GE Healthcare Aespire 7100 Anesthesia Machine Technical Reference Manual‘Aespire 7100 Datex-Ohmeda products have unit serial numbers with coded logic which indicates a ‘product group code, the year of manufacture, and a sequential unit number for identification. The serial number can be in one of two formats. . [ARAXA 11 [AAAXX111111AA ~ The Xrepesnis avapha haacer |The XX presents amunberindcaing inating yearte poduetwas | the year the product was manuactue, manutd: =2008,)= 2005, ee, [04200408 = 2005 et. Tad ar notused ‘Aespire, ProTlVA, SmartVent, and Link-25 are registered trademarks of Datex-Ohmeda Inc. Other brand names or product names used inthis manual are trademarks or registered ‘trademarks of their respective holders. o9/or mis10140tti0140 08/07 Technical Reference Manual Covers the following: Aespire 7100 anesthesia machine (with non-color or color display) Aespire 100 anesthesia machine S/5 ProTIVA anesthesia machine Software Revisions 1.X and 2.X This documentis notto be reproduced in any manner, nor are the contents to be disclosed to anyone, without the express authorization of the product service «department, Datex-Ohmeda, Ohmeda Drive, PO Box 7550, Madison, Wisconsin, 53707. © 2007 Datex-Ohmeda inc.‘espire 7100 Important A\cAUTION ‘The information contained in tis Technical Reference manual pertains only to those ‘models of products which are marketed by Datex-Ohmedsa as ofthe effective date of this manual or the latest revision thereof. This Technical Reference manual was. prepared for exclusive use by Datex- Onmeda service personnel in light oftheir training ‘and experience as well asthe availabilty to them of parts, proper tools and test ‘equipment. Consequently, Datex-Ohmeda provides this Technical Reference manuel to its customers purely asa business convenience and for the customer's general information only without warranty of the results with respect to any application of such Information. Furthermore, because ofthe wide variety of circumstances under which ‘maintenance and repair activities may be performed and the unique nature of each individual's own experience, capacity, and qualifications, the factthat customer has, received such information from Datex-Ohmeda does nat imply in anyway that Datex- (Ohmeda deems said individual to be qualified to perform any such maintenance or repair service. Moreover, itshould not be assumed that every acceptable test and safety procedure or method, precaution, tool, equipment or device is referred to within, orthat abnormal or unusual circumstances, may not warrant or suggest diferent or ‘additional procedures or requirements. This manual is subjectto periodic review, update and revision. Customers are ‘cautioned to obtain and consult the latestrevision before undertaking any service of ‘the equipment. Comments and suggestions on this manual are invited from our customers. Send your comments and suggestions to the Manager of Technical ‘Communications, Datex-Ohmeda, Ohmeda Drive, PO Bax 7550, Madison, Wisconsin, 53707. ‘Servicing of this product in accordance with this Technical Reference manual should never be undertaken in the absence of proper tools, test equipment and the most recent revision to this service manual whichis clearly and thoroughly understood. Technical Competence ‘The procedures described in this Technical Reference manual should be performed by ‘rained and authorized personnel only. Maintenance should only be undertaken by ‘competent individuals who have a general knowledge of and experience with devices of this nature, No repairs should ever be undertaken or attempted by anyone not having such qualifications, Datex-Ohmeda strongly recommends using only genuine replacement parts, manufactured or sold by Datex-Ohmeda for all repair parts replacements. Read completely through each step in every procedure before starting the procedure; any exceptions may result ina failure to properly and safely complete the attempted procedure. 9/07 wist0140L introduction wi1t0140 06/07 Table of Contents Important Technical Competence 1.1 What this manual includes. 4.2 Standard senice procedures. 1.211 User's Reference Manuals 1.2.2 Software versions 1.2.3Ventlatortests . 1.30veniew 1.3.1 Aespire 100 13.28/5 ProTvA 4.4 Configuration options 414.1 Standard configuration . 1.4.2 Options . 1.5 Components 1.6 Symbols used inthe manual oron the equipment.Aespire 7100 2 Theory of Operation 2.1 Theory oveniew 2.2 Gas ow though the anesthesia machine 2.2.1 Oveniow 2.2.2 Physical connections 2.2.3 Suction regulators 2.2.4 stem switch 2.2.5 Row contro! 2.3 Flaw through the breathingsystem .... 2.3.1 Oveniew offlow paths 2.3.2 Manval ventilation. 2.3.3 Mechanical entiation 2.3.4 Fresh gas and Op fushflow .. 2.4 General Descrntion 2.5 7100 ventlator features 2.5.1 Safety features 2.6 7100 ventilator components 2.6.1 Control Module (color cispay) 2.6.2 Control Module (non-clor spay). 2.6.3 Monitoring interface 2.6.4 Serial interface - 2.6.5 The Pneumatic Vent Engine . 2.7 Electronic and electica components . 2.7.4 Me Respite 7100 ventlatorfuncional blocks. 2.1.2 Power Supply .. 2.7.3 Sealed Lead Acid Batiery 2.74 Control Board 2.7.5 Monitoring interface 2.7.8 Serial interface 2.7.1 Vent Engine Board 2.8,Ventlator mechanical subsystems .. 2.8.1 Dive gas . 2.8.2 Pressure Regulator coseeseeeeee 241 2.83 Inspiratory flow conta valve .. . 241 2.8.4 Bahalation (PEEP) Control... 242 2.8.5 Resenoirand bleed resistor 243 2.8.6 Bellows Pressure Relief Valve ceeeeee 2 2.8.7 Mechanical Qverpessure Valve 244 2.8.8 Free Breathing Vahe. 2.8.9 Breathing Circuit Flow Sensors. wyor_ witt0140Table of Contents 3 Checkout Procedure 3.1 Ventilator post service checkout ‘3.2 Inspect the system 32 3.3 Pipeline and cyinder tests cd 3.4 Flow contoltests. 34 3.4.1 With 0; monitoring... 34 3.4.2 Without Op monitoring .. 36 3.5 Pressure relieftests 3.600, supply alarm test 3.7 Flush FlowTest.. 3.8 Vapotizer back pressure test 310 3.9 Low-pressureleaktest ut 3.9.1 Negative low-pressure leaktest 3H ‘39.2 180 or BSI standard low-pressure leak test 342 3.10 Alarm tests. 34 3.11 Breathing system tests 2316 3.12 Auman 02 flowmeter tests 348 3.19 Integrated Suction Regulatortests 348 3.14 Power allure test 2 B19 3.15 Electrical safetytests 319 4 Self Tests and Service Mode 4.1Setftests 43 4.2Senice Mode 4.3 About Ventilator 4.4.Alarm Log 4.5 ErorLog at 4.6 Language 48 4.7 User Settings 49 4.7.1 Screen Contrast 49 4.8 System Configuration A410 4.9 Calibrations 412 49.1 02 Calibrations. 2 413 4.9.2 Zero Flow and Aiway Sensor... 414 4.9.3 Adjust Dive Gas Regulator AAS, 4.9.4 Away Sensor Span 416 4.9.5 PEEP Valve Calibration a8 4.9.6 Inspiratory Valve Calibration . 2 M19 4.9.7 Pressure Sensity 4a 4.9.8 Senice Calibrations Required 423 witt0140 08/07‘Aespire 7100 5 Callbration 4,10 Diagnostic Tests/Tools 424 4.10.1 Display A/D Channels... 425 4.10.2 Display Discrete /0 Signals aan 4.10.3 Display Battery Status 428 4.10.4 TestPane! Switches . 4.29 4.10.5 Valves - Test Tool 430 4.10,6 Test CPU and Memory 4at 4.10.7 Test EEPROM 4.10.8 Test Serial Por 4.10.9 Test V Fall Alarm 434 4.10.10 Test nspratoy Vatve. 435 4.10.11 Test PEEP Valve 436 4.10.12 Test PEEP Safety Valve... 437 4.10.13 Breathing System Leak Test .... 438 4.10.14 Test Pressure Limit Creu 438 4.11 Upgrade Options 440 5.1 Primary Regulators 5.1. Testsetup ..... 5.1.2 Testing Primary Regulators 5.1.3 Adjusting Primary Regulators. 5.2 Secondary Regulators 5.2.1 Testing/Adjustng Secondary Regulators or Balance Regulators 5.3 Flowmeter Needle Valve Calibration 5.3.1 0; Needle Valve Calibration (Minimum Fow). 5.3.2 N,O Needle Valve Calibration (Minimum Faw). 5.3.3 AirNeedle Valve Calibration (Minimum Flow). 5.4 Linkystem calibration 5.5 0; Flush Regulator 5.6 Away pressure gauge 5.6.1 Zerthe pressure gauge 5.6.2 Checking the pressure gauge accuracy .. 510 2 B14 Bar 522 23 5.23 5.28 yor min10140Table of Contents 6 Installation and Maintenance 6.1 Aespire 7100 Installation Checist. vee 62 6.2 Aespire 7100 Planned Maintenance 6.2.1 Every twelve (12) months. 6.2.2 Every twenty-four(24) months 6.3 Free breathing valve maintenance {6.4 MOPY pressure relief vae test 6.4.1 Test setup oT 6.4.2 Test procedure . oT 6.5 Ausliary 02 lowmetertests 68 6.6 Integrated Suction Regulatortests sees 69 T Troubleshooting 7.1 General Troubleshooting 72 7.2 Breathing System Leak Test Guide 14 7.2.1 Breathing system leaktest.....-...... 15 7.2.2 Breathing System Troubleshooting Flowchart .. 7.23 Leak Isolation Tests... 7.3 Troubleshooting guide. 1.28 11 Alarm and Enor messages «.. -- 730 7.5 Troubleshooting Flowchart .. TAL 7.5.1 Ventilator assessment process ceseeeeeeeee TAL 17.5.2 No display toubleshooting, +. 142 7.5.3 Inaccurate volume ventilation troubleshooting. cesseesesesees TAB 7.5.4 VMB board evaluation - 144 7.5.5 Noventlation troubleshooting. ......... 7.45 7.5.6 High invinsic PEEP troubleshooting. ....... 746 8 Software Installation 8.1 Before installing new software or replacing the Control Board... 82 8.1.1 Key/BID label (Key Code) 83 8.2 After replacing the Control Board orthe Control Module . 84 8.2.1 Calibration and Checkout. a5 8.3 Sofware instalation mini0140 08/07 “Aespire 7100 9 Repalr Procedures 9.1 How to bled gas pressure from the machine 9.2 How to remove the rear panels 9.2.1 To remove the rear upper panel 9.2.2 To remove the lower access panels. 9.3 How toremove the tabletop .. {9.4 Senicing the pipeline inlet manifold components ‘94.1 Replace pipeline inlet iter {9.4.2 Replace pipeline inlet check valve 19.4.3 Replace the inlet manifold ‘85 Sewice the oyliner supply modules 9.5.1 Tightening procedure forhigh-pressure tube fitings 9.5.2 Replace primary regulator module (complete replacement) 8 9.5.3 Replace cyinder inlet fiter 9.5.4 Replace cylinder check valve 99 9.5.5 Replace 31¢-gas cylinder supply module 940 9.6 Replace system switch assembly gat 9.7 Senice te flowmeter module .... . oo O18 9.7.1 Remove front flowmeter panel shield 943 9.7.2 Remave flowtubes for cleaning or eplacement ceseeeeeenees GAB 9.7.3 Remove compete flowmeter head 945 9.7.4 Replace flowmeter modules 2 S16 9.7.5 Replace flowmeter fame 9:20 9.7.6 Replace 0» supply switch 921 9.7.7 Checkout procedure for 0, supply switch gat £.7.Rplce seconde reletr mail orbaance regulator manifold 922 9.7.9 Replace 0, or NO needle valves (on machines wth N0)...... 923 9.7.10 Replace an Airneedie vale on allmachines oran 0, needle vale ‘on machines without NO . 9.25 9.8 Senice vaporizer manifold pans 9.28 9.8.1 Repairmanifold por vane aa + 928 9.8.2 Checkout procedure for manifold potvahe .- 927 {9.8.3 Replace vaporizer manifold checkvalve +1928 9.8.4 Replace vaporizer pressure relief valve +. 980 9.8.5 Replace vaporizer manifold oat 9.9 Replace ACGO selector switch... 982 {9.10 Clean or replace ACGO port flapper valve 934 9.14 Reconfigure sample gasetum tne. ce 9:35 9.12 Replace the APL valve seeeeee 936 wyor_ mtt0140Table of Contents 9.13 Replace the bag support arm 937 9.13. Senvicing the bag support arm coceeeeee nese 988 9.13.2 Replace fiction padinowerbagarm assembly - 9.39 9.13.3 Replace bag porthousing coseeeeeseneeees 40 9.14 Replace auiliay 0, flowmeter ott 9.15 Replace the suction control module . 9.42 9.15.1 Frontpanel method ........ coves O42 9.15.2 Rear panel method 9.43, 9.16 Replace ABS breathing system components ........ 9.44 9.16.1 Replace Bag/Vent switch assembly 94 9.16.2 Replace belows base latch assembly. . 2 45, 9.16.3 EZchange Canister sping replacement. 9.46 9.17 Replace casters a7 9.18 Replace task light and switch 948 9.18.1 To replace thetaskight switch... 9-48 9.18.2 To replace the task-ight circuit board 9.19 Replace the display arm or display cables 9.19.1 Cable ie instalation ce . 9.19.2 Removing the dsplay arm 950 9.19.3 Replacinga display cable .. 950 9.19.4 nstaling the long am 9st 9.19.5 nstaling the shor arm “ 952 9.20 Replace display and cables in ProTIVA machine .. 953 9.21 Change dive gas. 954 9.22 Control module .......-. 955 9.22.1 Color control module. 9.22.2 Ofginal contol module 9.23 Senvcing the Vent Engine 9.23.1 Toremove the Vent Engine 9.23.2 Replacing Vent Engine components. -- 956 961 967 2 968 969 aus0140 02/07 ®‘Aespire 7100 10 Illustrated Parts 103 103 10-4 105 10.1 Senice tools 10.1.1 Secondary regulator pilot pressure tol 10.1.2 TestDevices 10.1.3 TestTooks 10.2 tema components front view 106 10.3 Btemal components front view references 10-7 10.4 Extemal Components rearview 108 10.5 Control module mounting fora ProTIVA machine . 109 10.6 Aespir 100 exclusive components 1010 10.6.1 ACInet(Aespire 100) aa 10-12 10.6.2 Display mount (Aespire 100) 10413 10.7 Font panel, gauges and system switch 10-44 10.8 Rear panel components 1045 10.9 Tabletop components 1046 10.10 Right side Components 10.17 10.11 External components lower assembiy 1048 10.12 AC Power cords 10.19 10.13 ACnlet/Outet Components. 10.20 10.14 Pipeline inet ings 10:22 10.18 GyinderGas Supplies 1023 10-24 10.16 Vaporizer manifold 1025 10.17 Flowmeter components... 1026 10.17.1 Flowtube pats . coves 10-28 10.17.2 Secondary regulator components coseeeerseeeess 10:90 10.18 ABS to machine Interface Components oe 1032 10.18. Flush Regulator, Fush Valve, and ACGO Selector Switch 1033 10.19 Ausiiary 0; Flowmeter 1034 10.20 Breathing system interface 10:35 ‘wor 1110140Table of Contents 10.21 Breathing System 10.21. APLVaive 10.21.2 Bag/Vent Switch 10.21.3 Absorber canister 10.21.4 Flow Sensor Module. 10.21.5 Breathing Circuit Module. 10.21.6 Exhaationvahe . 10.21.7 Bellows 10.21.8 Bellow base 10.21.9 Bag Arms 10.21.10 EZchange Caister system (CO, Bypass) 10.21.11 Condenser. 10.22 Display cables, serial board, AGSSflowtube, and sample retum 10.28 Vent Engine Housing . 10.24 Vent Engine . 10.24.1 VentEngine- underside 10.242 Manifold pate. 10.25 Display Assembly ........ 10.25. isla components Clo 10.25 2 Display Keyboard and LO assembly (Col) 10.25.3 Display components (non-coloy) 10.25,4 Display, font cover assembly (n0n-color) '$810.25.5 Display Keyboard and LCD assembly (non-colr) 10.26 Legis quick release fitings 10.27 Vent Drive and low-pressure tubing. 10.28 Tubing for use with Legis fitings 10.29 Cables and hamesses 10,30 Cables and hamesses (Aespire 100) 10.31 Anesthetic Gas Scavenging System ~ AGSS 10.31.1 Passive GSS. 10.31.2 Adjustable AGSS 1031.3 Active GSS 10.32 Integrated Suction Regulator. . 10.32.1 Major Components (Continuous and Venu suetion).. 10,3222 Suction Control Module 10,32.3 Venturi assembly. 10,33 Drawer... 10,34 Display mounts 10.35 Cable management arm 10.36 Display arm mounting kts for optional equipment 10.37 Outhoard cylinder mount 14 Schematics and Diagrams 1110140 08/07 1036 1036 1037 1038 10:39 10-40 10-41 10-42 10-43, 10-44 10-45 10-46 10.48 = 10-89 + 10-50 1051 1052 = 10-63 1054 1055 + 10-56 1057 1058 1059 10-60 10-62 10.64 10-66 10-68 10-68 10-70 10-72 10-74 10-74 10-75 10-76 10-77 10-78 10-79 10-80 1081Notes o9/or mass01401 Introduction In this section this section provides a general overview ofthe Aespire 7100 line of anesthesia machines. 4.4 What this manual includes 4.2 Standard senice procedures. 1.2.1 Users Reference Manuals 13 1.2.2 Software versions 13 1.23 Venilatortests 13 1.30veniew 14 1.3.1 Aespire 100 oe - 14 1.32/5Pro1NVA cores 1.4 Configuration options. 15 1.4.1 Standard configuration 15 1.42 Options . “ 15 41.5 Components .. 15 41.6 Symbols used inthe manual oron the equipment... coe 110 wi110140 06/07 MAspire 7100 1.1 What this manual includes 12 Anesthesia Machine ‘S/S ProTiVA Other equipment This manual covers the service information for the Aespire 7100 line of anesthesia machines. Itcovers the folowing components: ‘= 7100 display components: color and non-color * Vent Engine components * gas delivery components, * breathing system components, * frame component except those strictly associated with a specific ventilator), * optional suction regulator and auxiliary 0 flowmeter. ‘The ProTIVA machine is configured with standard Aespire machine ‘components, withthe exception ofthe vaporizer manifold and the Ventilator/ ‘Monitoring Display (7100 Control Module) mounting solution (teferto Section 10.5). B Braun equipmentis not covered in this manual. Refer to B Braun service documentation. Other equipment may be attached tothe system on the display mount, the ‘top shelf, or onthe side dovetail rails. Consult separate documentation relative to these items for details 8/07 mast0140Introduction 1.2 Standard service procedures 1.2.1 User's Reference Manuals: 1.2.2 Software versions 1.2.3 Ventilator tests wits0140 06/07 AX WARNING AN WARNING ‘Some sections of this manual refer you to the User's Reference Manual forthe ‘Aespire machine. To expedite repairs, ou musthave, and be familiar with, the User's Reference Manuals for this product. Refer to the Aespire User's Reference Manuallf you need further information about the operation ofthe system. ‘The revision level is displayed on the ventilator star-up menu. This manual includes test and calibration procedures for Revision 1.X and 2.X software. ‘Service calibration functions let Datex-Ohmeda trained users and Datex-Ohmeda service personnel perform ventilator setup functions, test, calibration and measurements from the front panel display, Normal operational tests, calibration, and troubleshooting can be performed. ‘onyour7 100 ventilator without removing components from the system. Repair ‘may require removing the ventilator components from the anesthesia machine. Section 4, “Service Mode Tests and Calibration” must be performed Whenever you access any internal component ofthe ventilator to verity that all critical parts ofthe ventilator ae still operational and within specification, ‘After the ventilator has been serviced, you must perform “Post-Service Checkout” to verify the entire anesthesia system is properly functioning before the system can be retuned to clinical use. 13‘Aespire 7100 1.3 Overview Note 1.3.1 Aespire 100 1.3.2 S/5 ProTlVA 1 ‘The Aespire 7100 machine is a compact, integrated and intuitive anesthesia delivery system. The ventilator portion provides mechanical ventilation to a patient during surgery as well as monitoring and displaying various patient parameters ‘The system uses a microprocessor-controlled ventilator with internal ‘monitors, electronic PEEP, Volume Mode, and other optional features. Aseria interface permits communication to cardiovascular and respiratory g8s monitoring. Configurations availabe for this product depend on local market and standards requirements Ilustrations inthis manual may not represent al configurations ofthe product. Te Aespire machine is not suitable for use in an MRI environment. ‘The Aespire 100 machine is based on the standard Aespire 7100 machine with the following exceptions to availabe features or options: * does not include the RS232 Serial interface * does not include the Bi-tevel LED light stip * the 2 Vap manifolds standard (does not support 1 Vap manifold) * not available with AC power outlets (area used by AC Inlet) * uses 4-inch casters instead of 5-inch casters The S/5 ProTIVA isa special adaptation ofthe Aespire 7100 machine (does not include vaporizer manifold for use with B Braun intravenous drug delivery ‘components. wor wi110140‘Introduction 1.4 Configuration options 1.4.1 Standard configuration 1.4.2 Options 1.5 Components witi0140 06/07 ‘The standard configuration includes the folowing tems. Items marked with an asterisk (*) are not included in the Aespire 100 ‘machine. ‘= 7100 Ventilator with color ornon-color display) + Advanced Breathing System (ABS) * Auiary Common Gas Outiet(ACGO) * Serial Interface - RS232* * BHevel LED light strip* ‘Two large drawers Options include the following tems. Items marked with an asterisk *) are not available inthe Aespire 100 machine). + selected software features * vaporizer manifold(1 Vap* or 2 Vap) * pipeline configurations (02/Nz0, O2/Ar, or 02/Nz0/Ain) + gas cylinder configurations (two inboard, one outboard) * inboard configuration = 07/N0, 02/Ai, or 02/0 * outboard configuration = NO only ‘+ manual bag (on support arm or on tube) += EZchange Canister (CO, Bypass) and Condenser + gas scavenging (active, adjustable, passive, orventur) * a suction regulator (pipeline vacuum or venturi vacuum) + an auilaty 0 fowmeter * localized electrical power outlets* (isolated or non-isolated) * various display mounting solutions ‘The following figures show the front and rear views of the machine. There are some differences between models. Figure 1-1 « Aespre machine (trot view -lftside) Figure 1-2 « Aespire machine tron view -rghtside) Figure 1-3 + Aespre machine (ear view) Figure 1-4 +S/5 Prova with atypical B Braun fluid manager tm) system 15Aespire 7100 lary common gas outiet (ACEO) switch coo Inspiratory check vate Inspiratory ow sensor or flow port adapter ‘Canister (carton close absorbent) exes eene anual bag port ‘APL (adjustable pressure iting) va 47, Seavongng flow ndeator 8, RS-232 Sera pot (not avaloble inthe Aas 100 machine) Figure 1-1 « Aespire machine front view -lefside) 16 wyor_ wi1z01401 Introduction ‘ABS (Advanced Breathing Sytem) Flow controls ‘entlator Dspay/ Control Module color or non-colar) Doveta rats ‘Vaperter Pipetine pressure gauge(s) (upper rom) ‘System site Figure 1-2 Aespre machine font view ight sie) wit10140 06/07 1‘Aespire 7100 ‘reut Breaker for Electrical Outets* ecteal Outlets Pipeline Connection(s) Oflnder Supplies ‘System Cut Breaker (ACIniet aes fo Asp 100 machine) Malo Inet aul seep ep + hems marked with an astek(*) are notavlable inthe Aespire 100 machine, Figure 1-3 + Aespire machine (rearview) 18 9/07 mtst01401 Introduction * $/5 ProTIVA wth atypical 8 Broun fuid manager (fn) systemAespire 7100 1.6 Symbols used in the manual or on the equipment O o Oo oO 3 + © eh ‘Symbols replace words onthe equipment, on the display orin Datex-Ohmeda ‘manuals. No one device or manual uses all ofthe symbols. ‘Warnings and Cautions tell you about dangerous conditions that can occurif you do not follow all instruction in this manual: *= Wamings tell abouta condition that can cause injury tothe operator orthe patient * Cautions tell about.a condition that can cause damage tothe equipment. Read and follow all warnings and cautions. (On power) Off (power) Standby Standby or preparatory state fr part of the equipment | ON" only for partofthe equipment “OFF nly for part ofthe equipment Direct current ‘Aerating curent Protective earth ground Earth ground Frame or chassis ground Equipotential ft wl @ A AA GARG - ‘arm silence ‘Nam silence ‘ype Bequipment ‘Type BF equipment Type CF equipment Caution 0 7000-0434 ‘tention, referto product instructions, EC 60601-1 Dangerous voltage Electrical input ectrial output Preumatic input Peumatic output yor masi0%40oP f a = = & 134°C Axscmi20 witt0140 08/07 Pus, positive polarity Minus, negative polrty Variability Varabitiy in steps Lamp, lighting, ilumination This way up Pipeline Uniock (lose drain Drain remove condensate) Not autoclavable ‘Autocavable APL settings are approximate + 1 Introduction Movementin one direction Movementin two directions Read top of float Read to center of oat Vacuum inlet ‘Suction bottle outlet oylinder Isolation transformer Linkage system Risk of xposion. Low pressure eaktest Mechanical entiation ‘ag position/ manual entation (0; Flush button‘Aespire 7100 1 Inspiratory flow Inspiratory flow Pinch hazard Cle breathing circuit module ‘The primary regulatorissetto pressure less than 345 kPa (50 psi) Absorberon Apsorberoff (00 Bypass active) No battery/battery failure ‘Stock Number Serial Number ‘Authorized representativinthe European Community Date of Manufactur Manufacturer xpiratory flow Expiratory tow Submenu Bain/Mapleson D breathing cicut module ‘The primary regulatoris sett pressure less than 414 hPa (60 psi) (C0, Bypass Option change Canster(C0g bypass) Battery in use. Bar indicates amount of battery power remaining, Maximum Caution: federal law prohibits dispensing without prescription ‘ystems wth ths mark agree withthe European Council Directive (93/42/EC) {or Medical Devices when they are used as specified in their User's Reference ‘manuals. The xoxis the certification number ofthe Notified Body used by Datex-Ohmeda's Quality Systems. GOST Russian certification oor was10140In this section wati0%40 06/07 2 Theory of Operation 22 2.1 Theory overview .... 2.2.Gas low trough te anesthesia machine... 2.2.1 Oveniew 2.2.2 Physical connections . 2.2.3 Suction regulators 2.2.4 ystem switch 2.2.5 Flow contro! 2.3 Flow through the breathing system 2.3.1 Oveniew offlow paths 2.3.2 Manual ventilation, 2.3.3 Mechanical ventilation 2.3.4 Fresh gas and 0, fush flow 2.4 General Description 2.57100 ventilator features 2.8.1 Saety features 2.67100 ventilator components . 2.6.1 Conto! Module color display)... 2.6.2 Control Module (non-color display) 2.6.3 Monitoring interface .. 2.6.4 Serial imertace 2.6.5 The Pneumatic Vent Engine 2.7 Electronic and electical components 2.7.4 The Aespre 7100 ventilator functional blocks. 2.1.2 Power Supply 2.7.3 Sealed Lead Acid Battery 2.7.4 Control Board 2.1.5 Monitoring interface 2.7.8 Serial interface 2.1.1 Vent Engine Board 2,8Ventiator mechanical subsystems 2.8.1 Dive gas. 2.8.2 Pressure Regulator 2.833 inspiratory flow contol valve 2.8.4 Bihalation (PEEP) Control 2.8.5 Resenoirand bleed resistor 2.8.6 Bellows Pressure Relief Vahe 2.8.1 Mechanical Overpressure Valve 2.8.8 Free Breathing ave... see 2.45 2.8.9 Breathing Circuit Flow Sensors 248 aAspire 7100 2.1 Theory overview ‘This section describes: ‘= The flow of gas through the anesthesia machine. * The low of gas through the breathing system. ‘+ Electrical signals between the anesthesia machine, including the breathing system, and the ventilator. + Ventilator mechanical subsystems 2.2 Gas flow through the anesthesia machine 2.2.1 Overview Gas supplies 0, flow 22 Refer to Figure 2-1, Gas comes into the system through a pipeline (2) or cylinder (4) connection. All connections have indexed fittings, ters, and check valves (one-way valves). Gauges show the pipeline (1) and cylinder (3) pressures. [Aprimary regulator (5) decreases the cylinder pressures to approximately pipeline levels. A pressure relief valve (6) helps protect the system from high pressures. ‘To help prevent problems withthe gas supplies: * Install yoke plugs on all empty cylinder connections. + When a pipeline supply is adequate, Keep the cylinder valve closed. Pipeline or regulated cylinder pressure supplies 0» directly tothe ventilator (7a for 2 ‘drive gas) and the venturi suction (2 for 0 drive gas) supply connection, An additional regulator (43) decreases the pressure forthe fish valve (14a) and the auxiliary flowmeter (28). The flush valve supplies high flows of 0, to the fresh gas outlet (26 or 27) when you push the flush button. The flush pressure switch (14b) monitors activation of the flush valve. ‘When the system switch (8)is On, 0 flows tothe rest of the system. secondary regulator (10) supplies a constant. pressure tothe Op flow control valve (41), There is a minimum flow of 25 to 75 ml/min (for dual-tube lowmeters) or 175 to 225 mL/min (for single-tube flowmeters) through the O» flowmeter (22). ‘The 0p pressure switch (9) monitors the O, supply pressure. Ifthe pressure i toolow, ‘an alarm appears on the ventilator display. osy0r mast0140‘Air and N20 flow Note: Original production machines include a secondary regulator (48) atthe input tothe Airflow ‘contro valve (19). Mixed gas wx110140 0/07 2 Theory of Operation Pipeline or regulated cylinder pressure supplies Airdrect tothe ventlator (7b for lr Arve gas) and the venturi suction (24b for Air drive gas) supply connection. ‘When the system switch (8) is On, airflows to the Airflow contol valve (19). Because there iso balance regulator, airflow continues atthe set rate during an O> supply failure. ‘Abalance regulator (15) contol the NzO supply pressure tothe NO low contol valve(46).The 0, secondary regulator pressure ata pilot port controls the outputof the balance regulator. The N20 output pressure drops with decreasing 0, supply pressure ‘and shuts off hypoxic gas flow before the O, supply pressure reaches zero. ‘chain ink system (Link-25) onthe NO and 0 flow controls (46, 14) helps keep the 0, concentration higher than 21% approximate value) athe common gas outlet. ‘The mixed gas goes from the flowmeter outlet, through the vaporizer manifold and vaporizer (23) thats On, to the ACGO selector switch (E). A pressure relief valve (24) limits the maximum outlet pressure. ‘The ACGO selector switch directs the mixed gas tothe selected circuit —to the breathing system (26) orto the ACGO (27). 