gas supply, a bowl
with drain for accumulated water, and an oxygen inlet connector.
3.1.10 Oxygen Inlet Connector (O2)
The oxygen inlet connector provides a country-specific connection point for an
external oxygen gas supply of 40 to 90 psig (276 to 620 kPa).
3.1.11 Oxygen Supply Pressure Switch (PS1)
The oxygen supply pressure switch is part of the oxygen regulator. PS1 is a
normally open (NO) switch that monitors oxygen supply pressure by closing
when measured pressure is over 40 psig (276 kPa), and sends a signal to the
sensor PCB to indicate if supply pressure is adequate at the oxygen inlet.
PS1 opens if measured pressure is less than 35 psig (241.3 kPa). If the
oxygen supply pressure switch opens during normal ventilation (at O
> 21%),
2
a low oxygen supply alarm results.
3.1.12 Oxygen Regulator (REG 1)
The oxygen regulator reduces the oxygen supply pressure to the proper inlet
pressure for the oxygen valve (22-24 psig, or 152-165 kPa @ 180 LPM) and
supplies the regulated pressure to the crossover solenoid, which pilots the
safety valve.
The oxygen valve assembly contains a stepper motor that meters flow from the
oxygen regulator to achieve the target flow under CPU control, based on
operator-selected parameters. It can deliver up to 200 LPM of flow.
3.1.14 Oxygen Flow Sensor (FS2)
The oxygen flow sensor measures the flow from the oxygen valve. The ventilator
uses this measurement to provide closed loop control of the oxygen valve and
to compute the flow and volume delivered to the patient. A thermistor
contained in the flow sensor measures the temperature of the oxygen and
provides temperature compensation information to the microprocessor for
delivered flow.
3.1.15 Crossover Solenoid (SOL1)
The crossover solenoid is a three-way valve that supplies either air or oxygen
pressure to pilot (hold) the safety valve closed during normal ventilation. In its
normal state, SOL1 is normally de-energized to pilot the safety valve with
oxygen. If oxygen pressure is lost, SOL1 is energized and air (rather than
oxygen) controls the safety valve.
3.1.16 Cross-Contamination Check Valve (CV5)
The cross-contamination check valve prevents the oxygen supply from entering
the air delivery system (blower) in the event of a crossover solenoid leak.
3.1.17 Safety Valve Pilot Solenoid (SOL2)
SOL2 directs the output of the crossover solenoid to the safety valve or vents
the pilot pressure line to atmosphere.
During normal operation, SOL2 is energized and directs pressure from the
crossover solenoid to close the safety valve. During a high priority alarm
condition such as an occlusion or ventilator failure (VENT INOP) mode, SOL2
is deenergized, the safety valve opens, and the patient can breathe room air.
The safety valve contains a spring-loaded diaphragm that is controlled by
safety valve pilot solenoid (SOL2). Under normal conditions the safety valve is
closed, allowing delivered flow to reach the patient. In the event of a safety
valve open (SVO) condition, pilot pressure is vented to atmosphere, which
opens the safety valve and allows the patient to breathe room air through the
safety port at the back of the ventilator.
3.1.19 Air System Check Valve (CV2)
CV2 prevents oxygen from entering the air delivery system in the event of a
blower failure.
CV3 prevents the patient from exhaling through the inspiratory limb during a
safety valve open condition, which prevents the patient from rebreathing
exhaled gas.
3.1.21 Pressure Relief Valve (PRV)
The pressure relief valve provides a backup to the operator adjustable highpressure alarm and prevents excessive pressures in the patient circuit. The
pressure relief valve is spring-loaded to limit the maximum circuit pressure to
130 to 140 cmH
O.
2
3.1.22 Oxygen Sensor (OS)
The optional oxygen sensor is installed between the 22-mm inspiratory port
and the inspiratory bacteria filter. The galvanic oxygen sensor measures the
oxygen concentration of the blended gas as it leaves the inspiratory manifold.
