Datex-Ohmeda Aespire 7900 Anaesthesia Machine - User Reference Manual 1 PDF
Datex-Ohmeda Aespire 7900 Anaesthesia Machine - User Reference Manual 1 PDF
Datex-Ohmeda Aespire 7900 Anaesthesia Machine - User Reference Manual 1 PDF
w 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.
AAA F 12345
1 Introduction
1009-0632-000 i
S/5 Aespire
ii 1009-0632-000
ISO 5358 or BSI standard positive low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14
Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18
Index
Warranty
1009-0632-000 iii
S/5 Aespire
iv 1009-0632-000
1 Introduction
1009-0632-000 1-1
Aespire 7900
1-2 1009-0632-000
1 Introduction
Y Equipotential
R Bag position/ manual ventilation
1009-0632-000 1-3
Aespire 7900
z Lock
r Mechanical ventilation
Z Unlock
U Close drain
134°C
Q
C Autoclavable Expiratory flow
q
Inspiratory flow Menu touch key
Systems with this mark agree with the European Union Representative
European Council Directive (93/42/EEC) for
XXXX
Medical Devices when they are used as
specified in their Operation and Maintenance
Manuals. The xxxx is the certification number
of the Notified Body used by Datex-Ohmeda’s
Quality Systems.
1-4 1009-0632-000
2 System Controls and Menus
1009-0632-000 2-1
Aespire 7900
wWARNING Do not use antistatic breathing tubes or masks. They can cause
burns if you use them near high frequency surgical equipment.
2 4
5
1 6
10
9 7, 8
1. Breathing system
2. Flow controls
3. Ventilator / monitoring display
4. Dovetail rails
5. Vaporizer
6. System switch
7. Pipeline pressure gauge(s) (upper row)
8. Cylinder pressure gauge(s) (lower row)
9. Brake
10. O2 flush button
Figure 2-1 • Aespire (front view)
2-2 1009-0632-000
2 System Controls and Menus
Figure 2-1 shows these controls on the front of the S/5 Aespire.
Item Description
7 System switch Set the switch to the on (|) position to permit gas flow
and to turn on the system.
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1
2
2-4 1009-0632-000
2 System Controls and Menus
19
17
16
15
1
14
13 2
12
11
10
18
8 7 6 5 4 3
1. Auxiliary common gas outlet (ACGO) switch
2. ACGO
3. Inspiratory check valve (unidirectional valve)
4. Inspiratory flow sensor / patient connection (circuit connections)
5. Canister (carbon dioxide absorbent)
6. Canister release
7. Expiratory flow sensor / patient connection (circuit connections)
8. Leak test plug
9. Expiratory check valve (unidirectional valve)
10. Breathing system release
11. Manual bag port
12. APL (adjustable pressure-limiting) valve
13. Bag/mechanical ventilation switch
14. Bellows assembly (mechanical ventilation)
15. Pressure gauge (airway)
16. Sample gas return port
17. Serial port
18. Manual Bag (optional; no bag arm)
19. Bag arm (optional)
Figure 2-3 • Breathing system parts
1009-0632-000 2-5
Aespire 7900
Figure 2-3 shows these controls on the front of the S/5 Aespire.
Item Description
1 Auxiliary Common Sends fresh gas to the ACGO when the switch is
Gas Outlet switch activated. The ACGO may be used to provide fresh
(ACGO) gas to an external manual breathing circuit.
Mechanical ventilation is not available when the
auxiliary outlet is selected and a medium priority
alarm will sound and a message “Aux Gas Outlet On”
is displayed. Pressure and volume monitoring are
not available when the ACGO is selected. Fresh gas
oxygen monitoring is available when the ACGO is
selected.
The ACGO should not be used to drive external
ventilators or for jet ventilation.
Breathing system selected:
2-6 1009-0632-000
2 System Controls and Menus
Item Description
70
MI
N
30
20
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Aespire 7900
Item Description
17 Bag arm (optional) Squeeze at (1) to raise or lower the arm. The Bag arm
rotates at (2).
ACGO When you operate a breathing apparatus with fresh gas from the ACGO:
• Mechanical ventilation is not available.