23Aespire 7100 Key to Numbered Components ‘Note: Current production ‘machines do not include a secondary regulator (48) in the Airflowhead Key to Symbols 24 1. Pipeline pressure gauge 2. Pipeline inlet 3. Cylinder pressure gauge 4, ylinderinlet (maximum of 3 cylinders) 5. Primary regulator (cylinder pressure) 6. High-pressure relief valve (758 KPa / 110 psi)* 7. Supply connections forthe ventilator a. Op drive gas, b. Airdrve gas 8 System switch 9. Switch forlow 0, supply pressure alarm (used with the ventiator) 10. 0» secondary regulator (207 kPa / 30 psi* 41, 0p flow control valve 12. Op low tubels) 413, Op flush and auxiliary flowmeter reguator (241 KPa / 35 ps)" 14, Op lush 2. Flush valve b. Pressure switch (used with the ventilator) 15, NO balance regulator 16, NO flow control valve 47. N,0 flow tube(s) 18. Air secondary regulator (207 kPa / 30 psi)* 19. Airflow contol valve 20. Airflow tube(s) 24. Supply connection for Venturi suction a. Op dive gas b. Airdrve gas 22. Vaporizer port valve 23. Vaporizer 24. Low-pressure elie valve (38 kPa / 5.5 psi)* 25. Auxiliary flowmeter (optional) 26. ToABS 27. ToACGO 28. Test por (primary regulator) 29. Testport(secondany/balance regulator) * Approximate values 1K >+ Pneumatic Connection ° Filter Direction otFow e ‘Check Valve2 Theory of Operation ‘Figure 2-1 + Pneumatic circuit witi0140 06/07‘Aespire 7100 2.2.2 Physical Figure 2-2 shows the physical path that the gas takes. connections i 3 Ll Figure 2-2 « Typical tubing connections - pictorial 26 o9/or wasi01402.2.3 Suction regulators Venturl Drive Gas ‘ror 02 Figure 23 « Venturi suction ve1110140 06/07 2 Theory of Operation Pipeline vacuum The suction regulator (shown in Figure 2-2) uses an estermal vacuum source. Venturt Drive vacuum ‘The suction regulator (shown n Figure 2-3) uses an interna, venturi derived vacuum source, Drive gas internally plumbed AlrorO) enters the Venturi Module (VM) atthe dive port (@). Aste crive gas passes through the ventur madule, a vacuum is created at port B, The drive gas ext the venturi module at port Candis exhausted outside the machine through the mutlr(D) The control port(E)on the ventur module responds to pneumatic signals from the front panel switch on the Suction Control Module (SCM) to turn the venturi vacuum div gas ‘onoroft. The check valve (CV) helps prevent pressurization ofthe suction circuitry ifthe ‘exhausts occluded orthe venturi uit falls. Suction a7Aespire 7100 2.2.4 System switch In the Standby position In the On position ‘Tne system switch has two positions: On and Standby. The swite: ‘= Turns off the ventilator (electrical) + Stops 0, and Airto the flowhead (pneumatic) + Without 0, pressure, the N20 balance regulator stops NO. ‘The switeh: ‘Tums on the ventilator (electrical) * Supplies 02 and Airto the flowhead. * With adequate 0 pressure, the NzO balance regulator supplies NO. System Stich 28 nou ivons) nme 1Q 9) Wing Harness ‘Arn (Port 3) o > gin Pots) (Rearview) o8/or wasi01402.2.5 Flow control ‘AN WARNING Minimum flows Link system 1110140 08/07 2 Theory of Operation Needle valves (one for each gas) adjust gas flows. Clockwise rotation decreases flow. Counterclockwise increases flow. Mechanical stops set minimum flows forall gases. The link system sets the maximum ratio of N70 to Op. The Link 25 Proportioning System sets a minimum 0, concentration inthe fresh gas stream when only 0, and NO are used. Use of an absorber of another gas can sil cause a hypoxic mixture to be delivered tothe patient, especially at low Op flow rates. ‘At minimum flow, two tabs prevent clockwise rotation ofthe valve stem. One tab is on the stop collar; the others on the valve body. Stop Tabs — Vato Boty Vato Stem Oo Te chainlink system helps assure an approximate minimum 1 to3 ratio of flow between 0, and N20. When engaged (minimum 0 concentration), a tab on the Op knob isin contact with a tab on the O, sprocket so that the Op and NO knobs turn together: + an increase in N20 flow causes an increase in 0, flow, * a decrease in 0; flow causes a decrease in N20 flow. Unkage Tabs Knob 29Aespire 7100 240 Maximum flows. Higher concentrations of 0» are possible when the link system s nat engaged: either by reducing the N70 flow below the point of engagement or by increasing 0. flow above the point of engagement. ‘When the N20 flow s below the point of engagement, increasing the NO flow tuns the 0, sprocket without changing the O> flow. Atthe point of engagement, the tab on the 0, sprocket makes contact with the tab on the O» knob. Once the linkage is engaged, ‘turning the N0 flow control counterclockwise (increase in NzO flow) also tums the O knob counterclockwise (increase in 0 flow) to maintain a nominal 25% minimum Op concentration. Decreasing the NoO flow from the engagement pointrotate the tab onthe O, sprocket ‘away from the tab onthe O» knob. Increasing the 0 flow rotates the knob tab away from the sprocket tab Either action increases the O, concentration above 21%. Sufficienty decreasing 0, flow or increasing the N20 flow brings the twotabs back into contact and engages the linkage. The Kickin points defined asthe N70 flow at which the NzO valve becomes engaged withthe Op valve flowing at 200 mL/min. This engagement pointis an arbitrary benchmark that assists in calibrating the proportioning system. The position ofthe icleins setin the factory. During field calibration, you set the 0 flow to 200 mL/min ‘andthe NO flow to the kickin flow (usualy inthe range of 400 to 700 ml/min) and then install the sprockets with the 0, knob/sprocket engaged. When the Aespire machine was first produced, all gas flows in Canada required ‘maximum flow stops. Early production Aespire machines shipped to Canada include @ ‘maximum stop collar on the body of the needle valve to set the maximum fow. Canada no longer requires maximum flow stops for the gasses that the Aespire ‘machine is designed to dever. Current production Aespire machines do not include ‘the maximum stop collar. Maimun Stop Cot ave stom oO Vate Body 8/07 masto1402 Theory of Operation 2.3 Flow through the breathing system 2.3.1 Overview of This section looks at fourtypes of flow paths. flow paths. ventilation paths: How gas flows from the drive source (bag or bellows) to and from the patent «Fresh gas paths: Fresh gas can flow from the machine interface directly to the patient ‘through the inspiratory check valve, or through the absorber into the expiratory flow, or directly to an extemal circuit through the optional auxiliary common gas outlet. * Scavenged gas paths: APL or Pop-off. '* Flow through the optional EZchange Canister and Condenser: EZchange ON and Exchange OFF (C0, bypass) witi0140 08/07 aitAespire 7100 2.3.2 Manual ventilation Manual inspiration The Bag/Vent switch closes the ventilator path (B). Gas flows from the bag(1), through the absorber (2), into the breathing circuit module, ‘and through a unidirectional valve (inspiratory check valve) tothe patient (3). During inspiration, fresh gas (FG) flows from the machine into the inspiratory limb, ‘upstream ofthe inspiratory check vale. Airway Pressure Bag/Vent switch to Bag Fresh Gas Flow to absorber Flow from absorber Inspiratory flow Figure 24 « Gas flow during manual inspiration 212 wyor mast01402 Theory of Operation Manual expiration The Bag/Vent switch keeps the ventilator path closed (B). Gas flows from the patient 4), through a unidirectional valve (expiratory check valve), ‘and into the bag (6), During exhalation, fresh gas flows backwards through the absorber (FG) into the ‘expiratory limb, downstream of the expiratory check valve, Formachines that are plumbed to return sample gas tothe breathing system, the ‘returned gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure B Bag/Vent switch to Bag FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flowto bag Figure 2-5 » Flow during manual expiration masso140 08/07 243‘Aespire 7100 APLValve The APL valve sets a pressure limit for manual ventilation. ‘As you tum the APL knob, itputs more or less force on the APL disc and seat (D/S). If the circuit pressure is too high (6), the disc and seatinside the diaphragm opens and vents gas tothe scavenging system (7). DIS APL disc and seat 6 APL flow 7 Toscavenging Figure 2-6 + Flow through the APL Valve 2a wor mas10140‘2 Theory of Operation 2.3.3 Mechanical ventilation Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the exhalation valve. Drive gas (D) pushes down on the bellows. Gas flows from the bellows (1), through the absorber (2), and through a unidirectional valve (inspiratory check valve) to the patient @. Duringinspiration, fesh gas flows into the inspiratory limb, upstream ofthe inspiratory check valve, AP Airway Pressure Drive gas Fresh Gas, Pilot pressure Bag/Vent switch to Vent Flow to absorber Flow from absorber Inspiratory flow Figure 2-7 « Mechanica inspiration 1110140 08/07 245Aespire 7100 Mechanical expiration _Drive-gas low stops and the exhalation valve opens. Exhaled gas flows from the patient (4), through a unidirectional valve (expiratory check valve) and into the bellows (6). Residual drive gas (D) flows out ofthe bellows tothe scavenging system (6). I PEEP is selected, static pressure onthe plot port ofthe exhalation valve sets the PEEP level. During exhalation, fresh gas flows backwards through the absorber (FG) into the expiratory limb, downstream ofthe expiratory check valve. For machines that are plumbed to return sample gas tothe breathing system, the returmed gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow tobellows 6 — Toscavenging Figure 28 * Mechanica expiration 216 8/07 mis301402 Theory of Operation Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the (EZchange and exhalation vave. Condenser rive gas (D) pushes down onthe bellows. Gas flows fom the belows (1), through the ON) absorber (2a), Condenser (2b), and through a unidirectional valve (inspiratory check Valve) tothe patent (2). DDuringinspiration, fesh gas flows into the inspiratory limb, upstream of the inspiratory check vale. Airway Pressure Drive gas Fresh Gas Pilot pressure Bag/Vent switch to Vent Flow to absorber Flow from absorber Flow from condenser Inspiratory flow Figure 2.9 » Mechanica inspiration though Condenser with EZchange Canister and Condenser ON s1s0140 08/07 aarAespire 7100 Mechanical expiration _Drive-gas low stops and the exhalation valve opens. Exhaled gas flows from the (EZchange and patient 4), through a unidirectional vale (expiratory check valve) and into the bellows ‘condenser (6). Residual drive gas (D) flows outof the bellows tothe scavenging system (6). ON) PEEP is selected, static pressure on the pilot port of the exhalation valve sets the PEEP evel. During exhalation, fresh gas flows backwards through the Condenser and absorber {(F 6) into the expiratory limb, downstream ofthe expratoy check valve. For machines that are plumbed to return sample gas tothe breathing system, the returned gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bellows 6 — Toscavenging Figure 2-10 + Mechanical expiration through Condenser with EZchange Canister and Condenser ON 248 wor wist01402 Theory of Operation Mechanical inspiration The Bag/Vent switch closes the manual path (V). Pilot pressure (P) closes the AP (EZchange and exhalation valve. ‘condenser Drive gas (D) pushes down on the bellows. Gas flows from the bellows (1), through the OFF) EZchange module bypassing the absorber (2), and through a unidirectional valve (inspiratory check valve) tothe patient). During inspiration, fesh gas flows into the inspiratory limb, upstream of the inspiratory check valve, Airway Pressure Drive gas Fresh Gas Pilot pressure Bag/Vent switch to Vent Flow to absorber Bypass flow Inspiratory flow Figure 2-11 + Mechanical inspiration with EZchange Canister and Condenser OFF witt0140 08/07 219Aespire 7100 Mechanical expiration _Drive-gas flow stops and the exhalation valve opens. Exhaled gas flows from the (EZchange and patient (4), through a unidirectional valve (expiratory check valve) and into the bellows ‘condenser (5). Residual drive gas (D) flows out ofthe bellows to the scavenging system (6). OFF) i PEEP is selected, static pressure on the plot port ofthe exhalation valve sets the PEEP level. During exhalation, fresh gas flows backwards through the EZchange module (FG) into the expiratory limb, downstream of the expiratory check valve, For machines that are plumbed to retum sample gas tothe breathing system, the returned gas (SGR) enters the breathing system after the expiratory check valve. AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bellows 6 — Toscavenging Figure 2-12 + Mechanicl expiration with EZchange Canister and Condenser OFF 20 wor mas10140Pop-off valve Flow to bellows Pop-off flow To scavenging 2 Theory of Operation ‘The pop-off valve limits the pressure inside the bellows to 2.5 cm H0 above the drive £88 pressure. This normally occurs when the bellows reaches the top ofthe housing at the end of exhalation (5). Excess gas (6) vents tothe scavenging system (7) through the pop-off valve and the exhalation valve. Figure 2-13 « Flow though the popoff valve witi0140 06/07‘Aespire 7100 2.3.4 Fresh gas and 0, flush flow ToABS breathing system Fresh gas (1) flows from the vaporizer manifold outlet to the ACGO Selector Switch. ‘With the ACGO Selector Switch in the ABS position, fresh gas flow is channeled tothe breathing system through port. ‘The output ofthe O, Flush regulator (2) is channeled to the O Flush valve. When activated, 0; flush flow joins the fresh gas flow in the ACGO Selector Switch. ah ABS 4 9, = sf Ss 2 Figure 2-14 » Fresh gas and 0, fush flow (to ABS) 222 Cpe wor wtt01402 Theory of Operation Fresh gas (1) flows from the vaporizer manifold outlet tothe ACGO Selector Switch. With the ACGO Selector Switch in the ACGO position, fresh gas flows channeled tothe ACGO outlet. Atthe ACGO outlet, a small sample is diverted tothe O» Sensorin the ABS for 0» monitoring ‘The output ofthe Op Fush regulator (2) is channeled tothe O Flush valve ‘When activated, 0, flush flow joins the fresh gas flow inthe ACGO Selector Switch. Switch ‘Figure 2-15 « Fresh gas and 0, fush flow (to ACGO) smasi0%40 06/07 22‘Aespire 7100 2.4 General Description The 7100 ventilators a microprocessor based, electronically-contolled, ppneumatically-driven ventilator with a built-in monitoring system fr inspired ‘oxygen, airway pressure and exhaled volume. The ventilators an integral component ofthe Aespire anesthesia machine. ote: For non-color displays, the backlit is powered through the contol board, as shown. For color displays, the control module includesa separate circuit board to powerthe backlight. ‘Figure 2-16 + 7100 ventilator functional block alagram 228 o8/or wai301402 Theory of Operation 2.5 7100 ventilator features 2.5.1 Safety features 1110140 06/07 ‘Sensors inthe breathing circuit ae used to control and monitor patient ventilation and measure inspired oxygen concentration This ets the ventilator compensate for compression losses, fresh gas contribution, valve and regulator deft and small leakages in the breathing absorber, bellows and system. + Positive End Expratory Pressure (PEEP) is generated electronically. PEEPis ot active when mechanical ventiation is off * User settings and microprocessor calculations contol breathing pattems. User interface settings are kept in non-volatile memory. ‘= Mechanical ventilation fs started withthe Bag/Vent switch on the breathing system. * The 7100 ventitator has minimum monitoring and alarms ‘managed on the ventilator panel there is no other panel for safety relevant alarm management, et.). * Ventilator hardware is regularly monitored by software tests. += An RS-232 serial digital communications port connects to and communicates with extemal devices. * Anexhalation valve modulates flow in the pressure mode. *= Pressure and volume modes are selectable by the operator. * Allpneumatic components are located on one manifold. * Exhausted drive gas and bellows pressure relief valve gases are mixed and 40 through the ventilator exhalation valve, + The exhalation vale blockis autoclavable. * Excess fresh gas released from the bellows and ventilator dive gas are transferred from the exhalation valve tothe Anesthesia Gas Scavenging ‘System (AGS). * Optimized fo service wth a low number of components ‘+ Dual redundant airway overpressure protection inked to Plimit setting. ‘+ Volume over-deliver limits and protection. + Proprietary hose connections and fixed manifolds. ‘Proven mechanical components used. ‘+ 10VAelectrical power limiting to potential oxygen enriched environment. + 150 psi burst overpressure protection.‘Aespire 7100 2.6 7100 ventilator components Major components of the 7100 ventilator are found indifferent locations of the anesthesia machine. ‘The ventilator package consists of: 4. Control Module (CM) ~ (color or non-color display) ~ the CM includes: * a Control Board (C8) + an LCD Display Keyboard (wth rotary encoder switch) ‘+ a Power Supply backup battery 2, Ventilator Monitoring Board (VMB). 3, a Serial Isolation Connector Board (SICB). 4, aVent Engine (VE) witha Vent Engine Board (VEB). Figure2-17 + Location of 7100 ventiator components 228 w/o7 w1101402 Theory of Operation 2.6.1 Control Module The control module with a color display consists oftwo enclosures. (colordisplay) The rear enclosure includ 1. inline fuses 2. apowersupply 3, acoolingfan 4, a backup battery ‘The power supply receives AC power from the anesthesia machine. Allthe ‘power necessary to operate the ventilator comes from the power supply. The front enclosure includes: 5. a control board (controls operation of the ventilator) 6. abackiightinverter 7. an LCD display 8. akeyboard front panel 9. arotary encoder 10.a speaker Figure 2-18 + 7100 ventiletor contro module vxs10140 08/07 227‘Aespire 7100 2.6.2 Control Module The control module with a non-colorcisplay consists of two enclosures. (non-color display) The rear enclosure includes: 4. inne fuses 2. apowersupply 3. a cooling fan 4, a backup battery ‘The power supply receives AC power from the anesthesia machine. Allthe ‘power necessary to operate the ventilator comes from the power supply. The front enclosure Includes: 5. a contol board (controls operation of the ventilator) 6, a front panel assembly ‘The front panel assembly includes four submodules: 7. anLCD display 8, a keyboard front pane! 9. arotary encoder 10.a speaker Figure 2-19 + 7100 ventilator contro! module 228 9/07 watt01402.6.3 Monitoring: Interface 2.6.4 Serial interface w11t0140 08/07 2 Theory of Operation ‘The Ventilator Monitoring Board (VMB) serves asthe interface between the ventilator’s control board and the breathing system sensors and switches: * the inspiratory and expiratory flow sensors * the 0, sensor * the Bag/Ventswiten * the VMB is hardwired to indicate a Circle module * the canister release switch + machines that include the canister release switch are hardwired to show software the presence ofan EZchange (C02 Bypass) canister assembly * the “control panel switch” signal in an Aespire machine indicates whether the ABS breathing system is engaged or disengaged * the Auxiliary Common Gas Outlet (ACGO) switch * task light power ‘The VMB is located under the tabletop (below the worksurface). Machines that do not include monitoring use a depopulated board (Task Light Interface Board — TLIB) to power the task ight and to interface the breathing system switches. ‘The Serial interface and Connection Board (SICB) provides two functions. It ‘serves asthe interface between the ventilato’s control board and additional switches located in the machine and channels serial communications signals. ‘rom the controler board to the RS232 connector. ‘The machine switches include: + the System On/Standby switch * the Op supply pressure switeh * the Op flush switch ‘The SI also provides an on/off signal from the system switch to a remote ‘monitor through the RS232 connectorAespire 7100 2.6.5 The Pneumatic Vent Engine The pneumatic engine enclosure is located inthe back chamber of the breathing system and is shielded to contain EMI emissions. The enclosure includes the pneumatic Vent Engine (VE) and a pneumatic Vent Engine control Board (VEB). ‘The pneumatic Vent Engine consists ofthe hardware that drives the ventilator bellows. includes: * a 2-micron inet fter * a pressure regulator * a proportional inspiratory valve * a mechanical overpressure relief valve * afree-breathing check valve ‘a PEEP safety valve ‘a supply pressure sense switch ‘+ a proportional PEEP valve + a200mL reservoir * a calibrated bleed orice ‘The pneumatic Vent Engine Board isan interface between the engine components and the control board and includes: * an airway pressure transducer VE wjor matt01802 Theory of Operation 2.7 Electronic and electrical components 2.7.1 The Aespire 7100 ventilator functional blocks ‘The Aespire 7100 Ventilator electronic/electrcal subassemblies or modules include: ‘+ a Power Supply for operation underline power and a backup battery forlimited operation incase of power failure; ‘+ a Control Board with digital, analog and power circuits to manage all ‘operations ofthe ventilator; ‘+ a Front Panel Assembly thatincludes an LCD display for display ofall ventilation and monitoring parameters and a keyboard for operator input; + a Ventilator Monitoring Board to preprocess patient circuitparameters and to channel the breathing system switch states; + a Serla Isolation Connection Board to channel machine switch states and to provide a RS232 serial output for extemal communication. ‘Note: For non-color displays, the backightis, ‘powered through the control board, as shown. For color displays, the control module includes a separate circuit board to power the backlight. Figure 2-20 + Electronic functional block ciagram as used in an Aespre machine w11i0140 08/07 2a‘Aespire 7100 2.7.2 Power Supply AWARNING ‘The power supply receives AC input from the machine's AC Inlet Module. The power supply is a universal 40 watt switching supply that outputs two DC voltages. The DC voltages are routed tothe Control Board where they are further regulated to produce the power requirements fr the 7100 ventilator system. * Input: Universal 85-264 VAC 47-63 Hz * Output v1: 6.0 VDC (40.5%) at0-5 A * Output v2: ‘9.0 VDC (£5%) at0-0.5A High votageinarea ot 1 symbol Figure 2:21 + 7100 Ventilator power supply 2.7.3 Sealed Lead Acid Battery 222 ‘sealed lead acid battery supplies battery backup forthe 7100 ventilator, ‘ince itonly provides power in case ofa power failure, the battery sin afloat charge state most ofthe time. ‘The battery meets the following * capacity to operate ventilator system for 30 minutes (fully charged); * long lat charge life; «= the battery i intemally fused (auto-resettable), Input: Nominally 6.8 VDC at 25°C during float charge. Output: +0.6 t0 +6 Amps during discharge o8/or waii01402 Theory of Operation 2.7.4 Control Board The Control Board contains all of the major circuit functions necessary to control ventilator operation. ‘The Control Board comprises three functional circuit types: * power circuits, * analog circuits, * digital circuits. These circuits are detailed individually in the following section. Overall the Control Boar's functions include: ‘Note: The functions supported by the color and non-color control + Bus access control signals forall memory and peripheral devices boards areidentica.Thecircut’ | intenupthandling descriptions thatfolow applyto | «clocks and timers forthe system bothcontolboards,exceptwhete | asos7c serial /0 dieences arenotedto suport | | Fava generator fr seal pot the color display = Hard (power-up) and soft (watchdog error) reset generation pata bus utters + Memaryand /0 decoding + Program memory wth “memory tek software ungrade + Safety Relevant Computing (SRC) + Watchdog system + Data acquisition + Fow valve contol + PEEP valve civ and PEEP safety valve dive + Frontpanel interface + Auio alam Control Board — noncolrdeply wr110140 08/07 233‘Aespire 7100 Control Board The power section ofthe controller board receives the 6 VDC and the 9 VDC Power Circults outputs from the power supply. The 9 VDC supply is used to charge the backup battery. The 6 VC supply is processed futher to suppl various power requirement throughout te 7100 ventilator. incase of power fale, the bateryis switched into supply power * power to drive the fan (5V) = 5V supply for digital circuits + 3.3V supply for the CPU + 5V supply forthe LCD clspay backlight + suppy forte LCD display convatajustment + -24V adjustable (non-clor dspay) '* 1.3V to 2.3V adjustable (color display) + 1.5Asuppyforcontol ofthe Inspiratory and PEEP aes ‘© +12V supply for analog circuits: + +12V supply forthe Monitoring Iterace Assembly * -12V supply for analog circuits {ep ea poe Ce saan 9, oorn sete mt) 2) =. wouggamae [ ress yi) Figure 2-22 » Control board block dagram -Power circuits 208 owyor mast01402 Theory of Operation Control Board The analog section ofthe controller board processes inputs from the ‘Analog Circults Monitoring interface Board and the Pneumatic Engine Board It mutiplexes the inputs for display by the digtal section * Inspiratory flow ratory ow * Away 02 * Airway pressure Under the contro of the digtal section, the analog section includes drivers for the pneumatic engine components: * flow valve (inspiratory valve) + PEEP valve = PEEP safety valve ‘The switch signals from the Monitoring interface Board and the supply ‘ressure signal from the Pneumatic Engine Board are passed on as inputs to the digtal section. Figure 2-23 + Control board block diagram - Analog circuits ist0140 08/07 238‘Aespire 7100 Control Board Digital Cireutts ‘The digital section of the controller board includes a MCF5206e ColdFire ‘microcontroller. The Aespire 7100 operating software is stored in 2MB of -bit (1Mx16) Flash ROM. The board includes: += 1MB of 8-bit(512Kx1.6) static RAM (SRAM) for operation, + and(*32Kx8 for non-color)or(**64Kx.16 for color) CMOS static RAM for processing video information ‘The controller receives switch inputs from the front panel keyboard and the system inputs from the Vent Monitoring Board, the Serial Isolation Connector Board and the Vent Engine Board, ‘The patient circuit parameters are multiplexed through the analog section. ‘The LCD Display is driven through the Video Controller. It displays the processed patient cicult parameters along withthe derived alarm and, system condition messages. ‘Additional outputs include an audio amplifier to drive the speaker and a RS232 driver for external communication through the Serial Isolation Connector Board. gure 2:24 + Cont board block diagram Digital crus wor wusto1402 Theory of Operation ‘The Vent Monitoring Board (VMB) i the interface between the patient circuit sensors the inspiratory and expiratory flow sensor, the O» sensor) and the ventilator contol module. t also passes diferent switch functions through to the ventilator control module and provides power to the task ight Respiratory gas flow, to and from the patient, is monitored by measuring the differential pressure across a variable orice in each flow