VisualSonics VEVO Operator's Manual

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VisualSonics
TM
Vevo
Operator Manual
Compact Anesthesia System
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Operator Manual
November 2003
V1.0 VisualSonics Vevo Compact Anesthesia System Operator Manual i
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VS-OM-AS revision 1.0
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VisualSonics Inc. 3080 Yonge Street, Suite 6020 Box 89 Toronto, Ontario CANADA M4N 3N1
Tel: +1 (416) 484-5000 Toll Free: 1-866-416-4636 Fax: +1 (416) 484-5001
www.visualsonics.com
Copyright © 2003 by VisualSonics Inc. All Rights Reserved Printed in Canada
VisualSonics, the VisualSonics logo, Vevo, and Vevo Compact Anesthesia System are trademarks of VisualSonics Inc.
All other trademarks are the property of their respective owners.
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Safety
Please read the safety information before using the Vevo Compact Anesthesia System. The following information applies to the Vevo Compact Anesthesia System and its modules.
The use of this equipment must be directed by, is intended for use by, and under the supervision of qualified research scientists.
Read all warnings and cautions carefully before use!
Warnings are precautions necessary to prevent injury or loss of life.
Cautions are precautions necessary to protect the equipment.
WARNINGS
For small animal use only. Not for human use.
Do not fill the vaporizer with any anesthetic agent other than the one specified on the front label. The vaporizer is designed for that agent only. Any other agent than that specified can prove to be dangerous to a subject.
If a vaporizer is filled with the wrong agent, draining will not eliminate the agent since some of the agent will have been absorbed into the wick. The wick must be thoroughly cleaned and dried. This procedure must be performed at an authorized service center.
Do not carry the vaporizer by the control dial.
Do not modify, tamper with, or disassemble the vaporizer. There is a potential danger of damaging the vaporizer and altering the calibration accuracy.
Do not immerse the vaporizer in any liquid, including water.
Do not sterilize the vaporizer.
Do not drain the anesthetic agent into any container other than a properly marked container.
Incomplete sealing of the fill cap will result in loss of gases.
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Do not fill the vaporizer unless the control dial is in the ‘Off’ position.
Do not turn the dial ‘On’ during filling or attempt to fill beyond the ‘Full’ mark.
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Keep the vaporizer upright at all times.
Never tilt a calibrated vaporizer beyond 45 degrees when charged. Dangerous overdose may result during subsequent use. This condition can be detected by calibration verification only.
Do not connect the vaporizer directly into the patient breathing circuit.
Do not turn on two vaporizers at the same time.
Do not put water or any other solvent in a vaporizer.
Due to the wick’s capacity to absorb agent, the vaporizer will continue to deliver the set concentration for a considerable period of time even if no liquid level can be viewed through the sight window. However, do not use a vaporizer in this condition on a subject.
Flush flows through an open vaporizer may result in unwanted concentrations of anesthetic agent.
Do not ignore maintenance of your vaporizer. An annual calibration recertification is highly recommended by the manufacturer.
CAUTIONS
Personnel operating this compact anesthesia system must be thoroughly familiar with the instruction manual and equipment operation prior to use with subjects.
Tampering with the anesthesia system components by unauthorized personnel voids all warranties and specifications. The prevention of tampering with the anesthesia system is the sole responsibility of the user or owner. VisualSonics assumes no liability for any malfunction, failure, damage or loss to either equipment or life.
Before using the anesthesia system check that it is set up properly, ensure all connections and settings are correct.
Always adhere to proper Diameter Index Safety System (D.I.S.S.) hose connections. Failure to comply will void your warranty and could compromise subject safety.
Remove the machine from service if:
a. the oxygen flush button does not immediately return to the OFF
position after being released, or
b. the flow of oxygen does not immediately stop flowing from the
common outlet after the oxygen flush button is released.
Then call VisualSonics or a VisualSonics-authorized service facility to repair the valve.
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If the oxygen flush button does not immediately return to the off position after being released, or if the flow of oxygen does not immediately stop flowing from the common outlet after the oxygen
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flush button is released, remove the machine from service. Have the valve repaired by VisualSonics or a VisualSonics-authorized service facility before using the machine.
When you turn off the flowmeter, turn the control knob clockwise just far enough so the ball float reaches the bottom of the tube. Continuing to tighten the control knob will damage the valve seat and cause a leak. The unit will need to be replaced when this damage occurs.
Vaporizer should be serviced by an authorized service center.
Turn the vaporizer ‘Off’ when not in use.
A vaporizer MUST be in a vertical upright position to indicate liquid agent levels accurately.
If a screw-cap filler vaporizer is pressurized, turn the screw slowly before filling.
The delivered concentration may be different from the set concentration if the vaporizer is operated in a tilted position.
Avoid kinks in the tubing that will restrict flow. Eliminate leaks that will affect total flow to the subject.
To fill the vaporizer when in use, it will be necessary to turn the vaporizer off.
Liability notice
No repair should ever be undertaken or attempted by anyone not having the training and qualifications to perform these tasks.
Failure to follow the conditions set forth below shall limit, to the extent allowed by law, VisualSonics Inc’s responsibility for the safety, reliability, and performance of this equipment:
Personnel operating this compact anesthesia system must be thoroughly familiar with the operator manual and equipment operation prior to use with subjects.
Tampering with the anesthesia system components by unauthorized personnel voids all warranties and specifications. The prevention of tampering with the anesthesia system is the sole responsibility of the user or owner. VisualSonics assumes no liability for any malfunction, failure, damage or loss to either equipment or life.
Always adhere to proper Diameter Index Safety System (D.I.S.S.) hose connections. Failure to comply will void your warranty and could compromise subject safety.
