Excel Anesthesia Machine Operation and Maintenance ManualUser Responsibility CAUTION This Product will perform in conformity with the description thereof contained in this operating manual and accompanying labels and/or inserts, when assembled, operated, ‘maintained and repaired in accordance with the instructions provided. This Product must be checked periodically. A defective Product should not be used. Parts that are broken, missing, plainly worn, distorted or contaminated should be replaced, immediately. Should such repair or replacement become necessary, Datex-Ohmeda recommends that a telephonic or written request for service advice be made to the nearest Datex-Ohmeda Field Service Support Center. This Product or any of its parts should not be repaired other than in accordance with written instructions provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel. The Product must not be altered without the prior written approval of Datex-Ohmeda’s Quality Assurance Department. The user of this Product shall have the sole responsibilty for any ‘maifunction which results from improper use, faulty maintenance, improper repair, damage, or alteration by anyone other than Datex-Ohmeda. \ U.S. Federal and Canadian law restrict this device to sale by or on the order of a licensed medical practitioner. Outside the U. S. A. and Canada, check local laws for any restrictions that may apply. Datex-Ohmeda products have unit serial numbers with coded logic which indicates a product group code, the year of manufacture and a sequential unit number for identification, AAA A 12345 This alpha character indicates the year of product manufacture and when the serial number was assigned; Y" = 1995, ‘Z" = 1996, “A” = 1997, otc. “I” and "O" are not used.User Responsibility Definitions 1/Introduction Introduction to the Excel System 1-1 How to use this manual 1-2 2/General Information 3/Set Up An overview of the Excel System 2-1 Identifying Excel components and controls 2-2 Information about Monitor Pod Excel Systems 2-9, Monitor pod 2-9 7000 Ventilator 2-11 Information about 7800 Excel Systems 2-11 Mounting gas cylinders 3-1 Circuit and monitoring connections 3-2 4/Preoperative Checkout Before starting the checkout 4-1 Initial checks 4-1 Electrical connections 4-2 Checking vaporizer mounting 4-3 Checking cylinder and pipeline supplies 4-4 Checking vaporizer back pressure 4-4 Leak checking the low pressure circuitry 4-5 Checking the gas flow controls 4-6 Breathing system checks 4-7 Checking monitor and ventilator operation 4-8 5/Maintenance Maintenance schedule 5-1 Cleaning and sterilization 5-2 Replacing pod monitors 6-4 Fuses and circuit breakers 6-5 Recharging batteries 5-7 6/Troubleshooting Repair policy 6-1 Pneumatics problems 6-1Table of Contents Electrical problems - Monitor Pod Excel Systems 6-2 Electrical problems - 7800 Excel Systems 6-2 ‘7/llustrated Parts Excel specific parts 7-1 Where to find additional part numbers 7-1 Appendix Excel Pneumatics A-1 Specifications A-4 WarrantyDefinitions Certain terms are used throughout this manual: Note: A note provides additional information to clarify a point in the text Important: An Important statement is similar to a note but used for greater emphasis. Z\ cation: 4 statment vsed when the possiblity of damage tothe equipment exists. ZX wanna: a stetoment used won the possi of injury tothe patient or the operator exists. Various pages in this manual have been purposely left blank and headed with NOTES for your convenience in noting information which may be unique to your anesthesia system and also to facilitate starting each major section on a right hand page.NotesIn this section Introduction to the Excel System 1-1 How to use this manual 1-2 Introduction to the Excel System Anesthesia delivery Ventilator / monitoring packages Safety features ‘The Ohmeda commitment to meeting your anesthesia needs continues with the Excel series. The Excel series features a wide choice of anesthe- sia delivery options: + The Excel 210 offers three gases, oxygen, nitrous oxide, and air or heliox (75% helium, 25% oxygen). All gases except heliox (cylinder only) have pipeline and cylinder connections. ‘+ The Excel 110 has oxygen and nitrous oxide. All gases have pipeline and cylinder connections, with a backup cylinder connection for one gas, ‘+ Both models hold two vaporizers (Tec 4 or 5) ‘There are two basic Excel monitoring/ventilation packages: ‘+ The monitor pod and the Ohmeda 7000 Ventilator (a basic electronic ventilator). The monitor pod features panel mounted versions of the stand-alone oxygen, airway pressure and volume monitors. Volume and airway pressure monitors are not standard on Canadian monitor pods. ‘+ The Ohmeda 7800 Ventilator. The 7800 Ventilator combines ventila- tor and monitoring functions and offers a broader range of ventilation capabilities. * The Ohmeda 5250 Respiratory Gas Monitor (RGM) works with both packages. Standard RGM capabilities include O2 concentration, airway pressure, COz and N2O monitoring. Options include airway flow, $pOz, anesthetic agent, and circuit O2 monitoring, ‘The Excel includes several important safety features: + The Ohmeda Link 26 Proportion Limiting Control System limits the lowest oxygen concentration that can be delivered on the Excel to a nominal 25% for O,/N,O mixtures at the common gas outlet. + Audible and visual low O, supply alarms alert you if the O,pressure falls below anominal 30 psig (207 kPa). ‘+ _N,O and third gas flows stop if O, supply pressure falls below a nominal 20 psig (138 kPa). ‘+ Aninterlock mechanism that helps prevent more than one Ohmeda Tec 4 or Tec 5 vaporizer from being “On” at once. An isolation sys- tem also helps prevent fresh gas from entering a vaporizer that is not switched “On.” ‘+ Power failure alarms and monitoring backup. ‘+ Differentiated pipeline and cylinder gauges, * Gas specific pipeline and cylinder connections. + A guarded O, flush button. * Color coded flow controls and pressure gauges. onvcasnoo ratan 111/introduction Operator For your convenience, the Excel also features: + Asystem master switch that controls the pneumatics and the elec- tronics, + A standard two drawer storage cabinet. + An O, power outlet, typically connected to a ventilator. + Full length dovetail accessory mounting. + Asingle action brake/footrest. * Shelf space for additional monitoring. * Large, easy-running casters and a compact frame. How to use this manual What the manual's symbols mean ‘This manual gives you an overview of the available Excel Systems with emphasis on the gas machine. Each system component also has an operation and maintenance manual to answer specific questions. A complete set of operation and maintenance manuals comes with the Excel System. Ohmeda recommends that you keep this manual and all, related manuals in one of the storage cabinet drawers. Ifyou are using the system for the first time, read this manual first. Then read the operation and maintenance manuals for the system compo- nents. Before you go on to Chapter 2, “General Information,” make sure that you understand the symbols listed at the end of this chapter. If you have used the Excel before, complete the step-by-step set up procedure in Chapter 3. Then turn to Chapter 4 “Preoperative Checkout,” which is required before using the Excel. Before cleaning the Excel, read Chapter 5, “Maintenance,” carefully. This section also tells you how to replace customer accessible fuses, reset, circuit breakers, and replace complete monitors. Chapter 6, “Troubleshooting,” helps you solve problems that may occur with the Excel. For example, how can you tell if a low pressure leak is due to a vaporizer that you can replace or an internal fault that requires a service call? (If the leak follows a particular vaporizer and the external o- ting is in place, replace the vaporizer). Chapter 