WATO EX-55/65 Anesthesia

Machine

Service Manual
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this product and this manual. This manual
may refer to information protected by copyrights or patents and does not convey any license
under the patent rights of Mindray, nor the rights of others. Mindray does not assume any
liability arising out of any infringements of patents or other rights of third parties.

Mindray intends to maintain the contents of this manual as confidential information.

Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution,
rent, adaption and translation of this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden.

, and WATO are the registered trademarks or trademarks owned by

Mindray in China and other countries. All other trademarks that appear in this manual are
used only for editorial purposes without the intention of improperly using them. They are the
property of their respective owners.

Contents of this manual are subject to changes without prior notice.

Revision History
This manual has a revision number. This revision number changes whenever the manual is
updated due to software or technical specification change. Contents of this manual are subject
to change without prior notice. Revision 1.0 is the initial release of the document.
„ Revision number: 1.1
„ Release time: 2009-03
© Copyright 2008-2009 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights
reserved.

I
FOR YOUR NOTES

II
Preface
Manual Purpose

This manual provides detailed information about the assembling, dissembling, testing and
troubleshooting of the equipment to support effective troubleshooting and repair. It is not
intended to be a comprehensive, in-depth explanation of the product architecture or technical
implementation. Observance of the manual is a prerequisite for proper equipment
maintenance and prevents equipment damage and personal injury.

This manual is based on the maximum configuration. Therefore, some contents may not
apply to your monitor. If you have any question, please contact our Customer Service
Department.

Intended Audience

This manual is geared for biomedical engineers, authorized technicians or service

representatives responsible for troubleshooting, repairing and maintaining the anesthesia
machines.

Password

A password is required to access different modes within the anesthesia machine.

„ Factory maintenance: 0611

III
FOR YOUR NOTES

IV
Contents

1 Safety ................................................................................................................................. 1-1

1.1 Safety Information .......................................................................................................... 1-1
1.1.1 Dangers .............................................................................................................. 1-2
1.1.2 Warnings............................................................................................................. 1-2
1.1.3 Cautions ............................................................................................................. 1-2
1.1.4 Notes .................................................................................................................. 1-3
1.2 Equipment Symbols ........................................................................................................ 1-3

2 Theory of Operation ........................................................................................................ 2-1

2.1 Pressure Unit Conversion Table ...................................................................................... 2-1
2.2 Gas Flow ......................................................................................................................... 2-2
2.2.1 Pneumatic Circuit Diagram................................................................................ 2-2
2.2.2 Parts List ............................................................................................................ 2-3
2.2.3 Key to Symbols .................................................................................................. 2-4
2.2.4 Description ......................................................................................................... 2-4

3 Checkout and Test ............................................................................................................ 3-1

3.1 System Inspection ........................................................................................................... 3-1
3.2 Pipeline Tests .................................................................................................................. 3-2
3.3 Cylinder Tests.................................................................................................................. 3-2
3.3.1 Check the Cylinders are Full.............................................................................. 3-3
3.3.2 Cylinder High Pressure Leak Test...................................................................... 3-3
3.4 Flow Control System Tests ............................................................................................. 3-3
3.4.1 Without O2 Sensor ............................................................................................. 3-3
3.4.2 With O2 Sensor .................................................................................................. 3-5
3.5 Vaporizer Back Pressure Test .......................................................................................... 3-5
3.6 O2 Flush Test .................................................................................................................. 3-6
3.6.1 In Mechanical Ventilation Mode ........................................................................ 3-6
3.6.2 In Manual Ventilation Mode .............................................................................. 3-7
3.7 Breathing Circuit Tests.................................................................................................... 3-7
3.7.1 Bellows Test ....................................................................................................... 3-8
3.7.2 Breathing System Leak Test in Mechanical Ventilation Mode .......................... 3-8
3.7.3 Breathing System Leak Test in Manual Ventilation Mode............................... 3-12
3.7.4 APL Valve Test ................................................................................................. 3-13
3.8 Pressure Relief Valve Test............................................................................................. 3-14
3.9 Alarm Tests.................................................................................................................... 3-15
3.9.1 Prepare for Alarm Tests.................................................................................... 3-15
3.9.2 Test the O2 Concentration Monitoring and Alarms .......................................... 3-16
3.9.3 Test the Low Minute Volume (MV) Alarm ...................................................... 3-16

1
 3.9.4 Test the Apnea Alarm ....................................................................................... 3-17
3.9.5 Test the Sustained Airway Pressure Alarm....................................................... 3-17
3.9.6 Test the High Paw Alarm.................................................................................. 3-17
3.9.7 Test the Low Paw Alarm .................................................................................. 3-18
3.10 AGSS Inspection ......................................................................................................... 3-18
3.10.1 Check the Float .............................................................................................. 3-18
3.10.2 Check the Transfer Tube and Active Scavenging Tube.................................. 3-19
3.11 Power Failure Test....................................................................................................... 3-20
3.12 Electrical Safety Tests ................................................................................................. 3-21

4 Maintenance and Calibration ......................................................................................... 4-1

4.1 Equipment Maintenance.................................................................................................. 4-1
4.1.1 One-year Replaceable Parts ............................................................................... 4-1
4.1.2 Three-year Replaceable Parts............................................................................. 4-9
4.2 System Test ..................................................................................................................... 4-9
4.2.1 Check the Mechanical Ventilation Mode ......................................................... 4-10
4.2.2 Breathing System Leak Test in Mechanical Ventilation Mode ........................ 4-13
4.2.3 Breathing System Leak Test in Manual Ventilation Mode............................... 4-13
4.2.4 Check the Sensor Zero Point............................................................................ 4-13
4.2.5 Check the Flow Sensor Accuracy..................................................................... 4-14
4.2.6 Check the Pressure Sensor Accuracy ............................................................... 4-15
4.2.7 Check the Electronic Flowmeter Accuracy ...................................................... 4-16
4.3 System Calibration ........................................................................................................ 4-18
4.3.1 Flow Calibration (user) .................................................................................... 4-20
4.3.2 Flow Calibration (factory)................................................................................ 4-21
4.3.3 Pressure Calibration (factory) .......................................................................... 4-27
4.3.4 Electronic Flowmeter Calibration (factory) ..................................................... 4-31
4.3.5 Pressure and Flow Zeroing (factory)................................................................ 4-34
4.3.6 Electronic Flowmeter Zeroing (factory)........................................................... 4-35
4.3.7 O2 Sensor Calibration (optional) ..................................................................... 4-36
4.3.8 CO2 Calibration (factory) ................................................................................ 4-37
4.3.9 AG Calibration (factory) .................................................................................. 4-39
4.3.10 O2 Module Calibration (factory).................................................................... 4-41
4.4 Software Upgrade and Software Configuration Activation........................................... 4-43
4.4.1 Software Upgrade............................................................................................. 4-43
4.4.2 Software Function Activation........................................................................... 4-50
4.4.3 Change the Software Configuration of Electronic Flowmeters........................ 4-53
4.4.4 Load Gas Module or BIS Module .................................................................... 4-56
4.4.5 Load O2 Sensor Monitoring Function.............................................................. 4-57
4.4.6 Select the Drive Gas......................................................................................... 4-58
4.5 Zero the Airway Pressure Gauge................................................................................... 4-59
4.6 Adjust the APL Valve Accuracy .................................................................................... 4-60

