Datex-Ohmeda D-Tec Specifikace

GE Healthcare Aestiva/5 Operation Manual - Part 2 Software Revision 4.X Setup, Cleaning, Maintenance, Troubleshooting

Aestiva 1-4 1006-0939-000å Alarm silence button SN Serial NumberY Equipotential Systems with this mark agree with the European Council Directive (93

Aestiva 6-6 1006-0939-0006-6Item Description (Figure 6-2) Stock Number1 Seal, main manifold, APL/AGSS 1406-3316-0002 Seal, bag/vent assy (a, b, c)a. O

6 Illustrated Parts1006-0939-000 6-76-7Exhalation valveFigure 6-3 • Ventilator exhalation valve123456AB.23.0217Item Description Stock Number1 Ex

Aestiva 6-8 1006-0939-0006-8Figure 6-4 • Breathing circuit modulesItem Description CircleBain-Mapleson D1 Assembly (items 2-12) 1406-8102-000 1406-821

6 Illustrated Parts1006-0939-000 6-96-9BellowsFigure 6-5 • Bellows partsItem Description Stock Number1 Bellows housing 1500-3117-0002 Bellows 15

Aestiva 6-10 1006-0939-0006-10Test tools and system partsDescription Stock NumberVaporizer port o-rings, external (Qty 6) 1102-3016-000Cylinder gasket

1006-0939-000 7-17-1 7 Theory of Operation and SpecificationsIn this section Ventilator theory . . . . . . . . . . . . . . . . . . .

Aestiva7-2 1006-0939-0007-2Ventilator theoryGeneral The ventilator pneumatics are at the rear of the breathing system. A precision valve controls gas

7 Theory of Operation and Specifications 1006-0939-000 7-37-3ModesThe system has four modes of mechanical ventilation:• Volume control mode• Pressure

Aestiva7-4 1006-0939-0007-4Pressure control modeFigure 7-3 • Pressure control diagramPressure control supplies a constant set pressure during inspirat

7 Theory of Operation and Specifications 1006-0939-000 7-57-5At the specified time interval, the ventilator will wait for the next inspiratory effort

1 Introduction1006-0939-000 1-51-5134°CAutoclavableRBag position/ manual ventilationrMechanical ventilationuOpen drain (remove liquid)UClose drainqIns

Aestiva7-6 1006-0939-0007-6An apnea backup mode is provided in the event the patient stops breathing. When setting the backup mode the user adjusts th

7 Theory of Operation and Specifications 1006-0939-000 7-77-7Breathing systemschematicAB.23.106

Aestiva7-8 1006-0939-0007-8Electrical block diagramO2 SensorFlow SensorsBag/Vent SwitchCanister ReleaseBreathing Circuit ModuleAbsorber Control PanelC

7 Theory of Operation and Specifications 1006-0939-000 7-97-9Pneumatic circuitsGas supplies(items 1-6)Refer to Figure 7-8 for location of items. Gas g

Aestiva7-10 1006-0939-0007-10Mixed gas (item 26) The mixed gas goes from the flowmeter outlet through the vaporizer that is ON, to the fresh gas outle

7 Theory of Operation and Specifications 1006-0939-000 7-117-11Figure 7-7 • Pneumatic circuitAA.96.131

Aestiva7-12 1006-0939-0007-12Suction regulators (optional)Venturi SuctionRegulatorSupply: Air or O2 from system gas supplyDrive gas consumption: 75 L/

7 Theory of Operation and Specifications 1006-0939-000 7-137-13Breathing systemThere are two types of breathing circuit modules (Figure 7-8):1. Circle

Aestiva7-14 1006-0939-0007-141. O2 sensor (ventilator) Or plug2. Inspiratory port3. Tabs (identify the breathing circuit module to ventilator)4. Expi

7 Theory of Operation and Specifications 1006-0939-000 7-157-15Breathing system specificationsVolume 5500 mLAbsorbent 1.35 kg (400 mL) / canisterConne

Aestiva 1-6 1006-0939-000Maintenance summary and scheduleThese schedules show the minimum frequency. You will have to service the equipment more frequ

Aestiva7-16 1006-0939-0007-16Pressure required to open inspiratory and expiratory valvesDry: 0.49 cmH2OMoist: 0.91 cmH2OBreathing system leak

7 Theory of Operation and Specifications 1006-0939-000 7-177-17Pneumatic specificationsGas supplies Pipeline gases: O2, Air, N2OCylinder gases: CO2, H

Aestiva7-18 1006-0939-0007-18Flow specificationsFlow rates Minimum O2 flow: 25 to 75 mL/minAccuracyAt 20°C with gas supply pressures at 345 kPa and an

