Datex Ohmeda Aespire View - User Manual PDF
Datex Ohmeda Aespire View - User Manual PDF
Datex Ohmeda Aespire View - User Manual PDF
User Responsibility
This Product will perform in conformity with the description thereof
contained in this User’s 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.
AAAX11111 AAAXX111111AA
The X represents an alpha The XX represents a number
character indicating the year indicating the year the product
the product was manufactured; was manufactured; 04 = 2004,
H = 2004, J = 2005, etc. I and 05 = 2005, etc.
O are not used.
1 Introduction
M1132382 i
Aespire View
ii M1132382
Table of Contents
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Audio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Latching alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Minimum system shutdown and monitoring alarms . . . . 6-9
Alarm ranges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Breathing system problems . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
7 User Maintenance
M1132382 iii
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iv M1132382
Table of Contents
M1132382 v
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Warranty
vi M1132382
1 Introduction
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Intended use
The Aespire anesthesia system is a compact, integrated, and intuitive
anesthesia delivery system. The 7900 Ventilator provides mechanical
ventilation for patients during surgery as well as monitoring and
displaying various patient parameters.
The 7900 Ventilator uses a microprocessor-controlled ventilator with
internal monitors, electronic PEEP, Volume Mode, and other optional
features. A serial interface permits communication to external
monitoring.
This anesthesia system is not suitable for use in an MRI environment.
This system must only be operated by medical personnel authorized
and trained to use this product. It must be operated according to the
instructions in this User’s Reference manual.
Note Configurations available for this product depend on local market and
standards requirements. Illustrations in this manual may not
represent all configurations of the product. This manual does not
cover the operation of every accessory. Refer to the accessory
documentation for further information.
1-2 M1132382
1 Introduction
Standby
O2+ O2 flush button
SN Serial number
REF Stock number
M1132382 1-3
Aespire View
Max Vacuum
Lock Unlock
1-4 M1132382
1 Introduction
Silence alarm touch key (Tec 6) Volume alarms On/Off touch key
Systems with this mark agree with the Authorized representative in the European
European Council Directive (93/42/EEC) for Community
Medical Devices when they are used as
specified in their User’s Reference manuals.
The xxxx is the certification number of the
Notified Body used by GE Healthcare’s
Quality Systems.
M1132382 1-5
Aespire View
Abbreviations
Abbreviation Definition
MIN Minimum
MV Minute volume
O2 Oxygen
1-6 M1132382
1 Introduction
RR Respiratory rate
TV Tidal volume
M1132382 1-7
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1-8 M1132382
2 System Controls and Menus
M1132382 2-1
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13
2
12 3
4
11 5
6
10
7
9
AC.20.002
8
2-2 M1132382
2 System Controls and Menus
7 Integrated suction Turn the switch to MAX for full vacuum. Turn the switch to Off (0) for no vacuum. Turn
(optional) the switch to On (|) for adjustable vacuum. When in adjustable vacuum, turn the knob
clockwise to increase the vacuum and counterclockwise to decrease the vacuum.
9 O2 flush button Push the O2 flush button to supply high flows of O2 to the breathing system.
10 Auxiliary O2 flow Turn the knob counterclockwise to increase the flow. Turn the knob clockwise to
control (optional) decrease the flow.
12 Flow controls Turn the knob counterclockwise to increase the flow. Turn the knob clockwise to
decrease the flow. The System switch must be On for gas to flow.
M1132382 2-3
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AC.20.012
2-4 M1132382
2 System Controls and Menus
17
16
15
14
1
13
2
12
3
11
4
10
5
9
6
7
AC.20.013
M1132382 2-5
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12 Adjustable pressure-limiting Adjusts breathing system pressure limit during manual ventilation. The
(APL) valve scale shows approximate pressures. Above 30 cmH2O, the knob will click
as it turns.
20
30
N
MI
70
2-6 M1132382
2 System Controls and Menus
Optional ABS
components
AB.74.120
AB.82.043
4
3 EZchange canister Push to drop the canister to EZchange position. This seals the breathing circuit,
release permitting continued ventilation and rebreathing of exhaled gases. Be sure to
hold the canister by the handle before releasing the canister.
4 Condenser drain button Push to drain water out of the condenser.
M1132382 2-7
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Vaporizer controls
Refer to the vaporizer User’s Reference manual for more detailed
information on the vaporizer.
3 3
4 4
AB.80.009
5
AA43051
1 2
1. Tec 6 series
2. Tec 7
3. Lock lever
4. Concentration control and release
5. Indicators (Tec 6 series)
6. Silence alarm touch key (Tec 6 series)
Figure 2-5 • Vaporizer controls
2-8 M1132382
2 System Controls and Menus
4 Concentration control and Push the release and turn the concentration control to set the agent
release concentration. The Tec 6 series concentration control does not turn as long
as the warm-up indicator is on.
n
Åbe
5 Indicators (Tec 6 series) All indictors come on briefly at the start. The warm-up indicator goes off
after approximately 10 minutes and the operational indicator comes on.
Other indicators come on to advise the user of required action.
6 Silence alarm touch key Push to silence alarms. Hold for 4 seconds to sound the speaker and light
(Tec 6 series) all indicators (alarm test).
M1132382 2-9
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ACGO
Fresh gas flow with anesthetic agent is directed through the Auxiliary
Common Gas Outlet (ACGO) on the front of the system when the
ACGO switch is in the ACGO position. Mechanical ventilation is not
available when operating an auxiliary manual breathing circuit with
fresh gas from the ACGO. The 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. A sample of the fresh gas is diverted to the O2 cell in the
breathing system. The sample flow to the O2 cell is dependent on the
pressure in the external circuit. The sample flow reduces the fresh
gas flow rate to the auxiliary breathing circuit equal to the amount
delivered to the O2 cell.
Fresh gas oxygen concentration is displayed on the screen. Set the
alarm limits appropriately. Note that fresh gas oxygen concentration
may not reflect FiO2 during spontaneous breathing or in rebreathing
circuits.
Important Use an external O2 monitor if using a rebreathing circuit on ACGO.
Do not use an external ventilator on the ACGO. Do not use the ACGO
to drive external ventilators or for jet ventilation.
See “Scavenging” in the “Setup and Connections” section for more
information on connections.
2-10 M1132382
2 System Controls and Menus
Scavenging the A sample of the fresh gas is diverted to the O2 cell in the breathing
ACGO sample flow system to show the O2 numerics on the monitor display. This sample
flow should be scavenged when an auxiliary manual breathing circuit
is used with N2O or volatile anesthetics.
If scavenging is not connected, the sample flow is emptied into the
room.
To connect the scavenging:
1. Attach a circle breathing circuit to the inspiratory and expiratory
ports.
2. Occlude the circle circuit by connecting the Y-piece to the plug
located to the rear of the expiratory port.
3. Check for clinically correct settings.
4. Check the position of the Bag/Vent switch:
• If the Bag/Vent switch is set to mechanical ventilation mode,
the bellows fills slowly with the sample flow. When the
bellows is full, the sample flow goes to the AGSS
(Mechanical ventilation does not start when ACGO switch is
set to ACGO).