5 Troubleshooting................................................................................................................ 5-1

2
5.1 Introduction..................................................................................................................... 5-1
5.2 Technical Alarm Check ................................................................................................... 5-1
5.2.1 Ventilator Related Alarms .................................................................................. 5-1
5.2.2 Electronic Flowmeter Related Alarms ............................................................... 5-9
5.3 Pneumatic Circuit System Problems ..............................................................................5-11
5.3.1 Tools for on-site Maintenance ...........................................................................5-11
5.3.2 Gas Supplies and Drive Gas............................................................................. 5-20
5.3.3 Anesthetic Gas Delivery System ...................................................................... 5-28
5.3.4 Patient Circuit................................................................................................... 5-42
5.3.5 Tidal Volume .................................................................................................... 5-57
5.4 Troubleshoot Sensor and Valve Related Failures by Using the Valves-test Tool .......... 5-59
5.4.1 Preparations before Using the Valves-test Tool................................................ 5-59
5.4.2 One-to-one Correspondence between the Sensors & Valves on the Valves-test
Tool Screen and the Components.............................................................................. 5-60
5.4.3 Description ....................................................................................................... 5-61
5.5 Hardware and Electrical Problems ................................................................................ 5-66

6 Repair and Disassembly .................................................................................................. 6-1

6.1 Prepare for Disassembly ................................................................................................. 6-2
6.1.1 Tools................................................................................................................... 6-2
6.1.2 Preparations........................................................................................................ 6-2
6.1.3 Bleed Gas Pressure............................................................................................. 6-3
6.2 Disassemble the Assemblies ........................................................................................... 6-3
6.2.1 Remove the Top Panel........................................................................................ 6-3
6.2.2 Remove the Rear Panel ...................................................................................... 6-4
6.2.3 Remove the Trolly Rear Panel Assembly........................................................... 6-5
6.2.4 Replace the System Switch ................................................................................ 6-5
6.2.5 Remove the Left Front Panel Assembly............................................................. 6-7
6.2.6 Remove the Throttling Device ........................................................................... 6-8
6.2.7 Disassemble the Display Assembly.................................................................... 6-9
6.2.8 Remove the Flowmeter Control Board ............................................................ 6-10
6.2.9 Remove the Total Flowmeter ........................................................................... 6-10
6.2.10 Disassemble the Gas Supply Inlet Assembly ..................................................6-11
6.2.11 Remove the ACGO Switch Assembly............................................................ 6-13
6.2.12 Remove the O2 Flush Button Assembly ........................................................ 6-14
6.2.13 Remove the Vaporizer Manifold Assembly.................................................... 6-15
6.2.14 Disassemble the Pipeline Pressure Gauges .................................................... 6-17
6.2.15 Disassemble the Expiratory Valve Assembly ................................................. 6-18
6.2.16 Remove the Three-way Valve ........................................................................ 6-20
6.2.17 Remove the Auxiliary O2 Supply Assembly.................................................. 6-20
6.2.18 Remove the AGSS Assembly......................................................................... 6-21
6.2.19 Remove the Main Control Board ................................................................... 6-23
6.2.20 Remove the Button Board .............................................................................. 6-23
6.2.21 Remove the Monitor Board............................................................................ 6-24

3
 6.2.22 Remove the Speaker....................................................................................... 6-25
6.2.23 Remove the Power Box.................................................................................. 6-25
6.2.24 Replace the Power Board ............................................................................... 6-27
6.2.25 Replace the Fuse ............................................................................................ 6-28
6.2.26 Replace the Built-in Battery........................................................................... 6-29
6.2.27 Remove the Power Cord ................................................................................ 6-30
6.2.28 Remove the Isolation Transformer ................................................................. 6-30
6.2.29 Replace the Caster.......................................................................................... 6-32
6.2.30 Replace the Drawer ........................................................................................ 6-33
6.3 Disassemble the Breathing System ............................................................................... 6-34
6.3.1 Remove the O2 Sensor..................................................................................... 6-34
6.3.2 Remove the Breathing Tubes ........................................................................... 6-35
6.3.3 Remove the Flow Sensor ................................................................................. 6-36
6.3.4 Remove the Manual Bag .................................................................................. 6-37
6.3.5 Disassemble the Bellows Assembly ................................................................. 6-38
6.3.6 Disassemble the PoP-Off Valve Assembly....................................................... 6-39
6.3.7 Disassemble the Expiratory Check Valve Assembly........................................ 6-40
6.3.8 Disassemble the Inspiratory Check Valve Assembly ....................................... 6-40
6.3.9 Remove the Sodalime Canister ........................................................................ 6-41
6.3.10 Remove the Water Collection Cup ................................................................. 6-42
6.3.11 Remove the Airway Pressure Gauge .............................................................. 6-43
6.3.12 Remove the Bag Arm ..................................................................................... 6-43
6.3.13 Remove the Circuit ........................................................................................ 6-44
6.3.14 Remove the Sodalime Canister Connection Block Assembly........................ 6-45
6.3.15 Remove the Upper Cover 2 and Lower Cover 2 Assemblies ......................... 6-47
6.3.16 Remove the Upper Cover Assembly .............................................................. 6-49
6.3.17 Remove the Median Plate Assembly.............................................................. 6-49
6.3.18 Remove the Lower Cover Assembly.............................................................. 6-50
6.3.19 Disassemble the Bag/mechanical Ventilation Switch Assembly .................... 6-50
6.3.20 Remove the APL Valve Assembly.................................................................. 6-53
6.4 Electrical and Pneumatic Connections.......................................................................... 6-53
6.4.1 Electrical Connections...................................................................................... 6-54
6.4.2 Pneumatic Connections .................................................................................... 6-58
6.4.3 Connections between Pneumatic Circuit, Breathing System and Monitor Board
................................................................................................................................... 6-70

7 Parts .................................................................................................................................. 7-1

7.1 Main Unit ........................................................................................................................ 7-1
7.1.1 Main Unit ........................................................................................................... 7-1
7.1.2 Top Panel Assembly ........................................................................................... 7-4
7.1.3 Left Front Panel Assembly................................................................................. 7-5
7.1.4 Display Assembly............................................................................................... 7-7
7.1.5 Trolly Assembly (with Auxiliary Electrical Outlet/Euro Standard/220V) ......... 7-8
7.1.6 Trolly Drawer Assembly .................................................................................. 7-10

