Ventilador de Anestecia AV 800 Service Manual
Ventilador de Anestecia AV 800 Service Manual
Ventilador de Anestecia AV 800 Service Manual
Anaesthesia Ventilator
Service Manual
IMPORTANT
Servicing and Repairs
In order to ensure the full operational life of this
ventilator, servicing by a Penlon-trained
engineer should be undertaken periodically.
The ventilator must be serviced to the following
schedule:
(a)
(b)
(c)
Type of equipment
Product name
Serial number
Approximate date of purchase
Apparent fault
(i)
FOREWORD
This manual has been produced to provide
authorised personnel with information on the
function, routine performance, servicing,
maintenance checks and repairs applicable
to the AV800 Anaesthesia Ventilator.
Information contained in this manual is
correct at the date of publication.
The policy of Penlon Limited is one of
continued improvement to its products.
Because of this policy, Penlon Limited
reserves the right to make any changes
which may affect instructions in this manual,
without giving prior notice.
(ii)
CONTENTS
Page No.
1.
2.
USER RESPONSIBILITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WARNINGS AND CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PURPOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
7
3.
3.1
3.2
3.3
3.4
DESCRIPTION
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ventilation Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pneumatic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Control Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
10
13
15
3.5
3.5.1
3.5.2
3.5.3
3.5.4
3.5.5
3.5.6
3.5.7
3.5.8
Operating Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Power Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tidal Volume Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ventilation Rate Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ventilation I:E Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Airway Pressure Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tidal Volume Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inspiratory Pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
17
18
18
18
19
19
19
19
3.6
3.7
3.8
3.9
3.10
Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Message Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Back-up Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operational Capability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
System software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
22
23
24
25
4.
SPECIFICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
5.
5.1
5.1.1
5.1.2
5.1.3
5.1.4
5.1.5
5.2
5.3
5.3.1
5.3.2
PRE-OPERATION PROCEDURES
Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Components Supplied with the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . .
Mounting the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ventilator Electrical Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ventilator Gas Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Spirometer Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Bellows Assemblies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pre-use Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Daily Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weekly Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
30
30
30
30
34
35
36
36
37
6.
FAULT FINDING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
7.
SERVICE SCHEDULE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
8.
8.1
8.2
8.3
8.4
SERVICE PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sterilisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tubing Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fitting the Annual Preventive Maintenance Kit . . . . . . . . . . . . . . . . . . . . . .
50
50
53
54
55
(iii)
CONTENTS
8.5
8.6
8.7
8.8
8.9
56
58
58
59
60
9.
PARTS LIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
61
10.
APPENDIX
Back-up Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
73
(iv)
USER RESPONSIBILITY
This anaesthesia ventilator has been built to
conform with the specification and operating
procedures stated in this manual and/or
accompanying labels and notices when
checked, assembled, operated, maintained
and serviced in accordance with these
instructions.
WARNING
means there is a
possibility of injury to
yourself or others.
CAUTION
NOTE
indicates points of
particular interest for more
efficient and convenient
operation.
WARNINGS
6.
7.
General Information
1.
3.
8.
9.
5.
battery
10.
11.
13.
15.
17.
18.
25.
26.
27.
21.
22.
23.
24.
fire
or
In
compliance
with
good
anaesthesia practice, an alternative
means of ventilation must be
available whenever the ventilator is
in use.
29.
The
Vent
Inop
(ventilator
inoperative) alarm indicates that
one of the following conditions has
occurred:
A) A solenoid has failed.
B) The flow control valve has failed.
C) Internal electrical fault.
D) Internal communications error
2.
3.
5.
6.
7.
CAUTIONS
1.
4.
2. PURPOSE
3. DESCRIPTION
Bellows Housing
Bellows Base
Control Unit
3.1
General
Driving Gas
Port
Exhaust Port
(patient gas)
Do NOT connect
spirometer
Breathing
System
Port
Spirometer
connectors
DANGER - POSSIBLE EXPLOSION HAZARD. DO NOT
RS232 PORT
PRINTER PORT
ANALOGUE/ALARM OUTPUTS
SPIRO
OXYGEN/AIR
38 - 100 psi
2.6 - 6.9 Bar
262 - 689 kPa
MANOMETER/
PRESSURE
TRANSDUCER
-20 To 100 cmH2O
EXHAUST VALVE
DO NOT BLOCK
Drive Gas
MAINS SUPPLY
FUSE RATING/TYPE
3.15 A 240 V ANTI SURGE HRC
PRV 80 cmH2O
Penlon Limited
Abingdon, Oxon
OX14 3PH
Tel 01235 547000
Fax 01235 547031
Tested by:
Serial No.
MADE IN UK
CLASS 1 TYPE B
VOLTAGE 90 - 264 VAC
FREQUENCY 47 - 63 Hz
MAX CURRENT 1 A
DESCRIPTION
3.2
Ventilation Cycle
1.
