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ACM619 Service Manual

I ACM619 Anesthetic Workstation

IPPV

Ppeak PEEP
O2 kPa kPa
PCV
f MV
/min L

0 0

       5        5
VOL VOL
% %
         4          4
  1   1
       3        3
    2     2

300 O2 N2O AIR

600
900 O2 N2O AIR

1200
1500

PIPE LINE PIPE LINE PIPE LINE CYLINDER CYLINDER CYLINDER

kPax100 kPax100 kPax100 kPax100 kPax100 kPax100

O2 N2O AIR O2 N2O AIR

O2+

Fig.（6102535 Front1） 

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II Gas Part： 
1）  Operation Principle： 

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（Optional） 2.O2 Pipeline
1. O2 Cylinder  （Optional）
3.N2O Cylinder  4.N2O Pipeline 5.AIR 
（Optional）6.AIR Pipeline
Cylinder  7 Pressure gauge（0-1000kPa） 8 Pressure gauge（0-25000kPa）
（output 400kPa）10. pressure regulator （output 400kPa） 11. pressure regulator （output
9. pressure regulator 
400kPa） 12 filter 13. unidirectional valve 14. relief valve（840kPa） 15. alarm shift valve
（120kPa-200kPa） 16. alarm 17. gas storage cylinder 
18. pressure reducing I valve（output 270kPa） 19. N2O driven regulate valve 20. ventilator pressure reducing I
valve
（Output 250±10kPa）21. proportion valve 22. electromagnetic valve 23. ventilator pressure reducing II valve
（output 50±5kPa） 24. expiration unidirectional valve 25. atmosphere 26. relief valve（6kPa） 27. linage
flowmeter (0.1-2L/min;2.5-10L/min) （0.2%-5%） 30. relief valve（38kPa）
28. support circuit 29. evaporator 
31. O2 f lush valve (25L/min-75L/min) 32. Venturi valve33. Inspiration unidirectional valve 34. Expiration
unidirectional valve 35.O2 concentration sensor 36.flow sensor 37. pressure sample interface 38.
  patient （1000mL×2）
39. absorber  40. manual/ mechanical ventilator control 41. APL valve
（0-6.5kpa） 42.30mm exhaust outlet 43. Manual bag 44. Bellows 45. relief valve (0.2kPa-0.3kPa)
46.30mm exhaust outlet

Operation Principle compendium： 

ACM619 Anesthesia Machine has O2, N2O and Air three gases and according to CE
standards, it has two air supply ways, Serial number is 1、3、5 is the Cylinder inlet(back-up),
and the serial number 2、4、6 is the Pipeline inlet (common usage), the pressure of  Pipeline gas 
should set as 280kPa~ 600kPa.After the gas into the machine, it will be through the filter (12) 
to be filtrated the impurities and grains, and the Pressure gauge (7、8)will display the gas pressure,
cylinder gas（1,3,5）is reduced to 400 kpa by  pressure regulator(9,10,11) , connecting with the relief 
valve(14), then paralleling with the pipeline gas by unidirectional valve (13) 

The gas supply failure alarm system is made of alarm shift valve for oxygen（15）,alarm
unit (16) , gas storage cylinder(17) and unidirectional valve(13), When the gas pressure is higher than
200 kPa, the gas will be through the unidirectional valve (13) into the gas storage cylinder(17), until
the gas storage cylinder’s pressure is the same with the gas pressure. If the pressure controlled shift valve
(broken line) is on the position 1(left), the gas is closed. When the gas pressure is less than 200kpa, the
 pressure controlled (broken line) shift valve is on the position 2(right), the gas of the gas storage cylinder 
flows through the shift valve and blows the alarm unit. The alarm time is not less than 7 seconds.  

