Weinmann WM 28140 Service Manual

MEDUMAT Easy CPR
Ventilator
Service and Repair instructions
WM 28140
Contents
Introduction
1.
Overview
1.1
2.
Description
2.1
2.2
2.3
2.4
2.5
2.6
3.
Final check
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
3.10
3.11
3.12
3.13
3.14
3.15
3.16
3.17
4.
Servicing
4.1
4.2
4.3
5.
Troubleshooting
6.
Repair information and instructions
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
6.10
6.11
6.12
6.13
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Special symbols on the ventilator
. . . . . . . . . . . . . . . . . . . . . . . . . . 7
Uses
. . . . . . . . . . . . . . . . . . . . . . . . .
Ventilation function Demandflow function Patient valve Audio response Switching the metronome on and off
. . . . . . . . . . . . . . . . . . . . . . . . . 12
Test material required Preparation for the final check Enter device data Check for leaks and check
pressure display Self-test after the device is switched on Function check of controls (key test) Function check and alarms Battery voltage Function check of frequency setting Function check of
at 4.5 bar input pressure and 10 mbar back pressure
Test O2 concentration Function check of pressure limit Function check of venting valve without
patient valve Test MEDUtrigger Test communication socket Check external condition Documentation
. . . . . . . . . . . . . . . . . . . . . . . . . . 24
Intervals and scope Batteries Storage
General Changing the filter in the pressurised
gas connection Open the device Close the device Replacing button cell Changing the speaker Changing the board Replacing the pneumatic block Replacing the 3/2-way magnetic valve. 39 Calibrating the potentiometer
(after changing pneumatic block including potentiometer)
Changing upper part of housing Changing the fascia film Replace lower part of housing
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breath volume
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7 8 8 9 9
11
12 13 13
13 14 15 15 17 18
19 20 20
21 21 22 22 23
24 25 25
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29 30 32 34 35 36 37
40 41 42 43
7.
Spare parts
7.1
7.2
8.
Tools and Test Equipment
8.1
8.2
8.3
9.
Technical data
9.1
10.
Technical Changes
11.
Repairs and maintenance protocols
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Spare parts list Service sets
General tools Special tools Testing equipment
Pneumatic
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/ electronic systems
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53
© Copyright The content and presentation are copyright protected and may only be used by authorised WEINMANN Service Partners in the course of their service operations. The content must not be reproduced or passed on to third parties. The complete documents must be returned on termination of the cooperation with WEINMANN.
WEINMANN GmbH & Co. KG.

Introduction

For decades WEINMANN has been developing, manufacturing and marketing devices for emergency medical care, oxygen therapy and inhalation therapy.
In 1972 WEINMANN put the first MEDUMAT emergency ventilator on the market.
MEDUMAT emergency ventilators are automatic ventilators. They are used for controlled ventilation in emergency medical care, e.g. in cases of acute ventilation disorders, and also secondary obstructions.
The new generation of devices, developed specifically to meet users’ requirements and put on the market in 1997, offers users and patients increased security. An intelligent alarm system monitors the patient’s breathing and informs the user about any problems that occur. These devices thus offer even greater security and reliability during ventilation.
The objective of these Servicing and Repair Instructions is to make you, an expert, familiar with the function, technology and repair of the MEDUMAT ventilator. Thanks to training which you
have already received from WEINMANN, you now count as “trained expert personnel” and can therefore give your customers appropriate instructions, remedy problems on your own and perform the functional checks prescribed in the operating instructions and any repairs required in accordance with these Service and Repair Instructions.
In the event of a warranty claim, send the MEDUMAT to WEINMANN.
To enable us to process ex gratia requests or warranty claims, enclose the customer’s proof of purchase (invoice) with the device.
Repairs or servicing work may be performed only by WEINMANN or by trained specialist staff.
You are responsible for repairs carried out yourself and for their warranty!
Use only original WEINMANN spares for repairs.
Bear in mind: Your customer trusts you and relies on your expert capability, just as you rely on WEINMANN.
Note:
For the following informations, consult the Operating Instructions for MEDUMAT:
Safety Information
Fitting accessories
Operating MEDUMAT emergency ventilators
Hygienic preparation
Functional check
Introduction 3
4

