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GE auisys cs2, User'S Reference Manual

The GE Auisys CS2 User's Reference Manual is a comprehensive guide packed with all the necessary information to effortlessly operate your device. This well-structured manual can be downloaded for free from our website, allowing you to access it anytime, anywhere. Enhance your user experience with our downloadable manual at manualshive.com.

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3 Operation

Operation

System operation safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Turning on the system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Start a case. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Turning off the system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Ventilator setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Auto limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Gas setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

System setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13

Alarm setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17

Alarms On Off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Next page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22

Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23

Spirometry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24

Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27

Timer function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-31

ecoFLOW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-32

Alternate O2 control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-34

EZchange canister mode. . . . . . . . . . . . . . . . . . . . . . . . . . 3-36

Condenser. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-38

Auxiliary Common Gas Outlet. . . . . . . . . . . . . . . . . . . . . . 3-40

In this section

2067226-001

3-1

Summary of Contents for auisys cs2

Page 1: ...Aisys CS User s Reference Manual Software Revision 10 X ...

Page 2: ... Ohmeda recommends that a telephonic or written request for service advice be made to the nearest Datex Ohmeda Customer Service Center This Product or any of its parts should not be repaired other than in accordance with written instructions provided by Datex Ohmeda and by Datex Ohmeda trained personnel The Product must not be altered without the prior written approval of Datex Ohmeda The user of ...

Page 3: ...nformation 1 14 System classification 1 14 Device standards IEC 60601 1 2005 1 14 Device standards IEC 60601 1 1988 1 14 Integral system components 1 15 Not integral system components 1 15 System accessories 1 15 System safety 1 16 Preparing for use 1 16 Inspecting the system 1 17 Electrical safety 1 18 2 System controls and menus System overview 2 2 Using the brake 2 4 Using the O2 flush button 2...

Page 4: ...peration System operation safety 3 2 Turning on the system 3 3 Start a case 3 4 Minimum Alveolar Concentration 3 4 Starting a case using default settings 3 5 Starting a case using custom settings 3 5 End a case 3 6 Turning off the system 3 7 Ventilator setup 3 8 Changing ventilator mode 3 8 Changing ventilator settings 3 8 Optional ventilator procedures 3 8 Auto limits 3 9 Setting auto limits 3 9 ...

Page 5: ...Setting to default limits 3 20 Alarms On Off 3 21 Disable alarm limits 3 21 Next page 3 22 Trends 3 23 Setting trends 3 23 Spirometry 3 24 Setting loop type 3 24 Setting loop graph scaling 3 25 Setting patient and sensor type 3 25 Setting the data source 3 25 Setting spirometry volume type 3 26 Saving viewing and deleting spirometry loops 3 26 Procedures 3 27 Pause gas flow 3 27 Cardiac bypass 3 2...

Page 6: ...tient 4 2 Before every patient 4 3 5 Preoperative tests Aladin cassette installation 5 2 Flow and pressure calibration 5 3 Circuit compliance compensation 5 4 Checkout menu 5 5 Full test 5 6 Vent and gas 5 6 Circuit leak 5 6 Circuit O2 cell 5 7 External gas monitor 5 7 Individual tests 5 8 Vent and gas 5 8 Circuit leak 5 8 Circuit O2 cell 5 8 Low P leak 5 8 Low P leak machines with ACGO 5 9 Agent ...

Page 7: ...7 2 Alarm priorities 7 2 Pausing alarms 7 2 Cancelling audio pause 7 3 Display changes during alarms 7 3 De escalating alarms 7 3 Battery indicator 7 3 Internal failure 7 4 Informational tones 7 4 List of alarms 7 5 Sustained pressure threshold 7 12 Alarm ranges 7 13 Alarm tests 7 15 Breathing system problems 7 17 Electrical problems 7 18 Pneumatic problems 7 19 8 Setup and connections Setup safet...

Page 8: ...m suction regulator optional 8 15 Venturi suction regulator optional 8 16 Auxiliary O2 flowmeter optional 8 16 Installing gas cylinders 8 18 Installing cylinders with pin indexed yokes 8 18 Installing cylinders with DIN connections 8 18 Performing a high pressure leak test 8 18 Attaching equipment to the top of the machine 8 20 Passive AGSS 8 21 Connecting passive AGSS 8 21 Active AGSS 8 22 Connec...

Page 9: ... 6 Exhalation valve assembly 10 7 AGSS 10 8 EZchange canister system 10 10 Condenser 10 11 Test tools and system parts 10 12 11 Specifications and theory of operation System pneumatic circuit 11 2 Gas supplies 11 4 O2 flow 11 4 Air and N2O 11 4 Mixed gas 11 5 EZchange canister 11 5 Condenser 11 5 Pneumatic specifications 11 6 Gas supplies 11 6 ACGO port relief 11 6 Non circle circuit relief 11 6 P...

Page 10: ...cal performance 11 21 Suction regulators optional 11 22 Ventilator theory 11 23 O2 monitoring theory of operation 11 23 ecoFLOW theory of operation 11 24 Ventilation modes 11 24 Ventilation modes factory default settings 11 35 Ventilation mode transition 11 36 Ventilator operating specifications 11 37 Pneumatics 11 37 Fresh gas compensation 11 37 Pressure 11 37 Volume 11 37 Oxygen 11 38 Ventilator...

Page 11: ...etting agent costs 12 3 System configuration 12 5 Display settings 12 5 Ventilator settings 12 5 Alarm settings 12 6 Parameter settings 12 6 Trends setup 12 8 Page setup 12 8 Case defaults 12 10 Configuring case defaults 12 10 Setting case name 12 10 Setting volume apnea defaults 12 10 Default case type settings 12 11 Gas controls 12 15 Setting gas preset values 12 15 Setting fresh gas controls 12...

Page 12: ... maintenance 13 9 Cleaning 13 9 Draining cassettes 13 9 Draining halothane cassettes 13 10 Filling Aladin2 cassettes 13 11 Filling with Easy Fil system 13 11 Filling with Quik Fil system 13 13 Filling with Saf T Fill bottle 13 14 Filling Aladin cassettes 13 16 Filling with keyed filler system 13 16 Filling with Quik Fil system 13 17 Filling with Saf T Fil bottle 13 18 Index Aisys CS x 2067226 001 ...

Page 13: ...ction Introduction Intended use 1 2 Symbols used in the manual or on the equipment 1 6 Typeface conventions used 1 10 Abbreviations 1 11 System information 1 14 System safety 1 16 In this section 2067226 001 1 1 ...

Page 14: ...technology offering Volume Control Ventilation with tidal volume compensation and electronic PEEP The proven SmartVent technology also features optional Pressure Control Ventilation Pressure Support Ventilation with an Apnea Backup PSVPro that is used for spontaneously breathing patients Synchronized Intermittent Mandatory Ventilation SIMV modes Pressure Control Ventilation Volume Guarantee PCV VG...

Page 15: ...ear view of the display It must be operated according to the instructions in this User s Reference manual Make sure that all user documents are obtained from the manufacturer Refer to the Technical Reference manual for service information including special installation instructions installation checklist means of isolating the supply mains and replacement of fuses supply cord and other parts Explo...

Page 16: ...s Datex Ohmeda products have unit serial numbers with coded logic which indicates a product group code the year of manufacture and a sequential unit number for identification The serial number can be in one of two formats Aisys CS 1 4 2067226 001 ...

Page 17: ...as manufactured 04 2004 05 2005 etc Trademarks Aisys Carestation Advanced Breathing System ComWheel D fend EZchange Disposable Multi Absorber Reusable Multi Absorber PSVPro SmartVent Easy Fil Aladin and Aladin2 are registered trademarks of Datex Ohmeda Inc Other brand names or product names used in this manual are trademarks or registered trademarks of their respective holders 1 Introduction 20672...

Page 18: ...ls used on the equipment O2 Flush button O2 cell connection Air Air APL settings are approximate Anesthetic Gas Scavenging System Maximum Vacuum Serial number Stock number Exhaust Bellows volumes are approximate Plus positive polarity Minus negative polarity Maximum mass of configured mobile equipment Caution federal law prohibits dispensing without prescription Autoclavable On power Off power Sta...

Page 19: ...one direction Movement in two directions Lock Unlock Open drain remove liquid Low pressure leak test This way up Not autoclavable Read to center of float EZchange canister CO2 bypass Systems with this mark agree with the European Council Directive 93 42 EEC for Medical Devices when they are used as specified in their User s Reference manuals The xxxx is the certification number of the Notified Bod...

Page 20: ...halate Possible phthalates include DBP Di n butyl phthalate DNPP 1 2 Benzenedicarboxylic acid dipentylester branched and linear N pentyl isopentylphthalate Di n pentyl phthalate Diisopentylphthalate BBP Benzyl butyl phthalate DEHP Bis 2 ethylhexyl phthalate Di 2 ethylhexyl phthalate DMEP Bis 2 methoxyethyl phthalate DIBP Dissobutyl phthalate Single use device Union made Stacking limit by mass Keep...

Page 21: ...u No battery battery failure Battery in use Bar indicates amount of battery power remaining Airway module indicator ACGO active Drop down menu Start end case Pediatric Adult Lung procedure Home screen Timer Alarm off Pipeline Cylinder Test indicator red for failure yellow for conditional outcome and green for pass Alarm low and alarm high limit indicator Manual ventilation Enhanced temperature sen...

Page 22: ...em Setup Messages that are displayed on the screen are enclosed in single quotes for example Check sample gas out When referring to different sections and other documents the names are written in italic typeface and enclosed in double quotes for example System controls and menus Aisys CS 1 10 2067226 001 ...

Page 23: ...ions C CGO Common gas outlet CO Carbon monoxide CO2 Carbon dioxide Compl Compliance CPAP PSV Continuous positive airway pressure pressure support ventilation E EMC Electromagnetic Compatibility ET End tidal concentration EtCO2 End tidal carbon dioxide EtO2 End tidal oxygen Exp Expiratory F FI Fraction of inspired gas FiCO2 Fraction of inspired carbon dioxide FiO2 Fraction of inspired oxygen Flow V...

Page 24: ...pport pressure PSV Pressure support ventilation PSVPro Pressure support ventilation with apnea backup Paw Vol Pressure volume loop R Raw Airway resistance RF Radio frequency RR Respiratory rate S SIMV PCV Synchronized intermittent mandatory ventilation pressure control ventilation SIMV PCV VG Synchronized intermittent mandatory ventilation pressure control ventilation volume guaranteed SIMV VCV Sy...

Page 25: ...Abbreviation Definition VCV Volume control ventilation Vol Volume 1 Introduction 2067226 001 1 13 ...

Page 26: ... ISO 80601 2 13 Anesthetic vapor delivery devices ISO 80601 2 13 Anesthetic agent monitors ISO 80601 2 55 Oxygen monitors ISO 80601 2 55 Carbon dioxide monitors ISO 80601 2 55 Exhaled volume monitors ISO 80601 2 13 Device standards IEC 60601 1 1988 Devices used with this anesthesia system shall comply with the following standards where applicable Breathing system and breathing system components IS...

Page 27: ...ral system components These devices are not integral to this anesthesia system CO2 monitor Anesthetic agent monitor O2 monitor when O2 cell is not installed Suction regulator EZchange canister system Condenser When adding devices to the anesthesia system follow the installation instructions provided by the device manufacturer Whoever adds individual devices to the anesthesia system shall provide i...

Page 28: ...and national standards require the following monitoring be used with this system Exhaled volume monitoring O2 monitoring CO2 monitoring Anesthetic agent monitoring be used when anesthetic vaporizers are in use Single use products are not designed or validated to be reused Reuse may cause a risk of cross contamination affect the measurement accuracy system performance or cause a malfunction as a re...

Page 29: ...ve to inhalation anesthetic agents Risk of fire Limit the use of supplemental oxygen concentrations to less than 30 percent when using a heat source or device that may lead to combustion Consult facility risk management procedures to minimize the risk of fire if an oxygen concentration of more than 30 percent is required for any reason This system is not intended for use where the surrounding oxyg...