7, “Ilustrated Parts,” tells you how to order replacement parts and accessories. It also lists part numbers for all operation and mainte- nance manuals associated with the Excel System. ‘The Appendix lists Excel specifications and describes the internal pneu- matic circuitry, Please also take a moment to review the User Responsibility Statement on the inside of the front cover; it describes what is expected of you to maintain the Excel. Also read the Warranty on the back cover; it outlines Ohmeda’s responsibility in case of a functional defect. ‘A number of Wamings A\ and Cautions A\ are used throughout this manual to draw attention to the possible hazards and/or adverse condi tions which may oceur ifthe information and instructions provided are not strictly observed, 121/Introduction ¢AFrrFO20°O CEO Warnings A\ are used to draw attention to a condition which can endanger either the patient or operator. Cautions A\ are used to draw attention to a condition which can result in damage to the equipment. Special attention must be paid to each Warning and Caution as it ap- ears in the manual. We have also used—both in the manual and on the device itself—sym- bols to represent some common terms. No one product or manual has. every symbol listed. Refer to this listing concerning symbols found on various products and manuals. These symbols include’ On (power) Off (power) Stand-by Stand-by or preparatory state for a part of the equipment “ON” only for part of the equipment “or: " only for part of the equipment Alternating Current Protective earth ground Earth ground Frame or chassis ground Alarm silence button Equipotential 1 Variabitity 2010) Variability in steps + Plus, positive polarity Minus, negative polarity Lamp, lighting, illumination ‘Movement in one direction ‘Movement in both directions ‘Type B equipment Type BF equipment = o R R type cF equipment A. warning 130 7000-0085 A Caution, 180 7000-0434 AX Ayaeention,consutt accompanying documents, IEC 601-1 13NotesIn this section An overview of the Excel System 2-1 Identifying Excel components and controls 2-2 Information about Monitor Pod Excel Systems 2-9 Monitor pod 2-9 7000 Ventilator 2-11 Information about 7800 Excel Systems 2-11 An overview of the Excel System A "7800 Ventilator "7000 oF non-Ohmeda Ventilator Power failure (monitor- ing and ventilation) WARNING: The Ohmeda Excel System must only be used with non- flammable anesthetic agents. ‘The Excel Anesthesia System consists of: monitors, a ventilator, vaporiz~ ers, an absorber, and the Excel Gas Machine itself. Figures 2-1 through 2- 4 show both Excel Systems. ‘The type of ventilator determines how the Excel System functions. ‘Systems with the 7800 Ventilator: + Use oxygen, volume and pressure monitors built into the ventilator. * Distribute electrical power through an outlet box. Electrical power cords for system components plug into auxiliary outlets on the box. A transformer inside the outlet box supplies power to the light pack- age, + Use the system master switch to control gas flow and to switch "On" the ventilator. + Display ventilator and respiratory gas data together on the optional Respiratory Gas Monitor (RGM) Systems with the 7000 Ventilator or a non-Ohmeda ventilator: + Use separate oxygen, volume and pressure monitors mounted in the monitor pod. Volume and airway pressure monitors are not standard on Canadian monitor pods. + Distribute electrical power through the monitor pod. Electrical power cords for system components plug into auxiliary outlets on the pod. A power supply inside the pod runs the monitors and an external transformer that plugs into an auxiliary outlet on the pod supplies power to the light package. ‘+ Use the system master switch to control gas flow and supply power to the monitors, ‘+ Use the RGM as a stand alone option. System behavior during a power failure also depends on the ventilator: ‘+ With the 7800 Ventilator, the ventilator generates a power failure alarm. ‘Normal monitoring and ventilation continue using the ventilator battery. ‘+ With the 7000 Ventilator, the monitor pod and the ventilator generate power failure alarms and mechanical ventilation stops. Set the monitor power switches to the battery position to resume monitoring. + Regardless of the system there is no battery back up for the RGM. enonan09 ra-e2 242/General Information Identifying Excel components and controls This section locates and briefly describes system components, For information on monitor or ventilator controls, refer to the individual operation and maintenance manual. Excel with monitor pod and GMS absorber details (ont) 1 2 3 4 5 6 7 8 9 10 1. Light Package Switch 2. Monitor Pod. 3. Flow Controls 4. Visual O, Pressure Indicator 5. System Master Switch 6. Flush Button 7. Common Gas Outlet 8. Absorber Arm Button 9. Absorber Drain Plug 10. Brake Bar and Footrest 22 soat.ana0 oe2/General Information Monitor pod Light package switch Flow controls Visual O, pressure indicator System master switch Flush button Common gas outlet Brake Absorber drain plug Absorber arm button ‘The monitor pod contains the Ohmeda 420 Volume, 5120 Oxygen, and 5500 Airway Pressure monitors and a blood pressure monitor. The interface panel on the monitor pod allows sensor connections. Volume and airway pressure monitors are not standard on Canadian monitor pods. ‘Switches the light package “On” and “Off.” With a monitor pod, the light package transformer must be plugged into an outlet before it has power. With the system master switch set to “On,” turning a flow control counter-clockwise increases flow, turning a flow control clockwise decreases flow. A linkage between the N,O and the O, flow controls limits the lowest oxygen concentration that can be set on the Excel to a nominal 25% for O,/N,O mixtures at the common gas outlet. Flow ranges are: O,, 200 ml/min to 10 I/min (plus up to one additional turn of the knob in Canada, two in the United States and elsewhere); N,O, 0 to 10 Vmin (plus up to one additional tum of the knob ); air or heliox: 0 to 15 Vin, (plus up to one additional turn of the knob). Pneumatic indicator toggles to red if 0, pressure drops below approxi- mately 30 psig (207 kPa). Setting the system master switch to “On” allows gas to flow through the Excel and activates the electrical system, either switching “On” the 7800 Ventilator or the monitor pod. Pressing the O, Flush button delivers 45-70 min of O;. ‘The common gas outlet delivers anesthetic gases to the patient circuit. Push down to keep the Excel from rolling. Lift up to release. Unscrew and remove to drain condensate. Replace and tighten before use, Press this button to adjust the height of the absorber arm, tooaeancen eras 232/General Information . let 10. Absorber Mounting Knob 11. APL Valve 12, Absorber Check Valves 242/General Information Auxiliary ‘lectrical outlets APL valve ‘Absorber check valves ©, sensor port ‘Airway pressure gauge ‘Absorber release lever Absorber ‘mounting knob Bag/ Ventilator switeh Volume sensor Bellows locking knob ©, power outlet Light package transformer Located on the back of the monitor pod or the outlet box, these connec tions supply line voltage for accessory equipment. This valve limits patient circuit pressure during manual ventilation (bagging). Provide unidirectional flow through the absorber. ‘The O, sensor fits into this port to monitor inspiratory O, concentration. The port is capped when not in use. Absorber gauge to display inspiratory pressure. ‘This lever should always be in the lock position during use. The release Position lowers the absorber base so that you can remove the canisters. ‘Tur completely clockwise to attach the absorber to the mounting pin. Turn counter-clockwise to remove the absorber. ‘This switch on the absorber selects either the bag arm (Bag position) or the ventilator bellows (Vent position) as