Beginning of
Inspiratory Phase
Drive gas pressure builds up
above the bellows, which starts
to move down, forcing patient
gas into the breathing system.
PATIENT
GAS OUT TO
BREATHING
CIRCUIT
DRIVE GAS IN
2.
End of Inspiratory
Phase
The main drive gas valve
closes and the bellows stops
moving.
MAIN DRIVE
GAS VALVE
CLOSED
10
DESCRIPTION
3.
Beginning of
Expiratory Phase
The discharge valve opens,
allowing the drive gas above
the bellows to escape to
atmosphere.
The bellows starts to rise and
exhaled gas enters the bellows.
DISCHARGE
VALVE
BELLOWS
EXHALATION
DIAPHRAGM
VALVE
4.
BELLOWS
EXHAUST PORT
11
17
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
4
8
9
7
15
2
1
14
12
18
11
10
13
12
DESCRIPTION
3
4
16
1
2
9
11
17
10
10
12
14
13
18
15
Gas supply
Input gas filter
Low supply pressure detector
Input pressure regulator
Test point
Inspiratory valve
Drive gas flow metering valve
Stepper motor and feedback
potentiometer (for 7)
Expiratory valve
10.
11.
12.
13.
14.
15.
16.
17.
18.
Exhaust outlets
Pressure relief valve
Exhaust valve
Bellows drive gas connector
Driving gas over-pressure switch
Bellows driving gas port
Pressure gauge
Pressure transducer
Inlet from breathing circuit / manometer
connection
13
DESCRIPTION
The Input Pressure Regulator conditions the
input drive gas to a stable 35 psig pressure
which will operate the internal pneumatic
system.
NOTE
This function is not available in
PRESSURE controlled cycle
Compliance Compensation
WARNING
The
AV800
has
compliance
compensation but the actual tidal volume
delivered to the patient may be different
to the ventilation parameters set by the
user due to:
A) an extreme compliance condition,
B) a substantial system leak, or
C) patient circuit pressure effects.
In addition, high fresh gas flows will lead
to an increased Vt being delivered to the
patient.
Note that on models fitted with
DESCRIPTION
pressure as set on the front panel an alarm
is activated and the following occurs:
3.4
1.
Ventilator parameters:
2.
3.
VENTILATION MODE
TIDAL VOLUME
RATE,
I:E RATIO,
INSPIRATORY PAUSE, and
AIRWAY PRESSURE CONTROL
These parameters are set on the front panel
by five rotary controls and one momentary
action push button.
Based on the control settings, the system:
1.
Calculates the INSPIRATORY FLOW
and the INSPIRATORY and
EXPIRATORY times (see section 3.7).
2.
Controls the flow metering valve.
3.
Displays the value of the tidal volume,
rate, and I:E Ratio parameters on
three digital displays.
4.
Generates the appropriate messages
and alarms.
WARNING
If this warning is ignored, the patient may
receive an insufficient minute volume.
In PRESSURE controlled mode, when the
set pressure is reached the following
occurs:
1.
2.
Control Unit
15
DESCRIPTION
16
DESCRIPTION
3.5
SPONT (spontaneous)
OFF
VENT INOP
HIGH AIRWAY PRESSURE
LOW SUPPLY PRESSURE
LOW AIRWAY PRESSURE
(Apnoea)
LOW BATTERY
MAINS FAILURE
STANDBY
Allows for ventilator function check and setup.
The text display STANDBY will be
illuminated with an amber light.
1.
2.
TIDAL VOLUME
RATE
I:E RATIO
AIRWAY PRESSURE LIMIT
3.
Spirometry
Spirometry (if fitted) can be enabled /
disabled by using the following procedure
17
DESCRIPTION
At this point the ventilator will stop
delivering gas and pause in this condition
until the calculated end of inspiration time
has been reached.
The ventilator will then return to the
exhalation phase.
RATE BPM
NOTE
WARNING
The ventilator settings can allow for and
inverse I:E ratio up to 1:0.3. The clinician
must always ensure that sufficient time is
allowed for the patient to adequately
exhale.
I:E RATIO
This dial and digital display controls and
indicates the requested ventilator I:E RATIO.
If during adjustment the required flow rate is
less than 2 L/min or exceeds 75 L/min, the
set I:E ratio will be limited accordingly.
WARNING
The
AV800
has
compliance
compensation but the actual tidal volume
delivered to the patient may be different
to the ventilation parameters set by the
user due to:
A) an extreme compliance condition,
B) a substantial system leak, or
C) patient circuit pressure effects.
NOTE
Minute Volume = Tidal Volume x Rate
(see section 3.7)
18
DESCRIPTION
3.5.5 Airway Pressure Limit
(cmH2O)
3.5.8
3.5.6
Alarm Mute
30 seconds
30 seconds
120 seconds
120 seconds only
3.5.7
Inspiratory Pause
19
DESCRIPTION
3.6
Rear Panel
NOTE
This symbol denotes
Type B equipment.
