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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.
The CPU PCB contains the microprocessor, memory, I/O ports, and associated
control circuitry that controls the ventilator:
•V851 microprocessor with a 25-MHz clock
•Static RAM that stores ventilator data
•EEPROM that stores patient settings
•Flash memory that contains ventilator operating software
•One time programmable (OTP) memory that stores the POST routine
•Internal RS-232 port that receives ventilator data from the touch
screen
•Nonmaskable interrupt that tells the CPU a power source has been
lost or interrupted
•5-msec bus timer that monitors hardware operation
•169-msec watchdog timer that monitors software operation
•Data address and control bus to the main PCB
•2-MB memory capacity
3.2.3Analog PCB
The analog PCB converts digital signals to analog signals to the blower
controller PCB and analog output port. The analog PCB connects directly to
the system bus on the main PCB, and includes these functional circuits:
•An eight-bit digital to analog converter (DAC) that converts digital
signals from the CPU to analog for the blower and external devices
such as chart recorders and bedside monitors
•Clocked serial interface (CSI), a high-speed communication link
between the air, oxygen, and exhalation motor controllers and flow
sensor lookup tables contained on the CPU and the voltage monitor
register
•A circuit that retrieves converted data from the sensor PCB
3.2.4Digital PCB
The digital PCB conditions serial port signals coming from and going to the
CPU PCB. It also contains control circuitry for the power fail alarm, primary
alarm, backup alarm, RS-232 port, and rotary encoder.
Digital inputs include analog-to-digital converter (ADC) out of range,
compressor temperature switch, and oxygen present. Digital outputs include
the alarm silence indicator, 100% oxygen indicator, running on AC indicator,
running on external battery indicator, backup battery status indicators, printer
ready signal, and printer direction.
The VGA controller PCB contains the date and real time clock and LCD VGA
display controller drivers.
3.2.6Blower Controller PCB
The blower motor controller PCB controls the speed of the blower motor based
on analog input conditioned by the sensor PCB. It includes a lockup sensing
circuit, which monitors sensors in the blower motor to detect a locked rotor
condition. If the blower motor stops running, the lockup sensing circuit shuts
off power to the blower.
3.2.7Motor Controller PCBs
There are three motor controller PCBs for the air valve, oxygen valve, and
exhalation valve. The three boards are physically the same and are
differentiated by the slot they occupy on the main PCB:
•Exhalation valve motor controller PCB: slot CN11
•Oxygen valve motor controller PCB: slot CN12
•Air valve motor controller PCB: slot CN13
Each motor controller PCB includes a microprocessor dedicated to controlling
the corresponding motor and driving the step positions of the motor based on
input from the CPU.
3.2.8Sensor PCB
The sensor PCB contains an analog to digital converter (ADC) that converts
analog signals from various pneumatic components and the power supply into
digital signals for the CPU. Signals include: air flow and temperature, oxygen
flow and temperature, exhalation flow and temperature, inspiratory and
exhalation pressure, battery voltage, FIO
enclosure oxygen concentration.
The sensor PCB conditions blower speed analog input and the on/off control to
the blower controller PCB. It also routes signals for the oxygen pressure and
blower temperature switches.
, enclosure temperature, and
2
The sensor PCB also includes voltage LEDs that light to indicate under- and
over-voltage conditions.
The MMI PCB interfaces the front panel overlay, VGA display, rotary encoder,
and touch screen to the CPU via the main PCB. The MMI PCB contains control
circuitry for the primary and back-up alarms, and includes the hard keys and
LEDs on the front panel membrane keypad.
3.2.10 Power Supply
The power supply converts AC voltage to DC voltage to be used by the system
electronics. The switching power supply can accept voltage from 100 to 240 V
AC (50/60 Hz), and converts it to +5 V, + 12 V, and +29 V DC voltages. In the
absence of AC voltage, the power supply converts the +24V DC input voltage
from an external DC power source (Backup Battery or External Battery). The
power supply also includes power fail logic and charging circuitry for the
backup battery.
The power supply is cooled by a 24 VDC fan housed in a shroud covering the
power supply PCB.
3.2.11 Backlight Inverter PCB
The backlight inverter PCB converts 12 V to approximately 500 V to drive the
backlight on the VGA display assembly.
WARNING:The backlight inverter PCB generates high voltage. To avoid personal injury,
verify that the AC and external DC power sources (backup battery or external
battery) are disconnected from the ventilator.
3.2.12 Real-Time Clock Battery
The Esprit ventilator originally included a 3.6-V lithium real-time clock/backup
alarm battery. The Esprit/Respironics V200 ventilators currently use a 3.2-V
button battery installed on the main PCB.
The 24-V backup battery can power the ventilator for approximately 30
minutes at nominal settings in case of AC power loss.
3.2.14 External Battery
The optional external battery supplements the backup battery, and can provide
an additional two hours of ventilator operation (depending on ventilator
settings). The ventilator runs on AC power when available, then external
battery power if installed, and then backup battery power.
3.2.15 DC/DC Converter PCB
The DC/DC converter PCB converts a 5-V input to a 12-V output for the original
10.4-inch display backlight inverter PCB. This PCB is not used in current
displays.
3.2.16 Optical Rotary Encoder
The optical rotary encoder converts the mechanical position of the user
interface knob into a representative electrical signal using a patterned disk or
scale, a light source, and photosensitive elements.
3.2.17 Graphic User Interface (GUI)
The GUI includes an infrared (IR) touchframe that contains 24 vertical and 32
horizontal IR emitter detector pairs, each of which is sequenced at a high
frequency. When the screen is touched, breaking the IR beam, the x and y
coordinates that correspond to the position on the screen are communicated to
the microprocessor.
The GUI on Esprit ventilators is equipped with a 9.5-inch monochrome or a
10.4-in. color-capable liquid crystal display (LCD). The GUI on Respironics
V200 ventilators is equipped with a 10.4-inch color-capable LCD. The 10.4inch color-capable LCD is a 640 x 480 active matrix display.
The remote alarm contacts provide remote alarm capability, allowing the
ventilator to annunciate an active medium or high priority alarm at a location
away from the ventilator. Pressing Alarm Silence mutes the remote alarm.
The ventilator signals an alarm condition using normally open (NO) or normally
closed (NC) relay contacts, where the deenergized state indicates an active
alarm. The remote alarm port is a standard ¼-in. phone jack (ring, tip, sleeve)
connector (Figure 3-4).
•When the ring and sleeve are used, the relay is open during normal
ventilator operation and closed when an alarm is active or the
ventilator is off.
•When the tip and sleeve are used, the relay is closed during normal
operation and open when an alarm is active or the ventilator is off.
CAUTION:The remote alarm port is intended to connect only to SELV (safety
extra low voltage and ungrounded system with basic insulation to
ground), in accordance with IEC 60601-1. To prevent damage to
the remote alarm, the signal input should not exceed the
maximum rating
1
mA.
of 24 VAC or 36 VDC at 500mA with a current of
Figure 3-4: Remote Alarm (Nurse Call) Connector
The 15-pin analog output (chart recorder) port of the ventilator can also be
used to connect to the Respironics Lifecare remote alarm system. The Lifecare
remote alarm sounds under these conditions:
•A high or medium priority alarm condition is active
•Ventilator power is turned off or disconnected.
•The Respironics Lifecare remote alarm system is disconnected from
the ventilator
•The ventilator runs POST
NOTE:To connect the Lifecare remote alarm system to the ventilator, a DB15 to
BNC cable adapter must be installed into the analog output port.
Perform periodic maintenance (PM) procedures (Table 4-1) to ensure
consistent optimal ventilator operation. The annual and 12,500-hour PM kits
are intended to be installed only by a qualified service technician. The Esprit
or Respironics V200 Ventilator Operator’s Manual summarizes the PM
schedule.
Table 4-1: Periodic Maintenance Schedule
FrequencyComponentMaintenance
During ventilator
setup
At least daily, and as
recommended by
filter manufacturers
At least daily• Oxygen supply water trap and
• Inspiratory bacteria filter• Check filter for occlusions, cracks, and tears.