Page 30: ... If an optional suction regulator is present ensure there is adequate suction If an optional O2 flowmeter is present ensure there is adequate flow Electrical safety Do not connect non medical electrical equipment directly to the AC outlet at the wall instead of an AC power source which uses a separating transformer Doing so may increase enclosure leakage current above levels allowed by IEC 60601 1...

Page 31: ...mended An operator of the medical electrical system must not touch non medical electrical equipment and the patient simultaneously This may cause an unsafe electrical shock to the patient Use of portable phones or other radio frequency RF emitting equipment that exceed electromagnetic interference levels specified in IEC 60601 1 2 near the system may cause unexpected or adverse operation Monitor o...

Page 32: ...1 20 2067226 001 ...

Page 33: ...us System controls and menus System overview 2 2 Advanced breathing system components 2 6 Aladin cassette controls 2 8 Display controls 2 9 Anesthesia system display 2 12 Display navigation 2 15 In this section 2067226 001 2 1 ...

Page 34: ... 2 Dovetail 10 Brake 3 Aladin cassette and active bay 11 O2 flush button 4 Light switch 12 Advanced breathing system 5 Alternate O2 control 13 Auxiliary O2 flow control 6 System switch 14 Anesthesia display 7 Mains indicator 15 Patient monitoring display 8 Integrated suction Figure 2 1 Front view Aisys CS 2 2 2067226 001 ...

Page 35: ... connection 8 System circuit breaker 3 Cylinder wrench key storage 9 Equipotential stud 4 Cylinder yoke 10 Outlet circuit breaker 5 Anesthesia Gas Scavenging System 11 Isolated electrical outlet 6 Pipeline connections Figure 2 2 Rear view 2 System controls and menus 2067226 001 2 3 ...

Page 36: ...plies a high flow of O2 to the breathing system 1 Push the O2 flush button to deliver a high flow of O2 2 Release the O2 flush button to stop the delivery of a high flow of O2 Positioning the display The display can be moved for optimal viewing 1 Unlock the display arm 2 Raise or lower the display arm to adjust the height of the display 3 Lock the display arm 4 Rotate the display arm toward or awa...

Page 37: ...6 Tilt the display left or right to adjust the horizontal angle of the display 2 System controls and menus 2067226 001 2 5 ...

Page 38: ...lease 2 Inspiratory check valve 9 Manual bag port 3 Inspiratory flow sensor 10 Adjustable pressure limiting APL valve 4 Expiratory flow sensor 11 Bag Vent switch 5 Absorber canister 12 Bellows assembly 6 Absorber canister release 13 Airway module 7 Leak test plug Figure 2 3 Advanced breathing system Aisys CS 2 6 2067226 001 ...

Page 39: ...ser drain button Figure 2 4 Breathing system options Using the bag support arm Use the optional bag support arm to hold the breathing circuit bag AB 82 023 1 To raise the bag support arm squeeze the button and rotate the arm up the top position 2 To lower the bag support arm squeeze the button and rotate the arm down to the lower position 2 System controls and menus 2067226 001 2 7 ...

Page 40: ...ts of the internal electronic control unit and the Aladin agent cassette See the Vaporizer section for more information 1 2 3 4 AB 60 038 1 Handle with release trigger 2 Lock 3 Liquid level indicator 4 Agent filling port Figure 2 5 Aladin2 cassette Aisys CS 2 8 2067226 001 ...

Page 41: ...de the performance of the touchscreen If liquids come in contact with the display lock the touchscreen and clean the display Unlock the touchscreen once the display has been cleaned to resume use of the touchscreen Do not apply excessive force to the touchscreen as damage may occur 6 5 4 3 AC 22 001 2 1 1 ComWheel Selects a menu item or confirms a setting Turn clockwise or counterclockwise to scro...

Page 42: ...active medium or high priority latched alarms Figure 2 6 Display controls Touch points AB 75 256 2 1 3 4 5 6 7 1 Wave fields 5 Ventilator quick keys 2 Measured values 6 Gas quick keys 3 Function keys 7 Split screen values 4 Digit fields Figure 2 7 Normal Full screen view with shaded touch point areas Measured value touch points Touching measured values provides access to the Alarm Setup menu and a...

Page 43: ...played at the top of the screen and if applicable the alarming numeric field and digit field flashes The Alarm messages at the top of the screen are message alerts only and not active touch points 1 Touch the flashing numeric field to access the Alarm Setup menu and alarm limits for the active alarm 2 The Alarm Setup menu displays with the active alarm limit highlighted For example If the Ppeak hi...

Page 44: ...cator 5 Measured values fields Displays the measured values For example Paw Flow and CO2 6 Clock Displays the current time 7 Function keys Functions available are Audio Pause Alarm Setup Alarms On Off Auto Limits System Setup Next Page Trends Spirometry Procedures Timer Start and End Case 8 Digit fields Contains information for Spirometry Resp Agent and Gases 9 Ventilation mode Displays the select...

Page 45: ...ent flow or CO2 data The corresponding numeric information shows in the measured values field to the right of the waveform If the waveform is set to show the agent and no airway module is inserted that waveform and numeric area is blank When one waveform is turned off that waveform and the corresponding numerics information are removed from the normal screen view The remaining waveforms and numeri...

Page 46: ...Touch the spilt screen field to directly open the Screen Setup menu See Screen setup menu in the Operation section for more information Aisys CS 2 14 2067226 001 ...

Page 47: ...p messages 3 Menu items Shows Case Defaults Volume Apnea Alarm CO2 Alarms Age Ideal Weight and Start Case Now Figure 2 9 Menu view and menu example Using menus Use the function keys to access the corresponding menus When a menu is selected the menu field overlays the normal view and the waveform fields start at the right edge of the menu 1 Select the menu key to access the corresponding menu 2 Sys...

Page 48: ...e changes to the next available setting For pull down selections the highlight moves to the next available selection Turn the ComWheel to the left For menu items the highlight moves up For quick keys the highlight moves to the next key on the left For settings the value changes to the previous available setting For pull down selections the highlight moves to the previous available selection Push t...

Page 49: ...lator setup 3 8 Auto limits 3 9 Gas setup 3 10 System setup 3 13 Alarm setup 3 17 Alarms On Off 3 21 Next page 3 22 Trends 3 23 Spirometry 3 24 Procedures 3 27 Timer function 3 31 ecoFLOW 3 32 Alternate O2 control 3 34 EZchange canister mode 3 36 Condenser 3 38 Auxiliary Common Gas Outlet 3 40 In this section 2067226 001 3 1 ...

Page 50: ...ent Make sure that the breathing circuit is correctly connected and not damaged Replace the breathing circuit if it is damaged Maintain sufficient fresh gas flow when using sevoflurane Desiccated dehydrated absorbent material may produce dangerous chemical reactions when exposed to inhalation anesthetics Adequate precautions should be taken to ensure that absorbent does not dry out Turn off all ga...

Page 51: ...t hand inspiratory port plugged 3 Turn the System switch to On The display shows the power up screen The system does a series of automated self tests 4 Perform a Full Test before the first case of the day 5 Perform a preoperative checkout before each case See the Preoperative checkout section The system must perform a power up self test after 12 hours of remaining on If the system has been on long...

Page 52: ...ting ventilation Incorrect alarm settings can injure the patient Volume Apnea Alarm is not shown on the Start Case menu when the Volume Apnea Selection is set to Disable in the Super User settings The TV for Ideal Body Weight menu item from the Patient Demographics menu can only be accessed when the ventilation mode is set to VCV PCV VG SIMV VCV and SIMV PCV VG Use this setting for breath rate and...

Page 53: ... Verify or change the Case Defaults selected 4 Verify the settings are clinically appropriate 5 Select Start Case Now Gas flow starts Starting a case using custom settings Ideal Weight Age CO2 Alarms and Volume Apnea Alarm can be custom set on the Start Case menu before starting a case Additional ventilator settings ventilation mode alarm settings and gas settings can be custom set through the Ven...

Page 54: ...ase Now Gas flow starts See the Ventilator setup section for information on the Vent Mode menu See the Gas setup section for information on the Gas Setup menu See the Alarm setup section for information on the Alarm Setup menu End a case Use the End Case menu to stop gas flow and end the patient alarms 1 Set the Bag Vent switch to Bag 2 Select End Case 3 Select End Case Now on the menu to put the ...

Page 55: ...rocedure if appropriate 2 Turn the System switch to Standby 3 Turn the suction switch optional to the off position 4 Rotate the Auxiliary O2 knob fully clockwise to turn off the flow 5 Disconnect or turn off any scavenging 3 Operation 2067226 001 3 7 ...

Page 56: ...ion on ventilation modes Changing ventilator mode 1 Select the Mode quick key The Vent Mode menu shows 2 Select the desired ventilation mode 3 Set and confirm the primary ventilation setting to activate the ventilation mode Controls that are frequently used in the ventilation mode can be adjusted with the ventilator quick keys and the More Settings quick key Changing ventilator settings Change the...

Page 57: ...oposed low and high alarm limits 2 Check the proposed parameters Select Confirm to use the proposed low and high alarm limits Select Cancel to leave the alarm limits unchanged Select Case Default Limits to set the alarm limits to the case default limits The proposed low and high alarm limits are shown in highlighted text The alarm limits that are not highlighted do not change Note 3 Operation 2067...

Page 58: ...nd change using the drop down menu Select Confirm 5 For Other Gas select the menu item and change using the drop down menu 6 For Agent O2 and Total Flow select the setting and make the change using the ComWheel and push to confirm the setting Changing balance gas 1 Select the Gas Setup quick key 2 Select the Other Gas menu item 3 Select the balance gas to use with O2 Changing circuit type 1 Select...

Page 59: ... may be used with circuits that do not have CO2 absorbent capability for example Mapleson variants Mechanical ventilation is not available when using the non circle circuit Tidal volume monitoring is not available when using the non circle circuit O2 monitoring of fresh gas is available automatically when using the non circle circuit if the system has the airway module option or the O2 cell monito...

Page 60: ...3 Set the alarm limits to clinically appropriate settings Aisys CS 3 12 2067226 001 ...

Page 61: ...stomize the screen view Areas of the screen can be customized to show specific information Screen Setup contains the Layout Scales Time and Date and More Settings submenus Setting waveform fields The waveforms can be set to show agent CO2 flow Paw or set to Off If a waveform is set to the same value as another waveform the previously set waveform changes to off and is removed from the screen 1 Sel...

Page 62: ...t Screen and select the desired view from the drop down menu 4 Select Close Setting time and date Use the Time and Date menu to set the time and date The Time and Date menu cannot be changed when a case is running 1 Select System Setup Screen Setup 2 Select the Time and Date tab 3 Select the time or date item to change Make the change The clock format factory default is 24 hours When the clock for...

Page 63: ... Fast or Slow 4 Select Close Setting display brightness Use the brightness setting to adjust the contrast level of the display 1 Select System Setup Screen Setup 2 Select More Settings 3 Select Display Brightness 4 Select the desired brightness level with 1 being the dimmest and 5 being the brightest 5 Select Close Setting keypad brightness Use the brightness setting to adjust the contrast level o...

Page 64: ...se 1 Select System Setup Screen Setup 2 Select More Settings 3 Select Fresh Gas Controls 4 Select O2 or Flow from the drop down menu When set to O2 balance gas adjusts automatically when either the O2 or the Total Flow is changed using the gas quick keys When set to Flow balance gas and the O2 are controlled individually using the gas quick keys 5 Select Close Fresh gas usage Use Fresh Gas Usage t...

Page 65: ...ay module installed in the anesthesia system module bay The CO2 alarms setting has no effect if there is no airway module in the anesthesia system 1 Select Alarm Setup 2 To turn off the CO2 alarms set CO2 Alarms to Off The CO2 Alarms Off message shows in the general message field The CO2 alarm limit waveform numerics shows dashes during a case The alarms remain disabled until the Bag Vent switch i...

