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Datex-Ohmeda 2 Vap. Trolley Operation Manual Download Page 71

3 Operation and Tutorial

1006-0938-000

3-35

3

Connecting Active AGSS

with a flow indicator

To use the optional active AGSS on a system which has a flow indicator (on 
either the left or right side of the breathing system), connect it as follows.

Step 1

Connect the proper hose to the AGSS outlet connector 
(f) on the rear of the base of the breathing system.

Step 2

Attach the other end to the hospital disposal system.

Note: To scavenge gas from a gas monitor, connect 
tubing from the monitor to the 3.18 mm (1/8 inch) 
hose barb (g) in the breathing system base.

Step 3

With the AGSS operating, verify that the flow indicator 
ball (d) on the flow indicator (a) rises to the green zone 
(c), indicating adequate flow.

Note: The ball in the upper red zone (b) indicates 
excessively high extraction flow or a blocked filter. The 
ball in the lower red zone (e) indicates extraction flow 
rate is too low.

Step 4

Before you use the system, complete the Preoperative 
Test procedure. Refer to the Appendix "Preoperative 
Tests".

a

f

g

b

c

d

e

AB.23.174, AB.23.165

AB.23.162

AB.23.155

Summary of Contents for 2 Vap. Trolley

Page 1: ...Aestiva 5 Operation Manual Part 1 Software Revision 4 X System Controls Operation Checkout ...

Page 2: ...duct must not be altered without the prior written approval of Datex Ohmeda The user of this Product shall have the sole responsibility for any malfunction which results from improper use faulty maintenance improper repair damage or alteration by anyone other than Datex Ohmeda w CAUTION U S Federal law restricts this device to sale by or on the order of a licensed medical practitioner Outside the ...

Page 3: ...11 How to set controls 2 14 How to use the menu 2 15 Menu map 2 16 More about menu functions 2 17 How to change menu settings 2 18 Optional flowmeter and suction regulators 2 19 Suction regulator controls 2 20 External flowmeter controls 2 20 Optional CO2 Bypass mode operation 2 21 3 Operation and Tutorial Turn On the system 3 2 Set the alarm loudness 3 3 Show or hide alarm limits and units 3 5 Ad...

Page 4: ... 3 26 Reading the pressure waveform Paw 3 27 Scales 3 27 Measure circuit compliance 3 30 Show the service settings 3 31 Optional Passive AGSS operation 3 33 Optional Active AGSS operation 3 34 Connecting Active AGSS with a flow indicator 3 35 Connecting Active AGSS without a flow indicator 3 36 4 Preoperative Checklist Every day before the first patient 4 2 Every time a different clinician uses th...

Page 5: ...r back pressure test A 8 Power failure test A 9 Precase steps A 11 Every time a different clinician uses the system A 12 Low pressure leak test A 12 Before every patient A 16 Inspect the system A 16 Minimize alarms optional A 18 Breathing system tests A 19 Monitor and ventilator tests A 21 Index Warranty ...

Page 6: ...Aestiva iv 1006 0938 000 iv ...

Page 7: ...1006 0938 000 1 1 1 Introduction 1 1 In this section How to use this manual 1 2 What is an Aestiva 1 2 Symbols used in the manual or on the equipment 1 5 ...

Page 8: ...ystems equipped with these functions Use this manual together with Part 2 which includes setup troubleshooting calibration and maintenance procedures What is an Aestiva The Aestiva is a flexible accessible and intuitive anesthesia delivery system A wide selection of frames gases and vaporizers give you full control of the system configuration Options include pendant mounted systems extra gas cylin...

Page 9: ...he system uses a microprocessor controlled ventilator with internal monitors electronic PEEP multiple modes of ventilation and a pressure waveform dis play Built in connectors and communication software permit optional cardiovascular and respiratory gas monitoring ...

Page 10: ...ic display mount Two vaporizer positions left hand configuration with arm display mount Three vaporizer positions left hand configuration with arm display mount Three vaporizer positions right hand configuration with arm display mount Pendant with arm display mount AA 96 025 AA 96 016 AA 96 019 AA 96 028 AA 96 102 ...

Page 11: ...eplace words on the equipment or in Datex Ohmeda manuals No one device or manual uses all of the symbols These symbols include l On power Í Not autoclavable O Off power m Type B equipment o Standby µ Type BF equipment q Standby or preparatory state for part of the equipment H Type CF equipment p ON only for part of the equipment w Caution ISO 7000 0434 œ OFF only for part of the equipment wW Atten...

Page 12: ...ation and Maintenance Manuals The xxxx is the certification number of the Notified Body used by Datex Ohmeda s Quality Systems t Variability Read top of float T Variability in steps Vacuum inlet Plus positive polarity Suction bottle outlet Minus negative polarity O2 O2 Flush button P Lamp lighting illumination Cylinder N Movement in one direction Isolation transformer ˆ Movement in two directions ...