RS232 PORT
Spirometer
connectors
PRINTER PORT
ANALOGUE/ALARM OUTPUTS
SPIRO
OXYGEN/AIR
38 - 100 psi
2.6 - 6.9 Bar
262 - 689 kPa
MANOMETER/
PRESSURE
TRANSDUCER
-20 To 100 cmH2O
EXHAUST VALVE
DO NOT BLOCK
Drive Gas
PRV 80 cmH2O
FUSE RATING/TYPE
3.15 A 240 V ANTI SURGE HRC
Penlon Limited
Abingdon, Oxon
OX14 3PH
Tel 01235 547000
Fax 01235 547031
Tested by:
Serial No.
MADE IN UK
MAINS SUPPLY
CLASS 1 TYPE B
VOLTAGE 90 - 264 VAC
FREQUENCY 47 - 63 Hz
MAX CURRENT 1 A
DESCRIPTION
3.6.2
3.6.9
Mains supply
3.6.3
Printer Port
3.6.10
Oxygen/Air
Spirometer connections
3.6.7
CAUTION
A) The lines must not be trapped during use.
B) Do not alter the length of the sample lines.
PRV 80 cmH2O
3.6.8
3.6.11
Analogue/alarm Outputs
RS 232 Port
21
DESCRIPTION
3.7
Message Displays
NOTE
There are no means provided to defeat any
visual alarm.
Alarms are priority configured. The highest
priority alarm will always take precedence.
Normal conditions must be restored or the
unit turned off in order to cancel the alarms.
Spirometer Disconnect
If
the
spirometer
tube
becomes
disconnected, causing an erroneous
measured volume greater than 50% of the
set tidal volume, the Tv display will flash.
INCORRECT RATE OR RATIO
(Low priority)
A visual indicator and audible alarm which
indicates that the required inspiratory flow
rate is below 2 L/min, or has reached the
upper limit of 75 L/min as determined by the
settings for TIDAL VOLUME, RATE , I.E.
RATIO, and INSP PAUSE.
This alarm can be silenced for 120 seconds.
22
DESCRIPTION
3.8
MAINS FAILURE
(Low priority)
A visual indicator and an audible alarm (low
priority) that is battery driven.
The alarm activates when electrical power is
disconnected when the ventilator is
operating.
Note that if fully charged, the back-up battery
will power the ventilator for 60 minutes.
LOW BATTERY
(Low priority / Medium priority)
A visual indicator and an audible alarm
which activate if the internal battery is almost
exhausted, indicating that ventilation will
soon cease.
When approximately ten minutes of battery
backup time remains, the alarm will change
from low to medium priority.
To prevent damage to the battery, the
ventilator will shut down before the battery is
fully discharged.
VENT INOP
(High priority)
The VENT INOP (ventilator inoperative)
alarm indicates that one of the following
conditions has occurred:
A)
B)
C)
D)
E)
F)
Back-up Battery
WARNING
The only way to reset a VENT INOP alarm
is to turn the Power switch OFF for a
minimum of one second and then back
ON.
If the VENT INOP alarm occurs again,
remove the ventilator from use and refer
to an authorised service technician.
23
DESCRIPTION
3.9
Operational Capability
I:E Ratio
1:6
1:2
1:1
1:0.3
1.6
1.5
1.4
1.3
1.2
1.1
Tidal
Volume
(litres)
(Vt)
1.0
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0
10
15
20
25
30
35
40
45
50
55
Rate (bpm)
The ventilator is capable of operating at the volumes and rates below each I:E ratio curve.
Note
Example
1.
Select required volume (Vt) (e.g. 0.7 litres)
2.
Select rate (e.g. 10 bpm).
3.
Select I:E ratio of 1:2.
The point X on the graph lies beneath the 1:2 ratio curve, and is therefore within the
ventilators capability.
24
60
DESCRIPTION
3.10 System Software
The software controls all ventilator functions
including performance accuracy and safety
checks.
In addition, the software controls
ventilator/user interface, apart from
manometer.
the
the
Upgrades
Any upgrades will be offered to customers for
downloading via a connector on the main PCB.
15 pin D-type
connector pin
layout
Description
Range
Analogue
scaling
Ground
-20 to 80 cmH20
0.05 V/cmH20
-20 to 80 cmH20
0.05 V/cmH20
10 to 70 cmH20
0.05 V/cmH2O
Tidal Volume
0-1.6 litres
0.3 V/100ml
BPM
0-60 bpm
0.08 V/bpm
I:E Ratio
1:0.3 to 1:6.0
0.08 V/O.IE
Measured Volume
0-1.6 litres
0.3 V/100ml
25
DESCRIPTION
Alarm Outputs
Alarm outputs are provided on the system
for various system parameters
Alarm outputs are on pin 9-15.