4
 7.1.7 Trolly Rear Panel Assembly..............................................................................7-11
7.1.8 Modular Rack Assembly .................................................................................. 7-12
7.1.9 Ground Plate Assembly of Modular Rack........................................................ 7-13
7.1.10 Circuit Bracket Assembly............................................................................... 7-14
7.1.11 Tabletop Assembly ......................................................................................... 7-15
7.1.12 Tabletop Operation Console Assembly .......................................................... 7-17
7.1.13 Isolation Transformer Mounting Assembly.................................................... 7-19
7.1.14 Auxiliary Electrical Outlet Assembly (220V) ................................................ 7-20
7.1.15 Power Box Assembly ..................................................................................... 7-21
7.1.16 Rear Plate Assembly ...................................................................................... 7-23
7.1.17 CIS Assembly................................................................................................. 7-24
7.1.18 O2, N2O and AIR Supplies Inlet Assemblies................................................. 7-26
7.1.19 Auxiliary O2 Supply Assembly...................................................................... 7-27
7.1.20 O2+AIR System Switch ................................................................................. 7-28
7.1.21 O2 Flush Button Assembly ............................................................................ 7-29
7.1.22 ACGO Assembly............................................................................................ 7-30
7.1.23 Gas Reservoir Assembly ................................................................................ 7-31
7.1.24 Expiratory Valve Assembly ............................................................................ 7-32
7.1.25 Throttling Device (O2+N2O+AIR)................................................................ 7-34
7.1.26 O2 Cylinder Bracket Assembly...................................................................... 7-35
7.1.27 N2O Cylinder Bracket Assembly ................................................................... 7-36
7.1.28 Double-vaporizer Manifold Assembly ........................................................... 7-37
7.1.29 Single-vaporizer Manifold Assembly............................................................. 7-39
7.1.30 AGSS Assembly ............................................................................................. 7-40
7.2 Breathing Circuit........................................................................................................... 7-42
7.2.1 Lifting Device Assembly.................................................................................. 7-42
7.2.2 Sodalime Canister Assembly............................................................................ 7-44
7.2.3 Canister Connection Block Assembly.............................................................. 7-45
7.2.4 BYPASS Upper Cover Assembly..................................................................... 7-46
7.2.5 Bag Arm Assembly .......................................................................................... 7-47
7.2.6 Upper Cover Assembly .................................................................................... 7-48
7.2.7 APL Valve Assembly........................................................................................ 7-49
7.2.8 Bag/mechanical Ventilation Switch Assembly................................................. 7-51
7.2.9 Median Plate Assembly.................................................................................... 7-52
7.2.10 Lower Cover Assembly.................................................................................. 7-54
7.2.11 Expiratory Flow Sensor Assembly ................................................................. 7-55
7.2.12 Inspiratory Flow Sensor Assembly ................................................................ 7-56
7.2.13 Upper Cover 2 Assembly ............................................................................... 7-57
7.2.14 Folding Bag Assembly ................................................................................... 7-58
7.2.15 Lower Cover 2 Assembly............................................................................... 7-59
7.2.16 Airway Pressure Gauge Assembly ................................................................. 7-60

5
FOR YOUR NOTES

6
1 Safety
1.1 Safety Information

DANGER
z Indicates an imminent hazard that, if not avoided, will result in death or serious
injury.

WARNING
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
death or serious injury.

CAUTION
z Indicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.

NOTE
z Provides application tips or other useful information to ensure that you get the
most from your product.

1-1
1.1.1 Dangers

There are no dangers that refer to the product in general. Specific “Danger” statements may
be given in the respective sections of this manual.

1.1.2 Warnings

WARNING
z This equipment must be installed by factory authorized engineers and adequate
training of its use should be delivered to its user before it is put into use.
z There is high voltage inside the equipment. Never disassemble the equipment
before it is disconnected from the AC power source.
z This equipment can be disassembled by Mindray trained and authorized personnel
only.
z Be sure of static discharge before disassembling the equipment. Wear antistatic
wrist straps or gloves when disassembling the parts labelled with static-sensitive
symbolsto avoid damage to the parts.
z The equipment must be connected to a properly installed power outlet with
protective earth contacts only. If the installation does not provide for a protective
earth conductor, disconnect it from the power line.
z Dispose of the packaging materials, observing the applicable waste control
regulations and keeping it out of children’s reach.

1.1.3 Cautions

CAUTION
z Make sure that no electromagnetic radiation interferes with the performance of the
equipment when preparing to carry out performance tests. Mobile phone, X-ray
equipment or MRI devices are a possible source of interference as they may emit
higher levels of electromagnetic radiation.
z Before connecting the equipment to the power source, check that the power source
conforms to the requirements specified in the Operator’s Manual.

1-2
1.1.4 Notes

NOTE
z Refer to Operator’s Manual for detailed operation and other information.

1.2 Equipment Symbols

Attention: Consult
accompanying documents Dangerous voltage
(this manual)

Alternating current Fuse

Battery Equipotential

Operating state Autoclavable

Material description Not autoclavable

Power On Power Off

Reset Standby

Alarm silence key MV&TVe alarm key

Normal screen key O2 flush button

ACGO On ACGO Off

Bag position/ manual

Mechanical ventilation
ventilation

Lock Unlock

Network connector Flow control

1-3
USB connector O2 sensor connector

Air supply connector N2O supply connector

Sample gas return port (to

Upward (Pop-off valve)
the AGSS)

VGA connector O2 supply connector

Table top light AGSS outlet

Cylinder PEEP outlet

Isolation transformer Vaporizer

APL valve CIS connector

Maximum level of the

CAUTION HOT
sodalime canister

Lock or unlock as the arrow

Gas input direction
shows

Lock the lifting device Unlock the lifting device

Approximate Do Not Crush

Max. weight: 11.3 kg Please align!

Type BF applied part.

Defibrillation-proof
Max. weight: 30 kg
protection against electric
shock.

Pipeline Driven by air

1-4
2 Theory of Operation
2.1 Pressure Unit Conversion Table

Pa hPa kPa MPa mmHg atm cmH2O mbar bar PSI

1 10-2 10-3 10-6 7.5X10-3 9.8X10-6 1.02X10-2 1X10-2 1X10-5 1.45X10-4

1X102 1 1X10-1 1X10-4 0.75 9.8X10-4 1.02 1 1X10-3 1.45X10-2

1X10-3 10 1 1X10-3 7.5 9.8X10-3 10.2 10 1X10-2 0.145

6 4 3 3 4 4
1X10 1X10 1X10 1 7.5X10 9.8 1.02X10 1X10 10 145

1.33X102 1.33 0.133 1.33X10-4 1 1.32X10-3 1.36 1.33 1.33X10-3 1.93X10-2

1.01X105 1.01X103 101 0.101 760 1 1.03 X103 1.01X103 1.01 14.7

98.1 0.98 9.8X10-2 9.8X10-5 0.736 9.68X10-4 1 0.98 9.8X10-4 1.42X10-2

1X102 1 0.1 1X10-4 0.75 9.8X10-4 1.02 1 1X10-3 1.45X10-2

1X105 1X103 1X102 0.1 750 0.98 1.02X103 1X103 1 14.5

6.89X103 68.9 6.89 6.89X10-3 51.7 6.8X10-2 70.3 68.9 6.89X10-2 1

2-1
 2.2 Gas Flow

Patient Waste gas disposal

Air
2.2.1 Pneumatic Circuit Diagram

2-2
Patient

vaporizer vaporizer
2.2.2 Parts List
1 O2 P-Line 28 Float flowmeter

2 O2 cylinder 29 Double-vaporizer manifold

3 Air P-Line 30 Check valve

4 N2O P-Line 31 Pressure relief valve (38 kPa)

5 N2O cylinder 32 ACGO selector switch

6 Regulator (0.4 MPa) 33 Inspiratory valve

7 Safety valve (0.7 MPa) 34 Sodalime canister

8 Filter 35 BYPASS valve

9 Regulator (0.2 MPa) 36 Expiratory valve

10 Inlet gas flow regulator 37 Inspiratory flow sensor

11 Flow sensor (Venturi) 38 Expiratory flow sensor

12 Mechanical overpressure valve 39 O2 flow sensor

(100 cmH2O)
13 Pop-Off valve 40 Scavenging reservoir and noise eliminator

14 PEEP safety valve 41 Bag/mechanical ventilation switch

15 Pressure switch (140 kPa) 42 Manual bag

16 Proportional PEEP valve 43 APL valve

17 Expiratory valve 44 Modular rack (supporting gas module)

18 Pneumatic resistor 45 Bellows assembly

19 O2 flush valve 46 Auxiliary O2 supply

20 Pressure switch (37 kPa) 47 Airway pressure gauge

21 Flow restrictor 48 Pressure sensor

22 System switch 49 Water collection cup

23 Pressure switch (0.2 MPa) 50 Single-vaporizer manifold

24 Regulator (0.2 MPa) 51 Pressure relief valve (10 cmH2O)

25 O2-N2O cut-off valve（0.1 MPa） 52 Negative pressure valve（1 cmH2O）

26 Flow control assembly (flow 53 Pressure sensor

regulator）
27 Electronic flowmeter&throttling 54 AGSS (AGSS transfer and receiving
device system)
55 Pressure relief valve (11 kPa)

