Service Manual MV200 Ver.1

INTENSIVE CARE VENTILATOR
MV200
Service Manual
TESM.941144.001 RK
1st edition, 04/2018

Content
1 Introduction................................................................................................................................... 5
2 Service policy and spare parts ....................................................................................................... 6
3 Intended use .................................................................................................................................. 6
4 Functional diagram of the device .................................................................................................. 7
5 Structure and pneumatic scheme of the device ......................................................................... 11
6 Construction of the device .......................................................................................................... 15
6.1 Appearance, controls, connectors of the device.................................................................. 16
6.2 Disassembly of the device .................................................................................................... 19
6.2.1 Disassembly of the Swivel panel of the device ............................................................. 19
6.2.2 Disassembly of the main electronic unit of the device ................................................. 23
6.3 Description of the boards and the modules of the device ................................................... 35
6.3.1 Power unit ..................................................................................................................... 35
6.3.2 Lung ventilation controller ............................................................................................ 38
6.3.3 Indication controller ...................................................................................................... 41
6.3.4 Gas mixer board ............................................................................................................ 43
6.3.5 Pulse oximetry module .................................................................................................. 45
6.3.6 Mainstream capnometer protocol converter board ..................................................... 47
6.3.7 Metabolism measurement module............................................................................... 49
6.3.8 Protocol converter (Paux) ............................................................................................. 52
6.3.9 Button board ................................................................................................................. 54
6.3.10 Alarm indication board ................................................................................................ 54
6.3.11 Indication board "NETWORK" ..................................................................................... 55
6.3.12 CAN-Ethernet board .................................................................................................... 56
6.3.13 Accumulator battery ................................................................................................... 58
6.3.14 Display with the touchscreen ...................................................................................... 59
6.3.15 Flow generator ............................................................................................................ 60
6.3.16 Single components and accessories ............................................................................ 61
7 Maintenance of the device .......................................................................................................... 77
7.1 Monthly maintenance schedule ........................................................................................... 77
7.2 Procedure and technical requirements ................................................................................ 78
7.2.1 Visual inspection............................................................................................................ 78
7.2.2 Cleaning the dust filters of the cooling fan and the fresh air intake ............................. 78
2
7.2.3 Checking the sealing rings of the oxygen hose ............................................................. 78
7.2.4 Checking the sealing rings of the water trap of the metabolism measurement module79
7.2.5 Checking filter-regulator ............................................................................................... 80
7.2.6 Checking expiratory valve* ........................................................................................... 81
7.2.7 Checking and calibrating the oxygen sensors FiO2 and VO2 .......................................... 82
7.2.8 Checking and training of batteries (built-in and external) ............................................ 83
7.2.9 Checking the operation of controls ............................................................................... 83
7.2.10 Calibration of exhalation flow sensor.......................................................................... 83
7.2.11 Checking of the correspondence between the set Vinsp and the displayed Vexp ..... 84
7.2.12 Calibration mainstream capnometer .......................................................................... 86
7.2.13 Cleaning of the ventilation adapter and the mainstream capnometer ...................... 86
7.2.14 Calibration of patient breathing circuit ....................................................................... 86
7.3 Annually maintenance schedule .......................................................................................... 87
8 Frequent faults and remedies ..................................................................................................... 90
9 Checking the device after repair ................................................................................................. 95
9.1 Checking the device after repair at the operation site ........................................................ 95
9.1.1 Checking electrical safety of the device ........................................................................ 95
9.1.2 Checking power unit...................................................................................................... 96
9.1.3 Checking display and touch panel ................................................................................. 97
9.1.4 Checking the pulse oximetry module ............................................................................ 97
9.1.5 Checking protocol converter board and external mainstream capnometer module .. 99
9.1.6 Testing of external pressure measurement function .................................................. 100
9.1.7 Testing of the metabolism measurement module ...................................................... 101
9.1.8 Testing of button board............................................................................................... 103
9.1.9 Testing of “Power” indicator board............................................................................. 103
9.1.10 Testing of CAN-Ethernet module .............................................................................. 103
9.1.11 Testing of rechargeable battery ................................................................................ 106
9.1.12 Testing of the encoder .............................................................................................. 106
9.1.13 Testing of the sound speaker .................................................................................... 106
9.1.14 Testing of the cooling fan .......................................................................................... 107
9.1.15 Testing of the electromagnetic expiratory valve ...................................................... 107
9.1.16 Testing of FiO2 sensor ............................................................................................... 107
9.1.17 Testing of the valve of pneumatic nebulizer channel ............................................... 108
9.1.18 Testing of the pressure relief valve ........................................................................... 109
3
9.1.19 Testing of the filter-reducer of oxygen channel ........................................................ 110
9.2 Testing after repair at the factory ...................................................................................... 110
10 List of replaceable parts .......................................................................................................... 111
11 Ordering of spare parts ........................................................................................................... 113
Annex 1.Test report of the device after repair on the place of operation................................... 114
Annex 2. Recommended list of control and auxiliary test equipment after repair on the place of
operation ................................................................................................................................................... 116
Annex 3. Test report after repair ................................................................................................. 117
Annex 4. List of control and measuring equipment used for testing the device after repair ...... 120
4
1 Introduction
The manual is intended for use when service maintenance Intensive care ventilator
MV200. General view of the device set is shown in Fig. 1-1.
Fig. 1-1 - Appearance of the device
5
2 Service policy and spare parts
Triton Electronic Systems Ltd. technical support policy is to help users correctly diagnose
a malfunction of the device, determine the possibility and expediency of repairing it by the
operating organization at the site of operation, help identify and replace the faulty board or unit,
or send the device for repair to the manufacturer.
Triton Electronic Systems Ltd. does not recommend the repair of electronic boards
included in the design of devices manufactured by Triton Electronic Systems Ltd., outside the
manufacturer, for the following reasons:
– almost all the electronic boards - multilayer printed circuit boards with the installation
of the electronic components with high density;
– to replace the electronic components installed on these boards, special equipment, high
qualification and professional skills of personnel.
– after the replacement of some parts on the module or unit board, installation of
specialized SW is required, which, most often, is not possible outside the manufacturer.
– after replacing certain parts in the instrument, it is required to calibrate it in its fully
assembled state, which is ONLY possible at the manufacturer.
Disassembling or replacement of the board or module must be carried out in the absence
of static electricity.
Before repair, you need to carefully study the problem and its fault event. To speed up the
repair, you can use section 6 of this manual "Frequent faults and solutions".
The list of replacement boards and modules with versions number, is in Section 8, and the
request form is given in Section 11 of this manual.
3 Intended use
Intensive care ventilator MV200 (hereinafter – device, ventilator) is intended for carrying
out controlled and assisted artificial ventilation of lungs for all patient groups dependent on
artificial ventilation in resuscitation units, surgery and intensive care departments of professional
medical facilities, and also at transportation within professional medical facilities.
6
4 Functional diagram of the device
The functional diagram of the device is shown in Fig. 4-1.
Alarm indication Intensive care

Encoder Power button board
board ventilator
MV200
Indication
Display
controller
Touchpanel
Power
Power unit board
~220V
Metabolism
measurement
module Board of the indicator
«Power»
Oxygen sensor Lung ventilation Accumulator battery

controller board
Electromagnetic
expiratory valve Sound speaker
Flow generator Cooling fan
CAN - Ethernet
Nebulizer valve Module
microcontroller
Emergency valve
Pulse oximetry
module
Protocol converter Mainstream

Proportional valve Gas mixer
(mainstream capnometer
board
capnometer)
Flow sensor
(oxygen)
Protocol converter
(Paux)
Flow sensor (air)
CAN
Fig. 4-1 Functional diagram of the device (maximum specification)
7
Power unit is an AC converter of a power voltage of ~100-250 V into 27 V DC to
power units and modules of the device, it provides the formation voltages of +3.3 V and +5 V
for supplying digital and analog elements of the electrical circuit.
It also ensures the correct battery charge when the device is connected to an external
power supply mains, and in case of disconnection of the external power supply during operation
the device automatically switches it to work from the internal battery, and at the same time the
degree of discharge of the battery assembly is controlled and, at the maximum permissible
discharge, the device is automatically switched off.
Display shows the accumulator battery operating mode (charge-discharge), as well as its
charge level. The cooling fan and sound control circuits are located in the same module, as well
as the CAN, through which information is exchanged between various modules of the device.
Board of the indicator “POWER” is used to turn on / off the device and display its
operation modes for power supply - "Device on" / "Device is off" / "Power failure" / "Powered
by an external DC source", "Battery charge" / " Battery discharge «/» Battery malfunction “/”
Full battery charge”.
Accumulator battery is a reserve power supply and it allows the device to operate
without interruption (at the total charge) in case of absence of the centralized power supply
mains at any ventilation parameters or in in case of sudden shutdown of mains supply. In these
cases the device will automatically operate from the accumulator battery. In case of connection
the device to the reserve power supply system of medical facilities or to an external DC source,
the device will automatically operate from external power supply.
Accumulator battery consists of two pressurized, explosion-proof acid rechargeable
accumulators that do not need any maintenance. Capacity of each accumulator is 7.2 A/h at the
12 V.
Sound speaker provides output of various sound signals of the device.
Cooling fan provides cooling of electronic units and boards of the device.
Indication controller - part of the device’s hardware and SW responsible for displaying
and parameterization performs general control of the device.
Lung ventilation controller - the most important module of the device provides the
ventilation modes of the device, management of the systems and modules (CO2 sensor,
electromagnetic expiratory valve, flow generator, nebulizer, emergency valve, gas mixer, pulse
oximetry module, mainstream capnometer module). Ventilation controller processes incoming
signals from oxygen sensors, pressure sensors in the electromagnetic expiratory valve, and the
like.
Flow generator provides the flow or pressure of the gas mixture required in the
respiratory circuit of the patient, depending on the ventilation mode.
8
Electromagnetic expiratory valve provides, at certain times, depending on the
ventilation mode, the release of the used gas mixture from the patient's breathing circuit. Also in
the removable part of the body of the solenoid valve for exhalation are pneumatic channels,
through which it is possible to measure the flow and pressure of the gas mixture in the patient's
breathing circuit.
Oxygen sensor is designed to measure the oxygen concentration in the gas mixture of the
patient's breathing circuit.
Emergency valve is designed for emergency relief of pressure in the patient's breathing
circuit during occlusion.
Nebulizer valve is designed to provide pressure on a separate line from the oxygen
channel of the ventilator to a remote nebulizer for spraying inhalation solutions.
Gas mixer board provides the formation of the required mixture of air and oxygen for
breathing the patient. It processes signals from flow sensors in air and oxygen channels, from
pressure sensors in the oxygen channel and in the gas mixer chamber, controls the operation of
the proportional valve, which doses the required oxygen content in the respiratory mixture.
Flow sensor (oxygen) provides an accurate measurement of the gas flow in the oxygen
channel.
Flow sensor (air) provides an accurate measurement of the gas flow in the air channel.
Proportional valve provides accurate oxygen dosage in the respiratory mixture.
Touch panel provides, together with the encoder and the button board, the control of the
ventilator by touching it.
Touch color display is a screen where measured data in the form of figures and graphs
(waveforms) and all information necessary for the ventilation control are displayed.
Power button board is used to manage some device functions, such as calling of the
main menu, quick access to the menu of additional functions, calling the list of delayed alarms
and temporarily disabling of the audible alarm for 120 sec.
Encoder provides navigation on the menu pos., moving of the marker on the trends,
navigation in the alarm log, parameter change (handle rotation); parameter choice/fixing,
activation of the menu pos. (pressing of the encoder handle).
9
Alarm indication board provides visualization of situations of alarm conditions of the
device.
Pulse oximetry module is intended for signal processing from the pulse oximetry sensor
and allows monitoring of oxygen saturation of arterial blood hemoglobin SPO2, peripheral pulse
frequency PR, photoplethysmogram.
Metabolism measurement module is intended for monitoring of metabolic parameters

of the patient (concentration and digital parameters of CO2 and O2 waves, accumulation of
integral readings of consumption VО2 and elimination VCO2 volumes, calculation of metabolic
parameters RQ and REE).
Protocol converter (mainstream capnometer) provides data transmitting from the

mainstream capnometer module via the serial digital interface of the device.
Mainstream capnometer is an external module of breathing gas analysis without

sampling integrated into the patient's breathing circuit, and allows to monitor: СО2 concentration
at the end (EtСО2) and at the beginning (FiCO2) of the exhalation, capnogram (PCO2).
CAN-Ethernet module is used for data exchange between various internal digital
devices connected by CAN (Controller Area Network) technology, and allows to exchange data
with digital information at a high speed. CAN-Ethernet module is intended to organize a network
interface and saving data via the USB port.
Protocol converter (Paux) is used to convert protocol from a low-pressure source to the
protocol suitable for the device to achieve the interoperability.
10
5 Structure and pneumatic scheme of the device
Schematic representation of the maximum device structure is shown on Fig. 5-1.
All connections between nodes and modules in the device are performed by means of
connectors, and in order to avoid errors during docking near the connectors, their purpose is
indicated, indicating what exactly this connector should be connected to.
Fig. 5-1 Structural diagram of electrical connections of the device

Pneumatic diagram of the ventilator is shown in Fig. 5-2.
11
Fig. 5-2 The pneumatic scheme of connections of the device
The designation and name of the elements of the pneumatic scheme is given in Table.
12
The device is equipped with the build-in flow generator (pos. P1 on the pneumatic
scheme, Fig. 5-2) and does not need compressed air sources. If concentration of inspired oxygen
is 21% of the oxygen content of the respiratory mixture, the device uses only the internal flow
generator (pos. P1), which uses ambient air for ventilation and takes it through the appropriate
channel through the coarse filter (pos. F2) and the check valve pos. D1), which prevents air
return from the gas mixer.
If a larger percentage of oxygen is required in the respiratory mixture, then, depending on
the desired oxygen concentration, a proportional valve (pos. V1) opens in the oxygen channel
controlled by the gas mixer board for a certain amount, and a measured volume of oxygen enters
the mixer manifold.
The oxygen sensor of the device is designed in such way that the normal operating
oxygen pressure in the device is about 2 bar. For this purpose, a gear reducer (pos. F1 and
"reducer") is installed at the entrance to the device, which converts the pressure of the external
oxygen line (1.5-6 bar) into the required operating pressure.
Also in the filter reducer there is a fine filter and a moisture collector for separating
mechanical impurities and condensate from oxygen entering the apparatus from the external
main. The gear reducer is set to the required operating pressure at the outlet (about 2 bar) at the
factory and does not require a change in the setting over the lifetime of the device.
If the use of oxygen is assumed from a low-pressure source - a concentrator, then the
device is optionally equipped with a separate, special input that connected to the air channel of
the device, in this case the oxygen in the inspired mixture is controlled through a concentrator,
by setting the desired oxygen flow value from its output. At the entrance of the oxygen channel
of the device, a pressure sensor (pos. A1) and a safety valve (pos. D2), which opens when the
working pressure in the oxygen channel of the device is exceeded, is established.
The signals from the flow sensors (pos. S1 in the oxygen channel and S2 in the air
channel) are fed to the gas mixer board, where the real oxygen content in the respiratory mixture
entering the patient circuit is determined on the basis of the measured gas flow values in each
channel.
Based on the target value of oxygen concentration and the measured real value, set
through the ventilator interface, the SW regulates the oxygen content in the respiratory mixture
by controlling the proportional valve in the oxygen channel.
Further, the prepared breathing mixture is fed to a motor-driven flow generator that
provides the ventilation parameters required in the inspiratory line, also set through the ventilator
interface.
To exclude cases of exceeding the maximum permissible pressure in the patient circuit,
an electrical emergency safety valve is connected to the outlet of the flow generator, which is
open in the normal state (when there are no voltages on the terminals of the valve), that is, when
the ventilator is in regular operation, there is a voltage on the valve that closes the valve
When the maximum permitted pressure in the breathing circuit is exceeded, controlled by
the pressure sensor (pos. A2), this voltage is removed from the valve terminals and it opens.
To determine the actual oxygen content in the respiratory mixture entering the patient
circuit, an electrochemical oxygen sensor (pos. U1) is located in front of the inhalation
connector. The inhalation line of the patient's breathing circuit is connected to the inlet fitting of
the ventilator through a bactericidal filter (pos. F3).
The exhalation line is connected to the exhalation solenoid valve of the ventilator (pos.
K1), in which the pneumatic channels of the pressure sensors (pos. A3) and the flow (pos. S3)
are located. The differential pressure sensor A4, connected to the flow sensor channels (pos. S3)
13
through the normally open solenoid valves (pos. V2 and pos. V3), measures the amount of gas
flowing through the exhalation valve.
The compressor (pos. P2) connected to the same pneumatic channels of the flow sensor
via normally closed solenoid valves (pos. V4 and pos. V5) provides purging and calibration of
the "zero" flow sensor (pos. S3). In this mode (purge) of the solenoid valve (pos. V2 and pos.
V3) are closed, and the solenoid valve (pos. V4 and position V5) are open.
The electro valve (pos. V7) connected to the internal oxygen line of the device between
the safety valve (pos. D2) and the proportional valve (pos. V1), is used to supply oxygen under
pressure through an internal dedicated pneumatic channel to an external pneumatic nebulizer, to
spray an inhalation substance during the inspiration of the patient.
14
6 Construction of the device
Devices are assembled in plastic housings consisting of a main electronic unit and a
rotary display panel attached to the top of the main unit by means of articulated supports
The outer plastic housing of the main electronic unit of the device consists of three parts,
fastened with screws with an internal metal frame. The upper cover of the main electronic unit of
the device is attached to the metal frame simultaneously with two side handles for carrying the
device.
The flow generator, electronic boards and modules of the device are attached to the inner
metal frame. All boards and modules of the device are connected with each other by means of
connectors, which makes it possible to easily and quickly disassemble and repair the device by
replacing the failed nodes, boards or modules with serviceable ones.
Devices of different years have minor differences in the performance of the hull, but the
locations of all the main elements and controls are unchanged.
15
6.1 Appearance, controls, connectors of the device
3 4
2 5
6
1
7
9
9
24
10
12
25
12
23 13
22 11
15
20
21 16
19
14 18 17
Fig. 6-1 Front appearance of the device
The conventions in Fig. 6-1:

1 – Swivel panel
2 – Touch screen.
3 – “Alarm” indicator is used for additional attraction of attention. It flashes red when the
alarm is triggered.
4 – Button of temporarily mute of the audible alarm. Green LED means that audible
alarm is off.
5 – Button “Menu” in intended for entering the device’s control menu.
6 – Button (“Functions”) is intended for displaying of the menu of additional

functions, including nebulizer.
7 – Button “?” is intended for displaying of delayed alarms window.
8 – Manipulator (encoder) for the control of the device.
9 – Swivel panel support
10 – “Power” LED. It indicates the power supply:
16
- green – device is connected to the ma
- flashing green (weak glow) - the unit is connected to an external source
- direct current, but switched off;
- flashing green (maximum glow) - the unit is connected to an external source
- direct current and switched on;
11 – “Battery” LED. It indicates the condition of the accumulator charger:
- green - accumulator is being charged;
- off – the accumulator is fully charged;
- flashing yellow – less than 10 minutes left of operation from the accumulator;
- red – charger malfunction;
- flashing green (weak glow) – the device is connected to the external direct current
power source, but is turned off;
- flashing green (maximum glow) – the device is connected to the external direct current
power source and turned on.
12 – Handles for carrying of the device.
13 – Turn on/off button (to turn off – hold down for 3-5 seconds).
14 – Water trap of the metabolism measurement module (optional)
15 – “INSPIRATION” port is intended for connection of the breathing circuit.
16 – Paux connector for external supplementary pressure catheter (optional)
17 – “SpO2” connector for the pulse oximetry sensor.
18 – “СO2” connector for the mainstream capnometer.
19 – Water trap for the removing of fluid from the exhaust valve.
20 – Solenoid exhalation valve.
21 – “EXPIRATION” port for the breathing circuit connection
22 – “EXHAUST” port for the elimination of the patient's expiration gas to the
atmosphere
23 – Port for connection of the line from pneumatic nebulizer.
24 – Bottom part of the device
25 – “Power” indicator PCB
17
5 7
8
2
9
3
4 9
1
6
Fig. 6-2 Appearance of the device

The notation in Fig. 6-2:
1 – Cover plate fixing screws of the rear panel
2 – Power switch (in “O” position fully disconnects the device from the mains supply
voltage)
3 – Mains fuses holder
4 – Connector for power supply mains cord
5 – Cooling fan filter
6 – Fresh gas intake filter
7 – Communication interface socket (Ethernet)
8 – USB-port for connecting of the external USB-flash memory
9 – Equipotential terminal (potential balancing)
10 – Filter-regulator with the port for connection of the device to the oxygen source
11 – Water trap of the filter-regulator
18
6.2 Disassembly of the device
The main electronic unit and swivel panel with the swivel panel support makes a whole.
There is almost never a need to separate the display panel from the main unit, especially
since one of these mechanisms has a non-removable cable that connects the power unit board of
the device and the indication controller.
Separation only the front panel section from rear cover of the device is required to access
to all parts inside the front panel section.
6.2.1 Disassembly of the Swivel panel of the device

To disassemble the swivel panel of the device, first remove the plastic bugs on the front
panel (pos. 1 and 2 in Fig. 6-3) and the rotating control handle (encoder) (pos. 3 in Fig. 6-3) with
a flat head screwdriver, as shown in Fig. 6-3:
Fig. 6-3 Disassembly of the swivel panel of the device
Next, unscrew the screws mounting two plastic half of the display panel. These screws
covered with bugs are shown in Fig. 6-3 (pos. 1 and pos. 2) and screws (pos. 4 and pos. 5) are
shown in Fig. 6-3. After this, insert into the location of the latches (pos.1-6 in Fig. 6-4) a
straight-bladed screwdriver by turning it around its axis by an angle of 30° - 45° to lift off the
front cover from the body of the device.
Fig. 6-4 Fastening latches of the front panel of the display of the device
Next, disconnect the display loop connectors (pos. 1 in Fig. 6-5) and the encoder cable
(pos. 2 in Fig. 6-5). Lift off the front panel from the body of the device (Fig. 6-5). The front
panel has a key board (pos. 8 in Fig. 6-5) and an alarm display board (pos. 9 in Fig. 6-5).
19
Fig. 6-5 Removed front panel of the device
For further to remove the display with the touch screen assembly, carefully unscrew four
screws (pos.3-6 in Fig. 6-5) only to the touchscreen glass so not to damage the touch screen
assembly, since the screw heads are half under the touchscreen glass (pos. 7 in Fig. 6-5).
Fig. 6-6 Disassembled display panel of the device

Then to separate the display with the touch screen assembly from the front panel,
disconnect the backlight cable (pos. 3 in Fig. 6-6), the LCD panel cable (pos. 2 in Fig. 6-6) and
the touch panel cable (pos. 1 in Fig. 6-6).
20
The display controller board (pos. 12 in Fig. 6-6), which is encased in a metal casing
(pos. 4 in Fig. 6-6), in order to eliminate electromagnetic radiation exposure of the controller is
accessible.
The cover of the metal casing of the display controller board (key 13 in Fig. 6-6) is
holding by six screws (one of them with a grounding cable from the main electronic unit of the
device) (pos.5-10 in Fig. 6-6), (pos. 11 in Fig. 6-6). To access the display controller board for
diagnosis and repair lift off the cover of the metal casing.
6.2.1.1 Replacing the plastic covers of swivel hinges of the display panel of the device
Sometimes, during the operation process, it can be necessary to replace the plastic covers
(pos. 1-2 in Fig. 6-7) of swivel hinges of the display panel. Disassembling of the display panel is
not required in this case.
To replace the plastic covers of swivel hinges of the display panel, first remove the
decorative caps (pos. 3-6 in Fig. 6-7), and then remove the screws (pos.7-10 in Fig. 6-7) holding
the front half of the plastic covers to the rear half of the plastic covers.
Fig. 6-7 The plastic covers of swivel hinges of the display panel of the device
Then, lift off the rear half of the plastic covers (pos. 1, 3 in Fig. 6-8) and unscrew the
screws holding the front half of the plastic covers to the device (pos. 5-8 in Fig. 6-8). Then
carefully remove the front half of the plastic covers (pos. 9-10 in Fig. 6-8), When removing
make sure that the cables that connects the main electronic unit of the device with the display
controller, are not damaged (pos. 11-12 in Fig. 6-8).
Fig. 6-8 Disassembling the plastic covers of swivel hinges

The rear panel of the device with removed plastic covers of swivel hinges of the display
panel and the plastic covers are shown in Fig. 6-9.
21
Fig. 6-9 Removed plastic covers of swivel hinges of the display panel of the device
6.2.1.2 Replacing Touch screen assembly

The touch screen assembly (pos. 2 in Fig. 6-10) is mounted on a metal edging of the
LCD-display (pos. 1 in Fig. 6-10) with double-sided adhesive tape. Therefore, in order to replace
the touch screen assembly, fix the correct position of the touch screen on the LCD-display (for
example, on the location of the touch screen cable (pos. 3 in Fig. 6-10)), carefully lift off the
glass of the touchscreen assembly with a sharp thin knife, without damaging the underlying
liquid crystal screen.
Then, carefully remove with a white spirit the remnants of the tape and tape adhesive
backing from the metal edging, preventing white spirit from getting onto the surface of the LCD
display.
After that, put thin stripes of double-sided adhesive tape over the metal edging of the
display and glue the new touchscreen assembly on the LCD-display, carefully check the correct
position of the touch screen assembly on the LCD-display, ensure the proper adhesion of the
front panel film firmly against the touch screen glass (pos. 4 in Fig. 6-10).
Fig. 6-10 Touch screen assembly of the device

After installing a new touchscreen assembly and assembling the device, calibrate the
touch screen assembling of the display (see section 6.3.14 of this manual).
22
6.2.2 Disassembly of the main electronic unit of the device
For most actions to repair the main electronic unit of the device, as a rule, it is enough to
remove the top and back covers of the unit, under them are located almost all the most important
parts of the device. The front cover of the device is fixed to the internal metal frame of the
device with four screws (pos. 1-4 in Fig. 6-11), which are simultaneously attached to the unit and
side handles for carrying the device.
Fig. 6-11 Fastening of the upper panel of the device
After the four screws (pos. 1-4 in Fig. 6-11) and the carrying handles are removed,
carefully pull the front panel upwards, taking it out of the grooves of the display panel
"NETWORK", and then to yourself and lift it off. No structural elements are located under the
front cover of device in contrast to the МV200. The device with the front cover removed and the
front cover itself are shown in Fig. 6-12.
Fig. 6-12 The device and the removed front cover
23
After the front cover (pos. 1 in Fig. 6-12) of the device is removed, the device is
accessible (pos. 2 in Fig. 6-12), the power unit of the device (pos. 3 in Fig. 6-12), the protocol
converter board of the mainstream capnometer (pos. 5 in Fig. 6-12), the Paux additional pressure
protocol converter board (pos. 4 in Fig. 6-12), the pulse oximeter module board (not shown in
Fig. 6-12) and the "NETWORK" display board panels (pos. 9 in Fig. 6-12). And under the metal
panel (pos. 8 in Fig. 6-12), on which the ventilation controller, power unit and other boards are
mounted, there is a flow generator (pos. 6 in Fig. 6-12) and the metabolism measurement module
(pos.7 in Fig. 6-12).
In order to remove the rear panel of the device, unscrew the four screws (pos. 1 in Fig. 6-
2) under the black plastic plugs, unscrew the nut of the device ground terminal (pos. 9 in Fig. 6-
2), and also remove the filter regulator from the device (pos. 10 in Fig. 6-2).
Fig. 6-13 The device with removed rarer panel

When the rear cover is removed the following parts are accessible: the front (pos. 1 in
Fig. 6-13) and the rear panels (pos. 16 in Fig. 6-13) of the internal metal body of the device.
They are fastened to the metal frame of the device on the screws: the front panel - pos. 2-15 in
Fig. 6-13, the rear panel - pos. 17-20 in Fig. 6-13.
Unscrew the screws, using the bit PH1 in order to avoid splitting the cleaved heads. Then
remove the upper metal panel (pos. 1 in Fig. 6-13), first, inserting a flat-blade screwdriver
between the reinforcement angles (key 1 in Fig. 6-14) and the rear metal panel (pos. 2 in Fig. 6-
14), slightly extend the frame parts in order to prevent the extension of the panel by the pressed
24
threaded bushings (key 3 in Fig. 6-14) and bring down the front metal panel. Then do the same
on the other side. Separate this panel from the frame of the device.
Fig. 6-14 Removal of the front metal panel of the device
A power cable connection socket with a switch and a fuse holder (pos. 1 in Fig. 6-15), an
electronic cooling fan (pos. 2 in Fig. 6-15), the CAN-Ethernet module (pos. 3 in Fig. 6-15) and
the potential equalization terminal (ground) are mounted on the front panel of the inner metal
body (Fig. 6-15 (pos. 4 in Fig. 6-15)). These components are available for repair or replacement
after removing the rear panel.
Fig. 6-15 Removed front panel of the device
25
Fig. 6-16 Removed rear panel of the device
On the rear panel (pos. 8 in Fig. 6-16) of the inner metal housing are mounted: the gas
mixer board (pos. 1 in Fig. 6-16), the reverse air line cable (pos. 2 in Fig. 6-16), the flow sensor
(air) (pos. 3 in Fig. 6-16) and the flow sensor (CO2) (pos. 4 in Fig. 6-16), the proportional valve
(key 5 in Fig. 6-16), the nebulizer valve (key 6 in Fig. 6-16), and the gas mixer SW board (key 7
in Fig. 6-16). These parts are accessible for repair or replacement after disassembling of the rear
panel.
The gas mixer board is fastened to the rear panel with nuts (pos. 1-4 in Fig. 6-17) on the
studs, fastened to the metal panel with screws (pos. 16-19 in Fig. 6-17) the reverse air line cable
is fastened on the panel with three screws (pos.5-7 in Fig. 6-17), through a silicone gasket. The
gas mixer collector is fastened with the four screws (pos. 8-11 in Fig. 6-17), the proportional
valve - with the two screws (12-13 in Fig. 6-17), the of the oxygen channel – with the two screws
(key 14-15 in Fig. 6-17).
Fig. 6-17 Fastening of elements on the bottom metal panel

When replacing flow sensors or a proportional valve or a gas mixer board, calibrate the
device assembly, which can only be performed at the factory.
26
The device is equipped with two batteries with a Un 12 V and a batteries capacity of 7.2
Ah (pos. 1-2 in Fig. 6-18), jumpered in series (pos. 3 in Fig. 6-18). Fuse with holder of 5 A is
inserted into the series (pos. 4 in Fig. 6-18).
The total Un is 24 V. The batteries are located in the lower part of the device behind the
lower metal panel of the gas mixer (pos. 16 in Fig. 6-13) and are pressed against the bottom of
the housing by a metal casing (pos. 5 in Fig. 6-18) fastened to the lower metal panel to the four
screws (6-9 in Fig. 6-18) of the device body (pos. 10 in Fig. 6-18).
Fig. 6-18 Fastening of accumulator batteries

Batteries are accessible for replacement without disassembling the electronic unit, to
replace the batteries, side-mount the device, as shown on Fig. 6-18, and then unscrew the four
screws (key 11-14 in Fig. 6-18) and remove the plate. Batteries are accessible now Then pull out
the upper battery and remove the negative black wire terminal first (pos. 1 in Fig. 6-19) and then
remove the white jumper wire (pos. 2 in Fig. 6-19).
After that, lift off the lower battery and remove red positive terminal (pos. 3 in Fig. 6-19),
and then- the white wire of the jumper (pos. 4 in Fig. 6-19). Installation of the batteries is in the
reverse order.
Fig. 6-19 Battery replacement

After replacing the batteries, it is necessary to check battery life of the device (paragraph
9.1.10 of this manual).
27
Fig. 6-20 Mounting of the boards on the upper platform
The main board of the device is located on the upper metal platform (pos. 8 in Fig. 6-12),
(pos. 24 of Fig. 6-20), the ventilation controller board (pos. 1 in Fig. 6-20) and the power unit
board (pos. 2 in Fig. 6-20). Optional boards for protocol converters for the external mainstream
capnometer sensor (pos. 3 in Fig. 6-20), external pressure sensor (pos. 4 in Fig. 6-20) and pulse
oximetry module (pos. 5 in Fig. 6-20) can be installed there too.
Before removing the boards installed on the upper platform, carefully photograph the
correct location of all connected wires, cables and pneumatic tubes.
The boards are fastened with nuts and washers the threaded column at the corners of the
boards (pos. 6-23 in Fig. 6-20), the lung ventilation controller is fastened with two more threaded
columns in the middle of the long sides of the controller board (pos. 8-9 in Fig. 6-20).
If, when repairing the device, the replacement of the ventilation controller board is
required, then after the replacement it is necessary to calibrate the device assembly at the factory.
Other boards - power unit, protocol converters and pulse oximetry module - can be replaced by
qualified technical personnel.
Fig. 6-21 Screws holding the upper platform

28
To access the flow generator, metabolism measurement module, purge compressor:
- photographed the correct location of the cables and pneumatic tubes from the top metal
panel;
- disconnect the cables and pneumatic tubes.
- unscrew the four screws holding the upper metal platform (pos. 1-4 in Fig. 6-21).
- remove the entire structural unit consisting of the display (pos. 1 in Fig. 6-22), the rear
metal panel (pos. 2 in Fig. 6-22) and the upper platform with cards (pos. 3 in Fig. 6-22).
On the back of the metal panel, all the ground wires of the device are assembled to one
terminal.
To lift off the removed unit, disconnect the ground wire of the expiratory valve (pos. 4 in
Fig. 6-22) and the grounding lead of the flow generator (pos. 5 in Fig. 6-22). The ends of all
grounding wires are fixed with a nut and washer (key 6 in Fig. 6-22) on the threaded stud.
Fig. 6-22 Removed front platform with back panel and display
The flow generator (pos. 1 in Fig. 6-23), the metabolism measurement module (pos. 2 in
Fig. 6-23), the oxygen sensor (pos. 3 in Fig. 6-23), the compressor (pos. 4 in Fig. 6-23), the
oxygen sensor with the inspiratory line connector (pos. 7 in Fig. 6-23), emergency valve (pos. 5
in Fig. 6-23) and the flow generator (pos. 6 in Fig. 6-23) are accessible now.
29
Fig. 6-23 Arrangement of nodes inside the device housing
To remove the flow generator, unscrew the four fastening bolts (pos. 1-4 in Fig. 6-24):
Fig. 6-24 Fastening of the flow generator in the device
These bolts with anti-vibration washers made of pieces of silicone tubing (pos. 5-6 in Fig.
6-24). Hold the flow generator four washers are located under the fan mounting forks, and four
washers-above the forks, preventing the transmission of vibrations from the flow generator to the
body of the device. The bolts are removed together with the upper silicone washers. To remove
the flow generator, unscrew the inlet connection of the flow generator (pos. 1-2 in Fig. 6-25).
30
Fig. 6-25 Fastening of the inlet connection of the flow generator of the device
Remove the flow generator from the silicone anti vibration washers. Then, gently pull off
the flow generator, after disassembling, store the washers install in the same way during the
installation of the flow.
Metabolism measurement module (pos. 1 in Fig. 6-26), the purge compressor (pos. 6 in
Fig. 6-26) and a module oxygen sensor of the metabolism measurement module (pos. 2 in Fig. 6-
26) are on the metal platform, next to the flow generator. The purge compressor is installed on
the rubber sealing strips (pos.7-8 in Fig. 6-28). The oxygen sensor is attached to the platform
with a plastic cable tie (pos. 3 in Fig. 6-22).
Fig. 6-26 Metabolism measurement module, oxygen sensor and compressor
31
Two pneumatic tubes are connected to the oxygen sensor. One of them (input) (pos. 4 in
Fig. 6-26) is connected to the fitting located in the middle of the end of the oxygen sensor, and
the other (output) (pos. 5 in Fig. 6-26), through a white plastic adapter, to the side output.
When replacing the sensor, they must also be connected in the same way to the new
oxygen sensor. After replacing the oxygen sensor, it is necessary to perform a performance
check (paragraph 9.1.15 of this manual). The metal plate (pos. 10 in Fig. 6-26) on which the
module of the metabolism measurement module is fixed is fixed to the platform of the apparatus
with two screws (pos. 8-9 in Fig. 6-23) that are screwed from the bottom of the platform into the
pressed bushings with thread in the lower metal panel of the frame (Pos. 1-2 in Fig. 6-27).
Fig. 6-27 Fastening of the metabolism measurement module to the lower metal
frame of the frame
To repair or replace the entire metabolism measurement module, remove the upper metal
panel of the device (1-2 in Fig. 6-23). Unscrew the screws with a short screwdriver with a small
cross slot.
To remove only the electronic board of the metabolism measurement module, do not
remove the upper metal platform with electronic cards.
The module board is attached to the metal plate with the stud studs and screws with nuts
and washers (keys 9 and 11 in Fig. 6-26). Unscrew the module fixing nuts with a special tool - a
screwdriver with a 5.5 mm head and remove the board module.
If during maintenance of the device the flow generator failed, then, after the calibration
of the device assembly is complete, repair only at the factory, except replacement of some small
parts. So, if for example, the malfunction is in the electric engine (pos. 3 in Fig. 6-28), the drive
belt (pos. 2 in Fig. 6-28) or the emergency valve (pos. 1 in Fig. 6-28), remove the flow generator
from the device, as described above, and replace the parts.
32
Fig. 6-28 Flow generator of the device
To replace the drive motor of the flow generator, as well as the drive belt, unscrew the
two nuts (pos.5-6 in Fig. 6-28) from the motor platform and remove it from the studs on which it
is mounted. At the same time, remove the drive belt After that, install the new electric motor
assembly with the bracket on the fastening studs, put the drive belt on the motor pulley and the
fan wheel and fix the belt tension with the nuts and washers and lock washers (pos.5-6 in Fig. 6-
28) so that when the belt is pressed lightly (pos.2 in Fig. 6-28) the sag is about 4-5 mm. After
replacing the drive motor of the flow generator, check its operability in the device (paragraph 9.1
of this manual).
Fig. 6-29 The electric motor of the flow generator of the device
33
Conventions on the Fig. 6-29:
1 – Electric motor.
2 – Metal platform.
3, 4, 5, 6 –Screws holding the metal platform to the electric motor
7 – Motor pulley.
Fig. 6-30 Emergency valve
To replace the emergency valve (pos. 1 in Fig. 6-28), unscrew the two screws (one -
pos.4 in Fig. 6-28, the second - on the opposite side of the valve). After replacing of the
emergency valve, check its operability (clause 9.1.17 of this manual).
34
6.3 Description of the boards and the modules of the device
6.3.1 Power unit