the drive gas source. ‘Monitors volume through absorber expiratory port. ‘Turn this knob to tighten the bellows assembly and the manifold onto the GMS Absorber. Connects to the ventilator gas input. Drive gas is supplied at a nominal 50 psig regardless of the position of the system master switch. Provides a power supply for the light package on monitor pod Excels. eovonsow erotae 252/General Information Vaporizer concentration control Concentration control release Vaporizer locking lever Vaporizer fil port valve Vaporizer key lock lever Vaporizer fi port (spout) Vaporizer fi port (keyed) Press in the release and turn the concentration knob to the desired agent concentration. The locking lever must be fully clockwise (locked position) or the control will not turn, Pressing the release allows you to turn the concentration knob on the vaporizer, When the locking lever is completely counter-clockwise, and the vapor- izer concentration is set to “Off,” you can mount or remove the vaporizer. ‘Tum the lever clockwise to lock the vaporizer in position, Opens the fill port valve so that agent can be added to the vaporizer. Holds the fill adapter from the agent bottle in place when the vaporizer is. being filled. To secure the adapter, lower the lever, insert the adapter, and raise the lever. Unscrew and remove the plug to fill or drain vaporizers with funnel fill ports. Insert the adapter from the agent bottle to fill or drain the vaporizer. The key lock lever holds the adapter in place and the fill port valve opens the port. tooesancon eraas 272/General Information Outiet box: ‘The outlet box distributes power to the Excel System components through auxiliary outlets. Patient interface ‘These connectors route sensor signals to the 7800 Ventilator. 7800 Ventilator/ Excel ‘Routes sensor data and system master switch position to the 7800 interconnect cable Ventilator. Fi Excel with 7800 Ventilator and outlet box (rear) 1 2 3 1. Outlet Box 2.7800 Ventilator/ Excel Interconnect Cable 3. Patient Interface 28 toowsancen o7oes2/General Information Information about Monitor Pod Excel Systems Note: A Alarms ‘Monitor power switches Monitor Volume Oxygen Airway Pres. Refer to individual operation and maintenance manuals for detailed monitor or ventilator information. Volume and airway pressure monitors are not standard on Canadian monitor pods. Monitor pod WARNING: Do not use the monitor pod to maneuver the Excel. Excessive force may dislodge the mounting blocks that attach the monitor pod. ‘The monitor pod includes the following monitors and alarms: ‘Monitor Alarms ‘Ohmeda 5420 Volume Monitor Apnea High Minute or Tidal Volume Low Minute or Tidal Volume Reverse Flow Ohmeda 5120 Oxygen Monitor High 0, Low 0; Ohmeda 6600 Airway Pressure Monitor High Paw Sustained Paw Subatmospheric Paw Low Battery ‘System (5500 monitor) Failure ‘Tycos Blood Pressure Gauge None ‘Monitor Pod Excel System Power Failure When individual monitor power switches are set for normal operation (see chart), the system master switch controls the monitors. If power fails, you must set the switches so the monitors use their internal batter- ies (see chart). After power is restored, you must return the oxygen and airway pressure monitor switches to the original settings or the monitors will continue to run off internal batteries. Individual monitor switch settings differ depending on internal circuitry. Monitor Switch Power Failure To Resume Battery Life Does Battery Normal Operation Action Normal Operation (new/chrgd) Recharge? On yele Switch Standby-On Automatic 6 hours Yes of Switch On Switch Off 1300 hous. No of Switch On, Switch Off ‘hour Yes oorseaveon e7ov8s 292/General Information Monitor pod battery 7000 Ventilator battery Figure 25 ‘The monitor pod Monitor 8. Ohmeda 5420 Volume Monitor Electrical Power Inlet Power Cord Bracket Patient Interface Panel ‘Tycos Blood Pressure Gauge Ohmeda 5500 Airway Pressure Monitor Ohmeda 5120 Oxygen A rechargeable battery inside the monitor pod powers audible and visual alarms for Excel System power failure. A fully charged battery can run the alarm LED and speaker for 1.25 hours at the normal volume and brightness and at reduced levels for an additional 45 minutes. To re- charge the battery, set the Excel system master switch to “Off” and plug the monitor pod electrical power cord into an energized electrical outlet. Recharging takes approximately 14 hours, A rechargeable battery inside the 7000 Ventilator runs an audible power failure alarm. To recharge the battery, set the 7000 Ventilator power switch to “On” and plug the ventilator's electrical power cord into an energized electrical outlet. Recharging takes less than 21 hours.2/General Information Note: Figure 2-6 The 7000 Ventilator control module 7000 Ventilator Refer to the 7000 Ventilator Operation and Maintenance Manual for detailed information. ‘The 7000 Ventilator has no display or patient monitoring. It has a non adjustable high pressure relief valve and alarms for ventilator malfunction, control settings that exceed unit capabilities (set volume not delivered, actual L:E less than control setting), low airway pressure, and low O, supply pressure, An internal battery powers an audible power failure alarm. AC) — 9 87 6 5 4 ‘Minute Volume Rate EE Ratio ‘Alarm LEDs Lamp Test Button (Test Alarm LEDs) Preoperative Checkout Card ‘Manual Cycle Button Sigh Switch Electrical Power Switch (On/Off) Information about 7800 Excel Systems Note Refer to the 7800 Ventilator operation and maintenance manual for more detailed information. ‘An interface cable between the Excel and the 7800 Ventilator connects the sensors to the ventilator and switches the ventilator "On" and “Off” through the system master switch. The ventilator's electrical power cord plugs into the outlet box. onvonanoo erate 2112/General Information Figure 2-7 ‘The 7800 Ventilator control module Ohmed 1 : 5 ar : a eee © |g al ; | 4 XN Inspiratory Pause Button Alarm Limits Inspiratory Prossure Limit Knob ©, Calibration Limit Adjustment Inspiratory Flow Knob Breath Rate Knob Display Tidal Volume Knob ‘Mechanical Ventilation Switch 0. Alarm Silence Button ‘The 7800 Ventilator has two modes of operation: monitoring and mechani- cal ventilation. There are some differences in monitoring depending on whether or not the ventilator is set for mechanical ventilation. Refer to the ‘7800 Ventilator Operation and Maintenance Manual for additional information. Patient data 7800 patient data includes: + Tidal volume + Respiratory rate + Minute volume * Inspired ©, concentration 212 toorseanace ore2/General Information Alarms 17800 Ventilator battery ‘The 7800 Ventilator includes alarms for: + Apnea, + High airway pressure + Low airway pressure + Reverse flow + High and low O, concentration + Low minute volume * Open drive cireuit + Low battery * Incorrect control settings * 0 sensor needs calibration + Power failure + Subatmospherie pressure * Inadequate supply pressure + Ventilator or monitoring malfunction (several messages) A fully charged battery will support mechanical ventilation for approxi- mately 20 minutes. The ventilator battery is rechargeable. To recharge the battery, set the Excel system master switch to “Off” and plug the ventilator's electrical power cord into an energized electrical outlet. Recharging takes about 24 hours. sooraeasace one 243Notes 214 roovanesaco oro/Setup In this section Mounting gas cylinders 3-1 Circuit connections 32 Mounting gas cylinders 1. Set the system master switch to “Off.” 2, Swing out the yoke clamp 3. Unscrew the tee handle until the screw is fush with the inside of the clamp. 4, Make sure that the cylinder valve is not covered by a dust cap. Remove dust cap if present. 