1. Overview

Control panel MEDUMAT Easy CPR
1 Mask/tube ventilation
switch with indicator LEDs
2 Ventilation pressure
indicator (bar graph)
60
mbar
50
40
30
20
10
0
0,9
10
0,6
11
16
0,3
30
0,1
Stenosis Disconnection < 2,7 bar O
1,1
10
Freq.(min-1)
Vt (l)
3 Alarm panel
12
13 14
MEDUMAT Easy CPR
2
CPR
1,1
Demand­flow
4 Alarm mute
5 Colour code
6 CPR key and indicator LED
7 Adjuster knob, ventilation parameters
8 Index position
9 LED Demandflow
10 ON/OFF switch
Connections MEDUMAT Easy CPR
11 Pressurized gas
connection
17 Relief outlet valve
60
50
40
30
CPR
20
10
0
13 14
1,1
0,6
0,3
AT
12 Battery compartment
CPR
0,9
10
11
13 Speaker
14 MEDUtrigger connection
15 Pressure gauge
hose connection
16 Ventilation hose connection
Overview

1.1 Special symbols on the ventilator

MEDUMAT Easy CPR
AT
60
50
40
30
CPR
1
2
20
10
0
13 14
1,1
0,6
0,3
1 Inlet 2,7 - 6 bar O2.
2 Languages available for the device
MEDUMAT Easy CPR device information plate
SN
Serial number of device
Year of manufacture
3.6 V lithium battery
CPR
0,9
10
11
4 5 6 7 8
3
3
CE symbol (confirms that the product conforms to the applicable European directives)
IP54 Protection against ingress of water and dust
Protection class BF
Do not dispose of the device in domestic waste.
5 Patient circuit connection
6 Maximum pressure 100 mbar
8 Indicates where to connect the MEDUtrigger
Safety check and servicing labe
7 Servicing label: indicates when the next service is due.
4
Safety check label: (in Germany only) marks when the next safety check as per §6 of the German law relating to users of medical devices is required.
Overview 5
MEDUtrigger
9
MEDUtrigger device information plate
BF protection class
Do not dispose of the device in domestic waste
9
IP54
CE symbol (confirms that the product conforms to the applicable European directives)
Protection against ingress of water and dust
Protection class II, protective insulation
Date of manufacture
6 Overview

2. Description

2.1 Uses

MEDUMAT Easy CPR is an automatic oxygen ventilation device (short-term ventilator) with additional inhalation facility.
You can use MEDUMAT Easy CPR:
to revive patients at the site of the emergency;
for longer periods in more protracted emer­gencies;
for short-term O2 inhalation using a ventilation mask.
You can use MEDUMAT Easy CPR while transporting patients:
between the various rooms and departments of a hospital;
between the hospital and other premises;
in emergencies;
when transport over considerable distances is planned.
MEDUMAT Easy CPR:
is designed to provide controlled ventilation to persons of 10 kg body weight or more;
is used to treat ventilation arrest;
can be preset to parameters that ensure evenly balanced ventilation, provided that the select­ed maximum ventilation pressure P ceeded;
permits breathing-controlled oxygen inhalation in Demand mode;
enables the user to initiate individual ventilati­on strokes in CPR mode.
is not ex-
max
Description 7