2-3
2.2.3 Key to Symbols

Filter Regulator

Pressure gauge Check valve

Gas supply connector Pressure relief valve

Flowmeter Flow control valve

Pressure switch Flow restrictor

2.2.4 Description
2.2.4.1 Gas Supplies

24. Regulator 23. Pressure switch

O2 pipeline supply inlet

Fresh gas inlet

Pressure sampling
connector for
Drive gas pipeline supply
7. Safety valve connector gas pressure
gauge

The above picture shows the O2 pipeline supply inlet assembly. The anesthesia machine’s
pneumatic circuit starts from the gas supplies, which functions to introduce the external
pipeline or cylinder gases into the machine. Since the pressure of external gas is very high
and the external gas contains foreign substance, pressure reducing valves, filters and pressure
relief valves are available in the supply gas circuit. Also, check valves are equipped in the
supply gas circuit to prevent gas from flowing back into the pipeline or cylinder. The
following figures show the supply gas circuit.

2-4
 O2 pipeline
supply inlet
assembly

Air pipeline
supply inlet
assembly

N2O pipeline
supply inlet
assembly

The anesthesia machine has pipeline and cylinder gas supplies available. Pipeline gas
supplies, which are O2, N2O and Air, go into the pipeline gas supply inlet assemblies through
pipeline connectors 1, 3 and 4 respectively. The pipeline pressure ranges between 280 and
600 kPa. Cylinder gas supplies, which are O2 and N2O, go into the system through cylinder
connectors 2 and 5 respectively. The O2 and N2O cylinder pressures are 6.9–15 MPa and
4.2–6 MPa respectively, which are decreased to approximately 400 kPa through regulator 6.
Each connector is clearly marked and designed to prevent misconnection. All connectors
have filters and check valves. Color coded gauges show the pipeline and cylinder pressures.
Pressure relief valve 7 functions to prevent the supply gas pressure from being too high. It
releases excess gas when gas pressure exceeds 750 kPa. Each supply gas is outputted after
gas pressure is decreased below 200 kPa through regulator 24. Pressure switch 23 monitors
the O2 supply pressure. When O2 supply pressure is less than approximately 200 kPa, the
ventilator gives the alarm of O2 supply failure.

2-5
 The following picture shows the output connectors of O2 pipeline supply inlet assembly.

Fresh gas tube

(200 kPa)

Drive gas tube

Pressure sampling tube for O2

supply gas pressure gauge

2.2.4.2 Anesthetic Gas Delivery System

The anesthetic gas delivery system is connected to the gas supplies, anesthetic gas delivery
device (vaporizer) and breathing system. N2O, O2 and Air supplies enter the anesthetic gas
delivery system and the mixed gas (namely fresh gas) containing these three gases and
anesthetic agent and pure O2 (for auxiliary O2 supply and flushing O2) are outputted. The
following figure shows the pneumatic circuit of anesthetic gas delivery system.

2-6
 The following picture takes O2+N2O+Air configuration as an example to illustrate how
pipeline gas supplies are outputted. O2 is divided into two pathways (into three pathways if
auxiliary O2 supply is configured: system switch 23, O2 flush valve 19 and auxiliary O2
supply 46 respectively). One pathway of O2 flows into system switch 23 and the other into
O2 flush valve 19. N2O flows into O2-N2O cut-off valve 25 and Air into system switch 23.

N2O pipeline supply inlet

assembly

N2O tube

25. O2-N2O
O2 pipeline cut-off valve
supply inlet 23.System
assembly switch

O2 tube

Air pipeline
supply inlet
assembly
19. O2 flush
Air tube
valve

2-7
When system switch 22 is turned on, Air enters flow regulator 26. O2 is divided into two
pathways. One pathway of O2 flows into flow regulator 26 and the other into O2-N2O
cut-off valve 25. If the pressure of O2 vented into O2-N2O cut-off valve 25 is greater than
0.1 MPa, N2O can enter flow regulator 26, as shown below.

26. Flow
笑 regulator

N2O tube

Air tube

O2 tube

2-8
Flow regulator 26 controls gas flows. The gases passing through flow regulator 26 enter
electronic flowmeter&throttling device 27 and are then converged to enter float flowmeter 28,
as shown below.

Tube for
converged gas tube

27.Throttling
路
氧 device

O2 tube

Air tube

32. ACGO selector

N2O tube switch

2-9
The converged gas goes from float flowmeter 28 to the anesthetic gas delivery device
(vaporizer), forming fresh gas after mixed with anesthetic agent. The fresh gas then goes
from check valve 30 through the ACGO assembly to the breathing system. The flushing O2
also enters the breathing system through the ACGO assembly.

Inlet of anesthetic From anesthetic gas delivery

gas delivery device device to ACGO

Outlet of anesthetic
gas delivery device

From O2 flush to
ACGO

Gas tube from float flowmeter to

anesthetic gas delivery device

When ACGO is turned on, the anesthesia machine stops mechanical ventilation. The fresh
gas is directly outputted through the inspiration connector on the breathing circuit.
Mechanical pressure relief valve 55 on the ACGO prevents gas pressure at the ACGO port
from exceeding 12.5 kPa when ACGO is turned on.

2-10
System Switch Assembly

The above picture shows the system switch assembly. Supply gases of Air and O2 go into
system switch 22; and Air & O2 flowing into the flowmeter assembly and O2 into the control
end of the O2-N2O cut-off valve are outputted. System switch has an electrical outlet which
controls the power-on status of the system. When the system switch is turned on, O2 and Air
enter the anesthetic gas delivery system and the system is powered on simultaneously. The
anesthetic ventilator starts to monitor the status of the system. When the system switch is
turned off, O2 and Air cannot enter the anesthetic gas delivery system and the system is
powered off.
O2-N2O Cut-off Valve Assembly

The above picture shows the O2-N2O cut-off valve assembly. O2-N2O cut-off valve 25 is a
pneumatically controlled three-way valve. O2 is uploaded to the control end of the O2-N2O
cut-off valve to conduct on-off control of N2O. When the O2 supply pressure is less than 0.1
MPa (approximate value), N2O supply is cut off. When the O2 supplyp pressure is greater
than 0.1 MPa (approximate value), N2O supply is switched on. O2-N2O cut-off valve 25
does not affect Air supply.