7 Theory of Operation and Specifications 1006-0939-000 7-197-19Electrical powerSupply voltage100-120 or 220-240 Vac ± 10% at 50 or 60 HzElectrical cir

Aestiva7-20 1006-0939-0007-20Power cordElectrical Fuses T6.3L/250VBatteryInformationA sealed lead acid battery supplies battery backup for the Aestiva

7 Theory of Operation and Specifications 1006-0939-000 7-217-21Physical specificationsAll specifications are approximate values and can change without

Aestiva7-22 1006-0939-0007-22Environmental requirementsTemperatureHumidityAltitudeOperation 10 to 40 °C, (Oxygen cell operates to specifications at 10

7 Theory of Operation and Specifications 1006-0939-000 7-237-23Ventilation operating specificationsPneumaticsFresh gascompensationPressureVolumeGas So

Aestiva7-24 1006-0939-0007-24OxygenDisplay range 8 to 100% O2Display resolution 1% incrementsSensor type Galvanic fuel cellMeasurement range 0 to 100%

7 Theory of Operation and Specifications 1006-0939-000 7-257-25Aestiva ventilator accuracy dataThe following accuracy data are based on patient condit

1 Introduction1006-0939-000 1-71-7Datex-Ohmeda approvedserviceMinimumFrequency Maintenance6 months Have an approved service person do the service test

Aestiva7-26 1006-0939-0007-26Figure 7-9 • Gas Composition Related Errors (both modes)Heliox mode The effect on volume delivery and monitoring accuraci

7 Theory of Operation and Specifications 1006-0939-000 7-277-27

Aestiva7-28 1006-0939-0007-28

Index1006-0939-000 I-1Symbols+15V Analog Out-of- Range 5-4Numerics12 Hour Test 5-4-15V Analog Out-of-Range 5-4AAbsorbentreplace 3-6Absorberdisassembly

AestivaI-2 1006-0939-000 CPU Internal Error 5-7Cylinder installation 3-11Cylinder yoke 3-12DDefault settings 3-18Dimensions 7-21DIN cylinder 3-13Di

Index1006-0939-000 I-3IIdentify type 3-3Insp Flow Sensor Fail 5-8Insp Reverse Flow 5-9Inspiration Stopped 5-8Install 3-2Internal Ventilator Clock Too

AestivaI-4 1006-0939-000 Pres Control Not Avail. 5-13Pres/Vol Mon Inactive 5-13Pressure control mode 7-4settings 7-4Pressure measurementsource 7-2P

Index1006-0939-000 I-5WWater build-upand alarms 4-25causes for 4-25solutions 4-25Weight 7-21Yyoke type 3-11

AestivaI-6 1006-0939-000

WarrantyThis Product is sold by Datex-Ohmeda under the warranties set forth in the following paragraphs. Such warranties are extended only with respec

Aestiva 1-8 1006-0939-000

Aestiva/5Operation Manual, English1006 0939 00006 05Printed in USA©Datex-Ohmeda, Inc. All rights reserved

1006-0939-000 2-12-1w WWWWAAAARRRRNNNNIIIINNNNGGGGObey applicable safety precautions:• During the cleaning of the liquid collecting tray, avoid skin o

Aestiva2-2 1006-0939-0002-2SummaryPatient pathThe parts in Figure 2-1 send exhaled gas back to the patient. They may require more frequent cleaning/st

2 Cleaning and Sterilization1006-0939-000 2-32-3Scavenging pathFigure 2-2 • These parts do not send gas back to the patientAutoclave (134°C) or wash (

Aestiva2-4 1006-0939-0002-4Clean and sterilizeThe Disassembly part of this section tells you how to remove parts for cleaning.To wash (by hand ormachi

2 Cleaning and Sterilization1006-0939-000 2-52-5 AutoclaveAutoclave at 134°C. Inspect the parts for deterioration. The User Maintenance section tells

User Responsibility This Product will perform in conformity with the description thereof contained in this Operation manual and accompanying labels a

Aestiva2-6 1006-0939-0002-6Special requirements•To clean the circuit O2 sensor, wipe it with a damp cloth. Do not put the sensor in liquid.• To clean/

2 Cleaning and Sterilization1006-0939-000 2-72-7Disassemble the patient pathStep 1Open the access panel.Step 2Push up on the latch located under the f

Aestiva2-8 1006-0939-0002-8Step 5Completely loosen the thumbscrew on the breathing circuit module. Step 6Remove the module. You will feel some resista