The output signal from the sensor is used to determine whether measured
oxygen concentration is within 6% of the %O
setting. If not, a high or low
2
oxygen concentration alarm occurs.
3.1.23 Inspiratory Pressure Transducer (PT3)
PT3 on the sensor PCB monitors system pressure from the inspiratory side of
the patient circuit during exhalation pressure transducer autozeroing, ensuring
uninterrupted pressure monitoring. PT3 is also used with the exhalation
pressure transducer (PT2) to detect patient circuit occlusions.
SOL4 periodically vents the inspiratory pressure transducer to atmosphere and
makes a measurement at zero (atmospheric) pressure. Periodically autozeroing
the transducer allows it to correct the slight zero voltage drift that can occur
over time, and improves the overall accuracy of the pressure measurement.
During normal operation, SOL4 is de-energized and applies patient circuit
pressure to the inspiratory pressure transducer. During an autozero, SOL4 is
energized, venting the transducer to atmosphere. This occurs during power on
self test (POST), at the beginning of a breath one minute after POST, six
minutes after POST, eleven minutes after POST, and hourly thereafter.
3.1.25 Heated Exhalation Filter (F3)
The heated exhalation filter includes a heated filter sleeve and a bacteria filter.
The heater protects the exhalation flow sensor and exhalation system
components from condensation by heating exhaled gas (which has cooled in
the exhalation limb) above its dew point.
The exhalation bacteria filter protects the exhalation flow sensor and
exhalation system component from contaminants and filters exhaled gas
before it is vented to atmosphere.
3.1.26 Exhalation Pressure Transducer (PT2)
The exhalation pressure transducer on the sensor PCB measures patient circuit
pressure from the exhalation side of the patient circuit. During normal
operation PT2 is the primary transducer for measuring patient pressures,
including peak inspiratory pressure (PIP), mean airway pressure (MAP), end
inspiratory pressure, and auto-PEEP. The exhalation pressure transducer
provides monitoring data for closed loop control.
The exhalation pressure transducer solenoid periodically vents the exhalation
pressure transducer to atmosphere and measures zero (atmospheric) pressure.
Periodically autozeroing the transducer allows it to correct the slight zero
voltage drift that can occur over time, and improves overall pressure
measurement accuracy.
During normal operation, SOL3 is de-energized and applies patient circuit
pressure to the exhalation pressure transducer. During an autozero, SOL3 is
energized, venting the transducer to atmosphere. This occurs during POST, at
the beginning of a breath one minute after POST, six minutes after POST,
eleven minutes after POST, and hourly thereafter.
CV4 prevents the patient from inspiring room air through the exhalation limb of
the patient circuit. During normal operation, it blocks the exhalation system
from atmosphere, allowing the patient to trigger a breath.
3.1.29 Exhalation Valve (EV)
The exhalation valve is controlled by a stepper motor. At the beginning of an
inspiration, the exhalation valve shuts to create a closed circuit and allow the
patient system to pressurize. The exhalation valve opens at the beginning of
exhalation, allowing system pressure to vent to atmosphere.
The exhalation valve also regulates positive end expiratory pressure (PEEP) and
expiratory positive airway pressure (EPAP) levels during exhalation.
3.1.30 Exhalation Flow Sensor (FS3)
The exhalation flow sensor measures the flow leaving the ventilator, which
includes gas exhaled by the patient, tubing compliance volume, and bias flow
(if flow triggering or Auto-Trak triggering is selected). The ventilator uses the
exhaled flow measurement to compute flow and volume coming from the
patient and the circuit.
A thermistor in the flow sensor measures the temperature of the gas and
provides the microprocessor with information to compensate the measured
flow.
The ventilator can be powered by a 100 to 240 VAC 50/60 Hz or external 24 V
DC power source (backup battery or external battery). The power supply
conditions the input voltage and distributes + 5 V, +12 V, -12 V, a n d + 2 9 V t o
the main PCB and blower motor controller to power digital electronics,
electropneumatic components, and displays. AC power to the humidifier port
can be used on 100-120 V units only.
