Ohmeda Excel Anesthesia System Operation and Maintenance Manual Orbe treEy \ ABOC Health Care iUser Responsibility ‘This Product will perform in conformity with the description thereof contained in this operating manual and accompanying labels and/or inserts, when assembled, operated, maintained and repaired in accor- dance with the instructions provided. This Product must be checked periodically. A defective Product should not be used, Parts that are broken, missing, plainly worn, distorted or contaminated should be replaced immediately. Should such repair or replacement become neces- sary, Ohmeda recommends that a telephonic or written request for sorvice advice be made to the nearest Ohmeda Regional Service Otfice. ‘This Product or any of its parts should not be repaired other than in accordance with written instructions provided by Ohmeda and by Ohmeda trained personnel. The Product must not be altered without the prior written approval of Ohmeda’s Safety Dopartment. The user of this Product shall have the sole responsibility for any malfunction which results from improper use. faulty maintenance, improper repair, damage. or alteration by anyone other than Ohmeda, A CAUTION: Federa! law in the U. S, A. and Canada restricts this device to sale by or on the order of a licensed medical practitioner. Outside the U. S. A. and Canada, check local laws for any restrictions that may apply.User Responsibility Definitions 1/Introduction Introduction to the Excel System 1-1 How to use this manual 1-2 2/General Information 3/Set Up An overview of the Excel System 2-1 Identifying Excel components and controls 2-2 Information about Monitor Pod Excel Systems 2-9 Monitor pod 2-9 7000 Ventilator 2-11 Information about 7800 Excel Systems 2-11 ‘Mounting gas cylinders 3-1 Cuouit and monitoring connections 3-2 4/Preoperative Checkout 5/Maintenance Before starting the checkout 4-1 Initial checks 4-1 Electrical connections 4-2 Checking vaporizer mounting 4-3 Checking cylinder and pipeline supplies 4-4 Checking vaporizer back pressure 4-4 Leak checking the low pressure circuitry 4-5 Checking the gas ow controls 4-6 Breathing system checks 4-7 Checking monitor and ventilator operation 4-8, Maintenance schedule 5-1 Cleaning and sterilization 6-2 Replacing pod monitors 5-4 Fuses and circuit breakers 5-5 Recharging batteries 5-7 6/Troubleshooting Repair policy 6-1 Pneumatics problems 6-1Table of Contents Electrical problems - Monitor Pad Excel Systems 6-2 Electrical problems - 7800 Excel Systems 6-2 7/Mlustrated Parts Excel specific parts 7-1 Where to find additional part numbers 7-1 Appendix Excel Pneumatics A+1 Specifications A-4 WarrantyDefinitions Certain torms are used throughout this manust: Note: A note provides additions! information to clarify a point in the tox. Important: An Important statement is similar to a note but used for greater emphasis, Z\caurton: 4 satement used when the possibilty of damage to the ‘equipment oxists. AX wana 4 ratement used wien the possibilty of tjury tothe patient orth operator exists Various pages in this manual have been purposely left blank and headed ‘NOTRS for your convenience in noting information which may be ‘unique to your anesthesia system and also to facilitate starting each ‘major section on a right hand page. soos aamana ence iNotespee Cet Ty In this section Introduction to the Excel System 1-1 How to use this manual 1-2 Introduction to the Excel System ‘The Ohmeda commitment to meeting your anesthesic needs continues with the Excel series. The Excel series features a wide choice of anesthe- sia delivery options: Anesthesia * The Excel 210 offers three gases, oxygen, nitrous oxide, and air or éehvery heliox (75% helium, 25% oxygen). All gases except heliox (cylinder only) have pipeline and cylinder connections. * The Excel 110 has oxygen and nitrous oxide. All gases have pipeline and cylinder connections, with a backup cylinder connection for one gas, + Both models hold two vaporizers (Tec 4 or 6). Ventilator / ‘There are two basic Excel monitoring/ventilation packages: monitoring packages ‘+ The monitor pod and the Ohmeda 7000 Ventilator (a basic electronic ventilator). The monitor pod features panel mounted versions of the stand-alone oxygen, airway pressure and volume monitors, Volume and airway pressure monitors are not standard on Canadian monitor pods. ‘+ The Ohmeda 7800 Ventilator. The 7800 Ventilator combines ventila- tor and monitoring functions and offers a broader range of ventilation capabilities. + The Ohmeda 6250 Respiratory Gas Monitor (RGM) works with both packages. Standard RGM capabilities include O concentration, airway pressure, COz and N20 monitoring. Options include airway flow, SpO2, anesthetic agent, and circuit Oz monitoring, Safety features ‘The Excel includes several important safety features: + The Onmeda Link 26 Proportion Limiting Control System limits the lowest oxygen concentration that can be delivered on the Excel to a nominal 25% for 0,/N,O mixtures at the common gas outlet + Audible and visual low O, supply alarms alert you if the O, pressure falls below anominal 30 psig (207 kPa). + _N,O and third gas flows stop if 0, supply pressure falls below a nominal 20 psig (138 kPa). ‘+ An interlock mechanism that helps prevent more than one Ohmeda ‘Tec 4 or Tec 5 vaporizer from being “On” at once. An isolation sys- tem also helps prevent fresh gas from entering a vaporizer that is not switched “On.” + Power failure alarms and monitoring backup. * Differentiated pipeline and cylinder gauges, * Gas specific pipeline and cylinder connections. + A guarded O, flush button. + Color coded flow controls and pressure gauges. serene ee Ve1/Introduction Operator For your convenience, the Excel also features: ‘+ Assystom master switch that controls the pneumatics and the elec- tronics. + Asstandard two drawer storage cabinet. ‘+ An 0; power outlet, typically connected to a ventilator. + Pull length dovetail accessory mounting. + Assingle action brake/footrest. + Shoif space for additional monioring. + Large, easy-tunning casters and a compact frame. How to use this manual wnat the manuals symbols mean ‘This manual gives you an overview of the available Excel Systems with ‘emphasis on the gas machine. Each system component also has an ‘operation and maintenance manval to answer specific questions. A complete sot of operation and maintenance manuals comes with the ‘Excel System. Onmeda recommends ths: you keep this manual and all elated manuals in one of the storage cabinet drawers. If you are using the system for the first time, read this manual first. Thea. ead the operation and maintenance manuals for the system compo- nants, Before you go on to Chapter 2, "General Information,” make sure that you understand the symbols listed at the end of this chapter. If you have used the Excel before, complete the step-by-step set up ‘procedure in Chapter 3. Then turn to Chapter 4 “Preoperative Checkout, ‘which is required before using the Excel Before cleaning the Bxcel, read Chapter 5, “Maintenance,” carefully. This section also tells you how to replace customer accessible fuses, reset circuit breakers, and replace complete monitors. Chapter 6, “Troubleshooting,” helps you solve problems that may occur with the Excel. For example, how can you tell if a low pressure leak is due to a vaporizer that you can replace or an intemal fault that requires a service call? (If the leak follows a particular vaporizer and the external o- fag is in place, replace the vaporizer). Chapter 7, “Illustrated Parts,” tells you Low to order replacement parts and accessories. I: also lists part numbers fer all operation and mainte nance manuals associated with the Excel System, ‘Tho Appendix lists Excol specifications and describes the internal pneu- matic circuitry. Please also tako 2 moment to reviow the Usor Responsibility Statement on the inside of the front cover; it describes what is expected of you to maintain the Excel. Also read the Warranty on the back cover; it outlines (Ohmeda’s responsibility in case of a functional defect. A number of Warnings ZN and Cautions A\. azo used throughout vais manual to draw attention to che possible hazards and/or adverse conci- tions which may occur if he information and instructions provided are not strictly obsorved, 121/introduction +BHrO?OO CEO” Warnings A\ are usec to draw atzention to @ condition which can endanger either the patient or operator. Cautions AN are used to draw attention to @ condition which can result in damage to the equipment, Special attention must be paid to each Warning and Caution as it ap- pears in the manual We have also used—both in the manual and on the device itself—sym- bbols to represent some common terms. No one product or manual has every symbol listed. Refer to this listing concerning symbols found on various products and manuals. These symbols include: ‘On (power) Off (power) Stand-by ‘Stand-by or preparatory state for a part of the equipment “ON" only for part of the equipment “OFF™ only for part of the equipment Alternating Current Protectivs nth ground Earth ground Frame or chassis ground Alarm silence button Equipotential 1 Varianitity 200 Variability in steps + Pius, positive polarity ‘Minus, negative polarity Lamp, lighting, Uumination ‘Movement in one direction Movement in both directions ‘Type B equipment ‘Type BF equipment ‘Type CF equipment ‘Warning 1SO 7000- 0085 >bPMBI>! | Caution, ISO 7000-0434 LX A rsonsion, const accompanying documents, IEC 601-1 13Notes 14 ‘oosanasace 0701922/General Information In this section An overview of the Bxcel System 2-1 Identifying Excel components and controls 2-2 Information about Monitor Pod Excel Systems 2-9 Monitor pod 2-9 7000 Ventilator 2-11 Information about 7800 Excel Systems 2-11 An overview of the Excel System A WARNING: The Ohmeda Excel System must only be used with non- flammable anesthetic agents. ‘The Excel Anesthesia System consists of: monitors, a ventilator, vaporiz- ers, an absorber, and the Excel Gas Machine itself. Figures 2-1 through 2- 4 show both Exeal Systems. ‘The type of ventilator determines how the Excel System functions. "7800 Ventilator ‘Systems with the 7800 Ventilator: + Use oxygen, volume and pressure monitors built into the ventilator. * Distribute electrical power through an outlet box. Electrical power cords for system components plug into auxiliary outlets on the box. A transformer inside the outlet box supplies power to the light pack- age + Use the system master switch to control gas flow and to switch “On” the ventilator. + Display ventilator and respiratory gas data together on the optional Respiratory Gas Monitor (RGM). 