The power unit is used to turn the device on\off, generate audible alarms, control the
charge of the batteries with the calculation of their charge level, and provides autonomous
operation of the device in the absence of the mains supply voltage, controls the operation of the
cooling fan, and also contains several secondary power supplies (DC- DC converters) to form
auxiliary supply voltages.
The power unit version 9: TESM.185008v09 (printed circuit board TESM.187206v09) -
Fig. 6-31.
Fig. 6-31 Power unit of the device

The SW version of the power unit is described in the "Service menu", in the pos. "Block
versions":
Fig. 6-32 SW version of the power unit of the device
35
Fig. 6-33 Location of the connectors on the power unit board of the device
Conventions in Fig. 6-33:

1 - Connector ХР1 for connection of a cable of a power supply mains
2 - Connector XP3 for connecting the fan cooling cable
3 - Connector XP2 for connecting the battery cable
4 - Connector XP8 for connecting the display board cable "NETWORK"
5 - Connector XP4 for connecting the controller cable to the ventilation controller
6 - Connector XP6 for connecting the cable of the indication controller
7 - Connector XP5 for connecting the cable of optional peripherals
8 - Connector XP7 for connecting the speaker cable
If the power unit of the device fails, first measure the voltages at the control points:
- connect the power cable to the power unit board;
- disconnect all other cables;
- switch on the toggle switch on the rear panel of the device.
36
The parameters should be (see Fig.6-34):
- between the points KT1 (+) and KT2 (-) a DC voltage ≈ + 300V;
- between the points 27VP (+) and GND must be a DC voltage ≈ + 27.3V;
- between terminals 2 and 3 (GND) of the DA11 chip or between contacts C40 should be
a DC voltage ≈ + 3.3V;
- between the point 3V3 (+) and GND (between terminals 1 and 7 (GND) of the DA6
chip or between contacts C43) should be a DC voltage of ≈ + 3.3V.
- between the point 5V (+) and GND (between terminals 6 and 2 (GND) of the DA7 chip
or between contacts C47) must be a DC voltage of ≈ + 5V.
Fig. 6-34 Check points on the power unit board the device
If these voltages are normal, and the power unit does not work properly, shall be replaced
at the factory. After repair at the factory, the device passes the full scope of test after repair in
accordance with the device specifications, with filling of the appropriate test protocol.
37
6.3.2 Lung ventilation controller
Ventilation controller 4 versions: TESM.185004v04 (printed circuit board
TESM.187300v04) - Fig. 6-35.
Fig. 6-35 Lung ventilation controller TESM.185004v04
The SW version of the ventilation controller is described in the "Service menu" of the
unit, in the pos. "Block versions".
Fig. 6-36 SW version of the ventilation controller
38
Fig. 6-37 Connectors of the ventilation controller board of the device
The conventions in Fig. 6-37:

1 - Connector XP4 for connecting the gas mixer board and CAN-Ethernet card
2 - Connector XP15 for plugging the plume of the motor generator of the flow generator
3 - Connector XP14 for connecting the power cable of the flow generator motor
4 - Connector ХР11 for connecting the control cable of the emergency (safety) valve
5 - Connector ХР12 for connecting the control cable of the nebulizer valve
6 - Connector XP3 for connecting the power supply cable
7 - Connector XP13 for connecting the control cable of the solenoid valve exhalation
8 - Connectors ХР6-ХР9 for connection of purge valve
10 - Connector XP5 for connecting the oxygen sensor cable
11 - Connector XP10 for connecting the purge compressor cable
12 - Connector XP11 for connecting the metabolism measurement module cable
If the ventilation controller fails, measure the voltage at the control points:
- disconnect all the cables from the controller;
- connect the cable from the power unit to the controller board;
- switch on the toggle- switch on the rear panel of the device.
With power supply connected to the device there are energized electrical inside the unit.
39
The parameters should be (Fig. 6-38):
- between points KT52 (+ 12V_PWR) and 0V_PWR the DC voltage +12 V;
- between points KT34 (+ V_EMV) and 0V_PWR DC voltage +5 V ÷ +7 V;
- between points KT46 (+ 15V_PWR) and 0V_PWR the DC voltage +15 V;
- between the points of KT32 (+ 3.3V) and KT30 (0V), the DC voltage is +3.3 V;
- between the points KT33 (+ 1.8V) and KT30 (0V), the DC voltage is +1.8 V;
- between the points KT54 (+ 27V_MOTOR) and KT49 (0V_MOTOR) DC voltage
+27V;
- between the points KT29 (+ 5V) and KT30 (0V), the CD voltage is +5 V;
Fig. 6-38 The control points on the ventilation controller board
If the voltages are normal, and the ventilation controller does not work properly, then it is
most likely that the lung ventilation controller should be replaced at the factory.
After repair at the factory, the device passes the full scope of test after repair in
accordance with the device specifications, with filling of the appropriate test protocol (section
9.2 of this manual).
40
6.3.3 Indication controller
The indication controller of the device is: version 1 TESM.185027v01 (PCB
TESM.187302v01) - Fig. 6-39:
Fig. 6-39 Indication controller of the device
The SW version of the indication controller is indicated in the "Service menu" of the
device, "Block versions":
Fig. 6-40 SW version of the indication controller of the device

If the indication controller fails measure the voltages at the control points:
- disconnect all the cables from the indication controller;
- connect the cable from the power unit to the indication controller board;
41
Parameters should be (see Fig. 6-41):
- between the contacts of the capacitor C10 (+ 27V) DC voltage +27 V;
- between the contacts of the capacitor C63 (+ 12V_BL) a DC voltage of +12 V;
- between the contacts of the capacitor C60 (+ 5V) a DC voltage+5 V;
- between contacts of the capacitor C44 (+ 3.3V) DC voltage+3.3 V;
- between points KT22 (+ 2.5V) and GND (0V), the DC voltage +2.5 V;
- between the points KT20 (+ 1.2V) and GND (0V), the DC voltage +1.2 V;
- between the points KT21 (+ 1.8V) and GND (0V), the DC voltage +1.8 V;
- between the contacts of the capacitor C20 (+ 2.5V), the DC voltage +2.5 V;
- between the contacts of the capacitor C23 (+ 2.5V), the DC voltage +2.5 V;
Fig. 6-41 Control points on the indication controller
If the voltages are normal, and the indication controller does not work properly, then it is
most likely that the indication controller should be replaced at the factory.
accordance with the device specifications, with filling of the appropriate test protocol (Section
When ordering the indication controller at the factory, specify the version of the SW
installed in it (Fig. 6-40) or, if this is not possible, the serial number of the device.
42
6.3.4 Gas mixer board
Gas mixer board: version 3, TESM.185020v03 (printed circuit board TESM.187303v03)
- Fig. 6-42.
Fig. 6-42 Gas mixer board of the device (TESM.185020v03)
The SW version of the gas mixer board is indicated in the "Service menu" of the device,
"Block versions":
Fig. 6-43 SW version of the gas mixer board of the device

If the gas mixer fails, measure the voltage at the control points:
- connect the gas mixer board to the flat cable from the ventilation controller
- connect the cable from the power source to the ventilation controller
- disconnect all other cables;
- switch on the power switch on the rear panel of the device.
43
The voltage at the control points should be: (see Fig. 6-44):
- between the contacts of the capacitor C24 (+ 27V) the DC voltage+27 V;
- between the contacts of the capacitor C7 (+ 5V) the DC voltage of +5 V;
- between contacts of the capacitor C15 (+ 3.3V) the DC voltage+3.3 V;
- between the contacts of the capacitor C36 (+ 1.8V) the DC voltage +1.8 V;
- between the contacts of the capacitor C56 (+ 5VA) the DC voltage +5 V;
- between the contacts of the capacitor C35 (+ 10VA) the DC voltage +10 V;
- between the contacts of the capacitor C28 (+ 2.5VA) the DC voltage +2.5 V;
Fig. 6-44 Control points on the gas mixer board
If these voltages are normal, and the gas mixer board does not work properly, and the gas
mixer board does not work properly, then it is most likely that gas mixer board should be
replaced at the factory.
44
6.3.5 Pulse oximetry module
Pulse oximetry module: version 3, TESM.185022v03 (PCB TESM.187304v03) - Fig. 6-
45.
Fig. 6-45 Pulse oximetry module of the device (TESM.185022v03)
SW version of the pulse oximetry module is indicated in the "Service menu" of the
device, "Block versions":
Fig. 6-46 SW version of the pulse oximetry module of the device

If the pulse oximetry module fails, measure the voltages at the control points:
- remove the metal shielding plates (pos. 1-2 in Fig. 6-45) from the board;
- connect the pulse oximetry board to the power unit, i.e. connect the cable from the power
unit to the pulse oximetry board;
- switch on the toggle switch on the rear panel;
- switch on the power button on the front panel of the device.
With power supply connected to the device3 there are energized electrical inside the unit.
45
- between contacts of the capacitor C56 (+ 27V_SPL) DC voltage +27 V;
- between points KT20 (+ 5V_SPL) and 0V_SPL DC voltage +5 V;
- between the contacts of the capacitor C63 (+ 15V) DC voltage +9 V;
- between the points KT18 (+ 6V) and 0V (0VA) or, between the contacts of the
capacitor C53, DC voltage of +6 V;
- between the points KT19 (+ 3.3V) and 0V (0VA) or between contacts of the capacitor
C59, DC voltage +3.3 V;
- between the points KT13 (+ 2.5V_OX) and 0V (0VA) or, between the contacts of the
capacitor C37, DC voltage of +2.5 V;
- between the contacts of the capacitor C38 (+ 2.5V_PWM) DC voltage +2.5 V;
- between the points KT15 (+ 5V) and 0V (0VA) or, between the contacts of the
capacitor C42, DC voltage of +5 V;
- between the contacts of the capacitor C48 (+ 5V_LED) DC voltage of +5 V;
- between the contacts of the capacitor C46 (+ 3.3VA) DC voltage of +3.3 V;
- between the points KT12 (+ 4.8V) and 0V (0VA) DC voltage is +4.8 V;
- between the contacts of the capacitor C47 (+ 5VA) DC voltage of +5 V.
Fig. 6-47 Control points on the pulse oximetry module

If these voltages are normal, and the pulse oximetry module does not work properly, then
it is most likely that the pulse oximetry module should be replaced at the factory.
When ordering the pulse oximetry module at the factory, specify the version of the SW
installed in it (Fig. 6-40) or, if this is not possible, the serial number of the device.
46
6.3.6 Mainstream capnometer protocol converter board
Mainstream capnometer protocol converter board is: version 5, TESM5050012v05
(printed circuit board TESM507208v05) Fig. 6-48.
Fig. 6-48 Mainstream capnometer protocol converter board
The SW version of the Mainstream capnometer protocol converter board is indicated in

the "Service menu" of the device, "Block versions":
Fig. 6-49 The SW version of the Mainstream capnometer protocol converter board
If the Mainstream capnometer protocol converter board fails, measure the voltages at the
control points:
- connect the flat cable from the power unit to the protocol converter board;
- disconnect the remote sensor capnometer cable from the protocol converter board;
47
- between the contacts of the capacitor C46 (+ 27V_D) DC voltage + 27V;
- between the contacts of the capacitor C27 (+ 5V) DC + 5V;
- between the contacts of the capacitor C9 (+ 5V) DC voltage + 5V;
- between the contacts of the capacitor C12 (+ 3.3V) DC voltage + 3.3V;
Fig. 6-50 Control points on the Mainstream capnometer protocol converter
If these voltages are normal, and the Mainstream capnometer protocol converter does not
work properly, then it is most likely that the Mainstream capnometer protocol converter should
be replaced at the factory.
When ordering the mainstream capnometer protocol converter at the factory, specify the
version of the SW installed in it (Fig. 6-40) or, if this is not possible, the serial number of the
device.
48
6.3.7 Metabolism measurement module
The device can be equipped with the metabolism measurement module. Metabolism
measurement module: version 2, TESM.535031v02 (printed circuit board TESM.537303v02),
Fig. 6-51.
Fig. 6-51 Metabolism measurement module of the device (TESM.535031v02)
The SW version of the Metabolism measurement module is indicated in the "Service

menu" of the device, "Block versions".
Fig. 6-52 SW version of the metabolism measurement module of the device
Select row “Metabolism” in the “Monitoring” window to turn on the Metabolism

measurement module. Check the appearance of metabolic parameters display window and the
status message “Measurement” in the bottom line of the window.
49
If the metabolism measurement module board fails, measure the supply voltages at the
control points:
- connect the loop from the power source of the device
- disconnect the metabolism measurement module board from the water trap;
With power supply connected to the device there are energized electrical inside the unit/
Parameters should be:

- between the contacts of capacitor C54 or between CT G7 (+ 12V_PWR) and KT G6
(G1, G2, G3, G4) (0V) DC voltage of +12 V;
- between the contacts of the capacitor C55 or between the CT G5 (+ 5V) and KT G6
(G1, G2, G3, G4) (0V) DC voltage +5 V;
- between the contacts of the capacitor C36 (+ 5VA) DC voltage +5 V;
- between contacts of the capacitor C53 (+ 3.3V) DC voltage +3.3 V;
- between the contacts of capacitor C33 or between CT G4 (+ 2.5V_OP) and KT G6 (G1,
G2, G3, G4) (0V) a DC voltage of +2.5 V;
Fig. 6-53 Control points on the metabolism measurement module board of the
device
If these voltages are normal, and the metabolism measurement module board does not
does not work properly, then it is most likely that the metabolism measurement module board
should be replaced at the factory.
50
When ordering the metabolism measurement module board at the factory, specify the
version of the SW installed in it (Fig. 6-40) or, if this is not possible, the serial number of the
device.
Sometimes, during operation, the compressor (pos. 1 of Fig. 6-51) mounted on the
metabolism measurement module board can fail. In this case, replace them. The metabolism
measurement module board it is connected to a double-sided adhesive tape (pos. 3 of Fig. 6-51)
and fixed with a plastic clamp-tie (pos. 2 of Fig. 6-51).
The cable from the compressor is connected to the connector (pos. 5 of Fig. 6-51). To
replace the compressor, disconnect the silicone cable from the compressor, disconnect the
compressor wire from the connector, remove the fixing screed and gently lift out the old
compressor from the board.
Then clean the place of installation of the compressor from the old tape, attach a new tape
and install a new compressor in its place, fixing it on the board with a new plastic screed. Then
connect the compressor wire to its connector and connect the corresponding silicone tubes to the
compressor connections.
51
6.3.8 Protocol converter (Paux)
The device can be equipped with the Protocol converter in order to monitor actual
pressure in the trachea and the actual PEEP, independent of the ventilation parameters or for
monitoring the esophageal pressure in order to calculate transpulmonary inspiratory pressure, an
additional protocol converter board can be installed to connect the pressure line 5 version,
slightly different from the board used in the mainstream capnometer, TESM.505012v05 (PCB
TESM.507208v05), Fig. 6-54:
Fig. 6-54 Protocol converter (Paux) of the device.
The SW version of the Protocol converter (Paux) is indicated in the "Block versions"
section of the Service menu of the device:
Fig. 6-55 SW version of the Protocol converter (Paux)
If the Protocol converter (Paux) fails, measure the supply voltages at the control points:
- connect the cable from the power unit to the protocol converter board;
- disconnect the pneumatic tube of the socket from the Protocol converter (Paux);
- switch on the power switch on the rear panel of the device.
52
Parameters should be (см. Fig. 6-56):
- between the contacts of the capacitor C46 (+ 27V_D) DC voltage of 27V;
- between the contacts of the capacitor C27 (+ 5V) DC voltage of 5V;
- between the contacts of the capacitor C9 (+ 5V) DC voltage of 5V;
- between the contacts of the capacitor C12 (+ 3.3V), DC voltage is 3.3V;
- between the contacts of the capacitor C20 (+ 3.3V) DC voltage of 3.3V;
Fig. 6-56 Control point on the protocol converter (Paux)
If these supply voltages are normal, and the protocol converter (Paux) does not work
properly, then it is most likely that the protocol converter (Paux) should be replaced at the
factory.
When ordering the protocol converter (Paux) board at the factory, specify the version of
the SW installed in it or, if this is not possible, the serial number of the device.
53
6.3.9 Button board
The button board is located inside of the front panel of the display of the device (pos. 8 in
Fig. 6-5). First version of this board is installed in the device - TESM.305009v01 (printed circuit
board TESM.307206v01), Fig. 6-57:
Fig. 6-57 Button board of the device (TESM.305009v01)
In the button board, the buttons most often fail, the other faults in this node during the
operation of the device were not fixed.
6.3.10 Alarm indication board