• If the Bag/Vent switch is set to bag mode, set the APL valve
to MIN and attach a bag. The bag fills slowly with the sample
flow. When the bag is full, the sample flow goes to the AGSS.
Scavenging from an Scavenge the exhaust if an auxiliary manual breathing circuit is used
auxiliary manual with N2O or volatile anesthetics.
breathing circuit An auxiliary inlet is available for active and passive AGSS units. It
provides a female connection with 30 mm male - 30 mm male
connector (or a 30 mm male - 19 mm male connector) into the
auxiliary port under the breathing system.
Important Do not use these connectors as an outlet for exhaust flow.
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.
A separate exhaust hose is needed from the auxiliary manual
breathing circuit to the disposal point for all AGSS units.
Scavenging a gas Sample gas from a gas monitor can be scavenged using the sample
monitor sample flow gas return port or the AGSS. To scavenge from a gas monitor using
the sample gas return port, connect the tubing from the monitor to the
sample gas return port. To scavenge from a gas monitor using the
AGSS, connect tubing from the monitor to the male luer inlet on the
bottom of the AGSS underneath the breathing system.
M1132382 2-11
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Ventilator controls
The ventilator controls include touch keys, menu screens, and a
control knob (ComWheel). The System switch provides power
functions to the ventilator display. The Bag/Vent switch starts and
stops mechanical ventilation.
1
2
14 3
6
13
AC.20.003
12 11 10 9 8 7
2-12 M1132382
2 System Controls and Menus
Ventilator screen
1 2 4
3
O2% low
TVexp low
Ppeak cmH2O
Paw
Pmean
Ppause
O2 %
5
TVexp ml
AC.20.004
ml /min cmH2O cmH2O
1. Alarm silence indicator and countdown clock 7. Total flow sensing (optional)
2. Alarm message areas 8. Ventilator settings
3. Waveform area 9. Mechanical ventilation status
4. Alarm limit settings 10. Ventilation mode
5. Measured values area 11. User message area
6. Circuit type
M1132382 2-13
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Using menus
TVexp ml
Normal Screen
AC.20.009
ml /min cmH2O cmH2O
Settings
2-14 M1132382
3 Operation
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3-2 M1132382
3 Operation
Ventilator setup
The system has the following mechanical ventilation modes:
• Volume Control Ventilation (VCV).
The ventilator delivers the tidal volume to the patient at the set
respiratory rate (RR).
• Pressure Control Ventilation (PCV) (optional).
The airway pressure is controlled to the value of Pinsp in every
breath.
• Synchronized Intermittent Mandatory Ventilation with Pressure
Support Ventilation (SIMV/PSV) (optional).
Sets a minimum number of mechanical breaths using volume
control to be delivered to the patient, but allows the patient to
have spontaneous breaths which can be pressure supported.
• Pressure Support Ventilation (PSVPro) (optional).
This is a spontaneous mode that provides the set amount of
pressure to the patient during each triggered breath or, if the
patient does not have any spontaneous breaths in a set period of
time, the ventilator transitions to SIMV-PC where it delivers a
minimum number of mechanically controlled breaths.
• Synchronized Intermittent Mandatory Ventilation with Pressure
Control (SIMV-PC) (optional).
Sets a minimum number of mechanical breaths using pressure
control to be delivered to the patient, but allows the patient to
have spontaneous breaths which can be pressure supported.
• Pressure Control Ventilation-Volume Guaranteed (PCV-VG)
(optional).
A tidal volume is set and the ventilator delivers that volume using
a decelerating flow and a constant pressure. The ventilator
adjusts the inspiratory pressure needed to deliver the set tidal
volume breath-by-breath so that the lowest pressure is used.
Note See the “Specifications and Theory of Operation” section for more
information on ventilation modes.
Using quick keys The ventilator settings for each mode can be easily changed using
the ventilator quick keys.
1. Push a ventilator quick key to select the corresponding ventilator
setting.
2. Turn the ComWheel to make a change.
3. Push the ComWheel or quick key to activate (confirm) the
change.
M1132382 3-3
Aespire View
Normal Screen
3-4 M1132382
3 Operation
Alarm Setup
Setting volume Use the volume alarms key to turn the volume alarms on and off.
alarms When the alarms are off, an X covers the alarm limits. Use this control
during manual ventilation when constant attention is on the patient.
Use the End case key to minimize alarms between cases. The alarms
will reactivate when two or more breaths are detected within 30
seconds.
Go to Main Menu
M1132382 3-5
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Setup/Calibration
To change or enter Setup and Calibration information:
1. Push the Menu key.
2. Select Setup/Calibration from the Main Menu.
Setup/Calibration
More Vent Settings
O2 Sensor Calibration
About Ventilator...
Go to Main Menu
3-6 M1132382
3 Operation
Go to Main Menu
3. Use the ComWheel to select the desired setting and push the
ComWheel to confirm the change. The following settings are
available:
• Brightness - Sets the brightness of the screen.
• Alarm Volume - Sets the volume, or loudness of audible
alarms.
• Alarm Limits - Simplifies the screen by hiding the alarm limits.
To do this, select Hide for this option. If the screen is set to
hide the alarm limits, the limits automatically show when the
corresponding alarm occurs.
• Units of Measure - Simplifies the screen by hiding the units of
measure. To do this, select Hide for this option.
4. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.
M1132382 3-7
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Cardiac Bypass
Cardiac Bypass suspends alarms for patients on cardiac bypass
when the ventilator is not mechanically ventilating. Mechanical
ventilation must be off. When mechanical ventilation is turned on,
Cardiac Bypass is automatically turned off, the alarms are enabled,
and monitoring is available.
3-8 M1132382
3 Operation
Pressure waveform
The pressure waveform shows the measured value of the airway
pressure. The waveform automatically adjusts the time and pressure
scales. The time scale changes with the respiratory rate. The
pressure scale changes with the pressure limit.
Note See the “Specifications and Theory of Operation” section for more
waveform information on the ventilation modes.
M1132382 3-9
Aespire View
AB.82.042
To return to absorber mode, reinsert the canister into the holder, push
the canister back up and snap it into absorber position. When the
canister is in the absorber position, the exhaled gas flows through the
absorber, removing CO2.
Note Check the absorber canister to ensure it has side rails. If the canister
does not have side rails, it will not work on the EZchange canister
holder.
AB.74p.043
3-10 M1132382
3 Operation
Condenser (optional)
Visually check the condenser reservoir daily. Drain the reservoir daily.
1. Place a container under the reservoir.
2. Push the drain button to empty any water in the condenser.
AB.75p080
2 1
1. Drain button
2. Reservoir
3. Condenser
Figure 3-1 • Condenser
M1132382 3-11
Aespire View
Connecting passive To use the optional passive AGSS installed on the system, connect it
AGSS as follows:
1. Connect the proper large diameter tubing to the AGSS 30 mm
outlet connector on the bottom of the AGSS underneath the
breathing system.