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This equipment must be periodically checked, calibrated, maintained and, components repaired and replaced when necessary for equipment to operate reliably. Parts that have failed in whole or in part, exhibit excessive wear, are contaminated or are otherwise unfit for use, should be immediately discarded and replaced. To maintain
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the warranty, replacement parts must be installed or approved by VisualSonics Inc. Equipment that is not functioning correctly must not be used. This equipment must not be modified by unauthorized personnel or with unauthorized components.
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Contents
:
Introduction
Welcome .................................................................................................. 1
Product description................................................................................1
Table-top and mobile configurations ..................................................1
Chapter 1: Unpacking the System
Unpacking the table-top configuration............................................... 3
Unpacking the mobile configuration...................................................5
Chapter 2: Installing the System
Choosing a location for the system...................................................... 9
Installation overview ............................................................................. 9
Assembling the delivery sub-system...................................................9
Connecting the delivery sub-system to the vaporizer sub-system10
Connecting the oxygen supply to the vaporizer sub-system......... 11
Troubleshooting....................................................................................14
Chapter 3: Theory of Operation
System capability..................................................................................15
Theory of operation.............................................................................. 15
Chapter 4: Operating the Vaporizer
Principle of operation ..........................................................................17
Turning on the vaporizer .................................................................... 18
Filling the vaporizer.............................................................................19
Draining the vaporizer ........................................................................ 20
Reminders for filling and draining.................................................... 21
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Chapter 5: Anesthetizing a Mouse
Pre-operative checks ............................................................................23
Inducing anesthesia .............................................................................23
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:
Chapter 6: Service
Maintenance..........................................................................................27
VisualSonics support ........................................................................... 28
Appendix A: Accessories
Accessories for the compact anesthesia system............................... 29
Appendix B: Specifications and Performance
Specifications.........................................................................................31
Performance effects of variables......................................................... 32
Index....................................................................................................... 35
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Introduction
Introduction
Welcome Thank you for choosing the Vevo™ Compact Anesthesia System, the
Visualsonics’ anesthesia solution for small animals, such as mice.
Product description The Vevo Compact Anesthesia System integrates two sub-systems: a
vaporizer sub-system and a delivery sub-system.
Vaporizer sub-system The vaporizer sub- system mixes oxygen and anesthesia into a vapor. It
features a stand assembly with oxygen flowmeter, oxygen flush valve, precision vaporizer and a 10-foot oxygen hose assembly with threaded DISS (Diameter Index Safety System) connections.
Delivery sub-system The delivery system supplies the metabolic and anesthetic gas mixture to
the mouse. It features a dual breathing circuit that includes a 2-liter induction chamber breathing circuit, a mouse mask breathing circuit, and two activated charcoal filters for waste gas removal.
The system is also designed to function as a companion to the Vevo Integrated Rail System and the Vevo 660™ High Resolution System to provide an efficient and complete mouse imaging workspace.
Table-top and mobile configurations
Table-top vaporizer sub­system configuration
The Vevo Compact Anesthesia System is offered in two system configurations: a table-top configuration and a mobile configuration.
The compact and versatile table-top sub-system features a tiny footprint of 8” x 11”, making it easy to integrate into existing lab counter space. The sub-system includes weight-balanced handles and non-skid feet so you can set it in place anywhere - quickly, safely and securely.
Oxygen flowmeter
Flow control knob
Oxygen flush
Carrying handles
Vaporizer dial
Vaporizer
Common outlet
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Introduction
Mobile vaporizer sub­system configuration
The mobile system features sturdy casters, a built-in handle so you can move it easily to another room or another building, a convenient syringe holder, and a stainless steel shelf that gives you a handy workspace. All internal connections are housed in a smooth panel so you can clean the system easily.
Vaporizer dial
Syringe holder
Oxygen flowmeter
Flow control knob
Oxygen flush
Stainless steel shelf
Handle/ hanger
Vaporizer
Common outlet
Common delivery sub­system
The delivery sub-system is a single configuration that functions identically with each vaporizer sub-system configuration.
Mouse mask
Y-tube
Mouse mask (waste gas - out)
Anesthesia - in
Stopcocks
Induction chamber
Charcoal filter
Induction chamber (waste gas - out)
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Chapter 1: Unpacking the System: Unpacking the table-top configuration
Chapter 1: Unpacking the System
Unpacking the table­top configuration
Pre-assembled vaporizer sub-system
Oxygen flowmeter
If you ordered the table-top configuration of the compact anesthesia system (Part # SA-TABLEANES), the crate will include the items listed below. Please use the forms below to confirm that you have received the included items.
The vaporizer sub-system is pre-assembled as shown below.