one part of the O2 gas enters into the ventilator, then through the primary pressure reducing
valve I (20), reducing the pressure to 250±10kPa, the main gas enters into the
 bellows(44)through  proportion valve(21) to supply dynamic for breathing. The auxiliary gas
  passes through electromagnetic valve (22) and secondary pressure reducing valve (23) , enters into
expiration valve (24), meanwhile, the expiration valve connects with atmosphere (25) and relief valve
(26). When inspiration, ventilator controls the proportion valve (21), and turns on in accordance with the
set tidal volume, at the same time the electromagnetic valve (22) is connecting, and the gas pressure is
reduced to 50±5kPa through the secondary pressure reducing valve. The controlling
expiration valve 24 is closed, the main gas is separated with the atmosphere and the driven
gas is produced to press bellows to inspiriting. When expiration, proportion valve is closed,

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meanwhile, electromagnetic valve (22) is closed, too. The gas from auxiliary gas channel is released by
electromagnetic valve, then expiration unidirectional valve opens, the driven gas is released to
atmosphere by expiration unidirectional valve. If accident happens during inspiration, say, too much gas
supply, pressure increasing, in order to protect the patient, relief valve 26 can automatically open to
reduce the pressure when pressure grows to 5.5~6kPa. 

O2 is reduced to 270kPa by primary pressure reducer 18 and enters into the linkage
flowmeter (27). At the same time, the pressure reduced O2 controls the N2O’s in an out by N2O driven
adjusting valve. When the O2 pressure is lower than 200kPa~120kPa,   N2O is cut off; when the O2
 pressure is higher than 200kPa~120kPa, the N2O enters into the linkage flowmeter (27). And the air 
source also enters into the linkage flowmeter(27) by primary pressure reducing valve (18)

The pressure reduced O2, N2O, Air is mixed in the linkage flowmeter 27, then passes
through   by-pass valve (28) and enters into the vaporizer; after mixing with the anesthestic agent in
accordance with the set proportion, the mixed gas enters into the circle absorber through Venturi valve(32)
(it is consisted of the elements from 33 to 43). At the same time, the pressure reduced O2
also enters into the Venturi valve by O2 f lush valve (31), and then into the circle absorber.

The working procedures of the circle absorber (it is consisted of the elements from 33
to 43).
Setting the switch of Manual/ mechanical to “mechanical”, and the ventilator works to
 pressure the bellows to let the gas entering into the circle absorber, and then this gas passes
to the patient 38 through unidirectional valve (33). when expiration, pressure of bellows releases,
 pressure of patient lung release CO2 by expiration unidirectional valve (34) and make a chemical reaction
with sodalime which is in the absorber (39). if the too much gas compensation quantity or other reasons
cause the end expiratory pressure higher than the set pressure of spill valve 0.2 kPa ~0.3 kPa, the
spill valve opens to release the gas Setting the switch of Manual/ mechanical to “manual”,
anaesthetist uses the manual bag to supply gas to patient, and make the gas exchange.At the
same time, in order to protect the patient, you should set the safety pressure of APL valve.
When the pressure is higher than the set value, exhaust gas will be exhausted from exhaust
outlet (42)
 

2）  Common Malfunction

（1）Circle absorber leakage

First to test the vaporizer’s connecting to see whether it leaks.

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Checking the leakage of circle absorber  
Under the manual condition, using a silicone tube to connect the inspiratory outlet and
expiratory outlet.

Opening the flow meter slowly to increase of the pressure of the absorber’s gauge to 3KPa,
then close the flow meter 

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Observing the pressure gauge for 2~3 minutes. If the indicator of the pressure gauge doesn’t
drop, it expresses that the circle absorber doesn’t leak. Testing the folding bag and spill
valve of the bellows assembly, ff the circle absorber leaks, please check whether the
absorber is tightened.

（2）Spill valve’s adjustment

Dissembling the bellows assembly

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Unscrew the three screws and take down the cover, adjust the place of the pressure nut to change the
 pressure value.  