• The pressure gauge, Bag/Vent switch, APL valve, and bag arm are not
part of the external circuit.
• Volume and pressure monitoring are not available.
• O2 monitoring of fresh gas is available automatically when the ACGO is
selected if the system has the O2 monitoring option.
2-8 1009-0632-000
2 System Controls and Menus
L/min
10 20 30 40 50 60 70 80
cm H2 0
Figure 2-4 • Back pressure (cm H20) vs. flow to O2 sensor (L/min)
Scavenging the ACGO If the external manual breathing circuit is to be used with N 2O or volatile
sample flow anesthetics, the sample flow should be scavenged.
1. Occlude the patient circuit of the breathing system by using the leak test
plug located to the rear of the expiratory port.
2. Check for clinically correct settings. Set the Bag to Vent switch to the
ventilator mode. Alternatively set the Bag to Vent switch to the bag mode
and set the APL to MIN and attach a bag.
3. The bellows, or bag, will fill slowly with the fresh gas sample flow and then
spill to the AGSS.
1009-0632-000 2-9
Aespire 7900
Scavenging from the If the external manual breathing circuit is to be used with N 2O or volatile
external manual anesthetics, the exhaust should be scavenged.
breathing circuit An auxiliary inlet is available for active AGSS units. It provides a 30 mm male
connection into the auxiliary port under the breathing system.
• The auxiliary inlet is a convenience inlet to the air brake of active AGSS
units. There is a reservoir to capture exhaust flows higher than the extract
flow.
For all AGSS, a separate exhaust hose is necessary from the external manual
circuit to the disposal point.
Vaporizer controls
Refer to the description in this section and the vaporizer operation and
maintenance manual for more detailed information on the vaporizer.
Figure 2-5 shows the vaporizer controls.
1
2
3
4
1. Lock Lever
2. Concentration Control and Release
3. Tec 6 Plus
4. Tec 7
Figure 2-5 • Vaporizer controls
Item Description
1 Lock lever Turn the lever fully clockwise to lock the vaporizer in
position.
2-10 1009-0632-000
2 System Controls and Menus
Item Description
Åben
1009-0632-000 2-11
Aespire 7900
Ventilator controls
Optional Features The Aespire 7900 can be equipped with several optional ventilation functions.
References made in this manual to SIMV and PSVPro modes, are only applica-
ble to systems equipped with these functions.
1 2 3
AB.90.025
13 4
12 11 10 9 8 7
1.Alarm silence (key)
2.Alarm message (display)
3.Volume alarms On/Off (key)
4.Menu key
5.Breathing circuit module (display)
6.Control knob
7.Control setting
8.Selection key
9.Ventilation mode (display)
10.Ventilator status (On or Off)
11.Mains indicator
12.End Case (key)
13.Measured values
Figure 2-6 • SmartVent controls and monitored data
All but two of the controls for the ventilator are located on the Ventilation/
Monitoring display. The two controls are:
2-12 1009-0632-000
2 System Controls and Menus
Item Description
AB.90.036
Alarm silence key Silences most alarms for 120 seconds.
and indicator
Pushing the key when no alarm is active pre-silences low
and medium priority alarms, except Minimum Monitoring,
for 90 seconds.
AB.29.004
Remaining
silence time
End Case key End Case helps to prevent false alarms when no patient is
connected. It:
• Puts the apnea and volume alarms into Standby.
• Returns user selections to the most common
settings: Cardiac bypass off; Alarm limits shown.
• Sets the PEEP to 0 cmH2O (default value).
• Sets Plimit to one of two values: facility default or
40 cmH2O.
• Forces the circuit Leak Audio to On.
Mechanical ventilation must be off (set the Bag/Vent switch
to Bag or select the auxiliary common gas outlet).
AB.29.006
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Aespire 7900
How to set controls The bottom of the screen shows control settings.
Notes:
• The ventilator will not allow the setting of values it cannot supply. A reject
tone will sound or a message will appear on the screen.
• If the incorrect key is pushed, wait ten seconds or push the correct key.
• If the new setting is not saved, the ventilator continues to use the old
setting.
Step 1
AB.29.010
Push the selection key below
the setting.
Step 2
Turn the knob to change the
AB.29.002
setting.
