Datex-Ohmeda S/5 Aespire User'S Reference Manual Download

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S/5 Aespire

1009-0307-000

Tidal Volume (VT) Control or Pressure (Pinsp) Control . . . . . . . . . . . . . 3-17

Breathing Rate Control (Breaths/minute) . . . . . . . . . . . . . . . . . . . . . . 3-17

I:E Ratio Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

High Airway
Pressure Limit Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

PEEP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

Set inspiratory pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

Optional Passive AGSS operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Optional Active AGSS operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Connecting Active AGSS with a flow indicator . . . . . . . . . . . . . . . . . . . 3-22

Connecting Active AGSS without a flow indicator . . . . . . . . . . . . . . . . 3-23

Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24

Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26

Alarm Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26

Alarm Silence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26

Alarm Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26

Use the pressure waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27

Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27

Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28

4 Preoperative Tests

S/5 Aespire Preoperative tests schedules . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Test Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Test devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Inspect the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Power failure alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Minimize alarms (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Without O

monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

With O

monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

Negative low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

ISO 5358 or BSI standard positive low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Summary of Contents for S/5 Aespire

Page 1: ...S 5 Aespire User s Reference Manual Part 1 System Controls Operation Checkout...

Page 2: ...ut 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...

Page 3: ...r controls 2 10 Ventilator controls 2 11 Optional features 2 11 Control panel 2 11 Menu 2 12 How to use the menu 2 12 Menu Map 2 15 Optional auxiliary O2 flowmeter and suction regulators 2 16 3 Operat...

Page 4: ...chanical ventilation 3 25 Alarms 3 26 Alarm Tones 3 26 Alarm Silence 3 26 Alarm Suspend 3 26 Use the pressure waveform 3 27 Scales 3 27 Measure circuit compliance 3 28 4 Preoperative Tests S 5 Aespire...

Page 5: ...Table of Contents 1009 0307 000 iii Alarm tests 4 16 Breathing system tests 4 18 Monitor and ventilator tests 4 20 Warranty...

Page 6: ...S 5 Aespire iv 1009 0307 000...

Page 7: ...1009 0307 000 1 1 1 Introduction In this section What is S 5 Aespire 1 2 Symbols used in the manual or on the equipment 1 3...

Page 8: ...or with internal monitors electronic PEEP Volume Mode and other optional features A serial interface permits communication to cardiovascular and respiratory gas monitoring Illustrations in this manual...

Page 9: ...on the equipment or in Datex Ohmeda manuals No one device or manual uses all of the symbols These symbols include On power Not autoclavable O Off power m m m m Type B equipment o Standby Type BF equi...

Page 10: ...4 4 4 4 C C C C Autoclavable Q Expiratory flow uOpen drain remove liquid Alarm silence touch key q Inspiratory flow Menu touch key t O2 sensor connection Alarm silence touch key Tec 6 Volume alarms On...

Page 11: ...ntrols and Menus In this section Anesthesia system controls 2 2 Breathing system components 2 5 Vaporizer controls 2 10 Ventilator controls 2 11 Menu 2 12 Menu Map 2 15 Optional auxiliary O2 flowmeter...

Page 12: ...ntistatic breathing tubes or masks They can cause burns if you use them near high frequency surgical equipment 1 Breathing system 2 Flow controls 3 Ventilator monitoring display 4 Dovetail rails 5 Vap...

Page 13: ...e control counterclockwise to increase the flow and clockwise to decrease The system switch must be On for gas to flow 7 System switch Set the switch to the on position to permit gas flow and to turn...

Page 14: ...009 0307 000 1 Circuit Breaker for Electrical Outlet 2 Electrical Outlet 3 Equipotential Stud 4 Mains Inlet 5 System Circuit Breaker 6 Cylinder s 7 Pipeline Connection s Figure 2 2 S 5 Aespire rear vi...

Page 15: ...piratory flow sensor or flow port adapter patient connection circuit connections 8 Leak test plug 9 Expiratory check valve unidirectional valve 10 Breathing system release 11 Manual bag port 12 APL ad...

