3231 AVS 186 Onwards Rev 6

Service
Department Local Work Instruction
Procedure: SCOP 3231
Penlon Ventilator Model: Page 1 of 22
AV‐S rev1.86.01 onward Author(s): A. Ashmore/J. Sargent/M.
Pugsley
Revision: 6
Issue 24/09/13
Service Engineer’s Check List
Equipment Required Metric Allen/hex key set & small adjustable spanner
Penlon test set complete (or the following items):
Wrights Respirometer or suitable electronic volume measuring device
Digital Manometer (or selection of suitable analogue gauges)
Bungs, connectors & tubing
Seaward Rigel‐266 Medical Portable Appliance Checker (or similar)
Safety Precautions Oxygen or Medical AIR only appropriate to ventilator configuration
Gas supply pressure must be less than 7 bar (100 psi)
Use no oil based grease or lubricants
Isolate electricity supply & disconnect main battery before disassembly
References AV‐S Ventilator Standalone and Remote Screen Versions Service Manual
Notes This checklist is prepared for use by Penlon Service Engineers. It is not a maintenance
manual and should not be used as such

1. Initial Checks

Check serial number to determine service required.
• 6 monthly inspect ventilator and replace any parts necessary – carry out service checks and tests.
• 12 monthly inspect ventilator and replace any parts necessary – carry out service checks and tests.
• 24 monthly inspect ventilator and fit PMK 57299 or 57302 – carry out calibration, checks and tests.

Check general external condition of the ventilator, configuration and condition of attachments, tubing, cables and
connectors.

Dismantle & check Bellows assembly, remove diaphragm valve (do not dissemble valve) & check the valve disc
hangs level. If required clean components with using alcohol wipe. Reassemble the Bellows assembly.

Remove ventilator cover. Check electrical & pneumatic connections & components and for condition and security.

2. Parts Replacement & Repairs

Every service – fit any parts necessary.
Every 24 months ‐ fit PMK part number 57299 (30min battery) or 57302 (1hr battery).

Complete any repairs and fit replacement of parts before carrying out tests or calibrations.
If this is not practicable you must ensure that affected circuits/systems are calibrated and re‐tested as necessary.

Notes: A basic data sheet & parts list is supplied with the PMK, detailed information is available in the AV‐S Service
Manual. Lubricate O rings with Molycote BG87 or suitable Oxygen safe grease.

Service Department Local Work Instruction
Pugsley
Revision: 6
Issue 24/09/13

3. Patient Valve Block Checks

Unscrew thumbscrews at rear of unit and withdraw Patient Valve Block.
Remove Diaphragm valve, spring and spring cap.
Check for damage or discolouration, replace as necessary.
With the spring, spring‐cap, and diaphragm still removed, use suitable bungs to occlude the
spring orifice & drive port. Pressurise the Patient Valve Block with an inflation bulb with test
gauge to apply pressure to the bellows drive gas hose connector.

Pressure should relieve at 100 cmH2O (± 10 cmH2O)

4. Ventilator Drive Gas High Pressure Leak Check

Ensure ventilator is switched OFF (this closes the cut off valve).
Using non‐return valve test gauge, leak test gas inlet to unit cut off ‐valve.
Maximum leak permitted is 7 kPa (1 psi) in one minute.

Note: with the ventilator powered ON it is normal for there to be slight continuous bleed of gas through the Drive
Valve.

5. Power On & Display Checks

Connect electricity supply & check:
Power indicator illuminates yellow when unit is switched off.

Switch on the ventilator & check:
Power indicator illuminates green
The audible alarm activates momentarily.
Start‐up screen appears after approximately eight seconds.

Calibrate the touch‐screen.
Select and confirm the Adult option, The AV‐S should go to the Standby mode with adult
default values.
Check screen is undamaged, the display is clear and that the touch sensitive screen functions
and navigator wheel are operating correctly.

Pugsley
Revision: 6
Issue 24/09/13

6. Menu Selection Checks

Press ‘Menu’ button and check menu screen appears.
Rotate Navigator wheel and check menu scrolls & sub‐menus can be selected by pressing
the Navigator wheel.
Restore any settings changed during above tests.

7. Engineers Mode Software & Ambient Pressure Calibration (Available in Standby only)

Important: You must know the correct local ambient pressure at the day/time of calibration.

