ADSIII Anesthesia Service Manual

Anaesthetic Machine Service Manual
Table of Content
Foreword ................................................................................................................................... 1
Warnings, Cautions and Notes .............................................................................................. 1
Warnings................................................................................................................................ 1
Cautions ................................................................................................................................. 2
Notes .................................................................................................................................... 2
Recommendations................................................................................................................. 4
Warranty................................................................................................................................ 4
Manufacturer’s Responsibility............................................................................................... 4
1.0 ADSIII Anaesthetic Machine Theory of Operation ....................................................... 6
1.1 Introduction about ADSIII Anaesthetic Machine........................................................ 6
1.1.1 Basic Principle ......................................................................................................... 6
1.2 Anaesthetic Ventilation Machine ............................................................................... 6
1.3 Anaesthetic Machine System Component ................................................................. 9
1.3.1 Front View .............................................................................................................. 9
1.3.2 Side View .............................................................................................................. 11
1.3.3 Rear View.............................................................................................................. 13
1.3.4 Brief Introduction of System Components ........................................................... 14
1.3.5 Breathing System.................................................................................................. 22
1.3.6 The Ventilator Unit ............................................................................................... 31
1.3.7 Alarm Set .............................................................................................................. 31
1.3.8 Compliance Compensation................................................................................... 31
1.3.9 Explosion Chart of Anesthtic Machine Other Parts .............................................. 33
1.4 Electrical Supply ....................................................................................................... 49
1.4.1 Electrical Components .......................................................................................... 49
1.5 Ventilator Control and Drive .................................................................................... 50
1.5.1 Basic Data Unit (BDU) ........................................................................................... 50
1.5.2 Power Management ............................................................................................. 72
1.5.3 Battery .................................................................................................................. 78

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Table of Contents
1.5.4 Power Supply ........................................................................................................ 78
1.6 Anaesthetic System Components ............................................................................ 78
1.6.1 Auxiliary Outlet ..................................................................................................... 78
1.6.2 Absorber Heater Wire Board ................................................................................ 78
1.6.3 Work Light Board .................................................................................................. 79
1.6.4 User Interface ....................................................................................................... 80
1.6.5 Display .................................................................................................................. 85
1.6.6 Communication Interface/RS232 Isolate Board ................................................... 86
1.6.7 Fuses ..................................................................................................................... 87
1.6.8 PC104 .................................................................................................................... 88
1.7 Ventilator Pneumatic- O2 Drive Gas ......................................................................... 91
1.7.1 Ventilator Pneumatic Drive .................................................................................. 91
1.7.2 Drive Pressure-high Pressure Regulator (25.4psi) ................................................ 91
1.7.3 Gas Box Assembly ................................................................................................. 91
1.7.4 Gas Color Coding .................................................................................................. 92
1.8 The Breathing System .............................................................................................. 92
1.8.1 IPPV Mode-Inspiration Phase ............................................................................... 92
1.8.2 IPPV Mode-Expiration Phase ................................................................................ 92
1.8.3 Manual Mode-Inspiration Phase .......................................................................... 92
1.8.4 Manual Mode-Expiration Phase ........................................................................... 92
1.8.5 Pneumatic PEEP .................................................................................................... 92
1.8.6 Ventilator in STANDBY .......................................................................................... 93
1.8.7 Breathing System Components ............................................................................ 93
2.0 Installation Guide ....................................................................................................... 94
2.1 Delivery of the Anaesthetic Machine ....................................................................... 94
2.2 Installation ................................................................................................................ 94
2.2.1 Unpacking ............................................................................................................. 94
2.2.2 Breathing System and Breathing System Accessories .......................................... 95
2.2.3 Utility Tray, Monitor Mounting Arm with Utility Hooks ....................................... 96
2.2.4 Vaporizers ............................................................................................................. 96
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2.2.5 High Pressure Hose ............................................................................................... 97
2.2.6 Emergency Cylinder .............................................................................................. 97
2.2.7 Breathing Circuit, CO2 Absorbent ......................................................................... 97
2.2.8 Monitoring Products-Mounting and Electrical Connection ................................. 97
2.3 Installation Checkout Procedure .............................................................................. 98
3.0 Repair Information ................................................................................................... 116
3.1 Introduction............................................................................................................ 116
3.2 Troubleshooting Guidelines ................................................................................... 116
3.3 Special Tools Required ........................................................................................... 117
3.4 Troubleshooting Table ........................................................................................... 119
3.5 Flow Chart for Leak Test ......................................................................................... 131
3.6 Flow Chart for Vt Test............................................................................................. 132
3.7 Check Valve Repairing ............................................................................................ 133
3.8 Gas Box Repairing ................................................................................................... 155
4.0 Replacement Parts and Accessories ........................................................................ 163
4.1 Introduction............................................................................................................ 163
4.2 Ordering Information ............................................................................................. 163
4.3 Part List ................................................................................................................... 163
5.0 Calibration ................................................................................................................ 170
5.1 Introduction............................................................................................................ 170
5.2 General Guidelines ................................................................................................. 170
5.3 Calibration Procedures ........................................................................................... 170
5.3.1 Oxygen Sensor Calibration ................................................................................. 170
5.3.2 Flow Sensor Calibration ...................................................................................... 177
5.3.3 Flow Valve Calibration ........................................................................................ 182
5.3.4 PAW Sensor Calibration...................................................................................... 186
5.3.5 PEEP Valve Calibration........................................................................................ 190
5.3.6 Flow Meter Calibration ....................................................................................... 193
5.3.7 Leakage Detection .............................................................................................. 196
6.0 Periodic Maintenance .............................................................................................. 202
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Table of Contents
6.1 Maintenance Schedule ........................................................................................... 202
6.2 Periodic Maintenance Schedule of Service Activities ............................................ 202
6.3 Visual Inspection Checklist ..................................................................................... 202
6.4 Replacement of Consumable Parts ........................................................................ 203
6.5 Battery Maintenance and Replacement ................................................................ 204
6.5.1 Battery Maintenance .......................................................................................... 204
6.5.2 Battery Replacement .......................................................................................... 204
6.6 Proportional Valve Regulator ................................................................................. 205
6.7 Gas Delivery System Tests ...................................................................................... 205
6.7.1 O2 Flush Verification ........................................................................................... 205
6.7.2 O2:N2O Ratio System........................................................................................... 205
6.8 Start-up Tests ......................................................................................................... 206
6.9 Pneumatic Leak Tests ............................................................................................. 206
6.9.1 N2O Cylinder Leak Test ....................................................................................... 206
6.9.2 O2 Cylinder Leak Test .......................................................................................... 206
6.9.3 AIR Cylinder Leak Test ........................................................................................ 206
6.9.4 Line Supply Check Valve Test ............................................................................. 206
6.9.5 N2O Line Pressure Leak Test ............................................................................... 206
6.9.6 O2 Line Pressure Leak Test.................................................................................. 207
6.9.7 AIR Line Pressure Leak Test ................................................................................ 207
6.9.8 Cylinder Supply Check Valve Test ....................................................................... 207
6.10 Breathing System Checks ....................................................................................... 207
6.10.1 Internal Gas Connections Test ............................................................................ 207
6.10.2 Drive Gas Pressure Loss Alarm, N2O Cut off Valve Test ..................................... 207
6.11 Performance Verification ....................................................................................... 208
6.11.1 STANDBY Mode Ventilation Test ........................................................................ 208
6.11.2 Manual Mode Ventilation Test ........................................................................... 208
6.11.3 APNEA Alarm Test .............................................................................................. 208
6.11.4 Alarm MUTE Test ................................................................................................ 208
6.11.5 IPPV Adult Ventilation Mode Test ...................................................................... 209
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6.11.6 IPPV Child Ventilation Mode Test....................................................................... 210
6.11.7 Airway Disconnect Alarm Test ............................................................................ 211
6.11.8 PCV Adult Ventilation Mode Test ....................................................................... 211
6.11.9 Pressure Support (PS) Ventilation Mode Test .................................................... 212
6.12 Alarms and Failsafe Functions ................................................................................ 213
6.12.1 Set Up ................................................................................................................. 213
6.12.2 Low FiO2 Alarm Test ........................................................................................... 213
6.12.3 High FiO2 Alarm Test ........................................................................................... 213
6.13 Miscellaneous Tests ............................................................................................... 214
6.13.1 Test the Line Voltage Alarm ............................................................................... 214
6.13.2 Wheel Brakes Test .............................................................................................. 215
6.13.3 Work Light Test................................................................................................... 215
6.13.4 Auxiliary Flow Meter .......................................................................................... 215
6.14 Vaporizers............................................................................................................... 215
6.14.1 Vaporizer Interlock Test ..................................................................................... 215
6.14.2 Vaporizer Leak Test ............................................................................................ 215
6.15 Electrical Tests ........................................................................................................ 216
6.16 Cleaning and Disinfection ....................................................................................... 217
6.16.1 Schedule for Cleaning and Disinfection .............................................................. 218
6.16.2 The Breathing System Disassembly .................................................................... 218
6.16.3 Bellows Disassembly ........................................................................................... 221
6.16.4 Methods for Cleaning and Disinfecting .............................................................. 224
7.0 How to Get Assistance ............................................................................................. 225
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Foreword
This Service Manual is intended as a guide for technically qualified personnel performing repair,
calibration and period maintenance procedures for ADSIII Anaesthetic machine.
Warnings, Cautions and Notes

The following list of warnings, cautions and notes apply to general servicing and maintenance of
ADSIII Anaesthetic Machine. Please read and adhere to all warnings, cautions and notes listed
here and in the appropriate areas throughout this service manual.
Warnings statement gives important information that, if ignored, could lead directly to
personal injury.
Cautions statement gives important information that, if ignored, could lead directly to
equipment damage and indirectly to personal injury.
Notes statement gives important information when additional general information is

applicable.
Warnings
Warnings Whenever using Anaesthetic gases, nitrous oxide, oxygen, or any hospital gas
always follow the appropriate agent evacuation/connection procedures.
Warnings For continued protection against fire hazard, replace all fuses with the
specified type and rating.
Warnings In order to prevent on electric shock, the machine (protection classⅠ) may
only be connected to a correctly grounded mains connection (socket outlet with grounding
contact).
Warnings Remove all accessory equipment from the shelf before moving the
Anaesthetic machine over bumps or on any inclined surface. Heavy top loading can cause the
machine to tip over causing injury.
1
Foreward
Warnings Do not operate machine near flammable Anaesthetic agents or other
flammable substances.
Warnings Do not use flammable Anaesthetic agents (i.e., ether or cyclopropane.)
Warnings The use of anti-static or electrically conductive respiration tubes, when
utilizing high frequency electric surgery equipment, may cause burns and is therefore not
recommended in any application of this machine.
Warnings Any person involved with the servicing or maintenance of ADSIII Anaesthetic
Machine must be thoroughly familiar with this service manual.
Warnings Avoid exposure to respiratory gases by always directing the fresh gas flow
from the fresh gas outlet to the waste gas scavenging system.
Cautions
Cautions This device uses high pressure compressed gas. When attaching or
disconnecting backup gas cylinders, always turn the cylinder valves slowly. Use ADSIII flow
meters to bleed down the pressure, watching the cylinder gauge indicate the depleting cylinder
pressure, before disconnecting the cylinder from the yoke. Always open and close cylinder valves
fully.
Cautions This device operates using compressed gas at high pressures from the
hospital central supply. When connecting gas supply lines attach the hose connection to the
machine before connecting the quick disconnect fitting to the hospital source. Disconnect the
supply hose from the hospital source connection prior to disconnecting it from the ADSIII gas
connection fittings.
Cautions Do not leave gas cylinder valves open if the pipeline supply is in use and the
system master switch is turned to ON. If used simultaneously, cylinder supplies could be
depleted, leaving an insufficient reserve supply in the event of pipeline failure.
Cautions Use cleaning agent sparingly. Excess fluid could enter the machine which may
cause damage.
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Anesthetic Machine Service Manual
Cautions This machine must only be operated by trained, skilled medical staff.
Cautions Perform the electrical safety inspection as the last step after completing a
repair or after routine maintenance. Perform this inspection with all covers, panels and screws
installed.
Cautions Carry out a system leak test after changing the CO2 absorbent.
Cautions Only Selectatec™ compatible vaporizers with Interlock-System may be used

with the ADSIII unit.
Cautions Carry out a system leak test after changing each vaporizer.
Cautions The bellows dome cannot be autoclaved.
Cautions Do not clean the machine while it is on and /or plugged in.
Cautions Replace the soda lime if approximately 2�3 of the absorber content is
discolored. CO2 absorbent can be safely changed without stopping mechanical ventilation.
Notes
Notes Unauthorized maintenance for the Anaesthetic machine violates the repair
warranty principle of the manual.
Notes Please Connect the bacterial filter of low gas flow resistance to the patient’s side.
Notes Ensure that the specifications of spare cylinders accord with the anesthesia
machine.
Notes When touch or disassemble the breathing system, wearing medical gloves is
needed.
3
Foreward
Notes After the maintenance of the Anaesthetic machine, the function test, Oxygen
sensor and system test are needed, through the tests could put into clinical use.
Notes The system will automatically memorize its CO2 waveform setting; the default
waveform retains the same format as that of the waveform setting in the previous system
operation.
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Anesthetic Machine Service Manual
Recommendations
Because of the sophisticated nature of ADSIII Anaesthetic Machine and its critical importance in
the operating room, it is highly recommended that only appropriately trained and experienced
professionals, using authentic spare parts, be permitted to service and maintain this machine.
Please contact our company service.
Warranty
Our company warrants that components within the Anaesthetic machine will be free from
defects in workmanship and materials. Under this extended warranty, our company will repair or
replace any defective component at no charge for labor and/or materials from the date of
purchase or the date of its first use, whichever is sooner. This extended warranty does not cover
consumable items such as (but not limited to) batteries and external cables.
If don’t comply with the preventive measures described in this manual and lead to machine
failure, that is not in the scope of free maintenance.
Except the information provided in this manual, the terms, conditions, and limitations of our
company’s standard warranty will remain in effect.
Damage to any product or parts through misuse, neglect, accident, or by affixing any
non-standard accessory attachments or by any customer modification voids this warranty.
Our company retains the right to modify the machine and/or service manual without prior
notification.
Manufacturer’s Responsibility
The effects on safety, reliability, and performance of the equipment are the manufacturer’s
responsibility only if:
1. Assembly operations, extensions, readjustments, modification or repairs are carried out by

authorized personnel;
2. The electrical installation of the relevant room complies with the appropriate requirements;
3. The equipment is used in accordance with the user manual.
5
Theory of Operation
1.0 ADSIII Anaesthetic Machine Theory of Operation
1.1 Introduction about ADSIII Anaesthetic Machine

The ADSIII is a continuous flow Anaesthetic system which offers manual or automatic ventilation, easily
adjustable fresh gas delivery, Anaesthetic agent delivery, ventilation monitoring, convenient ergonomics,
and state-of-the-art safety system.
1.1.1 Basic Principle

ADSIII Anaesthetic Machine have the airway to deliver oxygen, nitrous oxide, air and the inhaled
Anaesthetic agent.When the part of airway uses oxygen, nitrous oxide and air, the pressure should
reduce to 280kPa～600kPa, and then the gas flow through high pressure gas pipeline into the
Anaesthetic machine. Oxygen, air flow into the flow meter by the protection regulator in Anaesthetic
machine, when the pressure of oxygen keeps over the 0.05MPa, the nitrous oxide block valve is open,
nitrous oxide flow into the flow meter. Adjust the flow of Oxygen, nitrous oxide and air by the flow
control valve on flow meter, the linkage of oxygen and nitrous oxide ensure the output of oxygen is
more than 25%.Oxygen, nitrous oxide and air blend in the flow meter, the mixed gas take away some
part of Anaesthetic steam through the Anaesthetic vapor, and send to repiratory system from
common gas outlet.The oxygen from oxygen flush valve don’t flow through flow meter and vapor,
but send to the respiratory system from common gas outlet directly.The oxygen or Anaesthetic agent
which is sent to the respiratory system ventilate for the patient by set ventilation volume and
breathing pattern regularly under AUTO or MANUAL models.
1.2 Anaesthetic Ventilation Machine

The Microprocessor-controlled ventilator, with its dedicated Breathing System, allows time- controlled,
pressure limited, and constant volume ventilation for all patient groups within a tidal volume range of 20
mL (4 kg infant) to 1400 mL (adult).
Time-controlled, pressure limited, and compliance compensated constant volume ventilation is provided
through the Controlled Mandatory Ventilation (IPPV) mode. The IPPV mode delivers a viable ventilation
method for complicated lung conditions. The ventilator also provides time-controlled, volume dependant
ventilation, targeting a set (adjustable) target pressure provided through the Pressure Controlled
Ventilation (PCV) mode. Automatic and comprehensive system startup tests and alarm management
systems ensure controlled ventilation conditions in every mode of operation.
The durable and ergonomically designed user interface and Navigation Knob enables easy operation. The
display provides the selected ventilation modes (IPPV, PCV, PS and SIMV) and the following values: Tidal
Volume, Peak Pressure, Mean Pressure, FiO2, Breath Rate, I:E Ratio, PEEP, Plateau Pressure, Alarm limits,
and real-time Airway Pressure and flow waveform.
6
FIGURE 1-1 ADSIII Anaesthetic Machine Airway Theory Chart（The Old Edition）
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Theory of Operation
FIGURE 1-2 ADSIII Anaesthetic Machine Airway Theory Chart（The New Edition）
Cautions Because the product needs to upgrade, there are some changes on the ADSIII Theory
Chart, and now the new and old edition of the Airway Theory Charts are listed, please see the
corresponding theory chart upon the machine actual statue.
8
1.3 Anaesthetic Machine System Component
1.3.1 Front View
FIGURE 1-3 ADSIII Front View
9
Theory of Operation
No. Part Name Part No.

1. Monitor Arm 121000206
2. User Interface 122002625
3. UI Arm 121000126
4. Oxygen Sensor Assembly 122003526
5. AC142 Breathing System 121000244
6. Common Gas Outlet(CGO) Subassembly 122001693
7. O2 Flush Valve Assembly 122002621
8. Anaesthetic Gas Scavenging System(AGSS) 122002920
9. Drawer Assembly 122002312
10. Caster(with brake) 240000036
11. Haft ---
12. Pipeline Pressure Gauge O2,N2O,Air ---
13. Mains Switch 210001743
14. Yoke O2 Pressure Gauge(Optional) 122001727
Yoke Air Pressure Gauge(Optional) 122003073
Yoke N2O Pressure Gauge(Optional) 122003074
15. Vaporizer Mounting Manifold 121000204
16. Flow Meter 121000272
17. Auxiliary O2 Flow Meter 240000269
Auxiliary Air Flow Meter 240000279
18. Top Light Switch Assembly 122001772
10
1.3.2 Side View
FIGURE 1-4 ADSIII Side View
11
Theory of Operation

1. Upper Mainframe Assembly 122002623
2. User Interface Cable 122001625
3. Auxiliary Gas Outlet 122002626
4. Breathing System Pneumatics Interface ---
5. Breathing System Pneumatics Hose 122002159
6. O2 Sensor Cable 122001766
7. Interface Module Assembly 122001692
8. Breathing System Support Arm 122001733
9. Heater Cable 122001774
10. AGSS Transfer Hose 122001806
11. Lower Mainframe Assembly 122001685
12. Base Assembly 122001683
12
1.3.3 Rear View
FIGURE 1-5 ADSIII Rear View

1. Top Shelf Assembly 122002316
2. Gas Input Module Assembly 122002928
3. Mains Supply Assembly 122002622
4. Electronic Flow Meter Assembly 122001704
5. Gas Box Assembly 122001697
6. YOKE Assembly 122001718
7. AMP Cables ---
8. Electric Box Assembly 122001690
9. Rear Panel Assembly 122001685
10. Caster(without brake) 240000035
13
Theory of Operation
1.3.4 Brief Introduction of System Components

1 Monitor Arm
The Monitor Arm provides support for a monitor. It can easily rotate for more convenient position.
2 User Interface
The display of User Interface provides waveforms, numeric data and menu tabs. The keys and Navigation
Knob enable the user to power up the System, silence alarms, access menu tabs, and switch between
manual and mechanic ventilation or other operations, the display main control board(PC104) and display
program embed inside.
3 User Interface Arm
The User Interface Arm provides support for the user interface assembly. It can easily rotate for more
convenient position.
4 Oxygen Sensor Subassembly
The Oxygen Sensor Subassembly monitors the oxygen concentration of the inspired gas of the Breathing
System, it belongs to chemical oxygen battery, and using life span is no more than 12 months, and
periodic calibrate and replacement are needed. The proposal periodic calibrate time is no more than 72
hours, otherwise because the consuming of oxygen battery electrical volume, it is possible that the
monitoring oxygen concentration is tend to be lower. For calibrating method, see “5.3.1 Oxygen Sensor
Calibration”.
5 Breathing System
The breathing system connects directly to the respiratory tube and patient, and supply the breathing
support for the patient. Meanwhile it could store O2, Air, and Anaesthetic gas, vent exhaust gas or absorb
carbon dioxide. The breathing system belongs to rising style bellows, and has MANUAL/AUTO two kinds
breathing status.
6 Common Gas Outlet (CGO)
Mixed gas composed of O2, AIR, N2O, and Anaesthetic agent connects to the patient’s Breathing System
through a flexible tube from the CGO by flow meter or O2 flush valve.
7 O2 Flush Valve
The O2 Flush Valve is located on the front of ADSIII. The supplied gas does not pass the flow meter and
vaporizer. It is directly sent to the fresh gas outlet. Press this button to supply O2 of 35～50L/min. Release
this button to automatically close the O2 flush supply.
14
8 Anaesthetic Gas Scavenging System (AGSS)
The AGSS reclaims exhausted gas generated during anesthesia. The ability of gas scavenging depends on
the negative pressure in hospital, meanwhile, it can adjust the knob to limit the flow.The range of flow is
35～50L/min.
9 Drawers Subassembly
ADSIII has three same size drawers for storage which can be locked and fixed through the uppermost
drawer lock simultaneously.The key can open the draws of any machine.
10 Vaporizer Mounting Manifold
The Vaporizer Mounting Manifold provides support for up to two Selectatec compatible vaporizers. The
O-ring of the Vaporizer Mounting Manifold tends to leak, and periodic maintenance is needed.
11 Flow Meter
The Flow Meter displays gas flow values for N2O, O2, AIR, Auxiliary O2, and Auxiliary Air. It consists of
coarse and fine flow tubes used to accurately measure gas flow with additional flow tubes to imprecisely
measure auxiliary O2 and Air gas flow. Auxiliary flow meter measure the amount of auxiliary O2 and Air
flow. The flow meter has the linkage of oxygen and nitrous oxide ensures the output of oxygen is not
less than 21%.
12 Upper Mainframe Assembly
The Upper Mainframe provides support for the pressure gauges, the Flow Meter, the gas box assembly,
the main supply assembly, and the YOKE.
15
Theory of Operation
13 User Interface Cable
The User Interface Cable provides signal transmission between the User Interface and the main unit, at
the same time including power supply of the screen.
FIGURE 1-6 Anaesthetic Machine Cable Interface
Anaesthetic machine cable interface each pin defines as follows:
Pin Name Function