sensor. The pressure transducers for measuring the differential pressure are on the VMB. Conditioning circuitry is supplied for these transducers and for the Oxygen sensor used in the breathing cicult. Pressure sense tubing and signal wiringis routed from the sensors and ‘witches in the breathing system to the VMB. A separate cable transfers ‘power and signals to and from the Control Board in the display module. WE ‘Figure 2-25 » Breathing Circuit Vent Monitoring Board (VMB) wmiti0140 08/07 237‘Aespire 7100 2.7.6 Serial Interface The Serial isolation Connector Board (SICB) provides three functions: + Ttserves as an interface between the control board and switches that are located in the machine itself (notin the breathing system). + Itprocesses serial communications signals from the contol board tothe RS-232 Serial port on the breathing system side ofthe Aespire machine. + Itprovides remote monitor On/Off through an isolated relay Machine Switches The machine switches include: + the System On/Standby switch + the Op supply pressure switch + the Op fush switoh Serial Communications The serial interface provides isolated RS232 serial communications. The TO (transmit) and RXD (receive) signals between the SICB and the control board are at RS-232 levels. Circuits on the board change the signals to digital SV levels; isolate them through optocouplers; then, change them back to RS-232 levels before sending them tothe outside word. + The external communications signals conform to standard RS-232C signal standards. ‘The extemal connectors a 15-pin female D connector. * Itis configured for Data Communications Equipment (DCE) * Pin 6- Receive data * Pin 13 -Transmit data * Pin 5 - Signal ground + Pin 1 - Monitor On/Standby ' Pin 9- Monitor On/Standby retum Figure 2:26 + Serial Isolation Connector Board (SICB) 238 9/07 mast0%402.7.7 Vent Engine Board Pneumatic Engine Interface ‘Alrway Pressure Transducer Parson "your EPEC Figure 2:27 + Vent Engine Board (VEB) wi1s0140 08/07 2 Theory of Operation ‘The Vent Engine Board (VEB) provides two functions: * snes as an intefoe betwen the conto Bord andthe preumot engine. * Itprocesses the output from the airway pressure transducer. ‘The board provides a direct connection for the drive and return lines for the ‘control valves on the pneumatic engine: + Inspiratory Flow Valve PEEP Valve «= PEEP Safety Valve ‘The board routes the Supply Pressure Switch signals to the contol board. The VEB includes a +5VA regulator to power the airway pressure transducer circuitry. The circuits provide EMI fitering, signal amplification, and buffering. ‘FLOW WALVE FO Samco ow net ums iow rary SRO Part ‘gw Surety eressune |__| SMTCNCOMETOR | | $~ siren SU RE | 700 coNTROL BoARD anno 239Aspire 7100 2.8 Ventilator mechanical subsystems 2.8.1 Drive gas Refer to Figure 11-1, "System connection block diagram," in Section 11 forthe ‘complete pneumatic/mechanical subsystem. ‘The mechanical subsystem includes: Pneumatic Vent Engine += Drive gas inlet filter + Supply gas pressure regulator * Inspiratory flow control valve * PEEP valve; PEEP safety valve; Pressure sense switch * Mechanical Overpressure Valve (MOPV) * Bleed resistor + Free breathing valve Exhalation valve Bellows assembly Breathing circuitflow sensors Drive gas (can be selected from 0, or Ai) enters the Vent Engine (1) at a pressure of ‘241 to 690 kPa (35 to 100 psi) through a 2-micron filter (2) thats located under the gas inlet fitting. Fae ey Ha 0 Psa Sth = Vent engine ‘Smooth side up (under plate) Figure 2:28 + Inlet iter 240 o9/or masi01402 Theory of Operation 2.8.2 Pressure Regulator The pressure regulator (3) is a non-eievng pressure regulator that regulates high pressure fitered supply gas down to 172 kPa (25 psi. ath | Laafae | ee a Figure 2-29 « Pressure regulator 2.8.3 Insplratory flow The inspiratory flow control valve (4) cycled by the conto board to supply ‘control valve dive gasto the outer chamber af the bellows assembly at arate determined by ventilator settings and sensor signals. The contol valve modulates the incoming 172 kPa (25 ps) ve gases to an output fom Oto 70 ters per minute at pressures ranging from Oto 100 em H0. pee fw rene conn (EH kes tw [ie ae z Figure2:30 + Flow contol vave witt0140 08/07 2aAespire 7100 2.8.4 Exhalation (PEEP) Control The exhalation valve contains an elastomeric diaphragm thats used to control the pressures inthe breathing circuit. The exhalation valve includes two male ports on the bottom for: + Bellows dive gas(5) + Exhalation valve pilot (6) - (manifold pressure) The exhalation valve includes three ports on top that connectto the bellows base manifold: * Drive gas pass through (7) * Drive gas return and pop-off valve flow ( * APLexhaust low to scavenging(®) ‘Aport tthe back of the exhalation valve (10) connects to the down tube that directs all the exhaust flows tothe scavenging receiver. ‘The exhalation valve is normally open. When the exhalation portis open, gas flows from the bellows housing to the scavenging port. Approximately 2.cmH,0 of pilot pressure is necessary to close the valve. Plot control ofthe ‘exhalation valve is done with PEEP Control Valve (A), Supply Pressure Switch (B), and the PEEP Safety Valve (C) sot Figure 2:31 + Exhalation (PEEP) vale 242 wor wa1101402.8.5 Reservoir and bleed wis10140 08/07 resistor 2 Theory of Operation ‘The reservoir (41) is a 200 ml chamber that dampens the manifold (pilot) pressure pulses to the exhalation valve ‘The bleed resistor(12)is a “controled leak’ from O to 10 L/min in response to circuit pressures from 0 to 100 cm HO. The small quantity of pneumatic flow exhausting through the bleed resistor permits control ofthe exhalation valve's pilot pressure by modulation of the valve output. The bleed resistor exhausts only clean drive gas and must not be connected to a waste gas scavenging circuit The outputs routed away from the electrical components to make sure that systems using oxygen drive gas meet the 10VA imitation, requirement for oxygen enrichment. Figure 2:32 « Resenoirand bleed resistor 249‘Aespire 7100 2.8.6 Bellows Pressure Rellef Valve ‘The Bellows assembly the interface between drive gas and the patent crcuitin the breathing system. The pressure relief valve (orpop-off ve) inthe bellows assembly (13) limits pressure in the patient circu. Excess fresh gas is discharged through the exhalation valve into the gas scavenging system. “The pressure relief valve i normally closed, maintaining approximately 1.5 om H20 in the breathing crcuitina no flow condition, enough to keep te bellows inflated tis piloted closed during inspiration and remains closed until te bellows is refiled during exhalation. If the pressure inthe patient circuit exceeds 4 cm H0, the pop-off valve ‘opens to exhaust excess fesh gas low ata rate up to 4 L/min, Faure 2:33 + Bolows pressure relief valve 2.8.7 Mechani Overpressure Valve The Mechanical Overpressure Valve (MOPV)is a mechanical valve (14) that operates. regardless of electrical power. Itfunctions as a third level of redundancy tothe ventilator's pressure limit control functions, supplying pressure relief at approximately 110 em H,0. __ Stl vito Figure 2-34 » Mechanical overpressure vahe 9/07 mati01402 Theory of Operation 2.8.8 Free The tree breathing vane (15) helps assure the patient can spontaneously breathe. The Breathing Valve _ventiatoris programmed to supply a specified number of breaths per minute tothe patient. If, in between one of these programmed cycles, the patient needs a breath (spontaneous), the fee breathing valve permits the patintto inhale. he ree breathing valve is closed on mechanical inspiration. i teem ka tw 4h Fea Figure 2.35 + Free breathing vale 1110140 08/07 245‘wo low sensors are used to monitor inspiratory and expiratory gas flow. The Clrcult Flow inspiratory fiow sensors downstream ofthe gas system inspiratory check valve, ‘Sensors Feedback om the inspiratory ransduceris used to supply tidal volumes that make allowances forthe effects of fresh gas flow and circuit compressibility. The expiratory flow sensoris located atthe input tothe gas system expiratory check valve. Feedback {rom the expiratory flow sensor is used to supply signals for expiratory tidal volume ‘monitoring and the breath rate. Figure 2:36 « Flow sensors 246 owyor maii0140Inthis section AN WARNINGS: sms110140 08/07 3 Checkout Procedure 3.1 Ventilator post-senice checkout . 282 3.2inspect the sytem essessssee . 282 3.3 Pipeline and cyindertests .. 233 3.4 Flow contoltests 34 3.4.1 With 0, monitoring. . 34 3.4.2 Without Op monitoring... 36 3.5 Pressure relief tests 38 3,603 supply alam test... se 38 3.7 Flush Flow est. 38 3.8 Voporer back pressuetest . 3.10 3.9 Low-pressue leaktest 341 3.9.1 Negative low-pressure leaktest =... aut 3.9.21S0 or! standard low-pressure leaktest ... 342 3.10 Alamtests.... oo Bd 3.11 Breathingsystem tests. 3.16 3.12 Auman 02 flowmeter tests. oe 3.18 3.13 integrated Suction Regulatrtests ..... 348 3.14 Power failure test coeeeeeeeneeee oo HH9 3.16 Eleticalsafetytests . 319 ‘After any repair orservice of the Aespire system, complete alltestsin this section. Before you do the tests inthis section: * Complete all necessary calibrations and subassembly tests. Refer to the individual procedures for alist of necessary calibrations. * Completely reassemble the system. Ifa test failure occurs, make appropriate repairs and test for correct operation. oy‘Aespire 7100 3.1 Ventilator post-service checkout 3.2 Inspect the system AX CAUTION A WARNING 22 ‘Mer senicingthe 7100 ventilator, perform te folowing service mode Calibrations: +0, Calibration ‘+ Zero Flow and Airway Sensors ‘+ Adjust Drive Gas Regulator + Airway Sensor Span ‘+ PEEPValve Calibration + Inspiratory Valve Calibration + Pressure Sensitity ‘Then, complete the checkout procedure forthe entire machine inte following sections. ‘The upper shelf weight imitis 34 kg (75 Ib). Do not leave gas cylinder valves open ifthe pipeline supply isin use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. Before testing the system, ensure that: + The equipmentis not damaged. + Components are correctly attached. = The breathing circuitis comecty connected, not damaged. ‘= Pipeline gas supplies are connected. = Oylinder valves are closed = Models with cylinder supplies have a cylinder wrench attached to the system, ‘= Models with cylinder supplies have a reserve supply of 2 connected to ‘the machine during system checkout. ‘= The casters are not loase and the brakes are set and prevent movement. ‘= The power cord is connected toa wall outlet. The mains indicator comes ‘on wen AC Power's connected. wor m1101403 Checkout Procedure 3.3 Pipeline and cylinder tests witi0140 08/07 A cAUTION A WARNING To prevent damage: = Open the cylinder valves slowly. = Donot force the flow controls. your system does not use cylinder supplies, do not do steps 2 and 3. 1. Disconnect he pipeline supplies and close all cylinder valves (i equipped). the pipeline andthe cylinder pressure gauges are notatzero, bleed all gasses from the system. Connect an 0» supply ‘Set the system switch to On. Setthe flow controls to mid range. 1. Make sure that ll gauges butO, are atzero. Disconnecttthe 0; supply. Make sure thatthe O, gauge goes to zero. As pressure decreases, ‘alarms fr low O, supply pressure should occur. sep eaoge 2. Make sure that the oyinders are full: a. Open each cylinder valve, . Make sue thateach cylinder has sufcient pressure not, close the applicable cinder valve and install fll cylinder 3, Testone cylinder ata time for high pressure leaks: Set the system switch to Standby, which stops the 0» low. Ifequipped, tun the auliary 0, ow conto fly clockwise (no fow). Ifequipped, tum off venturi derived suction. J. Open the einer. Record the oyinder pressure. Close te cylinder vale. Record the cinder pressure after one minute the pressure ‘decreases more than indicated below, there isa 5000 kPa 725 psig) fr ventiatr drive ga. £690 kPa (100 psig) fornon ventilator dive gas. Install a new cyinder gasket and do this step again h, Repeat step 3 forall cylinders. moeeoge Do not leave gas cylinder valves open ifthe pipeline supply isin use. fer supplies could be depleted, leaving a sufficient reserve supply in case of pipeline failure. 4. Connect the pipeline supplies one at a time and ensure that the ‘corresponding gauge indicates pipeline pressure. 39‘espire 7100 3.4 Flow control tests a 3.4.1 With 0, monitoring AX WARNING Note If the system includes 0, monitoring, complete the flow control tests, “with Op monitoring”. {M the system does not include 0, monitoring, complete te low control testsin Section 3.4.2, “Without 02 monitoring”. Nitrous oxide (NO) flows through the system during this test. Use a safe ‘and approved procedure to collect and remove it. 41, Setup the gas scavenging system. ‘a, Connect the AGSS to a gas scavenging system. b. Attach a patient circuit and plug the patient port. «. Attach a bagto the bag port (or plug the bag port). 4, Set the Bag/Vent switch to Bag. €. Adjust the APL valve to minimum. Connect the pipeline supplies or slowly open the cylinder valves. . Tum all flow controls fully clockwise (minimum flow). . Set the ACGO selector switch to ABS. 5. Tum on the system. Confirm thatthe 0» sensor measures 21% in room air and 100% in pure 0, f not, calibrate the O» sensor. 7. Make sure that + Fora dual-tube 0, flowmeter, the Op flowtube shows 0.025 to 0.075 L/min. * Fora single-tube 0, flowmeter, the Op flowtube shows 0.175 to 0.225 L/min. * The other flowtubes show no gas flow. 8. Setthe flow controls to mid range of each flowtube and make sure thatthe flowtube floats rotate and move smoothly. Ifthe system does notinclude NO, skip steps 9 and 10. 9. Check the Link proportioning system concentration (increasing N20 flow). Observe the following precautions: ‘a, Start with all valves atthe minimum setting. b. Adjust only the Nz0 flow control . Increase the N70 flow as specified in the following table and make sure ‘the 0, concentration isin range. owyor mass01403 Checkout Procedure Note: Allow the Op monitorto stabilize. Atte lower flows, the 02 ) monitormay take up to 90 seconds o stabilize. 4. Htyou overshoota setting, tun the Op flow contol clockwise until the NO flow decreases to the previous setting before continuing the test. Set the N0 flow (L/min) ‘Measured O; [015 (duartiowubesonyy ———«|~Saneminimum | (0.5 (dual flowtubes only) 21% minimum 08 21% 1030% 10 21%6t030% 20 21%6t030% 60 21%6t030% 90 21610 30% 10.Check the proportioning system concentration (decreasing O» flow). Observe the following precaution: a. Start with NO vale at the maximum setting . Adjust only the Op flow control. «©. Decrease the 0, flow as specified in the table and make sure the O concentration in the allowed range. ‘Note: Allow the 0» monitor to stabilize. Atthe lower lows, the Op ‘monitor may take up to 90 seconds to stabilize. 4d. Ifyou overshoot setting, tum the NO flow contro counterclockwise Until the 0 flow increases tothe previous settingbefore continuingthe test. Sot the 0, flow (L/min) Measured 0 30 219610 30% 20 21%6t030% 10 21%6t0 30% 03 21% t030% 11, Check the linearity ofthe Airflow contro. * Turm the N20 flow control fully clockwise to minimum stop. Setthe O;flow | SettheAlrfiow (L/min) | 0, monitorrange (min) 40 30 ee TI% 35 60 45% 10 55% 15 80 28% 10 38% wsti0140 08/07 38‘Aespire 7100 3.4.2 Without 0, monitoring AX WARNING The following procedure will test for any significant malfunction of the Linksystem butitwill not confirm proper calibration. Periodic calibration procedures using an accurate and properly calibrated 0 monitor must be performed as recommended in the User's Reference Manual, Part2, section 3 User Maintenance. A\ Nitrous oxide (N70) lows through the system during this test. Use a safe and approved procedure to collect and remove it. 4. Setup the gas scavengingsystem. 1. Connectthe AGSS toa ges scavenging system. b. Attach a patient circuit and plug the patient por. ¢. Attach a bagto the bag por (or plug the bag port), 4. Setthe Bag/Vent switch to Bag, €. Adjust the APL valve to minimum. Connect the pipeline supplies or slowy open the cylinder valves. }. Tum al flow controls fully clockwise (minimum flow). Setthe ACGO selector switch to ABS. 5. Tum onthe system, 5. Make sure that + Fora dual-tube Op flowmeter, the O,flowtube shows 0.025 to 0.075 L/min + Fora single tube Op flowmeter, the 0 flowtube shows 0.175 to 0.225 L/min, ‘The otherflowtubes show no gas flow. 7. Setthe flow controls to midrange ofeach flowtube and make sue thatthe flowtube floats rotate and move smoothly Note Ifthe system does not include N0, skip steps 8 ands. 8. Check the Link proportioning system (increasing N70 flow), ‘Observe the following precaution: 2. Start with all valves a the minimum setting. b. Adjust only the N0 flow contol «. Increase the N70 flow as specified in the following table and make sure ‘the Op flowis as specified. 36 osyor mtst01403 Checkout Procedure 4d, Ifyou overshoot a setting, tun the 0 flow control clockwise until the 'N20 flow decreases tothe previous setting before continuing the test. ‘Setthe NO flow control to | The 0, flow must be (min) ‘eater than (Umi): 08 02 2 05 4 10 10 25 9. Check the Link proportioning system (decreasing 0, flow). Observe the following precautions: a, Setthe N20 flow to 9.0 L/min, b. Setthe 0 ow to 3 L/min or higher. While reducing the 0 flow, set the N20 flow tothe rates shown in the table, The O, low must be greater than the minimum mits. 4. Ifyou overshoot a setting, tum the N20 flow control counterclockwise ‘until the NO flow increases tothe previous setting before continuing the test. ‘Setthe NO flow ‘The 0; flow must be (using the 0, flow control) ‘greater than to(L/min) (ymin) a0 20 40 10 08 02 1140140 08/07 a7Aespire 7100 3.5 Pressure relief tests 3.6 02 supply alarm test 3.7 Flush Flow Test With Ventilator To check the pressure relief valve (vaporizer manifold oute) 1. Tum all flow controls fully clockwise (minimum flow). 2. Sethe ACGO selector switch to ACGO. 3. Connect a gauge ora digital manometer tothe ‘ACGO outlet using the positive pressure leak test adapter. 4, Adjust the Op flow to 0.5 L/min. Test Adapter 5. Verity thatthe test device reading stabilizes within the following range: ‘31-60 kPa, 230-450 mm Hg, 4.5-8.5 psi 6. Remove the test device and the adapter. 1, Setallflow controls to 3 L/min . Stop the 0» supply. (Disconnect te pipeline supply or close the cylinder vane.) 3. Make sure that: a. The low 0, supply alam occurs. b. TheNz0 if equipped) and ows stop. The O flow stops last. «Air (fequipped) flow continues. 4. Gas supply alarms occur onthe ventlatorif the ventilator uses 02s, the crve gas. Tum all ofthe flow controls fully clockwise (minimum flow). Reconnect the pipeline supplies. Setthe Bag/Vent switch to Vent. . Set the system switch to Standby. Attach a patient circuit and plug the patient port. ‘Setthe ACGO selector switch to ABS (Circle). Ensure that the bellows is completely collapsed. Measure the amount of time it takes to fil the bellows when the O» Flush button is fully and continuously depressed. . Repeat the above measurement two more times (defate bellows by removing the plug from the patient port. * The bellows should fil in 1.8 to 2.3 seconds. 8/07 wii 101403 Checkout Procedure Without Ventilator: 1. Set the Bag/Ventswitch to Bag. 2. Setthe system switch to Standby. ‘3. Attach a patient circuit and plug the patient port 4, Attach a 3-Iter rebreathing bag on the bag arm or manual bag port (ifa3-tterbagisnot available, use the time specified fora -lterbagtimes the volume of the bag used). Set the ACGO selector switch to ABS (Circe). Ensure that the rebreathing bag is completely collapsed. ‘Adjust the APL valve to maximum, ‘Measure the amount of time it takes to fill the rebreathing bag when the 02 Flush button is fully and continuously depressed. "Note: When the alway pressure gauge exceeds 10 em H0, the rebreathing bagis fll. 9. Repeat the above step two more times (deflate the rebreathing bag by removing the plug from the patient port. * Aster bag should filn 3.6 to 5.1 seconds. ‘A A-ter bag should filn 1.2to 1.7 seconds. Possible Causes of Fallure Large leak it ong filing ime). + Flush regulator setting (Section 5.5) ‘+ Flush regulator cross-connecton (iflong filing time). ‘+ ACGO selector valve inlet cross-connection if short filing time). te From 92 Sumer (Op FushVabe (And optional Aualary 0, Flowmeter) wi110140 08/07 39Aespire 7100 3.8 Vaporizer back pressure test AX WARNING 340 ‘Anesthetic agent vapor comes out of the common gas outlet during this test. Use a safe, approved procedure to remove and collect the agent. 1. Setup the gas scavenging system. ‘a, Connect the AGSS to a gas scavenging system. ». Attach a patient circuit and plug the patient port. c. Attach a bagtto the bag port (or plug the bag port) 4d. Setthe Bag/Vent switch to Bag. €. Adjust the APL valve to minimum. . Sethe ACGO selector switch to ABS. . Sethe system switch to On. Setthe 0; flow to 6 L/min. 9. Make sure thatthe O, flow stays constant and the float moves freely. . Adjust the vaporizer concentration from Oto 1% one click at atime. The O» ‘flow must not decrease more than 1 L/min through the full range. Ifthe O, flow decreases more than 1 L/min: 4, Install a different vaporizer and ty tis step again. b, Ifthe 0; flow decreases less than 1 L/min with a diferent vaporizer, the malfunction isin the fist vaporizer. «. Ifthe 0, flow also decreases more than 1 L/min with a different vaporizer, the malfunction i in the Aespire system. Do not use the system until its serviced (tepair vaporizer manifold port valve). 7. Complete steps 3 through 5 for each vaporizer and vaporizer postion. 8. Setthe system switch to Standby. w/o masto1403 Checkout Procedure 3.9 Low-pressure leak test Note Perform either the “Negative low-pressure leak test” or the “ISO or BS! standard low-pressure leak test. Itis not necessary to perform both tests. AS WARNING — Donotuse a system with a low-pressure leak. Anesthetic gas will go into ‘the atmosphere, not into the breathing circuit. 3.9.1. Negative low- 1, Testthe leaktest device: pressure leak test a. Putyourhand onthe inlet ofthe leak test device. Push hard fora good AXWARNING 1rt0140 08/07 seal, . Squeeze the bulb to remove all airfrom the bulb. «Ifthe bulb completely nfates in less than 60 seconds, replace the leak test device. . Set the system switch to Standby. . Set the ACGO selector switch to ACGO. |. Turn off all vaporizers. Testthe anesthesia machine for low-pressure leaks: a. Open the flow controls one and a half tums counterclockwise. . Connect the test device to the ACGO outlet. ©. Compress and release the bulb until itis empty. 4, The vacuum causes the floats to move. This is usual. the bulb ‘completely inflates in 30 seconds or less, there isa leakin the low- pressure circuit. 6. Test each vaporizer forlow-pressure leaks: a. Setthe vaporzerto 1%. b. Repeat step 5. ¢. Setthe vaporizerto OFF. 4. Test he remaining vaporizer. 7. Disconnect the test device. 8 Tum all flow controls fully clockwise (minimum flow). Do not over tighten. ‘Agent mistures from the low-pressure leak test stayin the system. ‘Always lush the system with O, afterthe low-pressure leak test(1 L/min for one minute). ‘Tum off all vaporizers atthe end of the low-pressure leak test. 9 Flush the system with 03: . Sette system switch to On, 9. Setthe 0 flow to 1 L/min, Continue the 0; flow for one minute, 1. Tum the O, flow contol fully clockwise (minimum flow). Set the system switch to Standby.‘Aespire 7100 3.9.2 SO or BSI standard low-pressure leak test A.cauTion ACAUTION Do the positive pressure leak test at the ACGO outlet only. 4, Setthe ACGO selector switch to ACGO. 2. Turall flow controls fully clockwise (minimum flow). 3. Using the positive pressure leak test adapter, connect the ISO or BSI specific leak test device tothe ACGO outlet. Push the adapter into the ACGO outlet throughout the testto get a good seal Leak Test Adapter wr TS) pore i» Ss 4, Keep flowmeter of the test device vertical for accurate results. ‘5. Fully open the needle valve onthe test device (counterclockwise. Ifthe needle valve is not fully open, this test can damage the pressure gauge on the test device. 6. Setthe system switch to On. wor wxs101403 Checkout Procedure 7. Open the 0, low control and set a total flow of 0.4 L/min through the flowmeter on the test device. ‘8. Make sure that the pressure gauge onthe test device reads zero and that all other flow controls ae fully closed. 9. Close the needle valve onthe test device unt the test gauge reads: 1805358 ‘Sha 814272, 20KPa 10.\Fthe flow through the test device is less than 0.35 L/min (1S0) oF 0.31/min (BSI), there isa low pressure leak in the anesthesia machine. 11, Fully open the needle valve on the test device to decrease the back. pressure, 12.Test each vaporizer fr low-pressure leaks: 4, Setthe vaporizerto 1%, . Repeat steps 7 through 10. «. Tum the vaporizer OFF. 4, Testthe remaining vaporizer. 13, Remove test tool and adapter. ASWARNING Agent mixtures from the low-pressure leak test stay in the system. ‘Always flush the system with Op afterthe low-pressure leak test(1 L/min for one minute). ‘Tum all vaporizers OFF at the end of the low-pressure leak test. 14, Flush the system with 0, 4, ‘Setthe system switch to On. b. Sethe 0, lowto 1 L/min. . Continue the O; flow for one minute. d. Tum the 0; flow control fully clockwise (minimum flow). . Setthe system switch to Standby. wmiii0140 06/07 33‘Aespire 7100 3.10 Alarm tests 3 |. Connect atest ung to the patient connection. Set the Bag/Vent switch to Vent. 3. Set the system switch to On, |. Set the controls: += Ventilation Mode: Volume contol (select from main menu) += Ventilator: ~ Tidal Vol: 400 mi = Rate: 12 ERatio:1:2 Pimit:40 om H,0 PEEP: OFF + Anesthesia Machine: = 0, flow: minimum flow ~ Allother gases: OFF = ACGO selectorswitch to ABS Push Op Flush tofil the bellows. ‘Set the Bag/Ventswiteh to Bag and backtto Vent. 7. Make sure that: 10. a. Mechanical ventilation stars. b. Asubatmospheric pressure alarm does not occur Note: Wit active gas scavenging, too much scavenginglow can cause subatmospheric alarm. . The ventilator displays the corect data. d, The bellows inflate and deflate during mechanical ventilation. Setthe 0; flow control to 5 L/min. ‘Make sure that: ‘a, The end expiratory pressure is approximately 0 cm H,0. Note: Positive end expiratory pressure when PEEPis off may indicate that the scavenging system isnot removing enough gas. b. The ventilator displays the correct data. , The bellows inflate and deflate during mechanical ventilation. Testthe low minute volume alarm: Goto the alarms menu. ‘Set the alarm limit for low minute volume to 6.0 L/min. Make sure that alow minute volume alarm occurs Goto the alarms menu. ‘Set the low minute volume alarm to OFF. o8/or wani01403 Checkout Procedure 11, Test the high airway pressure alarm: 4, Seti ess than the peak airway pressure. b. Make sure thatthe high airway pressure alarm occurs ©. SetPini to conectlevel. 12, Testthe apnea and low away pressure alarms: a. Tumal low controls fully clockwise. b. Remove the test lung from the patient connection. ©. Other alarms such as low minute volume can occur. 4. Make sure thatthe low alway pressure and apnea alarms occur. The apnea alarm occurs after 30 seconds. 