Press the ‘Menu’ soft‐key.
Select and confirm the ‘Service Menu’ option.
Select ‘Clock Menu’ check date and time are correct (software 1.89 or earlier only)
Select ‘Upgrade Menu’ check software revisions & If necessary carry out upgrade.
Select ‘Ambient Pressure’ check reading is correct (+/‐ 10 mbar).

Adjust as necessary by disconnecting pressure sensing tube and selecting ‘Engineer Menu’ ‐ ‘Penlon Options Menu’
‐ ‘Cal Pressure’ and adjust to correct value. This action will also zero all internal pressure transducers.

8. Engineer Mode Error Codes

Press the ‘Menu’ soft‐key.
Select and confirm the ‘Service Menu’ option.
Select and confirm the ‘Service Pin’ option.
Enter the service pin number 123.
Select and confirm the ‘Engineer Menu’ option.
Select and confirm the ‘Diagnosis’ option.
Select and confirm the ‘Display Error Log’ option (up to 30 Error Codes can be stored)

Check and investigate errors. After investigation select ‘Delete Errors’ and exit menus.

9. Engineer Mode Zero Offset Level Checks

From ‘Diagnosis Menu’ check flow transducer zero offset levels.
Drive flow; Inspiratory Flow and Expiratory Flow should all read approximately 80mV

Note: any readings significantly outside of the 80 ±20 mV range may indicate a faulty component.

Pugsley
Revision: 6
Issue 24/09/13

10. Calibrate Primary Regulator
Setup
Remove the patient valve block.
Connect power supply, connect gas supply and switch on the unit.
Connect test manometer to primary regulator test point.
• Set ventilator to ‘Standby Mode’
• Set front panel settings to:
TV: 500, Rate: 5, I:E ratio 1:1, PEEP: OFF, Mode: ‘Volume Mode’
Calibration
Check & adjust during inspiratory phase to ensure that the Primary regulator is set to:
38 psi ± 3 psi (262kPa ± 21 kPa)

‘Lock’ regulator & remove test manometer, switch to ‘Standby Mode’.
Retain ventilator settings for next calibration test

11. Calibrate Secondary Regulator

Setup
Connect manometer to output of patient proportional valve (small probe)
• Use settings from previous test
• Set ‘Volume Mode’

Calibration
Check & adjust during inspiratory phase to ensure that the Secondary
regulator is set to: 95 cmH2O (1.35 psi)

‘Lock’ regulator ensuring set pressure does not change & remove test manometer, switch to ‘Standby Mode’
Re‐fit patient valve/block into the rear of the ventilator.

Notes:
The tolerance is ± 5 cmH2O but you should attempt to achieve maximum accuracy.
Any pressure measured during expiratory phase can indicate a faulty patient proportional valve.
During expiratory phase there should be no gas flow from the large Drive Gas connector ‐ If necessary carry out Drive
Valve calibrations.

Pugsley
Revision: 6
Issue 24/09/13

12. Setup & Penlon Prima Integration Checks

Setup
Switch the ventilator to OFF.
Connect the AV‐S for normal use. Ensure all tubing connections interface cables are correctly located.
Connect a patient breathing circuit to the absorber and attach a test lung.

Checks
Turn Anaesthesia machine system switch to ON. Ventilator should switch ‘ON’ (Prima Master cable fitted).
Turn Anaesthesia machine system switch to OFF. Ventilator should switch ‘OFF’ (Prima Master cable fitted).
Press the Power button on the Ventilator. Ventilator should switch ‘ON’. Reset anaesthesia machine to ‘on’ and set
basal flow.

13. Oxygen Analyser Calibration & Function Checks

Setup
Connect a reference calibrated O2 analyser and a short hose to inspiratory port on absorber.
Connect Ventilator O2 sensor to the absorber O2 sampling point.
For A200SP absorbers unlock the absorbent canister (A100SP absorber set absorber ‘On/Off’ switch to ‘Off’).

Calibration & Checks
Use O2 flush for 20 seconds then set a 5 l/min flow of oxygen and allow reading to stabilise.
Ensure 100% O2 is indicated on test device and ventilator display is stable.
From menu select ‘Oxygen Monitor & Spirometry’‐‘Calibration’. Adjust until 100% is indicated then press navigator
wheel to confirm.
Exit menu and set fresh gas flow to minimum.
Expose both sensors to air and check reading stabilises at 21% (± 2%).
Adjust high and low O2 alarms and check alarms trigger when set values are reached in the O2 display.
Relock the absorber canister, return alarm levels to original settings & remove reference O2 analyser.

