Resuscitator for neonates and premature infants

Service Manual and Parts List

60 70
50
80
40

90
30

100
21

80
70 Circuit
Pressure
60
7 8
6
50
5
40 4
3
30 2 kPa -2
1 0 -1 -20
20
10 -10
0
cmH2O

cmH2O

Resusci Flow Resusci Flow

with blender

TO THE OPERATOR AND THE PERSON IN CHARGE

OF MAINTENANCE AND CARE OF THE UNIT:
쎲 This Manual describes various inspections needed to ensure proper
operation of the Resusci Flow and the Resusci Flow with blender, in-
cluding instructions for troubleshooting, those procedures to change
certain settings which are not mentioned in the Operation Manual,
and important points to bear in mind when handling the unit.
쎲 Various inspections, including periodical inspection, are described in
detail in this Manual. They should be carried out only by those who are
fully familiar with the operation of the unit, having adequate technical
knowledge and skills required in inspecting the unit.
쎲 If repairs seem to be required as a result of any inspection described in
this Manual, either personnel with more advanced knowledge and skills
should undertake the repair or you should contact your local Atom rep-
resentative for repair service.
 INTRODUCTION

This Service Manual describes procedures for inspecting, repairing and changing the settings of the Resusci
Flow. It also describes precautions and troubleshooting in alarm conditions.
The procedures described in this Service Manual should be carried out only by those who are trained in the
operation of the unit. Neither Atom Medical Corporation nor its representative will be responsible for the quality
and performance of the unit if the unit should not be handled as instructed or if unauthorized parts should be used
in repairs. It should be noted that any responsibility arising from inspecting, repairing or changing the settings of
the unit lies with the person who carried it out.
Read this Service Manual carefully and familiarize yourself thoroughly with its contents before inspecting, repair-
ing or changing the settings of the unit.
Keep this Manual where it is readily accessible for reference in case of need.
For more detailed information on inspecting, repairing and changing the settings of the unit, contact your local
Atom representative.

CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before
using it for the first time after purchase.

Used parts and products past their lives should be disinfected and/or sterilized and then disposed
of as medical wastes in accordance with applicable waste disposal laws and regulations.

SAFETY INFORMATION

Please read the Manual carefully before operating the unit. Please follow the instructions in operating it.

z Basic Instructions

1. Medical institutions should be responsible for the maintenance and inspection of the unit.

2. When you have decided to have the unit maintained and inspected or when the unit is found in need of repair
from the results of inspection, consult your local Atom representative, and
1) have the work carried out by a person with adequate technical knowledge and skills who has completed a
training course specified by Atom, or
2) ask Atom to send a service engineer if no such a person with adequate technical knowledge and skills who
has completed a training course specified by Atom is available, or
3) ask Atom for its approval of returning the unit for repair service.

3. Follow the instructions for the safe use of the unit.

Read the operating instructions thoroughly before operating the unit.

4. Inspect the unit on a periodical basis.

Periodical inspection is needed to use the unit in the optimum condition.

5. Never use the unit if it is found defective.

Take proper measures so that a defective unit will be properly inspected and repaired and will not be used by
mistake before it has its settings changed for normal operation. Such measures include q indicating on the unit
that it is under inspection/repair and w keeping it away from the other devices that function properly.

1
 x Definitions of Warning Indication

Three levels of warning indication are used throughout this Manual and on the unit. They are defined as
follows.

A DANGER notice indicates an immediately hazardous situation which, if not avoided,

DANGER: will result in death or serious injury, serious damage to property such as total loss of use
of equipment, and a fire.

A WARNING notice indicates an indirectly (potentially) hazardous situation which,

WARNING: if not avoided, will result in death or serious injury, serious damage to property such as
total loss of use of equipment, and a fire.

A CAUTION notice indicates a hazardous situation which, if not avoided, can result in
CAUTION: minor or moderate injury, partial damage to equipment, and loss of data stored
in computers.

c Definition of Symbols

1. Symbols to indicate danger, warning or caution

Symbol Title and indication

General attention
Indicates unspecified general danger, warning or caution.

2. Symbols to prohibit action

Symbol Title and indication

General prohibition
Indicates unspecified general prohibition.

Prohibition of disassembly
Indicates prohibition of disassembly of the unit where it may cause an electric shock or other
hazards.
Prohibition of use of fire
Indicates prohibition of use of fire where an external use of fire may cause the unit to ignite
under certain conditions.

3. Symbols to give instructions for action

Symbol Title and indication

General instruction
Indicates unspecified general action on the part of the user.

4. Symbols of international standards (IEC)

Symbol Title and indication

Date of manufacture
Indicates the date when the unit was manufactured in the factory.

