Aestiva Operation Manual—Part 2 Software Revision 3.X Setup, Cleaning and Sterilization, Maintenance and Troubleshooting 8 Datex-Ohmeda Devoted to caring for lifeUserResponsibility A\Caution This Product will perform in conformity with the description thereof contained inthis ‘operating manual and accompanying labels and/orinserts, when assembled, operated, maintained, and repaired in accordance with the instructions provided. This Product must be checked periodically. A defective Product should not be used. Parts that are broken, missing plainly wom, distorted, or contaminated should be replaced immediately. Should repair or replacement become necessary, Datex-Ohmeda recommends that a telephonic ‘or written request for service advice be made to the nearest Datex-Ohmeda Field Service Support center. This Product or any ofits parts should not be repaired other than in ‘accordance with written instructions provided by Dates-Ohmeda and by Datex-Ohmeda trained personnel. The Product must not be altered without the prior written approval of Datex-Ohmeda's Quality Assurance Department. The user of this Product shall have the sole responsibility foray malfunction which result from improper use, faulty maintenance, improper repair, damage, or alteration by anyone other than Datex- ‘Ohmeda. U.S. Federal and Canadian law restrict this device to sale by oron the order of a licensed medical practitioner. Outside the U.S.A. and Canada, check local laws for any restriction that may apply. 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. AAA & 12345 This alpha character indicates the year of product ‘manufacture and when the serial number was assigned; “Y" = 1995,"Z"= 1996, “A’ = 1997, ete. “” ‘and “O" are not used 1006-04 000 6/29/00 oe 1/Introduction E 2/Cleaning and Sterilization 3/Setup and Connections 1006-0402-000 6/30/00, NONDDDDAD DDD A AAANNHOHDMOHHO GHA OOO SO OEEEEEEEEEOEE How to use this manual ‘Symbols used in the manual or on the equipment Maintenance summary and schedule Operator maintenance Datex-Ohmeda approved service ‘Summary .. Patient path Scavenging path Clean and sterilize Towash (by hand or machine) ...... Autoclave ‘Special requirements Assemble Disassemble the patient path Canister disassembly Disassemble the scavenging path . How to clean and disinfect the flow sensors. Breathing system setup Canister Setup Pneumatic and electical connections How to install gas cylinders (high pressure leak test) Cylinder yokes DIN connections How to install gooseneck lamp (12 V) How to attach equipmentto the top shelves How to install equipment on the foldout shett Installation notes Table of Contents 24 22 24 24 25 26 26 27 2-10 2-12 2-13 341 311 3-12 3-14 3.47 23-18Aestiva 4/User maintenance 5/Troubleshooting 6/Iilustrated Parts 7/External Communications Repair policy cong eee eee a2) 43 Manifold maintenance Expiratory valve maintenance ........++ Receiver maintenance (Filter) Flow sensor maintenance cceeceie tees teteeenees ere lh ®) Breathing circuit maintenance ciete ete ceteteteeeteeses AO Bellows maintenance 4-12 Bellowstests . es coe 415 0, sensor calibration - 21% Op 418 0, sensor calibration - 100% 0> fo 4-21 Flow sensor calibration 4.24 How to prevent water build-up 4.25 About alarms, 52 Alphabetical lst 5-4 Breathing system problems (no alarm) .......-.2+s+0++ 5-16 Electrical problems (power failure, etc.) S17 Pneumatic problems . - 519 Breathing system parts ...... pocorn) Top level 62 Main manifold .. 65 Exhalation valve 67 BellOWS v0. cose 69 Test tools and system parts . : 6-10 Extemal communications .... wT Protocol Description (Ohmeda Com 1) 6/30/00 1006-0402.000 DADNADNNDDDNNNDNDNNDNANDADAHAAHAHHAHDAAAARAAAARKEAACAAL oe < VOM OOMOM Deve Deven OKoe 8/Specifications and Theory of Operation VentilatorTheory Modes ... Breathing system schematic intemal signal schematic Pneumatic circuits Suction regulator Extemal flow regulator. . Breat ng system specifications Pneumatic specifications .. Flow specifications .. Electrical power Power cord . Electrical Fuses . Battery Information Electro-magnetic Compatibility Physical specifications Environmental requirements Temperature . Humidity Attitude Ventilation Operating Specifications . . ‘estiva™ Ventilator Accuracy Data Index Warranty 1006-0402-000 6/30/00 Table of Contents 82 83 85 86 BT 8-10 8-10 Bll B15 8-16 817 B17 818 8-18 B18 8-19 8.20 8-20 8.20 8-20 8.21 8.23Aestiva 6/30/00 1006-0802.000 J Poe ee eeu LDELELLLULLLLYL DADAINAADANANAANA ANAND AAANANAANAAAANRARAARAAADAAAIAAD Introduction In this section Howto use this manual ‘Symbols used in the manual or on the equipment Maintenance summary and schedule Operator maintenance .. Dates-Ohmeda approved service 4006.0802-000 6/29/00, 12 13 16 16 17ie 2 2 2 2 2 2 2 2 2 2 2 2 2 ” 2 a ~ ~ Aestiva How to use this manual 2 WARNING 12 Thisis parttwo of the Aestiva operation and maintenance manual. It tells you how to = Remove and clean parts * Set up the system * Identify and replace wom or damaged parts, * Calibrate the O, sensor The second half of this chapter is a maintenance schedule, ‘The last section, troubleshooting, tells you what causes each alarm and what you can do about it. Use this manual together with part 1, which includes the operating instruc tions and preoperative checkout. fan alarm occurs, safeguard the patient frst, before troubleshooting or repair procedures. 6/29/00 1006-0402-000, DDNDNNDNDDNDDNDDDNDADNDAANDKHHHOHHAHAAAAAAAAAACAAAAAA Introduction Symbols used in the manual or on the equipment A\wamings ana L\ cautions tel you about dangerous conitons that can occur if you do not follow alll instructions in this manual. \Wamings tell about a condition that can cause injury to the operator or the pa- tient Cautions tell about a condition that can cause damage tothe equipment. Read ‘and follow all warnings and cautions. Other symbols replace words on the equipment or in Datex-Ohmeda manuals. No one device or manual uses all of the symbols, These symbols include: On (power) Off (power) Standby ‘Standby or preparatory state for part of the equipment ‘ON" only for part of the equipment I oO © oO © } “OFF” only for part of the equipment Direct current Alternating current Protective earth ground Earth ground Frame or chassis ground ‘Alam silence button Br +O 1006-0802-000 6/29/00 PPA? ®@ A tt 4 ® © REF SN Not autoclavable Type B equipment ‘Type BF equipment Type CF equipment Caution, ISO 7000-0434 Attention, refer to product, instructions, IEC 601-1 This way up Dangerous Voltage Input Output Stock Number Serial Number 13DONANNANDADADDADADANADANANDAAAAARAAAAAAAAAAAAAAAAAT Aestiva v 200 134°C 14 Equipotential Variability Variability in steps Plus, positive polarity ‘Minus, negative polarity Lamp, lighting, illumination Movement in one direction Movementin two directions. Lock Unlock Autoclavable ‘Systems wit this mark agree with cE the European Council Directive eS (93/42/EEC) for Medical Devices when they are used as specified in theirOperation and Maintenance Manuals. The noxis the certification numberof the Notified Body used by Datex- ‘Ohmeda’s Quality Systems, say Read top of float. Vacuum inlet & Suction bottle outlet Oot 02 Flush button i Cylinder IE Isolation transformer Linkage system Risk of Explosion. Low pressure leak test 6/29/00 1006-0802-000 PH evo vVvYvVUOVYOVVUVLUULUUULULY Pe vvoveve oe < Bag position/ manual ventilation Open drain (remove liquid) ~ Inspiratory flow t 02 sensor connection, D te] (*- The primary regulatoris set to pressure less than 345 kPa CE European Union Representative 1006-0402:000 6/29/00 Introduction Mechanical ventilation Close drain Expiratory flow End case ‘The primary regulatoris set to pressure less than 414 kPa, 153 Cc ¢ ¢€ € ¢ c c c c c c ¢ ¢ € € e 4 ce c c c c c c c c Cc c ec Cc Cc c c Cc c Cc Cc ae S a c a c Sq Aestiva Maintenance summary and schedule ‘These schedules show the minimum frequency. You wll have to service the equipment more frequently ifyou use * Inuunusual conditions (diy gas supplies, high temperature, high humility, etc.) * More frequently than normal Operator maintenance Examine all components and do the maintenance procedures more frequently ifnecessary. Minimum Frequency Maintenance Dally + Clean the extemal surfaces. + 21% 0; calibration (circuit 0, sensor. + Flow sensor calibration Two weeks Drain the vaporizers and discard the agent. Tis isnot necessary for Tec 6 vaporizers Monthly * 100% 0, calibration circuit, sensor. = Putkxytox (ora lubricant approved for use with 100% 0,)on ll tee handle threads. Duringcleaning + Inspect the parts for damage. Replace or repair as and setup necessary ‘Annually ‘= Replace the extemal o-rings on the vaporizer ports Asnecessary = Install new cylinder gaskets on cylinder yokes. ‘+ Replace the absorbent in the absorber. * Drain the breathing system. + Drain the breathing circuit module. * Drain the overflow trap on the optional suction regula- tor. * Replace the circuit 0, sensor. * Replace the disposable flow sensors (plastic) 7 * Replace the autoclavable flow sensors (metal)? + Replace the receiver fier (active gas scavenging onl). 2. Undertyicswse he sensors spectstens Simons 5 Under pica use te sensarmeets specications 1 yar 16 6/29/00 1006-0402.000 i | | | | 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Q 2 2 2 a 7 + 4 4 Datex-Ohmeda approved 1006-0402.000 6/29/00 service Introduction ‘Minimum Frequency Maintenance months Have an approved service person do the service tests. and scheduled service maintenance.| oC ? o\? Aestiva ie ! 5 c;? | ? cj? c 2 Cc 2 > 7 or c 2 Cleaning and sterilization Cc 2 Cc 2 co 4X WARNING Obey applicable safety precautions: ¢? | c Py + Read the material data sheet foreach ‘Cleaning agent. | c 2 * Read the operation and maintenance manual forall: sterilization equipment. | Cc 2 = Wear gloves and safety glasses. A damaged 0, sensor can leak and cause | se burns (contains potassium hydroxide). ere + Donot breathe the fumes. c* ce: AX CAUTION To prevent damage: c* Cue * Refertothe manufacturer's data ifyou have questions abouta cleaning agent. Cc: = Donotuse organic, halogenated, or petroleum based ‘solvents, anesthetic c agents, glass cleaners, acetone, or other harsh cleaning agents, c* . m not use abrasive cleaning agents (such as steel wool, ‘silver polish or Cc cleanser). Cc: * Keep all electronic parts away from liquids, c: * Donot permit quid to go into the equipment housings, ¢ « ‘* Donotsoaksynthetic rubber parts formore than 15 minutes. ‘Swelling orfaster aging can occut 4 < * Only autoclave parts that are marked 134°C. ea Inthis section summary ..........scccseccececcsseseesessesssevessvessrecesseecesses Det \ cc. Clean and sterilize Aedeeeee . . 24 | c: Disassemble the patient path Hodcogdogeosaccoca 7 27 \ Cr Canister disassembly 2.2.2.0... . 2.10 | € ; Disassemble the scavengingpath ..... ea pea) |: c. How to clean and disinfect the flow sensors . seneeee 2-13 | c- | 18 1/28/00 1008-0402.000 c- ioe eae sicieeat | ce: srasi0 2 | c- ,Aestiva Summary Patient path —_Thepartsin Figure 2-1 send exhaled gas backto the patient. They may require ‘more frequent cleaning/ sterilization than parts in Figure 2-2. Refer to your hospital's infection control policy. Autoclave (134°C) or wash (mild detergent pH <10.5) + [IE plastic, referto cleaning/disinfection ———" procedure. If metal, autoclave (134=C) HBB vice witha damp cot. Figure 2-1 » These parts retum exhaled gas to the patient 22 6/20/00 1006-0402-000, ODADDDDDDIANDDDNDADNDNAAKHAAHAHAAKAAAAAARAAAAAACAE VUVOVVVVIYVVVYvYHYULULULULE via a Scavenging path 1006-0402.000 6/29/00, Basic cleaning and sterilization Autoclave (134°C) or wash (mild detergent pH <10.5) Figure 2-2 « These parts do not send gas back tothe patient 23oe oc. ce Aestiva ae Basic cleaning and sterilization ce a cr Clean and sterilize ce Autoclave ce 3 Patient path ‘The Disassembly part ofthis section tells you how to remove parts for cleaning c- aed PG, c- To wash (by hand or eo Metal Only machine i ) Patient path cw cn g c~ . ce c~ c~ c7 c~ ce cw cw cw ce . cw 5 Scavenging path cw 7 (a) es 2 cs i c + Y . ae & cx c* Use a mild detergent (pH <10.5). Then, rinse and dry completely All parts ce. except the O, sensor, and flow sensors can be washed. cc Usermaintenance tells you how to disassemble parts and clean inside them if cs necessary. > ec: cc. Autoclave at 134°C. Inspect the parts for deterioration. The user maintenance c= section tells you how to do this. ex ce. 24 729/00 1006.0402.000 AS 1006.0402.000 6/28/00 25 ce.Aestiva Special requirements 2X WARNING 2S CAUTION Aa A Assemble 26 * Hang the bellows upside down (extended) to dy. I not, the convolutions can stick together. + Toclean the circuit O» sensor, wipe itwith a damp cloth. Do not put he sensor in liquid. += To clean/disinfect metal/or plastic low sensors, use the flow sensor cleaning procedure. Do not get the connectors wet += Disassemble the bellows before you washit.ifnot,itwilltakea very longtime to dry. Hang the bellows upside downto dry ‘= Assemble the bellows before you autoclave. Autoclave the bellows upside down, Do not use talc, zinc stearate, calcium carbonate, com starch or equivalent materials to prevent tackiness. These materials can go into the patient's lungs and airways and cause inrtation or injury. Do not put the circuit 0, sensor or flow sensor connector in liquid. Do not autoclave the Circuit O, sensor or the plastic flow sensors. Do not clean the interior surfaces of the flow sensors. Use a damp cloth on extemal surfaces only. ‘The Set-up section tells you how to assemble the breathing system. Inspect all parts for deterioration. Replace them if necessary. ‘The Preoperative tests in part 1 (the first half ofthis manual), tell you how to test the system for correct operation. 5/29/00 1006-0802-000 DNDDADDDDDDADAADAAAAAAAAN AAD AN AND AH OOOAKADDAAADAOHHOOEE CEO OHA POOH aes HUHELLLLLE Basic cleaning and sterilization Disassemble the patient path Step1 Open the access panel. Step2 Push up on the latch located under the flow sensor module. Step 3 Remove the flow sensor module. You will feel some resistance. Continue to pull Step4 Disconnect the cable and remove the 0, sensor. 