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S/5 Avance Anesthesia Machine

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1. 5 0 7 E 5 0V 4 Filter 5 5 0VD Q E GND Local Power 6 0VA Supply 12 5V 2 Bag Vent Sw 6 0VA Regulators 2 m 5 O2 Flush S E rss Oo w 02 t z H pues Activity Indicators S zi Reset Watchdog ACGO SCGO Sw 7 amp CGO Sw a ATMEGA16 RS 422 Mi ll ABS On Sw R icrocontroler Transceiver Parallel W Do Watchdog and SCGO SCGO SCGO On ADC 09 Under Voltage Sv uU Un Driver 10 Bit Monitor Bl GIV On Local Power VDD Over _ E GIV Drv Over Press Supply Monitors Voltage Monitor g x n 2 S S Bo lt 2 lt lt 12 5V ISP l 2 519 Over Press Header 3 pube oo SPI Addr 2 Decoder LJ FL DAC CS 5 Driver 12 Bit FL DAC LD gt D m m S u ADC Comp gt 9 12 Bit ADC CS 3 a a 8 Channel 2 z z VREF Q 5 5 3 Y Y E Airway Press Manifold Press _ Inspiratory Press m g Expiratory Press a gt gt N 5 Amp Filter Amp Filter lt Inspiratory Expiratory Manifold Airway Ventilator Interface Board Transducer Transducer Transducer Transducer Figure 2 19 Ventilator Interface board block diagram 1009 0357
2. 0 Supply 127 5 8 5 130 Lo B n 6 B From 02 Air JU ids i Mixer Output I PER To Mixer 91 058 Venturi Drive Suction AB 74 033 1009 0357 000 11 03 10 57 5 5 Avance 10 33 Tubing for use with Legris fittings 10 58 Item 206 208 209 114 116 117 123 213 214 215 217 219 112 211 103 104 146 147 203 205 Except for the Tygon tubing Items 146 and 147 this tubing is a flexible Nylon type tubing for use with quick release fittings Description Tube Markings factory build only N20 PLINE N20 CYL N20 PLINE MIXER REGULATED 02 REGULATED 02 02 PLINE REG IN unmarked REGULATED 02 REGULATED 02 REGULATED 02 02 PLINE MIXER 02 CYL 02 PLINE AIR CYL AIR PLINE AIR PLINE MIXER FLUSH VLV ACGO VAP OUT ACGO unmarked unmarked FLUSH VLV SCGO MIXER VAP IN Length Size 230 mm 4mm 330 mm 4mm 430 mm 4mm 400 mm 6 mm 250 mm 6 mm 330 mm 6 mm 175 mm 6 mm 560 mm 6 mm 270 mm 6 mm 300 mm 6 mm 580 mm 6 mm 215 mm
3. Figure 2 20 Pneumatic circuit 1009 0357 000 11 03 C rl 22 AB 91 070 23 5 5 Avance 11c 11b b 11a 19 22 H H AE 91 070 A Pipeline Manifold B Cylinder Supply Gas Mixer D Vaporizer Manifold E SCGO Assembly F ACGO Assembly P Pressure Transducer 23 Figure 2 21 Pneumatic circuit 2 20 11 03 1009 0357 000 Key to Numbered Components Key to Symbols 1009 0357 000 11 03 2 Theory of Operation Refer to Figure 2 21 1 2 3 4 13 14 15 16 1T 18 19 20 21 22 23 24 Pipeline inlet Pipeline pressure transducer High pressure relief valve 758 kPa 110 psi Supply connections forthe ventilator and pilot pressure for SCGO a Op drive gas b Air drive gas Venturi suction supply connection a Op drive gas b Air drive gas Cylinder inlet Cylinder pressure transducer Primary regulator cylinder pressure Test port primary regulator System switch Selector valve 03 b Air c N50 How controller
4. 10 20 10 14 Vent Engine Housing ssssssssssssees IH 10 21 10 15 VentEngine 24 5 222 ue b cR Le E eL 10 22 10 15 1 Vent Engine underside 10 23 10 16 ABS to machine Interface Components SCGO 10 24 10 17 ABS to machine Interface Components ACGO 10 25 10 18 Flush Regulator and Flush Valve 10 26 10 19 Front panel Alt O2 and system 10 27 10 20 Breathing system interface 10 28 10 1 5 5 Avance 10 21 Breathing System iiss cic ed vata sas yds eee ene ahead a Ey ae eo 10 29 10 21 APE Valve oe nea ha peels tee Ner Bea 10 29 10 21 2 Bag Vent Switch 2 es cack e ee Rhet vri oes 10 30 10 21 3 Absorber canister 0 cece eee eee nn 10 31 10 21 4 Flow Sensor eee I 10 32 10 21 5 Breathing Circuit Module 10 33 10 21 6 Exhalation valve srair cece a III 10 34 10 2 1 7 BelloWS s rie eitesseet rim ien ER ERE PRISE REUTERS 10 35 10 21 8 Bellow base seid ener n ree meme erre Ka ee mte Rute e 10 36 10 21 9 Bag AIMS cued ore dation ated ue Sr eR Ed asa emet eis 10 37 10 22 Anesthetic Gas Scavenging System AGSS
5. 10 60 10 35 Cables and harnesses in lower electronic enclosure 10 62 10 36 Cables and harnesses in Pan 10 64 10 2 11 03 1009 0357 000 10 Illustrated Parts 10 1 Service tools 10 1 1 Software tools Item Description Stock Number 1 Service Application System Software 1 2 1009 5914 000 on Compact Flash card 2 Compact Flash Adapter PCMCIA carrier 1009 5874 000 1 2 10 1 2 Manifold pressure manifold pressure test adapter is used to tee into the manifold pressure test adapter line forthe Manifold P Span calibration Section 5 4 2 Assemble the adapter using the parts shown CS 07 152 Th uc E Item Description Stock Number 1 Coupler male white 1503 3236 000 2 Tee male barb 1009 3011 000 3 Coupler female white 1503 3119 000 4 Tubing low pressure 1 4 inch 1605 1001 000 1009 0357 000 11 03 10 3 5 5 Avance 10 1 3 Test Devices Item Tool Stock Number 1 Test flowmeter 6 50 L min Suction Flow Test 1006 8431 000 Not Shown Low pressure Leak Test Device negative pressure 0309 1319 800 Low pressure Leak Test Device positive pressure ISO 1001 8976 000 Low pressure Leak Test Device positive pressure BSI 1001 8975 000 Flow test device capable of measuring 0 15 L min Refer to section 6 6 with an accuracy of 2 of reading Vacuum test gauge capable of measuring 0 to 550 mm Hg Refe
6. 1 6 1 6 Display controls eere nee ree Ea ados e e nan eae ee 1 7 1 7 Anesthesia system display od rn Exe yp LR CREE PE EE 1 8 1 61 Usi menus iste uis ROS S RAP UR ata 1 10 1 8 Symbols used in the manual or on the 1 11 2 1 Electrical Syst m osse ceret eee trenes e arx Ro dm e Ra o ern 2 2 2 2 Power subSystem x nhe Ave pax er xe ERR EX tate PRICES IA eg 2 4 2 2 1 Power 2 5 2 2 2 Power distribution cece cece eee NE RANKET ISEE 2 6 2 3 Display Unit sees oped es tak CERA 2 8 2 4 System communications 2 9 2 5 System cornriectiolls tru E E AYE E ree dans 2 10 2 5 1 Display Unit sis ugue e er xa amer n ER e deae iata 2 10 2 5 2 Display Connector board 2 10 2 6 Power Controller and Anesthesia Control board connections 2 11 2 7 Anesthesia Control board 2 12 2 8 Electronic Gas Mixer eect eee nena 2 14 2 9 Ventilator Interface 2 16 ii 5 5 Avance 3 Checkout Procedure 2 10 Gas flow through the anesthesia machine 2 18 2 10 1 OVeIVIe Wo RA
7. Save New Key Confirm entries for key code Control Board ID Control number used by key code When options are added Add option dd MMM yyy hh mm ss is written to the event log If more than one option is added each option is be listed separately 4 8 11 03 1009 0357 000 Options List menu 4 3 4 Copy Configuration Copy Configuration menu Menu Item Save to Card 4 Installation and Service Menus The options list shows which options are enabled Menu Item Available Options Message text Values SIMV PSV SIMV vent w pressure support On Off PCV Pressure controlled ventilation On Off PSV Pro Message text Save Configuration and defaults to card Pressure support ventilation w backup Values lt blank gt Fail or OK The field is blank until the data has either been written to the card OK or the system determines it cannot write to the card Fail On Off Comments Saves all settings that are not hardware dependent including facility defaults colors units O2 flow tube position decimal marker and altitude Copy from Card 1009 0357 000 11 03 Copy Configuration and defaults from card When completed Copy from card complete Please reboot system lt blank gt Fail or OK The field is blank until the data has either been read from the card OK or the system determines it cann
8. X MV X 9 0 X E TVexp RR 498 18 C XXXX XXX XXXXXX XXXXXX 0 2 SER C02 5 0 06 02 2 Xoooox 02 21 0ff 1 00 Xxxxx Xxx 02 N20 Xxx000 Xox ia ia Oe Xxx XXXXXXXX kPa 02 XXXX TV RR XXXX VA l min ml min cmH20 s we 9 S 100 2 00 500 18 1 2 Xx 5 amp amp 375 467 392 1 Menu 2 Waveform fields Figure 1 7 Menu view 1 9 1009 0357 000 11 03 Notes 1 7 1 Using menus Push a menu key to display the corresponding menu Use the ComWheel to navigate through the menu XXX XXXXXX 91 007 Menu title Present selection Adjustment window Indicates submenu Short instructions Menu selections Or Figure 1 8 Example menu 1 Pushthe menu key to display the corresponding menu 2 Tum the ComWheel counterclockwise to highlight the next menu item Turn the ComWheel clockwise to highlight the previous menu item 3 Pushthe ComWheel to enter the adjustment window or a submenu 4 Turn the ComWheel clockwise or counterclockwise to highlight the desired selection 5 Push the ComWheel to confirm the selection 6 Select Normal Screen or push the Normal Screen key to exit the menu and return to the normal monitoring display Select Previous Menu to return to the last displayed menu if available 1 10 11 03 1009 0357 000 1 Introduction
9. 10 38 10 221 Passive AGSS secet essere m CR et Paus 10 38 10 22 2 Adj stable AGSS ER ae aa 10 40 10 22 3 Active AGSS rou res ep Hear EX HR UE PIA EIS TEIG 10 42 10 23 AGSS gauge and sample return 10 44 10 23 1 Airway module MGAS components 10 45 10 24 Integrated Suction 10 46 10 24 1 Major Components Continuous and Venturi suction 10 46 10 24 2 Suction Control Module 00 c cece eects 10 47 10 24 3 Venturi assembly 10 48 10 25 Auxiliary 05 Flowmeter csse 10 49 10 26 Rear panel components 10 50 10 27 Tabletop components II 10 51 10 28 Right side Components riire enion eiin inae En Er e 10 52 10 29 External components lower assembly 10 53 10 30 Drawers er ei edad ibid eee ed E E ER eR US eens aala 10 54 10 31 Fittings and tubing charts 0 cece eee eee 10 55 10 31 1 Legris quick release 10 55 10 32 Vent Drive and low pressure tubing 10 56 10 33 Tubing for use with Legris 5 10 58 10 34 Cables and harnesses
10. 9 9 9 4 5 replace the 9 10 9 4 6 replace the Inverters 9 11 9 4 7 To replace the front enclosure or 9 12 9 5 Replacing the Display and MGAS cables 9 14 9 5 1 Remove the MGAS oxygen partition 9 14 9 6 Servicing the lower electrical enclosure components 9 15 9 6 1 Power Controller 9 15 9 6 2 Anesthesia Control board 9 16 9 6 3 Backup batteries 2000 cece cece nett Ie 9 17 tee er pie Ee dk b eto e ot ie te 9 18 9 6 5 Display Connector board 9 18 9 7 Servicing the pan electrical enclosure 9 19 9 7 1 Electronic Gas Mixer assembly 9 19 9 7 2 Ventilator Interface board 9 20 9 7 3 Filter board seris raraton e swe fide bee da iad eR waa EE 9 21 9 7 4 Pan Connector board 9 22 9 7 5 Pan enclosure nnl lb EIS au Rr rei Ree Fere a rd 9 22 9 8 Servicing the Vent Engine 2 3 8
11. 10 11 12 13 14 15 16 17 18 19 20 Description Caster 125 mm with brake front Caster 125 mm no brake rear Cover cable channel Upper shelf Bolt M6x40 Lockwasher M6 internal Handle side Handle Medirail Screw M6x12 Sems Spacer Screw M6x70 Lockwasher M6 external Screw M6x20 Shim Task Light PCB Upper Lens Task Light Screw Switch Assembly task light Plate switch mounting retainer Screw Task Light PCB Lower Stock Number 1006 3070 000 1006 3071 000 1009 3020 000 1009 3022 000 0144 2131 911 0144 1118 130 1009 3033 000 1009 3101 000 0144 2436 106 1009 3102 000 0144 2131 923 9213 0560 003 0144 2131 921 1009 3131 000 1009 5504 000 1011 3308 000 0142 4254 106 1009 5587 000 1009 3143 000 0140 6226 107 1009 5857 000 11 03 1009 0357 000 10 3 External components front view references Item On O A W N e e e e RP un c1 A N be OO 1009 0357 000 11 03 IA yo d co lt Description Airway module MGAS components AGSS gauge and sample return Vent Engine Housing Anesthetic Gas Scavenging System AGSS Breathing System Drawer Tabletop components Display Unit External components lower assembly Auxiliary Flowmeter Integrated Suction Regulator Front panel Alt O2 and system switch ABS to machine Interface Components SCGO Vaporizer manifold Right side Compo
12. 9 23 9 8 1 To remove the Vent 9 24 9 8 2 Replacing Vent Engine components 9 25 9 8 3 Replacing GIV components 9 26 9 9 Servicing the pipeline inlet manifold components 9 27 9 9 1 Replace pipeline inletfilter 9 27 9 9 2 Replace pipeline inlet check valve 9 27 9 9 3 Replace the 9 28 9 10 Service the cylinder supply 9 29 9 10 1 Replace primary regulator module complete replacement 9 29 9 10 2 Replace cylinder inlet filter 9 30 9 10 3 Replace cylinder check valve 9 30 9 1 5 5 Avance 9 2 9 11 Replace gas supply pressure transducers 9 31 9 12 Service vaporizer manifold parts 9 32 9 12 1 Repair manifold portvalve 9 32 9 12 2 Checkout procedure for manifold portvalve 9 33 9 12 3 Replace vaporizer manifold check valve 9 34 9 12 4 Replace vaporizer pressure relief valve 9 36 9
13. Figure 1 3 Rear view 1009 0357 000 11 03 AB 43 085 1 Introduction 1 5 5 5 Avance 1 5 Breathing system components Expiratory check valve Inspiratory check valve ACGO optional Inspiratory flow sensor Expiratory flow sensor Absorber canister Absorber canister release Leaktest plug Breathing system release 10 Manual bag port 11 Adjustable pressure limiting APL valve 12 Bag mechanical ventilation switch 13 Bellows assembly 14 Sample gas return port 15 AGSS indicator only available on some AGSS versions 16 Bag support arm optional 0 10o090 amp Figure 1 4 Breathing system AB 91 045 11 03 1009 0357 000 1 6 Display controls Item Xox 12 10 1 58 SS cmH20 90 15 18 Now Yon l min dA hehehe 82 10 Xx x XX SL UM CMM Mun 1 Fo RM EN 2 0 10 0 B PN 9 0 xim Tep RR 498 18 c 0 2 e s 7 t bs Xoo 02 02 N20 2 02 2 00 21 0ff 100 KexXe02 N20 7 kPa I 9 m vin j comido E 100 2 00 500 18 12 Xx n a 3 5 467 392 Description 1 Alarmsilence key Push to silence any active silenceable high and medium pri
14. 4 3 4 2 1 Colors Menu scele mee Paw tere rehenes 4 4 4 2 2 Units Menu sus re cire S e 4 4 4 2 3 Factory Defaults ERR ex KOH CS NE CR 4 5 4 3 Installation Menu isse Hmmm enn 4 6 4 3 T ConfIBUratlOTi ese ta Een CR e RR RR ORO e RU Re Cit 4 1 43 2 Units Menu xor rain bor sew aa dade dk edd CHEST RUE RIDE 4 8 43 3 Options Key i ix Deos se Nu vr eI EE ate REIS 4 8 4 3 4 Copy Configuration 0c cece cnet een etnias 4 9 AA Semvice Menu reduce eet een eem wx wee entres CR RA Nad PT O 4 10 4 4 1 Software Hardware Ver Menu 4 11 4 4 2 Service Log Menu 1 kc In 4 12 AALS Calibration yy t eme et me Faces Wr o ne 4 13 4 4 4 Manifold P Span esce et e re RR I RR ER RR EE YS 4 14 4 4 5 Insp FlOW tU UR TEL RI EET Y EENE 4 15 4 4 6 Inspiratory Flow 4 16 44 1 Bleed Resistor zo ke Ree RIAL ERR as 4 18 4 4 8 Paw eee eX haa AWA Wer peti e et 4 19 4 4 9 Zero Gas XdUCer si oio zie kA TEN GE E E E 4 20 2 4 10 Cal CONG eects o occ me tendo RE Rat Rd ea aeos 4 21 5 1 Primary Regulators 52 235 eerie uer r ERE EE ED EE ER utl bern 5 2 5 1 T Testisetlp ici eee atone e RI Due SE IEEE deese mata 5 3 5 1 2 Testing Primary Regulators 5 3 5
15. ISOLATION TRANSFORMER FILTER RV2 1 5KE440CA 6 5 n ROCKER D65Z0V271RA140 4aov KH115 275 1 240V iC 320 Differential 1500W JH1A W AC240V Q s p l en BIK INJ Lh gc R1 STATE ae eee 1 THERMAL FUSE Du 10 e DELAY 130C RED L 3 rF ATOV 2w TIMER 4 alee J 1 15 Of eT 2 CERAMIC 2 eee ee ee F1 RV1 HAS ne e ee Wie NEUTRAL IN th oy RAO m E BLU FUSE2AG NEUTRAL OUT M i orm CONNECTOR RV3 T BLU D65Z0V271RA140 275V Mode I BLK Li G2 U 9B 470V 2 15 WHITE GND GRN CHASSIS GROUND ete Stet ati aa as EN 4 S 4 1 EQUIPOTENTIAL STUD POWER CONTROLLER BOARD L 4 o CHASSIS GROUND Fi 5A LINE FILTER i FUSE 5A N FUSE t G Figure 11 12 Schematic AC Inlet module 220 240 V with isolated outlets 1009 0357 000 11 03 AB 91 052 11 Schematics and Diagrams 11 13 AC INLET MODULE 5 5 Avance LINEIN LINE OUT HNE ISOLATION TRANSFORMER FILTER RV2 n D65Z0V271RA140 KH115 ROCKER 275V 240V AC INLET T IEC 320 Differential i l 4 Mode Gt THERMAL FUSE 470V 130C BLK 15 gt H RV1 CONNECTOR THERMAL FUSE WHITE NEUTRAL IN 5V FUSE2AG NEUTRAL OUT 130 ORN RV
16. ht oie Rl Xa aude er rax Seb baled 8 22 8 5 1 Mixer Serice Men is cesset eee cess 8 23 8 5 2 View Revislom l Og 3 eunte a ign aera Pete dr a PR edna ove 8 24 8 5 3 View PC Card 1 5 1 8 24 8 6 Software Download c er Liga e Rx Rx ERRARE PER 8 25 9 1 How to bleed gas pressure from the machine 9 3 9 2 How to remove the 9 4 9 2 1 To remove the 9 4 9 2 2 To remove the lower access 9 4 9 3 Howto remove the tabletop 9 5 9 4 Servicing the Display Unit 0 cece eee eee IH 9 6 9 4 1 Remove the Display Unit 9 6 9 4 2 Disassemble the Display Unit 9 7 9 4 3 replace the CPU board 9 8 9 4 4 To replace the LCD 9 9 9 4 5 To replace the backlights 9 10 9 4 6 To replace the Inverters 9 11 9 4 7 To replace the front enclosure or 9
17. Filter Bd Sh2 ze gt x lt a5 xS g Filter Bd 8 w Ren E VY 5 sh2 Joye Qua Sh2 pieog AB 91 067 11 03 1009 0357 000 Figure 11 6 System block diagram sheet 2 of 2 1009 0357 000 11 03 Shi Pan Connector Board Electronic Mixer Assy ADC Ref Check Atmel Microcontroller Bal Gas Flow Sense Bal Gas Prop Viv tsense Bal Gas Temp Sense Total Total Flow p sense N20 Sel Valve 02 Sel Valve 02 Byp Sel Valve Shi Vent Engine Connector Board Shi Shi pieog 191114 SAV On Stby 02 Byp Pan Conn Bd Mains LED Pan Conn Bd Cyl Xducers P line Xducers Insp Flow Exp Flow Sensor Bag Vent SW 02 Sensor N20 P Line Air P Line suiew q31 pue qis uo ssed g ug 29V grise ABS Filter Board siaonpy A9 suaonpy J 9 ABS Filter Bd 5 149 ACGO Solenoid 02 Flush SW ACGO SCGO SW VL Inspiratory Expiratory Manifold Airway Ventilator Interface Board
18. 05 b balance gas Alternate O disable valve Hot wire anemometer a Op flow sensor channel b balance gas flow sensor channel Vaporizer port valve Vaporizer Low pressure relief valve 38 kPa 5 5 psi O flush and auxiliary flowmeter regulator 241 kPa 35 psi 05 Flush valve Pressure switch used with the ventilator Breathing system pressure relief valve SCGO only 150 cmH50 To Port 3 of ABS interface circle For SCGO to Port 2 of ABS interface non circle Inspiratory port For ACGO to external 22 mm ACGO connector Auxiliary O5 flowmeter optional Approximate values K 4 Pneumatic Connection o Filter gt Direction of Flow A Check Valve 2 21 5 5 Avance 2 10 2 Physical Figure 2 22 shows the physical path that the gas takes The item numbers are connections described on the previous page 1 1 45 15 1 1 17 23 ABS l Port 2 Port 3 22 1 4 i Pilot 1 1 1 P 1 1 1 BEER ANE NE 14b X 14a T i 1 12b 12a i Eo Cuna 11c 11a ymo 13 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 1 1 1 1 2 f e 10 1 N20 X 2 i 1 02 30 4a i 2 1 Air Vacuum 7 7 4b T P 9 9 1 0 lt o Pilot oo i Suction 1 6 6 1 To Vent Drive 1 Figure 2 22 Typical tubing conne
19. 8 2 8 1 1 Main Menu and System 1 8 2 8 1 2 Power DIaBri0StlCS corr EE bw Rer EY e exea aq aen 8 3 8 1 3 Power Controller Power Diagnostics 8 4 8 1 4 Anesthesia Control Board Power Diagnostics 8 6 8 1 5 Electronic Mixer Power 5 8 8 8 1 6 Ventilator Interface Board Power Diagnostics 8 9 8 1 7 Display Unit Power 5 8 10 11 03 1009 0357 000 9 Repair Procedures 1009 0357 000 11 03 Table of Contents 8 2 Gas Diagnostics iss sre erre RE nada Ede tea Rr eee tees 8 11 8 2 1 Gas Supplies 9o ERR aae eer utere eR ME eR aA 8 12 8 2 2 MIXer OUtDUE 33 cud ies e Ue Rb eX sees Cha vehe eee 8 13 8 2 3 Mixer Tests and Pressure 8 14 8 2 4 Mixer Temperature 8 15 8 2 5 Setting Gas esee RIP IX aa REV RT ERR ee Ea 8 16 8 2 6 Breathing System 8 17 8 3 Ventilation Diagnostics a 8 18 6 3 1 Status a REI RT OR EE REV ede x 8 19 8 3 2 Vent Flow and Pressure sosy disur cece cee 8 20 8 4 Display Diagnostics 2 ccc eee eens 8 21 8 5 Special FUNCIONS
20. From To 05 Supply 0 Flush Valve and Alternate 05 Flowmeter and optional Auxiliary 0 Flowmeter 0 Flush Output to upper fitting on SCG0 ACGO 10 Flush Valve Vaporizer Manifold to lower fitting on SCGO ACGO 3 8 11 03 1009 0357 000 3 8 Alarm tests 1009 0357 000 11 03 OT tio 095 Roark 3 Checkout Procedure Connect a test lung to the patient connection Start a case Setthe Bag Vent switch to Vent Set the O concentration to 30 and allow the O reading to stabilize Test the O alarms e Setthe Fi02 low alarm limit to 50 Make sure an Fi02 low alarm OCCUIS e Setthe Fi02 low alarm limit back to 21 and make sure that the Fi02 low alarm cancels e Setthe Fi02 high alarm limit to 50 Push the O flush button Make sure the Fi02 high alarm occurs e Setthe Fi02 high alarm limit back to 100 Make sure that the Fi02 high alarm cancels Test the MVexp low alarm Go tothe Alarm Setup menu Set the MV low alarm limit to greater than the measured minute volume e sure that a MVexp low alarm occurs e Setthe MV low alarm limit to off Testthe Ppeak high alarm Setthe Pmax to less than the peak airway pressure Make sure that the Ppeak high alarm occurs Setthe Pmax to the desired level Test the PEEP high Blockage alarm Close the APL valve e Set the Bag Vent switch to Bag Mechanical ventilation stops e Block the patient conn
21. f mixer fails the 3L 10L or the leak test fail with the mixer failure Step 8 Are the AC Mains connected and the battery charged f AC Mains failed indicate Power cord disconnected Using battery f Battery failed indicate Battery failure f Battery charging with 20 30 minutes available indicate Battery still charging e f Battery charging with 10 20 minutes available indicate Battery still charging f battery charging with 0 10 minutes available indicate Battery still charging f battery fully charged pass step 1 46 11 03 1009 0357 000 7 4 2Stepsforthe Stage 1 1 Troubleshooting Vent Check Step 1 Checkto make sure bag vent switch is set correctly f switch is set to ventilator continue with the next step fsetto manual mode fail with Wrong Circuit Selected Step 2 15 0 Pressure Not Low f O5 Supply is Not low and mixer passes it s 3 L test continue to next step e f notfail with Low Os supply pressure or with mixer failure Step 3 Make sure ventilator has drive gas pressure f drive gas pressure continue with the next step e fnodrive gas pressure fail with Ventilator has no drive gas fall ofthe steps above pass the ventilator will be commanded to flow 12 L Stage 2 min Depending on the software you have a 10 second delay may be in place before the next menu is displayed Either way before selecting Continue on
22. 3 Slowly open the cylinder valve for the regulator being tested and observe the pressure reading for the cylinder 4 Onthe Gas Diagnostics menu set the flow of the tested gas to 0 5 l min 5 Onthe Gas Diagnostics menu select Gas Supplies 6 Close the cylinder valve and allow the pressure to decay to 2068 kPa 300 psi as indicated on the cylinder pressure display 7 Whenthe cylinder gauge reaches 2068 kPa 300 psi adjustthe regulator output pressure to 60 DIN 386 400 kPa 56 58 psi 50 Pin Indexed 327 341 kPa 47 5 49 5 psi Note It may be necessary to open the cylinder valve and repeat steps 7 a number of times to achieve the above setting 8 Testthe regulator settings per the appropriate test in Section 5 1 2 Test A For primary regulators that supply drive gas to the ventilator Test B For all gases not used to supply drive gas to the ventilator 11 03 1009 0357 000 5 Calibration 5 2 05 Flush Regulator 1 Bleed all gas pressure for the machine Section 9 1 2 Remove the upper rear panel Section 9 2 Remove the O Flush Regulator output tubing Attach a 6 mm tee and a test device to the open port Remove output tubing Attach 6 mm tee and test device Jam nut Adjustment screw 4 Connect an O pipeline supply or slowly open the O cylinder valve O1 Push the flush button just enough to achieve a slight flow or open the auxiliary flowmeter if eq
23. MIXER BAL GAS TSENSOR FAIL Alternate O5 Screen Mixer error bit Medium STS T2 SENSOR FAIL Balance Gas Balance gas temperature sensor failure AC Mixer Reboot System If problem continues replace the Mixer MIXER BAL GAS FLOW CHECK FAIL Mixer status bit Medium 1LPM FLOW TEST FAIL Bal gas proportional valve fails flow check STS FLOW TEST BAL CHAN F AlLshows balance gas proportional valve failed self test AC Mixer Reboot System If problem continues replace the Mixer MIXER BAL GAS TEMP LIMIT Alternate O5 Screen Mixer error bit Medium STS_CH2_TEMP_LIMIT Balance Gas Balance gas temperature exceeds 50 C Mixer Reboot System If problem continues replace the Mixer MIXER BAL GAS ZERO FAILLEAK 1009 0357 000 11 03 Mixer status bit Medium STS_CH2_ZERO_FLOWPROPN_V CH2_LEAK_FAIL_TEST_FAIL Bal gas proportional valve fails zero flow check shows flow while closed Mixer Reboot System If problem continues replace the Mixer 7 37 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MIXER CRC EEPROM FAIL Alternate O Screen Runtime CRC check on EEPROM failed Mixer Status Bit STS_EEPROM_CRC_FAIL Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER CRC FLASH FAIL Alternate 0 Screen Runtime CRC check on Flash failed
24. Push the knob collar in with the indicator up and turn it clockwise until it locks Tighten the mounting screws Make sure that the top edge of the switch assembly is parallel to the top edge of the gauge panel g Loosen the two outside screws on the electrical module h Insert the wires in the electrical module and tighten the screws Pull the wires on the electrical module to ensure that there is a good connection Transfer the tubing from the old system switch to the new system switch on the pneumatic module pull on the tubing to ensure that itis locked into the module 7 1 0 In Port 3 il from Alt 0 Flow Control 05 Out Port 4 gt to Electronic Mixer 10 Testthe replacement switch assembly gt Connect an O supply Connect the power cable to an electrical outlet Set the system switch to On Make sure that the display comes On Select Alt O flow Increase the Alt O flow Make sure that gas flows Make sure that you do not feel or hear any leaks Setthe system switch to Standby Make sure all gas flow stops and the display tums Off 11 Reinstall the gauge panel and the tabletop 12 Perform the checkout procedure Section 3 1009 0357 000 11 03 9 43 S 5 Avance 9 17 Replace Alt 0 components Alt 05 Flowmeter A Needle Valve Assembly B Alt 0 Switch C 9 44 1 Bleed all gas pressure from the machine Sec
25. esses 2 31 2 11 5 Fresh gas and Oz flush flow with 2 33 2 12 Ventilator mechanical subsystems 2 35 2 12 1 Drive gas filter and Gas Inlet Valve 2 35 2 12 2 Pressure regulator tie cine Sarat hea ace at eerte aa n edi ad 2 36 2 12 3 Flow control valve 0 6 cece Ine 2 36 2 12 4 Drive Gas Check Valve DGCV 2 37 2 12 5 Bellows Pressure Relief Valve 2 37 2 12 6 Exhalation valve asi sai cece eect Ir 2 38 2 12 7 Mechanical Overpressure Valve 2 39 2 12 8 Reservoir and bleed resistor 2 39 2 12 9 Free 2 40 2 12 10 Breathing circuit flow 8 0 2 40 2 1 5 5 Avance 2 1 Electrical system 2 2 The electrical system consists of two main computing units the Display Unit and the Anesthesia Control board Additional subsystems interact with these computing hosts to perform various gas delivery ventilation and monitoring functions The Display Unit handles the main user interface functions and connections to external devices The Display Unit software run on the Windows CE operating system Therapy functions are handled by the Anesthesia Control b
26. 9 40 9 15 1 Servicing the bag support arm 9 41 9 16 Replace system switch assembly 9 42 9 17 Replace Alt 02 components 9 44 9 18 Replace auxiliary O flowmeter 9 45 9 19 Replace the suction regulator 9 46 9 20 Replace task light components 9 47 9 20 1 To replace the task light switch 9 47 9 20 2 To replace the upper task light 9 47 9 20 3 To replace the lower task 9 48 viii 11 03 1009 0357 000 Table of Contents 9 21 Replace ABS breathing system components 9 49 9 21 1 Replace Bag Vent switch 9 49 9 21 2 Replace bellows base latch assembly 9 50 9 22 Replace C sterSusus rius UT wA 9 51 9 23 Reconfigure sample gas return 9 52 9 24 Change drive Bas esce tn err eh eee chee GP EROR Ka 9 53 10 Illustrated Parts 10 1 Sermice tools d ehe eae o rena Rand Real e UR A gera 10 3 10 1 1 Softwaretools icc cea issue a ek e RR xa eR Re ERR RR ERR 10 3 10 1 2 M
27. ON 3 Ensure that the vacuum test gauge is in agreement with the suction vacuum gauge 38 mm Hg 5 kPa at the following test points Test points Suction vacuum gauge Test gauge tolerance 100 mm Hg 13 3 kPa 62 138 mm Hg 8 3 18 4 kPa 300 mm Hg 40 kPa 262 338 mm Hg 35 45 kPa 500 mm Hg 66 7 kPa 462 538 mm Hg 61 6 71 7 kPa Note To check flow accuracy be sure that the flow test device is capable of measuring 0 30 L min 1 Connect the patient port of the suction regulator to the flow test device 2 Rotate the suction control knob fully clockwise increase 3 Tum the mode selector switch to ON and verify that the flow rate is atleast 20 L min 4 Disconnect the test flowmeter Tests continue on next page 6 11 5 5 Avance 6 12 Regulation Test Vacuum Bleed Test Vacuum Leak Test ao B WwW N e 1 1 Turn the mode selector switch to ON Occlude the patient port of the suction regulator Setthe vacuum regulator gauge to 100 mm Hg 13 kPa Open and close the patient port several times With the patient port occluded the gauge should return to 100 mm Hg 13 kPa within a tolerance of x 10 mm Hg 1 3 kPa Occlude the patient port of the suction regulator Setthe vacuum regulator gauge to 100 mm Hg 13 kPa Tum the mode selector switch to O OFF and observe the gauge needle It must return to the zero range bracket or stop pin within 10 seconds Turn the mod
28. 1 8 Symbols used in the manual or on the equipment O CO O k A Warnings and A Cautions tell you about dangerous conditions that can occur if you do not follow all instructions in this manual Warnings tell about a condition that can cause injury to the operator or the patient Cautions tell about a condition that can cause damage to the equipment Read and follow all warnings and cautions Other symbols replace words on the equipment or in Datex Ohmeda manuals No one device or manual uses all of the symbols These symbols include On power Off power Standby Standby or preparatory state for part of the equipment ON only for part of the equipment OFF only for part of the equipment Direct current Alternating current Protective earth ground Earth ground Frame or chassis ground Equipotential 1009 0357 000 11 03 gt 9 gt QA AA PAE Alarm silence button Alarm silence touch key Tec 6 Type B equipment Type BF equipment Type CF equipment Caution ISO 7000 0434 Attention refer to product instructions IEC 60601 1 Dangerous voltage Electrical input Electrical output Pneumatic input Pneumatic output 1 11 5 5 Avance 0 REF 1 12 Plus positive polarity Minus negative polarity Variability Variability in steps This way up Lamp lighting illumination Lock Unlock Close drain Open
29. Mixer Control Atmel ATmega DU UPI 103 Processor Hitachi H8 processor RS 422 230 Kbaud RS 422 38 4 K baud Display UnitCPU RS 422 Anesthesia Computer CPU 38 4 Kbaud AMD Elan SC520 Motorola Coldfire V4 Processor Processor C amp T 69000 9 Display Processsor i 2 o Power Supply Controller 8 Y Atmel ATmega 103 Processor pneqy 6 Color LCD AB 91 065 Future Expansion Ports 2 2 9 S 5 Avance 2 5 System connections 2 5 1 Display Unit 2 5 2 Display Connector board 2 10 The Display Unit accommodates the following connections System Power Interface 1 System Signal Interface 2 Serial Port standard interface for external communication 3 DIS connector supports D O Device Interface Solution DIS 4 Network connection Standard Ethernet port for network connectivity 5 Network ID accept D O proprietary network identification plug 6 USB port standard USB 1 1 interface for external communication with items such as a printer 7 The top side of the Display Connector board accepts the following cables System Power Interface to Display Unit 1 System Signal Interface to Display Unit 2 Airway Module MGAS Power Supply board 8 Not used 9 The under side of the Display Connector board accepts the following cables Power Controller board 10 Anesthesia Co
30. N20 fittings Body N50 DISS 1006 5150 000 Body N50 NIST 1006 5159 000 Body N50 DIN 1006 5162 000 Body N40 G 3 8 BSPP 1006 5171 000 Pipeline inlet assembly 0 France 1006 8362 000 Pipeline inlet assembly N20 Canada 1006 8359 000 Pipeline inlet assembly N20 Australia 1006 8397 000 1 Pipeline inlet Air fitting Body Air DISS 1006 5151 000 Body Air NIST 1006 5160 000 Body Air DIN 1006 5163 000 Body Air G 3 8 BSPP 1006 5172 000 Pipeline inlet assembly Air France service kit 1006 8361 000 Pipeline inlet assembly Air Canada service kit 1006 8358 000 Pipeline inlet assembly Air Australia service kit 1006 8398 000 2 O ring bore seal 05 and N50 0210 0479 300 Air 0210 0539 300 3 Sintered metal filter with o ring 1006 8351 000 4 Pipeline check valve with o ring 1006 3160 000 5 Gas Inlet Manifold replacement 0 1009 8066 000 N50 1009 8067 000 Air 1009 8068 000 6 Relief valve 689 758 kPa 100 110 psi 1011 3049 000 7 Screw M4x20 0144 2124 218 Lockwasher M4 9213 0540 003 8 Transducer pipeline pressure includes cable 1011 3000 000 1009 0357 000 11 03 10 17 5 5 Avance 10 12 Cylinder Gas Supplies 10 18 Item 1 1 1 Item 2 3 4 2 3 Description Pin Index DIN Gas supply 05 1006 3201 000 1006 3207 000 Gas supply N50 1006 3202 000 1006 3208 000 Gas supply Air 1006 3203 000 1006 3209 000 Description Cylinder inlets P
31. low flow regulated output to the high side of the specification so that the high flow regulated pressure can fall within the specification Ifthe regulator subsequently fails the low flow specification step 3b because the reading is too high replace the cylinder supply 11 03 1009 0357 000 1009 0357 000 11 03 5 Calibration Setthe system switch to Standby Close the cylinder valve Bleed the system of all pressure po cx Disconnect the test device and plug the test port pull on the plug to ensure it is locked in the fitting 10 Replace the rear panel 11 Perform the checkout procedure Section 3 5 7 5 5 Avance 5 1 3 Adjusting Primary Regulators Adjust clockwise f to increase D setting 5 8 Important Cylinder supplies in an S 5 Avance machine must have all primary regulators set to the same pressure range 50 Pin Indexed or 60 DIN If a regulator is replaced the replacement regulator must be set as required to the same specification as the one removed Important Install a full cylinder in the cylinder supply to be adjusted It is essential that the cylinder be within 1096 of its full pressure To adjust the primary regulators follow the procedure in Section 5 1 1 to gain access to the regulators Do not attempt to adjust without flow 1 Onthe Main Menu of the Service Application select Gas Diagnostics 2 Onthe Gas Diagnostics menu select Gas Supplies
32. 17 left side blank 18 new EMC gasket 10 If you are replacing a keypad or a membrane switch you must replace both items A 11 7 19 18 12 Nub 15 17 Place the front enclosure face up a flat surface Press down on one corner of the window to free it from the enclosure Work your way around the window until you can get a hold of it from the back Slowly pry the window from the enclosure oO amp N Placethe front enclosure face down on a flat surface taking care notto damage the encoder 6 Remove any remaining residue from the mounting area clean with isopropyl alcohol T Remove the inside protective material from the front of the window 8 Peel the front outside frame of the release liner 9 Lowerthe window straight down in the enclose noting the notch in the window and the matching nub on the enclosure 10 Before seating the window position it in contact with the bottom and right sides of the frame see arrows so that the larger gap between the window and the enclosure is at the top and left edges as viewed from behind 11 Remove the protective film from the back side of the window 11 03 1009 0357 000 To replace a membrane 1 switch and keypad 9 Repair Procedures Remove the screw that attaches the grounding strap to the enclosure Prythe membrane switch and keypad from the enclosure Remove any remaining residue from the
33. 3 2 System All Checks uice cR er ee ue E ON ce MER 3 3 3 2 1 Eow P leak check uu arenaen caw eie recuento ta 3 3 SEPATU qui TH erc 3 4 S23 Vent cliecKs su eee DRAGS A idee hae ee ee eee 3 4 3 2 4 Circuit Os Cell check sirin eanne RARA KS 3 4 9 3 Backliglittest o 2 o tle cach Lied Lebe Leda 3 5 3 4 Vaporizer back pressure test 2 8 3 5 3 5 Pipeline and cylinder tests 2 8 3 6 3 5 1 O supply alarm test eee 3 6 3 6 Pressure relief tests Rec A Lb rea yt ak ER EUREN aan 3 7 3 4 Flush Flow Test piset core ue UE ue DR be scd RR Ae bte OR a te as 3 8 3 9 Alarritests iceeesk pp ERE ERA eee Sede wegen EAE 3 9 3 9 Alternate O flowmeter tests 3 10 3 10 Auxiliary O5 flowmeter teste nas 3 10 3 11 Integrated Suction Regulator tests 3 10 3 12 Powetfall retest 2 yltiiwplbEeRIRbeex iw eR vee sand 23 OX EA 3 11 3 13 Electrical safely tests ceci eb knees Gh LE e hd SOR qtue qui 3 11 11 03 1009 0357 000 Table of Contents 4 Installation and Service Menus 5 Calibration 1009 0357 000 11 03 4 1 Service and Installation menu structure 4 2 4 2 Install Service Menu Super User
34. 9 3 How to remove the tabletop The tabletop is held in place with five captive screws along the periphery of the pan assembly accessed from below the rim of the tabletop One screw A is in a deep recess at the right rear corner of the tabletop Two screws B are at the front of the tabletop one screw is at the right corner of the tabletop one is near the O Flush button To accessthe remainingtwo screws C you must remove the ABS one screw is atthe left corner of the tabletop one is nearthe APL Valve 1009 0357 000 11 03 9 5 5 5 Avance 9 4 Servicing the Display Unit Note 9 6 9 4 1 Remove the Display Unit The item numbers appearing in parenthesis in this section referto items in the parts list in Section 10 7 The fan filter 28 and the access door 29 to the PCMCIA interface can be replaced with the Display Unit in place To replace the filter slide the filter capsule 27 downward to remove it from the Display Unit To service other components of the Display Unit you must first remove the Display Unit from the machine The Display Unit is held in place with four screws three screws fit into keyhole slots and do not have to be fully removed the fourth screw secures the Display Unit to the front bezel and must be removed to free the Display Unit from the machine 1 Openthe rear access door directly behind the Display Unit 2 Loosen L the top two and the bottom right mounti
35. Use a small screwdriver to push the connectors securely into place Remountthe task light assembly Ensure that the switch harness and the task light harness wires are positioned in their respective recesses and are not pinched under the task light lens 9 47 5 5 Avance 9 20 3 To replace 1 Remove the rear panel Section 9 2 1 the lower task The lower task light is located directly below the MGAS partition It slides into two light slots in the front bezel A and is retained with a small moveable bracket B 2 Rotate the retaining bracket counterclockwise to free the tack light assembly 3 Disconnect the harness from the task light assembly and connect it to the new task light 4 Placethe task light into the slots lights pointing down Note If the machine includes an integrated suction regulator it may be too cramped for you to place the task light Use long nose pliers or a similartool to guide the task light in place being careful not to damage the lights Or you can temporarily remove the suction regulator to gain more room 5 Rotate the bracket in place to retain the task light 6 Reassemble in reverse order 9 48 11 03 1009 0357 000 9 Repair Procedures 9 21 Replace ABS breathing system components 9 21 1 Replace 1 Remove the ABS breathing system Bag Vent switch 2 From the underside remove the bellows base manifold A and fully loosen the two assembly captive screws B at the bag
36. Vent Int Bd 10VA Voltage reads OK and 6 0Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT 1 22V FAIL Vent Fail Monitoring Voltage lt 1 074Vdc orVoltage Medium AC Vent 12 5V 10VA is Only 1 367 Vdc Vent OK In the Service Software Vent Interface Bd Power Diagnosis view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 1 22 Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT 6V FAIL Vent Fail Monitoring VSIB 6V out of range lt 6 72 X High AC Vent 12 5 V 10 VA is Only or gt 5 28 Vent OK In the Service Software Vent Interface Bd Power Diagnosis view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 6 0Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT ADC VREF FAIL Vent Fail Monitoring VSIB ADC3 200V ref voltage out High AC Vent 12 5V 10 VA is Only of range 3 179 or 23 221 Vdc Vent OK In the Service Software Vent Interface Bd Power Diagnosis view the Vent Int Bd 10VA Voltage from
37. result date and time to the event log Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel 5 5 Avance 4 4 9 Zero Gas Xducer Instructions Zero Gas Xducers menu 4 20 The Zero Gas Xducer instructions appear when the focus is on the Zero Gas Xducer menu item Read all steps before you start 1 Remove all cylinders 2 Disconnect all pipeline supplies 3 Select Zero Gas Xducers 4 Select Start Zero on the next menu This page also shows Gas supply pressures Gas supply ID A failed test is usually the result of a pipeline or cylinder still connected to the System f the outcome ofthe calibration is Pass the new calibration data is saved f the outcome is Fail the old calibration data is retained The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants Menu Item Message text Values 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts 02 Pipeline 02 Oylinder 1 02 Oylinder 2 N20 Pipeline N20 Cylinder Air Pipeline Air Cylinder Start Zero Disconnect all pipelines and remove cylinders Then select Start Zero Previous Menu Return to the previous menu During Calibration Calibration in p
38. 000 11 03 5 5 Avance 4 4 7 Bleed Resistor Instructions Bleed Resistor Menu Bleed Resistor Data menu 4 18 The Bleed Resistor instructions appear when the focus is on the Bleed Resistor menu item Read all steps before you start 1 Complete the Insp Flow Valve calibration 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Push the ComWheel to show the next menu 4 Select Start The calibration fails if the flow required to reach 91 cmH20 is gt 16 l min f the outcome ofthe calibration is Pass the new calibration data is saved f the outcome is Fail the old calibration data is retained The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants Menu Item Message text Comments Calibrate manifold pressure to Blocked if the bleed resistor flow ventilator drive gas supply pressure would Blocked text cause a gas supply Connect a supply of the drive failure alarm during as to continue normal operation Bleed Resistor Data Show bleed resistor calibration table Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel The Bleed Resistor Data menu contains a table of 17 entries from a previous calibration The table is erased at the start of the calibration
