SIARE S2, T Service manual
LUNG VENTILATOR
Sirio S2 / T
SERVICE MANUAL
DU5051114
( rev.4) 01.06.2005
Sirio S2 / T
INDEX
Service Manual
1
INTRODUCTION ............................................................................................................................. 5
1.1 Main characteristics of SIRIO S2/T .......................................................................................... 5
1.2 Operating.................................................................................................................................. 6
1.3 Norms....................................................................................................................................... 6
1.4 Warnings .................................................................................................................................. 7
2 DESCRIPTION OF SIRIO S2/T LUNG VENTILATOR ................................................................... 9
2.1 Front view................................................................................................................................. 9
2.2 Left and right side views......................................................................................................... 10
2.3 Bottom side view .................................................................................................................... 10
3 PREPARATION TO USE ..............................................................................................................11
3.1 Electric connection ................................................................................................................. 11
3.1.1 External battery supply............................................................................................................... 11
3.1.2 Safety fuses ............................................................................................................................... 11
3.1.3 Connection to other equipments ................................................................................................ 11
3.2 Medical gas connection..........................................................................................................11
3.3 Silicone patient circuit connection .......................................................................................... 12
4 HOW TO USE THE SIRIO S2/T LUNG VENTILATOR................................................................. 13
4.1 General................................................................................................................................... 13
4.2 Operating MODES .................................................................................................................13
4.2.1 OFF............................................................................................................................................ 13
4.2.2 AUT + AST................................................................................................................................. 13
4.2.3 PSV............................................................................................................................................ 13
4.2.4 CPAP ......................................................................................................................................... 13
4.3 Optional operations ................................................................................................................ 14
4.3.1 Vehicular power supply..............................................................................................................14
4.3.2 Internal battery ........................................................................................................................... 14
4.3.3 PEEP ......................................................................................................................................... 14
4.3.4 Variable TRIGGER .................................................................................................................... 14
5 MAINTENANCE ............................................................................................................................ 15
5.1 General................................................................................................................................... 15
5.2 Scheduled Maintenance (performed by the operator) ........................................................... 15
5.2.1 Cleaning of the housing ............................................................................................................. 15
5.2.2 Washing .....................................................................................................................................16
5.2.3 Disinfecting by cold immersion................................................................................................... 16
5.3 Spare parts............................................................................................................................. 16
5.4 Special waste materials .........................................................................................................16
6 SERVICE ....................................................................................................................................... 17
6.1 Electric and pneumatic calibration ......................................................................................... 17
6.1.1 Electric calibration......................................................................................................................17
6.1.2 Pneumatic calibration................................................................................................................. 18
6.2 Testing.................................................................................................................................... 18
7 DRAWINGS ................................................................................................................................... 23
7.1 Electric connections ............................................................................................................... 23
7.2 Pneumatic drawing................................................................................................................. 24
7.3 Electronic boards.................................................................................................................... 25
7.3.1 Main board ................................................................................................................................. 25
7.3.2 Power board............................................................................................................................... 26
7.3.3 Analogic board ........................................................................................................................... 27
7.3.4 Logic board ................................................................................................................................ 28
8 TECHNICAL DATA SHEET .......................................................................................................... 29
8.1 Legend of abbreviations and symbols.................................................................................... 30
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Sirio S2 / T
Warning !!
“SIARE” is used throughout this manual as an abbreviation for:
SIARE HOSPITAL SUPPLIES S.r.l.
Via Giulio Pastore, 18 - 40056 Crespellano (BO) - ITALY
Tel.: 051.969802 / Fax: 051.969101
In quality of Manufacturer of the equipment described in the present manual.
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1 INTRODUCTION
This manual is expressly intended for SIARE qualified personnel or for qualified technical personnel,
officially authorized by SIARE to maintain the SIRIO S2/T.
The present manual describes the SIRIO S2/T and its operation principles, by the aid of constructive,
electrical and pneumatic drawings.