Note The tubing connection from the passive AGSS to the non-circulating
facility ventilation system should be an open connection, essentially
an atmospheric pressure, such as to an exhaust grill.
2. Connect the free end of the tubing to the building exterior or
outside ventilation system.
3. The passive scavenging system relies on slight positive pressure
of gases, or on slight negative pressure caused by an exhaust
fan, to move gases through the system. For this reason, all
unused ports must be capped to prevent gas from leaking into the
room and to maintain the expected pressures.
Note In the event that excess gas accumulates in the scavenging system
and cannot exit the machine properly, pressure could build. If this
pressure reaches 10cmH20, the brass weight of the positive relief
valve will be lifted up allowing the gas to escape into the room. This
prevents the pressure from backing up into the patient circuit.
3-12 M1132382
3 Operation
M1132382 3-13
Aespire View
Connecting active To use the optional active AGSS on a system that has a flow
AGSS with a flow indicator, connect it as follows:
indicator 1. Connect the proper hose to the AGSS outlet connector on the
bottom of the AGSS, beneath the breathing system. Attach the
other end to the hospital disposal system.
2. With the AGSS operating, verify that the flow indicator ball on the
flow indicator rises to the green zone, indicating adequate flow.
Note The ball in the upper red zone indicates excessively high extraction
flow. The ball in the lower red zone indicates extraction flow rate is
too low or the filter is blocked.
3. Complete the tests in the “Preoperative Tests” section of this
manual.
3-14 M1132382
3 Operation
Connecting active The active adjustable AGSS option flow rate is limited to 30 l/min with
adjustable AGSS this option.
To use the optional active AGSS installed on the system which uses
the three-liter bag as a visual indicator, connect it as follows:
1. Connect a disposal hose to the DISS connector on the needle
valve on the bottom of the AGSS (beneath). The hose should be
flexible and reinforced to help prevent kinking and crushing.
2. Attach the other end of the hose to the hospital disposal system.
3. Attach the three-liter bag to the 30-mm auxiliary 1 port on the
bottom of the AGSS.
4. Use the needle valve to adjust the flow rate to match the amount
of gas being scavenged. Use the visual indicator bag when
adjusting the flow rate. The bag should remain partially inflated.
AB.75p.110
5. Complete the tests in the “Preoperative Tests” section of this
manual.
M1132382 3-15
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3-16 M1132382
4 Preoperative Checkout
M1132382 4-1
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Check that the equipment is not damaged and that components are
correctly attached.
Check that pipeline gas supplies are connected and cylinders are
installed and adequately filled.
Set the appropriate controls and alarm limits for the case.
4-2 M1132382
4 Preoperative Checkout
Set the appropriate controls and alarm limits for the case.
M1132382 4-3
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4-4 M1132382
5 Preoperative Tests
M1132382 5-1
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WARNING Do not exceed the top shelf weight limit of 34 kg (75 lb).
5-2 M1132382
5 Preoperative Tests
Pipeline test
1. Disconnect the pipeline supplies and close all cylinder valves.
2. If the pipeline and cylinder pressure gauges are not at zero.
• Connect an O2 supply.
• Set the System switch to On.
• Set the flow controls to mid range.
• Make sure that all of the gauges except for O2 go to zero.
• Disconnect the O2 supply.
• Make sure that the O2 gauge goes to zero. As the pressure
decreases, the alarms for O2 supply failure should occur.
3. Connect the pipeline supplies.
4. Verify the pipeline pressure is between 280-600 kPa (41-87 psi).
M1132382 5-3
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Cylinder test
5-4 M1132382
5 Preoperative Tests
WARNING Keep the Link-25 system engaged. Adjust only the test
control for the following steps.
• Test N2O first and then O2.
• The O2 cell must be correctly calibrated.
M1132382 5-5
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8. Adjust the flow of all gases through the full range and make sure
that the flow tube floats move smoothly.
9. Disconnect the O2 pipeline supply or close the O2 cylinder valve.
10. Make sure that:
• The low O2 supply alarm occurs.
• The N2O and the O2 flows stop. The O2 flow should stop
last.
• The air flow continues (if equipped).
• The gas supply alarms occur on the ventilator if the ventilator
uses O2 as the drive gas.
11. Turn all the flow controls fully clockwise for minimum flow.
12. Reconnect the O2 pipeline supply.
5-6 M1132382
5 Preoperative Tests
Vaporizer installation
M1132382 5-7
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5-8 M1132382
5 Preoperative Tests
M1132382 5-9
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WARNING Agent mixtures from the low-pressure leak test stay in the
system. Clear the system by flowing O2 at 1 l/min for one
minute.
8. Clear the system of agent.
• Set the System switch to On.
• Set the O2 flow to 1 l/min.
• Flow O2 for one minute.
• Turn the O2 flow control fully clockwise for minimum flow.
Positive low- 1. Connect the test device to the ACGO port with the positive-
pressure leak test pressure leak test adapter.
Note Push the positive-pressure leak test adapter into the ACGO port
throughout the test to maintain a tight seal.
CAUTION If the needle valve is not fully open, this test can damage
the pressure gauge on the test device.
6. Open the O2 flow control and set for a total flow on the test
device of 0.4 l/min.
7. Make sure that the pressure gauge on the test device is at zero,
and make sure that all other flow controls are fully closed.
8. Close the needle valve on the test device until the gauge reads
20 kPa (3 psi) for (BSI) or 3 kPa (.4 psi) for ISO.
9. 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 system. See
“Pneumatic problems” in the “Alarms and Troubleshooting”
section.
10. Test each vaporizer.
• Turn on the vaporizer being tested, and set it to 1%.
• Perform steps 5 through 9 of this test for each vaporizer.
11. Make sure all vaporizers are turned off.
5-10 M1132382
5 Preoperative Tests
WARNING Agent mixtures from the low-pressure leak test stay in the
system. Clear the system by flowing O2 at 1 l/min for one
minute.
12. Clear the system of agent.
• Set the O2 flow to 1 l/min.
• Flow O2 for one minute.
• Turn the O2 flow control fully clockwise for minimum flow.
Alarm tests
1. Connect a test lung to the patient connection.
2. Set the Bag/Vent switch to Vent.
3. Set the System switch to On.
4. Push the Menu key.
5. Select Ventilation Mode - VCV.
6. Set the ventilator parameters.
• TV 400 ml.
• Rate 12.
• I:E 1:2.
• Pmax 40 cmH2O.
• PEEP Off.
7. Set the O2 flow to the minimum flow.
8. Turn off all other gases.
9. Push the O2 flush button to fill the bellows.
10. Set the Bag/Vent switch to Bag and then to Vent. Make sure that:
• Mechanical ventilation starts.
• A subatmospheric pressure alarm does not occur.
• The ventilator shows the correct data based on settings.
• The bellows inflate and deflate during mechanical ventilation.
11. Set the O2 flow control to 5 l/min. Make sure that:
• The pressure at the end of the breath is approximately
2 cmH2O. This can be seen on the pressure waveform
displayed below.