Isoflurane Vaporizer with pin­index
Common outlet
Oxygen flush
The vaporizer sub-system for the table-top configuration includes the following items:
Check Quantity/unit Description
1 each Oxygen flowmeter (see photo above)
1 each Oxygen flush (see photo above)
1 each Isoflurane vaporizer with pin-index (see
photo above)
1 each Inlet and outlet (pre assembled on the
vaporizer)
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Chapter 1: Unpacking the System: Unpacking the table-top configuration
1 each Pin-index fill device
1 each Green 10’ oxygen hose DISS x DISS
Unassembled delivery sub­system for the table-top configuration
The delivery sub-system is unassembled and includes the following items:
Check Quantity/unit Description
1 each Y-tube with 15x6mm adapter, 9mm mouse
mask with 12” wastegas flexhose for mousemask, 48” silicone tubing from stopcock to adapter, and 30” of 22mm semi­transparent tubing
1 each 2-liter induction chamber
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2 each Activated charcoal canister
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Chapter 1: Unpacking the System: Unpacking the mobile configuration
Check Quantity/unit Description
1 each 22mm tubing (2-feet length)
1 each Monitoring badge
Unpacking the mobile configuration
Pre-assembled vaporizer sub-system
Syringe holder
Oxygen flowmeter
If you ordered the mobile configuration of the compact anesthesia system (Part # SA-MOBILEANES), the crate will include the items listed below:
The vaporizer sub-system is pre-assembled as shown below:
Front view Rear view
Handle / hanger
Isoflurane Vaporizer
Oxygen flush
with pin­index
Common outlet
Oxygen inlet
The vaporizer sub-system for the mobile configuration includes:
Check Quantity/unit Description
1 each Oxygen flowmeter (see photo above)
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1 each Oxygen flush (see photo above)
1 each Isoflurane vaporizer with pin-index (see
photo above)
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Chapter 1: Unpacking the System: Unpacking the mobile configuration
Check Quantity/unit Description
1 each Syringe holder (see photo above)
1 each Handle/hanger (see photo above)
1 each Inlet and Outlet (pre assembled on the
1 each Pin-index fill device
1 each Green 10’ oxygen hose DISS x DISS
vaporizer)
1 each Stainless steel shelf with mounting
screws and washers
Unassembled cart legs The cart legs are unassembled and include the items listed below.
Assembly instructions for the cart legs are included with the cart leg parts. Please follow the instructions to complete the assembly.
Check Quantity/unit Description
1 each 2 cart legs
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Chapter 1: Unpacking the System: Unpacking the mobile configuration
Unassembled delivery sub­system for the mobile configuration
The delivery sub-system is unassembled and includes the following items:
Check Quantity/unit Description
1 each Y-tube with 15x6mm adapter, 9mm mouse
mask with 12” wastegas flexhose for mousemask, 48” silicone tubing from stopcock to adapter, and 30” of 22mm semi­transparent tubing
1 each 2-liter Induction Chamber
2 each Activated Charcoal Canister
1 Holder for an activated charcoal canister
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Chapter 1: Unpacking the System: Unpacking the mobile configuration
Check Quantity/unit Description
1 each 22mm Tubing (2-feet length)
1 each Monitoring Badge
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Chapter 2: Installing the System: Choosing a location for the system
Chapter 2: Installing the System
Choosing a location for the system
The Vevo Compact Anesthesia System must be situated in an environment that ensures maximum safety for the operator and for others working in the building. Consider these guidelines as you determine the location for the system.
Ventilation and air flow Ensure adequate air flow and ventilation to prevent anesthesia from
being inhaled by anyone other than the intended subjects. This is a vital requirement. Check with your jurisdiction’s occupational health and safety authorities to determine required levels of air flow and ventilation.
Oxygen tank location Oxygen tanks should be adequately restrained to prevent damage to the
regulators, especially due to the highly pressurized nature of the cylinders. Custom carriers are available for E-cylinders. H-cylinders should be chained in place.
Installation overview When you have unpacked the items (and assembled the cart legs if you
ordered the mobile configuration), the installation procedure follows the same three steps for each configuration:
1. Assemble the delivery sub-system.
2. Connect the delivery sub-system to the vaporizer sub-system.
3. Connect the oxygen supply to the vaporizer sub-system.
Assembling the delivery sub-system
The delivery sub-system manages the delivery and evacuation of anesthesia to the two breathing circuits. Assembling the delivery sub­system takes approximately five to ten minutes to complete. A completed delivery sub-system is shown below.
Mouse mask
Y-tube
Mouse mask (waste gas - out)
Anesthesia - in
Stopcocks
Induction chamber
Charcoal filter
Induction chamber (waste gas - out)
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Chapter 2: Installing the System: Connecting the delivery sub-system to the vaporizer sub-system
f
f
To assemble the induction chamber breathing circuit:
1. Insert one branch of the Y-tube into the
induction chamber port you have chosen to receive the anesthesia. It doesn’t matter which port you choose, left or right. Likely you will want to choose the port that is closest to the vaporizer system.
2. Insert a length of semi-transparent
flexhose over the second induction chamber port. This will serve as the waste gas evacuation port.
3. Insert one of the charcoal filters into the
flexhose.
To assemble the mouse mask breathing circuit
1. Insert one branch of the Y-tube into the 15mm (larger) end of the
15x6mm adapter.
2. Insert the anesthesia line of the mouse mask into the 6mm (smaller)
end of the 15x6mm adapter.
Use as short a length of
lexhose as is convenient. If
you need to cut the supplied
lexhose to length, cut in the centre of the connection area, as shown above, to ensure a proper connection fit.
Connecting the delivery sub-system to the vaporizer sub­system
3. Insert the blue flexhose of the mouse mask into the 19mm (smaller)
end of the 19x22mm adapter.
4. Insert the second charcoal filter into the 22mm (larger) end of the
19x22mm adapter.
The delivery sub-system is now assembled.
The vaporizer sub-system arrives fully assembled. Now that you have assembled the delivery sub-system, you need to connect the two sub­systems.
The connection procedure takes about five seconds.
To connect the delivery sub-system to the vaporizer sub-system:
1. Insert the Y-tube’s blue connector into the vaporizer sub-system’s
common outlet. This is a friction fit connection.
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In the table-top configuration, the common outlet is located at the tip of the delivery tube.
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Chapter 2: Installing the System: Connecting the oxygen supply to the vaporizer sub-system
I
n the mobile configuration, the common outlet is located on the main panel, below and to
the right of the vaporizer unit.
Connecting the oxygen supply to the vaporizer sub­system
Procedures for a facility with a central oxygen supply
This is the final assembly step. If your facility provides a regulated central oxygen supply, the procedure will take about two minutes. If your facility provides cylinders of compressed oxygen, you will need to connect the appropriate VisualSonics’ factory pre-set regulator to ensure a constant 55psi oxygen flow from the tank to the compact anesthesia system. This adds a few minutes to the procedure.