2
v General Precautions

CAUTION
Only those who are qualified and authorized by Atom or by a repair shop properly trained in the
handling of the unit should inspect, repair, change the settings of or disassemble and assemble the
unit.

In replacing a part, make sure that the new part you intend to use is the one specified by Atom.
Using a part other than the one specified by Atom for replacement may compromise the safety
feature of the unit.

Do not disinfect the unit by immersing it in a medical fluid; the unit cannot be sterilized by autoclav-
ing or with EOG. Follow the instructions given in the Operation Manual for cleaning and disinfecting
the unit.

After inspecting, repairing, disassembling and assembling, changing the settings of or cleaning
and disinfecting the unit, check that the unit operates properly.

3
 PLEASE READ WITHOUT FAIL
CONTENTS

INTRODUCTION .................................................... 1 REFERENCE MATERIALS

[7] Circuit Diagrams ................................... 23

PLEASE READ WITHOUT FAIL
[1] Parts Identification .................................. 6
1-1. Resusci Flow ............................................. 6
1-2. Resusci Flow with blender ......................... 7
7-1. Resusci Flow ........................................... 23
7-2. Resusci Flow with blender ....................... 23
APPENDIX

[8] Technical Data ....................................... 24

MAINTENANCE

MAINTENANCE
[9] Disposal ................................................. 26
[2] Maintenance Inspection ......................... 8
2-1. Inspection before Use ................................ 8
[10] Parts List ................................................ 27
2-2. Periodical Inspection .................................. 9 10-1. Resusci Flow ........................................... 28
2-2-1. Preparation before inspection ............ 9 10-2. Resusci Flow with blender ....................... 30
2-2-2. Periodical Inspection ........................ 10
2-3. Inspection Checklist ................................. 11
2-4. Periodical Replacement Parts ................. 12
[3] Cleaning and disinfection .................... 13

DISASSEMBLY AND REPLACEMENT

3-1. Main Body ................................................ 13
3-2. Patient Circuit .......................................... 13
[4] Troubleshooting .................................... 14
4-1. Troubleshooting of Pressure-related
Problems .................................................. 14
4-2. Troubleshooting in Alarm Conditions ....... 15

DISASSEMBLY AND REPLACEMENT

[5] Replacement Procedures ..................... 16

5-1. Replacing the PIP valve and

REFERENCE MATERIALS
the PMAX valve ......................................... 16
5-1-1. Resusci Flow ................................... 16
5-1-2. Resusci Flow with blender ............... 17
5-2. Replacing the In-circuit Pressure Meter ... 18
5-2-1. Resusci Flow ................................... 18
5-2-2. Resusci Flow with blender ............... 19
5-3. Replacing the Blender ............................. 19
5-4. Replacing the Flowmeter ......................... 20
[6] Illustrated Disassembly Procedures ... 21
6-1. Resusci Flow ........................................... 21
6-2. Resusci Flow with blender ....................... 21
APPENDIX
 Parts Identification

[1] Parts Identification

1-1. Resusci Flow

Front
Rear
w q e y

!0
cmH2O !1

t u
r i !2

No. Name Function

Maximum pressure limit (PMAX) Used to set the operating pressure of the safety valve (the relief
q setting knob (with a protective valve). This knob is covered with a protective cap because it is
cap) used only occasionally.
w In-circuit pressure meter Indicates the internal pressure of the circuit.
Peak inspiratory pressure (PIP)
e Used to set the peak inspiratory pressure to the patient.
setting knob
The outlet of oxygen, air or an oxygen-air mixed gas to be sup-
r Patient circuit connecting port
plied to the patient circuit.
Used to mount the main body to the MF rail with the MF rail
t Mount
bracket.
y Handle Used to carry the unit to another place.
The port to supply oxygen, air or an oxygen-air mixed gas to the
u Gas supply port
unit.
The tube for connecting the unit with the T Flow Valve (the T
i Corrugated tube
piece with a PEEP valve).
Occluded or released with a finger or a thumb to provide the
o PEEP/PIP switching port peak inspiratory pressure (PIP) or the positive end-expiratory
pressure (PEEP).
Used to set the positive end-expiratory pressure (PEEP) to the
!0 PEEP setting knob
patient.
T Flow Valve The corrugated tube and the face mask or the test bag are con-
!1
(T piece with a PEEP valve) nected to this valve.
Attached to the patient to supply the inspiration gas to the pa-
!2 Face mask
tient without leakage.
❋ The patient circuit consists of i and !1.

