0621 WATO EX-55,65 Service Manual - English - 20131025 PDF
0621 WATO EX-55,65 Service Manual - English - 20131025 PDF
0621 WATO EX-55,65 Service Manual - English - 20131025 PDF
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.
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: 7.0
Release time: 2011-08
© Copyright 2008-2011 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights
reserved.
I
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
II
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
1
3.9.5 Test the Sustained Airway Pressure Alarm....................................................... 3-19
3.9.6 Test the High Paw Alarm.................................................................................. 3-19
3.9.7 Test the Low Paw Alarm .................................................................................. 3-20
3.10 AGSS Inspection ......................................................................................................... 3-20
3.10.1 Check the Float .............................................................................................. 3-20
3.10.2 Check the Transfer Tube and Active Scavenging Tube.................................. 3-22
3.11 Power Failure Test....................................................................................................... 3-23
3.12 Electrical Safety Tests ................................................................................................. 3-23
5 Troubleshooting................................................................................................................ 5-1
5.1 Introduction..................................................................................................................... 5-1
5.2 Technical Alarm Check ................................................................................................... 5-1
2
5.2.1 Main Unit 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 ...................................................................... 5-29
5.3.4 Patient Circuit................................................................................................... 5-44
5.3.5 Tidal Volume .................................................................................................... 5-59
5.4 Troubleshoot Sensor and Valve Related Failures by Using the Valves-test Tool .......... 5-62
5.4.1 Preparations before Using the Valves-test Tool................................................ 5-62
5.4.2 One-to-one Correspondence between the Sensors & Valves on the Valves-test
Tool Screen and the Components.............................................................................. 5-62
5.4.3 Description ....................................................................................................... 5-64
5.5 Hardware and Electrical Problems ................................................................................ 5-69
3
6.2.24 Replace the Power Board ............................................................................... 6-28
6.2.25 Replace the Fuse ............................................................................................ 6-29
6.2.26 Replace the Built-in Battery........................................................................... 6-30
6.2.27 Remove the Power Cord ................................................................................ 6-31
6.2.28 Remove the Isolation Transformer ................................................................. 6-31
6.2.29 Replace the Caster.......................................................................................... 6-33
6.2.30 Replace the Drawer ........................................................................................ 6-34
6.3 Disassemble the Breathing System ............................................................................... 6-35
6.3.1 Remove the O2 Sensor..................................................................................... 6-35
6.3.2 Remove the Breathing Tubes ........................................................................... 6-36
6.3.3 Remove the Flow Sensor ................................................................................. 6-37
6.3.4 Remove the Manual Bag .................................................................................. 6-38
6.3.5 Disassemble the Bellows Assembly ................................................................. 6-39
6.3.6 Disassemble the PoP-Off Valve Assembly....................................................... 6-40
6.3.7 Disassemble the Expiratory Check Valve Assembly........................................ 6-41
6.3.8 Disassemble the Inspiratory Check Valve Assembly ....................................... 6-41
6.3.9 Remove the Sodalime Canister ........................................................................ 6-42
6.3.10 Remove the Water Collection Cup ................................................................. 6-43
6.3.11 Remove the Airway Pressure Gauge .............................................................. 6-44
6.3.12 Remove the Bag Arm ..................................................................................... 6-44
6.3.13 Remove the Circuit ........................................................................................ 6-45
6.3.14 Remove the Sodalime Canister Connection Block Assembly........................ 6-46
6.3.15 Remove the Upper Cover 2 and Lower Cover 2 Assemblies ......................... 6-49
6.3.16 Remove the Upper Cover Assembly .............................................................. 6-50
6.3.17 Remove the Median Plate Assembly.............................................................. 6-51
6.3.18 Remove the Lower Cover Assembly.............................................................. 6-51
6.3.19 Disassemble the Bag/mechanical Ventilation Switch Assembly .................... 6-52
6.3.20 Remove the APL Valve Assembly.................................................................. 6-54
6.4 Electrical and Pneumatic Connections.......................................................................... 6-54
6.4.1 Electrical Connections...................................................................................... 6-55
6.4.2 Pneumatic Connections .................................................................................... 6-59
6.4.3 Connections between Pneumatic Circuit, Breathing System and Monitor Board
................................................................................................................................... 6-70
4
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.................................................... 7-18
7.1.14 Auxiliary Electrical Outlet Assembly (220V) ................................................ 7-20
7.1.15 Power Box Assembly ..................................................................................... 7-21
7.1.16 Rear Plate Assembly ...................................................................................... 7-22
7.1.17 CIS Assembly................................................................................................. 7-23
7.1.18 O2, N2O and AIR Supplies Inlet Assemblies................................................. 7-25
7.1.19 Auxiliary O2 Supply Assembly...................................................................... 7-26
7.1.20 O2+AIR System Switch ................................................................................. 7-27
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........................................................................................ 7-50
7.2.8 Bag/mechanical Ventilation Switch Assembly................................................. 7-52
7.2.9 Median Plate Assembly.................................................................................... 7-53
7.2.10 Lower Cover Assembly.................................................................................. 7-55
7.2.11 Expiratory Flow Sensor Assembly ................................................................. 7-56
7.2.12 Inspiratory Flow Sensor Assembly ................................................................ 7-57
7.2.13 Upper Cover 2 Assembly ............................................................................... 7-58
7.2.14 Folding Bag Assembly ................................................................................... 7-60
7.2.15 Lower Cover 2 Assembly............................................................................... 7-61
7.2.16 Airway Pressure Gauge Assembly ................................................................. 7-62
5
A.4 Protective Earth Resistance........................................................................................... A-3
A.5 Earth Leakage Test ........................................................................................................ A-5
A.6 Patient Leakage Current ................................................................................................ A-6
A.7 Mains on Applied Part Leakage .................................................................................... A-9
A.8 Functional test ..............................................................................................................A-11
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.
Battery Equipotential
Reset Standby
Mechanical
Bag position/ manual ventilation
ventilation
Lock Unlock
1-3
N2O supply
Air supply connector
connector
Manufacturer Vaporizer
1-4
The following definition of the WEEE label applies to EU member states
only.
This symbol indicates that this product should not be treated as household
waste. By ensuring that this product is disposed of correctly, you will help
prevent bringing potential negative consequences to the environment and
human health. For more detailed information with regard to returning and
recycling this product, please consult the distributor from whom you
purchased it.
* For system products, this label may be attached to the main unit only.
The product bears CE mark indicating its conformity with the provisions of
the Council Directive 93/42/EEC concerning medical devices and fulfils the
essential requirements of Annex I of this directive.
1-5
FOR YOUR NOTES
1-6
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
1.01X105 1.01X103 101 0.101 760 1 1.03 X103 1.01X103 1.01 14.7
2-1
2.2 Gas Flow
Air
2.2.1 Pneumatic Circuit Diagram
2-2
Patient
vaporizer vaporizer
2.2.2 Parts List
1 O2 P-Line 29 Double-vaporizer manifold
2 O2 cylinder 30 Check valve
3 Air P-Line 31 Pressure relief valve (38 kPa)
4 N2O P-Line 32 ACGO selector switch
5 N2O cylinder 33 Inspiratory valve
6 Regulator (0.4 MPa) 34 Sodalime canister
7 Safety valve (0.7 MPa) 35 BYPASS valve
8 Filter 36 Expiratory valve
9 Regulator (0.2 MPa) 37 Inspiratory flow sensor
10 Inlet gas flow regulator 38 Expiratory flow sensor
11 Flow sensor (Venturi) 39 O2 flow sensor
12 Mechanical overpressure valve 40 Scavenging reservoir and noise eliminator
(100 cmH2O)
13 Pop-Off valve 41 Bag/mechanical ventilation switch
14 PEEP safety valve 42 Manual bag
15 Pressure switch (140 kPa) 43 APL valve
16 Proportional PEEP valve 44 Modular rack (supporting gas module)
17 Expiratory valve 45 Bellows assembly
18 Pneumatic resistor 46 Auxiliary O2 supply
19 O2 flush valve 47 Airway pressure gauge
20 Pressure switch (37 kPa) 48 Pressure sensor
21 Flow restrictor 49 Water collection cup
22 System switch 50 Single-vaporizer manifold
23 Pressure switch (0.2 MPa) 51 Pressure relief valve (10 cmH2O)
24 Regulator (0.2 MPa) 52 Negative pressure valve(1 cmH2O)
25 O2-N2O cut-off valve(0.1 MPa) 53 Pressure sensor
26 Flow control assembly (flow 54 AGSS (AGSS transfer and receiving
regulator) system)
27 Electronic flowmeter&throttling 55 Pressure relief valve (11 kPa)
device
28 Float flowmeter \ \
2-3
2.2.3 Key to Symbols
Filter Regulator
2.2.4 Description
2.2.4.1 Gas Supplies
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.
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 22, O2 flush valve 19 and auxiliary O2
supply 46 respectively). One pathway of O2 flows into system switch 22 and the other into
O2 flush valve 19. N2O flows into O2-N2O cut-off valve 25 and Air into system switch 22.
N2O tube
25. O2-N2O
O2 pipeline cut-off valve
supply inlet 22.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
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.
Outlet of anesthetic
gas delivery device
From O2 flush to
ACGO
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.
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
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.
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
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.
2-14
Two optional input ports
(select either of them)
Pneumatically-controll
ed module
Outputs drive gas
Outputs gas
discharged through
PEEP outlet
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.
Circuit adapter
47.Airway pressure
gauge
2-18
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℃.
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
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.
2-19
Receiving hose
Hook
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.
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.
3-1
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.
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.
3-2
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 flowmeter indicates
the maximum or minimum flow to avoid damaging the control valve.
1. Set the system switch to the position and connect the cylinders to be checked.
NOTE
z For N2O test, turn on the O2 supply after the test is completed. Turn off the N2O
main switch first. Turn on the N2O flowmter to ensure that there is no residual
N2O and that the N2O pressure gauge returns to zero. Then turn off the O2 supply.
3-3
3.4 Flow Control System Tests
3.4.1 Without O2 Sensor
NOTE
z Turn the flow controls slowly. Do not turn further when the flowmeter indicates
the maximum or minimum flow to avoid damaging the control valve.
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.
4. Connect the AC power source if battery capacity shortage occurs. Do not use the system
if other ventilator failure alarm occurs.
5. Set the flow controls to mid range. Check that the flowtube float moves smoothly and
that the electronic flowmeter displays normally.
6. 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.
3-4
7. 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.
4. Connect the AC power source if battery capacity shortage occurs. Do not use the system
if other ventilator failure alarm occurs.
5. Set the flow controls to mid range. Check that the flowtube float moves smoothly and
that the electronic flowmeter displays normally.
6. 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.
3-5
7. 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.
8. Turn all the flow controls fully clockwise (minimum flow).
9. Disconnect the pipeline supply or close the cylinder valve.
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.
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
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.
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.
2. Set the system switch to the position or set the system to Standby.
8. Press and hold the O2 flush button . Measure the time required for the reading on
the pressure gauge to reach 10 cmH2O.
9. Repeat the operation (open patient connection and press the bag to completely collapse
the bag) at least twice.
10. 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
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 end of
inspiration, and remains closed during expiration.
The expiratory check valve opens during expiration and closes at the end of
expiration, and remains closed during inspiration.
3-8
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.
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.
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 to occlude the outlet of Y
piece.
3. Turn the fresh gas flow control to set the fresh gas flow to approximately OFF.
4. Push the O2 flush button to fill the bellows, bellows rising to the top.
6. Select the [Maintenance] shortcut key and select [System Leak&Compliance Test] to
enter the manual leak test screen. Select [Skip] to enter the auto leak test screen. Select
[Continue] to start the breathing system leak test and compliance test in mechanical
ventilation mode. Typically, the test requires 3 to 5 minutes.
3-9
7. When the leak test is completed, the screen for auto leak&compliance test result is
switched to automatically, prompting the system leakage and system compliance test
result.
1) If the leakage is less than or equal to 200 ml/min, it indicates that the system has good
airtightness. The actual leakage is displayed in green.
2) If the leakage is between 200 and 1000 ml/min (including 1000 ml/min), it indicates
that the system has some leakage. The actual leakage is displayed in red.
3) If the leakage is greater than 1000 ml/min, it indicates that the system has significant
leakage. “>1000 ml/min” is displayed in red.
4) “Fail” is displayed directly when the leak test cannot be executed or the leakage is too
serious.
5) If the tube compliance is displayed in green numerics, it indicates that the tube compliance
measured value is within the reasonable range. If tube compliance measurement is failed
because the leakage exceeds 200 ml/min or due to other reason, the failure message is
displayed directly.
8. If the leak test is passed, it indicates that leakage of mechanical ventilation circuit is
within 0.2 L/min and the system has good airtightness. If the leak test is failed, it
indicates that the leakage of mechanical ventilation circuit exceeds 0.2 L/min and the
leak test screen prompts the user to do the following checking:
1) If the Y-shaped tube is sealed;
2) If the bellows rises to the top of the bellows housing;
3) If the O2 sensor is installed;
4) If the sampling port is occluded;
5) Select Retry to do the test again and select Override to enter Standby.
Check following the above steps. Select Retry to do the test again. If the leak test is still
failed, overhaul the machine.
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.
3-10
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.
3-11
Failure description Possible cause Recommended action
During leak test, the alarm Safety valve control failure by the Restart the machine. Verify if the
of [Ventilator Hardware auxiliary control board. safety valve is controllable by
Error 11] occurs. using the safety valve control
command of the monitor board.
If the safety valve is damaged,
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.
NOTE
z Perform leak test again each time after servicing the anesthesia machine, replacing
the components, or re-connecting the tubes.
3-12
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.
There are two methods available for breathing system leak test in manual ventilation mode.
One is by software auto test and the other by manual test.
Way 1: Push the [Maintenance] key to enter the maintenance menu. Select [Factory
Maintenance>>] and enter the required password to enter the factory maintenance menu.
Select [System Setup] and switch on leak test in the system setup menu. Then restart the
machine. Select [Continue] on the startup selftest result screen to enter the manual leak test
screen.
Way 2: Make sure that the system is Standby. If not, press the key and select [Ok] from
the pop-up menu to enter Standby. Push the [Maintenance] key to enter the maintenance
menu. Select [System Leak&Compliance Test] to enter manual leak test screen.
3-13
3.7.3.2 Manual Test
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/vent 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.
3-14
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.
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 4.5Adjust the APL
Valve.
3-15
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).
3-16
3.9 Alarm Tests
3.9.1 Prepare for Alarm Tests
1. Connect a test lung or manual bag to the Y piece patient connection.
8 Press the key and select [Ok] from the pop-up menu to exit Standby.
9. Make sure that:
The ventilator displays the correct data.
The folding bag inside the bellows inflates and deflates normally during
mechanical ventilation.
3-17
3.9.2 Test the O2 Concentration Monitoring and Alarms
NOTE
z This test is not required if O2 sensor is not configured.
2. Remove the O2 sensor and make sure that the sensor measures approximately 21% O2 in
room air.
3. Select the [Alarm Setup] shortcut key and then [Ventilator >>]. Set the FiO2 low alarm
limit to 50%.
4. Make sure that a low FiO2 alarm occurs.
5. Set the FiO2 low alarm limit to a value less than the measured FiO2 value and make sure
that the alarm cancels.
6. Put the O2 sensor back in the circuit.
7. Select the [Alarm Setup] shortcut key and then [Ventilator >>]. Set the FiO2 high
alarm limit to 50%.
8. Connect the manual bag to the manual bag port. Push the O2 flush button to fill the
manual bag. After two to three minutes, make sure that the sensor measures
approximately 100% O2.
9. Make sure that a high FiO2 alarm occurs.
10. Set the FiO2 high alarm limit to 100% and make sure that the alarm cancels.
3-18
3.9.4 Test the Apnea Alarm
1. Connect the manual bag to the manual bag port.
3. Turn the APL valve control to set the APL valve to the minimum position.
4. Inflate the manual bag to make sure that a complete breathing cycle occurs.
5. Stop inflating the manual bag and wait for at least 20 seconds to make sure that the
apnea alarm occurs.
6. Inflate the manual bag to make sure that the alarm cancels.
5. Push the O2 flush button for approximately 15 seconds. Make sure that the sustained
airway pressure alarm occurs.
6. Open the patient connection and make sure that the alarm cancels.
2. Select the [Alarm Setup] shortcut key and then [Ventilator >>].
3. Set the Paw low alarm limit to 0 cmH2O and Paw high alarm limit to 5 cmH2O.
4. Make sure that a high Paw alarm occurs.
5. Set the Paw high alarm limit to 40 cmH2O.
6. Make sure the high Paw alarm cancels.
3-19
3.9.7 Test the Low Paw Alarm
NOTE
z Do not block the AGSS pressure compensation openings during the inspection.
3-20
Top cover
b.Take out the nut, fixed plate and filter screen by turn.
Nut
Fixed plate
Filter screen
3. The waste gas disposal system is not working or the pump rate is less than 60 L/min at
which the AGSS works normally. Check if the waste gas disposal system reaches the
pump rate range of 50-80 L/min specified by the AGSS.
3-21
3.10.2 Check the Transfer Tube and Active Scavenging Tube
Disconnect the tubes from other components.
1. Check the transfer tube and its connectors for damage. If any damage is detected,
replace the tube (four transfer tubes are available in the AGSS accessories for your
replacement).
Transfer tube
2. Check:
1).The receiving hose and its connectors for damage.
2).If the connections between the receiving hose and its connectors are loose.
3).The nylon pad and seal for damage.
If any damage or loose connection is detected, replace the corresponding component.
Receiving hose
Nylon pad Connector of the disposal Pressing plate
system
3-22
Connector of the
Pressing plate
receiving system
Receiving hose
O-ring
Battery LED
3. Unplug the power cord with the system turned on. The message [Battery in Use] is
displayed. Meanwhile, the AC power LED is extinguished and the battery LED is
flashing.
4. Reconnect the AC power. The prompt message disappears. The AC power LED is
illuminated. The battery LED stops flashing and stays ON.
3-23
FOR YOUR NOTES
3-24
4 Maintenance and Calibration
WARNING
z When it comes to test and maintain the equipment, make sure that the patient is
disconnected from the equipment.
z The equipment may have been used on patients carrying infectious diseases. Before
testing or maintaining the equipment, wear sterile rubber gloves to reduce the risk
of being infected.
z When the equipment to be maintained contains blood or other secretion, clean,
disinfect and sterilize the equipment by strictly following the control and safety
handling procedures for infectious diseases.
NOTE
z These schedules are the minimum frequency based on typical usage of 2000 hours
per year. You should service the equipment more frequently if you use it more than
the typical yearly usage.
z To avoid equipment damage or personal injury, replace the parts which need to be
replaced periodically even if they are not worn or damaged when the due date
arrives.
4-1
4.1.1 One-year Replaceable Parts
List of one-year service package (0621-30-78479):
4-2
Seal(M6M-010021---)
Filter(0611-20-45600)
4-3
2. As required, replace the seals (M6M-010014---) where vaporizer manifold connectors
meet the vaporizers every 12 months
Seals to be replaced
3. As required, replace the seal for valve cover (M6M-010031--) and valve seal
(M6M-010033---) every 12 months.
Seal(M6M-010031---)
Seal(M6M-010033---)
4-4
4. As required, replace the seal for water collection cup (M6M-010038---) every 12
months.
Seal(M6M-010038---)
5. As required, replace the sealing component for sodalime canister outlet (0601-20-78843)
and sealing component for sodalime canister (0601-20-78842) every 12 months.
4-5
6. As required, replace the seal for sodalime canister support (M6M-010032--) every 12
months.
Seal (M6M-010032--)
7. As required, replace the seal for pressure sampling connector (M6M-010063---), seal for
fresh gas and ACGO (M6M-010006---), seal for drive gas and APL discharge
(M6M-010058---) every 12 months.
4-6
8. As required, replace the seal for bellows housing (0601-20-78848) and folding bag
(0601-10-69901) every 12 months.
Folding bag
(0601-10-69901)
4-7
9. As required, replace the seal for axis of bag/mechanical ventilation switch
(0030-10-13077) every 12 months. For details, refer to 6Repair and Disassembly.
Screws to be unscrewed
Seal(0030-10-13077))
Pull out the pin axis after
removing the seal herein
4-8
10. As required, replace the BYPASS large sealing cushion (0601-20-78840) every 12
months.
4-9
13. Flow sensor calibration (refer to 4.3.2).
14. O2 sensor calibration (refer to 4.3.6).
15. APL valve accuracy adjustment (refer to 4.5).
16. Low pressure leak test (refer to steps 1 through 8 of “4.Leak test of all pipelines on the
circuit adapter” in 5.3.4.2Leak Test of Low-pressure Pneumatic Circuit System).
4-10
Breathing
After each
system leak Check the pneumatic circuit in manual ventilation mode
service or at
3 test in manual for leaks, including APL valve, check valve, sodalime
the time of
ventilation canister, patient tubes, flow sensors and their connectors.
return visit
mode
Check if the zero points of all the flow sensors and After each
Check the
pressure sensors inside the machine are within the normal service or at
4 sensors’ zero
range so as to determine when to replace the monitor the time of
points
board. return visit
1. Check if the measurements made by the flow sensors
inside the machine are the same. After each
Check the flow
2. Check if the measurement made by any flow sensor service or at
5 sensor
inside the machine is accurate. the time of
accuracy
3. Check the effectiveness of flow calibration (factory) return visit
result.
1. Check if the measurements made by the pressure
sensors inside the machine are the same. After each
Check the
2. Check if the measurement made by any pressure sensor service or at
6 pressure sensor
inside the machine is accurate. the time of
accuracy
3. Check the effectiveness of pressure calibration (factory) return visit
result.
