9100C Urm - Ge Anesthesia

GE Healthcare
9100c
User’s Reference Manual
Software Revision 1.x
User Responsibility
This Product will perform in conformity with the description thereof
contained in this User’s Reference 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 repair or replacement become necessary,
GE Healthcare recommends that a telephonic or written request for
service advice be made to the nearest GE Healthcare Customer Service
Center. This Product or any of its parts should not be repaired other than
in accordance with written instructions provided by GE Healthcare and
by GE Healthcare trained personnel. The Product must not be altered
without the prior written approval of GE Healthcare. The user of this
Product shall have the sole responsibility for any malfunction which
results from improper use, faulty maintenance, improper repair, damage,
or alteration by anyone other than GE Healthcare.
CAUTION U.S. Federal law restricts this device to sale by or on the order
of a licensed medical practitioner. Outside the U.S.A., check
local laws for any restriction that may apply.
Disposable Multi Absorber, Reusable Multi Absorber, and

Tec 7 are registered trademarks of GE Healthcare.
Other brand names or product names used in this manual are
trademarks or registered trademarks of their respective holders.
Cleaning Information Clean the breathing circuit prior to first use after installation.
Main Machine SN GE Healthcare products have unit serial numbers with coded logic
Information which indicates a product group code, the year of manufacture, and a
sequential unit number for identification. The serial number can be in the
format below.
MEYYMM1111
The YY represents a number indicating the year the product was
manufactured; 10 = 2010,11 = 2011, etc.
The MM represents a number indicating the month the product was
manufactured; 01 = Jan,02 = Feb, etc.
Table of Contents
User Responsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

1 Introduction
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Symbols used in the manual or on the equipment . . . . . . . . 1-3
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
2 System Controls and Menus
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Integral Components . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Not Integral components . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Anesthetic System Control . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
ACGO (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Scavenging the ACGO sample flow . . . . . . . . . . . . . . . . 2-7
Scavenging from an auxiliary manual breathing circuit . 2-8
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Ventilator screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
3 Operation
Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Start standby mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Change Ventilator Modes . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Ventilator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Using quick keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Indication messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
M1217964 Rev B 1
9100c
EZchange Canister (optional) . . . . . . . . . . . . . . . . . . . . . . . 3-5

Passive AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Connecting passive AGSS . . . . . . . . . . . . . . . . . . . . . . . 3-6
Active AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Connecting active AGSS with a flow indicator . . . . . . . . 3-8
Connecting active adjustable AGSS . . . . . . . . . . . . . . . 3-8
4 Preoperative Checkout
Every day before the first patient . . . . . . . . . . . . . . . . . . . . . 4-2

Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
5 Preoperative Tests
Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
O2 supply alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
O2 flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Vaporizer Safety InterLock . . . . . . . . . . . . . . . . . . . . . . 5-10
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . 5-11
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Negative low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Positive low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Breathing circuit tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . 5-20
6 Alarms and Troubleshooting
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Ventilate manually alarms . . . . . . . . . . . . . . . . . . . . . . . 6-5
Breathing circuit problems . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
2 M1217964 Rev B
7 User Maintenance
Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Maintenance summary and schedule . . . . . . . . . . . . . . . . . 7-4
User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Authorized Maintenance . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Breathing circuit maintenance . . . . . . . . . . . . . . . . . . . . . . . 7-5
O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Install cleaned, sterilized components . . . . . . . . . . . . . . 7-9
Inspiratory and expiratory check valves . . . . . . . . . . . . . 7-9
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9
Vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
8 Setup and Connections
Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

When to change the absorbent . . . . . . . . . . . . . . . . . . . 8-6
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Removing an EZchange Canister . . . . . . . . . . . . . . . . . 8-7
Reusable Multi Absorber canister filling . . . . . . . . . . . . . 8-8
Flow sensor connection . . . . . . . . . . . . . . . . . . . . . . . . 8-11
Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Outlets (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Mains inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
USB port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13
Pneumatic connections . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
Pipeline Inlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
Scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
How to install gas cylinders Gas supplies . . . . . . . . . . . . . 8-15
How to install pin indexed cylinder yokes? . . . . . . . . . 8-15
How to attach equipment to the top of the machine . . . . . . 8-17
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-17
9 Cleaning and Sterilization
M1217964 Rev B 3
9100c
Breathing circuit autoclavable parts . . . . . . . . . . . . . . . . . . . 9-3

Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Remove the breathing circuit bag hose . . . . . . . . . . . . . . . . 9-7
Remove the breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Disassemble the breathing circuit . . . . . . . . . . . . . . . . . . . 9-10
Clean and sterilization of bellows parts . . . . . . . . . . . . . . . 9-14
Disassemble the bellows assembly . . . . . . . . . . . . . . . 9-14
Assemble the Bellows Assembly . . . . . . . . . . . . . . . . . 9-15
Cleaning the Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . 9-16
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-17
Install the breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . . 9-20
Remove the AGSS and receiver . . . . . . . . . . . . . . . . . . . . 9-22
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . 9-23
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-24
Mechanical cleaning in washer or washer-disinfector . 9-24
Manual cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-24
High level disinfection . . . . . . . . . . . . . . . . . . . . . . . . . 9-24
EZchange Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-25
10 Parts
Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
EZchange Canister system (optional) . . . . . . . . . . . . . . . . 10-6
BTV Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Passive AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Adjustable AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . 10-10
Active AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 10-12
Test tools and system parts (optional) . . . . . . . . . . . . . . . 10-15
Flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-16
11 Specifications and Theory of Operation
System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
4 M1217964 Rev B
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
O2 flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Air and N2O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
EZchange Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
ACGO Port relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Breathing circuit specifications . . . . . . . . . . . . . . . . . . . . . . 11-9
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . 11-12
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
O2 monitor theory of operation . . . . . . . . . . . . . . . . . . 11-14
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15
Ventilator operating specifications . . . . . . . . . . . . . . . . . . 11-17
Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-17
Fresh gas compensation . . . . . . . . . . . . . . . . . . . . . . 11-17
Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-17
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-17
Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-17
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . 11-18
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . 11-20
Guidance and manufacturer’s declaration - electromagnetic
emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-20
Guidance and manufacturer’s declaration - electromagnetic
immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-21
Power immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-21
Radiated immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-22
Recommended separation distances . . . . . . . . . . . . . 11-23
M1217964 Rev B 5
9100c
Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-24

IEC 60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . . 11-24
Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
System components . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
Integral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
Not integral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
Index
Warranty
6 M1217964 Rev B
1 Introduction
In this section Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Symbols used in the manual or on the equipment . . . . . . . . 1-3
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
M1217964 Rev B 1-1

9100c
Intended use
The 9100c anesthesia machine is a compact, integrated, and intuitive
anesthesia delivery system. The 9100c anesthesia machine provides
general inhalation anesthesia and ventilatory support for patients
during surgery as well as monitoring and displaying various patient
parameters.
This anesthesia system is not suitable for use in an MRI environment.
This system must only be operated by medical personnel authorized
and trained to use this product. It must be operated according to the
instructions in this User’s Reference Manual.
Production description The 9100c anesthesia machine is composed of anesthetic breathing
system, anesthetic gas transfer and receiving systems, anesthetic
vapor delivery devices, anesthetic ventilator and accessories.
Note Configurations available for this product depend on local market and
standards requirements. Illustrations in this manual may not
represent all configurations of the product. This manual does not
cover the operation of every accessory. Refer to the accessory
documentation for further information.
WARNING Explosion Hazard. Do not use this system with flammable

anesthetic agents.
1-2 M1217964 Rev B

1 Introduction
Symbols used in the manual or on the equipment

Symbols replace words on the equipment, on the display, or in GE
Healthcare manuals.
Warnings and Cautions tell about dangerous conditions that can
occur if you do not follow all instructions in this manual.
Warnings tell about a condition that can cause injury to the operator
or the patient.
Cautions tell about a condition that can cause damage to the
equipment. Read and follow all warnings and cautions.
On (power) Off (power)
On (system on)
O2+ O2 flush button
ACGO
Off (system standby)
AC on and battery charging On battery
Dangerous voltage Type B equipment
Direct current Frame or chassis ground
Caution, consult accompanying documents Alternating current
Consult instructions for use Attention, refer to product instructions, IEC

60601-1
Pneumatic inlet Exhaust
Serial number Stock number
Equipotential Lamp, lighting, illumination
Protective earth ground Earth ground
M1217964 Rev B 1-3

9100c
Variability Max
+ Plus, positive polarity

- Minus, negative polarity
Bag position/manual ventilation Mechanical ventilation
Inspiratory flow Expiratory flow
Movement in one direction Movement in two directions
Lock Unlock
Isolation transformer Low pressure leak test
134°C
Autoclavable Not autoclavable
Bellows volumes are approximate

O2 % O2 cell connection
APL settings are approximate Anesthetic Gas Scavenging System
Pinch hazard Read to top of float
EZchange Canister (CO2 bypass) Caution: federal law prohibits dispensing

without prescription
Alarm silence touch key Menu touch key
End case touch key Alarm limit setup key
USB port Cylinder
1-4 M1217964 Rev B

1 Introduction
Systems with this mark agree with the Authorized representative in the European
European Council Directive (93/42/EEC) for Community
Medical Devices when they are used as
specified in their User’s Reference manuals.
The xxxx is the certification number of the
Notified Body used by GE Healthcare’s
Quality Systems.
Manufacturer name and address Date of manufacture
Indicates that the waste of electrical and GOST R Russian certification

electronic equipment must not be disposed
as unsorted municipal waste and must be
collected separately. Please contact an
authorized representative of the
manufacturer for information concerning the
decommissioning of equipment.
This way up
Positive pressure of flow sensor
Pneumatic Output
Negative pressure of flow sensor
Device contains phthalates XXXX indicates

phthalate Possible phthalates include:
This way up DBP: Di-n-butyl phthalate
DNPP: 1,2-Benzenedicarboxylic acid,
dipentylester, branched and linear; Npentyl-
isopentylphthalate; Di-n-pentyl phthalate;
Diisopentylphthalate
BBP: Benzyl butyl phthalate
DEHP: Bis(2-ethylhexyl) phthalate; Di-
(2-ethylhexyl) phthalate
DMEP: Bis(2-methoxyethyl) phthalate
DIBP: Dissobutyl phthalate
M1217964 Rev B 1-5

9100c
Typeface conventions used

Names of hard keys on the display are written in bold typeface; for
example, RR.
Menu items are written in bold italic typeface; for example, Normal.
Messages that are displayed on the screen are enclosed in single
quotes; for example, ‘On Battery, Power OK’
When referring to different sections and other documents, the names
are written in italic typeface and enclosed in double quotes; for
example, “System Controls and Menus.”
Abbreviations
Table 1-1: Abbreviations
Abbreviation Definition Abbreviation Definition

A O
APL Adjustable Pressure Limiting O2 Oxygen
B P
BPM Breaths Per Minute Paw Airway Pressure
BTV Bag to Vent PCV Pressure Controlled Ventilation
BC Breathing Circuit Pmax Airway Maximum Pressure
C Ppeak Peak Pressure
CSB Control Sample Board PEEP Positive End Expiratory Pressure
D Pinsp Maximum Inspiration Pressure
DAC Digital to Analog Convertor R
DMB Displayer Monitor Board RR Respiration Rate
F T
FiO2 Fraction of inspired oxygen TV Tidal Volume
I TVexp Expiratory Volume
I:E Inspiratory-expiratory Ratio V
M VCV Volume Controlled Ventilation
MCU Micro Control Unit
MV Volume Per Minute
MVexp Expiration Volume Per Minute
N
N2O Nitrous Oxide
1-6 M1217964 Rev B

WARNING Explosion Hazard. Do not use this system with flammable
anesthetic agents.
In this section System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Anesthetic System Control . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
ACGO (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Ventilator screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
M1217964 Rev B 2-1

9100c
System Components
Integral Components This anesthetic system includes the following components,

monitoring devices, alarm systems, and protection devices that
comply with European, international and national standards.
• Breathing circuit pressure measuring device
• Airway pressure limitation device
• Expiratory volume monitor
• Breathing circuit integrity alarm
• Breathing circuit continuing pressure alarm
• Oxygen monitor
• Anesthetic ventilator
• Breathing circuit
• Anesthetic gas scavenging system
Not Integral These devices are not integral to this anesthetic system:
components • CO2 monitor
• Anesthetic agent monitor
WARNING European, international and national standards require

that the following monitorings should be provided using
with the anesthetic system:
• Expiratory volume monitor
• Oxygen monitor
• CO2 monitor
• Anesthetic agent monitor if vaporizers used.
When adding devices to the anesthesia systems, follow

the installation instructions provided by the device
manufacturer. Whoever adds individual devices to the
anesthesia system shall provide instructions on how to
enable the individual devices (for example, a preoperative
checklist).
2-2 M1217964 Rev B

Anesthetic System Control

When adding devices to the anesthesia systems, follow the
installation instructions provided by the device manufacturer.
Whoever adds individual devices to the anesthesia system shall
provide instructions on how to enable the individual devices (for
example, a preoperative checklist).
2
13
3
4
5
12
11
6
10
7
9
Figure 2-1: Front View
M1217964 Rev B 2-3

9100c
Anesthetic System Control (Cont’d)

Table 2-1: System controls
Item in Figure 2-1 Description
1 Ventilator display
2 Handle
3 Pipeline pressure gauge(s) (upper row)
4 Cylinder pressure gauge(s) (lower row)
5 Vaporizer
6 Paw pressure gauge
7 System switch Set the switch to the On (I) position to turn on the system.
8 Caster with brake Push down to lock. Lift to release.
9 O2 flush button Push the O2 flush button to supply high flows of O2 to the breathing
circuit.
10 ACGO switch ACGO (Auxiliary Common Gas Outlet), When ACGO is chosen,
fresh air goes to open breathing circuit through ACGO, and there is
no mechanical ventilation mode.
Breathing circuit chosen:
ACGO chosen:
11 ACGO
12 Breathing circuit
13 Flow controls Turn the control counterclockwise to increase the flow and clockwise
to decrease.
2-4 M1217964 Rev B

Anesthetic System Control (Cont’d)
1
8
7 3
Figure 2-2: Rear View
Table 2-2: System Controls
Item in Figure 2-2
1 Outlet circuit breaker 5 Pipeline inlet
2 Electrical outlet 6 Mains supply inlet
3 Equipotential stud 7 System circuit breaker
4 Cylinder inlet 8 Nameplate
M1217964 Rev B 2-5

9100c
Vaporizer controls The system can use either Tec 7 or V5 vaporizers. Refer to the
vaporizer operation and maintenance manual for more detailed
information on the vaporizer.
Figure 2-3: Vaporizer controls
Table 2-3: Vaporizer controls
Item, Figure 2-3 Description

1 Tec 7
2 Lock lever Turn the lever fully clockwise to lock the vaporizer in
position.
3 Concentration control Push the release and turn the concentration control to set
and release the agent concentration.
2-6 M1217964 Rev B

ACGO (optional)
Fresh gas flow is directed through the Auxiliary Common Gas Outlet
(ACGO) on the front of the system when the ACGO switch is in the
ACGO position. Mechanical ventilation is not available when
operating an auxiliary manual breathing circuit with fresh gas from the
ACGO. The BTV switch, APL valve, and bag are not part of the
external circuit. Volume and pressure monitoring are not available.
O2 monitoring of fresh gas is available automatically when the ACGO
is selected if the system has the O2 cell monitoring option. A sample
of the fresh gas is diverted to the O2 cell in the breathing circuit. The
sample flow to the O2 cell is dependent on the pressure in the
external circuit. The sample flow reduces the fresh gas flow rate to
the auxiliary breathing circuit equal to the amount delivered to the O2
cell.
Fresh gas oxygen concentration is displayed on the screen. Set the
alarm limits appropriately. Note that fresh gas oxygen concentration
may not reflect FiO2 during spontaneous breathing or in rebreathing
circuits.
Important Use an external O2 monitor if using a rebreathing circuit on ACGO.
Do not use an external ventilator on the ACGO. Do not use the ACGO
to drive external ventilators or for jet ventilation.
See “Scavenging” in the “Setup and Connections” section for more
information on connections.
WARNING The maximum pressure at the ACGO can be up to 55 kPa

(8 psi). Use a breathing circuit with pressure relief.
Scavenging the A sample of the fresh gas is diverted to the O2 cell in the breathing
ACGO sample flow circuit. If an auxiliary manual breathing circuit is used with N2O or
volatile anesthetics, this sample flow should be scavenged.
1. Attach a circle breathing circuit to the inspiratory and expiratory
ports. Occlude the circle circuit by connecting the Y-piece to the
plug located to the rear of the expiratory port.
2. Check for clinically correct settings. Set the Bag/Vent switch to
mechanical ventilation mode. (Mechanical ventilation will not start
when ACGO is selected.) Alternatively, set the Bag/Vent switch
to the bag mode, set the APL valve to MIN, and attach a bag.
3. The bellows, or bag, fills slowly with the fresh gas sample flow
and then spills to the AGSS.
M1217964 Rev B 2-7

9100c
Scavenging from an Scavenge the exhaust if an auxiliary manual breathing circuit is used
auxiliary manual with N2O or volatile anesthetics.
breathing circuit An auxiliary inlet is available for active and passive AGSS units. It
provides a female connection with 30 mm - 30 mm male connector
into the auxiliary port under the breathing circuit.
The auxiliary inlet is a convenience inlet to the air brake of active
AGSS units. There is a reservoir to capture exhaust flows higher than
the extract flow.
A separate exhaust hose is needed from the auxiliary manual
breathing circuit to the disposal point for all AGSS units.
2-8 M1217964 Rev B

Ventilator controls
The ventilator controls include touch keys, menu screens, and a
control knob. The system switch provides power functions to the
ventilator display. The BTV switch starts and stops mechanical
ventilation.
12 1
11
10 3
9 8 7 6 5 4
Figure 2-4: Ventilator controls
Table 2-4:
Item in Figure 2-4
1 Alarm limit setup key 7 I:E ration selection key
2 Menu key 8 Breathing rate selection key
3 Control Knob (control knob) 9 Tidal volume (TV) or airway pressure (Pinsp) selection key
4 More settings key 10 Mains supply indicator
5 PEEP selection key 11 End case key
6 Pmax selection key 12 Silence alarms key
M1217964 Rev B 2-9

9100c
Ventilator screen
1
2
14
3
4
5
13
7
12
11
10 9 8
Figure 2-5: Normal view
Item in Figure 2-5
1 Alarm message field 8 Ventilation mode indicator
2 Date and time field 9 More settings
3 Power supply type 10 Ventilation settings
4 Paw information 11 Mechanical ventilation status
5 MV information 12 Indication message
6 TVexp information 13 Waveform field
7 Oxygen percentage information 14 Alarm silence indicator
2-10 M1217964 Rev B

Using menus
Push the Menu key to display the Main Menu. Use the Control Knob
to navigate through the menu. The screen returns to the normal view
25 seconds after the last action.
The examples below describe how to use menus:
Step 1
Push Menu key to see the menus.
Step 2
Turn the control knob to select main menu item.
Step 3
Push the control knob to see sublevel screen.
M1217964 Rev B 2-11