15 pin D-type
connector pin
layout
Alarm Outputs
Logic level
System OK
High
10
Low
11
Incorrect rate/ratio
Low
12
Low
13
Low
14
15
Low
Low
Engineering Mode
A facility to allow Penlon-trained service engineers
access to the following functions:
1.
2.
3.
4.
4. SPECIFICATION
4.1
Application
4.2
Internal Compliance
3 ml/cmH2O (nominal)
4.3
4.4
50 to 1600 ml (10%)
4.5
4.6
4.7
4.8
Inspiratory/Expiratory Phase
Time Ratio Range
(I:E ratio)
4.9
10 to 70 cmH2O (10%)
4.10
2 to 75 L/ min
4.11
10 to 70 cmH2O (10%)
4.12
Inspiratory Triggering
No trigger
4.13
Inspiratory Triggering
- Response Time
No trigger
4.14
80 cmH2O
4.15
70 cm H2O
4.16
-10 cm H2O
4.17
Atmospheric
4.18
Sub-atmospheric Pressure
Range
None
4.19
Expiratory Resistance
(60 L/min)
5 cmH2O/Ls-1
4.20
Sigh Characteristics
None
4.21
Inspiratory Mixture
No mixture controls
27
SPECIFICATION
4.22
Flowmeters
None
4.23
Manual Changeover
None
4.24
Fixed, 80 cmH2O
4.25
No humidifier.
Volume monitor optional (spirometer)
Pressure monitor built in
4.26
None
4.27
Optional
4.28
Spirometer
Accuracy
Optional
Varies with gas composition.
Note that the spirometer is calibrated for
typical clinical gas mixtures. Differing gas
composition will cause variances from actual
values. Maximum variation is 20%.
300 ml Vt minimum in Spontaneous mode.
50 to 1600 ml in all other operating modes.
Range
4.29
4.30
Power Source
Electrical
90 to 264 VAC
47/63 Hz, universal input.
Oxygen or air (dry, and oil free) at 38 to 100
psig (262 to 689 kPa).
4.32
Power Consumption
Electrical
Gas
37 watts maximum
75 L/min intermittent maximum inspiratory
flow.
37.5 L/min minute volume
Dimensions
Height
Height of control unit only
Width
Depth
370
135
235
260
28
mm
mm
mm
mm
SPECIFICATION
4.33
Weight
Weight with adult bellows
Weight with paediatric bellows
Weight of control unit only
9.0 kg
8.7 kg
7.6 kg
4.34
Method of Disinfection
or Sterilisation
4.35
Bacterial Filter
4.36
4.37
Reliability
4.38
Waveform Tests
Not applicable
4.39
Volume Tests
Not applicable
4.40
(A) Mobility
(B) Mounting
4.41
Fuses
4.42
Environmental
Ambient Temperature
Storage
Operating
Humidity
Altitude
Ingress protection
29
5. PRE-OPERATION PROCEDURES
5.1
Set-up
WARNING
Excessive electronic noise caused by
other, poorly regulated devices, such as
electrocautery, may adversely interfere
with the proper functioning of the
ventilator.
To avoid this problem, do not connect the
ventilator power cord into the same
electrical wall outlet or strip into which an
electrocautery unit is connected.
2.
3.
30
Driving Gas
Port
Exhaust Port
(patient gas)
Do NOT connect
spirometer
Breathing
System
Port
Spirometer
connectors
RS232 PORT
ANALOGUE/ALARM OUTPUTS
PRINTER PORT
SPIRO
OXYGEN/AIR
38 - 100 psi
2.6 - 6.9 Bar
262 - 689 kPa
MANOMETER/
PRESSURE
TRANSDUCER
-20 To 100 cmH2O
EXHAUST VALVE
DO NOT BLOCK
Drive Gas
MAINS SUPPLY
PRV 80 cmH2O
Penlon Limited
Abingdon, Oxon
OX14 3PH
Tel 01235 547000
Fax 01235 547031
Tested by:
Serial No.
MADE IN UK
FUSE RATING/TYPE
3.15 A 240 V ANTI SURGE HRC
CLASS 1 TYPE B
VOLTAGE 90 - 264 VAC
FREQUENCY 47 - 63 Hz
MAX CURRENT 1 A
31
PRE-OPERATION PROCEDURES
AV800 VENTILATOR
(REAR VIEW)
EXHAUST TO
SCAVENGE
SYSTEM
BREATHING CIRCUIT
BACTERIAL FILTER
ANAESTHETIC MACHINE
CIRCLE
SYSTEM
ABSORBER
VENTILATOR
DRIVE GAS
(FROM MACHINE
AUXILIARY OUTLET)
PATIENT
4.
expiratory limb to
breathing system.