Page 66: ...ng manual ventilation the alarms remain off until the Bag Vent switch is set to Vent or the MV TV Alarms is set to On For example if the MV TV Alarms is set to Off during mechanical ventilation the alarms remain off when manual ventilation starts 1 Select Alarm Setup 2 To turn the volume alarms off set MV TV Alarms to Off MV TV Alarms Off appears in the general message field The volume alarm limit...

Page 67: ... alarm volume range is 1 to 5 4 Select Close Setting apnea delay Use the Apnea Delay setting to set the desired apnea time delay The apnea time delay is the amount of time that can pass without the system detecting a measured breath before the apnea alarm occurs 1 Select Alarm Setup 2 Select the Configure tab 3 Set Apnea Delay to the desired time The apnea time delay range is 10 to 30 seconds The ...

Page 68: ...ts If the automatic calculation of the low or high minute volume alarm limit exceeds the allowable limit the minimum or maximum alarm limit is used 1 Select Alarm Setup 2 Select the Configure tab 3 Set Auto MV Limits to On The MV alarm limits are automatically calculated until Auto MV Limits is set to Off or until an MV limit is manually adjusted during mechanical ventilation The MV alarm limits a...

Page 69: ...rms are turned off using this menu Disable alarm limits 1 Select Alarms On Off 2 View the alarm limit status 3 Select Confirm to change the alarm limit settings Select Cancel to leave the alarm limits unchanged If the CO2 Alarms Limits and MV TV Alarm Limits are On the alarm limits change to Off If the CO2 Alarms Limits or MV TV Alarm Limits are On the alarm limits change to Off If the CO2 Alarms ...

Page 70: ...iew A default view and four configurable screen views are available A general message displays identifying the page number of the screen view See the Super user mode section for information on setting the preset screen views Aisys CS 3 22 2067226 001 ...

Page 71: ...cal Trend information is saved every 15 seconds for the most recent 24 hours Setting trends 1 Select Trends 2 Select the desired view 3 Select Scroll to move through the current trend view 4 Select Time Scale to select the desired scale from the drop down menu 5 Select Next Page to view additional parameters 6 Select Close 3 Operation 2067226 001 3 23 ...

Page 72: ...me Flow Vol and Pressure Flow Paw Flow The spirometry loops show in the spirometry window and can be set to show alongside the waveforms as the split screen 1 4 3 2 AB 98 039 1 Volume axis 2 Pressure axis 3 Real time loop 4 Reference loop appears on display in gray Figure 3 2 Example of a Paw Vol loop Setting loop type 1 Select Spirometry 2 Select Loop Type and select the loop from the drop down l...

Page 73: ...et the scale type from the drop down list 3 Select Back to view changes made and access other functions of the Spirometry menu Setting patient and sensor type Patient and sensor type refer to the style of airway adapter used with the airway module If spirometry data is obtained from the airway module make sure that the sensor type matches the type of airway adapter used Adult or pediatric patient ...

Page 74: ...w MV or TV and select MV or TV from the drop down list Set to TV to show TVinsp and TVexp on the spirometry split screen Set to MV to show MVexp and TVexp on the spirometry split screen 3 Select Back to view changes made and access other functions of the Spirometry menu Saving viewing and deleting spirometry loops Spirometry loops can be saved viewed and deleted through the Spirometry menu 1 Selec...

Page 75: ...and automatically resumes after 1 minute If mechanical ventilation is on mechanical ventilation stops for 1 minute and then automatically resumes after 1 minute 3 Resume the flow of gas at any time during the pause by selecting Restart Gas Flow Cardiac bypass There are two types of cardiac bypass Manual ventilation cardiac bypass is standard VCV cardiac bypass is optional Manual ventilation cardia...

Page 76: ...art Cardiac Bypass PEEP is set to 5 cmH2O TV settings of less than 170 ml prior to starting cardiac bypass remain at the set TV TV settings of more than 170 ml prior to starting cardiac bypass change to 170 ml The VCV Cardiac Bypass message shows in the waveforms and in the general message field when VCV cardiac bypass is active PEEP and TV settings can be changed after entering cardiac bypass mod...

Page 77: ...to between 20 and 60 cmH2O Set Hold Time to between 10 and 40 seconds Set PEEP on Exit to Off or between 4 and 30 cmH2O 3 Select Start Vital Capacity 4 Select Close Cycling Use the Cycling procedure to deliver pressure breaths through a series of ventilation steps The Cycling procedure provides a flexible way to deliver pressure breaths during ventilation without making multiple ventilator setting...

Page 78: ...ycling 6 Select Close Changing cycling settings 1 Select Procedures 2 Select Cycling 3 Select a Procedure to perform 4 Select Adjust Settings The first setting of Step 1 in the procedure window is selected 5 Push the ComWheel to enter the adjustment window 6 Use the ComWheel to navigate the adjustment window and change a value 7 Select Start Cycling 8 Select Close Aisys CS 3 30 2067226 001 ...

Page 79: ...y counting up from zero Using the timer 1 Select Start to start the clock 2 Select Stop to pause or stop the clock If Start is selected the clock will resume operation If Start is selected and held for longer than 1 second the clock will reset to zero 3 Operation 2067226 001 3 31 ...

Page 80: ...e This marker can be removed by disabling it in Super user mode 5 FiO2 flow The minimum O2 flow needed to maintain the set inspired O2 flow This item can be disabled in Super user mode For example Fi25 O2 flow 6 O2 total numeric The numeric representation of the total O2 flow If N2O is the balance gas this equals the set O2 flow If Air is the balance gas this is the set O2 flow plus 21 of the Air ...

Page 81: ...Using ecoFLOW 1 Select System Setup Screen Setup 2 Select the Layout tab 3 Select Split Screen and select ecoFLOW from the drop down menu 4 Select Close 3 Operation 2067226 001 3 33 ...

Page 82: ...unavailable Use the Alternate O2 control to deliver O2 through an independent pneumatic path to the vaporizer and patient circuit Alternate O2 is connected to the system O2 supply Alternate O2 control activates automatically in the case of certain failures or errors It can also be activated manually The Alternate O2 control is available approximately 20 seconds after the system is turned on The Al...

Page 83: ...2 Use the flow control to adjust the O2 flow 3 Set the agent to the desired concentration 4 To end Alternate O2 control push the Alternate O2 ON OFF button 3 Operation 2067226 001 3 35 ...

Page 84: ...wn While the absorber canister is out of the breathing circuit the patient re breaths exhaled gases without any gas passing through the absorbent Systems with EZchange canister mode have a label on the canister holder An EZchange canister has side rails that fit in the EZchange canister holder AB 82 042 Figure 3 5 EZchange canister holder label 1 AC 22p 010 1 Side rails Figure 3 6 EZchange caniste...

Page 85: ...ctivate the EZchange canister mode The canister swings down to the EZchange position CO2 Absorber Out of Circuit shows in the waveform area on the anesthesia display 2 Remove the canister from the holder 3 Install a canister with fresh absorbent into the holder 4 Push the canister back up and snap it into absorber position The exhaled gas flows through the absorber removing CO2 Note 3 Operation 20...

Page 86: ... absorber canister and the inlet of the circuit module Moisture in the gas is condensed into water droplets which run into the condenser s reservoir 1 2 3 AB 82 043 1 Drain button 2 Reservoir 3 Condenser Figure 3 7 Condenser Draining the condenser 1 Visually check the condenser reservoir daily Drain the reservoir daily 2 Place a container under the reservoir Aisys CS 3 38 2067226 001 ...

Page 87: ...3 Push the drain button to empty any water in the condenser 3 Operation 2067226 001 3 39 ...

Page 88: ...resh gas from the ACGO Patient injury may occur Volume and pressure monitoring are not available through the system when using the ACGO port Monitor the patient using other methods Do not use an external ventilator on the ACGO Do not use the ACGO to drive external ventilators or for jet ventilation The maximum pressure at the ACGO can be up to 55 kPa 8 psi Use a breathing circuit with a pressure l...

Page 89: ...breathing system The sample flow to the O2 cell is dependent on the pressure in the external circuit The sample flow reduces the fresh gas flow rate to the auxiliary breathing circuit equal to the amount diverted to the O2 cell Note 3 Operation 2067226 001 3 41 ...

Page 90: ...3 42 2067226 001 ...

Page 91: ...4 Preoperative checkout Preoperative checkout Every day before your first patient 4 2 Before every patient 4 3 In this section 2067226 001 4 1 ...

Page 92: ...t Delivery check in the Checkout menu for each agent cassette that will be used during the day Check that an adequate reserve O2 supply is available Check that the ventilator functions correctly Connect a test lung to the patient breathing circuit connection Set the ventilator to VCV mode and the settings to TV to 400 ml RR to 12 I E to 1 2 Tpause to Off and Pmax to 40 cmH2O Set the gas flow to th...

Page 93: ...g system contains sufficient absorbent in the canister Select Checkout and perform a Circuit Leak test Check that the ventilator functions correctly Connect a test lung to the patient breathing circuit connection Set the ventilator to VCV mode and the settings for TV to 400 ml RR to 12 I E to 1 2 Tpause to Off and Pmax to 40 cmH2O Set the gas flow to the minimum settings Start a case Set the Bag V...

Page 94: ...4 4 2067226 001 ...

Page 95: ...Aladin cassette installation 5 2 Flow and pressure calibration 5 3 Circuit compliance compensation 5 4 Checkout menu 5 5 Full test 5 6 Individual tests 5 8 Positive low pressure leak test ACGO systems only 5 10 In this section 2067226 001 5 1 ...

Page 96: ...ick is heard An audible click indicates that the cassette is in position 4 Turn the lock on the handle to the horizontal position Aladin2 cassettes only 5 The cassette is properly inserted when the agent is identified on the display Make sure that the displayed agent matches the cassette Store the cassettes in the cassette storage bay when they are not in use See the Vaporizer cassettes section fo...

Page 97: ...the system On screen instructions are available through System Setup Calibration Flow and Pressure 1 Set the Bag Vent switch to Bag 2 Remove the flow sensor module 3 Wait for No insp flow sensor and No exp flow sensor alarms to occur 4 Reinsert the flow sensor module Make sure the flow sensors are securely latched when they are reinserted Wait for alarms to clear 5 Start mechanical ventilation whe...

Page 98: ...ensation increases the volume delivered at the inspiratory port by taking into consideration the circuit compliance value In all modes circuit compliance compensation adjusts the volume measurements Circuit compliance compensation provides consistent ventilator accuracy at the patient circuit Perform a Vent and Gas test after changing the patient tube type Changing the patient breathing circuit af...

Page 99: ...tem To access the Checkout menu between cases select Checkout Step by step instructions show in the Checkout menu during the tests Use the Checkout menu to Perform a Full Test Perform any of the individual tests View the Test Log Start a case 5 Preoperative tests 2067226 001 5 5 ...

Page 100: ...message Please Do Checkout is displayed if a Full Test or all of the individual tests are not completed with passing results within 24 hours Vent and gas The Vent and Gas test checks the agent delivery airway module Bag Vent switch proper gas supply pressures ventilator operation and leak battery and electrical power circuit compliance and flow control operation This is a two step test To run this...

Page 101: ...en 21 is first displayed Allow the reading to stabilize then select Done Calibrate the O2 cell if necessary External gas monitor When External Gas Monitor is set to Yes by the Super User the External Gas Monitor reminder occurs This is not a test This is a reminder to connect a respiratory gas monitor 5 Preoperative tests 2067226 001 5 7 ...

Page 102: ...it compliance and flow control operation This is a two step test To run this test follow the on screen instructions Any cassette may be used during the test Use a non desflurane cassette during the test to check the full functionality of the internal electronic control unit Circuit leak The Circuit Leak test checks the Bag Vent switch proper gas supply pressures airway pressure measurement transdu...