9100c
Using menus (Cont’d)

Step 4
Turn the control knob to highlight the desired menu item, push the
control knob to confirm.
Step 5
Turn the control knob to change the setting.
Step 6
Push the control knob to save the change.
Step 7
To exit, select Go to Main Menu, push the control knob to confirm.
Step 8
Select Exit to Normal Screen, push to confirm.You can also push
the menu key to return the normal screen.
2-12 M1217964 Rev B

Menu structure
The structure of the menus, including optional features, are described
in the diagram below.
Figure 2-6: Menu structure
M1217964 Rev B 2-13

9100c
2-14 M1217964 Rev B

3 Operation
WARNING Maintain sufficient fresh gas flow when using sevoflurane.
In this section Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Start standby mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Change Ventilator Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Ventilator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Indication messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
EZchange Canister (optional) . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Passive AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Active AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
M1217964 Rev B 3-1

9100c
Turning on the system

1. Plug the power cord into an electrical outlet. Make sure the
system circuit breaker is on.
• The mains indicator comes on when AC power is connected.
Battery is charging if not already fully charged.
2. Check that the breathing circuit is properly connected.
3. Turn the System switch to On.
• The display shows the power-up screen.
• The system does a series of automated self tests.
Start mechanical ventilation
WARNING Make sure that the patient circuit is correctly assembled

and that the ventilator settings are clinically appropriate
before starting ventilation.
1. Set the ACGO switch to the circle system position.
2. Set the BTV switch to Vent.
3. Push the O2 flush button to inflate the bellows if needed.
Stop mechanical ventilation

1. Connect a manual breathing circuit.
2. Make sure that the APL valve is set to approximately 20 cmH2O.
3. Set the BTV switch to Bag.
Start standby mode

2. Press the end case key on the display module.
3. Press the control knob to confirm.
Change Ventilator Modes

1. Press the menu key, press the control knob to select ventilation
mode.
2. Rotate the control knob to select VCV or PCV mode.
3. Press the control knob to confirm.
3-2 M1217964 Rev B

3 Operation
Ventilator setup
Using quick keys The five main ventilator settings for each mode can be easily
changed using the ventilator quick keys.
1. Push a ventilator quick key to select the corresponding ventilator
setting.
2. Turn the Control Knob to make a change.
3. Push the Control Knob to activate (confirm) the change.
The table below lists the parameter setting range:
Table 3-1: Setting range
Setting Range Default

TV 30 ~ 1500 mL 500 mL
RR 4 ~ 99 /min 12 /min
I: E 2:1~1:8 1 : 2.0
Pmax 10 ~ 99cmH2O 40 cmH2O
PEEP OFF; 4 ~ 25cmH2O OFF
Pinsp 5~50cm H2O 10 cmH2O
Alarm Settings
Setting alarm limits An alarm limit setup key on the display module provides fast access
to alarm limits setting.
Or refer to “Using menus” and “Menu structure” in section 2 to access
alarm limits setting.
The table below lists the parameter setting range
Table 3-2: Setting range
Setting Range Default

Low TVexp 0 ~ 800 mL 100 mL
High TVexp 100 ~ 1800 mL 600 mL
Low O2% 20 ~ 70 % 21 %
High O2% 40 ~ 100 % 80 %
Low MV 0.1 ~ 15.0 L/min 1.0 L/min
High MV 3 ~ 40 L/min 10.0 L/min
Low Paw 1 ~ 20 cmH2O 5 cmH2O
M1217964 Rev B 3-3

9100c
Indication messages
The user messages display on the screen when operating the
machine:
1. Adjust the settings.To start mechanical ventilation, turn ACGO
off.
2. Adjust the settings.To start mechanical ventilation, set the BTV
switch to Vent.
3. Turn the knob to change the setting. Press knob to confirm.
4. Press knob to End Case.
5. Press the knob to clear high alarm message.
6. (In VCV) Set TV value. Press knob to confirm.
(In PCV) Set Pinsp value. Press knob to confirm.
7. Set Rate value. Press knob to confirm.
8. Set I : E value. Press knob to confirm.
9. Set Pmax value. Press knob to confirm.
10. Set PEEP value. Press knob to confirm.
11. Limited - To change this, adjust the other ventilator settings.
12. To start mechanical ventilation, turn ACGO off and set the BTV
switch to Vent.
13. To start mechanical ventilation, set the BTV switch to Bag and
back to Vent.
14. O2 Sensor Calibration
15. O2 Sensor Calibration at 21%
16. O2 Sensor Calibration at 100%
17. Complete 21% first; 100% O2 calibration may be performed only
after a 21% calibration has been completed
18. The 100% O2 calibration is now possible. This calibration is not
routinely required.
19. 21% O2
20. 100% O2
21. Remove the O2 sensor from the breathing circuit, expose it to
room air and push the knob to start.
22. With the sensor in the breathing circuit, flow 100% O2 and then
push the knob to start.
23. Start Calibration
24. Complete
25. Failure
26. Retry or do 100% O2 Calibration
27. Go to Calibration Menu
28. Calibrating
3-4 M1217964 Rev B

3 Operation
29. Reinstall Sensor

30. Relieve Airway Circuit Pressure
EZchange Canister (optional)

Push the absorber canister release to activate the EZchange Canister
mode. The canister will drop to the EZchange position. The
EZchange Canister mode seals the breathing circuit when the
canister holder is down. This permits continued ventilation and
rebreathing of exhaled gases.
Systems with EZchange Canister have the following label on the
canister holder. When the system is in EZchange position, the
message ‘No CO2 Absorption’ shows on the ventilator display.
Figure 3-1: Label on the canister holder
To return to absorber mode, reinsert the canister into the holder and
push the canister back up and snap it into absorber position. When
the canister is in the absorber position, the exhaled gas flows through
the absorber, removing CO2.
Note Check the absorber canister to ensure it has side rails. If the canister
does not have side rails, it will not work on the EZchange Canister
holder.
Figure 3-2: Check the absorber canister
M1217964 Rev B 3-5

9100c
Passive AGSS (optional)
WARNING Always verify the proper operation of any gas scavenging

system; ensure the scavenging system is not occluded.
The passive AGSS (Anesthesia Gas Scavenging System) contains
both positive and negative pressure relief valves to protect the
breathing circuit and the patient. The outlet is a 30-mm connector on
the bottom of the receiver.
There is also a connector that may be used for scavenging the
sample from a gas monitor. The male luer inlet connection is located
near the 30-mm connector.
Passive AGSS is intended primarily for use in operating room
environments which have no active gas extraction system for waste
gas disposal. The disposal system generally consists of large
diameter tubing directly linking the passive AGSS with the building
exterior. The tubing should be as large in diameter and as short as
possible for the particular application.
Passive AGSS may also be used with a non-recirculating facility
ventilation system for waste gas disposal. The tubing connection from
passive AGSS to the non-recirculating facility ventilation system
should be an open connection, essentially at atmospheric pressure,
such as to an exhaust grill.
Connecting passive To use the optional passive AGSS installed on the system, connect it
AGSS as follows:
1. Connect the proper large diameter tubing to the AGSS 30 mm
outlet connector on the bottom of the AGSS.
Note The tubing connection from the passive AGSS to the non-circulating
facility ventilation system should be an open connection, essentially
an atmospheric pressure, such as to an exhaust grill.
2. Connect the free end of the tubing to the building exterior or
outside ventilation system.
3. The passive scavenging system relies on slight positive pressure
of gases, or on slight negative pressure caused by an exhaust
fan, to move gases through the system. For this reason, all
unused ports must be capped to prevent gas from leaking into the
room and to maintain the expected pressures.
Note In the event that excess gas accumulates in the scavenging system
and cannot exit the machine properly, pressure could build. If this
pressure reaches 10cmH20, the brass weight of the positive relief
valve will be lifted up allowing the gas to escape into the room. This
prevents the pressure from backing up into the patient circuit.
3-6 M1217964 Rev B

3 Operation
Active AGSS (optional)
WARNING Always verify the proper operation of any gas scavenging

system; ensure the scavenging system is not occluded.
There are several versions of the optional active AGSS (Anesthesia
Gas Scavenging System) available depending on the hospital’s type
of waste gas disposal system.
Each version has a two-liter reservoir to capture peak exhaust flows
that briefly exceed the extract flow. The disposal system normally
entrains room air through an air brake (located in a receiver), but will
spill from this port during extended periods of high exhaust flow. Its
effectiveness is limited by the extract flow of the particular active
AGSS device.
• The active low flow system with DISS EVAC connector is for use
with high vacuum disposal systems. It requires a vacuum system
capable of a continuous nominal flow of 36 L/min and 305 mmHg
(12 inHg) or greater vacuum pressure. A flow indicator on the
system indicates when the unit is in operation.
• The active high flow system is for use with low vacuum (blower
type) disposal systems. This requires a system capable of
providing a continuous nominal flow of 50~80 L/min. A flow
indicator on the system indicates when the unit is in operation.
• Another version is the active adjustable flow. It provides the
capability to adjust the flow with a needle valve (located in a
receiver) and a visual indicator bag which should be properly
inflated. It requires a vacuum system capable of a continuous
nominal flow of no more than 30 L/min and 305 mmHg (12 inHg)
or greater vacuum pressure.
• The active low flow system with a 12.7 mm hose barb connector
is for use with low vacuum disposal system. It requires an
external venturi system with flowmeter and 36 L/min extract flow.
• The active low flow system with a 25 mm barb connector is for
use with low vacuum disposal systems. It requires an external
venturi/ejector system with 36 L/min extract flow. A flow indicator
on the system indicates when the unit is in operation.
• The active low flow system with 30-mm ISO taper is for use with
low vacuum disposal systems. It requires an external venturi/
ejector system with 36 L/min extract flow. A flow indicator on the
system indicates when the unit is in operation.
M1217964 Rev B 3-7

9100c
Connecting active To use the optional active AGSS on a system that has a flow
AGSS with a flow indicator, connect it as follows.
indicator 1. Connect the proper hose to the AGSS outlet connector on the
bottom of the AGSS. Attach the other end to the hospital disposal
system.
2. With the AGSS operating, verify that the flow indicator ball on the
flow indicator rises to the green zone, indicating adequate flow.
Note The ball in the upper red zone indicates excessively high extraction
flow. The ball in the lower red zone indicates extraction flow rate is
too low or a blocked filter.
3. Complete the tests in the “Preoperative Tests” section of this
manual.
Connecting active The active adjustable AGSS option flow rate is limited to 30 l/min with
adjustable AGSS this option.
To use the optional active AGSS installed on the system which uses
the three-liter bag as a visual indicator, connect it as follows.
1. Connect a disposal hose to the DISS connector on the needle
valve on the bottom of the AGSS (underneath). The hose should
be flexible and reinforced to help prevent kinking and crushing.
2. Attach the other end of the hose to the hospital disposal system.
3. Attach the three-liter bag to the 30-mm auxiliary 1 port on the
bottom of the AGSS.
4. Use the needle valve to adjust the flow rate to match the amount
of gas being scavenged. Use the visual indicator bag when
3-8 M1217964 Rev B

3 Operation
adjusting the flow rate. The bag should remain partially inflated.
Figure 3-3: Needle valve connector
5. Complete the tests in the “Preoperative Tests” section of this

manual.
M1217964 Rev B 3-9

9100c
3-10 M1217964 Rev B

Read this User’s Reference manual and understand the

following before using this system:
• All system connections.
• All warnings and cautions
• How to use each system component.
• How to test each system component.
Before using the system:

• Complete all of the tests in this section. Refer to the
“Preoperative Tests” section for instructions.
If a test fails, do not use the equipment. Have an

approved trained service representative repair the
equipment.
In this section Every day before the first patient . . . . . . . . . . . . . . . . . . . . . 4-2

Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
M1217964 Rev B 4-1

9100c
Every day before the first patient

 Check that necessary emergency equipment is available and in good
condition.
 Check that the equipment is not damaged and that components are
correctly attached.
 Check that the power failure alarm operates correctly.

See "Power failure test" in the "Preoperative Tests" section about the
test procedure.
 Check that the pipeline gas supplies are connected and cylinders are
installed (if appropriate).
 Check the flow control operation.

• Flow control test
See "Flow control tests" in the "Preoperative Tests" section about
the test procedure.
• O2 supply failure alarm
See "O2 supply alarm test" in the "Preoperative Tests" section
about the test procedure.
• Test the O2 flush operation
See "O2 flush" in the "Preoperative Tests" section about the test
procedure.
 Check vaporizer installation.

• Make sure the top of each vaporizer is horizontal (not crooked).
Adjust vaporizer leveling knob if necessary.
• Make sure each vaporizer is locked and cannot be removed.
• Make sure the alarms and indicators operate correctly.
• Make sure that more than one vaporizer cannot be turned on at
the same time.
• Make sure the vaporizers are adequately filled.
For more detailed instructions about vaporizer installation, see
"Vaporizer installation" in the "Preoperative Tests" section.
 Check that the breathing circuit is correctly connected, not damaged,

and the breathing system contains sufficient absorbent.
 Turn the power switch and system switch On, Check that the system
powers up successfully.
See "Turning on the system" in the "Operation" section for more
information about system power up.
4-2 M1217964 RevB

Every day before the first patient (Cont’d)

 Check that the flow sensor is properly mounted at the patient
Y-piece and is functioning properly.
See "Flow sensor connection" in the "Setup and Connections" section
about instructions of connecting flow sensor.
 Do the Pipeline test and Cylinders test.

See "Pipeline and cylinder tests" in the "Preoperative Tests" section
about pipeline and cylinder test procedures.
 Do the Vaporizer back pressure tests.

See "Vaporizer back pressure test" in the "Preoperative Tests"
section about the vaporizer test procedure.
 Do a Low-pressure leak test.

See "Low-pressure leak test" in the "Preoperative Tests" section
about both negative and positive low-pressure leak test procedures.
 Verify system alarm operation.

• Test the O2% low alarm
• Test the O2% high alarm
• Test the MVexp low alarm
• Test the MVexp alarm
• Test the TVexp high
• Test the TVexp low
• Test Paw high alarm
• Test Sustained Paw high alarm
• Test O2 sensor alarm
See "Alarm tests" in the "Preoperative Tests" section about the alarm
tests procedures.
 Check that the ventilator functions correctly:

• Connect the test lung to the patient Y-piece.
• Set the BTV switch to mechanical and push the bellows key on
the display. Set TVexp to 400 ml,RR to 12, I:E to 1:2
• Fill the bellows using O2 flush.
• Check that mechanical ventilation starts. Check that the bellows
inflate and deflate. Check that the display shows the correct
ventilator data. Check that there are no inappropriate alarms.
For more detailed procedure of checking ventilator functions, see
"Monitor and ventilator tests" in the "Preoperative Tests" section.
 Set the appropriate control and alarm limits for the case.
M1217964 Rev B 4-3

9100c
Before every patient

Note Check that necessary emergency equipment is available and in
good condition.
This check does not need to be done before the first case of the day
if the “"Every day before the first patient"” was done.
 Check vaporizer installation.

• Make sure the top of each vaporizer is horizontal (not crooked).
Adjust vaporizer leveling knob if necessary.
• Make sure each vaporizer is locked and cannot be removed.
• Make sure the alarms and indicators operate correctly.
• Make sure that more than one vaporizer cannot be turned on at
the same time.
• Make sure the vaporizers are adequately filled.
For more detailed instructions about vaporizer installation, see
"Vaporizer installation" in the "Preoperative Tests" section.
 Do negative low-pressure leak test or positive low-pressure leak test.

See "Low-pressure leak test" in the "Preoperative Tests" section
about both negative and positive low-pressure leak test procedures.
 Check that the breathing circuit is correctly connected, not damaged,

and the breathing circuit contains sufficient absorbent.
 Leak check the breathing circuit:

• Set the BTV switch to Bag, close the APL valve, and occlude the
patient Y-piece and bag port.
• Pressurize the breathing circuit to about 30 cmH2O using the O2
flush button.
• Ensure that the pressure remains fixed for at least 10 seconds.
For more detailed procedure of checking the breathing circuit, see
"Breathing circuit tests" in the "Preoperative Tests" section.
 Check that the ventilator functions correctly:

• Connect the test lung to the patient Y.
• Set the BTV switch to mechanical and push the bellows key on
the display. Set TVexp to 400 ml, RR to 12, I:E to 1:2
• Set the gas flow to minimum.
• Fill the bellows using O2 flush.
• Check that mechanical ventilation starts. Check that the bellows
inflate and deflate. Check that the display shows the correct
ventilator data. Check that there are no inappropriate alarms.
For more detailed procedure of checking ventilator functions, see
"Monitor and ventilator tests" in the "Preoperative Tests" section.
 Set the appropriate control and alarm limits for the case.
4-4 M1217964 RevB

CAUTION Some tests may need to use the following test equip-
ments
• Negative pressure leakage test device.
• Test lungs.
• Test plugs
In this section Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
O2 supply alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . 5-11
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Breathing circuit tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . 5-20
M1217964 Rev B 5-1

9100c
Inspect the system
WARNING Make sure that the breathing circuit is correctly

connected and not damaged. Replace the breathing
circuit if it is damaged.
Do not leave gas cylinder valves open if the pipeline

supply is in use. Cylinder supplies could be depleted,
leaving an insufficient reserve supply in case of pipeline
failure.
The upper shelf weight limit is 25 kg.
Before using the system make sure that:

• The equipment is not damaged.
• All components are correctly attached.
• The breathing circuit is correctly connected, not damaged, and
the breathing canister is correctly installed and contains sufficient
absorbent.
• The vaporizers are locked in position and contain sufficient agent.
• Pipeline gas supplies are connected and the pressures are
correct.
• Cylinder valves are closed on models with cylinder supplies.
• Models with cylinder supplies have a cylinder wrench attached to
the system.
• The necessary emergency equipment is available and in good
condition.
• Equipment for airway maintenance, tracheal intubation, and IV
administration is available and in good condition.
• Applicable anesthetic and emergency drugs are available.
• Make sure the casters are not loose and the brakes are set and
prevent movement.
• The power cord is connected to a mains power outlet. The mains
indicator comes on when AC power is connected. If the indicator
is not on, the system does not have mains (electrical) power. Use
a different outlet, close the circuit breaker, or replace or connect
the power cable.
Note The O2 flush button is in working condition.
5-2 M1217964 Rev B

Power failure test

1. Set the power switch to On.
2. Unplug the power cord with the system turned on.
3. Make sure that the power failure alarm (‘On Battery, Power OK?’)
comes on.
4. Reconnect the power cord to the electrical outlet.
5. Make sure the alarm cancels.
6. Set the power switch to Off.
CAUTION If the "Low Battery Voltage" alarm still comes up on the

battery supply after charging it for 10 hours, please
contact a trained GE service representative to replace
the battery. The battery is not user serviceable.
M1217964 Rev B 5-3

9100c
Pipeline and cylinder tests
CAUTION To prevent damage:

• Open the cylinder valves slowly.
• Do not force the flow controls.
Note If your system does not use backup cylinder supplies, skip steps 2
and 3.
1. Disconnect the pipeline supplies and close all cylinder valves. If
the pipeline and the cylinder pressure gauges are not at zero,
bleed all gasses from the system.
• Connect an O2 supply.
• Set the power switch to On.
• Set the flow controls to mid range.
• Make sure that all gauges but O2 are at zero.
• Disconnect the O2 supply.
• Make sure that the O2 gauge goes to zero. As pressure
decreases, alarms for low O2 supply pressure should occur.
Note: Other ventilator alarms will activate.
• Reconnect the O2 supply. O2 pressure should show on the
gauge and the alarm should deactivate.
• Turn the power switch to Off.
2. Make sure that the cylinders are full:
• Open each cylinder valve, one at a time.
• Make sure that each cylinder has sufficient pressure. If not,
close the applicable cylinder valve and install a full cylinder.
3. Test one cylinder at a time for high pressure leaks:
• Turn the flow control knobs fully clockwise to stop gas flow.
• Open the cylinder.
• Record the cylinder pressure.
• Close the cylinder valve.
• Record the cylinder pressure after one minute. If the pressure
has decreased more than 5000 kPa (725 psi), there is a leak.
Install a new cylinder gasket and do this step again.
• Repeat step 3 for each cylinder. For N2O cylinder, if the
pressure has decreased more than 690 kPa (100 psi), there
is a leak.
Install a new cylinder gasket and do this step again.
4. Connect the pipeline supplies one at a time and ensure that the
corresponding gauge indicates pipeline pressure.
5-4 M1217964 Rev B

Flow control tests
WARNING Nitrous oxide (N2O), if available, flows through the system

during this test. Use a safe and approved procedure to
collect and remove the N2O.
WARNING This anesthesia system includes a protective low O2

concentration mechanism. If the system is equipped with
both O2 and N2O the O2 concentration will be at least
21%. Note this protective system cannot replace an O2
monitor. Sufficient O2 in the fresh gas may not prevent
hypoxic mixtures in the breathing circuit.
WARNING Incorrect gas mixtures can cause patient injury. If the

hypoxic guard system does not supply O2 and N2O in the
correct proportions, do not use the system.
1. Set up the gas scavenging system.
• Attach a patient circuit and plug the patient port.
• Attach a bag to the bag port (or plug the bag port).
• Set the BTV switch to manual.
• Adjust the APL valve to minimum.
2. Connect the pipeline supplies or slowly open the cylinder valves.
3. Turn all flow controls fully clockwise (zero flow).
4. Set the power switch to On, push the control knob to enter
manual ventilation mode.
5. Adjust O2 flow to 0.5 L/min.
6. Confirm that the O2 sensor measures 21% in room air and 100%
in pure O2. If not, calibrate the O2 sensor.
7. Set the flow controls to mid range of each flowtube and make
sure that the flowtube floats rotate and move smoothly.
Note If the system does not include N2O, skip steps 8 and 9.
M1217964 Rev B 5-5

9100c
Flow control tests (Cont’d)

8. Check the proportioning system concentration (increasing N2O
flow). Observe the following precautions:
• Start with all valves at the minimum setting.
• Adjust only the N2O flow control.
• Increase the N2O flow as specified in the following table and
make sure the O2 concentration is in range.
Note Allow the O2 monitor to stabilize. At the lower flows, the O2 monitor
may take up to 90 seconds to stabilize.
• If you overshoot a setting, turn the O2 flow control clockwise

until the N2O flow decreases to the previous setting before
continuing the test.
Set the N2O flow (L/min) Measured O2

0.2 21% minimum
1.0 21% to 33%
3.0 21% to 33%
5.0 21% to 33%
9.0 21% to 33%
9. Check the proportioning system concentration (decreasing O2

flow). Observe the following precautions:
• Start with the N2O valve at 10 L/min.
• Adjust only the O2 flow control.
• Decrease the O2 flow as specified in the table and make sure
the O2 concentration is in the allowed range.
Note Allow the O2 monitor to stabilize. At the lower flows, the O2 monitor
may take up to 90 seconds to stabilize.
• If you overshoot a setting, turn the N2O flow control

counterclockwise until the O2 flow increases to the previous
setting before continuing the test.
Set the O2 flow (L/min) Measured O2

5.0 21% to 33%
3.0 21% to 33%
1.0 21% to 33%
0.2 21% mininum
• If both tests meet the criteria, calibration is correct (go to the

next step). If either test fails to meet the criteria, contact an
authorized GE Healthcare service provider.
11. Turn all of the flow controls fully clockwise (closed).
5-6 M1217964 Rev B

O2 supply alarm test

1. Set all flow controls to 3 L/min.
2. Stop the O2 supply. (Disconnect the pipeline supply or close the
cylinder valve.)
3. Make sure that:
• The ‘No O2 pressure’ alarm occurs.
• The N2O (if equipped) and O2 flows stop. The O2 flow stops
last.
5. Reconnect the pipeline supplies.
O2 flush Push the O2 flush button (the sound of gas flow at the fresh gas outlet
will be heard). When released, the oxygen flow stops.
M1217964 Rev B 5-7

9100c
Vaporizer installation
WARNING Do not lift off the vaporizer from the manifold by holding
the concentration control panel. Be careful to install and
operate the vaporizer at any time.
WARNING The vaporizer should be mounted on the manifold of the

anesthetic system. ONLY one vaporizer at a time can be
turned on when two vaporizers are mounted. Do not try to
open more than one vaporizer at the same time.
WARNING Before mounting a vaporizer on the manifold, ensure that

each manifold port valve’s O-ring is intact, and there is no
foreign matter around the mating surfaces. An O-ring and/
or foreign matter around the mating surfaces can cause
leaks.
Figure 5-1: Tec 7 vaporizer
WARNING Only use the Tec 7 or V5 series vaporizers. Please refer

to their User’s Reference Manuals for more information.
5-8 M1217964 Rev B

Vaporizer installation (Cont’d)

1. Press the release pin, and turn the control panel to Zero position.
2. Check the manifold.
• Removethe plastic plugs from the vaporizer’s input and
output ports.
• Check that the manifold port valve O-ring is not damaged. If
damaged, please contact the service engineers of GE
Healthcare or the authorized vendor for servicing. Do not use
the vaporizer before fixing the issue, or else it will cause a
leakage.
Figure 5-2: Check the manifold
1. Input/output ports
2. Manifold port valve O-ring
3. Hold the vaporizer’s main body, and mount the vaporizer on the
manifold. Please make sure the input/output ports are occluded
with the port valves.
Figure 5-3: Mount the vaporizer on the manifold
4. If the top of the vaporizer is not horizontal, remove the vaporizer

and reinstall it.
M1217964 Rev B 5-9

9100c
Vaporizer installation (Cont’d)

5. Set each vaporizer lock lever to the locked position.
Note Push the lock lever all the way before turning it. The
mechanism can be damaged if an attempt is made to
turn the lever before pushed it all the way.
6. Try to lift each vaporizer straight up off the manifold rather than
pulling forward. Do not rotate the vaporizer on the manifold.
7. If the vaporizer lifts off the manifold, install it again and repeat
steps 1 through 6. If the vaporizer lifts off a second time, do not
use the system.
8. Try to turn on more than one vaporizer at the same time:
• If more than one vaporizer turns on at one time, install them
again, and complete steps 1 through 7.
Vaporizer Safety The safety interlock is used to guarantee that two vaporizers can not
InterLock be turned on at the same time. If two vaporizers are turned on at the
same time, that will generated gas mixtures including two agents.
5-10 M1217964 Rev B

Vaporizer back pressure test
WARNING 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. Set up the gas scavenging system.

• Attach a patient circuit and plug the patient port.
• Attach a bag to the bag port (or plug the bag port).
• Adjust the APL valve to minimum.
3. Set the power switch to On, push the control knob to enter
manual ventilation mode.
4. Set the O2 flow to 6 L/min.
5. Make sure that the O2 flow stays constant and the float moves
freely.
6. Adjust the vaporizer concentration for each step from 0 to 1%.
The O2 flow must not decrease more than 1 L/min through the full
range. If the O2 flow decreases more than 1 L/min:
• Install a different vaporizer and try this step again.
• If the O2 flow decreases less than 1 L/min with a different
vaporizer, the malfunction is in the first vaporizer.
• If the O2 flow decreases more than 1 L/min with a different
vaporizer, the malfunction is likely in the 9100c system. Do
not use the system.
7. Complete steps 4 through 6 for each vaporizer and vaporizer
position.
M1217964 Rev B 5-11

9100c
Low-pressure leak test

Note Perform either the “Negative low-pressure leak test” or the “ISO or
BSI standard low-pressure leak test.” It is not necessary to perform
both tests.
WARNING Do not use a system with a low-pressure leak.

Anesthetic gas will go into the atmosphere, not into the
breathing circuit.
Negative low- 1. Test the leak test device:

pressure • Put your hand on the inlet of the leak test device. Push hard
leak test for a good seal.
• Squeeze the bulb to remove all air from the bulb.
• If the bulb completely inflates in less than 60 seconds,
replace the leak test device.
2. Turn off all vaporizers.
3. Test the anesthesia machine for low-pressure leaks:
• Remove the breathing system.
• Turn all flow controls fully clockwise (zero flow). Do not
overtighten.
• Connect the test adpater port 1 to the fresh gas outlet.
Connect the leak test device to the test adapter port 2.
Fresh gas outlet
Port 1
Port 2
5-12 M1217964 Rev B

Negative low-
pressure leak Test device Stock number
test (Cont’d) Test adapter M1212246
Negative low pressure leak test device 0309-1319-800
• Compress and release the bulb until it is empty.

• The vacuum causes the floats to move. This is usual. If the
bulb completely inflates in 30 seconds or less, there is a leak
in the low-pressure circuit
4. Test each vaporizer for low-pressure leaks:
• Set the vaporizer to 1%.
• Repeat step 3.
• Set the vaporizer to Off.
• Test the remaining vaporizers.
5. Disconnect the test device.
6. Replace the breathing system.
WARNING Agent mixtures from the low-pressure leak test stay in the
system. Always flush the system with O2 after the low-
pressure leak test (1 L/min for one minute).
Turn off all vaporizers at the end of the low-pressure leak

test.
7. Flush the system with O2:
• Set the O2 flow to 1 L/min.
• Continue the O2 flow for one minute.
• Turn the O2 flow control fully clockwise (closed).
M1217964 Rev B 5-13

9100c
Positive
low-pressure
leak test
CAUTION Do the positive pressure leak test at the common gas

outlet only.
1. Turn all flow controls fully clockwise (closed).

2. Remove the breathing system.
3. Connect the test adpater port 1 to the fresh gas outlet.
4. Connect the test device to the test adapter port 2.
Fresh gas outlet
Port 1
Port 2
Test device Test device

(Top view) (Front view)
Test device Stock number

Test adaptor M1212246
Positive low pressure leak test device 1001-8976-000
5. Keep the flowmeter of the test device vertical for accurate results.
6. Fully open the needle valve on the test device
(counterclockwise).
5-14 M1217964 Rev B

Positive
low-pressure leak
test (Cont’d)
CAUTION If the needle valve is not fully open, this test can damage
the pressure gauge on the test device.
7. Open the O2 flow 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 on the test device reads zero
and that all other flow controls are fully closed.
9. Close the needle valve on the test device until the test gauge
reads:
ISO 5358 (1001-8976-000) 3kPa
10. If the flow through the test device is less than 0.35 L/minthere is a
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 for low-pressure leaks:
• Set the vaporizer to 1%.
• Repeat steps 5 through 10.
• Turn the vaporizer Off.
13. Remove test tool.
14. Replace the breathing system.
WARNING Agent mixtures from the low-pressure leak test stay in the
system. Always flush the system with O2 after the low-
pressure leak test (1 L/min for one minute).
Turn Off all vaporizers at the end of the low-pressure leak

test.
15. Flush the system with O2:
• Set the O2 flow to 1 L/min.
• Continue the O2 flow for one minute.
• Turn the O2 flow control fully clockwise (closed).
M1217964 Rev B 5-15

9100c
Alarm tests
1. Connect a test lung to the patient connection.
3. Set the system to mechanical ventilation mode.
4. Set the controls:
Table 5-1: Controls setting
Ventilator: Tidal Volume: 400 mL
RR: 12
I:E Ratio: 1:2
Anesthesia Machine: O2 flow: fully clockwise (Off)

All other gases: Off
5. Test the MVexp Low alarm:

• Set the MVexp high to 10 L/min, MVexp low to 6.0 L/min .
• Make sure that the MVexp low alarm occurs.
• Set the MVexp low limit back to required value.
6. Test the Paw high alarm:
• Set Pmax to less than the peak airway pressure.
• Make sure that the Paw high alarm occurs.
• Set Pmax to 40 cmH2O.
7. Test the TVexp low and TVexp high alarm:
• Set the TVexp high to 600 mL, TVexp low to 500 mL.
• Make sure that the TVexp low occurs.
• Set the TVexp low to 300 mL, TVexp high to 350 mL.
• Make sure that the TVexp high occurs.
• Set the TVexp low and TVexp high limit back to required
value.
8. Test the Sustained Paw high alarm:
• Set the controls:
APL valve to fully closed
Set the BTV switch to Bag position.
• Mechanical ventilation stops.
• Close the bag port connector with a test plug.
• Close the patient connection using the test plug and push the
O2 flush button.
• Make sure that the Sustained Paw alarm occurs after
approximately 15 seconds at the sustained pressure limit (10
cmH2O)
5-16 M1217964 Rev B

Alarm tests (Cont’d)

9. Test the O2 sensor and alarms:
• Set the BTV switch to Bag position.
• Remove the O2 sensor from the breathing circuit module.
• Make sure the sensor measures approximately 21% O2 in
room air.
• Set the O2% low alarm limit to 50%. Make sure a Low O2
alarm occurs.
• Set the O2% low alarm limit back to 21% and make sure that
the alarm cancels.
• Put the O2 sensor back in the circuit.
• Remove the test lung from the patient connection.
• Set the O2% high alarm limit to 50%.
• Push the O2 flush button to fill the breathing circuit.
• Set the O2 flow control to 2 L/min.
• Make sure the O2 high alarm comes on.
• Set the O2% high alarm limit back to 100% and make sure
that the alarm cancels.
• After 2 minutes in pure O2, the display reads approximately
100%.
• Turn the O2 flow control fully clockwise (minimum flow).
M1217964 Rev B 5-17

9100c
Breathing circuit tests

WARNING Objects in the breathing circuit can stop gas flow to the
patient. This can cause injury or death. Do not use a test
plug that is small enough to fall into the breathing circuit.
Make sure that any auxiliary equipment (humidifier, etc.)

operates correctly.
Make sure the check valves on the breathing circuit

assembly work correctly.
• The expiratory check valve rises during the expiration
and falls at the start of inspiration.
• The inspiratory check valve rises during inspiration
and falls at the start of expiration.
1. Make sure that any auxiliary equipment (humidifier, etc.) operates

correctly.
2. Ventilator bellows test:
• Set the power switch to Off.
• Set the system to mechanical ventilation mode.
• Set all flow controls to minimum.
• Close the breathing circuit at the patient connection. Do this
by covering the connection or using the approved test plug.
• Push the O2 flush button to fill the bellows.
• The pressure must not increase to more than 15 cmH2O on
the pressure gauge.
• If the bellows falls lower than the top of the indicator, it has a
leak.
5-18 M1217964 Rev B

Breathing circuit tests (Cont’d)

3. Test the Manual circuit for leaks:
• Set the power switch to On.
• Set the system to bag mode.
• Plug the bag port; do this by covering the port or using the
approved test plug.
• Set the APL valve to the maximum position (closed; turn fully
clockwise).
• Set the O2 flow to 250 mL/min.
• Close the patient connection by covering or using a test plug
on the breathing circuit. Pressurize the bag with the O2 flush
button to approximately 30 cmH2O.
• Release the O2 flush button. The pressure seen on the
airway pressure gauge (Paw) must not visibly decrease over
a 15 second period. A pressure decrease large enough to
see on the gauge indicates a leak. Look for and repair the
breathing circuit leak.
4. Test the APL valve:
• Fully close the APL valve (turn fully clockwise).
• Set the total common gas flow to approximately 3 L/min and
make sure the value on the inspiratory gauge does not
exceed 85 cmH2O. Some pressure fluctuation is normal.
• Set the APL valve to the minimum pressure position (fully
open; turn fully counterclockwise).
• Set O2 flow to 3 L/min. Turn any other gasses off.
• Make sure that the value on the inspiratory pressure gauge is
less than 5 cmH2O.
• Push the O2 flush button. Make sure the value of the
inspiratory pressure gauge stays near zero.
• Set O2 flow to minimum and make sure the value on the
inspiratory pressure gauge does not go below 0 cmH2O.
5. Remove the cover or test plug from the patient connection.
WARNING Make sure that there are no test plugs or other objects
caught in the breathing circuit.
M1217964 Rev B 5-19

9100c
Monitor and ventilator tests

1. Connect a test lung to the patient connection.
3. Set the BTV switch to Bag mode position to enter manual
ventilation mode.
4. Set the controls:
Table 5-2: Controls settings
Ventilator: Tidal Volume: 400 ml

RR: 12
I:E: 1:2
Pmax: 40 cmH2O
O2 flow: fully clockwise (OFF)
Anesthesia Machine:
All other gases: OFF
5. Set the system to mechanical ventilation mode.