1. ENPW Power Enable, High active
2. /PWON /Power on Enable, Low active
3. 5VAUX 5V Auxiliary
4. APE Auxiliary Power Enable, optional
5. GND Ground
6. TTLRX TTL Receive, reserved
7. 232ARX RS232A Receive, reserved
8. 232BRX RS232B Receive, 104-BDU communication
9. GND Ground
10. PWBUS Power Bus
11. PWBUS Power Bus
12. PWBUS Power Bus
13. GND Ground
14. GND Ground
15. DC24V DC24V monitor
16. BATV+ Battery monitor
17. /MUTE No used, reserved
18. GND Ground
19. TTLTX TTL Transmit, reserved
20. 232ATX RS232A Transmit, reserved
21. 232BTX RS232B Transmit, 104-BDU communication
22. GND Ground
23. PWBUS Power Bus
24. PWBUS Power Bus
25. GND Ground
16
14 Auxiliary Gas Outlet Assembly
The Auxiliary Gas Outlet Assembly provides the patient with auxiliary O2 and mixtures of different
concentration. It also contains an O2 connection for use with other equipment.The outlet could provide
the patient function of inhaling O2.That give effective assistance for surgical recovery or relevant external
O2 demand of the patient.
15 Breathing System Pneumatics Interface
The Breathing System Interface provides a connection interface for gas signal acquisition between the
Breathing System and gas circuit.
FIGURE 1-7 Breathing System Pneumatics Cable Interface
Breathing System Pneumatics Cable Interface defines as follows:
Interface No. Function

1 MANUAL/AUTO Switch Port
2 Inspiratory Sampling Low Flow Port
3 Expiratory Sampling High Flow Port
4 PEEP Control Port
5 Expiratory Sampling Low Flow Port
6 Inspiratory Sampling High Flow Port
16 Breathing System Pneumatic Hose
The Breathing System Pneumatic Hose provide multiple connections including PEEP control,
MANUAL/AUTO control, and four pressure sampling connections between the Breathing System and
mainframe.This bundle of hoses need to conent Breathing System and mainframe tightly.Otherwise it’s
easy to conduce the precision of Tidal Volume is down.
17
Theory of Operation
17 O2 Sensor Cable
The O2 Sensor Cable provides a connection between the oxygen sensor component in the Breathing
System and the oxygen concentration signal acquisition port on outlet module of the mainframe.
FIGURE 1-8 O2 Sensor Cable Interface
O2 Sensor Cable Interface defines as follows:
Pin Name Function

1. O2- O2 Sensor Input -
2. O2+ O2 Sensor Input +
18 Interface Module Assembly
The Interface Module Assembly provides the main unit with an interface for connection with drive gas,
heating system and the oxygen concentration sensor of the Breathing System.There is safty valve gas
outlet of ventilation machine on the side wall.
19 The Breathing System Support Arm
The Breathing System Support Arm provides connection between the Breathing System and the
mainframe, in order to support the Breathing System.
20 Heater Wire
The Heater Wire provides connection to the heating system of the Breathing System. By heating the
Breathing System during anesthesia, accumulation of water in the Breathing System is minimized. It also
provides comfortable gas to the patient.
FIGURE 1-9 Heater Wire Interface
18
Heater Wire Interface defines as follows:
Pin Name Function

1. RET Heater Ground
2. TS1 Temperature Sensor 1
3. POUT Heater Output
21 Anaesthetic Gas Scavenging System (AGSS) Transfer Hose
The Anaesthetic Gas Scavenging System (AGSS) Transfer Hose provides pipeline connection between the
exhaust gas outlet of the Breathing System and the AGSS evacuation system.
22 Lower Mainframe Assembly
The Lower Mainframe provides support for the drawer subassembly, outlet module, CGO subassembly,
O2 flush valve and the electric box. Together with the Upper Mainframe and Base Assembly, three of
them form the mainframe of ADSIII.
23 Base Assembly
The Base Assembly provides support to the whole equipment. The four casters provide movement for the
equipment in any direction. The front casters have a locking function.
24 Top Shelf Assembly
The Top Shelf Assembly includes the work light and its switch. It also serves as a storage area for lower
weight goods and medical devices, the carrying weight is no more than 25kg.
25 Gas Input Assembly

The Gas Input Assembly allows gas in the pipeline and backup gas cylinder to enter ADSIII for regulation.
The pressure regulator reduces pressure to 36psi (250kPa). The O2 operated valve can open allowing N2O
to enter the flow meter only when O2 pressure is above 7.3 psi (50kPa). Otherwise, N2O cannot enter the
gas circuit. The pressure switch generates a signal when the input pressure is below 29 psi (200kPa), and
the system will provide an audible alarm.
26 Mains Supply Assembly
The Mains Supply Assembly could connect the mainframe with outside power supply.
27 Electronic Flow Meter Assembly
The Electronic Flow Meter Assembly provides fresh gas flow measurement for ADSIII, the function of this
device is to do the tidal volume setting part of breathing mode for effective fresh gas compensation.
When the moment of flow meter adjusting, ventilation could instantly know the output change of the
tidal volume, the patient could avoid inhaling over large tidal volume in the next period.
19
Theory of Operation
28 Gas Box Assembly
The Gas Box Assembly provides drive gas for the Breathing System and includes a safety valve to insure
the pressure stays above 8.5kPa.It also contains the PEEP valve, and differential pressure sensors.
29 YOKE Assembly
The YOKE Assembly provides connection for three backup gas cylinders. The pressure regulator for the
backup gas cylinder reduces the pressure of a high pressure gas cylinder down to 43.5 psi (300 kPa).
30 AMP Cables
The AMP Cables provide signal transmission between the electric box and gas circuit box.This cable mainly
transimits relevant signal of sensors and relevant power supply.
31 Electric Box Assembly
The Electric Box Assembly provides, and distributes power to ADSIII.It contains switching power supply
and battery subassembly.Meanwhile, this unit includes circuit heater control board and BDU main control
board of the ventilation.
32 Rear Panel Assembly
The Rear Panel Assembly protects, and provides heat dissipation for the electric box and support for the
backup gas cylinder.
33 Inspiration and Expiratory Valves
The Inspiration and Expiratory Valves are unidirectional valves which allow air to flow in only one
direction.
34 Absorber Canister
Two Absorber Canisters (with 1500mL soda lime for each) are equipped on ADSIII.Each Absorber Canister
could sustain 6～8 hours for using during operation. The water would go out from the drain valve of the
Absorber Canister bottom during the operating of Anaesthetic machine.
35 Adjustable Pressure Limiting (APL) Valve
The APL Valve is used for limiting maximum airway pressure during manual ventilation.The adjustable
range of the APL is 0～70cmH2O, and could be set by the scale.Release the APL valve upside to let the gas
quickly flow out.
36 Bellows Assembly
ADSIII employs ascending ventilation bellows, in which mixed gas is stored. Drive gas supplied by the
ventilator forces the bellows to descend sending mixed gas into the inspiration passage of patient’s
airway. If a patient’s airway suffers from gas leakage, the bellows will collapse, informing the operator of a
possible problem. A tidal volume scale is provided on the transparent dome, through which a patient’s
tidal volume can be estimated.
20
37 Pressure-relief Valve
The Pressure-relief Valve is located at the base of the bellows. When end-expiration airway pressure
reaches 1～3cmH2O,the pressure-relief valve opens and redundant gas is expelled.The resistance of
breathing meets the request of less than 0.6kPa@60L/min.
38 Exhaust Gas Outlet
The Exhaust Gas Outlet is located on the lower part of the Breathing System. It is connected to the AGSS
via the AGSS transfer tube.If this outlet is blocked, the ventilation would not operate normally.
39 Absorber Heating System
The Breathing System is heated to body temperature to avoid humidified gases condensing within the
Breathing System thus improving airway climate for the patient's breathing of respiratory gases.The range
of heating is 34±3℃.And adopt the CPU to control.
21
Theory of Operation
1.3.5 Breathing System

The Breathing System is integrated into a compact aluminum block. This block is heated to body
temperature to prevent condensing of humidified gases within the Breathing System, thus improving
airway climate for the patient's breathing of respiratory gases. The heated Breathing System contains: an
inspiration valve with O2 adapter for FiO2 measurement, expiratory valve, APL Valve, breathing bag
connection, and internal inspiration and expiratory flow sensors.
FIGURE 1-10 Breathing System Top View

1． Common Gas Outlet (CGO) 122001693
2． O2 Sensor Assembly 122003526
3． Airway Pressure Gauge Assembly 122001736
4． Bag Arm Assembly 122002573
5． Adjustable Pressure Limiting (APL) Valve 240000171
6． Absorber Canister 122003216
22
FIGURE 1-11 Breathing System Bottom View

1． Breathing System Pneumatic Hose 122002159
2． Breathing System Support Arm 122001733
3． O2 Sensor Cable 122001766
4． Heater Cable 122001774
5． Drive Gas Hose ---
6． AGSS Transfer Tube 122001806
23
Theory of Operation
FIGURE 1-10 Breathing System Explosion Chart-Top View
24

1． Bellows Dome 130004086
2． Bag Arm 122002573
3． Bellows Subassembly 122003343
4． Airway Pressure Gauge 122001736
5． Bellows Plate 130007001
6． U-ring 130004091
7． Bellows Fixing Plate 130007000
8． O-ring Φ9×1.8 304000105
9． Valve Dome 130002187
10． Valve Plate 130004147
11． Valve Cage 130002188
12． Valve Disk 130004102
13． Valve Ridge 130006515
14． Oxygen Sensor Plug 122001748
15． Pressure Gauge Base 130004029
16． O-ring Φ29×1.8 304000105
17． Teflon U-ring 22 230000430
18． Bag Arm Friction Base 130004024
19． Valve Retaining Ring 130006265
20． O-ringΦ4×1.8 304000093
21． O-ringΦ6×1.8 304000095
22． APL Valve 240000171
23． Nest 130004028
24． Bead Flange of Bag Arm 130004025
25． Locknut 130004023
25
Theory of Operation
FIGURE 1-11 Breathing System Explosion Chart-Bottom View
26

1． Top Cover Component 122003219
2． Boom Nut 130004087
3． Corrugated Pipe 130004092
4． Circuit Boom 130006437
5． Elastic Gasket 130006258
6． Absorber Canister 130003231
7． Guide Bushing 130004055
8． Halftone 130004098
9． Elastic Ferrol 130006417
10． Up-And-Down Component 122001749
11． Compressing Device 122001753
12． Socket Cap Screw M5x10 301000336
27
Theory of Operation
FIGURE 1-12 Breathing Module Explosion Chart-Top View

1． Bag Arm Component 122002573
2． Pressure Gauge Component 122001736
3． Bellows Fixing Plate 130006800
4． APL Valve 240000171
5． Inspiration/Expiration Dome 122001762
6． Test Plug 130004015
7． Inspiration/Expiration Port 130004022
8． Change-over Switch Component 122001737
9． Socket Component 122001746
28
FIGURE 1-13 Breathing Module Explosion Chart-Bottom View
29
Theory of Operation

1． AC Integrated Module 122003213
2． Inspiration/Expiration Dome Component 122001738
3． Heating Component 122001741
4． APL Check Valve Component 122001739
5． Check Valve Component 122001740
6． Inhale Probe Component 122001742
7． Exhale Probe Component 122001745
8． Seal Board-Bottom 130004012
9． Bellows Connector 130004016
10． Exhaust Gas Connector 130004017
11． Supporting Axle 130004007
12． O-ring Φ18×1.8 304000100
13． Corrugated Pipe Connector 130004064
14． Socket Cap Screw M4×10 301000333
15． CGO Component 122001693
16． Draining Plug 130004019
17． Phillips Screw Cruciform Slot Screw M4×6 301000326
30
1.3.6 The Ventilator Unit

ADSIII‘s ventilator offers multiple ventilation modes: Controlled Mandatory Ventilation with volume
control (IPPV), Pressure Control Ventilation (PCV), Synchronized Intermittent Mandatory Ventilation
(SIMV), and Pressure Support (PS) ventilation. Electronic PEEP is available in all ventilation modes. User
control over inspiration flow (SLOPE) is possible in PCV, SIMV, and PS modes. Automatic fresh gas
compensation limits the effect of user changes in fresh gas flow rate on the patient. The traditional
bellows system is driven by oxygen and makes patient disconnections clearly visible.
1.3.7 Alarm Set

Minimum and maximum alarm limits can be set for Peak Pressure, Mean Pressure and FiO2. Minimum
alarm limits can be set for Tidal Volume and Minute Volume. Exceeding the peak pressure alarm limit
automatically halts the inspiration phase preventing airway pressure from exceeding the high alarm
setting. In the IPPV mode, when reaching this pressure limit, a "High Airway Pressure" alarm is displayed,
and inspiration is discontinued. The next inspiration occurs at the regular time interval, preventing
increase of the respiratory rate. The result is a decreased tidal volume (T Vol.) and minute volume (M Vol.).
During pressure limitation, the ventilator displays the alarm message until the condition is corrected.
1.3.8 Compliance Compensation

Compliance compensation automatically corrects for the expansion of the circuit in IPPV ventilation mode.
System compliance is measured by the ventilator to maintain the set tidal volume (±15%). The compliance
test may be bypassed at machine power up. When bypassing the compliance test, the default settings are
used.
In ADSIII Compliance Compensation the VT (Tidal Volume) set is delivered during the first breath. ∆P is
calculated from end-expiratory pressure P1 and end-inspiratory pressure P2.
Having the system compliance (Csys) and ∆P, It could calculate which volume (∆V) has been "consumed"
by the system, or, in other words, which volume has not been delivered to the patient.
∆V = Csys x ∆P
It would increases the volume to be delivered by the value ∆V.
VT corr = VT + ∆V
ADSIII repeats this procedure during each breathing phase so that the VT delivered to the patient
gradually approaches the set VT. This procedure is completed as soon as the plateau value stops changing
(±0.5mbar).
The displayed flow and the resulting values (for example, MV) are updated accordingly.
Example of a Compliance Compensation procedure:
We assume that it has calculated a system compliance of Csys =4 mL/mbar during the self test. The
volume to be delivered to the patient shall be VT =600mL. The system (breathing system hoses, patient) is
supplied with 600mL during the first mandatory breath. The resulting pressure is ∆P1 = 30mbar.
31
Theory of Operation
Use these values to calculate the total compliance:
VT1 600mL
CTotal = = = 20mL/mbar
∆P1 30mbar
This results in the following patient compliance:
Cpat. = Ctotal − Csys = 20mL/mbar − 4mL/mbar = 16mL/mbar
The patient is supplied with a volume of 480 mL.
Vpat. 1 = Cpat. x ∆P1 = 16 mL/mbar x 30 mbar = 480mL
Verror1 (deviation from the set value) is calculated as follows:
Verror 1 = VT1 – Vpat. 1 = 600mL – 480mL = 120mL
In order to correct this error, increase the volume supplied by the slot valve by Verror 1.
VT2 = VT1 + Verror 1 = 600mL + 120mL = 720mL
Supply the new VT2 during the second mandatory breath.
VT2 720mL
∆P2 = = = 36mbar
Ctotal 20mL/mbar
The patient is supplied with a volume of 576mL.
Vpat. 2 = Cpat. x ∆P2 = 16mL/mbar x 36mbar = 576mL
Verror2 is calculated as follows:
Verror 2 = VT1– Vpat2 = 600mL– 576mL = 24mL
In order to correct this error, increase the volume supplied by the slot valve by Verror2:
VT3 = VT2 + Verror2 = 720mL + 24mL = 744mL
Supply the new VT3 during the third mandatory breath.
VT3 744mL
∆P3 = = = 37.2mbar
Ctotal 20mL/mbar
The patient is supplied with a volume of 595.2mL.
Vpat. 3 = Cpat. x ∆P3 = 16 mL/mbar x 37.2 mbar = 595.2mL
Verror3 is calculated as follows:
Verror 3 = VT1 – Vpat. 3 = 600mL – 595.2mL = 4.8mL
Repeat this procedure during each breathing phase.
32
1.3.9 Explosion Chart of Anesthtic Machine Other Parts
1.3.9.1 Electric Box Assembly
FIGURE 1-14 Electrical Box Explosion Chart
33
Theory of Operation

1． Positioning Board of Power Supply 130003870
2． Power Board 122001401
3． Electric Box 130003873
4． Amplifier Board Fixing 130003872
5． Amplifier Board 122001402
6． BDU Control Board 122001404
7． Plug Pan Head Screw M3×8 301000323
8． Internal Tooth-lock Washer 3 303000052
9． Copper Cylinder M3×16 220000150
10． Flat Gasket 3 303000050
11． Hexagon Nut M3 302000030
14． Stainless Steel Rivet in Tension Φ4×8 305000005
15． Battery Fixing Board-1 130003874
16． Electric Box Label ---
17． O-silica gel Seal Ring Φ89×3.55 304000088
18． Stainless Steel Countersunk Pull Nut M4 220000252
19． Battery Component SLA-5AH24V-3 122001627
20． Batter Fixing Board-2 130003875
21． Squeeze Nut Cylinder SOOS-M3-7 220000254
22． Circuit Heater Board 122001405
24． Power Switch SNP-B209 210001739
34
1.3.9.2 Pneumatic Box Assembly
FIGURE 1-15 Pneumatic Box Assembly Explosion Chart
35
Theory of Operation

1． Sensor Board 122001406
4． Squeeze Nut Cylinder S00S-M3-7 220000254
5． Gas Box Module Assembly 122001698
6． IP Valve Component 122002026
9． IP Valve Fixing 130003911
10． Gas Resistance 130001315
11． Silica Gel Tube Φ4×2 230000266
12． Nylon Tube 8/6 (Green) 230000427
14． Pressure Regulator Component(1.75Bar) 122003205
15． Pressure Regulator Frame 130000018
16． Silica Gel Tube 230000033
17． Y-piece Port 230000102
36
1.3.9.3 Gas Module
FIGURE 1-16 Gas Module Explosion Chart-Top View

1． Proportional Valve 1350-5083 240000129
2． Pair Board 122001410
4． PAW Board 122001409
5． Cushion Cylinder 220000054
6． Stator 130003916
7． O-ring Φ2.8×1.8 304000112
8． O-ring Φ9×1.8 ---
9． Angle Twisting Tube Connector 220000011
37
Theory of Operation
FIGURE 1-17 Gas Module Explosion Chart-Bottom View

1． AMISCO24V Magnetic Valve Component 122001791
3． Inhale Entrance 130003914
4． O-ring Φ14×1.8 304000119
7． Tiny Connector 130000222
8． O-ring Φ16×1.8 304000099
9． Filter 130003930
10． Positioning Cover 130003913
11． O-ring Φ25×1.8 304000120
12． Safety Valve 122000834
13． Cycle Valve Parts 130000223
14． Air-vent 130003915
15． Phillips Screw Cruciform Slot Screw M4×6 301000326
38
1.3.9.4 Gas Inlet Module
FIGURE 1-18 Gas Inlet Module Explosion Chart-Top View

1． O2 Pressure Regulator Component 122002923
2． Air Pressure Regulator Component 122002924
3． Nylon Tube 6/4（Green） 230000420
4． N2O Block Valve Component 122002922
5． Installing Board of N2O Block Valve 130006153
6． Installing Board of O2 Block Valve ---
7． Socket Cap Screw 301000333
8． Gas Inlet Module Assembly 122002925
9． Flash-twist Pipe for Throttle 220000261
10． Y-piece Connector Valve 220000262
11． Integrated Module Frame 130003981
12． Pressure Switch 240000270
39
Theory of Operation
FIGURE 1-19 Gas Inlet Module Explosion Chart-Bottom View

1． Supporting Plug 130006147
2． O-ring Φ12.5×1.8 304000118
3． Spool 130000075
4． Hexagon Pattern Countersunk Nut M8×10 301000352
5． O-ring Φ16×1.8 304000099
6． Filter 130003930
7． O-ring Φ20×1.8 304000101
8． O2 Inlet Connector(EU Standard) 130006148
Air Inlet Connector(EU Standard) 130006149
N2O Inlet Connector(EU Standard) 130006150
9． Pressure Regulator Plug 220000004
10． Angle Twisting Tube Connector 220000101
11． Sprint Flash Plug-in Connector 220000348
40
1.3.9.5 Display Screen Assembly
FIGURE 1-20 Display Screen Assembly Explosion Chart

1． Front-shell 130001228
2． Isolated Board Assembly 122001808
3． Electric Cloth ---
4． Plug Countersunk Nut M3×12 301000328
5． Rear-shell Assembly 122001807
6． Socket Cap Screw M4×12 ---
41
Theory of Operation
1.3.9.6 Isolated Board
FIGURE 1-21 Isolated Board Front View

1． LCD LB104V03 210000138
4． Positioning Strip 130003918
42
FIGURE 1-22 Isolated Board Rear View
43
Theory of Operation

1． PC104 210002146
2． R-wire Clap 210001242
3． W7 Cable 122000598
4． Communication Board 122001403
7． Inverter TPI-02-0246-K 210000139
8． Squeeze Nut Cylinder BSOS-M3-14 220000255
9． Nylon Cushion Cylinder 230000435
10． Squeeze Nut Cylinder SOOS-M3-7 220000254
11． Isolated Board 130003917
44
1.3.9.7 Flow Meter
FIGURE 1-23 Flow Meter Explosion Chart

1． Flow Meter FM410(C) Assembly 121000272
2． Flow Meter N2O Label 130000054
3． N2O Knob 130003962
4． Flow Meter AIR Label 130000056
5． AIR Knob 130003961
6． Flow Meter O2 Label 130000050
7． O2 Knob 130003960
45
Theory of Operation
1.3.9.8 Main Outlet Assembly
FIGURE 1-24 Main Outlet Assembly Explosion Chart
46

1． Hexagonal Nut M3 302000030
3． Filter Cover Plate 130003894
4． Power Supply Filter 10SS4A-2DC1-Q 210001787
5． Terminal Fix Board 130003890
6． Socket Fix Board 130005184
7． Squeeze Nut Screw M3-FHS-12 220000256
8． Socket Cap Screw M5×16 301000338
10． Network Source Cover Board 130005183
11． Fuse 250V/2A 210000208
12． Fuse 250V/2A 210000208
13． Electric Outlet 210001723
14． Couple 130003892
15． Couple Fixer 130003893
16． Twist-enduring Stringent Fastening Connect for Cable 210002144
17． Power Line 210002135
47
Theory of Operation
1.3.9.9 YOKE Assembly
FIGURE 1-25 YOKE Assembly Explosion Chart

