SV300/350 Ventilator Service Manual Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray does not assume any liability arising out of any infringements of patents or other rights of third parties. Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rent, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. 、 and are the registered trademarks or trademarks owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners. Contents of this manual are subject to changes without prior notice. Revision History This manual has a revision number. This revision number changes whenever the manual is updated due to software or technical specification change. Contents of this manual are subject to change without prior notice. Revision 1.0 is the initial release of the document. Revision number: 3.0 Release time: 2016-07 © Copyright 2014-2016 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. I Preface Manual Purpose This manual provides detailed information about the assembling, dissembling, testing and troubleshooting of the equipment to support effective troubleshooting and repair. It is not intended to be a comprehensive, in-depth explanation of the product architecture or technical implementation. Observance of the manual is a prerequisite for proper equipment maintenance and prevents equipment damage and personal injury. This manual is based on the maximum configuration. Therefore, some contents may not apply to your monitor. If you have any question, please contact our Customer Service Department. Intended Audience This manual is geared for biomedical engineers, authorized technicians or service representatives responsible for troubleshooting, repairing and maintaining the ventilator machines. Password A password is required to access different modes within the ventilator machine. User maintenance: 1234 Factory maintenance: 1118 II Table of Contents 1 Safety ................................................................................................................................. 1-1 1.1 Safety Information .......................................................................................................... 1-1 1.1.1 Dangers .............................................................................................................. 1-2 1.1.2 Warnings ............................................................................................................ 1-2 1.1.3 Cautions ............................................................................................................. 1-5 1.1.4 Notes .................................................................................................................. 1-7 1.2 Equipment Symbols ........................................................................................................ 1-7 2 Theory of Operation ........................................................................................................ 2-1 2.1 Pneumatic Circuit ............................................................................................................ 2-1 2.1.1 Overview of the Pneumatic System ................................................................... 2-1 2.1.2 Pneumatic Circuit Diagram ................................................................................ 2-2 2.1.3 Theory of Operation of the Pneumatic Subsystem ............................................. 2-5 2.2 Electrical Circuit ........................................................................................................... 2-19 2.2.1 Overview of the Hardware Boards ................................................................... 2-19 2.2.2 Electrical Circuit Diagram ............................................................................... 2-21 2.2.3 Power Supply System ...................................................................................... 2-22 2.2.4 Board Function ................................................................................................. 2-24 3 Checkout and Test ............................................................................................................ 3-1 3.1 System Inspection ........................................................................................................... 3-1 3.2 Power Failure Alarm Test (External Power and Buzzer) ................................................ 3-1 3.3 O2 Pipeline Test .............................................................................................................. 3-2 3.4 System Test ..................................................................................................................... 3-2 3.5 Spontaneous Breathing Test ............................................................................................ 3-3 3.6 Humidifier Performance Test .......................................................................................... 3-3 3.7 Alarm Tests...................................................................................................................... 3-3 3.7.1 Prepare for Alarm Tests ...................................................................................... 3-3 3.7.2 Battery in Use Alarm Test .................................................................................. 3-3 3.7.3 Power Failure Alarm Test ................................................................................... 3-4 3.7.4 Paw Too High Alarm Test .................................................................................. 3-4 3.7.5 TVe Too High Alarm Test................................................................................... 3-4 3.7.6 TVe Too Low Alarm Test ................................................................................... 3-4 3.7.7 MV Too High Alarm Test ................................................................................... 3-4 3.7.8 MV Too Low Alarm Test ................................................................................... 3-5 3.7.9 PEEP Too Low Alarm Test ................................................................................. 3-5 3.7.10 Airway Obstructed Alarm Test ......................................................................... 3-5 3.7.11 Apnea Alarm Test ............................................................................................. 3-5 3.7.12 ftotal Too High Alarm Test ............................................................................... 3-5 3.7.13 FiO2 Too High Alarm Test ............................................................................... 3-6 3.7.14 FiO2 Too Low Alarm Test................................................................................ 3-6 1 3.7.15 EtCO2 Too High Alarm Test ............................................................................ 3-6 3.7.16 EtCO2 Too Low Alarm Test ............................................................................. 3-6 3.7.17 SpO2 Too High Alarm Test .............................................................................. 3-7 3.7.18 SpO2 Too Low Alarm Test ............................................................................... 3-7 3.7.19 PR Too High Alarm Test .................................................................................. 3-7 3.7.20 PR Too Low Alarm Test ................................................................................... 3-7 3.8 Function Tests ................................................................................................................. 3-8 3.8.1 Checking the Standard Working Mode .............................................................. 3-8 3.8.2 Checking the Tidal Volume ................................................................................ 3-8 3.8.3 Checking the Trigger Function........................................................................... 3-8 3.8.4 Checking Spontaneous Breathing in CPAP/PSV Mode ..................................... 3-8 3.8.5 Sidestream CO2 Test and Calibration ................................................................ 3-8 3.8.6 Mainstream CO2 Test....................................................................................... 3-10 3.8.7 SpO2 Test ..........................................................................................................3-11 3.8.8 Checking the Special Functions ........................................................................3-11 3.9 Electrical Safety Inspection........................................................................................... 3-12 3.9.1 Electrical Safety Inspection Test ...................................................................... 3-12 3.9.2 Electrical Safety Inspection Form .................................................................... 3-13 4 Maintenance Menu and Software Upgrade ................................................................... 4-1 4.1 User Maintenance ........................................................................................................... 4-1 4.1.1 Overview ............................................................................................................ 4-1 4.1.2 Setting ................................................................................................................ 4-1 4.1.3 Defaults Settings ................................................................................................ 4-2 4.1.4 Data Transfer ...................................................................................................... 4-2 4.1.5 Interface Setting ................................................................................................. 4-4 4.1.6 System Information ............................................................................................ 4-5 4.1.7 CO2 Maintenance............................................................................................... 4-6 4.2 Factory Maintenance ....................................................................................................... 4-7 4.2.1 Overview ............................................................................................................ 4-7 4.2.2 Factory Setup ..................................................................................................... 4-7 4.2.3 Factory Calibration........................................................................................... 4-13 4.2.4 Calibration Data ............................................................................................... 4-14 4.2.5 Data Monitoring ............................................................................................... 4-15 4.2.6 Diagnosis Test .................................................................................................. 4-16 4.2.7 Event Logbook ................................................................................................. 4-17 4.3 Software Upgrade and Software Function Activation ................................................... 4-18 4.3.1 Network Upgrade ............................................................................................. 4-18 4.3.2 USB Memory Upgrade .................................................................................... 4-28 4.3.3 Function Activation .......................................................................................... 4-31 4.3.4 Function Trial ................................................................................................... 4-35 5 Maintenance and Calibration ......................................................................................... 5-1 5.1 Equipment Maintenance.................................................................................................. 5-1 2 5.1.1 One-year Replaceable Parts ............................................................................... 5-2 5.1.2 Periodically-Maintained Parts ............................................................................ 5-6 5.2 System Test ..................................................................................................................... 5-7 5.2.1 System Check ..................................................................................................... 5-8 5.2.2 Check the Mechanical Ventilation State ........................................................... 5-10 5.2.3 Check the Correctness of Sensor Zero Point .................................................... 5-12 5.2.4 Check the Accuracy of Flow Sensor ................................................................ 5-13 5.2.5 Check the Accuracy of Pressure Sensor ........................................................... 5-14 5.3 System Calibration ........................................................................................................ 5-16 5.3.1 Flow Calibration (User) ................................................................................... 5-20 5.3.2 Flow Calibration (Factory) ............................................................................... 5-21 5.3.3 O2% Calibration (User) ................................................................................... 5-25 5.3.4 O2% Calibration (Factory) ............................................................................... 5-26 5.3.5 Mainstream CO2 Zeroing (User) ..................................................................... 5-27 5.3.6 Sidestream CO2 Zeroing (User)....................................................................... 5-28 5.3.7 Sidestream CO2 Calibration (User) ................................................................. 5-28 5.3.8 Pressure and Flow Zeroing (User) ................................................................... 5-29 5.3.9 Pressure and Flow Zeroing (Factory) ............................................................... 5-30 5.3.10 Pressure Calibration (Factory) ....................................................................... 5-33 5.3.11 Expiratory Valve Calibration (Factory) .......................................................... 5-46 5.3.12 Air and O2 Calibration (Factory) ................................................................... 5-49 6 Troubleshooting ................................................................................................................ 6-1 6.1 Introduction ..................................................................................................................... 6-1 6.2 Troubleshoot System Check Failures .............................................................................. 6-1 6.3 Technical Alarms and Diagnosis ..................................................................................... 6-4 6.3.1 Main Board Related Technical Alarms............................................................... 6-4 6.3.2 Keyboard Related Technical Alarms .................................................................. 6-5 6.3.3 VCM Related Technical Alarms......................................................................... 6-5 6.3.4 Auxiliary Monitor Board Related Technical Alarms .......................................... 6-9 6.3.5 Power Board Related Technical Alarms ........................................................... 6-10 6.3.6 CO2 Related Technical Alarms .........................................................................6-11 6.3.7 SpO2 Related Technical Alarms....................................................................... 6-12 6.4 Failure Code Table ........................................................................................................ 6-13 6.5 Error Information .......................................................................................................... 6-18 6.6 Diagnostic Test .............................................................................................................. 6-19 6.6.1 Preparations before Using the Valve Test Tool................................................. 6-19 6.6.2 Correspondence between the Sensors & Valves on the Valve Test Screen and the Components .............................................................................................................. 6-19 6.6.3 Troubleshooting Methods by Using Valve Test Tool ....................................... 6-21 6.7 Pneumatic System Failures ........................................................................................... 6-25 6.7.1 Commonly Used Devices and Tools ................................................................ 6-25 6.7.2 Pneumatic Failures List .................................................................................... 6-26 6.7.3 Gas Supply Subsystem ..................................................................................... 6-29 3 6.7.4 Blower Fan and Flow Control Subsystem........................................................ 6-33 6.7.5 Safety Valve Assembly ..................................................................................... 6-36 6.7.6 Expiration Valve Assembly .............................................................................. 6-38 6.7.7 O2 Sensor Has Great Measurement Error ........................................................ 6-40 6.8 Hardware and Electrical System Failures ..................................................................... 6-41 7 Repair and Disassembly .................................................................................................. 7-1 7.1 Prepare for Disassembly ................................................................................................. 7-2 7.1.1 Tools ................................................................................................................... 7-2 7.1.2 Preparations ........................................................................................................ 7-2 7.2 Disassemble the Service Parts ......................................................................................... 7-3 7.2.1 Remove the Lithium Battery .............................................................................. 7-3 7.2.2 Replace the O2 Sensor ....................................................................................... 7-4 7.2.3 Remove the HEPA Filter and Fan Dust Screen .................................................. 7-4 7.2.4 Remove the Main Unit Dust Screen ................................................................... 7-5 7.2.5 Remove the Disinfectable Expiratory Valve Assembly and Safety Valve Detachable Part ........................................................................................................... 7-6 7.2.6 Remove the Expiratory Valve Diaphragm and Expiratory Check Valve ............ 7-7 7.2.7 Remove the Parts of the Disinfectable Part of the Safety Valve ........................ 7-7 7.2.8 Remove the Upper Housing Assembly .............................................................. 7-8 7.2.9 Remove the Speaker........................................................................................... 7-9 7.2.10 Remove the WIFI Module (Optional) .............................................................. 7-9 7.2.11 Remove the SpO2 Module (optional)............................................................... 7-9 7.2.12 Remove the Display Assembly ...................................................................... 7-10 7.2.13 Remove the Main Unit Front Housing ........................................................... 7-10 7.2.14 Remove the Monitoring Board Assembly .......................................................7-11 7.2.15 Remove the Display Rear Housing and Key Control Board .......................... 7-12 7.2.16 Remove the Alarm Light Board ..................................................................... 7-13 7.2.17 Remove the Display Assembly ...................................................................... 7-14 7.2.18 Remove the Touchscreen ............................................................................... 7-14 7.2.19 Remove the Encoder ...................................................................................... 7-15 7.2.20 Replace the Pressure Sensor Filter ................................................................. 7-15 7.2.21 Remove the Safety Valve Seat Assembly ....................................................... 7-16 7.2.22 Remove the Electromagnet ............................................................................ 7-17 7.2.23 Remove the Air Flow Sensor ......................................................................... 7-17 7.2.24 Remove the Sensor Adapter Board ................................................................ 7-17 7.2.25 Remove the O2 Sensor Seat Assembly .......................................................... 7-18 7.2.26 Remove the Kernel Assembly ........................................................................ 7-18 7.2.27 Remove the AC-DC Power Board ................................................................. 7-20 7.2.28 Remove the DC-DC Power Board ................................................................. 7-21 7.2.29 Remove the Fan.............................................................................................. 7-22 7.2.30 Remove the AC Power Socket ....................................................................... 7-22 7.2.31 Remove the DC Input Socket ......................................................................... 7-23 7.2.32 Remove the Expiratory Valve Seat Assembly ................................................ 7-24 4 7.2.33 Remove the Expiratory Valve Voice Coil Motor ............................................ 7-24 7.2.34 Remove the Sidestream CO2 Module (optional) ........................................... 7-24 7.2.35 Remove the Blower Box Assembly ............................................................... 7-25 7.2.36 Remove the Vacuum Sensor Board ................................................................ 7-27 7.2.37 Remove the Inspiratory Valve Assembly ....................................................... 7-28 7.2.38 Remove the Filter Net for Inspiratory Valve .................................................. 7-29 7.2.39 Remove the O2 Inlet Assembly ...................................................................... 7-29 7.2.40 Remove the Proportional Valve and Nebulizer Valve .................................... 7-31 7.2.41 Remove the Pressure Regulator Assembly..................................................... 7-32 7.2.42 Remove the O2 Flow Sensor.......................................................................... 7-33 7.2.43 Remove the Low Pressure O2 Connector ...................................................... 7-34 7.2.44 Remove the Battery Adapter Board ............................................................... 7-34 7.2.45 Remove the Rear Housing Assembly ............................................................. 7-35 7.2.46 Remove the CO2 Parameter Connector Panel (optional) ............................... 7-36 7.2.47 Remove the WIFI Antenna (optional) ............................................................ 7-36 7.2.48 Remove the SpO2 Connector (optional) ........................................................ 7-37 7.2.49 Remove the Trolley Support Table Assembly ................................................ 7-38 7.2.50 Remove the Trolley Handle Assembly ........................................................... 7-38 7.2.51 Remove the Trolley Column .......................................................................... 7-39 7.2.52 Remove the Trolley Base Assembly............................................................... 7-39 7.2.53 Remove the Humidifier Fixing Assembly ...................................................... 7-40 7.2.54 Remove the Trolley Cylinder Fixing Assembly ............................................. 7-40 7.2.55 Remove the Trolley Lock Control Assembly ................................................. 7-41 8 Electrical and Pneumatic Connections........................................................................... 8-1 8.1 Pneumatic Connection .................................................................................................... 8-1 8.1.1 Pneumatic Connection Diagram......................................................................... 8-1 8.1.2 Tubes List ........................................................................................................... 8-2 8.2 Electrical Connection ...................................................................................................... 8-3 8.2.1 Electrical Connection Diagram .......................................................................... 8-3 8.2.2 Electrical Connection List .................................................................................. 8-4 9 Parts .................................................................................................................................. 9-1 9.1 SV300/350/SV350 Ventilator Main Unit Assembly ....................................................... 9-1 9.1.1 Exploded View ................................................................................................... 9-1 9.1.2 Parts List ............................................................................................................ 9-1 9.2 Display Assembly ........................................................................................................... 9-2 9.2.1 Exploded View ................................................................................................... 9-2 9.2.2 Parts List ............................................................................................................ 9-2 9.3 Display Front Housing Assembly ................................................................................... 9-3 9.3.1 Exploded View ................................................................................................... 9-3 9.3.2 Parts List ............................................................................................................ 9-3 9.4 Kernel Assembly ............................................................................................................. 9-4 9.4.1 Exploded View ................................................................................................... 9-4 5 9.4.2 Parts List ............................................................................................................ 9-5 9.5 Main Unit Bracket Assembly .......................................................................................... 9-6 9.5.1 Exploded View ................................................................................................... 9-6 9.5.2 Parts List ............................................................................................................ 9-6 9.6 Main Unit Rear Housing Assembly ................................................................................ 9-7 9.6.1 Exploded View ................................................................................................... 9-7 9.6.2 Parts List ............................................................................................................ 9-7 9.7 O2 Inlet Assembly(NIST) .......................................................................................... 9-8 9.7.1 Exploded View ................................................................................................... 9-8 9.7.2 Parts List ............................................................................................................ 9-8 9.8 O2 Inlet Assembly(DISS) .......................................................................................... 9-9 9.8.1 Exploded View ................................................................................................... 9-9 9.8.2 Parts List ............................................................................................................ 9-9 9.9 Expiration Valve Assembly ........................................................................................... 9-10 9.9.1 Exploded View ................................................................................................. 9-10 9.9.2 Parts List .......................................................................................................... 9-10 9.10 Safety Valve Assembly .................................................................................................9-11 9.10.1 Exploded View ................................................................................................9-11 9.10.2 Parts List .........................................................................................................9-11 9.11 Safety Valve Base Assembly ....................................................................................... 9-12 9.11.1 Exploded View ............................................................................................... 9-12 9.11.2 Parts List......................................................................................................... 9-12 9.12 Safety Valve Detachable Part ...................................................................................... 9-13 9.12.1 Exploded View ............................................................................................... 9-13 9.12.2 Parts List ........................................................................................................ 9-13 9.13 Exp. Flow Sensor Sampling Seat Assembly ............................................................... 9-14 9.13.1 Exploded View ............................................................................................... 9-14 9.13.2 Parts List ........................................................................................................ 9-14 9.14 Disinfectable Expiration Valve Assembly ................................................................... 9-15 9.14.1 Exploded View ............................................................................................... 9-15 9.14.2 Parts List ........................................................................................................ 9-15 9.15 Blower Box Assembly................................................................................................. 9-16 9.15.1 Exploded View ............................................................................................... 9-16 9.15.2 Parts List ........................................................................................................ 9-16 9.16 Inspiration Valve Assembly......................................................................................... 9-17 9.16.1 Exploded View ............................................................................................... 9-17 9.16.2 Parts List ........................................................................................................ 9-17 9.17 Trolley Assembly ........................................................................................................ 9-18 9.17.1 Exploded View ............................................................................................... 9-18 9.17.2 Parts List ........................................................................................................ 9-18 9.18 Trolley Handle Assembly ............................................................................................ 9-19 9.18.1 Exploded View ............................................................................................... 9-19 9.18.2 Parts List ........................................................................................................ 9-19 9.19 Trolley Support Platform Assembly ............................................................................ 