GE Healthcare Aespire 7100 Anesthesia Machine Technical Reference Manual‘Aespire 7100 Datex-Ohmeda products have unit serial numbers with coded logic which indicates a ‘product group code, the year of manufacture, and a sequential unit number for identification. The serial number can be in one of two formats. . [ARAXA 11 [AAAXX111111AA ~ The Xrepesnis avapha haacer |The XX presents amunberindcaing inating yearte poduetwas | the year the product was manuactue, manutd: =2008,)= 2005, ee, [04200408 = 2005 et. Tad ar notused ‘Aespire, ProTlVA, SmartVent, and Link-25 are registered trademarks of Datex-Ohmeda Inc. Other brand names or product names used inthis manual are trademarks or registered ‘trademarks of their respective holders. o9/or mis10140tti0140 08/07 Technical Reference Manual Covers the following: Aespire 7100 anesthesia machine (with non-color or color display) Aespire 100 anesthesia machine S/5 ProTIVA anesthesia machine Software Revisions 1.X and 2.X This documentis notto be reproduced in any manner, nor are the contents to be disclosed to anyone, without the express authorization of the product service «department, Datex-Ohmeda, Ohmeda Drive, PO Box 7550, Madison, Wisconsin, 53707. © 2007 Datex-Ohmeda inc.‘espire 7100 Important A\cAUTION ‘The information contained in tis Technical Reference manual pertains only to those ‘models of products which are marketed by Datex-Ohmedsa as ofthe effective date of this manual or the latest revision thereof. This Technical Reference manual was. prepared for exclusive use by Datex- Onmeda service personnel in light oftheir training ‘and experience as well asthe availabilty to them of parts, proper tools and test ‘equipment. Consequently, Datex-Ohmeda provides this Technical Reference manuel to its customers purely asa business convenience and for the customer's general information only without warranty of the results with respect to any application of such Information. Furthermore, because ofthe wide variety of circumstances under which ‘maintenance and repair activities may be performed and the unique nature of each individual's own experience, capacity, and qualifications, the factthat customer has, received such information from Datex-Ohmeda does nat imply in anyway that Datex- (Ohmeda deems said individual to be qualified to perform any such maintenance or repair service. Moreover, itshould not be assumed that every acceptable test and safety procedure or method, precaution, tool, equipment or device is referred to within, orthat abnormal or unusual circumstances, may not warrant or suggest diferent or ‘additional procedures or requirements. This manual is subjectto periodic review, update and revision. Customers are ‘cautioned to obtain and consult the latestrevision before undertaking any service of ‘the equipment. Comments and suggestions on this manual are invited from our customers. Send your comments and suggestions to the Manager of Technical ‘Communications, Datex-Ohmeda, Ohmeda Drive, PO Bax 7550, Madison, Wisconsin, 53707. ‘Servicing of this product in accordance with this Technical Reference manual should never be undertaken in the absence of proper tools, test equipment and the most recent revision to this service manual whichis clearly and thoroughly understood. Technical Competence ‘The procedures described in this Technical Reference manual should be performed by ‘rained and authorized personnel only. Maintenance should only be undertaken by ‘competent individuals who have a general knowledge of and experience with devices of this nature, No repairs should ever be undertaken or attempted by anyone not having such qualifications, Datex-Ohmeda strongly recommends using only genuine replacement parts, manufactured or sold by Datex-Ohmeda for all repair parts replacements. Read completely through each step in every procedure before starting the procedure; any exceptions may result ina failure to properly and safely complete the attempted procedure. 9/07 wist0140L introduction wi1t0140 06/07 Table of Contents Important Technical Competence 1.1 What this manual includes. 4.2 Standard senice procedures. 1.211 User's Reference Manuals 1.2.2 Software versions 1.2.3Ventlatortests . 1.30veniew 1.3.1 Aespire 100 13.28/5 ProTvA 4.4 Configuration options 414.1 Standard configuration . 1.4.2 Options . 1.5 Components 1.6 Symbols used inthe manual oron the equipment.Aespire 7100 2 Theory of Operation 2.1 Theory oveniew 2.2 Gas ow though the anesthesia machine 2.2.1 Oveniow 2.2.2 Physical connections 2.2.3 Suction regulators 2.2.4 stem switch 2.2.5 Row contro! 2.3 Flaw through the breathingsystem .... 2.3.1 Oveniew offlow paths 2.3.2 Manval ventilation. 2.3.3 Mechanical entiation 2.3.4 Fresh gas and Op fushflow .. 2.4 General Descrntion 2.5 7100 ventlator features 2.5.1 Safety features 2.6 7100 ventilator components 2.6.1 Control Module (color cispay) 2.6.2 Control Module (non-clor spay). 2.6.3 Monitoring interface 2.6.4 Serial interface - 2.6.5 The Pneumatic Vent Engine . 2.7 Electronic and electica components . 2.7.4 Me Respite 7100 ventlatorfuncional blocks. 2.1.2 Power Supply .. 2.7.3 Sealed Lead Acid Batiery 2.74 Control Board 2.7.5 Monitoring interface 2.7.8 Serial interface 2.7.1 Vent Engine Board 2.8,Ventlator mechanical subsystems .. 2.8.1 Dive gas . 2.8.2 Pressure Regulator coseeseeeeee 241 2.83 Inspiratory flow conta valve .. . 241 2.8.4 Bahalation (PEEP) Control... 242 2.8.5 Resenoirand bleed resistor 243 2.8.6 Bellows Pressure Relief Valve ceeeeee 2 2.8.7 Mechanical Qverpessure Valve 244 2.8.8 Free Breathing Vahe. 2.8.9 Breathing Circuit Flow Sensors. wyor_ witt0140Table of Contents 3 Checkout Procedure 3.1 Ventilator post service checkout ‘3.2 Inspect the system 32 3.3 Pipeline and cyinder tests cd 3.4 Flow contoltests. 34 3.4.1 With 0; monitoring... 34 3.4.2 Without Op monitoring .. 36 3.5 Pressure relieftests 3.600, supply alarm test 3.7 Flush FlowTest.. 3.8 Vapotizer back pressure test 310 3.9 Low-pressureleaktest ut 3.9.1 Negative low-pressure leaktest 3H ‘39.2 180 or BSI standard low-pressure leak test 342 3.10 Alarm tests. 34 3.11 Breathing system tests 2316 3.12 Auman 02 flowmeter tests 348 3.19 Integrated Suction Regulatortests 348 3.14 Power allure test 2 B19 3.15 Electrical safetytests 319 4 Self Tests and Service Mode 4.1Setftests 43 4.2Senice Mode 4.3 About Ventilator 4.4.Alarm Log 4.5 ErorLog at 4.6 Language 48 4.7 User Settings 49 4.7.1 Screen Contrast 49 4.8 System Configuration A410 4.9 Calibrations 412 49.1 02 Calibrations. 2 413 4.9.2 Zero Flow and Aiway Sensor... 414 4.9.3 Adjust Dive Gas Regulator AAS, 4.9.4 Away Sensor Span 416 4.9.5 PEEP Valve Calibration a8 4.9.6 Inspiratory Valve Calibration . 2 M19 4.9.7 Pressure Sensity 4a 4.9.8 Senice Calibrations Required 423 witt0140 08/07‘Aespire 7100 5 Callbration 4,10 Diagnostic Tests/Tools 424 4.10.1 Display A/D Channels... 425 4.10.2 Display Discrete /0 Signals aan 4.10.3 Display Battery Status 428 4.10.4 TestPane! Switches . 4.29 4.10.5 Valves - Test Tool 430 4.10,6 Test CPU and Memory 4at 4.10.7 Test EEPROM 4.10.8 Test Serial Por 4.10.9 Test V Fall Alarm 434 4.10.10 Test nspratoy Vatve. 435 4.10.11 Test PEEP Valve 436 4.10.12 Test PEEP Safety Valve... 437 4.10.13 Breathing System Leak Test .... 438 4.10.14 Test Pressure Limit Creu 438 4.11 Upgrade Options 440 5.1 Primary Regulators 5.1. Testsetup ..... 5.1.2 Testing Primary Regulators 5.1.3 Adjusting Primary Regulators. 5.2 Secondary Regulators 5.2.1 Testing/Adjustng Secondary Regulators or Balance Regulators 5.3 Flowmeter Needle Valve Calibration 5.3.1 0; Needle Valve Calibration (Minimum Fow). 5.3.2 N,O Needle Valve Calibration (Minimum Faw). 5.3.3 AirNeedle Valve Calibration (Minimum Flow). 5.4 Linkystem calibration 5.5 0; Flush Regulator 5.6 Away pressure gauge 5.6.1 Zerthe pressure gauge 5.6.2 Checking the pressure gauge accuracy .. 510 2 B14 Bar 522 23 5.23 5.28 yor min10140Table of Contents 6 Installation and Maintenance 6.1 Aespire 7100 Installation Checist. vee 62 6.2 Aespire 7100 Planned Maintenance 6.2.1 Every twelve (12) months. 6.2.2 Every twenty-four(24) months 6.3 Free breathing valve maintenance {6.4 MOPY pressure relief vae test 6.4.1 Test setup oT 6.4.2 Test procedure . oT 6.5 Ausliary 02 lowmetertests 68 6.6 Integrated Suction Regulatortests sees 69 T Troubleshooting 7.1 General Troubleshooting 72 7.2 Breathing System Leak Test Guide 14 7.2.1 Breathing system leaktest.....-...... 15 7.2.2 Breathing System Troubleshooting Flowchart .. 7.23 Leak Isolation Tests... 7.3 Troubleshooting guide. 1.28 11 Alarm and Enor messages «.. -- 730 7.5 Troubleshooting Flowchart .. TAL 7.5.1 Ventilator assessment process ceseeeeeeeee TAL 17.5.2 No display toubleshooting, +. 142 7.5.3 Inaccurate volume ventilation troubleshooting. cesseesesesees TAB 7.5.4 VMB board evaluation - 144 7.5.5 Noventlation troubleshooting. ......... 7.45 7.5.6 High invinsic PEEP troubleshooting. ....... 746 8 Software Installation 8.1 Before installing new software or replacing the Control Board... 82 8.1.1 Key/BID label (Key Code) 83 8.2 After replacing the Control Board orthe Control Module . 84 8.2.1 Calibration and Checkout. a5 8.3 Sofware instalation mini0140 08/07 “Aespire 7100 9 Repalr Procedures 9.1 How to bled gas pressure from the machine 9.2 How to remove the rear panels 9.2.1 To remove the rear upper panel 9.2.2 To remove the lower access panels. 9.3 How toremove the tabletop .. {9.4 Senicing the pipeline inlet manifold components ‘94.1 Replace pipeline inlet iter {9.4.2 Replace pipeline inlet check valve 19.4.3 Replace the inlet manifold ‘85 Sewice the oyliner supply modules 9.5.1 Tightening procedure forhigh-pressure tube fitings 9.5.2 Replace primary regulator module (complete replacement) 8 9.5.3 Replace cyinder inlet fiter 9.5.4 Replace cylinder check valve 99 9.5.5 Replace 31¢-gas cylinder supply module 940 9.6 Replace system switch assembly gat 9.7 Senice te flowmeter module .... . oo O18 9.7.1 Remove front flowmeter panel shield 943 9.7.2 Remave flowtubes for cleaning or eplacement ceseeeeeenees GAB 9.7.3 Remove compete flowmeter head 945 9.7.4 Replace flowmeter modules 2 S16 9.7.5 Replace flowmeter fame 9:20 9.7.6 Replace 0» supply switch 921 9.7.7 Checkout procedure for 0, supply switch gat £.7.Rplce seconde reletr mail orbaance regulator manifold 922 9.7.9 Replace 0, or NO needle valves (on machines wth N0)...... 