WARNING
the
WARNING
protect
Connect
the
MANOMETER/
PRESSURE TRANSDUCER port on
the rear panel of the control unit to the
breathing system.
The recommended placement for the
distal sensing tee is in the inspiratory
limb of the breathing system close to
the circle system inspiratory valve.
Use a Heat and moisture exchanger
(HME) at the patient Y piece, or a
breathing
system filter
in the
32
7.
8.
PRE-OPERATION PROCEDURES
9.
10.
11.
12.
13.
14.
33
PRE-OPERATION PROCEDURES
A1
B2
B1
C1
C2
Spirometer
Head
E
Pressure
Monitor Line
A2
Notes
a) Carefully twist each sample
line anti-clockwise before
connecting to the ventilator and
Tee-piece.
Turn each connector fully
clockwise to ensure a leak-free
joint.
b) Latest type tubing assemblies
have a restrictor fitted to tube
C1/C2.
This tube is labelled VENT END
(E) to assist correct fitment.
2.
3.
4.
NOTE
A) If the connection is incorrectly made at the
spirometer sensor, the ventilator will alarm LOW
TIDAL VOLUME. To allow the ventilator to be
used in the event of damage or or non-functioning
of the spirometer head, turn off the spirometry
function - see STANDBY mode.
PRE-OPERATION PROCEDURES
1
5.2
Bellows Assembly
3.
CAUTION
Always ensure correct fitment of bellows
(see illustration above), and carry out a full
function test before clinical use, if a bellows
is removed and refitted.
1.
2.
4.
NOTE
35
PRE-OPERATION PROCEDURES
5.3
Pre-use Checklist
3.
4.
WARNING
5.
6.
7.
8.
9.
WARNING
11.
12.
13.
14.
Functional checkout:
1.
2.
O2 flush
PRE-OPERATION PROCEDURES
5.3.2 Weekly Checklist
At least every week, in addition to the daily
functional check:
1.
2.
3.
4.
Turn
the
MODE
VOL/CYCLE.
5.
switch
to
NOTE
If there is any malfunction, the ventilator
must NOT be used.
If the problem cannot be located, refer to
section 6 - Fault Finding, or return the
ventilator for repair to a Penlon authorised
service centre or to the manufacturer.
37
6. FAULT FINDING
CONDITION
No power at switch on
(no VENT INOP alarm)
2.
3.
4.
5.
1.
2.
3.
1.
2.
3.
4.
5.
6.
1.
2.
3.
4.
1.
2.
3.
1.
38
FAULT FINDING
CONDITION
Displayed values incorrect
2.
3.
1.
2.
Error code 12
Potentiometer failure - replace display assembly
PCB.
3.
Error code 8
Potentiometer sensor failure - replace main PCB.
1.
2.
3.
1.
Error code 8
Pressure sensor failure - replace main PCB.
2.
1.
Error code 3
Expiratory valve solenoid failed to open, resulting
in high airway pressure alarm.- replace.
1.
Error code 2
Faulty inspiratory solenoid valve - replace.
1.
2.
1.
Error code 2
Inspiratory solenoid valve faulty - replace.
39
FAULT FINDING
CONDITION
Zero tidal volume and drive gas leak from
exhaust port.
Error code 3
Expiratory solenoid failed open - replace.
2.
1.
Error code 2
Inspiratory solenoid valve faulty - replace.
2.
3.
4.
5.
6.
1.
2.
1.
2.
3.
4.
5.
6.
7.
Error code 1
Flow valve fails to adjust correctly due to
mechanism binding - realign and check calibration.
8.
40
FAULT FINDING
CONDITION
Tidal volume incorrect or inconsistent
(continued)
10.
11.
12.
41
FAULT FINDING
42
7. SERVICE SCHEDULE
The AV800 ventilator must be serviced to the following schedules.
Only Penlon-trained engineers should undertake servicing and repairs..
6 Month Service
1.
12 Month Service
1.
No.
No.
No.
No.
No.
No.
No.
No.
042819
0314
041204
041226
300045
0762
15446
300329
5 year Overhaul
1.
Fit overhaul kit components :
5 year overhaul kit
Part No. 57635
Parts listed in 12 month kit, plus:
Part No. 104019
Lithium Battery ( Real time clock )
Part No. 103996
Lead Acid Battery ( Mains back up )
Part No. 045438
Internal Regulator
Part No. 300116
Internal Tubing Set
Part No. 011052
Adhesive tape (battery and speaker)
2.
Software Upgrades
Software upgrades will be offered to distributors and customers by means of a software
program which will be loaded via the main PC.104 connector using a specially developed
ROM Card
For distributors and customers who do not have access to a computer, a PCB board and front
panel pic chip replacement will be available for early machines.
Special Tools
Part No.
