Aisys User Manual Part 2 Ver 3.0

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The manual outlines the proper setup, use, maintenance and repairs that should be followed to ensure safe and effective operation of the medical device. The user is responsible for periodically checking the device and replacing any defective or worn parts.

The user is responsible for properly assembling, operating, maintaining and repairing the device according to the instructions. This includes periodically checking the device, immediately replacing any broken, missing or contaminated parts, and only allowing repairs by authorized personnel according to the manufacturer's instructions.

The manual describes the electrical connections including the port, outlets and mains inlet. It also covers the pneumatic connections including pipeline inlets, scavenging and the oxygen inlet.

Aisys

Users Reference Manual - Part 2 of 2


Software Revision 3.X
Setup, Cleaning, Maintenance, Parts, Specifications
User Responsibility
This Product will perform in conformity with the description thereof contained
in this Users Reference manual and accompanying labels and/or inserts,
when assembled, operated, maintained, and repaired in accordance with the
instructions provided. This Product must be checked periodically. A defective
Product should not be used. Parts that are broken, missing, plainly worn,
distorted, or contaminated should be replaced immediately. Should repair or
replacement become necessary, Datex-Ohmeda recommends that a
telephonic or written request for service advice be made to the nearest
Datex-Ohmeda Customer Service Center. This Product or any of its parts
should not be repaired other than in accordance with written instructions
provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel. The
Product must not be altered without the prior written approval of
Datex-Ohmeda. The user of this Product shall have the sole responsibility for
any malfunction which results from improper use, faulty maintenance,
improper repair, damage, or alteration by anyone other than Datex-Ohmeda.

CAUTION U.S. Federal law restricts this device to sale by or on the order of a
licensed medical practitioner. Outside the U.S.A., check local
laws for any restriction that may apply.

Datex-Ohmeda products have unit serial numbers with coded logic which
indicates a product group code, the year of manufacture, and a sequential
unit number for identification. The serial number can be in one of two formats.

AAA X 11111 AAA XX 111111AA


The X represents an alpha character The XX represents a number indicating
indicating the year the product was the year the product was manufactured;
manufactured; H = 2004, J = 2005, etc. 04 = 2004, 05 = 2005, etc.
I and O are not used.

Aisys, Carestation, Advanced Breathing System, Aladin, Aladin 2,


ComWheel, D-fend, Disposable Multi Absorber, Easy-Fil,
Reusable Multi Absorber, PSVPro, and SmartVent are registered
trademarks of Datex-Ohmeda, Inc.
Other brand names or product names used in this manual are trademarks or
registered trademarks of their respective holders.
Table of Contents

1 Setup and Connections

Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3


When to change the absorbent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Removing an EZchange Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Reusable Multi Absorber canister filling . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Outlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Mains inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Serial port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Pneumatic connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
Pipeline Inlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
Scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
Sample gas return port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Pneumatic power outlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Suction regulator (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Auxiliary O2 flowmeter (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
How to install gas cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13
High-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13
How to attach equipment to the top of the machine . . . . . . . . . . . . . . . . .1-14
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14
2 Cleaning and Sterilization

Breathing system autoclavable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3


Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
CIDEX disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Remove the breathing system bag hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

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Disassemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9


Disassemble the bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Assemble the bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17
Bellows assembly test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19
Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-21
Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-27
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-29
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-30
Mechanical cleaning in washer or washer-disinfector . . . . . . . . . . . .2-30
Manual cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-30
High level disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-30
Aladin cassette cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-31
EZchange Canister and condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-31
3 User Maintenance

Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2


Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Datex-Ohmeda approved service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Circuit O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Flow and pressure calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Circuit O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
21% O2 calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
100% O2 calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Airway gas calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Backlight test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
How to help prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

ii M1076286
Table of Contents

4 Parts

Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2


Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
EZchange Canister system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10
5 Specifications and Theory of Operation

System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2


Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
O2 flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Air and N2O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
EZchange Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
ACGO port relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Non-circle circuit relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10
Breathing system specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Airway module specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Gas specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Typical performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15

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Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16


O2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-17
Ventilation operating specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
Fresh gas compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-25
Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-25
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-26
Electronically controlled vaporizer and Aladin cassette . . . . . . . . . . . . . . .5-27
Aladin2 cassettes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-28
Aladin cassettes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-29
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
Guidance and manufacturer's declaration -
electromagnetic emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
Guidance and manufacturer's declaration -
electromagnetic immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-31
Recommended separation distances . . . . . . . . . . . . . . . . . . . . . . . . .5-33
Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-34
IEC-60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-34
6 Super User Mode

Install/Service menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2


Using super user mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Warranty

Index

iv M1076286
1 Setup and Connections

In this section Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3


Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Pneumatic connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
How to install gas cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13
How to attach equipment to the top of the machine . . . . . . . . . . . . . . . . .1-14
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14

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Important Datex-Ohmeda strongly recommends the use of O2 monitoring with this


equipment. Refer to local standards for mandatory monitoring.
European Standard EN 740 and International Standard IEC 60601-2-13/ISO
8835-1 require exhaled volume monitoring, O2 monitoring (in accordance
with EN 12598, or ISO 7767) and CO2 monitoring (in accordance with EN 864
or ISO 9918) be used with this equipment.
European Standard EN 740 and International Standard IEC 60601-2-13/ISO
8835-1 also require anesthetic agent monitoring (in accordance with ISO
11196) be used when anesthetic vaporizers are in use.

WARNING Always make sure that the pipeline supply hoses and the
breathing circuit components are not toxic and will not:

Cause an allergic reaction in the patient.


React with the anesthetic gases or agent to produce
dangerous by-products.

w To prevent incorrect values or equipment malfunction, use only


Datex-Ohmeda cables, hoses and tubing.

w This system operates correctly at the electrical interference levels


of IEC 60601-1-2. Higher levels can cause nuisance alarms that
may stop mechanical ventilation.

w To help prevent false alarms from devices with high-intensity


electrical fields:

Keep the electrosurgical leads away from the breathing


system, the flow sensors and the oxygen cell.

Do not allow the electrosurgical leads to contact any part of


the anesthesia system.

Do not use cell phones near the anesthesia system.

w To protect the patient when electrosurgical equipment is used:

Monitor the correct operation of all life support and monitoring


equipment.
Keep backup manual ventilation available in case the
electrosurgical equipment prevents safe use of the ventilator.

1-2 M1076286
1 Setup and Connections

w Do not use antistatic breathing tubes or masks. They can cause


burns if used near high frequency surgical equipment.

Canister setup

6 1

5
2

AB.74p042
AB.74p043
1. Canister support pin
2. Canister handle
3. Disposable Multi Absorber canister
4. Absorbent
5. Expiratory water reservoir
6. Canister release latch
7. Reusable Multi Absorber canister
Figure 1-1 Canister

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WARNING Obey applicable safety precautions:

Do not use the absorber with chloroform or trichloroethylene.

The Disposable Multi Absorber is a sealed unit which should


not be opened or refilled.

Avoid skin or eye contact with the contents of the absorber. In


the event of skin or eye contact, immediately rinse the
affected area with water and seek medical assistance.

Do not change the absorber during ventilation unless the


EZchange Canister system is installed.

Change absorbent often to prevent the buildup of


non-metabolic gases when the system is not in use.

Inspect absorbent color at the end of a case. During non-use,


absorbent can go back to the original color. Refer to the
absorbent labeling for more information about color changes.

If the absorbent completely dries out, it may give off carbon


monoxide (CO) when exposed to anesthetic agents. For safety,
replace the absorbent.

Desiccated (dehydrated) absorbent material may produce


dangerous chemical reactions when exposed to inhalation
anesthetics. Adequate precautions should be taken to ensure
that absorbent does not dry out. Turn off all gases when
finished using the system.
The absorber canister is available in two versions: Disposable Multi Absorber
and Reusable Multi Absorber. Both are removed and installed on the
breathing system in the same way.
Each canister holds 800 grams of loose absorbent. Datex-Ohmeda
recommends MedisorbTM absorbent.
Both absorber versions should only be used with mixtures of air, oxygen,
nitrous oxide, halothane, enflurane, isoflurane, desflurane and sevoflurane.

1-4 M1076286
1 Setup and Connections

When to change the A gradual color change of the absorbent in the canister indicates absorption
absorbent of carbon dioxide. The color change of the absorbent is only a rough indicator.
Use carbon dioxide monitoring to determine when to change the canister.
Discard the absorbent when it has changed color. If left standing for several
hours, absorbent may regain its original color giving a misleading indication of
activity.
Read the canister instructions completely before using the product.

Removing a canister 1. Hold the canister by the handle and push on the release latch to unlock
the canister.

AB.74p058
2. Remove the canister by tilting it downward and off the two support pins.

Removing an EZchange 1. Hold the canister by the handle and push the canister cradle release
Canister latch to unlock the canister cradle.
AB.75p088

2. Slide the canister up and out of the cradle.


AB.75p089

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Aisys Carestation

Reusable Multi 1. Turn the canister upside down and, using your thumbs, turn the cover
Absorber canister locking ring counterclockwise to unlock it.

filling

AB.4p044
2. Push up to release the seal.
3. Lift off the cover to remove it.

AB.74p046
4. Remove and properly discard the foam filters, the absorbent, and any
water in the reservoir.

WARNING Be careful when draining condensate from the absorber. The


liquid is caustic and may burn skin.

AB.74p047

5. To clean and disinfect the canister, see Absorber canister in section 2


Cleaning and Sterilization.

1-6 M1076286
1 Setup and Connections

6. Place a new filter in the bottom of the canister, pour absorbent into the
canister and place a new filter over the absorbent before closing and
locking the cover. Wipe off any absorbent dust.
7. Align the cover slots with the canister locking tabs and press the cover
down into place. Turn the cover locking ring clockwise to lock the cover in
place. Ensure cover is properly sealed to prevent leaks and spillage.
Alignment of the arrows helps to indicate correct assembly.

WARNING The filters must be in place to help prevent dust and particles from
entering the breathing circuit.

8. When replacing the canister, make sure it is resting on both support pins
before latching it into place.

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Electrical connections

Port The port for the battery backup of the monitor is located above the isolated
outlets.

AB.75p087
Outlets Labels show outlet voltage ratings and circuit breaker amp ratings. These are
isolated outlets. Regularly test the leakage current.

AB.75p.009

Mains inlet Arrow shows the mains power inlet and cord.
AB.75p.008

1-8 M1076286
1 Setup and Connections

Serial port The system has an RS-232C electrical interface. The RS-232C connector
allows serial input/output of commands and data. The 15-pin connector is
located on the back of the display unit.
The 15-pin female D connector - Data Communications Equipment
configuration (DCE):
Pin 1 - Monitor On/Standby
Pin 5 - Signal ground
Pin 6 - Receive data
Pin 9 - Monitor On/Standby Return
Pin 13 - Transmit data

AB.75p090

M1076286 1-9
Aisys Carestation

Pneumatic connections

CAUTION Use only medical grade gas supplies. Other types of gas supplies
may contain water, oil, or other contaminants which could affect
the operation of the pneumatic system.

The gas supplies provide gas to these optional devices through internal
connections:
venturi suction regulator (optional).
auxiliary O2 flowmeter (optional).

Pipeline Inlets

AB.75p.010

Scavenging The scavenging assembly is located below the bellows on the breathing
system. Adapters may be necessary to interface to the scavenging connector.
See Operation and Tutorial in Part 1 of the Users Reference manual for
more scavenging information.
AB.91p045

1-10 M1076286
1 Setup and Connections

Sample gas return port Connect the Datex-Ohmeda sample gas exhaust tube to the gas return port.
Exhaust gas will be directed to the scavenging system.

AB.75p.109
Pneumatic power outlet

AB.75p.007

M1076286 1-11
Aisys Carestation

Suction regulator Venturi regulators use the system air or O2 supply. Vacuum regulators must be
(optional) connected to an external vacuum supply.

3 2
1

AB.75p.007
1. Overflow safety trap
2. External vacuum (non-venturi) connection
3. Splash guard
4. Collection bottle connection

Auxiliary O2 flowmeter
(optional)

2
AB.75o011

1. Auxiliary O2 flow control


2. Auxiliary O2 outlet

1-12 M1076286
1 Setup and Connections

How to install gas cylinders

CAUTION Do not leave gas cylinder valves open if the pipeline supply is in
use. Cylinder supplies could be depleted, leaving an insufficient
reserve supply in case of pipeline failure.