39. 000 11 03 2 17 5 5 Avance 2 10 Gas flow through the anesthesia machine 2 10 1 Overview Referto Figure 2 20 Gas supplies comes into the system through a pipeline 1 or cylinder 6 connection All connections have indexed fittings filters and check valves one way valves Pressure transducers monitor the pipeline 2 and cylinder 7 pressures The O supply failure alarm is derived from the O pipeline and the O cylinder pressure transducer inputs A primary regulator 8 decreases the cylinder pressures to approximately pipeline levels A pressure relief valve 3 helps protect the system from high pressures To help prevent problems with the gas supplies Install yoke plugs on all empty cylinder connections When a pipeline supply is adequate keep the cylinder valve closed Gas flow Pipeline or regulated cylinder pressure supplies O or Air directly to the ventilator engine 4a or 4b and as pilot pressure 4 forthe SCGO assembly E Connection points are also available for venturi suction ba or 5b drive gas supply An additional O regulator 18 decreases the pressure for the O Flush valve 19 and the auxiliary Os flowmeter 24 The O Flush valve supplies high flows of O to the fresh gas outlet 22 or 23 through the SCGO ACGO assembly E F The flush pressure switch 20 monitors activation of the flush valve Gas mixing Under normal conditions with the system switch 10 in the On positio
40. 02 Flow to OFF 9 Remove the plugto release pressure 7 20 11 03 1009 0357 000 1009 0357 000 11 03 Test 10 Test 11 7 Troubleshooting Testing the circuit module and the canister FP N e Remove the Flow Sensor module Connectthe Circuit Test Tool to the Circuit Module as shown above Set O Flow to 0 2 1 Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 Set 02 Flow to OFF Testing the circuit module Plug Plug is Note If required set up the machine as in Test 10 Remove the Soda Lime Canister Using appropriate Test Plugs plug the three canister ports in the Circuit Module as shown above Set O Flow to 0 2 1 Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 Set 02 Flow to OFF 1 21 S 5 Avance Test12 Testing the inspiratory side of the circuit module Plug Note If required set up the machine as in Test 10 and 11 1 Connect the Circuit Test Tool to the Circuit Module as shown above 2 Insert an appropriate test plug in the inspiratory outlet to the canister as shown above 3 Set O5 Flow to 0 2 I min 4 On the Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to 2 30 cm H30 5 Set 02 Flowto OFF 7 22 11 03 1009 0357 000 1009 0357 000 11 03 Te
41. 03 1009 0357 000 8 Service Diagnostics and Software Download In this section 1009 0357 000 11 03 8 1 Avance Service Application 8 2 8 1 1 Main Menu and System 1 8 2 8 1 2 Power DiagrioStiCs iussa dk e dk IR RA ERR EE ws 8 3 8 1 3 Power Controller Power Diagnostics 8 4 8 1 4 Anesthesia Control Board Power Diagnostics 8 6 8 1 5 Electronic Mixer Power 5 8 8 8 1 6 Ventilator Interface Board Power Diagnostics 8 9 8 1 7 Display Unit Power 5 8 10 8 2 Gas DIASNOSUCS soo yvy EIER ba RES RR RP ede ER CC Rl dete 8 11 82 1 GaS SUpplles 5 aeo dati ed Res d 8 12 8 2 2 MiXePOUIDUE Sane ey Ele nex live ret ER Go cadets eee 8 13 8 2 3 Mixer Tests and Pressure 8 14 8 2 4 Mixer Temperature 0 cece eee Ime 8 15 8 2 5 Setting Gas FloW sia eod eR lestie cng ep Rl Re c DR Re does 8 16 8 2 6 Breathing System 8 17 8 3 Ventilation 5 8 18 8 3 T StatiS 7 dak sesto hi ui RACE IDE eee URINE TIME SEDE 8 19 8 3 2 Vent Flow and
42. 0357 000 4 Installation and Service Menus 4 4 5 Insp Flow Zero The Insp Flow Zero instructions appear when the focus is on the Insp Flow Zero menu item Instructions Read all steps before you start 1 Push the ComWheel to start the zero check 2 No disassembly is required f the outcome ofthe calibration is Pass the new calibration data is saved f the outcome is Fail the old calibration data is retained The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keeps the old calibration constants Insp Flow Zero menu Menu Item Message text Values Start If the result is failed do the inspflow Pass or Fail valve calibration Previous Menu Return to previous menu During Calibration Calibration in progress Push ComWheel to cancel 1009 0357 000 11 03 4 15 5 5 Avance 4 16 4 4 6 Inspiratory Flow Valve Instructions The Inspiratory Flow Valve instructions appear when the focus is on the Insp Flow Valve menu item Read all steps before you start 1 Complete the Manifold P Span calibration 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Push the ComWheel to show the next menu 4 Select Stage 1 calibration 5 After Pass replace the manifold port plug with the calibration orifice 6 Select Stage 2 calibration 7 You MUST do both stages for
43. 1009 0357 000 11 03 10 9 5 5 Avance 10 6 AC Inlet Outlet Components 10 10 Item 10 10a 11 11a 12 13 14 15 Description Inlet 100 120 AC with line filter and 15 A circuit breaker Inlet 220 240 AC with line filter and 8 A circuit breaker Fuse 5A 5x20mm Fuse holder Circuit board Inrush 100 120V Circuit board Inrush 220 240V Filter AC Line 6VW1 100 240V Stud Equal Potential 6 mm Harness 100 120 V to Toroid Harness 220 240 V to Toroid Harness to 100 120 V outlets Harness to 220 240 V outlets Outlet Receptacle Australia AS 3112 Outlet Receptacle EURO CEE 7 7 Outlet Receptacle France CEE 7 4 Support Frame snap in Outlet Receptacle India and South Africa BS 546 Outlet Receptacle Japanese Outlet Receptacle NA Nema 5 15 Outlet Receptacle Swiss SEV 1011 Outlet Receptacle UK BS1363 Circuit Breaker 1A Rocker Circuit Breaker 2A Rocker Circuit Breaker 3A Rocker Circuit Breaker 4A Rocker Toroid 100 240V Toroid 100 240V used with no outlets Screw M6x70 Screw M6x60 Lockwasher M6 Washer Cover transformer Screw M4x8 DIN84 for transformer cover Stock Number 1009 5698 000 1009 5757 000 1009 5779 000 1009 5674 000 1006 3245 000 1006 3246 000 1009 5690 000 0208 0070 300 1009 5752 000 1009 5753 000 1009 5716 000 1009 5717 000 1001 3305 000 1202 3551 000 1006 4421 000 1006 4422 000 1006 3805 000 1006 3578 000 1006 355
44. 1009 3128 000 10 49 5 5 Avance 10 26 Rear panel components 10 50 14 15 16 13 15 16 Item ON DOO FB CO e e e e RP gt c1 WN 1 2 3 Description Cover rear upper Cap hose reel Screw M5x20 BHSCS PT THD FORMING Strap hook loop Screw M6x1 0 captive Door access Screw M4x12 Spring cantilever Screw M3x8 Cover trap bottle if no internal suction Cover regulator yoke if no regulator Plate clip cover Wrench DIN cylinder with cable Wrench pin index cylinder with cable Cable Ferrule cylinder wrench cable retainer 6 7 Stock Number 1009 3073 000 1009 3075 000 1009 3384 000 1009 3233 000 1009 3114 000 1009 3074 000 1009 3109 000 1009 3124 000 0142 4254 106 1009 3173 000 1009 3121 000 1009 3185 000 1202 3651 000 0219 3415 800 1010 3049 000 1001 3708 000 11 03 1009 0357 000 10 Illustrated Parts 10 27 Tabletop components 6 7 8 9 1 2 3 1009 0357 000 11 03 Item Description Stock Number 1 Tabletop work surface 1009 3029 000 2 Screw relieved 1504 3001 000 3 Washer retainer 1009 3178 000 4 Window check valve 1009 3088 000 5 Palnut 1009 3090 000 6 Hook breathing circuit 1009 3086 000 7 Bolt shoulder 1009 3172 000 8 Washer wave 1009 3035 000 9 Washer Nylon 1009 3150 000 10 Clip with tape used with bag arm 1009 8196 000 11 Clip with tape used with bag on hose 1009 8197 000 10 51 5 5 Avance 10 28 Right side
45. 12 5 Replace vaporizer manifold cece cece eee eee eens 9 37 9 13 Clean or replace ACGO port flapper valve 9 38 9 14 Replace the APL valve iii e HERE xev yi eas 9 39 9 15 Replace the bag Support 9 40 9 15 1 Servicing the bag support arm 9 41 4 16 Replace system switch assembly 9 42 4 17 Replace Alt 02 components 9 44 9 18 Replace auxiliary O flowmeter 9 45 9 19 Replace the suction regulator 9 46 9 20 Replace task light components 9 47 9 20 1 To replace the task light switch 9 47 9 20 2 To replace the upper task light 9 47 9 20 3 To replace the lower task 9 48 9 21 Replace ABS breathing system components 9 49 9 21 1 Replace Bag Vent switch 9 49 9 21 2 Replace bellows base latch assembly 9 50 9 22 Replace castelar race HE Naar hate wa aod en sa es 9 51 9 23 Reconfigure sample gas return 9 52 9 24 Change
46. 2 Mains LED 5A Fuse S ni Line a 5A Fuse EE 12 5 VDC RS 422 Communications Monitor on standby Z 24V I 1 Power 1 Controller 1 Board 1 Figure 2 10 Power subsystem 1009 0357 000 11 03 2 5 5 5 Avance 2 6 2 2 2 Power distribution The Power Controller board provides outputs to the Anesthesia Control board and the Display Connector board These boards provide local regulation of voltages required by the system The Anesthesia Control board interfaces with the Mixer board and the Ventilator Interface board through the Pan Connector board The Display Connector board interfaces with the Display Unit and the Module assembly 11 03 1009 0357 000 Display Dispaly Unit CPU Board Power Controller Board Connector CPU33V Board LCD 3 3V 25V 12 5V switched bus switched voltage bus Mains ee voltage 22V 53W to 31V battery voltage 24W 12V fan2 Module Power Supply Board 6V Step Dwn 5V LDO 16V Boost 15 Vdd LDO 17V Flyback 15V LDO snq pauoiMs AGZT Anesthesia Control Board 10W 12 5V 10VA External Expansion Port 2 22570 mm 12 5 10VA Light Power 12 5 10VA Vent Valves ACGO SCGO Figure 2 11 Power distribution 1009 0357 000 11 03 15V DO Gas Selector Valves 2 Theory of Operation Mixer Board 3 3V 14 5W 12 5V 10VA
47. 2 Install Service Menu Super User Menu Item Colors Message text Set colors of parameters 4 Installation and Service Menus Use the super user password to access the Install Service menu 16 4 34 Comments Units Set units of weight CO2 gas supply pressure and Paw Show Alarm Limits Select yes to show alarm limits in digit fields Default is Yes Save Default Case Save normal screen air N20 circuit type ventilator settings and alarm limits from the last case as defaults Last used alarm settings including hide show alarm limits screen layout middle waveform selection sweep speed scaling ventilator mode and setting balance gas and start case gas outlet selection are saved as facility defaults Note The Pmax alarm limit shall not be saved higher than 40 cmH20 The low FiO2 alarm limit shall not be saved lower than 21 Factory Defaults Return to default factory settings After selecting Factory Defaults Reset machine for defaults to take effect Action All facility defaults get replaced with factory defaults Super User settings also get set to Factory Defaults No Service level configuration settings are changed Installation Set language gas colors hardware and enable options Navigate with password to Installation menu Password is 26 23 8 Service Show technical data for troubleshooting and calibration Navigate with p
48. 6 6 6 5 MIXeETOSE RR a EARS E MR AR RUE RARE Re AUR 6 8 6 5 1 Mixer outlet check valve leak test 6 8 6 5 2 Mixer flow 6 8 6 6 Alternate flowmetertests sa rsrs ore a enna Ie 6 9 6 7 Auxiliary flowmeter tests 6 10 6 8 Integrated Suction RegulatortestS 6 11 6 9 Battery Capacity t6St osse coss ta ce pid pe Oe pecus PUTA 6 13 7 1 General amp 7 2 7 2 Breathing System Leak Test 7 4 F21 Check VINES e dace dard 7 5 7 2 2 Breathing System Troubleshooting Flowcharts 1 6 2 3 Leaklsolation Tests oec e Re p rr ERR ERR CRY Nn 7 11 53 Technical Alarm herbie tec Cute ore e eatin e E terre eaa 1 26 7 4 Steps and Messages displayed during the System Checkout 7 45 7 4 1 Steps forthe Quick Check 7 45 7 4 2 Steps forthe Vent Check 2 2 3 7 47 8 Service Diagnostics and Software Download vi 8 1 Avance Service Application
49. 6 mm 270 mm 8 mm 460 mm 8 mm 280 mm 1 4 inch 840 mm 1 4 inch 260 mm Tygon 290 mm Tygon 110 mm 1 4 inch 600 mm 1 4 inch Stock Number 1001 3060 000 1001 3060 000 1001 3060 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3063 000 1001 3063 000 1001 3064 000 1001 3064 000 6700 0005 300 6700 0005 300 1001 3064 000 1001 3064 000 With an N50 cylinder supply Item 208 connects the N50 cylinder supply to the Tee connector between Items 206 and 209 With two inboard Os cylinder supplies Item 123 connects the second O cylinder supply to the first O5 cylinder supply 11 03 1009 0357 000 10 Illustrated Parts s e S8 1 e e 1 N 1 a 1 B E co ND amp 1 N 1 1 h x 1 1 i i i 1 lt 1 17 4 a fe 1 X N 1 S 1 1 i e g o o 1 1 1 a I 2 1 o o 1 1 i Pal 1 o 1 1 1 2 1 D 1 i n 3 E a a I 1 2 o i L I a N ko 1 1 TUA i N 1 an i 1 1 N Q 1 1 fr i e e 1 1 1 cor Bor Bo i 1 e 1 e a i ctr oi et 1 1 1 10 59 1009 0357 000 11 03 5 5 Avance 10 34 Cables and harnesses 10
50. ACB UNEXPECTED System Malfunction Unexpected reset of AC High AC RESET Reboot system If problem continues replace the ACB ACGO Vol and Apnea Non Circle ACGO selected Low DC System has ACGO monitoring off No Service Action Required ACMains POWER FAIL Plug in power cable ACMains GOOD goes andstays Medium PC 30 minutes of battery On battery low for at least 300 msec 3 power available software loops No Service Action Required AIR PIPE INVALID Cannot monitor Air Air Pipeline pressure is invalid Medium DC pipeline Check Air Pipeline Supply Check Replace Air Pipeline Pressure Transducer AIR PRESS LOW Air supply pressure low Air pipeline pressure islessthan Medium AC Airis selected as the 252 kPa and the air cylinder has DC balance gas with a non a pressure less than 2633 kPa zero flow of air or the for one second ventilator uses air as the drive gas and mechanical ventilation is ON Check Air Supply Check Replace Air Pipeline Cylinder Pressure Transducer AIRWAY SENSOR CAL Calibrate flow sensors Airway Pressure Sensor zero Low AC Flow sensor detected ERROR offset out of range Vent In the Service Software Vent Flow amp Pressure Diagnostics verify the Airway Pressure counts is 800 250 Disconnect the Black in line connector in the Patient Airway If the counts return within specified range check for occlusions in the Bulkhead harness If the counts do not return within the specified range replace the VIB ALT 02 SWITCH FAIL Alter
51. Components 10 52 Item Description Extrusion cover Screw 6 20 Lockwasher M6 internal Dovetail RH upright Screw self tapping Cover pipeline inlet Screw M6x14 Stock Number 1009 3021 000 0144 2131 921 0144 1118 130 1009 3129 000 1009 5534 000 1009 3091 000 1006 3178 000 11 03 1009 0357 000 10 29 External components lower assembly 4 5 1009 0357 000 11 03 Item Oo oc A C N 10 11 12 13 Description Panel access Panel service Screw M4x8 Thumbscrew Ring retaining Cover scavenger reservoir Bracket suction reservoir Screw M4x16 Lockwasher M4 external Clip suction bag hose Screw 5 16 PAN HD Lockwasher M5 external Bumper absorber 10 11 12 10 Illustrated Parts 13 8 9 Stock Number 1009 3059 000 1009 4141 000 1006 3178 000 1406 3304 000 1406 3319 000 1009 3027 000 1009 3107 000 9211 0440 163 9213 0540 003 1407 3321 000 9211 8350 163 0144 1118 220 1009 3105 000 10 53 5 5 Avance 10 30 Drawer 10 54 Item 2 3 4 5 6 5 6 Description Slide drawer Screw M4x8 Nyloc Drawer body Drawer Front lower with down arrow on back Drawer Front upper with up arrow on back Screw M4x12 Stock Number 1009 3084 000 1009 3183 000 1009 3078 000 1009 3032 000 1009 3031 000 1009 3109 000 11 03 1009 0357 000 10 Illustrated Parts 10 31 Fittings and tubing charts 10 31 1 Legris qui
52. Format Units Normal range Anes Control Board Board Temperature lt 65 OK green DegC Upper 64 gt 65 75C Warn Yellow gt 75C Fail red Mixer Vent Interface Bd Fan Speed Slow Fast Display Unit Fan 1 Voltage XX XX 11 52 to 12 48 gt Main Menu Fan 1 Status Low High Fail OK Turn the ComWheel to return to the first page Push the ComWheel to return focus to the Power Diagnostics selection menu 1009 0357 000 11 03 8 5 5 5 Avance 8 1 4 Anesthesia Control There are two pages of diagnostics for the Anesthesia Control board Board Power Diagnostics Selecting Anes Control Board brings up the first page of the Anesthesia Control Board Power Diagnostics Page 1 of 2 Power Diagnostics Anes Control Board Power Diagnostics Power Control Value Format Units Normal range Anes Control Board Miet 12 5Vdc from Pwr Cntrl Vde 11 9010 12 90 Vent Interface Bd Display Unit ADC Reference X XXX Vdc 4 018 to 4 176 2 Gas Select 10VA Volts OK Fail Gas Select 10VA Amps OK Fail P Xducer 10VA Amps OK Fail Vent Int Bd 10VA Volts OK Fail Vent Int Bd 10VA Amps OK Fail Vent Valves 10VA Volts OK Fail Vent Valves 10VA Amps OK Fail Acces 1 10VA Volts OK Fail Acces 1 10VA Amps OK Fail Turn the ComWheel to select the second page Push the ComWheel to return focus to the Power Diagnostics selection menu 8 6 11 03 1009 0357 000 8 Software Download and Diagnostics Pag
53. H20 bias u 0 10 LPM 25 psig 15LPM Figure 2 37 Drive Gas Check Valve 2 12 5 Bellows The Bellows assembly is the interface between drive gas and patient gas in the Pressure Relief breathing system The pressure relief valve or pop off valve in the bellows Valve assembly 7 controls the pressure in the breathing circuit and exhausts excess patient as through the exhalation valve The pressure relief valve is normally closed maintaining approximately 1 5 cm H50 in the breathing circuit in a no flow condition enough to keep the bellows inflated It is piloted closed during inspiration and remains closed until the bellows is refilled during exhalation It will exhaust lt 4 L min excess fresh gas flow at lt 4 cm H50 ji 1 Vent Engine Mosohars Free Breathing E Check Valve i 1 Mechanical Over Pressure 1 i Vale 110cmH20 i Drive Gas Check Valve T lation 71 3 5cmH20 bias 2 0 cm H20 bias 0 10 LPM nd I 0 10 LPM Inspiratory Flow i 0 20 LPM Control Valve i A T 200 reservoir psig 1 15 U Gas inlet Valve Control Bleed to M 3 0 we 1 1 01PM 3 0 ci continuous cate Figure 2 38 Bellows pressure relief valve 1009 0357 000 11 03 2 37 5 5 Avance 2 12 6 Exhalation valve 2 38 The exhalation valv
54. IF eh 4 8 4 3 4 Copy Configuration 4 9 4 4 Semice Menu er getreten tenente Oba e d d e E 4 10 4 4 1 Software Hardware Ver Menu 4 11 44 2 Service LOS Menu ic sesso e Ree mri hn pr Rin RR RR LER RR dea 4 12 4 43 CalIbrationi ore ree errem exi n fn c tated 4 13 4 4 4 Manifold P Span cece cece c cee m HH hne 4 14 4 4 5 Insp FlOW Zero sco ore a be isan EE as seni RO RR nt 4 15 4 4 6 Inspiratory Flow 4 16 4 4 7 Bleed Resistor cece eee crete Immer 4 18 4 4 8 Paw Spaey VE Rer VOR T eae 4 19 4 4 9 Zero Gas XdUCer sproni zi ventu ce RR EY SERERE RIED TIT 4 20 2 4 10 6al Config ia dX 4 21 4 1 5 5 Avance 4 1 Service and Installation menu structure This section describes the Service level functions that are part of the main software installed in the anesthesia machine Section 8 Service Diagnostics and Software Download covers a separate service application that loads from a PCMCIA card and is used to download system software and run service diagnostics and other service tests Menu structure The Service menu structure has three levels which are password protected Install Service super user e Installation Service The Install Service level super user password supports standar
55. J6 DCB Cable ribbon J1 ACB to underside of Pan Connector Board Harness J3 ACB to underside of Pan Connector Board Harness J4 ACB to J4 PCB Harness J3 PCB to J5 DCB Stock Number 1009 8290 000 1009 8291 000 1009 5682 000 1009 5557 000 1009 3133 000 1009 3060 000 1009 5530 000 1009 5697 000 1009 3005 000 1009 5571 000 1009 5572 000 1009 5555 000 1009 5561 000 1009 5556 000 1009 5549 000 1009 5560 000 1009 5551 000 1009 5552 000 11 03 1009 0357 000 10 9 Pan electronic enclosure components 1009 0357 000 11 03 Item 13 14 15 11 12 Description Fan flow into enclosure Pan Connector Board Gasket Pan Connector Board Harness to J3 ACB Cable ribbon to J1 ACB fold excess cable into pan area Filter Board ABS Gasket EMI 272 mm 2 each required per board Ventilator Interface Board calibrated Gas Mixer Assembly complete Screw M4x6 Screw M4x35 Lockwasher M4 external Plug 4 mm if no N50 Cover pan electronic enclosure Gasket EMI electronic enclosure 4 required 10 Illustrated Parts Stock Number 1009 5680 000 1009 3003 000 1009 5536 000 1009 5560 000 1009 5549 000 1009 3007 000 1009 5811 000 1009 8236 000 Refer to section 10 10 1009 3283 000 0140 6226 127 9213 0540 003 1006 3530 000 1009 3047 000 1009 5811 000 The top side ofthe cover has rounder edges Apply the EMI gasket to the underside sharp edges of the cover Also requires Item 7 EMI gasket
56. Medium AC 12 5V 10VA to out of tolerance Status bit Mixer mixer OK 75 VOLT REF FAIL In the Service Software Mixer Power Diagnosis view the Mixer 10VA Voltage from Anes Cntrl Bd If Mixer 10VA Volts reads OK and 12 5 Vdc reads Fail replace the Mixer If Mixer 10VA Volts reads Fail Check cabling between ACB and Mixer replace ACB if ca MODULE NOT Module not compatible The Monitoring Module detected Low DC COMPATIBLE is not compatible with system 1009 0357 000 11 03 software System is designed to work with the following Compact Airway Module versions M CaiO HW rev 00 and above SW rev 3 2 and above and M CaiOV HW rev 00 and above SW Rev 3 2 and above Replace M Gas module with compatible module 1 39 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting N20 PRESS LOW N50 supply pressure N50 pipeline pressure is less Low AC N50isselected as the low than 252 kPa and the N50 balance gas with a non cylinder pressure is less than zero flow of N50 2633 kPa Check 0 Supply Check Replace N50 Pipeline Cylinder Pressure Transducer NO EXPIRATORY FLOW exp flow sensor No Expiratory sensor connected Medium A SENSOR and not calibrating Vent Connect Expiratory flow sensor Check Replace Bulkhead harness Replace VIB Board NO INSPIRATORY FLOW No insp flow sensor No inspirat
57. Or Voltage gt 15 5V during bulk or over charging and normal current gt 0 25 Amps Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY LOW Plug in power cable Available battery power Medium PC Mains AC Mains Power On battery decreases to between 20 and 30 Failure in progress min Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BAITERY MISSING No battery backup Any battery voltage is between Medium PC POSTstate 1 0 VDC Connect Battery Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY REVERSED No battery backup Any battery voltage islessthan Medium PC CONNECTIONS 1 0 VDC Check Battery Connections BATTERY V LOW Plugin power cable Available battery power Medium PC AC Mains Power Failure On battery decreases to between 10 and 20 in progress minutes 1009 0357 000 11 03 Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery 1 31 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting BELLOWS COLLAPSED Unable to drive bellows Manifold pressure gt Paw 10 Low AC I
58. Pan Connector board over the gasketed opening in the pan enclosure Keep the extra length of ribbon cable in the pan area Fold the ribbon cable under the enclosure toward the front of the machine 6 Secure the board to the enclosure 7 Reconnect the harnesses and ribbon cable to the top side of the board 8 Reassemble in reverse order The fan is mounted to the back side of the enclosure and draws air into the enclosure 1 Disconnectthe fan harness from the Mixer board A 2 Removethe two screws that hold the fan to the enclosure 3 Toreplace the fan reassemble in reverse order e Ensure that the fan is oriented with the flow direction arrow pointing toward the inside of the enclosure 11 03 1009 0357 000 9 Repair Procedures 9 8 Servicing the Vent Engine The Vent Engine is found in a housing located below the breathing system bellows assembly The Vent Engine includes the following subassemblies Vent Engine Connector board 1 Gas Inlet Valve Assembly 2 Inlet Filter 3 located under the gas inlet valve Inlet Valve Solenoid 4 Drive Gas Regulator 5 Flow Control Valve 6 Reservoir 7 Drive Gas Check Valve 8 Interface Manifold 9 To replace any of the Vent Engine components you must first remove the Vent Engine from the housing referto Section 9 8 1 1009 0357 000 11 03 9 23 S 5 Avance 9 8 1 To remove the Vent Engine
59. Port B NO A W N Connectthe open end ofthe patient circuit tube to the inspiratory flow patient connection C 11 03 1009 0357 000 Test Procedure 1009 0357 000 11 03 6 Maintenance Onthe Main Menu of the Service Application select Vent Diagnostics Onthe Vent Diagnostics menu select Status and verify that Over Pressure Circuit reads OK Press the ComWheel to return focus to the selection menu Select Gas Inlet ON OFF to Open the gas inlet valve Press the ComWheel to return focus to the selection menu Select Flow Valve Control Adjust the Flow Valve counts to approximately 1000 counts and observe the Airway Pressure reading Increasethe flow count slowly until the Airway Pressure reading reaches approximately 109 cmH50 Continue to increase the flow by one encoder click and observe the airway pressure until gas flow stops Selectthe Status page and verify that Over Pressure Circuit reads High Pressure Gas Inlet Valve Feedback reads Closed Reassemble the system Perform the Preoperative Checkout Procedure refer to the User s Reference manual 6 7 5 5 Avance 6 5 Mixer test 6 8 6 5 1 Mixer outlet check valve leak test 6 5 2 Mixer flow verification Note To perform the mixer tests you must gain access to the mixer outlet tubing which is connected to the inlet of the vaporizer manifold 1 Remove the rear co
60. Possible Cause Action High Pressure Leak Pipeline leak Use a leak detector or Snoop to check for source of leak Repair or replace defective parts O flush valve Use a leak detector or Snoop to check for source of leak Make sure tubing connections are tight Replace valve if defective System switch Use a leak detector or Snoop to check for source of leak Make sure tubing connections are tight Replace switch if defective Cylinder not installed properly Cylinder transducer Make sure cylinder is correctly aligned Verify that tee handles are tight Use a leak detector or Snoop to check for source of leak Tighten replace transducer if defective Cylinder gaskets Use a leak detector or Snoop to check for source of leak Replace gasket if defective Use a leak detector or Snoop to check for source of leak Replace valve if defective Reseat vaporizer if not installed properly Have vaporizer serviced at vaporizer center if vaporizer leaks Check condition of o ring Replace if missing or damaged Relief valves Low Pressure Leak Vaporizer not installed properly with vaporizer mounted Missing or damaged o ring on vaporizer manifold Loose fill port 7 2 Check fill port Tighten if loose 11 03 1009 0357 000 Problem Possible Cause 1 Troubleshooting Action Low Pressure Leak with or without vaporizer Leaking port valve on vaporizer manifold Use the Vaporizer Manifold Valve Tester
61. Selector valve incorrect state Pass Fail Selector valve leaks Fail Proportional valve leaks Pass Fail Not done No supply pressure Not done Selector valve incorrect state Pass Fail 3 min test Fail 10 l min test Not done No supply pressure Not done Selector valve incorrect state Pass Fail 3 min test Fail 10 l min test None Air N20 11 03 1009 0357 000 8 Software Download and Diagnostics 8 2 4 Mixer Temperature Selecting Mixer Temperatures brings up the Mixer Temperatures Gas Diagnostics page Mixer Temperatures Gas Diagnostics Gas Diagnostics Sensor Data Gas Supplies 02 Temp T1 Mixer Output 02 Temp Volts T1 Mixer Tests and Pres G Balance Temp T2 Mixer Temperatures Balance Temp Volts 2 02 Flow 0 5 N20 Flow OFF ADC Ref Voltage Air Flow OFF Breathing Sys Leak Main Menu 1009 0357 000 11 03 8 15 5 5 Avance 8 2 5 Setting Gas Flow Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow OFF N20 Flow OFF Air Flow OFF Breathing Sys Leak gt Main Menu 8 16 Selecting 02 Flow OFF brings up the O2 Flow Setting page on which you can select one of four flows or OFF if flow previously set 0 2 min 0 5 l min 5 0 l min 10 0 l min Selecting 20 Flow OFF or Air Flow OFF brings up a comparable page for setting the above flows for the selected gas S
62. Setthe Bag Vent switch to Bag 3 Setthe ACGO switch to Circle ACGO option only 4 Setthe APL valve to approximately 50 between the 30 and 70 marks 5 Select Start The display shows the checks being run 6 When the checks pass select Next to go to the next check The vent check measures circuit compliance and checks that the Bag Vent switch works in Vent position Ventilator drive gas and O pressure are OK e Ventilator circuit leak is OK Ventilator delivers correctly Alarms for ventilator failure or problems do not occur Setthe Bag Vent switch to Vent Open the patient Y piece Setthe ACGO switch to Circle ACGO option only Select Start The display shows time remaining for check 1 2 3 4 5 When check passes follow the instructions on the display 6 Makesure the bellows is collapsed 7 Occlude the patient Y piece 8 Select Continue The display shows the checks being run 9 When the checks pass the circuit compliance is displayed 10 Select Next to go to the next check The circuit O cell check measures the 05 1 Unplugthe patient Y piece 2 Setthe Bag Vent switch to Vent 3 Setthe ACGO switch to Circle ACGO option only 4 The display will show the 05 5 Select Exit when measured 0 is stable O cell calibration is recommended if displayed value is less than 2196 11 03 1009 0357 000 3 3 Backlight test 3 Checkout Procedure Push the Main Menu key Select Calib
63. The table is update in real time during the calibration 11 03 1009 0357 000 4 Installation and Service Menus 4 4 8 Paw Span The Airway P Span instructions appear when the focus is on Paw Span menu item Instructions Read all steps before you start 1 Complete the Bleed Resistor calibration 2 Install the flow sensor and circuit module Paw Span menu 1009 0357 000 11 03 3 Put a 2 plug in the drive gas port of the vent engine 4 Putthe calibrated orifice in the manifold port of the vent engine 5 Connect the pressure tee to the insp port Connect the tee to the calibrated orifice with a 22 mm tube 6 Connect a pressure gauge to the pressure tee T Select Start Paw Span 8 Increase the flow valve setting until the gauge shows 100 cmH20 9 Select Save Calibration Menu Item Insp Flow Valve DAC Message text Increase setting until test gauge shows 100 cmH20 approximately 1020 counts Then save calibration Values Comments 0 to 4095 initially set to 800 Start Paw Span Start Calibration Increase flow valve setting until test gauge 100 cmH20 approximately 1020 counts Then save calibration Blocked text Connect a supply of the drive gas to continue Blocked if the ventilator drive gas supply pressure would cause a gas supply failure alarm during normal operation Save calibration Save Paw Span calibration Saves new calibration data Writes calibration
64. Transducer Transducer Transducer Transducer n 12 5 Accessory Power 12 5V Valve Power Exp Data 2 12 5V Insp Data MUX I to Flow Sensors Erik 45 0VA gt E 45 0V Filter E GND o Local Power 8 Supply 8 Bag Vent Sw Regulators s O2 Flush Sw 5 2 Emulator AGM IG 5 Header Indicators x O2 Disconnect z a Reset Watchdog a ACGO SCGO Sw E Txd amp Rxd CGO Sw a ATMEGA16 RxD Microcontroller 8 422 ABS On Sw TxD Transceiver Reset Parallel 1 0 W Do Watchdog and SCGO SCGO SCGO On ADC 09 Under Voltage Driver 10 Bit Monitor GIV On Local Power VDD Over GIV Drv E Over Press Supply Monitor Voltage Monito o cc 88 80 ep a 3 lt lt 15 0 12 5V ISP v lt 0 Header gt 5 jojolo Over Press SPI Addr 2 Decoder Lu bac FLDACCS 5 I alve gt Driver 12 Bit p FL DAC LD o gt E g lt 8 gt 9 12Bit k ADC CS z a 8 Channel E z z o 2 2 S _ u 3 7 x 8 l Airway_Press S i Manifold Press Inspiratory Press I T Expiratory Press c ked gt gt 7 P Amp Filter Amp Filter Amp Filter AB 91 066 11 Schematics and Diagrams 11 7 Key to Symbols ABS FB ABS Filter Board Power Controller Board SCGO Switched Common Gas Outlet VECB Vent Engine Connector Board Ppln Pressure Transducer Pipelin
65. Units 96 Et Des Low Off Altitude Fi Enf High 5 Gas Supply Pressure Units kPa Fi Enf Low Off Decimal marker lt dot gt Et Enf High Off Language English Et Enf Low Off Gas Supply Colors ISO 02 white N20 blue Air blk wht Fi Hal High 5 02 flow tube Right side FI Hal Low Vent drive gas 02 Et Hal High PSV Pro Enabled SIMV PSV Enabled PCV Enabled SIMV PC Enabled N20 enabled 1009 0357 000 11 03 No Et Hal Low 4 5 5 5 Avance 4 3 Installation Menu Configuration Decimal Marker Language Gas supply Colors 02 Flowtube Ventilator Drive Gas Altitude Gas Outlet N20 Enabled 4 6 Use the service level password to access the Installation menu 26 23 8 Whenever the installation menu is entered Enter Service dd mmm yyyy hh mm ss is recorded in the Event log Menu Item Configuration Message text Set language gas color code and 02 flowmeter position Units Set units Options Key Enable software options Options List Display software options Copy Config Normal Message Save or install configuration and default settings using memory card Blocked Message Please insert memory card Service Show error event and alarm logs Accessing the Service menu from the Installation
66. VDC Regulator fro i i Flow Sensors Diagnostic Indicators 12 Bit A D 1 Self Test Analog Mutiplexer 350 ma max Signal Conditioning pu Vaporizer Temperature Flow and Pressure Sensors Figure 2 17 Electronic Gas Mixer block diagram 1009 0357 000 11 03 S 5 Avance 2 9 Ventilator Interface board The Ventilator Interface board A provides the electrical and or pneumatic interface to the following Inspiratory B and expiratory C flow sensors transducers e Patient airway D and manifold E pressures transducers Oxygen sensor in breathing system ABS On switch ACGO position switch if ACGO installed SCGO solenoid SCGO CGO position switches if SCGO installed Bag Vent switch 0 Flush switch Gas Inlet Valve Inspiratory Flow Valve Accessory Power for task lights The Ventilator Interface board functions are managed locally by a microcontroller The microcontroller communicates data values to the controlling CPU via an RS 422 serial interface Figure 2 18 Ventilator Interface board 2 16 11 03 1009 0357 000 2 Theory of Operation 12 5V Accessory Power 12 5V Valve Power Exp Data lC MUX 12 5V Insp Data REA to Flow Sensors
67. Ventilator Interface Board Pan Connector Board Accessory Light Vent Vivs SCGO 02 RICH 10VA AB 91 064 2 7 S 5 Avance 2 3 Display Unit The Display Unit handles most of the machine s user interface functions through the front panel controls and the LCD screen It is the primary interface to external peripherals The main components of the Display Unit include An active matrix thin film transistor liquid crystal display A The CPU board B The System Interconnect assembly C The CPU board includes a host processor and three coprocessors to handle display front panel and monitoring interfaces The Display Unit includes a PCMCIA interface D to handle software upgrades and to load the diagnostics Service Application Figure 2 12 Display Unit 2 8 11 03 1009 0357 000 2 4 System communications External 1 0 PCMCIA 2 USB RS 232 Serial Ethernet DIS Microwire DU Controls Atmel ATmega 16 Processor Figure 2 13 System communications 1009 0357 000 11 03 2 Theory of Operation RS 422 serial communication is used between the two main processors Display Unit and Anesthesia Computer and the subsystem processors Various baud rates accommodate data requirements between subsystem and host External communication uses the standard RS 232 interface Mgas Ventilator Interface Intel 196Processor Atmel ATmega 16 Processor Mod Bus
68. Y RR Yu RET EE EO 5 11 5 4 2 Manifold P Ga aa Rr re x rrr 5 12 5 4 3 Insp Flow Zero RE rr RR Siesta aud ER EE 5 12 5 4 4 Inspiratory Flow Valve 5 13 5 4 5 Bleed Resistor al sssr cece desde ea ht e ek Er n nira 5 13 54 6 Paw Spali ea esten e vetet re Ra Mat B RP 5 14 5 1 5 5 Avance 5 1 Primary Regulators Follow the procedure in Section 5 1 1 to gain access to the regulators Then in Section 5 1 2 select the test that is appropriate for the regulator you are testing AX WARNING When testing adjusting N50 regulators nitrous oxide flows through the system Use a safe and approved procedure to collect and remove it To test or calibrate the primary regulators you must boot the system with the PCMCIA Service Application and access the Gas Diagnostics function as detailed in Section 8 5 2 11 03 1009 0357 000 5 1 1 Test setup 5 Calibration AN WARNING Wear safety glasses while test device is connected to the test port CAUTION Becareful notto plug the output of the primary regulator without having a pressure relief valve in the output circuit 1 Setthe system switch to Standby Disconnect all pipeline supplies Remove the upper rear panel Section 9 2 2 3 4 5 If equipped turn the auxiliary Oz flowmeter control fully clockwise no flow Install a full cylinder in the cylinde
69. a download to avoid inadvertent overwrites of newer software with an older version If during the Download New process the compatibility checker detects a newer version of software component on the system a Notice appears on the screen that asks you to confirm the downgrade Download All will download all compatible software from the card to the system without issuing a notice that newer version of software component may be on the system The PCMCIA card includes only the latest software for each subsystem along with the diagnostic application As each subsystem software segment is being downloaded the following status messages note the state of each subsystem and the result of the download Busy System is running its application code not ready for download Ready System is in its boot code ready for download CRCtest System is analyzing the download CRC Loading System is accepting download data Done Software download has completed successfully Fail Software download did not complete successfully A Fail message will require reloading of the software or repair of the system may be necessary Skipped Software download was bypassed Linked System is communicating but status is not yet known Not Compatible The software version on the PCMCIA card is not compatible with the subsystem If the subsystem is communicating but the HW Rev or current SW Rev are not
70. bag arm pushing the two pins into the holes From the underside ofthe casting secure the bag arm with two M3x16 screws and lockwashers 4 Testthe force required to swing the bag arm from side to side and adjust if necessary Swing the bag arm sideways through the 90 degree arc permitted by its internal stop The force required may be adjusted by turning the lock nut 8 5 mm socket which is accessible from underneath the support casting Turn clockwise to increase the force and counterclockwise to reduce the force Adjust to just enough friction to prevent the bag arm from swinging sideways as the bag height is being changed The bag arm height is changed by squeezing the lock release lever C at the free end of the bag arm and rotating it to the desired position 1 Replace the ABS breathing system 9 40 11 03 1009 0357 000 9 Repair Procedures 9 15 1 Servicing Service parts forthe bag support arm include the upper and lower assemblies Refer to the bag support Section 10 21 9 To replace either assembly am 1 Remove the bag support from the machine Section 9 15 2 To separate the upper assembly 1 from the lower assembly use a small 3 mm pin punch to drive out Ry the dowel pin that holds the gt assemblies together 3 To assemble the bag arm apply a light coat of Krytox to the area of the upper arm A that extends into the lower arm 4 Insert the upper assembly into the
71. controlled by the CPU Signals are sent to the flow control control valve X valve of the necessary flow determined by ventilator settings and sensor signals The flow control valve modulates the incoming 172 kPa 25 psi drive gases to an output from to 120 liters per minute at pressures ranging from O to 100 cm H50 T Vent Engine Free Breathing i Check Valve Mechanical Over Pressure 1 e aem l Drive Gas Check Valve 1 3 5cmH20 bias Inspiratory Fl Figure 2 36 Flow control valve 2 36 11 03 1009 0357 000 2 Theory of Operation 2 12 4 Drive Gas The Drive Gas Check Valve 6 is used downstream of the flow control valve to create Check Valve _ the pilot pressure for closing the exhalation valve during inspiratory phases The DGCV DGCV valve is biased shut by an integral weight that supplies approximately 3 5 cm H20 of bias pressure before permitting flow downstream to the breathing circuit When the ventilator is exhausting flow from the breathing circuit the DGCV permits the exhalation valve pilot pressure to be de coupled from the circuit pressure This permits the exhalation valve to open and lets gas flow to the exhaust and the gas scavenging system 1 Vent Engine Atmosphere Free Breathing Check Valve Valve 110 a Vahe T 1 8 Drive Gas Check Valve ND Exhalation Valve 1 3 5 cm H20 bias 2 0 cm
72. cover the APL valve the Bag Vent switch and the negative pressure relief valve diriana whe bea eb nage eas 7 15 Testing the APL diaphram cece eee eee II 7 16 Testing the bellows module and the Bag Vent switch 7 17 Testing the bellows the bellows pop off valve the bellows base manifold and the Bag Vent SWItCh x Laid neared cer ae Vater te ne e Pacem ede dnd 1 18 Testing the bellows 55 1 19 Testing the flow sensor module the circuit module and the soda lime canister 7 20 Testing the circuit module and the 7 21 Testing the circuit 7 21 Testing the inspiratory side of the circuit module 7 22 Testing the negative pressure 7 23 Testing the flow sensors 7 24 Testing a flow sensor including the Ventilator Monitoring Assembly and interfacing COMPONENTS erid eh aca ek ux Rma l4 xk REO nee es Deka 7 25 Objects in the breathing system can stop gas flow to the patient This can cause injury or death Donotuse atest plug that is small enough to fall into the breathing system Make sure that there no test plugs or other objects caught in the breathing system Do not use Flush for leak isolation test
73. drain remove liquid Autoclavable Not autoclavable Inspiratory flow O sensor connection Stock Number Movement direction Movement two directions Read top of float Vacuum inlet Suction bottle outlet Cylinder Isolation transformer Linkage system Risk of Explosion Low pressure leak test Mechanical ventilation Bag position manual ventilation Expiratory flow O Flush button Serial Number 11 03 1009 0357 000 Alarm silence touch key End case touch key Circle breathing circuit module 8 amp The primary regulator is set to pressure less than 345 kPa 50 psi lt 345 kPa x Absorber on Absorber off CO Bypass active European Union Representative TE 1009 0357 000 11 03 u 18 CO C XXXX 1 Introduction Volume alarms On Off touch key Menu touch key Bain Mapleson D breathing circuit module The primary regulator is set to pressure less than 414 kPa 60 psi CO Bypass Option Systems with this mark agree with the European Council Directive 93 42 EEC for Medical Devices when they are used as specified in their User s Reference manuals The is the certification number of the Notified Body used by Datex Ohmeda s Quality Systems 1 13 Notes 1 14 11 03 1009 0357 000 In this section 1009 0357 000 11 03 2 Theory of Operation 2 1 Electrical System conem terere ah Re e Ra EN
74. drive Bas Re ep acr on RO ec deb AUI aan ae 9 53 11 03 1009 0357 000 A WARNING N CAUTION 9 Repair Procedures To prevent fires Use lubricants approved for anesthesia or O equipment such as Krytox Donotuse lubricants that contain oil or grease they burn or explode in high O concentrations All covers used on the system must be made from antistatic conductive materials Static electricity can cause fires Obey infection control and safety procedures Used equipment may contain blood and body fluids A movable part or a removable component may present a pinch or a crush hazard Use care when moving or replacing system parts and components Some internal parts have sharp edges and can cause cuts or abrasions Use care when servicing internal components After repairs are completed always perform the checkout procedure Refer to Section 3 of this manual Electrostatic discharge through circuit boards may damage the components on them Wear a static control wrist strap before touching the circuit boards Handle all circuit boards by their non conductive edges Use anti static containers when transporting them 9 1 How to bleed gas pressure from the machine 1009 0357 000 11 03 Before disconnecting pneumatic fittings bleed all gas pressure from the machine 1 Close all cylinder valves and disconnect all pipeline supplies from the source 2 Setthe system switch to On 3 Ensure that al
75. ea tle URL Rel Gee ae eh Bele EG RU 2 18 2 10 2 Physical connections 2 22 2 10 3 Suction regulators 2 23 2 11 Flow through the breathing system 2 24 2 11 1 Overview of flow paths cece cece ene eee nets 2 24 2 11 2 Manual ventilation 0 I 2 25 2 11 3 Mechanical ventilation 2 28 2 11 4 Fresh gas and O flush flow with 0 2 31 2 11 5 Fresh gas and Oz flush flow with 2 33 2 12 Ventilator mechanical subsystems 2 35 2 12 1 Drive gas filter and Gas Inlet Valve 2 35 2 12 2 Pressure regulator i isle lir ghe rh n RR RR RES 2 36 2 12 3 Flow CONtONVAIVE ish ooa tre Rx Rr GANS he VR i T ERE 2 36 2 12 4 Drive Gas Check Valve DGCV 2 37 2 12 5 Bellows Pressure Relief Valve 2 37 2 12 6 Exhalatiori valve i ee rr xem cade ae eg eee 2 38 2 12 7 Mechanical Overpressure Valve 2 39 2 12 8 Reservoir and bleed resistor 2 39 2 12 9 Free breathing Valve incer re aer RT S 2 40 2 12 10 Breathing circuit flow 58 0 2 40 3 1 INSPECt Ihe SYSIEM LIED LAS ae ae Rs Ane 3 2
76. forward Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow OFF N20 Flow OFF Air Flow OFF To turn on gas flows select O2 N20 or Air in the left menu Available flows are 1009602 0 2 0 5 5 10 l min 100 N20 0 2 0 5 5 10 l min Air 0 2 0 5 5 10 l min Breathing Sys Leak gt Main Menu Turning ON a different gas automatically turns OFF previous flows All gas flows stop if you go back to the main menu Selecting any of the first four items in the left hand frame brings up the corresponding diagnostic page in the right hand frame Press the ComWheel to return focus to the right hand frame to make another selection Selecting one of the three gas flows brings up a page on which you can set one of the four flow values for the selected gas 0 2 l min 0 5 l min 5 0 l min 10 0 l min Press the ComWheel to start the selected flow Press the ComWheel again to return to the flow page to observe the Airway Pressure reading Or select one of the four diagnostics pages to view the displayed conditions Selecting Breathing Sys Leak opens the GIV valve and sets a flow through the inspiratory flow valve While on the Breathing Sys Leak page you can set 02 flow to the breathing system and observe the Airway Pressure reading Gas will continue to flow at the set rate until you set a different flow for the same gas set a flow for a different gas automatically turns the pre
77. list box Hardware Ver Menu Push the ComWheel to return to the Service menu System Information menu List box text with X Number A B C letter Total Time XXXXX Minutes Software Release XX XX Model Code XXX Machine Serial Number ABCDXXXXX Option Package XXX Options Code XXXXX Anes Software Version XX XX Anes Hardware Version XXXX XXXX XXX REV A Anes Board Serial Number ABCXXXXX Disp Software Version XX XX Disp Hardware Version XXXX XXXX XXX REV A Disp Hardware Serial Number ABCXXXXX Mixer Software Version XX XX Mixer Hardware Version XXXX XXXX XXX REV A Mixer Board Serial Number ABCXXXXX Mixer 02 Flow Sensor Serial Number XXXXXXXXX Mixer Balance Gas Flow Sensor Serial Number XXXXXXXXX PCA Serial Number ABCXXXXX Vent Software Version XX XX Vent Hardware Version XXXX XXXX XXX REV A Vent Intf Board Serial Number ABCXXXXX Power Software Version XX XX Power Hardware Version XXXX XXXX XXX REV A Power Board Serial Number ABCXXXXX MGas Software Version X X MGas Hardware Version GAS SW Pr XXXXXXX X MGas Hardware Serial Number ABCXXXXX The MGas information is only displayed when an Airway module is present 1009 0357 000 11 03 4 11 5 5 Avance 4 12 4 4 2 Service Log Menu Error History 4 Event History 4 Alarm History 4 Copy Logs The Service log menu is a organized listing of s
78. menu does not require second use of service password Previous Menu Weight C02 Gas Supply Pressure Paw Options Key Current Key Entry 1 Entry 2 Entry 3 Entry 4 Entry 5 Entry 6 Entry 7 Save New Key Control Board ID Return to previous menu Options List Available Options SIMV PSV PCV PSV Pro Copy Configuration Save to Card Copy from Card 11 03 1009 0357 000 4 3 1 Configuration Menu Item Decimal Marker Message text Select decimal delineator 4 Installation and Service Menus 0 01 0 01 or 0 01 Comments Language Change language translation of screen texts English French German Spanish Italian Japanese Portuguese Dutch Chinese simplified Finnish Norwegian Hungarian Polish Greek Czech Turkish and Russian Default English Gas supply Colors Change color of 02 N20 and Air ANSI ISO Neutral ANSI 02 green Air yellow N20 blue 150 02 white Air black white N20 blue Neutral All gases white 02 Flowtube 02 on left or right hand side Left Right Ventilator Drive Gas Change drive gas to match machine configuration Air 02 Altitude Change altitude used for gas calculations 400 to 3000 m in 100 m increments Gas Outlet Change type of fresh as outlet SCGO ACGO SCGO Use insp port ACGO Use auxiliary port N20 Enabled 1009 0357 000 11 03 Change to matc
79. min Verify that the test device reading stabilizes within the following range 31 60 kPa 230 450 mm Hg 4 5 8 5 psi Remove the test device and reconnect the outlet tubing Replace the back cover For machines with ACGO 1 2 Set the ACGO selector switch to ACGO Connect a test device pressure gauge ora digital manometer to the ACGO outlet using the positive pressure leak test adapter Adjust the O flow to 0 5 L min Test Adapter Verify that the test device reading stabilizes within the following range 31 60 kPa 230 450 mm Hg 4 5 8 5 psi Remove the test device and the adapter 3 7 S 5 Avance 3 7 Flush Flow Test 1 Setthe Bag Vent switch to Vent Setthe system switch to Standby Attach a patient circuit and plug the patient port For ACGO equipped machines set the ACGO selector switch to ABS Ensure that the bellows is completely collapsed 0 BR M Measure the amount of time it takes to fill the bellows when the O Flush button is fully and continuously depressed T Repeatthe above measurement two more times deflate bellows by removing the plug from the patient port The bellows should fill in 1 8 to 2 3 seconds Possible Causes of Failure Large leak if long filling time Flush regulator setting Section 5 2 Flush regulator cross connection if long filling time SCGO ACGO selector valve inlet cross connection if short filling time
80. mounting area clean with isopropyl alcohol Remove the backing from the membrane Be sure to remove the small backing below the flex cable For the lower membrane remove the protective film from the IRDA window Insertthe flex cable and ground strap through the slot in the enclosure Ensure that all ofthe ground strap passes through the slot an does not remain folded over under the membrane Ground Strap fully inserted Carefullylowerthe membrane straight down to the enclosure Seat the membrane in place Remove the backing from the keypad and install it overthe membrane switches Attach the ground strap to the enclosure install the EMI fully seal the Display Unit enclosure you will need approximately 2 3 meters of gasket EMC gasket 10 Cut the gasket into five strips shown below Insert a continuous length of gasket in the outside grove of the enclosure sparingly apply Super Glue Gel to the channels near the corners before installing the gasket Insert individual lengths of gasket in the inside grove around the window sparingly apply Super Glue Gel to the channels near the corners before installing the gasket 1009 0357 000 11 03 1206 mm total four sides 9 13 5 5 Avance 9 5 Replacing the Display and MGAS cables 9 5 1 Remove the MGAS oxygen partition Front View Rear View ur is 9 14 To access the connections at t
81. patients Wear sterile rubber gloves Contamination can spread to you and others Obey infection control and safety procedures Used equipment may contain blood and body fluids 6 1 5 5 Avance 6 1 S 5 Avance Planned Maintenance Serial Number Date YY MM DD Hospital Performed by L1 12 months O 24 month 48 month 6 1 1 Every twelve 12 months Parts Replacement 1 Checks and Tests O L L1 D L1 D LI 0000 6 2 Perform the following steps every 12 months For details refer to the sections listed Sections marked URM are found in the User s Reference manuals for the Avance anesthesia system Sections marked TRM are found in this Technical Reference manual Replace the vaporizer port o rings TRM Section 9 12 1 Kit Stock Number 1102 3016 000 oO FP W N 8 9 AGSS Maintenance URM Part 2 Section 2 Empty any condensate from the reservoir disposable item Inspect air brake for occlusion on active AGSS Inspect clean or replace filter on active AGSS Breathing System Maintenance URM Part 2 Section 2 Bellows Assembly Maintenance URM Part 2 Section 2 Bellows Assembly Tests URM Part 2 Section 2 02 Cell Calibration URM Part 2 Section 3 Flow Sensors Calibration URM Part 1 Section 5 Perform the checkout procedures in Section 3 Inspect the system Section 3 1 Backlight
82. ports as shown above Setthe Bag Vent switch to the Vent position Onthe Main Menu of the Service Application select Gas Diagnostics a Aa C N Onthe Gas Diagnostics page select Breathing Sys Leak to access the Breathing Sys Leak screen Section 8 2 6 6 Set 05 Flow to 0 2 1 Ensure that the Airway Pressure rises to gt 30 cm H30 T Press the ComWheel to Exit the Breathing Sys Leak test 8 Set 02 Flowto OFF 1009 0357 000 11 03 7 17 5 5 Avance Test7 Testing the bellows the bellows pop off valve the bellows base manifold and the Bag Vent switch o n O oO FE C Separate the Bellows Module from the Circuit Module Insert appropriate test plugs into the bellows base manifold as shown to the left Note Position the bellows assembly so that the bellows remain collapsed as you plug the ports Set Bag Vent switch to Vent Position the bellows upright with the bellows collapsed Connect the Machine Test Tool to the interface ports as shown above On the Main Menu of the Service Application select Gas Diagnostics On the Gas Diagnostics page select 02 Flow Set O Flow to 0 2 1 Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 10 Set 02 Flow to OFF 7 18 11 03 1009 0357 000 Test 8 7 Troubleshooting Testing the bellows assembly Note 1009 0357 000 11 03 If required
83. ray eu oS 9 24 9 Disconnect pipeline supplies close cylinder valves bleed off pressure Remove the ABS breathing system Remove the Exhalation valve Remove the scavenging downtube Loosen the five captive screws A that hold the Vent Engine cover to the housing Raise the coverto access the Vent Engine Disconnect the Vent Engine harness B Disconnectthe white tube coupler C inline with tube to manifold pressure transducer on the Ventilator Interface Board If present disconnect the black tube coupler D inline with tube to AGSS flow indicator Disconnect the drive gas hose E 10 Loosen the three captive screws F that hold the engine manifold to the housing 11 Liftthe Vent Engine out ofthe housing 12 To replace the Vent Engine reassemble in reverse order 11 03 1009 0357 000 9 8 2 Replacing Vent Engine components Gas Inlet Valve A Inlet Filter B Regulator C Interface Manifold D Drive Gas Check Valve E Inspiratory Flow Valve F Reservoir G Inlet Valve Solenoid H 1009 0357 000 11 03 9 Repair Procedures Referto Section 6 for Vent Engine components that are to be serviced under regular maintenance Most of the components on the Vent Engine can be replace by removing the mounting screws and remounting the replacement part in place Inspect the two o rings that seal itto the manifold Replace a
84. set up the Machine Test Tool and breathing system as shown in Test 7 o oO A Remove the bellows base manifold from the Bellows Module Insert appropriate test plugs into the bellows base manifold as shown to the left Note Position the bellows assembly so that the bellows remain collapsed as you plug the ports Connectthe tapered plug ofthe MachineTestToolto the bellows base inlet as shown to the left Position the bellows upright with the bellows collapsed Onthe Main Menu of the Service Application select Gas Diagnostics Onthe Gas Diagnostics page select 02 Flow Set O Flow to 0 2 1 Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 Set 02 Flow to OFF 1 19 S 5 Avance Test9 Testing the flow sensor module the circuit module and the soda lime canister 1 Separate the Bellows Module from the Circuit Module and re install the Circuit Flow Sensor Module 2 Connect short tubing between the inhalation and exhalation ports of the breathing system Insert an appropriate test plug in the outlet port of the Circuit Module On the Main Menu of the Service Application select Gas Diagnostics On the Gas Diagnostics page select 02 Flow Set O Flow to 0 2 1 OQ Onthe Gas Diagnostics page reselect the 02 Flow screen e Ensure that the Airway Pressure rises to 2 30 cm H30 8 Set
85. test TRM Section 3 3 Vaporizer back pressure test TRM Section 3 4 Pipeline and cylinder tests TRM Section 3 5 O supply alarm test TRM Section 3 5 1 Pressure relief tests TRM Section 3 6 Flush Flow Test TRM Section 3 7 Alarm tests TRM Section 3 8 Power failure test TRM Section 3 12 Alternate O flowmeter tests TRM Section 6 6 Auxiliary O5 flowmeter tests TRM Section 6 7 10 Integrated Suction Regulator tests TRM Section 6 8 11 Mixer outlet check valve leak test TRM Section 6 5 1 11 03 1009 0357 000 Ll L1 6 1 2 Every twenty four 24 months Parts Replacement Ll Ll 6 1 3 Every forty eight 48 months Parts Replacement 1009 0357 000 11 03 6 Maintenance 12 Mixer flow verification test TRM Section 6 5 2 13 Perform the following diagnostics using the PCMCIA Service Application Display Diagnostics TRM Section 8 4 MOPV pressure relief valve test Section 6 3 Pressure Limit Circuit test TRM Section 6 4 Adjust Drive Gas Regulator TRM Section 5 3 14 From the Service Calibration menu TRM Section 4 4 3 perform the following refer to TRM Section 5 4 for details User Cals Manifold P Span Inspiratory flow zero Inspiratory flow valve Bleed resistor Paw Span Zero Gas Transducers 15 From the Service Log menu TRM Section 4 4 2 perform the
86. the Ventilator Interface board Figure 2 14 Anesthesia Control board 2 12 11 03 1009 0357 000 p 5 8 a 5 ri z S 8 5 2 ON Standby and Mains LED 12 5VDC 3 3V Supply 12 5VDC 1 8V Supply 12 5VDC 5V Supply 4 MB Flash Address Bus ret Memory Error Detection and Correction 10VA Power Monitoring 10VA Limit Circuitry SW Test LEDs Backup Audio and Sounder Glue Logic Gas Select Valve Drivers 02 Bypass Pipeline and Cylinder Pressure Transducer Interface EEPROM MCF 5407 Motorola V4 Coldfire Microcontroller UARTs 6 Channels 64 byte FIFO 6 RS 422 Figure 2 15 Anesthesia Control board block diagram 1009 0357 000 11 03 Vent 2 Theory of Operation AB 91 062 peog 10 99UU0 ued Accesso Accessory 1 Accessory 2 VAOT peog 10 uu09 Kejdsiq 02 Select N20 Select 02 Pipe Presr N20 Pipe Presr JeusIS peog 10328 UU0 Ued leusis peog 1 Kejdsiq epo sngeq punoigyoeg 2 13 5 5 Avance 2 8 Electronic Gas Mixer The Gas Mixer receives its pneumatic inputs from the pipeline and cylinder supplies and sends mixed gas to the vaporizer manifold The Gas Mixer interfaces to the Anesthesia Control board for power and communications The Gas Mixer consists of the following subassemblies and main components Gas Mixer board Control Manifold B man
87. the calibration to be saved During calibration a separate menu shows the counts and corresponding flow at each step f the outcome of both stages of the calibration is Pass the new calibration data is saved f the outcome of either stage is Fail the old calibration data is retained The results of each stage ofthe calibration are saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants 11 03 1009 0357 000 Insp Flow Valve Menu Menu Item 4 Installation and Service Menus Message text Calibrate the insp flow valve at low flows Blocked text Connect a supply ofthe drive gas to continue Comments Blocked if the ventilator drive as supply pressure would cause a gas supply alarm during normal operation Stage 2 Calibrate the insp flow valve at high flows Blocked text Stage 1 calibration is required first Blocked if Stage 1 has not been completed Insp Flow Valve Data Show insp flow valve calibration table Previous Menu Insp Flow Valve Data menu Return to previous menu During Calibration Calibration in progress Push ComWheel to cancel The Insp Flow Valve Data menu contains a table of 24 entries from the previous calibration The table is erased atthe start of Stage 1 The table is update in real time during the calibration 1009 0357
88. tool to push out the check valve For an N50 manifold you will have to carefully apply pressure at the outlet of the manifold with a syringe for example to gently force the check valve out of the manifold 5 Pushthe new check valve into the opening usingthe same thin tool The new check valve includes an o ring orient ittoward the pipeline inlet Note Make sure to push the new check valve all the way back into the opening until it bottoms out on the shoulder 6 Install the pipeline inlet fitting 9 27 5 5 Avance 9 9 3 Replace the 1 Remove the rear panel Section 9 2 inlet manifold 2 Disconnect the tubing from the manifold outlet s 3 Remove the two screw that hold the manifold to the side extrution 4 Transfer the following item to the replacement manifold or install new as required pipeline check valve 1 inlet filter 2 inlet fitting 3 and o ring 4 relief valve 5 5 Transfer the pressure transducer to the new supply Section 9 11 Remove any teflon tape remnants from the transducer mounting threads transducer and module Apply 1 1 4 turns of new teflon tape around the treads Verify that the first few threads are free of tape Install the transducer 6 To reassemble perform the previous steps in reverse order 7 Perform the checkout procedure Section 3 9 28 11 03 1009 0357 000 9 Repair Procedures 9 10 Servic
89. with denatured alcohol 6 Apply Loctite 242 to the threads of the new caster Install the caster securely into place 7 Make sure the caster turns freely 8 Carefully lower the machine to the floor 9 Perform the checkout procedure Section 3 9 51 5 5 Avance 9 23 Reconfigure sample gas return line Sample gas return is directed to the scavenging system as a factory default Perform the following to reroute the sample gas back to the breathing system Refer to Tubing on page 11 10 1 2 9 52 Remove the plug from the tube Find the sample return line at the left Separate the scavenging tube Remove the tabletop Section 9 3 Port 4 A of the ABS breathing system is connected to the expiratory circuit downstream of the expiratory check valve As a factory default Port 4 is plumbed with a length of tubing that is plugged B at the far end rear corner of the pan assembly The sample return line includes an inline connector C at the point where the sample line goes down into the vent engine housing removing the inline connector from the portion of the tube that extends into the vent engine housing Plug the open end of the scavenging tube with the plug removed in step 3 Insert the inline connector from the sample return port into the open tube to Port 4 Pull on the connector to ensure that it is securely connected Replace the tabletop Perform the checkout pro
90. 0 supply Check supply Defective Bag Vent switch Check Bag Vent switch 1009 0357 000 11 03 T 3 5 5 Avance 7 2 Breathing System Leak Test Guide 7 4 Note A WARNING Always do the System All Checks Section 3 2 on the machine before proceeding with these breathing system leak tests The Low P leak check looks for leaks between the mixer vaporizer and the inspiratory side of the breathing circuit A failure in Quick check indicates a leak in Bag Mode A failure in Vent check indicates a leak in Vent Mode Follow the troubleshooting flowcharts in Section 7 2 2 to determine the best sequence of tests for locating a breathing system leak The procedures in Section 7 2 3 test specific components of the breathing system for leaks Objects in the breathing system can stop gas flow to the patient This can cause injury or death Donotuse atest plug that is small enough to fall into the breathing system e Make sure that there no test plugs or other objects caught in the breathing system 11 03 1009 0357 000 1 Troubleshooting 7 2 1 Check Valves Make sure that the check valves on the breathing circuit module work correctly The Inspiratory check valve rises during inspiration and falls at the start of expiration The Expiratory check valve rises during expiration and falls at the start of inspiration A leak across one of the check valves may be great enough to cause a reverse f
91. 00 In this section 1009 0357 000 11 03 10 Illustrated Parts 10 1 Service tools aia rte dees LIRE EA RP ERE EE VR MER 10 3 10 1 1 Software tools cuu e etre Td e er tede 10 3 8 1 2 Manifold pressure test 10 3 10 1 3 Test DEVICES ni ia rre uh ER n LEER Geka Wr EAE elated ct 10 4 10 1 4 Lubricants and Adhesives 10 4 TOTS TEST TOO S c us ER APIS ecu 10 5 10 2 External components front 10 6 10 3 External components front view references 10 7 10 4 External Components rear view 10 8 10 5 AC Power cords and AC Inlet filter 10 9 10 6 AC Inlet Outlet Components sssssssssee I 10 10 10 7 Display Units mee o eee preterea Paw Dieter et Wd ye eared 10 12 10 8 Lower electronic enclosure 10 14 10 9 Pan electronic enclosure components 10 15 10 10 Electronic Gas Mixer I 10 16 10 11 Pipeline inletfittings 0 00 cnet 10 17 10 12 Cylinder Gas Supplies sssesesssesees naee 10 18 10 12 1 Cylinderinletfittings lesse 10 19 10 13 Vaporizer manifold i
92. 00 8 O ring 22 ID 30 OD silicone 1407 3104 000 9 O ring 21 95 ID 25 51 OD 1406 3558 000 10 Screw M4x8 9211 0640 083 11 Cap 3 18 Barb Silicone 1406 3524 000 12 Adapter auxiliary inlet 30 mm male to 30 mm male 1003134 13 Adapter auxiliary inlet 30 mm male to 19 mm male M1003947 Passive AGSS Specific Parts 14 15 16 17 18 Receiver Passive Adjustable Plug Assembly tethered Screw shoulder M3 Connector 30 mm ISO Male Adapter scavenging 30 mm female to 19 mm male Lubricate sparingly with Krytox 1407 3908 000 1407 3909 000 1407 3915 000 1406 3555 000 1500 3376 000 11 03 1009 0357 000 Qty b pack 10 Illustrated Parts 6 5 1009 0357 000 11 03 10 39 5 5 Avance 10 22 2 Adjustable AGSS Items 1 through 12 are included in all AGSS kits Item Description Common Parts Stock Number Qty 1 Seal Receiver Body 1407 3901 000 2 Reservoir 1407 3903 000 3 Seal and scavenging down tube 1407 3904 000 4 Thumbscrew M6x28 5 1406 3305 000 5 O ring 4 42 ID 9 65 OD 1407 3923 000 2 6 Thumbscrew M6x43 1406 3304 000 7 Valve unidirectional negative pressure relief 1406 8219 000 Ta Seat Valve Negative Pressure 1406 3396 000 Tb Retainer disc 1400 3017 000 O ring 20 35 ID 23 90 OD 1406 3397 000 Td Disc check valve 0210 5297 100 8 O ring 22 ID 30 OD silicone 1407 3104 000 2 9 O ring 21 95 ID 25 51 OD 1406 3558 000 10 Screw M4x8 9211 0640 083 2 11 Cap 3 18
93. 0357 000 10 24 2 Suction Control Module m ud only with Venturi 5 Item 1a 3a 3b oN O OC 9 Description Gauge 760 mmHg Gauge 1 Bar O ring Gauge included with gauge assy 2ea required Control panel assembly with suction regulator knob and mode control knob Regulator Module plugs into manifold assembly O ring Regulator Module Stem included with regulator module O ring Regulator Module Large included with regulator module Manifold Assembly without Gauge and Regulator Module Screw 6 2 inch Mounting bracket Screw 6 1 inch Filter Pilot valve adapter assembly includes plunger jam nut and valve assembly 10 Illustrated Parts Stock Number 1009 3227 000 1009 3228 000 6700 0133 500 1009 3213 000 6700 1225 800 0210 0527 300 6700 0136 500 1009 3277 000 1009 3340 000 1009 3255 000 1009 3339 000 0206 5159 300 1009 3278 000 Lubricate the regulator module o rings and the mating bore of the manifold sparingly with Dow 111 lubricant Drop the plunger 9a round end first into the manifold Thread the pilot valve into the manifold body Set the mode switch to raise the plunger Adjust the pilot valve 9b so that the plunger actuates the pilot valve approximately half of its travel Tighten the jam nut 9c 1009 0357 000 11 03 10 47 5 5 Avance 10 24 3 Venturi assembly 10 48 Description C clip retainer Truarc Elbow fitting 4
94. 1 3 Adjusting Primary 5 8 5 205 Flush Regulator iy aaen A nE Inn 5 9 5 3 Adjust Drive Gas 5 10 5 4 Ventilator Calibrations 2 0 0 cee Hn 5 11 5 41 Cal Config i unter tuve woe ex i a dee OPER e quem atque 5 11 5 4 2 Manifold P Spalt ence sehe Rp UE E wk ee dae bags wae nee pede 5 12 54 3 Insp FloW Zero ieee ee eek PRI RE 5 12 5 4 4 Inspiratory Flow Valve Cal sssssssesssee I 5 13 5 4 5 Bleed Resistor Cal 0 0 cece nnne 5 13 54 0 Paw Spall in ie o MR A y eR Re a XM EU E eR aa ERA 5 14 V 5 5 Avance 6 Maintenance 7 Troubleshooting 6 1 5 5 Avance Planned Maintenance 6 2 6 1 1 Every twelve 12 6 2 6 1 2 Every twenty four 24 months 6 3 6 1 3 Every forty eight 48 months 6 3 6 2 Free breathing valve maintenance 6 4 6 3 MOPV pressure relief valve test 6 5 0 3 1 Test setup lt i eso ette nie ennt nd OW dtd atta 6 5 6 3 2 Test procedure i oneri MeN E E RE ERAS 6 5 6 4 Pressure Limit Circuittest s sisi I
95. 116 000 1504 3704 000 1504 3614 000 0210 0686 300 1504 3004 000 1503 3854 000 1503 3056 000 1503 3006 000 1503 3213 000 Refer to section 10 15 1 1504 3623 000 1011 3165 000 11 03 1009 0357 000 10 15 1 Vent Engine under side 10 Illustrated Parts Item Description Stock Number 1 Interface Manifold pneumatic engine 1504 8505 000 with free breathing valve and mechanical overpressure valve O ring 12 42 ID x 15 98 OD 2 1006 3615 000 1a Seat free breathing valve 1503 3204 000 1b Valve flapper 0211 1454 100 1c O ring 1503 3208 000 2 Fitting 6 35 mm 1 4 inch 1504 3621 000 3 Plug 6 35 mm 1 4 inch 1503 3245 000 4 Fitting barbed 1504 3014 000 5 Manifold 1503 3843 000 6 Gasket manifold 1503 3845 000 Plate manifold 1503 3844 000 8 Screw M4x8 Pozidriv PAN 1006 3178 000 If necessary clean with alcohol before installing new trim off flush with outside surface of seat referto removed flapper Install gasket into manifold Check to see that it is properly positioned A Carefully install plate onto manifold making sure not to disturb the gasket First start all screws Then torque to 1 7 N m 15 Ib in using sequence shown 1009 0357 000 11 03 10 23 5 5 Avance 10 16 ABS to machine Interface Components SCGO Item Description Stock Number 1 SCGO Selector Module complete 1009 3098 000 1a Flush pressure switch includes o ring 1006 3972 000 1b O ring 1006 3213 000 1c Screws 01
96. 12 9 5 Replacing the Display and MGAS cables 9 14 9 5 1 Remove the MGAS oxygen partition 9 14 9 6 Servicing the lower electrical enclosure components 9 15 9 6 1 Power Controller 9 15 9 6 2 Anesthesia Control board 9 16 9 6 3 Backup batteries ee lerne ene RR Rd 9 17 9 6 4 ciue Str Rune SR D HEUTE ANREISE MD TO Dd 9 18 9 6 5 Display Connector board 9 18 vii 5 5 Avance 9 7 Servicing the pan electrical enclosure 9 19 9 7 1 Electronic Gas Mixer assembly 9 19 9 7 2 Ventilator Interface board 9 20 9 7 3 Filte board issu ciii him IRR SETA mt vad SEES SERIE eee 9 21 9 7 4 Pan Connector board 9 22 9 7 5 Pan enclosure fan iis Aule lb EI au Rr rer ee Fee ard 9 22 9 8 Servicing the Vent Engine 38 9 23 9 8 1 To remove the Vent 9 24 9 8 2 Replacing Vent Engine components 9 25 9 8 3 Replacing GIV components 9 26 9 9 Servicin
97. 20V 220V Ventilator Pan Interface Connector board Board Vent Engine Board O2 Sensor SCGO Valve ACGO SCGO Switches 8 n o g o o o o a lt Bag to Vent Switch 5 p 8 z 8 a 2 a g ui Flow Control Valve Gas Inlet Valve Figure 11 4 Cabling block diagram 1009 0357 000 11 03 Outlet Box with Breakers i Isolation Transformer Fuse Block Electronic Gas O2 Flush Switch Mixer 8 z o x S Lower Task Light O2 Bypass Switch LL E gt o gt 9 E E On Standby LED Cylinder Pressure Transducer Air Cylinder Cylinder Pressure Transducer 20 Cylinder Cylinder Pressure Transducer O2 Cylinder Cylinder Pressure Transducer 2nd O2 Oylinder 5 E 5 a a o a 2 Air Pipeline Pipeline Pressure Transducer N20 Pipeline 11 Schematics and Diagrams 12V Battery 12V Battery Power Controller Control Board Anesthesia Display Connector MGAS Power Supply Board Board MGAS Module o a T Display Unit Pipeline Pressure Transducer O2 Pipeline Display Unit System Interface Board Backlight Inverter Board Board Backlight Backlight Color LCD Display Display Unit User Interface Board Backlight Inverter Display Unit CPU Board Network Cab
98. 24 POSN Harness Pan Connector board to Filter board 12 POSN Harness Filter board to VIB Harness Pan Connector board to VIB Cable ribbon Pan Connector board to Mixer Stock Number 1009 5549 000 1009 5560 000 1009 5544 000 1009 5543 000 1009 5546 000 1009 5547 000 1009 5550 000 11 03 1009 0357 000 10 Illustrated Parts Underside of Pan Connector Board gt AN G CAS Pan Connector LL Ventilator Interface Board AB 91 078 1009 0357 000 11 03 10 65 Notes 10 66 11 03 1009 0357 000 In this section Figure 11 1 Figure 11 2 Figure11 3 Figure 11 4 Figure 11 5 Figure 11 6 Figure 11 7 Figure 11 8 Figure 11 9 Figure 11 10 Figure 11 11 Figure 11 12 Figure 11 13 1009 0357 000 11 03 Schematics are subject to change without notice Circuit boards are available only as complete assemblies System Circuit diagiaM ened e aiandi iaa 11 2 Gas Scavenging dorm dats a a Vad RE RE Shad EE aa E eom 11 3 Pneumatic circuit 11 4 Cabling block diagrams rera etur CERE Re yew et sad a 11 5 System block diagram sheet 1 0 12 25 35 11 6 System block diagram sheet 2 0 12 11 7 Wiring connections pan area 11
99. 27 000 Lubricate sparingly with Krytox 1009 0357 000 11 03 10 19 5 5 Avance 10 13 Vaporizer manifold 3 4 AA 96 287 9 Item Description Stock Number Manifold assembly complete two position 1006 8355 000 Manifold assembly complete one position 1009 8065 000 1 O ring 0 687 inch ID 0 812 inch OD 0210 0544 300 2 Spring compression 1006 3736 000 3 Valve kit includes seal 1006 8373 000 4 Seal 1006 3690 000 5 O ring 14 3 mm ID 1102 3043 000 Package of 6 o rings 1102 3016 000 6 Nipple vaporizer port New Style 1006 4215 000 7 Screw M2 5 0 45x6 PAN Pozidriv SST 1006 3037 000 8 Spring Dzus 1102 3056 000 9 Seat check valve 1006 1352 000 10 O ring 27 1 OD 21 89 mm ID 1006 3866 000 11 Flapper 0211 1451 100 12 Housing 1006 1351 000 13 Screw M4 x 30 cap head 9211 0640 304 14 Valve relief 5 5 psi 7 16 20 THD 1006 4128 000 15 Flexible tubing 1 4 inch mixed gas 1001 3064 000 10 20 11 03 1009 0357 000 10 14 Vent Engine Housing 1009 0357 000 11 03 Item Description Vent Engine Cover Plate Assy CASTING VENT ENG HOUSING TAB GUIDE BELLOWS BASE SCR M3X16 POSI DR PAN HD A4 SST Cap Plug FITTING PNL MOUNT 3 18 HOSE BARB UNION PLUG HOLE 15 9 DIA NYLON MICRO PLASTICS PLATE CONN VENT SCR M4X8 POZI DR DIN84 PAN SERRATED Harness Vent Engine Board to Connector Plate BLOCK LATCHING DSUB CONN SCR 4 40 X 3 8 SKT BCG HD CAP CLIP SUCTION BAG HOSE SCR M5 X 1
100. 3 D65Z0V271RA140 Common 27 Mode 1 1 G2 1 U 9B 470V 2 1 GND GRN CHASSIS GROUND be ge ee he eee eee eee ee 4 GRAM yy e n ims me ee um md A mel end pum Rm Uam vmi mh Gummi amen mu hmc umm Rma ume ua muy EQUIPOTENTIAL STUD POWER CONTROLLER BOARD Oe o CHASSIS GROUND 177 LINE FILTER Figure 11 13 Schematic AC Inlet module 220 240 V no outlets 11 14 5A FUSE AB 91 057 11 03 1009 0357 000 5 5 Avance Technical Reference Manual English 1009 0357 000 1103A010102 Printed in USA Datex Ohmeda Inc All rights reserved
101. 32 psi 50 Pin Indexed 207 kPa 30 psi Repeat this step 4g three times If the test device reading under high flow conditions is less than specified readjust the regulator per the procedure in Section 5 1 3 however set the regulated pressure higher by the difference you noted in this step plus 7 kPa 1 psi This adjusts the low flow regulated output to the high side of the specification so that the high flow regulated pressure can fall within the specification If the regulator subsequently fails the low flow specification step 3d because the reading is too high replace the cylinder supply Set the system switch to Standby Close the cylinder valve Bleed the system of all pressure OOO Disconnect the test device and plug the test port pull on the plug to ensure it is locked in the fitting 10 Replace the ABS breathing system 11 Replace the rear panel 12 Perform the checkout procedure Section 3 1009 0357 000 11 03 5 5 5 5 Avance 5 6 Test B For all gases not used to supply drive gas to the ventilator Under low flow conditions the output pressure of a properly adjusted functioning regulator should fall within specifications listed in step 4e Under high flow conditions the output pressure should not drop below the specifications in step 5b 1 2 3 On the Main Menu of the Service Application select Gas Diagnostics On the Gas Diagnostics menu select Gas Sup
102. 44 2124 201 1d Switch mode CGO SCGO kit 1009 3282 000 1e Valve relief 150 cmH20 1009 3052 000 1f Solenoid kit CGO 1009 3279 000 2 Tubing silicone 110 mm 100 mm 1009 3164 000 3 Tie wrap 0203 5915 300 10 24 11 03 1009 0357 000 10 17 ABS to machine Interface Components ACGO 1009 0357 000 11 03 Item Description 1 Port ACGO body 2 Screw M4x30 3 Lockwasher M4 4 Cap ACGO check valve 5 Screw M4x8 6 Disk ACGO check valve 7 Flapper ACGO check valve 8 O ring 9 Fitting elbow barbed 10 O ring 11 Screw M3x6 12 ACGO Selector Switch complete without guard item 13 12a Flush pressure switch 12b O ring 12c Screws 13 Guard 14 Tubing silicone 15 Tie wrap Lubricate sparingly with Krytox 10 Illustrated Parts 12a 12b 12c 12 Stock Number 1009 3096 000 9211 0640 304 9213 0540 003 1009 3095 000 9211 1040 069 1009 3062 000 1009 3097 000 0210 0543 300 1009 3160 000 0210 0691 300 9211 1030 055 1009 3099 000 1006 3972 000 1006 3213 000 0144 2124 201 1009 3140 000 1009 3164 000 0203 5915 300 10 25 5 5 Avance 10 18 Flush Regulator and Flush Valve 10 26 Item 1 ON DO RA CO NY Description Flush valve without button Flush Button with rod Spring E clip Bracket Screw M4x8 Screw M4x12 Lockwasher M4 Regulator O Flush 2 3 4 Stock Number 1006 8357 000 1011 3354 000 1006 3186 000 0203 5225 300 1011 3355 000 1006 3178 000 0140
103. 5 16 The Os cell or plug and the cell cable are not included in the breathing circuit module Description Breathing Circuit Module LENS CIRCUIT CHK VALVES O RING 44 02 ID 51 1 OD 3 53 W SI 70 DURO Check Valve Assembly RETAINER DISK 26 97D 12 7H 0 76T DISC CHK V RVSBL 1 025D SEAT UNIDIRECTIONAL V B S O RING 20 35 ID 23 90 OD 1 78W PLATE CIRCUIT FLANGE SCR SEMS 8 BT SKT HD W EXT L W SST 316 HOOK LATCH O RING 22 ID 30 OD 4 W SI 40 DURO O RING 13 94 ID 19 18 OD 2 62 W SI 50 DURO MANIFOLD CIRCUIT PIN CANISTER PIVOT RING TRUARC 188 SHAFT NO 5133 18H E RING SST LEVER CANISTER LATCH PIN CANISTER LEVER 05 Cell O ring cell Plug with o ring for units without circuit sensing O ring plug Cable O Cell Lubricate sparingly with Krytox 10 Illustrated Parts Stock Number 1407 7002 000 1407 3101 000 1407 3507 000 1406 8219 000 1400 3017 000 0210 5297 100 1406 3396 000 1406 3397 000 1407 3110 000 0144 2436 108 1407 3604 000 1407 3104 000 0210 0463 300 1407 3100 000 1407 3109 000 0203 5225 300 1407 3102 000 1407 3108 000 6050 0004 110 1406 3466 000 1503 3857 000 1407 3112 000 1009 5570 000 10 33 5 5 Avance 10 21 6 Exhalation valve 10 34 Item ON DO gt CO MN e e e e O 13 Description Exhalation Valve Assy BASE EXHALATION VALVE DIAPHRAGM ASSY EXH VALVE SEAT EXHALATION VLV ABS COVER EXHALATION VALVE SCR M4X16 PH PAN HD SST TYPE 316
104. 5 000 1006 3807 000 1001 3309 000 1009 5722 000 1009 5721 000 1009 5720 000 1009 5719 000 1009 5692 000 1009 5758 000 0144 2131 923 0144 2131 914 9213 0560 003 0402 1107 500 1009 3063 000 1006 3178 000 11 03 1009 0357 000 10 Illustrated Parts 14 15 Australia China AS 3112 1001 3305 000 AA 96 228 Japanese 1006 3578 000 EURO CEE 7 7 1202 3551 000 Swiss SEV 1011 1006 3807 000 France CEE 7 4 1006 4421 000 UK BS1363 1001 3309 000 India and South Africa BS 546 1006 3805 000 NA Nema 5 15 1006 3555 000 G3 1009 0357 000 11 03 10 11 5 5 Avance 10 7 Display Unit 10 12 Item Noo WN Ta Tb 7C 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 41 42 43 44 4p 46 47 48 49 Description Display Assembly complete without keypads Enclosure rear CPU Board display unit with PCMCIA frame Frame PCMCIA Gasket knife edge 2 each Battery Lithium 3V positive side up Display LCD 12 inch color includes backlights Backlight Kit backlight assembly 2 inverters and hardware Inverter backlight Harness inverter Spacer 8mm Nylon Grommet diagonal cut backlight cable Enclosure front Gasket EMC 1 8mm OD hollow RND 2 3 m per enclosure Window Encoder assembly Knob ComWheel Membrane switches right Membrane switches lower Keypad right side part of keypa
105. 5534 000 1009 5514 000 10 27 5 5 Avance 10 20 Breathing system interface 17 16 19 18 21 22 13 11 12 6 7 8 3 4 1 Item Description 1 ASSEMBLY MAIN SUPPORT CASTING 2 Bolt M6x16 flange 3 HANDLE GRIP 4 SCR M6X16 Sems 5 LATCH PUSH TO CLOSE 6 LATCH PUSH TO CLOSE W MICROSWITCH 7 SCR SKT HD CAP M3 0 5X8 SST 8 WASHER LOCK EXTERNAL M3 9 Port plug circuit 10 Port fresh gas 11 SEAL U CUP 12 7 ID BCG 19 05 OD EPR 12 RING RET 15 88 SHAFT DIA TYPE E SST 13 Port sample gas 14 Connector BULKHEAD 02 CELL with harness 15 RING RETAINING 9 53 SFT DIAMETER TYPE E SST 16 SW SUBMINITURE W QDISC TERMINALS 17 SCR M2 5 X 10 18 BRACKET BTV SWITCH 19 LEVER BTV SWITCH 20 CAP BRACKET BTV 21 SCR SKT HD CAP M3 0 5X8 SST 22 WASHER LOCK EXTERNAL M3 Lubricate sparingly with Krytox 10 28 10 11 12 for SCGO Stock Number 1407 7010 000 1009 3125 000 1407 3317 000 0144 2436 109 1407 3309 000 1407 3310 000 1006 3865 000 9213 0530 003 1407 3333 000 1407 3314 000 1407 3320 000 1406 3446 000 1407 3318 000 1009 5586 000 1406 3277 000 1406 3296 000 1009 3153 000 1407 3319 000 1407 3325 000 1407 3324 000 1006 3865 000 9213 0530 003 9 11 12 for ACGO 10 11 12 13 11 12 14 15 4 4 2 2 11 03 1009 0357 000 10 21 Breathing System 10 21 1 APL Valve 7 4 5 6 AB 82 008 Item Description 1 APL Valve Assy includes items 2 through 6 2 SPRIN
106. 6 PAN PH HD SST Lockwasher Vent Engine 10 Illustrated Parts 13 14 15 Stock Number 1407 7009 000 1407 3301 000 1407 3313 000 1504 3003 000 1406 3524 000 1504 3014 000 1006 1473 000 1407 3321 000 1006 3178 000 1009 5545 000 1504 3617 000 0144 2117 206 1407 3327 000 9211 8350 163 0144 1118 220 Refer to section 10 15 11 12 a gt NR a NO N LS 10 21 5 5 Avance 10 15 Vent Engine 10 22 Item A 10 1a 1b 1c 1d 1e 1f 18 1 Description Vent Engine Assembly Service Avance Gas Inlet Valve GIV components Solenoid 3 way NO with mounting screw Retaining ring 34 9 mm Cap inlet valve O ring upper Viton Shuttle inlet valve U cup upper EDPM fits on shuttle valve U cup lower Viton fits on shuttle valve O ring lower Viton Filter under GIV 2 micron install course side DOWN Fitting manifold pressure Reservoir pneumatic engine O ring base 56 87 IDx 60 43 OD O ring screw head 0 219 IDx 0 344 OD Screw 6 90 Flow control valve HSC BCG O ring under flow control valve 2 each Drive gas check valve O ring under drive gas check Interface Manifold Regulator 172 kPa BCG Vent Engine Connector board not part of assembly Stock Number 1009 8216 000 Referto section 9 8 3 1503 3853 000 1500 3158 000 1503 5006 000 9221 3032 116 1503 5018 000 1503 3090 000 1503 3089 000 1503 3108 000 1504 3708 000 1500 3
107. 60 Item 10 11 12 13 14 15 16 17 18 19 20 21 Description Power Cord Harness 100 120 V to Toroid Harness 220 240 V to Toroid Harness to 100 120 V outlets Harness to 220 240 V outlets Harness fuse block to AC line filter Harness AC line filter to Power Controller Board Harness Filter Board to On Standby switch and LED Harness On Standby switch Harness Filter Board to SCGO ACGO Harness Filter Board to ABS flow sensors includes tubing Cable Filter Board to Vent Engine harness connector Harness Filter Board to O Cell and ABS switches Harness Filter Board to Task Lights Harness Filter Board to Alternate O switch Harness Task Light Harness Lower Task Light Harness Vent Engine Board Harness Bag Vent switch to Filter Board harness Harness O Cell to Filter Board harness Transducer pipeline pressure includes cable Transducer cylinder pressure includes cable Harness ACGO switch to Filter Board harness Stock Number Refer to section 10 5 1009 5752 000 1009 5753 000 1009 5716 000 1009 5717 000 1009 5751 000 1009 5754 000 1009 5538 000 1009 5542 000 1009 5528 000 1009 8223 000 1009 5521 000 1009 5531 000 1009 5533 000 1009 5532 000 1009 5853 000 1009 5854 000 1009 5545 000 1009 5585 000 1009 5586 000 1011 3000 000 1011 3001 000 1009 5872 000 11 03 1009 0357 000 10 Illustrated Parts Yt Task
108. 6226 111 9213 0540 003 1011 3168 000 11 03 1009 0357 000 10 19 Front panel Alt 02 and system switch Table 1 Language Chinese Czech Alt 0 Label 1009 3332 000 1009 3322 000 Danish 1009 3331 000 Dutch 1009 3317 000 English 1009 3315 000 Finnish 1009 3321 000 French German 1009 3316 000 1009 3314 000 Greek 1009 3326 000 Hungarian 1009 3327 000 Italian 1009 3318 000 Japanese 1009 3328 000 Norwegian Polish 1009 3324 000 1009 3323 000 Portuguese 1009 3320 000 Russian 1009 3330 000 Spanish 1009 3319 000 Turkish 1009 3325 000 1009 0357 000 11 03 Item AUN 10 11 Description Switch D O system Harness On Standby system switch Panel Label Alt Oz Needle Valve assembly flow control Knob set screw not included Set screw Bracket Screw M4x8 bracket to needle valve 2 each Screw M4x10 assembly to front panel 4 each Switch Alt O includes harness Flowmeter Alt O Bracket flowmeter Screw 10 32x3 8 bracket to flowmeter 2 each Screw M4x10 assembly to front panel 4 each LED assembly mains green 10 Illustrated Parts Stock Number 1006 8452 000 1009 5542 000 1009 3019 000 See Table 1 1011 3429 000 1011 3472 000 9211 0830 053 1009 3127 000 0144 2436 108 1009 5534 000 1009 5517 000 1011 3428 000 1009 3126 000 0140 6631 107 1009
109. 8 Wiring connections back 51 11 9 MUI A 11 10 Schematic AC Inlet module 100 120 V Non isolated outlets or no outlets 11 11 Schematic AC Inlet module 100 120 V Isolated 11 12 Schematic AC Inlet module 220 240 V Non isolated outlets or no outlets 11 13 Schematic AC Inlet module 220 240 V Isolated 11 14 11 Schematics and Diagrams 11 1 r ffe Opt 02 P LINE L 2 02 Cyl opt AIR P LINE PU 1 Max2 cylinders Sy Yor L z J Air Cyl opt N20 P LINE opt Std US ORFE ___ __ 1 N20 Cyl opt 35 psig 2nd 02 Reg 6 110 psig r 4 Relief oh Venturi C 110 psig Relief za Venturi 2 0 110 psig f4 Relief E 5 5 Avance APL valve 0 70 cm H20 ree E a Vent Engine Atmosphere ER NO 1 fl tot thee 2 P y Not Used 21 ja Bag l Popoff p gt Valve Bag Vent Mechanical Over Pressure gh Valve 110 cm H20 H Exhalation Valve 2 0 cm H20 bias l Drive Gas Check Valve x 71 3 5 cm H20 bias Y i e tan ce 02 FLUSH 0 10 LPM Drive Gas 0 10 LPM Patient and Fresh Gas 0 20 LPM Total Typical Flow 0 120 LPM Flow tAltemate 02 4 Disable
110. AB 91 051 11 11 Notes INRUSH PCA 100 120V R2 18 r 1 AC INLET MODULE 15A FUSIBLE id SYSTEM BREAKER 10 l BRN LINEIN Sw o LINE A BRN e b 1 LINE OUT FILTER 1 5 250 ROCKER D6521Z0V151RA20 m AC INLET P 10 JH1A W AC120V Q IEC 320 t Differential G1 R1 L Mode U 5B 10 250V 20 15 2W F1 RV1 1A D6521Z0V141RA20 250VAC BLU NEUTRAL IN FUSE2AG NEUTRAL OUT Common Mode U 5B 250V 15 GND GRN YEL CHASSIS GROUND e GRN YEL 1 717 POWER CONTROLLER BOARD EQUIPOTENTIAL STUD fof 5A LINE FILTER FUSE CHASSIS GROUND CONNECTOR ISOLATION TRANSFORMER BLK N a THERMAL FUSE 130C BRN THERMAL FUSE 130C BLK WHITE Figure 11 11 Schematic AC Inlet module 100 120 V no outlets 11 12 AB 91 056 11 03 1009 0357 000 OUTLET BREAKERS Es COUNTRY SPECIFIC OUTLETS e INRUSH PCA 220 240V R2 6 8 1 ACINLET MODULE 8A SYSTEM BREAKER 105 K1 1 BRN LINE IN FUSIBLE 4 i LINE OUT LINE i ass chi
111. ARNINGS 1009 0357 000 11 03 3 Checkout Procedure 3 1 Inspecttlie system stver io DR eed M S 3 2 3 2 System AIl Checks bts xen vaste eive vela erc ae e s 3 3 3 2 1 LowP leak check ike mr eR eR hr ne 3 3 B22 2 Quick Cle Ck ni ce eren eR terreri eee Rte RR OU 3 4 312 3 Vent checK punte HEREIN a a a Rae RE ores 3 4 3 2 4 Circuit Oo cell check illie Rc rr RE ERE ben 3 4 3 9 BaCkliglit test ete iE or oA eye eia bale 3 5 3 4 Vaporizer back pressure test 28 3 8 3 5 3 5 Pipeline and cylinder tests 00 4 4 I 3 6 3 5 1 0 supply alarm test eee e 3 6 3 6 Press re relief tests i22 14e eet EA uix et ae PLE LN 3 7 Si Fl shiEloW TeSt e e reete e on 3 8 3 8 Alamitests cessisse RR RR p UR eta RR SR EE ERE ET EYE REA 3 9 3 9 Alternate O flowmeter tests 3 10 3 10 Auxiliary 05 flowmeter tests 3 10 3 11 Integrated Suction Regulator tests 3 10 3 12 Power failure test si cytes whe HARE C RE een oes Bees aes 3 11 3 13 Electrical safety tests ku EE ded bee a DE de ana 3 11 After any repair or service of the Avance system complete alltests in this section Before you do t
112. Anesthesia Control board if problem continues 7 34 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MANIFOLD PAW Vent Fail Monitoring Calibration failure at bootup Medium AC SENSOR FAIL Only Vent In the Service Software Vent Flow amp Pressure Diagnostics verify the Manifold Flow counts is 800 250 Disconnect the White in line connector in the Manifold Pressure If the counts return within specified range check for occlusions in the Bulkhead harness Ifthe counts do not return within the specified range replace the VIB MGAS CHECK SAMPLE Check sample gas out MGAS SPEC Continuous Medium MGAS MGAS present and GAS OUT gt 20 SEC Occlusion Bit set MGAS communicates continuous occlusion for 20 seconds Replace sample line See AM TRM for further Troubleshooting MGAS INLET FILTER RESIDUE gt 40 SEC 1009 0357 000 11 03 Replace D Fend MGAS SPEC Residue build up Medium MGAS MGAS present and onthe water trap membrane This MGAS communicates decreases air flow this the Replace Trap alarm bit for 40 seconds Replace D Fend See AM TRM for further Troubleshooting 7 35 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MGAS LINE BLOCKED gt 20 SEC Sample line blocked MGAS SPEC states The sample Medium tubing inside o
113. Barb Silicone 1406 3524 000 12 Adapter auxiliary inlet 30 mm male to 30 mm male M1003134 13 Adapter auxiliary inlet 30 mm male to 19 mm male M1003947 Adjustable AGSS Specific Parts 14 Receiver Passive Adjustable 1407 3908 000 15 Plug Assembly tethered 1407 3909 000 16 Screw shoulder M3 1407 3915 000 17 Needle Valve Assembly with DISS EVAC connector 1407 3918 000 18 Bag with 30 mm male connector 8004460 Lubricate sparingly with Krytox 10 40 11 03 1009 0357 000 10 Illustrated Parts 6 5 1009 0357 000 11 03 10 41 5 5 Avance 10 42 10 22 3 Active AGSS Items 1 through 12 are included in all AGSS kits Item Description Common Parts Stock Number Qty 1 Seal Receiver Body 1407 3901 000 2 Reservoir 1407 3903 000 3 Seal and scavenging down tube 1407 3904 000 4 Thumbscrew M6x28 5 1406 3305 000 5 O ring 4 42 ID 9 65 OD 1407 3923 000 2 6 Thumbscrew M6x43 1406 3304 000 7 Valve unidirectional negative pressure relief 1406 8219 000 Ta Seat Valve Negative Pressure 1406 3396 000 Tb Retainer disc 1400 3017 000 O ring 20 35 ID 23 90 OD 1406 3397 000 Td Disc check valve 0210 5297 100 8 O ring 22 ID 30 OD silicone 1407 3104 000 2 9 O ring 21 95 ID 25 51 OD 1406 3558 000 10 Screw M4x8 9211 0640 083 2 11 Cap 3 18 Barb Silicone 1406 3524 000 12 Adapter auxiliary inlet 30 mm male to 30 mm male M1003134 13 Adapter auxiliary inlet 30 mm male to 19 mm male M1003947 Ac
114. Board Supplies If Vent Int Bd 10VA Voltage reads OK and 3 2 Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT AIRWAY Inspiration stopped High airway overpressure signal Medium AC Mechanical Ventilation OVERPRESS SIGNAL set Vent On No Service Action Reboot system If problem continues check Airway Pressure signal in Service Mode VENT AIRWAY Vent Fail Monitoring Ventilator SIB indicates the High Medium Mechanical Ventilation OVERPRESS SIGNAL Only Airway overpressure signal was Vent On FAIL set and Paw lt 90 cmH50 and Pmanifold 80 cm H50 No Service Action Reboot system If problem continues check Airway Pressure signal in Service Mode VENT FLOW VALVE FAIL Vent Fail Monitoring Incorrect current feedback for 7 Medium CURRENT Only consecutive readings Vent Reboot System If problem continues in the Service Software Vent Flow amp Pressure Diagnosis increase the Flow Valve counts and view the Flow Valve Current mA and Counts VENT SUSTAINED PAW Vent Fail Monitoring Paw gt 100 cmH50 for 10 Medium AC In range Paw data SDOWN Only seconds Vent available No Service Action 1009 0357 000 11 03 Reboot system If problem continues check Airway Pressure signal in Service Mode 1 43 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling
115. CGO ACGO C Cable from flow sensors D Cable from Vent Engine board E Harness from ABS switches F Harness from task lights Harness from Alt O H 3 Remove the six screws that hold the Filter board to the enclosure If the enclosure cover is removed disconnect the three harnesses from the back side of the board before removing the mounting screws 4 Ifthe cover is in place pull the Filter board away from the enclosure and disconnect the three harnesses from the back side of the board 5 Toreplacethe Filter board reassemble in reverse order 9 21 5 5 Avance 9 22 9 7 4 Pan Connector board 9 7 5 Pan enclosure fan The Pan Connector board is a wiring interface between the lower electrical enclosure components and the pan electrical enclosure components refer to Figure 11 8 1 Disconnect the wiring from the top side of the Pan Connector board Two harness connectors coming from the Filter board One harness connector coming from the Ventilator Interface board One ribbon cable connector coming from the Electronic Gas Mixer 2 Remove the four screws that hold the Pan Connector board to the enclosure 3 Liftthe Pan Connector board away from the enclosure and disconnect the large ribbon cable and the harness from the under side of the board 4 Toreplacethe Pan Connector board reconnect the large ribbon cable and the harness to the under side of the board 5 Lowerthe
116. Criteria Action Troubleshooting VENT VALVE POWER Vent Fail Monitoring Nominal 12 5V 11 3 Vor Medium AC FAIL Only 213 13Vdc Vent In the Service Software Vent Interface Bd Power Diagnosis view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and the Vent Valve 10VA Volts reads Fail disconnect the VIB to Pan connector harness If the Vent Valve 10VA Volts continues to read Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB 7 44 11 03 1009 0357 000 1 Troubleshooting 1 4 Steps and Messages displayed during the System Checkout 7 4 1 Steps forthe stepi Check to make sure bag vent switch is set correctly Quick Check If switch is setto manual mode continue with the next step If set to ventilator mode fail with Wrong circuit selected Step2 Is O available and working If O5 Supply is Not low and mixer passes a mixer flow test of 250 ml min of O continue with the next step If not fail with Low O supply pressure or with mixer failure Step3 Is circuit airway pressure too high Checkthe circuit airway pressure is less than 30 cm H50 continue with the next step If airway pressure greaterthan 30 cm H50 fail with Circuit pressure too high Step4 Find manual circuit leak Increase flow to find the manual circuit leak If pressu
117. DC COM FAIL may shut down cannot be established for ten seconds Reboot system If problem continues 1 Check DU cable connections 2 Check the Display Connector board cable connections 3 Replace the Power Controller board POWER SUPPLY 75C Circuitry gt 75C Power supply temperature Medium PC shutdown possible exceeds 75C Check Clean cooling fan PWR CNTRL DC DC FAIL 1009 0357 000 11 03 Using battery PC fail supply is OK AC GOOD HIGH Medium PC butthe system reports using the battery BATT STAT 1 and 2 LOW Reboot system If problem continues replace the Power Controller Board 7 41 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting REVERSE EXPIRATORY Reverse exp flow Flow towards the patient volume Medium AC Vent In range flow data FLOW Check valves OK gt 20 mL on expiratory sensor available mechanical and flow towards the patient ventilation on volume gt 5 mL on the inspiratory sensor during inspiration for 6 consecutive mechanical breaths Check flow sensor connections for No Flow Sensor alarm Check the breathing circuit Perform flow sensor calibration Check Insp Exp check valves Replace the flow sensors Check for kinked VIB tubing Check the VIB cabling SCGO Vol and Apnea Non Circle SCGO selected Low DC System has SCGO monitoring off No service action required STANDBY PATIENT No fre
118. EE 2 2 2 2 Powersubsystem soer ones et teas er ee E erras EON La e dea es 2 4 2 2 1 Power 2 5 2 2 2 Power distribution llssssesessssse II 2 6 2 3 Display UN T Wad eaae ceder etd era NT rm RIA Sacre 2 8 2 4 System communications srei sn oisean ea A E en 2 9 2 5 System connections 6 ccc cece seen 2 10 2 5 1 Display 2 e vox ect PE bei en 2 10 2 5 2 Display Connector board 2 10 2 6 Power Controller and Anesthesia Control board connections 2 11 2 7 Anesthesia Control board 0 cece eee eee men 2 12 2 8 Electronic Gas Mixer oqir eect IH 2 14 2 9 Ventilator Interface 2 16 2 10 Gas flow through the anesthesia machine 2 18 2 10 1 OVEMEW cies citer a RES PETS eX ba 2 18 2 10 2 Physical lt 2 22 2 10 3 Suction regulators 2 23 2 11 Flow through the breathing system 2 24 2 11 1 Overview of flow paths 2 24 2 11 2 Manual ventilation 0 cece I 2 25 2 11 3 Mechanical ventilation 2 28 2 11 4 Fresh gas and 0 flush flow with SCGO
119. G CPRSN 53 14 OD 36 8 L 1 48 N MM 3 RETAINER SPRING APL 4 DIAPHRAGM APL 5 CAGE APL 6 POPPET APL VALVE 7 RAMP APL 8 COVER APL 9 MANIFOLD APL BTV 10 Cover Manifold APL BTV with 22 mm male bag port Cover Manifold APL BTV with Australian bag port 22 mm female 11 WEIGHT DEAD 14CM H20 BCG ABS NEG RELIEF 12 SEAL ABS NEG RELIEF VLV 13 O RING 22 ID 30 OD 4 W SI 40 DURO 14 O RING 88 49 ID 95 55 OD 3 53 W SILICONE 50 DURO 15 O RING 1 049ID 1 2550D 103W EPDM NO 121 16 SCR M4X16 BT SKT HD SST TYPE 316 17 Lockwasher M4 external 18 SCR THUMB M4 SHLDR 7 5 X 7 19 RING RETAINING 3 96 SFT DIA CRESCENT SST 20 SCR M4 X 40 FLHD SST PH 21 O RING 2 9 ID 6 46 OD 1 78 W EP 70 DURO 22 SCR SEMS M4X8 BT SKT HD W EXT L W SST 316 1009 0357 000 11 03 10 Illustrated Parts 20 21 Stock Number 1009 8200 000 1406 3328 000 1407 3404 000 1406 3331 000 1406 3333 000 1406 3332 000 1407 3400 000 1407 3405 000 1407 3401 000 1407 3402 000 1407 3412 000 1407 3406 000 1407 3407 000 1407 3104 000 1407 3403 000 1407 3408 000 0140 6226 115 9213 0540 003 1407 3410 000 1407 3411 000 0140 6226 122 1407 3409 000 0144 2436 108 16 17 11 12 QTY Q Q 3 3 Q Q 3 10 29 5 5 Avance 10 21 2 Bag Vent Switch 10 30 Item BW N AB 82 022 Description BTV Switch Cartridge COVER BTV SCR SEMS M4X8 BT SKT HD W EXT L W SST 316 O RING 44 02 ID 51 1 OD 3 53 W SI 70 DURO SEAL BTV Sto
120. If problem continues 1 Check cabling 2 Replace VIB 3 Replace ACB DCB RAM ERROR System Malfunction Self test failure or multi bit error High DC detected Reboot System If problem continues replace the Display Controller Board 7 32 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting DRIVE GAS LOST Ventilator has no drive 0 supply low if O is selected High AC Mechanical Ventilation as drive gas DC isON OR checks AIR supply low if Air is selected enable drive gas criteria Connect O or AIR supply See Action Troubleshooting for O5 PRESS LOW or AIR PRES LOW EXP FLOW SENSOR Calibrate flow sensors Exp Flow Sensor zero offsetoutof Low AC Flow sensor detected CAL ERROR range Vent In the Service Software Vent Flow amp Pressure Diagnostics verify the Expiratory Flow counts is 2050 x 250 Disconnect the Blue and Yellow in line connectors If the counts return within specified range check for occlusions in the Bulkhead harness Ifthe counts do not return within the specified range replace the VIB EXP FLOW SENSOR Replace exp flow EEPROM cal data read failure Low AC EEPROM FAILURE sensor Vent Replace Exp Flow Sensor FAN FAIL Cooling fan needs Fan Power Status Bit is Low Medium Communication service System OK FAN1_GOOD between DU and Display Computer Connect Pan or fan Replace co
121. Light EU m ooo O O gt E Lower Task Light Alternate 0 Power Controller Filter Board Board AB 91 060 AB 91 011 Switch Assembly 1009 0357 000 11 03 10 61 5 5 Avance 10 35 Cables and harnesses in lower electronic enclosure 10 62 Item 10 Description Cable to MGAS Airway module power supply Cable to Display Unit system power interface Cable to Display Unit system signal interface Harness J3 PCB to J5 DCB Cable ribbon J2 ACB to J9 DCB Harness J7 ACB to J6 DCB Cable ribbon J1 ACB to underside of Pan Connector Board Harness J3 ACB to underside of Pan Connector Board Harness J4 ACB to J4 PCB Harness battery Stock Number 1009 5555 000 1009 5571 000 1009 5572 000 1009 5552 000 1009 5561 000 1009 5556 000 1009 5549 000 1009 5560 000 1009 5551 000 1009 5557 000 11 03 1009 0357 000 10 Illustrated Parts 1009 0357 000 11 03 10 63 5 5 Avance 10 36 Cables and harnesses in Pan enclosure 10 64 Item Description Cable ribbon J1 ACB to underside of Pan Connector board Harness J3 ACB to underside of Pan Connector board Harness Pan Connector board to Filter board
122. MP LIMIT 1 38 Alternate O Screen Mixer error bit SIS CH1 TEMP LIMIT 03 05 temperature exceeds 50 C Medium AC Mixer Reboot System If problem continues replace the Mixer 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MIXER 02 ZERO LEAK Mixer status bit Medium FAIL STS CH1 ZERO FLOW TESPRO Mixer PN V LEAK FAILT FAIL O proportional valve fails zero flow checks for leaks when it should be closed Reboot System If problem continues replace the Mixer MIXER P SENSOR P2 Mixer error bit Medium AC FAIL STS PRESS SENSOR FAIL P2 Mixer Pressure sensor 2 in the mixer has failed Reboot System If problem continues replace the Mixer MIXER POST FAIL Alternate O Screen Mixer tells AC that Power Up Self Medium Test Fail Mixer See associated Error in Error Log i e MIXER O FLOW CHECK FAIL or Mix FLOW VERIFICATION FAILURE dP CH1 MIXER PRES SENSOR Mixer error bit Medium P1P3 FAIL STS PRESS SENSOR FAIL P1P Mixer 3 One of the O pressure sensors in the mixer has failed Reboot System If problem continues replace the Mixer MIXER SW WDOG FAIL Alternate Screen Mixer status Bit Medium STS SW WDOG FAIL Mixer Reboot System If problem continues replace the Mixer MIXER VOLTS FAIL Alternate 0 Screen Mixer power supply board is
123. Mixer Status Bit SIS FLASH CRC FAIL Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER CRC RAM FAIL Alternate 0 Screen Runtime CRC walking pattern check on RAM failed Mixer Status Bit STS_RAMCRC_FAIL Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER N20 SELECTION VLV FAIL Mixer Status Bit STS_SELV_VN20_NOTIFY_FAIL The status of the N50 selector valve does not match the commanded state Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER 02 TSENSOR FAIL Alternate O5 Screen Mixer error bit SIS T1 SENSOR FAIL 0 temperature sensor failure Medium AC Mixer Reboot System If problem continues Replace the Mixer MIXER 02 F SENSOR FAIL Alternate O Screen Mixer error bit STS F2F1 SENSOR FAIL 03 O flow sensor fail Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER 02 FLOW CHECK FAIL Mixer status bit STS FLOW TEST CH1 FAILTLP M FLOW TEST FAIL O5 proportional valve fails flow check Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER 02 SELECTION VIV FAIL Mixer Status Bit STS SELV VOXY NOTIFY FAIL The status of the O selector valve does not match the commanded state Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER 02 TE
124. O RING 2 9 ID 6 46 OD 1 78 W EP 70 DURO SCR THUMB M6X43 10MM HEAD B S O RING 4 47 ID X 8 03 OD 1 78 W EPR 70 DURO RETAINER DISK 26 97D 12 7H 0 76T SST FLUTTER V WEIGHT DEAD 10 CMH20 BCG PASSIVE AGSS SEAT POSITIVE PRESS BCG VALVE PASSIVE AGSS O RING 0D19 16 BCG ID15 6 EPDM DURO 70 016 RING RETAINING 19 05 SHAFT DIA SST Lubricate sparingly with Krytox Stock Number 1407 7005 000 1407 3700 000 1503 8121 000 1407 3704 000 1407 3701 000 9211 0440 163 1407 3409 000 1406 3306 000 1407 3703 000 1400 3017 000 1406 3572 000 1406 3571 000 1006 3616 000 1406 3577 000 11 03 1009 0357 000 Qty aaa N CO 5 10 Illustrated Parts 10 21 7 Bellows Item Description Stock Number 1 Bellows housing 1500 3117 000 2 Bellows 1500 3378 000 3 Rim 1500 3351 000 4 Pressure relief valve assy 1500 3377 000 5 Latch base 1500 3352 000 6 Seal base 1500 3359 000 7 Base bellows Refer to section 10 21 8 8 Manifold bellows base 1407 3702 000 1009 0357 000 11 03 10 35 5 5 Avance 10 21 8 Bellow base Item Description Stock Number 1 Bellows Base Assy 1407 7006 000 1a Latch Assy 1407 7007 000 2 HOOK LATCH 1407 3604 000 3 E Ring 0203 5225 300 10 36 11 03 1009 0357 000 10 21 9 Bag Arms 1009 0357 000 11 03 2b 2c 2d 2e 3a 3b 3c 3d 3e 3f ours 10 Illustrated Parts 1 8 9 10 Description Bag Arm Assembly complete Bag Arm Upper Assembly Cover b
125. Open the gas inlet valve Press the ComWheel to return focus to the selection menu Select Flow Valve Control Adjustthe Flow Valve counts until the Flow Valve Setting at the bottom of the screen reads 15 l min If required adjusting the regulator to 172 1 72 kPa 25 0 25 psi 11 03 1009 0357 000 5 Calibration 5 4 Ventilator Calibrations 5 4 1 Cal Config 1009 0357 000 11 03 Before performing the ventilator calibrations verify that the drive gas regulator is adjusted to specifications Section 5 3 The Service menu structure is detailed in Section 4 To access the Ventilator Calibrations menu 1 Tum on the system 2 Navigate the menu selections to the Installation menu On the Checkout menu select Bypass Checks On the Start Case menu press the Main Menu button On the Main Menu select Screen Setup On the Screen Setup menu select Install Service dial in 16 4 34 On the Install Service menu select Service dial in 26 23 8 On the Service menu select Calibration Unless otherwise specified perform the ventilator calibrations in the order that they appear on the Calibration menu User Calibration Manifold P Span Insp Flow Zero Insp Flow Valve e Bleed Resistor Paw Span The following calibrations should be perform as required Zero Gas Xducer The pipeline and cylinder pressure transducer should be zeroed at least once a yea
126. Pressure 8 20 8 4 Display DiagnOSticS i ssas cansi seintes IH Hm 8 21 8 5 opecialFunctlons iss asics ee hak eee clawed ex EUM RERSEN M GS 8 22 8 5 1 Mixer Service Menu Ie 8 23 8 5 2 View Revision LOB d ARE PV ar dea edd a 8 24 8 5 3 View PC Card 1 5 1 8 24 8 6 Software Download eh b e eat i sae vei ends 8 25 8 1 5 5 Avance 8 1 Avance Service Application 8 1 1 Main Menu and System Information Note 8 2 This section documents the Avance Service Application that loads from a PCMCIA card and is used to download software or to run various diagnostic functions To run the application first set the system switch to Standby and set the AC Inlet power switch to Off Insert the card carrier with card facing to the rear into the rear PCMCIA interface slot of the display unit behind left side door then set the AC Inlet power switch and the system switch to On The service application will load and display the Main Menu along with the System Information page The Main Menu appears on the left hand side of the screen and includes the following selections as shown in the table below Main Menu Remarks Power Diagnostics Access to the Power Supply Diagnostics functions Gas Diagnostics Access to the Gas Delivery Diagnostics functions Vent Diagnostics Acces
127. Pull on the tube to ensure that it is locked in the fitting Install the vaporizer front panel Perform the checkout procedure Section 3 9 35 5 5 Avance 9 12 4 Replace vaporizer pressure 9 36 relief valve gt a N e o n O Setthe system switch to Standby Remove the vaporizers from the vaporizer manifold Remove the upper rear panel Section 9 2 Usinga 13mm open ended wrench remove the vaporizer pressure relief valve by turning counterclockwise 4 Verify that the parts are free of dust and dirt Install a new vaporizer pressure relief valve To reassemble perform the previous steps in reverse order Perform the checkout procedure Section 3 11 03 1009 0357 000 9 12 5 Replace vaporizer manifold 1009 0357 000 11 03 gt N 9 Repair Procedures Remove the upper rear panel Section 9 2 Remove the Display Unit Remove the right side panel A Fromthe front ofthe machine remove the two screws B that hold the front bezel to the vertical support From the back of the machine remove the two screws C that hold the vaporizer manifold vertical support to the horizontal bracket From the back of the machine remove the two screws D that hold the vertical support to the vaporizer manifold Remove the vertical support from the machine While holding the vaporizer manifold remove the two screws E at the right hand extrusion to r
128. S 5 Avance Anesthesia Machine Technical Reference Manual 5 5 Avance Datex Ohmeda products have unit serial numbers with coded logic which indicates a product group code the year of manufacture and a sequential unit number for identification AAA F 12345 This alpha character indicates the year of product manufacture and when the serial number was assigned D 2000 E 2001 F 2002 etc I and are not used 5 and Avance are registered trademarks of Datex Ohmeda Inc Other brand names or product names used in this manual are trademarks or registered trademarks of their respective holders 11 03 1009 0357 000 Technical Reference Manual S 5 Avance Anesthesia Machine This document is not to be reproduced in any manner nor are the contents to be disclosed to anyone without the express authorization of the product service department Datex Ohmeda Ohmeda Drive PO Box 7550 Madison Wisconsin 53707 5003 Datex Ohmeda Inc 1009 0357 000 11 03 5 5 Avance Important The information contained in this Technical Reference manual pertains only to those models of products which are marketed by Datex Ohmeda as of the effective date of this manual or the latest revision thereof This Technical Reference manual was prepared for exclusive use by Datex Ohmeda service personnel in light of their training and experience as well as the availability to them of parts proper tools and test eq
129. Valve H A Negative Pressure Expiratory relief valve Flow Sensor 200 mLR i 1 mL Reservoir On Stdb Altemate 02 OVStdby 25 psig Co COLEN Hy a Gas Inlet 1 H H T i Valve Control Bleed to Ambient H a 1 0 LPM 3 0 cm H20 SCGO fi H dependent Pilot Lll N Circle or CGO Selector Switch 02 Flow 02 Selector Controller cor Select 1 i pe 1 ES O iY geal oe A Pilot 8 i i gt Ud AirSelector p J 1 NO Valve gt X Q H Q 150 cm H20 cp NE z i Do Limiting Valve Fo P polance Lai _ D lee 2 gp v Controller 2 1 RM a MS M e O4 mes e Tiea s E 1 Selectatec Manifold 5 5 psi Pi ES B el eat TR MOM L ee M Ker ee fm li Ventilator Interface Board rt M jl L j o Sensor p LA aw FARY WV Ty ACGO Variant CA ee Figure 11 1 System circuit diagram AB 91 047 Patient To Scavenging 11 03 1009 0357 000 Scavenging Scavenging Scavenging From System From System From System 10 cm H20 10 cm H20 10 cm H20 Te Relief Valve Hii Reli
130. a comes from the Anesthesia Control board The Flow Verify signals are rough calculations of the mixer flow based on pressure drop and temperature The ADC reference voltage is used to convert flow signals Mixer Output Gas Diagnostics Label 02 Flow Balance Flow 02 Flow Verify 02 Flow Signal 02 Prop Valve Drive Balance Gas ID None Air N20 Balance Flow Verify XX XX Balance Flow Signal X XXX Balance Prop Valve Drive XXXX 02 Select Valve Open Air Select Valve Closed N20 Select Valve Closed ADC Ref Voltage 8 13 5 5 Avance 8 2 3 Mixer Tests and Pressure Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow 0 5 N20 Flow OFF Air Flow OFF Breathing Sys Leak Main Menu 8 14 Selecting Mixer Tests and Pres brings up the Mixer Tests and Pres Gas Delivery Diagnostics page Mixer Tests and Pres Gas Diagnostics Last Power Up Tests 02 Proportional Valve Leak Alt O2 Valve Leak Balance Gas Prop Valve Leak Balance Gas CheckValve Leak 02 Flow Test Balance Flow Test Balance Gas ID Pressure Data O2 Pressure P1 O2 Pres Cal P1 Balance Pressure P2 Balance Pres Cal P2 Mixer Output Pres P3 Mixer Output Pres Cal P3 ADC Ref Voltage Not done No supply pressure Not done Selector valve incorrect state Pass Fail Selector valve leaks Fail Proportional valve leaks Pass Fail Not done No supply pressure Not done
131. ag port housing Screw M3x20 Lockwasher M3 internal Housing bag port Lever lock release Ring retaining Nut M3 Nyloc Bag Arm Lower Assembly Pad Friction Material Post Pin spirol Spring Washer shoulder Nut M5 Nyloc Pin dowel 3 18 DIA 31 8 LSST Screw M3x16 POSI DR PAN HD A4 SST Lockwasher M3 internal Items if no Bag Arm Clip patient tubing Washer shoulder Lockwasher M4 external Screw M4x16 Stock Number 1009 8159 000 1407 7011 000 1407 3807 000 0140 6719 103 9213 0430 003 1407 3806 000 1407 3808 000 1406 3571 000 0144 3536 112 1407 7012 000 1407 3818 000 1407 3802 000 9214 2103 020 1406 3270 000 1407 3815 000 9212 0350 006 1407 3804 000 1504 3003 000 9213 0430 003 1407 3810 000 1407 3814 000 9213 0540 003 9211 0440 163 Qty 2 2 10 37 5 5 Avance 10 22 Anesthetic Gas Scavenging System AGSS 10 38 10 22 1 Passive AGSS items 1 through 12 are included in all AGSS kits Item Description Common Parts Stock Number 1 Seal Receiver Body 1407 3901 000 2 Reservoir 1407 3903 000 3 Seal and scavenging down tube 1407 3904 000 4 Thumbscrew M6x28 5 1406 3305 000 5 O ring 4 42 ID 9 65 OD 1407 3923 000 6 Thumbscrew M6x43 1406 3304 000 T Valve unidirectional negative pressure relief 1406 8219 000 Ta Seat Valve Negative Pressure 1406 3396 000 Tb Retainer disc 1400 3017 000 c O ring 20 35 ID 23 90 OD 1406 3397 000 Td Disc check valve 0210 5297 1
132. alve should be approximately 750 12 0VHAMPSALT X Alternate O Screen AC detected high current Medium AC Alternate O valve 02 10VA turned On Disconnect the flex cable from the NO Alternate O valve Measure the resistance of the NO Alternate O Bypass Valve should be approximately 750 12 0 AMPS MIXER Alternate Screen Status bit shows current high Medium Mixer 10VA turned On Disconnect the flex cable from the NO Alternate O valve Measure the resistance of the NO Alternate O Bypass Valve should be approximately 750 12 0V H AMPS See Section 7 7 2 5 Status bit shows current high High AC Ventilator Interface VENTSIB Ventilator failure board 10VA is turned on Reboot system If problem continues replace VIB 7 26 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting 12 0V H AMPS MGAS Gas monitoring not Status bit shows current high Medium MGAS 10 VA is turned available On Remove Gas Module from the Module Bay Ifthe problem continues replace the M Gas Monitoring board If the message disappears when module is removed repair the M Gas module see S 5 AM Technical Reference Manual for repair instructions 12 0V H AMPS Vent Fail Monitoring Status bit shows current high Medium AC Ventilator valves VENT amp OUTLETVALVES Only Vent 10VAis On Disconnect the GIV and Insp Flow Valve M
133. anifold pressure test 10 3 10 1 3 Test DEVICES x oeste rera ect Pace Ver eden an 10 4 10 1 4 Lubricants and Adhesives 10 4 10 1 5 Test To0ls A RO tex rer Ra Ex Re Pa CE aged 10 5 10 2 External components front 10 6 10 3 External components front view references 10 7 10 4 External Components rear view 10 8 10 5 AC Power cords and AC Inlet filter 10 9 10 6 AC Inlet Outlet Components I 10 10 10 7 Display Units zs Idle BAR EG wi IRE TEXT Saba 10 12 10 8 Lower electronic enclosure 10 14 10 9 Pan electronic enclosure components 10 15 10 10 Electronic Gas Mixer 0 I 10 16 10 11 Pipeline inlet fittings sisese cee cede n Rm n 10 17 10 12 Cylinder Gas Supplies 10 18 10 12 1 Cylinder inlet fittingS 0 ccc cece eee eens 10 19 10 13 Vaporizer manifold iess iniia cece cece II 10 20 10 14 Vent Engine Housing 6k eens 10 21 10 15 Vent Engine 5 53 ER RE alent lead 10 22 10 15 1 Vent Engine undersid
134. apter 3 Thread a 6 mm screw two turns only into the brass retaining ring and pull it out Be careful not to crush the filter Do not thread in the screw more than two full i LETT pi FIT c Remove the filter Install the new filter and brass retaining ring Install the inlet adapter in the cylinder yoke Oo OC A Perform the checkout procedure Section 3 The cylinder check valve is not a replaceable item If the check valve is defective you must replace the complete cylinder supply module 11 03 1009 0357 000 9 Repair Procedures 9 11 Replace gas supply pressure transducers The gas supply pressure transducer includes an integral cable that connects to the Filter board on the pan enclosure The transducer itself is mounted directly to the supply module To replace a pressure transducer pipeline or cylinder you have to remove the module from the machine 1 To access the Filter board remove the tabletop Section 9 3 2 Disconnectthe transducer cable from the Filter board 3 Remove the supply module to access transducer For cylinder supplies referto Section 9 10 For pipeline supplies referto Section 9 9 A Remove the transducer from the module 5 Install the new transducer For pipeline transducers Be sure that an o ring is in place For cylinder transducers Remove any teflon tape remnants from the module Apply 1 1 4 tums of teflon tape around the tread
135. assword to Service menu Password is 26 23 8 Exit 1009 0357 000 11 03 Turn power off to exit the service and super user menus Install Service Trends Setup Colors Units Show Alarm Limits Resp C02 Save Default Case Factory Defaults Installation Service Exit Weight C02 Gas Supply Pressure Paw Previous Menu Previous Menu 4 3 5 5 Avance 4 2 1 Colors Menu Menu Item Message text Change color of Paw waveform Yellow White digits and trend Green Red or Blue Change color of Flow waveform Flow Yellow White and Volume digits and trends Green Red or Blue Change color of respiration digits Yellow White and trend Green Red or Blue Change color of CO2 waveform Yellow White digits and trend Green Red or Blue Previous Menu Return to previous menu 4 2 2 Units Menu The Units menu can be accessed here in the super user level to change individual preferences or if required during installation in the service level Installation menu 4 4 Menu Item Weight Message text Change weight unit kg or Ib Values kg or Ib c02 Change CO2 unit kPa or mmHg kPa or mmHg Gas Supply Pressure Change gas supply pressure unit kPa psi or bar psi kPa or bar Paw Change Paw unit kPa hPa cmH20 mmHg mbar kPa hPa cmH20 mmHg or mbar Previous Menu Return to previous men
136. at approximately 110 cm H50 1 Vent Engine Atmosphere Free Breathing Mechanical Over Pressure 7 Valve 110 cm H20 1 Inspiratory Flow Control Valve 7 Figure 2 40 Mechanical overpressure valve 2 12 8 Reservoir reservoir 15 is a 200 ml chamber that dampens the manifold pilot pressure and bleed resistor pulses to the exhalation valve The bleed resistor 16 is a controlled leak from O to 12 l min in response to circuit pressures from to 100 cm H20 The small quantity of pneumatic flow exhausting through the bleed resistor permits control of the exhalation valve s pilot pressure by modulation of the valve output The bleed resistor exhausts only clean drive gas and must not be connected to a waste gas scavenging circuit The output is routed away from the electrical components to make sure that systems using oxygen drive gas meet the 10VA limitation requirement for oxygen enrichment LI Popoff in esie i Valve Bag Ver e 5 10 cm H20 Exhalation Valve 2 0 cm H20 bias 1 0 10 LPM Drive Gas 0 10 LPM Patient and Fresh Gas 0 20LPMTotal Typical Fow T Pressu i 200 mL Reservoir contro Bleed to Ambient y leen 1 0LPM 3 0 cm H20 erimus rate dependent Sen Ventto Ambient Figure 2 41 Reservoir and bleed resistor 1009 0357 000 11 03 2 39 5 5 Avance 2 12 9 Free breathi
137. ce 6 6 Alternate 05 flowmeter tests Flow Accuracy Test 1009 0357 000 11 03 1 Open the O cylinder valve or connect an O pipeline 2 Rotate the Alt O flow control fully clockwise to minimum flow 3 Press the Alternate switch to turn on Alternate flow The flowmeter should indicate 0 5 to 0 7 L min Rotate the flow control counterclockwise increase The ball should rise immediately after rotation is begun It should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position 5 Rotate the flow control clockwise to minimum flow 6 Press the Alternate switch to turn off Alternate flow confirm yes Note To check flow accuracy be sure that the flow test device is capable of measuring 0 15 l min with an accuracy of 2 of reading To perform the mixer tests you must gain access to the mixer outlet tubing which is connected to the inlet of the vaporizer manifold 1 N OD Remove the rear cover 2 Disconnect the mixer outlet tube at the inlet to the vaporizer manifold 3 4 Adjust the flowmeter so the center of the ball aligns with the selected test point Connect a flowmeter to mixer outlet tubing observe thatthe ball maintains a steady position for 10 seconds The test device reading should be between the limits shown for each of the selected settings in the table below Flow Test
138. ce Application select Gas Diagnostics Onthe Gas Diagnostics page select 02 Flow Set O Flow to 0 2 1 o n Oo oO FP C N On the Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to 2 30 cm H30 Note If the bellows rises it indicates a leak in the Bag Vent Switch 9 Set 02 Flow to OFF 1009 0357 000 11 03 1 15 S 5 Avance Test5 Testing the APL diaphram Plug APL Scavenging Port Plug Bag Port Note If required set up the Machine Test Tool and breathing system as shown in Test 4 1 N OD Slide the Bellows Module away from the machine Remove the APL ramp and diaphragm Insert a Test Plug into the APL scavenging port as shown above 2 3 4 5 Slide the Bellows Module partially back onto the machine casting Ensure that the Bag Port is plugged and that the Bag Vent switch is set to Bag Onthe Main Menu of the Service Application select Gas Diagnostics Onthe Gas Diagnostics page select 02 Flow Set O Flow to 0 2 1 Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 10 Set 02 Flow to OFF 7 16 11 03 1009 0357 000 7 Troubleshooting Test6 Testing the bellows module and the Bag Vent switch 1 Separate the Bellows Module from the Circuit Module and re install the Bellows Module Connect the Machine Test Tool to the interface
139. cedure Section 3 11 03 1009 0357 000 9 Repair Procedures 9 24 Change drive gas N CAUTION 1009 0357 000 11 03 Note If you change the drive gas you must also change the drive gas selection on the ventilator service setup screen Refer to Section 4 of the ventilator Technical Reference manual Ifthe drive gas selection and the actual drive gas do not agree volumes will not be correct The ventilator will alarm with the message Low Drive Gas Press if the selected drive gas pressure either or Air is lost 1 Remove the rear panel Section 9 2 The O and Air pipeline manifolds have a drive gas connection at the back The connection not in use is plugged 2 Remove the plug from the new connection 3 Disconnect the drive gas hose from the present connection 4 Install the plug in this connection pull on the plug to ensure that itis locked into the fitting 5 Reroute the drive gas hose so that it does not cause kinks in other tubing 6 Connectthe drive gas hose to the new connection pull on the hose connector to ensure that it is locked into the fitting T Doa high pressure leaktest Section 3 5 8 Enter the service mode and select the correct drive gas 9 Testthe primary regulator Verify that it functions within specifications now that it will be supplying drive gas to the ventilator Section 5 1 10 Perform the checkout procedure Section 3 9 53 Notes 9 54 11 03 1009 0357 0
140. chine operates to specifications 6 1 5 5 Avance Planned Maintenance 6 2 6 1 1 Every twelve 12 6 2 6 1 2 Every twenty four 24 months 6 3 6 1 3 Every forty eight 48 months 6 3 6 2 Free breathing valve maintenance 6 4 6 3 MOPV pressure relief valve test 6 5 6 3 1 Test setup pii hese iad DG IDEEN cae tee eae ES 6 5 6 3 2 Test procedure oad Maes cente ERR Ron ee ne 6 5 6 4 Pressure Limit Circuit test 6 6 6 5 MIXertest desee re Leki erates weit aia RR EE RE Mer ppm UR e ira 6 8 6 5 1 Mixer outlet check valve leak test 6 8 6 5 2 Mixer flow 6 8 6 6 Alternate flowmetertests sess 6 9 6 7 Auxiliary flowmeter tests 00 66 reimes turite itak en ene eens 6 10 6 8 Integrated Suction Regulatortests 6 11 6 9 Battery capacity test cece eect nnn 6 13 Do not perform testing or maintenance on the S 5 Avance anesthesia machine while it is being used on a patient Possible injury can result Items can be contaminated due to infectious
141. ck Number QTY 1407 7003 000 1407 3500 000 0144 2436 108 2 1407 3507 000 1407 3506 000 11 03 1009 0357 000 10 21 3 Absorber canister 1009 0357 000 11 03 Item 1 2 3 4 oe FECE le AB 82 017 Description Absorber Canister Reusable CANISTER CO2 O RING 110 72 ID 117 78 OD 3 53 W EPR 50 DURO FOAM CO2 CANISTER PKG 40 COVER CO2 CANISTER with LOCKING RING does not include items 5 and 6 SCREEN CO2 CANISTER COVER SCREW M3X8 FL PH HD SST 10 Illustrated Parts Stock Number 1407 7004 000 1407 3200 000 1407 3204 000 1407 3201 000 1407 3203 000 1407 3205 000 9211 0530 083 Qty 10 31 5 5 Avance 10 21 4 Flow Sensor Module Item Description Stock Number Qty Flow Sensor Module 1407 7001 000 1 Flow Sensor plastic 1503 3856 000 Flow Sensor metal autoclavable 1503 3224 000 Flow Port Adapter 1503 3849 000 2 COVER FLOW SNSR 1407 3000 000 3 HOLDER FLOW SNSR UPPER 1407 3002 000 4 HOLDER FLOW SNSR LOWER 1407 3003 000 5 SCR THUMB M6X43 SST 1406 3304 000 6 SCR M4 07 X 10 SKT CAP BUTTON HEAD SST 0144 2117 718 2 7 CUFF FLOW SNSR 1407 3004 000 2 8 LATCH FLOW SNSR 1407 3001 000 9 SPR TORSION FLOW SNSR LATCH 1407 3005 000 10 RING TRUARC 188 SHAFT E RING SST 0203 5225 300 The flow sensors are not included in the flow sensor module 10 32 11 03 1009 0357 000 10 21 5 Breathing Circuit Module 1009 0357 000 11 03 Item 3a 3b 3c 3d 13 14 1
142. ck release fittings CS 07 125 27 44 45 46 47 B U 8 5 oa Item Description Stock Number 1 Tees tube tube tube 4 mm N50 1202 3653 000 6 mm 05 1006 3544 000 8 mm Air 1006 3545 000 8mm 6mm 8mm SCGO pilot 1009 3297 000 2 Tees tube tube standpipe 6 mm 05 1006 3862 000 3 Elbow tube standpipe 4 mm N50 1006 3533 000 6 mm 05 1006 3534 000 8 mm Air 1006 3535 000 1 4 inch mixed gas 1006 3737 000 4 Elbow tube tube 1 4 inch mixed gas 1202 3804 000 5 Y 6 mm 05 1009 3043 000 8 mm Air 1009 3044 000 6 Plug 4 mm N50 1006 3530 000 6 mm 05 1006 3531 000 8 mm Air 1006 3532 000 1009 0357 000 11 03 10 55 5 5 Avance 10 32 Vent Drive and low pressure tubing 10 56 Item Description 1 Coupler female black Coupler male black Coupler female white Coupler male white Coupler female yellow Coupler male yellow Tee male barb Cap plug Fitting coupler barb ends Plug 4 mm Tee 8mm 6mm 8mm Oo ON FW ND e e ke N e O Tubing silicone a Co Tubing silicone gt Tubing silicone me Tubing silicone Tube Markings factory build only 120 Aux 02 OUT 127 RGM return 128 unmarked 129 unmarked low pressure low pressure 130 AGSS flowtube low pressure low pressure low pressure 134 unmarked 135 unmarked 136 RGM to Scavenge 137 RGM to Circuit low pressure 144 Venturi P
143. communications AC DELIVERY USER has been established between SETTINGS the AC and the Display Computer this alarm shall be declared if the system is in the Therapy State and the AC determines the Gas Delivery User Settings from the Display Computer arrived more than 10 seconds ago Reboot system If problem continues check the ACB to Mixer communication LED s or VIB communiction LED s 1 If the RCV and XMT or TXD and RXD LED s indicate activity check DU cable connections replace Display Controller board if problem continues 2 If the RCV and XMT or TXD and LED s indicate no activity check the Anesthesia Contro board connection replace the Anesthesia Control board if problem continues LOSS OF VENT Vent Fail Monitoring After regular communications Medium PARAMETER SETTINGS Only has been established between the AC and the Display Computer this alarm shall be declared if the system is in the Therapy State and the AC determines the Ventilator Parameter Settings from the Display Computer arrived more than 10 seconds ago Reboot system If problem continues check the ACB to Mixer communication LED s or VIB communiction LED s 1 If the RCV and XMT or TXD and RXD LED s indicate activity check DU cable connections replace Display Controller board if problem continues 2 If the RCV and XMT or TXD and LED s indicate no activity checkthe Anesthesia Contro board connection replace the
144. components 9 7 1 Electronic Gas Mixer assembly 1009 0357 000 11 03 The pan electrical enclosure includes the following components Section 10 9 the Electronic Gas Mixer assembly the Ventilator Interface board the Filter board the Pan Connector board the pan enclosure fan To replace these components remove the tabletop Section 9 3 and the pan enclosure cover The following procedure describes how to replace the Electronic Gas Mixer assembly 1 Bleed all gas pressure from the machine Section 9 1 2 Ensure that all cylinder and pipeline pressures read zero before proceeding 3 Disconnectthe inlettubing elbow fittings from the manifold Ifthe machine does not include 0 transfer the plug from the 0 inlet to the replacement assembly 4 Disconnect outlet tubing elbow fitting A Disconnectthe ribbon cable from the Pan Connector board B Disconnectthe fan harness C Remove the two screws D that hold the manifold to the enclosure Remove the mounting screw E at the front edge of the main circuit board o N O replace the Electronic Gas Mixer assembly reassemble in reverse order 9 19 S 5 Avance 9 20 9 7 2 Ventilator Interface board 1 Disconnect the white and black inline tubing fittings from the Inspiratory pressure transducer A Disconnect the blue and yellow inline tubing fittings from the Expiratory pressure
145. ctions pictorial 2 22 11 03 1009 0357 000 2 Theory of Operation 2 10 3 Suction Pipeline vacuum regulators suction regulator shown in Figure 2 22 uses an external vacuum source Venturi Drive vacuum The suction regulator shown in Figure 2 23 uses an internal venturi derived vacuum source Drive gas internally plumbed Air or 05 enters the Venturi Module VM at the drive port A As the drive gas passes through the venturi module a vacuum is created at port B The drive gas exits the venturi module at port C and is exhausted outside the machine through the muffler D The control port E on the venturi module responds to pneumatic signals from the front panel switch on the Suction Control Module SCM to turn the venturi vacuum drive gas on oroff The check valve CV helps prevent pressurization of the suction circuitry if the exhaust is occluded orthe venturi unit fails Venturi Drive Gas Air or 05 Suction Figure 2 23 Venturi suction 1009 0357 000 11 03 2 23 5 5 Avance 2 11 Flow through the breathing system 2 11 1 Overview of This section looks at three types of flow paths flow paths __ ventilation paths How gas flows from the drive source bag or bellows to and from the patient Fresh gas paths Fresh gas can flow from the machine interface directly to the patient through the inspiratory check valve or through the absorber into the expiratory flow or directly to an external circui
146. ctor board C the harness from the Power Controller board D the harness from the Pan Connector board E Loosen the six screws circled that hold the Anesthesia Control board to the enclosure Liftthe Anesthesia Control board slightly to release it from the keyhole slots To replace the Anesthesia Control board reassemble in reverse order 11 03 1009 0357 000 9 Repair Procedures 9 6 3 Backup To remove the batteries batteries 1 Disconnectthe battery cable from the Power Controller board A Loosen the two nuts circled that hold the battery restrainer to the enclosure To remove the restrainer slide it forward toward you and then to the left Remove the battery pack from the machine Setthe batteries upright terminals up and slide them out of the tray oO ao A C N Remove the harness from the batteries To replace the batteries 1 Gently bend the tabs up just enough for clearance to install the harness 2 Place the batteries side by side and install the harness red to red black to black 3 Slide the tray over the side of the batteries 4 Guide the wires ofthe harness into the lip on the edge ofthe tray 5 Position the battery tray assembly upright 6 To replace the battery tray assembly reassemble in reverse order 1009 0357 000 11 03 9 17 5 5 Avance 9 18 9 6 4 Fan 9 6 5 Display Connector board The fan is mounted to
147. ctrical enclosure components The lower electrical enclosure includes the following components Section 10 8 the Power Controller board the Anesthesia Control board the Display Connector board the backup batteries and the lower enclosure fan To replace these components remove the large access panel atthe rear of the machine Section 9 2 To replace the Display Connector board also remove the small access panel 9 6 1 Power The replacement Power Controller board includes the mounting plate Controller board 4 pisconnect the cables coming from the following components the Display Connector board A the Anesthesia Control board B the batteries C the fan D the line filter E 2 Loosen the four screws circled that hold the Power Controller mounting plate 3 Liftthe Power Controller assembly slightly to release it from the keyhole slots 4 Toreplace the Power Controller assembly reassemble in reverse order 1009 0357 000 11 03 9 15 5 5 Avance 9 16 9 6 2 Anesthesia Toreplacethe Anesthesia Control board first remove the Power Controller board Control board Section 9 6 1 Then follow the procedure below 1 Disconnect the cables coming from the following components the large ribbon cable from the Pan Connector board A the harness from the Display Connector board B the small ribbon cable from the Display Conne
148. d 4 Screw M4x12 THD FORMING 5 MGAS monitoring board 6 Box MGAS power supply T Screw 4 40 8 Lockwasher 4 split 9 Standoff 10 Cover MGAS power supply 11 Screw M4x8 Apply Loctite 242 10 Illustrated Parts Stock Number 1009 3072 000 1006 3178 000 1009 5555 000 1009 3109 000 1009 5573 000 1009 3092 000 0140 6617 103 0144 1104 331 1504 3007 000 1009 3093 000 0140 6226 113 10 45 5 5 Avance 10 24 Integrated Suction Regulator 10 24 1 Major Components Continuous and Venturi suction 2 14 10 46 suction vacuum suction 15 15 vacuum suction A Description Suction Control Module Venturi Assembly Cover blank if no Suction Bracket blank cover mounting Screw M4x10 self tapping Manifold Screw 5 20 BHSCS PT THD FORMING Connector NIST Connector Barb Connector Air Liquide Muffler for Venturi Drive Coupling Colder insert metal Coupling Colder body black Coupling Colder insert black Coupling Colder body white Coupling Colder insert white Tubing Tygon Fitting barb to 8 mm Legris Stock Number 6 7 Refer to section 10 24 2 Refer to section 10 24 3 1009 3271 000 1009 3270 000 1009 5534 000 1009 3123 000 1009 3384 000 1011 3524 000 0221 0702 300 1009 8292 000 1011 3511 000 1009 3135 000 1009 3373 000 1009 3374 000 1009 3371 000 1009 3372 000 Refer to section 10 33 1009 3137 000 11 03 1009
149. d hospital preferences choosing units setting ventilator alarm and gas delivery defaults The Installation level requires the service password and supports language as color codes flow tube position country hardware flags for system components acgo or scgo etc enabling software options and cloning a system The Service level requires the service password and supports diagnostic tools and automated component tests Follow the menu structure to access the various service screens on the Main Menu select Screen Setup on the Screen Setup menu select Install Service to access the Install Service with super user password menu on the Install Service menu select Installation with service password to access the Installation menu to access the Service menu select Service with service password on the Install Service menu or from the Installation menu select Service to accessthe same Service menu without havingto enterthe service password Screen Setup Install Service Installation Trends Field 1 Colors Configuration SW HW versions System Status Field 2 Units Units Service Log Cardiac Bypass Field 3 Show Alarm Limits Options Key Calibration Screen Setup Sweep Speed Save Default Case Options List Previous Menu Parameters Setup Time and Date Factory Defaults Copy Config Calibration Brightness Installation Normal Screen Install Service Service Previous Menu Service 4 2 11 03 1009 0357 000 4
150. d set Keypad lower part of keypad set Keypad blank part of keypad set Spacer blank keypad IRDA Interface Board Harness CPU to IRDA Speaker assembly 8 ohm Rear Connector Panel Assembly with interface boards Cable ribbon CPU to Display Grommet Fan 5Vdc Capsule fan filter Filter fan Door PCMCIA Gasket cover plate Screw M3x6 Sems O ring Screw M4x8 Sems Screw M4x12 relieved body Lockwasher M4 external Screw M3x16 Lockwasher M3 external Screw M3x6 Nylon Screw M2x16 Stock Number 1009 8224 000 1009 5673 000 1009 8289 000 1009 5761 000 1009 5804 000 1009 5800 000 1009 5693 000 1009 8243 000 1009 5694 000 1009 5527 000 1009 5695 000 1009 3152 000 1009 5672 000 1009 5802 000 1009 5676 000 1503 3012 000 898794 1009 5505 000 1009 5507 000 Refer to Table 1 Refer to Table 1 Refer to Table 1 1009 5870 000 1009 5773 000 1009 5799 000 1605 3263 000 1009 8244 000 1009 5520 000 1009 3151 000 1504 3516 000 896089 897010 1009 5679 000 1009 5678 000 0140 6219 128 1009 3306 000 0140 6226 113 1504 3001 000 9213 0540 003 1504 3003 000 9213 0530 003 9211 1730 065 0140 6216 100 Keypads will likely be damaged during membrane switch replacement order parts accordingly Refer to Table 2 for where used 11 03 1009 0357 000 29 1009 0357 000 11 03 10 Illustrated Parts Table 2 Hardware Item where used Qty Speaker 41 2 IRDA b
151. e 10 23 10 16 ABS to machine Interface Components SCGO 10 24 10 17 ABS to machine Interface Components ACGO 10 25 10 18 Flush Regulator and Flush Valve 10 26 10 19 Front panel Alt O2 and system 10 27 10 20 Breathing system interface 10 28 1009 0357 000 11 03 ix S 5 Avance 11 Schematics and Diagrams 10 21 Breathing System 10 29 10 21 1 APL Valve 10 29 10 21 2 Bag Vent Switch 10 30 10 21 3 Absorber canister 10 31 10 21 4 Flow Sensor Module 10 32 10 21 5 Breathing Circuit Module 10 33 10 21 6 Exhalation valve 10 34 10 21 7 Bellows 10 35 10 21 8 Bellow base 10 36 10 21 9 Bag Arms 10 37 10 22 Anesthetic Gas Scavenging System AGSS 10 38 10 22 1 Passive AGSS 10 38 10 22 2 Adjustable AGSS 10 40 10 22 3 Active AGSS 10 42 10 23 AGSS gauge and sample return 10 44 10 23 1 Airway module MGAS components 10 45 10 24 Integrated Suction Regulator 10 46 10 24 1 Major Components Continuous and Venturi suction 10 46 10 24 2 Suction Control Module 10 47 10 24 3 Venturi assembly 10 48 10 25 Auxiliary O Flowmeter 10 49 10 26 Rear panel components 10 50 10 27 Tabletop components 10 51 10 28 Right side Components 10 52 10 29 External components lower assembly 10 53 10 30 Drawer 10 54 10 31 Fittings a
152. e Pcyl Pressure Transducer Cylinder A d e ea lt 5 5 Avance 2 lt 8 Task Light lt __ Lower Task Light lt 9 Alternate 05 Ppin LI Figure 11 7 Wiring harnesses 11 8 ABS FB i B W 3 Line Filter AB 91 060 11 03 1009 0357 000 Key to Symbols A from ACB B from ACB k Sy ABS FB lh Mixer 91 078 ABS FB ABS Filter Board ACB Anesthesia Control board DCB Display Connector board DU Display Unit MGAS Compact Airway Module MGAS PS MGAS Power Supply PanCB Pan Connector board PCB Power Controller board VIB Ventilator Interface Board Figure 11 8 Electrical cabling block diagram 1009 0357 000 11 03 11 Schematics and Diagrams A to PanCB 0 pu i AB 91 069 11 9 Sample 1 1 Scavenging Downtube iito Breathing System Vaporizer Manifold 1 Sample Return From 5 5 Avance Auxiliary 0 Flowmeter g g A j From 02 Supply lo ie ss To la Mixer 4 e rs ea lt Ventilato
153. e 2 of 2 Power Diagnostics Anes Control Board Power Diagnostics Power Control Label Value Format Anes Control Board Gas Unit 10VA Volts OK Fail Met Gas Unit 10VA Amps OK Fail Vent Interface Bd Mixer 10VA Volts OK Fail Display Unit Mixer 10VA Amps OK Fail gt Main Menu Alt O2 10VA Volts OK Fail Alt 02 10VA Amps OK Fail Periph1 10VA Volts OK Fail Periph1 10VA Amps OK Fail Periph2 10VA Volts OK Fail Periph2 10VA Amps OK Fail Turn the ComWheel to return to the first page Push the ComWheel to return focus to the Power Diagnostics selection menu 1009 0357 000 11 03 8 7 5 5 Avance 8 1 5 Electronic Mixer Selecting Mixer brings up the Electronic Mixer Power Diagnostics page Power Diagnostics Mixer Power Diagnostics Power Diagnostics Value Format Units Normal range Power Control Anes Control Board From Anes Cntrl Bd Mixer Mixer 10VA Volts OK Fail Vent Interface Bd Board Supplies Display Unit 12 5V 11 80 to 13 00 Main Menu 5 5V 5 39 to 5 61 3 3V CPU 3 22103 38 2 5V ADC Ref 2 47 to 2 53 8 8 11 03 1009 0357 000 8 Software Download and Diagnostics 8 1 6 Ventilator Interface selecting Vent Interface Board brings up the Ventilator Interface Board Board Power Diagnostics Power Diagnostics page Vent Interface Bd Power Diagnostics Power Diagnostics Value Power Control Label Format Units Normal range Anes Control Board From Anes Cntrl Bd Vent Int Bd 10VA V
154. e anemometer a Op flow sensor channel b balance gas flow sensor channel 15 Vaporizer port valve 16 Vaporizer 17 Low pressure relief valve 38 kPa 5 5 psi 18 O flush and auxiliary flowmeter regulator 241 kPa 35 psi 19 0 Flush valve 20 Pressure switch used with the ventilator 21 Breathing system pressure relief valve SCGO only 150 cmH50 22 To Port 3 of ABS interface circle 23 For SCGO to Port 2 of ABS interface non circle Inspiratory port For ACGO to external 22 mm ACGO connector 24 Auxiliary O flowmeter optional Approximate values K gt Pneumatic Connection o Filter gt Direction of Flow A Check Valve S 5 Avance BLI A Pipeline Manifold B Cylinder Supply C Gas Mixer D Vaporizer Manifold E SCGO Assembly F ACGO Assembly P Pressure Transducer Figure 11 3 Pneumatic circuit diagram 11 4 L22 23 02 6 7 BLJ 4 9 1 3 on 2 jel x 4a Ep 10 Te 13 17 1 15 15 14 mp b b d 22 AB 91 070 11 03 1009 0357 000 AC INLET BOX Inrush Board AC Inlet Power Cord and Breaker 1
155. e contains an elastomeric diaphragm that is used along with the flow valve to control the pressures in the breathing circuit The exhalation valve includes two male ports on the bottom for Bellows drive gas 8 Exhalation valve pilot 9 manifold pressure The exhalation valve includes three ports on top that connect to the bellows base manifold Drive gas pass through 10 Drive gas return and pop off valve flow 11 APL exhaust flow to scavenging 12 A port atthe back ofthe exhalation valve 13 connects to the down tube that directs all the exhaust flows to the scavenging receiver The exhalation valve is normally open Approximately 2 cm H50 of pilot pressure is necessary to close the valve When the exhalation port is open gas flows from the bellows housing to the scavenging port Over Pressure Ml H20 Drive Gas Check Valve i 3 5 cm H20 bias 0 10 LPM Drive Gas 0 10 LPM Patient and Fred 0 20 LPM Total Typical Flo Control Bleed to Ambient H E 1 0 0M 3 0 cm H20 continuous ate dependeny Figure 2 39 Exhalation valve 11 03 1009 0357 000 2 Theory of Operation 2 12 7 Mechanical The Mechanical Overpressure Valve MOPV is a mechanical valve 14 that operates Overpressure Valve regardless of electrical power It functions as a third level of redundancy to the ventilator s pressure limit control functions supplying pressure relief
156. e low pressure leak test device to the open end of the Flow Sensor Compress and release the bulb until it is empty Ifthe bulb inflates in 30 seconds or less there is a leak The leak may be through the connector o rings in the internal tubbing or in the Transducer on the VIB 1 25 Notes 7 3 Technical Alarms The Error Log includes technical alarms and other error conditions reported by the system A technical alarm as apposed to a parameter alarm is an alarm condition that exists wether or not a patient is connected to the machine Technical alarms include Failed state alarms internal problem prevents normal operation e Ventilator failure alarms Vent Fail Monitoring Only alarms Alternate O state alarms caused by electronic gas mixer failure Alarms that do not fit into any particular category but are technical in nature are referred to as a Status alarms in this table Source table AC Anesthesia Computer DC Display Controller Vent Ventilator Interface PC Power Controller Mixer Electronic Gas Mixer Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting 12 0VHAMPS GAS Alternate O Screen AC detected high currenttothe AC Fresh gas select valves SEL VALVES Gas Select Valves 10VA is turned On Disconnect the flex cable from each three way and NC gas select valves Measure the resistance of each v
157. e lower o rings D Install the lower o ring D Lubricate the shuttle E at the three areas shown the circumference of the shuttle where the upper and lower u cup seals are placed and the body part of the shuttle that slides along the lower o ring Install the lower u cup seal F and the upper u cup seal G on the shuttle Press the shuttle assembly into the GIV manifold Install the upper o ring C Install the cap B and the retaining ring A 10 Reassemble in reverse order 11 03 1009 0357 000 9 Repair Procedures 9 9 Servicing the pipeline inlet manifold components 9 9 1 Replace pipeline inlet filter 9 9 2 Replace pipeline inlet check valve 1009 0357 000 11 03 The pipeline inlet filter and the inlet check valve can be replaced without removing the pipeline manifold from the machine To replace the pressure transducer you have to remove the manifold 1 Remove the pipeline inlet fitting 2 Pullthe pipeline inlet filter out ofthe fitting The o ring should come out with the filter 3 Install the new pipeline inlet filter in the pipeline inlet fitting The new filter comes with an o ring 1 Remove the rear panel Section 9 2 2 Remove the pipeline inlet fitting 3 The Airand O pipeline manifolds include a drive gas connection at the back of the manifold Remove the drive gas tube or plug to access the check valve 4 From the back of the pipeline manifold use a thin
158. e selector switch to O OFF Rotate the suction control knob a minimum of two full turns in the clockwise direction increase suction to ensure its setting is not at the off position Occlude the patient port of the suction regulator Observe the suction gauge the needle should not move Rotate the suction control knob fully counterclockwise to ensure its setting is at the fully off position Turn the mode selector switch to ON Observe the suction gauge the needle should not move 11 03 1009 0357 000 6 9 Battery capacity test 1009 0357 000 11 03 Test procedure 6 Maintenance Although replacement of the backup batteries is recommended at the end of 4 years batteries that pass the capacity test can be considered viable for battery backup ofthe system for up to 6 years atthe discretion of the hospital Before testing the batteries ensure that they are fully charged 1 Turn the system on and start a case simulated Turn off the mains system breaker on the AC Inlet Allow the system to run on battery until it does an orderly shutdown and powers off can be in excess of 90 minutes Setthe system switch to Standby and turn on the mains system breaker Boot the system with the PCMCIA Service Application and access the Power Diagnostics function as detailed in Section 8 On the Main Menu ofthe Service Application select Power Diagnostics On the Power Diagnostic menu select Pow
159. e the cylinder supply modules A WARNING careful not to expose internal components to grease or oil except Krytox or equivalent 9 10 1 Replace 1 Bleed all gas pressure from the machine Section 9 1 primary regulator 2 Ensure that all cylinder and pipeline pressures are at zero before proceeding module complete p 3 Remove the rear panel Section 9 2 replacement 4 Disconnect the output tube fitting 5 Remove the three mounting screws and lockwashers 6 Remove the elbow fitting from the replacement gas supply T Transfer the pressure transducer to the new supply Section 9 11 Remove any teflon tape remnants from the transducer mounting threads transducer and module Apply 1 1 4 turns of new teflon tape around the treads Verify that the first few threads are free of tape Install the transducer 8 To reassemble perform the previous steps in reverse order Pull on the cylinder output fitting to ensure it is locked in place 9 Check the output of the regulator BEFORE you install the rear panel Adjust if necessary Section 5 1 10 Perform the checkout procedure Section 3 1009 0357 000 11 03 9 29 5 5 Avance 9 30 A CAUTION 9 10 3 Replace cylinder check valve 9 10 2 Replace cylinder inlet filter 1 Open the cylinder yokes 2 Remove the inlet adapter from the cylinder yoke using a 4 mm hex wrench Note A brass retaining ring keeps the filter inside the inlet ad
160. easure the resistance of each valve should be approximately 250 for the GIV and 750 for the Insp Flow Valve 12 5V TO ACB See 7 7 2 4 Alternate 11 9 or 12 9 Vdc High AC DC 05 checks the service state Reboot system If problem continues replace the Power Controller board 5V H AMP GAS Cannot read gas Status bit shows current high Medium AC Pressure transducer SUPPLY XDUCERS supply pressures 10VA turned On Reboot system If problem continues 1 With system in Standby disconnect all gas supply pressure transducers from ABS Filter board 2 Reboot system f problem continues replace the ACB f error is no longer present set system to Standby and reconnect one pressure transducer at a time 3 Reboot system and check for error with each transducer connected Replace the transducer that causes the error to appear 12 HR TEST Turn power Off and On System has been operating for Low AC System state is in for self tests longer than 12 hours without a Vent Checkout power up self test DC checks enable criteria At next available time move the system switch from the On position to the Off position then back to the On position 4 096V ADC REF Cannot monitor gas 4 018 or 4 176 Vdc Low AC supplies Reboot System If problem continues replace the ACB ACB ADC FAIL Cannot monitor gas ADC timeout on any MUX Low AC supplies channel Reboot System If problem continues replace
161. ecord the cylinder pressure after one minute If the pressure decreases more than indicated below there is a leak 5000 kPa 725 psig for ventilator drive gas 690 kPa 100 psig for non ventilator drive gas If a cylinder supply fails this test install a new cylinder gasket and do this step again 4 Close all cylinder valves A WARNING Donotleave gas cylinder valves open if the pipeline supply is in use Cylinder supplies could be depleted leaving an insufficient reserve supply in case of pipeline failure 3 5 1 0 supply alarm test 1 Establish Oo Air and if equipped 0 gas supplies 2 SetO to 25 and if equipped N50 as balance gas For machines without N50 set Air as balance gas 3 Settotal flow to 3 L min 4 Stop the O supply Disconnect the pipeline supply or close the cylinder valve 5 Make sure that The low Os supply pressure low alarm occurs b The N50 if equipped and flows stop Air if selected flow continues or an Air selection prompt appears 3 6 11 03 1009 0357 000 3 6 Pressure relief tests 1009 0357 000 11 03 3 Checkout Procedure To check the pressure relief valve in the vaporizer manifold outlet For machines with SCGO 1 2 5 6 Remove the back cover to access the vaporizer manifold Remove the outlet tubing and connect a test device pressure gauge or a digital manometer to the vaporizer manifold outlet Adjust the O flow to 0 5 L
162. ecrease the DAC count to the flow valve using the ComWheel Toggle Circuit Selecting Toggle Circuit toggles between commanding Circle or Non Circle for the SCGO valve and sets the right hand screen to the Vent Status page does not apply to machines with ACGO gt Main Menu Selecting Main Menu closes the Gas Inlet Valve and the Flow Valve and return to the Main Menu The actions of the Gas Inlet the Flow Valve Control and the Circuit selection are reflected on both the Ventilation Status page and the Ventilation Flow and Pressure page The Gas Inlet Valve must be in the ON position in order for gas to flow 8 18 11 03 1009 0357 000 8 3 1 Status Vent Diagnostics Status Vent Flow and Pres Gas Inlet Viv ON OFF Flow Valve Control Toggle Circuit Main Menu 1009 0357 000 11 03 8 Software Download and Diagnostics Selecting Status brings up the Ventilation Status page Menu Item Gas Inlet Valve Flow Valve Circuit Command Vent Drive Gas ABS Installed Flush Valve 02 Cell Status Bag Vent Switch Circuit Feedback ACGO SCGO Configuration Over Pressure Circuit Gas Inlet Valve Feedback Vent Status Open or Closed Counts Circle or Non Circle Air or 02 Yes or No Not Pressed or Pressed Connected or None Bag or Vent Circle Non Circle or Fault ACGO or SCGO OK or High Pressure Open or Closed 8 19 5 5 Avance 8 3 2 Vent Flow and Selecting Vent Flow and Pres brings
163. ection and push the O flush button Make sure that the PEEP high Blockage alarm occurs after approximately 15 seconds Test the Apnea and Ppeak low Leak alarms e Unblock the patient connection Set the Bag Vent switch to Vent Set the tidal volume and total flow to minimum Other alarms such as MVexp low can occur Make sure that the Apnea and Ppeak low Leak alarms occur 10 Set all alarm limits to approved clinical values 3 9 5 5 Avance 3 9 Alternate 0 flowmeter tests Open the O cylinder valve or connect an O pipeline Rotate the Alt O flow control fully clockwise to minimum flow Press the Alternate switch to turn on Alternate O flow The flowmeter should indicate 0 5 to 0 7 L min Rotate the flow control counterclockwise increase The ball should rise immediately after rotation is begun It should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position Rotate the flow control clockwise to minimum flow 6 Press the Alternate switch to turn off Alternate flow confirm yes 3 10 Auxiliary 05 flowmeter tests Open the O cylinder valve or connect an O pipeline Rotate the flow control clockwise decrease to shut off the flow The ball should rest at the bottom of the flow tube and not move Rotate the flow control counterclockwise increase The ball should rise
164. ef Valve nig Relief Valve 0 3 cm H20 Entrainment 0 3 cm H20 Entrainment 0 3 cm H20 Entrainment Room Air High or Low Filter Flow Orifice High or Low Flow Connector to Needle Valve Disposal System 30 mm Male Assembly with Connector DISS EVAC Connector Reservoir Reservoir Reservoir Passive Adjustable Active See Note Key to Symbols X Plugged port 1 8 inch for sample gas return Plugged port 30 mm for auxiliary breathing system scavenging Open port 30 mm for auxiliary breathing system scavenging Oto 10 l min drive gas O to 10 l min patient and fresh gas O to 20 l min total typical flow Note Active AGSS systems with a 12 7 mm connector do not include the Flow Orifice and the Flow Indicator Figure 11 2 Gas scavenging circuits 1009 0357 000 11 03 11 Schematics and Diagrams Key to Symbols Key to Numbered Components 1 Pipeline inlet 2 Pipeline pressure transducer 3 High pressure relief valve 758 kPa 110 psi 4 Supply connections forthe ventilator and pilot pressure for SCGO a Op drive gas b Air drive gas 5 Venturi suction supply connection a Op drive gas b Air drive gas 6 Oylinder inlet T Cylinder pressure transducer 8 Primary regulator cylinder pressure 9 Test port primary regulator 10 System switch 11 Selector valve 03 b Air c N50 12 Flow controller a 05 b balance gas 13 Alternate O disable valve 14 Hot wir
165. el Software Level Software Level Software Level File Name File Name File Name File Name File Name File Name File Name File Name Serial AnesControl B Serial Electronic Mix Serial Vent Intface B Front Panel CN Serial Power Controll Dsply Unit App Serial 4 Dsply Unit BIO Dsply Unit Fla The Stock Number listed is for the board assembly and may not represent an orderable service item Referto the parts lists in Section 10 for service level stock numbers The Front Panel Control FPC Display Unit Application DUA and the Display Unit Flash DUF reside along with the Display Unit BIOS DUB on the Display Unit CPU board Selecting View PC Card Install Log brings up the PC Card Install Log for the software download card The log includes chronological entries for every Software Download that was completed with the card Each entry includes two header lines and eight data lines in the following format PC Card Install Log INSTALLATION LOG for PC Card XXXXXXX Software configuration after download on day date time SvcApp Version XX XX Machine Serial Number ABCDXXXXX Card XXXXXXX Avance ACB Stock Number RevX Avance MXR Stock Number RevX Avance VNT Stock Number RevX Avance FPC Avance PSC Stock Number RevX Avance DUA Avance DUB Stock Number RevX Avance DUF ut Software Level Software Level Software L
166. elease the manifold 9 Install the new vaporizer manifold in reverse order Do not fully tighten the screws until they are all in place Attach the new manifold to the right hand extrusion E Attach the vertical support to the vaporizer manifold D Attach the bottom of the vertical support to the horizontal bracket C Attach the vertical support to the front bezel B 10 Tighten the mounting screws in the following order E D C B 11 Reassemble the machine 12 Perform the checkout procedure Section 3 9 37 5 5 Avance 9 13 Clean or replace ACGO port flapper valve 9 38 Remove the tabletop Section 9 3 Remove the ACGO cap mounting Screws Remove the cap Examine the flapper and disk for obstructions or debris Clean with isopropyl alcohol if necessary retest If leak persists replace the flapper Remove the flapper from the check valve disk Clean the new flapper with isopropyl alcohol Apply a drop of isopropyl alcohol to the center hub of the new flapper Before the alcohol evaporates align the center hub of the new flapper with the center hole of the check valve disc While pressing the flapper against the disc use you fingernail to help pull the hub through the disc from the other side Replace the cap reme TS i O DI a Hub Flapper B O ring Lubricate the o ring sparingly with Krytox do not
167. electing a flow for a new gas turns the previous gas flow to OFF 02 Flow Setting 02 Flow To choose a gas flow turn ComWheel Gas flows do not change until you push ComWheel Airway pressure Push ComWheel to Exit and start O2 flow gt After setting a gas flow push the ComWheel again to return to the Flow Setting page to observe the Airway Pressure reading or select one of the four diagnostics pages to view the displayed conditions All gas flow stops when you exit Gas Diagnostics to the Main Menu 11 03 1009 0357 000 8 2 6 Breathing System Leak Test Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow OFF N20 Flow OFF Air Flow OFF Breathing Sys Leak Main Menu Note 1009 0357 000 11 03 8 Software Download and Diagnostics Selecting Breathing Sys Leak brings up the Breathing Sys Leak page Entering the Breathing Sys Leak page opens the Gas Inlet Valve and sets up a constant flow through the Inspiratory Flow Valve On the Breathing Sys Leak page you can set an O2 flow through the Gas Mixer and view the Airway Pressure Breathing Sys Leak Breathing Sys Leak Test Flow valve and GIV valve are open 02 Flow To choose a gas flow turn ComWheel Gas flows do not change until you push ComWheel Refer to Technical Reference Manual for this procedure Airway pressure Second ComWheel Push Ends Test gt All gas flow stops when you ex
168. eplace the Mixer MIXER 02 Flow FAIL Mixer error bit Medium STS CH1 DELTAP FLOW FAIL Pressure difference differs from the drop expected at the measured flow for Channel 1 0 Alternate 0 Screen AC Mixer Reboot System If problem continues replace the Mixer MIXER ACB COM FAIL 7 36 Alternate O Screen Five seconds pass without Medium measured flow data from the mixer AC Communication has been established between mixer and AC Reboot System If problem continues replace the Mixer 11 03 1009 0357 000 Error Log Entry 1 Troubleshooting Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MIXER ACB COM FAILLOST CMD Alternate O5 Screen Mixer status Bit Medium STS LOSS OF SETFLOW Mixer has lost AC flow commands for 5 sec or received illegal commands hypoxic mix settings not allowed AC Mixer Reboot System If problem continues replace the Mixer MIXER AIR SELECTION VLV FAIL Alternate O5 Screen Mixer Status Bit Medium STS SEIV VAIR NOTIFY FAIL The status of the air selector valve does not match the commanded state AC Mixer Reboot System If problem continues replace the Mixer MIXER BAL GAS F SENSOR FAIL Alternate O5 Screen Mixer error bit Medium STS F2 SENSOR FAIL Balance gas flow sensor failure AC Mixer Reboot System If problem continues replace the Mixer
169. er Controller Page 1 of the Power Control Power Diagnostics screen shows the Date battery Tested the last full battery discharge and the Discharge Time f the Discharge Time is greater than 45 minutes the batteries can be left in service for one more year Ifthe Discharge Time is less than 45 minutes both batteries should be replaced 6 13 Notes 6 14 11 03 1009 0357 000 In this section 1009 0357 000 11 03 1 Troubleshooting 7 1 General Troubleshooting T 2 7 2 Breathing System Leak Test 7 4 1 2 1 Check ValWeS eme b eee ea dee ed een 7 5 7 2 2 Breathing System Troubleshooting Flowcharts 7 6 7 2 3 Leak Isolation TestS 2 0 0 eects 7 11 F3 Technical Alarms iu eee eds whens Sade x va d ER ole sats 7 26 7 4 Steps and Messages displayed during the System Checkout 7 44 7 4 1 Steps forthe Quick Check 7 44 7 4 2 Steps forthe Vent Check ssssssssssssesee e 7 46 7 1 5 5 Avance 7 1 General Troubleshooting Z WARNING Objects in the breathing system can stop gas flow to the patient This can cause injury or death Donotuse a test plug that is small enough to fall into the breathing system e Make sure that there are no test plugs or other objects caught in the breathing system Problem
170. er Reading Flowmeter Setting Lower Limit Upper Limit L min l min I min minimum valve fully closed 0 50 0 70 1 0 52 1 48 3 2 56 3 44 5 4 60 5 40 10 9 70 10 30 maximum valve fully open 10 00 13 00 Rotate the flow control clockwise to minimum flow Closethe O cylinder valve or disconnectthe O pipeline Remove the test device Connectthe mixer outlet tubing to the vaporizer manifold 10 Replace the back cover 11 Perform the Preoperative Checkout Procedure refer to the User s Reference manual 6 9 5 5 Avance 6 7 Auxiliary 05 flowmeter tests Flow Accuracy Test 6 10 Open the O cylinder valve or connect an O pipeline Rotate the flow control clockwise decrease to shut off the flow The ball should rest atthe bottom ofthe flow tube and not move Rotate the flow control counterclockwise increase The ball should rise immediately after rotation is begun It should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position Rotate the flow control clockwise to shut off the flow Note To check flow accuracy be sure that the flow test device is capable of measuring Oto 15 L min with an accuracy of 2 of reading 1 2 Connect the flowmeter outlet to the flow test device Adjust the flowmeter so the center of the ball aligns with the selected test point observe that the ball maintains a stead
171. ess the left hand mounting screw A remove the right viewed from front side panel B The right side extrusion include an access hole C for removing the left hand mounting screw Note For early production machines that do not have an access hole in the extrusion you must remove the vaporizer manifold to remove the valve block 11 03 1009 0357 000 1009 0357 000 11 03 9 Repair Procedures Note The valve body o ring and flapper do not come out with the block They stay intact at the bottom ofthe vaporizer manifold 6 11 12 13 14 15 16 Pull the flapper out of the valve body O ring Valve body Flapper Valve body O ring or Flapper Y Using a hex wrench put the wrench through one of the holes of the valve body and pull down to remove the valve body and o ring Verify that parts are free of dust and dirt Replace the flapper by inserting the flapper stem and gently pulling the stem until the flapper secures to the valve body Lightly lubricate the o ring with Krytox Place the lubricated o ring on the valve body port at the bottom of the manifold Gently install the valve body in the manifold Check that the o ring makes good seal between the manifold and the valve body Checkthatthe flapper valve makes solid contact with the valve body Install the valve block Reconnect the tubingto the valve block
172. evel Software Level Software Level Software Level Software Level Software Level File Name File Name File Name File Name File Name File Name File Name File Name Serial AnesControl B Serial Electronic Mix Serial Vent Intface B Front Panel CN Serial Power Controll Dsply Unit App Serial Dsply Unit BIO Dsply Unit Fla 11 03 1009 0357 000 8 Software Download and Diagnostics 8 6 Software Download Selecting Software Download bring up the following information page ENTERING SOFTWARE DOWNLOAD MODE Power Diagnostics Gas Diagnostics To return to Diagnostics turn On Standby switch to Standby and turn off AC mains switch in rear Vent Diagnostics Wait 20 seconds then turn on power with the AC mains switch and the On Standby switch Display Diagnostics Special Functions Press ComWheel to continue with Download Software Download Note You can not return to the Diagnostic section of the service application after entering the software download section You must reboot the system to exit Software Download Entering software download brings up the Software Download menu Software Download Remarks Download All Downloads all software subsystems Download New Downloads only new software versions not found on the system and compatible with installed subsystem hardware Since downloading all the subsystem software can take an ho
173. following Access the Error History log If any error codes have been logged follow the appropriate troubleshooting procedures Clearthe error log 16 Perform the system All Checks Section 3 2 Low leak check TRM Section 3 2 1 Quick check TRM Section 3 2 2 Vent check TRM Section 3 2 3 e Circuit O cell check TRM Section 3 2 4 17 Electrical safety tests TRM Section 3 13 In addition to the 12 month requirements replace the following parts every 24 months All parts should be replaced before performing the checks tests and calibrations Refer to TRM Section 6 2 Perform the following step 1 Replace the free breathing flapper valve Stock Number 0211 1454 100 2 Replace the free breathing valve o ring Stock Number 1503 3208 000 In addition to the 24 month requirements replace the following parts every 48 months All parts should be replaced before performing the checks tests and calibrations Refer to TRM Section 9 6 3 Perform the following step 1 Replace the system batteries Stock Number 1009 5682 000 Note Referto the Battery capacity test in TRM Section 6 9 6 3 5 5 Avance 6 2 Free breathing valve maintenance To replace the flapper valve 6 4 Unscrew the valve seat A from the side of the interface manifold Inspect the flapper B and valve seat for nicks debris and cleanliness If necessary clean the new flapper valve with a
174. g the pipeline inlet manifold components 9 27 9 9 1 Replace pipeline inletfilter 9 27 9 9 2 Replace pipeline inlet check valve 9 27 9 9 3 Replace the 9 28 9 10 Service the cylinder supply 9 29 9 10 1 Replace primary regulator module complete replacement 9 29 9 10 2 Replace cylinder inlet filter 9 30 9 10 3 Replace cylinder check valve 9 30 9 11 Replace gas supply pressure transducers 9 31 9 12 Service vaporizer manifold parts 9 32 9 12 1 Repair manifold portvalve 9 32 9 12 2 Checkout procedure for manifold portvalve 9 33 9 12 3 Replace vaporizer manifold check valve 9 34 9 12 4 Replace vaporizer pressure relief valve 9 36 9 12 5 Replace vaporizer manifold 0 cece eee eee eens 9 37 9 13 Clean or replace ACGO port flapper valve 9 38 9 14 Replace the APL VAG aeree Beta ends Rye d dete ns d 9 39 9 15 Replace the bag Support
175. gas and 0 flush flow with SCGO To ABS Circle breathing system Figure 2 30 9D 9 o 9 ABS Fresh gas 1 flows from the vaporizer manifold outlet to the SCGO assembly With the Circle system selected fresh gas flow is channeled to Port 3 of the breathing system before the inspiratory check valve The output of the O Flush regulator 2 is channeled to the O Flush valve When activate O flush flow joins the fresh gas flow in the SCGO assembly AB 91 071 Figure 2 30 Fresh gas anP29d Oz flush flow to ABS 1009 0357 000 11 03 2 31 5 5 Avance Switched Non circle Fresh gas 1 flows from the vaporizer manifold outlet to the SCGO assembly Common Gas Outlet Figure 2 31 With the Non Circle system selected fresh gas flow is channeled to Port 2 of the breathing system after the inspiratory check valve to an external patient circuit through the Inspiratory port The output of the O Flush regulator 2 is channeled to the O Flush valve When activated O flush flow joins the fresh gas flow in the SCGO assembly q I T amp SF itl SCGO Assembly AB 91 072 Figure 2 31 Fresh gas and Oz flush flow to ACGO 2 32 11 03 1009 0357 000 2 Theory of Operation 2 11 5 Fresh gas and 0 flush fl
176. get Krytox on the flapper Insert the flapper assembly into the ACGO outlet with the flapper up 11 03 1009 0357 000 9 14 Replace the APL valve 1009 0357 000 11 03 Remove the ABS breathing system The APL valve is held in place with a spring and a retainer A that snaps into a recess in the lower body of the APL valve To release the retainer place an appropriately sized straight blade screwdriver into the housing cutout B Twist the screwdriver to release the retainer Place the new APL valve into position with the setting indicator facing to the front of the machine Place the spring into the retainer While holding the APL valve tight to the housing Snap the spring and retainer onto the valve body from below Reinstall the ABS breathing system Perform the checkout procedure Section 3 9 Repair Procedures 9 39 5 5 Avance 9 15 Replace the bag support arm 1 Remove the ABS breathing system from the machine 2 From the underside of the casting remove the two screws lockwashers A that hold the arm in place 3 Install the new bagsupport arm assembly Position the bag arm over mounting pattern of 4 small holes in the support casting The arm should extend towards the front of the machine Align the two pins B extending from the base ofthe bag arm assembly with two of the small holes in the casting that are in line with the APL valve Lower the
177. h machine configuration Yes No For machines without a separate auxiliary common gas outlet and selector switch set Gas Outlet to SCGO Selectable Common Gas Outlet For machines with an external auxiliary common gas outlet and selector switch set Gas Outlet to ACGO Auxiliary Common Gas Outlet 4 7 5 5 Avance Message text Change weight unit kg or Ib This is the same menu that is accessible from the super user Install Service Values kg or Ib Change CO2 unit kPa or mmHg kPa or mmHg Change gas supply pressure unit kPa psi or bar psi kPa bar Change Paw unit kPa hPa cmH20 mmHg mbar kPa hPa cmH20 mmHg or mbar The Options Key menu is used to configure the software to include the features that the customer has purchased The included features are shown in 4 3 2 Units Menu menu Menu Item Weight C02 Gas Supply Pressure Paw 4 3 3 Options Key the Options List menu Options Key menu Menu Item Current Key Message text Enter key code to enable options Values XXXAXBC Entry 1 Enter first entry of key code Entry 2 Enter second entry of key code Entry 3 Enter third entry of key code Entry 4 Enter fourth entry of key code Entry 5 Enter fifth entry of key code Entry 6 Enter sixth entry of key code Entry 7 Enter seventh entry of key code 0 to 9 AtoZ G
178. he Bag Vent Switch Negative Relief Valve Bellows Base Manifold bellows and Pop off Valve Perform Test 8 Testing the bellows and bellows Pop off Check Replace the following Bag Vent parts Upper Seal Disk and O Ring If test fails the second time inspect Negative Relief and APL BTV Manifold O Ring Check Replace Pop off diaphragm Bellows Housing U Cup seal and Bellows integrity Flowchart 3 T 8 11 03 1009 0357 000 1 Troubleshooting Leak in both Bag and Vent Mode Common Areas Flow Sensor Module Circuit Module Soda Lime Canister Negative Pressure Relief Perform Test 9 Testing the Flow Sensor Module Circuit Module and Soda Lime Canister Perform Test 10 ien fhe Testing the Circuit Module and Canister MSIE Pass Fail Fail Pass Perform Test 14 and 15 Perform Test 11 Replace the Negative Testing the Flow Testing the Circuit Pressure Relief per ue uere ru Sensors Bulkhead Module Bag Vent Cartridge 9 Disk ard O Bin connectors and tubing O Rings 9 AB 74 045 Pass Fail Perform Test 12 Testing the Inspiratory side of the Circuit Module and Canister Inspect Canister for leaks Pass Fail Inspect Expiratory Inspect Inspiratory side of Circuit Module side of Circuit Module Repeat Test 11 Repeat Test 11 Flowchart 4 1009 0357 000 11 03 7 9 5 5 Avance Leak in Flow Sensor Module or Circuit Module Perform Tests 14 and 15 Testi
179. he Bag position 6 Press the O2 Flush button for 3 seconds T WAIT AT LEAST 5 MINUTES WITH NO GAS FLOWING 8 Select Zero Pres Sensors on the menu If you want to select Zero Pres Senors DO NOT DISTURB THE SYSTEM WHILE WAITING FOR RESULTS Zero mixer pressure sensors Mixer Service Menu Zero Pres Sensors Zero Pres Sensors Reset Defaults gt Special Functions Pressure sensor zero offset adjust requested Note this procedure will require at least 2 minutes Reset factory default zero offsets Zero Pres Sensors Reset Defaults Reset to Factory Defaults requested gt Special Functions 1009 0357 000 11 03 8 23 5 5 Avance 8 5 2 View Revision Log Note 8 5 3 View PC Card 8 24 Install Log Selecting View Revisions Log brings up the Revision Log for the system The log includes chronological entries for every Software Download that was completed to the system Each entry includes two header lines and eight data lines in the following format View Revision Log Software configuration after download on day date time SvcApp Version XX XX Machine Serial Number ABCDXXXXX Avance ACB Stock Number RevX Avance MXR Stock Number RevX Avance VNT Stock Number RevX Avance FPC Avance PSC Stock Number RevX Avance DUA ur Avance DUB Stock Number RevX Avance DUF S Software Level Software Level Software Level Software Level Software Lev
180. he Display Connector board remove the small access panel at the rear of the machine Section 9 2 2 The top side of the Display Connector board accepts the following cables Airway Module MGAS Power Supply board 1 System Signal Interface to Display Unit 2 System Power Interface to Display Unit 3 To replace any of these cables you must remove the oxygen partition that surrounds the MGAS enclosure and MGAS power supply 1 Remove the rear panel Section 9 2 1 2 Remove the MGAS Airway module 3 Remove the MGAS module guide three screws from outside of machine two screws at MGAS power supply box inside machine Section 10 23 1 4 Remove the Display Unit Section 9 4 1 5 From the front of the machine remove the 11 screws that hold the oxygen partition to the front bezel Do not remove the two screw X that hold the front bezel to the vertical support of the vaporizer manifold When replacing the partition position it over the two locator pins P at the top of the bezel opening 6 Remove the foam plug from under the pan 7 Replace the cables as necessary 8 When replacing the partition ensure that cable are positioned in their respective retaining grooves and that they are long enough to reach the connectors without stressing the cable Be careful not to pinch the task light harness 9 Reassemble in reverse order 11 03 1009 0357 000 9 Repair Procedures 9 6 Servicing the lower ele
181. he Vent Diagnostics page select Gas Inlet Viv ON OFF to Open the gas inlet valve Press the ComWheel to return focus to the selection menu 3 Select Flow Valve Control 4 Adjust the Flow Valve counts until the Flow Valve Setting at the bottom of the screen reads approximately 30 l min 3 Carefully listen for the MOPV relief weight to be relieving and popping off from its seat a purring sound This indicates the valve is functioning correctly Set the system switch to Standby Remove the stopper from the inspiratory flow port 9 Oe Reassemble the system T Perform the Preoperative Checkout Procedure refer to the User s Reference manual 6 5 5 5 Avance 6 4 Pressure Limit Circuit test 6 6 Test setup Calibrated Flow Orifice 1504 3016 000 To perform the test establish a closed patient airway circuit increment the pressure in the airway circuit observe the output of the airway pressure transducer note that the pressure limit circuit trips at approximately 109 cmH50 Lm Remove the ABS breathing system from the machine Remove the Exhalation Valve Remove the Vent Engine cover Separate the Circuit Module from the ABS Bellows Module Install the Circuit Module only Plugthe Drive Port A on the Vent Engine interface valve Attach a patient circuit tube to the Calibrated Flow Orifice test tool Insert the Calibrated Flow Orifice into the Manifold pilot
182. he backlight assembly to the left to free it from the retaining tabs and then lift it out ofthe holder 3 Transfer the grommet G to the new backlight assembly 4 Reassemble in reverse order 11 03 1009 0357 000 9 4 6 To replace the Inverters 1009 0357 000 11 03 9 Repair Procedures The Display Unit includes two inverters one for each backlight The inverters sandwich the mounting plate and use it as a heatsink Follow the procedure in Section 9 4 4 to gain access to the inverters Replace one inverter at a time 1 Disconnect the backlight cable A from the inverter 2 Remove the two Nylon screws B that hold the inverter to the backplate 3 Slide the inverter out of the sleeve and disconnect it from the CPU harness C 4 Reassemble in reverse order The front inverter The rear inverter 9 11 5 5 Avance 9 4 7 To replace the front enclosure or components To replace the window 9 12 Disassemble the Display Unit following procedures in the previous sections to the point where you have removed the mounting plate assembly from the front enclosure If you are replacing the front enclosure you can transfer the encoder 12 assembly to the new enclosure but you must build up the replacement enclosure with a new window 11 new membrane switches right side 14 lower 15 left side spacer 19 new keypads right side 16 lower
183. he manometer reading equals 100 cmH 0 start at approximately 950 counts press the ComWheel to activate continue to increment the count until the manometer reading equals 100 cmH20 Select Save Calibration Select Previous Menu Disconnectthe manometer from the tee adapter Remove the tee adapter and reconnect the Manifold Pressure Transducer tubing Calibration setup Leave the Drive Port A and the Manifold Port B on the interface valve plugged Calibration procedure 1 2 3 On the Calibration menu select Insp Flow Zero Select Start Select Previous Menu 11 03 1009 0357 000 5 Calibration 5 4 4 Inspiratory Flow Valve Cal 1009 0357 000 11 03 Calibration setup Leave the Drive Port A and the Manifold Port B on the interface valve plugged Calibration procedure 1 Onthe Calibration menu select Insp Flow Valve 2 Push the ComWheel to enable the Stage 1 calibration 3 When Stage 1 is completed remove the plug from the Manifold port and insert the calibrated orifice C 4 Push the ComWheel to enable the Stage 2 calibration May take two minutes before you see any effects ofthe test on the screen 5 When Stage 2 is completed select Previous Menu o Calibrated Flow Orifice 1504 3016 000 O Calibration setup 1 Remove the Calibration Orifice from the Manifold port 2 Plug the Manifold B port 3 Leave the Drive Gas A port plugged Calibrati
184. he tests in this section Complete all necessary calibrations and subassembly tests Refer to the individual procedures for a list of necessary calibrations e Completely reassemble the system If a test failure occurs make appropriate repairs and test for correct operation 3 1 5 5 Avance 3 1 Inspect the system 3 2 A CAUTION WARNING The upper shelf weight limit is 34 kg 75 Ib Do not leave gas cylinder valves open if the pipeline supply is in use Cylinder supplies could be depleted leaving an insufficient reserve supply in case of pipeline failure Before testing the system ensure that The equipment is not damaged Components are correctly attached The breathing circuit is correctly connected not damaged Pipeline gas supplies are connected Cylinder valves are closed Models with cylinder supplies have a cylinder wrench attached to the system Models with cylinder supplies have a reserve supply of O connected to the machine during system checkout The casters are not loose and the brakes are set and prevent movement The power cord is connected to a wall outlet The mains indicator comes on when AC Power is connected 11 03 1009 0357 000 3 2 System All checks 3 Checkout Procedure On the system Checkout menu select All Checks and follow the instructions for Low P leak check Quick check Vent check and Circuit 02 cell check If a check fails follow the instruc
185. held in place with adhesive When replacing the rear enclosure also include a new gasket To replace the remaining items requires further disassembly 1009 0357 000 11 03 9 7 5 5 Avance 9 8 9 4 3 To replace the CPU board 1 2 Remove the connector panel assembly 23 two screws Disconnect the following cables Inverter harnesses A Membrane switch flex cable at ZIF zero insertion force connector B Speaker cable C Encoder assembly cable D IRDA board cable E Membrane switch flex cable at ZIF zero insertion force connector F Fan cable G LCD cable Remove the remaining four screws I that hold the CPU board to the mounting plate Remove the CPU board from the mounting plate If you are replacing the PCMCIA frame 3 on an existing CPU board remove four screws on back of CPU board you must also apply new gaskets 4 to the frame Align the ends of the gaskets with the top edge of the frame Transfer the battery 5 to the new CPU board Reassemble in reverse order 11 03 1009 0357 000 9 Repair Procedures 9 4 4 To replace 1 Disconnect the following cables the LCD display Membrane switch flex cable at ZIF zero insertion force connector Encoder assembly cable B IRDA Interface cable C remove IRDA Interface board 20 Membrane switch flex cable at ZIF zero insertion force connector D Fan cab
186. ifold selector valves proportional valves Flow sensor assembly C Mixed gas manifold and exit check valve D Figure 2 16 Electronic Gas Mixer 2 14 11 03 1009 0357 000 A r Selector and Bypass Valves O 4 RS 422 Serial Interface Driver 2 Theory of Operation Desired gas flows are sent from the Anesthesia Control board to the Gas Mixer Gas Mixer operation is controlled through a microcontroller which Opens and closes selector valves for O5 N50 and Air Regulates flow control valves for O5 and balance gas N50 or Air Closed loop flow control is accomplished through a hot wire anemometer in concert with the flow control valves Gas flow based on a calibration table is on target when the reference measurement equals the flow measurement Pressure measurements across each of the flow sensor channels are used as checks on the flow measurement for hazard mitigation ambient pressure compensation and compensation for back pressure downstream of the Mixer a Watchdog gt CODE AB 91 063 12 5 VDC 0 3 3 VDC Regulator 130 ma max VDD gt Analog FAIL Balance Gas Valve Drive Oxygen Valve Drive FAN Hi Lo Regulator Oxygen Balance Gas CPU Atmel AVR Mega103L RCV Processor with 124K gt Flash 2K RAM viva VLV2 References SPI Port 5 5
187. ile placing the assembly into the base 8 Reassemble the breathing system in reverse order 9 Perform the checkout procedure Section 3 9 50 11 03 1009 0357 000 9 Repair Procedures 9 22 Replace casters A WARNING N CAUTION N CAUTION 1009 0357 000 11 03 Replacing a caster requires at least two people to maneuver and tip the machine Personal injury and or machine damage is possible if one person attempts this procedure alone 1 Disconnectall pipeline hoses from the wall and the machine close all gas cylinders unplug the power cord and set the system switch to standby Remove the vaporizers before tipping the machine If a vaporizer is inverted it must be set to 5 and purged for 30 minutes with a 5 L min flow The interlock system prevents purging more than one vaporizer at a time 2 Remove the absorber the vaporizers gas cylinders drawers and all auxiliary equipment To prevent damage do not tip the Avance machine more than 10 degrees from vertical 3 Blockthe opposite wheels then block up the machine until there is enough room to remove the defective caster To block up the machine tip and slide blocks under the caster base Raise both sides evenly until the unit is high enough to remove the caster 4 The casters are threaded into the base and held with a Loctite compound Remove the caster with an appropriately sized open end wrench 5 If required clean the treads of the new caster
188. ilot black 145 Venturi Drive black 146 unmarked 148 unmarked 149 unmarked low pressure low pressure low pressure 225 VENT DRIVE black 227 SCGO PILOT black 230 MANIFOLD PRESS low pressure 240 PAW low pressure Referto section 10 33 Length Size 72 mm 3 8 inch 42 mm 3 8 inch 100 mm 3 8 inch 110 mm 3 8 inch Length Size 250 mm 1 4 inch 750 mm 1 4 inch 300 mm 1 4 inch 151 mm 1 4 inch 750 mm 1 4 inch 25 mm 1 4 inch 50 mm 1 4 inch 200 mm 1 4 inch 300 mm 1 4 inch 330 mm 4 mm 300 mm 8 mm 260 mm Tygon 465 mm Tygon 40 mm 8 mm 440 mm 8 mm 320 mm 6 mm 300 mm 1 4 inch 500 mm 1 4 inch Stock Number 1503 3128 000 1503 3237 000 1503 3119 000 1503 3236 000 1503 3132 000 1503 3131 000 1009 3011 000 1406 3524 000 1009 3077 000 1006 3530 000 1009 3297 000 1009 3164 000 1009 3164 000 1009 3164 000 1009 3164 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1009 3363 000 1009 3296 000 6700 0005 300 6700 0005 300 1001 3063 000 1009 3296 000 1009 3295 000 1605 1001 000 1605 1001 000 Sample gas return is directed to the scavenging system as a factory default A qualified service representative can reroute the sample gas back to the breathing system refer to Section 9 23 11 03 1009 0357 000 10 Illustrated Parts From
189. immediately after rotation is begun It should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position Occlude the auxiliary O outlet The ball should rest at the bottom of the flow tube and not move A ball that does not rest at the bottom of the flow tube indicates a leak and requires service Rotate the flow control clockwise to shut off the flow 3 11 Integrated Suction Regulator tests 3 10 The gauge needle should come to rest within the zero range bracket when no suction is being supplied Gauges which do not comply may be out of calibration NO FP C nA Adjust the regulator setting to minimum Tum the mode selector to On Ensure the gauge remains less than 200 mmHg 26 kPa 0 26 Bar Occlude the inlet Ensurethe gauge remains less than 200 mmHg 26 kPa 0 26 Bar Adjust the regulator in an increasing vacuum level The gauge should rise after rotation has begun The gauge should rise with continued rotation of the regulator adjustment Adjust the regulator setting to minimum 9 Turn the Mode selector to O Off 11 03 1009 0357 000 3 12 Power failure test 3 Checkout Procedure 1 Connectthe power cord to a wall outlet The mains indicator on the front panel comes on when AC Power is connected Set the system switch to On and Start a case Unplug the power cord with the system
190. in Index or DIN for external cylinder Tee handle beige Spacer gas block 2 Screw M8 x 25 long socket head cap 2 Clamp yoke Label Set cylinder supply 02 Label Set cylinder supply N20 Label Set cylinder supply Air Screw M6x25 socket head cap 3 per supply Lockwasher for above screw Internal MG Transducer cylinder pressure includes cable DIN Large Cylinder 1006 3880 000 1006 3881 000 Stock Number Refer to section 10 12 1 0219 3372 600 1001 4077 000 9211 0680 253 1001 4076 000 1006 3854 000 1006 3855 000 1006 3856 000 9211 0660 254 0144 1118 130 1011 3001 000 11 03 1009 0357 000 10 Illustrated Parts 10 12 1 Cylinder inlet fittings 1 Pin Index 2 DIN external cylinder 1e Item Description Stock Number 1 Cylinder inlets Pin Index 1a Gasket 0210 5022 300 1b O ring 9221 3013 116 1c Adapter inlet 1001 4075 000 1d Filter sintered bronze 9914 6380 000 1e Retaining ring filter 1001 5954 000 2 Cylinder inlets DIN 2a Screw M8x16 0144 2140 242 2b Sealing ring DIN 1001 3812 000 2c DIN Adapter 02 1006 4000 000 DIN Adapter 0 1006 4001 000 DIN Adapter Air 1006 4002 000 2d O ring 0 687 ID 0 812 OD 0210 0544 300 2e Filter sintered bronze 9914 6380 000 2f Sealing ring N20 DIN Conn 11 1202 3641 000 2g Adapter large cylinder N20 1006 4028 000 2h Adapter large cylinder Oz 1006 40
191. in Menu on the Gas Diagnostics page to turn off gas flow Within one minute the test device reading must stabilize between 60 DIN 372 400 kPa 54 58 psi 50 Pin Indexed 310 341 kPa 45 0 49 5 psi Ifthe test device pressure does not stabilize within one minute replace the cylinder supply Ifthe test device stabilizes within one minute but the readings are not within specifications readjust the regulator Section 5 1 3 5 High Flow Test 5 4 Slowly open the cylinder valve Remove the ABS breathing system from the machine to allow continuous Insp Valve flow through the exhalation valve Onthe Main Menu ofthe Service Application select Vent Diagnostics OntheVentDiagnostics page select Gas Inlet Viv ON OFF to Open the as inlet valve Press the ComWheel to return focus to the selection menu Select Flow Valve Control 11 03 1009 0357 000 5 Calibration f Adjustthe Flow Valve counts until the Flow Valve Setting atthe bottom ofthe screen reads 65 l min g While watching the test device toggle the Gas Inlet Valve several times Closed Open Closed Pressthe ComWheel to return focus to the selection menu e Set Gas Inlet Viv to Closed Press the ComWheel to return focus to the selection menu Set Gas Inlet Viv to Open Press the ComWheel to return focus to the selection menu e Set Gas Inlet Viv to Closed The minimum test device reading observed must be greater than 60 DIN 221 kPa
192. ircuit diagram in Section11 forthe complete pneumatic mechanical subsystem diagram The mechanical subsystems for the ventilator include Pneumatic Vent Engine Drive gas inlet filter Gas inlet valve Supply gas pressure regulator Flow control valve Drive gas check valve Mechanical Overpressure Valve MOPV Bleed resistor Free breathing valve Exhalation valve Bellows assembly Breathing circuit flow sensors Drive gas can be selected from O or Air enters the Vent Engine 1 at a pressure of 241 to 690 kPa 35 to 100 psi through a 2 micron filter 2 that is located under the Gas Inlet Valve 3 During normal operation the Gas Inlet Valve GIV is open to let supply gas flow The GIV provides a shutoff ofthe supply gas when the ventilator is not in use The GIV also shuts off supply gas to the ventilator under failure conditions detected by the CPU or over pressure switch The output from the GIV stays at the filtered supply gas pressure Figure 2 34 Inlet filter and Gas Inlet Valve GIV 2 35 5 5 Avance 2 12 2 Pressure The pressure regulator 4 is a non relieving pressure regulator that regulates high regulator pressure filtered supply gas down to 172 kPa 25 psi Inspiratory Flow Control Valve 47 mate 02 Valve Figure 2 35 Pressure regulator 2 12 3 Flow The flow control valve 5 is
193. it Gas Diagnostics to the Main Menu This procedure is detailed in Test 6 Testing the bellows module and the Bag Vent switch on page 7 17 8 17 5 5 Avance 8 3 Ventilation Diagnostics The service application provides several pages for ventilation diagnostics Selecting Vent Diagnostics on the Main Menu brings up the following menu selections in the left hand frame and the instructions in the right hand frame Vent Diagnostics Vent Diagnostics Power Diagnostics Status Gas Diagnostics Vent Flow and Pres sus qd SONS Me positiona breathing circuit switches Vent Diagnostics Gas Inlet Viv ON OFF Vent Flow and Pres shows vent sensor readings Display Diagnostics Flow Valve Control Toggle Circuit Other commands in the menu column let you control ventilator valves and send gas to either the circle or the non circle circuit Special Functions gt Main Menu Software Download Vent Diagnostics Action when selected Status Selecting Status displays the Ventilation Status page Vent Flow and Pres Selecting Vent Flow and Pres displays the Ventilation Flow and Pressure page Gas Inlet Viv ON OFF Selecting Gas Inlet Viv ON OFF toggles the Gas Inlet Valve to the Open or Closed position and sets the right hand screen to the Vent Flow and Pressure Diagnostics page Flow Valve Control Selecting Flow Valve Control sets the right hand screen to the Vent Flow and Pressure Diagnostics page and allows the user to increase or d
194. itch 9 20 2 To replace the upper task 1009 0357 000 11 03 light The Avance machine includes two task lights upper and lower that are controlled by a common switch The task light switch and the uppertack light are accessible from the front of the machine To service the lower task light you have to remove the rear panel 1 Oo oc A C 1 Remove the four screws A that hold the task light lens to the upper shelf m Usinga small needle nose pliers disconnect the switch harness from the task light circuit board connector B Remove the two screws C that hold the switch retainer plate to the upper shelf Transferthe switch retainer plate to the new switch counter sunk side to the outside Mountthe switch to the upper shelf Remountthe task light assembly Ensure that the switch harness and the task light harness wires are positioned in their respective recesses and are not pinched under the task light lens Using a small needle nose pliers disconnect the switch harness from the task light circuit board connector B disconnect the task light harness from the task light circuit board connector D Slide the task light circuit board out of the lens Slide the new task light into the lens ensuring that the connectors are aligned with the lens cutouts Plug the task light harness and the switch harness into their respective connectors on the task light circuit board
195. known the message Unknown will appear under the columns forthose values If the HW Rev or current SW Rev are not known the download function will still be available As the software loads an activity bar at the bottom of the screen shows the download progress for each subsystem When allthe required subsystem software is download the following message appears on the screen You must shut down the system to exit the download function DOWNLOAD IS COMPLETE Remove PCMCIA card Turn ON STANBY switch to STANDBY Turn OFF AC mains switch in rear 11 03 1009 0357 000 In this section 1009 0357 000 11 03 9 Repair Procedures 9 1 How to bleed gas pressure from the machine 9 3 9 2 How to remove the 9 4 9 2 1 To remove the 9 4 9 2 2 To remove the lower access 9 4 9 3 Howto remove the tabletop 9 5 9 4 Servicing the Display Unit 0 cece eect e 9 6 9 4 1 Remove the Display Unit 9 6 9 4 2 Disassemble the Display Unit 9 7 9 4 3 replace the CPU board 9 8 9 4 4 To replace the LCD
196. l cylinder and pipeline pressures read zero 4 Establish a flow forthe affected gas to bleed down the pressure 5 Setthe system switch to Standby 9 3 5 5 Avance 9 2 How to remove the rear panels 9 2 1To remove the rear upper panel 9 2 2 To remove the lower access panels 9 4 You must remove the rear upper panel to repair or replace many of the machine s components To access the rear electronics enclosure you must remove the lower access panels a N e a amp N e Bleed all gas pressure from the machine Section 9 1 Ensure that all cylinder and pipeline pressures read zero before proceeding Disconnect all electrical cables Toremove the rear panel fully loosen the three captive screws that hold the panel in place Remove the panel If the machine includes integrated suction disconnect the two tube fittings from the overflow safety trap manifold f the machine includes electrical outlets lower the panel and place it so that it does not stress the power cable Disconnect the power cord from the AC mains supply Bleed all gas pressure from the machine Section 9 1 Ensure that all cylinder and pipeline pressures read zero before proceeding If present remove the inboard cylinders Remove the small upper access panel A to access the display connector board WIM BREL ez k iow Ay S D 11 03 1009 0357 000 9 Repair Procedures
197. lcohol Pull the tail C of the new free breathing valve flapper through the center of the valve seat until it locks in place Trim the tail flush with outside surface of the valve seat refer to the removed flapper Replace the O ring D Lubricate with a thin film of Krytox Hand screw the assembly into the interface manifold Reassemble the system Perform the Preoperative Checkout Procedure refer to the User s Reference manual 11 03 1009 0357 000 6 Maintenance 6 3 MOPV pressure relief valve test A WARNING 6 3 1 Test setup 6 3 2 Test procedure 1009 0357 000 11 03 Objects in the breathing system can stop gas flow to the patient This can cause injury or death Do not use a test plug that is small enough to fall into the breathing system Make sure that there are no test plugs or other objects caught in the breathing system Remove the ABS breathing system 2 Plugthe inspiratory flow drive pressure port of the exhalation valve with stopper Exhalation valve n Plug Inspiratory Flow Drive Pressure Port To test the pressure relief valve you must establish a flow blocked by setup above of 30 l min through the Inspiratory Flow Control valve To adjust the flow you must boot the system with the PCMCIA Service Application and access the Vent Diagnostics function as detailed in Section 8 1 Onthe Main Menu of the Service Application select Vent Diagnostics 2 Ont
198. le E LCD cable F 2 Removethe ten screws circled that hold the mounting plate to the front enclosure 3 Remove the mounting plate assembly from the front enclosure 4 Disconnectthe backlight hamesses F from the inverter boards 5 Slide the grommet G out of the mounting plate slot transfer to new LCD 6 Remove the four screws circled that hold the LCD to the mounting plate 1009 0357 000 11 03 9 9 5 5 Avance 9 4 5 To replace the backlights Slit 9 10 T Liftthe left side of the LCD display slightly away from the mounting plate to pull some of the display ribbon cable H to the top side of the plate Flip the LCD overto the left of the assembly 8 Disconnect the display ribbon cable 1 LCD Display 9 Reassemble in reverse order Note When replacing the LCD pull the excess ribbon cable to the bottom side of the plate as you lower the LCD on to the plate For the backlight harness grommet G ensure that the slit in the grommet faces toward the inside of the keyhole The backlight replacement kit includes a backlight assembly with two backlights and two inverters with mounting hardware To replace the backlight assembly follow the procedure in Section 9 4 4 to gain access to the assembly To replace the inverters follow the procedure in the next section 1 Remove the one screw J that holds the backlight assembly to the LCD 2 Slide t
199. le USB Cable 2 a 5 5 gt o a Network ID Port AB 91 079 11 5 AC Outlets 1 1 5 5 Avance 4 4M Flash ro S 2 28 a a9 2 16M ECC DRAM es 8 zo g RS422 x6 UARTs Pan Conn Bd 6 Channels jos Intetfac ent De 64 Byte FIFOs Bellows Pos Mixer Dsply Conn Bd Display Unit Exp Port 1 10VA Limit Control Sy ag RR a Line Pressure Transducer Interface Anesthesia Control Bd ee E EEE S 12 5 Switched r Inlet L 31 Nur g 2 12 5VDC 1 1 nush I Charge f 9 on s
200. libration fails replace Sensor If calibration continues to fail wait 90 minutes and repeat calibration If calibration fails after 90 minute replace VIB O2CAL ERROR Calibrate sensor Offset slope or cell voltage not Low AC Galvanic O sensor in range or O gt 110 Vent connected Calibrate 05 Sensor If calibration fails replace 05 Sensor If calibration continues to fail wait 90 minutes and repeat calibration If calibration fails after 90 minute replace VIB PATIENT VOLUME Calibrate dry or PATIENT VOLUME MISMATCH Low AC System state is in MISMATCH OCCURRED replace flow sensors alarm occurred Vent Checkout DC checks enable criteria 1 Check flow sensor connections 2 Replace flow sensors 3 Check the VIB tubing for moisture 4 Replace VIB PCSELF TEST Internal failure System failed self tests memory High PC may shut down voltages or CPU Reboot system If problem continues check power supplies in the Service Software Replace Power Controller Board if continues PEEP PCV NOT Vol vent only No PEEP Paw data is in range but the Medium DC None AVAILABLE or PSV Pmanifold lt 15 cmH40 Or Low Perform flow sensor calibration If calibration fails in the PCMCIA service application use the Vent diagnostics to check the transducer precision Use the Flow valve control to compare linearity of the Manifold transducer to the Paw transducer POWER CONTROLER Internal failure System Communications with PC andDC Medium
201. low alarm Inspiratory check valve 1 2 3 Set the system switch to On Set fresh gas flow to minimum If equipped with an ACGO connect a tube between the ACGO outlet and the Inspiratory port Set the ACGO switch to the ACGO position Verify that the Airway Pressure reading increases to 10 cm H50 in 30 seconds If not equipped with an ACGO select End Case and connect a tube to the Inspiratory port Stretch the tube approximately 5 cm Occlude the open end ofthe tube Release the tension on the tube Ensure that the Airway Pressure reading increases to between 20 and 40 cm H50 If not repeat the above steps but stretch the tube a little further Verify that the Airway Pressure reading does not drop by more than 10 cm H50 in 30 seconds Expiratory check valve 1009 0357 000 11 03 1 Setall gas flows to minimum 2 Setthe Bag Vent switch to Bag 3 4 5 Fully close the APL valve 70 cm H30 Connecta tube between the Inspiratory port and the Bag port Slowly increase the O flow to achieve 30 cm H50 The leak rate is equal to the flow needed to maintain 30 cm H50 The leak rate should be less than 500 mL min 7 5 5 5 Avance 7 2 2 Breathing System Troubleshooting Flowcharts Review Leak Test Guide Section 7 2 Do System All Checks Isolate breathing system leak to Bag Mode Vent Mode or Both Perform Leak Test 1 Verifying the integrity of test t
202. lower assembly Align the groove B with the dowel pin hole C 5 Insertthe dowel pin into the hole from the top side as shown Drive the dowel pin into the bag arm until itis flush with the surface 1009 0357 000 11 03 9 41 5 5 Avance 9 16 Replace system switch assembly 1 Bleed all gas pressure from the machine Section 9 1 2 Ensure that all cylinder and pipeline pressures read zero before proceeding 3 Remove the tabletop Section 9 3 4 Remove the gauge panel mounting screws and move the panel forward to access the system switch System Switch electrical bacs Gauge panel 5 Disconnect the wires from the electrical switch 6 Back out the system switch mounting screws just enough to allow the knob collar to be released T While holding the switch assembly push in the knob and turn it counterclockwise 8 Pull the knob and collar out from the front and remove the switch assembly 9 42 11 03 1009 0357 000 9 Repair Procedures 9 Install the replacement switch assembly a Transferthe 8 mm plugs from the old system switch to the new system switch on the pneumatic module pull on the plug to ensure that it is locked into the module Turn back the system switch mounting screws until their tips recede Orient the switch assembly with the plugged fittings toward the right and the 03 fittings toward the left Install the switch assembly through the gauge panel
203. menu selections For machines with an ACGO outlet ensure that the ACGO selector switch is set to the ABS circle breathing circuit 5 Turn off all vaporizers 6 Compress and release the bulb until it is empty 7 Ifthe bulb completely inflates in 30 seconds or less there is a leak in the low pressure circuit 1009 0357 000 11 03 7 13 S 5 Avance Test3 Testing the airway pressure transducer and Port 1 and Port 3 u cup seals Alignment Post On the Main Menu of the Service Application select Gas Diagnostics On the Gas Diagnostics page select 02 Flow Set O Flow to 0 2 1 1 2 3 4 Attach the Machine Test Tool to the breathing system interface ports using the alignment post as shown above O1 Occlude the tapered plug 6 Onthe Gas Diagnostics page reselect the 02 Flow screen the Airway Pressure reading should increase If not there is a leak in the tested circuit 1 Set 02 Flow to OFF 7 14 11 03 1009 0357 000 7 Troubleshooting Test4 Testing the bag port cover the APL valve the Bag Vent switch and the negative pressure relief valve p mE AM Plug Bag Port 1 Separate the Bellows Module from the Circuit Module and re install the Bellows Module Occlude the Bag Port connector Connectthe Machine Test Tool to the interface ports as shown above Set the Bag Vent switch to Bag and close the APL Valve 70 cm H30 Onthe Main Menu of the Servi
204. mm Legris Cap Spoppet Seal u cup large Orifice Screen 150 mesh monel Seal u cup small Body Venturi Elbow fitting 8 mm Legris O ring large O ring small Check valve Bracket Venturi mounting Screw M5x20 BHSCS PT THD FORMING Cable tie Tubing Tygon Stock Number 1500 3158 000 1006 3663 000 1011 5002 000 1011 5001 000 1503 3090 000 1011 3508 000 1001 3808 000 1503 3089 000 1011 5000 000 1011 3509 000 1011 3510 000 9221 3032 116 1503 3108 000 1011 8002 000 1009 3182 000 1009 3384 000 0203 5915 300 Refer to section 10 32 11 03 1009 0357 000 10 25 Auxiliary 05 Flowmeter 1009 0357 000 11 03 1 2 Item Description 1 Flowmeter 1 10 L min Complete with fittings installed Flowmeter 1 10 L min without fittings 2 Knob gray 3 Nipple Panel Mount Auxiliary Oo Outlet 4 Label blank if no Auxiliary O2 b Nut M12x1 75 SST 6 Flowmeter Fitting 1 8 NPTM straight adapter Flowmeter Fitting 1 8 NPTM elbow adapter 7 Flowmeter Fitting Assembly 6 mm Tubing Adapter 8 Plate Flowmeter Mounting 9 Screw 10 32 x 3 8 10 Screw M3x8 SST 11 Tubing low pressure 250 mm 1 4 inch 12 Plate blank if no Auxiliary 02 Apply Loctite 242 Apply Teflon tape 10 Illustrated Parts Stock Number 1006 8424 000 1006 3841 000 1011 3471 000 1006 5177 000 1009 3243 000 0144 3132 140 0204 8877 300 0204 8788 300 1006 8423 000 1009 3126 000 0140 6631 107 1009 5534 000 1605 1001 000
205. n the Alternate O Disable valve 13 is energized to block alternate O2 flow Normal gas flows are enabled through their respective selector valves 11 The system controls gas flow through the flow control valves 12 and derives the individual flow rates through the hot wire anemometers 14 Under system failure conditions or if Alt is selected the normally open Alternate O Disable valve 13 allows delivery of O through the Alternate 05 Flowmeter when the system switch is in the On position Mixed gas The mixed gas flows through the vaporizer manifold D and vaporizer 16 that is On to the SCGO ACGO assembly E F A pressure relief valve 17 on the vaporizer manifold sets the maximum outlet pressure The SCGO assembly E directs the mixed gas to the selected circuit 22 ABS circle or 23 to Inspiratory port of ABS On SCGO assemblies a relief valve 21 limits pressure in the breathing system to approximately 150 cmH50 The ACGO assembly F directs the mixed gas to the selected circuit 22 ABS circle or 23 external ACGO port 2 18 11 03 1009 0357 000 2 Theory of Operation A Pipeline Manifold B Cylinder Supply Gas Mixer D Vaporizer Manifold E SCGO Assembly F ACGO Assembly P Pressure Transducer
206. nate O switch status Medium 1009 0357 000 11 03 indicates Alt O5 switch fault The fault detection condition must persist for 1 second Replace the Alt O Switch 7 29 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting AUX OUTLET FAIL No fresh gas flow The measured SCGO position High AC does not match commanded Vent position In the Service Software Vent Diagnosis view the Circuit Feedback status If the feedback indicates Fault toggle the Circuit If the Status changes to match the Circuit setting check replace the SCGO ACGO Micro switches BACKUP MODE Backup Mode active No spontaneous breaths in set Low DC ENTERED period of time Backup Time sec and 30 seconds has elapsed since starting PSVPro mode No spontaneous breaths in set period of time Apnea time and 30 seconds has elapsed since starting PSVPro mode No Service Action Required BAL Mixer status bit Medium AC Balance gas supply FLOW CTRL FAIL STS FLOW CTRL CH2 FAIL Mixer pressure OK indicates flow attainment failure Reboot System If problem continues replace the Mixer BAL Mixer status bit Medium AC PROP VALVE FAIL STS_CH2_PROPN VALVE FAIL Mixer indicates proportional valve failure over current etc Reboot System If problem continues replace the Mixer BAIT V VERY LOW Plug in power cable Available battery power Medium PC AC Mains P
207. nd tubing charts 10 55 10 31 1 Legris quick release fittings 10 55 10 32 Vent Drive and low pressure tubing 10 56 10 33 Tubing for use with Legris fittings 10 58 10 34 Cables and harnesses 10 60 10 35 Cables and harnesses in lower electronic enclosure 10 62 10 36 Cables and harnesses in Pan enclosure 10 64 11 03 1009 0357 000 In this section 1009 0357 000 11 03 1 Introduction This section provides a general overview of the 5 5 Avance anesthesia machine 1 1 What this manual includes 0 0 0 0 cece ccc 1 2 1 2 User s Reference manuals 1 2 1 3 What is 5 5 Avance anesthesia Machine 1 3 1 4 Anesthesia system components 28 3 1 4 1 5 Breathing system 1 6 1 6 Display controls cese due ates des tasted ach REOR Aro RO Ud Rura esos 1 7 1 7 Anesthesia system 1 8 1 7 1 Using menus desir re Ed eed wae Fade toda ca DER 1 10 1 8 Symbols used in the manual or on the 1 11 1 1 S 5 Avance 1 1 What this manual includes Other equipment This manual covers the service information for the S 5 Avance line of anesthesia machines It covers the following components Display Unit Integral electronics Gas deli
208. nents 10 Illustrated Parts Section number Refer to section 10 23 1 Refer to section 10 23 Refer to section 10 14 Refer to section 10 22 Refer to section 10 21 Refer to section 10 30 Refer to section 10 27 Refer to section 10 7 Refer to section 10 29 Refer to section 10 25 Refer to section 10 24 Refer to section 10 19 Refer to section 10 16 Refer to section 10 13 Refer to section 10 28 10 7 5 5 Avance 10 4 External Components rear view 10 8 Item Description AC Inlet Pipeline Inlets Label pipeline inlet blank Cylinder Gas Supplies Electrical Power Outlet Suction items Rear panel items Stock Number Refer to section 10 5 Refer to section 10 11 1009 3197 000 Refer to section 10 12 Refer to section 10 6 Refer to section 10 24 Refer to section 10 26 11 03 1009 0357 000 10 Illustrated Parts 10 5 AC Power cords and AC Inlet filter 3 A IM Qu 1 N 2 Item Description Stock Number 1 Power Cord Australia and China 220 240 VAC AS 3112 outlets 1006 3888 000 EURO and France 220 VAC with CEE 7 7 1001 3380 000 India and South Africa 220 240 VAC BS546 1006 3885 000 Japan and US 100 120 VAC NEMA 1006 3907 000 Swiss 220240 VAC SEV 1011 1006 3889 000 UK 220 240 VAC BS1363 1006 3884 000 2 Clamp power cord retainer 1009 3103 000 3 Screw M4x8 Pozidriv 0140 6226 113 4 Filter foam 1009 3064 000 5 Retainer filter 1009 3058 000
209. ng screws 3 Remove R the lower left mounting screw 4 Place a protective pad on the tabletop 5 From the front of the machine slide the Display Unit toward the center of the machine to free it from the keyhole slots 6 Lowerthe Display Unitface down on the protective pad Remove the cables from the rear connector panel 11 03 1009 0357 000 9 Repair Procedures 9 4 2 Disassemble Place the Display Unit face down on an anti static pad Before removing the rear the Display Unit enclosure ensure that the release tabs on the PCMCIA frame are fully depressed 1 Loosen L the four captive screws at each corner of the rear enclosure 2 Liftthe rear enclosure slightly and pivot it away from the lower enclosure at the bottom side of the Display Unit 23 30 1 Atthis point you can replace the following items The item numbers referto the parts list in Section 10 7 the fan 26 the connector panel assembly 23 the encoder assembly 12 the IRDA board 20 or IRDA board harness 21 the battery 5 the speaker 22 To access the mounting screws for the speaker you must first remove the ten screws that hold the mounting plate to the front enclosure so that you can raise the bottom edge of the assembly slightly Refer to section 9 4 4 the rear enclosure 1 You can transfer the captive screws to the new enclosure However the gasket 30 is
210. ng the Flow Sensors using the low pressure leak test device Check Replace Ch eck Replace the seals on the Circuit Module and O Rings the O Ring on the cell AB 91 016 Swap Module s Do System with another machine All Checks Repair or replace Module Section 3 2 Flowchart 5 11 03 1009 0357 000 7 2 3 Leak Isolation Tests 1009 0357 000 11 03 Note Test 1 Test 2 Test 3 Test 4 Test 5 Test 6 Test 7 Test 8 Test 9 Test 10 Test 11 Test 12 Test 13 Test 14 Test 15 A WARNING A CAUTION 1 Troubleshooting The previous flowcharts refer you to the following tests These tests require the use of the Low Pressure Leak Test Device and the Leak Test Tool Kit referto Section 10 1 Service tools The Leak Test Tool Kit includes the Machine Test Tool the Circuit Test Tool and various Test Plugs When performing these tests on machines with an ACGO outlet ensure that the ACGO selector switch is set to the ABS Circle circuit position To perform most of these tests you must boot the system with the PCMCIA Service Application and access the Diagnostics function as described in the test and detailed in Section 8 Verifying the integrity of the 100 5 1 12 Low pressure leak testing the machine 1 13 Testing the airway pressure transducer and Port 1 and Port u cup seals 7 14 Testing the bag port
211. ng valve 2 12 10 Breathing circuit flow sensors 2 40 The free breathing valve 17 helps assure the patient can spontaneously breathe The ventilator is programmed to supply a specified number of breaths per minute to the patient If in between one of these programmed cycles the patient needs a breath spontaneous the free breathing valve permits the patient to inhale The free breathing valve is closed on mechanical inspiration Mechanical Over Pressure 1 Val edm Drive Check Valve 3 5 cm H20 bias 1 Inspiratory Flow Control Valve lt gt 25 psig C H q 15LPM Gas Inlet Valve Figure 2 42 Free breathing valve Two flow sensors are used to monitor inspiratory and expiratory gas flow The inspiratory flow sensor is downstream ofthe gas system inspiratory check valve Feedback from the inspiratory transducer is used to supply tidal volumes that make allowances forthe effects of fresh gas flow and circuit compressibility The expiratory flow sensor is located at the input to the gas system expiratory check valve Feedback from the expiratory flow sensor is used to supply signals for expiratory tidal volume monitoring and the breath rate Expiratot Gas Monitor Flow Sensor Inspiratory Flow Sensor Flow rans CXF Figure 2 43 Flow sensors 11 03 1009 0357 000 In this section A W
212. nifold port 1009 0357 000 11 03 valve Note 9 Repair Procedures Use the Vaporizer Manifold Valve Test Tool to perform the checkout procedure for the manifold port valve This tool and test procedure are intended for use only when the valve cartridge assembly is replaced This replacement and test procedure is a service action and is not part of the maintenance program 1 Setthe system switch to Standby 2 After replacing the valve cartridge assembly remove the vaporizer port o ring 3 Attach the valve tester to the top of the valve by sliding the bottom of the tester onto the o ring groove 4 Tighten the tester screw down onto the valve until the screw bottoms out on the top of the valve The tester o ring should create a seal with the top of the valve 5 With the Inspiratory Flow Sensor open to atmosphere do no plug the right hand port verify that the system passes the Low P leak check in the System Checkout Section 3 2 1 Remove the valve tester Reassemble the vaporizer port o ring Conduct a negative low pressure leak test on the system Qo c 0 Perform system All checks Section 3 2 9 33 5 5 Avance 9 12 3 Replace vaporizer manifold check valve 9 34 1 Setthe system switch to Standby 2 Remove the vaporizers from the vaporizer manifold 3 Remove the upper rear panel 4 Disconnectthe tubing from the valve block 5 Remove the valve block To acc
213. nrange Paw and 0 25 Inspiratory valve flow Vent manifold pressure data available and mechanical ventilation On Check the breathing circuit for leaks or hose occlusions Perform flow sensor calibration Check drive gas check valve Check VIB cabling Replace VIB BREATHING SYSTEM Breathingsystemloose Breathing system detection Low AC NOT LATCHED switch indicates breathing Vent system not latched CAL FAILUREIN Service calibration Default cal data is being used Low AC EEPROM advised due to corrupt data in cal region Perform complete service level calibrations CHECK FLOW SENSOR Check flow sensors During Mechanical breaths the Medium AC In range flow data measured flow for 6 consecutive Vent available during breaths to and from the patient mechanical ventilation does not meet certain criteria No or negative flow on Insp flow sensor during inspiration or negative flow on Exp flow sensor Check flow sensor connections Check the breathing circuit Check VIB sensor tubing for leaks Perform flow sensor calibration Check Insp Exp check valves Replace flow sensors Check COM ERROR VENTTO System Malfunction After regular communications High AC Vent ACB has been established between the Ventilator boundary object and the Vent SIB CPU a total loss of communications shall be declared if the Ventilator boundary object receives no messages from the Vent SIB CPU for 35 milliseconds Reboot System
214. ntrol Board Reboot System If problem continues replace the ACB ACB FLASH FAIL System Malfunction CRC Failure in code space High AC Reboot System If problem continues replace the ACB ACB HW WATCHDOG System Malfunction Hardware watchdog fails bootup High AC test times out or detects an incorrect code sequence Reboot System If problem continues replace the ACB ACB MICROPROC System Malfunction Unexpected microcontroller High AC ERROR exception bus error address error etc Reboot System If problem continues replace the ACB ACB RAM ERROR System Malfunction Memory Test Failure Multiple bit High AC errors detected Reboot System If problem continues replace the ACB ACB REDUNDANT System Malfunction A redundantly stored parameter High AC MEMORY FAIL could not be stored properly or was corrupted Reboot System If problem continues replace the ACB ACB SW ERROR System Malfunction Unexpected software error High AC See 7 7 2 3 failed state Reboot System If problem continues reload ACB Software If problem continues replace the ACB 7 28 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting ACB SW WATCHDOG System Malfunction Software watchdog failed power High AC up test timed out or a software function was delinquent for too long Reboot System If problem continues replace the ACB
215. ntrol board MGAS power connector 11 Anesthesia Control board signal connector 12 Not used 13 11 03 1009 0357 000 2 Theory of Operation 2 6 Power Controller and Anesthesia Control board connections The Power Controller Distributes 12 5 VDC power and communicates with the Display Unit by way ofthe Display Connector board through the connector 10 Distributes 12 5 VDC power to the Anesthesia Control board through connector 14 The Anesthesia Control board Receives power from the Power Controller board through connector 14 Distributes 10VA power supplies to the Pan Connector board through connector 15 Communicates with Pan assemblies through connector 16 Communicates with Display Unit through connector 12 Distributes 10VA power supplies to the Display Unit through connector 11 Display Connector board topside Power Controller board Display Connector board underside Anesthesia Control board 1009 0357 000 11 03 2 11 S 5 Avance 2 7 Anesthesia Control board The Anesthesia Control board A uses a Motorola MCF5307 Coldfire microcontroller with 4M Flash and 16M error correcting DRAM The Anesthesia Control board includes 6 UARTs with a 64 byte FIFO and RS 422 communications to interface with the Display Unit an accessory port and anesthesia delivery subsystems located in the pan electronic enclosure These include the Gas Mixer and
216. oard 41 1 42 1 Door 41 2 CPU to plate 43 4 Rear connector panel assembly 43 2 Ground straps for keypads 43 2 Mounting plate to Front enclosure 43 10 Rear enclosure 44 4 45 4 Fan 46 4 47 4 Inverters 48 4 PCMCIA frame 49 4 Table 1 Language Keypad Set Chinese 1009 5932 000 Czech 1009 5923 000 Danish 1009 5931 000 Dutch 1009 5918 000 English 1009 5915 000 Finnish 1009 5922 000 French 1009 5916 000 German 1009 5917 000 Greek 1009 5927 000 Hungarian 1009 5928 000 Italian 1009 5919 000 Japanese 1009 5929 000 Norwegian 1009 5925 000 Polish 1009 5924 000 Portuguese 1009 5921 000 Russian 1009 5930 000 Spanish 1009 5920 000 Turkish 1009 5926 000 10 13 5 5 Avance 10 8 Lower electronic enclosure components 10 14 fT mm mem Item 100 gt ND PrP PP RP gt gt Description Power Controller board with mounting plate Anesthesia Control board tested Battery sealed lead acid 12V Harness battery Tray battery Bracket battery restraint Label battery service instructions Fan flow into enclosure Display Connector Board Cable to Display Unit system power interface Cable to Display Unit system signal interface Cable to Airway Module power supply Cable ribbon J2 ACB to J9 DCB Harness J7 ACB to
217. oard The Anesthesia Control board is based on the Motorola Coldfire processor with a Nucleus operating system Embedded controllers are used to perform specific machine functions on subsystems like the Power Controller board and the Mixer board The processors communicate through serial bus channels The various function of the electrical system are accomplished on the following circuit boards Display Unit CPU A Display Unit System Interconnect assembly B Display Connector board C Power Controller board D Anesthesia Control board E Pan Connector board F Electronic Mixer board G Ventilator Interface board ABS Filter board I Vent Engine Connector board J MGAS Power Supply board Light Strip board L Inrush board M 11 03 1009 0357 000 2 Theory of Operation S VTTW A WA NN Vos CN NS NS oS T K GE SS WA T a 3 SQ 2 3 1009 0357 000 11 03 S 5 Avance 2 2 Power subsystem Figure 2 9 Power subsystem 2 4 Mains power enters the system through the AC Inlet module A which includes a line filter and the system circuit breaker Mains power is routed through the Inrush B circuit board to the isolation transformer C The isolated secondary output of the transformer is routed through fuses D and a second line filter E to the input of the Power Controller boa
218. of proper tools test equipment and the most recent revision to this service manual which is clearly and thoroughly understood Technical Competence The procedures described in this Technical Reference manual should be performed by trained and authorized personnel only Maintenance should only be undertaken by competent individuals who have a general knowledge of and experience with devices of this nature No repairs should ever be undertaken or attempted by anyone not having such qualifications Datex Ohmeda strongly recommends using only genuine replacement parts manufactured or sold by Datex Ohmeda for all repair parts replacements Read completely through each step in every procedure before starting the procedure any exceptions may result in a failure to properly and safely complete the attempted procedure ii 11 03 1009 0357 000 1 Introduction 2 Theory of Operation 1009 0357 000 11 03 Table of Contents Important cess Tel oh ee OS Te OES ii Technical Competence cssc cese vow Ro ute mk PY alta ii 1 1 What this manual includes sssssesssesseee 1 2 1 2 User s Reference manuals 1 2 1 3 What is 5 5 Avance anesthesia machine 1 3 1 4 Anesthesia system components 1 4 1 5 Breathing system lt
219. oling fan Replace Mixer FLOW SENSOR CAL Calibrate flow sensors Insp or Exp flow sensor or the Low AC Flow sensor detected ERROR airway or manifold pressure Vent sensor zero offset out of range flow calibration failure See associated Errors i e EXP FLOW SENSOR CAL ERROR or AIRWAY SENSOR CAL ERROR FRONT PANEL COM Display panel controls Key pad controller fails to send Medium DC FAIL failure life tick for greater than 10 Sec Yellow Reboot system If problem continues replace Display Controller Board GAS INLET VALVE Vent Fail Monitoring Boot up test failed High AC BOOTUP Only Vent 1 Check GIV solenoid connection 2 Replace GIV 3 Replace VIB INSP FLOW SENSOR Calibrate flow sensors Insp Flow Sensor zero offset out Low AC Flow sensor detected CAL ERROR of range Vent 1009 0357 000 11 03 In the Service Software Vent Flow amp Pressure Diagnostics verify the Inspiratory Pressure counts is 2050 250 Disconnect the Black and White in line connectors If the counts return within specified range check for occlusions in the Bulkhead harness Ifthe counts do not return within the specified range replace the VIB 1 33 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting INSP FLOW SENSOR Replace insp flow EEPROM cal data read failure Low AC EEPROM FAILURE sensor Vent Replace the Inspiratory Flow Sensor LOSS OF GAS After regular
220. olts OK Fail Vent Valves 10VA Volts OK Fail Mixer Vent Interface Bd Display Unit Board Supplies gt Main Menu Vent Int Bd 10VA Volts Vdc 11 30 to13 13 Vent Valves 10VA Volts Vdc 11 30 to13 13 3 2Vdc 12bit Vref t Vdc 3 179 to 3 221 Counts 1 22Vdc 10bit Vref Vdc 1 074 to 1 367 Counts 6 0Vdc Vdc 5 51 to 6 50 6 0Vdc Vdc 6 72 to 5 28 1009 0357 000 11 03 8 9 5 5 Avance 8 1 7 Display Unit Power Selecting Display Unit brings up the Display Unit Power Diagnostics page Diagnostics Display Unit Power Diagnostics Power Diagnostics Label Value Format Units Normal range Power Control 5 0Vdc PCMCIA X XX Vdc 4 50 to 5 50 Anes Control Board 3 3Vdc PCMCIA X XX Vdc 2 97 to 3 63 Mixer 5 0Vdc Fan X XX 4 50 to 5 50 Vent Interface Bd 5 0Vdc USB X XX 4 50 to 5 50 Display Unit 8 0Vdc DIS X XX 7 20 to 8 80 gt Main Menu 11Vdc LCD XX XX 10 35 to 13 62 8 10 11 03 1009 0357 000 8 2 Gas Diagnostics Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Software Download 1009 0357 000 11 03 Start gas flow Stop gas flow 8 Software Download and Diagnostics Selecting Gas Diagnostics on the Main Menu brings up the following menu selections in the left hand frame and the instructions in the right hand frame Gas Diagnostics Gas Diagnostics To troubleshoot a problem with gas supplies or as flows start with the gas supplies menu and work
221. on procedure 1 On the Calibration menu select Bleed Resistor 2 Select Start 3 When the test is completed select Previous Menu 5 13 5 5 Avance 5 4 6 Paw Span 5 14 Calibration setup 1 2 3 4 5 6 T Leave the Drive port A port plugged Remove the plug from the Manifold port Attach a patient circuit tube to the Calibrated Flow Orifice Insert the Calibrated Flow Orifice into the Manifold port B Separate the Circuit module from the ABS Bellows module Install only the Circuit module C on to the machine Connecta pressure sensing tee D to the inspiratory flow patient connection Connectthe open end ofthe patient circuit tube to the flow port of the pressure sensing tee Connecta manometerto the pressure sensing port of the tee connector To manometer Calibration procedure 1 2 3 On the Calibration menu select Paw Span Select Start Paw Span Adjust the Insp Flow Valve DAC setting until the manometer reading equals 100 cmH50 start at approximately 950 counts press the ComWheel to activate continue to increment the count until the manometer reading equals 100 cmH50 Select Save Calibration Select Previous Menu 11 03 1009 0357 000 In this section A WARNINGS 1009 0357 000 11 03 6 Maintenance This section covers the regular maintenance procedures minimum requirements needed to make sure that the S 5 Avance anesthesia ma
222. ools Perform Test 2 Low pressure leak ES testing the machine Pass Leak in Bag M Vent 2 Go to Flowchart 2 Mode vag Mods Mode Go to Flowchart 3 only or Both only z Both Bag and Vent Mode 3 Inspect Replace tubing to esting the airway pressure transducer airway pressure transducer Replace U Cup seals and port U cup seals Pass Go to Flowchart 4 Flowchart 1 7 6 11 03 1009 0357 000 Leak in Bag Mode only Perform Test 4 Testing the bag port APL Valve and Bag Vent Switch and Negative Pressure Relief Valve Check or Replace the Bag Vent Switch lower Seal Perform Test 5 Testing the bag port cover seal Inspect APL BTV Manifold O Ring seal and Negative Pressure Relief replace as necessary Flowchart 2 1009 0357 000 11 03 1 Troubleshooting Re Install all breathing circuit components and repeat System All Checks Section 3 2 AB 91 014 Replace APL components and repeat Test 4 If test fails the second time inspect APL component replace as necessary 7 7 5 5 Avance Leak in Vent Mode only Perform Test 6 Testing the bellows assembly and Bag Vent Switch Perform Test 8 Testing the bellows Inspect Exhalation Valve bellows Pop off and Drive Circuit AB 91 015 Re Install all breathing circuit components and repeat System All Checks Section 3 2 Perform Test 7 Testing t
223. ority alarms Alarm is silenced for 120 seconds 2 Menu keys Push to show corresponding menu 3 ComWheel Push to select a menu item or confirm a setting Turn right or leftto scroll menu items or change settings 4 Quick keys Push to change corresponding gas setting or vent setting Use the ComWheel to make a change Push the ComWheel to activate the ch ange Figure 1 5 Ventilator controls 1009 0357 000 11 03 E 90 9 0 AB 91 073 1 Introduction 1 7 5 5 Avance 1 7 Anesthesia system display cmH20 90 l min l min 32 10 1 l min 2 0 10 0 MV 9 0 ml TVexp R 498 18 96 02 0 02 z 100 a Xxx XXXXXXXX kP N20 Xx AB 91 002 Electronic gas flow tubes Alarm silence countdown Alarm message fields Waveform field Clock Number field Free number display Ventilator settings Gassettings 0 090 Figure 1 6 Normal view 1 8 11 03 1009 0357 000 1 Introduction When a menu key is selected the menu field overlays the gas flow tubes and the waveform fields start at the right edge of the menu 2 12 10 1 ye 040 cmH20 90 Xxxx Xxxx zu 32 10 X XXXXXXX XXXXXXX x AE E l min 2 0 10 0
224. ory sensor connected Medium AC AC Vent SENSOR and not calibrating Vent Connect Inspiratory flow sensor Check Replace Bulkhead harness Replace VIB Board 02 Mixer status bit Medium PROP VALVE FAIL STS_CH1_PROPN VALVE FAIL Mixer indicates proportional valve failure Reboot System If problem continues Replace the Mixer 02 Mixer status bit Medium gas supply pressure FLOW CTRL FAIL STS FLOW CH1 FAIL Mixer OK indicates flow control failure Reboot System If problem continues Replace the Mixer 02 FLUSH FAILURE Oz flush stuck on Switch is detected on Low AC continuously gt 30 sec Vent Alarm condition becomes false for 2 consecutive switch readings 02 PIPE INVALID Cannot monitor O 02 Pipeline pressure is invalid Medium DC pipeline Check 02 Pipeline Supply Check Replace 02 Pipeline Pressure Transducer 02 PRESS LOW O supply pressure low 02 pipeline pressure is less than High AC N50 flow stops on 252 kPa and the cylinder has DC threshold detection a pressure less than 2633 kPa and Air continues to for one second flow if selected Check O Supply Check Replace O Pipeline Cylinder Pressure Transducer 7 40 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting 02 SENSOR FAILURE Replace 0 sensor 05 5 Low AC Galvanic O sensor Vent connected Calibrate 0 Sensor If ca
225. ot read the card or the card does not have the required data Fail Systems cannot accept configuration files from a different product model The software version is stored with the saved configuration A system will reject any configurations from other than the current version of software Selecting Save to Card overwrites any configuration on the card 4 9 5 5 Avance 4 4 Service Menu Use the service level password to access the Service menu 26 23 8 Whenever service menu is entered Enter Service dd mmm yyyy hh mm ss is recorded in the Event log Menu Item Message text SW HW versions Scroll through system information Service Log Show error event and alarm histories Calibration Push ComWheel to perform service calibrations Previous Menu Return to previous menu 4 10 Total Time Software Release Model Code Machine Serial Number Option Package Option Code Anes Hardware Disp Hardware Mixer Hardware Vent Hardware Power Hardware MGas Hardware Service Log Menu Scroll Recent Error History Event History Alarm History Copy Logs Reset Logs Previous Menu Calibration Instructions User Calibration Manifold P Span Insp Flow Zero Insp Flow Valve Bleed Resistor Paw Span Zero Gas Xducer Cal Config Previous Menu 11 03 1009 0357 000 4 Installation and Service Menus 4 4 1 Software Turn the ComWheel to scroll through the
226. ow with ACGO To ABS Circle Fresh gas 1 flows from the vaporizer manifold outlet to the ACGO Selector Switch breathing system wit the ACGO Selector Switch in the ABS position fresh gas flow is channeled to the Figure 2 32 breathing system The output of the O Flush regulator 2 is channeled to the O Flush valve When activate O flush flow joins the fresh gas flow in the ACGO Selector Switch AB 74 060 Selector Switch Figure 2 32 Fresh gas and Oz flush flow to ABS 1009 0357 000 11 03 2 33 5 5 Avance Auxiliary Non circle Common Gas Outlet Fresh gas 1 flows from the vaporizer manifold outlet to the ACGO Selector Switch With the ACGO Selector Switch in the ACGO position fresh gas flow is channeled to the Figure 2 33 ACGO outlet At the ACGO outlet a small sample is diverted to the O Cell in the ABS for 05 monitoring The output of the O Flush regulator 2 is channeled to the O Flush valve When activated O flush flow joins the fresh gas flow in the ACGO Selector Switch Q E H O Sense Us ACGO ACGO Selector Switch AB 74 061 Figure 2 33 Fresh gas and Oz flush flow to ACGO 2 34 11 03 1009 0357 000 2 Theory of Operation 2 12 Ventilator mechanical subsystems 2 12 1 Drive gas filter and Gas Inlet 1009 0357 000 11 03 Valve Referto Figure 11 1 System c
227. ower Failure On battery decreases to between 10 and 5 in progress min Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY lt 1MIN System shutdown in Available battery poweris 1min High PC AC Mains Power Failure lt 1 progress Leave the system plugged in charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY CHARGE FAIL 1 30 No battery backup The system is in standby and the Medium PC battery charge current is 24 0 amps for Or The system is powered on with a battery current gt 1 3 amps Check the battery charge circuit in Service Software Replace Battery 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting BATTERY EMPTY System shutdown in Available battery power is High PC AC Mains Power Failure 5 min between 1 and 5 minutes in progress Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY FAIL No Battery Backup Battery voltage 10 5 V Medium PC or While in bulk over or float charging battery is lt 10 5VDC or Battery has been bulk charging for gt 12 hin Standby or 24 h while powered on
228. pens Exhaled gas flows from the Figure 2 28 patient 4 through a unidirectional valve expiratory check valve and into the bellows 5 Residual drive gas D flows out of the bellows to the scavenging system 6 If PEEP is selected static pressure on the pilot port of the exhalation valve sets the PEEP level During exhalation fresh gas flows backwards through the absorber FG into the expiratory limb downstream of the expiratory check valve For machines that are plumbed to return sample gas to the breathing system the returned gas SGR enters the breathing system after the expiratory check valve Referto section 9 23 4 82 030 AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bellows 6 To scavenging Figure 2 28 Flow through the APL Valve 1009 0357 000 11 03 2 29 5 5 Avance Pop off valve pop off valve limits the pressure inside the bellows to 2 5 cm H50 above the drive Figure 2 29 gas pressure This normally occurs when the bellows reaches the top of the housing at the end of exhalation Excess gas 7 vents to the scavenging system 6 through the pop off valve and the exhalation valve 29 5 Y 10 vi AB 82 031 6 Pop off flow 7 Toscavenging Figure 2 29 Flow through the pop off valve 2 30 11 03 1009 0357 000 2 Theory of Operation 2 11 4 Fresh
229. piratory flow 5 Flow to bag Figure 2 25 Flow during manual expiration 2 26 11 03 1009 0357 000 2 Theory of Operation APLValve The APL valve sets a pressure limit for manual ventilation Figure 2 26 As you turn the APL knob it puts more or less force on the APL disc and seat D S If the circuit pressure is too high 6 the disc and seat inside the diaphragm opens and vents gas to the scavenging system 7 AB 82 028 29 IO D S APL disc and seat 6 APL flow 7 To scavenging Figure 2 26 Flow through the APL Valve 1009 0357 000 11 03 5 5 Avance 2 11 3 Mechanical ventilation Mechanical inspiration The Bag Vent switch closes the manual path V Pilot pressure P closes the Figure 2 27 exhalation valve Drive gas D pushes down on the bellows Gas flows from the bellows 1 through the absorber 2 and through a unidirectional valve inspiratory check valve to the patient 3 During inspiration fresh gas flows into the inspiratory limb upstream of the inspiratory check valve 5 v w T es AB 82 029 AP Airway Pressure D Drive gas FG Fresh Gas P Pilot pressure V Bag Vent switch to Vent 1 Flow to absorber 2 Flow from absorber 3 Inspiratory flow Figure 2 27 Mechanical inspiration 2 28 11 03 1009 0357 000 2 Theory of Operation Mechanical expiration Drive gas flow stops and the exhalation valve o
230. plies Slowly open the cylinder valve for the regulator being tested and observe the pressure reading for the cylinder Low Flow Test a Onthe Gas Diagnostics menu set the flow of the tested gas to 0 5 l min b Onthe Gas Diagnostics menu select Gas Supplies c Close the cylinder valve and allow the pressure to decay to 2068 kPa 300 psi as indicated on the cylinder pressure display d Atthe time that the cylinder pressure reaches 2068 kPa 300 psi select Main Menu on the Gas Diagnostics page to turn off gas flow e Within one minute the test device reading must stabilize between 60 DIN 372 400 kPa 54 58 psi 50 Pin Indexed 310 341 kPa 45 0 49 5 psi Ifthe test device pressure does not stabilize within one minute replace the cylinder supply Ifthe test device stabilizes within one minute but the readings are not within specifications readjust the regulator Section 5 1 3 High Flow Test a On the Main Menu of the Service Application select Gas Diagnostics b On the Gas Diagnostics menu set the flow of the tested gas to 10 0 l min The test device reading must be greater than 60 DIN 22 1 kPa 32 psi 50 Pin Indexed 221 kPa 32 psi Ifthe test device reading under high flow conditions is less than specified readjustthe regulator perthe procedure in Section 5 1 3 however set the regulated pressure higher by the difference you noted in this step plus 7 kPa 1 psi This adjusts the
231. port side of the APL BTV manifold 3 From the topside rotate the Bag Vent switch cartridge counterclockwise until the Bag vent switch outlet port C clears the bellows housing 4 Lift out the Bag Vent switch cartridge from the housing 5 Replace the Bag Vent switch cartridge in reverse order 6 Reinstall the ABS breathing system 7 Perform the checkout procedure Section 3 1009 0357 000 11 03 9 49 S 5 Avance 9 21 2 Replace To replace the latch assembly you must disassemble the bellows base assembly to the bellows base latch where you can remove the guide A and latch assembly B as a unit assembly 1 Remove the Bag Vent switch cartridge Section 9 21 1 2 Remove the two remaining screws C that hold the APL BTV manifold to the bellows base assembly Remove the APL BTV manifol 3 To remove the guide latch assembly remove two mounting screws D from the underside Remove two additional mounting screws from the topside Remove the guide latch assembly from the bellows base assembly 4 Separate the latch assembly from the guide assembly 5 To install the new latch assembly put the spring E into place in the guide assembly long leg down 6 Place the latch assembly on the guide assembly so that the latch engages the short leg of the spring Secure the latch assembly F to the guide assembly T Mount the guide latch assembly into the bellows base assembly Extend the latch G wh
232. r Whenever a pipeline or cylinder pressure transducer is replaced Cal Config Reset the Ventilator Drive Gas to match the machine configuration Resetthe Altitude whenever the machine is moved to a new location that differs by more than 100 meters Before calibration you must verify that the Ventilator Drive Gas and the Altitude settings are set appropriately to match the current drive gas configuration and machine location If you change any of the settings in the Cal Config menu you must restart the system 3 Onthe Installation menu select Configuration 4 Onthe Configuration menu verify the Ventilator Drive Gas and the Altitude setting adjust as necessary 5 When done reboot the system System switch to Standby then On 5 11 5 5 Avance 5 4 2 Manifold P Span 5 4 3 Insp Flow Zero 5 12 Calibration setup Remove the ABS breathing system from the machine Remove the Exhalation Valve Remove the Vent Engine cover Plug the Drive Port A and the Manifold Port B on the Vent Engine interface valve Connect the manifold pressure tee adapter C refer to Section 10 1 2 to the Manifold Pressure Transducer tubing white inline connectors Connect a manometer to the open port of the tee adapter Calibration procedure OC A On the Calibration menu select Manifold P Span Select Start Manifold P Span Adjust the Insp Flow Valve DAC setting until t
233. r Interface Board AB 91 058 N20 Air 1 Q Mixer hz 4n Q Q 5 o Us Pilot 2 oo To Vent Drive CL CI Figure 11 9 Tubing 11 10 ABS Port 2 Port 3 Pilot 11 03 1009 0357 000 15A SYSTEM BREAKER LINE AC INLET IEC 320 EQUIPOTENTIAL STUD FILTER INRUSH PCA 100 120V LINE IN Differential Mode NEUTRAL IN RV2 150V D6521Z0V151RA20 G1 U 5B 250V 15 RV1 D6521Z0V141RA20 140V FUSIBLE CR1 1 5KE250C 250V 250VAC FUSE2AG LINE OUT CONNECTOR OUTLET BREAKERS COUNTRY SPECIFIC OUTLETS 11 Schematics and Diagrams ISOLATION TRANSFORMER BLK THERMAL FUSE 130C THERMAL FUSE 130C ORN GND GRN YEL BLU Common Mode RV3 D6521Z0V141RA20 140V G2 U 5B 250V 15 NEUTRAL OUT SS CHASSIS GROUND CHASSIS GROUND Figure 11 10 Schematic AC Inlet module 100 120 V with isolated outlets 1009 0357 000 11 03 POWER CONTROLLER BOARD CONNECTOR LINE FILTER 5A FUSE 5A FUSE
234. r outside the monitor blocked or the water trap is occluded MGAS MGAS present and MGAS communicates this the continuous occlusion alarm for 20 seconds Replace sample line See AM TRM for further Troubleshooting MGAS SAMPLE LINE NOT CONNECTED gt 405 Check D Fend MGAS SPEC states The sample tubing or the D Fend module is not installed Medium MGAS MGAS present and MGAS communicates this the OpenGascCircuit alarm for 40 seconds Replace D Fend See AM TRM for further Troubleshooting MGAS SENSOR INOP gt XX Module fail No CO2 MGAS SPEC Mgas data communicates hardware failure RAM failure ROM checksum error Error in CPU eeprom Error O preamp eeprom Error in SSS board eeprom Voltage error Lamp control failure or UPI does not initialize Medium MGAS See AM TRM for further Troubleshooting MIXER BAL GAS CHANGE FAIL Mixer Status Bit STS BALGAS CHANGE OVER FAIL After the mixer commanded a change to the balance gas the status ofthe selector valve shows the old balance gas is still connected Alternate O Screen Medium AC Mixer Reboot System If problem continues replace the Mixer MIXER BALGAS Flow FAIL Mixer error bit Medium STS CH2 DELTAP FLOW FAIL Pressure difference between P3 and P2 differs from the drop expected at the measured flow for channel 2 Balance Gas AC Mixer Reboot System If problem continues r
235. r supply to be tested It is essential that the cylinder be within 1096 of its full pressure Remove the plug from the test port and connect a test device capable of measuring 689 kPa 100 psi 5 1 2 Testing Primary are two variations ofthe test procedure for the primary regulators Regulators Test A For primary regulators that supply drive gas to the ventilator Test B For all gases not used to supply drive gas to the ventilator 1009 0357 000 11 03 5 3 5 5 Avance TestA For primary regulators that supply drive gas to the ventilator 0 or Air Under low flow conditions the output pressure of a properly adjusted functioning regulator should fall within specifications listed in step 4e Under high flow conditions the output pressure should not drop below the specifications listed in step 5g 1 On the Main Menu of the Service Application select Gas Diagnostics 2 On the Gas Diagnostics menu select Gas Supplies 3 Slowly open the cylinder valve for the regulator being tested and observe the pressure reading for the cylinder 4 Low Flow Test a On the Gas Diagnostics menu set the flow of the tested gas to 0 5 l min Onthe Gas Diagnostics menu select Gas Supplies Close the cylinder valve and allow the pressure to decay to 2068 kPa 300 psi as indicated on the cylinder pressure display Atthe time that the cylinder pressure reaches 2068 kPa 300 psi select Ma
236. r to section 6 8 with an accuracy of 1 of reading Test device capable of measuring 0 30 L min see Item 1 above Refer to section 6 8 Leakage current test device Refer to section 3 13 Test device capable of measuring 689 kPa 100 psi Refer to section 5 1 1 10 1 4 Lubricants and Adhesives Item Description Stock Number 1 Lubricant Krytox GPL 205 2 oz 1001 3854 000 2 Lubricant Dow 111 5 3 oz 6700 0074 200 3 Thread Lock Loctite No 24221 10 ml 0220 5017 300 4 Super Glue Gel Loctite 454 6812 2160 010 10 4 11 03 1009 0357 000 10 1 5 Test Tools 1009 0357 000 11 03 Item 1a 1b 1c 1d 1e 1f oo FP WwW NM Tool Leak Test Tool Kit ABS breathing system Test Tool bulkhead Plug tapered 27x12 mm Plug tapered 24x18 mm Test Tool circle module 2 each Plug service B S 11 mm 2 each Plug service BTV 18 mm 2 each Adapter positive low pressure leak test PEEP INSP Calibration Flow Orifice Airway Pressure Sensing Tee Vaporizer Manifold Valve Test Tool Plug stopper Not Shown Tool to help disconnect tubing from Legris fittings Test Lung Leak detection fluid Snoop 10 Illustrated Parts Stock Number 1407 7013 000 1407 8500 000 1407 8505 000 1407 8506 000 1407 8502 000 1407 8504 000 1407 8503 000 1009 3119 000 1504 3016 000 1504 3011 000 1006 3967 000 2900 0001 000 2900 0000 000 0219 7210 300 obtain locally 10 5 5 5 Avance 10 2 External components front view 10 6
237. ration Select Backlight Test Select Start Test The display will show the test running on light 1 and then on light 2 If the display goes completely blank or flickers during the test one of the lights has failed Qr es Mey 3 4 Vaporizer back pressure test 1009 0357 000 11 03 WARNING Anesthetic agent comes out of the circuit during this test Use a safe approved procedure to collect and remove the agent 1 Setthe System switch to On 2 Setthe flow to 6 l min 3 Slowly adjust the vaporizer concentration from O to 1 Make sure that the O flow stays constant Verify that the system continues to operate without issuing any related alarms 4 Repeatthe test for both vaporizer positions 3 5 5 5 Avance 3 5 Pipeline and cylinder tests 1 Connect the pipeline supplies one at a time and ensure that the corresponding display indicates pipeline pressure 2 Disconnect all pipeline supplies a Open each cylinder valve b Make sure that each cylinder has sufficient pressure If not close the applicable cylinder valve and install a full cylinder 3 Test the cylinder supplies for a high pressure leak Make sure that each cylinder has sufficient pressure lf equipped turn the auxiliary O flow control fully clockwise no flow If equipped turn off venturi derived suction Open each cylinder Record the cylinder pressure Close each cylinder valve gt 0o R
238. rd F If the system is equipped with electrical power outlets the transformer larger size also supplies isolated power to the electrical outlets through individual circuit breakers The Power Controller board interfaces with the system through the Anesthesia Control board connector G the Display Connector board connector the battery connector I and fan connector J Ps a5 5 11 03 1009 0357 000 2 Theory of Operation 2 2 1 Power Controller system uses a distributed power bus The Power Controller board board contains an AC DC converter that converts line voltage to high voltage DC a DC DC converter that converts the high voltage DC to battery voltage a DC DC converter that converts battery voltage to the 12 5 VDC system bus voltage The Power Controller contains supervisory circuitry that performs battery charge control battery switch circuits provide a minimum of 30 minutes of system power in the event of AC power failure current voltage and temperature monitoring AC sensing fan control Two 12 volt batteries wired in series provide the back up power The Power Controller communicates with the Display Unit through a RS 422 9 6 kB channel It receives the On Standby signal from the system switch through the Anesthesia Control board Isolation Transformer a er ee oe Se eres gz 5 g 12 5VDC mud S On standby
239. re does not increase to 30 cm H50 fail with Cannot pressurize circuit If flow required to maintain pressure at 30 cm H50 is greaterthan 250 ml min state Manual circuit leak is XXX ml min at 30 cm H30 If flow required to maintain pressure at 30 cm H30 is less than or equal to 250 cm H50 continue with the next step Step 5 Run mixer tests on the O channel check supply and run a 3L 101 and leak test If O gt pressure is low fail with Low Os Supply pressure If mixer does notfail the 3L 10L and the leak test continue with the next step If mixer fails the 3L 10L or the leak test fail with the mixer failure Step 6 Run mixer tests on the Air channel check supply and run a 3L 10L and leak test 1009 0357 000 11 03 If O is drive gas and air supply is low continue with next step and indicate Could not test air If Airis the drive gas and air supply is low continue with next step and indicate Ventilator has not drive gas If mixer does notfail the 3L 10L and the leak test continue with the next step If mixer fails the 3L 1O0L or the leak test fail with the mixer failure 7 45 5 5 Avance Step 7 Run mixer tests on the 0 channel check supply and run a 3L 101 and leak test f N20 is disabled continue with next step f N50 supply is low continue with next step and indicate Could not test N50 f mixer does notfail the 3L 10L and the leak test continue with the next step
240. rogress Push ComWheel to cancel 11 03 1009 0357 000 4 Installation and Service Menus 4 4 10 Cal Config Before calibration you must verify that the Ventilator Drive Gas and the Altitude settings are set appropriately to match the current drive gas configuration and machine location If you change any of the settings in the Cal Config menu you must restart the system Cal Config menu Menu Item Ventilator Drive Gas Message text Change drive gas to match machine configuration Values Air 02 Altitude 1009 0357 000 11 03 Change altitude used for gas calculations 400 to 3000 m in 100 m increments 4 21 Notes 4 22 11 03 1009 0357 000 A WARNING In this section 1009 0357 000 11 03 5 Calibration After adjustments and calibration are completed always perform the checkout procedure Refer to Section of this manual oT Priman Regulat 2 eene eaa Oe RR ERROR 5 2 HoT Test setup ioo ies ye tte tecti ein ey ea ec d 5 3 5 1 2 Testing Primary Regulators 5 3 5 1 3 Adjusting Primary 5 8 5 205 Flush Regulator cee nn nee Inn 5 9 5 3 Adjust Drive Gas 5 10 5 4 Ventilator Calibrations 2 0 0 0 ieee ee He 5 11 6 4 1 Cal Config eer EXEAT EN EY
241. s Do not leave pressurized systems unattended High pressure and equipment damage may result 7 11 5 5 Avance Test 1 Machine Test Tool Front View not connected t Back View 1 12 Verifying the integrity of the test tools PB Verify integrity of low pressure leak test device Put your hand on the inlet of the leak test device Push hard for a good seal Squeeze the bulb to remove all air from the bulb If the bulb completely inflates in less than 60 seconds replace the leak test device Attach the low pressure leak test device to the Machine Test Tool Plug the two pressure orifices Repeatedly squeeze and release the hand bulb until it remains collapsed Ifthe bulb inflates in less than 30 seconds locate and correct the leak 11 03 1009 0357 000 7 Troubleshooting Test2 Low pressure leak testing the machine 1 Remove the breathing system from the machine 2 Attach the Machine Test Tool using only the Thru Port and the low pressure leak test device to Port 3 of the breathing system interface as shown above Note To prevent damage to the airway pressure transducer ensure that the gauge port Port 1 is not connected to the Test Tool 3 Onthe Main Menu of the Service Application select Vent Diagnostics 4 Onthe Vent Diagnostics page select Status Ensure that the Circuit Setting shows Circle If not select Toggle Circuit in the Vent Diagnostics
242. s necessary To replace GIV shuttle valve components refer to Section 9 8 3 Install the filter with the smooth side facing up Inspect the o ring Replace as necessary Inspect the two o rings that seal itto the manifold Replace as necessary Perform the Drive Gas Regulator calibration in Section 5 3 Inspect the two o rings that seal itto the manifold Replace as necessary Lubricate o rings sparingly with Krytox Inspectthe o ring that seal itto the manifold Replace as necessary Clean the seat on the manifold and the seal on Drive Gas Check Valve with isopropyl alcohol Note orientation of the flow valve Inspect the two o rings that seal it to the manifold Replace as necessary Perform the Inspiratory Flow Valve calibration in Section 5 4 4 Inspect the two o rings reservoirto manifold reservoir to screw head Replace as necessary Inspect seal between solenoid and GIV body Replace as necessary included with solenoid 9 25 5 5 Avance 9 26 9 8 3 Replacing Lubricate items marked with and asterisk sparingly with Krytox GIV components i i NS 2 AB 23 148 6 7 8 9 Remove the retaining ring A and the GIV cap B Use pneumatic pressure to remove the shuttle Cover the shuttle with a cloth and briefly apply pressure connect the drive gas hose or use pipeline pressure through the drive gas inlet Remove the upper o ring C and th