M1132382 5-11
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12. Test the O2 monitor and alarms (alarms other than Low O2 and
High O2 may occur).
• Remove the O2 cell, and make sure that the cell measures
approximately 21% O2 in room air.
• Push the Menu key.
• Select Alarm Setup from the Main Menu.
• Set the Low O2 alarm to 50%, and make sure that a Low O2
alarm occurs.
• Set the Low O2 alarm to 21%, and make sure that the Low
O2 alarm stops. This will create a latched alarm,
acknowledge this by pushing the Alarm silence key.
• Put the O2 cell back into the circuit.
• Set the High O2 alarm to 50%.
• Push the O2 flush button to fill the breathing system, and
make sure that the High O2 alarm occurs.
• Set the High O2 alarm to Off, and make sure that the alarm
stops.
• Flow 100% O2 for 2 minutes, and make sure that the O2 cell
measures 100% O2.
13. Test the low minute volume alarm.
• Push the Menu key.
• Select Alarm Setup from the Main Menu.
• Set the alarm limit for low minute volume to 6 l/min.
• Make sure that the low minute volume alarm occurs.
• Set the low minute volume alarm to Off.
14. Test the low airway pressure alarm.
• Remove the test lung from the patient connection.
• Make sure that the low airway pressure alarm occurs (other
alarms may occur).
15. Test the sustained airway pressure alarm.
• Set the APL valve to 70 cmH2O.
• Set the Bag/Vent switch to Bag.
• Occlude the patient connection and push the O2 flush button.
• Make sure that the Ppeak high. Blockage? (sustained airway
pressure) alarm occurs after approximately 15 seconds at the
sustained pressure limit.
5-12 M1132382
5 Preoperative Tests
WARNING Objects in the breathing system can stop gas flow to the
patient, causing injury or death. Use a test plug that is the
appropriate size so that it will not fall into the breathing
system.
M1132382 5-13
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5-14 M1132382
5 Preoperative Tests
M1132382 5-15
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12. Set the ventilator controls and alarm limits to clinically appropriate
levels.
13. Prepare the system.
• Turn all vaporizers off.
• Set the APL valve to MIN.
• Set the Bag/Vent switch to Bag.
• Set all flow controls to minimum.
• Set sufficient patient suction.
• Make sure that the breathing system is correctly connected
and not damaged.
WARNING Flush the system with 5 l/min of O2 for at least one minute
to remove any gas mixtures or by-products from the
system.
5-16 M1132382
6 Alarms and Troubleshooting
M1132382 6-1
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Alarms
When an alarm occurs during a case, an alarm tone sounds and the
alarm message is displayed in the alarm message field. The alarm
message area has room for four alarms to be shown at one time. If
more than four alarms occur, the alarms cycle every two seconds.
Alarms have three general causes:
• Malfunctions - Result in reduced system function or prevent
mechanical ventilation.
• Patient monitoring - Are caused by high and low limit settings that
are adjusted by the user.
• Informational - Are caused by control settings or system
conditions that may change system operation.
6-2 M1132382
6 Alarms and Troubleshooting
Latching alarms Some patient parameter alarms continue to be displayed (latch) when
the alarm condition is corrected. When an alarm is latched, the alarm
messages show in white text on a black background.
M1132382 6-3
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List of alarms
If corrective action does not resolve the alarm, contact a
Datex-Ohmeda trained service representative.
6-4 M1132382
6 Alarms and Troubleshooting
M1132382 6-5
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6-6 M1132382
6 Alarms and Troubleshooting
M1132382 6-7
Aespire View
1The sustained pressure threshold is calculated from the pressure limit setting. The sustained limit is
calculated as follows:
Mechanical For Pmax less than or equal to 30 cmH2O, the sustained pressure limit is 6 cmH2O.
ventilation with For Pmax between 30 and 60 cmH2O, the sustained pressure limit is 20% of Pmax.
PEEP Off For Pmax greater than or equal to 60 cmH2O, the sustained pressure limit is 12 cmH2O.
Mechanical For Pmax less than or equal to 30 cmH2O, the sustained pressure limit is 6 cmH2O plus
ventilation with “set PEEP” minus 2 cmH2O.
PEEP On For Pmax between 30 and 60 cmH2O, the sustained pressure limit is 20% of Pmax plus
“set PEEP” minus 2 cmH2O.
For Pmax greater than 60 cmH2O, the sustained pressure max is 12 cmH2O plus “set
PEEP” minus 2 cmH2O.
Mechanical For Pmax between 12 and 60 cmH2O, the sustained pressure limit is 50% of Pmax.
Ventilation Off For Pmax greater than 60 cmH2O, the sustained pressure limit is 30 cmH2O.
6-8 M1132382
6 Alarms and Troubleshooting
M1132382 6-9
Aespire View
Alarm ranges
Alarm tests
Test the system to verify that alarms are functioning:
1. Connect a test lung to the patient connection.
2. Start a case.
3. Set the Bag/Vent switch to Vent.
4. Set the controls.
• Ventilation mode: Volume Control (VC).
• Ventilator.
— Tidal Vol: 400 ml
— Rate: 12
— I:E Ratio: 1:2
— Plimit: 40 cmH2O
— PEEP: Off
• Anesthesia machine.
— O2 flow: minimum flow (25-75 ml/min).
— All other gases: Off
— Push O2 flush button to fill bellows.
5. Set the O2 concentration to 30% and allow the O2 reading to
stabilize.
6-10 M1132382
6 Alarms and Troubleshooting
M1132382 6-11
Aespire View
6-12 M1132382
6 Alarms and Troubleshooting
Electrical problems
M1132382 6-13
Aespire View
Pneumatic problems
6-14 M1132382
7 User Maintenance
M1132382 7-1
Aespire View
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 Datex-Ohmeda’s published
specifications.
To ensure full reliability, have all repairs and service done by a
Datex-Ohmeda trained service representative.
No repair should ever be attempted by anyone not having training
and 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
Datex-Ohmeda’s published specifications.
Contact a Datex-Ohmeda Field-Service Representative for service
assistance.
7-2 M1132382
7 User Maintenance
User maintenance
Minimum Frequency Maintenance
Daily • Clean the external surfaces.
• Perform 21% O2 calibration.
• Check the condenser reservoir (if equipped). Drain if
needed.
• Zero the flow sensors.
Two weeks Drain the vaporizers and discard the agent. This is not
necessary for the Tec 6 series vaporizers.
Monthly • Perform 100% O2 calibration.
• Lubricate all cylinder supply tee handle threads with
Krytox or a lubricant approved for use with 100% O2.
During cleaning and Inspect the parts for damage. Replace or repair as
setup necessary.
Annually Replace the external o-rings on the vaporizer ports.
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 (if equipped).
• Replace the circuit O2 cell (under typical use the cell
meets specifications for 1 year).
• Replace the disposable (plastic) flow sensors (under
typical use the non-offset flow sensors meet
specifications for a minimum of three months and the
offset flow sensors meet specifications for a minimum
of six months).