2 Cleaning and Sterilization1006-0939-000 2-92-9Autoclave assemblies marked 134°C. Refer to the Section “Clean and sterilize” for complete instruction

Aestiva2-10 1006-0939-0002-10Canister disassemblyw CCCCAAAAUUUUTTTTIIIIOOOONNNNTo prevent damage, pull the release handle forward. Then turn the handl

2 Cleaning and Sterilization1006-0939-000 2-112-11Continue with the next section or go to "Clean and sterilize". To assemble, refer to the S

Aestiva2-12 1006-0939-0002-12Disassemble the scavenging pathThese parts send exhaled gas to the disposal system, not the patient. Exhalation valveComp

2 Cleaning and Sterilization1006-0939-000 2-132-13How to clean and disinfect the flow sensorswwwwCCCCAAAAUUUUTTTTIIIIOOOONNNNDo not autoclave plastic

Aestiva2-14 1006-0939-0002-14Figure 2-3 • Steps 2-8Step 2Steps 3 and 4Steps 5, 6 and 7Step 8 Dry for > 1 min with these precautions:• Maximum vacuu

2 Cleaning and Sterilization1006-0939-000 2-152-15HHHHoooowwww ttttoooo cccclllleeeeaaaannnn aaaannnndddd sssstttteeeerrrriiiilllliiiizzzz

Table of Contents 1006-0939-000 i i 1/Introduction How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aestiva2-16 1006-0939-0002-16SSSStttteeeepppp 4444Clean and sterilize the bypass assembly:a. Immerse the assembly into a solution of mild detergent

2 Cleaning and Sterilization1006-0939-000 2-172-17SSSStttteeeepppp 6666Reinstall the canisters:a. Ensure seals and rim are free of soda lime dust.b

Aestiva2-18 1006-0939-0002-18

1006-0939-000 3-13-1IIIImmmmppppoooorrrrttttaaaannnnttttDatex-Ohmeda strongly recommends that you use O2 monitoring with this equipment. Refer to loca

Aestiva3-2 1006-0939-0003-2Breathing system setupTo assemble the patient circuit, start at step 5.Step 1Install the main manifold.Step 2Install the Be

3 Setup and Connections1006-0939-000 3-33-3Step 5Identify the breathing circuit module (Circle or Mapleson).Look at the tabs on the rear or the label

Aestiva3-4 1006-0939-0003-4Step 9Install the flow sensor module.• You will hear a “click” when it locks into position.• Refer to Note 1 or the User Ma

3 Setup and Connections1006-0939-000 3-53-5Note 1 Flow sensor assemblyAA.96p039AA.96p038

Aestiva3-6 1006-0939-0003-6Canister setupEach canister holds 1.35 kg of loose absorbent or 1.13 kg of commercially packaged (pre-pack) absorbent. Date

3 Setup and Connections1006-0939-000 3-73-7Step 3 Push in the buttons and install the top dish and drain dish.Pull down to make sure the top dish is l

Aestiva ii 1006-0939-000 ii 4/User Maintenance Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aestiva3-8 1006-0939-0003-8Pneumatic and electrical connectionswWWWWAAAARRRRNNNNIIIINNNNGGGGEquipment connected to the electrical outlets can increase

3 Setup and Connections1006-0939-000 3-93-9Pipeline inletsLabel identifies the gas. Pneumatic outletLabels identify the gas. Note: The outlet pressure

Aestiva3-10 1006-0939-0003-10Suction regulatorOptional item. Note: Venturi regulators use the system Air or O2 supply. Standard regulators must be

3 Setup and Connections1006-0939-000 3-113-11How to install gas cylinders (high-pressure leak test)Cylinder yokes1. Find the cylinder wrench.2. Close

Aestiva3-12 1006-0939-0003-12w CCCCAAAAUUUUTTTTIIIIOOOONNNNNo gasket or more than one gasket can cause a leak. 9. Install a new gasket.10.Align the cy

3 Setup and Connections1006-0939-000 3-133-135. Open and immediately close the cylinder valve to remove dirt or contaminants.6. Do a high pressure lea

Aestiva3-14 1006-0939-0003-14How to install the gooseneck lamp (12 V)wWWWWAAAARRRRNNNNIIIINNNNGGGGUse ONLY 2.4 Watt bulbs. Higher wattage bulbs can ge

3 Setup and Connections1006-0939-000 3-153-15How to attach equipment to the top shelvesThe basic system has two straps for equipment. Accessory shelve

Aestiva3-16 1006-0939-0003-162. Install the straps:•With an accessory shelf:•Without an accessory shelf:3. Fully tighten the straps.4. Make sure that