• Inspiratory and expiratory filters• Ensure that the ventilator functions normally with both filters in
• Ventilator and patient circuit
components
• Inspiratory and expiratory filters• Monitor filter performance and replace as needed. Changes in
filter
place.
• Perform Short Self-Test (SST) whenever circuit components are
changed (Chapter 5).
• Perform Extended Self-Test (EST) between patient uses (Chapter 5).
expiratory resistance that can indicate expiratory filter damage.
• Follow filter manufacturer recommendations regarding duration of
use, maintenance (for reusable filters), and disposal. Note that high
humidity and aerosol medications can reduce expiratory filter life,
increase expiratory resistance, or cause filter damage.
CAUTION:Do not operate the ventilator without a properly
functioning expiratory filter and heater. Doing so may
cause damage to delicate ventilator components, such
as the expiratory flow sensor, which may lead to
inaccurate spirometry or a Vent Inop condition.
WARNING:Vent Inop is a serious condition which is indicated by both
visual and audible alarms. If the ventilator is attached to a
patient when Vent Inop occurs, the patient must be
supported with another means of life support ventilation.
• Air inlet and fan filters• Inspect and clean. Lint and dust can accumulate more quickly in
some environments: inspect and clean more frequently if required.
CAUTION:The 12,500-hour preventive maintenance procedure is
to be performed only by a qualified service technician.
according to instructions in the Operator’s Manual.
2. Perform an extended self-test (EST) (Chapter 5.)
3. Turn the ventilator off, disconnect all power sources (AC and battery),
and disconnect oxygen.
4. If required, remove the ventilator from its cart.
5. Separate the top and bottom enclosures.
6. Remove the power supply shroud.
7. Use an ESD-safe vacuum to remove dust or debris from the top and
bottom enclosures, then inspect for any signs of corrosion or damage:
•Ensure that the exhalation flow sensor tube is clean, clear, and
moisture-free.
•Check for loose cables, screws, or pneumatic lines.
•Remove any dust from the power supply PCB, power supply fan
housing, and power supply fan.
8. Reinstall the power supply shroud, including electrical connections to
the GUI and fan.
9. Use a clean, lint-free cloth and vacuum to remove dust from the
interior of the power supply air inlet hose, then reinstall to the power
supply shroud.
10. Clean the GUI as described in the Operators Manual. If required, also
use an ESD-safe vacuum to clean the interior components.
11. Reassemble the top and bottom enclosures, then clean the ventilator
exterior as described in the Operator’s Manual.
NOTE:For component removal/installation instructions, see Chapter 9
(Esprit ventilator), or Chapter 10 (V200 ventilator).
•Set the date and time, set the correct altitude, enable or disable
automatic patient circuit compliance, select a 12 or 24 hour clock,
and enable or disable backup battery confirmation at startup (section
5.2).
•Run a short self test (SST) (section 5.3).
•Run an extended self test (EST) (section 5.4).
•View the software revision of the ventilator and installed options
(section 5.5).
•View diagnostic codes (section 5.6).
•Control and monitor pneumatic components and voltages for
troubleshooting in case the ventilator fails SST, EST, or performance
verification (section 5.7).
•Check bacteria filter resistance (section 5.9).
WARNING:Diagnostic mode suspends normal ventilation: disconnect the patient from the
ventilator before entering diagnostic mode.
CAUTION: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 Esprit or
Respironics V200 Ventilator. Contact Customer Service at 1-800-3426443 or 724-387-4000 for more information.
The ventilator can use compliance correction to compensate for volume loss in
the patient breathing circuit due to the compressible volume of the tubing.
Touch Compliance to enable or disable compliance correction:
•Enabled: the ventilator adds the compliance volume measured during
•Disabled: the ventilator does not add compliance volume to delivered
•After downloading software, you must disable then re-enable
5.2.4Selecting 12 or 12 Hour Clock
SST or EST to delivered volume, and improves the accuracy of volume
delivery during normal operation.
volume. Compliance correction is typically disabled during
performance testing.
compliance correction (even though compliance correction appears
enabled) to put compliance into effect.
Touch 24hr Clock to toggle between standard 12-hour and 24-hour time
format. The lower right corner of the diagnostic screen shows the selected
format.
5.2.5Confirm Backup Battery
Touch Bkup Battery to enable or disable backup battery confirmation at
ventilator startup.
When enabled, ventilator startup is normal if the backup battery is connected.
If the backup battery is not connected, the ventilator displays a message at
startup (Figure 5-3) and logs a 5002 diagnostic code.
SST verifies the integrity of the patient circuit tubing by measuring its leak rate
and compliance. SST also tests some hardware, including the safety valve (SV),
flow sensor tables, autozero solenoids and the inspiratory non-rebreathing check
valve (CV3). Perform SST after every patient circuit change.
WARNING:Do not use a ventilator that has failed SST without verifying operational
readiness by other means. Doing so may place a patient at risk.
WARNING:Never initiate an SST while the patient is connected to the ventilator. The high
airway pressures generated during SST can injure a patient.
Required equipment: the intended patient circuit assembly and a rubber cork.
Follow these steps to run SST:
1. Connect the intended patient circuit to the ventilator.
2. Touch SST on the diagnostic screen (Figure 5-4).
3. Touch Start SST to begin the test.
4. When prompted, unblock the wye and touch OK.
5. When prompted, block the wye and touch OK.
6. When SST is completed successfully, touch OK. The SST screen
shows the results of each test. Diagnostic code 2000 indicates that
SST was successfully completed.
If any SST tests fail, the screen displays failure data, including diagnostic
code, measured value, and passing values.
EST verifies the functional integrity of the ventilator by testing its hardware
subsystems and components. Perform EST between patients, during
preventive maintenance, performance verification, for oxygen sensor
calibration, or if ventilator operation is questionable.
WARNING:Do not use a ventilator that has failed EST without verifying operational
readiness by other means. Doing so may place a patient at risk.
WARNING:Never initiate an EST while the patient is connected to the ventilator . The high
airway pressures and gas flows generated during EST can injure a patient.
Required equipment:
•Reusable adult patient circuit assembly
•Rubber cork
•Regulated oxygen source
•Optional: an external oxygen sensor to perform the automatic oxygen
sensor test and calibration
•Optional: a remote alarm
Follow these steps to run EST:
1. Verify that the bacteria filters and oxygen sensor are connected to the
ventilator.
2. Connect the patient circuit to the ventilator.
3. Touch EST on the diagnostic screen (Figure 5-5).
4. Touch Start EST to begin the test. Follow the onscreen prompts and
touch OK to go to the next step.
Figure 5-5: Starting EST
5. Unblock wye and touch OK, then block the wye with the cork and
touch OK. Unblock wye at the prompt and touch OK.
5.6 Diagnostic CodesThe Esprit and V200 ventilators generate diagnostic codes when the
microprocessor detects a fault during normal operation, or if a failure occurs
during SST or EST. Chapter 6 lists diagnostic codes and recommended repair
procedures for each code.
To view the diagnostic code screen, touch Diag. Codes on the diagnostic screen
(Figure 5-7).
Chapter 5
Figure 5-7: Diagnostic Code Screen
The diagnostic code screen displays the following information:
1. Number: Diagnostic codes are numbered in reverse order of
occurrence, with the most recent code first.
2. Code: The number assigned to a specific failure, which can help
determine the cause of a failure. The first digit of the four-digit
diagnostic codes indicates the type of fault:
1xxx: Failure during power on self test (POST).
2xxx: Failure during short self test (SST).
3xxx: Failure during extended self test (EST).
4xxx: Continuous built-in test failure (during normal ventilation).
5xxx: Safety valve open/Backup battery not connected.
6xxx: Not used.
7xxx: Power supply failure.
8xxx: Software diagnostic information.
9xxx: Sensor/internal communication fault.
