MINDRAY Wato Ex-65 Anesthesia Machine Operaters
Contents
1. Cleaning and Disinfection Breathing Tubes and Y Piece Remove the filter from the Y piece Disconnect the breathing tubes from the inspiration expiration connectors on the breathing system Z WARNING O When installing the breathing tube hold the tube connector at both ends of the tube to prevent damage of the tube O Do not reuse the filter to prevent cross contamination Follow local regulations regarding disposal of hospital waste when the filter is discarded O Install the filter as described in this guide to prevent dust and particles from entering the patient s lungs and prevent cross contamination Flow Sensor 1 Turn the locking nuts counterclockwise 2 Pull out the inspiration expiration connectors and their locking nuts WARNING O Tighten the locking nuts when installing the flow sensor Failure to do so may result in invalid measurement O The end of inspiration expiration connectors which connect the breathing tube shall be kept downward to prevent condensed water from entering the breathing system 15 Cleaning and Disinfection 3 Pull out the flow sensors horizontally Check Valve Assembly 1 Turn the check valve cover counterclockwise to remove it A WARNING O Do not separate the check valve diaphragm from the valve cover O When installing the check valve depress the valve forcibly to make sure that it is installed in position Water Collection Cup 1 Hold the2. 6 Bellows housing 7 Sample gas return port 8 Manual bag port 9 Bag mechanical ventilation switch 2 10 APL Airway Pressure Limit valve 11 02 sensor connector 12 Rotary handle 13 Sodalime canister Product Introduction SSS hf ff He yi a a pun 1 Cylinder connector 6 CIS 12 V power supply 9 ACGO Auxiliary Common 2 Equipotential stud Connector Gas Outlet switch 3 Fan 7 Speaker 10 Module slot aS 8 Auxiliary O2 supply AGS outlet EEL y PPY 12 AGSS Transfer and 5 Network connector Receiving System Control Panel The control panel is located beneath the ventilator display as shown below 1 Battery LED AC power LED Operating state LED 30 N Q3 KR OD Alarm silence key To set alarm silence state push this key to enter 120 s alarm silenced status The alarm silence symbol EX and 120 s countdown time appear in the upper right corner of the screen To clear alarm silence push this key again 5 Standby key Push to enter or exit standby mode 6 Normal screen key Push to clear all menus popping up on the screen and return to the normal screen 7 MV amp TVe alarm key In case of manual ventilation mode Push the key to switch off MV and TVe overrange alarms and apnea alarm Push the key again to switch on MV and TVe overrange alarms and apnea alarm In case of mechanical ventilation mode Push the key to switch off MV and TVe ov
3. Displays power source or battery icon The icon JD is displayed when the anesthesia machine is powered by AC power source The battery icon is displayed when the anesthesia machine is battery powered to indicate battery capacity 10 Vent Mode shortcut key Used to select mechanical ventilation mode 11 Alarm Setup shortcut key Used to change the alarm settings for the anesthetic ventilator gas module or BIS module 12 Screens shortcut key Used to set user screen 13 User Setup shortcut key Used to change the settings for TV compensation O2 monitoring source gas module BIS module screen sound etc 14 Maintenance shortcut key Used to perform leak test calibrate O2 sensor and flow sensor view trend graph trend table and alarm logbook and set language system time pressure unit IP address etc 15 Timer Setup shortcut key 16 Parameter Setup shortcut keys area Used to set the parameters related to mechanical ventilation mode Shortcut keys arrangement is subject to specific mechanical ventilation mode 17 System prompt message area 18 Parameter amp graph area Displays the parameters waveforms spirometry loops or electronic flowmeter graphs which the anesthetic ventilator gas module or BIS module monitors Different types of screens are displayed based on the actual system configuration or screen layout settings 60 Inspect the System Make sure that 1 The anesthesia machine is undam
4. high 3 The breathing system is not installed properly 4 The value measured by the pressure sensor is a bit low Any of the above reasons may cause the Paw to be lower than the Paw low alarm limit for consecutive 20 seconds Commonly encountered Problems A M hh Failure ve Possible cause Recommended action description 1 TV is set too high Rate or E setting is too high 1 Decrease TV or the respective which disables complete settings for Rate and E to expiration and results in lengthen expiratory duration sustained airway pressure 2 Check if the expiratory pipeline 2 The airway resistance is pressed or distorted Check if inside the patient the filter connected to the Y piece expiratory pipeline in the is filled with patient secretions and breathing system is too replace it if necessary high 3 Check if the AGSS is blocked 3 The airway resistance 4 If the problem persists inside the AGSS is so after taking all the mentioned high that the expiratory measures apply manual pressure cannot be ventilation and contact us released timely promptly The alarm Sustained Airway Pressure occurs 1 Adjust pressure control parameters 2 If the acutal gas delivery volume detected is too high switch to VCV 3 Push the O2 flush button to fill the folding bag Increase the fresh gas flow appropriately to ensure the folding bag reaches the top of the bellows housing each time 4 Check the breathing
5. on the breathing system adapter with the other hand to unlock it oa P 4 3 Ensure that the breathing system assembly has been removed correctly Disinfect the breathing system assembly WARNING O Disassemble and reassemble the breathing system as described in this guide For further disassembly and reassembly contact us Improper disassembling and reassembling may cause breathing system leak and compromise normal system use O After the breathing system assembly is cleaned and disinfected reinstall the assembly when it is fully dry Maintenance Do not use malfunctioning anesthesia machine Have all repairs and service done by an authorized service representative Replacement and maintenance of tube parts listed in this manual may be undertaken by a competent trained individual having experience in the repair of devices of this nature After repair test the anesthesia machine to ensure that it is functioning properly in accordance with the specifications N WARNING O Only use lubricants approved for anesthesia or O2 equipment O Do not use lubricants that contain oil or grease They burn or explode in high O2 concentrations O Obey infection control and safety procedures Used equipment may contain blood and body fluids O Movable parts and removable components may present a pinch or a crush hazard Use care when moving or replacing system parts and components NOTE O No repair should ever be
6. AGLOBAL PARTNER YOU CAN RELY ON Shenzhen Mindray Bio Medical Electronics Co Ltd MINDRAY This guide contains the basics necessary to operate the product safely and quickly For details refer to the Operator s Manual Notes O Observance of this guide is a prerequisite for proper product performance and correct operation and ensures patient and operator safety O This guide is based on the maximum configuration and therefore some contents may not apply to your product If you have any question please contact us The product bears CE mark indicating its conformity with the 0123 provisions of the Council Directive 93 42 EEC concerning medical devices Copyright 2008 2009 Shenzhen Mindray Bio Medical Electronics Co Ltd All rights reserved Contents of this guide are subject to change without prior notice 1 Brake 2 Pipeline pressure gauge 3 Total flowmeter 4 Flow control 5 Electronic flowmeter 6 Ventilator control panel Product Introduction We se 7 Control knob 12 Cylinder pressure gauge 8 Display 13 02 flush button 9 Vaporizer 14 Auxiliary electrical outlet 10 Gas supply connector 15 Drawer lock 11 System switch 16 Worktable with drawer Product Introduction Ses OLE me tg ee et 4 oft S 3 1 02 sensor connector 2 lnspiration connector 3 Expiration connector 4 Inspiratory check valve 5 Expiratory check valve X TT ae
7. achine is configured with bag arm Bag Arm The anesthesia machine is not configured with bag arm 2 s ap g Pa 2 Remove the bag arm from the breathing system a Cleaning and Disinfection Bellows Assembly 1 Turn the bellows housing counterclockwise 3 Remove the folding bag from the bellows base i PA d Pi rS ra a y in on o kd I 1S O Incorrect installation causes the folding as shown in the figure which leads to the breathing system leakage Reinstall the bellows housing 2 Remove the housing O Before installing the bellows housing check that the sealing component on the breathing system is in position If not you must install the sealing component properly before installing the bellows housing When installing the bellows housing align the bellows housing bayonet tabs with the slots on the breathing system and then lower the bellows housing Make sure that the housing is depressing the seal evenly Hold the bellows housing tightly and turn it clockwise until it stops Make sure that the side of the housing marked with scale is facing the operator O M Cleaning and Disinfection O M Breathing system 1 Remove the breathing system assembly 2 Remove the breathing system from according to the aforementioned the breathing system adapter with both procedures Hold the breathing system hands with one hand Pull up the locking catches
8. aged 2 All components are correctly attached The breathing system is correctly connected and the breathing tubes are undamaged The vaporizers are locked in position and contain sufficient agent The gas supplies are connected and the pressures are correct Cylinder valves are closed on models with cylinder supplies The necessary emergency equipment is available and in good condition Equipment for airway maintenance and tracheal intubation is available and in good condition 09 CON AO OG amp 9 Applicable anesthetic and emergency drugs are available 10 The casters are not damaged or loose and the brake is set and prevents movement 11 The breathing system is locked in the f position 12 The AC mains indicator and the battery indicator come on when the power cord is connected to the AC power source If the indicators are not on the system does not have electrical power 13 The anesthesia machine is switched on or off normally NOTE O Make sure that the breathing system is correctly connected and not damaged O The top shelf weight limit is 30 kg Preoperative Test Test Intervals Perform the preoperative tests listed below at these events 1 Before each patient 2 When required after a maintenance or service procedure The following table indicates when a test must be done Every day before the first patient Alarm tests Power failure alarm test Before each patient Breathing sy
9. ak and compromise normal system use NOTE 1 To help prevent damage refer to the manufacturer s data if you have questions about a cleaning agent O Do not use organic halogenated or petroleum based solvents anesthetic agents glass cleaners acetone or other harsh cleaning agents O Do not use abrasive cleaning agents such as steel wool silver polish or cleaner O Keep all liquids away from electronic parts O Do not permit liquid to go into the equipment housings O Do not soak synthetic rubber parts for more than 15 minutes Otherwise swelling or faster aging may occur O Only autoclave parts marked 134 C O Cleaning solutions must have a pH of 7 0 to 10 5 Cleaning and Disinfection All parts of the breathing system can be cleaned and disinfected The cleaning and disinfection methods are different for different parts You need to select the appropriate method to clean and disinfect the parts based on the actual situations to avoid cross contamination This table is our recommended cleaning and disinfection methods for all parts of the breathing system Intermediate level High level Parts disinfection disinfection Breathing tubes and piece xe reathngmask o o a Fosso ooo o a ee s Inspiratory and expiratory check valves dae i i e t ph Canister comnecton bockassembly Sif x Watercolectoncup e esem bh BYPASS ascomby J Breathing Sytem e menas ooo S e ressasser Je Ooo Indicates that
10. and the vaporizer conforms to the the anesthetic agent to be used Fill the vaporizer with the anesthetic agent properly Push and turn the concentration control on the vaporizer to set the appropriate concentration of anesthetic agent NOTE O This anesthesia machine can be mounted with vaporizers corresponding with halothane enflurane isoflurane sevoflurane and desflurane Only one of the five vaporizers can be opened at a time because the vaporizers are featured with interlock rll SL Mechanical Ventilation Mode Ventilation Mode Make sure that the system is Standby Set the appropriate Plimit value in the parameter setup shortcut keys area Check the ACGO switch to make sure that it is OFF Set the bag mechanical ventilation switch to the position Push the O2 flush button O to inflate the bag if it collapses Select the Vent Mode shortcut key to open the Vent Mode Setup menu Select ventilation mode Set Ventilator Parameters Select the parameter setup shortcut key to set the parameters related to mechanical ventilation mode Set Alarm Limits i 1 Select the Alarm Setup shortcut key and then Ventilator gt gt 2 Set High Limit and Low Limit respectively for each parameter 3 Select the Alarm Setup shortcut key and then Gas Module gt gt 4 Set High Limit and Low Limit respectively for each parameter Start Mechanical Ventilation After settings of the related pa
11. attempted by anyone not having experience in the repair of devices of this nature 1 Replace damaged parts with components manufactured or sold by us Then test the unit to make sure that it complies with the manufacturer s published specifications O Contact us for service assistance O MDM Maintenance O M Q NOTE O These schedules are the minimum frequency based on typical usage of 2000 hours per year You should service the equipment more frequently if you use it more than the typical yearly usage Maintenance Schedule Minimum l femwerey Mamtenanee frequency Dail Clean the external surfaces y 21 O2 calibration O2 sensor in breathing system Biweekly Drain the vaporizers and discard the agent 100 O2 calibration breathing system O2 sensor Monthly Clear water built up inside the waterstraps of CO2 module and AG module During cleaning Inspect the parts and O rings for damage Replace or repair and setup as necessary Replace the seal on the vaporizer manifold and that on the Annually breathing system port Contact us for details CO2 module calibration AG module calibration Every Replace the built in lithium ion batteries Contact us for three years details Before installing the cylinder use a new cylinder gasket on cylinder yoke Empty the water collection cup If there is water built up in it Replace the sodalime in the sodalime canister if sodalime color changes Replace the brea
12. basicall NE CAUSAS elas 3 Appl manual ventilation and disabled VOE OTRA E Y ms ie machine The machine POUNG ne ewe eINg Peg 4 If the problem persists seemingly stops ema A after taking all the mentioned l 3 The sensor or the valve operation measures contact us promptly malflunctions or other software hardware system malfunctions In mechanical ventilation mode Refer to other O2 concentration monitoring when adjusting O2 flow and N20 flow Ensure that the O2 N20 ratio meets the actual patient requirement Contact us promptly The alarm 02 The O2 N2O cut off valve N20 Ratio Error or the O2 N20O chain occurs linkage malfunctions www mindray com Shenzhen Mindray Bio Medical Electronics Co Ltd Mindray Building Keji 12th Road South Hi tech Industrial Park Nanshan Shenzhen 518057 P R China Tel 86 755 26582888 Fax 86 755 26582680 046 000205 0001 05
13. easured inside the flow sensor in the breathing by the expiratory flow system sensor is a bit high or 2 Check if the flow sensor is installed that meausred by the properly and if its sealing components inspiratory flow sensor is are in good condition a bit low 3 Re calibrate the flow sensor 2 The expiratory valve 4 Check the membrane inside the assembly is not installed flow sensor for distortion If there is properly replace the flow sensor and calibrate again 5 Check if the expiratory inspiratory check valve and its seal are installed properly If necessary use a new one and reinstall it 6 If the problem persists after taking all the mentioned measures apply manual ventilation and contact us promptly Commonly encountered Problems AE rrr hh Failure i Rae Possible cause Recommended action description 1 Connect the O2 sensor If it is not configured select User Maintenance gt gt Set 02 Sensor Monitoring gt gt Then select OFF from the pop up menu 2 Check if the O2 sensor cable is connected properly If not reconnect the O2 sensor and its cable 3 If the problem persists after taking all the mentioned measures contact us promptly The alarm 1 The O2 sensor is not O2 sensor connected Unconnected 2 The O2 sensor cable is occurs not connected properly 1 Reconnect the AC mains In case of power failure use manual ventilation mode The alarm Low 2 Reconnect the AC mai
14. errange alarms Push the key again to switch on MV and TVe overrange alarms 8 Control knob Push the control knob to select a menu option or confirm your setting Turn the control knob clockwise or counterclockwise to scroll through the menu options or change your settings 4 a C Display Screen O EE This anesthesia machine adopts a high resolution color TFT LCD to display various parameters spirometry loops and waveforms airway pressure flow volume EtCO2 etc The following is a standard display screen For descriptions of other screens refer to Operator s Manual 10 44 Alam Setup z 12 18 ee 7 4 Screens FI t NSP XP 40 oe ni Ino mmHg 1 3 3 yia f 60 User Setup els cf ewe date ran o 14 a E wt Maintenance i 0 5 B i 1 5 02 MO AR E 00 00 00 17 ka amp TVe Alarm Off 1 Ventilation mode prompt area Displays the current ventilation mode If manual ventilation is selected for the bag mechanical ventilation switch Ca is displayed in this area Otherwise the currently selected mechanical ventilation mode is displayed 2 Lung icon The icon A is displayed when SIMV VC or SIMV PC mode is selected and inspiration triggering action is done currently Display Screen MV amp TVe alarm off icon Physiological alarm area Apnea alarm off icon Alarm silence icon area System time Technical alarm area OMON DOA WwW Power supply state icon area
15. hortcut key and then Ventilator gt gt Set High Limit and Low Limit respectively for each parameter Select the Alarm Setup shortcut key and then Gas Module gt gt Set High Limit and Low Limit respectively for each parameter AUO Ncc Turn off the System To turn off the system do as follows 1 Confirm that system use is finished 2 Set the system switch to OFF Cleaning and Disinfection Z WARNING OUU U Obey applicable safety precautions Read the material safety data sheet for each cleaning agent Read the operation and service manual for all disinfection equipment Wear gloves and safety glasses A damaged O2 sensor can leak and cause burns contains potassium hydroxide 1 Reuse of undisinfected breathing system or reusable accessories may cause cross contamination O Preoperative tests must be performed before patient use every time the anesthesia machine has been disassembled for cleaning and disinfection or has been reassembled O To prevent leaks avoid damaging any component in case of disassembling and reassembling the breathing system Ensure the correct installation of the system especially of the seal Make sure of the applicability and correctness of the cleaning and disinfection methods O Disassemble and reassemble the breathing system as described in this guide For further disassembly and reassembly contact us Improper disassembling and reassembling may cause breathing system le
16. ical position After the calibration is started the message of 1 Check the flow sensor and the related sealing components for improper installation 2 Check the check valve assembly and the related sealing components for improper installation 3 Replace the flow sensor and calibrate again 4 If the problem persists after taking all the mentioned measures contact us 1 The flow sensor in After the calibration the breathing system is is started the not installed properly message of 2 The check valve calibration failure assembly in the is displayed shortly breathing system is not after ventilation installed properly sound is heard 3 The flow sensor malfunctions After the calibration is started the During calibration ventilation sound the gas supply or the is heard After the breathing tubes are calibration lasts interfered so that the about 3 minutes calibration data are not the system prompts correct calibration failure 1 Remove the problem that the tubes are pressed Calibrate the flow sensor again by following calibration procedures 2 If the problem persists after multiple calibrations contcact us Commonly encountered Problems Failure description Possible cause Recommended action In case of this problem judge the actual gas delivery volume to the patient by observing the graduation on the bellows housing If it is abnormal apply manual ventilation After the operatio
17. ing is replace it if necessary too low or Plimit setting is 2 Check if the patient tracheal too low intubation is in good condition 4 Ventilation parameters are f necessary clear excessive Paw Too High changed patient SeCieuOnS in the away or Pressure 5 The value measured by 3 Increase Paw high alarm setting Limiting the airway pressure sensor Or Plimit setting occurs is a bit high 4 Re set the ventilation Any of the above reasons may Parameters cause Paw to be higher than 5 Compare the Ppeak displayed Paw high alarm limit so that on the screen with the reading the alarm Paw Too High on the airway pressure gauge If is triggered or cause Paw the Ppeak is significantly different to exceed the Plimit setting from the maximum reading on so that the alarm Pressure the airway pressure gauge apply Limiting is triggered manual ventilation and contact us promptly 1 Check for tube leakage especially when the disposable breathing tubes are used Replace them promptly in case of leakage 2 Set Paw low alarm limit to a lower value 3 Check if the breathing system is installed properly If necessary reinstall it 4 Compare the Ppeak displayed on the screen with the reading on the airway pressure gauge If the Ppeak is significantly different from the maximum reading on the airway pressure gauge apply manual ventilation and contact us promptly The alarm 1 The breathing tubes leak 2 Paw low alarm limit is set too
18. m and patient tracheal intubation for leakage 5 If the problem persists after taking all the mentioned measures apply manual ventilation and contact us promptly 1 TV is set too high RR too high or PEEP too high 2 Paw is higher than Plimit so that gas delilvery stops in Not Achieved 3 The folding bag collapses occurs or does not reach the top of the bellows housing 4 The breathing system or patient tracheal intubation leaks Commonly encountered Problems A M hh Failure i oe Possible cause Recommended action description The alarm TV Comp Disabled occurs The alarm Pressure Monitoring Channel Failure occurs 1 TV compensation is switched off 2 The flow of fresh air is too high 3 There is significant leakage in the breathing system 4 The measured value by the flow sensor in the breathing system is inaccurate 1 The measured value by the pressure sensor exceeds the range 2 The pressure sensor malfunctions 1 Switch on TV compensation 2 Decrease the fresh gas flow appropriately 3 Check the breathing system and patient tracheal intubation for leakage 4 During ventilation observe the graduation on the bellows housing and the fresh gas volume If necessary change the parameter setting to ensure that the gas delivery volume meets the patient requirements or apply manual ventilation After the operation check the sensor measurement and perform calibrati
19. n take the measures below to remove the problem 1 Clear water or other liquids built up inside the flow sensor in the breathing system 2 Check if the flow sensor is installed properly and if its sealing components are in good condition 3 Recalibrate the flow sensor 4 Check the membrane inside the flow sensor for distortion If there is replace the flow sensor and calibrate again 5 Check if the expiratory inspiratory check valve and its seal are installed properly If necessary use a new one and reinstall it 6 If the problem persists after taking all the mentioned measures apply manual ventilation and contact us promptly 1 The expiratory inspiratory check valve and its seal are not installed properly The alarm Check 2 The flow sensor is Flow Sensors is installed improperly or displayed damaged 3 Other part of the anesthesia machine malfunctions 1 Switch off ACGO The alarm Volume VAC OOIE SERE 2 If the sensor malfunction Monitoring Disabled a aur enG related alarm is detected apply occurs manual ventilation and contact us malfunctions promptly Commonly encountered Problems A M hh Failure rah Possible cause Recommended action description 1 Check if the breathing tubes 1 The breathing tubes are are pressed or bent Check if the occluded filter connected to the Y piece is 2 Patient airway is occluded filled with patient secretions and 3 Paw high alarm sett
20. ns Battery Voltage The battery voltage is too low and charge the battery After 30 minutes disconnect the AC mains lf this alarm is still on the battery has been damaged Contact us promptly 1 Apply manual ventilation and restart the machine 2 If the problem persists after taking all the mentioned measures contact us promptly 1 Software occasional error 2 Ventilator hardware error XX represents Power System 1 The heating voltage of the heathing module Heating module malfunctions Contact us Failure occurs 2 The temperature test malfunctions The breathing system leaks or the leak test of the breathing system is not passed Commonly encountered Problems O M n Failure E Possible cause Recommended action description 1 Loose connections between the breathing tubes and the connectors occur Patient tracheal intubation leaks 2 The POP valve and its seal inside the bellows assembly are installed improperly or damaged The folding bag is improperly installed aged or distorted The bellows housing is improperly installed 3 The expiratory 1 Check for loose connections between the breathing tubes and the connectors If the disposable tubes are used replace them timely During an operation check patient tracheal intubation for leakage 2 Check the POP valve folding bag the bellows housing and the sealing components for improper installation If nece
21. o start to calibrate the flow sensor The screen prompts Calibrating 9 During calibration if you select Stop calibration is stopped Then the message Calibration Stopped Calibration is unfinished is displayed This indicates invalid calibration instead of calibration failure 10 After a successful calibration the screen shows Calibration Completed Otherwise the message Calibration Failure Please try again is displayed In this case you need to do the calibration again O C Flow Sensor Calibration O M In case of flow sensor calibration failure refer to the following table for troubleshooting Failure description Possible cause Recommended action 1 Check the supply pressure and ensure that it is not lower than 0 2 MPa 2 Check the bag mechanical ventilation switch and ensure that it is set to the mechanical position 3 In case that the supply calibration failure 3 The supply pressure PreSssure is normal but the alarm is displayed before PPly Pl Drive Gas Pressure Low is still fae _ Switch malfunctions ventilation sound is on contact us 4 The bag mechanical heard ae 4 Switch over the bag ventilation switch l ae mechanical ventilation switch but malfunctions seh the ventilation status displayed in the screen upper left corner keeps unchanged In this case contact us 1 The pipeline supply pressure is too low 2 The bag mechanical ventilation switch is not set to the mechan
22. on at the user end If necessary replace the flow sensor and calibrate again 5 If the problem persists after taking all the mentioned measures apply manual ventilation and contact us promptly 1 Observe if the anesthesia machine operates normally If yes switch it to VCV If not apply manual ventilation and restart the machine 2 If the measured value is significantly different from the reading on the airway pressure gauge contact us promptly The alarm Apnea Alarm occurs Commonly encountered Problems A M hhh Failure i E Possible cause Recommended action description 1 The ventilator fails to 1 Check if the breathing system is detect changes of flow installed properly or leaks significantly and presssure Check if the flow sensor is in good 2 If the backup condition or installed properly In case ventilation time in PSV that parts are damaged or failures mode is set to be longer cannot be removed apply manual than 20 s this alarm ventilation and contact us promptly occurs when the backup 2 Set the backup ventilation time to ventilation mode is be shorter than 20 s in PSV mode if started necessary In case of this problem judge the actual gas delivery volume to the patient by observing the graduation on the bellows housing If it is abnormal apply manual ventilation After the operation take the measures below to remove the problem 1 Clear water or other liquids built up 1 The value m
23. rameters are already made you can enter mechanical ventilation mode by pushing the Standby key l and then selecting Ok from the pop up menu to exit the standby status The system will work in the selected mechanical ventilation mode NOTE O Before starting a new mechanical ventilation mode make sure that all related parameters are set to the appropriate values Mechanical Ventilation Mode Stop Mechanical Ventilation Make sure that the APL valve is set properly before stopping mechanical ventilation The APL valve adjusts the breathing system pressure limit during manual ventilation Its scale shows approximate pressure NO Set the bag mechanical ventilation switch to the Cr position This selects manual ventilation and stops mechanical ventilation ventilator NOTE O Before applying mechanical ventilation check the sodalime in the canister If sodalime color changes significantly replace the sodalime promptly Manual Ventilation Mode Start Manual Ventilation 1 Turn the APL valve control to adjust the pressure in the breathing system within the appropriate range 2 Set the bag mechanical ventilation switch to the Ce position The ventilation mode prompt area displays the icon for manual ventilation mode Besides the system prompt message area displays Manual Vent 3 Press the O2 flush button O to inflate the bag if necessary Set Alarm Limits Select the Alarm Setup s
24. ssary use a new seal and install it If the folding bag aging or distortion is detected apply manual ventilation and contact us promptly 3 Check the expiratory inspiratory check valve cover and its seal for improper installation If necessary use a new seal and install it inspiratory check valve 4 Check the sodalime canister and assembly is not installed its seal for improper installation properly If necessary use a new Seal and 4 The sodalime canister install it If soda powder falls into assembly and its sealing the breathing system remove it components are not Follow the procedures specified in installed properly Soda the Operator s Manual to change the powder falls into the breathing system sodalime 5 Check if the breathing system 5 The breathing system is installed properly If necessary 6 APL valve pressure is 6 Increase the APL valve pressure insuffient or APL valve 7 f the problem persists after taking malfunctions in manual all the mentioned measures apply ventilation mode manual ventilation and contact us promptly Commonly encountered Problems llc Ge Failure i oe Possible cause Recommended action description 1 Switch on the ACGO 2 TV or pressure level is set too low which causes low gas delivery flow TV setting is not high but the 1 Switch off the ACGO 2 Decrease the fresh gas and ofthe bellows Tesh gas is set too high eee Rate Oyi is
25. stem tests O2 Flush Test Preoperative preparations NOTE O Read and understand the operation and maintenance of each component before using the anesthesia machine O Do not use the anesthesia machine if a test failure occurs Contact us immediately O Within the warranty period check the sealing condition only When a great deviation occurs to the pressure value or the flow value that is measured contact the authorized engineer for calibration service Turn on the System Connect the power cord to the AC power source Make sure that the AC power LED is illuminated Set the system switch to ON Make sure that both the operating state LED and battery LED are illuminated the battery is being charged or fully charged The alarm lamp flashes yellow and red once in turn and then a beep is given The display shows the start up screen and then enters the standby screen after half a minute Z N WARNING O Do not use the anesthesia machine if it generates alarms when turned on or can not operate normally Contact your service personnel or us Input Fresh Gas Connect the gas supplies correctly and ensure adequate gas pressure You can control the O2 N2O and AIR flows in the fresh gas through the O2 N20 and AIR flow controls Readings of the gas flows can be seen on the respective flowmeters If inspiratory anesthetic agent is used ensure that the vaporizer is correctly mounted onto the anesthesia machine
26. system and patient tracheal intubation for leakage 5 If the problem persists after taking all the mentioned measures apply manual ventilation and contact us promptly 1 In the PCV mode Pinsp is set too high or RR is too high 2 Patient complicance is The alarm Pinsp too high Not Achieved 3 The folding bag occurs collapses or does not reach the top of the bellows housing 4 The breathing system or patient tracheal intubation leaks Commonly encountered Problems A M hhh Failure i ee Possible cause Recommended action description 1 Check if the patient is in good condition According to patient physiological status increase TV delivery or fresh gas flow or check if patient tracheal intubation is in good condition 2 Compare the value measured by the pressure sensor with the reading on the airway pressure gauge If the difference is significant apply manual ventilation and contact us promptly 1 Patient spontaneous breathing is so strong that Paw is less than 10 cmH20O 2 The value measured by the pressure sensor is not correct The alarm Paw lt 10cmH20 occurs 1 Adjust the breathing parameter settings 2 Change the Plimit setting and check if the breathing tubes are blocked 3 Push the O2 flush button to fill the folding bag Increase the fresh gas flow appropriately to ensure the folding bag reaches the top of the bellows housing each time 4 Check the breathing syste
27. thing system O2 sensor if it is damaged Under typical use the sensor meets specifications for one As necessary year Replace the flow sensor if it is damaged Calibrate the flow sensor when any of the following occurs 1 the flow sensor is changed 2 the tidal volume set is not consistent with that displayed when no leakage occurs 3 there is a great difference between the tidal volume measured and that displayed by the bellows scale when fresh gas is very small cc EE Flow Sensor Calibration i y Q NOTE O Do not perform calibration while the unit is connected to a patient O During calibration do not operate the pneumatic parts Do not move or press the breathing tubes especially O During calibration the drive gas pressure must be kept above 0 3 MPa Otherwise calibration failure may result To calibrate the flow sensor do as follows 1 Before calibration ensure that the supply gas pressure is normal 2 Turn all flowmeter controls to 0 Turn off all fresh gas inputs 3 Make sure that the bag mechanical ventilation switch is set to the 3 position 4 Remove the folding bag from the bellows and reinstall the bellows housing 7 Make sure that the system is Standby If not press the cl key and then select Ok from the pop up menu to enter standby status 8 Select the Maintenance shortcut key and then select Flow Sensor Cal gt gt to open the Flow Sensor Cal menu Select Start from the menu t
28. this disinfection method is applicable A Clean with a damp cloth soaked in mild detergent and then wipe off the remaining detergent with a dry lint free cloth B Flush with water first then soak in water and cleaning solution water temperature 40 C recommended for approximately three minutes and wipe with 70 ethanol Oy Steam autoclave at maximum 134 C Cleaning and Disinfection Clean and Disinfect the Anesthesia Machine Housing 1 Clean the surface of the anesthesia machine housing with a damp cloth soaked in mild detergent such as 70 ethanol 2 After cleaning the housing remove the remaining detergent by wiping with a dry lint free cloth WARNING O Seeping liquid into the control assembly can damage the equipment or cause personal injury When cleaning the housing make sure that no liquid flows into the control assembly and always disconnect the equipment from the AC mains Reconnect the AC mains after the cleaned parts are fully dry Q NOTE O Use only soft dry and lint free cloth to clean the display Do not use any liquid for display cleaning Disassemble the Breathing System Cleanable Parts You need to disassemble the breathing system cleanable parts first before cleaning the system O2 Sensor 1 Remove one end of the O2 sensor cable 2 Turn the O2 sensor counterclockwise to from the 0 connector on the anesthesia take it out machine Unplug the other end of the cable from the O2 sensor
29. water 2 Remove the water collection cup collection cup and turn it clockwise Cleaning and Disinfection Sodalime Canister 1 Hold and pull up the rotary handle for 90 degrees re 2 Turn the rotary handle 3 Pull out the sodalime canister from for 90 degrees counterclockwise the slot amp t y N WARNING 1 Sodalime is a caustic substance and is a strong irritant to eyes skin and respiratory system Affected parts should be flushed with water If F irritation continues after flushed by water seek medical assistance immediately O Before installing the sodalime canister inspect the canister mouth canister support and seal for sodalime particles If there is clear it to prevent breathing system leakage 1 Clean the sodalime canister and change the sodalime canister sponge regularly Otherwise the sodalime powder built up inside the canister will go into the breathing system O The sodalime canister sponge must be in place to prevent dust and particles from entering the breathing system O Do not reuse the sodalime canister sponge which must be replaced every time the sodalime canister is replaced 17 Canister seal Canister support Canister mouth Cleaning and Disinfection Airway Pressure Gauge Pull off the airway pressure gauge as shown below F Manual Bag Remove the manual bag from the manual bag port on the breathing system as shown below The anesthesia m
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