Step 3
Push the knob or the key to
AB.29.011
save the change.
2-14 1009-0632-000
2 System Controls and Menus
How to use the menu Screens go back to the normal display 25 seconds after the last action.
During a calibration or other procedure, the screen shows the instructions.
Step 1
Push the Menu key to see
AB29.013
the main menu.
Step 2
Turn the knob to select an
AB.90.036
option (highlight).
AB90.037
Step 3
Push the knob to show the
next screen.
AB.90.045
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Aespire 7900
Menu map Figure 2-6 shows the menu map. The table tells you about some of the
options.
AB.90.041
AB.90.036
SE
AB.90.054
AB.90.045
AB.90.063
Note: If the Alarm Settings page shows VE Auto Limits On during mechanical
ventilation, the system automatically calculates alarm limits.
Figure 2-7 • Menu map
2-16 1009-0632-000
2 System Controls and Menus
Main Cardiac Bypass Turns off volume and apnea alarms when these are not appropriate (e.g., during
(In Progress/No) heart lung bypass).
Alarm Settings Circuit Leak Turns off the alarm tone for circuit leaks. You must set the low ◊E alarm first.
(Audio On/Off) Select ‘Audio off’ if the circuit has a known leak (e.g., an uncuffed endotracheal
tube).
Setup/ SIMV/PSVPro Setup Shows additional ventilation settings for SIMV and PSVPro modes.
Calibration
O2 Sensor Cal Shows menu for O2 sensor calibration.
Inspiratory Pause Adds an inspiratory pause time to volume control breaths.
Heliox mode Tells the ventilator if heliox is in use.
(On/Off)
About Ventilator... Shows service level settings: software version; if facility defaults or the control
settings from the previous case are used when the system is first turned on;
altitude; and drive gas (O2 or Air).
Screen and Alarm Limits ’Show’ displays alarm limits next to the data on the screen.
Audio (Show/Hide)
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Aespire 7900
Step 1
Select the desired menu.
AB.90.038
AB.90.054
Step 2
Turn, then push the knob to
select an option.
AB.90.055
Step 3
Turn the knob to change the
setting. 75 82
Step 4
Push the knob to save the
change. 82 82
2-18 1009-0632-000
2 System Controls and Menus
1
2
2
3
4
1009-0632-000 2-19
Aespire 7900
Suction regulator
controls
Mode switch:
MAX: for maximum suction, set the switch to MAX.
On (|): for adjustable suction, set the switch to on (|) or
|.
Off (O): to turn off suction, set the switch to O.
With the mode switch set to “|”, turn the control
clockwise to increase suction and counterclockwise to
decrease it.
2-20 1009-0632-000
3 Operation and Tutorial
w All fresh gas flows shall be terminated when the machine is NOT in
use. (User manuals describe how to achieve null flows).
1009-0632-000 3-1
Aespire 7900
In this section This section describes specific tasks. Use it as a step-by-step guide or a
training tool.
Turn on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Set the alarm loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Show or hide alarm limits and units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Turn the Volume Alarms on or off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Set alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Set an audible alarm for circuit leaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10
Set Cardiac Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11
Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Set the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16
Set ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Set SIMV and PSVPro controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24
Silence alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-26
Reading the pressure waveform (Paw) . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30
Show the service settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-31
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-33
3-2 1009-0632-000
3 Operation and Tutorial
1009-0632-000 3-3
Aespire 7900
Step 1
Connect the power cord to a wall outlet. The
AB.29.007
mains indicator comes on when AC Power is
connected.
On
Step 2
AA.96.104
Set the system switch to On (|).
Step 3
The display shows the power-up screen,
and the system does a series of self tests.
Step 4 AB.90.021
When the self tests pass, the display shows
the normal screen.
If a test fails, the screen shows an alarm.
Refer to the troubleshooting section.
3-4 1009-0632-000
3 Operation and Tutorial
AB.29.013
Step 1
AB.90.036
Select the Screen and Audio Setup menu.
• Push the menu key.
• Turn, then push the knob to select
Screen and Audio.
AB.90.039
AB.90.063
Step 2
Turn, then push the knob to select alarm
loudness.