243. s of the transducer Verify that the first few threads are free of tape Install the transducer 6 To reassemble perform the previous steps in reverse order 7 Perform the checkout procedure Section 3 1009 0357 000 11 03 9 31 5 5 Avance 9 12 Service vaporizer manifold parts 9 32 9 12 1 Repair 1 Setthe system switch to Standby manifold port valve 2 Remove the vaporizers from the vaporizer manifold 3 Using a 14 mm wrench carefully remove the valve nipple threaded 4 Disassemble as necessary to replace parts The following illustration shows the parts Note The port valve replacement kit includes the valve cartridge assembly and the seal The kit does i not include o rings J O ring 9 _____ emm a Valve Cartridge Seal Spring Oring umm 5 When installing a new valve cartridge assembly into the vaporizer manifold put a light coat of Krytox on the bottom portion of the cartridge The bottom portion of the cartridge is defined as the brass surface that is inserted in the lower spring Note Do not apply Krytox to the valve seal 6 Verify that the parts are free of dust and dirt T To reassemble perform the previous steps in reverse order 8 Complete the port valve checkout procedure described below Section 9 12 2 11 03 1009 0357 000 9 12 2 Checkout procedure for ma
244. s to the Ventilator Diagnostics functions Display Diagnostics Access to the Front Panel Controls Special Functions Access to logs from the Display Unit Software Download Access to the Software Download function You can not return to the Diagnostic section of the service application after entering the software download section You must reboot the system to exit Software Download The System Information page appears on the right hand side of the screen and displays the following system information as shown in the table below System Information Subsystem Serial SW Ver Boot Front Panel Cntl Power Controller XXX A XXX Electronic Mixer XXX A XXX Vent Intface Bd XXX A XXX Anes Control Bd XXX A XXX Dsply Unit BIOS XXX A XXX Dsply Unit App XXX A XXX Machine Serial Number ABCDXXXXX PC Card ID XXXX XX 11 03 1009 0357 000 8 1 2 Power Diagnostics Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Special Functions Software Download 1009 0357 000 11 03 8 Software Download and Diagnostics The service application provides power supply diagnostics for the various circuit boards in the Avance anesthesia machine Selecting Power Diagnostics on the Main Menu brings up the following menu selections in the left hand frame and the instructions in the right hand frame Power Diagnostics Power Controller Power Diagnostics Power Control Anes Control Board Select a menu i
245. sfer the mounting bracket to the new flowmeter 10 Reassemble in reverse order 11 Perform the checkout procedure Section 3 1009 0357 000 11 03 9 45 5 5 Avance 9 19 Replace the suction regulator 9 Lower the upper rear panel Section 9 2 Disconnect the white vacuum A and black suction B fittings from the rear panel Do not remove the tubing from the regulator Ifyou are replacing a Venturi Drive regulator disconnect the tube C from the control port of the regulator assembly Disconnect the two screws D that hold the regulator assembly to the mounting bracket Remove the regulator assembly from the front panel Transfer the tubing to the new regulator Attach the vacuum source tube white fitting to the lower connector E Attach the suction tube black fitting to the upper connector F Guide the tubes into the front panel opening While holding the regulator assembly against the front panel attach the retaining bracket to the regulator Tighten the screws to secure the regulator assembly If applicable attach the control port tube to the regulator assembly C 10 Attach the vacuum and suction fitting to the rear panel manifold 11 Replace the rear panel 12 Perform the checkout procedure Section 3 9 46 11 03 1009 0357 000 9 Repair Procedures 9 20 Replace task light components 9 20 1 To replace the task light sw
246. sh gas flow 3 volume breaths are detected High DC System Checkout DETECTION within 30 seconds or 3 CO General or Checkout breaths are detected within 30 Start Case seconds No service action required VENT FLOW VALVE FAIL Vent Fail Monitoring Incorrect DAC feedback for 3 Medium DAC Only consecutive readings Vent Reboot System If problem continues in the Service Software Vent Flow amp Pressure Diagnosis increase the Flow Valve counts and view the Flow Valve Feedback mV and Counts Verify the settings match VENT 12 5V FAIL 7 42 Vent Fail Monitoring Nominal 12 5V 11 3 Vdc or Medium AC Only 213 13 Vdc Vent In the Service Software Vent Interface Bd Power Diagnosis view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 12 5 Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB 11 03 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting VENT 6V FAIL Vent Fail Monitoring VSIB 6V out of range lt 5 51 Vdc High AC Vent 12 5V 10 VA is Only or gt 6 5 Vent OK In the Service Software Vent Interface Bd Power Diagnosis view the Vent Int Bd 10VA Voltage from Board Supplies If
247. st 13 7 Troubleshooting Testing the negative pressure relief valve 1 Separate the Bellows Module from the Circuit Module 2 Remove the Bellows Interface Manifold 3 Inserttest plug recessed end into the rear Bag Vent switch port as shown 4 7 4 Install the Bellows Module 5 Connect the Machine Test Tool to the interface ports and the Bellows Module as shown above 6 Set the Bag Vent Switch to Vent T Set O Flow to 0 2 1 8 On the Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 9 Set 02 Flow to OFF 1 23 5 5 Avance Test14 Testing the flow sensors only 1 Remove the Flow Sensor Module 2 Plug each Flow Sensor as shown above w Connect the low pressure leak test device to the open end of the Flow Sensor Block the connector end of the Flow Sensor with your hand Compress and release the bulb until it is empty Ifthe bulb inflates in 30 seconds or less there is a leak in the flow sensor OC A Ifthere are no leaks in the flow sensors go to Test 15 7 24 11 03 1009 0357 000 1009 0357 000 11 03 1 Troubleshooting Test 15 Testing a flow sensor including the Ventilator Monitoring Assembly and interfacing components a N e O1 Remove Flow Sensors from the Flow Sensor Module Attach the Flow Sensor to the bulkhead connector Plugeach Flow Sensor as shown Connect th
248. t through the optional auxiliary common gas outlet Scavenged gas paths APL or Pop off 2 24 11 03 1009 0357 000 2 Theory of Operation 2 11 2 Manual ventilation Manual inspiration The Bag Vent switch closes the ventilator path B Figure 2 24 Gas flows from the bag 1 through the absorber 2 into the breathing circuit module and through a unidirectional valve inspiratory check valve to the patient 3 During inspiration fresh gas FG flows from the machine into the inspiratory limb upstream ofthe inspiratory check valve AB 82 026 AP Airway Pressure B Bag Vent switch to Bag FG Fresh Gas 1 Flow to absorber 2 Flow from absorber 3 Inspiratory flow Figure 2 24 Gas flow during manual inspiration 1009 0357 000 11 03 2 25 5 5 Avance Manual expiration Bag Vent switch keeps the ventilator path closed B Figure 2 25 Gas flows from the patient 4 through a unidirectional valve expiratory check valve and into the bag 5 During exhalation fresh gas flows backwards through the absorber FG into the expiratory limb downstream of the expiratory check valve For machines that are plumbed to return sample gas to the breathing system the returned gas SGR enters the breathing system after the expiratory check valve Refer to section 9 23 AB 82 027 AP Airway Pressure B Bag Vent switch to Bag FG Fresh Gas SGR Sample Gas Return 4 Ex
249. tem to see the power status and measured voltages Mixer Vent Interface Bd To troubleshoot a power problem start with the power controller and work forward Problem voltages are in red Display Unit Main Menu 8 3 5 5 Avance 8 1 3 Power Controller There are two pages of diagnostics for the Power Controller Power Diagnostics Selecting Power Control brings up the first page of the Power Controller Diagnostics Page 1 of 2 Power Diagnostics Power Control Power Diagnostics Power Control Label Value Format Normal range Anes Control Board AC Status OK Fail Mixer 12Vdc Supply XXXX 11 82 to 12 18 Vent Interface Bd 3 3Vdc Supply XXX 3 201 to 3 399 Display Unit 1 5 Vdc Supply X XXX 1 45 to 1 55 gt Main Menu Battery Connected Yes No Battery Status Fail Bulk Chg Over Chg Float Chg Trickle Chg Discharge Battery Current X XXX Calc Battery Time XX i 0 to 30 Battery 1 Volts XX X 10 0 to 15 5 lt 6 0 FAIL red lt 10 T Chg yellow 10 15 5 Green Battery 2 Volts XX X 10 0 to 15 5 lt 6 0 FAIL red lt 10 T Chg yellow 10 15 5 Green Date battery Tested XX ABC XXXX Last Full Discharge Time XX Turn the ComWheel to select the second page Push the ComWheel to return focus to the Power Diagnostics selection menu 8 4 11 03 1009 0357 000 8 Software Download and Diagnostics Page 2 of 2 Power Diagnostics Power Control Power Diagnostics Power Control Label Value
250. the ACB ACB CLOCK SPEED System Malfunction clock frequency gt 1 1 expected High AC 1009 0357 000 11 03 value or lt 0 9 expected value AC Clock frequency incorrect Reboot System If problem continues replace the ACB 7 27 5 5 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting ACB COM FAIL System Malfunction After establishing initial High DC communication the DC does not receive any messages from AC in 10 sec Reboot System If problem continues replace the ACB ACB CPU TEST FAIL System Malfunction CPU instruction Test Failure High AC Reboot System If problem continues replace the ACB ACB DCB COM FAIL System Malfunction The Anesthesia Computer High AC Initial communications receives no system state established messages from the Display Computer for 10 seconds Reboot System If problem continues check the ACB to Mixer communication LED s or VIB communication LED s If the RCV and XMT or TXD and RXD LED s indicate activity check DU cable connections replace Display Controller PCB if problem continues If the RCV and XMT or TXD and RXD LED s indicate no activity check the Anesthesia Control board connection replace the Anesthesia Control board if problem continues ACB EEPROM FAIL Memory EEPROM Read Write failure or CRC failure Low AC failure ofthe EEPROM located on the Anesthesia Co
251. the next menu Make sure the bellows are fully collapsed before you Occlude the Patient Y Step 1 Checkto make sure bellows are collapsed If Airway pressure increases to or above 30 cm H30 in 5 seconds fail the test with Can not empty bellows If not continue with next step Step 2 Attemptto find the leak of the ventilator mode system Flow 1 l min O until pressure increases to 20 cm H50 If pressure does not increase to 20 cm H50 within in 15 seconds fail with Cannot pressurize circuit If it does reach 20 cm H50 change flow to 250 ml min If a flow of 250 ml min reaches 30 cm H50 or greater continue to next step If it does not increase flow up to 750 ml min If a flow is found that reaches 30 cm H50 and that flow is less than 750 ml min continue to next step but indicate that Ventilator circuit leak is ml min If a flow greater than 750 ml min is required fail with Ventilator circuit leak is greaterthan 750 ml min Step 3 System delivers small breaths and looks for alarms using default alarm limits If alarm condition is detected it will be stated in final menu Continue to next step Step 4 Calculate circuit compliance 1009 0357 000 11 03 If alarms occurred that prohibit the calculation of circuit compliance state that Can not measure circuit compliance If alarms did not occur then calculate compliance and state Circuit Compliance YYY ml cm H50 7 47 5 5 Avance 1 48 11
252. the side of the enclosure and draws air into the enclosure through the filter on the AC Inlet assembly For easier access temporarily remove the backup batteries Section 9 6 3 1 Remove the two screws that hold the fan Toreplace the fan reassemble in reverse Disconnect the fan harness from the Power Controller board A to the enclosure order Ensure that the fan is oriented with the flow direction arrow pointing toward the inside of the enclosure To replace the Display Connector board first remove the Power Controller board Section 9 6 1 Then follow the procedure below 1 Disconnect the cables from the top of the Display Connector board Airway Module MGAS Power Supply board A System Signal Interface to Display Unit B System Power Interface to Display Unit C Disconnect the cables from the top of the Display Connector board Harness from Power Controller board D Harness from Anesthesia Control board MGAS power connector E Ribbon cable from Anesthesia Control board signal connector F Loosen the six screws circled that hold the Display Connector board to the enclosure Slide the Display Connector board slightly rearward to release it from the keyhole slots To replace the Anesthesia Control board reassemble in reverse order 11 03 1009 0357 000 9 Repair Procedures 9 7 Servicing the pan electrical enclosure
253. tion 9 1 2 Ensure that all cylinder and pipeline pressures read zero before proceeding 3 Remove the tabletop Section 9 3 4 Remove the gauge panel mounting screws and move the panel forward to access the Alt 02 components Disconnect the tubing from the flowmeter Remove the four screws that hold the flowmeter mounting bracket to the front panel Transfer the mounting bracket to the new flowmeter Loosen the set screw that holds the knob to the needle valve remove knob Disconnect the tubing from the needle valve assembly Remove the four screws that hold the needle valve assembly to the front panel Transfer the mounting plate to the new needle valve assembly Disconnect the switch harness When replacing the switch face the tab on the washer toward the switch body tab not used for positioning 11 03 1009 0357 000 9 Repair Procedures 9 18 Replace auxiliary 0 flowmeter 1 2 9 4 5 Bleed all gas pressure from the machine Section 9 1 Ensure that all cylinder and pipeline gauges read zero before proceeding Remove the tabletop Section 9 3 Remove the adjustment knob from the flowmeter pull forward Remove the gauge panel mounting screws and move the panel forward to access the flowmeter 9 Disconnectthe inlet tube fitting A Disconnectthe tube B from the outlet fitting Remove the four screws C that hold the flowmeter mounting bracket to the front panel Tran
254. tion when selected Selecting Test LEDs causes the red and yellow LEDS next to the Silence Alarms key to flash for 10 seconds Selecting Test Speaker causes the speaker to sound for 5 seconds Selecting Test Backlight 1 turns backlight 2 off for 10 seconds If screen goes black during test a backlight is out Selecting Test Backlight 2 turns backlight 1 off for 10 seconds If screen goes black during test a backlight is out Selecting Test Keys brings up a representative display of the front panel controls Pressing a softkey will cause the corresponding key text to be highlighted Selecting Main Menu returns to the Main Menu 8 21 5 5 Avance 8 5 Special Functions Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Special Functions Software Download Mixer Service Menu Error Alarm Event Logs Revision and PC Card Install Logs Compatibility Table 8 22 Selecting Special Functions on the Main Menu brings up the following menu selections in the left hand frame Special Functions Special Functions Mixer Service Menu View Error Log View Alarm Log View Event Log View Revision Log Compatibility Table PC Card Install Log View Install Errors gt Main Menu Refer to section 8 5 1 In a functioning system the Error Alarm and Event Logs are accessible on the system s Service Log menu referto Section 4 4 2 If a system comes up in a Failed State yo
255. tions on the display to perform a recheck or accept the results 3 2 1 Low P leak check The low P leak check looks for leaks between the mixer vaporizer and the inspiratory side of the breathing circuit For machines with SCGO LX oe Or cc qe cpi Ensure the vaporizers are turned off Plug the inspiratory right hand port Select Start The display shows the checks being run Repeat the check for each vaporizer with the vaporizer turned on When the checks pass turn the vaporizer off Remove the plug from the inspiratory port Select Next to go to the next check For machines with ACGO 1 2 3 4 5 6 1009 0357 000 11 03 Ensure the vaporizers are turned off Setthe ACGO switch to ACGO Attach the negative low pressure leak test device to the ACGO outlet Collapse the bulb squeeze If the bulb inflates in lt 30 seconds there is a leak Ifthe bulb remains collapsed repeat the check for each vaporizer with the vaporizer turned on When the checks pass turn the vaporizer off Select Pass to go the next check 3 3 5 5 Avance 3 2 2 Quick check 3 2 3 Vent check 3 2 4 Circuit 05 cell check 3 4 The quick check checks that the Bag Vent switch works in Bag position Gas supply pressures are OK Power cord is connected and the mains power is OK e Battery is fully charged e Manual circuit leak is OK e Flow controls operate correctly 1 Occlude the patient Y piece 2
256. tive AGSS Specific Parts 14 Receiver with air brake 1407 3900 000 15 Seal for filter and orifice 1407 3902 000 2 16 Filter 1406 3521 000 Active High Flow Specific Parts 17a Connector high flow M30 thread 1406 3557 000 18 Orifice high flow 1407 3920 000 Active Low Flow with EVAC connector Specific Parts 17b Connector low flow EVAC 1406 3597 000 18 Orifice low flow 1407 3919 000 Active Low Flow with 25 mm connector Specific Parts 17c Connector low flow 25 mm 1406 3573 000 18 Orifice low flow 1407 3919 000 Active Low Flow with 12 7 mm hose barb connector Specific Parts 17d Connector low flow 12 7 mm 1 2 inch 1406 3574 000 18 none Lubricate sparingly with Krytox 11 03 1009 0357 000 10 Illustrated Parts 6 5 1009 0357 000 11 03 10 43 5 5 Avance 10 23 AGSS gauge and sample return 5 Item Description Stock Number 1 Flowtube AGSS 1406 3560 000 2 Clip AGSS flowtube 1009 3181 000 3 Label flow indicator AGSS 1406 3527 000 Label flow indicator AGFS for German variant 1009 3301 000 Label blank for machines without flow indicator 1009 3241 000 4 Label AGFS for German variant 1009 3300 000 5 Coupling Colder includes mounting nut 1009 3134 000 Apply Loctite 242 10 44 11 03 1009 0357 000 10 23 1 Airway module MGAS components 1009 0357 000 11 03 Item Description 1 Guide MGAS module 2 Screw M4x8 3 Cable MGAS to Connector boar
257. to check for leak See Section 9 12 2 for instructions If test fails tighten repair or replace as needed Leak in mixer If vaporizer manifold passed previous tests Remove tubing from inlet port of vaporizer manifold mixer outlet tube and perform leak test of mixer Leaking relief valve on vaporizer manifold Remove relief valve Occlude opening Perform leak test If test passes replace valve Leaking flush valve Attach pressure measuring device on CGO Replace valve if device shows increased pressure Leaking system switch Attach pressure measuring device on CGO Replace switch if device shows increased pressure Bellows leak Pop off valve diaphragm not sealing properly Disassemble pop off valve inspect and clean seats reseat reassemble Bellows mounting rim loose Remove rim and pop off valve diaphragm reseat diaphragm snap rim 2 into place Bellows improperly mounted or has a hole ortear Check that only the last bellows convolute is mounted to the rim and that the ring roll is the groove under the rim Inspect the bellows for damage replace Breathing System Leak Absorber canister open or missing Install canister properly Soda lime dust on canister seals Clean seals and mating surfaces Breathing System Leak ACGO O0 sense check valve Replace Intermittent Unable to begin mechanical ABS not fully engaged Remount ABS ventilation No
258. to the previous menu 5 5 Avance 4 14 4 4 4 Manifold P Span Instructions Manifold P Span menu The Manifold P Span instructions appear when the focus is on Manifold P Span menu item Read all steps before you start 1 Remove the breathing system the exhalation valve and the metal plate 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Connect a pressure gauge in line with the manifold pressure transducer 4 Push the ComWheel to continue 5 Select Start Manifold P Span 6 Increase the Flow valve setting until the gauge shows 100 cmH20 T When the gauge shows 100 cmH20 select Save Calibration Menu Item Insp Flow Valve DAC Message text Increase setting until test gauge shows 100 cmH20 approx 1020 counts Then save calibration Values Comments to 4095 Disabled until user selects Start Manifold P Span Start Manifold P Span Start Calibration Increase flow valve setting until test gauge 100 cmH20 approximately 1020 counts Then save calibration Blocking message Connect a supply of the drive gas to continue Blocked when the ventilator drive gas supply pressure would cause a gas supply failure alarm during normal operation Save calibration Save Manifold P Span calibration Previous Menu Return to the previous menu During calibration Calibration in progress Push ComWheel to cancel 11 03 1009
259. tored events Menu Item Message text Scroll Recent Scroll through newest entries Error History Show error history Event History Show event history Alarm History Show alarm history Copy Logs Copy logs to PCMCIA card Takes about 1 minute Reset Logs Erase Error and Alarm log entries Previous Menu Return to previous menu Each history log shows at the top of the screen the total Running Hours and the date when the logs were last reset The running hours number is the same number as the operating hours shown on the system status page during normal operation Whenever logs are reset Reset Logs dd MMM yyy hh mm ss is recorded in the Event log If the logs are saved to a memory card the machine s serial number is saved along with the current contents of the logs and the date and time The Error History log list the last 200 errors logged since the last log reset starting with the most recent The system stores the last 1 000 errors logged since the last log reset The Event History log records the service history of the device This includes service calibrations entry into the service mode options enabled and software installation In the event of a board replacement it is understood that this log like all others could be lost The Event History menu lists the last 200 events logged starting with the most recent The Event History log stores the last 1000 events The Event Histor
260. tp 2 amp 8 Breaker L 4 m ll 2 AC DC DC DC Cntr an rang 9 y 23 Clock En Board zll I 7 3 F1 3 Oscillator Filter r4 1 t c 3 T T g 0 65 422 W 8 Microcontroller 9 6Kb T RS 422 Z 24 Dsply Conn Bd 4 3 Exp Port 2 7 RS 232 Controller Pan Conn Ba MCF5307 Coldfire Microcontroller 8 ae i 3 BM pt Display 8 Board 5 Display Unit Speaker 12 1 AMTFTLCD USB 1 DU E USB 2 wg Conn NC ge ji li DIS ag x 5V 3 3V Monitor SI0 oF Power Supply Power Supply g 50 o ac HOVAOA Ga 2 o S E t o 3 S Control Video USB rh ATmega16 510 69000 USS 312 5 her x E PCI Bus NetID at eg Ethernet JE Ethernet Spare SIO z 8 Am79C973 ss SDRAM ECC DC DC DU Cnt Brd 82 8M DIS Bus CPU Memor DU CPU Board EE Elan SC520 Bus ON Stby 5 E Flash Zz xd 32M Strata DIS PS T UPI E Mod Bus H8S2655 09205 g D GP ISA Bus J RS 232 14 Monitor 2 85232 14 ae c _ ES 82 N I Moaps PCMCIA NV RAM Sound QUART 85 422 gg Board PD6722 512K YM2413B XR16C654 PwrSp Ei r Bat RS 422 J I meas Pwr 1 4 Figure 11 5 System block diagram sheet 1 of 2 11 6 On Stby Mains LED 02 Byp 10102 eisaujseuy 1041002 eisauiseuy Pan Connector Board
261. transducer B Disconnect the white inline tube fitting from the Manifold pressure transducer and the black inline tube fitting from the Airway pressure transducer C E cR I 4 H z m p n Disconnectthe harness from the Filter board D Disconnect the harness from the Pan Connector board E Remove the four mounting screws one at each corner that hold the board to the enclosure To replace the Ventilator Interface board reassemble in reverse order Ensure that the tubing fittings are connected to like color fittings and that the tubing will not kink when the cover is replaced Transfer the grommets to the Manifold and Airway pressure tubing F 11 03 1009 0357 000 9 7 3 Filter board 1009 0357 000 11 03 9 Repair Procedures Before replacing the Filter board you must apply an EMI gasket around the edges of the board that face the enclosure Refer to section Section 10 9 for required parts You can replace the Filter board without removing the enclosure cover if you do not have to remove cover for other reasons 1 Cutthe gasket pieces to length and apply them to the board as shown Do not blockthe mounting holes Keep the corner gaps to a minimum 2 Disconnectall cables and harnesses from the front side of the board Transducer cables from the pipeline and cylinder gas supplies A Harness from system switch B Harness from S
262. turned on Make sure that the power failure alarm comes on gs w Make sure the following message is displayed Plugin power cable On battery 6 Connectthe power cable again 7 Make sure the alarm cancels 3 13 Electrical safety tests 1009 0357 000 11 03 Make sure the system is completely assembled and all accessory devices are connected to electrical outlets 1 Connect an approved test device e g UL CSA or AAMI and verify that the leakage current is less than Voltage Max Leakage Current 120 100 Vac 300 uAmps 220 240 Vac 500 uAmps 2 Make sure that the resistance to ground is less than 0 2 2 between an exposed metal surface and the ground pin on the power cord Notes 3 12 11 03 1009 0357 000 In this section 1009 0357 000 11 03 4 Installation and Service Menus 4 1 Service and Installation menu structure 4 2 4 2 Install Service Menu Super User 0c cee cece eee ene eee ees 4 3 4 2 1 Colors M N i ize ee em tenere Bd Xa eed ue den 4 4 42 2 Unite Menu gere UE RM E Gaede ine ee ee ae tae 4 4 4 2 3 Factory Defa lts o eet ie Ree anaes ad conde XI CE ENERO 4 5 4 3 Installation Men roe Lever hr T veu 4 6 4 3 T ConfiBUratlOri ont ROC RU set re n E E E Ra ob 4 T 4 3 2 Units Menu acre EE PER RE RERO UICE WC ENS 4 8 43 3 Options Key 5 v chus ER re E ee YR
263. two each S 5 Avance 10 10 Electronic Gas Mixer 10 16 A CAUTION Ensure a clean environment when servicing the gas mixer 2 3 4 5 6 7 8 Item Description Stock Number 1 Mixer Assembly complete 1011 8000 000 2 Valve 2 way NO includes screws and gasket 1009 3014 000 3 Valve 2 way NC includes screws and gasket 1009 3013 000 4 Valve proportional 1011 3560 000 5 O ring 2 used with each proportional valve 6027 0000 165 6 Screw M3x16 2 used for mounting each valve 0140 6719 103 7 Lockwasher M3 external 9213 0530 003 8 Valve 3 way NC includes screws and gasket 1009 3346 000 9 Flex cable valve interface 1009 3359 000 10 Outlet check valve replacement kit 1009 8246 000 includes o ring and flapper valve 11 Retainer flapper valve 1011 3516 000 12 O ring retainer 1011 3518 000 13 Elbow 1 4 inch tube to 1 8 inch NPT 1011 3071 000 14 Cable TSI interface 1011 3082 000 Lubricate sparingly with Krytox 11 03 1009 0357 000 10 Illustrated Parts 10 11 Pipeline inlet fittings 1 mH ner 2 4 Item Description Stock Number 1 Pipeline inlet 0 fittings u X Body 05 DISS 1006 5149 000 O Body 0 NIST 1006 5158 000 bi Body 05 DIN 1006 5161 000 Body 0 G 3 8 BSPP 1006 5170 000 Pipeline inlet assembly O France 1006 8363 000 Pipeline inlet assembly 05 Canada 1006 8360 000 Pipeline inlet assembly O Australia 1006 8396 000 1 Pipeline inlet
264. u 11 03 1009 0357 000 4 2 3 Factory Defaults Vent Mode 4 Installation and Service Menus The following table lists the factory defaults for parameters and alarm limits Alarm Limit Value Pmax High 40 cmH20 40 hPa 4 kPa 40 mbar 30 mmHg TV tidal volume 500 ml MV High 10 l min Pinsp 5 cmH20 b hPa 0 5 kPa 5 mbar 3 6 mmHg MV Low 2 l min RR 12 min TV High 1000 ml Mech RR 12 min TV Low Off Tinsp 1 70 RR High Off E 1 2 0 RR Low Off Trig Window 25 Et CO2 High 6 596 50 mmHg or 6 5kPa Flow Trig 2 l min Et CO2 Low Off End Breath 2596 Fi CO2 High Off Psupport Off Fi O2High Off PEEP Off Fi 02 Low 2196 Tpause Off 102 High Off Backup Time 30s EtO2 Low Off 0296 100 Fi Iso High 5 Balance Gas Air Fi Iso Low Off Circuit Circle Et Iso High Off Gas Outlet installed SCGO Et Iso Low Off Paw Color Yellow Fi Sev High 8 Flow Color Green Fi Sev Low Off Resp Color White Et Sev High Off C02 Color White Et Sev Low Off Paw Units cmH20 Fi Des High 15 Weight Units kg Fi Des Low Off Temperature Units C Et Des High Off CO2
265. u can download the logs to the Service Application PC Card and view them on the Special Functions screen To download the logs insert the Service Application PC Card into the Display Unit and press the Help softkey Wait approximately 60 seconds while the logs are downloaded to the card no apparent activity Restart the system with the Service Application to view the logs Whenever a Software Download is completed the specific software download is recorded in the Revision Log that resides on the system Display Unit and in the PC Card Install Log that resides on the PC Card The Compatibility Table lists the current software components that last downloaded on to the system In essence it is the latest listing that appears in the Revision Log which allows you to view the current log directly without having to scroll to it 11 03 1009 0357 000 8 Software Download and Diagnostics 8 5 1 Mixer Service Menu Selecting Mixer Service Menu brings up the Mixer Service Instructions Mixer Service Menu Mixer Service Instructions Zero Pres Sensors Select Zero Pres Sensors Reset Defaults to recalibrate the pressure sensor zero offsets gt Special Functions Select Reset Defaults to restore factory default offsets If you want to select Zero Pres Senors 1 Disconnect gas supplies from system 2 Close cylinders 3 Confirm that all vaporizers are turned OFF 4 Remove the flow sensor cover 5 Move the Bag to Vent switch to t
266. uipment Consequently Datex Ohmeda provides this Technical Reference manual to its customers purely as a business convenience and for the customer s general information only without warranty of the results with respect to any application of such information Furthermore because of the wide variety of circumstances under which maintenance and repair activities may be performed and the unique nature of each individual s own experience capacity and qualifications the fact that customer has received such information from Datex Ohmeda does not imply in anyway that Datex Ohmeda deems said individual to be qualified to perform any such maintenance or repair service Moreover it should not be assumed that every acceptable test and safety procedure or method precaution tool equipment or device is referred to within or that abnormal or unusual circumstances may not warrant or suggest different or additional procedures or requirements This manual is subject to periodic review update and revision Customers are cautioned to obtain and consult the latest revision before undertaking any service of the equipment Comments and suggestions on this manual are invited from our customers Send your comments and suggestions to the Manager of Technical Communications Datex Ohmeda Ohmeda Drive PO Box 7550 Madison Wisconsin 53707 CAUTION Servicing of this product in accordance with this Technical Reference manual should never be undertaken in the absence
267. uipped with this option Read the pressure shown on the test device The pressure should be 241 7 kPa 35 1 0 psi 6 If adjustment is required Loosen the adjustment screw s jam nut Adjust the regulator in small steps to the above specification Tighten the jam nut 0 Verify the reading Disconnect the pipeline supply or close the cylinder valve 8 Bleed gas pressure by pushing the flush button then disconnect the tee and test device 9 Reattach the output tubing to the regulator 10 Install the rear panel 1009 0357 000 11 03 5 9 5 5 Avance 5 3 Adjust Drive Gas Regulator 5 10 The drive gas regulator must be adjusted while maintaining a flow of 15 l min To adjust the flow you must boot the system with the PCMCIA Service Application and access the Vent Diagnostics function as detailed in Section 8 The drive gas regulator should provide a constant gas input pressure of 172 kPa 25 psi Calibration setup 1 Attach a pressure test device to the regulator pressure port shown below Remove the 6 35 mm 1 4 inch plug Attach test device to the open port Remove the ABS breathing system from the machine to allow continuous Insp Valve flow through the exhalation valve Regulator pressure port Calibration procedure 1 2 5 On the Main Menu of the Service Application select Vent Diagnostics Onthe Vent Diagnostics page select Gas Inlet Viv ON OFF to
268. up the Ventilation Flow and Pressure Pressure page Vent Flow and Pressure Diagnostics Vent Diagnostics Menu Item Units Value Units Status Gas Inlet Valve Open or Closed Vent Flow and Pres Gas Inlet Viv ON OFF Flow Valve XXXXX Counts Flow Valve Control Turn ComWheel to adjustflow valve when Flow Valve Control set ON Toggle Circuit Circuit Command Circle or Non Circle Inspiratory Flow l min Counts Expiratory Flow 1 Counts Airway Pressure cmH20 Counts Manifold Pressure cmH20 Counts 02 Cell Counts ADC Ref Voltage Flow Valve Setting Counts Flow Valve Feedback Counts Flow Valve Current Counts 8 20 11 03 1009 0357 000 8 4 Display Diagnostics Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Special Functions Software Download 1009 0357 000 11 03 8 Software Download and Diagnostics The service application provides several pages for display diagnostics Selecting Display Diagnostics on the Main Menu brings up the following menu selections in the left hand frame Display Diagnostics Test LEDs Test Speaker Test Backlight 1 Test Backlight 2 Test Keys Main Menu Display Diagnostics Test LEDs Test Speaker Test Backlight 1 Test Backlight 2 Test Keys Main Menu Display Diagnostics Instructions Select a menu item To troubleshoot a display problem start with Test LEDs and work forward Ac
269. ur or more you should normally choose Download New to install only the updated subsystem software or software required for newly installed subsystems Software Download Status Software Download Current New Download All Subsystem SWVer SWVer Status Front Panel Cntl XX XX XX XX Power Controller XX XX XX XX Electronic Mixer XX XX XX XX Vent Intface Bd XX XX XX XX Anes Control Brd XX XX XX XX Dsply Unit BIOS XX XX XX XX Dsply Unit Flash Dsply Unit App XX XX XX XX Download New Loading XXXXXXXXX K K K K K K K K K K K K K e K K K e K ke 1009 0357 000 11 03 8 25 5 5 Avance Notes about downloading software 8 26 Download process Download complete If there is no Front Panel Control software installed in the system as would be the case when the display units control board is replaced the Service Application automatically downloads the Front Panel Controls software at startup During the download the two display unit LEDs will flash and the display speaker will sound an alarm tone to indicate that Software Download is proceeding The display will be black until the automatic download is complete To ensure that all software versions on the system are compatible the end result of Download All or Download New will be the same The software loaded on the machine will exactly match what is on the card Be sure to have the latest correct version of software before attempting
270. ver 2 Disconnect the mixer outlet tube at the inlet to the vaporizer manifold To test the mixer outlet check valve you must apply back pressure to the check valve through the mixer outlet tubing and time the leak down rate of the pressure 1 Tee in a pressure gauge and a syringe to the mixer outlet tube 2 Slowly pressurize the mixer outlet check valve to 200 mmHg 3 The pressure shown on the test gauge should not decrease by more than 10 mmHg in 30 seconds To perform the flow verification test you must attach a flowmeter to the mixer outlet tubing and access the Gas Diagnostics function on the PCMCIA Service Application TRM Section 8 2 1 Connect a flowmeter to mixer outlet tubing 2 On the Gas Diagnostics menu select the following and verify the readings on the test flowmeter Verify Flowmeter Reading Select TUE m pos m 100 02 at 10 1 9 0 11 0 100 02 at 0 5 l min 0 45 0 55 Air at 10 l min 9 0 11 0 Air at 0 5 l min 0 45 0 55 100 N20 at 10 1 9 0 11 0 100 N20 at 0 5 l min 0 45 0 55 If you will be testing the Auxiliary O2 flowmeter TRM Section 6 6 you can proceed to the Alternate O5 Flow Accuracy Test at this point without reassembling the machine 3 Remove the test device 4 Connectthe mixer outlet tubing to the vaporizer manifold 5 Replace the back cover 10 Perform the Preoperative Checkout Procedure refer to the User s Reference manual 11 03 1009 0357 000 6 Maintenan
271. very components Breathing system components Frame component Optional suction regulator Optional auxiliary O flowmeter Other equipment may be attached to the system on a display mount the top shelf oron the side dovetail rails Consult separate documentation relative to these items for details 1 2 User s Reference manuals Some sections of this manual refer you to the User s Reference manual for the S 5 Avance To expedite repairs you must have and be familiar with the User s Reference manuals for this product Refer to the 5 5 Avance User s Reference manual if you need further information about the operation of the system 11 03 1009 0357 000 1 Introduction 1 3 What is an S 5 Avance anesthesia machine The S 5 Avance anesthesia machine is a compact integrated and intuitive anesthesia delivery system It provides electronic gas mixing and optional integrated respiratory gas monitoring Figure 1 1 S 5 Avance system 1009 0357 000 11 03 5 5 Avance 1 4 Anesthesia system components AB 91 028 Anesthesia system display Dovetail rails Vaporizer Alternate 0 System switch Brake O flush button Breathing system o NOAA PWN Figure 1 2 Front view 1 4 11 03 1009 0357 000 Outlet Circuit breaker optional Electrical outlet optional Cylinders supplies Equipotential stud Mains inlet System circuit breaker Pipeline connections IX x gr g o
272. vious gas flow OFF setthe current gas flow to OFF all flows OFF exit Gas Diagnostics to the Main Menu 8 11 5 5 Avance 8 2 1 Gas Supplies Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow 0 5 N20 Flow OFF Air Flow OFF Breathing Sys Leak gt Main Menu 8 12 Each gas supply shows the derived pressure in kPa and psi along with the raw voltage from the pressure transducer If a supply module for a gas is not installed or if the transducer is disconnected the supply shows 0 00 Vdc If a supply module is installed but no supply is connected the supply shows approximately 0 50 Vdc The remaining items show the state of the Electronic Mixer selector valves Gas Supplies Gas Diagnostics Label 02 Oylinder 1 02 Oylinder 2 Air Cylinder N20 Cylinder 02 Pipeline Air Pipeline N20 Pipeline O2 Select Valve Open Flow command ON N20 Select Valve Closed Flow command OFF Air Select Valve Closed Flow command OFF Alt O2 Valve Closed Note 0 0 Vdc not installed or transducer disconnected 11 03 1009 0357 000 8 2 2 Mixer Output Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow 0 5 N20 Flow OFF Air Flow OFF Breathing Sys Leak gt Main Menu 1009 0357 000 11 03 8 Software Download and Diagnostics Selecting Mixer Output brings up the Mixer Output Gas Diagnostics page This dat
273. y log cannot be reset The Alarm History log lists the last 200 medium and high priority parameter alarms since the last log reset starting with the most recent The Alarm History log store the last 1000 entries The Copy Logs function copies Error Event and Alarm logs along with the software hardware configuration to a text file on a PCMCIA card The copying takes about one minute 11 03 1009 0357 000 4 4 3 Calibration User Calibration menu 1009 0357 000 11 03 4 Installation and Service Menus For step by step instruction refer to Section 5 Menu Item Instructions Message text User Calibration Show the normal user calibration menu Manifold P Span Calibrate manifold pressure transducer Insp Flow Zero Zero inspiratory flow valve Insp Flow Valve Calibrate inspiratory flow valve Bleed Resistor Calibrate bleed resister flow Paw Span Calibrate the airway pressure transducer Zero Gas Xducers Calibrate the gas supply transducers Cal Config Set vent drive gas and altitude Previous Menu Menu Item Flow and Pressure Return to previous menu Message text Calibrate the flow and pressure sensors Circuit O2 Cell Calibrate Circuit O2 Cell Airway Gas Start Gas Calibration Calibrate CO2 02 N20 and agent measurements Backlight Test Push ComWheel to test back lights Test every month Previous Menu Return
274. y position for 10 seconds The test device reading should be between the limits shown for each of the selected settings in the table below Flow Tester Reading Flowmeter Setting Lower Limit Upper Limit L min L min L min 1 0 52 1 48 3 2 56 3 44 5 4 60 5 40 10 9 70 10 30 maximum 12 00 valve fully open 4 Rotate the flow control clockwise to shut off the flow 5 Close the O cylinder valve or disconnect the O pipeline 11 03 1009 0357 000 6 Maintenance 6 8 Integrated Suction Regulator tests Note Gauge Accuracy Note Flow Test 1009 0357 000 11 03 There are two types of integrated suction systems for the Avance anesthesia machine Continuous Vacuum Regulator Three Mode Pipeline Vacuum Continuous Vacuum Regulator Three Mode Venturi Derived Vacuum For Pipeline Vacuum systems a vacuum source of at least 500 mm Hg 67 kPa or 20 in Hg is required for testing The supply open flow must be a minimum of 50 L min For Venturi Derived Vacuum systems an O or Air source of atleast 282 kPa 41 psi is required for testing The gauge needle should come to rest within the zero range bracket when no suction is being supplied Gauges which do not comply may be out of tolerance To check gauge accuracy be sure that the test gauge is capable of measuring 0 to 550 mm Hg with an accuracy of 1 of reading 1 Connectthe suction patient portto the test gauge 2 Tumthe mode selector switch to

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