WATO Pneumatic System training

Hebe Hu
A&P service Dep.

© 2011 Mindray Confidential

 Contents

1. General introduction
2. Gas supplies
3. Fresh gas
4. Anesthetic ventilator
5. Patient Breathing Circuit
6. AGSS

2 © 2011 Mindray Confidential

 Why we need this
machine ？
 Supply the O2 and agent gas
 Control the respiration of patient
 Reuse the gas

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 Diagram of Pneumatic Circuit

Ventilator AGSS

Gas supplies Breathing

O2 flush ACG
system
O

System Flow Vaporizer Patient

Switch meter manifold

Vaporizer

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 Pneumatic Circuit 55/65

Ventilator

AGSS

Gas Fresh
supplies gas

Patient
Circuit

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 Pneumatic Circuit 20&30&35

different
part

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 Pneumatic Circuit new 35/55/65

different
part

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 Contents

• General introduction
• Gas supplies
• Fresh gas
• Anesthetic ventilator
• Patient Breathing Circuit
• AGSS

8 © 2011 Mindray Confidential

 Introducing……

Gas supplies

Function
Components

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 Gas supplies － Function

 Filter the gas supply

 Monitor the pressure of O2 supply

 Avoid back-flow of gas

 Avoid over pressure of the gas supply

 Regulate the pressure 200Kpa

 Quick give O2 to breathing system

 Switch the O2 and air

 Switch the drive gas(O2/Air)

10 © 2011 Mindray Confidential
 Gas supplies － Components
 gas supply inlet assembly

 Cylinder gas supply inlet assembly

 System switch

 O2 flush assembly

 Drive Gas Selector Switch(O2/Air)

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Gas supplies － Components 24 Regulator
7 Pressure relief
valve(758KPa) (0.2MPa)
gas supply inlet assembly
 Gas supply connector
 Filter
 Pressure gauge
 Check valve
 Pressure switch 23 Pressure switch (0.22MPa)
 Regulator
 Pressure relief valve

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Gas supplies － Components

Separated VS Integrated

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Gas supplies － Components
Cylinder gas supply inlet assembly
 Pin indexed cylinder yokes
 Filter
 Pressure gauge
 Regulator For O2 For N2O
 Check valve

23

1
7 24

6
2 Regulator
0.4MPa
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Gas supplies － Components
System switch
(Electricity & gas control)
 switch knob
 O2 switch
 Air switch
 Power switch

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 Gas supplies － Components

O2 flush assembly
 O2 flush button 19

O2 19 O2 flush
20
button

Integrated in
the ACGO 21
assembly
O2 Flush flow speed is 25-75L/min

16 © 2011 Mindray Confidential

 Gas supplies － Components

Drive Gas Selector Switch

 Drive Gas Selector Switch(O2/Air) 64

Switch the drive gas to Air automatically

if the pressure of O2 supply is lower
than 200kpa.

17 © 2011 Mindray Confidential

 Contents

1. General introduction
2. Gas supplies
3. Fresh gas
4. Anesthetic ventilator
5. Patient Breathing Circuit
6. AGSS

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 Introducing……

Fresh gas
Function
Components

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Fresh gas － Function

Function ：
 Mix O2/Air/N2O , adjust concentration of each gas
 Ensure the concentration of O2 is over 25%
 Switch the N2O
 Take the agent gas
 Switch the outlet of the fresh gas

20 © 2011 Mindray Confidential

Fresh gas － Components

Components ：
 O2-N20 block valve
 Flow meter assembly
O2 Air N2O
 Vaporizer manifold assembly
 Auxiliary common gas outlet
(ACGO) switch

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Fresh gas － Components
Components ：
 O2-N20 block valve

25

26

27

28

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Fresh gas － Components

Components ： Flow meter

 Needle to adjust the gas

 Link-25 to ensure the 25% O2

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Fresh gas － Components
Components ： Flow meter
 display: Mechanical and semi-electronic

WATO 20/30/35 WATO 55/65 WATO new 35/55/65

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Fresh gas － Components
Components ： total flow meter

25

26

27

28

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Fresh gas － Components
Seal Check valve
Vaporizer manifold assembly
 Seal

 Check valve

Vaporizer
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 Fresh gas － Components
ACGO switch assembly
31 Pressure relief valve

O2 flush

55 pressure relief valv

21 Flow restriction

Fresh
Gas

32 ACGO switch

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Fresh gas circuit connection
Patient
Circuit

ACGO
19 O2 flush valve outlet
32 ACGO selector switch

29 Double-vaporizer manifold
22 System switch

26 、 27 Flow
meter

O2-N2O block valve

28 © 2011 Mindray Confidential

 Contents

I. General introduction
II. Gas supplies
III. Fresh gas
IV. Anesthetic ventilator
V. Patient Breathing Circuit
VI. AGSS

29 © 2011 Mindray Confidential

 Introducing……

Anesthetic ventilator

Function
Components
Principle

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Anesthetic ventilator － Function

Function ：
 Control the respiration of the patient , including
:Tidal volume, Rate, Plimit, PEEP and so on

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 Anesthetic ventilator--components

 Pneumatic Circuit controlling module

 8 filter
 9 regulator
 15 pressure switch- ALARM （ 140kpa ）

 Inspiratory airway
 10 Inspiration valve
 11 Inspiratory flow sensor
 12 pressure relief valve(100cmH2O)
 Expiratory airway
 14 PEEP safety valve
 16 Proportional PEEP valve
 18 Resistance
 17 Exhalation valve
 51 Pressure relief valve （ 10cmH2O ）