13, Test the sustained ainvay pressure alam: a. Setthe controls: + APL valve — Closed (70) + Bag/Vent switch — Bag . Mechanical ventilation stops when the Bag/Vent switch is set to Bag, ©. Occlude the bag port connector with a test plug. 4, Close the patient connection using the tet pluglocated on the side of the ABS and push the O, Flush button. . Make sure that the sustained pressure alarm occurs after approximately 15 seconds atthe sustained pressure limit(6-30 cm H0 varies with pressure it) 414.Test the 0 monitor and alarms: Remove the 0» sensor from the cireuit module. >. Make sure the sensor measures approximately 21% 0 in oom at. Sethe low 0 alarm to 50%. Make sure alow Op alarm occurs. J. Setthe low 0, alarm back to 21% and make sure that alarm cancels. . Put the O» sensor backin the crcult Remove the test lung fom the patent connection, Setthe High Oy alarm to 50%, Push the flush button to fil the breathing system. Setthe Op flow contro to 2 L/min. |. Make sure the high 0 alarm comes On. ik. Setthe high O. alarm backto 100% and make sure that alarm cancels. |._After2 minutes in pure Op the 0» display reads approximately 100%. 1m. Tum the 0 flow contr flly clockwise (minimum ow) 15. Setthe system switch to Standby. rset eeaoge wi110140 08/07 asAespire 7100 3.11 Breathing system tests AXWARNING Check Valves Ventilator Bellows, Service Mode Tests Objectsin the breathing system can stop gas flow to the patient. This can cause injury or death: = Donotuse a test plug thats small enough to fall into the breathing, system, 1, Verity that AGSS is operating, Forsystems that have a low indicatoron the side, make sure thatthe flow indicator shows a flow inthe green (normal) region. 2. Zero the pressure gauge Section 5.6.1). ‘3. Make sure that the check valves onthe breathing circuit module work conectly: ‘a. The Inspiratory check valve rises duringinspiration and falls atthe tart of expiration. b. The Expiratory check valve rises during expiration and falls at the start of inspiration. 4. Ventilator bellows test: ‘Setthe system switch to Standby. ‘Set the Bag/Vent switch to Ventilator. . Setall low controls to minimum, Close the breathing circuit atthe patient connection. Use the test plug located on the side ofthe ABS. Push the 0; flush button to fillthe bellows. f._ The pressure must not increase to more than 15 cm H,O on the pressure gauge. Ifthe bellows falls more than 100 mL/min (top of indicator, it has a leak. 5. Enterthe Service Mode: Push and hold the adjustment knob on the ventilator’ display and settthe system switch to On. a. Selectand confirm “Service Modes.” . Follow the menu structure outline below toreach the adjustment forthe Inspiratory flow valve. Select and confirm at each step. + "Diagnostics Tests/Tols* = “Breathing System Leak Test” ¢, Follow the instructions on the screen. 4, The leak rate should be less than 200 ml/min. For machines with a single-tube 0 flowmeter, the pressure reading ‘should reach 30 om H.0 at minimum flows greater than 200 ml/min. Note: If test fails, see Section 7.2, “Breathing System Leak Test Guide". wyor wist01403 Checkout Procedure BagCircult 6. Testthe Bageircutforleaks: a. Setthe system switch to On, b. Setthe Bag/Ventilator switch to Bag. . Plug the Bag port (use yourhand or the approved test plug) 4, Close the APL valve (70 om H0). €. Setthe 0p flow to 0.25 L/min, 1 Close the patient connection (using hand or test plugoon the side of ‘the breathing system) and pressurize the bag circuit withthe O» flush button to approximately 30 om H;0. &. Release the flush button. The pressure must not decrease. A pressure decrease large enough to see on the gauge indicates an unacceptable leak. Note: If test fails, see Section 7.2, “Breathing System Leak Test Guide". APLValve 7. Testthe APL valve: ‘a, Fully close the APL valve (70 om 0). b. Setthe total fresh gas low to approximately 3 L/min and make sure ‘that he value on the inspiratory pressure gauge does not exceed 85 om H,0. Some pressure fluctuation is normal. ¢. Fully open the APL valve (to the MIN position). 4d. Set0, flow to3 L/min. Tum any other gases of . Make sure thatthe value on the inspiratory pressure gauges less than approximately 5 cm HO. f. Push the Op flush button, Make sure thatthe value on the inspiratory pressure gauge stays less than 10 cm H20. &. Setthe 0 flow to minimum and make sure thatthe value on the inspiratory pressure gauge does not decrease below O cm H,0. ‘8, Remove your hand or the test plug from the patient connection, 9. Setthe System switch to Standby. AAWARNING — Make sure that there are no test plugs or other objects caught in the breathing system. 1110140 08/07 sar‘Aespire 7100 3.12 Auxiliary 0, flowmeter tests 1. Open the 0» ender valve or connect an 0 pipeline. 2. Rotate the flow contol clockwise (decrease) to shut ofthe flow. The ball should rstat the bottom of the low tube and not move. 3, Rotate the flow contol counterclockwise (increase). The ball should ise immediately after rotation is begun. Itshould rise smoothly and steadily with continued counterclockwise rotation. When a desired low is set, the boll should maintain ina steady poston 4, Occlude the ausian 0p owiet The ball should est atthe bottom of the flow tube and not move. A ball hat doesnot rest atthe bottom ofthe low tube indicates a leak and requires service. 5. Rotate the flow control clockwise to shutoff the flow. 3.13 Integrated Suction Regulator tests ‘The gauge needle should come to rest within the zero range bracket when no suction is being supplied. Gauges which do not comply may be out of calibration. |. Adjust the regulator setting to minimum. . Tum the mode selector to (On). 3. Ensure the gauge remains less than 200 mmHg (26 kPa, 0.26 Bar) | Occlude the inet. Ensure the gauge remains ess than 200 mmlig (26 KPa, 0.26 Bar) ‘Adjust the regulator in an increasing vacuum level. The gauge should rise after rotation has begun. The gauge should rise wth ‘continued rotation ofthe regulator adjustment. ‘Adjust the regulator setting to minimum. 9. Turn the Mode selector to 0 (Off), ow/or maii01403 Checkout Procedure 3.14 Power failure test 1. Connect the power cord to a mains outlet. The mains indicator on the display comes on when AC Poweris connected. Ifthe indicatoris not on, the display assembly isnot receiving AC power. * Verity AC powerto the machine (reset circuit breaker). * Check fuses in display assembly's inlet module. * Check fuses in machine's ACinlet assembly. 2. Setthe system switch to On, ‘3. Unplug the power cord with the system tured on. 4, Make sure that the power failure alarm comes on. 5, Make sure the following message ison the ventilator display: *= "On Battery - Power OK?” 6. Connect the power cable again. 7. Make sure the alarm cancels. 3.15 Electrical safety tests ‘Make sure the system is completely assembled and all accessory devices are ‘connected to electrical outlets. 1, Connectan approved test device (e.g. UL, CSA, or AAMI) and verify thatthe leakage currentisless than: Voltage Max. Leakage Current 120/100 Vac 300 pamps. 220/240 Vac 500 paps 2. Make sure thatthe resistance to ground is less than 0.202 between an exposed metal surface and the ground pin on the power cord. 1110140 08/07 319Notes 320 o8/or wais01404 Self Tests and Service Mode A\ WARNING: Post-Service Checkout s required after you complete this section. You must perform Section 3.1 Post-service checkout after performing any maintenance, service or repair. Failure to do so may resultin patient injury. In this section To ensure proper operation, the Aespire 7100 Ventilator includes several tests that run automaticaly (self tests) and a series of menu pages thata qualified service person can use to test, calibrate, or troubleshoot ventilator related components in the Aespire anesthesia machine (Service Mode). 4.1Selftests Aa 4.2Senice Mode .. 44 4.3 About Ventilator. 4.4 Alarm Log 45 Enrorlog 4.6 Language -... 4.7 User Setings «... 49 AT Soreen Contrast sees oo 49 ‘48 System Configuration ........ 410 4.9 Calibrations 442 4.9.1 02 Calibrations soe oe a 13 4.9.2 Zere Flow and Aiway Sensors ata 4.9.3 Adust Drive Gas Reguator ..... 448, 4.9.4 Riway Sensor Span ......0+00++ cn 416 4.9.5 PEEP Valve Calibration ........... 418 4.9.6 Inspiratory Vale Calibration... 449 49.7 Pressure Sensitivity . 421 4.9.8 Senice Calibrations Required 2 423 want0140 08/07 aa 4.10 Diagnostic Tests/Tools 424 4.10.1 Display A/D Channels 425 4.10.2 Display Discretel/0 Signals, 427 4.10.3 Display Bator Status... 428 4.10.4 Test Panel Switches 429 4.10.5 Vales -Test Too! 430 4.10.6 Test CPU and Memory 431 4.10.7 Test EEPROM. 432 4.10.8 Test Seria Pot 4.10.9 Test 5V Fal Alam 433 434 4.10.10 Testnspratoy Vatve. 435 4.10.11 Test PEEP Valve 436 4.10.12 Test PEEP Safety VaNe -.. cee 437 4.10.13 Breathing System Leak Test .... 438 4.10.14 Test Pressure Limit Creu 438 4.11 Upgrade Options 440 09/07 mast0%404.1 Self tests Powerup tests Continuous tests wa110140 Periodic tests wor 4 Tests and Calibration ‘The Aespire 7100 Ventilator software includes self tests that determine whether or not ‘the operating software is functioning propery and whether or not the electronic circuits (on the circuit boards are function ‘The selftests include: = powerup tests continuous tests periodic tests ‘The following lis ofthe tests un at powerup: = Sequential watchdog Logical watchdog ‘= Data RAM walking patter test ‘= FLASH ROM CRC verification PEEP Valve test PEEP Safety Valve test fone or more ofthese tests fall, the display provides a readout ofthe problem. ‘These tests are run continuously during normal operation and alarms are associated with each test. A failure causes an alarm to display on the screen in the alarm display area, Supply voltage checks ‘+ Battery voltage checks ‘= Inspiratory control valve DAC and voltage feedback ‘= PEEP control valve DAC and voltage feedback ‘These tests are un every 30 seconds during normal operation. Alarms are associated with each test. A failure causes an alarm to display on the screen in the alarm display area, = cPUTest ‘Display RAM walking pattem test ‘Data RAM walking patter test ‘+ FLASH ROM CRC verification 3Aespire 7100 4.2 Service Mode ‘The Service Mode is used totes, calibrate, or troubleshoot ventilator related ‘components in the anesthesia machine. There are two ways to enter the service mode: ‘= fthemachine istumed off, push and holdin the adjustment knob while setting the system switch to On. Hold the adjustment knob pushed in until the “Service Confirmation” menu appears. Use the adjustment knob to highlight Service Mode", then push the adjustment knob to confirm the selection ‘+ Ifthe machine s already in normal operation, set the Bag/Vent switch to Bag. ‘Ten, press the V; /Pinsp, the PEEP, and the menu switches at the same time to reset the software (powerup). Push and hold the adjustment knob unt the "Service Confirmation* menu appears. Note: Volume alams must bein standby. From this menu you can: * Goto the Senice Modes = Retum to Normal Operations Service Modes Menu The Service Modes main menu displays the service tests you can select. et ene ye Cragin ge Teste pee pins cat pete ‘The selectable service tests are displayed in categorical order. But you can selectthe service test from this menu in any order. Te following sections in this manual are ‘sequenced inthe order that they appear on the screen 4 8/07 ust01404 Tests and Calibration \ 4.3 About Ventilator ‘The About Ventilator menu identifies the current software loaded into the ventilator’s Flash-ROM memory and displays the total on time" ofthe system. ‘= Software Version Software Date Hardware 1D ‘Total System On Time ‘Current Bootup Count — The bootup count s incremented each time the ‘machine is tumed on. The bootup counts not overwritten when new software is loaded. However, if new control board is installed, the bootup count wll reflect the value stored in the EEPROM of the new board. Senta gaan at tome Troemontae Sve ont oh) Oma Cette } Doo wi1i0140 a9/o7 “s‘espire 7100 4.4 Alarm Log ‘The Alarm Log displays up to 20 of the most current alarm messages that have been logged. Each log enty shows: ‘= Bootup Count number the bootup countis incremented each time the ‘machine is tured on). ‘= Time (ms) — the time in miliseconds since bootup when the latest alarm condition occurred. ‘= Alarm message associated withthe particular alarm condition, ‘+ # Times — the numberof times thatthe specific alarm condition has occurred ‘during the noted bootup count. The bottom lft comer ofthe screen displays additional information: ‘+ Bootup Count Last Cleared * Current Bootup Count a Cp oe Cot at owed Cimettene Cort 5S Caeser ae ens Scroll Data To view all the log entries, select “Scroll Data.” Then, use the control knob to scroll through the entries. To exit Scroll Data, press the control knob. Clear Alarm Log To clearthe alarmiog, select"Clear Alarm Log," The system asks you to confirm that you want to clear the alarm log Remarks After you clear the alarm log ‘= the*Bootup Count Last Cleared” number wil be reset tothe “Current Bootup Count” number. ‘+ the menu will show the message "No enties in log!” “ 9/07 wustor404.5 Error Log Scroll Data Clear Error Log Remarks wiss0140 06/07 4 Tests and Calibration ‘Tere are two special types of alarms: ‘+ Minimum monitoring alarms that stop mechanical ventilation ‘= Minimum shutdown alarms that stop mechanical ventilation and monitoring, ‘An alarm message that result from these special types of alarmsis considered an ertor alarm, ‘The Error Log displays up to 20 ofthe most current Eror messages that have been logged. Each log entry shows: * Bootup Count number (the bootup count is incremented each time the ‘machine is tuned on). = Time (ms) — the time in milliseconds since bootup when the latest alarm condition occurred. * Error message associated withthe paticular alarm condition, *= Address — the place in the software sequence where the last occurrence ofthe errortook place. ‘The eror address and software revision are important pieces of information to note if technical supports required. ‘The bottomlft comer of the screen displays additional information: * Bootup Count Last Cleared * Current Bootup Count tg at Cota Coed CGmetBeny Cont 58 Cate see ee Mins To view all the log entries, select “Scroll Data.” Then, use the control knob to scroll through the entries. To ext Scroll Data, press the control knob. ‘To clear the erorlog, select “Clear Eror Log.” The system asks you to confi that you want to clear the errr log ‘After you clear the alarm log: ‘= theBoot Count Last Cleared” number willbe eset the “Current Boot Count” ‘number. the menu will show the message *No entries in log “‘Aespire 7100 4.6 Language ‘Te text shown in the normal mode of operation is language sensitive. However, the ‘Service Confirmation menu (except for text “Normal Operation") and all the Service Modes menus are shown only in English. ‘The Language menu is used to set the specific language for normal operation. (eS Ha ‘The 7100 ventilator supports the following languages. The language selections appear inlanguage specific text. + Espanol + Deutsch. + Polski. + Portugués + Francais + Italiano. + Cestina + Magyar + Nederlands English Spanish German - Polish Portuguese French «Italian Czech Hungarian Dutch Greek Russian Japanese Chinese ‘The following additional languages are availabe in Software revisions 1.4 and greater. + Suomi + Tarkge + Norsk. Finnish Turkish Norwegian ‘The language settingis stored in EEPROM withthe default setting as Engish. 9/07 mtst01404 Tests and Calibration 4.7 User Settings In normal operation, the user can set several parameters to a personal preference orto compensate for the surrounding influences. The range of some of these settings can vary {rom machine to machine. ‘The User Settings menu is used to adjust the range to normalized values. =< Gate Sov Mt Mee 4.7.1Sereen The range rom minimum to maximum screen contrast varies forindividual displays. The ‘Contrast Screen Contrast menu is used to tailor the range so thatthe screen image's stil visible at minimum and maximum contrast settings forthe user. voor a adnate cen cr in mo Fr rH deen oe se cos MaommSomncaint SS tna Sen Const ” oto Uo Steg Ms The “Minimum Screen Contrast” and the “Maximum Screen Contrast” settings set the range of contrast values for the operator. The “Optimal Screen Contrast” setting sets the default value. Romarks wi1i0140 08/07 “‘Aespire 7100 4.8 System Configuration Sot the altitude Select drive gas A.Caution ‘The System Configuration menu includes settings that are tailored tothe specific machine, The “Altitude,” “Drive Gas,” *Heliox Mode,"*Ve Alarm Limits,” “System Type,” ‘and “Flow Sensor Correction” settings are present forall machines. The inclusion of the remaining settings depends on the purchased features for the specific machine. Ove ae o ie tet ‘een te one pte pe wee FS anc eats meng mbes oe tos Envet we Conpentin Eves Peso te fates Prom Warton tes ote ees Ma Te accuracy of some of the ventilator measurements is altitude sensitive, To ensure the specified accuracy, the altitude setting should be setto the specific altitude where each ‘machine is located ‘Atitude settings range from ~400 to 3600 meters in increments of 100 meters. ‘The setting is saved in EEPROM; the default value is 300 meter. Either 0, or Aircan be used as the drive gas forthe ventilators pneumatic engine. To compensate volume calculations for the specific density of the drive gas used, the drive gas selection on this menu must match the actual drive gas. ‘To change the actual drive gas, referto Section 4 ofthe respective anesthesia machine Technical Reference Manual. Iyou change the drive gas, you must also change the drive gas selection on this service setup screen. Ifthe drive gas selection and the actual drive gas do not agree, volumes will not be correct. owyor wxst0180Hellox Mode Note VeAlarm Limits System Type Flow Sensor Correction (0 Monitoring Volume Monitoring Volume Compensation Pressure Mode Pressure Waveform vrst0140 08/07 4 Tests and Calibration Enabled — Disabled ‘espire 7100 machines can not be configured to deliver Helix. The Heliox Mode should be set to “Disabled”. With the Heliox Mode disabled, the user's “Setup” menu will not include the Heliox option. Whenever you enable or disable the Heliox Mode, the screen will display the following. waming: A similaty worded waning will appear when you change the “Op Monitoring," “Volume Monitoring” and the “Volume Compensation” settings ‘Automatic — User Adjustable Aestiva Currently the 7100 ventilatoris available inthe Aestiva machine and the Aespire ‘machine. Since the 7100 ventilator functions identically in either machine, the System ‘Typesetting is displayed as “Aestiva,” he cursor will skip over this selection, Lead Filter Off — Lead Fiter On ‘This setting relates tothe VMB board, For current VMB assemblies, ths setting should be Lead Filter Off. Enabled — Disabled (if site preference) May not appear in some configurations. Enabled — Disabled (i site preference) May not appear in some configurations. If-Volume Monitoring’ is set to “Disabled,” “Volume Compensation” is automatically setto “Disabled.” Enabled — Disabled (it site preference) May not appearin some configurations. Enabled — Disabled sit preference) May not appear in some configurations. Enabled — Disabled (site preference) May not appear in some configuration. anAespire 7100 4.9 Calibrations ‘The Callbrations menu includes service level calibrations of components that need periodic adjustment to maintain specified accuracy. eso Avy See ‘ute Pet ‘ny Sea pe er vae coeten pry Yb cen Preset Svea ates Rat A ot Se Mates Remarks You canenterthese procedure in any order. However, the procedures appearin logical sequence. Some ofthe latter procedures require you to have completed some of the earlier procedures. ‘Additionally, these procedures require you to disassemble and reassemble parts ofthe breathing system. Accordingly, the procedures are arranged to minimize the disassembly and reassembly process. 42 9/07 masto1404.9.1 0, Calibrations wt1i0140 08/07 Remarks 4 Tests and Calibration The O, Callbrations take nto accountthe altitude setting. Before starting the calibrations, ensue thatthe attude setting (in “System Configuration” menu) is set to the appropriate attude forthe machine locaton. Forthe “21% 0, Calibration” software reads the A/D value forthe 0, sensor when the (0, sensoris exposed to room air(21% 02) + this A/D value isnot within the tolerance, the calibration fails. + Ifthe calibration passes, the A/D values stored in the EEPROM. The sensor must be calibrated at 21% 0, before calibration at 100% Op, Remove the O sensor from the breathing system and expose itto room ‘The displayed reading should be 21% + 2% to pass the calibration requirements Place the sensor that passed the 21% test inthe breathing system and expase Itto 100% 0. Nit displays readings higher or lower than required to pass, replace the sensor. onAespire 7100 4.9.2 Zero Flow and Airway Sensors Remarks 44 The Zero Flow and Alrway Sensors procedure * zeros any offset inthe amplifier for the airway pressure sensor + determines the zero value forthe inspiratory flow and expiratory flow ‘measurement differential pressure transducers. Itdoes so by reading the A/D values for inspiratory flow, expiratory flow, and airway pressure when the flow sensors have been disconnected from the breathing system. ' the calibration passes, the offset and zero values are stored in the EEPROM. ‘= Ifthe A/D values are not within the correct tolerance the calibration fails. Ifthe calibration fails, the screen will display the reason forthe failure. ocueed conte deta rower Henoun Seewayfoe 0208 Aooytreinse 0 -2000ea ate St: 0 0 010005 Ensure that the flow sensor module is disconnected from the breathing system, “Fal” indicates a problem in the VMB (Inspiratory Flow and Expiratory Flow transducers) ‘or the VEB (Away Pressure transducer). Check the transducer outputs using the “Display A/D Channels” menu (on “Diagnostics” menu) Ifany ofthe transducers are outof tolerance: ‘= Follow Section 7.5.3, “Inaccurate Volume Ventilation Troubleshooting,” for Issues with inspiratory and expiratory low transducers. ‘+ Replace the VEB assemblies, for issues with the airway pressure transducer. yor must01404.9.3 Adjust Drive Regulator Remarks witi0140 08/07 4 Tests and Calibration The Adjust Drive Gas Regulator procedure establishes the required flow rate through the drive gas regulator for proper calibration. ‘The drive gas regulator should provide a constant gas input pressure of 172 kPa (25 psi. ‘You can verify this pressure by attaching a pressure test device tothe regulator pressure port (shown below) and adjusting the regulator to 172 £1.72 kPa (25 40.25, psi). Regulator pressure ortAespire 7100 4.9.4 irway Sensor Span Calibration setup Calibrated low orice 1504-3016-000 forthe Aespir mach ‘The Alrway Sensor Span procedure calculates a gain coefficient forthe airway pressure transducer. 41, Remove the ABS breathing system from the machine. 2. Remove the Exhalation Valve. 3. Separate the Bellows Module from the Circuit Modul. ‘4, Install the Circuit Module ony 5, Attach a patient circuit tube tothe Calibrated Flow Orifice test tool. Note: The Calibrated Flow Orifice forthe Aespire has the same orfce size as the Calibrated Flow Orifice for the Aestiva; however, the Aestva orice has a larger cutside dimension that does not it through the Vent Engine cover plate. To use the Aestva ofice with an Aespire machine, you must remove the cover plate to access the manifold por. Insert the Calibrated Flow Orifice into the manifold (PEEP) port. Connect a pressure sensing tee tothe inspiratory flow patient connection. Connect the open end ofthe patient circuit tube tothe flow port ofthe pressure sensing tee. 9. Connect a manometer to the pressure sensing port of the tee connector. a6 owyor mist0160Callbration procedure mi1i0140 08/07 Remarks 4 Tests and Calibration Select “Set PEEP Valve.” 2. Adjust the PEEP Valve “counts” unti the manometer reads 100 40.3 om H,0 (this wil be at counts greater than 2500). Press the control knob to activate the test atthe selected PEEP Valve counts. With the manometer at 100 cm H,0, select “Save Ainay Sensor Span.” the “Set PEEP Vale" value is set too high, pressure inthe crcult may exceed 109 em 0 and trip the pressure limit switch. this happens, lower the “Set PEEP Valve” value. arAspire 7100 4.9.5 PEEP Valve Calibration The PEEP Valve Calibration should be performed ‘+ when the machine is first putinto service. ‘= _atprescribed, planned maintenance intervals. ‘+ after the pneumatic engine has been serviced. — = ina. ST igure Eee cere ese sess ie — Calibration setup —_After completing the “Airway Sensor Span” calibration in the previous section, remove the pressure sensing tee and connect the open end of the patient circuit tube directly toteinpatory ow patent omecton. + yovareonperomingthe PEEP Vat alan cometh Clbated Fw Oca taste "Airy Sensor Spa sep Te, comet be open ent he paerccttube dec ote epatoy ow ae crave tate testing oon Calibration procedure |. To enter the calibration menu, select “Next PEEP Valve Cal Menu”. Remarks Scroll Data 48 1 2. Establish drive gas forthe ventilator. 3. Setallflow controls to minimum, 4, To startcalibration, select “Start PEEP Valve Calibration” Note: This calibration procedure may take up to-20 minutes. ‘Te calibration status and progression bar are displayed atthe bottom ofthe screen. The calibration routine opens the PEEP valve stepwise and reads the resulting airway pressure, The accumulated values representthe output linearity curve for this particular PEEP valve. The accumulated data include: Lower PEEP Valve Curve Upper PEEP Valve Curve PEEP Temperature Comp PEEP Nominal Resistance ‘The datas stored in EEPROM and is used during normal operation to compensate for the individual valves output characteristics. To view the stored data, select “Scroll Data’ ogo wis101404 Tests and Calibration 4.9.6 The Inspiratory Valve Calibration should be performed: Inspiratory Valve when the machine is first putinto service. Calibration + atprescribed, planned maintenance intervals. '* after the pneumatic engine has been serviced. Callbration setup Remove the bellows and pressure relief valve (pop-off from the bellows assembly Remove the bellow housing. * Remove the bellows and bellows mountingrim as an assembly. + Remove the pressure elie valve. + Replace the bellows housing, * Note: Ifyou have just completed the PEEP Valve Calibration, remove these parts from the bellows assembly and then reassemble the breathing system. Attach a patient circuit tube tothe Calibrated Flow Orifice test tool. 3. Connectthe open end ofthe patient circuit tube tothe inspiratory flow patient connection. 4, Setthe Bag/Vent switch to Vent. Establish crive gas fr the ventilator. ‘Adjust fresh gas flow so the actual Airway Pressure reads 1.05 om #0. iti0140 08/07 49Aespire 7100 Calibration procedure Note Remarks Scroll Data 420 41. To enter the calibration menu, select“Next Inspiratory Valve Cal Menu 2. Tostar calibration, select “Start inspiratory Vale Calibration”. "Note: This calibration procedure may take upto 5 minutes. ‘Te calibration status and progression bar ae displayed at the bottom of the screen. For the color display, ifthe message Complete! Max flow may be low JA. is displayed, te jumpers on the Control Board may be installed incorectly (ceferto Section 10.25.1) With the bellows removed from the bellows assembly, the output from the inspiratory valve is routed through the breathing system tothe Airway Pressure transducer. The calibrated orifice provides a precise restriction tothe flow. The calibration routine opens the Inspiratory valve stepwise and reads the resulting pressure atthe airway pressure transducer. The inspiratory flow displayed on the screen {orth tests a calculation ofthe pressure measured by the airway pressure transducer times a constant (based on the size of the orifice inthe test too). ‘Tne accumulated values represent the output linearity curve fr this particular Inspiratory valve. ‘The datas stored in EEPROM and is used during normal operation to compensate for the individual valves output characteristics. ‘To view the stored data, select “Scroll Data’. 