9-20 6 9.19.1 Exploded View ............................................................................................... 9-20 9.19.2 Parts List ........................................................................................................ 9-20 9.20 Trolley Base Assembly................................................................................................ 9-21 9.20.1 Exploded View ............................................................................................... 9-21 9.20.2 Parts List ........................................................................................................ 9-21 9.21 Trolley Gas Cylinder Fixed Assembly ........................................................................ 9-22 9.21.1 Exploded View ............................................................................................... 9-22 9.21.2 Parts List ........................................................................................................ 9-22 A Mindray SV300/350 Preventive Maintenance Report..................................................A-1 A.1 Check before Preventive Maintenance ...........................................................................A-1 A.2 Preventive Maintenance .................................................................................................A-2 A.3 Test after Preventive Maintenance .................................................................................A-3 A.4 Remarks .........................................................................................................................A-5 7 FOR YOUR NOTES 8 1 Safety 1.1 Safety Information DANGER z Indicates an imminent hazard that, if not avoided, will result in death or serious injury. WARNING z Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury. CAUTION z Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage. NOTE z Provides application tips or other useful information to ensure that you get the most from your product. 1-1 1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this manual. 1.1.2 Warnings WARNING z The ventilator must only be operated and used by authorized medical personnel well trained in the use of this product. It must be operated strictly following the Operator’s Manual. z Before putting the system into operation, the operator must verify that the equipment, connecting cables and accessories are in correct working order and operating condition. z To avoid the risk of electric shock, this equipment must be connected to a properly installed power outlet with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect it from the power line. z Use external power source (AC power or DC power) before the batteries are depleted. z To avoid explosion hazard, do not use the equipment in the presence of flammable anesthetic agent, vapors or liquids. When O2 is used, keep the ventilator away from any fire sources. z Do not place the ventilator adjacent to any barrier, which can prevent cold air from flowing, resulting in equipment overheat. z Do not open the equipment housings. All servicing and future upgrades must be carried out by the personnel trained and authorized by us only. z Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level may result in a hazard to the patient. Remember that alarm settings should be customized according to different patient situations and always keeping the patient under close surveillance is the most reliable way for safe patient monitoring. z The physiological parameters and alarm messages displayed on the screen of the equipment are for doctor’s reference only and cannot be directly used as the basis for clinical treatment. z Dispose of the package material, observing the applicable waste control regulations and keeping it out of children’s reach. 1-2 WARNING z All staff should be aware that disassembling or cleaning some parts of the ventilator can cause risk of infection. z Maintenance mode can only be used when the equipment is disconnected from the patient. z Positive pressure breathing may be accompanied by some side effects such as barotrauma, hypoventilation, hyperventilation etc. z Using the ventilator in the vicinity of high-frequency electrosurgery units, defibrillators or short-wave therapy equipment may impair correct functioning of the ventilator and endanger the patient. z Do not use antistatic or conductive masks or breathing tubes. They can cause burns if they are used near high frequency electrosurgical equipment. z Do not use the ventilator in a hyperbaric chamber to avoid potential fire hazard due to an oxygen-enriched environment. z If the equipment internal monitoring system malfunctions, an alternative plan must be available to ensure adequate level of monitoring. The operator of the ventilator must be responsible for proper patient ventilation and safety under all circumstances. z As required by the relevant rules and regulations, oxygen concentration should be monitored when the equipment is used on the patient. If your ventilator is not configured with such monitoring function or this function is turned off, use a monitor which complies with the requirements of ISO 80601-2-55 for oxygen concentration monitoring. z All analog or digital products connected to this system must be certified passing the specified IEC standards (such as IEC 60950 for data processing equipment and IEC 60601-1 for medical electrical equipment). All configurations shall comply with the valid version of IEC 60601-1. The personnel who are responsible for connecting the optional equipment to the I/O signal port shall be responsible for medical system configuration and system compliance with IEC 60601-1 as well. z Do not touch the patient when connecting the peripheral equipment via the I/O signal ports or replacing the oxygen cell to prevent patient leakage current from exceeding the requirements specified by the standard. z This equipment is not suitable for use in an MRI environment. z When the ventilator gas supply input system fails or has faults, please contact us immediately for specified personnel to service the ventilator. z The ventilator shall not be used with helium or mixtures with Helium.. z Do not move the ventilator before removing the support arm from it, in order to avoid the ventilator getting tilted during the movement. z Do not block the air intake vent at the back of the ventilator. 1-3 WARNING z To prevent interrupted operation of the ventilator due to electromagnetic interference, avoid using it adjacent to or stacking other devices on it. If adjacent or stacked use is necessary, verify the ventilator’s normal operation in the configuration in which it will be used. z To prevent possible personal injury and equiment damage, make sure that the ventilator is secured to the trolley or placed on the safe and smooth surface. z To prevent possible equiment damage, avoid tipping over the ventilator when crossing thresholds. z To prevent possible equiment damage, step down the brake when parking the ventilator. z Avoid use of polluted Air. When the equiment uses Air as gas source for ventilation, if the Air is polluted, harmful substance may enter the patient tubes. z To prevent patient injury caused by equipmpment malfunction, when the alarm [Technical Error**] occurs, remove the equipment immediately, record failure code, and contact the Customer Service Department. z To prevent possible ventilator malfunction, do not spill liquid onto the ventilator. z A turbofan can cause gas to be heated. To reduce the temperature of gas inside the tube and prevent patient injury accordingly, make sure that the lenght of patient tube from the humidifier to Y piece is greater than 1.2m. z The internal electrical power source is to be used if the integrity of the protective earth conductor or the protective earthing system in the installation is in doubt. z Nebulization or humidification can increase the resistance of breathing system filters and that you need to monitor the filter frequently for increased resistance and blockage. z The ventilation accuracy can be affected by the gas added by use of a nebulizer. z The ventilator shall not be used with nitric oxide. z For non-invasive ventilation, the exhaled volume of the patient can differ from the measured exhaled volume due to leaks around the mask. z Check if the alarm limit settings are appropriate before taking measurement. z The mains plug is used to isolate the ventilator circuits electrically from the SUPPLY MAINS,not to position the ventilator so that it is difficult to operate the plug. z No modification of this equipment is allowed. z Failure to have an alternative means of ventilation such as a self-inflating, manually-powered resuscitator(as specified in ISO 10651-4) with mask can result in PATIENT death if the VENTILATOR fails. z Stop using the ventilator and contact us immediately when the buzzer alarms. 1-4 WARNING z Under the ambient temperature of 40℃, the inspiratory pressure of the ventilator exceeds 60cmH2O, and the maximum temperature on the surface of breathing mask may exceed 41℃ but does not exceed 43℃. z When the ventilator is restalled, or main control board is repalced, perform flow calibration (factory). 1.1.3 Cautions CAUTION z The ventilator must be inspected and serviced regularly by trained service personnel. z To ensure patient safety, always prepare pulmotor for use. z Always have a special person attend and monitor the operation of the equipment once the ventilator is connected to the patient. z During the operation of the ventilator, do not disassemble the inspiratory safety valve and expiration valve unless in standby mode. z To ensure patient safety, use only parts and accessories specified in this manual. z At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. z Magnetic and electrical fields are capable of interfering with the proper performance of the equipment. For this reason make sure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation. z This system operates correctly at the electrical interference levels identified in this manual. Higher levels can cause nuisance alarms that may stop mechanical ventilation. Pay attention to false alarms caused by high-intensity electrical fields. z Before connecting the equipment to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the equipment’s label or specified in this manual. z Always install or carry the equipment properly to avoid damage caused by drop, impact, strong vibration or other mechanical force. z To electrically isolate the ventilator circuits from all poles of the supply mains simultaneously, disconnect the mains plug. 1-5 CAUTION z To minimize the risk of fire, do not use low-pressure gas tubes that are worn or contaminated with combustible materials like grease or oil. z It is the clinician’s responsibility to ensure that all ventilator settings are appropriate. z To prevent possible patient injury, make sure the ventilator is set up for appropriate patient type with the appropirate breathing tubes. Make sure the flow sensor calibration and the system check are performed before you use the ventilator. z To prevent possible patient injury, make sure the ventilation parameters is set up properly before ventilating the patient. z To ensure the accuracy of oxygen monitoring, replace an exhausted oxygen cell as soon as possible or use an external monitor that complies with ISO 80601-2-55. z A fan failure could result in oxygen enrichment inside the ventilator and a subsequent fire hazard. z To reduce the risk of explosion, do not burn the O2 cell or force the cell open. z When ventilating with a mask, avoid high airway pressures. High pressures may cause gastric distension. z Peak pressures exceeding 33 cmH2O may increase the risk of aspiration due to gastric insufflation. When ventilating with such pressures, consider using an invasive mode. z To reduce the risk of fire, use only tube systems approved for medical purposes and for use with oxygen between the oxygen source and ventilator. z To reduce the risk of fire, ensure adequate ventilation at the rear of the ventilator. z To reduce the risk of fire, switch off the oxygen source when the ventilator is not in a ventilating mode. z Avoid putting the ventilator in the storage environment of more than 50℃ for a long time. Such enviroment may damage or shorten the battery life of internal battery and oxygen sensor. z Use the original packing materials to ship the ventilator. z To prevent fire hazard, use only specified fuses or fuses with the same type, rated voltage, and rated current to the existing fuses. When replacing fuses, contact the Customer Service Department. z The ventilator is intended to be used in the patient environment. z Additional MULTIPLE SOCKET- OUTLET or extension cord shall not be connected to the system. z Before the ventilator is used for transfer, make sure its casters and brakes are in good condition. 1-6 1.1.4 Notes NOTE z Put the ventilator and its accessories in a location where you can easily see the screen and access the operating controls. z Keep this manual close to the equipment so that it can be obtained conveniently when needed. z The software was developed in compliance with IEC 62304. The possibility of hazards arising from software errors is minimized. z This manual describes all features and options. Your equipment may not have all of them. 1.2 Equipment Symbols Battery Fuse AC/DC power indicator light Direct current input port RS-232 connector Nebulizer connector VGA output connector Oxygen sensor connector Network connector USB connector Power switch Nurse call connector Lock Unlock High-pressure oxygen supply connector Low-pressure oxygen supply connector Ventilator gas outlet Flow sensor 1-7 Expiration connector Inspiration connector AUDIO PAUSED CO2 module Date of manufacture Manufacturer Serial number Degree of protection provided by enclosure IP21 Caution Protective earth ground no pushing Refer to the operator's manual SpO2 module Disassemble the O2 sensor Type BF applied part. Defibrillation-proof protection against electric shock. The following definition of the WEEE label applies to EU member states only. This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health. For more detailed information with regard to returning and recycling this product, please consult the distributor from whom you purchased it. * For system products, this label may be attached to the main unit only. The product bears CE mark indicating its conformity with the provisions of the Council Directive 93/42/EEC concerning medical devices and fulfils the essential requirements of Annex I of this directive. Note:The product complies with the Council Directive 2011/65/EU. 1-8 2 Theory of Operation 2.1 Pneumatic Circuit 2.1.1 Overview of the Pneumatic System The pneumatic system consists of three parts: inspiratory limb, patient tube, and expiratory limb. The inspiratory limb can be further divided into gas supply and nebulizing subsystem, blower and flow control subsystem, and safety valve subsystem. Gas supply subsystem Nebulizing subsytem Insp. Blower and flow control subsystem limb Patient tube Safety valve subsystem Exp. limb As shown above, the patient tube plays the role of bridge between the inspiratory limb and the expiratory limb. The gas supply and nebulizing subsystem is connected with the patient tube as required to implement the nebulizing function. These subsystems form a closed circuit for the ventilator to implement the ventilation management function. 2-1 2.1.2 Pneumatic Circuit Diagram 2.1.2.1 Parts List Symbol Name Function and Index Air Low-Pressure Inlet Low-pressure Air inlet Air inlet O2 Low-Pressure Inlet Low-pressure O2 inlet O2 connector, quick connector, compatible with (CPC) PMC series O2 High-Pressure Inlet High-pressure O2 inlet O2 connector, NIST/DISS optional, supply gas pressure is 2.8-6bar F1 Dust filter Filters dust in the Air supply F2 HEPA filter Filters bacteria and viruses in the Air supply Pfilter Pressure sensor Monitors vacuum at the Air inlet CV1 Self-closing cut-off valve Cuts off the connection between the low-pressure O2 limb of the pneumatic system and the outside environment when the ventilator does not connect with the low-pressure O2. F3 Filter Filters foreign substance in the high-pressure O2 supply REG Regulator Reduces and stabilizes the pressure of high-pressure O2 supply to 2.0±0.1bar PSOL Proportional solenoid valve High-pressure O2 proportional valve, output peak flow≥120 L/min@6bar Q1 O2 flow sensor Monitors O2 flow 2-2 Symbol Name Function and Index F4 Filter screen Stabilizes gas flow SD1 Noise reduction and Air&O2 mixed chamber Air&O2 mixed channel, reduces the front-end noise of the blower subsystem Blower Turbo blower Mixes the Air and O2 and improves the pressure of mixed gas to the preset value Tblower Temperature sensor Monitors the blower temperature SD2 Noise reduction and Air&O2 mixed chamber Further mixes the Air and O2 and reduces the rear-end noise of the blower subsystem Heat Exchanger Heat exchanger Heat dissipating device of the blower Inspiratory valve Inspiratory valve Controls the flow in the inspiratory limb Q2 Flow sensor of the mixed gas Monitors the flow of mixed gas OS O2 sensor Monitors O2 concentration F5 Filter screen Stabilizes gas flow CV2 Check valve Prevents gas from flowing in the reverse direction SV Safety valve Pressure relief and spontaneous inspiratory channel F7 Filter for pressure sensor Protects the pressure sensor SOL1 Inspiratory pressure zeroing three-way valve Performs switchover between inspiratory pressure measurement and zeroing PI Inspiratory pressure sensor Monitors the pressure in the inspiratory limb F8 Inspiratory filter Prevents water vapor and bacteria inside the patient tube from entering the ventilator internal pneumatic circuit Humidifier Humidifier Heats and humidifies the patient’s inspired gas WT1/WT2 Water trap Collects condensed water inside the tube NCV Nebulizer control valve Controls the on-off of the nebulizer limb R1 Nebulizer needle valve Restricts the output flow of the nebulizer limb Nebulizer Nebulizer Device which turns nebulized liquid medicine into gaseous colloidal particles F9 Expiratory filter Prevents water vapor and bacteria inside the patient tube from entering the expiratory module Q3 Expiratory flow sensor Monitors expiratory gas flow F10/F11 Filter Protects pressure zeroing three-way valve F12 Filter Protects upstream limb from being polluted by the exhaled gas SOL2 Pressure zeroing three-way valve Expiratory pressure sensor zeroing and pressure zeroing in the upstream of expiratory 2-3 Symbol Name Function and Index flow sensor diaphragm SOL3 Pressure zeroing three-way valve Pressure zeroing in the downstream of expiratory flow sensor diaphragm PQ3 Differential pressure sensor Expiratory differential pressure sensor PE Expiratory pressure sensor Expiratory pressure sensor R2/R3 Flushing resistor Restricts flushing flow EV Expiratory valve Controls system PEEP or Plimit via voice coil motor CV3 Check valve Ensures unidirectional gas flow 2.1.2.2 Symbols Gas supply WT Filter Water trap Humidifier On-off valve (two-position two-way solenoid valve) Regulator O2 Nebulizer Humidifier O2 sensor P Pressure sensor Check valve R Resistor Nebulizer Q Flow sensor Two-position three-way solenoid valve Proportional solenoid valve Temperature sensor Turbo blower Vacuum sensor at the Air inlet Turbine heat exchanger Inspiratory valve / 2-4 / 2.1.3 Theory of Operation of the Pneumatic Subsystem According to structural composition and function, the pneumatic system of the ventilator can be broken down into 7 parts as shown below, which are gas supply subsystem, turbo blower subsystem, flow control subsystem, safety valve subsystem, nebulizing subsystem, patient tube and expiratory assembly. Pneumatic system Patient tube Insp. assembly Exp. assembly Nebulizing subsystem Safety valve subsystem Flow control subsystem Turbo blower subsystem Gas supply subsystem 2.1.3.1 Gas Supply Subsystem The schematic diagram of the gas supply subsystem is as shown below. The gas supply subsystem includes three limbs: high-pressure O2, low-pressure O2, and low-pressure Air. The room air enters the machine after passing through dust filter F1 and HEPA filer F2. O2 enters the machine after passing through high-pressure O2 limb or low-pressure O2 limb. Flow sensor Q1 is placed at the outlet where low-pressure O2 and high-pressure O2 converge to monitor O2 flow entering the machine. 2-5 The gas supply subsystem is the starting part of the ventilator’s pneumatic circuit. It introduces external O2 and room air into the machine. A dust filter is necessary at the Air inlet as there is dust and foreign substance inside the room air. Meanwhile, to filter the bacteria and viruses inside the room air, HEPA filter is placed at the Air inlet to ensure the air entering the machine is clean and aseptic. After the machine is used or placed for a period of time, dust or foreign substance may be absorbed on the surfaces of the dust filter at the Air inlet and HEPA filter. When the dust or foreign substance is accumulated to a certain extent, occlusion occurs at the Air inlet, which may cause insufficient air intake of the machine. By placing vacuum sensor Pfilter at the Air inlet, occlusion at the Air inlet can be effectively monitored. If the Air inlet is occluded and the Air supply pressure is too low, vacuum sensor Pfilter gives an alarm reminding the user to replace the HEPA filter. 2-6 The following picture shows the position of Air inlet and HEPA filter. The connector of high-pressure O2 inlet is designed to be NIST/DISS as required by the standard to prevent misconnection. The connector of low-pressure O2 inlet is designed to be quick connector which is compatible with (CPC) PMC series and provides pneumatic cut-off function to prevent gas error between the high-pressure O2 and low-pressure O2 inside the ventilator. Air passes through the dust filter and HEPA filter to enter the machine. There is no standard requirement for the type of Air connector and it is designed to be non-standard connector. The regulator in the high-pressure O2 limb reduces the supply gas pressure and stabilizes it at 2.0±0.1bar to ensure stable output and good repeatability of solenoid proportional valve PSOL at the rear end. 2-7 The O2 inlet assembly is as shown below. High-pressure O2 connector compatible with NIST/DISS O2 proportional valve Nebulizer switch valve Low-pressure O2 CPC quick connector O2 flow sensor Regulator Nebulizer outlet 2-8 2.1.3.2 Nebulizing Subsystem The nebulizing control subsystem controls the on-off of nebulized gas flow via NCV, so as to realize control of nebulizer by nebulized gas flow (nebulizer needs to be configured separately and is independent of the ventilator main unit). When applying the nebulizer function, note that the nebulizing subsystem is enabled only when the system is connected with high-pressure O2 supply. Check if the machine is already connected with high-pressure O2 supply before using this function. The diagram of the nebulizing control subsystem is as shown below. NCV is a solenoid two-way valve and it has two states: ON and OFF. R1 is a nebulizer needle valve. It adjusts nebulized gas flow by adjusting the position of the needle valve. When NCV is connected, O2 of 2.0-6.0bar is at its front end. By adjusting the position of the needle valve in advance, there is continuous flow of 6-9 L/min at its rear end. Such flow flows into the nebulizer via the nebulizing nozzle, takes away medicine and finally flows into the patient. The external structure and size of the nebulizing nozzle comply with BS EN 13544-2_2002 standard. Nebulizing nozzle 2-9 2.1.3.3 Turbo Blower Subsystem The schematic diagram of the turbo blower subsystem is as shown below. The turbo blower subsystem mixes Air and O2 and delivers the mixed gas to the lower level assembly. The turbo blower subsystem is composed of blower, heat exchanger, oxygen mixture outlet box assembly, HEPA filter, negative pressure sensor, labyrinth chamber assembly, additional temperature sensor, shock-absorbent material, and silencing sponge. The heat exchanger connects with the blower to conduct the heat produced by the blower outside. Meanwhile, the mixed gas which flows through the blower carries away some heat produced by the turbo blower subsystem. The temperature of the blower affects the service life directly. Therefore, the working temperature of the blower is monitored by the additional temperature sensor (Tblower). If the temperature exceeds the standard, the cooling fan is speeded up to increase the heat-sinking capability of the blower. Negative pressure sensor is used for monitoring the actual negative pressure at the inlet of the turbine. If the negative pressure exceeds 8kPa, the alarm message [Technical Error 06] is displayed on the screen. And then the HEPA filter must be replaced. 2-10 The structural components of the turbo blower subsystem are as shown below. Turbine heat exchanger Mixed O2 outlet box HEPA filter 2.1.3.4 Flow Control Subsystem The chief component of the flow control subsystem is low-pressure large-diameter inspiratory valve. It controls the opening and closing of the valve port via voice coil motor and provides the required pressure and flow for the system. The large-diameter inspiratory valve assembly also provides gas supply for monitoring O2 concentration. The schematic diagram of the flow control subsystem is as shown below. 2-11 The component structure of the flow control subsystem is as shown below. Inspiratory valve shell Encapsulated filter screen Voice coil motor 2.1.3.5 Safety Valve Subsystem The safety valve module is located in the downstream of the inspiratory flow sensor. As the inspiratory channel of the system, it is connected with the external breathing tubes or other medical accessories. This module has two functions. One is active pressure relief to prevent the pressure of the pneumatic system from exceeding the preset pressure. The relief pressure can be preset as required by the operator. The relief mechanism is controlled by software. The other is to provide channel for patient’s spontaneous breathing when the system is powered off or standby, to prevent patient apnea. The safety valve module closes or opens the safety valve by controlling the power-on/-off of the electromagnet. The schematic diagram of the safety valve subsystem is as shown below. 2-12 The corresponding component structure is as shown below. Safety valve base assembly Detachable part of the safety valve Electromagnet Check valve diaphragm Safety valve plug Safety valve dust-proof pad Safety valve diaphragm Safety valve knob The module has fixed part and detachable part. The fixed part includes electromagnet, safety valve base, and floating mechanism. This part is fixed to the machine bracket via screws to support the overall safety valve assembly. The detachable part includes safety valve diaphragm, safety valve main body, check valve diaphragm, safety valve plug, and safety valve knob. This part provides controlled breath and spontaneous breathing channel for the patient. It can be detached without tools by the client for cleaning and disinfection. The external output port of the safety valve subsystem is the outlet part of the gas reservoir. This port complies with coaxial 22mm conical connector specified by ISO 5356-2:1987. 2-13 The gas flow of the safety valve includes the following cases: 1. When the ventilator ventilates normally, the electromagnet is powered on and seals the valve port. O2 enter the patient via safety valve channel. The gas flow is as shown below. 2. When the airway pressure is too high, the electromagnet is powered off and opens the pressure relief channel actively to ensure patient safety. The gas flow is as shown below. When the airway pressure returns to normal, the electromagnet is powered on. Gas flow returns to that described in case 1. 2-14 3. When the patient breathes spontaneously, the electromagnet is powered off and opens the pressure relief channel. The patient obtains air from the atmosphere. The gas flow is as shown below. 4. When the machine is powered off inadvertently, the electromagnet is powered off and opens the pressure relief channel to support patient spontaneous breathing. Refer to case 3 for gas flow. 2.1.3.6 Expiration Assembly The expiration module implements pressure control, pressure monitoring, and flow monitoring during the patient expiratory phase. It differs from the inspiration module in that the gas that passes through it is the patient’s exhaled gas. This results in the need to clean and disinfect the components of the expiration module before reuse. The diagram is as shown below. 2-15 The expiratory valve (EV) is an electronically controlled valve. The expiratory valve closing pressure is controlled by the voice coil motor. When the control current the system gives to the voice coil motor is zero, the expiratory valve fully opens. When the system gives the voice coil motor certain control current, the voice coil motor seals the diaphragm to the valve port with certain pushing force. The patient’s exhaled gas must overcome the valve port sealing force of the gas inside the expiratory valve cavity in order to pass the valve port. This dynamic process finally guarantees that the airway pressure is a setting value (this value corresponds to the control current of the voice coil motor). During the inspiratory phase, the system gives the voice coil motor relatively large control current to seal the valve. The corresponding valve closing pressure differs with the parameters set under vent mode (Plimit in V-A/C mode, Pinsp+PEEP in P-A/C mode, Psupp+PEEP in PSV mode). Gas enters the patient first. If the airway pressure is greater than the valve closing pressure during the inspiratory phase, the expiratory valve diaphragm opens to relieve pressure to ensure patient safety. During the expiratory phase, the system gives the voice coil motor zero or relatively small control current, which corresponds to expiratory valve fully open or forming certain valve closing pressure. When the expiratory valve fully opens, it is equivalent to the case that the patient’s exhaled gas is directly vented to the atmosphere (same to expiration by a normal person). If the expiratory valve has certain valve closing pressure, it is equivalent to the case that the patient’s exhaled gas is always kept above positive pressure; namely, the patient’s expiratory pressure is the set PEEP value. The expiratory flow sensor (Q3) is based on the principle of differential pressure. A diaphragm-type sensor (metallic diaphragm flow sensor) is use, which is characterized by high sensitivity. The expiration module uses metallic diaphragm flow sensor to support 134℃ autoclaving. The diaphragm will get distorted after long term of use. Therefore, it needs to be calibrated periodically to maintain measurement accuracy. When the gas flows through Q3, a pressure difference is produced on both sides of the Q3 diaphragm. Flow information is acquired through processing this pressure difference after it is collected by differential pressure sensor PQ3. SOL2 and SOL3 are corresponding zeroing three-way valve. Pressure sensor PE is the sensor measuring the pressure in the expiratory limb. It uses front-end sampling line of Q3 to collect pressure signals. In addition, there are two limbs passing through R2 and R3. They produce small flushing gas flow in the pressure sampling line to prevent water vapor from condensing in the pressure sampling line and affecting the accuracy of pressure measurement. 