Please carefully read each step of the procedure that is to be carried out
before beginning the servicing of the unit. Always use the correct tools
and the indicated measuring instruments. Any non-compliance with the
instructions and/or recommendation found in this technical
documentation can lead to a malfunctioning of the equipment or damage
to it.
Use only original replacement parts as supplied by F. S
TEPHAN GMBH,
and that are listed in the Replacement Parts List.
This technical documentation is not to be used in place of the operating
instructions. Each operation and handling of the equipment requires exact
knowledge and observance of the operating instructions. This equipment
is only to be used for the stipulated application.
F. Stephan GmbH
F. Stephan GmbH
- Medizintechnik -
- Medizintechnik Kirchstrasse 19
Kirchstrasse 19
56412 Gackenbach, Germany
56412 Gackenbach, Germany
Subject to technical changes. Subject to technical changes.
Stand: April 1999 Status: April 1999
Version: V1.2
The manufacturer grants a 24-month warrant effective from the date of
purchaser.
Any modification or repair work carried out on the equipment may only
be done by F. S
Otherwise the warranty becomes invalidated.
In validation of the warranty can also arise through improper handling
and opertion of the equipment.
TEPHAN GMBH or an authorized technical team.
Claims
Warranty claims that can be attributed to improper operation, insufficient
care and maintenance shall not be honored by the manufacturer.
The manufacturer guarantees only for the safety and reliable operation of
the equipment only if the operating and servicing instructions are strictly
adhered to.
2.1 Check of the plug-in gas couplings O2, N2O, AIR
for:
correct color coding
correct fit in the gas socket
external damage
2.2 Check of the gas connection tubes O2, N2O, AIR,
for:
correct connection of the plug-in gas coupling
correct connection to the screw joint of the connecting thread
correct color coding
external damages
2.3 Check of the screw joints of the connecting
threads O
, N2O, AIR for:
2
Tightness
correct color coding of the individual types of gas
damage to the thread
he gas-mixing unit serves as proportioning device for medical gases
T
(e.g. oxygen, nitrous oxide and compressed air).The desired gases can be
mixed in any relation by means of the proportioning valves below the
flowmeter tubes. The types of gas can be clearly recognized on the
control knobs.
To prevent conf
usion, the control knob of the regulating valve for oxygen
differs haptically from the two other valves. Inadvertent shift of the
settings is avoided by a special twisting-prevention device.
he proportioning valves (control knobs) permit a continuous flow, when
T
they are rotated counterclockwise. The measuring area for O
consists of
2
two flowmeter tubes, so that an exact proportioning is guaranteed.
The high precision flowmeter tube (at the left) indicates the measuring
range from 0 to 2 l/min, the "rough" flowmeter tube (at the right)
indicates the flow quantities from 2 to 15 l/min.
Reading line is the upper edge of the float. Graduation of the lower scale
parts of the measuring tubes (AIR/N
Because the dimensions of the lateral parts of the GME 2/3 can be altered
optionally, the use of flowmeter tubes of other manufacturers (e.g. Rota,
KDG and others) is possible.
O) is more closely stepped.
2
Fig. 2: Gas Mixing Unit
3.1.1 O2-Flush
Depressing the O
-flush-button effects a quick oxygen supply
2
(approximately 50 l/min) directly to the outlet for fresh gas ( not via the
vaporizer for anaesthetic agent).
Releasing the O
-flush-button effects return to the initial position.
2
3.1.2 AIR / N2O-Change-Over
The AIR/N
knobs (AIR/N
possible. The appropriate proportioning of the gases is carried out by
means of the regulating valves O
In case of a decrease of pressure in the supply system (oxygen
lower than 2,8 bar ) an audible alarm sounds for at least 7 seconds.
No muting is possible.
O-change-over-switch is situated below the respective control
If pressure of oxygen further decreases to approximately 2 bar,the portion
of N
O is also reduced proportionally to the portion of oxygen. In case of
2
a total failure of oxygen supply, the flow of N
The readiness for service of the apparatus can only be restored by
providing the prescribed pressure of oxygen of at least 2 bar at the
connection with the supply system.