2-11
Flow Control Assembly

Flow sampling point and display board

27.Throttling device
26.Flow regulator

28.Float flowmeter

The above picture shows the left front panel where the flow control assembly and flow
display assembly are located. Flow control assembly 26 (flow regulator) controls the gas
flows and the proportion between O2 and N2O as well to ensure that the gas flows outputted
are adjustable within the range of 0–15 L/min. O2 concentration is controlled not to be less
than 25%. When N2O flow is greater than 1.0 L/min, the minimum O2 concentration is less
than 40%. Turning flow controls counterclockwise increases the flow and clockwise
decreases the flow.

Flow Display Assembly

Electronic flowmeter&throttling device 27 and float flowmeter 28 constitute the flow display
assembly. Gases from the flow regulators enter into the flow display assembly and mixed gas
going through the anesthetic gas delivery device (vaporizer) is outputted. Electronic
flowmeter&throttling device 27 measures and displays the flow of each gas. Float flowmeter
28 displays the total gas flow. The flow range displayed is from 0.05 to 10 L/min at the
resolution of 0.5 L/min. The measurement accuracy is required to be ±10% of the reading.
The scale starts from 0.5 L/min and increases by 0.5 L/min when flow is within 0.5 to 2
L/min and by 1 L/min when flow is within 2 to 10 L/min.

2-12
O2 Flush Button Assembly

The above picture shows the O2 flush button assembly. When O2 flush valve 19 is depressed,
O2 rushes into the pneumatic circuit which is cut off when this valve is released. The O2
supply gas at 0.2 MPa after regulated goes through the O2 flush valve, the ACGO assembly,
and into the breathing system. The O2 flush button assemby is not affected by the system
switch. Flushing O2 can be performed as long as O2 supply is normal. The O2 flush valve
has a slide valve structure inside which ensures automatic reset each time the valve is
depressed and released via the spring.

Vaporizer Manifold

The above picture shows the single-vaporizer manifold assembly. The anesthetic gas delivery
device (vaporizer) is connected to the anesthetic gas delivery system. The mixed gas of N2O,
O2 and Air go into the device and the fresh gas containing these three gases and anesthetic
agent is finally outputted to the ACGO assembly. The following figure shows the pneumatic
circuit of anesthetic gas delivery device (vaporizer).

2-13
 Vaporizer Vaporizer

Either double-vaporizer manifold 29 or single -vaporizer manifold 50 is used. Both are

integrated with check valve 30 which prevents flushing O2 and fresh gas from flowing back
to the vaporizer. When a double-vaporizer manifold is used, Selectatec mounting with
interlocking function can prevent the user from turning on two vaporizers simultaneously.
ACGO Assembly

The above picture shows the ACGO assembly. The ACGO assembly includes five parts:
pressure switch 20, flow restrictor 21, pressure relief valve 31, ACGO selector switch 32
(three-way valve) and contact switch. Flushing O2 and fresh gas are mixed through the
three-way valve and enter the ACGO. The outputs include fresh gas provided for the
breathing system (when ACGO is turned off) and that provided for the patient (when ACGO
is turned on). Pressure relief valve 31 at the front restricts the pressure of flushing O2 and
also that of the fresh gas not to exceed 38 kPa (approximate value). Pressure relief valve 55 at
the back ensures that the pressure of the gas outputted to the ACGO does not exceed 12.5
kPa.
Auxiliary O2 Supply Assembly
Auxiliary O2 supply assembly 46 has two optional input ports (as shown below). O2 goes
from O2 supply inlet assembly, with flow controlled by a flow regulator and displayed by a
glasstube flowmeter, into the patient. The flow range adjusted is from 0 to 15 L/min and that
displayed is from 0 to 10 L/min at the resolution of 1 L/min. Turning the flow control
counterclockwise increases the flow and clockwise decreases the flow.

2-14
 Two optional input ports
(select either of them)

2.2.4.3 Pneumatically-controlled Module of the Anesthetic Ventilator

The pneumatically-controlled module of the anesthetic ventilator provides drive gas for the
patient to breathe. O2 (or Air) from the gas supply inlet assembly enters the
pneumatically-controlled module and is outputted in three pathways: drive gas entering the
breathing system, drive gas discharged through the AGSS outlet and drive gas discharged
through the PEEP outlet. The ventilator controls drive gas flow to prevent too high pressure
inside the pneumatic circuit from injuring the patient. The following picture shows the gas
flow direction and parts concerning the pneumatically-controlled module.

Pneumatically-controll
ed module
Outputs drive gas

Gas exhaust tube

Outputs gas
discharged through
PEEP outlet

Input tube of the

pneumatically-controlled module

2-15
The following is the pneumatic circuit diagram of the pneumatically-controlled module.

Proportional electromagnetic valve 10 controls inlet gas flow. Filter 8 filters drive gas again.
Regulator 9 regulates presssure inside the pneumatic circuit (approximately 0.2 MPa). “11” is
a flow sensor of differential pressure type which monitors gas flow in the drive gas circuit.
Mechanical overpressure valve 12 ensures that the pressure in the drive gas circuit does not
exceed safe pressure. It releases excess gas when gas pressure exceeds 11 kPa.. “17” is
expiratory valve. During expiration, gas inside the bellows is discharged from this valve.
The PEEP function is performed through expiratory valve. “16” is low-flow proportional
electromagnetic valve. When it opens, gas is bled from pneumatic resistor 18, forming
relatively stable pressure in the pneumatic circuit between “16” and “18”. Such pressure is
exerted on the membrane of expiratory valve 17 to form PEEP.
To prevent too high pressure inside the pneumatic circuit from injuring the patient and
damaging the equipment, safety valve 14, which is electromagnetic on-off valve, is placed
before the gas pathway of the expiratory valve. “15” is a pressure switch. When drive gas
pressure is less than 140 kPa, an alarm is triggered. “48” is a pressure sensor which monitors
the pressure at which the expiratory valve is closed. Pressure relief valve 51 ensures the tube
pressure after the expiratory valve is less than 10 cmH2O.

2-16
2.2.4.4 Breathing System
The breathing system provides a closed loop for the anesthetic gas. The CO2 in the patient’s
expired gas can be inspired in the inspiration phase to maintain the temperature and humidity
conditions of the patient’s expired gas. During inspiration, the drive gas depresses the bag
inside the bellows to force the inside gas to enter the patient’s lung. During expiration, the
patient’s expired gas goes into the bag inside the bellows. Sodalime canister 34 absorbs CO2
the patient expires. The following figure shows the pneumatic circuit of breathing system.

Manual and mechanical ventilation modes are selected through the bag/mechanical
ventilation switch. When manual ventilation is selected, the doctor presses manual bag 42 to
supply gas for the breathing system. APL valve 43 is used to adjust the pressure inside the
pneumatic circuit in case of manual ventilation. When mechanical ventilation is selected, the
ventilator starts to work. It controls the drive gas to depress the folding bag inside bellows 45
and supply gas for the breathing system as per the selected ventilation mode.

2-17
 Connected to the anesthesia machine main unit through the circuit adapter, the breathing
system is highly integrated. Its tubes are all built in except the tube connected to the patient
and the O2 cell cable, as shown below.