3. Repeat: If the same code occurs consecutively, the repeat column is
incremented (rather than displaying the code again). For example, if
code 1002 occurs three consecutive times, it is logged as code 1002
with 2 in the repeat column. The repeat column increments (up to a
The hardware screen (Figure 5-7) verifies components in case of a failure
during SST, EST, or performance verification. Use the hardware screen to:
•Set specific air and oxygen valve flow rates and step positions.
•Incrementally open and close the exhalation valve.
•Set various analog and digital voltages.
•Control power to the blower, filter heater, and 24-V components.
•Exercise the solenoids.
•View hardware status.
NOTE:On the hardware screen, a white background indicates that the button is
enabled or energized, and a gray background indicates that a button is
disabled or de-energized.
Figure 5-8: Diagnostic Mode Hardware Screen
Table 5-1 summarizes the hardware screen functions.
Table 5-1: Hardware Screen Functions
Button/DisplayFunction
Air buttonSets air flow from 0 to 200 LPM or step position from 0 to 2000 steps.
Oxygen buttonSets oxygen flow from 0 to 200 LPM or step position from 0 to 2000 steps.
Exhalation buttonOpens or closes the exhalation valve from 0 (fully open) to 2000 (fully closed)
steps. (Although the exhalation stepper motor can be commanded to 2000 steps,
a maximum of 1800 steps is displayed.)
Monitors buttonSimulates voltages for pressure, volume, and flow analog output voltages. The
selected voltage (from 0 to 5 V) is sent to the analog output port (the DB15
connector on the ventilator back panel).
Voltage Wrap buttonAdjusts blower DAC voltage from 0 to 5 V, and compares it to the ADC output
voltage shown in the Voltage Wrap status display.
Blower buttonAdjusts blower voltage from 0 to 5 V.
Blower on/off buttonTurns the blower on and off.
Filter Heat on/off buttonTurns the filter heater on and off.
24V Power on/off buttonTurns all pneumatic components on and off simultaneously without disturbing
the display.
Inhalation buttonToggles SOL4 between circuit pressure and atmospheric pressure.
Safety buttonOpens and closes SOL2, which controls the source pressure that opens or closes
the safety valve.
Exhalation buttonToggles SOL3 between circuit pressure and atmospheric pressure.
Crossover buttonToggles SOL1, which determines which gas provides source pressure to SOL2.
SOL1 uses air to provide source pressure to SOL2 when energized, and uses
oxygen when de-energized.
Air Flow status displayDisplays the measured flow passing through the air flow sensor.
Oxygen Flow status displayDisplays the measured flow passing through the oxygen flow sensor.
Exhalation Flow status displayDisplays the measured flow passing through the exhalation flow sensor.
Air Position status displayDisplays the step position of the air valve stepper motor for a specified flow rate
or air valve step position.
Oxygen Position status displayDisplays the step position of the oxygen valve stepper motor for a specified flow
rate or oxygen valve step position.
Exhalation Position status displayDisplays the step position of the exhalation valve.
Inhalation Pressure status displayDisplays the pressure measured by the inhalation pressure sensor.
Exhalation Pressure status displayDisplays the pressure measured by the exhalation pressure sensor.
Oxygen Supply status displayDisplays whether the oxygen inlet pressure switch detects an external oxygen
source is connected.
Oxygen Sensor status displayDisplays the oxygen concentration measured by the external oxygen sensor.
Bus Voltage status displayDisplays the measured voltage of the +29 V output (if AC is connected) or the
+24 V output from the backup or external battery.
Blower Fan status displayDisplays the status of the thermal switch attached to the blower housing, and is
ON during normal operation. A switch status of OFF indicates a switch is
malfunction or that the cooling fan is malfunctioning and temperature has risen
to 125 ºC.
PCMCIA Card status displayDisplays dashes when a PCMCIA card is not installed. If a PCMCIA card is
installed, displays SDP.
Enclosure Temp status displayDisplays the temperature inside the ventilator enclosure measured by the
temperature sensor on the sensor PCB. Typical temperature range is
approximately 35 to 50 ºC.
Internal Oxygen status displayDisplays the oxygen concentration within the enclosure in volts as measured by
the oxygen sensor located on the sensor PCB. Acceptable voltage is between
0.52 to 0.62 V.
Voltage Wrap status displayDisplays the ADC input voltage for comparison to the voltage wrap DAC output
This section tells you how to perform component troubleshooting in case of a
failure during SST, EST, or performance verification. Perform these tests as
needed, rather than in consecutive order.
WARNING:Troubleshooting suspends normal ventilation, and should never be performed
while a patient is connected to the ventilator.
NOTE:Always perform an EST and log diagnostic codes before troubleshooting.
NOTE:These troubleshooting procedures assume that all hardware begins in an
initialized state (all adjustable parameters set to zero), including Blower
voltage set to 4 V (blower voltage may vary depending on the altitude
setting), Blower on, Filter Heat off, 24V Power on, Crossover solenoid
energized (white background), and all other solenoids de-energized (gray
background).
NOTE:At the end of each test, return the hardware screen to its initialized state.
NOTE:The pneumatic calibration analyzer should always be in BTPS when
measuring volume, and in ATP when measuring flow.
NOTE:Use a known-good reusable patient tubing circuit and reliable exhalation
bacteria filter.
Perform all troubleshooting from the hardware screen in diagnostic mode.
Follow these steps to view the hardware screen:
1. Simultaneously press the Alarm Reset and 100% O
2 keys on the
ventilator front for five seconds while turning ventilator power on.
2. When prompted, touch OK to enter diagnostics mode.
3. Perform EST and log the diagnostic codes, or create a ventilator
diagnostic report (DRPT) (Chapter 7).
4. Touch the Hardware button to view the hardware screen.
NOTE:If pressure displays do not drop to 0 ± 0.1 cmH2O, cycle power to the
1. Connect the patient circuit to the ventilator and block the wye.
2. Touch Safety to energize (white background) the safety solenoid.
3. Touch Exhalation and set it to 2000 steps.
4. Touch Air and set the flow to 1 LPM.
5. Check that the Inhalation Pressure and Exhalation Pressure displays
6. Touch Inhalation to energize (white background) the inhalation
7. Check that the Inhalation Pressure display reads 0 ± 0.1 cmH
8. Touch Exhalation to energize (white background) the exhalation
9. Check that the Exhalation Pressure display reads 0 ± 0.1 cmH
10. Return the hardware screen to its initialized state.
ventilator to enter normal ventilation mode. After the ventilator completes
POST, cycle power to the ventilator to enter diagnostic mode and re-run
the test.
on the hardware screen are greater than 30 cmH
O.
2
solenoid.
solenoid.
O.
2
O.
2
5.8.7Safety Valve and Safety Solenoid
NOTE:If pressure displays do not drop to 0 ± 0.1 cmH2O, cycle power to the
ventilator to enter normal ventilation mode. After the ventilator completes
POST, cycle power to the ventilator to enter diagnostic mode and re-run
the test.
1. Connect the patient circuit to the ventilator and block the wye.
2. Touch Exhalation and set it to 2000 steps.
3. Touch Air and set the flow to 1 LPM.
4. Check that the Inhalation Pressure display reads 0 ± 0.1 cmH
5. Touch Safety to energize (white background) the safety solenoid.
6. Check that the Inhalation Pressure display is greater than 30 cmH
7. Return the hardware screen to its initialized state.
The ventilator generates diagnostic codes when the microprocessor detects a
fault during normal operation, or if a failure occurs during SST or EST.
Table 6-1 lists diagnostic codes, and recommended repair procedures for each
code. Perform the repair procedures in the order listed until the problem is
resolved.
•See Chapter 5 describes how to use diagnostic mode for
troubleshooting.
•See Chapter 8 for performance verification procedures.
•See Chapter 9 for Esprit component replacement procedures.
•See Chapter 10 for Respironics V200 component replacement
procedures.
•See Appendix A for EST pneumatic schematics by test number.
NOTE:Because the troubleshooting procedures for two diagnostic codes (1012
and 5000) are more detailed, they are described in section 6.1 and
section 6.2.