923 9.7.10 Replace an Airneedie vale on allmachines oran 0, needle vale ‘on machines without NO . 9.25 9.8 Senice vaporizer manifold pans 9.28 9.8.1 Repairmanifold por vane aa + 928 9.8.2 Checkout procedure for manifold potvahe .- 927 {9.8.3 Replace vaporizer manifold checkvalve +1928 9.8.4 Replace vaporizer pressure relief valve +. 980 9.8.5 Replace vaporizer manifold oat 9.9 Replace ACGO selector switch... 982 {9.10 Clean or replace ACGO port flapper valve 934 9.14 Reconfigure sample gasetum tne. ce 9:35 9.12 Replace the APL valve seeeeee 936 wyor_ mtt0140Table of Contents 9.13 Replace the bag support arm 937 9.13. Senvicing the bag support arm coceeeeee nese 988 9.13.2 Replace fiction padinowerbagarm assembly - 9.39 9.13.3 Replace bag porthousing coseeeeeseneeees 40 9.14 Replace auiliay 0, flowmeter ott 9.15 Replace the suction control module . 9.42 9.15.1 Frontpanel method ........ coves O42 9.15.2 Rear panel method 9.43, 9.16 Replace ABS breathing system components ........ 9.44 9.16.1 Replace Bag/Vent switch assembly 94 9.16.2 Replace belows base latch assembly. . 2 45, 9.16.3 EZchange Canister sping replacement. 9.46 9.17 Replace casters a7 9.18 Replace task light and switch 948 9.18.1 To replace thetaskight switch... 9-48 9.18.2 To replace the task-ight circuit board 9.19 Replace the display arm or display cables 9.19.1 Cable ie instalation ce . 9.19.2 Removing the dsplay arm 950 9.19.3 Replacinga display cable .. 950 9.19.4 nstaling the long am 9st 9.19.5 nstaling the shor arm “ 952 9.20 Replace display and cables in ProTIVA machine .. 953 9.21 Change dive gas. 954 9.22 Control module .......-. 955 9.22.1 Color control module. 9.22.2 Ofginal contol module 9.23 Senvcing the Vent Engine 9.23.1 Toremove the Vent Engine 9.23.2 Replacing Vent Engine components. -- 956 961 967 2 968 969 aus0140 02/07 ®‘Aespire 7100 10 Illustrated Parts 103 103 10-4 105 10.1 Senice tools 10.1.1 Secondary regulator pilot pressure tol 10.1.2 TestDevices 10.1.3 TestTooks 10.2 tema components front view 106 10.3 Btemal components front view references 10-7 10.4 Extemal Components rearview 108 10.5 Control module mounting fora ProTIVA machine . 109 10.6 Aespir 100 exclusive components 1010 10.6.1 ACInet(Aespire 100) aa 10-12 10.6.2 Display mount (Aespire 100) 10413 10.7 Font panel, gauges and system switch 10-44 10.8 Rear panel components 1045 10.9 Tabletop components 1046 10.10 Right side Components 10.17 10.11 External components lower assembiy 1048 10.12 AC Power cords 10.19 10.13 ACnlet/Outet Components. 10.20 10.14 Pipeline inet ings 10:22 10.18 GyinderGas Supplies 1023 10-24 10.16 Vaporizer manifold 1025 10.17 Flowmeter components... 1026 10.17.1 Flowtube pats . coves 10-28 10.17.2 Secondary regulator components coseeeerseeeess 10:90 10.18 ABS to machine Interface Components oe 1032 10.18. Flush Regulator, Fush Valve, and ACGO Selector Switch 1033 10.19 Ausiiary 0; Flowmeter 1034 10.20 Breathing system interface 10:35 ‘wor 1110140Table of Contents 10.21 Breathing System 10.21. APLVaive 10.21.2 Bag/Vent Switch 10.21.3 Absorber canister 10.21.4 Flow Sensor Module. 10.21.5 Breathing Circuit Module. 10.21.6 Exhaationvahe . 10.21.7 Bellows 10.21.8 Bellow base 10.21.9 Bag Arms 10.21.10 EZchange Caister system (CO, Bypass) 10.21.11 Condenser. 10.22 Display cables, serial board, AGSSflowtube, and sample retum 10.28 Vent Engine Housing . 10.24 Vent Engine . 10.24.1 VentEngine- underside 10.242 Manifold pate. 10.25 Display Assembly ........ 10.25. isla components Clo 10.25 2 Display Keyboard and LO assembly (Col) 10.25.3 Display components (non-coloy) 10.25,4 Display, font cover assembly (n0n-color) '$810.25.5 Display Keyboard and LCD assembly (non-colr) 10.26 Legis quick release fitings 10.27 Vent Drive and low-pressure tubing. 10.28 Tubing for use with Legis fitings 10.29 Cables and hamesses 10,30 Cables and hamesses (Aespire 100) 10.31 Anesthetic Gas Scavenging System ~ AGSS 10.31.1 Passive GSS. 10.31.2 Adjustable AGSS 1031.3 Active GSS 10.32 Integrated Suction Regulator. . 10.32.1 Major Components (Continuous and Venu suetion).. 10,3222 Suction Control Module 10,32.3 Venturi assembly. 10,33 Drawer... 10,34 Display mounts 10.35 Cable management arm 10.36 Display arm mounting kts for optional equipment 10.37 Outhoard cylinder mount 14 Schematics and Diagrams 1110140 08/07 1036 1036 1037 1038 10:39 10-40 10-41 10-42 10-43, 10-44 10-45 10-46 10.48 = 10-89 + 10-50 1051 1052 = 10-63 1054 1055 + 10-56 1057 1058 1059 10-60 10-62 10.64 10-66 10-68 10-68 10-70 10-72 10-74 10-74 10-75 10-76 10-77 10-78 10-79 10-80 1081Notes o9/or mass01401 Introduction In this section this section provides a general overview ofthe Aespire 7100 line of anesthesia machines. 4.4 What this manual includes 4.2 Standard senice procedures. 1.2.1 Users Reference Manuals 13 1.2.2 Software versions 13 1.23 Venilatortests 13 1.30veniew 14 1.3.1 Aespire 100 oe - 14 1.32/5Pro1NVA cores 1.4 Configuration options. 15 1.4.1 Standard configuration 15 1.42 Options . “ 15 41.5 Components .. 15 41.6 Symbols used inthe manual oron the equipment... coe 110 wi110140 06/07 MAspire 7100 1.1 What this manual includes 12 Anesthesia Machine ‘S/S ProTiVA Other equipment This manual covers the service information for the Aespire 7100 line of anesthesia machines. Itcovers the folowing components: ‘= 7100 display components: color and non-color * Vent Engine components * gas delivery components, * breathing system components, * frame component except those strictly associated with a specific ventilator), * optional suction regulator and auxiliary 0 flowmeter. ‘The ProTIVA machine is configured with standard Aespire machine ‘components, withthe exception ofthe vaporizer manifold and the Ventilator/ ‘Monitoring Display (7100 Control Module) mounting solution (teferto Section 10.5). B Braun equipmentis not covered in this manual. Refer to B Braun service documentation. Other equipment may be attached tothe system on the display mount, the ‘top shelf, or onthe side dovetail rails. Consult separate documentation relative to these items for details 8/07 mast0140Introduction 1.2 Standard service procedures 1.2.1 User's Reference Manuals: 1.2.2 Software versions 1.2.3 Ventilator tests wits0140 06/07 AX WARNING AN WARNING ‘Some sections of this manual refer you to the User's Reference Manual forthe ‘Aespire machine. To expedite repairs, ou musthave, and be familiar with, the User's Reference Manuals for this product. Refer to the Aespire User's Reference Manuallf you need further information about the operation ofthe system. ‘The revision level is displayed on the ventilator star-up menu. This manual includes test and calibration procedures for Revision 1.X and 2.X software. ‘Service calibration functions let Datex-Ohmeda trained users and Datex-Ohmeda service personnel perform ventilator setup functions, test, calibration and measurements from the front panel display, Normal operational tests, calibration, and troubleshooting can be performed. ‘onyour7 100 ventilator without removing components from the system. Repair ‘may require removing the ventilator components from the anesthesia machine. Section 4, “Service Mode Tests and Calibration” must be performed Whenever you access any internal component ofthe ventilator to verity that all critical parts ofthe ventilator ae still operational and within specification, ‘After the ventilator has been serviced, you must perform “Post-Service Checkout” to verify the entire anesthesia system is properly functioning before the system can be retuned to clinical use. 13‘Aespire 7100 1.3 Overview Note 1.3.1 Aespire 100 1.3.2 S/5 ProTlVA 1 ‘The Aespire 7100 machine is a compact, integrated and intuitive anesthesia delivery system. The ventilator portion provides mechanical ventilation to a patient during surgery as well as monitoring and displaying various patient parameters ‘The system uses a microprocessor-controlled ventilator with internal ‘monitors, electronic PEEP, Volume Mode, and other optional features. Aseria interface permits communication to cardiovascular and respiratory g8s monitoring. Configurations availabe for this product depend on local market and standards requirements Ilustrations inthis manual may not represent al configurations ofthe product. Te Aespire machine is not suitable for use in an MRI environment. ‘The Aespire 100 machine is based on the standard Aespire 7100 machine with the following exceptions to availabe features or options: * does not include the RS232 Serial interface * does not include the Bi-tevel LED light stip * the 2 Vap manifolds standard (does not support 1 Vap manifold) * not available with AC power outlets (area used by AC Inlet) * uses 4-inch casters instead of 5-inch casters The S/5 ProTIVA isa special adaptation ofthe Aespire 7100 machine (does not include vaporizer manifold for use with B Braun intravenous drug delivery ‘components. wor wi110140‘Introduction 1.4 Configuration options 1.4.1 Standard configuration 1.4.2 Options 1.5 Components witi0140 06/07 ‘The standard configuration includes the folowing tems. Items marked with an asterisk (*) are not included in the Aespire 100 ‘machine. ‘= 7100 Ventilator with color ornon-color display) + Advanced Breathing System (ABS) * Auiary Common Gas Outiet(ACGO) * Serial Interface - RS232* * BHevel LED light strip* ‘Two large drawers Options include the following tems. Items marked with an asterisk *) are not available inthe Aespire 100 machine). + selected software features * vaporizer manifold(1 Vap* or 2 Vap) * pipeline configurations (02/Nz0, O2/Ar, or 02/Nz0/Ain) + gas cylinder configurations (two inboard, one outboard) * inboard configuration = 07/N0, 02/Ai, or 02/0 * outboard configuration = NO only ‘+ manual bag (on support arm or on tube) += EZchange Canister (CO, Bypass) and Condenser + gas scavenging (active, adjustable, passive, orventur) * a suction regulator (pipeline vacuum or venturi vacuum) + an auilaty 0 fowmeter * localized electrical power