5. Remove the old cylinder gasket if present and install a new gasket. Note! Make sure that the old gasket does not stick to the cylinder. IX CAUTION: Use one cylinder gasket per yoke. Extra gaskets may cause a leak. Not using a cylinder gasket will also cause a leak. Figure 3-1 ‘Mounting gas cylinders Yoke Gate Pipeline Inlet Gasket ‘Tee Handle oovaveace ono 343/Setup 6. Line the yoke index pins up with the cylinder post and swing the clamp closed, 7. Hand tighten the tee handle to secure the cylinder 8. Install cylinder plugs and gaskets in all unused yoke positions. 9. Verify that the cylinder wzench is present. WARNING: Always close the cylinder valve when you are using a pipeline supply. Ifa cylinder valve is open and the pipeline and regu- lated cylinder pressures are equal, both supplies may be used simulta- neously, leaving an insufficient reserve in case of pipeline failure. Circuit and monitoring connections A Note: Use this section as a quick reference if you are already familiar with individual monitor, ventilator, and absorber connections. For detailed information and accessory part numbers, refer to the individual operation and maintenance manual. WARNING: Use only Ohmeda specified cables, hoses, and tubing for external connections. Alternative cables, hoses, or tubing could cause false sensor readings or damage to the system. 1. Set the system master switch to “Off”, 2, Make sure that the absorber and the ventilator bellows are securely mounted. 3. Make the monitoring connections: WARNING: To ensure accurate pressure monitoring, the pressure sensing line must be kept clear of condensate. Ifyou are using a non-Ohmeda ventilator that requires expiratory Pressure monitoring, use the 7000 Ventilator connections, + Ifyou have a 7000 Ventilator and a GMS Absorber, refer to Figure 3-2. * Ifyou have a 7800 Ventilator and a GMS Absorber, refer to Figure 3-3 * Ifyou have a 7000 Ventilator and a non-GMS Absorber, refer to Figure 3-4. Circuit adapters may be required if the absorber lacks appropriate monitoring ports. + Ifyou have a 7800 Ventilator and a non-GMS Absorber, refer to Figure 3-5. Circuit adapters may be required if the absorber lacks appropriate monitoring ports. 323/Setup Figure 3-2 ‘Monitoring connections 7000 Ventilator with GMS Absorber ‘Monitor Pod Inspiratory Pressure Sensing Line Expiratory Pressure Sensing Line GMS Absorber Expiratory Flow Sensor Expiratory Port GMS Absorber 0, Sensor ‘7000 Ventilator (Rear View)3/Setup Figure 3-3 ‘Monitoring ‘connections 7800 Ventilator with GMS Absorber ‘7800 Ventilator (Rear View) ©, Sensor Inspiratory Pressure Sensing Line GMS Absorber Expiratory Flow Sensor Expiratory Port GMS Absorber Patient Interface Panel (Left Side of Excel) 343/Setup A Figure 2-4 CAUTION: The cable on the O, sensor must point up to help ke contacts and the front of the cartridge free of condensate. ‘Monitoring connections "7000 Ventilator with non-GMS Absorber a 10 ©@ ©, ( >I yy 1. 7000 Ventilator (Rear View) 7. Explratory Flow Sensor 2. Expiratory Pressure Sensing Line 8, Pressure Line Adapter 3. 0, Sensor 9. 0, Sensor Adapter 4. Inspiratory Port (Absorber) 10. Inspiratory Pressure 5. Absorber Sensing Line 6. Expiratory Port (Absorber) 11, Monitor Pod3/Setup CAUTION: The cable on the Oz sensor must point up to help keep the A contacts and the front of the cartridge free of condensate. Figure 35 ‘Monitoring connections "7800 Ventilator with non-GMS Absorber "7800 Ventilator (Rear View) Inspiratory Pressure Sensing Line Patient Interface Panel (Left Side of Excel) ©, Sensor ©; Sensor Adapter Inspiratory Port (Absorber) Absorber Expiratory Port (Absorber) Expiratory Flow Sensor, 10. Pressure Line Adapter 36 toonaeanaen eros3/Setup Note: WARNING: Disconnecting the O, sensor without removing and shorting the sensor cartridge can cause false high O, readings that may take hours to stabilize. To avoid a long stabilization period, install a new cartridge (step 4b). Use the shorting clip or disk to short the old cartridge for 18 hours, ‘Then reuse it under step 4b. Determine if the O, sensor is ready for immediate use or if it must be allowed to stabilize: a. Ifthe O, sensor has not been disconnected since last used, it is ready for immediate use. b. If you just installed a new sensor cartridge or a previously used cartridge that has been shorted (clip or disk) since it was discon- nected, the O, sensor must be connected for five minutes before it can be used. ©. Ifthe O, sensor was disconnected without removing and shorting the cartridge, the sensor must be connected and allowed to stabilize Stabilization times differ from cartridge to cartridge. If a cartridge fails to stabilize or cannot be calibrated after 18 hours of being shorted, replace the cartridge. WARNING: Any ventilator used with the Excel must have a high Pressure alarm and relief system for the patient circuit. ‘Make the ventilator and the gas scavenging connections: ‘Systems with a GMS Absorber Manifold have four connections (Figure 3-6): + Ventilator gas supply from the Excel O, power outlet, * Ventilator drive gas from the ventilator fitting labeled “Connect to Bellows Ass'y Inlet” to the straight, 17 mm connector on the absorber manifold. WARNING: Use only the Ohmeda, wire reinforced, 17 mm, corrugated tubing to connect ventilator drive gas to the bel- lows. Alternative tubing may kink or collapse. * Fresh gas input from the Excel common gas outlet to the ab- sorber input labeled “Common Gas v.” WARNING: The fresh gas hose must be securely connected to the common gas outlet and the absorber. + Exhaust gas from the angled 19 mm manifold connection to a gas. scavenging system. Use 19 mm corrugated tubing, WARNING: Do not connect the exhaust directly to a vacuum source. The vacuum may draw necessary gases from the pa- tient circuit. Refer to the operation and maintenance manual for the waste gas scavenging valve for additional precautions and information. tooraeanaca anon 373/Setup Figure 36 Ventilator and bellows connections with absorber manifold ‘Typical Ventilator (7800 Rear View) Bellows Interface Manifold (Attaches to Bellows) Fresh Gas Hose (Attaches to Common Gas Outlet) Absorber Exhaust (to Waste Gas Scavenging System, 19 mm) Ventilator Drive Gas (17 mm) Ventilator Supply (Attaches to Excel 0, Power Outlet) 38 covoomeo rat3/Setup ‘Systems without a GMS Absorber Manifold have six connections (Figure 3-7) + Ventilator gas supply from the Excel O, power outlet, WARNING: Use only the Ohmeda, wire reinforced, 17 mm, corrugated tubing to connect ventilator drive gas to the bel- lows. Alternative tubing may kink or collapsé + Ventilator drive gas from the ventilator fitting labeled “Connect to Bellows Ass'y Inlet” to the bellows port labeled “Inlet.” Use 17 mm. corrugated tubing. + From the bellows port labeled “To Anesthesia Machine” to the absorber ventilator port. Use 22 mm corrugated tubing, WARNING: The fresh gas hose must be securely connected to the common gas outlet and the absorber. + Fresh gas input from the Excel common gas output to the ab- sorber input. * From the bellows assembly port labeled "Exhaust" to a gas scavenging system. Use 19 mm corrugated tubing, WARNING: Do not connect the exhaust directly to a vacuum source. The vacuum may draw necessary gases from the pa- tient circuit. Refer to the operation and maintenance manual for the waste gas scavenging valve for additional precautions and information. + From the excess gas outlet on the absorber to a gas scavenging system. Use 19 mm corrugated tubing, toovecmsomn — eroa3 393/Setup Figure 3.7 Ventilator and absorber connections without an absorber manifold Bellows Fresh Gas Hose (Attaches to Common Gas Outlet) Absorber Exhaust (to Waste Gas Scavenging System, 19 mm) Absorber Ventilator Port (22 mm) Ventilator Supply (Attaches to Excel O, Power Outlet) Ventilator Drive Gas (17 mm) ‘Typical Ventilator (7800 Rear View) PRO geeNe 3103/Setup Note: Figure 3-8 ‘7800/Bxcel interface 6. With a 7800 Ventilator, connect the interface cable, If the interface cable becomes disconnected, monitoring and ventila- tion stop as if the 7800 Ventilator had been switched “Off” through the system master switch, g 1. Excel Interface Cable 7. With a 7800 Ventilator, plug accessory equipment power cords into the auxiliary outlets on the power outlet box, With a monitor pod, plug equipment power cords into the monitor pod auxiliary outlets, 8. Verify that an O, cylinder is installed. 