1． O2 High Pressure Pipe 130003989
2． Air High Pressure Pipe 130003990
3． N2O High Pressure Pipe 130003991
4． O2 Reducer Component 122001722
5． Air Reducer Component 122001723
6． N2O Reducer Component 122001724
7． Socker Cap Screw ---
8． YOKE Cradle 130003982
9． O2 YOKE 122001719
10． Air YOKE 122001720
11． Spanner Component 122001795
12． N2O YOKE 122001721
48
1.4 Electrical Supply
1.4.1 Electrical Components
FIGURE 1-26 Electrical Theory Chart
49
Theory of Operation
1.5 Ventilator Control and Drive
1.5.1 Basic Data Unit (BDU)

The BDU serves as the active ventilator control. The BDU controls the actions of the PEEP, data of the
sensors, and proportional valves, and reads the signal flow, and pressure sensors and valves.Please note
that the BDU needs to match the version of its software.
Part No.:122001404
FIGURE 1-27 BDU Control Board Top View
50
FIGURE 1-28 BDU Control Board Bottom View
51
Theory of Operation
1.5.1.1 Amplifier Board

Part No.:122001402
FIGURE 1-29 Amplifier Board Top View (Optimized Version)
52
Part No.:122002547, the optimized edition compatible with 22001402
FIGURE 1-30 Amplifier Board Top View
53
Theory of Operation
FIGURE 1-31 Amplifier Board Bottom View
54
Amplifier Board Interface Define:
O2 Sensor Input, S4
Pin Name Function

DC Power Input, J7
Pin Name Function

1. GND Power Ground
2. +5V BDU Logic Power
3. P12V Power 12V
4. PWBUS Power Bus 22-26V
5. GND Analogue Ground
6. A12V Analogue 12V
7. 5V/4.8V Power 4.8V
Power Control, J20
Pin Name Function

1. GND Ground
2. /PWON Power On Enanble, Low active
3. PWEN Power On Enanble, High active
5. DC＿M AC/DC Monitor signal
6. PWBUS Power bus, No connection
7. BAT＿M Battery Monitor signal
9. CHAR＿SIGNAL Charge Status, No connection
10. /MUTE Mute, Not used
55
Theory of Operation
Signals and Power to Keyboard, J5
Pin Name Function

1. ENPW Power Enable, High active
2. /PWON /Power on Enable, Low active
5. GND Ground
6. TTLRX TTL Receive, reserved
7. 232ARX RS232A Receive, reserved
8. 232BRX RS232B Receive
104-BDU communication
9. GND Ground
10. PWBUS Power Bus
11. PWBUS Power Bus
12. PWBUS Power Bus
13. GND Ground
14. GND Ground
15. DC24V DC24V monitor
16. BATV+ Battery monitor
17. /MUTE No used, reserved
18. GND Ground
19. TTLTX TTL Transmit, reserved
20. 232ATX RS232A Transmit, reserved
21. 232BTX RS232B Transmit
104-BDU communication
22. GND Ground
23. PWBUS Power Bus
24. PWBUS Power Bus
25. GND Ground
56
Signals and Power to Sensor Board, J30
Pin Name Function

1. A+12V Analogue+12V
2. FL_INS inspire flow signal
3. FL_EXP export flow signal
4. FM_FLOW Flow meter flow signal
5. Pair Absolute Pressure of air way
6. Paw Relative Pressure of air way
7. Pgas Pressure gas supply status, low active
8. GND Ground
9. AGND Analogue Ground
11. P24V Power 24V
12. P24V Power 24V
13. P24V Power 24V
14. P12V Power 12V
15. P12V Power 12
16. P4.8V Power 4.8V
17. P4.8V Power 4.8V
18. Inhale Inspire Valve drive
19. Man Manual/AUTO Valve
20. Exhale Expire Valve drive
21. Exhale Expire Valve drive
57
Theory of Operation
Bus to BDU, J96
Pin Name Function

1-3 5V 5V Power
4-6 GND Ground
7-9 NC No connection
10 DSP_RXDA DSP UART A RXD
11 DSP_TXDA DSP UART A TXD
12 DSP_RXDB DSP UART B RXD
13 DSP_TXDB DSP UART B TXD
14 232ARX RS232A Receive
15 232ATX RS232A Transmit
16 232BRX RS232B Receive
17 232BTX RS232B Transmit
18 SPI_STEA No connection
19 SPI_SCLKA No connection
20 SPI_SIMOA No connection
21 SPI_SOMIA No connection
22 dADC-A7 No connection
23 dADC-A6 inspire flow sampling
24 dADC-A5 Oxygen Chroma sampling
25 dADC-A4 export flow sampling
26 dADC-A3 Pressure of air sampling
27 dADC-A2 Pressure of air way sampling
30 dADC-B0 Inhale-STATE sampling
31 dADC-B1 Exhale-STATE sampling
32 dADC-B2 Mass-FLOW sampling
33 dADC-B3 Manual-STATE sampling
34 dADC-B4 Volt-STATE sampling
35 dADC-B5 No connection
36 AGND Analogue Ground
37 GPIO-B1 No connection
42 GPIO-B6 Manual enable
44 GPIO-B8 Valves enable
58
Pin Name Function

50 GPIO-B11 IIC Input No using
51 GPIO-B12 IIC Input No using
52 DSP_GPIOD5 No connection
53 ADCINA1_IN No connection
54 ADCINA0_IN No connection
55 DAC2 Exhale DA
56 DAC1 Inhale DA
57 DAC4OUT No connection
58 DAC3OUT No connection
59 CANA_TXD No connection
60 CANA_RXD No connection
62 DSP_GPIOA0 Volt mutiplexer address A0
63 DSP_GPIOA4 No connection
72 DSP_GPIOA12 Logic signal Input, reserved
74 DSP_GPIOF14 No connection
75 DSP_GPIOE2 Pressure gas supply status Output
76 AIN1 No connection
88 IIC_SCL No connection
89 IIC_SDA No connection
59
Theory of Operation
Test Point Definition
Designator Name Function Range

T1 FI O2 ADC input of O2 Sensor 0-2.5V
T2 Pgas Pressure switch of gas supply, low active Digital:0，1
T3 FL_INSP Inspire Flow signal 0.23――3V
T4 Pair Absolute Pressure of air way 1.7－1.95V
T5 FL_EXP Expire Flow signal 0.23――3V
T6 Fm_flow Flow of flow meter 0.09－－2.8V
T7 AD-Exhale Exhale-STATE feedback 0-3V,Valve’s open degree
T8 Volt Internal power sampling Less than 3V
T9 MUTE Not used ---
T10 M-EN Manual/Auto mode select Digital:0，1
T11 V-EN Valves enable Input Digital:0，1
T12 EX-DA Exhale DA output 0-2.5V
T13 In-DA Inhale DA output 0-2.5V
T14 GS_ST gas supply status, high active Digital:0，1
T15 XVI Exhale-Valve current feedback 0-300mV
T16 IVI Inhale-Valve current feedback 0-90mV
T17 MVI Manual-Valve current feedback 0，40-50mV
T18 IVG Inhale-Valve given 0-90mV
T19 XVG Exhale-Valve given 0-300mV
T20 PADJ Power 4.8V 4.6-4.85V
T21 P24V Power 24V 22-24V
T22 P12V Power 12V 11.5-13V
T23 -10V Negative Voltage -10V -9.7 to -9
T24 A12V Analogue 12V 11-12.5V
T25 VCC Power 5V 5.00-5.2V
T26 5VAUX 5V Auxiliary 4.9-5.1V
T27 10V Analogue +10V 9-9.8V？？
T28 AD-Inhale Inhale-STATE feedback 0-3V
T29 AGND Analogue Ground ---
T30 GND Ground ---
T31 PAW Pressure inside air way 0-3V Zero Point 0.45-0.55V
T32 Manual Manual/Auto Valve feedback 2.2-2.7V
60
Indicator
Designator Status Function

D8 GREEN Auto/Manual indicator
Only for factory calibration or maintenance engineers calibrate on site when the type of sensor changes.
Only Adjustment Method: Conect the O2 sensor, put it in air for 3 minute, adjusting R37 to make the
signal of O2 sensor under SERVICE menu’s A/D monitoring page is0.450V, do O2 sensor calibration base on
the clue of software.
61
Theory of Operation
1.5.1.2 Drive Gas Pressure Sensor Board

Part No.:122001410
FIGURE 1-32 Drive Gas Pressure Sensor Board Top View
FIGURE 1-33 Drive Gas Pressure Sensor Board Bottom View
Drive Gas Pressure Sensor, J1
Pin Name Function

1. AGND Analog Ground
2. Pair Pressure of air
3. NC No connection
4. AR10V 10V
5. NC No connection
62
1.5.1.3 PAW Pressure Sensor Board

Part No.:122001409
FIGURE 1-34 Paw Pressure Sensor Board Top View
FIGURE 1-35 Paw Pressure Sensor Board Bottom View
PAW Pressure Sensor, J2
Pin Name Function

1. AGND Analog Ground
2. Paw Pressure inside airway
3. AR5V 5V
4. NC No connection
5. NC No connection
63
Theory of Operation
1.5.1.4 Breathing System Heater
Cautions This When replacing the board, don’t connect the AC power.The main switch don’t
control this board.
Part No.:122001405
Compatible Software: 140000058
FIGURE 1-36 Breathing System Heater Top View
64
FIGURE 1-37 Breathing System Heater Bottom View
65
Theory of Operation
Power Input, J2
Pin Name Function

1 GND Ground
2 5V Controller Power, Heating Enabling
3 24V Heater Power Supply
4 NC No Connection
Heater Output, J3
Pin Name Function

1 RET Heater Power Return
2 DQ Sensor 1 signal
3 24V Heater Output
Designator Name Function Qualified Range

T1 5V Controller Power, 5V 5.0-5.25V
T3 GND Power Ground
T7 24V Heater Power input, 24V 23.5-24.5V
T8 DQ1 Sensor 1 Data Digital Quantity 0、1
T9 POUT Heater Output，24V 23-24.5V
Indicator
Designator Name Status Function

LT1 Enable GREEN Controller Power Ready
LT2 Active RED Heater Output On
GREEN Heater Status Ready
LT3 Status Blink Heater or sensor not ready
Off Other defects
66
1.5.1.5 Sensor Board

Part No.: 122001406
FIGURE 1-38 Sensor Board Top View
67
Theory of Operation
FIGURE 1-39 Sensor Board Bottom View
Pair, J1（This applies to 22001406）
Pin Name Function Function

1 AGND Analogue Ground Analogue GND
2 Pair Pressure of air Environment Pressure Signal
3 NC No connection No Connection
4 AR10V Analog 10V Supply Voltage of Environment Pressure Sensor
68
Paw, J2（This applies to 122001406）

1 AGND Analogue Ground Analogue GND
2 Paw Pressure inside airway Airway Pressure Signal
3 AR5V 5V Supply Voltage of Airway Pressure Sensor
Work Light Power, J11

1 24V Power 24V P24V
2 GND Power Ground GND
Backlight Power 24V, J15

Backlight Power 12V (optional), J3 Definition

Switch of Gas Supply, J6

1 GND Ground GND
3 Pgas Switch input Signal Input of Gas Supply Pressure
Expiration Valve, J14

1 4.8V 4.8V P4.8V
2 Valexp Expire Valve Drive Feedback Value of Expiratory Valve
Inspiration Valve, J12

1-2 24V 24V P24V
3-4 Valexp inspire Valve Drive Feedback Value of Inspiration Valve
69
Theory of Operation
Manual/Auto Valve, J4

1 24V 24V P24V
2 Valman Manual/Auto Valve Drive Feedback Value of Manual/Auto Valve
Signals and Power of Sensor Board, J13

1 A+12V Analgue +12V Analogue12V
2 FL_INS inport flowence Feedback Signal of Inspiratory Flow Seonsor
3 FL_EXP export flowence Feedback Signal of Expiratory Flow Seonsor
4 FM_FL Flow meter flowence Feedback Signal of Flow meter Seonsor
5 Pair Pressure of air Environment Pressure Signal
6 Paw Pressure inside air way Airway Pressure Signal
7 Pgas Pressure gas supply status Feedback Signal of Gas Supply Pressure Swtich
8 GND Ground DigitGND
9 AGND Analogue Ground AnalogueGND
11 P24V Power 24V P24V
15 P12V Power 12 P12V
16 P5V Power 5V P5V
17 P5V Power 5V P5V
18 Inhale Inspire Valve Feedback Value of Inspiratory Valve
19 Man Manue/AUTO Valve Feedback Value of Manual/Auto Control Valve
20 Exhale Expire Valve Feedback Signal of Expiratory
21 Exhale Expire Valve Feedback Signal of Expiratory
70
Test point Definition
Designator Name Function Function

T1 AN10V Negative Voltage 10V -10 Power Test Point
T2 AR5V Reference Voltage 5V Basic 5V Test Point
T3 AR10V Reference Voltage 10V Basic 10V Test Point
T4 AP10V Power 10V 10V Power Supply
T5 AGND Analogue Ground AnalogueGND
T6 INSP inspire flow Signal of Inspiratory Flow Sensor
T7 Pair Pressure of air Environment Pressure Signal
T8 PAW Pressure inside air way Airway Pressure Signal
FLOW Flow of flow meter Flow meter Signal
EXP export flow Signal of Expiratory Flow Sensor
71
Theory of Operation
1.5.2 Power Management

Power management is located behind the Rear Panel Assembly. This module serves as the voltage supply
for the ventilator control and drive BDU, the flow meter backlight, the work light, the Breathing System
Heater, and the charging/discharging control for the battery.
Part No.: 122001401
FIGURE 1-40 Power Board, Top View
72
Part No.: 122002546
FIGURE 1-41 Power Board, Top View
73
Theory of Operation
FIGURE 1-42 Power Board, Bottom View
Battery Input, J4
Pin Name Function

1 BAT Battery Input +
2 GND Power Ground
3 BATTEST Battery Input + for detecting
74
DC24V Power Input, J3
Pin Name Function

1 GND Power Ground
2 GND Power Ground
3 24V Power input
4 24V Power input
DC Power Output, J2
Pin Name Function

1 GND Ground
2 +5V Control Power 5V
3 P12V Power 12V
4 PWBUS Power Bus 24±2V(battery)
5 GND Ground
6 A12V Analogue 12V
7 P5V(4.8V) Power 5V(4.8V)
Heater Power, J1（This applies to power board 122001401.）
Pin Name Function

1 GND Ground
2 5V Controller Power, Output Enable
3 24V Heater Power Supply
4 PBUS No Connection
Heater Output, 10+J10X（This applies to power board 122002546.）
Pin Name Function

1 RET Heater Ground
2 TS1 Temperature Sensor 1
3 POUT Heater Output
4 HSW Test Signal of Circuit Installation
5 DQ Test Signal of Temperature Gradual Change
75
Theory of Operation
Power Control, J6
Pin Name Function

1 GND Ground
2 /PWON Power ON enabling signal, low but active
3 PWEN Bus breakover enabling signal, efficient as it is high
4 5VAUX Auxiliary Power Supply
5 DC_M Monitor signal of Switch Power
6 PWBUS(*1) Power bus monitor signal
7 NC(*2) No connection
8 BAT_M Battery Monitor signal
9 CHAR_SIGNAL Charge Status Signal
10 CHAR_SIGNAL(*1) Charge Status Signal
11 TTLTX(*2) TTLTX, MCU TXD
12 /MUTE(*1) No connection
13 TTLRX(*2) MCU RXD
*1）This applies to power board 122001401
*2）This applies to power board 122002546
Power Switch, J5
Pin Name Function

1 GND Ground
2 NC No Connection
3 /PWON Control Signal of Main-unit Switch
76
Designator Name Function Qualified Range

T1 24V Switch Power Voltage 23-25V
T2 PWBUS Power Bus Voltage 23-24V
T3 A12V Analogue12V 11.5-13V
T4 P12V P12V 11.5-13V
T5 +5V 5V Logic Power 5.1-5.3V
T6 5V/4.8V P4.8V 4.7-4.9V
T7 BAT+ Battery Voltage+ Depends on the battery
status
T8 30V Charging Power Voltage 30V 29.5-31V，only exists as the
switch power is supplied
T11 5VAUX Auxiliary Power 5V 4.9-5.1V
VT8－T12 Charging Current Charging Current Feedback 0-260mV，depends on the
battery status
Indicator
Designator Name Status Function

DS1 DC24V GREEN Switch Power Output Available
DS2 PWRON GREEN Power Board Output Available
DS3 Charge GREEN Charge Indicator
LT2*1) Active RED Heater Output Indicator
LT3*1) Status GREEN, Blink Normal Working Status
*1) this applies to power board 122002546
Jumper, JP1
2 4 6
1 3 5
Use Instruction:
Connect 1-2 which equals to the function of power-off;
Connect 3-4 which forces power board to realize the function of output enabling.
77
Theory of Operation
1.5.3 Battery
The sealed lead-acid battery is maintenance free, and has a maximum recharge time of 8 hours when fully
discharged. The run time is at least 45 minutes with a fully charged battery. To prevent unintended loss of
battery operation, the recommended maintenance is every 3 months to fully discharged battery, and
replacement period is every 3 years.
1.5.4 Power Supply

The power supply provides power to the machine and relevant controls.
1.6 Anaesthetic System Components
1.6.1 Auxiliary Outlet

ADSIII has four auxiliary outlets feature 100～240VAC，50/60Hz，1.5A maximum for each. There are two
2A fuses for each outlet.
1.6.2 Absorber Heater Wire Board
FIGURE 1-43 Absorber Heater Wire Board Top View
FIGURE 1-44 Absorber Heater Wire Board Bottom View
78
1.6.3 Work Light Board

Part No.:122001408
FIGURE 1-45 Work Light Board Top View
FIGURE 1-46 Work Light Board Bottom View
Work Light Power, J11
PIN NAME FUNCTION

1 24V Power
2 NC No Connection
3 GND Power Ground
Work Light Switch, J11
PIN NAME FUNCTION

1. 24V Power 24V
2. NC No Connection
3. LOW Low dim
4. HIGH High dim
79
Theory of Operation
1.6.4 User Interface
1.6.4.1 Keyboard Board

Part No.:122001405
FIGURE 1-47 Keyboard Board Top View
80
FIGURE 1-48 Keyboard Board Bottom View
81
Theory of Operation
Signals and Power of Keyboard, J1

1 ENPW Power Enable, High active Power Enable, High active
2 GND Ground GND
3 /PWON /Power on Enable, Low active Main-unit switch enabling signal,
efficient as it is low
4 DC24V DC24V monitor Switch power voltage test signal
5 5VAUX 5V Auxiliary Auxiliary power voltage
6 BATV+ Battery monitor Battery voltage test signal
7 APE Auxiliary Power Enable, optional Auxiliary power enabling control signal
8 /MUTE No connection, reserved Not being used
9 GND Ground GND
10 GND Ground GND
11 TTLRX TTL Receive, reserved Communication receiving TTL level
12 TTLTX TTL Transmit, reserved Communication sending TTL level
13 232ARX RS232A Receive, reserved Communication receiving 232 level，not
being used
14 232ATX RS232A Transmit, reserved Communication sending 232 level，not
being used
15 232BRX 104-BDU, RS232B Receive PC104->BDU，232 level
16 232BTX BDU-104, RS232B Transmit BDU->PC104，232 level
17 GND Ground GND
18 GND Ground GND
19 PWBUS PowerBus Bus Voltage
24 GND Ground GND
25 GND Ground GND
82
PC104 LPT, J5

1 STB No connection
2 PRN_FE No connection
3 A Sound level Input, D0 Encoding input end controlled by sound
4 PRNERR No connection
5 B Sound level Input, D1 Encoding input end controlled by sound
6 INIT No connection
7 C Sound level Input, D2 Encoding input end controlled by sound
8 SLIN No connection
9 D Sound level Input, D3 Encoding input end controlled by sound
10 GND Ground GND
11 D4 No connection No Connection
12 GND Ground GND
14 GND Ground GND
16 GND Ground GND
18 GND Ground GND
19 ACK No connection No Connection
20 GND Ground GND
21 _BZ Sound Signal Output No Connection
22 GND Ground GND
23 PRN_PE No connection No Connection
24 GND Ground GND
25 SLT No connection No Connection
26 GND Ground GND
PC104 Power Output, J6

1 +5V Controller Logic Power PC104 Supply Voltage
4 12V Power 12V, No connection Not being used
83
Theory of Operation
PC104 Speaker Audio, J7

1 S+ Sound frequency Signal Input Audio Signal
2 S- Sound frequency Signal Output Audio Signal
3 GND Ground GND
Speaker Out, RL1

1 + Speaker anode Speaker Positive Input
2 - Speaker cathode Speaker Negtive Input
Backlight Power, J2

1 12V Power output Backlight Power 12V
2 12V Power output Backlight Power 12V
5 ON/OFF Backlight ENABLE Backlight Enabling Signal
6 DIM Dim adjust Backlight Brightness Control Signal
Encoder (Navigator), J8

1 GND Ground GND
2 TSP Encoder I/O Encoder I/O port
3 GND Ground GND
4 TSB Encoder I/O Encoder I/O port
5 TSA Encoder I/O Encoder I/O port
6 ECV Encoder Power Supply, 5V Encoder Power Input
Power of RS232 Isolator, J9

1 5V Power 5V 5V Power Input
3 GND Ground GND
Serial Port 1/2，COM1/2

2 RXD 232RXD TO PC104 INPUT RS232&PC104 Communication Receiving
3 TXD 232TXD TO PC104 OUTPUT RS232 & PC104 Communication Sending
5 GND Ground GND
COM1 connect to PC104/COM1 that can be used for keyboard input function;
COM2 connect to PC104/COM2 that can be used for BDU control function.
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Designator Name Function Function

T1 D Sound Coding Input Test Point Test point of encoding input
controlled by sound
T2 A Sound Coding Input Test Point Test point of encoding input
controlled by sound
T3 B Sound Coding Input Test Point Test point of encoding input
controlled by sound
T4 C Sound Coding Input Test Point Test point of encoding input
controlled by sound
T5 +5V Logic Power 5V 5V Power Supply Test Point
T6 P12V Power 12V P12V
T7 73TX Controller Transmit TTL Logic Test Point of Controller
Communication Sending
T8 73RX Controller Receive TTL Logic Test Point of Controller
Communication Receiving
T9 PWBUS Power Bus Bus Voltage Test Point
T10 VDD Controller Power Controller Power SupplyTest
Point
T11 GND GND
T12（* VDD73 Supply Voltage of Microprocessor 4.7-4.82V
Indicator
Designator Status Function Function

LT1 GREEN/BLINK Keyboard Nomal Operation Indicator of
ready Communication Board
Backlight brightness adjustment, W1.
Adjust potential device W1 to change LCD brightness.
1.6.5 Display
The display is a 10.4 inch TFT LCD, the resolution is 640×480.Model is LB104V03.
85
Theory of Operation
1.6.6 Communication Interface/RS232 Isolate Board

Part No.:122001407
It has dual DCE serial ports, and does not support gas circuit.
FIGURE 1-49 RS232 Isolate Board Top View
Part No.:122002186
It has DCE serial port, DIE serial port and 5V power supply, and supports the extension of gas monitoring
module.
FIGURE 1-50 RS232 Isolate Board Top View
FIGURE 1-51 RS232 Isolate Board Bottom View
Power, J3