-----300128
------
Description
Multimeter
PRV and Exhaust - cap removal tool
Test Gauge
43
SERVICE SCHEDULE
AV800 SERVICE PROCEDURE (version 2.0 software)
Item
Operation
Service frequency
1
1.1
1.2
1.3
1.4
Initial Checks
Check and record serial number and determine service required.
Check general condition of ventilator assembly
Check configuration of attachments and note.
Check and record front panel control settings.
2
2.1
2.2
2.3
2.4
2.5
44
Six months
(ALL item 1
operations)
Six months
(ALL item 2
operations)
45
Error Codes
Error Codes
Error 13 shown
Spirometer tubing
and housing
Exhaust valve
46
SERVICE SCHEDULE
3
3.1
3.2
3.3
4.1
4.2
4.3
4.4
4.5
5
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
5.10
5.11
Control Unit
Check all electrical connections and components for security.
Replace Back up battery.
Replace real time clock battery.
7
7.1
Set Up
Select drive hose O2 or Air and attach to the OXYGEN/AIR
connection to the rear panel and ensure the drive gas switch is in
the correct position. (Air down O2 up) connect mini-Schrader to
anaesthetic machine.
Connect the small corrugated hose to the Driving Gas Ports.
Connect a hose from the Breathing System Port to a CO2 absorber.
Connect the pressure tube to MANOMETER/PRESSURE
TRANSDUCER connection on the rear panel and to the To Patient
port of the CO2 absorber
7.2
7.3
7.4
47
Service frequency
Six months
(ALL item 3
operations)
One year
Six months
Six months
One year
One year
Six months
Six months
One year
One year
One year
One year
One year
One year
Five years
Five years
Six months
Six months
Six months
Six months
Five years
Five years
Six months
(ALL item 7
operations)
SERVICE SCHEDULE
Item
7.5
7.6
7.7
7.8
7.9
8
8.1
8.2
8.3
8.4
8.5
9
9.1
9.2
9.3
9.4
9.5
Operation
Service frequency
Six months
(ALL item 8
operations)
Spontaneous
Switch ventilator switch to SPONTANEOUS and press MODE
SELECT to access TIDAL VOLUME (MEASURED).
Switch CO2 absorber to BAG
Operate Bag Squeezing and check LITRES / MIN and RATE B.P.M
displays indicate readings.
Stop Bag Squeezing, ensure pressure gauge falls to zero, after 30
seconds delay.
Check LOW AIRWAY PRESSURE alarm, and also check that
displays show = =
Press MUTE and verify audible alarm is muted for 30 seconds.
Six months
(ALL item 9
operations)
10
Volume cycle
10.1 Switch Ventilator switch to VOL CYCLED
10.2 Set TIDAL VOLUME LITRES / MIN to 0.8, set RATE BPM to 10,
I:E RATIO to 1:2 and AIRWAY PRESSURE LIMIT to max.
10.3 Verify 800 ml is delivered (indicated on bellows canister).
10.4 Press INSP PAUSE check 25% pause during the inspiratory phase.
10.5 Press MODE SELECT check displays indicate values on LITRES /
MIN and RATE BPM. Note these will show incorrect values due to
gas and agent variations.
10.6 Remove and occlude expiratory breathing hose and check that the
following alarms operate.
HIGH AIRWAY PRESSURE
HIGH CONTINUOUS PRESSURE
LOW AIRWAY PRESSURE
LOW TIDAL VOLUME
10.7 Disconnect mains supply, verify ventilator continues to operate on
battery, check MAINS FAIL alarm
48
Six months
(ALL item 10
operations)
SERVICE SCHEDULE
11
Pressure ventilation
11.1 Switch Ventilator selector switch to PRESSURE
11.2 Set AIRWAY PRESSURE LIMIT to 20 cmH2O and verify that the
pressure is held at setting.
11.3 Carry out leak test. Set LITRES to 1 L/m, RATE to 5 bpm and
AIRWAY PRESSURE LIMIT to 20 cmH2O, ensure rotameter is set
to 200 ml or min. Fill bellows using O2 flush, allow bellows to cycle
and verify bellows remain full.
Maximum permissible leak 200 ml.
11.4 Remove mini schrader from gas supply pressure and check LOW
SUPPLY PRESSURE alarm, verify LITRES / MIN display flashes.
12
Completion
12.1 Check in Engineering Mode for error messages
12.2 Sign and date service card, indicate Commissioning, attach card and
plastic wallet to equipment.
12.3 Fill out service report.
12.4 Leave equipment ready for use as requested by the customer.
49
Service frequency
Six months
(ALL item 11
operations)
Six months
(ALL item 12
operations)
8. SERVICE PROCEDURES
8.1
8.1.1
Cleaning
CAUTION
Care must be taken not to allow liquids to run
into the control unit; serious damage may
result.
Check that the unit is disconnected from the
electrical supply before cleaning.
Do not use cleaning solutions containing
alcohol; the bellows housing may be
damaged.