The first digit of the four-digit diagnostic codes indicates the type of fault:
1xxx: Failure during power on self test (POST).
2xxx: Failure during short self test (SST).
3xxx: Failure during extended self test (EST).
4xxx: Continuous built-in test failure (failures during normal ventilation).
5xxx: Safety valve open/Backup battery not connected.
6xxx: Not used.
7xxx: Power supply failure.
8xxx: Software diagnostic information.
9xxx: Sensor/internal communication fault.
Diagnostic
Code
1Ventilator normal mode startup. Air/
O
3Diagnostic startup. Air/O
positions logged.
4Unknown restart. Indicates
uncontrolled shutdown of the
system. Possible causes include
watchdog/bus activity timeout, main
PCB +5VDC failure, or loss of AC
power while in diagnostic mode.
reset 3 times within the first 30
seconds of operation. Once this code
occurs, it recurs at every power up or
reset until the ventilator enters
diagnostic mode.
2xxx: Failures During Short Self Test (SST)
2000SST passed.No action required.
2100Cancelled by user.No action required.
2106Patient circuit leak.
Patient circuit test (test 11): this
code indicates that the ventilator
could not pressurize the tubing
O.
2
O.
2
O with a 5 LPM
2
O to <45
2
O. This
2
circuit to 50 cmH
air flow and the safety and
exhalation valves closed.
2107Low inhalation pressure.
Patient circuit test (test 11): this
code indicates that circuit pressure
dropped from 50 cmH
cmH
O after exactly 100 ms.
2
2110Check valve 3 (CV3) leak.
Patient circuit test (test 11): the
circuit is pressurized to 50 cmH
with the exhalation valve closed,
then the safety valve opens. After
two seconds, circuit pressure should
not drop below 35 cmH
code indicates that circuit pressure
was <35 cmH
2125Inhalation and exhalation pressure
transducer disagreement.
Patient circuit test (test 11): the
difference between the inhalation
and exhalation pressure transducers
is >3 cmH
Review the diagnostic log: the code in
memory before or after the 1014
occurrence indicates the root cause.
If this code is not 4, 7xxx, or 8001:
1. Replace power supply.
2. Replace main PCB.
3. Replace CPU PCB.
4. Replace BMC PCB
1. Remove inspiratory bacteria filter and
external oxygen sensor and try
another patient circuit.
2. Block outlet of exhalation flow sensor
while running leak test. If leak stops,
replace exhalation valve.
3. Verify that connection between the
oxygen flow sensor and oxygen valve
is tight.
1. Check for patient circuit leaks.
2. Verify that O-ring is present in
external oxygen sensor or bypass
oxygen sensor.
3. Check inhalation pressure
transducer.
4. Check the connection between the
inspiratory manifold and inspiratory
autozero solenoid.
5. Check for kinks or cuts in the tube
between inhalation autozero solenoid
and inhalation pressure sensor.
6. Replace sensor PCB.
7. Replace three-station solenoid.
1. Check for patient circuit leaks.
2. Verify that O-ring is present in
2
oxygen sensor.
external oxygen sensor or bypass
O
3. Verify that CV3 is undamaged and in
12:00 position.
4. Check CV3. Replace as necessary.
5. Check tubing from inspiratory
solenoid to inspiratory manifold.
Patient circuit test (test 11): circuit
compliance is calculated by
measuring the time required to
achieve 50 cmH
code indicates that calculated
O at 5 LPM. This
2
compliance is < 0.50 ml/cmH
>9.0 ml/cmH
O.
2
2129Pressure leak out of range.
Patient circuit test (test 11): the
patient circuit leak rate (based on
calculated compliance value) is
determined by measuring the
decrease in circuit pressure from 50
O after one second. This code
cmH
2
indicates that the pressure leak was
out of range, based on the
calculated compliance value.
2130Safety valve cannot open.
Safety valve test (test 2): the
exhalation valve is opened then
closed to vent circuit pressure. The
safety valve solenoid (SOL2) is then
deenergized to open the safety valve,
and a 10 LPM air flow starts while
monitoring the inspiratory pressure
transducer (PT3). This code
indicates that PT3 is measuring >5
O.
cmH
2
2131Patient wye not blocked.
Block patient wye (test 1): after the
prompt to block the wye, the safety
valve and exhalation valves close.
The ventilator starts a 5 LPM air
flow, and the inspiratory pressure
transducer (PT3) should measure
10 cmH2O. This code indicates
>
that PT3 is measuring <10 cmH
2134Cannot read air flow sensor.
This code indicates that system
cannot read EEPROM from the air
flow sensor (FS1).
1. Remove inspiratory bacteria filter and
external oxygen sensor and try
another patient circuit.
2. Replace sensor PCB.
3. Replace analog PCB.
O or
2
1. Remove inspiratory bacteria filter and
external oxygen sensor and try
another patient circuit.
2. Rerun leak test while blocking
exhalation flow sensor outlet. If leak
stops, replace exhalation valve.
3. Replace sensor PCB.
4. Replace analog PCB.
1. Check safety valve and safety valve
solenoid.
2. Check for blocked vent tube between
the inspiratory manifold and the back
of the ventilator.
3. Replace three-station solenoid
assembly.
4. Install safety valve kit.
5. Replace inspiratory manifold
assembly.
6. Replace main PCB.
7. Replace CPU PCB.
1. Check that patient wye is blocked
and circuit is tightly connected.
2. Ensure that exhalation filter door is
securely closed.
3. Replace exhalation filter and rerun
test.
4. Replace 3-station solenoid assembly.
O.
2
1. Enter diagnostic mode, then turn
ventilator off and on.
Block patient wye (test 1): patient
circuit pressurized to 50 cmH
then inhalation autozero solenoid
commanded to energize (open), and
inspiration pressure transducer
(PT3) should measure 0 cmH
This code indicates that PT3
measured >3 cmH
O or <-3 cmH2O.
2
2
2142Exhalation autozero solenoid cannot
open.
Block patient wye (test 1): patient
circuit pressurized to 50 cmH
then exhalation autozero solenoid
commanded to energize (open), and
exhalation pressure transducer (PT2)
should measure 0 cmH
indicates that PT2 measured >3
O or <-3 cmH2O.
cmH
2
O. This code
2
2152Patient wye not unblocked.
Block patient wye (test 1): with the
wye unblocked and the safety and
exhalation valves closed, a 25-LPM
air flow should create a back
pressure <10 cmH
by inspiratory pressure transducer
O as measured
2
(PT3). This code indicates that PT3
measured a back pressure >
O.
cmH
2
10
2156Inhalation transducer autozero
failure.
Block patient wye test (test 1): with
no pressure in the circuit, the
inspiratory pressure transducer
(PT3) and exhalation pressure
transducer (PT2) are cross-checked.
This code indicates that the PT3
measurement was out of range.
2157Exhalation transducer autozero
failure.
Block patient wye test (test 1): with
no pressure in the circuit, the
inspiratory pressure transducer
(PT3) and exhalation pressure
transducer (PT2) are cross-checked.
This code indicates that the PT2
measurement was out of range.
1. Check inhalation autozero solenoid.
2. Replace three-station solenoid.
3. Replace sensor PCB.
4. Replace main PCB.
O,
2
O.
1. Check inhalation autozero solenoid.
2. Replace three-station solenoid.
3. Replace sensor PCB.
4. Replace main PCB.
O,
2
1. Verify that circuit is not a neonatal
circuit.
2. Check that patient wye is unblocked.
3. Try new inspiratory bacteria filter.
4. Check for occlusion in the inspiratory
limb of the patient circuit.
NOTE:Test numbers refer to tests within EST and are illustrated in the
pneumatic schematics in Appendix A of this manual.
NOTE:Because EST requires a functioning blower, always verify that the
blower is operating before troubleshooting.
3000EST passed.No action required.
3100Cancelled by user.No action required
3103Air flow out of range.