Check the 1. Check if the measurement made by the electronic After each
electronic flowmeter is normal. service or at
7
flowmeter 2. Check the effectiveness of electronic flowmeter the time of
accuracy calibration result. return visit
NOTE
z The main function of the anesthesia machine is to provide breathing
support—mechanical ventilation which complies with the doctor’s settings to the
patient. The tests in this section are performed aiming to ensure that the machine is
able to provide normal mechanical ventilation.
z The tests can help to judge if the machine operates normally.
4-11
4.2.1.1 Check Volume Control Ventilation (VCV)
NOTE
z VCV is the standard ventilation mode of the anesthesia machine and also the most
basic mechanical ventilation mode.
To check VCV:
1. Make sure that the supply pressure is normal and that the tubes in the breathing circuit
are correctly connected as required for mechanical ventilation. Connect a 2 L bag, which
is used as the test lung, to the Y piece in the patient circuit.
2. Set the bag/mechanical ventilation switch to the mechanical ventilation position.
3. Select VCV as the ventilation mode.
4. Adjust total amount of fresh gas to 0.5 L/min.
5. Set the following combinations of TV and Rate respectively: 300 ml and 15 BPM, 600
ml and 15 BPM, 900 ml and 15 BPM, 1200 ml and 15 BPM. Set others to the defaults.
Record the displayed TVe and Ppeak values, and the peak pressure reading on the
airway pressure gauge in each setting stabilized status.
6. Judge if the above measured data meet the following conditions:
TV control and measurement are normal: the displayed TVe value should be within
the range of TV setting X (1±10%) ml.
Circuit leak is within the acceptable range: the folding bag can reach the top of the
bellows housing each time and the lowest graduation on the bellows housing which
the bag falls to each time corresponds to approximately TV setting.
Pressure measurement is normal: the Ppeak measured value is close to the peak
pressure reading on the airway pressure gauge. The error should not exceed 2
cmH2O.
No other ventilation failure occurs: the Paw and flow waveforms are displayed
normally and no technical alarms occur.
If the above test requirements are not met, perform subsequent checks and do the test again.
NOTE
z If any errors are detected during VCV test, perform troubleshooting as per
5Troubleshooting and do the test again until the system is normal.
4-12
4.2.1.2 Check Pressure Control Ventilation (PCV)
NOTE
z PCV is one of the basic mechanical ventilation modes of the anesthesia machine.
PCV is configured depending on the user’s selection and machine type. If the
anesthesia machine under test is not configured with this mode, this test is not
required.
To check PCV:
1. Make sure that the supply pressure is normal and that the tubes in the breathing circuit
are correctly connected as required for mechanical ventilation. Connect a 2 L bag, which
is used as the test lung, to the Y piece in the patient circuit.
2. Set the bag/mechanical ventilation switch to the mechanical ventilation position.
3. Select PCV as the ventilation mode.
4. Adjust total amount of fresh gas to 0.5 L/min.
5. Set the following combinations of Pinsp, Rate and PEEP respectively: (10 cmH2O, 15
BPM, OFF), (15 cmH2O, 12 BPM, 5 cmH2O), (20 cmH2O, 10 BPM, 8 cmH2O). Set
others to the defaults. Record the displayed Ppeak and PEEP values, and maximum and
minimum readings on the airway pressure gauge in each setting stabilized status
6. Judge if the above measured data meet the following conditions:
Pressure control and measurement are normal: the displayed Ppeak value should be
within the range of Pinsp setting ±2 cmH2O.
Circuit leak is within the acceptable range: the folding bag can reach the top of the
bellows housing each time.
Pressure measurement is normal: in one breathing cycle, the Ppeak measured value
should be close to the maximum reading on the airway pressure gauge (with error
not exceeding 2 cmH2O) and the displayed PEEP value close to the minimum
reading on the airway pressure gauge (with error not exceeding 1 cmH2O).
No other ventilation failure occurs: the Paw and flow waveforms are displayed
normally and no technical alarms occur.
If the above test requirements are not met, perform subsequent checks and do the test again.
NOTE
z If any errors are detected during PCV test, perform subsequent checks and do the
test again until the errors are corrected.
4-13
4.2.2 Breathing System Leak Test in Mechanical Ventilation
Mode
For details, refer to 3.7.2Breathing System Leak Test in Mechanical Ventilation Mode.
NOTE
z The zero point A/D value of the airway pressure sensor and PEEP pressure sensor
should fall within the normal range of 400 to 800.
z The zero point A/D value of the inspiratory flow sensor, expiratory flow sensor and
built-in ventilator flow sensor should fall within the normal range of 200 to 1000.
z If the zero point of the pressure sensor has an error, in ventilation status, the
baseline of the Paw waveform is not at the zero point and a great deviation occurs
between pressure control and measurement.
z If the zero point of the inspiratory/expiratory flow sensor has an error, in
ventilation status, the baseline of the flow waveform is not at the zero point and a
great deviation occurs between TV control and measurement.
z If the zero point A/D value of any sensor is outside of the normal range, it cannot
be corrected. The monitor board must be replaced.
4-14
4.2.5 Check the Flow Sensor Accuracy
NOTE
z If a great deviation of TV measured value occurs, test the measurement accuracy
of flow sensors so as to determine whether to perform flow calibration again.
4-15
4.2.6 Check the Pressure Sensor Accuracy
NOTE
z Generally, measurement deviations do not easily occur to pressure sensors.
However, in case of maintaining or replacing the monitor board, three-way valve
assembly, or expiratory valve assembly, you need to perform pressure calibration
and check the flow sensors accuracy so as to confirm the effectiveness of
calibration.
1. Make sure that the pressure sampling line and calibration device (or other pressure
measurement device) are connected in parallel, similar to tubes connection in pressure
calibration. For details, refer to 4.3.3Pressure Calibration (Factory).
2. When the system is Standby, select the [Maintenance] shortcut key → [Factory
Maintenance >>] → [Diagnostic Test >>] → [Valves—Test Tool >>] to access the
[Valves—Test Tool] menu.
3. Set PEEP safety valve to [ON].
4. Increase the D/A value of the PEEP valve, causing the measured pressure value of the
anesthesia machine calibration device to fall with the following ranges respectively:
(5±1) cmH2O, (20±1) cmH2O, (50±1) cmH2O, (70±2) cmH2O, (90±2) cmH2O. Record
the measured pressure values of the airway pressure sensor and PEEP pressure sensor to
which each setting corresponds respectively.
5. Make sure that the deviation between the measured data of the airway pressure sensor,
PEEP pressure sensor and that of the anesthesia machine calibration device must not
exceed 1 cmH2O or 2% of the measured value of the calibration device, whichever is
greater. Otherwise, refer to 4.3.3Pressure Calibration (Factory) to perform pressure
calibration again.
4-16
4.2.7 Check the Electronic Flowmeter Accuracy
NOTE
z When a great measurement deviation occurs to the electronic flowmeters, checkthe
electronic flowmeter accuracy so as to determine whether to calibrate the
electronic flowmeters again.
1. When the flowmeter tubes are correctly configured, if alarms related to flowmeter
calibration data error occur, re-calibration is necessary.
2. Adjust the needle valve of the flowmeter of the supply gas under test (O2 or Air).
Compare the measured value by the electronic flowmeter and that by the float flowmeter.
If a great deviation occurs between the value displayed by electronic flowmter LED and
the reading on the float flowmeter, such as more than 1 L/min, you may need to
calibrate again (this method is suitable for comparison of more than 3 L/min flow due to
low accuracy).
3. Use the anesthesia machine calibration device to check the accuracy of electronic
flowmeter further. Connect the low flow (0 to 15 L/min) inlet of the calibration device
to the fresh gas port of the breathing system and position the low flow (0 to 15 L/min)
outlet of the calibration device to the air.
4. Select the same gas for the anesthesia machine calibration device to that under test, O2
or Air.
5. Adjust the electronic flowmeter, causing the measured flow value by the calibration
device to fall within the setting range, such as (3.0±1) L/min, (5.0±1) L/min, (8.0±2.0)
L/min. Record the displayed value by the electronic LED to which each setting
corresponds respectively.
6. Make sure that the deviation between the reading on the calibration device and that on
the electronic flowmeter must not exceed 10% of the reading on the calibration device.
Otherwise, you need to calibrate the electronic flowmeter again.
4-17
4.2.7.2 Check the N2O Electronic Flowmeter Accuracy
NOTE
z When checking the accuracy of N2O electronic flowmeter, first adjust O2 flow to
sufficiently large (above 5 L/min), so as to make sure that O2 flow does not increase
when the needle valve of N2O supply flowmeter is being adjusted. Otherwise, you
need to increase O2 flow further and do the test again.
Due to the existence of O2-N2O chain linkage and O2-N2O cut-off valve, the method for
checking the accuracy of O2 or Air electronic flowmeter cannot be used for N2O electronic
flowmeter accuracy checking. When checking the accuracy of N2O electronic flowmeter,
eliminate the effect of O2 first.
4-18
4.3 System Calibration
NOTE
z Perform the corresponding calibration if any test item of the system test about
measurement accuracy is failed.
The anesthesia machine provides the function of monitoring volume, pressure, FiO2, CO2
concentration, AG concentration etc. When these measured values have great deviations, it is
very likely that measurement offset occurs to the relevant measurement parts. In this case,
you need to perform calibration again. After equipment service, such as replacing the monitor
board, expiratory valve assembly or three-way valve assembly, you need to calibrate the flow
sensors or pressure sensors.
The following table lists the possible calibration items and calibration time.
4-19
4 Pressure and flow Calibrate the deviation Flow or Paw waveforms deviates from
zeroing (factory) from zero point of the the baseline.
monitor board and
auxiliary monitor board.
5 Electronic Calibrate the deviation The electronic flowmeter has a zero point
flowmeter zeroing from zero point of the error. The electronic flowmeter still
(factory) electronic flowmeter displays flow when fresh gases are all
board. turned off.
6 O2 sensor Calibrate the accuracy of 1. The measured value of the O2 sensor
calibration (user) O2 sensor at 21% and has a great deviation. The deviation
100% O2. exceeds 3% both in Air and pure O2.
2. The O2 sensor is replaced.
3. The monitor board is replaced.
7 CO2 calibration Calibrate to cause the The measurement deviation of the module
(factory) module to work more exceeds the specified accuracy range.
accurately.
8 AG calibration Calibrate to cause the The measurement deviation of the module
(factory) module to work more exceeds the specified accuracy range.
accurately.
9 O2 module Calibrate to cause the 1. The measurement deviation of the
calibration module to work more module exceeds the specified accuracy
(factory) accurately. range.
2. The O2 module is replaced.
Select the [Maintenance] shortcut key → [Factory Maintenance >>]. Enter the required
password to access the [Factory Maintenance] menu, where you can perform the following
calibrations and settings.
4-20
4.3.1 Flow Calibration (user)
NOTE
z The measurements performed by the flow sensors may be affected by the
environment where the sensors are used. After the sensors have been used for a
long time, great deviations may occur to the measurement results and tidal volume
control as well. This problem can be fixed through flow sensor calibration.
z When replacing sensors or after re- installing sensors, you need to calibrate flow
sensors again.
z Before calibration, perform leak test of the breathing system in mechanical
ventilation mode first and make sure that the test is passed.
z During calibration, make sure that the drive gas pressure is kept above 0.3 MPa.
Failure to do so may lead to calibration failure.
This calibration is only intended for the flow sensors in the breathing circuit. The inspiratory
flow sensor and expiratory flow sensor in the breathing system are calibrated through the
built-in flow measurement reference.
After the inspiratory flow sensor and expiratory flow sensor have been used for several
months, for example, three months after calibration, great deviations (more than 10%
compared with the setting value) may occur to tidal volume measurement due to sensor
ageing or environmental factors. Or, the user replaces flow sensors. In this case, you need to
re-calibrate flow sensors. For details about user flow calibration, refer to the corresponding
section in the Operator’s Manual.
NOTE
z If measurement deviations are not corrected after multiple flow sensor
calibrations, the user is recommended to replace the flow sensor and then perform
calibration. If the problem persists, factory maintenance is necessary. After the
problem is fixed, perform calibration and system test.
4-21
4.3.2 Flow Calibration (factory)
NOTE
z Factory flow calibration is necessary in case of replacing the monitor board,
expiratory valve assembly or three-way valve assembly.
z When a great deviation is detected between the measured value of the built-in
flow sensor and that of the standard flow measurement device, you need to
perform factory flow calibration.
This calibration is intended for the flows sensors in the breathing circuit, ventilator flow
sensor, and also inspiratory valve. The standard flow measurement device is used to calibrate
the flow sensors and inspiratory valve.
4.3.2.1 Preparations
NOTE
z Make sure that the tubes are not leaky when connected.
z Do not move or press the tubes during calibration.
z Before calibration, make sure that no sensor or valve related technical alarms
occurred.
z During calibration, make sure that the drive gas pressure is kept above 0.3 MPa.
Failure to do so may lead to calibration failure.
1. Before calibration, perform leak test of the breathing system in mechanical ventilation
mode. Perform calibration after the leak test is passed. For procedures about leak test,
refer to 3.7.2Breathing System Leak Test in Mechanical Ventilation Mode.
2. Remove the folding bag from the bellows and reinstall the bellows housing.
3. Remove the water collection cup beside the sodalime canister assembly in the breathing
system.
4. Connect the anesthesia machine calibration device to the power source.
5. WATO series anesthesia machines support Fluke VTPlus for flow calibration.
4-22
Connectors and settings related to Fluke VTPlus are shown below.
(1) Connect Fluke VTPlus to the power source. The following pictures show the connectors
on Fluke VTPlus.
RS232 connection
line to the anesthesia
machine
4-23
(3) Set up Fluke VTPlus as follows:
a. Gas setup: select Setup. Select Setting->ENTER->GasSettings->MODIFY->Gas
Type->O2->BACK->BACK.
b. Zeroing setup: select Setup. Select Setting->ENTER->Zero
Mode->Manual->BACK->BACK.
c. Serial port mode setup: select Setup. Select Setting->System->Enter->Serial Mode
->OTIS Ctrl->BACK->BACK.
d. After setting up VTPlus, calibration enters serial port mode screen.
Cylinder yoke
Cylinder regulator
2. Turn off all fresh gases. Connect the inspiratory and expiratory ports of the anesthesia
machine using a short tube, as shown below.
4-24
3. Make sure that the anesthesia machine is in standby mode. Select to enter factory flow
calibration screen. Select the [Maintenance] shortcut key → [Factory Maintenance
>>] → enter the required password → [Factory Cal. >>] → [Flow Cal.].
4. After entering the calibration screen, select the calibration device in the pull-down menu,
such as VTPlus. Select [Flow Cal.] to start calibration.
5. After the screen for connecting the calibration device appears, connect the anesthesia
machine and calibration device into a circuit. Select [Continue]. If VTPlus is selected as
the calibration device, select low flow channel first, as figure shows.
6. After the screen for switching range appears, create a circuit with anesthesia machine
and VTPlus high flow channel if VTPlus is selected as the calibration device, as show
below. Then select [Continue].
7. After flow calibration success is prompted, refer to 1.2.5Check the Flow Sensor
Accuracy to test the effectiveness of flow calibration. In case of calibration failure, first
fix the problem and then perform flow calibration again.
4-25
4.3.2.3 Commonly-encountered Problems and Recommended Actions
NOTE
z In the following table, there may be more than one actions to be taken. If taking one
action resolves the problem, you do not need to take subsequent actions.
2 00 00 00 02 Drive gas low. Replace the gas supply or make sure that the
gas supply pressure is between 350 and
450kPa.
3 00 00 00 04 The bag/vent switch is set Switch the bag/vent switch to Vent.
to Bag.
4 00 00 00 08 The zero point of the 1. Refer to 4.2.4Check the Sensor Zero Point
inspiratory flow sensor is .
abnormal. 2. Replace the monitor board assembly.
5 00 00 00 10 The zero point of the
expiratory flow sensor is
abnormal.
6 00 00 00 20 The zero point of flow
sensor inside the machine is
abnormal.
7 00 00 00 40 The inspiratory flow sensor 1. Check that the sampling line and the
abnormal. pneumatic circuit do not leak.
8 00 00 00 80 The expiratory flow sensor 2. Check the gas supply pressure.
abnormal. 3. Check the setting of the calibration device.
9 00 00 01 00 Internal flow sensor 4. Refer to 5.4Troubleshoot Sensor and Valve
abnormal. Related Failures by Using the Valves-test
Tool.
5. Replace corresponding flow sensor in the
circuit.
6. Replace the monitor board.
4-26
SN Calibration Potential cause Action to be taken
error code
10 00 00 02 00 The inspiratory flow sensor 1. Check that the sampling line and the
unidirection error. pneumatic circuit do not leak.
11 00 00 04 00 The expiratory flow sensor 2. Check the gas supply pressure.
unidirection error. 3. Refer to 5.4Troubleshoot Sensor and Valve
12 00 00 08 00 Internal flow sensor Related Failures by Using the Valves-test
unidirection error. Tool.
4. Replace corresponding flow sensor in the
circuit.
5. Replace the monitor board.
13 00 00 10 00 The inspiratory flow sensor 1. Check that the sampling line and the
resolution error. pneumatic circuit do not leak.
14 00 00 20 00 The expiratory flow sensor 2. Check the gas supply pressure.
resolution error. 3. Check the setting of the calibration device.
15 00 00 40 00 Internal flow sensor 4.Refer to 5.4Troubleshoot Sensor and Valve
resolution error. Related Failures by Using the Valves-test
Tool.
5. Replace corresponding flow sensor in the
circuit.
6. Replace the monitor board.
16 00 00 80 00 The valve output flow rate 1. Check that the sampling line and the
is insufficient. pneumatic circuit do not leak.
2. Check the gas supply pressure.
3. Check the setting of the calibration device.
4. Replace the inspiratory valve assembly.
17 00 01 00 00 The valve resolution is 1. Check that the sampling line and the
insufficient. pneumatic circuit do not leak.
2. Check the gas supply pressure.
3. Check the setting of the calibration device.
4. Check that the sampling line is properly
connected.
5. Refer to 5.4Troubleshoot Sensor and Valve
Related Failures by Using the Valves-test
Tool.
6. Replace the inspiratory valve assembly.
4-27
SN Calibration Potential cause Action to be taken
error code
18 00 02 00 00 The flow rate is not 1. Check that the sampling line and the
unidirectional. pneumatic circuit do not leak.
2. Check the gas supply pressure.
3. Check the setting of the calibration device.
4. Check that the sampling line is properly
connected.
5 .Refer to 5.4Troubleshoot Sensor and Valve
Related Failures by Using the Valves-test
Tool.
6. Replace the inspiratory valve assembly.
19 00 04 00 00 Communication with the 1. Check the connection between the
calibration device breaks calibration device and make sure the
off. communication line is ok. Otherwise replace
the communication line.
2. Check the setting of the calibration device.
Reset the calibration device if necessary.
20 00 08 00 00 Writing EEPROM failed Replace the monitor board assembly.
NOTE
z Factory pressure calibration is necessary in case of replacing the monitor board,
expiratory valve assembly or three-way valve assembly.
z When a great deviation is detected between the measured value of the built-in
pressure sensor and that of the standard pressure measurement device, you need to
perform factory pressure calibration.
This calibration is intended for the airway pressure sensor in the breathing circuit, PEEP
pressure sensor and PEEP proportional valve of the expiratory valve assembly. The standard
pressure measurement device is used to calibrate the pressure sensors and PEEP proportional
valve.
4-28
4.3.3.1 Preparations
NOTE
z Before pressure calibration, make sure that the tubes are not leaky when
connected.
z Do not move or press the tubes during calibration.
1. Let the anesthesia machine calibration device be powered. Refer to the method
described in 4.3.2Flow Calibration (factory) to manually zero the calibration device
first. Use the special communication cable to connect the calibration device to the
anesthesia machine. Fluke VTPlus can also be used for pressure calibration. Set up by
following the method described in 4.3.2.1Preparations.
2. A four-way device is required to connect the sampling lines for pressure calibration. The
following pictures show the four-way device, connectors on the anesthesia machine
calibration device, Fluke VTPlus and monitor board involved for pressure calibration.
4-29
Fluke VTPlus pressure sampling connector (high pressure)
3. Unplug the PEEP pressure sampling line from the PEEP pressure sampling connector on
the monitor board. Then connect it to one connector (Connector A) of the four-way
device.
4. Connect the second connector (Connector B) of the four-way device to the PEEP
pressure sampling connector (high pressure) on the monitor board.
5. Unplug the airway pressure sampling line from the airway pressure sampling connector
(high pressure) on the monitor board.
6. Connect the third connector (Connector C) of the four-way device to the airway pressure
sampling connector (high pressure).
7. Connect the fourth connector (Connector D) of the four-way device to pressure
sampling connector (high pressure) of the calibration device.
NOTE
z The sampling lines going through the four-way device must be connected to the
high pressure ends of the pressure sampling connectors of the pressure sensors.
z It is recommended to connect the sampling lines for pressure calibration to the
four-way device following the procedurs to avoid errors.
4-30
NOTE
z After pressure calibration, test the accuracy of pressure sensors by referring to
4.2.6Check the Pressure Sensor Accuracy.
z In case of calibration failure, first fix the problem and then perform pressure
calibration again.
NOTE
z In the following table, there may be more than one actions to be taken. If taking one
action resolves the problem, you do not need to take subsequent actions.
2 00 00 00 02 Drive gas pressure low. Replace the gas supply or make sure that the
gas supply drive pressure is between 350 and
450kPa.
3 00 00 00 04 The bag/vent switch is set Switch the bag/vent switch to Vent.
to Bag.
4 00 00 00 08 The zero point of the airway 1. Refer to 4.2.4Check the Sensor Zero Point
pressure sensor is abnormal.
5 00 00 00 10 The zero point of the Peep 2. Replace the monitor board assembly.
pressure sensor is abnormal.
6 00 00 00 20 The airway pressure sensor 1 .Check that the pipes and pneumatic circuit
abnormal. do not leak.