2.2 Ventilation function

MEDUMAT Easy CPR operates within a pressure range of 2.7 to 6 bar and at a flow rate of not less than 70 l/min O2. It has a built-in power supply.
It uses high-pressure, medicinal-grade oxygen. An external pressure reducer brings this down to the required operating pressure. The oxygen supply is fed in at input valve 11.
The infinitely adjustable ventilation values (frequency and tidal volume are linked) and the inspiration/expiration ratio of 1:1.67 are regulated by internal electronic control mechanisms.
The gas for inspiration flows along the hose and through the patient valve and either the mask or tube into the patient’s airways. The patient valve is fitted with a lip membrane that enables expired gas to be conducted away through the expiration tube.
You can check the course of ventilation on the ventilation pressure indicator 2.
11
60
50
40
30
20
10
0
60
50
2
40
30
20
10
0
CPR
13 14
1,1
0,6
0,3
mbar
0,9

2.3 Demandflow function

The Demandflow setting switches the MEDUMAT Easy CPR to breathing-controlled O2 inhalation. Such inhalation must be carried out with the ventilation mask. A small inspiration (trigger) pulse causes oxygen to continue flowing until slight overpressure interrupts the flow. Expiration then takes place via the patient valve as in ventilation.
Demandflow setting
10
0
0,6
0,3
0,9
11
10
16
0,1
1,1
10
30
Freq.(min-1)
Vt (l)
12
13 14
1,1
Demand­flow
8 Description

2.4 Patient valve

The gas for inspiration is channelled into the patient’s airways through the patient valve.
The valve is designed to enable spontaneous breathing in the event of failure of the MEDUMAT Easy CPR.

2.5 Audio response

The device has an audio response facility which can be switched on for user guidance, especially for users with little practice.
The language can only be set if the device is switched off beforehand.
21
20
22
23 17 18 19 24
To select a language or to switch off the audio response facility, proceed as follows.
1. Hold down the mask/tube switch 1.
2. Switch on the device at the ON/OFF switch
10.
3. Now release the mask/tube switch 1. The device is now in the language selection menu. The ventilation pressure indicator now displays the most recent language setting selected.
Description 9
The following languages are assigned to the individual LEDs.
Device number mbar Language
60 Icelandic
55 Finnish
50 Norwegian
45 Swedish
40 Danish
WM 28140 WM 28150 (French variant)
WM 28160
35 Portuguese
30 Spanish
25 Dutch
20 Italian
15 French
10 English
5 German
0 Audio response off
60 Farsi
55 Thai
50 Indonesian
45 Turkish
40 Arabic
35 Japanese
30 Chinese
25 Czech
20 Russian
15 Polish
10 English
5 German
0 Audio response off
4. Now press the mask/tube switch 1 as many times as necessary until the LED for the desired language lights up and a corresponding message is heard (example: 10 mbar LED, language: English, message: “Selected language: English.”). After five seconds, the new selection is stored.
By pressing the ON/OFF switch 10 briefly you can store the language selection without waiting for five seconds.
Select the setting 0 (0 mbar) if you want to switch off the audio response facility. You will then hear the message: “Audio response is off!” in the language most recently selected.
After approx. 5 seconds, the new setting is automatically stored. The LED for the selected language/setting goes out.
10 Description

2.6 Switching the metronome on and off

1. With the device switched off, press and hold the CPR key.
2. Press the On/Off switch 10 briefly.
3. Release the CPR key.
4. Press CPR key.
50 mbar LED (red) comes on: the metronome is activated 45 mbar LED (green) comes on: the metronome is deactivated
5. Press the CPR key to change the operating state of the metronome.
6. Press On/Off key 10 to confirm the operating state of the metronome.
1 x audible confirmation: metronome deactivation is confirmed 2 x audible confirmation: metronome activation is confirmed
Description 11
3.