Typically, a facility with a central oxygen supply maintains a very large tank of compressed oxygen situated next to the building. Regulators at the tank lower the pressure to a safe level
A Diameter Index Safety System (D.I.S.S.) connection.
for distribution through the facility. The regulated oxygen is then piped through the facility and made available through DISS connections in various rooms and laboratories.
To connect the oxygen supply to the vaporizer sub-system:
1. Turn the fitting of one end of the green oxygen hose clockwise over
the DISS connection on the oxygen supply as shown below.
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Hose fitting
Tighten the hose fitting gently with an 11/16” wrench while you hold the DISS fitting motionless with a 5/8” wrench.
DISS fitting
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Chapter 2: Installing the System: Connecting the oxygen supply to the vaporizer sub-system
2. Connect the other end of the green oxygen hose to the DISS
connection on the vaporizer system using the method shown above.
The DISS connection on the table-top configuration is situated differently than on the mobile configuration, as shown below.
Procedures for a facility with an unregulated oxygen supply
Tighten the hose fitting gently with an 11/16” wrench while you hold the DISS fitting motionless with a 5/8” wrench.
Caution: The other end of the DISS hose assembly must be connected to your tank-mounted regulator or the outlet of your in-house 0
supply line with an operating pressure of 55
2
psi maximum. Pressure in excess of 55 psi will cause damage to the compact anesthesia system.
Typically, a facility with an unregulated oxygen supply maintains cylinders of compressed oxygen. E-cylinders hold approximately 651 liters of medical grade oxygen (USP) at an initial pressure of 1800 psi. H­cylinders hold approximately 7107 liters of medical grade oxygen (USP) at an initial pressure of 2200 psi.
Factory pre-set 55 psi regulators are required for use between oxygen cylinders and the compact anesthesia system. Factory pre-set 55 psi regulators for E-cylinders and H-cylinders are available as accessories from VisualSonics as detailed in “Accessories” on page 29.
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Chapter 2: Installing the System: Connecting the oxygen supply to the vaporizer sub-system
To connect the regulator to the oxygen tank:
1. Be sure the sealing washer is in place on the yoke inlet.
Sealing washer T-handle
2. With the valve outlet facing away from you, slightly open the oxygen
cylinder post valve to purge any undetectable debris from the valve seat, then close the valve.
3. Slip the yoke over the cylinder post valve and fit the yoke pins into
the holes in the cylinder valve. The pins should fit easily into their respective holes. Do not force the pins into the holes.
4. Turn the “T” handle clockwise to tighten the regulator, being sure the
“T” handle screw point is seated in the dimple on the cylinder post valve. Tighten until secure to provide a leak-proof connection.
The oxygen supply is now ready to be connected to the vaporizer sub­system.
Remember, the outlet pressure of this pre-set regulator has been factory pre-set. Do not attempt to re-adjust this setting.
To connect the oxygen tank to the vaporizer sub-system:
1. Connect the hose fitting of one end of the green oxygen hose to the
DISS connection on the regulator as shown below.
DISS fitting
Hose fitting
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Tighten the hose fitting gently with an 11/16” wrench while you hold the DISS fitting motionless with a 5/8” wrench.
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Chapter 2: Installing the System: Troubleshooting
2. Connect the oxygen supply to the mobile vaporizer sub-system or the
table-top vaporizer sub-system as described in “To connect the oxygen supply to the vaporizer sub-system:” on page 11.
Troubleshooting
You hear a hissing sound This indicates that there is a leak in the cylinder valve, regulator to
cylinder connection, or in the regulator.
To stop the leak:
1.
Close the cylinder valve and open the regulator momentarily to
relieve all pressure.
2. Return the regulator to the off position.
3. Re-tighten the regulator to the cylinder connection and repeat the
test.
If the hissing sound continues it means that one or more of the following conditions exist:
The sealing washer is leaking and should be replaced. Make sure the cylinder valve is fully turned off before removing the regulator.
The cylinder valve is leaking. Place the cylinder outdoors and notify the gas supplier immediately. Do not attempt to use the cylinder.
The regulator is leaking and must be removed from service and returned for repair. Remember to always turn the cylinder valve fully off before removing or loosening the regulator connection.
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Chapter 3: Theory of Operation: System capability
Chapter 3: Theory of Operation
System capability The Vevo compact anesthesia system is designed to:
1. Change a liquid anesthetic agent into a vapor.
2. Deliver vaporized anesthesia to the subject in a precisely measured
amount.
3. Deliver a metabolic gas in addition to the anesthetic vapor, to sustain
the subject.
4. Capture all waste gas.
5. Channel waste gas to an evacuation system such as an activated
charcoal canister or a scavenging interface.
Theory of operation 1. Oxygen flows from a pressurized tank.
The tank may be located on the anesthesia machine, in the room with the anesthesia machine or in a remote area with the oxygen being piped through the walls.
2. A regulator attached to the supply tank reduces oxygen pressure
from as high as 2200 psi to a usable 55 psi.
3. The oxygen flow reaches the vaporizer sub-system through the DISS
connection and is then plumbed into two channels.
a. One channel routes to the oxygen flowmeter. Use the flow
control knob on the flowmeter to reduce the 55 psi to a pressure that produces flow measured in liters per minute (lpm).
Warning: When the oxygen flowmeter is open, always keep one of the two stopcocks open. If you don’t, one of the connections will break. This may cause injury.