outlets* (isolated or non-isolated) * various display mounting solutions ‘The following figures show the front and rear views of the machine. There are some differences between models. Figure 1-1 « Aespre machine (trot view -lftside) Figure 1-2 « Aespire machine tron view -rghtside) Figure 1-3 + Aespre machine (ear view) Figure 1-4 +S/5 Prova with atypical B Braun fluid manager tm) system 15Aespire 7100 lary common gas outiet (ACEO) switch coo Inspiratory check vate Inspiratory ow sensor or flow port adapter ‘Canister (carton close absorbent) exes eene anual bag port ‘APL (adjustable pressure iting) va 47, Seavongng flow ndeator 8, RS-232 Sera pot (not avaloble inthe Aas 100 machine) Figure 1-1 « Aespire machine front view -lefside) 16 wyor_ wi1z01401 Introduction ‘ABS (Advanced Breathing Sytem) Flow controls ‘entlator Dspay/ Control Module color or non-colar) Doveta rats ‘Vaperter Pipetine pressure gauge(s) (upper rom) ‘System site Figure 1-2 Aespre machine font view ight sie) wit10140 06/07 1‘Aespire 7100 ‘reut Breaker for Electrical Outets* ecteal Outlets Pipeline Connection(s) Oflnder Supplies ‘System Cut Breaker (ACIniet aes fo Asp 100 machine) Malo Inet aul seep ep + hems marked with an astek(*) are notavlable inthe Aespire 100 machine, Figure 1-3 + Aespire machine (rearview) 18 9/07 mtst01401 Introduction * $/5 ProTIVA wth atypical 8 Broun fuid manager (fn) systemAespire 7100 1.6 Symbols used in the manual or on the equipment O o Oo oO 3 + © eh ‘Symbols replace words onthe equipment, on the display orin Datex-Ohmeda ‘manuals. No one device or manual uses all ofthe symbols. ‘Warnings and Cautions tell you about dangerous conditions that can occurif you do not follow all instruction in this manual: *= Wamings tell abouta condition that can cause injury tothe operator orthe patient * Cautions tell about.a condition that can cause damage tothe equipment. Read and follow all warnings and cautions. (On power) Off (power) Standby Standby or preparatory state fr part of the equipment | ON" only for partofthe equipment “OFF nly for part ofthe equipment Direct current ‘Aerating curent Protective earth ground Earth ground Frame or chassis ground Equipotential ft wl @ A AA GARG - ‘arm silence ‘Nam silence ‘ype Bequipment ‘Type BF equipment Type CF equipment Caution 0 7000-0434 ‘tention, referto product instructions, EC 60601-1 Dangerous voltage Electrical input ectrial output Preumatic input Peumatic output yor masi0%40oP f a = = & 134°C Axscmi20 witt0140 08/07 Pus, positive polarity Minus, negative polrty Variability Varabitiy in steps Lamp, lighting, ilumination This way up Pipeline Uniock (lose drain Drain remove condensate) Not autoclavable ‘Autocavable APL settings are approximate + 1 Introduction Movementin one direction Movementin two directions Read top of float Read to center of oat Vacuum inlet ‘Suction bottle outlet oylinder Isolation transformer Linkage system Risk of xposion. Low pressure eaktest Mechanical entiation ‘ag position/ manual entation (0; Flush button‘Aespire 7100 1 Inspiratory flow Inspiratory flow Pinch hazard Cle breathing circuit module ‘The primary regulatorissetto pressure less than 345 kPa (50 psi) Absorberon Apsorberoff (00 Bypass active) No battery/battery failure ‘Stock Number Serial Number ‘Authorized representativinthe European Community Date of Manufactur Manufacturer xpiratory flow Expiratory tow Submenu Bain/Mapleson D breathing cicut module ‘The primary regulatoris sett pressure less than 414 hPa (60 psi) (C0, Bypass Option change Canster(C0g bypass) Battery in use. Bar indicates amount of battery power remaining, Maximum Caution: federal law prohibits dispensing without prescription ‘ystems wth ths mark agree withthe European Council Directive (93/42/EC) {or Medical Devices when they are used as specified in their User's Reference ‘manuals. The xoxis the certification number ofthe Notified Body used by Datex-Ohmeda's Quality Systems. GOST Russian certification oor was10140In this section wati0%40 06/07 2 Theory of Operation 22 2.1 Theory overview .... 2.2.Gas low trough te anesthesia machine... 2.2.1 Oveniew 2.2.2 Physical connections . 2.2.3 Suction regulators 2.2.4 ystem switch 2.2.5 Flow contro! 2.3 Flow through the breathing system 2.3.1 Oveniew offlow paths 2.3.2 Manual ventilation, 2.3.3 Mechanical ventilation 2.3.4 Fresh gas and 0, fush flow 2.4 General Description 2.57100 ventilator features 2.8.1 Saety features 2.67100 ventilator components . 2.6.1 Conto! Module color display)... 2.6.2 Control Module (non-color display) 2.6.3 Monitoring interface .. 2.6.4 Serial imertace 2.6.5 The Pneumatic Vent Engine 2.7 Electronic and electical components 2.7.4 The Aespre 7100 ventilator functional blocks. 2.1.2 Power Supply 2.7.3 Sealed Lead Acid Battery 2.7.4 Control Board 2.1.5 Monitoring interface 2.7.8 Serial interface 2.1.1 Vent Engine Board 2,8Ventiator mechanical subsystems 2.8.1 Dive gas. 2.8.2 Pressure Regulator 2.833 inspiratory flow contol valve 2.8.4 Bihalation (PEEP) Control 2.8.5 Resenoirand bleed resistor 2.8.6 Bellows Pressure Relief Vahe 2.8.1 Mechanical Overpressure Valve 2.8.8 Free Breathing ave... see 2.45 2.8.9 Breathing Circuit Flow Sensors 248 aAspire 7100 2.1 Theory overview ‘This section describes: ‘= The flow of gas through the anesthesia machine. * The low of gas through the breathing system. ‘+ Electrical signals between the anesthesia machine, including the breathing system, and the ventilator. + Ventilator mechanical subsystems 2.2 Gas flow through the anesthesia machine 2.2.1 Overview Gas supplies 0, flow 22 Refer to Figure 2-1, Gas comes into the system through a pipeline (2) or cylinder (4) connection. All connections have indexed fittings, ters, and check valves (one-way valves). Gauges show the pipeline (1) and cylinder (3) pressures. [Aprimary regulator (5) decreases the cylinder pressures to approximately pipeline levels. A pressure relief valve (6) helps protect the system from high pressures. ‘To help prevent problems withthe gas supplies: * Install yoke plugs on all empty cylinder connections. + When a pipeline supply is adequate, Keep the cylinder valve closed. Pipeline or regulated cylinder pressure supplies 0» directly tothe ventilator (7a for 2 ‘drive gas) and the venturi suction (2 for 0 drive gas) supply connection, An additional regulator (43) decreases the pressure forthe fish valve (14a) and the auxiliary flowmeter (28). The flush valve supplies high flows of 0, to the fresh gas outlet (26 or 27) when you push the flush button. The flush pressure switch (14b) monitors activation of the flush valve. ‘When the system switch (8)is On, 0 flows tothe rest of the system. secondary regulator (10) supplies a constant. pressure tothe Op flow control valve (41), There is a minimum flow of 25 to 75 ml/min (for dual-tube lowmeters) or 175 to 225 mL/min (for single-tube flowmeters) through the O» flowmeter (22). ‘The 0p pressure switch (9) monitors the O, supply pressure. Ifthe pressure i toolow, ‘an alarm appears on the ventilator display. osy0r mast0140‘Air and N20 flow Note: Original production machines include a secondary regulator (48) atthe input tothe Airflow ‘contro valve (19). Mixed gas wx110140 0/07 2 Theory of Operation Pipeline or regulated cylinder pressure supplies Airdrect tothe ventlator (7b for lr Arve gas) and the venturi suction (24b for Air drive gas) supply connection. ‘When the system switch (8) is On, airflows to the Airflow contol valve (19). Because there iso balance regulator, airflow continues atthe set rate during an O> supply failure. ‘Abalance regulator (15) contol the NzO supply pressure tothe NO low contol valve(46).The 0, secondary regulator pressure ata pilot port controls the outputof the balance regulator. The N20 output pressure drops with decreasing 0, supply pressure ‘and shuts off hypoxic gas flow before the O, supply pressure reaches zero. ‘chain ink system (Link-25) onthe NO and 0 flow controls (46, 14) helps keep the 0, concentration higher than 21% approximate value) athe common gas outlet. ‘The mixed gas goes from the flowmeter outlet, through the vaporizer manifold and vaporizer (23) thats On, to the ACGO selector switch (E). A pressure relief valve (24) limits the maximum outlet pressure. ‘The ACGO selector switch directs the mixed gas tothe selected circuit —to the breathing system (26) orto the ACGO (27). 23Aespire 7100 Key to Numbered Components ‘Note: Current production ‘machines do not include a secondary regulator (48) in the Airflowhead Key to Symbols 24 1. Pipeline pressure gauge 2. Pipeline inlet 3. Cylinder pressure gauge 4, ylinderinlet (maximum of 3 cylinders) 5. Primary regulator (cylinder pressure) 6. High-pressure relief valve (758 KPa / 110 psi)* 7. Supply connections forthe ventilator a. Op drive gas, b. Airdrve gas 8 System switch 9. Switch forlow 0, supply pressure alarm (used with the ventiator) 10. 