2-16 The component structure of expiration module is as shown below. Sampling seat assembly Disinfectable expiratory valve assembly Voice coil motor Patient gas outlet Expiratory check valve open Expiratory valve seat Expiratory check valve closed 2.1.3.7 Patient Tube Patient tube is the peripheral pneumatic circuit of the ventilator, independent of the ventilation main unit. It can be configured as needed. Patient tube connects the ventilator with the patient and humidifies the patient’s inhaled gas. Its diagram is as shown below. 2-17 There are disposable and reusable patient tubes. Generally, disposable tubes integrate tube, water trap, and Y piece, and are made of PVC material. They are of low cost and are discarded after use. Reusable tubes, typically, are made of silicone which can be autoclaved for many times. The water trap and Y piece can also be autoclaved. Despite the high cost, reusable tubes reduce clinical cost since they can be used for many times. Filters are placed at the inspiration port and expiration port of the ventilator. The filtering accuracy is 5um. The filters can effectively prevent bacteria inside the patient tube from entering the ventilator’s pneumatic circuit. The humidifier is placed in the inspiratory tube. After passing through the humidifier, the mixed dry gas the ventilator outputs become warm saturated gas and then enter the patient’s respiratory tract, avoiding bring discomfort and complication to the patient. The nebulizer is connected with the nebulizing nozzle on the front panel of the machine. It turns nebulized liquid medicine into gaseous colloidal particles. During the patient’s inspiration, the medicine is delivered to the patient’s respiratory tract and lungs together with the nebulized gas to treat the patient. 2-18 2.2 Electrical Circuit 2.2.1 Overview of the Hardware Boards The block diagram of SV300/350 hardware system is as shown below. The connection lines in the diagram indicate the connection between hardware boards and that between modules. 2-19 The SV300/350 hardware system is divided into the following modules: power module, main control&VPM module, monitoring module, display module, gas parameter module etc. 1. Power module: includes AC input, cooling fan, AC-DC board, battery, DC-DC board, battery adapter board; provides power supply for the whole ventilator system. 2. Main control&VPM module: includes main control core board, peripheral drive interface etc; fulfills man-machine interaction of the ventilator, data interaction with other modules and subsystems; extends USB and network interfaces. 3. Monitoring module: includes VCM module, inspiration module, expiration module, vacuum sensor board, sensor adapter board etc.; fulfills pressure and flow monitoring, valve control, O2 concentration collection, data interaction with the main control board. 4. Display module: includes LCD screen, touchscreen, alarm light board, encoder board, button control etc. 5. Gas parameter module: includes sidestream CO2 module and mainstream CO2 module; choose one from them. 2-20 2.2.2 Electrical Circuit Diagram 2-21 2.2.3 Power Supply System 2.2.3.1 Output of the Power Supply System 2-22 Pcon: system power-on/off button signal for SV300/350 ventilator. Acon: power-off signal provided by the main control board; high level for not allowing to power off and low level for allowing to power off. 2.2.3.2 Distribution of Power Supplies in the System Power supplies for hardware boards and their parts Monitoring module main board +5V;+12V;+24V Main control core board +5V Button control board +3.3V;+5V;+12V Alarm light board +5V Encoder board +5V Sensor adapter board -5V;+3.3V;+5V;+10.5V;+12V Touchscreen +5V Display +3.3V;+12V Cooling fan +12V O2 proportional valve +12V Inspiratory/expiratory voice coil motor +7V Nebulizing valve +5V Turbo blower +5V;+24V Mainstream CO2 module +5V Sidestream CO2 module +12V 2-23 2.2.4 Board Function For board connections, refer to 2.2.2Electrical Circuit Diagram. 2.2.4.1 Boards of the Power Module The power module includes AC-DC board, DC-DC board, and battery adapter board. Their functions are: AC-DC board : transforms the external AC input power into DC power (nominal value is 18.88V ) to be used by the DC-DC board. DC-DC board : Controlled by the power-on/off circuit, transforms the DC power outputted by AC-DC, external DC input, or intelligent battery power into DC power which the system requires to produce 5V, 12V, 24V etc, and performs charging management of the intelligent battery. Battery adapter board : transfer battery signals. AC-DC board: AC input AC-DC output 2-24 AC-DC board transforms external AC into internal DC. TB1 connector is AC input connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 L AC input 1 AC signal 2 NC No internal connection / 3 N AC input 2 AC signal TB2 connector of AC-DC board is its DC output connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 +V Positive terminal of AC-DC output / 2 +V Positive terminal of AC-DC output / 3 +V Positive terminal of AC-DC output / 4 +V Positive terminal of AC-DC output / 5 GND Ground / 6 GND Ground / 7 GND Ground / 8 GND Ground / DC-DC board: External DC input Battery port AC - DC board input port DC - DC board signal port DC - DC power supply output port Fan Serial port 2-25 Debugging port J3 connector of DC-DC board is connector with AC-DC. It is defined as follows: Pin No. Signal name Signal description Remark 1 AC_DC_IN 2 AC_DC_IN Input signal AC-DC outputs to DC-DC Rated current is 8.8A 3 AC_DC_IN 4 AC_DC_IN 5 GND Ground / 6 GND Ground / 7 GND Ground / 8 GND Ground / J12 connector of DC-DC board is DC input connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 DC-IN+ / 2 DC-IN+ Positive terminal of external DC input signal 3 DC-IN- / 4 DC-IN- Negative terminal of external DC input signal / / J11 connector of DC-DC board is the connector with battery adapter board. It is defined as follows: Pin No. Signal name Signal description Remark 1 GND Ground / 2 BAT1 Positive terminal of battery 1 input signal / 3 GND Ground / 4 GND Ground / 5 BAT1 Positive terminal of battery 1 input signal / 6 GND Ground / 7 BAT1 Positive terminal of battery 1 input signal / 8 GND Ground / 9 GND Ground / 10 GND Ground / 11 BAT1 Positive terminal of battery 1 input signal / 12 GND Ground / 2-26 Pin No. Signal name Signal description Remark 13 GND Ground / 14 BAT1 Positive terminal of battery 1 input signal / 15 BAT1_BC In-place signal of battery 1 / 16 SMBC1 I2C clock signal of battery 1 / 17 SMBC2 In-place clock signal of battery 2 / 18 SMBD1 I2C data signal of battery 1 / 19 SMBD2 I2C data signal of battery 2 / 20 BAT2_BC In-place signal of battery 2 / 21 GND Ground / 22 BAT1 Positive terminal of battery 1 input signal / 23 GND Ground / 24 GND Ground / 25 BAT1 Positive terminal of battery 1 input signal / 26 GND Ground / 27 BAT1 Positive terminal of battery 1 input signal / 28 GND Ground / 29 GND Ground / 30 GND Ground / 31 BAT1 Positive terminal of battery 1 input signal / 32 GND Ground / 33 GND Ground / 34 BAT1 Positive terminal of battery 1 input signal / J13 connector of DC-DC board is the connector with monitoring module main board. It is defined as follows: Pin No. Signal name Signal description Remark 1 24VA 24V power supply of turbo blower / 2 24VA 24V power supply of turbo blower / 3 12VA 12V power supply of monitoring module main board / 4 5VA 5V power supply of VCM of monitoring module main board / 2-27 Pin No. Signal name Signal description Remark 5 5VB 5V power supply of GUI of monitoring module main board / 6 GND Ground / 7 GND Ground / 8 GND Ground / 9 GND Ground / 10 GND Ground / J1 connector of DC-DC board is the connector with monitoring module main board. It is defined as follows: Pin No. Signal name Signal description Remark 1 VBUS Power supply of buzzer / 2 GND Ground / 3 BELL_CTRL Control pin of buzzer / 4 AC_LED Control signal of AC indicator light / 5 BAT_LED Control signal of battery indicator light / / 6 TXD Serial port signal of power board transmitting to main control board 7 KEY_ONOFF Power-on/off control signal / 8 GND Ground / 9 POWER_EN Control power signal of main control board / / 10 RXD Serial port signal of power board receiving from main control board 11 GND Ground / 12 IO1 Backup / 13 GND Ground / 14 GND Ground / 2-28 Battery adapter board: Battery adapter board Battery input port Battery output J1 connector of battery adapter board is the connector with battery. It is defined as follows: Pin No. Signal name Signal description Remark 1 GND Ground / 2 GND Ground / 3 TEM Battery temperature detection signal / 4 PRT_BC Battery in-place signal / 5 SMBC Clock signal of battery I2C interface / 6 SMBD Data signal of battery I2C interface / 7 BAT+ Positive terminal of battery input signal / 8 BAT+ Positive terminal of battery input signal / 9 GND Ground / 10 GND Ground / 2-29 J2 connector of battery adapter board is the connector with DC-DC board. It is defined as follows: Pin No. Signal name Signal description Remark 1 GND Ground / 2 BAT+ Positive terminal of battery input signal / 3 GND Ground / 4 BAT+ Positive terminal of battery input signal / 5 GND Ground / 6 BAT+ Positive terminal of battery input signal / 7 GND Ground / 8 BAT+ Positive terminal of battery input signal / 9 GND Ground / 10 BAT+ Positive terminal of battery input signal / 11 GND Ground / 12 BAT+ Positive terminal of battery input signal / 13 TEM Battery temperature signal 14 SMBC Clock signal of battery I2C interface / 15 PRT_BC Battery in-place signal / 16 SMBD Data signal of battery I2C interface / 2.2.4.2 Main Control Core Board Boards of the main control module include main control core board and peripheral interface circuit (on the monitoring module main board). It is the control core of the ventilator and implements man-machine interface (display screen, external key-in), control command transfer, alarm, ventilator protection function, CO2 parameter module, and peripheral interface circuit. 2-30 Main control core board: implements the minimum core system of the main control module; leads out the pins of the minimum system to be connected to the monitoring main board. Debu ggin g JTAG Serial port debugging 2.2.4.3 Monitoring Module The monitoring module includes the following boards: SV300/350 monitoring module main board, SV300/350 sensor adapter board, and SV300/350 vacuum sensor board. SV300/350 monitoring module main board: The monitoring module main board fulfils the SV300/350 core board and ventilator parameter functions. It includes DSP control module, inspiration module, expiration module, and main control module peripheral interface circuit. It implements the following functions: 1. Control all valves and collect AD of analog quantity. 2. Drive and control the turbo blower. 3. Monitor turbine negative pressure and temperature. 4. Monitor pressure and flow signal input, transforms analog quantity into digital quantity. 5. Perform UART communication with the main control board. 6. Implement main control board peripheral interface circuit, such as wired network, wireless network, USB, VGA, display interface etc. 2-31 EV20 monitoring module main board Turbine failure indicator light D1 VCM failure indicator light D4 Turbine connector Nurse call RS232&CAL Net USB VGA External temp. sensor connector Exp. Voice coil motor Speaker connector O2 proportional valve Power supply connector (power board) Insp. Failure indicator light D2 Nebulizing valve Signal connector (power board) Vacuum sensor Parameter module connector Sensor adapter board Display connector Button board connector Backup(SPO2) connector Wireless wifi Exp. Failure indicator light D3 The following table lists the indicator lights. Item Description Turbine failure indicator light D1 Lit: a failure occurs to the turbo blower or drive circuit is faulty. Check if the cable for turbine connector is properly connected. If not, the turbo blower or monitoring module main board itself is faulty. No lit: operate normally. Insp. failure indicator light D2 Lit/not lit: if the inspiration module has software failure, restart to see if the failure disappears. If the monitoring module main board is damaged, replace the monitoring module main board. If the power board is faulty, enter the AD channel to see if the voltage value which the AD value samples has an error (if an error occurs, the value is displayed in red). Flashing: operate normally. Exp. failure indicator light D3 Lit/not lit: if the expiration module has software failure, restart to see if the failure disappears. If the monitoring module main board is damaged, replace the monitoring module main board. If the power board is faulty, enter the AD channel to see if the voltage value which the AD value samples has an error (if an error occurs, the value is displayed in red). Flashing: operate normally. 2-32 Item Description VCM failure indictor light D4 Lit/not lit: if the VCM module has software failure, restart to see if the failure disappears. If the monitoring module main board is damaged, replace the monitoring module main board. If the power board is faulty, enter the AD channel to see if the voltage value which the AD value samples has an error. Flashing: operate normally. J22 connector of monitoring module main board power supply connector is the connector with DC-DC board. It is defined as follows: Pin No. Signal name Signal description Remark 1 VBL 24V power supply of turbo blower / 2 VBL 24V power supply of turbo blower / 3 VPP 12V power supply of monitoring module main board / 4 VCCB 5V power supply of VCM of monitoring module main board / 5 VCCA 5V power supply of GUI of monitoring module main board / 6 GND Ground / 7 GND Ground / 8 GND Ground / 9 GND Ground / 10 GND Ground / J38 connector of monitoring module main board is the connector with DC-DC board. It is defined as follows: Pin No. Signal name Signal description Remark 1 VBUS Power supply of buzzer / 2 GND Ground / 3 BELL_CTRL Control pin of buzzer / 4 AC_LED Control signal of AC indicator light / 5 BAT_LED Control signal of battery indicator light / Serial port signal of main control board receiving from power board / 6 UART4_335X_RXD 7 PCON Power-on/off control signal / 8 GND Ground / 2-33 Pin No. Signal name Signal description Remark 9 POWER_EN Control power signal of main control board / / 10 UART4_335X_TXD Serial port signal of main control board transmitting to power board 11 GND Ground / 12 BK Backup / 13 Blank Blank / 14 Blank Blank / J9 is VGA connector of external display socket. It is defined as follows: Pin No. Signal name Signal description Remark 1 R0 R signal of external display / 2 G0 G signal of external display / 3 B0 B signal of external display / 4 NC No internal connection / 5 GND Ground / 6 GND Ground / 7 GND Ground / 8 GND Ground / 9 NC No internal connection / 10 GND Ground / 11 NC No internal connection / 12 NC No internal connection / 13 LCD_HS Horizontal synchronization signal of external display / 14 LCD_VS Vertical synchronization signal of external display / 15 NC No internal connection / J11 is external USB connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 USB0_VBUS USB0 power supply 5V 2 USB0_DM USB0 signal cable / 3 USB0_DP USB0 signal cable / 4 GND Ground / 2-34 J10 is external nurse call connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 NC1 Nurse call signal / 2 GND Ground / 3 GND Ground / 4 GND Ground / 5 GND Ground / J8 is network connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 TX+ Main control network transmitting signal+ / 2 TX- Main control network transmitting signal- / 3 RX+ Main control network receiving signal+ / 4 GND Ground / 5 GND Ground / 6 RX- Main control network receiving signal- / 7 GND Ground / 8 GND Ground / J37 is nebulizing valve connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 VCCBL Nebulizing valve power supply, 5V / 2 NCV- Nebulizing valve control terminal / 3 SW_O2+ Gas supply pressure switch signal, reserved Not used 4 GND Ground / J29 is the connector between monitoring module main board and vacuum sensor board. It is defined as follows: Pin No. Signal name Signal description Remark 1 V_I2C Vacuum sensor power supply, 3.3V / 2 GND Ground / 2-35 Pin No. Signal name Signal description Remark 3 AMBIENT_SDA_INSP Data line for vacuum sensor I2C connector / 4 GND Ground / 5 AMBIENT_SCL_INSP Clock line for vacuum sensor I2C connector / J21 is CO2 module connector. It is defined as follows: Pin No. 1 Signal name EX_5V_TXA Signal description Remark Extension serial port transmitting Communicate with the sidestream CO2 module 2 RS232_RXD Extension serial port receiving Communicate with the mainstream CO2 module 3 GND Ground / 4 GND Ground / 5 EX_5V_RXA Extension serial port receiving Communicate with the sidestream CO2 module 6 RS232_TXD Extension serial port transmitting Communicate with the mainstream CO2 module 7 GND Ground / 8 VCCAC Mainstream CO2 module power supply, 5V / 9 VCCAC Mainstream CO2 module power supply, 5V / 10 PWR12V Sidestream CO2 module power supply,12V / 11 GND Ground / 12 PWR12V CO2 module power supply, 12V / J13 is the speaker connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 VO- Speaker drive signal- / 2 VO+ Speaker drive signal + / 2-36 J10 is the connector between monitoring module main board and display. It is defined as follows: Pin No. Signal name Signal description Remark 1 GND Ground / 2 GND Ground / 3 GND Ground / 4 GND Ground / 5 GND Ground / 6 LVDS_0- LVDS DIFFERENTIAL DATA LINE0- / 7 PWR12V Display backlight power supply, 12V / 8 LVDS_0+ LVDS DIFFERENTIAL DATA LINE0+ / 9 PWR12V Display backlight power supply, 12V / 10 GND Ground / 11 PWR12V Display backlight power supply, 12V / 12 LVDS_1- LVDS DIFFERENTIAL DATA LINE1- 13 PWR12V Display backlight power supply, 12V / 14 LVDS_1+ LVDS DIFFERENTIAL DATA LINE1+ / 15 GND Ground / 16 GND Ground / 17 GND Ground / 18 LVDS_CK- Display differential data line- / 19 VLCD Display power supply, 3.3V / 20 LVDS_CK+ Display differential data line- / 21 VLCD Display power supply, 3.3V / 22 GND Ground / 23 VLCD Display power supply, 3.3V / 24 LVDS_2- LVDS DIFFERENTIAL DATA LINE2- / 25 PWM1 Backlight brightness adjustment signal / 26 LVDS_2+ LVDS DIFFERENTIAL DATA LINE2+ 2-37 Pin No. Signal name Signal description Remark 27 GND Ground / 28 GND Ground / 29 SET_6bit/8bit Display bit color control / 30 LVDS_3- LVDS DIFFERENTIAL DATA LINE3- / 31 BACKLIGHT_EN Display backlight enabled / 32 LVDS_3+ LVDS DIFFERENTIAL DATA LINE3+ 33 NC No internal connection / 34 GND Ground / 35 NC No internal connection / 36 GND Ground / 37 NC No internal connection / 38 NC No internal connection / 39 NC No internal connection / 40 NC No internal connection / J17 is the connector between monitoring module main board and button control board. It is defined as follows: Pin No. Signal name Signal description Remark 1 PWR12V Button board power supply, 12V / 2 VCCA Button board power supply, 5V / 3 GND Ground / 4 VDDA Button board power supply, 3.3V / 5 GND Ground 6 UART2_335X_TXD Button board communication serial port, main control transmitting / 7 GND Ground / 8 UART2_335X_RXD Button board communication serial port, main control receiving / 9 AC_LED AC indicator light / 10 BAT_LED Battery indicator light / 11 PCON Power-on signal / 12 GND Ground / 2-38 J30 is the O2 proportional valve connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 O2_Valve+ Positive terminal of O2 proportional valve / 2 O2_Valve- Negative terminal of O2 proportional valve / J1 is the turbo blower connector. It is defined as follows: Pin No. Signal name Signal description Remark 1 H2 Hall position signal H2 / 2 H1 Hall position signal H1 / 3 VCCB Hall sensor power supply / 4 MOTOR_A Turbo blower drive signal A / 5 NTC1 Thermistor / 6 H3 Hall position signal H3 / 7 GND Ground / 8 MOTOR_C Turbo blower drive signal C / 9 MOTOR_B Turbo blower drive signal B / 10 NTC21 Ground / J2 is the connector for turbo blower external temperature sensor. It is defined as follows: Pin No. Signal name Signal description Remark 1 NTC+ One terminal of temperature sensor 2 NTC+ The other terminal of temperature sensor No positive and negative terminals are differentiated. J31 is the connector for proportional valve. It is defined as follows: Pin No. Signal name Signal description Remark 1 Insp_Valve+ Positive terminal of inspiration proportional valve / 2 Insp_Valve+ Positive terminal of inspiration proportional valve / 3 / / Suspended 4 Insp_Valve- Negative terminal of inspiration proportional valve / 2-39 Pin No. Signal name Signal description Remark 5 Insp_Valve- Negative terminal of inspiration proportional valve / 6 GND Ground Fix pad pin 7 GND Ground Fix pad pin J32 is the connector for expiratory valve. It is defined as follows: Pin No. Signal name Signal description Remark 1 Exp_Valve+ Positive terminal of expiration proportional valve / 2 Exp_Valve+ Positive terminal of expiration proportional valve / 3 NC / Suspended 4 Exp_Valve- Negative terminal of expiration proportional valve / 5 Exp_Valve- Negative terminal of expiration proportional valve / 6 GND Ground / 7 GND Ground / J35 is the connector between monitoring module main board and sensor adapter board. It is defined as follows: Pin No. Signal name Signal description Remark 1 Safety_Valve- Negative terminal of safety valve / 2 Safety_Valve- Negative terminal of safety valve / 3 V_Safety_Valve Safety valve power voltage 12V 4 V_Safety_Valve Safety valve power voltage 12V 5 3Way_Purge_1_Exp- Control signal of expiratory purging 3-way valve 1 / 6 3Way_Purge_2_Exp- Control signal of expiratory purging 3-way valve 2 / 7 3Way_Zero_1_Exp- Control signal of expiratory zeroing 3-way valve 1 / 8 3Way_Zero_2_Exp- Control signal of expiratory zeroing 3-way valve 2 / 9 VCCBL Power supply 5V 10 3Way_Zero_Insp- Control signal of inspiratory zeroing 3-way valve / 11 VCCBL Power supply 5V 2-40 Pin No. Signal name Signal description Remark 12 GND Ground / 13 Blank / / 14 Blank / / 15 O2_TSI_SCL Clock signal of O2 TSI sensor / 16 GND Ground / 17 INSP_TSI_SCL Clock signal of mixed gas TSI sensor / 18 O2_TSI_SDA Data signal of O2 TSI sensor / 19 GND Ground / 20 INSP_TSI_SDA Data signal of mixed gas TSI sensor / 21 VDDB Power supply 3.3V 22 GND Ground / 23 VCCBL Power supply 5V 24 AVSS Power supply -5V 25 GND Ground / 26 AVCC Power supply 5V 27 VC Power supply 10.5V 28 GND Ground / 29 EXP_PIN Expiratory pressure / 30 EXP_FIN Expiratory flow / 31 GND Ground / 32 TEMP_O2_TSI Temperature signal of O2 TSI sensor / 33 FLOW_O2_TSI Flow signal of O2 TSI sensor / 34 GND Ground / 35 FiO2 Inspired O2 concentration / 36 INSP_PIN Inspiratory pressure / 37 GND Ground / 38 GND Ground / 39 FLOW_INSP_TSI Flow signal of mixed gas TSI sensor / 40 TEMP_INSP_TSI Temperature signal of mixed gas TSI sensor / 41 GND Ground Fix pad pin 42 GND Ground Fix pad pin 2-41 SV300/350 sensor adapter board: The adapter board implements the following functions: Monitor inspiratory pressure and expiratory pressure, output amplified signals. Monitor expiratory flow and output amplified signals. Monitor O2 concentration and output amplified signals. Transfer O2 flow and inspiratory flow signals. Transfer to 3-way valve. Transfer to safety valve control signal. J3 is the connector between sensor adapter board and monitoring module main board. It is defined as follows: Pin No. Signal name Signal description Remark 1 TEMP_INSP_TSI Temperature signal of mixed gas TSI sensor / 2 FLOW_INSP_TSI Flow signal of mixed gas TSI sensor / 3 GND Ground / 4 GND Ground / 5 INSP_PIN Inspiratory pressure / 6 FiO2 O2 concentration / 7 GND Ground / 8 FLOW_O2_TSI Flow signal of O2 TSI sensor / 9 TEMP_O2_TSI Temperature signal of O2 TSI sensor / 10 GND Ground / 11 EXP_FIN Expiratory flow / 12 EXP_PIN Expiratory pressure / 13 GND Ground / 14 VC Power supply 10.5V 15 AVCC Power supply 5V 16 GND Ground / 2-42 Pin No. Signal name Signal description Remark 17 AVSS Power supply -5V 18 VCCBL Power supply 5V 19 GND Ground / 20 VDDB Power supply 3.3V 21 INSP_TSI_SDA Data signal of mixed gas TSI sensor / 22 GND Ground / 23 O2_TSI_SDA Data signal of O2 TSI sensor / 24 INSP_TSI_SCL Clock signal of mixed gas TSI sensor / 25 GND Ground / 26 O2_TSI_SCL Clock signal of O2 TSI sensor / 27 Blank / / 28 Blank / / 29 GND Ground / 30 VCCBL Power supply 5V 31 3Way_Zero_Insp- Control signal of inspiratory zeroing 3-way valve / 32 VCCBL Power supply 5V 33 3Way_Zero_2_Exp- Control signal of expiratory zeroing 3-way valve 2 未用 34 3Way_Zero_1_Exp- Control signal of expiratory zeroing 3-way valve 1 / 35 3Way_Purge_2_Exp- Control signal of expiratory purging 3-way valve 2 / 36 3Way_Purge_1_Exp- Control signal of expiratory purging 3-way valve 1 / 37 V_Safety_Valve Safety valve power voltage 12V 38 V_Safety_Valve Safety valve power voltage / 39 Safety_Valve- Negative terminal of safety valve / 40 Safety_Valve- Negative terminal of safety valve / 41 GND Ground Fix pad pin 42 GND Ground Fix pad pin J1 is connector for O2 concentration sensor. It is defined as follows: Pin No. Signal name Signal description Remark 1 O2_SENSOR+ Positive terminal of O2 concentration sensor / 2 O2_SENSOR- Negative terminal of O2 concentration sensor / 2-43 J4 is the connector for O2 flow sensor. It is defined as follows: Pin No. Signal name Signal description Remark 1 O2_FLOW_TSI Flow signal of O2 TSI sensor / 2 O2_TEMP_TSI Temperature signal of O2 TSI sensor / 3 GND Ground / 4 O2_SCL_I2C_TSI Clock signal of O2 TSI sensor / 5 O2_SDA_I2C_TSI Data signal of O2 TSI sensor / 6 VCCBL Power supply / 7 GND Ground / 8 VDDB EEPROM power supply / J5 is the connector for mixed gas flow sensor. It is defined as follows: Pin No. Signal name Signal description Remark 1 INSP_FLOW_TSI Flow signal of mixed gas TSI sensor / 2 INSP_TEMP_TSI Temperature signal of mixed gas TSI sensor / 3 GND Ground / 4 INSP_SCL_I2C_TSI Clock signal of mixed gas TSI sensor / 5 INSP_SDA_I2C_TSI Data signal of mixed gas TSI sensor / 6 VCCBL Power supply / 7 GND Ground / 8 VDDB EEPROM power supply / J2 is the connector for safety valve. It is defined as follows: Pin No. Signal name Signal description Remark 1 V_SAFE_VALVE Positive terminal of safety valve / 2 SAFE_VALVE- Negative terminal of safety valve / 2-44 SV300/350 vacuum sensor board: This board measures the negative pressure at the turbo blower. If the turbine inlet is occluded, a relevant alarm is given. J1 is the connector for vacuum sensor adapter board. It is defined as follows: Pin No. Signal name Signal description Remark 1 V_I2C Vacuum sensor power supply, 3.3V / 2 GND Ground / 3 AMBIENT_SDA_INSP Data line of vacuum sensor I2C connector / 4 GND Ground / 5 AMBIENT_SCL_INSP Clock line of vacuum sensor I2C connector / 2.2.4.4 Display Module Boards of the display part are responsible for man-machine interaction. They include button control main board, alarm light board, and encoder board. Button control main board 1. Process button input and encoder input 2. Drive alarm light and indicator light (battery and AC). 3. Perform UART communication with the main control board. 4. Process touchscreen input. 5. Provide buttons for power-on/off and silence. 2-45 Alarm light board Support alarm display in red and yellow. Encoder board 1. Select and confirm touch buttons on the SV300/350 ventilator display. SV300/350 button control main board: Alarm silence button Power-on/off button Power-on/off backlight AC and BAT indicator lights Alarm silence indicator light Encoder Alarm light Monitoring module connector connector main board connector Touchscreen input port Button control board J3 is the connector between button control board and monitoring module main board. It is defined as follows: Pin No. Signal name Signal description Remark 1 VPP 12V power supply Provide power supply for alarm light and alarm silence indicator light 2 VCC 5V power supply Provide power supply for touchscreen control IC and encoder part 3 GND Ground / 4 VDD 3.3V power supply Provide power supply for button control CPU part 5 GND Ground / 6 TXD_MAIN Button control serial port receiving TTL/LVTTL 7 GND Ground / 8 RXD_MAIN Button control serial port transmitting TTL/LVTTL 9 LED_AC Signal of AC indicator light / 10 LED_BAT Signal of battery indicator light / 11 PCON Signal of power-on/off button / 2-46 12 GND Ground / J1 is the connector between button control board and alarm light board. It is defined as follows: Pin No. Signal name Signal description Remark 1 LED_RED Control signal of red alarm light / 2 LED_YELLOW Control signal of yellow alarm light / 3 VPP 12V power supply Alarm light 12V power supply 4 GND Ground / J1 is the connector between button control board and encoder board. It is defined as follows: Pin No. Signal name Signal description Remark 1 GND Ground / 2 ES Encoder press-down / 3 EB Encoder output B / 4 EA Encoder output A / 5 VCC 5.0V power supply Encoder power supply 5.0V J4 is the connector between button control board and encoder board. It is defined as follows: Pin No. Signal name Signal description Remark 1 UR_HIN Touchscreen RT signal / 2 XR_XLIN Touchscreen RL signal / 3 AD3IN Touchscreen SG signal / 4 UL_YTIN Touchscreen LT signal / 5 LL_YBIN Touchscreen LL signal / SV300/350 alarm light board: 2-47 J1 is the connector between alarm light board and button control board. It is defined as follows: Pin No. Signal name Signal description Remark 1 LED_RED Control signal of red alarm light / 2 LED_YELLOW Control signal of red alarm light / 3 VPP 12V power supply Alarm light 12V power supply 2-48 3 Checkout and Test WARNING z z After servicing the equipment or replacing its components, compelete all the tests in this section. Before doing the tests in this section, completely reassemble the equipment and refer to 5 Maintenance and Calibration to do necessary calibrations. 3.1 System Inspection NOTE z Make sure that the breathing system is correctly connected and not damaged. Make sure that: 1. The equipment is not damaged. 2. All components are correctly attached. 3. The breathing system (including the inspiratory safety valve, expiration valve, humidifier, and nebulizer etc.) is correctly connected and the breathing tubes are not damaged. 4. The gas supplies are correctly connected and the pressures are correct. 5. Cylinder valves are closed on models with cylinder supplies. 6. The casters are not loose and the brake (s) is set and prevents movement. 7. The power cord is correctly connected. The external power indicator and the battery indicator work normally. 8. The ventilator is switched on or off normally. 3.2 Power Failure Alarm Test (External Power and Buzzer) 1. 2. 3. 4. 5. Connect the ventilator to the power supply. Both the power indicator and battery indicator should come on. If the power indicator is not lit, check the fuse and power board. Depress the power switch to turn on the ventilator. Disconnect the power socket with the system turned on. The prompt message [Battery in Use] is displayed in the system alarm message area. Meanwhile, the power indicator is extinguished and the battery indicator is flashing. Reconnect the power supply and the prompt message [Battery in Use] disappears. The power indicator is lit. The battery indicator stops flashing and stays on. Remove the battery from the ventilator, and disconnect the power socket. The ventilator will shut down and the buzzer buzz for more than 120 seconds. If the buzzer does not respond, replace the monitoring board main board. 3-1 3.3 O2 Pipeline Test 1. 2. 3. 4. 5. 6. 7. Connect the O2 pipeline supply. Connect the test lungs. Depress the system switch to turn on the ventilator. Select [New Adult] in standby mode. Set ventilation type to [Non-invasive] and O2% to 40%. Then select [Start Ventilation] to allow the ventilator to enter ventilation status. Make sure that the ventilator ventilates normally. Disconnect the O2 pipeline supply. As O2 pressure decreases, the high level alarm [O2 Supply Failure] is triggered. 3.4 System Test 1. 2. 3. 4. Enter system check: Enter system check screen after power-on. Connect O2 supply and block the Y piece as prompted. Then select [Continue] to start system check item by item. Push the [Standby] key. Standby screen appears after your confirmation. The standby screen displays last system check time and result. Select [System Check]. Connect O2 supply and block the Y piece as prompted. Select [Continue] to start system check item by item. System check items include: Blower test: test the rotation speed of the blower ; O2 flow sensor test: test the flow sensor in O2 limb ; Insp. flow sensor test : test the inspiratory valve and flow sensor ; Exp. flow sensor test : test the expiratory flow sensor ; Pressure sensor test: test the pressure sensors at the inspiratory and expiratory ports; Expiratory valve test ; Safety valve test; Leakage (mL/min) ; Compliance (mL/cmH2O) ; Circuit resistance (cmH2O/L/s) ; O2 sensor test. System check result can be: Pass: indicates that check of this item is completed and is passed. Fail: indicates that check of this item is not completed and is failed. Cancel: indicates that check of this item is not completed; O2 Supply Failure : indicates that O2 supply is insufficient when O2 flow sensor test and O2 sensor test are being carried out; Monitoring Off : indicates that O2 concentration monitoring function may not be switched on when O2 sensor test is being carried out. When system check is being performed, the system prompts [Running] on the right side of the current check item. In this case, if you select [Skip], the system stops check of this item immediately and displays [Cancel]. Check of the next item begins at the same time. If you select [Stop], the system stops check of the current item and also check of the remaining items, and displays [Cancel]. 3-2 5. 6. When checks of all items are completed, if you select [Retry], the system starts a new round of check. When [Exit] is selected, the system exits check and enters standby screen Make sure that all the [Syst. Check] items pass the test. 3.5 Spontaneous Breathing Test 1. 2. Turn off the ventilator and let the ventilator in OFF state. Wear a mask, and check if the spontaneous breathing is smooth. Turn on the ventilator and let the ventilator in Standby state. Wear a mask, and check if the spontaneous breathing is smooth. 3.6 Humidifier Performance Test For detailed performance test information, please refer to the Instructions for Use of the humidifier. Make sure that the humidifier works normally. 3.7 Alarm Tests 3.7.1 Prepare for Alarm Tests 1. 2. 3. Connect test lungs to the Y piece patient connection. Turn on the ventilator. Select [New Adult] in standby mode. Set ventilation type to [Invasive]. Set the ventilator controls as follows (in standard working state): Ventilator mode: [V-A/C] O2 concentration [O2%]: 40% Tidal volume [TV]: 500 ml Inspiration time [Tinsp]:2s,or Inspiration and expiration ratio [I :E]:1 :2 Frequency [f]:10 bpm Positive end-expiratory pressure [PEEP]: 3 cmH2O Note: the working mode of the ventilator in this chapter refers to standard working state unless specified otherwise. 4. Set the ventilator to exit standby state and enter working state. 5. Make sure of: Normal display of the ventilator monitored parameter data Periodical inspiraton and expiration of the test lungs. 3.7.2 Battery in Use Alarm Test 1. 2. 3. 4. 5. Connect the ventilator to AC power and depress the hardkey. Disconnect the AC power after the system starts up. Verify that the [Battery in Use] alarm is activated and the ventilator is powered by the battery. Re-connect the AC power. Verify that this alarm is automatically reset and the ventilator is AC powered. 3-3 3.7.3 Power Failure Alarm Test 1. 2. 3. 4. 5. Connect the AC power and depress the hardkey to start up the ventilator. Disconnect the AC power after the battery is fully charged. Connect the test lungs to let the ventilator keep normal ventilation. For the ventilator configured with one battery, the ventilation time is approximately 2 hours (for the ventilator configured with two batteries, the ventilation time is approximately 4 hours). When the battery capacity is to be depleted, verify that the [System DOWN. Connect AC.] alarm is activated. Re-connect the AC power. Verify that this alarm is automatically reset and the ventilator is AC powered. 3.7.4 Paw Too High Alarm Test 1. After the ventilator system starts up normally, connect the ventilator to the test lungs to start ventilation. 2. Set Paw high alarm limit to current peak pressure+5cmH2O。 3. 4. Squeeze the test lungs forcibly in the inspiration phase. Verify that the [Paw Too High] alarm is activated, breathing cycle enters expiration phase, and Paw decreases to PEEP value. 3.7.5 TVe Too High Alarm Test 1. 2. 3. After the ventilator system starts up normally, connect the ventilator to the test lungs and set to pressure mode to start ventilation. Set TVe high alarm limit to be less than the current TVe to verify that the [TVe Too High] alarm is activated. Set TVe high alarm limit to be greater than the current TVe to verify that this alarm is automatically reset. 3.7.6 TVe Too Low Alarm Test 1. 2. 3. After the ventilator system starts up normally, connect the ventilator to the test lungs to start ventilation. Set TVe low alarm limit to be greater than the current TVe to verify that the [TVe Too Low] alarm is activated Set TVe low alarm limit to be less than the current TVe to verify that this alarm is automatically reset. 3.7.7 MV Too High Alarm Test 1. 2. 3. After the ventilator system starts up normally, connect the ventilator to the test lungs to start ventilation. Set MV high alarm limit to be less than the current MV to verify that the [MV Too High] alarm is activated. Set MV high alarm limit to be greater than the current MV to verify that this alarm is automatically reset. 3-4 3.7.8 MV Too Low Alarm Test 1. 2. 3. After the ventilator system starts up normally, connect the ventilator to the test lungs to start ventilation. Set MV low alarm limit to be greater than the current MV to verify that the [MV Too Low] alarm is activated. Set MV low alarm limit to be less than the current MV to verify that this alarm is automatically reset. 3.7.9 PEEP Too Low Alarm Test 1. 2. 3. 4. 5. Remove the expiratory valve diaphragm of the ventilator and install the expiratory valve. After the ventilator system starts up normally, connect the ventilator to the test lungs to start ventilation. Set PEEP to 5cmH2O. Verify that the [PEEP Too Low] alarm is activated. Re-install the expiratory valve diaphragm and install the expiratory valve. Repeat steps 2 and 3. Verify that this alarm is automatically reset. 3.7.10 Airway Obstructed Alarm Test 1. 2. 3. 4. After the ventilator system starts up normally, connect the ventilator to the test lungs and set to pressure mode to start ventilation. Nip the inspiration tube with the hands. Make sure the monitoring value of TVi is lower than 10 ml. After several breathing cycles, verify that the [Airway Obstructed?] alarm is activated. Loosen the inspiration tube and verify that this alarm is automatically reset. 3.7.11 Apnea Alarm Test 1. 2. 3. 4. After the ventilator system starts up normally, connect the ventilator to the test lungs to start ventilation. Set apnea alarm time to 15s. Set breathing frequency to 3bpm. Verify that the [Apnea] alarm is activated. Set breathing frequency to 10bpm. Verify that this alarm is automatically reset. 3.7.12 ftotal Too High Alarm Test 1. 2. 3. After the ventilator system starts up normally, connect the ventilator to the test lungs to start ventilation. Set ftotal high alarm limit to be less than the current ftotal. Verify that the [ftotal Too High] alarm is activated. Set ftotal high alarm limit to be greater than the current ftotal. Verify that this alarm is automatically reset. 3-5 3.7.13 FiO2 Too High Alarm Test 1. Connect the ventilator to low-pressure O2 supply. Select [Setup] →[Maintain]→[User] →enter the required password→[Setting]→[Gas Supply] to set [O2 Supply Type] to [LPO]. 2. Connect the ventilator to the test lungs to start ventilation. 3. After ventilation is stable, set FiO2 high alarm limit to be less than the current O2 concentration monitored value. 4. Verify that the [FiO2 Too High] alarm is activated. 5. Set FiO2 high alarm limit to be greater than the current O2 concentration monitored value. Verify that this alarm is automatically reset. 3.7.14 FiO2 Too Low Alarm Test 1. 2. 3. 4. 5. Connect the ventilator to high-pressure O2 supply. Select [Setup] →[Maintain]→ [User]→enter the required password→[Setting]→[Gas Supply] to set [O2 Supply Type] to [HPO]. Connect the ventilator to the test lungs to start ventilation. After ventilation is stable, turn off high-pressure O2 supply. Verify that the [FiO2 Too Low] alarm is activated. Re-connect high-pressure O2 supply. Verify that this alarm is automatically reset. 3.7.15 EtCO2 Too High Alarm Test 1. 2. 3. 4. 5. 6. Connect the CO2 test module. Set CO2 module to working mode. Connect the ventilator to the test lungs to start ventilation. After CO2 completes warm-up and enters working mode, vent 3%-7% standard CO2 to sidestream CO2. At the module sampling port or the airway adapter of mainstream CO2 module, set EtCO2 high alarm limit to be less than the standard gas concentration. Verify that the [EtCO2 Too High] alarm is activated. Set EtCO2 high alarm limit to be greater than the standard gas concentration. Verify that this alarm is automatically reset. 3.7.16 EtCO2 Too Low Alarm Test 1. 2. 3. 4. 5. 6. Connect the ventilator to the test lungs to start ventilation. Connect the CO2 test module. Set CO2 module to working mode. After CO2 completes warm-up and enters working mode, vent 3%-7% standard CO2 to sidestream CO2. At the module sampling port or the airway adapter of mainstream CO2 module, set EtCO2 low alarm limit to be greater than the standard gas concentration. Verify that the [EtCO2 Too Low] alarm is activated. Set EtCO2 low alarm limit to be less than the standard gas concentration. Verify that this alarm is automatically reset. 3-6 3.7.17 SpO2 Too High Alarm Test 1. Connect the adult SpO2 sensor to the ventilator SpO2 connector. Set the ventilator patient type to [New Adult]. 2. Select [Setup]→[Sensor]→[SpO2] and set [Monitoring] to [On]. 3. Measure SpO2 at your finger (supposing you are in healthy state). Set the SpO2 high alarm limit to 80% when the ventilator is stabilized. Verify that the [SpO2 Too High] alarm is activated. Set the SpO2 high alarm limit to 100%. Verify that this alarm is automatically reset. 4. 5. 3.7.18 SpO2 Too Low Alarm Test 1. Connect the adult SpO2 sensor to the ventilator SpO2 connector. Set the ventilator patient type to [New Adult]. 2. Select [Setup]→[Sensor]→[SpO2] and set [Monitoring] to [ON]. 3. Measure SpO2 at your finger (supposing you are in healthy state). Set the SpO2 low alarm limit to 98% when the ventilator is stabilized. Hold the wrist of the hand with sensor. Hold and press pulse until the SpO2 reading is less than 98%. Verify that the [SpO2 Too Low] alarm is activated. Stop pressing the pulse and set the SpO2 low alarm limit to 90%. Verify that this alarm is automatically reset. 4. 5. 3.7.19 PR Too High Alarm Test 1. Connect the adult SpO2 sensor to the ventilator SpO2 connector. Set the ventilator patient type to [New Adult]. 2. Select [Setup]→[Sensor]→[SpO2] and set [Monitoring] to [ON]. 3. Measure SpO2 at your finger (supposing you are in healthy state). Set the PR high alarm limit to 40 L/min when the ventilator is stabilized. Verify that the [PR Too High] alarm is activated. Set the PR high alarm limit to 120 L/min. Verify that this alarm is automatically reset. 4. 5. 3.7.20 PR Too Low Alarm Test 1. Connect the adult SpO2 sensor to the ventilator SpO2 connector. Set the ventilator patient type to [New Adult]. 2. Select [Setup]→[Sensor]→[SpO2] and set [Monitoring] to [ON]. 3. Measure SpO2 at your finger (supposing you are in healthy state). Set the PR low alarm limit to 120 L/min when the ventilator is stabilized. Verify that the [PR Too Low] alarm is activated. Set the PR low alarm limit to 40 L/min. Verify that this alarm is automatically reset. 4. 5. 3-7 3.8 Function Tests 3.8.1 Checking the Standard Working Mode Turn on the power switch and make sure that the ventilator is in working mode. Ventilator mode: [V-A/C] O2 concentration [O2%]:40 % Tidal volume [TV]:500 ml Inspiration time [Tinsp]:2s,or Inspiration and expiration ratio [I :E]:1 :2 Frequency [f]:10 bpm Positive end-expiratory pressure [PEEP]:3 cmH2O 3.8.2 Checking the Tidal Volume Turn on the ventilator and connect the test lungs. When the tidal volume output becomes stable, observe the tidal volume displayed on the screen. Make sure that the displayed tidal volume monitored value is stable and the monitored value is consistent with the set value. 3.8.3 Checking the Trigger Function 1. 2. Set the pressure trigger sensibility to -2 cmH2O. Wear a mask and inspire gently. When the airway pressure is a bit lower than this set value, starts inspiration and the trigger flashes in the information bar of the screen. icon Set the flow trigger sensibility to 2 L/min. Wear a mask and inspire slightly. When the inspiration flow is a bit lower than this set value, starts inspiration and the trigger icon flashes in the information bar of the screen. 3.8.4 Checking Spontaneous Breathing in CPAP/PSV Mode 1. 2. Set the ventilator to CPAP/PSV mode, flow trigger to 2 L/min, pressure support level to 10 cmH2O, and other parameters to their default values. Wear a mask and inspire slightly. When the trigger sensitivity is reached, make sure that inspiration starts and that the ventilator starts PSV ventilation. 3.8.5 Sidestream CO2 Test and Calibration Leak test: 1. In standby mode, occlude the gas inlet of the module or watertrap with hand or other object after CO2 warm-up is completed. 2. After occluding the gas inlet of the module or watertrap for a period of time, the screen displays the alarm message [CO2 Sampleline Occluded], indicating that the module has no leaks. 3-8 Module calibration: Test tools: CO2 with concentration of 6±0.05%, T -connector Gas tube Flowmeter cylinder with N2 as balance gas 1. 2. Make sure that the sidestream CO2 module has already been warmed up or started. Check the airway and leakage. Make sure that there is no leakage in the airway. 3. Select [Setup]→[Maintain]→[User]→enter the required password→[CO2 In Maintenance]→[Zero]. 4. Connect as shown below after successful zeroing. 5. Turn on and adjust the regulator switch to make the flowmeter indicate flow of 10 to 50 mL/min and keep such flow. Enter 6% (CO2 concentration value) in the [CO2%] text box in the [CO2 In Maintenance] menu. After the actually measured CO2 concentration is stable, select [Calibrate] to calibrate the CO2 module. After successful calibration, the message [CO2 % Calibration Completed!] is displayed. If the calibration fails, the message [Calibration Failure! Try again!] is prompted. In this case, calibrate again. 6. 7. 3-9 3.8.6 Mainstream CO2 Test Test tools: CO2 with concentration of 6±0.05%, Cylinder wtih 100% N2 T -connector Gas tube Flowmeter cylinder with N2 as balance gas 1. Make sure that the mainstream CO2 module has already been warmed up or started. 2. Select [Setup]→[Calibrate]→[Zero]. Select the [Start] button corresponding to CO2 zeroing. The screen displays [CO2 Zeroing]. After successful zeroing, put the sensor before the mouth and breathe so that there is a CO2 waveform on the screen. Then put the sensor in the air. Check that the ventilator produces the alarm message [Apnea CO2]. Connect the test system as shown below. 3. 4. 5. Open the N2 cylinder and CO2 cylinder regulators. Make sure that there is only one cylinder connected with the T-connector at a time. 6. Adjust the regulator switch to make the flowmeter indicate flow of 2~5L/min and keep such flow. Switch the cylinders connected with the T-connector at a time interval of 6-10s. Check that the CO2 displayed value is 45±2mmHg. 7. 3-10 3.8.7 SpO2 Test 1. 2. 3. 4. Connect the adult SpO2 sensor to the ventilator SpO2 connector. Set the ventilator patient type to [New Adult]. Measure SpO2 at your finger (supposing you are in healthy state). Check that the ventilator displays SpO2 Pleth waveform and PR value. And the displayed SpO2 range should be 95-100%. Remove the SpO2 sensor from the finger. Verify that the alarm [SpO2 Sensor Off] is produced. 3.8.8 Checking the Special Functions Inspiration Hold 1. 2. Select the [Tools] key →[Functions] →[Insp. Hold]. Press and hold the [Insp. Hold] key continuously. Make sure that the ventilator enters inspiration hold phase. The ventilator automatically terminates the inspiration hold function if the [Insp. Hold] key is pressed and held for continuous 30 seconds. Release the [Insp. Hold] key, and make sure the ventilator enters expiration phase. Expiration Hold 1. Select the [Tools] key →[Functions] →[Exp. Hold]. Press and hold the [Exp. Hold] key continuously. Make sure that the ventilator enters expiration hold phase. The ventilator automatically terminates the expiration hold function if the [Exp. Hold] key is pressed and held for continuous 30 seconds. Release the [Exp. Hold] key, and make sure the ventilator enters inspiration phase. 2. 1. 2. 1. 2. 3. 1. O2 Enrichment When the ventilator is in working state, select Adult mode and press the [O2↑ Suction] button. Make sure that the ventilator starts to deliver 100% O2. Press the [O2↑ Suction] button again or maintain O2 enrichment function active for 2 minutes. Make sure that the ventilator restores to the working state before O2 enrichment. Suction Press the [O2↑ Suction] button to enter suction function. Make sure that suction enters the first phase; namely, O2 enrichment is active. Disconnect the patient. Make sure that suction enters the second phase; namely, O2 enrichment is not active. The message [The Patient is Disconnected! Reconnect Patient after Suction Completed!] is prompted. Re-connect the patient. Make sure that suction enters the third phase; namely, O2 enrichment is active. Nebulizer When the ventilator is in working state, press the [Nebulizer] key and set [Nebulizer Time] in the accessed menu. Then select [Ok]. Make sure that the ventilator starts nebulizer function that there is gas output at the nebulizer output port. 2. When the nebulizer time expires or the [Nebulizer] key is pressed again, make sure that the ventilator terminates nebulizer function. 3-11 Manual Breath When the ventilator is in working state, select the [Tools] key →[Functions] → [Manual Breath]. Make sure that the ventilator delivers mechanical ventilation immediately. Sigh 1. When the ventilator is in working state, select the 2. Set ventilation parameters to their default values: [△int.PEEP] to 5cmH2O, [Interval] to 1min, and [Cycles Sign] to 3. Select [Ok]. Make sure that the ventilator activates sigh function once every minute and that sigh is effective within continuous 3 ventilation cycles.. 3. key. Set [Sigh] to [ON]. 3.9 Electrical Safety Inspection NOTE z z Perform electrical safety inspection after servicing or routine maintenance. Before the electrical safety inspection, make sure all the covers, panels, and screws are correctly installed. The electrical safety inspection should be performed once a year. 3.9.1 Electrical Safety Inspection Test 1. 2. 3. Perform protective earth resistance test: a. Plug the probes of the safety analyzer into the protective earth terminal of AC power cord and into the O2 connector. b. Test the earth resistance with a current of 25 A. c. Verify the resistance is not larger than 0.1ohms (100 mohms). d. If the resistance is larger than 0.1ohms (100 mohms) but smaller than 0.2ohms (200 mohms), disconnect the AC power cord and plug the probe which is previously plugged into the protective earth terminal of AC power cord into the protective earth contact of the power outlet. Repeat steps a through c. Perform the following earth leakage current tests: normal polarity; reverse polarity; normal polarity with open neutral; and reverse polarity with open neutral. Verify that the maximum leakage current does not exceed 500 μA (0.5 mA) in the first two tests. While for the last two tests, verify that the maximum leakage current does not exceed 1000 μA (1 mA). NOTE z Make sure the safety analyzer is authorized by certificate organizations (UL, CSA, or AAMI etc.). Follow the instructions of the analyzer manufacturer. 3-12 3.9.2 Electrical Safety Inspection Form Location: Technician: Equipment: Control Number: Manufacturer: Model: SN: Measurement equipment /SN: Date of Calibration: INSPECTION AND TESTING 1 Protective Earth Resistance Pass/Fail 2 Ω Normal condition(NC) ____μA Single Fault condition(SFC) ____μA Limit Max.:0.1 Ω Max.: NC:500μA SFC:1000μA Earth Leakage For periodically performance, all the test items included in the ELECTRICAL SAFETY INSPECTION FORM shall be performed. After the equipment is repaired with main unit disassembled, perform only test item 1 when the power supply PCBA is neither repaired nor replaced, or perform all the test items when the power supply PCBA is repaired or replaced. 3-13 FOR YOUR NOTES 3-14 4 Maintenance Menu and Software Upgrade 4.1 User Maintenance 4.1.1 Overview This section introduces the functions of user maintenance. User maintenance is mainly used by the equipment maintenance personnel. It includes these functions: setup, defaults settings, data transfer, interface setting, system information, and CO2 in maintenance. 4.1.2 Setting Setting item Description Language Set the screen display language. Unit Set Paw unit, weight unit, and CO2 unit. Gas supply Set O2 supply type. If the gas supply type is set incorrectly, use of partial functions may be restricted (such as O2 enrichment etc.). 4-1 4.1.3 Defaults Settings The ventilator settings can be adjusted as required. When [Use Current Settings] is selected, the settings in Defaults Settings window will be replaced by the current settings. After the ventilator is powered on and receives a new patient, it uploads the settings in Defaults Settings window automatically. When [Restore Factory Defaults] is selected, the settings in Defaults Settings window will be restored to factory defaults. After the ventilator is powered on and receives a new patient, it uploads the settings in Defaults Settings window automatically. 4.1.4 Data Transfer When the department which the ventilator is used in needs to configure multiple ventilators, the function of transferring settings is used to export or import the current settings and defaults of the ventilator setting items. All USB memories have space of more than 10M available and are in FAT32 or FAT format. 4-2 4.1.4.1 Export Settings 1. Insert the USB memory into the USB connector of the ventilator. 2. Select [Setup]→[Maintain]→[User]→enter the required password→[Data Transfer]. 3. Select [Export settings] to save the ventilator’s current settings and defaults to the USB memory. 4.1.4.2 Import Settings 1. Insert the USB memory into the USB connector of the ventilator. 2. Select [Setup]→[Maintain]→[User]→enter the required password→[Data Transfer]. 3. Select [Import settings] to load the settings in the USB memory to the ventilator. 4.1.4.3 Export Data This function is used for data export, which means to export patient demographics, current setting parameters, current alarm limits, and trend data of the ventilator in the format of “blg”. To export data, 1. Insert the USB memory into the USB connector of the ventilator. 2. Select [Setup]→[Maintain]→[User]→enter the required password→[Data Transfer] →[Export Data]. The system checks the availability of USB memory. If the USB memory is available and has sufficient space, the system exports patient demographics, current setting parameters, current alarm limits, tabular trend, graphic trend, PEEPi measured value, P0.1 measured value, Vtrap measured value, NIF measured value, calibration data, and event log. 3. After data exporting is completed, select [Remove USB Memory] to remove the USB memory. 4-3 4.1.5 Interface Setting Interface setting includes nurse call. 4.1.5.1 Nurse Call The nurse call function means that the ventilator outputs nurse call signals to the nurse call system when an alarm which meets the user set requirements occurs. The nurse call function is activated only when: 1. The nurse call function is switched on; 2. An alarm which meets the user set requirements occurs; 3. The ventilator is not in Alarm AUDIO PAUSED status. To set nurse call, 1. Select [Setup]→[Maintain]→[User]→enter the required password→[Interface Setting]→[Nurse Call]. 2. Select [Switch] and toggle between [ON] and [OFF]. [ON]: to switch on the nurse call function. [OFF]: to switch off the nurse call function. 3. Select [Signal Type] and toggle between [Pulse] and [Continuous]. [Pulse]: indicates that the nurse call signals outputted are pulse signals lasting for one second. When multiple alarms occur simultaneously, only one pulse signal is outputted. If a new alarm occurs while the ongoing alarm is not cleared yet, a new pulse signal will be outputted. [Continuous]: indicates that the nurse call signal lasts until the alarm ends, i.e. the duration of a nurse call signal equals to that of the alarm. 4-4 4. Select [Contact Type] and toggle between [Normally Open] and [Normally Closed]. [Normally Open]: normally open signals are used to trigger the nurse call function. [Normally Closed]: normally closed signals are used to trigger the nurse call function. 5. Select [Alarm Level] and set the alarm level for nurse call signals triggered alarm. 6. Select [Alarm Type] and select the alarm type to which nurse call signals triggered alarm belongs. If no setting is made for [Alarm Level] or [Alarm Type], nurse call signals will not be triggered whatever alarm occurs WARNING z Do not rely exclusively on the nurse call system for alarm notification. Remember that the most reliable alarm notification combines audible and visual alarm indications with the patient’s clinical condition. z Use the specified nurse call cable when connecting with the hospital’s nurse call system through the nurse call connection port. Failure to do so may burn the machine and produce electric shock hazard. z Inspect the ventilator alarm signals periodically when using the nurse call function. 4.1.6 System Information 4-5 4.1.6.1 Version Information The version information of the system software can be queries. 4.1.6.2 Configuration Information The configuration information of the ventilator such as ventilation mode and special function can be queries. 4.1.6.3 Maintenance Information The system total running time, system startup time, CO2 last calibration time, O2 sensor last calibration time, flow sensor last calibration time, time left for next blower maintenance and time of last maintenance can be queried. 4.1.7 CO2 Maintenance This setting item is available when the sidestream CO2 module is configured. For CO2 zeroing and CO2 calibration, refer to 5.3.5 Mainstream CO2 Zeroing (User) and 5.3.6 Sidestream CO2 Zeroing (User). 4-6 4.2 Factory Maintenance 4.2.1 Overview Factory maintenance is used in such scenario as factory functional configuration, equipment calibration, troubleshooting. The factory maintenance menu includes the following functions: factory setup, factory calibration, calibration data, data monitoring, diagnosis test, event logbook. The factory maintenance password can be obtained in the preface chapter of this manual. Warning: this menu can be operated only by Mindray authorized service engineers. Operating the menu by unauthorized engineer may cause the machine unable to work normally. 4.2.2 Factory Setup 4.2.2.1 Overview Factory setup includes: setup, functional activation, restore factory defaults, and versions. 4-7 4.2.2.2 Setup The following table lists the setting items and their descriptions. Setting item Description Update Can be set to ON and OFF, to switch on or off the USB memory update function. Correction Mode Can be set to ATPD and BTPS. Apnea Reset Can be set to ON and OFF. Hide The Focus Can be set to OFF, 15s, 30s, and 60s. When it is set to OFF, the focus will not hide automatically. When it is set to other options, if no operation is performed for corresponding period of time, the focus will disappear automatically. Hide The Menu Can be set to OFF, 15s, 30s, and 60s. When it is set to OFF, the menu will not hide automatically. When it is set to other options, if no operation is performed for corresponding period of time, the menu will disappear automatically. Custom Parameter Include two options: ON and OFF. When the factory locates a failure, Custom Parameter can be switched on to view the trend of corresponding parameter monitored value. After use, the option needs to be set to OFF. Altitude Set altitude. When the atmospheric pressure sensor is faulty, the atmospheric pressure can be calculated based on altitude. Altitude Unit Set altitude unit, including two options: m and ft. CO2 Type Set whether CO2 module is integrated based on the actual configuration of the machine. If CO2 module is integrated, the type of CO2 module needs to be set consistent with the actual one. Three options are included: Mainstream, Sidestream, and No. Blower Life Span Set blower life span. Clear Blower Running Time Click this button after replacing the blower to clear the blower running time. Running time information is displayed next to the button. I:E Can be set to ON and OFF. When it is set to ON, the system displays the monitoring values of Tinsp and I:E. When it is set to OFF, the system cannot display the monitoring values of the Tinsp and I:E. 4.2.2.3 Functional Activation In the Activate menu, payment configuration can be activated via activation code or USB memory to use the corresponding function on trial. For details, refer to 4.3.3Function Activation. 4-8 4.2.2.4 Restore Factory Defaults Restoring factory defaults means to restore the values of setting items to factory default values. The default values saved in the new patient default setting property page are also restored to factory default values. Restoring factory defaults will clear user log and saved spirometry loops (including reference loop and P-V loop). Factory log will not be cleared. The setting items which are not affected by restoring factory defaults include: inherent setting items, power-on initialization items, menu entry initialization items, date and time setting items, language and factory settings. Language settings include: Module Position Setting item User Setting Language 4-9 Factory settings include: Module Position Setting item Service Setup Correction Mode Setup Blower Life Span Setup Update Setup Altitude Unit Setup Altitude Setup Custom Parameter Setup Apnea Reset Setup Hide the Focus Setup Hide the Menu Inherent setting items: the values of setting items are not affected by transferring settings or restoring factory defaults. Module Position Inherent setting item Service Setup CO2 Type Setup Blower Life Span Activate Preset item in ticked state on trial Activate Not activate preset item in ticked state Power-on initialization items: restore to factory defaults each time after power-on; reserve the latest preset item values each time after accessing the menu when not powered off. Module Procedure Service Screen Layout Position Power-on initialization item Nebulizer Nebulizer Time P-V Tools Pstart P-V Tools Pmax P-V Tools Flow P-V Tools Vlimit P-V Tools History Loop P-V Tools Reference Loop Calibration-Pressure Calibration Calibration Device Calibration-Exp. Valve Calibration Reference Setup Correction Mode Setup Update Setup Custom Parameter Screen Layout Waveforms 4-10 Menu entry initialization items: restore to factory defaults each time after accessing the menu. Module Position Menu entry initialization item User CO2 Calibration CO2 Calibration Concentration Data Monitor Parts Diagnosis Blower speed Diagnosis Pressure Diagnosis Insp. valve Diagnosis Insp. valve Diagnosis O2 Insp. valve Diagnosis O2 Insp. valve Diagnosis Exp. valve Diagnosis Exp. valve Diagnosis Nebulizer valve Diagnosis Safety valve Diagnosis Activation code/USB Service Date and time setting items: neither being initialized nor being kept unchanged; displayed following the ascending rules for time and date. Module Time setting Position Date and time setting items Time and date Date Time and date Time 4-11 4.2.2.5 Version Information In [Versions] menu, you can view the version information of the software currently used by each module. 4-12 4.2.3 Factory Calibration The factory calibration menu provides access to the following: zeroing, flow calibration, pressure calibration, Exp. valve calibration, O2 calibration, and Air-O2 calibration. For details, refer to 5.3 System Calibration. 4-13 4.2.4 Calibration Data The calibration data menu provides the following functions: zero point data monitoring, user calibration table and factory calibration table of all parts, and Air-O2 calibration data display. 4-14 4.2.5 Data Monitoring The data monitor menu provides the following functions: VCM data monitoring, VPM data monitoring, and power board data monitoring. 4-15 4.2.6 Diagnosis Test Diagnosis test provides valve test device. For details, refer to 6.6Diagnostic Test. 4-16 4.2.7 Event Logbook Event logbook can be viewed, including alarm logbook, operation logbook, error logbook, maintenance information. You can select to view event logbook via filter, which is configurable. Setting item Functional description High Alarms Display all high alarm events only. Med Alarms Display all medium alarm events only. Low Alarms Display all low alarm events only. All Alarms Display all alarm events only. Operation Information Display all operation events only. Error Information Display all error events only (only available in factory event logbook and not available in user event logbook). Maintenance Information Include maintenance operation such as zeroing and calibration, and selftest operation (only available in factory event logbook and not available in user event logbook). All Events Display all events. 4-17 4.3 Software Upgrade and Software Function Activation CAUTION z Software upgrade and configuration activation can be performed by Mindray authorzied professional service personnel only. You can perform software upgrade on the ventilator by downloading the upgrade software through network or by using USB memory. You can also upgrade software supported optional configuration through the activation code. Before activating the optional configuration, the optional configuration can be applied for a maximum of 30 days on trial. 4.3.1 Network Upgrade You can upgrade the following programs on the ventilator by downloading the upgrade software through network: BIOS (main board) software Main board software Multi-language library Icon library Start-up screen Audio file General configuration (requires password ) System functional configuration Linux file system Linux kernel Protection module software Control module software Keyboard software Power board software Insp. module software Exp. module software M02C module software SpO2 module software 4-18 CAUTION z Before software upgrade, disconnect the ventilator from the patient and back up the important data. NOTE z Make sure that the version of the upgrade package is the desired one. To obtain the latest upgrade package, please contact us. z Before upgrading the system software, check the version information of the booting software. If it is not the latest, upgrade the booting software to the latest version first and make sure of software compatibility. You can select the following operations to upgrade the corresponding software based on your requirement. You must perform 4.3.1.1Network Connection before upgrading any software. 4.3.1.1 Network Connection 4.3.1.2 Network Connection NOTE z Before upgrading any software, make sure that the network cable, Hub, and notebook computer are connected correctly and reliably. z The recommended length of the network cable is not greater than 1 m. 4-19 Perform network connection as follows before software upgrade: Connect the ventilator, Hub and notebook computer by using the straight through cable. Connect the Hub to the power source and make sure that the network is connected. 2. Set the IP address of the notebook computer. Make sure that the IP address of the notebook computer is in the same IP segment with the ventilator and they do not repeat. The IP address of the ventilator is fixed to the setting when delivered from the factory, which is “192.168.23.250”. The IP address of the notebook is generally set to “192.168.23.23”. 4.3.1.3 Booting Software Network Upgrade CAUTION z Switching off or powering off the equipment during booting software upgrade can cause system down. NOTE z When selecting the upgrade package, make sure that the checksum and software version are same to that provided by the factory. 4-20 To upgrade the booting software of the ventilator: 1. Run the network upgrade downloading software on the notebook computer to access the software upgrade screen. 2. Click [Select Package] to enter the [Select Package] menu. 3. Click [>>>]. Select the booting software of the ventilator (code: BIOS) in the dialog box and then click [Open] to confirm. 4. Check the checksum and software version of the booting software as shown below: 5. If the checksum and version are correct, click [Ok]. 6. Click [Start (Single)] on the main screen. 7. Re-start the ventilator to start to upgrade the booting software. 4-21 8. The upgrade is successful when the screen prompts [Upgrading BIOS…………………………Succeed], [Upgrade Completed!], and [Disconnect the net wire,and restart this machine!]. Select [Setup]→[Maintain]→[Service]→enter the required password→[Setup]→[Versions] to check the version information of the booting software. OTE z After completing booting software upgra e, turn on the ventilator to confirm the corre tn ss of upgrade software version information. 4.3.1.4 System Software Network Upgrade NOTE z Before upgrading the system software, check the version information of the booting software. If it is not the latest, upgrade the booting software to the latest version first and make sure of software compatibility. z Before upgrading the system software, record the current settings of the ventilator so as to restore the pre-upgrade settings after software upgrade. z When selecting the upgrade package, make sure that the checksum and version are same to those provided by the factory. You also need to check the machine code corresponding to the ventilator to be upgraded. Before upgrading the system software, note the matching between machine name and machine code as listed below: Machine name Machine Code Remarks EV20 SV300/350 / EV25 SV350 / To upgrade the system software: 1. Check and confirm that the booting software of the ventilator is of the latest version. If not, refer to 4.3.1.3Booting Software Network Upgrade to upgrade to the latest version. 2. When selecting the system software upgrade package, confirm the correctness of checksum and software version. You also need to check the machine code, as shown below: 4-22 3. Other operations are similar to those for booting software upgrade. Refer to 4.3.1.3Booting Software Network Upgrade to complete the upgrade. NOTE z After completing system software upgrade, turn on the ventilator to confirm the correctness of upgrade software version information. z After completing system software upgrade, restore the pre-upgrade settings of the system settings which are saved in case of power failure. 4.3.1.5 Protection Module Software Network Upgrade NOTE z Before upgrading the protection module software, check the version information of the booting software. If it is not the latest, upgrade the booting software to the latest version first and make sure of software compatibility. z When selecting the upgrade package, make sure that the checksum and software version are same to those provided by the factory. To upgrade the protection module software: 1. Check and confirm that the booting software of the ventilator is of the latest version. If not, refer to 4.3.1.3Booting Software Network Upgrade to upgrade to the latest version. 2. When selecting the protection module software upgrade package, confirm the correctness of checksum and software version, as shown below. 4-23 3. Other operations are similar to those for booting software upgrade. Refer to 4.3.1.3Booting Software Network Upgrade to complete the upgrade. NOTE z After completing protection module software upgrade, turn on the ventilator to confirm the correctness of upgrade software version information. 4.3.1.6 Module Software Network Upgrade NOTE z When selecting the upgrade package, make sure that the checksum and software version are same to those provided by the factory. You also need to check the module sofware to be upgraded matches the corresponding module code. The module software mentioned here includes monitor module software, inspiration module software, expiration module software, keyboard software, power board software, M02C CO2 module software and SpO2 module software. Their upgrade procedures are similar to those for booting software upgrade except that when selecting the upgrade package, apart from making sure of the correctness of checksum and version, you also need to confirm the module code corresponding to the module to be upgraded. 4-24 Before upgrading the module software, note the matching between module name and module code as listed below: Module name Module code Ventilator control module VCM Inspiration module Insp. Module Expiration module Exp. Module Power board POWER Keyboard KEYBOARD M02C CO2 0611-CO2-M02C SpO2 SpO2 To upgrade the module software: 1. When selecting the module software upgrade package, confirm the correctness of checksum and software version. You also need to check the module code, as shown below: 2. Other operations are similar to those for booting software upgrade. Refer to 4.3.1.3Booting Software Network Upgrade to complete the upgrade. z NOTE z After completing module software upgrade, turn on the ventilator to confirm the correctness of upgrade software version information. 4-25 4.3.1.7 Linux Platform Software Network Upgrade NOTE z Linux platform software includes Linux file system and Linux kernel program. There is no chronological order for upgrading Linux file system and Linux kernel program. z When selecting the upgrade package for Linux kernel program, make sure that the checksum and software version are same to those provided by the factory. To upgrade the Linux kernel program: 1. When selecting the upgrade package for Linux kernel program, confirm the correctness of checksum and software version, as shown below. 2. Other operations are similar to those for booting software upgrade. Refer to 4.3.1.3Booting Software Network Upgrade to complete the upgrade. 4-26 To upgrade the Linux file system: 1. When selecting the upgrade package for Linux file system, confirm the correctness of selected upgrade file, as shown below: 2. Other operations are similar to those for booting software upgrade. Refer to 4.3.1.3Booting Software Network Upgrade to complete the upgrade. NOTE z After completing Linux platform software upgrade, turn on the ventilator to confirm the correctness of upgrade software version information. 4.3.1.8 Combination Package Network Upgrade The operations to upgrade the combination package are the same with those for system software upgrade. Please refer to related section. NOTE z After completing combination package software upgrade, you need to confirm the software version upgraded. z During combinatin package upgrade, if upgrade failure occurs due to abortion, you need to upgrade again the software package in the combination package which has not been upgraded successfully. 4-27 4.3.2 USB Memory Upgrade The software programs supported by the ventilator USB memory are same to those by network upgrade. They are omitted here. 4.3.2.1 Description of USB Memory Upgrade NOTE z Make sure that the version of the upgrade package is the desired one. To obtain the latest upgrade package, please contact us. 1. Save the upgrade package and the configuration file of the same name under the directory of UPGRADE of USB device. Name the upgrade package “USBUpgrade.pkg” or “USBUpgrade.mpkg” and the configuration file “USBUpgrade.txt”. 2. Set the upgrade mode of USB memory in the system software. Select [Setup]→ [Maintain]→[Service]→enter the required password→[Setting]→[System]. Set [Update] to [On]. 3. Insert the USB memory into the USB port of the ventilator. Restart the ventilator and the ventilator enters upgrade process. 4. After upgrade is completed, remove the USB memory and restart the ventilator. Check if the machine upgrade is completed. NOTE z For USB memory to be upgraded, its file system must be in the format of FAT32 and the remaing space of USB memory must be at least 100M before upgrade to ensure upgrade success. z The folder in which the upgrade package is kept can only be named UPGRADE in capital letters. The upgrade package and configuration file can only be named USBUpgrade.pkg or USBUpgrade.mpkg and USBUpgrade.txt, in which, USBU must be in capital letters and other letters are lowercase. z When there are combination package and single upgrade package file in the USB device, the combination package is upgraded by default. To upgrade a single upgrade package, you need to delete the combination package from the USB device first. z In case of USB memory upgrade, the configuration file can be shared when upgrading different packages. z After upgrading an upgrade package, if it is necessary to continue USB memory upgrade, restart the machine to set [Update] to [ON]. 4-28 NOTE z When upgrading a single VCM module upgrade package, it is normal that the buzzer sounds after a successful upgrade. Just turn off the machine and restart it. 4.3.2.2 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution Unable to enter upgrade mode to activate upgrade. Enter the system software directly after power-on. The IP address of the computer is not correct. Set the ventilator and PC computer to a same IP segment with different IP address. [Start] is not clicked for the upgrade tool. Click [Start]. Enable the firewall. Close the firewall. [Update] is not switched on. Enter Setup→Maintain→ Service→enter the required password→Setup→Setting menu to set Update to ON. USM memory is not inserted. Insert the USB memory into the USB port of the ventilator. USB memory is faulty. Replace with a faultless USB memory and try again. The USB port of the ventilator is damaged. Return the VCM to the factory for repair. The name of folder, upgrade package, or configuration file does not comply with the requirement. Modify the name of folder, upgrade package or configuration file. The upgrade package or configuration file does not exist. Re-make the upgrade package and configuration file. The upgrade package or configuration file is wrong. Re-make the upgrade package and configuration file. The BIOS program of the main control board is damaged due to possible power failure during upgrade or upgrade failure. Return the main control board to factory for repair. Unable to enter USB memory upgrade. Enter the system software directly after power-on. USB memory upgrade fails. During upgrade, the buzzer on the main control board buzzes long, resulting in upgrade failure. 4-29 Failure description Possible cause Recommended solution In case of system software upgrade, the upgrade screen can be accessed but upgrade is always failed. The version of BIOS program is incompatible with that of system software. The network is not stable. 1. Contact Mindray engineer to confirm version compatibility. 2. Check the network connection between the notebook computer, Hub and ventilator to make sure that the network cable is reliably connected. In case of control module, inspiration module, and expiration module upgrade, the upgrade screen can be accessed but upgrade is always failed. It is possible that the corresponding parameter software module BIOS version is incompatible with module software version. It is possible that the corresponding parameter software module BIOS lacks. 1. Contact Mindray engineer to confirm version compatibility. 2. Check if the ventilator version information contains the BIOS version information of the corresponding parameter software module. If not, return it to the factory to upgrade the BIOS of the corresponding parameter software module. The upgrade booting screen is inaccessible. The network may be not in good condition. 1. Re-check the network connection between the notebook computer, Hub and ventilator. Check that the network cable is connected correctly and reliably. 2. Make sure that Hub is powered on. After the system software or XX module software is upgraded, XX module communication stop is alarmed. The version of system software does not match that of XX module software. Or, the module is damaged. 4-30 Re-confirm the version information of XX module software and the module code. If they are correct, return the faulty module to factory for repair. 4.3.3 Function Activation The factory can activate all the functions listed in the following table through activation codes. When the user wants to add any function listed in this table, the service engineer can apply to the factory for activation code so as to activate the corresponding function. Optional configuration Effect upon the software screen Remarks NIV Not involved. Paid configuration PRVC DuoLevel APRV PRVC-SIMV P0.1 NIF PEEPi Not involved. If none of the functions is configured, the special function property page is not displayed in the main menu. Suction The Suction button is not displayed in the softkey area on the right side of the main screen. P-V tools Not involved. When the function of P-V tools is not configured, P-V tools property page is not displayed in the special procedure menu. ATRC Not involved. When the function of ATRC is not configured, ATRC property page is not displayed in the parameter setting dialog box menu. WOB Not displayed. RSBI 4-31 4.3.3.1 Apply for Software Function Activation Code NOTE z To apply for activation code, you must provide the relevant information of the ventilator whose configurations are to be activated, such as machine ID, existing configuration and configuration to be activated. z One activation code can activate only one machine. When the user wants to add any paid configuration listed in the above table, the service engineer must place an order to the Service Department for the software function activation code based on the user's need. To apply for activation code: 1. Record the serial number of the ventilator whose configurations are to be activated. 2. Record the machine ID and the current configuration of the ventilator. Select [Setup]→ [Maintain]→[User]→enter the required password→[Syst. Info]→[Config Info.] to open the configuration information menu. 3. Record the configuration information the user wants to activate. 4. Return the recorded information to the Service Department to purchase the corresponding activation code. 4-32 4.3.3.2 How to Activate Software Function NOTE z Before activation, check and record the user’s existing paid configurations and also the paid configurations to be added. z After entering the activation code, make sure that the entered activation code is same to that provided by the factory. To activate software functions: 1. Select [Setup]→ [Maintain]→[Service]→enter the required password→[Setup]→ [Activate] to open the [Activate] menu, as shown below. 2. If you select to activate the function by [Code], enter the required activation code in the [Activate] menu. If you select to activate the function by [USB Memory], inset the USB memory with required activation code into the ventilator. 3. Select [Activate]. If the entered activation code is correct, the prompt message “Upgrade Completed! Please restart the ventilator.” is displayed. 4. Click [Ok] to restart the ventilator so as to activate the new configuration. 4-33 NOTE z Do not power off the ventilator before the message [Upgrade Completed! Please restart the ventilator.] is prompted. Otherwise, the BIOS program on the main control board can be damaged. z After activation success is prompted, restart the ventilator to activate both the existing and new paid configurations after software upgrade. 4.3.3.3 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution When restarting the ventilator after activation, the main control board buzzes long, resulting in restart failure. During activation, the ventilator is powered off or turned off before activation success is prompted, which damages the BIOS program on the main control board. Return the main control board to factory for repair. Invalid activation code is prompted. The activation code is entered improperly or the activation code itself is wrong. 1. Check that the activation code entered is same to that provided by the factory. 2. If the activation code is entered correctly and invalid activation code is still prompted, send the machine ID, existing configurations and the configurations to be added to the factory for confirmation. After system activation, the activated functions are not consistent with the user’s configurations. The factory activation code is wrong. Or, the existing configurations and the configurations to be added which are provided for the factory are not complete. Check the existing configurations and the configurations to be added again. Request the factory to generate activation code again. “Activation Code File Not Found” is prompt when selecting USB memory activation. The activation code file is damaged or does not exist in the USB memory. Re-apply for an activation code. “Activation Code File Error” is prompt when selecting USB memory activation. The activation code file exists but with incorrect contents, so that it cannot be activated. Re-apply for an activation code. 4-34 4.3.4 Function Trial You can use the optional function on trial and the longest trial period is 30 days. To use the paid function on trial, select [Setup]→ [Maintain]→[Service]→enter the required password→[Setup]→[Activate]. Select [Free Trial] in the Activate menu. Then select the function items for trial use (multiple functional items can be selected). Select [Ok] to pop up the [Trial Function] dialog box for confirmation. Restart the machine after your confirmation to support trial use of the paid functions. After starting to use the functions on trial, the corresponding paid functions can be used. The longest trial period for each function is 30 days. Besides, you can cancel the selected ongoing trial function to abort trial use of this function. After the trial period expires, the corresponding trial use of the trial function comes to an end, no longer supporting use of this function. If you want to continue use of this function, you can purchase the software function activation code from use to activate this function. NOTE z When starting trial use of a function, you must turn off the machine and then restat it to activate the trial function. z After the end of trial period, the corresponding function cannot be used when powered on the machine next time. z You can use each paid function on trial only once with the longest trial period of 30 days. 4-35 FOR YOUR NOTES 4-36 5 Maintenance and Calibration WARNING z When it comes to test and maintain the equipment, make sure that the patient is disconnected from the equipment. z The equipment may have been used on patients carrying infectious diseases. Before testing or maintaining the equipment, wear sterile rubber gloves to reduce the risk of being infected. z When the equipment to be maintained contains blood or other secretion, clean, disinfect and sterilize the equipment by strictly following the control and safety handling procedures for infectious diseases. 5.1 Equipment Maintenance To ensure the long-term reliability and stability of the ventilator, periodical maintenance of the equipment and replacement of its parts must be performed by authorized service personnel. For details about parts replacement, refer to 7 Repair and Disassembly. Periodical parts replacement is carried out every year after installation. Make records of the parts that have been replaced before the periodical replacement. Lithium battery and blower box assembly need to be maintained according to their working time. If it has reached the maximum working time or the system gives an alarm, it is necessary to replace the part. NOTE z These schedules are the minimum frequency based on typical usage of 5000 hours per year. You should service the equipment more frequently if you use it more than the typical yearly usage. z To avoid equipment damage or personal injury, replace the parts which need to be replaced periodically even if they are not worn or damaged when the due date arrives. z Before maintaining the ventilator, run system check to test the states of important parts such as blower, sensors and valves, and circuit leakage or occlusion for a basic understanding of the current state of the ventilator. Refer to 5.2.1System Check. 5-1 5.1.1 One-year Replaceable Parts One-year service list (115-028397-00) and tools. S/N P/N Description Qty. Tool 1 049-000778-01 Expiratory valve diaphragm 1 No 2 045-001333-01 HEPA filter 1 No 3 045-001298-01 Air inlet dust screen 1 No 4 048-004133-00 Fan dust screen 1 No 082-001903-00 Pressure sensor filter PTFE 13mm 2 Cross recessed screwdriver 5 5.1.1.1 Parts Replacement (1)Replace the expiratory valve diaphragm (049-000778-01) every 12 months as required. As indicated by the expiratory valve handwheel silkscreen on the front panel of the ventilator, rotate the expiratory valve handwheel counter clockwise to the limit position and then take out the expiratory valve horizontally as shown below. Remove the expiratory valve diaphragm at the tail with hand and replace with a new service part. Do not damage the diaphragm during replacement. Note that the diaphragm is evenly snapped in the ring recess of the expiratory valve plastic part. Expiratory valve diaphragm (049-000778-01) 5-2 (2)Replace the HEPA filter (045-001333-01) every 12 months as required. Remove the baffle of main unit air inlet. Depress and grab the snap at the top of HEPA filter and pull it out horizontally. When installing, push in the HEPA filter to the right position and make sure it is installed in place. HEPA filter(045-001333-01) (3)Replace the air inlet dust screen (045-001298-01) every 12 months as required. Remove the baffle of main unit air inlet. Remove the air inlet dust screen and replace with new service part by hand. Air inlet dust screen(045-001298-01) 5-3 (4)Replace the fan dust screen (048-004133-00) every 12 months as required. Remove the main unit rear housing. Remove the fan dust screen and replace with new service part by hand. Fan dust screen(048-004133-00) (5)Replace the small filter of expiratory flow sensor every 12 months as required. Its part number and description is “082-001903-00 (pressure sensor filter PTFE 13mm)”. Remove the main unit top cover, display, and front panel and then the two pressure sensor filters can be seen as shown below. Refer to the figure below to replace the pressure sensor filters. 5-4 Pressure sensor filter PTFE 13mm (082-001903-00) 5-5 5.1.1.2 Ventilator Checkout and Test After replacing the service kit, check and test the ventilator every 12 months: For details, refer to 3Checkout and Test and 5.3 System Calibration. 5.1.2 Periodically-Maintained Parts S/N 1 2 P/N Description 022-000130-00 Lithium battery Li-ion14.8V5800mAh 115-022516-00 Blower box assembly 5-6 Qty. Remarks 1 or 2 Replace after two years or when the system gives the alarm of “Battery Failure”. 1 Replace after the blower has worked for 20000 hours or when the system gives the alarm of “Blower Need Maintenance” or “Blower Failure”. 5.2 System Test After maintaining the ventilator at the client end, some routine tests are required to check if the current state of the ventilator is normal. The following table lists the routine tests. S/N 1 Test item System check Functional description 1. Check if the blower, inspiratory flow sensor, O2 flow sensor, expiratory flow sensor, pressure sensor, expiration valve, safety valve, and O2 concentration sensor are in good condition. 2. Check the leakage, compliance, and circuit resistance of the system. Test interval After each service or at the time of return visit 2 Check the mechanical ventilation state 1. Check if the machine provides normal mechanical ventilation and if there is an alarm triggered. 2. Check if the pressure or tidal volume measured values are consistent with the preset values. After each service or at the time of return visit 3 Check the correctness of sensor zero point Check if the zero points of all the flow sensors and pressure sensors inside the machine are within normal ranges so as to determine whether to zero the sensors again or replace the VCM board. After each service or at the time of return visit 4 5 Check the accuracy of flow sensor Check the accuracy of pressure sensor Check if the measurements performed by the machine internal flow sensors are consistent with each other. Check if the measurement performed by any single flow sensor inside the machine is accurate. Check the effectiveness of flow calibration (factory) result. 1. Check if the measurements performed by the machine internal pressure sensors are consistent with each other. 2. Check if the measurement performed by any single pressure sensor inside the machine is accurate. 3. Check the effectiveness of pressure calibration (factory) result. 5-7 After each service or at the time of return visit After each service or at the time of return visit 5.2.1 System Check NOTE z Before maintaining the ventilator, run system check to test the states of important parts such as blower, sensors and valves, and circuit leakage or occlusion for a basic understanding of the current state of the ventilator. System check includes tests on the working states of blower inspiration valve, O2 proportional valve, inspiratory flow sensor, O2 flow sensor, expiratory flow sensor, pressure sensor, expiration valve, safety valve, and O2 concentration sensor, as well as the leakage and resistance of the ventilator. The test items are listed below: S/N Calibration item Functional description Requirements to pass the test 1 Blower test Test the speed of the blower. The deviation between the actual speed of the monitored blower and the control speed is less than ±10% of the control speed. 2 O2 flow sensor test Test the O2 proportional valve and O2 flow sensor. The error between the O2 flow sensor and the O2 proportional valve opening speed is less than max (2L/min, ±30% of the test flow). 3 Inspiratory flow sensor test Test the inspiration valve and inspiratory flow sensor. The error between the inspiratory flow sensor and the inspiration valve opening speed is less than max (2L/min, ±30% of the test flow). 4 Expiratory flow sensor test Test the expiratory flow sensor. The error between the expiratory flow sensor and the inspiratory flow sensor is less than max (2L/min, ±30% of the test flow). 5 Pressure sensor test Test the inspiratory pressure sensor and expiratory pressure sensor. When the expiration valve is blocked under different pressures, the change of the readings on the inspiratory pressure sensor and expiratory pressure sensor are consistent with that of the valve opening pressure. The values measured by the inspiratory pressure sensor and expiratory pressure sensor shall not deviate by 10cmH2O. 5-8 S/N Calibration item Functional description Requirements to pass the test 6 Expiration valve test Test the expiration valve. The same with the above one. One judgment condition is added: the auxiliary module controls to open the expiration valve, and the readings of both the inspiratory pressure sensor and expiratory pressure sensor are less than 10cmH2O. 7 Safety valve test Test that the safety valve can be opened and closed normally. The monitoring board and auxiliary control board can control to open and close the safety valve normally. 8 Leakage(ml/min) Calculate the circuit leakage. Leakage when the airway pressure is 50cmH2O. The leakage is acceptable within the range of 0~300ml/min. The maximum range which the machine can monitor is 0 to 10 L/min. 9 Compliance (ml/cmH2O) Calculate the circuit compliance. The measured compliance value is 0~20 ml/cmH2O. 10 Circuit resistance (cmH2O/L/s) Calculate the circuit resistance; thus reflecting if the circuit is occluded. The circuit resistance is 0 to 20 cmH2O/L/s when the flow is 60L/min. 11 O2 sensor test Test the O2 sensor. Under pure air environment, the measured value is 18% to 23%. Under pure O2 environment, the measured value is 90% to 100%. NOTE z If the system check fails, you need to troubleshoot the failed test items (refer to 6 Troubleshooting) and then run another system check until the system passes all the tests. 5-9 5.2.2 Check the Mechanical Ventilation State NOTE z The main function of the ventilator is to provide breathing support--mechanical ventilation which complies with the doctor’s settings to the patient. The tests in this section are performed aiming to ensure that the machine is able to provide normal mechanical ventilation. z The tests can help to judge if the ventilator operates normally. The tests are to check the consistency between the machine setting values and measured values, the working state of the ventilator, and the alarms so as to determine if this ventilator operates normally. 5.2.2.1 Check Volume Control Ventilation This test is to check if the ventilator can provide volume control ventilation, including tidal volume control, feedback and measurement, as well as correct ventilation alarms. To check volume control ventilation, 1. Make sure that the supply pressure is normal and that the tubes in the breathing circuit are correctly connected as required for mechanical ventilation. Connect the test lung to the Y piece in the patient circuit. 2. Select V-A/C as the ventilation mode. 3. Set the following combinations of TV and Rate respectively: (150 ml, 15 bpm), (300 ml, 15 bpm), (600 ml, 15 bpm) and (900 ml, 15 bpm). Set others to the defaults. Record the TVi displayed value of each setting in stable state. 4. Judge if the above measured data meet the following conditions: TV control and measurement are normal: the difference between the TVi displayed value and the set value shall not exceed 10ml+10% of the setting value. No other ventilation failure occurs: the pressure and flow waveforms are displayed normally and no technical alarms occur. If the above test requirements are not met, perform subsequent checks and do the test again. NOTE z If any errors are detected during volume control ventilation (V-A/C) test, perform troubleshooting as per 6 Troubleshooting and do the test again until the system is normal. 5-10 5.2.2.2 Check Pressure Control Ventilation This test is to check if the ventilator can provide pressure control ventilation, including pressure control, feedback and measurement, as well as correct ventilation alarms. To check pressure control ventilation, 1. Make sure that the supply pressure is normal and that the tubes in the breathing circuit are correctly connected as required for mechanical ventilation. Connect a 2 L bag, which is used as the test lung, to the Y piece in the patient circuit. 2. Select P-A/C as the ventilation mode. 3. Set the following combinations of △Pisnp, Rate and PEEP respectively: (10 cmH2O, 15 bpm, OFF), (15 cmH2O, 12 bpm, 5 cmH2O), (20 cmH2O, 10 bpm, 8 cmH2O). Set others to the defaults. Record the displayed Ppeak and PEEP values of each setting in stable state. 4. Judge if the above measured data meet the following conditions: Pressure control and measurement are normal: the difference between the displayed Ppeak value and Pinsp setting value (△Pisnp+PEEP) does not exceed 2cmH2O+5% of the setting value, the difference between the displayed PEEP value and PEEP setting value does not exceed 2cmH2O+5% of the setting value. No other ventilation failure occurs: the pressure and flow waveforms are displayed normally and no technical alarms occur. If the above test requirements are not met, perform subsequent checks and do the test again. NOTE z If any errors are detected during pressure control ventilation (P-A/C) test, perform troubleshooting as per 6 Troubleshooting and do the test again until the system is normal. 5-11 5.2.3 Check the Correctness of Sensor Zero Point NOTE z If the zero point AD value of the pressure sensor has an error, in ventilation status when PEEP is set to 0, the baseline of the pressure waveform is not at the zero point. z If the zero point AD value of the expiratory flow sensor or the zero point value of the inspiratory flow sensor has an error, in ventilation status, the baseline of the flow waveform is not at the zero point. z If the zero point value of any sensor is outside of the normal range, and if it can not be corrected, the monitoring board must be replaced. z The normal range of the zero point AD value of the inspiratory pressure sensor and expiratory pressure sensor is 967~1875. z The normal range of the zero point AD value of the expiratory flow sensor is 365~910. z The normal range of the zero point of the inpiratory flow sensor and O2 flow sensor is -0. 5~1L/min. The test is to check if the zero points of all the flow sensors and pressure sensors inside the ventilator are within normal range so as to determine whether to zero the sensors or replace the monitoring board. To check the correctness of sensor zero point, 1. Disconnect all gas supplies and position the Y piece connector in the patient circuit to the air. 2. Make sure that the system is Standby. Select [Setup] → [Maintain] → [Service] → enter the required password→ [Data Monitor]. Select [VCM] and [VPM] respectively. Check the actual values of flow and pressure sensors. 3. Make sure that the actual measured value of each sensor is close to “0” (zero). If the measured value of any sensor is larger than 0.5, you need to calibrate the sensor. Record the zero point value of each sensor and judge if the zero point falls within the normal range. If not, zero the corresponding sensor. For details about zeroing, please refer to 5.3.9Pressure and Flow Zeroing (Factory). 5-12 5.2.4 Check the Accuracy of Flow Sensor NOTE z If a great deviation of TV measured value occurs, test the measurement accuracy of expiratory flow sensor so as to determine whether to perform flow calibration again. This test can also validate the effectiveness of flow calibration. This test is to check the consistency of measurement among the internal flow sensors and the accuracy of measurement of each flow sensor, as well as validating the effectiveness of flow calibration (factory). To check the accuracy of flow sensor, 1. Connect the inspiration port and expiration port of the ventilator with a hose, as shown below. 2. In standby mode, select [Setup] → [Maintain] → [Service] →enter the required password→ [Diagnosis] to access the [Valve Test] menu. 3. Set blower pressure to 80cmH2O. Increase the flow of inspiratory valve, causing the valve opening flow to fall within the following ranges respectively: (3 ± 0.5) L/min, (10 ± 1) L/min, (20 ± 1) L/min, (30 ± 2) L/min, (60 ± 3) L/min. Record the measured flow values of the total flow sensor and expiratory sensor of each setting point under stable state. Make sure that the deviation between the measured value of the expiratory flow sensor and that of the total flow sensor shall be less than max (2L/min, measured value of total flow sensor x 10%). 5-13 4. Connect high pressure O2 supply and make sure that the gas supply is sufficient. Increase the flow of O2 proportional valve, causing the valve opening flow to fall within the following ranges respectively: (3±0.5)L/min,(10±1)L/min,(20±1)L/min, (30±2)L/min,(60±3)L/min. Record the measured flow values of the O2 flow sensor of each setting point under stable state. Make sure that the deviation between the measured value of the O2 proportional valve and that of the O2 flow sensor shall be less than max (2L/min, measured value of O2 flow sensor x 20%). 5. If any of the sensors fails the test, perform flow calibration again as per 5.3.2Flow Calibration (Factory). If the test still fails after calibration, replace the corresponding flow sensor. 5.2.5 Check the Accuracy of Pressure Sensor NOTE z If a great deviation of pressure measured value occurs, test the measurement accuracy of pressure sensor so as to determine whether to perform pressure calibration again. This test can also validate the effectiveness of pressure calibration. This test is to check the consistency of measurement among the internal pressure sensors and the correctness of measurement of each pressure sensor, as well as validating the effectiveness of pressure calibration (factory). To check the accuracy of pressure sensor, 1. Make sure that the pressure sampling line and calibration device (or other pressure measurement device) are connected in parallel. Connect the Luer connector to the low pressure port “+”of the calibration device using a pressure sample tube, as shown below. Power cord Pressure sampling port Insp. port Calibration device Y- Piece connector Exp. port 5-14 2. In standby mode, select [Setup] → [Maintain] → [Service] →enter the required password → [Diagnosis] to access the [Valve Test] menu. 3. Set blower pressure to 80cmH2O and inspiratory valve opening flow to 10L/Min. 4. Increase the pressure of expiratory valve, causing the expiratory valve closing pressure to fall within the following ranges respectively: (5 ± 1) cm H2O, (20 ± 1) cm H2O, (50 ± 1) cm H2O, (70 ± 2) cm H2O. Record the measured values of the calibration device, expiratory pressure sensor and inspiratory pressure sensor of each setting point under stable state. 5. Make sure that the deviation between the measured data of the expiratory pressure sensor, inspiratory pressure sensor and calibration device shall be less than max (1cmH2O, measured value of the calibration device x 4%). If not, perform calibration again as per 5.3.10Pressure Calibration (Factory) and 5.3.11Expiratory Valve Calibration (Factory). If the test still fails after calibration, replace the corresponding pressure sensor. 6. Make sure that the deviation between the measured data of the expiratory value and calibration device (or expiratory/inspiratory pressure sensor) shall be less than max (5cmH2O,valve opening setting value x 20%). If not, perform calibration again as per 5.3.11Expiratory Valve Calibration (Factory). If the test still fails after calibration, replace the expiratory valve. 5-15 5.3 System Calibration NOTE z Perform the corresponding calibration if any of the system tests described in 5.2System Test is failed. z After replacing the monitoring board, valve, or sensors, perform the corresponding calibration as described in this chapter. The ventilator provides the function of monitoring flow, pressure, volume, and inspiratory oxygen concentration etc. When these measured values have great deviations, it is very likely that measurement offset occurs to the relevant measurement parts. In this case, you need to perform calibration again. After equipment service, such as replacing the monitoring board, valve, or sensors, you need to calibrate the flow sensors or pressure sensors again. The following table lists the possible calibration items and calibration time: S/N Calibration item Functional description Calibration time 1 Flow calibration (user) Calibrate the expiratory flow sensor, inspiratory valve, and O2 proportional valve. 1. After the flow sensor has been used for a long time, the values measured by the flow sensor have deviations, resulting in big difference between TVi and TVe; for example, the deviation exceeds 10ml+10% of the setting value. 2. The expiratory flow sensor is replaced. 2 Flow calibration (factory) Calibrate the expiratory flow sensor, inspiratory valve, and O2 proportional valve. 1. The deviation between the inspiratory flow sensor and the expiratory flow sensor exceeds 10% of the reading or 2 L/min, whichever is greater. 2. The inspiratory valve, TSI flow sensor, or monitoring board, O2 proportional valve, sensor board is replaced. 3 O2 concentration calibration (user) Calibrate the accuracy of O2 cell at 21% O2 and 100% O2. 1. The measured value of the O2 sensor has a great deviation. The value deviates by over 3% from 21% in the Air and deviates by over 3% from 100% in pure O2. 2. The O2 sensor is replaced. 5-16 S/N Calibration item Functional description Calibration time 4 O2 concentration calibration (factory) Calibrate the accuracy of O2 cell at 21% O2 and 100% O2. 1. The measured value of the O2 sensor has a great deviation. The value deviates by over 3% from 21% in the Air and deviates by over 3% from 100% in pure O2. 2. The O2 sensor is replaced. 3. The monitoring board is replaced. 5 Mainstream CO2 zeroing (user) Calibrate zero point deviation of the CO2 module. It is necessary to zero the sensor under the following conditions: 1. Replace the adapter. 2. Re-connect the sensor to the module. 3. The ventilator prompts [CO2 Zero Required] when the sensor is not under the best measure state. In this case, check the airway adapter. Make sure that the adapter window is not occluded by mucus etc. If it is occluded, clean or replace the adapter. 6 Sidestream CO2 zeroing (user) Calibrate zero point deviation of the CO2 module. Zero point deviation of the CO2 module is manifested by CO2 waveform deviation from the baseline when the CO2 module sampling line is placed in the air until the measured value is stable. It is recommended to perform CO2 zeroing after the CO2 module has zero point deviation or before performing CO2 module calibration. 5-17 S/N Calibration item Functional description Calibration time 7 Sidestream CO2 Calibration (User) Make the module work within the accuracy range via the calibration function. It is necessary to calibrate the CO2 module when the module measurement deviation is found to be outside the accuracy range of the specification: The deviation exceeds 0.25 vol.% (± 2 mmHg) at the range of 0.0 to 5.0 vol.% (0 to 40mmHg); The deviation exceeds ±5% of the actual reading at the range of 5.0 vol.% (41mmHg) to 10.0 vol.% (76mmHg) (not including 5 vol.%); The deviation exceeds ±10% of the actual reading at the range of 10.0 vol.% (77mmHg) to 13.0 vol.% (99mmHg)(not including 10 vol.%). 8 Pressure and flow zeroing (factory) Calibrate the zero point deviation of the pressure sensor and flow sensor. (the specific zero point value can be seen in the factory calibration menu). Pressure or flow waveform deviates from the baseline. 9 Pressure and flow zeroing (user) Calibrate the zero point deviation of the pressure sensor and flow sensor. Pressure or flow waveform deviates from the baseline. 10 Pressure calibration (factory) Calibrate the inspiratory pressure sensor, expiratory pressure sensor, and expiratory valve. 1. The deviation between the measured value of the ventilator pressure sensor and that of the standard pressure gauge exceeds more than 2% of the reading or 1cmH2O, whichever is greater. 2. The expiratory valve or sensor board is replaced. 3. The monitoring board is replaced. 5-18 S/N Calibration item Functional description Calibration time 11 Expiratory valve calibration (factory) Calibrate the expiratory valve after pressure calibration is completed. 1. The deviation between the control value of the ventilator expiratory valve and the measured value of the standard pressure gauge (or ventilator inspiratory/expiratory pressure sensor) exceeds more than 20% of the reading or 5cmH2O, whichever is greater. 2. Calibrate the expiratory valve after performing pressure calibration when the expiratory valve or sensor board is replaced. 3. Calibrate the expiratory valve after performing pressure calibration when the monitoring board is replaced. 12 Air and O2 calibration (factory) Calibrate the coefficient between the measured value of Air flow sensor and that of O2 flow sensor. 1. The measured value of the O2 sensor has a great deviation after O2 centration calibration is completed. The value deviates by over 3% from 21% in the Air and deviates by over 3% from 100% in pure O2. 2. The inspiratory flow sensor or O2 flow sensor is replaced. 5-19 5.3.1 Flow Calibration (User) NOTE z The measurements performed by the flow sensors may be affected by the environment where the sensors are used. After the sensors have been used for a long time, great deviations may occur to the measurement results and tidal volume control as well. This problem can be fixed through flow sensor calibration. z Perform flow calibration again after replacing the flow sensor. z Before calibration, perform system leak test first and make sure that the test is passed and there is no tubing leakage. z During calibration, make sure that the ventilator is connected to high-pressure O2 supply with sufficient gas supply. Failure to do so may lead to calibration failure. z It is recommended to disconnect the ventilator from the humidifier before calibration. z It is recommended to use adult hoses for calibration. This calibration is intended to calibrate the expiratory flow sensor, inspiratory valve, and O2 proportional valve by using the ventilator inspiratory flow sensor and O2 flow sensor as calibration devices. After the flow sensors have been used for several months, for example, three months after calibration, great deviations (more than 10% compared with the setting value) may occur to tidal volume measurement due to sensor aging or environmental factors. Or, the user replaces flow sensors. In this case, you need to re-calibrate the flow sensors. To perform user flow calibration, 1. Select [Setup] → [Calibrate] to access the [Calibrate] menu. Then select [Flow Calibration]. Connect the high-pressure O2 supply and make sure that the gas supply is sufficient. 2. Connect the hoses and insert the Y piece into the leak test plug to close the breathing circuit. 3. Select [Start] to start user flow calibration. NOTE z If measurement deviations are not corrected after multiple flow sensor calibrations, the user is recommended to replace the flow sensor and then perform calibration. If the problem persists, factory maintenance is necessary. After the problem is fixed, perform calibration. 5-20 5.3.2 Flow Calibration (Factory) NOTE z Factory flow calibration is necessary after replacing the monitoring module main board, sensor adapter board, O2 proportional valve or inspiratory valve. z Factory flow calibration is necessary when a great deviatio (greater than 2L/min and 10% of the measured value of calibration device) is detected between the measured value of expiratory flow sensor and that of the calibration device. z When the altitude at which the ventilator is located changes, change the altitude setting value in the setup menu and then perform factory flow calibration. z It is recommended to disconnect the ventilator from the humidifier before calibration. z It is recommended to use adult hoses for calibration. This calibration is intended to calibrate the expiratory flow sensor, inspiratory valve, and O2 proportional valve by using the ventilator inspiratory flow sensor and O2 flow sensor as calibration devices. 5.3.2.1 Calibration Procedures NOTE z Before calibration, perform system leak test first and make sure that the test is passed and there is no tubing leakage. z Before calibration, make sure that no sensor, valve, or limb related technical alarms occurred. z During calibration, make sure that the ventilator is connected to high-pressure O2 supply with sufficient gas supply. Failure to do so may lead to calibration failure. z Do not move or press the tubes during calibration. To perform factory flow calibration, 1. Select [Setup] → [Maintain] → [Service], and enter the required password to access the [Service] menu. Select [Calibrate] and then select [Flow Calibration]. 2. Connect the high-pressure O2 supply and make sure that the gas supply is sufficient. 3. Connect the hoses and insert the Y piece into the leak test plug to close the breathing circuit (as shown below). 5-21 4. Select [Start] to start factory flow calibration. NOTE z After flow calibration, check the measurement accuracy of the flow sensors as per 5.2.4Check the Accuracy of Flow Sensor. z In case of calibration failure, first fix the problem and then perform calibration again. 5.3.2.2 Error Codes and Corrective Actions Error code Cause Corrective Action Failure prompt message number [1] Zero point flow error occurs to the inspiratory flow sensor: when the inspiratory valve is closed and the blower stops rotation, the zero point flow value of inspiratory flow sensor is not within the normal range of [0, 0.2] L/min. Replace the inspiratory flow sensor. 5-22 Error code Cause Corrective Action Failure prompt message number [2] The inspiratory valve has significant leakage at 30cmH2O: when the output pressure of blower is 30cmH2O and the inspiratory valve is closed, the flow of inspiratory flow sensor is greater than 2L/min. Check the inspiratory valve port to see if it is worn or polluted by foreign matter. Clean or replace the inspiratory valve. Failure prompt message number [3] The inspiratory valve has significant leakage at 80cmH2O: when the output pressure of blower is 80cmH2O and the inspiratory valve is closed, the flow of inspiratory flow sensor is greater than 2L/min. Check the inspiratory valve port to see if it is worn or polluted by foreign matter. Clean or replace the inspiratory valve. Failure prompt message number [5] Zero point flow error occurs to the O2 flow sensor: when the O2 proportional valve is closed, the zero point flow value of O2 flow sensor is not within the range of [0,1] L/min. 1. Disconnect the O2 supply, including high-pressure O2 supply and low-pressure O2 supply. Check the A/D channel to see if O2 flow is within the range of [0, 1] L/min. If yes, it indicates that the O2 proportional valve is unable to be fully closed. Replace the O2 proportional valve. 2. Replace the O2 flow sensor. Failure prompt message number [6] Reserved, not used temporarily. / Failure prompt message number [7] The output flow of O2 proportional valve is low: the maximum output flow of O2 proportional valve is a bit low and the factory calibration is 110L/min. 1. Check if the high-pressure O2 supply is sufficient. 2. Connect the high-pressure O2 supply. On the Valve Test screen, open the O2 proportional valve with 500mA current to see if the flow satisfies the threshold requirement. If not, replace the O2 proportional valve. Failure prompt message number [51] Flow sensor type error Failure prompt message number [53] Three-way valve failure at the high-pressure end of expiratory flow sensor Refer to 6.3Technical Alarms and Diagnosis to fix the machine so that the alarm will not occur. Then perform calibration again. Failure prompt message number [54] Three-way valve failure at the low-pressure end of expiratory flow sensor 5-23 Error code Cause Corrective Action Failure prompt message number [55] Insp. Limb failure Failure prompt message number [57] Safety valve failure Failure prompt message number [58] Insp. module communication stop Failure prompt message number [59] Exp. module communication stop Failure prompt message number [60] Blower failure Failure prompt message number [61] Blower temperature too high Failure prompt message number [64] Standard table write EEPROM timeout Calibrate again after restart. Failure prompt message number [104] Flow non-monotonic: when calibrating the O2 proportional valve, the larger the O2 proportional valve current, the smaller the flow measured by O2 flow sensor. 1. Connect or replace the O2 supply to make sure that O2 supply pressure is normal. 2. Replace the O2 proportional valve. 3. Replace the O2 flow sensor. Failure prompt message number [106] Current non-monotonic: when calibrating the O2 proportional valve, the larger the set control current, the smaller the actual sampled current. Replace the O2 proportional valve. Failure prompt message number [107] The maximum flow of O2 proportional valve table is too low. 1. Connect or replace the O2 supply to make sure that O2 supply pressure is normal. 2. Perform calibration again. Failure prompt message number [108] Inspiratory valve calibration table current data is not humdrum. Replace the inspiratory valve. Failure prompt message number [115] Error of saving table to insp. module EEPROM Calibrate again after restart. 5-24 Error code Cause Corrective Action Failure prompt message number [204] Expiratory flow sensor calibration table flow data is not humdrum. 1. Check if the inspiratory valve is faulty. If yes, replace it. 2. Check if the inspiratory flow sensor is faulty. If yes, replace it. Failure prompt message number [205] Expiratory flow sensor calibration table AD data is not humdrum. 1. Check if the sampling line of expiratory flow sensor is correct. 2. Check if the tubes are normal during calibration. Failure prompt message number [208] Expiratory flow sensor zero point error Perform zeroing. Replace the expiratory flow sensor. Failure prompt message number [209] Expiratory flow sensor resolution error Replace the expiratory flow sensor. Failure prompt message number [210] Expiratory flow sensor range error Replace the expiratory flow sensor. Failure prompt message number [213] Error of saving table to exp. module EEPROM Calibrate again after restart. 5.3.3 O2% Calibration (User) NOTE z Calibrate the O2 sensor when the O2 concentration monitored value has a great deviation. z Before calibration, observe if FiO2 displays numerics on the measure screen. If not, confirm that the O2 measure switch is turned on, check the O2 sensor connection line, or replace the O2 cell until measure numerics are displayed. You need to re-calibrate the O2 sensor when the measured value of O2 sensor has a great deviation. The value deviates by over 3% from 21% in the Air and by over 3% from 100% in pure O2. To perform user O2% calibration, 1. Select [Setup] → [Calibrate] to access the [Calibrate] menu. Then select [O2%]. 2. Make sure that high-pressure O2 supply is connected. 3. Select [Start] to start user O2% calibration. 5-25 5.3.4 O2% Calibration (Factory) NOTE z Calibrate O2 concentration when a great deviation of O2 concentration monitored value occurs or when the O2 sensor or monitoring board is replaced. z Before calibration, observe if FiO2 displays numerics on the measure screen. If not, confirm that the O2 measure switch is turned on, check the O2 sensor connection line, or replace the O2 cell until measure numerics are displayed. You need to re-calibrate the O2 sensor when the measured value of O2 sensor has a great deviation. The value deviates by over 3% from 21% in the Air and by over 3% from 100% in pure O2. You also need to re-calibrate the O2 sensor when replacing the O2 sensor or monitoring board. 5.3.4.1 Calibration Procedures To perform factory O2% calibration, 1. Select [Setup] → [Maintain] → [Service], and enter the required password to access the [Service] menu. Select [Calibrate] and then select [O2%]. 2. Make sure that high-pressure O2 supply is connected. 3. Select [Start] to start factory O2% calibration. Perform O2% calibration at 21% first before at 100%. 5.3.4.2 Error Codes and Corrective Actions Error code Cause Corrective Action Failure prompt message number [01] O2 supply failure Connect or replace the O2 supply to make sure that O2 supply pressure is normal. Failure prompt message number [21] O2 sensor failure Replace the O2 sensor. Failure prompt message number [36] O2 cell disconnected during O2% calibration Check the O2 cell connection line to make sure that it is properly connected and then perform calibration again. Failure prompt message number [45] Insp. limb failure Check the inspiratory valve in the inspiratory limb and the inspiratory flow sensor. Make sure that the gas supply in the inspiratory limb is normal. 5-26 Error code Cause Corrective Action Failure prompt message number [46] Blower failure Replace the blower. Failure prompt message number [48] Insp. module communication stop 1. Restart the ventilator. 2. Upgrade the inspiratory module software and monitoring module software. 3. Replace the monitoring board. Failure prompt message number [110] O2 cell 21% sampling value exceeds the lower limit; namely, the AD value is less than 138. Replace the O2 sensor. Failure prompt message number [111] O2 cell 21% standard sampling value exceeds the upper limit; namely, the AD value is greater than 542. Failure prompt message number [112] O2 cell 100% sampling value exceeds the lower limit; namely, the AD value is less than 774. Failure prompt message number [113] O2 cell 100% standard sampling value exceeds the upper limit; namely, the AD value is greater than 2458. Failure prompt message number [114] The difference between O2 cell 21% and 100% standard AD sampling values exceeds the threshold. 5.3.5 Mainstream CO2 Zeroing (User) Zeroing the sensor aims to eliminate the effect of baseline drift on the readings during the measurement so as to ensure measurement accuracy. For mainstream CO2 module, zero the sensor when: 1. The adapter is replaced. 2. The sensor is re-connected to the module. 3. The message [CO2 Zero Required] is displayed. In this case, check the airway adapter for blockage. If a blockage is detected, clear or replace the adapter. To zero the sensor, do as follows: 1. Connect the sensor to the CO2 module. 2. Select the [Setup] key→[Sensor]→[CO2] an set [Monitoring] to [ON]. 3. After warm-up is finished, connect the sensor to a clean, dry airway adapter. The adapter should be vented to the air and isolated from CO2 sources, including ventilator, the patient’s breathing and your own breathing. 4. Select the [Setup] key→[Calibrate]→[Zero]. Select the [Start] button corresponding to CO2 zeroing on the right side of the screen and the screen displays [CO2 Zeroing]. 5-27 5. A typical zeroing takes about 15 to 20 seconds. This message disappears after zeroing is completed. WARNING z When zeroing the sensor during the measurement, disconnect the sensor from the breathing system first. 5.3.6 Sidestream CO2 Zeroing (User) Zeroing the sensor aims to eliminate the effect of baseline drift upon the readings during the measurement so as to ensure measurement accuracy. For CO2 module, a zero calibration is carried out automatically when necessary. You can also start a manual zero calibration when deemed necessary. You do not need to disconnect the sensor from the breathing system when performing the zeroing. To perform user CO2 zeroing, 1. Select [Setup] →[Maintain]→[User]→enter the required password→[CO2 In Maintenance]. 2. Select [Zero] to start user zeroing. 5.3.7 Sidestream CO2 Calibration (User) NOTE z Make sure the system is in standby state. If not, select [Standby] and confirm to enter the standby screen. Only sidestream CO2 module supports calibration. Prepare the following before doing the calibration: Gas cylinder: filled with 3%~7% CO2 T-shape connector Gas tranfer tube CO2 leak test: After CO2 warm-up is completed, enter vent mode. Fully occlude the module or watertrap gas inlet with hand other object. Three seconds later, the screen displays alarm message [CO2 Sampleline Occluded]. Select [Setup]→[Maintain]→[User]→enter the required password→[CO2 In Maintenance]→[Calibrate]. Continue occluding the gas inlet for about 30s. Check the current CO2 flow is less than 10ml/min. If the screen displays alarm message [CO2 Sampleline Occluded], it indicates that the module has no leaks. 5-28 Calibrate as follows: 1. Check the airway and make sure that there are no occlusions or leaks. Make sure that the CO2 module is already warmed up or started up. 2. Select [Setup]→[Maintain]→[User]→enter the required password→[CO2 In Maintenance]. Then select [Zero]. 3. After zeroing is completed, connect the gas cylinder to the sampling line using a T-shape connector, as shown below. Check the airway and make sure that there are no occlusions or leaks. Open to the air Gas transfer tube Sampling line Pressure relief valve Ventilator Gas cylinder 4. Check the airway and make sure that there are no occlusions or leaks. 5. Enter the vented CO2 concentration in the entry box on the screen. 6. The measured CO2 concentration is displayed on the screen. After the measured CO2 concentration becomes stable, select [Calibrate] to calibrate the CO2 module. The system displays prompt message [CO2 Cal. Running]. 7. If the calibration is passed, the system displays prompt message [CO2% Calibration Completed!]. Otherwise, the prompt message [Calibration Failure! Try again!] is displayed. In this case, you need to do the calibration again. 5.3.8 Pressure and Flow Zeroing (User) Zeroing is necessary when pressure or flow waveform deviates from the baseline. During the operation of the ventilator, pressure and flow are zeroed automatically at a specific interval. Pressure and flow can also be zeroed manually in the user maintenance menu. Manual zeroing can eliminate the measurement deviations caused by zero offset immediately. To perform user pressure and flow zeroing, 1. Select [Setup] → [Calibrate] to access the [Calibrate] menu. Then select [Zero]. 2. Select [Start] to start user zeroing. 5-29 5.3.9 Pressure and Flow Zeroing (Factory) Zeroing is necessary when pressure or flow waveform deviates from the baseline. During the operation of the ventilator, pressure and flow are zeroed automatically at a specific interval. Pressure and flow can also be zeroed manually in the factory maintenance menu. Manual zeroing can eliminate the measurement deviations caused by zero offset immediately. 5.3.9.1 Zeroing Procedures 1. Select [Setup] → [Maintain] → [Service], and enter thee required password to enter the [Service] menu. Select [Calibrate] and then select [Zero]. 2. Disconnect the O2 supply. 3. Disconnect the breathing hoses from the patient. 4. Select [Start] to start manual zeroing. 5. If pressure and flow zeroing is passed, the prompt message [Zeroing Completed!] is displayed. If pressure and flow zeroing is failed, the prompt message [Zeroing Failure! Please try again.] is displayed. NOTE z In case of zeroing failure, troubleshoot the problem first and then perform flow calibration. 5.3.9.2 Error Codes and Corrective Actions Error code Cause Corrective Action Failure prompt message number [101] The inspiratory module zeroing result is not received. 1. Perform zeroing again. 2. If the problem persists after step 1 is performed, replace the monitoring board. Failure prompt message number [102] Error of inspiratory pressure zeroing three-way valve status voltage. It is not in the range of ON. Replace the inspiratory pressure zeroing three-way valve. Failure prompt message number [103] Error of inspiratory pressure zeroing three-way valve status voltage. It is not in the range of OFF. Replace the inspiratory pressure zeroing three-way valve. Failure prompt message number [104] Inspiratory pressure sensor zero point too high (>1875) 1 Remove the sensor sampling line to eliminate occlusion of sampling 5-30 Error code Cause Corrective Action Failure prompt message number [105] Inspiratory pressure sensor zero point too low (<967) Failure prompt message number [106] The zero point of inspiratory pressure sensor fluctuates greatly in the course of sampling. Failure prompt message number [107] The zero point of inspiratory pressure sensor is higher than the threshold of previous zero point. Failure prompt message number [108] The zero point of inspiratory pressure sensor is lower than the threshold of previous zero point. Failure prompt message number [201] The expiratory module zeroing result is not received. Perform zeroing again. If the problem persists after the previous step is performed, replace the monitoring board. Failure prompt message number [202] Error of inspiratory flow high-pressure end zeroing three-way valve status voltage. It is not in the range of ON. Replace the three-way valve. Failure prompt message number [203] Error of inspiratory flow high-pressure end zeroing three-way valve status voltage. It is not in the range of OFF. Failure prompt message number [204] Error of inspiratory flow low-pressure end zeroing three-way valve status voltage. It is not in the range of ON. Failure prompt message number [205] Error of inspiratory flow low-pressure end zeroing three-way valve status voltage. It is not in the range of OFF. 5-31 Error code Cause Corrective Action Failure prompt message number [206] Expiratory pressure sensor zero point too high (>1875) Failure prompt message number [207] Expiratory pressure sensor zero point too low (<967) Failure prompt message number [208] The zero point of expiratory pressure sensor fluctuates greatly in the course of sampling. Failure prompt message number [209] The zero point of expiratory pressure sensor is higher than the threshold of previous zero point. 1 Remove the sensor sampling line to eliminate occlusion of sampling line or effect from three-way valve. Then perform zeroing again. 2 Replace the corresponding sensor. Then perform zeroing again. 3 If the zero point is still not correct, it indicates that the monitoring board is faulty. Replace the monitoring board. Failure prompt message number [210] The zero point of expiratory pressure sensor is lower than the threshold of previous zero point. Failure prompt message number [211] Expiratory flow sensor zero point too high (>910) Failure prompt message number [212] Expiratory flow sensor zero point too low (<365) Failure prompt message number [213] The zero point of expiratory pressure sensor fluctuates greatly in the course of sampling. Failure prompt message number [214] The zero point of expiratory flow sensor is higher than the threshold of previous zero point. Failure prompt message number [215] The zero point of expiratory flow sensor is lower than the threshold of previous zero point. 5-32 5.3.10 Pressure Calibration (Factory) NOTE z Factory pressure calibration is necessary when replacing the monitoring board, sensor adapter board, or expiratory valve assembly. z When a great deviation (the deviation is larger than 2% of the reading or 1cmH2O) is detected between the measured value of the machine built-in pressure sensor and that of the standard pressure measurement device, you need to perform factory pressure calibration. z It is recommended to disconnect the ventilator from the humidifier before calibration. This calibration is intended to calibrate the inspiratory pressure sensor, expiratory pressure sensor and expiratory valve by using ventilator calibration device. The supported calibration devices include VT Plus and PF300. 5.3.10.1 Calibration Procedures NOTE z Before pressure calibration, make sure that the tubes are not leaky when connected. z Do not move or press the tubes during calibration. 5-33 Perform pressure calibration by using PF300: 1. Enter the pressure calibration screen. Select [Setup] → [Maintain] → [Service], and enter the required password to access the [Service] menu. Select [Calibration] and then select [Pressure Calibration]. Select [PF300] as calibration device, as shown below. 2. PF300 zeroing and setup After PF300 is switched on and warms up for 5 minutes, press [Menu] button on the front panel of PF300. 5-34 Press [Zero!] button to perform zeroing. After zeroing is completed, press the button as shown below to enter P difference + measure screen. 3. Connect the calibration line. The calibration fixture is as shown below. The two lines on the left are connected to the USB port and RS-232 port at the back of the ventilator respectively. The communication line (has PF300 mark) on the right is connected to the RS-232 port of PF300. 5-35 PF300 calibration fixture, as shown below. Connect the calibration line at the back of the ventilator (PF300), as shown blow. 5-36 Connect PF300 calibration line as shown below. 4. Connect the calibration pneumatic circuit, as shown below. Connect the inspiratory port and expiratory port with hoses and occlude the Y piece end. 5-37 Connect the airway pressure sampling line to PF300 by using pneumatic connection fixture. 5. Select [Start] on the ventilator screen to start calibration. Perform pressure calibration by using VT Plus: 1. Enter the pressure calibration screen. Select [Setup] → [Maintain] → [Service], and enter the required password to access the [Service] menu. Select [Calibration] and then select [Pressure Calibration]. Select [VT Plus] as calibration device. 2 VT Plus zeroing and setup Zeroing: After VT Plus is switched on and warms up, press [PRESSURE] button to enter pressure measure screen. Press the button corresponding to [Range] to switch to “Low Pressure”. Press [Zero] button to perform zeroing. 5-38 Setup: press [SETUP]. Select “SYSTEM” and then select “Serial Mode”. Use [MODIFY] to change mode to “OTIS Ctrl” mode. 3. Connect the calibration line. The calibration fixture is as shown below. The two lines on the left are connected to the USB port and RS-232 port at the back of the ventilator respectively. The communication line (has VT Plus mark) on the right is connected to the communication port of VT Plus. The calibration fixture is as shown below. 5-39 Connect the calibration line at the back of the ventilator, as shown blow. 5-40 Connect VT Plus calibration line, as shown below. 4. Pneumatic connection. Connect the calibration pneumatic circuit, as shown below. Connect the inspiratory port and expiratory port with hoses and occlude the Y piece end. 5-41 Connect the airway pressure sampling line to LOW PRESSURE “+” pressure sampling port of VT Plus by using pneumatic connection fixture. 5. Select [Start] on the ventilator screen to start calibration. NOTE z After pressure calibration, check the measurement accuracy of the pressure sensor as per 5.2.5Check the Accuracy of Pressure Sensor. z In case of calibration failure, troubleshoot the problem first and then perform pressure calibration again. 5.3.10.2 Error Codes and Corrective Actions Error code Cause Corrective Action Failure prompt message number [1] Calibration device communication error Check the calibration device setup and communication cable connection. Failure prompt message number [2] Calibration device zero point pressure error. The zero point pressure of calibration device is not within the range of [-0.3, 0.3]cmH2O. Zero the calibration device correctly before calibration. 5-42 Error code Cause Corrective Action Failure prompt message number [3] The expiratory valve fails to produce small pressure: when the blower pressure is 80cmH2O, the expiratory valve cannot find pressure of [10, 20]cmH2O within the current range of [0,800]mA. 1. Check if the expiratory valve diaphragm is normal. 2. During valve diagnostic test, test if the safety valve can be closed and opened normally. Failure prompt message number [4] The expiratory valve fails to produce large pressure: when the blower pressure is 80cmH2O, the expiratory valve cannot find pressure of [blower maximum output pressure -15, blower maximum output pressure -5]cmH2O within the current range of [0,800]mA. For definition of blower maximum output pressure, refer to “Failure prompt message number [5]”. 1. Check if the expiratory valve diaphragm is normal. 2. During valve diagnostic test, test if the safety valve can be closed and opened normally. Failure prompt message number [5] Pneumatic maximum pressure low: when blower pressure is 80cmH2O and expiratory valve current is 800mA, the maximum pressure (blower maximum output pressure) produced is less than 45cmH2O. 1. Check if the expiratory valve diaphragm is normal. 2. During valve diagnostic test, test if the safety valve can be closed and opened normally. 5-43 Error code Cause Corrective Action Failure prompt message number [52] Insp. Pressure three-way valve failure Failure prompt message number [53] Three-way valve failure at the high-pressure end of expiratory flow sensor Refer to 6.3Technical Alarms and Diagnosis to fix the machine so that the alarm will not occur. Then perform calibration again. Failure prompt message number [55] Insp. limb failure Failure prompt message number [57] Safety valve failure Failure prompt message number [58] Insp. module communication stop Failure prompt message number [59] Exp. module communication stop Failure prompt message number [60] Blower failure Failure prompt message number [61] Blower temperature too high Failure prompt message number [64] Standard table write EEPROM timeout Perform calibration again after restart. Failure prompt message number [103] Insp. pressure sensor zero point error 1. Check the sampling line connection of inspiratory pressure sensor. 2. Perform calibration again. 3. Replace the inspiratory pressure sensor. Failure prompt message number [104] Insp. pressure sensor calibration table pressure is not humdrum: when closing the expiratory valve with larger current, the pressure measured by the calibration device is smaller. Check for leakage during calibration. 5-44 Error code Cause Corrective Action Failure prompt message number [105] Insp. pressure sensor calibration table AD is not humdrum: when closing the expiratory valve with larger current, the AD value of the insp. pressure sensor is smaller. 1. Check for leakage during calibration. 2. Check if the sampling line of inspiratory pressure sensor is properly connected. 3. Replace the inspiratory pressure sensor. Failure prompt message number [109] The insp. pressure sensor calibration curve is non-linear. Perform calibration again. Failure prompt message number [115] Error of saving table to insp. module EEPROM Perform calibration again after restart. Failure prompt message number [203] Exp. pressure sensor zero point error 1. Check the sampling line connection of expiratory pressure sensor. 2. Perform calibration again.。 3. Replace the monitoring board. Failure prompt message number [204] Exp. pressure sensor calibration table pressure is not humdrum: when closing the expiratory valve with larger current, the pressure measured by the calibration device is smaller. Check for leakage during calibration. Failure prompt message number [206] Exp. pressure sensor calibration table AD is not humdrum: when closing the expiratory valve with larger current, the AD value of the exp. pressure sensor is smaller. 1. Check for leakage during calibration. 2. Check if the sampling line of expiratory pressure sensor is properly connected. 3. Replace the expiratory pressure sensor. Failure prompt message number [207] Expiratory valve calibration table non-monotonic: the larger the control current, the smaller the actually sampled current. 1. Perform calibration again. 2. If the problem persists, replace the expiratory valve. Failure prompt message number [212] The exp. pressure sensor calibration curve is non-linear. Perform calibration again. Failure prompt message number [213] Error of saving table to exp. module EEPROM Perform calibration again after restart. 5-45 5.3.11 Expiratory Valve Calibration (Factory) NOTE z When a great deviation (5cmH2O and 20% of the valve opening settting value, whichever is greater) is detected between the control effect of the machine expiratory valve and the setting value, you need to perform expiratory valve calibration (factory). This calibration is intended to calibrate the expiratory valve by using the ventilator inside pressure sensor onto which pressure calibration has been performed as the calibration reference. Ventilator calibration device is not required. 5.3.11.1 Calibration Procedures NOTE z Before expiratory valve calibration, make sure that the tubes are not leaky when connected. z Do not move or press the tubes during calibration. 1. Select [Setup] → [Maintain] → [Service], and enter thee required password to enter the [Service] menu. Select [Calibrate] and then select [Exp. Valve Calibration]. 2 Connect the hoses and insert the Y piece into the leak test plug to close the breathing circuit. 3. Select [Exp. Pressure Sensor] as the calibration reference. 4. Select [Start] to start expiratory valve calibration. NOTE z After expiratory valve calibration, check the measurement accuracy of the pressure sensors as per 5.2.5Check the Accuracy of Pressure Sensor. z In case of calibration failure, troubleshoot the problem first and then perform expiratory valve calibration. 5-46 5.3.11.2 Error Codes and Corrective Actions Error code Cause Corrective Action Failure prompt message number [1] Pressure sensor zeroing error: before expiratory valve calibration, an error occurs to zeroing the corresponding pressure sensor. 1. Call factory zeroing operation to see if zeroing is successful. 2. If zeroing fails, handle according to the zeroing error code information. Failure prompt message number [2] The expiratory valve fails to produce small pressure: when the blower pressure is 80cmH2O, the expiratory valve cannot find pressure of [10, 20]cmH2O within the current range of [0,800]mA. 1. Check if the expiratory valve diaphragm is normal. 2. During valve diagnostic test, test if the safety valve can be closed and opened normally. Failure prompt message number [3] The expiratory valve fails to produce large pressure: when the blower pressure is 80cmH2O, the expiratory valve cannot find pressure of [blower maximum output pressure -15, blower maximum output pressure -5]cmH2O within the current range of [0,800]mA. 1. Check if the expiratory valve diaphragm is normal. 2. During valve diagnostic test, test if the safety valve can be closed and opened normally. Failure prompt message number [4] Pneumatic maximum pressure low: when blower pressure is 80cmH2O and expiratory valve current is 800mA, the maximum pressure produced is less than 45cmH2O. 1. Check if the expiratory valve diaphragm is normal. 2. During valve diagnostic test, test if the safety valve can be closed and opened normally. 5-47 Error code Cause Corrective Action Failure prompt message number [52] Insp. Pressure three-way valve failure Failure prompt message number [53] Three-way valve failure at the high-pressure end of expiratory flow sensor Refer to 6.3Technical Alarms and Diagnosis to fix the machine so that the alarm will not occur. Then perform calibration again. Failure prompt message number [55] Insp. limb failure Failure prompt message number [57] Safety valve failure Failure prompt message number [58] Insp. module communication stop Failure prompt message number [59] Exp. module communication stop Failure prompt message number [60] Blower failure Failure prompt message number [61] Blower temperature too high Failure prompt message number [64] Standard table write EEPROM timeout Perform calibration again after restart. Failure prompt message number [204] Expiratory valve calibration table pressure is not humdrum. Check for leakage during calibration. Failure prompt message number [207] Expiratory valve calibration table current non-monotonic: the larger the control current, the smaller the actually sampled current. 1. Perform calibration again. 2. If the problem persists, replace the expiratory valve. Failure prompt message number [211] The expiratory valve calibration curve is non-linear. 1. Perform calibration again. Failure prompt message number [213] Error of saving table to exp. module EEPROM Perform calibration again after restart. 5-48 5.3.12 Air and O2 Calibration (Factory) NOTE z You need to perform Air and O2 calibration when: The measured value of the O2 sensor still has a great deviation after O2 concentration calibration is completed. The value deviates by over 3% from 21% in the Air and deviates by over 3% from 100% in pure O2. Replacing the inspiratory flow sensor or O2 flow sensor. This calibration is intended to calculate Air-OR factor by using the measured values of ventilator internal O2 flow sensor and inspiratory flow sensor. Connecting with external calibration device is not required. 5.3.12.1 Calibration Procedures NOTE z Before Air and O2 calibration, make sure that the main unit air inlet is not occluded and there is no leakage. z During calibration, make sure that the ventilator is connected to high-pressure O2 supply with sufficient gas supply. Failure to do so may lead to calibration failure. 1. Select [Setup] → [Maintain] → [Service], and enter thee required password to enter the [Service] menu. Select [Calibrate] and then select [Air O2 Calibration]. 2 Connect high pressure O2 supply and make sure that the gas supply is sufficient Cover plate for main unit air inlet Connect to high pressure gas supply 5-49 3. Remove the baffle of main unit air inlet and HEPA filter. HEPA filter Remove Baffle for main unit air inlet 4. Put the special clamp into the air inlet to make pneumatic obturate. Special clamp Insert 5. Select [Start] to start Air and O2 calibration. NOTE z After successful Air and O2 calibration, check the measurement accuracy of O2 concentration to make sure that the deviation between the O2 concentration measured by O2 sensor and the O2 concentration setting value does not exceed 3%. z In case of calibration failure, troubleshoot the problem first and then perform Air and O2 calibration. 5-50 5.3.12.2 Error Codes and Corrective Actions Error code Cause Corrective Action Failure prompt message number [1] Zero point flow error occurs to the inspiratory flow sensor: when the inspiratory valve is closed and the blower stops rotation, the zero point flow value of inspiratory flow sensor is not within the normal range of [0, 0.2] L/min. Replace the inspiratory flow sensor. Failure prompt message number [5] Zero point flow error occurs to the O2 flow sensor: when the O2 proportional valve is closed, the zero point flow value of O2 flow sensor is not within the range of [0,1] L/min. 1. Disconnect the O2 supply, including high pressure O2 supply and low pressure O2 supply. Check in the A/D channel to see if O2 flow is within the range of [0, 1] L/min. If yes, it indicates that the O2 proportional valve cannot be fully closed. Replace the O2 proportional valve. 2. Replace the O2 flow sensor. Failure prompt message number [7] The output flow of O2 proportional valve is low: the maximum output flow of O2 proportional valve is a bit low and the factory calibration is 100L/min. 1. Check if the high pressure O2 supply is sufficient. 2. Connect the high pressure O2 supply. On the valve test screen, open the O2 proportional valve with 500mA current. Check if the flow satisfies the threshold requirement. If not, replace the O2 proportional valve. Failure prompt message number [55] Insp. limb failure Failure prompt message number [58] Insp. module communication stop Refer to 6.3Technical Alarms and Diagnosis to fix the machine so that the alarm will not occur. Then perform calibration again. Failure prompt message number [64] Standard table write EEPROM timeout Perform calibration again after restart. Failure prompt message number [104] Flow non-monotonic: during Air and O2 calibration, the larger the current of O2 proportional valve, the smaller the flow measured by the inspiratory flow sensor. 1. Check if the blower gas inlet is fully occluded. 2. Perform calibration again. 5-51 Error code Cause Corrective Action Failure prompt message number [115] Error of saving table to insp. module EEPROM Perform calibration again after restart. Failure prompt message number [116] TSI Air-O2 conversion factor is too large. 1. Check if the clamp and Air inlet are sealed. Re-plug the clamp. 2. Perform leakage test of system check and make sure that the test is passed. 3. Perform calibration again. If the problem persists, replace the inspiratory flow sensor and O2 flow sensor. 4. Perform calibration again. If the problem persists, check the parts of the machine (such as blower box assembly, inspiration valve,flow sensor, O2 inlet assembly) whether there are some installation errors. Failure prompt message number [117] TSI Air-O2 conversion factor is too small. Perform calibration again. If the problem persists, replace the inspiratory flow sensor and O2 flow sensor. 5-52 6 Troubleshooting 6.1 Introduction In this chapter, ventilator failures are listed along with possible causes and recommended actions. Refer to the tables below to check the ventilator, isolate and eliminate the failures. Once isolating the part you suspect defective, refer to 7Repair and Disassembly to disassemble the equipment, and repair and replace the defective part. 6.2 Troubleshoot System Check Failures Troubleshoot by referring to the table below if there are failed items during system check. Failed item Possible cause Recommended action Blower test 1. Blower power supply connection line is disconnected. 2. Blower failure. 1. Make sure of the correct connection of blower power cable. 2. Replace the blower. O2 flow sensor test 1. High pressure O2 supply insufficiency. 2. Low pressure O2 ventilation. 3. The deviation between O2 proportional valve and O2 flow sensor is a bit large. 4. O2 proportional valve failure. 5. O2 flow sensor failure. 1. Check if high-pressure O2 supply is connected and is sufficient. 2. Check in [Setup] →[Maintain]→[User] →enter the required password→[Setting]→ [Gas Supply] →[O2 Supply Type] to see if low pressure O2 is selected. If yes, switch to high pressure O2. 3. Re-do flow calibration. Refer to 5.3.2Flow Calibration (Factory). 4. Diagnose if the O2 proportional valve is abnormal on the valve diagnostic screen (refer to 6.6.3.3Insp. Valve and O2 Proportional Valve Satus Error). If yes, replace the O2 proportional valve and re-do system check. 5. Check if O2 flow sensor is correctly connected. If the failure persists, replace the O2 flow sensor and re-do system check. 6. Replace the VCM. 6-1 Failed item Possible cause Recommended action Insp. flow sensor test 1. The deviation of valve opening flow between insp. flow sensor and insp. valve is a bit large. 2. Insp. valve failure. 3. Insp. flow sensor failure. 1. Re-do flow calibration. Refer to 5.3.2Flow Calibration (Factory). 2. Diagnose if the insp. valve is abnormal on the valve diagnostic screen (refer to 6.6.3.3Insp. Valve and O2 Proportional Valve Satus Error). If yes, replace the insp. valve and re-do system check. 3. Check if insp. flow sensor is correctly connected. If the failure persists, replace the insp. flow sensor and re-do system check. 4. Replace the VCM. Exp. flow sensor test 1. Y piece is not occluded or the tube is not connected. 2. The deviation of measured flow between exp. flow sensor and insp. flow sensor is a bit large. 3. Exp. flow sensor failure. 1. Check if the Y piece is occluded or the tube is connected. 2. Re-do flow calibration. Refer to 5.3.2Flow Calibration (Factory). 3. Check if exp. flow sensor is correctly connected. If the failure persists, replace the exp. flow sensor and re-do flow calibration and system check. 4. Replace the VCM. Pressure sensor test 1. Y piece is not occluded or the tube is not connected. 2. The deviation between insp. pressure sensor, exp. pressure sensor measured pressures and exp. valve opening pressure is a bit large. 3. Insp. pressure and exp. pressure sensor sampling lines are not connected or are leaky. 4. Exp. valve is not installed or has power supply error. 5. Exp. valve error. 1. Check if the Y piece is occluded or the tube is connected. 2. Re-do pressure calibration. 3. Make sure that the insp. pressure and exp. pressure sensor sampling lines are in good condition (not broken) and are properly connected. 4. Make sure that the exp. power cable is correctly connected and the exp. valve is correctly installed. Re-do system check. 5. Diagnose if the exp. valve has an error on the valve diagnostic screen (refer to 6.6.3.4Exp. Valve Status Error. If yes, replace the exp. valve and re-do system check. 6. Replace the VCM. Exp. valve test Same to “Pressure sensor test”. Same to “Pressure sensor test”. 6-2 Failed item Possible cause Recommended action Safety valve test 1. Y piece is not occluded or the tube is not connected. 2. Safety valve power supply error. 3. Safety valve error. 1. Check if the Y piece is occluded or the tube is connected. 2. Make sure of the normal connection of safety valve power cable. 3. Diagnose if the safety valve has an error on the valve diagnostic screen (refer to 6.6.3.5Safety Valve Status Error. If yes, replace the safety valve and re-do system check. 4. Replace the VCM. Leakage (mL/min) 1. Y piece is not occluded or the tube is not connected. 2. Insp. flow sensor test or pressure sensor test is failed. 1. Check if the Y piece is occluded or the tube is connected. 2. Do leak test after successful insp. flow sensor test and pressure sensor test. Compliance (mL/cmH2O) Same to“Leakage test”. Same to“Leakage test”. Circuit resistance (cmH2O/L/s) 1. Y piece is not occluded or the tube is not connected. 2. Exp. flow sensor test or pressure sensor test is failed. 1. Check if the Y piece is occluded or the tube is connected. 2. Do circuit resistance test after successful exp. flow sensor test and pressure sensor test. O2 sensor test 1. The on-screen O2 monitoring function is turned off. 2. The O2 sensor is no not connected or is ineffective. 3. Blower test, or O2 flow sensor test, or insp. flow sensor test is failed. 1. Turn on O2 monitoring function. 2. Make sure that O2 sensor is correctly connected and there is no O2 sensor related alarm on the screen. Re-do O2 sensor test. 3. Perform O2 sensor test after successful blower test, O2 flow sensor test, and insp. flow sensor test. 4. Perform O2 sensor calibration. 5. Replace the VCM. 6-3 6.3 Technical Alarms and Diagnosis Before troubleshooting the ventilator, check for technical alarm message. If an alarm message is presented, eliminate the technical alarm first. The following sections detail how to troubleshoot technical alarms related to the ventilator. For detailed information on possible causes and recommended actions for technical alarm messages of other modules, refer to the Operator’s Manual. In the “Level” column of the following table, the default alarm level is indicated: H for high, M for medium, L for low and P for prompt message. 6.3.1 Main Board Related Technical Alarms Alarm Level Possible cause Recommended action Please reset date and time L The system has no button cell or the cell has no capacity. 1. Replace the button cell and reset date and time. 2. If the failure persists, replace the main board. Technology event M Alarm of technical error occurs: keyboard communication stop. Refer to 6.4Failure Code Table. Machine failure H Alarm of machine failure occurs: control module initialization error, VCM, power board, SpO2, and protection module communication stop. Refer to 6.4Failure Code Table. 6-4 6.3.2 Keyboard Related Technical Alarms Alarm Level Possible cause Recommended action Key error L Key pressing timeout; control knob or hard key is broken, or the contact is not good. 1. Key pressing times out. Correct the operation. 