WARNING
Great care must be taken not to damage
the precision surface of the diaphragm
valve seat (A).
Never use any hard object or abrasive
agent to clean it; use only a soft cloth
(alcohol wipe recommended).
If the valve seat is damaged, the
diaphragm valve will leak and may cause
serious malfunction.
NOTE
If excessive contamination is discovered,
check that a bacterial filter is used in the
expiratory limb of the breathing circuit (or an
HME at the patient tee-piece).
See section 5.1.4.
8.1.2
CAUTION
Always check for correct fitment of the
bellows (see illustration) and carry out a full
function test of the ventilator before clinical
use.
Bellows
As with all elastomers, the bellows material
deteriorates with aging and should be
50
SERVICE PROCEDURES
B
C
A
Exhalation Diaphragm
Valve Assembly
Bellows Base
51
SERVICE PROCEDURES
8.1.3
52
SERVICE PROCEDURES
8.2
Sterilisation
CAUTION
To prevent possible damage to components, peak sterilisation temperatures must not exceed
54oC (130oF) for gas (ethylene oxide) or, 134oC (275oF) for steam autoclave.
Do not sterilise the ventilator control unit. The internal components are not compatible with
sterilisation techniques and may be damaged.
Following sterilisation with ethylene oxide, components must be quarantined in a well
ventilated area to allow dissipation of any residual gases.
Follow the recommendations given by the steriliser manufacturer for aeration periods.
ITEM
METHOD
Bellows *
Hoses
O rings
Bellows base
Gas,
Gas,
Gas,
Gas,
Liquid
liquid,
liquid,
liquid,
liquid,
*Applies to standard size bellows only, the optional paediatric bellows must not be steam
autoclaved.
NOTE
Examples of suitable liquid agents are: Nu-Cidex, Sporicidin, and Sonacide.
The exhalation diaphragm valve must be removed, cleaned and sterilised sep
arately.
53
SERVICING PROCEDURES
8.3
Tubing Connectors
A
Hold the end piece A in place.
A
Pull the tube carefully outwards.
The end piece A will be pulled outwards to the
locked position
54
SERVICING PROCEDURES
1
041204
O-ring
0762 Filter
(drive gas
inlet)
5
4
042819
O-ring
041226
O-ring
3.
4.
Exhaust valve
NOTE
If a ventilator is equipped with an optional
paediatric bellows assembly, the O-ring on the paediatric
adaptor must also be renewed annually.
Order O-ring, Part No. 041225
300045
Sealing washer
Bellows assembly
1.
2.
10
11
0314 O-ring
(pressure relief
valve)
Exhaust valve
1.
2.
300329
Spirometer Tubing Assembly
SERVICING PROCEDURES
8.5 Fitting the Five Year
Overhaul Kit
1.
2.
3.
4
1
Regulator assembly
4.
Internal Tubing
11.
64 mm
40 mm
45 mm
Plan
View
1 (160 mm)
1 (115 mm)
Ref
Part No.
2
3
4
5
6
054541 (Adaptor)
462544 (220 mm / 8 mm o.d.)
462545 (149 mm 10 mm o.d.)
011092 (430 mm / 6 mm o.d.)
053211 (Plug - fitted only to
models without gauge)
054947 (Tee piece)
054949 (Connector)
011092 (510 mm / 6 mm o.d.
(models with spirometer)
7
8
9
3
9
5
1 (18 mm)
5 (350 mm)
6
1 (330 mm)
Side View
3
5 (80 mm)
8
57
SERVICING PROCEDURES
8.6 Manifold Assembly
1.
2.
3.
4.
5.
3
1
2
1
5
5.
2
1
4
3
58
SERVICING PROCEDURES
8.8 Front Panel and PCB
Assembly, and Gauge
NOTE
The display PCB and the control PCB are
not available as separate items. A front
panel and PCB assembly must be ordered
if either PCB is faulty.
1.
2.
3.
4.
5.
6.
7.
8.
9.
1
3
4
6
4
7
59
SERVICING PROCEDURES
8.9
NOTE
2
1
4
6
3
6
4
5
7
60
9. PARTS LIST
Annual Preventive Maintenance Kit
041204
041226
042819
300045
0314
0762
043
300329
Cat No 57633
042819
Quad seal
300045
Sealing
washer
0762 Filter
(drive gas inlet)
Exhaust valve
0314 O-ring
(pressure relief valve)
61
PARTS LIST
A
043
O-ring
300329
Spirometer
Tubing
Assembly
(Safelock
connector spirometer
housing)
041204
O-ring
041226
O-ring
Note
If a paediatric bellows
assembly is used with the
AV800, the O-ring on the
bellows adaptor must be
renewed annually.
Order O-ring, Part No 41225.
62
Spirometer Tubing
Assembly - 300329
The spirometer sample
line fitted to the lower
connector at the rear of
the ventilator has a
restrictor fitted.