Page 103: ...e used during the check Using a desflurane cassette only checks for leaks between the vaporizer and common gas outlet To run this test follow the on screen instructions Agent delivery The agent delivery test checks the agent delivery systems and the cassette This check releases agent to the circuit Any cassette may be used during the test Use a non desflurane cassette during the test to check the ...

Page 104: ...tion 4 Set the O2 flow to 500 ml 5 Make sure that the total flow through the flowmeter on the test device is 0 5 l min 6 Make sure that the pressure gauge on the test device reads zero 7 Close the needle valve on the test device until the test gauge reads 20 kPa 3 psi BSI or 3 kPa 0 4 psi ISO 8 If the flow through the test device is less than 0 45 l min ISO or 0 4 l min BSI there is a low pressure...

Page 105: ...Airway modules Airway modules Airway modules 6 2 Connecting the airway module 6 5 Parameters setup 6 6 Automatic agent identification 6 7 Calibrating the airway module 6 8 In this section 2067226 001 6 1 ...

Page 106: ... numeric information is displayed during the airway gas module warm up period approximately 2 minutes Set the Data Source to Vent to display the waveforms and numeric information from the ventilator during the airway gas module warm up period Leaks in the gas sampling circuit water trap and sampling line may cause inaccurate readings Use only cables and accessories approved by GE Healthcare Finlan...

Page 107: ...esthetic agents i agent identification O patient O2 V patient spirometry X gas exchange E and M series airway modules MD 60 008 1 2 3 4 5 6 1 D fend water trap 2 Sampling line connector 3 Water trap latch 4 Reference gas inlet 5 Sample gas outlet 6 Connectors for patient spirometry Figure 6 1 E and M series compact airway module 6 Airway modules 2067226 001 6 3 ...

Page 108: ... 013 1 2 4 5 3 1 Water trap latch 2 Gas sample connector 3 D fend Pro water trap 4 Connectors for patient spirometry 5 Sample gas outlet Figure 6 2 CARESCAPE airway module figure may not represent all models Aisys CS 6 4 2067226 001 ...

Page 109: ...rrect connections may cause patient injury 4 Connect a line from the airway module sample gas outlet to the sample gas return port on the anesthesia machine 5 Attach the gas sampling line to the sampling line connector on the water trap 6 Turn the system on The system does a series of automated self tests The automatic agent identification is activated 7 Connect the sampling line to the airway ada...

Page 110: ...tient or Vent to select the primary source for information If Patient is selected the airway module will be the first source for information If Vent is selected the internal sensors of the ventilator will be the first source for information When setting the airway module as the data source make sure that a D lite or Pedi lite sensor is properly connected on the airway module If the sensor is not p...

Page 111: ...ations of the agent appear in the digit field or the agent waveform field if selected Minimum concentration for the identification is 0 15 volume The agent selection remains active even if the concentration decreases below 0 15 volume during the case Automatic agent identification operates after the normal warm up of the gas module approximately five minutes 6 Airway modules 2067226 001 6 7 ...

Page 112: ... cylinder 3 Attach a new sampling line to the water trap Connect the loose end of the sampling line to the regulator on the calibration gas cylinder 4 Select the System Setup button 5 Select Calibration 6 Select Airway Gas 7 Wait until Feed Gas appears 8 For regulators with a numbered gauge open the regulator until the gauge reads between 5 to 7 psi 34 to 48 kPa For regulators with a non numbered ...

Page 113: ...oubleshooting Alarms and troubleshooting Alarms 7 2 List of alarms 7 5 Alarm ranges 7 13 Alarm tests 7 15 Breathing system problems 7 17 Electrical problems 7 18 Pneumatic problems 7 19 In this section 2067226 001 7 1 ...

Page 114: ...d Low priority alarms appear in black text on a blue background Pausing alarms Selecting Audio Pause for an active alarm stops the audible tone for 120 seconds The alarm message shows in the alarm message field Selecting Audio Pause when no medium or high priority alarms are active prevents the audible alarm tones audio off for 90 seconds Alarms in the apnea alarm family have special silence behav...

Page 115: ...black background The parameter box will stop flashing All the associated waveform numeric and digit field messages are removed from the display The alarm will remain in this condition until it is acknowledged by selecting Audio Pause or until the alarm reoccurs When the alarm is acknowledged it is removed from the screen If an alarm has latched and the alarm reoccurs before it is acknowledged the ...

Page 116: ...esentative Informational tones The system provides informational tones that are 47 to 78 dB A depending on the alarm volume setting Notification tone is a medium pitched tone that sounds for approximately 480 milliseconds This tone signifies that an action must be taken Reject tone is a low pitched tone that sounds for approximately 200 milliseconds This tone signifies that the previous action was...

Page 117: ...only one agent is on Wait approximately two minutes for the first agent to wash out of the system Agent mixture Low Two different agents are detected by the airway module and the MAC calculation is less than 3 Make sure only one agent is on Wait approximately two minutes for the first agent to wash out of the system Agent output inaccurate Contact service Medium Vaporizer detected a flow meter tem...

Page 118: ...ntative Cannot monitor O2 pipeline Medium O2 pipeline pressure is invalid Check pipeline supply pressure Cannot read gas supply pressures Medium Transducer failure Contact an authorized service representative Cass overfilled Replace cassette Medium Agent level sensor indicates the cassette is overfilled Try another cassette Contact an authorized service representative Check agent Do not fill vap i...

Page 119: ...um EtDes is greater than alarm limit The alarm priority escalates to High if the alarm is not resolved after 2 minutes Set the alarm limits appropriately Check agent setting EtDes low Low EtDes is less than alarm limit Check the fill level of the vaporizers Set alarm limit appropriately Check agent setting EtEnf high Medium EtEnf is greater than alarm limit The alarm priority escalates to High if ...

Page 120: ... the alarm limits appropriately Check agent setting FiHal low Low FiHal is less than alarm limit Check the fill level of the vaporizers Set alarm limit appropriately Check agent setting FiIso high Medium FiIso is greater than alarm limit The alarm priority escalates to High if the alarm is not resolved after 2 minutes Set the alarm limits appropriately Check agent setting FiIso low Low FiIso is le...

Page 121: ...for nine breaths and one minute has elapsed Set the alarm limits appropriately Check the ventilation settings MVexp low Medium MVexp is less than MVexp low alarm limit for nine breaths and one minute has elapsed Set the alarm limits appropriately Check the ventilation settings N2O supply pressure low Medium N2O pipeline pressure is less than 252 kPa 36 psi and the N2O cylinder pressure is less tha...

Page 122: ...iate setting Replace D Fend Medium Buildup in airway module sample line Replace D Fend Replace exp flow sensor Low EEPROM calibration data read failure Replace the expiratory flow sensor Replace insp flow sensor Low EEPROM calibration data read failure Replace the inspiratory flow sensor Replace O2 sensor Low Measure O2 is less than 5 Calibrate the O2 cell Replace the O2 cell if necessary Reverse ...

Page 123: ...ess than TVexp low alarm limit for nine breaths Set the alarm limits appropriately Check ventilation settings Unable to drive bellows Low Bellows is collapsed Check the drive gas Increase fresh gas flow or push the O2 flush button to fill the bellows Using battery Power Controller fail Medium Mains supply is OK but the system is running on the battery Shut down the system as soon as possible Vap l...

Page 124: ...ntact an authorized service representative Volume sensors disagree Low TVexp is greater than TVinsp for six breaths Calibrate the flow sensors Replace the flow sensors if the message does not clear Sustained pressure threshold The sustained pressure threshold is calculated from the maximum pressure Pmax setting The sustained limit is calculated as follows Mechanical Ventilation with PEEP Off For P...

Page 125: ... High 2 100 Off min 1 min RR Low Off 1 99 min 1 min EtCO2 High 0 1 15 Off 0 1 15 Off kPa 1 115 Off mmHg 0 1 0 1 kPa 1 mmHg EtCO2 Low Off 0 1 14 9 Off 0 1 14 9 kPa Off 1 114 mmHg 0 1 0 1 kPa 1 mmHg FiCO2 High 0 1 15 Off 0 1 15 Off kPa 1 115 Off mmHg 0 1 0 1 kPa 1 mmHg FiO2 High 19 100 Off 1 FiO2 Low 18 99 1 EtO2 High 19 100 Off 1 EtO2 Low Off 1 99 1 FiIso High 0 1 7 0 0 1 FiIso Low Off 0 1 6 9 0 1 ...

Page 126: ...9 0 1 EtSev High 0 1 10 0 Off 0 1 EtSev Low Off 0 1 9 9 0 1 EtDes High 0 1 20 Off 0 1 EtDes Low Off 0 1 19 9 0 1 EtEnf High 0 1 7 0 Off 0 1 EtEnf Low Off 0 1 6 9 0 1 EtHal High 0 1 7 0 Off 0 1 EtHal Low Off 0 1 6 9 0 1 Aisys CS 7 14 2067226 001 ...

Page 127: ...t back to 21 and make sure that the FiO2 low alarm cancels Set the FiO2 High alarm limit to 50 Push the O2 flush Make sure the FiO2 high alarm occurs Set the FiO2 High alarm limit back to 100 Make sure that the FiO2 high alarm cancels 6 Test the MVexp low alarm Set the MV Low alarm limit to greater than the measured minute volume Make sure that a MVexp low alarm occurs Set the MV Low alarm limit t...

Page 128: ...he Bag Vent switch to Vent Set the tidal volume and total flow to minimum Other alarms such as MVexp low can occur Make sure that the Ppeak low Leak alarm occurs 10 Set all alarm limits to approved clinical values Aisys CS 7 16 2067226 001 ...

Page 129: ...ntilator or absorber malfunction Ventilate manually Contact an authorized service representative to repair the system APL valve does not operate correctly APL valve problem Replace APL valve seal and diaphragm Large breathing system leak Bag hose not connected properly Make sure the bag hose is connected to the bag port below the APL valve Absorber canister not installed correctly Reinstall the ab...

Page 130: ... not have power The outlet circuit breaker is off Turn the circuit breaker on A circuit breaker opens frequently Equipment connected to the outlet s uses more current than the circuit breaker rating Use a different power supply for some of the equipment The equipment connected to the outlet has a short Contact an authorized service representative to repair the system The real time clock on the ane...

Page 131: ...ng turn off the auxiliary flow meter and repeat the test Incorrect cylinder connection Make sure that there is only one cylinder gasket the gasket is in good condition and the connection is tight Low pressure leak Anesthesia machine problem Contact an authorized service representative 7 Alarms and troubleshooting 2067226 001 7 19 ...

Page 132: ...7 20 2067226 001 ...

Page 133: ...and transporting the system 8 4 Setting up the absorber canister 8 5 Electrical connections 8 10 Pneumatic connections 8 12 Installing gas cylinders 8 18 Attaching equipment to the top of the machine 8 20 Passive AGSS 8 21 Active AGSS 8 22 In this section 2067226 001 8 1 ...

Page 134: ...cified in IEC 60601 1 2 Electrical interference can cause nuisance alarms that may stop mechanical ventilation This system operates correctly at the electrical interference levels of IEC 60601 1 2 To help prevent false alarms from devices with high intensity electrical fields Keep the electrosurgical leads away from the breathing system the flow sensors and the oxygen cell Do not allow the electro...

Page 135: ...stem must be medical grade Use of non medical grade gases could result in equipment damage Do not modify this equipment without authorization from the manufacturer Unauthorized modifications could result in damage to the equipment and or cause patient injury See System information in the Introduction section for information on specific monitoring requirements 8 Setup and connections 2067226 001 8 ...

Page 136: ...hing equipment to the top of the machine and Specifications and theory of operation for system load ratings Before transporting or moving the system fold all display arms into the system and put the flip up shelf in the down position Tighten the horizontal positioning lock on the display arm When using the brake on an incline be sure to lock the brake with the machine facing down the slope WARNING...