7000 or non-Ohmeda ‘Systems with the 7000 Ventilator or a non-Ohmeda ventilator: rentilator + Use separate oxygen, volume and pressure monitors mounted in the monitor pod. Volume and airway pressure monitors are not standard on Canadian monitor pods. ‘+ Distribute electrical power through the monitor pod. Electrical power cords for system components plug into auxiliary outlets on the pod. A power supply inside the pod runs the monitors and an external transformer that plugs into an auxiliary outlet on the pod supplies power to the light package. * Use the system master switch to control gas flow and supply power to the monitors, + Use the RGM as @ stand alone option. Power failure (monitor- System behavior during a power failure also depends on the ventilator: ing and ventilation) ‘+ With the 7800 Ventilator, the ventilator generates a power failure alarm. ‘Normal monitoring and ventilation continue using the ventilator battery. ‘= With the 7000 Ventilatcr, the monitor pod and the ventilator generate power failure alarms and mechanical ventilation stops. Set the monitor Power switches to the battery position to resume monitoring. + Regardless of the system there is no battery back up for the RGM. oorananece ere at2/General Information Identifying Excel components and controls ‘This section locates and briefly describes system components. For information on monicor or ventilator controls, refer to the individual operation and maintenance manual. Figure 21 Excel with monitor pod and GMS abeorbe: detaile (front) 1 2 3 4 5 é 6 bl 8 9 10 1. Light Package Switeh 2 Monitor Pod. 3. Flow Controls 4. Visual O, Pressure Indicator 5. System Master Switch & Flush Button 7. Common Gas Outlet 8. Absorber Arm Button 9. Absorber Drain Plug 10. Brake Bar and Footrest 22 reouoneoce @a1282/General Information Monitor pod. Light package switch Flow con:rols Visual O, pressure indicator System ‘master switch Flush button ‘Common gas outlet Brake Absorber drain plug Absorber arm button, ‘The monitor pod contains the Ohmeda 6420 Volume, 5120 Oxygen, and 5500 Airway Pressure monitors and a blood pressure monitor. The interface panei on the monitor pod allows sensor connections. Volume and airway pressure monitors are not standard on Canadian monitor pods. ‘Switches the light package “On” and “Off.” With a monitor pod, the light package transformer must be plugged into an outle: before it has power. With the system master switch set to “On,” tuming a fow control counter-clockwise increases flow, turning a flow control clockwise decreases flow. A linkage between the N,O and the Q, flow controls limite the lowest oxygen concentration that can be set on the Excel toa nominal 25% for 0,/N,O mixtures at the common gas outlet. Flow ranges are: O,, 200 ml/min to 10 I/min {plus up to one additional turn of the knob in Canada, two in the United States and elsewhere); N,O, 0 to 10 l/min (plus up to one additional tum of the imnob }; sir or heliox: 0 to 16 /min (plus up to one additional tum of the knoa). Pneumatic indicator toggles to red if O, pressure drops below approxi mately 30 psig (207 kPa). Setting the system master switch to “On” allows gas to flow through the Excel and activates the electrical system, either switching “On” the 7800 ‘Ventilator or the monitor pod. Pressing the O, Flush butvon delivers 45-70 min of O,. ‘The common gas outlet delivers anesthetic gases to the patient circuit. Push down to keep the Excel from rolling. Lift up to release. Unscrew and remove to drain condensate, Replace and tighten before Press this button to adjust the height of the absorber arm, seouumaeon ou 232/General Information Figure 2-2 Excel with monitor od and GMS absorber details (rear) ©, Sensor Port Airway Pressure Gauge Absorber Release Lover Light Package Transformer ‘Auxillary Electrical Outlets Senogaene 10, Absorber Mounting Knob 11 APL Valve 12, Absorber Check Valves aa oovomanoo> ran2/General Information Ausaliary clectrical ostlets APL valve “Absorber check valves ©, sensor port Airway pressure gauge Absorber release lever Absorber ‘mounting knob Bag/ Ventilator switch Votume sensor Bellows locking knob O,power outlor Light package transformer Located on the back of the monitor pod or the outlet box, these connec: sions supply line voltage for accessory equipment. ‘This valve limits pationt circuit pressure during manual ventilation (bagging). Provide unidirectional flow through the absorber. ‘The O, sensor fits into this port to monitor inspiratory O, concentration. ‘The port is capped when not in use. Absorber gauge to display inspiratory pressure. ‘This lever should always be in the lock position duzing use. The release position lowers the absorber base so that you can remove the canisters. ‘Turn completely clockwise to attach the absorber to the mounting pin. ‘Tum counter-clockwise to remove the absorber. ‘This switch on the absorber selects either the bag arm (Bag position) or ‘the ventilator bellows (Vent position) as the drive gas source. Monitors volume through absorber expiratory port. ‘Tum this knob to tighten the bellows assembly and the manifold onto ‘the GMS Absorber. Connects to the ventilator gas input. Drive gas is supplied at a nominal 50 psig regardless of the position of the system master switch. Provides a power supply for the light package on monitor pod Excels. oamuncon grave 282/General Information Fill Port (Spout)2/General Information ‘Vaporizer concentration control Concentration control release Vaporizer locking lever Vaporizer £1 port valve Vaporizer key lock lever Vaporizer fl Vaporizer i ort (keyed) Press in the release and turn the concentration knob to the desired agent concentration. The locking lever must be fully clockwise (locked position) or the control will not turn. Pressing the release allows you to turn the concentration knob on the vaporizer. ‘When the locking lever is completely counter-clockwise, and the vapor- izer concentration js set to “Off,” you can mount or remove the vaporizer. Turn the lever clocwise to lock the vaporizer in position. Opens the fil port valve so that agent can be added to the vaporizer. Folds the fill adapter from the agent hottle in place when the vaporizer is boing filled. To secure the adapter, lower the lover, insert the adapter, and raise the lever, Unscrew and remove the plug to fill or drain vaporizers with funnel fl ports. Insert the adapter from the agent bottle :o fill or drain the vaporizer. The 1key lock lever holds the adapter in place and the fil port vsive opens the port. weoveasece cota 272/General Information ute: box ‘The outlet box distributes power to the Excel System components through auxiliary ovtiets. Patient interface ‘These connactors route sensor signals to the 7800 Ventilator. 7800 Ventilator/ Excel Routes sensor data and system master switch position to the 7600 interconnect cable Ventilator. Figure 2-4 Exo with 7600 Ventilator and outlet = box (reat) LE 1 Outet Box 2, 7800 Ventilator! Excel Interconnect Cable 3. Patient. 28 roovempane oven2/General Information Information about Monitor Pod Excel Systems Note: A Refer to individual operation and maintenance manuals for detailed monitor or ventilator information. Volume and airway pressure monitors, are not standard on Canadian monitor pods. Monitor pod WARNING: Do not use the monitor pod to maneuver the Excel. Excessive force may dislodge the mounting blocks that attach the monitor pod. Alarms ‘The monitor pod includes the following monitors and alarms: Monitor Alarms Ohmeda 5420 Volume Monitor Apnea High Minute or Tidal Volume Low Minute or Tidal Volume Reverse Flow ‘Ohmeda 6120 Oxygen Monitor High 0, Low 0, Obmeda $500 Airway Pressure Monitor High Paw Sustained Pav ‘Subatmospheric Paw Low Battery ‘System (5500 monitor) Failure ‘Tycos Blood Pressure Gauge None Monitor Pod Excel System Power Failure Monitor power When individual monitor power switches are sot for normal operation switches (see chart), the system master switch controls the monitors. If power fails, you must set the switches so the monitors use thelr internal batter- ies (see chart), After power is restored, you must return the oxygen and airway pressure monitor switches to the original settings or the monitors ‘will continue to run off internal batteries. Individual monitor switch settings differ depending on internal circuitry. ‘Monitor Switch Power Failure ‘To Resume Battery Life Does Battery Monitor ‘Normal Operation Action Normal Operation (new/chrgd) Recharge? Volume On Cycle Switch Standby-On Automatic 6 hours Yes Oxygen Off Switch On, Switch Off 1300 hows No Altway Pres. Off ‘Switch On Switch Off ‘hour Yes ‘ooowacce arava 282/General Information Monitor pod battery 17000 Ventilator: battery Figure 2-5, ‘Tae monitor pod PopeNe Monitor 8. Ohmeda 5420 Volume Mon:tor Auxiliary Outlers Electrical Pows Power Cord Bracket, Patient Interface Panel ‘Tycos Blood Pressure Gauge ‘Ohmeda 5500 Airway Pressure Monitor (Ohmeda 5120 Oxygen A rechargeable battery inside the monitor pod powers audible and visual alarins for Excel System power failure. A fully charged battery can run the alarm LED and speaker for 1.25 hours at the normal volume and brightness and at reduced levels for an additional 45 minutes. To re- charge the battery, set the Excel system master switch to “Off” and plug the monitor pod electrical power cord into an energized electrical outlet. Recharging takes approximately 14 hours. A rachargeable battery inside the 7000 Ventilator runs an audible power failure alarm. To recharge the battery, set the 7000 Ventilator power switch to “On” and plug the ventilator's electrical power cord into an ‘ene:gized electrical outlet. Recharging takes less than 21 hours. 