AB.90.043
1009-0632-000 3-5
Aespire 7900
Step 3
Turn, then push the knob to adjust the
volume.
• The volume range is 1 to 5 2 Then
(loudest).
• As the volume is changed, the
system sounds test tones.
• Push the knob to save the change.
3-6 1009-0632-000
3 Operation and Tutorial
AB.90.033
Step 1
Select the Screen and Audio Setup menu.
• Push the menu key.
AB90.036
1009-0632-000 3-7
Aespire 7900
Step 2
AB90.063
Turn, then push the knob to select Alarm
Limits or Units of
Measure.
AB90.044
Step 3
Turn, then push the knob to select Show or Show
Hide. Push the knob to save the change.
Hide Then
The volume alarm key (◊E/VTE) turns volume alarms on and off. When the
alarms are off, a large X covers the limits.
Use this control to prevent false alarms if you switch to manual ventilation at
lower tidal volumes.
AB.29.014
Use the End Case key (on control panel) to prevent apnea alarms between
patients.
3-8 1009-0632-000
3 Operation and Tutorial
AB.29.013
Step 1
Select the Alarm Settings menu.
AB.90.036
• Push the menu key.
• Turn, then push the knob to select
Alarm Settings.
AB.90.038
AB.90.054
Step 2
Turn, then push the knob to select a limit.
AB.90.055
Step 3
Turn, then push the knob to change the limit.
• Push the knob to save the change.
75 Then
• The screen returns to the normal
display 25 seconds after the last
change.
1009-0632-000 3-9
Aespire 7900
AB.29.013
Step 1
AB.90.036
3-10 1009-0632-000
3 Operation and Tutorial
AB.90.054
Step 2
Turn, then push the knob to select circuit
leak audio.
AB.90.056
Step 3
Turn, then push the knob to change the
setting. You must push the knob to save the Audio On
Audio Off Then
change.
1009-0632-000 3-11
Aespire 7900
AB.29.013
AB.90.036
Step 1
Select the Cardiac Bypass menu item:
• Push the menu key.
• Turn, then push the knob to select
Cardiac Bypass In Progress.
AB.90.040
AB.90.068
Step 2
Push the knob again to return to No.
AB.90.040
3-12 1009-0632-000
3 Operation and Tutorial
wWARNING Make sure the patient circuit is correctly assembled and the
control settings are correct before you start ventilation.
This example assumes the system is on and in manual ventilation (bag) mode.
Step 1
Make sure the control settings are clinically appropriate.
Step 2
Set the ACGO switch to the circle system
position.
Step 3
Set the Bag/Vent switch to the Vent
position.
• This selects mechanical ventilation
(Vent).
• If mechanical ventilation is not
available, a message tells you
what to do. For example:
“To start mech vent set the Bag/
Vent switch to Bag and back to
Vent.”
Step 4
If necessary, inflate the bellows using the
O2 flush button.
1009-0632-000 3-13
Aespire 7900
Step 1
Make sure a manual circuit is set up and
the APL valve setting is OK before stopping MI
70
mechanical ventilation. N
30
pressure limit during manual ventilation.
The scale shows approximate pressures. 20
Above 30 cm H2O, you will feel clicks as the
knob turns.
(Setting is at about 20 cm H2O)
Step 2
Set the Bag/Vent switch to Bag position.
• This selects manual ventilation
(bag) and stops the mechanical
ventilation (ventilator).
Or:
3-14 1009-0632-000
3 Operation and Tutorial
Alarms
Alarms appear at the top of the screen. The highest priority alarm is shown in
Area 1, the next highest priority alarm in area 2. If all areas are used, the
lowest priority alarms cycle in area 4.
Alarm Tones Alarm tones tell you about the alarm priority:
• High Priority: 2 bursts of 5 tones, every 10 seconds, (repeat)...
• Medium Priority: 3 tones every 25 seconds, (repeat)....
• Informational: single tone.
Alarm Silence • The screen shows the time remaining in the silence period.
• If you push the alarm silence key while an alarm is silenced, countdown
time resets to 120 seconds:
120
• High priority alarms always cause an audible tone and must be silenced
individually.