Screw 

Pressure adjustment
nut

Rotate the nut anticlockwise to increase the spill valve’s pressure value; rotate nut clockwise to reduce
the pressure value. After adjustment, assemble the bellows again. After the machine works well, observe
the airway  pressure gauge on the circle absorber, and the end-expiratory pressure should be 0.2~0.3KPa.

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Ⅲ Electric Part： 
1）.  Operation Principle

Anesthesia machine wiring diagram

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ib. diagram, the left side “power supply”， 220V or 110V via X1entrance ventilator, through magnetism ring L1, L1
for shield interfere comes from of power supply. Live wire (L), Null Line (N), in series 8amp. fuses, connect with
switch S1, earth wire(E) connect with the machine shell. From of S1 lead two line, L and N. One joint 2A slow fuse
via capacitance C1, C2 which fixed on the machine shell connect with the switch U1, the another one joint 2A quick 
fuse connect X2, X3, X4 together with E which one on the shell.

Power switch U1 output two wires, Earth wire GND and 24V, connect with electrical outlet X2 on the control board
A1.

Control board A1： 

Electrical outlet X7 output 5 lines, “D” shape outlet which designed for signal interference shielding, two for oxygen
concentration, two for manual switch, five for coupler test board.
Oxygen concentration Manual switch Coupler test board
1 2 1 2 1 2 3 4 5
GND Signal GND +5V Signal Signal Signal GND

Electrical outlet X8, three lines connect to buzzer board.

1 2 3
+5V GND Control board

Electrical outlet 5, connect to Proportional Valve Controller:

1 2 3 4
Control board GND +12V +24V
Gray Black Red Purple

Proportional valve controller output:

Black Red
On-off +12V

Electrical outlet 4, connect to electromagnetic valve

1 2
Control board +12V

Electrical outlet X11, 26 core cable connect to the LED display board A2.
1 2 3 4 5 6
+5V +5V GND GND PVC setting VCV setting
7 8 9 10
Inspiration pressure setting I:E setting Respiratory rate setting TV setting
11 12 13 14
Confirm button Optical encoder OC1 Optical encoder OC2 Display board D2 Chip
select signal
15 16 17 18
VCV Lights Display Board D1 Chip PCV Light SCLOCK Bus signal
select signal

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19
SDA Bus signal

Line 20~26 “Empty”.

Electrical outlet X6

1 2 3
GND D1 Serial ports TXD end D1 Serial ports TXD end

Electrical outlet X10

1 2 3 4 5 6 7
-12V Empty Empty DGND 5VD EGND 12V

Electrical outlet X11

1 2 3 4
GND Pressure analog output Flow analogy signal output Flow analogy signal
output

LCD Display

12V Input

Inverter 

High-voltage output

Cable connected to upper board.

LED Display board A2： 

26 core cable X2 connect with A1X1

6 core cable X3 connect with shuttle button.

10 core X2 connect with upper board X4

Connect with the membrane board

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Electrical outlet X3（6 core） 

1 2 3 4 5 6
GND Confirm button GND shuttle button OC1 shuttle button OC2 +5V

Electrical outlet X2 connect with electronic board electrical outlet X4 (10 core)

1 2 3 4 5
STBY Indicator light STBY MENU Mute RESET
setting setting setting setting
6 7 8 9 10
LCD display setting Confirm Shuttle button OC1setting Shuttle button OC2 setting GND

Electrical outlet X4 (19 core)

1 2 3 4 5
STBY Indicator light STBY setting MENU setting Mute setting RESET setting
6 7 8 9 10
LCD display setting TV Setting Respiratory rate Setting I:E Setting Inspiration pressure setting
11 12 13 14 15
PCV function IPPV function PCV indicator light IPPV indicator light Empty
16 17 18 19
Empty Empty GND GND

Electronic board

Electrical outlet X6, serial interface, used for machine debugging.

The others tie-in please refers to the circuit board instructions.

