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Software Revision 1.

Operation Manual Setup


Part 2 Cleaning and Sterilization
Maintenance and Troubleshooting
User Responsibility

This Product will perform in conformity with the description thereof contained in this operating
manual and accompanying labels and/or inserts, when assembled, operated, maintained, and
repaired in accordance with the instructions provided. This Product must be checked periodically. A
defective Product should not be used. Parts that are broken, missing, plainly worn, distorted, or
contaminated should be replaced immediately. Should repair or replacement become necessary,
Datex-Ohmeda recommends that a telephonic or written request for service advice be made to the
nearest Datex-Ohmeda Field Service Support center. This Product or any of its parts should not be
repaired other than in accordance with written instructions provided by Datex-Ohmeda and by
Datex-Ohmeda trained personnel. The Product must not be altered without the prior written
approval of Datex-Ohmedas Quality Assurance Department. The user of this Product shall have the
sole responsibility for any malfunction which results from improper use, faulty maintenance,
improper repair, damage, or alteration by anyone other than Datex-Ohmeda.

w CAUTION U.S. Federal and Canadian law restrict this device to sale by or on the order of a licensed
medical practitioner. Outside the U.S.A. and Canada, check local laws for any restriction
that may apply.

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 A 12345

This alpha character indicates the year of product


manufacture and when the serial number was
assigned; C = 1999, D = 2000, E = 2001, etc.
I and O are not used.

1006-0802-000 07/01
Table of Contents

1 Introduction
How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . 1-3
Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Operator maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Datex-Ohmeda approved service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
2 Cleaning and Sterilization
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Patient path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Scavenging path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Clean and sterilize . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
To wash (by hand or machine) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Autoclave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Assemble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Disassemble the patient path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Canister disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Disassemble the scavenging path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . .2-13
CIDEX sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
How to clean and sterilize the optional CO2 Bypass assembly . . . . . . . . .2-15

1006-0802-000 07/01 i
Aestiva/5 7100

3 Setup and Connections


Breathing system setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
External manual breathing circuit setup . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Common Gas Outlet (CGO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Auxiliary Common Gas Outlet (ACGO) (Optional) . . . . . . . . . . . . . . . . .3-5
Scavenging the ACGO sample flow . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6
Scavenging from the external manual breathing circuit . . . . . . . . . . . .3-6
Canister Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
Pneumatic and electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9
How to install gas cylinders (high pressure leak test) . . . . . . . . . . . . . . . . 3-12
Cylinder yokes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
DIN connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
How to attach equipment to the top shelves . . . . . . . . . . . . . . . . . . . . . . . 3-15
Accessory shelf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Top of machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
4 User Maintenance
Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Manifold maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Exhalation valve maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6
Receiver maintenance (active gas scavenging only) . . . . . . . . . . . . . . . . . .4-8
Flow sensor maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-9
Breathing circuit maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Bellows assembly maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
21% O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
100% O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
Paw sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Flow sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
How to prevent water build-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26

ii 07/01 1006-0802-000
Table of Contents

5 Alarms and Troubleshooting


About alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Alphabetical list of alarm messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Breathing system problems (no alarm) . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15
Electrical problems (power failure, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . .5-16
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-18
6 Illustrated Parts
Breathing system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Main manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Exhalation valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Breathing Circuit Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
7 External Communications
External communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Protocol description (Datex-Ohmeda Com 1) . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Serial Communication Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
DEVICE COMMANDS Sent By External Device . . . . . . . . . . . . . . . . . . . 7-4
8 Specifications and
Theory of Operation
System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Pneumatic circuit diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
System specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Pneumatic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Electrical fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Electro-magnetic compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

1006-0802-000 07/01 iii


Aestiva/5 7100

Breathing system specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13


General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
Breathing system schematic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15
Ventilator Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-17
Ventilation operating specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-19
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21
Delivery accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21
Monitoring accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21
Heliox Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-22
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23
Venturi Suction Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23
Continuous Suction Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23
O2 flowmeter (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23

iv 07/01 1006-0802-000
1 Introduction

In this section How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2


Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . 1-3
Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Operator maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Datex-Ohmeda approved service . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

1006-0802-000 07/01 1-1


Aestiva/5 7100

How to use this manual


This is Part 2 of the Aestiva/5 7100 Operation manual. It tells you how to:

Remove and clean parts.

Set up the system.

Identify and replace worn or damaged parts.

Calibrate the O2 sensor.

The last section, Troubleshooting, tells you what causes each alarm and what
you can do about it.

The second half of this chapter (1/Introduction) is a maintenance schedule.

Use this manual (Part 2) with Part 1 which includes the operating instructions
and preoperative checkout.

Note: The Aestiva/5 7100 can be equipped with several optional ventilation
functions. References made in this manual to Pressure Mode, O 2 Monitoring,
Volume Monitoring, Volume Compensation, and Pressure Waveform Display
are only applicable to systems equipped with these functions.

w WARNING If an alarm occurs, safeguard the patient first, before troubleshooting or


doing repair procedures.

1-2 07/01 1006-0802-000


1 Introduction

Symbols used in the manual or on the equipment


wWARNINGS and wCAUTIONS tell you about dangerous conditions that can
occur if you do not follow all instructions in this manual. Read and follow all
warnings and cautions.
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.
A Note provides additional information to clarify a statement in text.
An Important statement is similar to a Note, but provides a comment of
greater emphasis.
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). Not autoclavable.


O Off (power). m Type B equipment.
o Standby. Type BF equipment.
q Standby or preparatory state for part of H Type CF equipment.
the equipment.
p ON only for part of the equipment. w Caution, ISO 7000-0434.
OFF only for part of the equipment. wW Attention, refer to product
instructions, IEC 601-1.
Direct current.
N
N

This way up.


Alternating current. Dangerous Voltage.
x Protective earth ground. Input.

y Earth ground.
Output.
r Frame or chassis ground. REF Stock Number.
Alarm silence button. SN Serial Number.
Y Equipotential.
R Bag position/ manual ventilation.
t Variability. Read top of float.

1006-0802-000 07/01 1-3


Aestiva/5 7100

T Variability in steps. Vacuum inlet.

+ Plus, positive polarity. Suction bottle outlet.

- Minus, negative polarity. O2+ O2 Flush button.

P Lamp, lighting, illumination. Cylinder.

N Movement in one direction. Isolation transformer.

Movement in two directions. Linkage system.

z Lock. Risk of Explosion.

Z Unlock. Low pressure leak test.

134C
C Autoclavable.
r Mechanical ventilation.

u Open drain (remove liquid).


U Close drain.

q
Inspiratory flow. Expiratory flow.
Q
t O2 sensor connection. Alarm silence touch key.

Volume alarms On/Off touch key. Menu touch key.

1-4 07/01 1006-0802-000


1 Introduction

End case touch key The primary regulator is set to


< 345 kPa pressure less than 345 kPa
(50 psi).

European Union Representative. The primary regulator is set to


pressure less than 414 kPa

AB43045
< 414 kPa
(60 psi).

Absorber on. Alarm silence touch key

OT.01.205.tif
AB.23.179
(Tec 6).

Absorber off (CO2 Bypass active). Systems with this mark agree with
AB.23.179 the European Council Directive
XXXX (93/42/EEC) for Medical Devices
when they are used as specified in
their Operation and Maintenance
Manuals. The xxxx is the
certification number of the
Notified Body used by Datex-
Ohmedas Quality Systems.

1006-0802-000 07/01 1-5


Aestiva/5 7100

Maintenance summary and schedule


These schedules are the minimum frequency based on typical usage of 2000
hours per year. You should service the equipment more frequently if you use it
more than the typical yearly usage.

Operator maintenance.
Minimum
Frequency Maintenance

Daily Clean the external surfaces.


21% O2 calibration (circuit O2 sensor).

Weekly Flow sensor calibration.

Two weeks Drain the vaporizers and discard the agent.


This is not necessary for Tec 6 vaporizers.

Monthly 100% O2 calibration (cIrcuit O2 sensor).


Put Krytox (or a lubricant approved for use with 100%
O2) on all tee handle threads.

During cleaning Inspect the parts for damage. Replace or repair as


and setup necessary.

Annually Replace the external o-rings on the vaporizer ports.

As necessary Install new cylinder gaskets on cylinder yokes.


Replace the absorbent in the absorber.
Drain the breathing system.
Drain the breathing circuit module.
(This is included in the Preoperative Test Procedure.)
Drain the overflow trap on the optional suction regula-
tor.
Replace the circuit O2 sensor.
(Under typical use the sensor meets specifications for
1 year.)
Replace the disposable flow sensors (plastic).
(Under typical use the sensor meets specifications for
3 months.)
Replace the autoclavable flow sensors (metal).
(Under typical use the sensor meets specifications for
1 year.)
Replace the receiver filter (active gas scavenging only).

1-6 07/01 1006-0802-000


1 Introduction

Datex-Ohmeda approved
service

Minimum
Frequency Maintenance

6 months Have a trained service person do the service tests and


scheduled service maintenance.

1006-0802-000 07/01 1-7


Aestiva/5 7100

1-8 07/01 1006-0802-000


2 Cleaning and Sterilization

w WARNING Obey applicable safety precautions:

Read the material data sheet for each cleaning agent.


Read the operation and maintenance manual for all sterilization equipment.
Wear gloves and safety glasses. A damaged O2 sensor can leak and cause
burns (contains potassium hydroxide).
Do not breathe the fumes.

w CAUTION To help prevent damage:

Refer to the manufacturers data if you have questions about a cleaning agent.
Do not use organic, halogenated, or petroleum based solvents, anesthetic
agents, glass cleaners, acetone, or other harsh cleaning agents.
Do not use abrasive cleaning agents (such as steel wool, silver polish or
cleaner).
Keep all liquids away from electronic parts.
Do not permit liquid to go into the equipment housings.
Do not soak synthetic rubber parts for more than 15 minutes. Swelling or faster
aging can occur.
Only autoclave parts that are marked 134 C.

In this section Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2


Clean and sterilize . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Disassemble the patient path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Canister disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Disassemble the scavenging path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . . 2-13
How to clean and sterilize the optional CO2 Bypass assembly . . . . . . . . . 2-15

1006-0802-000 07/01 2-1


Aestiva/5 7100

Summary

Patient path The shaded parts in Figure 2-1 send exhaled gas back to the patient. They may
require more frequent cleaning/sterilization than parts in Figure 2-2. Refer to
your hospitals infection control policy.

Autoclave (134 C) or
AB.23.003 wash (mild detergent pH <10.5)

If plastic, refer to cleaning/disinfection


* procedure. If metal, autoclave (134 C)

Wipe with a damp cloth.

AB.23.079

Figure 2-1 These parts return exhaled gas to the patient

2-2 07/01 1006-0802-000


2 Cleaning and Sterilization

Scavenging path

AB.23.003
Autoclave (134 C) or
wash (mild detergent pH <10.5)

AB.23.080

Figure 2-2 Shaded parts do not send gas back to the patient

1006-0802-000 07/01 2-3


Aestiva/5 7100

Clean and sterilize

The Disassembly part of this section tells you how to remove parts for
cleaning.

To wash (by hand or


machine) Patient path

AB.23.085
Scavenging path

AB.23.083

Use a mild detergent (pH <10.5). Then, rinse and dry completely. All parts
except the O2 sensor, and flow sensors can be washed.
User maintenance tells you how to disassemble parts and clean inside them if
necessary.

2-4 07/01 1006-0802-000


2 Cleaning and Sterilization

Autoclave
Patient path

Metal only

AB.23.087
Upside down

AB.23.086
Scavenging path
AB.23.083

Autoclave at 134 C. Inspect the parts for deterioration. The user Maintenance
section tells you how to do this.

1006-0802-000 07/01 2-5


Aestiva/5 7100

Special requirements

AB.23.088
*

* Hang the bellows upside down (extended) to dry.


If not, the convolutions can stick together.

To clean the circuit O2 sensor, wipe it with a damp cloth. Do not put the sensor
in liquid.
To clean/disinfect metal or plastic flow sensors, use the flow sensor cleaning
procedures. Do not get the connectors wet.
Disassemble the bellows assembly before you wash it. If not, it will take a
very long time to dry. Hang the bellows upside down to dry.
Assemble the bellows assembly before you autoclave. Autoclave the bellows
assembly upside down.

w WARNING Do not use talc, zinc stearate, calcium carbonate, corn starch or
equivalent materials to prevent tackiness. These materials can go into
the patients lungs and airways and cause irritation or injury.

w CAUTION Do not put the circuit O2 sensor or flow sensor connector in liquid.

w Do not autoclave the circuit O2 sensor or the plastic flow sensors.

w Do not clean the interior surfaces of the flow sensors. Use a damp cloth
on external surfaces only.

Assemble The Set-up section tells you how to assemble the breathing system.

Inspect all parts for deterioration. Replace them if necessary.

The Preoperative tests in part 1 (the first half of this manual), tell you how to
test the system for correct operation.

2-6 07/01 1006-0802-000


2 Cleaning and Sterilization

Disassemble the patient path

Step 1
Open the access panel.

AA.96p.009
Step 2
Push up on the latch located
under the flow sensor module.

AA.96p.010
Step 3
Remove the flow sensor
module. You will feel some resistance.
Continue to pull.

AA.96p.011
Step 4
Disconnect the cable and
remove the O2 sensor.
AA.96p013, 014

1006-0802-000 07/01 2-7


Aestiva/5 7100

Step 5
Completely loosen the
thumbscrew on the breathing circuit
module.

AA.96p016
Step 6
Using the thumbscrew, continue to pull.
You will feel some resistance. Remove
the breathing circuit module.

AA.96p017
Step 7
Push the metal button to the
first stop. Pull out the bag arm.

AA.96p018

Step 8
Push the metal button to the
second stop and open the top panel.
AA.96p020

2-8 07/01 1006-0802-000


2 Cleaning and Sterilization

Step 9
Push the release button and remove
the bellows assembly (pull up).

AA.96p021, 23
Step 10
Remove the main manifold.

AA.96p024
Autoclave assemblies marked 134 C. Refer to the Section Clean and
sterilize for complete instructions.

To assemble the circuit refer to the Setup Section.

1006-0802-000 07/01 2-9


Aestiva/5 7100

Canister disassembly

w CAUTION To prevent damage, pull the release handle forward. Then turn the
handle.

Step 1
Pull the release handle forward.

wZ

AA.96p026
Step 2
Turn the release handle clockwise.

AA.96p028

Step 3
Pull down and out on the canisters.
AA.96p029

2-10 07/01 1006-0802-000


2 Cleaning and Sterilization

Step 4
Push in the buttons on each side of the
top dish.

AA.96p053
Step 5
Lift up the drain dish.
Remove the top dish and drain dish.

AA.96p054
Continue with the next section or go to Cleaning and Sterilization.

To assemble, refer to the Setup Section.

1006-0802-000 07/01 2-11


Aestiva/5 7100

Disassemble the scavenging path


These shaded parts send exhaled gas to the disposal system, not the patient.

Exhalation valve

Complete the basic disassembly


procedure.

Push in the latches and pull out the


exhalation valve.

AB.23.089
Scavenging reservoir

Loosen the knob and remove the rear


cover.

Pull the reservoir up and to the rear.

Twist and pull down to remove the tube.


AB.23.090

2-12 07/01 1006-0802-000


2 Cleaning and Sterilization

How to clean and disinfect the flow sensors

wCAUTION Do not autoclave plastic flow sensors.

w Do not use high pressure gas or brushes to clean the flow sensors.

w Do not use cleaning solvents that are not approved for use with
polycarbonates (e.g. CIDEX Plus).

CIDEX sterilization Both Datex-Ohmeda and the manufacturer of CIDEX (Johnson & Johnson)
have tested this procedure.
CIDEX must be 14 day mixture, with activator vial
(REF REORDER # 2245).
One liter of this solution cleans four (4) flow sensors.

Procedure

1. Remove the flow sensor module


from the absorber.

(Refer to Disassemble the patient


path in this chapter.)