The SIARE qualified personnel or the qualified technical personnel officially authorized by SIARE, must
know the complete content of the present manual, before performing the operations described here
below.
The technician authorized by SIARE is equipped with proper tools and spares and he is instructed to
operate for products preservation.
Service Manual
!
SIARE declines all responsibilities arising from technical intervention performed on the
equipment without a formal authorization by SIARE.
A proper and safe use of SIRIO S2/T lung ventilator both for the patient and the operator requires the
perfect knowledge of the recommendations and instructions indicated in the present manual.
1.1 Main characteristics of SIRIO S2/T
The portable SIRIO S2/T lung ventilator is specially designed to be used in emergency, first-aid, intrahospital transportation and it is destined to be applied on adults, children and newborns.
The following ventilation modes are featured:
•
at continuous flow (CPAP);
•
automatic ventilation through a time cycled breathing activity synchronized with the patient’s
spontaneous activity (AUT+ AST);
•
assisted with pressure support (PSV - Pressure Support Ventilation).
Among the default functions the following can be adjusted:
•
breathing cycle frequency in AUT+AST mode (Fix I:E Ratio 1:1,5);
•
delivered minute volume or flow;
•
max airway pressure limit in AUT+AST mode;
•
pressure support level in PSV;
!
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•
oxygen concentration (MIXER 50 or 100%).
SIRIO S2/T measures and displays:
•
the instant airways pressure;
•
the spontaneous patient activity in AUT+ AST and PSV modes;
•
an eventual alarm status (LOW PAW/APNEA, GAS SUPPLY, LOW BATT, HIGH PAW/LIMIT,
POWER FAILURE).
The ventilation of critical patients without continuous control must be effected by using an
external spirometer having alarms on minute volume.
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1.2 Operating
For a correct and complete operating the equipment must be connected to the medical gas distribution
system outlet or to the cylinder outlet.
Sirio S2 / T
In order to supply mixtures at 21% O
this case the adjustment of the mixer at 50% and 100% values will not affect the concentration.
SIRIO S2/T has a built-in battery that allows it to operate for at least 6 hours when the battery is fully
charged and in good operating order.
An external 12 Vdc battery (from an ambulance, helicopter, etc...) can also be used as a source of
power for SIRIO S2/T .
SIRIO S2/T includes an airway pressure gauge for measuring the patient’s airway pressure, a patient’s
spontaneous activity sensor and a sensor that activates an alarm for low airway pressure.
It is necessary to check these sensors before using them, in order to avoid incorrect evaluation of the
patient’s ventilation. The test procedures are described in chapter 4 of this manual.
The electrical and medical gas system connections should be made as per the procedures described in
chapter 4.
1.3 Norms
SIRIO S2/T is a lung ventilator manufactured according to the following norms:
CEI 62-5 : 1991 (EN 60601-1)
UNI EN 794-3
the equipment can be connected to medical compressed air. In
2
Electromedical Equipment.
Part 1: General Safety Norms
Particular requirements for emergency and transport ventilators
CEI 62-50 :1993 (EN 60601-1-2)
CEI 64-4
IEC 601-4
ISO 5356 (EN 1281)
Dir. 93/42/CEE
Dir. 89/336/CEE
Electromedical Equipment.
Part 1: General Safety Norms.
Part 2: Collateral Norms: Electromagnetic Compatibility –
Recommendations and tests.
Electrical Installation in locations used for medical practice.
Programmable devices
Connectors
Medical devices
Electromagnetic compatibility
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1.4 Warnings
Service Manual
This symbol means that an important note or information
!
In order to grant maximum reliability and to ensure the patient and operator’s safety, SIRIO S2/T was
designed and manufactured following warranty standards of quality of the product and its components.
Therefore safety of SIRIO S2/T is warranted only if it is used following the procedures described in the
user’s manual.