6
 Parts Identification

PLEASE READ WITHOUT FAIL

1-2. Resusci Flow with blender

Front
Rear
o i

r
60 O2 %
70
50
80
40

q 30

21
90

100

t
60
70
80
Circuit
Pressure
!0
7 8
6

w y
50
5
40 4

!1
3
30 2 kPa -2
1 0 -1 -20
20
10 -10
0
cmH2O

e u

No. Name Function

Oxygen concentration setting
q Used to set the oxygen concentration.
knob
w In-circuit pressure meter Indicates the internal pressure of the circuit.
Maximum pressure limit (PMAX) Used to set the operating pressure of the safety valve (the relief
e setting knob (with a protective valve). This knob is covered with a protective cap because it is
cap) used only occasionally.
r Flowmeter Indicates the gas flow rate in the range of 0~15L/min.
t Flow rate setting knob Used to set the gas flow rate in the range of 0~15L/min.
Peak inspiratory pressure (PIP)
y Used to set the peak inspiratory pressure to the patient.
setting knob
The outlet of oxygen, air or an oxygen-air mixed gas to be sup-
u Patient circuit connecting port
plied to the patient circuit.
i Handle Used to carry the unit to another place.
Used to mount the main body to the MF rail with the MF rail
o Mount
bracket.
Piping connecting hose (for oxy-
!0 Compatible oxygen supply pressure: 300~500kPa (3~5kgf/cm2)
gen) connecting port
Piping connecting hose (for air)
!1 Compatible air supply pressure: 300~500kPa (3~5kgf/cm2)
connecting port

7
 Maintenance Inspection

[2] Maintenance Inspection

CAUTION
After repairing or reassembling the unit, check the following points to make sure that the unit oper-
ates properly.

 Inspection before use

Check the basic functional operation of each part of the unit every time you are going to use the unit.

 Periodical inspection
Periodical inspection should be conducted on an annual basis

 Parts requiring periodical replacement

Some parts need to be replaced periodically depending on their period of use.

2-1. Inspection before Use

Check the following points every time you are going to use the unit.

CAUTION
If you should notice any strange smell, strange noise, overheating, strange vibration, missing parts
or defective function in the inspection, stop using the unit immediately and contact your local Atom
representative.

Item to check Description

Appearance
In-circuit pressure meter
Corrugated tube
Gas supply port
Connection of the patient
circuit
Differential pressure alarm
(Resusci Flow with blender)
Pressure
Alarm function for the maxi-
mum pressure limit (PMAX)
The main body and the patient circuit should be neither broken nor de-
formed. (Other wise, the infant and/or the user may get injured due to
breakage, etc.)
The pointer of the in-circuit pressure meter should indicate 0cmH2O. (Oth-
erwise, the supply pressure may deviate from the setting.)
The tube should not be broken and there should be no foreign matters
inside. (Otherwise, the infant may swallow them accidentally or the pa-
tient circuit may get occluded.)
It should be connected securely.
(Otherwise, the pressure performance may decrease.)
The patient circuit should be connected securely.
(Otherwise, the pressure performance may decrease.)
An alarm should sound when either the piping connecting hose for oxygen
or the piping connecting hose for air is disconnected.
The circuit should be connected correctly.
The peak inspiratory pressure (PIP) should be applied when the PEEP/
PIP switching port is occluded.
The positive end-expiratory pressure (PEEP) should be applied when the
PEEP/PIP switching port is released.
An alarm should sound when the peak inspiratory pressure (PIP) setting
knob is turned fully clockwise at the flow rate of 15L/min and the PEEP/
PIP switching port is occluded.

8

2-2. Periodical Inspection
Contact your local Atom representative annually for periodical inspection.
If any trouble is detected in periodical inspection, contact your local Atom representative.
2-2-1. Preparation before inspection
Item to check
Connecting the gases
Connecting the patient circuit
Inspection of the pressures
Oxygen concentration
(Resusci Flow with blender)
Maintenance Inspection
Description
q Resusci Flow
Connect a hose to which a blender which has either an oxygen flowme-
ter or a flowmeter is connected to the gas supply port of the unit.
MAINTENANCE
w Resusci Flow with blender
Connect the high-pressure hoses to the “medical oxygen connecting
port” and the “medical air connecting port” on the wall outlet of the
central piping system of your facilities.
q Connect the patient circuit properly to the main body.
w Connect the test bag to the open connecting port of the T Flow Valve.
q Let a gas flow and check that the peak inspiratory pressure (PIP) is
applied when the PEEP/PIP switching orifice is occluded. Also check
that the peak inspiratory pressure (PIP) can be adjusted by turning the
peak inspiratory pressure (PIP) setting knob.
w Check that the positive end-expiratory pressure (PEEP) is applied when
the PEEP/PIP switching orifice is released. Also check that the posi-
tive end-expiratory pressure (PEEP) can be adjusted by turning the
positive end-expiratory pressure (PEEP) setting knob while pulling it
up.
Obtain an oxygen analyzer.
q Supply 100% oxygen at the flow rates of 2L/min and 10L/min.
Check that the oxygen concentration can be adjusted with the accuracy
of 앐3% at each flow rate.
9
 Maintenance Inspection