Page 13: ...tion r Mechanical ventilation u Open drain remove liquid U Close drain q Inspiratory flow Q Expiratory flow t O2 sensor connection End case The primary regulator is set to pressure less than 345 kPa The primary regulator is set to pressure less than 414 kPa European Union Representative ...

Page 14: ...Aestiva 1 8 1006 0938 000 1 8 ...

Page 15: ...ection Anesthesia system controls 2 2 Breathing system controls 2 5 Vaporizer controls 2 9 Ventilator controls 2 11 Optional flowmeter and suction regulators 2 19 Optional CO2 Bypass mode operation 2 21 2 System Controls and Menus ...

Page 16: ...ing tubes or masks They can cause burns if you use them near high frequency surgical equipment 1 Breathing system Figure 2 3 2 Flow controls 3 Ventilator monitoring display Figure 2 5 4 Light switch and Gooseneck lamp connector some models 5 Light some models 6 Dovetail rails 7 Vaporizers Figure 2 4 8 Gauge cylinder pressure 9 Gauge pipeline pressure 10 System switch 11 Flush button 12 Brake Figur...

Page 17: ... turn on the monitoring Flow controls Turn the control counterclockwise to increase the flow and clockwise to decrease The system switch must be on O2 flush Push O2 Flush to supply high flows of O2 to the breathing system Light switch Turns the light on and off Brake Push down to lock Lift to release On Standby AA 96 103 Increase Decrease AA 96 105 AA 96 106 Off On AA 96 107 AA 96 100 ...

Page 18: ...eaker for Total Outlet Current 4 Circuit Breaker for Mains Inlet 5 Mains Inlet 6 Ventilator fuse 7 Pneumatic Outlet 8 Pipeline Connection Figure 2 2 Aestiva rear view Item Description Figure 2 2 Circuit Breakers Closed Open No Power Power System circuit breaker Open No Power Outlet circuit breakers Closed Power AA 96 108 AA 96 109 3 2 1 4 5 6 7 8 AA 96 053 ...

Page 19: ...ection circuit connections a Inspiratory Circle circuit module or to fro connection Mapleson Bain circuit module b Expiratory Circle circuit module or fresh gas connection Mapleson Bain circuit module 6 Breathing circuit module Circle 7 Bag arm 8 Bag Vent switch 9 APL valve 10 Bellows 11 Pressure gauge 12 Check valves 13 O2 sensor Figure 2 3 Breathing system parts 2 3 5a 10 11 6 4 7 8 9 1 5b 12 13...

Page 20: ...eathing system pressure during manual ventilation The scale shows approximate pressures Above 30 cmH2O you will feel clicks as the knob turns Bag arm One arm is adjustable push in and turn The other is not Mechanical ventilation On gas to bellows Mechanical ventilation Off gas to bag arm AB 23 059 AB 23 060 0 cmH2O 20 cmH2O 2 0 3 0 70 5 20 3 0 70 5 Increase AB 23 064 Adjustable Not adjustable AB 2...

Page 21: ...optional Pulling and turning the canister release opens the canisters and activates the CO2 bypass mode The CO2 bypass seals the breathing circuit when the canisters are open This permits continued ventilation and rebreathing of exhaled gases Drain plug Unscrew the plug to remove condensate Item Description Pull Turn Open Close Turn Push AB 23 061 AB 23 062 AB 23 179 ...

Page 22: ...nal Sends fresh gas to the selected outlet when the system has an auxiliary common gas outlet Monitoring and ventilation turn off when the auxiliary outlet is selected Item Description Breathing system selected Auxiliary outlet selected AB 23 063 ...

Page 23: ...clockwise to lock the vaporizer in position Concentration control and release Push the release and turn the concentration control to set the agent concentration The Tec 6 concentration control does not turn as long as the warm up indicator is on Alarm Silence Switch Tec 6 only Push to silence alarms Hold for four seconds to start the speaker and light all indicators alarm test AA 43 062 Tec 6 1 2 ...

Page 24: ...em Description Lock before use 2 W a r n in g K e e p u p ri g h t a t a ll ti m e s Se e m an u al fo r O p er at io n al In st ru ct io n s F ac to rs af fe ct in g p er fo rm an ce Se rv ic e an d m ai n te n an ce re co m m en d at io n s Ne xt se rv ice da te U se O nly Is oflura ne 3 4 5 1 8 Lock before use U se O nly Enfl urane 1 2 3 4 5 0 8 6 4 2 W a r n i n g K e e p u p ri g h t a t a ll...

Page 25: ...ith these functions Control panel Ventilator controls include Touch keys Menu screens A control knob 1 Alarm silence key 2 Alarm message display 3 Volume alarms On Off key 4 Menu key 5 Breathing circuit module display 6 Control knob 7 Control setting 8 Selection key 9 Ventilation mode display 10 Ventilator status On or Off 11 Mains indicator 12 End Case key 13 Measured values Figure 2 5 SmartVent ...

