Ulco Anaesthesia Service Kits and Calibration Notes

SERVICE KITS AND CALIBRATION NOTES

SERVICE KITS AND CALIBRATION NOTESSERVICE KITS AND CALIBRATION NOTES

SERVICE KITS AND CALIBRATION NOTES

No part of this publication may be reproduced in any form, in an electronic retrieval system or otherwise, without the written permission of the Ulco Medical.

All Ulco products are subject to a program of continuous development and the manufacturer reserves the right to make alterations in design and equipment without prior notice.

Document Number: TRA-UM-001 Version: 1.0

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TABLE OF CONTENTS

TABLE OF CONTENTSTABLE OF CONTENTS

ANAESTHETIC MACHINE ACCEPTANCE PROTOCOL .......................................3

AB800 ABSORBER TEST AND CALIBRATION CHECK LIST..............................6

ANTI-HYPOXIC DEVICE – CALIBRATION ............................................................ 7

SERVICE KIT DRAWINGS.........................................................................................8

 MANIFOLD SERVICE KIT (A3057-99) .........................................................9

 REGULATOR SERVICE KIT (RG1-99) .......................................................10

 OXYGEN FAILURE ALARM SERVICE KIT (A3055-99) .......................... 11

 VENTILATOR DRIVE SERVICE KIT (A3056-99)......................................12

 ROTAMETER 3-TUBE SERVICE KIT (A3047-99) .....................................13

 ROTAMETER 5-TUBE SERVICE KIT (A5047-99) .....................................14

 AHD60 SERVICE KIT (AHD60-99)..............................................................15

 AHD SERVICE KIT (AHD10-99)..................................................................16

 2 x SELECTATEC BLOCK SERVICE KIT (A3046-99)...............................17

 SELECTATEC BLOCK SERVICE KIT (A605-99).......................................18

 SINGLE SELECTATEC BLOCK SERVICE KIT (A605-9) .........................19

 PATIENT BLOCK SERVICE KIT (A307-99) ...............................................20

 SCAVENGER BLOCK SERVICE KIT (A3027-99)......................................21

 ELITE 615 – 3 TUBE SERVICE KIT (A300-99)...........................................22

 ELITE 615 – 5 TUBE SERVICE KIT (A500-99)...........................................23

 SIGNET A.M. SERVICE KIT (A600-99).......................................................24

 INTEGRUS PSV A.M. SERVICE KIT (A800-99).........................................25

 COMPACT ANAESTHETIC MACHINE – 3 TUBE (AC30-99) ..................26

 FIELD ANAESTHETIC MACHINE SERVICE KIT (FAM100-99) .............27

 FAM100 ROTAMETER 2 TUBE SERVICE KIT (FAM114-99) ..................28

 FAM100 MANIFOLD SERVICE KIT (FAM112-99)....................................29

 ABSORBER SERVICE KIT (AB200-99).......................................................30

 ABSORBER SERVICE KIT (AB300-99).......................................................31

 ABSORBER SERVICE KIT (AB800-99).......................................................33

 AB800C ABSORBER SERVICE KIR (AB800C-99) ....................................34

 EV500 O-RING KIT (VE506-99) ...................................................................35

 VENTILATOR SERVICE KIT – COMPLETE (VE500-99) .........................36

 RESCU VENTILATOR SERVICE KIT (ER100-99).....................................37

1. CARE AND CLEANING OF THE WORKSTATION.......................................38

2. CLEANING THE EV500 VENTILATOR..........................................................39

3 CARE AND CLEANING OF ABSORBERS .....................................................46

3.1 Cleaning intervals ........................................................................................46

3.2 Method for cleaning the AB800 Absorber: .................................................46

3.2.1 Method A. ............................................................................................46

3.2.2 Method B. ............................................................................................46

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ANAESTHETIC MACHINE ACCEPTANCE PROTOCOL

MAKE: ______________________ MODEL: ______________________ SERIAL NO.: ______________________

BOTTLE SUPPLY Install O

reserve cylinder supply only.

a. Check O2 pressure gauges for reading. b. Check O2 warning device is green.

c. Check O2 reserve regulator pressure (350-360kPa).

adjust if necessary.

Static______________kPa

Dynamic

______

d. Check other outlets for pressure (cross connection). e. Check rotameter banks for correct gas deliveries. f. Check for leaks (no more than 1 division/minute on the

Pressure gauge)

g. When draining system ensure O2 alarm activates.

Install Medical Air reserve cylinder supply only.

a. Check pressure gauges for correct reading.

b. Check Medical Air reserve regulator pressure (350-360kPa).

Adjust if necessary.

Static_____________kPa

Dynamic___________kPa

c. Check other outlets for pressure (cross connection). d. Check rotameter banks for correct gas deliveries. e. Check for leaks (no more than 1 division / minute on the pressure gauge). f. Check O2 warning light is correct (should be green when O2 connected,

otherwise red). Check O2 warning device is red.