Page 137: ...ams of loose absorbent The manufacturer recommends Medisorb TM absorbent Both absorber versions should only be used with mixtures of air oxygen nitrous oxide halothane enflurane isoflurane desflurane and sevoflurane 1 2 3 4 5 6 AB 74p042 7 AB 74p 043 1 Canister support pin 2 Canister handle 3 Disposable Multi Absorber canister 4 Absorbent 5 Expiratory water reservoir 6 Canister release latch 8 Set...

Page 138: ...is not in use Inspect absorbent color at the end of a case During non use absorbent can go back to the original color Refer to the absorbent labeling for more information about color changes If the absorbent completely dries out it may give off carbon monoxide CO when exposed to anesthetic agents For safety replace the absorbent Desiccated dehydrated absorbent material may produce dangerous chemic...

Page 139: ...re using the product Removing a canister 1 Hold the canister by the handle and push on the release latch to unlock the canister AB 74p058 2 Remove the canister by tilting it downward and off the two support pins Removing an EZchange canister 1 Hold the canister by the handle and push the canister cradle release latch to unlock the canister cradle AB 75p088 2 Slide the canister up and out of the cr...

Page 140: ...ng counterclockwise to unlock it AB 74p044 2 Push up to release the seal 3 Lift off the cover to remove it AB 74p046 4 Remove and properly discard the foam filters the absorbent and any water in the reservoir Be careful when draining condensate from the absorber The liquid is caustic and may burn skin WARNING Aisys CS 8 8 2067226 001 ...

Page 141: ...ister locking tabs and press the cover down into place Turn the cover locking ring clockwise to lock the cover in place Ensure the cover is properly sealed to prevent leaks and spillage Alignment of the arrows helps to indicate correct assembly AB 82p001 The filters must be in place to help prevent dust and particles from entering the breathing circuit 8 When replacing the canister make sure that ...

Page 142: ...alization conductor Equipotential grounding is used in some hospitals to enhance electrical safety in critical care areas by attempting to keep the conductive surfaces of all equipment in the patient care area at the same ground potential thereby minimizing unwanted current flow Outlets Labels show outlet voltage ratings and circuit breaker amp ratings These are isolated outlets Regularly test the...

Page 143: ...for use by authorized service personnel to load software and access log files It should not be used for other purposes Only insert USB memory sticks powered solely by the USB port Do not plug in devices with batteries or connect to an external power source AB 75p133 CAUTION 8 Setup and connections 2067226 001 8 11 ...

Page 144: ...ies provide gas to these devices through internal connections Venturi suction regulator optional Auxiliary O2 flowmeter optional Pipeline inlets AB 75p010 Scavenging The AGSS assembly is located below the bellows on the breathing system Adapters may be necessary to interface to the scavenging connector See Passive AGSS and Active AGSS for more scavenging information CAUTION Aisys CS 8 12 2067226 0...

Page 145: ...circle breathing circuit to the inspiratory and expiratory ports 2 Occlude the breathing circuit by connecting the wye piece or patient connection to the leak test plug located behind the expiratory port 3 Check for clinically correct settings 4 Check the position of the Bag Vent switch If the Bag Vent switch is set to mechanical ventilation mode the bellows fills slowly with the sample flow When ...

Page 146: ...s monitor sample flow Sample gas from a gas monitor can be scavenged by connecting the exhaust from the monitor to either the sample gas return port located on the front of the machine or the tubing connector provided on the AGSS To scavenge from a gas monitor using the sample gas return port connect the exhaust from the monitor to the sample gas return port located on the front of the machine To ...

Page 147: ...l vacuum supply Connect the vacuum connection to the source vacuum supply Connect the collection bottle connection to the collection bottle 1 External vacuum connection 2 Overflow safety trap 3 Splash guard 4 Collection bottle connection Figure 8 3 External vacuum suction 8 Setup and connections 2067226 001 8 15 ...

Page 148: ...ly source Connect the collection bottle connection on the overflow safety trap to the collection bottle 1 Venturi muffler 2 Overflow safety trap 3 Splash guard 4 Collection bottle connection Figure 8 4 Venturi suction Auxiliary O2 flowmeter optional 1 Auxiliary O2 outlet Aisys CS 8 16 2067226 001 ...

Page 149: ...2 Auxiliary O2 flow control Figure 8 5 Auxiliary O2 flowmeter 8 Setup and connections 2067226 001 8 17 ...

Page 150: ...et on the cylinder connection No gasket or more than one gasket can cause a leak 7 Install a new gasket 8 Align the cylinder post with the index pins 9 Close the yoke gate and tighten the tee handle 10 Make sure there is a cylinder plug and gasket in any empty cylinder yokes 11 Complete Performing a high pressure leak test Installing cylinders with DIN connections 1 Close the cylinder valve on the...

Page 151: ...re 6 Close the cylinder If the cylinder pressure decreases more than 690 kPa 100 psi in one minute there is a significant leak 7 To repair a leak install a new cylinder gasket and tighten the adapter 8 Repeat the leak test If the leak continues do not use the system 8 Setup and connections 2067226 001 8 19 ...

Page 152: ...weight is evenly distributed throughout the system 1 Locate the clips or straps 2 Install the straps See the Parts section for strap ordering information 3 Fully tighten the straps 4 Make sure the straps hold the equipment in position Fully tighten the straps If straps are not fully tightened equipment can fall off the top of the machine WARNING WARNING Aisys CS 8 20 2067226 001 ...

Page 153: ...ssive AGSS may be used with a non recirculating ventilation system for waste gas disposal The tube connection from passive AGSS to the non recirculating ventilation system should be an open connection essentially at atmospheric pressure For example to an exhaust grill Connecting passive AGSS 1 Connect a large diameter tube to the 30 mm tapered connector on the bottom of the AGSS receiver 2 Route t...

Page 154: ...iding a continuous nominal flow of 50 l min A flow indicator on the system indicates when the unit is in operation The active adjustable flow system provides the ability to adjust the flow with a needle valve located in a receiver underneath the breathing system and a visual indicator bag which should be properly inflated It requires a vacuum system capable of a continuous nominal flow of 30 l min...

Page 155: ...nnecting active adjustable AGSS The active adjustable AGSS option flow rate is limited to 30 l min with this option To use the optional active AGSS installed on the system which uses the three liter bag as a visual indicator connect it as follows 1 Connect a disposal hose to the DISS connector on the needle valve on the bottom of the AGSS underneath The hose should be flexible and reinforced to he...

Page 156: ...flow rate The bag should remain partially inflated when the flow rate is adequate AB 75p 110 5 Complete the tests in the Preoperative tests section Aisys CS 8 24 2067226 001 ...

Page 157: ...9 User maintenance User maintenance Maintenance safety 9 2 Repair policy 9 3 Maintenance summary and schedule 9 4 Circuit O2 cell replacement 9 5 Calibration menu 9 6 In this section 2067226 001 9 1 ...

Page 158: ...nt material may produce dangerous chemical reactions when exposed to inhalation anesthetics Adequate precautions should be taken to ensure that absorbent does not dry out Turn off all gases when finished using the system Obey infection control and safety procedures Used equipment may contain blood and body fluids Moveable parts and removable components may present a pinch or a crush hazard Use car...

Page 159: ...e replacement and maintenance of those parts listed in this manual may be undertaken by a competent trained individual having experience in the repair of devices of this nature Do not attempt to repair this device without appropriate training in the repair of devices of this nature Equipment damage could occur Replace damaged parts with components manufactured or sold by GE Healthcare Then test th...

Page 160: ...use the cell meets specifications for 1 year Replace the disposable flow sensor plastic Under typical use the sensor meets specifications for a minimum of 3 months Replace the autoclavable flow sensors metal Under typical use the sensor meets specifications for a minimum of 1 year Replace the receiver filter active gas scavenging only Calibrate the airway modules every 6 months or when there are i...

Page 161: ... module from the breathing system AB 74p052 2 Pull the flow sensor module from the breathing system 3 Remove the O2 cell cable connector from the O2 cell and unscrew the cell counterclockwise AB 74p065 4 Make sure the o ring is on the cell Install the replacement O2 cell Reconnect the O2 cell cable AB 74p083 5 Replace the flow sensor module on the system and push the latch closed to secure the mod...

Page 162: ...ough System Setup Calibration Flow and Pressure 1 Set the Bag Vent switch to Bag 2 Remove the flow sensor module 3 Wait for No insp flow sensor and No exp flow sensor alarms to occur 4 Reinsert the flow sensor module Make sure the flow sensors are securely latched when they are reinserted Wait for alarms to clear 5 Start mechanical ventilation when ready Circuit O2 cell 21 O2 calibration 1 Select ...

Page 163: ...canister At lower fresh gas flows more water builds up because less gas is scavenged and More CO2 stays in the absorber to react and produce water More moist exhaled gas stays in the patient circuit and the absorber How to help prevent water buildup Suggested ways to prevent water buildup include Equip systems with the optional condenser See the Parts section for information Empty the water reserv...

Page 164: ...9 8 2067226 001 ...

Page 165: ...hing system 10 5 Absorber canister 10 6 Exhalation valve assembly 10 7 AGSS 10 8 EZchange canister system 10 10 Condenser 10 11 Test tools and system parts 10 12 This section lists user replaceable parts only For other components refer to the Technical Reference manual In this section Note 2067226 001 10 1 ...

Page 166: ...ck number Flow sensor module does not include flow sensors 1407 7022 000 1 Flow sensor cover 1011 3283 000 2 Flow sensor cuff 1407 3004 000 3 Flow sensor disposable plastic 1503 3858 000 Flow sensor autoclavable metal 1503 3244 000 Aisys CS 10 2 2067226 001 ...

Page 167: ...ll or plug o ring or cable 1407 7002 000 1 Check valves circuit lens 1407 3101 000 2 Check valve assembly 1406 8219 000 3 O ring for O2 cell or plug 1406 3466 000 4 O2 cell includes o ring 6050 0004 110 5 Cable O2 cell 1009 5570 000 Plug includes o ring for systems without O2 sensing 1503 3857 000 10 Parts 2067226 001 10 3 ...

Page 168: ...1500 3351 000 4 Pressure relief valve assembly 1500 3377 000 5 Latch rim 1500 3352 000 6 Seal base 1500 3359 000 7 Manifold bellows base 1407 3702 000 8 Poppet APL valve 1406 3332 000 9 Cage APL 1406 3333 000 10 Diaphragm APL 1406 3331 000 11 Ramp APL 1407 3400 000 12 Bellows base with latch green M1213265 Aisys CS 10 4 2067226 001 ...

Page 169: ... Flow sensor module does not include flow sensors Breathing circuit module does not include APL valve O2 cell or plug o ring or cable Complete bellows base Canister not included Autoclavable breathing assembly green M1234213 Autoclavable breathing assembly Australia green M1234214 10 Parts 2067226 001 10 5 ...

Page 170: ...nclude absorbent 1407 7004 000 2 Cover assembly CO2 canister 1009 8240 000 3 Foam CO2 canister pack of 40 1407 3201 000 4 O ring 1407 3204 000 5 Canister CO2 with handle 1407 3200 000 Multi absorber disposable white to violet pack of six 8003138 Multi absorber disposable pink to white pack of six 8003963 Aisys CS 10 6 2067226 001 ...

Page 171: ...Exhalation valve assembly AB 82 035 Description Stock number Exhalation valve assembly 1407 7005 000 10 Parts 2067226 001 10 7 ...

Page 172: ...M6 X 28 5 1406 3305 000 Thumbscrew M6 X 43 1406 3304 000 Valve unidirectional complete assembly 1406 8219 000 Description Stock Number Passive AGSS Adapter outlet 30 mm female to 19 mm male pack of five 1500 3376 000 Exhaust hose 8004461 Plug assembly 30 mm ISO 1407 3909 000 Screw shoulder 4 diameter X 4 L M3 X 0 5 sst 1407 3915 000 Description Stock Number Active AGSS adjustable flow Bag with 30 ...