1. Locate the cylinder wrench.


2. Close the cylinder valve on the cylinder to be replaced.
3. Loosen the cylinder connector.
4. Remove the used cylinder and the used gasket.
5. Remove the cap from the cylinder valve on the new cylinder.
6. Point the cylinder outlet away from all items that can be damaged by a
release of high-pressure gas.
7. Quickly open and close the cylinder valve. This removes dirt from the
cylinder outlet.

WARNING No gasket or more than one gasket can cause a leak.

8. Install a new gasket.


9. Install a new cylinder.
10. Perform a High-pressure leak test.

High-pressure leak test 1. Turn on the system.


2. Disconnect pipeline supplies.
3. Turn off the auxiliary O2 flowmeter and the venturi suction.
4. Open the cylinder.
5. Record the cylinder pressure.
6. Close the cylinder.
If the cylinder pressure decreases more than 690 kPa (100 psi) in
one minute there is a significant leak.
7. To repair a leak, install a new cylinder gasket and tighten the adapter.
8. Repeat the leak test. If the leak continues, do not use the system.

M1076286 1-13
Aisys Carestation

How to attach equipment to the top of the machine

WARNING The top of the machine has a weight limit of 45 kg (100 lb).

1. Locate the clips or slots.


2. Install the straps.
3. Fully tighten the straps.
4. Make sure the straps hold the equipment in position.

WARNING Fully tighten the straps. If straps are not fully tightened,
equipment can fall off the top of the machine.

Installation notes
When the system is installed, the Datex-Ohmeda representative will check the
following items and change them if necessary.

WARNING These items can only be changed by qualified personnel. Ensure


configurations conform to local requirements.

Automatic calculation of VE alarm limits during mechanical


ventilation.

Altitude.

Ventilator drive gas.

Upgrade, activation and deactivation of monitoring and


ventilation features.

1-14 M1076286
2 Cleaning and Sterilization

In this section Breathing system autoclavable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3


How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Remove the breathing system bag hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Disassemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Disassemble the bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Assemble the bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17
Bellows assembly test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19
Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-21
Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-27
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-29
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-30
Aladin cassette cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-31
EZchange Canister and condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-31

M1076286 2-1
Aisys Carestation

WARNING Obey applicable safety precautions:

Read the material safety data sheet for each cleaning agent.

Read the manual for all sterilization equipment to be used.

Wear gloves and safety glasses. A damaged O2 cell can leak


and cause burns. Do not breathe the fumes.

CAUTION To help prevent damage:

Refer to the manufacturers data if you have questions about a


cleaning agent.

Follow hospital procedures for cleaning areas of the machine


not specified in this section.

Do not use organic, halogenated, or petroleum-based


solvents, anesthetic agents, glass cleaners, acetone, or other
harsh cleaning agents.

Do not use abrasive cleaning agents (such as steel wool, silver


polish or cleaner).

Keep all liquids away from electronic parts.

Do not permit liquid to go into the equipment housings.

Do not soak synthetic rubber parts for more than 15 minutes.


Swelling or faster aging can occur.

Only autoclave parts marked 134C.

Cleaning solutions must have a pH of 7.0 to 10.5.

2-2 M1076286
2 Cleaning and Sterilization

Breathing system autoclavable parts

2 9

1 10

8
11

AB.82.045
AB.82.048
AB.82.008
1. Bellows assembly
2. APL valve ramp
3. APL valve diaphragm
4. Breathing circuit module (O2 cell not autoclavable)
5. Absorber canister (reusable only)
6. Flow sensor cover*
7. Flow sensor module (plastic flow sensors not autoclavable)
8. Exhalation valve assembly
9. Condenser module
10. Condenser
11. EZchange Canister module
Figure 2-1 Autoclavable assemblies

*This part is not compatible with other anesthesia systems.

M1076286 2-3
Aisys Carestation

Special requirements To clean the circuit O2 cell, wipe it with a damp cloth.
If the flow sensors are plastic, refer to the How to clean and disinfect the
flow sensors procedure. Do not get the electrical connectors wet.
Autoclave metal flow sensors at 134C.
Disassemble the bellows assembly before washing. If not, it will take a
very long time to dry. Hang the bellows upside down (extended) to dry. If
not, the convolutions can stick together.
Parts marked 134C are autoclavable or washable by hand or machine
(mild detergent pH <10.5). Rinse and dry completely. All parts except the
O2 cell and disposable flow sensors can be washed.

WARNING Do not use talc, zinc stearate, calcium carbonate, corn starch or
equivalent materials to prevent tackiness. These materials can go
into the patients lungs and airways and cause irritation or injury.

CAUTION Do not put the circuit O2 cell or flow sensor connector in liquid.

w Do not autoclave the circuit O2 cell or the plastic flow sensors.

w Do not insert any objects into the flow sensor to clean the interior
surfaces. Damage to the flow sensor can occur. Use a damp cloth
to clean external surfaces if needed.

2-4 M1076286
2 Cleaning and Sterilization

How to clean and disinfect the flow sensors

CAUTION Do not autoclave plastic flow sensors.

w Do not use high pressure gas or brushes to clean the flow sensors.

w Only use cleaning solvents that are approved for use with
polycarbonates (e.g., Do not use CIDEX Plus).

Note Autoclavable metal flow sensors are available and can be sterilized at 134C.

WARNING The pressure transducer internal to the anesthesia machine is not


included as part of the flow sensor sterilization or disinfection
procedures. Therefore, the entire flow sensing circuit cannot be
sterilized or disinfected.

CIDEX disinfection Both Datex-Ohmeda and the manufacturer of CIDEX (Johnson & Johnson)
have tested this procedure.
CIDEX must be 14 day mixture, with activator vial.
One liter of this solution cleans four flow sensors.
1. Pull the latch to unlock the flow sensor module from the breathing
system.

2. Pull the flow sensor module from the breathing system.

M1076286 2-5
Aisys Carestation

3. Remove the flow sensors from the module.


Completely loosen the thumbscrew (1).
Pull off the flow sensor cover (2) from the flow sensor holder.
Remove the flow sensor connectors (3) from the flow sensor holder.
Pull the flow sensors (4) from the flow sensor holder.

1 3 2

4. Submerge the flow sensor and tubes in activated CIDEX solution. Keep
the connector dry.

5. Keep the flow sensors and tubes in the solution for the required period.
6. Submerge the flow sensor and tubes in distilled water. Again, do not get
the connector wet.

7. Rinse as indicated in CIDEX instructions.


8. Repeat steps 6 and 7 to remove the CIDEX.

2-6 M1076286
2 Cleaning and Sterilization

9. COMPLETELY dry the flow sensor and the tubes before using the sensor.
Use a dry syringe or connect vacuum or pressure to remove all liquid from
the sensor (sensor, tubes, and connector).

CAUTION Dry for more than one minute with these precautions:

Maximum flow 10 l/min.

Maximum pressure 100 cmH2O.


10. Reverse steps 2 and 3 to reassemble the flow sensor module. Be sure to
align the flow sensor tubes with the grooves in the flow sensor holder.
11. Complete the tests in the Preoperative Tests section of the Users
Reference manual, Part 1.

M1076286 2-7
Aisys Carestation

Remove the breathing system bag hose


1. Disconnect the bag hose (1) from the bag hose connector (2). Also
remove the hose from the clip (3).

3 1

2. If bag arm option is present, remove the bag port elbow from the bag arm
support. Push down on the release latch and slide the bag port elbow out
of the holder.

Remove the breathing system


1. Hold the canister by the handle and push on the release latch to unlock
the canister.

2. Remove the canister by tilting it downward and off the two support pins.
3. Push the release button (1) and gently pull the latch handle (2) to release
the breathing system.

1
2

2-8 M1076286
2 Cleaning and Sterilization

4. Grasp the rear handle to support the breathing system. Slide the
breathing system away from the workstation pulling only with the latch
handle.

Disassemble the breathing system


The breathing system assembly can be disassembled for cleaning,
sterilization, and part replacement.
1. Remove the breathing system and place it upright on a flat surface.

2. Pull the latch to unlock the flow sensor module from the breathing
system.

M1076286 2-9
Aisys Carestation

3. Pull the flow sensor module from the breathing system.

4. Remove the O2 cell cable from the cell. Unscrew the O2 cell
counterclockwise and remove it. Remove the O2 cell cable from the
breathing system by pressing on the connector button while pulling the
connector out.

2-10 M1076286
2 Cleaning and Sterilization

5. Remove the flow sensors from the module.


Completely loosen the thumbscrew (1).
Pull off the flow sensor cover (2) from the flow sensor holder.
Remove the flow sensor connectors (3) from the flow sensor holder.
Pull the flow sensors (4) from the flow sensor holder.

1 3 2

6. Rotate the breathing circuit module counterclockwise at the point shown


by the dotted line.

M1076286 2-11
Aisys Carestation

7. After rotating, separate the two sections by pulling them apart.

8. On the breathing circuit module, remove the check valve circuit lens (1)
by squeezing the latches (2) together and pulling up on the lens. Lift out
the check valve assemblies (3).

3 2 3

2-12 M1076286
2 Cleaning and Sterilization

9. Press the latch (1) to unlock the ramp (2). Rotate the ramp and remove
the tabs from the slots (3) to remove the ramp.

2
1

10. Lift the APL valve diaphragm to remove it.

M1076286 2-13
Aisys Carestation

11. Turn over the bellows base assembly, grasp the bellows manifold with
three fingers in the openings at the points shown and pull straight away to
remove it.

12. With the breathing system removed, the exhalation valve assembly can
be removed for cleaning if desired. Loosen the two thumbscrews
indicated and lift the assembly off.

2-14 M1076286
2 Cleaning and Sterilization

Disassemble the bellows assembly


The bellows assembly can be disassembled for cleaning, sterilization, and
part replacement.
1. Turn the housing counterclockwise and lift.

2. Remove the bottom edge of the bellows from the rim.

3. Push the latch toward the center and remove the rim.

M1076286 2-15
Aisys Carestation

4. Remove the pressure-relief valve.

WARNING Do not disassemble the pressure-relief valve. This can damage


the seat or diaphragm and cause injury to the patient.

5. Push the latch toward the center and remove the locking tabs.

6. Remove the seal.

2-16 M1076286
2 Cleaning and Sterilization

Assemble the bellows assembly


1. Install the seal. Verify the arrow and the groove on the seal point up.

2. Push the latch toward the center and attach the locking tabs.

3. Install the pressure-relief valve.

4. Push the latch toward the center and install the rim. A double-click
should be heard when the rim is installed.

M1076286 2-17
Aisys Carestation

5. Attach the bottom edge of the bellows to the rim. Verify only the bottom
ring of the bellows is fitted over the rim.

6. Lower the housing and turn it clockwise to lock. Verify the housing is
secure.

7. Perform the Bellows assembly test before completing the assembly of


the breathing system.

2-18 M1076286
2 Cleaning and Sterilization

Bellows assembly test

WARNING Objects in the breathing system can stop gas flow to the patient.
This can cause injury or death:

Do not use a test plug that is small enough to fall into the
breathing system.

Make sure that there are no test plugs or other objects caught
in the breathing system.

w The bellows assembly tests do not replace the preoperative tests.


Always complete the tests in the section Preoperative Tests
before using the system on a patient.

These tests make sure that all components are correctly assembled. These are
not an alternative to a complete system checkout. If the bellows assembly
operates correctly, complete the assembly of the breathing system. If there is
a problem, disassemble the bellows assembly. Verify proper assembly and
look for and replace damaged parts.
1. Hold the bellows assembly vertical and use the appropriate test plugs to
seal the ports shown.

M1076286 2-19
Aisys Carestation

2. Invert the bellows assembly. The bellows must not fall within one minute.
If it does:
The ports are not tightly sealed.
The bellows is incorrectly installed.
The seal inside the bellows is not correctly installed (with its groove
pointed up).
Parts are damaged.
3. Remove the plugs from the ports. Permit the bellows to fully extend.
4. Use the appropriate test plug to seal the port shown.

5. Hold the bellows assembly upright. The bellows must not fall past the
guide line within one minute. If it does:
The port is not tightly sealed.
The bellows or the pressure-relief valve is not correctly installed.
Parts are damaged.
6. If all tests pass, complete the assembly of the breathing system.