8/07 mast01404 Tests and Calibration 4.9.7 The Pressure Sensitivity calibration calculates correction factors for common mode Pressure pressure sensitivity of the diferetial pressure transducers. The pressure transducers Sensitivity _ ustbe calibrated wneneverthe VMB or the Contro Boards replaced, This pressure sensitivity calibration isnot an automated calibration. Follow the prompts onthe screen to complete te calibration. The routine calculates the pressure sensitivity atfour diferent pressures (10, 20, 40, and 60 cm H20) and extrapolates the fith pressure point(70 cm HO). ttuses these five pressure points along wth the ero offsets tofind the pressure sensitivity If the calibration passed, the five pressure sensitivity points are stored inthe EEPROM. Ifthe calculations for the pressure sensitivity are nat within the correct tolerance, the calibration fils. Calibration procedure 1. Perform the “Zero Flow and Airway Sensors" calibration. 2. Perform the “Airway Sensor Span”. 3. Occlude the opening at the bag arm 4, Connect short patient tubing from the inspiratory flow patient connection to the expiratory flow patient connection. Setthe Bag /Vent switch to the Bag position. Select ‘Next Pressure Sensitivity Menu" for the next calibration menu. 1110140 08/07 anAespire 7100 42 Rea Time Value 7. Tostart calibration select “Start Pressure Sensitivity Cal’. /Adjustthe APL and fresh gas flow unti the real-time pressure eads.a stable 10 ‘em H,0 ~ after 5 seconds, select “Save Value”. ‘Adjustthe APL and fresh gas flow until the real-time pressurereadsa stable 20 ‘om H,0 ~ after 5 seconds, select “Save Value". ‘Adjustthe APL and fresh gas flow uni the real-time pressure readsa stable 40 ‘om Hz0 ~ after 5 seconds, select “Save Value" ‘Agjustthe APL and fresh gas flow unt the real-time pressure reads a stable 60 ‘om H,0 — after 5 seconds, select “Save Value". 09/07 mis101404.9.8 Service Calibrations Required Remarks 1110140 08/07 4 Tests and Calibration ‘The Service Calibrations Required 4A menu displays which setting or calibration must be performed when the “Service Calibration A\” alarm appears in normal operation. ‘ter the setting or calibration is property completed, the text for that setting or calibration willbe removed. iN SS Cab a Y yoni ua et 2a an ay See pty ake Caen Presa Sey ‘The normal operation “Service Calibration £\" alarm message's only removed when all ‘the required settings or calibrations are completed. ‘The Set “Service Calibration £.” menu item is used by the factory to activate the "Service Calibration A\” alarm and require that all settings and calibrations be performed when the machine is set up for operation atits permanent location. You can reset the "Service Calibration A\" alarm inthe field by selecting “Yes" when the following warning appears after selecting the *Set Service Calibration 4X" menu item. aaAespire 7100 4.10 Diagnostic Tests/Tools ‘The Diagnostle Tests/Tools menu includes a selection of items that lok at individual subsystems ofthe 7100 Ventilator. est ae eatg Sen Lesko otic he a2 yor mst0140aii0140 08/07 4 Tests and Calibration 4.10.1 The Display A/D Channels menu displays the measured values foreach ofthe A/D isplay A/D channels. Channels epeaaytie exeany Pon 8 svayPassae a to eat Cote topes ens Weed eat “HVASeey 2 ‘av aa Say eveaey Sep erie ateyoamet 1 opts saves 0s ae 8 Pasa? roe rae site restorasvate “2a ae Get Dents Testo ae Remarks The Counts and Actual values ae typical fora calibrated system with baseline inputsto the various sensors, Refer tothe following table for additional details for each of the displayed channels, 425‘Aespire 7100 ‘A/D Channel Counts! (range) 2050 ‘Actual? [ac00T/min -i20%6 120 min Comments “ero Ofcet Reading (vominal 2050 Courts) TADS VOR RST (0-4095) Ta5 (1214-1235) THB VRS (1800-2300) Increased flow = more counts/more positive Expratory Flow 2050 [ODO0T mI [120% 120 /min | Zero Offset Reading (nominal 2050 Counts) (1800-2300) Increased flow = less counts/more negative Airway Pressure | 800 [erDODemH20 [20% 120emH20 | Zoro Offset Reading (nominal 800 Counts) (650-1050) OF 377 raL000% [Ot 100% ‘Count weightand iis are determined during (0-4095) 0, calibration Flow Vanevor [0 (0.000 Vers [0106140 vos (0-4095) PEEPVahe vor |0 (000 Voks [Ot 6.140 voKs (0-4095) Fiow DAC Feedback [0 [O.000VoRs [Oto 4096 vors (0-4095) PEEP OAC Feedback [0 [ooo vans [Oto A095 voks T2iste 1235Vvors [= f2V 10VASupphy 20a TOTS Vor TS Tas vers TAV-10VATest Out of Range (Minimum Shutdown) F-Tav Analog Supply 2050 12.027 Vos TO5t0 185 voRs IDV Analog Out oF Range (Minimum Shutdown) ER Analog Suppny 396 ROTA Vors -T0.2 10-18-86 Vors | -i2V Analog Ou-oF Range (Minimum Shutdown) Batter Vonage [3608 725 Vos [0108220 voks > BVoRS (10 sec) = Batter Faure High < 5.68 Volts = Low Battery Voltage <2Voks= Battery Failure Low Battery Curent Notes: 2106-190 Amps 750 mA = Battery ChargerFail 3300-700 mA (1 min) = Battery charging dS >600 mA (10 sec} On Battery-Power OK? >6 Amps (10sec) = Battery Curent High 1. The Counts column shows typical digtal counts from the computer with the expected (range) shown in parenthesis. 2. Te Actual column shows current values in real time with inputs in ther baseline state. yor masto1404.10.2 Display Discrete |) Signals Mechanical switches Pneumatic switches Electronic switches ‘Software “switches” wtti0140 08/07 4 Tests and Calibration ‘The Display Discrete 1/0 Signals menu displays discrete binary signals associated with ‘machine switch positions. ‘There are several types of switches in the machine: ‘+ some switches are mechanically operated, ‘+ some switches are pneumatically operated, ‘= some switches are electronic, + some “switches” are software derived. aa aa a seasea Gime oxhem Come B_—]baet ee costes GE] Sop Fase] Soeeraee EET] ste Fae] ca Es een een et 2 — oun et 3 cot E—} Cemeytewe, aa] + ROGO Switch —Ventor Aux CGO (machi cued wth ACSO) + 60» Bypass — Off or On (hax wired On Caister lase sich sina) ‘+ Canister Status — Closed or Open (cose by deta Canister Release switch notinstaled) * Control Panel Cover — Closed of Open (refersto removal of ABS on espe machines) + Bag/Vent Status — Vent or Bag + 0, Supply Pressure ~ Pressure orNo Pressure + 0;Flush — off orn + Supply Pressure ~ Pressure or Low Pressure (ive gas) 0, Sensor Status — Connected or Disconnected Breathing Circuit Switches (Circuit module 1D): In Aespire 7100 machines, the switch postions are hard-wired on the VMB to indicate Circle patient circuit. ‘+ Breathing Circuit W1 - Off Breathing Circuit SW2 — Off + Breathing Circuit W3 — On ‘+ Pressure Limit Status — Off or On(ifPaw exceeds 108 cm H0) + Safety Valve Ccutt— Pass or Fail + VBUS Voltage — Pass or Fall arAespire 7100 4.10.3 Display Battery Status Battery Status {online power) Battery Status (on battery power) Remarks AWaming 428 ‘The Display Battery Status menu displays the battery charge status. a ty Sa Baty ed WoC —Cants dae atey ota ST SROs fain Catet WHT 8 Ape eae Fe spon toronto “Battery Charged” — Ifnone ofthe following conditions are in effect. “Battery Charging AA" — Battery Current = -330 to -700 mA “Battery Failure Low" — Battery Voltage <2 Volts “Battery Failure High” — Battery Voltage >8 Volts “Battery Current High" — Battery Current >6 Amps “Battery Charger all" ~ Battery Current <-750 mA “On Battery-Power OK?" — System is running on battery. “Low Battery Voltage" ~ Battery Voltage <5.65 Volts ‘While the batteryis charging, the battery curentis displayed as negative current. fthe battery has been on charge fora longtime (8 hours minimum) and you do not get “Battery Charged” display: + The battery nas flied and you should replace'it. ‘When the battery is discharging, the batery current is displayed as positive current. Disconnect the power cod and observe the discharge cunt. + A good, fuly-charged battery should maintain a steady cischarge current (or atleast 30 minutes under normal operation). ‘= Ifthe discharge current and battery voltage drops off quickly the battery has failed and you should replace it. Depending on the battery condition and the ventilator settings, continued ‘operation of the mechanical ventilation may result in sudden shut down. 9/07 mast0%404 Tests and Calibration Inthe Test Panel Switches menu the software is setup to receive keyboard button presses and rotary encoder tums. Press each button on the panel and the control knob. ‘= When a button is pressed, the icon onthe screen nextto the button should be highlighted and filed witha checkmark. ‘When the button is released, the button icon should be reverse-highlghted. ‘ter testingallthe buttons and the control knob, select “Test Encoder Knob Tum’ to test ‘the encoder. ‘Asyou tum the encoder knob, verily that: each click ofthe encoder the clockwise direction increments the clockwise total. ‘= each click of the encoder inthe counterclockwise direction increments the counterclockwise total. Remarks Ifany ofthe select buttons test fails, replace the front panel keyboard assembly. Ifthe encoder knob test fails, replace the rotary encader assembly. aii0140 08/07 “0‘Aespire 7100 4.10.5 Valves - Test Tool Sot Inspiratory Valve Sot PEEP Valve Set PEEP Safety Valve Romarks ‘The Valves - Test Too! menu allows you to manually control the Inspiratory Valve, the PEEP Valve and the PEEP Safety Valve, and observe Key pressure and flow measurements on the same screen. This menu is mainly used to test te drive gas circuit o to supply dive gas flow for several tests Itis used to test the mechanical overpressure valve as detailed in Section 6.4, “MOPV pressure relief valve test." Itis used to check primary regulators as detailed in Section 5.1.2, —___ aaa “Fristoe tt tn feats Noowed Coats Han epeaayron ET pry ow 3 SU tyPrieae AM‘ Porvonvet mate Peo vee ate SAB ive OF Oot Ser ye Cent ote apt Tetad ne ‘Thelow through the Inspiratory Valve can be set: ‘from Off to 70 L/min in 0.25 L/min increments. ‘The PEEP Valve can be set: ‘+ from Off to 100 em H20 in 0.5 om HO increments. ‘The PEEP Safety Valve can be set: * Closed or Open. ‘When setting the Inspiratory Valve or the PEEP Valve: ‘= Tum the encoder clockwise to increase the values. ‘= Tur the encoder counterclockwise to begin at the maximum and to decrease the values. osjor_ must01604.10.6 , Test CPU and Memory CPU Test RAM Test Display RAM Test ROM Test i110140 08/07 4 Tests and Calibration ‘When youstar the ¢PUand Memory Tests, the procedure cycles through the CPU, RAM, Display RAM, and ROM tests until you stop the tests. The procedure keeps track of how ‘many times each test passed or failed. Ht you note that any ofthese tests have failed, replace the control board. PU tna Ta Stet (at Oapese eset Me ‘The software tests the CPU integer instructions as well as the CPU register(). If ths test fails, the CPU did not perform an integer instruction corecty,orthe CPU registers) have failed. ‘Thesoftware tests al ofthe external RAM memory with awalkingbitpattem test. twrtes certain bit pattem toa block of memory and then reads that block of memory. Ifthe bit pattem that itwrote isnot the same bit pattem that itreads back the test fails. The software tests all ofthe display RAM memory via a walking bt pattem test. It writes. certain bitpattem to a block of memory and then reads thatblock of memory. the bit Pattern that was written is not the same bit pattem thatitreads back the test ais. ‘The software tests the Flash ROM via @ CRC check (Cyclic Redundancy Cheok). ACRC value has been calculated for the Flash ROM memory and ths value is stored in the Flash ROM. This test recalculates the CRC forthe Flash ROM and compares itto the value stored in Flash ROM. Ite value that was calculated does not equal the value that ‘was stored in Flash ROM, the tes wl fllAspire 7100 4.10.7 When you start the EEPROM Test, the procedure performs the test once and notes Test EEPROM — whetherthe test passed or failed. Ifthe EEPROM test falls, replace the control board. Tex Tat ue "enon I 700 totter EEPROM Test The software tests all ofthe EEPROM memory via a bit pattem test. Itwrites a certain pattem toa block of memory and then reads that block of memory. Ifthe bit pattem that was writen isnot the same as the bit pattem read back, the test fails. 42 9/07 mast0%404.10.8 Test Serial Port Remarks ini0140 08/07 4 Tests and Calibration ‘he Test Serfal Port menu includes directions fortwo tests. ‘+ External Serial Port Testing: The external test requires that you jumperpins 6 and 13 of the serial connector. Fy ‘= Internal Sertal Port Testing: The intemal test does not require any setup; it only tests serial port related components on the control board, Each test routine sets up the serial port circuits so transmit data is echoed directly back tothe receive circuits. The test fails the data sent outs not equal othe data received. Cet bapa Teton Ifonly the internal test falls, replace the control board, Hf both tests fal: ‘= Check the hamess connections between the control board and the Serial Isolation Control board (SICB). ‘= Replace the SICB. an‘Aespire 7100 4.10.9 The 5-Vott supply (VDD) is derivedin the power section of the control board. itis used to Test 5V Fail Alarm powerthe digital circuits throughout the ventilator. fthe 5-Volt supply fails, the ventilator wil sound a continuous alarm tone when the system switch is tumed on. To Test the SV Fall Alarm, follow the directions on the screen. {a Daponte Teta Men Remarks the alarm tone does not sound, replace the contol board. sor ms10%404 Tests and Calibration 4.10.10 Thistestonly checks the control cicutforthe inspiratory Vahe. Sinceit does notlookat ) Test Inspiratory the output ofthe Inspiratory Valve, you do not have to have an active drive gas supply. Valve To Test the inspiratory Valve the software opens the inspiratory valve in increments nti the flow valve is completely open. + -Ateach of the settings of the inspiratory valve the A/D channel for Flow DAC Feedbackis recorded. Ifthe A/D forthe Flow DAC Feedbacks not within the comecttolerancetthe test falls. ee ot "Teac Eat Tes nay ake ta ee ‘noc Coutt a Teen re sae SP pty ve I 10 000 tests ew Remarks A foilure can be caused either by the control circuit. ‘To check the control circuit ‘or flow valve malfunction, 1. Gotothe “Valves -TestToo!” menu. ‘sto “Thrives Hans atin te vate ‘orang rook 2A orton 2085 Un doejPrimae MS eneaHeO owvoevt 8 cave Po vet 8 cave ‘SAFE Stop Ch ot ong Teo Mo 2 Sette Inspiratory Valve to 0.25 L/min. The “Flow Valve Volt reading should Increase slighty. Ifthe reading jumps high 6 Vt), the control circuit forthe Inspiratory Valve is open orthe Inspiratory Valves defective. “Measure the resistance between the leads at the unplugged Inspiratory Valve Connector. A multimeter should read 1.5 +0.15 ohms. wtii0140 08/07 435Aspire 7100 4.10.11 Test PEEP Valve Remarks ‘output of the PEEP Valve, you do not have to have an active drive gas supply ‘To Test the PEEP Valve the software opens the PEEP valve in increments unt the PEEP valve is completely open. ‘= Ateach of the settings of the PEEP valve the A/D channel for PEEP DAC. Feedbackis recorded. = IftheA/D forthe Flow DAC Feedbackis not within the comrecttolerance the test falls. CE RE AEE ve w sorte ee wooed — outs Atal Pervanwe 0 00vte Tes Tet ime oo van Pests ee Pe OTT ‘Afallure can be caused either by the contol circuit or a PEEP Valve malfunction. To check the control circuit, 1. Goto the “Valves Test Too!” menu. “She edo set Onna et Noowed casts teat epragron Heh 2270 pay fw 28) 085 UN vayPessae aH emDenteO Forvievet 8 Som Yate Fervaeva com vate sarervse oF ete SPE Sty Cone ts Ope Tt a 2. With the PEEP Valve setto “Off, the “PEEP Valve Volts” should read near 0.000 Volts. 3. Ifthe readingis high (~ 6 Volts), the control crcuitfor the PEEP Valve is open orthe PEEP Valve is defective. 4, Measure the resistance between the open terminals of the PEEP Valve (blue). A ‘multimeter should read 10 +1 ohm. owjor wisz01404 Tests and Calibration 4.10.12 Thistestequires an active crive gas supply Test PEEP Safety 10 restthe PEEP Safety Vaive the software opens the PEEP Safety Valve and checks the Valve — outputof the Supply Pressure Switch. + the Supply Pressure Switch detects pressure, the PEEP Safety Va test passes. += the Supply Pressure Switch does not detect pressure, the PEEP Safety Valve testfails Tae Tey ae Tenet sae EP eave I 10 0102 textos tors Remarks A failure can be caused either by the control circuit ora PEEP Safety Valve malfunction, To check the control circuit, 1. Gotothe “Valves -TestToo!” menu. “Fra Sevens cy onan for a8 2278 fey fon 80 fnmyPrsnoe AH Uden Fovvievor 8 aves Fevavevee 0 amovats EE: SPE Woe OF toasts SHED S69 Ye hand Geb Oape Toon am 2. Setthe PEEP Safety Valve to “Open” and listen fora “lick” in the area ofthe pneumatic engine. 3. you do notheara “click” each time the PEEP Safety Valve is opened, the control Circuitto the PEEP Safety Valve is open or the PEEP Safety Valve is defective, 4, Measure the resistance between the open terminals ofthe PEEP Safety Valve (white). A multimeter should read 10:+1 ohm. ani0140 08/07 437‘Aespire 7100 4.10.13 Breathing System Leak Test Remarks 4.10.14 Test Pressure Limit Circuit 438 You can estimate how much ofa leak there is inthe ventilator portion of the breathing system by closing the patient circuit, inflating the bellows, and observing how quickly ‘they fall on their own weight (part of machine checkout procedure). ‘The Breathing System Leak Test allows you to more precisely testthe ventilator portion ofthe breathing system for leaks. Cote Onto a ote regarding pug: Onan Aespire machine the lg islocated cn the sie ofthe Bs. By using the patient cicuitto establish a closed loop, you can measure the leak rate ‘+The leakrate isthe fresh gas flow needed to maintain 30 om HO. ‘+ The system should have a leak rate < 200 mL/min. ‘The airway pressure limit circuit should tip at approximately 109 om H0. ‘The Test Pressure Limit Creult routine: establishes a closed patient airway circuit, Tense Unt Crt Den hed Teseg et se BP reese I io 9028: Feito es increments the pressure inthe airway circuit, = observes the output ofthe airway pressure transducer, ‘notes at what pressure the “pressure limit circuit” trips. os/or mist0140Test setup Catbrated Flow Ore 1504:3016-000 forthe Aespire machine 4 Tests and Calibration Remove the ABS breathing system from the machine. Remove the Exhalation Vave. ‘Separate the Bellows Module from the Circuit Module. Install the Circuit Module ony. Set the Bagy/Vent switch to Vent. ‘tach a patient circuit tube to the Calibrated Fo Orifice test too. Note: The Calibrated Flow Orifice forthe Aespire has the same orice size asthe Calibrated Flow Orifice fr the Aestva; however, the Aestiva orfice has a larger outside dimension that does not fi through the Vent Engine cover plate To use the ‘Aestiva orifice wth an Aespire machine, you must remove the cover pate to access the manifold port. Insert the Calibrated Flow Orifice into the manifold (PEEP) por. Connect the open end ofthe patient circuit tube tothe inspiratory flow patient connection. eo ek ene Test Procedure witt0140 08/07 1. Select “Start Test Pressure Limit Circuit” to start the test. Ifthe “Test Pressure Limit Circuit” tip pointis approximately 109 cm H,0, the test passes. 439Aespire 7100 4.11 Upgrade Options Remarks Note The Upgrade Options menu shows what features ae currently available in the ventilators software. The ventilator can be upgraded to include additional features by entering the upgrade “Key Code" thatthe customer has purchased. tt meta ssr204t pn ele nu te eens © vane notes © ame Compt © Pens Woo Select each “dig” in the “Enter Key to Install Upgrade(s)feld and rotate the control knob to select the corresponding digt in the Key Code. ‘When you have entered al the digits, select “Confirm Key And Upgrade.” ‘After verifying the Key Code match tothe Control Board ID, the menu will display the newiy installed features. lf the ventilator “Key Code" is changed, the new code should be recorded on the display module rear panel label. owjoT_ wisx0140AS WARNING Intthis section 1110140 08/07 5 Calibration ‘Mfter adjustments and calibration are completed, always perform the checkout procedure. Refer to Section 3 ofthis manual. ‘This section covers calibration procedures for components ofthe Aespire anesthesia machine. 5.1 Primary Regulators. 252 5.1.1 Testsetup . 62 5.1.2 Testing Primary Regulators . oo 83 5.1.3 Adjusting Primary Regulator. 56 5.2 Secondary Regulators ST 5.2.1 Testng/ Adjusting Secondary Regulators o Balance Regulators ST 5.3 Flowmeter Needle Valve Calibration 58 5.3.1 0; Needle Va Calibration (Minimum Flow) 58 5.3.2Nz0 Needle Vahe Calibration (Minimum FIOW).........e+++ -- 10 5.3.3 ANeedle Vale Calibration (Minimum Flow) ad 5.4 Linksystem calibration. SAT 5.50, Flush Regulator 522 5.6 Aimay pressure gauge 523 5.6.1 Zerothe pressure gauge 5.23 5.6.2 Checking the pressure gauge accuracy an 528 54Aespire 7100 5.1 Primary Regulators Follow the procedure in Section 5.1.1 to gain access tothe regulators. Then, In Section 5.1.2, select the test that is appropriate for the regulator you are testing. A. WARNING — When testing/adjusting NO regulators, nitrous oxide flows through the system, Use a safe and approved procedure to collect and remove it. 5.1.1 Test setup AXWARNING — Wearsafety glasses while test device is connected to the test port. AXCAUTION _ Be careful notto plug the output of the primary regulator without having a pressure relief valve in the output circuit. 1, Setthe system switch to Standby. 2. Disconnect all pipeline supplies. ‘3. Remove the upper rear panel (Section 9.2), For 3rd gas cylinder regulators, also remove the lower rear panel 4, Ifequipped, tum the auxiliary 0, flowmeter contol fully clockwise (no flow), 5. Install full ylinderin the cylinder supply to be tested. Itis essential that the cyinder be within 10% of ts full pressure. 6. Remove the plug rom the test port and connect atest device capable of measuring 689 kPa (100 psi. || mmm 52 owyor masi01405.1.2 Testing Primary wwiii0140 06/07 Regulators Test A 5 Calibration ‘There are two variations ofthe test procedure forthe primary regulators: ‘Test A — For primary regulators that supply drive gas tothe ventilator. ‘Test B Forall gases not used to supply drive gas tothe ventilator. For primary regulators that supply drive gas tothe ventilator (0 or Alt}: Undertow low conltons, the output pressure of a properly adjusted/ functioning regulator should fll within specifications listed in step 4. Under high lw conditions, the output pressure should not drop below the specifications instep 12. 1. Remove the bellows assembly. 2. Slowly open the cylinder vate, 3, Setthe system switeh to On. 4. Low Flow Test: Set the fesh gas flow to 0.05 L/min (or minimum flow for (0). When checking an Air regulator on systems thathave a single flowtube, open the needle valve 1/8 tun from the minimum stop to achieve a flow close to 0.05 L/min. * Close the cylinder valve and allow the pressure to decay to 2068 KPa (300 psi) as indicated on the cylinder gauge (upperlimitofthered band). ‘The flow may be temporarily increased to facilitate the decay. “= Atthe time thatthe cylinder pressure reaches 2068 KPa (300 psi), set the system switch to Standby. += Within one minute, the test device must stabilize between: (60) DIN 372-400 kPa (54-58 psi) (50) Pin indexed 310-341 kPa (45.0-49.5 psi) = Ifthe test device pressure does not stabilize within one minute, replace the cylinder supply. ~ Ifthe test device stabilizes within one minute, but the readings are ‘not within specifications, readjust the regulator (Section 5.1.3). 5. Slowly open the cylinder valve 6. Enterthe Service Mode: (Push and hold the adjustment knob on the ventilators display andsetthe system switch to On) T. ‘Select and confirm “Service Modes.” 8, Follow the menu structure outine below to reach the ajustment forthe inspiratory flow valve. Select and confim at each step. “Diagnostics Tets/Tools” “Vaves Test Too!” + *Setinspiratory Valve” 53Aespire 7100 TestB 9. High Flow Test: Rotate adjustment knob counterclockwise to obtain 65 (L/min): * While watching the test device press confirm. * After2 seconds, select “Go to Diagnostic Tests/Tools Menu" and press confirm to stop the gas flow. * The minimum test device reading observed must be greater than (60) DIN221 kPa (32 psi (50) Pin indexed 207 k?a (30 ps) Repeat thisstep three times. Ifthe test device eadingunder “high low” conditions i ess than ‘specified, readjust the regulator per the procedure in Section 5.1.3; however, setthe regulated pressure higher by te diference you noted in this step plus 7 kPa (1 ps), This adjust the “low flow” regulated outputto the high side ofthe specification so thatthe “high low” regulated pressure can fall within the specification. ifthe eguatorsubsequent fils the “Tow ow” specification (step 4) because the reading sto high, replace te cylinder supiy. 10. Setthe system switch to Standby. 11. Close the cylinder valve. 12, Bleed the system of all pressure. 18, Disconnect the test device and plug the test port (pull on the plugto ensure itis locked in the fitting). 14, Replace the bellows assembly. 16. Replace the rear panels). 16. Perform the checkout procedure (Section 3). For all gases not used to supply drive gas tothe venti Under low flow conditions, the output pressure ofa properly adjusted functioning regulator should fll within specications listed instep 4. Under high flow conditions, the output pressure should not drop below the specifications instep 7. 1. {the eylinde supply being tested is NO, connecta source of O, and set the Op flow control to the minimum stop (pilot pressure for secondary regulator). 2. Slowly open the cylinder valve forthe regulator being tested. 3, Setthe system switch to On, wor mat10140wi110140 08/07 5 Calibration 4, Low Flow Test: Set the flow of the gas being tested to 0.08 L/min (or ‘minimum flow forO;). When checking a regulator on systems that have a singe flowtube, open the needle vale 1/8 tum from the minimum stop to Achieve a flow clase to 0.05 L/min. * Close the cinder valve and allow the pressure to decay to 2068 kPa {00 psi)asindicated onthe cylinder gauge (upperlimitof the ed band), The flow may be temporarly increased to facilitate the decay. + Atthe time thatthe cylinder pressure reaches 2068 KPa (300 ps), set the system switch to Standby. * Within one minute, the test device must stabilize between: (60) DIN 372-400 kPa (54-58 psi) (60) Pin Indexed 310-341 kPa (45.0-49.5 psi). Ifthe test device pressure does not stabilize within one minute, replace the cylinder supply Ifthe test device stabilizes within one minute, butthe readings are ‘notwithin specifications, readjust the regulator Section 5.1.3). 5. Slowly open the cinder vahe. 6. Setthe system switch to On. 7. High Flow Test: Set the flow contol valve tothe maximum indicated flow onthe flow tube. + The test device reading mustbe greaterthan: (60) DIN 221 KPa (32 psi) (60)Pin indexed 221 kPa (32 psi) Ifthe test device reading under “high low” conditions is less than specified, reacjustthe regulator per the procedure in Section 5.1.3; however, set the regulated pressure higher bythe cffeence you noted inthis step plus 7 kPa (1 psi). Tis adjusts the “low flow” regulated output tothe high side ofthe specification so that the “high low” regulated pressure can fall within the specification. Ifthe regulator subsequent fils the “low flow” specification (step 4) because the readingis too high, replace the cylinder supply. 8. Setthe system switch to Standby. 9. Close the cylinder valve, 10. Bleed the system of al pressure. 11. Disconnect the test device and plug the test port pull on the plugto censure itis locked i the fitting). 12, Replace the rear panel). 418, Perform the checkout procedure (Section 3). 