Page 26: ... ventilation Item Description Menu key Shows the main menu Alarm silence key and indicator Silences most alarms for 120 seconds Pushing the key when no alarm is active pre silences low and medium priority alarms except Minimum Monitoring for 90 seconds The No O2 Pressure alarm cannot be silenced Volume alarm key and status Turns volume alarms on and off AB 90 036 Remaining silence time 120 AB 29 0...

Page 27: ...rns user selections to the most common settings Cardiacbypassoff Alarmlimitsshown and Heliox mode off Sets the PEEP to 0 cmH2O default value Sets Plimit to one of two values facility default or 4 4 4 40 0 0 0 cmH2O Forces the circuit Leak Audio to On Mechanical ventilation must be off set the Bag Vent switch to Bag or select the auxiliary common gas outlet Item Description AB 29 006 ...

Page 28: ... tone will sound or a message will appear on the screen If the incorrect key is pushed wait ten seconds or push the correct key If the new setting is not saved the ventilator continues to use the old setting Step 1 Push the selection key below the setting Step 2 Turn the knob to change the setting Step 3 Push the knob or the key to save the change AB 29 010 AB 29 002 AB 29 011 ...

Page 29: ...al display 25 seconds after the last action During a calibration or other procedure the screen shows the instructions Step 1 Push the Menu key to see the main menu Step 2 Turn the knob to select an option highlight Step 3 Push the knob to show the next screen AB29 013 AB 90 036 AB90 037 AB 90 045 ...

Page 30: ... table tells you about some of the options Figure 2 6 Menu map AB 90 036 AB 90 054 SE N N N No o o ot t t te e e e If the Alarm Settings page shows E Auto Limits during mechanical ventilation the system automatically calculates alarm limits AB 90 041 AB 90 045 AB 90 063 ...

Page 31: ...ditional ventilation settings for SIMV and PSVPro modes O2 Sensor Cal Shows menu for O2 sensor calibration Inspiratory Pause Adds an inspiratory pause time to volume control breaths Heliox mode On Off Tells the ventilator if heliox is in use About Ventilator Shows service level settings software version if facility defaults or the control settings from the previous case are used when the system is...

Page 32: ...its The screen goes back to the normal display 25 seconds after the last action Step 1 Select the desired menu Step 2 Turn then push the knob to select an option Step 3 Turn the knob to change the setting Step 4 Push the knob to save the change AB 90 038 AB 90 054 AB 90 055 75 82 82 82 ...

Page 33: ...er outlet 2 External O2 flowmeter 3 Suction regulator 4 Suction mode switch On Off MAX 5 Vacuum gauge 6 Suction adjustment 7 Vacuum inlet non venturi models only 8 Collection bottle connection 9 Overflow safety trap Figure 2 7 Controls and connectors for flowmeters and suction regulator AA 96 0168 f0499 1 2 3 4 6 7 8 9 5 Only non venturi regulators have this connection Venturi regulators generate ...

Page 34: ...or l Off O to turn Off suction set the switch to O With a venturi regulator 2 Modes On foradjustablesuction settheswitchtoOn or l Off O to turn Off suction set the switch to O With the mode switch set to ll l l turn the control clockwise to increase suction and counterclockwise to decrease it AA 96 169 AA 96 170 Increase Decrease Turn the control counterclockwise to increase the O2 flow and clockw...

Page 35: ...larm is downgraded to low priority after silenc ing Close the absorber canisters to activate the Absorber mode Closing the can isters directs exhaled gas flow through the absorber removing CO2 Do the breathing system tests as soon as possible after returning to Absorber mode When operating in CO2 Bypass mode water condensate may collect in the bypass assembly The water drains automatically when th...

Page 36: ...Aestiva 2 22 1006 0938 000 ...

Page 37: ...the system 3 2 Set the alarm loudness 3 3 Show or hide alarm limits and units 3 5 Adjust patient data for Heliox 3 7 Turn the volume alarms on or off 3 8 Set alarm limits 3 9 Set an audible alarm for circuit leaks 3 11 Set Cardiac Bypass 3 12 Start mechanical ventilation 3 14 Stop mechanical ventilation 3 15 Set the ventilation mode 3 16 Set ventilator controls 3 18 Set SIMV and PSVPro controls 3 ...

Page 38: ...Power is connected Step 2 Set the system switch to On Step 3 The display shows the power up screen and the system does a series of self tests Step 4 When the self tests pass the display shows the normal screen If a test fails the screen shows an alarm Refer to the troubleshooting section AB 29 007 AA 96 104 On AB 90 018 AB 90 021 ...