7 00 00 00 40 Peep pressure sensor 2. Check the gas supply pressure.
abnormal. 3. Check the setting of the calibration device.
4. Refer to 5.4Troubleshoot Sensor and Valve
Related Failures by Using the Valves-test
Tool.
5. Replace the monitor board.
4-31
SN Calibration Potential cause Action to be taken
error code
8 00 00 00 80 The airway pressure sensor 1. Check that the pipes and pneumatic circuit
unidirection error. do not leak.
9 00 00 01 00 Peep pressure sensor 2. Check the gas supply pressure.
unidirection error. 3. Refer to 5.4Troubleshoot Sensor and Valve
Related Failures by Using the Valves-test
Tool.
4. Replace the monitor board.
10 00 00 02 00 The airway pressure sensor 1. Check that the pipes and pneumatic circuit
resolution error. do not leak.
11 00 00 04 00 Peep pressure sensor 2. Check the gas supply pressure.
resolution error. 3. Check the setting of the calibration device.
4. Refer to 5.4Troubleshoot Sensor and Valve
Related Failures by Using the Valves-test
Tool.
5. Replace the monitor board.
12 00 00 08 00 The valve output pressure is 1. Check that the pipes and pneumatic circuit
insufficient. do not leak.
2. Check the gas supply pressure.
3. Check the setting of the calibration device.
4. Replace the Peep valve assembly.
13 00 00 10 00 The pressure is not 1. Check that the pipes and pneumatic circuit
unidirectional. do not leak.
2. Check the gas supply pressure.
3. Check the setting of the calibration device.
4. Refer to 5.4Troubleshoot Sensor and Valve
Related Failures by Using the Valves-test
Tool.
5. Replace the Peep valve assembly.
14 00 00 20 00 Communication with the 1. Check the connection between the
calibration device breaks calibration device and make sure the
off. communication line is ok. Otherwise replace
the communication line.
2. Check the setting of the calibration device.
Reset the calibration device if necessary.
15 00 00 40 00 Writing EEPROM failed Replace the monitor board assembly.
4-32
4.3.4 Pressure and Flow Zeroing (factory)
During the operation of the anesthesia machine, pressure and flow are zeroed automatically at
a specific interval. You can also zero pressure and flow manually in the factory maintenance
menu. Manual zeroing can eliminate the measurement deviations caused by zero offset
immediately. This system provides the function of pressure and flow automatic zeroing at a
specific interval.
NOTE
z In case of zeroing failure, other faults may exist. You must isolate and eliminate the
problem.
4-33
4.3.5 Electronic Flowmeter Zeroing (factory)
After the gas supply is disconnected, if the pointer of the pressure gauge returns to zero but
the electronic flowmeter still displays flow, it is possible that zero offset occurs to the
electronic flowmeter’s sensor. Generally, you can zero the flowmeter manually to eliminate
the measurement deviation caused by zero offset immediately.
NOTE
z In case of zeroing failure, other faults may exist. You must isolate and eliminate the
problem.
4-34
4.3.6 O2 Sensor Calibration (optional)
NOTE
z Calibrate the O2 sensor again when a great dviation of O2 concentration
monitored value occurs or when the O2 senosr or monitor board is replaced.
z Before calibration, observe if the O2 sensor displays numerics on the measure
screen. If not, confirm that the O2 measure switch is turned on, check the O2
sensor connection line, or replace the O2 sensor unitl measure numerics are
displayed.
4-35
4.3.7 CO2 Calibration (factory)
4.3.7.1 Preparations
Prepare the following before doing the calibration:
Gas cylinder: one or more cylinders filled with 3% , 4%, 5%, 6% , or 7% CO2
T-shape connector
Samping line
NOTE
z During the calibration, selecting [Calibrate] again does not take effect or exit the
calibration menu. Other operations than menu options are disabled until the end of
calibration.
Calibrate as follows:
1. Make sure that the CO2 module is already warmed up.
2. Select the [Maintenance] shortcut key → [Factory Maintenance >>] → enter the
required password → [Module Cal. >>] → [Gas Module Cal. >>] → [CO2 Module
Cal.].
3. Check the airway and make sure that there are no occlusions or leaks.
Vent the sampling line to the air and check that the current rate is approximately
150 mL/min.If the deviation is great, it means that the airway is occluded. Check
the airway for occlusions.
Block the gas inlet of the sampling line. The current rate should drop rapidly and
the message of airway occlusion should be prompted. Otherwise, it means that the
airway leaks. Check the airway for leakage.
4. Wait for the sensor temperature to reach and stay at 35ºC.
5. Select [Zero] to start zeroing.
4-36
6. Connect the gas cylinder to the sampling line using a T-shape connector, as shown
below.
Pressure relief
valve
Anesthesia
Sampling line machine
Gas cylinder
7. Vent the sampling line to CO2 opening the cylinder pressure relief valve.
8. In the [CO2 Module Cal.] menu, enter the vented CO2 concentration in the [CO2]
field.
9. In the [CO2 Module Cal.] menu, the measured CO2 concentration, barometric pressure,
sensor temperature and current pump rate are displayed. After the measured CO2
concentration becomes stable, select [CO2 % Cal.] to calibrate the CO2 module.
10. After a successful calibration, the screen shows [Calibration Completed!]. Otherwise,
the message [Calibration Failure! Please try again.] is displayed. In this case, you
need to do the calibration again.
4-37
4.3.8 AG Calibration (factory)
4.3.8.1 Preparations
Prepare the following before doing the calibration:
Gas cylinder, with a certain standard gas or mixture gas. Gas concentration should meet
the following requirements: AA≥1.5%, CO2≥1.5%, N2O≥40%, O2≥40%, of which
AA represents an anesthetic agent. a/c≤0.01 (a is the gas absolute concentration
accuracy; c is the gas concentration).
T-shape connector
Tubing
Tubing
Relief valve
AG module
Gas cylinder
6. Open the relief valve and vent a certain standard gas or gas mixture and make sure that
there is an excess gas flow through the T-shape connector to air.
4-38
7. In the [AG Module Cal.] menu, the measured gas concentration and flow are displayed.
If the difference between the measured gas concentration and the actual one is
tolerable, a calibration is not needed.
If the difference is great, a calibration should be performed.
8. Enter the vented gas concentration. If you use only one gas for calibration, set other
gases’ concentration to 0.
9. Select [Calibrate] to start a calibration.
10. If the calibration is finished successfully, the message [Calibration Completed!] is
displayed. Otherwise, the message [Calibration Failure! Please try again.] is
displayed. In this case, you need to do the calibration again.
WARNING
z When performing AG calibration, be sure to dispose of exhaust gas properly.
NOTE
z If the calibration fails, you can select [Defaults] to restore the factory default
calibration values. If the deviation is great, select [Calibrate] again to do a
calibration.
z If the calibration still fails, replace the AG module.
4-39
4.3.9 O2 Module Calibration (factory)
4.3.9.1 Preparations
Calibrate the O2 module once a year or when the measured value has a great deviation.
Prepare the following before doing the calibration:
Gas cylinder with 100% O2 and the O2 concentration not less than 99%.
T-shape connector
Tubing
NOTE
z Do not calibrate the O2 module when there are significant leaks in the airway.
z In case of calibration failure, select [Calibrate] again to do a calibration.
z If the calibration still fails, replace the O2 module.
z Calibrate the O2 module, if it has been transported for long distance or if you
suspect it does not work properly.
4-40
5. Connect the test system as follows.
Tubing
Relief valve
AG module
Gas cylinder
6. Open the relief valve and vent a certain standard gas or gas mixture and make sure that
there is an excess gas flow through the T-shape connector to air.
7. In the [O2 Module Cal.] menu, the measured gas concentration and flow are displayed.
If the difference between the measured gas concentration and the actual one is
tolerable, a calibration is not needed.
4-41
4.4 Software Upgrade and Software Configuration
Activation
CAUTION
z Software upgrade and software configuration activation can be performed by
professional service personnel only.
You can perform program upgrade on the anesthesia machine by downloading the upgrade
software through network. You can also perform online upgrade of the software supported
configuration through the activation code.
CAUTION
z Before software upgrade, disconnect the anesthesia machine from the patient and
back up the important data.
4-42
NOTE
z Make sure that the version of the upgrade package is the desired one. To obtain the
latest upgrade package, please contact us.
z Before upgrading the system software, check the version information of the booting
software. If it is not the latest, upgrade the booting software to the latest version
first and make sure of software compatibility.
You can select the following operations to upgrade the corresponding software based on your
requirement. You must perform 4.4.1.1Network Connection before upgrading any software.
NOTE
z Before upgrading any software, make sure that the network cable, Hub, and
notebook computer are connected correctly and reliably.
z The recommended length of the network cable is not greater than 1 m.
CAUTION
z Switching off or powering off the equipment during booting software upgrade can
cause system down.
4-43
NOTE
z When selecting the upgrade package, make sure that the checksum and version are
same to that provided by the factory.
To upgrade the booting software of the anesthesia machine:
1. Run the network upgrade downloading software on the notebook computer to access the
software upgrade screen.
2. Click [Select Package] to enter the [Select Package] menu.
4. Click [>>>]. Select the booting software of the anesthesia machine (Code: BIOS) in the
dialog box and then click [Open].
5. Check the checksum and version of the booting software as shown below.
4-44
9. Wait for the message prompting upgrade success. Select the [Maintenance] shortcut
key → [Factory Maintenance >>] → [System Information >>] to check the version
information of the booting software.
NOTE
z After completing booting software upgrade, turn on the anesthesia machine to
confirm the correctness of booting software version information.
NOTE
z Before upgrading the system software, check the version information of the booting
software. If it is not the latest, upgrade the booting software to the latest version
first and make sure of software compatibility.
z Before upgrading the system software, record the current settings of the anesthesia
machine so as to restore the pre-upgrade settings after software upgrade.
z When selecting the upgrade package, make sure that the checksum and version are
same to that provided by the factory. You also need to check the machine code
corresponding to the anesthesia machine to be upgraded.
Before upgrading the system software, note the matching between machine name and
machine code as listed below.
Machine name Machine code Notes
WATO EX-55 0621 /
WATO EX-65 0621 /
nd
WATO EX-50 (2 0613 Borrows the breathing circuit of WATO EX-55/65
generation circuit)
WATO EX-60 (2nd 0613 Borrows the breathing circuit of WATO EX-55/65
generation circuit)
WATO EX-50 (improved 0611C Built-in dual-flow sensor circuit after EBU017
circuit) engineering change
WATO EX-60 (improved 0611C Built-in dual-flow sensor circuit after EBU017
circuit) engineering change
WATO EX-50 (1st 0611 External single-flow sensor circuit before EBU017
generation circuit) engineering change
WATO EX-60 (1st 0611 External single-flow sensor circuit before EBU017
generation circuit) engineering change
4-45
To upgrade the system software:
1. Check and confirm that the booting software of the anesthesia machine is of the latest
version. If not, refer to 4.4.1.2Booting Software Upgrade to upgrade to the latest
version.
2. When selecting the system software upgrade package, confirm the correctness of
checksum and version. You also need to check the machine code, as shown below.
3. Other operations are similar to those for booting software upgrade. Refer to
4.4.1.2Booting Software Upgrade to finish the upgrade.
4. After upgrading the system software and confirming the version information, select the
[Maintenance] shortcut key → [Factory Maintenance >>] → [System Setup >>] →
[Drive Gas] to select the applicable drive gas.
NOTE
z After completing system software upgrade, turn on the anesthesia machine to
confirm the correctness of upgrade software version information.
z After completing system software upgrade, restore the pre-upgrade settings of the
system settings which are saved in case of power failure.
4-46
4.4.1.4 Module Software Upgrade
NOTE
z When selecting the upgrade package, make sure that the checksum and version are
same to those provided by the factory. You also need to check the module code
corresponding to the module to be upgraded.
The module software mentioned here includes monitor module software, auxiliary control
module software, power board software and electronic flowmeter software. Their upgrade
procedures are similar to those for booting software upgrade except that when selecting the
upgrade package, apart from making sure of the correctness of checksum and version, you
also need to confirm the module code corresponding to the module to be upgraded.
Before upgrading the module software, note the matching between module name and module
code as listed below.
4-47
To upgrade the module software:
1. When selecting the module software upgrade package, confirm the correctness of
checksum and version. You also need to check the module code, as shown below.
2. Other operations are similar to those for booting software upgrade. Refer to
4.4.1.2Booting Software Upgrade to finish the upgrade.
NOTE
z After completing module software upgrade, turn on the anesthesia machine to
confirm the correctness of upgrade software version information.
4-48
4.4.1.5 Commonly-encountered Problems and Recommended Actions
4-49
4.4.2 Software Function Activation
For system software version greater than V03.01.00, online upgrade is supported. The factory
can activate all the functions listed in the following table through activation codes. When the
user wants to add any function listed in this table, the service engineer can apply to the
factory for activation code so as to activate the corresponding function.
Function Description
PCV Pressure control ventilation mode
PSV Pressure support ventilation mode
SIMV Synchronized intermittent
mandatory ventilation mode
Spirometry loops F-V and P-V loops
NOTE
z To apply for activation code, you must provide the relevant information of the
anesthesia machine whose configurations are to be activated, such as machine ID,
existing configuration and configuration to be activated.
When the user wants to add any paid configuration listed in the above table, the service
engineer must apply to the Service Department for the software function activation code
based on the user’s need.
1. Record the serial number of the anesthesia machine (see the label on the left side of the
machine) whose configurations are to be activated.
2. Record the machine ID and the current configuration of the anesthesia machine. Select
the [Maintenance] shortcut key → [User Maintenance >>] → [Configuration
Information >>] to open the configuration information menu as shown below.
4-50
3. Record the configuration the user wants to activate.
4. Return the above recorded information to the Service Department to apply for the
corresponding activation code.
NOTE
z Before activation, check and record the user’s existing paid configurations and also
the paid configurations to be added.
z After entering the activation code, make sure that the entered activation code is
same to that provided by the factory.
4-51
3. Select [Activate]. If the entered activation code is correct, a prompt message is
displayed as shown below.
4. Select [Ok] to restart the anesthesia machine so as to activate the new configuration.
NOTE
z Powering off the anesthesia machine before the message [Function activation
completed! Please restart the anesthesia machine to activate the function.] is
prompted can damage the BIOS program on the main control board.
z After activation success is promted, restart the anesthesia machine to activate both
the existing and new paid configurations after software upgrade.
4-52
4.4.2.3 Commonly-encountered Problems and Recommended Actions
Flowmeters
The software configuration of electronic flowmeters needs to be reset by the service engineer
when:
The user wants to change the existing electronic flowmeters.
The user wants to change the existing software configuration of electronic flowmeters.
The existing software configuration of electronic flowmeters does not meet the user’s
need.
NOTE
z Before changing the software configuration of electronic flowmeters, check the
number of tubes the user requires and the flowmeter standard complied (tube
order).
4-53
4.4.3.1 Check the Software Configuration of Electronic Flowmeters
Before resetting the software configuration of electronic flowmeters, check the configuration
information of the electronic flowmeters to be changed. The following table lists the
configuration information of electronic flowmeters including tube order and color which a
specific standard matches with.
One tube O2 / /
Three tubes Air N2O O2
Two tubes / N2O O2
Green Blue Yellow
American
Two tubes Air / O2 (0, 255, 0) (0, 0, 255) (255, 255, 0)
One tube / / O2
4-54
4.4.3.2 How to Change the Software Configuration of Electronic
Flowmeter
To change the software configuration of electronic flowmeters:
1. Select the [Maintenance] shortcut key → [Factory Maintenance >>] → [Function
Configuration >>] → [Select Flowmeter >>] to open the [Select Flowmeter] menu as
shown below.
4. Select [Ok] and then restart the anesthesia machine to activate the selected
configuration.
5. Check and confirm that the software configuration of electronic flowmeters is changed
as expected.
4-55
NOTE
z Powering off or restarting the anesthesia machine before the message [Please
restart the anesthesia machine to activate the selection.] is prompted can damage
the BIOS program on the main control board.
z After the software configuration of electronic flowmeters is changed, restart the
anesthesia machine to activate the configuration.
4-56
4.4.4.1 Check the Corresponding Relationship between the Loaded
Module and its Software Function
The following table lists the modules which can be loaded and their respective functions.
4.4.4.2 How to Load the Software Function of Gas Modules or BIS Module
To load the software function of the gas modules or BIS module:
1. Select the [Maintenance] shortcut key → [Factory Maintenance >>] → enter the
required password → [Function Configuration >>] → [Select Module >>] to open the
module selection menu. Select one or more from [CO2], [AG] and [BIS].
2. After the selection, restart the anesthesia machine or re-plug in the module to activate
the added module.
4-57
4.4.4.3 Commonly-encountered Problems and Recommended Actions
4-58
NOTE
z After an O2 sensor is configured, if the FiO2 value is displayed as [---], make sure
that O2 sensor software function is loaded already. Then check the electrical
connection of the O2 sensor. If [O2 Sensor Unconnected] or [Replace O2 sensor] is
alarmed, usually, the problem lies in the electrical connection of the O2 sensor.
Refer to 5Troubleshooting to troubleshoot the problem.
z After adding or replacing an O2 sensor, calibrate the O2 sensor at 21% O2 and
100% O2. For details, refer to the section about O2 sensor calibration.
NOTE
z After upgrading the system software or replacing the main control board, select the
applicable drive gas based on the drive gas configuration of the equipment. The
default drive gas is O2.
After the system software is upgraded and the main control board is replaced, the service
engineer needs to set up the type of drive gas again based on the drive gas configuration of
the anesthesia machine.
4-59
4.5 Adjust the APL Valve Accuracy
To calibrate the APL valve:
1. Connect the inspiration connector and bag arm port using a breathing tube, as shown
below.
4-60
Locking ring Valve cover Dig out the valve cover from here
using a flathead screwdriver.
Flathead
screwdriver
Locking ring
mounting fixture
APL valve
4-61
FOR YOUR NOTES
4-62
5 Troubleshooting
5.1 Introduction
In this chapter, anesthesia machine problems are listed along with possible causes and
recommended actions. Refer to the tables below to check the anesthesia machine, isolate
and eliminate the problems.
Once isolating the part you suspect defective, refer to 6Repair and Disassembly and 7Parts
to disassemble the equipment and repair and replace the defective part.
The following sections detail how to troubleshoot technical alarms related to the ventilator
and electronic flowmeter. For detailed information on possible causes and actions for
technical alarm messages of other modules, refer to the Operator’s Manual.
5-1
Alarm message Level Possible cause Recommended action
Battery in Use L The battery is being used. 1. Check the connection to the AC
mains.
2. If the AC mains supply is
connected normally and the voltage
is normal, check the connection
between the AC mains and the
power board. Check the AC mains
inlet.
3. If the problem persists, replace
the power board.
Battery H No battery was installed. 1. Check if the battery voltage is
Undetected Or, the battery was not normal.
connected to the power 2. Check if the cable is connected
module. normally.
3. Replace the battery.
4. If the problem persists, replace
the power board.
Power System H Communication cable error 1. Re-plug the communication
Comm Stop between the power board cable.
and the main control board 2. Replace with a new
communication cable.
3. Check if the power board
software is correct. Update the
power board software again when
necessary.
4. If the problem persists, replace
the power board.
5. If the problem persists, replace
the main control board.
Power board software 1. Restart the machine.
failure 2. Disconnect the battery from the
AC mains. After the power board
processor is powered off for 5
minutes, power it on again.
3. Update the power module
software.
Power board hardware 1. Refer to 5.5Hardware and
failure Electrical Problemsto troubleshoot
the power board hardware failure.
2. Replace the power board.
5-2
Alarm message Level Possible cause Recommended action
Power System H Power board software 1. Restart the machine.
Selftest Error failure 2. Disconnect the battery from the
AC mains. After the power board
processor is powered off for 5
minutes, power it on again.
3. Update the power module
software.
Power board hardware 1. Refer to 5.5Hardware and
failure Electrical Problemsto troubleshoot
the power board hardware failure.
2. Replace the power board.
Power Supply H 3.3V/5V/12V error 1. Measure the voltage at the
Voltage Error corresponding test point.
2. If the problem persists, replace
the power board.
System DOWN P The battery was faulty and 1. Connect to the AC mains.
for battery could not be recharged. Measure the battery voltage. Check
depletion! The system software if the battery can be recharged.
version did not match the 2. Check if the system software
current machine type. version matches the current
machine type. If not, update the
system software.
3. If the problem persists, replace
the power board.
Power Board H The temperature of the 1. Check the fan for the power
High Temp power board exceeded 95 module.
℃. 2. Stop using the machine for a
period of time. If the problem
persists after the machine is
restarted, replace the power board.
Breathing Circuit H The breathing circuit was 1. Check that the circuit is installed
Not Mounted not installed. Or, it was not in place.
correctly connected to the 2. Test the connection between the
circuit base. connection line and the connector.
3. Replace the power board (for
WATO series anesthesia machine,
the power board detects whether the
circuit is in position).
Keyboard Init H Keyboard malfunction. 1. Restart the machine.
Error Stop using the keyboard. 2. If the problem persists, replace
the keyboard.
5-3
Alarm message Level Possible cause Recommended action
Key Error M The key was pressed and 1. Check the pop-up status of the
held for more than five key and the keyboard.
seconds. 2. If the problem persists, replace
the keyboard.
Device Fault, H Both the valve and sensor 1. Troubleshoot the valve and
Ventilate are faulty. sensor respectively.
Manually 2. Refer to the alarms related to
valve and sensor to eliminate the
alarm.
Ventilator H Monitor board selftest error Replace the monitor board.
Hardware Error
01 to 09
Ventilator H Safety valve control failure 1. Perform leak test again.
Hardware Error by the auxiliary control 2. Check if the PEEP valve works
11 board normally. Restart the machine.