5s‘Aespire 7100 5.1.3 Adjusting Primary Regulators Sin one Important: Cylinder supplies in an Aespire machine must have all primary regulators set to the same pressure range: (50) Pin Indexed or (60) DIN. If regulators replaced, the replacement regulator must be set (as required) to the same specification as the one removed, Important: Install full cylinder in the cylinder supply tobe adjusted. tis ‘essential thatthe cylinder be within 10% ofits full pressure. It the cyindersupply being adjusted is N20, connect a source of 0. and set the 0 flow contol tothe minimum stop (plot pressure for secondary regulator. To adjust the primary regulators, follow the procedure in Section 5.1.1 togain access tothe regulator. Do not attempt to adjust without flow. 1. Slowly open the oyinder valve. 2. Setthe system switch to On. 3. Set and maintain the fresh gas flow of the gas being tested to 0.05 L/min (or minimum flow for 0), When adjusting regulator on systems thathave single flowtube, open the needle valve 1/8 tum from the minimum stop toachieve a flow close to 0.05 L/min. 4, Close the cyinder valve and allow the pressure to decay to 2068 kPa (300 psi as indicated onthe cylinder gauge (upper limitof the red band). The flow may be temporarily increased to facilitate the decay. 5. When the cinder gauge reaches the upper limit ofthe red band, adjust the regulator output pressure to: (60) DIN 386-400 kPa (56-58 psi) (50) Pin Indexed 327-341 kPa (47.5-49.5 psi. Note: t may be necessary to open the cylinder valve and repeat steps 4 ‘and 5 a numberof times to achieve the above setting, 6. Testthe regulator settings per the appropriate tes in Section 5.1.2: *= Test A — For primary regulators that supply drive gas tothe ventilator. *= Test B — Forall gases not used to supply drive gas to the ventilator. osyor mass01405 Calibration 5.2 Secondary Regulators A. WARNING — When testing N,0 regulators, nitrous oxide flows through the system. Use a safe and approved procedure to collect and remove it. 5.2.1 Testing/Adjusting 1. Setthe system switch to Standby. Secondary Regulators or >. Remove the flowmeter pane! shield (Section 9.7.1) Balance Regulators a ei 3. Remove the pug om the test port and conecta test device capable of ‘measuring 689 kPa (100 psi) using 1/8-inch nylon tubing. Note: Currentproduction Air machines do notinclude Adjust Adjust a secondary regulatorin the Airflowhead module. Test Ports 4, Setthe flow ofthe tested gas and of 0» as detailed inthe chart 5. Verity that the output of the tested regulatoris within the range listed inthe chart. Regulator Output Flow Flow Regulated gas 0, 0 207 £7 KPa (30:1 ps) 2ymin — Air 207 £7 KPa (301 ps) 2u/min Nj —£ 184Pa(+2ps)of Opreading101/min 4ymin 6. Ifrequired, adjust the 0, and Air regulators to meet the above ‘specifications. The NzO regulators not adjustable; replace if outof range. Note: The adjustment screws for these regulators ae selt-ocking, 7. Disconnectthe test device and plug the test por (pullon the plugto ensure itis locked inthe fiting). 8, Perform the Flow Control Tests (Section 3.4). wxr10140 08/07 87Aespire 7100 5.3 Flowmeter Needle Valve Calibration You need to calibrate a needle valve: + ifyou install anew one, + ifminimum and maximum flows are not within specifications. 5.3.1 02 Needle Valve Calibration (Minimum Flow) A\cauTion: Do not force the needle valve against the seat. Overtightening the valve ccan cause the minimum flow setting to drift out of specifications. 1. Setthe system switch to Standby, 2. Remove the flowmeter panel shield (Section 9.7.1. ‘Note: f adjusting an existingneedle valve, ‘+ remove the NO and 0» knob and sprocket assemblies (on machines wth 0, only flowhead, remove the O> knob), + and loosen the Op stop collar setscrews.. 3. ‘Slide a stop collar onto the valve stem withthe stop tab toward the valve. Do not tighten setscrews. 4, Setthe system switch to On 5. Adjust the 0, needle valve to maintain aflow of + 50 425 ml/min for dual tube flowmeters. + 200 £25 mL min forsingle tube flowmeters. 6. Push the stop collar against the valve body. owyor waii01405 Calibration 7. Tum the collar clockwise unti the collar stop tab contacts the minimum stop tab on the valve body. Do not tum the valve stem. Collar Stop 8 Carefully pullthe collarbackso thereis a slight gap between collarand the valve body (butstill engages the valve stop). Ccoliar 6 Setscrew (ample) rr ~< 9. Tighten the collar setscrews. Startwith the one opposite the tab if possible, 10. Turn the valve stem counterclockwise at least one revolution tomake sure the collar tab clears the valve stop. eo ent g. ° Ifthe stop does not clear: ‘a, Tum the valve stem back to minimum position. b. Loosen the collar setscrews. ©. Repeat steps 6 through 9. 114. Tum the valve stem clockwise to the mi 12. Verify thatthe flow is within the + 50 425 ml/min range for dual tube flowmeter. + 200 £25 ml/min ange for singe tube flowmeter. 413, Calibrate the Link proportioning system (Section 5.4) {on machines with 0, only flowhead, replace and set the knob so that at minimum flow the label text is horizontal replace the flowmeter shield). wm stop. 1110140 06/07 58Aespire 7100 5.3.2 N20 Needle Valve Calibration (Minimum Flow) s10 AXWARNING A\cAUTION: You must be in a well ventilated room or use a gas evacuation device at this time, Anesthetic vapors exhausted into the room air can be harmful to your health. Do not force the needle valve against the seat. Overtightening the valve can cause the minimum flow setting to drift out of specifications. 41, Disconnect all pipeline supplies and close all oylinder valves. 2. Remove the upper rear panel Note: If adjusting an existingneedle valve, * remove the N0 and 0, knob and sprocket assemblies, * and loosen the O» stop colar setscrews. 3. Remove the flowmeter panel shield (Section 9.7.1). 4. Disconnect the tube from the pilot port onthe NzO regulator. 0 lot port —} | disconnect Or@ Oe of 5. Disconnect the 4-mm outlet tube from the back of the N20 pipeline ‘manifold. Connect 4mm outlet tube 6. Using a 4-mm tube/tee fixture (see Service Tools - Section 10.1.1), cconnecta tube (tee end) tothe NO supply outletatthe back ofthe pipeline ‘manifold. Connect the outlet tube tothe open connection on the tee ‘connector ofthe ture. Connectthe otherend ofthe future tothe N20 pilot portat the front of the flowhead. This setup supplies pilot pressure to the N20 balancing regulator during the minimum stop calibration. o8/or wais01407. Slide a stop collar onto the valve stem with the stop tab toward the valve, Do nottighten setscrews. “SC 8, Connect ether an N20 pipeline orcylinder supply. {Slowly open the NO cylinder valve. Important: Do not connect the O, pipeline or open the 0 cylinder valve. 410.Adjustthe needle valve unt the foatisneary touching the iter, butt quite Fost 111, Disconnect the tubing from the inlet ofthe vaporizer manifold (closest to flowhead) 12. Ifthe machine has an Airoption, bleed down the airsuppl. Aircan inflate the bubble (next step itis not shut off 13. Applyasmall amount ofleak detection fuid (Snoop) tothe end of the tube toform a bubble. 114, Tum the valve stem clockwise until the bubble no longer inflates. Do not turn more than 10 degrees clockwise past tis point. witi0140 06/07 suAespire 7100 15, Push the stop collar against the valve body. > 16, Tum the collar clockwise unt the collar stop tab contacts the minimum stop tab on the valve body, Do not tum the valve stem, cate =e vie oo Cota stop must be on Ccoar COW side of vate stop. 417. Carefully pullthe collarbackso there isa slight gap between collarandthe valve body (but still engages the valve top). couar Setserew ow (caampie) ~<+ 18. Tighten the colar setscrews. Star with the one opposite the tab if possible. 19, Tum the valve stem counterclockwise at least one revolution to make sure the collar tab clears the valve stop. .oom ° Ifthe stops do not clear: ‘a. Tum the valve stem back to minimum position. b. Loosen the collar setscrews. &. Repeatssteps 14 through 17. p12 oe/or maii01405 Calibration 20. Tur the valve clockwise to the minimum stop. 24. Verify there is no flow a the end of the tube. 22. Thoroughly clean the end of the nylon tube and reconnectitto the ‘vaporizer manifold inlet. 23. After calibrating minimum flow for NO: 2. Close the cylinder valve and use the needle valve to bleed the remaining gas. . Remove the tes ture connecting the NO gas supply to pressure balance regulator plot port. . Reconnect te plot tube tothe N20 pilot por. Pull onthe tubing to ensure itis locked into the iting, connect 4. Reconnect the outlet tube to the N20 pipeline supply manifold. 24. Calibrate the Link proportioning system (Section 5.4). 1110140 08/07 543‘Aespire 7100 5.3.3 Alr Needle Valve Calibration (Minimum Flow) AXCAUTION: Do not force the needle valve against the seat. Overtighteningthe valve can cause the minimum flow settingto drift out of specifications, 1. Setthe system switch to Standby. 2. Disconnect al pipeline hoses and close all cylinder valves except for at. 3. Remove the flowmeter panel shield (Section 9.7.1). 4, Remove the upperrear panel. ‘Note: f adjusting an existing needle valve, ‘remove the Airknob, ‘and loosen the Airstop colar setscrews. 5. ‘Slide a stop collar onto the valve stem withthe stop tab toward the valve, Do nottighten setsorews. Vat Stem 6. Setthe system switch to On. 7. Adjustthe needle valve until the loatis nearly touching the iter, but not auite Flortube pest s 8. Disconnect the tubing from the inlet tothe vaporizer manifold (left end of manifold) 9. Apply a small amount of leak detection fluid (Snoop) tothe end ofthe tube toform a bubble. sae owyor mist01405 Calibration 10. Tum the needle valve clockwise until the bubble no longerinflates. Do not ‘tum more than 10 degrees clockwise past this point. 10 degrees 14, Push the stop collar against the valve body. > 12, Tum the collar clockwise until the colar stop tab contacts the minimum stop tab on the valve body. Do not tum the valve stem. Collar stop must be on COW ade of abe top, wey 1110140 08/07 515Aespire 7100 13, Carefullypullthe collarbackso theres alight gap between collarand the valve body (butstill engages the valve stop). cotar ‘Setserew oon (exanie) — 4 LI ~<+ 14, Tighten the collar setscrews. Start with the one opposite the tab if possible, 15, Tum the vale stem counterclockwise atleast one revolution to make sure the collar tab clears the valve stop. xo mt — Ifstops do not clear: ‘a, Tum the valve stem back to minimum position. . Loosen the collar setsorews, 6. Repeat steps 11 through 14. 16. Tum the valve stem clockwise tothe minimum stop. 17, Verity there is no flow atthe end ofthe tube. 18, Thoroughly clean the end ofthe nylon tube and reconnecttto the vaporizer manifold inlet. 19, Setthe knob so that at minimum flow the label texts horizontal and the knob is on an even plane (front to back) wit the NO and O» knobs. 20. Replace the flowmeter pane! shield and the rear panel 516 o9/or waii01405 Calibration 5.4 Link system calibration AXWARNING 1110140 08/07 Before you start, make sure that: * All parts are correctly installed. * Stops on needle valves are set correctly * The machine meets leak check requirements * Confirm that the 0, sensor measures 21% in room air and 100% in pure 0. Hf not, calibrate the O, sensor. Note: Al illustrations in tis section show ANSI flowmeter module positions. The orders reversed on ISO machines. ‘You must be in a well ventilated room or use a gas evacuation device at this time. Anesthetic vapors exhausted into the room air can be harmful toyour health. 4. Setthe system switch to Standby. 2, Remove the flowmeter panel shield (Section 9.7.1) 3. Putte plastic spacer onthe NO needle vale spindle. 4, Tum the 0» and the N,0 needle valves clockwise to their minimum stop position ‘5. Putthe chain onto the O, knob/sprocket assembly and the NzO sprocket. Note: The N20 sprocket set screws should be away from the valve.Aespire 7100 6. Install the chain and sprockets onto the needle valve stems as an ‘assembly. Press the 0, knob/sprocket against the O» minimum stop collar. TI ‘Sprocket/Chain 5 ] Assembly 7. Tighten the setscrews in the 0 knob. Do not tighten the N20 sprocket setscrews, Note: 0, labelis on the knob, turn the knob so thatthe identification abel i horizontal before tightening the setscrews, 8. Tumon the 0, and the N20 gas supplies (pipeline or cylinder). 9. ‘Setthe system switch to On. 10, Adjust the needle valves: * 02 needle valve: 200 +10 ml/min, ‘+ N,0 needle valve: 600+25 ml/min. 8/07 wisi01405 Calibration 14, Tum the sprocket onthe O» knob sprocket assembly counterclockwise ) nti it stops against the tab on the 0 knob. Do not allow the NO or Op valve stems to rotate. 12, Push the N20 sprocket agains the plastic spacer, 13, Holding the 0, knob, rotate the NzO sprocket counterclockwise unt all slackis removed from the chain. 14, Lightly tighten both N20 sprocket setscrews. 15, Tum the NzO needle valve clockwise tothe minimum stop position. wi110140 08/07 519Aespire 7100 16. Install the NO knob. Tur the knob so thatthe identification label is horizontal before tightening the setscrews. 17. Tum the NzO needle valve counterclockwise, and check thatthe oygen flow increases as N20 flow increases. 18, Tum the Op needle valve clockwise, and check that the NzO flow decreases as 0, decreases. 419. Check the proportioning system concentration (increasing NO flow) Observe te following precautions: + Start with both valves atthe minimum setting. + Adjust only the NO needle valve + Increase the N,O low as specified inthe table below and make surethe (02 concentration sin the allowed range. Note: Allow the 0» monitorto stabilize. Atthe ower lows, the Op monitor may take up to 90 seconds to stabil. * Ifyou overshoot a setting, tum the 0 needle valve clockwise unti the N20 flow decreases tothe previous setting before continuing the test. Set the N20 flow (L/min) Mossured 0, 08 22% 10 20% 1 22% 10.29% 2 22% 10.29% 6 22% 10.29% 9 22% 10 20% 520 5/07 mist0140witt0140 08/07 5 Calibration 20. Check the proportioning system concentration (decreasing Q flow). Obsere the following precautions: ‘= Tum the N20 needle valve to the maximum setting. ‘= Adjust only the O, needle vabve + Decrease the 0, flow as specified inthe table and make sure the O concentration isin the allowed range Note: Allow the 0» monitorto stabilize, Atthe lower flows, the Op monitor may take up to 90 seconds to stabilize. + Ifyou overshoot aseting, tum the NO needle vale counterclockwise ntl the 0, flow increases to the previous setting before continuing the test Setth003 flow (L/min) Measured Op 3 22%1029% 2 22%1029% 1 2281029 03 22% 1029% Ir both tests meet the criteria, calibration is complete (go tothe nest step). Helter test fas to meetthe ceria, retum to step 10 and adjustNNzO to a lower or higher setting if Then: ‘Concentvation Low Decrease nz ‘Cancenization High Tnorease NO Note: Adjusting the regulator pressure is not recommended. Ithaslitle effect on proportioning, you have difficulty proportioning the system, you may need to replace either or both needle valves. 21. Tighten N,0 sprocket setscrews. 2. Setthe system switch to Standby. 23. Tum off the Op and the NO gas supplies. 24. Check that al setscrews ae tight. 25. Adjust all nedle valves to minimum stop position. 26. Install flowmeter panel shield. 521‘Aespire 7100 5.5 02 Flush Regulator 522 Bleed all gas pressure for the machine (Section 9.1). Ensure that ll cylinder and pipeline gauges read zero before proceeding. Remove the upper rear panel (Section 9.2), Remove the Oy Flush Regulator output tubing. Attach a 6-mm tee and a test device to the open port. Remove output tubing ‘tach 6-mm too and test device Jom nut ‘Adjustment screw 5, Connect an 0, pipeline supply or slowly open the O, cylinder valve. 6. Push the flush button just enough to achieve a slight flow or open the ‘auxiliary flowmeter if equipped with this option, Read the pressure shown on the test device. The pressure should be 241 #7 kPa (35 41.0 psi. 7. adjustmentis required 4. Loosen the adjustment screws jam nut b, Adjust the regulator (in small steps) tothe above specication. 6, Tighten the jam nut. 4. Verity the reading. £8, Disconnectthe pipeline supply or cose the cylinder valve 9. Bleed gas pressure by pushing the flush button; then, disconnect the tee and test device. 10, Reattach the output tubing to the regulator. 114, Instal the rear panel wor wast01405 Calibration 5.6 Airway pressure gauge 5.6.1 Zero the pressure 1. Attach patient cruitto the Breathing System. Leave the patient end gauge —_ open 2, Setthe Bag/Vent switch to Bag 3, Adjustthe APL valve to maximum. 4, Remove the lens from the pressure gauge ‘= Apply slight pressure with your thumb and fingertips around the outer edge ofthe lens. ‘+ Tu the lens counterclockwise to remove it. 5. Adjust he pressure gauge to zero. 6. Plugthe patient circuit. 7. Press and release the 0» flush button to sweep the needle across the pressure gauge. 8. Remove the plugfrom the patient crcuitto relieve the pressure inthe circuit ‘and recheck the zero setting ofthe pressure gauge. 9 required, repeat zero and span procedure. 10. Replace the lens cover. asi0140 06/07 523‘Aespire 7100 5.6.2 Checking the The accuracy ofthe airway pressure gauge can be checked by usingthe pressure gauge accuracy following: * alow-prescure test device (digital manometer or test gauge) with an accuracy of 22% of reading, * a low-pressure supply source (typically a syringe), * and an alway pressure gauge test adapter. 1. Ensure thatthe pressure gauge is zeroed (Section 5.6.1). . Remove the upper rear panel. 3. Remove the existing tube from the back of the pressure gauge and connect the test adapter tube directly to the gauge. Connect a low-pressure supply source (syringe) to one ofthe open tubes of the test adapter. 5. Connecta low-pressure test device to the remaining open tube ofthe test adapter. 6. Adjustthe pressure source tothe following pressures as read on the airway pressure gauge. The test device gauge should read within the values Indicated. ‘Airway Pressure Gauge | Test Device Oomiz0 O=temi,0 40emH,0 ‘40a2em 0 5am H0 “Sa2emHz0 rb Test Devoe te Lowepressure Source (Sringe) ge iting 524 8/07 mast0140AX WARNINGS: wmtsi0140 06/07 6 Installation and Maintenance This section covers the regular maintenance procedures (minimum requirements) needed to make sure thatthe Aespite Anesthesia Machine — including the ventilator — ‘operates to specifications. 6.1 Aespire 7100 Installation Checklist. oo 82 6.2 Aespre 7100 Planned Maintenance oh 6.2.1 Every twelve (12) months oh 6.2.2 Every twenty-four(24) months 65 6.3 Free breathingvalve maintenance 66 6.4 MOPY pressure rei valve test . we BT 64.1 Test setup «. oT 6.4.2 Test procedure . eT 6.5 Aullary02 flowmeter tests 68 6.6 Integrated Suction Regulatortests se 8 Donot perform testing or maintenance on the Aespire Anesthesia Machine while itis being used on a patient. Possible injury can result. Items can be contaminated due to infectious patients. Wear sterile rubber loves. Contamination can spread to you and others, Obey infection control and safety procedures. Used equipment may contain blood and body fluids. o‘Aespire 7100 6.1 Aespire 7100 Installation Checklist ‘Serial Number Date: (¥Y/MM/00) 77 Hospital: Performed by: Note: Atinstallation, the [Airway Sensor Span calibration isnot required before the PEEP Valve Calibration unless it shows up inthe “Service Calibration Required” screen. 62 ooa oa ooooo0a |. Unpack and assemble the Aespire 7100 System. >. Reconfigure the sample gas retum line as required (Section 9.12). . necessary, access the Service Mode - Language menu (Section 4.6) ‘and select the correct language. |. Access the Service Mode - System Configuration menu (Section 4.8). Perform the following steps: ‘a, Enter the site Altitude in increments of 100 meters. b. Selectthe correct ventilator Drive Gas (0, oF At) , Make sure that Hellox Mode is set to “Disabled”. Aespire machines cannot be configured to deliver Heliox. 4, Selectthe desired Ve Alarm Limits (Automatic or User Adjustable). . Enable Disable installed optional monitoring and ventilation features ‘as desired by the customer (0, Monitoring, Volume Monitoring Volume Compensation, Pressure Mode, Pressure Waveform). 5. Access the Service Mode - Calibrations menu (Section 4.9). Perform te following calibrations: (02 Calibrations (Section 4.9.1). Zero Flow and Alrway Sensors (Section 4.9.2) ‘Adjust Drive Gas Regulator (Section 4.9.3). PEEP Valve Callbration (Section 4.9.5). 2. Inspiratory Valve Callbration (Section 4.9.6). {Pressure Sensitivity (Section 4.9.7) Exitthe Senvice Mode and go to Normal Operations. Verify the “Service Calibration A\" alarm message isnot presentin the normal stem display. 8/07 ist0140ww11s0140 08/07 oo go OOHOoOoOOo0Oo0Oo0000 6 Installation and Maintenance 7. Complete the System Checkout by performing the following steps: Inspect the system (Section 3.2). Pipeline and oyinder tests (Section 3.3). Flow control tests (Section 3.4). Pressure relief tests (Section 3.5). (0, supply alarm tests (Section 3.6). Flush lw tests (Section 3.7) Vaporizer back pressure test (Section 3.8). Low-pressure leak test (Section 3.9) ‘arm tests (Section 3.10). Breathing systems tests (Section 3.11). ‘Auilary 02 flowmeter tests, if equipped wit this option (Section 3.12) Integrated suction regulator tests, equipped with ths option (Section 3.13). - Power failure test (Section 3.14). Electrical safety tests (Section 3.15).Aespire 7100 6.2 Aespire 7100 Planned Maintenance Serial Number Date: (rY7M/DD) vi Hospital: Performed by: D2 months 26 month o. 6.2.1 Every twelve (12) months. Parts Replacement a Machine Checks and Tests o ao ‘This section covers the regular maintenance procedures (minimum requirements) needed to make sure that the Aespire 7100 anesthesia ‘machine — including the ventilator — operates to specifications, Perform the following steps every 12 months. For details, referto the sections listed. Replace the vaporizer port o-ings (Section 9.8.1) (Kit Stock Number 1102-3016-000) Refer to the Aespire User's Reference Manual, Part 2. Perform the following steps: 41, User maintenance listed below. Including disassembly, inspection, cleaning and parts replacement as required (Section 3 and Section 2). * AGSS Maintenance: Empty any condensate from the reservoir (disposable item). Inspect air brake for occlusion, Inspect, clean or replace filter on active AGS. + Breathing Circuit Maintenance ‘= Bellows Assembly Maintenance ‘= Bellows Assembly Tests + 0, Sensor Calibration + Flow Sensor Calibration Rofor to listed sections in this manual. Perform the following steps: 1. MOPV pressure relief valve test Section 6.3) yor mass0140o ODoOoooo00o00000 6.2.2 Every twenty-four (24) months a a 1110140 08/07 6 Installation and Maintenance 2. From the Ventilator Service Mode menu, perform the following: + Display Disrete/0 Signals. Verify proper operation of all switches. (Section 4.10.2) * Display Error Log. any error codes have been logged fllow the appropriate troubleshooting procedures. Clear the erorlog, (Section 45) * Adjust Drive Gas Regulator (Section 4.9.3) * Airway Sensor Span (Section 4.9.4) + PEEP Valve Calibration (Section 4.9.5) * Inspiratory Valve Calibration (Section 4.9.6) *= Pressure Sensitty (Section 4.9.7) 3. Inspect the system (Section 3.2) 4, Pipeline and cylinder tests (Section 3.3) 5. Flow control and pressure relief tests (Section 3.4) 6. Vaporizer back pressure test Section 3.8) 7. Low-pressure leaktest Section 3.9) 8. Airway pressure gauge accuracy check (Section 5.6.2) 9. Alarm tests (Section 3.10) 10. Breathing systems tests (Section 3.11) 11, Auilary 0, flowmeter test, if equipped with option (Section 6.5) 12, Integrated suction regulator tests, it equipped with option (Section 6.6) 13, Powerfallure test (Section 3.14) 14, Electical safety tests (Section 3.15) In addition to the 12-month requirements, replace the following parts every 24 months. All machine and ventilator parts should be replaced before performing the checks, tests, and calibrations. 1, Replace the intemal backup battery (Section 7.2.3) {Stock Number 1504-3505-000). 2. Replace the free breathing flapper valve (Section 6.2) {Stock Number 0211-1454-100). 3. Replace the free breathing valve o-ring (Section 6.2) {Stock Number 1503-3208-000). 6‘Aespire 7100 6.3 Free breathing valve maintenance To replace the flapper valve Refer to Section 9.23 to access the Pneumatic Vent Engine. 41, Unscrew the valve seat (A) rom the side ofthe interface manifold. 2. Inspect the flapper (8) and valve seat for nicks, debris and cleanness. 3. Ifmecessary, clean the new flapper valve with alcohol. 4, Pullthe tll(c) of the new free breathing valve flapper through the center ofthe valve seat until it locks in place. 5. Tim the tal flush with outside surface ofthe valve seat (refer to the removed flapper). 6. Replace the O-ring (0). Lubricate with a thin flm of Krytox. 7. Hand screw the assembly into the interface manifold 8. Reassemble the system. 9. Perform the Preoperative Checkout Procedure (refer to the respective User's Reference manual). yor mtst01406 Installation and Maintenance 6.4 MOPV pressure relief valve test AX WARNING 6.4.1 Test setup 6.4.2 Test procedure witi0140 08/07 Objects inthe breathing system can stop gas flow to the patient. This can cause injury or death: = Donot use a test plug that is small enough to fll into the breathing system. ‘Make sure that there are no test plugs or other objects caught in the 1, Remove the ABS breathing system. 2. Plugthe inspiratory flow (drive pressure) port ofthe exhalation valve with a stopper. Exhalation abo. Plug inspratr ow (rhe Pressure) Port 1. Setthe system switch to On and enter the Service Mode. 2. Select ‘Diagnostic Tests/Tools"; select “Valves - Test Tool". 3. Select “Set inspiratory VaNve” and activate a flow of 10 L/min. 4. Carefully listen forthe MOPV relief weightto be relievingand ‘popping off” from its seat (a puring sound). This indicates the valve is functioning correctly. 5. Setthe system switch to Standby. 6. Remove the stopper from the inspiratory flow por. 7. Reassemble the system, 8. Perform the Preoperative Checkout Procedure (teferto the respective User's Reference manual). 67Aespire 7100 6.5 Auxiliary 0. flowmeter tests Flow Accuracy Test 1. Open the 0, cylinder valve or connect an 0 pipeline. 2. Rotate te flow control clockwise (decrease) to shut ofthe flow. The ball should rest at the bottom of the low tube and not move, 3. Rotate the flow control counterclockwise (increase). The ball should rise immediately after rotation is begun. Itshould rise smoothly and steadily With continued counterclockwise rotation. When a desired flow is set, the ball should maintain in a steady position. ‘4, Rotate the flow control clockwise to shut of the flow. Note: To check low accuracy, be sure thatthe flow test device is capable of ‘measuring Oto 15 L/min with an accuracy of #2% of reading. 1. Connectthe flowmeter outlet tothe flow test device. 2. Adjust the flowmeter so the center of the bal aligns with the selected test point (observe thatthe ball maintains a steady position for 10 seconds). 3. Thetest device reading should be between the limits shown foreach ofthe selected settings in the table below. Flow Testor Reading Flowmeter Setting Lower Limit Upper Limit Yin Yenin Vain 1 052 148 3 2.56 3.44 5 4.60 5.40 10 9.70 10.30 ‘maximum 12.00 ‘valve uly open) 4, Rotate the flow contol clockwise to shutoff the flow. 5. Close the 0 eyinde valve or disconnect the O pipeline. wyor m1103406 Installation and Maintenance 6.6 Integrated Suction Regulator tests wsti0%40 08/07 Note Gauge Accuracy Note FlowTest There are two types of integrated suction systems forthe Aespire 7100 ‘anesthesia machine: ‘= Continuous Vacuum Regulator, Three-Mode, Pipeline Vacuum + Continuous Vacuum Regulator, Three-Mode, Venturi Derived Vacuum For Pipeline Vacuum systems, ‘a vacuum source of atleast 500 mm Hg (67 KPa or 20 in Hg) is required for testing. The supply open flow must be a minimum of 50 L/min. For Ventur Derived Vacuum systems, ‘an 0; or Air source of at least 282 kPa (41 psi) is required for testing. ‘The gauge needle should come to rest within the zero range bracket when no ‘suction is being supplied. Gauges which do not comply may be outof tolerance. To check gauge accuracy, be sure that the test gauge is capable of measuring, (0 to 550 mm Hg with an accuracy of 1% of reading, 41, Connect the suction patient portto the test gauge. 