1008-0402-000 6/29/00 27Aestiva Step 5 Completely loosen the thumbscrew on the breathing circuit module. Step 6 Remove the module. You will fel some resistance. Continue to pull. Step 7 Push the metal button to the fist stop. Pull out the bag arm. Step8 Push the metal button to the second stop and open the top panel. 28 anoeeot7 6/29/00 1006-0402:000, ANNDDNDDDANDNNDDDNDAADAADADAHAADHHAADAAAAKDKHAKAAAAQAAAAAAG eee vuvvvevvvvvvvVVVKHUu Basic cleaning and sterilization Step 9 Push the release button and remove the bellows assembly (pull up). Step 10 Remove the main manifold, snsecase Autoclave assemblies marked 134°C. Refer to the Section “Clean and sterilize” for complete instructions. To assemble the circuit refer to the Setup Section, 1008-0402.000 6/29/00 292 2 2 Aestiva 2 Basic cleaning and sterilization 2 2 Canister disassembly 2 Step4 2 Push in the buttons on each side of the 2 top dish. 2X CAUTION To prevent damage, pull the release handle forward. Then turn the handle 2 f 5 \ Step 1 3 Pull the release forward. 2 1 i 2 2 2 , Step5 Lift up the drain dish, 5 Remove the top dish and drain dish 3 5 4 : Step 2 ; z Turn the release clockwise, s . . Continue with the next section or goto Cleaning and sterilization. To assemble, & referto the Setup Section. Step 3 Pull down and out on the canisters. 240 6/29/00 1006.0402.000 1008-0802.000 6/29/00, a HODDDNDDDDDNDDDDNDDDHGDADKHHADKDAAKDAKDAGCAAACAAAAACACAECOEAestiva Disassemble the scavenging path ‘These parts send exhaled gas to the disposal system, not the patient. Exhalation valve Complete the basic disassembly proce- dure. Push in the latches and pull out the exhalation valve, Scavenging reservoir Loosen the knob and remove the rear cover. Pull the reservoir up and to the rear Twist and pull down to remove the tube. 242 6/29/00 1906-0402.000 NNDDNDDNDANDDANAADNDANDADADAAAANAAAAAAAAAAAAAARACAD Pew eee OOOOH UYUYYYUUUUUUUUOULLEY Basic cleaning and sterilization How to clean and disinfect the flow sensors AXCAUTION CIDEX sterilization Procedure (Figure 2-3) 1006-0402-000 6/29/00, Do not autoclave plastic flow sensors. Do not use high pressure gas, or brushes to clean the flow sensors. Do not use cleaning solvents that are not approved for use with Polycarbonates (e.g. CIDEX Plus). Both Dates-Onmeda and the manufacturer of CIDEX iohnson & Johnson) have tested this procedure, * CIDEX must be 14 day mixture, with activator vial REF REORDER # 2245 ‘= One liter ofthis solution cleans four (4) flow sensors 1. Remove the flow sensor module from the absorber. Refer to “Disassemble ‘the patient path" in this chapter. 2. Remove the flow sensors from the module, * Push in the latch, * Pull offthe cover. = Remove the flow sensors. 3. Submerge the flow sensor and tubes in activated CIDEXsolution. Keep the ‘connector dry. 4. Keep the solution in the tubes forthe sterilization period, 5. Submerge the flow sensor and tubesin distilled water. Again, do not get the connector wet. 6. Rinse as indicated in CIDEX instructions. 7. Do steps 5 and 6 again to remove all CIDEX. 8 COMPLETLY dry the flow sensor and the tubes before you use the sensor. Use a dry syringe, or connect vacuum or pressure to remove all liquid from the ‘sensor (sensor, tubes, and connector): ‘© Minimum time: 4 min ‘= Maximum vacuum: 30 in Hg = Maximum flow: 10 1/min flow * Maximum pressure: 345 kPa (50 psi). 243Aestiva Step2 Steps 3 and 4 Steps 5, 6 and7 Steps 70 Figure 2-3 » Steps 2.8 Dry for> 1 min with these precautions: ‘+ Maximum vacuum 30 in Hg ‘+ Maximum flow 10 1/min ‘+ Maximum pressure 345 kPa (50 psi) 6/29/00 1006-0802-000 NNNDDNDNDDDDDDDNDAADADAAKDAAAAAKDAAAECAECAECEEEAAECEEE eevee caso cvirvedcdicdit Important Important. Important AX WARNINGS In this section 1006-0802-000 6/29/00 Setup and Connections Datex: Ohmeda strongly recommends that you use » monitoring with this equipment. Refer to local standards for mandatory monitoring, European Standard EN 740 requires anesthetic agent monitoring when anesthetic va. porizers ae in use. European Standard EN 740 requires CO, monitoring during ventilation, ‘Always make sure that the pipeline supply hoses and the breathing circuit. components are not toxic and will not: ‘+ Cause an allergic reaction in the patient. * React with the anesthetic gases oragent to produce dangerous by-products. To prevent incorrect values or equipment malfunction, use only Datex- Ohmeda cables, hoses and tubing. This system operates correctly at the electrical interference levels of IEC 601-1-2. Higher levels can cause nuisance alarms that may stop mechanical ventilation. To help prevent false alarms from devices with high-intensity electrical fields: + Keep the electrosurgical leads away from the breathing system and the flow and oxygen sensors, * Donotputthe electrosurgical leads on any part of the anesthesia system. To protect the patient when electrosurgical equipmentis used: ‘* Monitor the conect operation of allife support and monitoring equipment. + Keep backup manual ventilation available in case the electrosurgical equipment prevents safe use of the ventilator. * Do not use conductive masks or hoses. Breathing system setup 3-2 Canister Setup .... +36 Pneumatic and electrical connections a 37 How to install gas cylinders (high pressure leak test) q 311 How to attach equipment to the top shelves 3-14 How to install equipment on the foldout shelf ......... 3.16 Installation notes sees : ‘ 2317 34Aestiva Breathing system setup Step 1 Install the main manifold. Step2 Install the Bellows. Make sure the release button aligns correctly Step3 Gently close the control panel. Step4 Install the bag arm. 32 Install a rebreathing bag on the bag arm, ‘To assemble the patient circuit, start at step 5. aa see aasigore 6/29/00 1006.0802.000 | DONNDDNDNDDNNDADDDDDDDDDDDANAAADAAAKDAAAAAAAKAAAOE ‘Setup and connections Step5 Identity the breathing circuit ‘module (Circle, Mapleson, or Open). = Cirle Look atthe tabs on the rearor 5 Open vr the label on the front, HE Mapleson Step 6 Install the breathing circuit Module. You will feel = ‘some resistance. Continue to push Step7 Completely tighten the thumbscrew Step 8 Install the O, sensor, * Completely tighten the sensor. ‘+ Connect the cable. Aa e015. 014 1008-0402-000 6/29/00 33oo” ov ~ Aestiva Se Setup and connections ov c* Step9 7 5 Note 1 Install the flow sensor c* Flow sensor assembly module, * You will heara “click” i cs when it locks into c* position. 5 x * Refertonote 1 orthe user i ec: maintenance Cc, section, c* e c* Step 10 c* z Close the front panel, cc? : c* c* j c% : co c* c* Step 11 c* Connect the patient circuit. Circle or Open Module ce” co” Cc. G* - c ‘O> a c* : SS oe ae 3 c* Mapleson D / Bain Module c* c. To-fro Cc. oo Cc SS gh . 2 cr A - > 4 c. S&S c* cc. cc. 34 6129/00 1006-0402.000 c* 10060402-000 6/29/00 35 Ge c.Aestiva Canister Setup 2S WARNING Step 1 Pull the release forward. Step 2 ‘Tum the release clockwise 36 Each canister holds 1.35 kg of loose absorbent or 1.13 kg of commercially packaged (pre-pack) absorbent. Datex-Ohmeda recommends Sodium or Barium hydroxide based absorbent, Change absorbent often to prevent the build up of non-metabolic gases when the system is not in use. Inspect absorbent at the end of a case. During non-use, absorbent can go back to the original appearance. Refer to the absorbent labeling for more information about color changes. Ifthe absorbent completely drys out, it may give off CO (carbon monoxide) the next time you use it. For safety, replace the absorbent. 65/29/00 1006-0802.000 DNNNDNNDNADNNDANNDDANDNDADAKHHAKHKHAAAAAAGAAAGCAKCACAKCEAE POPOV MOOA HH OVO OVD aa ware Step 3 Push in the buttons and install the top dish and drain dish, Pull down to make sure the top dish is locked in place. Step 4 Fillthe canisters with absorbent and instal them, Push down on the drain dish if necessary. Step 5 Tur the release counter- clockwise. Step 6 Push in the release. 1006-0402-000 6/29/00 Setup and connections 37oc” c* Aestiva o* Setup and connections cy cy ; . c* Pneumatic and electrical connections | Pipeline Inlets ec: Label identities the gas. AAWARNING Equipment connected to the electrical outlets can increase the leakage c: current. Regularly test the leakage current. a a c* a ZXCAUTION Use only medical grade gas supplies. Other types of gas supplies may ea contain water, oil, or other contaminants. x Pneumatic outlet ‘The Aestiva gas supplies also supply these devices through internal connections: € : Labels identity the gos += The venturi suction regulator (optional) > el + The external Op flowmeter (optional c Note:The ult pressures 3 + Ventilator drive ges cc: een pressure: ari e to5 kPa when + Pneumatic outlets c-* cylinder supplies are used. c* ae Mains inlet ce Scavenging ce? Adapters may be necessary. ce? Refer to the Illustrated parts S . section > : S i z ce: 3 ce c* Outlets c Labels show outlet voltage c- ratings and circuit breaker amp ratings. c 5 ¢ c% c* Tec 6 power c* co 3 ce 3 c co: ea Ca c* 38 629/00 10060402000 c* 100¢-0402-000 6/29/00 39 c- cc:ml Cine o\* ~ Aestiva © ‘Setup and connections c~ o- ce " Suction regulator How to install gas cylinders (high pressure leak test Bt co Optional item. c- ~ ‘linn 1. Find the cylinder wrench. Note: Venturi regulators use ° ° © oy der yokes the system airor 0, supply c- Standard regulators must be eo c-* s connected to an external © 5 i vacuum supply. 2 aI c c-~ 2. Close the cylinder valve on the cylinder to be replaced, —_) ce External vacuum | =———— 2 g (non-venturi) ce 2 s Filter c a | = Pationt c? c? c? 3 ( | : 25 : c? 3 collection Bate c? i 2 External 0, flowmeter c 5, oral € = 4, Open the cylinder yoke. (id £ 3 c- : H as Ie Ce | c= 5. Remove the used cylinder and he used gasket. c~ f c= & | Serial port c~ a 2 5 2 : Referto the communications c~ a | appendix for command and c | data formats. 2 f SS i ; c 2 c ~ 6. Remove the cap from the cylinder valve on the new cylinder. i c= 7. Pointthe cylinder valve away from al flammable items and items that can be dam- c~ aged by a release of pressure. c 8. Quickl open and close the cyinder valve, This removes dirt fom the cylinder owe. i ¢ 3-10 16/29/00 1006-0402.000 Cc 1006-0402.000 6/29/00 31 ce cAestiva AX CAUTION AX WARNING DIN connections 312 No gasket or more than one gasket can cause a leak. 9. Install anew gasket. 10. Align the cylinder post with the index pins. 11.Close the yoke gate and tighten the tee handle 412.Installa cylinder plug and gasket in all empty cylinder yokes. 13.Do a high pressure leak test: * Disconnect pipeline supplies. * Disconnect all equipment from the pneumatic outlet and tum OFF the auxiliary flowmeter. * Set the system switch to Standby. * Open the cylinder. * Record the cylinder pressure. * Close the cylinder. If the cylinder pressure decreases more than 690 kPa in one minute, there is a leak, Torepaira leak: Install a new cylinder gasket and tighten the tee handle. = Dothis step again. Ifthe leak continues, do not use the system, 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, 1. Close the cylinder valve on the cylinder to be replaced. _ Va 2. Loosen the adapter and remove the cylinder. 7 { 3. Remove the cap from the oylinder valve on the new cylinder. 4. Pointthe cylinder outlet away fromallitems that can be damaged by arelease ofhigh pressure gas. 6/29/00 1006.0802-000 NNNDNANDNADADANAADNADAADAADAAAAAAAAAAAAAAAAAACGCIAAAGE ee eowwvwiaicing Fo) ~ Setup and connections 5. Open andimmediately close the cylinder valve to remove dittor contaminants. 6. Doa high pressure leak test: Disconnect pipeline supplies. Disconnect all equipment from the pneumatic outlet and tum OFF the ausiliary flowmeter. Set the system switch to Standby. Open the cylinder. Record the cylinder pressure. Close the cylinder. Ifthe cylinder pressure decreases more than 690 kPa in one minute, there is a leak. Torepaira leak: * Install a new cylinder gasket and tighten the tee handle. + Dothis step again, Ifthe leak continues, do not use the system. AXWARNING Do not leave gas cylinder valves open if the pipeline supply is in use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. 1006-0402.000 6/29/00 343Aestiva How to install the gooseneck lamp (12 V) AXWARNING — Use ONLY 2.4 Watt bulbs. Higher wattage bulbs can get hot enough to burn you. 1. Align the connector with the cable towards you. 2. Push the connector imi into the socket until you hear click. 3. Move the light into position, 6/29/00 1006.0802.000 TRO O EO H A TEEHLOHLA LLEOOOOLEOECET NNDDNDADNANANANDADANANANADAAAAANAAANKKAEEEECECEEaCaCcECcee. a Setup and connections How to attach equipment to the top shelves ‘The basic system has two straps for equipment. Accessory shelves use clips. and straps. x CAUTION Each accessory shelf has a weight limit of 23 kg (50 lbs) A\ Systems without accessory shelves have a weight limit of 23 kg (50 Ibs). 1. Install or find the clips: * With an accessory shelf, install the clips in the two slots nearest to the equip- ment, 2. Install the straps: ‘+ With an accessory shelf: 1009-0402.000 6 29/00 345Aestiva psmtene eG — al (: 3. Fully tighten the straps. ‘A WARNING ifyou do not fully tighten the strap, equipment can fall off the shel. PEM NOOO VUVYOVDVYVDOYLVUVIUVIIVDVIOVVVVVVUVVYVVVY DODNDOAOHOHOHDONNDDNDKHAANDAAKNAKAAHHAABHEAAKDAECACAACOOS Setup and connections How to install equipment on the foldout shelf AX WARNING 1008-0402-000 6/29/00 This. a hidden shelf for equipment that you do not need to look at, adjust, or touch. To ‘access the shelf, you must remove the cylinders. 1, Make sure you have a cylinder wrench (if necessary) 2. Close the valves on all gas cylinders. 