2-20 M1076286
2 Cleaning and Sterilization

Assemble the breathing system


1. Replace the exhalation valve assembly. Tighten the two thumbscrews.

2. Turn over the bellows base assembly. Replace the manifold. Be sure to
insert it correctly into the ports as shown. Then, press on the center of the
manifold to snap it into place on the bellows base assembly.

M1076286 2-21
Aisys Carestation

3. Replace the APL valve diaphragm.

4. Insert the ramp tabs (1) into the slots (2). Rotate the ramp until it
locks at (3).

1
2

2-22 M1076286
2 Cleaning and Sterilization

5. On the breathing circuit module, insert the check valve assemblies (1).
Push the check valve circuit lens (2) down onto the latches (3) to lock
the lens.

1 3 1

6. Insert the breathing circuit module into the bellows assembly aligned as
shown.

7. Rotate the breathing circuit module clockwise at the point shown by the
dotted line to attach it to the bellows assembly.

M1076286 2-23
Aisys Carestation

8. Make sure the o-ring (1) is on the O2 cell. Replace the cell by screwing it in
clockwise. Connect the O2 cell cable (2).

9. Attach the flow sensors to the module:


Insert the flow sensors (1) into the flow sensor holder. Note the
groove locations.
Attach the flow sensor connectors (2) to the flow sensor holder.
Attach the cover (3) to the flow sensor holder.
Tighten the thumbscrew (4) to fasten the cover.

4 2 3

2-24 M1076286
2 Cleaning and Sterilization

10. Attach the flow sensor module to the breathing system.

11. Push the latch closed to lock the flow sensor module onto the
breathing system.

12. This is the assembled breathing system.

M1076286 2-25
Aisys Carestation

Install the breathing system


1. Locate the guide pin openings.

2. Align the openings with the guide pins as shown.

2-26 M1076286
2 Cleaning and Sterilization

3. Holding the rear handle and the latch handle as shown, slide the
breathing system onto the guide pins.

4. Use the grip under the latch handle to push the breathing system in fully
until it latches firmly.
5. Install the absorber canister and bag hose.
6. Complete the tests in the Preoperative Tests section of the Users
Reference manual, Part 1.

Remove the AGSS receiver


The AGSS receiver may be removed for cleaning and sterilization.
1. On the side of the system, loosen the two thumbscrews to release the
system side panel.

M1076286 2-27
Aisys Carestation

2. Slide the side panel out by removing its tabs from their slots.
3. Loosen the thumbscrew and remove the reservoir.

CAUTION Do not autoclave the reservoir. Damage to the reservoir will occur.

4. Loosen the thumbscrew and lower the receiver to remove it.

5. Replace the filter as necessary. (See Remove the AGSS receiver filter.)
6. Do these steps in the opposite order to replace the receiver, reservoir,
and the side panel.
7. Complete the tests in the Preoperative Tests section of the Users
Reference manual, Part 1.

2-28 M1076286
2 Cleaning and Sterilization

Remove the AGSS receiver filter


The AGSS receiver and gasket may be autoclaved. To autoclave AGSS
receivers which have a filter, the filter must be removed because it is not
autoclavable.

CAUTION The AGSS filter is not autoclavable. Damage to the filter will occur.
If the AGSS receiver has a filter, remove the filter before
autoclaving the AGSS receiver.

1. Pull the flexible gasket from the receiver.

2. Pull the filter out of its holder.

3. Do these steps in the opposite order to replace the filter and gasket after
autoclaving the receiver and gasket. Be sure the gasket is firmly pressed
into place at all points.
4. Complete the tests in the Preoperative Tests section of the Users
Reference manual, Part 1.

M1076286 2-29
Aisys Carestation

Absorber canister
The absorber canister is available in two versions: Disposable Multi Absorber
and Reusable Multi Absorber. Only the Reusable Multi Absorber canister may
be cleaned. Refer to Removing a canister in section 1, Setup and
Connections.

Mechanical cleaning in 1. Place the reusable canister (without filters) and the lid in the washer or
washer or washer- washer-disinfector and clean them using the appropriate procedures.

disinfector 2. If the washer or washer-disinfector is not used for disinfection of


equipment, Datex-Ohmeda recommends that a further high level
disinfection is conducted.
3. Ensure the canister is dry before replacing the filters and refilling with
absorbent. Refer to Removing a canister in section 1, Setup and
Connections.

Manual cleaning Datex-Ohmeda recommends that manual cleaning is always followed by a


high level disinfection.
1. Flush the reusable canister and the lid with fresh running water.
2. Clean the canister and lid under total immersion in a sink with water and
cleaning agent for at least 3 minutes. The water temperature should be
approximately 40C (104F).
3. Flush the canister and lid with fresh running water.
4. Ensure the canister is dry before replacing the filters and refilling with
absorbent. Refer to Removing a canister in section 1, Setup and
Connections.

High level disinfection 1. Always clean the canister before high level disinfection.
2. The canister can be steam autoclaved. Maximum recommended
temperature is 134C (273F).
3. Ensure the canister is dry before replacing the filters and refilling with
absorbent. Refer to Removing a canister in section 1, Setup and
Connections.

2-30 M1076286
2 Cleaning and Sterilization

Aladin cassette cleaning


Remove the cassette from the machine. Clean the cassette surface with a
cloth moistened in mild soap solution.

CAUTION Do not wipe Aladin cassettes with alcohol-based detergents. This


may damage the surface of the cassette.

EZchange Canister and condenser


The EZchange Canister and the condenser can be removed for cleaning,
sterilization, and part replacement. They can be removed as part of the
breathing system or on their own.
To remove the EZchange Canister and the condenser as part of the breathing
system, see Remove the breathing system in this section. Then place the
breathing system on its side on a flat surface.

4 1

AB.75p80
2

1. EZchange Canister module


2. Condenser reservoir
3. Condenser
4. Release latch
Figure 2-2 EZchange Canister and condenser

M1076286 2-31
Aisys Carestation

To remove the EZchange Canister system and the condenser without removing
the breathing system:
1. Remove the canister.
2. Push the release latch and pull down on the unit to remove it from the
breathing system.

3. For systems with the EZchange Canister only, pull the release latches out
to remove the cap.

4. For systems with a condenser or a combination EZchange Canister


system with a condenser, pull the release latches out to remove the
condenser from the module.

2-32 M1076286
2 Cleaning and Sterilization

5. Remove the condenser reservoir by pulling the lip of the gasket away from
the reservoir around the edges.

6. When reinstalling the reservoir, ensure the curved end of the reservoir
lines up with the curved end of the seal. Push the reservoir into the
gasket.

7. Ensure the lip of the gasket fully covers all edges of the reservoir for a
leak-tight fit.

8. Reinstall the remaining parts in the opposite order of removal.


9. When inserting the unit back onto the breathing system, set the unit on
the two support pins and push it up until it snaps into position.
AB.75p082

M1076286 2-33
Aisys Carestation

2-34 M1076286
3 User Maintenance

WARNING To help prevent fires:

Only use lubricants approved for anesthesia or O2 equipment,


such as Krytox.

Do not use lubricants that contain oil or grease. They may burn
or explode in high O2 concentrations.

All covers used on the system must be made from antistatic


(conductive) materials. Static electricity can cause fires.

Desiccated (dehydrated) absorbent material may produce


dangerous chemical reactions when exposed to inhalation
anesthetics. Adequate precautions should be taken to ensure
that absorbent does not dry out. Turn off all gases when
finished using the system.

w Obey infection control and safety procedures. Used equipment


may contain blood and body fluids.

w Movable parts and removable components may present a pinch


or a crush hazard. Use care when moving or replacing system
parts and components.

In this section Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2


Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Circuit O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Flow and pressure calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Circuit O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Airway gas calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Backlight test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
How to help prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

M1076286 3-1
Aisys Carestation

Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or have the
equipment serviced by a Datex-Ohmeda trained service representative. After
repair, test the equipment to ensure that it is functioning properly, in
accordance with the manufacturers published specifications.
To ensure full reliability, have all repairs and service done by a Datex-Ohmeda
trained service representative. If this cannot be done, replacement and
maintenance of those parts listed in this manual may be undertaken by a
competent, trained individual having experience in the repair of devices of this
nature.

CAUTION No repair should ever be attempted by anyone not having


experience in the repair of devices of this nature.

Replace damaged parts with components manufactured or sold by


Datex-Ohmeda. Then test the unit to ascertain that it complies with the
manufacturers published specifications.
Contact the local Datex-Ohmeda Field Service Representative for service
assistance.

Maintenance summary and schedule


These schedules indicate the minimum frequency of maintenance based on
typical usage of 2000 hours per year. You should service the equipment more
frequently if you use it more than the typical yearly usage.
Note Local policies or regulations may require that maintenance be performed
more frequently than stated here.

User maintenance
Minimum Frequency Maintenance
Daily Clean the external surfaces.
Perform 21% O2 calibration.
Check the condenser reservoir. Drain if needed.
Monthly Perform a Backlight test.
Perform 100% O2 calibration.
During cleaning and Inspect the parts for damage. Replace or repair as
setup necessary.

3-2 M1076286
3 User Maintenance

Minimum Frequency Maintenance


As necessary Install new cylinder gaskets on cylinder yokes.
Empty the water reservoir and replace the absorbent
in the canister.
Empty the overflow trap on the optional suction
regulator.
Replace the circuit O2 cell.
(Under typical use the cell meets specifications for 1
year.)
Replace the disposable flow sensors (plastic).
(Under typical use the sensor meets specifications for
a minimum of 3 months.)
Replace the autoclavable flow sensors (metal).
(Under typical use the sensor meets specifications for
a minimum of 1 year.)
Replace the receiver filter (active gas scavenging
only).
Calibrate the airway modules every 6 months or when
there are indications of errors in the gas readings.
Calibrate airway modules that get extensive usage
every 2 months.
Inspect and clean the fan filters (display, power
supply, and airway module).

Datex-Ohmeda This is the minimum level of maintenance recommended by Datex-Ohmeda.


approved service Local regulations may contain additional maintenance requirements.
Datex-Ohmeda advocates compliance with local regulations which meet or
exceed this minimum level of maintenance.

Minimum Frequency Maintenance


12 months Have a Datex-Ohmeda trained service representative
complete the scheduled service maintenance checks,
tests, calibrations and parts replacement as defined in the
Technical Reference manual.

M1076286 3-3
Aisys Carestation

Circuit O2 cell replacement

WARNING Handle and dispose of O2 cells according to your biohazard


policies. Do not incinerate.

Note It may take a new O2 cell 90 minutes to stabilize. If the O2 cell calibration fails
after a new O2 cell had been installed, wait 90 minutes and repeat the
calibration.
1. Pull the latch to unlock the flow sensor module from the breathing
system.

2. Pull the flow sensor module from the breathing system.


3. Remove the O2 cell cable connector from the O2 cell and unscrew the cell
counterclockwise.

4. Make sure the o-ring is on the cell. Install the replacement O 2 cell.
Reconnect the O2 cell cable.

5. Replace the flow sensor module on the system and push the latch closed
to secure the module.

3-4 M1076286
3 User Maintenance

Flow and pressure calibration


Important Calibrate the flow sensors if the room temperature changes by more
than 5C.
1. Set the Bag/Vent switch to Bag.
2. Remove the flow sensor module.
3. Wait for No insp flow sensor and No exp flow sensor alarms to occur.
4. Reinsert the flow sensor module. Wait for alarms to clear.
5. Start mechanical ventilation when ready.

Circuit O2 cell calibration

21% O2 calibration 1. Push the Main Menu key.


2. Select Calibration.
3. Select Circuit O2 Cell.
4. Remove the flow sensor module. Unscrew the O2 cell to expose it to room
air.
5. Select 21% O2 and push the ComWheel to start calibration.
6. Put the O2 cell back in and reconnect the flow sensor module when the
calibration passes.

100% O2 calibration 1. Ensure patient Y-piece is not plugged or there is no patient tubing
connected to the system.
2. (ACGO option only.) Set the ACGO switch to Circle.
3. Set the Bag/Vent switch to Vent.
4. Select 100% O2 and push the ComWheel to start the calibration.
5. System will flow O2 to calibrate.

M1076286 3-5
Aisys Carestation

Airway gas calibration


The airway gas selection is only available on the Calibration menu when the
system detects an airway module and the module has completed the warm up
phase. Refer to the Airway Module section in Part 1 of the Users Reference
manual for calibration instructions.