Install N2O reserve cylinder supply only.

a. Check pressure gauges for correct reading.

b. Check N2O reserve regulator pressure (350-360 kPa).

Adjust if necessary.

Static_____________kPa

Dynamic__________kPa

Install O2 and N2O cylinder supplies.

a. Check pressure gauges for correct reading. b. Check other outlets for pressure (cross connection). c. Check the operation of the rotameter banks. d. Check rotameter banks for correct gas deliveries. e. Check for leaks (no more than 1 needle width). f. When draining system ensure O2 alarm activates.

ROTAMETER TEST Install all reserve cylinder supplies

a) Connect Oximeter to Fresh Gas Outlet (FGO).

kPa

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b) Open O

valve to 1 l/min, should read 100%.

c) Open N2O valve fully should read no less than 23%. N2O should read

3l/min. (Check for accuracy of blends through full range of delivered mixes).

d. Shut O2. Should be no flow. Check using manometer. Check by occluding

manometer at FGO

e. Open air should read 21%. f. Shut N2O and should read 21%.

OXYGEN FAILURE WARNING

a. Connect pressure gauge to O2 outlet. b. Set oxygen flow to 2 l/min. c. N2O should read 6 l/min. d. Turn off O2 supply. e. Press emergency O2 button to release oxygen pressure and monitor gauge until

240 kPa is reached in machine. An audible warning device should operate between 200-220 kPa.

_____

kPa

f. N2O supply must be interrupted within 2 seconds from the start of the

alarm. _____

secs

g. O2 supply should be present for approximately 30-45 seconds. h. Restore oxygen supply to machine, warning device will cease and oxygen

and nitrous oxide flow restored to original flows.

PIPELINE SUPPLY Check all inlets for correct indexing. Connect O2 pipeline supply only.

a. Check O2 supply gauge reading pressure 415 kPa. b. Check rotameter banks for correct gas delivery (O2 only). c. Check for leaks, e.g. yokes, outlets etc. d. Check other outlets / inlets for pressure.

Connect Air pipeline supply only.

a. Check Air supply gauge reading pressure 415 kPa. b. Check rotameter banks for correct gas delivery (Air only). c. Check for leaks, e.g. yokes, outlets etc. d. Check other outlets / inlets for pressure.

Connect N2O pipeline only.

a. Check N2O supply gauge reading pressure 415 kPa. b. Check rotameter banks for correct gas delivery (No reading). c. Check for leaks, e.g. yokes, outlets etc. d. Check other outlets / inlets for pressure.

Connect all gases on pipeline supply.

a. Connect Oximeter to FGO. b. Open O2 valve to 1 Lpm, should read 100%. c. Open N2O valve fully should read no less than 22%. d. Check for correct reading through full range of delivered gases, ~25% O2. e. Shut O2 all flow should cease. f. Open AIR, should read 21%. g. Shut N

O and should read 21%.

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FLOWMETERS

a. Ensure flowmeter controls move freely with full range of flows achievable

as per increments on flowmeter tubes.

b. Check that rotameter bobbins spin throughout range of flows.

(take particular notice at low flows).

c. Turn off flowmeter controls and check that the position of the bobbin in the

rotameter tube is at zero and not spinning

d. Place a manometer gauge at fresh gas outlet. Occlude manometer. Ensure

gauge reads zero. If gauge indicates flow, identify gas using O2 analyser

VENTILATOR CUT OFF

a. Place pressure gauge on ventilator outlet. b. Turn off O2 supply. c. All pressure should cease to ventilator outlet at 200 kPa.

SAFETY RELIEF VALVE

a. Place manometer on FGO. b. Set O2 to L/min. c. Occlude manometer. Safety valve should blow off at 50+ 2cm H2O. d. Set O2 at 100ml. Should obtain a reading greater than 40cm H2O.

EMERGENCY OXYGEN VALVE

a. Attach spirometer to FGO. b. Press emergency flush button for 15 seconds. c. Valve should read 35-75 L/min.

ABSORBER

a. Connect breathing tube Y-piece to bag outlet. (Closed system). b. Place manometer in series with expiratory tube and expiratory outlet. c. Turn O2 rotameter on to achieve manometer reading greater than 40cm H2O. d. Reduce flow to 100ml of O2. Maximum allowable pressure drop of 13cm H2O

in 30 seconds is allowable.

e. Increase pressure above 40cm H2O. f. Open ‘spill valve’, pressure should reduce to 0cm H2O quickly. g. Check inspiratory and expiratory valves. h. Connect a 2L bag to Y-piece and a 2L bag to the reservoir outlet. i. Pressurise system using flush valve. j. Squeeze bag alternatively. k. Ensure valve works in sequence and each bag is inflated alternately.

SCAVENGE

a. Connect scavenge circuit. b. Close spill valve. c. Inflate both bags using O2 flush. d. Turn suction on and increase until scavenge indicator line sits in the centre of

the ball bearing or a reading of a greater than –15kPa is read.

e. Test lungs do not deflate completely when the spill valve is open.