3. Remove all gas cylinders. Se Se HA 4, Loosen the thumbscrews and open the rear door. fl NWA 6. Make sure the item does not hang over the raised edge. 7. Connectall cables and route them through the cutouts in the door. _ 5, Putthe equipment on the shelves. OK 8. Clase the door. 9. Testthe equipment 10. Install the cylinders. Items that hang over the raised edge can fall off. 347oe? o|\? S Aestiva eal oo cf a) Installation Notes co When the system is installed the service representative will check these settings and co? . change them neces 62 User Maintenance c AAWARNING These settings can only be changed by Qualified Service personnel. co a) * Language a) * Power up defaults: When you tum the system off, should itsave the curent settings or G2) 4X WARNING TO PREVENT FIRES: g0 back to the facility defaults. 2 * Automatic calculation of V_ alarm limits during mechanical ventilation. c 1 ve a) * Use lubricants approved for anesthesia oro, equipment, such as Kiytox® + Ventilator drive gas ce? wNotos net oxeabiy 55 * Do not use lubricants that contain oil or grease. They bum or explode y. 2 in high 0, concentrations. a) ~ = Allcovers used on the system must be made from antistatic (conductive) c- materials Static electricity can cause fires. c- c~ A\ WARNING — Obey infection control and safety procedures, Used equipment may c- contain blood and body fluids. c~ Intht ce Inthis section — Repairpolicy ............... ceveeteeeaeeese ee c* Manifold maintenance ........6..200+ peas c* Expiratory valve maintenance .... seceeeteeteeeeeeees 46 cy Receivermaintenance (Filter) ...... : 48 c+ Flow sensor maintenance 49 > Breathingciuitmaininance ...... - 410 eae BellOWS L688... sceeceeeseee cone: ce 0, sensor calibration- 21% 0; ... . weve AB Cc a 0, sensor calibration - 100% 0, ee 4-21 cc: Flow sensor calibration 424 Cc: How to prevent water build-up 4.25 c* c- ekintorsa registered trademark ot Dupont de Nemours & Company ne c* 318 6/29/00 1006-0402.000 ¢ 7 7 c* 10060402-000 6/29/00 aa c*o|? o\? o|? Aestiva c 2 Maintenance c.? oc? ' i Repair policy 5 Manifold maintenance Do not use malfunctioning equipment. Make all necessary repairs or have the equip: co? ment serviced by an authorized Datex-Ohmeda service representative. After repair, test oc? ol the equipmentto ensure that tis functioning prope, in accordance with the manufac- a3 step turer's published specifications. co? Complete the Basic To ensure full reliability, have all repairs and service done by an authorized Datex-Ohm- 2 disassembly (Refer to the eda service representative. Ifthis cannot be done, replacement and maintenance of © Cleaning and sterilization a those pats listedin this manual may be undertaken by competent, tained individual | section). i having experience in the repair of devices of this nature. [ 3 co? ZX CAUTION — Norepairshould everbe attempted by anyone not having experience inthe ©? repair of devices of this nature. > c c? Replace damaged parts with components manufactured or sold by Datex-Ohmeda. ‘Then test the unit to ascertain that it complies with the manufacturer's published ce? specifications c? Contact the Datex-Ohmeda Field Service Support Center for service assistance. In all ce cases, other than where Datex-Ohmeda's warranty is applicable, repairs will be made at ce Step 2 Datex-Ohmeda's current list price for the replacement part(s) plus a reasonable labor 1 charge. ce (APL valve)’ c- 4 Remove the diaphragm. 3 c- Replace iti 5 (4 —) = The disk, cage, or dia- ie c- phragm is damaged. 7” * The diaphragm looks c+ wom c- * The diaphragm fits over cs the rim, c* cs c- Step3 c- (Seals) c- Loosen the thumbscrew and c- remove the plate. Cc: + Replace the sealif dam- A aged or wom. 5 c* § c* ce c* 42 Reena onan c 1006-0402.000 6/26/00, 43 c*Aestiva Step 4 (Seals con.) Loosen the thumbscrews. Step 5 (Seals con.) Open the manifold (top middle, and bottom parts). Step 6 (Seals con.) Replace the pats ifthey are damaged or worn 4g 6/29/00 1006-0402-000 DNNNIANNNNANANNANANNNAAANAKRANANANAAAAAAAKAAAAAAOAAAG ~ ww ~ ~ ~ ~ ~ ~ ~ + + + . 2 2 2 2 2 3 2 s Maintenance Step7 (Bag/Vent)? Replace the partsif they are damaged or worn Step 8 ee ee — =a 4 fully seated. * Fully tighten the thumb: OK 1. When outun the APL nob, ou change the pressue tals neces to pu the sk ad permit gas | 2. ‘TheBag/ Yet sith pushed down plunges to cas the ther path Inthe Bag past. the vert pais closed. ae Before you use the system, complete the preoperative test procedure. Referto the ‘Appendix ofthe System controls, operation, and checkout manual. 1006-0402:000 6/29/00 45Aestiva Expiratory valve maintenance Disassemble the manifold and examine the seals at 12 autoclave cycles. ‘These conditions indicate a possible leak in the exhalation valve: Step 1 Remove the exhalation valve (Cleaning and sterilization section). Step2 Remove the top cover. 46 ‘Adecrease in airway pressure during the inspiratory pause in the volume control ‘mode of ventilation, ‘Alam for low tidal volume. The ventilator circuit has a leak, but the bellows pass the bellows tests in this section, 6/29/00 1006-0402.000 NNANNANANAANANAANAANAAAAAAAAAAAAAEEEOKOOEOOCOECOE ECE VEOH OOOULOOUUVOUVOLELOUVOVOVOOULUULLOLLUULULLLLUL Step3 Unscrew the lock ring (one quarter tur) and remove the cap, Step 4 Put the parts together ‘= Align the dimples in the ‘cap with the valve seat + To install the top, align it with the base and push down, 1006.0802.000 6/29/00, Dimples Maintenance Before you use the system, complete the preoperative test procedure. Referto the Ap- pendix of the System controls, operation, and checkout manual, a7Aestiva Maintenance Receiver maintenance (active gas scavenging only) Flow sensor maintenance Ablocked filter decreases flow through the scavengingsystem. in extrem cases thiscan open the high pressure relief valve and vent to room air. Step 1 Note: Passive gas scavenging does not require maintenance. Remove the flow sensor ‘module (Cleaning and sterilization section). Push in the tab and remove Step 1 Remove the receiver: + Loosen the thumbscrew. 3 5 + Remove the rear cover 4 the cover : + Pulloutand up on the 3 receiver. Step 2 Install the new sensor with the arrows up. Keep the tubes straight. 3 Step 2 Replace the fiter (friction fit Step 3 with gasket.) Slide on the cover. Do not pinch the tubes. AX WARNING — This system operates correctly at the electrical interference levels of IEC 601-1-2. Higher levels can cause nuisance alarms that may stop mechanical ventilation. Before you use the system, complete the preoperative test procedure. Referto th ¢ Appendix of the System controls, operation, and checkout manual * Always make sure that the rear coveris installed. * Completely tighten the thumb screw. Before you use the system, complete the preoperative test procedure, Refer to the ‘Appendix of the System controls, operation, and checkout manual. a 6/29/00 1006-0402.000 t006.0402.000 6/20/00, 0 NNDNDDNNNNNNNANANNANANAAAAEHKEAEHEOOEOOCOOECECEECEEOCOEOEEOEE PYVVYVVVOVVVVVVYVVUYUYVUUUYUUYVYUUVUVOLUUVLULLLULULLLLOLULOEKAestiva Maintenance Breathing circuit maintenance Step 4 ” Push in the tabs and remove a the top cover. Disassemble the patient circuit module to replace check valves or seals. Step 1 Remove the patient circuit module (Cleaning and iam sterilization section). ~ Step5 Remove the seals. 2 ‘Turn and pull to remove the 2 check valves. fee Step 2 Hold in the tab Step 3 Remove the rear cover. Note the rear seal is keyed to fita specific module, ” ” ” “ : Do the steps in the opposite order to assemble the module. Before you use the system, complete the preoperative test procedure. Refer to the Ap- ~ pendix of the System controls, operation, and checkout manual, 4-10 6/29/00 1006-0802.000 1006-0802.000 6/29/00, att ONHADOONOHHONHOHHHHHHAOKEKEKKEEECEECEOOCOCOCOCEC OOOO OE a& © Pee eee eee eH L EL EOHULLLYE CG: Aestiva Maintenance Bellows maintenance Step4 Remove the disk from the bellows. Step 1 } Remove the bellows from the 7 breathing system Step 5 Remove the ring from inside the top of the bellows. g g Step2 ‘Turn the housing counter- clockwise anit Step 6 7 Push the atch toward the i center ond reve te sn, . ‘ 2 Step 3 step7 Remove the bottom edge of the bellows from the rim . Remove the pressure-reliet . assembly. z a 3 A WARNING Do not disassemble the pressure relief valve. This can damage the seat or diaphragm and cause injury to the patient. ‘ 412 6/29/00 1006-0402.000 1006.0402.000 6/29/00 413 DNDDNDDDDDADDDADADADAADGDADADAAADAAADAAADCAAACAACAAAAGAestiva Steps Push the latch towards the center and remove the locking tabs. Step 9 Remove the seal Do these stepsiin the opposite orderto assemble the bellows. If you see a dust like pow- der on the housingor the bellows, apply a thin layer of KRYTOX lubricant tothe ribs of the bellows housing. Make sure the lubricant is applied smoothly and there are no lumps. Make sure that: *= The arrow on the seal points up. * You heara double click when you install the rim. * The rimis locked in position, * The inner ring is correctly installed inside the top of the bellows. * Only the bottom ring of the bellows fits over the rim * The housing is locked in position. You cannot liftit off. 6/29/00 1006-0402.000 a HEE EO OOEOGOVGOUEVOLELULULUOUUUUUUUUUUUUUUULOULE DNDNDNNNNNNNANNNANNKANAKAMKMKHMKAEE EAE ACECEOCEO OOO OOO KES Bellows tests ZX WARNING 2X WARNING Step 1 Hold the bellows assembly vertical and close the ports (A and B). 1006-0402.000 6/29/00, Maintenance Objects in the breathing system can stop gas flow to the patient. This can cause injury or death: * Do not use a test plug that is small enough to fall into the breathing system. © Make sure that there are no test plugs or other objects caught in the breathing system The bellows assembly test does not replace the preoperative tests. Always complete the tests in the section Preoperative tests before you use the system with a patient. This test makes sure that all components are correctly assembled. tis not an alternative toa complete system checkout. Ifthe bellows operates corecty, instal tin the system, If there is a problem, disassemble the bellows. Look for and replace damaged parts. 415Aestiva Maintenance Step2 Step5 Invert the bellows. They must not fall more than 100 ml/min. The bellows must not fall, ‘more than 100 mL/min, IHitdoes: Hitdoes: ‘+ Theportisnotttightly = The ports are not tightly sealed. 3 mea tents : + The ellowsis incorrectly pressure relief valve is installed, not correctly installed. * The seal inside the bel- = Parts are damaged. lows is not correctly installed (with its groove pointed up. = Parts are damaged, Step 3 Remove the plugs from the ports. Permit the bellows to Ifthe result forall the bellows tests was “passed,” instal itin the system, Before you use the system, complete the preoperative test procedure. Referto the Ap- YOU RO HHH KYVKDVYVVEYVOVDYVOLLLVELELE fullyed ee z pendix ofthe System controls, operation, and checkout manual g i Step 4 Close port “ 416 6123/00 10060802000 1006-0402.000 6/20/00 a7 HONNDDDDNDDNDDDDADDDADAKHANKDDAKDKDAKAKAAKAAEAAEEEEOEEE| Maintenance Aestiva O2 sensor calibration - 21% 05 Step 4 Turn then push the knob to |Setup/Calibration g This procedure takes three minutes ork g bean umencrei aan ‘select 02 Sensor Cal. Inspiratory Pause 25% TI 2 ‘You must do the 21% 0, calibration before the 100% O, calibration. During 0, calibra- Heliox Mode of ® tion the screen replaces 0, data with - -. |About Ventilator... g GotoMain Menu (2y—» L@& a 2 Step 1 Push the menu key Step5 Step 2 Turn the knob to select ‘Setup/Calibration (highlight). Step 3 Push the knob to show the next screen. 418 [Main Menu Peed Alarm S Setup/Calibration Screen and Audio Exit to Waveform Display [Main Menu eee Screen and Audio Exit to Waveform Display Heliox Mode on VREM YOUVE VYUVOVUVDVOUVOHYVHUYUULLLLULLLEE 16/29/00 1005.0802-00 OOOOHOOHOOOOOKNHOAKHADHAKAAAHAAHOEOEOEOOOOOOC OO ES Select 21%. Then, push the knob. Step 6 Complete the steps shown on. the screen. + Remove the O, senor from the circuit + Donot twist or stress the cable. + Make sure the cable is, connected. Step 7 Select Start Cal ‘Then, push the knob. 1005-0202.000 6/29/00, cal may be performed only ater a successtul 21% cal has heen complete. 3 (02 Calibration at 21% Remove the 02 sensor from the breathing circuit, expose it to room air, and push knob to start. Go to Main Menu ‘The screen shows “Calibrating”, followed by the result (“Complete” or “Failure” ‘Aftera sucessful calibration, the screen prompts you to putthe 02 sensorbackin the cir- cuit Ifthe calibration falls: 419Aestiva 4.20 * Do the calibration again. * {fitstil fils do a 100% 02 sensor calibration. If this passes, calibrate at 21% again. After repeated failures, make sure that the altitude is correct (About Ventilator screen), Then, replace the O, sensor. If the calibration passes, install the 0, sensor. necessary, do the 100% 0, calibration. Before you use the system, complete the preoperative test procedure. Refer to the Ap pendix of the System controls, operation, and checkout manual. 6729/00 1006-0802.000 NDONDDDNDDDNDADNDDDDDDANDADDADAADADAAADAAADHDAAAHAHEOOOOOOE adaaaaa ~ hee vee eevee ewes 0, sensor calibra’ Step 1 Push the menu key. Step 2 ‘Tum the knob to select Setup/Calibration (highlight Step 3 Push the knob to show the next sereen. 1006-0402-000 6/29/00 - 100% 0, This procedure takes three minutes orless. g Main Menu Pome fAlarm Settings Setup/Calibration Screen and Audio [Exit to Waveform Display [Main Menu [Ventilation Mode lAtarm Settings Reo Screen and Audio Exit to Waveform Display [Setup/Calibre Inspiratory Pause | 25% TI Heliox Mode off loz Sensor Cal Start |About Ventilator... JGotoMain Menu (> La Maintenance 114. appears onthe screen, you must complete the 21% calibration before you can se lect the 100% calibration. 421Aestiva Step 4 Turn then push the knob to select 0» Sensor al. Step 5 Select 100%. Then, push the knob. Step 6 With the 0, sensorin the Circuit, ithe circuit with 100% 0: = Push the fush button, = Then flow 100% 0, at 5 unin. Step7 Select Start Cal. Then, push the knob. 4.22 [Setup/Calibration Inspiratory Pause 25% TI Heliox Mode off About Ventilator Goto MainMenu ——(2y-» LA (02 Calibration 100% cal may be performed only after a successful 21% cal has been completed. 