14. Incorrect Settings System Check

Attempt to set incorrect/unachievable settings by using the Vt, and/or Rate controls.
Check that incorrect/unachievable settings are not selectable (later software versions).
Check ‘Incorrect Rate Or Ratio’ is displayed on screen and 3 alarm tones sound (early software versions only).
Do not confirm settings; default values should return.

Pugsley
Revision: 6
Issue 24/09/13

15. Spirometer Calibration

Setup
Disconnect fresh gas hose from anaesthesia machine CGO.
Switch Bag/Vent switch to ‘Bag’ and remove bag from bag arm.
Remove test lung from patient connector or disconnect patient circuit.
Ensure Spirometer is enabled in user menu.
Ensure zero gas flow within the breathing system!

Calibration
From menu select ‘Oxygen Monitor & Spirometry’– ‘Spiro Calibration: 0 L/min’.
Press Navigator wheel to calibrate Spiro. Display will flash ‘Calibrating all Spirometers’
If successful ‘Calibration complete’ will be displayed.
Reconnect fresh gas hose, patient circuit and manual bag and re‐set bag/vent switch to ‘Vent’ position.

16. Semi‐Automatic Leak Check & Compliance Value Calibration

Set up
Occlude the breathing circuit with a suitable bung.
Switch Bag/Vent switch to the Vent position.
Fully inflate the ventilator bellows with the O2 flush control.
Disconnect the fresh gas hose from the CGO and quickly connect to the bag arm
on the absorber.

Calibration
Press the Menu soft‐key, select and confirm the Leak Test Menu option.
Select and confirm the Start/Stop Leak Test option.

The message ‘Performing Leak Test’ will be displayed at the top of the screen.

1. ‘Excellent’ Leak rate 0 ‐ 50 ml/min.
2. ‘Good’ Leak rate 50 ‐ 149 ml/min.
3. ‘Poor’ Leak rate 150 ‐349 ml/min – investigate & cure leak!
4. ‘Bad’ Leak rate 350 ml/min or more ‐ investigate & cure leak!

Note: this test will check the integrity of the breathing system & measure the volume of the breathing circuit (to aid
Compliance Compensation accuracy).

Pugsley
Revision: 6
Issue 24/09/13

17. Ventilation, Compensation & Display Tests

Set up
Ventilator & breathing system configured for normal use & a test lung.
Fit a Wrights Respirometer to the absorber expiratory port.
Set anaesthesia machine fresh gas to minimum (basal flow).
Switch Bag/Vent switch to the Vent position.
Switch Ventilator to ‘Volume ’ Mode.
Set ‘Vt’ to 600 ml, ‘BPM’ to 10, ‘I:E’ to 1:2 and ‘Pressure Limit’ to 80.

Basic Ventilation & Display Checks
Check the ventilator is operating smoothly & test lung is inflating.
Check absorber manometer agrees with ventilator display (+ 5 cmH2O).
From menu select ‘Special Modes’ ‐ ‘Insp Pause’. Check 25% pause during the inspiratory phase and Insp
Pause icon is displayed. Switch Off Inspiratory pause.
Press ‘Wave Freeze’ and check waveform freezes. Press again to clear.
Adjust ‘P Limit’ to 38 cmH2O and observe changing scale on waveform.
Touch waveform screen and check the following second waveforms are selectable and correct waveform
is displayed. 1. Volume v Time. 2. Pressure v Volume (Compliance Loop). Reset back to ‘None’.

Compliance Compensation Check
Set fresh gas compensation to OFF & allow ventilation to stabilise.
Bellows deflection should increase (typically 750ml).
Delivered volume measured by Wrights Respirometer should read 600 ml +/‐ 10% (540 to 660 ml).
Note: If delivery is out of specification carry out Drive Valve calibration.
Fresh Gas Compensation Check
Set anaesthesia machine O2 flow to 8 L/min and check displayed ‘Vt Meas’ Rises.
Set fresh gas compensation to ON & allow ventilation to stabilise until displayed ‘Vt Meas.’ displays 600ml ± 10ml.
Bellows deflection should decrease.
Delivered volume measured by Wrights Respirometer should read 600 ml +/‐ 10% (540 to 660 ml).
Note: The AV‐S is capable of achieving high levels of accuracy, consider re‐calibration if readings are near the limits
of tolerance. If delivery is out of specification carry out a spirometry adjustment calibration.

PEEP Check
Set anaesthesia machine O2 flow to 3 L/min
Set PEEP to 10cm H2O and check waveform displays 10cm H2O of PEEP (allow at least 2‐3 breaths to stabilize).
Turn PEEP to OFF & set anaesthesia machine fresh gas to minimum (basal flow).

Pugsley
Revision: 6
Issue 24/09/13

18. Pressure Mode Ventilation Checks

Set up
Switch ventilator to ‘Standby’.

Checks
Switch Ventilator to ‘Pressure’ Vent will automatically Set ‘Target Pressure’ to 10 cm H2O.
Check that ventilation stabilises at 10 cm H2O.
Increase Target Pressure to 20 cmH2O and set 2 l/min flow on the anaesthesia machine. Ensure target
pressure is achieved and a smooth waveform is displayed.

Leak Test
Set ‘Rate’ to 5 BPM, I:E 1:1, and ‘Target Pressure’ to 50cm H2O.
Fill bellows using O2 flush, allow bellows to cycle and verify bellows returns to the top of the canister at the end of
each breath. If necessary adjust flow from anaesthesia machine to maintain full bellows.
The maximum permissible flow (leak) to achieve this is 200ml.

19. SIMV Mode Ventilation Checks

Set up
Set absorber switch to ‘Bag’ & Switch ventilator to ‘Standby’.
From the ‘Special Modes’ menu select SIMV.

Checks
An ‘Absorber Switch’ message will be displayed, switch absorber to ‘VENT’
Operate test lung very gently (by hand) and check that occasional ventilator assistance is given.
Stop operation of test lung and ensure test lung is ventilated at the default settings.

Note: If absorber switch is not enabled in service menu, the message will continue to read ‘Switch absorber to vent
position’. Press ‘SIMV’ once again to confirm.

Pugsley
Revision: 6
Issue 24/09/13

20. Spontaneous Mode Ventilation & Alarm Mute Checks

Set up
Set absorber switch to ‘Bag’.
Switch ventilator to ‘Spont’

Checks
Operate Test Lung (by hand) and check ‘Vt meas.’, ‘BPM’ and ‘I:E’ at bottom of display indicate readings. Observe
waveform displayed.
Stop operation of test lung and ensure pressure reading falls to zero and after 15 sec delay check ‘Apnoea’ alarm
triggered and ‘Vt meas.’ shows ‘= = =’.

Press ‘Mute’ verify audible alarm is muted for the pre‐set Apnoea Alarm silence duration; the alarm mute
countdown is displayed at bottom right of touch screen. NB: To check mute duration select Main Menu, Alarm
Settings and then to Apnoea Alarm the mute duration is displayed.

21. SMMV Mode Ventilation Checks

Set up

Checks
Select ‘Spont ’ and then select ‘SMMV’. Message on screen will read ‘Switch absorber to vent position’.
Change absorber position to ‘Vent’ and ventilator now displays ‘SMMV’ message.
Set target minute volume to 5.0 litres breath rate to 10 bpm.
Note: It may be necessary to adjust ‘insp time’ to achieve 10 bpm.

Operate Test Lung very gently (by hand) and check that occasional ventilator assistance is given and the
measured Minute Volume is displayed on screen.
Stop operation of test lung and ensure test lung is ventilated at the default settings.

Pugsley
Revision: 6
Issue 24/09/13

22. PSV Mode Ventilation Checks

Set up

Checks
Select ‘Spont ’ and then select ‘PSV’. Message on screen will read ‘Switch absorber to vent position’.
Change absorber position to ‘Vent’ and ventilator now displays ‘PSV’ message.

Operate Test Lung (by hand) and check that ventilator assistance corresponds with the set T+PS INIT.

Stop operation of test lung and ensure pressure reading falls to zero and after 15 sec delay check ‘Apnoea’
alarm triggered and ‘Vt meas.’ shows ‘= = =’.

23. Pressure Alarm Checks

Set up
Set ‘Vt’ to 600 ml, ‘BPM’ to 10, ‘I:E’ to 1:2 and ‘Pressure Limit’ to 38.
Cycle Ventilator by switching to ‘Volume ’ Mode

Checks
Disconnect test lung and occlude patient connector. Ensure ‘High Airway Pressure’ occurs and circuit pressure is
limited to 38 cmH2O. Re‐connect test lung and ensure alarm clears.

Disconnect test lung and open patient connector. Ensure ‘Low Airway Pressure’ occurs. Re‐connect test lung, re‐fill
bellows and ensure alarm clears.

Set ‘Pressure Limit’ to 50.
At peak pressure clamp pressure sensing tube. Displayed waveform should show pressure greater than 30 cm H2O
continuously. Check that the ‘High Continuous Pressure’ alarm is activated & ventilation ceases.
Unclamp pressure‐sensing tube and allow the vent to cycle.

Remove drive gas line from gas supply pressure and check ‘Low Supply Pressure’ alarm activates.
Re‐connect drive gas line and ensure alarm clears.

Pugsley
Revision: 6
Issue 24/09/13

24. Backup Battery & AC Power Fail Alarm Checks

Set up
Cycle Ventilator by switching to ‘Volume ’ Mode.

Checks
Disconnect power supply and check that the ‘AC Power Fail’ is displayed and the alarm sounds momentarily.
Verify ventilator continues to operate on battery for 2 minutes.
Reconnect Mains lead to ventilator & check that the on/off membrane button displays a green indicator light.

25. Electrical Safety Checks

Setup
Inspect connections, cable grommets, mains cable & plug.
Plug the mains plug into the Rigel‐266 and connect the earth bond probe to an exposed metal part & equipment
under test to ‘ON’.
Plug in electrical safety tester in to 230V earthed wall socket*.
*Note: Some operating rooms have sockets with a ‘floating earth’. Ensure an earthed socket is used.

Tests
Carry out earth, insulation & leakage tests.

1. Earth Continuity ‐ Maximum 0.2 Ohms
Set Rigel‐266 Switch to ‘EARTH BOND’. Press the START button &
observe the displayed value.
Repeat the tests on different parts of the heater assembly.
The measured earth bond resistance must be less than 0.2Ω.

2. Insulation Resistance – Minimum 20 Meg Ohms
Set Rigel‐266 Switch to ‘INSUL’. Press the START button & observe the displayed value. 500V DC voltage is
applied between the earth pin and both the live and neutral pins of the mains 3 pin plug.
The measured insulation resistance must be less than 20MΩ.

3. Earth Leakage ‐ Maximum Nc 5mA / SFC 10mA
Set Rigel‐266 switch to ‘EARTH’. Press the START button to start test. Should a test fail, the test will stop.
Automatic Test Sequence (mains/fault condition):
1 Normal None
2 Reversed None
3 Normal Neutral Open
4 Reversed Neutral Open
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Revision: 6
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4. Enclosure Leakage ‐ Maximum Nc 1mA / SFC 0.5mA
Set Rigel‐266 switch to ‘ENC’. Press the START button to start test. Should a test fail, the test will stop.
Automatic Test Sequence (mains/fault condition):
1 Normal None
2 Normal Earth open
3 Normal Neutral open
4 Reversed Neutral open
5 Reversed None
6 Reversed Earth open
5. I.E.C. Lead Polarity Tests
Set Rigel‐266 switch to ‘POLARITY’
Connect both ends of I.E.C. lead to the Rigel‐266.

When the test is passed the Rigel will display ‘GOOD’
(Failed test will be indicated by OPEN, SHORT, or REVERSE)

26. Final Checks & Paperwork

Restore any user settings & equipment configuration.
Carry out visual checks, remove all tools, test equipment.
Attach ‘This Equipment Has Been Serviced Label’ in prominent position.
Fill out service report. Ensure any corrective actions taken; tasks outstanding; user maintenance requirements;
or any operational deficiencies are reported in the ‘Comments’ box.

Note: All work activities should refer to Penlon’s Working Code Of Practice and to all Health and Safety
activities and relevant Risk Assessments.

Pugsley
Revision: 6
Issue 01/07/15
Service Engineer’s Calibration Procedures
Calibration Procedures
(Software rev1.86.01 onward)
Notes:
Calibration is necessary only following major component replacement or incorrect readings/outputs
from ventilator. Calibration of the AV‐S will NOT rectify faults associated with faulty components.

Equipment Required Metric Allen/hex key set & small adjustable spanner
Penlon test set complete (or the following items):
Wrights Respirometer or suitable electronic volume measuring device
Digital Manometer (or selection of suitable analogue gauges)
Bungs, connectors & tubing
Seaward Rigel‐266 Medical Portable Appliance Checker (or similar)
Safety Precautions Oxygen or Medical AIR only appropriate to ventilator configuration
Gas supply pressure must be less than 7 bar (100 psi)
Use no oil based grease or lubricants
Isolate electricity supply & disconnect main battery before disassembly
References AV‐S Ventilator Standalone and Remote Screen Versions Service Manual
Notes This checklist is prepared for use by Penlon Service Engineers. It is not a maintenance
manual and should not be used as such

1. Calibrate Primary Regulator

Setup
Remove ventilator lid/cover & patient valve.
Connect power & gas supply and switch on the unit.
Connect test manometer to primary regulator test point.

• Set ventilator to ‘Standby Mode’
• Set front panel settings to:
TV: 500
Rate: 5
I:E ratio 1:1
PEEP: OFF
Mode: ‘Volume Mode’

Calibration
Check & adjust during inspiratory phase to ensure that the Primary regulator is set to:
39 psi ± 3 psi (262kPa ± 21 kPa)

‘Lock’ regulator & remove test manometer, switch to ‘Standby Mode’. Retain ventilator settings for next calibration
test

Pugsley
Revision: 6
Issue 01/07/15

2. Calibrate Secondary Regulator

Setup
Connect manometer to output of patient proportional valve (small
probe)
• Use settings from previous test
• Set ‘Volume Mode’

Calibration
Check & adjust during inspiratory phase to ensure that the Secondary
regulator is set to:
95 cmH2O

Notes: The tolerance is ± 5 cmH2O but you should attempt to achieve maximum accuracy.
Any pressure measured during expiratory phase can indicate a faulty patient proportional valve.
During expiratory phase there should also be no gas flow from the large Drive Gas connector ‐ If necessary carry out
Drive Valve calibrations.

‘Lock’ regulator ensuring set pressure does not change & remove test manometer, switch to ‘Standby Mode’
Re‐fit patient valve/block into the rear of the ventilator.

3. Calibrate Pressure Transducers

Setup
Disconnect the hoses from the Driving Gas Output, Patient Pressure Connector and Exhaust outlet on the rear of the
ventilator. Important: You must know the correct local ambient pressure at the day/time of calibration.

Calibration
Follow the steps below to (zero) all pressure transducers:

• Press the Menu soft‐key.
• Select and confirm the Service Menu option.
• Select and confirm the Service Pin option.
• Enter the service pin number 123.
• Select and confirm the Engineer Menu option.
• Select the option Penlon Options Menu.
• Select and confirm the option Cal Pressure.

The message Calibrating Pressure will be displayed at the top of the screen. When complete note the new message.
Pressure calibrated is displayed.

Note: Before any further calibration the absorber and breathing circuit must be sufficiently leak free. If a leak test
was not carried out prior to calibration perform a leak test (described in section 8).
Pugsley
Revision: 6
Issue 01/07/15

4. Drive Flow Sensor Zero

Set up
Disconnect the fresh gas hose from the Common Gas Outlet.
Remove the re‐breathing bag from the bag arm.
Remove the patient circuit from the absorber.
Ensure the Bag/Vent switch is set to the Bag position & the ventilator is in ‘Stanby mode’.

Calibration
• Select and confirm the O2 Monitor & Spirometry option.
• Select and confirm the Cal Spiro 0L/min option.

The message Calibrating all spiros is displayed at the top of the screen.
This will also zero the Drive Flow transducer.

Note: This procedure will also zero the patient circuit spiros (if installed and enabled in the ventilator menu).
If the message Calibrating Drive Spiro Only is displayed the patient circuit spiros will not have been enabled in the
ventilator menu.

5. Patient Valve Zero

Set up
Reconnect the ventilator Drive Gas and Patient Pressure hoses.
Connect the Fresh Gas hose to the CGO.
Connect a short hose between the inspiratory and expiratory ports.
Position the Bag/Vent switch to the Vent position (you may need to return
the ventilator back to the Standby mode).
Set a fresh gas flow of 5 L/min and fully inflate the ventilator bellows

Calibration
Perform the following tasks to zero the Patient Valve:

• Press the Menu soft‐key & select and confirm the Service Menu option.
• Select and confirm the option Cal Valve Menu.
• Select and confirm the option Valve Cal Type.
• Select and confirm the Zero PV option.

During calibration the pressure reading on the absorber manometer will increase incrementally up to a maximum
pressure of 50cmH2O. When calibration is complete the message Patient valve Calibrated will be displayed.
Return the fresh gas flow to minimum.
Pugsley
Revision: 6
Issue 01/07/15

6. Drive Valve Zero

Set up
Occlude the Drive Gas outlet (located at the rear of the ventilator) with a suitable bung.

Calibration
Perform the following tasks to zero the Drive Valve:

• Select and confirm the Zero DV option.

During calibration the message Calibrating Drive Valve will be displayed.
After successful calibration the message displayed will be Drive Valve Calibrated.

Remove the bung from the Drive Gas outlet and re‐connect the drive hose.
Re‐connect the breathing hoses and re‐breathing bag.

Pugsley
Revision: 6
Issue 01/07/15

7. Drive Valve Measure

Set up
Disconnect the Drive Gas hose from the rear of the absorber
Attach a calibrated flow‐meter (100L/min scale) to the drive Gas hose

Calibration
Perform the following tasks to perform the DV Measure:

• Select and confirm the DV Meas’ option.

Observe the measured value (read at the top of the bobbin) is 20L/min.
If the measured value is above or below 20L/min adjust the flow using the Trim Valve Flow in the menu.
You must ensure maximum accuracy at this stage

Note: Adjusting the Trim Value up will decrease flow and down will increase flow.

• After completing the calibration select and confirm the None option in the Cal Valve menu.
• Touch the screen or Menu soft‐key to return to the Standby screen.
• Re‐connect the Drive Gas hose to the rear of the absorber.

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Revision: 6
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8. Drive Flow Sensor Calibration

Set up
Correctly connect the system for normal use.
Occlude the breathing circuit with a suitable bung.
Fully inflate the ventilator bellows with the O2 flush control.
Switch off the anaesthetic machine or disconnect the fresh gas
hose from the CGO and quickly connect to the bag arm on the
absorber.
Ensure the Bag/Vent switch is in the Vent position (you may
need to return the ventilator back to the Standby mode).

You will now be required to perform a System Leak test.

This test will check the integrity of the whole breathing system & measure the volume of the breathing circuit (to
aid Compliance Compensation accuracy).

Note: A significant leak will adversely affect the calibration process for the drive flow sensor.

Calibration
Perform the following tasks to leak check & calibrate the Drive Flow
sensor:

• Select and confirm the Leak Test Menu option.
• Select and confirm the Start/Stop Leak Test option.

The message Performing Leak Test will be displayed at the top of the screen. When completed the results will be
displayed in the menu. The results will be rated against the following parameters:

5. ‘Excellent’ Leak rate 0 ‐ 50 ml/min.
6. ‘Good’ Leak rate 50 ‐ 149 ml/min.
7. ‘Poor’ Leak rate 150 ‐349 ml/min (The calibration procedure is normally not affected).
8. ‘Bad’ Leak rate 350 ml/min or more ‐ You will need to check the system to reduce leak rate.

Pugsley
Revision: 6
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9. Drive Flow Sensor Curve Generation

Set up
Correctly connect the system for normal use.
Fit a 2 Litre re‐breathing bag to the breathing circuit.

Calibration
This check may take up to 5 mins:

• Fully inflate the ventilator bellows & re‐breathing bag with the O2 flush.
• Switch off anaesthetic machine.
• Select and confirm the option Drv. Spiro menu.
• Select and confirm the Start/Stop Curve Cal option.

Note: The breathing bag will repeatedly inflate and deflate during this test, do NOT interfere with the bag or
breathing system at this time.

10. Volume Delivery Verification and Adjustment

Note: The flow curve generation procedure (in section 9) will have zeroed the drive flow trim value, which can
now be used for fine trim to a test device.

Set up
Connect the ventilator drive gas outlet to a flow measurement device (Flow meter) or a
volume delivery measurement device (Wrights Respirometer etc).

Turn off fresh gas compensation AND compliance compensation in the menu.
Select volume ventilation on screen tab.
Calibration
Set the following parameter values:
• Vt = 1.00 l/min.
• BPM = 10.
• I:E = 1 : 1.

Check that the flow is 20 L/min on test Flowmeter (or 1.0 L on test volume device)

Adjust the ‘Trim Drive Flow’ to give correct reading (one step on the trim should give 0.5% adjustment.
(See note below regarding fast access to trim values etc)*

Change the BPM = 20 & check that the flow is 40 L/min on test Flowmeter (or 1.0 L on test volume device)
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11. Zero External Spiros

Note: This procedure is NOT required if external Spiros were enabled & calibrated during section 4 ‘Drive Flow
Sensor Zero’.

Set up
Disconnect the fresh gas hose from the CGO.
Ensure the Bag/Vent switch is set to the Bag position (you may need to return the ventilator to the Standby mode).

Remove the re‐breathing bag from the bag arm connector.
Remove the patient circuit.

Enable Spiros (if not already enabled)
• Select and confirm the Penlon Options menu.
• Select and confirm ‘Spiro’ ON.

Calibration
Perform the following tasks to calibrate/zero the drive gas flow transducer:
• Select and confirm the O2 Monitor & Spirometry option.
• Select and confirm the Cal. Spiro 0 L/min option.

12. Calibrate External Spiros
Note: Spiros must be zeroed prior to calibration (see section 11)

Set up
Connect ventilator drive hose to the expiratory port of the A200SP absorber (use a 17
‐ 22 mm adaptor).
Switch the Bag/Vent switch to the 'Bag' position and fully Close the APL valve.
Connect the fresh gas hose to the bag arm.
Connect a 1‐m length of breathing system hose to the absorber inspiratory port.

Calibration
• Select and confirm the EXT SPIROS MENU option.
• Select and confirm the Start/stop curve cal option.

Pugsley
Revision: 6
Issue 01/07/15

13. Spirometry Verification and Adjustment

Set up
Connect the system into a normal configuration.
Connect a breathing system with a test lung or bag attached.
Place a test Wrights Respirometer (or suitable volume measuring
device) to the absorber expiratory port.
Ensure compliance compensation is ON.
Ensure fresh gas compensation is ON.

Calibration
Set the following parameter values:
• Vt = 600 ml.
• BPM = 10.
• I:E = 1:2.

Important: The monitored expired tidal volume (Spiro reading) should be adjusted to match the test device even
if the delivered volume is initially incorrect.

Note: Trim adjustment is 0.5% per step. Allow at least 5 ventilator breaths before any readjustment.

• Adjust the External Spiro Trim until the AV‐S monitored tidal volume (Spiro reading) matches the test
device within +/‐ 10% (540 ‐ 660)
• When the displayed measured volume reads the set volume on the AV‐S, check the reading on the test
device is within +/‐ 10% (540 ‐ 660) of the set volume.
• Check delivered volumes remain within +/‐ 10% of set value at 300ml and 900ml

Set Monitored Measured
300ml 270 ‐ 330 270 ‐ 330
600ml 540 ‐ 660 540 ‐ 660
900ml 810 ‐ 990 810 ‐ 990

Pugsley
Revision: 6
Issue 01/07/15

14. Exit Engineer/Calibration Mode

During calibration fast access to Compliance Compensation, Drive Flow Trim, and External Spiro Trim are provided in
the ‘ROOT’ (first level) User Menu. This was enabled when the engineering PIN (123) was entered.

To avoid tampering during clinical use this feature MUST be disabled when
engineering access is finished, This is achieved by resetting the engineering PIN
back to zero.

15. Confirmation

Power down and restart the ventilator. Set the following starting parameters:
• Vt = 600, BPM = 10, I:E = 1 : 2, Mode = Volume, Fresh gas compensation = On

Check that the ventilator cycles properly and that monitored volumes match set values +/‐ 10%.
Adjust fresh gas supply, tidal volumes and breath rate ensuring that the ventilator reacts normally.

If any doubt exists carry out the full check procedure SCOP 3231 & recalibrate if required.

If not previously completed prior to calibration carry out the full check procedure SCOP 3231.

16. Final Checks & Paperwork

Restore any user settings & equipment configuration.
Carry out visual checks, remove all tools, test equipment.
Attach ‘This Equipment Has Been Serviced Label’ in prominent position.
Fill out service report. Ensure any corrective actions taken; tasks outstanding; user maintenance requirements;
or any operational deficiencies are reported in the ‘Comments’ box.

Note: All work activities should refer to Penlon’s Working Code Of Practice and to all Health and Safety
activities and relevant Risk Assessments.

3231 AVS 186 Onwards Rev 6

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