43.APL valve 33. Inspiratory valve

Patient end (built-in

36.Expiratory
41.Bag/mechanical inspiratory and expiratory
valve 36.呼
ventilation switch flow sensors)

Circuit adapter

47.Airway pressure
gauge

Bag arm 45.Bellows assembly

2-18
 49. Water collection cup
Lifting device (built-in
BYPASS valve)

34. Sodalime canister

In case of mechanical ventilation, during inspiration, gas flows through bag/mechanical

ventilation switch 41, BYPASS valve 35 or sodalime canister 34, inspiratory valve 33, O2
sensor 39, airway pressure gauge 47, and inspiratory flow sensor 37 to the patient. During
expiration, gas flows through expiratory flow sensor 38, expiratory valve 36 and
bag/mechanical ventilation switch 41 to the folding bag. Airway pressure is monitored by
pressure sensor 53.
The breathing system is easily disassembled and is autoclavable at 134℃.

2.2.4.5 Anesthetic Gas Scavenging System

The anesthetic gas scavenging system (AGSS) is composed of AGSS transfer system, AGSS
receiving system and AGSS disposal system. Waste gas goes from the exhaust port of the
anesthesia machine through the AGSS transfer system and the AGSS receiving system and to
the hospital’s waste gas disposal system (AGSS disposal system), as shown below.

The following figure shows the operational theory of the AGSS. The throttling holes reduce
the effect of negative pressure at the AGSS outlet onto the flow at the entrance. The float
helps the user to learn if the disposal system meets the requirement for minimum pump rate.
The filter filters foreign substance to prevent the disposal system from being occluded. The
gas reservoir is connected to the air through pressure compensation openings. When positive

2-19
or negative pressure occurs inside the gas reservoir, gas is inputted or outputted to ensure
pressure balance inside the system.

The AGSS transfer system is a blue tube with 30 mm conical connectors at both ends. The
inlet of the transfer system is a female 30 mm conical connector and the outlet a male 30 mm
conical connector. The transfer system is connected to the receiving system through the male
30 mm conical connector. The receiving system is connected to the receiving hose through
the proprietary connector. The receiving hose is connected to the hospital’s disposal system
through BS 6834 connector. The following picture shows the structures of and the
connections between the AGSS transfer system, receiving system and disposal system.

Receiving hose

Receiving system Transfer system

To the exhaust port

Hook

To the disposal system

2-20
3 Checkout and Test
WARNING
z After servicing the equipment or replacing its components, complete all the tests in
this section.
z Before doing the tests in this section, completely reassemble the equipment and
refer to 4Maintenance and Calibration to do necessary calibrations.

3.1 System Inspection

NOTE
z Make sure that the breathing circuit is correctly connected and not damaged.
z The top shelf weight limit is 30 kg.

WARNING
z 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.

Make sure that:

1. The equipment is not damaged.
2. All components are correctly attached.
3. The breathing circuit is correctly connected and the breathing tubes are not damaged.
4. The vaporizers are locked in position.
5. The gas supplies are connected and the pressures are correct.
6. Cylinder valves are closed on models with cylinder supplies.
7. The casters are not loose and the brake (s) is set and prevents movement.

8. Make sure the circuit is locked safely (in the position).

9. The power cord is correctly connected. The AC mains indicator and the battery indicator
work normally.
10. The anesthesia machine is switched on or off normally.

3-1
3.2 Pipeline Tests

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

1. Disconnect the pipeline supplies and close all cylinder valves. Bleed all the gas inside
the machine to let the pressure gauges go to zero. f the gauge fails to go to zero, it
indicates that the gauge is faulty.
2. Connect an O2 pipeline supply.
3. Set the system switch to the position.
4. Set the flow controls to mid range.
5. Check that the pressure reading on the O2 gauge is within the range of 280 to 600 kPa
(if not, adjust the O2 pipeline output pressure). Check that other gauges go to zero.
6. Disconnect the O2 pipeline supply.
7. As O2 pressure decreases, alarms for [O2 Supply Failure] and [Drive Gas Pressure
Low] should occur. The alarm for [Drive Gas Pressure Low] occurs only when O2 is
the drive gas.
8. Connect other pipeline supplies. Check that the readings on the gauges fall within the
range of 280 to 600 kPa.

3.3 Cylinder Tests

NOTE
z To prevent damage, open the cylinder valves slowly.
z After doing the cylinder tests, close all cylinder valves if cylinder supplies are not
used.
z Turn the flow controls slowly. Do not turn further when the flow indicated through
the flowmeter is outside of the range to avoid damaging the control valve.

This test is not required if cylinders are not configured.

3-2
3.3.1 Check the Cylinders are Full

1. Set the system switch to the position and connect the cylinders to be checked.

2. Open each cylinder valve.

3. Make sure that each cylinder has sufficient pressure. If not, close the applicable cylinder
valve and install a full cylinder.
4. Close all cylinder valves.

3.3.2 Cylinder High Pressure Leak Test

1. Make sure that the system switch is in the position.

2. Close the auxiliary O2 supply flowmeter if auxiliary O2 supply is configured.

3. Open the cylinder valve.
4. Record the current cylinder pressure.
5. Close the cylinder valve.
6. Record the cylinder pressure after one minute. There is a leak
‹ If the cylinder pressure for drive gas decreases more than 5000 kPa (725 psi).
‹ If the cylinder pressure for non-drive gas decreases more than 690 kPa (100 psi).
‹ In this case, install a new cylinder gasket and repeat steps 1 through 6. If the leak
continues, do not use the system.
7. Repeat 3.3.2Cylinder High Pressure Leak Test for each cylinder.

3.4 Flow Control System Tests

3.4.1 Without O2 Sensor

WARNING
z If N2O is available and flows through the system during this test, use a safe and
approved procedure to collect and remove it.
z Incorrect gas mixtures can cause patient injury. If the O2-N2O Link system does
not supply O2 and N2O in the correct proportions, do not use the system.

3-3
 To do the flow control system 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 the position.

4. Set the flow controls to mid range. Check that the flowtube float moves smoothly and that
the electronic flowmeter displays normally.
5. Test the Link system with N2O flow increasing:
a.Turn the O2 and N2O flow controls fully clockwise (minimum flow).
b.Turn the N2O flow control only.
c.Increase the N2O flow gradually as shown in the table. Make sure that the O2 flow
must be greater than the minimum limits.
d.If the N2O flow is set crossing the limit, before continuing the test, turn the O2 flow
control clockwise till the N2O flow decreases to the preset value.

Step N2O flow (L/min) O2 flow (L/min)

1 0.6 ≥0.2
2 1.5 ≥0.5
3 3.0 ≥1.0
4 7.5 ≥2.5

6. Test the Link system with O2 flow decreasing:

a.Set the N2O flow to 9.0 L/min.
b.Set the O2 flow to more than 3 L/min.
c.Slowly turn the O2 flow control clockwise to set the N2O flow to the rates shown in
the table. Make sure that the O2 flow must be greater than the minimum limits.
d.If the O2 flow is set crossing the limit, before continuing the test, turn the N2O flow
control counterclockwise till the N2O flow increases to the preset value.

Step N2O flow (L/min) O2 flow (L/min)

1 7.5 ≥2.5
2 3.0 ≥1.0
3 1.5 ≥0.5
4 0.6 ≥0.2

7. Disconnect the O2 pipeline supply or close the O2 cylinder valve.

8. Set the system switch to the position.

3-4
3.4.2 With O2 Sensor

Do as described in 3.9.2Test the O2 Concentration Monitoring and Alarms before testing.To

do the flow control system 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 the position.