We recommend you choose to keep open the stopcock to the induction chamber, because the tube to the mouse mask is closer to the operator and if left open, would more likely expose the operator to the anesthetic.
b. The other channel routes to the oxygen flush valve. The normal
(closed) position prevents flow. When you press the flush button, oxygen flows directly into the delivery sub-system at a rate of approximately 40 lpm. This oxygen does not pass through the vaporizer. No anesthesia is delivered.
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4. Oxygen flow from the flowmeter is delivered to the vaporizer inlet.
When the vaporizer is in the “OFF” position, oxygen flows across the vaporizer without picking up any anesthetic agent. In any other position, vaporized anesthetic agent is delivered through the vaporizer outlet to the delivery sub-system. The operator adjusts the vaporizer dial and
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Chapter 3: Theory of Operation: Theory of operation
determines the amount of anesthetic agent vapor that will be added to the oxygen flow. The amount is measured as a percentage of the total flow and can be varied from 0-5%.
5. Lines from the vaporizer and the oxygen flush valve merge through
the common outlet and into the delivery sub-system.
6. Gas enters the delivery sub-system where it is bifurcated by a Y-tube
into two branches. A stopcock within each branch of the circuit provides independent control of each branch.
a. When the stopcock to the induction chamber breathing circuit is
open, gases enter through the feed-tube. Turbulence circulates the anesthetic gases throughout the chamber. Gases then flow passively through flexhose evacuation tubing to a charcoal filter.
b. When the stopcock to the mouse mask breathing circuit is open,
gases flow to the mouse mask, where the subject inhales and exhales. Gases then continue through flexhose evacuation tubing to a charcoal filter.
Operational flowchart
Oxygen Supply
(tank or house line)
Delivery Sub-system
Charcoal
Filter
Vaporizer Sub-system
Stopcock #1
Induction Chamber
(Subject)
Oxygen Flowmeter
+ Agent @ 0 to 4 LPM
0
2
Oxygen Flush closed:
0-4 lpm of Oxygen and
% Anesthetic Agent
02 @ 2200 PSI
Regulator
0
Hose
D.I.S.S.
(adj. 0 to 4 lpm)
0
Vaporizer
Common Outlet
Normal Flow with
Flow with Oxygen
Flush Activated:
40-5- lpm
@ 55 PSI
2
@ 0 to 4 LPM
2
Oxygen Flush Valve
(normally CLOSED)
40-50 LPM with
Flush Button
Activated
Stopcock #2
Mouse Mask
Breathing Circuit
Charcoal
Filter
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Subject
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Chapter 4: Operating the Vaporizer: Principle of operation
Chapter 4: Operating the Vaporizer
Principle of operation
Isoflurane Vaporizer with pin-indexed filler
Inlet
Control dial release button
Control dial
Outlet
Sight glass
Lower retaining screw
Upper retaining screw
Filling tunnel
Filler plug
Drain valve
Draining tunnel
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Chapter 4: Operating the Vaporizer: Turning on the vaporizer
Vaporizer valve assembly In the ‘Off’ position, there is a direct link between the ‘inlet’ and ‘outlet’
within the vaporizer. When the dial is turned ‘On’ the carrier gas is split into two streams: bypass and vaporizing chamber flow.
Carrier gas entering the vaporizing chamber flows through agent saturated wicks. As the carrier gas passes through the wick, it becomes saturated with vapor.
The amount of agent picked up in the vaporizing stream will vary due either to variation in room temperature or to the cooling which takes place when the agent is vaporized. Each causes changes in the effective vapor pressures of the anesthetic agents.
Unless some form of compensating device was used, the output of the vaporizer for a given flow and dial setting would change with temperature.
This principle is one of many reasons explaining why it is recklessly dangerous to use a jar and wick style vaporizer with extremely volatile anesthetic agents such as Halothane and Isoflurane.
This vaporizer has a temperature-compensating device (thermostat) to control the proportion of carrier gas entering the vaporizing chamber.
If the temperature of the vaporizer falls, the thermostat closes and more carrier gas is allowed into the vaporizing chamber. If the temperature of the vaporizer increases, the thermostat opens and less carrier gas is allowed into the vaporizing chamber. In this way the output of the vaporizer remains constant under conditions of changing temperature within the clinical ranges of the vaporizer.
Turning on the vaporizer
To turn the vaporizer On, press the control dial release button, and simultaneously turn the control dial counter-clockwise to the desired concentration value.
To prevent the inadvertent delivery of small concentrations, the control dial should be turned ‘Off’ when the vaporizer is not in use.
Control dial release button
Vaporizer in ‘Off’ position
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Chapter 4: Operating the Vaporizer: Filling the vaporizer
Filling the vaporizer The compact anesthesia system uses a keyed filling system to ensure
maximum safety and maximum accuracy. The keyed filling system consists of three elements:
the bottle collar
the adapter
the filling/draining unit fitted to the vaporizer
Key fill and drain systems are designed to prevent the wrong agent from being used in the vaporizer. For example, an Isoflurane vaporizer cannot be filled using a Halothane bottle adapter. Similarly, the Halothane bottle adapter will not fit on the Isoflurane bottle or into the Isoflurane vaporizer.
To fill the vaporizer:
Attach the bottle adapter to the
1.
appropriate bottle.
2. Ensure the vaporizer control is set in the
‘Off’ position.
3. Turn the top retaining screw
counterclockwise and pull out the filler plug.
4. Turn the cap slowly if the vaporizer is
pressurized.
5. Insert the keyed block of the adapter
fully into the filling tunnel, with the two holes aimed DOWN.
To prevent spillage, take care to bend the tube slightly so the bottle is situated below the inlet level.
6. Turn the retaining screw above the
filling tunnel clockwise and tighten to seal the fill adapter in the filling tunnel.