Ventilator H Safety valve control failure (This fault occurs only when leak
Hardware Error by the main control board test is being carried out).
12
Auxi Ctrl Module H During leak test and 1. Restart the machine.
Error zeroing, a failure occurred 2. Perform leak test.
during the interaction 3. Perform manual zeroing.
between the auxiliary 4. Replace the monitor board.
control board and the
monitor board.
Ventilator Comm H The ventilator module 1. Re-plug or replace the
Error failed to communicate communication cable between the
normally with the main main control board and the monitor
system. board.
Ventilator Comm H The ventilator module 2. If the problem persists, replace
Stop failed to communicate with the monitor board.
the main system. 3. If the problem persists, replace
the main control board.
5-4
Alarm message Level Possible cause Recommended action
Drive Gas H The pressure of drive gas 1. Check the status of actual gas
Pressure Low was low. supply to confirm if the alarm is in
compliance with the actual status.
2. Short circuit the pressure switch
and the alarm regarding outputted
signals should disappear.
Otherwise, it indicates that the
pressure switch is faulty. Replace
the pressure switch. Otherwise,
check the connection between the
pressure switch and the monitor
board and check the socket.
3. If the above two items are
normal, replace the monitor board.
O2 Supply H The O2 pressure was low. Use the same method to drive gas
Failure pressure low to check the O2
pressure switch.
Sustained Airway H The airway pressure in the 1. Check if the airway pressure
Pressure breathing circuit was sensor is in correct measurement
greater than sustained status.
airway pressure alarm limit 2. Check if the sampling line of the
for 15 seconds. airway pressure sensor is in normal
Paw<- H Less than the barometric status.
10cmH2O pressure for 10 cmH2O. 3. Sensor failure. Replace the
monitor board.
ACGO On M ACGO was switched on 1. Switch off ACGO.
2. Check if the connection line of
ACGO is broken or short circuited.
3. If the ACGO switch is in correct
status, and its connection line and
connector are normal but the
problem persists, replace the
monitor board.
PEEP Valve M Valve voltage error or Check if the sensor is normal.
Failure valve opening status error Replace the sensor or monitor board
Insp Valve M when necessary.
Failure Replace the expiratory valve
PEEP Safety M assembly.
Valve Failure
5-5
Alarm message Level Possible cause Recommended action
O2 Flush Failure M Oxygen flushing having 1. Check if the O2 flush button fails
lasted too long (more than to pop up.
15 seconds) 2. Check if the O2 flush pressure
switch is in normal status.
3. Check if the connection line of
O2 flush button and its connector
are normal.
4. Replace the monitor board.
Replace O2 M O2 sensor failure Replace the O2 sensor.
sensor
Patient Circuit M A leak was detected in the 1. Check the breathing circuit
Leak patient circuit. connections and flow sensor
connections.
2. Check the tidal volume
measurement accuracy of the
sensor.
3. Check for breathing system
leakage.
Pressure M The measured value by the 1. Disconnect the gas supply and
Monitoring pressure sensor exceeded disconnect connection to the patient
Channel Failure the range. Or, the zero airway. Check the counts value of
point of the pressure sensor pressure sensor.
was outside of the range. 2. If there is a great deviation of
zero point, check if the pressure
sampling line is blocked or pressed.
3. Perform manual zeroing.
4. Restart the machine.
If the problem persists, replace the
monitor board.
H The auxiliary monitor 1 In the A/D channels of the
board detected pressure auxiliary monitor board, check the
monitoring error. statuses of the airway pressure
sensor and the PEEP pressure
sensor.
2. Replace the auxiliary monitor
board in case that pressure
monitoring failure occurs to the
auxiliary monitor board.
Volume M Flow sensor monitoring 1. Fix the flow sensor or ACGO
Monitoring was disabled or ACGO was problems.
Disabled switched on. 2. Eliminate the alarm by referring
to the corresponding alarm item.
5-6
Alarm message Level Possible cause Recommended action
Calibrate Flow L Last calibration of the flow Perform factory calibration. Refer
Sensor sensor and inspiratory to 4Maintenance and Calibration.
valve failed. Or, great drift
occurred to the flow sensor
and inspiratory valve.
Calibrate PEEP L Last calibration of the Paw Perform factory calibration. Refer
Valve sensor and PEEP valve to 4Maintenance and Calibration.
failed. Or, great drift
occurred to the Paw sensor
and PEEP valve.
Calibrate O2 L Last calibration of the O2 1. Calibrate the O2 sensor again.
Sensor sensor failed. Or, O2 2. Replace the O2 sensor.
concentration was
measured outside of the
range.
O2 Sensor L The O2 sensor was not 1. Make sure that the O2 sensor is
Unconnected connected to the cable or connected to the cable correctly.
was not connected 2. Replace the O2 sensor.
properly.
O2 Sensor Error M O2 sensor failure. The 1. Calibrate the O2 sensor again.
measured O2 concentration 2. Replace the O2 sensor.
was less than 5%.
Flow Sensor L The measured value by the 1. Check if the zero point of the
Failure flow sensor exceeded the flow sensor is normal.
range. Or, the zero point of 2. Check if the measurement
the pressure sensor was performed by the flow sensor is
abnormal. normal.
Ventilator flow sensor 3. Replace the flow sensor and
failure or sampling line perform calibration.
connection error. 4. Replace the monitor board and
perform calibration.
TV Comp L The measured value by the 1. Eliminate circuit leaks.
Disabled flow sensor had a great 2. Judge the sensor measurement
deviation in the VCV status in the valves test tool.
mode. 3. Re-calibrate the flow sensor.
Pinsp Not L In the PCV mode, the 1. Check for breathing circuit
Achieved inspiratory pressure was leakage.
less than the set inspiratory 2. Check the measurement accuracy
pressure level for 6 of the pressure sensor.
consecutive breathing 3. Perform calibration in case of
cycles to some extent. measurement failure.
4. Replace the monitor board and
perform calibration.
5-7
Alarm message Level Possible cause Recommended action
TV Not Achieved L TVi was less than the set 1. Check for breathing circuit leak.
value for 6 consecutive 2. Check the measurement accuracy
breathing cycles to some of the pressure sensor.
extent. 3. Perform calibration in case of
measurement failure.
Sensor Zero L The zero point of the 1. Disconnect the breathing circuit
Failed sensor exceeded the range. from gas supplies. Perform zeroing.
2. Disconnect the sampling line of
the sensor. Observe the range of the
zero point and perform zeroing. If
the zero point still exceeds the
range, replace the monitor board.
Three-way Valve L Error of three-way valve 1. Check the three-way valve
Failure electrical signal control connection line.
status 2. Replace the three-way valve
assembly.
3. Replace the monitor board.
Heating Module L The voltage of the heating 1. Measure to or in the A/D
Error module exceeded 16V. channels confirm if the heating
voltage of the heating module
exceeds the standard.
2. If the heating voltage of the
heating module exceeds the
standard, replace the power board.
Heating failure (the 1. Confirm the measurement
temperature of two temperature in the A/D display
thermistors is less than 35 channels.
degrees continuously) 2. Check the status of the
Overtemperature thermistor.
3. Check the status of the heater.
4. Replace the power board.
IP Address M IP address conflict 1. Set the IP address again.
Conflict 2. If the problem persists, update
the system software code or replace
the main control board.
TVe>TVi L TVe was greater than TVi 1. Check if pneumatic connection,
for 6 consecutive breathing leak and fresh gas delivery are
cycles to some extent. normal.
2. Check the measurement accuracy
of the sensor.
3. Perform calibration in case of
measurement failure.
5-8
Alarm message Level Possible cause Recommended action
TV Delivery Too L TVi was greater than the 1. Check the measurement accuracy
High set value for 6 consecutive of the sensor.
breathing cycles to some 2. Perform calibration in case of
extent. measurement failure.
Check Flow M The flow sensor detected 1. Check the check valve.
Sensors erroneous gas flow. 2. Check if the sampling lines of the
sensor are connected in correct
order.
3. Test the measurement status of
the sensor in the valves test tool.
Auxi Ctrl Module H Auxiliary control module Replace the auxiliary control board.
Hardware Error hardware failure
01 to 05
Auxi Ctrl Module H The communication 1. Check the communication cable
Comm Error between the auxiliary between the auxiliary control board
control board and the main and the main control board.
control board failed. 2. If the LED indicator on the
Auxi Ctrl Module H The communication auxiliary control board flashes at
Comm Stop between the auxiliary 1Hz, it indicates that the auxiliary
control board and the main control board works normally.
control board stopped. Otherwise, it is faulty.
3. Restart the machine or update the
auxiliary control board software. If
the problem persists, replace the
board.
5-9
Alarm message Level Possible cause Recommended action
Flowmeter H Watchdog error 1. Check if the watchdog circuit is
Hardware Error normal.
07 2. Power on the machine again. If
the problem persists, replace the
board.
Flowmeter Cal. H Uncalibrated data were 1. Confirm and change the
Data Error 01 empty. Or, the number of electronic flowmeter until it is
calibrated electronic correctly configured.
flowmeters was less than 2. Calibrate the electronic
that of tubes configured. flowmeter again.
Flowmeter Cal. H Calibration data error Calibrate the electronic flowmeter
Data Error 02 again.
Flowmeter H The electronic flowmeter 1. Replace the communication
Comm Error failed to communicate with cable for the electronic flowmeter.
Flowmeter H the main system normally. 2. Replace the electronic flowmeter
Comm Stop board.
N2O Flow Too L Gas flow exceeded 10 1. Turn off other gas flow. Compare
High L/min. the concerned gas flow with the
AIR Flow Too L measurement result displayed on
High the glass tube flowmter.
2. Use test tools. Turn on ACGO.
O2 Flow Too L
Measure fresh gas flow at the
High
inspiration connector. Measure the
measurement error of electronic
flowmeter.
3. If the error exceeds the standard,
calibrate the electronic flowmeter
again.
Flowmeter Zero L Zero point error or 1. Switch off fresh gas delivery.
Failed three-way valve failure Perform zeroing.
2. If the problem persists, check the
three-way valve component of the
electronic flowmeter module,
control circuit and cable.
3. Replace the three-way valve
assembly (throttling device).
4. Replace the electronic flowmeter
board.
5-10
Notes:
1. If special calibration equipment is not available, return the electronic flowmeter to the
factory for calibration together with the throttling device of the machine.
2. If the electronic flowmeter board is returned to the factory for replacement, the
throttling device of the machine must also be returned for replacement.
3. If special calibration equipment is available, you can just replace the electronic
flowmeter board. It can be used normally only after it is calibrated on the machine.
Flow sensor
1 MPa(10 Anesthesia
Negative Circuit pressure Vaporizer
Injector bar) Test machine
Name pressure adapter test sampling manifold test
(100ml) pressure calibration
ball fixture pipeline test fixture
gauge device
fixture
Quantity 1 1 1 1 1 1 1
Quantity 1
Breathing
3106-04-06a 3106-06-08a 3106-10-00a 3106-06-00a 3126-04 3126-06
tube
Name dapter dapter dapter dapter -00 tube -00 tube
adapter
connector connector connector connector plug plug
connector
Quantity 1 1 2 1 1 1 2
5-11
PU tube PU tube PU tube PU tube PU tube Breathing Φ6 silicone
Name
(4X200) (6X100) (6X200) (6X300) (8X200) tube tube
Quantity 1 1 1 1 2 3 3
(8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
(1)PU tube (4X200); (2)PU tube (6X100);(3)PU tube (6X200); (4)PU tube (6X300);
(5)PU tube (8X200); (6)Φ6 silicone tube;
(7)Breathing tube; (8)3106-04-06 adapter
connector;(9)3106-06-00 adapter connector;
(10)3106-06-08 adapter connector; (11)
3106-10-00 adapter connector;
(12) Breathing tube adapter connector;
(13)3126-04-00
tube plug;
(14)3126-06-00 tube plug;(15)3126-08-00 tube plug; (16)3126-10-00 tube
plug;(17)Y piece;(18)3140-08-00 Y piece; (19)Breathing tube Y piece;
5-12
Negative pressure ball:
5-13
Vaporizer manifold test fixture:
5-14
5.3.1.1 Precautions for Use of Circuit Adapter Test Fixture
There are four connectors for pressure sampling lines and four ∅6 quick plug-in connectors
with number marked on the circuit adapter test fixture, as shown below.
Connector for
∅6 quick plug-in
pressure sampling
connector
line
∅6 quick plug-in
connector
The connectors for pressure sampling lines can be connected with Φ6 silicone tubes and
the ∅6 quick plug-in connectors with PU tube (6X100), PU tube (6X200) and PU tube
(6X300), as shown below.
5-15
The circuit adapter test fixture can be mounted either onto the circuit adapter or onto the
removed patient circuit. The following pictures show the test fixture mounted in position.
If it is hard to plug in and out the test fixture, apply a layer of KRYTOX lubricant (BOM
number: M6F-020003---) to the seals (as shown below).
The connector for pressure sampling line can be connected with Φ6 silicone tubes.
When using the flow sensor pressure sampling pipeline test fixture, remove the expiratory
or inspiratory flow sensor from the patient circuit first. Then mount the flow sensor
pressure sampling pipeline test fixture onto the position where the expiratory or inspiratory
flow sensor was originally mounted and tighten the inspiratory/expiratory connector rotary
caps, as shown below. Perform test after connecting the Φ6 silicone tube to the connector
for pressure sampling line.
5-17
5.3.1.3 Precautions for Use of Vaporizer Manifold Test Fixture
When using the vaporizer manifold test fixture, remove the seal between the connector of
vaporizer manifold assembly and the vaporizer first. Then slide the test fixture into the
connector, as shown below.
Turn the pressure head of vaporizer manifold test fixture clockwise until the bottom surface
of the pressure head is in contact with the top surface of the connector of the vaporizer
manifold assembly, as shown below.
5-18
5.3.1.4 Precautions for Use of Negative Pressure Ball
The negative pressure ball has a sealing cover and a built-in one-way valve at its front end
and a gas outlet switch at its back end, as shown below. If the front sealing cover is
removed or loosened, the sealing performance of the negative pressure ball will
compromise. In this case, you need to tighten the sealing cover.
Remove the gas outlet switch to flatten the negative pressure ball. Re-install the gas outlet
switch properly when performing the test, as shown below.
Before using the negative pressure ball, make sure that it is not leaky. Check if the front
sealing cover is tightened. Then flatten the negative pressure ball to remove the gas inside.
Install the gas outlet switch properly. Block the front gas inlet with your hand to release the
negative pressure ball main unit. Visiblel expansion of the ball cannot be seen within 30
seconds. Otherwise, replace the ball.
5-19
5.3.2 Gas Supplies and Drive Gas
The following table lists gas supplies and drive gas related failures.
5-20
Failure description Possible cause Recommended action
No “O2 Supply The gas pressure switch Adjust the pressure switch of the O2 supply
Failure” alarm of the O2 supply inlet inlet assembly to cause O2 supply pressure to
occurs when the O2 assembly is ineffective. approach 0.2 MPa as much as possible within
pressure is low or the range of 0.15 to 0.25 MPa when this
this alarm occurs alarm occurs. If the adjustment fails, replace
when the O2 supply the pressure switch (refer to 5.3.2.3Adjust the
pressure is normal. Pressure Switch).
No “Drive Gas The pressure switch on Adjust the pressure switch on the integrated
Pressure Low” alarm the integrated pneumatic pneumatic circuit of the expiratory valve
occurs when the circuit of the expiratory assembly to cause drive gas pressure to
drive gas pressure is valve assembly or the approach 0.14 MPa as much as possible
low or this alarm PEEP safety valve is within the range of 0.05 to 0.2 MPa when this
occurs when the ineffective. Or, the filter alarm occurs. If the adjustment fails, replace
drive gas pressure is on the integrated the pressure switch. If the problem persists
normal. pneumatic circuit of the after the pressure switch is replaced, replace
expiratory valve the integrated pneumatic circuit of the
assembly is occluded. expiratory valve assembly (refer to
5.3.2.3Adjust the Pressure Switch).
5.3.2.1 Test the Pipeline Pressure Gauge and Correct the Regulator
Use the following tools to test the pipeline pressure gauge and regulator of the pipeline gas
supply inlet assembly:
1 MPa (10bar) test pressure gauge (before the test, make sure that the 1 MPa (10bar)
test pressure gauge is in good condition) (quantity: 1)
3106-04-06 adapter connector (quantity: 1)
PU tube (4X200) (quantity: 1)
Test procedures:
I O2 supply inlet assembly:
1. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.
2. Pull out No.42 PU tube which connects the O2 supply inlet assembly to other
assembly (Note 1). The end of the tube which connects the O2 supply inlet assembly is
not pulled out but the other end is.
3. Connect the pulled-out tube end to the 1 MPa (10bar) test pressure gauge through
3106-04-06 adapter connector, as shown below.
5-21
4. Turn on O2 pipeline supply and record the reading on the O2 pipeline pressure gauge.
Observe the test pressure gauge. If the reading on the test pressure gauge is not within
the range of 0.15 to 0.25 MPa (namely 1.5 to 2.5bar), adjust the regulator of the O2
supply inlet assembly to cause the reading on the test pressure gauge to reach 0.2 MPa
(namely, 2bar). For operations of the regulator, refer to section 5.3.2.4Adjust the
Regulator of the Pipeline Gas Supply Inlet Assembly.
5. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.
6. Insert the pulled-out tube properly.
7. Pull out No.39 PU tube which connects the O2 supply inlet assembly to the O2
pipeline pressure gauge. The end of the tube which connects the O2 supply inlet
assembly is not pulled out but the other end is.
8. Connect the pulled-out tube end to the test pressure gauge, as shown below.
9. Turn on the pipeline gas supply and record the reading on the test pressure gauge. If
the difference between this reading and the reading on the O2 pipeline pressure gauge
is more than 0.1 MPa (1bar), it indicates that the O2 pipeline pressure gauge is
damaged. Handle this problem as described in the troubleshooting table.
10. Insert the pulled-out tube properly.
5-22
Note 1: The Nos. of the PU tubes described here correspond to the gas tube Nos. when O2,
N2O and AIR are all configured. In case of other gas supply configurations, if the PU tube
is numbered differently, notes will be given in brackets. For Nos. of all PU tubes, refer
to6.4.2Pneumatic Connections.
II N2O supply inlet assembly:
1. Turn off the pipeline gas supply. Pull out No.48 PU tube which connects the N2O
supply inlet assembly to other assembly. The end of the tube which connects the N2O
supply inlet assembly is not pulled out but the other end is.
2. Connect the pulled-out tube end to the test pressure gauge through 3106-04-06 adapter
connector, as shown below.
3. Turn on N2O and O2 pipeline supplies. Adjust the regulator of the N2O supply inlet
assembly to cause the reading on the test pressure gauge to be same to that acquired in
step 4 of “I O2 supply inlet assembly” (for operations of the regulator, refer to section
5.3.2.4Adjust the Regulator of the Pipeline Gas Supply Inlet Assembly). Record the
reading on the N2O pipeline pressure gauge.
4. Turn off N2O pipeline supply and bleed the residual pressure by turning on the N2O
flow regulator.
5. Insert the pulled-out tube properly.
6. Pull out No.40 PU tube which connects the N2O supply inlet assembly to the N2O
pipeline pressure gauge. The end of the tube which connects the N2O supply inlet
assembly is not pulled out but the other end is.
5-23
7. Connect the pulled-out tube end to the test pressure gauge, as shown below.
8. Turn on the N2O pipeline supply and record the reading on the test pressure gauge. If
the difference between this reading and the reading on the N2O pipeline pressure
gauge is more than 0.1 MPa (1bar), it indicates that the N2O pipeline pressure gauge is
damaged. Handle this problem as described in the troubleshooting table.
9. Insert the pulled-out tube properly.
III AIR supply inlet assembly:
1. Turn off the pipeline gas supply. Pull out No.50 PU tube which connects the AIR
supply inlet assembly to other assembly. The end of the tube which connects the AIR
supply inlet assembly is not pulled out but the other end is.
2. Connect the pulled-out tube end to the test pressure gauge through 3106-04-06 adapter
connector, as shown below.
5-24
3. Turn on AIR pipeline supply. If the reading on the test pressure gauge is not within the
range of 0.2±0.05 MPa (namely 2±0. 5bar), adjust the regulator to cause the reading on
the test pressure gauge to reach 0.2 MPa (namely, 2bar). For operations of the
regulator, refer to section 5.3.2.4Adjust the Regulator of the Pipeline Gas Supply
Inlet Assembly. Record the reading on the AIR pipeline pressure gauge.
4. Turn off AIR pipeline supply and bleed the residual pressure by turning on the AIR
flow regulator.
5. Insert the pulled-out tube properly.
6. Pull out No.41 PU tube which connects the AIR supply inlet assembly to the AIR
pipeline pressure gauge. The end of the tube which connects the AIR supply inlet
assembly is not pulled out but the other end is.
7. Connect the pulled-out tube end to the test pressure gauge, as shown below.
8. Turn on the AIR pipeline supply and record the reading on the test pressure gauge. If
the difference between this reading and the reading on the AIR pipeline pressure gauge
is more than 0.1 MPa (1bar), it indicates that the AIR pipeline pressure gauge is
damaged. Handle this problem as described in the troubleshooting table.
9. Insert the pulled-out tube properly.
5-25
5.3.2.2 Test the Pressure Switch
Use the following tools to test if the pressure switch of the O2 supply inlet assembly and
that on the integrated pneumatic circuit of the expiratory valve assembly are normal:
1 MPa (1bar) test pressure gauge (before the test, make sure that the 1 MPa (1bar) test
pressure gauge is in good condition) (quantity:1)
3106-04-06 adapter connector (quantity:1)
3106-06-08 adapter connector (quantity:1)
3140-08-00 Y piece (quantity:1)
PU tube (8X200) (quantity:2)
PU tube (6X200) (quantity:1)
PU tube (4X200) (quantity:1)
Test procedures:
1. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.