This tube is labelled
VENT END (A), and this
end of the tube must be
fitted to the ventilator
rear panel, as illustrated
above.
PARTS LIST
Five Year Overhaul Kit
104019
103996
045538
Cat No 57635
103996
Battery mains back-up
104019
Battery real time
clock
045538
Regulator
63
PARTS LIST
Internal Tubing
NOTE : Replacement tubing must be to the length as specified on illustrations
Ref
Part No.
Qty.
Description
462541
623 mm
Tubing 4 mm o.d.
054541
Adaptor
462544
220 mm
Tubing 8 mm o.d.
462545
149 mm
Tubing 10 mm o.d.
011092
430 mm
Tubing 6 mm o.d.
053211
054947
054949
Connector
Plan View
40 mm
1 (160 mm)
1 (115 mm)
64 mm
3
64
45 mm
Side View
8
1 (18 mm)
1 (330 mm)
5 (350 mm)
6
3
5
5 (80 mm)
7
65
PARTS LIST
1
9
2
10
11
4
5
6
7
Part No.
Qty.
Description
1
2
3
4
5
6
7
57551
57550
406020
041204
57548
041226
019103
011107
1
1
1
1
1
1
4
4
Canister
Bellows
Diaphragm valve assembly
O ring
Bellows base assembly
O ring
Screw - M5
Knurled knob
8
9
10
11
57553
57552
57544
041225
1
1
1
1
PARTS LIST
5
4
2
7
Part No.
Qty.
Description
1
2
300xxx
300xxx
1
1
3
4
5
104019
103996
104007
300006
105715
1040008
103998
1
1
1
1
1
2
1
6
7
8
67
8
av8ser12.tif
PARTS LIST
Rear panel Connectors, Valve Assemblies, and Manometer
Ref
Part No.
Qty.
Description
35150
PRV body
Valve plunger
Cap
O seal, Viton
Spring
Connector
300038
020013
025205
0762
054519
1
1
1
1
1
O2 connector - DISS
Locking nut, M12
Washer, 0.5 inch i.d.
Filter
Straight adaptor. 1/8 BSP to 8 mm tube
Exhaust valve
9
300041
10
300044
11
300045
12
031045
13
300043
14
042819
15
054541
1
1
1
1
1
1
1
Cap
Spacer
Washer
Spring
Piston
Seal, quad ring
Straight adaptor, M5 to 4 mm tube
16
300040
17
049040
18
104001
104010
104009
1
1
1
19
104000
104010
104009
1
1
1
20
103999
104002
104003
1
1
1
Knob
Nut cover
Cap
6
7
8
68
PARTS LIST
15
14
16
8
12
13
11
10
9
17
18
19
20
69
PARTS LIST
1
4
5
Part No.
Qty.
Description
1
2
3
4
5
6
7
8
300027
045438
102952
054946
054948
045053
045052
300011
1
1
1
1
1
1
1
1
PARTS LIST
1
4
4
Original Specification
7
2
Revised Specification
(May 2000 onwards)
Ref
Part No.
Qty.
Description
Ref
Part No.
Qty.
Description
300109
300117
57631
300124
34331
043
1
1
Spirometer assembly,
includes:
Safelock nut
O seal
34331
043
1
1
Spirometer assembly,
includes:
Safelock nut
O seal
57632
300329
Hose assembly
(tubing and connectors)
1
1
1
1
1
Luer connector
Luer connector
Nut - tube adaptor
Luer connector
Identification Ring (Red)
Panel connectors
4
011245
5
011244
6
300059
7
011249
1
1
1
1
Hose assembly
(tubing and connectors)
Luer connector
Luer connector
Nut - tube adaptor
Luer connector
Panel connectors
4
011245
5
011244
6
300059
7
011249
8
011260
71
PARTS LIST
72
10. APPENDIX
APPENDIX 1
CARE OF BACK-UP BATTERY
CAUTION
Damage may occur if the battery is allowed to remain in
a discharged state. Never discharge the battery to below 10.2 volts.
Recharge
period
1 month
3 months
6 months
9 months
12 months
Duration - recharge until the charge current is less than 25 mA (typically overnight).
It is recommended that at each charge an updated label is affixed to each battery to indicate
date of the last charge.
C Battery disposal
Dispose of used batteries according to hospital, local, state, and federal regulations.
73
74
Cat No 52704
Doc No AV8 0103SM
March 2003
Penlon Limited
Abingdon
OX14 3PH
UK
Technical Support
Tel:
+44 (0) 1235 547076
Fax:
+44 (0) 1235 547062
E-mail: [email protected]
International Sales
Tel:
+44 1235 547001
Fax:
+44 1235 547021
E-mail: [email protected]
UK Sales
Tel:
01235 547036
Fax:
01235 547023
E-mail: [email protected]