2. Remove the flow sensors from the


module.
a. Push in the latch.
b. Pull off the cover.
c. Remove the flow sensors.
AB.23.151

a. b. c.

1006-0802-000 07/01 2-13


Aestiva/5 7100

3. Submerge the flow sensor and


tubes in activated CIDEX solution.
Keep the connector dry.

AB.48.068
4. Keep the solution in the tubes for the
sterilization period.

5. Submerge the flow sensor and


tubes in distilled water. Again, do
not get the connector wet.

AB.48.047
6. Rinse as indicated in CIDEX
instructions.

7. Do steps 5 and 6 again to remove all


CIDEX.

8. COMPLETELY dry the flow sensor


and the tubes before you use the
sensor.
Use a dry syringe or connect vacuum or
pressure to remove all liquid from the
sensor (sensor, tubes, and connector):
w Dry for > 1 min with these AB.48.048

precautions:
Maximum vacuum 30 in Hg
Maximum flow 10 l/min
Maximum pressure 345 kPa (50 psi)

2-14 07/01 1006-0802-000


2 Cleaning and Sterilization

How to clean and sterilize the optional CO2 Bypass assembly


These instructions assume that the system has the optional CO 2 Bypass
feature installed.

Step 1
Remove the absorber canisters. (Also described in Canister disassembly in this section.)
a. Pull the canister release handle forward.
w CAUTIONTo prevent damage, pull the canister release handle forward before turning the handle.
b. Turn the release handle clockwise.
c. Lift out the canisters.
Note: The canisters should drop under their own weight when released. If they do not, clean and lubricate the pins in
the drain dish and sockets in the base.

Step 2
Release the CO2 Bypass assembly by
pushing both buttons (one on each side
of the assembly).

AA.96p053
Step 3
Pull down on the CO2 Bypass assembly
(a) to remove it and lift the drain dish
(b) up.

1006-0802-000 07/01 2-15


Aestiva/5 7100

Step 4
Clean and sterilize the bypass
assembly:
a. Immerse the assembly into a so-
lution of mild detergent and wa-
ter.
b. Agitate the assembly in the solu-
tion while repeatedly actuating
and releasing the plate.
c. Rinse the assembly by immers-
ing it in clean water and agitat-
ing it again with the plate
actuated and released.
d. Autoclave the assembly at 134 a
C.
e. Cool about 40 minutes at room
temperature.

Note: Optionally, the Bypass assembly can be divided into two smaller sections for easier cleaning by releasing the
top clamp (a) and pulling the hose from the assembly. When reassembling, reattach the hose to the bottom part of
the assembly. Secure the hose with the clamp and pinch the clamp one notch past finger-tight with pliers.

Step 5
Reinstall the bypass assembly:
d
a. Reinstall the drain dish. c
b. Insert the bypass assembly.
c. Push back and adjust to locate
the access holes for the top b
ports.
d. Push the buttons on each side of
a
the assembly and push the as-
sembly up; both buttons should
snap into place.
e. Pull down on the assembly to
make sure it is locked into place.

2-16 07/01 1006-0802-000


2 Cleaning and Sterilization

Step 6
Reinstall the canisters:
a. Ensure seals and rim are free of soda lime dust.
b. Place the canisters in the drain dish.
c. Turn the canister release handle counterclockwise to its locked position while gently applying pressure on the
canisters to hold them against the canister guides.

Step 7
Test the Bag circuit for leaks according to the Breathing System tests in the Appendix section of Part 1 of the
Operation manual.
Do the test in both the Absorber mode and the Bypass mode.
Ensure the alarm message No CO2 Absorption activates when in Bypass mode. See CO2 Bypass mode operation
in section 3 of Part 1 of the Operation manual.

Step 8
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.

1006-0802-000 07/01 2-17


Aestiva/5 7100

2-18 07/01 1006-0802-000


3 Setup and Connections
Important Datex-Ohmeda strongly recommends that you use O2 monitoring with this equipment. Refer
to local standards for mandatory monitoring.
Important European Standard EN 740 requires anesthetic agent monitoring when anesthetic vaporiz-
ers are in use.
Important European Standard EN 740 requires CO2 monitoring during ventilation.

w WARNINGS Always make sure that the pipeline supply hoses and the breathing circuit
components are not toxic and will not:
Cause an allergic reaction in the patient.
React with the anesthetic gases or agent to produce dangerous
by-products.
w To prevent incorrect values or equipment malfunction, use only Datex-Ohmeda
cables, hoses and tubing.
w This system operates correctly at the electrical interference levels of IEC 601-1-2.
Higher levels can cause nuisance alarms that may stop mechanical ventilation.
w To help prevent false alarms from devices with high-intensity electrical fields:
Keep the electrosurgical leads away from the breathing system and the flow and
oxygen sensors.
Do not put the electrosurgical leads on any part of the anesthesia system.

w To protect the patient when electrosurgical equipment is used:


Monitor the correct operation of all life support and monitoring equipment.
Keep backup manual ventilation available in case the electrosurgical
equipment prevents safe use of the ventilator.
Do not use conductive masks or hoses.

In this section Breathing system setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2


External manual breathing circuit setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Canister Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Pneumatic and electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
How to install gas cylinders (high pressure leak test) . . . . . . . . . . . . . . . . 3-12
How to attach equipment to the top shelves . . . . . . . . . . . . . . . . . . . . . . . 3-15
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

1006-0802-000 07/01 3-1


Aestiva/5 7100

Breathing system setup


To assemble the patient circuit, start at step 5.

Step 1
Install the main manifold.

AA.96p024
Step 2
Install the bellows assembly.

Make sure the release


button aligns correctly.

AA.96p022
Step 3
While pressing and holding
the metal button, gently close
the control panel.

AA.96p012

Step 4
While pressing down firmly on
the control panel, install the
bag arm.
AA.96p019

Ensure the control panel


is latched into position.
Cycle the Bag/Vent switch
to ensure locking.
Install a rebreathing bag
on the bag arm.

3-2 07/01 1006-0802-000


3 Setup and Connections

Step 5

Identify the breathing circuit Circle


module (Circle or Mapleson.)

AB.23.067
Look at the tabs on the rear or
the label on the front.

Mapleson

Step 6

Install the breathing circuit


module. You will feel some

AA.96p017
resistance. Continue to push.

Step 7

Completely tighten the


thumbscrew

AA.96p016

Step 8

Install the O2 sensor or


O2 port plug.

Completely tighten the


AA.96p013, 014

sensor. Ensure that the


o-ring is not showing.
Connect the cable (O2
sensor only).

1006-0802-000 07/01 3-3


Aestiva/5 7100

Step 9
Install the flow sensor
module.
You will hear a click
when it locks into

AA.96p011
position.
Refer to section 4/User
Maintenance, Flow
sensor maintenance.

Step 10

Close the front panel.

AA.96p009
Step 11

Connect the patient circuit.

AB.23.182
Circle:
Insp

Exp

Mapleson D /
Bain Module:
To-fro
Insp Exp
AB.23.181

3-4 07/01 1006-0802-000


3 Setup and Connections

External manual breathing circuit setup


When you operate a breathing apparatus with fresh gas from the CGO or ACGO:
Mechanical ventilation is not available
The pressure gauge, Bag/Vent switch, APL valve and bag arm are not part of the
external circuit.
Volume and pressure monitoring are not available.
Use of etCO2 monitoring is recommended.

Oxygen Monitoring of the fresh gas is recommended and available for use with external
manual breathing circuits.

Common Gas Outlet 1. Attach a Tee piece to the CGO and make the fresh gas connection from the Tee piece
(CGO) to the external circuit.

2. Remove the O2 cell from the breathing circuit module, install the cell into the
adapter, and the cell with adapter into the Tee piece.

3. Fresh gas oxygen concentration is shown on the ventilation display. Set alarm limits
appropriately.
Note: The fresh gas oxygen concentration may not reflect fiO 2 in rebreathing circuits
such as the Mapleson series.

Auxiliary Common O2 monitoring of fresh gas is available automatically when the ACGO is selected.
Gas Outlet (ACGO)
(Optional) Fresh gas oxygen concentration is shown on the ventilation display. Set alarm limits
appropriately. Note that fresh gas oxygen concentration may not reflect fiO 2 in
rebreathing circuits such as the Mapleson series.

A sample of the fresh gas is diverted to the O2 cell in its standard location in the
breathing system.

The sample flow to the O2 sensor is dependent on the pressure in the external circuit.
The sample flow reduces the fresh gas flowrate to the external breathing circuit.

1006-0802-000 07/01 3-5


Aestiva/5 7100

Scavenging the If the external manual breathing circuit is to be used with N2O or volatile anesthetics,
ACGO sample flow the sample flow should be scavenged.
1. Occlude the patient circuit of the Aestiva breathing system on the leak test port on
the breathing system handle.
2. Check for clinically correct settings. Set the Bag to Vent switch to the ventilator mode.
Alternatively set the Bag to Vent switch to the bag mode and set the APL to MIN and
attach a bag.
3. The bellows, or bag, will fill slowly with the fresh gas sample flow and then spill to the
AGSS.

Scavenging from the If the external manual breathing circuit is to be used with N2O or volatile anesthetics,
external manual the exhaust should be scavenged.
breathing circuit
An optional auxiliary inlet is available for active AGSS units. It provides a 30 mm male
swivel connection into the air brake of active AGSS units under the Aestiva breathing
system.
The optional auxiliary inlet is a convenience inlet to the air brake of active AGSS units.
Its effectiveness is limited by the extract flow of the particular active AGSS device.
There is no reservoir to capture exhaust flows higher than the extract flow.

For passive AGSS, a separate exhaust hose is necessary from the external manual
circuit to the disposal point.

3-6 07/01 1006-0802-000


3 Setup and Connections

Canister setup
Each canister holds 1.35 kg of loose absorbent or 1.13 kg of commercially packaged
(pre-pack) absorbent. Datex-Ohmeda recommends calcium, sodium or barium
hydroxide based absorbent.

w WARNING Change absorbent often to prevent the build up of non-metabolic gases when the
system is not in use.

Inspect absorbent color at the end of a case. During non-use, absorbent can go back
to the original appearance. Refer to the absorbent labeling for more information
about color changes.

If the absorbent completely dries out, it will give off CO (carbon monoxide) when
exposed to anesthetic agents. For safety, replace the absorbent.

Always perform a breathing system leak test in the Bag Mode after opening the
absorber.

Step 1
Pull the release handle forward.

AB.23.061

Step 2
Turn the release handle
clockwise.
AB.23.061

1006-0802-000 07/01 3-7


Aestiva/5 7100

Step 3
Push in the buttons and install
the top dish and drain dish.

AA.96p054
Pull down to make sure the top
dish is locked in place.

Step 4
Fill the canisters with absorbent
and install them.

AA.96p029
Push down on the drain dish if
necessary.

Step 5
Push back on the canisters and
turn the release handle counter-
clockwise.

AA.96p028

Step 6
Push in the release handle.
AA.96p026

3-8 07/01 1006-0802-000


3 Setup and Connections

Pneumatic and electrical connections


wWARNING Equipment connected to the electrical outlets can increase the leakage current.
Regularly test the leakage current.

An optional isolation transformer kit is available to reduce total leakage current.

wCAUTION Use only medical grade gas supplies. Other types of gas supplies may contain water,
oil, or other contaminants.

Mains inlet
Arrow shows the mains inlet.

AA.96.116
Outlets
Labels show outlet voltage
ratings and circuit breaker
amp ratings.

AA.96.116
Tec 6 power
Arrow shows the Tec 6 power
connection (not on all
AA.96.095

models).

The Aestiva gas supplies also supply these devices through internal connections:
The venturi suction regulator (optional)
The external O2 flowmeter (optional)
Ventilator drive gas
Pneumatic outlet (optional)

1006-0802-000 07/01 3-9


Aestiva/5 7100

Pipeline Inlets
Label identifies the gas.

AA.96.116
O2 Pneumatic outlet

AA.96.116
Scavenging
Adapters may be necessary.
Refer section 6/Illustrated
Parts.

AA.96.137

3-10 07/01 1006-0802-000


3 Setup and Connections

Suction regulator
Optional item.

Note: Venturi regulators use


the system air or O2 supply.
Standard regulators must be
connected to an external

AA.96.172
vacuum supply.

1. External

AA.96.227
vacuum (non-venturi)
2. Filter 1
2
3. Collection bottle 4
4. Patient connection

External O2 flowmeter
Optional item.

AA.96.2188

Serial port
Refer to the communications
appendix for command and
data formats.
AA.96.116

1006-0802-000 07/01 3-11


Aestiva/5 7100

How to install gas cylinders (high pressure leak test)

Cylinder yokes 1. Find the cylinder wrench.

AA.96.123
2. Close the cylinder valve on the cylinder to be replaced.

AA.96.122
3. Fully loosen the tee handle.

AA.96.124
4. Open the cylinder yoke.

AA.96.125

5. Remove the used cylinder and the used gasket.


AA.96.126

3-12 07/01 1006-0802-000


3 Setup and Connections

6. Remove the cap from the cylinder valve on the new cylinder.
7. Point the cylinder outlet away from all items that can be damaged by a release of high
pressure gas.
8. Quickly open and close the cylinder valve. This removes dirt from the cylinder outlet.

w CAUTION No gasket or more than one gasket can cause a leak.

9. Install a new gasket.


10.Align the cylinder post with the index pins.
11.Close the yoke gate and tighten the tee handle.
12.Install a cylinder plug and gasket in all empty cylinder yokes.
13.Do a high pressure leak test:
a. Disconnect pipeline supplies.
b. Disconnect all equipment from the pneumatic outlet and turn off the auxiliary
flowmeter.
c. Set the system switch to Standby.
d. Open the cylinder.
e. Record the cylinder pressure.
f. Close the cylinder.
g. If the air or oxygen cylinder pressure decreases more than 5000 kPa (725 psi) in
one minute, there is a significant leak.
h. For all other cylinder types, a pressure decrease of 690 kPa (100 psi) in one
minute represents a significant leak.

To repair a leak:
Install a new cylinder gasket and tighten the tee handle.
Do this step again. If the leak continues, do not use the system.

w WARNING 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.

1006-0802-000 07/01 3-13


Aestiva/5 7100

DIN connections 1. Close the cylinder valve on the cylinder to be replaced.

AA.96.127
2. Loosen the adapter and remove the cylinder.

AA.96.129
3. Remove the cap from the cylinder valve on the new cylinder.
4. Point the cylinder outlet away from all items that can be damaged by a release of high
pressure gas.
5. Quickly open and close the cylinder valve. This removes dirt from the cylinder outlet.
6. Do a high pressure leak test:
a. Disconnect pipeline supplies.
b. Disconnect all equipment from the pneumatic outlet and turn OFF the auxiliary
flowmeter.
c. Set the system switch to Standby.
d. Open the cylinder.
e. Record the cylinder pressure.
f. Close the cylinder.
g. If the cylinder pressure decreases more than 5000 kPa (725 psi) for O 2 and air
in one minute, there is a significant leak.
h. For all other cylinder types, a pressure decrease of 690 kPa (100 psi) in one
minute represents a significant leak.

To repair a leak:
Install a new cylinder gasket and tighten the tee handle.
Do this step again. If the leak continues, do not use the system.

w WARNING 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.

3-14 07/01 1006-0802-000


3 Setup and Connections

How to attach equipment to accessory shelf or machine top


w Top accessory shelves have a weight limit of 46 kg (100 lbs).

w Systems without accessory shelves have a weight limit of 46 kg (100 lbs).

A folding side shelf has a weight limit of 23 kg (50 lbs).

Accessory shelf 1. Install the clips in the two slots nearest to the equipment.

AA71.145
2. Install the straps.

Large equipment.
Loop one time
(A, B, C)
B
A
C
A B
C

AA.50.015
Small equipment.
Loop two times
(A, B, C, D)

D A B
C
A B
C

3. Fully tighten the straps.


4. Make sure that the straps hold the equipment in position.

w WARNING If you do not fully tighten the strap, equipment can fall off the shelf.

1006-0802-000 07/01 3-15


Aestiva/5 7100

Top of machine 1. Locate the clips or slots.

or:

AA.96.130, AB.72.012
2. Install the straps.

D C D C
or:

AA.96.135, AB.72.013
B A
B A

3. Fully tighten the straps.

4. Make sure that the straps hold the equipment in position.

w WARNING If you do not fully tighten the strap, equipment can fall off the shelf.

3-16 07/01 1006-0802-000


3 Setup and Connections

Installation notes
When the system is installed, the Datex-Ohmeda representative will check the following
settings and change them if necessary.

wW
WARNING These settings can only be changed by qualified personnel.

Language.
Automatic calculation of VE alarm limits during mechanical ventilation.
Altitude.
Ventilator drive gas.
Heliox mode availability.
Upgrade, activation and deactivation of monitoring and ventilation features.

1006-0802-000 07/01 3-17


Aestiva/5 7100

3-18 07/01 1006-0802-000


4 User Maintenance

w WARNING TO HELP PREVENT FIRES:

1
Use lubricants approved for anesthesia or O2 equipment, such as Krytox .
Do not use lubricants that contain oil or grease. They burn or explode in high O2
concentrations.
All covers used on the system must be made from antistatic (conductive)
materials. Static electricity can cause fires.

w WARNING Obey infection control and safety procedures. Used equipment may contain
blood and body fluids.

In this section Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2


Manifold maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Exhalation valve maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Receiver maintenance (active gas scavenging only) . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Flow sensor maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Breathing circuit maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Bellows assembly maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
Paw sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Flow sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
How to prevent water build-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26

1. Krytox is a registered trademark of Dupont de Nemours E.I. & Company Inc

1006-0802-000 07/01 4-1


Aestiva/5 7100

Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or have the
equipment serviced by an authorized Datex-Ohmeda service representative.
After repair, test the equipment to ensure that it is functioning properly, in
accordance with the manufacturers published specifications.

To ensure full reliability, have all repairs and service done by an authorized
Datex-Ohmeda service representative. If this cannot be done, replacement
and maintenance of those parts listed in this manual may be undertaken by a
competent, trained individual having experience in the repair of devices of this
nature.

w CAUTION No repair should ever be attempted by anyone not having experience in


the repair of devices of this nature.

Replace damaged parts with components manufactured or sold by Datex-


Ohmeda. Then test the unit to ascertain that it complies with the
manufacturers published specifications.

Contact your local Datex-Ohmeda Field Service Representative for service


assistance. In all cases, other than where Datex-Ohmedas warranty is
applicable, repairs will be made at Datex-Ohmedas current list price for the
replacement part(s) plus a reasonable labor charge.

4-2 07/01 1006-0802-000


4 User Maintenance

Manifold maintenance
Step 1
Complete the Basic
disassembly to remove the
main manifold. (Refer to the
2/Cleaning and Sterilization
section.)

AB.23.094
Step 2
(APL valve)
Remove the diaphragm.
Replace it if:

The disk, cage, or


diaphragm is damaged.

AB.23.069
The diaphragm looks
worn.
The diaphragm fits over
the rim.

Step 3
(Seals)
Loosen the thumbscrew and
remove the plate.
AB.23.070

Replace the seal if


damaged or worn.

1006-0802-000 07/01 4-3


Aestiva/5 7100

Step 4
(Seals con.)
Loosen the thumbscrews.

AB.23.073
Step 5
(Seals con.)
Open the manifold (top
middle, and bottom parts).

AB.23.074

Step 6
(Seals con.)
Replace the parts if they are
damaged or worn.
Side
AB.23.071

Top Bottom

4-4 07/01 1006-0802-000


4 User Maintenance

Step 7
(Bag/Vent)

AB.23.077
Replace the parts if they are
damaged or worn.

Step 8
Put the parts together:
Make sure all gaskets are
fully seated.

AB.23.075
Fully tighten the OK OK
thumbscrews.

Step 9
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.

1006-0802-000 07/01 4-5


Aestiva/5 7100

Exhalation valve maintenance


Disassemble the manifold and examine the seals after every 12 autoclave
cycles.
These conditions indicate a possible leak in the exhalation valve:
Alarms for low tidal volume.
The ventilator circuit has a leak, but the bellows pass the bellows tests in this
section.

Step 1
Remove the exhalation valve.
(2/Cleaning and Sterilization
section.)

AB.23.089
Step 2
Remove the top cover.
AB.23.093

4-6 07/01 1006-0802-000


4 User Maintenance

Step 3
Unscrew the lock ring (one
quarter turn) and remove the
cap.

AB.23.072
Step 4
Put the parts together :

Align the dimples (1) in


the cap with the valve
seat.
To install the top, align it
with the base and push
down.

AB.23.021

Step 5
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.

1006-0802-000 07/01 4-7


Aestiva/5 7100

Receiver maintenance (active gas scavenging only)


A blocked filter decreases flow through the scavenging system. In extreme
cases this can open the high pressure relief valve and vent to room air.
Note: Passive gas scavenging does not require maintenance.

Step 1
b
Remove the receiver:

Loosen the thumbscrew.


Remove the rear cover
Pull out and up on the
receiver.

AB.23.091
a
Step 2
Replace the filter (a) (friction
fit with gasket.)

B.23.092
a

Step 3
Reassemble by: doing above steps 1a through 1c in opposite order.
Step 4
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.

w WARNING This system operates correctly at the electrical interference levels of IEC
601-1-2. Higher levels can cause nuisance alarms that may stop
mechanical ventilation.
Always make sure that the rear cover is installed.
Completely tighten the thumb screw.

4-8 07/01 1006-0802-000


4 User Maintenance

Flow sensor maintenance


Steps 1 - 3
Remove the flow sensor
module.

AA.96p.009, 010, 011


Same steps as 1 - 3 of
Disassemble the patient
path in 2/Cleaning and
Sterilization.

Step 4
Push in the tab (a) and a
remove the cover.

AA.96p.037
Step 5
Remove the sensor and
install the new sensor with
the arrows up.

AA.96p.039
Keep the tubes straight.

Step 6
Slide on the cover.
Do not pinch the tubes.
AA.96p.038

Make sure the tab clicks to


lock the cover.

Step7
Re-install the flow sensor module.
Step 8
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.

1006-0802-000 07/01 4-9


Aestiva/5 7100

Breathing circuit maintenance


Disassemble the breathing circuit module to replace check valves or seals.

Step 1 - 6
Same steps as 1 - 6 of Disassemble the patient path in 2/Cleaning and
Sterilization.

Step 7
Hold in the tab.

AA.96p.041
Step 8
Remove the rear cover.
Note the rear seal is keyed to
fit a specific breathing circuit
module.

AA.96p.042

Step 9
Push in the tabs and remove
the top cover.
AA.96p.043

4-10 07/01 1006-0802-000


4 User Maintenance

Step 10
Remove the seals.
Turn and pull to remove the
check valves.
Check movement of drain
button on circle-type

AA.96p.044
breathing circuit module.

Step 11
Do the steps in the opposite
order to assemble the
module.

AA.96p.045
Step 12
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.

1006-0802-000 07/01 4-11


Aestiva/5 7100

Bellows assembly maintenance

Step 1
Remove the bellows
assembly from the breathing
system.

AA.96p.023
Step 2
Turn the housing counter-
clockwise and lift.

AA.96p.051
Step 3
Remove the bottom edge of
the bellows from the rim.
AA.96p.052

4-12 07/01 1006-0802-000


4 User Maintenance

Step 4
Remove the disk from the
bellows.

AA.96p.031
Step 5
Remove the ring from inside
the top of the bellows.

AA.96p.032
Step 6
Push the latch toward the
center and remove the rim.

AA.96p.033

Step 7
Remove the pressure-relief
valve.
AA.96p.034

w WARNING Do not disassemble the pressure relief valve. This can damage the seat
or diaphragm and cause injury to the patient.

1006-0802-000 07/01 4-13


Aestiva/5 7100

Step 8
Push the latch toward the
center and remove the
locking tabs.

AA.96p.035
Step 9
Remove the seal.

AA.96p.036
Step 10
Do these steps in the opposite order to assemble the bellows assembly.
If you see a dust-like powder on the bellows housing or on the bellows, apply a thin layer of KRYTOX lubricant to the
ribs of the bellows housing. Make sure the lubricant is applied smoothly and there are no lumps.
Make sure that:
a. The arrow on the seal points up.
b. You hear a double click when you install the rim.
c. The rim is locked in position.
d. The inner ring is correctly installed inside the top of the bellows.
e. Only the bottom ring of the bellows fits over the rim.
f. The housing is locked in position. You cannot lift it off.
Step 11
Perform the bellows assembly tests (which follow below) before reinstalling the bellows assembly on the system.

4-14 07/01 1006-0802-000


4 User Maintenance

Bellows assembly tests

w WARNING 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 breath-
ing system.

w WARNING The bellows assembly test does not replace the preoperative tests.
Always complete the tests in the section Preoperative tests before you
use the system with a patient.

This test makes sure that all components are correctly assembled. It is not an
alternative to a complete system checkout.

If the bellows assembly operates correctly, install it in the system.

If there is a problem, disassemble the bellows assembly. Look for and replace
damaged parts.

Step 1
Hold the bellows assembly
vertical and close the
ports (A and B).
AA.96p.125

1006-0802-000 07/01 4-15


Aestiva/5 7100

Step 2
Invert the bellows assembly.
The bellows must not fall
more than 100 ml/min.
If it does:
The ports are not tightly B
sealed. A

AA.96p.123
The bellows is incorrectly
installed.
The seal inside the
bellows is not correctly
installed (with its groove
pointed up).
Parts are damaged.
Step 3
Remove the plugs from the
ports. Permit the bellows to
fully extend.

AA.96p.048
Step 4
Close port C.

C
AA.96p.124

4-16 07/01 1006-0802-000


4 User Maintenance

Step 5
Hold the bellows assembly
vertical. The bellows must not
fall more than 100 mL/min.

If it does:

AA.96p.050
The port is not tightly
sealed.
The bellows or the
pressure relief valve is not
correctly installed.
Parts are damaged.

Step 6
If the result for all the bellows assembly tests was passed, install it in the system.
Step 7
Before you use the system, complete the Preoperative Test procedure. Refer to the Appendix - Preoperative Tests
section of the Operation Manual Part 1, System Controls, Operation and Checkout.

1006-0802-000 07/01 4-17


Aestiva/5 7100

O2 sensor calibration

w WARNING Do not perform calibration while unit is connected to a patient.

21% O2 sensor calibration This procedure takes three minutes or less.


You must do the 21% O2 calibration before the 100% O2 calibration. During O2
calibration the screen replaces O2 data with - -.

Step 1
Push the Menu key to see

AB43046, AB.43.124
the main menu.

Step 2

AA.69.350, AB43069
Turn the knob to select
the Calibration screen.

Step 3
Push the knob to show
the next screen.
AB.43.115

Step 4
Push the knob to show
the calibration steps.
AB43030

4-18 07/01 1006-0802-000


4 User Maintenance

Step 5
Complete the steps
shown on the screen.

AB43024
Remove the O2 sensor
from the circuit.
Do not twist or stress
the cable.
Make sure the cable is
connected.

AB.23.068
Step 6
Push the knob to start
calibration.

AB43025
The screen shows
Calibrating during the
C
procedure.

AB.43.081
After a successful calibration, the screen shows Complete and a flashing Reinstall Sensor. After
installing the sensor, you can continue to 100% calibration (step 11) or exit to the normal screen (step 7).

An unsuccessful calibration shows FFailure. If the calibration fails:

Do the calibration again.


If it still fails, do a 100% O2 sensor calibration (step 11). If 100% O2 sensor calibration passes, calibrate
at 21% again.
After repeated failures, replace the O2 sensor and re-calibrate at 21%.

1006-0802-000 07/01 4-19


Aestiva/5 7100

Step 7
To exit, select Go to O2

AB.43.087
Cal Menu and push the
knob.
You can also press
the menu key to exit to
the normal screen

Step 8
Select Go to Main Menu
and push the knob.
Go to Main Menu

Step 9
Select Exit to Normal
Screen and push the
knob. Exit to Normal Screen

Step 10
If you are not doing the 100% calibration which follows, do a breathing circuit leak test before using the
system.

100% O2 sensor calibration This procedure takes three minutes or less.


You must complete the 21% calibration before you can select the 100%
calibration.

w WARNING Do not perform calibration while unit is connected to a patient.

Step 11
Push the knob to show
the next screen.
AB43027

4-20 07/01 1006-0802-000


4 User Maintenance

Step 12
Complete the steps
shown on the screen.

AB43027
With the O2 sensor in the
circuit, fill the circuit with
100% O2:
Push the flush button.
Then flow 100% O2 at 5

AA.96.113
L/min.

Step 13
Push the knob to start
calibration.

AB43028
Calibrating ... , followed by the result: Complete or FFailure.
The screen shows C
If the calibration fails,
do it again or
decrease the airway pressure. Then try again.
After repeated failures replace the O2 sensor and re-calibrate at 21%.
Continue with steps 14 through 16 to exit to a normal screen.

Step 14
To exit, select Go to O2
Cal Menu and push the
Go to O2 Cal Menu
knob.
You can also press
the menu key to exit to
the normal screen

1006-0802-000 07/01 4-21


Aestiva/5 7100

Step 15
Select Go to Main Menu
and push the knob.
Go to Main Menu

Step 16
Select Exit to Normal
Screen and push the
knob. Exit to Normal Screen

Step 17
Do a breathing circuit leak test before using the system.

4-22 07/01 1006-0802-000


4 User Maintenance

Paw sensor calibration

w WARNING Do not perform calibration while unit is connected to a patient.

Perform this procedure on systems without volume monitoring. Systems with


volume monitoring automatically calibrate the Paw sensor when the flow
sensor module is removed.
You must stop mechanical ventilation before you calibrate the Paw sensor.

Step 1
Push the Menu key to see

AB43046, AB.43.124
the main menu.

Step 2

AA.69.350, AB43069
Turn the knob to select
the Calibration screen.

Step 3
Push the knob to show
the next screen.
AB.43.116

Step 4
Push the knob to show
the calibration steps.
AB.43.117

1006-0802-000 07/01 4-23


Aestiva/5 7100

Step 5
Complete the steps
shown on the screen.

AB.43.117
Step 6
Push the knob to start
calibration.

AB.43.119
The screen shows
Calibrating during the
C
procedure.
After a successful
calibration, the screen
shows Complete and
a flashing Reconnect

AB.43.118
patient hoses.

Step 7
To exit, select Go to Cal

AB.43.118
Menu and push the
knob.
You can also press
the menu key to exit to
the normal screen.

Step 8
Select Go to Main Menu
and push the knob. Go to Main Menu

Step 9
Select Exit to Normal
Screen and push the Exit to Normal Screen
knob.

4-24 07/01 1006-0802-000


4 User Maintenance

Flow sensor calibration


w WARNING Do not perform calibration while unit is connected to a patient.

The system automatically corrects for zero offset when you unplug the flow
sensor connectors with power on. You must stop mechanical ventilation
before you calibrate the flow sensors.

Step 1
Push up on the latch under
the flow sensor module.

6p.011
Step 2
Remove the flow sensor
module. You will feel some
resistance. Continue to pull.

AA.96p010
Step 3
When calibration is complete, No Insp Flow Sensor
the screen shows, No Insp No Exp Flow Sensor
flow sensor and No Exp flow
sensor.
Step 4
Install the flow sensor
AA.96p.011

module.

Step 5
Do a breathing circuit leak test before using the system.

1006-0802-000 07/01 4-25


Aestiva/5 7100

How to prevent water build-up


Why is water buildup a problem? Pooled water in the sensor or water in the sensing lines causes false alarms.

How much water is too much? A thin layer of water or a foggy look in the flow sensors is OK.

Where does the water Water comes from exhaled gas and a chemical reaction between CO 2 and the
come from? absorbent in the absorber.

At lower fresh gas flows more water builds up because less gas is scavenged
and:
More CO2 stays in the absorber to react and produce water,
More moist, exhaled gas stays in the absorber.

Solutions: Drain the absorber each morning.

Drain all hoses as necessary.

With a circle breathing circuit, push the drain button before every case (listed
in Pre-operative procedures).

If Check Flow Sensors alarms occur during a VERY LONG case, replace the
flow sensor module. Allow the original flow sensors to dry before you use
them again.

Ensure that water condensing in the breathing circuit tubes is kept lower than
the flow sensors and is not allowed to drain into the flow sensors.

Water condensation in the breathing circuit tubing can be eased using a Heat
& Moisture Exchange (HME) filter at the airway connection.

4-26 07/01 1006-0802-000


5 Alarms and Troubleshooting

w CAUTION No repair should ever be attempted by anyone not having experience in


the repair of devices of this nature.

In this section About alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2


Alphabetical list of alarm messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Breathing system problems (no alarm) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Electrical problems (power failure, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

1006-0802-000 07/01 5-1


Aestiva/5 7100

About alarms

w WARNING If an alarm occurs, safeguard the patient first, before performing


troubleshooting or doing repair procedures.

The area at the top of the display (1) shows alarm information. If there are
more than four alarms at the same time, the lower priority alarms cycle every
two seconds.

AB43065
Alarm priority depends on the level of risk to the patient. High priority alarms
require immediate attention. If an alarm is related to control settings, the
limits flash and a box appears around the parameter.

Priority Alarm tone Alarm silence Note

High 2 bursts of 5 tones, 120 Seconds or cannot Reverse video.


pause, repeat be silenced Screen shows
elapsed time
Medium 3 tones, 25 sec 120 Seconds ----
pause, repeat
Low Single tone Tone does not repeat ----

Alarm messages have three general causes:


1. Malfunctions. Some malfunctions cause reduced function (for example no
PEEP). Others prevent mechanical ventilation (Minimum shutdown).
2. Patient monitoring. These are high and low limit settings that you adjust.
3. Informational. Control settings or system conditions can change operation.
For example, if the audible circuit leak alarm is Off, the screen shows Cir-
cuit leak audio Off as a low priority alarm.

5-2 07/01 1006-0802-000


5 Alarms and Troubleshooting

Alphabetical list of alarm messages


The instructions in this section tell you what you can do:
During a case to protect the patient.
After the case to repair a problem.
This table does not include operator instructions.

There are two special types of alarms:


Minimum monitoring alarms stop mechanical ventilation.
Minimum shutdown alarms stop mechanical ventilation and monitoring.

Message Priority Cause Action/Concerns Repair

12 Hour Test w Low System in use for more At end of case, move the Not necessary.
than 12 hours without a system switch from On to Informational.
power-up self test. Standby to On.

+12V / -12V Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Analog Out-of- (High) Monitoring is not reliable. service
Range representative.

12V -10VA Min. Ventilator malfunction. Ventilate manually. Contact a qualified


Test Out of Shutdown Monitoring is not reliable. service
Range (High) representative.

Absorber Panel Medium (low The top panel is not Close the panel. ---
Open after completely closed.
acknowledge)

A/D Converter Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.

Apnea Alarm Low Normal condition after Monitoring resumes after first - - -
Standby End Case, power-up, or breath (mechanical) or 2
ACGO change from On to breaths within 30 sec (non-
Off. mechanical).

Apnea Alarm Off Low The cardiac bypass Apnea alarms are turned off ---
option is selected (Alarm when this option is selected.
Settings menu).

1006-0802-000 07/01 5-3


Aestiva/5 7100

Message Priority Cause Action/Concerns Repair

Aux Gas Medium (low The outlet selection Connect the patient circuit to - - -
Outlet On after switch is set to the the auxiliary outlet.
acknowledge) auxiliary common gas For mechanical ventilation or
outlet. ventilation with monitoring,
select the common gas
outlet.

Battery Charger Low The current in the battery System is operational, but Contact a qualified
Fail charging circuit is too may fail on battery if mains service
high. power is lost. representative.

Battery Low Battery is not fully Leave the system plugged in ---
Charging w charged. If power fails, to charge the battery.
the total backup time will
be < 30 minutes.

Battery Current Low Battery current > 6 amps System is operational, but Contact a qualified
High for 10 seconds. may fail on battery if mains service
power is lost. representative.

Battery Failure Low Battery voltage > 8 V for System is operational, but Contact a qualified
High 10 seconds. may fail on battery if mains service
power is lost. representative.

Battery Failure Low The battery voltage is too System is operational, but If the battery does
Low low (< 2 V) to supply the will fail on battery if mains not charge in 24
system if power fails. power is lost. hours, contact a
Leave the system plugged in qualified service
to charge the battery. representative.

Cal Flow Low The last flow sensor Calibrate the flow sensors. Contact a qualified
Sensors calibration failed. Look for water in the flow service
sensor tubes and dry if representative if
necessary. calibrating or
Replace sensor if necessary. replacing the sensor
does not correct
problem.

5-4 07/01 1006-0802-000


5 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Calibrate O2 Low Calibration failure or O2% Does the sensor measure Calibrate the O2
Sensor > 110% 21% O2 in room air? sensor.
Replace sensor if necessary. Contact a qualified
service
representative if
calibrating or
replacing the sensor
does not correct
problem.

Canister Open Medium (low The canister release is Close the canister release. A switch checks the
after open, causing a large release position.
acknowledge) leak.

Cardiac Bypass Low The alarm limit settings Use the alarm limits menu to ---
are set for a patient on change this setting.
cardiac bypass. Apnea
alarms are off.

Check Flw Medium (low System has detected an Are the flow sensors correctly Inspect one way
Sensors w after improper flow pattern in installed? valves (breathing
acknowledge) the breathing circuit. Water build up in the flow circuit module.)
sensor tubes? Replace flow sensor
Is a flow sensor tube cracked module with the
or broken? spare. Check the
Improper check valve condition of the flow
operation? sensor and its tubing.

Circuit Leak Low Control setting on the This message tells you that ---
Audio Off Alarm limit menu. the audio alarm for circuit
leaks was turned off.

Connect Low The O2 sensor is not Connect the sensor. Contact a qualified
O2 Sensor connected to the cable. service
representative to
replace the cable.

CPU Failure Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
(High) Monitoring is not reliable. service
representative.

CPU Internal Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Error (High) Monitoring is not reliable. service
representative.

1006-0802-000 07/01 5-5


Aestiva/5 7100

Message Priority Cause Action/Concerns Repair

Exp Flow Sensor Low System cannot read the Operation continues with Replace the flow
Fail calibration data stored in reduced accuracy. sensor.
the sensor.

Exp Reverse Medium (low Flow through the Look at the check valves. Replace the
Flow after expiratory sensor during Water build up in the flow expiratory check
acknowledge) inspiration (for 6 breaths sensor tubes? valve.
in a row). Is a flow sensor tube cracked Check the flow
or broken? sensor condition.

Flow Valve Min. Ventilator malfunction. Ventilate manually. Contact a qualified


(DAC) Failure monitoring Monitoring is still available. service
(Medium) representative.

Flow Valve Min. Ventilator malfunction. Ventilate manually. Contact a qualified


(Voltage) monitoring Monitoring is still available. service
Failure (Medium) representative.

Heliox Mode Low Control setting on When heliox is used, the ---
is On ventilation setup menu. ventilator must adjust volume
calculations.

High O2 Medium O2% > alarm high limit Is the limit set correctly? Calibrate O2 sensor.
setting. What is the O2 flow? Replace O2 sensor.
Did you just push Flush?
Does the sensor see 21% O2
in room air?

High Paw High Paw is greater than Plimit. Are Plimit and other controls ---
The ventilator cycles to set correctly? Look for
expiration. blockages.
Check patient connection.

High VE Medium The minute volume is > Check patient for ---
the set high limit. This spontaneous breathing.
alarm is suspended for 9 Adjust control settings.
breaths after you change
the ventilator settings.

High V TE Medium V TE is greater than high Check patient for ---


alarm limit. This alarm is spontaneous breathing.
suspended for 9 breaths Check ventilator and alarm
after you change the settings.
ventilator settings.

5-6 07/01 1006-0802-000


5 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Insp Flow Low The system cannot read Operation continues with Replace the flow
Sensor Fail the calibration data reduced accuracy. sensor.
stored in the sensor.

Insp Reverse Medium (low Flow through the Look at the check valves. Replace the
Flow after inspiratory sensor during Water build up in the flow inspiratory check
acknowledge) expiration (for 6 breaths sensor tubes? valve.
in a row). Is a flow sensor tube cracked Check the flow
or broken? sensor condition.

Inspiration High Drive gas safety switch Adjust controls. Contact a qualified
Stopped w activated (high pressure). Check systems for blockages. service
representative if
problem continues.

Internal Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified


Ventilator Clock (High) Monitoring is not reliable. service
Too Fast representative.

Internal Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified


Ventilator Clock (High) Monitoring is not reliable. service
Too Slow representative.

Invalid Circuit Low The system does not Make sure the breathing Contact a qualified
Module recognize the type of circuit module is correctly service
breathing circuit module installed. representative.
installed. Look for broken ID tabs or
Normally the system uses tape on the tabs.
the ID tabs to identify
circuits.

Low Battery Medium Voltage is <5.65V while Manually ventilate the Make sure power is
Voltage using battery power. patient to save power. connected and
Is the mains indicator light circuit breakers are
on? closed.

Low Drive Medium The ventilator does not Manually ventilate the Make sure that the
Gas Press detect supply pressure. patient. appropriate gas
supplies (O2 or air)
are connected and
pressurized.

1006-0802-000 07/01 5-7


Aestiva/5 7100

Message Priority Cause Action/Concerns Repair

Low O2 High O2% < alarm low limit Is the limit set correctly? Calibrate O2 sensor.
setting. Is the O2 flow sufficient? Replace O2 sensor.
Does the sensor see 21% O2 As sensors wear out,
in room air? the measured % O2
decreases.

Low Paw High Paw does not rise at least Are circuit connections Ok? Look for circuit
4 cm above Pmin during Look at the Paw gauge on the disconnection.
the last 20 sec. absorber.

Low VE Medium Exhaled minute volume < Check patient condition. ---
low limit alarm setting. Check tubing connections.
This alarm is suspended Check alarm settings.
for 9 breaths after the
ventilator settings are
changed.

Low V TE Medium Exhaled tidal volume < Check patient condition. ---
low limit alarm setting. Check tubing connections.
This alarm suspended for Check alarm settings.
9 breaths after you
change the ventilator
settings.

Memory Low The system cannot Default settings are used. Contact a qualified
(EEPROM) Fail access some stored Ventilation is still possible service
values. but service is necessary. representative.

Memory (Flash) Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.

Memory (RAM) Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.

Memory Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified


(Redundant (High) Monitoring is still available. service
Storage) Failure representative.

Memory (Video) Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified
Failure (High) Monitoring is not reliable. service
representative.

5-8 07/01 1006-0802-000


5 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Monitoring Only Medium A severe malfunction Ventilate manually. Cycle Contact a qualified
prevents mechanical system power (On- Standby- service
ventilation. On). representative.
Other alarms may also If the alarm clears, restart
occur. mechanical ventilation.

No Circuit Low The patient circuit Install a module. Optical sensors look
Module module is not installed. Refer to the Setup section. for tabs on the back
of the module. Is the
module assembled?
Are sensors dirty?

No CO2 Medium (low CO2 bypass selected. User setting. ---


Absorption after Close the canister release to
acknowledged) remove CO2 from exhaled
gas.

No Exp Flow Medium (low Electrical signals show Connect the flow sensors. ---
Sensor after the flow sensor is not Make sure the flow sensor
acknowledge) connected . module is on all the way.

No Insp Flow Medium (low Electrical signals show Connect the flow sensors. ---
Sensor after the flow sensor is not Make sure the flow sensor
acknowledge) connected . module is on all the way.

No O2 pressure High (cannot The O2 supply has failed. Air flow will continue. ---
be silenced) Ventilate manually if
necessary.
Connect a pipeline supply or
install an O2 cylinder.

O2 Flush Failure Low The pressure switch that This alarm occurs if you hold If the alarm occurs
detects flush flow has down the Flush button for when flush is not in
seen a very long flush more than 30 seconds. use, contact a
(30 sec). qualified service
representative.

O2 Sensor Low O2 sensor not installed Install a breathing circuit ---


Out Circ in breathing circuit module and an O2 sensor.
module.
Sensor not measuring
gas in breathing circuit.

1006-0802-000 07/01 5-9


Aestiva/5 7100

Message Priority Cause Action/Concerns Repair

O2 Mon Medium An Oxygen cell has been The Oxygen Monitoring Contact a qualified
Disabled connected to a non- feature is not active on this service
active ventilator system. representative for
monitoring feature. activation of this
feature if provided or
contact a Datex-
Ohmeda sales
representative for
purchase of this
feature.

On Battery - Medium (low The mains supply is not Ventilate manually to save Make sure power is
Power OK? after connected or has failed power. connected and
acknowledge) and the system is using At full charge, the battery circuit breakers are
battery power. permits approx. 30 min of closed.
mechanical ventilation.

Patient Circuit Medium Exhaled volume <50% of Check breathing circuit Patient circuit leak
Leak? inspired volume for at and flow sensor audio can be turned
least 30 seconds connections. off in the alarm
(mechanical ventilation). settings menu.

Paw < -10 High Subatmospheric Check patient condition, Calibrate the flow
cmH2O pressure (<-10 cm H2O). spontaneous activity? sensors. With active
Increase fresh gas flow. Look scavenging, check
for high flow through gas the negative relief
scavenging. valve on the receiver.

PEEP Valve Minimum Indicates a failure of the Ventilate manually. Contact a qualified
(DAC) Failure Monitoring control circuit for the service
(Medium) PEEP Valve. representative.

PEEP Valve Minimum Indicates a problem with Ventilate manually. Contact a qualified
(Voltage) Failure Monitoring the PEEP Valve or the service
(Medium) connections to the PEEP representative.
Valve.

PEEP Safety Minimum Indicates a higher than Ventilate manually. Contact a qualified
Valve (Drive) Monitoring allowed current draw on service
Failure (Medium) the PEEP Safety Valve. representative.

PEEP Safety Minimum Indicates that the power Ventilate manually. Contact a qualified
Valve Failure Monitoring up test of the PEEP Safety service
(Medium) Valve Failed. representative.

5-10 07/01 1006-0802-000


5 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Pinsp Not Low Indicates a problem with Check breathing circuit ---
Achieved breathing circuit connections. Check settings.
connections or that the
ventilator is unable to
deliver requested
pressure to the patient.

Pressure Minimum Indicates a problem with Ventilate manually. Contact a qualified


Monitoring Monitoring patient airway service
Channel Failure (Medium) overpressure monitor. representative.

Pres/Vol Mon Medium (low Outlet selection switch is Connect the patient circuit ---
Inactive after set to aux. gas outlet. to the aux. gas outlet or
acknowledge) set the switch to the
common gas outlet for
normal operation.

Replace Low O2% < 5% Make sure patient receives Calibrate O2 sensor.
O2 Sensor O2. Replace O2 sensor.
Does the sensor read 21% O2
in room air?
Use different monitor.

Service Low Internal calibrations are The system is operational. Contact a qualified
Calibration w necessary for maximum service
accuracy. representative.

Select Medium Fresh gas may not flow to Turn ACGO off or connect the Note: the bag arm
Gas Outlet the patient. patient circuit to the ACGO. will not ventilate a
ACGO is On, but flow patient at the aux.
sensors have seen 3 outlet.
breaths in patient circuit
during the last 30
seconds.

Software Error Min. Indicates that a software Ventilate manually. Contact a qualified
Shutdown error has occurred. Monitoring is not reliable. service
(High) representative.

Software Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified


Watchdog (High) Monitoring is not reliable. service
Failure representative.

1006-0802-000 07/01 5-11


Aestiva/5 7100

Message Priority Cause Action/Concerns Repair

Sustained Min. shutdown Paw > 100 cm H2O for 10 Check tubing for kinks, Calibrate the flow
Airway Pressure (High) sec. blockages, disconnects. sensors.

Sustained Paw High Paw > sustained pressure Check tubing for kinks, Calibrate the flow
limit for 15 seconds. 1 blockages, disconnects. sensors.

System Leak? Low Leak detected between If you are using Heliox, select Calibrate the flow
ventilator and patient Heliox on the ventilator setup sensors.
circuit. menu. Look for leaks in the Drain water buildup
absorber system. from the breathing
Problem with flow sensors? system and inspect
for leaks (repair).
Inspect or replace
flow sensors.

Vext_ref Min. shutdown Ventilator malfunction. Ventilate manually. Contact a qualified


Out-of-Range (High) Monitoring is not reliable. service
representative.

VBUS Fail Min. Ventilator malfunction. Ventilate manually. Contact a qualified


Out of Range Shutdown Monitoring is not reliable. service
(High) representative.

Ventilate High A severe malfunction Ventilate manually. Contact a qualified


Manually prevents mechanical Use a stand-alone monitor. service
ventilation and Cycle system power (On- representative.
monitoring. Standby-On).
Other alarms may also If the alarm clears, restart
occur. mechanical ventilation.

Verify Low VE Low The circuit leak audio Set the low VE alarm. ---
Limit alarm is off (Alarm
Settings menu), but the
low VE alarm is not
consistent with the
ventilator settings.

Volume Apnea Medium No mechanical breaths Check patient. ---


or spontaneous breaths Bag as needed.
> 5 mL in last 30 Check for disconnects.
seconds. If the patient is on a heart
lung machine, select Cardiac
Bypass on the alarm menu.

5-12 07/01 1006-0802-000


5 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Vol Apnea High No mechanical breaths Check patient. ---


> 2 min or spontaneous breaths Bag as needed.
> 5 mL in last 120 Check for disconnects.
seconds. If the patient is on a heart
lung machine, select Cardiac
Bypass on the alarm menu.

Volume Mon Medium A flow sensor has been The Volume Monitoring Contact a qualified
Disabled connected to a non- feature is not active on this service
active ventilator system. representative for
monitoring feature. activation of this
feature if provided or
contact a Datex-
Ohmeda sales
representative for
purchase of this
feature.

V T Comp Avail Low A condition which None. Indicates a return to ---


prevented V T normal operation.
Compensation ventilation Select Volume Mode or
mode has cleared. Pressure Mode (if available).

V T Comp Off Medium The system supplies the Adjust V T manually and Replace the flow
(low after set breath but cannot continue without sensor module and
acknowledge) adjust ventilation for compensation, or change to select the mode
compliance and the pressure mode. again.
resistance losses, etc. In pressure mode set Pinspir. If the problem stops,
inspect the two flow
sensors.

V T Comp Medium (low A flow sensor has been The Volume Compensated Contact a qualified
Disabled after connected to a non- Delivery feature is not active service
acknowledge) active ventilator on this system. representative for
monitoring feature. activation of this
feature if provided or
contact a Datex-
Ohmeda sales
representative for
purchase of this
feature.

1006-0802-000 07/01 5-13


Aestiva/5 7100

Message Priority Cause Action/Concerns Repair

V T Not Low Tidal volume measured Adjust controls to supply Possible leak.
Achieved by inspiratory flow sensor adequate tidal volumes. Modify settings or
< set value 6 breaths in a Check I:E; Plimit; and volume check for system
row after the first minute settings. leaks.
of mechanical
ventilation.

V TE > Insp V T Low Expired volume > Check patient condition. Inspect one way
inspired volume for 6 Are the flow sensors correctly valves (breathing
breaths with a circle installed? circuit module.)
module. Water build-up in the flow Replace flow sensor
sensor tubes? module with the
Is a flow sensor tube cracked spare. Check the
or broken? condition of the flow
Improper check valve sensor and its tubing.
operation?

V T Delivery Too Low V T > 20% of set value for Reduce fresh gas
High six consecutive breaths. flow.

Alphabetical list note:

1
The sustained pressure threshold is calculated from the pressure limit setting. The sustained limit is calculated as
follows:

Mechanical For Plimits 30 cm H2O; the sustained pressure limit is 6 cm H2O plus Set PEEP.
Ventilation On - For Plimits between 30 and 60 cm H2O; the sustained pressure limit is 20% of the Plimit plus Set
Volume Mode PEEP.
For Plimits 60 cm H2O; the sustained pressure limit is 12 cm H2O plus Set PEEP.

Mechanical Sustained pressure limit is 50% of set Pinsp or 4 cm H 2O, whichever is greater, plus Set PEEP
Ventilation On and
Pressure Mode
Pmax Pmin must be less than 50% of set Pinsp or 4 cm H2O, whichever is greater.

Mechanical For Plimits 60 cm H2O; the sustained pressure limit is 50% of the Plimit setting.
Ventilation Off For Plimits > 60 cm H2O; the sustained pressure limit is 30 cm H2O.

5-14 07/01 1006-0802-000


5 Alarms and Troubleshooting

Breathing system problems (no alarm)


Symptom Problem Solution(s)

Gas scavenging flow is too low. Suction supply problem. Use a different suction
supply.

Filter blockage. Active Replace the filter. Refer to


systems have a flow Receiver maintenance in
indicator to show this. Section 4/Maintenance.

The bellows fills when the Bag/ Leak through Bag/Vent Refer to Manifold
Vent switch is set to Bag or the switch. maintenance: APL Valve and
bag fills when the switch is set to Bag/Vent in Section
Vent. 4/Maintenance.

The ventilator does not read the Ventilator or absorber Ventilate manually. Contact a
position of the Bag/Vent switch. malfunction. qualified service
representative to repair the
system.

The ventilator does not correctly Broken identification tabs. Remove the module and look
identify the breathing circuit at the tabs on the rear. If there
module. is damage, use a different
module.

Dirt on the optical sensors Use a DAMP alcohol prep to


that read the tabs. gently clean. Squeeze dry the
prep before you use it.

Ventilator malfunction. Contact a qualified service


representative to repair the
system.

APL valve does not operate APL valve problem. Replace APL Valve seal and
correctly. diaphragm - Refer to
Manifold maintenance in
section 4/User Maintenance.

Large breathing system leak not Oval absorber seals in the Disconnect patient wye from
quickly located. bottom of the main system test plug.
manifold have been Reseat the absorber seals.
unseated.

1006-0802-000 07/01 5-15


Aestiva/5 7100

Electrical problems (power failure, etc.)

wWARNING If a circuit breaker opens frequently, do not use the system. Have a
qualified service representative repair the system

Symptom Problem Solution

Mains indicator is not ON. The electrical power Connect the power cable.
cable is not connected.

The inlet circuit breaker Close the circuit breaker


(toggle switch) is open. (Figure 5-1).

The power cable is Replace the power cable.


damaged.

The electrical socket the Use a different electrical


power cable connects to socket.
has no power.

An internal fuse is open. Have a qualified service


representative repair the
system.

The electrical outlets do not The main outlet circuit Close the circuit breaker.
have power but the mains breaker is open.
indicator is ON.

One electrical outlet does not The outlet circuit breaker Close the circuit breaker.
have power. is open.

A circuit breaker opens Equipment connected to Use a different power


frequently. the outlet(s) (figure 5-1) supply for some of the
uses more current than equipment.
the circuit breaker rating.

The equipment Do not use the equipment


connected to the outlet until it is repaired.
has a short.

Tec 6 has no power. Not plugged into outlet. Connect power cable.

5-16 07/01 1006-0802-000


5 Alarms and Troubleshooting

Out In Open Closed

AA.96.108
(No Power) (OK) (No Power) (OK)

AA.96.109
2
3
4

1
4

1. Outlet CIrcuit Breakers* AB43062


AA.96.117

2. Master Circuit Breaker-All Outlets*


3. Inlet Circuit Breaker*
4. Mains Indicator

* Labels shows ratings.

Figure 5-1 Circuit breakers, fuse, and the mains indicator

1006-0802-000 07/01 5-17


Aestiva/5 7100

Pneumatic problems
Symptom Problem Solution

High-pressure leak test Controls are not set correctly. Set the system switch to
fails. Standby and the auxiliary
flowmeter to OFF.

Equipment connected to pneumatic Disconnect the


outlet. equipment.

Incorrect cylinder connection (cylinder Make sure that there is


yokes). only one cylinder gasket,
the gasket is in good
condition, and the T
handle is tight.

Incorrect cylinder connection (DIN Make sure the nut is tight.


connection.)

Low-pressure leak test The vaporizer is not correctly installed. Correctly install the
fails with a vaporizer on. vaporizer.

The vaporizer filler is loose (fill port type Tighten the filler.
vaporizer).

Vaporizer port o-rings (external) are Install new o-rings.


damaged or not installed.

A vaporizer malfunction (the leak stops if Send the vaporizer to a


you use a different vaporizer in the same Datex-Ohmeda Service
position). Center for repair.

A port valve malfunction (the leak Have an qualified service


continues if you use a different vaporizer person repair the vaporizer
in the same manifold position). manifold.

Low-pressure leak with Anesthesia machine problem. Contact a qualified service


a vaporizer OFF. representative.

wCAUTION: No repair should ever be attempted by anyone not having experience in


the repair of devices of this nature.

5-18 07/01 1006-0802-000


6 Illustrated Parts

In this section This section lists user-replaceable parts only. For other components refer to the service
manual.
Breathing system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Main manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Exhalation valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Breathing Circuit Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9

1006-0802-000 07/01 6-1


Aestiva/5 7100

Breathing system parts


Item Description (Figure 6-1) Stock Number
1 Flow sensor module (cover & holder) 1406-8208-000
a. Cover only 1406-3401-000
b. Holder only 1406-3400-000
2 Flow sensor (plastic) 1503-3220-000
Flow sensor (metal - autoclavable) 1503-3244-000
Flow port adapter 1503-3847-000
3 O2 sensor, cell 6050-0004-110
O2 port plug 1006-4462-000
O-ring 1406-3466-000
4 Breathing circuit module, circle 1406-8102-000
Breathing circuit module, mapleson/Bain 1406-8211-000
5 Bag arm long (adjustable) 1406-3350-000
Bag arm short (not adjustable) 1406-3380-000
6 Main manifold assembly 1406-8209-000
7 Autoclavable Bellows assembly 1406-8105-000
8 Blank, pop-off valve 1406-3240-000
9 Exhalation valve assembly 1503-8114-000
10 Rear column cover 1406-3455-000
11 Gas scavenging (4 options) --------
Active gas scavenging assembly, 6.35 mm (ANSI, Not European Community) 1406-8216-000
Active gas scavenging assembly, 30 mm threaded outlet 1406-8214-000
Passive gas scavenging assembly, 30 mm ISO taper 1406-8215-000
Passive gas scavenging assembly, 25 mm taper (DEU) 1406-8217-000
12 AGSS nylon filter, 225 (active scavenging systems only) 1406-3521-000
13 Upper dish (2 options) ------
Upper dish absorber plastic (seal not included) 1406-3413-000
CO2 bypass assembly, metal 1406-3500-000
14 Upper seal 1406-3414-000
15 Tube, corrugated, 210 mm 1400-3009-000
16 Elbow transfer tube 1406-3576-000
17 Transfer tube 1406-3575-000
18 Drain dish assembly 1406-8218-000

6-2 07/01 1006-0802-000


6 Illustrated Parts

Item Description (Figure 6-1) Stock Number


19 Plug, sight glass-drain 0229-2080-100
O-ring, plug 0210-0594-300
20 Canister 0229-3015-800
Kit, includes items: Upper dish (13), Upper seal (14), Corr. tube (15), 1406-8207-000
Drain dish (18), Canisters (20)
Not Shown:
Barb cap, passive scavenging 1406-3524-000

6 7
5

8
9
4

2
1a
AB.23.095

1b
12* 11 10

20 19 18 17 16 15 14 13 * Active scavenging systems only


Figure 6-1 Breathing system top assemblies

1006-0802-000 07/01 6-3


Aestiva/5 7100

Main manifold

11
2c

2b
2a
10

9
3

AB.23.096
6

2
5

1
AB.23.071

Top Bottom

* Active scavenging systems only

Figure 6-2 Main manifold

6-4 07/01 1006-0802-000


6 Illustrated Parts

Item Description (Figure 6-2) Stock Number


1 Seal, main manifold, APL/AGSS 1406-3316-000
2 Seal, bag/vent assy (a, b, c)
a. O-ring (Qty 2) 1406-3278-000
b. Poppet (Qty 2) 1406-3279-000
c. Seal only 1406-3314-000
3 Plate, top, main manifold 1406-3300-000
4 Plate, bottom main manifold 1406-3303-000
5 Seal, Main Manifold, Absorber 1406-3315-000
6 Body, manifold, main 1406-3301-000
7 APL diaphragm assembly 1406-3331-000
8 Manifold APL/AGSS 1406-3302-000
9 Split ring (Qty 3) 1406-3319-000
10 M6x43 mm Thumbscrew 1406-3304-000
11 M6 x28.5 mm Thumbscrew (Qty 2) 1406-3305-000

1006-0802-000 07/01 6-5


Aestiva/5 7100

Exhalation valve

6
1

7
2

AB.23.021
5

Item Description Stock Number


1 Exhalation valve cover 1503-3583-000
2 Lock ring 1503-3588-000
3 Seat, exhalation valve 1503-3584-000
4 Diaphragm assembly 1503-8121-000
5 Base, exhalation valve 1503-3585-000
6 Blank, pop-off valve 1406-3240-000
7 Tube, exhalation valve 1406-3566-000

Figure 6-3 Exhalation valve

6-6 07/01 1006-0802-000


6 Illustrated Parts

Breathing Circuit Modules


Circle 12
Module 11
10
9 Bain-
Mapleson D
3 8 Module 12

1
2

AB.23.102, AB.23.183
7 3

1
4 6
2

5
7

4
6
5

Item Description Circle Module Bain-Mapleson D Module


1 Assembly (items 2-12) 1406-8102-000 --------
Assembly (items 2-7, 12) -------- 1406-8211-000
2 M6-1x23 Thumbscrew 1406-3304-000 1406-3304-000
3 Seal lens, flow sensor 1406-3395-000 1406-3395-000
4 Module body 1406-3390-000 1406-3467-000
5 Seal module cover 1406-3317-000 1406-3463-000
6 Split ring 1406-3319-000 1406-3319-000
7 Back plate 1406-3391-000 1406-3391-000
8 O-Ring check valve 1406-3397-000 Not Used
9 Valve seat check valve 1406-3396-000 Not Used
10 Disc check valve 0210-5297-100 Not Used
11 Retainer check valve 1400-3017-000 Not Used
12 Lens 1406-3394-000 1406-3461-000
Not shown:
Tube, fresh gas, Bain-Mapleson D Module 1406-3462-000
Figure 6-4 Breathing circuit modules

1006-0802-000 07/01 6-7


Aestiva/5 7100

Bellows

AB.23.055
7

Item Description Stock Number


1 Bellows housing 1500-3117-000
2 Bellows 1500-3378-000
3 Rim 1500-3351-000
4 Pressure relief valve assembly 1500-3377-000
5 Latch, rim 1500-3352-000
6 Seal, base 1500-3359-000
7 Base assembly, bellows 1406-3313-000

Base & latch bellows kit: 1406-8106-000


Figure 6-5 Bellows parts

6-8 07/01 1006-0802-000


6 Illustrated Parts

Test tools and system parts


Description Stock Number
Vaporizer port o-rings, external (Qty 6) 1102-3016-000
Cylinder gasket (pin indexed cylinders only) 0210-5022-300
Ring, sealing gasket (for DIN 477 and O2 high-pressure hose) 1001-3812-000
Ring, sealing gasket (for N2O high-pressure hose) 1202-3812-000
Handle for yoke tee 0219-3372-600
Yoke plug 0206-3040-542
DIN O2 plug (cylinder connection) 1202-7146-000
Positive low pressure leak test device (BSI) 1001-8975-000
Positive low pressure leak test device (ISO) 1001-8976-000
Negative low pressure leak test device 0309-1319-800
Test lung 0219-7210-300
Test plug 2900-0001-000
Cylinder wrench 0219-3415-800
Cylinder wrench (if cylinder cover installed) 0219-3412-800
Cylinder wrench (DIN 477 and high-pressure hose) 1202-3651-000
Krytox 1001-3854-000
Touch-up paint, Neutral Gray N7 (Medium Dark), 18 ml 1006-4198-000
Touch-up paint, Neutral Gray N8 (Medium), 18 ml 1006-4199-000
Touch-up paint, Neutral Gray N9 (Light), 18 ml 1006-4200-000
Communication port cable 1006-3900-000

1006-0802-000 07/01 6-9


Aestiva/5 7100

6-10 07/01 1006-0802-000


7 External Communications

In this section This section describes how to communicate between the ventilator and a data
collection system or an external monitor. It also tells you what data can be sent and
received.
External communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Protocol description (Datex-Ohmeda Com 1) . . . . . . . . . . . . . . . . . . . . . . . . 7-3

1006-0802-000 07/01 7-1


Aestiva/5 7100

External communications
The ventilator has an RS-232C electrical interface. The RS-232 connector
allows serial input/output of commands and data.

Electrical Interface RS-232C signal standards.


15-pin Female D connector - Data Communications Equipment configuration
(DCE):
Pin 6 - Receive data
Pin 13 - Transmit data
Pin 5 - Signal ground

7-2 07/01 1006-0802-000


7 External Communications

Protocol description (Datex-Ohmeda Com 1)

Serial Baud: 19.2K


Communication Byte format: Start bit + 7 data bits + parity bit + stop bit
Parameters Parity: ODD

Software Interface Datex-Ohmeda Com 1 Waveform Communication Protocol.

Command Headers:
<ESC>VTD DISABLE CHECKSUM
<ESC>VTE ENABLE CHECKSUM
<ESC>VTQ ENABLE COMPRESSED MODE
<ESC>VTS SLAVE MODE (RESETS AUTO MODE)
<ESC>VTX AUTO MODE
<ESC>VT$ SEND SETUP DATA
<ESC>VT? SEND ALL DATA
<ESC>VTW ENABLE WAVEFORM DATA

Response Headers:
:VTD MEASURED DATA RESPONSE
:VTM SETUP DATA RESPONSE
:VTN NACK (negative acknowledge)
:VTQ STATUS DATA RESPONSE
:VTW WAVEFORM DATA RESPONSE
:VTR ALARM SILENCE SWITCH PRESSED RESPONSE
:VTY ACK (positive acknowledge)

1006-0802-000 07/01 7-3


Aestiva/5 7100

DEVICE COMMANDS Sent Data Transmit Mode Select Commands


By External <ESC>VTXc<CR>Auto Mode
Device <ESC>VTSc<CR>Slave Mode
Data Format Mode Select Commands
<ESC>VTQc<CR>Compressed Format
Data Request Command
<ESC>VT?c<CR>Send All Data (Valid in Slave Mode only)
<ESC>VT$c<CR>Send Setup Data
Enable Waveform Data Mode
<ESC>VTWabc<CR>Send Waveform Data
<ESC>VTW<CR>=header
a&b = any one of the following:
(Note 1: order determines order of data in response packet)
(Note 2: b valid only if a!= 0)

0 Turn waveform data OFF


P Include Pressure Data
F Include Flow Data
V Include Volume
c Checksum
<CR> Terminator

Checksum Control Commands

<ESC>VTEc<CR> Enable Checksum Mode


<ESC>VTDc<CR> Disable Checksum Mode (checksum byte ignored
in this command, but cannot be <CR>)

7-4 07/01 1006-0802-000


7 External Communications

DEVICE ACK Response


RESPONSES Sent Back By :VTYc<CR>Positive Acknowledge Response.
Ventilator

NAK Response
:VTNc<CR>Negative Acknowledge Response.

Alarm Silence Switch Pressed Response


:VTRc<CR>Alarm Silence Switch Press Response (if no alarms are on or all
displayed alarms are silenced).

Compressed-Data Measured Data Response


In auto mode, the Measured Data Response will be transmitted at the end of a
breath or 10 seconds from the last transmission, whichever occurs first.

:VTDaaaabbbbdddeeefffggghhhiiijc<CR> Compressed Data Measured Data Response


(each entry is zero filled and right justified--i.e. aaaa = 0095)
? means bad data due to any technical problem(s);
- means data not available due to system state.
aaaa Measured tidal volume mL, ?, -
bbbb Measured minute volume L*100,?, - ; example: 1000 equals 10.00 L
ddd Measured respiratory rate /min,?, -
eee Measured oxygen level % O2,?, -

fff Measured max positive pressure cm H2O,?


ggg Measured inspiratory plateau pres cm H2O,?
hhh Measured mean pressure cm H2O,?
iii Minimum pressure cm H2O,?
j Measured data status 0100000x (bit 0=1=new breath data; bit 0=0=10 second
data)
c Checksum

1006-0802-000 07/01 7-5


Aestiva/5 7100

Compressed-Data The Status Data Response will be transmitted every 1 second (if a change
Status Data Response occurs in the status data) or a minimum of once every 10 seconds. Note that
the status byte bit is set=1 for an active condition and 0 for an inactive
condition.
:VTQaaaabbbddddeeffggghhiijjjkkklllmmmnnnoooqrrrrrrrrrrrrc<CR>

Compressed Data Status Data Response

aaaa Set tidal volume mL


bbb Set tidal volume /min
dddd Set I:E ratio 1:eee.e
ee Inspiratory pause % Pause
ff Set PEEP cm H2O
ggg Set peak pressure limit cm H2O
hh Set inspired pressure cm H2O
ii Set sustained pressure alarm limit cm H2O
jjj High minute volume alarm limit L*10 (e.g. 650 = 65.0 L)
kkk Low minute volume alarm limit L*10 (e.g. 050 = 5.0 L)
lll High Vte limit mL/10 (e.g. 150 =1500 ml)
mmm Low Vte limit mL/10 (e.g. 090 =900 ml)
nnn High oxygen alarm limit % O2
ooo Low oxygen alarm limit % O2
q Ventilation mode: v=volume
Mode,p=pressure mode,b=Vt
Compensation off,-=bag mode only
rrrrrrrrrrrr Status bytes (see bitmaps below)
c Checksum

7-6 07/01 1006-0802-000


7 External Communications

Status Bytes Bitmaps The status bytes are a string of 12 bytes, starting from the left (Byte 1) to the
right (Byte 12). Each Byte has eight bits of data from D7 (MSB) to D0 (LSB).

Bit byte 1 Bit byte 2


Vent. Message Vent. Message
D0 - High O2 D0 - High Paw
D1 - Low O2 D1 - Low Paw
D2 - 1 D2 - Sustained Paw (shutdown)
D3 - 1 D3 - Sustained Paw
D4 - 1 D4 - Sub-Atmos Paw
D5 - Check O2 Sensor D5 - 1 Pressure Mode Available
D6 - O2 Calibration Error D6 - 1

Bit byte 3 Bit byte 4


Vent. Message Vent. Message
D0 - Pinspired Not Achieved D0 - Low VE
D1 - PEEP Not Achieved D1 - High VE
D2 - No Pressure Mode/PEEP D2 - Low Vte
D3 - Manifold Pressure Sensor D3 - High Vte
Failure
D4 - Inspiratory Overshoot D4 - Vt Not Achieved
D5 - Inspiration Stopped D5 - Volume Apnea
D6 - High Pressure Limit Reached D6 - Volume Apnea > 2 min
(min sys)

Bit byte 5 Bit byte 6


Vent. Message Vent. Message
D0 - No Insp Flow Sensor D0 - Bellows Empty
D1 - No Exp Flow Sensor D1 - Flow Valve Failure
D2 - Insp Reverse Flow D2 - Gas Inlet Valve Failure
D3 - Exp Reverse Flow D3 - 12 Hour Test
D4 - Check Flow Sensors D4 - Bootup GIV Failure
D5 - Insp Vt/Vte Mismatch D5 - No O2 Pressure
D6 - Vdel Mismatch D6 - No Fresh Gas Flow

1006-0802-000 07/01 7-7


Aestiva/5 7100

Bit byte7 Bit byte 8


Vent. Message Vent. Message
D0 - +Vanalog Failure D0 - A/D Converter Failure
D1 - -Vanalog Failure D1 - CPU Failure
D2 - +15V SIB Out-of-Range D2 - Memory (EEPROM) Failure
D3 - +15V Manifold Out-of-Range D3 - Memory (flash) Failure
D4 - Display Voltage Out-of-Range D4 - Memory (RAM) Failure
D5 - Vaux_ref Out-of-Range D5 - Memory (video) Failure
D6 - Vext_ref Out-of-Range D6 - Bootup Memory Failure

Bit byte 9 Bit byte 10


Vent. Message Vent. Message
D0 - Software Watchdog Failure D0 - On Battery
D1 - Hardware Watchdog Failure D1 - No Battery
D2 - Internal Vent. Clock Too Fast D2 - Low Battery Charge
D3 - Internal Vent. Clock Too Slow D3 - Low Battery
D4 - CPU Internal Error D4 - Low Battery (shutdown)
D5 - Memory (redundant storage) D5 - Fail Batt. Volt. Out Of Range
Fail
D6 - Flow Sensor Cal Data Corrupt D6 - Batt. Curr. Out Of Range

Bit byte 11 Bit byte 12


Vent. Message Vent. Message
D0 - Auxiliary Breathing Circuit D0 - Volume Mode Active
D1 - 1 D1 - Apnea Detect ON
D2 - "No confirmation of changed D2 - Apnea Alarm Silenced
setting"
D3 - Control Settings Input Has D3 - Very Low VE Limit
Failed
D4 - Heliox Mode is ON D4 - Alarms Silenced
D5 - Volume Compensation Off D5 - 1
D6 - Mechanical Ventilation On D6 - Sensor(s) Cal Due

7-8 07/01 1006-0802-000


7 External Communications

Setup Data :VTMaaaabddeffghc<CR>Setup Data Response


Response
aaaa Software revision number 0001-9999 = 0.01-99.99
b Language (see Note 1) 0-9 & A-F
dd Display contrast setting 1-64
e Alarm volume setting 1-5
ff Altitude setting -4 to 36, in 100s of meters
g Drive gas O = oxygen, A = air
h Ventilator model number 0 = 7800, 1 = 7810, 5 = 7850,
6 = 7900/Aestiva, 8 = 7100
c Checksum

Note 1: Language: 0=English; 1=Spanish; 2=German; 3=Kanji; 4=Dutch;


5=Swedish; 6=French; 7=Italian; 8=Danish; 9=Polish; A=Chinese; B=Czech;
C=Hungarian; D=Russian; E=Portuguese; F=other.

Waveform Data If Waveform Data Mode is enabled, a Waveform Data Response will be
Response transmitted every 240 ms. Up to 2 blocks of fifteen (15) data samples taken
every 16 ms. will be sent with each message. Each data value is a 3-digit, zero
filled, right justified ASCII Hex representation of a 12 bit binary value.

:VTW[aaabbb...nnnooo][aaabbb...nnnooo]c<CR>
Waveform Data Response for each [max. of 2] waveform signal selected

aaa 1st 16 ms waveform sample (0 -> 000, 512 -> 200, 4095 ->
FFF)
bbb 2nd 16 ms waveform sample
...
nnn 14th 16 ms waveform sample
ooo 15th 16 ms waveform sample

1006-0802-000 07/01 7-9


Aestiva/5 7100

Waveform Data shall be scaled as follows:

Pressure
Range: -20 - 120 cmH2O
Scale:
Raw Scaled Xmit.
-20 0 000
0 512 200
120 3584 E00

Flow

Range: -100 - +100 L/m


Scale:
Raw Scaled Xmit.
-100 512 200
0 2048 800
+100 3584 E00

Volume

Range: 0 - 2 L
Scale:
Raw Scaled Xmit.
0 512 200
2 3584 E00

7-10 07/01 1006-0802-000


7 External Communications

The Waveform Data will be sampled as follows:


Pressure
Samples will be every taken from the airway pressure sensor every 16 ms.
Flow
For each breathing system the samples will be every 16 ms. The flow may be
sampled from the inspiratory flow sensor and/or the expiratory flow sensor,
depending on the circuit type and the phase of the breath. The inspiratory
flow sample will always be positive and the expiratory flow sample will always
be negative.
Circle Breathing System
If inspiratory flow > threshold (start of inspiration)
If inspiratory flow is increasing
Use inspiratory flow 16 ms sample
Else if inspiratory flow is decreasing and expiratory flow
> threshold
Use expiratory flow 16 ms sample
Else
Use inspiratory flow 16 ms sample
Else If expiratory flow > threshold (start of expiration)
Use expiratory flow 16 ms sample
Else
Use the 16 ms flow sample from the previously used flow sensor

Volume Circle Breathing System


Samples will be every 16 ms and will be based on integration of flow values.
Inspiratory flow will increase volume, expiratory flow will reduce the volume.
The volume will be reset to 0 at the start of a inspiration.

1006-0802-000 07/01 7-11


Aestiva/5 7100

7-12 07/01 1006-0802-000


8 Specifications and
Theory of Operation

In this section System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2


System specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Breathing system specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13
Ventilator Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16
Ventilation operating specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-19
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23
O2 flowmeter (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23

1006-0802-000 07/01 8-1


Aestiva/5 7100

System pneumatic circuits


Pneumatic circuit diagram
O2
4 O2/He
or
O2 Air N 2O CO2
5
4 4 4 4

3 5 5 5 5
28
27
1 2 3 1 2 3 1 2 3 3

6 6 6

14b 7 7
13

14a 8

21
15
10 18

9
11 LINK-25 19 16 LINK-25 22

12 20 17 23

24 24 26
Key to Symbols:
Pneumatic connection:
Filter:
Direction of flow: 25
AA.96.131

Check valve:

8-2 07/01 1006-0802-000


8 Specifications and Theory of Operation

Numbered items in Pneumatic 1. Pipeline pressure gauge


circuit diagram
2. Pipeline connection
3. Cylinder pressure gauge
4. Cylinder connection
5. Cylinder pressure regulator
6. Pressure relief, opens at approx. 918 kPa (133 psi)
7. Supply connections for the ventilator
8. System switch
9. Alarm for low O2 supply pressure
10. Secondary O2 regulator
11. O2 flow control valve
12. O2 flow tube
13. Flush regulator
14. O2 Flush
a.Flush valve
b.Switch (sensed by the ventilator)
15. N2O balance regulator
16. N2O flow control valve
17. N2O flow tube
18. Air secondary regulator
19. Air flow control valve
20. Air flow tube
21. CO2/Heliox gas balance regulator
22. CO2/Heliox gas flow control valve
23. CO2/Heliox gas flow tube
24. Vaporizer port valve
25. Vaporizer
26. Pressure relief, opens at approx. 38 kPa (5.5 psi)
27. Aux. flowmeter (optional)
28. Common gas outlet

1006-0802-000 07/01 8-3


Aestiva/5 7100

Gas supplies Gas goes into the system through a pipeline or cylinder connection. All
(Items 1-6) connections have indexed fittings, filters, and check (one-way) valves. Gauges
show the cylinder and pipeline pressures.
A regulator decreases the cylinder pressures to the appropriate system
pressure. A pressure relief valve 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 connected, keep the cylinder valve closed.

w WARNING 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.

O2 flow Pipeline or regulated cylinder pressure supplies O2 directly to the pneumatic


(Items 7-14, 27) outlet and the ventilator (O2 Ventilator). A second regulator decreases the
pressure for the flush valve and the auxiliary flowmeter.
The flush valve supplies high flows of O2 to the fresh gas outlet when you push
the flush button. The flush switch uses pressure changes to monitor the
position of the flush valve. A message on the ventilator tells you when Flush is
ON.
When the system switch is ON, O2 flows to the rest of the system and there is a
minimum flow of 25 to 75 mL/min through the O2 flowmeter.
A secondary regulator supplies a constant O2 pressure to the flowmeter.
An electrical switch monitors the O2 supply pressure. If the pressure is too low,
an alarm appears on the ventilator.

Air, N2O, and Balance regulators control the flow of N2O and the optional gas (CO2, Heliox)
third gas flow to the flow control valves. Oxygen pressure at a control port adjusts the output
of the regulator. This stops flow during an O2 supply failure and ensures that
(Items 7, 8, and 15-23)
the hypoxic gas pressures decrease with the O2 supply pressure. Changes in
O2 pressure do not affect Air.
A chain linkage on the N2O and O2 flow controls helps keep the O2
concentration higher than approximately 20% at the fresh gas outlet.
Pipeline or regulated cylinder pressure directly supply Air to the ventilator (Air
Ventilators). When the system switch is ON, air flows to the rest of the system.
A secondary regulator supplies the air flow control valve. Because there is no
balance regulator, air flow continues at the set rate during an O 2 supply
failure.

Mixed gas The mixed gas goes from the flowmeter outlet through the vaporizer that is ON,
(Item 26) to the fresh gas outlet, and into the breathing system. A pressure relief valve
sets the maximum outlet pressure.

8-4 07/01 1006-0802-000


8 Specifications and Theory of Operation

System specifications
Pneumatic

Gas supplies: Pipeline gases: O2, Air, N2O.


Cylinder gases: CO2, Heliox, O2, N2O, Air (maximum: 2 cylinders of each gas;
4 cylinders total on 2-vaporizer model; 5 cylinders total on the 3-vaporizer
model; 2 cylinders max. on pendant model.
Cylinder connections: Pin indexed (all gases); nut and gland DIN 477 (O2,
N2O, Air); large cylinder kit available for O2 and N2O.
Primary regulator output pressure:
With a rear panel label:
The primary The primary
< 345 kPa regulator is set to < 414 kPa regulator is set to
pressure less than pressure less than
345 kPa (50 psi). 414 kPa (60 psi).

Without a rear panel label: Approximately 587-690 kPa (85-100 psi).


Pressure relief valve: Approximately 951 kPa (138 psi).
Pipeline connections (filtered): DISS-Male; DISS-Female; DIN 13252; AS
4059 (Australian); S90-116 (French Air Liquide); BSPP 3/8 (Scandinavian) or
NIST (ISO 5359). All fittings available for O2, Air, and N2O.
Pressure displays: Color coded gauges.
Pipeline inlet pressure: 280-600 kPa (41-87 psi).
Pneumatic outlet pressure:

O 2 source Outlet pressure


Pipeline pressure Pipeline pressure
Pin indexed cylinders 240-345 kPa (35-50 psi)
DIN 477 cylinders and 240-415 kPa (35-60 psi)
high-pressure hoses

Max. pipeline draw: Not to exceed 60 L/min at 280 kPa (41 psi) under steady
flow or averaged over 10 seconds.

1006-0802-000 07/01 8-5


Aestiva/5 7100

Pneumatic outlet: O2 DISS or Mini schraeder connections:

130 DISS Power Outlet


Flow
(L/min) ISO Power Outlet
120
Inlet pressure constant
110 at 241.5 kPa (35 psi)

100

90
Flow 80
(L/min)
70

60

50

40

30

20

10

0 34.5 69.0 103.5 138 172.5 207 241.5 276


Outlet Pressure (kPa)
Outlet pressure (kPa)
(psi = kPa 6.8947)
Common gas Valve limits fresh gas pressure to 138 kPa (20 psi) at the flush flow.
outlet relief:

Flow Flow rates: Minimum O2 flow: 25 to 75 mL/min.

Scale Scale
Gas Flow Range
(One Flow Tube) (Two Flow Tubes)
O2 0.05-15 L/min ------------------ 0.05 -0.95 L/min
1-15 L/min
N2O 0-10 L/min1 ------------------ 0.05 -0.95 L/min
1-10 L/min
Air 0-15 L/min 1-15 L/min 0.05 -0.95 L/min
1-15 L/min
He 0-15 L/min 0.5-15 L/min ------------------
CO2 0-0.5 L/min 0.05-0.5 L/min ------------------

1. The link system sets the nominal O


2 flow of the total O2 and N2O flow.

8-6 07/01 1006-0802-000


8 Specifications and Theory of Operation

Accuracy: At 20 C with gas supply pressures at 345 kPa (50 psi) and an
outlet pressure of 101.3 kPa (absolute) (14.7 psi) flowmeter accuracy agrees
with VDE 3513 Part 3, Accuracy Class 2.5 or better.

Different breathing circuit pressures, barometric pressures or temperatures


change the accuracy. With some conditions, these changes can be larger than
the tolerances.

Flush flow: 35-50 L/min.

O2 supply failure alarm and shutoff:


O2 Pressure

O2 supply failure alarm: 193 to 221 kPa (28 to 32 psi)

N2O shutoff: 3.5 kPa (0.5 psi)

CO2 or Heliox shutoff: 69 kPa (10 psi)

1006-0802-000 07/01 8-7


Aestiva/5 7100

Electrical power
Supply voltage: 100-120 or 220-240 Vac 10% at 50 or 60 Hz.

Electrical circuit breakers:


Inlet Circuit Breakers:
100-120 Vac 220-240 Vac
No outlets: 5A 3A
With outlets: 10A 6A

Master Circuit Breaker (all outlets):


100-120 Vac 220-240 Vac
5A 3A

Outlet Circuit Breakers:


100-120 Vac 220-240 Vac
(3) 2A (3) 1A
(1) 3A (1) 2A
Japan: (2) 2A (1) 4A

Circuit Breaker for Tec 6 Outlet: Limited by master circuit breaker.

System leakage current limit - do not exceed:

UL and CSA rated systems (USA and Canada): <300 amps for the system
and all systems connected to electrical outlets.

IEC rated systems (Not USA and Canada): <500 amps for the system and
all systems connected to electrical outlets.

Note: Products connected to the electrical outlets may increase the leakage
current above these limits.

Resistance to ground: <0.2

8-8 07/01 1006-0802-000


8 Specifications and Theory of Operation

Power cord
Length: 5 meters.

Voltage rating: 90 to 264 Vac.

Current capacity: 10 A.

Type: Three conductor medical grade power supply cord.

Electrical fuses T6.3L/250V.

Battery information The Aestiva/5 7100 is not a portable unit; a sealed lead acid battery supplies
battery backup. Batteries are used as backup power in case of a power failure.
Thus, the battery is in a float charge state most of the time. Batteries meet the
following:

1. Capacity to operate for 30 minutes.


2. Unit functions to specifications through the transition to battery power.
3. Long float charge life.
4. Battery pack has an auto-resettable thermal fuse.
5. Battery terminals and connecting wires are protected against short circuits.

Only Datex-Ohmeda service representatives are to replace the battery.


Batteries must be disposed of in accordance with applicable regulatory
requirements in effect at the time and place of disposal.

Electro-magnetic Environment: Suitable for use in the EM environment described in


compatibility EN 60601-1-2.
Immunity Levels: The Aestiva complies with the requirements of EN 60601-1-
2 (Electromagnetic Compatibility - Requirements and tests). The following
basic EMC standards were applied to verify conformance.
Emissions:
CISPR 11 Group 1 (EN 55011), Class B.
Immunity:
IEC 801-2, 8 kV air, 3 kV contact.
IEC 801-3, 3 V/m.
IEC 801-4, 2 kV power line.
IEC 801-5, 2 kV line to earth, 1 kV line to line.

1006-0802-000 07/01 8-9


Aestiva/5 7100

Electrical block diagram


Inside Machine Control Module
AC Inlet Universal
Power Supply
Power Fan
Cord 2 fuses

System Breaker 5mm x 20mm


Line Filter
+6V @ 5A max
T2L/250 V
+9V @ 0.5A max 6 Volt
Battery

Serial Adapter
Board
RS232

Control Board
MCF5206e ColdFire Processor
Memory and I/O Decoding
Flash, SRAM & EEPROM
SCR Circuitry
A/D D/A Converter
Watchdog System
Inspiratory Valve Control (10 VA limited)
Machine/Ventilator O2 Flush
PEEP Valve Control (10 VA limited)
On/Standby switch 12 VDC Supply (10VA limited)
DC Supply Monitoring
O2 Supply Battery Management

PEB Monitoring Interface Speaker


Airway Assembly
Pressure Inspiratory Flow Transducers
Transducer Expiratory Flow Transducers
LCD Backlight

Pneumatic Engine O2 Sensor


Flow Sensors LCD Display Keyboard
Inspiratory Valve Bag/Vent Switch 320 x 240 Membrane
PEEP Valve ACGO Switch Control Panel Switch Switches
Supply Pressure Switch Canister Release Switch
PEEP Safety Valve Absorber Bypass Switch Rotary
Breathing Circuit ID Encoder
Switch

Breathing System

8-10 07/01 1006-0802-000


8 Specifications and Theory of Operation

Physical specifications
All specifications are approximate values and can change without notice.

AB.43.074
System
2-vaporizer 3-vaporizer
Height: 135.8 cm (53.4 in) 135.8 cm (53.4 in)
Width: 75 cm (29.5) 93 cm (36.6 in)
Depth: 83 cm (32.7 in) 83 cm (32.7 in)
Weight: 136 kg (300 lbs) 154 kg (340 lbs)
Top shelf options:
Option: 87.5 cm W x 41 cm D 87.5 W x 41 cm D
(34.4 in W x 16.1 in D) (34.4 in W x 16.1 in D)
Option: 67.5 cm W x 41 cm D 67.5 W x 41 cm D
(26.6 in W x 16.1 in D) (26.6 in W x 16.1 in D)
Option: 47.5 cm W x 41 cm D
(18.7 in W x 16.1 in D)
Shelf weight limit: 46 kg (100 lbs) per shelf 46 kg (100 lbs) per shelf

Casters 12.5 cm (5 in) with brakes on the front casters.

Drawers Standard:
10.5 cm H x 38.5 cm W x 26 cm D (4.1 in H x 15.2 in W x 10.2 in D).
Optional:
14.5 cm H x 38.5 cm W x 26 cm D (5.7 in H x 15.2 in W x 10.2 in D).

Ventilator display 120 x 90 mm c VGA.

1006-0802-000 07/01 8-11


Aestiva/5 7100

Environmental requirements
Temperature
Operation: 10 to 40 C, (Oxygen cell operates to specifications at 10 to 40 C).
Storage: -5 to 50 C,
Oxygen cell storage is -5 to 50 C, 10 to 95% Rh, 500 to 800 mm Hg.

Humidity
Operation: 15 to 95% Rh, non-condensing.
Storage: 10 to 95% Rh, non-condensing per IEC 68-3.

Altitude
Operation: 500 to 800 mm Hg (3565 to -440 meters).
Storage: 375 to 800 mm Hg (5860 to -440 meters).
Compensation range: 525 to 795 mmHg (3,000 to -100 meters).

8-12 07/01 1006-0802-000


8 Specifications and Theory of Operation

Breathing system specifications

General Volume: 5500 ml


Absorbent: 1.35 kg (400 ml) / canister
Connections:
Breathing circuit modules: Circle or Bain modules.
Common gas outlet: ISO 5356 type connector (Standard 22 mm OD or 15 mm
ID conical friction fit connectors). Remove the breathing circuit module to
access.
Auxiliary outlet: ISO 5356 type connector on the front of the breathing system
(Standard 22 mm OD or 15 mm ID conical friction fit connectors) (Optional).
System leakage:
These values are for continuous pressure and are higher than those expected
during mechanical ventilation.
300mL/min total at 3 kPa (0.4 psi); 75 ml/min for all connectors and two
part tubes and 225 mL/min for all other breathing system assemblies.
System compliance:
Volume of gas lost due to internal compliance (bag mode only) 5.15 mL/cm
H2O.
Breathing system resistance:
Y piece or T piece adds 0.15 kPa (.02 psi) expiratory resistance at 1 L/sec.
To maintain compliance with standards, choose a patient circuit with low
resistance to flow.

6 Breathing System Resistance


Inspiratory
Pressure 5 Expiratory
drop
(cm H2O)
4

0
0 10 20 30 40 50 60
Flow rate (L/min)

1006-0802-000 07/01 8-13


Aestiva/5 7100

Pressure required to open inspiratory and expiratory valves:


Dry: 0.49 cm H2O
Moist: 0.91 cm H2O
Breathing system leakage (average during use):

Pressure Bag Mode (ml/min) Vent Mode (ml/min)


30 cm H2O 0.089 0.063
60 cm H2O N/A 0.106
90 cm H2O N/A 0.163

APL Valve: Approximately 0 to 70 cm H2O

Pressure Flow Data (APL Valve Completely Open):

Flow (L/min) Flow (L/sec) APL Pressure cm H2O


3 0.05 1.12
10 0.17 1.26
20 0.34 1.77
30 0.51 2.36
40 0.68 3.14
50 0.83 4.06
60 1.0 5.14

System volume: 5500 mL

Gas scavenging Passive scavenging:


Positive pressure relief: 10 cm H2O.
Negative pressure relief: 0.5 cm H2O.
Outlet connector: 30 mm male taper swivel.
Active scavenging:
Particle filter at the outlet has a pore size of 225 microns. All flow data uses a
new filter.

Disposal System Type Outlet Swivel Connector * Flow Range Pressure


Low flow, high vacuum DISS EVAC 36 4 SLPM @ 300 300 mmHg
mmHg (12 inHg) Minimum vacuum
High flow BS6834 50 - 80 SLPM 1.6 kPa at 75 SLPM
Venturi/Ejector ain. hose barb 30 - 100 SLPM n/a
* Other market-specific connectors may be available.

8-14 07/01 1006-0802-000


1006-0802-000
BELLOWS ASSEMBLY BELLOWS
CANISTER
BAG/VENTILATOR FRESH GAS FLOW

07/01
BELLOWS POSITION 0.05 / 40.0
SENSE L/min

O2 FLUSH
50 L/min

EXPIRATORY
CHECK VALVE
ADJUSTABLE PRESSURE EXPIRATORY
LIMITING RELIEF VALVE FLOW
SENSOR
Breathing system schematic

(APL)

BAG/VENTILATOR
BAG/VENTILATOR
SWITCH DRAIN

EXHALATION
VALVE BAG
ABS IN
MANIFOLD

FLOW PATIENT
AGSS BREATHING SENSOR LUNG
200 mL CIRCUIT MODULE
VOLUME
Y MANIFOLD AGSS MODULE (FSM)
TRANSFER SYSTEM INSPIRATORY
(CIRCLE) CHECK VALVE
CALIBRATED
BLEED ORIFICE
PROPORTIONAL AIRWAY
PEEP VALVE INSPIRATORY
ATMOSPHERE FGF PRESSURE FLOW
4.5 VDC (N.C.) SENSE
10 L/min MAIN ABS OUT SENSOR
SUPPLY MANIFOLD
PRESSURE
SWITCH
(N.O.) 17 psi PEB P
CABLE TO INSPIRATORY
PEEP SAFETY VALVE VENTILATOR GAS IN GAS OUT O2 % MONITOR
BYPASS
4.5 VDC (N.C.) CONTROL OPTION
MODULE SENSE
SERVICE
INLET TEST
FILTER PORT AIRWAY
2 MICRON PRESSURE
XDUCER (PEB)
PNEUMATIC
PRESSURE ENGINE AIRWAY
ATMOSPHERE BOARD PRESSURE
REGULATOR PROPORTIONAL GAUGE
25 PSIG INSPIRATORY DRAIN CANISTER
BULKHEAD
MECHANICAL CONNECTOR
VALVE PRESSURE RELIEF VALVE RELEASE
241/689 241/689 172 4.5 VDC (N.C.) 110 cm H2O LEVER
kPa kPa kPa 70 L/min ABSORBER STANDARD
TRANSFER
FREE BREATHING TUBE
CHECK VALVE
1.4 cm H2O BYPASS
-10 TO
110 cm OPTION
H2O ATMOSPHERE SENSE
VENTILATOR PNEUMATIC ENGINE
ACGO INSPIRATORY
ELASTOMER POSITION 02% EXP INSP
RECEIVER (2L) SENSE FLOW FLOW
ELBOW XDUCER XDUCER
+10 CM H20
RELIEF
VALVE
80 L/min CONTINUOUS TO BAG/
@ 241/689 kPa BYPASS CANISTER VENTILATOR CONTROL BREATHING
DISPOSAL OPTION RELEASE POSITION PANEL CIRCUIT
SYSTEM DRAIN CANISTER SENSE LEVER SENSE OPEN/CLOSED ID (MIA)
30 mm -2 CM H20 RELEASE
OR DRAGER RELIEF
VALVE LEVER MONITORING INTERFACE ASSEMBLY
OR 12 mm ABSORBER/CO2 BYPASS
HOSE BARB PASSIVE GAS SCAVENGING INTERFACE OPTIONAL
RECEIVER (2L) MIA
SUPPLY HIGH OR LOW CABLE TO
TO FLOW RESTRICTOR FILTER VENTILATOR
AIR/OXYGEN ANESTHESIA DISPOSAL
MACHINE CONTROL
SYSTEM MODULE
DISS EVAC
OR BSI ROOM
OR BOC FLOW AIR
INDICATOR
(OPTIONAL)

ACTIVE GAS SCAVENGING INTERFACE

8-15
AB.43.073
8 Specifications and Theory of Operation
Aestiva/5 7100

Ventilator theory

General The Aestiva/5 7100 ventilator pneumatics are located in the rear of the
breathing system. A precision flow valve controls the amount of flow provided
to the patient, while a second, smaller flow valve is used to control the
exhalation valve sealing pressure. Breaths are provided to the patient by
sealing the exhalation valve and providing flow to the breathing circuit. During
exhalation, the sealing pressure on the exhalation valve is released and flow
exhausts from the breathing circuit. Electronic control of PEEP is achieved by
maintaining a small amount of sealing pressure on the exhalation valve.

Volume measurements come from two flow sensors in the flow sensor module.
Two tubes from each sensor connect to a transducer. The transducer measures
the pressure change across each sensor, which changes with the flow. A third
pressure transducer measures the airway pressure at the outlet of the
breathing circuit. Safety redundant valves are used to limit the airway
pressure, based on the users Plimit setting.

With circle circuit modules, volume monitoring uses the right (expiratory) flow
sensor. The ventilator uses the other flow sensor to adjust the tidal volumes
being delivered into the patient circuit tubing for changes in fresh gas flow,
small leaks and gas compression within the breathing circuit. There is no
adjustment for compression in the patient circuit. If necessary, add the
compression loss to the tidal volume setting (Volume Control mode). The
average volume changes due to compression in the breathing circuit is small
(0.5 to 1.25 ml/cm H2O). When using the optional Bain circuit module, the
right hand flow sensor measures fresh gas flow, while the left hand sensor
measures the bidirectional flow to the patient.

Note that the 7100 provides a small amount of bleed flow through a
pneumatic resistor to control the exhalation valve. At high airway pressures
this can cause a slight hiss during inspiration.

wWARNING Do not try to silence the pneumatic resistor. If it is blocked, the ventilator
can malfunction and cause patient injury.

8-16 07/01 1006-0802-000


8 Specifications and Theory of Operation

Modes The system has two modes of mechanical ventilation:


Volume control
Pressure mode
Use the main menu to set the mode.

AB.43.122
Figure 8-1 Ventilation Setup Menu
Volume control

AB.29.068
Figure 8-2 Volume control diagram

Typically a volume control waveform shows increasing pressure during


inspiration. Volume control supplies the set tidal volume during inspiration.
The ventilator calculates a set flow and the length of the inspiratory period
from the I:E and frequency settings. An optional inspiratory pause can be set
to improve gas distribution in the lungs.
To make sure that the set flow is actually delivered, the ventilator adjusts gas
flow to the bellows based on measured inspiratory volumes. This is called tidal
volume compensation.
If tidal volume compensation is not enabled, the ventilator functions the same
as V T Comp Off, and Volume Control is replaced by Volume Mode in the main
menu.

VT Comp Off During some malfunctions in volume control mode, the ventilator
automatically turns volume compensation off. V T Comp Off continues to
supply the set tidal volume but cannot compensate for the effects of fresh gas
flow and breathing circuit compliance losses.

1006-0802-000 07/01 8-17


Aestiva/5 7100

Volume control settings VT (tidal volume),


Rate,
I:E,
Plimit,
PEEP.

Limited inspired pressure mode Selecting Pressure mode generates a pressure plateau linked to the P inspired
setting.
While observing the monitored Pmax value, the user adjusts Pinspired until Pmax
is reached. The ventilator delivers a constant 30 L/m (inspiration) during this
mode.
Pinsp, Rate and I:E settings are used to create the breathing profile.
PEEP is available and is additive.

Pressure Pinsp (control pressure),


mode settings Rate,
I:E,
Plimit (pressure limit),
PEEP.

Minimum Monitoring Shows data.


No mechanical ventilation.
Monitoring Only alarm message.
Ventilate Manually and specific failure message.
The software goes to minimum monitoring when a non-recoverable error
occurs in boot-up or normal operations.

8-18 07/01 1006-0802-000


8 Specifications and Theory of Operation

Ventilation operating specifications


Pneumatics
Gas source: Anesthesia system.
Gas composition: Medical Air or O2.
Nominal supply pressure: 350 kPa (51 psi).
Pressure range at inlet: 240 to 700 kPa (35 to 102 psi).
Flow valve range: 2 to 70 L/min at 240 kPa (35 psi).

Fresh gas
compensation
Flow compensation range: 200 mL/min to 15 L/min.
Gas composition: O2, N2O, Air, Heliox, CO2 Anesthetic Agents.

Pressure
Patient airway pressure range: -20 to +120 cm H2O.
Patient airway display range: -9 to 99 cm H2O.
High pressure alarm set range: 12 to 99 cm H2O, 1 cm increment.
Sustained pressure alarm range: 6 to 30 cm H2O, 1 cm increment.

Volume
Tidal volume display range: 5 to 9999 mL, 1 mL resolution.
Setting range: 45 to 1500 mL.
Minute volume: 0.0 to 99.9 liters.
Breath rate: 4 to 65 bpm (breaths per minute), 1 bpm resolution.
Volume sensor type: Variable flow orifice.

1006-0802-000 07/01 8-19


Aestiva/5 7100

Oxygen
Display range: 5 to 110% O2.
Display resolution: 1% increments.
Sensor type: Galvanic fuel cell.
Measurement range: 0 to 100% O2.
Measurement accuracy: 3% of full scale.
Cell response time: 35 seconds,1 10 - 90%.
Low O2 alarm range: 18% to 100%.
High O2 alarm setting: 21% to 100%.
Note: Low O2 limit may not be set above the high O2
limit, nor may the high O2 limit be set below the low
O2 limit.
Expected cell life: Four months of shelf life (23 C room air) and one
year of normal operation.

1. Response time of cell and adapter as measured using the test method
described in ISO 7767 (1988-12-15), clause 50.9.

8-20 07/01 1006-0802-000


8 Specifications and Theory of Operation

Ventilator accuracy data


The following accuracy data are based on patient conditions and settings
described in ASTM F1101. The ventilator is assumed to be operating in volume
mode (Heliox OFF), with 100 percent oxygen in the breathing system; or, it is
connected to an anesthesia gas analyzer. If the ventilator is operating without
being connected to an anesthesia gas analyzer, additional errors may occur
which are described in the Gas composition related errors (both modes)
chart which is provided on the next page.

Delivery accuracy

Volume control: > 200 mL tidal volume: Better than 10% of set V T.
(100% O2) 75 to 200 mL tidal volume: Better than 20 mL.
< 75 mL tidal volume: Better than 15 mL.
V T comp off: Better than: 15% of set V T.
Pressure mode: Inspiratory pressure: 2.0 cm H20 (repeatability
only).
(100% O2) PEEP: 2.0 cm H2O (repeatability
only).

Monitoring accuracy
Volume control: > 200 mL tidal volume: Better than 10% of V T.
(100% O2) 75 to 200 mL tidal volume: Better than 20 mL.
< 75 mL tidal volume: Better than 15 mL.
Pressure mode: Better than: 2.0 cm H20 or 5% of
reading whichever is greater.

1006-0802-000 07/01 8-21


Aestiva/5 7100

Gas composition related errors


(both modes)

AA.87.091
Note: Gas composition errors may be in addition to the above
normalized accuracy. When adding errors, positive errors can have
the effect of nulling out negative errors.
Note: Use of anesthetic agent could affect the errors by
approximately -0.95%/% volume agent in normal mode and
roughly -2.5%/% volume agent in Heliox mode.

Heliox Mode The effect on volume delivery and monitoring accuracies of Heliox mixtures is
within +8% to -15% when operating the Aestiva ventilator in the Heliox Mode.

8-22 07/01 1006-0802-000


8 Specifications and Theory of Operation

Suction regulators (optional)

Venturi Suction Regulator Supply:Air or O2 from system gas supply.


Drive gas consumption:75 L/min.
Maximum Vacuum:457 mm Hg with pipeline drive gas at 345 kPa (50 psi).
Minimum flow:20 L/min.
Accuracy:5% of full scale.

Continuous Suction Supply:External vacuum.


Regulator Vacuum levels:0-200 mm Hg and full line vacuum.
Maximum flow:>20 L/min.
Accuracy:5% of full scale.

O2 flowmeter (optional)

Supply:O2 from system gas supply.


Flow rates:0-10 L/min.
Accuracy:5% of full scale; not pressure compensated.

1006-0802-000 07/01 8-23


Aestiva/5 7100

8-24 07/01 1006-0802-000


A CO2 Bypass assembly 2-15
Absorbent 3-7 Cylinder installation 3-12
Air, N2O, and third gas flow 8-4 D
Alarms
Disassembly
alphabetical list 5-3
patient path 2-7
priority 5-2
scavenging path 2-12
Altitude 3-17
disassembly 2-12
APL valve
Display
disassembly/maintenance 4-3
change language 3-17
ASTM F1101 8-21
Drain dish 3-8
Autoclave 2-5
E
B
Electrical block diagram 8-10
Bag arm 2-8
Electrical connections 3-9
install 3-2
Electrical outlets 3-9
Balance regulators 8-4
Electrical power 8-8
Battery backup 8-9
Environmental requirements 8-12
Bellows
Exhalation valve 2-12
disassembly/maintenance 4-12
External connection
test for correct assembly 4-15
compressed data format 7-6
Bellows assembly 2-9
device commands 7-4
cleaning 2-6
electrical interface 7-2
install 3-2
responses 7-5
Breathing circuit module 2-8
serial parameters 7-3
disassemply/maintenance 4-10
setup data 7-9
identify type 3-3
status bytes 7-7
install 3-3
waveform data 7-9
Breathing profile 8-18
External data
Breathing system
protocol choices 7-2
setup 3-2
protocol com 1 7-3
Breathing system schematic 8-15
External O2 flowmeter 3-11
Breathing system specifications 8-13
F
C
Flow sensor
Canister
calibration 4-25
disassembly 2-10
replace 4-9
setup 3-7
Flow sensor module 2-7
Cell life 8-20
install 3-4
Chain linkage 8-4
CIDEX sterilization 2-13 G
Circuit breaker 5-17 Galvanic fuel cell 8-20
Clean and sterilize 2-4 Gas composition related errors 8-22
Cleaning Gas supplies 8-4, 8-5
circuit O2 sensor 2-6
flow sensors 2-13
metal or plastic flow sensors 2-6
Cleaning agents 2-1

1006-0802-000 07/01 I-1


H Scavenging receiver disassembly/maintenance 4-8
Heliox mode 3-17 Scavenging reservoir 2-12
High pressure leak test Serial port 3-11
cylinder yoke 3-13 Suction regulator 3-11
DIN cylinder 3-14 Suction regulators (optional) 8-23
Hiss during inspiration 8-16 Symbols 1-3
How to use this manual 1-2 System pneumatic circuits 8-2
System specifications 8-5
L
T
Leakage current 3-9
Leakage current limit 8-8 Tec 6 power 3-9
Troubleshooting
M electrical problems 5-16
Main manifold high pressure leaks 5-18
disassembly/maintenance 4-3 low pressure leaks 5-18
install 3-2 V
remove 2-9
Mains indicator 5-17 Ventilation operating specifications 8-19
Mains inlet 3-9 Ventilator
Maintenance summary and schedule 1-6 accuracy data 8-21
Mixed gas 8-4 drive gas 3-17
theory 8-16
O Volume control diagram 8-17
O2 flow 8-4 W
O2 flowmeter (optional) 8-23
O2 sensor 2-7 WARNINGS and CAUTIONS 1-3
calibration 21% 4-18 Water build-up
install 3-3 and alarms 4-26
Optional ventilation functions 1-2 causes for 4-26
solutions 4-26
P
Patient circuit connections 3-4
Patient path 2-2
PEEP 8-16, 8-18
Physical specifications 8-11
Pipeline inlets 3-10
Pneumatic circuit diagram 8-2
Pneumatic outlet 3-10
Pneumatic resistor 8-16
Pressure plateau 8-18
R
Repair policy 4-2
S
Scavenging connection 3-10
Scavenging path 2-3, 2-12

I-2 1006-0802-000 07/01


Warranty

This Product is sold by Datex-Ohmeda under the warranties set forth in the fol-
lowing paragraphs. Such warranties are extended only with respect to the pur-
chase of this Product directly from Datex-Ohmeda or Datex-Ohmedas
Authorized Dealers as new merchandise and are extended to the Buyer there-
of, other than for the purpose of resale.

For a period of twelve (12) months from the date of original delivery to Buyer
or to Buyers order, but in no event for a period of more than two years from the
date of original delivery by Datex-Ohmeda to a Datex-Ohmeda Authorized
Dealer, this Product, other than its expendable parts, is warranted against
functional defects in materials and workmanship and to conform to the descrip-
tion of the Product contained in this operation manual and accompanying la-
bels and/or inserts, provided that the same is properly operated under the
conditions of normal use, that regular periodic maintenance and service is per-
formed and that replacements and repairs are made in accordance with the in-
structions provided. This same warranty is made for a period of thirty (30) days
with respect to expendable parts. The foregoing warranties shall not apply if
the Product has been repaired other than by Datex-Ohmeda or in accordance
with written instructions provided by Datex-Ohmeda, or altered by anyone oth-
er than Datex-Ohmeda, or if the Product has been subject to abuse, misuse,
negligence, or accident.

Datex-Ohmedas sole and exclusive obligation and Buyers sole and exclusive
remedy under the above warranties is limited to repairing or replacing, free of
charge, at Datex-Ohmedas option, a Product, which is telephonically reported to
the nearest Datex-Ohmeda Field Service Support Center and which, if so advised
by Datex-Ohmeda, is thereafter returned with a statement of the observed defi-
ciency, not later than seven (7) days after the expiration date of the applicable war-
ranty, to the Datex-Ohmeda Service and Distribution Center during normal
business hours, transportation charges prepaid, and which, upon Datex-Ohme-
das examination, is found not to conform with above warranties. Datex-Ohmeda
shall not be otherwise liable for any damages including but not limited to incidental
damages, consequential damages, or special damages.

There are no express or implied warranties which extend beyond the


warranties hereinabove set forth. Datex-Ohmeda makes no warranty of
merchantability or fitness for a particular purpose with respect to the
product or parts thereof.

W-1
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Datex-Ohmeda, Inc.
Ohmeda Drive
PO Box 7550 Aestiva/5 7100
Madison WI 53707-7550 O & M Manual, English
USA 1006 0802 000
Tel 608 221 1551 07 01 D 01 21 03
Fax 608 222 9147 Printed in USA
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