2. Pull out No.54 PU tube which connects the O2 supply inlet assembly to the expiratory
valve assembly. The end of the tube which connects the O2 supply inlet assembly is
not pulled out but the other end is.
3. Connect one PU tube (8X200) to the pulled-out tube end of the expiratory valve
assembly. Then connect this PU tube and the pulled-out end of No.54 PU tube to the
two connectors of 3140-08-00 Y piece respectively.
4. Connect the test pressure gauge to another connector of 3140-08-00 Y piece through
3106-04-06 and 3106-06-08 adapter connectors, as shown below.
5-26
8. Turn off the pipeline gas supply (if the reading on the test pressure gauge begins to fall
dramatically and continuously after the gas supply is turned off, it indicates that one or
several leaks occur to the O2 supply inlet assembly, expiratory valve assembly, O2
flush button assembly, system switch assembly, and O2 flow regulator. Perform the
subsequent operations after the leaks are serviced. Failures can be located by using the
methods described in section 5.3.3Anesthetic Gas Delivery System and 5.3.4Patient
Circuit except O2 supply inlet assembly related failures).
9. Manually adjust the O2 flow regulator until O2 flow is approximately 1 L/min,
causing the reading on the test pressure gauge to fall gradually to 0.25 MPa (2.5bar).
10. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “O2
Supply Failure” alarm occurs 10 s later, it indicates that the pressure switch of the O2
supply inlet assembly is faulty. Troubleshoot this problem as described in the relevant
failure table.
11. Adjust the O2 flow regulator until O2 flow is approximately 0.5 L/min, causing the
reading on the test pressure gauge to fall gradually to 0.2 MPa (2bar).
12. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the
“Drive Gas Pressure Low” alarm occurs 10 s later, it indicates that the pressure switch
on the integrated pneumatic circuit of the expiratory valve assembly is faulty.
Troubleshoot this problem as described in the relevant failure table.
13. Adjust the O2 flow regulator until O2 flow is approximately 0.3 L/min, causing the
reading on the test pressure gauge to fall gradually to 0.15 MPa (1.5bar).
14. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “O2
Supply Failure” alarm does not occur 10 s later, it indicates that the pressure switch of
the O2 supply inlet assembly is faulty. Troubleshoot this problem as described in the
relevant failure table.
15. Adjust the O2 flow regulator until O2 flow is approximately 0.3 L/min, causing the
reading on the test pressure gauge to fall gradually to 0.05 MPa (0.5bar).
16. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the
“Drive Gas Pressure Low” alarm does not occur 10 s later, it indicates that the
pressure switch on the integrated pneumatic circuit of the expiratory valve assembly is
faulty. Troubleshoot this problem as described in the relevant failure table.
5.3.2.3 Adjust the Pressure Switch
Adjust the O2 supply pressure switch and drive gas pressure switch as described below.
For the convenience of operations, disassemble the corresponding assembly. Take the O2
supply pressure switch as an example. Use a flathead screwdriver to adjust the O2 supply
pressure switch as shown below. Turn for small degrees each time such as 30 degrees. Note
that turning the pressure switch clockwise will decrease its alarm limits and
counterclockwise increase its alarm limits. Assemble the assembly after each pressure
adjustment is made and perform a test. Repeat the operations until the pressure at the time
moment when the alarm occurs meets the requirement.
5-27
5.3.2.4 Adjust the Regulator of the Pipeline Gas Supply Inlet Assembly
Pull up the knob cover of the regulator. Turn the cover clockwise to increase pressure or
counterclockwise to decrease pressure, as shown below. Bleed the inside pressure of the
pipeline gas supply inlet assembly after each pressure adjustment is made. Then, turn on the
pipeline gas supply again. Observe the adjusted pressure through the test pressure gauge.
5-28
5.3.3 Anesthetic Gas Delivery System
The following table lists anesthetic gas delivery system related failures.
5-29
The ACGO assembly leaks. Replace the ACGO assembly after
locating the problem as described
in section 5.3.4.2Leak Test of
Low-pressure Pneumatic Circuit
System.
The two fresh gas connections Check the seals and tubes at the
(one is connected to fresh gas two fresh gas connections after
and the other to ACGO) of the locating the problem as described
circuit adapter assembly leak. in section 5.3.4.2Leak Test of
Low-pressure Pneumatic Circuit
System. Replace the faulty parts
and re-install the parts.
The gas supplies cannot be The seal inside the system Replace the system switch.
turned off after the machine switch assembly is damaged.
is turned off.
The machine cannot be The contact switch is Replace the contact switch of the
powered on after turned on. ineffective. system switch assembly.
The O2 flushing status The pressure switch on the Replace the pressure switch on the
cannot be detected ACGO assembly which ACGO assembly which detects
correctly. detects the O2 flushing status the O2 flushing status.
is ineffective.
O2-N2O cut-off is The O2-N2O cut-off valve Replace the O2-N2O cut-off valve
ineffective. assembly is damaged. assembly.
The flowmeter float The float flowmeter is Replace the float flowmeter.
indicates inaccurate value damaged.
or remains unmoved.
The knob of the flow The flow regulator is Replace the flow regulator.
regulator gets loose. damaged.
The O2-NO link system is The O2-N2O chain linkage of Replace the flow regulator.
ineffective. the flow regulator is damaged.
N2O supply cannot be cut The O2-N2O cut-off valve is Replace the O2-N2O cut-off valve
off in case of O2 supply damaged. assembly.
failure.
5-30
5.3.3.1 Leak Test of the O2 Flush Button Assembly
Perform a leak test of the O2 flush button assembly by using the following tools:
Negative pressure ball (quantity:1)
3106-06-00 adapter connector (quantity:1)
PU tube (6X100) (quantity:1)
Test procedures:
1. Turn off the pipeline gas supplies and bleed the residual pressure through O2 flushing.
2. Pull out No.52 PU tube which connects the O2 flush button assembly to the ACGO
assembly. The end of the tube which connects the O2 flush button assembly is not
pulled out but the other end is.
3. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out tube through 3106-06-00 adapter connector.
4. Release the negative pressure ball as shown below. If the negative pressure ball is fully
expanded within 30 s, it indicates that the O2 flush button assembly is damaged.
Handle this problem as described in the troubleshooting table.
5-31
5.3.3.2 Leak Test of the Flowmeter Related Assembly
Perform a leak test of the flowmeter related assembly (from flow regulator to float
flowmeter) by using the following tools:
Negative pressure ball (quantity:1)
3106-06-00 adapter connector (quantity:1)
3106-06-08 adapter connector (quantity:1)
3126-04-00 tube plug (quantity:1)
3126-06-00 tube plug (quantity:2)
3126-08-00 tube plug (quantity:3)
PU tube (6X100) (quantity:1)
Cross screwdriver (quantity:1)
Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual
pressure by turning on the flow regulators.
2. Turn off the system switch. Turn on the flow regulators and turn them
counterclockwise for more than half a circle.
3. Pull out No.25 PU tube which connects the float flowmeter to the vaporizer manifold
assembly. The end of the tube which connects the float flowmeter is not pulled out but
the other end is.
4. Pull out No.46, 49 and 51 PU tubes (No.46 and 49 tubes in case of O2+N2O
configuration, No.45 and 51 tubes in case of O2+AIR configuration, and No.45 tube in
case of single O2 configuration) which connect the system switch assembly and
O2-N2O cut-off valve assembly to the flow regulator. The ends of the tubes which
connect the flow regulator are pulled out but the other ends are not.
5. Occlude the pulled-out tube end on the flow regulator by using 3126-04-00 or
3126-06-00 tube plug.
6. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out end of No.25 PU tube through 3106-06-00
adapter connector, as shown below.
5-32
7. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30s, it indicates that the float flowmeter related assembly is damaged. In this
case, perform the following operations.
8. Remove the left front panel.
9. Pull out No.26 PU tube which connects the throttling device to the float flowmeter.
The end of the tube which connects the float flowmeter is pulled out but the other end
is not.
10. Occlude the pulled-out tube end on the float flowmeter by using 3126-06-00 tube plug.
11. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out end of No.25 PU tube through 3106-06-00
adapter connector, as shown below.
12. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30s, it indicates that the float flowmeter leaks. Handle this problem as described
in the troubleshooting table.
5-33
13. Pull out No.27, 28 and 29 PU tubes (No.27 and 28 tubes in case of O2+N2O
configuration, No.27 and 29 tubes in case of O2+AIR configuration, and No.27 tube in
case of single O2 configuration) which connect the flow regulator to the throttling
device. The ends of the tubes which connect the throttling device are pulled out but the
other ends are not.
14. Occlude the pulled-out tube end on the throttling device by using 3126-08-00 tube
plug.
15. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out end of No.26 PU tube through 3106-06-00
adapter connector, as shown below.
16. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30s, it indicates that the throttling device leaks. Handle this problem as
described in the troubleshooting table.
17. Pull out No.46, 49 and 51 PU tube (No.46 and 49 tubes in case of O2+N2O
configuration, No.45 and 51 tubes in case of O2+AIR configuration, and No.45 tube in
case of single O2 configuration) which enter the flow regulator. The ends of the tubes
which connect the flow regulator are pulled out but the other ends are not.
18. Occlude the pulled-out tube end on the flow regulator by using 3126-06-00 or
3126-04-00 tube plug.
19. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out end of No.27,28 or 29 PU tube in turn (No.27
and 28 tubes in case of O2+N2O configuration, No.27 and 29 tubes in case of
O2+AIR configuration, and No.27 tube in case of single O2 configuration) through
3106-06-00 adapter connector, as shown below.
5-34
20. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30s, it indicates that the flow regulator leaks. Handle this problem as described
in the troubleshooting table.
5-35
5.3.3.3 Leak Test of the System Switch Assembly
Perform a leak test of the system switch assembly by using the following tools:
Negative pressure ball (quantity:1)
3106-06-00 adapter connector (quantity:1)
3126-06-00 tube plug (quantity:2)
PU tube (6X100) (quantity:1)
Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual
pressure by turning on the flow regulators.
2. Turn off the system switch.
3. Pull out No.45 or 51 PU tube (No.45 tube in case of O2+N2O configuration, No.45
and 51 tubes in case of O2+AIR configuration, and No.45 tube in case of single O2
configuration) which connects the system switch assembly to the flow regulator. The
end of the tube which connects the system switch assembly is not pulled out but the
other end is.
4. Pull out No.43 or 50 PU tube (No.43 tube in case of O2+N2O configuration, No.43
and 50 tubes in case of O2+AIR configuration, and No.43 tube in case of single O2
configuration) which connects the pipeline gas supply inlet assembly to the system
switch assembly. The end of the tube which connects the system switch assembly is
pulled out but the other end is not.
5. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out end of No.45 or 51 PU tube in turn through
3106-06-00 adapter connector, as shown below.
5-36
6. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30s during one of the two tests, it indicates that the system switch assembly is
damaged. Handle this problem as described in the troubleshooting table.
7. Turn on the system switch.
8. Occlude the pulled-out tube end on the system switch assembly by using 3126-06-00
tube plug.
9. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out end of No.45 or 51 PU tube in turn through
3106-06-00 adapter connector, as shown below.
5-37
10. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30 s during one of the two tests, it indicates that the system switch assembly is
damaged. Handle this problem as described in the troubleshooting table.
Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual
pressure by turning on the flow regulators. Then turn off the system switch.
2. Pull out No.49 PU tube which connects the O2-N2O cut-off valve assembly to the
N2O flow regulator (this test is not required in case of O2+AIR configuration or single
O2 configuration). The end of the tube which connects the O2-N2O cut-off valve
assembly is not pulled out but the other end is.
3. Pull out No.47 PU tube which connects the system switch assembly to the O2-N2O
cut-off valve assembly. The end of the tube which connects the O2-N2O cut-off valve
assembly is not pulled out but the other end is.
4. Pull out No.48 PU tube which connects the N2O supply inlet assembly to the O2-N2O
cut-off valve assembly. The end of the tube which connects the O2-N2O cut-off valve
assembly is not pulled out but the other end is.
5-38
5. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out tube through 3106-06-00 or 3106-04-06
adapter connector in turn, as shown below.
5-39
6. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30s during one of the three tests, it indicates that the O2-N2O cut-off valve
assembly is damaged. Handle this problem as described in the troubleshooting table.
Test procedures:
I
1. Turn off the system switch.
2. Mount the vaporizer but do not turn it on, as shown below.
3. Pull out No.25 PU tube which connects the float flowmeter to the vaporizer manifold
assembly. The end of the tube which connects the vaporizer manifold assembly is
pulled out but the other end is not.
4. Occlude the pulled-out tube end on the vaporizer manifold assembly by using
3126-06-00 tube plug.
5. Pull out No.53 PU tube which connects the vaporizer manifold assembly to the ACGO
assembly. The end of the tube which connects the vaporizer manifold assembly is not
pulled out but the other end is.
5-40
6. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out No.53 tube through 3106-06-08 adapter
connector, as shown below.
7. Release the negative pressure ball. If the negative pressure ball is not fully expanded
within 30s, it indicates that the vaporizer manifold assembly is not leaky. Otherwise,
check the seal between the vaporizer manifold assembly and the vaporizer (replace the
seal if it is damaged), or re-install the vaporizer. Do the test again until it is passed.
8. Remove the vaporizer as shown below.
5-41
9. Repeat steps 3 through 5 as shown below. If the vaporizer manifold assembly is leaky,
one or several rubber plain washers and seal of the vaporizer manifold assembly or its
contacted mechanical surface are damaged. Handle this problem as described in the
troubleshooting table.
II Ensure that the vaporizer manifold assembly with vaporizer mounted (mentioned in “I”)
is not leaky and perform the following operations.
1. Remove the vaporizer and mount the vaporizer manifold test fixture onto the
connector of the vaporizer manifold assembly (remove the seal between the connector
and the vaporizer when mounting the test fixture), as shown below.
2. Pull out No.25 PU tube which connects the float flowmeter to the vaporizer manifold
assembly. The end of the tube which connects the vaporizer manifold assembly is
pulled out but the other end is not.
3. Occlude the pulled-out tube end on the vaporizer manifold assembly by using
3126-06-00 tube plug.
5-42
4. Pull out No.53 PU tube which connects the vaporizer manifold assembly to the ACGO
assembly. The end of the tube which connects the vaporizer manifold assembly is not
pulled out but the other end is.
5. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to the pulled-out No.53 tube through 3106-06-08 adapter
connector and occlude the pulled-out tube end on the flowmeter as shown below.
6. Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30s, it indicates that the rubber plain washers and seal of the tested pipeline or
its contacted mechanical surface are damaged. Handle this problem as described in the
troubleshooting table.
7. Test each connector on the vaporizer manifold assembly by following the above steps
1 through 6.
5-43
5.3.4 Patient Circuit
The following table lists patient circuit related failures.
5-44
The seal for the valve cover of Replace the seal.
the breathing valve assembly is
damaged.
The O2 sensor is not installed Re-install the O2 sensor and ensure its
properly. correct installation.
The seal for the O2 sensor or the Replace the seal.
seal for the O2 sensor plug is
damaged.
The seal underneath the Replace the seal underneath the
sodalime canister support is sodalime canister support. It is
damaged. required to replace the seal once a
year.
The breathing tube connecting Replace the breathing tube.
the patient is damaged.
The folding bag is damaged. Replace the folding bag, which is
required to be replaced once a year.
The sealing connection of other Repair or replace the sealing
parts of the patient circuit is connection as per the procedures
damaged. described in section 5.3.4.2Leak Test
of Low-pressure Pneumatic Circuit
System.
O2 concentration There is water built up on the Remove the built-up water and allow
measurement fails or measurement surface of O2 the O2 sensor to air dry.
has great deviations. sensor.
The O2 sensor is not calibrated. Calibrate the O2 senser as per section
4.3.7O2 Sensor Calibration
(optional) .
The O2 sensor is damaged. Replace the O2 sensor.
The airway pressure The airway pressure gauge is Replace the airway pressure gauge.
gauge shows damaged.
inaccurate reading
or its pointer cannot
move.
5-45
The flow wave is The flow sensor assembly is not Re-install the flow sensor assembly.
displayed abnormal. installed properly.
There is water built up inside the Remove the flow sensor assembly and
flow sensor assembly. clear its inside water build-up.
The membrane of the flow Enter the user maintenance mode and
sensor assembly is distorted, calibrate the flow sensor as per section
dirty or its inside resistance 4.3.1Flow Calibration (user).
changes. Zero drift occurs to the
pressure sensor of the electronic
flowmeter board.
The flow sensor is damaged. Replace the flow sensor assembly.
The pressure sensor on the Replace the electronic flowmeter
electronic flowmeter board is board.
faulty.
The flow sensor pressure Repair the flow sensor pressure
sampling pipeline leaks. sampling pipeline after checking as
per the procedures described in section
5.3.4.1Leak Test of Flow Sensor
Pressure Sampling Pipeline.
5-46
5. Connect the Φ6 silicone tubes to the pressure sensor connector (positive pressure end)
on the anesthesia machine calibration device), injector (before mounting, pull out the
push rod of the injector) connector and the connector for the flow sensor pressure
sampling pipeline test fixture by using a Y piece, as shown below.
6. Push in the push rod of the injector to let the pressure reading on the anesthesia
machine calibration device rise to 70 to 90 cmH2O and then stop pushing. Keep the
relative position between the push rod and the injector unchanged. If the pressure
reading on the anesthesia machine calibration device does not fall more than 5cmH2O
within 15 s, this test is passed.
II Leak test of the flow sensor pressure sampling pipeline inside the main unit (perform this
test if test “I” fails)
1. Mount the circuit adapter test fixture onto the circuit adapter assembly.
2. Connect the Φ6 silicone tubes to the pressure sensor connector (positive pressure end)
on the anesthesia machine calibration device), injector (before mounting, pull out the
push rod of the injector) connector and the connector (one connector out of No.3
through 6 connectors on the test fixture) for the circuit adapter test fixture by using a Y
piece, as shown below.
5-47
3. Push in the push rod of the injector to let the pressure reading on the anesthesia
machine calibration device rise to 70 to 90 cmH2O and then stop pushing. Keep the
relative position between the push rod and the injector unchanged. If the pressure
reading on the anesthesia machine calibration device does not fall more than 5cmH2O
within 15s, this test is passed.
If test “I” is failed and “II” passed, it indicates that the flow sensor pressure sampling
pipeline on the patient circuit is damaged. In this case, replace the patient circuit. If both
tests “I” and “II” are failed, check the sampling lines and connectors inside the main unit,
seals and three-way valves of the circuit adapter assembly until test “II” is passed. Then
perform test “I”. If test “I” is still failed, it indicates the flow sensor pressure sampling
pipeline on the patient circuit is damaged. In this case, replace the patient circuit.
Figure b Leak test of the part only working in the manual ventilation mode
5-48
Figure c Leak test of the pipelines inside the main unit
5-49
Tools required:
Breathing tube (quantity: 3)
Breathing tube Y piece (quantity: 1)
Test procedures:
(1) Let the system enter Standby.
(2) Mount the patient circuit properly.
(3) Set the bag/mechanical ventilation switch to the bag position.
(4) Set the pressure of the APL valve to maximum.
(5) Occlude the inspiratory&expiratory ports and bag arm port by using three
breathing tubes and one breathing tube Y piece as shown below.
5-50
3. Check the bellows housing and the bag position of the bag/mechanical ventilation
switch
Tools required:
Anesthesia machine calibration device (quantity: 1)
Circuit adapter test fixture (quantity: 1)
Injector (quantity: 1)
Φ6 silicone tube (quantity: 2)
PU tube (6X300) (quantity: 1)
Y piece (quantity: 1)
Test procedures:
(1) Remove the folding bag.
(2) Mount the bellows housing properly.
(3) Set the bag/mechanical ventilation switch to the bag position
(4) Remove the patient circuit.
(5) Mount the circuit adapter test fixture onto the patient circuit.
(6) Connect the Φ6 silicone tubes and PU tube (6X300) to the injector connector,
pressure sensor (of the anesthesia machine calibration device) connector (positive
pressure end), and No.2 connector to which drive gas corresponds on the circuit
adapter test fixture by using a Y piece, as shown below.
(7) Push in the push rod of the injector to let the pressure reading on the anesthesia
machine calibration device rise to 30 to 35 cmH2O and then stop pushing. Keep the
relative position between the push rod and the injector unchanged. If the pressure
reading on the anesthesia machine calibration device falls more than 10cmH2O within
30s, this test is failed. It indicates that the bellows housing or the bag position of the
bag//mechanical ventilation switch is leaky.
5-51
4. Leak test of all pipelines on the circuit adapter
Tools required:
Negative pressure ball (quantity: 1)
Injector (quantity: 1)
Y piece (quantity: 1)
Anesthesia machine calibration device (quantity: 1)
Φ6 silicone tube (quantity: 1)
Circuit adapter test fixture (quantity: 1)
PU tube (6X100) (quantity: 2)
Test procedures:
(1) Turn off the system switch.
(2) Turn off the flow regulators.
(3) Turn off ACGO.
(4) Remove the patient circuit.
(5) Mount the circuit adapter test fixture onto the circuit adapter.
(6) Flatten the negative pressure ball to remove the gas inside. Then re-install the gas
outlet switch of the negative pressure ball properly. Connect the other end of the
negative pressure ball to No.7 (number is marked on the circuit adapter test fixture)
connector to which fresh gas pipeline of the circuit adapter test fixture corresponds, as
shown below.
(7) Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30 s, it indicates that the test of fresh gas pipeline is failed. Locate the leaking
point inside the main unit as per the method described in section 5.3.3Anesthetic Gas
Delivery System.
5-52
(8) Turn on ACGO. Test the ACGO pipeline in the similar way (the connector to
which the circuit adapter test fixture corresponds is No.8 connector), as shown below.