2102/General Information 7000 Ventilator Note: Refer to the 7000 Ventilator Operation and Maintenance Manual for detailed information. ‘The 7000 Ventilator has no display or patient monitoring. It has @ non adjustable high pressure relief valve and alarms for ventilator malfunction, control settings that exceed unit capabilities (set volume not delivered, actual less than control setting), low airway pressure, and low O, supply pressure. An internal battery powers an audible power failure alarm. Figure 26 ‘The 7000 Ventilator ‘control module Minute Volume Rate EE Ratio ‘Alarm LEDs Lamp Test Button (Test Alarm LEDs) Preoperative Checkout Card Manual Cycle Button Sigh Switch Electrical Power Switch (On/O#f) PespgeeEe Information about 7800 Excel Systems Nove: Refer to the 7800 Ventilator operation and maintenance manual for more detailed information, ‘An interface cable between the Excel and the 7800 Ventilator connects the sensors to the ventilator and switches the ventilator "On" and “Off” through the system master switch. The ventilator's electrical power cord plugs into the outlet box. Toovameare ori 4d2/General Information Figure 2-7 Tho 7800 Ventilator control module Patient dara 1, tnepiratory Pau: 2. Alarm Limits 3, Inepiratory Prossure Limit Knob 4. 0, Calibration Limit Adjustment 5. Inspiratory Flow Knob 6 Breath Rate Knob 7. Display 8 Tidal Volume Knob ‘9. Mochanical Ventilation Switch 1 ‘The 7800 Ventilator has two modes of operation: monitoring and mechani- cal ventilation. There are some differences in monitoring depending on ‘whether or not the ventilator is set for mechanical ventilation. Refer to the "7800 Ventilator Operation and Maintenance Manual for additional information, ‘7800 patient data includes: + Tidal volume + Respiratory rate © Minute volume + Inspired 0, concentration2/General Information Alarms ‘The 7800 Ventilator includes alarms for: + Apnea + High airway pressure + Low airway pressure + Reverse flow ‘+ High and low O, concentration + Low minute volume + Open drive cireuit + Low battery + Incorrect control settings +O, sensor needs calibration + Power failure + Subatmospherie prossure + Inadequate supply pressure + Ventilator or monitoring malfunction (several messages) 7800 Ventitater A fully charged battery will support mechanical ventilation for approxi- banery mately 20 minutes. The ventilator battery is rechargeable. To recharge the battery, set the Excel system master switch to “Off” and plug the ventilator's electrical power cord into an energized electrical outlet. Recharging takes about 24 hours. 100; 0009 00 070.08 213Notes 244 romraiaseso eon3/Setup In this section ‘Mounting gas cylinders 3-1 Circuit connections 32 Mounting gas cylinders Note: A Figure 3-1 Mounting gas cylinders 1. Set the syscom master switch to “Off.” 2. Swing out the yoke clamp. 3. Unscrew the tee handle until the screw is flush with the inside of the clamp. 4. Make sure that the cylinder valve is not covered by a dust cap. Remove dust cap if present, 5. Remove the old cylinder gasket if present and install a new gasket. ‘Make sure that the old gasket does not stick to the cylinder. CAUTION: Use one cylinder gasket per yoke. Extra gaskets may cause a leak. Not using a cylinder gasket will also cause a leak, Yoke Geto Pipeline Inlet Gasket ‘Toe Handle Pepe remmoos ovata at3/Setup 6, Line the yoke index pins up with the cylinder pos: and swing the clamp closed, 7. Hand tighten the tee handle to secure the cylinder. 8, Install cylinder plugs and gaskets in all unused yoke positions, 9. Verity that the cylinder wrench is present. WARNING: Always close the cylinder valve when you are using a pipeline supply. If a cylinder valve is open and the pipeline and regu- lated cylinder prossures are equal, both supplies may be w neously, leaving an insufficient reserve in case of pipeline failure. Circuit and monitoring connections A Note: Use this section as a quick reference if you are alroacy familiar with individval monicer, ventilator, and absorber connecticns. For cerallad information and accessory part numbers, refer to the individual operation and maintenance manual. WARNING: Use only Ohmoda specified cables, hoses, and tubing for external connections. Alternative cablos, hoses, or tubing could cause false sensor readings or damage to the system. 1. Set the system master switch to "Olt". 2. Make sure that tae absorber and the ventilator bellows are securely mounted. 3. Make the monitoring connections: WARNING: To ensure accurate pressure monitoring, the pressure Sensing line must be Kept clear of condensate. Ifyou are using a non-Oameda ventilator that requires expiratory pressure monitoring, use the 7000 Ventilator connections. + Ifyou have a 7000 Ventilator and a GMS Absotber, refer to Figure 3-2. ‘+ Ifyou have a 7800 Ventilator and a GMS Absorber, refer to Figura 3-3 ‘+ Ifyou have a 7000 Ventilator and a non-GMS Absorber, rofer to Figure 2-4. Circuit adapters may be required if the absorber lacks appropriate monitcring ports. + [you have a 7800 Ventilator and a non-GMS Absorber, refer to Figure 3-6. Circuit adapters may be required if the absorber lacks appropriate monitoring ports. 323/Setup Figure 3-2 Monitonng connections "7000 Ventilator with Gas Absorber ‘Monltor Pod Ingplratory Pressure Sensing Line ‘Expiratory Presmure Sensing Line GMS Abscrbor Expiratory Flow Sensor Expiratary Port GMS Absorber ©, Sensor 7000 Ventilator (Rear View) 383/Setup Figure 3-3 ‘Monitoring connections 7800 Ventilator with OMS Absorber 7800 Ventilator (Rear View) 0, Sensor Inspiratory Pressure Sensing Line ‘GMS Absorber Expiratory Flow Sensor Expiratory Port GMS Absorber Pationt Interface Panel (Left Side of Excel) 343/Setup CAUTION: The cable on the O, sensor must point up to help keep the LN contacts and the front of the cartridge free of condex Figure 3-4 ‘Monitoring connections "7000 Ventilator with non-GMS Absorber a en : : ‘ 1 : CK{@X@,© 1.7000 Ventilator (Rear View) 7. Expiratory Flow Sonsor 2. Explratory Pressure Sensing Line 8.__-Pressure Line Adapter 3. 0,Sensor 9. ©, Sensor Adapter 4, Inspiratory Port (Absorber) 10. Inspirstory Pressure 5. Absorber Sensing Lino 6. Expiratory Port (Absorber) 11, Monitor Pod \eoromeene ovata 353/Setup A Figure 3-5 Monitoring connections ‘7800 Ventilator with non-GMS Absorber CAUTION: The cable on the 02 sensor must point up to help keep the contacts and the front of the cartridge free of condensate. ( ) 17800 Ventilator (Rear View) Inspiratory Pressure Sensing Line Patient Interface Panel (Loft Side of Excel) ©; Sensor, ©; Sensor Adaptor Inspiratory Port (Absorber) ‘Absorber Expiratory Port (Absorber) Expiratory Flow Sensor Pressure Line Adapter 1 a a a 5. 8 2 a a x 0. 363/Setup Note: WARNING: Disconnecting the O, sensor without removing and shorting the sensor cartridge can cause false high O, readings that may take hours to stabilize. To avoid a long stabilization period, install a new cartridge (step 4b) Use the shorting clip or disk to short the old cartridge for 18 hours. ‘Then reuse it under step 4b. Determine if the O, sensor is ready for immediate use or if tt must be allowed to stabilize: a. Ifthe O, sensor has not been disconnected since last used, it is, ready for immediate use. b. Ifyou just installed a new sensor cartridge or a proviously used cartridge that has been shorted (clip or disk) since it was discon- nected, the O, sensor must be connected fer five minutes before it can be used c. Ifthe O, sensor was disconnected without removing and shorting the ‘carcridge, the sensor must be connected and allowed to stabilize. Stabilization timas differ from cartridge to cartridge. If a cartridge fails to stabilize or cannot be calibrated after 18 hours of being shorted, replace the cartridge, WARNING: Any ventilator used with the Excel must hat pressure alarm and relief system for the patient circult. ahigh Make the ventil ‘or and the gas scavenging connections: Systems with a GMS Absorber Manifold have four connections (Figure 3-6) ‘+ Ventilator gas supply from the Excel O, power outlet. ‘+ Ventilator drive gas from the ventilator fitting labeled “Connect to Bellows Ass'y Inlet” to the straight, 17 mm connector on the absorber manifold. WARWING: Use only the Ohmeda, wire reinforced, 17 mm, corrugated tubing to connect ventilator drive gas to the bel- Jows. Alternative tubing may kink or collapse. + Frosh gas input from the Excel common gas outlet to the ab- sotber input labeled “Common Gas ¥.” WARNING: The fresh gas hose must be securely connected to. the common gas outlet and the absorber. ‘+ Exhaust gas from the angled 19 mm manifold connection, to a gas scavenging system. Use 19 mm corrugated tubing. WARNING: Do not connect the exhaust directly to a vacuum source. The vacuum may draw necessary gases from the pa- tient circult. Refer to the operation and maintenance manual for the waste gas scavenging valve for additional precautions and information. rooronanceo oP o192 273/Setup Figure 3-6 ‘Vertilator and bellows connections with absorber manifold ‘Typical Ventilator (7800 Rear View) Bollows Interface Manifold (Attaches to Bellows) Fresh Gas Hose (Attaches to Common Gas Outlet) ‘Absorber ‘Exhaust (to Waste Gas Scavenging System, 19 mm) Ventilator Drive Gas (17 mm) Ventilator Supply (Attaches to Excel 0, Power Outlet) 38 ‘ooiiaeoon orcas3/Setup A Systems without a GMS Absorber Manifold have six connections (Figure 3-7) ‘+ Ventilator gas supply from the Excel O, power outlet, WARNING: Use only the Ohmeda, wire reinforced, 17 mm, corrugated tubing ta connect ventilator drive gas to the bel- lows. Alternative tubing may kinik or collapse. ‘+ Ventilator drive gas from the ventilator fitting labeled "Connect to Bellows Ass'y Inlet to the bellows port labeled “Iniet.” Use 17 mmm corrugated tubing ‘+ From the bellows port labeled "To Anesthesia Machine” to the absorber ventilator port. Use 22 mm corrugated tubing. WARNING: The fresh gas hose must be securely connected to ‘the common gas outlet and the absorber. ‘+ Fresh gas input from the Excel common gas output to the ab- sorber input, ‘+ From the bellows assembly port labeled "Exhaust" to a gas scavenging system. Use 19 mm corrugated tubing. WARNING: Do not connect the exhaust directly to a vacuum source. The vacuum may draw necessary gases from the pa- tient circuit, Refer to the operation and maintenance manual for the waste gas scavenging valve for additional precautions and information. * From the oxcoss gas cutlet on the absorber to @ gas scavenging system, Use 19 mm corrugated tuhing, eovmasace 07098 383/Setup Figure 3-7 Ventilator and ‘absorber connections ‘without an abscrber manifold Bellows, Frosh Gas Hose (Attaches to Common Gas Outlet) Absorber Exhaust (to Waste Gus Scavenging System, 19 mm) ‘Absorber Ventilator Port (22 mm) ‘Ventilator Supply (Attaches to Excel O, Power Outlet) Ventilator Drive Gas (17 mm) ‘Typical Ventilator (7800 Rear Viow) 3103/Setup ete! Figure 3-8 ‘7890/3x08: inteaface 6. With 2 7800 Ventilator, connect the interface cable. if the interface cable becomes disconnected, moatzoting and ventile tion stop as = the 7800 Ventilator had been switched "Off" through the system mastar switch, 1. Excol Interface Cable 7. With a 7800 Ventilator, plug accessory equipment power cords into the auxiliary outlets on the power outlet box. ‘With a monitor pod, plug equipment power cords into the monitor pod auxiliary outlets. 