Alarm Suspend Pressing and holding the alarm silence key for one second, when no alarms
are active, suspends audio tones for medium and low priority alarms for 90
seconds.
Refer to Part 2 of this manual for more information about alarms and
messages.
1009-0632-000 3-15
Aespire 7900
AB.90.092
AB.29.013
Step 1
Select the Ventilation Mode.
• Push the menu key.
• Push the knob to select Ventilation
Mode.
AB.90.036
Volume Control
Pressure Cntrl
Step 2
Turn, then push the knob to change the SIMV Mode Then
mode. Push the knob to save the change. PSVPro Mode
3-16 1009-0632-000
3 Operation and Tutorial
Step 3
Set the highlighted control parameter. Each
AB.90.074
mode has one parameter that must be set
(VT for Volume and SIMV, Pinspired for Then
Pressure, and Psupport for PSVPro).
• Turn, then push the knob to set the
value.
• Until a value is set, the ventilator
AB.90.075
shows “---”. If any other key is
pressed at this time, a tone will
sound.
1009-0632-000 3-17
Aespire 7900
Optional features The Aestiva 7900 can be equipped with several optional ventilation functions.
References made in this manual to SIMV and PSVPro modes, are only
applicable to systems equipped with these functions.
The ventilator controls present are based on the ventilation mode.
Messages appear on the screen if:
• You try to set a value the system cannot supply.
• You change a setting but do not save it: "Push knob to confirm change
Turn knob to change setting".
Step 1
Push the selection key.
AB.90.076
Step 2
A tone sounds and a box flashes around
AB.90.077
the setting.
Step 3
Turn the knob to set the value. AB.90.078
Step 4
Push the knob to save the setting.
• A tone sounds.
AB.90.079
Ventilator controls
Flow Trigger Level This parameter sets the minimum flow detected by the ventilator which
triggers the ventilator to deliver a mechanical breath to a spontaneously
breathing patient. Only active in SIMV and PSVPro modes.
3-18 1009-0632-000
3 Operation and Tutorial
I:E This control sets the inspiratory to expiratory ratio of mechanical breaths
supplied to the patient.
Insp. Termination Level This parameter sets the percentage of the peak inspiratory flow where the
ventilator stops a pressure supported breath. Only active in SIMV and PSVPro
modes.
PEEP This control sets the positive end expiratory pressure. This is only available
during mechanical ventilation, but the control can be set at any time.
Pinspired This control sets the amount of pressure delivered to the patient in each
pressure controlled breath.
Plimit This control sets the maximum (and sustained) airway pressures tolerated in
the patient’s breathing system.
• If the high airway pressure limit is reached, inspiration stops and
exhalation starts.
• The limit is an absolute value. There is no offset for PEEP pressure.
Note: Pmax is the peak sensed airway pressure; Plimit is the airway pressure
limit set with front panel controls.
Psupport This control sets the delivered pressure during pressure support ventilation.
Only active in SIMV and PSVPro modes.
Rate This control permits you to set the frequency of mechanical breaths delivered
to the patient. It also establishes the apnea delay time in the PSVPro mode.
Tinspired This control sets the time in seconds for each timed inspiration. Only active in
SIMV and PSVPro modes.
Trigger Window This control sets the range as a percent of the exhalation phase within which
the patient may trigger the next mechanical breath. Only active in SIMV and
PSVPro modes.
VT This control sets the tidal volume delivered to the patient in the Volume
Control and SIMV modes.
Volume Control mode The figure and table below show Volume Control settings.
1009-0632-000 3-19
Aespire 7900
Pressure Control mode The figure and table below show Pressure Control settings.
SIMV mode The figure and table below show SIMV settings.
3-20 1009-0632-000
3 Operation and Tutorial
During backup ventilation, the ventilator will ventilate the patient using the
SIMV-PC + PSV mode. All parameters shown are active in this mode.
1009-0632-000 3-21
Aespire 7900
Set inspiratory pause You can only use inspiratory pause in Volume Control or SIMV modes. In
(volume modes) pressure modes, Inspiratory Pause displays a message “No Pause w”.
When Pause is on, the inspiratory volume stays in the patient’s lungs for the
set pause time at the end of inspiration.