21% Go to Cal Menu or [02 Calibration at 100% With 02 sensor in the breathing system, flow 100% 02 and then push knob to start. [Go to Main Menu Cerro) 1006-0402.000 6/29/00 DNNNDNNDNNNNDHDNANDNNNDNNDNKDANDANADADHDADADAADNDKQACEEAEKHOEEEECECECE VVVVVVVVVVVVVVVUVOULOLOULYVVODVVVULOUUUUUUULLULULEU Maintenance ‘The screen shows “Calibrating... ° followed by the result “Complete” or “Filure”). Ifthe calibration fails, + doit again. or, ‘+ decrease the airway pressure. Then ty again. After repeated failures, make sure that the altitude setting is correct (About Ventilator screen). Then, replace the 0, sensor. Before you use the system, complete the preoperative test procedure. Referto the Appendix of the System controls, operation, and checkout manual 4.23Aestiva Flow sensor calibration Minimum Frequency: Weekly The system automaticaly corrects for zero offset when you unplug the flow sensor con- nectors with power on. You must stop mechanical ventilation before you calibrate the flow sensors. Step 1 Push up on the latch under the flow sensor module. Remove the flow sensor module. You will fee! some resistance. Continue to pull Step 2 When calibration is complete, the screen shows, "No Insp flow sensor" and "No Exp flow sensor" Step3 * Install the flow sensor module 424 No Insp Flow Sensor No Exp Flow Sensor 6/29/00 1005-0802-000 HNOHOKHKHHNHANAAANANANNNKNANNANKNAANANNANNAADAAAAAAAAAAEOEO VUUVUVVUDUDYDYVYVIOVDIDDIDVDOVUVUUUUUULUULUEU Maintenance How to prevent water build-up Why is water buildup a problem? How much wateris too much? Where does the water ‘come from? 1006-08020 6/29/00 Pooled water in the sensor or water in the sensing lines causes false alarms, A thin ayerof water ora foggy look inthe flow sensorsis OK. Drops of liquid wateris too much. Watercomes from exhaled gas and a chemical reaction between CO, andthe soda ime in the absorber. At lower fresh gas flows more water builds up because less gas is scavenged and ‘= More C0» stays in the absorber to react and produce water. * More moist, exhaled gas stays in the absorber * Drain the absorber each moming. * Drain all hoses as necessary. + Flow sensor tubes must point up so that they do not collect water * With a circle breathing circuit, push the drain button before every case listed in pr- operative procedures). * If check flow sensor alarms ocurr during a VERY LONG case, replace the flow sensors, Allow the original low sensors to dry before you use them again, 4-25om ae hestva e 3 6? co? co? oc? c? Alarms and _ ce Troubleshooting a c? cv «2 c2 c2? c2 ©? ce? ASCAUTION — Norepairshould everbe attempted by anyone not having experience in the c 3 repair of devices of this nature. £3 c.2 c.? ci? Inthis section —Aboutatams ........-.ces-ee- : 152 ¢ 2 Alphabetical list ...........-.4+ 2 Bd ae) Breathing system problems (no alarm) 5-16 ci Electrical problems (powerfalue, et.) 5-17 ¢ 3 Pneumatic problems . we 5-19 £3 ¢ 2 (a 2) C2 c2 ¢ 2? Cae 2? cc? c 2? 4-26 ¢ a 629700 1096 02 200 6 amps for 10 seconds Battery voltage > 16 V for 10 seconds The battery voltage is too low (<7 V) to supply the system if power fail, Alans and Troubleshooting ‘Action/Concerns Monitoring resumes after first breath (mechanical) or2 breaths within 30 sec (non- mechanical). Apnea alarms are normally tumed off when this option is selected Connect the patient circuit to the auxiliary outlet. For ‘mechanical ventilation or ‘manual ventilation with ‘monitoring, select the ‘common gas outlet. ‘The systemis operational, but ‘may fail later depending on what caused this alarm. Leave the system plugged in to charge the battery The system continues to operate but may fall ‘The system continues to ‘operate but may fil The battery does nothave enough charge to power the equipmentif power falls Leave the system plugged in to charge the battery. Repair Contact a qualified service representative Contact a qualified service representative Contact a qualified service representative Ifthe battery does not charge in 24 hours, contact a service representative, 55Aestiva Message Calibrate Flow Low Sensors, Calibrate On Low Sensor Cardiac Bypass. Low Check Flow Medium (low Sensors after acknow- ledged) Circuit Leak Audio Low off Connect 02 Sensor Low Control Settings Min. monitoring, Inputhas Failed (Medium) PU Failure Min, shutdown (High) 56 Cause The last flow sensor calibration failed, 0,%>110% ‘The alarm limit settings are set fora patient on cardiac bypass. Apnea alarms are off. No flow or negative flow (on inspiratory sensor during inspiration in a circle system or negative flow on expiratory sensor in expiration (for 6 breaths in a row). Control setting on the Alarm limit menu. The 0, sensoris not ‘connected to the cable. Ventilator malfunction Ventilator malfunction VV VVVVVVVYVVVVVVVVVVEVVEDVIVIVIULLLUUUUUUULLUUU ‘Action/Concemns Calibrate the flow sensors. Look for water in the flow sensor tubes. Dry if necessary. Does the sensor measure 24% Opin room air? Use the alarm limits menu to change this setting, Are the flow sensors correctly installed? Water build up in the flow ‘sensor tubes? Isa flow sensortube cracked or broken? This message tells you that the audio alarm for circuit leaks was tured off Connect the sensor. Ventilate manually Monitoringis still available, Ventilate manually Monitoring not reliable, Repair Contact a qualified service representative. Calibrate 0, sensor. Inspect one way valves (breathing circuit module.) Replace flow sensor module with the spare. Check the condition ofthe flow sensor and its tubing. Contact a qualified service representative to replace the cable. Contact a qualified service representative Contact a qualified service representative, 6/29/00 1006-0802.000 . . . . . . . . . . . © © © © © 6 © © © © c © © G © © ¢ ¢ © © © © © © © © © © © ¢ © © € Message Priority CPU intemal Error Min. shutdown (High) Display Voltage Min, shutdown OutofRange (High) Exp Flow Sensor Low Fall Exp reverse flow Medium (low after acknow- ledged) Flow Valve Failure Min. monitoring (DAC) (Medium) Flow Valve Failure (current) Gasinlet Valve Min, monitoring Fallure (Medium) or ‘Min. shutdown (Hign)* Hardware Min, shutdown WatchdogFeilure (High) Heliox Mode is On Low 4005.0102.000 6/29/00, Cause Ventilator malfunction Ventilator malfunction ‘The system cannot read the calibration data stored in the sensor. Flow through the expiratory sensor during inspiration (for 6 breaths ina row). Ventilator malfunction Ventilator malfunction Ventilator matfunction Control setting on ventiation setup menu, ‘Alarms and Troubleshooting ‘Action/Concerns Ventilate manually. Monitoringis not reliable. Ventilate manually Monitoringis not reliable, Operation continues with default values. Replace the flow sensor. Look atthe check valves Water build up in the flow sensor tubes? Isa flow sensor tube cracked or broken? Ventilate manually. Monitoringis stil available, Ventilate manually Monitoringis still available, Ventilate manually Monitoringis not reliable. When helioxis used, the Ventilator must adjust volume calculations, Repair Contact a qualified service representative. Contact a qualified service representative. Replace the expiratory check valve. Check the condition of the flow sensor. Contact a qualified service representative. Contact a qualified service representative, Contact a qualified service representative. 57Aestiva Message High 02 High Paw High Pressure Limit Reached High Ve High Vte Insp Flow Sensor Fail Insp Reverse Flow 58 Priority Medium High Min, monitoring, (Medium) Medium Medium Low Medium (low after acknow- ledged) Cause (099%> alarm high mit setting Pawis greater than Plimit, ‘The ventilator cycles to expiration, Apressure safety switch activated at a Paw <90 cm H0 The minute volume is greater than the set high limit, This alarm is suspended for9 breaths after you change the ventilator settings. VIE is greater than high alan limit. Tis alarm is suspended for 9 breaths after you change the ventilator settings. The system cannot read the calibration data stored in the sensor. Flow through the inspiratory sensor during expiration (for 6 breaths ina row). ‘Action/Concems Isthelimitset correctly? What isthe 09 flow? Did you just push Flush? Does the sensor see 21% 0» in room air? Are Piimit and other controls set correctly? Look for blockages. Check the patient connection. Ventilate manually. Monitoringis still available. Extreme control combinations ‘may cause this alarm. Check control settings. Check patient for spontaneous breathing. Adjust control settings Check patient for spontaneous breathing. Check ventilator and alarm settings. Operation continues with default values. Replace the flow sensor. Look at the check valves Water build up inthe flow sensor tubes? sa flow sensor tube cracked or broken? Repair Calibrate 02 sensor. Replace 0 sensor. Calibrate the flow sensors, Replace the receiver filter. Contact a qualified service representative. Replace the inspiratory check valve. Check the condition of the flow sensor. 6/29/00 1006-0802-000 DODDANNNDNDNNNDKDNNDDNDNADNDDDAANKDAAAHHAAHEAEEECAOEOOCOOOE VIVIIVIIVVIIVIVIVIVIVIDIVVUVVVIVIIIIIUUUDVDUVUVUULLLUE Message Inspiration Stopped Internal Ventilator Clock Too Fast Internal Ventilator Clock Too Slow Invalid Circuit Module Limit Task Light Use Loss of Backup Audio Low Battery Voltage Low Drive Gas Pressure 1006-0402-000 6/29/00 Priority High Min, shutdown, (High) Min, shutdown (High Low Low Medium (low after acknow: edged) Medium Medium Cause Drive gas safety switch activated (high pressure) Ventilator malfunction Ventilator malfunction The system doesnot recognize the type of circuit module installed Normally the system used the ID tabs to Identify circuits. ‘The system is running on battery power. Tum offthe light to save power. The audio alarm will not sound fora CPU failure Voltage is <11.65V while using battery power The ventilator did not detect arise in internal pressure when the flow valve opened. Alarms and Troubleshooting ‘Action/Concems Adjust controls. Check systems for blockages. Ventilate manually. Monitoring not reliable, Ventilate manually. Monitoringis not reliable Make sure the module is correctly installed. Look for broken ID tabs or tape on the tabs Tum off the light to extend battery backup. Monitor system operation Manually ventilate the patient tosave power. Manually ventilate the patient. Repair Contact a qualified service representative. Contact a qualified service representative. Contact a qualified service representative Contact a qualified service representative Make sure poweris connected and circuit breakers are close, Check ventilator fuse. Make sure that the appropriate gas supplies (0, or air) are connected and pressurized, 59Aestiva Message Priority Cause Low 09 High 0% 2 > 2 > > > > > >) =) 2) = ° >) =) = =: 2) 2 2 a 2 5 2 5 ey ) A Ss Message Priority Memory Min, monitoring (Redundant (Medium) Storage) Feil Memory (video) Min. shutdown Failure (High) Minimum Medium, Monitoring Minimum system — High shutdown No Circuit Module Low No C02 absorption Medium (low after acknow- ledged) No Exp Flow Medium (low Sensor, after acknow- ledged) No Insp Flow Sensor 1006-0802.000 6/29/00 Cause Ventilator malfunction Ventilator malfunction A severe malfunction prevents mechanical ventilation. Other alarms may also occur. A severe malfunction prevents mechanical ventilation and monitoring. Other alarms may also occur The patient circuit module is notinstaled. ‘The canisters are open (out of the circuit) but the bypass mechanism prevents a leak (optional feature) Electrical signals show the flow sensoris not connected Alarms and Troubleshooting Action/Concerns Repair Ventilate manually. Contact a qualified Monitoringis stil available. service representative, Ventilate manually Contact a qualified Monitoringis not reliable. service representative, Ventilate manually. Cycle Contact a qualified system power(On- Standby. service On). fthe alarm clears, representative testart mechanical ventilation Ventilate manually. Use a Contact qualified stand-alone monitor. Cycle service system power (On- Standby- representative (On). Ifthe alarm clears, restart mechanical ventilation Install a module. Refer tothe Optical sensors look setup section. fortabs on the back ofthe module. isthe ‘module assembled? are the sensors dirty? User setting. Close the canister release to remove 0p from exhaled gas Connect the flow sensors. Make sure the flow sensor ‘module is on all the way. SatAestiva Message No Op pressure 02 Flush Failure 03 sensor outof circuit On Battery-Check Power Patient Circuit Leak Paw <-10 emg Paw/manifold mismatch 512 Priority High (cannot be silenced) Low Low Medium (low after acknowledge) Medium High Medium Cause The Op supply has failed ‘The pressure switch that detects flush flow has seen a very long flush (230 sec). 0 sensor not installed in breathing circuit module; sensor not measuring gas in breathing circuit. ‘The mains supply is not connected or has failed and the system is using battery power Exhaled volume <50% of inspired volume for at least 30 seconds (mechanical ventilation, Subatmospheric pressure (10 em Hg0) ‘The ariway pressure and an internal ventilator pressure do not track. ‘Action/Concems Repair Airflow will continue. ” Ventilate manually if necessary. Connecta pipeline supply or install an 02 cylinder This alarm occurs if you hold 2_ High Nomechanicalbreaths or See above - Watchdog Failure (High) Monitoringis not reliable. service © 3 min eee Linlast 120 seconds. representative. G a 2 Sustained airway Min. shutdown Paw > 100 cm H0 for 10 Check tubing forkinks, Calibrate the low ¢ 3 V¥Compensatin br The system sup the Ast manual and Replace teow cece High) blockages, disconnects. sensors. on lowafter. __setbreathbutcannot continue without sensor module an hs oe a bs 55 acknowledge) adjustventlationfor compensation, orchangeto _seletthe mode 3 compliance and the pressure control mode. In. again, ifthe problem © resistance losses, etc. pressure control set Pinspir _stops, inspect the Sustained Paw High Paw> sustained pressure Check tubing for kinks, Calibrate the flow «> naa limitfor 15 seconds® blockages, disconnects. sensors. 