8 Verify that an O, cylinder is installed, 9. Tum all flow controls completely clockwise (minimum flo). 10. Continue with Section 4, “Preoperative Checkout.” Tootmanion— orova a1Notes 32reoperative Checkout In this section Bofore starting the checkout 4-1 Initial checks 4-1 Bloctrical connections 4-2 Checking vaporizer mounting 4-3 Checking cylinder and pipeline supplies 4-4 Checking vaporizer back pressure 4-4 Leak checking the low pressure circuitry 4-5 Checking the gas flow controls 4-6 Broathing system checks 4-7 Checking sonitor and ventilezer operation 4-8 Before starting the checkout Initial checks A This soction—“Preoperative Checkout” —describes the minimum checks that should be made before the Ohmeda Excel Anesthesia System is, used on 2 patient, Do not use tho system if it does not function correctly, as described in the preoperative checkout precedures; instead call a qualified service representative. ‘WARNING: Always complete the preoperative checkout procedure in this, section before using the Excel Anesthesia System on a pationt, Perform these checks before each case using the actual room, pipeline and electri- ‘cal supplies and gas cylinders that will be used during the case. WARNING: Make sure that you understand the correct connection, use and necessary precautions for all system components before using the Excel System. For additional precautions and information, refer to the ‘operation and maintenance manuals for each component. WARNING: The system should only be used with the ventilator and ‘monitors correctly connected and fully operational. Read the operation and maintenance manual for the ventilator and/or monitors very care fully before using the anesthesia system. Make sure that you understand all information related to interconnections, required pre-operative checks, and required maintenance. CAUTION: Do not oxcood the following shelf weight limits: top shelf. 50 Ibs {23 kg); middle shelf, 24 lbs (11 kg). Verify that all equipment on the top shelf is securely strapped in place. If the weight of the mounted aczessories is close to the maximum shelf limits, service installed weight kits make it easie: to maneuver the Excel. Do not exceed shelf weight mss. 1. Chack the overall integrity of the machine. Make sure thet: + ‘The casters a: ecurely atzach: + Allaccessories are properly mounted + Setting the brake helps prevent the front casters from turning coo. eres a4/Preoperative Checkout A 2. Make sure the breathing circuit is complete, undamaged, and, if appropriate, contains adequate CO, absorbant, WARNING: Ensure that all hoses, tubing, and other circuit connec- tions are made properly before using this anesthesia system. Failure to do so may result in patient injury. Refer to the operation and maintenance manuals for these devices. 3. Make sure that the following are not damaged: + Cylinder yokes + Pipeline inlets ‘+ Plowmeters and flow control valves + Prossure gauges + Vaporizers + Monitors and cables + Allhoses and tubing 4. Make sure the breathing circuit is closed and connected toa gas scavenging system. 5, Cheek that the cylinders are properly installed. 6. Check that the vaporizers are properly installed 7. Check that the cylinder wrench is available. 8. Check that the brake is set. 9. Make sure that required emergency equipment is available and in good working order. Electrical connections A WARNING: To help protect against shock hazards, connect this equip- ment only to a grounded, hospital grade receptacle. The grounded plug must be inserted into a properly wired grounded receptacle. Where an ungrounded receptacle is encountered, a qualified electrician MUST replace it with a properly grounded receptacle. Do not use extension cords or adapters of any type. The power cord and plug must bo intact and undamaged. 1. Check electrical connections: With a 7800 Ventilator, make sure that the ventilator is plugged into an auxiliary outlet in the power outlet box and that the Excel/ventila~ tor interface cable is connected. With 2 7000 Ventilator, make sure that the ventilator is plugged into an auxiliary outlet, 2. Check that the system master switch is set to “Off.” Then, plug the Excel power cord into an appropriately rated electrical outlet. 424/Preoperative Checkout 3. Set the ventilator controls to appropriate levels to minimize unneces- sary alarms: For the 7800 Ventilator: ‘Tidal Volume: 200 ml Rate: 10 breaths/min Inspiratory Flow: 10 Vmin Inspiratory Pressure Limit: 50 cm H,0 ‘Mechanical Ventilation: Off Low Min Vol: 0.0 /min Low O,: 18% High 0,: 00% For the 7000 Ventilator: Power switch: Off Checking vaporizer mounting A Mako sure the vaporizers are locked in place A ‘Check that the interlock rods ace aligned A You can use both Tec 4 and Tec vaporizers with the Excel System. If a ‘Tec 4 and a Tec 5 vaporizer are used together, the interlock system still helps prevent more than one vaporizer from being switched on at the same time. WARNING: Do not attempt to modify the system to accept Ohmeda Tec 3 vaporizers. The safety interlock will not prevent a mixture of, Ohmeda Tec 3 vaporizers with Ohmeda Tec 4 or Tec 5 vaporizers from ‘operating simultaneously. 1. Make sure that the tops of the vaporizers are parallel to the top edge of the manifold, Remount any vaporizers that are out of line. 2. Check the vaporizers' locking knobs to ensure that the vaporizers are locked in place. 3. Attempt to lift each vaporizer off of the manifold. Remount any vaporizer that is not securely locked in place, WARNING: Do not use a vaporizer that continuously lifts off the manifold when its locking lever is in the lock position. 4, Attempt to switch “On” more than one vaporizer at a time. Try every combination that is possible with your system, If moze than one vaporizer can be switched “On” at a time, remount the vaporizers and repeat this step. WARNING: Do not use the system if the vaporizer interlock system allows more than one vaporizer to be switched “On” at a time. 5, Fill the vaporizers as described in the vaporizer operation and mai tenance manual. ceoLono en 434/Preoperative Checkout Checking cylinder and pipeline supplies 1, With the cylinders closed, make sure the eylinder gauges read zero If the cylinder gauges do not ead z0r0, the cylinders may have boon previously opened. Briefly set the system master switch to "On" and ‘open the flow control valves to bleed pressure. As pressure de- creases, a "(ld SLA. PRES (” alarm may trigger on the 7800 Ventilator. A CAUTION: Open cylinder valves slowly to help avoid damaging the regulators. 2. Close all flow control valves and open the cylinders. Check that the cylinder gauges show adequate pressure. 3. Close all of the eylinder valves and note the value on each cylinder pressure gauge. The gauges must show less than a 100 psig (690 kPa) pressure drop ina five minute period. If the pressure drop excseds this limit, the high-pressure circuit has an unacceptable leak. i there is an a. Check for a defective cylinder gasket, an extra cylinder gasket, or uunacoeptable leak: a loose tee handle. Replace the gasket(s) with a single, undam- aged gasket or tighten the tee handle. b, Repeat the leak check. If the circuit still leaks, do not use the system for clinical applications. Call a qualified service represen tative for repairs, 4. Connect pipeline supplies and check that pipeline pressure gauges read approximately 45-50 psig (310-346 kPa), Checking vaporizer back pressure A WARNING: Follow the appropriate agent evacuation/collection proce- dures. Use the hospital gas evacuation system. Note: ‘The pneumatic alarm sounds briefly when the Excel is switched “On.” Monitor or ventilator alarms may also sound, A CAUTION: Sudden surges can damage the flow control assembly, Make sure that all flow controls are fully clockwise (minimum flow or “OfE") before setting the system master switch to “On. 1. Plug the Excel in, set the system master switch to “On" and adjust the 0, flow to 6 Vmin. Verify that the O, float doas not oscillate ar stick, 2. Adjust vaporizer concentration from 0 to 1% click by click and ob- serve the O, flow, 3. Return the vaporizer to “Off.” IfO, flow dropped by more than 1 V/min during step 2, contact qualified service personnel. Note: Itreplacing the vaporizer allows the Excel system so pass the vaporizer hack pressure test, the fault ig in the original vaporizer. Remove the original ‘vaporizer from use and contact qualified sarvice personel to repair it. a4 omossane orci4/Preoperative Checkout 4, Repeat steps 2 and 3 for each mounted vaporizer. Leak checking the low pressure circuitry 1, Chock the low pressure leak test device: + Block the inlet and squeeze the bulb until it is fully collapsed. ‘+ Ifthe bulb inflates in less than 60 seconds, replace the leak test device. 