PERSEO SERVICE MANUAL
Contents
1. i i B ES E 9 XG S 1 000 00 E i H aul 9 9 Gi A E P eJ 5 1990 D J C a E Front view Back view Aluminum and laminated plastic structure Antistatic pivoting wheels the front wheels are equipped with a pedal brake Removable drawer Instrument shelf Work shelf Monitor shelf Siaretex base for rapid connection of vaporizers optional Selectatec type and compatible with vaporizer with interlock system connection for second vaporizer is optional Support bracket for Breathing System valve unit Support bracket for patient circuit arm Support for 5 3 Lt Cylinders auxiliary guide for the assembly of optional accessories REV 3 0 Service manual 3 3 AM5000 3 AM5000 5 anaesthesia module 5000 3 AM5000 5 regulates the supply and concentration of the gas mixture Air O2 and also supplies it to the anaesthetic gas vaporizer It also allows the selection of the gas mixture to be supplied Air O2 or N20 O and the enrichment with oxygen of the supplied gas mixture for emergencies The AM5000 3 AM5000 5 is also equipped with the MIX LIFE device that guarantees a minimum2. 2 1 Selection key to increase tidal volume Selection key to decrease tidal volume LED for setting tidal volume with a scale from 0 to 1500 ml The indicator is connected with the bellow and therefore it will move towards the left 0 ml during the inspiratory cycle and towards the right in the expiratory cycle The set tidal volume is indicated when the bellow is paused all to the right end of expiration It is recommended to regulate the tidal volume when the machine is on STAND BY mode It can also be set during ventilation but the set tidal volume is displayed only when the bellow is at the end of its run to the right P N DU5028130 20 REV 3 0 PERSEO Service manual 3 5 5 E AIRWAY PRESSURE section E 1 34 6 8 I 0 00000 00000 J lod In this section the instantaneous airway pressure is measured and the following alarms are set 1 Electronic airway pressure gauge This analogic gauge enables the display of pressures from 10 to 100 cmH5O Regulation of low pressure alarm limit Should be set lower than the measured about 8096 so as to sense a decrease in pressure due to a leak or
3. 16 15 s 6 RH 1 no 3 7 zi LAZY 20 8 ee 09 15 m E l 17 14 ee nq ai c o 12 41 10 19 13 9 4 2 GAS SUPPLY PRESSURE CHECK Check that the pressure of each of the medical gases is 3 5 bar 0 75 bar 3 MIX LIFE CHECK Place the selector 2 to N2O Open regulator 3 to 6 l min Check that goes to 1 5 and 3 l min MIX LIFE 4 CUT OFF CHECK Disconnect the O tube from the medical gas installation The pressure gauge should immediately decrease and after a few seconds the should shut off automatically and the audible CUT OFF alarm should sound P N DU5028130 47 REV 3 0 PERSEO Service manual 5 BY PASS TEST Reconnect the tube and closed the regulator 3 Open the O regulator 4 and close it Place the selector 2 on AIR Open the AIR regulator 5 and close it Press the BY PASS key 6 and check that O reaches the balloon 9 15 16 6 LX OOH a 1
4. 3 5 2000 lung ventilator retient apr 3 51 creen eet tec tbc t pa pee a o fuge aw d tel ea Re 3 5 2 B RATE SOCOM orte deem dla daa ve m x da kae 353 INSP FLOW PEEP Section ee te e i be re cac 3 5 4 D TIDAL VOLUME Section 3 5 5 E AIRWAY PRESSURE 5 6 5 357 6 RM 3000 Breathing EA MapOFIZOr uuu iS EAEN E 3 8 Operating Principal E DEO OL LLL 4 ASSEMBLY OF VALVE GROUP BREATHING 5 CALIBRATION AND TEST alus sua edet exo se eor Deere d 5 1 Valve Group Breathing System 52 Final TeSt ene DUET 6 PNEUMATICS 6 1 Pneumatic Diagram Of Perseo ne rne rine rne rina rne rine rina rina rasan 6 2 Pneumatic Components ee esed 6 3 Pneumatic Diagram 200 6 4 Pneumatic Diagram 5000 3 AM5000
5. 00000 00000 This device continuously measures the percentage oxygen in the breathing mixture and checks that the concentration is within the set limits The sensor is made of a galvanized cell mounted on the inspiratory valve of the Breathing System The oxymeter section is composed of 1 Oxygen concentration display The oxygen concentration value is displayed If the sensor is not connected two dashes will appear on the display Calibration knob Calibration enables the correction of the value read from the oxygen sensor by testing a mixture with a known oxygen concentration The calibration procedure is described on section 5 3 Minimum oxygen concentration alarm limit regulation Should be regulated lower than the set concentration level so as to signal a decreases in the concentration of oxygen Maximum oxygen concentration alarm limit regulation Should be regulated higher than the set concentration level so as to signal an increase in the concentration of oxygen Oxygen concentration LED visual alarm The LED is always on when the high or low oxygen concentration alarm is activated Oxygen concentration audible alarm reset This key silences the oxygen concentration audible alarms for 30 seconds After 30 seconds if the alarm condition is still present the alarm sounds again If the alarm condition no longer exists the alarm resets itself aut
6. PERSEO Service manual 4 VENTILATION B F 8L min WHERE M Manometer 20 100cmH20 G Yellow connector to ventilator B White connector to ventilator E Expiratory connector of the patient GF Connector for inflow of fresh gases RG Connector for balloon APL Valve APL L Balloon SIM simulator Inspiratory connector of patient Connector for connecting the ventilator Drainage of valve group Low pressure exit connector Low pressure exit connector lt Regulate flow at about 8l m Make the connections Try to make a manual ventilation of the simulator SIM by squeezing the balloon L Verify that the simulator goes into the corresponding pressure of the balloon L and that the inspiratory valve raises in the phase of pressure of balloon L and that it lowers in the phase of release P N DU5028130 46 REV 3 0 PERSEO Service manual 5 2 Final Test PROCEDURE INTERMEDIATE TESTS Test the following components of the PERSEO workstation as specified in the relative service manuals A Module 5000 3 AM5000 5 B VM 2000 lung ventilator C RM 3000 breathing monitor
7. PERSEO Service manual PERSEO ANAESTESIA WORKSTATION SERVICE MANUAL o HE 41 Oooo E m L _ l A uu C 2 P N DU5028130 1 REV 3 0 Service manual GENERAL INDEX SERVICE MANUNALL nenne 1 USE OF THE SERVICE MANUAL m enm nne nnn ars 1 1 Users Of manual 712 NOES u UE URBC HACERLO WARNING S u 2 GENERAL MAINTENANCE PROCEDURSES an en nes 2 1 General Information a 3 WORKSTATION DESCRIPTION a n n 3 1 General CR MESURER UK 3 3 AM5000 3 AM5000 5 anaesthesia module eene nnne nnn nnns EE Breathing System EEE 3 4 1 OPEN SEMICLOSED VERSION NON REBREATHING REBREATHING 3 4 2 OPEN VERSION NON
8. SYSTEM 14 EXP FLOW Y SENSOR OXIGEN SENSOR AUT DISCHARGE m 21 i 13 mem INSP VALVE 23 M L SAFETY 112 VALVE 22 8 11 VALVE A A Y CONNECTION YELLOW REBREATHING 9 BREATHING SYSTEM OU op I uU 20 FR2 INSP FLOW zi X VM 2000 Fu CONNECTION PRI WHITE INLET O2 AIR 1 3 5 bar 0 75 Fr5 60 mBor P N DU5028130 49 REV 3 0 PERSEO Service manual PATIENT 10 NON REBREATHING Y 14 EXP FLOW _21 ISOR OXIGEN SENSOR 20 a it 13 4 Ha SCAVENGING INSPVALVE AR recy SYSTEM 12 22 8 LPV3 EXP PEEP VALVE A A Y Y CONNECTION RESERVOIR 2 BAG 3 BREATH NG AIRWAY VOLUME SETTING SYSTE M A ep MOTOR sw SEN 7 3 SEAL CONNECTION WHITE VM 2000 P N DU5028130 1 FR 2 INSP FLOW 2 BELLOW PR 1 INLET O2 AIR 3 5 bar 0 75 REV 3 0 PERSEO Service manual 6 2 PNEUMATIC COMPONENTS REBREATHING and NON REBREATHING
9. The technician should have available a copy of the User s manual and should known its contents before performing any of the operations described in this manual P N DU5028130 3 REV 3 0 PERSEO Service manual 1 3 Safety Notes WARNINGS The unit has been designed and is manufactured in conditions that guarantee the quality of the product and its components in order to ensure the maximum level of reliability and the safety of the patient and the operator Therefore its safety is guaranteed only if it is used as per the instructions contained in this manual and the User s manual which is an integral and unseparable part of the product documentation for the technical assistance For safety reasons it is necessary to strictly follow the scheduled maintenance described in the User s manual The maintenance and the replacement of any parts has to be performed by authorized SIARE service dealers and only original SIARE parts or parts checked by SIARE should be used SIARE is not civically or criminally liable in the following cases 1 Use in conditions and for reasons not stated or prescribed in this manual 2 Lack or omission of scheduled maintenance as described in this manual 3 Maintenance performed by personnel not authorized by SIARE 4 Use of non original spare parts or spare parts not checked and approved by SIARE 5 Connection with equipment that is not in compliance with relevant directives in effect for safety for
10. 15 nennen nnne rine rine rane as 7 ELEECTRONIGS S xc Warning SIARE is used throughout this manual as an abbreviation for SIARE HOSPITAL SUPPLIES S r l Via Giulio Pastore 18 40056 Crespellano BO ITALY Tel 051 969802 Fax 051 969101 Manufacturer of the equipment described in this manual P N DU5028130 2 REV 3 0 PERSEO Service manual 1 USE OF THE SERVICE MANUAL 1 1 Users of manual This manual 1 strictly for use by SIARE technicians or qualified technicians authorized by SIARE The technician authorized by SIARE has available the appropriate tools and spare parts and is trained with regards to the safety of the product SIARE declines all responsibility with regards to technical assistance to the unit without formal authorization of SIARE The correct and safe use for the patient and the operator of the unit requires the knowledge of the instructions and advice written in this manual and the User s manual 1 2 General Notes The symbol placed near an instruction calls the reader s attention to important information regarding the safety of the patient and operator The manual describes the unit and its operation with the help of electrical and pneumatic diagrams A The following manuals are an integral part of this manual PERSEO S User Manual VM 2000 Service Manual RM 3000 Service Manual AM5000 3 AM 5000 5 Service Manual
11. 3 7 Vaporizer For use and maintenance instructions for the vaporizer please refer to the VAPORIZER USER S MANUAL PATIENT SAFETY NOTE The anaesthesia vaporizer should be checked periodically and calibrated if needed see user s manual This procedure should be done exclusively by SIARE authorized personnel or the vaporizer s manufacturer personnel P N DU5028130 26 REV 3 0 PERSEO Service manual 3 8 Operating Principal The enclosed diagram is divided in two sections entitled VM 2000 and BREATHING SYSTEM The VM 2000 sections contains its pneumatic diagram and a description of the diagram can be found in the VM 2000 technical manual The BREATHING SYSTEM section contains the external breathing circuit pneumatic diagram Between these sections it is indicated the connections between these two modules PATIENT 10 NON REBREATHING 14 EXP FLOW Y 21 m OXIGEN SENSOR 13 y T 1 SCAVENGING INSPVALVE li SYSTEM Y GAS 18 lt 12 VALVE 16 CONNECTION 2 YELLOW RESERVOIR BAG BREATHING SYSTEM AIRWAY VOLUME SETTING PRESS MOTOR VM 2000 SEAL CONNECTION PR 1 WHITE 1 INLET O2 AIR 3 5 bar 0 75 Fr5 60 mBar P N DU5028130 27 REV 3 0 PERSEO Service manual APL VALVE MANUAL ABSORBER
12. It opens counter clockwise OXYGEN flowmeter Max flow 12 l min In the model for low flows there is a second flowmeter with a lower scale of 1 liter NITROUS OXIDE flowmeter Max flow 12 l min In the model for low flows there is a second flowmeter with a lower scale of 1 liter AIR flowmeter Max flow 12 l min Selector switch for the exit of fresh gases BREATHING SYSTEM or TO AND FRO For more details about the scales and the precision of the gauges and flowmeters please refer to appendix A Technical data z lt r 7 c P N DU5028130 9 REV 3 0 PERSEO Service manual Avoid closing the regulators too tightly so not as to wear or damage them The indicated flow value should be read at the upper level of the rim of the flowmeter indicator when it rotates If there is not rotation ask for technical assistance Reading level CUT OFF ALARM If the anaesthesia module sounds a whistle it means that the pressure of the oxygen is too low Immediately take action to reset the oxygen pressure If the pressure of the main system is not available use the oxygen gas cylinder for emergencies ood di poo 09 98 Back View gt OXYGEN inlet from the main medical gas installation NITROUS OXIDE inlet from the main medical gas installation COMPRESSED AIR inlet from the main medical gas installation OXYGEN inlet from the cylinder
13. PERSEO Service manual BREATHING SYSTEM AUT DIAGRAM cod G00050110 P N DU5028130 34 REV 3 0 PERSEO Service manual Components to complete the assembing of open BREATHING SYSTEM cod 500053110 Proceed with the assembly as per the diagram and following this order Ri Description 7 Cod 1 VALVE COVER M52175519 7 2 2 3 VALVE BODY M52314619 UNIDIR GREEN SILICONE VALVE P16000009 7 I CONNECTOR M22 for F15 B S M57005519 20 ANAESTHESIA BAG 3 It 106151 3 21 CONNECTOR FOR RUBBER TUBE 6 5 Di 5 P05000099 L 19 14 15 cO P N DU5028130 35 REV 3 0 PERSEO Service manual BREATHING SYSTEM DIAGRAM TO COMPLETE OPEN CIRCUIT cod G00053110 P N DU5028130 36 REV 3 0 PERSEO Service manual Components to complete BREATHING SYSTEM semi closed circuit cod G00054110 Proceed with the assembly as per the diagram and following this order Rif Descrizione Codice Quantit SEMICLOSED CIRCUIT BODY 50912529 1 2 CONNECTORFORRUBBERTUBE De 6 5Di 5L 19 205000099 1 3 SCREWINOXTCEIMAXB MO012009 1 4 OR202 _ 10002062 1 5 OR 2062 M10002062 6 1082050 mooo a 7 SCREWINOXTCEIM4x20 MOOI20070 gt gt gt gt 8 B S COVER M52175719 9 OR 108 M100001
14. REBREATHING NON REBREATHING PATIENT GAS ANALIZER 111 SCAVENGING V V SYSTEM n 14 EXP FLOW Y AUT DISCHARGE m SNOR oxigen sensor 13 5 TO n INSP VALVE AUT MAN n 4 SCAVENGING 23 SYSTEM SALE FRESH 4 112 H VALVE CAS 22 8 0 LPV3 EXP PEEP VALVE Y CONNECTION YELLOW REBREATHING 9 BREATHING SYSTEM qe 20 P N DU5028130 SEAL CONNECTION WHITE 1 28 VM 2000 Fr1 PEEP FR 3 BELLOW CHARGE uw FR2 INSP FLOW ae Ev2 BELLOW PR1 INLET O2 AIR 3 5 bar 0 75 ll Fr5 60 mBor REV 3 0 Service manual CONNECTIONS BETWEN THE BREATHING SYSTEM AND THE LUNG VENTILATOR Between the breathing system and the lung ventilator there are 2 pneumatic connections The connection 1 feeds the pneumatic valve at low pressure denominated LPV3 The connection 2 takes the pressure of the airway to sensor 6 The connection 3 communicates the main breathing line with the bellow 7 of the ventilator The connections from 1 2 are realized with flexible tubes o rings These connections are automatic when the operator assembles the group onto the trolley and are not modifiable while
15. creates a small depression inside the circuit that is detected by the pressure sensor 6 which immediately activates a forced act SIMV IMV see User s Manual This mode alternates the SPONTANEOUS ventilation with AUTOMATIC or AUTOMATIC ASSISTED PEEP Positive end of expiration pressure In normal conditions the patient expires at ambient pressure or at the maximum of the pressure 2 20 generated by the disposal valve 21 It is possible by the LPV3 valve increase the pressure of the end of expiration up to 20 cm H2O In this way the patient s lungs do not empty completely but retain a residual operating capacity which is higher than that physiologic This function is useful in some pathologies i e of obstructive type For operating principles of VM 2000 RM3000 AM5000 3 AM5000 5 modules check their Service Manual P N DU5028130 32 REV 3 0 PERSEO _ Service manual 4 ASSEMBLY OF VALVE GROUP BREATHING SYSTEM Materials used LOCTITE 573 sealer Vaseline RIF DESCRIPTION COD QT 1 POLAROGRAFIC TRANSD 1 2 INSP VALVE COVER 1 3 083166 1 4 C S VALVE COVER 1 5 INSP EXP VALVE 1 6 1 7 1 8 1 9 1 10 1 11 1 12 1 13 1 15 1 16 1 17 OR 2015 M10002015 2 18 2 19 1 20 B SYSTEM SUPPORT M58482419 1 21 FEMALE KNOB M6 D 24 CS M26370099 1 22 1 23 2 24 SYSTEM CONNECTOR 57007019 1 25 2 26 B SYSTEM SUPPORT PLATE M56092309 1 P N DU5028130 33 REV 3 0
16. lt NS 1j 3 06 s wee emis 12 lo 11 13 0 EX 6 HIGH PRESSURE ALARM TEST Connect a testing balloon 10 or a normal anaesthesia balloon 2 liters to connector 20 of the patient circuit Open the O2 regulator 4 to 2 l min Turn ON the lung ventilator by using the main switch located in the back panel and place the MODE selector knob 11 on CONTROL Bellow 13 should immediately start the inspiratory phase thereby increasing the airway pressure on the airway pressure gauge 12 Lower the airway pressure limit to a value lower than the measured value to make sure it is functioning properly 7 APNEA ALARM TEST Disconnect testing balloon 10 and verify that the low airway pressure alarm comes on Reconnect testing balloon 10 8 RM 3000 TEST Turn on the breathing monitor 15 and select the pressure curve ENTER F1 Check that the TIDAL VOLUME and RATE values are properly displayed and that the airway pressure curve displays the pressure changes due to ventilation 9 ELECTRICAL SAFETY TEST Perform the electrical safety tests as per the user manual of the safety tester P N DU5028130 48 REV 3 0 PERSEO Service manual 6 PNEUMATICS 6 1 Pneumatic Diagram Of Perseo NON REBREATHING REBREATHING PATIENT APL Y 17 MANIL ABSORBER ANALIZER 0 2411 TO SCAVENGING
17. the connection 3 is realized with an ISO 22 mm corrugated tube that can be disassembled by the operator for ordinary maintenance see PERSEO user s manual FLOW OF THE BREATHING GAS IN SPONTANEOUS VENTILATION During spontaneous ventilation below 7 does not move valve LPV3 is open The fresh gases that come from the 5000 and into the breathing system in position 8 filling the reservoir balloon number 9 During the inspiratory phase the patient is connected to point 10 and breathes the gases from this balloon The flow of the gases in the inspiratory phase is as follows reservoir balloon 9 absorber 11 The absorber is a filter that is designed to absorb the CO2 that can be present in the breathing mix Inspiratory valve 12 The inspiratory valve is composed of a single direction disc valve Oxygen sensor 13 Measures the oxygen concentration in the inspiratory mix patient circuit in flexible corrugated tube 14 Mask or connector for tracheal tube 10 patient During the expiratory phase the patient expires only the first part of the expired gases on balloon 9 while the remaining part is disposed The flow of the gases in the expiratory phase is as follows patient RM3000 flow sensor LPV3 valve open 16 reservoir balloon 9 when the reservoir balloon is full the expired gas leave from drain 18 by manual regulation valve 17 APL VALVE NOTE the part of the fresh gases that is recycled de
18. the indicated use P N DU5028130 4 REV 3 0 PERSEO Service manual Do not use the equipment in the presence of flammable gases In order to avoid risk of explosion this unit should not be used in the in the presence of flammable anaesthetic gases such as ether of ciclopropane This unit can operate only with anesthetics that are not flammable as per the directive relative to the electrical safety of the anaesthesia units Do not connect the unit to the patient using conductive antistatic tubes Due to the fact that this machine cannot be used with flammable anaesthetic agents such as ether or ciclopropane the use of antistatic patient tubes is not necessary Since the use of antistatic tubes can cause burns when using surgical equipment at high frequencies their use is not allowed in any administration with this equipment The unit is not approved for use in areas with danger of explosion The unit cannot be used in the presence of explosive gases Before connecting the unit with other electrical equipment not described in this manual check with the manufacturer The electrical connection of the unit should be made according to the instructions in this manual in order to eliminate the danger of electric shock to the patient or operator due to an improper installation Regarding electro medical equipment s general safety it is important to follow all rules regarding the interaction between the equipment and the patient t
19. 08 1 10 M22 for F15 BS M57005519 1 11 UNIDIRGREENSILICONEVALVE P1600009 1 12 1081068 Mf1000128 1 13 AIR VALVE BODY 14 SHACKLERVALVED30 mana 15 1082100 __ r M00200 EI 2100 M10002100 18 19 20 gt M 21 UNDIR VALVE COVER 52175519 13 14 15 16 17 18 19 9 20 21 34 35 38 39 40 P N DU5028130 37 REV 3 0 PERSEO Service manual BREATHING SYSTEM SEMICLOSED DIAGRAM cod G00054110 20 P N DU5028130 38 REV 3 0 PERSEO Service manual Components of complete APL VALVE FOR BREATHING SYSTEM cod 560038110 Proceed with the assembly as per the diagram and following this order Ri Description Co 6 AXIS SHAFT FOR APL VALVE 50210909 1 8 SPRING FOR APL VALVE M52599 1 9 APLVAVE 59170819 1 14 OR 123 10000123 P N DU5028130 39 REV 3 0 Service manual COMPLETE APL VALVE FOR BREATHING SYSTEM DIAGRAM cod G60038110 P N DU5028130 40 REV 3 0 PERSEO service manual COMPONENTS OF COMPLETE SODA LIME CANISTER cod 560034110 Proceed with the assembly as per the diagram and following this order Descrizione OR 6400 M10006400 SODA LIME LOWER GRILL SCREEN M57140009 SODA LIME LOWER
20. E section for setting breathing rate FLOW PEEP section for setting inspiratory flow and the positive end expiratory pressure PEEP TIDAL VOLUME section for setting tidal volume for the breathing act AIRWAY PRESSURE section for setting minimum and maximum alarm limit for the airway pressure therefore check the maximum airway pressure that the VM2000 can reach when in operation OXYMETER section for measurement and alarm for airway gas concentration BELLOW section P N DU5028130 16 REV 3 0 PERSEO Service manual 3 5 1 A MODE Section Operating modes of the lung ventilator can be selected by turning the knob of the MODE section 1 The selection of a operating mode is indicated when its corresponding LED turns ON OPERATING MODES POSITION DESCRIPTION OFF Machine off displays the status of the power supply when one of the following operating modes are selected With the main power supply the OFF led is on and it is green When the unit is supplied by battery and the battery is charged the led becomes orange When the battery is low the led becomes red and the audible alarm comes on Stand by pause mode for setting parameters P N DU5028130 17 REV 3 0 ON O
21. ES 2 1 General Information In order to ensure the safety of the patient and the operator the unit should undergo an inspection and test after 800 hours of use or every 6 months whichever comes first The inspection and test require a specific knowledge of the unit and therefore have to be made by specially trained SIARE authorized personnel The anesthetist or doctor is responsible for the ordinary maintenance of the unit as described in this chapter Cleaning disinfecting sterilization and replacement of parts should be done as per the instructions in the user s manual in order to avoid damage to the equipment that could also endanger the safety of the patient and operator The components used have been selected after technical and comparative tests in the designing phase of the machine Furthermore the same components are always tested during the manufacturing cycle in order to obtain the maximum level of safety and reliability for the operator and patient Therefore whenever a part needs to be replaced it must be an original spare part which has been checked and tested by SIARE SIARE assumes responsibility for all provisions of the law if the unit is used and maintained as per the instructions in this manual and the technical manual The Technical Assistance Report signed by the authorized SIARE technician is proof of the completion of the scheduled maintenance P N DU5028130 6 REV 3 0 PERSEO Service manual 3 WO
22. GRILL M53920809 OR2066 10002056 SODA LIME JAR M59240119 SODA LIME ELASTIC BAND M50140009 M52172219 1 17 SODA LIME M56370019 1 P N DU5028130 41 REV 3 0 PERSEO Service manual Complete soda lime canister cod G60034110 Fix semiclosed group to complete B S cod G00054110 or open group to complete B S cod 600053110 to common group B S aut cod 500050110 with screw INOX TCEI M8X30 cod M00120039 as shown in the B S aut diagram cod G000501 10 P N DU5028130 42 REV 3 0 PERSEO Service manual 5 CALIBRATION AND TEST 5 1 Valve Group Breathing System PROCEDURE Set the valve group selector on MANUAL and the rebreathing non rebreathing selector on REBREATHING 1 LEAK TEST where M Manometer end of scale 100cmH20 G Yellow connector to ventilator B White connector to ventilator E Expiratory connector of the patient GF Connector for inflow of fresh gases RG Connector for balloon L Balloon APL Valve APL Inspiratory connector of patient Connector for connecting the ventilator Drainage of valve group Low pressure exit connector Low pressure exit connector lt P N DU5028130 43 REV 3 0 PERSEO Service manual Completely close the APL valve Regulate the pressure P at around 60cmH2O Regulate the flow F at around 2l min Make the connections When the manometer the pressure of 30 3 20 is reached close the exit
23. RKSTATION DESCRIPTION 3 1 General Information The PERSEO unit is composed of modules In its full optional configuration it is composed of the following sections F T Ae N C Tm oj noligc Structure 5000 3 AM5000 5 anaesthesia module Breathing System VM 2000 lung ventilator RM 3000 breathing monitor Anaesthesia vaporizer gt P N DU5028130 7 REV 3 0 PERSEO Service manual 3 2 Structure P N DU5028130 8
24. U5028130 12 REV 3 0 PERSEO Service manual mounting bracket of APL valve Soda lime canister capacity 1 5 Kg Locking cap for closing and lifting the canister c REBREATHING or NON REBREATHING selector P N DU5028130 13 Connection for exit of used breathing gases to be connect to scavenging system REV 3 0 PERSEO Service manual 3 4 2 OPEN VERSION NON REBREATHING It is the device that takes fresh gases towards the patient and that collects the expired gases towards the disposal The fresh gases form the AM5000 modules are also collected on the Breathing System The manual ventilation is possible only with the TO AND FRO system gt lt U Structure of the Breathing System Inspiratory line connection to the patient circuit Flow sensor connection to the expiratory line Expiratory flow sensor Exspiratory line connection to the patient circuit Mounting bracket for the flow sensor Reservoir balloon connection Connection for fresh gas input hose from AM 5000 anaesthesia module Ambient air aspiration valve Opens automatically when the quantity of fresh gases in the breathing circuit is not enough to guarantee the set current volume Connection to lung ventilator Inspiratory valve plastic cover Oxygen sensor measures the concentration of the inspiratory mix therefore right before the mix reaches the patient Expiratory valve Connection for exi
25. ator waits to synchronize the forced breath with a spontaneous breath If at the end of this time period the patient has not breathed the ventilator starts a forced breath minimum rate guaranteed P N DU5028130 18 REV 3 0 PERSEO Service manual 3 5 3 C INSP FLOW PEEP Section Pa 0 2 C 1 1 Positive end expiratory pressure PEEP regulation knob AN ATTENTION Inserting PEEP during automatic ventilation requires care because it determines the rise of the maximum and medium pressure of the airway pressure The airway pressure alarms should always be set correctly 2 Inspiratory flow and pressure regulator When ventilating with a high tidal volume or pressure the set tidal volume may not be completely administered the indicator of the tidal volume does not reach 0 In this case the regulation knob 2 should be turned counter clockwise until the tidal volume indicator reaches 0 During normal ventilation conditions the selection knob should be completely turned clockwise P N DU5028130 REV 3 0 O N PERSEO Service manual 3 5 4 D TIDAL VOLUME Section
26. configuration REBREATHING BAG Anaesthesia bag Lt 3 SIARE 106151 3 18 REBR NON REBR SELECT Shackler valve D30 M59171209 19 AUT MAN SELECTOR Shackler valve D22 M59171109 20 AUT DISCHARGE VALVE unidir valve vibrating diaphragm M55110409 P N DU5028130 51 REV 3 0 PERSEO Service manual BREATHING SYSTEM VM2000 Configurazione NON REBREATHING Connector RG 6 8 RE P24000059 P N DU5028130 52 REV 3 0 Service manual 6 3 Pneumatic Diagram VM 2000 SEE SERVICE MANUAL OF VM 2000 6 4 PNEUMATIC DIAGRAM 5000 3 AM5000 5 SEE SERVICE MANUAL OF AM5000 3 AM5000 5 P N DU5028130 53 REV 3 0 PERSEO Service manual 7 ELECTRONICS PERSEO Block diagram Electrical connections Ventilator VM 2000 Power supply VM 2000 SWITCHES GROUP FUSE PLUG Synchronism connector VM2000 RM3000 Power connector RM3000 Synchronism cable Power cable RM3000 FLOW TRASDUCER Synchronism connector VM2000 RM3000 Flow transducer connector Low voltage supply Breathing monitor RM 3000 P N DU5028130 54 REV 3 0 PERSEO Service manual For the electronic components of the modules VM2000 and RM3000 see their relative service manuals P N DU5028130 55 REV 3 0
27. d The flow of the gases in the expiratory phase is as follows patient RM3000 flow sensor LPV3 valve open 16 Drain 18 NOTE f the part of fresh gases that reach the balloon 9 is not enough to grant the ventilation the valve 22 opens automatically to allow entrance of ambient air FLOW OF THE BREATHING GASES IN AUTOMATIC VENTILATION During the AUTOMATIC ventilation the breathing work of the patient is completely replaced by the lung ventilator that automatically delivers the breathing gas in the lungs of the patient generating a positive pressure During the inspiratory phase the below 7 closes forcing the gas towards the patient In this phase the single direction valve 20 is closed in order to avoid that the gases go into balloon 9 and the LPV3 expiration valve is closed in order to avoid that the gases are driven out P N DU5028130 31 REV 3 0 PERSEO Service manual In this way the gases reach the lung of the patient During the expiratory phase the bellow 7 opens aspirating the gas from reservoir balloon 9 At the same time the patient expires freely on the drain 18 followed by the opening of the expiratory valve LPV3 The fresh gases from AM5000 module go into the breathing circuit in position 8 filling the balloon 9 OTHER OPERATIVE MODES ASSISTED VENTILATION see User s Manual In the assisted ventilation the patient can control the start of a forced breath When the patient tries to breath he
28. disconnection from the patient circuit Low pressure LED visual alarm It is activated with the audible alarm when the pressure does not reach the set lower limit for at least 3 breathing cycles Regulation of high pressure alarm limit Should be set higher than the measured so as to sense an increase in pressure due to for example an airway obstruction or an overdose of volume High pressure LED visual alarm It is activated with the audible alarm when the pressure goes above the set upper limit If this reoccurs for more than 5 breathing cycles the light becomes solid High and low pressure alarm reset This key silences the pressure audible alarms for 30 seconds After 30 seconds if the alarm condition is still present the alarm sounds again If the alarm condition no longer exists the alarm resets itself automatically Maximum pressure limit regulation This regulation sets the maximum limit of the airway pressure When this limit is reached the inspiratory phase stops and the expiratory phase starts pressure limit operation When the pressure limit is activated the set tidal volume is not completely administered Pressure limit LED visual alarm It is activated when the pressure limit is reached P N DU5028130 21 REV 3 0 PERSEO Service manual 3 5 6 F OXYMETER Section
29. ds the patient In this phase the single direction valve 20 is closed in order to avoid that the gases go into balloon 9 and the LPV3 expiration valve is closed in order to avoid that the gases are driven out In this way the gases reach the lung of the patient During the expiratory phase the bellow 7 opens aspirating the gas from reservoir balloon 9 At the same time the patient expires freely on the reservoir balloon 9 followed by the opening of the expiratory valve LPV3 When the balloon is full the portion of the excess gas is disposed of through valve 21 that is tarred at 2 cmH20 The fresh gases from AM5000 module go into the breathing circuit in position 8 filling the balloon 9 P N DU5028130 30 REV 3 0 PERSEO Service manual OPERATING PRINCIPALIN OPEN CIRCUIT VERSION NON REBREATHING The enclosed diagram is divided in two sections entitled VM 2000 and BREATHING SYSTEM The VM 2000 sections contains its pneumatic diagram and a description of the diagram can be found in the VM 2000 technical manual The BREATHING SYSTEM section contains the external breathing circuit pneumatic diagram Between these sections it is indicated the connections between these two modules CONNECTIONS BETWEN THE BREATHING SYSTEM AND THE LUNG VENTILATOR Between the breathing system and the lung ventilator there are 2 pneumatic connections The connection 1 feeds the pneumatic valve at low pressure denominated LPV3 The connection 2
30. esent the LED will blink and the audible alarm will be silenced for 30 seconds If the alarm condition stops within the 30 seconds after a RESET both the visual and audible alarm will be automatically reset P N DU5028130 24 REV 3 0 PERSEO Service manual 7 4 6 12 10 11 14 15 16 d E I 18 8 9 15 2 13 17 B8 Front View 15 Back ighted LCD display for monitoring the expiratory flow and pressure curves 16 ENTER key Enables choosing the required curve menu F1 Airway pressure F2 Expiratory flow 17 key At the first menu page enables the increase of contrast on the display From the choice menu enables the selection of the airway pressure curve From the curve display it enables changing the values of the Y axis 18 F2 key At the first menu page enables the decrease of contrast on the display From the choice menu enables the selection of the expiratory flow curve From the curve display it enables changing the values of the X axis P N DU5028130 25 REV 3 0 PERSEO Service manual 1 2 3 4 Back View 1 Inlet for power cable POWER 2 Inlet for synchronization cable LUNG VENTILATOR 3 Inlet for flow sensor FLOW SENSOR 4 Serial Connector SERIAL For the unit s connections to the workstation please refer to section 4 1 of USER S MANUAL
31. gt PERSEO Service manual 3 5 2 B RATE Section 9 8 7 Breathing rate regulation knob RATE from 5 to 90 BPM breaths per minute When the machine is turned ON the preset breathing rate is 16 BPM Display for the set breathing rate RATE Selection key for the Inspiration Expiration ratio E When the machine is turned ON the rate us reset at 1 2 In order to change the I E ratio this key 3 must be pressed and let go The following ratios can be selected 1 2 gt 1 3 gt 1 4 gt 2 1 gt 3 1 gt 4 1 gt 1 1 Display for the set ratio Regulation knob for the sensor sensibility that recognizes the patient s spontaneous breathing TRIGGER EFFORT used to synchronize the ventilator The sensibility be adjusted from 10 to 10 cmH O The sensibility has to be set at 2 or 3 cmH O lower than PEEP level If the set sensibility is equal to or higher than the PEEP level the trigger only activates at the end of each breathing cycle hyperventilating the patient Yellow LED indicates trigger activation Regulation knob for SIMV rate SIMV RATE Display for set SIMV rate SIMV RATE LED for SIMV TIME The length of time of the lit LED corresponds to the time period which the ventil
32. he operator and the nearby environment In order to ensure proper and safe use of the equipment it is crucial to follow the instructions in this manual and the User s manual and pay attention to the notes furnished in this User s manual In order to use this equipment it is vital to know all the instructions in this manual The equipment should be inspected and the maintenance performed by SIARE authorized personnel every 6 six months All maintenance performed by SIARE authorized personnel is recorded in the equipments maintenance log Every repair should be performed by SIARE authorized personnel Siare is not liable for direct or indirect damage to people or things due to technical assistance by personnel non authorized by SIARE or improper use of the equipment that is to say a use not described in the User s manual or technical manual In order to repair equipment that is malfunctioning has defects or is broken the operator should contact SIARE its authorized local service dealer It is important when requesting service to specify the model and serial number of the equipment Use only the recommended accessories The use of other accessories is authorized only by a written authorization from SIARE as per the safety directives in effect The equipment s operation is authorized only in areas that conform to the safety directives in effect P N DU5028130 5 REV 3 0 PERSEO Service manual 2 GENERAL MAINTENANCE PROCEDUR
33. lume 7 44 64124104 11 14 15 16 lee LU 18 g 91 5 2713 17 Front view 1 ON OFF switch The lung ventilator needs to be ON main power switch in position 4 in order to turn ON the RM 3000 breathing monitor 2 Power Stand by LED 4 Expired Tidal Volume display EXP TIDAL VOLUME 5 Measured breathing rate display RATE 6 Expired Minute Volume display EXP MINUTE VOLUME 7 Expired volume LED indicator Graphically displays the expired minute volume with the alarm limit marked by two blinking LEDs 8 Low expired volume alarm limit regulation knob LOW MINUTE VOLUME 9 High expired volume alarm limit regulation knob HI MINUTE VOLUME 10 APNEA alarm LED The apnea alarm is activated when the monitor does not sense breathing activity 11 HI MINUTE VOLUME alarm LED The alarm is activated when the measured minute volume is higher than the set limit 12 LOW MINUTE VOLUME alarm LED The alarm is activated when the measured minute volume is lower than the set limit 13 FAILURE Technical failure Indicates an operational problem in the monitor 14 Reset of audible alarm ALARM LOGIC When there is an alarm condition the relative LED is lit and audible alarm will sound After pressing the RESET key if the alarm condition no longer exists the LED is turned off and the audible alarm is silenced If the alarm condition is still pr
34. of 2596 oxygen in all open tap conditions By using the three gauges located on the front panel the medical gases supply pressure coming from the central gas installation can be continuously controlled precision 10 The flowmeters permit the measurement of the flow the of the corresponding gases with a precision of 10 of the displayed value or 1 of the bottom of the scale by choosing the highest of the two values S T U L M N O N DD bo Ee T T a T T T TY T Front view AM5000 3 OXYGEN supply gauge NITROUS OXIDE supply gauge AIR supply gauge Selector switch for AIR NITROUS OXIDE This safety device avoids the contemporaneous supply of air and nitrous oxide only the selected gas will be available on the flowmeters OXYGEN BY PASS key By pressing this key pure oxygen is released into the anaesthesia circuit with a flow of approximately 60 l min OXYGEN flow regulator for fresh gases It opens counter clockwise NITROUS OXIDE flow regulator for fresh gases It opens counter clockwise The opening of this regulator automatically supplies a flow of oxygen of about 25 of the total mixture The flow of oxygen can be viewed on flowmeter S This safety device MIX LIFE avoid the incorrect administration of hypoxic mixtures AIR flow regulator for fresh gases
35. omatically Inlet for oxygen concentration sensor P N DU5028130 22 REV 3 0 Service manual 3 5 7 G BELLOW section O O N 666 6 wo N 5 4 The primary circuit of the lung ventilator is composed of a rubber bellow moved by a pneumatic linear activator The bellow s run is regulated by an end of run guide which is positioned by a low voltage electric motor The length of the run determines the tidal volume that will be administered The bellow is accessible by raising the instrument shelf of the trolley 1 Inlet to Breathing System 2 Knobs for mounting the front of the bellow 3 Rubber bellow 4 Device for mounting the rear of the bellow 5 Rear bellow support P N DU5028130 23 REV 3 0 PERSEO Service manual 3 6 3000 Breathing Monitor The RM 3000 breathing monitor is a device that measures displays elaborates and controls the breathing parameters such as expiratory flow airway pressure tidal volume the breathing rate number of breaths per minute and minute volume administered to the patient It warns the operator to alarm conditions when there is an apnea condition high or low tidal or minute vo
36. pends from the type of flow of fresh gases that continuously arrive to reservoir 9 If at the beginning of the expiration the reservoir 9 is already full of fresh gases all the gases expired from the patient will exit by drain 18 If instead normal condition the balloon will be only partly full a small part of the expiratory mix will return to balloon 9 to be later filtered by the CO2 absorber 11 and administered again to the patient FLOW OF THE BREATHING GASES IN MANUAL VENTILATION During the manual ventilation the configuration of the valves and the flow of the gases is the same as the spontaneous ventilation The spontaneous inspiratory phase of the patient is replaced by the manual squeezing of the reservoir balloon 9 During this phase the pressure of the airway increases up until the value set on the APL valve When it reaches this pressure value the APL valve opens disposing of the excess gas in the circuit This system enables to always maintain a balance between the fresh gases in the circuit and the expired gases disposed of P N DU5028130 29 REV 3 0 PERSEO Service manual FLOW OF THE BREATHING GASES IN AUTOMATIC VENTILATION During the AUTOMATIC ventilation the breathing work of the patient is completely replaced by the lung ventilator that automatically delivers the breathing gas in the lungs of the patient generating a positive pressure During the inspiratory phase the below 7 closes forcing the gas towar
37. plug of the low pressure P After 30 seconds the pressure that is read on M should be gt 20 2cmH2O 2 APL VALVE TEST APL WHERE M Manometer end of scale 100cmH20 G Yellow connector to ventilator B White connector to ventilator E Expiratory connector of the patient GF Connector for inflow of fresh gases RG Connector for balloon APL Valve APL L Balloon Inspiratory connector of patient V Connector for connecting the ventilator S Drainage of valve group P Low pressure exit connector F Low pressure exit connector Regulate the pressure P at around 60cmH20 Regulate the flow F at around 8l min Make the connections Open completely the APL valve On the manometer M the pressure should be 2 1cmH2O Completely close the APL valve On manometer M the pressure should be 30 3 20 P N DU5028130 44 REV 3 0 PERSEO Service manual 3 TEST MUSHROOM VALVE P 60cmH20 Q WHERE M Manometer end of scale 100cmH20 G Yellow connector to ventilator B White connector to ventilator GF Connector for inflow of fresh gases RG Connector for balloon APL Valve APL Inspiratory connector of patient V Connector for connecting the ventilator S Drainage of valve group P Low pressure exit connector T Connection tube Regulate the pressure P at around 60cmH20 Make the connections On the manometer M the pressure after 30 sec should be gt 50cmH20O P N DU5028130 45 REV 3 0
38. s pressure reducer NITROUS OXIDE inlet from the cylinder s pressure reducer AIR OXYGEN outlet for the supply of the lung ventilator of the active scavenging system and the tracheal aspiration unit In optimal conditions these connector supply COMPRESSED AIR If there is no COMPRESSED AIR or there is not enough pressure the unit automatically switches the distribution to OXYGEN These connectors are supplied standard with the machine if the relative accessories are in use Emergency OXYGEN outlet Exit of fresh gases connector for TO and FRO FRESH GAS outlet for the Breathing System please refer to chapter 4 4 Breathing System Assembly in the PERSEO S user manual P N DU5028130 10 REV 3 0 Service manual A DANGER OF FIRE Do not connect devices that are not explicitly certified to function with PURE OXYGEN to outlets F and G Do not make connections to the main medical gas installation or the gas cylinders before reading section 4 2 MEDICAL GAS CONNECTION in the PERSEO S user manual P N DU5028130 11 REV 3 0 PERSEO Service manual 3 4 Breathing System 3 4 1 OPEN SEMICLOSED VERSION NON REBREATHING REBREATHING It is the device that takes fresh gases towards the patient and that collects the expired gases towards the absorber and then to the lung ventilator to be supplied to the patient The fresh gases supplied by the AM5000 anaesthesia module are also added to the Breathing S
39. t of used breathing gases FN to be connect to scavenging system P N DU5028130 14 REV 3 0 PERSEO Service manual 3 5 2000 lung ventilator VM2000 lung ventilator is the device that mechanically controls the breathing activity of the patient when the patient is being automatically ventilated Other than the regulations of the patient s ventilation mode the VM2000 also enables checking the airway pressure and oxygen concentration of the patient s gas mixture D2UUO Back view A Main ON OFF switch B Safety fuses ATTENTION The specification of the fuse to be used is indicated on identification tag l Never use fuses with a different specification Inlet for main power cable Inlet for auxiliary power MAX 6 Ampere Inlet for AIR OXYGEN 3 5 Bar 0 75 Outlet for power cable for RM3000 monitor Outlet for synchronizing cable for RM3000 monitor Cooling fan Identification tag The following specifications are displayed MODEL SERIAL NUMBER POWER SUPPLY POWER FREQUENCY POWER CONSUMPTION FUSE SPECIFICATION Battery safety fuse 5A T equipotential connector zr P N DU5028130 15 REV 3 0 PERSEO Service manual Front View MODE section for setting ventilation modes of the lung ventilator RAT
40. takes the pressure of the airway to sensor 6 The connection 3 communicates the main breathing line with the bellow 7 of the ventilator The connections from 1 2 are realized with flexible tubes o rings These connections are automatic when the operator assembles the group onto the trolley and are not modifiable while the connection 3 is realized with an ISO 22 mm corrugated tube that can be disassembled by the operator for ordinary maintenance see PERSEO user s manual FLOW OF THE BREATHING GAS IN SPONTANEOUS VENTILATION During spontaneous ventilation below 7 does not move valve LPV3 is open The fresh gases that come from the 5000 and go into the breathing system in position 8 filling the reservoir balloon number 9 During the inspiratory phase the patient is connected to point 10 and breathes the gases from this balloon The flow of the gases in the inspiratory phase is as follows reservoir balloon 9 absorber 11 The absorber is a filter that is designed to absorb the CO2 that can be present in the breathing mix Inspiratory valve 12 The inspiratory valve is composed of a single direction disc valve Oxygen sensor 13 Measures the oxygen concentration in the inspiratory mix patient circuit in flexible corrugated tube 14 Mask or connector for tracheal tube 10 patient During the expiratory phase the patient expires only the first part of the expired gases on balloon 9 while the remaining part is dispose
41. ystem With this cirucit it is also possible by simply rotating the selector V to change the system into an OPEN or NON REBREATHING The manual ventilation is possible directly from the valve group or with the TO AND FRO system Tr gt OU OZZ Structure of the Breathing System Selector form AUTOMATIC SPONTANEOUS or MANUAL AUT SPONT MAN ventilation Inspiratory line connection to the patient circuit Water trap Expiratory flow sensor Expiratory line connection to the patient circuit Mounting bracket for the flow sensor Reservoir balloon connection Connection for fresh gas input hose from AM 5000 anaesthesia module Ambient air aspiration valve Opens automatically when the quantity of fresh gases in the breathing circuit is not enough to guarantee the set current volume Connection to lung ventilator Inspiratory valve plastic cover Oxygen sensor measures the concentration of the inspiratory mix therefore right before the mix reaches the patient Expiratory valve APL valve It regulates the maximum airway pressure during manual ventilation The pressure increases by turning the knob of the valve clockwise and lowers by turning it counter clockwise The range of regulation is from approximately 2 to 30 cmH O During manual ventilation airway pressure can go over the limit set on lung ventilator The pressure limit depends on the regulation of the APL valve P N D
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