Final check

The device must be subjected to a final check after every repair and every service.
Note:
For the final check on must connect the ventilation tube and the patient valve to the device.
MEDUMAT Easy CPR check reveals defects or deviations from the specified values.
3.1

Test material required

Flow meter PF 300 from imtmedical, type EKU VIP, or comparable test device
Adjustable orifice, e.g. ball cock, internal diameter ≥ 10
Test kit for function check WM 15357
Oxygen concentration measuring device, 0 – 100 % ± 1 %, e.g. type Oxycontrol WM 13550
Tube set with syringe WM 15359
Pressure measuring device
Pressure measuring device
Set, power supply test for Medumat / Module WM 15440
Test adapter
MEDUMAT Easy CPR
must not be used if the final
, you
0 - 6.3 bar, Class 1.6
0 - 100 mbar, Class 1.6
WM 20907
We recommend always keeping the following in stock:
replacement seals for the device connections;
lip membrane for the patient valve;
membrane for the spontaneous breathing tube;
membrane for the expiration tube.
mm
Default settings for flow meter PF300
Settings
Default settings: –
Type of gas
Gas standardization
Trigger settings: –
Type of ventilation
Source
Start
End
Delay
Base flow rate
Units and measured values: –
P high
P diff
Rate
V
ti
O
2
If you have a comparable testing device, contact Weinmann Technical Support to have the setting parameters calibrated.
Air/O2 auto STP
Adult Internal HF Flow rate ≥ 3.0 l/min Flow rate ≤ 3.0 l/min 60 ms Disabled
bar mbar b/min ml %
Values
12
Final check

3.2 Preparation for the final check

1. Device setting freq. = 30 min-1, Vt = 0.1 l
2. Check which language is set. Record setting.
3. Switch on audio response (see “2.5 Audio response” on Page 9).
4. Check whether the metronome is on or off (see “2.6 Switching the metronome on and off” on Page 11). Record setting.

3.3 Enter device data

1. Enter the device data from the device information plate in the test protocol and check the device information plate is complete and undamaged.

3.4 Check for leaks and check pressure display

3.4.1 Check for leaks on inlet side
60
50
40
30
CPR
20
10
0
13 14
1,1
0,6
0,3
1. Provide a pressurized gas supply to MEDUMAT Easy CPR and to the flow meter.
2. Switch off device.
3. Open oxygen cylinder.
4. Close oxygen cylinder.
Requirement: Drop in pressure must be less than 0.2 bar/min.
Final check 13
3.4.2 Check for leaks in pressure measuring section
AT
CPR
0,9
10
11
Test pressure gage
Ventilation pressure indicator
15
Syringe
1. Put T-tube connection with syringe (WM 15359) on the pressure measurement tube connection 15.
2. Use the syringe to generate a pressure of 55 mbar ± 2 mbar on the test pressure gage.
Requirement: Drop in pressure must be 2 mbar/min.

3.5 Self-test after the device is switched on

60
50
40
30
CPR
20
10
0
13 14
1,1
0,6
0,3
1. Provide a pressurized gas supply to MEDUMAT Easy CPR and to the flow meter.
2. Connect the patient circuit to MEDUMAT Easy CPR.
3. Open oxygen cylinder.
4. Switch on device.
Requirement: The self-test is triggered, the ventilation mode LEDs light up once each in turn, the alarm
LEDs flash, the pressure indicator LEDs are run through 3x, a signal sounds and one sentence is issued by the audio response.
14 Final check

3.6 Function check of controls (key test)

60
50
40
30
CPR
20
10
0
13 14
1,1
0,6
0,3
1. Provide a pressurized gas supply to MEDUMAT Easy CPR and to the flow meter.
2. Open oxygen cylinder.
3. Switch on device.
4. Switch from mask ventilation to tube ventilation.
5. Press the alarm mute button 4.
6. Press the CPR key 6.
Requirement: All the controls must work perfectly.