Page 173: ...Description Stock Number Active AGSS low flow Filter 225 micrometer nylon screen AGSS 1406 3521 000 Seal filter scavenger 1407 3902 000 10 Parts 2067226 001 10 9 ...

Page 174: ...1 Item Description Stock number 1 EZchange canister module includes valve and cap 1407 7021 000 2 Valve 1407 7023 000 3 Cap 1407 3130 000 4 Condenser 1407 7024 000 EZchange canister module with condenser 1407 7027 000 Aisys CS 10 10 2067226 001 ...

Page 175: ...Condenser 1 2 AB 82 045 Item Description Stock number Condenser assembly includes module and condenser 1407 7026 000 1 Condenser module 1407 7025 000 2 Condenser 1407 7024 000 10 Parts 2067226 001 10 11 ...

Page 176: ...low pressure leak test device ISO 1001 8976 000 Positive pressure leak test adapter 1009 3119 000 Ring sealing gasket for DIN 477 and O2 high pressure hose 1001 3812 000 Ring sealing gasket for N2O high pressure hose 1202 3641 000 Test lung 0219 7210 300 Test plug M1210946 Yoke plug 0206 3040 542 Shelf mounting straps 0203 1481 300 Filter dust display 10 pack M1220155 Cable management arm M1229718...

Page 177: ...tions 11 13 Physical specifications 11 16 Environmental requirements 11 18 Airway module specifications 11 19 Suction regulators optional 11 22 Ventilator theory 11 23 Ventilator operating specifications 11 37 Ventilator accuracy data 11 39 Electronically controlled vaporizer and Aladin cassette 11 40 Electromagnetic compatibility EMC 11 46 All specifications are nominal and subject to change with...

Page 178: ...System pneumatic circuit AB 75 270 Aisys CS 11 2 2067226 001 ...

Page 179: ...heck valve 66 O2 cell 23 Atmosphere 67 Non circle variant 24 Pressure relief valve 68 Circle or non circle mode switch 25 Exhalation valve 2 cmH2O bias 69 Non circle circuit pressure limiting valve 26 Relief valve 10 cmH2O 70 Bag Vent switch 27 0 10 l min drive gas 0 10 l min patient and fresh gas 0 10 l min total typical flow 71 Bag 28 200 ml reservoir 72 APL valve 0 70 cmH2O 29 Control bleed to ...

Page 180: ...low Pipeline or regulated cylinder pressure supplies O2 directly to the O2 channel of the gas mixer and to the ventilator if O2 is configured as drive gas If the pressure is too low an alarm appears on the display A second regulator decreases the pressure for the flush valve and the auxiliary O2 flowmeter The flush valve supplies high flows between 25 and 75 l min of O2 to the fresh gas outlet whe...

Page 181: ... total flow EZchange canister When installed EZchange provides a CO2 bypass mode that permits continued ventilation during absorber canister change Condenser The condenser removes water in the system that is produced from the reaction of CO2 gas with the absorbent When fresh gas flow settings of less than the patient minute volume are used during ventilation the amount of re breathed gases increas...

Page 182: ...ered DISS Male DISS Female DIN 13252 AS 4059 Australian S90 116 French Air Liquide BSPP 3 8 Scandinavian or NIST ISO 5359 All fittings available for O2 Air and N2O Pressure displays On system display Pipeline inlet pressure 280 600 kPa 41 87 psi Flush flow 25 l min to 75 l min Internal O2 supply pressure at which N2O shutoff O2 pipeline less than 252 kPa 36 psi O2 cylinder less than 2633 kPa 381 p...

Page 183: ...anesthesia system is rated for supply pressures between 280 kPa 600 kPa The anesthesia system is designed to function normally with a maximum flow of 8 l min from the pneumatic outlet Higher flows from this connection are possible and may result in decreased anesthesia system performance 11 Specifications and theory of operation 2067226 001 11 7 ...

Page 184: ...aker 41 Gas inlet valve with cable 3 Inrush board 42 Expiratory and inspiratory flow sensors 4 Transformer 43 O2 cell 5 Fuse block 44 Light strip boards 6 Outlet box with breakers 45 Light strip switch 7 Agent delivery board 46 CGO valve 8 Power controller board 47 ACGO non circle circuit switch 9 power supply fan with cable 48 CGO switch 10 Power supply with batteries 49 Bag vent switch 11 Displa...

Page 185: ... Ventilator Interface board 65 Scavenging valve 27 Electronic gas mixer board 66 Cassette pressure sensor 28 I O port 67 Proportional valve 29 Pan fan with cable 68 Cassette interface board 30 Air cylinder pressure transducer 69 Universal power supply 31 N2O cylinder pressure transducer 70 Auxiliary connector board 32 O2 cylinder pressure transducer 71 I O port 33 Air pipeline pressure transducer ...

Page 186: ...ets Note Products connected to electrical outlets may increase the leakage current above these limits Resistance to ground Less than 0 2 Ω Power cord Length 5 meters Voltage rating 100 to 240 Vac Current capacity 10 A for 220 240 Vac 15 A for 100 120 Vac 10 A for 120 220 240 Vac Type Three conduction power supply cord medical grade where required This equipment must be connected to a supply mains ...

Page 187: ...ts if provided will not function during a power failure Electrical outlets if provided will not function on battery power Only trained service representatives are to replace the battery Batteries must be disposed of in accordance with applicable regulatory requirements in effect at the time and place of disposal Contact a trained service representative to disconnect the battery if the equipment is...

Page 188: ...racy 2 5 of setting for total flow of greater than or equal to 1 l min and less than or equal to 15 l min 5 of setting for total flow of greater than or equal to 0 4 l min and less than 1 l min 6 5 of setting for total flow of greater than or equal to 0 2 l min and less than 0 4 l min Electronic mixer response time 500 ms 10 to 90 flow step Compensation Temperature and atmospheric pressure compens...

Page 189: ...l compliance bag mode only 1 82 ml 0 098 kPa 1 cmH2O 55 ml 3 kPa 30 cmH2O With EZchange canister system and condenser 2 67 ml 0 098 kPa 1 cmH2O 80 ml 3 kPa 30 cmH2O Pressure required to open inspiratory or expiratory valves Dry 0 49 cmH2O Wet 0 91 cmH2O Pressure generated by a wet unidirectional valve 0 81 cmH2O APL valve Approximately 0 to 70 cmH2O Negative pressure relief Minimum 30 l min at 20 ...

Page 190: ...nge canister system and condenser absorber mode 5 0 06 0 6 30 0 19 1 9 60 0 44 4 5 EZchange canister system and condenser canister removed 5 0 06 0 6 30 0 19 1 9 60 0 44 4 5 Values include patient circuit tubing and wye piece 0 03 kPa 0 3 cmH2O at 60 l min Patient circuit tubing and breathing system configurations affect resistance Pressure flow data APL valve completely open Flow l min Flow l s A...

Page 191: ...plicable Low flow high vacuum DISS EVAC 36 4 l min 305 mmHg 12 inHg minimum vacuum Low flow low vacuum 12 7 mm hose barb 36 4 l min not applicable Low flow low vacuum 25 mm hose barb 40 to 50 l min not applicable Low flow low vacuum 30 mm ISO taper 40 to 50 l min not applicable Other market specific connectors may be available Particle filter at the outlet has a pore size of 225 microns All flow d...

Page 192: ... Width 80 cm System Depth 89 cm Nominal machine mass including three cassettes 190 kg Maximum configured mass includes external cylinders and maximum loads on all mounting and storage locations 500 kg Top of machine weight limit 45 kg Optional top shelf weight limit includes top of machine weight 45 kg Machine drawer weight limit 8 kg Casters 13 cm LCD and touchscreen display 304 x 228 mm 38 cm di...

Page 193: ...pper dovetail loading Maximum allowable upper dovetail loading is 11 3 kg and 54 Nm See System overview for the location of the upper dovetail 5 6 7 8 9 10 11 12 40 45 50 55 60 65 70 75 AC 22 020 Figure 11 2 Upper dovetail load in kg vertical versus load distance from the upper dovetail in cm horizontal 11 Specifications and theory of operation 2067226 001 11 17 ...

Page 194: ... to 60 C Oxygen cell storage is 15 to 50 C 10 to 95 RH 500 to 800 mmHg LCD display storage is 20 to 60 C Aladin cassette storage is 25 to 50 C Humidity 15 to 95 RH non condensing 15 to 95 non condensing Altitude 537 to 800 mmHg 3000 to 440 meters 425 to 800 mmHg 4880 to 440 meters Aisys CS 11 18 2067226 001 ...

Page 195: ...tion of anesthetic agents 30 minutes for full specifications Respiration rate 4 to 60 breaths min Diversion flow 200 ml min 20 ml min Airway pressure 20 cmH2O to 100 cmH2O E and M series airway modules Accuracy under different conditions Ambient temperature 10 to 40 C Ambient pressure 500 to 800 mmHg 50 mmHg of calibration Ambient humidity 10 to 98 RH 20 RH of calibration Automatic compensation fo...

Page 196: ... temperature 10 to 40 C Ambient pressure 495 to 795 mmHg Ambient Humidity 10 to 98 RH non condensing Automatic compensation for ambient pressure Full module accuracy for Respiration rate of 4 to 70 breaths min During stable condition During warm up 1 to 10 minutes anesthetic agents 5 10 minutes During warm up 10 20 minutes CO2 0 2 vol 2 of reading 0 4 vol 7 of reading 0 3 vol 4 of reading O2 1 vol...

Page 197: ...han 0 1 vol Gas cross effects less than 2 vol anesthetic agents Measurement range 0 to 100 vol Measurement rise time less than 320 ms typical Accuracy 2 vol 2 of reading 6 hour drift less than 0 3 vol Gas cross effects less than 2 vol anesthetic agents Anesthetic agents Measurement range Hal Enf Iso 0 to 6 vol Measurement range Sev 0 to 8 vol Measurement range Des 0 to 20 vol Measurement rise time...

Page 198: ...e gas at 600 kPa Maximum Flow 29 l min with pipeline drive gas at 280 kPa 32 l min with pipeline drive gas at 600 kPa Vacuum Gauge Accuracy 5 of full scale Values are approximate Continuous Suction Regulator Performance Category Pharyngeal Suction Supply External vacuum Maximum Vacuum 540 mmHg with external vacuum applied of 540 mmHg and 40 l min free flow Maximum Flow 39 l min with external vacuu...

Page 199: ...y decreased Adjust manually displays above the ventilator setting area of the screen When this message shows the ventilator may not be able to deliver within the accuracy range specified When this occurs the tidal volume must be manually adjusted until the volume delivered reaches the desired level If compensation stops for a number of breaths the condition causing the hold shows as an alarm Autom...

Page 200: ... The fresh gas flow tube is a stacked flow tube showing the total O2 flow on the bottom and the remaining gas N2 or N2O on top These gases determine the total fresh gas flow setting Below the fresh gas flow tube is the measured total O2 flow to the patient and the calculated FiO2 flow value The FiO2 flow value is based on the FiO2 Setting specified in Super User mode This is the minimum O2 flow ne...

Page 201: ...calculates a flow based on the set tidal volume and the length of the inspiratory time to deliver that tidal volume It then adjusts that output by measuring delivered volumes at the flow sensors Since the ventilator adjusts output it can compensate for breathing system compliance fresh gas flow and moderate breathing system leaks A typical volume control pressure waveform increases throughout the ...

Page 202: ... E ratio settings A high initial flow pressurizes the circuit to the set inspiratory pressure The flow then decreases to maintain the set pressure Pinsp Pressure sensors in the ventilator measure patient airway pressure The ventilator automatically adjusts the flow to maintain the set inspiratory pressure PCV mode settings Pinsp RR I E PEEP Pmax Rise Rate AB 98 037 1 2 3 4 6 5 1 Paw waveform 2 Tin...

Page 203: ...s is a maximum of 3 cmH2O If a high airway pressure alarm is active due to the current breath the next breath s target will be 0 5 cmH2O less than the current breath s pressure target This mode will deliver breaths with the efficiency of pressure controlled ventilation yet still compensate for changes in the patient s lung characteristics PCV VG begins by first delivering a volume breath at the se...