0» secondary regulator (207 kPa / 30 psi* 41, 0p flow control valve 12. Op low tubels) 413, Op flush and auxiliary flowmeter reguator (241 KPa / 35 ps)" 14, Op lush 2. Flush valve b. Pressure switch (used with the ventilator) 15, NO balance regulator 16, NO flow control valve 47. N,0 flow tube(s) 18. Air secondary regulator (207 kPa / 30 psi)* 19. Airflow contol valve 20. Airflow tube(s) 24. Supply connection for Venturi suction a. Op dive gas b. Airdrve gas 22. Vaporizer port valve 23. Vaporizer 24. Low-pressure elie valve (38 kPa / 5.5 psi)* 25. Auxiliary flowmeter (optional) 26. ToABS 27. ToACGO 28. Test por (primary regulator) 29. Testport(secondany/balance regulator) * Approximate values 1K >+ Pneumatic Connection ° Filter Direction otFow e ‘Check Valve2 Theory of Operation ‘Figure 2-1 + Pneumatic circuit witi0140 06/07‘Aespire 7100 2.2.2 Physical Figure 2-2 shows the physical path that the gas takes. connections i 3 Ll Figure 2-2 « Typical tubing connections - pictorial 26 o9/or wasi01402.2.3 Suction regulators Venturl Drive Gas ‘ror 02 Figure 23 « Venturi suction ve1110140 06/07 2 Theory of Operation Pipeline vacuum The suction regulator (shown in Figure 2-2) uses an estermal vacuum source. Venturt Drive vacuum ‘The suction regulator (shown n Figure 2-3) uses an interna, venturi derived vacuum source, Drive gas internally plumbed AlrorO) enters the Venturi Module (VM) atthe dive port (@). Aste crive gas passes through the ventur madule, a vacuum is created at port B, The drive gas ext the venturi module at port Candis exhausted outside the machine through the mutlr(D) The control port(E)on the ventur module responds to pneumatic signals from the front panel switch on the Suction Control Module (SCM) to turn the venturi vacuum div gas ‘onoroft. The check valve (CV) helps prevent pressurization ofthe suction circuitry ifthe ‘exhausts occluded orthe venturi uit falls. Suction a7Aespire 7100 2.2.4 System switch In the Standby position In the On position ‘Tne system switch has two positions: On and Standby. The swite: ‘= Turns off the ventilator (electrical) + Stops 0, and Airto the flowhead (pneumatic) + Without 0, pressure, the N20 balance regulator stops NO. ‘The switeh: ‘Tums on the ventilator (electrical) * Supplies 02 and Airto the flowhead. * With adequate 0 pressure, the NzO balance regulator supplies NO. System Stich 28 nou ivons) nme 1Q 9) Wing Harness ‘Arn (Port 3) o > gin Pots) (Rearview) o8/or wasi01402.2.5 Flow control ‘AN WARNING Minimum flows Link system 1110140 08/07 2 Theory of Operation Needle valves (one for each gas) adjust gas flows. Clockwise rotation decreases flow. Counterclockwise increases flow. Mechanical stops set minimum flows forall gases. The link system sets the maximum ratio of N70 to Op. The Link 25 Proportioning System sets a minimum 0, concentration inthe fresh gas stream when only 0, and NO are used. Use of an absorber of another gas can sil cause a hypoxic mixture to be delivered tothe patient, especially at low Op flow rates. ‘At minimum flow, two tabs prevent clockwise rotation ofthe valve stem. One tab is on the stop collar; the others on the valve body. Stop Tabs — Vato Boty Vato Stem Oo Te chainlink system helps assure an approximate minimum 1 to3 ratio of flow between 0, and N20. When engaged (minimum 0 concentration), a tab on the Op knob isin contact with a tab on the O, sprocket so that the Op and NO knobs turn together: + an increase in N20 flow causes an increase in 0, flow, * a decrease in 0; flow causes a decrease in N20 flow. Unkage Tabs Knob 29Aespire 7100 240 Maximum flows. Higher concentrations of 0» are possible when the link system s nat engaged: either by reducing the N70 flow below the point of engagement or by increasing 0. flow above the point of engagement. ‘When the N20 flow s below the point of engagement, increasing the NO flow tuns the 0, sprocket without changing the O> flow. Atthe point of engagement, the tab on the 0, sprocket makes contact with the tab on the O» knob. Once the linkage is engaged, ‘turning the N0 flow control counterclockwise (increase in NzO flow) also tums the O knob counterclockwise (increase in 0 flow) to maintain a nominal 25% minimum Op concentration. Decreasing the NoO flow from the engagement pointrotate the tab onthe O, sprocket ‘away from the tab onthe O» knob. Increasing the 0 flow rotates the knob tab away from the sprocket tab Either action increases the O, concentration above 21%. Sufficienty decreasing 0, flow or increasing the N20 flow brings the twotabs back into contact and engages the linkage. The Kickin points defined asthe N70 flow at which the NzO valve becomes engaged withthe Op valve flowing at 200 mL/min. This engagement pointis an arbitrary benchmark that assists in calibrating the proportioning system. The position ofthe icleins setin the factory. During field calibration, you set the 0 flow to 200 mL/min ‘andthe NO flow to the kickin flow (usualy inthe range of 400 to 700 ml/min) and then install the sprockets with the 0, knob/sprocket engaged. When the Aespire machine was first produced, all gas flows in Canada required ‘maximum flow stops. Early production Aespire machines shipped to Canada include @ ‘maximum stop collar on the body of the needle valve to set the maximum fow. Canada no longer requires maximum flow stops for the gasses that the Aespire ‘machine is designed to dever. Current production Aespire machines do not include ‘the maximum stop collar. Maimun Stop Cot ave stom oO Vate Body 8/07 masto1402 Theory of Operation 2.3 Flow through the breathing system 2.3.1 Overview of This section looks at fourtypes of flow paths. flow paths. ventilation paths: How gas flows from the drive source (bag or bellows) to and from the patent «Fresh gas paths: Fresh gas can flow from the machine interface directly to the patient ‘through the inspiratory check valve, or through the absorber into the expiratory flow, or directly to an extemal circuit through the optional auxiliary common gas outlet. * Scavenged gas paths: APL or Pop-off. '* Flow through the optional EZchange Canister and Condenser: EZchange ON and Exchange OFF (C0, bypass) witi0140 08/07 aitAespire 7100 2.3.2 Manual ventilation Manual inspiration The Bag/Vent switch closes the ventilator path (B). Gas flows from the bag(1), through the absorber (2), into the breathing circuit module, ‘and through a unidirectional valve (inspiratory check valve) tothe patient (3). During inspiration, fresh gas (FG) flows from the machine into the inspiratory limb, ‘upstream ofthe inspiratory check vale. Airway Pressure Bag/Vent switch to Bag Fresh Gas Flow to absorber Flow from absorber Inspiratory flow Figure 24 « Gas flow during manual inspiration 212 wyor mast01402 Theory of Operation Manual expiration The Bag/Vent switch keeps the ventilator path closed (B). Gas flows from the patient 4), through a unidirectional valve (expiratory check valve), ‘and into the bag (6), During exhalation, fresh gas flows backwards through the absorber (FG) into the ‘expiratory limb, downstream of the expiratory check valve, Formachines that are plumbed to return sample gas tothe breathing system, the ‘returned gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure B Bag/Vent switch to Bag FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flowto bag Figure 2-5 » Flow during manual expiration masso140 08/07 243‘Aespire 7100 APLValve The APL valve sets a pressure limit for manual ventilation. ‘As you tum the APL knob, itputs more or less force on the APL disc and seat (D/S). If the circuit pressure is too high (6), the disc and seatinside the diaphragm opens and vents gas tothe scavenging system (7). DIS APL disc and seat 6 APL flow 7 Toscavenging Figure 2-6 + Flow through the APL Valve 2a wor mas10140‘2 Theory of Operation 2.3.3 Mechanical ventilation Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the exhalation valve. Drive gas (D) pushes down on the bellows. Gas flows from the bellows (1), through the absorber (2), and through a unidirectional valve (inspiratory check valve) to the patient @. Duringinspiration, fesh gas flows into the inspiratory limb, upstream ofthe inspiratory check valve, AP Airway Pressure Drive gas Fresh Gas, Pilot pressure Bag/Vent switch to Vent Flow to absorber Flow from absorber Inspiratory flow Figure 2-7 « Mechanica inspiration 1110140 08/07 245Aespire 7100 Mechanical expiration _Drive-gas low stops and the exhalation valve opens. Exhaled gas flows from the patient (4), through a unidirectional valve (expiratory check valve) and into the bellows (6). Residual drive gas (D) flows out ofthe bellows tothe scavenging system (6). I PEEP is selected, static pressure onthe plot port ofthe exhalation valve sets the PEEP level. During exhalation, fresh gas flows backwards through the absorber (FG) into the expiratory limb, downstream ofthe expiratory check valve. For machines that are plumbed to return sample gas tothe breathing system, the returmed gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow tobellows 6 — Toscavenging Figure 28 * Mechanica expiration 216 8/07 mis301402 Theory of Operation Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the (EZchange and exhalation vave. Condenser rive gas (D) pushes down onthe bellows. Gas flows fom the belows (1), through the ON) absorber (2a), Condenser (2b), and through a unidirectional valve (inspiratory check Valve) tothe patent (2). DDuringinspiration, fesh gas flows into the inspiratory limb, upstream of the inspiratory check vale. Airway Pressure Drive gas Fresh Gas Pilot pressure Bag/Vent switch to Vent Flow to absorber Flow from absorber Flow from condenser Inspiratory flow Figure 2.9 » Mechanica inspiration though Condenser with EZchange Canister and Condenser ON s1s0140 08/07 aarAespire 7100 Mechanical expiration _Drive-gas low stops and the exhalation valve opens. Exhaled gas flows from the (EZchange and patient 4), through a unidirectional vale (expiratory check valve) and into the bellows ‘condenser (6). Residual drive gas (D) flows outof the bellows tothe scavenging system (6). ON) PEEP is selected, static pressure on the pilot port of the exhalation valve sets the PEEP evel. During exhalation, fresh gas flows backwards through the Condenser and absorber {(F 6) into the expiratory limb, downstream ofthe expratoy check valve. For machines that are plumbed to return sample gas tothe breathing system, the returned gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bellows 6 — Toscavenging Figure 2-10 + Mechanical expiration through Condenser with EZchange Canister and Condenser ON 248 wor wist01402 Theory of Operation Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the AP (EZchange and exhalation valve. ‘condenser Drive gas (D) pushes down on the bellows. Gas flows from the bellows (1), through the OFF) EZchange module bypassing the absorber (2), and through a unidirectional valve (inspiratory check valve) tothe patient). During inspiration, fesh gas flows into the inspiratory limb, upstream of the inspiratory check valve, Airway Pressure Drive gas Fresh Gas Pilot pressure Bag/Vent switch to Vent Flow to absorber Bypass flow Inspiratory flow Figure 2-11 + Mechanical inspiration with EZchange Canister and Condenser OFF witt0140 08/07 219Aespire 7100 Mechanical expiration _Drive-gas flow stops and the exhalation valve opens. Exhaled gas flows from the (EZchange and patient (4), through a unidirectional valve (expiratory