1 5V Power 5V P5V
2 NC No connection
3 GND Ground GND
86
COM1/2

2 TXD RS232 TXD TO PC104 OUTPUT RS232 to PC104 Communication Sending Output
3 RXD RS232 RXD TO PC104 INPUT RS232 to PC104 Communication Receiving Inpu
5 GND Ground GND
COM1A/B

2 TXD RS232 TXD TO PC OUTPUT RS232 to PC Communication Sending Output
3 RXD RS232 RXD TO PC INPUT RS232 to PC Communication Receiving Input
5 GND Ground isolated Isolated GND
COMA/B

2 RXD RS232 RXD INPUT TO PC RS232 Digit Receiving Input
3 TXD RS232 TXD OUTPUT TO PC RS232 Digit Sending Output
5 GND Ground isolated Isolated signal GND
9 5V 5V Power isolated (<200mA) for Isolated 5V power, used for providing power
gas monitor; electrical output as operating gas monitoring module
compatible to RS232 RI. （<200mA）；
As it is used for digit communication, the PIN is
electrically compatible with RI output signal
of RS232 definition.
Others NC No connection No Connection
1.6.7 Fuses
ADSIII has 10 fuses on the back panel of the unit. There are two 2A fuses for each of the four outlets and
two 10A fuses for the line cord.
87
Theory of Operation
1.6.8 PC104
Part No.:210002146
FIGURE 1-52 PC104 Top View
FIGURE 1-53 PC104 Layouts
88
Jump and Connection List of PC104
Connector’s Definition and Use Instruction
PWR1, 5V power supply, connect to J6 on communication board.
89
Theory of Operation
COM1/2/3/4,standard RS232 serial port 1-4
COM1connect to COM1 of communication board
COM2 connect to COM2 of communication board
COM3 connect to COM2 (to COMB)of Isolate

Board onRS232
COM4 connect to COM(to COMA) of Isolate Board

on RS232
LPT1 parallel port, connect to J5 on communication board
LCD1: LCD display connector, connect to LCD
SPK1 speaker audio output, connect to J7 on communication board (Pay attention to the wiring order: 1 is
red wire, +, wrong self-test speaker audio will arise if not correctly connected.).
KBMS1, keyboard, mouse port, PS/2 keyboard and mouse can be connected by special wire.
90
USB1/2 interface, connect external equipment by special wire.
1.7 Ventilator Pneumatic- O2 Drive Gas
1.7.1 Ventilator Pneumatic Drive

Oxygen is the driving gas for the ventilator. In addition to the flow meter block, a high pressure regulator
reduces the supply pressure to 25.4psi (175kPa). This pressure represents the drive gas for the ventilator.
The drive pressure regulator is placed ahead of the proportional valve that generates the driving gas flow
during the inspiration phase. This flow fills the bellows dome that surrounds the bellows.
1.7.2 Drive Pressure-high Pressure Regulator (25.4psi)

The drive pressure regulator stabilizes the supply pressure provided to the proportional valve. The flow
generated by the proportional valve is therefore independent of pressure variations at the supply. Setting
the drive pressure regulator at 25.4psi allows for a maximum inspiration flow of 75L/min at the ventilator.
1.7.3 Gas Box Assembly

The driving module consists of the proportional valve and a solenoid valve for the vent mode switch. The
proportional valve pressure regulator, and generates a driving gas flow of 0～75L/min in relation to the
control voltage of the proportional valve of 0～50VDC. The control voltage of the proportional valve,
required for the pre-selected parameter setting, is generated by the BDU board. The driving gas flow Qdrive
gas is in the following relationship with the tidal volume:
Qdrive gas=VT/T
With: Qdrive gas=driving gas flow
VT=generated tidal volume
T=time
91
Theory of Operation
1.7.4 Gas Color Coding

All the gases used in ADSIII are color coded for use in China, the United States and Europe.
Gas China Standard US Standard Europe Standard

O2 Blue Green White
N2O Silver gray Blue Blue
AIR Black Yellow Black White
1.8 The Breathing System
Notes As the system is under STANDBY mode, press AUTO/MANUAL key to shift to
MANUALmode, or turn the navigation knob to change to MANUAL mode; the system will shift to
IPPV mode by pressing AUTO/MANUAL key again. Under other ventilation modes, press
AUTO/MANUAL key to shift to MANUAL mode, press the key again to return to the previous
ventilation mode.
1.8.1 IPPV Mode-Inspiration Phase
Notes Under adult patient type, the default parameters for IPPV mode are as follows: Vt: 500mL,
Freq.:12bpm/min.
Tidal volume compensates for variations in gas flow. This is to ensure that the set tidal volume is delivered
to the patient.
1.8.2 IPPV Mode-Expiration Phase

As the patient exhales tidal volume into the expiration limb, fresh gas enters the bellows.
Fresh gas mixes with exhaled gas after the Absorber removes CO2. Excess fresh gas passes through the
exhaust valve to AGSS.
1.8.3 Manual Mode-Inspiration Phase

As the breathing bag is compressed, the gas is directed to the patient. Pressures exceeding the set value
of the APL Valve will pass through the APL Valve to AGSS.
1.8.4 Manual Mode-Expiration Phase

As the patient exhales tidal volume into the expiration limb, fresh gas enters the Breathing System. Fresh
gas mixes with exhaled gas after the Absorber removes CO2. Excess fresh gas passes through the exhaust
valve to AGSS.
1.8.5 Pneumatic PEEP

The PEEP valve regulates the pressure at which the exhaust valve opens, therefore the exhaust valve
opens only when the pressure exceeds the set PEEP pressure.
92
1.8.6 Ventilator in STANDBY

When ADSIII is in the STANDBY mode, monitoring will be inactive. The patient should not be ventilated
when the system is in STANDBY mode.
1.8.7 Breathing System Components
1.8.7.1 Ventilation Bellow System

The ventilator\s driving system is a flow generator. Driving gas fills the bellows dome to compress the
bellows. The breathing gas is pressed out of the bellows into the patient breathing circuit. The bellows is
refilled with fresh gas and the expired gas from the patient.
1.8.7.2 Manual Breathing Bag

In manual mode, this device acts as a normal breathing bag, enabling the user to ventilate the patient
manually. In mechanical ventilation mode, this bag is cut off from the breathing circuit by the reversing
valve.
1.8.7.3 CO2 Absorber

The soda lime inside the absorber canister retains the carbon dioxide from the exhaled gas.
1.8.7.4 Inspiration and Expiration Valves

To ensure correct gas flow direction to and from the patient, one way valves are integrated in the
inspiration and expiration limb of the Breathing System.
1.8.7.5 APL Valve

In manual mode, the APL Valve acts as a normal spring loaded pressure relief valve, limiting the maximum
pressure in the Breathing System.
93
Installation Guide
2.0 Installation Guide
2.1 Delivery of the Anaesthetic Machine

The following customer supplied material must be present prior to installation. Missing equipment can
result in delays, incomplete installation and/or extra visits.
 Compatible emergency O2, N2O, and AIR cylinders.

 Vaporizers and key fillers.
 Liquid agent medication and fresh soda lime.
 Active O2, N2O, and AIR, lines at 50psi.
 Drop down hoses for ceiling mounted medical gas utilities, compatible with quick disconnect
hoses.
 Activated medical gases (O2, N2O, AIR, VAC, and EVAC).
2.2 Installation
Notes The Breathing System Block is matched to ADSIII it is attached to by calibration and
installation. After removing the Breathing System Block from the Mounting Arm of ADSIII, assures that the
Breathing System Block is returned to the same ADSIII that it came from originally.
2.2.1 Unpacking
1. Inspect the two boxes for any damage, check the tip watches, and report any damage or sign of tipping
to the dispatcher.
2. Ensure the serial numbers on both carton match the one prior to assembling the system.
3. Remove the shipping straps and caps from the two boxes.
4. Remove the foam from inside the top to the box.
5. Remove the corrugated box form around ADSIII.
6. Remove the bag and shrink wrap form around ADSIII.
7. Remove the foam form ADSIII casters.
94
2.2.2 Breathing System and Breathing System Accessories
FIGURE 2-1 ADSIII Anaesthetic Machine Component
1. AGSS 7. Pneumatic Hose Assembly

2. Breathing System 8. Heater Cable
3. User Interface Mounting Arm 9. Drive Gas
4. User Interface 10. Breathing System Mounting Arm
5. Patient Monitor Mounting Arm 11. AGSS Transfer Hose
6. O2 Cable 12. CGO Port
2.2.2.1 Attaching the Mounting Arms

1. Remove the mounting arms from small box and install them onto ADSIII suing a 3mm alien wrench.
2. Remove the keys from the parts box, and unlock ADSIII drawers and put parts box into top drawer.
3. Remove AGSS and the Breathing System mount from the foam packaging, and install them onto ADSIII.
4. Remove the User Interface and slide it onto the User Interface mounting arm.
95
Installation Guide
2.2.2.2 Breathing System Connections

1. Remove the foam and bag from around the Breathing System.
2. Ensure that the serial number tag attached to the bag arm matches the serial number found on the
package carbon.
3. Install the Breathing System onto the arm on the left side of ADSIII by attaching it to the installed
bracket.
4. Attach the drive gas hose to the bottom port of the Breathing System.
5. Attach the heater cable into the port located on the bottom of the Breathing System.
6. Install the O2 cell to the O2 interface.
7. Attach the O2 cell to the O2 cable and insert the cell into its designated port on the Breathing System.
8. Attach the pneumatic hose assembly to the designated port on the rear of the Breathing System.
9. Attach the AGSS transfer hose to its designated port on the bottom of the Breathing System.
2.2.2.3 Anaesthetic System Connections

1. Attach the fresh gas hose of the Breathing System to the CGO port on ADSIII.
2. Attach the drive gas hose to the designated port on the Breathing System Interface.
3. Attach the heater cable to the designated port on the Breathing System Interface.
4. Attach the O2 cable to the designated port on the Breathing System Interface.
5. Attach the pneumatic hose assembly to the designated connector labeled Breathing System
Pneumatics.
6. Attach the AGSS transfer hose.
2.2.3 Utility Tray, Monitor Mounting Arm with Utility Hooks

1. Remove the items from their packing material.
2. Slide the utility tray into the desired channel.
3. Tighten the locking screw.
4. Remove the plastic cap from under the mounting arm's swivel head.
5. Mount the utility hook(s) under the swivel head of the arm using the screws and tool provided with
the hook.
6. Slide the mounting arm into the desired channel. Allow enough room for mounting monitors at the
desired height.
7. Tighten the locking screw.
2.2.4 Vaporizers
1. Prior to mounting, set the vaporizer to the T position. (This step does not apply for all vaporizers.)
2. Discard the washers that come with the vaporizer. Use only approved O-rings that come mounted on
the vaporizer mounting ports of ADSIII.
3. Mount a mechanical vaporizer to either side of the ADSIII vaporizer mount by placing the vaporizer on
the ports and locking down the lever.
96
4. Mount an electronic vaporizer in the same manner. Follow any installation instructions that come with
the specific vaporizer.
Cautions The specific installation instruction of vaporizers, please refer to the corresponding
vaporize user manual.
2.2.5 High Pressure Hose

1. Remove the hoses from their packing material.
2. Attach each hose to its mating connector by hand. Do not use any tools.
3. Use extreme care while attaching the EVAC hose to AGSS as it is extremely delicate.
4. Attach an EVAC hose to a VAC source connection only if an EVAC source connection is not available.
2.2.6 Emergency Cylinder

1. Remove the cover from a new O2, N2O, and AIR cylinder.
2. Mount one at a time onto the rear of the Anaesthetic machine.
3. Open the bail of each yoke and mount the cylinder over the tank washer.
4. Ensure the O2 cylinder mates to the O2 Pin Index Safety System (PISS) connection on the O2 yoke. Close
the yoke bail and use the hand-screw to tighten the cylinder to the yoke port.
5. Open and close the cylinder valve and observe that the cylinder pressure gauge on the Anaesthetic
machine rises to the colored range.
6. Ensure that the N2O cylinder mates to the N2O PISS connection on the N2O yoke. Close the yoke bail
and use the hand-screw to tighten the cylinder to the yoke port.
7. Open and close the cylinder valve and observe that the cylinder pressure gauge on the anesthesia
machine rises to the colored range.
8. Ensure that the AIR cylinder mates to the AIR PISS connection on the AIR yoke. Close the yoke bail and
use the hand-screw to tighten the cylinder to the yoke port.
9. Open and close the cylinder valve and observe the cylinder pressure gauge on the anesthesia machine
rise to the colored range.
2.2.7 Breathing Circuit, CO2 Absorbent

1. Attach a breathing circuit to the inspiration and expiration ports. Attach the breathing bag and any
other respiratory accessories as needed.
2. Install the absorber canister with a quarter turn of the lever at the bottom the absorber assembly, this
ensures a tight seal.
2.2.8 Monitoring Products-Mounting and Electrical Connection

1. Any monitoring system compatible with the GCX mounting system's swivel head may be mounted to
ADSIII's arm.
97
Installation Guide
Cautions The personnel could connect compatiable patient monitor equipment and patient
monitor mounting arm of other manufactures to ADSIII.
2. Always make full use of all mounting fasteners and strap capturing devices when mounting monitors
to ADSIII.
3. After mounting a monitor to ADSIII, connect it to one of the AC outlets located on the rear of ADSIII.
a) Turn on each monitor one at a time and ensure that the circuit breaker holds without tripping.
b) Dress each line cord neatly along the side of the Anaesthetic machine so that it cannot be easily
pulled or extend far from the main chassis.
2.3 Installation Checkout Procedure

Complete each step to verify the functionality of the ADSIII prior to clinical use. Also, perform this checkout
after installation, reinstallation, servicing or after any periodic maintenance activity. This checklist does not
replace periodic maintenance actions that must be performed to maintain peak performance.
1. Verify that all components are present, and inspect for physical damage.
a) Ensure that the Service Manual and Operating Instructions are present.
b) Verify unit is free from cosmetic defects. Plastics, labeling and display window are free from
inclusions, pitting, bulges, sink marks, nicks, scratches, gouges dents, discolorations, etc. Verify all
major hardware is fastened properly.
c) Verify that there are Tank Washers for each of the external cylinder yokes.
d) Verify that each vaporizer's locking spring is intact on the manifold by looking through the
opening and checking for the visible wire spring.
e) Verify that each connector of the vaporizer mount has an O-ring.
f) Verify that breathing circuit consumables and CO2 absorbent are present.
g) Inspect the O2, N2O, AIR, VAC, and EVAC supply hoses for damages.
h) Turn the flow control knobs for O2, AIR and N2O and verify that the floats rise and spin as the flow
is increased and fall freely as the flow is decreased.
i) Inspect the AC line cord for fraying and damages.
2. Verify that the operation card is attached.
3. Verify that the waste scavenger flow rate is set and that the hose is intact, connected and dry.
a) Attach the waste gas hose from the waste gas port on the Breathing System to one of the waste
gas ports on the AGSS.
b) Attach the EVAC hose from the waste gas assembly DISS (Diameter Index Safety System) fitting to
a source of vacuum.
c) Adjust the position of the float to be between the Min and Max lines by turning its flow
adjustment knob (counterclockwise increases flow, clockwise decreases flow).
98
4. Check N2O, O2 and AIR Lines for leaks.
Notes If a specific gas source is not available, skip the corresponding leak test.
a) Remove the cylinders from ADSIII.

b) Connect the O2, AIR and N2O hoses to the gas line inlets.
c) Verify O2, AIR and N2O Line Pressure gauges read the corresponding line pressure.
d) Set the AIR flow controller to minimum.
e) Pinch to occlude the O2, AIR and N2O hoses.
f) Disconnect each hose from its line pressure source.
g) Verify that the pressures do not drop more than 2 psi over a time period of 20 seconds.
5. Verify that all available line and cylinder gauges are operational.
a) Connect the O2 supply hose and remove the AIR and N2O hoses.
b) Verify the O2 Line Pressure gauge shows the reading of the line pressure.
c) Connect the AIR supply hose and remove the O2 and N2O hoses.
d) Verify that the AIR Line Pressure gauges show the reading of the line pressure.
e) Connect the O2 and N2O hoses and remove the AIR hose.
f) Verify that the N2O and O2 Line Pressure gauge shows the reading of the line pressure.
g) Attach the cylinders to the ADSIII's yokes (O2 and N2O or AIR). In the case where multiple cylinders
of the same gas are required, attach one at a time.
h) Open all attached cylinders including the O2 cylinder. If a cylinders pressure is less than 3447.5kPa,
replace the respective cylinder.
i) Verify that the cylinder pressure gauges register a pressure for each type of gas attached.
6. Test O2 Flush operation with only O2 connected.
Notes O2 flow may be greater than 50L/min at higher altitudes.
a) Connect the O2 supply hose and remove the AIR and N2O hoses.
b) Attach a calibrated flow meter to the Common Gas Outlet.
c) Push the O2 Flush button and verify a reading between 35 L/min and 50 L/min at the flow meter.
d) Reconnect the O2, AIR and N2O hoses.
7. Test the O2:N2O ratio system.
a) Set all flow control knobs to minimum.
b) Increase the flow of N2O until the O2 reaches 1L/min.
c) Verify that the N2O flow is not higher than 3.7 L/min.
d) Return flow control knobs to minimum.
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Installation Guide
8. Perform System Test.
Notes The color of a hand icon is white, which is in consistent with the color of the operating
procedure being performed.
a) Power on ADSIII.
b) Wait until the System Self-test is complete.
c) Select CONTINUE to prompt to the Safety Valve Test.
FIGURE 2-2 Startup Self Test
9. Perform Leak/Safety Valve Test.

a) Follow the on-screen instructions.
FIGURE 2-3 Leak Test Startup

100
b) Select CONTINUE to start the test.
FIGURE 2-4 Safety Valve Test Startup
FIGURE 2-5 Safety Valve Test in Progress
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Installation Guide
FIGURE 2-6 Safety Valve Passed Message
c) After 3 seconds, the screen will prompt to the Leak Test.

10. Perform Leak Test
Notes if system leak test fails, the mechanical ventilation modes, such as IPPV, SIMV, PCV and PS
will be retained.

FIGURE 2-7 Leak Test Startup
102
FIGURE 2-8 Leak Test in Progress
c) Select CONTINUE to prompt to the Compliance Test.
FIGURE 2-9 Leak Test Results
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Installation Guide
11. Perform Compliance Test

FIGURE 2-10 Compliance Test Startup
FIGURE 2-11 Compliance Test in Progress
104
c) Select CONTINUE to prompt to the Normal Screen.
FIGURE 2-12 Compliance Results
12. Oxygen Sensor Calibration
Cautions Oxygen Sensor Calibration can be performed in all ventilation modes.
Cautions The Oxygen Sensor Calibration is not displayed for UI software version 2.2.4 or lower.
Cautions Don’t shake the Oxygen Senor during calibration.
a) Press the MENU key and then use the Navigation Knob to scroll to the Calibration menu tab.
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Installation Guide
FIGURE 2-13 Calibration Menu Tab
106
b) Remove the Oxygen Sensor from the breathing circuit, and place it to the auxiliary air outlet
about 5-10 minutes, ensure that no air bubbles exit in the Oxygen Sensor.
c) After the countdown of 180 seconds, and the voltage is tend to stable. Use the Navigation Knob,
select CONTINUE and press the knob.
FIGURE 2-14 O2 Sensor Calibration Instruction
FIGURE 2-15 O2 Sensor Calibration Progress Bar
13. If the following situation occurs, operate the machine as next steps:
a) If calibration is successful, calibration success message will display on the screen, and prompts the
user to install the Oxygen Sensor on the breathing system. Press FINISH to complete operation.
b) If calibration is fail, calibration failure message will display on the screen, and prompts the user to
select “Repeat Cal” for calibrating again, or replacing new Oxygen Sensor.On that condition, select
CANCEL, and then replacing it.
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Installation Guide
FIGURE 2-16 O2 Sensor Calibration Successful FIGURE 2-17 O2 Sensor Calibration Failed
14. Manual Leak Test
Notes The Manual Leak Test detects smaller leaks than can be detected in the Automatic Leak Test.
Notes For testing purposes always use a reusable breathing circuit.
a) Ensure that the gas pressure for O2, N2O, and AIR are at 344.75 ±68.95kPa.
b) Power on ADSIII.
c) Attach a reusable-silicone-rubber breathing circuit to the Breathing System.
d) Tightly connect the Y-fitting on the breathing circuit to the test port.
e) Attach a breathing bag to the bag arm.
f) Set the APL Valve to the fully closed position (70cmH2O).
g) Rotate the O2 flow control valve until 50 cmH2O is observed on the airway pressure gauge.
h) Verify that the flow required to stabilize the pressure is less than 300 mL/min.
15. Verify that the APNEA alarm activates in Manual mode.
a) Press the MANUAL/AUTO key.
b) After 60 seconds, verify that:
 An alarm tone sounds
 The alarm message APNEA is displayed in red text
108
16. Verify that IPPV ADULT ventilator mode operates and that the tidal volume display reads within 15% of
the IPPV set value.
a) Attach a breathing circuit and breathing bag.

b) Attach an adult test lung to the Y-fitting of the breathing circuit.
c) Attach a vent tester between the expiration port and the expiration hose.
d) Set the O2 flow to 2L/min and set the N2O and AIR flow rates to minimum flow.
e) Set the ventilator controls to:
Ventilator Controls Ventilator Settings

Patient Type Adult
Ventilation Mode IPPV
Tidal Volume-VT 500
Breath Rate-freq 12
I:E Ratio-I:E 1:2
Plateau-TP 10
PEEP Off
f) Select IPPV again to begin ventilation.
g) Verify that the pressure waveform, Tidal Volume, Mean or Plateau Pressure, Resp. rate and
minute volume values appear on the screen.
h) Verify the Tidal Volume display is within 15% of the delivered volume measured with the Vent
Tester within approximately 1 minute from the start of ventilation.
i) Verify the delivered volume at the Vent Tester is within 15% of the Tidal Volume set value within
approximately 1 minute from the start of ventilation.
j) Verify the measured O2 concentration is at least 97% after 5 minutes.
k) Set the AIR flow to 3 L/min and set the N2O and O2 flow rates to minimum flow.
l) Verify the measured O2 concentration is 21% ±3% vol. % after 5 minutes.
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Installation Guide
17. Verify that IPPV CHILD ventilator mode operates and that the tidal volume display reads within 10% of
the IPPV set value.
Notes Limit the volume in the test lung to provide sufficient airway pressure to satisfy the Low Peak
Pressure alarm. Or reduce the Peak Pressure alarm limit to a lower valve to prevent the alarm when using
an adult test lung.