(9) Turn on the system switch and let the systems enter Standby.
(10) Select [Maintenance] → [Factory Maintenance] → [Diagnostic Test >>] →
[Valves-Test Tool >>] to set the A/D value of the PEEP valve to make PEEP exceed
50 cmH2O. Set the A/D value of the inspiratory valve to “0” to produce 0 L/min of
flow. Set PEEP safety valve to ON, as shown below.
5-53
(11) Connect one Φ6 silicone tubes and two PU tube to the injector outlet, pressure
sensor (of the anesthesia machine calibration device) connector (positive pressure end),
and No.1 connector to which drive gas corresponds on the circuit adapter test fixture
by using a Y piece, as shown below.
(12) Push in the push rod of the injector to let the pressure reading on the anesthesia
machine calibration device rise to 30 to 35 cmH2O and then stop pushing. Keep the
relative position between the push rod and the injector unchanged. If the pressure
reading on the anesthesia machine calibration device falls more than 10cmH2O within
30s, the fresh gas pipeline is failed. Check the expiratory valve assembly and related
pipelines of drive gas circuit. Check the expiratory valve assembly and the drive gas
related pipeline inside the main unit.
5. Check the lifting device and sodalime canister
Tools required:
Anesthesia machine calibration device (quantity: 1)
Injector (quantity: 1)
Φ6 silicone tube (quantity: 2)
PU tube (6X300) (quantity: 1)
Breathing tube (quantity: 3)
Y piece (quantity: 1)
Breathing tube Y piece (quantity: 1)
Breathing tube adapter connector (quantity: 1)
T-shaped Allen wrench (quantity: 1)
Test procedures:
(1) Turn off the system switch.
(2) Mount the sodalime canister onto the lifting device properly.
5-54
(3) Remove the lifting device from the patient circuit.
(4) Connect the two connectors of the lifting device by using two breathing tubes and
one breathing tube Y piece. The other end of the breathing tube Y piece is connected
to the breathing tube adapter connector through another breathing tube. Connect the
injector connector, pressure sensor (of the anesthesia machine calibration device)
connector (positive pressure end), and the breathing tube adapter connector to a Y
piece, as shown below.
(5) Push in the push rod of the injector to let the pressure reading on the anesthesia
machine calibration device rise to 30 to 35 cmH2O and then stop pushing. Keep the
relative position between the push rod and the injector unchanged. If the pressure
reading on the anesthesia machine calibration device falls more than 10cmH2O within
30s, it indicates that the lifting device and the sodalime canister are leaky. The test is
failed.
(6) Check the seals on the two connections of the lifting device. It they are damaged,
the test is failed. Replace the seal and then re-mount the lifting device onto the patient
circuit.
5-55
(6) Remove the O2 sensor (if there is no O2 sensor, remove the plug where the O2
sensor should be installed). Check the seal and replace it if it is found damaged.
(7) Remove the valve cover o the breathing valve assembly. Check the seal and
replace it if it is found damaged.
(8) Remove the bag arm. Check the seal and replace it if it is found damaged.
(9) Remove the sodalime canister support as shown below. Check the seal and
replace it if it is found damaged.
Seal to be checked
7. Check the APL valve, support tube on the median plate, and sealing components of the
bag/mechanical ventilation switch assembly.
5-56
The test requires a T-shaped Allen wrench.
Test procedures:
(1) Turn off the system switch.
(2) Remove the APL valve. Check all seals and replace the defective ones.
(3) Remove the support tube on the median plate. Check the seals and replace the
defective one.
(4) Remove the bag/mechanical ventilation switch. Check the seals and replace the
defective one.
8. Check the ACGO assembly
Tools required:
Negative pressure ball (quantity: 1)
Circuit adapter test fixture (quantity: 1)
PU tube (6X100) (quantity: 1)
3106-08-10 adapter connector (quantity: 2)
3126-06-00 tube plug (quantity: 1)
3126-08-00 tube plug (quantity: 1)
3126-10-00 tube plug (quantity: 2)
Test procedures:
(1) Turn off the system switch.
(2) Pull out No.21 and 22 PU tubes which connect the ACGO assembly to the circuit
adapter assembly. The ends of the tubes which connect the ACGO assembly are pulled
out but the other ends are not, as shown below.
5-57
(3) Occlude the pulled-out tube ends by using two 3106-10-00 adapter connectors
and two 3126-10-00 tube plugs.
(4) Repeat steps 3 through 7 in “4 Leak test of all pipelines on the circuit adapter”. If
the test is failed, it indicates that the connectors of the circuit adapter or seals are
damaged. If there is no leak, insert the pulled-out tubes into the ACGO assembly. Note
that the relative position of the black wires on the No.21 and 22 yellow PU tubes
should be same to that before pulled out.
(5) Pull out No.52 and 53 PU tubes which connect the O2 flush button assembly and
the vaporizer manifold assembly to the ACGO assembly. The ends of the tubes which
connect the ACGO assembly are pulled out but the other ends are not.
(6) Occlude the pulled-out tube ends by using 3126-06-00 and 3126-08-00 tube plugs,
as shown below.
(7) Repeat steps 3 through 7 in “4 Leak test of all pipelines on the circuit adapter”. If
the test is failed, it indicates the ACGO assembly is damaged. Check the seals in the
ACGO assembly and replace the damaged seals.
5-58
5.3.5 Tidal Volume
The following table lists tidal volume inaccuracy related failures.
Failure
Possible cause Recommended action
description
Inaccurate tidal The flow sensor is not installed Re-install the flow sensor.
volume properly.
The setting of fresh gas flow is Adjust the fresh gas flow.
inappropriate.
There are significant leaks in the Repair the leaking points after checking as
breathing system and the fresh per the procedures described in sections
gas flow is too low. 5.3.3Anesthetic Gas Delivery System and
5.3.4Patient Circuit.
* There is water build-up inside Remove the flow sensor and clear its inside
the flow sensor. water build-up.
*The membrane of the flow Enter the user maintenance mode and
sensor assembly is distorted, calibrate the flow sensor as per section
dirty or its inside resistance 4.3.2Flow Calibration (factory).
changes. Zero drift occurs to the
pressure sensor on the monitor
board.
*The flow sensor pressure Repair the leaking points after checking as
sampling pipeline is leaky. per the procedures described in section
5.3.4.1Leak Test of Flow Sensor Pressure
Sampling Pipeline.
*The flow sensor is damaged. Replace the flow sensor.
*The pressure sensor on the Replace the monitor board.
monitor board is faulty.
The inlet gas flow regulator on Replace the integrated pneumatic circuit of
the integrated pneumatic circuit the expiratory valve assembly or replace the
of the expiratory valve assembly expiratory valve assembly.
is faulty.
The current Plimit is set too low, Set Plimit to a higher value to cause Paw
which causes expiration to start not to exceed the limit.
in advance.
5-59
The displayed TVe and TVi are Enter factory maintenance and switch on
not the same. TVi review. Observe the value of TVi. In
the valves test tool, compare the
measurement error made by three sensors
and judge whether to perform calibration as
per 4.2.5Check the Flow Sensor Accuracy.
In the above table, possible causes marked “*” are related to inaccurate measured values by
flow sensors. Do the following to detect if tidal volume inaccuracy results from “*” marked
causes.
1. Turn off the flow regulators.
2. Make sure that the patient is disconnected from the system and that the
bag/mechanical ventilation switch is set to the mechanical ventilation position.
3. Remove the folding bag and install the bellows housing properly.
4. Remove the water collection cup.
5. Connect the inspiration and expiration connectors by using a breathing tube, as shown
below.
5-60
7. Select [Maintenance] → [Factory Maintenance] → [Diagnostic Test >>] →
[Valves-Test Tool >>] to set the A/D value of the PEEP valve to make PEEP exceed
40cmH2O. Set PEEP safety valve to ON, as shown below.
Set the A/D value of the inspiratory valve to cause the flow of inspiratory valve to reach a
certain value. In this case, the flows measured by the ventilator flow sensor, inspiratory
flow sensor, and expiratory flow sensor should be the same. Test multiple points by setting
the A/D value of the inspiratory valve. For each point, the flows measured by the three
sensors should be the same. If not, the measured value by the flow sensor is inaccurate.
Troubleshoot the possible causes marked “*” in the above table.
5-61
5.4 Troubleshoot Sensor and Valve Related Failures
by Using the Valves-test Tool
5.4.1 Preparations before Using the Valves-test Tool
Make the following preparations before using the valves-test tool to locate the valves or
sensors related failures:
1 Connect the pneumatic circuit according to the type of sensor or valve to be checked.
Constant-flow connection method: Connect the tubes of the anesthesia machine
following the constant-flow connection method to check the flow sensors and
inspiratory valve. For details, refer to 4.3.2Flow Calibration (factory).
Constant-pressure connection method: Connect the tubes of the anesthesia
machine following the constant-pressure connection method to check the pressure
sensors and PEEP proportional valve. For details, refer to 4.3.3Pressure
Calibration (Factory).
2. Make sure that the supply gas pressure is normal.
3. When the system is Standby, select the [Maintenance] shortcut key → [Factory
Maintenance >>] → [Diagnostic Test >>] → [Valves-Test Tool >>] to access the
[Valves-Test Tool] menu.
5-62
5.4.2.1 Correspondence with Pneumatic Circuit Components
The following figure shows the one-to-one correspondence between the sensors & valves
on the valves-test tool screen and the actual components in the pneumatic circuit diagram.
5-63
5.4.3 Description
By using the valves-test tool, you can troubleshoot the problems related to:
Zero points of the sensors
Sampling line connection of the sensors
Calibration data of the sensors
Opening state of the inspiratory valve
Opening states of the PEEP safety valve and PEEP proportional valve
NOTE
z For the normal range of sensors’ zero points, refer to 4.2.4Check the Sensor Zero
Point.
5-64
The pressure sensor has one sampling line. Connection errors include:
The sampling line is not connected.
The sampling line is connected incorrectly.
By using the valves-test tool, you can detect if the sampling lines are connected normally.
To diagnose the sampling line connection of the flow sensor:
1. Connect the tubes of the anesthesia machine following the constant-flow connection
method. Refer to 5.4.1Preparations before Using the Valves-test Tool.
2. Make sure that gas supplies are normal. In the [Valves-Test Tool] menu, set the PEEP
safety valve to ON and the D/A value of the PEEP valve to more than “1500”, making
sure that the PEEP valve closes at 30 cmH2O above.
3. Increase the D/A value of the inspiratory valve gradually and the A/D value of the
flow sensor should also increase. With the gradual increase of gas supplied,
If the A/D value of one sensor decreases gradually, it is possible that the two
sampling lines of the sensor are connected reversely.
If the A/D value of one sensor keeps unchanged, it is possible that the two
sampling lines of the sensor are broken or not connected.
If the A/D value of one sensor nears saturation (above “4000”) quickly, it is
possible that the sampling line at the low pressure end (gas outlet end) of the
sensor is not connected.
4. If sampling line connection errors are detected, re-connect the sampling lines and
check their connection correctness.
To diagnose the sampling line connection of the pressure sensor:
During normal ventilation, if a sampling line connection error occurs, it is easily
detected through the Paw waveform and technical alarms.
If with the increase of actual pressure, pressure waveform data decreases and the
alarm of “Paw Too Low” or “Patient Circuit Leak” occurs simultaneously, it is
possible that the sampling line of the airway pressure sensor is connected
incorrectly.
If from system standy to mechanical ventilation, continuous clicks are heard and
the alarm of “Pressure Monitoring Channel Failure” occurs, it is possible that the
sampling line of the PEEP pressure sensor is connected incorrectly. You can enter
the [Valves-Test Tool] menu to set the PEEP safety valve to ON. Gradullay
increase the D/A value of the PEEP valve and observe if the A/D value of the
PEEP pressure sensor also increases gradually. If not, it further indicates that the
PEEP pressure sensor may be connected incorrectly.
5-65
To diagnose the sampling line connection of the pressure sensor in case of pressure
calibration failure:
1. Connect the tubes of the anesthesia machine following the constant-pressure
connection method. Refer to 5.4.1Preparations before Using the Valves-test Tool.
2. Make sure that gas supplies are normal. In the [Valves-Test Tool] menu, set the PEEP
safety valve to ON.
3. Increase the D/A value of the PEEP valve gradually and the A/D value of the pressure
sensor should also increase. With the gradual increase of actual pressure,
If the A/D value of one sensor decreases gradually, it is possible that the sampling
line of the sensor is connected incorrectly.
If the A/D value of one sensor keeps unchanged, it is possible that the sampling
line of the sensor is not connected.
4. If sampling line connection errors are detected, re-connect the sampling lines and
check their connection correctness.
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5.4.3.4 Problems Related to Opening State of the Inspiratory Valve
By using the valves-test tool, you can detect if the opening state of the inspiratory valve is
normal.
1. The methods for tube connections and settings of the anesthesia machine are same to
those of sampling line connections of the flow sensors. For details, refer to
5.4.3.2Problems Related to Sampling Line Connections of the Sensors.
2. In the [Valves-Test Tool] menu, gradually increase the D/A value of the inspiratory
valve. If the measured values of the ventilator flow sensor, inspiratory flow sensor,
and expiratory flow sensor change very little and low gas flow is felt at the connector
of water collection cup, it indicates that the inspiratory valve or the D/A on the
monitor board is faulty.
3. Normally, when the D/A value of the inspiratory valve is set to “2500”, the flow
measured by the standard flow measurement device can reach 90 L/min.
4. If when the D/A value of the inspiratory valve is set to more than “4000”, the flow
measured by the standard flow measurement device fails to reach 90 L/min, flow
calibration will be failed. In this case, you need to replace the expiratory valve
assembly or the monitor board.
5. To locate if the DA on the monitor board is faulty, you can use a multimeter to
measure the output of DA on the monitor board corresponding to the inspiratory valve.
If voltage also increases with the increase of D/A value, and voltage nears 6V when
D/A value is set to more than “4000”, it indicates that the DA on the monitor board
corresponding to the inspiratory valve may be normal.
6. After the expiratory valve assembly or monitor board is replaced, you can use the
similar method to check if the problem is fixed.
By using the valves-test tool, you can detect if the opening states of the PEEP safety valve
and PEEP valve are normal.
To diagnose the opening state of the PEEP safety valve:
1. Make sure that gas supplies are normal.
2. In the [Valves-Test Tool] menu, when the PEEP safety valve is switched on, a subtle
click is heard.
5-67
3. Adjust the D/A value of the PEEP valve to cause the pressure measured by the PEEP
pressure sensor to exceed 0 cmH2O.
4. Switch off the PEEP safety valve. The pressure measured by the PEEP pressure sensor
should drop to 0 cmH2O immediately. Switch on the PEEP safety valve again. The
measured value of the PEEP pressure sensor rapidly restores almost the same value to
that before PEEP safety valve is switched off. During this period, gas flow and also
change of gas flow when the PEEP safety valve is switched on or off can be felt at the
PEEP outlet, which helps to judge if the PEEP safety valve can be switched on or off
normally.
5. If an error is detected, it is possible that the PEEP safety valve or the safety valve drive
voltage on the monitor board is faulty. You can use a multimeter to measure the drive
signals on the monitor board corresponding to the PEEP safety valve (measurement
can be performed at the corresponding socket). When the PEEP safety valve is turned
on, the drive voltage should near 6V. When the PEEP safety valve is turned off, the
drive voltage should near 0V. If these two conditions are met simultaneously, the
monitor board is normal.
6. If the PEEP safety valve is faulty, replace the expiratory valve assembly. After
replacement, you can use the similar method to check if the problem is fixed.
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5.5 Hardware and Electrical Problems
Failure description Possible cause Recommended action
During the operation of the The AC power supply is Check and make sure that the AC
anesthesia machine, the not connected properly power supply is connected properly.
display and AC indicator and the capacity of the
lamp are extinguished all of built-in battery is
a sudden and the ventilator insufficient.
cannot be started. The fuse of the mains Replace the fuse. If the fuse is
inlet is damaged. burned repeatedly, it indicates that
the machine internal power is
short-circuited.
The auxiliary electrical The fuse of the auxiliary Replace the fuse.
outlet has no output voltage. electrical outlet is
damaged.
The isolation transformer Replace the isolation transformer.
is damaged.
During the operation of the The connection line of the Properly insert the connection line of
anesthesia machine, the internal inverter gets the inverter.
display is extinguished all of loose.
a sudden and ventilation
remains normal.
When started up, the screen The power board software 1. Disconnect the AC power supply
is immediately lit and is damaged. and battery. Wait for 5 minutes to
dazzling. The screen cause the power board to fully
becomes normal scores of discharge and reset. Then update the
seconds later. The alarm of power board software again.
power board communication 2. If the problem persists, replace the
failure occurs. power board.
During the operation of the The monitor board or Enter [Maintenance] → [Factory
anesthesia machine, valve is damaged. Maintenance >>] . Enter the
ventilation stops all of a required password to access the
sudden but the display and [Factory Maintenance] menu. Enter
buttons work normally. [Diagnostic Test >>] →
[Valves-Test Tool>>] Test the status
of each valve and reference power
supply in the valves-test tool
window. If valve malfunction or
reference power supply error is
detected, return the valve or monitor
board to factory for repair.
5-69
Failure description Possible cause Recommended action
The heater malfunctions. The power board is Repair the power board.
damaged.
The heater is burned. Replace the heater.
The thermistor inside the Replace the heater.
heater is damaged.
The cable gets loose. Properly insert the heater-related
cable.
The anesthesia machine The system switch cable Properly insert the system switch
cannot be started up. falls off or other cable cable or the loose cable.
gets loose.
The fuse of the mains Replace the fuse.
inlet is damaged.
The power board software Disconnect the AC power supply and
is damaged. battery. Wait for 5 minutes to cause
the power board to fully discharge
and reset. Restart the machine. If the
machine works normally, it indicates
that the software failure is fixed. If
not, the problem is caused by
hardware failure.
The power board Return the power board to factory
hardware is faulty. for repair.
The system switch is Repair the system switch or tighten
ineffective or the screws the screws on the system switch.
on the system switch get
loose.
Exiting Standby fails. The cable between the Properly insert the cable between the
monitor board and the monitor board and the main control
main control board gets board.
loose.
The monitor board Return the monitor board to factory
hardware selftest is failed. for repair.
The buttons malfunction. The buttons are Replace the keyboard.
ineffective.
The cable gets loose. Properly insert the cable between the
keyboard and button board.
The isolation transformer The anesthesia machine is Resort to 110 V power supply
buzzes. powered by 220V AC.
5-70
Failure description Possible cause Recommended action
Alarm messages are The button board or Return the button board to factory
displayed on the screen but speaker is damaged. for repair or replace the speaker.
without alarm sound.
Operating the control knob is The control knob is Replace the control knob.
not responded. ineffective.
The button board is Return the button board to factory
damaged. for repair.
Network connection is The cables connected to Properly insert the cables.
failed. the network connection
board get loose.
The network cable is too Shorten the network cable.
long. Recommended cable length is
approximately 1.5 m.
The network cable is used The network cable has two linear
incorrectly. orderings which should be
differentiated.
No gas is outputted through The bag/mechanical Check the screen to see if the
the valve in mechanical ventilation switch is anesthesia machine is in mechanical
ventilation mode. faulty or the ACGO ventilation mode and if there is an
switch is turned on. alarm triggered.
The valve cannot be 1. Set tidal volume to maximum.
opened. 2. Switch between standby and
mechanical statuses or between
manual and mechanical statuses
repeatedly.
3. Replace the pneumatic circuit
block.
5-71
FOR YOUR NOTES
5-72
6 Repair and Disassembly
WARNING
z To help prevent fires, only use lubricants approved for anesthesia or O2
equipment.
z Do not use lubricants that contain oil or grease. They burn or explode in high O2
concentrations.
z Obey infection control and safety procedures. Used equipment may contain blood
and body fluids.
z Movable part and removable components may present a pinch or a crush hazard.
Use care when moving or replacing system parts and components.
z Use care when disassembling the parts with sharp edges to avoid cuts.
z Pay attention to the screws during the disassembly to prevent screws from falling
into the inside of the equipment. Failure to do so may cause short circuit.
z Make sure to bleed gas pressure before disassembling pneumatic fittings to avoid
personal injury caused by high pressure gas.
NOTE
z When re-assembling, inspect all parts for deterioration. Replace them if
necessary. Use appropriate screws and parts.
z After repairs are completed or parts replaced, perform the checkout procedure.
Refer to3Checkout and Test.
6-1
6.1 Prepare for Disassembly
6.1.1 Tools
During parts disassembling and replacing, the following tools may be required:
Metric Allen wrench (2.5#, 3#, 4#, 5#, 8#)
Phillips screwdriver
Diagonal pliers
Flathead screwdriver
Metric M3 and M4 socket screwdriver
Flowmeter calibration fixture
Adjustable wrench
Tweezers
M16 nut mounting fixture (0621-J26-1)
6.1.2 Preparations
Before disassembly,
Make sure that the anesthesia machine is turned off and disconnected from the AC
power source.
Bleed the gas pressure inside the anesthesia machine as described below.
Disconnect all pipeline and cylinder gas supplies.
Prepare the tools required for disassembly.
Maneuver the anesthesia machine to an appropriate location and then step down the
four caster brakes to fix the machine.
CAUTION
z The internal parts may be contaminated during long-term use of the equipment.
Wear special gloves during disassembling and inspecting.
6-2
6.1.3 Bleed Gas Pressure
Make sure to bleed the gas pressure inside the anesthesia machine before disassembling
pneumatic fittings to avoid personal injury or equipment damage. To bleed gas pressure:
1. Close other cylinder valves and disconnect pipeline gas supplies. Do not disconnect
the O2 pipeline. If O2 pipeline is not available, connect O2 cylinder and open the O2
cylinder valve.