2-2-2. Periodical Inspection

Item to check Description Procedure

The oxygen concentration of the mixed gas ❋1) Set the oxygen concentration setting
should be within the specified range listed be- knob to 21%. Measure the oxygen
low. concentration using a calibrated oxy-
gen analyzer.
Accuracy of <Specified range>
❋2) Set the oxygen concentration setting
oxygen concen- Setting Lower limit Upper limit
knob to 60%. Measure the oxygen
tration 18% or 24% or
21%❋1 concentration using a calibrated oxy-
(Resusci Flow higher❋1 lower❋1 gen analyzer.
with blender) 57% or 63% or
60%❋2 ❋3) Set the oxygen concentration setting
higher❋2 lower❋2 knob to 100%. Measure the oxygen
97% or 103% or concentration using a calibrated oxy-
100%❋3
higher❋3 lower❋3 gen analyzer.
Air tightness The flow rate should be 0L/min when the flow Set the flow rate to 0L/min and check that
(Resusci Flow rate setting knob is turned fully to the OFF po- no mixed gas is leaking at the screws, the
with blender) sition. knobs or the connections.
The flow rate should be within the specified
Set the flow rate to 10L/min and measure
range listed below.
Accuracy of flow the flow rate using an oxygen flowmeter.
rate <Specified range> ❋ To determine the flow rate accuracy,
(Resusci Flow Setting Lower limit Upper limit remove the piping in the unit and mea-
with blender) 9L/min or 11L/min or sure the flow rate just behind the flow-
10L/min meter.
higher lower

Appearance No part of the main body should be broken. Inspect the unit visually.

In-circuit The pointer of the in-circuit pressure meter

Inspect the pointer visually.
pressure meter should indicate 0cmH2O.
The tube should not be broken and there should
Corrugated tube Inspect the tube visually.
be no foreign matters inside.
1) Set the flow rate to 15L/min. and turn
Alarm function the peak inspirator y pressure (PIP)
for the maxi- setting knob fully clockwise.
An alarm should sound normally.
mum pressure 2) Check that an alert sounds when you
limit (PMAX) occlude the PEEP/PIP switching
port.

10

2-3. Inspection Checklist
Product name
Serial number
Installation site
 Inspection before use
Item to check
Appearance
In-circuit pressure
meter
Corrugated tube
Gas connecting port
Connection of the
patient circuit
Differential pressure
alarm (Resusci Flow
with blender)
Pressure
Alarm function for the
maximum pressure
limit (PMAX)
 Periodical inspection
Item to check
Accuracy of oxygen
concentration
Air tightness
Accuracy of flow rate
(Resusci Flow with blender)
Appearance
In-circuit pressure
meter
Corrugated tube
Alarm function for the
maximum pressure
limit (PMAX)
Maintenance Inspection
Resusci Flow, Resusci Flow with blender
Date of inspection
Description Judgment
Is the main body intact and fixed securely? YES / NO
MAINTENANCE
Is the pointer of the in-circuit pressure meter indicating 0cmH2O? YES / NO
Is the corrugated tube free of breakage and any foreign matters inside? YES / NO
Is the gas connecting port connected securely without any leakage? YES / NO
Is the patient circuit connected securely? YES / NO
Does an alarm sound when either the oxygen supply source or the air
YES / NO
supply source is disconnected?
Is the circuit connected properly? YES / NO
Is the peak inspiratory pressure (PIP) applied when the PEEP/PIP switch-
YES / NO
ing port is occluded?
Is the positive end-expiratory pressure (PEEP) applied when the PEEP/
YES / NO
PIP switching port is released?
Does an alarm sound when the peak inspiratory pressure (PIP) setting
knob is turned fully clockwise at the flow rate of 15L/min and the PEEP/ YES / NO
PIP switching port is occulded?
Description Judgment
Is the oxygen concentration of the mixed gas within the specified range
YES / NO
when the oxygen concentration setting knob is set to 21%?
Is the oxygen concentration of the mixed gas within the specified range
YES / NO
when the oxygen concentration setting knob is set to 60%?
Is the oxygen concentration of the mixed gas within the specified range
YES / NO
when the oxygen concentration setting knob is set to 100%?
Is the flow rate 0L/min when the flow rate setting knob is turned fully to
YES / NO
the OFF position?
Is the flow rate within the specified range when the flow rate is set to 10L/
YES / NO
min?
Is the main body intact and fixed securely? YES / NO
Is the pointer of the in-circuit pressure meter indicating 0cmH2O? YES / NO
Is the corrugated tube free of breakage and any foreign matters inside? YES / NO
Does an alarm sound when the peak inspiratory pressure (PIP) setting
knob is turned fully clockwise at the flow rate of 15L/min and the PEEP/ YES / NO
PIP switching port is occulded?
11
 Maintenance Inspection

2-4. Periodical Replacement Parts

Periodical replacement parts are those which gradually deteriorate and wear down with use. They need peri-
odical replacement to keep the accuracy and performance of the unit at a proper level. Timing of replacement
varies with the frequency and conditions of use. Consult your local Atom representative for replacement.