2. Tumthe mode selector switch to (ON). 3. Ensurethatthe vacuum test gaugeisin agreement with tesucton vacuum gauge £ 38 mm He/5 kPa at the following test points Test points Suction vacuum gauge ‘Tost gauge tolerance 100 mm Hg(13.3 KPa) (62-138 mm Hg(8.3-18.4 Pa) 300 mmHg (40 KPa) 262-338 mmHg(35~45 KPa) 1500 mmHg (66.7 KPa) 462-538 mm Hig(61.6-71.7) KPa) Note: To check flow accuracy, be sure thatthe flow test device is capable of measuring 0-30 L/mir 41. Connect the patient port of the suction regulator to the flow test device. 2. Rotate the suction control knob fully clockwise (increase) 3, Tum the mode selector switch to | (ON) and verity thatthe flow rate is: * atleast 20L/min, 4. Disconnect the test flowmeter. (Tests continue on next page.) 69‘Aespire 7100 |. Tur the mode selector switch to | (ON). Occiude the patient port of the suction regulator. 3. Set the vacuum regulator gauge to 100 mm Hg/ 13 kPa. Open and close the patient port several times. 3. With the patient port occluded, the gauge should retum to 100 mm He/13, a within a tolerance of + 10 mm Hg/1.3 KPa. Regulation Test Vacuum BleedTest 1. Occlude the patient port ofthe suction regulator. 2. ‘Setthe vacuum regulator gauge to 100 mm Hg/13 kPa, 3. Tum the mode selector switch to 0 (OFF) and observe the gauge needle. It ‘must retum tothe zero range bracket or stop pin within 10 seconds. Vacuum Leak Test 1. Tumthe mode selector switch to 0 (OFF). 2. Rotate the suction control knob a minimum of two full tums in the clockwise direction (Increase suction) to ensure its settingis not atthe off position. 3. Occlude the patient portof the suction regulator. 4, Observe the suction gauge, the needle should not move. 5. Rotate the suction control knob fully counterclockwise to ensure its setting is atthe fully off position. 6. Tum the mode selector switch to (ON). Observe the suction gauge, the needle should not move. 10 9/07 mntt01407 Troubleshooting Inthis section 7.1 General Troubleshooting 7.2 Breathing System Leak Test Guide 7.2.1 Breathingsystem leaktest. . 1.22 Breathing System Troubleshooting Flowcharts serene 7.23 Leakisoltion Tests 712 7.3 Troubleshooting guide 7.4 Alarm and Eror messages cosas 730 7.5 Troubleshooting Flowcharts - Tat 7.5.1 Ventilator assessment process 741 7.5.2 No display troubleshooting 742 7.53 Inaccurate volume ventilation troubleshooting. 743 7.5.4 VNB board evaluation .. 744 7.5.5 Noventltion troubleshooting... cesses TAB: 7.5.8 High intinsic PEEP troubleshooting ceseeseeeeee 146 1110140 08/07 m4Aespire 7100 7.1 General Troubleshooting AXWARNING Objects in the breathing system can stop gas flow to the patient. This can cause injury or death: = Donotuse atest 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. Problem Possible Cause ‘Ration Tigh Pressure Leak Pipeline leak Use a leak detector or Soop to check fr source of ea. Repairor replace defective pats. Op flush valve Use a leak detector or Snoop to check for source ofleak. ‘Make sure tubing connections are tight Replace valve if defective. ‘System switch detector or Snoop to check for source ofleak ‘Make sure tubing connections are tight Replace switch if defective. (Ojindernotinstaled properly ‘Make sure cyinderiscorecty aligned. Very thattee handles are tight. Oyinder gauges Use a leak detector or Snoop to check for source offeak Replace gauge if defective. Gylinder gaskets Use aleak detectoror Snoop to check for source ofleak Replace gasket defective. Relief ates Use a leak detector or Snoop to check or source ofleak. Replace valveif defective. Tow Pressure Leak Vaporizer notinstalied propery Reseatvaporizerifnatinstaled propery. (with vaporizer mounted) Have vaporizer serviced at vaporizer centerif vaporizer leaks. Wissing or damaged oving on vaporizer Check condition ofo-ing, manifold Replace if missing or damaged, Toose filpart ‘Gheck il por Tighten floose. 2 nyo wasz0140‘Troubleshooting Problem Possible Cause Retion Tow Pressure Leak (with or without vaporizer) Teakat lowmeterhead Teakingrelefvalve on vaporizer mmanifolé Leaking ush vale Teakingsystem switch Leaking por valve on vaporizer manifold Use the Vaporizer Manifold Vahe Tetertachecktorleak. See Section 9.8.2 for instructions. Iftest als, tighten, repair replace as needed. Tivaporizer manifold passed previous tests Remove tubing fom input side of head and occlude por. Perform leaktest. test fis: * Check for damaged o-ngs between flowmeter modules, Replace as needed. * Check for damaged o-ngs atop and bottom of flow tubes. Replace as needed. * Check fr cracked flow tube, Replace as needed, Tf secondary regulator leaks, replace the complete module. ‘Note: An atemate method ito pressure the system ‘and use a leak detector or Snoop to check forsource of leak, Remove eet valve, cclude opening Perform leaktest. Iftest passes, replace vahe. ‘iach pressure measuring device on CGO. Replace valveif device shows increased pressure. ‘tach pressure measuring device on CGO. Replace switch i device shows increased pressure Bellowsleak properly ‘Bellows mounting i ose ‘Bellows improperly mouried orhas @ hole ortear op-of valve diaphragm not sealing Disassemble pop-off valve; inspect and clean seats; reseat; reassemble, ‘Remove im and pop-off valve diaphragm; reseat iaphragm; snap rim (2)into place. ‘Check that ony te ast bellows convlute is mounted to the rim and thatthe rngrolis inthe groove under the rim. Inspect the bellows for damage; replace. Breathing System Leak ‘Damaged missing canister ong ‘Absorber canister not installed propery Tastal canister propery, Gheci/replace ong. Breathing System Leak (intermittent) "AGO Op sense check vale Replace, TNO flow doesnot decrease Defective plat equator with 0, flow ‘Check pilot regulator. Replace needed. ‘rit spay ow Op Tow 03 supply switch ‘Check witch Calibrate oreplace as appropiate pressure with pipeline but not wth oyinders Unable tobegn mechanical ABS not uly engaged Remount ABS. ventilation oO, soppy ‘Check 0 supp Defective Bag/Vent switch ‘Check Bag/Vent switch ws1i0140 08/07 raAspire 7100 7.2 Breathing System Leak Test Guide Note AX WARNING 4 Always perform the low-pressure leak test (Section 3.9) onthe machine before proceedingwith these breathing system leak tess, ‘The procedure in Section 7.2.1 helps you isolate the leak: to Bag Mode components, to Vent Mode components, oro components that are common to both modes. + Hfyou have a similareak in both the bag mode and the venator mode, you must considerthe Fow Sensor Module, the Circuit Module, the AbsorberCnisterarea, and the bukhead components (including CGO tubing). Careful inspect the cuit ‘module for damaged seals or misassembiy, andthe seating ofthe O sensor. + Hfyou have larger leakin one area than the other (Vent orBag), the leakis mostikely NOTinthe Flow Sensor Module, the Circuit Module the Absorber Canisterarea, orthe bulkhead ports. Follow the troubleshooting flowcharts in Section 72.2 to determine the best sequence of test for locating a breathing system leak ‘The procedures in Section 7.2.3 test specific components ofthe breathing system for leaks. Objects in the bree injury or death: * Donotuse 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. \g system can stop gas flow to the patient. This can cause yor was101407 Troubleshooting 7.2.1 Breathing This test checks for leaks in Vent Mode and Bag Mode components. Itis partof the system leak test overall checkout procedure, Seton 3.11 “Breathing system tests." Ris repeated here fortesting convenience. AXWARNING —Objectsin the breathing system can stop gas flow to the patient. This can cause jury or death: * Donot use a test plug that is small enough to fall into the breathing system. 41. Verity that AGSS is operating For systems that have a flow indicator onthe side, ‘make sure thatthe flow indicator shows a flow inthe green (normal) region. 2. Zero the pressure gauge (Section 5.6.1). Check Valves 3. Makessure that the check valves on the breathing circuit module work correctly: ‘a, The Inspiratory check valve rises during inspiration and falls atthe stat of expiration. ». The Expiratory check valve rises during expiration and falls atthe start of inspiration. Ventilator Bellows 4. Ventilator bellows test: a. Setthe system switch to Standby. b. Setthe Bag/Vent switch to Ventilator. «. Setall flow controls to minimum. 4. Close the breathing circuit atthe patient connection Use the test plug located onthe side of the ABS. . Push the Op flush button toil the bellows. {The pressure must notincrease to more than 15 om H,0 on the pressure gauge. Ifthe bellows falls more than 100 mL/min (top of indicator, ithas.a leak. Service ModeTests 5. Enterthe Service Mode: Push and hold the adjustment knob on the ventilators. display and set the system switch to On. a. Select and confirm “Service Modes. ». Follow the menu structure outine below to reach the adjustment forthe inspiratory ow valve. Selectand confim at each step. “Diagnostics Tests/Tools* + “Breathing System Leak Test” ¢. Follow the instructions on the screen. 4. The eak ate shouldbe less than 200 m/min. For machines with a single-tube O, flowmeter, the pressure reading should reach 30 om H,0 at minimum flows greater than 200 ml/min. 1110140 08/07 1s‘Aespire 7100 BagCircult 6. Testthe Bag crcuitforleaks: 2, Setthe system switch to On b, Setthe Bag/Ventilator switch to Bag, ¢. Plugthe Bag port (use your hand orthe approved tet plug). 4, Close the APL valve (70 cm H0). €@, Setthe 0p flow to 0.25 L/min, {. Close the patient connection (using.a hand or test plug onthe side ofthe breathingsystem) and pressurize the bag ccut withthe 0, lush button to approximately 0 om #0. 4 Release the flush button. The pressure must not decrease. A pressure decrease large enough to see onthe gauge indicates an unacceptable leak. APLValve 7. Testthe APL valve: ‘a Fully close the APL valve (70 cm H0). b. Setthe total fresh gas flow to approximately 3 L/min and make sure that the value on the inspiratory pressure gauge does not exceed 85 cm H,0. Some pressure fluctuation is normal. ¢. Fully open the APL valve (to the MIN position). 4, Set 0, flow to 3 L/min. Tum any other gases off €, Make sure that the value on the inspiratory pressure gauge is ess than approximately 5 om H,0. {Push the 0 flush button. Make sure that the value on the inspiratory pressure gauge stays less than 10 cm HO. {& Setthe 0, flow to minimum and make sure thatthe value on the inspiratory pressure gauge does not decrease below 0 cm H,0. ‘8 Remove yourhand or the test plug from the patient connection. 9. Sethe System switch to Standby. A\WARNING — Make sure that there are no test plugs or other objects caught in the breathing system. 16 wyo7_wntt0180Troubleshooting 7.2.2 Breathing System Troubleshooting Flowcharts Review Leak Test Guide (Section 7.2) "Bomactine ow pressure lek ost, (Section 38) «Igolte breathing systom lea Bq Made vert Mode, or Both (Seeton 72) Perform Leak Test 1 Vertying the integrity Oftest tats Perform Tost 2 ress Repair leak in Lompressureleak | Fail} testing the machine ‘machine I ent : 010 Flowchart? Noge—o} cotorionchan's | £ ony : Bath Bag and ‘ent Perform Teat3 Gampstor System is operational, but may_|Ifpesiss, replace: 10 seconds. failonbateryifmains power | + Battery islost. + Control Board Batory Fale High UserAlarn Battery votage>8 Vfor Systems operational, butmay |Ifpesiss, replace 10 seconds failonbateryifmains power | + Battery islost + Control Board BateryFalurelow UserAlam — Thebatteryvotageistoolow Systems operational, butmay | Ifpesss, replace: (<2\jtosuppythe —_fellonbatteryifmains power | « Battery systemifpowerfis. is ost. + Control Board Leave te system plugged nto charge the battery CalFlow Sensors UserAlarm —_Thelasflow sensor Calibrate the flow sensors. | Tis alarm message ‘calbation fled. Lookforwatrinthefow sensor | indicates thatthe tubes and dryitnecessary. | last ow sensor's Replace sensorifnecessay. | _dtferntial pressure transducer calibration fale. withthe BY sith inBag ensure sensors ae removed utilthe “Nolnsp / No Exp flow Sensor messages appeat persists, replace: +WNB * Convo! Board Caliate 0, Sensor UserAlam —Calbratonfalureor —Doesthe sersormeasure | fpr, Check 0,%>110% 21% 0p inroom ai? + 0, sensor cable Replace sensoifnecessary. | « VMB * Cableto 08/112 CanistrOpen _UserAlam _Thecansterreleaseis open, Cosethe canisterelease. | ifperssts, check: causinga lrg leak * Conister switch (desta oly + Haress to MB (Closed by defautin espre =v mache.) + Cobleto 08/112 muni0%0 08/07 ra‘Aespire 7100 Message Alarm/Error Cause User Action/Concems _| Service Repair Cardiac Bypass UserAlarm _‘Thealarmiimitsetings are Use the alarm mits menu to setfora patient on change this setting. cardiac bypass. ‘Apnea alas ae oft. (CheckFiw Sensors UserAlarm _Systemhas detected an Arethe low sensors coecty A improperfow pattem in installed? ‘thebreatingcicut. Water build up inthe flow sensor ‘tubes? Isa flow sensortube cracked or broken? Improper check vave operation? Inspect one-way vohes. Replace ow sensor module with the spare. Check the condition ofthe flow sensor anditstubing, (Grout Leak Audio UserAlarm _Controlsetting onthe Alarm This message els you thatthe off Settings menu. ‘audio alarm for crcl eaks westumed oft Connect, Sensor UserAlarm The Oz sensorisnot Connect the sensor. persists, Check connected tothe cable, * Op sensor cable vB += Cable to 68/312 ‘CPU Faire Eror Ventlatormaiinction. —_Ventiate manually. Replace: Minimum Monitoringisnatreable. | + Control Board. aH Shutdown Ceuintemal ror nor Ventlatormafunction. _Veniate manvaly. Replace: i Minimum, Montoinglsnotrelable, |» Contol Board, Sa Shutdown xp Flow SensorFall UserAlarn System cannotread the Operation continues wth calibration datastoredin reduced accuracy. the sensor, Replace te iow sensor. ExpReverse Flow UserAlam —Flowthroughthe expiratory Lookatthe check aves. sensor during inspiration (for6 breaths ina row, Water build upin thelow sensor ‘tubes? Isafow sensortube cracked or broken? Replace the expiratory check vale. ‘check the flow sensor condition. OAC) Err * Minimum ‘Monitoring entiatormafunction, wee ee Replace: * Control 12 yor wi110140HelioxMode is On User Alarm ‘Control seting on ventilation ‘Troubleshooting UserAction/Concems _| Service Repalr ‘When Helioxis used, the ventlator must adjust volume calculations. High 0, UserAlarm —0;%>larmhighlimit —_sthelimitsetcorecty? ‘Whatisthe 0; flow? Dig you just push Fush? Does the sensor see 219% 0, in room air? Calibrate O, sensor Replace 0, sensor High Paw UserAlarm —_Pawisgreaterthan limit. Are Plimitand other controls set The ventilator cytes to comecty? Look for blockages. Check patient connection. High Ve UserAlarn —_Theminuteolume’s geater Check patient for spontaneous thanthe sethigh limit. breathing, Thisalarmis suspended Adjust conto settings. for 9 breaths ateryou ‘change the ventilator High Ve UserAlarm —Vieisgreaterthanhighalarm Check patient for spontaneous ‘suspended for 9 breaths after you change the breathing. (Check ventilator and alarm settings. Insp Flow Sensor Fail User Alarm ‘The system cannat ead the ‘calibration data stored in Operation continues with reduced accuracy Replace the flow sensor. Insp Reverse Flow User Alarm Flow through the inspiratory ‘sensor during expiration {Lookat the check valves. Water buildup in the flow sensor ‘tubes? Isafiow sensor tube cracked or broken? Replace the inspiratory check vabe. (Check the flow sensor condition. witt0140 08/07 133‘Aespire 7100 Message ‘Alarm/Error Cause User Action/Concems _| Service Repalr Inspiration Stopped UserAlarm Drive gas safety witch Adjust controls. If persist, checke a ‘activated (high pressure). Checksystems for blockages. | + Bellows pop-off, + Bihalation vale vals ‘The system does not ‘Make sure the module is i persists, checke Circuit Module recognize the typeof comect installed. = Circuit cireut module installed. LookforbrokenID tabs ortape | Identification Normallythesystemuses onthe tabs. Board the ID tabsto identity ‘+ HamesstoVMB cuits. “vB = Cableto 8/112 LowBatteryVotage UserAlarm Voltages <5.65V while Manualyventiate the patentto using battery power. save power. Isthe mains incicatorlight on? Make sure poweris connected ‘and circuit breakers are closed. (Check the ventatorfuse. low Dive GasPress UserAlam —Theventlatordoesnot__‘Manval vile the patient. detect supply pressure, Make sure thatthe appropiate ‘assuppies (0, orAi)ae connected and pressured Low 0p UserAlam —O,%blessthan alarmiow —_Isthelimitset covrecty? limit seting. {the Op flow sufcent? Does the sensor see 21% Op ‘oom air? Calibrate 0, sensor. Replace O, sensor. ‘As sensors wear out, the ‘measured % 0; decreases. Low Paw UserAlarm Pawdoesnotrise atleast Are circuit connections OK? ‘em above Pin uring Lookat the Paw gauge onthe the last 20 sec. absorber. Look or circuit disconnection, 138 8/07 wis10340T Troubleshooting Message ‘Alarm/Error Cause User Action/Concems _| Service Repair Lowve ‘UserAlam Exhaledminutevolume _Checkpatent condition. lessthan low imitalarm Check tubing connections. setting This alarmis Check alarm settings. suspended for 9 breaths after you change the ventiatorsetings.. Low Vie UserAlarm —_Exhaled tidal volume (Check patient condition. {essthan lowlimitalarm Check tubing connections. setting, Thisalarmis Check alarm settings. suspended for 9 breaths ‘afteryou change the ventlator settings. Memory (EEPROM) UserAlarm ‘Thesystemcannot access Defaultsetngs areused. | Replace Fall User lar ‘some stored values. ‘revents mechanical ventilation. Ventilation stl possible but service is necessary. Ventilate manually Cycle system ‘power (On- Standby-0n). Ifthe alarm clears, restart ‘Othe alarms may also ‘mechanical ventilation. ‘occur NoCicuitModule UserAlarm The patient crcuitmodule is Install module. tpersists, check: notinstalled Optical sensorsiookfortabson | + Grcuit (hestiva only), the back ofthe module, Identification Isthe module assembled? Board ‘re sensors dirty? + Hamess to MB VNB. * Cableto C8112 'NoCO, Absorption UserAlarm CO bypass selected User setting, ‘hestva ont). (lose the canister release to remove CO, from exhale gas. wi110140 08/07 138‘Aespire 7100 Message ‘Alarm/Error Cause User Action/Concems _| Service Repair NoExpFlow Sensor UserAlarm Electrical signals show the Connect the low sensors. flow sensoris not ‘Make sure te flow sensor connected. ‘modules on allthe way. NNolnspFlow Sensor UserAlarm _Electical signals show the Connect the flow sensors. flow sensoris not ‘Make sure the flow sensor connected. ‘madil ison al the way [NoO;Pressure UserAlarm ‘The, supplyhas failed. Aiflowwill continue. Venlate ‘manually ifnecessary. Connect a pipeline supply or install an 03 cylinder, (OpFushFallure —UserAlarm —-‘Thepressureswitchthat Thisalarm occurs fyouhold | fpersists, check: detects flush flowhas -downtheFlush buton for | Op ush switch seenaverylongfush morethan30seconds. | « cabietoSICB (230820), + SicB * CabletoCB/s11 (0, SensorOutof Cire UserAlarm Oysensornotinstaledin Install abreathing circuit module breathingcicuitmodule, andan 0, sensor. ‘Sensornot measuring gasin breathing circuit. (;MonDisabled User Alarm An nygencellhas been The Oxygen Monitoring features | Service Mode: connected to non- notactive onthis system. | « System active ventilator Configurations monitoring feature. (On Battery UserAlanm ‘Themains supplyisnot __Ventlate manually to save Power OK? ‘connected orhas felled power. ‘andthesystemisusing ALfull charge, the batery battery power. permits approximately 30 minutes of mechanical ventilation Make sure poweris connected ‘and circuit breakers are closed. Check the ventilator fuse. PatientCrout Leak? User Alarm _Exhaled volume <50% of Check breathing circuit and flow inspired volume forat_ __sensorconnectons. least 30 seconds Patient circuiteak audio can be (mechanical ventilation). turned offin the Alarm Settings menu. 198 yor masi0%40‘Troubleshooting Message ‘Alarm/Error Cause User Action/Concems _| Service Repair Paw<-10cmH,0 UserAlarm —_—Subatmospheric pressure Checkpatient condition, (<-10cmH,0), spontaneous activity? Increase fresh gas flow. Look forhigh flow through gas scavenging. Calibrate the flow sensors. With ‘active scavenging, check the ‘negative reli valve onthe receiver Pinsp NotAchieved UserAlarm Indicates problem with Checkbreathing circuit breathing circuit ‘connections. Check etings. connections orthat the ventiatoris unable to elver requested pressure tothe patient. 1110140 08/07 rar‘Aespire 7100 Message ‘Alarm/Error Cause User Action/Concems _| Service Repair Pres/VolMon| UserAlarm AGO is setto autliarygas Connectthe patient circuitto the Inactive outlet. ‘aualiary gas outlet orsetthe ‘witch tothe common gas ‘outlet for normal operation. Replace Op Sensor UserAlarm 0% <5% Make sure patientreceives 02. if persist, checke Does the sensorsee 21% 0, in | * Op sensorcable room air? ve Use itferent monitor. * Cable to 0/112 Calibrate 0p sensor. * Control board Replace 0, sensor. ‘Service Calibration UserAlarm _Intemalcalibratons are Thesystemis operational. | Service Mode: A ‘necessary for maximum * Calibrations accuracy. SelectGas Outlet UserAlarm Fresh gasmaynotfiowtothe Selectthe common gas outlet or patient, ‘connect the patent cicutto ‘ACGOis On, butflowsensors the ACGO. hhaveseen3 breathsin Note:The bagarm will not patientcircuitdurngthe ventilate a patient atthe last 30 seconds. ausilary outet. Pawis greater than ‘Check tubing for kinks, sustained pressure mit blockages, disconnect. for 15 seconds. Calibrate the flow sensors. 198 yor mtss0140‘Troubleshooting Message ‘Alarm/Eror Cause UserAction/Concems _| Service Repair ‘SystemLeak? ——UserAlanm ——Leakdetected between _‘fyouareusingHeliox select | The primary cause for Ventlatorand patient -—‘Heliaxonthe ventilatorsetup | this message is ciruit. ‘menu. Looktorleaksinthe | thatthe bellows absorber system. has emptied. Problem with lw sensors? Refilthe bellows. Calibratethe low sensors. | Thismessage Drain water buildup fromthe | combines the ‘breathing system andinspect | “Unable to Drive forleaks (repait Bellows” and Inspectorreplace flow sensors. | “System Leak?" messages inthe Aestiva 7300 Ventilator. Perform the Breathing System LeakTests Ventiate Manually UserAlarm severe malfunction Ventiate manually. prevents mechanical Use stand-alone monitor. ventilation and (ycle system power(On- ‘monitoring. Standby-On)- Otheralarmsmay also the alarm clears, restart ovcur, ‘mechanical ventilation Veriylow VeLimit UserAlam —‘Theaudiblecircuitleak _Setthelow Ve alarm. ‘alarmis off (Alarm ‘Settings menu) butte low Ve alarmisnot ‘consistent withthe ventlator settings. ‘Volume Apnea -_UserAlarm —--Nomechanicalbreaths or Check patient. ‘spontaneous breaths Bagas needed. >SmLinlast30 (Check for cisconnects. seconds. the patients on a heart ung machine, select Cardiac Bypass onthe alarm menu. \VolApnea>2min UserAlarm Nomechanicalbreaths or Check patient. ‘spontaneous breaths Bagas needed. >SmLinlast 120 Check or aisconnects. ‘seconds. Ifthe patients on a heart ung ‘machine, select Cardiac Bypass on the alarm menu. wui110140 08/07 139‘Aespire 7100 Message Alarm/Error Cause User Action/Concems _| Service Repalr Volume Mon UserAlam —Aflowsensorhasbeen The Volume Monitoring featureis | Service Mode: Disabled ‘connected toa non- notactveonthissystem. |» System active ventilator Configurations monitoring feature. ViComp Avail ——_UserAlarm = Acondition which prevented None. Indicates a retum to \VrCompensation ‘normal operation, Select ventlation mode has Volume Mode or Pressure cleared Mode (i availabe), ViComp off UserAlarm Thesystem supplies the set Adjust Vr manualy and continue breath but cannot adjust. without compensation, or ventiaton for ‘change tothe pressure mode, compliance and In pressure made set Pinspit. resistance losses, et. Replace the flow sensor module ‘and selectthe mode again. Ifthe problem stops inspect the ‘wo flow sensors. ‘VrComp Disabled —UserAlarm —Aflowsensorhas been _TheVolume Compensated —_| Service Mode: connected toa non- Delivery featureis not active | + System active ventilator onthis stem. Configurations ‘monitoring feature. WNot| UserAlarm —Tidalvolume measured by Adjust contosto supply Achieved inspiratory flow sensor adequate tidal volumes. ‘slessthansetvalue6 _Checkl:€; limit; and volume breaths in rowafterthe settings. fist minute of Possible leak mechanical ventilation. Vie> Insp Vr UserAlarm _Expredvolumeis greater Check patient condition. ‘than nspredvolume for _Arethe flow sensors corectly Gbreathswithacircle installed? module. Water buildup inte low sensor tubes? Isafow sensortube cracked or broken? Improper check ale operation? Inspect one-way valves {Cveathing cuit module.) Replace iow sensor module wth the spare. (check the condition ofthe flow sensor and its tubing, WiDelveryToo High UserAlarm ‘Wr 20%ofsetvaluefor Reduce fresh gas flow. sicconsecutive breaths. 240 owyor masz01407.5 Troubleshooting Flowcharts 7.5.1 Ventilator assessment process rea “tout “ena Uso ee Peseta “nage re gees ‘Stevan 3 ene ate are omsat Somred Fen ine T Troubleshooting lon Foe (tense Inscarate erin antowan PEEP Smee * Refer to Section 7.2, “Breathing System Leak Tests,"in the respective anesthesia machine Technical Reference Manval. a110140 08/07 ooAespire 7100 7.5.2 No display troubleshooting es SS Tears tember guee cece ae er een es Cea ens cu tstamnsgnas, |_] amt wie ‘Stor m2 gyor_ ms10%60‘Troubleshooting 7.5.3 Inaccurate volume ventilation troubleshooting Doaecouts natner chanel by mo. ‘for iota eins roc Tapes eres ouratces Rw Seer nome Tawsicon od irene ‘toca serity ‘ean fo enor Catraton ‘od (ete cre) Refer to Section 7.5.4, *VMB board evaluation." Pal wah MAMMMSinceate? * Water in hamess is indicative of aleakin the tubing, connectors, or MIA/VMB pressure transducer. Be sure to leak check f it's determined that wate is present within the hamess, wMi110140 8/07 13‘Aespire 7100 nat 1, Remove the tabletop to access the VMB pneumatic circuit connections. Remove the ABS and the exhalation valve. Enter the Valves-TestTool service page and record the bitcounts on the inspiratory and expiratory flow transducers. 4. Connect the calibration orfice test tool (A) to the drive gas port (not the pilot pressure port used for PEP calibration). Separate the Bellows Module from the Circuit Module. 6, Remove the Flow Sensor Module from the ABS and installiton the machine. Install the Circuit/Flow Sensor Module. 8, Connect a22-mm hose from the calibration orfce test tool to the inspiratory flow port(B). 9. Setthe inspiratory flow vale to 60 L/min. Gas will exhaust out the rear of the inspiratory flow sensor where itis normally connected tothe circuit ‘module (reverse flow through the inspiratory flow sensor) 10, Record the change in bit counts observed on the inspiratory flow ‘transducer channel as compared to step 2 (negative polarity. There may be some variation inthe last cig of the counts, tr to pick the average value. 11. Stop the inspiratory flow. 12. Swap the inspiratory channel pneumatic connections (white to black, black to white) ~ Refer to Figure 11-7. 13, Repeat steps 9 through 11. 14, Move the two inspiratory connections tothe expiratory channel ofthe VMB (white from hamess to blue of VMB pressure transducer, black from hamess to yellow of VMB pressure transducer). 15, Repeat steps 9 through 11 using counts from the expiratory low transducer channel. 