The alarm indication board (pos. 9 in Fig. 6-5) is also located inside of the front panel of
the display (see Fig. 6-5) of the device. Now the first version of this board is being used -
TESM.305010v01 (printed circuit board TESM.307207v01), Fig. 6-58.
Fig. 6-58 Alarm indicator board

Faults were not recorded in the alarm display board during the operation of the ventilator.
54
6.3.11 Indication board "NETWORK"
The indication board "NETWORK" (pos. 1 of Fig. 6-59 - front side, pos. 2 of Fig. 6-59 -
reverse side) is fixed with four screws (pos. 4-7 in Fig. 6-59) on the plastic panel (pos. 3 in Fig.
6-59), which is inserted in the lower plastic part of the body of the device (pos. 10 in Fig. 6-59)
and fixed in it with the four screws (pos.13-16 in Fig. 6-59) into the holes (pos. 8-9, 11-12 in Fig.
6-59). Now the third version of this board is used - TESM.185011v03 (printed circuit board
TESM.187209v03).
Fig. 6-59 Indication board "NETWORK"
In the indication board "NETWORK", the SB1 button of the machine can be turned on /
off or one of the VD1 - VD6 LEDs may be off.
55
6.3.12 CAN-Ethernet board
The CAN-Ethernet board is used to organize the network interface and communication of
the device with the optional remote monitoring system of the device, and also to store trends on
the external storage medium via the USB interface. Structurally, the board is on the rear panel of
the metal casing of the device (the network and USB connectors of the CAN-Ethernet board
installed in the device are shown at positions 7-8 in Fig. 6-2). Now version 4.1 of this board is
used - TESM.185023v04.1 (printed circuit board TESM.187305v04.1), Fig. 6-60.
Fig 6-60 CAN-Ethernet board of the device (TESM.185023v04.1)
The SW version of the CAN-Ethernet board is indicated in the "Service menu" of the
device, "Block versions".
Fig. 6-61 SW version CAN-Ethernet board of the device
56
If the CAN-Ethernet board fails, measure the voltage at the control points:
- connect the cable from the ventilation controller board the power unit;
- connect ventilation controller to power toggle switch on the rear panel of the device
should be switched on. When checking the voltages, you need to be cautious, since there are life-
threatening voltages on the power unit board.
Fig. 6-62 Control point on the CAN-Ethernet module

- between the contacts of the capacitor С51, С52 (+ 27V) DC voltage +27 V;
- between the contacts of the capacitor C53, C54, C55, C56, (+ 5V) DC voltage +5 V;
- between the contacts of the capacitor C57 (+ 3.3V), DC is +3.3 V;
If the parameters of the DC voltage are normal, and the CAN-Ethernet module does not
work properly, then it is most likely that the CAN-Ethernet module should be replaced at the
factory.
When ordering the CAN-Ethernet module board at the factory, specify the version of the
SW installed in it or, if this is not possible, the serial number of the device.
57
6.3.13 Accumulator battery
The device is equipped with two batteries with a nominal voltage of 12 V and a capacity
of 7.2 Ah (pos. 1-2 in Fig. 6-18), connected in series (pos. 3 in Fig. 6-18), in which a fuse of 5 A
is inserted into the holder (pos. 4 in Fig. 6-18). The total nominal voltage is 24 V. The location of
the two batteries is described in the section "6.2.2 Disassembly of the main electronic unit of the
device” of this Manual.
Fig. 6-63 Accumulator batteries of the device
The geometric dimensions of the batteries used in the device should not exceed 151 mm
in length, 65 mm in width and 95 mm in height (only the body, without terminals). In these
dimensions, different manufacturers can produce batteries of different nominal capacities - 7 Ah,
7.2 Ah and 9 Ah. All of them can be used in the device.
The requirements for the batteries:
- the same nominal capacity;
- be about one manufacturing time (preferably from one lot);
- approximately the same level of charge and similar discharge characteristics.
Failure to comply with these conditions during the operation of the device leads to
uneven use of the batteries and malfunction. If one of the batteries is failure replace both
batteries.
Replacement of the batteries is described in 6.2.2 “Disassembly of the main electronic
unit of the device”.
58
6.3.14 Display with the touchscreen
The device is equipped with 12" G121SN01 v.4 display with a touch panel TS104-
268201. If there is a problem in displaying graphic information on the screen or a touchscreen
fault, the components should be replaced. Replacement of the display and the touch panel is
described in Section 6.2 .1 of this manual.
Fig. 6-64 TFT display of the device
The order of the order and the list of components for the order is given in Sections 10 and
11 of this Manual. When ordering the LCD display at the factory, it is necessary to specify the
serial number of the device.
After replacing the display with a touchscreen or only one touchpad, you need to calibrate
it to match the coordinates of the graphic control buttons on the display and the corresponding
touch screen panel areas. To do this, select the main menu of the device "Service menu" \
"Calibration"\ "CIND" (INSERT CONTROLLER) \ "Touch screen calibration" and calibrate the
touchscreen. Calibration is performed on three points. Touch the screen at the specified points. If
the calibration fails, repeat the operation.
59
6.3.15 Flow generator
The flow generator complete with an electric drive and an emergency valve, shown in
Fig. 6-65:
Fig. 6-65 Flow generator of the device
If an emergency valve, drive belt or electric motor fails, the repair of the flow generator
can be carried out by a qualified engineer at the site of operation by replacing faulty parts. (The
replacement procedure is described in section 6.2.2 of this manual). In the event of failure of the
flow generator it should be repair only at the factory, because after repair flow generator should
be calibrated in fully assembled condition.
When making maintenance of the device, in accordance with the schedule, check the
device for leakage from the pneumatic circuits. For this purpose, the circuit shown in Fig. 6-66,
consisting of a pneumatic tube (pos. 2 in Fig. 6-66), a nozzle (pos. 4 in Fig. 6-66), a pressure
gauge (pos. 1 in Fig. 6-66) and pears for pumping pressure (pos. 3 in Fig. 6-66), and connects to
the inhalation fitting:
Fig. 6-66 The pneumatic diagram for checking the leak from the respiratory tract of
the device
To check the device for leakage, select “Service menu”/“System”/"Technological mode"
and pump the pressure to 30-40 mm Hg. Art. If pressure occurs at a rate of less than 1 mm. gt;
Art. in seconds, the leak is within acceptable limits and the device is suitable for operation.
60
6.3.16 Single components and accessories
6.3.16.1 Encoder
Encoder (Fig. 6-67) (TESM.505018v01, printed circuit board TESM.507210v01) is one

of the main controls of the device It is located under the plastic cover (pos. 3 in Fig. 6-3) on the
turntable of the display. To replace the encoder, remove the front display panel as described in
Section 6.2.1 of this manual, then unscrew the nut (pos. 1 in Fig. 6-67) securing the encoder to
the metal and gently pull the encoder towards the back of the display.
Fig. 6-67 Encoder of the device
The list of the order and the list of components for the order is given in Sections 10 and
11 of this Manual.
When ordering the encoder at the factory, specify the serial number of the device.
61
6.3.16.2 Sound speaker
The sound speaker (Fig. 6-68) (TESM.186105) is located on the front inner side of the
lower part of the body. In order to replace it, it is necessary to remove the batteries, as described
in section 6.2.2 of this manual. The sound speaker is accessible now.
Outside, pick up a thin metal tool of the cap of the pistons, with which the speaker is
fixed to the body of the device and pull out the outer part of the pistons from their holes. Then
you need to pull the pistons out of the holes and remove the faulty speaker.
After installing a new speaker in its place, insert the inner parts of the pistons into the
upper and lower openings in the body of the device, and then fix the speaker by inserting their
outer parts into the holes.
Fig. 6-68 Sound speaker of the device
The list of the order and the list of components for the order is given in Sections 10 and
11 of this Manual. When ordering the Sound speaker at the factory, specify the serial number of
the device.
62
6.3.16.3 Cooling fan
The cooling fan (Fig. 6-69) (TESM 046119) is attached to the upper plate of the metal
body of the device (pos.2 of Fig. 6-14) with four bolts and nuts M4 (pos. 1-4 of Fig. 6-69).
Fig. 6-69 Cooling fan
To replace the cooling fan, remove the rear plastic panel of the device, as described in
section 6.2.2 of this manual.
When ordering the cooling fan at the factory, specify the serial number of the device.
63
6.3.16.4 Electromagnetic expiratory valve
The electromagnetic expiratory valve (Fig. 6-70) (TESM.186218) is installed at the
bottom, in front of the lower plastic body of the device (Fig. 6-1-1) and consists of two parts, one
of which (an electromagnetic coil with a rod, in Fig. 6-70 on the left) is maintained on the inside
of the body of the device, and the other (a metal base for connecting an external detachable part
of the exhalation valve, in Fig. 6-70 on the right) - on the outside.
Fig. 6-70 Electromagnetic expiratory valve

To remove or replace the expiratory valve entirely, first remove the rear plastic panel of
the device, the upper and lower metal panels of the body of the device, as described in Section
6.2.2 of this manual and disconnect the pneumatic tubes and wires (pos. 1-5 in Fig. 6-71).
Fig. 6-71 Tubes and wires of the expiratory valve
64
Then unscrew the four screws (pos. 1-4 of Fig. 6-72, a 2.5 mm hexagon) on the body of
the device, remove it from the body of the device.
Fig. 6-72 Fixing screws electromagnetic coil expiratory valve
After this, unscrew the fastening screws (pos.1-3 fig. 6-73) of the metal base and remove
it from the body of the device.
Fig. 6-73 Screws for securing the metal base of the expiratory valve
65
The expiratory valve should be installed in the reverse order. When installing, pay
attention to the position of the side cut (pos. 4 fig. 6-73) on the plastic part of the electro-
magnetic coil. The section should be facing the flow generator.
External detachable part of expiratory valve should be installed in the reverse order.
When installing, pay attention to the position of the side cut (pos. 4 fig. 6-73) on the plastic part
of the electromagnetic coil. The cut must be facing the flow generator.
In order to remove the outer part of the expiratory valve from the device, it is necessary
to unscrew the guides (pos.1-2 fig. 6-74) with which it is attached to the metal seat on the
apparatus.
In order to remove the external part of the expiratory valve unscrew the guides (pos.1-2
fig. 6-74) holding the metal saddle on the device.
Fig. 6-74 Fixing the external part of the expiratory valve
The external detachable part of the expiratory valve consists of the metal casing (pos. 3 of
Fig. 6-75), silicone membrane (pos. 1 of Fig. 6-75) and metal plate (pos. 2 of Fig. 6-75). Silicone
membrane, especially on new devices, can be firmly adhered to its seat, so it may take some
effort to remove it from the valve body.
66
Fig. 6-75 Expiratory valve of the device
To reach the plate from the membrane, it is necessary to bend the edge of the membrane
until the edge of the metal plate is released from its seat and, thus, take it out. It is necessary to
do this carefully, trying not to bend the plate, as this can affect the density of the pressure of the
membrane to the valve body. When disinfecting the treatment, care must be taken not to damage
the membrane and the pressure metal plate, and after treatment there is no residue left on them,
especially sticky, de-saline.
67
6.3.16.5 FiO2 sensor
Fig. 6-76 FiO2 sensor

The FiO2 sensor (Fig. 6-76) in the inspiration mixture is mounting on the inlet fitting
(Fig. 6-78) of connecting the patient's breathing circuit on the threaded connection to the sealing
rubber ring. The choke itself is attached to the body of the device by two M3x40 screws (poses
1-2 fig 6-77) together with a plate (pos. 3 of Fig. 6-77) covering the place of installation of the
FiO2 sensor.
Fig. 6-77 Fitting with a FiO2 sensor

To replace the FiO2 sensor, unscrew two M3x40 screws (pos. 1-2 of Fig. 6-77) and pull it
down together with the plate (pos. 3 of Fig. 6-77) connection of the patient's breathing circuit.
Then disconnect the cable from the oxygen sensor and unscrew the sensor from its seat. The new
sensor should be installed in the reverse order.
Fig. 6-78 Inlet connection with FiO2 sensor in the inspiration mixture
68
6.3.16.6 Flow sensors in oxygen and air
Flow sensors (Fig. 6-79) (the same for the channels and oxygen, and air) are located on
the gas mixer panel (pos. 1-2 in Fig. 6-79).
Fig. 6-79 Flow sensor of the device
Replacement, repairs of the flow sensor should be performed only at the factory.
But sometimes after cleaning and purging the flow sensors, their further normal operation
is possible.
Fig. 6-80 Gas mixer panel of ther device
To remove the flow sensors from the gas mixer panel unscrew the four fixing screws
(pos. 4-7 of Fig. 6-80) of the collector (pos. 3 in Fig. 6-80) and separate it from the gas mixer
panel. Carefully turning the sensors around their axis, pull them out from the collector hubs and
silicone tube-adapters. To install flow sensors after cleaning, you need each in your channel,
without changing their places.
69
6.3.16.7 Gas mixer collector
The gas mixer collector (Fig. 6-81) is mounting on the gas mixer panel (pos. 3 of Fig. 6-
80) and serves to combine and mix the streams of oxygen and air. On the collector are installed:
the branch pipe of the oxygen channel (position 1 of Fig. 6-81), the air channel connector (pos. 2
of Fig. 6-81), the outlet fitting (pos. 3 6-81) and the pneumatic pressure pipe connector at the
inlet to the flow generator (pos. 4 of Fig. 6-81).
Fig. 6-81 Gas mixer collector of the device
The pneumatic pressure measuring line at the inlet to the flow generator (pos. 8 of Fig. 6-
80) connects the connector on the collector (pos. 3 of Fig. 6-81) and the pressure sensor on the
board gas mixer (pos. 9 of Fig. 6-80). The collector is fixed to the panel of the gas mixer with
four screws (pos. 4-7 in Fig. 6-80), which are screwed into the holes with the threads in the
manifold (pos. 5-8 in Fig. 6-81). The branch pipes of oxygen and air are installed in smooth
openings in the collector with sealing silicone gaskets (pos. 9-10 in Fig. 6-81).
70
6.3.16.8 Proportional valve
The proportional valve (Fig. 6-82) is mounted on the gas mixer panel (pos. 10 of Fig. 6-
80) and serves to organize the exact dosage of oxygen in the respiratory mixture given by the
artificial ventilation. The valve is fixed to the four screws (pos. 1-4 of Fig. 6-82) to the shelf of
the corner (pos. 5 of Fig. 6-82), which, in turn, is fixed to the gas mixer panel on the two screws
(key 13-14 in Fig. 6-80). The electromagnetic shutter control cable is connected to the XP6
connector on the gas mixer board. With the oxygen line, the valve is connected by a plastic tube
to a quick-disconnect connection.
Fig. 6-82 Proportional valve of the device
During mounting, a fault in the proportional valve occurred very rarely, mainly it was a
closure in the electromagnetic coil. The resistance between the wires in its normal state should
be about 50 ohms.
71
6.3.16.9 Air Flow Check Valve
The Air Flow Check Valve (pos. 11 of Fig. 6-80) prevents the gas mixture from returning
from the collector of the gas mixer when taking external ambient air for artificial ventilation.
Fig. 6-83 Air Flow Check Valve of the device
It consists of a metal casing (Fig. 6-83) and a pentasil valve (Fig. 6-84) mounted in the
gas mixer panel (Fig. 6-85).
Fig. 6-84 The pentasil valve
The pentasil valve consists of a "fungus" installed in the hole on the panel of the gas
mixer and the silicone washer (Fig. 6-85). The air flow check valve body is attached through a
silicone gasket to the gas mixer panel on three screws.
Fig. 6-85 The installation location of the pentasil valve on the gas mixer panel and
the screws for securing the air return valve body
72
6.3.16.10 Pneumatic nebulizer channel valve
The Pneumatic nebulizer channel valve consists of an electromagnetic coil (pos. 1 of Fig.
6-86) and a locking mechanism (pos. 2 of Fig. 6-86) and mounted on the internal oxygen trunk
of the device.
The internal pressure in the oxygen line of the device after the input reducer is about 2
bar. The valve of the pneumatic nebulizer channel is normally closed. Synchronized with the
inspiration, the control circuit, assembled on the ventilation controller board, supplies the control
voltage to the valve and it opens.
Pressure on the pneumatic channel enters the nebulizer and the nebulizer is sprayed. The
pneumatic tube of the nebulizer channel is connected via a quick-disconnect connection (pos. 3
of Fig. 6-86).
Also, the mechanical emergency valve (pos. 4 of Fig. 6-86), triggered when the oxygen
pressure is exceeded, is installed in the device.
Fig. 6-86 The pneumatic oxygen line channel of the device
73
6.3.16.11 Pressure relief valve
The emergency pressure relief valve is designed to limit the pressure in the patient's
breathing circuit to the value set in the ventilation parameters of the device. The emergency
(safety) valve consists of an electromagnetic coil (pos.1 Fig.6-87) and a locking mechanism (pos.
5 of Fig. 6-87) and is installed on the output path of the flow generator on two screws (pos. 2-3
Fig. 6-87).
The electromagnetic coil is fixed to the locking mechanism with a nut (pos. 4 in Fig. 6-
87). The valve is normally open. When the device is switched on, the control voltage is applied
to it and it is locked. The pressure sensor on the ventilation controller board connected to the
inlet of the patient circuit monitors the current value of the pressure in the circuit and, if it
exceeds a predetermined value, the control circuit for the emergency valve removes the blocking
voltage from it until the pressure in the circuit drops to the target value.
Thus, the pressure in the circuit is Pmax. The solenoid coil of the valve is exactly the
same as that of the pneumatic nebulizer channel valve, they are interchangeable. The type of the
emergency valve and its location on the flow generator are shown in Fig. 6-87.
Fig. 6-87 Emergency (safety) valve of the device
74
6.3.16.12 The oxygen channel filter regulator
The filter regulator in the oxygen channel is designed to organize the pressure required
for the normal operation of the device (of the order of 2 bar) and the filtration of oxygen entering
the patient's ventilation at the entrance to the device.
Fig. 6-88 The oxygen channel filter regulator of the device