Backlight test
1. Push the Main Menu key.
2. Select Calibration.
3. Select Backlight Test.
4. Select Start Test.
5. The display will show the test running on light 1 and then on light 2. If the
display goes completely blank or flickers during the test, one of the lights
has failed. Contact a Datex-Ohmeda trained service representative to
replace the backlights.

How to help prevent water buildup


Pooled water in the flow sensors or water in the sensing lines may cause false
alarms. Small beads of water or a foggy appearance in the flow sensors is OK.
Water results from exhaled gas and the chemical reaction between CO 2 and
the absorbent that takes place within the absorber canister.
At lower fresh gas flows more water builds up because less gas is scavenged
and:
More CO2 stays in the absorber to react and produce water,
More moist, exhaled gas stays in the patient circuit and the absorber.
Solutions:
Empty the water reservoir in the canister when changing the absorbent.
Ensure that water condensing in the breathing circuit tubes is kept lower
than the flow sensors and is not allowed to drain back into the flow
sensors.
Water condensation in the breathing circuit tubing can be reduced by
using a Heat and Moisture Exchange (HME) filter at the patient airway
connection.

3-6 M1076286
4 Parts

This section lists user-replaceable parts only. For other components, refer to
the Technical Reference manual.

In this section Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2


Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
EZchange Canister system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10

M1076286 4-1
Aisys Carestation

Flow sensor module

AB.82.019
2

Item Description Stock number


Flow sensor module (does not include flow sensors) 1407-7022-000
1 Flow sensor cover 1011-3283-000
2 Flow sensor cuff 1407-3004-000
3 Flow sensor, disposable (plastic) 1503-3858-000
Flow sensor, autoclavable (metal) 1503-3244-000

4-2 M1076286
4 Parts

Breathing circuit module

AB.82.021
5

Item Description Stock number


Breathing circuit module (does not include O2 cell, 1407-7002-000
O-ring, or cable)
1 Check valves circuit lens 1407-3101-000
2 Check valve assembly 1406-8219-000
3 O-ring for O2 cell 1406-3466-000
4 O2 cell (includes O-ring) 6050-0004-110
5 Cable, O2 cell 1009-5570-000
Plug, includes O-ring (for units without O2 sensing) 1503-3857-000
O-ring for plug 1406-3466-000

M1076286 4-3
Aisys Carestation

Bellows

8 3

4
7 5

Item Description AB.82.018 Stock number


1 Bellows housing 1500-3117-000
2 Bellows 1500-3378-000
3 Rim 1500-3351-000
4 Pressure relief valve assembly 1500-3377-000
5 Latch, rim 1500-3352-000
6 Manifold, bellows base 1407-3702-000
7 Bellows base with latch 1407-7006-000
8 Seal, base 1500-3359-000
Diaphragm, APL 1406-3331-000
Poppet, APL valve 1406-3332-000
Cage, APL 1406-3333-000

4-4 M1076286
4 Parts

Absorber canister

3
1

AB.82.017
Item Description Stock number
1 Multi absorber, reusable (includes 40 pack of foam) 1407-7004-000
(does not include absorbent)
2 Cover assembly, CO2 canister 1009-8240-000
3 Foam, CO2 canister (pack of 40) 1407-3201-000
4 O-ring 1407-3204-000
5 Canister, CO2, with handle 1407-3200-000
Multi absorber, disposable, white to violet, 8003138
(pack of 6)
Multi absorber, disposable, pink to white, (pack of 6) 8003963

M1076286 4-5
Aisys Carestation

Exhalation valve assembly

AB.82.035
Description Stock number
Exhalation valve assembly 1407-7005-000

4-6 M1076286
4 Parts

AGSS
Description Stock number
Common
Cap 3.18 barb silicone 1406-3524-000
Connector, inlet 30 mm male to 19 mm male M1003947
Connector, inlet 30 mm male to 30 mm male M1003134
O-ring for connector, 21.95 ID 1406-3558-000
O-ring for receiver, 22 ID 1407-3104-000
O-ring for thumbscrews, 4.47 ID 1407-3923-000
Reservoir scavenger 1407-3903-000
Seal, down tube scavenger 1407-3904-000
Seal, receiver scavenger 1407-3901-000
Thumbscrew M6 X 28.5 1406-3305-000
Thumbscrew, M6 X 43 1406-3304-000
Valve, unidirectional (complete assembly) 1406-8219-000
Passive AGSS
Adapter, outlet 30 mm female to 19 mm male (pack of 5) 1500-3376-000
Exhaust hose 8004461
Plug assembly 30 mm ISO 1407-3909-000
Screw, shoulder 4 dia X 4 L M3 X 0.5 sst 1407-3915-000
Active AGSS, adjustable flow
Bag with 30 mm male connector 8004460
Plug assembly 30 mm ISO 1407-3909-000
Active AGSS, high flow
Filter, 225 micrometer nylon screen AGSS 1406-3521-000
Seal, filter scavenger 1407-3902-000
Active AGSS, low flow
Filter, 225 micrometer nylon screen AGSS 1406-3521-000
Seal, filter scavenger 1407-3902-000

M1076286 4-7
Aisys Carestation

EZchange Canister system

3 1

AB.82.044
AB.82.057
Item Description Stock number
1 EZchange Canister module, includes valve and cap 1407-7021-000
2 Valve 1407-3126-000
3 Cap 1407-3130-000
4 Condenser 1407-7024-000
EZchange Canister module with condenser 1407-7027-000

4-8 M1076286
4 Parts

Condenser

AB.82.045
Item Description Stock number
Condenser assembly (includes module and condenser) 1407- 7026-000
1 Condenser module 1407-7025-000
2 Condenser 1407-7024-000

M1076286 4-9
Aisys Carestation

Test tools and system parts

Description Stock number


Airway module calibration gas 755583
Airway module calibration gas (US only) 755571
Airway module exhaust line 8004463
Calibration gas regulator 755534
Calibration gas regulator (US only) M1006864
Cylinder gasket (pin indexed cylinders only) 0210-5022-300
Cylinder wrench (DIN 477 and high-pressure hose) 1202-3651-000
Cylinder wrench for pin-indexed cylinder 0219-3415-800
DIN O2 plug (cylinder connection) 1202-7146-000
Handle for yoke tee 0219-3372-600
Negative low pressure leak test device 0309-1319-800
Positive low pressure leak test device (BSI) 1001-8975-000
Positive low pressure leak test device (ISO) 1001-8976-000
Positive pressure leak test adapter 1009-3119-000
Ring, sealing gasket (for DIN 477 and O2 high-pressure hose) 1001-3812-000
Ring, sealing gasket (for N2O high-pressure hose) 1202-3641-000
Test lung 0219-7210-300
Test plug 2900-0001-000
Touch-up paint, Neutral Gray N7 (Medium Dark), 18 ml 1006-4198-000
Touch-up paint, Neutral Gray N8 (Medium), 18 ml 1006-4199-000
Touch-up paint, Neutral Gray N9 (Light), 18 ml 1006-4200-000
Yoke plug 0206-3040-542

4-10 M1076286
5 Specifications and Theory of Operation

Note All specifications are nominal and subject to change without notice.

In this section System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2


Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10
Breathing system specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Airway module specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
Ventilation operating specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-26
Electronically controlled vaporizer and Aladin cassette . . . . . . . . . . . . . . .5-27
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-30
Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-34
IEC-60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-34

M1076286 5-1
5-2
75
Aisys Carestation

23
72

22
NO
24 51
NC 53

21 25 71

20 70
26 52
73 74
1 8

Figure 5-1 Pneumatic circuit diagram


54
27
19
2
System pneumatic circuits

9 55
86 53
18 44
P 11 28 76
10
3
P 17
NC
29 56
5 79 77
12 78
4
30 54
6 P 46
P 31 80

13 15 57
4 NO 53
32 68
P 14 33
66 45
81 58 60 59
3
62
P 5
T P
P 37 13
4
NO 54
6 7 61
P
34 38 69
P

16 67
3 82 39 41
NO
P 5 35 40 NC
66
4
7 64
P P P P
P 83
47 48 49 50
36 42
84 84
65

43 63

85
AB.75.036

M1076286
5 Specifications and Theory of Operation

1. Auxiliary O2, 0-10 l/min 45. Inspiratory flow sensor


2. 241 kPa (35 psi) secondary O2 regulator 46. Patient Y
3. Pipeline: O2, Air, N2O 47. Airway transducer
4. Cylinder: O2, Air, N2O 48. Inspiratory flow transducer
5. 758 kPa (110 psi) relief 49. Expiratory flow transducer
6. Venturi drive gas connection 50. Manifold pressure transducer
7. Selector valve: O2, Air, N2O 51. Passive gas scavenging interface
8. O2 flush 52. 30 mm male - to disposal system
9. 0-120 l/min flow 53. 0.3 cmH2O entrainment
10. Alternate O2, 0.5-10 l/min 54. Reservoir
11. System switch 55. Adjustable gas scavenging interface
12. Alternate O2 disable valve 56. DISS EVAC connector
13. ACGO/non-circle pilot 57. Active gas scavenging interface
14. Vent drive gas select 58. Room air
15. O2 flow controller 59. Filter
16. Balance flow controller 60. High or low flow restrictor
17. Gas inlet valve 61. Flow indicator
18. Vent drive gas regulator 172 kPa (25 psi) at 15 l/min 62. To disposal system
19. Inspiratory flow control valve 63. ACGO variant
20. Drive-gas check valve (3.5 cmH2O bias) 64. Circle or ACGO mode switch
21. Mechanical over pressure valve (110 cmH2O) 65. 22 mm ACGO port
22. Free breathing check valve 66. O2 cell
23. Atmosphere 67. Non-circle variant
24. Pressure relief valve 68. Circle or non-circle mode switch
25. Exhalation valve (2 cmH2O bias) 69. 150 cmH2O fresh gas pressure limiting valve
26. Relief valve 10 cmH2O 70. Bag/Vent switch
27. 0-10 l/min drive gas, 0-10 l/min patient and fresh gas, 71. Bag
0-20 l/min total typical flow 72. APL valve 0-70 cmH2O
28. 200 ml reservoir 73. Optional factory connection
29. Control bleed to ambient approximately 1 l/min at 74. Default factory connection
3 cmH2O if continuous (rate dependent) 75. Gas monitor
30. Vent to ambient 76. Negative pressure-relief valve
31. Flush switch 37.2 kPa (5.4 psi) 77. Absorber
32. Electronic vaporizer 78. Drain
33. 37.9 kPa (5.5 psi) pressure-relief valve 79. EZchange Canister
34. Cassette inflow measure 80. Condenser
35. Cassette inflow valve 81. Bypass back-pressure valve
36. Cassette identification 82. Inflow check valve
37. Cassette outflow measure 83. Cassette pressure sensor
38. Cassette flow control valve 84. Cassette connection valve
39. Liquid flow prevention valve 85. Aladin cassette
40. Cassette outflow valve 86. Pneumatic power outlet
41. Scavenging valve
42. Cassette temperature sensor
43. Liquid level indicator
44. Expiratory flow sensor

M1076286 5-3
Aisys Carestation

Gas supplies Pressurized gas supplies enter the system through a pipeline or cylinder
connection. All connections have indexed fittings, filters, and check valves.
A regulator decreases the cylinder pressures to the appropriate system
pressure. A pressure relief valve helps protect the system from high pressures.
To help prevent problems with the gas supplies:
Install yoke plugs on all empty cylinder connections.
When a pipeline supply is connected, keep the cylinder valve closed.
Disconnect the pipeline supplies when the system is not in use.

WARNING Do not leave gas cylinder valves open if the pipeline supply is in
use. Cylinder supplies could be depleted, leaving an insufficient
reserve supply in case of pipeline failure.

O2 flow Pipeline or regulated cylinder pressure supplies O2 directly to the O2 channel


of the gas mixer and to the ventilator if O2 is configured as drive gas. If the
pressure is too low, an alarm appears on the display. A second regulator
decreases the pressure for the flush valve and the auxiliary O 2 flowmeter.
The flush valve supplies high flows (between 35 and 50 l/min) of O 2 to the
fresh gas outlet when the O2 flush button is pushed. The flush switch uses
pressure changes to monitor the position of the flush valve.

Air and N2O Pipeline or regulated cylinder pressure supplies air directly to the air channel
of the gas mixer and to the ventilator if air is configured as drive gas. If the
pressure is too low, an alarm appears on the display.
Pipeline or regulated cylinder pressure supplies N2O directly to the N2O
channel of the gas mixer. If the pressure is too low, an alarm appears on the
display.