Page 16: ...toring is available when the ACGO is selected The ACGO should not be used to drive external ventilators or for jet ventilation Breathing system selected Auxiliary outlet selected 4 7 Flow sensor or fl...

Page 17: ...andle before releasing the canister Note Always do a leak test after operating the canister release 12 APL valve Adjusts breathing system pressure limit during manual ventilation The scale shows appro...

Page 18: ...ure monitoring are not available O2 monitoring of fresh gas is available automatically when the ACGO is selected if the system has the O2 monitoring option 13 Bag Mechanical Ventilation switch Selects...

Page 19: ...not use the ACGO to drive external ventilators or for jet ventilation Estimate the mean pressure required for ventilation and determine a mean sample flow rate from the graph Figure 2 4 Back pressure...

Page 20: ...e of active AGSS units There is a reservoir to capture exhaust flows higher than the extract flow For all AGSS a separate exhaust hose is necessary from the external manual circuit to the disposal poi...

Page 21: ...ed on the Ventilation Monitoring display The system switch provides power functions The Bag Vent switch and ACGO switch start and stop mechanical ventilation w w w wCAUTION When using the oxygen senso...

Page 22: ...ey 14 Tidal volume VT or airway pressure Pinsp selection key 15 Mains indicator light 16 Ventilation mode 17 Mechanical ventilation status on or off 18 Measured value 19 End case key 20 Measured value...

Page 23: ...see the main menu Step 2 Turn the knob to select an option highlight Step 3 Push the knob to show the next screen Step 4 Turn then push the knob to select a setting Step 5 Turn the knob to change a me...

Page 24: ...09 0307 000 Step 7 To exit select Go to Main Menu and push the knob You can also push the menu key to exit to the normal screen Step 8 Select Exit to Normal Screen and push the knob Go to Main Menu Ex...

Page 25: ...Menu Map Figure 2 7 shows the menu map Some features are optional If the Alarm Settings page shows VE auto Limits during mechanical ventilation the system automatically calculates alarm limits accordi...

Page 26: ...tinuous suction regulator or a venturi suction regulator 1 Auxiliary O2 Flowmeter outlet 2 Auxiliary O2 Flowmeter 3 Auxiliary O2 flow control Figure 2 8 Optional Auxiliary O2 Flowmeter and control 1 E...

Page 27: ...witch MAX for maximum suction set the switch to M M M MA A A AX X X X On for adjustable suction set the switch to on or Off O to turn off suction set the switch to O With the mode switch set to turn t...

Page 28: ...S 5 Aespire 2 18 1009 0307 000...

Page 29: ...s not become desiccated Turn off all gases when finished using the system In this section This section describes specific tasks Use it as a step by step guide or a training tool Turn on the system 3 2...

Page 30: ...eries of self tests If the self tests pass the normal display appears If a test fails the screen shows an alarm Refer to the Troubleshooting section in Part 2 of this manual On 120 Vent Off Volume Con...

Page 31: ...h the Menu key to see the main menu Step 2 Turn the knob to select Screen and Audio Setup Step 3 Push the knob to show the next screen Step 4 Turn the knob to highlight Alarm Loudness Step 5 Push the...

Page 32: ...nge the selection you hear the loudness of your selection Step 7 Push the knob to save the change Step 8 To exit select Go to Main Menu and push the knob You can also press the menu key to exit to the...

Page 33: ...when An alarm occurs Volume monitoring is off or the auxiliary common gas outlet is selected monitoring off When you turn the system switch on Show alarm limits Hide alarm limits 7 0 6 0 700 600 6 3...

Page 34: ...asure Step 5 Turn the knob to select Show or Hide S S S St t t te e e ep p p p 6 6 6 6 Push the knob to save the change Step 7 To exit select Go to Main Menu and push the knob You can also press the m...

Page 35: ...alarm for low volume The volume alarm key E VTE turns volume alarms on and off When the alarms are off a large X covers the limits Use this control during manual ventilation when constant attention is...