At the required pressure, the regulator filter regulator is factory-set and does not need to
be adjusted during the entire period of further operation. Therefore, the drive for adjusting the
gear unit is fixed with glue and the adjustment knob can be rotated (pos. 5 of Fig. 6-89) only in
the free state.
Fig. 6-89 Disassembling the filter regulator
75
During the operation of the device it is necessary to monitor the condition of the filter
located in the reducer (pos. 3 of Fig. 6-89), especially in the case of balloon oxygen, since in this
case, usually, in oxygen entering the device can contain a lot of dust, metal shavings and dirt.
To remove the filter from the gearbox, proceed as follows: first turn the glass flask of the
reducer water box (position 1 of Fig. 6-89), turning it anticlockwise, and then turn the plastic nut
(pos. 2 of Fig. 6-89), the fixing filter on the centering rod (pos. 4 of Fig. 6-89) and, having
lowered the nut with the filter, get out the filter.
If significant, poorly cleaned contaminants are found on the filter, it is recommended to
replace it with a spare one from the delivery set of the device. It is also necessary to monitor the
condition of the sealing rubber ring of the dehumidifier flask (pos.6 fig. 6-89).
76
7 Maintenance of the device
Maintenance involves periodic maintenance work to maintain the operating
characteristics of the device during its entire life. Some maintenance work must be done
monthly, and some - annually.
7.1 Monthly maintenance schedule

The recommended frequency and list of monthly maintenance procedures are shown in
the Table 7-1.
Table 7-1. The recommended plan for carrying out procedures for monthly maintenance of the
device
Month
1 2 3 4 5 6 7 8 9 10 11 12
Procedure
Visual inspection х х х х х х х х х х х х
Cleaning the dust filters of the cooling fan
х х х х х х х х х х х х
and the fresh air intake
Checking the sealing rings of the oxygen
х х х х
hose
Checking the sealing rings of the water trap
х х х х
of the metabolism measurement module
Checking filter-regulator х х х х
Checking exhalation valve х х х х х х х х х х х х
Checking and calibrating the oxygen
sensors FiO2 and VO2
Checking and training of batteries (built-in
х х х х
and external)
Checking the operation of controls х х х х х х х х х х х х
Calibration of exhalation electromagnetic
valve
Calibration of exhalation flow sensor х х х х х х х х х х х х
Checking of the correspondence between
the set Vinsp and the displayed Vexp
Calibration mainstream capnometer* * * * * * * * * * * * *
Cleaning of the ventilation adapter and the
mainstream capnometer
Calibration of patient breathing circuit**
* Calibration of the mainstream capnometer perform with each replacement of the ventilation
adapter or breathing circuit
** Calibration of the patient breathing circuit needs for adaptation of the device to breathing
circuit. It is recommended to do it after turning on of the device and especially when changing to
another breathing circuit.
77
7.2 Procedure and technical requirements
7.2.1 Visual inspection

The device should not have mechanical damages and traces of liquid ingress. The casing
of the power cord must not have any damage or sharp bends.
7.2.2 Cleaning the dust filters of the cooling fan and the fresh air intake
Remove the plastic grilles of the fans on the back panel of the device (pos. 1 in Fig. 7-1),
easily pulling them toward to you. Remove the dust filters (pos. 2 in Fig. 7-1) and clean them by
washing in soap solution, rinse in clean water and dry.
In case of significant deterioration new dust filters should be used from the delivery set (2
pcs.) or ordered through a service organization. After making sure that the filters are completely
dry, install them in place and snap the plastic fan grilles.
Fig. 7-1 Cooling fan filters (left) and air duct
7.2.3 Checking the sealing rings of the oxygen hose

Check the condition of the sealing rings (pos. 1 of Fig. 7-2) of the oxygen hose. They
should not have any visible damage and strong deformations. If necessary, replace the sealing
rings by ordering them at the manufacturing plant or through a service organization.
Fig. 7-2 Oxygen hose, sealing gasket
78
7.2.4 Checking the sealing rings of the water trap of the metabolism
measurement module
Check the condition of the sealing rings (pos. 1, 2 of Fig. 7-3) of the water trap of the
metabolism measurement module.
Fig. 7-3 Sealing rings for the metabolism measurement module
Sealing rings should not have visible damages, cracks and strong deformations. They
should be elastic and allowing without significant effort to set the water trap in the lodgment. If
necessary, replace the sealing rings by ordering them at the manufacturer or through a service
organization.
79
7.2.5 Checking filter-regulator
Check the seal ring of the water trap of the reducer (pos. 6 of Fig. 6-89). The seal ring
should not have visible damage and strong deformations.
Check the sealing ring (pos. 1 in Fig. 7-4) in the union nut of the filter-regulator for
connection to the "O2 inlet".
Fig. 7-4 Sealing ring in the union nut of the filter regulator
The sealing ring should not have visible damage and strong deformations. If necessary,
replace sealing ring by a spare one from the delivery set. Check the micrоfilter, in case of severe
contamination - replace micrоfilter by a spare one from the delivery set.
80
7.2.6 Checking expiratory valve*
Detach the removable part of the expiratory valve and check the condition of the
membrane. The membrane should not have visible damage and strong deformations. If
necessary, replace the diaphragm by a spare one from the delivery set.
Check the condition of the three silicone bushings of the pressure sensors in the valve
body (pos. 1-3 of Fig. 7-5). If necessary, replace the bushings by ordering them at the
manufacturer plant.
Fig. 7-5 Silicone bushings of pressure sensors in the body of the expiratory valve
*) The construction of the expiratory valve and the location of the silicone bushings and
the membrane in valve are described in section 6.3.16.4 of this manual.
81
7.2.7 Checking and calibrating the oxygen sensors FiO2 and VO2
To check the oxygen sensor FiO2, connect the backup breathing bag to the patient's tee
port on the breathing circuit, as shown in Fig. 7-6:
Fig. 7-6 Diagram for checking the oxygen sensor

Connect the device to an oxygen source and turn on the device.
Set the mode and ventilation parameters:
CMV/VCV; ADULT;
Vt = 400 ml, O2set = 30% (acceptable absolute deviation ± 3%)
Make sure that the measured percentage of oxygen is in the tolerance.
Repeat for O2set:
O2set = 40% (acceptable absolute deviation ± 3%)
If the measured oxygen percentage is not in the tolerance, it is necessary to calibrate the
FiO2 sensor doing following:
- disconnect the device from the patient;
- select the Menu / Service menu / Calibration / CIVL / FiO2 sensor calibration;
- press the encoder knob to start the calibration process (calibration of the sensor lasts
about 1 minute). After the message "Calibration successfully completed" is appeared, the device
is ready for operation.
If the calibration is unsuccessful, it is necessary to replace the sensor or repair the device.
To calibrate the VO2 sensor it is necessary to do following:
- disconnect the device from the patient, connect the device to the oxygen line;
- connect the breathing circuit to the device;
- connect the tube of the capnometer to the patient's tee port on the breathing circuit;
- turn on the device and wait for the message "Capnometer warming" to disappear;
- select the Menu / Service menu / Calibration / CAPNO / Calorimeter O2 sensor calibr.,
after that the device will display a brief calibration instruction;
- press the encoder knob to start the calibration process (calibration of the sensor lasts
about 1 minute).
If the calibration is successful the message "Oxygen sensor calibr. successfully
completed" is displayed. The device is ready for use. If the calibration is unsuccessful, the sensor
should be replaced or the device should be repaired.
82
7.2.8 Checking and training of batteries (built-in and external)
Completely drain the battery. Connect the device to power supply mains (“BATTERY”
LED and “POWER” LED should be illuminated in green color). Fully charge the battery
(“BATTERY” LED should light off).
Set the mode and ventilation parameters:
CMV/VCV; ADULT;
O2set = 21%; Pmax = 80 cm H2O;
RB = 10 1/min; Vt = 1,0 l;
Check the operating time of the device from a fully charged battery, it should be at least
240 minutes. Recharge the battery. If there is an external battery, conduct a similar actions. For
charging external battery, use the charger supplied.
7.2.9 Checking the operation of controls

Buttons and the encoder should work clearly, causing appropriate actions. False positives
should not be. In case the press area of buttons on the display is shifted relative to their graphical
images, calibrate the touch panel selecting Menu / Service menu / Calibration / CIND / Touch
screen calibration.
7.2.10 Calibration of exhalation flow sensor

To start the procedure of the calibration select the Menu / Service menu / Calibration /
CIVL / Exp.flow sensor calibration. After starting of the calibration it is necessary to follow the
instructions on the screen. The description of messages about calibration results is shown in
Table 7-2.
Table 7-2. Possible options of results of the exhalation flow sensor calibration.
No Message Reason Operator actions
1 Calibration successfully Calibration is successfully Continue operate with the
completed completed device
2 Time out of expiratory valve There are no messages from Contact the after-sales
calibration СIVL about calibration service
results
3 Calibration cancelled Calibration is cancelled by Continue operate with the
the operator device
4 Could not set CIVL to expiratory CIVL does not response to Contact the after-sales
flow sensor calibration mode the request to calibrate service
5 Error: gas mixer failure Malfunction of the gas Contact the after-sales
mixer service
6 Error: no response from gas Malfunction of the gas Contact the after-sales
mixer mixer service
7 Error: non-zero flow Malfunction in the Contact the after-sales
ventilation controller board service
8 Error: incorrect data transfer rate Malfunction of the gas Contact the after-sales
from GM mixer service
83
9 Error: high pressure in inspiratory Occlusion of the inspiratory Clean the inspiratory line
line line and repeat the calibration.
In case the message recurs
contact the after-sales
service.
10 Calculation error of The operator incorrectly Repeat the calibration. In
approximating coeff. followed the instructions case the message recurs
for performing calibration contact the after-sales
on the screen or the device service.
is malfunctioned
11 Incorrect coeff. for press.sensor Malfunction in the Contact the after-sales
in insp.line ventilation controller board service
12 Incorrect coeff. for differential Malfunction in the Contact the after-sales
press. sensor ventilation controller board service
13 Error: no response from power Malfunction of the power Contact the after-sales
unit unit service
14 Error: temperature sensor in Malfunction of the power Contact the after-sales
power unit error unit service
15 Error: low ambient air Malfunction of the power Contact the after-sales
temperature unit service
16 Calibration task stop Calibration task failed Repeat the calibration. In
case the message recurs
service.
17 Monotony error in input table The operator incorrectly Repeat the calibration. In
followed the instructions case the message recurs
for performing calibration contact the after-sales
on the screen or the device service.
is malfunctioned
18 Coefficients writing error Malfunction in the Contact the after-sales
ventilation controller board service
19 Incorrect coeff.for press.sensor in Malfunction in the Contact the after-sales
exp.line ventilation controller board service
7.2.11 Checking of the correspondence between the set Vinsp and the
displayed Vexp
To check connect the backup breathing bag to the patient's tee port on the breathing
circuit, as shown in Fig. 7-7:
84
Fig. 7-7 Diagram for checking of the correspondence between the set Vinsp and
displayed Vexp
- Connect the device to an oxygen source and turn on the device.
- Set the mode and ventilation parameters:
CMV/VCV; CHILD;
Flow waveform: Decreasing; Ttrig = 93 %;
O2set = 21%; Pmax = 60 cm H2O;
RB = 15 1/min; PEEP = 3 cm H2O;
Vt = 135 ml; Ti = 0,8 sec;
Ftrig = 1 l/min;
- Select MENU/SERVICE MENU/CALIBRATION/CIVL and set the INSP.
CONDITION in the mode of ATR
- Make sure that there is no autotrigger in the device by flow.
- Set the trigger by pressure and Ptrig = 1 cm H2O
- Make sure that there is no autotrigger in the device by pressure.
The triggering of the trigger is allowed no more than once for 20 respiratory cycles.
- Changing the oxygen concentration of FiO2 to 30%, 50%, 75% and 100% in the control
unit, make sure that there is no autotrigger in the device by flow and pressure.
- Set the mode and ventilation parameters:
ADULT;
O2set = 60 %; Vt = 200 ml; (acceptable relative deviation ± 8%)
- Make sure that the values of the set inspiratory volume, the measured inspiratory
volume, the measured expiratory volume are within tolerance.
- Repeat for the next values of volume:
Vt = 400 ml; (acceptable relative deviation ± 8%)
85
7.2.12 Calibration mainstream capnometer
For calibration it is necessary to do the following:
- Wait until the message about warm-up of capnometer disappears on the display.
- Select the Menu / Service Menu / Calibration / CAPNO MS.
- Select and press the line "Zero calibration".
7.2.13 Cleaning of the ventilation adapter and the mainstream capnometer

For cleaning mainstream capnometer surface (including its optical windows) it is
necessary to wipe it with a damp cloth and then a clean cloth, not contained easily separable
fibers.
For cleaning the ventilation adapters it is necessary to immerse them in a liquid
disinfectant or gluteraldehyde, which was pasteurized or cold-sterilized. After cleaning and
sterilizing the adapters should be rinsed from inside and outside with distilled water, and then
wiped with a cloth that does not contain easily detachable fibers. Before use, make sure that the
adapter windows are dry and that there is no moisture left on them.
7.2.14 Calibration of patient breathing circuit

For calibrating the patient breathing circuit it is necessary to select the Menu / Service
menu / Calibration / Breathing circuit calibration. After starting of the calibration it is
necessary to follow the instructions on the screen.
As a result of the calibration of the patient breathing circuit, in particular, the compliance
of the respiratory circuit is measured, which is then used to compensate it. If the brief inside test
was not performed, effective compensation of the compliance of the breathing circuit becomes
impossible.
The description of messages about calibration results is shown in Table 7-3.
Table 7-3. Possible options of results of the patient breathing circuit calibration.
1 Measuring of br.circuit param. Calibration of patient Continue operate with the
succes.completed breathing circuit is device
successfully completed
2 Error: insp. pressure sensor is Inspiration pressure sensor is Restart the device and
not calibrated not calibrated repeat the patient breathing
3 Error: exp. pressure sensor is Expiratory pressure sensor is circuit calibration. In case
not calibrated not calibrated the message recurs contact
the after-sales service.
4 Error: no response from gas Malfunction of gas mixer Contact the after-sales
mixer service
5 Error: wrong data transfer Malfunction of gas mixer Contact the after-sales
freq. from gas mixer service
6 Error: low ambient air Low ambient air temperature If the ambient temperature
temperature or malfunction of power unit is below 15 °C move the
device to a warmer place.
Otherwise, contact the
after-sales service
86
7 Error: temperature sensor in Malfunction of temperature Contact the after-sales
power unit error sensor service
8 Calibration cancelled Calibration is cancelled by Continue operate with the
the operator device
9 High pressure in inspiration Occlusion of the inspiratory Clean the inspiratory line
line line and repeat the calibration.
In case the message recurs
service.
10 Could not set CIVL to CIVL does not response to Contact the after-sales
breathing circuit calibration the request to calibrate the service
patient breathing circuit
11 Monotony error in input table The operator incorrectly Repeat the brief inside test.
followed the instructions for In case the message recurs
performing brief inside test contact the after-sales
on the screen or the device is service.
malfunctioned
12 Coefficients writing error Malfunction of ventilation Contact the after-sales
controller service
13 Breathing circuit calibration There are no messages from Contact the after-sales
time out СIVL about results of patient service
breathing circuit calibration
14 Gas mixer malfunction Malfunction of gas mixer Contact the after-sales
service
15 Power unit does not respond Power unit does not response Contact the after-sales
of ventilation controller service
requests
7.3 Annually maintenance schedule

The recommended frequency and kinds of annually maintenance procedures are shown in
the Table 7-4.
Table 7-4. The recommended plan for carrying out procedures for annually maintenance of the
device
Year
1 2 3 4 5 6 7 8 9 10
Procedure
Replacement of the oxygen sensor FiO21 х Х х х х х х х х х
Replacement of the oxygen sensor VO22 Х х х х х
*Replacement of the consumables3
of metabolism measurement module
(water trap, connect line), mainstream х Х х х х х х х х х
capnometer (ventilation adaptor)
(if sufficient)
Replacement of dust filters4
х Х х х х х х х х х
Replacement of oxygen reducer filter5 х Х х х х х х х х х
Checking the leak in the supply channel
of the gas mixture to the patient (gas х Х х х х х х х х х
mixer, flow generator, supply tubes)6
87
Year
1 2 3 4 5 6 7 8 9 10
Procedure
Replacement of batteries7
х х х
*Replacement of pulse oximetry sensor
Х х х х х
(if sufficient) 8
Replacement of polyurethane belt of the
flow generator motor9 х х х
Cleaning of flow sensors10 х Х х х х х х х х х