Page 39: ... Set the alarm loudness Step 1 Select the Screen and Audio Setup menu Push the menu key Turn then push the knob to select Screen and Audio Step 2 Turn then push the knob to select alarm loudness AB 29 013 AB 90 036 AB 90 039 AB 90 063 AB 90 043 ...

Page 40: ...stiva 3 4 1006 0938 000 Step 3 Turn then push the knob to adjust the volume The volume range is 1 to 5 loudest As the volume is changed the system sounds test tones Push the knob to save the change Then 2 ...

Page 41: ...ws the limits when An alarm occurs Volume alarms are off or the auxiliary common gas outlet is selected monitoring off An individual alarm limit is set to Off When the system is set to Standby alarm limits go back to Show Hide Units Hide Alarm Limits Show All AB 90 033 Step 1 Select the Screen and Audio Setup menu Push the menu key Turn then push the knob to select Screen and Audio Setup AB90 036 ...

Page 42: ... 6 1006 0938 000 Step 2 Turn then push the knob to select Alarm Limits or Units of Measure Step 3 Turn then push the knob to select Show or Hide Push the knob to save the change AB90 063 AB90 044 Then Hide Show ...

Page 43: ... to systems equipped with these functions When the Heliox mode is selected the system automatically corrects measurements for the lower density of Heliox compared to air w W W W WA A A AR R R RN N N NII I IN N N NG G G G TheHelioxmodemustbesetcorrectlyforaccuratevolumemonitoringand delivery Step 1 Select the Setup Calibration menu Push the menu key Turn then push the knob to select Setup Calibrati...

Page 44: ... volume alarms on and off When the alarms are off a large X covers the limits Use this control to prevent false alarms if you switch to manual ventilation at lower tidal volumes Use the End Case key on control panel to prevent apnea alarms between patients Step 2 Turn then push the knob to select Heliox Mode Step 3 Turn then push the knob to select on or off You must push the knob to save the chan...

Page 45: ... Auto Limits during mechanical ventilation the system is set to automatically calculate E limits Step 1 Select the Alarm Settings menu Push the menu key Turn then push the knob to select Alarm Settings Step 2 Turn then push the knob to select a limit AB 29 013 AB 90 036 AB 90 038 AB 90 054 AB 90 055 ...

Page 46: ... 3 10 1006 0938 000 Step 3 Turn then push the knob to change the limit Push the knob to save the change The screen returns to the normal display 25 seconds after the last change T T T Th h h he e e en n n n 75 ...

Page 47: ...wn leak e g an un cuffed endotracheal tube set the audio to Off Normal volume and apnea monitoring does not change N N N No o o ot t t te e e e This alarm is the first stage in detecting a circuit disconnect The audible leak alarm cannot be turned off unless volume alarms are on and the low E limit is set to a value other than off Step 1 Select the Alarm Settings menu Push the menu key Turn then p...

Page 48: ... shows Cardiac Bypass Apnea Alarm Off Vol Alarms Off Note The mechanical ventilation must be off When the mechanical ventilation is turned back on Cardiac Bypass returns to the No Bypass setting and alarms become active Step 2 Turn then push the knob to select circuit leak audio Step 3 Turn then push the knob to change the setting You must push the knob to save the change AB 90 054 AB 90 056 Then ...

Page 49: ... 0938 000 3 13 3 Step 1 Select the Cardiac Bypass menu item Push the menu key Turn then push the knob to select Cardiac Bypass In Progress Step 2 Push the knob again to return to No AB 29 013 AB 90 036 AB 90 040 AB 90 068 AB 90 040 ...

Page 50: ...art or stop ventilation Mechanical ventilation is off when you first turn on the system Step 1 Make sure the control settings are OK Step 2 Turnofftheauxiliarycommongasoutlet some models Step 3 Set the Bag Vent switch back to Vent If mechanical ventilation is not available a message tells you what to do For example To start mechventsettheBag Ventswitch to Bag and back to Vent OK AB 90 025 AB 23 06...

Page 51: ...WA A A AR R R RN N N NII I IN N N NG G G G Make sure the patient circuit is correctly assembled and the control settings are correct before you start or stop ventilation Step 1 Make sure control settings are OK Step 2 Set the Bag Vent switch to Bag OK AB 23 066 20 3 0 70 5 AA 96 111 ...

Page 52: ...Volume controlled modes supply a set tidal volume AB 90 092 Step 1 Select the Ventilation Mode Push the menu key PushtheknobtoselectVentilation Mode Step 2 Turn then push the knob to change the mode Push the knob to save the change AB 29 013 AB 90 036 Then Pressure Cntrl Volume Control SIMV Mode PSVPro Mode Note PSVPro is pressure supported ventilation with apnea backup ...

Page 53: ... mode has one parameter that must be set VT for Volume and SIMV PinspiredforPressure andPsupportfor PSVPro Turn then push the knob to set the value Until a value is set the ventilator shows If any other key is pressed at this time a tone will sound T T T Th h h he e e en n n n AB 90 074 AB 90 075 ...