Check setting wheel and stop for performance
Check indication of filling level for damage
Check drain screw for easy running and tightness
Check performance of safety filling socket for performance
Check locking device of vaporizer
Verify concentration values of the vaporizer with the help of a testing
device for anaesthetic gases
maximum admissible tolerance in accordance with DIN 13252: +/-
20% of the set value or 0,2 Vol % absolute, always the higher value of
the two.
4.2 Vaporizer holding device
Check sealing valves for tightness
Exchange O-rings
Check for firm fit
Performance test of the high-pressure gauges for N
Check of the connections for supply cylinders
Check of correct coding of threads
Check of the packings of the supply cylinders
Check screw joints and pipe installations for tightness and damages
Check housing for damages
Check attached components for firm fit
The circle system together with the patient forms a closed cycle, into
which fresh gas is fed via the fresh gas pipe line. Excess gas escapes
through the excess gas valve (10)from the cycle and is removed from the
field of activity of the anaesthetist by means of the suction system for
anaesthetic gas (13).During the inspiration phase, the gas contained in the
system is transported to the patients' lungs by effecting pressure,
produced either by the respirator or by manual operation of a respiratory
bag. The consequent PRESSURE RELIEF in the system during the
expiration phase and the increase of pressure in the lungs due to the
elasticity of the thorax makes the gas flow back out of the lungs. Thereby
it is the task of the inspiration valve (1) and the expiration valve (7) to
permit the flow of gas only in one direction and so to establish the cycle.
Prior to reaching the patient again, CO
(2). Humidity and heat given off by the patient are fed back to him in
such a semi-closed system, which prevents desiccation and excessive
cooling of the airways. The fresh gas feeder is located on the lower end of
the holding tube. The adjustability of elevation and the possible
swivelling stand for a good adaptation to the local conditions of the
operating theatre. The respiratory pressure gauge(3), which can be
slipped onto the holding device of the circle system, has a measuring
range from - 10 to 100 mbar. It can be replaced by a blind plug.
is removed in the two absorbers
2
6 Circle System
As a standard, a mechanic volumeter (9) is installed below the expiration
valve, which measures all expiratory values of respiratory volume. The
measuring of O
in accordance with DGAI, is carried out by means of a polarographic cell
(by Clark) (1) at the head of the inspiration valve. Moreover, the circle
system is provided with connection tapers in accordance with ISO
respectively DIN 13 252, so that corrugated tubes for the ventilation of
adults as well as tube systems for infants can be used. The excess valve
(10) serves to carry off spent respiratory gases. It can be operated in four
different adjustments.
The valve is completely closed. This setting is necessary for operation in
respirator mode. In this mode, the spent respiratory gases are evacuated
via the ejector on the patient component during the expiration phase.
6.1.2 Pressure Range from 5mbar to 50mbar
This setting is used to limit the maximum pressure during manual
ventilation. When the set pressure is reached, the valve evacuates.
6.1.3 Spontaneous Respiration
During spontaneous respiration of the patient under light anaesthesia, the
valve closes in the inspiration phase, the patient now breathes the fresh
gas provided by the apparatus. In the expiration phase, the valve opens
and evacuates the system until ambient pressure is reached.
This setting is to be used in case of assisted ventilation with the patient
triggering the respiration and the respirator deepening the respiration.
Aside of that, it is possible to switch to SP briefly in case of manual
ventilation in the pressure range of 5 to 50 mbar to evacuate an overfilled
respiratory bag.
6.1.4 VOL (volume-controlled ventilation)
With the valve setting VOL, the circle system is closed automatically to
guarantee supply of the patient with the desired respiratory working
volume. Spent and excess respiratory gases escape from the valve at the
end of the expiration phase. During the expiration phase, pressure in the
system never rises above 1,5 mbar.