*Replacement of power cord11
х х
Replacement of purge compressor12
х х х
Replacement of metabolism
х х
measurement module compressor13
Checking the permissible noise level
during the operation of the flow х Х х х х х х х х х
generator14
Cleaning of cooling fan cooler15 х Х х х х х х х х х
Replacement of electromagnetic
expiratory valve membrane16 х Х х х х х х х х х
* The above replacement time for consumables is recommended. The service life of
consumables usually depends on the intensity and neatness of their using.
Notes:
1
) Replacement of the oxygen sensor FiO2 is described in the section:
6.3.16.5 FiO2 sensor.
2
) The replacement of the VO2 oxygen sensor is described in the section:
6.2.2 Disassembly of the main electronic unit of the device.
3) Replacement of supplies of the mainstream capnometer and the metabolism
measurement module:
The order of the order and the list of components is given in Sections 10 and 11 of this
Manual.
4) The replacement of dust filters is carried out in the same way as described above in the
procedure
Cleaning the dust filters of the cooling fan and the air duct fan
5) Replacement of the filter of the oxygen reducer is described in the section:
6.3.16.12 The oxygen channel filter reducer.
6) Checking the leak in the supply channel of the mixture to the patient is described in the
section:
6.3.15 The flow generator.
7) Battery replacement is described in the section:
88
8) Replacement of pulse oximetry sensor:
Manual.
9) Replacement of the flow generator drive belt is described in the section:
10) The location of the flow sensors and the procedure for their removal are described in
the section:
6.3.16.6 Flow sensors in oxygen and air ducts.
11) Replacing the network cable:
Manual.
12) The location and attachment of the purge compressor are described in the section:
13) The replacement of the metabolism measurement module is described in the section:
6.3.7 Metabolism measurement module.
14) Checking the permissible noise level during operation of the flow generator:
If the permissible noise level of the flow generator is exceeded, the flow generator may
be defective (checking the silicone valves, bellows, bearings, scoring on the drive shaft).
15) The location and method of mounting the cooling fan are described in the section:
6.3.16.3 Cooling fan.
16) The device of the expiratory valve and the location of the membrane in it are
described in the section:
6.3.16.4 Electromagnetic expiratory valve.
89
8 Frequent faults and remedies
8.1 When connecting the device to the power supply mains (only the power cord is
connected to power supply mains, power button on the front panel was not pressed, power
switch on the back panel is in position “I” - ON) the “Power” LED on the front panel does
not light.
Malfunctions of this type are usually associated with fuses in the Mains fuses holder or
the varistor RU1 (S20K275) in the power unit board (TESM.187206). The varistor was triggered
or faulty because of a power supply mains surge. In last case it is necessary to replace the
varistor.
First of all, it is necessary to check the microcircuit for short circuit and, if there is no
short circuit, connect the power cord to power supply mains, put the switch of the network block
of the device in the "on" position and, without pressing the power button, check the voltage on
pin 3 of the DA5 chip. (DA5.3 - plus voltmeter, control point GND - minus the voltmeter). The
voltage at this pin must be - at zero charge current, i.e. when the battery is disconnected, - 0V, at
the maximum - + 2.5V. In case of malfunction, replace the microcircuit.
connected to the power supply mains, power button on the front panel was not pressed) the
“Power” LED on the front panel is illuminated in red color.
Malfunctions of this type are usually associated with problems in the power unit board
TESM.1872016 (for version 06 and later). The red glow of the “Power” LED indicates the
absence of voltage 27V at the output of the AC/DC converter in the power unit board. This can
be checked by a voltmeter at the 27VP control point (plus voltmeter) relative to the GND control
point (minus voltmeter). The voltage should be within + 27 ... 28V. At the time of writing this
manual it is known that in this case the reason is the failure of Zener diodes DA3, DA4
(LM431BIM3 SOT-23) in the power unit board (usually a short circuit between the pins Zener
diodes). Also known a single case of a failure of the chip DA11 (AD5160BRJZ10 SOT-23-8) in
power unit board TESM.187206v08.
connected to the power supply mains, power button on the front panel was not pressed) the
“Power” LED on the front panel is illuminated in green color and the “Battery” LED on
the front panel is illuminated in red color.
Malfunctions of this type are usually associated with problems in the power unit board
TESM.1872016 (for version 06-09) or with a battery failure. Failure of the battery may be
indirectly indicated by the inability to turn on the device when the power cord is disconnected. In
this case, when pressing the power button on the front panel of the device, it will either not react
to the press, or turn on for a few seconds, and then immediately turn off.
In case there are problems with the power unit board it is necessary to check the
serviceability of the chip DA5 (MAX9938FEUK (MAX9634FEUK) SOT23-5). First it is
necessary to check the chip on the fault and, if no short circuit, then connect the power cord to
power supply mains, turn power switch on the back panel in the position "I" - ON and without
pressing the power button on the front panel, check the voltage at pin 3 of chip DA5 (plus
voltmeter) relative to the GND control point (minus voltmeter). The voltage on this pin must be
equal 0V at zero charge current (i.e. when the battery is disconnected), and should be equal
+2.5V at the maximum charge current. In the case of a fault, replace the chip.
90
8.4 When turning on the device goes into alarm mode with the message on the
screen "REPLACE THE VENTILATOR" and indication of the fault codes.
In case of unsuccessful start of testing, as well as switching the device to alarm
ventilation mode, the malfunction codes for individual modules of the device are displayed on
the device screen:
 CIVL – lung ventilation controller
 CIND – indication controller
 Power unit
 Mixer
 Protocol converter (Mainstream capnometer)
 SpO2 module
Meanings of displayed malfunction codes are listed below.
Malfunction codes for CIVL
Code Message No. Code Message

No.
0 1 Communication error 16 10000 EEPROM error
1 2 Disconnection 17 20000 Flow generator malfunction
2 4 Occlusion 18 40000 Safety valve malfunction
3 8 Pmax is reached 19 80000 Purge compressor error
4 10 Apnea 20 100000 VLV_Z+ error
5 20 27V_PWR Voltage error 21 200000 VLV_Z- error
6 40 V_EMV Voltage error 22 400000 VLV_F+ error
7 80 15VA Voltage error 23 800000 VLV_F- error
8 100 12V_VLV Voltage error 24 1000000 Expiration valve malfunction
9 200 5VA Voltage error1 25 2000000 O2 sensor mulfanction
10 400 2.5VA Voltage error1 26 4000000 AD7738 error1
11 800 12VA Voltage error 27 8000000 Pres.sensor in insp.line error
12 1000 Press.sensor constants error 28 10000000 Press.sensor in exp.line error
13 2000 F-P converter constants error 29 20000000 Dif. press. sensor error
14 4000 Exp. valve constants error 30 40000000 Gas mixer comm. unavailable
15 8000 Flow generator constants error 31 80000000 Nebulizer is on
Malfunction codes for Power unit
Code Message
No.
0 1 No mains voltage (this is not technical malfunction)
1 2 Fan malfunction
2 4 Accumulator is discharged (this is not technical malfunction)
3 8 No accumulator
91
Code Message
No.
4 10 Over-charging or short circuit
5 20 Charging overvoltage
6 40 Charger switch error
7 80 Sound malfunction
Malfunction codes for Mixer
Code Message
No.
13 2000 GM CAN malfunc
14 4000 2.5VA Voltage error2 (not implemented in TESM.187303v02)
15 8000 10VA Voltage error (not implemented in TESM.187303v02)
16 10000 5VA Voltage error2 (not implemented in TESM.187303v02)
17 20000 O2 pres.s. n/c
18 40000 Air flow s n/c
19 80000 O2 flow s. n/c
20 100000 Abs.pres.sens. before FG n/c
21 200000 Low volt. 27V
22 400000 High volt. 27V
23 800000 CIND no comm.
24 1000000 CIVL no comm.
25 2000000 O2 pneumovalve error
26 4000000 AD7738 error2
27 8000000 Vref for AD7738 error
28 10000000 Air flow sensor error

29 20000000 O2 flow sensor error
30 40000000 Abs.pres.sens. before FG error
31 80000000 O2 pressure sensor error
In some cases the fault codes are not displayed (in the "Code of failure" displayed "0").
At the time of writing this manual such manifestation of malfunction was observed at faulty
(clamped) touch panel of the display or at malfunctions of tantalum capacitors on lung
ventilation controller board or power unit board (i.e. the capacitor C78 on the lung ventilation
controller board often failed). Typically this type of capacitors destroyed with visible damage to
their integrity. In case "0" in the "Code of failure" it is also necessary to check the reliability of
the connection of contacts in the flat cable between the lung ventilation controller board and
power unit board.
8.5 When turning on the device goes into normal operation mode with the alarm
message "Sound malfunction" either the device goes into alarm mode with the fault code of
the malfunction of the power unit board "80" (Sound malfunction).
92
With this type of fault first it is necessary to check the resistance of the speaker itself,
which should be about 8 Ohms (from 7 to 9 Ohms). If the speaker is in the order most likely chip
DA10 (MAX9938FEUK) in the power unit board (versions 06 - V08) is fault.
message "Fan malfunction" either the device goes into alarm mode with the fault code of
the malfunction of the power unit board "2" (Fan malfunction).
With this type of fault first it is necessary to check whether the cooling fan rotates freely,
and if possible, then measure the current of its operation. Usually, for proper fan operating
current should be not more 0.2A. If the fan is properly, the chip VT11 (2N7002) in the power
unit board (versions 06 - V08) may be fault.
message "Purge compressor error" either the device goes into alarm mode with the fault
code of the malfunction of the lung ventilation controller (CIVL) "80000" (Purge
compressor error).
With this type of fault first it is necessary to replace the purge compressor of the valves
(compressor located behind the flow generator and is connected by the silicone tube with a valve
on lung ventilation controller board). If the message "Purge compressor error" will be displayed
again, then it is necessary to replace the chip VT2 (ULN2003D) in the lung ventilation controller
board. The chip is located in an inconvenient place for soldering, to replace it is necessary to use
a soldering station with a hot air gun.
message "Electrical drive malfunction”.
With this type of fault first it is necessary to check rotation quality of the flow generator.
To do this it is necessary to remove the polyurethane belt from the flow generator motor and
crank the gear wheel of the flow generator. Rotation should be free and without significant
resistance. If no problems are found with the flow generator you it is necessary to check rotation
quality of the motor. Usually motor has mechanical type of malfunction, but it should be
noted that with unqualified dismantling/installation of the motor (incorrect connection of
the motor cable with the outlet connector IDC-10 (black) to connector XP15 instead of
XP4 in the ventilation controller board), the motor fails right away the first time the device
is switched on. If motor problems are not detected it is necessary to replace the chip DA16
(IRS23364DSPBF).
8.9 When turning on the device goes into normal operation mode. When the
breathing circuit is connected, there is a significant excess of the value of the indicated
volume of Vexp exhalation over the indicated volume of Vinsp inhaling.
First of all, it is recommended to check the tightness of the respiratory circuit. If the
circuit is hermetically sealed, it is necessary to check in the device the set conditions on the
inspiration. For this it is necessary to select MENU/SERVICE MENU/CALIBRATION/CIVL
and set the INSP. CONDITION and EXP. CONDITION in the mode of ATP (to the device
with a 10” screen - MENU/SERVICE MENU/CALIBRATION/MIXER and disable the
correction H2O). If the volume of exhalation is much greater than the volume of the inhalation
(Vinsp is displayed in blue color next to Vexp), for example Vexp = 540 ml, and Vinsp = 480 ml
when set Vexp = 500 ml, then this is NOT CONSIDERED as normal, the difference should be
93
not more than 40 ml. The malfunction of this type is usually associated with contamination of the
airflow sensor HONEYWELL located on the panel of the mixer. It is necessary to blow the
sensor, having previously removed it from the panel of the mixer.
breathing circuit is connected, there is a mismatch between the specified and displayed
volume of the exhalation Vexp (mismatch is more than 15%).
inspiration. To do this it is necessary to select MENU / SERVICE MENU / CALIBRATION /
CIVL and set the INSP. CONDITION and EXP. CONDITION in the mode of ATP (to the
device with a 10” screen - MENU/SERVICE MENU/CALIBRATION/MIXER and disable
the correction H2O).
After that it is necessary to make sure that there are silicone seals in the return part of the
exhalation valve. To do this, disassemble the exhalation valve. Make sure there are three silicone
seals in the remaining part of the exhalation valve.
Check the tightness of the emergency valve on the flow generator. To do this, remove the
front panel of the device and plug up the outlet hole of the emergency valve. The valve located
on the back cover of the flow generator on the right side.
Check the serial number of the air flow sensors and the oxygen flow sensor
(HONEYWELL) in the mixer panel. If the flow sensor has serial number 1242N, the sensor
should be replaced. After replacing the sensor it is recommended to calibrate the device at the
factory.
breathing circuit is connected, there is a mismatch between the specified and displayed
volume of the exhalation Vexp (mismatch is more than 15%). The values of Vinsp is also
low (mismatch is more than 15%).
inspiration. To do this it is necessary to select MENU / SERVICE MENU / CALIBRATION /
CIVL and set the INSP. CONDITION and EXP. CONDITION in the mode of ATP (to the
device with a 10” screen - MENU/SERVICE MENU/CALIBRATION/MIXER and disable
the correction H2O).
Malfunctions of this type are usually associated with problems of flow generator, such as
loss of lightness of rotation of flow generator bearings, mechanical deterioration of lock washers,
loss of tightness of flow generator inlet/outlet valves. It is quite difficult to repair the flow
generator at the operation site. In any case after the repair or replacement flow generator the
device should be calibrated at the factory. It is recommended to send the device with such a
malfunction to the manufacturer.
94
9 Checking the device after repair
9.1 Checking the device after repair at the operation site
As stated previously in the chapters with description of individual modules and boards
that are part of the device, some components are allowed to be replaced at the operation site.
After repair or replacement it is necessary to check the serviceability of the device in part
replaced components.
9.1.1 Checking electrical safety of the device
After repair and before checking the replaced components it is necessary to ensure that
the repaired device complies with the electrical safety standards. The electrical safety check of
the device is performed in according with IEC 60601-1 by dint of specialized equipment in
according with IEC 60601-1-2010 (IEC 60601-1-1), for example, Fluke 601 PROXL. When
carrying out work to verify the electrical safety need to follow the instructions of the
manufacturers of these devices. This test equipment can help to detect the problems associated
with the electrical circuits of the MGA-06 device, the organization of the grounding of the
supply mains and the joint work with other medical equipment. When conducting an electrical
safety check, you need to perform the following actions:
1. Perform a visual inspection of the device. Make sure that there is no visible damage to
the case of the device, switchers, buttons and connectors. There should be no missing case parts,
or missing the necessary accessories.
2. Make sure you have all the labeling elements on the device.
3. Carry out a check with the equipment in accordance with IEC 60601-1-2010 (IEC
60601-1-1), for example the Fluke 601 PROXL, test the presence of protective ground in the
power supply system at the site of installation of the device and measure its resistance value.
Ensure that the protective earth resistance does not exceed 0.1 Ohm.
4. Make a visual inspection of the dielectric insulation of the wire of the power unit the
device, make sure of its integrity, the absence of cracks, delaminations and other damages.
5. Make sure that the metal parts of the power supply plug have no corrosion traces, are
tightly connected to the power supply case, do not have any visible physical damage.
6. Make sure that the pins of connector for power supply cord of the device firmly fixed
in the connector body, not bent and not have signs of corrosion or short circuit.
7. Connect the power supply cord to the power supply connector of the device. Make sure
that the connector of power cord firmly fixed in in the power connector body of the device.
8. Connect the power cord to power supply mains.
9. Turn on power switch on the back panel of the device in “I” position. Make sure that
there are no extraneous noises, a smell of burnt electrical insulation and other factors that
indicate a malfunction in the electrical circuits of the device. Turn on the device with the turn
on/off button on the front panel of the device.
95
9. Using equipment in accordance with IEC 60601-1-2010, for example Fluke ESA 620
or ESA 609, check the value of the earth leakage current of the device. Measurement is
performed for forward and reverse polarity (normal conditions) and forward and reverse polarity
with open neutral (single violation condition). Make sure that the leakage current of the device
does not exceed 500 μA for normal conditions and 1000 μA for single violation conditions (IEC
60601-1).
9.1.2 Checking power unit
To check power unit board in the device it is necessary to do following:

1. Connect the device to power supply mains with the power cord of the device.
2. Turn on power switch on the back panel of the device in “I” position.
“POWER” LED and “BATTERY” LED on the front panel of the device should be
illuminated in green color (in case the battery is not full charged). If some LEDs does not
illuminate in green color it is necessary to check step by step following:
- Check correct connection of all cables to the power unit inside the device;
- Check correct connection and polarity of battery connection;
- Check electrical parameters of power supply mains and their compliance with
tolerances;
- Check fuses in the mains fuses holder on the rear panel of the device
3. Assemble the circuit to check common workability of the device
Fig. 9-1 Scheme for testing the operation of the device
4. Turn on the device. The device should turn on normally and make a brief diagnosis of
the systems. On the screen should not be window with message "TECHNICAL FAILURE" and
should not be messages of malfunctions (except messages about not connected external sensors,
such as a mainstream capnometer sensor). In case of presence on the screen of the window
"TECHNICAL FAILURE" it is necessary to determine the cause of the failure of the device in
according to the malfunction codes given in chapter 8.4 of this Manual.
5. Select the ventilation mode:

CMV/VCV; ADULT;
96
Tpl = 0%; Flow waveform: Rectangle;
PMAX = 60 cm H2O; RB = 20 1/min;
PEEP = 3 cm H2O; VТ = 500 ml.;
Тi = 1,0 sec; Ftrig = 10 l/min
FIO2 = 21 %;
Make sure that the device is working properly, there are no alarming messages of
problems in the operation of the device, the sound speaker and the cooling fan are working
correctly, the battery is charging.
9.1.3 Checking display and touch panel
To check display and touch panel in the device it is necessary to do following:
1. Check the reaction of the device at the pressing of the icons on the screen.
2. In case of incorrect operation of pressing the graphic buttons select Menu/Service

menu/Calibration/CIND/Touch screen calibration and calibrate the touch screen. Calibration
is performed by three points by touching the screen at the specified point. If calibration fails,
repeat the operation.
9.1.4 Checking the pulse oximetry module
In case the pulse oximetry module was repaired or replaced it is necessary to check
workability of the module and to do following:
97
2. Connect the device UPOP-E01M (it is possible to use TPO-2 or MPO-2 instead) to the
device for check of work of the channel of pulse oximetry according to the below scheme:
Fig. 9-2 Scheme for testing the pulse oximetry channel of the device
Select on the device UPOP-E01M alternately the following modes, according to the
Table 9-1-4-1:
Table 9-1. Modes of check of the pulse oximetry channel of the device
The position of the switches on the UPOP-E01M The values on the display
Mode Signal
SpO2 spec, % PR spec, 1/min Perf, % SpO2, % PR, 1/min
attenuation
I 85 50 6 10 85±3 50±1
II 85 50 1 10 85±3 50±1
III 85 50 1 1 85±3 50±1
IV 85 50 6 1 85±3 50±1
Make sure that the values of SPO2 and PR on the display of the device correspond to set
on the device UPOP-Е01М.
2. Connect SpO2 sensor to the SpO2 connector of the device.
3. Select the window of the device for displaying of values SPO2, PR and the graph of
photoplethysmogram.
4. Connect SpO2 sensor to the patient.
5. Make sure that the screen displays the actual values of SpO2 (should be within 95% –
100%) and PR, and also a graph of the photoplethysmogram.
98
9.1.5 Checking protocol converter board and external mainstream
capnometer module
In case the protocol converter board or external mainstream capnometer module were
repaired or replaced it is necessary to check workability of this channel and to do following:
1. To check the function of mainstream capnometer of the device it is necessary to

assemble the circuit according to Fig. 9-3. This circuit should be provide flow of reference gas
from the respective gas cylinder with a precisely known CO2 concentration and the atmospheric
air with zero CO2 concentration switching one by one. This order of flows provides in the
scheme by pneumatic tap-switch. The atmospheric air should be have a small overpressure (e.g.
be injected with a hand pump).
Fig. 9-3 Scheme for checking the mainstream capnometer function
As a reference gas should be used a calibrated gas mixture with a known CO2
concentration (recommended CO2 content in the mixture = 5% with the remaining volume filled
with air or nitrogen). In all cases use atmospheric air as an air mixture with zero CO2 content.
2. Turn on the device.
3. Select a scale of measurement CO2 in %. Before checking the module it is necessary to
set the required parameters of the gas mixture in according to the used concentration of CO2 in
the gas cylinder and the required mode of averaging values. The value of all other parameters is
arbitrary.
4. Warm the sensor for at least 10 minutes.
5. Previously it is necessary to disconnect the gas cylinder with the reducer from the tap-
switch (to not damage the device accidentally applying too much pressure from the gas cylinder),
close the reducer and open the valve of the gas cylinder. Set valve reducer at such speed of gas
flow as a small effort of a finger can shut the hole of the outlet hole of the gas cylinder. After
that, connect the nozzle of the gas cylinder reducer to the tap-switch.
6. After that it is necessary to alternate the supply of atmospheric air and reference gas by
a tap-switch (this is necessary to simulate the cycle required for the normal operation of the
99
device). Each time after turn of the tap-switch to position "atmospheric air" it is necessary to
pump sharply the ventilating adapter of the sensor 1-2 times. The time intervals between
switches should be such that the maximum and minimum concentrations of CO2 are clearly
drawn on the screen of the device.
7. Fix the values of the level of CO2 concentration displayed by the device. Permissible
absolute error of ±0,2%
8. In case of exceeding the absolute error by more than ±0,2% perform calibration of the
external mainstream capnometer sensor in the menu Service menu/Calibration/Capno.
9. Select the window of the device for displaying of capnogram. Then it is necessary to
organize the patient breathing through mainstream capnometer adapter. Make sure that the graph
of capnogram is displayed on the screen.
9.1.6 Testing of external pressure measurement function

If the optional board of the external pressure module Paux was replaced or repaired,
check its functionality within the device performing the following actions:
1. Assemble the diagram shown in Fig. 9-4:
Fig. 9-4 Diagram for testing of the external pressure measurement function
2. Switch on the device.