4. Set the flow controls to mid range. Check that the flowtube float moves smoothly and
that the electronic flowmeter displays normally.
5. Test the Link system with N2O flow increasing:
a.Turn the O2 and N2O flow controls fully clockwise (minimum flow).
b.Turn the N2O flow control only.
c.Increase the N2O flow gradually and the O2 flow should increase accordingly. The
measured O2 concentration must be ≥25% through the full range.
6. Test the Link system with O2 flow decreasing:
a.Set the N2O flow to 9.0 L/min.
b.Set the O2 flow to more than 3 L/min.
c.Slowly turn the O2 flow control clockwise and the N2O flow should decrease
accordingly. The measured O2 concentration must be ≥25% through the full range.
7. Turn all the flow controls fully clockwise (minimum flow).
8. Disconnect the pipeline supply or close the cylinder valve.

3.5 Vaporizer Back Pressure Test

WARNING
z Use only the Selectatec series vaporizers. Make sure that the vaporizers are locked
when doing the test.
z During the test, the anesthetic agent comes out of the fresh gas outlet. Use a safe
and approved procedure to remove and collect the agent.
z To prevent damage, turn the flow controls fully clockwise (minimum flow or OFF)
before using the system.

3-5
 Before the test, make sure that the vaporizers are correctly installed.
1. Connect the O2 pipeline supply or open the O2 cylinder valve.
2. Turn the O2 flow control and set the O2 flow to 6 L/min.
3. Make sure that the O2 flow stays constant.
4. Adjust the vaporizer concentration from 0 to 1%. Make sure that the O2 flow must not
decrease more than 1 L/min through the full range. Otherwise, install a different
vaporizer and try this step again. If the problem persists, the malfunction is in the
anesthesia system. Do not use this system.
5. Test each vaporizer as per the steps above.

NOTE
z Do not perform test on the vaporizer when the concentration control is between
“OFF” and the first graduation above “0” (zero) as the amount of anesthetic drug
outputted is very small within this range.

3.6 O2 Flush Test

3.6.1 In Mechanical Ventilation Mode
1. Connect the O2 pipeline supply or cylinder.
2. Set the bag/mechanical ventilation switch to the mechanical ventilation position.

3. Set the system switch to the position or set the system to Standby.

4. Plug the patient connection using a test plug.

5. Turn off ACGO (if ACGO is configured).
6. Let the folding bag completely collapse.

7. Press and hold the O2 flush button . Measure the time required for fully inflating
the folding bag.
8. Repeat the operation (opening patient connection to collapse the folding bag) at least
twice.
9. Check that the folding bag is fully inflated within 1 to 3 seconds.

3-6
3.6.2 In Manual Ventilation Mode
1. Set the bag/mechanical ventilation switch to the bag position.

2. Set the system switch to the position or set the system to Standby.

3. Plug the patient connection using a test plug.

4. Connect a 3 L or 1 L bag to the bag arm or manual bag port.
5. Turn off ACGO (if ACGO is configured).
6. Let the bag completely collapse.
7. Turn the APL valve to 75 cmH2O.

7. Press and hold the O2 flush button . Measure the time required for the reading on
the pressure gauge to reach 10 cmH2O.
8. Repeat the operation (opening patient connection to collapse the bag) at least twice.
9. Check that
‹ The 3 L bag is fully inflated within 3 to 6 seconds.
‹ The 1 L bag is fully inflated within 1 to 3 seconds.

3.7 Breathing Circuit Tests

WARNING
z Objects in the breathing circuit can stop gas flow to the patient. This can cause
injury or death. Make sure that there are no test plugs or other objects in the
breathing circuit.Make sure that there are no test plugs or other objects in the
breathing circuit.
z Do not use a test plug that is small enough to fall into the breathing circuit.

1. Make sure that the breathing circuit is correctly connected and not damaged.
2. Make sure that the check valves in the breathing circuit work correctly:
‹ The inspiratory check valve opens during inspiration and closes at the start of
expiration.
‹ The expiratory check valve opens during expiration and closes at the start of
inspiration.

3-7
3.7.1 Bellows Test
1. Set the system to Standby.
2. Set the bag/mechanical ventilation switch to the mechanical ventilation position.
3. Set all flow controls to minimum.
4. Close the breathing circuit by plugging the patient connection.
5. Push the O2 flush button to fill the bellows, folding bag rising to the top.
6. Make sure that the pressure reading on the airway pressure gauge must not increase to
more than 15 cmH2O
7. The folding bag should not fall. If it falls, it indicates that the bellows assembly has a
leak. You need to reinstall the bellows or folding bag.

3.7.2 Breathing System Leak Test in Mechanical Ventilation

Mode

NOTE
z Perform leak test again each time after servicing the anesthesia machine, replacing
the components, or re-connecting the tubes.

The test aims to check if the pneumatic circuit has leaks in mechanical ventilation mode. Test
items include bellows, drive gas circuit, sodalime canister, patient tubes, flow sensors and
their connectors.

3.7.2.1 Test Procedures

NOTE
z Breathing circuit leak test must be performed when the system is Standby.
z Before doing the breathing circuit leak test, make sure that the breathing circuit is
correctly connected and the breathing tubes not damaged.
z Before doing the breathing system leak test, make sure that the drive gas pressure
is sufficient. During the leak test, make sure that the test procedures are strictly
followed.
z During the leak test, selecting [Stop] will stop the ongoing leak test. To continue the
test, you must select [Start] to start the leak test again.

3-8
To do the breathing system leak test in mechanical ventilation mode:

1. Make sure that the system is Standby. If not, press the key and select [Ok] from the
pop-up menu to enter Standby.
2. Connect the Y piece on the breathing tube to the leak test plug on the manual bag port.
3. Turn the O2 flow control to set the O2 flow to approximately 0.15–0.2 L/min.
4. Push the O2 flush button to fill the bellows, folding bag rising to the top.

5. Make sure that the bag/mechanical ventilation switch is set to the position.

6. Select the [[Maintenance] shortcut key and select [Breathing System Leak Test >>].
Select [Start] from the [Breathing System Leak Test] menu to start the breathing
system leak test in mechanical ventilation mode. Typically, the test requires 3 to 5
minutes.
7. When the leak test is completed, the message prompting test passed or failed is
displayed. If the leak test is passed, it indicates that the leakage of the breathing system
is within 0.15 to 0.2 L/min. The breathing system has good airtightness. If the leak test
is failed, it indicates that the leakage of the breathing system exceeds 0.15 to 0.2 L/min.
In this case, you need to repair the system.

NOTE
z In case of leak test failure, check all of the possible leak sources, including bellows,
breathing system tubes and sodalime canister. Check that they are correctly
connected and their connectors are not damaged.
z If there is indeed a leak, check the pneumatic circuit system for leakage and
troubleshoot the problems as described in 5.3Pneumatic Circuit System Problems.
z After leak failure is troubleshot, do the leak test again and make sure the test is
passed.

3-9
3.7.2.2 Commonly-encountered Problems and Recommended Actions
The following table lists the commonly-encountered problems and recommends actions for
breathing system leak test in mechanical ventilation mode.