6. Push the O2 flush button to fill the bellows.
7. Make sure that:
• Mechanical ventilation starts.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
8. Set the O2 flow control to 5 L/min.
9. Make sure that:
• The end expiratory pressure is approximately 0 cmH2O.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
10. Set the ventilator controls and alarm limits to clinically appropriate
levels.
11. If the system will not be used immediately, set the power switch
to Off and close all cylinder valves.
12. Make sure that there are applicable anesthetic and emergency
drugs, and equipment for:
• Airway maintenance
• Manual ventilation
• Trachael intubation
• IV administration
5-20 M1217964 Rev B

Monitor and ventilator tests (Cont’d)

13. Prepare the system:
• Turn all vaporizers off.
• Open the APL valve.
• Set the BTV switch to Bag position.
• Set all flow controls to OFF.
• Set sufficient patient suction.
• Make sure that the breathing circuit is correctly connected
and not damaged.
WARNING Before connecting a patient, flush the anesthesia

machine with 5 L/min of O2 for at least one minute. This
removes unwanted mixtures and by-products from the
system.
M1217964 Rev B 5-21

9100c
5-22 M1217964 Rev B

CAUTION No repair should ever be attempted by anyone not having

experience in the repair of devices of this nature. See the
“Repair policy” in the “User Maintenance” section.
WARNING If an alarm occurs, safeguard the patient first before

performing troubleshooting or doing repair procedures.
In this section Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Breathing circuit problems . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
M1217964 Rev B 6-1

9100c
Alarms
When an alarm occurs during a case, an alarm tone sounds and the
alarm message is displayed in the alarm message field. If more
alarms occur than can be displayed in the available alarm message
area, the alarms cycle every two seconds.
Alarms have three general causes:
• Malfunctions - Result in reduced system function or prevent
mechanical ventilation
• Patient monitoring - Are caused by high and low limit settings that
are adjusted by the user.
• Informational - Are caused by control settings or system
conditions that may change system operation.
Alarm priority is dependent on the level of risk to the patient.
A high-priority alarm tone sounds in two burst of five tones, a pause,
and then repeats. High-priority alarms can be silenced for 110
seconds.
A high-priority alarm displayed in red background and white
character.
Medium-priority alarm tones sound in 3 tones with a 10-second
pause, then repeats. Medium priority alarms can be silenced for 110
seconds.
Medium-priority alarms are displayed as yellow characters on a grey
background.
Silencing an alarm stops the audible tone for 110 seconds.
WARNING When a high-priority alarm is eliminated, you must click

the knob to clear high alarm message after this alarm
condition is inactive!
6-2 M1217964 Rev B

List of alarms
If corrective action does not resolve the alarm, contact a GE trained
service representative.
Table 6-1: List of alarms
Message Priority Cause Action

No O2 pressure High O2 pressure < 230kPa • Ventilate manually if necessary.
• Connect a pipeline supply or install an O2
cylinder.
On battery, power Medium The main supply is not connected or has • Ventilate manually to save power.
ok? failed and system is using battery power • At full charge the battery permits
approximately 30 minutes of mechanical
ventilation. Make sure power is
connected and circuit breaker is
operational.
Low battery voltage High Battery voltage < 11V while using • Manually ventilate the patient to save
battery power power.
• Make sure power is connected and circuit
breaker is operational.
Connect O2 Medium O2 sensor disconnect • Install an O2 sensor.
sensor?
O2% high Medium O2% > high limit • Check if the limit is set correctly.
• Check if the sensor measures 21% O2 in
room air; if not, calibrate O2 sensor.
• Replace the O2 sensor.
Paw high Medium Paw > high limit • Check if Paw high and other controls are
set correctly.
• Look for blockages.
• Check patient connection.
MVexp high Medium MVexp > high limit • Check patient for spontaneous breathing.
• Adjust control settings.
TVexp high Medium TVexp > high limit • Check patient for spontaneous breathing.
• Check ventilator and alarm settings.
O2% low Medium O2% < low limit • Check if the limit is set correctly.
• Check that the O2 flow is sufficient.
• Does the sensor measure 21% O2 in
room air? If not, calibrate O2 sensor.
• As sensors wear out, the measured
percent O2 decreases. Replace the O2
sensor.
Paw low Medium Paw < low limit continuously > • Are circuit connections correct?
9sec+10% • Look at the Paw gauge on the absorber.
Look for circuit disconnection.
MVexp low Medium MVexp < low limit • Check patient condition.
• Check tubing connections.
• Check alarm settings.
TVexp low Medium TVexp < low limit • Check patient condition.
• Check tubing connections.
• Check alarm settings
Sustained Paw high High Paw > PEEP + 10 cmH2O for 15+1 • Check tubing for kinks, blockages,
seconds disconnects.
• Contact an authorized GE Healthcare
service provider to repair the system.
Apnea Medium No breaths > 20 mL in last 15 seconds • Start manual ventilation immediately.
M1217964 Rev B 6-3

9100c
Table 6-1: List of alarms
Message Priority Cause Action

System error High Initial self-check false • If this error occurs when the machine is
powering up, do not use the system,
contact qualified service representative
• Ventilate manually.
• Monitoring is not reliable.
• Contact qualified service representative.
Negative airway High Paw<-10cmH2O • Check patient condition, spontaneous
pressure activity?
• Increase fresh gas flow.
• Look for high flow through gas
scavenging.
• Calibrate the flow sensors.
• With active scavenging, check the
negative relief valve on the receiver.
No breathing circuit High Breath circuit switches do not detect • Check the breathing circuit installation.
breathing circuit module • Contact a qualified service
representative.
No CO2 absorption Medium Canister release is open with a bypass • Continue to use the system normally.
mechanism in place • Contact a qualified service
representative.
O2 flush stuck on? Medium Switch is detected “on” continuously > • This alarm occurs if you hold down the O2
30 seconds flush button for more than 30 seconds. If
the alarm occurs when flush is not in use,
contact a qualified service representative.
No drive gas Medium The ventilator does not detect supply • Manually ventilate the patient.
pressure • Make sure that the appropriate gas
supplies (O2 or air) are connected and
pressurized.
Please check flow Medium Flow sensor reverse or flow sensor • Make sure connect is correct according to
adaptor connector reverse Figure 8-9: Connect the flow sensor.
Table 6-2: Sustained limit

1The sustained pressure threshold is calculated from the pressure limit setting. The sustained
limit is calculated as follows:
Volume mode - PEEP Off Paw is 10cmH2O
Volume mode - PEEP On Paw is PEEP+10cmH2O
Mechanical Ventilation Paw is PEEP+10cmH2O

Off:
6-4 M1217964 Rev B

Ventilate manually There is one special alarm type as below:

alarms Minimum shutdown alarms stop monitoring.
Ventilate Manually alarms are followed by another alarm message.
See the “List of alarms” for the specific alarm cause and action of the
alarms that follow the Ventilate Manually message. The Ventilate
Manually alarms include:
• 10VA of PEEP and Flow Valve Failure
• PEEP Valve (Drive) Failure
• Inspiratory Flow Valve (Drive) Failure
• PEEP Valve (DAC) Failure
• DMB 3.3V Voltage Failure
• Flow Sensor Reference Voltage Failure
• Paw Sensor Reference Voltage Failure
• Inspiratory Flow Valve (DAC) Failure
• CSB and Alarm MCU Communication Failure
• CSB and DMB Communication Failure
WARNING A severe malfunction prevents monitoring. Cycle system

power (On- Standby-On). If the alarm clears, restart
mechanical ventilation. If the alarm does not clear, contact
a qualified service representative.
M1217964 Rev B 6-5

9100c
Breathing circuit problems
Table 6-3: Breathing circuit troubleshooting
System Problem Solution

Gas scavenging flow is too low or Scavenging extract flow problem. Use a different scavenging extraction system.
too high. Verify flow is within specification.
Filter blockage. Active systems have a flow Replace the filter. See “Remove the AGSS
indicator. receiver filter” in the “Cleaning and
Sterilization” section.
The bellows fills when the BTV Leak through the BTV switch. Contact a trained service representative to
switch is set to Bag or the bag fills repair the system.
when the switch is set to Vent.
The ventilator does not read the Ventilator or absorber malfunction. Ventilate manually. Contact a trained service
position of the BTV switch. representative to repair the system.
APL valve does not operate APL valve problem. Replace APL Valve poppet and diaphragm.
correctly.
Large breathing circuit leak not Bag hose not connected properly. Ensure that the bag hose is connected to the
quickly located bag port.
Absorber canister not installed correctly. Reinstall the absorber canister, ensure both
pins are engaged.
Bellows falls below top of indicator Leak in the breathing circuit. Check, clean or reposition the pressure relief
during the Bellows tests. valve. If the problem persists, replace the
pressure relief valve, bellows base, or bellows
assembly.
6-6 M1217964 Rev B

Electrical problems
WARNING If a circuit breaker opens frequently, do not use the

system. Have a trained service representative repair the
system.
Table 6-4: Electrical troubleshooting

Mains indicator is not on. The electrical power cable is not connected. Connect the power cable.
The inlet circuit breaker (switch) is off. Turn the circuit breaker on.
The power cable is damaged. Replace the power cable.

The electrical socket the power cable connects Use a different electrical socket.
to had no power.
One electrical outlet does not The outlet circuit breaker is off. Turn the circuit breaker on.
have power.
A circuit breaker opens Equipment connected to the outlet uses more Use a different power supply for some of the
frequently. current than the circuit breaker rating. equipment.
The equipment connected to the outlet has a Have a trained service representative repair the
short. system.
M1217964 Rev B 6-7

9100c
Pneumatic problems
Table 6-5: Pneumatic troubleshooting

High-pressure leak test Controls are not set correctly. Make sure that no gas is flowing, turn off the
fails. auxiliary flowmeter, and repeat the test.
Incorrect cylinder connection. Make sure that there is only one cylinder gasket,
the gasket is in good condition, and the
connection is tight.
Low-pressure leak test fails The vaporizer is not correctly installed. Correctly install the vaporizer.
with a vaporizer on. The vaporizer filler is loose (fill port type Tighten the filler.
vaporizer).
Vaporizer port o-rings (external) are damaged or Install new o-rings.
not installed.
A vaporizer malfunction (the leak stops if a Send the vaporizer to an approved service center
different vaporizer is used in the same manifold for repair.
position).
A port valve malfunction (the leak continues if a Contact a trained service representative to repair
different vaporizer in the same manifold position). the vaporizer manifold.
Low-pressure leak with a Anesthesia machine problem. Contact a trained service representative.
vaporizer off.
6-8 M1217964 Rev B

7 User Maintenance
In this section Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Maintenance summary and schedule . . . . . . . . . . . . . . . . . 7-4
Breathing circuit maintenance . . . . . . . . . . . . . . . . . . . . . . . 7-5
Prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
M1217964 Rev B 7-1

9100c
WARNING To prevent fires:

• Only use lubricants approved for anesthesia or O2
equipment.
• Do not use lubricants that contain oil or grease. They
may burn or explode in high O2 concentrations.
• All materials used to cover the system must be made
from antistatic (conductive) materials. Static
electricity can cause fires.
• Desiccated (dehydrated) absorbent material may
produce dangerous chemical reactions when
exposed to inhalation anesthetics. Adequate
precautions should be taken to ensure that absorbent
does not dry out. Turn off all gases when finished
using the system.
Obey infection control and safety procedures. Used

equipment may contain blood and body fluids.
Moveable parts and removable components may

present a pinch or a crush hazard. Use care when
moving or replacing system parts and components.
WARNING Be aware of the risks and precautionary measures related

to phthalates. The following types of procedures may
increase the risk of exposure to phthalates when a device
containing phthalates is used for treatment of children or
treatment of pregnant or nursing women:
• Exchange transfusion in neonates, total parenteral
nutrition in neonates, multiple procedures in sick
neonates, haemodialysis in peripuberal males, male
fetus and male infant of pregnant women, and
lactating women; and massive blood infusion into
trauma patients. Although these procedures have the
potential for increased risk of exposure, conclusive
evidence of human health risks has not been
established. As a precautionary measure, to reduce
the potential for unnecessary exposures to phthalates,
the product must be used in accordance with the
instructions for use, and practitioners should refrain
from using this product beyond the period of time the
product is medically necessary or needed.
7-2 M1217964 Rev B

7 User Maintenance
Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or
have the equipment serviced by an authorized GE Healthcare service
provider. 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
authorized GE Healthcare service provider. If this cannot be done,
replacement 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 be attempted by anyone not having

experience in the repair of devices of this nature.
Replace damaged parts with components manufactured or sold by

GE Healthcare. Then test the unit to ascertain that it complies with
the manufacturer’s published specifications.
Contact your local authorized GE Healthcare service provider for
service assistance. In all cases, other than where GE Healthcare’s
warranty is applicable, repairs will be made at GE Healthcare’s
current list price for the replacement part(s) plus a reasonable labor
charge.
M1217964 Rev B 7-3

9100c
Maintenance summary and schedule

These schedules are the minimum frequency based on typical usage
of 2000 hours per year. You should service the equipment more
frequently if it is used more than this.
User maintenance
Table 7-1: User Maintenance
Minimum
Maintenance
Frequency
Daily Clean external surfaces.
Weekly 21% O2 calibration (circuit O2 sensor).
Two weeks Drain the vaporizers and discard the agent.
Monthly • 100% O2 calibration (circuit O2 sensor).

• Lubricate all cylinder supply tee handle threads with
Krytox or a lubricant approved for use with 100%
O2.
During cleaning Inspect the parts for damage. Replace or repair as

and setup necessary.
Annually Replace the external o-rings on the vaporizer ports.
As necessary Install new cylinder gaskets on cylinder yokes.

Empty the water reservoir and replace the absorbent in
the canister.
Replace the circuit O2 sensor.
(Under typical use the sensor meets specifications for
one year.)
Authorized
Maintenance
Table 7-2: Authorized Maintenance
Minimum Maintenance Planed Maintenance

Twelve Months The specified checkout, test, calibration, and
component replacements should be performed
by the authorized service engineer.
Note: This is the recommended minimum maintenance level for the
anesthetic system. You have to follow your local maintenance standards.
GE Healthcare recommends that if your local maintenance standard is
equal to or higher than the maintenance level specified in this manual,
please follow your local requirement.
7-4 M1217964 Rev B

7 User Maintenance
Breathing circuit maintenance

When cleaning the breathing circuit, replace any parts that are visibly
cracked, chipped, distorted or worn.
Refer to the appropriate section for reassembly and tests.
O2 cell replacement
WARNING Handle and dispose of O2 cells according to site

biohazard policies. Do not incinerate.
Note It may take a new O2 cell 90 minutes to stabilize. If the O2 cell
calibration fails after a new O2 cell has been installed, wait 90 minutes
and repeat the calibration.
1. Remove the cable connector from the O2 cell, and unscrew the
cell counterclockwise.
Figure 7-1: Remove the O2 cell
M1217964 Rev B 7-5

9100c
O2 cell
replacement
(Cont’d)
Important Make sure that the o-ring is on the replacement O2 cell before
installation.
Figure 7-2: O-ring
2. Install the replacement O2 cell and reconnect the O2 cell cable.

3. Perform O2 cell calibration after O2 cell replacement.
7-6 M1217964 Rev B

7 User Maintenance
O2 cell calibration
WARNING Do not perform the O2 cell calibration while the system is

connected to a patient.
WARNING The O2 cell must be calibrated at the same environment

pressure at which it will be used to monitor the oxygen
delivery in the patient circuit.
WARNING Operation at pressures other than the pressures present

during operation may result in readings outside of the
stated monitoring accuracy.
Important It may take a new O2 cell 90 minutes to stabilize. If the O2 cell
calibration fails after a new O2 cell has been installed, wait 90 minutes
and repeat the calibration.
21% O2 cell calibration Complete a 21% O2 cell calibration before performing the 100% O2
calibration
1. Push the Menu key.
2. Select O2 Sensor Calibration.
3. Select 21% O2.
4. Remove the O2 cell from the circuit.
• Remove the O2 cell by unscrewing the cell counterclockwise.
This exposes the O2 cell to the room air.
5. Select Start Calibration. “Calibrating...“ shows on the screen
while the O2 cell is being calibrated to the room air.
6. “Complete“ shows on the screen upon the successful calibration.
• Reinstall the O2 cell on the circuit.
• Select Go to Calibration Menu.
7. If the screen shows “Failure“, repeat the 21% O2 cell calibration.
8. If the calibration fails after another attempt, perform a 100% O2
cell calibration. Then try the 21% O2 cell calibration again.
9. Replace the O2 cell if repeated failures occur.
M1217964 Rev B 7-7

9100c
100% O2 cell calibration Complete a 21% O2 cell calibration before performing the 100% O2
calibration
1. Make sure that the O2 cell is in the circuit.
2. After performing a 21% O2 cell calibration, select 100% O2.
3. Push the O2 flush button for 5 seconds and set the O2 flow to 5L/
Min and set other gases to minimal flow.
4. Select Start Calibration.
5. “Complete“ shows on the screen upon the successful calibration.
6. If “Failure“ shows on the screen, repeat the 100% O2 cell
calibration.
• If the calibration fails after another attempt, decrease the
airway pressure and perform the 100% O2 cell calibration
again.
• If the calibration fails after repeated attempts, perform a 21%
O2 cell calibration. Then perform the 100% O2 cell calibration
again.
• If the 100% O2 cell calibration does not pass, replace the O2
cell .
7. Perform the Breathing circuit tests on page 5-18 before using the
system.
7-8 M1217964 Rev B

7 User Maintenance
Install cleaned, The cleaned and sterilized components of gas pipeline connection,
sterilized breathing circuit, and bellows assembly, etc., should be installed
correctly to avoid gas leakage. Perform a self-check and gas leakage
components test after installed these components to make sure that the system is
operating normally. Wipe off the retained soda lime from the cover of
absorber canister when filling.
Inspiratory and Do not twist the inspiratory and expiratory check valves. Be care to
expiratory check clean, sterilize, or disassemble them. Replace the damaged
components if needed.
valves
Bellows Check the bellows assembly in a period of thirty days to timely

replace the disabled components caused by normal use and
cleaning.
1. Disassemble the bellows assembly.
2. Check that each component does not split, twist, expand, or has
other physical changes. Replace the components if needed.
3. Assemble the bellows assembly, and perform a gas leakage test.
WARNING Do not repair or maintain the equipment during

operation.
M1217964 Rev B 7-9

9100c
Vaporizer
Refer to the user’s reference manual of vaporizer used with this
system.
Battery
The reserved battery will auto-charge and keep the full charged
status when the system is operating. There is no need to charge or
maintain it manually. Please contact GE Healthcare for battery repair
and maintenance.
Prevent water buildup

Water is created from exhaled gas and a chemical reaction between
CO2 and the absorbent. Water buildup increases when the system is
used at low fresh gas flows. At low flows, more CO2 stays in the
absorber producing water and more moist exhaled gas remains in the
absorber.
Pooled water in the flow sensor or water in the sensing lines can
cause inaccurate alarms. Small beads of water or foggy appearance
in the flow sensor is okay.
To manage excess water:
• Empty the water reservoir in the canister from top when changing
the absorbent or the reservoir is full.
• Make sure that any water condensing in the breathing circuit
tubes is not allowed to drain into the flow sensor.
7-10 M1217964 Rev B

In this section Canister setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Pneumatic connections. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
How to install gas cylinders Gas supplies. . . . . . . . . . . . . . 8-15
How to attach equipment to the top of the machine . . . . . . 8-17
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-17
M1217964 Rev B 8-1

9100c
WARNING The manufacturer strongly recommends the use of O2

monitoring with this equipment. Refer to local standards
for mandatory monitoring.
International Standard IEC 60601-2-13 requires exhaled

volume monitoring, O2 monitoring (in accordance with EN
ISO 21647) and CO2 monitoring (in accordance with EN
ISO 21647) be used with this equipment.
International Standard IEC 60601-2-13 also requires

anesthetic agent monitoring (in accordance with ISO
21647) be used when anesthetic vaporizers are in use.
WARNING Always make sure that the pipeline supply hoses and the
breathing circuit components are not toxic and will not:
• Cause an allergic reaction in the patient.
• React with the anesthetic gases or agent to produce
dangerous by-products.
WARNING To prevent incorrect values or equipment malfunction,

use only cables, hoses and tubing from the system
manufacturer.
WARNING This system operates correctly at the electrical

interference levels of IEC 60601-1-2. Higher levels can
cause nuisance alarms that may stop mechanical
ventilation.
WARNING To help prevent false alarms from devices with high-

intensity electrical fields:
• Keep the electrosurgical leads away from the
breathing circuit, the flow sensors and the oxygen cell.
• Do not allow the electrosurgical leads to contact any
part of the anesthesia system.
• Do not use cell phones near the anesthesia system.
WARNING A malfunction of the medical gas central supply system

may cause all connected devices to stop.
8-2 M1217964 Rev B

WARNING To protect the patient when electrosurgical equipment is

used:
• Monitor the correct operation of all life support and
monitoring equipment.
• Keep backup manual ventilation available in case the
electrosurgical equipment prevents safe use of the
ventilator.
WARNING Do not use antistatic or electrically-conductive breathing

tubes or masks. They can cause burns if used near high
frequency surgical equipment.
WARNING Use only reservoir bags that comply with EN1820 on this
system.
WARNING Use only breathing tube that comply with YY0461, or