Patient Type Child
Tidal Volume-VT 120
Breath Rate-freq 20
I:E Ratio-I:E 1:2
Plateau-TP 10
PEEP Off
f) Select IPPV to begin ventilation.
g) Verify that the pressure waveform, Tidal Volume, Mean or Plateau Pressure, Resp. rate and
minute volume values appear on the screen.
h) Verify the Tidal Volume display is within 25ml or ±15% of the delivered volume (whichever is
greater) measured within approximately 1 minute from the start of ventilation.
i) Verify the delivered volume as measured by a Vent Tester at the expiratory port, is within 17% of
the Tidal Volume set value within approximately 1 minute from the start of ventilation.
j) Verify that the PEEP reading is 4±2 within approximately 1 minute from the start of ventilation.
110
18. Verify that the PCV ADULT ventilator mode operates.


Patient Type Adult
Ventilation Mode PCV
Target Pressure-PTARGET 20
Breath Rate-freq 12
I:E Ratio-I:E 1:2
PEEP Off
Inspiration Slope-Tslope 0.5
f) Select PCV to begin ventilation.
g) Verify the peak pressure reading of the display is ±20%, at least 2cmH2O of the peak pressure
measured with the vent tester.
h) Verify that the pressure waveform, Tidal Volume, Resp. Rate and minute volume values appear on
the screen.
i) Verify that the PEAK Value reaches 20 ±4cmH2O within five breaths from the start of ventilation.
19. Verify that the Low Airway Pressure alarm activates.
a) While the ventilator is running disconnect the Inspiration hose.
b) Verify that the "Low Airway Pressure" and the "APNEA" message appear on the screen.
c) Reconnect the hose to the Inspiration port and verify that the alarm is cleared.
20. Verify that the O2 concentration alarm signals activate.
a) While the ventilator is running, press the ALARM LIMITS key.
b) Set the O2 Minimum Alarm Limit to a value higher than the current O2 reading.
c) Verify that the FiO2 alarm activates indicated by an audio tone is present and that the alarm
message "Low FiO2" appears on the screen within three ventilation cycles.
d) Set the O2 Minimum Alarm Limit back to a value lower than the current O2 reading.
e) Verify that the FiO2 alarm resets.
21. Verify that the drive gas pressure loss alarm signals activate and N2O stops and AIR continues to flow.
a) Set the O2 flow for 1L/min.
b) Set the N2O flow to 1L/min.
c) Set the AIR flow to 1L/min.
d) Disconnect the O2 line supply to ADSIII, and Close the O2 cylinder.
e) Verify that the flow of N2O stops when O2 is lost.
f) Verify that AIR continues to flow.
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Installation Guide
g) Verify the "O2 Supply Failure" message appears on screen, a steady audio tone should sound.
112
h) Reconnect O2 line pressure source to ADSIII.

i) Verify that the alarms are reset.
j) Verify N2O flow has resumed once O2 pressure returns.
22. Verify that the battery operation and charging icons appears.
a) Set the vent mode to Standby.
b) Disconnect AC line cord.
c) Verify that the battery icon appears on the screen and indicates the charge level of the battery.
d) Verify that the line cord icon is flashing.
e) When the battery icon is in a not full state, reconnect the AC line cord.
f) Verify that the battery charge icon appears on the screen.
g) Verify that the flow meter backlight is illuminated during AC voltage operation.
23. Verify operation of the work light.
a) Turn on the work light located on the bottom side of the top panel.
b) Verify that it lights in both on positions.
24. Verify that the auxiliary O2 and AIR flow meter operate.
a) Verify an AIR flow of 15L/min can be obtained by connecting the auxiliary AIR hose to the
pressure source and opening the flow meter.
b) Verify an O2 flow of 15L/min can be obtained by connecting the auxiliary O2 hose to the pressure
source and opening the flow meter.
25. Verify that the Breathing System heats to body temperature.
a) Operate ADSIII on AC operation for approximately 40 minutes.
b) Verify the Breathing System has heated up to body temperature
26. Complete electrical safety inspection.
Notes Perform the electrical safety inspection as the last stop after completing a repair or after
routine maintenance. Perform this inspection with all covers, panels, and screws installed.
Notes Ground Resistance (between the U-blade ground on any convenience outlet to the U-blade
ground on the AC line cord).
a) Withdraw the Power cable(s) from the convenience receptacles at the rear of ADSIII.
b) Plug ADSIII into a Safety Analyzer.
c) Connect the case ground lead of the analyzer to the U-blade ground of one of the convenience
receptacles. Perform the following tests with the case grounded:
 Normal polarity
 Normal polarity with open neutral
d) Perform the following tests with the case ungrounded:
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Installation Guide
 Normal polarity
114

 Reverse polarity
e) Verify that the maximum leakage current does not exceed 300µA (0.3mA).
f) Plug ADSIII into the safety analyzer.
g) Attach the resistance-measuring probe on the analyzer to ADSIII U-blade ground on any
convenience outlet.
h) Invoke the resistance function on the safety analyzer, following the instructions for the analyzer.
i) Verify that resistance to ground is less than 0.2Ohms (200mOhms).
27. Check the vaporizer interlock
a) Attach two vaporizers to the Vaporizer Mounting Manifold and lock them in place.
b) Rotate either of the vaporizer's dial to 3% agent.
c) Verify that the other vaporizer dial cannot be rotated to a setting.
d) Set both vaporizers’ dials to 0.
e) Rotate the other vaporizer dial to 3%.
f) Verify that the first vaporizer dial cannot be rotated.
g) Rotate both vaporizer dials to T and remove both vaporizers.
h) Verify that the locking spring is intact.
i) Reconnect both vaporizers to the Vaporizer Mounting Manifold
28. Check each vaporizer's agent concentration output and accuracy.
Notes Do not overfill by filling past the indicator line on the vaporizer.
a) Insert the agent measuring device sampling tube inside the common gas outlet port.
b) Fill the Vaporizer with Anaesthetic agent.
c) Test the vaporizer accuracy per the Vapor 2000 instructions or see the appropriate vaporizer
manual for testing details.
d) Test each vaporizer in turn.
e) Remove the measuring device from the common gas outlet port.
f) Connect the fresh gas tube to the common gas outlet port.
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Repair Information
3.0 Repair Information
3.1 Introduction
This chapter of the Service Manual provides the necessary technical information to perform repairs to the
system. The most important prerequisites for effective troubleshooting are a thorough understanding of
the system's functions, as well as understanding its principles of operation.
Warnings Whenever using Anaesthetic gases, nitrous oxide, oxygen, or any hospital gas always
follow the appropriate agent evacuation/collection procedures. Use the hospital gas evacuation system.
Cautions This device uses high pressure compressed gas. When attaching or disconnecting
backup gas cylinders, the user should always turn the cylinder valves slowly. Use ADSIII flow meters to
bleed down the pressure, watching the cylinder gauge indicate the depleting cylinder pressure, before
disconnecting the cylinder from the yoke. Always open and close cylinder valves fully.
Cautions This device operates using compressed gas at high pressures from the hospital central
supply. When connecting gas supply lines attach the hose connection to the machine before connecting
the quick disconnect fitting to the hospital source. Disconnect the supply hose from the hospital source
connection prior to disconnecting it from ADSIII gas connection fittings.
3.2 Troubleshooting Guidelines

 Identify the problem—Due to the wide variety of potential symptoms, certain problems may be
more subtle than others. Following the guidelines of the tests will help determine the problem, if one
exists.
 Avoid shorting component leads together—during repair procedures, it can be tempting to make a
quick series of measurements. Always turn the power off before connecting and disconnecting the
test leads and probes. The accidental shorting of leads can easily stress the components and cause a
second failure (aside from the safety risk).
 Use the proper equipment—the equipment listed in "Special Tools Required" is suggested to fulfill a
wide range of troubleshooting requirements. It is imperative to use the designated equipment in
order to ensure proper results of any and all test procedures.
 Clean up the repair area—after any repair, clean off the repair area.
116
3.3 Special Tools Required

No. Part No. Name of Tools Quantity
1． --- Slotted Screwdriver (large，medium, small) 1 for each
2． --- Crisscross Screwdriver (large，medium, small) 1 for each
3． --- Inner Hexagon Spanner 1
4． --- Open spanner 1
5． --- Meter Screw drier 1
6． --- 5″ German-style external angle hook 1
7． 130004396 R15 hook spanner 1
8． 130006124 R12.5 hook spanner 1
9． --- TSI 4043E 1
10． --- Multimeter 1
11． 240000460 TSI sensor of quantity and flow 1
12． 240000461 SS20 handheld pressure gauge 1
13． 230000193 Silica gel corrugated pipe Φ22（1000mm，light Green, standard） 1
14． 230000189 Silica gel corrugated pipe Φ22（600mm，light Green, standard） 2
15． 230000188 Test lung 1L 1
16． 230000075 Breathing bag（3L,black,4-peices） 1
17． 122000741 O2 concentration ,monitoring kits 1
18． 122002003 Throttle Assembly 1
19． 122002002 Prolong tube block component 2
20． 130000471 Connector-1 1
21． 130006166 Manual air tightness test connector of integrated module component 1
22． 130006181 Test connector of expiratory valve 1
23． 130005546 Connector of device and repair kit-2 1
26． 122002946 Pressure sampling frock 1
27． 130006182 Frock adapter of pressure sampling frock 1
28． 130006183 Pressure sampling connect 1
29． 220000018 Straight-in flash-plug pipe tie-in 1
30． 130000081 Valve body of throttle 1
31． 304000014 O- ring 10.6×1.8 1
32． 301000347 Hexagon pattern countersunk nut M4×６ 1
33． 130000332 Knob 1
34． 130000082 Spool of throttle 1
35． 220000080 German-style external angle hook 1
36． 301000095 Plug Pan Head Screw M2×6 1
37． 130004464 Prolong pipe block 1
38． 304000102 O- ring 22×1.8 1
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Repair Information
39． 122003112 Connect assembly of manual gas seal test of integrated module 1
40． 122003113 Two-connector assembly 1
41． 304000097 O- ring 12×1.8 1
42． 122003114 Four- connector assembly 1
43． 122003115 Connector assembly-1 1
44． 304000100 O- ring 18×1.8 1
45． 122003116 Connector assembly of expiratory valve test 1
46． 304000125 O- ring 30×1.8 1
47． 230000011 PU Tube 8/6（blue） 1
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3.4 Troubleshooting Table

The following table shows symptoms and corrective actions for problems when troubleshooting ADSIII. The information given indicates failures during startup and
runtime.
Trouble Occurrence Phase Cause Analysis Solutions

1. The power supply switch is turned to ON, 1.Turn the power supply switch to OFF and power
immediately after be turned to OFF, which makes the on again after waiting for 1～2seconds.
time too short for the BDU control board power to
BDU reboot.
Communication Startup test 2. The data wire is disconnected or damaged. 2. Check whether the data wire (signal wire at
FAIL backside of display) is disconnected or is damaged.
3. The BDU control board is defective. 3. Replace the BDU control board and perform
each item of calibration and startup test again.
4. BDU control board crashes or resets. 4. Turn off the power supply and power on again.
1. The power supply switch was turned ON, and OFF 1. Turn the power supply switch to OFF, wait 1～2
quickly. seconds, then power on again.
2.GUI、BDU and Keyboard are incompatible. 2. Update software version. Enter SERVICE manual
to check out the real software version. If the
version is 00.00, turn the power supply switch to
OFF, and power on again.
Software Version
Startup test 3. The data wire is disconnected or damaged. 3. Check whether the data wire (signal wire at
FAIL
backside of display) is disconnected or is damaged.
4. BDU control board is defective. 4. Replace the BUD control board and perform
each item of calibration and startup test again.
5. The keyboard board is defective. 5. Replace the user interface assembly.
6. PC104 board is defective. 6. Replace PC104 board with the compatible
software version.
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Repair Information

1. Data stored in EEPROM on BDU control board is lost 1. Startup, and then perform each item of the
BDU EEPROM Data
Startup test (checksum error). calibration and startup test again.
FAIL
2. BDU control board is defective. 2. Replace BDU control board.
1. BDU control board is defective, or the data stored 1. Check that the EEPROM (BDU U12) is connected
on BDU control board is lost (checksum error). correctly, or replace the EEPROM and BUD control
EEPROM IC FAIL Startup test
board, and perform each item of the calibration
and startup test again.
1. The Watch Dog Timer in the digital signal processor 1. Replace the BDU control board, and perform
BDU WDT FAIL Startup test
on the BDU control board is damaged. each item of calibration and startup test again.
1. The AD or 4052 in the digital signal processor on 1. Replace the BDU control board, and perform
AD/DA FAIL Startup test
BDU control board is damaged. each item of calibration and startup test again.
1. The wire that connects to the vent/manual valve is 1. Check whether the connection wire of the
disconnected or is damaged. vent/manual valve is disconnected or is damaged.
2. The vent/manual solenoid valve is damaged. 2. Replace the vent/manual solenoid valve.
3. The tube of vent/manual valve kinked or occluded. 3. Check whether the tube of vent/manual valve
Vent/Manual Valve
Startup test and pneumatics tube kinked and remove any
Failure
occlusions.
4. The amplifier board or connection cable is defective. 4. Check the connection cable and replace the
amplifier board. Then perform each item of the
calibration and startup tests again.
1. Fresh gas flow is present at startup. 1. Turn off fresh gas flow and reboot the unit.
2. The sensor board is defective. 2. Replace the sensor board, and then perform
Expiratory Sensor
Startup test each item of the calibration and startup test again.
Failure
3. The tube is defective or gas is left in the Breathing 3. Check the tube and release the gas left in the
System. Breathing System.
120

Keyboard 1. Check whether keyboard COM1 is correctly
1. The data wire is disconnected or is damaged.
Communication Startup test connected.
FAIL 2. The keyboard board is defective. 2. Replace the user interface assembly.
1. The connection wire of the PAW board is 1. Check whether the connection wire of the PAW
disconnected or is damaged. board is disconnected or damaged.
2. The connection of the PAW board or sensor board is 2. Check the power supply and connection of the
Pressure Sensor
Startup test defective. sensor board. Replace the PAW board and sensor
FAIL
board.
3. The tubing kinked or occluded. 3. Check the tubing for kinks and remove any
occlusions.
1. The O2 concentration is below 16%. 1. Increase O2 concentration.
2. The O2 sensor is out of range. 2. Replace the O2 sensor.
3. The main unit O2 sensor cable is disconnected or 3. Check whether the main unit O2 sensor cable id
damaged. disconnected or damaged.
O2 Sensor FAIL Startup test 4. The amplifier board is defective. 4. Replace the amplifier board, and then perform
each item of the calibration and startup test again.
5. Weeping occurs on O2 sensor. 5. Replace the O2 sensor.
6. The O2 sensor is not compatible with the amplifier 6. Replace the amplifier board. And then perform
board. each item of the calibration and startup test again.
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Repair Information

1. The connection wire of the inspiration valve is 1. Check whether the PEEP valve is disconnected or
disconnected or damaged. damaged.
2. The PEEP valve is defective. 2. Replace the PEEP valve.
3. The amplifier board is defective. 3. Replace the amplifier board and then perform
PEEP Valve FAIL Startup test each item of the calibration and startup test again.
4. The PEEP valve calibration fails. 4. Clean the check valves inside the Breathing
System, and then perform the flow sensor
calibration and flow valve calibration.
5. The PEEP valve is blocked. 5. Clean or replace the PEEP valve.
1. The connection wire of the inspiration valve is 1. Check whether the inspiration valve s
disconnected or damaged. disconnected or damaged.
Inspiration Valve
Startup test 2. The inspiration valve is defective. 2. Replace the inspiration valve.
FAIL
3. The amplifier board is defective. 3. Replace the amplifier board and then perform
1. Fresh gas is flowing during the startup procedure. 1. Verify that no fresh gas is flowing during the
startup procedures.
Inspiration Sensor
Startup test 2. The sensor board is defective. 2. Replace the sensor board and then perform
FAIL
3. Press O2 flush button during startup. 3. Do not press O2 flush button during startup.
1. The flow sensor does not reach the minimum value. 1. Reinstall the absorber canister.
2. The AD value of flow sensor is incorrect. 2. Check whether the flow sensor is correctly
Flow Sensor FAIL Startup test
connected.
3. The flow meter leaks. 3. Replace the flow meter.
122

1. The connection wire to the speaker is disconnected 1. Check whether the connection wire of the
or damaged. speaker is disconnected or damaged.
2. The speaker assembly is not connected. 2. The communication board is not pretty welded,
weld the communication board again.
3. The alarm cable does not correctly connect with 3. The communication board fails, replace the
Alarm Speaker FAIL Startup test
printer port. relevant parts or the communication board.
4. The loop of the speaker is turned off. 4. Replace the speaker.
5. The communication board is defective. 5. Replace the communication board, and confirm
the software version is compatible with the new
one.
1. The pneumatic tube is disconnected. 1. Check whether the pneumatic tube is connected
or damaged.
During manual leak 2. Gas cannot flow fluently in the Breathing System. 2. Adjust or replace the Breathing System.
test, the bellows 3. The bellows moves downward. There are leaks 3. Reduce the pressure on some ports, such as
Startup test
moves when it happened on some ports in the Breathing System. The CGO port and 1.75 pressure regulator.
shouldn’t. pressure of 1.75bar pressure regulator is so high that
leaks occur.
4. The bellows moves upward, the safety valve leaks. 4. Replace the safety valve.
In leakage 1. The pressure gauge is defective. 1. Replace the pressure gauge.
detection, the APL
valve detection
pressure displayed
Startup test 2. The Breathing System leaks in manual mode. 2. Replace the APL valve or replace the Breathing
on the pressure
System.
gauge does not
stay within 25～
35cmH2O.
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Repair Information

In leakage 1. The proportional valve on the airway module fails. 1. Calibrate the inspiration valve again.
detection, safety 2. The safety valve in the airway module fails. 2. Replace the safety valve or the airway module.
Startup test
valve detection 3. The local altitude is above 4000 meters. 3. Replace the application software and pressure
fails. sensor board to adapt to the local altitude.
1. The tubing connection is not tight. 1. Check the connection on the tubing.
2. The absorber canister is not correctly connected. 2. Check the installation of the absorber canister.
In leakage
3. The pressure gauge or oxygen sensor on the circuit 3. Check the installation of the pressure gauge or
detection, the
Startup test is not installed tightly. oxygen sensor on circuit.
leakage volume is
4. There is a leakage in the fresh gas supply. 4. Check the fresh gas supply for leakage.
400mL～1L.
5. The bellows moves upward or downward. 5. Reduce the output pressure on circuit, or
replace the safety valve.
1. The tubing connection is not tight. 1. Check the connection on the tubing.
2. The absorber canister is not correctly connected.。 2. Check the installation of the absorber canister.
In leakage
3. The pressure gauge or oxygen sensor on the circuit 3. Check the installation of the pressure gauge or
detection, the
Startup test is not installed tightly. oxygen sensor on circuit.
leakage volume is
4. There is a leakage in the fresh gas supply. 4. Check the fresh gas supply for leakage.
larger than 1L.
5. The gate valve on vaporizer mounting manifold is 5. Replace the gate valve.
defective.
1. The Y-fitting is not sealed or the Breathing System 1. Check the connection and leakage of respiration
has leakage. tubes.
2. The flow meter is set incorrectly. 2. Calibrate the flow meter again.
In compliance test,
3. The respiration tubes are too long. 3. The respiration tubes cannot be too long,
compliance test Startup test
replace the long tubes.
fails.
4. The calibration of pressure sensor is inaccurate 4. Calibrate the pressure sensor again.
5. The airway module is defective. 5. Replace the airway module.
6. The gas module is defective. 6. Replace the gas module.
124

1. Gas supply is not connected or the gas supply 1. Check whether gas supply is connected or is
switches off. switched on.
Startup test 2. The gas supply switches off or the connection cable 2. Replace the gas supply switch or connection
O2 supply fails.
/Runtime is damaged. cable.
3. The amplifier board is defective. 3. Replace the amplifier board, and perform each
item of calibration and startup.
1. Check whether AC outlets are connected
AC Outlets are non Startup test 1. AC outlets are not connected.
correctly.
functional. /Runtime
2. A fuse is tripped. 2. Replace the fuse.
1. Battery capacity is low. 1. Connect the battery to AC power. Make sure the
battery is fully discharged and charged every 3
months.
Low Battery Runtime
2. The battery is not functional. 2. Replace the battery.
3. The connection cables or power board are defective. 3. Check the connection cables or replace the
power board.
1. Battery capacity is low. 1. Connect the battery to AC power. Make sure the
battery is fully discharged and charged every 3
months.
The battery icon 2. The connection cable of battery is not connected or 2. Check whether the battery connection cable is
always shows Runtime damaged. not connected or damaged.
charging status. 3. The battery is not functional. 3. Replace the battery.
4. The power board is defective or the surrounding 4. Replace the power board.
environment is too high.
5. The cables on the power board are defective.。 5. Reconnect the cables correctly.
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Repair Information

1. Mains outlet is not connected correctly. 1. Check whether mains outlet is connected
correctly.
2. The connection cables of the Breathing System are 2. Replace the connection cables of the Breathing
The heating of the defective. System.
Breathing System Runtime 3. The heating control board is defective. 3. Replace the heating control board or the output
fails. cable.
4. The circuit inside the breathing system is defective. 4. Replace the breathing system.
5. The light on the heating control board cannot be 5. Replace the heating control board.
lighted or is always light.
The O2 reading is 1. The O2 sensor calibration is incorrect, or the O2 1. Calibrate the O2 sensor again or replace the O2
Runtime
out of tolerance. sensor is defective. sensor.
The pressure
reading is out of Runtime 1. The pressure sensor calibration is incorrect. 1. Calibrate the pressure sensor again.
tolerance.
1. PEEP valve calibration is incorrect. 1. Calibrate PEEP valve again.
PEEP reading is out 2. Pressure sensor calibration is incorrect. 2. Calibrate the pressure sensor again.
Runtime
of tolerance. 3. PEEP value is above the normal level. 3. Calibrate the PEEP valve again.
4. PEEP valve is not tightly connected. 4. Tighten the screw at the bottom of PEEP valve.
126

1. The compliance test isn't accurate after start-up. 1. Perform the compliance test again.
2. The supply gas pressure is too low, so the VT is 2. Advance the supply gas pressure.
inaccurate.
3. The inspiratory VT is too large or the expiratory VT is 3. Examine the check valve for one direction
too small; The disk in check becomes sticky, cleaning is character, chean the check valve disk.
needed.
4. The bellows does not move steadily. 3. Heating the bellows or replace the bellows.
5. The inspiratory VT is too small or the expiratory VT 5. Replace or reconnect the pneumatic hose, settle
is too large; When the airway pressure is 0 and the pipeline to avoid it blocked; replacing O-ring of
30cmH2O, the value of Insp. /Exp. sensors in engineer the connector to avoid the leakage.
The Vt reading is mode AD monitoring is far away from 0.27V.
Runtime
out of tolerance. 6. The Expiratory wave on screen is smaller or 6. If the water in the circuit, use MANUAL Mode,
disappeared; it means there is some water in the block the outlets of circuit, disconnect the
circuit sensor part or in the mainframe pipeline. mainframe port of pneumatic hose.Press the O2
flush valve to blow the water out; If the water is in
the pipeline, use injector assembly to fix this.
7. The VT is inaccurate. 7. Clean the block in the Insp. /Exp. Airway.
8. The calibration of flow sensor is inaccurate. 8. Recalibrate the flow sensor again.
9. The calibration of pressure sensor is inaccurate. 9. Recalibrate the flow sensor again.
10. The calibration of inspiratory valve is inaccurate. 10. Recalibrate the inspiratory valve again.
11. The sensor board、BDU is defective.(No flow rate 11. Replace the sensor board、BDU.
wave)
1. The flow of O2 flush is below the maximum value,
1. Replace CGO assembly.
O2 flush is CGO assembly is inaccurate.
Runtime
defective. 2. The O2 flush button cannot return to the normal
2. Replace the O2 flush button.
position.
127
Repair Information