The microprocessor on the CPU PCB and programs stored in memory control
the interaction of the pneumatic and electronic subsystems. Using inputs from
electropneumatic sensors and the operator, the CPU controls the flow,
pressure, and volume of air and oxygen to be delivered to the patient. The CPU
also monitors alarms and independently monitors software execution.
The the CPU PCB, digital PCB, analog PCB, VGA controller PCB, and three
stepper motor controller PCBs are vertically mounted on the main PCB.
Digital control signals from the CPU are sent to the analog PCB, where they are
converted into analog signals that control blower speed and chart recorder
outputs (pressure, flow, and volume). The sensor PCB conditions and converts
analog data from the flow, pressure, and oxygen sensors, then sends the data
to the analog PCB, where it is read by the CPU.
Ventilator data from the CPU is conditioned by the VGA and man-machine
interface (MMI) PCBs, then displayed on an LCD.
Table 3-1 summarizes the electronic signal path sequences for the ventilator
components.
Table 3-1: Signal Path Sequences
ComponentSignal Path Sequence
100% O
29 V enableMain PCB, CPU PCB, power supply
Air (AV), oxygen (OV), exhalation
(EV) valves
Air (FS1), oxygen (FS2), exhalation
(FS3) flow sensors
Alarm High indicatorFront panel overlay, MMI PCB, main PCB, CPU PCB
Alarm Med/Low indicatorFront panel overlay, MMI PCB, main PCB, CPU PCB
Alarm Silence indicatorFront panel overlay, MMI PCB, main PCB, digital PCB, CPU
Backlight (9.5 in display, standard
on Esprit ventilator)
Backlight (10.4-in display,
optional on Esprit ventilator,
standard on Respironics V200
ventilator)
indicatorFront panel overlay, MMI PCB, main PCB, digital PCB, CPU
2
PCB
Main PCB, motor controller PCB, CPU PCB
Sensor PCB, main PCB, analog PCB, CPU PCB
PCB
Backlight inverter PCB, DC/DC converter PCB, main PCB,
backlight control potentiometer
Backlight inverter PCB, DC/DC converter PCB, main PCB,
backlight control potentiometer
VGA backlight intensity
potentiometer (9.5 in display,
standard on Esprit ventilator)
VGA backlight intensity
potentiometer (10.4-in display,
optional on Esprit ventilator,
standard on Respironics V200
ventilator)
VGA display (9.5 in display,
standard on Esprit ventilator)
VGA display (10.4-in display,
optional on Esprit ventilator,
standard on Respironics V200
ventilator)
MMI PCB, backlight inverter PCB
Backlight inverter PCB
MMI PCB, main PCB, VGA controller PCB, CPU PCB
Main PCB, VGA controller PCB, CPU PCB
3.2.1Main PCB
The CPU and other ventilator logic interact through the system data, address,
and control buses on the main PCB. The main PCB receives input signals from
various keys on the console or touch screen display and sends them to the
CPU. The main PCB also contains signal inputs for non-maskable interrupt,
running on AC, and running on external battery.
The main PCB receives control signals from the CPU and outputs them to
various pneumatic components and console indicators. The main PCB receives
signals from the digital PCB to turn on the indicators for alarm silence, 100%
oxygen, AC power, external battery power, and backup battery status. The main
PCB receives signal from the CPU PCB to turn on the backup alarm, enable
24V, and the Screen Lock, Battery/Chargi ng, and Vent Inop indicators. The
CPU PCB reads the Accept key from the main PCB.
The main PCB includes a normal open and normal closed relay that can trigger
the remote nurse call alarm. The main PCB also includes the RS-232, parallel
printer, analog output, and remote alarm connectors.
The main PCB also routes these signals: reset, MMI PCB reset, sensor PCB
reset, primary alarm, primary alarm failure detection logic, backup alarm,
remote alarm, printer, POST timer, clocked serial interface (CSI) signals, and
the battery backed +3.6 V.