For safety reasons, it is necessary to perform the scheduled maintenance described in this manual.
Maintenance and replacement of spare parts should be made by personnel authorized by SIARE only
and original SIARE spare parts or spare parts checked by SIARE should be used without exceptions.
SIARE is not held liable (Civil Law or Penal Code) in the following situations.
1) If SIRIO S2/T is used not for the aims or in the conditions described in the present manual.
2) For lack or omission of performance of the scheduled maintenance as described in this manual.
This symbol means that a very important remark for the patient’s and operator ‘s
safety
is following.
is following.
3) For maintenance not performed by SIARE authorized.
4) If non-original spare parts or parts not checked by SIARE were used.
5) If connected to devices not in conformity with governmental safety norms for the recommended
use.
Do not use this equipment near flammable gases.
!
Make an inspection prior to use.
Do not connect the equipment to the patient by using conductive antistatic tubes.
Regarding the general safety of the electro-medical equipment, it is important to follow all rules
regarding the interaction between the equipment and the patient, the operator and the nearby
environment.
In order to ensure proper and safe use of the equipment, it is crucial to follow the instructions and pay
attention to the notes furnished in this user’s manual.
In order to use this equipment, it is vital to know all the instructions present in this manual.
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The equipment must be checked and inspections must be performed by SIARE authorized personnel
every 800 operating hours
maintenance performed by SIARE authorized personnel is recorded in the equipment’s maintenance
file.
Every repair must be performed by SIARE authorized personnel.
SIARE is not liable for direct or indirect damage to people or things, due to technical assistance by
SIARE non-authorized personnel or improper use of the equipment, that is to say a use not described in
the user’s or technical manuals.
In order to repair the equipment malfunctioning, defects or broken parts, the operator should contact
SIARE or its authorized local service dealer.
It is important, when requesting service, to specify the model and serial number of the equipment.
It is recommended to have a maintenance and assistance contract with a SIARE authorized service
dealer, in order to guarantee the scheduled maintenance required to operate the equipment in a safe
and correct manner.
Use the recommended accessories only.
The use of other accessories is authorized only by a written authorization from SIARE as per the safety
directives in effect.
, or in case of limited use of the unit, at least every 6 months
Sirio S2 / T
. All
Operation of the equipment is authorized only in areas which are in conformity with the safety directives
in effect.
This unit is not approved for use in areas with danger of explosion.
!
This unit cannot be used in the presence of explosive gases.
Before connecting the unit with other electrical equipment not described in this
manual, check with the manufacturer.
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Service Manual
2 DESCRIPTION OF SIRIO S2/T LUNG VENTILATOR
2.1 Front view
The SIRIO S2/T lung ventilator is composed of the following parts.
9
2
7
8
5 4
6
PAW AIRWAYS PRESSURE: mechanic airway pressure gauge which displays the instantaneous airway
1
pressure.
2
!
MINUTE VOLUME: it is a control knob permitting to set the liters per minutes to be delivered to the patient. The
3
suggested settings for adult and pediatric patients are marked on the scale.
MODES: knob for selection of the following operating modes: OFF, AUT+AST, PSV, CPAP.
4
RATE: this scale is used in the AUT+AST mode.
5
PRESSURE LIMIT: it is a knob that regulates the maximum airway pressure limit.
6
MIXER: option to select between 50% O
7
PEEP: knob to set the end tidal positive pressure.
8
Handle for transport and fixing on 30x10 mm bar.
9
ALARM RESET: for safety reasons the acoustic alarm silencer operates for 20 seconds, the
alarm is enabled again whenever the airway pressure exceeds 8 cmH
This key also allows to silence the POWER FAILURE ALARM. In critical patients, especially
when the operator is not present, it is good practice to connect a breathing monitor in order to
verify the ventilation from a volumetric point of view also, not just from a pressure point of view.
and 50% AIR or 100% O2.(operating only in case of connection to O2)
2
2
O.
3
1
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