3. Set the following ventilation parameters:
CMV/VCV mode; patient: adult;
Tpl = 0%; flow waveform: rectangular;
100
PMAX = 40 cmH2O; RB = 10 1/min;
PEEP = 5 cmH2O; VТ = 500 ml;
Тi = 3.0 sec; Ftrig = 5 lpm;
FIO2=21%;
4. In the menu “Display settings / Choose measured par. blocks” set the Paux parameter.
5. To determine the measuring range and the absolute error of the pressure measurement,
connect an external pump ("pressure bulb"), the reference pressure measurer IDC-1 (or another
of the list of recommended equipment) and technological container of 0.5 liters to the Paux inlet
connection on the front panel of the device according to Fig. 9-4.
6. Inflate with the external pump, check the correspondence of Paux pressure (max /
mean / min) of the device and the reference pressure measurer at the values of 0, 10, 50 and 100
cmH2O.
In all cases the difference between the device and reference pressure measurer readings
shall not exceed ± (1+0.01*Рmeas) cmH2O.
9.1.7 Testing of the metabolism measurement module
If the metabolism measurement module board was replaced or repaired, its testing shall
be performed simultaneously with mainstream capnometer sensor. Testing of mainstream
capnometer sensor is described in 9.1.5 of the Service manual. Make the following actions to
check the metabolism measurement function of the device:
1. Assemble the scheme according to the Fig. 9-5:
Fig. 9-5 Diagram for testing the metabolism measurement function of the device
Install to the mainstream capnometer sensor the airway adapter for connection to the
breathing circuit.
PMAX = 30 cm H2O;
RB = 15 1/min; PEEP = 5 cm H2O;
101
VТ = 600 ml; Тi = 2.0 sec;
Ftrig = 5 lpm FIO2=21%;
4. After 5-10 respiratory cycles make sure that Vexp = 600 ± 50 ml was set, in case of
deviation adjust the VT.
5. From the screen setup menu set the PCO2, O2 (%) curves and during ventilation make
sure that the device does not trigger alarm messages (remove all alarm messages so they do not
interfere with the testing of metabolism measurement module);
6. Select the “Metabolism” window (Fig. 9-6) located in the left part of the screen of the
device Monitoring;
7. Make sure that there are no VO2, VCO2, RQ и REE readings. FiO2 value shall
correspond to the oxygen concentration in the ambient air – about 21%. In case of deviation by
more than 1.0%, calibrate the O2 sensor via the calibration menu (Menu / Service menu /
Calibration / CAPNO-> “dO2 sensor calibration”).
Fig. 9-6 Window “Metabolism”
8. Wait for 1 -2 minutes to warm up the mainstream CO2 sensor and perform a zero
calibration (Menu / Service menu / Calibration / CAPNO -> ”Zero calibration for MS capno”).
9. Organize the human breathing through the airway adapter of the mainstream CO2
sensor for at least 4 minutes. The metabolism parameters are calculated per minute measurement
cycle. Wait until the calculated parameters of the metabolism are displayed. Metabolic readings
of VO2, VCO2, RQ, REE shall be stabilized within a time up to 2-3 min. At the steady-state
ventilation mode and human breathing through mainstream CO2 adapter, the calculated
metabolic parameters shall be:
VO2 = 450 ± 100 (ml/min); VСO2 = 450 ± 100 (ml/min); RQ=1.0 ± 0.3; RQ = VСO2/
VO2 REE = 3270 ± 500 (kcal/day). REE (kcal/day) = (3.941 * VO2 + 1.106 * VСO2) * N where:
- REE - resting energy expenditure (basic metabolism in non-active state), - VCO2 – minute
volume of expiration СО2 (ml/min), - VO2 - minute volume of consumed О2 (ml/min), - N -
number of minutes in a day (1440).
In case of deviations of the obtained parameters, calibrate O2 of metabolism
measurement module and mainstream capnometer sensor and repeat the tests.
102
9.1.8 Testing of button board
To check the button board it is necessary to do the following actions:

1. Switch on the device. The device shall regularly switch on and conduct a short
diagnosis of the systems. The screen shall not display “TECHNICAL FAILURE” window, and
according to the 11 results of the self-diagnosis, there should be no fault messages (except
messages about unconnected external sensors, for example mainstream CO2 sensor). If
“TECHNICAL FAILURE” window is displayed, you need to determine the cause of the
device’s malfunction in accordance with the error codes given in section 8.4 of the Service
Manual.
2. Perform test pushing on the various buttons on the front panel of the display, fixing
the response of the device. The device shall respond to the pressing on each button. The “Sound
alarm off” button shall turn off the sound alarm for 2 minutes, while the green LED of the button
shall light up. Also at switching on the nebulizer, the green LED in the “Additional functions”
button shall light up.
9.1.9 Testing of “Power” indicator board

Testing of “Power” indicator board is conducted as follows:
After connecting of the device to the power supply mains with the power cord and
turning on the power switch on the rear panel of the device, the “POWER” and “BATTERY”
indicators should light up green in the front panel (if the battery is not fully charged). One
pressing of the power button on the board shall result in the actual start of the device.
Three seconds pressing shall start the shutdown procedure. When the power switch at the
rear panel of the device is turned off, the “POWER” LED shall be switched off, and the LEDs of
the “BATTERY” indicator shall glow yellow. Approximately 5 minutes before the end of the
battery life of the device, LEDs shall already glow red.
9.1.10 Testing of CAN-Ethernet module

If CAN-Ethernet module was replaced or repaired, conduct its testing as follows:
1. Configure the computer that you are going to use for testing. Go to “Start – Network
connections”, select network connection that will operate with the device. Make right-click on it
and select “Properties”. Choose in the list of components “Internet protocol (TCP/IP) –
“Properties” and in a new window type IP Address 192.168.1.3 and Subnet Mask 255.255.255.0
(Fig. 9-7). Then press “OK”. After that connect the computer with a patch cord to the network
switch you plan to connect the device.
2. Turn on the device and configure its network settings. For this purpose call "Menu /
Service Menu / CMS" and enter the password "5555". Write the IP address of the server, the IP
address of the device and the IP address of the gateway as shown in Fig. 9-8. Apply the changes
and turn off the device.
3. Connect the device with a patch cord to the network switch, which is already
connected to the computer and turn on the device.
103
Fig. 9-7 Computer network settings
Fig. 9-8 Network settings of the device
4. Check the Ethernet interface. Run the command-line mode with the program cmd.exe
on the computer and type the command “ping 192.168.1.2” on the command line. If as a result of
this command you get the answer: “Packets sent = 4, received = 4, lost = 0 (0% loss)”, the
network interface of the CAN-Ethernet PCB is operating normally.
5. Check the USB-port operation. Connect the USB-flash drive to the USB connector on
the rear panel of the device. USB-flash shall have be formatted in FAT32 file system and have a
capacity of at least 2Gb.
6. To save the image displayed on the device’s screen, press the REC button on the
device’s display. The image is saved in the file scr0000.bmp (the number increases with every
new file) in the SCREEN directory (FAT file system). At screen saving that takes from 5 to 30
seconds, operating with the interface (touchscreen, buttons and encoder) is blocked, the screen is
104
not updated. Check the saving of the image to USB-flash by repeatedly pressing (about 10-15
times) the REC button.
6. Check the function at a multiple (approximately 10-15 times) disconnection and
connection of USB flash to the USB-port connector with the subsequent saving of the image.
7. Call the main menu of the device and select the “Trends” pos.. The “Save Alarm Log”
function records the alarm log to a removable media connected to the USB connector on the rear
panel of the device. The alarm log is saved in the file "alarmjournal.csv", in csv format with a
delimeter character “; “ in the CP866 coding.
8. Call up the main menu of the device and select “Service menu / System”. The function
“Transfer service log” allows to record the maintenance log on a removable media connected to
the USB port. The maintenance log is saved in the file "servicelog.csv", in csv format with a
delimeter character “;” in the CP866 coding.
9. After disconnecting USB-flash from the device, the message “USB: No space” appears
in the alarm log.
10 Check saving of the log files. On the personal computer clear the USB-flash and
create the file auto.ce (the file name is auto, the file extension is .ce).
11. Connect USB-flash to the USB connector on the device and make sure that recording
is started (the percentage of recording will be shown on the REC icon). At the end of the
recording connect the USB-flash to the personal computer and make sure that there is an SD root
folder with the recorded files.
12. Check the trend recording function. Enter the trend view function. In the bottom right
corner of the trend screen there is a gray button “RECORD”.
13. Connect USB-flash to the USB connector on the rear panel of the device, the
“RECORD” button turns bright yellow. When you click a button, the selected trend fragment is
saved to a file. Trend fragment is saved in trend0000.csv file (the number increases with every
new file) in general directory of USB-flash (FAT file system).
14. Open file in Excel2003, select “Data” tab, select the "Import external data" pos.,
select the "Import data" pos. (in other versions of Excel select "From text" pos.). In the new
“Select data source” window, open the current file from USB-flash. In the appeared text wizard
follow the steps and set the parameters:
- data format - with delimiters, file format - under the number 866 (Cyrillic (DOS);
- delimiter character - semicolon;
- data format - in the “More details” indicate delimiter of the integer and fractional parts as “.”
(point).
15. After setting of all parameters, select “Done” and in a new window select the data
import into a new sheet, then click OK.
16. Check the parameters recorded in the file from the selected fragment. They shall be
recorded at a rate of 1 per minute, stored in the trends. The top line contains the names of the
parameters, in the leftmost columns - the time of the trend recording in the format “day / month /
year / hour / minute”. The lines have the parameter values for the given moment. The bottom line
contains the device’s number.
17. Verify the saving of trends to USB-flash for 3 times.
105
9.1.11 Testing of rechargeable battery
Test of serviceability of the device’s battery and time of its continuous operation from
battery is conducted as follows:
1. Connect the device to the power supply mains with the power cord.
2. Turn on the power switch on the rear panel of the device. The “BATTERY” indicator
shall not glow red. If it glows red, check the correct polarity of the battery connections. In case it
does not help check the charge circuits in the power unit board.
3. Charge the battery to 100%. The end of the battery charge is indicated by switching off
the “BATTERY” LED indicator on the device’s front panel, at the power switch on the device’s
rear panel is turned on. The battery indicator in the upper left corner of the display shall have
value of 100%.
5. Connect the breathing circuit with a reserve bag to the device.
Тinsp = 1.0 sec; Ftrig = 10 lpm;
FiO2=21%;
7. Turn off the power switch on the rear panel of the device. You can disconnect the
device from the power supply mains in any other way, for example, by disconnecting the plug of
the power cord from the mains socket.
8. Record the time of power disconnecting.
9. Wait until the device is turned off. The battery lifetime is the resulting period of time
between the moments of power disconnection and complete switching off the device. According
to the device’s specification, the battery lifetime of the new serviceable batteries shall be at least
240 minutes.
9.1.12 Testing of the encoder

The encoder operation is checked in the following way. Turn on the device. Clockwise
rotation of the encoder shall cause moving down of the cursor through the menu (or increasing
any selected parameter), counterclockwise rotation of the encoder - moving up of the cursor
through the menu (or decreasing the selected parameter). Pressing shall call the main menu or
the select the current menu pos., or fix the set value of the selected parameter.
9.1.13 Testing of the sound speaker

After replacing the sound speaker, check its functioning as follows: if the sound signal
does not have distortion when the device is turned on, if after self-diagnostics of the device
systems the screen “Technical failure” with a fault code “80” in the power unit is not displayed,
and during the operation of the device the sound signals volume is adjusted in a regular way,
then consequently the sound speaker operates properly.
106
9.1.14 Testing of the cooling fan
If the cooling fan was replaced, check its functionality as follows:
If the cooling fan of the electronic unit turns on immediately when the device is
switched on, and after self-diagnosis of the device’s systems, the "Technical Failure" screen with
a fault code “2” in the power unit is not displayed, cooling fan operates properly.
9.1.15 Testing of the electromagnetic expiratory valve

The electromagnetic expiratory valve shall ensure opening / closing of the outlet of the
breathing circuit at certain times in accordance with the algorithm of the current ventilation
mode, and it also shall maintain the desired value of positive end-expiratory pressure (PEEP).
All these parameters are adjusted during calibration. This calibration is running from the main
menu of the device: “Menu / Service 15 menu / Calibration / CIVL / EMEV calibration”. If the
calibration is completed successfully, the electromagnetic expiratory valve is serviceable. If
during calibration any errors occur, follow the actions according to the section 7.1 of the Service
Manual.
9.1.16 Testing of FiO2 sensor

The functioning of the oxygen concentration sensor in the inspiration mixture is checked
as follows:
2. Connect an oxygen line or compressed oxygen cylinder to the device.
3. Assemble the circuit (Fig. 9-9) for measurement of the oxygen concentration in the
inspiration mixture by the analyzer PKG-04 (or another one from the list of recommended
equipment)
Fig. 9-9 Diagram for testing of the FiO2 sensor

CMV/VCV mode; patient: adult; Tpl = 0%;
flow waveform: rectangular; PMAX = 80 cmH2O;
RB = 10 1/min; PEEP = 0 cmH2O;
VТ = 500 ml; Тinsp = 2.0 sec;
Ftrig = 10 lpm; FiO2=21%;
107
5. Write down and compare the readings of the measured FIO2 values on the display of
the device and the control analyzer. The values obtained shall not differ by more than 3%.
6. Repeat the measurements at the set FIO2 value = 100%. The values obtained shall also
not differ by more than 3%.
9.1.17 Testing of the valve of pneumatic nebulizer channel

If during repair the valve of the pneumatic nebulizer channel was replaced, make tests as
follows:
1. Connect the oxygen inlet of the device to the source of compressed oxygen with the
pressure of 3-6 bar by oxygen hose from the delivery kit of the device.
2. Assemble a circuit for testing of the pneumatic nebulizer operation according to Fig. 9-
10.
Fig. 9-10 Diagram for testing of the pneumatic nebulizer valve operation

PMAX = 40 cmH2O; RB = 10 1 /min;
FiO2=21%; Inspiration conditions – ATP
5. In the menu of additional functions set the operating time of the built-in pneumatic
nebulizer to 3 min. A text message about the activation of the nebulizer shall appear at the
device's display. Make sure that nebulizer operates properly - sprays liquid during inspiration
and is disabled during exhalation. Record the time when the nebulizer is turned on; make sure
that after a preset time (± 10 sec) it automatically turns off. When the nebulizer is operating, the
deviation of the displayed FiO2 from the set value by 30% in the adult mode is allowed, and the
FiO2 alarms are blocked.
CMV/VCV mode; patient: pediatric;
108
Тinsp = 830 ms; Ftrig = 10 lpm;
nebulizer to 3 min. A text message about the activation of the nebulizer shall appear at the
device's display. Make sure that nebulizer operates properly - sprays liquid during inspiration
and is disabled during exhalation. Record the time when the nebulizer is turned on; make sure
that after a preset time (± 10 sec) it automatically turns off. When the nebulizer is operating, the
deviation of the displayed FiO2 from the set value by 30% in the pediatric mode is allowed, and
the FiO2 alarms are blocked.
CMV/VCV mode; patient: pediatric;
Тinsp = 830 ms; Ftrig = 10 lpm;
nebulizer to 3 min. Make sure that the nebulizer does not turn on in this mode and the status line
has no message about its operation.
9.1.18 Testing of the pressure relief valve

If during the repair the pressure relief valve was changed, test its performance as follows:
2. Connect the breathing circuit with a reserve bag to the device as shown in Fig. 9-11:
Fig. 9-11 Diagram for testing of the pressure relief valve

109
FIO2=21%;
5. During exhalation block by hand the outlet of the used gas mixture on the expiratory
valve. Make sure that the alarm message “Occlusion” is appeared on the display, the click is
heard and the pressure relief valve is activated.
9.1.19 Testing of the filter-reducer of oxygen channel

The filter-reducer is functioning, if the device operates properly providing a given
concentration of oxygen in the inspiration gas mixture without any alarm messages associated
with the oxygen supply in the oxygen line where the filter-reducer is connected with oxygen
pressure from 0.15 MPa to 0.6 MPa according to the requirements of User manual of MV200
Ventilator.
9.2 Testing after repair at the factory