Pause can be set from Off to 60 percent of inspiratory time in increments of
five percent. Minimum pause time is 400 ms.
Pause
AB.90.092
Insp. Exp.
AB.29.013
Step 1
Select the Setup/Calibration menu.
AB.90.036
3-22 1009-0632-000
3 Operation and Tutorial
Step 2
Turn, then push the knob to select
AB.90.083
Inspiratory Pause.
Step 3
Turn, then push the knob to change the
setting. You must push the knob to save the 20% of TI
change.
Then
1009-0632-000 3-23
Aespire 7900
AB.29.013
Step 1
Select the SIMV/PSVPro Setup menu.
AB.90.036
Step 2
Push the knob to select SIMV/PSVPro
Setup.
AB.90.045
wWARNING Most anesthetic agents will cause patients to have reduced ventilatory
responses to carbon dioxide and to hypoxemia. Therefore, triggered modes of
ventilation may not produce adequate ventilation.
wWARNING The use of neuromuscular blocking agents will reduce the patient’s breathing
response, which will interfere with triggering.
3-24 1009-0632-000
3 Operation and Tutorial
Step 3
AB.90.073
Turn, then push the knob to select a setting.
Step 4
Turn, then push the knob to change the
setting. You must push the knob to save the 40
change.
Then
1009-0632-000 3-25
Aespire 7900
Silence alarms
The alarm silence key silences current alarms for 120 seconds. When no
alarm is active, holding down the alarm silence key for one second pre-
silences low or medium priority alarms for 90 seconds. Minimum monitoring
cannot be pre-silenced.
• The screen shows the time remaining in the silence period.
• Pushing the alarm silence key while an alarm is silenced will reset the
countdown time to 120 seconds.
• High priority alarms always cause an audible tone and must be silenced
individually.
AB.29.004
Alarm tones identify the alarm priority:
• High Priority: 10 tones, 10 seconds pause, (repeat)....
• Medium Priority: 3 tones, 25 seconds pause, (repeat)....
• Low Priority: single tone.
Alarms appear at the top of the screen. The highest priority alarm will be
shown in Area 1, the next highest priority alarm in area 2. If all areas are used,
the lowest priority alarms cycle in area 4.
AB.90.072
Note: Error mode messages may appear. Refer to ’Alarms and
Troubleshooting’ in Part 2 of the Operation Manual for more information.
• Minimum Monitoring: Monitoring data is available but a failure prevents
mechanical ventilation.
• Minimum System Shutdown: Monitoring and ventilation are not possible.
3-26 1009-0632-000
3 Operation and Tutorial
Pmean
AB.90.060
Pmax
PEEP
Pinsp
AB.90.057
Pmax
PEEP
Scales The display automatically adjusts time and pressure scales to fit the control
settings.
The time scale changes with the set Rate:
• 25 or less breaths per minute - time scale is 0 to 16 seconds
• 26 to 75 breaths per minutes - time scale is 0 to 8 seconds
• 76 or more breaths per minutes - time scale is 0 to 4 seconds
• On a change, existing pressure data is erased and new waveform data
starts at time = 0.
The pressure scale changes with the Plimit setting:
• 12 to 40 Plimit, y-axis range is -5 to 40
• 41 to 60 Plimit, y-axis range is -5 to 60
• 61 to 100 Plimit, y-axis range is -5 to 100
• When the pressure scale changes, existing pressure data is erased and
new waveform data starts at time = 0.
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AB.90.004
Figure 3-1 • Paw waveform in Volume Control mode
AB.90.002
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3 Operation and Tutorial
AB.90.028
Figure 3-3 • Paw waveform in SIMV mode.
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1
Force of the Bellows.
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3 Operation and Tutorial
Item Use
Software Version If you call for service, a representative may ask for this.
Facility defaults or last Tells you if the system saves the current settings when
settings you turn it off or goes back to facility defaults.
Altitude Used for gas calculations. If the altitude is not correct,
O2 calibration can fail.
Drive gas (O2 or Air) Tells you which gas the ventilator uses to drive the
bellows. This gas comes from the same supply (pipeline
or cylinder) that the anesthesia machine uses. If this gas
comes from a cylinder, the cylinder empties faster than
you would expect from the flowmeter settings.