9. Tum all flow controls completely clockwise (mninimum flow). 10. Continue with Section 4, “Preoperative Checkout.” emtoams09 ran 341Notes 342Preoperative Checkout In this section Before starting the checkout 4-4 Initial checks 4-1 Electrical connections 4-2 Checking vaporizer mounting 4-3 Checking cylinder and pipeline supplies 4-4 Checking vaporizer back pressure 4-4 Leak checking the low pressure circuitry 4-6 Checking the gas low controls 4-6 Breathing system checks 4-7 Checking monitor and ventilator operation 4-8 Before starting the checkout Initial checks A Note: ‘This section—"Preoperative Checkout” —describes the minimum checks that should be made before the Ohmeda Excel Anesthesia System is used on a patient. Do not use the system if it does not function correctly, as described in the preoperative checkout procedures; instead call a qualified service representative. WARNING: Always complete the preoperative checkout procedure in this section before using the Excel Anesthesia System on a patient. Perform these checks before each case using the actual room, pipeline and electri- cal supplies and gas cylinders that will be used during the case, WARNING: Make sure that you understand the correct connection, use and necessary precautions for all system components before using the Excel System. For additional precautions and information, refer to the operation and maintenance manuals for each component. WARNING: The system should only be used with the ventilator and monitors correctly connected and fully operational. Read the operation and maintenance manual for the ventilator and/or monitors very care- fully before using the anesthesia system. Make sure that you understand all information related to interconnections, required pre-operative checks, and required maintenance. CAUTION: Do not exceed the following shelf weight limits: top shelf, 50 Ibs (23 kg); middle shelf, 24 Ibs (11 kg). Verify that all equipment on the top shelf is securely strapped in place. If the weight of the mounted accessories is close to the maximum shelf limits, service installed weight kits make it easier to maneuver the Excel. Do not exceed shelf weight limits. 1. Check the overall integrity of the machine. Make sure that: + The casters are securely attached + All accessories are properly mounted + Setting the brake helps prevent the front casters from turning cotoamoos rata at4/Preoperative Checkout A 2. Make sure the breathing circuit is complete, undamaged, and, if appropriate, contains adequate CO, absorbant. WARNING: Ensure that all hoses, tubing, and other circuit connec- tions are made properly before using this anesthesia system. Failure to do so may result in patient injury. Refer to the operation and maintenance manuals for these devices. 3, Make sure that the following are not damaged: + Cylinder yokes + Pipeline inlets + Flowmeters and flow control valves + Pressure gauges + Vaporizers + Monitors and cables + Allhoses and tubing 4. Make sure the breathing circuit is closed and connected to a gas. scavenging system. 5. Check that the cylinders are properly installed. 6. Check that the vaporizers are propertly installed. 7. Check that the cylinder wrench is available. 8. Check that the brake is set. 9. Make sure that required emergency equipment is available and in good working order. Electrical connections A WARNING: To help protect against shock hazards, connect this equip- ment only to a grounded, hospital grade receptacle. The grounded plug must be inserted into a properly wired grounded receptacle. Where an ungrounded receptacle is encountered, a qualified electrician MUST replace it with a properly grounded receptacle. Do not use extension cords or adapters of any type. The power cord and plug must be intact and undamaged. 1. Check electrical connections: With a 7800 Ventilator, make sure that the ventilator is plugged into an auxiliary outlet in the power outlet box and that the Excel/ventila- tor interface cable is connected. With a 7000 Ventilator, make sure that the ventilator is plugged into an auxiliary outlet. 2. Check that the system master switch is set to “Off.” Then, plug the Excel power cord into an appropriately rated electrical outlet. 424/Preoperative Checkout 3. Set the ventilator controls to appropriate levels to minimize unneces- sary alarms: For the 7800 Ventilator: Tidal Volume: 200 mi Rate: 10 breaths/min Inspiratory Flow: 10 /min Inspiratory Pressure Limit: 50 cm H,O ‘Mechanical Ventilation: Off Low Min Vol: 0.0 /min Low O,: 18% High 0, 00% For the 7000 Ventilator: Power switch: Off Checking vaporizer mounting A Make sure the vaporizers are locked in place A Check that the Interlock rods are aligned A You can use both Tec 4 and Tec § vaporizers with the Excel System. If a ‘Tec 4 and a Tec § vaporizer are used together, the interlock system still helps prevent more than one vaporizer from being switched on at the same time. WARNING: Do not attempt to modify the system to accept Ohmeda Tec 3 vaporizers. The safety interlock will not prevent a mixture of Ohmeda Tec 3 vaporizers with Ohmeda Tec 4 or Tec 5 vaporizers from operating simultaneously. 1. Make sure that the tops of the vaporizers are parallel to the top edge of the manifold. Remount any vaporizers that are out of line. Check the vaporizers' locking knobs to ensure that the vaporizers are locked in place. 3. Attempt to lift each vaporizer off of the manifold. Remount any vaporizer that is not securely locked in place. WARNING: Do not use a vaporizer that continuously lifts off the manifold when its locking lever is in the lock position. 4. Attempt to switch “On” more than one vaporizer at a time. Try every combination that is possible with your system. If more than one vaporizer can be switched “On” at a time, remount the vaporizers and repeat this step. WARNING: Do not use the system if the vaporizer interlock system allows more than one vaporizer to be switched “On” at a time. 5, Fill the vaporizers as described in the vaporizer operation and main- tenance manual. rooveazsane 0708 434/Preoperative Checkout Checking cylinder and pipeline supplies 1. With the cylinders closed, make sure the cylinder gauges read zero, If the cylinder gauges do not read zero, the cylinders may have been previously opened. Briefly set the system master switch to "On" and ‘open the flow control valves to bleed pressure. As pressure de- creases, a “LO SUPPLY PRES 1" alarm may trigger on the 7800 Ventilator. A CAUTION: Open cylinder valves slowly to help avoid damaging the regulators. CAUTION: Forcing the flow controls can cause serious damage to the Excel. 2. Close all flow control valves and open the cylinders. Check that the cylinder gauges show adequate pressure. 