Page 54: ...ntilator controls present are based on the ventilation mode Messages appear on the screen if You try to set a value the system cannot supply You change a setting but do not save it Push knob to confirm change Turn knob to change setting Step 1 Push the selection key Step 2 A tone sounds and a box flashes around the setting Step 3 Turn the knob to set the value Step 4 Push the knob to save the sett...

Page 55: ...o not use a separate mechanical PEEP valve incorrect operation and patient injury can result Pinspired This control sets the amount of pressure delivered to the patient in each pressure controlled breath Plimit This control sets the maximum and sustained airway pressures tolerated in the patient s breathing system If the high airway pressure limit is reached inspiration stops and exhalation starts...

Page 56: ...rol settings Pressure Control mode The figure and table below show Pressure Control settings SIMV mode The figure and table below show SIMV settings Settings VT Rate I E Plimit PEEP Range 20 1500 4 100 2 1 1 8 12 100 Off 4 30 Increments varies 1 bpm 0 5 1 cmH2O 1 cmH2O Increments of 1mL from 20 to 50 5 mL from 50 to 100 10 mL from 100 to 300 25 mL from 300 to 1000 50 mL from 1000 to 1500 Settings ...

Page 57: ...ntilate the patient using the SIMV PC PSV mode All parameters shown are active in this mode Settings VT Rate Tinspired Psupport PEEP Range 20 1500 2 60 0 2 5 0 Off 2 40 Off 4 30 Increments varies 1 bpm 0 1 s 1 cmH2O 1 cmH2O Increments of 1mL from 20 to 50 5 mL from 50 to 100 10 mL from 100 to 300 25 mL from 300 to 1000 50 mL from 1000 to 1500 Settings Pinspired Rate Tinspired Psupport PEEP Range 5...

Page 58: ...use is on the inspiratory volume stays in the patient s lungs for the set pause time at the end of inspiration Pause can be set from Off to 60 percent of inspiratory time in increments of five percent Minimum pause time is 400 ms AB 90 092 Exp Insp Pause Step 1 Select the Setup Calibration menu Push the menu key Turn then push the knob to select the Setup Calibration menu AB 29 013 AB 90 036 AB 90...

Page 59: ... and Tutorial 1006 0938 000 3 23 3 Step 2 Turn then push the knob to select Inspiratory Pause Step 3 Turn then push the knob to change the setting You must push the knob to save the change AB 90 083 20 of TI Then ...

Page 60: ...tion menu Step 1 Select the SIMV PSVPro Setup menu Push the menu key Turn then push the knob to select Setup Calibration Step 2 Push the knob to select SIMV PSVPro Setup wWARNING Most anesthetic agents will cause patients to have reduced ventilatory responses to carbon dioxide and to hypoxemia Therefore triggered modes of ventilation may not produce adequate ventilation wWARNING The use of neuromu...

Page 61: ...eration and Tutorial 1006 0938 000 3 25 3 Step 3 Turn then push the knob to select a setting Step 4 Turn then push the knob to change the setting You must push the knob to save the change AB 90 073 40 Then ...

Page 62: ... must be silenced individually Alarm tones identify the alarm priority High Priority 10 tones 10 seconds pause repeat Medium Priority 3 tones 25 seconds pause repeat Low Priority single tone Alarms appear at the top of the screen The highest priority alarm will be shown in Area 1 the next highest priority alarm in area 2 If all areas are used the lowest priority alarms cycle in area 4 Note Errormo...

Page 63: ...Rate 25 or less breaths per minute time scale is 0 to 16 seconds 26 to 75 breaths per minutes time scale is 0 to 8 seconds 76 or more breaths per minutes time scale is 0 to 4 seconds On a change existing pressure data is erased and new waveform data starts at time 0 The pressure scale changes with the Plimit setting 12 to 40 Plimit y axis range is 5 to 40 41 to 60 Plimit y axis range is 5 to 60 61...

Page 64: ...um sensed inspiratory pressure Pmax 25 Mean positive airway pressure Pmean 11 Figure 3 1 Paw waveform in Volume Control mode Example Pressure Control Pmax 34 Upper pressure limit Plimit 40 PEEP 10 Figure 3 2 Paw waveform in Pressure Control mode AB 90 004 AB 90 002 ...

Page 65: ...SIMV Plateau pressure Ppl 15 Inspiratory time Tinspired 1 5 Inspiratory Pause 60 Figure 3 3 Paw waveform in SIMV mode Example PSVPro PEEP 5 Pressure support 10 Mean positive airway pressure Pmean 7 Figure 3 4 Paw waveform in PSVPro mode AB 90 028 AB 90 087 ...