2. Set the system master switch to "Off 3, Verify that all vaporizers are “Off.” This changes gas routing, 4. Leak check the low prossure circuitry: WARNING: A low pressure leak means that metabolic gases and A anesthetic agent are leaking into the atmosphere instead of going into the patient circuit. Low pressure leaks must be repaired before the Excel is used. Note Gas supplies can be left “On” without affecting test results. With the system master switch set to “Off” there should be no flow through the system. a. Turn the flow controls one and @ helf turns counter-clockwise, b. Connect the low pressure loak check device to the common gas outlet. c. Repeatedly squeeze and release the bulb until it collapses. Note: ‘The vacuum from the leak chock device may cause the floats to rise slightly. This is normal, d. Ifthe bulb reinflates in 30 seconds or less, there is an unaccept: able leak in the low pressure circuitry. fe. Disconnect the low pressure leak test device £. Set one of the mounted vaporizers to 1% and repeat steps b through d. g. Remove the vest device, switch the vaporizer “Off” and “On to relieve the vacuum, and return the vaporizer to “Off,” h. Set the second mounted vaporizers to 1% and repeat steps» through 4) i, Remove the test device, switch the vaporizer “Off” and “On" to relieve the vacuum, and return the vaporizer to “Off.” j, Store the test device in the Excel drawer. k. Tum all flow controls completely clockwise (minimum flow), Do not over tighter. roomseeo oro 74/Preoperative Checkout A WARNING: After performing the low pressure leak test, do not use the anesthesia system until the system has been purged with oxygen, Using a system that has not been purged with oxygen may rosult in incorrect gas mixtures and injury to the patient. CAUTION: Verify that all vaporizers are “Off” before continuing. 5. Reconnect the common gas outlet to the breathing circuit and the scavenging system, set the systema master switch to “On,” adjust the O, flow to 1 V/min and purge the Excel with O, for one minute. 6. Return the system master switch to “Off.” Checking the gas flow controls A Note: WARNING: The Link 25 Proportion Limiting Control System sets a minimum O, concentration in the fresh gas stream when only 0, and N,0 are used. Recirculating through an absorber or using a third gas may still cause a hypoxic mixture to be delivered, especially at low 0, flow rates. 1, Either connect the pipeline supplies or slowly open the cylinder valves. 2. Set the system master switch to “On” and tur all flow control valves completely clockwise (minimum flow). With the 7800 Ventilator, status messages such as “REW FLOM ALM FF", “APHER ALARM OFF ", or *UOL MOM STANDBY * may appear. VENT FAIL XX " or "LOW BATTERY * alarms should not appear. Low minute volume alarms may still occur and can be silenced with the alarm silence button. 3. The oxygen flowmeter should show about 200 ml/min. The other flowmeters should show no gas flow. 4. Use the Link 25 Proportion Limiting Control System to check the N,O flow control. Observe the following precautions: * Adjust only the NO fow control. + Start with the N,O and O, flow controls at the minimum setting, * Increase the NO flow as specified in the table and make sure ‘that the O, flow is in the allowed range. * Ifyou overshoot a setting, tun the O, flow control clockwise until ‘the NO flow decreases to the provious level Set the N,O flow control The O, flow must be (V/min) : to (Umin): Minimum ‘Maximum 09 024 0.36 15 0.40 061 3.0 0.79 4.22 6.0 1.58 2.44 9.0 2.37 3.66 a64/Preoperative Checkout A WARNING: During operation, always use the 0, Flow control to increase total gas flow and the N,O flow control to decrease total gas flow. 5. Test link system tracking. Observe the following precautions: + Start with the N,O flow control set to 9.0 i/min. Adjust only the O, flow control. * Start with an initial O, flow between 2.40 and 3.66 I/min and go from higher to lower flow rates. + Ifyou overshoot a setting, turn the N,O flow control counter- clockwise until the O, flow nses to the previous level. Sot the O, flow control ‘The N,O flow must be (l/min) to (Vmin): ‘Minimum ‘Maximum 3.0 7.38 1141 1.0 248 3.80 05 a3 1.90 03 ora 4 WARNING: Do not use the anesthesia system if the Ohmeda Link 25 Proportion Limiting Control System dees not operate within Permitted ranges. Using an incorrectly operating control system may result in incorrect gas mixtures, and injury to the patient. 7. Adjust all of the gas flows to mid scale. While you are turning the flowmeter knobs, the flowmeter floats must move smoothly, 8. Shut “Off" the oxygen supply either by closing the oxygen cylinder valve, or by disconnecting the oxygen pipeline supply. As pressure Bleeds of: * The oxygen-supply failure alarm must sound, + Allgas flow must fall to zero, with oxygen being the last gas to stop flowing. + The 7800 Ventilator displays*LOM SUPPLY PRES! * 9. Tum all of the flow control valve knobs completely clockwise to the ‘minimum flow or closed position. Do not over tighten the valves. Breathing system checks Note: Refer to the GMS Absorber Operation and Maintenance Manual for additional information, 1. Complete the GMS absorber checkout procedure found on the back of ‘the absorber. 2. Reconnect the unit for ventilator operation. Remove all occlusions from the circuit, Remove the test plug from the 'Y’ piece and connect a test lung. Press the Flush button to fll the breathing hag, Set the Bag/ ‘Ventilator switch to the Ventilator position. seovesece «70092 a74/Preoperative Checkout Checking monitor and ventilator operation Note Tho following is a condensed version of the monitor and ventilator checkout procedures. Refer to tho individual operation and maintenance manuals for additional information, 1. With the monitor pod, check individual monitor functions: + Cycle tho syscom master switch “Off” and “On.” + Verify that immediately after power is applied, the airway pres- sure monitor souncs an alarm for two seconds and lights the green zero pressure Indicator. Verify that the system fail indicator does not illuminate + Set the system master switch to “On” and the individual monitor or battery power switches to “Off” (monitors ise Excel power). + Open the lower front panel of the oxygen sensor and complete the checkout procedure, * Open the lower front panel of the volume monitor and complete the checkout procedure 2. Set ventilator controls and alarms to operational settings. Complete the checkout procedure in the ventilator operation and maintenance manual, Make sure that the ventilator operates normally. + For the 7000 Ventilator, complete the checkout procedure found on the card that slides out from under the control module. + For the 7800 Ventilator, make sure the O, sensor is correctly calibrated and check the following alarms as recommended in the 7800 Ventilator Operesion and Maintenance Manual checkout procedure: High and low 0, concentration Low minute volume Reverso flow ‘Apnea High, low and sustained airway pressure 3. Ifthe Excel will not be used immediately, set the system master switch to “Off” and close all gas cylinder valves ae ‘coromeein wavesEr EE tr In this section A Maintenance schedule 5-1 Cleaning and sterilization 5-2 Replacing pod monitors 5-4 Fuses and clroutt breakers 5-5 Recharging batteries. © 5-7 WARNING: This manual specifies Krytox" as an oxygen service lubri- cant. Do not use any lubricant on the Excol that is not specifically approved for use on anesthesia or oxygen equipment. Oll and grease based lubricants burn violently or explode when exposed to oxygen. WARNING: Static electricity is a fire hazard. Use only anti-static materials to cover the Excel System and its camponents. Maintenance schedule Daily Bvory swe weeks Monthly Every three months Six months to year depending on use Annually Every three years ‘This schedule lists the minimum maintenance required, based on normal use and typical environmental conditions. Heavier use or unusval environments may require mote frequent maintenance, Belore any cleaning ar sterilization proce: dure check the section labeled “Cleaning and sterilization,” ‘+ Clean the external surfaces * Calibrate the oxygen sensor in room air (21% ,) * Make sure the airway pressure monitor resds zero at atmospheric pressure (Excels with monitor pods only) + Drain and discard anesthetic agent from vaporizors. Less frequent changes may be required if the agent does not cont stabilizing agents, * Replace the volume sensor cartridge + Calibrate the oxygen sensor with 100% 0, + Apply Krytox to the threads on the yoke tee handle, De net lubricate the absorber post assembly. + Contact trained service personnel to perform a full checkout and scheduled service maintenance on the Excel System (Excel, ventila- tor, monitor pod, and absorber) + Replace the oxygen sensor cartridge. + Adjust the airway arossure manttor gair. (Bxcols with monitor pads only} ‘Service Omeda Tec 4 vaponizers at an cuithorized Ohmeda sevice center. + Replace e:ttamal o-rings on all vaporizer ports. + Service Ohmeda Tec § vaporizers at an authorized Ohmeda service conter. yt senate tndamai of Ppont de Nemitte .