The power switch 1. The power switch or the connection cable is 1. Replace the power switch or the connection
on the main unit is All defective. cable.
non-functional. 2. The communication board is defective. 2. Replace the communication board.
All or some of the 1. The key board is defective. 1. Replace the key board.
keys are All 2. The communication board or COM 1 connection
2. Check and replace the communication board.
non-functional. cable is defective.
1. The encoder is defective. 1. Replace the encoder.
The encoder is
All 2. The communication board or COM 1 connection
non-responsive. 2. Check and replace the communication board.
cable is defective.
1. Replace the work light circuit board or check the
1. The work light circuit board or the cable is defective.
All or some of the wire connection.
work lights are All 2. The flow meter drive backlight is overloaded, which
2. Decrease the flow meter backlight overload.
non-functional. leads to trigger protection.
3. The work light switch is defective. 3. Replace the work light switch.
1. The power supply to the light is defective. 1. Replace the power supply to the light.
The flow meter 2. The foil of light is defective. 2. Replace the foil of light.
light is All 3. The inverter is defective. 3. Replace the inverter.
non-functional. 4. Replace the power board or replace the
4. The flow meter light is still light after power off.
communication board.
128

1. The maximum value of flow meter is far too low. 1. Adjust the throttle.
2. The flow meter leaks. 2. Replace the flow meter.
3. Adjust the proportional gear, adjust pin valve or
3. The ratio of O2 and N2O is inaccurate.
The flow meter is replace the flow meter.
All
defective. 4. The color of the flow meter back light is reversed. 4. Rotate the back light board.
5. The label of the rotation knob is damaged. 5. Replace the knob label.
6. Replace the O2 gas inlet, or adjust the O2 flow to
6. There is basic flow in the flow meter.
0.
The Aux. AC outlet
All 1. The fuse is damaged. 1. Replace the fuse.
is non-functional.
1. The GUI program has crashed. 1. Reboot the system.
2. The signal cable is disconnected. 2. Check the signal cable.
3.PC104、back light power、communication board or 3.Check and replace PC104、back light power、
inverter is defective. communication board or inverter.
The display screen
All 4. The display screen is damaged. 4. Replace the display screen.
is a solid color.
5. The missing or incorrect of CMOS setting data leads 5. Recover CMOS default setting by short-circuit
to main board inactivated. jumper JBAT1.
6. The connection cable of display screen is defective. 6. Replace the connection cable of the display
screen.
1. Power off and power on, and then calibrate
1. The flow valve calibration does not pass.
again, or replace the gas module.
Calibration fails. All 2. Prolong the silicone tube connecting to Insp.
2. AD difference is too large.
/Exp. ports.
3. The flow valve cannot be calibrated. 3. Replace BDU.
Ventilation Mode
All 1. Ventilation test under IPPV adult mode fails. 1. Clean the check valve.
test fails.
129
Repair Information

1. Noise arises as increasing AIR flow under IPPV
1. Adjust the spring on the AIR port of the gas inlet.
mode.
2. Noise arises as starting up the machine. 2. Replace the PEEP valve or flow valve.
There is noise
3. Noise of high pressure gas supply leads to low
coming out of the All 3. Replace the reducing valve of high-pressure O2.
pressure alarm.
machine.
4. Noise arises at the N2O gas inlet. 4. Replace the N2O cutoff-valve.
5. Noise arises as the bellows moving downside under
5. Replace the PEEP valve.
PCM mode.
Other setting
parameters are All 1. PTARGET is inaccurate in PCV mode. 1. Adjust the upper limit of pressure alarm.
incorrect.
130
Installation Guide
3.5 Flow Chart for Leak Test
FIGURE 3-1 Leak Test Flow Chart
131
Repair Information
3.6 Flow Chart for Vt Test
FIGURE 3-2 VT test Flow Chart
132
3.7 Check Valve Repairing

The following tools should be provided before repairing check valve: open-end wrench(14mm)、inner
hexagon spanner(4mm)、crosshead screwdriver、long flat nose pliers、socket key (12mm)、torque wrench、
hexagon socket head screwdriver (3mm, use together with torque wrench)、243 glue、silicone grease and
box staff.
The steps on repairing check valve is shown below:
1. Unplug the pneumatic hose connected at the bottom of the Breathing System, and unplug the heater
wire at the bottom of the Breathing System as well.
FIGURE 3-3 Check Valve Repairing
2. Rotate the CGO tube clockwise until it can be removed. Remove the Breathing System Pneumatics
Hose connected at the left side of the machine.
133
Repair Information
3. Rotate the bellows dome counterclockwise to remove it according to the indicator, and then remove
the bellows from the bellows fixing plate.
134
4. Pull out the airway pressure gauge form the gauge stand.
5. Uplift the whole Breathing System until it can be completely remove from the support arm.
135
Repair Information
6. Put the Breathing System on a clean and flat table.
7. Disconnect the corrugated tube from the absorber canister.
136
8. Rotate the two screws counterclockwise from the locking device using inner hexagon spanner (4mm),
and the remove the locking device.
9. Remove the absorber canister, and remove the two connecting bars from it using open-end wrench
(14mm).
137
Repair Information
10. Loose the three screws located on the fixing plate of the absorber canister using crosshead screwdriver,
and then remove the fixing plate.
11. Remove the fifteen screws from the bottom panel of the Breathing System using hexagon socket head
screwdriver (3mm).
138
12. Use a socket key (12mm) together with a pneumatic connector to disassemble the panel from the
Breathing System.

Put the socket key to the corresponding hole, insert and screw the pneumatic connector to the hole on
the panel respectively.
139
Repair Information
Uplift the pneumatic connector from the panel with hands.
13. Take out the check valve from the installing hole using long flat nose pliers.
140
14. Wiping the check valve disc repeatedly by cotton swab dipped with ethanol; make sure there is no
stain left on the check valve.
141
Repair Information
15. Install the check valve disc in the check valve after cleaning. Spread silicone grease to the O-ring of the
check valve.
Notes Use even force when installing the check valve in case of damaging the O-ring.
Install the check valve to the corresponding holes by using long flat nose pliers.

142
16. Cover the bottom panel of the Breathing System; install the fifteen screws to the corresponding holes
by the hexagon socket head screwdriver (3mm).
Notes As installing the fifteen screws, first of all, by using torque wrench(4mm), fasten the five
screws in the middle of the panel, and then fasten the other screws in diagonal order to ensure even force
have been put on the screws respectively.
Notes After installation, check whether the panel is tightly fastened to the Breathing System. Adjust
the force being put to the fifteen screws till the panel is tightly fastened.
143
Repair Information
17. Put the fixing plate of the absorber canister to the corresponding position of the Breathing System.
Notes Wiping the fixing plate dipped with ethanol for cleaning.
Notes Make sure the holes of the fixing plate should be positioned to the corresponding place at
the panel of the Breathing System.
18. Spread 243 glue to the three crosshead screws; put the gland bush to the corresponding position.
Install the three screws to the corresponding holes by using crosshead screwdriver.
Notes Make should even force has been put when installing the screws. Ensure the fixing plate is
tightly installed to the panel.
144
19. Spread 243 glue to the connecting bars, and install them to the holes at the panel of the Breathing
System. Measuring whether the height of the two connecting bars reaches 314mm (the distance between
its top to the keep plate) by box staff, if not, rearrange the height till both of them are at the same height.
145
Repair Information
After that, fasten the two connecting bars by open-end wrench (4mm).
Insert the inner hexagon spanner (4mm) to the hole as fastening the connecting bar.
Measure the height of the two connecting bars after fastening them. Readjust the height if there are
differences.
146
20. Install the absorber canister as shown in the picture.
147
Repair Information
148
21. Spread 243 glue to the two hexagon socket head screws, drill them through the installing holes at the
locking device respectively, and fasten the screws to the holes at the two connecting bars by inner hexagon
spanner (4mm).
149
Repair Information
22. Spread silicone grease to the orifice of the corrugated tube, and insert it the port at the absorber
canister.
Notes Insert the corrugated tube to the bottom and make sure it is not twisty when connecting the
corrugated tube.
150
23. Install the Breathing System to the support arm.
24. Insert the airway pressure gauge to the airway pressure gauge.
151
Repair Information
25. Install the bellows to the bellows fixing plate; rotate the bellows dome clockwise to fasten it on the
Breathing System.
152
26. Connect the pneumatic hose and CGO tube to the machine and the Breathing System respectively.
27. Connect the driving gas tube and heating wire to the ports respectively at the bottom of the Breathing
System.
153
Repair Information
28. Check the air tightness after installation.

Checking method: adjust the O2 flow to 0.1L/min, block the bag port with hand, and observe the reading at
the airway pressure gauge. The Breathing System is in good condition if the reading increases gradually.
154
3.8 Gas Box Repairing

The method for disassembling and repairing of gas box is shown in the following:
1. Make sure AC line cord is disconnected an d unit is in OFF position.Remove 5 screws securing the gas
box panel, and remove the panel.
FIGURE 3-46 ADSIII Gas Box Panel Position
155
Repair Information
2. Remove 6 screws securing the AC Input Panel. Disconnect Cable#35(from AC Input Panel) from
Cable#36(from Power Switch). Remove the panel.
Notes It is only necessary to remove the AC Input Panel when replacing the flow sensor assembly.
As necessary, proceed to next step.
FIGURE 3-47 ADSIII AC Input Panel Position
156
3. Perform the appropriate sequeces listed below: gas drive module replacement、O2 pressure regulator
replacement、sensor board replacement、PEEP valve and flow sensor assembly
FIGURE 3-48 ADSIII Gas Drive Assembly Position
a) Drive Gas Module Replacement
Disconnect tubing from left side (#35, 36 & 38) of module.
Disconnect tubing from right side (#1 & 3) of module.
Disconnect tubing from front (#28) of module.
Disconnect cables (#18 & 16) from Sensor Board.
Disconnect cables (#42 & 43) from the Pair (Drive Pressure) and Paw (Airway Pressure) PCB’s of the module.
Remove (2) screws securing module to Gas Box, then remove module.
Record the new module revision and serial number in the REPLACEMENTS section of the rework DHR.
Secure module to gas box with (2) screws.
Route cables between behind tubing of the Drive Gas Module.
Connect Cable #18 to J12 of the Sensor board.
Connect Cable #16 to J4 of the Sensor board.
Connect Cable #42 to connector on Pair PCB.
Connect Cable #43 to connector on Paw PCB.
157
Repair Information
Connect tubing #38 from 1.8bar regulator to top connect on left side.
Connect tubing #35 to the back connector on the left side.
Connect tubing #36 to the front connector on the left side.
Connect tubing #28 to top right connector on front of module.
Connect tubing #3 to the back connector on the right side.
Connect tubing #1 to the front connector on the right side.
b) O2 Pressure Regulator Replacement
FIGURE 3-49 ADSIII O2 Pressure Regulator Position
Unscrew the (2) fittings securing the (2) tubing to the regulator.
Remove (2) tubing (#15 & 38).
Remove (2) screws securing Regulator bracket to gas box.
Remove Regulator Assembly.
Remove nut securing bracket to Regulator.
Reinstall nut.
Record the revision and serial number of the new regulator in the REPLACEMENTS section of the rework
DHR.
Remove nut. Install bracket and secure with nut.

158
Secure Regulator Assembly with (2) screws.
Install tubing #15 on right side of regulator (from gas input block)
Attach a pressure meter to the other side of the regulator.
Verify regulator is 1.75 +/- 0.5 bar (adjust regulator as necessary).
Remove Pressure Meter and reinstall tubing #38 to the left side of regulator.
c) Sensor Board Replacement
FIGURE 3-50 ADSIII Sensor Board Position
Remove (4) tubing (#29, 9, 11 & 10) on the Inspiratory and Expiratory Sensors respectively.
Disconnect 25-pin connector.
Disconnect (9) cables (#18, 17, 16, 42, 43, 12, 14, 4 & 15).
Remove (4) screws securing board to gas box.
Remove board.
Record new Sensor board revision and serial number in the REPLACEMENT section of the Rework DHR.
Secure board to gas box with (4) screws.
Install (9) sensor cables as follows:
• Cable #18 (from Prop Valve) to J12 (Val.insp) connector

• Cable #17 (from PEEP Valve) to J14 (Val.exp) connector
• Cable #16 (from switch on Prop Valve Assy) to J4 (Val.man) connector
159
Repair Information
• Cable #42 (from Pair PCB on Prop Valve Assy) to J2 (Penv) connector
• Cable #43 (from Paw PCB on Prop Valve Assy) to J1 (Paw) connector
• Calbe #12 (from Flow Sensor) to J10 (flow) connector
• Cable #14 (from Pressure Switch of Gas Input Assy) to J6 (Pgas) connector
• Cable #4 (from Worklight) to J11 (24V) connector
• Cable #15 (from Flow Meter Backlight Inverter) to J15 (24V) connector
Install 25-pin connector.
Install (4) tubing to Inspiratory and Expiratory Sensors as follows:
• Tubing #29 to Exp Hi

• Tubing # 9 to Exp Lo
• Tubing #11 to Insp Hi
• Tubing #10 to Insp Lo
d) PEEP Valve Replacement
FIGURE 3-51 ADSIII PEEP Valve Position
Remove (2) tubing (#34 & 7) connected to left side of valve.
Remove (1) tubing (#33) connected to front side of valve.
Remove (1) tubing (#31) connected to right side of valve.
Remove PEEP valve cable (#17) from Sensor board.
Remove (2) screws securing PEEP valve bracket to gas box.
Remove (4) screws securing PEEP valve to bracket.
Record new PEEP valve revision and serial number in the REPLACEMENTS section of the Rework DHR.
160
Secure bracket to PEEP valve with (4) screws.
Secure PEEP valve assembly to gas box with (2) screws.
Route PEEP valve cable between PEEP Valve and Drive Gas Module.
Install Cable #17 to J14 of the Sensor board.
Install tubing #34 to rear connector on left side of the valve.
Install tubing #7 to front connector on left side of the valve.
Install tubing #33 to connector on front of the valve.
Install tubing #31 to connector on right side of the valve.
e) Flow Sensor Assembly Replacement
FIGURE 3-52 ADSIII Flow Sensor Position
Unscrew (2) connectors securing tubing.
Cut tie wrap securing flow sensor assembly to chassis.
Remove (4) screws securing the Gas Box to the chassis.
Remove (2) screws securing the Gas Box to the Gas Input Block.
Remove (4) screws securing Gas Input Block to the chassis.
Remove spiral wrap containing the wires from the Flow Sensor Assembly.
Disconnect Flow Sensor Assembly Cable (#12) from Sensor Board.

161
Repair Information
Remove Flow Sensor Assembly.
Record new Flow Sensor Assembly revision and serial number.
Insert its Cable #12 onto the J10 connector of Sensor board.
Route cable through Gas Input Block chamber.
Group ires by inserting Flow Sensor and all other cables into the spiral wrap.
Install tubing #22 onto the left connector of Flow Sensor Assembly.
Install tubing #42 onto the right connector of Flow Sensor Assembly.
Use tie wrap to secure Flow Sensor Assembly to chassis.
Re-secure the Gas Input Block to the chassis using (4) screws.
Notes Do not pinch any hoses or wires when securing the Gas Input Block. Take extra caution to
route all tubing and cables above the Gas Input Block.
Secure the Gas Box to the chassis using (4) screws and washers.
Secure Gas Box to Gas Input Block using (2) screws.
162
Installation Guide
4.0 Replacement Parts and Accessories
4.1 Introduction
This section of the manual provides information that is necessary to identify replacement parts and
accessories.
4.2 Ordering Information

Replacement parts and assemblies are available. Please follow these guidelines when ordering
replacement items for the product:
Include the module and serial number of the product.
Include the part number exactly as it appears in the Parts List under the column, “Part Number”.
Include a description of the item.
4.3 Part List

Serial No. Part Name Part No.
1. Caster, with Brake 240000036
2. Caster, without Brake 240000035
3. Scavenger System,ADSIII 122001550
4. Drawer Assy 122001687

5. AGSS Transfer Hose (long) 122001806
6. Rail, Right Side 130004002
7. Cable, Heater 122001624

8. Breathing System 121000205
9. Bag Arm 122001735
10. APL Valve 240000171
11. Airway Pressure Gauge 122001736
12. O Ring, 4 x 1.8 304000093
13. O Ring, 6 x 1.8 304000095
14. Cover, I/E Valves 130002187
15. Frame, I/E Valve 130002188
16. Ring, I/E Valve 130004101
163
Repair Information
17. Disc, Ceramic I/E Valve 130004102
18. Absorber Hose fitting 130004064
19. Absorber Mount Assy 122001749
20. Absorber Canister Assy 122001754
21. Gasket, Absorber 130003228
22. Screen, Metal 130004098

23. Canister, Soda Lime 130004075
24. Bellows Assy 122001756
25. Cover, Bellows 130004086
26. Absorber Hose 130004092
27. Breathing System Support Arm 122001733
28. O2 Sensor cable 122001766
29. Breathing System Interface 122001692
30. Breathing System Pneumatics Hose 122001757
31. Drive Gas Hose 230000318
32. Rail, Left Side 130004001
33. O2 Flush Valve Assy 122001691
34. Common Gas Outlet Assy 122001693
35. Vaporizer Mount 121000204
36. Aux Gas Assy 122001701

37. UI Cable 122001625
38. UI Mounting Arm 121000126
39. Display Assy 122001699
40. Knob, Navigator 130003199
41. Keypad Overlay 130004004
42. Cable, Comm PCB to Display Panel 122001784
43. Speaker Assy 122001805
44. PCB RS232 122001407
45. PCB, Communications 122001403
46. Cable, PC104 PCB to Display 122000598
47. LCD Display 210000138
164
48. New PC104 210002146

49. Inverter, LCD 210000139
50. Rail Stop 130004000
51. Flow Meter FM400 Assy 122001707
52. O2 Knob 130003960
53. Air Knob 130003961
54. N2O Knob 130003962
55. Inverter, Flow Meter Backlight 122001773
56. Arm, Monitor 121000206

57. Corner Guards 130003866
58. Gas Input Assy 122001705
59. Input module subassy 122001706
60. O2 Pressure Regulator Subassy 122001714

61. Air Pressure Regulator Subassy 122001715
62. N2O Cutoff Valve Subassy 122001716

63. O2 Pressure Switch 240000270
64. Valve, 3-way 220000262
65. PCBd Assy, Top Light 122001408
66. Vaporizer Storage Mount 122001725
67. Gauge Assy, O2 High Pressure 122001726
68. Gauge Assy, Air High Pressure 122001728
69. Gauge Assy, N2O High Pressure 122001730
70. Gauge Assy, O2, Line Pressure 122001727
71. Gauge Assy, Air, Line Pressure 122001729
72. Gauge Assy, N2O, Line Pressure 122001731
73. Switch, Terminal, Main 210001744
74. Switch, Work light 122001772
75. Line Cord Hook 130003892
76. Holder, Fuse 210001669
77. Fuse, 2A, 250V 210001738
78. Socket, AC US Medical 210001789
165
Repair Information
79. Fuse, 10A, 250V 210001737

80. Grommet 210001793
81. Cable, AC , SJT, 3x16 AWG, unterminated, with Plug, AC POWER, 210001745+
US 210001788
82. Electronic Flow Meter Assy 122001704
83. Flow Sensor 122001779
84. PEEP Valve assembly 122002026
85. Gas Drive Module Assy 122001698
86. Valve, Safety 122000834
87. Valve, Electromagenetic Subassy 122001791
88. Airway Pressure PCB 122001409

89. Drive Pressure PCB 122001410
90. Valve, Proportional 240000129
91. PCBd Assy, Sensor 122001406
92. Restrictor, 2000mL 131000007
93. Regulator Assy, O2, High Pressure 122001722
94. Regulator Assy, Air, High Pressure 122001723
95. Regulator Assy, N2O, High Pressure 122001724
96. Yoke, N2O 122001721
97. Yoke, Air 122001720
98. Yoke, O2 122001719
99. Frame, Yoke Support 130003982
100. Cylinder support Gasket 130003864
101. Cable, Amp PCB to Sensor PCB 122001626
102. PC Bd Assy, Power 122001401
103. PC Bd Assy, Amplifier 122001402
104. PC Bd Assy, BDU 122001404
105. Battery Assy SLA-5AH24V-3 122001627
106. PC Bd Assy, Br Sys Heater 122001405
107. Power Supply, SNP-B209, Switching 210001739
108. Lock, Drawer 240000281
109. O2 Sensor 210002072
166
110. O2 Sensor Interface 130004085

111. O-ring, O2 Sensor Interface 304000105
112. Filter, AGSS 130003500
113. Sight Glass, AGSS 130003504
114. Gasket, Bellows Canister base 130004091
115. Gasket, I/E Valves 130004147
116. Retainer Ring, Bag Arm 130004025
117. O Ring, Vaporizer Mount 304000044
118. Key, Drawer 220000290
119. Label, Flow Meter O2 130003963
120. Label, Flow Meter Air 130003964
121. Label, Flow Meter N2O 130003965
122. Washer, Seal 220000280
123. Bag arm assembly(tall) 122002573
124. O2 Sensor Plug 130004052
125. Test plug 122002002
126. Check Valve Screw Stem 130005424
127. Check Valve 130005335
128. 1L black test lung 230000188
129. O2 Diss Fitting 130003970
130. Air Diss Fitting 130003971
131. N2O Diss Fitting 130003972
132. Gas Inlet Filter 130003975
133. O ring sealΦ89×3.55（Battery Retension Band） 304000088
134. Aux Outlet cover 130003891
135. Caster mount 130003198
136. O2 Sensor Plug assy 122001748
137. Absorber Hose Connector and 18 x 1.8 O-ring 122003090
138. Comm PCB - PC104 Power cable W23 (old) 122001786
139. Comm PCB - PC104 LPT cable W24 (old) 122001788
140. Comm PCB - PC104 Speaker cable W22 (old) 122001785
141. Special Tool, R15 130004396
167
Repair Information
142. CGO Hose incl. connector 122001747