5 m 5 VTNotAchieved Low Tidalvolumemeasuredby Adjust controls to supply Possible leak. F over , ' c inspiratory fo sensor< adequate tidal volumes, System Leak? Low elivered volumes do not Mfyouare usingHeliox, select Calibrate the flow ¢ > setvalue Gbreathsina Check LE; PLimit; and volume match set volumes Helioxon the ventilatorsetup sensors. Ss fois iis eataiigis) seaires menu. Look forleaksin the Drain water buildup c ‘ofmechanical ventilation, manifold. Compare setto _from the breathing. cc? eee system Cc) Mee>InspVt Low Expired volume > inspired Check patient condition. = volume for 6 breaths with Unable to Drive Low The intemal manifold _Fillthe bellows if empty. - ce? acroarakia | Bellows, pressure is higher than c 2 | Paw + tolerance. ¢? 1. han powers et tomas, 2. owsensr area we messes Vaux_refOut-of- Min. shutdown Ventilator malfunction _Ventilate manually. Contact a qualified 62? > (ins tronsuastntscaenigo mesttaneopecce taut Senior Pim peacensom coe gs anes ae SeT Range (High) Monitoring is not reliable. service ¢ > ‘the pressure limi (Pam for pressure lms »60 em HO, te sustained presse lm 12 cm M0, Moth PEEP and Mechanical vrtilation ar on, ‘essa pesureimtincreases by PEEP-2cml0 the compensa wlth bebors) nen echancal eaten sof the susaned | aamena c >? ores itl cakalted os ows sue mts = 0 om, We sesaned pez hs 5 ct presse tr ese | 5 ‘nis >60cmH0,tesustaned preci ts3D em 0, ' Vext_refOut-of- Min. shutdown Ventilatormalfunction _Ventilate manually, Contact a qualified c Range (High) Monitoringisnotreliable, service ca representative 4 c Verify Low VE Limit Low The audible circuitleak Set the low VE alarm. a c? alatmis Off (Alarm menu) ¢? butthe low VEalarm isnot 5 set. c S | c Volume Apnea Medium Nomechanical breaths or Check patient. Bag as ae ¢? spontaneousbreaths>20_ needed. Check for 45 mLinlast30.seconds. disconnects. Ifthe patient is c onaheart lung machine, ¢? select Cardiac Bypass on the c? | alarm menu. a | c c? c? ° al Cr € 5 1006-0402 000 6/28/00 515 c 4 €Aestiva Breathing system problems (no alarm) ‘Symptom (Gas scavenging flow is too low. ‘The bellows fils when the Bag Vent switch is set to Bagor the bag fills when the switch is set to Vent ‘The ventilator does not ead the position ofthe Bag/Vent switch, Use manual ventilation, if necessary ‘The ventilator does not correctly identify the breathing circuit module, ‘APL valve does not operate correctly. 516 Problem ‘Suction supply problem. Filter blockage. Active systems have a flow indicator to show this. Leak through Bag/Vent switch. Causes include dirt or damage to the o-ring. Ventilator or absc malfunction, Broken identification tabs. Dirt on the optical sensors that read the tabs. Ventilator malfunction. 'Lvalve problem Solution(s) Use a different suction supply Replace the fiter. Refer to “Scavenging path disassembly" in Section2, Maintenance. Refer to "Main manifold, APL Valve, and Bag/Vent switch ‘maintenance’ in Section 2, Maintenance. Ventiiate manually, Aska qualified service representative to repair the system, Remove the module and look atthe tabs on the rear. Ifthere is damage, use a different ‘module. Use a DAMP alcohol prep to gently clean, Squeeze dry the prep before you use it. Aska qualified service representative to repair the system. Replace APL Valve seal and diaphragm - Refer to User Maintenance 6/29/00 1006-0402.000 annanaN ANNAN INN NM ANA MMA MMA MAAK KOO OOO OOOO OOOO OR VVOVV IO VY VV VY VVV VV VV VV DV VVVVVVVDVULUUVUUUULUULUUUU Alarms and Troubleshooting Electrical problems (power failure, etc.) AMWARNING Ifa circuit breaker opens frequently, do not use the system. Have an approved service representative repair the system Symptom Problem Solution MainsindicatorisnotON. The electrical power Connect the power cable. cable isnot connected, The inlet crcuitbreaker Close the circuit beaker (toggle switen)isopen. (Figure 5-1). Thepowercableis Replace the power cable. damaged. The electrical socket the Use a different electrical owercable connects to socket. has power. An intemal fuse isopen. Have a service representative repair the system, The electical outlets donot The main outletcrcult Close the circuit breaker have powerbutthe mains _breakeris open. indicatoris ON. ‘One electrical outlet does not” The outlet circuitbreaker Close the circuit breaker. have power. is open A circuit breaker opens Equipment connectedto Use a different power frequentiy. the outle(s) uses more supply for some of the cutrentthan the circuit equipment. breaker rating (Figure 6- 4) The equipment Do not use the equipment connected to the outlet _untilitis repaired. hasa short Tec 6 has no power. Not plugged into outlet. Connect power cable. 1006-0402-000 6/29/00 517Aestiva Out In Open ct (No Power) (0K) (No Power) (omy 1. Outlet CrcuitBreakers* 2. Master Circuit Breaker-All Outlets* 3. Inlet Circuit Breaker* 4. Ventilator Fuse 5, Mains Indicator + ane soneatags, Figure 5-1 + Circuit breakers, fuse, andthe mains inaicator 518 6/29/00 1006-0402:000 DANANANNANANANDNADANDAAAANANDANDAADAAAAAADAAHAAOHAHHE VVUVVVVVIVIVIVIIIIIIIIVIIVIIIIIJIUDUVDUUVUVVDUVUUUUVU0U Pneumatic problems Symptom High-pressure leak Low: pressure leak with a vaporizer ON. AXCAUTION: Alarms and Troubleshooting Problem Controls are not set correctly Equipment connected to pneumatic outlet. Incorrect cylinder connection (cylinder yokes). Incorrect cylinder connection (DIN connection.) The vaporizeris not correctly installed. The vaporizer fill spout is loose (fill port ‘type vaporizer) Vaporizer port o-rings (extemal) are damaged or not installed. A vaporizer malfunction (the leak stops it you use a different vaporizer in the same position). ‘port valve malfunction (the leak ‘continues if you use a different vaporizer in the same manifold position). the repair of devices of this nature. 1006.0402-000 6/29/00 Solution Set the system switch to Standby and the auiliary flowmeter to OFF. Disconnect the equipment. ‘Make sure that there is only one cylinder gasket, the gasket in good condition, and the T handle s tight Make sure the nut is tight. Correctly install the vaporizer. Tighten the fil spout. Install new o-rings. Send the vaporizer to a Datex-Ohmeda Service Center. Have an approved service person repairthe vaporizer manifold No repairshould ever be attempted by anyone not having experience in 519© 2 @ 2 Aestiva .? © 2 © 2 ie > is 2 G > cn Illustrated parts © > G 2 C 2 © 2 c 2 c 2 © 3 © 2 © > € 2 ¢ 2 € 2 € 2 ¢ 2 c 2 € 2 ¢ 2 C el ¢ 2 ¢ 2 ¢ 2 ¢ 2 ¢ 2 ¢ 2 c 2 Inthis section Breathing System Pans. . seeeeeneee 62 ar Toplevel 2 : vee aS Manmanfold. 2 es 2 Exhalation valve 2.0.6.6... ce eee cane 67 € 2 Belows caneaans 69 € a Test tools and system parts .......0.++ o 6-10 64 ¢ 2 as essere ot a Seon ca cS ¢ 2‘Aestiva Breathing system parts Top level 62 Item 12 13 Description (Figure 6-1) Flow sensor module (cover & holder) Cover only Holder only Flow sensor (metal - autoclavable) 0, sensor, cell O-ring Breathing circuit module, circle Breathing circ. module, mapleson/Bain Breathing circuit module, open Bag arm long (adjustable) ‘Main manifold assembly Blank, pop-off valve Rear column cover, ‘Active gas scavenging assembly, 30 mm threaded outlet 180 taper taper(DEU) Door Front, sensor Stock Number 1406-8208-000 1406-3401-000 1406-3400-000 1503-3220-000 Flow sensor (plastic) 4503-3244-000 (6050-0004-110 1406-3466-000 1406-8102-000 1406-8211-000 1406-8212-000 1406-3350-000 1406-3380-000 Bagarm short (not adjustable) 1406-8209-000 1406-8105-000 ‘Autoclavable Bellows Assembly 1406-3240-000 1503-8114-000 “9 Exhalationvaive assembly ——===S=S=S«1503-8114-000 1406-3455-000 Gas scavenging (4 options) 1406-8216-000 ‘Active gas scavenging assembly, 6.35 mm (ANSI, Not European Community) 1406-8214-000 1406-8215-000 Passive gas scavenging assembly, 30 mm 1406-8217-000 Passive gas scavenging assembly, 25 mm 1406-3521-000 'AGSS nylon fiter, 225 p, 1406-3214-000 6/23/00 1006-0802-000 ODONDONNNNONNNDANDANDNDKDANKAQAKAKAAEAKEOEEOOACAAKOOOKO EOS VOVYUVYVVVOVVYVYUVYUVVYVYVVVVVVVVIVVELLOLLULUULLLLWEU 1006-0402-000 6/28/00 Illustrated Parts, Item Description (Figure 6-1) ‘Stock Number 14 Upperdish (2 options) Upper dish absorber plastic (seal not 1406-3413-000 included) CO, bypass assembly metal (seal not 1406-3500-000 included) 15 Upperseal 1406-3414-000 16 Tube comugated 210 mm 1400-3009-000 17 Elbow transfer tube 1406-3576-000 18 Transfertube 1406-3575-000 19 Draindishassembly 1406-8218-000 20 Plug, sight glass-drain (0229-2080-100 ‘Orting, plug (0210-0594-300 21 Canister (0229-3015-800 - Not Shown Stock Number Upperseal, upper dish, corr tube, drain 1406-8207-000 dish, canisters Barb cap, passive scavenging 1406-3542-000 63Aestiva 6 7 i 21-2019 18 «17 ie 15 14 13 ww 11 10 * hee scavenging systemscnly Figure 6-1» Breathing system top assemblies ea 6/29/00 1006-0402.000 GCHDDDDNDDDDONDDDDDNDAGDAOOAAAAEAEEEAOOECOOOHOOEOEOE VUVVYUYVOUVYVOKNNNDVDVIVIVIIIVVVIIVIVIUVIVVVUVIDUUUUUUUEOUE Illustrated Parts Main manifold Figure 6-2 » Main manifold 1006-0802.000 6/29/00 65©? 6? Aestiva © s Illustrated Parts © £3 . 2 Exhalation valve Item Description (Figure 6-2) Stock Number 6? “T__ Seal, main manifold, APL/AGSS —*(1406-3316-000 6? Z_ Sealbagiventassy(ab) | 6? —abring@y)—SSSSSSS~”~«*S06- 327-000 6? a ———pPoppet(Qy2)~~=~~S~S~«~di06-3279-000 6? a ©. Sealonly 17406-33140 ¢ ? . 3 Plate top, main maniford [7406-3300-000 a a Pate, boom main mania [i#063308-000 <>? 5 Seal, Main Manifold, Absorber [1406-3315-000 6? 6 Body manifold, main 1406-3301-000 6? 7 ‘APL diaphragm assembly 1406-3331-000 6? 8 Manifold APL/AGSS 1406-3302-000 © a 9 Split ing(Qty 3) 1406-3319-000 ¢ ? “10 Méx43mmThumbscrew —=—=—«| 1406-3304-000 a “Tt M6x28.SmmThumbsorew(Qly2)___—| 1406-3305-000 ¢ a £3 oie | 5 Description Stock Number c| 4 1 Exhalation valve cover 1503-3583-000 ¢ 15 2 Locking 1503-3588-000 aa 3 Seat exhalation valve 1503-3584-000 ¢ 2 4 Diaphragm assy 1503-8121-000 c= 3 Base, ehaatonvahe 7503 3585-000 « ? © _ Blank, pop-off valve 1406-3240-000 ad 7 Tube exhalation valve 1406-3566-000 ¢ i) ¢ 2 6? ¢ 2 ¢ 2 3 € es a Gi ‘2ce? ce Aestiva 6? tustrated Parts c? ce c Ps Bellows ¢:? co)? c\2? c,? c 2 ¢,? «2 ¢\2 j\2 H c| 2 2 € | 2 ¢,2 Fur 6-4» Beohing cut modules ¢)2 2 Bain- 3 '5 Description Circle ‘Mapleson D Open 15 T Assy (items 2-12) 1406-8102-000 1406-8211-000 1406-8212-000 e| 3 2 _ M6-1x23 Thumb Screw 1406-3304-000 _1406-3304-000 _1406-3304-000 c| 2 3__ Sealiens, flow sensor 1406-3395-000 _1406-3395-000 ___1406-3395-000 ¢ ly 8 4 Module Body — 1406:3467-000 __1406-3480-000 ¢ 13 g 5 Sealmodule cover 1406-3317-000 1406-3463-000 1406-3318-000 € | 5 ® 6 SplnRing 1406-3319-00 __1406-3319-000 __1406-3319-000 aa 7 Backplate 4406-3391-000 _14063391-000 _1406-2391-000 ¢ i O-Ring Check Vale 1406-3397-000 _NotUsed 1406-3307-000 € ie Ponce ern Valve Seat Check Valve 1406-3396-000 __NotUsed 1406-3396-000 c| 10 Diso Check Valve (0210'5257-100 NotUsed 0210-5257-100 €\? Item Deseription Stock Number 11 Retainer Check Vaive 1400-3017-000 Not Used 1400-3017-000 ¢ 2 1 Bellows housing 1500-3117-000 12 Lens 7406-3392-000 14063461000 ___1406-3394-000 ¢)? 2__ Bellows 1500-3378-000 ¢,? 3 Rim 1500-3361-000 ¢? 4 Pressure reliefvalve assy 1500-3377-000 ¢.? 5 Tatoh, base 7406-3318-000 ¢,2? 6 Seal, base 1500-3359-000 ¢ 2 7 Base, bellows 1406-3313-000 ¢,2? ls ¢12 6s eer €,? 1008.0102.000 6/28/00 69 Ce) ¢.2?Aestiva Test tools and system parts 610 Description Stock Number Vaporizer port o-rings, external (Qty 6) 1102-3016-000 Cylinder gasket 0210-5022-300 Handle for yoke tee 0219-3372-600 Yoke plug (0206-3040-542 Din 0; plug (cylinder connection) 1202-7146-000 Positive-low -pressure leaktestdevice (BS!) 1001-8975-000 Positive-low pressure leak test device (ISO) 1001-8976-000 ‘Negative- low-pressure leak test device (0309-1318-800 Test lung, (0219-7210-300 Krytox 1001-3854-000 Touch-up paint, flint (medium) gray, 18 ml 1006-3851-000 Touch-up paint, quart (light) gray, 18 ml 1006-3852-000 Touch-up paint, light aqua, 18 ml 1006-3853-000 Touch-up paint Artic-white, 18 ml 1006-3363-000 Touch-up paint, Neutral GrayN7 (Medium Dark), 1006-4198-000 18 mi Touch-up paint, Neutral Gray NB (Medium), 18 106-419-000 mi ‘Touch-up paint, Neutral Gray NB (Light), 18ml _ 1006-4200-000 Bulb, 2.4 watts, gooseneck lamp 1006-3673-000 Gooseneck lamp assembly 1006-3026-000 Communication port cable 1105-0512-000 6/29/00 1006-0402-000 DNONDNANNDNANNDNDNNANNNNOOHOKNAMNANDAAAAAAAACAACOAEHOOCEE VOOOOOOOOOOOVVHVVVVUVDVVVUVUVUVIUVUUUUUUUUUUUUU External Communications In this section This section describes how to communicate between the ventilator and a data collection system or an extemal monitor. also tells you what data can be sent and received. External communications........ co 72 Protocol Description (Datex-Ohmeda Com 1). ad 73 +1006-0402-000 6/23/00 aAestiva External communications ‘The ventilator has electrical interfaces (RS-2320) on each oftwo connectors. The 9 pin connector labeled port 1 isa proprietary channel and should only be used by qualified service personnel. The 15-pin connector labeled port 2is a public chan- nel. Always connect the cable from the monitor to the 15-pin connector (port 2). Service Mode Confirmation Altitude Language Service Mode 300m English Normal Operation Protocol Selection Datex-Ohmeda RGM 7800 Emulation Datex-Ohmeda COM 1 DatexOhmeda COM 2 12 ‘Application Ohmeda RGM Reso Gas, Monitor Monitors programmed to communicate with 7800 HP ACMS Vue Link monitors programmed for 7900 communication) HP ACMS Model /Version Version 3.0-5.1 (w/o gas ‘comp data) Version 6.0 and later (includes ‘gas composition data) HP ACMS with compatible software. Use Datex-Ohmeda Cable 1503-3077-000 ueLink model M1032A with compatible diver and cable HP ACMS with compatible software, Use Datex-Ohmeda Cable 1503-3077-000, 6/29/00 1006-0802-000 NNNNNNADNANAANNAANANAKHAACAANDAAEAKEAAEEEEaCEAECEKECOE VOOMOOOOMOMTM VEU ese DODVVVHVIVVLVVLVUALALLA External Communications Protocol Description (Datex-Ohmeda Com 1) Electrical Interface Serial Communication Parameters Software Interface Command Headers: Response Headers: 1006-0402.000 6/29/00 + RS-232C signal standards ‘+ 15 pin female D connector Port 2) - Data Communications Equipment ‘configuration (DCE) pin 6 - receive data pin 13 - transmit data pin 5- signal ground * Baud: 19.2K Byte format: Start bit + 7 data bits + parity bit + stop bit Parity: ODD Ohmeda Com 2.0 Waveform Communication Protocol VID DISABLE CHECKSUM vrycAuto Mode Device VIScSlave Mode Data Format Mode Select Commands -VIQeCompressed Format Data Request Command VI?