Page 204: ...a volume breath using the set tidal volume and the inspiratory time Tinsp that is set on the ventilator If the patient fails to make and inspiratory effort during the trigger window time interval the ventilator will deliver a machine breath to the patient The ventilator will always deliver the specific number of breaths per minute that the clinician has set In SIMV VCV the spontaneous breaths can ...

Page 205: ...thing This mode combines mandatory breaths with spontaneous breath support If a trigger event occurs within the synchronized window a new pressure controlled breath is initiated If a trigger event occurs elsewhere during the expiratory phase a support for a spontaneous breath is provided with pressure support added as set by the clinician SIMV PCV mode settings Pinsp RR Tinsp Psupport PEEP Pmax Tr...

Page 206: ...onstant pressure The ventilator will adjust the inspiratory pressure needed to deliver the set tidal volume breath by breath so that the lowest pressure is used The pressure range that the ventilator will use is between the PEEP 2 cmH2O level on the low end and 5 cmH2O below Pmax on the high end The inspiratory pressure change between breaths is a maximum of 3 cmH2O If a high airway pressure alarm...

Page 207: ...nder of the trigger window is added to the next non triggering phase The inspiratory phase of supported breaths will end if the set End of Breath is reached if the airway pressure exceeds PEEP Psupport 3 cmH2O Supportive breaths have a maximum inspiratory time of 4 seconds SIMV PCV VG mode settings TV RR Flow Trigger Psupport PEEP Tinsp Pmax Trig Window End of Breath Rise Rate PSV Rise Rate 2 1 3 ...

Page 208: ...ntilator will stop inspiration when the flow decelerates to a level equal to 30 of the measured peak inspiratory flow The lower the setting the shorter the inspiratory phase An apnea backup mode is provided if the patient stops breathing When setting this mode the clinician adjusts the inspiratory pressure Pinsp respiratory rate RR and the inspiratory time Tinsp As long as the patient is triggerin...

Page 209: ...n the waveform CPAP PSV mode Continuous positive airway pressure pressure support ventilation mode is used on spontaneously breathing patients This mode of ventilation provides a constant support pressure once the ventilator senses that the patient has made an inspiratory effort In this mode the clinician sets the Pressure support Psupport and PEEP levels The patient establishes the rate inspirato...

Page 210: ...tion is 60 s minimum rate 60 s minimum rate previous measured breath period The inspiratory support pressure and the inspiratory pressure settings are linked at the start of each case When the inspiratory support pressure setting is changed the inspiratory pressure setting is automatically adjusted to match the inspiratory pressure setting The link can be broken by changing the Pinsp setting throu...

Page 211: ...m RR 4 60 min 12 I E 2 1 1 8 1 2 1 2 1 2 Tpause Off 5 60 of Tinsp Off Off PEEP Off 4 30 cmH2O Off Off Off Off Off Off Off Off Pmax 12 100 cmH2O 40 40 40 40 40 40 40 40 Pinsp 5 60 cmH2O 5 5 5 5 Psupport Off 2 40 cmH2O 2 2 2 2 2 Tinsp 0 2 5 seconds 1 7 1 7 1 7 1 7 1 7 Rise Rate Auto 1 10 Auto Auto Auto Auto Auto Rise Rate 1 10 5 5 PSV Rise Rate Auto 1 10 Auto Trig Window Off 5 80 of Texp 25 25 25 25...

Page 212: ... RR is set to 60 For modes that use RR 2 to 60 the RR does not transfer to modes that use RR 4 to 100 The RR is set to the factory default or the last set if previously used during the case For example if during the first case the RR 2 to 60 is set to 2 and the new mode uses RR 4 to 100 the RR is set to the factory default For modes that use I E when transferring to a mode that uses Tinsp the Tins...

Page 213: ...uous gas flow 80 l min at 240 kPa 35 psi Flow valve range 1 to 120 l min at 240 kPa 35 psi Fresh gas compensation Flow compensation range 0 20 to 15 l min Gas composition O2 N2O Air anesthetic agents Pressure Patient airway pressure range 20 to 120 cmH2O 1 cmH2O resolution High pressure alarm set range 12 to 100 cmH2O 1 cm increment Sustained pressure alarm range 6 to 40 cmH2O 1 cm increment Displ...

Page 214: ...ent range 0 to 100 O2 Measurement accuracy Better than 3 of full scale Cell response time 35 seconds Note Response time of cell and adapters is measured using the text method described in ISO 7767 1997 Low O2 alarm range 18 to 99 High O2 alarm setting 19 to 100 or Off Note Low O2 limit may not be set above high O2 limit High O2 limit may not be set below the low O2 limit Expected cell life Four mo...

Page 215: ...uracy better than 15 ml Less than 60 ml tidal volume accuracy better than 10 ml Volume monitoring accuracy Greater than 210 ml tidal volume accuracy better than 9 Less than or equal to 210 ml but greater than or equal to 60 ml tidal volume accuracy better than 18 ml Less than 60 ml tidal volume accuracy better than 10 ml Inspiratory pressure delivery accuracy Greater of 10 or 3 cmH2O PEEP delivery...

Page 216: ...ow resolution 0 1 Sevoflurane Off 0 2 to 8 in fresh gas flow resolution 0 1 Desflurane Off 1 to 18 in fresh gas flow resolution 0 2 Response time To 90 of step measured at fresh gas outlet Less than 7 seconds at fresh gas flow of 2 l min 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 11000 12000 13000 14000 15000 18 25C 10 35C AB 60 055 20 1 0 v v 1 2 10 0 5 v v 10 0 5 v v 20 1 0 v v 1 Accur...

Page 217: ...ic percent v v 2 Fresh gas flow ml min 3 All settings 4 Settings equal to or less than 13 4 5 Settings equal to or less than 9 6 Settings equal to or less than 3 6 Figure 11 13 Desflurane accuracy Aladin2 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 11000 12000 13000 14000 15000 18 25C 10 35C AB 60 057 1 2 20 0 4 v v 10 0 2 v v 10 0 2 v v 20 0 4 v v 11 Specifications and theory of operatio...

Page 218: ... Enflurane accuracy 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 11000 12000 13000 14000 15000 18 25C 10 35C AB 60 059 1 3 2 20 0 4 v v 10 0 2 v v 10 0 2 v v 20 0 4 v v 1 Accuracy is greater of percent of setting or volumetric percent v v 2 Fresh gas flow ml min 3 All settings Figure 11 15 Halothane and Isoflurane accuracy Aisys CS 11 42 2067226 001 ...

Page 219: ...atter minute of a 2 minute delivery at setting For a choice of settings and conditions inaccuracy is the larger amount of each specified pair percent setting or volumetric percent v v Applicable flow setting is inclusive of the right hand boundary The effect of the fresh gas composition back pressure including ventilation and ambient pressure on the agent concentration are included in the accuracy...

Page 220: ... fill when indicator shows empty 125 ml residual volume 95 ml 140 ml residual volume 100 ml Cassette Empty weight 2 8 kg Height 7 cm Depth 24 cm Width 14 cm Aladin cassettes Filling Filling system Adapter filling Rectangular keyed adapter filler system for halothane isoflurane enflurane and sevoflurane Quik Fil filler system compatible to Abbot s system for sevoflurane Cylindrical keyed adapter Fi...

Page 221: ...00 ml Cassette Empty weight 2 kg enflurane isoflurane sevoflurane with keyed filler 2 5 kg halothane with keyed filler sevoflurane with Quik Fil 3 kg desflurane Height 7 cm Depth 23 cm Width 14 cm 16 cm with keyed filler 11 Specifications and theory of operation 2067226 001 11 45 ...

Page 222: ...tem before use on patients Cables Cables used to obtain system electromagnetic emission and immunity results are described below Use of any cables other than those specified by the manufacturer may result in increased emissions or decreased immunity of the anesthesia system Display optional output ports Cables used for EMC testing Ethernet Standard 8 pin RJ45 connector with unshielded Ethernet cab...

Page 223: ... other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions IEC 61000 3 2 Class A The system is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Voltage flu...

Page 224: ... 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 seconds 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 seconds Mains power quality should be that of a typical commercial and or hospital environment If the user of the system requires continued operation during power mains interruptions it is recommended that the system be...

Page 225: ... MHz to 2 5 GHz are intended to decrease the likelihood that a mobile portable communications equipment could cause interference if it is inadvertently brought into patient areas For this reason an additional factor of 10 3 has been incorporated into calculating the recommended separation distance for transmitters in these frequency ranges Field strengths from fixed transmitters such as base stati...

Page 226: ...aration distance D in meters m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note 1 At 80 MHz to 800 MHz the separation distance for the higher frequency range applies Note 2 The ISM Industrial Scientific and Medical bands between 150 kHz and 80 M...

Page 227: ...12 Super user mode Super user mode Super user mode 12 2 Gas usage 12 3 System configuration 12 5 Case defaults 12 10 Gas controls 12 15 Procedures setup 12 16 In this section 2067226 001 12 1 ...

Page 228: ... only be made by the person responsible for the configuration of the system To access the Super User mode select System Setup and then Super User The Super User mode is password protected Contact the sales representative to obtain the password The system must be turned off to exit Super User mode Menu items are dependant on system configuration Inactive menu items are gray and are not selectable T...

Page 229: ...ble on systems with the ecoFLOW option installed 1 From Super User mode select Gas Usage and then ecoFLOW 2 Select the item to change Make the change For FiO2 Setting set the numeric value for FiO2 on the split screen For FiO2 Line select whether to show or hide the FiO2 line on the split screen For Agent Cost select whether to show or hide the agent delivered costs on the split screen 3 Select Ba...

Page 230: ...4 Select Back to return to the Gas Usage menu Aisys CS 12 4 2067226 001 ...

Page 231: ... select the desired color from the drop down list 3 Select Back to return to the System Config menu Setting units Set Patient Weight CO2 Gas Supply Pressure Paw and Currency to the desired units Currency is only available for systems with the ecoFLOW option installed 1 From Super User mode select System Config and then Units 2 For each parameter select the desired unit from the drop down list 3 Se...

Page 232: ...tor to Yes only if the system uses a stand alone monitor for O2 agent and CO2 Selecting Yes disables the O2 limit alarms and the O2 monitoring not connected alarm when there is no O2 cell or airway module detected in the system The AA CO2 monitoring not connected alarm is also disabled Set Apnea Alarm Filter to Enable to use CO2 breaths to filter the volume apnea alarms when patient weight is set ...

Page 233: ...culation conditions are based on body temperature ambient pressure saturated humidity conditions 1 From Super User mode select System Config and then Parameter Settings 2 Select the item to change To set the volume calculation conditions set Vent and Airway Gas Module TV Basis Set to ATPD ATPD ATPD BTPS or BTPS BTPS To set the humidity compensation type set CO2 Numbers to Dry or Wet 3 Select Back ...

Page 234: ...nds pages Use the Graphical Page section to configure the graphical trends pages for the Trends menu The table shows the factory default settings for each trend page Default settings for Trends on each Page Page 1 Page 2 Page 3 Page 4 Page 5 Top Pres O2 AA2 Bal RR CO2 Middle TVexp N2O N2O MAC Compl Bottom CO2 AA1 MAC MVexp Off 1 From the Super User mode select System Config and then Trends Setup 2...

Page 235: ...ases Gases Split Screen Paw Spiro Paw None 1 From Super User mode select System Config and then Pages Setup 2 Select the page to set up 3 Select an item to change Make the change Waveform fields can be set to AA CO2 Flow Paw or Off Digit fields can be set to Gases Respiration Gas supplies Flow Agent Loops or Off Split screen can be set to None Trends Spirometry Paw Compliance or optional ecoFLOW 4...