Page 66: ...idal volume VTE and Pmax measured peak airway pressure The VTE measures the gas needed to fill the patient circuit at the measured pressure The example shows how tubing compliance factor can be calculated VTE Pmax 2 51 cmH2O Compliance factor in mL per cmH2O Example Pmax 21 cmH2O VTE 24 mL 24 21 2 5 1 3 mL cmH2O This factor can be used to calculate the approximate gas compression in patient tubes ...

Page 67: ...you turn it off or goes back to facility defaults Altitude Used for gas calculations If the altitude is not correct O2 calibration can fail Drive gas O2 or Air Tells you which gas the ventilator uses to drive the bellows This gas comes from the same supply pipeline or cylinder that the anesthesia machine uses If this gas comes from a cylinder the cylinder empties faster than you would expect from ...

Page 68: ...Aestiva 3 32 1006 0938 000 Step 2 Turn then push the knob to select About Ventilator AB 90 045 AB 90 047 AB 90 051 ...

Page 69: ...ironments which have no dedicated vacuum system for waste gas disposal The disposal system generally consists of large diameter tubing and or duct directly linking the passive AGSS with the building exterior The tubing should be as large in diameter and as short as needed for the particular application Passive AGSS may also be used with a non recirculating ventilation system for waste gas disposal...

Page 70: ...uri ejector systems having their own extract flowmeter This will operate satisfactorily with a minimum extract flow of 30 L min to 100 L min but there is no built in flow indicator All three versions are constant extract flow air brake designs with a two liter reserve volume to capture peak exhaust flows that briefly exceed the extract flow The disposal system normally entrains room air through th...

Page 71: ...o scavenge gas from a gas monitor connect tubing from the monitor to the 3 18 mm 1 8 inch hose barb g in the breathing system base Step 3 With the AGSS operating verify that the flow indicator ball d on the flow indicator a rises to the green zone c indicating adequate flow Note The ball in the upper red zone b indicates excessively high extraction flow or a blocked filter The ball in the lower re...

Page 72: ...een 30 and 100 L min To use the optional active AGSS installed on the system which does not have a flow indicator connect it as follows Step 1 Connect a nominal 1 2 inch ID hose to the AGSS outlet hose connector a on the rear of the breathing system base Thehoseshouldbeflexibleandreinforcedtohelp prevent kinking and crushing Step 2 Attach the other end of the hose to the hospital disposal system S...

Page 73: ...ystem connections The warnings and cautions How to use each system component How to test each system component wW W W WA A A AR R R RN N N NII I IN N N NG G G G Before you use this system Complete the tests in this section Test all other system components wW W W WA A A AR R R RN N N NII I IN N N NG G G G If a test failure occurs do not use the system Have an approved service representative repair ...

Page 74: ... flow to drive down N2O flow The O2 flow is nominal 25 O2 supply failure alarm Alarm operates when O2 pressure is decreased below set limit Air flow continues All other gases stop Do the vaporizer back pressure tests Set the O2 flow to 6 L min Turn On one vaporizer at a time Make sure that the O2 flow stays above 5 L min Do a low pressure leak test Do the alarm tests Make sure all monitors operate...

Page 75: ...sure each vaporizer is locked and cannot be removed Make sure the alarms and indicators operate correctly Tec 6 vaporizer Makesureyoucannotturnonmorethanonevaporizeratthesametime Do the breathing system tests Make sure the one way valves and auxiliary equipment humidifier etc operate correctly Withacirclebreathing circuitmodule pushthedrainbuttonfor 10sec to remove condensate Ventilator circuit le...

Page 76: ...Aestiva 4 4 1006 0938 000 ...

Page 77: ...Every day before the first patient A 3 Precase steps A 11 Every time a different clinician uses the system A 12 Low pressure leak test A 12 Before every patient A 16 Breathing system tests A 19 Monitor and ventilator tests A 21 Appendix Preoperative Tests ...

Page 78: ...NG G G G Do not use this system unless you have read each component s operation and maintenance manual and understand All system connections All of the warnings and cautions How to use each system component How to test each system component Before you use this system Complete all of the tests in this section Test all other system components If a test failure occurs do not use the equipment Have an...

Page 79: ...pressures are correct 6 Cylinder valves are closed on models with cylinder supplies w w w w W W W WA A A AR R R RN N N NII I IN N N NG G G G 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 7 Modelswithcylindersupplieshaveacylinderwrenchattachedtothesystem 8 The necessary em...

Page 80: ...ect the power cord to a wall outlet The mains indicator comes On when AC Power is connected If the indicator is not on the system does not have mains electrical power Use a different outlet Close the circuit breaker or replace or connect the power cable Refer to Figure 2 2 14 Set the system switch to On AA 96 100 AB 29 007 AA 96 104 ...