¢Send All Data (Valid in Slave Mode only) VISoSend Setup Data Enable Waveform Data Mode VIWabcSend Waveform Data VIW~header a&b ~anyone ofthe following (note 1: order determines order of data in response packet) (note 2:b valid only ifal= 0) 0 tum waveform data OFF P include Pressure Data F include Faw Data v include Volume © checksum terminator Checksum Control Commands VTEC Enable Checksum Mode Disable Checksum Mode (checksum byte ignored in this command, but cannot be ) DEVICE ACK Response :MIVoPositive Acknowledge Response 6/29/00 1006-0802.000 HHEGOEOGHEDODDONDNNONHOKNOKOKHOOHOECOOOOOOOCEOEECEEE VOEVOEYOVYVYVOVYYVVVVIYVYVVVVIVVVVVULVULUUULLLULLULLE External Communications NAK Response \VINcNegative Acknowledge Response ‘Alarm Silence Switch Pressed Response \VIRc Compressed Data Measured Data Response (each entry is zero filled and rightjustiied-~i.. aaaa = 0095) "2" means bad data due to any technical problenys); *" means data not available due to system state ‘aaaa___-measured tidal volume mL? ob measured minute volume 1100,7,-; example: 1000 equals 10.001 ddd measured respiratory rate iin, eee ‘measured oxygen level B02, tf measured max positive pressure omH0,? ee Teasured inspiratory plateau pres __cmHz0,? wih ‘measured mean pressure om H,0,? ii ‘minimum pressure om HO? ‘measured data status ‘checksum 1006-0402.000 6/29/00 (0100000x (bit O=I~new breath data; bitO=0=10 second data)Aestiva 16 Compressed-Data The Status Data Response will be transmitted every 1 second (fa change oc- Status Data Response _cursin the status data) ora minimum of once every 10 seconds. Note that the status byte bitis set=1 for an active condition and 0 for an inactive condition, \VIQaaaabbbddddeefiggghhiijikkddlimmmnnnooogermmmnre Compressed Data Status Data Response aaca___settidal volume mt ob settidal volume 7min ddd _set hE ratio reeee ee inspiratory pause Pause # Set PEEP ‘omi,0 ‘el peak pressure limit em HO mh ‘setnspired pressure em #0 7 set austained pressure alarm iit om 20 FT Tigh minute volume alarm iit (10 (eg 650- 65.00) hk Tow minute volume alam iit 110 (e4,050=501) Tt high Vie limit mml/10 (eg 150=1500m) rmm low Vie imit Tal/10 (e.g. 090 =900 mi an Tigh oxygen alarm limit % Or 000 Tow oxygen alarm iit %0, @ Ventilation mode: "v"=volume ‘mode,p'=pressure mode;t’=Vt compensation off;~'=bag mode only Tirrrrrr status bytes (see bitmaps below) € checksum 6/29/00 1006-0802-000 COO TCEEMOEEHEHDONDDDDNDDANADAANANDANADDANDADADAAHAOOEOOEOE vu WVVVVVVVVVVVVVIVVIIVYVVVVVIVIVIVVVVVUVVUVUUVUUUY Status Bytes Bitmaps 1006-0402-000 6/29/00 External Communications The status bytes are @ string of 12 bytes, starting from the left(Byte 1) tothe vight Byte 12) Each Byte has eight bits of data from D7 (MSB) to DO (LS). bit byte bit byte2 Vent. Message Vent. Message D0-HighO; D0-HighPaw Di- Low, Di Low Paw D2-1 _ D2- Sustained Paw (shutdown) 03-1 D3- Sustained Paw Dat Da Sub-Atmos Paw DB Check; Sensor 6-1 6-0, Calibration Evor 06-1 bit byte3 bit byte 4 Vent. Message Vent. Message DO Pinspted Not Achieved D0- Low VE Di- PEEP Not Achieved Di HighVE D2 No Pressure Node /PEEP D2- low Wie DB Manifold Pressure Sensor Faure D3 — ene Da Inspiratory Overshoot Da- VNot Achieved DB- Inspiration Stopped DS Volume Apnea 6 High Pressure Limit Reached (min sys) D6- Volume Apnea > 2 min bit byte 5 Vent. Message bit byte6 [ Vent. Message DO- No insp Flow Sensor DO- Bellows Empty [Di- No Exp Flow Sensor DI- Flow Valve Failure [D2- Insp Reverse Flow D2- Gas Inlet Valve Failure D3 Exp Reverse Flow D3- 12 HourTest Da Check Flow Sensors Da “Bootup GV Failure” DB Insp vt/Vte Mismatch DB- NoO; Pressure D6- Vel Mismatch 6 No Fresh Gas Flow 1Aestiva bit bit bit 18 byte 7 bit bytes Vent. Message Vent. Message DO- *Wanalog Falure 1DO- A/D Converter Failure Di- -Vanaiog Failure Di - CPU Falure D2 +15V SIB Outof Range D2 - Memory (EEPROM) Failure D3- +16V Manifold Out of Range [D3- Memory Mash) Failure Da Display Voltage Outof Range [D4 Mernory (RAM) Failure DS Vaux ref OutoF Range D5~ Memory (video) Failure [D6 Vext_ref Out-of Range (DB - Bootup Memory Failure byte9 bit byte 10 Vent: Message Vent. Message DO Software Watchdog Faure DO- OnBatery Di - Hardware Watchdog Failure Di- NoBattery DA- intemal Vent. Glock Too Fast D2- Low Battery Charge 1D3- intemal Vent. Glock Too Siow D3 Low Battery ‘DA CPU Internal Error Da Low Battery (shutdown) D5 Memory (redundant storage) Fai DB- Fail Batt, Volt OutOF Range [D6- Flow Sensor Cal Data Comupt D6 - Batt. Cur. Out OF Range byte 11 bit byte 12 Vent. Message Vent. Message DO- Circuit Auniiary DO - Volume Mode Active Di- Auxiliary Breathing Circuit Di- Apnea Detect ON D2- “no confirmation of changed setting” D2- Apnea Alarm Silenced |D3- Control Setngs input Has Failed D3- Very Low VE Limit D4 Holiox Node is ON D4- Alarms Silenced 5 Volume Compensation Off Ds- 1 D6 - Mechanical Ventilation On D6- Sensoris) Cal Due 6/29/00 1006-0402.000 | fener annnnnnnnnnnannanaaananccce ? 2 2 2 2 2 2 2 2 > > 2 2 > 2 2 2 2 2 2 a 2 BY a 2 2 2 2 2 2 2 2 a a a 2 2 2 2 2 2 2 2 2 External Communications Setup Data Response —_:ViMaaaabddetfghcSetup Data Response 3833 [software revision number 0001-9999= 0.01-09.99 > Tanguage (see note) 08 3¢___| display convastseting 70 e alarm volume seting 15 if altitude setting 410 36,10 100% ofmetows é dive gas 0 ongen, A= ar 0 ventilator model number (0= 7800, I= T810, 5= 7850, 6= 7900) Aestiva € checksum — note: language: 0~English; 1=Spanish; 2=German; 3-Kanji; 4=Dutch; 5=Swedish; 6-French; Waveform Data i Waveform Data Mode is enabled, a Waveform Data Response will be transmitted ev Response ery 240 ms, Up to 2 blocks of fiteen (15) data samples taken every 16 ms. will be sent 1006-0402-000 6/29/00 with each message. Each data value isa 3-dight, zero filled, right justified ASCII Hex rep- resentation of a 12 bit binary value ‘yIWfaaabbb...nnnooo|faaabbb...nnnooo}e Waveform Data Response for each [max. of 2] waveform signal selected ‘aaa | Ist 16 ms waveform sample (0 >*000", 512 > “200°, 4005 > "FFF) bbb | 2nd 16 ms waveform sample ‘ann | 14th 16ms waveform sample (000 | 15th 16ms waveform sample ‘Waveform Data shall be scaled as follows: Pressure range: -20- 120m 4,0 scale: raw scaled amit. -20 0 000" 0 512 "200" 120 3584 £00" 19Aestiva 7-10 Flow scale: = Volume range: 0-2L scale: eo = en [2 3584 “£00” | The Waveform Data willbe sampled as follows: Pressure ‘Samples will be every taken from the airway pressure sensor every 16 ms. Flow For each breathing system the samples willbe every 16 ms. The flow may be ‘sampled from the inspiratory low sensor andor the expiratory flow sensor, de- pendingon the circuittype and the phase of te breath. The inspiratory flow sample will always be positive and the expiratory flow sample will aways be negative Circle Breathing System It inspiratory flow > threshold (start of inspiration) ifinspiratory flow is increasing Use inspiratory flow 16 ms sample se ifinspiratoy flow is decreasing and expiratory flow > threshold Use expiratory flow 16 ms sample ise Use inspiratory flow 16 ms sample Else If expiratory flow > threshold (start of expiration) Use expiratory flow 16 ms sample Ese Use the 16 ms flow sample from the previously used flow sensor 16/29/00 1006-0802.000 External Communications. Volume Circle Breathing System Samples will be every 16ms and will be based on integration of flow values. In- spiratory flow will increase volume, expiratory flow will reduce the volume. The volume will be reset to 0 at the start ofa inspiration. ere nnnnnnannannanananananaanacaanae VOQVOVOVOV OOOO OVO VORVEELOLYVOVOLVLYLHLLLLULUULUULULLYU 1006-0802-000 6/29/00 9/0 raAestiva Henn nnnnnnnnenenennnenge VWOUVVUVVVVUVVVVVVVVUVVVVVVVVVVVVVVVUVVIUUVULLULUOY 72 6/29/00 1006-0402.000 In this section 1006-0402-000 925/00 Specifications and eory of operation Ventilation TheOty ......sesseceseeeeceseee 82 Pneumatic ciruitS......-.eseeeeeeseeses 5 87 Suction regulators... .seseeeeeesseseeseesees we B10 0; Flow meter 8:10 Breathing system specifications .. Bul Pneumatic specifications 815 Flow specifications 816 Electrical Power ve BAT Electromagnetic compatibility ...........sececeeeseeseeseeeee 818 Physical Specifications 819 Environmental requirements .....-..+.2+0+++ 820 Ventilation Operating Specifications 821 Aestiva Ventilator Accuracy Data 8.23 Bt7 2° Go| 5 clo Aestiva a 2 Specifications and Theory of Operation 2 cl? Ventilator Theory a > Modes Thesystemhas two modes of mechanical ventilation © | a * Volume control mode General The ventilator pneumatics are at the rear of the breathing system. c} a Sere corm a {precision valve controls gas flow to the patent. ci? ere ene etna Duringinspiration, this gas flow closes the exhalation valve and pushes the bel- 6? lows down, ¢ 2 Durngesprtion, smal fow pressures te exhalation ciaphragm to supply ©? [MainMenu PEEP pressure. on) PETE Ca Volume Control Volume and pressure measurements come from flow sensorsin the flow sensor ¢ 2 Pressure Control module, Two tubes from each sensor connect oa transducer that measures ‘2 the pressure change across the sensor, which changes with the flow. A third " transducer measures airway pressures atthe inspiratory low sensor. ¢ 2 Screen and Audio . 2 3 With circle and open circuit modules, volume monitoring uses te right (expira c ; ; z tary) low sensor, The ventilator uses the other sensorto adustts output for a. Exit to Waveform Display : changes in fresh gas flow, small leaks, and gas compression upstream of the © 2 breathing circuit, There is no adjustment for compression inthe patient circuit. 3 Ifnecessary, add the compression loss tothe tidal volume setting (volume con- ¢ ‘trol mode). The average volume changes from compression in the breathing cit- ¢ 2 Figure 8-1 » Ventilation Setup Menu cuit is small (0.5 to 1.25 mL/cm H0). ¢ 3 For bette precision: ca Volume control mode taw ‘+ When the fresh gas mixture includes Heliox, use the Heliox mode (Ventilation c 2 Pit setup menu). Heliox, used on some ANSI Models of the Aestiva, changes the . 2 data collected by the flow sensors. When Heliox mode is selected, the ‘ 2 ventilator adjusts the flow sensor data to correct for these changes. . 4 peep ‘ + Asmall quantity of gas bleeds through a resistorto help keep the pressure on . 2 z the exhalation valve constant. At high airway pressures, this can cause @ a) 2 slight hiss during inspiration. a Time 2 AMWARNING Do nottrytosilence the pneumatic resistor. Ifitis blocked, the ven- 73 Figure 8.2 + Volume contol diagram tilator can malfunction and cause patient injury. ‘ Typically a volume control mode waveform shows increasing pressure during inspi- 2 ration, Volume contol supplies the settidal volume duringinspiration. The ventilator 2 calculates a set flow and th Always connect the expiratory flow sensor. itis not connected, : 3 Tae era eta tte a the patient disconnect alarm can not operate correctly. 2 fangs le eo eee a alan inthe .2 _9 Volume control = Vj(tidal volume), 3 mode settings « Rate, 2 ne, 1@ * Plimit .@ + PEEP .@ 82 19/25/00 1006-0402-000 oO a 1006-0402-000 9/25/00 pO EeeWOEVOOVVOYVYO VYVOVYVVVVUYVYUYYVYVVVUVVUULLUUULUUUUULULUb Aestiva Specifications and Theory of Operation Breathing system schematic Pressure control mode Figure 8-3 + Pressure control diagram ‘= Pressure control supplies a constant set pressure during inspiration. The ventilator calculates the inspiratory time from the frequency and L:E ratio settings. A high initial flow pressurizes the circuit to the set inspiratory pressure. The flow then decreases to maintain the set pressure (Pinspired). * Pressure sensors in the ventilator measure patient altway pressure in the inspiratory limb and manifold pressure in the ventilator. These pressures, permit the ventilator to adjust the flow to get set inspiratory pressure. nnn nn cce neon ee eeeooeeEeEe Pressure control Pinsp (control pressure), mode settings Rate, be, . Plimit (pressure limit), and PEEP. . VTComp Off During some malfunctions, the ventilator automatically changes modes, Vol: ume Compensation OFF supplies the set tidal volume. Itcannot adjust the out- : 7 put to supply the set breath. E ‘ Minimum Monitoring — + Shows data Z + No mechanical ventilation. 7 + “Monitoring Only” alarm message . + “Minimum System Failure” and specific fallure message ' * The software goes to minimum monitoring when a non-recoverable error ‘occurs in boot-up or normal operations. 1006-0492-000 9 Go 19/25/00 1006-0402-000, 0402-000 9/25/00 esAestiva Internal signal schematic 86 t saogaovee Soyaone ACinlet Module Vote Se Two Stage Fiter wooo Toroid Power Supply Board MicroContrller Board Pneumatic Engine Front Panel Assembly Tauate s2a2c emote on/oftior other device [LL 0, supa alana fush switches Sensor interface Board C0, Bypass Breathing Crevit Module ‘Absorber Contol Panel Canister Release Bag/Yent Switch Flow Sonsors 0, Sensor 19/25/00 1006-0402-000, OOH OHKKOHKOKHHOHOHHOHKOHE EE o 2 J J 2 2 2 2 2 2 =] J 2 2 2 2 2? 