7. Raise the bottle above the level of the
filling tunnel, without kinking the tube. A steady stream of air bubbles should emerge from the inner tube within two seconds.
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Chapter 4: Operating the Vaporizer: Draining the vaporizer
8.
When the vaporizer is filled to the ‘Full’
level, lower the bottle and remove the fill adapter.
If any excess liquid drains from the filler tunnel, allow this to escape completely before inserting and tightening the filler plug.
Warning: Failure to replace and tighten the retaining screw will cause gas to escape through the filler.
The vaporizer is now ready for use.
Draining the vaporizer
Drain the vaporizer when it will be:
transported from one location to another
•sent in for service
To drain the vaporizer:
1. Insert the fill adapter in the drain
(lower) tunnel, with the two holes aimed UP, and then tighten the retaining screw.
2. Remove the filler plug to let air vent
from the bottle so the agent can drain. Hold the bottle downward slightly, without kinking the tube.
CAUTION: Turn cap slowly if vaporizer is pressurized
3. Turn the drain valve counter-clockwise
to open it. The vaporizer will begin to drain.
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Chapter 4: Operating the Vaporizer: Reminders for filling and draining
4. When the draining is completed, turn
the drain valve clockwise to close it.
5. Remove the bottle adapter and replace
the filler plug in the filler tunnel. Tighten the retaining screw (clockwise).
Warning: Failure to replace and tighten the retaining screw will cause gas to escape through the filler.
Reminders for filling and draining
Warning: Do not fill the vaporizer with any agent other than the one specified on the front label. The vaporizer is designed for that agent only. Any other agent than that specified can prove to be dangerous to a subject.
Warning: Do not fill the vaporizer unless the control dial is in the ‘Off’ position.
Warning: Do not turn the dial ‘On’ during filling or attempt to fill beyond the ‘Full’ mark.
Periodically check the agent level. The vaporizer should be refilled at appropriate intervals. The vaporizer will function satisfactorily as long as there is agent visible in the sight glass.
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The vaporizer should be filled and used in an upright position. Small deviations from the upright position will not affect the output or the safety of the vaporizer.
Because the agent depth is shallow in relation to the diameter of the vaporizing chamber, more frequent checks of the agent levels should be
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Chapter 4: Operating the Vaporizer: Reminders for filling and draining
carried out when small deviations from the upright position occur. This will prevent obtaining a misleading impression of the amount of agent in the vaporizer.
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Page 33
Chapter 5: Anesthetizing a Mouse: Pre-operative checks
Chapter 5: Anesthetizing a Mouse
Pre-operative checks
Verify the gas supply 1. Ensure that the oxygen supply line for each gas is connected to the
appropriate DISS inlet located on the back of the flowmeter(s). Connect the gas supply hose(s) to the in-house supply as necessary.
2. Ensure that the gas supply is turned on.
Caution: When you turn off the flowmeter, turn the control knob clockwise just far enough so the ball float reaches the bottom of the tube. Continuing to tighten the control knob will damage the valve seat and cause a leak. The unit will need to be replaced when this damage occurs.
Test the oxygen flowmeter 3. Test the oxygen flowmeter for full range of operation by turning the
control valve counter-clockwise to open it, then clockwise to close it. Close the valve when you have completed the test.
4. Test the oxygen flush valve for performance by pressing and holding
the button for three seconds. Oxygen should flush rapidly out of the common outlet. When the oxygen flush button is released, it should return immediately to the off position and the flow should stop immediately.
Caution: Remove the machine from service if:
the oxygen flush button does not immediately return to the OFF position after being released, or
the flow of oxygen does not immediately stop flowing from the common outlet after the oxygen flush button is released.
Then call VisualSonics or a VisualSonics-authorized service facility to repair the valve.
Fill the vaporizer 1. Fill the vaporizer with the appropriate anesthetic agent. (See “Filling
the vaporizer” on page 19.)
Your facility should have in place an inhalation anesthesia protocol / SOP. The following is an outline from which you can begin to create your own. If you need assistance writing your protocol, please call us at :
1-866-416-4636.
Inducing anesthesia 1. Check that your oxygen supply tank is open and that you have
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sufficient gas pressure in the line from the tank (minimum 1500 psi for E­size cylinder.
2. Assemble your system and check all connections for possible leaks of
the oxygen/anesthesia mix.
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Chapter 5: Anesthetizing a Mouse: Inducing anesthesia
Connect oxygen tank to regulator (if oxygen is supplied from a free­standing tank)
Connect to the delivery sub­system
Connect dual delivery system to nose cone and chamber connection
Connect breathing elbow down tube and chamber outlet port to charcoal filters
If you hear hissing:
1. Check the condition of the gasket between the tank and the regulator.
Check the E-cylinder (651-liter tank)
Check the H-cylinder (7107-liter tank)
2. Tighten the regulator to the tank.
Note: These checks apply to North American regulator configurations only.
This common outlet port is a friction-fit connection. Ensure that you make leak-free connections.
These are also friction-fit connections. Again, ensure that you make leak­free connections.
Push the tubing on as tightly as possible and ensure filters are placed into the filter holder (in an upright position). Standing filters on end impedes the airflow out the bottom on canister, renders the filter useless and causes back pressure in the breathing circuit.
3. If required, fill the vaporizer with the appropriate liquid agent. (See
“Filling the vaporizer” on page 19.)
4. Open the stopcock in the induction chamber tubing line.
5. Close the stopcock in the mouse mask line.
6. Turn the oxygen flowmeter to at least one (1) liter per minute (lpm).
7. Place animal #1 in the induction chamber and secure the lid.
Warning: The chamber is airtight. If the oxygen flowmeter on the machine is turned off, there will be NO AIRFLOW into the chamber.
NEVER leave animals in the chamber without an oxygen flow.