Page 81: ... cylinder pressure gauges are not at zero Connect an O2 supply Turn On the system if it is not already on Set the flow controls to mid range Make sure that all gauges but O2 go to zero Disconnect the O2 supply Make sure that the O2 gauge goes to zero As pressure decreases alarms for low O2 supply pressure should occur 2 Make sure that the cylinders are full Open each cylinder valve Make sure that ...

Page 82: ...ose cylinder valves w w w w W W W WA A A AR R R RN N N NII I IN N N NG G G G 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 4 Connect the pipeline supplies 5 Turn on the system 6 Use the chart below to check pipeline pressure 7 Connect equipment to the pneumatic outlets as...

Page 83: ...lockwise minimum flow 3 Turn on the system 4 Do not use the system if low battery or other ventilator failure alarms occur 5 Make sure the O2 flowtube shows approximately 25 to 75 mL min The other flowtubes must show no gas flow w w w w W W W WA A A AR R R RN N N NII I IN N N NG G G G Keep the Link system engaged during steps 6 and 7 Adjust only the test control N2O in step 6 and O2 in step 7 Test...

Page 84: ...w 12 Reconnect the pipeline supplies Vaporizer back pressure test w w w w W W W WA A A AR R R RN N N NII I IN N N NG G G G Anesthetic agent comes out of the common gas outlet during this test Use a safe approved procedure to remove and collect the agent w w w w C C C CA A A AU U U UT T T TII I IO O O ON N N N To prevent damage turn the flow controls fully clockwise minimum flow or Off before you t...

Page 85: ... before use 2 W a r n in g K e e p u p ri g h t a t a ll ti m e s Se e m an u al fo r O p er at io n al In st ru ct io n s F ac to rs af fe ct in g p er fo rm an ce Se rv ic e an d m ai n te n an ce re co m m en d at io n s Ne xt se rv ice da te U se O nly Is oflura ne 3 4 5 1 8 Lock before use U se O nly Enfl urane 1 2 3 4 5 0 8 6 4 2 W a r n i n g K e e p u p ri g h t a t a ll ti m e s S e e m a...

Page 86: ...to 5 L min 6 Make sure that The end expiratory pressure is approximately 0 cmH2O The ventilator displays the correct data The bellows inflate and deflate during mechanical ventilation 7 Test the O2monitor and alarms Make sure the sensor measures approximately 21 O2 in room air Set the low O2 alarm to 50 Make sure a low O2 alarm occurs Set the low O2 alarm back to 21 and make sure that alarm cancel...

Page 87: ...at the low airway pressure and apnea alarms occur The apnea alarm occurs after 30 sec 11 Test the sustained airway pressure alarm Set the controls Mechanical ventilation stops when the Bag Vent switch is set to Bag Close the patient connection and push the O2 Flush button Makesurethatthesustainedpressurealarmoccursafterapproximately 15 seconds at the sustained pressure limit 6 30 cmH2O varies with...

Page 88: ...A A A AR R R RN N N NII I IN N N NG G G G Do not use a system with a low pressure leak Anesthetic gas will go into the atmosphere not into the breathing circuit Low pressure leak test Negative low pressure leak test 1 Turn on the auxiliary common gas outlet AUX some models 2 Or access the common gas outlet CGO 3 Test the leak test device AUX AB 23 063 CGO AB 23 099 AB 23 063 60 sec ...

Page 89: ...nect the test device 7 Test each vaporizer for low pressure leaks Set the vaporizer to 1 Repeat step 6 If there is a low pressure leak refer to the Setup Maintenance and Troubleshooting Manual 8 Keep the test device with the system 9 Turn all flow controls fully clockwise minimum flow Do not over tighten w W W W WA A A AR R R RN N N NII I IN N N NG G G G Agent mixtures from the low pressure leak t...

Page 90: ...mon gas outlet 1 Access the common gas outlet CGO 2 Connect the leak test device to the common gas outlet with a section of tubing Turn off the auxiliary common gas outlet Set the Outlet switch to common gas outlet Keep the flow tube vertical for accurate results 3 Fully close all flow controls 4 Fully open the needle valve on the test device CGO AB 23 099 AB 23 101 ...

Page 91: ...up Maintenance and Troubleshooting Manual 9 Repeat this low pressure leak test for each vaporizer Set the applicable vaporizer to 1 and do steps 2 through 8 Fully open the needle valve on the test device to decrease the back pressure Turn the vaporizer off w W W W WA A A AR R R RN N N NII I IN N N NG G G GS S S S Agent mixtures from the low pressure leak test stay in the system Always flush the sy...

Page 92: ...t damaged and contains sufficient absorbent 4 The vaporizers are locked in position and contain sufficient agent 5 Pipeline gas supplies are connected and the pressures are correct 6 Cylinder valves are closed on models with cylinder supplies w w w w W W W WA A A AR R R RN N N NII I IN N N NG G G G Do not leave gas cylinder valves open if the pipeline supply is in use Cylinder supplies could be de...