• Replace the autoclavable (metal) flow sensors (under
typical use the sensors meet specifications for a
minimum of one year).
• Replace the receiver filter (if equipped - active gas
scavenging only).
M1132382 7-3
Aespire View
O2 cell replacement
AB.74p.052
2. Pull the flow sensor module out of the breathing system.
3. Remove the cable connector from the O2 cell, and unscrew the
cell counterclockwise.
AB.74p.065
Important Make sure that the o-ring is on the replacement O2 cell before
installation.
AB.74p.083
7-4 M1132382
7 User Maintenance
O2 cell calibration
21% O2 cell Complete a 21% O2 cell calibration before performing the 100% O2
calibration cell calibration.
1. Push the Menu key.
2. Select Setup/Calibration.
3. Select O2 Sensor Calibration.
4. Select 21% O2.
5. Remove the O2 cell from the circuit.
• Pull the latch to unlock the flow sensor module.
• Pull the flow sensor module out of the breathing system.
• Remove the O2 cell by unscrewing the cell counterclockwise.
This exposes the O2 cell to room air.
6. Select Start Calibration. ‘Calibrating . . .’ shows on the screen
while the O2 cell is being calibrated to the room air.
7. ‘Complete’ shows on the screen upon successful calibration:
• Reinstall the O2 cell.
• Select Go to Setup/Calibration Menu.
8. If the screen shows ‘Failure,’ repeat the 21% O2 cell calibration.
9. If the calibration fails after another attempt, perform a 100% O2
cell calibration. Then try the 21% O2 cell calibration again.
10. Replace the O2 cell if repeated failures occur.
M1132382 7-5
Aespire View
100% O2 cell Complete a 21% O2 cell calibration before performing a 100% O2 cell
calibration calibration.
1. Make sure that the O2 cell is in the circuit.
2. After performing a 21% calibration, select 100% O2.
3. Push the O2 flush button for 5 seconds and set the O2 flow to
5 l/min and set other gases to minimal flow.
4. Select Start Calibration.
5. ‘Complete’ shows on the screen upon successful calibration.
6. If ‘Failure’ shows on the screen, repeat the 100% O2 cell
calibration.
• If the calibration fails after another attempt, decrease the
airway pressure and try the 100% O2 cell calibration again.
• If calibration fails after repeated attempts, perform a 21% O2
cell calibration. Then try a 100% O2 cell calibration again.
• If the 100% O2 cell calibration does not pass, replace the O2
cell.
7. Perform the “Breathing system tests” in the “Preoperative Tests”
section before using the system.
7-6 M1132382
7 User Maintenance
M1132382 7-7
Aespire View
7-8 M1132382
8 Setup and Connections
M1132382 8-1
Aespire View
w 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.
8-2 M1132382
8 Setup and Connections
M1132382 8-3
Aespire View
Canister setup
1
6
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 8-1 • Canister
8-4 M1132382
8 Setup and Connections
M1132382 8-5
Aespire View
When to change the A gradual color change of the absorbent in the canister indicates
absorbent absorption 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.
Important 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.
8-6 M1132382
8 Setup and Connections
Removing an 1. Hold the canister by the handle and push the canister cradle
EZchange canister release latch to unlock the canister cradle.
AB.75p088
2. Slide the canister up and out of the cradle.
AB.75p089
Reusable Multi 1. Turn the canister upside down and, using your thumbs, turn the
Absorber canister cover locking ring counterclockwise to unlock it.
filling
AC.20p003
M1132382 8-7
Aespire View
AC.20p003
4. Remove and properly discard the foam filters, the absorbent, and
any water in the reservoir.
AC.20p0004
5. To clean and disinfect the canister, see “Absorber canister” in the
“Cleaning and Sterilization” manual.
6. Assemble canister.
• Place a new filter in the bottom of the canister.
• Pour absorbent into the canister.
• Place a new filter over the absorbent.
• 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.
• Wipe off any absorbent dust.
Note Alignment of the arrows helps to indicate correct assembly.
8-8 M1132382
8 Setup and Connections
AB.82p001
WARNING The filters must be in place to help prevent dust and
particles from entering the breathing circuit.
7. When replacing the canister, make sure that it is seated properly
on the support pins or in the EZchange canister module before
latching it into place.
Electrical connections
Outlets Labels show outlet voltage ratings and circuit breaker amp ratings.
These are isolated outlets. Regularly test the leakage current.
M1132382 8-9
Aespire View
Mains inlet Arrow shows the mains power inlet and cord.
AB.74p048
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
(DCE) configuration:
• Pin 1 - Monitor On/Standby.
• Pin 5 - Signal ground.
• Pin 6 - Receive data.
• Pin 9 - Monitor On/Standby Return.
• Pin 13 - Transmit data.
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.91p040
8-10 M1132382
8 Setup and Connections
AB.91p045
Sample gas return Connect the sample gas exhaust tube from the airway module to the
port gas return port. Exhaust gas will be directed to the scavenging
system.
AC.82p001
M1132382 8-11
Aespire View
Suction regulator Venturi regulators use the system air or O2 supply. Vacuum
(optional) regulators must be connected to an external vacuum supply.
2
1
3
4
5
AB.74p189
AB.74p032
1. External vacuum (non-venturi) connection
2. Venturi muffler
3. Collection bottle connection
4. Splash guard
5. Overflow safety trap
Auxiliary O2
flowmeter (optional)
2
AB.91p039
1. Auxiliary O2 outlet
2. Auxiliary O2 flow control
8-12 M1132382
8 Setup and Connections
M1132382 8-13
Aespire View
High-pressure leak
test
Note Datex-Ohmeda recommends testing one cylinder at a time.
1. Turn on the system.
2. Disconnect pipeline supplies.
3. Turn off the auxiliary O2 flowmeter and the venturi suction (if
equipped).
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 tee
handle.
8. Repeat the leak test. If the leak continues, do not use the system.
WARNING Do not exceed the top shelf weight limit of 34 kg (75 lb).
WARNING Fully tighten the straps. If straps are not fully tightened,
equipment can fall off the top of the machine.
8-14 M1132382
9 Parts
M1132382 9-1
Aespire View
AB.82.019
Item Description Stock number
Flow sensor module (does not include flow sensors) 1407-7001-000
1 Flow sensor cover 1407-3000-000
2 Flow sensor cuff 1407-3004-000
3 Flow sensor, disposable (plastic) non-offset 1503-3858-000
Flow sensor, disposable (plastic) offset 1503-3856-000
Flow sensor, autoclavable (metal) 1503-3244-000
9-2 M1132382
9 Parts
AB.82.021
5
M1132382 9-3
Aespire View
Bellows assembly
4
8
11
10 5
9 7
AC.20.016
AB.82.018
6
9-4 M1132382
9 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, (pack of 6) 8003138
- Multi absorber, disposable, pink to white (pack of 6) 8003963
M1132382 9-5
Aespire View
AGSS
9-6 M1132382
9 Parts
3 1
AB.82.044
2
4
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
M1132382 9-7
Aespire View
Condenser
AB.82.045
Item Description Stock number
Condenser assembly (includes module and 1407-7026-000
condenser)
1 Condenser module 1407-7025-000
2 Condenser 1407-7024-000
9-8 M1132382
9 Parts
M1132382 9-9
Aespire View
9-10 M1132382
10 Specifications and Theory of
Operation
Important All specifications are nominal and subject to change without notice.