& Company tae otanmonn ona ot5/Maintenance As required ‘+ Install new oylinéer gaskets ‘+ Replace the absorbant in the GMS ‘+ Replace the oxygen monitor hattery (Excels with monitor pods only) ‘+ Charge the airway pressure monitor battery (Exeels with monitor pods only) + Charge the volume monitor battery (Excels with monitor pods only) + Charge the 7000 Ventilator ba:tery (Excels with monitor pods only) * Charge the 7800 Ventilator battery (Excels with 7800 Ventilators only) Cleaning and sterilization A External surfaces Sensor cleaning precautions Precautions for painted, metal, or Plastic surfeces CAUTION: Do not steam sterilize the Excel Anosthes{a Machin CAUTION: Following ethylene oxide sterilization, quarantine the items in a well ventilated area to allow dissipation of absorbed ethyl ene oxide gas. Follow the sterilizer manufacturer's recommendations for specific sterilization periods. Cleaning Use this section 2s a quick references once you are familiar v cleaning procedures found in the individual operation 27:6 ma: manuals. ‘To clean external surfaces use a damp cloth and a mild detergent, Use the minimuza amount of liquid necessary since excess liquid may leak into monitoring connections or other electrical components, Wipe sensor cables and housings with a damp cloth. Never immorso the volume sensor clip or the oxygen sensor assembly in liquid, Exposure to Lquids can damage the electrical contacts ‘The volume sensor cartridge can be cleaned with liquid agents, but it must be dried thoroughly before use. To avoid damaging the precision movement, do not crop the cartridge or use a cleaning brush. ‘The 0, sensor must be disassembled and the sensor cartridge removed for separate cleaning. The housing can be cleaned with a damp cloth (detergent solution or isopropyl alcohel). Corrosion from leaked sensor electrolyte car. be removed with white vinegar Under a fame ftood. ‘The O, sensor cartridge contains potassium hydroxide (caustic). It can be wiped clean with a damp cloth (do not use alcohol} but special precau- tions are required. Refer zo the 7800 Ventilator or the 6120 O, Monitor ‘Operation and Maintenance Manual for detailed ins:ructions. Do not use abrasive cleaners. They can mar the finish. Do not use anesthetic agent or glass cleaners on plastic or painted surfaces. They can mar the surface finish. Always check cleaning product information to make sure that it is safe for aluminum, painted, or plastic surfaces. 525/Maintenance Bellows assembly toms that cannot be sterilized by any method) Btnylene oxide Liquid agents ‘Tho bellows must be disassembled for cleaning. Some components including the pop-off valve and the base cannot be immersed. Different methods may be required depending on the model. Refer to the bellows Sterilization Use this section as a quick reference once you are familiar with the sterilization procedures found in the individual operation and mainte- nance manuals. ‘These items cannot be sterilized: ventilator control module and moniter pod monitors. ‘These items can be sterilized with ethylene oxide: bellows assembly (disassembly required), volume sensor cartridge, front half of the oxygen sensor housing, oxygen sensor adapter, oxygen sensor cartridge (ambi- ent temperature, no vacuum) and rubber and plastic articles. Refer to individual operation and maintenance manuals for disassembly instruc- tions end additional information. ‘The volume sensor assembly can be sterilized with a disinfectant applied with a cloth (do not immerse). The volume sensor cartridge can also be sterilized with liquid agents, but it must be dried thoroughly before use. To avoid damaging the precision movement, do not drop the cartridge or use a cleaning brush. ‘The O, sensor cartridge and rubber and plastic articles can be sterilized with a cold germicidal detergent, Do not immerse the O; sensor cartridge. Special precautions for rubber articles Rubber goods deteriorate over time and are considered expendable. The presence of oxygen, ozone, ether, mineral or vegetable ails, phenols, cresols, terpenes, hydrocarbon solvents, chlorinazed hydrocathors, esters, or oxidizing agents will hasten deterioration, Check rubber articles regularly. Replace them when any of the following signs of deterioration appear, swelling, tackiness, or cracking. Conductive rubber goods loose their electrical conductivity with age. To extend the useful life of rubber articles: * Remove metal connectors immediately after use. ‘+ Store rubber articles in the dark away from ozone souress (florescent light fixtures, electric motors, and diathermy machines). WARNING: Do not use tale, zinc stearate, calcium carbonate, com. starch or similar substances to prevent tackiness on rubber articles. Any substances used could contaminate or irritate the patient's respi ratory tract. omomnow nana 535/Maintenance Replacing pod monitors Figure 6-1 Replacing @ monitor 1. Grasp the monitor near the top and pull it forward until the latch releases. 2, Til the monitor forward out of the pod. 3. Disconnect the sensor cable and any tubes from the back of the monitor. 4, Remove the ball joint connector from the old monitor and install it on the new monitor, WARNING: Each monitor pod cable is labeled with the name of the monitor it connects to. Verify proper cable connections before closing the monitor pod. Incorrect connections cause false readings and may damage the monitors. 5. Reconnect the cables and tubing: Label on Monitor Monitor Connector Oxygen Sensor Volume Sensor Airway Pressure Power 6. Tilt the monitor slightly forward and align the ball joint connector. 7, Push the monitor straight back until it clicks into position. 8. Complete Section 4, Preoperative Checkout, before using the Excel System. AS |. Tilt Forward and Pull 2. Ball Joint 645/Maintenance Fuses and circuit breakers A Note: WARNING: Fuses or cirouit breakers that open repeatedly indicate a problem in the electric circuitry. Do not use the Excel System if fuses or circuit breakers open repeatedly. Contact Ohmeda for service. Replacing monitor pod fuses Fuses Fuso Drawer ‘AntiDisconnact Bracket Screw Power Cord, ee opr WARNING: Unplug the Excel power cord from the power outlet and set the system master switch to "Off" before checking the fuses, Check the power requirements of the devices plugged into the auxiliary outlets. Their total curzent drew, not counting the light package, must bbe less than 9 amps, otherwise the fuses will open again. 2. Retnove the screws that attach the anti-disconnect bracket, Lift off the bracket, 3. Unplug the power cord from the moniter pod. 4. Squeeze the tabs together on the fuse drawer and pull out the drawer. ‘5. Remove the fuses from the drawer. Check that the fuses are actually open. Ifthe fuses are both intact, an internal fuse may have opened. ‘There is one internal fuse for monitor pod power. 6. Install two new fuses (10 A, 250 VAC fast acting) and slide the fuse Grawer back into place. 7. Reconnect the eleczrical cord and switch “On” tho Excel. Make sure that the monitor pod has power. If the fuses open again or if the monitor ped still does not have power, contact Ohmeda fcr service. 8. Install the anti-disconnect bracket. ‘ovemnon arene 355/Maintenance Resetting the monitor pod circuit breaker Figure 5-3 Resetting the ‘monitor pod. itcuit breaker Look at the circuit breaker on the rear panel. Ifit is open, the toggle switch will point down. 2. Check the power requirements of the devices plugged into the auuiliary outlets, Their total current craw, not counting the light Package, must be loss than 9 amps, ctherwise the circuit breaker will open again. 3. To reset the circuit breaker, push the toggle up, in the direction of the reset arrow marked on the panel Reconnect the electrical cord and switch “On" the Excel. Make eure ‘that the monitor pod has power. If the circuit breaker opens again or if the monitor pod still does not have power, contact Ohmeda for service, Note: ‘There is one internal fuse for monitor pod power. Resetting the power outlet box circuit breaker 1. Look at the circuit breaker on the front of the outlet box (visible ‘between the Excel shelves). If the button sticks out, the circuit breaker is open, Chock the power requirements of the devices plugged into the auxiliary outlets. Their total current draw must be less than 9 amps, ‘otherwise the circuit breaker will open again. 3. To reset the circuit breaker, push the button in. 56 esanacen enon5/Maintenance Note: Figure 5-4 Resetting the putlet box lreuit breaker 4, Reconnect the electrical cord and switch “On” the Excel. Make sure that the auxiliary outlets and the light package have power. If the circuit breaker opens again or if the Excel still does not have power, contact Ohmeda for service ‘There is one internal fuse for light package power, Recharging batteries Monitor pod alarm battery ‘Volume and airway pressure monitors femoniter pod) "7000 Ventilator battery 7800 Ventilator attery Set the Excel System master switch to “Off” and plug the monitor pod power card into an energized electrical outlet for approximately 14 hours. Set the system master switch to “On" and plug the monitor pod power cord into an energized e.sctsicel outlet overnig== Velume and. pressure moniter switcn settings do not affect -echarging, ‘The O, monitor batteries are not rechargeable, Refer to the O, Monitor operat.on and maintenance manual for battery zeplacemer:: procedures. A rechargeable battery inside the 7000 Ventilator runs an audible power failure alarm. To recharge the battery, set the 7000 Ventilator power switch to “On” and plug the ventilator's electrical pawer cord into an. energized electrical outlet. Recharging takes less than 21 hours. [f 2 monitor pod auxiliary outlet is used, the monitor pod power cord mus: also be plugged in. ‘Sot the Excel Systm master switch to “Oi” and plug the ventilator's electrical power cord into an energized electrical outlet for approximately 24 hours. If an outlet box euxiliary outlet is used, the outlet hox power cord must also be plugged in ‘woumanion oro 87Notes 58 0 oe-06|6/Troubleshooting In this section Repair policy Repair policy 6-1 Pneumatics problems 6-1 Blocttical problems - Monitor Pod Excel Systoms 6-2 Electrical problems - 7800 Excel Systems 6-2 Do not use malfunctioning equipment. Make all necessary repairs, or have the equipment serviced by an Authorized Ohmeda Service Repre- sentative, After repair, test the equipment to ensure that it is functioning properly, in accordance with the manufacture:'s published specifications, ‘To ensure full reliability, have all repairs and service done by an Autho- rized Ohmeda Service Representative. If this cannot be done, replace ment end maintenance of those parts listed in this manual may be undertaken by a competent, trained individual having experience in the ropair of devices of this nature. CAUTION: No repair should ever be attempted by anyone not having experience in the repair of devices of this nature. Replace damaged parts with components