Part name Period of use Reason for replacement

PIP valve 3 years Deterioration of the materials
PMAX valve 3 years Deterioration of the materials
In-circuit pressure meter 5 years Decreased accuracy
Patient circuit connecting port 3 years Deterioration of the materials
Flowmeter 5 years Decreased accuracy
❋ Replace the test bag when necessary.

12
 Cleaning and Disinfection

[3] Cleaning and disinfection

WARNING
Before cleaning and disinfecting the unit, be sure to stop the oxygen supply to the unit and discon-
nect the unit from the oxygen supply source.

Before cleaning or maintaining the unit, be sure to stop the oxygen supply to the unit and discon-
nect the unit from the oxygen supply source. Cleaning or maintaining the unit in an environment
where the oxygen concentration is high may cause a fire or an explosion.

Clean and disinfect the unit whenever you notice any dirt or stains, which might cause infection, on

MAINTENANCE
the unit.

After cleaning and disinfection, reassemble the removed parts correctly and make sure that the unit
operates normally.

Obtain a soft clean cloth and a disinfectant solution for cleaning and disinfection.

❋ Recommended disinfectant solutions include:

 Benzalkonium chloride aqueous solution
 Benzethonium chloride aqueous solution
 Chlorhexidine aqueous solution
 Alkyldiaminoethylglycine hydrochloride aqueous solution
Never use the above agents undiluted.

❋ Do not use any abrasive, cleaner, alcohol, acetone or other solvent for cleaning and disinfection. Do not
autoclave.

3-1. Main Body

Clean and disinfect the main body, and then wipe it lightly with a soft dry cloth.

CAUTION
Do not use ethanol to disinfect the plastic parts of the unit.
Avoid using sodium hypochloride, which will corrode metals.

3-2. Patient Circuit

The patient circuit (the T Flow Valve and the corrugated tube) is for single patient use only.

CAUTION
Do not use ethanol to disinfect the plastic parts of the unit.
Avoid using sodium hypochloride, which will corrode metals.

13
 Troubleshooting
[4] Troubleshooting
If the unit seems to be defective, indicate on the unit that it is out of order and contact your local
Atom representative.
Check the following points before requesting repair service.
4-1. Troubleshooting of Pressure-related Problems
Trouble
The pressure does not rise.
The pressure rises too high.
The oxygen concentration does not
rise.
The oxygen concentration rises too
high.
PIP cannot be set successfully.
PEEP cannot be set successfully.
14
CAUTION
Check
 Check that all the piping is connected securely.
 Check that there is no leakage in the circuit except for a functional
relief.
 Check that the circuit is not occluded due to the clogging of foreign
matters.
 Check that the pressures of the gas supply sources are within the
specified range.
 Check that all the piping is connected securely.
 Check that the circuit is not occluded due to the clogging of foreign
matters.
 Check that the pressures of the gas supply sources are within the
specified range.
 Check that the flow rate is not too low.
 Check that there is no leakage in the circuit.
 Check that the pressures of the gas supply sources are within the
specified range.
 Calibrate the oxygen concentration with an oxygen analyzer if nec-
essary.
 Check that the pressures of the gas supply sources are within the
specified range.
 Calibrate the oxygen concentration with an oxygen analyzer if nec-
essary.
 Check that the test bag is connected properly to the T Flow Valve.
 Check that the PEEP/PIP switching orifice is occluded properly.
 Check that the test bag is connected properly to the T Flow Valve.
 Check that the PEEP/PIP switching orifice is released.
 Check that the PEEP setting knob is turned while being pulled up
properly.
 Troubleshooting

4-2. Troubleshooting in Alarm Conditions

Trouble
Differential pressure alarm
Action to take
 Check that the unit is connected to the oxygen supply source and
the air supply source securely.
 Check that the pressures of the gas supply sources are within the
specified range.
 Check that there is no leakage in the circuit.

MAINTENANCE

15
 Replacement Procedures

[5] Replacement Procedures

WARNING
Before replacing a part, be sure to stop the oxygen supply to the unit and disconnect the unit from
the oxygen supply source.