Note All displayed values are shown at ambient temperature and pressure
dry.
M1132382 10-1
Aespire View
AC.20.001
10-2 M1132382
10 Specifications and Theory of Operation
1. Auxiliary O2, 0-10 l/min (optional) 36. Scavenging pressure relief valve, 1.0 kPa
2. O2 flush (10 cmH2O)
3. 241 kPa (35 psi) second O2 regulator 37. Gas to scavenging: 0-10 l/min drive gas, 0-10 l/min
4. Paw Gauge patient and fresh gas, 0-20 l/min total typical flow
5. O2 P-Line 38. 200 mL reservoir
6. O2 cylinder (optional) 39. Control bleed approximately 1.0 l/min at 0.29 kPa
7. Air P-Line (optional) (3.0 cmH2O) if continuous (rate dependent)
8. Total flow sensor (optional) 40. O2 Flush pressure switch
9. Air cylinder (optional) 41. ACGO selector valve
10. N2O P-Line (optional, standard U.S. variant) 42. 22 mm port (ACGO)
11. 758 kPa (110 psi) relief 43. O2 sensor
12. N2O cylinder (optional) 44. Inspiratory flow sensor
13. Cylinder supply and Pipeline supply 45. Absorber
14. Ventilator drive gas select 46. Drain
15. Venturi (optional) 47. Negative pressure relief valve (-14 cmH2O)
16. System switch 48. Sample gas return connection
17. O2 secondary regulator 207 kPa (30 psi) 49. Bag/Vent switch
18. Link-25 50. Bag
19. Flowmeter module (single flow tubes optional) 51. APL valve
20. Gas inlet valve assembly 52. Gas monitor (optional external gas monitor)
21. Air flow meter assembly (optional) 53. Expiratory flow sensor
22. Selectatec manifold 54. Inspiratory flow transducer
23. 37.9 kPa (5.5 psi) pressure relief valve 55. Expiratory flow transducer
24. Vaporizer 56. Sensor interface board
25. N2O balance regulator (required with N2O) 57. Scavenger flow indicator (optional)
26. O2 Flush regulator 172 kPa (25 psi) at 58. Patient
15 l/min 59. 30 mm male - to disposal system
27. Inspiratory flow control valve 60. 0.05 kPa (0.5 cmH2O) entrainment
28. Drive gas check valve (3 cm H2O) 61. Passive gas scavenging interface
29. To disposal system 62. Adjustable scavenging system (optional)
30. Active gas scavenging interface (optional) 63. Filter
31. Mechanical overpressure valve, 10.8 kPa 64. High or low flow restrictor
(110 cmH2O) 65. Bellows
32. Free breathing check valve 66. Scavenging reservoir
33. Room Air 67. Scavenging over pressure relief valve
34. Popoff valve (4 cmH2O) 68. Scavenging reservoir bag with 30 mm male connector
35. Exhalation valve 0.20 kPa (2.0 cmH2O bias) 69. Needle valve assembly (with DISS EVAC connector)
M1132382 10-3
Aespire View
Gas supplies Pressurized gas supplies enter the system through a pipeline or
cylinder connection. All connections have indexed fittings, filters, and
check valves. Gauges show the cylinder and pipeline pressures.
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.
N2O flow A balance regulator controls the flow of N2O to the flow control valve.
Oxygen pressure at a control port adjusts the output of the regulator.
This stops flow during an O2 supply failure and ensures that the
hypoxic gas pressures decrease with the O2 supply pressure.
Changes in O2 pressure do not affect Air.
A chain linkage (Link-25) on the N2O and O2 flow controls helps keep
the O2 concentration higher than approximately 21% at the fresh gas
outlet.
Air flow Pipeline or regulated cylinder pressure directly supply Air to the
ventilator (Air Ventilators). When the System switch is On, air flows to
the rest of the system. Because there is no balance regulator, air flow
continues at the set rate during an O2 supply failure.
10-4 M1132382
10 Specifications and Theory of Operation
Mixed gas The mixed gas goes from the flowmeter outlet through the vaporizer
that is ON, to the fresh gas outlet, and into the breathing system. A
pressure relief valve sets the maximum outlet pressure.
EZchange canister When activated, this module 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
Gas supplies
Pipeline gases O2, Air, N2O
Cylinder gases • O2, Air, N2O (maximum: 2 cylinders of
each gas) with 3 cylinders total.
• 1 cylinder maximum on pendant model
Cylinder connections • Pin indexed (all gases).
• Nut and gland DIN-477 (O2, N2O, Air)
• Large cylinder kit available for O2 and
N2O
Primary regulator output • Pin indexed: The primary regulator is set
pressure to pressure less than 345 kPa (50 psi).
• DIN-477: The primary regulator is set to
pressure less than 414kPa (60 psi).
Pressure-relief valve Approximately 758 kPa (110 psi)
Pipeline connections • DISS - Male; DISS-Female; 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 Color coded gauges
Pipeline inlet pressure 280-600 kPa (41-87 psi)
O2 supply failure alarm 193 to 221 kPa (28 to 32 psi)
N2O shutoff 3.5 kPa (0.5 psi)
ACGO Port relief Valve limits fresh gas pressure to 138 kPa (20 psi) at the flush flow.
M1132382 10-5
Aespire View
10-6 M1132382
10 Specifications and Theory of Operation
Electrical power
M1132382 10-7
Aespire View
Power cord
Length 5 meters (Danish: 3m)
Voltage rating 100 to 240 Vac
Current capacity • 10 A for 220-240 Vac
• 15 A for 100-120 Vac
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; a sealed lead acid battery supplies
backup power in the event of a power failure:
• Capacity to operate for 90 minutes under typical operating
conditions.
• The system functions to specifications through the transition to
battery power.
10-8 M1132382
10 Specifications and Theory of Operation
Flow specifications
Pneumatic flow
Parameter Range
Flush flow 35 to 75 l/min
Flow range Minimum O2 flow 50 ml/min
O2 • 0.05 to 0.95 l/min
• 1 to 15 l/min
N2O • 0.05 to 0.95 l/min
• 1 to 10 l/min
Flow Range
O2 0, 0.05 to 15.0 l/min
Air 0, 0.05 to 15.0 l/min
N2O 0, 0.05 to 10.0 l/min
Total 0 to 40.0 l/min
Accuracy • Greater of ± 25 ml/min or ± 6% of measured value at 20-25°C
with gas supply pressures at 480.5 kPa (69.7 psi) and an
outlet pressure of 101.3 kPa (absolute) (14.7 psi).
• Different breathing circuit pressures, barometric pressures or
temperatures change the accuracy. With some conditions,
these changes can be larger than the tolerances.