Page 36: ...to automatically calculate VE limits according to ventilator parameter settings Step 1 Push the Menu key to see the main menu Step 2 Turn the knob to select Alarm Settings Step 3 Push the knob to show...

Page 37: ...6 Push the knob to save the change Step 7 To exit select Go to Main Menu and push the knob You can also press the menu key to exit to the normal screen Step 8 Select Exit to Normal Screen and push the...

Page 38: ...e g an un cuffed endotracheal tube you can 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 dis...

Page 39: ...Step 6 Push the knob to save the change Note When Circuit Leak Audio Off is selected the message Circuit Leak Audio Off appears on the display Step 7 To exit select Go to Main Menu and push the knob Y...

Page 40: ...Cardiac Bypass In Progress is selected the display shows Cardiac Bypass Apnea Alarm off N N N No o o ot t t te e e e Mechanical ventilation must be off When mechanical ventilation is turned back on Ca...

Page 41: ...ypass Step 6 Turn the knob to select No or In Progress Step 7 Push the knob to save the change Step 8 To exit select Go to Main Menu and push the knob You can also press the menu key to exit to the no...

Page 42: ...iration Step 1 Push the Menu key to see the main menu S S S St t t te e e ep p p p 2 2 2 2 Push and turn the knob to select the Ventilation Mode Step 3 Push then turn the knob to set a value for the s...

Page 43: ...1009 0307 000 3 15 S S S St t t te e e ep p p p 4 4 4 4 Press the knob to confirm the set value The flashing box disappears The system returns to the main screen The ventilation mode is displayed on...

Page 44: ...h knob to confirm change Turn knob to change setting An example of setting controls Step 1 Push the selection key A box flashes around the setting Step 2 Turn the knob to set the value The ventilator...

Page 45: ...djusted from 5 to 50 cm H2O Note When adjusting Pinsp a digital value is displayed to assist setting Pinsp until the setting is confirmed The Pmax value will display the actual pressure delivered Brea...

Page 46: ...range 12 to 99 cm H2O 1 cm H2O increments If the high airway pressure limit is reached inspiration stops and exhalation starts The limit is an absolute value There is no offset for PEEP pressure Note...

Page 47: ...lue is shown if PEEP is off w W W W WA A A AR R R RN N N NII I IN N N NG G G G Do not use a separate mechanical PEEP valve incorrect operation and patient injury can result Set inspiratory pause You c...

Page 48: ...show the Setup screen Step 4 Push the knob to select Inspiratory Pause Step 5 Turn the knob to change the setting Step 6 Push the knob to save the change Step 7 To exit select Go to Main Menu and pus...

Page 49: ...n Passive AGSS may also be used with a non recirculating ventilation system for waste gas disposal The tubing connection from passive AGSS to the non recirculating ventilation system should be an open...

Page 50: ...n of any gas scavenging system ensure the scavenging system is not occluded Connecting Active AGSS with a flow indicator To use the optional active AGSS on a system which has a flow indicator 1 connec...

Page 51: ...le valve on the bottom of the AGSS below the ventilator engine bellows The hose should be flexible and reinforced to help prevent kinking and crushing Attach the other end of the hose to the hospital...

Page 52: ...ilation bag mode Step 1 Make sure the control settings are clinically appropriate Step 2 Set the ACGO switch to the circle system position Step 3 Set the Bag Vent switch to the Vent position This sele...

Page 53: ...adjusts the breathing system pressure limit during manual ventilation The scale shows approximate pressures Above 30 cm H2O you will feel clicks as the knob turns Step 2 Set the Bag Vent switch to Ba...

Page 54: ...peat Informational single tone Alarm Silence The screen shows the time remaining in the silence period Ifyoupushthealarmsilencekeywhileanalarmissilenced countdowntime resets to 120 seconds High priori...

Page 55: ...e scale changes with the respiratory rate When the time scale changes existing pressure data is cleared from the waveform display and new waveform data begins at time 0 The pressure scale changes with...

Page 56: ...al 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 calculat...