Use only a part specified by Atom.

Using a part which is not specified by Atom may result in trouble and deteriorated performance of
the unit.

5-1. Replacing the PIP valve and the PMAX valve

Part name Part No. (Code No.)
PIP valve 95543
PMAX valve 95544

5-1-1. Resusci Flow

 Replacing the PIP valve
(1) Remove the rear cover of the unit. Be careful not to Spacer with
break the locking claws on its bottom. screw (Use a
flat head Flat head screw
(2) Disconnect the piping connected to the PIP valve to screwdriver.) (Remove the
be replaced. protective sticker.)

CAUTION

If you apply an excessive force to the PIP valve Flat head screw Locking
in disconnecting the piping connected to it, the claw
PIP valve may become damaged. Be sure to hold
the PIP valve with one hand when disconnecting
the piping.

(3) Pry open the cap on the PIP setting knob on the
front of the unit. Loosen the nut with a box wrench PIP setting knob
(9mm) and remove the knob.
Box wrench
cmH2O

Cap of the PIP

setting knob

(4) Remove the four screws fixing the PIP valve.

(5) After replacing the PIP valve, reassemble the unit
in reverse order of disassembly and check that the
unit operates normally.

16
 Replacement Procedures

 Repalcing the PMAX valve

(1) Remove the rear cover of the unit. Be careful not to
break the locking claws on its bottom.
(2) Disconnect the piping connected to the PMAX valve
to be replaced.

CAUTION

If you apply an excessive force to the PMAX valve
in disconnecting the piping connected to it, the
PMAX valve may become damaged. Be sure to
hold the PMAX valve with one hand when discon-
necting the piping.

(3) Remove the three screws fixing the PMAX valve. Spacer with
screw (Use a
(4) Loosen the PMAX setting knob with a box wrench Flat head screw
flat head
(2mm) and remove it. screwdriver.) (Remove the
protective sticker.)
(5) After replacing the PMAX valve, reassemble the unit
in reverse order of disassembly and check that the

DISASSEMBLY AND REPLACEMENT

unit operates normally.

Flat head screw Locking

claw

5-1-2. Resusci Flow with blender

 Replacing the PIP valve
(1) Remove the rear cover of the unit (see “[6] Illus-
trated Disassembly Procedures”).
(2) Remove the blender fixing plate and then discon-
nect the piping connected to it.
(3) Disconnect the piping connected to the PIP valve to
be replaced.

CAUTION

If you apply an excessive force to the PIP valve
in disconnecting the piping connected to it, the
PIP valve may become damaged. Be sure to hold
the PIP valve with one hand when disconnecting
the piping.

(4) Pry open the cap on the PIP setting knob on the
front of the unit. Loosen the nut with a box wrench PIP setting knob
(9mm) and remove the knob. Box wrench
(5) Remove the four screws fixing the PIP valve.
cmH2O

(6) After replacing the PIP valve, reassemble the unit

in reverse order of disassembly and check that the
unit operates normally.
Cap of the PIP
setting knob

17
 Replacement Procedures

 Repalcing the PMAX valve

(1) Remove the rear cover of the unit (see “[6] Illustrated
Disassembly Procedures”).
(2) Remove the blender fixing plate and then discon-
nect the piping connected to it.
(3) Disconnect the piping connected to the PMAX valve
to be replaced.

CAUTION

If you apply an excessive force to the PMAX valve
in disconnecting the piping connected to it, the
PMAX valve may become damaged. Be sure to
hold the PMAX valve with one hand when discon-
necting the piping.

(4) Remove the three screws fixing the PMAX valve.

(5) Loosen the PMAX setting knob with a box wrench
(2mm) and remove it.
(6) After replacing the PMAX valve, reassemble the unit
in reverse order of disassembly and check that the
unit operates normally.

5-2. Replacing the In-circuit Pressure Meter

Part name Part No. (Code No.)

In-circuit pressure meter 95788

5-2-1. Resusci Flow

(1) Remove the rear cover of the unit. Spacer with
screw (Use a
(2) Disconnect the piping connected to the in-circuit Flat head screw
flat head
pressure meter. screwdriver.) (Remove the
protective sticker.)
(3) Remove the two screws fixing the metal holder of
the in-circuit pressure meter.
(4) After replacing the in-circuit pressure meter, reas-
semble the unit in reverse order of disassembly and Locking
Flat head screw
check that the unit operates normally. claw

CAUTION

If the pointer of the in-circuit pressure meter does
not indicate 0cmH2O after replacing the in-circuit
pressure meter, perform the zero point adjustment
described below.