2. Set the system switch to ON.
3. Turn on all the flow controls (except O2).
4. Make sure that N2O and AIR pipeline pressure gauges read zero.
5. Disconnect the O2 pipeline supply (or close the O2 cylinder valve). Push the O2 flush
button to bleed O2 from the system.
6. Set the system switch to OFF.
6-3
2. Lift off the top panel and disconnect the air connector between the table toplight
power cord and the power signal transfer cable.
6-4
6.2.3 Remove the Trolly Rear Panel Assembly
Unscrew the eight screws as shown below to remove the trolly rear panel.
6-5
2. Disconnect the air connectors.
Air connector
4. Unscrew the screw on the other side to remove the system switch assembly.
6-6
The following pictures show the appearance of system switch.
2. Disconnect all the tubes connected to the system switch, O2 flush button, needle valve,
pressure gauge, total flowmeter and main unit and remove the left front panel from the
main unit.
6-7
6.2.6 Remove the Throttling Device
1. Follow the steps described in 6.2.5Remove the Left Front Panel Assembly.
2. Disconnect the gas-in tube, gas-out tube and pressure sampling tube.
Gas-out tube
Gas-in tube
3. Open the cable ties and disconnect the connection lines from the flowmeter control
board. Unscrew the fixed screws.
Fixed screws
Remove the
connection lines
6-8
The following pictures show the appearance of throttling device.
6-9
3. Turn over the assembly. Disconnect the connection lines to the inverter and unscrew
the four screws to remove the display, as shown below.
6-10
Remove the tubes
Total flowmeter
check ring
6-11
2. Unscrew the six screws to remove the O2, N2O and AIR supply inlet assemblies
respectively, as shown below.
3. Unscrew the four screws on the gas supply inlet assembly to remove the assembly
(take AIR supply inlet assembly for an example).
O2 supply inlet
assembly
6-12
4. Replace the seal and filter on the gas supply inlet assembly.
Seal
Filter
Gas tube
6-13
The following picture shows the appearance of ACGO switch assembly.
6-14
6.2.13 Remove the Vaporizer Manifold Assembly
Single-vaporizer Manifold Assembly
1. Disconnect the gas tubes from the vaporizer manifold and then unscrew the four
screws as shown below.
Remove the gas tubes
6-15
Double-vaporizer Manifold Assembly
1. Disconnect the gas tubes from the vaporizer manifold and then unscrew the two
screws as shown below.
2. Remove the label and unscrew the two screws as shown below. Then pull out the
manifold.
Label
The following picture shows the appearance of double-vaporizer manifold assembly.
6-16
6.2.14 Disassemble the Pipeline Pressure Gauges
Each pipeline pressure gauge can be disassembled separately in the same way. The
following takes AIR cylinder pressure gauge for an example.
1. Find the AIR cylinder pressure gauge by referring to the gauge label on the left front
panel of the anesthesia machine.
The following pictures show the appearance of AIR cylinder pressure gauge.
6-17
6.2.15 Disassemble the Expiratory Valve Assembly
1. Unscrew the screws fixing the connection line to the pneumatic block. Disconnect the
connection line between the monitor board and the pressure switch.
6-18
3. Unscrew the screws to remove the expiratory valve.
Disconnect the
tube from the
gas reservoir
simultaneously
6-19
6.2.16 Remove the Three-way Valve
Disconnect the connection line between the three-way valve and the monitor board.
Disconnect the four pressure sampling tubes between the patient circuit and the three-way
valve and unscrew the two screws as shown below to remove the three-way valve.
Disconnect the pressure sampling tubes between the patient circuit and the three-way valve
6-20
2. Disconnect the tubes from the main unit. Unscrew the two nuts using M16 nut
mounting fixture (0621-J26-1) to remove the assembly.
6-21
6.2.18 Remove the AGSS Assembly
1. Remove the transfer tube assembly.
2. Hold and slide the AGSS main unit upward along the bracket to remove the AGSS
assembly, as shown below.
6-22
The following picture shows the appearance of AGSS assembly.
6-23
6.2.19 Remove the Main Control Board
Disconnect the connection lines from the main control board. Unscrew the 4 screws as
shown below to remove the main control board.
6-24
6.2.21 Remove the Monitor Board
The monitor board is located beside the power box. Disconnect the connection lines and
tubes from the monitor board. Then unscrew the four screws as shown below to remove the
monitor board.
6-25
6.2.22 Remove the Speaker
Disconnect the connection lines from the button board. Open the flat cable tie. Unscrew the
two screws to remove the speaker, as shown below.
Remove the
Flat cable tie
connection line
6-26
2. Disconnect the connection line from the power conversion board and remove the
grounding cable.
3. Unscrew the six screws as shown below to take out the power box.
6-27
6.2.24 Replace the Power Board
1. Follow the steps described in 6.2.23Remove the Power Box.
2. Unscrew the five screws on the power conversion board as shown below.
3. Unscrew the four screws on both sides of the power box to open the power box.
6-28
The following picture shows the appearance of power board.
WARNING
z Before replacing the power board, be sure to turn off the system switch and
unplug the power cord to prevent electric shock.
2. Insert a new fuse and tighten the fuse cover by using the flathead screwdriver.
WARNING
z Before replacing the fuse, be sure to turn off the system switch and unplug the
power cord to prevent electric shock.
6-29
WARNING
z Make sure that the new fuse meets the requirements specified in the Operator’s
Manual.
2. Unscrew the six screws as shown below to take out the battery box assembly.
3. Unscrew the two M3 nuts and remove the battery block plate to replace the battery, as
shown below.
Nut
6-30
6.2.27 Remove the Power Cord
Unscrew the three screws as shown below to remove the power cord.
WARNING
z Before replacing the power cord, be sure to disconnect the power supply to
prevent electric shock.
6-31
4. Disconnect the power cables from the auxiliary electrical outlet and from the isolation
transformer to take out the isolation transformer assembly.
Disconnect the power cable from Disconnect the power cable from
the auxiliary electrical outlet the isolation transformer
5. Unscrew the four screws fixing the handle to remove the handle, as shown below.
6. Unscrew the four screws fixing the partition plate to remove the partition plate.
Disconnect the connectors from the isolation transformer. Unscrew the four screws to
remove the isolation transformer.
6-32
6.2.29 Replace the Caster
Remove the caster and replace with a new one with one person tipping the anesthesia
machine and another person unscrewing the four screws, as shown below.
WARNING
z Replacing a caster requires at least two people. Personal injury and/or machine
damage is possible if one person attempts this procedure alone.
NOTE
z Remove the vaporizer before tipping the anesthesia machine. If a vaporizer is
inverted, it must be set to 5% and purged for 30 minutes with a 5 L/min flow.
z Before tipping the anesthesia machine, maneuver it to coarse floor. Then step
down the two brakes to fix the machine. Do not over tip the anesthesia machine to
avoid personal injury or machine damage.
6-33
6.2.30 Replace the Drawer
Fully pull out the drawer. Hold the drawer sides by both hands. Depress the buckles inward
on both sides of the drawer to remove the drawer. Unscrew the three screws on the rail to
remove the rail. Remove the other rail similarly.
Buckle
6-34
6.3 Disassemble the Breathing System
6.3.1 Remove the O2 Sensor
1. Remove one end of the O2 sensor cable from the connector on the anesthesia
machine. Unplug the other end of the cable from the O2 sensor.
6-35
6.3.2 Remove the Breathing Tubes
NOTE
z When disassembling the breathing tube, hold the tube connectors at both ends of
the tube to prevent damage to the tube.
6-36
6.3.3 Remove the Flow Sensor
1. Turn the locking nuts counterclockwise.
2. Pull out the inspiration and expiration connectors together with their locking nuts.
6-37
The following pictures show the appearance of inspiratory and expiratory flow sensor
assemblies.
6-38
6.3.5 Disassemble the Bellows Assembly
1. Turn the bellows housing counterclockwise.
6-39
6.3.6 Disassemble the PoP-Off Valve Assembly
1. Unscrew the locking screws.
3. Take out the PoP-Off valve rubber gasket and metal component.
6-40
6.3.7 Disassemble the Expiratory Check Valve Assembly
1. Turn the check valve cover counterclockwise to remove it.
The following picture shows the appearance of expiratory check valve assembly.
6-41
6.3.9 Remove the Sodalime Canister
1. Hold and pull up the rotary handle for 90 degrees.
6-42
3. Pull off the sodalime canister from the lifting device.
WARNING
z Sodalime is a caustic substance and is a strong irritant to eyes, skin and
respiratory system. Affected parts should be flushed with water. If irritation
continues after flushed by water, seek medical assistance immediately.
6-43
The following picture shows the appearance of water collection cup.
6-44
2. Remove the bag arm from the circuit.
2. Remove the circuit from the circuit adapter with both hands.
6-45
NOTE
z If it is hard to push the circuit into or out of the circuit adapter, you need to apply
some lubricant to the seal on the pneumatic connector to reduce friction.
Assembly
1. Turn over the circuit.
2. Loosen the three screws (as shown in the picture) using an Allen wrench.
6-46
3. Remove the sodalime canister connection block assembly from the circuit.
4. Turn over the connection block assembly and loosen the two screws (as shown in the
picture) using an Allen wrench.
6-47
5. Pull up forcibly to remove the connection block assembly.
Lifting device
6-48
6.3.15 Remove the Upper Cover 2 and Lower Cover 2
Assemblies
1. Loosen the six screws (as shown in the picture) using an Allen wrench.
3. Turn over the circuit. Pull up to take out the upper cover 2 assembly
6-49
4. Pull leftwards to take out the lower cover 2 assembly.
2. Hold the upper cover assembly tightly and pull it up forcibly to remove it.
6-50
6.3.17 Remove the Median Plate Assembly
Pull up the median plate assembly forcibly to remove it.
Lower cover
assembly
6-51
6.3.19 Disassemble the Bag/mechanical Ventilation Switch
Assembly
1. Remove the upper cover assembly as per 6.3.16Remove the Upper Cover Assembly.
2. Turn over the upper cover assembly and unscrew the three screws as shown in the
picture.
The following picture shows the appearance of bag/mechanical ventilation switch assembly.
6-52
3. Unscrew the three screws as show in the picture.
4 Take out the seal and pull out the axis pin to remove the axis.
Axis
Compression spring
6-53
6. Remove the compression spring and replace the two seals (0030-10-13077)
Seal
6-54
6.4.1 Electrical Connections
Electrical Circuit Diagram
6-55
Wiring
6-56
S/N Description P/N
Connection line between the power board and auxiliary
37 0621-20-78665
electrical outlet
38 Connection line for isolation transformer temperature sensor 0621-20-78594
39 Circuit heating and circuit switch connection line 0621-20-78591
40 Circuit inside heating connection line 0621-21-78641
41 Connection line for flowmter three-way valve assembly 0621-20-78648
42 CIS fan and connection line 0621-20-78572
43 CIS fan transfer cable 0621-20-78573
44 Harddisk data line 0621-20-78642
45 Button scanning connection line 0621-20-69607
46 Modular rack fan 0621-20-69412
47 Connection line for modular rack fan 0621-20-69413
B1 Isolation transformer board 0611-30-45463
B2 AC conversion board 0611-30-45408
B3 Power board 0621-30-78595
B4 Power conversion board 0621-30-69354
B5 Alarm lamp board 0621-30-69358
B6 Encoder board 9200-30-10470
B7 Button control board 0621-30-69360
B8 Inverter 0000-10-11020
B9 Network conversion board 9210-30-30152
B10 Main control board 0611-30-45406
B11 Infrared backplane 0621-30-69353
B11 General NiosII module 6800-30-50075
B12 Flowmeter control board (three flowtubes configured) 0621-30-69351
B12 Flowmeter control board (two flowtubes configured) 0621-30-78639
B12 Flowmeter control board (one flowtube configured) 0621-30-78638
B13 Table toplight board 0621-30-69356
B14 CIS power conversion board 0621-30-69585
B15 Monitor signal detection board 0621-30-78632
B16 Monitor valve drive board 0621-30-78634
B17 CIS backplane 0621-30-69362
P1 Connector for battery power supply /
P2 AC mains filter /
P3 Auxiliary electrical outlet /
P4 Auxiliary electrical outlet (GB) /
P5 Auxiliary electrical outlet (Euro standard) /
P6 To power conversion board J6 /
S1 System switch /
S2 Circuit switch /
S3 Flowmeter inlet pressure switch /
6-57
S/N Description P/N
S4 Switch status detection /
S5 O2 sensor for bag/mechanical ventilation switch /
S6 PEEP valve, inspiratory valve, PEEP safety valve /
S7 Speaker /
S8 Membrane keyboard /
S9 Fan /
S10 Modular rack fan /
S11 Isolation transformer /
S12 Temperature switch /
S13 Fan /
S14 Ship-shaped switch /
S15 Heater /
S16 Three-way valve /
S17 Fuse /
6-58
6.4.2 Pneumatic Connections
6.4.2.1 Pneumatic Connection A (configured with O2, N2O and AIR
supplies, high-pressure cylinders and auxiliary O2 supply)
Pneumatic Circuit Diagram
25
22
18
21
53
55
27
26
46
47
28
52
49
48
29
61
54
51
60
45
58
44
52
44
59
43
50
41
39
56
57
62
42
40
6-59
Tubing
6-60
58 Gas-out connector of auxiliary O2 To nozzle for auxiliary O2 supply
supply flowmeter
59 Drive gas connector of O2 supply Y4-1 M6G-020014---
inlet assembly
60 Check valve of O2 cylinder bracket Y4-2
61 Y4-3 Rear gas-in connector of
expiratory valve assembly
62 Check valve of N2O cylinder bracket N2O supply inlet assembly M6G-020026---
Y1, Y2 and Y3 refer to Y piece. M6Q-030024---
Y4 refers to Y piece. M6Q-030025---
6-61
6.4.2.2 Pneumatic Connection B (configured with O2, N2O and AIR
supplies, without high-pressure cylinders and auxiliary O2 supply)
Pneumatic Circuit Diagram
25
22
18
53
21
55
O2-N2O needle valve
27
26
46
47
28
49
48
29
52
54
51
45
44
52
44
43
50
41
39
42
40
6-62
Tubing
6-63
55 Side gas-out connector of expiratory Gas-in connector of gas reservoir M6G-020026---
valve assembly
Y1 and Y2 refer to Y piece. M6Q-030024---
25
22
18
53
21
55
O2-N2O needle valve
27
26
46
47
28
49
48
52
54
45
44
52
44
43
39
42
40
6-64
Tubing
6-65
6.4.2.4 Pneumatic Connection D (configured with O2 and AIR supplies,
without high-pressure cylinders and auxiliary O2 supply)
Pneumatic Circuit Diagram
25
22
18
53
21
55
26
27
29
52
54
51
45
44
52
44
43
50
41
39
42
6-66
Tubing
6-67
6.4.2.5 Pneumatic Connection E (configured with O2 supply only,
without high-pressure cylinders and auxiliary O2 supply)
Pneumatic Circuit Diagram
25
22
18
53
21
55
26
27
52
54
45
44
52
44
43
39
42
6-68
Tubing
6-69
6.4.3 Connections between Pneumatic Circuit, Breathing
8
1
3
9
55
4
5
7
6
18
19
14
16
12
10
15
17
13
11
Breathing
23
system
24
connector
22
21
6-70
Tubing
6-71
FOR YOUR NOTES
6-72
7 Parts
7.1 Main Unit
7.1.1 Main Unit
7.1.1.1 Exploded View
7-1
7.1.1.2 Parts List
Note: The P/N of this assembly is 0621-30-69401.
7-2
S/N P/N Description Qty
29 0621-20-69405 Tray 1
30 0621-30-78559 Monitor board assembly 1
31 0621-20-69563 Insulating strip for conversion board 1
32 M90-000032-00 Cable fixer, closed protective ring, SB-2428, black nylon 4
33 2105-20-40172 Screw plug (mold MR40172) 8
34 M04-051066--- Hexagon socket cap head screw GB/T701-2000 M5X25 10
rustproof nickel plating
35 0621-30-69419 Top plate assembly 1
36 0621-20-69393 Connection line for three-way valve assembly 1
37 0611-30-45595 Battery box assembly 1
38 M04-004012--- Cross recessed small pan head screw with washer 18
GB9074.5-88 M3X6 rustproof nickel plating
39 M04-051141--- Cross recessed small pan head screw assembly GB/T9074.8 28
M4X8 rustproof nickel plating
40 0621-30-78696 Main control board 1
41 0621-30-69360 Button control board 1
42 0621-30-69590 Ground plate assembly of modular rack 1
43 0621-20-69372-52 Left rear decorative plate 1
44 0621-20-69371-52 Left front decorative plate 1
45 0010-20-42929-56 Left slide 1
46 0621-20-69415 Cover plate for ACGO switch (mold MR69415) 1
47 0621-30-69414 Modular rack assembly 1
48 0621-20-69559-51 Block plate for left upper decorative plate 1
49 M04-004013--- Cross recessed small pan head screw with washer 3
GB9074.5-88 M3X10 rustproof nickel plating
7-3
7.1.2 Top Panel Assembly
7.1.2.1 Exploded View
7-4
7.1.3 Left Front Panel Assembly
7.1.3.1 Exploded View
7-5
S/N P/N Description Qty
15 0621-30-69442 Display assembly (AU 10" display) 1
16 M04-051141--- Cross recessed small pan head screw assembly 10
GB/T9074.8 M4X8 rustproof nickel plating
17 M04-051031--- Stainless steel cross recessed pan head screw 6
GB/T818-2000 M3X5 polishing
18 M04-051065--- Stainless steel hexagon socket cap head screw 8
GB/T70.1-2000 M4X16 polishing
19 M6Q-020036--- Flow regulator, AIR 1
20 M6Q-020034--- Flow regulator, O2 and N2O 1
21 0621-20-69568 Check ring for total flowmeter 2
22 0621-20-69567 Washer for total flowmeter 2
23 M04-051140--- Cross recessed small pan head screw assembly 19
GB/T9074.8 M3X8 rustproof nickel plating
24 0611-30-58711 O2 flush button assembly 1
25 0621-20-69591 Spring for O2 flush button 1
26 0621-20-69445-51 O2 flush button (mold MR69445) 1
27 0621-20-69494 Connection line B for system switch 1
28 M6Q-120015--- Clip for electrical contact point.ZB2-BZ101 1
29 0611-30-67602 Pipeline pressure gauge assembly 3
30 0621-20-69531 Needle valve knob stopper (mold MR69445) 3
31 M07-00111S--- SWITCH selector switch cam form ZB2-BD2C 1
32 M04-000405--- Cross recessed countersunk head screw GB/T819.1-2000 6
M3X8 rustproof nickel plating
33 0611-20-45647 Overlay for pressure gauge 3
34 0621-20-69444 Overlay for flowmeter 1
35 0621-10-69651 Total flowmeter.0-10L/min 1
7-6
7.1.4 Display Assembly
7.1.4.1 Exploded View
7-7
7.1.5 Trolly Assembly (with Auxiliary Electrical Outlet/Euro
Standard/220V)
7.1.5.1 Exploded View
7-8
7.1.5.2 Parts List
Note: The P/N of this assembly is 0621-30-69394.
7-9
S/N P/N Description Qty
M4X8 polishing
31 0621-30-69391 Trolly drawer assembly 2
7-10
7.1.7 Trolly Rear Panel Assembly
7.1.7.1 Exploded View
7-11
7.1.8 Modular Rack Assembly
7.1.8.1 Exploded View
7-12
S/N P/N Description Qty
9 900E-20-04895 Dustproof cushion 2 1
10 M04-051140--- Cross recessed small pan head screw assembly 5
GB/T9074.8 M3X8 rustproof nickel plating
11 0621-30-69353 Infrared backplane 1
7-13
7.1.10 Circuit Bracket Assembly
7.1.10.1 Exploded View
7-14
S/N P/N Description Qty
11 M04-000104--- Single coil spring lock washer,normal type GB/T93-1987 3 8
rustproof nickel plating
12 0611-20-45580 Locking handle 1
13 M04-004702--- Plain washer, normal series, product grade A 4
GB/T97.1-20024 rustproof nickel plating
14 M04-021005--- Single coil spring lock washer,normal type GB/T93-1987 4 4
rustproof nickel plating
15 0611-20-58720 Locking bolt 4
16 M04-000401--- Stainless steel hexagon nut GB/T6170-2000 M4 polishing 8
17 0611-20-58836 Locking screw 2
18 M04-021011--- Plain washer, normal series, product grade A 2
GB/T97.1-20025 rustproof nickel plating
19 M04-021007--- Single coil spring lock washer,normal type GB/T93-1987 5 2
rustproof nickel plating
20 M04-000501--- Stainless steel hexagon nut GB/T6170-2000 M5 polishing 2
7-15
7.1.11.2 Parts List
Note: The P/N of this assembly is 0621-30-69408.
7-16
S/N P/N Description Qty
28 M04-021011--- Plain washer, normal series, product grade A GB/T97.1-20025 4
rustproof nickel plating
7-17
S/N P/N Description Qty
9 M04-004015--- Cross recessed small pan head screw with washer 5
GB9074.5-88 M3X8 rustproof nickel plating
10 DA8K-10-14410 Buffer cushion.Bumpon SJ5302 white transparent 4
11 0621-20-69550-51 Bracket for movable operation console 1
12 M6H-020004--- Rail.3732-12P 3
13 0621-20-69644-51 Base for tabletop rotation axis 1
14 0621-20-78581-51 Base for tabletop rear rotation axis 1
15 0621-20-69645 Locker 1
16 0621-20-69552 Mounting plate for locker 1
17 M04-000301--- Stainless steel hexagon nutGB/T6170-2000 M3 polishing 2
18 M04-000104--- Single coil spring lock washer,normal typeGB/T93-1987 3 1
rustproof nickel plating
19 M04-000802--- Plain washer, normal series, product grade A 1
GB/T97.1-20023 rustproof nickel plating
20 M90-000122--- WASHER WS-2T inner diameter 3.2 self-colored UL 2000 2
21 M04-001705--- Cross recessed countersunk head screwGB/T819.1-2000 3
M3X10 rustproof nickel plating
7-18
7.1.13.2 Parts List
Note: The P/N of this assembly is 0621-30-69592.