manufactured or sold by Ohmeda, Then test the unit to ascertain that it complies with the manufacturer's published specifications. ‘Contac: the nearest Ohmeda Service Center for service assistance. In all ‘cases, other than where Ohmeda's warranty is applicable, repairs will be made at Ohmeda’s current list price for the replacement part(s) plus a reasonable labor charge. Pneumatics problems Low pressure leak test fails when vaporizer *On" High pressure leak or inadequate ventilator g supply High pressure leak at gas block. Excel Low O; Alana (visual & pneumatic) Check for correct vaporizer mounting. Tighten the vaporizer fill caps, ‘Make sure that there are external o-rings on all vaporizer manifold ports, Replace missing or damaged o-rings. If the leak continues, move the vaporizer to another port. If the leak follows the vapcrizer, use a different vaporizer. Do not use the leaking vaporizer until it has been serviced. If the leak stays with the port, Le. any vaporizer put on that port leaks and ne extemal o-rings are in stalled, contact qualified service personne! to repair the vaporizer mani- fold. ‘Make sure that the gas cylinder is correctly aligned and the tee handle is tight. Check that there is only one cylinder gasket and it is in good condition. Check external hose connections to the O, power outlet. ‘Make sure that the cylinder is correctly aligned and the tee handle is tight. Check that there is only one cylinder gasket and it is in good condition ‘This alarm sounds briefly when the Excel is switched "On" or “Off*. If ‘the alarm activates during operation, check the gas supply pressure (cylinder or pipeline). If necessary switch to a reserve cylinder. roorceseon rene et6/Troubleshooting Electrical problems - Monitor Pod Excel Systems Light package | Make sure transformer assembly is plugged into an auxiliary outlet, the will net go “On! Excel is plugged in, and the light package switch is “On.” Power failure Internal battery requires recharging or replacement. Refer to “Recharg- alana (LED and ing batteries” in Section 5. If recharging does not solve the problem, audio} do not work contact qualified service personnel. Monitors donot switch Check the monitor switch settings. The system master switch controls ‘On" with Excel no the monitors when the individual monitor switches are sot as follows power failure alarms Monitor Swwitch ‘Tidal Vol Oa Oxygen of Airway Pres. Off Power failure alarms “Make sure that the Excel is plugged into an energized electrical outlet. activate, light package, Then checis external fuses o: ciscult breakers. Refer to “Fuses and circuit toners nd asiary breakers" in Chapter 6. ized Powror failure alas An intemal fuse has opened. Set monitor switches to the battery posi- Sctivete, montiors do, tions if continued operation is necessary. Contact qualified service cutlets have power personnel. Fuses or circuit breaker Chock the power requirements of the devices plugged into the auxiliary opan repeatedly outlets, Their total current draw, not counting the light package, must be less than 9 amps. Electrical problems - 7800 Excel Systems Tight package _ Make sure the light package switch is "On," the Excel is plugged inte an will not go “On! energized electrical outlet and the light cable is connected. If the prob- Jem persists, an internal fuse may have opened. This fuse affects only the light package. Ventilator does not ‘Check the cable connection between the Excel and the ventilator. switch “On” with Excel, no power failure alarms Power failure alarms Make sure that the Excel is plugged in. If it is, a circuit breaker may have activate on ventilator, . suit breakers” in © seuvaie on vont opened. Refer to "Fuses and circuit breakers” in Chapter 5. auxillary outlets are not energized Power failure alarms Make sure that the ventilator power cord is plugged into the Excel outlet, activate on ventilator box. but auxiliary outlets have power 62 tooLesieace ora6/Troubleshooting Cirouit breaker ‘opens repeatedly Ventilation and moni toring stop: no power failure alarms Check the power requirements of the devices plugged inte the auxiliary outle:s. Their total current draw must be less than 9 amps. ‘Make sure that the system master switch is set to “On”. Chock interface cable connections between the Excel and the 7800 ‘Ventilator. Replace the interface sable. If the problem persis sorvice personnel. contact cualied ranensene eran? «3Notes ea omomtern ona/Illustrated Parts ‘This manual lists only customer repiaceable parts used directly by the Excel cx the monitor pod, To locate additional part information find the part description in the section titled "Where to find additional part numbers.” Excel specific parts 1102-3016-000 10236-0042-801 o210-5022-300 0219-3372-600 0206-7129-628 0209-1318-00 1001-8968-000 1001-8970-000 0216-6764-70 Inchided with Absorber 1001-2935-000 1001-3936-000 1001-3948-000 1001-7931-000 1001-8980-000 1001-8981-000 1301-8009-000 0219-7210-300 -2900-0001-000 1001-3864-000 Vaporizer port o-ring, external (package of 6) Fresh gas hose Gylinder gasket Yoke tee handle Yoke plug Low pressure leak test device Add on cylinder, 0, DISS Add on cylinder, N,O DISS GMs Mounting Pin (older style) GMS Mounting Pin (New style) Fuse, monitor pod external 10 Amp fast acting § x 20 mm 250 V (Order 2) Fuse drawer Monitor Pod Light package cable Monitor Pod Excel 7800 Ventilator interface cable Weight Kit for 2 drawer cabinet Weight Kit for 3 drawer cabinet Additional Weights Test lung ‘Test plugs, bag port Krytox Where to find additional part numbers System operation and ‘maintenenee manuals, All major system components have individual operation and maintenance manuals: + 7000 Ventilator (multi-voltage) 11502-0008-000 + 7800 Ventilator (multi-voltage) 11800-0062-000 * 6250 Respixatory Gas Monitor {6050-0001-061 * 5120 Oxygen Monitor 0178-1757-000 + 5500 Airway Pressure Monitor {6050-0000-461 Tovceasecce orate 7.7/lllustrated Parts Pars listed in the 7000 or the 7800 Ventilator Operation ‘and Maintenance ‘Manual Parts listed in the moniter or 7800 Ventilator Operation and Maintenance Maral Parts listed in the GMS Absorber Operation and Maintenance Manel Parts listed in the 6250, Respiratory Cas ‘Monito: Operation and ‘Maintenance Manual +5420 Volume Monitor 8080-0600-204 + GMS Absorber 0178-1742-000 + GMS Bain Gircuit Adapter 0178-1752-000 + GMS PEEP Valve 0178-1753-000 + Teed Vaporizer (0205-7106-300 + Tec Vaporizer 1105-0100-000 + Waste Gas Scavenging Valve 0178-1728-000 ‘Look the folowing parts up In the 7000 or 7800 Ventilator operation and maintenance manuals: + Ventilator mounting kits ‘+ GMS Absorber interface kits (manifolds) ‘+ Bellows assemblies and components * Drive gas tubing ‘Look the following parts up in the individual monitor or the 7800 Ventila- ‘tor operation and maintenance “manuals: + Monitoring adaptors for non-GMS absorbers ‘+ Sensors, sensor components and sensor cables ‘* Pressure sensing lines Look the following parts up in the GMS Absorber Operation and Mainte- nance Manual: + ou irectional (inspiratory and expizatory check valve) camponents + Pressure gauge and inspiratory pressure sensing tee + Drain plug + Onings + Canister gaskers, screens, hose connections and seals ‘Look the following parts up in the RGM Operation and Maintenance Manual: + Monitor components + 7800 Ventilator/RGM interface cabio 72Appendix Excel Pneumatics ‘The Exoel Gas Machine consists of the gas supply modules, the flow tubes and controls responsible for gas concentration, the vaporizer assemblios, and specialized alarm and "On" /"Off" functions provided by the oxygen supply. Most of the pneumatic circuitry is located undemeath the tabletop. ‘The Excel 110 comes with gas supply modules for nitrous oxide and oxy- gen. The Excel 210 adds a third gas, either air or heliox, Gas supply modules contain two parallel branches, pipeline and cylinder. ‘The pipeline supply branch consists of a filtered pipeline connection and a pipeline pressure gauge. The cylinder branch consists of a filtered cylinder connection, a cylinder gauge, and a high pressure gas regulator that re- duces cylinder pressure to a nominal 4§ psig (311 kPa). Waen only one source is connected or switched “On," check valves keep gas from leaking out through the unused branch, When both pipeline and cylinder supplies are connected, make sure that the cylinder valve is closed. Otherwise, cylinder gas could be depleted since the pipeline pressure is almost the same as the reculated cylinder pressure. A pressure relief valve in each gas, supply module limits maximum pressure to 75 psig (518 kPa), Shut-off valves control the flow of the nitrous oxide and the third gas. When the system master switch is set to "Off”, these valves are closed. When the ‘system master switch is set to “On,” the pilot oxygen pressure holds them open. As long as the pilot pressure remains above the critical level, approxi- mately 20 psig (138 kPa), the valves remain open. If the oxygen pilot pres- sure drops below this level, the saut-off valves close, stopping the flow of nitrous oxide and the third gas. You should notice the pilot oxygen flow through the oxygen flow tube whenever the system master switch is "On,* even if the oxygen flow control is cured completely clockwise (minimum flow). Secondary regulators reducs the oxygen and nitrous oxide pressures to the evels required by the flow controls. The third gas goes directly from the ‘primary regulator to the flow control. A gear linkage on the nitrous oxide and oxygen Sow control knobs helps limit the lowest O, flow control setting tc a nominal 25% of the N,O flow control setting. A system of mechanical stops sots the maximum flows. ‘The mixed gas output of the fowmeter assembly goes through the selected, vaporizer and into the patient circuit. A pressure relief valve on the common {gas outlet limits pressure to approximately 4 to 5.5 psig at 200 ml/min. Pressing the “Flush” button comnacts pipeline or regulated cylinder oxygen directly to the gas machine outlet regardless of the position of the system master switch, ‘The same pilot pressure that opens the shut-off valves pressurizos the alarm canister. A regulator keeps the oxygen in the canister as long as, supply pressure exceeds approximately 30 psig: range: 27 to 33 psig (207 Pa; range 186 to 228 kPa). I the oxygen supply pressure falls below this, level, gas exits the canister through a reed alarm. sooteazmena 678 AaAe ovens oracaeAppendix Key to Subassembly Abbreviations 3 | AE Key to Numbered Components 1 2. Be a Beere ct 12. 