AB.29.013
Step 1
Select the Setup/Calibration menu.
AB.90.036
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AB.90.045
Step 2
Turn, then push the knob to select
About Ventilator.
AB.90.047
AB.90.051
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3 Operation and Tutorial
8. Monitor the exhaled tidal volume VTE and Pmax (measured peak airway
pressure).
The VTE measures the gas needed to fill the patient circuit at the measured
pressure.
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4 Preoperative Tests
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wWARNING Do not use this system unless you have read each component’s
operation and maintenance manual and understand:
Test devices The following test tools are needed for some of the tests.
Datex-Ohmeda
Item Ref.
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wWARNING Make sure that the breathing circuit is correctly connected and not
damaged.
wWARNING 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.
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4 Preoperative Tests
13. Connect the power cord to a wall outlet. The mains indicator comes on
when AC Power is connected.
• If the indicator is not on, the system does not have mains (electrical)
power. Use a different outlet. Close the circuit breaker or replace or
connect the power cable. Refer to Figure 2-2.
2. Control Keys:
• Volume alarms: Off.
3. Alarm menu:
• Low O2: 21%
• High O2: Off.
4. Bag/Vent switch:
• Bag
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4 Preoperative Tests
• If there is a leak, install a new cylinder gasket and tighten the tee
handle as shown in “How to install gas cylinders (high pressure leak
test)” of the section ‘1 Setup and Connections’ in Part 2 of this
manual.
• Do this step again. If the leak continues, do not use the system.
11. Repeat steps 7 through 10 for all cylinders.
12. Close cylinder valves.
wCAUTION 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.
ANSI (USA and Intl.), Australian, Canadian, French, Japanese 345 kPa (50 psig)
ISO, Italian, South African, Spanish, Swiss 414 kPa (60 psig)
Austrian, German 500 kPa (75 psig)
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Important Test the O2 monitor as described in Alarm tests, step 8, before continuing.
To do the flow control tests:
1. Connect the pipeline supplies or slowly open the cylinder valves.
2. Turn all flow controls fully clockwise (minimum flow).
3. Set the system switch to On.
4. Do not use the system if low battery or other
ventilator failure alarms occur.
5. Make sure the O2 flowtube shows approximately
.025 to .075 L/min. (0.200 L/min. for single-tube variants). The other
flowtubes must show no gas flow.
• Steps 6 and 7 are only for systems with N2O.
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Vaporizer installation
Do not use a vaporizer that lifts off the manifold when the lock
lever is in the locked position.
Do not use this anesthesia system if you can turn ON more than
one vaporizer at the same time.
Tec 6 Plus Vaporizers will not align correctly unless the power
cable goes through the channel on the bottom of the vaporizer. Do
not put the power cable on top of the manifold or between
vaporizers.
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wWARNING Anesthetic agent comes out of the common gas outlet during this
test. Use a safe, approved procedure to remove and collect the
agent.
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wWARNING Do not use a system with a low-pressure leak. Anesthetic gas will
go into the atmosphere, not into the breathing circuit.
Perform either the Negative low-pressure leak test or the ISO 5358 or BSI
standard positive low-pressure leak test. It is not necessary to perform both
types of tests.
• Put your hand on the inlet of the leak test device. Push hard for a
good seal.
• If the bulb inflates in less than 60 seconds,
replace the leak test device.
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wWARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test (1
L/min for one minute).
wWARNING Turn off all vaporizers at the end of the low-pressure leak test.
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4 Preoperative Tests
wCAUTION If the needle valve is not fully open, this test can damage the
pressure gauge on the test device.
5. Open the O2 flow control and set a total flow of 0.4 L/min through the
flowmeter on the test device.
6. Make sure that the pressure gauge on the test device reads zero and that
all other flow controls are fully closed.
7. Close the needle valve on the test device until the test gauge reads:
• BSI: 20 kPa (2.9 psi)
• ISO 5358: 3 kPa (0.4 psi)
8. If the flow through the test device is less than 0.35 L/min (ISO) or 0.3 L/
min (BSI), there is a low pressure leak in the anesthesia machine. Refer to
Part 2 of this manual.