3. Close all of the cylinder valves and note the value on each cylinder pressure gauge. The gauges must show less than a 100 psig (690 kPa) pressure drop in a five minute period. If the pressure drop exceeds this limit, the high-pressure circuit has an unacceptable leak. If there is an a. Check for a defective cylinder gasket, an extra cylinder gasket, or unacceptable leak: a loose tee handle. Replace the gasket(s) with a single, undam- aged gasket or tighten the tee handle. b. Repeat the leak check. If the circuit still leaks, do not use the system for clinical applications. Call a qualified service represen- tative for repairs, 4, Connect pipeline supplies and check that pipeline pressure gauges read approximately 45-60 psig (310-245 kPa). Checking vaporizer back pressure A WARNING: Follow the appropriate agent evacuation/collection proce- dures. Use the hospital gas evacuation system, Note: ‘The pneumatic alarm sounds briefly when the Excel is switched “On.” ‘Monitor or ventilator alarms may also sound, A CAUTION: Sudden surges can damage the flow control assembly. ‘Make sure that all flow controls are fully clockwise (minimum flow or “Off") before setting the system master switch to "On.’ 1. Plug the Excel in, set the system master switch to “On” and adjust the ©, flow to 6 Vmin. Verify that the O, float does not oscillate or stick. 2. Adjust vaporizer concentration from 0 to 1% click by click and ob- serve the O, flow. 3. Return the vaporizer to “Off.” If, flow dropped by more than 1 Vmin during step 2, contact qualified service personnel. Note Ifreplacing the vaporizer allows the Excel system to pass the vaporizer back pressure test, the fault isin the original vaporizer. Remove the original ‘vaporizer from use and contact qualified service personnel to repair it. a4 Twoveasaenn —o7oiae4/Preoperative Checkout 4, Repeat steps 2 and 3 for each mounted vaporizer. Leak checking the low pressure circuitry 1. Check the low pressure leak test device: + Block the inlet and squeeze the bulb until it is fully collapsed. ‘+ Ifthe bulb inflates in less than 60 seconds, replace the leak test device. 2. Set the system master switch to “Off” 3. Verify that all vaporizers are “Off.” This changes gas routing. 4. Leak check the low pressure circuitry: A WARNING: A low pressure leak means that metabolic gases and anesthetic agent are leaking into the atmosphere instead of going into the patient circuit. Low pressure leaks must be repaired before the Excel is used. Note: Gas supplies can be left “On” without affecting test results. With the system master switch set to “Off” there should be no flow through the system, a. Tum the flow controls one and a half tums counter-clockwise, b, Connect the low pressure leak check device to the common gas outlet, c. Repeatedly squeeze and release the bulb until it collapses, Note: ‘The vacuum from the leak check device may cause the floats to rise slightly. This is normal, 4. If the bulb reinflates in 30 seconds or less, there is an unaccept- able leak in the low pressure circuitry. e. Disconnect the low pressure leak test device. f, Set one of the mounted vaporizers to 1% and repeat steps b through a. g. Remove the test device, switch the vaporizer “Off” and “On" to relieve the vacuum, and return the vaporizer to “Off.” h. Set the second mounted vaporizers to 1% and repeat steps b through a) i. Remove the test device, switch the vaporizer “Off” and “On” to relieve the vacuum, and return the vaporizer to “Off.” j, Store the test device in the Excel drawer. x. Tum all flow controls completely clockwise (minimum flow). Do not over tighten, sootanaco oro 454/Preoperative Checkout A WARNING: After performing the low pressure leak test, do not use the anesthesia system until the system has been purged with oxygen. Using a system that has not been purged with oxygen may result in incorrect gas mixtures and injury to the patient. CAUTION: Verify that all vaporizers are “Off” before continuing. 5. Reconnect the common gas outlet to the breathing circuit and the scavenging system, set the system master switch to “On,” adjust the ©, flow to 1 /min and purge the Excel with O, for one minute, 6. Return the system master switch to “Off.” Checking the gas flow controls A WARNING: The Link 25 Proportion Limiting Control System sets a minimum O, concentration in the fresh gas stream when only O, and N,0 are used. Recirculating through an absorber or using a third gas may still cause a hypoxic mixture to be delivered, especially at low O, flow rates. 1. Either connect the pipeline supplies or slowly open the cylinder valves. 2. Set the system master switch to “On” and tur all flow control valves completely clockwise (mninimum flow). Note: With the 7800 Ventilator, status messages such as “REU FLOW ALtt OFF", “APNEA ALARM OFF ", or “VOL MON STANDBY’ * may appear. ‘UENT FAIL XX ” or “LOM BATTERY " alarms should not appear. Low ‘minute volume alarms may still occur and can be silenced with the alam silence button. 3. The oxygen flowmeter should show about 200 ml/min. The other flowmeters should show no gas flow. 4, Use the Link 25 Proportion Limiting Control System to check the N,O flow control. Observe the following precautions: ‘+ Adjust only the N,O flow control. + Start with the N,O and , flow controls at the minimum setting. * Increase the N,O flow as specified in the table and make sure ‘that the O, flow is in the allowed range. ‘+ Ifyou overshoot a setting, tum the O, flow control clockwise until the N,O flow decreases to the previous level. Set the N,O flow control _The O, flow must be (I/min) : Minimum ‘Maximum 0.24 0.36 0.40 O61 0.79 1.22 1.58 2.44 2.37 3.66 46 soorananace oro 884/Preoperative Checkout A WARNING: During operation, always use the O, Flow control to increase total gas flow and the N,0 flow control to decrease total gas flow. 5. Test link system tracking. Observe the following precautions: ‘+ Start with the N,O flow control set to 9.0 Vin. Adjust only the O, flow control. ‘+ Start with an initial O, flow between 2.40 and 3.66 I/min and go from higher to lower flow rates. ‘+ Ifyou overshoot a setting, turn the N,O flow control counter- clockwise until the O, flow rises to the previous level. Set the O, flow control ‘The N,O flow must be (I/min) to (W/min): Minimum. ‘Maximum 3.0 7.36 1141 10 2.46 3.80 os 123 1.90 03 O74 114 WARNING: Do not use the anesthesia system if the Ohmeda Link 25 Proportion Limiting Control System does not operate within permitted ranges. Using an incorrectly operating control system. may result in incorrect gas mixtures, and injury to the patient. 7. Adjust all of the gas flows to mid scale, While you are turning the flowmeter knobs, the flowmeter floats must move smoothly. 8. Shut “Off” the oxygen supply either by closing the oxygen cylinder valve, or by disconnecting the oxygen pipeline supply. As pressure bleeds off: * The oxygen-supply failure alarm must sound, ‘+ Allgas flow must fall to zero, with oxygen being the last gas to stop flowing. + The 7800 Ventilator displays"L0!! SUPP! PRES!” 9. Tum all of the flow control valve knobs completely clockwise to the minimum flow or closed position. Do not over tighten the valves. Breathing system checks Note: Refer to the GMS Absorber Operation and Maintenance Manual for additional information, 1. Complete the GMS absorber checkout procedure found on the back of the absorber. 2, Reconnect the unit for ventilator operation. Remove all occlusions from. the circuit. Remove the test plug from the ‘Y' piece and connect a test lung. Press the Flush button to fill the breathing bag. Set the Bag/ Ventilator switch to the Ventilator position. eorseaneen eravas 474/Preoperative Checkout Checking monitor and ventilator operation Note: The following is a condensed version of the monitor and ventilator checkout procedures. Refer to the individual operation and maintenance manuals for additional information. 