Mixed gas Either Air or N2O can be selected as the balance gas. The balance gas flow is
controlled by the mixer. When Alternate O2 control is in use, only O2 is flowing
and balance gas is disabled.
The mixed gas goes from the mixer outlet through the vaporizer to the fresh gas
outlet and into the breathing system. A pressure-relief valve sets the
maximum outlet pressure.

5-4 M1076286
5 Specifications and Theory of Operation

EZchange Canister When activated, this mode permits continued ventilation and rebreathing of
exhaled gases without any gas passing through the absorbent.

Condenser The condenser removes water in the system that is produced from the reaction
of CO2 gas with the absorbent during low flow anesthesia (fresh gas flows less
than 1.5 l/min). The condenser is connected between the outlet of the
absorber canister and the inlet of the circuit module. Moisture in the gas is
condensed into water droplets, which run into the condenser's reservoir.

Pneumatic specifications

CAUTION All gases supplied to the system must be medical grade.

Gas supplies
Pipeline gases O2, Air, N2O

Cylinder gases O2, N2O, Air (3 cylinder maximum)

Cylinder connections Pin indexed


Nut and gland DIN 477

Primary regulator Pin indexed: The primary regulator is set to pressure less
output pressure than 345 kPa (50 psi).
DIN-477: The primary regulator is set to pressure less
than 414 kPa (60 psi)

Pressure-relief valve Approximately 758 kPa (110 psi)

Pipeline connections DISS-Male; DISS-Female; DIN 13252; AS 4059


(filtered) (Australian); S90-116 (French Air Liquide); BSPP 3/8
(Scandinavian) or NIST (ISO 5359). All fittings available
for O2, Air, and N2O.

Pressure displays On system display

Pipeline inlet pressure 280 to 600 kPa (41 to 87 psi)

Flush flow 35 l/min to 50 l/min

O2 supply pressure at O2 pipeline less than 252 kPa (36 psi),


which N2O shutoff O2 cylinder less than 2633 kPa (381 psi)

M1076286 5-5
Aisys Carestation

Pneumatic power outlet DISS power outlet is shown as dot curve. ISO power outlet is shown as box
curve. Inlet pressure constant at 241.5 kPa.

AB.75.057
2
1. O2 flow in l/min
2. Outlet pressure in kPa
Figure 5-2 Pneumatic power outlet graph

ACGO port relief A relief valve in the vaporizer limits fresh gas pressure at the ACGO port to
55 kPa (8 psi) at 45 l/min.

Non-circle circuit relief A relief valve limits fresh gas pressure at the inspiratory port to 27 kPa (4 psi)
at 55 l/min when non-circle circuit is selected.

5-6 M1076286
5 Specifications and Theory of Operation

Electrical power

Supply voltage 100-120 or 220-240 Vac 10% at 50 or 60 Hz


Inlet circuit breakers 100-120 V ac 220-240 V ac
15 A 8A
Outlet circuit breakers 100-120 V ac 220-240 V ac Japan
(3) 2 A (3) 1 A (2) 2A
(1) 3A (1) 2 A (1) 4A
System leakage UL and CSA rated systems (USA and Canada): <300 amps
current limit - do not for the system and all systems connected to electrical
exceed: outlets.
IEC rated systems (Not USA and Canada): <500 amps for
the system and all systems connected to electrical outlets.
Note: Products connected to the electrical outlets may
increase the leakage current above these limits.
Resistance to ground <0.2

Power cord
Length 5 meters
Voltage rating 100 to 240 V ac
Current carrying capacity 10 A for 220-240 V ac
15 A for 100-120 V ac
Type Three conductor power supply cord (medical grade
where required).

WARNING Unplug the system power cord to run the system on the battery
power if the integrity of the protective earth conductor is in doubt.

Battery information The system is not a portable unit; sealed lead acid batteries supply backup
power in the event of a power failure.
Capacity to operate for 90 minutes under typical operating conditions;
30 minutes under heavy workload.
System functions to specifications through the transition to battery
power.
Only Datex-Ohmeda trained service representatives are to replace the battery.
Batteries must be disposed of in accordance with applicable regulatory
requirements in effect at the time and place of disposal.

M1076286 5-7
Aisys Carestation

Electrical block diagram

6
9 10

1 2 3 4 5 76 8

68 70 78
82 77
81 69 71 79
83
67 72
66 73
65 7 74
64 75
30
28 12 11

31 13
29 27
14

33
34 32 54
80
35
40
36
41
37 47
45
38 42 48
49
39 50
43 44
46 52 53 51
57

18
25 59 58
16

62
26
19
55
15

60
56
63
17

AB.75.101
20 24 23 22 21

61

5-8 M1076286
5 Specifications and Theory of Operation

1. Power cord 46. O2 cell


2. AC inlet and breaker 47. Light strip boards
3. Inrush board 48. Light strip switch
4. Transformer 49. CGO valve
5. Fuse block 50. ACGO/Non-circle circuit switch
6. Outlet box with breakers 51. CGO switch
7. Agent delivery board 52. Bag/Vent switch
8. Power controller board 53. ABS connected switch
9. Power supply fans with cable 54. EZchange Canister switch
10. Power supply batteries 55. LCD
11. Display connector board 56. Display unit speaker with cable
12. Anesthesia control board 57. O2 flush switch
13. Airway module power supply board 58. DC power in
14. Airway module 59. Communication to system
15. Display unit CPU board 60. ComWheel encoder
16. Display unit system interface board 61. Lower membrane switch
17. Display unit user interface board 62. Right membrane switch
18. Display unit fan with cable 63. Left membrane switch
19. LCD backlight 1 64. Cassette temperature sensor
20. Compact flash I/O port 65. Inflow zero valve
21. USB I/O port 66. Outflow zero valve
22. USB I/O port 67. Inflow pressure sensor board
23. Network I/O port (ethernet) 68. Outflow pressure sensor board
24. Patient monitoring on/standby 69. Inflow shutoff valve
25. Serial I/O port 70. Outflow shutoff valve
26. LCD backlight 2 71. Cassette
27. Electronic gas mixer board 72. Scavenging valve
28. Pan connector board 73. Cassette pressure sensor
29. Ventilator interface board 74. Proportional valve
30. I/O port 75. Cassette interface board
31. Pan fan with cable 76. Universal power supply
32. ABS filter board 77. Auxiliary connector board
33. Air Cylinder pressure transducer 78. I/O port
34. N2O cylinder pressure transducer 79. Battery backup for monitor
35. O2 cylinder pressure transducer 80. AC mains LED
36. Air pipeline pressure transducer 81. Manifold temperature sensor
37. N2O pipeline pressure transducer 82. Liquid level sensor
38. O2 pipeline pressure transducer 83. Embedded temperature sensor
39. Second O2 cylinder pressure transducer
40. Alternate O2 switch
41. On/Standby switch and LED
42. Vent engine board
43. Flow control valve with cable
44. Gas inlet valve with cable
45. Expiratory and inspiratory flow sensors

M1076286 5-9
Aisys Carestation

Flow specifications

Alternate O2
Flow range 500 ml/min to 10 l/min
Indicator Flow tube
Indicator accuracy 5% full scale

Fresh gas
Flow range 0 and 200 ml/min to 15 l/min
Total flow accuracy 10% or 40 ml/min of setting (larger of)
O2 flow accuracy 5% or 20 ml/min of setting (larger of)
Balance gas flow accuracy 5% or 20 ml/min of setting (larger of) Air/N2O
O2 concentration range 21%, 25% to 100%
(25% to 35% adjustment in 1% increments, 35% to
100% adjustment in 5% increments)
O2 concentration accuracy 5 V/V for flows < 1 l/min
2.5% setting for flows >1 l/min
Electronic mixer response 500 ms (10% to 90% flow step)
time
Compensation Temperature and atmospheric pressure compensated
to standard conditions of 20C and 101.3 kPa
(14.7 psi)
Hypoxic guard Electronic

Leakage from one gas inlet to another gas inlet is < 10 ml/hour.

5-10 M1076286
5 Specifications and Theory of Operation

Breathing system specifications

Volume ventilator side 2730 ml; bag side 1215 ml

with EZchange Canister system and condenser:


ventilator side 3445 ml; bag side 1930 ml

Absorbent 950 ml canister

Connections Auxiliary Common Gas Outlet: ISO 5356 type


connector on the front of the system (Standard 22 mm
OD or 15 mm ID conical friction fit connectors)

System leakage 150 ml/min total at 3 kPa (30 cmH2O)


with EZchange Canister system and condenser (both
in absorber mode and with canister removed)

System compliance Volume of gas lost due to internal compliance (bag


mode only)
1.82 ml/0.098 kPa (1 cmH2O)
55 ml/3 kPa (30 cmH2O)

with EZchange Canister system and condenser:


2.67 ml/0.098 kPa (1 cmH2O)
80 ml/3 kPa (30 cmH2O)

Pressure required to Dry: 0.49 cmH2O


open inspiratory or Wet: 0.91 cmH2O
expiratory valves

Pressure generated by a 0.81 cmH2O


wet unidirectional valve

APL valve Approximately 0 to 70 cmH2O

M1076286 5-11
Aisys Carestation

Breathing system resistance in bag mode*


l/min kPa cmH2O
5 0.06 0.6
30 0.22 2.2
60 0.52 5.3
EZchange Canister system and condenser, absorber mode
5 0.06 0.6
30 0.24 2.4
60 0.57 5.8
EZchange Canister system and condenser, canister removed
5 0.06 0.6
30 0.21 2.1
60 0.49 5.0
* Values include patient circuit tubing and Y-piece - 4.9 kPa (0.5 cmH2O) at 1 l/s.
Patient circuit tubing and breathing system configurations may affect resistance.

Pressure Flow Data (APL Valve Completely Open)


Flow (l/min) Flow (l/s) APL Pressure cmH2O
3 0.05 0.78
10 0.17 1.14
30 0.51 1.43
60 1.0 2.61
70 1.17 3.21

5-12 M1076286
5 Specifications and Theory of Operation

Gas scavenging
All scavenging

Positive pressure relief 10 cmH2O

Passive scavenging

Negative pressure relief 0.3 cmH2O


Outlet connector 30 mm male taper ISO

Active scavenging
Disposal system type Outlet connector * Flow range Pressure
Adjustable flow DISS EVAC Up to 30 l/min 305 mmHg
(12 inHg)
Minimum vacuum
High flow, low vacuum BS6834 50 to 80 l/min 1.6 kPa
(12 mmHg)
Low flow, high vacuum DISS EVAC 36 4 l/min 305 mmHg
(12 inHg)
Minimum vacuum
Low flow, low vacuum 12.7 mm hose barb 40 to 60 l/min n/a (venturi)
Low flow, low vacuum 25 mm barb 40 to 60 l/min n/a (venturi)
Low flow, low vacuum 30 mm ISO taper 40 to 60 l/min n/a (venturi)
*Other market-specific connectors may be available.
Particle filter at the outlet has a pore size of 225 microns. All flow data uses a new filter.

Physical specifications
All specifications are approximate values and can change without notice.

CAUTION Do not subject the system to excessive shock and vibration.

w Do not place excessive weight on flat surfaces or drawers.

System Height 136 cm


Width 76 cm
Depth 76 cm
Weight 135 kg
Top of machine weight limit 45 kg
Optional top shelf weight limit 23 kg
Casters 13 cm with brakes on the front casters
Drawers 23 cm H x 33 cm W x 27 cm D
Ventilator display 146 x 184 mm (31 cm diagonal)

M1076286 5-13
Aisys Carestation

Environmental requirements

Operation Storage Compensation Range


Temperature 10 to 40 C -25 to 60C N/A
Oxygen cell operates to Oxygen cell storage is -15 to 50C,
specifications at 10 to 40 C 10 to 95% RH, 500 to 800 mmHg
Humidity 15 to 95% RH, non-condensing 10 to 95% RH, non-condensing N/A
Altitude 500 to 800 mmHg 375 to 800 mmHg 525 to 795 mmHg
(3565 to -440 meters) (5860 to -440 meters) (3,000 to -100 meters)

Airway module specifications


Use only airway modules that have anesthetic agent monitoring and O 2
monitoring on this system. The following modules can be used on this system:
E-CAiO, E-CAiOV, E-CAiOVX, M-CAiO, M-CAiOV, and M-CAiOVX. (E series
modules must be software version 4.5 and above. M series modules must be
software revision 3.2 and above.)