7-19
7.1.14 Auxiliary Electrical Outlet Assembly (220V)
7.1.14.1 Exploded View
7-20
7.1.15 Power Box Assembly
7.1.15.1 Exploded View
7-21
S/N P/N Description Qty
12 0611-20-58807 Fan cushion 1
13 0621-20-69449 Sealing cushion 4
14 0621-20-69448 Power box cover 1
15 509B-10-06194 HEADER fuse holder φ5*20 2
16 M04-005005--- Cross recessed countersunk head 6
screwGB/T819.1-2000 M3X6 rustproof nickel plating
17 0621-21-69489 Cable from AC filter to fuse 1
7-22
S/N P/N Description Qty
5 0621-20-69420 Dustproof net 1
6 0621-20-69561 Speaker EVA cushion 1
7 9200-21-10633 2.25" speaker and speaker cable 1
8 9200-20-10620 Press bar for speaker 1
9 M04-051140--- Cross recessed small pan head screw 15
assemblyGB/T9074.8 M3X8 rustproof nickel plating
10 9210-30-30152 Network connection board 1
11 9210-20-30175 Insulating strip for socket board 1
12 0621-20-78588 Bracket for network connector 1
13 0621-30-69585 Power conversion board for CIS 1
14 0621-20-69463-51 Hook 2
15 M04-051045--- Cross recessed small pan head screw GB/T823-1988 2
M2.5X6 rustproof nickel plating
16 0509-20-00098 Grounding stud 1
17 0621-20-78748 Mains inlet fixer 1
18 M04-051158--- Cross recessed small pan head screw assembly 3
GB/T9074.8 M3X6 rustproof nickel plating
19 M04-006412--- Cross recessed pan head screw with washer 6
GB9074.1-88 M4X8 rustproof nickel plating
7-23
7.1.17.2 Parts List
Note: The P/N of this assembly is 0621-30-78550.
7-24
7.1.18 O2, N2O and AIR Supplies Inlet Assemblies
7.1.18.1 Exploded View
7-25
S/N P/N Description Qty
13 M04-051026--- Hexagon socket cap head screw M3X10 2
14 m6q-020030--- Valve, regulator 11-990-196 3
15 0621-20-78627 AIR pipe tail fitting 1
16 0621-20-78621 O2 pipe tail fitting 1
17 M6Q-030015--- Connector, straight connector 3175-06-10 2
18 M04-000104--- Spring washer GB93 3 14
19 M04-051093--- Hexagon socket cap head screw M3X12 12
20 0621-20-78624 N2O pipe tail fitting 1
21 0611-30-67605 Pressure relief valve 37.9 3
22 M6Q-020010--- Valve, check valve AKH08A-02S 3
23 M6M-010016--- Seal, O-ring 23.60X2.65 silicone A70 red 3
24 0621-20-78623 N2O pipe support 1
25 M04-051141--- Small pan head combination screw M4X8 2
26 M6M-010021--- Seal, O-ring16.00X2.00 EPT A70 black 3
27 0611-20-45435 Compression spring 3
28 0611-20-45597 N2O pipe connector 1
7-26
7.1.19.2 Parts List
Note: The P/N of this assembly is 0621-30-78469.
7-27
7.1.20.2 Parts List
Note: The P/N of this assembly is 0611-30-58781.
7-28
7.1.21 O2 Flush Button Assembly
7.1.21.1 Exploded View
7-29
7.1.22 ACGO Assembly
7.1.22.1 Exploded View
7-30
S/N P/N Description Qty
14 M6Q-030015--- Connector, straight connector 3175-06-10 1
15 M04-051140--- Small pan head combination screw M3X8 7
16 M07-00106S--- SWITCH SPDT DIP3 ball end 1
17 M04-021063--- G1/8 nylon washer 1
18 M6Q-120036--- Hexagon plug 0919-00-10 1
19 M07-00126S--- Gas pressure switch, which gives an alarm when pressure
1
drops 32 PSI
20 M04-051026--- Hexagon socket cap head screw M3X10 2
21 M04-000104--- Spring washer GB93 3 2
22 0621-30-69662 Pressure relief valve 1
23 0611-30-67606 Type Ⅱ pressure relief valve 37.9 1
7-31
7.1.23.2 Parts List
Note: The P/N of this assembly is 0621-30-78468.
7-32
7.1.24.2 Parts List
Note: The P/N of this assembly is 0621-30-69625.
7-33
7.1.25 Throttling Device (O2+N2O+AIR)
7.1.25.1 Exploded View
7-34
S/N P/N Description Qty
12 0601-20-78930 Spring 3
13 0611-20-45488 Connector of pressure sampling tube 12
14 M6M-010037--- Seal, O-ring 9X2.5 red A50 3
15 0621-20-69363 Port plate 3
16 M04-000802--- Plain washer GB97.1 3 6
17 0621-20-69369 Check valve seat 3
18 M6M-010009--- O-ring 9.5X1.8 3
19 M6Q-120036--- Hexagon plug 0919-00-10 1
20 M04-021063--- G1/8 nylon washer 0602 23 1020 1
7-35
S/N P/N Description Qty
8 0611-20-58787 Bolt 2
9 M04-051115--- Hexagon socket cap head screw M5X20 2
10 M04-021007--- Spring washer B93 5 2
11 0611-20-45600 Filter 1
12 M6Q-020010--- Check valve AKH08A-02S 1
13 M6Q-020039--- Pressure reducing valve to decrease pressure 1
from 2 to 15 MPa to 0 to 1 MPa
7-36
S/N P/N Description Qty
11 0611-20-45600 Filter 1
12 M6Q-020010--- Check valve AKH08A-02S 1
13 M6Q-020039--- Pressure reducing valve to decrease pressure 1
from 2 to 15 MPa to 0 to 1 MPa
7-37
S/N P/N Description Qty
8 M04-051147--- Stainless steel cross recessed countersunk head screw 4
GB/T819.2-1997 M3X8 polishing
9 0611-20-45417 Locking pin 2
10 M6T-010009--- Spring, special for vaporizer, S type 2
11 M04-051146--- Stainless steel cross recessed countersunk head screw 4
GB/T819.2-1997 M2.5X4 polishing
12 0611-20-45404 Spring 4
13 M6M-010015--- Seal, O-ring 17.17X1.78 silicone A70 black 4
14 M04-021063--- G1/8 nylon washer 0602 23 1020 2
15 M6Q-120036--- Hexagon plug 0919-00-10 2
16 M6Q-020031--- Check valve membrane and check membrane assembly 1
25X16 silicone
17 M04-051065--- Stainless steel hexagon socket cap head screw 2
GB/T70.1-2000 M4X16 polishing
18 M04-021007--- Single coil spring lock washer, normal type GB/T93-1987 5
5 rustproof nickel plating
19 M04-051062--- Hexagon socket cap head screw GB/T70.1-2000 M5x16 3
polishing
20 0621-20-69398 Vaporizer external manifold 1
21 M6Q-030016--- Connector, straight connector 3175-08-13 1
22 0621-20-69556 Double-vaporizer manifold 1
23 M04-051066--- Hexagon socket cap head screw GB/T701-2000 M5X25 2
rustproof nickel plating
24 M04-021011--- Plain washer-product grade A GB/T97.1-20025 rustproof 2
nickel plating
25 M6Q-030020--- Connector, L-shaped connector 3109-06-10 1
26 0611-20-45404 Spring 4
27 0611-20-45414 Sleeve 4
7-38
7.1.29 Single-vaporizer Manifold Assembly
7.1.29.1 Exploded View
7-39
S/N P/N Description Qty
17 M6Q-030020--- Connector, L-shaped connector 3109-06-10 1
18 M6Q-020031--- Check valve membrane and check membrane assembly 1
(25X16)
19 0621-20-78589 Check valve base 1
20 M04-021007--- Spring washer GB93 5 3
21 M04-021011--- Plain washer GB97.1 5 1
22 M6Q-030021--- Connector, L-shaped connector 3109-08-13 1
23 M04-000104--- Spring washer GB93 3 4
24 M04-000802--- Plain washer GB97.1 3 4
25 M04-051093--- Hexagon socket cap head screw M3X12 4
26 M04-051009--- Cross recessed countersunk head screw M2.5X4 2
27 0611-20-45405 Locking spring 1
7-40
7.1.30.2 Parts List
Note: The P/N of this assembly is 0621-30-78685.
7-41
7.2 Breathing Circuit
7.2.1 Lifting Device Assembly
7.2.1.1 Exploded View
7-42
7.2.1.2 Parts List
Note: The P/N of this assembly is 0601-30-78806.
7-43
S/N P/N Description Qty
30 M6B-010001--- Friction ball, stainless steel Φ6 polishing 2
31 0601-20-78837 Right hook 1
7-44
7.2.2.2 Parts List
Note: The P/N of this assembly is 0601-30-78957.
7-45
7.2.3.2 Parts List
Note: The P/N of this assembly is 0601-30-78957.
7-46
7.2.4.2 Parts List
Note: The P/N of this assembly is 0601-30-78963.
7-47
7.2.5.2 Parts List
Note: The P/N of this assembly is 0601-30-78862.
7-48
7.2.6.2 Parts List
Note: The P/N of this assembly is 0601-30-78869.
7-49
7.2.7 APL Valve Assembly
7.2.7.1 Exploded View
7-50
7.2.7.2 Parts List
Note: The P/N of this assembly is 0601-30-78829.
7-51
7.2.8 Bag/mechanical Ventilation Switch Assembly
7.2.8.1 Exploded View
7-52
S/N P/N Description Qty
11 M04-051106--- SUS316 cross recess head screw GB/T818-2000 M2.5X8 3
polishing
12 M6M-010047--- Seal, O-ring 33.X2.5 silicone A50 red 2
7-53
7.2.9.2 Parts List
Note: The P/N of this assembly is 0601-30-78870.
7-54
7.2.10 Lower Cover Assembly
7.2.10.1 Exploded View
7-55
S/N P/N Description Qty
13 M04-021074--- SUS316 plain washer,normal series,product grade 6
AGB/T97.1-2002 5 polishing
14 M04-021069--- SUS316 single coil spring lock washer,normal 6
typeGB/T93-1987 5 polishing
15 0601-20-78958 Screw 6
16 0601-20-78883 Retainer for locking catch (mold MR69744) 1
17 M6M-010064--- Seal, O-ring 20X2 fluororubber A50 1
18 0601-20-78899 End plug for bag (mold MR78873) 1
19 M6M-010038--- Seal, O-ring 23.47X2.95 silicone red A50 1
20 0601-20-69746 Water collection cup (mold MR69746) 1
21 M6M-010022--- Seal, O-ring 18.00X1.50 ethylene propylene terpolymer, 1
(EPT), A70 black
22 0601-20-78913 Screw threaded transitional piece for O2 sensor 1
23 M6M-010037--- Seal, O-ring 9X2.5 silicone red A50 1
24 0601-20-78961 End plug for O2 sensor 1
7-56
7.2.11.2 Parts List
Note: The P/N of this assembly is 0601-30-78894.
7-57
7.2.12.2 Parts List
Note: The P/N of this assembly is 0601-30-69700.
7-58
7.2.13.2 Parts List
Note: The P/N of this assembly is 0601-30-78891.
7-59
7.2.14 Folding Bag Assembly
7.2.14.1 Exploded View
7-60
7.2.15 Lower Cover 2 Assembly
7.2.15.1 Exploded View
7-61
S/N P/N Description Qty
11 M04-021067--- SUS316 single coil spring lock washer, normal type 2
GB/T93-1987 3 polishing
12 M04-051123--- SUS316 cross recess head screw GB/T818-2000 M3X16 2
polishing
7-62
A Electrical Safety Inspection
The following electrical safety tests are recommended as part of a comprehensive preventive
maintenance program. They are a proven means of detecting abnormalities that, if undetected,
could prove dangerous to either the patient or the operator. Additional tests may be required
according to local regulations.
All tests can be performed using commercially available safety analyzer test equipment.
These procedures assume the use of a 601PROXL International Safety Analyzer or equivalent
safety analyzer. Other popular testers complying with IEC 60601-1 used in Europe such as
Fluke, Metron, or Gerb may require modifications to the procedure. Follow the instructions
of the analyzer manufacturer.
The consistent use of a safety analyzer as a routine step in closing a repair or upgrade is
emphasized as a mandatory step if an approved agency status is to be maintained. The safety
analyzer also proves to be an excellent troubleshooting tool to detect abnormalities of line
voltage and grounding, as well as total current loads.
A-1
A.1 Power Cord Plug
The Power Plug
Contextual Inspection
A-2
A.3 Device Labeling
Check the labels provided by the manufacturer or the healthcare facility are present and
legible.
Preparation
1. First select the test current that will be used for performing the Protective Earth
Resistance test by pressing AMPERES (SOFT KEY 3).
2. Connect the test lead(s) between the RED input jack and the GREEN input jack.
3. Press CAL LEADS. The 601PRO will measure the lead resistance, and if less than 0.150
Ohms, it will store the reading and subtract it from all earth resistance readings taken at
the calibrated current.
If the calibration fails, the previously stored readings will be used until a passing calibration
has occurred.:
WARNING
z During Earth Resistance testing, the DUT must be plugged into the 601PRO
front outlet. If the DUT fails Earth Resistance, discontinue tests and label the
device defective.
A-3
To Perform the Test
1. From the MAIN MENU, or with the outlet unpowered, plug the DUT into the 601PRO
front panel outlet.
2. Attach the 601PRO RED input lead to the device’s Protective Earth terminal or an
exposed metal area.
3. Press shortcut key 3. The Protective Earth Resistance test is displayed.
4. Press SOFT KEY 3 to select a test current (1AMP, 10AMP, or 25AMP). The selected
test current is displayed in the upper right corner of the display.
5. Press START TEST to start the test. The test current is applied while resistance and
current readings are taken. This takes approximately 5 seconds.
6. Press the print data key at any time to generate a printout of the latest measurement(s).
NOTE
z When "Over" is displayed for Ohms, this signifies that a valid measurement was
not obtained because either an open connection was detected or that the
measurement was not within range. Readings greater than 9.999 Ohms will be
displayed as Over.
In Case of Failure
Once it reaches the limitation, stop using and inform the Customer Service Engineer for
analysis and disposal.
LIMITS
ALL COUNTRIES R = 0.2Ω Maximum
A-4
A.5 Earth Leakage Test
Run an Earth Leakage test on the device being tested before performing any other leakage
tests.
Earth Leakage Current, leakage current measured through DUT outlet Earth
Earth Leakage Current AP-EARTH (ALL Applied Parts connected to Earth), leakage
current measured through DUT outlet Earth
There is no need to attach a test lead; the 601PRO automatically connects the measuring
device internally.
SOFT KEY 1 toggles the DUT outlet Polarity from Normal to Off to Reverse.
SOFT KEY 2 toggles the DUT outlet from Earth to No Earth.
SOFT KEY 3 toggles the DUT outlet from L2 to No L2.
SOFT KEY 4 toggles the AP to Earth to No AP to Earth.
4. Press the print data key at any time to generate a printout of the latest measurement.
A-5
In Case of Failure
Check any broken of the enclosure. Replace any defective part.
Inspect wiring for bad crimps, poor connections, or damage.
Test the wall outlet; verify it is grounded and is free of other wiring abnormalities.
Notify the user or owner to correct any deviations. As a work around, check the other
outlets to see if they could be used instead.
Change another probe to confirm if the fail is caused by console.
Inspect wiring for bad crimps, poor connections, or damage.
If the leakage current measurement tests fail on a new unit and if situation can not be
corrected, submit a Safety Failure Report to document the system problem. Remove unit
from operation.
If all else fails, stop using and inform the Customer Service Engineer for analysis and
disposal.
LIMITS
USA: 300 μA Normal Condition
1000 μA Single Fault Condition
OTHER COUNTRIES: 500 μA Normal Condition
1000 μA Single Fault Condition
Preparation
Perform a calibration from the Mains on Applied Part menu.
A-6
WARNING
z If all of the applied parts correspond to the instrument type, the applied parts
will be tied together and one reading will be taken. If any of the applied parts
differ from the instrument type, all applied parts will be tested individually,
based on the type of applied part. This applies to Auto and Step modes only.
4. Press APPLIED PART (SOFT KEY 4) at any time to select the desired applied part
leakage current.
5. Modify the configuration of the front panel outlet by pressing the appropriate SOFT
KEY on the 601PRO.
6. Press the print data key at any time to generate a printout of the latest measurement.
NOTE
z If the current test standard being used does not include Patient Leakage DC
readings, or the DC option is not enabled, then DC readings will not be available
through the APPLIED PART SOFT KEY selections. Refer to Chapter 8,
Standards and Principles.
A-7
In Case of Failure
Check any broken of the enclosure. Replace any defective part.
Inspect wiring for bad crimps, poor connections, or damage.
Test the wall outlet; verify it is grounded and is free of other wiring abnormalities.
Notify the user or owner to correct any deviations. As a work around, check the other
outlets to see if they could be used instead.
Change another probe to confirm if the fail is caused by console.
Inspect wiring for bad crimps, poor connections, or damage.
If the leakage current measurement tests fail on a new unit and if situation can not be
corrected, submit a Safety Failure Report to document the system problem. Remove unit
from operation.
If all else fails, stop using and inform the Customer Service Engineer for analysis and
disposal.
LIMITS
USA:
For ECG Input and ECG Input and other applied parts
OTHER COUNTRIES:
For ECG Input (Defibrillator proof)
A-8
A.7 Mains on Applied Part Leakage
The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage,
through a limiting resistance, to selected applied part terminals. Current measurements are
then taken between the selected applied part and earth. Measurements are taken with the
test voltage (110% of mains) to applied parts in the normal and reverse polarity conditions as
indicated on the display.
The following outlet conditions apply when performing the Mains on Applied Part test.
Normal Polarity;
Reversed Polarity
Preparation
To perform a calibration from the Mains on Applied Part test, press CAL (SOFT KEY 2).
1. Disconnect ALL patient leads, test leads, and DUT outlet connections.
2. Press CAL to begin calibration, as shown:
If the calibration fails, the previously stored readings will be used until a passing
calibration has occurred. Also, the esc/stop key has no effect during calibration.
3. When the calibration is finished, the Mains on Applied Part test will reappear.
WARNING
z A 2-beep-per-second signal indicates high voltage present at the applied part
terminals while a calibration is being performed.
z High voltage is present at applied part terminals while measurements are being
taken.
A-9
To Perform the Test
1. From the MAIN MENU, or with the outlet unpowered, plug the DUT into the 601
2. Attach the applied parts to the 601PRO applied part terminals.
3. Attach the red terminal lead to a conductive part on the DUT enclosure.
4/ Press shortcut key 7. The Mains on Applied Part test is displayed.
5. Select the desired outlet configuration and applied part to test using the appropriate
SOFT KEYS:
6. Press START TEST (SOFT KEY 1) to begin the test.
7. Press the print data key to generate a printout of the latest measurement.
NOTE
z If all of the applied parts correspond to the instrument type, the applied parts
will be tied together and one reading will be taken. If any of the applied parts
differ from the instrument type, all applied parts will be tested individually,
based on the type of applied part. This applies to Auto and Step modes only.
In Case of Failure
Check any broken of the enclosure. Replace any defective part.
Inspect wiring for bad crimps, poor connections, or damage.
Test the wall outlet; verify it is grounded and is free of other wiring abnormalities.
Notify the user or owner to correct any deviations. As a work around, check the other
outlets to see if they could be used instead.
Change another probe to confirm if the fail is caused by console.
Inspect wiring for bad crimps, poor connections, or damage.
If the leakage current measurement tests fail on a new unit and if situation can not be
corrected, submit a Safety Failure Report to document the system problem. Remove unit
from operation.
If all else fails, stop using and inform the Customer Service Engineer for analysis and
disposal.
A-10
LIMITS
USA
For ECG Input and ECG Input and other applied parts
50μA
OTHER COUNTRIES:
For ECG Input
50μA
For ECG Input and other applied parts
5000μA
A-11
FOR YOUR NOTES
A-12
ELECTRICAL SAFETY INSPECTION FORM
American version
Overall assessment:
□ Scheduled inspection Test item: 1, 2, 3, 9
□ Unopened repair type Test item: 1, 2, 3, 9
□ Opened repair type, not modify the Test item: 1, 2, 3, 4, 5, 9
power part including transformer or
patient circuit board
□ Opened repair type, modify the power Test item: 1, 2, 3, 4, 5, 6, 7, 8, 9
part including transformer or patient
circuit board
Location Technician
Equipment Control Number
Manufacturer Model SN
Measurement equipment /SN Date of Calibration
INSPECTION AND TESTING Pass/Fail Comments
1 Power Cord Plug
2 Device Enclosure and Accessories
3 Device Labeling
4 Protective Earth Resistance Ω Max 0.2 Ω
Earth Leakage — — Max
5 Normal condition(NC) μA NC:300μA
Single Fault condition(SFC) μA SFC:1000μA
Patient Leakage Current — — Max
6* Normal condition(NC) μA NC:10μA,
Single Fault condition(SFC) μA SFC: 50μA
Mains on Applied Part
7* Max 50μA
Leakage
8 Functional test (parameters tested):
Note: The test items marked “*” are needed only for incoming inspections and after repairs or
modifications that may have affected lead leakage [NFPA 99 (2005)8.5.2.1.3].
Deficiency / Note:
Note: The test items marked “*” are needed only for incoming inspections and after repairs or
modifications that may have affected lead leakage [NFPA 99 (2005)8.5.2.1.3].
Deficiency / Note: