Stephan Artec 2010 User manual

ARTEC
Anesthesia system
Version 1.2. Status 04.10/
Picture shows Artec with optional components
1
Table of contents
1 GENERAL INFORMATION 5
2 TECHNICAL DESCRIPTION 6
2.1 Possible Expansion and Upgrading of the Unit 6
2.2 Scope of Use and Application 8
3 DESCRIPTION
3.1 Gasmixing unit 3 and 4
3.2 O2 – Ratiosystem (optional) 10
3.3 O2-Flush 11
3.4 AIR/N2O Mode Switch 11
3.5 O2- supply deficiency signal 11
3.6 Nitrous Oxide Block 11
3.7 Vaporizer 12
3.8 Gas-cylinder Supply Component
4 CHANGEOVER MOUNTING ARM (OPTIONAL) 14
4.1 Top view
9
9
13
14
4.2 Front view 15
4.3 Rear view 16
4.4 Connecting the changeover mounting arm 17
5 TESTING UNIT FUNCTIONS 21
5.1 Dosage valves of the Gas Mix Unit 21
5.2 O2-Flush 21
5.3 AIR / N2O Mode Switch 21
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Operating Instructions Artec
6 GAS TYPE TEST AND TESTING SAFETY DEVICES 23
6.1 Testing Gas Type: 23
6.3 Testing the Vaporizer / Vaporizer holding rack 24
7 CLEANING AND CARE OF ANESTHESIA UNIT 25
8 TROUBLESHOOTING 26
8.1 ARTEC 26
8.2 Changeover mounting arm (if available) 27
9 TECHNICAL DATA 29
10 MAINTENANCE AND SERVICING
10.1 Artec
10.2 Changeover mounting arm (if available) 31
31
31
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Operating Instructions Artec

1 General Information

The Medical Equipment Regulations (MedGV), and the law on technical medical working materials (MPBetreibV) stipulate that the attention of the operator must be drawn to the following:
The operation of the Unit must be carried out only by qualified personnel. Exact knowledge and understanding of the Operating Instructions is a pre-conditioned for operation. Use of the equipment is solely for that as stipulated in the Operating Instructions. Inspections and servicing must be duly entered in the Logbook of the Unit. The Equipment must be inspected at regular intervals by qualified personnel only. F.Stephan GmbH stipulates a half-yearly inspection and maintenance by one of its authorized Service Technicians. Before each use of the unit, a complete function test of the unit must be carried out. In the case on medico.technical devices with electrical connection, the standards of particular VDE 0751 and IEC 601 must be closely complied with. According to these standards, such devices may only be set up and put into operation by the manufacturer or his expressedly authorized technician or dealership. Unit equipped with a pressure reducer should undergo a basic overhaul at least every 5 years for reasons of safety. An emergency ventilation system (e.g. Ambu-Bag) must always be in close proximity of the unit. F. Stephan shall assume no responsibility or liability for any damage or defects arising from non-observance of the above-mentioned information.
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Operating Instructions Artec

2 Technical Description

Driven by customer requests and requirements, the ARTEC model series had been designed and developed as a compact universal version. At the same time high quality­standards and maximum economy has been achieved. The elementary structure ensures a good overview and quick allocation and adjustment of parameters for the respective unit components. The ARTEC anesthesia unit is an inhalation anesthesia unit that is equipped with a anesthesia agent specific vaporizer for use in a semi-closed system The unit consists of a basic housing of stainless steel in which a drawer is provided. Located above that is the gas-mix unit (GME, with which the available medical gases O2, N2O and (optional) compressed air can be dosaged. The GME consists of an integrated pneumatic unit with relvant safety valves providing for N20 block and O2 deficiency signal and the dosage unit for the above-mentioned medical gases. On the right-hand side, an anesthesia agent specific vaporizer can be mounted on special mounting racks ( one or two-fold). Located on the basic unit and depending on model, there is provided a stainless steel shelf for additional monitoring or a ventilation module with integrated monitoring. On the reverse side of the unit there are standard connections for gas supply linea and depending on model, holding racks for reserve bottles with integrated high-pressure reducers. The unit is also equipped with four plug sockets for electrical power supply for additional monitors. These sockets are constantly supplied with current regardless of the Ventilators ON/OFF power supply status.