13. Common Gas Cutie: Cylinder YoKe Gas Supply Module (0, N,0, Air or Holiox) Flowmeter Pneumatic Alarm (triggats between 27 and 33 psig) Pipeline Connection (nominal 50 psig) Power Outlet (O, for ventilator drive gas) Vaporizer Manifold Pipeline Pressure Gauge Regulators ‘a. Primary Regulator b. Alarm Regulator (set threshold) ¢. Flow Regulator (alarm duration) 4. Secondary Regulators (3640.5 psig for N, Cylinder Pressure Gauge Prossuro Reliot Valves a. 75 psig (100 psig Japan) b. 4 to 8.5 psig at 200 mi/min Switches a. System Master Switch bb. Vaporizer Selector Switch Alarm Reservoir Whistle Shut-Off Valve Secondary Regulator Test Points Flow Control Needle Valves (maximum flows: 10-14 Vmin O,; N,O 10-12 Vmin; Heliox or Air 16-17 Vmin.} (cainimum flows: 180 to 220 mi O,; 0 ml all other gases) Flowtube Assembly Anesthetic Vaporizer Flush Buttoa/Valve |; 20.7848.76 psig for O, at 2 Vinin) Key to Unnumbered Symbols ““"A>K KD Filter Check Valve Gas Circuit Fitting Gag Circuit Connection Direction of Gas Flow ASAppendix Specifications Note Weight: Dimensions: Shelves and arawe! Absorber post All specifications are nominal and subject to change without notice. Dimensions Excel 210: 300 Ibs (136 kg) Excel 110: 270 Ibs (122 kg) ‘Options: Vaporizer, 7.0 kg (16.4 Ib.}; Absorber; 9.5 kg (21 Ib.); ventilator 8.5 kg (19 Ibs). Height: 168 cm (66 in.) floor to upper most part of top shelf Depth: 76 cm (30 in.) with casters and brake bar, Width: Excel 210 with monitor pod 73.6 om (29 in) Excel 210 only 85.8 om (22 in) Excel 110 with monitor pod 68.0 cm (27 in) Excel 110 only 60.7 cm (20 in) Absorber and Absorber Arm Add 25.5 cm (10 in) ‘Middle Shelf: Maximum Load: 11 kg (24 Ib.) Usable Height: 15.2 cm (6 in) Shelf Size (varies slightly with shelf style) Excel210 47.2. cm x 31,7 em (18.6 in x 12.5 in) Excel 110 42.0 em x 31.7 cm (16.6 in x 12. in) ‘Top Shelf: ‘Maximum Load: 23 kg (50 Ib.) Shelf Size (varies slightly with shelf style): Excel 210 59.6 cm x 36.0 om (23.6 in x 14.2 in) Excel 110 4.5m x 36.0 om (21.5 in x 14.2 in) Table-Top: Height (above floor): 84 cm (33.5 in.) Size: Excel 210 56.0 em x 29.0 em (21.7 in x 11.7 in) Excel 110 50.8 em x 29.0 cm (20.0 in x 11.7 in) Drawer Cabinet: Contains two 39.4 cm x 26.7 cm x 10,2 em (15.5 in, x 10.5 in x 4 in.) drawers Absorber Arm Length (varies slightly with arm style}: 36.5 cm (14 in) mounting Vertical Adj (above floor): 26.4 to 66 cm (10 to 26 in.) assembly Horizontal Adj: 16.6 to 27.9 cm (6.6 to 11 in) casters: 12.7 cm (6 in.) diameter; front casters have a foot operated brake-bar lock Common Equipped with a latching, positive engagement, bayonet type connector. gs outlet: ‘The common gas outlet connector will also accept standarc 22 mm OD or 15 mm ID conical friction fit connectors aa ccerenncon erenceAppendix Pipsline input Cylinder input: ‘Maximum output: Shut-off valves: Flowmeter module: Flowsube ‘calibration: ‘Common gas ‘outlet rollet valve: “Low O, pressure ‘alarm: ‘Oxygen flush button: Pneumatics 50 psig (946 kPa) pipeline supply required DISS indexed connections for O,, N,O and air Pipeline filter and check valve CGA pin indexed yokes Input filter and check valve Primary regulator output: nominal 45 psig (310 kPa) Primary regulator diaphragm min burst pressure: 250 psig (1,750 kPa) Prossure relief valve set to: 75 psig (617.6 kPa) on United States or Canadian Excels 1100 psig (690 kPa) on Japanese Excsls ‘Shus-off valves shut “Off” all other gas flows if oxygen supply pressure falls to approximately 20 psig (138 KPa). Flow ranges: Oo, ‘Double Tube 0.2-0.95 I/min and 1.0 Vmin-10 l/min, ‘Minimum O, flow 200 ml/min. NO Doublo Tube 0.04-0.9 l/min and 1.0 Ymin-10 min. Air Single Tube 1-15 I/min. Heliox Single Tube 1-18 Vin. Porcont of Flow Accuracy (Full Scale) (6 of Reading) 100 41.60% 90 £1.64% 80 41.70% 70 41.77% 60 41.86% 50 42.00% 40 42.20% 30 42.53% 20, 43.20% 40 +$5.20% Flowtube assemblies are calibrated at 20°C (68°F) and 760 mm Hg (101.3 kPa), Different breathing circuit pressures, barometric pressures or ‘temperatures will affect fowzube accuracy. In some cases, deviations due to different conditions may exceed the specified tolerances. 4.0 to 8.5 psig at minimum flow. An alarm sounds for at least seven seconds if the O, supply falls below approximately 30 psig (207 kPa); range: 27 to 33 psig (186 to 228 KPa} Recessed, self-closing push button provides a flow of 45-70 Vin when fully depressed. tooresasac0 | eons aSAppendix ‘Maximum internal Power requirements: Line voltage outlets: Leakage current: Fuses and circuit breakers: Electrical power fadlure alarm: Electrical ‘Monitor pod: 36 watts at 100/120 VAC ‘Monitor pod and ventilator: 60 watts at 100/120 VAG 10 Amp total current available at 100/120 VAC. Less than 100 HA for 120VAC Excels Less than 500A for 220/240VAC Excels ‘Monitor Pod (Two Styles): Dual (line and neutral) 10 A, 250 VAG, fast acting fuses (6 x 20 mm) built into the power socket and an internal, 0.5 A, 260 VAG, time delay fuse (6 x 20 mm) on the filter input (monitor power) A double pole 10 A, 250 VAC circuit breakers (line and neutzal) on the rear panel and an 0.5 A, 250 VAG, time delay fuse (5 x 20 mm) on the filter input (monitor power) Outlet box: 10 A, 250 VAC circuit breaker on the line input and an internal 2 Amp, 250 VAC, fast acting fuse (5 x 20 mm) in the transformer assembly (light Package fuse). Monitor Pod: Battery powered audible alarm (3 seconds on, 12 seconds off) and a power failure LED on the patient interface panel 7000 Ventilator: Battery powered audible alarm. With 7800 Ventilator: Power failure message appears on screen, continuous audible alarm sounds. This alarm can be silencod. A battery inside the 7800 Ventilator powers the alarm and allows continued ventilation for up to 20 minutes with a fully charged battery.Warranty 1 following pa: ‘the gurchass rzed Dealers as new mersnandise ane a: ovaer than for the puspose of zesale 's Product is sold by Ohmeda undo: the warranties set forth in the aphs, Such warranties ere extended only with raspez: to this Product directly from Ohmeda or Ohmeda’s Autho exzended tc the Buyer thereof, For a period of twelve (12) months from the date of original delivery to Buyer or to Buyer's order, but in no event for 2 period of more than two ‘years from the date of original delivery by Ohmeda to an Ohmeda Autho- rized Dealer, this Product, other than its expendable parts, is warranted to be free from functional defects in materials and worsmanship and to conform to the description of the Product contained in this operation manual and accompanying labels and/or inserts, provided that the same is properly operated under the conditions of normal use, that requisr periodic maintenance and service is performed and that replacements and repairs are made in accordance with the instructions provided. This same warzanty is made for a period of thirty (30) days with respect to expendable parts. The foregoing warranties shall not apply if the Product, has been repaired other than by Ohmeda or in aecordance with weltten instructions provided by Ohmeda, or altered by anyone other than ‘Ohmeda, or if the Product has been subject to abuse, misuse, negligence, or accident, Ohmeda’s sole and exclusive obligation and Buyer's sole and exclusive remedy under the above warranties is limited to repairing or replacing, free of charge, at Ohmeda’s option, a Product, which is telephonically reported to the nearest Ohmeda Regional Service Office and which, if so advised by Ohmeda, is thereafter returned with a statement of the observed deficiency, not late: than seven (7) days after the expiration date of the applicable warranty, to the designated Ohmeda Service Center during normal business hours, transportation charges prepaid. and which, upon Ohmeda’s examination, is founc not to conform with above warranties. Ohmeda shall not he otherwise liable for any damages including but not limited to incidental damages, consequential damages, or special damages. ‘There are no express or implied warranties which extend beyond the warranties hereinabove set forch. Onmeda makes no warranty of mer- chantahility or fitness for a particular purpose with respect to the product or parts therect. vworoneses erarae watObmesa Obed Drive Po ex 7560 Madison WI 53707 7553, USA Telos 221 1551 Faw 608 221 9147 Intemational Telex 029 667 8047 ‘A Division of BOC Heaith Care Inc Regional Service Offices International Easter Region Uke Butape, Africa and Obmeds Mate Bast 450 Raritan Center Parkway Ohmede Bantam Center (Ohmed= House Edison Bi 08837 ‘71 Great Nexth Road. USA, Eattild ALOSEN ‘Tel B00 922.0403 Hertforashize England Migweszem Region Fax 707 260005/707 260191 Ohmeds ‘Tele 315128 2101'S Arlington Heights Ra Suto its ' ue cach slingtoa Highs I, 6000) in America, Carbhesn Osa Ohmeda ‘Eel hoo 972 9987 9200 8 Datetans Bivd ‘Pal 08.364 7000, Sue 610 hdiami FL 99156 Usa Southeastern Region ‘Tal 305 670 9936 Chines Fax 308 670 4898 44508 Wizters Chapel Rd ‘Aelanta GA 30360 Usa, Southeast Asia ‘Tet goo 241 4300, Ohineda ‘Tel goa a3 7990, a Shenton Way 0908 Singapore 0207 Western Region ‘Talos 222 5028 Ohmeas Fax 65.222 0726 B31 Greenview Drive ‘Talo AS 36276 Grand Praiie TH 76050 Usa “Ta. 800 439 5070, ‘Fe. 800 772 0820, ‘Service and Distribution Center Ghmede 7730" atte NF ‘Austel GA 20001 tsa, "Tet 800 999 6277, Tol 404 799.4775, ‘Fachniesl Support Ghmeca ‘Shimega S05 MeLaughtin Read Mlesiorauge Ontario LER 188 Canada ‘Teli 66a 9550 Fax 16 9689799 In the USA, pleane call Customer Service at 800 245 2700 for additional information of to place an order. “ ABOC Health Care ‘Company. Cetical Care ‘Worldwide 1003 0829 000 gra2B 700119 Printed in UBA © BOC Health Cate Ine