Gas specifications
Airway humidity 0 to 100% condensing
Sampling delay 2.5 seconds typical with a 3 m sampling line
Total system response time 2.9 seconds typical with a 3 m sampling line,
including sampling delay and rise time
Warm-up time 2 minutes for operation with CO2, O2, and N2O
5 minutes for operation of anesthetic agents
3O minutes for full specifications

Accuracy under different conditions:


Ambient temperature 10 to 40C, During warm-up 2 to 10 minutes
within 5C of calibration (anesthetic agents 5 to 10 minutes),
Ambient pressure 500 to 800 mmHg, under normal conditions.
50 mmHg of calibration
Ambient humidity 10 to 98% RH,
20% RH of calibration
During warm-up 10 to 30 minutes,
under normal conditions.
CO2 (0.3 vol% + 4% of reading) (0.4 vol% + 7% of reading)
O2 (2 vol% +2% of reading) (3 vol% + 3% of reading)
N2O (3 vol% + 3% of reading) (3 vol% + 5% of reading)
Hal, Enf, 0.2 vol% + 10% of reading (0.3 vol% + 10% of reading)
Iso, Sev,
Des

5-14 M1076286
5 Specifications and Theory of Operation

Typical performance
CO2 Measurement range 0 to 15 vol% (0 to 15 kPa, O to 113 mmHg).
Measurement rise time <400 ms typical.
Accuracy (0.2 vol% +2% of reading).
Gas cross effects <2 vol% (O2, N2O, anesthetic agents).
O2 Measurement range 0 to 100 vol%.
Measurement rise time <400 ms typical.
Accuracy (1 vol% +2% of reading).
Gas cross effects <1 vol% anesthetic agents, <2 vol% N2O.
N2O Measurement range 0 to 100 vol%.
Measurement rise time <450 ms typical.
Accuracy (2 vol% +2% of reading).
Gas cross effects <2 vol% anesthetic agents.
Anesthetic agents Measurement range Hal, Enf, Iso 0 to 6 vol%.
Measurement range Sev 0 to 8 vol%.
Measurement range Des 0 to 20 vol%.
Measurement rise time <400 ms typical.
Accuracy (0.15 vol% +5% of reading).
Gas cross effects <0.15 vol% N2O.

Suction regulators (optional)

Venturi suction regulator

Supply Air or O2 from system gas supply


Drive gas consumption 52 l/min
Minimum vacuum 450 mmHg with pipeline drive gas at 280 kPa (41 psi)
(At sea level. Performance is reduced at higher elevations.)
Minimum flow 20 l/min
Accuracy 5% of full scale

Continuous suction regulator

Supply External vacuum


Vacuum levels 0 though full line vacuum
Minimum flow 20 l/min
Accuracy 5% of full scale

M1076286 5-15
Aisys Carestation

Ventilator theory
The ventilator pneumatics are at the rear of the breathing system. A precision
valve controls gas flow to the patient. During inspiration, this gas flow closes
the exhalation valve and pushes the bellows down. During expiration, a small
flow pressurizes the exhalation diaphragm to supply PEEP pressure.
Volume and pressure measurements come from flow sensors in the flow
sensor module. Two tubes from each sensor connect to a transducer that
measures the pressure change across the sensor, which changes with the
flow. A third transducer measures airway pressures at the inspiratory flow
sensor.
The ventilator uses the data from the flow sensors for volume-related
numerics and alarms. The ventilator also uses the flow sensors to adjust its
output for changes in fresh gas flow, small leaks, and gas compression
upstream of the breathing circuit. There is adjustment for compression in the
patient circuit.
For better precision a small quantity of gas bleeds through a resistor to help
keep the pressure on the exhalation valve constant. At high airway pressures,
this can cause a slight hiss during inspiration.

WARNING Always connect the expiratory flow sensor. If it is not connected,


the patient disconnect alarm can not operate correctly.

O2 monitoring O2 monitoring measures O2 concentration in the patient circuit. The O2


concentration measured from the O2 cell is shown on the ventilator display.
The O2 cell is an electrochemical device (galvanic cell). Oxygen diffuses
through a membrane into the cell and oxidizes a base metal electrode. This
oxidation produces an electrical current proportional to the partial pressure of
the oxygen at the electrodes sensing surface. The base metal electrode
gradually wears out from the oxidation process.
The voltage from the cell cartridge is affected by the temperature of the
monitored gas mixture. A thermistor in the cells housing automatically
compensates for temperature changes in the cell.
O2 monitoring uses signal processing and analyzing circuitry to convert the
cell signal into a corresponding % oxygen value. The system displays this
value and compares it to saved alarm limits. If the value falls outside the
limits, the monitor produces the appropriate alarms.

5-16 M1076286
5 Specifications and Theory of Operation

Modes The system has six modes of mechanical ventilation:


volume control (VCV).
pressure control (PCV) (optional).
synchronized intermittent mandatory/pressure support (SIMV/PSV)
(optional).
pressure support (PSVPro) (optional).
synchronized intermittent mandatory-pressure control (SIMV-PC)
(optional).
pressure control-volume guaranteed (PCV-VG) (optional).

Volume control mode


1
2

3
TI TE

AB.91.038
4

1. Paw
2. Pmax
3. PEEP
4. Time
Figure 5-3 Volume control diagram

Volume control supplies a set tidal volume. The ventilator calculates a flow
based on the set tidal volume and the length of the inspiratory time (T I) to
deliver that tidal volume. It then adjusts that output by measuring delivered
volumes at the flow sensors. Since the ventilator adjusts output, it can
compensate for breathing system compliance, fresh gas flow, and moderate
breathing system leaks.
A typical volume-controlled pressure waveform increases throughout the
entire inspiratory period, and rapidly decreases at the start of expiration. An
optional inspiratory pause is available to improve gas distribution.
Volume control mode settings:
TV
RR
I:E
Tpause
PEEP
Pmax

M1076286 5-17
Aisys Carestation

Pressure control mode


1
2
3
TI TE
4

AB.91.039
5

1. Paw
2. Pmax
3. Pinsp
4. PEEP
5. Time
Figure 5-4 Pressure control diagram

Pressure control supplies a constant set pressure during inspiration. The


ventilator calculates the inspiratory time from the frequency and I:E ratio
settings. A high initial flow pressurizes the circuit to the set inspiratory
pressure. The flow then decreases to maintain the set pressure (Pinspired).
Pressure sensors in the ventilator measure patient airway pressure. The
ventilator automatically adjusts the flow to maintain the set inspiratory
pressure.
Pressure control mode settings:
Pinsp
RR
I:E
PEEP
Pmax
Rise Rate

5-18 M1076286
5 Specifications and Theory of Operation

SIMV/PSV mode
3

1
4
2
5 TI

AB.91.040
6
1. Mandatory SIMV breath
2. Spontaneous pressure supported breath
3. Paw
4. Psupport
5. PEEP
6. Time
Figure 5-5 SIMV/PSV diagram
Synchronized Intermittent Mandatory Ventilation (SIMV) is a mode in which
periodic volume breaths are delivered to the patient at preset intervals (time-
triggered). Between the machine delivered breaths, the patient can breathe
spontaneously at the rate, tidal volume and timing that the patient desires.
At the specified time interval, the ventilator will wait for the next inspiratory
effort from the patient. The sensitivity of this effort is adjusted using the flow
trigger level. When the ventilator senses the beginning of inspiration it
synchronously delivers a volume breath using the set tidal volume, and
inspiratory time that is set on the ventilator. If the patient fails to make an
inspiratory effort during the trigger window time interval, the ventilator will
deliver a machine breath to the patient. The ventilator will always deliver the
specific number of breaths per minute that the clinician has set.
In SIMV, the spontaneous breaths can be pressure supported to assist the
patient in overcoming the resistance of the patient circuit and the artificial
airway. When the Psupport level is set, the ventilator will deliver the pressure
support level to the patient during inspiration. PEEP can also be used in
combination with this mode.
Spontaneous breaths that occur during this mode are indicated by a color
change in the waveform.
SIMV/PSV mode settings:
TV
RR
Tinsp
Tpause
Psupport
PEEP
Pmax
Trig. Window
Flow Trigger
End of Breath
Rise Rate

M1076286 5-19
Aisys Carestation

PSVPro mode
1

AB.91.041
TI
3
1. Paw
2. PEEP
3. Time
Figure 5-6 PSVPro diagram

PSVPro is pressure supported ventilation with apnea backup.


PSVPro is a spontaneous mode of ventilation that provides a constant
pressure once the ventilator senses that the patient has made an inspiratory
effort. In this mode, the user sets the Pressure Support (Psupport) and PEEP
levels. The patient establishes the rate, inspiratory flow and inspiratory time.
The tidal volume is determined by the pressure, lung characteristics and
patient effort.
PSVPro uses an inspiration termination level that establishes when the
ventilator will stop the pressure supported breath and cycle to the expiratory
phase. The inspiration termination level is user adjustable from 5% to 50%.
This parameter sets the percent of the peak inspiratory flow that the ventilator
uses to end the inspiratory phase of the breath and to cycle into the expiratory
phase. If the inspiration termination is set to 30% then the ventilator will stop
inspiration when the flow decelerates to a level equal to 30% of the measured
peak inspiratory flow. The lower the setting the longer the inspiratory time and
conversely, the higher the setting the shorter the inspiratory phase.
An apnea backup mode is provided in the event the patient stops breathing.
When setting this mode the user adjusts the inspiratory pressure (Pinsp),
respiratory rate and the inspiratory time (Tinsp). As long as the patient is
triggering the ventilator and the apnea alarm does not activate, the patient will
get pressure-supported breaths and the ventilator will not deliver machine
breaths.
If the patient stops triggering the ventilator for the set apnea delay time, the
apnea alarm will activate and the ventilator will automatically switch to the
backup mode that is SIMV (Pressure Control) + PSV mode. Once in this mode
the ventilator will begin delivering machine Pressure Control breaths at the
inspiratory pressure level, inspiratory time and rate that the user has set. If,
during this mode, the patient takes spontaneous breaths in between the
machine breaths, the patient will receive pressure supported breaths.

5-20 M1076286
5 Specifications and Theory of Operation

1
4
2
5

AB.91.042
TI
6
1. Mandatory pressure control breath
2. Spontaneous pressure supported breath
3. Paw
4. Psupport
5. PEEP
6. Time
Figure 5-7 Backup mode SIMV-PC+PSV

When the ventilator switches to the backup mode, the alarm text Backup
Mode Active will be displayed and will remain in the low priority message site
until PSVPro is reinstated or until another mode is selected. To reactivate the
PSVPro mode the user must go into the Ventilation Mode menu and select
PSVPro. Upon selecting PSVPro the ventilator will immediately begin providing
pressure supported breaths to the patient using the established settings.
Spontaneous breaths that occur during this mode are indicated by a color
change in the waveform.
PSVPro mode settings:
Psupport
PEEP
Trig. Window
Flow Trigger
End of Breath
Pmax
Backup Time
Pinsp
RR
Tinsp
Rise Rate

M1076286 5-21
Aisys Carestation

SIMV-PC mode Synchronized Intermittent Mandatory Ventilation, Pressure Controlled mode is


a mode in which a relatively slow mandatory breathing rate is set with
pressure-controlled breathing. This mode combines mandatory breaths with
spontaneous breath support. If a trigger event occurs within the
synchronization window, a new pressure-controlled breath is initiated. If a
trigger event occurs elsewhere during the expiratory phase, a support for a
spontaneous breath is provided with pressure support added as set by the
clinician.
SIMV-PC mode settings:
Pinsp
RR
Tinsp
Psupport
PEEP
Pmax
Trig. Window
Flow Trigger
End of Breath
Rise Rate

5-22 M1076286
5 Specifications and Theory of Operation

PCV-VG mode In PCV-VG, a tidal volume is set and the ventilator delivers that volume using a
decelerating flow and a constant pressure. The ventilator will adjust the
inspiratory pressure needed to deliver the set tidal volume breath-by-breath
so that the lowest pressure is used. The pressure range that the ventilator will
use is between the PEEP + 2 cmH2O level on the low end and 5 cmH2O below
Pmax on the high end. The inspiratory pressure change between breaths is a
maximum of 3 cmH2O.
This mode will deliver breaths with the efficiency of pressure controlled
ventilation, yet still compensate for changes in the patients lung
characteristics. PCV-VG begins by first delivering a volume breath at the set
tidal volume. The patients compliance is determined from this volume breath
and the inspiratory pressure level is then established for the next PCV-VG
breath.
PCV-VG mode settings:
TV
RR
I:E
PEEP
Pmax
Rise Rate