18
 Replacement Procedures

 Adjustment of the in-circuit pressure meter

Perform the zero point adjustment with the screw shown
in the circle (see Fig. A or B).
The screw is found on the front or the back of meter de-
pending on the type of in-circuit pressure meter being
used. After the adjustment, check that the pointer of the
in-circuit pressure meter indicates 0 kPa (cmH2O).

5-2-2. Resusci Flow with blender Fig. A Fig. B

(1) Remove the rear cover of the unit (see “[6] Illustrated
Disassembly Procedures”).
(2) Remove the blender fixing plate and then discon-
nect the piping connected to it.
(3) Disconnect the piping connected to the in-circuit
pressure meter.
(4) Remove the two screws fixing the metal holder of
the in-circuit pressure meter.
(5) After replacing the in-circuit pressure meter, reas-

DISASSEMBLY AND REPLACEMENT

semble the unit in reverse order of disassembly and
check that the unit operates normally.

CAUTION

If the pointer of the in-circuit pressure meter does
not indicate 0cmH2O after replacing the in-circuit
pressure meter, perform the zero point adjustment
described below.

 Adjustment of the in-circuit pressure meter

Perform the zero point adjustment with the screw shown
in the circle (see Fig. A or B).
The screw is found on the front or the back of meter de-
pending on the type of in-circuit pressure meter being
used. After the adjustment, check that the pointer of the
in-circuit pressure meter indicates 0 kPa (cmH2O).

Fig. A Fig. B

19
 Replacement Procedures

5-3. Replacing the Blender

Part name Part No. (Code No.)

Blender 95546

WARNING
Before replacing the blender, be sure to stop the oxygen supply to the unit and disconnect the unit
from the oxygen supply source.

After replacement, check that the unit operates normally.

(1) Remove the rear cover of the unit (see “[6] Illustrated Disassembly Procedures”).
(2) Remove the blender fixing plate and then disconnect the piping connected to it.
(3) Remove the bezel of the blender.
(4) Disconnect the piping connected to the blender.
(5) Remove the four screws fixing the blender from the rear and pull up the blender.
(6) After replacing the blender, reassemble the unit in reverse order of disassembly and check that the unit
operates normally.

5-4. Replacing the Flowmeter

Part name Part No. (Code No.)

Flowmeter 95547

(1) Remove the rear cover of the unit (see “[6] Illustrated
Disassembly Procedures”).
(2) Remove the blender fixing plate and then discon-
nect the piping connected to it.
(3) Disconnect the piping connected to the flowmeter.
(4) Pr y open the cap of the flow rate setting knob on
the front of the unit.
Loosen the nut with a box wrench (9mm) and re-
move the knob.
(5) Loosen the knurled knob and remove the silicone
Spacer
seal and the spacer.
(6) Remove the four screws fixing the flowmeter. Silicone seal

(7) After replacing the flowmeter, reassemble the unit

Knurled knob
in reverse order of disassembly. Turn the flow rate
setting knob to OFF and make sure that no oxygen
leaks. Check that the unit operates normally.

20
 Illustrated Disassembly Procedures

[6] Illustrated Disassembly Procedures

6-1. Resusci Flow

(1) Remove the screws fixing the rear cover of the unit. Spacer with
❋1 Remove the gas inlet sticker. screw (Use a
flat head Flat head screw❋1
(2) Disconnect the piping connected to each part. screwdriver.)

Flat head screw Locking

claw

6-2. Resusci Flow with blender

DISASSEMBLY AND REPLACEMENT

(1) Remove the screws fixing the rear cover of the unit.
Flat head screw
❋1 TORX size: T10 (tamper proof)

Double sems
screw (M4)
(4pcs.)

Double sems
screw
(TORX)❋1

(2) Disconnect the piping shown in the figure.

Piping

Piping

21
 Illustrated Disassembly Procedures

(3) Remove the screws fixing the blender fixing plate.

Flat head screw

(4 pcs.)

(4) Disconnect the piping shown in the figure.

Piping

(5) Disconnect the piping connected to each part.

22
 Circuit Diagrams

[7] Circuit Diagrams

7-1. Resusci Flow

GAS INLET GAS OUTLET

(FLOW) (FLOW)

Function for the

maximum
pressure limit

Chamber in-circuit pressure

PMAX valve PIP valve meter

T Flow Valve
Tフローバルブ
Patient

7-2. Resusci Flow with blender

REFERENCE MATERIALS
Oxygen

O2/Air
Blender

Air

Flowmeter Resusci Flow❋

(The same circuit diagram
as shown above)

23
 Technical Data

[8] Technical Data

Appropriate body weight of the patient:

10kg or less
The unit is designed to be used for resuscitation of neonates and infants. The required
ventilation volume may not be achieved if the unit is used for an infant weighing more
than the specified body weight.