2 2 2 2 2 2 2 2 > 2 2 2 2 2 2 2 2 ) 2 2 2 ey 2 2 ry vy Pneumatic circuits Gas supplies (items 1-6) AN WARNING 0, flow (items7-14, 27) Air, NoO, and third gas flow (items 7, 8, and 15-23) 1006.0802.000 9/25/00, Specifications and Theory of Operation Gas goes into the system through a pipeline or eylinder connection. All connec- tions have indexed fitings, filters, and check (one way) valves, Gauges show the cylinder and pipeline pressures. ‘A regulator decreases the cylinder pressures to the appropriate system pressure. A pressure relief valve helps protect the system from high pressures. To help prevent problems with the gas supplies, install yoke plugson all empty cylinder connections. 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. Pipeline or regulated cylinder pressure supplies 0. directly to the pneumatic out and the ventilator (0. ventilators). A second regulator decreases the pressure forthe lush valve and the auxiliary flowmeter. ‘The flush valve supplies high flows of 0, to the fresh gas outlet when you push the flush button. The flush switch uses pressure changes to monitor the posi- tion of the flush valve. A message on the ventilator tells you when Flush is ON. ‘When the system switch is ON, 0, flows tothe rest ofthe system and there isa minimum flow of 25 to 75 mL/min through the O, flowmeter. |A secondary regulator supplies a constant 0. pressure to the flow meter, An electrical switch monitors the O, supply pressure. Ifthe pressure is too low, an alarm appears on the ventilator. Balance regulators control the flow of N,O and the optional gas (CO,, Heliox) to the flow control valves. Oxygen pressure at a control port adjusts the output of the regulator. This stops flow during an 0 supply failure and makes sure that the hypoxic gas pressures increase and decrease with the O supply pressure. ‘chain linkage on the N,O and 0, flow controls helps keep the O, concentra tion higher than 20% (approximate value) at the fresh gas outlet. Pipeline or regulated cylinder pressure directly supply Arto the ventilator (Air Ventilators). When the system switch is ON, air flows tothe rest of the system. A secondary regulator supplies the airflow control valve, Because there is no balance regulator, airflow continues atthe set rate during an O, supply failure. a7Aestiva 88 Mixed gas (item 26) Key to Numbered Components Key to Symbols ‘The mixed gas goes from the flowmeter outlet through the vaporizer that is ON, to the fresh gas outlet, and into the breathing system. A pressure relief valve sets the maximum outlet pressure. 1. Pipeline pressure gauge 2. Pipeline connection 3. Cylinder pressure gauge 4. Cylinder connection 5. Cylinder pressure regulator 6. Pressure relief (opens at approx. 918 KPa) 7. Supply connections for the ventilator 8, System switch Alarm for low 0, supply pressure 10.Secondary 0, regulator 11.0, flow control valve 12.03 flow tube 13. Flush regulator 44.02 Flush a. Flush valve b. Switch (used withthe ventilator) 15.N,0 balance regulator 16.N,0 flow control valve 17.N,0 flow tube 48.Air secondary regulator 19.,Airflow control valve 20.Airflow tube 21.Optional gas balance regulator 22.0ptional gas flow control valve 23. Optional gas flow tube 24. Vaporizer port valve 25.Vaporizer 26.Pressure relief (opens at approx. 38 KPa) 27. Aux. flowmeter (optional) K >+X Pneumatic Connection ° Fitter > Direction of Flow & Check Valve (approx. 10 L/min reverse flow -STP) 19/25/00 1006-0402.000 eee rere OaOOanAnngAnnngng v 2 2 2° ° 2 2° @ 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 ed a ? 2 @ 14a ‘Specifications and Theory of Operation WE LINK-25 ~® 6] Figure 8-4 » Preumatic circuit 1006-0802.000 9/25/00 89Aestiva Suction regulators (optional) Venturi Suction Supply: air or 02 from system gas supply. Regulator rive gas consumption: 75 L/min Maximum Vacuum: 457 mm Hg with pipeline drive gas at 345 kPa. Minimum flow: 20 L/min ‘Sound level 53 dBA ‘Accuracy: 5% of full scale Continuous Suction Supply: Eternal vacuum Regulator Vacuum evels: 0-200 mm Hg and full line vacuum Maximum flow: >20 L/min Accuracy: 5% of full scale 0, flow meter (optional) Supply: 0p from system gas supply. flow rates: 0-10 L/min Accuracy: 5% of full scale 810 19/25/00 1006.0402-000 « FURR R RRR ERE REEL LE ELELULLLLELLELELELELECE eeooocecce ane neon nn nancone Breathing system ct fresh gas connections (common and auniliary outlets) 1008-0402.000 9/25/00 Specifications and Theory of Operation ‘There are three types of breathing circuit modules (Figure 8-5): 1. Circle 2. Mapleson D/Bain(With Mapleson D/Bain circuits one flow sensor measures Inspira: tory and expiratory lows. The other measures fresh gas. 3. Open Tabs on the circuit modules fitinto infra red switches on the breathing system bulkhead. ‘The ventilator uses these switches to identify the circuit module. Module Patient Circult One-Way Valves Connections Circle Left: inspiratory Inspir. & expit. check valves Right: expiratory MaplesonD/Bain Lett: to-tro None Right: fresh gas Open Left: inspiratory Inspir. check valve. Pressure Right: expiratory controlled expiratory valve. When you make a direct connection to one of these outlets: ‘+ Mechanical ventilation isnot available « Thepressure gauge, Bagy/Ventswitch, APLvahe, and bagamm are not partofthe circu. + Volume and pressure monitoring are not available. ‘+ Flow from the ausiliary outlet tothe 0, sensoris: Back pressure vs. flow to O2 sensor 3k aL 1b 10 20~~C«OSCASCSC«SCSSC«O cmH0 Batco , 2 Go) ae t3 Specifications and Theory of Operation ce 62 ' i C2 Breathing system specifications ‘2 Volume: 5500 mi & 5 Absorbent: 1.35 kg (400 mi) / canister 6 5 Connections: 8 ‘ a) Common gas outlet:1S0 366 ype connector Standard 22 mm OD or 15mmI0 conical Circle Modal 3 friction ft connectors). Remove the breathing circuit module to access. ircle Module Open Module Mapleson D / Bain ‘ . / > Auniliary outlet: ISO 5356 type connector on the front of the breathing system (Standard Q ¢ 5 22mm OD or 15 mm ID conical fiction ft connectors) (Optional). © 5 ‘System leakage: 7 : 2 These values are for continuous pressure and are higher than those expected during me- ¢ 3 chanical ventilation. ¢ =300mL/min total at 3 kPa; $75 mi/min forall connectors and two part tubes and < 17 4 a . 2 225 mL/min forall other breathing system assemblies. = 6 3 ‘System compliance 16 aa 9 6 5 Volume of gas lost due to internal compliance (bag mode only) 5.15 mL/cm H,0 ey oo ‘ > Breathing system resistance a 8 is 11 j i Ypiece orT piece adds <0.15 KPa expiratory resistance at 1 L/sec. Te 12 <2 4 0, Serr renee O Pug .? {Breathing System Resistance Ingptator Por 3. Ta (det the Beating Crcuit Module to ertlatn .? ce a ie 4. Expiator Pot 2 fess Expiratory 5. To-roPor ‘ om 8. FroshGas Por ae nee T. Flow Sensor Module Connector (Used with vetilato) 8. Optica Sutches (Use Tabs Te Identify Cicut Module) (2? 9. Intemal Connection (To Gas Scavenging System - Open Module Only) > 10, Intemal Connection (Exhale gas flows to absorber during expiration) ‘ 11. Intemal Connection (To Bag/Vent Switch) 2 4121 Auary Common Gas Outlet (Some Models) ac 413, Selector Sth Auxiany Common Ges Ott) 2 414, Common Gas 0. ‘¢ 15, mal Connection (Med gas fom absoberdunginsaton 2 16. Intemal Connection Aux. Com. Gas Outlet To O; Sensor) 5 17, Pressure Gauge Tap , flow rate Limin 1. Drain Vave (Push In To Drain waterinto the Drain Dish At Battom OF Absorber) 2 Note: Items 12 and 14 are both called fresh gas outlets. 5 ‘ Figure 6-5 » Breathing chit modules and connections _) ae 2 2 8.12 4/25/00 1006.0402-000 4 eee aa 813 72Aestiva Gas scavenging Disposal System Type | Pressure required to open inspiratory and expiratory valves: Dry: 0.49 cm H,0 Moist: 0.91 cm H,0 Breathing system leakage (average during use) Pressure Bag Mode (ml/min) Vent Mode (ml/min) 30cm H,0 0.089 0.063 60cm H,0 N/A 0.106 20cm H,0 NA 0.163 APL Valve: Approximately 0 to 70 cm H,0 Pressure Flow Data (APL Valve Completely Open) Flow (L/min) Flow (L/sec) APL Pressure cm H,0 3 0.05 1.12 10 oz 1.26 20 0.34 417 30 0.51 2.36 40 0.68 314 50 0.83 4.06 60 1.0 5.14 ‘System volume: 5500 mL. Passive scavenging: Positive pressure relief: 10 cm H0. Negative pressure relief: 0.5 cm HO. Outlet connector 30 mm male taper swivel Active scavenging: Panicle filter at the outlet has a pore size of 225 microns. All low data uses a new filter. Outlet Swivel Connector* Flow Range Pressure Low flow, high vacuum DISS EVAC 3644 SLPM at 300 300 mmHg(12 ing) mmHg(12 inHg) Minimum vacuum High flow 856834 50-80 SLPM 1.6 KPa at 75 SLPM. Venturi/Ejector Yin, hose barb 30-100SLPM n/a * Other market-speciic connectors may be availabe. 19/25/00 1006-0402-000 c cece nance cone oon oooeone nee eee’ DOO 00000 OO WOW DVVVOUVOVVYVYUVUULLLLLLULLLULLLLS Specifications and Theory of Operation Pneumatic specifications Gas supplies: Common gas outlet relief: 1009-0402.000 9/25/00 Pipeline gases: O>, Ait, NO Cylinder gases: CO,, Heliox, 02,.N-0, Ait (maximum: 2 cylinders of each gas; 4 cylinders total on narrow models; 5 cylinders total on the wide model. ylinderconnections: Pin indexed (all gases); nut and gland DIN 477(0,,N,O, Ait; large oylinder kit available for 0, and N;0. Primary regulator output pressure: * With a rear pane label: (F ‘The primary regulator's set to pressure less than 345 kPa. 245 ire (f ‘The primary regulators set to pressure less than 414 kPa, * Without a ear panel label : approximately 587- 690 kPa Pressure relief valve : approximately 883 kPa, Pipeline connections fitere): DISS-Male;DISS-Female; DIN 13252; AS 4059 (Austaan; 90-116 (French Air iquide) CEN (QPREN 737-6); orNIST (SO 5359), Alfitings avallable for ,, Ait, and N,0. Pressure displays: Color coded gauges Pneumatic outlet 0, DISS or Mini schraeder connections 00 t+ «0158 Power Out =, = eee ie proanre ct no meester ito % % % 0 US BT WEST eS Bras Ze Outer Pressure (Pa) Valve limits fresh gas to 138 kPa atthe flush flow. 845| . ov oe ce rn 23 Specifications and Theory of Operation 6 8 os Electrical Flow specifications ce ectrical power 6 8 Flow rates 3 ‘Supply voltage S 100-120 or 220-240 Vac + 10% at 50 or 60 Hz Minimum 0, flow: 25 to 75 mL/min 2 S Electrical circuit breakers cf] Inlet Crt reaers 2 Gas Flow Range ‘Scale (One ‘Scale (Two Flow Tubes) GS Flow Tube) © 2 100-120 Vac (220-240 Vac o 0.08-15 L/min 0.05 -0.95 L/min co outer s ca 1-15 L/min Cae) With Outlets 104 6A WN, Total 0.05 -0.95 L/min om) L0 — 0-40L/min’ 1-10 L/min 2 Master Circuit Breaker-All Outlets )-1 1-15 L/min: 0.05 -0.95 L/min fir 045 1/min / eae ail c 7 100-120Vac 220-240 Vac He 0-15 L/min 0.5-15 L/min 2 5A 3A ¢ | 00; 905Umin 005-05 min wm ad Outet cet Breakers | . 2 1. Menken seth onal 2 fon 25% ofthe 02 an N20 fo a) 100-120Vac 220-240 vac — 7] No outlets @)2A eta . 1)3 1)2A ‘At20°C with gas supply pressures at 345 kPa and an outlet pressure of 101.3 KPa (ab- 1? 0 w - 3513 Part 3, Accuracy Class 2.5 or better. : solute) flowmeter accuracy agrees with VDE. _ . . 3 Circuit Breaker for Tec 6 Outlet (limited by master circuit breaker) Different breathing circuit pressures, barometric pressures or temperatures change the : ee ‘accuracy. With some conditions, these changes can be larger than the tolerances. 2 rage . ULand CSA rated systems (USA and Canada) <300 amps for the system and all sys- Push flow :2 tems connected to electrical outs, 935-50 l/min oa) IEC rated systems (Not USA and Canada) <500 jramps for the system and all systems. A eee a connected to electrical outlets alarm a Op supply failure 2 Note: Products connected to the electrical outlets may increase the leakage current above these limit. 0, Pressure a Resistance to ground: 0» supply failure alarm 193 to 221 kPa ; 2 an N20 shutoff 3.5kPa 7 2 Power cord 69 kPe . CO, or Heliox shutoff a ‘2 Length Brees . rd Voltage rating 125 to 264V ac at 10A, by country and/ortranslation a 3 Curent Carrying Capacity 10A ” 3 Type ‘Three conductor medical grade power supply cord by vd country and/or translation uw 2 aus «yaso0 100 at02.00 3 1008-08020 9/26/00 87 zAestiva Electrical Fuses Battery Information Electro-magnetic 818 Compatibility 16.31/250V. ‘Asealed lead acid battery supplies battery backup for the Aestiva. The Aestiva is nota portable unit Batteries ae used as back up powerin case of @ power file. Thus the battery is ina float charge state most ofthe time, Batteries meet the following: 1. Capacity to operate for 30 minutes. 2, Unit functions to specifications through the transition to battery power. 3, Long oat charge life. 4, Battery pack is internally fused -in tin replaceable 5, Battery terminals and connecting wires are protected against short circuits. Only Datex-Ohmeda service representatives are to replace the battery. Batteries must be disposed of in accordance with applicable regulatory requirements in effect at the time and place of disposal. Environment: Suitable for use in the EM environment described in. EN 60601-1-2 Immunity Levels: The Aestiva complies with the requirements of EN 60601-1-2 (Elec: ‘tromagnetic Compatibility - Requirements and tests). The following basic EMC stan dards were applied to verify conformance. Emissions CISPR 11 Group 1 (EN 85011) Immunity IEC 801-2, 8 kV air, 3 KV contact IEC 801-3, 3V/m |EC801-4,2 kV powerline IEC 801-5, 2 KV line to earth, 1 KV line to line 19/25/00 1008-0402-000 ccenecnnnee eon ene ce’ VVUVVVVVVUVLVVVVVUVIVVVVUVUVUVUOUULUUUUUU0UUOUU. we c Physical specifications Weight: Dimensions: Casters: Drawers: Ventilator display: 1006-0802.000 9/25/00, Specifications and Theory of Operation Al specifications are approximate values and can change without notice. 2 vaporizer system: 136 kg 3 vaporizer system: 154 hg 2 vaporizer system Height: 135.8 om Width: 75.0.0m Depth: 83.0 om Shelves: ‘Number: 0, 1, oF2 Size: 47.5 x35 om or 67.5 x35 em Usable height (2 shelves): 26 or 36 cm Weight Limit: 23 kg per shelf 3 vaporizer system Height: 135.8 em Width: 93.0.0m Depth: 83.0 om Shelves: Number: 0,1, oF2 ‘Size bottom shelf: 87.5 x 35 cm or 67.5x35 cm Size top shelf: 47.5 x35 cm or 67.5%35 em Usable height (2 shelves): 26 or 36 om Weight Limit: 23 kg per shelf 12.5 em with brakes on the front casters Optional:14.5 x38.5x26.0.em Standard drawer. 