8. Turn the vaporizer dial to 2-2½ %. Animal #1 should begin to lose
consciousness within two minutes.
9. When Animal #1 shows no response to rocking/jiggling the chamber
(approximately two minutes), push the oxygen flush button for 20-30 seconds (for 2-liter chamber) to evacuate all anesthesia-saturated gas from the chamber.
Note: The brief oxygen flush evacuations of the chamber should not awaken already anesthetized animals.
Note: If the stopcock to the mouse mask breathing circuit is open when you press the oxygen flush button, the resulting oxygen pressure through the mouse mask may push that animal’s nose out of the mask. Always close the stopcock to the mouse mask before using the oxygen flush.
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10. Open the stopcock in the mouse mask line.
11. Close the stopcock in the induction chamber tubing line, then
immediately open the chamber and remove Animal #1.
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Chapter 5: Anesthetizing a Mouse: Inducing anesthesia
12. Place Animal #1’s nose in the mouse mask.
13. When the procedure on Animal #1 is complete, close the stopcock in
the mouse mask line and place Animal #1 in a recovery unit. That animal will begin to awaken in approximately two minutes.
14. Repeat steps 4 through 11 with Animal #2, and all remaining models,
until all procedures have been completed.
15. Turn the vaporizer dial to the “OFF” position.
16. Turn off the oxygen flowmeter.
17. If you are using a freestanding oxygen tank, turn off the oxygen at the
tank. We also recommend you choose to keep open the Y-tube’s stopcock to the induction chamber, and close the stopcock to the mouse mask.
18. Clean and sanitize the induction chamber and mouse mask as
outlined in your procedure area cleaning protocols.
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Chapter 5: Anesthetizing a Mouse: Inducing anesthesia
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Chapter 6: Service: Maintenance
Chapter 6: Service
Maintenance Annual preventive maintenance and certification by qualified personnel
is recommended to ensure proper operation. General upkeep and daily maintenance will enhance the longevity of your compact anesthesia system.
Vaporizer
Warning: Do not modify, tamper with or disassemble the vaporizer. Doing so could damage the unit and alter the accuracy of graduation.
Observation of the operating instructions, regular servicing and normal professional vigilance is normally all that is required to maintain the vaporizer in a safe working condition.
Cleaning
Clean the exterior of the vaporizer with a damp cloth.
Never allow cleaning agents to accumulate in the filler, gas inlet and outlet ports, or around the control dial.
Stand Assembly Do not use harsh or abrasive cleaners. To clean, wipe with a damp cloth.
The stand is coated with a baked-on enamel that will withstand most cleaning/disinfectant solutions. If a solution is to be used, it is recommended that you initially test its effect on an inconspicuous spot of the enamel.
Flowmeter(s) Do not use harsh or abrasive cleaners. Plastic flowmeter covers may be
removed and cleaned with a damp cloth. The exterior of the glass flowtube may be cleaned in the same manner. Should dirt or an obstruction get inside the flowtube, contact VisualSonics for assistance. The flow control requires no maintenance.
Oxygen Flush This valve requires no maintenance.
Rubber Goods Rubber is a natural product and will deteriorate with age and use. All
rubber goods are considered disposable and should be inspected daily for presence, condition and alignment. DO NOT USE PETROLEUM BASED LUBRICANTS. If you must use a lubricant, use only a silicone-based product.
Equipment This equipment must be periodically checked, calibrated, maintained
and, components repaired and replaced when necessary for equipment to operate reliably. Parts that have failed in whole or in part, exhibit excessive wear, are contaminated or are otherwise unfit for use, should be immediately discarded and replaced. To maintain the warranty, replacement parts must be installed or approved by VisualSonics Inc. Equipment that is not functioning correctly must not be used. This equipment must not be modified by unauthorized personnel or with unauthorized components.
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Chapter 6: Service: VisualSonics support
VisualSonics support
Annual service The vaporizer should be serviced at an authorized service center. This
service should include:
Complete disassembly of components.
Inspection of all parts for damage and wear.
Thorough cleaning of all metal parts.
Replacement of wicks, seals and damaged, worn or outdated items.
Lubrication where necessary.
Re-assembly of vaporizer and testing for and correction of any leaks.
Verification of the delivered vapor concentrations under closely defined conditions at different temperatures in order to test the temperature compensating mechanism. Any re-graduation or adjustment where necessary.
Maintaining continuous service record.
Repairs Repairs should only be carried out by an authorized service center.
Note: It is not possible to change the graduation range or anesthetic agent.
If problems arise with your Vevo Compact Anesthesia System other than the ones detailed above, we will do everything we can to ensure that your system remains fully operational and that you experience minimum downtime.
When such problems happen, please contact VisualSonics' Service Department so a technical support representative can assess the nature of the problem and help resolve it. Reach us at:
Tel: 1-416-484-5000
Toll: 1-866-416-4636
support@visualsonics.com
For minor problems, the technical support representative will walk you through troubleshooting the situation either by phone or by e-mail, whichever you prefer.
For more complex problems, we may send a technical support representative to your location to evaluate the problem or we may ask you to send the equipment to VisualSonics' Service Department for more detailed analysis.
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Page 39
Appendix A: Accessories
Accessories for the compact anesthesia system
Item Supplier
Oxygen regulator for E-cylinders VisualSonics
Oxygen regulator for H-cylinders VisualSonics
The oxygen regulator is available only in North America. Please contact technical support for information about regulators for systems in Europe.
Appendix A: Accessories
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Appendix A: Accessories
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Appendix B: Specifications and Performance
Appendix B: Specifications and Performance
Specifications All specifications are for standard systems.
Operational characteristics
Table-top system Mobile system
Controls
Flowmeter volume
Oxygen flush volume
0-4 liters per minute @ 55 psi
15-35 liters per minute @ 55 psi
Gas supply Oxygen male DISS
connector
Gas pressure
50-55 psi 50-55 psi
requirements
Flowmeter Single-turn metering
valve
Oxygen flush Plunger-actuated,
spring-return valve
Adjustable
None None pressure limiting (APL) valve
0-4 liters per minute @ 55 psi
15-35 liters per minute @ 55 psi
Oxygen male DISS connector
Single-turn metering valve
Plunger-actuated, spring-return valve
Physical properties
Calibration
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Weight Approximately 32 lbs
(14.5 kg)
Approximately 56 lbs (25.41 kg)
Dimensions 11”w x 8”d x 14”h 19”w x 18”d x 50”h
Material Aluminum frame; steel
handle, bolts and screws; brass valves and tubing; acrylic flowmeter cover
Aluminum frame; steel bolts and screws; brass valves and tubing; acrylic flowmeter cover; Delrin handle
Finish Heat-treated enamel Heat-treated enamel
Vaporizers are calibrated at 21 ºC (70 ºF) and at elevated temperatures. The variation in output with temperature, flow rate and duration of use is
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Appendix B: Specifications and Performance
small, and the variation in output when used with Intermittent Positive Pressure Respiration is negligible.
Agent usage The rate of consumption of anesthetic agent depends primarily on flow
rate and vapor output concentration.
The rate of evaporation of anesthetic agent may, with caution, be used as an approximate method of checking that the delivered output is not grossly in error, and as a means of estimating how often the vaporizer is likely to need refilling. The approximate hourly consumption of anesthetic agents can be expressed as follows:
3 x % x F
Where % represents the setting of the vaporizer output percentage, F represents the input flow rate in liter/min.
Example: if a vaporizer is set to deliver 2% at 6-liter/min. total input gas flow rate:
Approximate rate of agent consumption = 3 x 2 x 6 = 36 ml/hour.
The figures are intended only for clinical guidance and are approximate. They will vary depending upon the type of anesthetic agent employed, accuracy of graduation of flowmeters, etc., and will be grossly in error if the vaporizer drain port is not fully closed.
Performance effects of variables
Temperature The effects of variation of temperature are normally negligible at
commonly used combinations of dial setting and ambient temperature.
The vaporizer responds very slowly to changes in ambient temperature and (to prevent the valve from closing completely) as a safety feature the temperature sensitive valve does not respond to temperatures below the range of approximately 12 - 15 ºC (54 - 59 ºF). Should the vaporizer temperature be lower than this, the output can be expected to be lower than that indicated on the dial.
At temperatures above 32 ºC (90 ºF), the vaporizer output may be unpredictably high - particularly if the temperature approaches the boiling point of the specific anesthetic agent.
To avoid inaccuracies due to extreme temperatures, the vaporizer should be allowed to attain a temperature of 20-32 ºC (68 - 90 ºF).
Flow The vaporizer compensates for variations in inlet flow from 300 ml to 10
liters per minute with minimal change in output concentration. Resistance to flow within the vaporizer is minimal: 40 cm/H20 (30 mm/
Hg) at 10 liters per minute.
Carrier gas composition Small effects can occur when the carrier gas composition is changed from
oxygen to air or nitrous oxide/oxygen mixture. As a general rule, variation of output with carrier gas composition can be considered of negligible clinical significance since the effects, if any, are normally less than 10% of setting. Where changes do occur, the usual effect is that the output is slightly depressed when nitrous oxide is employed compared to
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Appendix B: Specifications and Performance
the output when oxygen is the carrier gas. The presence of nitrous oxide reduces the required inspired concentration of volatile agent and this mitigates this small depression in output from the vaporizer.
Time out of service If the anesthetic machine on which the vaporizer is fitted is left for a
period of time with no gases flowing, a concentration of agent may be observable at the machine outlet when the gas flow is turned ‘On’ and the vaporizer is turned ‘off.’ This concentration can be expected to fall rapidly to zero (e.g. within about 15 seconds at 5 liter/min.). This phenomenon is a normal characteristic of anesthetic vaporizers and machines. Clinically this is normally considered to be insignificant because of the small volume of vapor involved.
Other variables Ambient temperature, input flow rate and duration often can affect
delivered concentrations, particularly when the vaporizer is used at extremes of the usual clinical range. The valve design and temperature compensation system of this vaporizer reduces these effects, under most clinical conditions, to levels that are clinically not significant.
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Appendix B: Specifications and Performance
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Index
Index
A
accessories, 29 annual service, 28
C
calibration, 31 cart legs
assembling, 6 cautions, iv choosing a location for the system, 9 compact anesthesia system
description, 1
D
delivery sub-system, 9
assembling, 9
connecting to the vaporizer sub-
system, 10
I
inducing anesthesia, 23 induction chamber breathing circuit
assembling, 10
M
mouse mask breathing circuit
assembling, 10
O
operational characteristics, 31 oxygen flowmeter
testing, 23 oxygen tank
connecting the regulator to, 13
turning on, 17, 18
vaporizer sub-system, 10
connecting oxygen supply to, 11 connecting the delivery sub-
system to, 10
W
warnings, iii
P
performance effects of variables, 32
R
regulator
available for E-cylinders and H-
cylinders, 29
connecting to the oxygen
tank, 13
handling hissing sounds, 14 repairs, 28
S
specifications, 31
T
theory of operation, 15
flowchart, 16
V
vaporizer
draining, 20
filling, 19
principle of operation, 17
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Index
36 VisualSonics Vevo Compact Anesthesia System Operator Manual V1.0
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VS-OM-AS revision 1.0 P/N 10860
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