143. O2 /AIR/N2O Valve Stem 130006215
144. Valve Body 130003933
145. Valve Stem , Secondary O2 130004465
146. Bag Arm Connector 122002633
147. Expiratory/Inspiratory Port 130004022
148. O2 Plug Chain 122003091
149. Flow meter Backlight 210001785
150. Setscrew, Valve 301000375
151. Bonnet Nut 130003936
152. Heating element, breathing system 122001741
153. O Ring, Valve Body 304000116
154. O Ring, Valve Stem 304000094
155. O-ring, silicone 304000101
156. Absorber Mount Handle 122003092
157. Idler Gear Shaft 130003940
158. Grease, Silicone, high vacuum 230000273
159. Kit, Check Valve ring,ADSIII 122002966
160. I/E Check valve seat, SS ring compatible 130006515
161. I/E Check valve ring, SS 130006265
162. I/E Check valve assembly, SS 122001762
163. Heater cable in breathing system 230000433

164. Pressure Reducer Valve assy 122003205
165. Plastic knurled screw M4×10 230000403
166. Panel, Window, Flow meter 130003967
167. Mount, Caster, Machined, ADSIII 240000440
168. Flow Meter, FM410(U) Assy 121000273
169. N2O Cutoff Valve Subassy 122002922
170. Breathing System, AC140 Plus 122003212
171. Grease, Silicone, high vacuum 122001401
172. PC Bd Assy, BDU 122001404
173. PCB, Communications 122001403
168
174. New PC104 210002146

175. Kit, Absorber Canister 122003207
176. Rod, Support, Absorber Canister 130006437
177. Ring, Seal, Absorber Canister 130006417
178. Gasket, Absorber Canister 130006258
179. Gasket, Absorber Canister 130006719
180. Tray, Upper 130006438
181. Holder, Absorber Canister 130003231
182. Flange, Bellows Mounting 130006800
183. Pneumatic Control Hose 122003206
184. Cage, Bellows 130006798
185. Bellows Assy (Gray Neoprene) 122003217
186. Backlight,3mm thick Flow meter, LED 122003210
187. Backlight, 4mm thick, Flow meter, LED 122002980
188. M8 X 16 Button Head, Hex Recess, SS Screw 301000345

189. M5 X 16 Socket Head Cap, Hex Recess, SS Screw it, Absorber 301000338
Canister
190. M5 Internal Tooth Lockwasher 303000054
191. Valve, Check, Bellows, ADSIII 122001740
169
Calibration
5.0 Calibration
5.1 Introduction
This section provides detailed information required to properly test and calibrate ADSIII.Calibrationconsists
of making mechanical and electrical adjustments with the proper test equipment. The instrument should be
tested and calibrated after repairs have been completed or at regular intervals as part of a periodic
maintenance procedure.
Notes Both calibration and a functional test must be performed to verify complete and proper
operation.
5.2 General Guidelines

Before disconnecting any pneumatic hoses, the hoses and mating fittings should be tagged to show the
proper connections. When reconnecting, all hoses must be checked for proper connection. To further
assure proper connection, all pneumatic calibrations and tests defined in this manual should be
accomplished before use on a patient.
Once the instrument covers have been removed, an electric shock hazard may exist. Therefore, calibration
should only be performed by qualified service personnel who proceed with care and follow proper servicing
techniques.
Do not attempt to calibrate the instrument without the test equipment and tools listed in this manual.
Exercise care when reaching into the opened instrument which contains line (mains) voltage.
When making adjustment and measurements, avoid accidental shorting of component leads that can leads
that can result in component failure.
Perform steps in order given. Do not skip any steps unless noted.
Understand each step of the procedure thoroughly before performing the procedure.
Before removing or replacing any circuit boards, disconnect ADSIII from line power, switch the Mains Switch
to the OFF position, and disconnect the negative terminal from the battery.
5.3 Calibration Procedures
Notes The following calibration procedures must be performed in sequence.
5.3.1 Oxygen Sensor Calibration
Notes Perform oxygen sensor calibration under all ventilation modes.
170
Notes Only 21% oxygen concentration calibration is successfully preceded, can 100% calibration be
performed.
Notes The oxygen sensor voltage is displayed during the calibration. This is the amplified oxygen
cell at the A/D converter for the oxygen sensor. The oxygen sensor voltage is not displayed for UI versions
2.24 and lower.
Notes Do not shake the oxygen sensor during calibration.
Notes Keep the oxygen sensor in a vertical position, connector side up, during calibration.
Notes Place the oxygen sensor on top of the heated block during calibration to minimize the
temperature difference from within the heated block.
Notes Plug the oxygen sensor in the oxygen sensor connector before calibration.
Notes The calibration process lasts at least for three minutes.
Notes If the system is going to be used during the calibration, insert the oxygen cell plug into the
port from which the oxygen sensor was removed suing a push and turn motion.
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Calibration
1. 21% Oxygen Sensor Calibration

a) Press MENU key, rotate the navigation knob to enter SERVICE menu. The password for
entering SERVICE is 2010.
FIGURE 5-1 SERVICE Menu
b) As CALIBRATION is highlighted under white background, press the navigation knob to select.
FIGURE 5-2 Calibration Interface
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c) As O2 SENSOR is highlighted under white background, press the navigation knob to select.
FIGURE 5-3 Oxygen Sensor Calibration

d) Follow the on-screen instructions.
FIGURE 5-4 21% Oxygen Sensor Calibration Instructions
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Calibration
e) Select NEXT to start 21% oxygen sensor calibration.
FIGURE 5-5 21% Oxygen Sensor Calibrating
2. Proceed based on one of the following two conditions:

a) If the calibration is successful, the screen shown in FIGURE 5-6 will be displayed, instructing
the user to reinstall the oxygen sensor into the Breathing System. Select DONE button to
complete the process.
FIGURE 5-6 21% Oxygen Sensor Calibration Successful
174
b) If the calibration fails, the screen shown in FIGURE 5-7 will be displayed, instructing the user
to either repeat the calibration or to replace the oxygen sensor. If the oxygen sensor must be
replaced, select the exit button, replace the oxygen sensor using a push and turn motion,
and then repeat the calibration.
FIGURE 5-7 21% Oxygen Sensor Calibration Failed
3. 100% Oxygen Sensor Calibration

a) Perform 100% oxygen sensor calibration after 21% oxygen sensor calibration is successful.
b) Follow the on-screen instructions.
FIGURE 5-8 100% Oxygen Sensor Calibration
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Calibration
c) Select NEXT to start 100% oxygen sensor calibration.
FIGURE 5-9 100% Oxygen Sensor Calibrating

a) If the calibration is successful, the screen shown in FIGURE 5-10 will be displayed, instructing
the user to install the oxygen sensor on the Breathing System, select DONE to return to the
calibration main screen.
FIGURE 5-10 100% Oxygen Sensor Calibration Successful
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to either repeat the calibration or to replace the oxygen sensor.
FIGURE 5-11 100% Oxygen Sensor Calibration Fails
5.3.2 Flow Sensor Calibration
Notes The flow should not be fluctuating during the calibration.
Notes The voltage of inspiratory flow sensor and expiratory flow meter will increase proportionally,
it is necessary to check whether the pneumatic hose is tightly connected if the voltage difference value is
larger than expected.
1. Preparing the unit:

a) Remove the inspiratory and expiratory valve discs, and reinstall the valve covers.
b) Connect a respiration tube between the inspiratory and expiratory ports.
FIGURE 5-12 Connecting the respiration tube
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Calibration
c) Use ADSIII test plug to block the bag port.
FIGURE 5-13 Blocking the bag port
2. Calibration
a) Press MENU key and rotate the navigation knob to enter SERVICE menu. Input the password
2010 as password option appearing on the right side of the menu.
FIGURE 5-14 SERVICE MENU
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b) As CALIBRATION is highlighted under white background, press navigation knob to select.
FIGURE 5-15 Calibration Menu

c) As FLOW SENSOR is highlighted under white background, press the navigation knob to select.
FIGURE 5-16 Flow Sensor Calibration Option
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Calibration
d) Follow the on-screen instructions.
FIGURE 5-17 Flow Sensor Calibration Instructions 1
FIGURE 5-18 Flow Sensor Calibration Instructions 2
FIGURE 5-19 Flow Sensor Calibration Fixture
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e) Select NEXT to start flow sensor calibration.
FIGURE 5-20 Flow Sensor Calibration
f) As the flow value is highlighted under white background, press the navigation knob to select
any value( 0～10、30、50、70) for calibrating. Press DONE to start calibration.
FIGURE 5-21 Flow Sensor Calibration

g) If the calibration is successful, the corresponding value being calibrated will be yellow, select
other value to start calibration. If the calibration failed, the corresponding value will be red,
press the value to calibrate again.
h) The flow sensor calibration is successful only all the above values are successfully calibrated.
Select DONE to return to the Main Service Menu.
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Calibration
5.3.3 Flow Valve Calibration
Notes A 2.3L bag can be used in place of a 3L bag.
Notes The flow valve calibration duration is approximately 5 minutes.
1. Press MENU key and rotate the navigation knob to enter SERVICE menu. Input the password 2010
as password option appearing on the right side of the menu
FIGURE 5-22 SERVICE Menu

2. As CALIBRATION is highlighted under white background, press the navigation knob to select.
FIGURE 5-23 Calibration Menu
182
3. As FLOW VALVE is highlighted under white background, press the navigation knob to select.
FIGURE 5-24 Flow Valve Calibration Option
4. Follow the on-screen instructions.
FIGURE 5-25 Flow Valve Calibration Instructions 1
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Calibration
FIGURE 5-26 Flow Valve Calibration Instructions 2
5. Select NEXT to start flow valve calibration.
FIGURE 5-27 Flow Valve Calibrating
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a) If the calibration is successful, select DONE to return to the Main Service Menu.
FIGURE 5-28 Flow Valve Calibration Successful
to either repeat the calibration or return to the Main Service Menu.
FIGURE 5-29 Flow Valve Calibration Failed
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Calibration
5.3.4 PAW Sensor Calibration

1. 0cmH2O Calibration
a) As PAW SENSOR is highlighted under white background after returning to the Main Service
Menu, press the navigation knob to select.
FIGURE 5-30 0cmH2O PAW Sensor Calibration Option
b) Follow the on-screen instructions.
FIGURE 5-31 0cmH2O PAW Sensor Calibration Instructions
186
c) Select NEXT to start 0cmH2O PAW sensor calibration.
FIGURE 5-32 0cmH2O PAW Sensor Calibrating
d) Proceed based on one of the two following conditions:

 If calibration is successful, select NEXT to perform the 30cmH2O calibration.
FIGURE 5-33 0cmH2O PAW Sensor Calibration Successful
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Calibration
 If calibration fails, select CANCEL to return to Main Calibration Menu, or repeat the
0cmH2O calibration.
FIGURE 5-34 0cmH2O PAW Sensor Calibration Failed
2. 30cmH2O Calibration
FIGURE 5-35 30cmH2O PAW Sensor Calibration Instructions
188
b) Select NEXT to start 30cmH2O PAW sensor calibration.
FIGURE 5-36 30cmH2O PAW Sensor Calibrating
c) Proceed based on one of the two following conditions:

 If calibration is successful, select DONE to return to the Main Service Menu.
FIGURE 5-37 30cmH2O PAW Sensor Calibration Successful
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Calibration
 If calibration fails, select CANCEL to return to the Main Service Menu, or repeat the
30cmH2O calibration again.
FIGURE 5-38 30cmH2O PAW Sensor Calibration Failed
5.3.5 PEEP Valve Calibration

1. As PEEP VALVE is highlighted under white background after returning to the Main Service Menu,
press the navigation knob to select.
FIGURE 5-39 PEEP Valve Calibration Option
190
2. Follow the on-screen instructions.
FIGURE 5-40 PEEP Valve Calibration Instructions
3. Select NEXT to start PEEP valve calibration.
FIGURE 5-41 PEEP Valve Calibrating
191
Calibration
4. Proceed based on one of the two following conditions:

a) If calibration is successful, select DONE to return to the Main Service Menu.
FIGURE 5-42 PEEP Valve Calibration Successful
b) If calibration fails, select CANCEL to return to the Main Service Menu, or repeat PEEP valve
calibration.
FIGURE 5-43 PEEP Valve Calibration Failed
192
5.3.6 Flow Meter Calibration
Notes When calibrating the flow meter, use AIR if available; otherwise use a combination of O2 and
N2O to attain a flow at 15L/min.
1. As FLOW METER is highlighted under white background after returning to the Main Service Menu,
press the navigation knob to select.
FIGURE 5-44 Flow Meter Calibration Option

2. First of all, follow the on-screen instructions, and select DONE to start flow meter calibration.
FIGURE 5-45 Flow Meter Calibration Instructions
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Calibration
i) As the value is highlighted under white background, press the navigation knob to select any
value( 0～15) for calibrating. Press DONE to start flow meter calibration.
FIGURE 5-46 Flow Meter Calibration 1
FIGURE 5-47 Flow Meter Calibration 2
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2. If the calibration is successful, set fresh gas flow to 0L/min, and select DONE to return to the Main
Service Menu.
FIGURE 5-48 Flow Meter Calibration Successful

3. If the calibration fails, the corresponding value displays red, select CANCEL to return to the Main
Service Menu, or repeat the flow meter calibration.
FIGURE 5-49 Flow Meter Calibration Failed

4. The flow meter calibration is completely successful only all the values are successfully calibrated.
Select DONE to return to the Main Service Menu.
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Calibration
5.3.7 Leakage Detection
5.3.7.1 Startup Leakage Detection

After restarting, select Continue to enter the Leakage Detection screen. Connect the Y-fitting to the ADSIII's
test port, and use ADSIII's test port to block the bag port. Adjust the APL valve to 30 cmH2O and close the
flow meter. Then, select Continue to prompt to the next screen.
5.3.7.2 APL Valve Leakage Detection

Follow the on-screen instructions and use the O2 flush valve to pressurize the system. Ensure that the
bellows does not move while pressurizing the system. Meanwhile, observe the pressure gauge to ensure
that the pressure exceeds 30cmH2O. Release the O2 flush valve and observe whether the pressure displayed
on pressure gauge stays within 25～35cmH2O. After passing the test, select Continue to prompt to the next
screen.
5.3.7.3 Safety Valve Leakage Detection

The safety valve leak detection test will start automatically. After finishing, the result of the test will be
displayed on the screen. After passing the test, select Continue to prompt to the next screen.
5.3.7.4 Breathing System Leakage Detection

Use the O2 flush valve to fill the bellow full with oxygen according to the prompt on the screen. Select
Continue to start the test. After finishing, the results of the test will be displayed on screen. Leakage
detection must be less than 400mL/min. After passing the test, select Continue to prompt to the next
screen.
5.3.7.5 Compliance Detection

Adjust the O2 flow meter to make the flow equal to 5±0.1L/min according to the prompt on the screen.
Select Continue to start the Compliance Detection test. After finishing, the results of the test will be
displayed on screen. Compliance detection must be within 1 ～ 11mL/ cmH2O. After finishing
compliance detection successfully, select Continue to enter Standby Screen.
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5.4 AD Monitor
AD monitor, by means of data acquisition, functions as monitoring the real time votage for inspiration
sensor, expiration sensor, paw sensor, flowmeter sensor, Envir.P sensor and O2 sensor.
Notes As the flow meter is closed, the real time voltage for flow meter is 0～0.15V.
Notes If O2 sensor is not connected to the Breathing System, the real time voltage for O2 sensor
showing on the AD Monitor Submenu is around 0V.
Notes If the real time voltage for any sensor exceeds the range provided, please check out whether
the sensor is in good condition, or find out what the problem lies in. If the problem still exists after repairing,
contact the Service Representative.
1. Press MENU key and turn the navigation knob to select SERVICE menu.
FIGURE 5-50 Service Menu
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Calibration
2. Input the password 2010 to enter SERVICE menu.
FIGURE 5-51 Password Submenu

3. As the cursor points to AD MONITOR, press the navigation knob to select it.
FIGURE 5-52 AD Monitor Interface
198
4. Press the navigation knob again, AD monitor submenu displays on the screen.
FIGURE 5-53 AD Monitor Submenu
5.5 Vent Real Data

1. Press MENU key and turn the navigation knob to select SERVICE menu.
FIGURE 5-54 Service Menu
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Calibration
2. Input the password 2010 to enter SERVICE menu.
FIGURE 5-55 Password Submenu

3. As the cursor points to VENT REAL DATA, press the navigation knob to select it.
FIGURE 5-56 Vent Real Data
200
4. Press the navigation knob, the Vent Real Data submenu displays on the screen.
The values shown from top to bottom are as follows: flow valve output value, the total value for
inspiratory Vt, the total value for expiratory Vt, system airway resistence value, system
compliance value and pipeline compliance value.
FIGURE 5-57 Vent Real Data Submenu
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Periodic Maintenance
6.0 Periodic Maintenance
6.1 Maintenance Schedule

The following is a list of activities required for periodic maintenance of ADSIII. Physical inspection,
replacement of consumables and performance checks should be periodically performed per the
schedule listed below. Certain calibration adjustments are required only after replacing one or both of
the active devices. The manufacturer is not responsible for component failure or loss resulting from
the use of stated consumables beyond their recommended replacement interval.
6.2 Periodic Maintenance Schedule of Service Activities

Service Activity After Each Service Every 12 Months Every 36 Months
Preoperative Checklist X X X
Checklist Before Surgery √ X X
Visual Inspection Checklist √ X X
Replacement of Consumable Parts √ X X
Replacement of O2 Sensor √ √ √
Battery Maintenance and Replacement √ √ X
Functional Test √ X X
Notes Parts must be maintained or replaced at periodic intervals according to the schedule.
6.3 Visual Inspection Checklist

1. Verify that ADSIII has no physical damage that would prevent operation.
2. Verify that the breathing circuit and CO2 absorbent are present.
3. Verify that the vaporizers are filled but not overfilled.
4. Verify that the waste gas scavenger hose to the APL valve is not damaged and is free from
moisture.
5. Verify that the O2、N2O、AIR、VAC and EVAC supply hoses are not damaged.
6. Verify that the AC line cord is not frayed or damaged.
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6.4 Replacement of Consumable Parts

Serial Consumable Parts Every 6 Every 12 Every 36 Part No.
No. Months Months Months
1. O2 sensor Not Needed Replace Replace 210000141
2. O-ring O2 interface/ O2 plug Not Needed Replace Replace 304000105
3. Battery assembly Not Needed Check Replace 210001627
4. Silica gel screwed conduitφ17 Clean Clean Replace 230000318
5. Bellows Dome Not Needed Check Replace 122001756
6. U-ring Not Needed Check Replace 130004091
7. AGSS transfer tube Not Needed Check Replace 122001806
8. Valve joint washer Not Needed Check Replace 130004147
9. O-ring,φ6X1.8(for airway pressure Check Replace Replace 304000095
gauge)
10. O-ring,φ4X1.8(for airway pressure Check Replace Replace 304000093
gauge)
11. O-ring,14×2.65(for vaporizer Check Replace Replace 304000044
mounting storage)
Notes Parts are replaced at multiple intervals from the date of installation.
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6.5 Battery Maintenance and Replacement
6.5.1 Battery Maintenance

1. ADSIII uses a sealed lead-acid battery. Due to the self-discharge characteristics of this type of
battery, it is imperative that it is charged after 3 months of storage or after extended periods of
non-use. If not charged, a permanent loss of capacity may occur as a result of sulfation.
2. Check the battery run time every 12 months.
3. Replace battery times when operating time is less than 30 minutes or when the battery is 3 years
old.
4. Disposed of batteries should be conducted in accordance with local recycling status and labeling
shown on the battery pack.
6.5.2 Battery Replacement

1. Open the access door located at the rear of ADSIII.
2. Disconnect the battery connections.
3. Remove the old battery.
4. Ensure the new battery is electrically connected and secured in the same manner as the original
one.
5. Close the access door.
Notes Use only the battery with the same specifications as that of ADSIII.
204
6.6 Proportional Valve Regulator
Notes If the proportional valve regulator is out of specification, calibration is required.
Notes When verifying /setting the pressure of the pressure regulators, it is necessary to have a
regulator calibration hose attached to the pressure meter.
1. Open the gas cover panel.