3 Setup and Connections1006-0939-000 3-173-17How to install equipment on the foldout shelfThis is a hidden shelf for equipment that you do not need to

Table of Contents 1006-0939-000 iii iii Breathing system schematic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7Electrical

Aestiva3-18 1006-0939-0003-18Installation notesWhen the system is installed the service representative will check these set-tings and change them if n

1006-0939-000 4-14-1w WWWWAAAARRRRNNNNIIIINNNNGGGGTO PREVENT FIRES:• Use lubricants approved for anesthesia or O2 equipment, such as Krytox®1.• Do not

Aestiva4-2 1006-0939-0004-2Repair policyDo not use malfunctioning equipment. Make all necessary repairs or have the equipment serviced by an authorize

4 User Maintenance1006-0939-000 4-34-3Manifold maintenanceStep 1Complete the basic disassembly (Refer to the Cleaning and Sterilization section).Step

Aestiva4-4 1006-0939-0004-4Step 4(Seals con.)Loosen the thumbscrews.Step 5(Seals con.)Open the manifold (top middle, and bottom parts).Step 6(Seals co

4 User Maintenance1006-0939-000 4-54-5Step 7(Bag/Vent)2Replace the parts if they are damaged or worn.Step 8Put the parts together •Make sure all gaske

Aestiva4-6 1006-0939-0004-6Expiratory valve maintenanceDisassemble the manifold and examine the seals at 12 autoclave cycles. These conditions indicat

4 User Maintenance1006-0939-000 4-74-7Before you use the system, complete the preoperative test procedure. Refer to "Appendix - Preoperative Test

Aestiva4-8 1006-0939-0004-8Receiver maintenance (active gas scavenging only)A blocked filter decreases flow through the scavenging system. In extreme

4 User Maintenance1006-0939-000 4-94-9Flow sensor maintenanceBefore you use the system, complete the preoperative test procedure. Refer to "Appen

Aestiva iv 1006-0939-000 iv

Aestiva4-10 1006-0939-0004-10Breathing circuit maintenanceDisassemble the patient circuit module to replace check valves or seals. Step 1Remove the pa

4 User Maintenance1006-0939-000 4-114-11Do the steps in the opposite order to assemble the module.Before you use the system, complete the preoperative

Aestiva4-12 1006-0939-0004-12Bellows maintenanceStep 1Remove the bellows from the breathing system.Step 2Turn the housing counter-clockwise and lift.S

4 User Maintenance1006-0939-000 4-134-13w WWWWAAAARRRRNNNNIIIINNNNGGGGDo not disassemble the pressure relief valve. This can damage the seat or diaphr

Aestiva4-14 1006-0939-0004-14Do these steps in the opposite order to assemble the bellows. If you see a dust-like powder on the housing or the bellows

4 User Maintenance1006-0939-000 4-154-15Bellows testsw WWWWAAAARRRRNNNNIIIINNNNGGGGObjects in the breathing system can stop gas flow to the patient. T

Aestiva4-16 1006-0939-0004-16Step 2Invert the bellows. They must not fall more than 100 mL/min.If it does:• The ports are not tightly sealed.• The bel

4 User Maintenance1006-0939-000 4-174-17If the result for all the bellows tests was “passed,” install it in the system.Before you use the system, comp

Aestiva4-18 1006-0939-0004-18O2 sensor calibration - 21% O2Note: The 21% O2 calibration must be done before the 100% O2 calibration. During O2 calibra

4 User Maintenance1006-0939-000 4-194-19The screen shows “Calibrating. . .”, followed by the result (“Complete” or “Failure”).Step 4Turn, then push th

1006-0939-000 1-1 1 Introduction 1-1 In this section How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aestiva4-20 1006-0939-0004-20If the calibration fails:• perform the calibration again.• do a 100% O2 sensor calibration. If this passes, repeat the 21

4 User Maintenance1006-0939-000 4-214-21O2 sensor calibration - 100% O2 Note: If w appears on the screen, the 21% O2 calibration must be completed bef

Aestiva4-22 1006-0939-0004-22Step 4 Turn, then push the knob to select O2 Sensor Cal.Step 5Select 100%. Then, push the knob. Step 6With the O2 sensor

4 User Maintenance1006-0939-000 4-234-23The screen shows “Calibrating . . . ”, followed by the result (“Complete” or “Failure”).If the calibration

Aestiva4-24 1006-0939-0004-24 Flow sensor calibrationMinimum Frequency: WeeklyThe system automatically corrects for zero offset when you unplug the fl