Air delivery test (test 8): flow rates
of 0 and 3 LPM (±1 LPM), 5, 10,
20, 23, 50, 100, 150 and 200 LPM
(±8 LPM) are set through the air
valve as measured at the air flow
sensor (FS1). This code indicates
that FS1 measured out of range
flows.
3104Oxygen flow out of range.
Oxygen delivery test (test 6): flow
rates of 0 and 3 LPM (± LPM), 5,
10, 20, 23, 50, 100 and 150 LPM
(±8 LPM) are set through the oxygen
flow sensor (FS2). This code
indicates that FS2 measured out of
range flows.
3105Exhalation flow outside range.
Heated filter back pressure test (test
12): a 100 LPM air flow rate is
established in the patient circuit
with the exhalation valve open. This
code indicates that the exhalation
flow sensor (FS3) measurement is
<90 LPM or >110 LPM, and the
FS3 measurement is displayed.
3106Patient circuit leak.
Patient circuit test (test 11): this
code indicates that the ventilator
could not pressurize the tubing
circuit to 50 cmH
air flow and the safety and
exhalation valves closed.
O with a 5 LPM
2
1. Check air flow sensor accuracy.
Replace if necessary.
2. Check air valve.
3. Replace air valve assembly.
4. Replace air motor controller PCB.
1. Check oxygen valve.
2. Verify adequate source pressure and
flow rates.
3. Try another oxygen source:
flowmeters or other restrictions can
limit flow even with sufficient
pressure.
4. Check oxygen flow sensor.
5. Replace oxygen motor controller
PCB.
1. Check circuit integrity.
2. Replace exhalation filter.
3. Check exhalation flow sensor.
4. Check orientation of exhalation check
valve CV4.
1. Check for leaks at the connections
between the circuit, filters,
humidifier, and couplings.
2. Remove inspiratory bacteria filter and
external oxygen sensor and try
another patient circuit.
3. Verify that connection between
oxygen flow sensor and oxygen valve
is tight.
Patient circuit test (test 11): this
code indicates that circuit pressure
dropped from 50 cmH
O after exactly 100 ms.
cmH
2
O to <45
2
3108Exhalation pressure outside range.
Exhalation valve test (test 10): the
exhalation valve is set to deliver
pressures of 0, 5, 10, and 20
O (tolerance ±2 cmH2O), 30
cmH
2
cmH
O (tolerance ± 3 cmH2O), and
2
35 cmH
O (tolerance ± 3.5 cmH2O)
2
as measured at the exhalation
pressure transducer (PT2). This code
indicates that PT2 measured out of
range pressures.
3109Check valve 2 (CV2) leak.
Crossover circuit test (test 5): the air
valve is opened without the blower
running and an oxygen flow of 100
LPM is created. The air flow sensor
(FS1) should measure a flow of 0
LPM. This code indicates that FS1
measured >3 LPM.
3110Check valve 3 (CV3) leak.
Patient circuit test (test 11): the
circuit is pressurized to 50 cmH
with the exhalation valve closed,
then the safety valve opens. After
two seconds, circuit pressure should
not drop below 35 cmH
or ped mode, or below 41 cmH
O in adult
2
Neo mode. This code indicates that
circuit pressure was <35 cmH
adult or ped mode, and <41 cmH
in Neo mode.
1. Check for patient circuit leaks.
2. Verify that O-ring is present in
external oxygen sensor of bypass
oxygen sensor.
3. Check inhalation pressure
transducer.
4. Check the connection between the
inspiratory manifold and inspiratory
autozero solenoid.
5. Check for kinks or cuts in the tube
between inhalation autozero solenoid
and inhalation pressure sensor.
6. Replace sensor PCB.
7. Replace three-station solenoid.
1. Replace exhalation bacteria filter.
2. Check exhalation solenoid for
operation and leaks.
3. Check exhalation pressure
transducer.
4. Check exhalation valve.
5. Check for kinks or cuts in the tube
between exhalation solenoid and
exhalation pressure sensor.
6. Replace sensor PCB.
7. Replace three-station solenoid.
Check CV2. Replace as necessary.
1. Check for patient circuit/filter leaks.
2. Verify that CV3 is in 12:00 position.
3. Verify that there is an O-ring in the
O
2
oxygen sensor or bypass.
4. Check CV3. Replace as necessary.
5. Check tubing from SOL4 to
inspiratory manifold.
Oxygen supply test (test 4): the
oxygen supply pressure switch (PS1)
is open when oxygen is not
connected. At the prompt to connect
oxygen, PS1 should close when 4090 PSI is connected. This code
indicates that PS1 remains open.
3112Oxygen not disconnected.
Oxygen supply test (test 4): the
oxygen supply pressure switch (PS1)
is closed when oxygen is connected.
At the prompt to disconnect oxygen,
the oxygen valve opens and closes to
relieve pressure, and PS1 should be
open. This code indicates that PS1
remains closed.
3113Oxygen sensor analog to digital
3115Primary audio not sounding.
3116Backup audio not sounding.
3117Crossover circuit fault.
converter (ADC) sample out of range.
Oxygen sensor test (test 7): this
code indicates that the ADC
measurements are out of range and
assumes that the oxygen sensor is
not connected.
Audio test (test 13): ventilator
activates primary alarm and prompts
for a response that alarm is audible.
This code indicates that the primary
alarm is not working.
Audio test (test 13): ventilator
activates backup alarm and prompts
for a response that alarm is audible.
This code indicates that the backup
alarm is not working.
Crossover circuit test (test 5):
crossover solenoid (SO1) is
energized to supply air source gas to
close safety valve, and an air flow
rate of 5 LPM is established with the
exhalation valve closed. After three
seconds, the inspiratory pressure
transducer (PT3) should measure a
pressure of 50 cmH
This code indicates that PT3
measured <50 cmH
O or greater.
2
O.
2
1. Check that oxygen (minimum of
40PSI/276 kPa) is connected to the
ventilator.
2. Try another oxygen hose, outlet,
quick-connect, or external regulator.
3. Check oxygen pressure switch.
4. Check oxygen regulator assembly.
1. Check that oxygen is disconnected.
2. Check oxygen pressure switch.
3. Replace oxygen regulator assembly.
1. Replace external oxygen sensor.
2. Replace oxygen sensor cable.
3. Replace FIO
cable.
4. Replace sensor PCB.
5. Replace analog PCB.
1. Verify correct key press.
2. Replace primary alarm.
3. Replace digital PCB.
4. Replace the primary alarm to MMI
PCB cable.
5. Replace MMI PCB.
6. Replace main PCB.
1. Verify correct key press.
2. Replace the backup alarm.
3. Replace digital PCB.
4. Replace the primary alarm to MMI
PCB cable.
5. Replace MMI PCB.
6. Replace main PCB.
1. Check for patient circuit leaks,
bypass the oxygen sensor, and
replace exhalation bacteria filter.
Blower test (test 3): turns blower off
and opens air valve. Air flow sensor
(FS1) should measure flow less than
50 LPM within 20 seconds. This
code indicates that FS1 measured
50 LPM.
>
3119Blower DAC failure.
Blower test (test 3): turns blower
controller switch on but sets analog
voltage that controls blower speed to
0 V. Blower should remain off, and
air flow sensor (FS1) should
measure flow less than 50 LPM
within two seconds. This code
indicates that FS1 measured >
LPM.
3120Relief valve cracking pressure too
high (>170 cmH
O).
2
Pressure relief valve test (test 9): at
an oxygen flow of 1 LPM, the
exhalation pressure transducer (PT2)
should measure a stable pressure of
120-160 cmH2O within 60
seconds. This code indicates that
PT2 measured >170 cmH
O.
2
3121Relief valve cracking flow not stable.
Pressure relief valve test (test 9): the
oxygen flow sensor (FS2) should
measure 1 LPM during this test.
This code indicates that FS2
measured <0.8 LPM or >1.2 LPM.
3122Relief valve cracking pressure out of
range (<120 cmH
cmH
O).
2
O or >160
2
Pressure relief valve test (test 9): at
an oxygen flow of 1 LPM, the
exhalation pressure transducer (PT2)
should measure a pressure between
120-160 cmH
O. This code
2
indicates that PT2 measured <120
O or >160 cmH2O (but <170
cmH
2
O).
cmH
2
3123Oxygen cracking flow out of range
(<0.7 LPM or >1.3 LPM).
Pressure relief valve test (test 9): the
oxygen flow sensor (FS2) should
measure a flow of 1 LPM. This code
indicates that FS2 measured <0.7
LPM or >1.3 LPM.
1. Check blower.
2. Replace blower controller PCB.
3. Replace sensor PCB.
4. Replace main PCB.
1. Check blower.
2. Replace blower controller PCB.
3. Replace sensor PCB.
4. Replace analog PCB.
50
1. Check pressure relief valve and
adjust if necessary.
2. Replace pressure relief valve.
3. Replace sensor PCB.
1. Check pressure relief valve and
adjust if necessary.
2. Replace pressure relief valve.
3. Replace sensor PCB.
1. Check pressure relief valve and
adjust if necessary.
and exhalation flow sensor during air
delivery test 8.
Patient circuit test (test 11):
pressure measured by the inspiratory
pressure transducer (PT3) and the
exhalation transducer (PT2) are
sampled, averaged and compared.
This code indicates that
measurement difference was >3
O.
cmH
2
3126Difference (>20 LPM) between
oxygen flow sensor and exhalation
flow sensor.
Oxygen delivery test (test 6): an
oxygen flow rate of 150 LPM is
established and compared to the
exhalation flow sensor (FS3)
reading. This code indicates that
FS3 measurement difference was
>20 LPM.
3127Heated filter back pressure out of
range (<5 cmH
O or >15 cmH2O).
2
Heated filter test (test 12): at an air
flow reading of 100 LPM through
the patient circuit, the system
calculates the difference between
inspiratory pressure transducer
(PT3) measurements before and
after disconnecting the exhalation
limb from exhalation filter. This code
indicates that the difference is <5
O or >15 cmH2O.
cmH
2
3128Circuit compliance out of range.
Patient circuit test (test 11): circuit
compliance is calculated by
measuring the time required to
achieve 50 cmH
O at 5 LPM. This
2
code indicates that calculated
compliance is <0.50 ml/cmH
>9.0 ml/cmH
O.
2
2
3129Pressure leak out of range.
Patient circuit test (test 11): the
patient circuit leak rate (based on
calculated compliance value) is
determined by measuring the
decrease in circuit pressure from 50
O after one second. This code
cmH
2
indicates that the pressure leak was
out of range, based on the
calculated compliance value.
1. Check air and exhalation flows and
replace flow sensor(s) as necessary.
2. Replace sensor PCB.
3. Replace analog PCB.
4. Replace main PCB.
1. Check oxygen and exhalation flows
and replace flow sensor(s) as
necessary.
2. Replace sensor PCB.
3. Replace analog PCB.
4. Replace main PCB.
1. Replace the exhalation bacteria filter.
2. Check of occlusions in the patient
circuit.
3. Check CV4.
1. Remove inspiratory bacteria filter and
external oxygen sensor and try
another patient circuit.
2. Replace sensor PCB.
3. Replace analog PCB.
O or
1. Remove inspiratory bacteria filter and
external oxygen sensor and try
another patient circuit.
2. Rerun leak test while blocking
exhalation flow sensor outlet. If leak
stops, replace the exhalation valve.
3. Ensure that exhalation filter door is
securely closed.
Safety valve test (test 2): the
exhalation valve is opened then
closed to vent circuit pressure. The
safety valve solenoid (SOL2) is then
deenergized to open the safety valve,
and a 10 LPM air flow starts while
monitoring the inspiratory pressure
transducer (PT3). This code
indicates that PT3 is measuring >
O.
cmH
2
3131Patient wye not blocked.
Block patient wye (test 1): after the
prompt to block the wye, the safety
and exhalation valves close. The
ventilator starts a 5 LPM air flow and
the inspiratory pressure transducer
(PT3) should measure >
This code indicates that PT3 is
measuring <10 cmH
3132Keyboard key not responding.
Keyboard test (test 15): the operator
is prompted to press each hard key
on the keyboard. This code indicates
an incorrect key response.
3133Rotary encoder failure.
Keyboard test (test 15): the operator
is prompted to rotate the knob. This
code indicates no knob response.
3134Cannot read air flow sensor.
This code indicates that system
cannot read EEPROM from the air
flow sensor (FS1).
3135Cannot read oxygen flow sensor.
This code indicates that system
cannot read EEPROM from the
oxygen flow sensor (FS2).
10 cmH2O.
O.
2
1. Check safety valve and safety valve
solenoid.
2. Check for blocked vent tube between
the inspiratory manifold and the back
of the ventilator.
3. Replace three-station solenoid
assembly.
4. Install safety valve kit.
5. Replace inspiratory manifold
assembly.
5
1. Check that patient wye is blocked.
2. Check for patient disconnection in
patient circuit.
3. Ensure that exhalation filter door is
securely closed.
4. Replace exhalation filter and retest.
5. Replace 3-station solenoid assembly.
1. Check cable connections between
front panel overlay and MMI PCB.
2. Slave in replacement front panel
overlay and check for proper
operation.
3. Replace MMI PCB.
4. Replace CPU PCB.
1. Replace rotary encoder.
2. Replace MMI PCB.
3. Replace digital PCB.
4. Replace main PCB to MMI PCB
cable.
5. Replace CPU PCB.
6. Replace main PCB.
1. Enter diagnostic mode, then turn
ventilator off and on.
2. Verify air flow sensor cable
connections.
3. Replace air flow sensor.
4. Replace CPU PCB.
5. Replace sensor PCB.
6. Replace analog PCB.
1. Enter diagnostic mode, then turn
ventilator off and on.
This code indicates that system
cannot read EEPROM from the
exhalation flow sensor (FS3).
3137Air flow sensor (FS1) failure.
This code indicates that information
stored on FS1 cannot be read.
3138Oxygen flow sensor (FS2) failure.
This code indicates that information
stored on FS2 cannot be read.
3139Exhalation flow sensor (FS3) failure.
This code indicates that information
stored on FS3 cannot be read.
3140Flow sensors cannot erase table.
This code indicates that flow sensor
calibration tables stored on the CPU
PCB cannot be erased.
3141Inhalation autozero solenoid cannot
open.
Block patient wye (test 1): patient
circuit pressurized to 50 cmH
then inhalation autozero solenoid
commanded to energize (open), and
inspiration pressure transducer
(PT3) should measure 0 cmH
This code indicates that PT3
measured outside the range from -3
to 3 cmH
O.
2
2
2
1. Enter diagnostic mode, then turn
ventilator off and on.
Block patient wye (test 1): patient
circuit pressurized to 50 cmH
then exhalation autozero solenoid
commanded to energize (open), and
exhalation pressure transducer (PT2)
should measure 0 cmH
indicates that PT2 measured outside
the range from -3 to 3 cmH
of range.
Air delivery test (test 8): air valve
stepper commanded to open
position (2000 ± 5 steps). This code
indicates that measured position
was outside the range of 1995 to
2005 steps.
out of range.
Air delivery test (test 8): air valve
stepper commanded to midpoint
position (1000 ± 5 steps). This code
indicates that measured position
was outside the range of 995 to
1005 steps.
of range.
Air delivery test (test 8): air valve
stepper commanded to closed
position (last measured liftoff
position ± 5 steps). This code
indicates that the measured position
was more than 5 steps above or
below the liftoff position.
out of range.
Oxygen delivery test (test 6): oxygen
valve stepper commanded to open
position (2000 ± 5 steps). This code
indicates that measured position
was outside the range of 1995 to
2005 steps.
Oxygen delivery test (test 6): oxygen
valve stepper commanded to
midpoint position (1000 ± 5 steps).
This code indicates that measured
position was outside the range of
995 to 1005 steps.
3148Oxygen stepper motor closed
position out of range.
Oxygen delivery test (test 6): oxygen
valve stepper commanded to closed
position (last measured liftoff
position ± 5 steps). This code
indicates that the measured position
was more than 5 steps above or
below the liftoff position.
3149Exhalation stepper motor open
position out of range.
Exhalation valve test (test 10):
exhalation valve stepper
commanded to open position (0 ± 5
steps). This code indicates that
measured position was outside the
range of 1795 to 1805 steps.
3150Exhalation stepper motor midpoint
position out of range.
Exhalation valve test (test 10):
exhalation valve stepper
commanded to midpoint position
(1000 ± 5 steps). This code
indicates that measured position
was outside the range of 995 to
1005 steps.
3151Exhalation stepper motor closed
position out of range.
Exhalation valve test (test 10):
exhalation valve stepper
commanded to closed position
(2,000 ± 5 steps). This code
indicates that the measured position
was more than 5 steps above or
below the closed position.
Block patient wye (test 1): with the
wye unblocked and the safety and
exhalation valves closed, a 25-LPM
air flow should create a back
pressure <10 cmH
by inspiratory pressure transducer
(PT3). This code indicates that PT3
measured a back pressure >
O.
cmH
2
3153Touch screen failure.
Keyboard test (test 15): checks
touch screen to verify that all
emitters, detectors, and the touch
screen controller on the MMI PCB
are working properly.
3154LED indicator failure.
LED test (test 14): prompts the
operator to confirm that each LED
on the front panel lights as
described (constant or flashing).
This code indicates that correct LED
response was not received.
3155Remote alarm not sounding.
Audio test (test 13): if operator
responds that a remote alarm is
connected to the ¼ inch phone jack
on ventilator back panel, this test
activates the nurse call relay.
Operator is prompted to confirm
remote. This code indicates that
confirmation of remote alarm
function was not received.
3156Inhalation transducer autozero
failure.
Block patient wye test (test 1): with
no pressure in the circuit, the
inspiratory pressure transducer
(PT3) and exhalation pressure
transducer (PT2) are cross-checked.
This code indicates that the PT3
measurement was out of range.
O as measured
2
10
1. Verify that circuit is not a neonatal
circuit.
2. Check that patient wye is unblocked.
3. Try new inspiratory bacteria filter.
4. Check for occlusion in the inspiratory
limb of the patient circuit.
Block patient wye test (test 1): with
no pressure in the circuit, the
inspiratory pressure transducer
(PT3) and exhalation pressure
transducer (PT2) are cross-checked.
This code indicates that the PT2
measurement was out of range.
3158Exhalation Valve Test failure.
(Neonatal Option only)
This code indicates that the initial
pressure is outside of range during
exhalation valve test.
3159Exhalation Valve Test failure.
(Neonatal Option only)
This code indicates that the final
pressure is outside of range during
exhalation valve test.
3160Exhalation Valve Test failure.
(Neonatal Option only)
This code indicates that the
exhalation flow is outside of range
during exhalation valve test.
1. Check for crimped tube.
2. Check exhalation solenoid.
3. Replace sensor PCB.
4. Replace three-station solenoid
assembly.
5. Replace main to sensor cable.
6. Replace analog PCB.
7. Replace main PCB.
1. Check exhalation solenoid for
operation and leaks.
2. Check exhalation pressure
transducer.
3. Check exhalation valve.
4. Check for kinks in the tube between
exhalation solenoid and exhalation
pressure sensor.
5. Replace sensor PCB.
1. Check exhalation solenoid for
operation and leaks.
2. Check exhalation pressure
transducer.
3. Check exhalation valve.
4. Check for kinks in the tube between
exhalation solenoid and exhalation
pressure sensor.
5. Replace sensor PCB.
1. Check circuit integrity.
2. Check exhalation filter for occlusion
or leaks.
3. Check exhalation flow sensor.
4. Check orientation of exhalation check
valve CV4.
5. Replace exhalation flow sensor.
6. Replace sensor PCB.
Chapter 6
4xxx: Continuous Built-in Test Failures (*Vent Inop.)
4002*RAM test.
Memory test on CPU PCB.
4003*ADC/DAC test.
The 12-bit analog to digital
converter (ADC) and 8-bit digital to
analog converter (DAC) on the
analog PCB are tested.
The inspiratory pressure transducer
solenoid (SOL4) is energized at
regular intervals. This code indicates
that the system failed to measure a
stable reading. Three consecutive
failures result in a Vent Inop
condition.
4005*Exhalation autozero failure.
The exhalation pressure transducer
solenoid (SOL3) is energized at
regular intervals. This code indicates
that the system failed to measure a
stable reading. Three consecutive
failures result in a Vent Inop
condition.
4006*High temperature (>65 ºC).
Fan(s) not running or blocked air
flow. The temperature sensor is on
the sensor PCB. A high-priority, nonresettable alarm.
4007Exhalation valve stuck open.
When the exhalation valve is
commanded closed, the exhalation
flow sensor (FS3) still measures
flow.
4008Air valve stuck open.
When the air valve is commanded
closed, the air flow sensor (FS1) still
measures flow.
1. Check for crimped tubes between
inhalation solenoid and transducers
on sensor PCBA.
2. Check inhalation solenoid.
3. Replace sensor PCB.
4. Replace three-station solenoid
assembly.
5. Replace main to sensor cable.
6. Replace analog PCB.
7. Replace main PCB.
1. Check for crimped tubes between
inhalation solenoid and transducers
on sensor PCBA.
2. Check inhalation solenoid.
3. Replace sensor PCB.
4. Replace three-station solenoid
assembly.
5. Replace main PCB to sensor PCB
cable.
6. Replace analog PCB.
7. Replace main PCB.
1. Check both cooling fans for proper
operation. If there is a fan failure,
measure voltage to the fan (it should
be 24 VDC). If voltage is correct,
replace fan. If voltage is incorrect,
replace power supply.
2. Check blower inlet filter and air
intake filter, and clean or replace as
necessary.
3. Replace sensor PCB.
1. Check exhalation flow sensor and
exhalation valve (test the exhalation
valve using the flow transducer test
described in Chapter 5).
A 1012 (air liftoff failure) code indicates an out of range air liftoff value. As
part of power-on self-test (POST), the microprocessor starts the blower and
opens the air valve until the air flow sensor reads a flow rate of 1 LPM. The
step position of the air stepper motor is recorded at this point, and is called
the liftoff value.
The liftoff value is recorded during normal (diagnostic code 1) and diagnostic
mode (diagnostic code 3) startup sequences. The liftoff value (and other
diagnostic information) is also recorded when a 1012 code occurs. If the
blower fails to start spinning, the difference in current draw is zero, and an
8004 diagnostic code is logged. To view the information recorded during 1012
or 8004 events, generate a ventilator diagnostic report (DRPT) (Chapter 7).
NOTE:Disregard an 8004 code without an accompanying 1012 code in the
diagnostic log.
Possible causes for a 1012 diagnostic code include:
•The air valve opening position is too low or too high.
•The blower motor has seized or is drawing too much current.
•The blower controller PCB is not operating properly.
•The air flow sensor is not reading accurately.
•The power supply is not providing the 29 VDC (24 VDC if running on
battery) output to the blower controller PCB.
•The sensor PCB is not operating properly.
•Faulty harness connections between the blower controller PCB and
power supply or sensor PCB.
Follow these steps to determine the cause and repair for a 1012 diagnostic
code:
1. Determine if the blower is working: listen for the blower to start
spinning at startup, or use the Hardware screen (Chapter 5) to set an
air flow: if there is flow, the blower is working.
2. If the blower is not working, determine if the cooling coil fan on the
bottom of the unit is operating by looking, feeling for air flow, or
carefully probing with a slender flexible object such as a wire or tie
wrap. (The blower and this cooling fan share the same output from the
power supply.)
3. If both the blower and the fan are not working, check for 29 VDC (24
VDC if running on battery) at the blower controller PCB:
a. Enter diagnostic mode.
b. Place DMM leads on the red and black wires on the green terminal
block on the blower controller PCB mounted next to the blower.
c. Make sure the wires to the terminal block are securely connected.
Check the other end of this harness and verify it is securely
connected to power supply connector J1.
d. If F1 and/or F2 are open, replace fuses.
e. If 24/29 VDC is not present, replace the power supply.
4. If the blower is not working but the fan is, check the LED (which
indicates an overcurrent condition) on the blower controller PCB
during a normal startup attempt. If the LED lights, either the blower
motor or the blower controller PCB is not functioning correctly.
a. If you can hear the blower attempt to start running, and then the
LED lights, replace the blower.
b. If the blower still does not work and the LED still lights, reinstall
the original blower and replace the blower controller PCB. You can
slave in and connect the replacement blower controller PCB to see
if it corrects the problem before replacing the original PCB.
5. If the blower doesn’t start, 24/29 VDC is present at the terminal block,
and the LED on the blower controller PCB does not light:
a. Check the continuity and connections of the harness between J9
on the sensor PCB and J3 on the blower controller PCB. If there is
a continuity problem, replace the cable.
b. If the blower still doesn’t work, replace the sensor PCB.
6. If the blower is working, check the DRPT liftoff value (Chapter 7).
7. If the liftoff value is below 180 steps, there may be foreign material in
the valve that prevents it from closing all the way.
a. Cycle the air flow rate from closed to fully open several times to
expel any foreign material. Use the hardware screen to open the
air valve to its maximum position (2,000 steps), then toggle
between the hardware screen and any other screen in the
diagnostic mode to cycle the valve.
b. Reattempt normal startup.
c. If the value is still below 180 steps, replace the air valve.
8. If the value is over 525 steps, either the air valve or the airflow sensor
is not functioning correctly, perform the air flow accuracy test of the
performance verification (Chapter 8):
•If the air flow accuracy test passes, replace the air valve.
A diagnostic code 5000 occurs when a significant pressure differential is
detected between the Inspiratory and exhalation sides of the tubing circuit.
This pressure differential can be caused by blocked tubing (due to liquid
accumulation or a pinched circuit), increased exhalation filter resistance, or
increased resistance caused by additional bacteria filters in line for nebulizer
treatments.
When the ventilator enters an occlusion state, it opens the exhalation valve and
safety valve, then closes them and attempts to deliver a patient breath. If the
pressure differential still exists, the ventilator repeats the process (up to 40
times per minute). During an occlusion state, the ventilator enters the safety
valve open (SVO) state (not VENT INOP).
NOTE:If pressure displays do not drop to 0 ± 0.1 cmH2O, cycle power to the
ventilator to enter normal ventilation mode. After the ventilator completes
POST, cycle power to the ventilator to enter diagnostic mode and re-run
the test.
Follow these steps to determine the cause and repair for a 5000 diagnostic
code:
1. Connect a patient circuit, including test lung, to the ventilator and
turn the ventilator ON in diagnostic mode.
2. Touch Hardware to view the Hardware screen, then select these
settings:
•Touch Air and set to 1 LPM.
•Touch Exhalation and set to 2000 Steps.
•Touch Safety to energize (white background indicates energized).
3. Block the patient wye, then watch the Inhalation Pressure and
Exhalation Pressure displays on the Hardware screen as they rise from
0 cmH
the difference between the pressure displays is greater than 2 cmH
O to the highest stable point (the PRV cracking pressure). If
2
O
2
at any time, note which is higher.
4. Unblock the patient wye to allow pressures to return to 0 ± 0.1
cmH
O, then repeat for Air settings of 2, 3, 4, and 5 LPM.
2
5. With circuit pressure at the PRV cracking pressure, touch Inhalation
and verify that the pressure displays drop to 0 ± 0.1 cmH
O
2
immediately when energized (white background) and returns to circuit
pressure when deenergized, without displaying any pressures between
0 cmH
O and PRV cracking pressure.
2
6. With circuit pressure at the PRV cracking pressure, touch Exhalation
and verify that the pressure displays drop to 0 ± 0.1 cmH
O
2
immediately when energized (white background) and returns to circuit
pressure when deenergized, without displaying any pressures between
0 cmH
This section describes ventilator communications functions, including:
•Downloading software
•Programming the serial number
•Enabling options
•Setting up the serial interface to generate a diagnostic report (DRPT)
•Generating a DRPT
7.1 Downloading
Software
The CPU PCB in the ventilator contains nonvolatile memory that allows the
software to be upgraded electronically using a personal computer (PC) or
laptop computer. If the CPU PCB is replaced, the serial number and any
installed options (such as color or graphics) must be reprogrammed.
Writing the ventilator’s serial number to the CPU disables any installed
options. Downloading a new software revision by itself does not disable
options. If you are downloading software after replacing the CPU PCB, you can
reprogram the ventilator serial number as part of the software download as
described in section 7.2.
Follow these steps to download software to the ventilator:
1. Turn PC on and ventilator off.
2. Double-click on SETUP.EXE from the software CD to start the program.
NOTE:The software CD is configured to autorun if the PC has autorun enabled.
To manually start the software, insert the CD into the tray and click Start > Run, then enter the CD drive location (e.g.: D:\Setup.exe where D is the
CD drive letter.)
3. The Setup screen appears (Figure 7-1). Click Next to continue or
Cancel to exit.
Figure 7-1: Setup Screen
4. The Select Language screen (Figure 7-2) appears. Select a language,
then click Next to continue or Cancel to exit.
Figure 7-2: Select Language Screen
5. The Prepare Hardware screen appears (Figure 7-3). Connect a
standard 9-pin male-female RS-232 null modem cable between the
PC serial port and the ventilator serial port and select the COM port in
use.
6. While turning the ventilator on, simultaneously press the two Options
keys (the two keys to the left of the Accept key) on the ventilator front
panel for five seconds. The message Looking for a download server
appears on the ventilator display, and the backup alarm sounds.
7. Click Finish on the Prepare Hardware screen. The download sequence
begins, and after approximately five minutes, the PC displays a
message indicating that software has been successfully downloaded.
If there is a communication problem between the PC and the
ventilator, an error message appears (Figure 7-4). Check the cable
connection and verify that the correct serial port is selected, then try
the download sequence again.
Figure 7-4: Software Download Communication Error
8. If the download is successful, the ventilator displays these messages:
IMPORTANT: Reset the altitude and turn compliance off then back on
to reactivate compliance compensation (use the User Configuration
screen in diagnostic mode as described in Chapter 5).
12. Disconnect the null-modem cable from the ventilator.
13. Perform EST (Chapter 5).
7.2 Programming the
Ventilator Serial
Number
The serial number of each Respironics V200 or Esprit ventilator is stored in
nonvolatile memory on its CPU PCB, and must be reprogrammed if you replace
the CPU PCB. There are two ways to program the serial number:
•You can program the serial number during a software download
(replacement CPU PCBs are shipped without the Respironics V200
Ventilator software installed).
•You can program the serial number without downloading software (use
this method to save time if you’ve already downloaded software but
have not yet reprogrammed the serial number).
CAUTION:Programming the ventilator serial number disables any installed options,
such as color or graphics. Be sure to program the serial number before
enabling an option.
To program the serial number during a software download:
1. While turning the ventilator on, simultaneously press the two Options
keys on the ventilator front panel for five seconds. The message
Looking for a download server appears on the ventilator display, and
the backup alarm sounds.
2. With the Esprit/V200 software installation CD in the CD drive, click on
Start > Run, then enter D:\setup.exe -vs to begin a software
download, where D is the CD drive letter.
Enter the command exactly as shown, in lowercase letters with a space
between exe and -vs. (This is the same procedure as described in
section 7.1, except that you enter the above command rather than
double-clicking on SETUP.EXE.)
3. At the end of the download, a dialog box prompts you to enter the
ventilator serial number. Enter the serial number (VSxxxxxxx) after the
ventilator has restarted in diagnostic mode, where xxxxxxx is the
seven-digit ventilator serial number. Enter VS in uppercase letters.