2. Remove the drive pressure source form ADSIII.
3. Disconnect the input hose from the proportional valve.
4. Connect a digital pressure meter to the proportional valve input hose.
5. Connect the drive pressure hose to ADSIII.
6. Verify the pressure displayed on the pressure meter is between 1.70～1.80Bar.
7. Remove the drive pressure source from ADSIII.
8. Remove the pressure meter and reconnect the input hose to the proportional valve.
9. Reconnect the drive pressure source to ADSIII.
FIGURE 6-1 The Proportional Valve Regulator
6.7 Gas Delivery System Tests
6.7.1 O2 Flush Verification

1. Attach the digital flow meter to the common fresh gas outlet.
2. Verify that the O2 flush flow is between 35～50L/min when pressing the O2 flush valve.
6.7.2 O2:N2O Ratio System

1. Set the O2 and N2O flow control valves to minimum.
2. Rotate the N2O flow control valve until the top of the O2 flow meter’s floater rise to 1L/min.
3. Verify that the N2O flow is not higher than 3.7L/min.
4. Lower the N2O flow to minimum.
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6.8 Start-up Tests

For detailed information, please refer to Section2.3.
6.9 Pneumatic Leak Tests
6.9.1 N2O Cylinder Leak Test

1. Remove the N2O line pressure hose form the line pressure inlet on ADSIII.
2. Mount a full N2O cylinder to the rear panel yoke.
3. Open the N2O cylinder until its pressure gauge indicates cylinder pressure.
4. Close the N2O cylinder.
5. The N2O cylinder pressure gauge should not drop more than 10% of its initial pressure over 1
minute.
6.9.2 O2 Cylinder Leak Test

1. Remove the O2 line pressure hose form the line pressure inlet on ADSIII.
2. Mount a full O2 cylinder to the rear panel yoke.
3. Open the O2 cylinder until its pressure gauge indicates cylinder pressure.
4. Close the O2 cylinder.
5. The O2 cylinder pressure gauge should not drop more than 10% of its initial pressure over 1
minute.
6.9.3 AIR Cylinder Leak Test

1. Remove the AIR line pressure hose form the line pressure inlet on ADSIII.
2. Mount a full AIR cylinder to the rear panel yoke.
3. Open the AIR cylinder until its pressure gauge indicates cylinder pressure.
4. Close the AIR cylinder.
5. The AIR cylinder pressure gauge should not drop more than 10% of its initial pressure over 1
minute.
6.9.4 Line Supply Check Valve Test

1. Connect and open a full gas cylinder on each yoke.
2. Verify the cylinder gauges operate.
3. Remove each line pressure hose one at a time from the wall supply inlet.
4. Verify no gas is escaping from any of the three central supply high pressure hoses connected to
ADSIII using a digital flow meter.
5. Verify there is no external damage to the gas supply inlet coupling on ADSIII.
6. Reattach each central supply gas hose to the wall supply inlets.
6.9.5 N2O Line Pressure Leak Test

1. Remove the N2O cylinder from ADSIII.
2. Connect the N2O line pressure hose to the line pressure inlet on ADSIII.
3. Pinch the N2O line pressure hose to stop AIR line flow.
4. Remove the N2O line pressure hose from the N2O line source.
5. The N2O line pressure gauge should not fall more than 2psi in 20 seconds.
206
6. Reconnect the N2O line pressure and remove the pinch in the hose.
6.9.6 O2 Line Pressure Leak Test

1. Remove the O2 cylinder from ADSIII.
2. Connect the O2 line pressure hose to the line pressure inlet on ADSIII.
3. Pinch the O2 line pressure hose to stop AIR line flow.
4. Remove the O2 line pressure hose from the O2 line source.
5. The O2 line pressure gauge should not fall more than 2psi in 20 seconds.
6. Reconnect the O2 line pressure and remove the pinch in the hose.
6.9.7 AIR Line Pressure Leak Test

1. Remove the AIR cylinder from ADSIII.
2. Connect the AIR line pressure hose to the line pressure inlet on ADSIII.
3. Pinch the AIR line pressure hose to stop AIR line flow.
4. Remove the AIR line pressure hose from the AIR line source.
5. The AIR line pressure gauge should not fall more than 2psi in 20 seconds.
6. Reconnect the AIR line pressure and remove the pinch in the hose.
6.9.8 Cylinder Supply Check Valve Test

1. Close and remove all gas cylinders form ADSIII.
2. Verify the cylinder gauges return to zero.
3. Using the digital flow meter, verify that no gas is escaping from any of the three yoke connections
on ADSIII.
4. Verify there is no external damage to the gas cylinder or yoke pins.
5. Reconnect the cylinders as necessary.
6.10 Breathing System Checks
6.10.1 Internal Gas Connections Test

1. Close and remove all gas cylinders from ADSIII.
2. Connect only the AIR line pressure hose to ADSIII from the wall supply. Leave all other line
pressure hoses disconnected.
3. With ADSIII powered OFF, rotate the AIR flow control knob to ensure a continuous flow increase
throughout its full range.
4. Disconnect the AIR line pressure hose form ADSIII, and connect the O2 line pressure hose from the
wall supply.
5. Fully rotate the N2O flow control knob and verify that there is not flow.
6. Fully rotate the AIR flow control knob and verify that there is no flow.
6.10.2 Drive Gas Pressure Loss Alarm, N2O Cut off Valve Test
1. Set the O2 flow to 2L/min using the flow control valve.
2. Set the N2O flow to 2L/min using the flow control valve.
3. Set the AIR flow to 2L/min using the flow control valve.
4. Interrupt the O2 supply to ADSIII.
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5. Verify that the flow of N2O and O2 stops within 2 minutes and that the flow of AIR (if available)
continues to flow at 2L/min.
6. Verify the following alarms are activated:
 O2 Supply Failure appears on the screen

 An alarm tone sounds
6.11 Performance Verification
6.11.1 STANDBY Mode Ventilation Test
NOTE For testing purposes always use a reusable breathing circuit.
1. Ensure that the gas pressure for O2, N2O, and AIR are at 50±10psi.
2. Power ON ADSIII.
3. Perform the start up tests per the on-screen instructions. Ensure successful completion.
4. Attach a breathing circuit and test lung to the Y-fitting of the breathing circuit.
5. Set the AIR valve to approximately 15cmH2O.
7. Squeeze the breathing bag once every 10 seconds to inflate and deflate the test lung to
approximately 20cmH2O of pressure.
8. Verify the inflation and deflation of test lung.
6.11.2 Manual Mode Ventilation Test

1. Set the ventilation mode to MANUAL.
2. Set the APL valve to approximately 25cmH2O. Push the O2 flush button to fill the breathing bag.
4. Squeeze the breathing bag once every 3 seconds.
5. Verify the inflation and deflation of the test lung.
6. Verify that an airway pressure waveform and all numeric values appear on screen during bag
compressions.
7. Stop squeezing the breathing bag and set the APL valve to the open position.
6.11.3 APNEA Alarm Test

1. While in the manual ventilation mode, stop ventilating the test lung.
2. Verify that the following APNEA alarm signals activates at approximately 60 seconds from the last
bag compression.
 APNEA appears on the screen.

 An alarm tone sounds.
6.11.4 Alarm MUTE Test

1. While the APNEA alarm is sounding, press the MUTE key.
2. Verify the audio portion of the alarm stops and resumes after 2 minutes.
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6.11.5 IPPV Adult Ventilation Mode Test
1. Attach a breathing circuit and breathing bag.

2. Attach an adult test lung to the Y-fitting of the breathing circuit.
3. Attach a vent tester between the expiratory port and the expiratory hose.
4. Set the O2 flow to 2L/min and set the N2O and AIR flow rates to minimum flow.
5. Set the ventilation controls to:

Patient Type Adult
Tidal Volume-VT 500
Breath Rate-freq 12
I:E Ratio-I:E 1:2
Plateau -Tp 10
PEEP OFF
6. Select IPPV again to begin ventilation.
7. Verify that the pressure waveform、Tidal Volume、Mean or Plateau Pressure、 Resp. rate and
minute volume vales appear on the screen.
8. Verify the Tidal Volume display is within 15% of the set value within approximately 1 minute from
the start of ventilation.
9. Verify the Tidal Volume display is within 15% of the delivered volume measured with the vent
tester within approximately 1 minute from the start of ventilation.
10. Verify the measured O2 concentration is at least 97% after 5 minutes.
11. Set the AIR flow to 3L/min and set the N2O and O2 flow rates to minimum flow.
12. Verify the measured O2 concentration is 21% ±3% vol.% after 5 minutes.
209
6.11.6 IPPV Child Ventilation Mode Test
Notes Limit the volume in the test lung to provide sufficient airway pressure to satisfy the Low Peak
Pressure alarm. Or reduce the Peak Pressure alarm limit to a lower valve to prevent the alarm when using
an adult test lung.

3. Attach a vent tester between the expiratory port and expiratory hose.
5. Set the ventilation controls to:

Patient Type Child
Tidal Volume-VT 120
Breath Rate-freq 20
I:E Ratio-I:E 1:2
Plateau-Tp 10
PEEP OFF
6. Select IPPV to begin ventilation.
7. Verify that the pressure waveform、Tidal Volume、Mean Pressure、Resp. rate and minute volume
values appear on the screen.
8. Verify the Tidal Volume display is within 25mL or±15% of the delivered volume (whichever is
greater) measured with the vent tester within approximately 1 minute from the start of
ventilation.
9. Verify the delivered volume as measured by a vent tester at the expiratory port, is within 17% of
the Tidal Volume set value within approximately 1 minute from the start of ventilation.
210
6.11.7 Airway Disconnect Alarm Test

1. While the ventilator is running, disconnect the expiratory limb from the expiratory port on the
Breathing System.
2. Verify the following airway pressure disconnect alarm signals activate:
 APNEA message appears on the screen.

 Low Airway Pressure message appears on the screen.
6.11.8 PCV Adult Ventilation Mode Test

5. Set the ventilator controls to:
Ventilator Controls Ventilator Setting

Patient Type Adult
Ventilation Mode PCV
Target Pressure -PTARGET 20
Breath Rate -freq 12
I:E Ratio-I:E 1:2
PEEP OFF
Inspiratory Slope-Tslope 0.5
6. Select PCV to begin ventilation.
7. Verify the Peak Pressure reading of the display is within ±4cmH2O of the Peak Pressure measured
with the vent tester.
8. Verify that the pressure waveform Tidal Volume, Resp. Rate and minute volume values appear on
the screen.
9. Verify that the Peak Value reaches 20±4cmH2O within five breaths from the start of ventilation.
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6.11.9 Pressure Support (PS) Ventilation Mode Test


Patient Type Adult
Ventilation Mode PS
Differential Pressure -ΔP 5
PEEP OFF
Flow Trigger -Trigger 3
Inspiratory Slope-Tslope 0.5
Minimum frequency -freqMIN 2
6. Set PS to begin ventilation.
7. Begin triggering breath by slightly squeezing the test lung and releasing. Maintain a continuous
breath rate.
8. Verify that a pressure waveform and all ventilation parameters appear on the screen.
9. Verify that the Peak Pressure reading on the display is ±4 the value of ΔP+PEEP.
10. Stop triggering breaths.
11. Verify that after 30 the ventilator delivers a breath and displays the message APNEA BACKUP.
12. Verify the system ventilates with a frequency of 2bpm.
212
6.12 Alarms and Failsafe Functions
6.12.1 Set Up
1. Ensure that the gas pressure for O2, N2O and AIR are at 50±10psi.
2. Power ON ADSIII.
3. Perform the Startup Tests per the on-screen instructions. Ensure successful completion.

Patient Type Adult
Tidal Volume -VT 500
Breath Rate -freq 12
I:E Ratio -I:E 1:2
Plateau -Tp 10
PEEP OFF
8. Select IPPV to begin ventilation.
6.12.2 Low FiO2 Alarm Test

1. Set the flow FiO2 Alarm limit to 50% O2.
2. Set the AIR flow control valve to 5L/min.
3. Set the FiO2 flow controller to minimum flow.
4. Verify the following Low FiO2 alarm signals activate, within three ventilation cycles:
 Low FiO2 message appears on the screen.

5. Set the Low FiO2 alarm limit to 18%.
6. Verify the alarm signals cease.
6.12.3 High FiO2 Alarm Test

1. Set the high FiO2 Alarm limit to 49% O2.
2. Set the FiO2 flow control valve to 5L/min.
3. Set the AIR flow controller to minimum.
4. Verify the following High FiO2 alarm signals activate:
 High FiO2 message appears on the screen.

5. Set the high FiO2 alarm limit to the max setting.
213
6.12.3.1 Peak Pressure Alarms Test

1. Set the PAW Low alarm to the lowest setting.
2. Set the PAW High alarm limit set point about 5 to 8 digits below the Peak Pressure displayed on
the upper left of the screen.
3. Verify the following (high) peak pressure alarms activate:
 High Airway Pressure message appears on the screen.
 Inspiration ends and expiration begins as the pressure meets the high alarm limit.
4. Set the PAW High alarm limit set point to 65cmH2O.
5. Verify the alarms signals cease.
6. Set the PAW Low alarm limit set point to 50cmH2O.
7. Verify the following (low) peak pressure alarms activate:
 Low Airway Pressure message appears on the screen.
8. Set the PAW Low alarm limit to 12cmH2O.
6.12.3.2 Minute Volume Alarm Test

1. Set the MV Low alarm limit set point to the highest value.
2. Verify the following alarms activate:
 Low MV message appears on the screen.
3. Set the MV Low alarm limit to minimum setting.
5. Set the MV High alarm set point to the lowest value.
6. Verify the following alarms activate:
 High MV message appears on the screen.
7. Set the MV High alarm limit set point to the highest value.
8. Verify that the alarm signals cease.
6.13 Miscellaneous Tests
6.13.1 Test the Line Voltage Alarm

1. Before starting this test, verify that the battery is fully charged. The battery icon in the upper right
corner of the screen is solid when the battery is fully charged.
2. Interrupt AC line voltage.
3. Verify that the following alarms activate:
 AC Power Failure message appears on the screen.
4. Verify that a fully charged battery operates the ventilator for a minimum of 45 minutes.
5. Plug ADSIII into AC line voltage.
6. Verify that the alarm signals cease.
214
7. Verify the presence of the battery charging icon in the upper right corner of the screen (status bar
moving from right to left).
6.13.2 Wheel Brakes Test

1. Verify that each from wheel brake operates.
6.13.3 Work Light Test

1. Turn on the work light located on the bottom side of the top panel.
2. Verify that it lights in both on positions.
6.13.4 Auxiliary Flow Meter

1. Verify an AIR flow of 15L/min can be obtained by connecting the auxiliary AIR hose to the
pressure source and opening the flow meter.
2. Verify an O2 flow of 15L/min can be obtained by connecting the auxiliary O2 hose to the pressure
source an opening the flow meter.
6.14 Vaporizers
6.14.1 Vaporizer Interlock Test

1. Attach two vaporizers to the vaporizer mounting manifold and lock them in place.
2. Rotate either of the vaporizer dial to 3%.
3. Verify that the other vaporizer dial cannot be rotated to a setting.
4. Set both vaporizer dials to 0.
5. Rotate the other vaporizer dial to 3%.
6. Verify that the first vaporizer dial cannot be rotated.
7. Rotate both vaporizer dials to T and remove both vaporizers.
8. Verify that the locking spring is intact.
9. Reconnect both vaporizers to the vaporizer mounting manifold.
6.14.2 Vaporizer Leak Test
Notes Verify the system has passed the leak test without the vaporizers prior to this test.
1. Verify that vaporizers are mounted correctly.

2. Ensure that the gas pressure for O2, N2O and AIR are at 50±10psi.
3. Power ON ADSIII.
4. Attach a reusable-silicone –rubber breathing circuit to the Breathing System.
5. Tightly connect the Y-fitting on the breathing circuit to the test port.
6. Attach a breathing bag to the bag arm.
7. Set the APL valve to the fully closed position (70cmH2O).
8. Rotate the O2 flow control valve until 50cmH2O pressure is observed on the airway pressure
gauge.
9. Verify that the necessary flow to stabilize the pressure is less than 300mL/min.
215
6.15 Electrical Tests
Cautions Perform the electrical safety inspection as the last step after completing a repair or
after routine maintenance. Perform this inspection with all covers, panels, and screws installed.
1. Unplug the power cables from the convenience receptacles at the rear of ADSIII.
2. Plug ADSIII into a safety analyzer.
3. Connect the case ground lead of the analyzer to the U-blade ground of one of the convenience
receptacles. Perform the following tests with the case grounded:
 Normal polarity
4. Perform the following tests with the case ungrounded:
 Normal polarity
 Reverse polarity
5. Verify that the maximum leakage current does not exceed 300μA (0.3mA).
216
6.16 Cleaning and Disinfection
Warnings Before cleaning switch off ADSIII and disconnect it from the mains.
Warnings Use a cleaning and sterilizing schedule that conforms to your institution’s sterilization
and risk-management policies.
• Refer to the material safety data policy of each agent.
• Refer to the operating and maintaining manual of all the sterilizing equipments.
• Wear safety gloves and safety goggles. The O2 sensor may leak and burn (by Chlorine
Potassium Oxide) if damaged.
• Do not inhale fumes.
Warnings Talc、zinc stearate、calcium carbonate、 or corn starch that has been used to prevent
tackiness could contaminate a patient’s lung or esophagus, causing injury.
Cautions To prevent damage:
• Refer to the data supplied by the manufacturer if there are any questions about the
agent.
• Never use any organic、 halogenate or oil base solvent、 Anaesthetic、 glass
agent、 acestone or other irritant agents.
• Never use any abrasive agent to clean any of the components (i.e. Steel wool, silver
polish or agent).
• Keep liquids far from the electrical components.
• Prevent liquid from entering the equipment.
• Do not immerse the synthetic rubber components more than 15 minutes: any longer
will cause inflation, or accelerating aging.
• Only the components marked 134°C are pressure-resistant and heat-resistant.
• The PH value of the cleaning solution must be from 7.0～10.5.
217
Cautions Never immerse the circuit O2 sensor or flow sensor connector in the liquid.
• Never dispose the circuit O2 sensor connector by using hot press.
• Do not clean the inner surface of the flow sensor. Clean the outer surface by using a
damp cloth.
• Check if there is damage in the components. Replace if necessary.
Cautions Sterilize main unit with ultraviolet radiation. Acetic hyctro peroxide and formaldehyde
are not allowed for steaming.
6.16.1 Schedule for Cleaning and Disinfection

Please follow the Warnings and Cautions above as perform cleaning and disinfection. The components
should be rinsed in warm water thoroughly and dried in air after cleaning or sterilizing.
6.16.2 The Breathing System Disassembly
Notes An inner hexagon spanner (4mm) should be provided as disassembling the Breathing System.
The Breathing System should be disassembled before performing cleaning, disinfecting and parts
replacement. The method for disassembling is as follows:
Step 1: Unplug the pneumatic hose and heating wire from the bottom of the Breathing System.
FIGURE 6-2 Breathing System Disassembly
218
Step 2: Turn the screw caps of the fresh gas outlet and CGO clockwise, and remove them respectively.
Step 3: Unplug the AGSS corrugated tube at the bottom of the Breathing System.
Step 4: Unplug the airway pressure gauge form its base; rotate the nut of the prolonged tube and
remove it; rotate the nut of APL valve until it is completely loose, and remove the APL valve.
219
Step 5: Unplug the O2 sensor cable connecting at the side of ADSIII.
Step 6: Rotate the valve retaining ring counterclockwise, and remove the valve retaining ring together with
the valve dome, and then remove O-ring.
Warnings Be cautious during disassembling in case of hands injury.
Notes Take care to remove the valve discs as they are made from fragile materials.
1. Valve Cage 3 Valve Ridge

2 Valve Disc 4 O-ring
220
6.16.3 Bellows Disassembly

The bellows should be disassembled before perform cleaning, disinfecting and parts replacement. The
ways on bellows disassembly is shown as follows:
Step 1: Rotate the bellows dome clockwise until it is completely separated from the base, and then
remove it.
221
Step 2: Remove the bellows from its plate, and then remove the plate at the top of the bellows.
Notes Hanging the bellows by fully spread it. If moisture is left in the bellows, the bellows may
become tacky.
Notes Do not immerse the bellows to warm water for more than 15 minutes in case of material
inflation or aging.
Notes Use soft or enzyme-free agents in the warm water when cleaning the parts made from latex.
222
Step 3: Remove the latex ring at the bellows fixing plate.
223
6.16.4 Methods for Cleaning and Disinfecting

A: Wiping(Glutaraldehyde-based formulation of 2%; isopropyl alcohol at 70%～90%)
B: Washing Machine (Wet pasteurization at 70℃, 158℉, for 30 minutes after detergent cleaning)
C: Immersion (Glutaraldehyde-based formulations of 2%)
D: Autoclaving (Including steam r hot air at 134℃, 273℉). Use your manufacturer’s or your facility’s
recommendations.
Part Name Method
A B C D
Workstation(outside) A
Vaporizer A
Connection cables and wires A
Breathing bag, Y-fitting, T-fitting A
Reusable screwed conduit, quarter bend A C
The Breathing circuit A B C D
Insp./Exp. valve disc A B C D
Insp./Exp. valve cage A B C D
Insp./Exp. valve dome, valve retaining ring A B C D
O-ring A B C D
APL valve A B C D
Airway pressure gauge A
O2 sensor A
The surface of flow sensor A
Flow sampling tube A
Flow sampling detector A B C
Absorber canister B C D
Bellows dome A B C
Bellows A B C
Bellows gasket A B C D
AGSS A B C D
AGSS transfer tube A B C
224
Anaesthetic Machine Service Manual How to Get Assistance
7.0 How to Get Assistance

A network of service representatives and factory-trained distributors is available. Prior to requesting service,
perform a complete operational check of the instrument to verify proper control settings. If operational
problems continue to exit, contact the Service Department for technical support.
225

ADSIII Anesthesia Service Manual

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ADSIII Anesthesia Service Manual

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Anaesthetic Machine Service Manual

Warnings, Cautions and Notes .............................................................................................. 1

1.0 ADSIII Anaesthetic Machine Theory of Operation ....................................................... 6

1.1 Introduction about ADSIII Anaesthetic Machine........................................................ 6

1.1.1 Basic Principle ......................................................................................................... 6

1.2 Anaesthetic Ventilation Machine ............................................................................... 6

1.3 Anaesthetic Machine System Component ................................................................. 9

1.3.1 Front View .............................................................................................................. 9

1.3.2 Side View .............................................................................................................. 11

1.3.3 Rear View.............................................................................................................. 13

1.3.4 Brief Introduction of System Components ........................................................... 14

1.3.5 Breathing System.................................................................................................. 22

1.3.6 The Ventilator Unit ............................................................................................... 31

1.3.7 Alarm Set .............................................................................................................. 31

1.3.8 Compliance Compensation................................................................................... 31

1.3.9 Explosion Chart of Anesthtic Machine Other Parts .............................................. 33

1.4 Electrical Supply ....................................................................................................... 49

1.4.1 Electrical Components .......................................................................................... 49

1.5 Ventilator Control and Drive .................................................................................... 50

1.5.1 Basic Data Unit (BDU) ........................................................................................... 50

1.5.2 Power Management ............................................................................................. 72

1.5.3 Battery .................................................................................................................. 78

1.5.4 Power Supply ........................................................................................................ 78

1.6 Anaesthetic System Components ............................................................................ 78

1.6.1 Auxiliary Outlet ..................................................................................................... 78

1.6.2 Absorber Heater Wire Board ................................................................................ 78

1.6.3 Work Light Board .................................................................................................. 79

1.6.4 User Interface ....................................................................................................... 80

1.6.5 Display .................................................................................................................. 85

1.6.6 Communication Interface/RS232 Isolate Board ................................................... 86

1.6.7 Fuses ..................................................................................................................... 87

1.6.8 PC104 .................................................................................................................... 88

1.7 Ventilator Pneumatic- O2 Drive Gas ......................................................................... 91

1.7.1 Ventilator Pneumatic Drive .................................................................................. 91

1.7.2 Drive Pressure-high Pressure Regulator (25.4psi) ................................................ 91

1.7.3 Gas Box Assembly ................................................................................................. 91

1.7.4 Gas Color Coding .................................................................................................. 92

1.8 The Breathing System .............................................................................................. 92

1.8.1 IPPV Mode-Inspiration Phase ............................................................................... 92

1.8.2 IPPV Mode-Expiration Phase ................................................................................ 92

1.8.3 Manual Mode-Inspiration Phase .......................................................................... 92

1.8.4 Manual Mode-Expiration Phase ........................................................................... 92

1.8.5 Pneumatic PEEP .................................................................................................... 92

1.8.6 Ventilator in STANDBY .......................................................................................... 93

1.8.7 Breathing System Components ............................................................................ 93

2.0 Installation Guide ....................................................................................................... 94

2.1 Delivery of the Anaesthetic Machine ....................................................................... 94

2.2 Installation ................................................................................................................ 94

2.2.1 Unpacking ............................................................................................................. 94

2.2.2 Breathing System and Breathing System Accessories .......................................... 95

2.2.4 Vaporizers ............................................................................................................. 96

2.2.5 High Pressure Hose ............................................................................................... 97

2.2.6 Emergency Cylinder .............................................................................................. 97

2.2.7 Breathing Circuit, CO2 Absorbent ......................................................................... 97

2.2.8 Monitoring Products-Mounting and Electrical Connection ................................. 97

2.3 Installation Checkout Procedure .............................................................................. 98

3.0 Repair Information ................................................................................................... 116

3.1 Introduction............................................................................................................ 116

3.2 Troubleshooting Guidelines ................................................................................... 116

3.3 Special Tools Required ........................................................................................... 117

3.4 Troubleshooting Table ........................................................................................... 119

3.5 Flow Chart for Leak Test ......................................................................................... 131

3.6 Flow Chart for Vt Test............................................................................................. 132

3.7 Check Valve Repairing ............................................................................................ 133