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wWARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test (1
L/min for one minute).
Turn all vaporizers off at the end of the low-pressure leak test.
Alarm tests
1. Connect a test lung to the patient connection.
Test device ref. 0219-7210-300.
2. Set the Bag/Vent switch to Vent.
3. Set the system to On.
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5. Turn the Bag/Vent switch to Bag and back. Make sure that:
• Mechanical ventilation starts.
• A subatmospheric pressure alarm does not occur.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
6. Set the O2 flow control to 5 L/min.
7. Make sure that:
• The end expiratory pressure is approximately 0 cm H2O.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
8. Test the O2 monitor and alarms:
• Remove the O2 sensor and make sure the sensor measures
approximately 21% O2 in room air.
• Set the low O2 alarm to 50% and make sure a low O2 alarm occurs.
• Set the low O2 alarm back to 21% and make sure that alarm cancels.
• Put the O2 sensor back in the circuit.
• Set the High O2 alarm to 50%.
• Push the flush button to fill the breathing system.
• Make sure the high O2 alarm comes on.
• Set the high O2 alarm back to 100% and make sure that alarm
cancels.
• After 2 minutes in pure O2, make sure that the sensor measures
approximately 100% O2.
9. Test the low minute volume alarm:
• Go to the alarms menu.
• Set the alarm limit for low minute volume to 6.0 L/min.
• Make sure that a low minute volume alarm occurs.
• Go to the alarms menu.
• Set the low minute volume alarm to Off.
10. Test the high airway pressure alarm:
• Set Plimit to less than the peak airway pressure.
• Make sure that the high airway pressure alarm occurs.
• Set Plimit back to 40.
11. Test the apnea and low airway pressure alarms:
• Remove the test lung from the patient connection.
• Other alarms such as low minute volume can occur.
• Make sure that the low airway pressure and apnea alarms occur. The
apnea alarm occurs after 30 seconds.
12. Test the sustained airway pressure alarm:
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APL Valve: 70
Bag/Vent switch: Bag
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4 Preoperative Tests
wWARNING 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.
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• Make sure that the value on the inspiratory pressure gauge is less
than approximately 5 cm H2O.
• Push the O2 flush button. Make sure that the value on the inspiratory
pressure gauge stays near zero.
• Set the O2 flow to minimum and make sure that the value on the
inspiratory pressure gauge does not decrease below 0 cm H 2O.
6. Remove your hand or the test plug from the patient connection.
7. Set the System switch to Standby.
wWARNING Make sure that there are no test plugs or other objects caught in
the breathing system.
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4 Preoperative Tests
wWARNING Make sure that the breathing circuit is correctly connected and not
damaged.
wWARNING Before you connect a patient, flush the anesthesia machine with 5
L/min of O2 for at least one minute. This removes unwanted
mixtures and by-products from the system.
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Index
A O
ACGO 2-8 optional ventilation functions 2-12, 3-19
AGSS 2-10
antistatic breathing tubes or masks 2-2 P
APL valve 2-7
Auxiliary Common Gas Outlet switch 2-6 pipeline pressure 4-7
adequate ventilation 3-25 Pressure Control mode 3-21
alarm priority 3-16 Pressure controlled modes 3-17
PSVPro mode 3-21
B
S
backup ventilation 3-22
Bag / Mechanical Ventilation switch 2-8 SIMV mode 3-21
C T
compressible volume 3-31, 3-34 tubing compliance factor 3-31
E V
Expiratory check valve 4-16 Volume controlled modes 3-17
G
gas compression in patient tubes 3-34
I
Inspiratory check valve 4-16
L
leak test device 4-11
Link system 4-7
M
Mapleson series 2-9
menu functions 2-17
menu map 2-16
MRI environment 1-2
N
neuromuscular blocking agents 3-25
nuisance alarms 3-11
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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-Ohmeda’s
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 Buyer’s 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 User’s 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-Ohmeda’s sole and exclusive obligation and Buyer’s sole and exclusive
remedy under the above warranties is limited to repairing or replacing, free of
charge, at Datex-Ohmeda’s 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-Ohmeda’s 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.