check valve) and into the bellows ‘condenser (5). Residual drive gas (D) flows out ofthe bellows to the scavenging system (6). OFF) i PEEP is selected, static pressure on the plot port ofthe exhalation valve sets the PEEP level. During exhalation, fresh gas flows backwards through the EZchange module (FG) into the expiratory limb, downstream of the expiratory check valve, For machines that are plumbed to retum sample gas tothe breathing system, the returned gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bellows 6 — Toscavenging Figure 2-12 + Mechanicl expiration with EZchange Canister and Condenser OFF 20 wor mas10140Pop-off valve Flow to bellows Pop-off flow To scavenging 2 Theory of Operation ‘The pop-off valve limits the pressure inside the bellows to 2.5 cm H0 above the drive £88 pressure. This normally occurs when the bellows reaches the top ofthe housing at the end of exhalation (5). Excess gas (6) vents tothe scavenging system (7) through the pop-off valve and the exhalation valve. Figure 2-13 « Flow though the popoff valve witi0140 06/07‘Aespire 7100 2.3.4 Fresh gas and 0, flush flow ToABS breathing system Fresh gas (1) flows from the vaporizer manifold outlet to the ACGO Selector Switch. ‘With the ACGO Selector Switch in the ABS position, fresh gas flow is channeled tothe breathing system through port. ‘The output ofthe O, Flush regulator (2) is channeled to the O Flush valve. When activated, 0; flush flow joins the fresh gas flow in the ACGO Selector Switch. ah ABS 4 9, = sf Ss 2 Figure 2-14 » Fresh gas and 0, fush flow (to ABS) 222 Cpe wor wtt01402 Theory of Operation Fresh gas (1) flows from the vaporizer manifold outlet tothe ACGO Selector Switch. With the ACGO Selector Switch in the ACGO position, fresh gas flows channeled tothe ACGO outlet. Atthe ACGO outlet, a small sample is diverted tothe O» Sensorin the ABS for 0» monitoring ‘The output ofthe Op Fush regulator (2) is channeled tothe O Flush valve ‘When activated, 0, flush flow joins the fresh gas flow inthe ACGO Selector Switch. Switch ‘Figure 2-15 « Fresh gas and 0, fush flow (to ACGO) smasi0%40 06/07 22‘Aespire 7100 2.4 General Description The 7100 ventilators a microprocessor based, electronically-contolled, ppneumatically-driven ventilator with a built-in monitoring system fr inspired ‘oxygen, airway pressure and exhaled volume. The ventilators an integral component ofthe Aespire anesthesia machine. ote: For non-color displays, the backlit is powered through the contol board, as shown. For color displays, the control module includesa separate circuit board to powerthe backlight. ‘Figure 2-16 + 7100 ventilator functional block alagram 228 o8/or wai301402 Theory of Operation 2.5 7100 ventilator features 2.5.1 Safety features 1110140 06/07 ‘Sensors inthe breathing circuit ae used to control and monitor patient ventilation and measure inspired oxygen concentration This ets the ventilator compensate for compression losses, fresh gas contribution, valve and regulator deft and small leakages in the breathing absorber, bellows and system. + Positive End Expratory Pressure (PEEP) is generated electronically. PEEPis ot active when mechanical ventiation is off * User settings and microprocessor calculations contol breathing pattems. User interface settings are kept in non-volatile memory. ‘= Mechanical ventilation fs started withthe Bag/Vent switch on the breathing system. * The 7100 ventitator has minimum monitoring and alarms ‘managed on the ventilator panel there is no other panel for safety relevant alarm management, et.). * Ventilator hardware is regularly monitored by software tests. += An RS-232 serial digital communications port connects to and communicates with extemal devices. * Anexhalation valve modulates flow in the pressure mode. *= Pressure and volume modes are selectable by the operator. * Allpneumatic components are located on one manifold. * Exhausted drive gas and bellows pressure relief valve gases are mixed and 40 through the ventilator exhalation valve, + The exhalation vale blockis autoclavable. * Excess fresh gas released from the bellows and ventilator dive gas are transferred from the exhalation valve tothe Anesthesia Gas Scavenging ‘System (AGS). * Optimized fo service wth a low number of components ‘+ Dual redundant airway overpressure protection inked to Plimit setting. ‘+ Volume over-deliver limits and protection. + Proprietary hose connections and fixed manifolds. ‘Proven mechanical components used. ‘+ 10VAelectrical power limiting to potential oxygen enriched environment. + 150 psi burst overpressure protection.‘Aespire 7100 2.6 7100 ventilator components Major components of the 7100 ventilator are found indifferent locations of the anesthesia machine. ‘The ventilator package consists of: 4. Control Module (CM) ~ (color or non-color display) ~ the CM includes: * a Control Board (C8) + an LCD Display Keyboard (wth rotary encoder switch) ‘+ a Power Supply backup battery 2, Ventilator Monitoring Board (VMB). 3, a Serial Isolation Connector Board (SICB). 4, aVent Engine (VE) witha Vent Engine Board (VEB). Figure2-17 + Location of 7100 ventiator components 228 w/o7 w1101402 Theory of Operation 2.6.1 Control Module The control module with a color display consists oftwo enclosures. (colordisplay) The rear enclosure includ 1. inline fuses 2. apowersupply 3, acoolingfan 4, a backup battery ‘The power supply receives AC power from the anesthesia machine. Allthe ‘power necessary to operate the ventilator comes from the power supply. The front enclosure includes: 5. a control board (controls operation of the ventilator) 6. abackiightinverter 7. an LCD display 8. akeyboard front panel 9. arotary encoder 10.a speaker Figure 2-18 + 7100 ventiletor contro module vxs10140 08/07 227‘Aespire 7100 2.6.2 Control Module The control module with a non-colorcisplay consists of two enclosures. (non-color display) The rear enclosure includes: 4. inne fuses 2. apowersupply 3. a cooling fan 4, a backup battery ‘The power supply receives AC power from the anesthesia machine. Allthe ‘power necessary to operate the ventilator comes from the power supply. The front enclosure Includes: 5. a contol board (controls operation of the ventilator) 6, a front panel assembly ‘The front panel assembly includes four submodules: 7. anLCD display 8, a keyboard front pane! 9. arotary encoder 10.a speaker Figure 2-19 + 7100 ventilator contro! module 228 9/07 watt01402.6.3 Monitoring: Interface 2.6.4 Serial interface w11t0140 08/07 2 Theory of Operation ‘The Ventilator Monitoring Board (VMB) serves asthe interface between the ventilator’s control board and the breathing system sensors and switches: * the inspiratory and expiratory flow sensors * the 0, sensor * the Bag/Ventswiten * the VMB is hardwired to indicate a Circle module * the canister release switch + machines that include the canister release switch are hardwired to show software the presence ofan EZchange (C02 Bypass) canister assembly * the “control panel switch” signal in an Aespire machine indicates whether the ABS breathing system is engaged or disengaged * the Auxiliary Common Gas Outlet (ACGO) switch * task light power ‘The VMB is located under the tabletop (below the worksurface). Machines that do not include monitoring use a depopulated board (Task Light Interface Board — TLIB) to power the task ight and to interface the breathing system switches. ‘The Serial interface and Connection Board (SICB) provides two functions. It ‘serves asthe interface between the ventilato’s control board and additional switches located in the machine and channels serial communications signals. ‘rom the controler board to the RS232 connector. ‘The machine switches include: + the System On/Standby switch * the Op supply pressure switeh * the Op flush switch ‘The SI also provides an on/off signal from the system switch to a remote ‘monitor through the RS232 connectorAespire 7100 2.6.5 The Pneumatic Vent Engine The pneumatic engine enclosure is located inthe back chamber of the breathing system and is shielded to contain EMI emissions. The enclosure includes the pneumatic Vent Engine (VE) and a pneumatic Vent Engine control Board (VEB). ‘The pneumatic Vent Engine consists ofthe hardware that drives the ventilator bellows. includes: * a 2-micron inet fter * a pressure regulator * a proportional inspiratory valve * a mechanical overpressure relief valve * afree-breathing check valve ‘a PEEP safety valve ‘a supply pressure sense switch ‘+ a proportional PEEP valve + a200mL reservoir * a calibrated bleed orice ‘The pneumatic Vent Engine Board isan interface between the engine components and the control board and includes: * an airway pressure transducer VE wjor matt01802 Theory of Operation 2.7 Electronic and electrical components 2.7.1 The Aespire 7100 ventilator functional blocks ‘The Aespire 7100 Ventilator electronic/electrcal subassemblies or modules include: ‘+ a Power Supply for operation underline power and a backup battery forlimited operation incase of power failure; ‘+ a Control Board with digital, analog and power circuits to manage all ‘operations ofthe ventilator; ‘+ a Front Panel Assembly thatincludes an LCD display for display ofall ventilation and monitoring parameters and a keyboard for operator input; + a Ventilator Monitoring Board to preprocess patient circuitparameters and to channel the breathing system switch states; + a Serla Isolation Connection Board to channel machine switch states and to provide a RS232 serial output for extemal communication. ‘Note: For non-color displays, the backightis, ‘powered through the control board, as shown. For color displays, the control module includes a separate circuit board to power the backlight. Figure 2-20 + Electronic functional block ciagram as used in an Aespre machine w11i0140 08/07 2a‘Aespire 7100 2.7.2 Power Supply AWARNING ‘The power supply receives AC input from the machine's AC Inlet Module. The power supply is a universal 40 watt switching supply that outputs two DC voltages. The DC voltages are routed tothe Control Board where they are further regulated to produce the power requirements fr the 7100 ventilator system. * Input: Universal 85-264 VAC 47-63 Hz * Output v1: 6.0 VDC (40.5%) at0-5 A * Output v2: ‘9.0 VDC (£5%) at0-0.5A High votageinarea ot 1 symbol Figure 2:21 + 7100 Ventilator power supply 2.7.3 Sealed Lead Acid Battery 222 ‘sealed lead acid battery supplies battery backup forthe 7100 ventilator, ‘ince itonly provides power in case ofa power failure, the battery sin afloat charge state most ofthe time. ‘The battery meets the following * capacity to operate ventilator system for 30 minutes (fully charged); * long lat charge life; «= the battery i intemally fused (auto-resettable), Input: Nominally 6.8 VDC at 25°C during float charge. Output: +0.6 t0 +6 Amps during discharge o8/or waii01402 Theory of Operation 2.7.4 Control Board The Control Board contains all of the major circuit functions necessary to control ventilator operation. ‘The Control Board comprises three functional circuit types: * power circuits, * analog circuits, * digital circuits. These circuits are detailed individually in the following section. Overall the Control Boar's functions include: ‘Note: The functions supported by the color and non-color control + Bus access control signals forall memory and peripheral devices boards areidentica.Thecircut’ | intenupthandling descriptions thatfolow applyto | «clocks and timers forthe system bothcontolboards,exceptwhete | asos7c serial /0 dieences arenotedto suport | | Fava generator fr seal pot the color display = Hard (power-up) and soft (watchdog error) reset generation pata bus utters + Memaryand /0 decoding + Program memory wth “memory tek software ungrade + Safety Relevant Computing (SRC) + Watchdog system + Data acquisition + Fow valve contol + PEEP valve civ and PEEP safety valve dive + Frontpanel interface + Auio alam Control Board — noncolrdeply wr110140 08/07 233‘Aespire 7100 Control Board The power section ofthe controller board receives the 6 VDC and the 9 VDC Power Circults outputs from the power supply. The 9 VDC supply is used to charge the backup battery. The 6 VC supply is processed futher to suppl various power requirement throughout te 7100 ventilator. incase of power fale, the bateryis switched into supply power * power to drive the fan (5V) = 5V supply for digital circuits + 3.3V supply for the CPU + 5V supply forthe LCD clspay backlight + suppy forte LCD display convatajustment + -24V adjustable (non-clor dspay) '* 1.3V to 2.3V adjustable (color display) + 1.5Asuppyforcontol ofthe Inspiratory and PEEP aes ‘© +12V supply for analog circuits: + +12V supply forthe Monitoring Iterace Assembly * -12V supply for analog circuits {ep ea poe Ce saan 9, oorn sete mt) 2) =. wouggamae [ ress yi) Figure 2-22 » Control board block dagram -Power circuits 208 owyor mast01402 Theory of Operation Control Board The analog section ofthe controller board processes inputs from the ‘Analog Circults Monitoring interface Board and the Pneumatic Engine Board It mutiplexes the inputs for display by the digtal section * Inspiratory flow ratory ow * Away 02 * Airway pressure Under the contro of the digtal section, the analog section includes drivers for the pneumatic engine components: * flow valve (inspiratory valve) + PEEP valve = PEEP safety valve ‘The switch signals from the Monitoring interface Board and the supply ‘ressure signal from the Pneumatic Engine Board are passed on as inputs to the digtal section. Figure 2-23 + Control board block diagram - Analog circuits ist0140 08/07 238‘Aespire 7100 Control Board Digital Cireutts ‘The digital section of the controller board includes a MCF5206e ColdFire ‘microcontroller. The Aespire 7100 operating software is stored in 2MB of -bit (1Mx16) Flash ROM. The board includes: += 1MB of 8-bit(512Kx1.6) static RAM (SRAM) for operation, + and(*32Kx8 for non-color)or(**64Kx.16 for color) CMOS static RAM for processing video information ‘The controller receives switch inputs from the front panel keyboard and the system inputs from the Vent Monitoring Board, the Serial Isolation Connector Board and the Vent Engine Board, ‘The patient circuit parameters are multiplexed through the analog section. ‘The LCD Display is driven through the Video Controller. It displays the processed patient cicult parameters along withthe derived alarm and, system condition messages. ‘Additional outputs include an audio amplifier to drive the speaker and a RS232 driver for external communication through the Serial Isolation Connector Board. gure 2:24 + Cont board block diagram Digital crus wor wusto1402 Theory of Operation ‘The Vent Monitoring Board (VMB) i the interface between the patient circuit sensors the inspiratory and expiratory flow sensor, the O» sensor) and the ventilator contol module. t also passes diferent switch functions through to the ventilator control module and provides power to the task ight Respiratory gas flow, to and from the patient, is monitored by measuring the differential pressure across a variable orice in each flow sensor. The pressure transducers for measuring the differential pressure are on the VMB. Conditioning circuitry is supplied for these transducers and for the Oxygen sensor used in the breathing cicult. Pressure sense tubing and signal wiringis routed from the sensors and ‘witches in the breathing system to the VMB. A separate cable transfers ‘power and signals to and from the Control Board in the display module. WE ‘Figure 2-25 » Breathing Circuit Vent Monitoring Board (VMB) wmiti0140 08/07 237‘Aespire 7100 2.7.6 Serial Interface The Serial isolation Connector Board (SICB) provides three functions: + Ttserves as an interface between the control board and switches that are located in the machine itself (notin the breathing system). + Itprocesses serial communications signals from the contol board tothe RS-232 Serial port on the breathing system side ofthe Aespire machine. + Itprovides remote monitor On/Off through an isolated relay Machine Switches The machine switches include: + the System On/Standby switch + the Op supply pressure switch + the Op fush switoh Serial Communications The serial interface provides isolated RS232 serial communications. The TO (transmit) and RXD (receive) signals between the SICB and the control board are at RS-232 levels. Circuits on the board change the signals to digital SV levels; isolate them through optocouplers; then, change them back to RS-232 levels before sending them tothe outside word. + The external communications signals conform to standard RS-232C signal standards. ‘The extemal connectors a 15-pin female D connector. * Itis configured for Data Communications Equipment (DCE) * Pin 6- Receive data * Pin 13 -Transmit data * Pin 5 - Signal ground + Pin 1 - Monitor On/Standby ' Pin 9- Monitor On/Standby retum Figure 2:26 + Serial Isolation Connector Board (SICB) 238 9/07 mast0%402.7.7 Vent Engine Board Pneumatic Engine Interface ‘Alrway Pressure Transducer Parson "your EPEC Figure 2:27 + Vent Engine Board (VEB) wi1s0140 08/07 2 Theory of Operation ‘The Vent Engine Board (VEB) provides two functions: * snes as an intefoe betwen the conto Bord andthe preumot engine. * Itprocesses the output from the airway pressure transducer. ‘The board provides a direct connection for the drive and return lines for the ‘control valves on the pneumatic engine: + Inspiratory Flow Valve PEEP Valve «= PEEP Safety Valve ‘The board routes the Supply Pressure Switch signals to the contol board. The VEB includes a +5VA regulator to power the airway pressure transducer circuitry. The circuits provide EMI fitering, signal amplification, and buffering. ‘FLOW WALVE FO Samco ow net ums iow rary SRO Part ‘gw Surety eressune |__| SMTCNCOMETOR | | $~ siren SU RE | 700 coNTROL BoARD anno 239Aspire 7100 2.8 Ventilator mechanical subsystems 2.8.1 Drive gas Refer to Figure 11-1, "System connection block diagram," in Section 11 forthe ‘complete pneumatic/mechanical subsystem. ‘The mechanical subsystem includes: Pneumatic Vent Engine += Drive gas inlet filter + Supply gas pressure regulator * Inspiratory flow control valve * PEEP valve; PEEP safety valve; Pressure sense switch * Mechanical Overpressure Valve (MOPV) * Bleed resistor + Free breathing valve Exhalation valve Bellows assembly Breathing circuitflow sensors Drive gas (can be selected from 0, or Ai) enters the Vent Engine (1) at a pressure of ‘241 to 690 kPa (35 to 100 psi) through a 2-micron filter (2) thats located under the gas inlet fitting. Fae ey Ha 0 Psa Sth = Vent engine ‘Smooth side up (under plate) Figure 2:28 + Inlet iter 240 o9/or masi01402 Theory of Operation 2.8.2 Pressure Regulator The pressure regulator (3) is a non-eievng pressure regulator that regulates high pressure fitered supply gas down to 172 kPa (25 psi. ath | Laafae | ee a Figure 2-29 « Pressure regulator 2.8.3 Insplratory flow The inspiratory flow control valve (4) cycled by the conto board to supply ‘control valve dive gasto the outer chamber af the bellows assembly at arate determined by ventilator settings and sensor signals. The contol valve modulates the incoming 172 kPa (25 ps) ve gases to an output fom Oto 70 ters per minute at pressures ranging from Oto 100 em H0. pee fw rene conn (EH kes tw [ie ae z Figure2:30 + Flow contol vave witt0140 08/07 2aAespire 7100 2.8.4 Exhalation (PEEP) Control The exhalation valve contains an elastomeric diaphragm thats used to control the pressures inthe breathing circuit. The exhalation valve includes two male ports on the bottom for: + Bellows dive gas(5) + Exhalation valve pilot (6) - (manifold pressure) The exhalation valve includes three ports on top that connectto the bellows base manifold: * Drive gas pass through (7) * Drive gas return and pop-off valve flow ( * APLexhaust low to scavenging(®) ‘Aport tthe back of the exhalation valve (10) connects to the down tube that directs all the exhaust flows tothe scavenging receiver. ‘The exhalation valve is normally open. When the exhalation portis open, gas flows from the bellows housing to the scavenging port. Approximately 2.cmH,0 of pilot pressure is necessary to close the valve. Plot control ofthe ‘exhalation valve is done with PEEP Control Valve (A), Supply Pressure Switch (B), and the PEEP Safety Valve (C) sot Figure 2:31 + Exhalation (PEEP) vale 242 wor wa1101402.8.5 Reservoir and bleed wis10140 08/07 resistor 2 Theory of Operation ‘The reservoir (41) is a 200 ml chamber that dampens the manifold (pilot) pressure pulses to the exhalation valve ‘The bleed resistor(12)is a “controled leak’ from O to 10 L/min in response to circuit pressures from 0 to 100 cm HO. The small quantity of pneumatic flow exhausting through the bleed resistor permits control ofthe exhalation valve's pilot pressure by modulation of the valve output. The bleed resistor exhausts only clean drive gas and must not be connected to a waste gas scavenging circuit The outputs routed away from the electrical components to make sure that systems using oxygen drive gas meet the 10VA imitation, requirement for oxygen enrichment. Figure 2:32 « Resenoirand bleed resistor 249‘Aespire 7100 2.8.6 Bellows Pressure Rellef Valve ‘The Bellows assembly the interface between drive gas and the patent crcuitin the breathing system. The pressure relief valve (orpop-off ve) inthe bellows assembly (13) limits pressure in the patient circu. Excess fresh gas is discharged through the exhalation valve into the gas scavenging system. “The pressure relief valve i normally closed, maintaining approximately 1.5 om H20 in the breathing crcuitina no flow condition, enough to keep te bellows inflated tis piloted closed during inspiration and remains closed until te bellows is refiled during exhalation. If the pressure inthe patient circuit exceeds 4 cm H0, the pop-off valve ‘opens to exhaust excess fesh gas low ata rate up to 4 L/min, Faure 2:33 + Bolows pressure relief valve 2.8.7 Mechani Overpressure Valve The Mechanical Overpressure Valve (MOPV)is a mechanical valve (14) that operates. regardless of electrical power. Itfunctions as a third level of redundancy tothe ventilator's pressure limit control functions, supplying pressure relief at approximately 110 em H,0. __ Stl vito Figure 2-34 » Mechanical overpressure vahe 9/07 mati01402 Theory of Operation 2.8.8 Free The tree breathing vane (15) helps assure the patient can spontaneously breathe. The Breathing Valve _ventiatoris programmed to supply a specified number of breaths per minute tothe patient. If, in between one of these programmed cycles, the patient needs a breath (spontaneous), the fee breathing valve permits the patintto inhale. he ree breathing valve is closed on mechanical inspiration. i teem ka tw 4h Fea Figure 2.35 + Free breathing vale 1110140 08/07 245‘wo low sensors are used to monitor inspiratory and expiratory gas flow. The Clrcult Flow inspiratory fiow sensors downstream ofthe gas system inspiratory check valve, ‘Sensors Feedback om the inspiratory ransduceris used to supply tidal volumes that make allowances forthe effects of fresh gas flow and circuit compressibility. The expiratory flow sensoris located atthe input tothe gas system expiratory check valve. Feedback {rom the expiratory flow sensor is used to supply signals for expiratory tidal volume ‘monitoring and the breath rate. Figure 2:36 « Flow sensors 246 owyor maii0140Inthis section AN WARNINGS: sms110140 08/07 3 Checkout Procedure 3.1 Ventilator post-senice checkout . 282 3.2inspect the sytem essessssee . 282 3.3 Pipeline and cyindertests .. 233 3.4 Flow contoltests 34 3.4.1 With 0, monitoring. . 34 3.4.2 Without Op monitoring... 36 3.5 Pressure relief tests 38 3,603 supply alam test... se 38 3.7 Flush Flow est. 38 3.8 Voporer back pressuetest . 3.10 3.9 Low-pressue leaktest 341 3.9.1 Negative low-pressure leaktest =... aut 3.9.21S0 or! standard low-pressure leaktest ... 342 3.10 Alamtests.... oo Bd 3.11 Breathingsystem tests. 3.16 3.12 Auman 02 flowmeter tests. oe 3.18 3.13 integrated Suction Regulatrtests ..... 348 3.14 Power failure test coeeeeeeeneeee oo HH9 3.16 Eleticalsafetytests . 319 ‘After any repair orservice of the Aespire system, complete alltestsin this section. Before you do the tests inthis section: * Complete all necessary calibrations and subassembly tests. Refer to the individual procedures for alist of necessary calibrations. * Completely reassemble the system. Ifa test failure occurs, make appropriate repairs and test for correct operation. oy‘Aespire 7100 3.1 Ventilator post-service checkout 3.2 Inspect the system AX CAUTION A WARNING 22 ‘Mer senicingthe 7100 ventilator, perform te folowing service mode Calibrations: +0, Calibration ‘+ Zero Flow and Airway Sensors ‘+ Adjust Drive Gas Regulator + Airway Sensor Span ‘+ PEEPValve Calibration + Inspiratory Valve Calibration + Pressure Sensitity ‘Then, complete the checkout procedure forthe entire machine inte following sections. ‘The upper shelf weight imitis 34 kg (75 Ib). Do not leave gas cylinder valves open ifthe pipeline supply isin use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. Before testing the system, ensure that: + The equipmentis not damaged. + Components are correctly attached. = The breathing circuitis comecty connected, not damaged. ‘= Pipeline gas supplies are connected. = Oylinder valves are closed = Models with cylinder supplies have a cylinder wrench attached to the system, ‘= Models with cylinder supplies have a reserve supply of 2 connected to ‘the machine during system checkout. ‘= The casters are not loase and the brakes are set and prevent movement. ‘= The power cord is connected toa wall outlet. The mains indicator comes ‘on wen AC Power's connected. wor m1101403 Checkout Procedure 3.3 Pipeline and cylinder tests witi0140 08/07 A cAUTION A WARNING To prevent damage: = Open the cylinder valves slowly. = Donot force the flow controls. your system does not use cylinder supplies, do not do steps 2 and 3. 1. Disconnect he pipeline supplies and close all cylinder valves (i equipped). the pipeline andthe cylinder pressure gauges are notatzero, bleed all gasses from the system. Connect an 0» supply ‘Set the system switch to On. Setthe flow controls to mid range. 1. Make sure that ll gauges butO, are atzero. Disconnecttthe 0; supply. Make sure thatthe O, gauge goes to zero. As pressure decreases, ‘alarms fr low O, supply pressure should occur. sep eaoge 2. Make sure that the oyinders are full: a. Open each cylinder valve, . Make sue thateach cylinder has sufcient pressure not, close the applicable cinder valve and install fll cylinder 3, Testone cylinder ata time for high pressure leaks: Set the system switch to Standby, which stops the 0» low. Ifequipped, tun the auliary 0, ow conto fly clockwise (no fow). Ifequipped, tum off venturi derived suction. J. Open the einer. Record the oyinder pressure. Close te cylinder vale. Record the cinder pressure after one minute the pressure ‘decreases more than indicated below, there isa 5000 kPa 725 psig) fr ventiatr drive ga. £690 kPa (100 psig) fornon ventilator dive gas. Install a new cyinder gasket and do this step again h, Repeat step 3 forall cylinders. moeeoge Do not leave gas cylinder valves open ifthe pipeline supply isin use. fer supplies could be depleted, leaving a sufficient reserve supply in case of pipeline failure. 4. Connect the pipeline supplies one at a time and ensure that the ‘corresponding gauge indicates pipeline pressure. 39‘espire 7100 3.4 Flow control tests a 3.4.1 With 0, monitoring AX WARNING Note If the system includes 0, monitoring, complete the flow control tests, “with Op monitoring”. {M the system does not include 0, monitoring, complete te low control testsin Section 3.4.2, “Without 02 monitoring”. Nitrous oxide (NO) flows through the system during this test. Use a safe ‘and approved procedure to collect and remove it. 41, Setup the gas scavenging system. ‘a, Connect the AGSS to a gas scavenging system. b. Attach a patient circuit and plug the patient port. «. Attach a bagto the bag port (or plug the bag port). 4, Set the Bag/Vent switch to Bag. €. Adjust the APL valve to minimum. Connect the pipeline supplies or slowly open the cylinder valves. . Tum all flow controls fully clockwise (minimum flow). . Set the ACGO selector switch to ABS. 5. Tum on the system. Confirm thatthe 0» sensor measures 21% in room air and 100% in pure 0, f not, calibrate the O» sensor. 7. Make sure that + Fora dual-tube 0, flowmeter, the Op flowtube shows 0.025 to 0.075 L/min. * Fora single-tube 0, flowmeter, the Op flowtube shows 0.175 to 0.225 L/min. * The other flowtubes show no gas flow. 8. Setthe flow controls to mid range of each flowtube and make sure thatthe flowtube floats rotate and move smoothly. Ifthe system does notinclude NO, skip steps 9 and 10. 9. Check the Link proportioning system concentration (increasing N20 flow). Observe the following precautions: ‘a, Start with all valves atthe minimum setting. b. Adjust only the Nz0 flow control . Increase the N70 flow as specified in the following table and make sure ‘the 0, concentration isin range. owyor mass01403 Checkout Procedure Note: Allow the Op monitorto stabilize. Atte lower flows, the 02 ) monitormay take up to 90 seconds o stabilize. 4. Htyou overshoota setting, tun the Op flow contol clockwise until the NO flow decreases to the previous setting before continuing the test. Set the N0 flow (L/min) ‘Measured O; [015 (duartiowubesonyy ———«|~Saneminimum | (0.5 (dual flowtubes only) 21% minimum 08 21% 1030% 10 21%6t030% 20 21%6t030% 60 21%6t030% 90 21610 30% 10.Check the proportioning system concentration (decreasing O» flow). Observe the following precaution: a. Start with NO vale at the maximum setting . Adjust only the Op flow control. «©. Decrease the 0, flow as specified in the table and make sure the O concentration in the allowed range. ‘Note: Allow the 0» monitor to stabilize. Atthe lower lows, the Op ‘monitor may take up to 90 seconds to stabilize. 