16. Swap the two inspiratory connections tothe expiratory channel ofthe VMB. {white from hamess to yellow of VMB pressure transducer, back from hhamess to blue of VMB pressure transducer). 17. Repeat steps 9 through 11 using counts from the expiratory flow twansducer channel. 18. Variation of greater than 40 bits in any of the four measured count changes indicates a problem with the VMB function, 19. Return to Section 7.5.3. yor wust0140‘Troubleshooting 7.5.5 No ventilation troubleshooting tae caters Seeeie Taman tifow het 15 /nin Grecian Peto away ru redone velar ioe Sect ‘athens cosas used reser enbatonovet engine 1. lose PEEP Sat va ane Seu PEEP ae enor eis Ve ar he Sibtonnurte he eta 2.Yoren PEEP Sty ae Doe ow cope ten Prcedin deating Creston Tbestodtng * Refer to Section 72, ‘Breathing System Leak Tests,”in the respective anesthesia machine Technical Reference Manual wt110140 06/07 145‘Aespire 7100 7.5.6 High Intrinsic PEEP troubleshooting: Zo Foe nd rl sores outofeabnon Psa YorsaucerPeien 2. Greckoneanac ines robe cireling Crt Gescton Checknosatas sonar ss ena acu te) 2. Chaar ace tas hector obsucton nteang reat Soom abe os! maniag heckesting cout ‘cay ook ‘hab Pap ve Fabien 1. Sector PEEP Conol ve Poem vane Prien ‘eines Sing 1. cottroson 1. Cmca ve mech 2.Qeckeaten a sola ‘erpoper nso Check APL shor stching 2 Onekforonectosia ‘enon Soman ern nate 2 Rplcn PEP Coto Va nessa. 2 Inge et Ege ard antec ‘Sieocos cera 4 on of PEE: eh pe prot PEP sty 3, Qwoo ootuctons lows pea aowaloco Se 4. Gecko atseyctondomsteam tCeshoe ei comes ‘ioeert mand 146 wyor_ wrtt01408 Software Installation In this section 2.1 Beforeinstaling new software orreplacing the Control Board ........+. 82 8.1.1 key/BID label (Key Code) coves 83 £8.2.Mterepiacing the Control Board or the Control Module ob {8.2.1 Calibration and Checkout coe BS 8.3 Sofware nstaliation cose . 86 wwi1s0100 08/07 aAespire 7100 8.1 Before installing new software or replacing the Control Board When new system software is installed, the System Configuration settings (Section 4.8) are resetto the default values and the Upgrade Options are reset to “notinstalled” (Section 4.11, Refer to Section 4.8 Refer to Section 4.11 fn Die te Dy ace ewes ‘vests ‘ete Sys ipe seta aw Se Caan eat Feo Mn fned ae Metin aed ae Cnpnaion fe Presa Ne fae brcrerauirs Pres Were eae goood oy Seve Mae ew ten ieee 82 ‘ohelp ensure tha, after repair orsoftware replacement, the Aespire 7100 system will include all features that are current installed and enabled, record the curent System ‘Configuration menu settings and the Upgrade Options installed. The fist sx items ae presentin allmachines: + Altitude: (specific to location) + Drtve Gas: 0, or Air + Hellox Mode (seto Disabled for Aespire 7100) ‘+ Ve Alarm Limits: Automatic or User Adjustable + System Type: (setto Aestvaby default) + Flow Sensor Correction: Lead Fier Off or Lead FiterOn ‘The remaining settings are only presentin machines thatinclude the optional features: + 02 Monitoring: Enabled or Disabled + Volume Monitoring: Enabled of Disabled + Volume Compensation: Enabled or Disabled ‘+ Prossure Mode: Enabled or Disabled ‘+ Prossure Waveform: Enabled or Disabled ajo wust01808 Software Installation 8.4.1. Key/BID label The replacement Control Board (Control Module) includes a Key/ID label thatis (Key Code) propriate formachines that include al ofthe optional features. the machine includes only some ofthe optional features, acess the Key Code Generator web site to obtain the appropriate optional features Key Code. 1. Gather the following information (* denotes Required Information): Requestor Information * Email Address *FullName * Organization End User Information Hospital Name ‘Address 1 ‘Address 2 iy Postal Code ‘Country Telephone Information from the EXISTING Control Board being REMOVED * Control Board 1 number Control Board Key Code Information from the REPLACEMENT Control Board belng INSTALLED Control Board Number 2. ovess the Key Code Generator on the following web site = ttp://www.docodes.com 3, Enter the required information and Submit the Request. ‘An e-mail withthe replacement Control Board Key Code will be immediately sentto the «e-mail address provided (due to delays in some firewalls and intemet traffic, responses can take up to 24 hours to receive). Note: For traceability, the Global Service and Support Helpdeskis copied on the e- mall wrxi0140 08/07 a3Aespire 7100 8.2 After replacing the Control Board or the Control Module es 1. Load the appropriate software revision (Section 8.3) using. software memory stick that matches the software revision of the replaced control board (control module). 2. Activate the appropriate options onthe Upgrade Options menu (ection 4.11) ‘A. Ifthe original configuration included all ofthe optional features, enter the Key Code supplied withthe replacement Control Board (Control Module) folowing ‘Steps a. through d, below. Ifthe original configuration included only some optional features, enter the Replacement Control Board Key Code obtained from the Key Code Generator web site, as follows. a. Enterthe Service Mode. Select Upgrade Options. ‘c. Prior to installing the new Key Code, reset the options key by entering the following key code: G000000. 4d. Then enter the appropriate Key Code to restore the original Upgrade Option. 3, Onthe System Configuration menu, reset the configuration to match the settings, recorded in Section 8.1 4, Ifrequired, record the new (web site generated) Key Code on the label provided in ‘the replacement Control Board kit(or on the Control Module). 5. Affix the label to the back of the display module as shown. ogjor w1s101408 Software Installation 41. Enterthe Service Mode. 2. Select Calibrations. 3. Onthe Calibrations menu, select Serice Callbrations Required A 4. Onthe Service Calibrations Required JA menu, select Set “Service Calibrations Required A” 5. Select Yesto the Do you want to Set Service Calibration? prompt. ‘The system will determine which calibrations are required forthe feature options installed. 6. Perform al required calibrations. Perform a full system checkout (Section 3). 8.2.1 Calibration and Checkout t110140 08/07 8sAespire 7100 8.3 Software Installation ‘Software Memory Stick, (for non-color display) ‘SW Revision 1X ‘Software Memory Stick, | Woreoloc and non-colar espa Referto Section 10.1 ‘SW Revision 2x orgreater 86 ‘Set the system switch to Standby. Insert the Software Memory Stick (A) with contacts facing forward into the upgrade slot) of the Control Module. Set the system switch to On. Follow the instructions onthe screen to complete the installation. Setthe system switch to Standby. Remove the Software Memory Stick (On the Upgrade Options menu (Section 4.11) ofthe Service Mode, enter the ‘options Key Code found on the back ofthe display to restore the original Upgrade Options. ‘On the System Configuration menu (Section 4.8) ofthe Service Mode, reset the ‘configuration to match the settings recorded in Section 8.1, Perform the preoperative checkout procedure. 09/07 mast0140In this section witi0140 06/07 9 Repair Procedures 9.1 How to bleed gas pressure from the machine 9.2 Howto remove the ear panels. 9.2.1 Toremove the rear upper panel... 9.2.2 To remove the lower access panels. 9.3 How toremove the tabletop {9.4 Senicing te pipeline inlet manifold components 9.4.1 Replace pipeline niet er 9.4.2 Replace pipeline inlet check ale .. 9.4.3 Replace the inlet manifold. ‘9.5 Senice the cylinder supply modules 9.5.1 Tghtening procedure for high-pressure tube ftings 9.5.2 Replace primary regulator module (complete replacement) 9.5.3 Replace cyindeinle filter 9.5.4 Replace cinder check valve 9.5.5 Replace 3d-gas cinder supply module ‘9.6 Replace system switch assembly {9.7 Service the flowmeter module 9.7.1 Remove font flowmeter panel shield 9.7.2 Remove flovtubes for cleaning or replacement 9.7.3 Remove compete flowmeter head 9.7.4 Replace flowmeter modules 9.7.5 Replace flowmeter fame 9.7.6 Replace 0, supply switch 9.7.7 Checkout procedure for» supply switch 9.7.8 Repac seconde eat mano or balance ult mano {9.7.9 Replace 0, orN,0 needle valves (on machines with NO). 9.7.10 Replace an Arneedle valve on allmachines oran 0, needle vahe ‘on machines witout 20... 940 oat 943 943 943 45 948 920 921 921 922 923 925 oAespire 7100 9 9.8 Senice vaporizer manifold pans 9.8.1 Repairmanifld por valve 9.8.2 Checkout procedure fr manifold por valve 9.26 9.26 927 9.8.3 Replace vaporizer manifold check vale. 928 9.8.4 Replace vaporize pressure eit vale 930 9.8.5 Replace vaporizer manifold 931 19.9 Replace ACGO selector switch 932 {9.10 Clean or replace ACGO port flapper valve 2 984 9.11 Reconfigure sample gas etn ine “ 935 9.12 Replace the APL vale ...... ce 936 9.13 Replace the bag support arm 937 9.13.1 Senvicing the bag support arm . 9:38 €.43.2Repacficionpadinwerbagam asserby 939 9.13.3 Replace bag porthousing 2 40 9.14 Replace auiliay 0, flowmeter ot 9.15 Replace the suction contol module 9.42 1915.1 Front panel method . 9.42 9.15.2 Rear panel method oe 9-43, 9.16 Replace ABS breathing system components 944 9.16.1 Replace Bag/Vent switch assembly . 948 9.16.2 Replace bellows base latch assembly 945 9.16.3 EZchange Canister spring replacement. 9.46 9.17 Replace casters. 947 9.18 Replace task ight and switch . 948 9.18.1 Toreplace the taskigntswitch coe 948 9.18.2 To replace the task-ight circuit board 2 98 9.19 Replace the display armor display cables. . co 49 9.19.1 Cable tie instalation cecseeeeceseeees M9 9.19.2 Removing the display arm . 9.50 9.19.3 Replacinga display cable oo -- 950 9.19.4instaling the ong am 9.19.5 instaling the shor arm 981 952 9.20 Replace display and cables in ProTIVA machine - 9453 9.21 Change crive gas. 954 9.22 Control module 955, 9.22.1 Color control module 956 9.22.2 Otginal conto! module 961 19.23 Sencingthe Vent Engine 967 9.23.1 Toremovethe VentEngne 968 6.23.2 Replacing Vent Eng components... 969 9/07 mat10%40AX WARNING 1110140 08/07 ‘9 Repair Procedures To prevent fires: ‘+ Use lubricants approved for anesthesia or 0» equipment, such as Krytox. + Donotuse lubricants that contain ol or grease; they bum or explode in high 0, concentrations. ‘+ Allcovers used on the system must be made from antistatic (conductive) materials. Static electricity can cause fires. Obey infection control and safety procedures. Used equipment may contain blood and body fluids. ‘Amovable part ora removable component may present a pinch ora crush hazard. Use care when moving or replacing system parts and components. When servicing the ventilator, extreme care must be taken to avoid introducing foreign debris, particularly metal chips generated by screw threads, into the pneumatic flow passages of the ventilator. Failure to do so can resultin damage to the flow valve and possible injury tothe patient. ‘Some internal parts have sharp edges and can cause cuts or abrasions. Use care when servicing intemal components. ‘After repairs are completed, always perform the checkout procedure. Refer to Section 3 of this manual. 93‘Aespire 7100 9.1 How to bleed gas pressure from the machine Before disconnecting pneumatic fittings, bleed all gas pressure from the machine. 1. Setthe system switch to On, 2. Close all elinder valves and disconnect al pipeline supplies from the source. ‘Note: Ifthe machine includes NO, do not disconnect the O, pipeline. If pipeline 0 is not available, open the O> cylinder valve. 3, Turn the flow controls forall gases except 0) atleast one turn counterclockwise. 4, Ensure that all cylinder and pipeline gauges read zero before proceeding. + For machines with NO, disconnect the O> pipeline supply from the source (or close the 0 cylinder valve). * Press the 0 flush button to bleed 0, from the system 5, Setthe system switch to Standby. 9.2 How to remove the rear panels 9.2.1 To remove the rear upper panel 9.2.2 To remove the lower access panels o You must remove the rear upper panel to repair or replace many of the machine's ‘components. To access the 3rd cylinder supply if equipped) you must remove the lower access panels. 1, Bleed all gas pressure from the machine (Section 9.1), 2. Ensure that al cylinder and pipeline gauges read zero before proceeding, 3. Disconnectall electrical cables. 4 To remove the rear pane, full loosen the three captive screws that hold the panelin place, Remove the panel. «Ifthe machine includes integrated suction, disconnect the two tube fittings from the overflow safety trap manifold. + Ifthe machine includes electrical outlets, lower the panel and place itso thatit does not stress the power cable. ‘Bleed all gas pressure from the machine (Section 9.1), Ensure that all cylinder and pipeline gauges read zero before proceeding, Hf present, remove the inboard cylinders. Remove (two screws) the small upper access panel to access the 3rd cylinder regulator (N0) test port. '5, Remove (six screws) the large lower access panel to access the 3rd cylinder regulator. 8/07 misi01409 Repair Procedures 9.3 How to remove the tabletop ‘The tabletop is held in place with five captive screws along the periphery of the pan assembly (accessed from below the rim ofthe tabletop). * One sorew (A)is ina deep recess atthe right rear comer of the tabletop. * Two screws (B) ae atthe front of the tabletop: one screw i a the right comer of the tabletop, one is near the 0 Flush button. * To access the remaining two screws (C), you must remove the ABS: one screw isatthe left comer ofthe tabletop, one is nearthe APL Valve. x1t0140 08/07 9s‘Aespire 7100 9.4 Servicing the pipeline inlet manifold components 9.4.1 Replace pipeline inlet filter 9.4.2 Replace pipeline inlet check valve ‘The pipeline inlet fiter and the inlet check valve can be replaced without removing the. pipeline manifold from the machine. 1, Remove the pipeline inlet fiting, 2. Pullthe pipeline inlet fiter outof the fiting. The o-ing should come out with the iter. 3, Install the new pipeline inlet fiterin the pipeline inlet fitting, The new fier comes with an o-ring. 41. Remove the rear panel (Section 9.2). 2. Remove the pipeline inlet fitting. 43. The Air and 0, pipeline manifolds include a drive gas connection atthe back ofthe manifold. Remove the dive gas tube or plugto access the check valve, 4, From the back of the pipeline manifold, use a thin oolto push outthe check valve. (Foran N,0 manifold, you wll have to carefully apply pressure atthe outlet ofthe ‘manifold — with a syringe for example — to gently force the check valve out of the manifold 5. Push the new check valve into the opening, using the same thin tool. The new check valve includes an o-ng —orientit toward the pipeline inlet. Note: Make sure to push the new check valve all the way back nto the opening unit bottoms out on the shoulder. 6. Install the pipeline inlet iting. 8/07 mtst01409 Repair Procedures 3Replace the 1. Remove the rear pane! (Section 9.2) ' Inlet manifold > pisconnect the tubing rom the manifold outlet(). 3, Remove the two screw that hold the manifold to the side extrution, 4, Transfer the following item tothe replacement manifold or install new as required. * pipeline check valve (1) * inlet ter (2) * inlet fitting (3) and o-ing (4) * relief valve (5) 5. Toreassemble, perform the previous steps in reverse order. 6. Perform the checkout procedure (Section 3) wmsii0140 08/07 o‘Aespire 7100 9.5 Service the cylinder supply modules A. WARNING 9.5.1 Tightening procedure for high-pressure tube fittings Note 9.5.2 Replace primary regulator module (complete replacement) 98 Be careful not to expose intemal components to grease or oil (except Krytox or equivalent). The cylinder pressure gauge is connected tothe cylinder supply through a copper tube with fitings at both ends. Use the following tightening procedure whenever you are replacing a cylinder supply ora cylinder pressure gauge. 4. Insertthe tubing into the fitng until the ferrule seats inthe fting. 2. Tighten the nutby hand. 3. Continue tightening the nutwith a wrench untilitreaches the original positon (about 41/4 tum). You will feel an increase in resistance atthe orginal position. 4, Rfer reaching the original position, tighten the nutjust slighty ltyou are installing a new tube that has not been tightened before tighten the nut with ‘wrench an additional 3/4 ofa tum after the nutis finger tight. Bleed all gas pressure ftom the machine (Section 9.1). Ensure that al etnder and pipeline gauges read zero before proceeding Remove the rear panel Section 9.2) Disconnect the high-pressure cyinder gauge fiting Disconnectthe output tube fiting. Remove the three mounting screws and lockwashers. 7. Toreassemble, perform the previous steps in reverse order. * Tighten the high-pressure fitting as. detailed in Section 9.5.1 + Pullon the cyinder output iting to censure itis locked in place. 8. Check the output ofthe regulator ‘BEFORE you install the rear panel. Adjust necessary (Section 5.1). 9. Perform the checkout procedure (ection 3. 8/07 tst01409.5.3 Replace cylinder inlet filter A\cAUTION 9.5.4 Replace cylinder check valve wa110140 06/07 9 Repair Procedures 4 Open te cylinder yokes. 2. Remove the inlet adapter rom the cylinder yoke, using a4 mm hexwrench. Note: A brass retaningring keeps the iter inside the inlet adapter. 3. Thread a 6-mm screw two tums only) nt the brass retaining rng and pull tout Be careful not to crush the filter. Do not thread in the screw more than two full tums. 4, Remove the iter. 5. Install the new filter and brass retaining ring. 6. Install the inlet adapterin the cylinder yoke. 7. Perform the checkout procedure (Section 3) The oiinder check valve is nota replaceable item. Ifthe check vais defective, you mustreplace the complete cylinder supply module.‘Aespire 7100 9.5.5Replace 1. Removethelowerrearcaver(Section9.2.2) 3rd-gas cylinder 2 pisconnect the high-pressure cylinder gauge fitting SuppIY Module oisconnect te ouput tbe fit. 4. Remove the tree mounting srews and lackwashers. Outlet tube ting 5. Toreassemble, perform the previous steps in reverse order. * Tighten the high-pressure fiting as detailed in Section 9.5.1 ‘ Pull onthe cylinder output iting to ensure itis looked in place. 6. Check the output ofthe regulator BEFORE you install the rear cover. Adjust it necessary (Section 5.1). 7. Perform the checkout procedure (Section 3). 910 wyor_ wut10140‘9 Repair Procedures 9.6 Replace system switch assembly 1 2, 3 4 1110140 08/07 Bleed all gas pressure from the machine (Section 9.1). Ensure that all cylinder and pipeline gauges read zero before proceeding. Remove the tabletop (Section 9.3) Remove the gauge panel mountingsscrews and move the panel forwardto access the system switch. ‘System Sutch (Ghote). Disconnect the wires from the electrical switch. 3. Back out the system switch mounting screws just enough to allow the knob collarto be released. Wiile holding the switch assembly, push in the knob and tum it counterclockwise. Pull the knob and collar out from the front and remove the switch assembly.Aespire 7100 9. 10. 11. 12. Install the replacement switch assembly: ‘Loosen the two outside screws on the electrical module. b. Insertthe wiresin the electrical module andtghten the screws, ‘©. Pullthe wires onthe electrical module to ensure that there isa good connection. 4. Tum back the system switch mounting screws uni thelr tips recede. €. Orientthe switch assembly withthe Arftings toward the right andthe O fittings toward the let. Install the switch assembly trough the gauge panel. . Push the knob collarin wit the indicator up and tum it clockwise unt itlocks. h. Tighten the mounting screws. Make sure thatthe top edge ofthe switch assembly is parallel tothe top edge ofthe gauge panel. i. Transfer the tubing om the old system switch to the new system switch on the pneumatic module (pul on the tubingto ensure that is locked into the module), 0, 0ut Port) [PE Wiring Harnss Ogin(Port3) (Rearview) Testthe replacement switch assembly: a. Connect Air and 02 supplies. . Connect the power cable to an electrical outlet. . Setthe system switch to On, d, Increase the 0, and Airflow. Make sure that gas flows. €, Make sure that you do not fee or hear any leaks. {, Make sure thatthe display comes On. & Setthe system switch to Standby. fh. Make sure all gas low stops and the display tums Of. Reinstall the gauge panel and the tabletop. Perform the checkout procedure (Section 3), gyor_ wtz0%409 Repair Procedures 9.7 Service the flowmeter module 9.7.1 Remove front flowmeter panel shield 9.7.2 Remove flowtubes for cleaning or replacement vi110140 06/07 1. Bleed all gas pressure from the machine (Section 9.1). 2. Ensure that all ylinder and pipeline gauges read zero before proceeding. 3. The flowmeter panel ished in place with two latching tabs atthe rigtsde. To remove the panel, release each latch by pushingit toward the center ofthe panel with thin od (3-mm hex wrench) through the access hole inthe shroud 4, Remove the panel. 5. To reinstall the panel, engage the etainingtabs on the lft side and press the right side against the shroud to latch itin plac. 4, Remove the front flowmeter panel shield (Section 9.7.1). 2. Toremovea flowtube assembly, push up onthe tube just enough to clear the bottom seal, pull out from the bottom until the tube clears the flowtube module, then pull . pisconnectthe tubing at the rear of each gas module. The folowing example isa flowmeter head — back view ofthe flowmeter head Fresh gas out H,010 On arin supp Frosh gas out ‘witen (forsingotube forbead) 3. Disconnect the 0, supply switch hamess. Note position of switch connections so that you can reassemble corecty later. 4, Remove the front flowmeter panel shield (Section 9.7.1), 5. Remove the mounting screw from each regulator manifold. 6, Pullthe flowhead forward. 7. Toreinstall perform the previous steps in reverse order (pullonthe tubingto ensure itis locked into the ftings). {8 Check for proper alignment of the front flowmeter panel. I any of the needle valve knobs rub against the flowmeter panel, reposition the flowhead to allow for proper clearance. 9. Perform the checkout procedure (Section 3). mars0140 08/07 4s‘Aespire 7100 9.7.4 Replace flowmeter modules 0,/Alr modules Note 41, Remove the complete flowmeter head (Section 9.7.3). 2. Referto the following lustrations. Note that hese illustrations show ANSI flowmeter ‘module positions. he order is reversed in ISO machines. 0,/Air flowmeter modules are connected at the bottom with along screw (A) ‘and nut (B) that is recessed. To remove, retain nut while loosening screw. ‘The flowmeter modules are held together atthe top with au-cip. To separate the ‘modules, pivot the modules (front to back) 45 degree. The u-clip wil disengage and allow the modules to separate. The flowmeter modules are interconnected at the top by a spacer tube. The o-ring on the spacer tube makes a leak tight seal. se N vet Spacer Tide Top of fowmeter module oa/ormast01409 Repair Procedures ‘Single-tube flowhead The outlet fitting fra single-tube flowhead isnot an integral component ofthe O flowmeter. The outlet iting s a separate component that includes an oving seal andis held in place with two u-clips. ‘mat us Wein Ovi va 1 1 To remove the Alr flowmeter module: ‘a, Remove the screw located on the side ofthe Air flowmeter module. b. Hold the flowmeter module with the flowtubes facing you. Grasp the outer modules atthe bottom of the regulator manifold and push the left module away from you unt the u-lip pops off and the module separates {rom the other assemblies. 4. Pull the modules sideways to separate them atthe top. ) Save the u-cli, spacer tube, and the o-ing for reassembly. 4, Toremove the 02 oF N20 flowmeter module: 2, Setthe Op and N20 needle valves to theirmaximum postion (counterclockwise). b. Loosen the set screws on the NO knob, then remove the knob. «. Loosen the set screws on the NO sprocket andthe O, knob. 4, To remove, grasp the 0» knob/sprocket, NO sprocket, and chain as an assembly. Remove as an assembly. . Remove the spacer from the N2O needle valve spindle, f. Remove the pilot tube going othe balance regulator. 1110140 08/07 ear‘Aespire 7100 OO oe o¢ {& The, and Nz0 flowmeter modules are held togetherby asingle sew. Remove the screw located onthe side ofthe 0 flowmeter module, 1. Hold the flowmeter modules wit the flowtubes facing you. i. Grasp the modules atthe bottom ofthe regulator manifolds and push the lft ‘module away rom you uti the NO module separates from the O, module. |. Pullthe modules sideways to separate them atthe top. Save the w-li, spacer tube, andthe o-ringforreassembly. 55. Toreassemble the flowmeter madules, perform the previous steps in reverse order. Note: The u-clips must be reinstalled with the barbed leg othe lft as viewed from the front, qm tag Jor etme me sree ie 5 Ps | | 6. Install the screw through the O, flowmeter module to locks the O, and NO flowmeter modules together. 7. Reattach the pilot tube that goes tothe balance regulator. {8 Install the flowhead into the machine, Reconnect the tubing and the O» supply switch hamess, 9. Confirm needle valve calibration (Section 5.3). 10, Install the spacer on the N2O needle vale stem. 11. Install the chain on the O knob/sprocket assembly and the NO sprocket. 12, Install the chain and sprockets on the needle valve stems as an assembly. Do not tighten the set screws. wor watt0140wx110140 08/07 ‘9 Repair Procedures, ‘Sprocket/Chaln 5 Assembly 13, Install the NO knob. Snug one set screw to hold the knob in place. 14, Perform the link system calibration (Section 5.4. 16, Instal the flowmeter panel shield. 16. Perform the checkout procedure (Section 3).Aespire 7100 9.7.5 Replace flowmeter frame Remove the front flowmeter panel shied (Section 9.7.1. Remove the complete flowmeter head (Section 9.7.3). Separate the flowmeter madules as required (Section 9.7.4). Remove the lowtubes (Section 9.7.2), Keep athe parts forreassembly. Remove the gas identification panel by removing the two screws at the back of the frame. Keep all the parts for reassembly. 6. Remove the flowmeter frame by loosening the four mounting screws atthe back of the regulator manifold. "Note: There isa retainer in each screw location that keeps each screw within the manifold. 7, To reassemble, perform the previous steps in reverse order 8. {replacing 0, orN,0 frames, perform te linksystem calibration (Section 5.4). 9. Perform the checkout procedure (Section 3). 9/07 mass01409.7.6 Replace 02 supply switch 9.7.7 Checkout procedure for 02 supply switch 1110140 06/07 ‘9 Repair Procedures ‘The 0» supply switch is located on the 0, flowmeter’ regulator module, 1. Remove the upper rear panel (Section 9.2). 2. Remove the two mounting screws from the O» supply switch. Adjustment ‘Som hex Pull the O, supply switch out ofthe regulator manifold. Install the replacement Q, supply switch, Tighten the screws. Disconnect the leads from the old switch and reconnect them tothe new switch ‘Adjust the alarm threshold for the new O supply switch, as explained in the checkout procedure below (Section 9.7.7). 8. Replace the ear panel. 9. Perform the checkout procedure Section 3). 41. Remove the upper ear panel (Section 9.2) 2. Attach a gauge tothe O, primary regulator test port. (On pipeline only machines, attach the gauge toa 6-mm Op por). ‘3. Adjust the Op flow control to minimum flow (clockwise) 4, Install an 0p cylinder and open the cylinder valve (fr pipeline only, connect 0» Pipeline source). 5. Tum the system on. 6. Close the cyinder valve (disconnect pipeline from source) and watch the test gauge as the 0, pressure bleeds down slowly Note: The “No 0, pressure” alarm should occur between descending pressure of 221-193 kPa (32-28 psi. 7. adjustment is required, set the adjustment screw so that the “No O, pressure” alarm occurs at 207 47 kPa (30 +1 psi). 8. Disconnect the gauge and plug the test port 9. Toreassemble, perform the previous steps in reverse order. 10. Perform the checkout procedure (Section 3) oat