1 3 With the monitor pod, check individual monitor functions: * Cycle the system master switch “Off” and Qn. * Verify that immediately after power is applied, the airway pres- sure monitor sounds an alarm for two seconds and lights the green zero pressure indicator. Verify that the system fail indicator does not illuminate, + Set the system master switch to "On" and the individual monitor or battery power switches to “Off” (monitors use Excel power). ‘+ Open the lower front panel of the oxygen sensor and complete the checkout procedure. + Open the lower front panel of the volume monitor and complete the checkout procedure. Set ventilator controls and alarms to operational settings. Complete the checkout procedure in the ventilator operation and maintenance manual. Make sure that the ventilator operates normally. + For the 7000 Ventilator, complete the checkout procedure found on the card that slides out from under the control module. + For the 7800 Ventilator, make sure the O, sensor is correctly calibrated and check the following alarms as recommended in the 7800 Ventilator Operation and Maintenance Manual checkout procedure: High and low O, concentration ‘Low minute volume Reverse flow Apnea High, low and sustained airway pressure If the Excel will not be used immediately, set the system master switch to “Off” and close all gas cylinder valves. 48In this section 5/Maintenance ‘Maintenance schedule 5-1 Cleaning and sterilization 5-2 Replacing pod monitors 5-4 Fuses and circuit breakers §-5 Recharging batteries 5-7 WARNING: This manual specifies Krytox® as an oxygen service lubri- cant. Do not use any lubricant on the Excel that is not specifically approved for use on anesthesia or oxygen equipment. Oil and grease based lubricants burn violently or explode when exposed to oxygen. WARNING: Static electricity is a fire hazard. Use only anti-static materials to cover the Excel System and its components. Maintenance schedule Daily Every two weeks Monthly Every three months Six months toa year depending on use Annually Every three years ‘This schedule lists the minimum maintenance required, based on normal use and typical environmental conditions. Heavier use or unusual environments may require more frequent maintenance. Before any cleaning or sterilization proce- ‘dure check the section labeled “Cleaning and sterilization.” + Clean the external surfaces ‘+ Calibrate the oxygen sensor in room air (21% O,) ‘+ Make sure the airway pressure monitor reads zero at atmospheric pressure (Excels with monitor pods only) + Drain and discard anesthetic agent from vaporizers. Less frequent changes may be required if the agent does not contain additives or stabilizing agents, + Replace the volume sensor cartridge + Calibrate the oxygen sensor with 100% O, + Apply Krytox to the threads on the yoke tee handle. Do not lubricate the absorber post assembly. * Contact trained service personnel to perform a full checkout and scheduled service maintenance on the Excel System (Excel, ventila~ ‘tor, monitor pod, and absorber). + Replace the oxygen sensor cartridge. ‘* Adjust the airway pressure monitor gain (Excels with monitor pods only) ‘+ Service Ohmeda Tee 4 vaporizers at an authorized Ohmeda service center. ‘+ Replace extemal o-ings on all vaporizer ports. + Service Ohmeda Tec 5 vaporizers at an authorized Ohmeda service center. rooraenace oro | Sa5/Maintenance As required, * Install new cylinder gaskets * Replace the absorbant in the GMS ‘+ Replace the oxygen monitor battery (Excels with monitor pods only) ‘+ Charge the airway pressure monitor battery (Excels with monitor pods only) + Charge the volume monitor battery (Excels with monitor pods only) ‘+ Charge the 7000 Ventilator battery (Excels with monitor pods only) ‘+ Charge the 7800 Ventilator battery (Excels with 7800 Ventilators only) Cleaning and sterilization A Extemal surfaces Sensor cleaning precautions: Precautions for painted, metal, or plastic surfaces CAUTION: Do not steam sterilize the Excel Anesthesia Machine CAUTION: Following ethylene oxide sterilization, quarantine the items in a well ventilated area to allow dissipation of absorbed ethyl- ene oxide gas. Follow the sterilizer manufacturer's recommendations for specific sterilization periods. Cleaning Use this section as a quick reference once you are familiar with the cleaning procedures found in the individual operation and maintenance manuals. To clean external surfaces use a damp cloth and a mild detergent, Use the minimum amount of liquid necessary since excess liquid may leak into monitoring connections or other electrical components, Wipe sensor cables and housings with a damp cloth. Never immerse the volume sensor clip or the oxygen sensor assembly in liquid. Exposure to liguids can damage the electrical contacts. ‘The volume sensor cartridge can be cleaned with liquid agents, but it must be dried thoroughly before use. To avoid damaging the precision movement, do not drop the cartridge or use a cleaning brush. ‘The O, sensor must be disassembled and the sensor cartridge removed for separate cleaning, The housing can be cleaned with a damp cloth (detergent solution or isopropyl alcohol). Corrosion from leaked sensor electrolyte can be removed with white vinegar under a fume hood. ‘The O, sensor cartridge contains potassium hydroxide (caustic). It can be wiped clean with a damp cloth (do not use alcohol) but special precau- tions are required. Refer to the 7800 Ventilator or the 5120 O, Monitor Operation and Maintenance Manual for detailed instructions. Do not use abrasive cleaners. They can mar the finish. Do not use anesthetic agent or glass cleaners on plastic or painted surfaces. They can mar the surface finish, Always check cleaning product information to make sure that it is safe for aluminum, painted, or plastic surfaces.5/Maintenance Bellows assembly, Items that cannot be sterilized by any method Ethylene oxide Liquid agents ‘The bellows must be disassembled for cleaning. Some components including the pop-off valve and the base cannot be immersed. Different methods may be required depending on the model. Refer to the bellows or the ventilator operation and maintenance manual for detailed informa- tion. Sterilization Use this section as a quick reference once you are familiar with the sterilization procedures found in the individual operation and mainte- nance manuals. ‘These items cannot be sterilized: ventilator control module and monitor pod monitors. ‘These items can be sterilized with ethylene oxide: bellows assembly (disassembly required), volume sensor cartridge, front half of the oxygen sensor housing, oxygen sensor adapter, oxygen sensor cartridge (ambi- ent temperature, no vacuum) and rubber and plastic articles, Refer to individual operation and maintenance manuals for disassembly instruc- tions and additional information. ‘The volume sensor assembly can be sterilized with a disinfectant applied with a cloth (do not immerse). The volume sensor cartridge can also be sterilized with liquid agents, but it must be dried thoroughly before use. To avoid damaging the precision movement, do not drop the cartridge or use a cleaning brush. ‘The O, sensor cartridge and rubber and plastic articles can be sterilized with a cold germicidal detergent. Do not immerse the O, sensor cartridge. Special precautions for rubber articles Rubber goods deteriorate over time and are considered expendable. The presence of oxygen, ozone, ether, mineral or vegetable oils, phenols, cresols, terpenes, hydrocarbon solvents, chlorinated hydrocarbons, esters, or oxidizing agents will hasten deterioration. (Check rubber articles regularly. Replace them when any of the following signs of deterioration appear, swelling, tackiness, or cracking. Conductive rubber goods loose their electrical conducti with age. To extend the useful life of rubber articles: + Remove metal connectors immediately after use, ‘+ Store rubber articles in the dark away from ozone sources (florescent light fixtures, electric motors, and diathermy machines), WARNING: Do not use talc, zinc stearate, calcium carbonate, corn starch or similar substances to prevent tackiness on rubber articles. Any substances used could contaminate or irritate the patient's respi- ratory tract. toonaeanaco oro 635/Maintenance Replacing pod monitors 1. Figure 5-1 Replacing a monitor Grasp the monitor near the top and pull it forward until the latch releases, Tilt the monitor forward out of the pod. Disconnect