Page 236: ...Select Confirm 6 Repeat to set the defaults for another default case Setting case name 1 From Super User mode select Case Defaults 2 Select the name of the case to enter the adjustment window 3 Select Name Select Clear to remove the existing name Select up to 10 characters from the drop down list Select Delete to delete a character Select Save to save the name and close the drop down list Select R...

Page 237: ...iple settings The default settings for the default case types are shown in the following table An indicates that the setting is not used for the default ventilation mode in the case type Use the empty columns to write in facility changes VCV ADULT settings are used as the default if the system does not have an optional ventilation mode shown Page 1 Default settings for default case types Settings ...

Page 238: ...s Settings ADULT PEDIATRIC LOCAL CUSTOM 1 Pmax 40 40 40 40 Pinsp 5 5 5 5 Tinsp 1 7 1 7 1 7 1 7 Trig Window 25 25 25 25 Flow Trigger 2 2 2 2 Psupport 2 20 2 2 End of Breath 30 30 30 30 Page 4 Default settings for default case types Settings ADULT PEDIATRIC LOCAL CUSTOM 1 Backup Time 30 30 30 30 Rise Rate Auto Auto Auto Auto Rise Rate 5 5 5 5 PSV Rise Rate Auto Auto Auto Auto Exit Backup 2 2 2 2 Pag...

Page 239: ...Off Off TV High 1000 1000 Off 1000 RR Low Off Off Off Off RR High Off Off Off Off EtCO2 Low 3 3 3 3 EtCO2 High 8 8 8 8 EtO2 Low Off Off Off Off EtO2 High Off Off Off Off FiCO2 High Off Off Off Off FiO2 Low 21 21 21 21 FiO2 High Off Off Off Off Page 7 Default settings for default case types Settings ADULT PEDIATRIC LOCAL CUSTOM 1 EtIso Low Off Off Off Off EtIso High Off Off Off Off FiIso Low Off Of...

Page 240: ...Off Off Off Off EtEnf High Off Off Off Off FiEnf Low Off Off Off Off FiEnf High 5 5 5 5 Page 8 Default settings for default case types Settings ADULT PEDIATRIC LOCAL CUSTOM 1 EtHal Low Off Off Off Off EtHal High Off Off Off Off FiHal Low Off Off Off Off FiHal High 5 5 5 5 Aisys CS 12 14 2067226 001 ...

Page 241: ... of preset values for O2 and Total Flow 1 From Super User select Gas Controls 2 Select Agents O2 Total Flow or O2 and Total Flow 3 Set the desired preset gas values 4 Select Back to return to the Gas Controls menu Setting fresh gas controls 1 From Super User mode select Gas Controls 2 Set Fresh Gas Controls to O2 Flow or User from the drop down list If User is selected the user will be able to sel...

Page 242: ...this menu item on the user s Vital Capacity menu 7 Select PEEP on Exit and set to the desired value 8 Select Back to return to the Procedures menu Setting cycling controls and settings 1 From Super User mode select Procedures 2 Select Cycling 3 Set Show Cycling to Yes to show this menu item on the user s Procedures menu Set to No to hide this menu item on the user s Procedures menu 4 Select the pr...

Page 243: ...assettes Vaporizer 13 2 Changing a cassette during a case 13 6 Removing a cassette 13 7 Installing a cassette 13 8 Cassette maintenance 13 9 Filling Aladin2 cassettes 13 11 Filling Aladin cassettes 13 16 In this section 2067226 001 13 1 ...

Page 244: ...en If the electronic agent level sensing is not functioning the agent level unknown symbol shows on the screen In this case refer to the liquid level indicator Some Aladin2 cassettes have internal temperature sensing An enhanced temperature sensing symbol shows on the front of the cassette and the symbol shows in the agent settings area of the screen for cassettes that have internal temperature se...

Page 245: ...r Quik Fil system Aladin cassette variants Aladin desflurane cassettes have electronic agent level sensing No other Aladin cassettes have electronic level sensing The agent level shows graphically in the agent settings area of the screen If the electronic agent level sensing is not functioning the agent level unknown symbol shows on the screen 13 Vaporizer cassettes 2067226 001 13 3 ...

Page 246: ...or coded keyed filler or a Quik Fil mechanism The desflurane cassettes have a filling mechanism that is compatible with Safe T Fil desflurane bottles Sevoflurane Quik Fil Aladin cassettes are not available in all countries Anesthetic agent Filling system Color code Halothane Keyed Red Enflurane Keyed Orange Isoflurane Keyed Purple Sevoflurane Keyed or Quik Fil Yellow Desflurane Compatible with Saf...

Page 247: ...60 005 Figure 13 4 Aladin cassette for sevoflurane with Quik Fill system 1 2 3 AB 60 003 Figure 13 5 Aladin cassette for desflurane with Saf T Fil compatible filler system 13 Vaporizer cassettes 2067226 001 13 5 ...

Page 248: ... Installing a cassette procedure A tone sounds The agent setting in the quick key area flashes If cassette of same agent type is installed during a case the last agent setting used shows the agent quick key 6 Change or confirm the agent setting 7 To confirm the agent setting Push the ComWheel to confirm the setting Push the Agent quick key to confirm the setting If the setting is not confirmed wit...

Page 249: ... Turn the lock on the handle to the vertical position Aladin2 cassettes only 2 Remove the cassette from the active bay 3 Store the cassette in the cassette storage bay if it will not be used 4 Fill the cassette following the appropriate filling procedure if the cassette requires filling 13 Vaporizer cassettes 2067226 001 13 7 ...

Page 250: ...ssette into the active bay until a click is heard ensuring the cassette is in the correct position 4 Turn the lock on the handle to the horizontal position Aladin2 cassettes only 5 The cassette is properly inserted when the agent is identified on the display Make sure that the displayed agent matches the cassette Store the cassettes in the cassette storage bay when they are not in use Note Aisys C...

Page 251: ...ystem or any other object 2 Connect an empty bottle with the appropriate filler type to the cassette filler port and hold the connection tight 3 Turn the cassette so that agent flows into the bottle and wait until the cassette is empty 4 To get the maximum amount of agent out of the cassette rock the cassette from left to right and tip it forward and backward several times 5 Remove the agent bottl...

Page 252: ...reservative added to halothane by its manufacturers to impede decomposition can leave a residue which may cause cassette components to stick Have the halothane cassettes drained every two weeks If halothane is used infrequently have the halothane cassette drained after use Do not flow gas through the halothane cassette to dry out the cassette Aisys CS 13 10 2067226 001 ...

Page 253: ... gas out of the cassette Observe the liquid level indicator of the cassette during filling When the liquid level reaches the full mark stop filling To avoid spray from anesthetic agent after filling slowly remove the agent bottle from the filling port Always remove the cassette from the machine and put it on a horizontal surface before filling Never try to fill a cassette while it is in the machin...

Page 254: ...r and tighten the adapter onto the bottle To avoid exposure to the anesthetic agent during filling make sure that the bottle adapter is properly connected to the bottle 3 Remove the filling port cap from the cassette by turning the cap counterclockwise 4 Align the bottle adapter keys with the index slots in the filling port 5 Push the agent bottle firmly into the filling port Let the agent flow in...

Page 255: ...rt into the air 1 Remove the cassette from the machine and place it on a horizontal surface Make sure that the valve pins on the back of the cassette do not come in contact with the machine or any other object 2 Remove the yellow protective cap from the anesthetic agent bottle Check that the filling mechanism on the bottle is not damaged 3 Remove the filling port cap from the cassette by turning t...

Page 256: ...le AB 60 050 AB 60 049 Figure 13 8 Aladin2 cassette with Saf T Fil mechanism Do not store filled or partially filled desflurane cassettes above the normal working temperature of 35C 95F Storage at high temperature may cause the overpressure valve to vent desflurane vapor into the ambient air Do not open or press the cassette filling port of the gas connection valves with fingers or any kind of ins...

Page 257: ...y against the spring pressure until it stops 4 Keep the bottle firmly inserted and lift the bottle upwards 5 Watch the liquid level indicator Do not leave the bottle unattended while it is attached to the cassette 6 When the liquid level reaches the full mark lower the bottle to the lower stop position Keep the bottle firmly inserted Wait 5 seconds to allow the agent to drain from the filling port...

Page 258: ... remove the agent bottle from the filling port Always remove the cassette from the machine and put it on a horizontal surface before filling Never try to fill a cassette while it is in the machine Inaccurate anesthetic agent dosages may temporarily occur after filling if the temperature of the liquid is considerably different from the normal operating temperature Filling with keyed filler system A...

Page 259: ...ts to flow 6 Watch the liquid level indicator When the cassette is full lower the bottle to stop the flow of liquid 7 Turn the lock and fill wheel a half turn counterclockwise to close the filling port Wait for the residual anesthetic agent to trickle back into the bottle 8 Turn the lock and fill wheel fully counterclockwise and remove the keyed filler from the filling port 9 Remove the bottle ada...

Page 260: ...nt bottle firmly into the filling port Let the agent flow into the cassette 6 Watch the liquid level indicator When the liquid level indicator reaches the full mark slowly remove the bottle from the filling port Removing the bottle quickly may cause the agent to splash or squirt out of the filling port 7 Put the cap back on the filling port 8 Put the cap back on the agent bottle Filling with Saf T...

Page 261: ...ck that the o ring is correctly fitted on the bottle nozzle AA 43 129 2 1 Figure 13 13 Removing the bottle cap 3 Insert the nozzle into the filling port and push the bottle firmly against the spring pressure until it stops 4 Keep the bottle firmly inserted and lift the bottle upwards 5 Watch the liquid level indicator Do not leave the bottle unattended while it is attached to the cassette 6 When t...

Page 262: ...13 20 2067226 001 ...

Page 263: ...mation 7 2 internal failure 7 4 list of 7 5 pausing audio 7 2 priorities 7 2 ranges 7 13 sustained pressure threshold 7 12 tests 7 15 Alarm history 3 19 Alarm setup Auto MV limit 3 20 CO2 alarms 3 17 default limits 3 20 leak audio alarms 3 19 MV TV alarms 3 18 setting alarm limits 3 18 setting apnea delay 3 19 volume apnea 3 17 Alarm volume 3 19 Alarms viewing alarm history 3 19 Alarmsetup 3 17 Al...

Page 264: ...18 Electrical connections mains inlet 8 10 outlets 8 10 serial port 8 11 Electromagnetic compatibility EMC 11 46 End case 3 6 Environmental requirements 11 18 Exhalation valve assembly parts 10 7 EZchange canister filling the canister 8 8 parts 10 10 removal 8 7 F Flow and pressure calibration 5 3 9 6 Flow sensor module parts 10 2 Flow specifications 11 12 Fresh gas controls 3 16 Fresh gas usage 3...

Page 265: ...ets 8 12 scavenging 8 12 Positive low pressure leak test 5 10 Pressure control mode 11 26 Procedures Cycling 3 27 Vital Capacity 3 27 PSVPro mode 11 32 R Repair policy 9 3 S Sample gas return port 8 14 Scavenging ACGO sample flow 8 13 auxiliary manual breathing circuit 8 14 gas monitor sample flow 8 14 Screen setup 3 13 Screen view 3 22 Serial port 8 11 Setting alarm limits 3 18 Setup changing cir...

Page 266: ...uchscreen alarms 2 11 digit fields 2 13 measured values 2 10 split screen field 2 13 waveform fields 2 13 Trends setup 3 23 Turningsystemon 3 3 Typeface conventions 1 10 U USB port 8 11 Using menus 2 15 Using quick keys 2 16 Using the ComWheel 2 16 V Vacuum suction regulator 8 15 Vent and gas test 5 8 Ventilation modes 11 24 Ventilation modes CPAP PSV 11 33 factory defaults 11 35 PCV 11 26 PCV VG ...

Page 267: ...ys with respect to expendable parts The foregoing warranties shall not apply if the Product has been repaired other than 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 limited to repairing or replaci...

Page 268: ...Aisys CS User s Reference Manual English 2067226 001 06 13 C 18 05 02 Printed in USA ...

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