2.1 Possible Expansion and Upgrading of the Unit

Basic Model
The ARTEC basic model is suitable for wall mounting. For such mounting, the mounting rails of the basic unit ar attached to the V2A rails. For wall mounting, exact vertical mounting of the unit must be strictly observed, otherwise inexact mounting could lead to falsh measuring results of gas flows. An adjustable distancer device provides a precise alignment of the unit.
Unit Model with Mobile Stand
The unit can be mounted on a mobile stand that enables and ensures variable site operation.
The basic unit can be mounted on the mobile stand profile (80x30) by tightening the four mounting bolts. The mobile stand can be equipped with a stand-alone oxygen, compressed air and vacuum generator module „STAXEL“
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Operating Instructions Artec
Gas Supply:
The unit is designed with a central gas supply coupling connection. A set of hoses is supplied with the unit for the three types of gases O
, N2O and compressed air ( if air is
2
provided). Gas supply can either be via a central gas supply network, or via bottle supply with 10 litre bottles O2 and N2O. To ensure uninterrupted gas supply, in the event of breakdown of the central gas supply, 2 litre reserve bottles can be connected.
An alternative to bottled gas supply, the ARTEC anesthesia unit offers the possiblity of a decentalized oxygen supply via the supply „outlet“. This is the „STAXEL“ that has been especially developed as an oxygen / compressed air and vacuum generator.
Ventilation Module:
The ventilation module ABVA is easy to use and can eventually mounted to the basic unit later on. For this the V
A shelf is removed
2
from the basic unit. After that the ventilation module can be mounted to the basic unit via two mounting bolts. The compressed air supply of the ventilator is created via a connection line to the basic unit.
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Operating Instructions Artec
After attaching the V
A shelf, you now
2
have a respiratory-contolled anesthesia ventilation system with the current necessary state-of-the-art monitoring system. It is strongly advised to have the installation carried out by our specially trained Stephan Service Team.

2.2 Scope of Use and Application

The ARTEC is an inhalation anesthesia unit for the manual anesthesia of infants, children and adults. It can be used in conjunction with a ISO circuit system, but can also be operated with open ventilation systems. The scope of applications of the ARTEC anesthesia unit ranges from use in the practitioner’s surgery to hospital operation theatres.
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3 Description

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3.1 Gasmixing unit 3 and 4

0 2
The gasmixing unit serves as a dosage unit for medical gases (e.g. O2, N2O, Air). The choosen gases can mixed in a arbitary
0
2
relation, but the ratio-system guarantees a O2-concentration not
2
1 2
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4
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0 F L U S
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0
2
2
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1 0
1
6
, 4
2
2
2
A I R
1 2
1 2 1 0
lower then 21 % (see below). The different gases are clearly displayed with rotary buttons.
4 2
1
To avoid mistakes, the O2-rotary button discerns from the others. A unintentional move is prevented by a protection.
N
2
The dosing device makes a continuous flow enable, when opening the valves by rotation against clockwise.
0 2
The O2-measuring range contains two measuring devices. This makes a fine dosage possible. The left measuring tube has a range from 0 to 2 l/min O2, the right tube has a range from 2 to 15 l/min O2. As point of observation serves the upper surface of the floating body.
0
2
The measuring tubes for AIR and/or N2O are laid out as double
1 2
1 0
cone measuring tubes. The lower zone of the measuring tubes
8
6
6
4
4
2
I R
(AIR/N2O) is more finely gradated than the upper.
2
1
The side parts of the GMUE 3/4 can be changed in their dimensions so it is possible to use different types of measuring tubes (e.g. firm
2
Rota, firm KDG and others).
0 F L
S H 2
0
2
A I R
2
G a s m i
c h e i n h e i t G M E 4
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A r t .
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Operating Instructions Artec

3.2 O2 – Ratiosystem (optional)

The Gasmixing units GME 3 and GME 4 can be equipped optionally with a pneumatical system to assure at every flowrange of N2O a minimum concentration of oxygen of 25 % O2 (+/- 5%). The so called O2 - Ratiosystem avoids the delivery of pure N2O to the breathing system.
Mode of operation The O
– Ratiosystem examines the O2 – Flowrate. If there is no O2 – Flow the N2O – Line
2
is blocked. Thus it is impossible to apply pure N
O to the breathing system without opening
2
the O2 – Valve at the GME. Only when the O2 – Valve is opened counterclockwise, a N2O – flow according the flowrate of O2 can be adjusted. The minimal achievable oxygen concentration is 25 % +/- 5%.
Control of function
1. Close O2 – and N2O – Valve at the GME.
2. Open N2O – Valve to maximum There should be no N2O – Flow
3. Open O2 – Valve counterclockwise N2O – Flow is increasing
For example:
Adjust 1 l/min O2 N2O – Flow should be 3 l/min +/- 0,2 l/min Adjust 3 l/min O2 N2O – Flow should be 9 l/min +/- 0,6 l/min
The O2 – Ratiosystem controls the O2 – concentration in the freshgas. It doesent prevent in any case a hypoxic gasmixture in the circlesystem.
Caution
Please do control the inspiratory O2 – concentration by using an oxygenmonitor.
Caution
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