Failure description Possible cause Recommended action

Leak test failure is The bag/mechanical ventilation Set the bag/mechanical
prompted immediately switch is set to the bag position ventilation switch to the
after [Start] is selected and the message [Manual Vent.] mechanical ventilation position.
(typically, the leak test is prompted.
requires at least 3 The reading on the drive gas Replace or connect gas supplies
minutes). (O2) pressure gauge indicates and make sure that the drive gas
drive gas pressure low (lower pressure is at 350 to 450 kPa.
than 200 kPa) and the alarm of
[Drive Gas Pressure Low] is
produced.
When the system works Fresh gas is not provided when Make sure that fresh gas is
normally, the machine is leak test is performed. provided.
not leaky and the bellows
folding bag does not
collapse but leak test is
always failed.
During leak test, the 1. Before the leak test, the Check the connections of the
pressure indicated by the bellows folding bag is not fully pneumatic circuit and re-install
airway pressure gauge inflated. the pneumatic circuit.
fails to reach 30 cmH2O. 2. The Y piece on the breathing
tube is not connected to the test
plug.
3. The bellows housing is not
properly installed.
During leak test, the 1. The bellows housing may not Check the connections of the
pressure indicated by the be installed properly. pneumatic circuit and re-install
airway pressure gauge 2. The expiratory valve assembly the pneumatic circuit.
reaches 30 cmH2O but is leaky.
then falls rapidly. 3. The circuit is not tightly
connected to the circuit adapter.
4. The connection between the
sampling line of the sensor and
the board is leaky.

3-10
Failure description Possible cause Recommended action
During leak test, the alarm The auxiliary control board is Replace the auxiliary control
of [Auxi Ctrl Module faulty. board.
Error] occurs.
During leak test, the alarm Safety valve control failure by Restart the machine. Verify if the
of [Ventilator Hardware the auxiliary control board. safety valve is controllable by
Error 11] occurs. using the safety valve control
During leak test, the alarm Safety valve control failure by command of the monitor board.
of [Ventilator Hardware the main control board If the safety valve is damaged,
Error 12] occurs. replace the safety valve. If the
safety valve is in good condition,
it indicates that the auxiliary
control board or the main control
board is faulty regarding the
control path of the safety valve.
Check the connecting lines or
replace the faulty board.

NOTE
z In case of leak test failure, check the machine for leakage and roughly assess the
amount of leakage by using the following methods.
‹ Method 1: In the default VCV mode, stop fresh gas supply. If the folding bag rises
to the top each time, it indicates that the machine is not leaky. Otherwise, the
machine is leaky. Gradually increase fresh gas. The amount of fresh gas when the
bag rises to the top at each expiration can be roughly calculated as the amount of
leakage.
‹ Method 2: During leak test, observe the airway pressure gauge. A period of time
(about 30 s) belongs to pressure holding stage after the airway pressure rises. If the
airway pressure gauge shows that airway pressure is gradually falling, it indicates
that the machine is leaky. Slowly increase fresh gas until airway pressure stops
falling. The amount of the then fresh gas can be calculated as amount of leakage.
z If there is indeed a leak, check the pneumatic circuit system for leakage and
troubleshoot the problems as described in 5.3Pneumatic Circuit System Problems.
z After leak failure is troubleshot, do the leak test again and make sure the test is
passed.

3-11
3.7.3 Breathing System Leak Test in Manual Ventilation Mode

NOTE
z Perform leak test again each time after servicing the anesthesia machine, replacing
the components, or re-connecting the tubes.

The test aims to check if the pneumatic circuit has leaks in manual ventilation mode. Test
items include APL valve, check valve, sodalime canister, patient tubes, flow sensors and their
connectors.

To do the breathing system leak test in manual ventilation mode:

1. Make sure that the system is Standby. If not, press the key and select [Ok] from the
pop-up menu to enter Standby.
2. Set the bag/mechanical ventilation switch to the bag position.
3. Connect the manual bag to the manual bag port.
4. Turn the APL valve control to fully close the APL valve (75 cmH2O).
5. Turn the O2 flow control to set the O2 flow to 0.15 to 0.2 L/min.
6. Close the breathing system at the patient connection.
7. Push the O2 flush button to let the pressure increase to approximately 30 cmH2O on the
airway pressure gauge.
8. Release the O2 flush button. A pressure decrease on the airway pressure gauge indicates
a leak. Look for and repair the breathing system leak.

NOTE
z If there is indeed a leak, check the pneumatic circuit system for leakage and
troubleshoot the problems as described in 5.3Pneumatic Circuit System Problems.
z After leak failure is troubleshot, do the leak test again and make sure the test is
passed.

3-12
3.7.4 APL Valve Test

1. Make sure that the system is Standby. If not, press the key and select [Ok] from the
pop-up menu to enter Standby.
2. Set the bag/mechanical ventilation switch to the bag position.
3. Connect the manual bag to the manual bag port.
4. Connect the Y piece on the breathing tube to the leak test plug on the manual bag port.
5. Turn the APL valve control to let the pressure of APL valve stay at 30 cmH2O.
6. Push the O2 flush button to inflate the manual bag.
7. Make sure that the reading on the airway pressure gauge is with the range of 20 to 40
cmH2O.
8. Turn the APL valve control to the MIN position.
9. Set the O2 flow to 3 L/min. Turn any other gases off.
10. Make sure that the reading on the airway pressure gauge is less than 5 cmH2O.
11. Push the O2 flush button. Make sure that the reading on the airway pressure gauge does
not exceed 10 cmH2O.
12. Turn the O2 flow control to set the O2 flow to minimum. Make sure that the reading on
the airway pressure gauge does not decrease below 0 cmH2O.

NOTE
z If the accuracy of the APL valve exceeds the range, refer to 4.6Adjust the APL
Valve.

3-13
3.8 Pressure Relief Valve Test
This test can be performed if ACGO is configured.
Perform the pressure relief valve test by using the following tools:
„ Anesthesia machine calibration device (quantity:1)
„ Circuit adapter test fixture (quantity:1)
„ Injector (100 ml) (quantity:1)
„ Φ6 silicone tube (quantity:2)
„ PU tube (6X300) (quantity:1)
„ Y piece (quantity:1)

Test procedures:
1. Turn the system switch off. Close all flow regulators. Turn on ACGO.
2. Pull out the patient circuit. Mount the circuit adapter test fixture onto the circuit adapter.
3. Connect the pressure sensor connector (positive pressure end) on the anesthesia machine
calibration device and the injector (before mounting, pull out the push rod of the injector
to the graduation of 100 ml) connector to two connectors of the Y piece through twoΦ6
silicone tubes. Connect the third connector of the Y piece to No.8 connector on the
circuit adapter test fixture through the PU tube (6X300), as shown below.

4. Push in the push rod of the injector to cause the pressure reading on the anesthesia
machine calibration device to rise slowly (note to push in the rod at uniform and slow
velocity to control the time required for the pressure reading to slowly rise to 100 cmH2O
more than 10 s). Continue pushing the push rod at uniform velocity until the rod stops.
During the course of pushing in the injector’s push rod, the pressure reading on the anesthesia
machine calibration device tends to be stable after the tested pressure relief valve is opened.
The pressure reading on the anesthesia machine calibration device after the tested pressure
relief valve is opened should be within 100 to 125 cmH2O. Otherwise, the test is failed. In
this case, you need to replace the pressure relief valve assembly (BOM number:
0621-30-69662).

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