2 3

1
5

7
6

AB.98.034
1. Paw waveform
2. Tinsp
3. Texp
4. Variable pressure to deliver desired TV
5. PEEP
6. Flow waveform
7. TV
Figure 5-8 PCV-VG waveforms

M1076286 5-23
Aisys Carestation

Ventilation operating specifications

Pneumatics
Gas source Anesthesia system
Gas composition Medical air or O2
Nominal supply pressure 350 kPa (50 psi)
Pressure range at inlet 240 to 700 kPa (35 to 101 psi)
Peak gas flow 120 l/min at 240 kPa (35 psi), 0.75 seconds
Continuous gas flow 80 l/min at 240 kPa (35 psi)
Flow valve range 1 to 120 l/min at 240 kPa (35 psi)

Fresh gas
compensation Flow compensation range 200 ml/min to 15 l/min
Gas composition O2, N2O, Air, anesthetic agents

Pressure
Patient airway pressure range -20 to +120 cmH2O, +/-1 cmH2O resolution
High pressure alarm set range 12 to 100 cmH2O, 1 cm increment
Sustained pressure alarm range 6 to 30 cmH2O, 1 cm increment
Display range -20 to 120 cmH2O

5-24 M1076286
5 Specifications and Theory of Operation

Volume
Tidal volume display range 0 to 9999 ml, 1 ml resolution
Setting range 20 to 1500 ml
Minute volume 0.0 to 99.9 liters, 0.1 liter resolution
Breath rate (breaths per minute) 4 to 100 bpm (non-spontaneous)
2 to 60 bpm (spontaneous)
1 bpm resolution
Volume sensor type Variable flow orifice

Oxygen
Display range 0 to 100% O2
Display resolution 1% increments
Sensor type Galvanic fuel cell
Measurement range 0 to 100% O2
Measurement accuracy Better than 3% of full scale
Cell response time 35 seconds
Note: Response time of cell and adapter is
measured using the test method described in
ISO 7767 (1997).
Low O2 alarm range 18% to 99%
High O2 alarm setting 19% to 100% or Off
Note: Low O2 limit may not be set above the high
O2 limit, nor may the high O2 limit be set below
the low O2 limit.
Expected cell life Four months of shelf life (23C room air) and one
year of normal operation.

M1076286 5-25
Aisys Carestation

Ventilator accuracy data


The following accuracy data are based on patient conditions and settings
described in ASTM F1101. The ventilator is assumed to be operating in
volume mode. For the following to be true, the ventilator is operating with 100
percent oxygen in the breathing system; or, it is connected to an anesthesia
gas analyzer. If the ventilator is operating without being connected to an
anesthesia gas analyzer, additional errors are described in the gas
composition chart.
Minimum detectable breath size is 5 ml.

Volume delivery accuracy > 210 ml tidal volume - accuracy better than 7%
< 210 ml but > 60 ml tidal volume -
accuracy better than 15 ml
< 60 ml tidal volume -
accuracy better than 10 ml
Volume monitoring accuracy > 210 ml tidal volume - accuracy better than 9%
< 210 ml but > 60 ml tidal volume -
accuracy better than 18 ml
< 60 ml tidal volume -
accuracy better than 10 ml
Inspiratory pressure delivery greater of 10% or 3 cmH2O
accuracy
PEEP delivery accuracy 1.5 cmH2O
Pressure monitoring accuracy greater of 5% or 2 cmH2O
Note: Gas composition errors may be in addition to the above normalized accuracy.
When adding errors, positive errors can have the effect of nulling out negative
errors.
Note: Use of anesthetic agent could affect the errors by approximately -0.95%/%
volume agent in normal mode.

% O2
20 30 40 50 60 70 80 90 100
0

10 > +10%

20

30
> 5%
% N2O 40

50

60
> -10%
70
AB.74.027

80

Figure 5-9 Gas Composition Related Errors

5-26 M1076286
5 Specifications and Theory of Operation

Electronically controlled vaporizer and Aladin cassette


Electronically controlled vaporizer for delivery of five agents: Halothane,
Isoflurane, Enflurane, Sevoflurane, and Desflurane. The cassettes can be
handled safely without excessive leakage of anesthetic agent to the
environment.

Agent setting ranges


Halothane, Enflurane, Isoflurane Off, 0.2 to 5% in fresh gas flow,
resolution 0.1%
Sevoflurane Off, 0.2 to 8% in fresh gas flow,
resolution 0.1%
Desflurane Off, 1 to 18% in fresh gas flow,
resolution 0.2%
Accuracy
Halothane, Enflurane, Isoflurane, and 10% of setting or 0.2% v/v, whichever is the
Sevoflurane in typical operating conditions. greatest
Fresh gas flow range 1 to 10 l/min.
Ambient temperature 18 to 25C.
Halothane, Enflurane, Isoflurane, and 20% of setting or 0.4% v/v, whichever is the
Sevoflurane in other operating conditions. greatest
Fresh gas flow range 0.2 to 15 l/min.
Ambient temperature 18 to 25C.
Desflurane in typical operating conditions. 10% of setting or 0.5% v/v, whichever is the
Fresh gas flow range 1 to 10 l/min. greatest
Ambient temperature 10 to 35C.
Desflurane in other operating conditions. 20% of setting or 1% v/v, whichever is the
Fresh gas flow range 0.2 to 15 l/min. greatest
Ambient temperature 10 to 35C.
Note: Sevoflurane concentrations above 5% may not be reached if the ambient temperature is
below 18C and the fresh gas flow is above 5 l/min.
Note: Sevoflurane and Desflurane concentration at high fresh gas flows (5 > l/min) and high
concentration settings (SEV >5%; DES > 12%) will decline after some minutes of use. The rate of
decline will increase with higher setting, higher fresh gas flow, and lower temperature.
Note: The effect of the fresh gas composition and back pressure on the agent concentration are
included in the accuracy specifications.
Note: Ambient pressure does not affect delivery performance.
Response time
To 90% of step; measured at fresh gas < 7 s at fresh gas flow of 2 l/min
outlet

M1076286 5-27
Aisys Carestation

Aladin2 cassettes
Filling
Filling system Easy-Fil: Adapter filler system for Halothane, Isoflurane,
Enflurane, and Sevoflurane.
Quick-Fil: Filler system compatible to Abbotts system for
Sevoflurane.
Saf-T-Fil: Filler system compatible to the Datex-Ohmeda
Saf-T-Fil bottle for Desflurane.
Filling speed > 2 ml/s
Overfilling protection Overfilling prevention systems built into the cassettes.

Liquid capacity Hal, Enf, Iso, Sev Des


Maximum 220 ml 260 ml
Normal fill when 140 ml 180 ml
indicator shows empty (residual volume 80 ml) (residual volume 80 ml)

Cassette
Empty weight 2.8 kg
Height 7 cm
Depth 24 cm
Width 14 cm

5-28 M1076286
5 Specifications and Theory of Operation

Aladin cassettes
Filling
Filling system Adapter filling: Rectangular keyed adapter filler system
for Halothane, Isoflurane, Enflurane, and Sevoflurane.
Quick-Fil: Filler system compatible to Abbotts system for
Sevoflurane.
Cylindrical keyed adapter: Filler system compatible to the
Datex-Ohmeda Saf-T-Fil bottle for Desflurane.
Filling speed > 2 ml/s
Overfilling protection Overfilling prevention systems built into the cassettes.

Liquid capacity
Maximum 250 ml
Normal fill when indicator shows empty 150 ml
(residual volume 100 ml)

Cassette
Empty weight 2 kg: Enflurane, Isoflurane, Sevoflurane with keyed
filler.
2.5 kg: Halothane with keypad filler, Sevoflurane with
Quik Fil.
3 kg: Desflurane.
Height 7 cm
Depth 23 cm
Width 14 cm
16 cm with keyed filler

M1076286 5-29
Aisys Carestation

Electromagnetic compatibility (EMC)


Changes or modifications to this equipment not expressly approved by
Datex-Ohmeda could cause EMC issues with this or other equipment. Contact
Datex-Ohmeda for assistance. This device is designed and tested to comply
with applicable regulations regarding EMC as follows.

WARNING Use of portable phones or other radio frequency (RF) emitting


equipment near the system may cause unexpected or adverse
operation. Monitor operation when RF emitters are in the vicinity.

w Use of other electrical equipment on or near this system may


cause interference. Verify normal operation of equipment in your
configuration before use on patients.

Guidance and The system is suitable for use in the specified electromagnetic environment.
manufacturer's The customer and/or the user of the system should assure that it is used in an
electromagnetic environment as described below.
declaration -
electromagnetic
emissions
Emissions test Compliance Electromagnetic environment guidance

RF emissions Group 1 The system uses RF energy only for its internal function. Therefore, its RF emissions are
CISPR 11 very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions Class B The system is suitable for use in all establishments, including domestic
CISPR 11 establishments and those directly connected to the public low-voltage power supply
network that supplies buildings used for domestic purposes.
Harmonic emissions Class A
IEC 61000-3-2 Class A
Voltage fluctuations/ Complies
flicker emissions
IEC 61000-3-3

5-30 M1076286
5 Specifications and Theory of Operation

Guidance and The system is suitable for use in the specified electromagnetic environment.
manufacturer's The customer and/or the user of the system should assure that it is used in an
electromagnetic environment as described below.
declaration -
electromagnetic
immunity

Power immunity
Immunity test IEC 60601-1-2 test level Compliance level Electromagnetic environment guidance

Electrostatic 6 kV contact 6 kV contact Floors should be wood, concrete, or ceramic tile. If


discharge (ESD) 8 kV air 8 kV air floors are covered with synthetic material, the
IEC 61000-4-2 relative humidity should be at least 30%.
Electrical fast 2 kV for power supply 2 kV for power supply Mains power quality should be that of a typical
transient/burst IEC lines lines commercial and/or hospital environment.
61000-4-4 1 kV for input/output 1 kV for input/output
lines lines
Surge IEC 61000- 1 kV differential mode 1 kV differential Mains power quality should be that of a typical
4-5 2 kV common mode mode commercial and/or hospital environment.
2 kV common mode
Voltage dips, short < 5% UT (> 95% dip in UT) < 5% UT (> 95% dip in Mains power quality should be that of a typical
interruptions and for 0.5 cycle UT) for 0.5 cycle commercial and/or hospital environment. If the
voltage variations 40% UT (60% dip in UT) for 40% UT (60% dip in UT) user of the system requires continued operation
on power supply 5 cycles for 5 cycles during power mains interruptions, it is
input lines 70% UT (30% dip in UT) for 70% UT (30% dip in UT) recommended that the system be powered from an
IEC 61000-4-11 25 cycles for 25 cycles uninterruptible power supply or a battery.
< 5% UT (> 95% dip in UT) < 5% UT (> 95% dip in
for 5 sec. UT) for 5 sec.
Power frequency 3 A/m 3 A/m If display distortion or other abnormalities occur, it
(50/60 Hz) may be necessary to position the Anaesthetic
magnetic field System further from sources of power frequency
IEC 61000-4-8 3 magnetic fields or to install magnetic shielding. The
power frequency magnetic field should be
measured in the intended installation location to
assure that it is sufficiently low.
Note: UT is the AC mains voltage before application of the test level.

M1076286 5-31
Aisys Carestation

Radiated immunity

Electromagnetic environment guidance


Immunity test IEC 60601-1-2 test Level Compliance level
Recommended separation distance

Portable and mobile RF communications


equipment should be used no closer to any part of
the system, including cables, than the
recommended separation distance calculated from
the equation appropriate for the frequency of the
transmitter.
Conducted RF 3 Vrms 3 Vrms (V1) D=3.5P
IEC 61000-4-6 150 kHz to 80 MHz
outside ISM bands
10 Vrms 10 Vrms (V2) D=12P
150 kHz to 80 MHz in ISM
bands
Radiated RF 10 V/m 10 V/m (E1) D=1.2P 80 mHz to 800 mHz
IEC 61000-4-6
80 MHz to 2.5 GHz D=3.5P 800 mHz to 2.5 GHz
Where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter
manufacturer and D is the recommended
separation distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,
should be less than the compliance level in each
frequency range.
The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz;
13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz
are intended to decrease the likelihood that a portable communications device could cause interference if it is inadvertently
brought into patient areas. For this reason, an additional factor of 10/3 is used in calculating the recommended separation
distance for transmitters in these frequency ranges.
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured
field strength in the location in which the system is used exceeds the applicable RF compliance level above, the system should
be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as
re-orienting or relocating the system.
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.