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2） Parts testing： 

Proportional valve

Yellow/Yellow Yellow-green/Yellow together put in the right side jack.

Down

Up

ENTER 键 

1． Connected proportional valve and the controller as the indication above;

2． Turn on ventilator, long press ENTER for 5 seconds to enter setup menu;
3． Into the INP (input) menu, by pressing the down button to INP = 0 ~ 5V, the display interface to the END option,
 press ENTER exit.
4． Into the OUT (output) menu, then enter the UALU (body type) menu, by pressing the down button to set to 2833,
the display interface to the END option, press ENTER exit;
5． Into the OUT (output) menu, then enter the ADJ (adjust coil) menu, by pressing the down button to LO (low) =
250mA, so that HI (high) = 400mA, the display interface to the END option, press ENTER exit;
6． Into the CUT (screen) menu, by pressing the down button to make CUT value = 0, the display section to the CUT
option, press ENTER exit;

7． Into the CUT (screen) menu, by pressing the down button to make CUT value = 0, the display section to the CUT
option, press ENTER exit;
8． Other menu options do not do change

The display interface to the END option, press ENTER to return control window.

Pressure settings:
Preheated for 5 minutes after boot, anesthesia machine work for the state, anesthesia ventilator control panel DIP
switch S1, 4,3,2 segment is set to on, 1 is set to off, then anesthesia ventilator tidal volume window adjusted value for 
the pressure, the digital pressure gauge to the pressure sampling port, debug as follows:

1) To the pressure sampling port on the air, anesthesia ventilator display 2.00 ~ 2.02, or adjust control panel
 potentiometer R4;

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2) Measurement of the container through the sampling port pressure to 7kPa, anesthesia ventilator showed a value of 
8.98 ~ 9.02, or adjust control panel board potentiometer R3;
Repeatedly adjust R3, R4, to meet the requirements of airway pressure display.
Adjustment is completed, the control panel DIP switch S1 of a segment set to on.
 

3） Fault:
Tidal volume are not accurate (gas line problem need to exclusion before electrical test) as a pressure sensor,
two pressure sampling tubes often stagnant water, pressure will affect the transmission of tidal volume are
not accurate, so first check whether the sampling tube does have water, and clear it. Analysis carried out
after confirmation.
Three problems lead the Tidal volume not accurate: 1) pressure sensor failure; 2) the proportional valve
controllers problem; 3) The proportional valve is not working properly;

Pressure sensor test:

 N12
After the boot to be working properly, measuring 3 feet N12 voltage, consistent with Table 1, differential pressure
sensor to determine the normal sampling:

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  No. （ml） TV Voltage（max） 

1 250 2.53
2 350 2.71
3 500 2.87
4 650 2.95

5 800 3.04
6 1000 3.14
Table 1

Proportional Valve Controller Detection:

Output current value

Measure input voltage

Start working properly, set the different tidal volume, simultaneous detection of the input voltage proportional valve
controller, the controller shows the current value of observation, compared with, if found in the following table (Table

2), the control panel (A1) and proportional valve is working properly.

  No. TV Input Voltage Current mA

1 250 1.58 298
2 350 1.84 305
3 500 2.21 316
4 650 2.56 327
5 800 2.95 338
6 1000 3.55 355
Table 2
2.  Black screen, black screen of Death;
Check the back of LCD panels before and after the 220V inverter and +12 V, power supply socket X1 PC board
situation.
3.  membrane board key failure:
First test the use of all buttons, the screen is normal operation; further determined that under fault phenomenon
mask the problem, the PC and control board failures.
PC board controls: buttons, "home screen", "menu", "confirm", "▲", "▼", "STBY", "Mute 2min", "reset." All
screen display.
Control Panel Control: Key "PVC", "VCV", "suction pressure", "smoking calls more than", "respiratory rate",
"tidal volume", "confirm."
By checking the LED display X2, X4, X1 socket, to confirm cause of the malfunction.

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