32 © 2011 Mindray Confidential

 components
51 pressure relief 9. Regulator
valve(10cmH2O)

18 resistance

16. Proportional
PEEP valve
12 pressure relief
valve(100cmH2O
) 15. Pressure
switch

11. Flow sensor 14. PEEP safety

(Venturi) valve

10. Proportional
Inspiration valve

33 © 2011 Mindray Confidential

 Principle for Exhalation valve 17

Some components
Patient exhalation Patient inspiration

Exhalation valve 17 To AGSS

Membrane

51 Pressure relief valve

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 Anesthetic ventilator--principle
Inspiration － VCV

 Proportional PEEP valve

(16) open (Plimit)- > E √
xhalation valve (17) cl
ose
 Inspiration valve (10) √
open (TV, Rate, I:E)->
depress the folding bag
of bellows housing -> F
resh gas get into the l
ung of patient (TV, Pa Tinsp Texp

w) -> Inspiration ends

(Rate, I:E)

35 © 2011 Mindray Confidential

Anesthetic ventilator--principle
Expiration － VC
V

 Proportional PEEP v
alve (16) close -> √

Exhalation valve (1
7) open
 Inspiration valve
(10) close-> the lu
ng of patient exhal
es-> inflate the fo
Tinsp
lding bag of bellow Texp

s housing -> Respir

ation ends (Rate, I
:E)
36 © 2011 Mindray Confidential
 Contents

I. General introduction
II. Gas supplies
III. Fresh gas
IV. Anesthetic ventilator
V. Patient Breathing Circuit
VI. AGSS

37 © 2011 Mindray Confidential

 Patient breathing circuit

 Function
 Components
 Principles

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Patient breathing circuit － Function

Function ：
 Assist the Mechanical ventilation
 Support the bag ventilation
 Reuse the agent gas
 Absorb the CO2
 Bypass Function
 Reusable and Support Steam autoclave disinf
ection

39 © 2011 Mindray Confidential

 Components

bellows
Bag arm
Bag/vent
switch APL valve
Pressure
gauge Check valve

O2 sensor
Water cup
Bag
Y piece
pipeline canister

40 © 2011 Mindray Confidential

Components

bellows
Bag arm
Bag/vent
switch APL valve
Pressure
gauge Check valve

O2 sensor
Water cup

Flow sensors canister

41 © 2011 Mindray Confidential

 Components

Note:
 By-Pass tech (35)—optional for 20/30/35/65/55
 The CO2 bypass seals the circuit when the canister are open, this
permit continued ventilation and rebreathing of exhale gases.
 Clinical risk: Co2 rising unconsciously.

42 © 2011 Mindray Confidential

 Bag/mechanical Pressure sampling
ventilation switch connector
APL connector

Heating module

Drive gas
connector

ACGO connector

Components Fresh gas connector

43 © 2011 Mindray Confidential

Patient circuit principles-Gas Flow

 Expiratory gas flow in

41
Mechanical ventilation 45 NO
NC
43

12 42
51
mode 17 13

52 AGSS
18 AGSS
40 54

Air
Drive Gas
44
Respiratory Flow
35 36 38

Note: 49 Patient
55 34
 Flow sensor (37, 38) 53
P

 Airway pressure gauge (53) NO

NC 35
Flow

 Check valves (33, 36) 32 33 O

2
37
39 47

44 © 2011 Mindray Confidential 44

Patient circuit principles-Gas Flow

 Inspiratory gas flow

41 43
45 NO

in Mechanical ventil
NC

12 42
51

ation mode 17 13

52 AGSS
18 AGSS
40 54

Air

Drive Gas 44
Flow
Respiratory 35 36 38

Note: 49 Patient
55 34
 Soda lime canister (34) 53
P

Absorb the CO2 during every NO

NC 35
Flow
inspiratory to reuse the fresh gas. 32 33 O 37
2

39 47

45 © 2011 Mindray Confidential 45

Patient circuit principles-Gas Flow
41 43
45 NO

 Expiratory gas flow

NC

42

in bag mode 13

52 AGSS
AGSS
40 54

Air

44
Flow
35 36 38

49
55 34
53
P
NO
NC 35
Flow

32 33 O 37
2

39

46 © 2011 Mindray Confidential 46

Patient circuit principles-Gas Flow

 Inspiratory gas flow 45

41 NO
NC
43

42
in bag mode 13

52 AGSS
AGSS
40 54

Note: Air

 APL valve (Airway Pressure Limit 44

Flow
43) 35 36 38

Adjusts breathing system pressure 49

55
limit during manual ventilation. 34
53
P
NO
NC 35
Flow

32 33 O 37
2

39

47 © 2011 Mindray Confidential 47

 Contents

I. General introduction
II. Gas supplies
III. Fresh gas
IV. Anesthetic ventilator
V. Patient Breathing Circuit
VI. AGSS

48 © 2011 Mindray Confidential

 Introducing……

AGSS

Function
Components

49 © 2011 Mindray Confidential

AGSS － Function

Function ：
 Connect the waste gas to the Scavenging sys
tem of hospital

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AGSS － Function

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 AGSS-Components

Transfer AGSS outlet

hose hose port
Passive Active

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 Thank you!

53 © 2011 Mindray Confidential

 Version information

Version Author Date Describe

V1 David Wang 2015-01-05 N/A

V2 GANICUS 2016-08-18 OPTIMIZED

54 © 2011 Mindray Confidential