4 User Maintenance1006-0939-000 4-254-25How to prevent water build-upw WWWWAAAARRRRNNNNIIIINNNNGGGGDuring the cleaning of the liquid collecting tray,

Aestiva4-26 1006-0939-0004-26

1006-0939-000 5-15-15 Alarms andTroubleshootingwCCCCAAAAUUUUTTTTIIIIOOOONNNNNo repair should ever be attempted by anyone not having experience in the

Aestiva 5-2 1006-0939-0005-2About alarmsw WWWWAAAARRRRNNNNIIIINNNNGGGGIf an alarm occurs, safeguard the patient first, before troubleshooting or repai

5 Alarms and Troubleshooting1006-0939-000 5-35-3Alarm messages have three general causes.• Malfunctions: Some malfunctions cause reduced function (for

Aestiva 1-2 1006-0939-000 How to use this manual This is part two of the Aestiva operation and maintenance manual. It tells you how to:• Remove and

Aestiva 5-4 1006-0939-0005-4 Alphabetical listThe instructions in this section tell you what you can do:• During a case to protect the patient• After

5 Alarms and Troubleshooting1006-0939-000 5-55-5Apnea Alarm StandbyLow Normal condition after End Case, power-up, or ACGO change from On to OffMonitor

Aestiva 5-6 1006-0939-0005-6Cal Flow Sensors Low The last flow sensor calibration failed.Calibrate the flow sensors. Look for water in the flow sensor

5 Alarms and Troubleshooting1006-0939-000 5-75-7Control Settings Input has FailedMinimum monitoring (Medium)Ventilator malfunction. Ventilate manually

Aestiva 5-8 1006-0939-0005-8Heliox Mode is On Low Control setting on ventilation setup menu.When Heliox is used, the ventilator must adjust volume cal

5 Alarms and Troubleshooting1006-0939-000 5-95-9Internal Ventilator Clock Too FastMinimum shutdown (High)Ventilator malfunction. Ventilate manually. M

Aestiva 5-10 1006-0939-0005-10Low Paw Medium Paw does not rise at least 4 cm from the lowest pressure measured during the last 20 seconds.Are circuit

5 Alarms and Troubleshooting1006-0939-000 5-115-11Monitoring Only Medium A severe malfunction prevents mechanical ventilation. Other alarms may also

Aestiva 5-12 1006-0939-0005-12O2 Sensor out of circLow O2 sensor not installed in breathing circuit module; sensor not measuring gas in breathing circ

5 Alarms and Troubleshooting1006-0939-000 5-135-13Pres/Vol Mon InactiveMedium Outlet selection switch is set to auxiliary gas outlet.Connect the patie

1 Introduction 1006-0939-000 1-3 1-3 Symbols used in the manual or on the equipmentw Warnings and w Cautions tell you about dangerous conditions that

Aestiva 5-14 1006-0939-0005-14Sustained Paw High Paw > sustained pressure limit for 15 seconds3.Check tubing for kinks, blockages, disconnects.Cali

5 Alarms and Troubleshooting1006-0939-000 5-155-15 Breathing system problems (no alarm)Symptom Problem Solution(s)Gas scavenging flow is too low. Suc

Aestiva 5-16 1006-0939-0005-16Electrical problems (power failure, etc.)wwwwWWWWAAAARRRRNNNNIIIINNNNGGGGIf a circuit breaker opens frequently, do not u

5 Alarms and Troubleshooting1006-0939-000 5-175-171. Outlet CIrcuit Breakers*2. Master Circuit Breaker (all outlets)*3. Inlet Circuit Breaker*4. Venti

Aestiva 5-18 1006-0939-0005-18 Pneumatic problemswCCCCAAAAUUUUTTTTIIIIOOOONNNN::::No repair should ever be attempted by anyone not having experience i

1006-0939-000 6-16-1 6 Illustrated PartsIn this section Breathing System Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aestiva 6-2 1006-0939-0006-2Breathing system partsTop levelItem Description (Figure 6-1) Stock Number1 Flow sensor module (cover & holder) 1406-82

6 Illustrated Parts1006-0939-000 6-36-313 Upper dish (2 options) ------Upper dish absorber plastic (seal not included) 1406-3413-000CO2 bypass a

Aestiva 6-4 1006-0939-0006-4Figure 6-1 • Breathing system top assemblies 1b21a6534791081112*13141516171820 19* Active scavenging systems onlyAB.23.09

6 Illustrated Parts1006-0939-000 6-56-5Main manifoldFigure 6-2 • Main manifold5Top Bottom122232b2a46789102c11AB.23.096AB.23.071