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A5 - Service Manual - V4.0 - EN

This document provides information about the theory of operation, components, and pneumatic circuit of an A5 Anesthesia System. It includes electrical and pneumatic connections, a diagram and parts list for the pneumatic circuit, descriptions of key components, and safety warnings. The document is intended as a service manual to guide qualified personnel in repair and maintenance procedures.

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Domenico Me-Sys
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0% found this document useful (0 votes)
38 views368 pages

A5 - Service Manual - V4.0 - EN

This document provides information about the theory of operation, components, and pneumatic circuit of an A5 Anesthesia System. It includes electrical and pneumatic connections, a diagram and parts list for the pneumatic circuit, descriptions of key components, and safety warnings. The document is intended as a service manual to guide qualified personnel in repair and maintenance procedures.

Uploaded by

Domenico Me-Sys
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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A5 Anesthesia System

Service Manual
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this product and this manual. This manual
may refer to information protected by copyrights or patents and does not convey any license
under the patent rights of Mindray, nor the rights of others. Mindray does not assume any
liability arising out of any infringements of patents or other rights of third parties.

Mindray intends to maintain the contents of this manual as confidential information.


Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution,
rent, adaption and translation of this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden.

、 and are the registered trademarks or trademarks owned by


Mindray in China and other countries. All other trademarks that appear in this manual are
used only for editorial purposes without the intention of improperly using them. They are the
property of their respective owners.

Contents of this manual are subject to changes without prior notice.

Revision History
This manual has a revision number. This revision number changes whenever the manual is
updated due to software or technical specification change. Contents of this manual are subject
to change without prior notice. Revision 1.0 is the initial release of the document.
„ Revision number: 4.0
„ Release time: 2015-11

© Copyright 2011-2015 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights
reserved.

I
Foreword
This Service Manual is intended as a guide for technically qualified personnel performing
repair and calibration procedures.

Warnings, Cautions, and Notes


Warnings, Cautions and Notes
Please read and adhere to all warnings, cautions and notes listed here and in the appropriate
areas throughout this manual.
A WARNING is provided to alert the user to potential serious outcomes (death, injury, or
serious adverse events) to the patient or the user.
A CAUTION is provided to alert the user to use special care necessary for the safe and
effective use of the device. They may include actions to be taken to avoid effects on patients
or users that may not be potentially life threatening or result in serious injury, but about
which the user should be aware. Cautions are also provided to alert the user to adverse effects
on this device of use or misuse and the care necessary to avoid such effects.
A NOTE is provided when additional general information is applicable.

Warnings
WARNING: Whenever using anesthetic gases, nitrous oxide, oxygen, or any hospital gas
always follow the appropriate agent evacuation/collection procedures. Use the hospital gas
evacuation system.

WARNING: Use only an approved lubricant on any O-ring in contact with oxygen. Krytox®
is the recommended oxygen service lubricant.

WARNING: For continued protection against fire hazard, replace all fuses with the specified
type and rating.

WARNING: In order to prevent an electric shock, the machine (protection class I) may only
be connected to a correctly grounded mains connection (socket outlet with grounding
contact).

WARNING: Remove all accessory equipment from the shelf before moving the anesthesia
machine over bumps or on any inclined surface. Heavy top loading can cause the machine to
tip over causing injury.

WARNING: Possible explosion hazard. Do not operate machine near flammable anesthetic
agents or other flammable substances. Do not use flammable anesthetic agents (i.e. ether or
cyclopropane.)

WARNING: The use of anti-static or electrically conductive respiration tubes, when utilizing
high frequency electric surgery equipment, may cause burns and is therefore not
recommended in any application of this machine.

WARNING: Possible electric shock hazard. The machine may only be opened by authorized
service personnel.

WARNING: Avoid exposure to respiratory gases by always directing the fresh gas flow from
the fresh gas outlet to the waste gas scavenger.

II
Cautions
CAUTION: This device uses high pressure compressed gas. When attaching or
disconnecting backup gas cylinders, always turn the cylinder valves slowly. Use the A5 flow
meters to bleed down the pressure, watching the cylinder gauge indicate the depleting
cylinder pressure, before disconnecting the cylinder from the yoke. Always open and close
cylinder valves fully.

CAUTION: This device operates using compressed gas at high pressures from the hospital
central supply. When connecting gas supply lines attach the hose connection to the machine
before connecting the quick disconnect fitting to the hospital source. Disconnect the supply
hose from the hospital source connection prior to disconnecting it from the A5 gas connection
fittings.

CAUTION: Refer to the 3.3Equipment Maintenance Schedule for assistance when


performing scheduled periodic maintenance.

CAUTION: Do not leave gas cylinder valves open if the pipeline supply is in use and the
system master switch is turned to 'ON'. If used simultaneously, cylinder supplies could be
depleted, leaving an insufficient reserve supply in the event of pipeline failure.

CAUTION: Use cleaning agent sparingly. Excess fluid could enter the machine, causing
damage.

CAUTION: This machine must only be operated by trained, skilled medical staff.

CAUTION: Perform the electrical safety inspection as the last step after completing a repair
or after routine maintenance. Perform this inspection with all covers, panels, and screws
installed.

CAUTION: After changing the CO2 absorbent, carry out a system leak test.

CAUTION: Only Selectatec™ compatible vaporizers with Interlock-System may be used


with the A5 unit.

CAUTION: After each exchange of a vaporizer, carry out a system Leak test.

CAUTION: Do not clean the machine while it is on and/or plugged in.

CAUTION: Pressing “cancel” at any time during the procedure will cancel the session's
settings and reload the previously-stored calibration coefficients.

CAUTION: Depleted soda lime changes color. Replace the soda lime if approximately 2/3 of
the absorber content is discolored. CO2 absorbent can be safely changed without stopping
mechanical ventilation.

CAUTION: This equipment contains parts which are easily damaged due to electrostatic
discharge (ESD). Follow ESD prevention program when touching, taking out, or inserting
parts or components.

Notes
NOTE: Unauthorized servicing may void the remainder of the warranty. Check with the
factory or with a local authorized distributor to determine the warranty status of a particular
instrument.

III
FOR YOUR NOTES

IV
Contents
Warnings, Cautions, and Notes .............................................................................................II
Warnings, Cautions and Notes ................................................................................................. II
Warnings .................................................................................................................................. II
Cautions .................................................................................................................................. III
Notes ....................................................................................................................................... III

Contents ................................................................................................................................... 1

1 Theory of Operation ........................................................................................................ 1-1


1.1 Introduction ..................................................................................................................... 1-1
1.2 Electrical and Pneumatic Connections ............................................................................ 1-3
1.2.1 Electrical Connection ......................................................................................... 1-3
1.2.2 Pneumatic Connection ....................................................................................... 1-5
1.2.3 Connections between Pneumatic Circuit, Breathing System and Ventilator
Control Board ............................................................................................................ 1-10
1.3 Pneumatic Circuit .......................................................................................................... 1-13
1.3.1 Pneumatic Circuit Diagram .............................................................................. 1-13
1.3.2 Parts List .......................................................................................................... 1-14
1.3.3 Key to Symbols ................................................................................................ 1-15
1.3.4 Descriptions ..................................................................................................... 1-15
1.4 Components of the Anesthesia System ......................................................................... 1-29
1.4.1 Auxiliary Electrical Outlets .............................................................................. 1-29
1.4.2 Lighting Board ................................................................................................. 1-30
1.5 Breathing System .......................................................................................................... 1-32
1.5.1 Introduction ...................................................................................................... 1-32
1.5.2 Mechanical Mode, Inspiration.......................................................................... 1-32
1.5.3 Mechanical Mode, Expiration .......................................................................... 1-33
1.5.4 Manual Mode, Inspiration ................................................................................ 1-34
1.5.5 Manual Mode, Expiration ................................................................................ 1-35
1.5.6 Pneumatic PEEP............................................................................................... 1-35
1.5.7 Ventilator in Standby ........................................................................................ 1-35
1.5.8 Components of the Breathing System .............................................................. 1-35
1.6 User Interface ................................................................................................................ 1-36
1.6.1 Display ............................................................................................................. 1-36
1.6.2 Main Control Board ......................................................................................... 1-41
1.7 Ventilation Control and Drive ....................................................................................... 1-43
1.7.1 Motherboard ..................................................................................................... 1-43
1.7.2 Monitoring Module .......................................................................................... 1-53
1.7.3 Battery .............................................................................................................. 1-58
1.7.4 Heater of the Breathing System ....................................................................... 1-59
1.7.5 Anesthesia Calculation and Infrared Module Rack .......................................... 1-59
1.8 O2-driven Ventilator...................................................................................................... 1-61
1.8.1 O2-driven Ventilator......................................................................................... 1-61
1.8.2 High-pressure Drive Gas Regulator (200kPa, 29psi) ....................................... 1-61
1.8.3 Drive Gas Assembly ......................................................................................... 1-61
1.8.4 Tube Color Coding ........................................................................................... 1-61

2 Installation Guide ............................................................................................................. 2-1


2.1 Preparation ...................................................................................................................... 2-1
2.2 Assembly ......................................................................................................................... 2-1
2.2.1 Unpacking and Setup ......................................................................................... 2-1
2.2.2 Breathing System, Breathing System Accessories and Checkout Procedures ..2-11
2.2.3 AGSS Connections ............................................................................................2-11
2.2.4 Vaporizer .......................................................................................................... 2-12

1
2.2.5 Backup Cylinder............................................................................................... 2-14
2.2.6 Monitoring Products Mounting and Electrical Connection (if available) ........ 2-14
2.3 Factory Setup ................................................................................................................ 2-15
2.3.1 Function Activation .......................................................................................... 2-16
2.3.2 Drive Gas ......................................................................................................... 2-16
2.3.3 Flowmeter Standard ......................................................................................... 2-17
2.3.4 Flowmeter Pipeline .......................................................................................... 2-17
2.3.5 ACGO............................................................................................................... 2-17
2.3.6 Module Rack .................................................................................................... 2-17
2.3.7 AG Module ....................................................................................................... 2-17
2.3.8 BIS Module ...................................................................................................... 2-17
2.3.9 CO2 Module ..................................................................................................... 2-17
2.3.10 NMT Module ................................................................................................. 2-18
2.4 Functional Tests ............................................................................................................ 2-18
2.4.1 Gas Delivery System Tests ............................................................................... 2-18
2.4.2 Breathing System Leak Test ............................................................................. 2-18
2.4.3 O2 Sensor Calibration ...................................................................................... 2-24
2.5 Gas Supply Leak Tests .................................................................................................. 2-30
2.5.1 N2O Cylinder Leak Test................................................................................... 2-30
2.5.2 O2 Cylinder Leak Test ..................................................................................... 2-30
2.5.3 AIR Cylinder Leak Test.................................................................................... 2-30
2.5.4 N2O Pipeline Supply Pressure Leak Test ......................................................... 2-31
2.5.5 O2 Pipeline Supply Pressure Leak Test............................................................ 2-31
2.5.6 Air Pipeline Supply Pressure Leak Test ........................................................... 2-31
2.6 Breathing System Checks ............................................................................................. 2-32
2.6.1 AGSS Test (if available) ................................................................................... 2-32
2.6.2 Internal Gas Connections Test .......................................................................... 2-32
2.6.3 Alarm of Drive Gas Pressure Low, O2&N2O Cutoff Functional Test ............. 2-32
2.7 Performance Verification............................................................................................... 2-33
2.7.1 Standby Mode Ventilation Test......................................................................... 2-33
2.7.2 Manual Mode Ventilation Test ......................................................................... 2-33
2.7.3 Apnea Alarm Test ............................................................................................. 2-33
2.7.4 Alarm Silence Test ........................................................................................... 2-33
2.7.5 VCV Adult Ventilation Mode Test ................................................................... 2-33
2.7.6 VCV Pediatric Ventilation Mode Test .............................................................. 2-34
2.7.7 Airway Disconnection Alarm Test ................................................................... 2-35
2.7.8 PCV Adult Ventilation Mode Test .................................................................... 2-35
2.7.9 Pressure Support (PS) Ventilation Mode Test .................................................. 2-35
2.8 Alarm Function ............................................................................................................. 2-36
2.8.1 Setup................................................................................................................. 2-36
2.8.2 FiO2 Too Low Alarm Test ................................................................................ 2-37
2.8.3 FiO2 Too High Alarm Test ............................................................................... 2-37
2.8.4 Peak Pressure Alarm Test ................................................................................. 2-37
2.8.5 MV Alarm Test ................................................................................................. 2-38
2.9 Vaporizer Test ................................................................................................................ 2-38
2.9.1 Vaporizer Interlock Test ................................................................................... 2-38
2.9.2 Vaporizer Accuracy Test ................................................................................... 2-39
2.10 Other Tests .................................................................................................................. 2-40
2.10.1 Power Failure Alarm Test ............................................................................... 2-40
2.10.2 Work Light and Auxiliary Gas Supply Backlight Test ................................... 2-40
2.11 Electric Safety Test ...................................................................................................... 2-40
2.11.1 Test on Auxiliary Electrical Outlet ................................................................. 2-40
2.11.2 Electrical Safety Inspection ............................................................................ 2-41
2.11.3 Electrical Safety Inspection Form .................................................................. 2-41

3 Equipment Maintenance ................................................................................................. 3-1


3.1 Repair Policy ................................................................................................................... 3-1

2
3.2 Periodical Maintenance Kit ............................................................................................. 3-1
3.3 Equipment Maintenance Schedule .................................................................................. 3-1
3.4 Pre-maintenance Check ................................................................................................... 3-2
3.5 List of Parts in the Equipment Maintenance Consumables Kit ....................................... 3-2
3.6 Battery Maintenance and Replacement ........................................................................... 3-6
3.7 Functional Tests .............................................................................................................. 3-6
3.7.1 Gas Delivery System Tests ................................................................................. 3-6
3.7.2 Breathing System Leak Test ............................................................................... 3-6
3.7.3 Check the Sensor Zero Point ............................................................................ 3-10
3.7.4 Check the Accuracy of Flow Sensors ............................................................... 3-12
3.7.5 Check the Accuracy of Pressure Sensors ......................................................... 3-15
3.8 High Pressure Tests ....................................................................................................... 3-20
3.8.1 N2O Cylinder Leak Test................................................................................... 3-20
3.8.2 O2 Cylinder Leak Test ..................................................................................... 3-20
3.8.3 AIR Cylinder Leak Test.................................................................................... 3-21
3.8.4 N2O Pipeline Supply Test ................................................................................ 3-21
3.8.5 O2 Pipeline Supply Test ................................................................................... 3-22
3.8.6 AIR Pipeline Supply Test ................................................................................. 3-22
3.9 Breathing System Tests ................................................................................................. 3-23
3.9.1 Sample Gas Emission Test/AGSS Test (optional configuration) ..................... 3-23
3.9.2 Internal Pneumatic Connection Test................................................................. 3-23
3.9.3 Alarm of Drive Gas Pressure Low, N2O Cutoff Test ....................................... 3-24
3.10 Performance Verification............................................................................................. 3-24
3.10.1 Standby Mode Ventilation Test....................................................................... 3-24
3.10.2 Manual Mode Ventilation Test ....................................................................... 3-25
3.10.3 Apnea Alarm Test ........................................................................................... 3-25
3.10.4 Alarm Silence Test ......................................................................................... 3-25
3.10.5 VCV Adult Ventilation Mode Test ................................................................. 3-25
3.10.6 VCV Pediatric Ventilation Mode Test ............................................................ 3-26
3.10.7 Airway Disconnection Alarm Test.................................................................. 3-27
3.10.8 PCV Adult Ventilation Mode Test .................................................................. 3-27
3.10.9 Pressure Support (PS) Ventilation Mode Test ................................................ 3-28
3.11 Alarm and Automatic Fault Protection Function ......................................................... 3-29
3.11.1 Setup ............................................................................................................... 3-29
3.11.2 FiO2 Too Low Alarm Test .............................................................................. 3-29
3.11.3 FiO2 Too High Alarm Test ............................................................................. 3-30
3.11.4 Peak Pressure Alarm Test ............................................................................... 3-30
3.11.5 MV Alarm Test ............................................................................................... 3-31
3.12 Vaporizer Test .............................................................................................................. 3-31
3.12.1 Vaporizer Interlock Test ................................................................................. 3-31
3.12.2 Vaporizer Accuracy Test ................................................................................. 3-32
3.12.3 Vaporizer Leak Test ........................................................................................ 3-33
3.13 Other Tests .................................................................................................................. 3-34
3.13.1 Power Failure Test .......................................................................................... 3-34
1.13.2 Work Light and Auxiliary Gas Supply Backlight Test ................................... 3-34
3.14 Auxiliary AC Electrical Outlets Test ........................................................................... 3-34
3.14.1 Anesthesia System Installation Checklist ....................................................... 3-34
3.15 Electric Safety Test...................................................................................................... 3-35
3.15.1 Test on Auxiliary Electrical Outlet ................................................................. 3-35
3.15.2 Electrical Safety Inspection ............................................................................ 3-35
3.15.3 Electrical Safety Inspection Form .................................................................. 3-37

4 Calibration ........................................................................................................................ 4-1


4.1 Introduction ..................................................................................................................... 4-1
4.2 Warnings, Precautions, and Notes ................................................................................... 4-1
4.2.1 Warnings............................................................................................................. 4-1
4.2.2 Cautions ............................................................................................................. 4-1

3
4.2.3 Notes .................................................................................................................. 4-2
4.3 System Calibration .......................................................................................................... 4-2
4.3.1 Flow Calibration (User) ..................................................................................... 4-3
4.3.2 Flow Calibration (Factory) ................................................................................. 4-6
4.3.3 Pressure Calibration (Factory) ......................................................................... 4-26
4.3.4 Pressure and Flow Zeroing (Factory) ............................................................... 4-38
4.3.5 Electronic Flowmeter Zeroing (User) .............................................................. 4-41
4.3.6 O2 Sensor Calibration ...................................................................................... 4-43
4.3.7 Embedded AG Calibration ............................................................................... 4-49
4.3.8 External AG Calibration ................................................................................... 4-49
4.3.9 CO2 Module Calibration .................................................................................. 4-50
4.3.10 ORC Calibration............................................................................................. 4-50
4.3.11 High-Pressure Gas Cylinder Regulator Calibration ....................................... 4-56

5 Repair and Troubleshooting ............................................................................................ 5-1


5.1 Troubleshooting Guidelines ............................................................................................ 5-1
5.1.1 Identify Problems ............................................................................................... 5-1
5.1.2 Avoid Shorting Component Leads ..................................................................... 5-1
5.1.3 Use Proper Tools ................................................................................................ 5-1
5.1.4 Clean up the Repair Area ................................................................................... 5-1
5.2 Technical Alarms ............................................................................................................. 5-1
5.2.1 Startup Alarm Messages ..................................................................................... 5-2
5.2.2 CPU Board Runtime Alarms .............................................................................. 5-6
5.2.3 Power Board Runtime Alarms............................................................................ 5-6
5.2.4 Electronic Flowmeter Board Runtime Alarms ................................................... 5-8
5.2.5 VCM Runtime Alarms ..................................................................................... 5-10
5.2.6 External AG Module Runtime Alarms ............................................................. 5-14
5.2.7 Internal AG Module Runtime Alarms .............................................................. 5-16
5.2.8 BIS Module Runtime Alarms ........................................................................... 5-17
5.2.9 CO2 Module Runtime Alarms.......................................................................... 5-20
5.2.10 NMT Module Runtime Alarm ........................................................................ 5-22
5.3 Pneumatic System Problems ......................................................................................... 5-23
5.3.1 Tools for on-site Maintenance .......................................................................... 5-23
5.3.2 Gas Supplies and Drive Gas ............................................................................. 5-32
5.3.3 Anesthetic Gas Delivery System ...................................................................... 5-39
5.3.4 Breathing System ............................................................................................. 5-51
5.3.5 Tidal Volume .................................................................................................... 5-64
5.4 Sensor and Valve Related Failures ................................................................................ 5-66
5.4.1 Preparations before Using Diagnostic Tests ..................................................... 5-67
5.4.2 Zero Point Problems of Flow and Pressure Sensors ......................................... 5-67
5.4.3 Connections and Measurement Problems of the Flow Sensors........................ 5-68
5.4.4 Connections and Measurement Problems of the Pressure Sensors .................. 5-69
5.4.5 Opening State Problems of the Inspiratory Valve ............................................ 5-70
5.4.6 Opening State Problems of the PEEP Safety Valve.......................................... 5-70
5.4.7 Opening State Problems of the PEEP Valve ..................................................... 5-71
5.5 Hardware and Electrical Problems ................................................................................ 5-71
5.6 Software Upgrade and Software Configuration Activation........................................... 5-73

6 Repair and Disassembly .................................................................................................. 6-1


6.1 Prepare for Disassembly ................................................................................................. 6-1
6.1.1 Tools ................................................................................................................... 6-1
6.1.2 Preparations ........................................................................................................ 6-1
6.1.3 Bleed Gas Pressure ............................................................................................. 6-1
6.2 Disassemble the Assemblies ........................................................................................... 6-2
6.2.1 Disassemble the Internal Assemblies of the Machine Upper Half ..................... 6-2
6.2.2 Disassemble Hardware Box Assembly............................................................... 6-7
6.2.3 Disassemble the Work Surface ......................................................................... 6-17

4
6.2.4 Disassemble the Display Assembly.................................................................. 6-24
6.2.5 Remove the Module Rack Box Assembly ........................................................ 6-29
6.2.6 Remove the Module Rack Fan ......................................................................... 6-30
6.2.7 Remove the Instrument Panel Assembly .......................................................... 6-31
6.2.8 Remove the Auxiliary Gas Supply Assembly .................................................. 6-34
6.2.9 Remove the Circuit Arm Cover ........................................................................ 6-35
6.2.10 Remove the AGSS Assembly ......................................................................... 6-35
6.2.11 Remove the Built-in AG Module (when configured with AG module) ......... 6-36
6.2.12 Remove the AG Module Inlet Tube Assembly (when configured with AG
module) ..................................................................................................................... 6-37
6.2.13 Disassemble the Base Assembly .................................................................... 6-38
6.3 Disassemble the Breathing System ............................................................................... 6-43
6.3.1 Remove the O2 Sensor and O2 Cell Unit......................................................... 6-43
6.3.2 Remove the Breathing Tubes ........................................................................... 6-44
6.3.3 Remove the Flow Sensor ................................................................................. 6-45
6.3.4 Remove the Manual Bag .................................................................................. 6-46
6.3.5 Remove the Absorber Canister Assembly ........................................................ 6-46
6.3.6 Remove the CO2 Bypass Assembly ................................................................. 6-48
6.3.7 Remove the Circuit Main Body Assembly ....................................................... 6-49
6.3.8 Remove the Bellows Assembly ........................................................................ 6-49
6.3.9 Remove the Pop-off Valve Assembly ............................................................... 6-50
6.3.10 Remove the Expiratory/Inspiratory Check Valve Assembly .......................... 6-50
6.3.11 Remove the Water Collection Cup ................................................................. 6-51
6.3.12 Remove the Airway Pressure Gauge .............................................................. 6-52
6.3.13 Remove the Bag Arm Assembly .................................................................... 6-52
6.3.14 Remove the Upper Rear Cover Assembly and Lower Rear Cover Assembly 6-53
6.3.15 Remove the Upper Front Cover Assembly, Median Plate Assembly, and Lower
Front Cover Assembly............................................................................................... 6-54
6.3.16 Remove the Auto/Manual Switch Assembly .................................................. 6-56
6.3.17 Remove the APL Valve Assembly .................................................................. 6-57

7 Replacement Parts ........................................................................................................... 7-1


7.1 Introduction ..................................................................................................................... 7-1
7.2 Ordering Replaceable Parts ............................................................................................. 7-1
7.3 Diagrams and Tables ....................................................................................................... 7-2
7.3.1 A5 Structure ....................................................................................................... 7-2
7.3.2 A5 Upper Half .................................................................................................... 7-5
7.3.3 A5 Hardware Box ............................................................................................... 7-6
7.3.4 A5 Work Surface ................................................................................................ 7-7
7.3.5 A5 Patient Circuit Main Body ............................................................................ 7-8
7.3.6 A5 Pre-pak Absorber Canister Assembly ........................................................... 7-9
7.3.7 A5 Valve Assembly .......................................................................................... 7-10
7.3.8 A5 O2 Cell Assembly ........................................................................................7-11
7.3.9 A5 Display Assembly ....................................................................................... 7-12
7.3.10 A5 Display Assembly Main Body .................................................................. 7-13
7.3.11 A5 Vaporizer Manifold ................................................................................... 7-14
7.3.12 A5 Auxiliary Gas Outlet Assembly ................................................................ 7-15
7.3.13 Base Assembly ............................................................................................... 7-16
7.3.14 Cart Assembly ................................................................................................ 7-17
7.3.15 Other............................................................................................................... 7-17
7.3.16 Tubes .............................................................................................................. 7-18
7.3.17 O-ring ............................................................................................................. 7-19

5
FOR YOUR NOTES

6
1 Theory of Operation
1.1 Introduction
A5 is a compact, easy-to-use anesthetic delivery system. It transports anesthetic gas which is
produced and controlled by the configured vaporizer, supports manual ventilation and multiple
automatic vent modes, and monitors various parameters such as patient’s airway pressure,
inspiratory tidal volume, and expiratory tidal volume in real time.

A5 is configured with the following vent modes:


„ Volume Control Ventilation (VCV) with the Pressure Limit Ventilation (PLV) function
„ Pressure Control Ventilation (PCV) with/without volume guarantee (VG) ventilation mode
„ Synchronized Intermittent Mandatory Ventilation (SIMV) with VC mode
„ Synchronized Intermittent Mandatory Ventilation (SIMV) with PC mode
„ Pressure Support (PS) ventilation mode
„ Spontaneous mode in manual mode with APL fully open
„ Manual vent mode using manual bag.

Electronic PEEP is available in all mechanical modes. The user can control inspiratory flow
(Tslope) in PCV, SIMV and PS modes. The function of automatic fresh gas compensation
reduces the effect upon patient ventilation due to change of fresh gas flow by the operator. The
traditional bellows system is driven by gas, allowing the operator to view ventilation clearly.

A5 fresh gas electronic flowmeter system makes the traditional anesthesia system easier to use
and offers the characteristics of traditional anesthesia system as well. Dual-tube electronic
flowmeter displays readings more precisely. A knob guard prevents inadvertent movement of the
flow control knobs. Supply gas pressure gauges indicate the realtime pressures of pipeline supply
gas and cylinder gas. The auxiliary O2 supply is conveniently located in the upper left. The O2
flush button is in the traditional location near the front left corner of the work surface.

The safety system of A5 prevents low-O2 mixed gas from entering the patient. The sysem
delivers N2O only when O2 pressure is present. The mechanical safety system ORC ensures 21%
of O2 in the mixed gas.

The patient breathing circuit heating system of A5 minimizes water condensation and delivers
gas back to the patient. The pressure gauge, APL valve, and manual bag in the breathing circuit
can be plugged quickly for the convenience of installation and maintenance. A rotary knob on the
APL valve provides clear view of setting value. The sodalime absorber canister assembly can be
quickly opened and closed via a handle. It can use standard Pre-pak or loose fill sodalime
absorbent. The sodalime absorber canister assembly also provides a drain valve.

Two flow sensors are configured in the patient breathing circuit to monitor inspiratory/expiratory
gas flow and airway pressure. The O2 cell monitors FiO2. The patient breathing circuit can be
rotated and fixed as required by the operator. Besides, a test plug is available in the circuit to do
leak test. The anesthetic gas scavenging system (AGSS) connector is located at the back of A5.

1-1
When external AC power is connected, A5 power system powers the main system and charges
the internal batteries as well. In case of AC power failure, A5 is powered by batteries. The two
new batteries can provide power supply for at least 150 minutes. The system power can be turned
on and off by the main system switch. The four auxiliary electrical outlets of A5 are locatred at
the back of the machine and are independent of the main switch position.

Note: The heater in the patient breathing circuit is disabled when A5 is battery powered.

Note: O2 output is cut off if the main switch is in OFF position.

1-2
1.2 Electrical and Pneumatic Connections
1.2.1 Electrical Connection

1-3
No. Description P/N
B1 Power board 801-0631-00025-00
B2 Battery adapter board 801-0631-00109-00
B3 Mother board 801-0631-00108-00
B4 Alarm light board 801-0631-00019-00
B5 Indicator light board 801-0631-00004-00
B6 Touchscreen control board 801-0631-00018-00
B7 Display adapter board 801-0631-00017-00
B8 Main control board 115-035003-00
B9,
Monitoring module 115-036366-00
B11
B13 Top light board 801-0631-00039-00
115-027251-00(O2, N2O, AIR)
B14 Electronic flowmeter board
115-024621-00(O2)
B15 Auxiliary gas supply flowmete backlight board 801-0631-00002-00
P1 Filter 801-0631-00029-00
P2 Breaker (5.0A) 801-0631-00130-00
Brazilian-standard auxiliary electrical outlet 008-000229-00
British-standard auxiliary electrical outlet 008-000027-00
B-specification 220V auxiliary electrical outlet and
connection line 009-002044-00
P3-6
Australian-standard auxiliary electrical outlet M39-000207---
Indian-standard auxiliary electrical outlet 008-000060-00
European-standard auxiliary electrical outlet M39-000208---
Big South African auxiliary electrical outlet 008-000487-00
P7-10 Breaker (3.0A) 801-0631-00031-00
P11-12 Lithium battery 115-018012-00
P13 Speaker 801-0631-00038-00
P14 Fan 801-0631-00028-00
P15 Touchpad 801-0631-00052-00
P16 Expiration valve assembly 115-036693-00
P17 Display replacement material package 115-036373-00
P18 Circuit heater 115-034450-00
P19 Three-way valve assembly 801-0631-00046-00
P21 Touchscreen 801-0631-00014-00
P22 Module rack fan 024-000407-00
P23 Module rack assembly 115-016480-00

1-4
1.2.2 Pneumatic Connection

1-5
1-6
1-7
Note: The materials listed in the table donot be sold separately. Please consult the engineers if
any questions.

No. From To P/N


Vaporizer manifold
25 Total flowmeter assembly M6G-020045---
26 Back pressure valve assembly Total flowmeter M6G-020045---
27 N2O flow sensor Gas mixer assembly M6G-020026---
28 Air flow sensor Gas mixer assembly M6G-020026---
29 O2 flow sensor Gas mixer assembly M6G-020026---
30 ORC assembly ORC assembly M6G-020026---
Pneumatic resistor block
M6G-020026---
30 assembly O2 flow sensor
Pneumatic resistor block
M6G-020026---
31 assembly Air flow sensor
33 ORC assembly Y2 M6G-020026---
N2O cylinder yoke assembly Y1
34 N2O large cylinder supply M6G-020045---
inlet assembly Y1 M6G-020045---
Pressure regulator
35 Y1 assembly M6G-020045---
36 Air cylinder yoke assembly Y1 M6G-020045---
Pressure regulator
37 Y1 assembly M6G-020045---
38 Y1 Y1 M6G-020046---
39 O2 pipeline pressure gauge O2 supply inlet assembly M6G-020046---
40 N2O pipeline pressure gauge N2O supply inlet assembly M6G-020046---
41 Air pipeline pressure gauge Air supply inlet assembly M6G-020026---
42 Pressure regulator assembly Y2 M6G-020026---
43 Y2 System switch M6G-020026---
44 Y2 O2 flush assembly M6G-020026---
45 System switch O2 needle valve assembly M6G-020026---
46 Y2 ORC assembly M6G-020045---
Pressure regulator
47 Y1 assembly M6G-020046---
48 Pressure regulator assembly ORC assembly M6G-020026---
49 ORC assembly N2O needle valve assembly M6G-020026---
50 Pressure regulator assembly Y2 M6G-020026---
51 Y2 Air needle valve assembly M6G-020026---
ACGO assembly or CGO
52 M6G-020026---
O2 flush assembly assembly
ACGO assembly or CGO
53 M6G-020045---
Vaporizer manifold assembly assembly
Y1 or pressure regulator
54 Air supply inlet assembly assembly M6G-020045---
55 Expiration valve assembly Gas reservoir assembly M6G-020026---
56 Y2 Y2 M6G-020026---

1-8
No. From To P/N
57 Y2 Auxiliary O2 supply M6G-020026---
Back pressure valve
58 Gas mixer assembly assembly M6G-020045---
59 O2 supply inlet assembly Y1 M6G-020045---
O2 cylinder yoke assembly Y1
60 O2 large cylinder supply inlet M6G-020045---
assembly Y1
61 Y1 Y1 M6G-020045---
Y1 or pressure regulator
62 N2O supply inlet assembly assembly M6G-020045---
63 Y1 Expiration valve assembly M6G-020045---
64 Auxiliary Air supply Y2 M6G-020026---
65 Auxiliary O2 supply Y2 M6G-020026---
66 Y2 Auxiliary gas outlet M6G-020026---
67 Y2 Auxiliary Air supply M6G-020026---
69 Y1 Auxiliary gas outlet M6G-020045---
73 O2 needle valve assembly Y2 M6G-020026---
74 Y2 Y2 M6G-020026---
75 Poppet valve assembly Y2 M6G-020026---
76 Poppet valve assembly Y2 M6G-020026---
77 Poppet valve assembly Y2 M6G-020026---
78 Y2 O2 flow sensor M6G-020026---
79 Y1 O2 supply inlet assembly M6G-020045---
81 Y1 Y1 M6G-020045---
N2O large cylinder supply
N2O supply pressure gauge M6G-020026---
83 inlet assembly
O2 large cylinder supply inlet
O2 supply pressure gauge M6G-020026---
85 assembly
Pneumatic resistor block
M6G-020026---
90 Air needle valve assembly assembly
90 Air needle valve assembly Air flow sensor M6G-020026---
91 N2O needle valve assembly N2O flow sensor M6Q-030025---
Pneumatic resistor block
91 O2 needle valve assembly assembly M6Q-030024---
92 Y1 Y1 M6G-020045---
93 Y1 Expiration valve assembly M6G-020045---
Y1 Φ8 three-way connector M6Q-030025---
Y2 Φ6 three-way connector M6Q-030024---

1-9
1.2.3 Connections between Pneumatic Circuit, Breathing
System and Ventilator Control Board

1-10
Note: The materials listed in the table are sold separately. Please concult the engineers if any
questions.

No. From To P/N


1 Expiration valve assembly Flow sensor adapter board A21-000007---
Hardware box tube
2 Expiration valve assembly connector A21-000007---
3 Expiration valve assembly Flow sensor adapter board A21-000007---
4 Three-way valve Monitoring board connector A21-000007---
5 Three-way valve Y2 A21-000007---
6 Three-way valve Monitoring board connector A21-000007---
7 Y2 Monitoring board connector A21-000007---
8 Y2 Monitoring board connector A21-000007---
9 Y2 Monitoring board connector A21-000007---
10 Hardware box tube connector Y1 A21-000007---
11 Y1 Circuit adapter block M6G-020046---
12 Hardware box tube connector Y1 A21-000007---
13 Y1 Circuit adapter block M6G-020046---
14 Hardware box tube connector Y1 A21-000007---
15 Y1 Circuit adapter block M6G-020046---
16 Hardware box tube connector Y1 A21-000007---
17 Y1 Circuit adapter block M6G-020046---
18 Expiration valve assembly Gas reservoir assembly M6G-020018---
ACGO assembly Circuit adapter block
21 082-000519-00
ACGO assembly ACGO separate outlet
ACGO assembly Circuit adapter block
22 082-000519-00
Common gas outlet Circuit adapter block
23 Circuit adapter block Expiration valve assembly 115-034137-00
24 Circuit adapter block Gas reservoir assembly 115-027258-00
Hardware box tube connector or
three-way connector Monitoring board connector A21-000007---
72 Three-way valve Monitoring board connector
80 Hardware box tube connector Three-way valve A21-000007---
82 Hardware box tube connector Three-way valve A21-000007---
84 Hardware box tube connector Three-way valve A21-000007---
86 Hardware box tube connector Y2 A21-000007---
88 Y2 Three-way valve A21-000007---
Hardware box tube
94 Y1 connector A21-000007---
95 ACGO separate outlet Y1 M6G-020046---
96 Hardware box tube connector Three-way valve A21-000007---
98 Hardware box tube connector Three-way valve A21-000007---
116 Waste gas scavenging connector CPC connector M6G-020005---
127 AG calculation module Plug 9200-10-10556
128 AG calculation module AG calculation module 9200-10-10556

1-11
129 AG calculation module ACGO assembly(with AG) 9200-10-10557
130 FittingΦ4 AG calculation module 115-015829-00
Waste gas scavenging
M6G-020018---
141 Gas reservoir assembly connector
143 ACGO assembly(with AG) FittingΦ4 082-001198-00
156 Y1 Y1 M6G-020046---
Y1 Two-way connector M90-100027---
Y2 Three-way connector M90-100030---

1-12
1.3 Pneumatic Circuit
1.3.1 Pneumatic Circuit Diagram

1-13
1.3.2 Parts List
Several parts are sorted according to the design scheme of production systems. The whole
pneumatic diagram is shown below (A5) (SFDA):

1 O2 pipeline supply connector 32 Sodalime canister


2 O2 cylinder supply connector 33 Bypass
3 N2O pipeline supply connector 34 O2 sensor
4 N2O cylinder supply connector 35 Paw gauge
5 Air pipeline supply connector 36 Inspiratory flow sensor
6 Air cylinder supply connector 37 Patient connector
7 Cylinder pressure regulator(400kPa) 38 Expiratory flow sensor
8 Pressure relief valve(758kPa) 39 Water collection cup
9 Drive gas inlet filter 40 Expiratory check valve
Pneumatic block pressure Auto/Manual switch
10 41
regulator(200kPa)
11 Inspiratory flow control valve 42 Manual bag
12 Flow sensor 43 APL valve
Pneumatic block pressure relief High-pressure O2 output
13 44
valve(110cmH2O)
14 Pop-Off valve 45 Bellows
PEEP safety valve Mechanical pressure relief
15 46
valve(1kPa,10cmH2O)
16 Drive gas pressure switch(140kPa) 47 Negative check valve(1cmH2O)
17 Proportional PEEP valve 48 Gas reservoir 2
18 Expiration valve 49 Pressure sensor
19 Pneumatic block resistor 50 Total flowmeter
20 O2 flush button 51 Auxiliary O2 supply
21 Flow restrictor 52 Negative pressure valve
22 Gas supply pressure switch(220kPa) 53 Pressure sensor
23 Pressure regulator(200kPa) 54 AGSS
24 System switch 55 Check valve2
25 ORC 56 Back pressure valve
26 Electronic flow sensor 57 Poppet valve
27 Dual-vaporizer manifold 58 Needle valve
28 Check valve3 59 Pneumatic resistor
29 Pressure relief valve(37.9kPa) 60 ACGO
30 Auxiliary Air supply 61 ACGO separate outlet
31 Inspiratory check valve 62 O2 supply three-way connector

1-14
1.3.3 Key to Symbols
Filter Pressure regulator

Pressure gauge Check valve

Gas supply connector Pressure relief valve

Flowmeter Flow control valve

Pressure switch Flow restrictor

1.3.4 Descriptions
1.3.4.1 Anesthetic Gas Delivery System
The anesthetic gas delivery system is connected to gas source, anesthetic gas delivery device
(vaporizer), and breathing system. Its inputs are N2O, O2, and Air from the respective gas supply
assembly. Its outputs include mixed gas of these three gases and anesthetic agent (namely, fresh
gas), pure O2 (high-pressure O2 output, auxiliary O2, flushing O2), and mixed gas of Air and O2.
The pneumatic circuit of anesthetic gas delivery system is as shown below.

Drive gas

Fresh gas

The following picture shows how the gas supply system is connected. O2 is divided into four
limbs, which are system switch(24), O2 flush valve(20), auxiliary O2 supply(51), and high-
pressure O2 exhaust port(44). Air goes to two limbs. One is to needle valve(58) and the other to
auxiliary Air supply(30). N2O goes to ORC(25) directly.

When system switch(24) is turned on, O2 enters needle valve(58). When O2 flow is greater than
300ml, N2O can enter needle valve(58) through ORC(25). After passing through needle
valve(58), pre-set pneumatic resistor(59) controls the ratio of O2 and N2O and ensures the
minimum O2 concentration.

1-15
Adjust To auxiliary
pneumatic Air supply
25. ORC
resistance

N2O tube

Needle valve

Air tube

To auxiliary O2
24. System supply
switch
O2 tube

To high-pressure
O2 output port

60. ACGO

20. O2 flush
valve

1-16
O2 and N2O enter electronic flow sensor(26) after passing through pneumatic resistor(59). Air
enters electronic flow sensor(26) after passing through needle valve(58) and the electronic
flowmeter monitors and displays the gas flow.

56. Back
pressure
26. Flow sensor
valve

50. Total flowmeter

The converged gas goes from float flowmeter(50) to anesthetic gas delivery device (vaporizer),
forming fresh gas after mixing with anesthetic agent. The fresh gas then goes from check
valve(28) through CGO(29) assembly to the breathing system. The flushing O2 also enters the
breathing system through the CGO(29) assembly.

28. Check valve


Outlet of anesthetic
gas delivery device
Inlet of anesthetic gas
delivery device

1-17
Gas Supply

8. Pressure relief valve

22. Pressure switch

Inlet of O2 pipeline
supply

Pressure sampling tube of O2


supply gas pressure gauge

The above picture shows the O2 pipeline supply assembly. The pneumatic circuit of the gas
source is the starting point of the pneumatic circuit of the anesthesia machine, which functions to
introduce the external pipeline gas or cylinder gas into the machine. Since the pressure of
external gas is generally very high and the external gas contains foreign substance, there is
pressure reducing valves, filters and pressure relief valves available in the supply gas circuit.
Also, check valves are available in the supply gas circuit to prevent gas from flowing back into
the pipeline or cylinder. The anesthesia machine has three pipeline gas supplies available: O2,
N2O, and Air. They enter the “Pipeline gas supply inlet assembly” of the anesthesia machine
through pipeline gas supply connectors 1, 3 and 5 respectively. Generally, the pipeline gas
pressure is 280~600kPa. The anesthesia machine has three cylinder gas supplies available: O2,
Air and N2O. They enter the system through cylinder gas supply connectors 2, 4 and 6
respectively. Their working pressure ranges 6.9~15.5Mpa, 6.9~15.5Mpa and 4.2~6Mpa
respectively, which are reduced to around 440kPa through pressure regulator(7). Each connector
is clearly marked and designed to prevent misconnection. All connectors have filters and check
valves. Color coded pressure gauges show the pipeline and cylinder pressures. Pressure relief
valve(8) functions to prevent the supply gas pressure from being too high. It releases excess gas
when gas pressure exceeds 758kPa. Each supply gas is outputted after gas pressure is reduced to
200kPa through pressure regulator(24). Pressure switch(23) monitors the O2 supply pressure.
When O2 supply pressure is less than around 200kPa, the ventilator gives the alarm of O2 supply
failure.

1-18
System Switch Assembly
O2 goes into system switch(24) and then to the needle valve. System switch is configured with a
socket to manage the power-on status of the system. When the system switch is turned on, O2
enter the needle valve and the system is powered on simultaneously. The anesthetic ventilator
starts to monitor the system status. When the system switch is turned off, O2 cannot enter the
needle valve and the system is powered off.

Flow Adjustment and Control Assembly

58. Flow adjustment needle


valve

59. Adjust pneumatic


resistance

N2O
chamber

O2 chamber

59. Adjust
pneumatic
resistance

Needle valve(58) controls gas flow. ORC(25) controls the ratio of O2 and N2O to ensure that O2
concentration is not less than 21%. Turning needle valve knob counterclockwise increases the
flow and clockwise decreases the flow.

1-19
Flow Display Assembly
The flow display assembly is made up of electronic flowmeter(26) and total flowmeter(50). Its
outputs are gas from the flow adjustment and control assembly and mixed gas going through the
anesthetic gas delivery device (vaporizer). Electronicflowmeter(26) measures and displays the
flow of each gas. Total flowmeter(50) displays the total gas flow.

26. Flow sensor

50. Total flowmeter

O2 Flush Button Assembly

The above picture shows the O2 flush button assembly. When O2 flush valve(20) is depressed,
O2 flow rushes to the pneumatic circuit, which is cut off when this valve is released. Its input is
O2 of 0.2MPa, which comes from O2 supply gas and is regulated. Its output is O2 which flows
through the ACGO assembly and enters the breathing system. The O2 flush button assembly is
not controlled by the system switch. O2 flushing can be performed as long as O2 supply is
normal. The O2 flush button assembly has sliding valve structure inside, which ensures
automatic reset via the spring each time the valve is depressed and released.

1-20
Vaporizer Manifold

The above picture shows the vaporizer manifold assembly. The anesthetic gas delivery device
(vaporizer) is connected to the anesthetic gas delivery system. The mixed gas of N2O, O2 and
Air go into the device; and the fresh gas containing these three gases and anesthetic agent is
finally outputted to the ACGO assembly.

Dual-vaporizer manifold (27) is integrated with check valve(28) to prevent flushing O2 and fresh
gas from flowing back to the vaporizer, so as to affect the concentration fo outputted anesthetic
gas. When using dual-vaporizer manifold, Selectatec mounting with interlocking function can
prevent the user from turning on two vaporizers simultaneously.

Triple-vaporizer manifold is provided for optionial configuration.


Gas inlet

Gas outlet

Check valve

Three canisters
position

The above picture shows the triple-vaporizer manifold assembly. The anesthetic gas delivery
device (vaporizer) is connected to the anesthetic gas delivery system. The mixed gas of N2O, O2
and Air go into the device; and the fresh gas containing these three gases and anesthetic agent is
finally outputted to the ACGO assembly.

1-21
Triple-vaporizer manifold is integrated with the check valve to prevent flushing O2 and fresh gas
from flowing back to the vaporizer, so as to affect the concentration of outputted anesthetic gas.
When using triple-vaporizer manifold, Selectatec mounting with interlocking function can
prevent the user from turning on two vaporizers simultaneously.

ACGO Assembly

The above picture shows the ACGO assembly. This assembly contains flow restrictor(21),
pressure relief valve(29), and pressure relief valve(13). The delivered O2 enters ACGO after
mixing with the fresh gas. Pressure relief valve(29) in the front restricts the pressure of delivered
O2 and prevents the pressure of fresh gas from exceeding 37.9kPa. Pressure relief valve(13)
prevents the pressure of gas coming out of the ACGO from exceeding 12.5kPa (ACGO has two
types of configuration: separate outlet and breathing system outlet).

CGO Assembly
The following picture shows the pressure relief valve (29) and flow restrictor (21) of CGO
module.

1-22
Auxiliary O2/Air Supply Assembly
Auxiliary O2 supply assembly(51) and auxiliary Air supply assembly(30) control flows by the
needle valve. Gas isdisplayed by a glass tube flowmeter and delivered to the patient. The gas
flow can be adjusted within the range of 0 to 15L/min. Turning the flow control
counterclockwise increases the flow and clockwise decreases the flow.

High- pressure O2 Output Assembly


The high-pressure O2 output assembly is directly connected to the O2 supply inlet assembly. It
can be used for the external ventilation device (jet ventilation device) without going through
pressure regulator. When no external device is connected, the high-pressure O2 output is closed.
The maximum output flow is 90L/min.

Auxiliary gas supply output

High-pressure O2 output

1-23
1.3.4.2 Anesthetic Ventilator Pneumatically-controlled Module
The anesthetic ventilator pneumatically-controlled module provides drive force for the patient’s
breathing process. Its input is O2 (or Air) from the gas supply inlet assembly. Its outputs include
drive gas to the breathing system and PEEP exhaust gas to the built-in gas reservoir and muffling
part. The ventilator can control the drive gas flow to realize various vent modes and prevent too
high pressure inside the pneumatic circuit from injuring the patient. The following picture shows
the gas flow directions and compents of the anesthetic ventilator pneumatically-controlled
module.

Pneumatically-
controlled module
Output gas
discharged through
Input tube of the PEEP outlet
pneumatically-
Exhaust tube controlled module

Output drive gas

The pneumatic circuit of the anesthetic ventilator pneumatically-controlled module is as shown


below:

52 45

13 Breathing
Breathing
9 10 11 12
Drive gas system System
Drive Gas Flow 14 46
18
AGSS
15 17

P 49 19
16

1-24
Filter(9) filters the drive gas. Pressure regulator(10) adjusts the pressure in the pneumatic circuit
(about 0.2MPa). Proportional solenoid valve(11) controls gas entering flow. Differential pressure
flow sensor(12) monitors gas flow in the drive gas circuit. Mechanical overpressure valve(13)
ensures that the pressure in the drive gas circuit does not exceed safe pressure. It releases excess
gas when gas pressure exceeds 11kPa (110cmH2O). “18” is expiration valve. During expiration,
gas inside the bellows is discharged from this valve.

PEEP function is implemented through expiration valve control limb. “15” is low-flow
proportional solenoid valve. When it opens, gas is discharged from pneumatic resistor(19),
forming relatively stable pressure in the pneumatic circuit between “15” and “19”. Such pressure
is exerted onto the membrane of expirationvalve(18) to form PEEP.

To prevent too high pressure in the pneumatic circuit from injuring the patient and damaging the
equipment, safety valve(15), which is an solenoid on-off valve, is necessary to be placed before
the expiration valve control limb. “16” is a pressure switch. When drive gas pressure is less than
140kPa, an alarm is triggered. “49” is a pressure sensor which monitors the expiration valve
closing pressure. Pressure relief valve(46) ensures that the tube pressure after the expiration
valve is less than 10cmH2O during expiration phase.

1.3.4.3 Breathing System


The breathing system provides a closed loop for the anesthetic gas. CO2 in the patinet’s expired
gas can be absorbed in the inspiration phase, so as to maintain the gas temperature and humidity
conditions. During inspiration, the drive gas compresses the bellows to force the gas to enter the
patient’s lungs. During expiration, the patient’s pulmonary gas enters the bellows again through
the chest muscular contractions. Sodalime absorber canister(32) in the circuit absorbs the
patient’s expired CO2. The pneumatic circuit of the breathing system is as shown below.

43
AGSS
41 NO
45 NC

42

14
Drive
Drive gas
Gas

40 38
gas
Flowflow
33

32
39

33 37
53
P
31
gas
Flow

O2 36

34 35

1-25
Manual ventilation and mechanical ventilation are selected through the Auto/Manual switch.
When manual ventilation is selected, the doctor presses the manual bag(42), replacing
mechanical ventilation, to provide gas for the breathing system. APL valve(43) adjusts the
pressure in the pneumatic circuit in manual ventilation mode. When mechanical ventilation is
selected, the ventilator starts to work, driving the drive gas to compress the bellows inside the
bellows housing(45) and providing gas for the breathing system based on the selected vent mode.

The breathing system is connected to the anesthesia machine main unit through the circuit
adapter. The breathing system is highly integrated. Its tubes are all built-in except the tubes
connected to the patient and to the O2 cell cable, as shown below.

41. Auto/Manual 43. APL


switch valve

Bag arm
40. Expiration
valve
45. Bellows
assembly

31. Inspiration
valve

35. Paw gauge

Patient connection (built-in inspiratory and


expiratory flow sensors)

1-26
33. Built-in bypass valve

32. CO2 absorber canister

Operating handle

In mechanical ventilation mode, during inspiration, the gas flows through Auto/Manual
switch(41), BYPASS valve(33) or sodalime canister(32), inspiration valve(31), O2 sensor(34),
Paw gauge(35), and inspiratory flow sensor(36) to the patient. During expiration, the gas flows
through expiratory flow sensor(38), expiration valve(40), and Auto/Manual switch(41) to the
bellows. The airway pressure is monitored by pressure sensor(53).

The water produced by condensation is accumulated in the water collection cup at the bottom of
the breating system.

The breathing system is conveniently disassembled and is autoclavable at 134℃.

1.3.4.4 Anesthetic Gas Scavenging System


The anesthetic gas scavenging system (AGSS) is composed of AGSS transfer system, AGSS
receiving system, and AGSS disposal system. Waste gas goes from the exhaust port of the
anesthesia machine, through the AGSS transfer system and the AGSS receiving system, and to
the hospital’s waste gas disposal system (AGSS disposal system), as shown below.

AGSS AGSS AGSS


transfer receiving disposal
system system system
Waste gas
(hospital’s disposal
system)

1-27
The following figure shows the operational theory of the AGSS. The throttling holes reduce the
effect of negative pressure at the AGSS outlet upon the flow at the entrance. The float helps the
user to determine if the disposal system meets the minimum extract rate requirement. The filter
filters foreign substance to prevent the disposal system from being occluded. The gas storage
device is connected to the external air through pressure compensation openings. When there is
positive or negative pressure inside the gas storage devcie, gas is inputted or outputted to ensure
pressure balance inside the system.

The both ends of the AGSS transfer tube are 30mm conical conectors. The inlet is female 30mm
conical connector and the outlet is male 30mm conical connector. The transfer tube is connected
to the AGSS main body through 30mm connector. The following picture shows the structure of
AGSS and how the AGSS transfer system, receiving system, and disposal system are connected.

Receiving system

Transfer system

The AGSS three-way connector assembly used for exhausting the open circuit waste gas is also
provided for optional configuration.

1-28
Transfer system

Negative pressure
supply provided by
other hospital

Blocked at ordinary
time. But Connect to the
outlet of open circuit
waste gas once the open
circuit is initiated.

Receiver system

1.4 Components of the Anesthesia System


1.4.1 Auxiliary Electrical Outlets
A5 anesthesia sysem has 4 auxiliary electrical outlets (3 for big South African standard). Each
outlet has one 250V3A breaker. Besides, the total breaker restricts the total current of the 4
outlets to 5A.

Aux. electrical outlet1


Auxiliary Outlet 1
Aux.Auxiliary
electrical
Outlet 2
Aux. electrical
Auxiliary Outlet 3
Aux. electrical outlet4
Auxiliary Outlet 4
l 2 l

Breaker
Breaker 1 Breaker
Breaker 2 Breaker
Breaker 3 Breaker
Breaker 4

1-29
1.4.2 Lighting Board
1.4.2.1 Top Light Board

Top light board (Top view)

Top light board (Bottom view)

Auxiliary gas supply flowmeter backlight board interface, J1


Pin Name Function
1 12V Auxiliary gas supply flowmeter backlight
board 12V power supply
2 GND Grounding
3 GND Grounding
4 LIGHT_OUT Auxiliary gas supply flowmeter backlight
control

Top light switch interface, J2


Pin Name Function
1 HIGH_BRIGHTNESS High brightness
2 HIGH_BRIGHTNESS High brightness
3 OFF Off
4 OFF Off
5 LOW_BRIGHTNESS Low brightness
6 LOW_BRIGHTNESS Low brightness

Power supply interface, J3


Pin Name Function
1 12V Top light board 12V power supply
2 GND Grounding
3 12V_AUX Auxiliary gas supply flowmeter backlight
board 12V power supply

1-30
1.4.2.2 Auxiliary Gas Supply Flowmeter Backlight Board

Auxiliary gas supply flowmeter backlight board (Top view)

Auxiliary gas supply flowmeter backlight board (Bottom view)

Auxiliary gas supply flowmeter backlight board interface, J1


Pin Name Function
1 12V Auxiliary gas supply flowmeter backlight
board 12V power supply
2 GND Grounding
3 GND Grounding
4 LIGHT_IN Auxiliary gas supply flowmeter backlight
control signal

1-31
1.5 Breathing System
1.5.1 Introduction
A5 breathing system supports three types of operating modes: mechanical ventilation, manual
ventilation, and standby, allowing the opertor to apply proper ventilation strategy based on the
patient’s needs.

The types of flow path through the breathing system vary with the operating mode or status.

1.5.2 Mechanical Mode, Inspiration


When the Auto/Manual switch is set to Auto position, the system closes the manual ventilation
path. The drive gas depresses the bellows inside the bellows housing. Gas flows out of the
bellows, through the CO2 canister and inspiratory check valve, and to the patient.

During inspiration, the fresh gas flows into the inspiratory limb, upstream of the inspiratory
check valve.

In volume mode, tidal volume is compensated for variation in gas flow, to ensure that the tidal
volume delivered to the patient complies with the setting value.

In pressure mode, the inspiratory pressure is adjusted by adjusting the gas flow and airway
pressure, to ensure that the airway pressure is held at the set inspiratory pressure level during the
patient’s inspiration.

APL Valve

Auto/Manu
Bellows Switch NO
Breathing Bag

NC

Pop-Off
Drive Gas valve

Exhaust
valve

AGSS

Exp.
Valve
Exp. Flow
Sensor

Water Water
trap
cup

collecti
on cup
Absorber
Canister

Insp.
Valve Insp. Flow
Fresh Gas Sensor

O2
Cell

1-32
1.5.3 Mechanical Mode, Expiration
When the Auto/Manual switch is set to Auto position, the system closes the manual ventilation
path.

The drive gas flow stops and the expiration valve opens. The patient expires gas. The expired gas
flows through the expiratory check valve and into the bellows.

Residual drive gas flows out of the bellows housing through the exhaust valve to the scavenging
system (AGSS).

If PEEP setting is selected, the pressure at the exhaust valve port is held at the PEEP level.

During expiration, the fresh gas flows backwards through the CO2 canister into the
expiratory limb, downstream of the expiratory check valve.

APL Valve

Auto/Manu
Bellows Switch NO
Breathing Bag

NC

Pop-Off
Drive Gas valve

Exhaust
valve

AGSS

Exp.
Valve
Exp. Flow
Sensor

Water
Water
trap
cup

collecti
Absorber
on cup
Canister

Insp.
Valve Insp. Flow
Fresh Gas Sensor

O2
Cell

1-33
1.5.4 Manual Mode, Inspiration
When the Auto/Manual switch is set to Manual position, the system closes the mechanical
ventilation path.

When the manual bag is depressed, the gas flows out of the manual bag through the CO2 canister
into the breathing circuit, and through inspiratory check valve to the patient’s lungs.

During inspiration, the fresh gas flows from the machine into the inspiratory limb, upstream of
the inspiratory check valve.

If the airway pressure exceeds the setting value of the APL Valve, the excess gas will pass
through the APL valve to the scavenging system (AGSS).
APL Valve

Auto/Manu
Bellows Switch NO
NC
Breathing Bag

Pop-Off
valve

Exhaust
valve

AGSS

Exp.
Valve
Exp. Flow
Sensor

WaterWater
trap
cup

collecti
Absorber
on cup
Canister

Insp.Ins

p.
Valve
气 Insp. Flow
Fresh Gas Sensor

O2
Cell

1-34
1.5.5 Manual Mode, Expiration
When the Auto/Manual switch is set to Manual position, the system closes the mechanical
ventilation path.

The patient’s expired gas enters the manual bag after passing through the expiratory check valve.

During expiration, the fresh gas enters the breathing system. The residual fresh gas passes
through the APL valve to the scavenging system (AGSS).
.
APL Valve

Auto/Manu
Bellows Switch NO
NC

Breathing Bag
Pop-Off
valve

Exhaust
valve

AGSS

Exp.
Valve
Exp. Flow
Sensor

Water
trap

Water
cup

collecti
Absorber
Canister
on cup

Insp.
Valve Insp. Flow
Fresh Gas Sensor

O2
Cell

1.5.6 Pneumatic PEEP


Exhaust valve opening pressure decides PEEP. Therefore, if PEEP is selected, during Auto
ventilation, the ventilator adjusts exhaust valve opening pressure based on the set PEEP value.

1.5.7 Ventilator in Standby


If the anesthesia system is in standby mode, monitoring function is disabled and mechanical
ventilation is unavailable. When the system is standby, the patient can not be ventilated.

1.5.8 Components of the Breathing System


1.5.8.1 Ventilation Bellows Assembly
The ventilator’s drive system is drive gas. Drive gas inflates the space outside the bellows so as
to compress the bellows. The bellows press the gas into the patient’s breathing circuit. When the
patient expires, the bellows are re-inflated with gas.

1.5.8.2 Manual Bag


In manual mode, manual bag helps the user to ventilate the patient manually.

1-35
1.5.8.3 CO2 Canister
The sodalime inside the CO2 canister absorbs the CO2 in the expired gas. The CO2 canistser can
be equipped with standard sized Pre-paks or loose-fill CO2 absorbent.

1.5.8.4 Inspiration Valve and Expiration Valve


To ensure correct gas flow direction to and from the patient’s lungs, check valves are integrated
into both the inspiratory and expiratory limb of the breathing system.

1.5.8.5 APL (Airway Pressure Limit) Valve


In manual mode, APL valve, as gas pressure relief valve, limits the airway pressure in the
breathing system.

1.6 User Interface


1.6.1 Display
1.6.1.1 Display Adapter Board

Display adapter board (Top view)

Display adapter board (Bottom view)

1-36
Inverter interface, J1
Pin Name Function
1 12V Backlight control board 12V power supply
2 12V Backlight control board 12V power supply
3 GND Grounding
4 GND Grounding
5 LCD_EN LCD backlight switch
6 LCD_BR LCD backlight brightness control

Alarm light board interface, J2


Pin Name Function
1 12V Alarm light board 12V power supply
2 GND Grounding
3 SDA_CPU Main control board I2C data signal
4 SCL_CPU Main control board I2C clock signal
5 3_3V 3.3V power supply
6 GND Grounding

Touchscreen control board interface, J4


Pin Name Function
1 5V 5V power supply
2 RXD_TOUCH_PANEL Touchscreen control board serial port receiving signal
3 TXD_TOUCH_PANEL Touchscreen control board serial port transmitting signal
4 GND Grounding

Display control signal interface, J5


Pin Name Function
1 LCD_EN LCD backlight switch
2 LCD_BR LCD backlight brightness control
3 RXD_TOUCH_PANEL Touchscreen control board serial port receiving signal
4 TXD_TOUCH_PANEL Touchscreen control board serial port transmitting
signal
5 GND Grounding
6 LED_AC AC indicator light drive signal
7 LED_BAT Battery indicator light drive signal
8 SDA_CPU Main control board I2C signal
9 SCL_CPU Main control board I2C signal
10 RSVD Reserved
11 RSVD Reserved
12 RSVD Reserved
13 RSVD Reserved
14 RSVD Reserved
15 RSVD Reserved
16 12V 12V power supply
17 12V 12V power supply
18 GND Grounding

1-37
Pin Name Function
19 GND Grounding
20 GND Grounding

1.6.1.2 Alarm Light Board

Alarm light board (Top view)

Alarm light board (Bottom view)

Alarm light board interface, J1


Pin Name Function
1 12V 12V power supply
2 GND Grounding
3 MAIN_BRD_SDA Main control board I2C data signal
4 MAIN_BRD_SCL Main control board I2C clock signal
5 3_3V 3.3V power supply

1-38
1.6.1.3 Display
A5 anesthesia machine has a 15-inch, 24-bit display color, 1024x768, LVDS display with
touchscreen of the same size. The backlight brightness of the display can be adjusted through the
inverter.

1.6.1.4 Electronic Flowmeter Board

Electronic flowmeter board (Top view)

Electronic flowmeter board (Bottom view)

Electronic flowmeter board interface, J1


Pin Name Function
1 TXD_FLOW_BRD Electronic flowmeter board serial port transmitting
signal
2 RXD_FLOW_BRD Electronic flowmeter board serial port receiving signal
3 GND Grounding
4 12V Electronic flowmeter board 12V power supply

1-39
1.6.1.5 Indicator Light Board

Indicator light board (Top view)

Indicator light board (Bottom view)


Indicator light board interface, J1
Pin Name Function
1 LED_AC AC indicator light drive signal
2 LED_BAT Battery indicator light drive signal
3 GND Grounding

1-40
1.6.2 Main Control Board

Main control board (Top view)

Main control board (Bottom view)

1-41
Network interface, J9
Pin Name Function
1 TX+ Positive end of transmitting signal
2 TX- Negative end of transmitting signal
3 RX+ Positive end of receiving signal
4 CT1 Not specified
5 CT1 Not specified
6 RX- Negative end of receiving signal
7 CT2 Not specified
8 CT2 Not specified

USB interface, J8
Pin Name Function
1 VCC USB power supply
2 DM0 USB data signal – (negative)
3 DP0 USBdata signal + (positive)
4 GND Grounding
5 VCC USB power supply
6 DM1 USB data signal – (negative)
7 DP1 USB data signal + (positive)
8 GND Grounding

RS-232 interface, J4
Pin Name Function
1 NC Not connected
2 RXD RS-232 receiving signal
3 TXD RS-232 transmitting signal
4 NC Not connected
5 GND Grounding
6 NC Not connected
7 NC Not connected
8 NC Not connected
9 NC Not connected

1-42
1.7 Ventilation Control and Drive
1.7.1 Motherboard

Motherboard (Top view)

Motherboard (Bottom view)

1-43
Monitoring module interface, J1
Pin Name Function
1 SAFE_VALVE Safety valve drive signal
2 7VIN Inspiration valve drive signal
3 INSP_VALVE Inspiration valve drive signal
4 7VIN PEEP valve drive signal
5 PEEP_VALVE PEEP valve drive signal
6 SOLENOID_VALVE1 Three-way valve 1
7 SOLENOID_VALVE2 Three-way valve 2
8 SOLENOID_VALVE3 Three-way valve 3
9 SOLENOID_VALVE4 Three-way valve 4
10 PNEUM_PRES_SW Pneumatic block pressure switch signal
11 NC Not connected
12 NC Not connected
13 O2_PRE_SW Gas supply inlet O2 pressure switch signal
14 MANU_AUTO_SW Auto/Manual switch signal
15 GND Grounding
16 CO2_BYPASS_SW CO2 canister in-position signal
17 O2+ O2 concentration signal
18 O2- O2 concentration signal
19 TXD_AUX_BRD Auxiliary monitoring board serial port transmitting signal
20 RXD_AUX_BRD Auxiliary monitoring board serial port receiving signal
21 GND Grounding
22 RSVD Reserved
23 RSVD Reserved
24 RSVD Reserved
25 VF Expiratory flow sensor differential pressure output signal
26 GND Grounding
27 TXD_MON_BRD VCM serial port transmitting signal
28 RXD_MON_BRD VCM serial port receiving signal
29 12V 12V power supply
30 GND Grounding
31 5V VCM control safety valve signal
32 5V 5V power supply
33 TXD_CALIBRATE Calibration serial port transmitting signal
34 RXD_CALIBRATE Calibration serial port receiving signal
35 GND Grounding
36 12V 12V power supply

1-44
Pneumatic assembly interface, J2
Pin Name Function
1 7Vout Safety valve power supply
2 SAFE_VALVE Safety valve drive signal
3 7Vout Inspiration valve power supply
4 INSP_VALVE Inspiration valve drive signal
5 7Vout PEEP valve power supply
6 PEEP_VALVE PEEP valve drive signal
7 12V Three-way valve power supply
8 SOLENOID_VALVE1 Three-way valve drive signal 1
9 12V Three-way valve power supply
10 SOLENOID_VALVE2 Three-way valve drive signal 2
11 12V Three-way valve power supply
12 SOLENOID_VALVE3 Three-way valve drive signal 3
13 12V Three-way valve power supply
14 SOLENOID_VALVE4 Three-way valve drive signal 4
15 RSVD Reserved
16 RSVD Reserved
17 RSVD Reserved
18 VF Expiratory flow sensor differential pressure output signal
19 12V Sensor adapter board 12V power supply
20 GND Grounding
21 NC Not connected
22 NC Not connected
23 NC Not connected
24 GND Grounding
25 O2_PRE_SW Gas supply inlet O2 pressure switch signal
26 GND Grounding
27 PNEUM_PRES_SW Pneumatic block pressure switch signal
28 GND Grounding
29 MANU_AUTO_SW Auto/Manual switch signal
30 GND Grounding
31 CO2_BYPASS_SW CO2 canister in-position signal
32 GND Grounding
33 NC Not connected
34 GND Grounding
35 O2+ O2 concentration signal
36 O2- Grounding
37 LOOP_SW Circuit switch
38 GND Grounding
39 NTC_R11 Thermistor signal 1
40 NTC_R12 Thermistor signal 2
41 NTC_R21 Thermistor signal 1
42 NTC_R22 Thermistor signal 2
43 HEA_PWR_15V Heater drive voltage signal

1-45
Pin Name Function
44 HEA_PWR_15V Heater drive voltage signal
45 GND Grounding
46 GND Grounding
47 12V Electronic flowmeter board power supply
48 GND Grounding
49 RXD_FLOW_BRD Electronic flowmeter board serial port receiving signal
50 TXD_FLOW_BRD Electronic flowmeter board serial port transmitting signal

Display interface, J3
Pin Name Function
1 LCD_EN LCD backlight switch signal
2 LCD_BR LCD brightness adjustment signal
3 RXD_TOUCH_PANEL Touchscreen control board serial port receiving signal
4 TXD_TOUCH_PANEL Touchscreen control board serial port transmitting signal
5 NC Not connected
6 LED_AC AC indicator light drive signal
7 LED_BAT Battery indicator light drive signal
8 MAIN_BRD_SDA Main control board I2C signal
9 MAIN_BRD_SCL Main control board I2C signal
10 NC Not connected
11 NC Not connected
12 NC Not connected
13 NC Not connected
14 NC Not connected
15 NC Not connected
16 12V 12V power supply
17 GND Grounding
18 GND Grounding
19 VCC_LCD LCD power supply
20 VCC_LCD LCD power supply
21 GND Grounding
22 GND Grounding
23 LVDS_DATA0+ LVDS data signal
24 LVDS_DATA0- LVDS data signal
25 GND Grounding
26 LVDS_DATA1+ LVDS data signal
27 LVDS_DATA1- LVDS data signal
28 GND Grounding
29 LVDS_DATA2+ LVDS data signal
30 LVDS_DATA2- LVDS data signal
31 GND Grounding
32 LVDS_DATA3+ LVDS data signal
33 LVDS_DATA3- LVDS data signal
34 GND Groundingc
35 LVDS_CLK+ LVDS clock signal

1-46
Pin Name Function
36 LVDS_CLK- LVDS clock signal
37 GND Grounding

Patient monitor module rack interface, J4


Pin Name Function
1 LED_AC AC indicator light drive signal
2 3V3 3.3V power supply
3 12V 12V power supply
4 12V 12V power supply
5 GND Grounding
6 GND Grounding
7 NC Not connected
8 NC Not connected
9 12V 12V power supply
10 RSVD Reserved
11 RSVD Reserved
12 GND Grounding
13 LED_BAT Battery indicator light drive signa
14 PCON-_NON Power on/off inverse phase signal
15 GND Grounding
16 PCON+ Power on/off signal +
17 PCON- Power on/off signal -
18 TOUCHPAD_5V 5V power supply
19 TOUCHPAD_GND Grounding
20 TOUCHPAD_USB+ TOUCHPAD_USB differential signal +
21 TOUCHPAD_USB- TOUCHPAD_USB differential signal -
22 12V 12V power supply
23 GND Grounding
24 NC Not connected
25 NC Not connected

Calibration interface, J5
Pin Name Function
1 NC Not connected
2 NC Not connected
3 NC Not connected
4 NC Not connected
5 NC Not connected
6 12V 12V power supply
7 RXD_CALIBRATE Calibration serial port receiving signal
8 TXD_CALIBRATE Calibration serial port transmitting signal
9 GND Grounding

1-47
Fan interface, J7
Pin Name Function
1 12V3 12V power supply
2 RSVD Reserved
3 FAN1_STATE Fan status signal
4 GND Grounding

Speaker interface, J8
Pin Name Function
1 Speak+ Speaker positive end
2 Speak- Speaker negative end

Battery adapter board interface, J9


Pin Name Function
1 BAT1+ Battery voltage
2 NTC1 Battery internal thermistor
3 BC1 Battery in-position signal
4 GND Grounding
5 BAT2+ Battery voltage
6 NTC2 Battery internal thermistor
7 BC2 Battery in-position signal
8 GND Grounding

Power board interface, J10


Pin Name Function
1 PLAM Buzzer drive signal (drive the buzzer directly)
2 RXD_PWR_BRD Power board serial port receiving signal
3 LOOP_SW Circuit switch (indicates if the circuit is in position)
4 TXD_PWR_BRD Power board serial port transmitting signal
5 NC Not connected
6 GND Grounding
7 LED-BAT Battery status indicator light drive output
8 LCD_EN LCD backlight switch signal
9 LED-AC AC status indicator light drive output
10 LCD_BR Backlight brightness adjustment signal
11 PCON- Power on/off signal
12 3.3VBF 3.3V power supply, only used for power on/off the
machine
13 BAT2+ No.2 battery input (connect to the battery positive end)
14 GND Grounding
15 BC2F No.2 battery in-position signal. Low level indicates that
battery is in position and high level indicates that battery
is not in position.
16 NTC2 No.2 battery internal thermistor signal
17 BAT1+ No.1 battery input (connect to the battery positive end)
18 GND Grounding

1-48
Pin Name Function
19 BC1F No.1 battery in-position signal. Low level indicates that
battery is in position and high level indicates that battery
is not in position.
20 NTC1 No.1 battery internal thermistor signal
21 GND Grounding
22 GND Grounding
23 HEA_PWR_15V Heater drive voltage output
24 HEA_PWR_15V Heater drive voltage output
25 NTC_R12 Thermistor (for controlling heater) pin 1
26 NTC_R22 Thermistor (for controlling heater) pin 2
27 NTC_R11 Thermistor (for controlling heater) pin 1
28 NTC_R21 Thermistor (for controlling heater) pin 2
29 GND Grounding
30 GND Grounding
31 3V3 3.3V voltage output
32 3V3 3.3V voltage output
33 5V 5V voltage output
34 GND Grounding
35 GND Grounding
36 GND Grounding
37 NC Not connected
38 GND Grounding
39 NC Not connected
40 NC Not connected
41 GND Grounding
42 GND Grounding
43 12V 12V power supply output
44 GND Grounding
45 12V 12V power supply output
46 12V 12V power supply output
47 NC Not connected
48 15V2 15.2V voltage output
49 NC Not connected
50 15V2 15.2V voltage output

Main control board interface, J11


Pin Name Function
A1 LCD_VDD LCD power supply
A2 GND Grounding
A3 NC Not connected
A4 NC Not connected
A5 RSVD Reserved
A6 RSVD Reserved
A7 GND Grounding
A8 RSVD Reserved

1-49
Pin Name Function
A9 RSVD Reserved
A10 GND Grounding
A11 UIVCC_USB USB power supply
A12 TOUCHPAD_USB+ TOUCHPAD_USB data signal +
A13 TOUCHPAD_USB- TOUCHPAD_USB data signal -
A14 GND Grounding
A15 SCL CPU board I2C clock
A16 SDA CPU board I2C data
A17 GND Grounding
A18 NC Not connected
A19 NC Not connected
A20 NC Not connected
A21 NC Not connected
A22 FAN1_STATE Fan status signal
A23 NC Not connected
A24 GND Grounding
A25 3V3 Main control board power supply
A26 3V3 Main control board power supply
A27 GND Grounding
A28 GND Grounding
A29 5V Main control board power supply
A30 5V Main control board power supply
A31 GND Grounding
A32 GND Grounding
B1 NC Not connected
B2 NC Not connected
B3 NC Not connected
B4 SPK_OUT+ Speaker drive signal +
B5 SPK_OUT- Speaker drive signal -
B6 GND Grounding
B7 NC Not connected
B8 NC Not connected
B9 NC Not connected
B10 NC Not connected
B11 NC Not connected
B12 GND Grounding
B13 TXD_PWR_BRD Power board serial port transmitting signal
B14 RXD_PWR_BRD Power board serial port receiving signal
B15 GND Grounding
B16 TXD_FLOW_BRD Electronic flowmeter board serial port transmitting signal
B17 RXD_FLOW_BRD Electronic flowmeter board serial port receiving signal

1-50
Pin Name Function
B18 GND Grounding
B19 TXD_TOUCH_PANEL Touchscreen control board serial port transmitting signal
B20 RXD_TOUCH_PANEL Touchscreen control board serial port receiving signal
B21 RSVD Reserved
B22 RSVD Reserved
B23 GND Grounding
B24 NC Not connected
B25 NC Not connected
B26 NC Not connected
B27 GND Grounding
B28 NC Not connected
B29 NC Not connected
B30 NC Not connected
B31 NC Not connected
B32 NC Not connected
C1 GND Grounding
C2 LVDS-TO0+ LVDS data signal
C3 LVDS-TO0- LVDS data signal
C4 GND Grounding
C5 LVDS-TO1+ LVDS data signal
C6 LVDS-TO1- LVDS data signal
C7 GND Grounding
C8 LVDS-TO2+ LVDS data signal
C9 LVDS-TO2- LVDS data signal
C10 GND Grounding
C11 LVDS-TO3+ LVDS data signal
C12 LVDS-TO3- LVDS data signal
C13 GND Grounding
C14 LVDS-TOC+ LVDS clock signal
C15 LVDS-TOC- LVDS clock signal
C16 GND Grounding
C17 TXD_MON_BRD Monitoring board serial port transmitting signal
C18 RXD_MON_BRD Monitoring board serial port receiving signal
C19 GND Grounding
C20 TXD_AUX_BRD Auxiliary monitoring board serial port transmitting signal
C21 RXD_AUX_BRD Auxiliary monitoring board serial port receiving signal
C22 GND Grounding
C23 NC Not connected
C24 NC Not connected
C25 GND Grounding
C26 TP_PWR_CTRL Touchpad power control signal

1-51
Pin Name Function
C27 RSVD Reserved
C28 RSVD Reserved
C29 RSVD Reserved
C30 RSVD Reserved
C31 NC Not connected
C32 NC Not connected

Debugging power on/off interface, J12


Pin Name Function
1 PCON+ Power on/off signal
2 PCON- Power on/off signal

Test point definition


Label Name Function Range (unit:V)
T1 BAT1 Battery voltage 1 Fully charged 12.6±5%
T2 BAT2 Battery voltage 2 Fully charged 12.6±5%
T3 LED_BAT Battery indicator light drive Battery in-position
signal 2.5~3.5;
Battery not in-position
0~0.4
T4 TXD_7024 Auxiliary monitoring board High level 2.4~5;
serial port transmitting signal Low level 0~0.4
T5 TXD_TOUCH Touchscreen control board High level 2.4~5;
serial port transmitting signal Low level 0~0.4
T6 RXD_7024 Auxiliary monitoring board High level 2.4~5;
serial port receiving signal Low level 0~0.4
T7 RXD_TOUCH Touchscreen control board High level 2.4~5;
serial port receiving signal Low level 0~0.4
T8 TXD_33209 Auxiliary monitoring board High level 2.4~5;
serial port transmitting signal Low level 0~0.4
T9 TXD_FLOW Electronic flowmeter board High level 2.4~5;
serial port transmitting signal Low level 0~0.4
T10 RXD_33209 VPM serial port receiving High level 2.4~5;
signal Low level 0~0.4
T11 RXD_FLOW Fresh flow sensor board serial High level 2.4~5;
port receiving signal Low level 0~0.4
T12 TXD_POWER Power board serial port High level 2.4~5;
transmitting signal Low level 0~0.4
T13 RXD_POWER Power board serial port High level 2.4~5;
receiving signal Low level 0~0.4
T14 5V 5V power supply 4.75~5.25
T15 3.3V 3.3V power supply 3.135~3.465
T16 15V2 15.2V power supply 14.44~15.96
T17 12V 12V power supply 11.4~12.6
T18 P15V Heater power supply 0~15
T19 LED_AC AC indicator light drive signal With AC: 5~3.5;

1-52
Label Name Function Range (unit:V)
Without AC: 0~0.4
T20 12V1 12V power supply 11.4~12.6
T21 12V2 12V power supply 11.4~12.6
T22 12V3 12V power supply 11.4~12.6
T23 7V 7V power supply 6.65~7.35
T24 LCD_EN LCD backlight enabled signal High level 3.145~3.465;
Low level 0~0.3
T25 LCD_BR LCD backlight brightness Brightest 0~1.5; least
adjustment signal bright 4.75~5.25

1.7.2 Monitoring Module


The monitoring module performs pressure and flow detection of anesthetic ventilator and
anesthetic breathing system, valve control, status monitoring collection, O2 concentration
reading, accurate pressure and flow monitoring within the circuit, and accurate control of tidal
volume. The monitoring module is composed of two boards, which are monitoring signal
detection board and valve drive board.

1.7.2.1 Monitoring Signal Detection Board

Monitoring signal detection board (Top view)

1-53
Monitoring signal detection board (Bottom view)

Monitoring signal detection board communication interface, J1


Pin Name Function
1 TXD Serial port transmitting
2 RXD Serial port receiving
3 12V 12V power supply (range: 10.8V~13.2V)
4 GND Grounding
5 GND Grounding
6 12V 12V power supply (range: 10.8V~13.2V)
7 CLOSE_SAFE Safety valve control signal
8 5V 5V power supply (range: 4.75V~5.25V)

VT calibration communication interface, J7


Pin Name Function
1 TXD_CALIBRATE Calibration serial port transmitting signal
2 RXD_CALIBRATE Calibration serial port receiving signal
3 GND Grounding
4 12V 12V power supply (range: 10.8V~13.2V)

1-54
Three-way valve interface, J6
Pin Name Function
1 12V Three-way valve power supply (range: 10.8V~13.2V)
2 SOLENOID_VALVE1 Three-way valve control 1
3 12V Three-way valve power supply (range: 10.8V~13.2V)
4 SOLENOID_VALVE2 Three-way valve control 2
5 12V Three-way valve power supply (range: 10.8V~13.2V)
6 SOLENOID_VALVE3 Three-way valve control 3
7 12V Three-way valve power supply (range: 10.8V~13.2V)
8 SOLENOID_VALVE4 Three-way valve control 4

Valve drive board communication interface, J5


Pin Name Function
1 TXD_VPM Ventilation protection board serial port transmitting signal
2 RXD_VPM Ventilation protection board serial port receiving signal
3 GND Grounding
4 12V 12V power supply (range: 10.8V~13.2V )

O2 cell interface, J12


Pin Name Function
1 O2+ O2 cell +
2 O2- O2 cell -
3 GND Grounding

Test point definition

Label Function Range (unit:V)


10V5 10.5V Power supply 9.957~11.025
R5V 5V Power supply 4.75~5.25
7V 7V Power supply 6.65~7.35
A5V 5V Power supply 4.75~5.25
3V3 3.3V Power supply 3.15~3.45
1V3 1.3V Power supply 1.235~1.365
2V5 2.5V Power supply 2.375~2.625
R5V 5V Power supply 4.75~5.25
12V 12V Power supply 10.8~13.2
VH1~VH2 1.136V Power supply 1.079~1.193
VF1~VF3 0.278V Power supply 0.264~0.292
VP1~VP2 0.877V Power supply 0.833~0.921
SAN1 Three-way valve signal 1 0~12
SAN2 Three-way valve signal 2 0~12
SAN3 Three-way valve signal 3 0~12
SAN4 Three-way valve signal 4 0~12

1-55
1.7.2.2 Valve Drive Board

Valve drive board (Top view)

Valve drive board (Bottom view)

1-56
Proportional valve and safety valve drive interface, J4
Pin Name Function
1 7V Safety valve power supply (Range: 6.65V~7.37V)
2 SAFE_VALVE Safety valve control signal
3 7V Inspiration valve power supply (Range: 6.65V~7.37V)
4 INSP_VALVE Inspiration valve control signal
5 7V PEEP valve power supply (Range: 6.65V~7.37V)
6 PEEP_VALVE PEEP valve control signal

Power supply interface, J2


Pin Name Function
1 GND Grounding
2 GND Grounding
3 12V 12V power supply (Range: 10.8V~13.2V)

Status detection interface, J8


Pin Name Function
1 GND Grounding
2 PNEUM_PRE_SW Pneumatic block pressure switch signal: high level
indicates the pneumatically-driven supply is not in position
and the low level indicates it in the position; The high level
ranges from 2.4V~3.5V, and the low level from 0V~0.8V.
3 GND Grounding
4 NC Not connected
5 GND Grounding
6 NC Not connected
7 GND Grounding
8 ACGO_PRE_SW ACGO switch signal: A high level indicates ACGO is off
and a low level indicates ACGO is on; the high level
ranges from 2.4V~3.5V and the low level ranges from
0V~0.8V.
9 GND Grounding
10 O2_PRE_SW Gas supply inlet O2 pressure switch signal: High level
indicates O2 supply is not in the position and the low level
indicates O2 supply is in the position. the high level ranges
from 2.4V~3.5V and the low level ranges from 0V~0.8V.
11 GND Grounding
12 MANU_AUTO_SW Auto/Manual switch signal: High level indicates the auto
switch and the low level indicates the manual switch. the
high level ranges from 2.4V~3.5V and the low level ranges
from 0V~0.8V.

Test point definition


Label Function Range (unit:V)
3V3-VCM 3.3V Power supply 3.15~3.45
1238mV 1.238V Power supply 1.176~1.300
V7V1 7V Power supply 6.65~7.35

1-57
V5V1 7V Power supply 6.65~7.35
SAFE1 Safety valve signal 0~12
7V 7V Power supply 6.65~7.35
D5V 5V Power supply 4.75~5.25
1V3 1.3V Power supply 1.235~1.365
D3V3 3.3V Power supply 3.15~3.45
2V5 2.5V Power supply 2.375~2.625
R5V 5 V Power supply 4.75~5.25

1.7.3 Battery
1.7.3.1 Battery
For A5 anesthesia system:
‹ Battery: 11.1V4.5Ah×2 lithium-ion battery (sealed)
‹ Battery running time: 150 min (new battery)
‹ Battery charge time: maximum 8 hours calculated from initial capacity of 10%

1.7.3.2 Battery Adapter Board

Battery adapter board (Top view)

Battery adapter board (Bottom view)

Battery interface, J1 and J2


Pin Name Function
1 BAT+ Battey voltage +
2 BAT+ Battey voltage +
3 BC Battery in-position signal
4 BAT- Battey voltage -
5 NTC Battery internal thermistor
6 BAT- Battey voltage -
7 BAT- Battey voltage -

1-58
Battery connection line interface, J3
Pin Name Function
1 VBAT1 Battey voltage
2 NTC1 Battery internal thermistor
3 BC1 Battery in-position signal
4 GND Grounding
5 VBAT2 Battey voltage
6 NTC2 Battery internal thermistor
7 BC2 Battery in-position signal
8 GND Grounding

1.7.4 Heater of the Breathing System


The breathing system heater of A5 anesthesia machine provides software and hardware
temperature protection. It switches over its operating mode automatically according to the change
in ambient temperature.

1.7.5 Anesthesia Calculation and Infrared Module Rack


Anesthsia calculation and infrared module rack involve two boards—infrared communication
board and anesthesia signal transfer board

1.7.5.1 Infrared Communication Board

Infrared communication board (Top view)

1-59
Infrared communication board (Bottom view)

Infrared communication board interface, J2


Pin Name Function
1 VPP 12V power supply
2 VPP 12V power supply
3 GND Grounding
4 GND Grounding
5 VDD 3.3V power supply
6 VDD 3.3V power supply (IO pull-up power supply)

Infrared communication board interface, J4


Pin Name Function
1 INTERFACE_TX0 Infrared communication board transmitting signal
2 INTERFACE_RX0 Infrared communication board receiving signal
3 GND Grounding

1.7.5.2 Anesthesia Signal Transfer Board

Anesthesia signal transfer board (Top view)

1-60
Anesthesia signal transfer board (Bottom view)

1.8 O2-driven Ventilator


1.8.1 O2-driven Ventilator
O2 is the drive gas of the ventilator. In addition to the flowmeter module, a high-pressure
regulator reduces the supply gas pressure to 200kPa (29psi). This pressure is the pressure of
ventilator dirve gas.

The drive gas pressure regulator is located before the proportional valve. The proportional valve
produces drive gas flow during inspiration phase. The gas flow fills the space between the
bellows and bellows housing.

1.8.2 High-pressure Drive Gas Regulator (200kPa, 29psi)


The drive gas pressure regulator functions to stabilize the supply gas pressure provided for the
proportional valve.

The gas flow is controlled by the electronic proportional valve and is independent of pressure
level.

Setting the drive gas pressure regulator to 200kPa (29psi) can cause the ventilator’s maximum
inspiratory flow to reach 110L/min.

1.8.3 Drive Gas Assembly


The drive gas assembly mainly consists of inspiratory circuit and PEEP circuit. The gas flow in
inspiratory circuit goes through the inspiration valve and produces flow of 0 to 110L/min. The
gas flow in PEEP circuit goes through the PEEP valve and produces pressure of 3 to 30cmH2O.
Both PEEP valve and inspiration valve are electronic proportional valves and are controlled by
valve drive board.

1.8.4 Tube Color Coding


All the pneumatic tubes used in the anesthesia system are transperant.

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FOR YOUR NOTES

1-62
2 Installation Guide
2.1 Preparation
The following additional materials are required before installation. The customer is
responsible for supplying these materials. Missing items may result in delays, incomplete
installations, and/or additional service visits.
„ O2 cylinder, N2O cylinder, and Air cylinder in compliance with the configuration
standard.
„ Anesthetic vaporizer and adapter (if not purchased together with the anesthesia system)
„ Anesthetic agent
„ Loose fill or Pre-pak CO2 absorbent
„ Effective O2, N2O, and Air gas sources (280 to 600kPa (40 to 87psi))
„ Dropdown hoses for ceiling mounted medical gas equipment, compatible with quick-
disconnect hoses ( if not purchased together with the anesthesia system)

2.2 Assembly
NOTE: after the flow sensors are calibrated, the anesthesia machine must be used together
with the breathing system module. If the breathing system module is removed, make sure that
it is re-installed onto the original anesthesia machine. If other breathing system module is to
be installed, the flow sensor must be re-calibrated (please refer to 4.3.2 Flow Calibration
(Factory)).
2.2.1 Unpacking and Setup
1. After receiving A5, check the packing box for damage immediately.
a. If there is no damage and the anti-tilt label on the packing box is in good condition, sign
the name and date on the bill of lading or air waybill to indicate that the anesthesia
machine has been received safely.
b. If there is damage or the anti-tilt label on the packing box is not in good condition,
describe the damage on the bill of lading or air waybill. Both the carrier and the receiver
must sign his name and date on the bill of lading or air waybill. Save all damaged
delivery package until further information is given by Mindray. The receiver must
contact Mindray Customer Service Department immediately.

NOTE: When unpacking the equipment, keep as much of the plastic covering on the
equipment. When all parts are unpacked, place the packing materials into the original packing
box. Then, place the smaller boxes inside the large box.

2-1
2. Cut, remove, and discard the white packing straps on the packing box.

3. Remove the packing box cover and put it on the floor beside the equipment. Later, the
cover can be used as slope for the convenience of pushing A5 onto the floor.

4. Lift the packing box and remove it from the top of the equipment.

2-2
5. Remove the foam from the top of A5.

6. Cut the plastic straps as shown below. Pull down the plastic bag from the equipment.

7. Cut the plastic straps close to the back of A5. Take care not to scratch or damage the
equipment. Remove and discard the plastic straps. Remove the empty box on the
equipment bench.

2-3
8. Remove the foam from the display and bench.

9. After removing the plastic straps and foam, check if there is a box available at one side
of the equipment, as shown below.

10. Remove the two orange straps from the base of packing box platform. Keep these two
straps in case that A5 needs re-packing.

11. Remove the wood from the front of the A5. Remove the foam and packing material
from around the front the equipment.

2-4
12. Remove the foam and packing material from around the back the equipment.

13. Place the packing box cover beside the wooden box base, using as the slope for pushing
the equipment onto the floor, as shown below. Place the smooth side of the wood
upward. A supporting foot is available at the other side of the wood to support the slope.
Fix the slope onto the wooden box with buckle strap.

14. Rotate the casters for 90°. Then push A5 gently to roll it down the slope. Remove the
packing box on the equipment. Keep the packing box in case that A5 needs re-packing.
Note: Please check the packing details when performing the following installations.
15. Open the bottom drawer and take out the breathing system assembly and bag arm
assembly.

2-5
16. Install the breathing system assembly onto A5. Take care to align the assembly with A5
and then push it to A5 directly until it is stuck at the proper position.

17. Open the small box containing bellows assembly and bellows housing gently. Remove
the plastic bag from the assembly and put the foam and plastic bag into the box.
18. Install the bellows onto the breathing system. After installation, make sure that the
bellows are fully extended and surround the tabs of breathing system.

19. Place the bellows housing downward onto the breathing system. Then rotate it clockwise
to fix it at proper position (the scale marks on the bellows housing shall be placed
forward for the convenience of being seen by the operator).

2-6
20. Align with the slots to install the bag arm assembly as shown below.

21. Push the bag arm assembly into the breathing system and tighten the fixing nut as shown
below.

2-7
22. Open the middle and bottom drawers and take out the detachable absorber canister
assembly, waste gas scavenging system hose, and waste gas scavenging assembly gently.

23. Install the white absorber canister hose onto the absorber canister assembly. Install the
absorber canister assembly when it is not stably placed. First install its lower part. Align
the pins with the holes. Then align the upper part. Push in the upper part upward until
the front and back latches are stuck at the proper position.

2-8
24. Fill Pre-pack or loose fill CO2 absorbent into the canister. Slide the canister into the
canister assembly. Rotate the lock bar anticlockwise for 90° to fix the canister at the
proper position.

25. Slide the scavenging assembly into the rail at the left bottom of A5 (namely, the same
side with the breathing system assembly). Then tighten the thumbscrew to fix the
assembly at the proper position. Install one end of the scavenging hose onto the
scavenging assembly and the other end onto A5, as shown below.

26. Open the top drawer and check if it contains the following:
‹ Auxiliary O2/Air reference card
‹ Preoperative checklist
‹ Inspiratory flow sensor and expiratory flow sensor
‹ O2 cell unit (optional configuration)
‹ Cylinder wrench
‹ Drawer key

2-9
27. Loosen the two fast locking screws to open the service door. Remove the two hand
screws to open the battery box. Install one or two batteries and make sure that the
batteries are installed with correct polarity. Close the battery box and tighten the hand
screws.

28. Before installing the cylinders onto the back of A5, make sure that washer is already
installed. Remove the tape fixing the washer. Then install the cylinders. Make sure that
the cylinders are fixed onto the respective cylinder connectors (marked with O2, Air,
and N2O).
29. Connect the gas supplies. Rotate the hose connectors clockwise to tighten them onto the
gas supply connectors. Make sure that the supply gas pressure is within the specified
range.
30. Connect the manual bag (supplied by the user) to the bag arm.
31. Connect the patient’s breathing circuit (supplied by the user) to the inspiratory and
expiratory connectors.
WARNING: Use breathing circuit and manual bag according to ASTMF1208. Standard
male 22mm conical fittings can be used for breathing circuit and manual bag according
to ASTM F1054.
32. Rotate the knob at the top of AGSS tank until the float is between the minimum and
maximum marks. Connect the hose from the gas scavenger to the EVAC connector of
operating room.
33. Install the O2 sensor inside the stainless housing. Tighten the O2 sensor properly.
34. Connect the O2 sensor external cable between the O2 sensor and the side of A5. Align
the cable with the yellow mark on the connector.

2-10
35. Insert the power cord into the grounded socket. Set the main unit power switch (located
on the front of A5) to ON position to turn on A5. Wait until the LCD display displays
leak test related information. View if power-on selftest is successful. Do not connect,
disconnect, or move the breathing circuit or bag during selftest.
36. Install the patient monitor and arm according to the instructions in the monitoring kit.
WARNING: Use only Mindray approved patient monitor and arm for A5.
37. Connect the sample gas return hose (P/N: 115-015457-00) to the gas module outlet and
the sample gas return port at the back of A5 (above the EVAC connector).
38. Put the following parts into the bottom drawer:
‹ A5 operator’s manual
‹ Sealing washer
39. Hang the preoperative checklist and auxiliary O2/Air reference card onto the handle of
A5.

2.2.2 Breathing System, Breathing System Accessories and


Checkout Procedures

1. Patient circuit 2. AGSS transfer tube


3.AGSS 4. CO2 absorbent 5. O2 sensor and cable

2.2.3 AGSS Connections


1. Take out the AGSS from the foam and plastic bag.
2. Install the AGSS onto A5 via the GCX compatible rail system.
3. Connect the AGSS transfer tube between the AGSS inlet port and A5 exhaust port.

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2.2.3.1 Cylinder Wrench and Preoperative Checklist
1. Fix the cylinder wrench onto the back of A5 so that it can be used to open or close
cylinders without disconnecting from the machine.
2. Put the preoperative checklist at the location of A5 easily accessible for the operator.

2.2.4 Vaporizer
WARNING: If the vaporizer is incompatible with the A5 Anesthesia System, the
vaporizer will not work at all. Use vaporizers with Selectatec mounting system that are
compliant to ISO8835-4. Refer to the vaporizer manufacturer’s Instructions For Use for
filling or draining the vaporizer and other information.

WARNING: For the A5 Anesthesia System, using or turning on more than one
vaporizer simultaneously is mechanically prevented by the Selectatec mount system. Do
not attempt to override this safety feature.

WARNING: Use care in lifting and manipulating vaporizers during the mounting
process as their weight may be greater than expected, based on their size and shape.

NOTE: The barometric pressure at the customer side may be different from the factory
calibration pressure of anesthetic vaporizer. This may cause inaccurate concentration
output of anesthetic agent. The operator should continuously monitor the concentration
of anesthetic agent during system use.

1. Align the vaporizer over the valve cartridges of the mounting bar. Hang the vaporizer on
the mounting bar as shown below. Note that the locking handle is in the unlocked
position.

Locking handle in
the unlocked
position

2-12
2. Rotate the locking handle clockwise to the locked position as shown below.

Locking handle in the


locked position

2.2.4.1 Assemble the Vaporizer


1. Mount the vaporizer onto the manifold.
2. Push and turn the locking lever clockwise to lock the vaporizer in position.
3. Ensure that the top of the vaporizer is horizontal. If not, remove the vaporizer and
reinstall it.
4. When reinstalling the vaporizer, lift each vaporizer straight up off the manifold rather
than pulling forward. Do not rotate the vaporizer on the manifold.
5. If a vaporizer unintentionally lifts off the manifold, install it again and complete steps 1
through 3. If the vaporizer lifts off a second time, do not use the system.
NOTE: A Desflurane vaporizer may be mounted similarly as other vaporizers, but may
require a power cord. For more detailed instructions on installation and proper use, refer
to the specific manufacturer’s Instructions for Use of the Desflurane vaporizer.

2.2.4.2 Fill the Vaporizer


NOTE: The A5 should use vaporizers with Selectatec mounting system that are
compliant to ISO8835-4. Refer to the vaporizer manufacturer’s Instructions For Use for
filling or draining the vaporizer and other information.
WARNING: Ensure that the correct anesthetic agent is used. The vaporizer is designed
with the specific anesthetic agent name on it and further indicated by color coded label.
The concentration of the anesthetic agent actually outputted will vary if the vaporizer is
filled with the wrong agent.

2.2.4.3 Drain the Vaporizer


WARNING: Do not reuse the agent drained from the vaporizer. Treat as a hazardous
chemical and follow local regulations for proper disposal.
NOTE: The A5 should use vaporizers with Selectatec mounting system that are
compliant to ISO8835-4. Refer to the vaporizer manufacturer’s Instructions For Use for
filling or draining the vaporizer and other information.

2-13
2.2.5 Backup Cylinder
1. Remove the cover from a new O2, N2O, and AIR cylinder.
2. Mount one cylinder at a time onto the rear of the anesthesia machine.
3. Discard the cylinder's tank washer. Always use the approved tank washer provided with
the A5.
4. Open the bail of each yoke and mount the cylinder over the tank washer.
5. Ensure the O2 cylinder mates to the O2 Pin Index Safety System (PISS) connection on
the O2 yoke. Close the yoke bail and use the hand-screw to tighten the cylinder to the
yoke port.
6. Ensure that the N2O cylinder mates to the N2O PISS connection on the N2O yoke.
Close the yoke bail and use the hand-screw to tighten the cylinder to the yoke port.
7. Ensure that the AIR cylinder mates to the AIR PISS connection on the AIR yoke. Close
the yoke bail and use the hand-screw to tighten the cylinder to the yoke port.

2.2.6 Monitoring Products Mounting and Electrical


Connection (if available)
1. Mount the monitor (if available) according to the manufacturer’s monitor assembly
instructions.
NOTE: Use of other monitor and mounting hardware is performed by the installer.
2. After mounting a monitor to the A5, connect it to one of the AC outlets located on the
rear of the A5.
3. Turn on each monitor one at a time. Verify that the circuit breaker holds without
tripping.
4. Dress each line cord neatly along the side of the anesthesia machine or tucked inside the
monitor arm. An optional cable routing kit is available. The cable routing kit contains
three (3) clips, screws, and two (2) Ethernet cables. The clips attach to three (3) sets of
holes on the rear door of the A5. Ethernet and power cables can be routed through the
clips.

2-14
2.3 Factory Setup
The password set by the factory is 558188.

Choose [Main] > [Service] and then enter the password set by the factory to access the
factory setting menu.

The factory setting menu includes function activation, drive gas setting, flowmeter pipeline
setting, ACGO setting, module rack setting, AG module setting, BIS module setting, NMT
module setting and CO2 module setting. After you modify some factory configurations, you
have to restart the machine for the modification to take effect. After you enter the password
set by the factory, a screen as shown in the following figure is displayed.

NOTE: All setting items under factory setting menu are enabled only in standby mode.

2-15
2.3.1 Function Activation
The system supports activation code-based activation and activation code file-based
activation.
The activation code file must be placed in the root directory of USB.
If both PCV and PCV-VG ventilation modes are activated for a machine, the system only
reserves the PCV-VG ventilation mode.
The newly activated function can take effect only after you restart the machine.

2.3.2 Drive Gas


Drive gas has two options: O2 and AIR. Maintenance personnel shall configure this function
as required.

2-16
2.3.3 Flowmeter Standard
Flowmeter standard has five options: American, European, Chinese, Canadian, and Custom.
Maintenance personnel shall configure this function as required.

NOTE: Canadian-standard flowmeters are in the order of American-standard flowmeters but


with the colours of European-standard flowmeters. Custom-standard flowmeters are in the
order of AIR, N2O and O2 from left to right with the colours of European-standard
flowmeters.

2.3.4 Flowmeter Pipeline


A Flowmeter pipeline has three options: O2+N2O+AIR, O2+AIR, and O2+N2O.
Maintenance personnel should configure this function according to the practical requirements.

2.3.5 ACGO
ACGO has three options: Off, ACGO with three-way valve, and electronic ACGO. Among
them, Off applies to the machine that does not need to be configured with ACGO, machine
that needs to be configured with a non-independent ACGO, and machine that needs to be
configured with independent ACGO without three-way valve. Independent ACGO with three-
way valve applies to the machine that needs to be configured with ACGO with three-way
valve. Electronically controlled ACGO applies to the machine that needs to be configured
with electronically controlled ACGO.

2.3.6 Module Rack


The setting of module rack provides two options: Open and Close.

When module rack is set to Open, the machine can identify module plugging and monitor the
module rack fan speed.

When module rack is set to Close, the machine cannot identify module plugging or monitor
the module rack fan speed.

2.3.7 AG Module
The setting of AG module provides two options: Open and Close.

When AG module is set to Open, the machine can identify the external AG module.

When AG module is set to Close, the machine cannot identify the external AG module.

2.3.8 BIS Module


The setting of BIS module provides two options: Open and Close.

When BIS module is set to Open, the machine can identify the external BIS module.

When BIS module is set to Close, the machine cannot identify the external BIS module.

2.3.9 CO2 Module


The setting of CO2 module provides two options: Open and Close.

When CO2 module is set to Open, the machine can identify the external CO2 module.

When CO2 module is set to Close, the machine cannot identify the external CO2 module.

2-17
2.3.10 NMT Module
The setting of NMT module provides two options: Open and Close.

When NMT module is set to Open, the machine can identify the external NMT module.

When NMT module is set to Close, the machine cannot identify the external NMT module.

2.4 Functional Tests


Refer to 4 Calibration if any values are out of specification.

NOTE: The A5 system must be under power-up state (AC power instead of battery) and the
breathing system heating device set to ON position at least an hour before performing the
ventilation test (starting from 2.7.5.) (version 2.01.00 and higher).

2.4.1 Gas Delivery System Tests


2.4.1.1 O2 Flush Verification
1. Connect the bag arm to the expiratory port via a breathing hose.
2. Set the Auto/Manual switch to the Manual position.
3. Set the APL valve to 75.
4. Connect the flowmeter to the inspiratory port.
5. Verify that the O2 flush flow is between 35 and 50 L/min when the O2 flush valve is
pressed.

2.4.1.2 O2:N2O Ratio System


1. Set the O2 and N2O flow control valves to minimum.
2. Rotate the O2 flow control valve until the flowmeter displays 1L/min.
3. Rotate the N2O flow control valve and adjust N2O flow to maximum.
4. Verify that the N2O flow is between 2.5L/min and 3.7L/min.
5. Decrease the N2O flow to minimum.
6. Decrease the O2 flow to minimum.

2.4.2 Breathing System Leak Test


NOTE: Perform leak test again each time after servicing the anesthesia machine, replacing
the components, or re-connecting the tubes.

2-18
2.4.2.1 Breathing System Leak Test in Mechanical Ventilation Mode
The test aims to check if the pneumatic circuit has leaks in mechanical ventilation mode. Test
items include bellows, drive gas circuit, CO2 canister, patient tubes, flow sensors and their
connectors.

To do the breathing system leak test in mechanical ventilation mode:

1. You can access the automatic circuit leak & compliance test screen after passing power-
on selftest. You can also access the automatic circuit leak & compliance test screen by
opening the Main Menu and select Test Leak/Compliance from General. The automatic
circuit leak & compliance test screen is shown below. Set up the machine as per the
instructions on the screen. Then select Continue to execute automatic circuit leak and
compliance test. You can select Skip to access standby screen directly.

2. Undertake the related operations according to the notes in the screen.


Results Indications/Options
Automatic circuit leak volume: Leak volume ≤ 200 mL/min
Pass Compliance test result displays Green.
Compliance test: XX.X
mL/cmH2O Choose [Continue] and access to the manual circuit leak
test screen.

2-19
Automatic circuit leak: XXX 200 mL/min < Leak volume ≤ 1000 mL/min
mL/min Compliance test went on successfully.
Compliance test: Pass

Choose [Continue] and access to manual circuit leak test


screen. Make use of the previous compliance value.
Or
Choose [Retry] and repeat the automatic circuit leak and
compliance test.

Treatment measures:
1.Check if all the pipes are connected well.
2.Check if the Y-piece port is sealed well.
3.Check if the water collection cup is installed and the
drain valve is closed well.
4.Check if the sampling pipe is connected well.
Automatic circuit leak: XXX Leak volume >200 mL/min and ≤ 1000 mL/min
mL/min
Compliance test: Fail
Choose [Continue] and accessto the manual circuit leak
test screen and make use of the previous compliance
value.(Use the fresh air to compensate the leak volume)
Or
Choose [Retry] and repeat the automatic circuit leak and
compliance test.

Treatment measures:
1.Check if all the pipes are connected well.
2.Check if the Y-piece port is sealed well.
3.Check if the water collection cup is installed and the
drain valve is closed well.
4.Check if the sampling pipe is connected well.
Automatic circuit leak: Fail Leak volume > 1000 mL/min.
Compliance test: Fail No fresh air is detected.

Eliminate the troubles according to the tips in the screen.

Or
Select [Manual Only] to enable only manual ventilation
for the equipment. The low-priority alarm "Automatic
Ventilation Disabled–Leak Test Failed" will be displayed
on the main screen.

WARNING
z Selecting Manual Only will disable
mechanical ventilation.

Treatment measures:
1.Check if all the pipes are connected well.
2.Check if the Y-piece port is sealed well.
3.Check if the water collection cup is installed and the
drain valve is closed well.
4.Check if the sampling pipe is connected well.

2-20
MACHINE NON-FUNCTIONAL The safety valve control test or pressure verification test
Automatic Circuit Leakage: Fail failed.
Compliance Test: XX.X Select Retry to repeat the automatic circuit leak and
mL/cmH2O compliance tests.
Safety Valve Control: Fail Or
Contact the customer service center if this error condition
persists.
NOTE
z Service Access button: This button is
available only to Mindray-authorized
service personnel and a service password
is required.

Treatment measure:
Check if the safety valve connection cables are
connected well.

NOTE: In case of automatic circuit leak test failure or compliance test failure, make use of
the visual tips and the helpful information to check if the drain valve and the sampling
port have been sealed completely. Besides, the connecting error or interface damage of
bellows, respiratory system pipes or CO2 canister also can cause the test failure.

2-21
2.4.2.2 Breathing System Leak Test in Manual Ventilation Mode
The test aims to check if the pneumatic circuit has leaks in manual ventilation mode. Test
items include APL valve, check valve, CO2 canister, patient tubes, flow sensors and their
connectors.

To do the breathing system leak test in manual ventilation mode


1. You can access the manual circuit leak test screen after passing automatic circuit leak &
compliance test. You can also access the manual circuit leak test screen after opening
the Main Menu and select Test Leak/Compliance from Calibrate/General to complete
automatic circuit leak & compliance test. The manual circuit leak test screen is shown
below.

2. Perform the related operations according to the directions in the screen.


Results Indications/Options
Pass Leak volume <= 200ml/min.

Adjust APL valve to SP.


Choose Continue and access to the main menu.
Fail: XXX mL/min Leak volume >200 ml/min & <=1000 ml/min

Eliminate troubles according to the tips in the screen.


Or
Adjust APL valve to SP and choose Accept and then
access to the main menu.

Treatment measures:
1. Check if all the pipes are connected well.
2. Check if the Y-piece port is sealed well.

2-22
Results Indications/Options
3. Check if the water collection cup is installed and
the drain valve is closed well.
4. Check if the sampling pipe is connected well.
Fail Leak volume > 1000 ml/min

Eliminate troubles according to the tips in the screen.


Or
Adjust APL valve to SP and choose Accept and then
access to the main menu.

Treatment measures:
1. Check if all the pipes are connected well.
2. Check if the Y-piece port is sealed well.
3. Check if the water collection cup is installed and
the drain valve is closed well.
4. Check if the sampling pipe is connected well.
Fail: Fresh gas flow detected The manual circuit leak test failed.
Fresh gas is detected.
Zero all flowmeters.
Select Retry to repeat the test.

Treatment measure:
Cut off the fresh air.
Time out Test results cannot be displayed due to an internal
communication error.
Select Retry to repeat the automatic circuit leak and
compliance tests.
Or
Select Override to skip the test.

Treatment measures:
1. Check if all the pipes are connected well.
2. Check if the Y-piece port is sealed well.
3. Check if the water collection cup is installed and
the drain valve is closed well.
4. Check if the sampling pipe is connected well.

NOTE: If there is a leak, check the pneumatic circuit system for leakage and troubleshoot the
problems as described in 5.3 Pneumatic System Problems. Do leak test again after failure
source is fixed,

NOTE: If there is a leak, check the pneumatic circuit system for leakage and troubleshoot the
problems as described in 5.3.4 Breathing System. Do leak test again after leak failure is fixed.

2-23
2.4.2.3 Commonly-encountered Problems and Recommended Actions
The following table lists the commonly-encountered problems and recommends actions for
2.4.2.2Breathing System Leak Test in Manual Ventilation Mode.

Failure description Possible cause Recommended action


Leak test failure is The Auto/Manual switch is set to the Manual Set the Auto/Manual
prompted immediately position and the message [Manual Vent.] is switch to the Auto
after [Begin] is selected prompted. position
(typically, the leak test The reading on the drive gas (O2) pressure Replace or connect gas
requires at least 3 gauge indicates drive gas pressure low (lower supplies and make sure
minutes). than 200kPa) and the alarm of [Drive Gas that the drive gas
Pressure Low] is produced. pressure is at 350 to
450kPa.
During leak test, the 1. Before the leak test, the bellows is not Check the pneumatic
pressure indicated by fully inflated. circuit connections and
the airway pressure 2. The Y piece on the breathing tube is not re-install the pneumatic
gauge fails to reach connected to the test plug. circuit.
30cmH2O. 3. The bellows housing is not properly
installed.

2.4.3 O2 Sensor Calibration


NOTE: Perform 21% and 100% O2 calibrations before using A5 for the first time. The O2
sensor is not calibrated before delivery.

NOTE: Calibrate the O2 sensor again when a great deviation of O2 concentration monitored
value occurs, or when the O2 sensor or valve drive board is replaced, or when the anesthesia
system gives a prompt message.

NOTE: Before calibration, check if the O2 sensor displays numerics on the measure screen.
If not, check the O2 sensor connection line or replace the O2 sensor until measure numerics
are displayed.

2.4.3.1 21% O2 Calibration


Follow these steps to calibrate O2 sensor at 21% O2.
1. Select [Main]> [General]> [Calibrate O2 Sensor], or select [Main]> [System]>
[Calibrate / Check O2 Sensor], or select [Main]> [Service]> [Calibration]> [O2
Sensor] to enter the screen shown below. The [General] tab displays only the O2 sensor
calibration at 21% O2. The [System] and [Service] tabs display the O2 sensor
calibration at 21% O2 and 100% O2, and need passwords. Follow the instructions on the
screen to set the machine. Select [Begin] to start calibration.

2-24
2. The calibration screen shown below is displayed after [Begin] is selected. During the
calibration, you can select [Cancel] to abort.

2-25
3. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

4. The screen shown below is displayed if the calibration fails. The fonts in red indicate the
fault code. Select [Try Again] to do the calibration again or select [Done] to exit the
calibration screen.

5. The screen shown below is displayed after a successful calibration. Select [Done] to exit
the calibration screen.

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2.4.3.2 100% O2 Calibration
NOTE 100% O2 calibration must be performed in standby mode.
NOTE 100% O2 calibration can be performed only after a successful 21% O2 calibration.

Follow these steps to calibrate O2 sensor at 100% O2.


1. Enter the standby mode.
2. Select [Main] > [System] > [Calibrate / Check O2 Sensor] or select [Setup] >
[Service] > [Calibration] > [O2 Sensor]. The [System] and [Service] tabs display O2
sensor calibration at 21% O2 and 100% O2 and need passwords. The calibration screen
shown below is displayed after [100%] is selected. Follow the instructions on the screen
to set the machine and select [Next]. Set the Auto/Manual switch to the Auto position.

3. After [Next] is selected, the calibration screen shown below is displayed. Follow the
instructions on the screen to set the machine.

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4. After [Next] is selected, the calibration screen shown below is displayed. Follow the
instructions on the screen to set the machine. Wait 2 minutes and ensure that the O2 cell
voltage has stabilized at the maximum value for at least 30s. Select Begin.

5 The calibration screen shown below is displayed after [Begin] is selected. During the
calibration, you can select [Cancel] to abort.

6. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

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7. The screen shown below is displayed if the calibration fails. The fonts in red indicate the
fault code. Select [Try Again] to do the calibration again or select [Done] to exit the
calibration screen.

8. The screen shown below is displayed after a successful calibration. Select [Done] to exit
the calibration screen.

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2.4.3.3 Commonly-encountered Problems and Recommended Actions
Failure description Possible Cause Recommended Action
If the alarm [O2 Sensor
Unconnected] is displayed, it
Connect the O2 sensor.
indicates that O2 sensor is not
After [Begin] is connected.
selected, calibration Change or connect the gas supply
O2 supply pressure is insufficient
failure is prompted and make sure that O2 supply
(lower than 200kPa).
very soon. pressure is sufficient.
Perform 100% O2 calibration
21% O2 calibration is not completed
after 21% O2 calibration is
before 100% O2 calibration.
completed.
Calibration failure is
prompted about 3
O2% count value is not within the
minutes after Replace the O2 sensor.
normal range (450 to 2700).
calibration is
started.

2.5 Gas Supply Leak Tests


Fully close the three needle valves before doing the following tests.

2.5.1 N2O Cylinder Leak Test


1. Remove the N2O line pressure hose from the line pressure inlet on the A5.
2. Mount a full N2O cylinder to the rear panel yoke. If necessary, place a new clean tank
washer between the cylinder and the yoke to minimize any leaks at the yoke connection.
3. Open the N2O cylinder until its pressure gauge indicates cylinder pressure.
4. Close the N2O cylinder.
5. The N2O cylinder pressure gauge should not drop more than 10% of its initial pressure
over one minute.

2.5.2 O2 Cylinder Leak Test


1. Remove the O2 line pressure hose from the line pressure inlet on the A5.
2. Mount a full O2 cylinder to the rear panel yoke. If necessary, place a new clean tank
washer between the cylinder and the yoke to minimize any leaks at the yoke connection.
3. Open the O2 cylinder until its pressure gauge indicates cylinder pressure.
4. Close the O2 cylinder.
5. The O2 cylinder pressure gauge should not drop more than 10% of its initial pressure over
one minute.

2.5.3 AIR Cylinder Leak Test


1. Remove the AIR line pressure hose from the line pressure inlet on the A5.
2. Mount a full AIR cylinder to the rear panel yoke. If necessary, place a new clean tank
washer between the cylinder and the yoke to minimize any leaks at the yoke connection.
3. Open the AIR cylinder until its pressure gauge indicates cylinder pressure.
4. Close the AIR cylinder.
5. The AIR cylinder pressure gauge should not drop more than 10% of its initial pressure
over one minute.

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2.5.4 N2O Pipeline Supply Pressure Leak Test

NOTE
z Remove the N2O cylinder from the N2O cylinder yoke when doing this test.

1. Connect the machine to the N2O supply connector and O2 supply connector on the wall
via N2O supply hose and O2 supply hose.
2. Check that the N2O supply pressure gauge displays 280~600Kpa.
3. Turn on the system switch.
4. Open the O2 needle valve. Adjust the flow to 1L/min to fully open the N2O needle
valve.
5. Observe the float of total flowmeter, which should fall between 3L and 5L.
6. Disconnect the N2O pipeline supply.
7. Check that the N2O supply pressure gauge decreases to zero.

2.5.5 O2 Pipeline Supply Pressure Leak Test


NOTE
z Remove the O2 cylinder from the O2 cylinder yoke when doing this test.

1. Connect the machine to the O2 supply connector on the wall via O2 supply hose.
2. Check that the O2 supply pressure gauge displays 280~600Kpa.
3. Turn on the system switch.
4. Fully open the O2 needle valve.
5. Observe the float of total flowmeter, which should be at the top of the flowmeter.
6. Disconnect the O2 pipeline supply.
7. Make sure that the alarms of [O2 Supply Failure] and [Drive Gas Pressure Low]
occur with the decrease of O2 pressure.
8. Check that the O2 supply pressure gauge decreases to zero.

2.5.6 Air Pipeline Supply Pressure Leak Test


NOTE
z Remove the Air cylinder from the Air cylinder yoke when doing this test.

1. Connect the machine to the Air supply connector on the wall via Air supply hose.
2. Check that the Air supply pressure gauge displays 280~600Kpa.
3. Turn on the system switch.
4. Fully open the Air needle valve.
5. Observe the float of total flowmeter, which should be at the top of the flowmeter.
6. Disconnect the Air pipeline supply.
7. Check that the Air supply pressure gauge decreases to zero.

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2.6 Breathing System Checks
2.6.1 AGSS Test (if available)
1. Connect one end of the waste gas exhaust hose to the port on the waste gas scavenging
assembly and the other end to the EVAC port.
NOTE: If other type of waste gas scavenging system is used for the anesthesia system,
make sure that the waste gas enters this scavenging system after emitting from the
EVAC port.
2. Connect the respiratory gas monitor exhaust port to the sample gas return port.
3. Make sure that the flow of waste gas scavenging system can be adjusted between the
minimum and maximum scales.

2.6.2 Internal Gas Connections Test


1. Close and remove all gas cylinders from the A5
2. Connect only the AIR pipeline supply hose to the A5 from the wall supply. Leave all other
pipeline supply hoses disconnected.
3. With the A5 powered on, rotate the AIR flow control knob to ensure a continuous flow
increase throughout its full range
4. Fully rotate the N2O flow control knob and verify that there is no flow.
5. Fully rotate the O2 flow control knob and verify that there is no flow.
6. Disconnect the AIR pipeline supply hose from the A5, and connect the O2 pipeline supply
hose from the wall supply, rotate the O2 flow control knob to ensure a continuous flow
increase throughout its full range.
7. Fully rotate the N2O flow control knob and verify that there is no flow.
8. Fully rotate the AIR flow control knob and verify that there is no flow.
9. Connect the N2O pipeline supply hose from the wall supply. With the O2 flow control
knob fully opened, rotate the N2O flow control knob to ensure a continuous flow
increase throughout its full range.
NOTE: The maximum N2O flow must be between 10 and 12L/min.
10. Fully rotate the AIR flow control knob and verify that there is no flow.

2.6.3 Alarm of Drive Gas Pressure Low, O2&N2O Cutoff


Functional Test
1. Set the O2 flow to 2L/min using the flow control valve.
2. Set the N2O flow to 2L/min using the flow control valve.
3. Set the AIR flow to 2L/min using the flow control valve.
4. Interrupt the O2 supply for the A5.
5. Verify that N2O and O2 stop flowing within two minutes and that AIR (if available)
continues to flow at 2L/min.
6. Verify the following alarms are activated:
„ O2 Supply Failure appears on the screen
„ An alarm tone sounds.

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2.7 Performance Verification
2.7.1 Standby Mode Ventilation Test
1. Ensure that the gas pressures of O2, N2O, and AIR are within the range of specifications.
2. Power on the anesthesia system.
3. Perform the startup test as per the on-screen instructions. Ensure successful completion.
4. Set the Auto/Manual switch to the Manual position.
5. Attach a breathing circuit and test lung to the Y piece of the breathing circuit.
NOTE: For testing purpose always use a reusable breathing circuit.
6. Set the APL valve to approximately 15cmH2O.
7. Set the AIR flow to 5L/min using the flow control valve. Use O2 if AIR is not available.
8. Squeeze the breathing bag once every 10 seconds to inflate and deflate the test lung so as
to produce pressure of approximately 20cmH2O.
9. Verify the inflation and deflation of the test lung.

2.7.2 Manual Mode Ventilation Test


1. Set the Auto/Manual switch to the Manual position to switch to manual mode
2. Set the APL valve to approximately 25cmH2O. Push the O2 flush button to fill the
breathing bag.
3. Set the AIR flow to 1L/min using the flow control valve.
4. Squeeze the breathing bag once every 3 seconds.
5. Verify the inflation and deflation of the test lung.
6. Verify that an airway pressure waveform and all numeric values appear on screen during
bag compressions.
7. Stop squeezing the breathing bag and set the APL Valve to the open position (SP).

2.7.3 Apnea Alarm Test


1. While in the manual ventilation mode, stop ventilating the test lung.
2. Verify that the following apnea alarm signals are activated at approximately 30 seconds
from the last bag compression (for enterprise standard, it is 20 seconds for SFDA
machine).
‹ Apnea appears on the screen.
‹ An alarm tone sounds.

2.7.4 Alarm Silence Test


1. While the apnea alarm is sounding, press the Silence soft key.
2. Make sure tha the audio alarm stops and resumes after two minutes.

2.7.5 VCV Adult Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach an adult test lung to the Y piece of the breathing circuit.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 2L/min and set the N2O and AIR flows to the minimum..
5. Set the Auto/Manual switch to the Auto position.
6. Set the ventilating control parameters to:

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Ventilation control parameter Setting of ventilation control
parameter
Patient type Adult
Vent mode VCV
Vt 600
Rate 8
I:E 1:2
Tpause 10
PEEP Off
Plimit 50
7. Press Set Mode button to begin ventilation.
8. Verify that pressure waveform, Vt, MEAN or PLAT, Rate and MV appear on the screen.
9. Verify the tidal volume displayed on the ventilation test device is within 7% (±42mL) of
the setting value within approximately one minute from the start of ventilation.
10. Verify the tidal volume displayed is within 9% (±54mL) of the setting value within
approximately one minute from the start of ventilation.
11. Verify the measured O2 concentration is at least 97% after 5 minutes.
12. Set the AIR flow to 3L/min and set the N2O and O2 flows to the minimum.
13. Verify the measured O2 concentration is 21% ±3% vol. % after 5 minutes.

2.7.6 VCV Pediatric Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach a pediatric test lung to the Y piece of the breathing circuit.
NOTE: Limit the volume in the test lung to provide sufficient airway pressure to satisfy the
Low Peak Pressure alarm. Or reduce the Peak Pressure alarm limit to a lower value to
prevent the alarm when using an adult test lung.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 2L/min and set the N2O and AIR flows to the minimum.
5. Set the ventilating control parameters to:
Ventilation control paramters Setting of ventilation control
parameter
Patient type Pediatric
Vent mode VCV
Vt 120
Rate 15
I:E 1:2
Tpause 10
PEEP Off
Plimit 40
6. Press Set Mode button to begin ventilation.
7. Verify that pressure waveform, Vt, MEAN or PLAT, Rate and MV appear on the screen.
8. Verify the tidal volume displayed is within ±18ml of the setting value within
approximately one minute from the start of ventilation.

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9. Verify the delivered volume as measured by ventilation test device at the expiration port, is
within ±15ml of the setting value within approximately one minute from the start of
ventilation.

2.7.7 Airway Disconnection Alarm Test


1. While the ventilator is running, disconnect the expiratory limb from the expiration port on
the breathing system.
2. Verify the following airway pressure disconnection alarm signals are activated:
‹ Paw Too Low message appears on the screen.
‹ An alarm tone sounds.

2.7.8 PCV Adult Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach an adult test lung to the Y piece of the breathing circuit.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 3L/min and set the N2O and AIR flows to the minimum.
5. Set the ventilator controls to:
Ventilator Controls Ventilator Settings
Patient type Adult
Vent mode PCV
VtG Off
Pinsp 15
Rate 8
I:E 1:2
PEEP Off
Tslope 0.2
PlimVG NA
6. Press Set Mode button to begin ventilation.
7. Verify the Peak Pressure reading on the display is within ±2cmH2O of the set Pinsp.
8. Verify that the pressure waveform, Vt, MEAN or PLAT, Rate and MV appear on the
screen.
9. Verify that the PEAK value measured by the ventilation test device reaches 15±2.5cmH2O
within five breaths from the start of ventilation.

2.7.9 Pressure Support (PS) Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach an adult test lung to the Y piece of the breathing circuit.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 1L/min and set the N2O and AIR flows to the minimum.
5. Set the ventilator controls to:
Ventilator Controls Ventilator Settings
Patient type Adult
Vent mode PS

2-35
Ventilator Controls Ventilator Settings
Min Rate 4
ΔP 20
Trigger 3
PEEP Off
Tslope 0.2
6. Press Set Mode button to begin ventilation.
7. Begin triggering breaths by slightly squeezing the test lung and releasing. Maintain a
continuous breath rate.
8. Verify that a pressure waveform and all ventilation parameters appear on the screen.
9. Verify that the Peak Pressure reading on the display is ±2 of ΔP+PEEP.
10. Stop triggering breaths.
11. Verify that after 15 seconds the ventilator delivers a breath and displays the message
Apnea Ventilation.
12. Verify the system ventilates at a frequency of 4bpm.

2.8 Alarm Function


2.8.1 Setup
1. Ensure that the gas pressures of O2, N2O, and AIR are within the range of specifications.
2. Power on the anesthesia system.
3. Perform the startup test as per the on-screen instructions. Ensure successful completion.
4. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
5. Attach an adult test lung to the Y piece of the breathing circuit.
6. Set the O2 flow to 2L/min and set the N2O and AIR flows to the minimum.
7. Set the ventilating control parameters to:
Ventilation control parameter Setting of ventilation control
parameter
Patient type Adult
Vent mode VCV
Vt 600
Rate 8
I:E 1:2
Tpause 10
PEEP Off
Plimit 50
8. Press Set Mode button to begin ventilation.

2-36
2.8.2 FiO2 Too Low Alarm Test
1. Set the FiO2 Too Low alarm limit to 50%.
2. Set the AIR flow control valve to 5L/min.
3. Set the O2 flow control to the minimum.
4. Verify the following FiO2 too low alarm signals are activated within three ventilation
cycles:
‹ FiO2 Too Low message appears on the screen.
‹ An alarm tone sounds.
5. Set FiO2 Too Low alarm limit to 18%.
6. Verify the alarm signals cease.

2.8.3 FiO2 Too High Alarm Test


1. Set the FiO2 Too High alarm limit to 50%.
2. Set the O2 flow control valve to 5L/min.
3. Set the AIR flow control to the minimum.
4. Verify the following FiO2 Too High alarm signals are activated:
‹ FiO2 Too High message appears on the screen.
‹ An alarm tone sounds.
5. Set the FiO2 Too High alarm limit to the maximum value.
6. Verify the alarm signals cease.

2.8.4 Peak Pressure Alarm Test


1. Set the PEAK too low alarm to the minimum value.
2. Set the PEAK too high alarm limit to about 5 to 8 digits below the Peak Pressure displayed
on the screen.
3. Verify the following (high) peak pressure alarms are activated:
a. Paw Too High message appears on the screen.
b. An alarm tone sounds.
c. Inspiration ends and expiration begins as the pressure meets the high alarm limit.
4. Set the PAW too high alarm limit to 65(cmH2O).
5. Verify the alarms signals cease.
6. Set the PAW too low alarm limit to 50(cmH2O).
7. Verify the following (low) peak pressure alarms are activated:
a. Paw Too Low message appears on the screen.
b. An alarm tone sounds.
8. Set the PAW too low alarm limit to 12(cmH2O).
9. Verify the alarm signals cease.

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2.8.5 MV Alarm Test
1. Set the MV Too Low alarm limit to the maximum value.
2. Verify the following alarms are activated:
‹ MV Too Low message appears on the screen.
‹ An alarm tone sounds.
3. Set the MV Too Low alarm limit to the minimum value.
4. Verify the alarm signals cease.
5. Set the MV Too High alarm limit to the minimum value.
6. Verify the following alarms are activated:
‹ MV Too High message appears on the screen.
‹ An alarm tone sounds.
7. Set the MV Too High alarm limit to the maximum value.
8. Verify that the alarm signals cease.

2.9 Vaporizer Test


2.9.1 Vaporizer Interlock Test
1. Attach two vaporizers to the vaporizer manifold and lock them in place.
2. Rotate one vaporizer dial to 3%.
3. Verify that the other vaporizer dial is disabled.
4. Set both vaporizer dials to 0.
5. Rotate the other vaporizer dial to 3%.
6. Verify that the first vaporizer dial cannot be rotated.
7. Rotate both vaporizer dials to T and remove both vaporizers.
8. Verify that the locking spring is in good condition.
9. Reconnect both vaporizers to the vaporizer manifold.

2-38
2.9.2 Vaporizer Accuracy Test
1. Set the APL valve to 70cmH2O.
2. Put the Auto/Manual switch to the Manual position.
3. Connect one end of the breathing hose to the expiration port and the other end to the bag
arm.
4. Connect the sampling tee of the gas analyzer to the inspiration port.
5. Use a breathing hose to connect the output end of the sampling tee to the scavenging
system.

6. Verify that the scavenging system is connected to the wall and the float is between MIN
and MAX scales.
7. Mount the vaporizers and fill with anesthetic agent (if necessary).
NOTE: Do not overfill by filling past the indicator line on the vaporizer.
8. Turn on the equipment.
9. Test the vaporizer accuracy per the manufacturer’s instructions.
10. Test each vaporizer in turn.
11. Test all the vaporizers on the vaporizer storage mount.
12. Remove the measuring equipment.
13. Disconnect the waste gas scavenging hose.
NOTE: The vaporizer has deviations due to change of barometric pressure (high altitude).
And the Riken F-211 gas analyzer also has deviations. When testing the vaporizers using the
Riken F-211 gas analyzer, the altitude can be ignored as the deviations cancel each other out.
If using a different gas analyzer, check the effect of change of barometric pressure before
using it in high altitude area.

2-39
2.10 Other Tests
2.10.1 Power Failure Alarm Test
1. Interrupt AC line voltage.
2. Verify that the following alarms are activated:
‹ An alarm tone sounds.
‹ Battery in Use message appears on the screen.
3. Connect the anesthesia system to AC line voltage.
4. Verify that the alarm signals cease.
5. Verify the presence of the battery charging icon in the upper right corner of the screen.

2.10.2 Work Light and Auxiliary Gas Supply Backlight Test


1. Turn on the top-mounted lamps at the bottom of the top plate.
2. Verify that both lamps are turned on.
3. Verify that the work light works at the low brightness level when the switch is set to I,
works at the high brightness level when the switch is set to II, and is turned off when the
switch is set to O.
4. Verify that the auxiliary gas supply backlight can be lit on when the switch is set to both
I and II positions.

2.11 Electric Safety Test


NOTE: Perform electrical safety inspection after servicing or routine maintenance. Before
the electrical safety inspection, make sure that all the covers, panels, and screws are
correctly installed.
NOTE: It is recommended to do electrical safety test once a year.

2.11.1 Test on Auxiliary Electrical Outlet


Verify that there is mains power voltage on every auxiliary electrical outlet when the
anesthesia machine is connected to the mains power supply.

2-40
2.11.2 Electrical Safety Inspection
1. Perform protective earth resistance test:
a. Plug the probes of the analyzer into the protective earth terminal and equipotential
terminal of the AC power cord.
b. Test the earth resistance with a current of 25A.
c. Verify the resistance is less than 0.1ohms (100 mohms).
d. Plug the probes of the analyzer into the protective earth terminal of the AC power
cord and the protective earth terminal of any auxiliary outlet. Repeat steps b and c.
e. If the resistance is greater than 0.1ohms (100 mohms) but less than 0.2ohms (200
mohms), disconnect the AC power cord and plug the probe that is previously plugged in
the protective earth terminal of the AC power cord into the protective earth contact of
the power outlet. Repeat steps a to d.
2. Perform the following earth leakage current tests:
‹ normal polarity
‹ reverse polarity
‹ normal polarity with open neutral
‹ reverse polarity with open neutral
3. Verify that the maximum leakage current does not exceed 500 μA (0.5 mA) in the first
two tests. While for the last two tests, verify that the maximum leakage current does not
exceed 1000 μA (1 mA).

NOTE: Make sure the safety analyzer is authorized by certificate organizations (UL, CSA, or
AMAI etc.). Follow the instructions of the analyzer manufacturer.

2.11.3 Electrical Safety Inspection Form

Location: Technician:
Equipment: Control Number:
Manufacturer: Model: SN:
Measurement equipment /SN: Date of Calibration:
Pass/F
Inspection and Testing Limit
ail
1 Auxiliary mains socket outlets
2 Protective Earth Resistance Ω Max 0.1 Ω

Normal
____μA
condition(NC)
Max:
Earth
3 NC: 500μA
Leakage
SFC: 1000μA
Single Fault
____μA
condition(SFC)

2-41
For routine maintenance, all the test items included in the ELECTRICAL SAFETY
INSPECTION FORM shall be performed. The following table specifies test items to be
performed after the equipment is repaired after disassembled.

When power board, transformer, or patient Test items: 1, 2


circuit board is not repaired or replaced.
When power board or transformer is Test items: 1, 2, 3
repaired or replaced.

2-42
3 Equipment Maintenance
3.1 Repair Policy
The following table lists equipment maintenance operations of the A5 anesthesia system.
Physical check, consumables replacement, and performance check shall be conducted at
regular intervals according to the schedule listed in the following table. The factory will bear
no liability if some parts are damaged or lost because the consumables are not replaced
within the suggested schedule. The preceding contents are described in Equipment
Maintenance Schedule (see section 3.3).

3.2 Periodical Maintenance Kit


The periodical maintenance kit contains:
„ Basic maintenance kit (12-month), P/N: 115-036367-00.
„ Expand maintenance kit (12-month), P/N: 115-036368-00.
„ Complete maintenance kit (12-month), P/N : 115-036369-00
„ Maintenance kit (36-month), P/N : 115-036370-00

3.3 Equipment Maintenance Schedule


Maintenance operation After each Every 12 Every 36
maintenance months months
Preoperative checklist: ● ●
1. Check the mechanical ventilation state
2. Breathing system leak test under mechanical
ventilation state
3. Breathing system leak test under manual ventilation
state
4. Check the correctness of sensor zero point
5. Check the flow sensor measurement accuracy
6. Check the pressure sensor measurement accuracy
7. Check the electronic flowmeter measurement
accuracy
System check ● ●
Consumables replacement ● ●
Battery maintenance and replacement ●
Functional test ● ●
Preoperative test ● ● ●

3-11
3.4 Pre-maintenance Check
1. Make sure that the equipment is in good condition.
2. Make sure that the breathing system and Pre-pak absorbent canister are connected
correctly.
3. Make sure that there is appropriate amount of anesthetic agent inside the vaporizer.
4. Make sure that the preoperative checklist is available.
5. Make sure that the cylinder wrench is available.
6. Make sure that the AGSS transfer tube is not damaged. Drain the water build-up.
7. Make sure that the AC power cord is not damaged.

3.5 List of Parts in the Equipment Maintenance


Consumables Kit
The following table lists the parts to be checked and replaced periodically inside the
periodical maintenance kit (Note: The materials which are marked “Replace” in the form
below belong to the lower order materials of the maintenance kit. and the materials which are
marked “Check” in the form below are not included in the corresponding maintenance kit
Lithium-ion battery and button cell lithium(used for main control board) are not included in
the 36 months maintenance kit. If need, please contact our company for the purchase.). The
replacement date starts from the date when the machine is assembled.
Remark: The materials in the form below are not sold separately. Please contact the engineer
if any questions.
No. Description Qty. 12-month 36-month P/N
1 lithium-ion battery 2 Check Replace 022-000008-00
2 Button cell lithium (for main 1 Check Replace M05-010R03---
control board)
3 Bellows assembly 1 Check; / 040-000358-00
replace is
recommanded
4 O-ring (for airway pressure gauge) 1 Replace / 082-001524-00
5 15.54X2.62 O-ring (for bag arm) 2 Replace / 082-000673-00
6 Gasket, bellows canister base 1 Replace / 049-000243-00
7 15.54X2.62 O-ring (used for O2 1 Replace / 082-000673-00
cell cover)
8 14X2.65 O-ring (for vaporizer 4 Replace / 082-000934-00
manifold)
9 AGSS filter 1 Replace / 082-000506-00
10 8.5X2 O-ring (for breathing circuit 2 Replace / 082-000665-00
rotation module)
11 4.7X1.8 O-ring (for breathing 4 Replace / 082-000667-00
circuit rotation module)
12 16X2 O-ring (Used for breathing 2 Replace / M6M-010058---
circuit rotation module)

3-2
13 27X1.5 O-ring (for valve cover) 2 Replace / 082-001501-00
14 20X1.5 O-ring (for check valve)) 2 Replace / 082-001503-00
15 6X1 O-ring (for Auto/Manual 2 Check / 082-000669-00
switch)
16 23.47X2.95 O-ring (for water 1 Replace / 082-001504-00
collection cup)
17 CO2 absorber hose 1 Replace / 049-000146-00
18 Absorber canister external washer 1 Replace / 049-000143-00
19 Absorber canister internal washer 1 Replace / 049-000145-00
20 Sealing cushion for Bypass trigger 1 Replace / 049-000142-00
plate
21 Valve port sealing cushion (for 4 Check / 049-000140-00
CO2 bypass shaft)
22 23.47X2.95 O-ring (used for CO2 2 Replace / 082-001504-00
bypass assembly)
23 4.47X1.78 O-ring (used for CO2 8 Check / 082-000679-00
bypass shaft)
24 Cylinder sealing washer 3 Replace / 0348-00-0185
25 52X2 O-ring (for Auto/Manual 1 Check / 082-001505-00
switch)
26 40X2.2 O-ring (for Auto/Manual 2 Check / 082-001520-00
switch)
27 30X2 O-ring (for bag arm base) 1 Check / 082-001499-00
28 8.5X2.0 O-ring (for O2 cell port) 1 Replace / 082-001525-00
29 Inspiratory flow sensor 1 Check / 801-0631-00060-
00
30 Expiratory flow sensor 1 Check / 801-0631-00056-
00
31 18X2.5 O-ring (used for breathing 2 Check / 049-000813-00
system base)
32 pop-off rubber pad 1 Replace / 049-000240-00
33 20.29X2.62 O-ring (for bellows 1 Replace / 082-001508-00
base
34 29.82X2.62 O-ring (for APL valve) 1 Check / 082-001515-00
35 25X2 O-ring (for APL valve) 1 Check / 082-001500-00
Filter.0.45um (for built-in AG / 082-000423-00
36 1 Replace
module)
NOTE: The positions of O-rings/washers are as shown below.

3-3
3-4
36

3-5
3.6 Battery Maintenance and Replacement
For the lithium-ion battery of A5, maintenance is not required. If the battery does not function
normally, replace it by following these steps:
1. Open the rear cover of the anesthesia machine.
2. Open the battery box of the anesthesia system.
3. Remove the old battery.
4. Install the new battery.
5. Close the battery box.
6. Close the rear cover.
Use only Mindray anesthesia machine supported battery.

3.7 Functional Tests


Refer to 4 Calibration if any values are out of specification.

NOTE: The anesthesia system (use AC power instead of battery) must be turned on for at
least one hour before performing ventilation test.

3.7.1 Gas Delivery System Tests


3.7.1.1 O2 Flush Verification
1. Connect the bag arm to the expiratory port via a breathing hose.
2. Set the Auto/Manual switch to the Manual position. Set the APL valve to 75.
3. Connect the flowmeter to the inspiratory port.
4. Verify that the O2 flush flow is between 35 and 50 L/min when the O2 flush valve is
pressed.

3.7.1.2 O2:N2O Ratio System


1. Set the O2 and N2O flow control valves to minimum.
2. Rotate the O2 flow control valve until the flowmeter displays 1L/min.
3. Rotate the N2O flow control valve and adjust N2O flow to maximum.
4. Verify that the N2O flow is not greater than 3.7L/min.
5. Decrease the N2O flow to minimum.
6. Decrease the O2 flow to minimum.

3.7.2 Breathing System Leak Test


NOTE: Perform leak test again each time after servicing the anesthesia machine, replacing
the components, or re-connecting the tubes.

3-6
3.7.2.1 Automatic Circuit Leak and Compliance Test
This test checks if the pneumatic circuit has leakage in mechanical ventilation mode. The test
items include bellows, drive gas circuit, CO2 absorber canister, patient tube, flow sensor, and
flow sensor connector.

The following figure shows the Automatic Circuit Leak & Compliance Test screen.

To perform an automatic circuit leak test,


NOTE: The system records the result of the last automatic circuit leak test in the General tab,
including if the test result is passed or failed, or the test is skipped. To view the last test result,
select [Main] > [General] on the main screen.
NOTE: If fresh gas is detected by the system before undergoing the automatic circuit leak
and compliance test, a message is displayed on the screen for zeroing all flowmeters.

1. From system power-up:

If the system is being powered on, the system automatically initiates a system self test and
then enters the Automatic Circuit Leak Test screen.
Or
From the main screen:
Select Main > General > Test Leak/Compliance.
2. Follow the directions on the screen.

NOTE: The Continue button can be selected only when the Auto/Manual switch is set to the
Auto position and no fresh gas is detected.

3-7
NOTE: The result of automatic circuit leak and compliance test is recorded in Service Log.
To view the test result, select [Main] > [Service] > [Review Logs] > [Service] on the main
screen.

3.7.2.2 Manual Circuit Leak Test


This test checks if the pneumatic circuit has leakage in manual ventilation mode. The test
items include APL valve, check valve, CO2 absorber canister, patient tube, flow sensor, and
flow sensor connector.
The following figure shows the Manual Circuit Leak Test screen.

To perform a manual circuit leak test,

NOTE: The Continue button can be selected only when the Auto/Manual switch is set to the
Manual position and no fresh gas is detected.

1. From system power-up:


If the system is being powered on, the system automatically initiates a system self test
followed by automatic circuit leak and compliance tests.
Or
From the main screen:
Select [Main] > [General] > [Test Leak/Compliance].
2. Follow the directions on the screen.

3-8
NOTE: The Continue button can be selected only when the Auto/Manual switch is set to the
Manual position and no fresh gas is detected.
NOTE: The result of manual circuit leak test is recorded in Service Log. To view the test
result, select [Main] > [Service] > [Review Logs] > [Service] on the main screen.

NOTE: If there is a leak, check the pneumatic circuit system for leakage and troubleshoot the
problems as described in 5.3 Pneumatic System Problems. Do leak test again after failure
source is fixed,

NOTE: If there is a leak, check the pneumatic circuit system for leakage and troubleshoot the
problems as described in 5.3.4 Breathing System. Do leak test again after leak failure is fixed.

3.7.2.3 Commonly-encountered Problems and Recommended Actions


The following table lists the commonly-encountered problems and recommends actions for
3.7.2.1.

Failure description Possible cause Recommended action


Leak test failure is The Auto/Manual switch is set to the Manual Set the Auto/Manual
prompted immediately position and the message [Manual Vent.] is switch to the Auto
after [Begin] is selected prompted. position
(typically, the leak test The reading on the drive gas (O2) pressure Replace or connect gas
requires at least 3 gauge indicates drive gas pressure low (lower supplies and make sure
minutes). than 200kPa) and the alarm of [Drive Gas that the drive gas
Pressure Low] is produced. pressure is at 350 to
450kPa.
During leak test, the 1. Before the leak test, the bellows is not Check the pneumatic
pressure indicated by fully inflated. circuit connections and
the airway pressure 2. The Y piece on the breathing tube is not re-install the pneumatic
gauge fails to reach connected to the test plug. circuit.
30cmH2O.
3. The bellows housing is not properly
installed.

3-9
3.7.3 Check the Sensor Zero Point
To check the sensor zero point:
1. Turn off all fresh gases and position the Y piece in the patient circuit to the air.
2. Make sure that the system is in Standby mode.
3. Select Main -> Service-> Data Monitors-> Component-> Zero Sensor to access the
following menu.

4. The second column is the current sensor zero point and the third column is the zero
point saved before delivery.
Zero Point Range of DSP Plateau:
The following table lists the normal range of the zero point of some of A5 pressure and flow
sensors.

3-10
Sensor name Normal range of zero point (AD Counts)
Airway pressure sensor 7432~16206
PEEP pressure sensor 7432~16206
Inspiratory flow sensor 554~26457
Expiratory flow sensor 554~26457
Internal flow sensor 554~26457

„ The zero point A/D value of the airway pressure sensor and PEEP pressure sensor
should fall within the normal range of 7432 to 16206.
„ The zero point A/D value of internal flow sensor, the inspiratory flow sensor and
expiratory flow sensor should fall within the normal range of 554 to 26457.
If there is a great deviation between the current zero point and the zero point in case of
factory calibration, it indicates that the sensor is ageing but it does not mean that normal
measurement cannot be performed.

If the current zero point is found to exceed the specified normal range, normal measurement
is affected and you need to calibrate the zero point again. If the zero point of the flow sensor
is not within 554 to 26457 and that of the pressure sensor not within 7432 to 16206, replacing
the VCM. For internal flow sensor, replace the flow sensor interface board.

Zero Point Range of EPSON Plateau:


The following table lists the normal range of the zero point of some of A5 pressure and flow
sensors.
Sensor name Normal range of zero point (AD Counts)
Airway pressure sensor 200~800
PEEP pressure sensor 200~800
Inspiratory flow sensor 50~1800
Expiratory flow sensor 50~1800
Internal flow sensor 100~400

„ The zero point A/D value of the airway pressure sensor and PEEP pressure sensor
should fall within the normal range of 200 to 800.
„ The zero point A/D value of the inspiratory flow sensor and expiratory flow sensor
should fall within the normal range of 50 to 1800.
„ The zero point A/D value of the internal flow sensor should fall within the normal range
of 100 to 400.

3-11
If there is a great deviation between the current zero point and the zero point in case of
factory calibration, it indicates that the sensor is ageing but it does not mean that normal
measurement cannot be performed.

If the current zero point is found to exceed the specified normal range, normal measurement
is affected and you need to calibrate the zero point again. If the zero point of the flow sensor
is not within 0 to 2000 and that of the pressure sensor not within 0 to 1200, replacing the
VCM. For internal flow sensor, replace the flow sensor interface board.

NOTE: If the zero point of the pressure sensor has an error, in ventilation status, the baseline
of the Paw waveform is not at the zero point and a great deviation occurs between pressure
control and measurement.
NOTE: If the zero point of the inspiratory/expiratory flow sensor has an error, in ventilation
status, the baseline of the flow waveform is not at the zero point and a great deviation occurs
between TV control and measurement.
NOTE: If the zero point A/D value of any sensor is outside of the normal range, it cannot be
corrected. The valve drive board must be replaced.

3.7.4 Check the Accuracy of Flow Sensors


NOTE: If a great deviation of Vt measured value occurs, test the measurement accuracy of
flow sensors to determine whether to perform flow calibration again.
NOTE: You can use any flowmeter that has an accuracy of at least ±2% for the accuracy
measurement of flow sensors.

To check the measurement accuracy of flow sensors:


1. Remove the bellows and water collection cup.
2 The pneumatic connections between the anesthesia machine and calibration device are
as shown below. You can connect the tube to the high-flow connector or low-flow
connector based on the requirement.

High-flow
connector

Low-flow
connector

Calibration Device (VT Plus)

3-12
3. Set up the calibration device as described below.
a. Flow Setting: Press the Flow button on the front control panel of the calibration device.
You can set Range to High Flow or Low Flow as required.

b. Gas Setting: Press the Setup button, select Setting->ENTER->Gas Settings-


>MODIFY->Gas Type->O2.

3-13
c. Select BACK→BACK→BACK.

4. When the system is Standby, select Main -> Service-> Diagnostic Tests->Valves to
access the following menu.

5. Set safety valve to ON.


6. Set the PEEP valve pressure to 30cmH2O.
7. Set the Insp Valve Flow to the following values:
(3±0.5)L/min, (10±1)L/min, (20±1)L/min, (30±2)L/min, (60±3)L/min.

3-14
8. Make sure that the deviation between the measured data of inspiratory flow sensor,
expiratory flow sensor, and internal flow sensor and that of the anesthesia machine
calibration device cannot exceed 1L/min or 5% of the measured value of the calibration
device, whichever is greater. Otherwise, refer to 4.3.2 Flow Calibration (Factory) to
perform flow calibration again. When testing the flow accuracy of (60±3)L/min, only
compare the accuracy with the inspiratory flow sensor and expiratory flow sensor. It is
no need to compare with the internal flow sensor.

After these steps are completed, re-install the bellows and water collection cup.

3.7.5 Check the Accuracy of Pressure Sensors

NOTE: Generally, measurement deviations do not easily occur to pressure sensors. However,
in case of replacing the valve drive board, solenoid valve assembly, or expiration valve
assembly, you need to perform pressure calibration and check the flow sensor accuracy so as
to confirm the effectiveness of calibration.

NOTE: You can use any flowmeter that has an accuracy of at least ±2% for the accuracy
measurement of pressure sensors.

To check the measurement accuracy of pressure sensors:


1. Perform pneumatic connections as follows:
The following picture shows a four-way device.

A four-way
device connecting
the sampling lines
for pressure
calibration

3-15
Remove the top cover (3 captive screws).
Remove tube #72 and #9 from the pressure sensor (as shown below).
Connect the four-way tubes to pressure sensor P1 of the monitor board, PEEP pressure
sensor P2, tube marked as #72, and low pressure port of Fluke VT-Plus. Do not connect
tube marked as #9.

A D

C
B

VT Plus
Low Press +

Calibration Device (VT Plus)

3-16
2. Set up the calibration device as described below.
a. Pressure Setting: Press the PRESSURE button on the front control panel of the
calibration device, select Range and then set it to Low Press.

3-17
b. Gas Setting: Press the Setup button, select Setting->ENTER->Gas Settings->MODIFY-
>Gas Type->O2.

c. Select BACK→BACK→BACK.

3-18
3. When the system is Standby, select Main ->Service-> Diagnostic Tests-> Valves to
access the following menu.

4. Set safety valve to ON.


5. Set the PEEP valve pressure to the following values:
(5±1)cmH2O, (20±1)cmH2O, (50±1)cmH2O (70±2)cmH2O, (90±2)cmH2O.
6. Make sure that the deviation between the measured data of the airway pressure sensor,
and PEEP pressure sensor and that of the anesthesia machine calibration device cannot
exceed 1cmH2O or 2% of the measured value of the calibration device, whichever is
greater. Otherwise, refer to 4.3.3 Pressure Calibration (Factory) to perform pressure
calibration again.

3-19
3.8 High Pressure Tests
Close the three needle valves and turn all fresh gas flows to 0 before doing the following tests.

3.8.1 N2O Cylinder Leak Test


1. Remove the N2O pipeline supply from A5 gas supply inlet.
2. Make sure that the N2O cylinder has sufficient pressure. Mount the cylinder onto the
cylinder yoke at the rear panel. If necessary, place a new clean sealing cushion between
the cylinder and the yoke to minimize any leak at the yoke connection.
3. Open the N2O cylinder valve. Read and record the value on the cylinder pressure gauge.
4. Close the N2O cylinder.
5. Read and record the value on the cylinder pressure gauge one minute later. The pressure
value displayed on the N2O cylinder pressure gauge cannot decrease by more than 10%
of the initial value.

3.8.2 O2 Cylinder Leak Test


1. Remove the O2 pipeline supply from A5 gas supply inlet.
2. Make sure that the O2 cylinder has sufficient pressure. Mount the cylinder onto the
cylinder yoke at the rear panel. If necessary, place a new clean sealing cushion between
the cylinder and the yoke to minimize any leak at the yoke connection.
3. Open the O2 cylinder valve. Read and record the value on the cylinder pressure gauge.
4. Close the O2 cylinder.
5. Read and record the value on the cylinder pressure gauge one minute later. The pressure
value displayed on the O2 cylinder pressure gauge cannot decrease by more than 10% of
the initial value.

3-20
3.8.3 AIR Cylinder Leak Test
1. Remove the AIR pipeline supply from A5 gas supply inlet.
2. Make sure that the AIR cylinder has sufficient pressure. Mount the cylinder onto the
cylinder yoke at the rear panel. If necessary, place a new clean sealing cushion between
the cylinder and the yoke to minimize any leak at the yoke connection.
3. Open the AIR cylinder valve. Read and record the value on the cylinder pressure gauge.
4. Close the AIR cylinder.
5. Read and record the value on the cylinder pressure gauge one minute later. The pressure
value displayed on the AIR cylinder pressure gauge cannot decrease by more than 10%
of the initial value.

3.8.4 N2O Pipeline Supply Test


NOTE
z Remove the N2O cylinder from the N2O cylinder yoke when doing this test.

1. Connect the machine to the N2O supply connector and O2 supply connector on the wall
via N2O supply hose and O2 supply hose.
2. Check that the N2O supply pressure gauge displays 280~600Kpa.
3. Turn on the system switch.
4. Open the O2 needle valve. Adjust the flow to 1L/min to fully open the N2O needle
valve.
5. Observe the float of total flowmeter, which should fall between 3L and 5L.
6. Disconnect the N2O pipeline supply.
7. Check that the N2O supply pressure gauge decreases to zero.

3-21
3.8.5 O2 Pipeline Supply Test
NOTE
z Remove the O2 cylinder from the O2 cylinder yoke when doing this test.

1. Connect the machine to the O2 supply connector on the wall via O2 supply hose.
2. Check that the O2 supply pressure gauge displays 280~600Kpa.
3. Turn on the system switch.
4. Fully open the O2 needle valve.
5. Observe the float of total flowmeter, which should be at the top of the flowmeter.
6. Disconnect the O2 pipeline supply.
7. Make sure that the alarms of [O2 Supply Failure] and [Drive Gas Pressure Low]
occur with the decrease of O2 pressure.
8. Check that the O2 supply pressure gauge decreases to zero.

3.8.6 AIR Pipeline Supply Test


NOTE
z Remove the Air cylinder from the Air cylinder yoke when doing this test.

1. Connect the machine to the Air supply connector on the wall via Air supply hose.
2. Check that the Air supply pressure gauge displays 280~600Kpa.
3. Turn on the system switch.
4. Fully open the Air needle valve.
5. Observe the float of total flowmeter, which should be at the top of the flowmeter.
6. Disconnect the Air pipeline supply.
7. Check that the Air supply pressure gauge decreases to zero.

3-22
3.9 Breathing System Tests
3.9.1 Sample Gas Emission Test/AGSS Test (optional

configuration)
1. Connect one end of the sample gas exhaust emission hose to the port on the waste gas
disposal system. Connect the other end of the hose to the EVAC port on the module.
NOTE: If other type of waste gas scavenging system is used for A5, make sure that
sample waste gas is exhausted from the EVAC port to enter the scavenging system.
2. Connect the module waste gas exhaust port to the fitting port on the waste gas disposal
system.
3. Cover all openings on the waste gas disposal system.
4. Make sure that the flow of waste gas disposal system can be adjusted between the
minimum and maximum scales.

3.9.2 Internal Pneumatic Connection Test


1. Close and remove all gas cylinders from the anesthesia system.
2. Connect only the AIR pipeline supply hose to the anesthesia system. Disconnect all the
other gas supply hoses.
3. Connect A5 to the power supply. Rotate the AIR flow control knob to ensure a continuous
flow increase throughout its full range
4. Fully rotate the N2O flow control knob and verify that there is no N2O flow.
5. Fully rotate the O2 flow control knob and verify that there is no O2 flow.
6. Disconnect the AIR pipeline supply hose from the anesthesia system, and connect the O2
pipeline supply hose. Rotate the O2 flow control knob to ensure a continuous flow
increase throughout its full range.
7. Fully rotate the N2O flow control knob and verify that there is no N2O flow.
8. Fully rotate the AIR flow control knob and verify that there is no AIR flow.
9. Connect the N2O pipeline supply hose. With the O2 flow control knob not fully opened,
rotate the N2O flow control knob to ensure a continuous flow increase throughout its
full range.
NOTE: The maximum N2O flow must be between 10 and 12 L/min.
10. Fully rotate the AIR flow control knob and verify that there is no AIR flow.

3-23
3.9.3 Alarm of Drive Gas Pressure Low, N2O Cutoff Test
1. Set the O2 flow to 2 L/min using the flow control valve.
2. Set the N2O flow to 2 L/min using the flow control valve.
3. Set the AIR flow to 2 L/min using the flow control valve.
4. Interrupt the O2 supply for the A5.
5. Verify that the N2O and O2 stop flowing within 2 minutes and that AIR (if available)
continues to flow at 2 L/min.
6. Verify the following alarms are activated:
‹ O2 Supply Failure appears on the screen
‹ An alarm tone sounds.

3.10 Performance Verification


3.10.1 Standby Mode Ventilation Test
1. Ensure that the gas pressures of O2, N2O, and AIR are within the range of specifications.
2. Power on the anesthesia system.
3. Perform the startup test as per the on-screen instructions. Ensure successful completion.
4. Set the Auto/Manual switch to the Manual position.
5. Attach a breathing circuit and test lung to the Y piece of the breathing circuit.
NOTE: For testing purpose always use a reusable breathing circuit.
6. Set the APL valve to approximately 15cmH2O.
7. Set the AIR flow to 5L/min using the flow control valve. Use O2 if AIR is not available.
8. Squeeze the breathing bag once every 10 seconds to inflate and deflate the test lung so as
to produce pressure of approximately 20cmH2O.
9. Verify the inflation and deflation of the test lung.

3-24
3.10.2 Manual Mode Ventilation Test
1. Set the Auto/Manual switch to the Manual position to switch to manual mode
2. Set the APL valve to approximately 25cmH2O. Push the O2 flush button to fill the
breathing bag.
3. Set the AIR flow to 1L/min using the flow control valve.
4. Squeeze the breathing bag once every 3 seconds.
5. Verify the inflation and deflation of the test lung.
6. Verify that an airway pressure waveform and all numeric values appear on screen during
bag compressions.
7. Stop squeezing the breathing bag and set the APL Valve to the open position (SP).

3.10.3 Apnea Alarm Test


1. While in the manual ventilation mode, stop ventilating the test lung.
2. Verify that the following apnea alarm signals are activated at approximately 30 seconds
from the last bag compression (for enterprise standard, it is 20 seconds for SFDA
machine).
‹ Apnea appears on the screen.
‹ An alarm tone sounds.

3.10.4 Alarm Silence Test


1. While the apnea alarm is sounding, press the Silence soft key.
2. Make sure that the audio alarm stops and resumes after two minutes.

3.10.5 VCV Adult Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach an adult test lung to the Y piece of the breathing circuit.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 2L/min and set the N2O and AIR flows to the minimum..
5. Set the Auto/Manual switch to the Auto position.

3-25
6. Set the ventilating control parameters to:

Ventilation control parameter Setting of ventilation control


parameter
Patient type Adult
Vent mode VCV
Vt 600
Rate 8
I:E 1:2
Tpause 10
PEEP Off
Plimit 50
7. Press Set Mode button to begin ventilation.
8. Verify that pressure waveform, Vt, MEAN or PLAT, Rate and MV appear on the screen.
9. Verify the tidal volume displayed on the ventilation test device is within 7% (±42mL) of
the setting value within approximately one minute from the start of ventilation.
10. Verify the tidal volume displayed is within 9% (±54mL) of the setting value within
approximately one minute from the start of ventilation.
11. Verify the measured O2 concentration is at least 97% after 5 minutes.
12. Set the AIR flow to 3L/min and set the N2O and O2 flows to the minimum.
13. Verify the measured O2 concentration is 21% ±3% vol. % after 5 minutes.

3.10.6 VCV Pediatric Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach a pediatric test lung to the Y piece of the breathing circuit.
NOTE: Limit the volume in the test lung to provide sufficient airway pressure to satisfy the
Low Peak Pressure alarm. Or reduce the Peak Pressure alarm limit to a lower value to
prevent the alarm when using an adult test lung.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 2L/min and set the N2O and AIR flows to the minimum.

3-26
5. Set the ventilating control parameters to:

Ventilation control paramters Setting of ventilation control


parameter
Patient type Pediatric
Vent mode VCV
Vt 120
Rate 15
I:E 1:2
Tpause 10
PEEP Off
Plimit 40
6. Press Set Mode button to begin ventilation.
7. Verify that pressure waveform, Vt, MEAN or PLAT, Rate and MV appear on the screen.
8. Verify the tidal volume displayed is within 18ml of the setting value within approximately
one minute from the start of ventilation.
9. Verify the delivered volume as measured by ventilation test device at the expiration port, is
within 15ml of the setting value within approximately one minute from the start of
ventilation.

3.10.7 Airway Disconnection Alarm Test


1. While the ventilator is running, disconnect the expiratory limb from the expiration port on
the breathing system.
2. Verify the following airway pressure disconnection alarm signals are activated:
‹ Paw Too Low message appears on the screen.
‹ An alarm tone sounds.

3.10.8 PCV Adult Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach an adult test lung to the Y piece of the breathing circuit.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 3L/min and set the N2O and AIR flows to the minimum.
5. Set the ventilator controls to:

Ventilator Controls Ventilator Settings


Patient type Adult
Vent mode PCV

3-27
VtG Off
Pinsp 15
Rate 8
I:E 1:2
PEEP Off
Tslope 0.2
PlimVG NA
6. Press Set Mode button to begin ventilation.
7. Verify the Peak Pressure reading on the display is within ±2cmH2O of the set Pinsp.
8. Verify that the pressure waveform, Vt, MEAN or PLAT, Rate and MV appear on the
screen.
9. Verify that the PEAK value measured by the ventilation test device reaches 15±2.5cmH2O
within five breaths from the start of ventilation.

3.10.9 Pressure Support (PS) Ventilation Mode Test


1. Attach a breathing circuit and breathing bag.
NOTE: For testing purpose always use a reusable breathing circuit.
2. Attach an adult test lung to the Y piece of the breathing circuit.
3. Attach a ventilation test device between the expiration port and the expiratory hose.
4. Set the O2 flow to 1L/min and set the N2O and AIR flows to the minimum.
5. Set the ventilator controls to:

Ventilator Controls Ventilator Settings


Patient type Adult
Vent mode PS
Min Rate 4
ΔP 20
Trigger 3
PEEP Off
Tslope 0.2
6. Press Set Mode button to begin ventilation.
7. Begin triggering breaths by slightly squeezing the test lung and releasing. Maintain a
continuous breath rate.
8. Verify that a pressure waveform and all ventilation parameters appear on the screen.
9. Verify that the Peak Pressure reading on the display is ±2 of ΔP+PEEP.
10. Stop triggering breaths.
11. Verify that after 15 seconds the ventilator delivers a breath and displays the message
Apnea Ventilation.
12. Verify the system ventilates at a frequency of 4bpm.

3-28
3.11 Alarm and Automatic Fault Protection Function
3.11.1 Setup
1. Ensure that the pressures of O2, N2O, and AIR are within the specified range.
2. Power on the anesthesia system..
3. Perform the Startup Tests per the on-screen instructions. Ensure successful completion.
4. Attach a breathing circuit and breathing bag.
NOTE: For testing purposes always use a reusable breathing circuit.
5. Attach an adult test lung to the Y-fitting of the breathing circuit.
6. Set the O2 flow to 2 L/min and set the N2O and AIR flows to the minimum.
7. Set the ventilation control parameters to:

Ventilation control paramters Setting of ventilation control


parameter
Patient Type Adult
Ventilation Mode VCV
Vt 600
Rate 8
I:E 1:2
Tpause 10
PEEP Off
Plimit 50
8. Press Set Mode button to begin ventilation.

3.11.2 FiO2 Too Low Alarm Test


1. Set the FiO2 Too Low alarm limit to 50%.
2. Set the AIR flow control valve to 5L/min.
3. Set the O2 flow control to the minimum.
4. Verify the following FiO2 too low alarm signals are activated within three ventilation
cycles:
‹ FiO2 Too Low message appears on the screen.
‹ An alarm tone sounds.
5. Set FiO2 Too Low alarm limit to 18%.
6. Verify the alarm signals cease.

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3.11.3 FiO2 Too High Alarm Test
1. Set the FiO2 Too High alarm limit to 50%.
2. Set the O2 flow control valve to 5L/min.
3. Set the AIR flow control to the minimum.
4. Verify the following FiO2 Too High alarm signals are activated:
‹ FiO2 Too High message appears on the screen.
‹ An alarm tone sounds.
5. Set the FiO2 Too High alarm limit to the maximum value.
6. Verify the alarm signals cease.

3.11.4 Peak Pressure Alarm Test


1. Set the PEAK too low alarm to the minimum value.
2. Set the PEAK too high alarm limit to about 5 to 8 digits below the Peak Pressure displayed
on the screen.
3. Verify the following (high) peak pressure alarms are activated:
Paw Too High message appears on the screen.
An alarm tone sounds.
Inspiration ends and expiration begins as the pressure meets the high alarm limit.
4. Set the PAW too high alarm limit to 65(cmH2O).
5. Verify the alarms signals cease.
6. Set the PAW too low alarm limit to 50(cmH2O).

7. Verify the following (low) peak pressure alarms are activated:


‹ Paw Too Low message appears on the screen.
‹ An alarm tone sounds.
8. Set the PAW too low alarm limit to 12(cmH2O).
9. Verify the alarm signals cease.

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3.11.5 MV Alarm Test
1. Set the MV Too Low alarm limit to the maximum value.
2. Verify the following alarms are activated:
‹ MV Too Low message appears on the screen.
‹ An alarm tone sounds.
3. Set the MV Too Low alarm limit to the minimum value.
4. Verify the alarm signals cease.
5. Set the MV Too High alarm limit to the minimum value.
6. Verify the following alarms are activated:
‹ MV Too High message appears on the screen.
‹ An alarm tone sounds.
7. Set the MV Too High alarm limit to the maximum value.
8. Verify that the alarm signals cease.

3.12 Vaporizer Test


3.12.1 Vaporizer Interlock Test
1. Attach two vaporizers to the vaporizer manifold and lock them in place.
2. Rotate one vaporizer dial to 3%.
3. Verify that the other vaporizer dial is disabled.
4. Set both vaporizer dials to 0.
5. Rotate the other vaporizer dial to 3%.
6. Verify that the first vaporizer dial cannot be rotated.
7. Rotate both vaporizer dials to T and remove both vaporizers.
8. Verify that the locking spring is in good condition.
9. Reconnect both vaporizers to the vaporizer manifold.

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3.12.2 Vaporizer Accuracy Test
1. Set the APL valve to 70cmH2O.
2. Put the Auto/Manual switch to the Manual position.
3. Connect one end of the breathing hose to the expiration port and the other end to the bag
arm.
4. Connect the sampling tee of the gas analysis device to the inspiration port.
5. Use a breathing hose to connect the output end of the sampling tee to the scavenging
system.

6. Verify that the scavenging system is connected to the wall and the float is between MIN
and MAX scales.
7. Mount the vaporizers and fill with anesthetic agent (if necessary).
NOTE: Do not overfill by filling past the indicator line on the vaporizer.
8. Turn on the equipment.
9. Test the vaporizer accuracy per the manufacturer’s instructions.
10. Test each vaporizer in turn.
11. Test all the vaporizers on the vaporizer storage mount.
12. Remove the measuring equipment.
13. Disconnect the waste gas scavenging hose.

NOTE: The vaporizer has deviations due to change of barometric pressure (high altitude).
And the Riken F-211 gas analyzer also has deviations. When testing the vaporizers using the
Riken F-211 gas analyzer, the altitude can be ignored as the deviations cancel each other out.
If using a different gas analyzer, check the effect of change of barometric pressure before
using it in high altitude area.

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3.12.3 Vaporizer Leak Test
1. Set the bag/mechanical ventilation switch into bag ventilation switch.
2. Set ACGO to patient circuit (if ACGO is configured).
3. Set APL valve to SP.
4. Connect the bag bellows to the bag arm port.
5. Connect the Vent Y-piece of the respiratory circuit to the leak test port and connect
another two ports to the expiration port and the inspiration port of the circuit.

6. Install the vaporizer and lock it in the vaporizer manifold. (In order to ensure the
accuracy of the test, Some vaporizer needs to be set at 1%. Please refer to the factory’s
guide line for specific situation)
7. Set the fresh air speed at 0.2 L/min.
8. Set the APL valve to 75 cm H2O.
9. Press the flushing O2 button till the airway pressure gauge falls at about 30 cm H2O.
10. Loose the flushing O2 button and observe the airway pressure gauge to make sure the
numerical reading would not reduce.
11. Turn off the vaporizer
12. Repeat step 6 to step 11 on the other vaporizer.

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3.13 Other Tests
3.13.1 Power Failure Test
1. Disconnect the power supply when the machine is under power-on state.
2. Verify that the following alarms are activated:
‹ An alarm tone sounds.
‹ Battery in Use message appears on the screen.
3. Re-connect the power supply.
4. Verify that the alarm signals cease.
5. Verify the presence of the battery charging icon in the upper right corner of the screen.

1.13.2 Work Light and Auxiliary Gas Supply Backlight Test


1. Turn on the top light at the bottom of the top plate.
2. Verify that this lamp can display two level of brightness normally.
3. Verify that the work light works at the low brightness level when the switch is set to I,
works at the high brightness level when the switch is set to II, and is turned off when the
switch is set to O.
4. Verify that the auxiliary gas supply backlight can be lit on when the switch is set to both
I and II positions.

3.14 Auxiliary AC Electrical Outlets Test


CAUTION: Perform the electrical safety inspection as the last step after completing a repair
or after routine maintenance. Perform this inspection with all covers, panels, and screws
installed.

Verify that AC voltage is present at each AC electrical outlet with a 3A breaker.

3.14.1 Anesthesia System Installation Checklist


Refer to 2 Installation Guide for the post-installation check items. Complete each step to
check the functions of the anaesthesia machine prior to clinical use. Also, perform the
installation checkout procedure after installation, reinstallation, servicing or after any
periodic maintenance activity. This checklist cannot replace periodic maintenance activities
necessary for maintaining optimal performance.

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3.15 Electric Safety Test
NOTE: Perform electrical safety inspection after servicing or routine maintenance. Before
the electrical safety inspection, make sure that all the covers, panels, and screws are
correctly installed.
NOTE: It is recommended to do electrical safety test once a year.

3.15.1 Test on Auxiliary Electrical Outlet


Verify that there is mains power voltage on every auxiliary electrical outlet when the
anesthesia machine is connected to the mains power supply.

3.15.2 Electrical Safety Inspection


CAUTION: It is recommended to do electrical safety test once a year.
1. Perform protective earth resistance test:
a. Plug the probes of the analyzer into the protective earth terminal and equipotential
terminal of the AC power cord.
b. Test the earth resistance with a current of 25A.
c. Verify the resistance is less than 0.1ohms (100 mohms).
d. Plug the probes of the analyzer into the protective earth terminal of the AC power
cord and the protective earth terminal of any auxiliary outlet. Repeat steps b and c.
e. If the resistance is greater than 0.1ohms (100 mohms) but less than 0.2ohms (200
mohms), disconnect the AC power cord and plug the probe that is previously plugged in
the protective earth terminal of the AC power cord into the protective earth contact of
the power outlet. Repeat steps a to d.
2. Perform the following earth leakage current tests:
‹ normal polarity
‹ reverse polarity
‹ normal polarity with open neutral
‹ reverse polarity with open neutral
3. Verify that the maximum leakage current does not exceed 500 μA (0.5 mA) in the first
two tests. While for the last two tests, verify that the maximum leakage current does not
exceed 1000 μA (1 mA).
4. If BIS module is configured, perform the following patient leakage current tests:
‹ normal polarity
‹ reverse polarity
‹ normal polarity with open neutral

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‹ reverse polarity with open neutral
‹ normal polarity with open earth
‹ reverse polarity with open earth
‹ normal polarity with mains on AP
‹ reverse polarity with mains on AP
5. Verify that the maximum leakage current does not exceed 100 μA (0.1 mA) in the first
two tests, does not exceed 500μA (0.5mA) in the middle 4 tests, and does not exceed
5000μA (5mA) in the last two tests.
6. If BIS module is configured, perform the following patient auxiliary current tests
between each electrode and other electrodes.
‹ normal polarity
‹ reverse polarity
‹ normal polarity with open neutral
‹ reverse polarity with open neutral
‹ normal polarity with open earth
‹ reverse polarity with open earth
7. Verify that the maximum leakage current does not exceed 100 μA (0.1 mA) in the first
two tests. While for the last two tests, verify that the maximum leakage current does not
exceed 500μA (0.5mA).

NOTE: Make sure the safety analyzer is authorized by certificate organizations (UL, CSA, or
AMAI etc.). Follow the instructions of the analyzer manufacturer.

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3.15.3 Electrical Safety Inspection Form

Location: Technician:
Equipment: Control Number:
Manufacturer: Model: SN:
Measurement equipment /SN: Date of Calibration:
Pass/F
Inspection and Testing Limit
ail
1 Auxiliary mains supply output voltage
2 Earthing impedance Ω Maximum: 0.1 Ω

Normal condition ____μA Maximum:


Normal condition:
Earth leakage
3 500μA
current
Single fault condition:
Single fault 1000μA
____μA
condition

Normal condition ____μA Maximum:


Patient Normal condition:
4 leakage 100μA
current Single fault
Single fault
____μA condition:500μA
condition

Applied part plus mains supply


5 ____μA Maximum: 5000μA
voltage

Normal condition ____μA Maximum:


Patient
Normal condition:
auxiliary
6 100μA
leakage
Single fault
current
Single fault condition ____μA condition:500μA

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For routine maintenance, all the test items included in the ELECTRICAL SAFETY
INSPECTION FORM shall be performed. The following table specifies test items to be
performed after the equipment is repaired after disassembled.

When power board, transformer, or patient Test items: 1, 2


circuit board is not repaired or replaced.
When power board or transformer is Test items: 1, 2, 3
repaired or replaced.
When patient circuit board is repaired or Test items: 1, 2, 4, 5, 6
replaced.
When power board, transformer, and Test items: 1, 2, 3, 4, 5, 6
patient circuit board are all repaired or
replaced.

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4 Calibration
4.1 Introduction
This section provides detailed information required to test and calibrate the A5 anesthesia
system. Calibration consists of making mechanical and electrical adjustments with the test
device. The equipment should be tested and calibrated after repairs have been completed or at
regular intervals as part of a periodic maintenance procedure.

NOTE: Functional test must be performed after calibration to verify correct operation.

Before calibration, make sure that all testing materials (including drive gas, breathing circuit,
test fixture, tools and documents) are the latest, calibrated and in good condition.

4.2 Warnings, Precautions, and Notes


4.2.1 Warnings
WARNING: Replace all fuses with the specified type and rating to prevent fire.
WARNING: The machine (protection class I) can be connected only to a correctly grounded
power supply (including the socket with grounding contact) to prevent electric shocks.
WARNING: Remove all auxiliary devices from the shelf before moving the anesthesia
machine on the rough road or any slope. The anesthesia machine with a weight on its top is
likely to tip over, causing personal injuries.
WARNING: To avoid the possible explosion hazard, do not operate the machine near
flammable anaesthetic agents or other flammable substances. Do not use flammable
anesthetic agents such as ether or cyclopropane.
WARNING: When high-frequency electric surgery equipment is used, anti-static or
electrically conductive breathing tubes may cause burns. Therefore, they are recommended at
no time.
WARNING: The electric shock hazard may exist. The machine can be opened only by
authorized service personnel.
WARNING: According to IATA and DOT regulations, compressed gases are dangerous.
Therefore, the packages or transport packages of dangerous goods must be properly identified,
packed, marked, classified, labelled, and documented in accordance with the DOT and IATA
regulations. For details, see the International Air Transport Association – Dangerous Goods
Regulations or Part 171-180 "Transportation" in Title 49 of the Code of Federal Regulations.

4.2.2 Cautions
CAUTION: Refer to Equipment Maintenance Scheduleof 3 Equipment Maintenance when
performing scheduled periodic maintenance.
CAUTION: Do not leave gas cylinder valves open if the pipeline gas supply is in use and the
system main switch is at ON position. Otherwise, cylinder supplies could be depleted,
resulting in an insufficient reserve supply in the event of pipeline gas supply failure.
CAUTION: Use cleaning agent sparingly. Excess fluid could enter the machine, causing
damage.
CAUTION: This machine can be operated only by trained and skilled medical personnel

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4.2.3 Notes
NOTE: Only bacterial filters with a low flow resistance can be connected to the patient
module and/or the patient connector.
NOTE: Wear surgical gloves when touching or disassembling valves or other internal
components of the breathing system.
NOTE: Ensure that the gas supply of the machine always complies with technical
specifications.
NOTE: The APL valve and the PAW gauge marker are for reference only. The anesthesia
machine displays the calibrated airway pressure.
NOTE: If the machine malfunctions during initial calibration or testing, do not use it until
the fault is rectified by a professional service technician.
NOTE: After servicing, functional tests, sensor tests, and system tests must be carried out
prior to clinical application.
NOTE: The machine supports up to two vertical mounting brackets to accommodate
additional monitors and other devices. Unauthorized mounting accessories are not
recommended.
NOTE: Ensure that all devices on the top plate of the machine are secured.

4.3 System Calibration


NOTE: The drive gas of the anesthesia machine and the drive gas set in the calibration
device must be consistent with the actual drive gas configured for the machine.
NOTE: If a test item concerning measurement accuracy fails in the system test, perform
relevant calibration.
NOTE: Anesthesia machine calibration device (VT) or Fluke VT Plus: the zero point
(baseline) of pressure measurements may slightly drift with the temperature and time. Users
can perform zeroing manually to eliminate zero offset. In general, zeroing needs to be
performed if the monitor displays a non-zero reading when there is no pressure. Perform
zeroing on the calibration device before making any measurements.
NOTE: You can use anesthesia machine calibration device (VT) or Fluke VT Plus to perform
automatic calibration on pressure sensors or flow sensors, or use other calibration devices
meeting the accuracy requirement to perform manual calibration.

The anesthesia machine provides the functions of monitoring the volume, pressure,
inspiratory O2 concentration, CO2 concentration, and gas concentration inside the machine.
Great measurement deviations of the monitored values are very likely to be caused by the
offset in measured values of relevant measurement components, and calibration needs to be
performed. After the machine is serviced, such as replacement of VCM or expiratory valve
assembly, the flow sensors or pressure sensors of the machine need to be calibrated. The
following table lists the possible calibration items and calibration time.

S/N Calibration Functional Calibration time


item description
1 Flow Calibrate the flow 1. The TV measurement deviation is great (more
calibration sensors of the than 9% compared with the setting value) after the
(user) breathing system. flow sensors in the patient circuit have been used
for a long time.
2. The flow sensor in the patient circuit has been
replaced.
2 Flow Calibrates the flow 1. The expiratory valve assembly is replaced.
calibration sensors and 2. The VCM is replaced.
(service) inspiration valve of 3. The measured value of the built-in flow sensor
the anesthesia deviates from that of the flow measuring device by
machine. 5% of the reading or 1 L/min, whichever is larger.

4-2
S/N Calibration Functional Calibration time
item description
3 Pressure Calibrates the 1. The VCM is replaced.
calibration pressure sensors and 2. The expiratory valve assembly is replaced.
(service) PEEP valve of the 3. The measured value of the machine's pressure
anesthesia machine. sensor deviates from that of the standard pressure
gauge by 5% of the reading or 2cmH2O, whichever
is larger.
4 Pressure Calibrates zero The flow or pressure waveform deviates from the
and flow offset in the VCM baseline.
zeroing and VPM.
(service)
5 Electronic Calibrate the The electronic flowmeter has a zero point error. The
flowmeter deviation from zero electronic flowmeter still displays flow readings
zeroing point of the fresh when fresh gases are all turned off.
(user) flow sensor board.
6 O2 sensor Calibrate the 1. The measured value of the O2 sensor has a great
calibration accuracy of O2 deviation. The deviation exceeds 3% both in Air
(user) sensor at 21% and (21%) and pure O2 (100%).
100% O2. 2. The O2 sensor is replaced.
3. The VCM is replaced.

4.3.1 Flow Calibration (User)


NOTE: Flow sensor calibration must be performed again after a flow sensor is replaced.
NOTE: The measurement accuracy of flow sensors may be affected by the operating
environment, especially when they have been used for a long time, and the tidal volume
control may also experience a great deviation correspondingly. After-sales engineers can call
users to help them resolve the deviation problem through calibration.
NOTE: Before calibration, perform automatic circuit leak test and make sure that the test is
passed.
NOTE: During calibration, make sure that the drive gas pressure is kept within specifications.
Failure to do so may lead to calibration failure.

This calibration is only intended for the flow sensors in the breathing circuit. The inspiratory
flow sensor and expiratory flow sensor in the breathing system are calibrated through the
machine built-in flow measurement base source

After the inspiratory flow sensor and expiratory flow sensor have been used for several
months, for example, three months after calibration, great deviations (more than 9%
compared with the setting value) may occur to tidal volume measurement due to sensor
ageing or environmental factors. Or, the user replaces flow sensors. In this case, flow
calibration (user) can be adopted.

Follow these steps to calibrate flow sensors.


1. Enter the standby mode.

4-3
2. Select [Setup] > [Calibrate] > [Calibrate Flow Sensors] (version 1.03.02 and earlier)
or select [Main] > [General]> [Calibrate Flow Sensors] (version 2.01.00 and later) to
enter the screen shown below.

3. Follow the instructions on the screen to set the machine and select [Next] to enter the
screen shown below.

4. Select [Begin] to calibrate the flow sensor. During the calibration, you can select
[Cancel] to abort.

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5. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

6. The screen shown below is displayed if the flow sensor calibration fails. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

7. The screen shown below is displayed upon a successful flow sensor calibration. Select
[Done] to exit the calibration screen.

NOTE: If measurement deviations are not corrected after multiple flow sensor calibrations, it
is recommended that a flow sensor in the circuit be replaced and then a calibration be
performed for the new flow sensor. If the problem persists, send the machine to the
manufacturer for maintenance. After the problem is fixed, perform the calibration and system
tests.

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4.3.2 Flow Calibration (Factory)
NOTE: Flow calibration (factory) is necessary in case of replacing the VCM and expiration
valve assembly.
NOTE: When a great deviation is detected between the measured value of the machine built-
in flow sensor and that of the standard flow measurement device, perform flow calibration
(factory).

This calibration is intended for the flow sensors in the breathing circuit, machine built-in flow
sensor, and also inspiration valve. The standard flow measurement device is used to calibrate
the flow sensors and inspiration valve.

4.3.2.1 Calibration Procedures


NOTE: Make sure that the tubes are not leaking when connected.
NOTE: Do not move or press the tubes during calibration.
NOTE: When connecting calibration tubes, make sure that gas flows in the correct direction,
which is from the inspiration connector of the breathing system, through high-flow inlet of
the anesthesia machine calibration device, anesthesia machine calibration device, high-flow
outlet of the anesthesia machine calibration device, and to the expiration connector of the
breathing system.
NOTE: Before calibration, make sure that no sensor or valve related technical alarms are
generated.
NOTE: During calibration, make sure that the drive gas pressure is sufficient. Failure to do
so may lead to calibration failure.
NOTE: You can select anesthesia machine calibration device (VT) or Fluke VT Plus for
automatic calibration. You can also select flow calibration device which satisfies the accuracy
requirement for manual calibration.
NOTE: For calibration device with high and low flow channels, flow channel switchover is
required during automatic or manual calibration. Manual calibration is available for version
1.03.00 and later.

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Automatic Calibration
Follow these steps to calibrate flow sensors.
1. Enter the standby mode.
2. Select [Main] > [Service] > [Calibration] > [Flow Sensors] to enter the screen shown
below.

3. Select [Calibrate Automatically] to enter the screen shown below. Select the required
calibration device.

4-7
4. Connect the calibration device with the anesthesia machine by using a communication
cable. The calibration device can be anesthesia machine calibration device (VT) or
Fluke VT Plus.
„ Connectors and settings related to anesthesia machine calibration device (VT) are shown
below.

Calibration
communication
connector
Power connector

High-flow inlet port High flow outlet port


(0 ~ 120 L/min) (0 ~ 120 L/min)

Connect the communication connector of the anesthesia machine calibration device with the
anesthesia machine calibration communication connector using the special communication
cable. The anesthesia machine calibration device can communicate with the anesthesia
machine through two types of connection:

The following picture shows A and B, the two special communication cables for anesthesia
machine calibration device.

4-8
Connection 1: Remove the top cover of the anesthesia machine to expose the monitor board.
Use communication cable A to connect the calibration communication connector of the
calibration device with that of the monitor board, as shown below.
Communication cable A for Calibration communication connector of
anesthesia machine calibration the monitor board
device

Connection 2: Use communication cable B to connect the calibration communication


connector of the calibration device with that of the anesthesia machine (also the CIS power
connector), as shown below.

Communication cable B for


anesthesia machine calibration device

4-9
„ Connectors and settings related to Fluke VTPlus are shown below.
(1).Connect Fluke VTPlus to the power source. The following pictures show the connectors
on Fluke VTPlus.
RS232 connection line
to the calibration device

RS232 connection line to


the anesthesia machine

Calibration fixture
board. Except
connection shown
here, the fixture board
requires additional
USB power supply.

定标装置(VT Plus)末端 RS232 连接线

4-10
(2).Connect Fluke VTPlus to anesthesia machine. The related connectors are shown below.

RS232 connection
line to the anesthesia
machine

Connection line at the end of anesthesia machine

5 Set the calibration device as follows.


„ Set VT as follows if VT is selected as the calibration device:
(1) Start the calibration device to enter the startup screen followed by sensor heating screen
(waiting for approximately 5 minutes as required by the prompt message) and then zeroing
screen. Press the “ZERO” key on the panel. After the new screen pops up, press the “OK”
key on the panel to complete zeroing.
(2) Press the “MODE” key on the panel of the calibration device. Select “Calibration Mode”
from the pop-up menu and then press the “OK” key on the panel to enter calibration screen,
as shown below.

Set Fluke VT Plus as follows if VT Plus is selected as the calibration device:


(1) Gas settings: Press the Setup button, and select Setting->ENTER->Gas Settings-
>MODIFY->Gas Type->O2->BACK->BACK.

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(2) Zeroing mode settings: Press the Setup button, and select Setting ->ENTER->Zero Mode-
>Manual->BACK->BACK.

(3) Serial mode settings: Press the Setup button, and select Setting->System->Enter->Serial
Mode ->OTIS Ctrl->BACK->BACK.

(4) The serial mode screen appears after setting VT Plus is completed.

6. Select [Next] to enter the screen shown below.

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7. Connect the inspiration port and expiration port of the anesthesia machine following the
on-screen instructions, as shown below.

8. Select [Begin] to enter the screen shown below.

9. The screen shown below is displayed after the above steps are completed.

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10. If VT Plus is selected as the calibration device, select low-flow channel first, as shown
below.

Pneumatic connection with VT Plus


If VT is selected, connect to the large-flow port (0~120 L/min) of the anesthesia machine
calibration device, as shown below.

Gas flow
direction

Connector for water


collection cup

Pneumatic connection with VT


11. Select [Continue] to enter the screen shown below.

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12. The screen shown below is displayed after the low-flow channel calibration is
completed.

13. If VT Plus is selected as the calibration device, connect the high-flow channel fo the
calibration device, as shown below.

Pneumatic connection with VT Plus


If VT is selected as the calibration device, there is no need to replace range. Just select
[Continue].
14. Select [Continue] to enter the screen shown below.

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15. The screens shown below are displayed after calibration is completed.
„ The screen shown below is displayed if the flow sensor calibration fails. Read details
displayed on the calibration device, locate and rectify the fault. Select [Try Again] to do
the calibration again or select [Done] to exit the calibration screen.

„ The screen shown below is displayed upon a successful flow sensor calibration. Select
[Done] to exit the calibration screen.

16. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

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Manual Calibration (01.03.00 and higher)
Follow these steps to calibrate flow sensors.
1. Enter the standby mode.
2. Select [Main] > [Service] > [Calibration] > [Flow Sensors] to enter the screen shown
below.

3. Select [Calibrate Manually] to enter the screen shown below.

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4. Connect the inspiration port and expiration port of the anesthesia machine following the
on-screen instruction by referring to step 7 of section Automatic Calibration.
5. Select [Begin] to enter the screen shown below.

6. The screen shown below is displayed after the first step of manual calibration is
completed.

7. Connect the low-flow channel (If available) of calibration device with the pneumatic
circuit of anesthesia machine following the on-screen instructions by referring to step 10
of section Automatic Calibration.
8. When the calibration device needs to be switched to the high-flow channel, refer to step
13 in "Automatic Calibration" for connection.

NOTE: If the calibration device has multiple channels, refer to the manufacturer's
specifications to know the time for channel switchover

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9. Select [Continue] to enter the screen shown below. The system calibrates 32 calibration
points one by one. If [Waiting] is displayed in the cell, wait for the system to implement
flow control. If [Input Cal Value] is displayed in the cell, enter the standard flow value
displayed on the calibration device. You can select to re-calibrate any calibration point
during calibration. After entering standard flow values for all the 32 calibration points,
select Accept to check and save the calibration data.

10. Select [Accept]. The screens shown below are displayed.


„ The screen shown below is displayed upon a successful flow sensor calibration.

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„ The screen shown below is displayed if the flow sensor calibration fails.

11. Select [Cancel] The screen shown below is displayed.

NOTE: After flow calibration, check the accuracy of flow sensors by referring to 3.7.4Check
the Accuracy of Flow Sensors.

NOTE: In case of calibration failure, first fix the problem and then perform flow calibration
again.

4.3.2.2 Common Failures and Recommended Actions


Failure Description Possible Cause Recommended Action
After Begin is The prompt message "Manual Set the Auto/Manual switch to the
selected, no ventilation Vent." is displayed, indicating Auto position.
sound is heard. The that the Auto/Manual switch is
prompt message set to the Manual position.
"Calibration Failure! The alarm "Drive Gas Pressure Change or connect the gas supply to
Please try again." is Low" is generated. The ensure that the drive gas pressure is
displayed very soon. pressure indicated by the drive within the specified range.
gas (O2) pressure gauge is
lower than 200 kPa.
Zero point error occurs in the Replace the VCM.
inspiratory/expiratory flow
sensor.

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Failure Description Possible Cause Recommended Action
After Begin is The sampling line of at least Re-connect the sensor sampling line.
selected, the one of the inspiratory flow
ventilation sound is sensor, expiratory flow sensor,
heard. The prompt and ventilator flow sensor is
message "Calibration not connected or connected
Failure! Please try reversely.
again." is displayed The maximum flow is less than Replace the expiration valve
very soon. 90 L/min when the inspiration assembly.
valve is opened.
1. An error occurs in the 1. Check the pneumatic circuit
pneumatic circuit connection connection between the anesthesia
between the anesthesia machine calibration device and the
machine calibration device and VCM. Reconnect the pneumatic
the VCM. circuit if necessary.
2. An error occurs in the 2. Check the communication
communication connection connection between the anesthesia
between the anesthesia machine calibration device and the
machine calibration device and anesthesia machine, or reconnect them
the anesthesia machine. to ensure normal communication.
3. The anesthesia machine Replace the communication cable if
calibration device is set the problem persists.
incorrectly. 3. Check the settings of the anesthesia
machine calibration device. Set the
anesthesia machine again if necessary.
The prompt message Calibration data is incorrect. Replace the inspiratory and expiratory
"Calibration Failure! flow sensors and conduct calibration
Please try again." is again. If calibration still fails, replace
displayed 15 minutes the VCM.
after calibration is When the flow reaches 90 1. Replace the flow sensor in the
started. L/min, the collected AD value circuit.
of the inspiratory flow sensor 2. Replace the VCM.
or expiratory flow sensor is
greater than 3900, which is out
of the normal range.
[00 00 00 02] is The drive gas pressure is too 1. Check the drive gas supply.
displayed. low. 2. If the gas supply is normal, check
the gas supply pressure switch.
[00 00 00 04] is The Auto/Manual switch is set 1. Check whether the Auto/Manual
displayed. to the Manual position. switch is set to the Auto position.
2. Check whether the Auto/Manual
switch can switch normally.

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Failure Description Possible Cause Recommended Action
[00 00 00 08] is A zero point error occurs in the 1. Check whether the fresh gas is
displayed. inspiratory flow sensor (the AD turned off.
value at zero point is larger 2. Check whether the inspiration valve
than or equal to 2000, or can be closed tightly. According to the
smaller than 0). valve diagnosis tool, after the valve is
closed and the DA value is zero, if the
gas supply is disconnected and then
connected, the AD values of the
ventilator sensor basically remain
unchanged (the reading change does
not exceed 1%), indicating that the
valve is closed tightly.
3. Check the zero point correctness of
the sensor.
4. Replace the VCM.
[00 00 00 10] is A zero point error occurs in the 1. Check whether the fresh gas is
displayed. expiratory flow sensor (the AD turned off.
value at zero point is larger 2. Check whether the inspiration valve
than or equal to 2000, or can be closed tightly. According to the
smaller than 0). valve diagnosis tool, after the valve is
closed and the DA value is zero, if the
gas supply is disconnected and then
connected, the AD values of the
ventilator sensor basically remain
unchanged (the reading change does
not exceed 1%), indicating that the
valve is closed tightly.
3. Check the zero point correctness of
the sensor.
4. Replace the VCM.
[00 00 00 20] is A zero point error occurs in the 1. Check the zero point of the sensor.
displayed. internal flow sensor (the AD 2. Check whether the inspiration valve
value at zero point is larger can be closed tightly. According to the
than or equal to 2000, or valve diagnosis tool, after the valve is
smaller than 0). closed and the DA value is zero, if the
gas supply is disconnected and then
connected, the AD values of the
ventilator sensor basically remain
unchanged (the reading change does
not exceed 1%), indicating that the
valve is closed tightly .
3. Replace the VCM.

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Failure Description Possible Cause Recommended Action
[00 00 00 40] is The measurement range of the 1. Check whether the sampling line is
displayed. inspiratory flow sensor is connected correctly.
abnormal. 2. Start the valve diagnosis tool in the
calibrated pneumatic connection
environment, close the expiratory
valve based on 4000 DA, open the
inspiration valve gradually, and
observe the measured value of the
calibration device under each DA
value. If the collected AD value of the
inspiratory flow sensor at the time
point with the measured value of the
calibration device close to (smaller
than) 90 L/min is larger than 3900, the
measurement range of the inspiratory
flow sensor is abnormal. Replace the
inspiratory flow sensor.
3. Replace the VCM.
[00 00 00 80] is The measurement range of the 1. Check whether the sampling line is
displayed. expiratory flow sensor is connected correctly.
abnormal. 2. Start the valve diagnosis tool in the
calibrated pneumatic connection
environment, close the expiratory
valve based on 4000 DA, open the
inspiration valve gradually, and
observe the measured value of the
calibration device under each DA
value. If the collected AD value of the
expiratory flow sensor at the time
point with the measured value of the
calibration device close to (smaller
than) 90 L/min is larger than 3900, the
measurement range of the expiratory
flow sensor is abnormal. Replace the
expiratory flow sensor.
3. Replace the VCM.
[00 00 01 00] is The measurement range of the 1. Check whether the sampling line is
displayed. internal flow sensor is connected correctly.
abnormal. 2. Start the valve diagnosis tool in the
calibrated pneumatic connection
environment, close the expiratory
valve based on 4000 DA, open the
inspiration valve gradually, and
observe the measured value of the
calibration device under each DA
value. If the collected AD value of the
inspiratory flow sensor at the time
point with the measured value of the
calibration device close to (smaller
than) 45 L/min is larger than 3900, the
measurement range of the ventilator
flow sensor is abnormal. Replace the
ventilator flow sensor.

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Failure Description Possible Cause Recommended Action
[00 00 02 00] is The inspiratory flow sensor 1. Check whether the unidirectional
displayed. does not conform to valve is connected correctly.
monotonicity. 2. Check whether the sampling line is
connected correctly.
3. Replace the inspiratory flow sensor.
4. Replace the VCM.
[00 00 04 00] is The expiratory flow sensor 1. Check whether the unidirectional
displayed. does not conform to valve is connected correctly.
monotonicity. 2. Check whether the sampling line is
connected correctly.
3. Replace the expiratory flow sensor.
4. Replace the VCM.
[00 00 08 00] is The internal flow sensor does 1. Check whether the sampling line is
displayed. not conform to monotonicity. connected correctly.
2. Replace the internal flow sensor.
3. Replace the VCM.
1. Check the connection of the
sampling line as well as the gas
tightness.
2. Check the gas supply pressure.
3. Check the settings of the calibration
The resolution of the
[00 00 10 00] is device.
inspiratory flow sensor is
displayed. 4. Refer to 5.4 to troubleshoot sensor
incorrect.
and valve failures by using valve
diagnostic tools.
5. Replace the relevant flow sensor in
the circuit.
6. Replace the VCM.
1. Check the connection of the
sampling line as well as the gas
tightness.
2. Check the gas supply pressure.
3. Check the settings of the calibration
[00 00 20 00] is The resolution of the expiratory device.
displayed. flow sensor is incorrect. 4. Refer to 5.4 to troubleshoot sensor
and valve failures by using valve
diagnostic tools.
5. Replace the relevant flow sensor in
the circuit.
6. Replace the VCM.
[00 00 40 00] is The resolution of the internal 1. Check whether the sampling line is
displayed. flow sensor is incorrect. connected correctly.
2. Replace the internal flow sensor.
3. Replace the VCM.
[00 00 80 00] is The output flow of the valve is 1. Check whether the gas supply is
displayed. low. sufficient for the whole calibration
process.
2. Check whether the maximum
output flow of the valve is greater
than 90 L/min. If not, replace the
inspiration valve.

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Failure Description Possible Cause Recommended Action
1. Check whether the gas supply is
sufficient for the whole calibration
[00 01 00 00] is process.
The valve resolution is low.
displayed. 2. Check whether the calibration
device works properly.
3. Replace the inspiration valve.
[00 02 00 00] is The flow change is not 1. Check whether tubes are connected
displayed. unidirectional. as instructed.
2. Check whether the gas supply is
sufficient for the whole calibration
process.
3. Check whether the calibration
device works properly.
[00 04 00 00] is The communication with the 1. Check the communication
displayed. calibration device is connection between the calibration
interrupted. device and the anesthesia machine or
reconnect them to ensure normal
communication. Otherwise, replace
the communication cable.
2. Check the settings of the anesthesia
machine calibration device. Do the
settings again if required.
[00 08 00 00] is The system fails to write data 1. Perform the calibration again.
displayed. into EEPROM. 2. Replace the VCM.
[00 10 00 00] is The ACGO switch is in the ON 1. Check whether the ACGO switch is
displayed. position. set to OFF.
2. Check the monitoring status of the
ACGO switch on the screen of the
anesthesia machine.
diagnosis. (1) Open the inspiration
valve based on 4000 DA. The flow
measured by the calibration device is
larger than or equal to 90 L/min.
(2) Close the inspiration valve,
increase the opening of the inspiration
valve based on a certain DA value.
[00 20 00 00] is The maximum value is not
When the flow measured by the
displayed. found.
calibration device is about 80 L/min,
increase 10 DAs to open the valve. If
the flow increase does not exceed 5
L/min, the maximum point (the
software does not find) may exist.
Recalibration is recommended.
2. Replace the inspiration valve.
[00 40 00 00] is The minimum value is not 1. Use the valve diagnosis tool for
displayed. found. diagnosis. Open the inspiration valve
within the 0-2000 DA. If the AD
value collected by the inspiratory flow
sensor increases gradually,
recalibration is recommended.
2. Replace the inspiration valve.

4-25
Failure Description Possible Cause Recommended Action
[FF FF FF FF] is A communication error occurs. 1. Restart the machine.
displayed. 2. Check the communication cable.
3. Check whether a communication
error alarm is generated. Replace the
VCM.

4.3.3 Pressure Calibration (Factory)


NOTE: Pressure calibration (factory) is necessary in case of replacing the VCM and
expiration valve assembly.
NOTE: When a great deviation is detected between the measured value of the built-in
pressure sensor and that of the standard pressure measurement device, you need to perform
pressure calibration (factory).
This calibration is intended for the airway pressure sensor in the breathing circuit, PEEP
pressure sensor and PEEP proportional valve of the expiratory valve assembly. The standard
pressure measurement device is used to calibrate the pressure sensors and PEEP proportional
valve.

4.3.3.1 Calibration Procedures


NOTE: Before pressure calibration, make sure that the tubes are not leaky when connected.
NOTE: Do not move or press the tubes during calibration.
NOTE: You can select anesthesia machine calibration device (VT) or Fluke VT Plus for
automatic calibration. You can also select pressure calibration device which satisfies the
accuracy requirement for manual calibration. Manual calibration is available for version
1.03.00 and later.
Automatic Calibration
Follow these steps to calibrate pressure sensors and PEEP proportional valve.
1. Make sure that the anesthesia machine is in standby mode.
2. Select [Main] > [Service] > [Calibration] > [Pressure Sensors] to enter the screen
shown below.

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3. Select [Calibrate Automatically] to enter the screen shown below.

4. Use a communication cable to connect the calibration device and the anesthesia machine
by referring to step 4 in 4.3.2.1Calibration Procedures.
5. Select [Next] to enter the screen shown below.

A four-way device is required to connect sampling tubes for pressure calibration. The
following picture shows the four-way device, connectors on the calibration device, and
VCM involved in the pressure calibration.

Four-way device
connecting
sampling tubes
for pressure
calibration

4-27
Remove two tubes marked with #72 and #9 from the pressure sensors (see the following
figure).

Connect the four-way device to the pressure sensor P1 of the monitor board, PEEP
pressure sensor P2, sampling tube marked with #72, and low-pressure port of Fluke VT-
Plus 9 or high pressure sample port of VT). The sampling tube marked with #9 is not
connected for this calibration.

To the low pressure port of


Fluke VT Plus or high
pressure port of VT
A D

C
B

Pneumatic connection with VT Plus

High pressure sampling port of VT

4-28
6. Power on the anesthesia machine calibration device and manually zero the calibration
device.
7. Set the calibration device.
Refer to step 5 in 4.3.2.1Calibration Procedures.
8. Select [Next] to enter the screen shown below.

9. After selecting the required calibration device, select [Begin] to enter the screen shown
below. During the calibration, you can select [Cancel] to abort.

10. The screens shown below are displayed after calibration is completed.
„ The screen shown below is displayed if the pressure sensor calibration fails. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

4-29
„ The screen shown below is displayed upon a successful pressure sensor calibration.
Select [Done] to exit the calibration screen.

11. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

4-30
Manual Calibration
NOTE: Manual calibration can be performed for software version 01.03.00 and higher.

Follow these steps to calibrate pressure sensors and PEEP proportional valve.
1. Make sure that the anesthesia machine is in standby mode
2. Select [Main] > [Service] > [Calibration] > [Pressure Sensors] to enter the screen
shown below.

3. Select [Calibrate Manually] to enter the screen shown below.

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4. Use a communication cable to connect the calibration device and the anesthesia machine
by referring to step 4 in 4.3.2.1Calibration Procedures.
5. Complete the pneumatic connection by referring to step 5 in Automatic Calibration.
6. Select [Begin] to enter the screen shown below.

7. The screen shown below is displayed after the first step of manual calibration is
completed.

4-32
8. Select [Continue] to enter the screen shown below. The system calibrates 32 calibration
points one by one. Of the 32 calibration points, points 1 to 16 map to the rising curve
while points 17 to 32 map to the falling curve. You can select to recalibrate any
calibration point during calibration. When a calibration point mapped to the falling
curve is calibrated, you cannot change the points mapping to the rising curve. If
[Waiting] is displayed in the cell, wait for the system to implement pressure control. If
[Input Cal Value] is displayed in the cell, enter the standard pressure displayed on the
calibration device. After entering standard pressures of all the 32 calibration points,
select [Accept] to check and save the calibration data.

9. Select [Accept]. The screens shown below are displayed.


„ The screen shown below is displayed upon a successful pressure sensor calibration.

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„ The screen shown below is displayed if the pressure sensor calibration fails.

10. Select [Cancel]. The screen shown below is displayed.

NOTE: After pressure calibration, test the accuracy of pressure sensors by referring to
3.7.5Check the Accuracy of Pressure Sensors.
NOTE: In case of calibration failure, first fix the problem and then perform pressure
calibration again.

4-34
4.3.3.2 Common Failures and Recommended Actions
Failure
Possible Cause Recommended Action
Description
After [Begin] is The alarm "Drive Gas Pressure Change or connect the gas supply to
selected, no Low" is generated. The pressure ensure sufficient drive gas pressure.
ventilation sound is indicated by the drive gas (O2)
heard. The prompt pressure gauge is lower than 200
message kPa.
"Calibration Zero point error occurs in the Replace the VCM.
Failure! Please try Paw sensor or PEEP branch
again." is displayed pressure sensor. Refer to“3.7.3
very soon. Check the Sensor Zero Point”.
After [Begin] is The sampling line of at least one Reconnect the sensor sampling line.
selected, ventilation of the Paw sensor or PEEP
sound is heard. The branch pressure sensor is not
prompt message connected or connected
"Calibration incorrectly. Refer to 5.4 Sensor
Failure! Please try and Valve Related Failures.
again." is displayed The maximum pressure generated Replace the expiration valve assembly.
very soon. by the PEEP valve is smaller than
95 cmH2O. Refer to 5.4 Sensor
and Valve Related Failures.
1. An error occurs in the 1. Check the pneumatic circuit
pneumatic circuit connection connection between the anesthesia
between the anesthesia machine machine calibration device and the
calibration device and the VCM. VCM. Reconnect the pneumatic circuit
2. An error occurs in the if necessary.
communication connection 2. Check the communication
between the anesthesia machine connection between the anesthesia
calibration device and the machine calibration device and the
anesthesia machine. anesthesia machine or reconnect them
3. The anesthesia machine to ensure normal communication.
calibration device is set Replace the communication cable if the
incorrectly. problem persists.
3. Check the settings of the anesthesia
machine calibration device. Set the
anesthesia machine again if necessary.
The prompt The calibration data is incorrect: Replace the VCM.
message The measurement range of
"Calibration sensors is abnormal; the
Failure! Please try calibration data does not conform
again." is displayed to monotonicity; the sensor
15 minutes after resolution is incorrect. Refer to
calibration is 3.7.5 Check the Accuracy of
started. Pressure Sensors.
[00 00 00 02] is The drive gas pressure is too low. 1. Change or connect the gas supply to
displayed. ensure that the gas pressure ranges
from 350 kPa to 450 kPa.
2. If the gas supply is normal, check
the gas supply pressure switch.

4-35
Failure
Possible Cause Recommended Action
Description
[00 00 00 04] is The Auto/Manual switch is set to 1. Check whether the Auto/Manual
displayed. the Manual position. switch is set to the Auto position.
2. Check whether the Auto/Manual
switch can switch normally.
[00 00 00 08] is Zero point error occurs in the 1. Check the zero point.
displayed. Paw sensor. 2. Replace the VCM.
[00 00 00 10] is Zero point error occurs in the 1. Check the zero point.
displayed. PEEP pressure sensor. 2. Replace the VCM.
[00 00 00 20] is The measurement range of the 1. Check the pipeline connection and
displayed. Paw sensor is abnormal gas tightness.
2. Check the gas supply pressure.
3. Check the settings of the calibration
device.
4. Refer to 5.4 to troubleshoot sensor
and valve failures by using valve
diagnostic tools.
5. Replace the VCM.
[00 00 00 40] is The measurement range of the 1. Check the pipeline connection and
displayed. PEEP pressure sensor is gas tightness.
abnormal. 2. Check the gas supply pressure.
3. Check the settings of the calibration
device.
4. Refer to 5.4 to troubleshoot sensor
and valve failures by using valve
diagnostic tools.
5. Replace the VCM.
[00 00 00 80] is The calibration data of the Paw 1. Check the pipeline connection and
displayed. sensor does not conform to gas tightness.
monotonicity. 2. Check the gas supply pressure.
3. Refer to 5.4 to troubleshoot sensor
and valve failures by using valve
diagnostic tools.
4. Replace the VCM.
[00 00 01 00] is The calibration data of the PEEP 1. Check the pipeline connection and
displayed. pressure sensor does not conform gas tightness.
to monotonicity. 2. Check the gas supply pressure.
3. Refer to 5.4 to troubleshoot sensor
and valve failures by using valve
diagnostic tools.
4. Replace the VCM.
[00 00 02 00] is The resolution of the Paw sensor 1. Check the pipeline connection and
displayed. is incorrect. The difference gas tightness.
between the maximum and 2. Check the gas supply pressure.
minimum AD values is smaller 3. Check the settings of the calibration
than or equal to 500AD. The device.
resolution is smaller than 1 4. Refer to 5.4 to troubleshoot sensor
cmH20 ~2AD when the and valve failures by using valve
difference between two adjacent diagnostic tools.
pressures is larger than or equal 5. Replace the VCM.
to 1 cmH2O.

4-36
Failure
Possible Cause Recommended Action
Description
[00 00 04 00] is The resolution of the PEEP 1. Check the pipeline connection and
displayed. pressure sensor is incorrect. The gas tightness.
difference between the maximum 2. Check the gas supply pressure.
and minimum AD values is 3. Check the settings of the calibration
smaller than or equal to 500AD. device.
The resolution is smaller than 1 4. Refer to 5.4 to troubleshoot sensor
cmH20 ~2AD when the and valve failures by using valve
difference between two adjacent diagnostic tools.
pressures is larger than or equal 5. Replace the VCM.
to 1 cmH2O.
[00 00 08 00] is The output pressure of the valve 1. Check whether the gas supply is
displayed. is low. sufficient for the whole calibration
process.
2. Use the valve diagnosis tool to
check whether the maximum output
pressure of the PEEP valve is larger
than 90 cmH20. If not, replace the
airway module.
[00 00 10 00] is The pressure change is not 1. Check if the sampling line is
displayed. unidirectional. correctly connected.
2. Replace the VCM.
[00 00 20 00] is The communication with the 1. Check the connection between the
displayed. calibration device is interrupted. calibration device and the
communication cable.
2. Replace the calibration device and
perform the calibration again.
[00 00 40 00] is The system fails to write data into 1. Perform the calibration again.
displayed. EEPROM. 2. Replace the VCM.
[00 00 80 00] is The ACGO switch is in the ON 1. Check whether the ACGO switch is
displayed. position. set to OFF.
2. Check the monitoring status of the
ACGO switch on the screen of the
anesthesia machine.
[00 01 00 00] is The valve resolution is low. 1. Check whether the gas supply is
displayed. sufficient for the whole calibration
process.
2. Check whether the calibration
device works properly.
3. Replace the PEEP valve.
1. Use the valve diagnosis tool for
diagnosis. (1) Open the PEEP valve
based on 4000DA. The pressure
measured by VT is greater than or
equal to 90 cmH2O.
(2) Close the PEEP valve and increase
[00 02 00 00] is
The maximum value is not found. the opening of the PEEP valve based
displayed.
on a certain DA value. The AD values
collected by the Paw sensor increase
gradually.
Recalibration is recommended if the
preceding conditions are met.
2. Replace the PEEP valve.

4-37
Failure
Possible Cause Recommended Action
Description
1. Use the valve diagnosis tool for
diagnosis. Open the PEEP valve within
the 0-2000DA. If the AD values
[00 04 00 00] is
The minimum value is not found. collected by the inspiratory pressure
displayed.
sensor increase gradually, recalibration
is recommended.
2. Replace the PEEP valve.
[FF FF FF FF] is A communication error occurs. 1. Restart the anesthesia machine
displayed. and/or calibration device.
2. Check the communication cable.
3. Check whether a communication
error alarm is generated.
4. Replace the VCM or calibration
device.

4.3.4 Pressure and Flow Zeroing (Factory)


The anesthesia machine automatically performs pressure and flow zeroing at regular intervals
during operation. You can also perform pressure and flow zeroing manually in the factory
maintenance menu. Manual zeroing can immediately eliminate measurement deviations
caused by zero offset of sensors. The anesthesia machine supports automatic and periodic
pressure and flow zeroing. The first four zeroing operations are done automatically 5, 15, 30,
and 60 minutes after ventilation starts. Then automatic zeroing takes place every 120 minutes.
The three-way valve is opened and closed for valve flushing during mechanical ventilation
and before automatic zeroing. A dent appears in the waveform during zeroing, or opening and
closing of the three-way valve.

4.3.4.1 Zeroing Procedures


Follow these steps to zero pressure and flow sensors.
1. Select [Main] > [Service] > [Calibration] > [Zero Sensors] to enter the screen shown
below.

4-38
2. Select [Begin] to enter the screen shown below. During the zeroing, you can select
[Cancel] to abort.

3. The screen shown below is displayed if the ongoing zeroing is aborted. Select [Try
Again] to do the zeroing again or select [Done] to exit the zeroing screen.

4. The screen shown below is displayed if the zeroing fails. Select Try Again to do the
zeroing again or select Done to exit the zeroing screen.

4-39
5. The screen shown below is displayed upon a successful zeroing. Select [Done] to exit
the zeroing screen.

NOTE: In case of zeroing failure, other faults may exist. You must isolate and eliminate the
problem.

4.3.4.2 Troubleshoot Pressure and Flow Zeroing Failures


If the zeroing fails, perform the following steps to locate and rectify the fault.
1. Set the anesthesia machine to manual or standby mode. Turn off the fresh gas. Remove
breathing tubes from the breathing system so that the inspiration and expiration
connectors are exposed in the air. Bleed the residual gas inside the bellows. Ensure that
no flow or pressure enters the flow or pressure sensor inside the machine.
2. Check whether the zero points of sensors are normal by referring to 3.7.3 Check the
Sensor Zero Point.
3. If a zero point error is detected, remove the sampling line from the sensor to eliminate
effects caused by the sampling line occlusion or three-way valve. If the zero point is still
incorrect, the VCM is faulty. Replace the VCM.
4. If the zero points of sensors are correct but zeroing still fails, the three-way valve
assembly is faulty. Replace the three-way valve assembly.

4-40
4.3.5 Electronic Flowmeter Zeroing (User)
After the gas supply is disconnected, zero offset may occur to the sensor of the electronic
flowmeter if the pointer of the pressure gauge returns to zero but the electronic flowmeter
still displays a non-zero flow value. You can zero the flowmeter manually to immediately
eliminate measurement deviations caused by zero offset.

4.3.5.1 Zeroing Procedures


Follow these steps to zero the electronic flowmeter.
1. Select [Main] > [General] > [Zero Flow Meters] to enter the screen shown below. Set
up the machine as per the instructions on the screen and select [Begin] to start zeroing.

2. The zeroing screen shown below is displayed. During zeroing, you can select [Cancel]
to abort.

4-41
3. The screen shown below is displayed if the ongoing zeroing is aborted. Select [Try
Again] to do the zeroing again or select [Done] to exit the zeroing screen.

4. The screen shown below is displayed if the zeroing fails. Select [Try Again] to do the
zeroing again or select [Done] to exit the zeroing screen.

5. The screen shown below is displayed upon a successful zeroing. Select [Done] to exit
the zeroing screen.

NOTE: In case of zeroing failure, the electronic flowmeter may have other faults. You must
isolate and eliminate the problem.

4-42
4.3.5.2 Troubleshoot Electronic Flowmeter Zeroing Failures
If the zeroing fails, perform the following steps to locate and rectify the fault.
1. Disconnect the gas supplies. Bleed the gas inside the machine (or adjust the flowmeter
for the pointer of the pressure gauge to return to zero) and then perform zeroing again.
2. If the zeroing is successful, it is concluded that the previous zeroing failure is caused by
the mechanical failure in the three-way valve. Replace the three-way valve assembly.
3. If zeroing is still failed, it is concluded that zeroing is caused by the three-way valve
hardware circuit fault or electronic flowmeter board fault. Replace the three-way valve
assembly or electronic flowmeter board.

4.3.6 O2 Sensor Calibration


NOTE: The O2 sensor needs to be calibrated when a great deviation occurs in the O2
monitored value or the O2 sensor or VCM is replaced. Calibrate the O2 sensor again
when a great deviation of O2 concentration monitored value occurs or when the O2
sensor or the VCM is replaced.
NOTE: Before calibration, observe if the O2 sensor displays numerics on the measure screen.
If not, confirm that the O2 measure switch is turned on, check the O2 sensor connection
line, or replace the O2 sensor until measure numerics are displayed.

4.3.6.1 21% O2 Calibration


Follow these steps to calibrate the O2 sensor at 21% O2.
1. Select [Main] > [General] > [Calibrate O2 Sensor], or select [Main] > [System] >
[Calibrate / Check Sensor], or select [Main] > [Service] > [Calibration] > [O2
Sensor] to enter the screen shown below. The [General] tab displays only the O2 sensor
calibration at 21% O2. The [System] and [Service] tabs display the O2 sensor
calibration at 21% O2 and 100% O2, and need passwords. Follow the instructions on the
screen to set the machine. Select [Begin] to start calibration

4-43
2. The calibration screen shown below is displayed after [Begin] is selected. During the
calibration, you can select [Cancel] to abort.

3. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

4. The screen shown below is displayed if the calibration fails. The red font indicates
failure code. Select [Try Again] to do the calibration again or select [Done] to exit the
calibration screen.

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5. The screen shown below is displayed upon a successful calibration (in standby mode).
Select [Done] to exit the calibration screen.

4.3.6.2 100% O2 Calibration


NOTE: 100% O2 calibration shall be performed in standby mode.
NOTE: 100% O2 calibration shall be performed after a successful 21% O2 calibration.

Follow these steps to calibrate the O2 sensor at 100% O2.


1. Enter the standby mode.
2. Select [Main] > [System] > [Calibrate / Check Sensor] or select [Main] > [Service] >
[Calibration] > [O2 Sensor]. The [System] and [Service] tabs display O2 sensor
calibration at 21% O2 and 100% O2 and need passwords. The calibration screen shown
below is displayed after [100%] is selected. Follow the instructions on the screen to set
the machine and select [Next]. Set the Auto/Manual switch to the Auto position.

4-45
3. After Next is selected, the system turns off N2O and Air flows automatically, turns on
O2 flow which is greater than 8L/min automatically, and enters the calibration screen as
shown below. Follow the instructions on the screen to set the machine. Wait 2 minutes
and ensure that the O2 cell voltage has stabilized at the maximum value for at least 30s.
Select Begin.

4. The calibration screen shown below is displayed after [Begin] is selected. During the
calibration, you can select [Cancel] to abort.

5. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.

4-46
6. The screen shown below is displayed if the calibration fails. The red font indicates
failure code. Select [Try Again] to do the calibration again or select [Done] to exit the
calibration screen.

7. The screen shown below is displayed upon a successful calibration. Select [Done] to
exit the calibration screen.

4-47
4.3.6.3 Common Failures and Recommended Actions
Failure Description Possible Cause Recommended Action
After Begin is selected, a If the alarm "O2 Sensor Connect the O2 sensor.
calibration failure is Disconnected" is displayed, the O2
prompted. sensor is not connected.
The O2 supply pressure is Change or connect the gas
insufficient (less than 200 kPa). supply to ensure sufficient O2
supply pressure.
21% O2 calibration is not Perform 21% O2 calibration
completed before 100% O2 followed by 100% O2
calibration. calibration.
A calibration failure is The O2% sampling value is not Replace the O2 sensor.
prompted three minutes within the normal range. That is,
after the calibration is The 21% O2 sampling value is out
started. of the range of 150 to 560 and the
100% O2 sampling value is out of
the range of 523 to 2123. Select
Main > Service > Data
Monitors > VCM to view the
O2% sampling value

Error Code Description Recommended Action


00000002 The O2 supply pressure is low 1. Check whether cables of the O2 sensor
during the calibration at 100% are connected correctly.
O2. 2. Check the O2 supply pressure.
3. Check whether the output voltage of the
O2 sensor is stable in the calibration
menu.
4. Replace the O2 sensor.
00000004 The O2 sensor is not 1. Check whether the alarm "O2 Sensor
connected and the collected Disconnected" is displayed. If yes, check
data is larger than 2900 (AD whether the cables of the O2 sensor are
value). connected correctly.
2. Check whether the output voltage of the
O2 sensor is sable in the calibration menu.
3. Replace the O2 sensor.
00000008 The calibration value at 21% 1. Check whether cables of the O2 sensor
O2 is out of the normal range are connected correctly.
(150~560) (AD value). 2. Check whether the O2 sensor is in the
21% O2 environment.
3. Check whether the output voltage of the
O2 sensor is stable in the calibration
menu.
4. Replace the O2 sensor.
00000010 The calibration value at 100% 1. Check whether cables of the O2 sensor
O2 is out of the normal range are connected correctly.
(523~2123) (AD value). 2. Check whether the O2 sensor is in the
100% O2 environment.
3. Check whether the output voltage of the
O2 sensor is stable in the calibration
menu.
4. Replace the O2 sensor.

4-48
Error Code Description Recommended Action
00000020 An error occurs when data is 1. Perform the calibration again.
written into EEPROM. 2. Replace the O2 sensor.
3. Replace the CPU board.

4.3.7 Embedded AG Calibration


Connect the embedded AG module and the standard gas (its concentration: 5% CO2, 45% O2;
45% N2O; 5% DES) according to the following figure:

After preheating the module for 10 minutes under the Standby mode, access to
Main→System→Input the password (789789)→Accept, and then click Calibrate. Choose
Internal AG and access to the embedded AG calibration screen.
Turn on the cylinder switch and adjust the flow valve. and then read the DES anesthetic gas
concentration in the calibration screen. The test value of DES concentration should falls
within (5±0.2)%.
If the accuracy of the test gas is not within the given range above, click the right button at the
displayed value and set the object value according to the concentration of the standard gas.
Then click Calibrate for the module.

4.3.8 External AG Calibration

4-49
Use the sampling pipe to connect the standard gas (its concentration: 5% CO2, 45% O2; 45%
N2O; 5% DES), cylinder, pressure reduce valve, water trap and anaesthesia machine.
Perform the following tests after the module is preheated: Open the cylinder valve and access
to the gas calibration-related screen of the integrated equipment (see the following details).
Observe and check if the concentration of CO2 falls within 5.0%±0.2% and O2 within 45%
±2%. Notice that the O2 concentration will not be displayed for the module without O2.

Notices:
a. The method of accessing to calibration screen: under the Standby mode, access to
Main→System→Input the password (789789)→Accept. Click Calibrate and choose
External AG and then enter into the gas calibration screen of the integrated equipment.
b. If the gas concentration displayed does not within the given range, set the object value of
the gas type corresponded to the standard gas to be the standard value, then click
Calibrate.
c.
4.3.9 CO2 Module Calibration

Pressure
Relief Three-way
connectors CO2 module
Valve

Cylinder

Make sure the module has been running for over 15 minutes under the test status when start
to calibrate. First, click Zero Calibration and then choose Continue. Set the “concentration
option” to be 5% in the CO2 module calibration screen. Then, Input the standard CO2 at a
concentration of 5%. After the value staying unchanged for 20 seconds, click Calibration
Confirmation button.

4.3.10 ORC Calibration


NOTE: Adjust N2O and Air resistance of resistance block assembly to the minimum
before adjusting the initial volume to ensure that the maximum flow can be satisfied when
adjusting the O2 and N2O ratio.
NOTE: Perform this calibration if the ORC is replaced.

Follow these steps to perform ORC calibration.


1. Connect the anesthesia machine to the O2, AIR and N2O supplies. Close the O2, AIR
and N2O needle valves. Switch the screen to standby mode.

4-50
2. Turn the N2O needle valve to the maximum position. Slowly turn the O2 needle valve
to produce O2 flow of 0.25 L/min. If there is N2O flow displayed, turn the O2 resistor
on the ORC anti-clockwise with the flathead screwdriver until there is no N2O flow. If
there is no NO2 flow displayed, turn the O2 resistor on the ORC clockwise with the
flathead screwdriver until the N2O flow marginal value appears, which is not “0”.

4-51
O2 resistor

4-52
3. Keep the N2O needle valve at the maximum position. Close the O2 needle valve knob
and then slowly open the O2 needle valve. Observe if the O2 flow falls within 0.20 to
0.25 L/min when the N2O flow begins. If not, repeat step 2 until the requirement is
satisfied.
4. Keep the N2O needle valve at the maximum position. Turn O2 flow to 3 L/min and
observe N2O flow. If the N2O flow is less than 8.1±0.4 L/min, turn the N2O resistor on
the ORC anti-clockwise with the flathead screwdriver until the N2O flow reaches 9
L/min. If the N2O flow is greater than 8.1±0.4 L/min, turn the N2O resistor on the ORC
clockwise with the flathead screwdriver until the N2O flow reaches 8.1±0.4 L/min.

4-53
N2O resistor

4-54
5. Turn the O2, AIR and N2O needle valves to the maximum positions. Turn the AIR
resistor on the pneumatic resistor block assembly to cause the AIR flow to fall within 15
to 15.5 L/min.

4-55
4.3.11 High-Pressure Gas Cylinder Regulator Calibration
Perform the following steps to calibrate the high-pressure gas cylinder regulator. The
following uses the N2O high-pressure gas cylinder regulator as an example. The calibration
procedure of O2 and Air high-pressure gas cylinder regulators is the same as that of the N2O
high-pressure gas cylinder regulator.

The pressure in the cylinder must be 1000 psi at least for O2 and atmospheric air and 500 psi
at least for N2O.

For O2 and air, set the output pressure as per the following table. For N2O, set the output
pressure to 58 psi.

Cylinder Input Pressure Regulator Output Pressure


(psi) (psi)
1000 52.2
1250 50.6
1500 49.0
1750 47.4
2000 47.1
2250 46.8

4-56
1. Turn off the power supply and all gas supplies. Open the service door.

2. Remove the rear cover plate.

3. Open the rear cover plate of the integrated equipment and take off the rear panel of the
cart.
After extracting the pipe connected with check valve of cylinder assembly from one port
of the check valve, connect it to the Φ8 three-way valve. And then connect another two
ports of the three-way valve to the check valve and the pressure monitoring device
seperately.

4-57
4. Initiate the integrated equipment and turn on the gas supply of the cylinder (The gas
supply of pipes should be off now). Adjust the fresh gas flow to 1 L/min.
5. Remove the cap type self-locking nut at the head of the press reducer.

6. Rotate the regulating screw at the head slowly with a 4mm hexagon head spanner to
adjust the output pressure range (rotate clockwise to increase the pressure and
counterclockwise to reduce the pressure) until the adjusted pressure is within the range
listed in the preceding table (±5%). After adjusting the pressure, reinstall and tighten the
self-locking acorn nut.

7. Turn off the gas supply and restore the machine tube connections.

4-58
5 Repair and Troubleshooting
5.1 Troubleshooting Guidelines
5.1.1 Identify Problems
Due to the wide variety of potential symptoms, certain problems may be more subtle than
others. Following the guidelines of the tests will help determine the problem, if one exists.

5.1.2 Avoid Shorting Component Leads


During repair procedures, it can be tempting to make a quick series of measurements. Always
turn the power off before connecting and disconnecting the test leads and probes. The
accidental shorting of leads can easily damage the components and cause a second failure
(aside from the safety risk).

5.1.3 Use Proper Tools


During repair procedures, the following tools may be required:
„ Metric Allen wrench es(2.5, 3, 4, 5, 8mm)
„ Phillips screwdriver(#1 and #2)
„ Diagonal pliers
„ Flathead screwdriver
„ Metric M3 and M4 socket screwdriver
„ Adjustable wrench
„ Tweezers
„ Krytox Lubricant (P/N:0510-00-0020)
It is imperative to use the designated equipment in order to ensure proper results of any and
all test procedures.
5.1.4 Clean up the Repair Area
Clean up the repair area after any repair.

5.2 Technical Alarms


A technical alarm, as apposed to a parameter alarm, is an alarm condition that exists no
matter whether a patient is connected to the machine. Technical alarms include:
„ Startup alarm messages
„ CPU board runtime alarms
„ Power board runtime alarms
„ Electronic flowmeter board runtime alarms
„ VCM runtime alarms
„ AG module runtime alarms
A technical alarm, as apposed to a parameter alarm, is an alarm condition that exists no
matter whether a patient is connected to the machine. Technical alarms include:
„ Startup alarm messages
„ CPU board runtime alarms
„ Power board runtime alarms
„ Runtime alarms of the flow sensor board
„ VCM runtime alarms
„ AG module runtime alarms

5-1
5.2.1 Startup Alarm Messages
Message Priority Cause Solution
Bundle
Version Error
Software versions are 1. Upgrade the software to a
Bundle High
incompatible. compatible version.
Version: Time
out
1. Restart the machine.
2. Measure the 12V input
voltage (voltage on the power
cable) of the electronic
flowmeter to see if it is within
specifications. Check if the
Flowmeter
High DVCC, AVDD or VC voltage error cable is defective. If the input
Voltage Error
voltage is out of specification,
replace the power board or
cable.
3. If the problem persists,
replace the electronic
flowmeter board.
1. Restart the machine.
2. Re-plug or replace the
communication cable between
Flowmeter
1. CPU, Flash, or WTD error. the CPU board and the
Selftest Error
2. After restart, the CPU board electronic flowmeter board..
Flowmeter High
cannot communicate with the 3. If the problem persists,
Self Test:
electronic flowmeter board. replace the electronic
Time out
flowmeter board.
4. If the problem persists,
replace the CPU board.
1. Restart the machine.
Aux Control 2. Re-plug or replace the
Module communication cable between
1. CPU, Flash, WTD error.
Selftest Error the CPU board and the
2. After restart, the CPU board auxiliary VCM.
Aux Control High
cannot communicate with the
Module Self 3. If the problem persists,
auxiliary VCM.
Test: Time replace the auxiliary VCM.
out 4. If the problem persists,
replace the CPU board.
1. Restart the machine.
2. Re-plug or replace the
Ventilator 1. CPU, timer, RAM, WTD,
communication cable between
Selftest Error EEPROM, or AD error.
the CPU board and the VCM.
Ventilator High 2. After restart, the CPU board
3. If the problem persists,
Self Test: cannot communicate with the
replace the VCM.
Time out VCM.
4. If the problem persists,
replace the CPU board.
1. Restart the machine.
2. Measure the input voltage of
Ventilator
High 5 V or 12 V voltage error the VCM to check whether it is
Voltage Error
within the normal range.
3. If the input voltage is out of

5-2
Message Priority Cause Solution
range, replace the power board
or cable.
4. If the problem persists,
replace the VCM.
1. Check whether the pressure
sensor on the PEEP circuit
complies with the
specifications. Calibrate the
pressure sensor in the service
menu or replace the sensor on
the PEEP circuit when a
pressure error occurs.
2. Measure the voltage at the
PEEP Valve 1. PEEP valve voltage error. corresponding test point.
Med
Failure 2. PEEP valve pressure error.
3. Check the connection
between the power supply and
the expiratory valve assembly.
4. Replace the VCM when
necessary.
5. Replace the expiratory valve
assembly when necessary.
6. Replace the power board
when necessary.
1. Check whether the
inspiratory flow sensor
complies with the
specifications. Calibrate the
flow sensor in the service
menu or replace the flow
sensor when a flow error
occurs.
2. Measure the voltage at the
Insp Valve 1. Inspiratory valve voltage error. corresponding test point.
Med
Failure 2. Inspiratory valve flow error. 3. Check the connection
between the power supply and
the expiratory valve assembly.
4. Replace the VCM when
necessary.
5. Replace the expiratory valve
assembly when necessary.
6. Replace the power board
when necessary.
1. Measure the voltage at the
corresponding test point.
2. Check the connection
between the power supply and
the expiratory valve assembly.
PEEP Safety
Med PEEP safety valve fault. 3. Replace the VCM when
Valve Failure
necessary.
4. Replace the expiratory valve
assembly when necessary.
5. Replace the power board
when necessary.

5-3
Message Priority Cause Solution
1. Check whether the zero
point of the flow sensor
complies with the
specifications.
2. Check whether the values
Flow Sensor The measurement of the flow
Low measured by the flow sensor
Failure sensor is out of normal range.
are within the normal range.
3. Replace the flow sensor and
calibrate it.
4. Replace the VCM and
calibrate it.
Calibrate 1. No calibration table is found in Perform service calibration.
Flow Sensor the EEPROM. For details about how to
Low
and Insp 2. The checksum in the calibration calibrate the flow sensor, see
Valve table is incorrect. related section.
Calibrate 1. No calibration table is found in Perform service calibration.
Pressure the EEPROM. For details about how to
Low
Sensor and 2. The checksum in the calibration calibrate the pressure sensor,
PEEp Valve table is incorrect. see related section.
1. No calibration table is found in
the EEPROM.
1. Calibrate the O2 sensor
2. The checksum in the calibration
Calibrate O2 again.
Low table is incorrect.
Sensor 2. If the problem persists,
3. The difference of AD value of
replace the O2 sensor.
100% O2 and 21% O2 in the O2
sensor table is less than 79AD.
1. Restart the machine.
Ventilator 2. Re-plug or replace the
Initialization communication cable between
After power-on, the CPU board
Error the CPU board and the VCM.
High cannot send the parameter settings
Ventilator 3. If the problem persists,
to the VCM.
Initialization: replace the VCM.
Time out 4. If the problem persists,
replace the CPU board.
1. Check whether gas is
supplied normally.
2. Short-circuit the pressure
switch and the alarm should
disappear. Otherwise, it
indicates that the pressure
Drive Gas switch is defective. Replace
High The drive gas pressure is low.
Pressure Low the pressure switch. If the
pressure switch is not
defective, check the
connection between the
pressure switch and the VCM.
3. If the problem persists,
replace the VCM.
Use the same method as that of
O2 Supply
High O2 supply failure. Drive Gas Pressure Low to
Failure
check the O2 pressure switch.
Power Supply High 3.3 V, 5 V, 12 V voltage errors. 1. Measure the voltage at the

5-4
Message Priority Cause Solution
Voltage Error corresponding test point.
2. If the problem persists,
replace the power board.
AC power 1. Check AC power supply
Low AC power failure
failure 2.Check power connection
1. Restart the machine.
RT Clock
High The clock chip malfunctions. 2. If the problem persists,
Failure
replace the VCM.
1. Check the cable connection
Keyboard
between the keyboard and the
Selftest Error
CPU board.
Keyboard High The keyboard malfunctions.
2. Restart the machine.
Selftest:
3. If the problem persists,
Timeout
replace the keyboard.
1. Re-plug the external AG
module, and then start it.
2. Check the cable connection
External AG
between the gas bench and the
Selftest Error The external AG module
Low CPU board.
External AG: malfunctions.
3. Check whether the gas
Time out
bench works properly.
4. Replace the external AG
module.
1. Restart the machine.
Internal AG 2. Re-plug the cable between
Error 02 The internal AG module the internal AG module and
Low
Internal AG: malfunctions. the CPU board.
Time out 3. Replace the internal AG
module.

1. Re-plug the BIS module,


and then start it.
2. Check the cable connection
BIS Selftest
between the gas bench and the
Error
CPU board.
BIS Selftest Low The BIS module malfunctions.
3. Check the main cables
Error: Time
connection.
out
4. Check whether the gas
bench works properly.
5. Replace the BIS module.

1. Re-plug the CO2 module,


and restart the machine for
CO2 Selftest selftest.
Error 2. Check the cable connection
CO2 Selftest Low The CO2 module malfunctions. between the gas bench and the
Error: Time CPU board.
out 3. Check whether the gas
bench works properly.
4. Replace the CO2 module.

5-5
Message Priority Cause Solution
1. Re-plug the NMT module,
and restart the machine for
NMT Selftest selftest.
Error 2. Check the cable connection
NMT Selftest Low The NMT module malfunctions. between the gas bench and the
Error: Time CPU board.
out 3. Check whether the gas
bench works properly.
4. Replace the NMT module.

5.2.2 CPU Board Runtime Alarms


Message Priority Cause Solution
The IP address is
the same as that 1. Set the IP address again.
IP Address
Med of another 2. If the problem persists, upgrade the system
Conflict
machine on the software or replace the CPU board.
local network.
1. Check whether the fan stops or runs slowly
(about 4000 rounds/min normally).
2. Re-plug the fan cable.
The fan speed is 3. If the problem persists, check whether the 12
Fan Failure Med 20% less than V power supply for fans is within the normal
the rated value. range. If not, check the power board.
4. If the problem persists, replace the fan.
5. If the problem persists, replace the CPU
board.
1. Check whether the fan stops or runs slowly
(about 4000 rounds/min normally).
2. Re-plug the fan cable.
The fan speed of
3. If the problem persists, check whether the 12
the gas bench is
Fan Failure 02 Med V power supply for fans is within the normal
lower than 3640
range. If not, check the power board.
rounds/min.
4. If the problem persists, replace the fan.
5. If the problem persists, replace the CPU
board.

5.2.3 Power Board Runtime Alarms


Message Priority Cause Solution
1. Restart the machine.
2. Re-plug the communication cable.
The CPU board
3. Remove the internal battery. Power on the
fails to
power board again 5 minutes after it is powered
Power System communicate
High off.
Comm Stop with the power
board for 10 4. Replace the communication cable.
seconds. 5. Check whether the power board software is
correct. Upgrade the software when necessary.
6. If the problem persists, replace the power

5-6
Message Priority Cause Solution
board.
7. If the problem persists, replace the CPU board.
1. Measure the voltage at the corresponding test
point.
2. Remove the internal battery. Power on the
power board again 5 minutes after it is powered
Power Supply 3.3V, 5V, 12V
High off. Repeat step 1.
Voltage Error voltage errors
3. If the problem persists, replace the power
board.
4. If the problem persists, contact the technical
support personnel.
1. Check the connection to the AC mains. Re-
The battery connect the AC mains immediately.
voltage is less
Low Battery 2. Check whether the battery voltage is within
High than 10.6 V for
Voltage! the normal range.
a consecutive of
5 seconds. 3. Check whether the charging circuit works
properly. If not, replace the power board.
1. Restart the machine.
2. If the problem persists, check the battery
voltage in the service menu. If the battery
System going voltage is less than 10.2 V, replace the battery.
The battery
DOWN, 3. If the problem persists, connect to the normal
High voltage is less
battery mains supply. Make sure that the AC indicator is
than 10.2 V.
depleted! on and charge the battery for 20 minutes.
4. If the problem persists, replace the battery.
5. If the problem persists, replace the power
board.
1. Check whether the battery voltage is within
the normal range.
2. Check whether the cable is connected
Battery No battery is
Med correctly.
Undetected detected.
3. Replace the battery.
4. If the problem persists, replace the power
board..
1. Check the connection to the AC mains.
2. If the AC mains is connected correctly and the
voltage is within the normal range, check the
AC power
Battery in Use Low connection between the AC mains and the power
failure.
board.
3. If the problem persists, replace the power
board.
1. Check whether the fan on the power module
The power
operates properly.
Power Board board
High 2. Stop using the machine for a period of time. If
High Temp temperature
the problem persists after the machine is
exceeds 95ºC.
restarted, replace the power board.
1. Both 1. Restart the machine.
resistance 2. If the problem persists, check whether the
Heating
temperatures heating temperature and voltage are within the
Module Low
exceed 106ºC normal ranges. If not, replace the power board.
Failure
for 20 seconds. 3. If the problem persists, replace the CPU board
2. Either and upgrade the system software.

5-7
Message Priority Cause Solution
resistance
temperature
exceeds 110ºC
for 15 seconds.
1. Check that the circuit is installed correctly.
Breathing No breathing
2. Test the connection between the connection
Circuit Not High circuit is
line and the connector.
Mounted mounted.
3. Replace the power board.

5.2.4 Electronic Flowmeter Board Runtime Alarms


Message Priority Cause Solution
1. Restart the machine.
2. Measure the 12V input voltage (voltage on the
power cable) of the electronic flowmeter to see if
DVCC, AVDD
Flowmeter it is within specifications. Check if the cable is
High or VC voltage
Voltage Error defective. If the input voltage is out of
error
specification, replace the power board or cable.
3. If the problem persists, replace the electronic
flowmeter board.
1. Turn off other gas flow. Compare the
concerned gas flow with the measurement result
displayed on the total flowmeter.
N2O flow is
2. Use test tools. Turn Auto/Manual to Bag, Set
N2O Flow greater than
Low APL valve at Max value. Measure fresh gas flow
Too High 15L/min for 1
at the inspiration connector. Check the
second.
measurement error of electronic flowmeter.
3. If the problem persists, replace the flowmeter
relative subassembly.
O2 flow is
Use the same method with “N2O Flow Too High”
O2 Flow Too greater than
Low to “O2 Flow Too High” to check the O2
High 25L/min for 1
flowmeter.
second.
Air flow is
Use the same method with “N2O Flow Too High”
Air Flow Too greater than
Low to “Air Flow Too High” to check the Air
High 20L/min for 1
flowmeter.
second.
N2O flow is 1. Restart the machine.
greater than 0.5 2. Check the measurement correctness of O2 and
L/min and N2O flow sensors. If measurement error occurs,
O2-N2O greater than 4 replace the flow sensor.
High
Ratio Error times O2 flow, 3. Check the ORC for leakage. Connect the tubes
this condition again. If an error occurs, replace the ORC.
last for 1.6 4. If the problem persists, replace the electronic
seconds. flowmeter board.
The electronic 1. Restart the machine.
flowmeter board 2. Re-plug or replace the communication cable
cannot establish between the CPU board and the electronic
Flowmeter
High normal flowmeter board.
Comm Stop
communication 3. If the problem persists, replace the electronic
with the CPU flowmeter board.
board for 10 4. If the problem persists, replace the CPU board.

5-8
Message Priority Cause Solution
seconds.
1. Check if the fresh gas knob is turned on.
2. Check the measurement correctness of flow
Gas flow of Air, sensors. If measurement error occurs, replace the
O2, or N2O is all flow sensor.
No Fresh Gas Med
less than 3. Check the ORC for leakage. Connect the tubes
50mL/min. again. If an error occurs, replace the ORC.
4. If the problem persists, replace the electronic
flowmeter board.
The
communication
between the 1. Restart the machine.
electronic 2. Check the measurement correctness of flow
Internal N2O flowmeter CPU sensors. If measurement error occurs, replace the
Low
Flow Failure and the N2O flow sensor.
flow sensor is 3. If the problem persists, replace the electronic
not successful flowmeter board.
for continuous
3s.
The
communication
between the
electronic
Internal O2 Handle in the similar way to handling “Internal
Low flowmeter CPU
Flow Failure N2O Flow Failure”.
and the O2 flow
sensor is not
successful for
continuous 3s.
The
communication
between the
electronic
Internal Air flowmeter CPU Handle in the similar way to handling “Internal
Low
Flow Failure and the N2O N2O Flow Failure”.
flow sensor is
not successful
for continuous
3s.

5-9
5.2.5 VCM Runtime Alarms
Message Priority Cause Solution
1. Restart the machine.
The CPU board fails 2. Re-plug the communication cable.
Aux Control
to communicate with 3. If the problem persists, replace the
Module High
the auxiliary VCM for auxiliary VCM.
Comm Stop
10 seconds. 4. If the problem persists, replace the CPU
board.
1. Restart the machine.
2. Measure the input voltage of the VCM to
check whether the voltage is within the
Ventilator 5V or 12V voltage normal range. Check whether the cable is
High
Voltage Error error. defective.
3. If the input voltage is out of range,
replace the power board or cable.
4. If the problem persists, replace the VCM.
1. Check whether the pressure sensor on the
PEEP circuit complies with the
specifications. Calibrate the pressure sensor
in the service menu or replace the sensor on
the PEEP circuit when a pressure error
1. PEEP valve voltage occurs.
PEEP Valve error. 2. Measure the voltage at the corresponding
Med test point.
Failure 2. PEEP valve
pressure error. 3. Check the connection between the power
supply and the expiratory valve assembly.
4. Replace the VCM when necessary.
5. Replace the expiratory valve assembly
when necessary.
6. Replace the power board when necessary.
1. Check whether the inspiratory flow
sensor complies with the specifications.
Calibrate the flow sensor in the service
menu or replace the flow sensor when a
flow error occurs.
1. Inspiratory valve 2. Measure the voltage at the corresponding
Insp Valve voltage error. test point.
Med
Failure 2. Inspiratory valve 3. Check the connection between the power
flow error. supply and the expiratory valve assembly.
4. Replace the VCM when necessary.
5. Replace the expiratory valve assembly
when necessary.
6. Replace the power board when necessary.
1. Measure the voltage at the corresponding
test point.
2. Check the connection between the power
PEEP Safety PEEP safety valve supply and the expiratory valve assembly.
Med
Valve Failure voltage error. 3. Replace the VCM when necessary.
4. Replace the expiratory valve assembly
when necessary.
5. Replace the power board when necessary.

5-10
Message Priority Cause Solution
1. Check whether the zero point of the flow
sensor is within the normal range.
1. The inspiratory
2. Check whether the values measurement
flow is out of range.
by the flow sensor is within the normal
2. The expiratory flow range.
Flow Sensor
Low is out of range.
Failure 3. Replace the flow sensor and calibrate it.
3. The internal flow
4. Check the cable connection for the
sensor is
internal flow sensor. Re-plug the cables.
disconnected.
Replace the sensor when necessary.
5. Replace the VCM and calibrate it.
1. Check the one-way valve.
1. Inspiratory reverse
2. Check whether the sampling lines of the
Check Flow flow.
High sensor are connected in correct order.
Sensors 2. Expiratory reverse
3. Test the measurement status of the sensor
flow.
in the diagnostic test tool.
In pressure mode, 1. Check for breathing circuit leakage.
Pinsp is less than 2/3 2. Check the measurement accuracy of the
of its setting value pressure sensor.
(setting value is 3. Calibrate the pressure sensor in case of
greater than 9cmH2O) measurement failure.
Pinsp Not
Low or less than setting 4. Replace the VCM and calibrate it.
Achieved
value-3cmH2O(setting
value is less than
9cmH2O) for
continuous 6 breath
cycles.
TVi is less than 20% 1. Check for breathing circuit leakage.
of the setting TV or 2. Check the measurement accuracy of the
Vt Not
Low 50ml for continuous 6 flow sensor.
Achieved
cycles, whichever is 3. Calibrate the flow sensor in case of
greater. measurement failure.
1. During mechanical
1. Check whether the circuit and flow
ventilation, the
sensor are correctly connected.
pressure is less than
Patient 2. Check whether the tidal volume
Med 2cmH2O for
Circuit Leak measured by the flow sensor meets the
continuous 30s.
accuracy requirements.
2. The patient is not
3. Check for breathing circuit leakage.
connected.
1. Re-mount the Co2 absorber canister.
2. Check the cable connected between the
CO2
The CO2 absorber CO2 absorber canister and the VCM.
Absorber
High canister is not Replace the cable when necessary.
Canister Not
mounted. 3. If the problem persists, replace the switch
Locked
on the CO2 absorber canister.
4. If the problem persists, replace the VCM.
1. Make sure that the cable is correctly
connected for the O2 sensor.
O2 Sensor The O2 sensor is
Low 2. Check the voltage O2 sensor output in the
Disconnected disconnected.
calibration menu.
3. Replace the O2 sensor.
The O2 concentration 1. Check the output voltage of the O2
Replace O2
Med value sampling AD is sensor in the calibration menu.
Sensor
less than 173 AD.

5-11
Message Priority Cause Solution
2. Calibrate the O2 sensor again.
3. Replace the O2 sensor.
The O2 concentration 1. Calibrate the O2 sensor again.
Calibrate O2 value exceeds 110% 2. Replace the O2 sensor.
Low
Sensor or ranges from 5% to
15% for 3 seconds.
1. Restart the machine.
The CPU board fails
2. Re-plug the communication cable.
Ventilator to communicate with
High 3. If the problem persists, replace the VCM.
Comm Stop the VCM for 10
seconds. 4. If the problem persists, replace the CPU
board.
1. Check whether gas is supplied normally.
2. Short-circuit the pressure switch and the
alarm should disappear. Otherwise, it
indicates that the pressure switch is
Drive Gas The drive gas pressure
High defective. Replace the pressure switch. If
Pressure Low is low.
the pressure switch is not defective, check
the connection between the pressure switch
and the VCM.
3. If the problem persists, replace the VCM.
Use the same method as that of Drive Gas
O2 Supply The O2 supply
High Pressure Low to check the O2 pressure
Failure pressure is low.
switch.
3-way Valve Low The status of the 3- 1. Test the connection of the 3-way valve.
Failure way valve is incorrect. 2. Replace 3-way valve.
3. Replace the VCM.
Note: this alarm can only be viewed in
alarm log and is not displayed on the screen.
ACGO 3-way Med The status of the 3- 1. Test the connection of the 3-way valve.
Valve Failure way valve is incorrect. 2. Replace 3-way valve.
3. Replace the VCM.
Auto Low The machine fails the 1. Restart the machine.
Ventilation startup self-test and 2. If the problem persists, check related
Disabled only manual modules based on the startup self-test
ventilation is results.
applicable. 3. If the problem persists, replace related
modules based on the startup self-test
results.
Auto Low The automatic circuit 1. Check that the circuit and pipeline are
Ventilation leak test fails. installed correctly. Check whether the
Disabled - sampling port is occluded and whether
Leak Test condensate drain is closed.
Failed 2. Perform the leak test again.
Auto High The machine can 1. Set the manual ventilation switch to the
Ventilation apply only manual manual position.
Disabled ventilation, but the
manual ventilation
switch is turned to the
auto position.

ACGO Med The status of the 1. Check whether the drive gas pressure is
Failure ACGO switch is within the normal range. If not, ensure that

5-12
Message Priority Cause Solution
incorrect. the drive gas pressure is within the normal
range. Then turn on or off the ACGO
switch.
2. If the problem persists, replace the
ACGO switch.
3. If the problem persists, replace the CPU
board.
4. If the problem persists, replace the
VCM.
Electronic Low No electronic ACGO 1. Check whether an electronic ACGO
ACGO is detected. module is configured for the machine. If
Undetected not, enter password 558188 to access the
special service menu, and configure a
correct ACGO type based on actual
conditions of the machine.
2. If so, check the connections between the
ACGO module and the CPU board, and
between the ACGO module and the VCM.
3. Replace the electronic ACGO module
when necessary.
4. Replace the CPU board or VCM when
necessary.
Aux Control Low Protective module 1.Restart the anaesthesia machine.
Board 1.3V power supply 2.Measure the supply voltage of the aux
Voltage control board to make sure the supply
failure voltage is within the specific given range.
3.Check if the cables are invalid. If the
supply voltage is out of the specific voltage,
replace the power supply board or cables.
4.If the problem persists, replace the VCM.
Pressure Med 1.PEEP pressure 1.Cut off the gas supply and disconnect the
monitoring sensor contra- gas connection with patients. Observe the
channel connection. sampling value of the pressure sensor.
failure 2.The measured value 2.If the zero deviation is large, check if the
of airway pressure pressure sampling pipes were contra-
sensor or PEEP connected, blocked or oppressed.
pressure sensor is 3.Zero calibrating manually.
beyond the range. 4.Restart the machine.
3.Airway pressure 5. If the problem persists, replace the VCM.
sensor or PEEP
pressure sensor zero
point abnormality.

5-13
5.2.6 External AG Module Runtime Alarms
Message Priority Cause Solution
AG Hardware The AG hardware
Med Replace the AG module.
Error malfunctions.
The O2 sensor
O2 Sensor Error Med Replace the AG module.
malfunctions.
1. Re-plug the AG module.
An error occurs
External AG 2. If the problem persists or the alarm
Low during AG module
Selftest Error occurs repeatedly, replace the AG
self-test.
module.
The AG module is
AG Hardware
High not properly installed Replace the AG module.
Malfunction
or malfunctions.
1. Re-plug the AG module.
An error occurs
2. If the problem persists or the alarm
AG Init Error High during AG
occurs repeatedly, replace the AG
initialization.
module.
The AG watertrap is 1. Check the AG watertrap.
disconnected from
AG No Watertrap Low 2. Replace the AG watertrap.
the anesthesia
machine. 3. Replace the AG module.
The patient type is
AG Watertrap Type infant/neonate, and
Low Change the watertrap type.
Wrong watertrap type is
adult.
1. Check the AG watertrap.
AG Change The watertrap needs
Med 2. Replace the AG watertrap.
Watertrap to be replaced.
3. Replace the AG module.
The AG module 1. Replace the communication cable
AG Comm Stop High malfunctions or the of the AG module.
communication fails. 2. Replace the AG module.
The pump rate of the 1. Check the sampling of the AG
AG Airway AG module is below module.
High
Occluded 20 ml/min for more 2. Replace the AG watertrap.
than 1 second. 3. Replace the AG module.
AG Data Limit The AG module
Med Replace the AG module.
Error malfunctions.
Zeroing for the AG 1. Zero the AG module again.
AG Zero Failed Low
module fails. 2. Replace the AG module.
Calibration for the 1. Calibrate the AG module again.
AG Cal. Failed High
AG module fails. 2. Replace the AG module.
The measured values
O2 Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.
The measured values
N2O Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.
The measured values
CO2 Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.

5-14
Message Priority Cause Solution
The measured values
Enf Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.
The measured values
Iso Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.
The measured values
Sev Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.
The measured values
Hal Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.
The measured values
Des Accuracy 1. Calibrate the AG module again.
Low exceed the normal
Unspecified 2. Replace the AG module.
range.
The AG module
detected two and
more kinds of Use only one type of halogenated
Mixed Agent Low
halogenated agents. agent.
The measured MAC
is less than 3.
The AG module
detected two and
more kinds of
Use only one type of halogenated
Mixed Agent Med halogenated agents. It
agent.
cannot detect the
specific MAC value
(invalid value).
The AG module
detected two and
more kinds of
Mixed Agent and Use only one type of halogenated
Med halogenated agents.
MAC ≥ 3 agent.
The measured MAC
is greater than or
equal to 3.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
iCO2 Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
O2 Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
N2O Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
Hal Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.

5-15
Message Priority Cause Solution
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
Enf Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
Iso Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
Sev Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
Des Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.
1. Decrease the respiratory rate to
The monitored value normal range.
Rate Overrange Low exceeds the
2. Calibrate the AG module again.
measurement range.
3. Replace the AG module.

5.2.7 Internal AG Module Runtime Alarms


Message Priority Cause Solution
Internal AG Error The AG hardware Replace the AG module.
Low
01 malfunctions.
Internal AG Error An error occurs during Replace the AG module.
Low
02 AG module self-test.
The AG module is not
Internal AG Error
Low properly installed or Replace the AG module.
03
malfunctions.
Internal AG Error An error occurs during Replace the AG module.
Low
04 AG initialization.
The AG module 1. Replace the communication
Internal AG Error
Low malfunctions or the cable of the AG module.
05
communication fails. 2. Replace the AG module.
Internal AG Error Zeroing for the AG 1. Zero the AG module again.
Low
07 module fails. 2. Replace the AG module.
Internal AG Error Calibration for the AG 1. Calibrate the AG module again.
Low
08 module fails. 2. Replace the AG module.
1. Check the substitutional device
of the watertrap of the internal AG
The substitutional device module.
Internal AG Error of the watertrap of the
Low 2. Replace the substitutional device
09 internal AG module
of the watertrap of the internal AG
loosens.
module.
3. Replace the AG module.

5-16
Message Priority Cause Solution
1. Check the sampling of the AG
The pump rate of the AG module.
Internal AG Error module is below 20 2. Replace the substitutional device
Low
10 ml/min for more than 1 of the watertrap of the internal AG
second. module.
3. Replace the AG module.
1. Check the substitutional device
of the watertrap of the internal AG
The substitutional device module.
Internal AG Error
Low of the watertrap needs to 2. Replace the substitutional device
11
be replaced. of the watertrap of the internal AG
module.
3. Replace the AG module.
The measured AG module 1. Calibrate the AG module again.
Internal AG Error
Low parameter values exceed 2. Replace the AG module.
12
the normal range.

5.2.8 BIS Module Runtime Alarms

Message Priority Cause Solution


The system fails to
receive information 1. Re-plug the BIS module.
BIS Init Error High
about BIS module 2. Replace the BIS module.
initialization.
Waveform data packet
is not received for
1. Check the communication cable
continuous 2s; or, data
between BIS module and main
BIS Comm Abnormal High packet of BIS
system.
monitored parameters
2. Replace the BIS module.
is not received for
continuous 4s.
BIS Over Range The monitored value
exceeds the
BIS L Over Range Low Replace the BIS module.
measurement range of
BIS R Over Range the module.
The sensor is not
1. Check the contact between BIS
properly adhered to
BIS High Imped. Low sensor and patient skin.
the patient skin. The
2. Replace with a new BIS sensor.
impedance is too high.
1. Check the contact between BIS
The sensor falls off
BIS Sensor Off Low sensor and patient skin.
from the patient.
2. Replace with a new BIS sensor.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode 1 High
Low electrode 1 is too sensor electrode 1 and patient skin.
Imped.
high. 2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode 1 Lead BIS electrode 1 falls
Low sensor electrode 1 and patient skin.
Off off from the patient.
2. Replace with a new BIS sensor.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode 2 High
Low electrode 2 is too sensor electrode 2 and patient skin.
Imped.
high. 2. Replace with a new BIS sensor.

5-17
Message Priority Cause Solution
1. Check the contact between BIS
BIS Electrode 2 Lead BIS electrode 2 falls
Low sensor electrode 2 and patient skin.
Off off from the patient.
2. Replace with a new BIS sensor.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode 3 High
Low electrode 3 is too sensor electrode 3 and patient skin.
Imped.
high.。 2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode 3 Lead BIS electrode 3 falls
Low sensor electrode 3 and patient skin.
Off off from the patient.
2. Replace with a new BIS sensor.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode 4 High
Low electrode 4 is too sensor electrode 4 and patient skin.
Imped.
high.。 2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode 4 Lead BIS electrode 41 falls
Low sensor electrode 4 and patient skin.
Off off from the patient.
2. Replace with a new BIS sensor.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode G High
Low electrode G is too sensor electrode G and patient skin.
Imped.
high. 2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode G Lead BIS electrode G falls
Low sensor electrode G and patient skin.
Off off from the patient.
2. Replace with a new BIS sensor.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode C High
Low electrode C is too sensor electrode C and patient skin.
Imped.
high. 2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode C Lead BIS electrode C falls
Low sensor electrode C and patient skin.
Off off from the patient.
2. Replace with a new BIS sensor.
1. Check the contact between BIS
The impedance of BIS
BIS Electrode LE sensor electrode LE and patient
Low electrode LE is too
High Imped. skin.
high.
2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode LE BIS electrode LE falls sensor electrode LE and patient
Low
Lead Off off from the patient. skin.
2. Replace with a new BIS sensor.
1. Check the contact between BIS
The impedance of BIS
BIS Electrode LT sensor electrode LT and patient
Low electrodeLT is too
High Imped. skin.
high.
2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode LT BIS electrode LT falls sensor electrode LT and patient
Low
Lead Off off from the patient. skin.
2. Replace with a new BIS sensor.
1. Check the contact between BIS
The impedance of BIS
BIS Electrode RE sensor electrode RE and patient
Low electrode RE is too
High Imped. skin.
high.
2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode RE BIS electrode RE falls sensor electrode RE and patient
Low
Lead Off off from the patient. skin.
2. Replace with a new BIS sensor.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode RT
Low electrode RT is too sensor electrode RT and patient
High Imped.
high. skin.

5-18
Message Priority Cause Solution
2. Replace with a new BIS sensor.
1. Check the contact between BIS
BIS Electrode RT BIS electrode RT falls sensor electrode RT and patient
Low
Lead Off off from the patient. skin.
2. Replace with a new BIS sensor.
BIS DSC
BIS DSC Error Low Replace the BIS module.
communication error.
BIS DSC
malfunctions and
BIS DSC Malf Low Replace the BIS module.
turns off
automatically.
BIS cable is not 1. Check the BIS cable.
BIS No Cable Low
connected. 2. Replace the BIS cable.
BIS sensor is not 1. Check the BIS sensor.
BIS No Sensor Low
connected. 2. Re-install the BIS sensor.
1. Check if the use times of BIS
BIS Sensor Too Many BIS sensor is over- sensor exceeds the restricted times
Low
Uses used (100 times).
2. Replace the BIS sensor.
1. Check the contact between BIS
BIS SQI<50% Low SQI is low. sensor and patient skin.
2. Replace with a new BIS sensor.
SQI is very low,
1. Check the contact between BIS
prompting the user
BIS SQI<15% Low sensor and patient skin.
that BIS value is not
2. Replace with a new BIS sensor.
reliable.
SQI L is very low,
1. Check the contact between BIS
prompting the user
BIS SQI L<15% Low sensor and patient skin.
that BIS value is not
2. Replace with a new BIS sensor.
reliable.
1. Check the contact between BIS
BIS SQI L<50% Low SQI L is lower. sensor and patient skin.
2. Replace with a new BIS sensor.
SQI R is very low,
1. Check the contact between BIS
prompting the user
BIS SQI R<15% Low sensor and patient skin.
that BIS value is not
2. Replace with a new BIS sensor.
reliable.
1. Check the contact between BIS
BIS SQI R<50% Low SQI R is lower. sensor and patient skin.
2. Replace with a new BIS sensor.
1. Check the validity period of BIS
BIS Sensor Expired Low BIS sensor is expired. sensor.
2. Replace the BIS sensor.
BIS Electrode BIS sensor electrode
Low
Unconnected is not connected.
BIS cable is not 1. Check the interface between BIS
connected to the plug- cable and plug-in module.
BISx Disconnected Low in module or 2. Replace the BIS cable.
communication 3. Replace the plug-in module of
malfunctions. BIS module.
BIS Wrong Sensor Mindray undeclared 1. Check the type of BIS sensor.
Low
Type BIS sensor is used. 2. Replace the BIS sensor.
Sensor overcurrent, or
1. Check the BIS sensor.
BIS Sensor Failure Low positive electrode
2. Replace the BIS sensor.
error.

5-19
Message Priority Cause Solution
Overcurrent error
accumulates to three
times and positive
electrode error
accumulates to twice.
Disconnect/Reconnect It is necessary to
Low Re-plug the BIS sensor.
BIS power off and then
power on the BIS
module. The use shall
re-plug the BIS
module or BIS plug-in
box.
1. Re-plug the BIS module.
An error occurs to
BIS Self Test Error Low 2. If the problem persists, replace
BIS module selftest.
the BIS module.

5.2.9 CO2 Module Runtime Alarms

Message Priority Cause Solution


1. Replace the communication cable
CO2 module error or
CO2 Comm Stop High for CO2 module.
Comm error.
2. Replace the CO2 module.
CO2 Sensor Temp too Replace the CO2 module.
CO2 Sensor High
Low high(greater than 63°
Temp
C).
CO2 Sensor Low CO2 Sensor Temp too Replace the CO2 module.
Low
Temp low(lower than 5 °C)
1. Check the airway pressure.
Airway Press too
CO2 High Airway 2. Re-install the sampling line of
Low high(greater than
Press. CO2 module.
790mmHg)
3. Replace the CO2 module.
1. Check the airway pressure.
Airway Press too
CO2 Low Airway 2. Re-install the sampling line of
Low low(lower than
Press. CO2 module.
428mmHg)
3. Replace the CO2 module.
CO2 High Barometric is greater Replace the CO2 module.
Low
Barometric than 790mmHg
CO2 Low Barometric is lower Replace the CO2 module.
Low
Barometric than 790mmHg
1.External AD 2.5V Replace the CO2 module.
Error
2.12V Voltage Error
CO2 Hardware
High 3.Internal AD 2.5V
Error
Error
4.Air pump Error
5.3-Way Valve Error
1. Check the sampling line of CO2
CO2 Sampleline
Low Sampleline Occluded module.
Occluded
2. Replace the CO2 module.
CO2 System Error Low multi-System error Replace the CO2 module.

5-20
Message Priority Cause Solution
1. Check the CO2 watertrap.
2. Re-install the CO2 watertrap.
CO2 No Watertrap or
3. If the problem is not eliminated,
CO2 No Watertrap Low Watertrap
replace the CO2 watertrap.
disconnected.
4. If the problem persists, replace the
CO2 module.
The monitoring value
1. Re-calibrate the CO2 module.
EtCO2 Overrange Low exceeds the
2. Replace the CO2 module.
measurable range.
The monitoring value
1. Re-calibrate the CO2 module.
FiCO2 Overrange Low exceeds the
2. Replace the CO2 module.
measurable range.
Mindray CO2 moduel 1. Re-zero the CO2 module.
CO2 Zero Failed Low
Error 2. Replace the CO2 module.
CO2 Init Error High CO2 Init Error Replace the CO2 module.
The CO2 module Replace the CO2 module(not
Incompatible CO2
High detected is not applicable to M02A module).
Software Version
compatible.
The mainstream CO2
CO2 Sensor Error Low Replace the CO2 module.
module sensor Error
The mainstream CO2 1.Check the sensor of the
module sensor mainstream CO2 module
CO2 No Sensor Low
disconnection or 2. Replace the mainstream
communication error CO2 module sensor
MiniMedi CO2 airway
CO2 Check Airway Low Replace the CO2 module.
abnormal or block
1.Check CO2 module sampling
MiniMedi CO2 pipe
CO2 No Sample line Low disconnected with 2.Replace CO2 module
sampling pipes. sampling pipe
3.Replace the CO2 module.
CO2 Main Board MiniMedi CO2
High Replace the CO2 module.
Error module Error
CO2 Check Sensor MiniMedi CO2
Low Replace the CO2 module.
or Main Board module Error
CO2 Replace MiniMedi CO2
Low Replace the CO2 module.
Scrubber&Pump module Error
MiniMedi CO2
CO2 Replace Sensor Low Replace the CO2 module.
module Error
CO2 15V Voltage MiniMedi CO2
High Replace the CO2 module.
Over Range module Error
MiniMedi CO2
module working
CO2 Temp Over
Low temperature is over Replace the CO2 module.
range
than that in regular
working status.
MiniMedi CO2
CO2 Check Cal. Low Recalibrate the CO2 module
module Error

5-21
5.2.10 NMT Module Runtime Alarm
Message Priority Cause Solution
NMT No Main Low NMT main cables Please check the connection between
Cables disconnected. the main cables and NMT module.
NMT No Sensor Low NMT sensor 1 Check the connection between the
disconnected sensor and NMT module to ensure
the normal connection.
2 If the alarm persists, please replace
the sensor.
NMT Stimulation Low NMT stimulating 1 Check the connection between the
Electrode off electrode fell off. stimulating cables and the main cable
to ensure the normal normal
connection.
2 If the alarm persists, please check
the connection between the patient
and the stimulating electro.
NMT Sensor Comm. Low NMT sensor comm. 1 Check the connection between the
Error error sensor and the main cable of NMT
module to ensure the normal
connection.
2 If the alarm persists, please replace
the sensor or NMT module
NMT Stimulation Low 1 Check the connection between the
current over Limit The stimulating stimulating cable and the main cable
current value of NMT to make sure the normal connection
module output between the patient and the
overanges the specific stimulating eletro.
value. 2 If the alarm persists, please replace
the NMT module or related
component.
NMT Comm. High Abnormal NMT 1 Re-plug the NMT module, main
Abnormal communication cable, sensor and the stimulating
electro, or plug the NMT to the other
machine. Eliminate the error
situations one by one.
2 If the alarm persists, please replace
the NMT module or related
component.
NMT Comm. Stop High NMT communication 1 Re-plug the NMT module, main
stops cable, sensor and the stimulating
electro, or plug the NMT to the other
machine. Eliminate the error
situations one by one.
2 If the alarm persists, please replace
the NMT module or related
component.
NMT Init Error High NMT initializes 1 Re-plug the NMT module or restart
incorrectly. the anaesthesia machine
2 If the alarm persists, please replace
the NMT module.
NMT Self Test Error Low NMT Selftest Error 1 Re-plug the NMT module or restart
the anaesthesia machine
2 If the alarm persists, please replace
the NMT module.

5-22
NMT Power Error High NMT mainstream 1 Please check the connection
disconnected or between the main cable and NMT
abnormal module.
communication 2 If the alarm persists, please replace
the NMT module.
ST-Ratio Over Range Low NMT power supply Replace the NMT module.
error.
TOF-Ratio Over Low ST-Ratio 1 Recalibrate the sensor.
Range measurement 2 Replace the sensor or NMT
overrange. module.
DBS-Ratio Over Low TOF-Ratio 1 Recalibrate the sensor.
Range measurement 2 Replace the sensor or NMT
overrange module.

5.3 Pneumatic System Problems


The pneumatic system is mainly composed of anesthetic gas delivery system, anesthetic
agent delivery device (vaporizer), anesthetic ventilator, breathing and anesthetic gas
scavenging system. This chapter details possible failures regarding the pneumatic system and
how to troubleshoot them.

5.3.1 Tools for on-site Maintenance


The tools required for troubleshooting are listed below. The materials listed in the form are
not sold separately. Please consult the engineer if any questions.
Name Quantity P/N
Negative pressure ball 1 040-000814-00*
Injector(100ml) 1 040-000040-00*
Circuit adapter test fixture 1 115-002452-00*
Flow sensor pressure sampling pipeline test fixture 1 115-002456-00*
Vaporizer manifold test fixture 1 115-002453-00*
1 MPa(10 bar) Test pressure gauge 1 0611-30-67602*
T-shaped Allen wrench(4*100) 1 M90-100111---*
3106-04-06 adapter connector 1 M6Q-030068---*
3106-06-08 adapter connector 1 M6Q-030051---*
3106-10-00 adapter connector 2 082-000021-00*
3106-06-00 adapter connector 1 M6Q-030059---*
Breathing tube adapter connector 1 115-002454-00*
3126-04-00 tube plug 2 082-000023-00*
3126-06-00 tube plug 3 M6Q-120001---*
3126-08-00 tube plug 4 M6Q-120002---*
3126-10-00 tube plug 3 082-000022-00*
Y piece 2 M90-100030---*
Breathing tube Y piece 1 M6Q-030028---*
3140-08-00 Y piece 1 M6Q-030025---*
PU tube (4X200) 1 M6G-020046---*
PU tube (6X100) 1
PU tube (6X200) 1 M6G-020026---*
PU tube (6X300) 1
PU tube (8X200) 2 M6G-020014---*
Breathing tube 4 M6G-020017---*

5-23
Name Quantity P/N
Φ6 silicone tube 3 A21-000007---*
A5 Service Manual / 046-001140-00
Adult test lung / 0138-00-0012
Wrench / 0367-00-0080
Y-Fitting 15 mm connection / 0103-00-0508
Respiration Tube, 0.6 meter silicone, 15mm 2 0004-00-0076
Breathing Bag 2.3 L silicone / 0992-00-0139
Regulator Calibration Hose / 0453-00-1216
A5 troubleshooting kit / 115-009450-00
Vaporizer Instruction Manual / /
Safety Analyzer Dempsey 430 or equivalent / /
Digital Volt Meter 3 1/2 digit / /
Agent (and NO2) Analyzer ±0.3 V/V%+5% of reading / /
Digital Pressure Meter BC Biomedical DPM-2301751 NMC / /
Digital Pressure Meter or equivalent
Central supplied O2,NO2,AIR Minimum of 35 psi, DISS / /
connections.
Cylinder gases O2,NO2,AIR Full PISS yoke connections / /
Gas flow analyzer with accuracy of 2% / /
Communication box (this box is required if FlukeVT Plus gas / /
flow analyzer is used)
Lucer adapter connector / /
Ethernet Crossover Cable / 0012-00-1392-06
USB flash drive / 0992-00-0297-01
* = is part of the 115-009450-00 A5 troubleshooting kit.

The following pictures show the tools listed above.

(1) (2) (3) (4) (5) (6) (7)

5-24
(8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)

(1)PU tube (4X200);(2)PU tube (6X100);(3)PU tube (6X200);(4)PU tube


(6X300);(5)PU tube (8X200);(6)Φ6 silicone tube;(7)Breathing tube; (8)3106-
04-06 adapter connector;(9)3106-06-00 adapter connector;(10)3106-06-08 adapter
connector;(11)3106-10-00 adapter connector;(12) Breathing tube adapter connector;
(13)3126-04-00 tube plug;(14)3126-06-00 tube plug;(15)3126-08-00 tube plug;
(16)3126-10-00 tube plug;(17)Y piece;(18)3140-08-00 Y piece;(19)Breathing
tube Y piece;

Negative pressure ball:

Circuit adapter test fixture:

5-25
Flow sensor pressure sampling pipeline test fixture:

Vaporizer manifold test fixture:

Anesthesia machine calibration device:

5-26
1 MPa (10bar) test pressure gauge:

5.3.1.1 Precautions for Use of Circuit Adapter Test Fixture


There are four connectors for pressure sampling lines and four ∅6 quick plug-in connectors
with number marked on the circuit adapter test fixture, as shown below.

Connector
for pressure
sampling ∅6 quick plug-in
line connector

∅6 quick plug-in
connector

The connectors for pressure sampling lines can be connected with Φ6 silicone tubes and the
∅6 quick plug-in connectors with PU tube (6X100), PU tube (6X200) and PU tube (6X300),
as shown below.

The circuit adapter test fixture can be mounted either onto the circuit adapter of the
anesthesia machine main unit or onto the removed patient circuit. The following pictures
show the test fixture mounted in position.

5-27
If it is hard to install and remove the test fixture, apply a layer of lubricant (Krytox high-
performance fluorine grease) to the seals (as shown below).

Seal (082-000667-00)
Seal (M6M-010058---) Seal (082-000665-00)

5.3.1.2 Precautions for Use of Flow Sensor Pressure Sampling Pipeline


Test Fixture
There are two connectors for pressure sampling lines on the flow sensor pressure sampling
pipeline test fixture, as shown below.
Connector for
pressure
sampling line

5-28
The connector for pressure sampling line can be connected with Φ6 silicone tubes.
When using the flow sensor pressure sampling pipeline test fixture, remove the expiratory or
inspiratory flow sensor from the patient circuit first. Then mount the flow sensor pressure
sampling pipeline test fixture onto the position where the expiratory or inspiratory flow
sensor was originally mounted and tighten the Inspiration/Expiration Connector Coupling, as
shown below. Perform test after connecting the Φ6 silicone tube to the connector for
pressure sampling line.

5-29
5.3.1.3 Precautions for Use of Vaporizer Manifold Test Fixture
When using the vaporizer manifold test fixture, remove the o-ring seal on the vaporizer
manifold assembly. Then slide the test fixture onto the connector, as shown below.

After the test fixture is slid on


Before the test fixture is slid on

Turn the knob clockwise until the bottom surface of the pressure head is in contact with the
top surface of the connector, as shown below.

Contact here when mounted

5-30
5.3.1.4 Precautions for Use of Negative Pressure Ball
Besides one sealing cover, the negative pressure ball also has two one-way valves at its front
end, as shown below. The built-in one is connected with the gas inlet of the ball which
permits the gas come in only, and the exterior one only permits the gas come out. If the front
sealing cover is removed or loosened, the sealing performance of the negative pressure ball
will compromise. In this case, you need to tighten the sealing cover.
Sealing cover Tighten the sealing cover Gas inlet

External one-way valve (gas outlet)

When the negative pressure ball is connected with the tested component, the ball permits the
gas in only, but meanwhile it’s free to release air when it’s pressed.

Before using the negative pressure ball, make sure that it is not leaky. Check if the front
sealing cover is tightened. Then flatten the negative pressure ball to remove the gas inside.
Install the gas outlet plug properly. Block the front gas inlet with your finger then release the
ball. Ball should not visibly inflate for at least 30 seconds. If it does, replace the ball.

5-31
5.3.2 Gas Supplies and Drive Gas
The following table lists gas supplies and drive gas related failures.
Failure description Possible cause Recommended action
Leak The gas supply tube is Replace the gas supply tube or the seal at the
damaged or the seal at connection.
the connection is
damaged.
The quick plug-in Replace the quick plug-in connector or PU
connector leaks. tube (when the PU tube is not damaged, if the
tube is long enough, cut off a small segment
of the tube where the quick plug-in connector
is met, and then insert the tube into position).
The pipeline gas supply Check if the check valve of the pipeline gas
inlet assembly leaks. supplies inlet assembly leaks in the reverse
direction. Replace it if necessary. Check and
replace the damaged seal of the pipeline gas
supplies inlet assembly. If the problem
persists, replace the pipeline gas supplies inlet
assembly.
The drive gas pipeline Check and repair the expiratory valve
leaks. assembly as per the procedures described in
5.3.4.2 Leak Test of Low-pressure
Pneumatic System.
Pipeline pressure The pipeline pressure Replace the pipeline pressure gauge.
gauge shows gauge is damaged.
inaccurate readings
or no readings.
The readings on the The filter of pipeline gas 1. After confirming that the pipeline gas
pipeline pressure supply inlet assembly or pressure is stable, check the PU tube of the
gauge fluctuate the PU tube of the pipeline pressure gauge and filter of the
greatly. pipeline pressure gauge pipeline gas supply inlet assembly. If the tube
is occluded or the or the filer is occluded, replace it.
pressure gauge is 2. If the problem persists, replace the pipeline
damaged. pressure gauge.
No “O2 Supply The gas pressure switch Adjust the pressure switch of the O2 supply
Failure” alarm of the O2 supply inlet inlet assembly to cause O2 supply pressure to
occurs when the O2 assembly is ineffective. approach 0.2 MPa as much as possible within
pressure is low or the range of 0.15 to 0.25 MPa when this
this alarm occurs alarm occurs. If the adjustment fails, replace
when the O2 supply the pressure switch (refer to 5.3.2.3 Adjust
pressure is within the Pressure Switch).
specifications.
No “Drive Gas The pressure switch on Adjust the pressure switch on the integrated
Pressure Low” alarm the integrated pneumatic pneumatic circuit of the expiratory valve
occurs when the circuit of the expiratory assembly to cause drive gas pressure to
drive gas pressure is valve assembly or the approach 0.14 MPa as much as possible
low or this alarm PEEP safety valve is within the range of 0.05 to 0.2 MPa when this
occurs when the ineffective. Or, the filter alarm occurs. If the adjustment fails, replace
drive gas pressure is on the integrated the pressure switch. If the problem persists
within pneumatic circuit of the after the pressure switch is replaced, replace
specifications. expiratory valve the integrated pneumatic circuit of the
assembly is occluded. expiratory valve assembly (refer to 5.3.2.3
Adjust the Pressure Switch)。

5-32
5.3.2.1 Test the Pipeline Pressure Gauge and Correct the Regulator
Use the following tools to test the pipeline pressure gauge and regulator of the pipeline gas
supply inlet assembly:
„ 1 MPa (10bar) test pressure gauge (before the test, make sure that the 1 MPa (10bar) test
pressure gauge is in good condition) (quantity: 1)
„ 3106-04-06 adapter connector (quantity: 1)
„ PU tube (4X200) (quantity: 1)
„ PU tube (6X200) (quantity: 1)
Test procedures:
I O2 supply inlet assembly:
1. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.
2. Disconnect tube 57. The end of the tube which connects the auxiliary O2 supply is not
pulled out but the end to Y piece is pulled out..
3. Connect 1MPa test pressure gauge to the above Y piece through “3106-04-06 adapter
connector”.

4. Turn on O2 pipeline supply and record the reading on the O2 pipeline pressure gauge.
Observe the test pressure gauge. If the reading on the test pressure gauge is not within
the range of 0.15 to 0.25 MPa (namely 1.5 to 2.5bar), adjust the regulator of the O2
supply inlet assembly to cause the reading on the test pressure gauge to reach 0.2 MPa
(namely, 2bar). For operations of the regulator, refer to 5.3.2.4 Adjust the Regulator of
the Pipeline Gas Supply Inlet Assembly.
5. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.
6. Reconnect tube 57.
7. Disconnect tube 39 which connects the O2 supply inlet assembly to the O2 pipeline
pressure gauge. Remove the end of tube to the O2 supply inlet assembly.

5-33
8. Connect 1MPa test pressure gauge to the outlet of O2 supply inlet assembly through
“3106-04-06 adapter connector”.

9. Turn on the pipeline gas supply and record the reading on the test pressure gauge. If the
difference between this reading and the reading on the O2 pipeline pressure gauge is
more than 0.1 MPa (1bar), it indicates that the O2 pipeline pressure gauge is damaged.
Handle this problem as described in the troubleshooting table.
10. Reconnect tube 39.
Note 1: For numbers of all PU tubes, refer to 1.2.2 Pneumatic Connection and 1.2.3
Connections between Pneumatic Circuit, Breathing System and Ventilator Control Board.

II N2O supply inlet assembly:


1. Turn off the pipeline gas supply. Open the needle valve to bleed the residual pressure
and close the needle valve. Disconnect tube 48. The end of the tube which connects the
ORC is pulled out but the other end is not pulled out.
2. Connect 1MPa test pressure gauge, the pulled-out end of tube 48, and ORC N2O outlet
through “3106-04-06 adapter connector” and Y piece (17).

3. Turn on N2O and O2 pipeline supplies. Adjust the regulator of the N2O supply inlet
assembly to the same value as measured/set for the O2 supply inlet assembly (see step 4
of O2 supply inlet assembly) Record the reading on the N2O pipeline pressure gauge.
4. Turn off N2O pipeline supply and bleed the residual pressure by opening the N2O flow
regulator.
5. Reconnect tube 48.

5-34
6. Pull out No.40 PU tube which connects the N2O supply inlet assembly to the N2O
pipeline pressure gauge. Remove the tube end which connects N2O supply inlet
assembly.
7. Connect 1MPa test pressure gauge to the outlet of N2O supply inlet assembly through
“3106-04-06 adapter connector”.

8. Turn on the N2O pipeline supply and record the reading on the test pressure gauge. If
the difference between this reading and the reading on the N2O pipeline pressure gauge
is more than 0.1 MPa (1bar), it indicates that the N2O pipeline pressure gauge is
damaged. Handle this problem as described in the troubleshooting table.
9. Reconnect tubing to pressure gauge. Reconnect tube 40.

III AIR supply inlet assembly:


1. Turn off the pipeline gas supply. Disconnect tube 67. The end of the tube which
connects auxiliary gas supply is not pulled out but the other end which connects the Y
piece is pulled out.
2. Connect 1MPa test pressure gauge to the above Y piece through “3106-04-06 adapter
connector”.

3. Turn on AIR pipeline supply. If the reading on the test pressure gauge is not within the
range of 0.2±0.05 MPa (2.0±0. 5bar), adjust the regulator to cause the reading on the test
pressure gauge to reach 0.2 MPa (2.0bar). Record the reading on the AIR pipeline
pressure gauge.
4. Turn off AIR pipeline supply and bleed the residual pressure by opening the AIR flow
regulator.

5-35
5. Re-connect tube 67.
6. Pull out No.41 PU tube which connects the AIR supply inlet assembly to the AIR
pipeline pressure gauge. Remove the tube end which connects AIR supply inlet
assembly.
7. Connect 1MPa test pressure gauge to the outlet of AIR supply inlet assembly through
“3106-04-06 adapter connector”.

8. Turn on the AIR pipeline supply and record the reading on the test pressure gauge. If the
difference between this reading and the reading on the AIR pipeline pressure gauge is
more than 0.1 MPa (1.0 bar), it indicates that the AIR pipeline pressure gauge is
damaged. Handle this problem as described in the troubleshooting table.
9. Reconnect PU tube No.41 to the pressure gauge.

5.3.2.2 Test the Pressure Switch


Use the following tools to verify the pressure switches of the O2 supply inlet assembly and
the expiratory valve assembly are within specifications:
„ 1 MPa (1.0 bar) test pressure gauge (quantity:1)
„ 3106-04-06 adapter connector (quantity:1)
„ 3106-06-08 adapter connector (quantity:1)
„ 3140-08-00 Y piece (quantity:1)
„ PU tube (8X200) (quantity:2)
„ PU tube (6X200) (quantity:1)
„ PU tube (4X200) (quantity:1)

Test procedures:
1. Turn off the pipeline gas supply and bleed the residual pressure by pushing the O2 flush
button.
2. Disconnect tube 47. The end of the tube which connects pressure regulator assembly is
pulled out but the other end is not pulled out.
3. Connect one PU tube (8X200) to the O2 inlet of pressure regulator assembly and
connect the other end of the PU tube and also the pulled-out end of tube 47 to the two
connectors of “3140-08-00 Y piece” respectively.
4. Connect the test pressure gauge to the third connector of “3140-08-00 Y piece” through
“3106-06-08 adapter connector” and “3106-04-06 adapter connector”.

5-36
5. Turn on the O2 pipeline supply.
6. Turn on the machine to enter Standby.
7. Turn off all flow regulators.
8. Turn off the pipeline gas supply (if the reading on the test pressure gauge begins to fall
dramatically and continuously after the gas supply is turned off, it indicates that there
are one or more leaks in the O2 supply inlet assembly, expiratory valve assembly, O2
flush button assembly, system switch assembly, and/or the O2 flow regulator. Perform
the subsequent operations after the leaks are serviced. Failures can be located by using
the methods described in section 5.3.3 Anesthetic Gas Delivery System and 5.3.4
Breathing System except O2 supply inlet assembly related failures).
9. Manually adjust the O2 flow regulator until O2 flow is approximately 1 L/min, causing
the reading on the test pressure gauge to fall gradually to 0.25 MPa (2.5bar).
10. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “O2
Supply Failure” alarm occurs 10 seconds later, it indicates that the pressure switch of the
O2 supply inlet assembly is defective. Troubleshoot this problem as described in the
relevant failure table.
11. Adjust the O2 flow regulator until O2 flow is approximately 0.5 L/min, causing the
reading on the test pressure gauge to fall gradually to 0.2 MPa (2bar).
12. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “Drive
Gas Pressure Low” alarm occurs 10 seconds later, it indicates that the pressure switch on
the integrated pneumatic circuit of the expiratory valve assembly is defective.
Troubleshoot this problem as described in the relevant failure table.
13. Adjust the O2 flow regulator until O2 flow is approximately 0.3 L/min, causing the
reading on the test pressure gauge to fall gradually to 0.15 MPa (1.5bar).
14. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “O2
Supply Failure” alarm does not occur 10 seconds later, it indicates that the pressure
switch of the O2 supply inlet assembly is defective. Troubleshoot this problem as
described in the relevant failure table.
15. Adjust the O2 flow regulator until O2 flow is approximately 0.3 L/min, causing the
reading on the test pressure gauge to fall gradually to 0.05 MPa (0.5bar).
16. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “Drive
Gas Pressure Low” alarm does not occur 10 seconds later, it indicates that the pressure
switch on the integrated pneumatic circuit of the expiratory valve assembly is defective.
Troubleshoot this problem as described in the relevant failure table.

5-37
5.3.2.3 Adjust the Pressure Switch
Adjust the O2 supply pressure switch and drive gas pressure switch as described below.
Use a flathead screwdriver to adjust the O2 supply pressure switch as shown below. Turn for
small degrees each time such as 30 degrees. Note that turning the pressure switch clockwise
will decrease its alarm limits and counterclockwise increase its alarm limits. Test the
assembly after each pressure adjustment is made. Repeat until the pressure switch is properly
adjusted and is within specification (nominal value 220kPa+/-10kPa).

5.3.2.4 Adjust the Regulator of the Pipeline Gas Supply Inlet Assembly
Pull up the knob cover of the regulator. Turn the cover clockwise to increase pressure or
counterclockwise to decrease pressure, as shown below. Bleed the inside pressure of the
pipeline gas supply inlet assembly after each pressure adjustment is made. Then, turn on the
pipeline gas supply again. Observe the adjusted pressure through the test pressure gauge.
Adjust it to 200kPa.

5-38
5.3.3 Anesthetic Gas Delivery System
The following table lists anaesthetic gas delivery system related failures.
Failure description Possible cause Recommended action
Leak The O2 flush button assembly Replace the seal on the O2 flush
leaks. button assembly or replace the O2
flush button assembly.
The system switch assembly Replace the seal on the system
leaks. switch assembly or replace the
systems switch assembly.
The vaporizer is installed Re-install the vaporizer.
improperly, which results in
leak.
The seal between the vaporizer Clean or replace the seal. The seal
manifold assembly and the should be replaced at least once
vaporizer is damaged. per year as required.
The seal between the vaporizer Clean the sealing part or replace
manifold inside and the the damaged seal and rubber plain
connection or the rubber plain washer.
washer between the vaporizer
manifold inside and the spring
is damaged or dirty.
The vaporizer manifold Replace the vaporizer manifold
assembly is damaged. assembly.
The total flowmeter leaks. Replace the total flowmeter.
The ORC assembly leaks. Replace the ORC assembly.
The flow regulator leaks. Replace the flow regulator.
The restrictor leaks. Re-calibrate after the restrictor is
replaced (for calibration, refer to
“Instructions of Use for FPM-65
Flow and Pressure Detection
Device”
The pressure relief valve at the Check and replace the defective
breathing connection leaks. pressure relief valve.
The ACGO assembly leaks. Replace the ACGO assembly.
The fresh gas connections of Check the seals and tubes at the
the circuit adapter assembly fresh gas connections. Replace
leak. the defective parts and re-install
the parts.
The gas supplies cannot be The seal inside the system Replace the system switch.
turned off after the machine switch assembly is damaged.
is turned off.
The machine cannot be The contact switch is Replace the contact switch of the
powered on after turned on. ineffective. system switch assembly.
The flowmeter float The float of total flowmeter is Replace the float of total
indicates inaccurate value damaged. flowmeter.
or remains unmoved.
The knob of the flow The flow regulator is Replace the flow regulator.
regulator gets loose. damaged.
N2O supply cannot be cut The ORC assembly is Replace the ORC assembly.
off in case of O2 supply damaged.
failure.

5-39
5.3.3.1 Leak Test of the O2 Flush Button Assembly
Perform a leak test of the O2 flush button assembly by using the following tools:
„ Negative pressure ball (quantity:1)
„ 3106-06-00 adapter connector (quantity:1)
„ PU tube (6X100) (quantity:1)

Test procedures:
1. Turn off the pipeline gas supplies and bleed the residual pressure through O2 flushing.
2. Remove the work surface. Pull out No.52 PU tube which connects the O2 flush button
assembly to the ACGO assembly. Disconnect at the ACGO end.
3. Connect the inlet of the negative pressure ball to PU No.52 through 3106-06-00 adapter
connector and then flatten the negative pressure ball to remove the gas inside.
4. Release the negative pressure ball as shown below. If the negative pressure ball is fully
expanded within 30 seconds, it indicates that the O2 flush button assembly is damaged.

5.3.3.2 Leak Test of the Flowmeter Related Assembly


Perform a leak test of the flowmeter related assembly (from flow regulator to total flowmeter)
by using the following tools:
„ Negative pressure ball (quantity:1)
„ 3106-06-00 adapter connector (quantity:1)
„ 3106-06-08 adapter connector (quantity:1)
„ 3126-06-00 tube plug (quantity:3)
„ 3126-08-00 tube plug (quantity:1)
„ PU tube (6X100) (quantity:1)

Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual
pressure by opening the flow regulators.
2. Turn off the system switch. Turn on the flow regulators and turn them counterclockwise
for more than half a circle.
3. Pull out No.25 PU tube which connects the total flowmeter to the vaporizer manifold
assembly. Disconnect at the vaporizer manifold end.

5-40
4. Pull out No.45, 49 and 51 PU tubes which connect with the flow regulator. Disconnect
at flow regulator end.
5. Occlude the pulled-out tube end on the flow regulator by using three 3126-06-00 tube
plugs.

6. Connect the other end of the negative pressure ball to the pulled-out end of No.25 PU
tube through 3106-06-08 adapter connector, as shown below, and then flatten the
negative pressure ball to remove the gas inside.

7. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the total flowmeter assembly is damaged. In this case, pull
out the tube plug at the inlet of needle valve and perform the following operations.
8. Pull out No.26 PU tube which connects the back pressure regulator to the total
flowmeter. Disconnect at the total flowmeter end.

5-41
9. Occlude the pulled-out tube end on the total flowmeter by using 3126-08-00 tube plug.

10. Compress the negative pressure ball still connected to tube 25 to bleed the air inside.

11. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the total flowmeter leaks.
12. Re-connect tube 25. Disconnect tube 58 and pull out its end connecting the back
pressure valve. Disconnect tube 26 and pull out its end connecting the total flowmeter.
13. Occlude the pulled-out tube end on the back pressure regulator by using one 3126-08-00
tube plug and connect the negative pressure ball to the pulled-out end of No.26 PU tube
through 3106-06-08 adapter connector.

5-42
14. Compress the negative pressure ball to bleed the air inside.

15. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the back pressure regulator leaks.
16. Pull out No.27, 28 and 29 PU tubes which connect the flow sensor to the gas mixer.
Disconnect at the gas mixer end.
17. Occlude the pulled-out tube end on the gas mixer by using three 3126-06-00 tube plugs.
18. Disconnect tube 58 and plug out its end connecting the back pressure valve. Connect the
negative pressure ball to the pulled-out end of tube 58 through “3106-06-08 adapter
connector”.
19. Flatten the negative pressure ball to remove the gas inside.

20. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the gas mixer leaks.
21. For N2O branch, disconnect tube 32 and pull out its end connecting the sensor
(disconnect tube 31 for AIR branch and tube 78 for O2 branch.
22. Occlude the pulled-out tube end on the flow sensor by using 3126-06-00 tube plug.

5-43
23. For N2O branch, disconnect tube 27, pull out its end connecting gas mixer and connect
it to the gas inlet of the negative pressure ball through “3106-06-00 adapter connector”
(disconnect tube 28 for AIR branch and tube 29 for O2 branch). Compress the negative
pressure ball to bleed the gas inside.

24. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the flow sensor leaks.
25. For N2O branch, disconnect tube 49 and pull out its end connecting the needle valve
(disconnect tube 51 for AIR branch and tube 45 for O2 branch).
26. Occlude the pulled-out tube end on the needle valve by using 3126-06-00 tube plug.

5-44
27. For N2O branch, disconnect tube 91, pull out its end connecting the needle valve, and
connect the gas inlet of the negative pressure ball to the gas outlet of the needle valve
through “3106-06-00 adapter connector” and PU tube (6X200) (disconnect tube 90 for
AIR branch and tube 73 for O2 branch). Compress the negative pressure ball to bleed
the gas inside.

28. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the needle valve leaks.

5-45
5.3.3.3 Leak Test of the System Switch Assembly
Perform a leak test of the system switch assembly by using the following tools:
„ Negative pressure ball (quantity:1)
„ 3106-06-00 adapter connector (quantity:1)
„ 3106-06-08 adapter connector (quantity:1)
„ 3126-08-00 tube plug (quantity:1)
„ PU tube (6X100) (quantity:1)
Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual
pressure by opening the flow regulators.
2. Pull out No.45 which connects the system switch assembly to the flow regulator.
Disconnect at the flow regulator end and connect the pulled-out tube end to the negative
ball through one 3106-06-00 adapter connector.
3. Pull out No.43 which connects the system switch assembly to the Y piece. Disconnect at
the Y piece end and occlude the pulled-out tube end through one 3106-06-08 adapter
connector and one 3126-08-00 tube plug.
4. Flatten the negative pressure ball to remove the gas inside.

5. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that tube connected with the system switch assembly is damaged.
6. Turn off the system switch.
7. Pull out the 3126-08-00 tube plug which was used to occlude tube No.43 before.
8. Flatten the negative pressure ball to remove the gas inside.

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9. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds during one of the two tests, it indicates that the system switch assembly is
damaged.

5.3.3.4 Leak Test of the Oxygen Ratio Controller (ORC)


Perform a leak test of the ORC assembly by using the following tools:
„ Negative pressure ball (quantity:1)
„ 3106-06-00 adapter connector (quantity:1)
„ 3126-06-00 tube plug (quantity:2)
„ 3126-04-00 tube plug (quantity:1)
„ PU tube (6X100) (quantity:1)

Test procedures:
1. Disconnect tube 3 and pull out the end of the tube which connects to the Y piece.
Occlude the pulled-out end with “3106-06-00 adapter connector and 3126-06-00 tube
plug.
2. Disconnect tube 46 and pull out the end of the tube which connects to the Y piece.
Connect the pulled- out end to the negative pressure ball directly.
3. Flatten the negative pressure ball to remove the gas inside.

PU tube No.33

PU tube No.46

4. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the Oxygen Ratio Controller is damaged. Handle this
problem as described in the troubleshooting table. If not, continue the following test.
5. Re-connect the tube.

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6. Disconnect tubes 48, 49, and 32. Pull out the tube ends which connect the ORC.
Occlude the pulled-out ends with two 3126-06-00 tube plugs and one 3126-04-00 tube
plug. Disconnect tube 30. The end of the tube which connects the ORC is not pulled out
but the other end is pulled out and is connected to the negative pressure ball through
“3106-06-00 adapter connector”.

7. Flatten the negative pressure ball to remove the gas inside.


8. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the Oxygen Ratio Controller is damaged. Handle this
problem as described in the troubleshooting table.

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5.3.3.5 Leak Test of the Vaporizer Manifold Assembly
Perform a leak test of the vaporizer manifold assembly by using the following tools:
„ Negative pressure ball (quantity:1)
„ 3106-06-08 adapter connector (quantity:1)
„ 3126-06-00 tube plug (quantity:1)
„ PU tube (6X100) (quantity:1)
„ PU tube (8X200) (quantity:1)
„ Vaporizer manifold test fixture (quantity:1)

Test procedures:
1. Turn off the system switch.
2. Remove the vaporizer.

3. Pull out No.25 PU tube which connects the total flowmeter to the vaporizer manifold
assembly. Disconnect at the vaporizer manifold end and occlude it with 3126-08-00 tube
plug
4. Pull out No.55 PU tube which connects the vaporizer manifold assembly to the ACGO
assembly. The end of the tube which connects the vaporizer manifold assembly is pulled
out, and connected with the negative ball through one 3106-06-08 adapter connector
5. Flatten the negative pressure ball to remove the gas inside.

6. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30s, it indicates that the rubber plain washers or its upper surface contacted mechanical
surface are damaged. Handle this problem as described in the troubleshooting table. If
not, continue the following tests.

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7. Remove the seal ring, and mount the vaporizer manifold test fixture onto the connector
of the vaporizer manifold assembly (remove the seal between the connector and the
vaporizer when mounting the test fixture)

8. Repeat step 5 and step 6 every time when the vaporizer manifold test fixture is
transferred to the next position. Once the negative pressure ball is fully expanded within
30s, it indicates that the rubber plain washers or its lower surface contacted mechanical
surface are damaged. Handle this problem as described in the troubleshooting table. If
the four tests are all past, then continue the following tests.
9. Put the seal ring back, mount the vaporizer and turn it on.

10. Repeat step 5 and step 6 every time when the vaporizer manifold test fixture is
transferred to the next position. Once the negative pressure ball is fully expanded within
30s, it indicates that the seal rings are damaged. If the two tests are both past, it
indicated that the vaporizer manifold assembly and the four seal rings are in good
condition.

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5.3.4 Breathing System
The following table lists breathing system related failures.

Failure
Possible cause Recommended action
description
Leak The sodalime canister is not installed Re-install the sodalime canister.
properly. Remove the sodalime at the
sealing connection. Ensure the
correct installation of sadalime
canister.
The sealing piece for the absorbent Replace the sealing component of
canister assembly is damaged, including the sodalime canister assembly. It
the two sealing cushions (049-000142-00 is required to replace the seal once
and 049-000145-00)which are in direct a year.
contact with the absorbent canister and the
two sealing rings (082-000629-00) on the
bypass upper cover which are in contact
with the circuit bottom housing.
The seal for the bag arm is damaged. Replace the seal for the bag arm.
It is required to replace the seal
once a year.
The water collection cup gets loose. Check and tighten the water
collection cup.
The seal for the water collection cup Replace the seal for the water
assembly is damaged. collection cup assembly. It is
required to replace the seal once a
year.
The seal for the circuit adapter assembly is Replace the seal, which is
damaged. required to be replaced once a
year.
The bellows housing or bellows is not Re-install the bellows housing or
installed properly. bellows. Ensure their correct
installation.
The bellows sealing cushion falls off or is Replace the bellows sealing
damaged. cushion, which is required to be
replaced once a year.
The valve cover of the breathing valve Re-install the valve cover and
assembly is not installed properly. ensure its correct installation.
The seal for the valve cover of the Replace the seal.
breathing valve assembly is damaged.
The O2 sensor is not installed properly. Re-install the O2 sensor and
ensure its correct installation.
The seal for the O2 sensor or the seal for Replace the seal.
the O2 sensor plug is damaged.
The breathing tube connecting the patient Replace the breathing tube.
is damaged.
The bellows is damaged. Replace the bellows, which is
required to be replaced once a
year.

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Failure
Possible cause Recommended action
description
The sealing connection of other parts of Repair or replace the sealing
the breathing system is damaged. connection as per the procedures
described in 5.3.2.4.

The condensate valve of the canister Re-install the condensate valve or


assembly is not installed properly or the replace the damaged seal inside.
seal inside is damaged.
O2 There is water built up on the measurement Remove the built-up water and
concentration surface of O2 sensor. allow the O2 sensor to air dry.
measurement The O2 sensor is not calibrated. Calibrate the O2 sensor as per
fails or has 4.3.6O2 Sensor Calibration.
great
The O2 sensor is damaged. Replace the O2 sensor.
deviations.
The airway The airway pressure gauge is damaged. Replace the airway pressure
pressure gauge.
gauge shows
inaccurate
reading or its
pointer
cannot move.
Irregular The flow sensor assembly is not installed Re-install the flow sensor
flow wave is properly. assembly.
displayed. There is water built up inside the flow Remove the flow sensor assembly
sensor assembly. and clear its inside water build-up.
The membrane of the flow sensor Enter the service mode and
assembly is distorted, dirty or its inside calibrate the flow sensor as per
resistance changes. Zero drift occurs to the 4.3.2.
pressure sensor of the fresh flow sensor
board.
The flow sensor is damaged. Replace the flow sensor assembly.
The pressure sensor on the fresh gas flow Replace the fresh gas flow sensor
sensor board is defective. board.
The flow sensor pressure sampling Repair the flow sensor pressure
pipeline leaks. sampling pipeline after checking
as per the procedures described in
5.3.4.1.

5.3.4.1 Leak Test of Flow Sensor Pressure Sampling Pipeline


If irregular flow waveform is displayed, the flow sensor pressure sampling pipeline may be
leaky. Perform the leak test by using the following tools:
„ Anesthesia machine calibration device (quantity:1)
„ Flow sensor pressure sampling pipeline test fixture (quantity:1)
„ Circuit adapter test fixture (quantity:1)
„ Injector (quantity:1)
„ Φ6 silicone tube (quantity:3)
„ Y piece (quantity:1)

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Test procedures:

I Leak test of the flow sensor pressure sampling pipeline (the four sampling pipelines of the
expiratory and inspiratory flow sensors are all tested)
1. Turn off the system switch.
2. Install the breathing circuit properly.
3. Remove the flow sensor assembly.
4. Mount the flow sensor pressure sampling pipeline test fixture onto the position where
the flow sensor assembly was originally mounted. Tighten the breathing connector
rotary cap.
5. Connect the Φ6 silicone tubes to the pressure sensor connector (positive pressure end)
on the anesthesia machine calibration device), injector (before mounting, pull out the
push rod of the injector) connector and the connector for the flow sensor pressure
sampling pipeline test fixture by using a Y piece, as shown below.

6. Push in the push rod of the injector to let the pressure reading on the anesthesia machine
calibration device rise to 70 to 90 cmH2O and then stop pushing. Keep the relative
position between the push rod and the injector unchanged. If the pressure reading on the
anesthesia machine calibration device does not fall more than 5cmH2O within 15 s, this
test is passed.

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II Leak test of the flow sensor pressure sampling pipeline inside the main unit (perform this
test if test “I” fails)
1. Mount the circuit adapter test fixture onto the circuit adapter assembly.
2. Connect the Φ6 silicone tubes to the pressure sensor connector (positive pressure end)
on the anesthesia machine calibration device), injector (before mounting, pull out the
push rod of the injector) connector and the connector (one connector out of No.3
through 6 connectors on the test fixture) for the circuit adapter test fixture by using a Y
piece, as shown below.

3. Push in the push rod of the injector to let the pressure reading on the anesthesia machine
calibration device rise to 70 to 90 cmH2O and then stop pushing. Keep the relative
position between the push rod and the injector unchanged. If the pressure reading on the
anesthesia machine calibration device does not fall more than 5cmH2O within 15s, this
test is passed.
If test “I” is failed and “II” passed, it indicates that the flow sensor pressure sampling pipeline
on the breathing system is damaged. In this case, replace the breathing system. If both tests
“I” and “II” are failed, check the sampling lines and connectors inside the main unit, seals
and solenoid valve of the circuit adapter assembly until test “II” is passed. Then perform test
“I”. If test “I” is still failed, it indicates the flow sensor pressure sampling pipeline on the
breathing system is damaged. In this case, replace the breathing system.

5.3.4.2 Leak Test of Low-pressure Pneumatic System


After making sure that the flow sensor pressure sampling pipeline is not leaky, perform leak
tests of the low-pressure pneumatic system as shown in the following figures (figures a
through d).

1. Leak test of the


Pass Figure b Leak test of the
breathing system in the Figure d Leak test of the
part only working in the
mechanical ventilation breathing system
manual ventilation mode
mode

Fail

Pass Pass

Re-install the bellows housing and 1. Leak test of the Figure c Leak
Completed 4.Leak test of all
sodalime canister (clean the canister breathing system Fail Fail test of the
pipelines on the
mouth and sealing cushion) and in the mechanical pipelines inside
circuit adapter
check the folding bag. ventilation mode the main unit

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Figure a System leak test
Pass
7. Check the APL valve. support
2. Leak test of the Check the tube on the medium plate, and Completed Figure b Leak test of
Fail Completed Pass
breathing system manual bag and sealing components of the Auto/ the part only working
in the manual the seal for bag Manual ventilation switch in the manual
ventilation mode arm assembly ventilation mode

Note: After repairing the faulty part, repeat the latest failed test prior to the current step. If it is still failed, Fail
continue leak test following the flow chart. But you can skip the step to which the passed test or repaired
part corresponds.
For example, after the manual bag is checked, found damaged and replaced, you should return to “Leak Replace the
test of the breathing system in the manual ventilation mode” at the very beginning. If“2”is still failed, patient circuit
you can skip “Check the manual bag and the seal for bag arm”and directly go to the next step.
End
Figure b Leak test of the part only working in the manual ventilation mode
Figure b Leak test of the
part only working in the
manual ventilation mode
Fail to pass the leak test of
fresh gas and ACGO pipelines 8. Check Pass
the ACGO
assembly Completed 1. Leak test of the
4.Leak test of all Pass
breathing system
pipelines on the
in the mechanical
circuit adapter
ventilation mode
Fail to pass the leak test of
Check the Fail
drive gas pipelines Fail
expiratory
valve assembly
Check the sealing
Figure d Leak test of the
components of the circuit
breathing system
adapter assembly

Figure c Leak test of the pipelines inside the main unit

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Check the lifting device
and sealing components
of the sodalime canister
Fail 7. Check the APL valve.
support tube on the
2. Leak test of the 6. Check the 2. Leak test of the medium plate, and sealing
Fail Completed Fail 5. Check the Pass
breathing system accessories and breathing system components of the Auto/
lifting device and
in the manual circuit in the manual Manual ventilation switch
sodalime canister
ventilation mode connectors ventilation mode assembly

Completed
Pass
Pass
1. Leak test of the 2. Leak test of the
breathing system Pass breathing system Fail Replace the patient
End circuit
in the auto in the manual
ventilation mode ventilation mode
Fail

3. Check the
bellows housing Check the bellows Completed
Fail 1. Leak test of the
and bag position of housing, bellows sealing Pass
breathing system
the Auto/Manual cushion, and seal for End
in the auto
ventilation switch lower cover 2 assembly
ventilation mode
Pass
Fail
Check the
Auto/Manual
ventilation switch

1. Leak test of the


breathing system Pass
End
in the auto
ventilation mode
Fail
Note: After repairing the faulty part, repeat the latest failed test prior to the current
step. If it is still failed, continue leak test following the flow chart. But you can skip
Replace the patient
the step so which the passed test or repaired part corresponds.
circuit

Figure d Leak test of the breathing system

1. Leak test in the mechanical ventilation mode


Perform leak test as descried in 3.7.2.
2. Leak test of the breathing system in the manual ventilation mode

Tools required:
„ Breathing tube (quantity: 3)
„ Breathing tube Y piece (quantity: 1)

Test procedures:
(1) Let the system enter Standby.
(2) Mount the breathing circuit properly.
(3) Set the Auto/Manual switch to the Manual position.
(4) Set the pressure value of the APL valve to maximum.

5-56
(5) Occlude the patient port and bag arm port by using three breathing tubes and one Y
piece as shown below.

(6) Turn on the O2 flow regulator and adjust O2 flow to 0.2L/min,


(7) Push the O2 flush button to let the reading on the Paw pressure gauge rise to
30cmH2O.
(8) Stop O2 flushing. If the reading on the Paw pressure gauge falls under 30cmH2O,
this test is failed.
(9) If the reading on the Paw pressure gauge rises rapidly, to prevent defective APL
valve from damaging the Paw pressure gauge, note to turn off the O2 flow regulator
timely to prevent the overrange of the Paw pressure gauge (The test which involves O2
flow regulator turned off due to this reason is considered to be passed).

3. Check the bellows housing and the Manual position of the Auto/Manual switch

Tools required:
„ Anesthesia machine calibration device (quantity: 1)
„ Circuit adapter test fixture (quantity: 1)
„ Injector (quantity: 1)
„ Φ6 silicone tube (quantity: 2)
„ PU tube (6X300) (quantity: 1)
„ Y piece (quantity: 1)

Test procedures:
(1) Remove the bellows.
(2) Mount the bellows housing properly.
(3) Set the Auto/Manual switch to the Manual position.
(4) Remove the breathing circuit
(5) Mount the circuit adapter test fixture onto the breathing circuit.

5-57
(6) Connect the Φ6 silicone tubes and PU tube (6X300) to the injector connector,
pressure sensor (of the anesthesia machine calibration device) connector (positive
pressure end), and No.2 connector to which drive gas corresponds on the circuit adapter
test fixture by using a Y piece, as shown below.

(7) Push in the push rod of the injector to let the pressure reading on the anesthesia machine
calibration device rise to 30 to 35 cmH2O and then stop pushing. Keep the relative
position between the push rod and the injector unchanged. If the pressure reading on the
anesthesia machine calibration device falls more than 10cmH2O within 30s, this test is
failed. It indicates that the bellows housing or the Manual position of the Auto/Manual
switch is leaky. (Removing the bag arm indicated in the picture has no impact upon the
test because the drive gas does not pass through the bag arm.)

4. Leak test of all pipelines on the circuit adapter


Tools required:
„ Negative pressure ball (quantity: 1)
„ Circuit adapter test fixture (quantity: 1)
„ PU tube (6X100) (quantity: 1)

Test procedures:
(1) Turn off the system switch.
(2) Turn off the flow regulators.
(3) Remove the breathing system.
(4) Mount the circuit adapter test fixture onto the circuit adapter.

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(5) Flatten the negative pressure ball to remove the gas inside. Then re-install the plug
to seal the ball. Connect the other end of the negative pressure ball to the No.7 connector
(on the circuit adapter test fixture) fresh gas pipeline of the circuit adapter test fixture, as
shown below.

(6) Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30 seconds, it indicates that the test of fresh gas pipeline has failed. Locate the
leak inside the main unit as per the method described in 1.3.4.1 Anesthetic Gas Delivery
System.
(7) Turn on the system switch and let the systems enter Standby.
(8) Select [Main] → [Service] → [Diagnostic] → [Valves] to set the A/D value of the
PEEP valve to make PEEP exceed 50 cmH2O. Set the A/D value of the inspiratory
valve to “0” to produce 0 L/min of flow. Set PEEP safety valve to ON, as shown below.

5-59
(9) Flatten the negative pressure ball to remove the gas inside. Then re-install the plug to
seal the ball. Connect the other end of the negative pressure ball to No.1 connector to
which drive gas pipeline of the circuit adapter test fixture corresponds, as shown below.

(10) Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, it indicates that the test of the drive gas pipeline has failed. Check the
expiratory valve assembly and the drive gas related pipeline inside the main unit.

5. Check the absorb canister assembly

Tools required:
„ VT PLUS (quantity: 1)
„ Lucer adapter connector (quantity: 1)
„ Injector (quantity: 1)
„ Φ6 silicone tube (quantity: 2)
„ PU tube (6X300) (quantity: 1)
„ Breathing tube (quantity: 3)
„ Y piece (quantity: 1)
„ Breathing tube Y piece (quantity: 1)
„ Breathing tube adapter connector (quantity: 1)
„ T-shaped Allen wrench (quantity: 1)

Test procedures:
(1) Turn off the system switch.
(2) Disassemble the pre-pak assembly and remove the breathing circuit.
(3) Mount the pre-pak assembly.

5-60
(4) Remove the seals on the two connectors of the absorb canister assembly. Connect
the two connectors of the lifting device by using two breathing tubes and one breathing
tube Y piece. The other end of the breathing tube Y piece is connected to the breathing
tube adapter connector through another breathing tube. Connect the injector connector,
pressure sensor (of the anesthesia machine calibration device) connector (positive
pressure end), and the breathing tube adapter connector to a Y piece, as shown below.
(5) Push in the push rod of the injector to cause the pressure reading on the anesthesia
machine calibration device rise to 30 to 35 cmH2O and then stop pushing. Keep the
relative position between the push rod and the injector unchanged. If the pressure
reading on the anesthesia machine calibration device falls more than 10cmH2O within
30 seconds, it indicates that absorb canister assembly are leaky. The test is failed. This
step is required when the absorbent canister assembly is in bypass on or bypass off
status.

Connected to the Φ6 silicone tube Connected to the VT plus

Turn the blue part to lock the connector to the VT plus

Lucer adapter connector

LLucer adapter connector

Bypass off

5-61
Lucer adapter connector

Bypass on
(6) Check the seals on the two connections of the lifting device. It they are damaged,
replace the seal and then re-mount the lifting device onto the breathing system.

6. Check the accessories and circuit inspiratory/expiratory part

Test procedures:
(1) Turn off the system switch.
(2) Check the manual bag and replace if damaged.
(3) Check the breathing tube and replace if damaged.
(4) Remove the Paw pressure gauge. Check the seal and replace if found damaged.
(5) Remove the water collection cup. Check the seal and replace if found damaged.
(6) Remove the O2 sensor (if there is no O2 sensor, remove the plug where the O2
sensor should be installed). Check the seal and replace if damaged.
(7) Remove the check valve dome. Check the seal and replace if damaged.
(8) Remove the bag arm. Check the seal and replace if damaged.
(9) Remove the prepak assembly as shown below. Check the seal and replace if
damaged.

Seal to be checked

5-62
7. Check the APL valve, support tube on the median plate, and sealing components of the
Auto/Manual switch assembly

The test requires a T-shaped Allen wrench..

Test procedures:
(1) Turn off the system switch.
(2) Remove the APL valve. Check all seals and replace the defective ones.
(3) Remove the support tube on the median plate. Check the seals and replace the
defective ones.
(4) Remove the Auto/Manual switch. Check the seals and replace the defective ones.

8. Check the ACGO assembly


Tools required:
„ Negative pressure ball (quantity: 1)
„ Circuit adapter test fixture (quantity: 1)
„ PU tube (6X100) (quantity: 1)
„ 3106-08-10 adapter connector (quantity: 2)
„ 3126-06-00 tube plug (quantity: 1)
„ 3126-08-00 tube plug (quantity: 1)
„ 3126-10-00tube plug (quantity: 2)

Test procedures:
(1) Turn off the system switch.
(2) Pull out No.21 and 22 PU tubes which connect the ACGO assembly to the circuit
adapter. The ends of the tubes which connect the ACGO assembly are pulled out but the
other ends are not, as shown below.

(3) Occlude the pulled-out tube ends by using two 3126-10-00 tube plugs.
(4) Repeat steps 3 through 7 in “4 Leak test of all pipelines on the circuit adapter”. If the
test is failed, it indicates that the connectors of the circuit adapter or seals are damaged.
If there is leak, insert the pulled-out tubes into the ACGO assembly. Note that the
positions of black lines on PU tubes No.21 and 22 are same with those before the tubes
are pulled out.
(5) Pull out No.52 and 53 PU tubes which connect the O2 flush button assembly and the
vaporizer manifold assembly to the ACGO assembly. The ends of the tubes which
connect the ACGO assembly are pulled out but the other ends are not

5-63
(6) Occlude the pulled-out tube ends by using 3126-06-00 and 3126-08-00 tube plugs, as
shown below.

(7) Repeat steps 3 through 7 in “4 Leak test of all pipelines on the circuit adapter”. If the
test fails, it indicates the ACGO assembly is damaged. Check the seals in the ACGO
assembly and replace any damaged seals.

5.3.5 Tidal Volume


The following table lists tidal volume inaccuracy related failures.
Failure
Possible cause Recommended action
description
Inaccurate The flow sensor is not installed Re-install the flow sensor.
tidal properly.
volume The setting of fresh gas flow is Adjust the fresh gas flow.
inappropriate.
There are significant leaks in the Repair the leaking points after checking as
breathing system and the fresh gas per the procedures described in sections
flow is too low. 1.3.4.1 Anesthetic Gas Delivery System and
1.3.4.3 Breathing System.
* There is water build-up inside the Remove the flow sensor and clear its inside
flow sensor. water build-up.
*The membrane of the flow sensor Enter the service mode and calibrate the flow
assembly is distorted, dirty or its inside sensor as per 4.3.2 Flow Calibration
resistance changes. Zero drift occurs to (Factory).
the pressure sensor on the ventilator
control board.
*The flow sensor pressure sampling Repair the leaking points after checking as
pipeline is leaky. per the procedures described in 5.3.4.1 Leak
Test of Flow Sensor Pressure Sampling
Pipeline.
*The flow sensor is damaged. Replace the flow sensor.
*The pressure sensor on the ventilator Replace the ventilator control board.
control board is defective.
The inlet gas flow regulator on the Replace the integrated pneumatic circuit of
integrated pneumatic circuit of the the expiratory valve assembly or replace the
expiratory valve assembly is defective. expiratory valve assembly.
The current Plimit is set too low, which Set Plimit to a higher value to cause Paw not
causes expiration to start in advance. to exceed the limit.
The displayed TVe and TVi are not the In the valves test tool, compare the
same. measurement error made by three sensors
and judge whether to perform calibration as
per 4.3.2 Flow Calibration (Factory) .

5-64
In the above table, possible causes marked “*” are related to inaccurate measured values by
flow sensors. Do the following to detect if tidal volume inaccuracy results from “*” marked
causes.
1. Turn off the flow regulators.
2. Make sure that the patient is disconnected from the system and that the Auto/Manual
switch is set to the mechanical ventilation position.
3. Remove the bellows and then install the bellows housing properly.
4. Remove the water collection cup.
5. Connect the inspiration and expiration connectors together by using a breathing tube, as
shown below.

The water collection cup is


already removed.

6. Turn on gas supplies and enter Standby.


7. Select [Main] → [Service] → [Diagnostic] → [Valves] to set the A/D value of the
PEEP valve to make PEEP exceed 40 cmH2O. Set PEEP safety valve to ON, as shown
below.

8. Set the A/D value of the inspiratory valve to cause the flow of inspiratory valve to reach
a certain value. In this case, the flows measured by the ventilator flow sensor,

5-65
inspiratory flow sensor, and expiratory flow sensor should be the same. Test multiple
points by setting the A/D value of the inspiratory valve. For each point, the flows
measured by the three sensors should be the same. If not, the measured value by the
flow sensor is inaccurate. Troubleshoot the possible causes marked “*” in the above
table.

5.4 Sensor and Valve Related Failures


To use Diagnostic Tests to troubleshoot sensors or valves related failures, you must be
familiar with the one-to-one correspondence between the menu options on the Diagnostic
Tests screen and the actual pneumatic circuit and hardware components.

Correspondence between valve diagnostic tests screen and pneumatic


circuit
The following figure shows the one-to-one correspondence between the sensors & valves on
the valves-test tool screen and the actual components in the pneumatic circuit diagram.

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Correspondence between valve diagnostic tests screen and hardware
The following figure shows how the sampling lines of the sensors are actually connected on
the VCM.

5.4.1 Preparations before Using Diagnostic Tests


Make the following preparations before using the valves-test tool to locate the valves or
sensors related failures:
1 Connect the pneumatic circuit according to the type of sensor or valve to be checked.
Before using the Diagnostic Tests Menu: connect the tubes of the anesthesia machine
following the constant-flow connection method to check the flow sensors and
inspiratory valve. For details, refer to 4.3.2 Flow Calibration (Factory).
2. Make sure that the supply gas pressure is within specifications.
3. When the system is in Standby, select the [Main] shortcut key → [Service] →
[Diagnostic] to access the [Diagnostic] menu.

5.4.2 Zero Point Problems of Flow and Pressure Sensors


By using the [Diagnostic Tests], you can easily detect if the zero points of all the pressure
and flow sensors are within specifications.

To diagnose the zero points of the sensors:


1. Disconnect all gas supplies and make sure that the actual values of the sensors are “0”.
2. Check the A/D counts of the sensors in the valve-test tool menu, which are the zero
points of the sensors.
3. If the zero point of one sensor is outside of specifications, it indicates that the ventilator
control board is defective. You need to replace the board.

You can also detect the zero points of the sensors by referring to 3.7.3 Check the Sensor Zero
Point.

NOTE: For the normal range of sensors’ zero points, refer to 3.7.3 Check the Sensor Zero
Point.

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5.4.3 Connections and Measurement Problems of the Flow
Sensors
The flow sensor has two sampling lines. Connection errors include:
„ Two sampling lines are connected reversely.
„ One sampling line is not connected.
„ Both sampling lines are not connected.
By using the Diagnostic Tests tool, you can detect if the sampling lines are connected
correctly.
„ To diagnose the sampling line connection of the flow sensor:
1. Connect the tubes of the anesthesia machine following the constant-flow connection
method. Refer to 5.4.1.
2. Make sure that gas supplies are within specifications. In the [Diagnostic Tests ], PEEP
safety valve to ON and the D/A value of the PEEP valve to more than “1500”, making
sure that the PEEP valve closes at above 30 cmH2O.
3. Increase the D/A value of the inspiratory valve gradually and the A/D value of the flow
sensor should also increase. With the gradual increase of gas supplied,
‹ If the sampling A/D value of one flow sensor decreases gradually, it is possible that
the two sampling lines of the flow sensor are connected reversely.
‹ If the sampling A/D value of one flow sensor stays unchanged, it is possible that
the two sampling lines of the flow sensor are broken or not connected.
‹ If the sampling A/D value of one flow sensor nears saturation (above “4000”)
quickly, it is possible that the sampling line at the low pressure end (gas outlet end)
of the flow sensor is not connected.
4. If sampling line connection errors are detected, re-connect all sampling lines and verify
proper connection of lines.
„ To diagnose the measurement error of the flow sensors:
After confirming that both the zero points of the sensors and the sampling line
connections of the sensors are correct, check the flow sensor accuracy:.
‹ With the gradual increase of actual flow, the measured value of the flow sensor
should also increase. Otherwise, the calibration data have errors. You need to
calibrate the flow sensor again.
‹ Compared with the measured value of the standard flow measurement device
(anesthesia machine calibration device), the measured value of the flow sensor
should be accurate. Otherwise, the calibration data have errors. You need to
calibrate the flow sensor again.
For details, refer to 3.7.4 Check the Accuracy of Flow Sensors.

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5.4.4 Connections and Measurement Problems of the
Pressure Sensors
The pressure sensor has one sampling line. Connection errors include:
„ The sampling line is not connected.
„ The sampling line is connected incorrectly.
By using the Diagnostic Tests tool, you can detect if the sampling lines are connected
correctly.
„ To diagnose the sampling line connection of the pressure sensor:
‹ During normal ventilation, if a sampling line connection error occurs, it is easily
detected through the Paw waveform and technical alarms. If with the increase of
actual pressure, pressure waveform data decreases and the alarm of “Paw Too
Low” or “Patient Circuit Leak” occurs simultaneously, it is possible that the
sampling line of the airway pressure sensor is connected incorrectly.
‹ You can enter the [Diagnostic Tests] menu to set the PEEP safety valve to ON.
Gradually increase the D/A value of the PEEP valve and observe if the A/D value
of the PEEP pressure sensor also increases gradually. If not, it further indicates that
the PEEP pressure sensor may be connected incorrectly.
„ To diagnose the sampling line connection of the pressure sensor in case of pressure
calibration failure:
1. Connect the tubes of the anesthesia machine just like 5.4.1.
2. Make sure to mount the water collection cup again
3. Make sure that gas supplies are within specifications. In the [Diagnostic Tests] menu,
set the PEEP safety valve to ON. Set the Insp. Valve at 5 L/min.
4. Increase the D/A value of the PEEP valve gradually and the sampling A/D value of the
pressure sensor should also increase due to the gradual increase of actual pressure,
‹ If the sampling A/D value of one pressure sensor decreases gradually, it is possible
that the sampling line of the pressure sensor is connected incorrectly.
‹ If the sampling A/D value of one pressuer sensor remains unchanged, it is possible
that the sampling line of the pressure sensor is not connected.
‹ The pressure of the airway pressure gauge should increase. If not, it is possible that
the airway pressure gauge is defective.。
5. If sampling line connection errors are detected, re-connect the sampling lines and verify
proper connection of all lines.
„ To diagnose the measurement error of the flow sensors:
‹ With the gradual increase of actual pressure, the measured value of the pressure
sensor should also increase. Otherwise, the calibration data have errors. You need
to calibrate the pressure sensor again.
‹ Compared with the measured value of the standard pressure measurement device
(anesthesia machine calibration device), the measured value of the pressure sensor
should be accurate. Otherwise, the calibration data have errors. You need to
calibrate the pressure sensor again.
For details, refer to 3.7.5 Check the Accuracy of Pressure Sensors。

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5.4.5 Opening State Problems of the Inspiratory Valve
By using [Diagnostic Tests], you can detect if the opening state of the inspiratory valve is
correct.
1. The methods for tube connections and settings of the anesthesia machine are the same as
those for sampling line connections of the flow sensors. For details, refer to 5.4.1.
2. In the [Diagnostic Tests] menu, gradually increase the D/A value of the inspiratory
valve. If the measured values of the ventilator flow sensor, inspiratory flow sensor, and
expiratory flow sensor change very little and low gas flow is felt at the connector of
water collection cup, it indicates that the inspiratory valve or the D/A on the Ventilator
Control Board is defective.
3. Normally, when the D/A value of the inspiratory valve is set to “2500”, the flow
measured by the standard flow measurement device can reach 90 L/min.
4. If when the D/A value of the inspiratory valve is set to more than “4000”, the flow
measured by the standard flow measurement device fails to reach 90 L/min, flow
calibration will fail. In this case, you need to replace the expiratory valve assembly or
the ventilator control board.
5. To locate if the DA on the Ventilator Control Board is defective, you can use a
multimeter to measure the output of DA on the Ventilator Control Board corresponding
to the inspiratory valve. If voltage also increases with the increase of D/A value, and
voltage nears 6V when D/A value is set to more than “4000”, it indicates that the DA on
the Ventilator Control Board corresponding to the inspiratory valve may be correct.
6. After the expiratory valve assembly or the Ventilator Control Board is replaced, you can
use the similar method to check if the problem is fixed.

5.4.6 Opening State Problems of the PEEP Safety Valve


When the PEEP safety valve is permanently OFF and the gas supplies are within
specifications, the [Drive Gas Pressure Low] is alarmed.
By using Diagnostic Tests, you can detect if the opening states of the PEEP safety valve and
PEEP valve are correct.
„ To diagnose the opening state of the PEEP safety valve:
1. Make sure that gas supplies are within specifications.
2. In the [Diagnostic Tests] menu, when the PEEP safety valve is switched on, a subtle
click is heard.
3. Adjust the D/A value of the PEEP valve to cause the pressure measured by the PEEP
pressure sensor to exceed 0 cmH2O.
4. Switch off the PEEP safety valve. The pressure measured by the PEEP pressure sensor
should drop to 0 cmH2O immediately. Switch on the PEEP safety valve again. The
measured value of the PEEP pressure sensor rapidly restores almost the same value to
that before PEEP safety valve is switched off. During this period, gas flow and also
change of gas flow when the PEEP safety valve is switched on or off can be felt at the
PEEP outlet, which helps to judge if the PEEP safety valve can be switched on or off
correctly.
5. If an error is detected, it is possible that the PEEP safety valve or the safety valve drive
voltage on the ventilator control board is defective. You can use a multimeter to measure
the drive signals on the ventilator control board corresponding to the PEEP safety valve
(measurement can be performed at the corresponding socket). When the PEEP safety
valve is turned on, the drive voltage should near 6V. When the PEEP safety valve is
turned off, the drive voltage should near 0V. If these two conditions are met
simultaneously, the ventilator control board is normal.
6. If the PEEP safety valve is defective, replace the expiratory valve assembly. After
replacement, you can use the similar method to check if the problem is fixed.

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5.4.7 Opening State Problems of the PEEP Valve
When the PEEP valve is defective, pressure related alarms occur in mechanical ventilation
modes.
By using Diagnostic Tests, you can detect if the opening states of the PEEP valve is correct.
„ To diagnose the opening state of the PEEP valve:
1. Make sure that gas supplies are within specifications. In the [Diagnostic Tests] menu,
set the PEEP safety valve to ON.
2. With the increase of D/A value of the PEEP valve, the measured value of the PEEP
pressure sensor (or the anesthesia machine calibration device) should also rise. Note that
there is a non-response area for the PEEP valve when the D/A value is relatively small.
When the D/A value is less than this range, the PEEP valve cannot be opened and the
output is “0” continuously. When the D/A value is greater than this range, the pressure
output will increase with the increase of D/A value. This phenomenon also exists for the
inspiratory valve.
3. For subsequent diagnosis rules, refer to 5.4.5.

5.5 Hardware and Electrical Problems


Failure Possible cause Recommended action
description
When switch AC power supply is not connected and Check and make sure that the AC
ON, AC and the batty capacity is insufficient. power supply is connected properly.
battery indicator The breaker of AC input is tripped and Reset the breaker. If the problem
lamps are not lit, the battery capacity is insufficient. persists after breaker is reset, it
the machine can indicates the machine inside is short-
not ventilate and circuited.
the screen is not The fuse of power board is burned and Replace the fuse. If the problem
lit. the battery capacity is insufficient. persists after the fuse is replaced, it
indicates the machine inside is short-
circuited.
The auxiliary The breaker of auxiliary outlet is tripped. Reset the breaker. If there is still no
A/C electrical voltage output, it indicates the load
outlet has no equipment to which the auxiliary A/C
voltage output. electrical outlet is connected is shorted
or overcurrent. Check if the load
equipment is normal and make sure
that its working current is within the
specified specification of auxiliary
outlet.
The anesthesia The system switch is damaged. Replace the system switch.
machine can not The cable connected to the system switch Check and make sure that the cable is
be started. is disconnected or is not connected reliably connected.
reliably.
The power board failure results in no Replace the power board.
power output of 15.2V, 3.3V, 5V, and
12V.
The power board software failure results Update the power board software.
in no power output of 15.2V, 3.3V, 5V,
and 12V.

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Failure Possible cause Recommended action
description
The screen of The cable connected to the inverter is Check and make sure that the cable is
anesthesia disconnected or is not connected reliably. reliably connected.
machine can not The inverter is damaged. Replace the inverter.
be lit. Replace the power board.
The power board failure causes power
output error.
The power board software failure causes Update the power board software.
power output error.
The screen of The screen power supply fuse is burned Replace the fuse.
anesthesia out, which results in no 3.3V output.
machine can be The main control board failure results in Replace the main control board.
lit, but without no display output.
any contents.
The screen of The power board failure causes instable Replace the power board.
anesthesia supply voltage of the display.
machine can be The time sequence of main control board Update the software of main control
lit and shows LVDS is abnormal. board. If the screen continues flashing,
contents, but the replace the main control board.
screen flashes.
The heater is The heating drive circuit of the power Replace the power board.
ineffective. board is faulty.
The heater is damaged. Replace the heater.
The internal sensor of heater is
ineffective.
The cable connected to the heater is Check and make sure that the cable is
disconnected or is not connected reliably. connected reliably.
The touchscreen The touchscreen is damaged. Replace the touchscreen.
is ineffective. The touchscreen control board is Replace the touchscreen control board
damaged.
The cable connected to the touchscreen or Check and make sure that the cable is
touchscreen control board is disconnected connected reliably.
or is not connected reliably.
During the The monitoring module or valve is Select [Main] → [Service] →
operation of the damaged. [Diagnostic] → [Valves] Test the
anesthesia status
machine, of each valve and reference power
ventilation stops supply in the valves-test tool
all of a window. If valve malfunction or
sudden but the reference power supply error is
display and detected, replace the monitoring
buttons work module.
normally.
Exiting Standby The monitoring module selftest is failed. Replace the monitoring module.
fails.
Alarm messages The speaker is damaged. Replace the speaker.
are displayed on The speaker cable is not connected Check and make sure that the cable is
the screen but reliably. connected reliably.
without alarm
sound.

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Failure Possible cause Recommended action
description
Network The network cable is disconnected or is Check and make sure that the network
connection is not connected reliably. cable is connected reliably.
failed. The network cable is too long. Shorten the network cable.
Recommended cable length is
approximately 1.5 m.
The network cable is used incorrectly. The network cable has two linear
orderings. Make sure that network
cable with correct linear ordering is
used.
No gas is The Auto/Manual switch is Check the screen to see if the
outputted damaged. anesthesia machine is in mechanical
through ventilation mode and if there is an
the valve in alarm triggered.
mechanical
The valve cannot be 1. Set tidal volume to maximum.
ventilation mode.
opened. 2. Switch between standby and
mechanical statuses or between
manual and mechanical statuses
repeatedly.
3. Replace the pneumatic block.

5.6 Software Upgrade and Software Configuration


Activation
NOTE: Update the software when replacing the main control board, monitoring module,
power board or electronic flowmeter board.
NOTE: . Read the update package accompanying document before updating A series.

1. Connect the Ethernet port of the PC to the Ethernet port of the A5 using the Ethernet
crossover cable.
2. Before running the Mindray anesthesia machine and ventilator software upgrade tool,
verify that the IP address of the PC is set to 192.168.23.1., and the subnet mask is set to
255.255.255.0. Check and set the IP address on the PC by following these instructions.
(1). Ensure that the IP address of PC and the anaesthesia machine network falls within the
same network segment. For example, if the IP address of the PC is 192.168.23.1, the IP
address of the anaesthesia machine should be 192.168.23.xxx..
(2) On the PC, click Start, Control Panel and then Network Connections.
(3).Right click Local Area Connection and then left click Properties.
(4).Scroll down to Internet Protocol (TCP/IP), click to Internet Protocol (TCP/IP and then
click Properties.
(5). Click the radio button for "Use the following IP address". Set the IP address and Subnet
mask and then click OK.

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3. Make sure that the Mindray anesthesia machine and ventilator software upgrade tool has
been installed to the PC. If it has not been installed then follow these steps:
(1) Run the SystemUpdateTool.exe file.
(2). When prompted to setup a language select “English” and then select “OK”.
(3). When the Welcome dialog window is displayed select “Next”.
(4). When the Customer Information dialog window is displayed enter the following:
(5). User Name: Mindray
(6). Company Name: Mindray
(7). Serial Number: 26582640
(8). Select “Next”.
(9). When the Destination Location dialog window is displayed select “Next” to accept
the default Destination Folders.
(10). When the Select Program Folders dialog window is displayed select “Next” to
accept the default Program Folder.
(11) When the Install Shield Wizard dialog window is displayed select “Finish” to complete
the installation.
4. Upgrade Software:
(1) From the Desktop, run the icon for Mindray anesthesia machine and ventilator
software upgrade tool. When the “Select Product Series” dialog is displayed select A
Series(Non-FDA) followed by OK. Once the system update tool starts to work perform
the following to update the software.
(2). Select “Select Package” from the top tool bar.
(3). When the Select Package dialog is displayed select “>>>”
(4). When the Open dialog is displayed select down arrow “▼” for viewing the details.
Select the software “01_Bundle V02.05.00.mpkg”.

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Software
Item Modules Included Verson
Upgraded Package
United version number V02.09.00
System program V03.09.00
Guide program V01.14.00
FPGA display program V1.4
Bundle FPGA voice program V1.5
1 Aux monitor module
(V02.09.00) V01.02.00
software
Monitor module software V01.03.00
Language V3.8
Electronic flowmeter
V1.9
software
2 Power(V1.7) Power supply card V1.7

Note: This is only an example of latest software version in the form above. Check for
Technical bulletins to find the correct table for the software version you are installing.
(5). Select “Open”.
(6) A dialog box will be displayed. Click OK.
(7) Turn on the A5 unit on, wait at least ten seconds before proceeding to the next step.
(8) Click “Start(Single)” on the Mindray anesthesia machine and ventilator software
upgrade tool.
(9) Turn off the A5 and then turn it on within one second.
(10) You will see that the Windows XP network icon indicate that it is connected.

Note: If the screen as shown above is not displayed after turning on the equipment, and the
equipment starts up normally and enters system check, please check the IP setting and
network cable.
(11). While updating the software the A5 will show text which explains the progress of the
software update.
(12). When upgrade is completed, Mindray anesthesia machine will display “succeed” and
Mindray anesthesia machine and ventilator software upgrade tool will display “update
system successfully”.
(13). Repeat the steps 3 through 12 to update “02_Power V1.7.pkg” software.
Note: The power board software upgrade usually fails the first time but succeeds the second
time.
(14). When the software “02_Power V1.7.pkg” is upgraded turn off the A5 unit and then
restart it.
Note: If the equipment fails to start up normally after completing upgrade, please find the
corresponding guide document in the upgrade package and operate by following the
instructions.
(15). Check the software version on the A5 by clicking Main then Service, enter the service
password "789789" followed by Enter, then go to System Info and then United Version
Number. Verify that the software version on the United Version Number.keeps
accordance with that of the bundle.

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FOR YOUR NOTES

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6 Repair and Disassembly
6.1 Prepare for Disassembly
6.1.1 Tools
During parts disassembly and replacement, the following tools may be required:
„ Metric Allen wrench (1.5, 2, 2.5, 3, 4, 5, 6, 8, 10mm)
„ Phillips screwdriver(#1 and #2)
„ Diagonal pliers
„ Flathead screwdriver
„ Metric M3 and M4 socket screwdriver
„ Adjustable wrench
„ Tweezers
„ Krytox lubricant (P/N:099-000107-00)

6.1.2 Preparations
Before disassembly,
„ Make sure that the anesthesia machine is turned off and disconnected from the AC
power source.
„ Bleed down the gas pressure inside the anesthesia machine as described below.
„ Disconnect all pipeline and cylinder gas supplies.
„ Prepare the tools required for disassembly.
„ Maneuver the anesthesia machine to an appropriate location and then apply the brake.

CAUTION: The internal parts may be contaminated. Wear special gloves during disassembly
and inspection.

6.1.3 Bleed Gas Pressure


Make sure to bleed down the gas pressure inside the anesthesia machine before disassembling
pneumatic fittings to avoid personal injury or equipment damage. To bleed gas pressure:
1. Close other cylinder valves and disconnect pipeline gas supplies. Do not disconnect the
O2 pipeline. If O2 pipeline is not available, connect O2 cylinder and open the O2
cylinder valve.
2. Set the system switch to ON.
3. Turn on all the flow controls (except O2).
4. Make sure that N2O and AIR pipeline pressure gauges read zero.
5. Disconnect the O2 pipeline supply (or close the O2 cylinder valve). Push the O2 flush
button to bleed O2 from the system.
6. Set the system switch to OFF.

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6.2 Disassemble the Assemblies
6.2.1 Disassemble the Internal Assemblies of the Machine
Upper Half
6.2.1.1 Open the Service Door
Turn the two screws on the service door counter-clockwise for a half turn to open the door.

6.2.1.2 Remove the Gas Supply Inlet Assembly


1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Disconnect the tubes from the N2O, AIR and O2 supply inlet assemblies.
3. Remove the two screws from the N2O and AIR supply inlet assemblies.
4. Remove the related cables from O2 supply inlet assembly and Remove the two screws
to remove the assembly.

6-2
6.2.1.3 Remove the Pressure Regulator Assembly
1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the tubes from the pressure regulator assembly.
3. Remove the three screws on the pressure regulator assembly and remove the assembly.

6.2.1.4 Remove the Electronic Flowmeter Assembly


1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the related cables and tubes from the electronic flowmeter.
3. Remove the four screws and remove the electronic flowmeter.

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6.2.1.5 Remove the Poppet Valve Assembly
1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the tubes from the poppet valve assembly.
3. Remove the two screws on the pressure regulator supporting plate to remove the poppet
valve.

6.2.1.6 Remove the Gas Mixer Assembly


1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the tubes from the gas mixer assembly and the poppet valve.
3. Remove the four screws on the gas mixer assembly to remove the gas mixer assembly
and the poppet valve assembly.

4. Remove the two screws on the pressure regulator supporting plate to remove the gas
mixer assembly.

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6.2.1.7 Remove the ORC Assembly
1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the tubes from the ORC assembly.
3. Remove the two screws on the ORC assembly to remove the assembly.

6.2.1.8 Remove the Back Pressure Valve Assembly


1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the tubes from the back pressure valve assembly.
3. Remove the four screws on the back pressure valve assembly to remove the assembly.

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6.2.1.9 Replace the Lithium-ion Battery
1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the two screws on the battery box cover and then take out the lithium-ion
battery.
3. Place the new lithium-ion battery into the battery box in the original direction to
complete battery replacement.

6.2.1.10 Remove the Vaporizer Manifold Assembly


1. Open the service door. Refer to 6.2.1.1 Open the Service Door.
2. Remove the tubes from the vaporizer manifold assembly.
3. Remove the four screws and remove the vaporizer manifold assembly.

6-6
6.2.2 Disassemble Hardware Box Assembly
6.2.2.1 Remove the Top Plate Assembly
1. Fully loosen the 3 captive screws fixing the top plate assembly to remove the assembly.

2. Lift the top plate to remove it.

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6.2.2.2 Remove the Main Control Board
NOTE: To replace the main control board, you may need to re-install the software.
1. Remove the top plate assembly. Refer to 6.2.2.1 Remove the Top Plate Assembly.
2. Remove the two screws fixing the main control board to remove the board.

6.2.2.3 Remove the Monitoring Module


NOTE: To replace the monitoring module, you may need to re-install the software.
1. Remove the top plate assembly. Refer to 6.2.2.1 Remove the Top Plate Assembly.
2. Remove the related cables and tubes from the monitoring module.

3. Remove the four screws fixing the monitoring module to remove the module.

4. Refer to 1.2.3Connections between Pneumatic Circuit, Breathing System and


Ventilator Control Board for tube connections between the pneumatic circuit, breathing
system, and modules.

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6.2.2.4 Remove the Power Board
1. Remove the top plate assembly. Refer to 6.2.2.1 Remove the Top Plate Assembly.
2. Remove the two screws fixing the high-voltage protective cover to remove the
protective cover.

3. Remove the filter cable connector. Remove the screw on the power board supporting
sheet, the three screws and one nut fixing the power board to remove the power board.

4. Remove the screw on the power board supporting sheet to remove the supporting sheet.

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6.2.2.5 Remove the Motherboard
1. Open the service door. Refer to 6.2.2.1 Remove the Top Plate Assembly.
2. Remove the three cables from the motherboard.

3. Remove the four stud bolts on the two front sockets.

4. Remove the top plate assembly. Refer to 6.2.2.1 Remove the Top Plate Assembly.
5. Remove the two screws fixing the main control board output frame to remove the main
control board together with the sheet metal parts.

6. Remove the power board. Refer to 6.2.2.4 Remove the Power Board.

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7. Remove the three screws to remove the air deflector plate.

8. Remove the power board insulation overlay.

9. Remove the cables from the motherboard.


10. Loosen the two screws on the motherboard output bracket and Remove the 12 screws
fixing the motherboard to remove the motherboard.

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6.2.2.6 Remove the Three-Way Valve Assembly
1. Remove the top plate assembly. Refer to 6.2.2.1 Remove the Top Plate Assembly.
2. Remove the related tubes and cables from the three-way valve assembly.

3. Remove the three screws on the three-way valve assembly to remove the assembly.

Please refer to 1.2.3 Connections between Pneumatic Circuit, Breathing System and
Ventilator Control Board..

6.2.2.7 Remove the Speaker


1. Remove the top plate assembly. Refer to 6.2.2.1 Remove the Top Plate Assembly.
2. Remove the speaker cable.
3. Remove the two screws to remove the speaker.

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6.2.2.8 Remove the Hardware Box Rear Cover Plate Assembly
1. Remove the top plate assembly. Refer to 6.2.2.1 Remove the Top Plate Assembly.
2. Open the service door. Refer to 6.2.1.1 Open the Service Door. Remove the cables and
tubes from the hardware box assembly.

3. Remove the three screws fixing the power plug retaining clip to remove the power board
and the power plug retaining clip.

4. Remove the two screws fixing the high-voltage protective cover to remove the
protective cover.

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5. Remove the 7 screws fixing the hardware box assembly and lift the hardware box
assembly to remove it.

6. Remove the AC filer and fan cables.


7. Remove the 11 screws on the hardware box rear cover plate assembly to remove the
assembly.

6.2.2.9 Remove the Fan


1. Remove the hardware box rear cover plate assembly.
2. Remove the four screws on the fan to remove the fan.

6-14
6.2.2.10 Remove the Filter
1. Remove the hardware box rear cover plate assembly.
2. Remove the four screws and the nut on the filter to remove the filter.

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6.2.2.11 Remove the Auxiliary Electrical Outlet
1. Remove the hardware box rear cover plate assembly.
2. Remove the cables from the auxiliary electrical outlets and remove the auxiliary
electrical outlets. A5 has four auxiliary electrical outlets, as shown below.

6.2.2.12 Remove the Breaker Assembly


1. Remove the hardware box rear cover plate assembly.
2. Remove the breaker nuts to remove the breakers. A5 has five breakers, as shown below.

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6.2.3 Disassemble the Work Surface
6.2.3.1 Remove the Drawer Assembly
1. Pull out the drawer until the black locking piece on the rail can be seen.
2. Depress the locking piece on the right rail of drawer, and lift the locking piece on the
left rail at the same time.

3. Take out the drawer.

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6.2.3.2 Remove the Work Surface Cover Plate Assembly
1. Remove the first drawer.
2. Fully loosen the five captive screws fixing the work surface cover plate assembly.

3. Lift off the work surface cover plate assembly from the work surface. When the work
surface cover plate assembly is removed, the internal structure of the work surface is as
shown below.

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6.2.3.3 Remove the Work Surface Front Panel Supporting Plate
1. Remove the work surface cover plate assembly.
2. Remove the 8 screws on the work surface front panel supporting plate to remove the
front panel supporting plate.

6.2.3.4 Remove the Rear Cover Plate Assembly


1. Remove the knob on the cylinder yoke assembly (only applicable to configuration with
high-pressure cylinder yoke assembly).

2. Remove the AGSS transfer tube connecting to the exhaust tube and refer to 6.2.10.
3. Remove the 6 screws on the cart rear cover plate assembly to remove the assembly (the
picture on the right shows the configuration with high-pressure cylinder yoke assembly).

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3. Remove the four screws on the main unit rear cover plate to remove the main unit rear
cover plate (the picture on the right shows the configuration with high-pressure cylinder
yoke assembly).

6.2.3.5 Remove the Expiratory Valve Assembly


1. Remove the work surface cover plate assembly.
2. Remove the tubes and cables from the expiratory valve assembly.

3. Remove the pressure switch cable. Remove the switch jacket before Removeging the
cable to avoid damaging the cable.

Switch jacket

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4. Remove the four screws on the expiratory valve assembly to remove the assembly.

6.2.3.6 Remove the O2 Flush Assembly


1. Remove the work surface cover plate assembly. Refer to 6.2.3.2.
2. Remove the work surface front panel supporting plate. Refer to 6.2.3.3.
3. Remove the tubes from the O2 flush assembly.
4. Remove the two screws on the bracket and remove it.

5. Remove the metal post on the right side of the O2 flush assembly.
6. Remove the four screws around the O2 flush assembly to remove the assembly.

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6.2.3.7 Remove the Touchpad Assembly
1. Remove the work surface cover plate assembly. Refer to 6.2.3.2.
2. Remove the work surface front panel supporting plate. Refer to 6.2.3.3.
3. Remove the data line of the Touchpad assembly.
4. Remove the 8 screws on the Touchpad to remove the Touchpad bracket and Touchpad
assembly.

6.2.3.8 Remove the ACGO Assembly


1. Remove the work surface cover plate assembly. Refer to 6.2.3.2.
2. Remove the work surface front panel supporting plate. Refer to 6.2.3.3.
2. Remove the tubes and cable from the ACGO assembly.
3. Remove the 7 screws on the Touchpad bracket and ACGO assembly to remove the
Touchpad bracket and ACGO assembly.

6.2.3.9 Remove the Cylinder Yoke Assembly (only applicable to


configuration with cylinder yoke assembly)
1. Open the service door and refer to 6.2.1.1.
2. Remove the rear cover plate and refer to 6.2.3.4.
3. Remove the tubes on the cylinder yoke assembly.
4. Fully loosen the brass nut on the cylinder yoke assembly.

6-22
5. Remove the four screws on the cylinder yoke mounting plate to remove the assembly.

6. Remove the four screws on the cylinder yoke to remove the O2, N2O, and Air cylinder
yoke assemblies respectively.
The following picture shows the cylinder yoke assemblies before the ECL 112 changes.

The following picture shows the cylinder yoke assemblies after the ECL 112 changes.

6-23
6.2.4 Disassemble the Display Assembly
1. Open the service door. Refer to 6.2.1.1.
2. Remove the display connection line from the hardware box and the tubes from the
needle valve assembly. Fully loosen the four captive screws to remove the display
assembly.

6.2.4.1 Remove the Alarm Lamp Board


1. Remove the display assembly. Refer to 6.2.4.
2. Remove the cables from the alarm lamp board.
3. Remove the two screws on the alarm lamp board to remove the board.

6-24
6.2.4.2 Remove the Display Adapter Board
1. Remove the display assembly. Refer to 6.2.4.
2. Remove the five screws on the cover plate of display adapter board.

3. Remove the cables from the display adapter board.


4. Remove the four screws on the display adapter board and remove the board.

6.2.4.3 Remove the Touch Screen Control Board


1. Remove the display assembly. Refer to 6.2.4.
2. Remove the four screws on the cover plate of the touch screen control board to remove
the cover plate.

6-25
3. Remove the cables from the touch screen control board.
4. Remove the two screws on the touch screen control board to remove the board.

6.2.4.4 Remove the Backlight Inverter Board


1. Remove the display assembly. Refer to 6.2.4.
2. Remove the four screws on the cover plate of the backlight inverter board to remove the
cover plate.

3. Remove the cables from the backlight inverter board.


4. Remove the two screws on the backlight inverter board to remove the board.

6-26
6.2.4.5 Remove the Needle Valve Assembly
1. Remove the display assembly. Refer to 6.2.4.
2. Remove the two hexagon set screws on the needle valve knob to remove the knob.

3. Remove the two screws on the needle valve assembly to remove the assembly.

6.2.4.6 Remove the Touch Screen


1. Remove the display assembly. Refer to 6.2.4.
2. Remove the four screws on the cover plate of the touch screen control board to remove
the cover plate.

6-27
3. Remove the cables from the touch screen control board.

4. Remove the 11 screws around the display backplane to remove the backplane.

6-28
5. Slightly lift the touch screen off the display front cover to remove the touch screen.

6.2.4.7 Remove the Display Replacement Package


1. Remove the touch screen.
2. After removing the above mentioned components from the display assembly, the
remaining part is the display replacement package.

6.2.5 Remove the Module Rack Box Assembly


1. Open the service door. Refer to 6.2.1.1.
2. Remove the rear cover plate assembly. Refer to 6.2.3.4.
3. Remove the cables from the module rack box assembly.

6-29
4. Remove the four screws to remove the module rack box assembly.

5. Remove the module rack fan cable.


6. Remove the four screws to remove the module rack assembly.

6.2.6 Remove the Module Rack Fan


1. Remove the module rack box assembly. Refer to 6.2.5.
2. Remove the module rack fan cable.
3. Remove the four screws to remove the module rack assembly.

4. Remove the two screws to remove the fan together with the bracket.

6-30
5. Remove the four screws to remove the module rack fan.

6.2.7 Remove the Instrument Panel Assembly


1. Open the service door. Refer to 6.2.1.1.
2. Remove the rear cover plate assembly. Refer to 6.2.3.4.
3. Remove the module rack box assembly. Refer to 6.2.5.
3. Remove the related tubes from the gas supply pressure gauge, system switch assembly,
and total flowmeter assembly.
4. Remove the three copper pipes on the high pressure gauge from the cylinder yoke
assembly. Refer to 6.2.3.9。

6-31
5. Remove the four screws on the pressure gauge panel to remove the panel.

6.2.7.1 Remove the Pressure Gauge


1. Remove the instrument panel assembly.
2. Remove the two screws on the pressure gauge to remove the gas supply pressure gauge
and high pressure gauge.

6-32
3. If it is necessary to replace the pressure gauge cover, take out the white gasket from the
pressure gauge cover. Remove the pressure gauge cover from the instrument panel.
Before replacement, clean up the residual self-adhesive from the instrument panel.

White gasket inside the


pressure gauge cover

6.2.7.2 Remove the Total Flowmeter


1. Remove the instrument panel assembly.
2. Remove the four screws on the total flowmeter and to remove the total flowmeter.

6.2.7.3 Remove the System Switch Assembly


1. Remove the instrument panel assembly.
2. Remove the four screws on the system switch to remove the switch.

6-33
6.2.7.4 Remove the Indicator Light Board
1. Remove the instrument panel assembly.
2. Remove the two screws on the indicator light board to remove the

board.

6.2.8 Remove the Auxiliary Gas Supply Assembly


1. Open the service door and refer to 6.2.1.1.
2. Remove the related tubes from the auxiliary gas supply assembly.
3. Remove the two screws on the auxiliary gas supply assembly. Pull the auxiliary gas
supply assembly to the side for some distance. Remove the internal cables to remove
this assembly.

6-34
6.2.9 Remove the Circuit Arm Cover
1. Remove the work surface cover plate assembly and refer to 6.2.3.2.
2. Remove the breathing system assembly on the circuit arm cover.
3. Remove the four screws. Lift the circuit arm cover, remove the internal cables, and
remove the circuit arm cover.

6.2.10 Remove the AGSS Assembly


1. Remove the transfer tube from the AGSS assembly.
2. Loosen the AGSS groove locking knob on the AGSS assembly. Lift the AGSS assembly
along the fixing slider to remove the assembly.

6-35
6.2.11 Remove the Built-in AG Module (when configured with
AG module)
1. Remove the 6 screws to remove the cart rear cover plate assembly.

2. Remove the four screws to remove the AG module together with sheet-metal bracket.

3. Remove the four screws to remove the AG module

6-36
6.2.12 Remove the AG Module Inlet Tube Assembly (when
configured with AG module)
1. Open the service door. Refer to 6.2.1.1.
2. Remove the rear cover plate assembly. Refer to 6.2.3.4.
3. Remove the AG module and two-way connector from the tubes

4. Remove the two screws to remove the AG module inlet tube assembly.

5. Cut the cable strap fixing the filter. Remove the filter after pulling out the tube
connecting the filter.

6-37
6.2.13 Disassemble the Base Assembly
6.2.13.1 Remove the Caster Assembly (The Old base assembly: Four
casters are locked synchronously at the brake status)
1. Remove the breathing system and tilt the machine backward.

2. Remove the five screws and remove the caster assembly.

6-38
6.2.13.2 Remove the casters (New base assemblies: three casters are
locked and another one can rotate freely at the brake status.)
1. Remove the drawer assemblies according to 6.2.3.1 part.
2. Disassemble the rear panel referring to the third step of 6.2.3.4 part and remove the real
board of the cart.
3. Loose the ten screws fixed at two sides of the cart and carry the whole top part down.

4 Loose the four screws fixed at the base board and remove the base cover.

6-39
5 Loose the two screws used for fixing the decoration board at the sides of base.

6. Turn over the base assembly, loose the four screws used for fixing the two sides
decoration board at the base and remove the decoration board.

7. According to the replacement of the castors, loose the screws used for fixing the front
and rear housing of the base and remove the front and rear housing.

6-40
8. Loose the two screws used for fixing the ram and remove the ram.

9. Loose the two screws used for fixing the installation board of castors shaft and remove
the installation board and the drive shaft.

10. Loose the two screws used for fixing the castors and remove the castors.

6-41
6.2.13.3 Disassemble the front and rear housing of the base and the
decoration board.
Refer to the step 1 to 7 of 6.2.13.2 part.

6.2.13.4 Remove the Brake Indicator Drive Plate I and II


1. Tilt the machine backward.
2. Remove the two screws on the brake indicator drive plate I to remove the plate.

3. Remove the screw on the brake indicator drive plate II to remove the plate.

6.2.13.5 Remove the Brake Assembly


1. Tilt the machine backward.
2. Remove the 6 screws on the brake assembly to remove the assembly.

6-42
6.2.13.6 Remove the Brake Spindle
1. Tilt the machine backward.
2. Remove the brake assembly
3. Remove the 6 screws and remove the brake spindle. (10 screws are needed to be
removed for the new base assemblies)

6.2.13.7 Remove the Brake Linkage


1. Tilt the machine backward.
2. Remove the brake indicator drive plate II.
3. Remove the three screws on the brake linkage and remove the brake linkage.

6.3 Disassemble the Breathing System


6.3.1 Remove the O2 Sensor and O2 Cell Unit
1. Remove one end of the O2 cell unit from the circuit arm cover connection. Pull out the
O2 cell unit from the port on the breathing system directly.

6-43
2. Rotate the O2 cell shell counter-clockwise to take it out from the O2 cell cable. Then
rotate the O2 sensor counter-clockwise to take it out from the O2 cell shell.

6.3.2 Remove the Breathing Tubes


NOTE: When disassembling the breathing tube, hold the tube connectors at both ends of the
tube to avoid damaging the tube.
1. Remove the filter from the Y piece.

2. Disconnect the breathing tubes from the inspiratory/expiratory connectors on the circuit.

6-44
6.3.3 Remove the Flow Sensor
1. Rotate the rotary cover of the breathing connector counter-clockwise.

2. Pull out the breathing connector together with the rotary cover. Then pull out the flow
sensor horizontally.

3. The following pictures show the appearance of inspiratory flow sensor assembly and
expiratory flow sensor assembly.

Inspiratory flow Expiratory flow sensor


sensor assembly assembly

6-45
6.3.4 Remove the Manual Bag
Remove the manual bag from the bag arm assembly, as shown below.

6.3.5 Remove the Absorber Canister Assembly


1. Hold and turn the rotary handle clockwise for 90 degrees.

2. Take out the absorber canister assembly horizontally.

6-46
If it is necessary to replace or re-install the Pre-pak absorber sealing cushion (049-
000143-00), set the internal groove of the Pre-pak absorber sealing cushion in the side
flange of the Pre-pak absorber, as shown below.

Side flange of
the Pre-pak
absorber

Flat surface of the sealing


cushion faces upward.

Make sure that the sealing cushion is correctly installed. The comparison between
correct installation and incorrect installation is shown below.

Correct
installation

Incorrect
installation

WARNING: Sodalime is a caustic substance and is a strong irritant to eyes, skin and
respiratory system. Affected areas should be flushed with water. If irritation continues after
flushing with water, seek medical assistance immediately.

6-47
6.3.6 Remove the CO2 Bypass Assembly
1. Remove the absorber canister assembly. Refer to 6.3.5.
2. Press inward the fasteners on both sides and pull downward to remove the upper half of
the CO2 bypass assembly. Then raise the chassis to remove the entire CO2 bypass
assembly..

If it is necessary to replace or re-install the bypass trigger plate sealing cushion (049-
000142-00), pay attention to the matching between the interior convex rib of the bypass
trigger plate sealing cushion and the groove of the bypass trigger plate when assembling
the bypass trigger plate sealing cushion onto the bypass trigger plate, as shown below.

Groove of the trigger


plate

bypass trigger plate


sealing cushion

Make sure that the sealing cushion is correctly installed. The comparison between
correct installation and incorrect installation is shown below.

Correct
installation

Incorrect
installation

6-48
6.3.7 Remove the Circuit Main Body Assembly
1. Refer to 6.3.6to remove the CO2 bypass assembly.
2. Pull out the circuit main body assembly from the circuit adapter block assembly.

6.3.8 Remove the Bellows Assembly


1. Turn the bellows housing counter-clockwise and lift off to remove it.

2. Remove the bellows from the bellows base.

6-49
6.3.9 Remove the Pop-off Valve Assembly
1. Refer to 6.3.8to remove the bellows assembly.
2. Remove the four locking screws to remove the Pop-off cover plate assembly.

3. Remove the Pop-off valve assembly.

6.3.10 Remove the Expiratory/Inspiratory Check Valve


Assembly
1. Turn the valve cover clockwise to remove it.

6-50
2. Take out the check valve, as shown below.

6.3.11 Remove the Water Collection Cup


1. Turn the water collection cup clockwise to remove the cup.

2. The removed water collection cup is as shown below.

6-51
6.3.12 Remove the Airway Pressure Gauge
Lift the airway pressure gauge straight up to remove it

6.3.13 Remove the Bag Arm Assembly


1. Turn the locking nut counter-clockwise and pull it out vertically.

2. Lift straight up to remove the bag arm assembly.

6-52
6.3.14 Remove the Upper Rear Cover Assembly and Lower
Rear Cover Assembly
1. Refer to 6.3.1,6.3.2,6.3.3,6.3.4,6.3.5,6.3.6,6.3.7,6.3.8,6.3.11,6.3.12, 6.3.13 to remove the
O2 sensor, breathing tubes, manual bag, absorber canister assembly, CO2 bypass
assembly, circuit main body assembly, bellows assembly, water collection cup, airway
pressure gauge, and bar arm assembly.
2. Fully loosen the 6 screws, as shown below.

3. Fully loosen the hand screws on the upper cover, as shown below.

4. Turn over the circuit main body. Pull upward to remove the upper rear cover assembly.

6-53
5. Pull left to remove the lower rear cover assembly.

6.3.15 Remove the Upper Front Cover Assembly, Median Plate


Assembly, and Lower Front Cover Assembly
1. Refer to 6.3.14to remove the upper rear cover assembly and lower rear cover assembly.
2. Remove the two screws on the lower rear cover.

3. Fully loosen the 6 screw on the upper cover.

6-54
4. Fully loosen the captive screws on the upper cover.

5. Tightly hold the upper cover assembly and pull it upward to remove.

7. Pull the median plate assembly upward to remove it.

Median plate assembly

Lower cover assembly

6-55
6.3.16 Remove the Auto/Manual Switch Assembly
1. Refer to 6.3.15 to remove the upper cover assembly.
2. Turn over the upper cover assembly and remove the three screws to remove the
Auto/Manual switch assembly, as shown below.

3. Remove the three screws to remove the Auto/Manual switch bracket, as shown below.

4. Remove the O-ring. Pull out the connection shaft to pull out the Auto/Manual switch axis.

Remove the O-ring and pull


out the connection shaft.

Auto/Manual switch axis

Auto/Manual switch axis compress spring

6-56
5. Remove the Auto/Manual switch compress spring to replace the two sealing rings.

Sealing ring

6.3.17 Remove the APL Valve Assembly


Turn the locking nut counter-clockwise and pull out the APL valve assembly vertically.

6-57
FOR YOUR NOTES

6-58
7 Replacement Parts
7.1 Introduction
The A5 anesthesia system can be divided into 18 parts according to its structure and functions.
Each part contains several replaceable parts. Table 8-1 through Table 8-18 provide the
information about the replaceable parts and Diagram 8-1 through Diagram 8-14 give the
positions of replaceable parts. When selecting replaceable parts, consideration should be
given to the characteristics of the parts, cost of replacement, and maintenance efficiency.
When the parts whose sub components are not convenient to replace (such as the electrical
component on the board) are faulty, replacing the board can improve the maintenance
efficiency. For example, if a pressure gauge on the instrument panel is faulty, replacing the
pressure gauge can reduce the cost.

7.2 Ordering Replaceable Parts


Provide the following information to order replaceable parts:
FRU code of the parts
Number of the parts in the document table
Description of the characteristics of the parts

For example: P/N: 801-0631-00001-00 Auxiliary gas supply, No.1

7-1
7.3 Diagrams and Tables
7.3.1 A5 Structure 20
19

1
18

13

4
12

5
11

6
10

9
7

8
7a

7-2
No. Description P/N
Auxiliary gas supply assembly (American standard)
service parts 115-018165-00
1
Principle part of the Circuit 115-018166-00
2 Breathing system 115-025569-00
3 CO2 bypass assembly 115-036378-00
4 O2 supply pressure gauge assembly 115-024841-00
5 N2O supply pressure gauge assembly 115-024842-00
6 Air supply pressure gauge assembly 115-024843-00
7 Spare maintenance kit of drawer assembly 115-034451-00
7a Drawer handle 801-0631-00140-00
8 Drawer key 115-023320-00
9 Total flowmeter 801-0631-00008-00
10 The pressure gauge assembly of O2 high pressure 115-024844-00
11 The pressure gauge assembly of N2O high pressure 115-024845-00
12 The pressure gauge assembly of Air high pressure 115-024846-00
13 System switch knob 801-0631-00012-00
18 Backup vaporizer manifold 801-0631-00076-00
19 Vaporizer manifold 801-0631-00024-00
20 Panel of gauge(FRU/US) 115-023177-00
Panel of gauge(FRU/EU) 115-023179-00
Panel of gauge(FRU/EU/big tank) 115-023180-00
Panel of gauge(FRU/reverse EU) 115-023181-00

7-3
21

22

23

29
24

25
28

27
26

No. Description P/N


20 maintenance cover 115-026809-00
21 Air cylinder yoke assembly (with copper pipe) 115-034396-00
22 N2O cylinder yoke assembly (with copper pipe) 115-034397-00
23 O2 cylinder yoke assembly (with copper pipe) 115-034395-00
24 Caster 034-000285-00
26 AGSS transfer tube 801-0631-00074-00
27 AGSS assembly (0631/high flow/new silkscreen) 115-017377-00
AGSS assembly (0631 low flow-non FDA/new 115-017378-00
silkscreen)
28 Work surface cover plate 801-0631-00120-00

7-4
7.3.2 A5 Upper Half
1

2
17
3

16
4

5 15

14

7
8 9 10 11 12 13

No. Description P/N


1 Pneumatic resistor module assembly 801-0631-00119-00
2 ORC assembly 115-003009-01
3 N2O supply inlet assembly(NIST/0631) 801-0631-00128-00
4 Air supply inlet assembly(NIST/0631) 801-0631-00129-00
5 O2 supply inlet assembly(0632/NIST) 115-015435-00
6 N2O pressure regulator assembly 801-0631-00086-00
7 O2 and Air pressure regulator assembly 801-0631-00087-00
8 O2 system switch 801-0631-00003-00
9 Indicator light board PCBA 801-0631-00004-00
10 801-0631-00123-00
Pressure test tube (left) 115-034389-00
11 801-0631-00124-00
Pressure test tube (middle) 115-034390-00
12 801-0631-00125-00
Pressure test tube (right) 115-034391-00
13 Electro flowmeter board FRU (0634/O2, N2O and
Air) 115-027251-00
Electro flowmeter board (FRU/0634/without N2O)
PCBA 115-024621-00
14 Back pressure valve 115-033941-00
15 Gas mixer assembly 801-0631-00043-00
Gas mixer assembly(0634/O2/AIR) 115-024554-00
16 Poppet valve 115-036458-00
17 Lithium battery (11.1V, 4500mAh) 115-018012-00

7-5
7.3.3 A5 Hardware Box
9
8
7
10
6
5
11 4
12

13

2
14

15

No. Description P/N


1 Top light board PCBA 801-0631-00039-00
2 Speaker and connection line 801-0631-00038-00
3 Power socket 3C certificate (black) 801-0631-00132-00
4 Breaker (3.0A) 801-0631-00031-00
5 Breaker (10.0A) 801-0631-00030-00
Breaker (5.0A) 801-0631-00130-00
6 Filter 801-0631-00029-00
7 Fan 801-0631-00028-00
8 Power board PCBA 801-0631-00025-00
9 Air deflector plate /
10 3V35mAhD12.5*2.0 button cell, lithium M05-010R03---
11 Main control board 115-035003-00
12 Battery adaptation board PCBA 801-0631-00109-00
13 Monitoring module 115-036366-00
14 Motherboard PCBA 801-0631-00108-00
15 Three-way valve assembly (0616) (applicable for
system without ACGO configuration) 801-0631-00046-00
Three-way valve assembly (0631 ACGO) FRU 801-0631-00146-00

7-6
7.3.4 A5 Work Surface

2 1
3

11
5

7
8 9 10

No. Description P/N


1 Limit switch 801-0631-00101-00
2 Auto/Manual switch spring 801-0631-00114-00
3 Drive shaft 801-0631-00113-00
4 Spare maintenance kit of circuit heater 115-034450-00
5 Circuit adapter block cover 801-0631-00068-00
6 O2 sensor connector 801-0631-00067-00
7 O2 flush assembly 801-0631-00044-00
8 Common Gas Outlet assembly 801-0631-00045-00
ACGO assembly 801-0631-00143-00
ACGO assembly(w/ AA measurement) 115-017878-00
9 Track pad FRU(0631/new silkscreen) 115-017032-00
10 Touch pad 801-0631-00052-00
11 Spare maintenance kit of expiratory valve
115-036693-00
assembly (DSP)
13 Gas reservoir assembly 801-0616-00007-00

7-7
7.3.5 A5 Patient Circuit Main Body

1
14

13
3

12

11
4

10
9
6
7
8

No. Description P/N


1 Bellows housing 801-0631-00054-00
2 Bellows assembly 0601-30-78968
3 Airway pressure gauge 115-025563-00
4 Expiratory flow sensor assembly 801-0631-00056-00
5 Inspiratory/expiratory interface 801-0631-00057-00
6 Breathing circuit unit 115-025565-00
7 Rotary cap for inspiratory/expiratory interface 801-0631-00059-00
8 Water collection cup 801-0631-00058-00
9 Inspiratory flow sensor assembly 801-0631-00060-00
10 O2 cell cover and O2 cell cable 801-0631-00102-00
11 APL valve assembly 801-0631-00062-00
12 Auto/Manual switch assembly 801-0631-00065-00
13 Check valve 801-0631-00104-00
14 Bag arm assembly 115-017033-00

7-8
7.3.6 A5 Pre-pak Absorber Canister Assembly

No. Description P/N


1 Absorber hose (A series) 801-0631-00092-00
2 CO2 absorber base (A series) 801-0631-00100-00
3 Bottom plate 801-0631-00100-00
4 CO2 absorber canister (A series) 801-0631-00066-00
5 CO2 bypass assembly (A series) 115-036378-00

7-9
7.3.7 A5 Valve Assembly

No. Description P/N


1 Valve cover 801-0631-00061-00
2 Valve shield 801-0631-00110-00
3 Valve 801-0631-00111-00

7-10
7.3.8 A5 O2 Cell Assembly

1 2 3

No. Description P/N


1 O2 cell cover 801-0631-00090-00
2 MedicelMOX-2 O2 sensor (O2 sensor) 0611-10-45654
3 O2 cell cable 801-0631-00091-00

7-11
7.3.9 A5 Display Assembly

2
4

No. Description P/N


1 / /
N2O needle valve (Applicable for device with O2, N2O
2 and Air configuration) 115-036762-00
Air needle valve (Applicable for device with O2, N2O
3 and Air configuration) 115-036457-00
O2 needle valve (Applicable for device with O2, N2O
4 and Air configuration) 115-036761-00
O2 needle valve (Applicable for device with O2 and Air
3, 4 configuration) 115-024292-00

7-12
7.3.10 A5 Display Assembly Main Body

No. Description P/N


1 Alarm lamp board PCBA 801-0631-00019-00
2 Touch screen 801-0631-00014-00
3 Display screen 115-036373-00
4 Touch screen control board 801-0631-00018-00
5 Display interface board PCBA 801-0631-00017-00

7-13
7.3.11 A5 Vaporizer Manifold

No. Description P/N


1 Connector (vaporizer fixing) 801-0631-00117-00
2 Vaporizer manifold valve 801-0631-00106-00
3 Vaporizer manifold spring 801-0631-00107-00

7-14
7.3.12 A5 Auxiliary Gas Outlet Assembly

No. Description P/N


1 Auxiliary gas supply flowmeter lighting board PCBA 801-0631-00002-00
2 Auxiliary gas outlet fitting (FRU) 801-0631-00122-00

7-15
7.3.13 Base Assembly

No. Description P/N


1 Brake assembly 801-0631-00094-00
2a Long ram of the brake (0634) 042-016810-00
2b Short ram of the brake (0634) 042-017262-00
3 Indicator light drive board 801-0631-00072-00
4 Brake principal axis 041-022463-00
Spare maintenance kit of bottom plate (National &
5 large cylinder) 115-036460-00

7-16
7.3.14 Cart Assembly

1
4

No. Description P/N


1 M01A AION AG module(03-31 type) 115-002504-00
2 AG calculation inlet tube assemlby (0632) 115-017879-00
3 Filter.0.45um,TP026AATV004AD01 082-000423-00
4 Anesthetic signal adapter board (service parts) 801-0613-00033-00

7.3.15 Other

2 3

7-17
No. Description P/N
1 Cylinder wrench 115-033063-00
2 A5 preoperative checklist 801-0631-00081-00
3 A5 auxiliary O2/Air reference card 801-0631-00082-00
– Basic maintenance kit (12-month) (0635) 115-036367-00
– Expand maintenance kit (36-month) (0635) 115-036368-00
– Complete maintenance kit (12-month) (0635) 115-036369-00
– Maintenance kit (36-month) (0635) 115-036370-00

7.3.16 Tubes

No. Description P/N


1 7mmX10mm transparent PU tube (polyether) 082-000519-00
2 3/32"X7/32"X100ft silicone A21-000007---
3 8mmx5mm transparent PU precision hose M6G-020014---
4 20X25mm silica gel M6G-020018---
5 4*6 transparent PU tube M6G-020026---
6 Tubing. 4mmx2.5mm transparent PU precision hose M6G-020046---
7 Tubing.MPF tube 2mmX3.5mm (1feet) M6G-020005---
8 PE Tubing.ID2XOD4 082-001198-00
9 Tubing.ID3/32''XOD5/32'',Silicon 60-12140-00
10 System Tubing PUR.AION,1.4/2.8mm,60-12110-00 9200-10-10556
11 System Tubing PUR.AION, 2.2/4.4mm,60-12120-00 9200-10-10557
12 Moisture Exchanger Assembly 082-001461-00
13 Driver spring tube assembly (0635) 115-034448-00
14 APL valve spring tube assemly 115-034449-00

7-18
7.3.17 O-ring
No. Description P/N Notes
1 Valve port sealant 049-000140-00 Used for CO2 bypass shaft
Cushion of CO2 bypass
049-000142-00 /
2 assembly
Absorber canister external
049-000143-00 /
3 cushion
Absorber canister internal
049-000145-00 /
4 cushion
5 CO2 absorber hose 049-000146-00 /
6 pop-off rubber feet 049-000240-00 /
Bellows absorber bottom
049-000243-00 /
8 cushion
9 AGSS filter screen 082-000506-00 /
14X2.65 O-ring (used for Used for vaporizer fixing
082-000934-00
10 vaporizer manifold) connector
11 30X2 O-ring 082-000624-00 Base of bag arm
12 25X2 O-ring 082-000625-00 APL valve
13 27X1.5 O-ring 082-001501-00 Used for check valve dome
14 18X2.5 O-ring 082-000627-00 Base of breathing system
15 20X1.5 O-ring 082-001503-00 Used for check valve
Used for water collection cup
23.47X2.95 O-ring 082-001504-00
16 and CO2 bypass assembly
17 52X2 O-ring 082-000630-00 Auto/Manual switch
18 29X2.62 O-ring 082-000633-00 Bellows base
Bottom of the breathing system
6.07X1.78 O-ring 082-000641-00
19 cover screw
20 29.82X2.62 O-ring 082-000642-00 APL valve
21 40X2.2 O-ring 082-000648-00 Auto/Manual switch
22 8.5X2.0 O-ring 082-001525-00 O2 cell port
Used for rotary module of
8.5X2 O-ring 082-000665-00
23 breathing circuit
Used for rotary module of
4.7X1.8 O-ring 082-000667-00
24 breathing circuit
25 6X1 O-ring 082-000669-00 Used for Auto/Manual switch
Used for bag arm and O2 cell
15.54X2.62 O-ring 082-000673-00
26 cover
27 4.47X1.78 O-ring 082-000679-00 Used for CO2 bypass shaft
O-ring (used for airway
082-001524-00 Used for airway pressure gauge
28 pressure gauge)
Used for rotary module of
16X2 O-ring M6M-010058---
29 breathing circuit
30 O-ring maintenance kit 801-0631-00141-00 /

7-19
FOR YOUR NOTES

7-20
P/N: 046-002301-00(4.0)

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