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AB800 ABSORBER TEST AND CALIBRATION CHECK LIST

METHOD 1

1. CONNECT 400 kPa AIR LINE INTO THE TESTING ANAESTHETIC

MACHINE.

2. SET 1.0 LITRE OXYGEN ON THE FLOWMETER.

3. MAKE SURE THE MANOMETER 100CM IS ON ZERO.

4. CONNECT A ‘U’ HOSE (22mm) TO INSP/EXP CONNECTORS.

5. PLUG THE BAG ARM WITH A RUBBER PLUG.

6. CONNECT AIR INTO THE ABSORBER FRESH GAS INLET.

7. TURN ON THE AIR FROM THE PATIENT BLOCK.

8. SELECT KNOB TO MANUAL BAG.

9. POSITION THE SPOOL LEVER TO THE ON POSITION.

10. OPEN THE APL VALVE FULLY.

11. SET THE INTERNAL PLUNGER (SCREW) TO 2cm ON THE

MANOMETER.

12. CLOSE DOWN THE APL VALVE.

13. THE PRESSURE MUST READ 75 cm H2O ON THE METER.

14. FILL UP THE CANISTERS WITH AIR (5 SECONDS).

15. SHUT OFF THE AIR SUPPLY.

16. CHECK FOR ANY LEAKS ON THE MANOMETER.

(NOTE: IF ANY LEAKS OCCUR, SPRAY WATER ON ALL PLUGS. CHECK O-RINGS ON SPOOL/HEAD ASSEMBLY.

17. TURN ON THE AIR SUPPLY AGAIN.

18. SET FLOW TO O.3 L/MIN

19. POSITION LEVER TO OFF.

20. RELEASE THE LEVER ON THE CANISTER.

21. CHECK FOR LEAKS.

22. IT MUST HOLD ITS PRESSURE ON 40 cm H2O

(NOTE: IF THERE IS A LEAK, THE SPOOL IS TOO LOOSE, IT MUST BE FIRM FIT AND CHANGED).

23. CONNECT THE ABSORBER TO A VENTILATOR, AND WHILE

VENTILATING, OBSERVE THE OPENING OF THE INSPIRITORY SILICON SHUTTER VALVE DURING INSPIRATION, AND CLOSING DURING EXPIRATION.

METHOD 2: INTERFACE CONNECTION

1. SWITCH THE KNOB TO OBSERVE POSITION (CLOSEPOSITION).

2. CONNECT AIR LINE PRESSURE ON TO THE M4 PUSH-IN FITTING.

3. TURN ON THE AIR.

4. THE MANOMETER SHOULD READ 60cm.

5. TURN OFF THE AIR SUPPLY AND CHECK FOR LEAKS.

THERE SHOULD BE NO LEAK, IF THERE IS A LEAK, CHECK THE RUBBER INSERT.

7. SWITCH TO THE VENTILATOR POSITION, THE MANOMETER MUST

LEAK (ON POSITION).

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ANTI-HYPOXIC DEVICE – CALIBRATION

1. Unscrew both needle valves fully (rear of the AHD).

2. Open oxygen knob fully.

3. Close nitrous oxide fully.

4. Adjust Nitrous Oxide’s 2nd stage regulator to maximum pressure.

5. Adjust Oxygen’s 2nd stage regulator to zero (no flow).

6. Screw in N2O needle valve until bobbin drop (check with circuit pressure

manometer for leak... connect to patient outlet)

7. Open nitrous Oxide knob fully.

8. Close Oxygen knob fully.

9. Adjust Nitrous Oxide’s 2nd stage regulator to zero (no flow).

10. Adjust Oxygen’s 2nd stage regulator to maximum pressure.

11. Screw in Oxy needle valve until bobbin drop (check with circuit pressure

manometer for leak... connect to patient outlet).

12. Open Oxy flow control knob 3 full turn...adjust flow with 2nd stage regulator

to 10 l/min (lock regulator after).

13. Set Oxy flow to 2 l/min. – with control knob.

14. Set N2O flow to 6 l/min. – with 2nd stage regulator (control knob must be fully

open).

15. Check for 1 to 3 ratio, if not correct screw in gently N2O seat and increase

Pressure with 2nd stage N2O regulator, till correct flow is achieved on whole scale.

Note: For correct ratio read manufacturer’s specification and use oxygen analyser for final calibration...must read > 22% oxygen.

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SERVICE KIT DRAWINGS

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 MANIFOLD SERVICE KIT (A3057-99)

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 REGULATOR SERVICE KIT (RG1-99)

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 OXYGEN FAILURE ALARM SERVICE KIT (A3055-99)

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 VENTILATOR DRIVE SERVICE KIT (A3056-99)

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 ROTAMETER 3-TUBE SERVICE KIT (A3047-99)

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 ROTAMETER 5-TUBE SERVICE KIT (A5047-99)

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 AHD60 SERVICE KIT (AHD60-99)

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Ulco Anaesthesia Service Kits and Calibration Notes

Specifications and Main Features

Frequently Asked Questions

User Manual