Page 57: ...spect the System 4 4 Power failure alarm test 4 5 Minimize alarms optional 4 5 Pipeline and cylinder tests 4 6 Flow control tests 4 7 Vaporizer installation 4 11 Vaporizer back pressure test 4 12 Low...

Page 58: ...ation where the test can be found Test intervals Every day before the first patient Before every patient Inspect the system 4 4 Test the system Power failure alarm test 4 5 Minimize alarms optional 4...

Page 59: ...Test all other system components If a test failure occurs do not use the equipment Have an approved service representative repair the equipment Test devices The following test tools are needed for so...

Page 60: ...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 Models with cylinder supplies h...

Page 61: ...2 Power failure alarm test 1 Set the system switch to On 2 Unplug the power cord with the system turned on 3 Make sure that the power failure alarm audio tone and On Battery Power OK message on the d...

Page 62: ...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 e...

Page 63: ...uld be depleted leaving an insufficient reserve supply in case of pipeline failure 13 Connect the pipeline supplies 14 Set the system switch to On 15 Use this chart to check pipeline pressure 16 Set t...

Page 64: ...nnect the pipeline supplies or slowly open the cylinder valves 2 Turn all flow controls fully clockwise minimum flow 3 Set the system switch to On 4 Do not use the system if low battery or other venti...

Page 65: ...that the flowtube floats move smoothly 9 Disconnect the O2 pipeline supply or close the O2 cylinder valve 10 Make sure that The low O2 supply alarm occurs N2O and O2 flows stop The O2 flow stops last...

Page 66: ...alves 2 Turn all flow controls fully clockwise minimum flow 3 Set the system switch to On 4 Do not use the system if low battery or other ventilator failure alarms occur 5 Make sure the O2 flowtube sh...

Page 67: ...ms occur on the ventilator if the ventilator uses O2 as the drive gas 11 Turn all the flow controls fully clockwise minimum flow 12 Reconnect the O2 pipeline supplies or open the O2 cylinder valve 13...

Page 68: ...ontrol will not turn 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 r...

Page 69: ...steps 3 and 4 for each vaporizer 6 Set the system switch to Standby Low pressure leak test w w w wWARNING Do not use a system with a low pressure leak Anesthetic gas will go into the atmosphere not i...

Page 70: ...e in Alarms and Troubleshooting of Part 2 of this manual Disconnect the test device 6 Test each vaporizer for low pressure leaks Set the vaporizer to 1 Repeat step 5 If there is a low pressure leak re...

Page 71: ...flow 4 Fully open the needle valve on the test device Keep the test device flow tube vertical for accurate results w w w wCAUTION If the needle valve is not fully open this test can damage the pressu...

Page 72: ...re leak test 10 Remove the adapter and leak test device 11 Flush the system with O2 Set the O2 flow to 1 L min and continue flow for one minute Turn the O2 flow control fully clockwise minimum flow Se...

Page 73: ...in the circuit Set the High O2 alarm to 50 Push the flush button to fill the breathing system Make sure the high O2 alarm comes on Set the high O2 alarm back to 100 and make sure that alarm cancels A...

Page 74: ...licable operation manuals At a minimum 1 Make sure that the auxiliary equipment humidifier etc operates correctly 2 Verify that AGSS is operating Breathing systems with active scavenging have a flow i...

Page 75: ...ooting procedure in the Part 2 of this manual 5 Test the Bag circuit for leaks Set the system switch to On Set the Bag Ventilator switch to Bag Plug the Bag port use your hand or the approved test plu...

Page 76: ...itch to Bag 3 Set the System switch to On 4 Set the controls 5 Set the Bag Vent switch to Ventilator 6 Push the O2 flush button to fill the bellows 7 Make sure that Mechanical ventilation starts A sub...

Page 77: ...n Make sure that the breathing system is correctly connected and not damaged w w w wWARNING Make sure that the breathing circuit is correctly connected and not damaged w w w wWARNING Before you connec...

Page 78: ...S 5 Aespire 4 22 1009 0307 000...

Page 79: ...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 Da...

Page 80: ...6 7420 M M M Ma a a all l la a a ay y y ys s s sii i ia a a a 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...

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