3.7 Function check and alarms

60
50
40
30
20
10
0
13 14
1,1
0,6
0,3
CPR
1. Provide a pressurized gas supply to MEDUMAT Easy CPR and to the flow meter.
2. Open oxygen cylinder.
3. Switch on device.
Final check 15
16
3.7.1 Test stenosis alarm
1. Switch to tube ventilation (
2. Operate device at setting freq. = 30 min
Requirement:
The stenosis alarm must be triggered after 2 ventilation operations. The red LED of the
and seal off the patient valve outlet.
)
-1
and V
= 0.1 l .
t
stenosis alarm must come on. The device issues the message “Check airways and settings!”.
3.7.2 Test alarm mute function
1. Immediately after the first alarm tone sounds, press the alarm mute key
Requirement:
The acoustic alarm must be suppressed immediately. The visual alarm continues to flash.
Alarm Suppression time
Stenosis 30 seconds
Disconnection 30 seconds
< 2.7 bar 30 seconds
120 seconds
.
4
3.7.3 Test disconnection alarm
1. Open patient valve outlet.
Requirement:
the message “Check ventilation system and settings!”.
The disconnection alarm must be triggered after 2 ventilation operations. The device issues
3.7.4 Test pressure alarm
1. Shut off pressurized gas connection of device (2.7 - 6.0 bar).
Requirement:
The pressure alarm must be triggered. The device issues the message “Check pressure hose
system and gas supply!”.
3.7.5 Test demand mode LED
1. Open compressed air supply.
2. Select “Demand flow” setting.
Requirement:
Demand mode LED must come on (flicker).
3.7.6 Test audio response
1. Turn knob back to the “Ventilation” range. The device issues the message “Ventilation pressure limit 20 mbar”.
2. Select “Demand flow” setting.
Requirement:
After the test
3. Switch off device
4. Close oxygen cylinder.
5. Disconnect pressurized gas supply from device.
The audio response must be clear and intelligible.
Final check

3.8 Battery voltage

3.8.1 3.0 V battery (board)
As the 3.0 V lithium cell is hard to reach, its charge status can be called up both via the interface and via a corresponding menu.
1. Switch on device and simultaneously keep the alarm mute key depressed.
The device is in battery control mode for 3 seconds and then switches to normal operating mode.
Within these 3 seconds, the “Energy supply” alarm in the alarm field comes on and the measured voltage value of the lithium cell is displayed in the pressure bar graph.
In the table you will find an assignment of bar graph values to battery voltage values.
Bar graph value (mbar) Battery voltage (V)
60 3.21
55 3.19
50 3.17
45 3.15
40 3.13
35 3.11
30 3.09
25 3.07
20 3.05
15 3.03
10 3.01
5 2.99
0 2.97
Requirement: Measured value for 3.0 V battery is in the range 3.0 to 3.2 V, the alarm for this cell is
triggered at 2.7 V.
2. Switch off device.
3.8.2 3.6 V battery (battery compartment)
1. Open battery compartment with a screwdriver.
2. Remove 3.6 V battery from battery compartment.
3. Measure voltage using a digital multimeter.
Requirement: Measured value for 3.6 V battery is in the range 3.4 to 3.7 V.
4. Put battery 27 back in device correctly.
5. Close battery compartment.
Final check 17

3.9 Function check of frequency setting

AT
CPR
0,9
10
11
Patient valve with patient circuit
Orifice 10 mbar
Flow meter
1. Provide a pressurized gas supply to MEDUMAT Easy CPR and to the flow meter.
2. Open oxygen cylinder.
open
3. Switch on device.
4. Connect ventilation tube to 10 mbar orifice and to flow meter.
5. Operate device at setting freq. = 14 min-1 and Vt = 1.1 l.
Requirement: Frequency must be 14 ± 2 min
-1
.
6. Operate device at setting freq. = 10 min-1 and Vt = 1.1 l.
Requirement: Frequency must be 10 ± 2 min
-1
.
7. Operate device at setting freq. = 30 min-1 and Vt = 0.1 l.
Requirement: Frequency must be 30 ± 2 min
-1
.
8. Switch off device.
9. Close oxygen cylinder.
10. Disconnect pressurized gas supply from device.
18 Final check
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