10.5 x38.5 x 26 cm 7.6x15.2cm tor 10° angleshenes have te same usable gh 2 ator 10“ ange sheves have the same usable aig. 8.19Aestiva Environmental requirements Temperature Operation 10 to 40 °C, (Oxygen cell operates to specifications at 10 10 40 °C) EOE ee Storage -20t0 70°C ; i Oxygen cell storage is -5t0 50°C, 1010 95% Rh, 500 to 800 mmHg, TOTO ee Humidity Operation 15 to 95% Rh, non-condensing, ‘Storage 10%o 100% Rh, include condensing Storage (1010 100% Rhine Altitude Operation 500 to 800 mm Hg(3585 to-440 meters) Storage 375 to 800 mm Hg (5860 to-40 meters) Compensation range 525 to 795 mmHg (3,000 to -100 meters) 19/25/00 1008-0402-000, | | | | | | <7? Gre) co)? ci? cj? co)? o.2 a) <2 2 a) a) a) a) © © 2 62 2 62 . 2 (2 (2 (2 (2 a) a) :2 2 2 2 2 2 2 2 2 2 2 2 3 a a a 3 Specifications and Theory of Operation Ventilation Operating Specifications Pneumatics Gas Source Gas Composition Nominal Supply Pressure Pressure Range at Inlet Peak Gas Flow Continuous Gas Flow Flow valve range Fresh gas compensation Flow Compensation Range Gas Composition Pressure Patient airway pressure range Anesthesia System Medical Air or O; 350 kPa 240 to 700 KPa 1201L/m@ 240 kPa, 0.75 seconds 80 L/m@ 240 kPa 1 to 120 L/min at 240kPa 200 mL/min. to 15 L/min, 0,,N2O, No Ait, Heliox, CO, Anesthetic Agents -20t0+120.em H,0+/-2 om H,0 12 to 100 cmH,0, 1 eminerement High pressure alarm set range Sustained pressure alarm range Display range Volume Tidal volume display range Setting range 61030 cmH,0, 1 cm increment. -2010 120 emH,0 (00 9999 mL, 1 mL resolution 20to 1500 mL. ‘Minute volume Breath rate Volume sensor ype 4006-0402-000 9/25/00, 0.0 to 99.9 liters, 0.1 liter resolution 4 to 100 bpm (breaths per minute), 1 bpm resolution Variable flow orifice 82171? 2\9 and Specifications and Theory of Operation Aestiva 7\? 2)? <\? ; 2! Aestiva Ventilator Accuracy Data Oxygen 2] 6)? The following accuracy data are based on patient conditions and settings described in Display ange Oto 110% 0, ate ASTM F1101. The ventilator is assumed to be operating in volume mode (Heliox OFF. oo | Forth folovngtobe We, be verisar isopereinguth 100 peertongenin he Display resolution pease o\? breathing system; or, itis connected to an anesthesia gas analyzer. ifthe ventilators, ‘Sensor type Galvanic fuel cell im \? ‘operating without being connected to an anesthesia gas analyzer, additional errors are ata) described in the ges composition charts that follow. Measurement range 0 t0 100% O», i ©) Measurement accuracy Better than + 3% of full scale ol yy Call response time 35 seconds! C2 (100%0,) Low 0, alarm range 21% to 100% © 5 Volume delivery > 210 mL tidal volume - accuracy better than 7% c accuracy High O, alarm setting 21% to 100% ot Note: Low 0, limit may not be set above cf < 210 mL tidal volume - accuracy better than 15 mL mite set below | 2 Gc) Volume monitoring > 210 ml tidal volume - accuracy better than 9% Expected cell ife Four months of shelflie (23 °C room a nama Si ear of normal operation ee eee a) 240 mL tidal volume - accuracy better than 18 mL tre descr in SO 6? = 60 ml tidal volume accuracy cpons un of cal nd adapters messed usngtetestetid decitedin I Ltda + Resene te iehcmseoo. 6 betterthan 10 mL 6? 6? Pressure Mode : (100% 0,) <2 Inspiratory pressure delivery accuracy greater of £ 10% 0r:£3 cm H,0 ‘9 PEEP delivery accuracy “+ 1.5¢emH,0 :2 Prete monitoring acacy geatrait SB orkDemilO °5 betterthan 9% “3 <210 ml tidal volume - accuracy Gi better than 18 mL °s ~< 60 mL. tidal volume - accuracy ad better than 10 mL /3 Ta: Cas corposin ros abnor ote abo romalueataan, Wen ange 2 (pose ero canhave he fet ofiag out negate rar vo Na Use tanec agentcout act rast spp 95% Ste agen no _) iia aici 2OUs Une EAR eiaaee Nw aR eCeeEe TEE Onmeda RM espstayGes Nontor, e aleofgascomeeetonon valine daiscoectedae , automaticaly . 1006-0402.00 9/28/00 323 19/25/00 1006-0802-000, 822Aestiva Volume Compensation Off Heliox Mode 824 Delivered volume accuracy: greater of : 10% or 20 mL (Open loop volume mode is not.a normal user selectable ventilation mode, It's an un- ‘compensated ventilation mode used when a possible inspiratory flow sensor problem has been detected, The delivery accuracy is evaluated at the ventilator dive gas outlet in this mode of operation.) Figure 8-6 » Gas Composition Related Errors (Both Modes) ‘The effect on volume delivery and monitoring accuracies of Heliox mixtures is within +8% to-15% when operating the Aestiva Ventilator in the Heliox Mode, Open loop mode volume delivery accuracy: +/- 10% of the set value under the following conditions 1. Accuracy evaluated at the ventilator outlet. 2. Thisis nota normal operating mode. The ventitatoris operating in an imegular con- dition. 19/25/00 1006-0802-000, c Numerics +15V Analog Out-of- Range 5-4 12 HourTest 5-4 -15V Analog Out-of Range 5-4 A Absorber disassembly 2-10 fill with absorbent 3-6 setup 3-6 Absorber canister open 54 absorber disassembly 2-10 Absorber parts ‘stock numbers 6-3, ‘Absorber top panel open 5-4 Alarms 5-4 alphabetical list 5-4 display area 5-2 priority 5-2 Al5-4 All Vent modes Available 5-4 Altitude 3-18 APL valve disassembly/maintenance 4-3 ‘Apnea Alaim in Standby 5-5 Apnea Alarm Off 5-5 ‘Aux Comm Gas Outlet On §-4 Bagarm install 3-2 remove 2-8 stock number 6-2 Battery Charger Fail 5-5 Battery Charging 55 Battery Current High 5-5 Battery Failure High 5-5 Battery Failure Low 5-5 Battery specifications 8-18 Bellows, cleaning 2-6 disassembly/maintenance 4-12 install 3-2 remove 2-9 SECC ECCGSG Spe eget een ee aerate antennae ree ree ree ee PLU Ocoee TEEE “~ 1008-0402000 6/29/00, Index repair parts 6-9 stock number 6-2 test for correct assembly 4-15 Breathing circuit module disassembly/ maintenance 4-10 identify by ype 3-3 install 3-3 remove 2-8 repair parts 6-8 stock number 6-2 types of, Bain, circle, open 8-11 Breathing system schematic 8-5 specifications 8-13 stock numbers 6-2 breathing system setup 3-2 Breathing system components 8-12 c Calibrate Flow Sensors 5-6 Calibrate 0, Sensor 5-6 Cardiac Bypass 5-6 Caution defined 1-3, Check Flow Sensors 5-6 Circuit breaker 5-17, 5-18 Circuit breakers specifications 8-17 Circuit Leak Audio Off 5-6 Cleaning 2-7,2-10 flow sensors 2-13 patient contact parts 2-2 scavenging exhaust path 2-3 special requirements 2-6 summary 2-2 washing procedures 2-4 Connect 0» Sensor 5-6 Control Settings input has Failed 5-6 CPU Failure 5-6 CPU intemal Error 5-7 Cylinder installation DIN Type 3-12 yoke type 3-11 D Default settings 3-18Aestiva dimensions 8-19 Disassembly 2-7, 2-12 patient path 2-7 soavenging path 2-12 Disinfection 2-13 Display Voltage Out Of Range 5-7 Drain dish install 3-7 E Electrical connections 3-8 Electrical outlets 3-8 Electrical specifications 8-17 Electro-magnetic compatibility 8-18 Environmental requirements 8:20 Exhalation valve disassembly/maintenance 4-6 removal 2-12 repair parts 6-7 stock number 6-2 xp Flow Sensor Fail 5-7 xp reverse flow 5-7 Extemal connection ‘compressed data format 7-6 device commands 7-4 electrical interface 7-3 responses 7-4 serial parameters 7-3 setup data 7-9 status bytes 7-7 waveform data 7-9 Extemal data protocol choices 7-2 protocol com 1 7-3 Extemal 0, flowmeter 3-10 specifications 8-10 F Flow sensor calibration 4-24 cleaning 2-6 location2-13 replace 4-9 Flow sensor module assemble 3-5 install 3-4 remove 2-7 stock number 6-2 Flow specifications 8-16 Flow Valve Failure 8-7 Fold out shelf 3-17 Fresh gas outlets) direct connection to 8-11 fuse 5-18, G Gasftow path through system 8-7 Gas Inlet Valve Failure 5-7 Gas scavenging specifications 8-14 stock numbers 6-2 Gas supplies specifications 8-15 Gooseneck lamp install 3-14 stock numbers 6-10 H Hardware Watchdog Fallute 5-7 Heliox mode 3-18 accuracy 8-24 Heliox Mode is On 5-7 High 0, 5-8, High Paw 5-8 High pressure leak test 3-12, 3-13 High Pressure Limit Reached 5:8 High Ve 5-8 High Vte 5-8. Insp Flow Sensor Fail 5-8 Ingp Reverse Flow 5-8 Inspiration Stopped 5-9 Intemal Ventilator Clock Too Fast 5-9 Intemal Ventilator Clock Too Slow 5-9 Invalid Circuit Module 5-9 L Language 3-18 Leakage curent specification 8-17 LimitTask Light Use 5-9 46/29/00 1005-0402-000 4 ae ood Pee OOO nae e EO EE EeEoene TUR OOOO) 6 4OO44O0000000040 OOOO AY Loss of Backup Audio 5-9 Low Battery Voltage 5-9 Low Drive Gas Pressure 5-9 Low 0, 5-10 Low Paw 5-10 Low pressure leak test tool stock numbers 6-10 Low Ve 5-10 Low Vte 5-10 Main manifold disassembly/maintenance 4-3 install 3-2 remove 2-9 repair parts 6-5 stock number 6-2 Mains indicator5-17, 5-18 Mains inlet 3-8 Maintenance schedule 1-6 Manifold Pressure Sensor Failure 5-10 Memory 5-11 Memory (EEPROM) Fall 5-10 Memory (fash) Failure 5-10 Memory (RAM) Failure 5-10 Memory (Redundant Storage) Fail 5-11 Memory (video) Failure 5-11 Minimum Monitoring 5-11 Minimum monitoring 5-4, 8-4 Minimum shutdown 5-4 Minium system shutdown 5-11 No Circuit Module 5-11 No C02 absorption 5-11 No Exp Flow Sensor 5-11 No Insp Flow Sensor 5-11 No Op pressure 5-12 0 0; Flush Failure 5-12 03 sensor calibration 21% 4-18 calibration at 100% 4-21 cleaning 2-6 1006-0802-000 6/29/00 Index install 3-3 remove 2-7 stock number 6-2 troubleshoot calibration failure, 100% 4-23 troubleshoot failed 21% cal 4-19 0, sensor out of circuit 5-12 (On Battery-Check Power 5-12 P Patient circuit connections 3-4 Patient Circuit Leak 5-12 patient path 2-7 Paw 5-12 Paw/manifold mismatch 5-12 PEEP Not Achieved 5-13 Peep pressure generation of 8-2 Pipeline inlets 3-9 Pneumatic connections 3-8 Pneumatic outlet 3-9 specifications 8-15 Pneumatic schematic 8-7 pneumatic schematic 8-9 Positive SIB Vref Out-of- Range 5-13, Pres Control Available 5-13 Pres Control Not Avail. 5-13 Pres/Vol Mon inactive 5-13 Pressure control mode 8-4 Pressure measurement source 8-2 Repair policy 4-2 Replace O> Sensor §-13 Ss Scavenging connections 3-9 Scavenging path 2-12 Scavenging receiver disassembly/maintenance 4-8 Scavenging reservoir disassembly 2-12 scavenging reservoir 2-12 Schedule Cal Due 5-13 SchematicAM Teeuvueeeeueblsoleoeeceeoeeeeeeeees Warranty Aestiva This Productis sold by Dates-Dates-Ohmeda under the warranties set fort n the following, paragraphs, Such warranties are extended only wth respect tothe purchase ofthis Prod: ct directly from Datex-Ohmeda or Datex-Ohmeda'’s Authorized Dealers asnewmerchan- Lee dise and are extended to the Buyer thereof, ther than forthe purpose of resale. Verify Low VE Limit 5-14 Verrtoutottange 514 Volume Apnea 5-14 Volume Apnea > 2 min 5-4, 5-15 Volume control mode 8-3, Volume measurement source 8-2 Volume monitoring 8-2 ‘VT compensation off 8-4 ‘vtCompensation Off 5-15 intemal signals 8-6 patient cicuit 5 pneumatic 8-7 Select Gas Outlet 5-13 Serial port 3-10 setup breathing system 3-2 Software Watchdog Failure 5-14 special requitements 2-6 Sterilization 2-2, 2-6 Fora period oftwelve (12) months from the date of orignal delivery to Buyer orto Buyer's order, butin no eventfora period of more than two years fom the date of orignal delivery by Dates-Ohmeda to a Datex-Ohmeda Authorized Dealer, ths Product, other than its ex pendable parts, is wanranted against functional defectsin materials and workmanship and to conform tothe description ofthe Product contained in this operation manual and aocompanyinglabels and/or inserts, provided thatthe same is propedy operated under the conditions ofnommal use, that regular periodic maintenance and sence is performed ‘and thatreplacements and repairs are made in accordance with the instructions provid €ed.This same warranty is made fora period of thirty (30) days with respect to expendable autoclave 25 ; pars. The foregoing waranties shal not apply ithe Product has been repaired other than Stock numbers Vi Not Achieved 94 by Datex-Ohmeda orin accordance with written instructions provided by Datex-Ohmeda, assorted tools 6-10 ‘Vie? Insp VS or altered by anyone other than Datex-Ohmeda, orif the Product has been subject to Suction regulator w abuse, misuse, negligence, or accident ‘connections 3-10 3 specifications 8-10 ‘Warming defined 1 Datex-Ohmeda's sole and exclusive obligation and Buyer's sole and exclusive Water build-up rere OONNK KEE ONOoone summary 2-2 405 remedy under the above wanrantiesis limited to repairing orreplacing, free of charge, at ‘Sustained airway pressure 5-14 and ee, ast : Datex-Ohmeda’s option, a Product, which is telephonically reported to the nearest Datex- Sustained Paw 5-14 couses for 4.25 ; Ohmeda Field Service Support Center and which, ifso advised by Datex-Ohmeda, is ‘symbol glossary 1-3, eae : thereafter retured with a statement ofthe observed deficiency, notlater than seven (7) System Leak? 5-14 Weight 8- : days after the expiration date of the applicable warranty, to the Datex-Ohmeda Service ‘Wetgnt limit and Distribution Center during normal business hours, transportation charges prepaid, T top shelf 3-15 . and which, upon Datex-Ohmeda’s examination, is found not to conform with above war- outlet 3-8 : ranties. Dates-Ohmeda shail not be otherwise lable for any damages including but not Le ; fated peti domuabe ocoqentsl damage or geo conoeee install equipment 3-15 5 hereinabove set forth Datex-Ohmeda makes no warranty of merchantability or fitness wweightlimit 3-15 : fora particular purpose with respect tothe product or parts thereof Troubleshooting alarms alphabetical ist 5-4 electrical problems 5-17 high pressure leaks 5-19 low pressure leak 5-19 ' < Unable to Drive Bellows 5-14 6 v % Vaux_ref Outof-Range 5-14 VE auto limits 3-18 Ventilator ‘accuracy 8-23, modes 8-3 operating specifications 8-21 theory of operation 8-2 6/29/00 1006-0802-000cn . co Datex-Ohmeda cr cn ~ oat onee Maite face Corporate Office Sedans ene fed Der aesa Pe Borectnnese 2s cy Somiton e teeing Comer BeSsefoe Se RamseresoossPRcine Sino Tittrennariewee © Torbe 208732 2521, Ael00Petcingsove 69760 imonest t ieee Sees neste te rece © Seoear eA Te Soe ecssa10 Dat: het on Dain ites reread Tene eases 1 ces Co onsets, oa Rebates Sanction ne comm 6 F-00081 Mesos Shang 200021 6 Cis Bathe Pr. 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