After repair at the factory, the MV200 ventilator passes the full scope of tests after repair
in accordance with the device’s specifications, with the filling of the appropriate test protocol.
The protocol form is given in the Appendix C. List of control and measuring equipment used for
testing the Intensive care ventilator MV200 after repair is given in the Appendix 4.
110
10 List of replaceable parts
The list of components used in the device is shown in Table 10-1.
Table 10-1. The list of components used in the device
№ Name TESM
1 Power unit TESM.185008v09
(PCB TESM.187206v09)
2 Lung ventilation controller TESM.185004v04
3 Indication controller TESM.185027v01
4 Gas mixer SW module TESM.185020v03
5 Pulse oximetry board TESM.185022v03
6 Capnometer TESM.505012v05 Capno
7 Metabolism measurement module board TESM.535031v02
8 Button board TESM.305009v01
9 Alarm indication board TESM.305010v01
10 Board of the indicator “Power” TESM.185011v02
11 CAN-Ethernet Module TESM.185023v04.1
(PCB TESM.187305v04.1)
12 Accumulator battery 12V 7.2Ah
13 Display TESM.186007DSP
14 Touchpad TESM.186007TS
15 Flow generator TESM.186000
16 Electric drive of the flow generator TESM.186103
17 Drive belt of the flow generator TESM.186103BELT
18 Emergency relief valve TESM.186110
19 Encoder TESM.505018-01
20 Sound speaker TESM.186105
21 Cooling fan TESM.046119
22 Exhalation valve (int.) TESM.186131
23 Exhalation valve (ext.) TESM.186217
24 Exhalation valve membrane TESM.189006
25 Flow sensor (air) OOM202 Envitec
26 Flow sensor AWM720P1
27 Gas mixer collector TESM.186404
28 Proportional valve TESM.186153
29 Air return check valve TESM.189000
30 Check valve gasket TESM.189748
31 Nebulizer valve TESM.189762
32 Oxygen reducer assembly TESM.186143
33 Foam plastic reducer C104-F21/1
111
№ Name TESM
34 O-ring of the filter head TESM.186143RING
35 O-ring of the oxygen hose TESM.049124-01
36 Oxygen hose TESM.046002-01
37 Pulse oximetry sensor TESM.096008
38 Capnometer sensor TESM.506001
39 Capnometer sensor adapter TESM.506001ADAPTER
40 Power cord AC POWER CORD
41 O-rings of the water trap of the metabolism TESM.189626RING
measurement module
42 Oxygen sensor of the metabolism measurement TESM.505007
module
43 Dust filter grille TESM. 189932GRID
44 Dust filter cooling fan TESM.189932
45 Air channel dust filter TESM. 189932
46 Purge compressor TESM. 186109
47 Rotary bracket cover plate TESM. 189616
48 Fuses 5.2х20 2А ВПТ6-10 2А
49 Water trap of the metabolism measurement 1620-5
module
50 Gas sampling line PPI200LL
51 Gas sampling line adapter 22M-15M, GAS SAMPLING PORT
52 Protocol converter (Paux) TESM.505012v05 Paux
112
11 Ordering of spare parts
To order the components necessary to repair the device, it is necessary to contact the
service department Triton Electronic Systems by phone (tel. +7 (343) 304-60-52), or by e-mail
(ss@triton.ru), provide the following information:
1. Serial number of the device;
2. Type of malfunction and its external symptoms;
3. The name of the required components, TESM (if there is) and quantities.
In case the serial number is unreadable, or the serial number label is not on the device
case, it is necessary to open the device case and find an inscription with the serial number on the
inside of one of the device’s panels (pos.1, Fig. 11-1).
Fig. 11-1 The location of the duplicating label with the serial number on the rear
panel of the device
And the other label is located on the upper metal platform, where the power unit and the
ventilation controller are located (pos.1 Fig. 11-2).
Fig. 11-2 The location of the duplicating label with the serial number on the metal
platform of the device
113
Annex 1.Test report of the device after repair on the place of
operation
Test report No dated ___________ 201___ of the MV200 Ventilator after repair on the place of
operation s/n MV __________
№ Tested unit or Units Service Specification requirements Test results

parameter manual
par. №
1 Electrical safety Ohm 9.1.1 Protective ground resistance < 0.1 Ohm ________ Ohm
uA Leakage current, normal conditions: Direct ________uA
polarity < 500 uA Reverse polarity < 500 uA ________uA
Leakage current, single fault conditions: ________uA
Direct polarity < 1000 uA Reverse polarity < ________uA
1000 uA
2 Power unit - 9.1.2 No “Technical failure” window, Cooling fan ___________

is rotating, Sound is functioning properly, ___________
Batteries are charging, No messages about ___________
technical problems ___________
___________
3 Display with - 9.1.3 No “Technical failure” window, Correct ___________

touchscreeen response on the pressing on graphic buttons ___________
at the display
4 Pulse oximeter PCB % 9.1.4 Readings on the device’s display correspond
1
/min to the set values on the UPOP: Mode SPO2
PR УЗС* НПВ** SPO2 PR
I 85 50 6 10 I ____ ____
II 85 50 1 10 II ____ ____
III 85 50 1 1 III ____ ____
IV 85 50 6 1 IV ____ ____
Photoplethysmogram is displayed at the
screen * signal attenuation level **
perfusion
5 Mainstream CO2 % 9.1.5 CO2 measured concentration on the device’s 5%_________
sensor display corresponds to calibrated
concentrations: 5%±0,2 Test of the ___________
capnograph operation from the patient's
breathing
6 Oximeter PCB of the ml/min 9.1.7 Measured values of methabolic parameters VO2 _______
metabolic module kcal/day on the device’s screen correspond to values VCO2 ______
(with mainstream determined by parameters of verification RQ ________
CO2 sensor) scheme: VO2 = 450±100 ml/min VCO2 = REE _______
450±100 ml/min RQ = 1.0±0,3 REE =
3270±500 kcal/day
7 Button PCB - 9.1.8 No “Technical failure” window Correct ___________
response on the pressing on graphic buttons ___________
at the display
8 “POWER” - 9.1.9 Correct operation of the power button, The ___________
indication PCB corresponding operation of the mode ___________
indicators
9 CAN-Ethernet PCB - 9.1.10 Correct operation of the Ethernet interface, ___________
Correct operation of the USB-port: saving ___________
display images saving alarm log, saving ___________
114
service log, saving log files, saving trends ___________
___________
___________
10 Rechargeable min 9.1.10 Battery life , 240 min ________min

batteries
11 Encoder - 9.1.11 No difficulties at rotation, clear reaction on ___________
pressing ___________
12 Sound speaker - 9.1.12 No “Technical failure” window , Sound ___________

signals without distortions, Correct volume ___________
adjustment ___________
13 Cooling fan - 9.1.13 No “Technical failure” window , Correct ___________

operation at the device’s switching on ___________
14 Exhalation solenoid - 9.1.14 Successful calibration of the solenoid valve ___________

valve
15 FiO2 sensor % 9.1.15 Measured O2 concentration at the 21_________
ventilator’s display corresponds to O2
concentration of the reference device: 100_________
21%±3% 100%±3%
16 Valve of pneumatic - 9.1.16 Correct operation of nebulizer at turning on, ___________
nebulizer channel Automatic turning of the nebulizer after the
set time, with deviation up to ±10 sec from ___________
the set time Nebulizer doesn’t turn on in the
pediatric mode at Vt=50 ml ___________
17 Pressure relief valve - 9.1.17 Correct operation of the pressure relief valve ___________
at the occlusion
18 Filter-reducer of МПа 9.1.18 Correct operation of the ventilator from ___________

oxygen channel oxygen, no oxygen-associated alarms
___________
Signature of test expert _______________________________

Position ________________________________
Name, surname___________________________________
115
Annex 2. Recommended list of control and auxiliary test
equipment after repair on the place of operation
Recommended list of control and auxiliary test equipment after repair on the place of
operation
Name of equipment Designation of the document or main characteristics

Device for control of pulse oximeters and
TU 6680-008-32119398-2000
oximeter channels of monitors
Calibration analyzer Citrex H4 Pressure measurement range -50… +150 mbar Relative
error ± 0.75% or absolute error ± 0.1 mbar Respiratory
volume measurement range ± 10 L Relative error ± 2% or
absolute error ± 0.20 ml Range of volume per minute
measurement 0 ... 300 dm3 / min Relative error ± 2.5%
Oxygen Analyzer PKG-4 Measuring range 0 ... 100% Absolute measurement error in
the range: 0… 30 ±0,4% 30… 100% ±1%
Electrical safety analyzers Fluke 601 PROXL, Fluke ESA 620, Fluke ESA 609
Pressure measuring range 0 ... 160 kPa, accuracy class not
Pressure meter IDC-2
less than 0.2
6. Technological reducer N104-DS09 Camozzi with a manometer up to 4 atm.
7. Compressed air pipeline The pressure in the pipeline is not less than 4 atm.
8. Test lung 3L-22F 2830-00 S, imtmedical SmartLung™ Adult
9. Adapter with gate ARGB.306569.001
10. Calibration mixture No. 1 (for dry gas)
Approximate concentration of CO2 = 5%; the rest is air
11. Oxygen cylinder О2 concentration 100%
Celeron 600MHz (or higher), MS-Windows 2000 (XP),
128Mb RAM, 3D accelerator 16Mb VRAM, NE2000-
12. Personal computer IBM-PC compatible
compatible network card, sound card, at least 100Mb of free
disk space. LPT, COM and USB-ports required
13. Technological container 0.5L Receiver (0.5 L plastic bottle)
14. Connector INTERSURGICAL 1963
Note - It is allowed to replace above mentioned by another one with the idential of better
parameters and accuracy
116
Annex 3. Test report after repair
Test report after repair of Intensive care ventilator MV200 s/n MV ____________
Tested parameters Units Pos. No FQC*, Requirements for Test

IЗ** parameter result
Specif Test nominal missibledeviation

ication routine
s
1 Safety 2.1.13
2 Providing of the ventilation modes: 1.1.3 4.3
- CMV/VCV; CMV/PCV;SIMV/PC;
SIMV/VC; CPAP+PS; BiSTEP
3 Regulated range of tidal volume: ml 1.1.7 4.7
- in pediatric mode ml 400 ±10%
ml 50 ±10%
- in adult mode ml 200 ±10%
ml 2000 ±10%
Indicated range of tidal volume
- in pediatric mode ml 400 ±10%
ml 50 ±10%
- in adult mode ml 200 ±10%
2000 ±10%
4 Regulated range of respiratory rate: ½ min 1.1.8 4.8
- in pediatric mode
½ min 15 ±(1+0.05Fmeas)
- in adult mode ½ min 80 ±(1+0.05Fmeas)
½ min 8 ±(1+0.05Fmeas)
Indicated range of the respiratory rate: ½ min 60 ±(1+0.05Fmeas)
- in pediatric mode
½ min 15
- in adult mode ½ min 80 ±(1+0.05Fmeas)
½ min 8 ±(1+0.05Fmeas)
Alarm thresholds range: ±(1+0.05Fmeas)
½ min 2-120
- top
- bottom ½ min 1-119 ±(1+0.05Fmeas)
5 Regulated range of pressure support: 1.1.12 4.12
- in SIMV/VC, SIMV/PC, CPAP+PS, cmH20 5 ±2
BiSTEP mode
cmH20 30 ±2
cmH20 30 ±2
6 Regulated range of PEEP: cmH20 1.1.13 4.13 25
cmH20 10
- in CMV/VCV, CMV/PCV, cmH20 0
SIMV/VC, SIMV/PC, CPAP+PS
mode
Indication range of PEEP: cmH20 25 ±(1+0.2Pmeas)
cmH20 10 ±(1+0.2Pmeas)
cmH20 0
7 Regulated range of inspiration 1.1.14 4.14
pressure:
- in pediatric mode cmH20 55 ±(1+0.2Pmeas)
cmH20 5 ±(1+0.2Pmeas)
- in adult mode cmH20 75 ±(1+0.2Pmeas)
cmH20 55 ±(1+0.2Pmeas)
117
cmH20 5 ±(1+0.2Pmeas)
8 Indication range of inspiration 1.1.14 4.14
pressure:
- в in pediatric mode cmH20 55 ±2
cmH20 5 ±2
- in adult mode cmH20 75 ±2
cmH20 55 ±2
cmH20 5 ±2
9 Regulated range of flow trigger Imp 1.1.18 4.18 10 ±(1+0.2Pmeas)
sensitivity
Flow trigger in CMV/VCV, Imp 1 ±(1+0.2Pmeas)
CMV/PCV,
SIMV/VC, SIMV/PC, CPAP, BiSTEP
modes
10 Regulated range of pressure trigger 1.1.19 4.19
sensitivity cmH20 20 ±(1+0.2Pmeas)
cmH20 10 ±(1+0.2Pmeas)
cmH20 1 ±(1+0.2Pmeas)
11 Regulated range of low pressure phase sec 1.1.21 4.21 30 ±(1+0.2Pmeas)
time sec 2 ±(1+0.2Pmeas)
sec
Regulated range of high pressure
phase sec
time sec
12 Regulated range of low pressure phase cmH20 1.1.22 4.22 0 ±(1+0.2Pmeas)
cmH20 30 ±(1+0.2Pmeas)
Regulated range of high pressure
phase cmH20 0 ±(1+0.2Pmeas)
cmH20 70 ±(1+0.2Pmeas)
Test of compliance indication
13 Regulated range of O2 concentration % 1.1.27 4.27 21 +-3

% 65 +-6
% 100 +-6
Indicated range of O2 concentration % 21 +-3
% 65 +-6
% 100 +-6
Alarm thresholds range: % 1-20
14 Indicated range of CO2 concentration % 1.1.28 4.28 ±(0.2+0.06Kmeas)
% ±(0.2+0.06Kmeas)
% ±(0.2+0.06Kmeas)
15 Indication range of modulation % 1.1.29 4.29 60-100
frequency of two in-phase modulated
signals defined in units of saturation
(SpO2)
Absolute tolerance, 60 ±3
- in the range of 90–100, % 80 ±3
- in the range of 60–89, % 100 ±2
Alarm thresholds setting range of
SpO2:
- top % 90-100
- bottom % 60-95
15 Indication range of modulation 1/min 1.1.30 4.30 15-320
frequency of two in-phase modulated
signals (PR)
Tolerance:
- in the range of 15-99, 1/min 15 ±1
- in the range of 100-240, 1/min 120 ±2
- in the range of 241 -320, 1/min 320 ±3
Alarm thresholds setting range of
modulation frequency of two in-phase
modulated signals (PR):
118
- top 1/min 80-220
- bottom 1/min 25-100

16 Test of the device operation with 1.1.31 4.31
nebulizer
17 Activation of high priority alarm at: 1.1.33 4.33
- occlusion of the breathing circuit
- depressurization of the breathing
circuit
18 Time of operation from the fully min 1.1.39 4.39 30 not less than
charged built-in battery at termination
of
power mains
19 Maximum flow Ipm 4.24 180 not less than
20 Test of pressure relief valve at the 4.34
input
of the device
* Final quality control procedure

**Safety and EMC test instruction RM501.01.000-01 -01I3
Intensive Care Ventilator MV200 s/n MV _____________ meets the requirements.
Service Engineer __________ _______________________

(signature) (Name, Surname)
«_____» ____________ 201__
119
Annex 4. List of control and measuring equipment used for
testing the device after repair
No Name
Device for control of pulse oximeters and oximeter channels of monitors UPOP-
1
E01M
2 Calibration tester TK-01
3 Digital Thermometer TC-1200
Calibration gas mixtures:
4 СО2 concentration ≈ 5 %
5 СО2 concentration ≈ 10%
6 СО2 concentration ≈ 15%
7 Pneumatic test lung MLP-1
8 Stopwatch СОCpr-2b-2
9 Digital oscilloscope
10 Test bench IDP-02
11 Gas meter G6
12 Equipment GPI-745A
Measuring bench of leakage currents, residual voltage and current consumption
13
ITUON-1
120

Service Manual MV200 Ver.1

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Service Manual MV200 Ver.1

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INTENSIVE CARE VENTILATOR

1st edition, 04/2018

Fig. 1-1 - Appearance of the device

Alarm indication Intensive care

Oxygen sensor Lung ventilation Accumulator battery

Flow generator Cooling fan

Protocol converter Mainstream

Sound speaker provides output of various sound signals of the device.

Proportional valve provides accurate oxygen dosage in the respiratory mixture.

Metabolism measurement module is intended for monitoring of metabolic parameters

Protocol converter (mainstream capnometer) provides data transmitting from the

Mainstream capnometer is an external module of breathing gas analysis without

Fig. 5-1 Structural diagram of electrical connections of the device

The conventions in Fig. 6-1:

6 – Button (“Functions”) is intended for displaying of the menu of additional

Fig. 6-2 Appearance of the device

6.2.1 Disassembly of the Swivel panel of the device

Fig. 6-3 Disassembly of the swivel panel of the device

Fig. 6-6 Disassembled display panel of the device

Fig. 6-8 Disassembling the plastic covers of swivel hinges

6.2.1.2 Replacing Touch screen assembly

Fig. 6-10 Touch screen assembly of the device

Fig. 6-11 Fastening of the upper panel of the device

Fig. 6-12 The device and the removed front cover

Fig. 6-13 The device with removed rarer panel

Fig. 6-14 Removal of the front metal panel of the device

Fig. 6-15 Removed front panel of the device

Fig. 6-17 Fastening of elements on the bottom metal panel

Fig. 6-18 Fastening of accumulator batteries

Fig. 6-19 Battery replacement

Fig. 6-21 Screws holding the upper platform

Fig. 6-24 Fastening of the flow generator in the device

Fig. 6-26 Metabolism measurement module, oxygen sensor and compressor

Fig. 6-30 Emergency valve

6.3.1 Power unit

Fig. 6-31 Power unit of the device

Fig. 6-32 SW version of the power unit of the device

Conventions in Fig. 6-33:

Fig. 6-35 Lung ventilation controller TESM.185004v04

Fig. 6-36 SW version of the ventilation controller

The conventions in Fig. 6-37:

Fig. 6-38 The control points on the ventilation controller board

Fig. 6-39 Indication controller of the device

Fig. 6-40 SW version of the indication controller of the device

Fig. 6-41 Control points on the indication controller

Fig. 6-42 Gas mixer board of the device (TESM.185020v03)

Fig. 6-43 SW version of the gas mixer board of the device

Fig. 6-44 Control points on the gas mixer board

Fig. 6-45 Pulse oximetry module of the device (TESM.185022v03)

Fig. 6-46 SW version of the pulse oximetry module of the device

Fig. 6-47 Control points on the pulse oximetry module

Fig. 6-48 Mainstream capnometer protocol converter board

The SW version of the Mainstream capnometer protocol converter board is indicated in

Fig. 6-50 Control points on the Mainstream capnometer protocol converter

Fig. 6-51 Metabolism measurement module of the device (TESM.535031v02)

The SW version of the Metabolism measurement module is indicated in the "Service

Fig. 6-52 SW version of the metabolism measurement module of the device

Select row “Metabolism” in the “Monitoring” window to turn on the Metabolism

Parameters should be:

Fig. 6-54 Protocol converter (Paux) of the device.

Fig. 6-55 SW version of the Protocol converter (Paux)

Fig. 6-56 Control point on the protocol converter (Paux)

Fig. 6-57 Button board of the device (TESM.305009v01)

6.3.10 Alarm indication board