the sensor cable and any tubes from the back of the monitor. Remove the ball joint connector from the old monitor and install it on the new monitor. WARNING: Each monitor pod cable is labeled with the name of the monitor it connects to. Verify proper cable connections before closing the monitor pod. Incorrect connections cause false readings and may damage the monitors. Reconnect the cables and tubing: Label on Monitor Monitor Connector Oxygen Sensor Volume Sensor Airway Pressure Power Tilt the monitor slightly forward and align the ball joint connector. Push the monitor straight back until it clicks into position, Complete Section 4, Preoperative Checkout, before using the Excel System, 1. ‘Tilt Forward and Pull 2 Ball Joint 54 rootaeasace o7o825/Maintenance Fuses and circuit breakers A Figure 5-2 Replacing monitor pod fuses Note: WARNING: Fuses or circuit breakers that open repeatedly indicate a problem in the electric circuitry. Do not use the Excel System if fuses or circuit breakers open repeatedly. Contact Ohmeda for service. Replacing monitor pod fuses Fuses Fuse Drawer Anti-Disconnect Bracket Screw Power Cord, WARNING: Unplug the Excel power cord from the power outlet and set the system master switch to “Off” before checking the fuses. 1. Check the power requirements of the devices plugged into the auxiliary outlets. Their total current draw, not counting the light package, must bbe less than 9 amps, otherwise the fuses will open again, 2. Remove the screws that attach the anti-disconnect bracket. Lift off the bracket, 3. Unplug the power cord from the moniter pod. 4. Squeeze the tabs together on the fuse drawer and pull out the drawer. 5, Remove the fuses from the drawer. Check that the fuses are actually open. If the fuses are both intact, an internal fuse may have opened. ‘There is one internal fuse for monitor pod power. 6. Install two new fuses (10 A, 250 VAC fast acting) and slide the fuse drawer back into place. 7. Reconnect the electrical cord and switch “On” the Excel. Make sure that the monitor pod has power. If the fuses open again or if the monitor pod still does not have power, contact Ohmeda for service. 8. Install the anti-disconnect bracket. sooronom eranae 555/Maintenance Resetting the monitor pod circuit breaker Figure 53 Resetting the monitor pod circuit breaker Circuit Breaker 1. Look at the circuit breaker on the rear panel. If itis open, the toggle switch will point down. 2. Check the power requirements of the devices plugged into the auxiliary outlets. Their total current draw, not counting the light package, must be less than 9 amps, otherwise the circuit breaker will open again. 3. To reset the circuit breaker, push the toggle up, in the direction of the reset arrow marked on the panel. 4. Reconnect the electrical cord and switch “On” the Excel. Make sure that the monitor pod has power. If the circuit breaker opens again or if the monitor pod still does not have power, contact Ohmeda for service, Note: ‘There is one internal fuse for monitor pod power. Resetting the power outlet box circuit breaker 1. Look at the circuit breaker on the front of the outlet box (visible between the Excel shelves). If the button sticks out, the circuit breaker is open. 2. Check the power requirements of the devices plugged into the auxiliary outlets. Their total current draw must be less than 9 amps, otherwise the circuit breaker will open again. 3. To reset the circuit breaker, push the button in. 56 rootanasace 07.03925/Maintenance Note: Figure 5-4 Resetting the outlet box, circuit breaker 4, Reconnect the electrical cord and switch “On" the Excel. Make sure that the auxiliary outlets and the light package have power. If the circuit breaker opens again or if the Excel still does not have power, contact Ohmeda for service. ‘There is one internal fuse for light package power. 2 1 1. Circuit Breaker 2, Light Package Cable Recharging batteries Monitor pod ixcel System master switch to “Off” and plug the monitor oped Set the Excel System master switch to “Off” and plug the monitor pod Volume and airway pressure monitors (monitor pod) 7000 Ventilator battery 7800 Ventilator battery Power cord into an energized electrical outlet for approximately 14 hours. Set the system master switch to “On" and plug the monitor pod power cord into an energized electrical outlet overnight. Volume and pressure monitor switch settings do not affect recharging. The O; monitor batteries are not rechargeable. Refer to the O, Monitor operation and maintenance manual for battery replacement procedures. A rechargeable battery inside the 7000 Ventilator runs an audible power failure alarm. To recharge the battery, set the 7000 Ventilator power switch to “On" and plug the ventilator's electrical power cord into an ‘energized electrical outlet. Recharging takes less than 21 hours. Ifa ‘monitor pod auxiliary outlet is used, the monitor pod power cord must, also be plugged in. Set the Excel System master switch to “Off" and plug the ventilator's electrical power cord into an energized electrical outlet for approximately 24 hours. If an outlet box auxiliary outlet is used, the outlet box power cord must also be plugged in, eovenssoon wronaa 57Notes 58/Troubleshooting In this section Repair policy Repair policy 6-1 Pneumatics problems 6-1 Electrical problems - Monitor Pod Excel Systems 6-2 Electrical problems - 7800 Excel Systems 6-2 ‘Do not use malfunctioning equipment. Make all necessary repairs, or have the equipment serviced by an Authorized Ohmeda Service Repre- sentative. After repair, test the equipment to ensure that it is functioning properly, in accordance with the manufacturer's published specifications. ‘To ensure full reliability, have all repairs and service done by an Autho- rized Ohmeda Service Representative. If this cannot be done, replace- ment and maintenance of those parts listed in this manual may be undertaken by a competent, trained individual having experience in the repair of devices of this nature. CAUTION: No repair should ever be attempted by anyone not having experience in the repair of devices of this nature. Replace damaged parts with components manufactured or sold by Ohmeda. Then test the unit to ascertain that it complies with the manufacturer's published specifications Contact the nearest Ohmeda Service Center for service assistance. In all cases, other than where Ohmeda’s warranty is applicable, repairs will be made at Ohmeda’s current list price for the replacement part(s) plus a reasonable labor charge. Pneumatics problems Low pressure leak ‘est fails when vaporizer “On” High pressure leak or inadequate ventilator gas supply High pressure leak at gas block Excel Low 0, Alarm (visual & pneumatic) Check for correct vaporizer mounting. Tighten the vaporizer fill caps. ‘Make sure that there are external o-rings on all vaporizer manifold ports. Replace missing or damaged o-rings. If the leak continues, move the vaporizer to another port. If the leak follows the vaporizer, use a different vaporizer. Do not use the leaking vaporizer until it has been serviced. If the leak stays with the port, ie any vaporizer put on that port leaks and the external o-rings are in- stalled, contact qualified service personnel to repair the vaporizer mani fold. ‘Make sure that the gas cylinder is correctly aligned and the tee handle is tight. Check that there is only one cylinder gasket and it is in good condition. Check external hose connections to the O, power outlet. Make sure that the cylinder is correctly aligned and the tee handle is tight. Check that there is only one cylinder gasket and it is in good condition. This alarm sounds briefly when the Excel is switched "On” or “Off”. If the alarm activates during operation, check the gas supply pressure (cylinder or pipeline). If necessary switch to a reserve cylinder. oovaeanaen ee et