ISO5367, or EN12342 on this system.
M1217964 Rev B 8-3

9100c
Canister setup
6
1
Figure 8-1: Canister
Table 8-1: Canister
Item Description Item Description
1 Canister support pin 5 Expiratory water reservoir
2 Canister handle 6 Canister release latch
3 Reusable Multi Absorber canister 7 Disposable Multi Absorber canister
4 Absorbent
8-4 M1217964 Rev B

Canister setup (Cont’d)
WARNING Obey applicable safety precautions:

• Do not use the absorber with chloroform or
trichloroethylene.
• The Disposable Multi Absorber is a sealed unit which
should not be opened or refilled.
• The Disposable Multi Absorber cannot be disinfected
and is not autoclavable. Be aware that cross-
contamination is possible.
• Avoid skin or eye contact with the contents of the
absorber. In the event of skin or eye contact,
immediately rinse the affected area with water and
seek medical assistance.
• Do not change the absorber during ventilation unless
the EZchange Canister system is installed.
• Change absorbent often to prevent the buildup of
non-metabolic gases when the system is not in use.
• Inspect absorbent color at the end of a case. During
non-use, absorbent can go back to the original color.
Refer to the absorbent labeling for more information
about color changes.
• If the absorbent completely dries out, it may give off
carbon monoxide (CO) when exposed to anesthetic
agents. For safety, replace the absorbent.
• Desiccated (dehydrated) absorbent material may
produce dangerous chemical reactions when exposed
to inhalation anesthetics. Adequate precautions
should be taken to ensure that absorbent does not dry
out. Turn off all gases when finished using the system.
The absorber canister is available in two versions: Disposable Multi
Absorber and Reusable Multi Absorber. Both are removed and
installed on the breathing circuit in the same way.
Each canister holds 800 grams of loose absorbent. The manufacturer
recommends MedisorbTM absorbent.
Both absorber versions should only be used with mixtures of air,
oxygen, nitrous oxide, halothane, enflurane, isoflurane, desflurane
and sevoflurane.
M1217964 Rev B 8-5

9100c
When to change the A gradual color change of the absorbent in the canister indicates
absorbent absorption of carbon dioxide. The color change of the absorbent is
only a rough indicator. Use carbon dioxide monitoring to determine
when to change the canister.
Discard the absorbent when it has changed color. If left standing for
several hours, absorbent may regain its original color giving a
misleading indication of activity.
Read the canister instructions completely before using the product.
Removing a canister 1. Hold the canister handle and push on the release latch to unlock
the canister.
Figure 8-2: Unlock the canister
2. Remove the canister by tilting it downward and off the two

support pins.
8-6 M1217964 Rev B

Removing an 1. Hold the canister handle and push the canister cradle release
EZchange Canister latch to unlock the canister cradle.
Figure 8-3: Unlock the canister cradle
2. Slide the canister up and out of the cradle.
Figure 8-4: Remove the canister
M1217964 Rev B 8-7

9100c
Reusable Multi 1. Turn the canister upside down and use your thumbs to turn the
Absorber canister cover locking ring counterclockwise to unlock it.
filling
Figure 8-5: Unlock the cover locking ring
2. Push up to release the seal.

3. Lift off the cover to remove it.
Figure 8-6: Remove the cover
8-8 M1217964 Rev B

Reusable Multi 4. Remove and properly discard the foam filters, the absorbent, and
Absorber any water in the reservoir.
canister filling
(Cont’d)
WARNING Be careful when draining condensate from the absorber.

The liquid is caustic and may burn skin.
Figure 8-7: Drain the condensate from the absorber
5. To clean and disinfect the canister, see “Absorber canister” in the

“Cleaning and Sterilization” section.
6. Assemble canister.
• Place a new filter in the bottom of the canister.
• Pour absorbent into the canister.
• Place a new filter over the absorbent.
• Align the cover slots with the canister locking tabs and press
• the cover down into place.
• Turn the cover locking ring clockwise to lock the cover in
• place.
• Ensure cover is properly sealed.
Note Alignment of the arrows helps to indicate correct assembly.
M1217964 Rev B 8-9

9100c
Reusable Multi
Absorber
canister filling
(Cont’d)
Figure 8-8: Lock the cover in place
WARNING The filters must be in place to help prevent dust and

particles from entering the breathing circuit.
7. When replacing the canister, make sure that it is seated properly
on the support pins or in the EZchange canister module before
latching it into place.
8-10 M1217964 Rev B

Flow sensor The flow sensor must be connected in the correct way as
connection shown in the following figure:
Flow sensor
Y-Piece
The tube with blue line connects to the

P+
The tube without blue line connects to the

P-
Figure 8-9: Connect the flow sensor
M1217964 Rev B 8-11

9100c
Electrical connections
Outlets (optional) Labels show outlet voltage ratings and circuit breaker amp ratings.
WARNING Equipment connected to electrical outlets that are not

isolated outlets can increase the leakage current.
Regularly test the leakage current.
Figure 8-10: Electrical outlets
Mains inlet Arrow shows the mains power inlet and cord.
Figure 8-11: Mains power inlet
8-12 M1217964 Rev B

USB port The system has a USB port, allowing to upgrade the software
installed in the machine.
Figure 8-12: USB Port location
WARNING The USB port is only for the purpose of upgrading

software by GE qualified service engineer. Do not use the
USB port for other purpose.
M1217964 Rev B 8-13

9100c
Pneumatic connections
CAUTION Use only medical grade gas supplies. Other types of gas
supplies may contain water, oil, or other contaminants
which could affect the operation of the pneumatic system.
Pipeline Inlets
Figure 8-13: Pipeline inlets
Scavenging The scavenging assembly is located below the bellows on the

breathing circuit. Adapters may be necessary to interface to the
scavenging connector.
See the “Operation” section for more scavenging information.
Figure 8-14: Scavenging connector
8-14 M1217964 Rev B

How to install gas cylinders Gas supplies
WARNING Use only medical grade gas supplies. Other types of gas
supplies may contain water, oil, or other contaminants.
How to install pin 1. Locate the cylinder wrench.

indexed cylinder
yokes?
2. Close the cylinder valve on the cylinder to be replaced.
3. Fully loosen the T-handle.
4. Open the cylinder yoke.
5. Remove the used cylinder and the used gasket.
M1217964 Rev B 8-15

9100c
How to install 6. Remove the cap from the cylinder valve on the new cylinder.
pin indexed 7. Point the cylinder outlet away from all items that can be damaged
cylinder yokes? by a release of high pressure gas.
(Cont’d) 8. Quickly open and close the cylinder valve. This removes dirt from
the cylinder outlet.
WARNING Make sure there is one and only one gasket on the
cylinder connection. No gasket or more than one gasket
can cause a leak.
9. Install a new gasket.

10. Align the cylinder post with the index pins.
11. Close the yoke gate and tighten the T-handle.
12. Do a high pressure leak test (test one cylinder at a time):
• Disconnect pipeline supplies.
• Set the power switch to Off.
• Open the cylinder.
• Record the cylinder pressure.
• Close the cylinder.
• If the cylinder pressure decreases more than 690 kPa (100
psi) in one minute there is a significant leak.
• To repair a leak, install a new cylinder gasket and tighten the
adapter.
• Repeat the leak test. If the leak continues, do not use the
system.
CAUTION Do not leave gas cylinder valves open if the pipeline

failure.
8-16 M1217964 Rev B

How to attach equipment to the top of the machine
WARNING The top of the machine has a weight limit of 25 kg (55 lb).
Check the stability of the system in its final configuration.

Make sure that weight is evenly distributed throughout the
system.
1. Locate the clips or slots.
2. Install the straps.
3. Fully tighten the straps.
4. Make sure the straps hold the equipment in position.
WARNING Fully tighten the straps. If straps are not fully tightened,
equipment can fall off the top of the machine.
Installation notes
When the system is installed, the manufacturer representative will
check the following items and change them if necessary.
WARNING These items can only be changed by qualified personnel.

Ensure configurations conform to local requirements.
• Ventilator drive gas.
• Upgrade, activation and deactivation of monitoring and
ventilation features.
• Altitude
M1217964 Rev B 8-17

9100c
8-18 M1217964 Rev B

In this section Breathing circuit autoclavable parts . . . . . . . . . . . . . . . . . . . 9-3

Flow sensors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Remove the breathing circuit bag hose . . . . . . . . . . . . . . . . 9-7
Remove the breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Disassemble the breathing circuit . . . . . . . . . . . . . . . . . . . . 9-10
Clean and sterilization of bellows parts. . . . . . . . . . . . . . . . 9-14
Bellows assembly tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-17
Install the breathing circuit . . . . . . . . . . . . . . . . . . . . . . . . . 9-20
Remove the AGSS and receiver. . . . . . . . . . . . . . . . . . . . . 9-22
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . 9-23
EZchange Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-25
M1217964 Rev B 9-1

9100c
WARNING Obey applicable safety precautions:

• Read the material safety data sheet for each cleaning
agent.
• Read the manual for all sterilization equipment to be
used.
• Wear gloves and safety glasses. A damaged O2 cell
can leak and cause burns. Do not breathe the fumes.
CAUTION To prevent damages:

• Refer to the manufacturer’s data if you have questions
about a cleaning agent.
• Follow hospital procedures for cleaning areas of the
machine not specified in this section.
• Do not use organic, halogenated, or petroleum-based
solvents, anesthetic agents, glass cleaners, acetone,
or other harsh cleaning agents.
• Do not use abrasive cleaning agents (such as steel
wool, silver polish or cleaner).
• Keep all liquids away from electronic parts.
• Do not permit liquid to go into the equipment housings.
• Do not soak synthetic rubber parts for more than 15
minutes. Swelling or faster aging can occur.
• Only autoclave parts marked 134°C.
• Cleaning solutions must have a pH of 7.0 to 10.5.
CAUTION Even accessories designed to be reused (e.g.after

reprocessing) have a limited service life. Due to a number
of factors connected with handling and reprocessing
(e.g.disinfectant residues can attack the material more
intensely during auto-claving), increased wear can occur
and the service life can be markedly shortened. These
parts must be replaced if signs of wear become visible,
such as cracks, deformation, discoloration, peeling, etc.
9-2 M1217964 Rev B

Breathing circuit autoclavable parts
1 7
5
4
Figure 9-1: Autoclavable assemblies
Table 9-1: Autoclavable assemblies
1 Bellows assembly 5 Exhalation valve assembly
2 BTV (Bag to Vent) switch 6 Breathing circuit module (O2 cell not autoclavable)
3 APL valve 7 EZchange Canister module
4 Absorber canister (reusable only)
M1217964 Rev B 9-3

9100c
Special requirements • To clean the circuit O2 cell, wipe it with a damp cloth.
• Disassemble the bellows assembly before washing. If not, it will
take a very long time to dry. Hang the bellows upside down
(extended) to dry. If not, the convolutions can stick together.
• Parts marked 134°C are autoclavable or washable by hand or
machine (mild detergent pH 7 - 10.5). Rinse and dry completely.
All parts except the O2 cell including the cable and disposable
flow sensors can be washed.
• To clean/disinfect plastic flow sensors, use the flow sensor
cleaning procedures.
WARNING Do not use talc, zinc stearate, calcium carbonate, corn

starch or equivalent materials to prevent tackiness. These
materials can go into the patient’s lungs and airways and
cause irritation or injury.
CAUTION Do not put the circuit O2 cell including the cable or flow
sensor connector in liquid.
WARNING Do not autoclave the circuit O2 cell including the cable or

the plastic flow sensors.
WARNING Do not insert any objects into the flow sensor to clean the
interior surfaces. Damage to the flow sensor can occur.
Use a damp cloth to clean external surfaces if needed.
WARNING The O2 cell including the cable cannot be disinfected and

is not autoclavable. Be aware that cross-contamination is
possible.
9-4 M1217964 Rev B

Flow sensors
WARNING Improper placement of the flow sensor in the breathing

circuit may result in inaccurate airway pressure and
volume readings. The sensing tubes must also be
connected properly for accurate measurements.
CAUTION Do not put the flow sensor clip in liquid.
Do not autoclave the plastic flow sensors.
Do not clean the interior surfaces of the flow sensors.
Use a damp cloth on external surfaces only. The

“Preoperative Tests” section explains how to test the
system for correct operation.
Flow Sensor Clean

(Optional) The flow sensor is a precise and fragile device. If it is too dirty, it can
be cleaned using a water-soluble disinfectant and a soft cloth.
2 3
Figure 9-2: Flow sensor
M1217964 Rev B 9-5

9100c
Table 9-2: Flow Sensor parts
1 Tube with blue line 3 Sensor
2 Tube without blue line
9-6 M1217964 Rev B

Remove the breathing circuit bag hose

1. Disconnect the bag hose (2) from the bag port (1).
Figure 9-3: Remove the bag hose
Remove the breathing circuit

1. Hold the canister handle and push on the release latch to unlock
the canister.
Figure 9-4: Unlock the canister
2. Remove the canister by tilting it downward and off the two

support pins.
M1217964 Rev B 9-7

9100c
Remove the breathing circuit (Cont’d)

3. Loosen the screw.
Figure 9-5: Loosen the screw
4. Pull out the bellows.
Figure 9-6: Pull out the bellows
9-8 M1217964 Rev B

Remove the breathing circuit (Cont’d)

5. Pull the latch up, and meanwhile, draw the breathing circuit out a
bit.
Figure 9-7: Pull the latch up
6. Hold the breathing circuit properly and pull it out.
Figure 9-8: Pull out the breathing circuit
WARNING The breathing circuit may be heavy, please hold it with

both hands.
M1217964 Rev B 9-9

9100c
Disassemble the breathing circuit

The breathing circuit assembly can be disassembled for cleaning,
sterilization, and part replacement.
1. Remove the breathing circuit and place it upright on a flat
surface.
Figure 9-9: Remove the breathing circuit
2. Remove the O2 cell cable from the breathing circuit by pressing

on the connector button. Unscrew the O2 cell counterclockwise
and remove it.
Figure 9-10: Remove the O2 cell
9-10 M1217964 Rev B

Disassemble the breathing circuit (Cont’d)

3. Unscrew the BTV switch counterclockwise to unlock it, pull out
the BTV switch.
Figure 9-11: Remove the BTV switch
4. Remove the APL valve from the module.

• Loosen the 2 screws.
• Pull out the APL valve.
Figure 9-12: Remove the APL valve
M1217964 Rev B 9-11

9100c

5. Pick out the APL membrane assembly from the module. Tilt the
APL poppet a little to take it out.
APL membrane assembly APL poppet
6. Rotate the transparent cover counterclockwise to access and

remove the ceramic disc.
WARNING Handle the ceramic disc carefully, since it is fragile.
Figure 9-13: Rotate the transparent cover
Figure 9-14: Remove the transparent cover
9-12 M1217964 Rev B


7. Remove the exhalation valve assembly. Unscrew the 2 bolts
counterclockwise to dismount.
Figure 9-15: Dismount the exhalation valve
WARNING Make sure the relief valve on the exhalation valve

assembly is free of cleaning solution residue prior to
reassembling the breathing circuit. Residual cleaning
solution may impede valve performance.
M1217964 Rev B 9-13

9100c
Clean and sterilization of bellows parts
Disassemble the The bellows assembly can be disassembled for cleaning, sterilization,
bellows assembly and part replacement.
1. Turn the housing counterclockwise and lift.
Figure 9-16: Lift the housing
2. Remove the bottom edge of the bellows from the rim.
Figure 9-17: Remove the bottom edge
3. Push the latch toward the center and remove the rim.
Figure 9-18: Remove the rim
9-14 M1217964 Rev B

Disassemble 4. Remove the pressure-relief valve.

the bellows
assembly
(Cont’d)
Figure 9-19: Remove the pressure-relief valve
WARNING Do not disassemble the pressure relief valve. This can

damage the seat or diaphragm and cause injury to the
patient.
5. Push the latch toward the center and remove it.
Figure 9-20: Remove the latch
6. Remove the seal.
Figure 9-21: Remove the seal
Assemble the 1. Install the seal. Verify the groove on the seal faces up.
Bellows Assembly 2. Push the latch toward the center and attach the locking tabs.
3. Install the pressure-relief valve.
4. Install the rim. Listen for a double-click when installing the rim.
5. Attach the bottom edge of the bellows to the rim. Verify only the
bottom ring of the bellows is fitted over the rim.
6. Lower the housing and turn it clockwise to lock. Verify it cannot
be lifted off of the base.
7. Perform the Bellows assembly tests before completing the
assembly of the breathing circuit.
M1217964 Rev B 9-15

9100c
Cleaning the Bellows The bellows can be autoclaved, manually washed, or washed in an
automatic washer. Disassemble the bellows assembly before
washing. The bellows take a very long time to dry if washed as an
assembly. Hang the bellows upside down (extended) to dry. The
convolutions of the bellows can stick together if dried without being
extended.
WARNING Do not use talc, zinc stearate, calcium carbonate, corn

starch or equivalent materials to prevent tackiness.
These materials can go into the patient’s lungs and air-
ways and cause irritation or injury.
9-16 M1217964 Rev B

Bellows assembly tests
WARNING Objects in the breathing circuit can stop gas flow to the
patient. This can cause injury or death:
• Do not use a test plug that is small enough to fall into
the breathing circuit.
• Make sure that there are no test plugs or other
objects caught in the breathing circuit.
The bellows assembly tests do not replace the

preoperative tests. Always complete the tests in the
“Preoperative Tests” section before using the system on
the patient.
These tests make sure that all components are correctly

assembled. These are not an alternative to a complete
system checkout. If the bellows assembly operates
correctly, complete the assembly of the breathing circuit.
If there is a problem, disassemble the bellows assembly.
Verify proper assembly and look for and replace
damaged parts.
To test the bellows assembly:

1. Hold the bellows assembly vertically and use the appropriate test
plugs to seal the ports as shown.
Figure 9-22: Seal the ports
M1217964 Rev B 9-17

9100c
Bellows assembly tests (Cont’d)

2. Invert the bellows assembly. The bag should fall less than
100 mL/min. If this limit is exceeded, it may be due to:
• The drive gas port is not tightly sealed.
• The bellows or o-ring are incorrectly installed.
• The seal inside the bellows is not correctly installed (with
groove pointed up).
• Parts are damaged.
Figure 9-23: Invert the bellows assembly
3. Remove the plug from the drive gas port. Allow the bellows to
fully extend. Then plug the 17mm drive gas inlet port.
Figure 9-24:
9-18 M1217964 Rev B

Bellows assembly tests (Cont’d)

4. Turn the bellows assembly upright. The bag should fall less than
100 mL/min. If this limit is exceeded, it may be due to:
Figure 9-25: Turn the bellows assembly upright
• Incorrect installation of the bellows or pop-off valve.

• Parts are damaged.
5. If all the tests pass, complete the assembly of the breathing
circuit.
M1217964 Rev B 9-19

9100c
Install the breathing circuit

To install the breathing circuit:
1. Locate the guide pins.
Figure 9-26: Locate the guide pins
2. Hold the breathing circuit, slide the breathing circuit onto the
guide pins as in the photo.
Figure 9-27: Slide the breathing circuit onto the guide pins
9-20 M1217964 Rev B

Install the breathing circuit (Cont’d)

3. Push the breathing circuit in fully.
Figure 9-28: Lock the breathing circuit
4. Complete the tests in the “Preoperative Tests” section.
M1217964 Rev B 9-21

9100c
Remove the AGSS and receiver

Unscrew the locking screw to pull out the AGSS assembly.
Figure 9-29: Remove the AGSS assembly
The AGSS receiver may be removed for cleaning and sterilization.

1. Loosen the two screws to remove the AGSS receiver.
Figure 9-30: Remove the AGSS receiver
CAUTION Do not autoclave the reservoir. Damage to the reservoir

will occur.
2. Replace the filter as necessary. (See “Remove the AGSS
receiver filter.”)
9-22 M1217964 Rev B

Remove the AGSS receiver filter

The AGSS receiver and gasket may be autoclaved. To autoclave
AGSS receivers which have a filter, the filter must be removed
because it is not autoclavable.
CAUTION The AGSS filter is not autoclavable. Damage to the filter

will occur. If the AGSS receiver has a filter, remove the
filter before autoclaving the AGSS receiver.
1. Pull the flexible gasket from the receiver.
Figure 9-31: Remove the flexible gasket
2. Pull the filter out of its holder.
Figure 9-32: Remove the filter
3. Install the filter and gasket after autoclaving the receiver and
gasket in the reverse order of removal. Be sure the gasket is
firmly pressed into place at all points.
M1217964 Rev B 9-23

9100c
Absorber canister
The absorber canister is available in two versions: Disposable Multi
Absorber and Reusable Multi Absorber. Only the Reusable Multi
Absorber canister may be cleaned. See “Removing a canister” in the
“Setup and Connections” section.
Mechanical cleaning 1. Place the reusable canister (without filters) and the lid in the
in washer or washer- washer or washer-disinfector and clean them using the
appropriate procedures.
disinfector
2. If the washer or washer-disinfector is not used for disinfection of
equipment, the manufacturer recommends that a further high
level disinfection is conducted.
3. Ensure the canister is dry before replacing the filters and refilling
with absorbent. See “Removing a canister” in the “Setup and
Connections” section.
Manual cleaning The manufacturer recommends that manual cleaning is always

followed by a high level disinfection.
1. Flush the reusable canister and the lid with fresh running water.
2. Clean the canister and lid under total immersion in a sink with
water and cleaning agent for at least 3 minutes. The water
temperature should be approximately 40°C (104°F).
3. Flush the canister and lid with fresh running water.
High level 1. Always clean the canister before high level disinfection.
disinfection 2. The canister can be steam autoclaved. Maximum recommended
temperature is 134°C (273°F).
9-24 M1217964 Rev B

EZchange Canister
The EZchange Canister can be removed for cleaning, sterilization,
and part replacement. They can be removed as part of the breathing
circuit or on their own.
To remove the EZchange Canister as part of the breathing circuit, see
“Remove the breathing circuit” in this section. Then place the
breathing circuit on its side on a flat surface.
Figure 9-33: EZchange Canister
1. EZchange module
2. Release latch
M1217964 Rev B 9-25

9100c
EZchange Canister (Cont’d)

To remove the EZchange Canister system without removing the
breathing circuit:
1. Remove the canister.
2. Push the release latch and pull down on the unit to remove it from
the breathing circuit.
Figure 9-34: Remove the release latch
3. For systems with the EZchange Canister only, pull the release
latches out to remove the cap.
Figure 9-35: Remove the cap
9-26 M1217964 Rev B

EZchange Canister (Cont’d)

4. When inserting the unit back onto the breathing circuit, set the
unit on the two support pins and push it up until it snaps into
position.
Figure 9-36: Insert the unit back onto the breathing circuit
M1217964 Rev B 9-27

9100c
9-28 M1217964 Rev B

10 Parts
This section lists user-replaceable parts only. For other components,

refer to the Technical Reference manual.
In this section Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
EZchange Canister system (optional). . . . . . . . . . . . . . . . . 10-6
BTV Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Passive AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Adjustable AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . 10-10
Active AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-12
Test tools and system parts (optional) . . . . . . . . . . . . . . . 10-15
Flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-16
M1217964 Rev B 10-1

9100c
Breathing circuit module
16 2
15
3
14 4
5
13 12
9 8 7
9 11
9
10 9
Figure 10-1: Breathing circuit module parts
Table 10-1: Parts of Breathing circuit module
Item Description Stock number Quantity

Breathing circuit module (does not include O2 cell or cable) M1198709-S
1 BTV switch assembly M1197143-S 1
2 Upside APL assembly M1209899-S 1
3 Membrane APL M1205630-S 1
4 Claw APL M1205628-S 1
5 Poppet APL M1192905-S 1
6 Cable, O2 cell 1009-5570-000 1
7 O2 cell (includes o-ring) 6050-0004-110 1
8 O-ring for O2 cell or plug 1406-3466-000 1
9 O-ring 22x4 M1169929-S 4
10 O-ring 12.37x2.62 M1169930-S 1
11 O-ring 19x3 M1198745-S 1
12 O-ring 30x4 M1198744-S 1
13 O-ring 17x4 M1198743-S 1
14 Ceramic disc M1167404-S 2
15 O-ring 40x1.8 M1168795-S 2
16 Transparent cover M1207632-S 2
- Plug includes o-ring; for systems without O2 sensing 1503-3857-000
10-2 M1217964 Rev B

10 Parts
Bellows
7
4
Figure 10-2: Bellows
Table 10-2: Parts of Bellows

Bellows assembly M1156100 1
1 Bellows housing 1500-3117-000 1
2 Bellows 1500-3378-000 1
3 Rim 1500-3351-000 1
4 Pressure relief valve assembly 1500-3377-000 1
5 Latch 1500-3352-000 1
6 Manifold, bellows base 1500-3350-000 1
7 Seal, base 1500-3359-000 1
M1217964 RevB 10-3

9100c
Absorber canister
3
1
Figure 10-3: Absorber canister
Table 10-3: Parts of Absorber canister

1 Multi absorber, reusable (includes 40 pack of foam) (does not include absorbent) 1407-7004-000 1
2 Cover assembly, CO2 canister 1009-8240-000 1
3 Foam, CO2 canister (pack of 40) 1407-3201-000 1
4 O-ring 1407-3204-000 1
5 Canister, CO2 with handle 1407-3200-000 1
10-4 M1217964 Rev B

10 Parts
Exhalation valve assembly
Figure 10-4: Exhalation valve assembly
Table 10-4: Part of Exhalation valve

1 Exhalation valve assembly M1197141-S 1
M1217964 RevB 10-5

9100c
EZchange Canister system (optional)
1
3
Figure 10-5: EZchange canister
Table 10-5: Parts of EZchange canister

1 EZchange Canister module, includes valve and cap M1202535-S 1
2 Valve 1407-3126-000 1
3 Cap 1407-3130-000 1
10-6 M1217964 Rev B

10 Parts
BTV Switch
3
4
Figure 10-6: BTV switch
Table 10-6: Parts of BTV switch

BTV switch assembly M1197143-S 1
1 Fixing bag/vent switch M1195413-S 1
2 O-ring 31.5X2.65 M1198747-S 1
3 O-ring 26X2.5 M1198748-S 2
4 O-ring 4X1.8 M1198749-S 1
M1217964 RevB 10-7

9100c
Passive AGSS (optional)
16
2 8
11
4 (5)
15
(10,9) 13
6 (5)
14
13
12
Figure 10-7: Passive AGSS
10-8 M1217964 Rev B

10 Parts
Passive AGSS (optional) (Cont’d)

Table 10-7: Parts of Passive AGSS

1 Seal, Receiver body 1407-3901-000 1
2 Reservoir 1407-3903-000 1
3 AGSS connector M1192891-S 1
4 AGSS hand screw M6x26 M1193413-S 1
5 O-ring, 4.47 ID, 8.03 OD 1407-3703-000 2
6 Thumbscrew, M6x43 1406-3304-000 1
7 Valve, unidirectional (negative pressure relief)
7a Seat,Valve,Negative Pressure 1406-3396-000 1
7b Retainer,disc 1400-3017-000 1
*7c O-ring, 20.35 ID, 23.90 OD 1406-3397-000 1
7d Disc, check-valve 0210-5297-100 1
8* O-ring, 22 ID, 30 OD silicone 1407-3104-000 2
9* O-ring, 21.95 ID, 23.90 OD 1406-3558-000 1
10 Screw M4x8 9211-0640-083 2
11 Cap, 3.18 barb, silicone 1406-3524-000 1
12 Receiver, passive/adjustable 1407-3908-000 1
13 Plug Assembly, tethered 1407-3909-000 2
14 Screw, shoulder M3 1407-3915-000 1
15 Connector, 30-mm ISO, male 1406-3555-000 1
16 AGSS cover for receiver M1192887-S 1
Note:* lubricate sparingly with krytox.
M1217964 RevB 10-9

9100c
Adjustable AGSS (optional)
16
2 8
11
4 (5)
15
(10,9) 13
6 (5)
14
17
12
Figure 10-8: Adjustable AGSS
10-10 M1217964 Rev B

10 Parts
Adjustable AGSS (optional) (Cont’d)

Table 10-8: Parts of Adjustable AGSS

2 Reservoir 1407-3903-000 1
4 AGSS hand screw M6x26 M1193413-S 1
5 O-ring, 4.47 ID, 8.03 OD 1407-3703-000 2
6 Thumbscrew, M6x43 1406-3304-000 1
*7c O-ring, 20.35 ID, 23.90 OD 1406-3397-000 1
9* O-ring, 21.95 ID, 23.90 OD 1406-3558-000 1
10 Screw M4x8 9211-0640-083 2
12 Receiver, passive/adjustable 1407-3908-000 1
13 Plug Assembly, tethered 1407-3909-000 1
14 Screw, shoulder M3 1407-3915-000 1
15 Needle valve assembly (with DISS EVAC connector) 1407-3918-000 1
17 Bag with 30mm male connector 8004460 1
Note:* lubricate sparingly with krytox.
M1217964 RevB 10-11

9100c
Active AGSS (optional)
16
2 8
11
4 (5)
15
(10,9)
6 (5)
13
14
12 13, 17
Figure 10-9: Active AGSS
10-12 M1217964 Rev B

10 Parts
Active AGSS (optional) (Cont’d)

Table 10-9: Parts of Active AGSS

2 Reservoir 1407-3903-000 1
4 AGSS hand screw M6X26 M1193413-S 1
5 O-ring, 4.47 ID, 8.03 OD 1407-3703-000 2
6 Thumbscrew, M6x43 1406-3304-000 1
*7c O-ring, 20.35 ID, 23.90 OD 1406-3397-000 1
9* O-ring, 21.95 ID, 23.90 OD 1406-3558-000 1
10 Screw M4x8 9211-0640-083 2
Table 10-10: Active AGSS specific parts

12 Receiver, with air brake 1407-3900-000 1
13 Seal, for filter and orifice 1407-3902-000 2
14 Filter 1406-3521-000 1
Table 10-11: Active High Flow specific parts

15 Connector, high flow M30 thread 1406-3557-000 1
17 Orifice, high flow 1407-3920-000 1
Table 10-12: Active Low Flow with EVAC connector specific parts

15 Connector, low flow EVAC 1406-3597-000 1
17 Orifice, low flow 1407-3919-000 1
Table 10-13: Active low flow with 25 mm connector specific parts

15 Connector, low flow 25 mm 1406-3573-000 1
17 Orifice, low flow 1407-3919-000 1
M1217964 RevB 10-13

9100c
Active AGSS (optional) (Cont’d)

Table 10-14: Active low flow with 12.7 mm hose barb connector specific parts

16 Connector, low flow 12.7 mm (1/2 inch) 1406-3574-000 1
23 -none-
Table 10-15: Active low flow with 30mm taper connector specific parts

16 Connector, 30-mm ISO, male 1406-3555-000 1
23 Orifice, low flow 1407-3919-000 1
Note:* lubricate sparingly with krytox
10-14 M1217964 Rev B

10 Parts
Test tools and system parts (optional)

Table 10-16: Test tools and system parts

1 Cylinder gasket (pin indexed cylinders only) 0210-5022-300 1
2 Cylinder wrench for pin-indexed cylinder 0219-3415-800 1
3 Handle for yoke tee 0219-3372-600 1
4 Negative low pressure leak test device 0309-1319-800 1
5 Positive low pressure leak test device (ISO) 1001-8976-000 1
6 Positive pressure leak test adapter 1009-3119-000 1
7 Ring, sealing gasket (for N2O high-pressure hose) 1202-3641-000 1
8 Test lung 0219-7210-300 1
9 Test plug 2900-0001-000 1
10 Touch-up paint, Neutral Gray N7 (Medium Dark), 18 ml 1006-4198-000 1
11 Touch-up paint, Neutral Gray N8 (Medium), 18 ml 1006-4199-000 1
12 Touch-up paint, Neutral Gray N9 (Light), 18 ml 1006-4200-000 1
13 Vaporizer port o-rings, external (6 pack) 1102-3016-000 1
14 Yoke plug 0206-3040-542 1
15 Test ficture for 9100c, Kits M1210038 1
15a Calibration fixture flow sensor M1210047-S 1
15b Calibration pipe flow sensor M1211912 1
15c Calibration orifice flow sensor M1210045-S 1
15d Calibration fitting flow sensor M1211913 1
15e Test adapter CGO M1212246 1
M1217964 RevB 10-15

9100c
Flow sensor
Figure 10-10: Flow sensor
Table 10-17:

1 ELBOW CONN 1/8" 3.2MM ID CPC PN PMC2302 M1171751-S 2
2 CG01 flow sensor M1174442-S1 1
10-16 M1217964 Rev B

11 Specifications and Theory of
Operation
Note All specifications are nominal and subject to change without notice.
Note All displayed values are shown at ambient temperature and pressure
dry.
In this section System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Breathing circuit specifications . . . . . . . . . . . . . . . . . . . . . . 11-9
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . 11-12
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
Ventilator operating specifications . . . . . . . . . . . . . . . . . . 11-17
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . 11-18
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . 11-20
Electrical safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-24
IEC 60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . . 11-24
Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
System components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
M1217964 Rev B 11-1

9100c
System pneumatic circuits
Figure 11-1: Pneumatic circuit diagram
11-2 M1217964 Rev B

System pneumatic circuits (Cont’d)

Table 11-1: System pneumatic circuits
1. Air pipeline inlet 29. Exhalation valve, 0.2kPa (2.0cmH2O bias)
2. Air cylinder inlet (optional) 30. Scavenging pressure relief valve, 1.0kPa (10cmH2O)
3. N2O Pipeline inlet 31. Reservoir 200ml
4. N2O cylinder inlet (optional) 32. Bleed resistor, 1.0l/min at 0.29kPa (3.0cmH2O) if
continuous (rate dependent)
5. O2 pipeline inlet 33. Room air
6. O2 cylinder (optional) 34. Pressure switch
7. Pressure gauge 35. ACGO select valve
8. 758kPa (110psi) Safe pressure relief valve 36. ACGO port
9. Ventilator drive gas select 37. O2 sensor
10. O2 supply switch 38. Flow sensor
11. Regulator, 207kPa (30psi) 39. Flow transducer
12. N2O balance regulator 40. Paw sensor
13. Gas throttles 41. Patient lung
14. Flow Head Module (Optional) 42. Negative pressure relief valve (-14cmH2O)
15. O2 flush 43. Canister
16. Selectatec Manifold 44. BTV switch
17. 37.9kPa (5.5psi) presssure relief valve 45. Bag
18. Vaporizer 46. APL valve
19. 0-120 l/min flow 47. 30mm-connect scavenging system
20. Regulator, 172kPa (25psi) at 15L/min 48. 0.05kPa inlet
21. PEEP safety valve 49. Passive AGSS interface
22. Supply pressure switch 50. Immit scavenging base
23. PEEP proportion valve 51. Filter
24. Inspiratory control valve 52. High or low flow restrictor
25. Mechanical Overpressure Relief, 10.8kPa 53. Flow indicator
(110cmH2O)
26. Free breathing check valve 54. To disposal system
27. Atmosphere 55. Active AGSS interface
28. Popoff valve (4cmH2O)
M1217964 Rev B 11-3

9100c
Gas supplies Pressurized gas supplies enter the system through a pipeline or
cylinder connection. All connections have indexed fittings, filters, and
check valves. Gauges show the cylinder and pipeline pressures.
A regulator decreases the cylinder pressures to the appropriate
system pressure. A pressure relief valve helps protect the system
from high pressures.
To help prevent problems with the gas supplies:
• Install yoke plugs on all empty cylinder connections.
• When a pipeline supply is connected, keep the cylinder valve
closed.
• Disconnect the pipeline supplies when the system is not in use.
WARNING Do not leave gas cylinder valves open if the pipeline

failure.
O2 flow Pipeline or regulated cylinder pressure supplies O2 directly to the

ventilator (O2 Ventilator). A secondary regulator decreases the
pressure for the flush valve.
The flush valve supplies high flows of O2 to the fresh gas outlet when
you push the flush button. The flush switch uses pressure changes to
monitor the position of the flush valve. A message on the ventilator
tells you when Flush is ON if the machine has ACGO function.
When the system switch is ON, O2 flows to the rest of the system and
there is a minimum flow through the O2 flowmeter.
A secondary regulator supplies a constant O2 pressure to the flow
control valve.
An electrical switch monitors the O2 supply pressure. If the pressure
is too low, an alarm appears on the ventilator.
Air and N2O A balance regulator controls the flow of N2O to the flow control valve.
Oxygen pressure at a control port adjusts the output of the regulator.
This stops flow during an O2 supply failure and ensures that the
hypoxic gas pressures decrease with the O2 supply pressure.
Changes in O2 pressure do not affect Air.
A gear linkage on the N2O and O2 flow controls helps keep the O2
concentration higher than approximately 21% at the fresh gas outlet.
Pipeline or regulated cylinder pressure directly supply Air to the
ventilator (Air Ventilators). When the system switch is ON, air flows to
the rest of the system. A secondary regulator supplies the air flow
control valve. Because there is no balance regulator, air flow
continues at the set rate during an O2 supply failure.
11-4 M1217964 Rev B

Mixed gas The mixed gas goes from the flowmeter outlet through the vaporizer
that is ON, to the fresh gas outlet, and into the breathing circuit. A
pressure relief valve sets the maximum outlet pressure.
EZchange Canister When activated, this mode permits continued ventilation and
rebreathing of exhaled gases without any gas passing through the
absorbent.
Pneumatic specifications
CAUTION All gases supplied to the system must be medical grade.
Gas supplies
Pipeline gases O2, Air, N2O
Cylinder gases O2, Air, N2O (maximum: 2 cylinders of each
gas); 3 cylinders total
Cylinder connections Pin indexed (all gases).
Primary regulator Pin indexed: The primary regulator is set to
output pressure pressure less than 345 kPa (50 psi).
Pressure-relief valve Approximately 758 kPa (110 psi)

Pipeline connections DISS - Male; DISS-Female; S90-116 (French
(filtered) Air Liquide); BSPP 3/8 (Scandinavian) or NIST
(ISO 5359). All fittings available for O2, Air, and
N2O.
Pressure displays Color coded gauges
Pipeline inlet pressure 280-600 kPa (41-87 psi)
ACGO Port relief Valve limits fresh gas pressure to 138 kPa (20 psi) at the flush flow.
M1217964 Rev B 11-5

9100c
Electrical block diagram
Figure 11-2: Electrical block diagram
Table 11-2: Electrical block diagram

1. Power cord 16. 9100c CSB (Control Sample Board)
2. AC inlet with breaker and line filter 17. O2 sensor
3. Surge/inrush board 18. BC connected switch
4. Four possible versions depending on line voltage and 19. BTV switch
installation of optional isolation transformer
5. Power switch 20. Bypass switch
6. Task light 21. O2 flush switch
7. Switch 22. ACGO select switch
8. Outlet box 23. Gas supply switch
9. Isolation transformer 24. LCD display
10. Battery +15V 25. Backlight
11. Flow control valve 26. Speaker
12. PEEP safety valve 27. 9100c DMB(Display Monitor Board)
13. PEEP valve 28. Rotary encoder
14. Drive gas pressure switch 29. Membrane switch
15. On/Standby switch
11-6 M1217964 Rev B

Electrical power
Table 11-3: Electrical power specification

Supply voltage 100-120 or 220-240 Vac +/-10% at 50 or 60 Hz
Inlet circuit 100-120 Vac 220-240 Vac
breakers 15 A 8A
Outlet circuit 100-120 Vac 220-240 Vac
breakers (2) 2 A (2) 1 A
(1) 3 A (1) 2 A
System leakage IEC rated systems (Not U.S.A. and Canada): less than 500
current limit - do amps for the system and all systems connected to electrical
not exceed: outlets.
Note: Products connected to electrical outlets may increase the
leakage current above these limits.
Resistance to less than 0.2 
ground
WARNING The connection of equipment to the auxiliary mains

electrical outlets may increase the patient leakage
currents to values exceeding the allowable limits in the
event of a defective earth conductor.
WARNING When other equipment are connected to the anesthetic

machine by the auxiliary power supply, if the mains supply
is down, the auxiliary power supply will not provide power.
Power cord
Length 5 meters (India: 4 or 5 meters)
Voltage rating 90 to 264 Vac
Current capacity 10 A for 220-240 Vac
15 A for 100-120 Vac
Type Three conductor power supply cord (medical grade where
required).
WARNING Unplug the system power cord to run the system on the
battery power if the integrity of the protective earth
conductor is in doubt.
M1217964 Rev B 11-7

9100c
Battery information The system is not a portable unit; a sealed lead acid battery supplies
backup power in the event of a power failure.
• Capacity to operate for 90 minutes under typical operating
conditions; 30 minutes under extreme conditions.
• The system functions to specifications through the translation to
battery power.
• Battery pack has an auto-resetable thermal fuse.
• Battery terminals and connecting wires are protected against
short circuits.
Only trained service representatives are to replace the battery.
Batteries must be disposed of in accordance with applicable
regulatory requirements in effect at the time and place of disposal.
Contact a trained service representative to disconnect the battery if
the equipment is not likely to be used for an extended time.
Flow specifications
Table 11-4: Flow specifications
One flow tube Two flow tubes

Flush flow 25 to 75L/min
Flow range Minimum O2 flow 25 to 75 ml/min
O2 0.1 to 1.0L/min
1.0 to 10 L/min
N2O 0.1 to 1.0L/min
1.0 to 10 L/min
Air 0.10 to 10.0 L/min
Accuracy At 20 C with gas supply pressures at 345 kPa (50 psi) and
an outlet pressure of 101.3 kPa (absolute) (14.7 psi)
flowmeter accuracy agrees with VDE 3513 Part 3, Accuracy
Class 2.5 or better.
Different breathing circuit pressures, barometric pressures or
temperatures change the accuracy. With some conditions,
these changes can be larger than the tolerances.
Table 11-5: O2 pressure
O2 pressure
O2 supply failure 230 to 250kPa
alarm
N2O shutoff 50 kPa
11-8 M1217964 Rev B

Breathing circuit specifications

Table 11-6: Breathing circuit specifications
Volume Ventilator side 1665mL; bag side 1155 mL
With EZchange Canister system; ventilator side 2380
mL; bag side 1870 mL
Absorbent 950 ml canister
Connections Auxiliary Common Gas Outlet: ISO 5356 type connector
on the front of the system (standard 22 mm OD or 15
mm ID conical friction fit connectors).
System leakage These values are for continuous pressure and are higher
than those expected during mechanical ventilation.
Less than or equal to 225 mL/min total at 3 kPa (0.4 psi);
less than or equal to 75 mL/min for all connectors and
two part tubes; and less than or equal to 150 mL/min for
all other breathing circuit assemblies.
Pressure required Dry:0.65 cmH2O; Wet: 1.2 cmH2O
to open Inspiratory
or expiratory valves
Pressure generated 1.1 cmH2O
by a wet
unidirectional valve
APL valve Approximately 0 to 70 cmH2O
Breathing circuit resistance in bag mode*

L/min kPa cmH2O
5 0.03 0.3
30 0.17 1.7
60 0.56 5.6
Ezchange Canister system, absorber mode
5 0.03 0.3
30 0.17 1.7
60 0.56 5.6
EZchange Canister system, canister removed
5 0.03 0.3
30 0.16 1.6
60 0.56 5.6
*Values include patient circuit tubing and Y-piece 0.15 kPa (0.20 psi) expiratory
resistance at 1 L/s. Patient circuit tubing and breathing circuit configurations
may affect resistance.
Table 11-7: Pressure flow data
Pressure flow data (APL valve completely open)

APL pressure
Flow (L/min) Flow (L/s)
cmH2O
3 0.05 0.4
10 0.17 0.7
30 0.51 1.3
60 1.0 3.9
70 1.17 5.3
M1217964 Rev B 11-9

9100c
Breathing circuit specifications (Cont’d)

Table 11-8: System compliance
Bag Mode Vent Mode

Internal Internal Internal Internal
Compliance Compliance Compliance Compliance
(ml/cmH2O) (ml/30cmH2O) (ml/cmH2O) (ml/30cmH2O)
Canister 1.45 44 1.3 39
Canister+ 1.69 51 1.82 55

EZchange
System
11-10 M1217964 Rev B

Gas scavenging
All scavenging
Positive pressure relief 10 cmH2O
Negative pressure relief 0.3 cmH2O
Passive scavenging
Outlet connector 30 mm male taper ISO
Table 11-9: Active scavenging
Hospital waste gas

Disposal system
Outlet connector* disposal system
type
requirements
Adjustable flow, high DISS EVAC 305 mmHg (12 inHg) minimum
vacuum at no more than 30 L/min flow
High flow, low vacuum BSI 30 mm threaded 50 to 80 l/min flow
(BS6834)
Low flow, high vacuum DISS EVAC 305 mmHg (12 inHg) minimum
at 36 l/min flow
Low flow, low vacuum 12.7 mm barb 36 l/min flow
Low flow, low vacuum 25 mm barb 36 l/min flow
Low flow, low vacuum 30 mm ISO taper 36 l/min flow
male
*Other market-specific connectors may be available.
Particle filter at the outlet has a pore size of 225 microns. All flow data uses a new
filter.
M1217964 Rev B 11-11

9100c
Physical specifications
All specifications are approximate values and can change without
notice.
CAUTION Do not subject the system to excessive shock and

vibration.
WARNING Do not place excessive weight on flat surfaces or

drawers.
System Height 145 cm

Width 95 cm
Depth 70 cm
Weight 136 kg
Top of machine 25 kg
weight limit
Casters 12.5 cm with brakes on the front
casters
Drawers 32 cm x 42 cm x 16 cm
Ventilator display 156 x 118 mm 7.5 inch TFT
Environmental requirements
Compensation
Operation Storage
range
Temperature 10 to 40 degree C -25 to 65 degree C Not applicable
Oxygen cell operates to specifications at Oxygen cell storage is -15 to 50 degree C,
10 to 40 degree C 10 to 95% RH, 500 to 800 mmHg
Humidity 15 to 95% RH, non-condensing 15 to 95%, non-condensing Not applicable
Altitude 500 to 800 mmHg 375 to 800 mmHg 525 to 795 mmHg
(3565 to -440 meters) (5860 to -440 meters) (3000 to -100 meters)
CAUTION The device is stable when tipped up to an angle of 10

degrees.
11-12 M1217964 Rev B

Ventilator theory
The ventilator pneumatics are located in the rear of the breathing
circuit. A precision flow valve controls the amount of flow provided to
the patient, while a second, smaller flow valve is used to control the
exhalation valve sealing pressure.
Breaths are provided to the patient by sealing the exhalation valve
and providing flow to the breathing circuit. During exhalation, the
sealing pressure on the exhalation valve is released and flow
exhausts from the breathing circuit. Electronic control of PEEP is
achieved by maintaining a small amount of sealing pressure on the
exhalation valve.
Volume measurements come from a sensor in Y piece. Tubes from
the sensor element connect to a pressure transducer. The transducer
measures the pressure change across each sensor, which changes
with the flow. The other pressure transducer measures the airway
pressure at the outlet of the breathing circuit. Safety redundant valves
are used to limit the airway pressure, based on the user’s Pmax
setting.
Volume monitoring uses the flow sensor.
Note that the 9100c Ventilator provides a small amount of bleed flow
through a pneumatic resistor to control the exhalation valve.
WARNING Do not try to silence the pneumatic resistor. If it is

blocked, the ventilator can malfunction and cause patient
injury.
M1217964 Rev B 11-13

9100c
O2 monitor theory of The O2 monitor measures and displays O2 concentration in the

operation patient circuit.
The O2 sensor assembly contains an oxygen sensor that produces a
voltage proportional to the oxygen partial pressure (concentration) at
its detecting surface.
The O2 sensor is an electrochemical device (galvanic cell). Oxygen
diffuses through a membrane into the device and oxidizes a base
metal electrode. This oxidation produces an electrical current
proportional to the partial pressure of the oxygen at the electrode’s
sensing surface. The base metal electrode gradually wears out from
the oxidation process.
The voltage from the sensor cartridge is affected by the temperature
of the monitored gas mixture. A thermistor in the sensor’s housing
automatically compensates for temperature changes in the sensor.
The O2 monitor uses signal processing and analyzing circuitry to
convert the sensor signal into a corresponding % oxygen value. The
system displays this value and compares it to saved alarm limits. If
the value falls outside the limits, the monitor produces the appropriate
alarms.
11-14 M1217964 Rev B

Modes The system has two modes of mechanical ventilation:

• Volume Control Ventilation (VCV).
• Pressure Control Ventilation (PCV) (optional)
VCV
1
2
Figure 11-3: Volume control diagram
1. Paw
2. Pmax
3. PEEP
4. Time
Volume control supplies a set tidal volume. The ventilator calculates a
flow based on the set tidal volume and the length of the inspiratory
time from the I:E and frequency settings.
A typical volume-controlled pressure waveform increases throughout
the entire inspiratory period and rapidly decreases at the start of
expiration.
Volume control settings:
• TV(Tidal Volume)
• RR
• I:E
• Pmax
• PEEP
M1217964 Rev B 11-15

9100c
PCV
1
2
Figure 11-4: Pressure control diagram
1. Paw
2. Pmax
3. Pinsp
4. PEEP
5. Time
Pressure control supplies a constant set pressure during inspiration.
The ventilator calculates the inspiratory time from the respiratory rate
and I:E ratio settings. A high initial flow pressurizes the circuit to the
set inspiratory pressure. The flow then decreases to maintain the set
pressure (Pinsp).
Pressure sensors in the ventilator measure patient airway pressure.
The ventilator automatically adjusts the flow to maintain the set
inspiratory pressure.
Pressure control settings include:
• Pinsp - sets the target airway pressure.
• RR - sets the rate of mechanically driven breaths.
• I:E - sets the amount of inspiration to expiration ratio.
• Pmax - sets the maximum airway pressure.
• PEEP - sets the positive end expiratory pressure.
11-16 M1217964 Rev B

Ventilator operating specifications
Pneumatics
Gas source Anesthesia system
Gas composition Medical air or O2
Nominal supply pressure 350 kPa (51 psi)
Pressure range at inlet 280 to 600 kPa (41 to 87 psi)
Flow valve range 1 to 120 L/min at 280 kPa (41 psi)
Fresh gas
compensation
Flow compensation range 100 mL/min to 10 L/min
Gas composition O2, N2O, Air, anesthetic agents
Pressure
Patient airway pressure range -20 to +120 cmH2O
Patient airway display range 0 to 120cmH2O
High pressure alarm set range 10 to 99 cmH2O, 1 cm increment
Sustained pressure alarm range 10 cmH2O+ PEEP
Pinsp setting range 5~50cmH2O
Volume
Tidal volume display range 0 to 2000 mL, 1 mL resolution
Setting range 30 to 1500 mL
Minute volume 1.0 to 60.0 L
Breath rate 4 to 99 bpm, 1 bpm resolution
Volume sensor type Variable flow orifice
Oxygen
Display range 0 to 100% O2
Display resolution 1% increments
Sensor type: Galvanic fuel cell
Measurement range 0 to 100% O2
Measurement accuracy ± 3% of full scale
Cell response time 35 seconds, 10 to 90%
Response time of cell and adapters is
measured using the test method
described in ISO 21647
Low O2 alarm range 20% to 70%
High O2 alarm setting 40% to 100%
Low O2 limit may not be set above
High O2 limit. High O2 limit may not be
set below the Low O2 limit.
Expected cell life Four months of shelf life (23°C room
air) and one year of normal operation.
M1217964 Rev B 11-17

9100c
Ventilator accuracy data

The following accuracy data are based on patient conditions and
settings described in IEC 60601-2-13. The ventilator is assumed to be
operating in volume mode. For the following to be true, the ventilator
is operating with 100 percent oxygen in the breathing circuit. Errors
may occur as described in the gas composition chart.
Delivery accuracy
Volume control mode < 50 mL tidal volume - accuracy ±
15mL
<100 ml tidal volume - accuracy ± 30
mL
Greater than 100mL tidal volume -
better than ±15%
Monitoring accuracy
Volume control mode < 50 mL tidal volume - accuracy ±
15mL
<100 ml tidal volume - accuracy ± 30
mL
Greater than 100mL tidal volume -
better than ±15%
PCV mode Accuracy better than ±2.0 cmH2O or
±5% of reading whichever is greater.
Note: Gas composition errors may be in addition to the above normalized
accuracy. When adding errors, positive errors can have the effect of nulling out
negative errors.
Note: Use of anesthetic agent could affect the errors by approximately -0.95%/%
volume agent.
Oxygen monitor accuracy
When subjected to gas mixtures containing the following concentrations of
gases, the oxygen monitor has been tested to be within ±5% of the actual gas
concentration. Gas mixtures other than the ones listed below may result in an
accuracy of the oxygen monitor outside of the ±5% V/V.
Gas At concentration:
Helium 50%
Carbon dioxide 5%
Nitrous oxide 80%
Halothane 4%
Enflurane 5%
Isoflurane 5%
Sevoflurane 5%
Desflurane 15%
11-18 M1217964 Rev B

Figure 11-5: Gas composition related errors
M1217964 Rev B 11-19

9100c
Electromagnetic compatibility (EMC)
WARNING Changes or modifications to this equipment not expressly

approved by the manufacturer could cause EMC issues
with this or other equipment. Contact the manufacturer for
assistance. This device is designed and tested to comply
with applicable regulations regarding EMC as follows.
WARNING Use of portable phones or other radio frequency (RF)

emitting equipment (that exceed electromagnetic
interference levels specified in IEC 60601-1-2) near the
system may cause unexpected or adverse operation.
Monitor operation when RF emitters are in the vicinity.
WARNING Use of other electrical equipment on or near this system

may cause interference. Verify normal operation of
equipment in the system before use on patients.
WARNING This system is not MRI (Magnetic Resonance Imaging)

compatibility.
Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or the user of the system should
assure that is used in an electromagnetic environment as described
declaration - below.
electromagnetic
emissions
Emissions
Compliance Electromagnetic environment guidance
test
RF emissions Group 1 The system uses RF energy only for its internal function. Therefore, its RF emissions are
CISPR 11 very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions Class B The system is suitable for use in all establishments, including domestic establishments
CISPR 11 and those directly connected to the public low-voltage power supply network that supplies
buildings used for domestic purposes.
Harmonic Class A
emissions
IEC 61000-3-2
Voltage Complies
fluctuations/flicker
emissions
IEC 61000-3-3
11-20 M1217964 Rev B

Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or the user of the system should
assure that it is used in an electromagnetic environment as described
declaration - below.
electromagnetic
immunity
Power immunity
IEC 60601-1-2 Compliance Electromagnetic environment

Immunity test
test Level level guidance
Electrostatic ± 6 kV contact ± 6 kV contact Floors should be wood, concrete, or ceramic tile. If
discharge (ESD) ± 8 kV air ± 8 kV air floors are covered with synthetic material, the
IEC61000-4-2 relative humidity should be at least 30%.
Electrical fast ± 2 kV for power ± 2 kV for power Mains power quality should be that of a
transient/burst IEC supply lines supply typical commercial and/or hospital
61000-4-4 ± 1 kV for input/output lines environment.
lines ± 1 kV for input/output
lines
Surge IEC 61000- ± 1 kV differential ± 1 kV differential Mains power quality should be that of a
4-5
mode mode typical commercial and/or hospital
± 2 kV common ± 2 kV common environment.
mode mode
Voltage dips, short <5% UT (>95% dip in <5% UT (>95% dip in Mains power quality should be that of a
interruptions and UT) for 0.5 cycle UT) for 0.5 cycle) typical commercial and/or hospital
voltage variations on 40% UT (60% dip in 40% UT (60% dip in environment. If the user of the system
power supply input UT) UT) requires continued operation during
lines IEC 61000-4-11 for 5 cycles for 5 cycles power mains interruptions, it is
70% UT (30% dip in 70% UT (30% dip in recommended that the system be
UT) UT) powered from an uninterruptible power
for 25 cycles for 25 cycles supply or a battery.
<5% UT(>95% dip in <5% UT(>95% dip in
UT) UT) for 5 sec.
for 5 sec.
Power frequency (50/ 3 A/m 3 A/m If display distortion or other abnormalities
60 Hz) magnetic field occur, it may be necessary to position
IEC 61000-4-8 3 the Anesthetic System further from
sources of power frequency magnetic
fields or to install magnetic shielding. The
power frequency magnetic field should
be immersed in the intended installation
location to assure that it is sufficiently
low.
Note: UT is the AC mains voltage before application of the test level.
M1217964 Rev B 11-21

9100c
Radiated immunity
Electromagnetic
IEC 60601-1-2 test environment guidance
Immunity test Compliance level
Level Recommended
separation distance
Portable and mobile RF
communications equipment
should be used no closer to
any part of the system,
including cables, than the
recommended separation
distance calculated from the
equation appropriate for the
frequency of the transmitter.
Conducted RF 3 Vrms 3 Vrms (V1) D=3.5P
IEC 61000-4-6 150 kHz to 80 MHz outside
ISM bands
10 Vrms 10 Vrms (V2) D=12P
150 kHz to 80 MHz in ISM
bands
Radiated RF 10 V/m 10 V/m (E1) D=1.2P 80 mHz to 800 mHz
IEC 61000-4-6
80 MHz to 2.5 GHz D=3.5P 800 mHz to 2.5 GHz
Where P is the maximum
output power rating of the
transmitter in watts (W)
according to the transmitter
manufacturer and D is the
recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by
an electromagnetic site survey,
should be less than the
compliance level in each
frequency range.
The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz to
13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz
are intended to decrease the likelihood that a portable communications device could cause interference if it is inadvertently
brought into patient areas. For this reason, an additional factor of 10/3 is used in calculating the recommended separation
distance for transmitters in these frequency ranges.
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured
field strength in the location in which the system is used exceeds the applicable RF compliance level above, the system should be
observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-
orienting or relocating the system.
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.
11-22 M1217964 Rev B

Recommended The system is intended for use in the electromagnetic environment in

separation distances which radiated RF disturbances are controlled. The customer or the
user of the system can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the system as
recommended below, according tho the maximum power of the
communications equipment.
Separation distance in meters (m) according to frequency of the transmitter

Rated maximum 150 kHz to 80 MHz 150 kHz to 80 MHz 80 MHz to 800 800 MHz to 2.5
output power of Outside ISM In ISM bands MHz GHz
transmitter watts bands
(W)
0.01 0.35 1.2 0.12 0.23

0.1 1.1 3.8 0.38 0.73
1 3.5 12 1.2 2.3
10 11 38 3.8 7.3
100 35 120 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance D in meters (m) can be
determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz to 800 MHz the separation distance for the higher frequency range applies.
Note 2: The ISM (Industrial, Scientific and Medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz
to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM
frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz to decrease the likelihood that
mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.
Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.
M1217964 Rev B 11-23

9100c
Electrical safety
WARNING The system provides connections for items such as

printers, visual displays and hospital information networks
(only connect items that are intended to be part of the
system). When these items (non-medical equipment) are
combined with the system, these precautions must be
followed:
• Do not place items not approved to IEC 60601-1
closer than 1.5 m to the patient.
• All items (medical electrical equipment or non-medical
electrical equipment) connected to the system by a
signal input/signal output cable must be supplied from
an AC power source which uses a separating
transformer (in accordance with IEC 60989) or be
provided with an additional protective earth conductor.
• If a portable multiple socket outlet assembly is used as
an AC power source, it must comply with IEC 60601-1.
The assembly must not be placed on the floor. Using
more than one portable multiple socket outlet
assembly is not recommended. Using an extension
cord is not recommended.
Do not connect non-medical electrical equipment directly to the AC
outlet at the wall instead of an AC power source which uses a
separating transformer. Doing so may increase enclosure leakage
current above levels allowed by IEC 60601-1 in normal conditions
and under single-fault conditions. This may cause an unsafe electrical
shock to the patient or operator.
After connecting anything to these outlets, conduct a complete
system leakage current test (according to IEC 60601-1).
WARNING An operator of the medical electrical system must not

touch non-medical electrical equipment and the patient
simultaneously. This may cause an unsafe electrical
shock to the patient.
IEC 60601-1 Classification

This system is classified as follows.
• Class I Equipment.
• Type B Equipment.
• Ordinary Equipment.
• Not for use with flammable anesthetics.
• Continuous operation.
11-24 M1217964 Rev B

Standards
Devices used with this anesthesia system shall comply with the
following standards where applicable:
• Breathing circuits and breathing circuit components ISO 8835-2.
• Anesthetic gas scavenging transfer and receiving system ISO
8835-3.
• Anesthetic vapor delivery devices ISO 8835-4.
• Anesthetic ventilator ISO 8835-5.
• Anesthetic agent monitors ISO 21647.
• Oxygen monitors ISO 21647.
• Carbon dioxide monitors ISO 21647.
• Exhaled volume monitors IEC 60601-2-13.
System components
Integral This anesthesia system contains the following integral components,

monitoring devices, alarm systems, and protection devices that
comply with European, international, and national standards:
• Breathing circuit pressure-measuring device.
• Airway pressure-limitation device.
• Exhaled-volume monitor.
• Breathing circuit integrity alarm.
• Breathing circuit continuing-pressure alarm.
• O2 monitor.
• Anesthesia ventilator.
• Breathing circuit.
Not integral These devices are not integral to this anesthesia system:
• CO2 monitor.
• Anesthetic agent monitor.
WARNING European, international, and national standards require

the following monitoring be used with this system:
• Exhaled volume monitoring.
• O2 monitoring.
• CO2 monitoring.
• Anesthetic agent monitoring be used when anesthetic
vaporizers are in use.
When adding devices to the anesthesia systems, follow

the installation instructions provided by the device
manufacturer. Whoever adds individual devices to the
M1217964 Rev B 11-25

9100c
anesthesia system shall provide instructions on how to

enable the individual devices (for example, a preoperative
checklist).
11-26 M1217964 Rev B

Index
A Cylinder
installation 8-14
Absorber canister
cleaning 9-23
E
disinfection 9-23
filling 8-8 Electrical safety 11-22
parts 10-5 Electromagnetic compatibility 11-19
removing 8-6 EZchange Canister
setup 8-4 removal 8-7
ACGO 2-7
scavenging the ACGO sample flow 2-7 G
AGSS
active 3-7 Gas scavenging 11-10
connecting active with a flow indicator 3-8
connecting active without a flow indicator 3- M
8 Mains inlet 8-11
passive 3-6 Menus
remove receiver 9-21 using 2-11
remove receiver filter 9-22
Alarms 6-2 P
list of 6-3
Pneumatic
B connections 8-13
specifications 11-5
Battery information 11-8 system pneumatic circuits 11-2
Bellows assembly 9-3 Problems
disassemble 9-13 Breathing circuit 6-7
parts 10-4 electrical 6-8
Breathing circuit pneumatic 6-9
cleanable parts 9-3
disassembly 9-9 S
installing 9-19
removal 9-6 Scavenging 8-13
remove bag hose 9-6 ACGO sample flow 2-7
troubleshooting 6-7 from an auxiliary manual breathing circuit
2-8
C specifications 11-10
Specifications
Cleaning breathing circuit 11-9
cautions 9-2 flow 11-8
Connections gas scavenging 11-10
electrical 8-11 physical 11-11
pneumatic 8-13 pneumatic 11-5
Controls ventilator operating 11-16
vaporizer 2-6 System
ventilator 2-9
M1217964 Rev B I-1

9100c
turn on 3-2
T
Troubleshooting
breathing circuit 6-7
electrical 6-8
pneumatic 6-9
Turning on the system 3-2
U
Using menus 2-11
V
Vaporizer
controls 2-6
Ventilate manually alarms 6-6
Ventilation modes
PCV mode 11-15
Volume control 11-14
Ventilator
accuracy data 11-17
modes 11-14
operating specifications 11-16
setup 3-3
theory 11-12
Ventilator screen 2-10
I-2 M1217964 Rev B

Warranty
This Product is sold by the manufacturer under the warranties set
forth in the following paragraphs. Such warranties are extended only
with respect to the purchase of this Product directly from the
manufacturer or the manufacturer’s Authorized Dealers as new
merchandise and are extended to the Buyer thereof, other than for
the purpose of resale.
For a period of twelve (12) months from the date of original delivery to
Buyer or to Buyer’s order, but in no event for a period of more than
two years from the date of original delivery by the manufacturer to a
manufacturer Authorized Dealer, this Product, other than its
expendable parts, is warranted against functional defects in materials
and workmanship and to conform to the description of the Product
contained in this User’s Reference manual and accompanying labels
and/or inserts, provided that the same is properly operated under the
conditions of normal use, that regular periodic maintenance and
service is performed and that replacements and repairs are made in
accordance with the instructions provided. This same warranty is
made for a period of thirty (30) days with respect to expendable parts.
The foregoing warranties shall not apply if the Product has been
repaired other than by the manufacturer or in accordance with written
instructions provided by the manufacturer, or altered by anyone other
than the manufacturer, or if the Product has been subject to abuse,
misuse, negligence, or accident.
The manufacturer’s sole and exclusive obligation and Buyer’s sole
and exclusive remedy under the above warranties is limited to
repairing or replacing, free of charge, at the manufacturer’s option, a
Product, which is telephonically reported to the nearest manufacturer
Customer Service Center and which, if so advised by the
manufacturer, is thereafter returned with a statement of the observed
deficiency, not later than seven (7) days after the expiration date of
the applicable warranty, to the manufacturer Customer Service and
Distribution Center during normal business hours, transportation
charges prepaid, and which, upon the manufacturer’s examination, is
found not to conform with above warranties. The manufacturer shall
not be otherwise liable for any damages including but not limited to
incidental damages, consequential damages, or special damages.
There are no express or implied warranties which extend beyond the
warranties hereinabove set forth. The manufacturer makes no
warranty of merchantability or fitness for a particular purpose with
respect to the product or parts thereof.
Corporate Office Asia/Pacific Indonesia Taiwan
Europe Spain
PT GE Technology GE Healthcare Taiwan GE Healthcare
Indonesia 11F, 420 Fu Hsin N Road Avenida de Europa, 22
China BRI Building Tower II Taipei, 104 P.E. La Moraleja
GE (China) Co. Ltd - CIS/Baltics
26th Floor Taiwan Datex-Ohmeda 28018 Alcobendas
Healthcare Jln. Jend Sudirman Kav. Tel +886 22 2516 5280 Madrid
3F No 1 Hua Tuo Rd. Regional Head Office
44-46 Jakarta 10210, Fax +886 22 2516 5290 PO Box 70071 Spain
Zhangjiang Hi-Tech Park Indonesia Tel +34 91 663 2500
Pudong GR-16610 Glyfada -
Tel +6221 573 0545 Thailand Fax +34 91 663 25 01
201203 Shanghai Athens
Fax +6221 574 7117 GE Medical Systems Greece
GE Medical systems SCS China Sweden
Tel 86-21-38777888 (Thailand) Ltd. Tel +30 10 9625136-7
283 Rue de la Minière, Japan 7th Floor GE Healthcare IT AB
Fax 86-21-38777451 Fax +30 10 9623687v
78530 BUC, GE Yokogawa Thanapoom Tower Box 110 70
FRANCE GE Medical Systems (China) Medical Systems 1550 New Petchburi Road France 161 11 Bromma
Co., Ltd. 4-7-127 Asahigaoka, Makasan, Ratthewi GE Healthcare Sweden
No. 19 Changjiang Road, Hino-shi, Bangkok 10400 Information Technologies Tel +46 20-389550
North America Wuxi Tokyo 191-8503 Thailand & Perinatal Care Fax +46 8-293530
National Hi-Tech Japan Tel +662 624 8444 11, avenue Morane
Development Zone, Tel 81 42 585 5111 Fax +662 624 8431 United Kingdom
Saulnier
United States Jiangsu, P.R. China 214028 Fax 81 42 585 5360 78457 Velizy Cedex Datex-Ohmeda Ltd.
Tel 0510-85225888 Vietnam Ohmeda House
Customer Service, France
Fax 0510-85226688 Korea GE Viet Nam Limited 71 Great North Road
Technical Support and Tel +33 1 34 49 53 00
Distribution Center GE Healthcare Korea Metropole Centre Fax +33 1 34 49 53 01 Hatfield Hertfordshire
Hong Kong 7, 8 F POBA Gangnam Suite 606-2 AL9 5EN
Datex-Ohmeda, Inc.
3030 Ohmeda Drive GE Healthcare Tower 343 Hakdong-ro, 56 Ly Thai To Street GE Healthcare England
Madison, WI 53718-6794 Hong Kong Ltd. Gangnam-gu Seoul Hanoi Zac de Sans-Souci Tel 44 1707 263570
USA 11/F, The Lee Gardens, 135-820, Korea Vietnam 1211 Chemin de la Bruyère Fax 44 1707 260191
Tel 1 800 345 2700 33 Hysan Avenue Tel +82 2 6201 3114 Tel +844 934 4254 69578 Limonest Cedex
Fax 1 608 221 4384 Causeway Bay Fax +82 2 6201 3674 Fax +844 825 0551 France
Hong Kong Tel +33 (0)4 78 66 62 10 Latin America,
Equipment Service Center Tel +852 2100 6300 Malaysia GE Viet Nam Limited Fax +33 (0)4 78 43 26 58
GE Healthcare Fax +852 2100 6292 General Electric
Sun Wah Tower Caribbean
1701 Military Trail, Suite 1202 Germany
International Inc.
Suite 150 India 115 Nguyen Hue Street GE Medical Systems GE Healthcare
Suite 3B-8-3, Block 3B
Jupiter FL 33458-7887 Ho Chi Minh City Information Technologies 3350 SW 148th Avenue
WIPRO GE Medical Level 8, Plaza Sentral
USA Vietnam GmbH Suite 301
Systems Pvt. Ltd. Jalan Stesen Sentral 5
Tel 1 561 575 5000 Tel +848 812 9399 Munzinger Strasse 3 Miramar FL 33027-3259
4 Kadugodi Industial Area Kuala Lumpur Sentral
Fax 1 561 575 5070 Fax +848 821 9482 79111 Freiburg USA
Sadaramangala 50470 Kuala Lumpur
Bangalore Malaysia Germany Tel 954 744 5600
Canada Tel +49 761 4543 0 Fax 954 744 5613
Karnataka 560067 Tel +603 2273 9788
GE Healthcare India Fax +603 2273 3486
Australia/ Fax +49 761 4543 233
GE Healthcare
2300 Meadowvale Blvd Tel +914 1801 0000
Philippines
New Zealand GE Service Center Rua Tomas Carvalhal
Mississauga, Ontario Fax +91 28 452 926
L5N 5P9 T: 0800 434325842273 711 - Bairro Paraiso
GE Philippines, Inc. GE Healthcare San Paulo, SP 04006-002
Canada 2291 Don Chino Roces
Tel 1 800 668 0732 Australia Pty. Ltd. Brazil
Avenue Ext. Parklands Estate, Italy Tel 55 11 3053 2500/2537
Fax 1 905 858 5292 Makati City 1231 Building 4B GE Healthcare
Philippines 21 South Street Clinical Systems srl
Tel +632 815 8761 Rydalmere NSW 2116 Middle East/
Via Galeno 36
Fax +632 816 4997 Australia 20126 Milan
Tel +61 2 9846 4000 Italy
Africa
Singapore Fax +61 2 9846 4001 Tel +39 02 26001111
GE Pacific Pte. Ltd. Fax +39 02 26001599 Datex-Ohmeda
298 Tiong Bahru Road Regional Head Office
#15-01/06 Central Plaza Netherlands PO Box 70071
Singapore 168730 GR-16610 Glyfada -
GE Healthcare
Tel +65 291 8528 Athens
De Wel 18
Fax +65 277 7688 Greece
Postbus 22
3870 CA Hoevelaken Tel +30 10 9625136-7
Netherlands Fax +30 10 9623687
Tel 31 33 2541 222
Fax 31 33 2541 223
GE Medical Systems (China) Co., Ltd. © Datex-Ohmeda, Inc. – All rights reserved.
No.19, Changjiang Road GE and GE Monogram are trademarks of

General Electric Company.
Wuxi National Hi-Tech Dev. Zone
214028 Jiangsu Datex-Ohmeda, Inc., a General Electric Company,
doing business as GE Healthcare.
China
GE Medical Systems (China) Co., Ltd., a General Electric
Tel. +86-510-85225888 Company, doing business as GE Healthcare.
www.gehealthcare.com Fax +86-510-85226688 The addresses listed on this cover are current as of 12/05.
9100c
User’s Reference Manual
English
M1217964
REV. B
Jul 2013
Printed in Wuxi
All rights reserved

9100C Urm - Ge Anesthesia

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9100C Urm - Ge Anesthesia

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GE Healthcare

Disposable Multi Absorber, Reusable Multi Absorber, and

User Responsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

EZchange Canister (optional) . . . . . . . . . . . . . . . . . . . . . . . 3-5

Every day before the first patient . . . . . . . . . . . . . . . . . . . . . 4-2

Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Breathing circuit autoclavable parts . . . . . . . . . . . . . . . . . . . 9-3

Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-24

In this section Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

M1217964 Rev B 1-1

WARNING Explosion Hazard. Do not use this system with flammable

1-2 M1217964 Rev B

Symbols used in the manual or on the equipment

On (power) Off (power)

AC on and battery charging On battery

Dangerous voltage Type B equipment

Direct current Frame or chassis ground

Caution, consult accompanying documents Alternating current

Consult instructions for use Attention, refer to product instructions, IEC

Pneumatic inlet Exhaust

Serial number Stock number

Equipotential Lamp, lighting, illumination

Protective earth ground Earth ground

M1217964 Rev B 1-3

+ Plus, positive polarity

Bag position/manual ventilation Mechanical ventilation

Inspiratory flow Expiratory flow

Movement in one direction Movement in two directions

Isolation transformer Low pressure leak test

Bellows volumes are approximate

APL settings are approximate Anesthetic Gas Scavenging System

Pinch hazard Read to top of float

EZchange Canister (CO2 bypass) Caution: federal law prohibits dispensing

Alarm silence touch key Menu touch key

End case touch key Alarm limit setup key

USB port Cylinder

1-4 M1217964 Rev B

Indicates that the waste of electrical and GOST R Russian certification

Device contains phthalates XXXX indicates

M1217964 Rev B 1-5

Typeface conventions used

Abbreviation Definition Abbreviation Definition

1-6 M1217964 Rev B

WARNING Explosion Hazard. Do not use this system with flammable

In this section System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

M1217964 Rev B 2-1

Integral Components This anesthetic system includes the following components,

WARNING European, international and national standards require

When adding devices to the anesthesia systems, follow

2-2 M1217964 Rev B

Anesthetic System Control

Figure 2-1: Front View

M1217964 Rev B 2-3

Anesthetic System Control (Cont’d)

Item in Figure 2-1 Description

3 Pipeline pressure gauge(s) (upper row)