M1132382 10-9
Aespire View
10-10 M1132382
10 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
Hospital waste gas disposal
Disposal system type Outlet connector*
system requirements
Adjustable flow, high DISS EVAC 305 mmHg (12 inHg) minimum at
vacuum 36 l/min flow
High flow, low vacuum BSI 30 mm threaded 50 to 80 l/min flow
(BS6834)
Low flow, high vacuum DISS EVAC 305 mmHg (12 inHg) minimum at
36 l/min flow
Low flow, low vacuum 12.7 mm barb 36 l/min flow
Low flow, low vacuum 25 mm barb 40 to 50 l/min flow
Low flow, low vacuum 30 mm ISO taper 40 to 50 l/min flow
male
*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.
M1132382 10-11
Aespire View
Physical specifications
All specifications are approximate values and can change without
notice.
Environmental requirements
Operation Storage
Temperature 10 to 40°C -25 to 60°C
O2 cell operates to O2 cell storage is -15 to 50°C
specifications at 10 to 40°C
Humidity 15 to 95% RH, non-condensing 10 to 95%, non-condensing
Altitude 500 to 800 mmHg 375 to 800 mmHg
(3565 to -440 meters) (5860 to -440 meters)
10-12 M1132382
10 Specifications and Theory of Operation
M1132382 10-13
Aespire View
Ventilator theory
The ventilator pneumatics are located in the rear of the breathing
system. A precision flow 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 measurements come from flow sensors in the flow sensor
module. Two tubes from each sensor connect to a transducer. The
transducer measures the pressure change across each sensor,
which changes with the flow. A third pressure transducer measures
airway pressures at the inspiratory flow sensor.
The ventilator uses 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 and small leaks in the
breathing system.
In volume ventilation modes, certain alarm conditions prevent the
automatic adjustment of ventilator delivery based on measured flow
values. In these cases, the ventilator may not be able to deliver within
the accuracy range specified. If compensation stops for a number of
breaths, the condition causing the hold shows as an alarm. Automatic
volume compensation resumes when alarm conditions are resolved.
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.
10-14 M1132382
10 Specifications and Theory of Operation
M1132382 10-15
Aespire View
VCV
1
2
AB.91.038
3
4
1. Paw
2. Pmax
3. PEEP
4. Time
Figure 10-3 • Volume control diagram
10-16 M1132382
10 Specifications and Theory of Operation
PCV
1
2
AB.91.039
4
5
1. Paw
2. Pmax
3. Pinsp
4. PEEP
5. Time
Figure 10-4 • Pressure control diagram
M1132382 10-17
Aespire View
SIMV/PSV
3
AB.90.040
4
5 2
TI
10-18 M1132382
10 Specifications and Theory of Operation
PSVPro
1
AB.91.041
2
TI
3
1. Paw
2. PEEP
3. Time
Figure 10-6 • PSVPro diagram
M1132382 10-19
Aespire View
When the ventilator switches to the backup mode, the alarm text
“Backup Mode active’ displays and remains 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.
PSVPro settings include:
• Pinsp - sets the target airway pressure.
• RR - sets the rate of mechanically driven breaths.
• Tinsp - sets the inspiration time for a mechanical breath.
• Psupport - sets the pressure support level.
• Pmax - sets the maximum airway pressure.
• PEEP - sets the positive end expiratory pressure.
• Rise Rate - sets the amount of time to attain Pinsp.
• End of Breath - the drop in inspiratory flow from the peak
inspiratory flow level where the ventilator stops pressure support
mechanical inspiration and begins exhalation.
• Trigger - sets the flow trigger level.
• Trig Window - sets the range in percent of the exhalation phase
where a patient may trigger a mechanical breath.
• Backup mode active - sets the time for backup mode to activate.
10-20 M1132382
10 Specifications and Theory of Operation
SIMV-PC
3
1
4
AB.91.042
5 2
TI
6
M1132382 10-21
Aespire View
PCV-VG
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 10-8 • PCV-VG waveforms
10-22 M1132382
10 Specifications and Theory of Operation
Pneumatics
Gas source Anesthesia system
Gas composition Medical air or O2
Nominal supply pressure 350 kPa (51 psi)
Pressure range at inlet 240 to 700 kPa (35 to 102 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
Patient airway display range -20 to +120 cmH2O
Pinsp setting range 5 to 60 cmH2O
PEEP setting range Off, 4 to 30 cmH2O
High pressure alarm set range 12 to 100 cmH2O, 1 cm increment
Sustained pressure alarm range (when • 6 to 42 cmH2O, 1 cm increment
‘PEEP high. Blockage?’ alarm occurs) (mechanical ventilation)
• 6 to 30 cmH2O, 1 cm increment
(manual ventilation)
Volume
Tidal volume display range 5 to 9999 ml, 1 ml resolution
Setting range 20 to 1500 ml
Minute volume display range 0.0 to 99.9 liters
Breath rate settings • For VCV, PCV, PCV-VG:
4 to 100 bpm, 1 bpm resolution
• For SIMV-PC, SIMV/PSV:
2 to 60 bpm, 1 bpm resolution
Flow sensor type Variable flow orifice
Oxygen
Display range 5 to 110% O2
Display resolution 1% increments
Sensor type Galvanic fuel cell
Measurement range 0 to 100% O2
Measurement accuracy ± 3% of full scale
Cell response time 35 seconds, 10 to 90%. Response time
of cell and adapters is measured using
the test method described in ISO 7767
(1997)
Low O2 alarm range 18% to 99%
High O2 alarm setting 21% to 99%, Off
Low O2 limit may not be set above
High O2 limit. High O2 limit may not be
set below the Low O2 limit.
M1132382 10-23
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Delivery accuracy
Volume control mode Greater than 210 ml tidal volume -
accuracy of ±7% of set TV
60 to 210 ml tidal volume - accuracy of
±15 ml
Less than 60 ml tidal volume -
accuracy of ±10 ml
Pressure mode Inspiratory pressure - accuracy of ±3.0
cmH2O or 10% of delivered pressure
PEEP - accuracy of ±1.5 cmH2O
Monitoring accuracy
Volume control Greater than 210 ml tidal volume -
accuracy of ±9% of TV
60 to 210 ml tidal volume - accuracy of
±18 ml
Less than 60 ml tidal volume -
accuracy of ±10 ml
Pressure mode Accuracy of ±2.0 cmH2O or ±5% of
reading whichever is greater.
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.
Oxygen monitor accuracy
• When subjected to gas mixtures containing the following concentrations of
gases, the oxygen monitor has been tested to be within ±5% of the actual
gas concentration.
• Gas mixtures other than the ones listed below may result in an accuracy of
the oxygen monitor outside of the ±5% V/V.
Gas: At concentration:
Helium 50%
Carbon dioxide 5%
Nitrous oxide 80%
Halothane 4%
Enflurane 5%
Isoflurane 5%
Sevoflurane 5%
Desflurane 15%
10-24 M1132382
10 Specifications and Theory of Operation
AB.74.027
Figure 10-9 • Gas composition related errors
M1132382 10-25
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Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or the user of the system should
assure that is used in an electromagnetic environment as described
declaration - below.