Page 93: ...nt 12 Connect the power cord to a wall outlet The mains indicator comes on when AC Power is connected If the indicator is not on the system does not have mains electrical power Use a different outlet Close the circuit breaker or replace or connect the power cable Refer to Figure 2 2 13 Set the system switch to On AA 96 100 AB 29 007 AA 96 104 ...

Page 94: ...usethisanesthesiasystemifyoucanturnonmorethanone vaporizer at the same time Tec6vaporizerswillnotaligncorrectlyunlessthepowercablegoes through the channel on the bottom of the vaporizer Do not put the power cable on top of the manifold or between vaporizers The vaporizer storage bracket is not part of the vaporizer manifold You cannot use a vaporizer while it is on the bracket 1 If the top of a va...

Page 95: ...urn if the operational indicator is off 6 Try to turn on more than one vaporizer at the same time Test each possible combination If more than one vaporizer turns on at the same time remove the vaporizers install them again and complete steps 1 through 6 Breathing system tests Refer to the applicable operation and maintenance manuals At a minimum 1 Make sure that the auxiliary equipment humidifier ...

Page 96: ...stem w w w w W W W WA A A AR R R RN N N NII I IN N N NG G G G Makesurethattherearenotestplugsorotherobjectscaughtinthe breathing system 5 Test the ventilator circuit for leaks Set the Bag Vent switch to Vent Set all flow controls to minimum Set the system switch to Standby Close the breathing circuit at the patient connection Use your hand or an approved test plug located in the handle of the brea...

Page 97: ...n the APL valve Makesurethatthevalueontheinspiratorypressuregaugedecreasesto approximately zero Push the flush button and make sure that the value on the inspiratory pressure gauge stays near zero Set the O2 flow to minimum and make sure that the value on the inspiratory pressure gauge does not decrease below 0 cmH2O 8 Remove your hand or the test plug step 5 from the patient connection Monitor an...

Page 98: ...diately set the system switch to Standby and close all cylinder valves 9 Make sure that you have Equipment for airway maintenance manual ventilation tracheal intubation and IV administration Applicable anesthetic and emergency drugs 10 Prepare the system Turn all vaporizers off Open the APL valve Set the Bag Vent switch to Bag Set all flow controls to minimum Set sufficient patient suction Make su...

Page 99: ...ops ventilation 3 14 Auxiliary outlet switch function 2 8 B Bag arm adjust position 2 6 location 2 5 Bag Vent switch function 2 6 how to stop mech vent 3 15 start mechanical ventilation 3 14 Bag vent switch location 2 5 Bellows location 2 5 Brake function of 2 3 Breathing circuit Module location 2 5 Breathing circuit module display 2 11 Breathing system controls 2 5 Breathing system tests A 19 C C...

Page 100: ... 2 11 Mains inlet location 2 4 Measured values display 2 11 Mechanical ventilation how to start 3 1 3 14 how to stop 3 15 Menu how to change menu settings 2 18 how to change settings 2 18 how to use 2 15 menu map 2 16 what different functions do 2 17 Menu key function 2 12 location 2 11 Minimum system 3 26 Modes Pressure Control 3 20 PSVPro 3 21 SIMV 3 20 Volume Control 3 20 Monitor and ventilator...

Page 101: ...nu options 2 17 Setup Calibration menu 3 7 3 22 3 31 Shelf weight limit A 3 Show hide alarm limits 3 4 units 3 4 SIMV controls 3 24 Software version 3 31 Suction regulator controls 2 20 location 2 19 System switch 2 2 function of 2 3 turn on 3 2 T Tidal volume 3 20 Tinspired 3 19 U Units show hide option 2 17 V Vap alarm silence tec 6 key 2 9 Vap concentration control function 2 9 Vap Lock lever f...

Page 102: ...Aestiva I 4 1006 0938 000 ...

Page 103: ...e foregoing warranties shall not apply if the Product has been repaired other than by Datex Ohmeda or in accordance with written instructions provided by Datex Ohmeda or altered by anyone other than Datex Ohmeda or if the Product has been subject to abuse misuse negligence or accident Datex Ohmeda s sole and exclusive obligation and Buyer s sole and exclusive remedy under the above warranties is l...

Page 104: ...el 82 2 786 7421 Fax 82 2 786 7420 Malaysia Datex Ohmeda Pte Ltd Level 2 Bangunan O Connor 13 Jalan 223 46100 Petaling Jaya Selangor West Malaysia Tel 60 3 754 7872 Fax 60 3 757 6948 Singapore Datex Ohmeda Pte Ltd 152 Beach Road 12 05 07 Gateway East Singapore 189721 Tel 65 391 8618 Fax 65 291 6618 Taiwan and Philippines Datex Ohmeda Pte Ltd 2nd Floor No 85 Chien Kuo North Road Sec 2 Taipei Taiwan...

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