in-circuit pressure meter indication:

Ҁ2~8kPa (Ҁ20~80cmH2O)

Maximum pressure limit (PMAX) setting range:

Pressure: 2.0~5.9kPa (20~60cmH2O)
(Factory default: 3.9kPa (40cmH2O))

Peak inspiratory pressure (PIP) setting range (actual measurement):

0.1~4.5kPa (1~45cmH2O) at the flow rate of 5L/min
0.2~4.5kPa (2~45cmH2O) at the flow rate of 10L/min
0.2~5kPa (2~50cmH2O) at the flow rate of 15L/min

Positive end-expiratory pressure (PEEP) setting range (actual measurement):

0.3~0.8kPa (3~8cmH2O) at the flow rate of 5L/min
0.35~1.1kPa (3.5~11cmH2O) at the flow rate of 10L/min
0.5~1.3kPa (5~13cmH2O) at the flow rate of 15L/min
❋ Adjustable pressure varies with the flow rate.

Operating conditions: Ambient temperature: 18~40˚C

Relative humidity: 30~95%

Storage conditions: Ambient temperature: Ҁ20~65˚C

Relative humidity: 10~97% (no condensation)

Gas supply port: A tube whose internal diameter is 5~6mm is connected to this port. (only the Resusci
Flow)

Oxygen concentration range:

21~100% (only the Resusci Flow with blender)

Accuracy of oxygen concentration:

앐3% (full scale) (only the Resusci Flow with blender)

Operating oxygen supply pressure:

300~500kPa (3~5kgf/cm2) (only the Resusci Flow with blender)

Operating air supply pressure:

300~500kPa (3~5kgf/cm2) (only the Resusci Flow with blender)

Flow rate range: 0~15L/min (only the Resusci Flow with blender)

Differential pressure alarm:

An alarm will sound if the difference between the oxygen supply pressure and the air
supply pressure becomes 138kPa (1.4kgf/cm2) or more. (only the Resusci Flow with
blender)

Bleed flow rate: 2.0~4.0L/min (Gas supply pressure : Both oxygen and air 345kPa (3.5kgf/cm2))

24
 Technical Data

Dimensions: Resusci Flow: 150(W)҂183(D)҂184(H) mm

Resusci Flow with blender: 185(W)҂170(D)҂277(H) mm

Weight: Resusci Flow: Approx. 1.2kg

Resusci Flow with blender: Approx. 3.8kg

APPENDIX

25
 Disposal

[9] Disposal
The medical institution concerned is responsible for proper disposal of the main body, the packaging materi-
als, old parts beyond their lives and disposables in accordance with applicable waste disposal laws and regula-
tions.

26
 Parts List

[10] Parts List

APPENDIX

27
 Parts List

10-1. Resusci Flow

o !1

w !2

t y

e
!3

q
u

!0
!4

Fig. 1

28
 Parts List

Fig. No. Part name Part No.

1-1 PIP valve 95543
1-2 PMAX valve 95544
1-3 Patient circuit connecting port 95548
1-4 Gas supply port 95551
1-5 Chamber 95549
1-6 In-circuit pressure meter 95788
1-7 Protective cap 95550
1-8 Handle 95526
1-9 Rear cover 95836
1-10 Knob 90602
1-11 Mount 94811
1-12 Rail guide 95185
1-13 Basel plate 95522
1-14 Front cover 95835

APPENDIX

29
 Parts List

10-2. Resusci Flow with blender

!2

!1

!3

w
y
!5

t
i
q

!4

!0 e
u
!0

Fig. 2

30
 Parts List

Fig. No. Part name Part No.

2-1 PIP valve 95543
2-2 PMAX valve 95544
2-3 Patient circuit connecting port 95548
2-4 Rear case 95520
2-5 Chamber 95549
2-6 In-circuit pressure meter 95788
2-7 Protective cap 95550
2-8 Flowmeter 95547
2-9 Blender 95546
2-10 Knob 90602
2-11 Piping connecting hose for O2 (green) w/o jack 95082
2-12 Piping connecting hose for air (yellow) w/o jack 95083
2-13 Blender connecting port 95453
2-14 Front case 95786
2-15 Blender chassis 95532

APPENDIX

31
앫 Reproduction of all or part of this Manual without permission of Atom Medical Corporation is strictly prohib-
ited.
앫 The contents of this Manual are subject to change without notice due to technical improvement.
앫 All possible measures have been taken to ensure the accuracy of the contents of this Manual. However, if any
errors should be noticed, Atom would greatly appreciate being informed of them.
 F17SB015

18-15, Hongo 3-chome, Bunkyo-ku, Tokyo, Japan

Tel: +81 3 38152311 Fax: +81 3 38123144

201511