4d. Ifyou overshoot setting, tum the NO flow contro counterclockwise Until the 0 flow increases tothe previous settingbefore continuingthe test. Sot the 0, flow (L/min) Measured 0 30 219610 30% 20 21%6t030% 10 21%6t0 30% 03 21% t030% 11, Check the linearity ofthe Airflow contro. * Turm the N20 flow control fully clockwise to minimum stop. Setthe O;flow | SettheAlrfiow (L/min) | 0, monitorrange (min) 40 30 ee TI% 35 60 45% 10 55% 15 80 28% 10 38% wsti0140 08/07 38‘Aespire 7100 3.4.2 Without 0, monitoring AX WARNING The following procedure will test for any significant malfunction of the Linksystem butitwill not confirm proper calibration. Periodic calibration procedures using an accurate and properly calibrated 0 monitor must be performed as recommended in the User's Reference Manual, Part2, section 3 User Maintenance. A\ Nitrous oxide (N70) lows through the system during this test. Use a safe and approved procedure to collect and remove it. 4. Setup the gas scavengingsystem. 1. Connectthe AGSS toa ges scavenging system. b. Attach a patient circuit and plug the patient por. ¢. Attach a bagto the bag por (or plug the bag port), 4. Setthe Bag/Vent switch to Bag, €. Adjust the APL valve to minimum. Connect the pipeline supplies or slowy open the cylinder valves. }. Tum al flow controls fully clockwise (minimum flow). Setthe ACGO selector switch to ABS. 5. Tum onthe system, 5. Make sure that + Fora dual-tube Op flowmeter, the O,flowtube shows 0.025 to 0.075 L/min + Fora single tube Op flowmeter, the 0 flowtube shows 0.175 to 0.225 L/min, ‘The otherflowtubes show no gas flow. 7. Setthe flow controls to midrange ofeach flowtube and make sue thatthe flowtube floats rotate and move smoothly Note Ifthe system does not include N0, skip steps 8 ands. 8. Check the Link proportioning system (increasing N70 flow), ‘Observe the following precaution: 2. Start with all valves a the minimum setting. b. Adjust only the N0 flow contol «. Increase the N70 flow as specified in the following table and make sure ‘the Op flowis as specified. 36 osyor mtst01403 Checkout Procedure 4d, Ifyou overshoot a setting, tun the 0 flow control clockwise until the 'N20 flow decreases tothe previous setting before continuing the test. ‘Setthe NO flow control to | The 0, flow must be (min) ‘eater than (Umi): 08 02 2 05 4 10 10 25 9. Check the Link proportioning system (decreasing 0, flow). Observe the following precautions: a, Setthe N20 flow to 9.0 L/min, b. Setthe 0 ow to 3 L/min or higher. While reducing the 0 flow, set the N20 flow tothe rates shown in the table, The O, low must be greater than the minimum mits. 4. Ifyou overshoot a setting, tum the N20 flow control counterclockwise ‘until the NO flow increases tothe previous setting before continuing the test. ‘Setthe NO flow ‘The 0; flow must be (using the 0, flow control) ‘greater than to(L/min) (ymin) a0 20 40 10 08 02 1140140 08/07 a7Aespire 7100 3.5 Pressure relief tests 3.6 02 supply alarm test 3.7 Flush Flow Test With Ventilator To check the pressure relief valve (vaporizer manifold oute) 1. Tum all flow controls fully clockwise (minimum flow). 2. Sethe ACGO selector switch to ACGO. 3. Connect a gauge ora digital manometer tothe ‘ACGO outlet using the positive pressure leak test adapter. 4, Adjust the Op flow to 0.5 L/min. Test Adapter 5. Verity thatthe test device reading stabilizes within the following range: ‘31-60 kPa, 230-450 mm Hg, 4.5-8.5 psi 6. Remove the test device and the adapter. 1, Setallflow controls to 3 L/min . Stop the 0» supply. (Disconnect te pipeline supply or close the cylinder vane.) 3. Make sure that: a. The low 0, supply alam occurs. b. TheNz0 if equipped) and ows stop. The O flow stops last. «Air (fequipped) flow continues. 4. Gas supply alarms occur onthe ventlatorif the ventilator uses 02s, the crve gas. Tum all ofthe flow controls fully clockwise (minimum flow). Reconnect the pipeline supplies. Setthe Bag/Vent switch to Vent. . Set the system switch to Standby. Attach a patient circuit and plug the patient port. ‘Setthe ACGO selector switch to ABS (Circle). Ensure that the bellows is completely collapsed. Measure the amount of time it takes to fil the bellows when the O» Flush button is fully and continuously depressed. . Repeat the above measurement two more times (defate bellows by removing the plug from the patient port. * The bellows should fil in 1.8 to 2.3 seconds. 8/07 wii 101403 Checkout Procedure Without Ventilator: 1. Set the Bag/Ventswitch to Bag. 2. Setthe system switch to Standby. ‘3. Attach a patient circuit and plug the patient port 4, Attach a 3-Iter rebreathing bag on the bag arm or manual bag port (ifa3-tterbagisnot available, use the time specified fora -lterbagtimes the volume of the bag used). Set the ACGO selector switch to ABS (Circe). Ensure that the rebreathing bag is completely collapsed. ‘Adjust the APL valve to maximum, ‘Measure the amount of time it takes to fill the rebreathing bag when the 02 Flush button is fully and continuously depressed. "Note: When the alway pressure gauge exceeds 10 em H0, the rebreathing bagis fll. 9. Repeat the above step two more times (deflate the rebreathing bag by removing the plug from the patient port. * Aster bag should filn 3.6 to 5.1 seconds. ‘A A-ter bag should filn 1.2to 1.7 seconds. Possible Causes of Fallure Large leak it ong filing ime). + Flush regulator setting (Section 5.5) ‘+ Flush regulator cross-connecton (iflong filing time). ‘+ ACGO selector valve inlet cross-connection if short filing time). te From 92 Sumer (Op FushVabe (And optional Aualary 0, Flowmeter) wi110140 08/07 39Aespire 7100 3.8 Vaporizer back pressure test AX WARNING 340 ‘Anesthetic agent vapor comes out of the common gas outlet during this test. Use a safe, approved procedure to remove and collect the agent. 1. Setup the gas scavenging system. ‘a, Connect the AGSS to a gas scavenging system. ». Attach a patient circuit and plug the patient port. c. Attach a bagtto the bag port (or plug the bag port) 4d. Setthe Bag/Vent switch to Bag. €. Adjust the APL valve to minimum. . Sethe ACGO selector switch to ABS. . Sethe system switch to On. Setthe 0; flow to 6 L/min. 9. Make sure thatthe O, flow stays constant and the float moves freely. . Adjust the vaporizer concentration from Oto 1% one click at atime. The O» ‘flow must not decrease more than 1 L/min through the full range. Ifthe O, flow decreases more than 1 L/min: 4, Install a different vaporizer and ty tis step again. b, Ifthe 0; flow decreases less than 1 L/min with a diferent vaporizer, the malfunction isin the fist vaporizer. «. Ifthe 0, flow also decreases more than 1 L/min with a different vaporizer, the malfunction i in the Aespire system. Do not use the system until its serviced (tepair vaporizer manifold port valve). 7. Complete steps 3 through 5 for each vaporizer and vaporizer postion. 8. Setthe system switch to Standby. w/o masto1403 Checkout Procedure 3.9 Low-pressure leak test Note Perform either the “Negative low-pressure leak test” or the “ISO or BS! standard low-pressure leak test. Itis not necessary to perform both tests. AS WARNING — Donotuse a system with a low-pressure leak. Anesthetic gas will go into ‘the atmosphere, not into the breathing circuit. 3.9.1. Negative low- 1, Testthe leaktest device: pressure leak test a. Putyourhand onthe inlet ofthe leak test device. Push hard fora good AXWARNING 1rt0140 08/07 seal, . Squeeze the bulb to remove all airfrom the bulb. «Ifthe bulb completely nfates in less than 60 seconds, replace the leak test device. . Set the system switch to Standby. . Set the ACGO selector switch to ACGO. |. Turn off all vaporizers. Testthe anesthesia machine for low-pressure leaks: a. Open the flow controls one and a half tums counterclockwise. . Connect the test device to the ACGO outlet. ©. Compress and release the bulb until itis empty. 4, The vacuum causes the floats to move. This is usual. the bulb ‘completely inflates in 30 seconds or less, there isa leakin the low- pressure circuit. 6. Test each vaporizer forlow-pressure leaks: a. Setthe vaporzerto 1%. b. Repeat step 5. ¢. Setthe vaporizerto OFF. 4. Test he remaining vaporizer. 7. Disconnect the test device. 8 Tum all flow controls fully clockwise (minimum flow). Do not over tighten. ‘Agent mistures from the low-pressure leak test stayin the system. ‘Always lush the system with O, afterthe low-pressure leak test(1 L/min for one minute). ‘Tum off all vaporizers atthe end of the low-pressure leak test. 9 Flush the system with 03: . Sette system switch to On, 9. Setthe 0 flow to 1 L/min, Continue the 0; flow for one minute, 1. Tum the O, flow contol fully clockwise (minimum flow). Set the system switch to Standby.‘Aespire 7100 3.9.2 SO or BSI standard low-pressure leak test A.cauTion ACAUTION Do the positive pressure leak test at the ACGO outlet only. 4, Setthe ACGO selector switch to ACGO. 2. Turall flow controls fully clockwise (minimum flow). 3. Using the positive pressure leak test adapter, connect the ISO or BSI specific leak test device tothe ACGO outlet. Push the adapter into the ACGO outlet throughout the testto get a good seal Leak Test Adapter wr TS) pore i» Ss 4, Keep flowmeter of the test device vertical for accurate results. ‘5. Fully open the needle valve onthe test device (counterclockwise. Ifthe needle valve is not fully open, this test can damage the pressure gauge on the test device. 6. Setthe system switch to On. wor wxs101403 Checkout Procedure 7. Open the 0, low control and set a total flow of 0.4 L/min through the flowmeter on the test device. ‘8. Make sure that the pressure gauge onthe test device reads zero and that all other flow controls ae fully closed. 9. Close the needle valve onthe test device unt the test gauge reads: 1805358 ‘Sha 814272, 20KPa 10.\Fthe flow through the test device is less than 0.35 L/min (1S0) oF 0.31/min (BSI), there isa low pressure leak in the anesthesia machine. 11, Fully open the needle valve on the test device to decrease the back. pressure, 12.Test each vaporizer fr low-pressure leaks: 4, Setthe vaporizerto 1%, . Repeat steps 7 through 10. «. Tum the vaporizer OFF. 4, Testthe remaining vaporizer. 13, Remove test tool and adapter. ASWARNING Agent mixtures from the low-pressure leak test stay in the system. ‘Always flush the system with Op afterthe low-pressure leak test(1 L/min for one minute). ‘Tum all vaporizers OFF at the end of the low-pressure leak test. 14, Flush the system with 0, 4, ‘Setthe system switch to On. b. Sethe 0, lowto 1 L/min. . Continue the O; flow for one minute. d. Tum the 0; flow control fully clockwise (minimum flow). . Setthe system switch to Standby. wmiii0140 06/07 33