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 establishments
CISPR 11 and those directly connected to the public low-voltage power supply network that supplies
Harmonic Class A buildings used for domestic purposes.
emissions
IEC 61000-3-2
Voltage Complies
fluctuations/flicker
emissions
IEC 61000-3-3
10-26 M1132382
10 Specifications and Theory of Operation
Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or the user of the system should
assure that it is used in an electromagnetic environment as described
declaration - below.
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
discharge (ESD) IEC ± 8 kV air ± 8 kV air ceramic tile. If floors are covered with
61000-4-2 synthetic material, the 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
transient/burst IEC lines lines typical commercial and/or hospital
61000-4-4 ± 1 kV for input/output ± 1 kV for input/output environment.
lines lines
Surge IEC 61000-4-5 ± 1 kV differential mode ± 1 kV differential mode Mains power quality should be that of a
± 2 kV common mode ± 2 kV common mode typical commercial and/or hospital
environment.
Voltage dips, short <5% UT (>95% dip in <5% UT (>95% dip in Mains power quality should be that of a
interruptions and UT) for 0.5 cycle UT) for 0.5 cycle) typical commercial and/or hospital
voltage variations on 40% UT (60% dip in UT) 40% UT (60% dip in UT) environment. If the user of the system
power supply input for 5 cycles for 5 cycles requires continued operation during
lines IEC 61000-4-11 70% UT (30% dip in UT) 70% UT (30% dip in UT) power mains interruptions, it is
for 25 cycles for 25 cycles recommended that the system be
<5% UT(>95% dip in UT) <5% UT(>95% dip in powered from an uninterruptible power
for 5 sec. U ) for 5 sec. supply or a battery.
T
Power frequency (50/ 3 A/m 3 A/m If display distortion or other abnormalities
60 Hz) magnetic field occur, it may be necessary to position
IEC 61000-4-8 3 the Anesthetic System further from
sources of power frequency magnetic
fields or to install magnetic shielding. The
power frequency magnetic field should
be immersed 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.
M1132382 10-27
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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=3.5√P
IEC 61000-4-6 150 kHz to 80 MHz outside
ISM bands
10 Vrms 10 Vrms (V2) D=12√P
150 kHz to 80 MHz in ISM
bands
Radiated RF 10 V/m 10 V/m (E1) D=1.2√P 80 mHz to 800 mHz
IEC 61000-4-6
80 MHz to 2.5 GHz D=3.5√P 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.
10-28 M1132382
10 Specifications and Theory of Operation
M1132382 10-29
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Electrical safety
10-30 M1132382
10 Specifications and Theory of Operation
Standards
Devices used with this anesthesia system shall comply with the
following standards where applicable:
• Breathing systems and breathing system components
ISO 8835-2.
• Anesthetic vapor delivery devices ISO 8835-4.
• Anesthetic agent monitors ISO 11196.
• Oxygen monitors ISO 7767.
• Carbon dioxide monitors ISO 9918.
• Exhaled volume monitors IEC 60601-2-13.
M1132382 10-31
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System components
Not integral These devices are not integral to this anesthesia system:
• CO2 monitor.
• Anesthetic agent monitor.
10-32 M1132382
Index
A Controls
anesthesia system 2-2
Absorber canister vaporizer 2-8
filling 8-7 ventilator 2-12
parts 9-5 Cylinder
removing 8-6 installation 8-13
setup 8-4
ACGO 2-10
E
positive low-pressure leak test 5-10
scavenging the ACGO sample flow 2-11 Electrical safety 10-30
Advanced breathing system 2-5 Electromagnetic compatibility 10-26
optional components 2-7 EZchange canister
AGSS removal 8-7
active 3-13 system parts 9-7
connecting active adjustable 3-15
connecting active with a flow indicator 3-14 F
passive 3-12
Alarms 6-2 Flow controls 2-3
display 6-2
latching 6-3 G
list of 6-4 Gas scavenging
minimum system monitoring 6-9 specifications 10-11
minimum system shutdown 6-9
power failure test 5-3 I
tests 5-11
Auxiliary O2 flow control 2-3 Integrated suction 2-3
B L
Battery information 10-8 Low-pressure leak test 5-9
Bellows assembly
parts 9-4 M
test 5-13
Mains inlet 8-10
Breathing system
Maintenance schedule 7-2
maintenance 7-3
Menus
troubleshooting 6-12
using 2-14
C N
Calibration
Negative low-pressure leak test 5-9
flow sensor (zeroing) 7-6
Condenser
operation 3-11
Connections
electrical 8-9
pneumatic 8-10
M1132382 I-1
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O S
O2 cell Scavenging 8-11
calibration 7-5 a gas monitor sample flow 2-11
replacement 7-4 ACGO sample flow 2-11
O2 flush button 2-3 from an auxiliary manual breathing circuit
2-11
P specifications 10-11
Serial port 8-10
Parts Specifications
absorber canister 9-5 breathing system 10-10
AGSS 9-6 flow 10-9
breathing circuit module 9-3 gas scavenging 10-11
condenser 9-8 physical 10-12
exhalation valve assembly 9-2 pneumatic 10-5
EZchange canister system 9-7 ventilator operating 10-23
flow sensor module 9-2 Suction regulator 8-12
test tools and system parts 9-9 Sustained limit 6-8
Pneumatic Sustained pressure threshold 6-8
connections 8-10 System
specifications 10-5 switch 2-3
system pneumatic circuits 10-2 turn on 3-2
Positive low-pressure leak test 5-10
Preoperative Checkout 4-1
T
Preoperative Tests 5-1
Preoperative tests Troubleshooting
alarm 5-11 breathing system 6-12
APL valve 5-14 electrical 6-13
bellows assembly 5-13 pneumatic 6-14
breathing circuit 5-14 Turning on the system 3-2
breathing system 5-13
cylinder 5-4 U
flow control 5-5
monitor and ventilator 5-15 Using menus 2-14
negative low-pressure leak 5-9
pipeline 5-3 V
positive low-pressure leak 5-10 Vaporizer
power failure alarm 5-3 controls 2-8
total flow sensing (optional) 5-3 Ventilation modes
vaporizer back pressure test 5-8 PCV 10-17
Problems PCV-VG 10-22
breathing system 6-12 PSVPro 10-19
electrical 6-13 SIMV/PSV 10-18
pneumatic 6-14 SIMV-PC 10-21
VCV 10-16
R
Repair policy 7-2
I-2 M1132382
Ventilator
accuracy data 10-24
modes 10-15
operating specifications 10-23
setup 3-3
theory 10-14
Ventilator screen 2-13
W
Water buildup
prevent 7-7
Z
Zeroing flow sensor 7-6
M1132382 I-3
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I-4 M1132382
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.
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User’s Reference Manual
English
M1132382
02 09 002 18 05 02
Printed in USA
©Datex-Ohmeda, Inc.
All rights reserved