5-32 M1076286
5 Specifications and Theory of Operation

Recommended The system is intended for use in the electromagnetic environment in which
separation distances radiated RF disturbances are controlled. The customer or the user of the
system can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications
equipment (transmitters) and the system as recommended below, according
to the maximum power of the communications equipment.

Separation distance in meters (m) according to frequency of the transmitter


Rated maximum 150 kHz to 80 MHz 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
output power of
Outside ISM bands In ISM bands
transmitter
watts (W)

0.01 0.35 1.2 0.12 0.23


0.1 1.1 3.8 0.38 0.73
1 3.5 12 1.2 2.3
10 11 38 3.8 7.3
100 35 120 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance D in meters (m) can
be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of
the transmitter in watts (W) according to the transmitter manufacturer.

Note 1: At 80 MHz to 800 MHz the separation distance for the higher frequency range applies.

Note 2: The ISM (Industrial, Scientific and Medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553
MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.

Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM
frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz to decrease the likelihood that
mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.

Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects, and people.

M1076286 5-33
Aisys Carestation

Electrical safety
The system provides connections for items such as printers, visual displays
and hospital information networks. When these items (non-medical
equipment) are combined with the system, these precautions must be
followed:
Dont place items not approved to IEC 60601-1 closer than 1.5 m to the
patient.
All items (medical electrical equipment or non-medical electrical
equipment) connected to the system by a signal input/signal output
cable must be supplied from an AC power source which uses a separating
transformer (in accordance with IEC 60989) or be provided with an
additional protective earth conductor.
If a portable multiple socket outlet assembly is used as an AC power
source, it must comply with IEC 60601-1. The assembly must not be
placed on the floor. Using more than one portable multiple socket outlet
assembly is not recommended. Using an extension cord is not
recommended.
Do not connect non-medical electrical equipment directly to the AC outlet at
the wall instead of an AC power source which uses a separating transformer.
Doing so may increase enclosure leakage current above levels allowed by IEC
60601-1 in normal conditions and under single-fault conditions. This may
cause an unsafe electrical shock to the patient or operator.
After connecting anything to these outlets, conduct a complete system
leakage current test (according to IEC 60601-1).

WARNING An operator of the medical electrical system must not touch


non-medical electrical equipment and the patient
simultaneously. This may cause an unsafe electrical shock to the
patient.

IEC-60601-1 Classification
The system is classified as follows.
Class I equipment.
Type B equipment.
Type BF equipment.
Ordinary equipment.
Not for use with flammable anesthetics.
Continuous operation.

5-34 M1076286
6 Super User Mode

In this section Install/Service menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2


Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

M1076286 6-1
Aisys Carestation

Install/Service menu

WARNING Do not enter the Install/Service menu when a patient is


connected to the system. Gas flow will cease, and the system
must be powered down in order to restart gas flow.

Important Changes made in the super user mode will affect the system configuration. All
changes made are permanent and preserved until changed again.
Several settings can be changed in the super user mode. These changes
should only be made by the person responsible for the configuration of the
system.
The Installation and Service menus are password protected.
The system must be turned off in order to exit the Install/Service menu. Go to
Main Menu - Screen Setup - Install Service. Enter the password16, 4, 34.

Install/Service - Page 1
Trends Setup
Colors and Units
Cumulative Gas Usage
Show Alarm Limits Yes Yes or No
External Gas Monitor Yes Yes or No
Save Default Case
Factory Defaults
Parameter Settings
Install/Service - Page 2
Exit

Install/Service - Page 2
Fresh Gas Controls O2% O2%, Flow, User
VCV Cardiac Bypass No Yes or No
Installation
Service
Install/Service - Page 1
Exit

6-2 M1076286
6 Super User Mode

Using super user mode Set the Default Trend and configure the graphic trend pages through the
Trends Setup menu.
Set the colors and the units of parameters through the Colors and Units
menu.
View the gas used and reset the gas usage in the Cumulative Gas Usage
menu. Select Reset Usage to set all cumulative agent totals to 0.0, all
cumulate gas usage to 0, and to set the displayed date to the current date in
the inactive right column.
Set Show Alarm Limits to Yes display the alarm limits next to the measured
values on the normal screen.
Set the External Gas Monitor to Yes only if the system uses a stand-alone
monitor for O2, agent, and CO2. Selecting Yes will disable the O2 limit alarms
and the O2 monitoring not connected alarm when there is no O 2 cell or
airway module detected in the system. The AA, CO2 monitoring not
connected alarm will also be disabled.
Select Save Default Case to save the air, N2O, circuit, ventilator settings, and
alarms settings from the last case as defaults.
Factory defaults are the settings installed by the manufacturer. These cannot
be changed. To return the system to the factory defaults, select Factory
Defaults.
Set the volume conditions and the CO2 humidity compensation through the
Parameters Setup menu. Set the volume calculation conditions to be based
on ATPD (ambient temperature and pressure, dry humidity conditions) or
BTPS (body temperature, ambient pressure, saturated humidity condition).
Set the humidity compensation type in CO2 partial pressure values to wet or
dry.

M1076286 6-3
Aisys Carestation

Menus
The following is a list of the menu selections available.
Not all menu items are available depending on the system configuration.
Inactive menu items are grayed out and are not selectable.
Menu selections shown are the factory default values. The options are listed to
the right of the menu shown.

Trends Setup
Default Trend Num Num, Graph, Set
Graphical Trends
Previous Menu

Graphical Trends
Page 1
Page 2
Page 3
Page 4
Page 5
Previous Menu

Page 1
Field 1 Pres * Off, Pres, MVexp, CO2, O2, Bal, AA1, AA2,
Field 2 TVexp MAC, N2O, TVexp, Spont, Pmean, rr+co2,
Field 3 CO2 Compl, VO2
Previous Menu

*The Field 1, Field 2, and Field 3 selections are the same for all fields.

6-4 M1076286
6 Super User Mode

Page 2
Field 1 O2 * Off, Pres, MVexp, CO2, O2, Bal, AA1, AA2,
Field 2 N2O MAC, N2O, TVexp, Spont, Pmean, rr+co2,
Field 3 AA1 Compl, VO2
Previous Menu

Page 3
Field 1 AA2 * Off, Pres, MVexp, CO2, O2, Bal, AA1, AA2,
Field 2 N2O MAC, N2O, TVexp, Spont, Pmean, rr+co2,
Field 3 MAC Compl, VO2
Previous Menu

Page 4
Field 1 Bal * Off, Pres, MVexp, CO2, O2, Bal, AA1, AA2,
Field 2 Mac MAC, N2O, TVexp, Spont, Pmean, rr+co2,
Field 3 MVexp Compl, VO2
Previous Menu

Page 5
Field 1 rr+co2 * Off, Pres, MVexp, CO2, O2, Bal, AA1, AA2,
Field 2 Compl MAC, N2O, TVexp, Spont, Pmean, rr+co2,
Field 3 Off Compl, VO2
Previous Menu

*The Field 1, Field 2, and Field 3 selections are the same for all fields.

M1076286 6-5
Aisys Carestation

Colors and Units


Colors
Weight kg kg or lb
CO2 % %, kPa or mmHg
Gas Supply Pressure kPa psi, kPa or bar
Paw cmH2O kPa, hPa, cmH2O, mmHg or mbar
Previous Menu

Colors
Paw Yellow Yellow, White, Green, Red or Blue
Flow Green Yellow, White, Green, Red or Blue
Resp White Yellow, White, Green, Red or Blue
CO2 White Yellow, White, Green, Red or Blue
Previous Menu

Cumulative Gas Usage


Reset Usage
Desflurane
Enflurane
Halothane
Isoflurane
Sevoflurane
O2 (*1000)
Air (*1000)
N2O (*1000)
Previous Menu

Parameter Settings
TV Based on ATPD ATPD or BTPS
CO2 Numbers Dry Dry or Wet
Previous Menu

6-6 M1076286
Warranty
This Product is sold by Datex-Ohmeda under the warranties set forth in the
following paragraphs. Such warranties are extended only with respect to the
purchase of this Product directly from Datex-Ohmeda or Datex-Ohmedas
Authorized Dealers as new merchandise and are extended to the Buyer
thereof, other than for the purpose of resale.
For a period of twelve (12) months from the date of original delivery to Buyer or
to Buyers order, but in no event for a period of more than two years from the
date of original delivery by Datex-Ohmeda to a Datex-Ohmeda Authorized
Dealer, this Product, other than its expendable parts, is warranted against
functional defects in materials and workmanship and to conform to the
description of the Product contained in this Users Reference manual and
accompanying labels and/or inserts, provided that the same is properly
operated under the conditions of normal use, that regular periodic
maintenance and service is performed and that replacements and repairs are
made in accordance with the instructions provided. This same warranty is
made for a period of thirty (30) days with respect to expendable parts. The
foregoing warranties shall not apply if the Product has been repaired other
than by Datex-Ohmeda or in accordance with written instructions provided by
Datex-Ohmeda, or altered by anyone other than Datex-Ohmeda, or if the
Product has been subject to abuse, misuse, negligence, or accident.
Datex-Ohmedas sole and exclusive obligation and Buyers sole and exclusive
remedy under the above warranties is limited to repairing or replacing, free of
charge, at Datex-Ohmedas option, a Product, which is telephonically
reported to the nearest Datex-Ohmeda Customer Service Center and which, if
so advised by Datex-Ohmeda, is thereafter returned with a statement of the
observed deficiency, not later than seven (7) days after the expiration date of
the applicable warranty, to the Datex-Ohmeda Customer Service and
Distribution Center during normal business hours, transportation charges
prepaid, and which, upon Datex-Ohmedas examination, is found not to
conform with above warranties. Datex-Ohmeda shall not be otherwise liable
for any damages including but not limited to incidental damages,
consequential damages, or special damages.
There are no express or implied warranties which extend beyond the
warranties hereinabove set forth. Datex-Ohmeda makes no warranty of
merchantability or fitness for a particular purpose with respect to the product
or parts thereof.
Index

A E
Absorber canister 2-30, 4-5 Electromagnetic compatibility 5-30
cleaning 2-30 EZchange Canister
disinfection 2-30 removal 1-5
filling 1-6
removing 1-5 F
setup 1-3
AGSS Flow sensors 2-3, 4-2
remove receiver 2-27 cleaning and disinfection 2-5
remove receiver filter 2-29 prevent water buildup 3-6

B I
Backlight test 3-6 Install/Service
Bellows assembly menu 6-2
assemble 2-17 password 6-2
disassemble 2-15
test 2-19 M
Breathing system Mains inlet 1-8
assembly 2-21 Maintenance schedule 3-2
cleanable parts 2-3
disassembly 2-9 O
installing 2-26
removal 2-8 O2 cell
remove bag hose 2-8 calibration 3-5
specifications 5-11 replacement 3-4

C P
Calibration Pneumatic
100% O2 3-5 connections 1-10
21% O2 3-5 specifications 5-5
backlight test 3-6 system pneumatic circuits 5-2
O2 cell 3-5
Circuit R
non-circle relief 5-6
Repair policy 3-2
Cleaning
cautions 2-2
Condenser cleaning 2-31
S
Connections Scavenging 1-10
electrical 1-8 specifications 5-13
pneumatic 1-10 Serial port 1-9
Cylinder
installation 1-13

M1076286 I-1
Aisys Carestation

Specifications
airway module 5-14
breathing system 5-11
flow 5-10
gas 5-14
physical 5-13
pneumatic 5-5
ventilation operating 5-24
Suction regulator 1-12
Super User mode 6-1

V
Ventilation modes 5-17
pressure control 5-18
PSVPro 5-20
SIMV/PSV 5-19
SIMV-PC 5-22
volume control 5-17
Ventilator
accuracy data 5-26
modes 5-17
operating specifications 5-24
theory 5-16

W
Water buildup
prevention 3-6

I-2 M1076286
Aisys
Users Reference Manual
English
M1076286
05 06 18 05 02
Printed in USA
Datex-Ohmeda, Inc.
All rights reserved

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