2. Replace the keyboard. 3. Replace the main board. Technology event M Alarm of technical error occurs: keyboard selftest error Refer to 6.4Failure Code Table. 6.3.3 VCM Related Technical Alarms Alarm Level Possible cause Recommended action PEEP too high H PEEP is too high. PEEP monitored value is greater than PEEP setting value+5cmH2O. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. Check parameter settings. PEEP too low M PEEP is too low. PEEP monitored value is less than PEEP setting value by a certain value which is decided by the software. 1. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. 2. Check if the exp. valve is installed correctly. 3. Check parameter settings. Airway obstructed? H Patient tube is obstructed. 1 .Check if the patient tube is obstructed. If yes, dredge it. 2. Refer to 5.2.4Check the Accuracy of Flow Sensor to check the flow sensor. If it is inaccurate, perform calibration again. 3. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. 6-5 Alarm Level Possible cause Recommended action Insp. limb airway obstructed? H During O2 therapy, patient tube is bent or obstructed. Check if the patient tube is obstructed. If yes, dredge it. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the insp. pressure sensor. If it is inaccurate, perform calibration again. Sustained airway pressure H The patient airway pressure is sustained at a high level. Check parameter settings. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. Airway leak? L Patient tube is leaky. 1. Check if the patient tube is leaky. If yes, replace the tube. 2. Refer to 5.2.4Check the Accuracy of Flow Sensor to check the flow sensor. If it is inaccurate, perform calibration again. 3. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. Tube disconnected? H Patient tube is disconnected. 1. Check if the patient tube is disconnected or loose. If yes, re-connect it. 2. Refer to 5.2.4Check the Accuracy of Flow Sensor to check the flow sensor. If it is inaccurate, perform calibration again. 3. Refer to5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. Pressure limited L Pressure reaches pressure high alarm limit-5cmH2O. Check parameter settings, including pressure high alarm limit setting. Check if there is pressure sensor failure alarm (corresponding to strings “Device Failure 09” and “Device Failure 21”). If it is faulty, replace it. If the failure persists, replace the VCM. Volume limited L In pressure mode, delivered gas exceeds the upper limit of set TV and expiration is switched to in advance. Check parameter settings, including TVe high alarm limit setting. Check if there is “Please check exp. flow sensor” alarm. If yes, eliminate this alarm. If the failure persists, replace the VCM. 6-6 Alarm Level Possible cause Recommended action Pinsp not achieved L Ppeak fails to reach the set value. Check if the tube is leaky. If yes, re-connect. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. Check parameter settings. TV not achieved L TV fails to reach the set value. Check if the tube is leaky. If yes, re-connect. Refer to 5.2.4Check the Accuracy of Flow Sensor to check the flow sensor. If it is inaccurate, perform calibration again. Check if parameter settings are reasonable. Pressure limited in sigh cycle L After sigh function is activated, the pressure in sigh cycle reaches pressure high alarm limit-5cmH2O. Check parameter settings, including pressure alarm high limit setting. Check if there is pressure sensor failure alarm (corresponding to strings “Device Failure 09” and “Device Failure 21”). If it is faulty, replace it. If the failure persists, replace the VCM. O2 supply failure H O2 supply is insufficient. Check if high pressure is connected and is sufficient. Diagnose if the O2 proportional valve is abnormal on the valve diagnostic screen (refer to 6.6.3.3 Insp. Valve and O2 Proportional Valve Satus Error). If yes, replace the O2 proportional valve. Replace the VCM. Tinsp too long L Spontaneous breathing in PSV mode fails to satisfy the exp. sensitivity all the time so that expiration is unable to end. Check parameter settings. Check and replace pressure and flow sensors. Please check exp. flow sensor H Exp. flow sensor is faulty. Perform zeroing. Refer to 5.3.9Pressure and Flow Zeroing (Factory). Calibrate the exp. flow sensor. Refer to 5.3.2Flow Calibration (Factory). Replace the exp. flow sensor. 6-7 Alarm Level Possible cause Recommended action Insp. gas temp. too high H Insp. gas temperature exceeds the limit. 1. Check if the temperature of machine working environment exceeds the factory specified maximum working temperature, which is 40℃. 2. Check if the fan air intake vent and air exhaust vent are occluded. If yes, clear the foreign matter and dust. Check the operation of the fan. If it is abnormal (such as abnormal sound, abnormal rotation speed etc.), replace the fan. 3. In the A/D channel, check if the insp. gas temperature and insp. O2 temperature measured values exceed the range provided by the A/D channel. Replace the flow sensor (mixed gas flow sensor or O2 flow sensor) whose corresponding temperature exceeds the limit. Replace HEPA filter L The HEPA filter is occluded. Replace the HEPA filter. O2 sensor unconnected L O2 sensor is not connected. 1. Check if the O2 sensor cable is disconnected. If yes, re-connect it. 2. If the failure persists, replace the O2 sensor. Please replace O2 sensor M O2 sensor is used up. Replace the O2 sensor. Please calibrate O2 sensor L O2 sensor is not calibrated (not calibrated by both the factory and the user). Perform 21% and 100% O2 sensor calibration again. Refer to 5.3.4O2% Calibration (Factory). Please perform pressure calibration H Pressure sensor is not calibrated (factory calibration). 1. Perform pressure sensor calibration. Refer to 5.3.10Pressure Calibration (Factory). 2. Replace the VCM. Please perform flow calibration H Flow sensor and insp. valve are not calibrated (not calibrated by both the factory and the user). 1. Perform flow sensor and insp. valve calibration. Refer to 5.3.2Flow Calibration (Factory). 2. Replace the VCM. 6-8 Alarm Level Possible cause Recommended action Flow sensor type error H Air flow sensor type or O2 flow sensor type is wrong. 1. Check the mixed gas flow sensor to see if it is Air flow sensor. If not, replace it. 2. Check the flow sensor in O2 limb to see if it is O2 flow sensor. If not, replace it. Blower temperature high H The blower temperature exceeds the threshold. 1. Check if the temperature of machine working environment exceeds the factory specified maximum working temperature, which is 40℃. 2. Check if the fan air intake vent and air exhaust vent are occluded. If yes, clear the foreign matter and dust. Check the operation of the fan. If it is abnormal (such as abnormal sound, abnormal rotation speed etc.), replace the fan. Technology event M Alarm of technical error occurs. Refer to 6.4Failure Code Table. Machine failure H Alarm of machine failure occurs. Refer to6.4Failure Code Table. 6.3.4 Auxiliary Monitor Board Related Technical Alarms Alarm Level Possible cause Recommended action Sustained airway pressure H The patient airway pressure is sustained at a high level. Check parameter settings. Refer to 5.2.5Check the Accuracy of Pressure Sensor to check the pressure sensor. If it is inaccurate, perform calibration again. Machine failure H The machine internal voltage is abnormal. Or, the communication between insp. module and auxiliary monitor board stops. Or the communication between exp. module and auxiliary monitor board stops. Refer to 6.4Failure Code Table. 6-9 6.3.5 Power Board Related Technical Alarms Alarm Level Possible cause Recommended action Battery 1 failure H Failure type of alarm occurs to battery 1. Replace battery 1. Battery 2 failure H Failure type of alarm occurs to battery 2. Replace battery 2. Battery temp. high. Connect external power supply. M Battery temperature is a bit high during discharging. System maybe down for battery temp. high H Battery temperature is too high during discharging. 1. Make sure if the environmental temperature is too high, for example, exceeding 35℃. If exceeding 35℃, recommend the user to use the machine at lower temperature and make sure that there is no heat source around the machine. 2. Check if the fan air intake vent and air exhaust vent are occluded. If yes, clear the foreign matter and dust. Check the operation of the fan. If it is abnormal (such as abnormal sound, abnormal rotation speed etc.), replace the fan. 3. If the above two items are eliminated, check if the battery is normal. 4. If the failure persists, replace the DC-DC board. Battery in use L Battery is being used. Check the external power connection. If the external power supply is normally connected and the voltage is normal, check the connection between external power supply and power board, socket, and fuse. If the failure persists, replace the DC-DC board. Low battery. Connect external power supply. M The battery remaining capacity is lower than the threshold. System down. Connect external power supply. H Battery capacity is to be depleted. 1. The system is operable. Connect external power supply immediately. 2. Check if the battery can be normally charged. If it cannot be charged, replace the DC-DC board. 3. Perform battery conditioning once: fully charged, completely discharged, and fully charged again. Make sure battery charging/power supply time is normal. If charging or power supply time is distinguishingly shortened, consider to replace the battery. 6-10 Alarm Level Possible cause Recommended action Battery undetected H No battery is installed. Or, the connection line between the battery and the power module is not connected. 1. Check if the battery is normal. If there is a problem with the battery, replace the battery. 2. If the battery is normal, check if the cable between battery adapter board and DC-DC board is normal. 3. If the failure persists, replace the DC-DC board. Fan failure M Fan hardware failure. 1. Replace the fan. 2. If the failure persists, replace the DC-DC board. Machine failure H Power board self-test error. See section 6.4 Failure Code Table. 6.3.6 CO2 Related Technical Alarms Alarm Level Possible cause Recommended action CO2 sensor high temp. L The CO2 sensor assembly temperature is too high. Replace the CO2 module. CO2 sampleline occluded L The sampling line has an error or is occluded. 1. Replace the sampling line. 2. Replace the CO2 module. CO2 no watertrap L The watertrap is disconnected or is connected improperly. 1. Re-install the CO2 watertrap. 2. If the failure persists, replace the CO2 module. EtCO2 overrange L The parameter measured value exceeds the measurement range. 1. Check if the measure mode is correct. 2. Replace the CO2 module. Please replace CO2 sensor M Mainstream CO2 module sensor is faulty. Replace the mainstream CO2 module sensor. CO2 no sensor L Mainstream CO2 module sensor is not connected. 1. Check the connection of mainstream CO2 module. 2. If the failure persists, replace the mainstream CO2 module sensor. CO2 module failure M CO2 module is faulty. Refer to 6.4Failure Code Table. 6-11 6.3.7 SpO2 Related Technical Alarms Alarm Level Possible cause Recommended action SpO2 sensor off L SpO2 sensor changes from connected state to disconnected state at the patient side. Check the sensor placement part. Check the sensor for damage. Re-connect the sensor and use a new sensor. Please replace SpO2 sensor M SpO2 sensor failure L Connection between the main cable and the module changes from connected state to disconnected state. Move the sensor to part with weak light or cover the probe. L The sensor ambient light is too strong. The photoelectric detection end of the sensor absorbs ambient light. L SpO2 sensor is unable to acquired pulsation signals. Check the patient condition. Re-install the sensor to a proper part. If the failure persists, replace the sensor. 1. Check if the measure mode is correct. 2. Replace the SpO2 module. L The parameter measured value exceeds the measurement range. 1. Check if the measure mode is correct. 2. Replace the SpO2 module. PR overrange L The parameter measured value exceeds the measurement range. SpO2 module failure M SpO2 module is faulty. Replace the SpO2 module. SpO2 no sensor SpO2 too much light SpO2 no pulsatile SpO2 overrange 6-12 6.4 Failure Code Table Alarm Failure code Possible cause Recommended action Technology event Technical error 01 Keyboard communication stop 1. Check if the keyboard and main board are not in good contact. If yes, re-plug or replace the communication cable. 2. If the failure persists, check the correctness of keyboard software. 3. If the failure persists, replace the keyboard. 4. If the failure persists, replace the main board. Technical error 02 Keyboard selftest error 1. Restart the machine. 2. Replace the keyboard software. 3. If the failure persists, replace the keyboard. Technical error 03 Blower temp. sensor failure In the A/D channel, check the blower internal temperature and blower external temperature. If the internal temperature (or external temperature) exceeds the limit, replace the temperature sensor. Technical error 05 Atmospheric pressure sensor failure 1. Check if “Technical error 06”exists at the same time. If yes, in the A/D channel, check which of “Pfilter pressure sensor measured pressure value” and “Atmospheric pressure sensor measured atmospheric pressure” is closer to the atmospheric pressure in the current environment. Replace the sensor with greater deviation. 2. Replace the VCM. Technical error 06 HEPA pressure sensor failure 1. Check if “Technical error 05”exists at the same time. If yes, in the A/D channel, check which of “Pfilter pressure sensor measured pressure value” and “Atmospheric pressure sensor measured atmospheric pressure” is closer to the atmospheric pressure in the current environment. Replace the sensor with greater deviation. 2. Replace the VCM. Technical error 07 3-way valve failure Check and replace the 3-way valve. Technical error 08 Nebulizer valve failure Check and replace the nebulizer valve. 6-13 Alarm Machine failure Failure code Possible cause Recommended action Technical error 09 Insp. temp. sensor failure 1. In the A/D channel, check if the insp. mixed gas and insp. O2 temperature measured values are too large or too small. Replace the temperature sensor which has some problem. 2. Replace the insp. mixed gas temp. sensor and insp. O2 temp. sensor. Device failure 01 Power supply voltage error 1. Measure the voltage of corresponding test point. 2. If the failure persists, replace the power board. Device failure 02 Memory error 1. Restart the ventilator. 2. If the failure persists, replace the VCM. Device failure 03 Power board selftest error 1. Restart the ventilator. 2. Replace the power board software. 3. If the failure cannot be fixed, replace the power board. Device failure 04 Control module initialization error Check the VCM hardware. If it is faulty, replace it. Device failure 05 Control module communication stop 1. Check if the VCM and main board are not in good contact. If yes, re-plug or replace the communication cable. 2. Check if the control module is damaged. If yes, replace the control module. 3. Check if the main board is damaged. If yes, replace the main board. 4. Check if the software version is compatible. If not, upgrade the correct software version. Device failure 06 Control module selftest error 1. Restart the ventilator. 2. Check and replace the control module. Device failure 07 Insp. module communication stop 1. Restart the ventilator. 2. Upgrade the insp. module software and control module software. Device failure 08 Exp. module communication stop 1. Restart the ventilator. 2. Upgrade the exp. module software and control module software. Device failure 09 Pressure sensor failure 1. Replace the insp. pressure sensor. 2. Replace the exp. pressure sensor. Device failure 10 Safety valve failure Check and replace the safety valve. 6-14 Alarm Failure code Possible cause Recommended action Device failure 12 Insp. limb failure 1. Check if the insp. valve works normally. If not, replace the insp. valve. 2. Check the insp. flow sensor. 3. Replace the insp. valve or insp. flow sensor and perform calibration. Device failure 13 O2 limb failure 1. Check if the O2 proportional valve works normally. If not, replace the O2 proportional valve. 2. Check the O2 flow sensor. 3. Replace the O2 proportional valve or O2 flow sensor and perform calibration. Device failure 14 Blower failure Replace the blower. Device failure 15 Blower temperature too high 1. Check if the temperature of machine working environment exceeds the working temperature. 2. Check if the fan air intake vent and air exhaust vent are occluded. If yes, clear the foreign matter and dust. Check the operation of the fan. If it is abnormal (such as abnormal sound, abnormal rotation speed etc.), replace the fan. Device failure 16 Insp. valve disconnected 1. Check the connection of insp. valve. 2. Replace the insp. valve. Device failure 17 Insp. module selftest error 1. Restart the ventilator. 2. Replace the VCM. Device failure 18 Exp. module selftest error 1. Restart the ventilator. 2. Replace the VCM. Device failure 19 Power board communication stop 1. Check if the power board and main board are not in good contact. If yes, re-plug or replace the communication cable. 2. Check if the power board is damaged. If yes, replace the power board. 3. Check if the main board is damaged. If yes, replace the main board. 4. Check if the software version is compatible. If not, upgrade the correct software version. Device failure 20 SpO2 communication stop 1. Check if the SpO2 module and main board are not in good contact. If yes, re-plug or replace the communication cable. 6-15 Alarm Failure code Possible cause Recommended action 2. Check if the SpO2 module and main board are damaged. If yes, replace them. 3. Check if the software version is compatible. If not, upgrade the correct software version. Battery 1 failure Battery 2 failure Device failure 21 Pressure sensor zero point error 1. Replace the insp. pressure sensor. 2. Replace the exp. pressure sensor. Device failure 22 Protection module communication stop 1. Check if the main board is damaged. If yes, replace the main board. 2. Check if the software version is compatible. If not, upgrade the correct software version. Battery 1 failure 01 Battery 1 temp. error. Unable to charge. Replace battery 1. Battery 1 failure 02 Battery 1 charge failure Battery 1 failure 03 Battery 1 aging Battery 1 failure 04 Battery 1 communication error Battery 1 failure 05 Battery 1 failure Battery 2 failure 01 Battery 2 temp. error. Unable to charge. Battery 2 failure 02 Battery 2 charge failure Battery 2 failure 03 Battery 2 aging Battery 2 failure 04 Battery 2 communication error Battery 2 failure 05 Battery 2 failure 6-16 Replace battery 2. Alarm Failure code Possible cause Recommended action CO2 module failure CO2 module failure 01 CO2 zero failure 1. Check if the connection between sensor and tubes is normal, and zero the module again; 2. If the failure persists, replace the CO2 module. CO2 module failure 02 CO2 initialization error 1. Re-install the CO2 module; 2. Replace the CO2 module. CO2 module failure 03 CO2 self-test error 1. Re-install the CO2 module; 2. Replace the CO2 module. CO2 module failure 04 CO2 hardware error 1. Check if the connection of the sensor is correct; 2. If the failure persists, replace the CO2 module. CO2 module failure 05 CO2 communication stop 1. Check if the connection between CO2 module and main board is normal. If not, plug in the communication line again, or replace the communication line. 2. Check if the CO2 module or main board is damaged. If yes, replace the CO2 module or main board. CO2 module failure 06 CO2 zero error 1. Check if the zero procedure is correct according to the prompt on the zeroing window. If not, zero the mainstream CO2 module again according to the prompt. 2. Check if the mainstream CO2 module is damaged. If yes, replace the module. 6-17 6.5 Error Information Error information does not prompt to user as alarms, they only be record in log. Error Possible Cause Recommended action Ventilator Reset Error 1.UI task of the main board software crashes so that the watch dog resets; 2. The power is unstable, or in bad contact. 1. Update the software of the main board again; 2. Check if the power or power cord is damaged. If yes, replace it. Keyboard Comm Error 1. The communication line between the keyboard and the main board is in bad contact; 2. The temperature of the ventilator is too high. 1. Check and plug in the communication line again. 2. Ensure that the ventilator runs at the normal temperature. Ctrl Module Comm Error The software version of VCM is not compatible with that of main board. Update the correct software of VCM and the main board. Power Board Comm Error 1. The communication line between the power board and the main board is in bad contact; 2. The temperature of the ventilator is too high. 1. Check and plug in the communication line again. 2. Ensure that the ventilator runs at the normal temperature. Protection Module Comm Error The software version of protection module is not compatible with that of main board. Update the correct software of protection module and the main board. SpO2 Comm Error 1. The SpO2 communication line is in bad contact; 2. The SpO2 module error. 1. Check and plug in the SpO2 communication line again. 2. Replace the SpO2 module. CO2 Comm Error 1. The CO2 communication line is in bad contact; 2. The CO2 module error. 1. Check and plug in the CO2 communication line again. 2. Replace the CO2 module. 6-18 6.6 Diagnostic Test 6.6.1 Preparations before Using the Valve Test Tool Make the following preparations before using the valve test tool to locate the valve or sensor related failures. 1 Connect the pneumatic circuit according to the type of sensor or valve to be checked. Constant-flow connection method: connect the ventialtor tubes by following the constant-flow connection method to check the flow sensors and inspiratory valve. For details, refer to 5.2.4Check the Accuracy of Flow Sensor. Constant-pressure connection method: connect the ventilator tubes by following the constant-pressure connection method to check the pressure sensors and expiratory valve. For details, refer to 5.2.5Check the Accuracy of Pressure Sensor. 2. If checking the O2 limb, make sure that high pressure O2 supply pressure is normal. 3. When the system is Standby, select the Setup key and then select [Maintain] → [Service] → enter the required password→ [Diagnosis] to access the [Valve Test] menu. 6.6.2 Correspondence between the Sensors & Valves on the Valve Test Screen and the Components To troubleshoot the sensors or valves related failures by using the valve test tool, you must be familiar with the correspondence between the menu options on the valve test tool screen and the actual pneumatic circuit and hardware components. 6.6.2.1 Correspondence with Pneumatic Components The following diagram shows the correspondence between the sensors & valves on the valve test tool screen and the actual components in the pneumatic circuit diagram. 6-19 List of critical sensors or valves: Symbol Name Inspiratory valve Low pressure insp. valve PSOL Solenoid proportional valve (O2 proportional valve) Q1 O2 flow sensor Q2 Mixed gas flow sensor (insp. flow sensor) Q3 Exp. flow sensor PI Insp. pressure sensor PE Exp. pressure sensor EV Exp. valve SV Safety valve 6.6.2.2 Correspondence with Hardware Components The following picture shows the actual sampling line connections of the sensors. 6-20 6.6.3 Troubleshooting Methods by Using Valve Test Tool By using the valve test tool, you can troubleshoot the problems related to: Sensor zero point Sensor sampling line connection Insp. valve and O2 proportional valve satus Exp. valve status Safety valve status 6.6.3.1 Sensor Zero Point Error By using the valve test tool, you can easily detect if the zero points of all the pressure and flow sensors of the ventilator are abnormal. To diagnose sensor zero point error: 1. Disconnect all gas supplies. Stop the blower. Disconnect the patient from the tubes. Make sure that the pressure and flow sensors are in the zero point environment. 2. Check the actual measured value of each sensor in the valve test menu. If the actual value is greater than “0.5”, it indicates that this sensor requires zeroing. 3. If the actual measured value of each sensor nears “0”, check its zero point AD value. If the zero point AD value of a sensor is outside the normal range, it indicates that this sensor is faulty. You need to replace this sensor. After replacing the faulty sensor, perform zeroing again. If the zero point AD value of the sensor is still outside the normal range, it indicates that the VCM is faulty. You need to replace or maintain the VCM. NOTE z Zero point normal range of each sensor : Exp. pressure sensor zero point AD : 967 ~ 1875AD Insp. pressure sensor zero point AD : 967 ~ 1875AD Exp. flow sensor zero point AD : 365~910AD Insp. flow sensor and O2 flow sensor zero point : -0. 5~1L/min 6.6.3.2 Sensor Sampling Line Connection Error The expiratory flow sensor has two sampling lines. Generally, connection error can be: Two sampling lines are connected reversely; One sampling line is not connected; Two sampling lines are not connected. 6-21 The pressure sensor has one sampling line. Generally, connection error can be: The sampling line is not connected; The sampling line is not correctly connected. By using the valve test tool, you can detect if the sensor sampling lines are connected normally. To diagnose the sampling line connection error of expiratory flow sensor: 1. Enter the valve test menu and set blower pressure to 80cmH2O. 2. Increase the DA setting of the inspiratory valve gradually (open inspiration valve flow to 10L/Min). The AD value of the flow sensor should also increase. With the gradual increase of gas supplied, If the AD value of one flow sensor decreases gradually, it is possible that the two sampling lines of the flow sensor are connected reversely. If the AD value of one flow sensor nears zero point and keeps unchanged, it is possible that the two sampling lines of the flow sensor are not connected or the sampling line at the high pressure end is not connected. If the low pressure end of the flow sensor is not connected, the AD value of the flow sensor cannot help judgment of this situation. Disassemble the machine for inspection when necessary. 3. If sensor sampling line connection error is detected, re-connect the sampling lines by referring to 6.6.2.2Correspondence with Hardware Components and make sure of connection correctness following the above method. To diagnose the sampling line connection error of pressure sensor: 1. Enter the valve test menu. Set blower pressure to 80cmH2O and open insp. valve flow to 10L/min. 2. Increase the DA setting of the expiratory valve gradually. Check if the AD values of expiratory pressure sensor and inspiratory pressure sensor also increase. 3. If the AD value of one pressure sensor has very small change (less than 100AD), it is possible that the sampling line of the pressure sensor is not connected. If sensor sampling line connection error is detected, re-connect the sampling lines by referring to6.6.2.2Correspondence with Hardware Components and make sure of connection correctness following the above method. 6-22 6.6.3.3 Insp. Valve and O2 Proportional Valve Satus Error By using the valve test tool, you can check if the working status of inspiratory valve is abnormal. 1. In the [Valve Test] menu, set the blower pressure to 80cmH2O and DA value of inspiratory valve to “0”. If the measured values of total flow sensor, expiratory flow sensor, and standard device are all greater than 1 L/min, it indicates that the inspiratory valve cannot be fully closed or that the valve drive circuit has an error. 2. In the [Valve Test] menu, gradually increase the opening of inspiratory valve (increase flow setting value). If all the measured values of total flow sensor, expiratory flow sensor, and standard device do not change much and that small gas flow is felt at the expiratory port, it indicates that the inspiratory valve is faulty or that the valve drive circuit has an error. 3. To locate if there is a problem with the valve drive circuit, you can check the status values of inspiratory valve in the [Valve Test] menu. With the increase of DA value, the status current sampling value of inspiratory valve should also increase. Besides, when the inspiratory valve control DA value is adjusted to “4000”, its status current sampling value should be 300mA~1100mA. Otherwise, it indicates that the valve drive circuit has an error. 4. After replacing the inspiratory valve or VCM board, you can check if the problem is fixed using the same method. By using the valve test tool, you can check if the working status of O2 proportional valve is abnormal. 1. Connect high pressure O2. In the [Valve Test] menu, set the DA value of O2 proportional valve to “0”. If the measured value of O2 flow sensor is greater than 1 L/min, it indicates that the O2 proportional valve cannot be fully closed or that the valve drive circuit has an error. 2. In the [Valve Test] menu, gradually increase the opening of O2 proportional valve (increase flow setting value). If the measured value of O2 flow sensor does not change much, it indicates that the O2 proportional valve is faulty or that the valve drive circuit has an error. 3. To locate if there is a problem with the valve drive circuit, you can check the status values of O2 proportional valve in the [Valve Test] menu. With the increase of DA value, the status current sampling value of O2 proportional valve should also increase. Besides, when the O2 proportional valve control DA value is adjusted to “1000”, its status current sampling value should be 100mA~330mA. Otherwise, it indicates that the valve drive circuit has an error. 4. After replacing the O2 proportional valve or VCM board, you can check if the problem is fixed using the same method. 6-23 6.6.3.4 Exp. Valve Status Error By using the valve test tool, you can check if the working status of expiratory valve is abnormal. 1. Enter the valve test menu. Set blower pressure to 80cmH2O and open insp. valve flow to 10L/min. 2. Set DA value of expiratory valve to “0”. If the measured values of exp. pressure sensor, insp. pressure sensor, and standard device are all greater than 11cmH2O, it indicates that the expiratory valve is faulty or that the valve drive circuit has an error. 3. Gradually increase the pressure setting value of expiratory valve, the measured value of exp. pressure sensor (and the connected ventilator calibration device) also increases. If the measured values of exp. pressure sensor and standard device do not change much, it is possible that the expiratory valve is faulty, the sampling line is disconnected, or the valve drive circuit has an error. 4. Note that there is a non-response area for the expiratory valve when the DA value is relatively small (less than “21000”). When the DA value is less than this area, the expiratory valve may be unable to open and the output is “0” continuously. When the DA value exceeds this area, the output increases with the increase of DA value. 5. To locate if there is a problem with the valve drive circuit, you can check the status value of expiratory valve in the [Valve Test] menu. With the increase of DA value, the status current sampling value of expiratory valve should also increase. Besides, when the expiratory valve control DA value is adjusted to “2000”, its status current sampling value should be 300mA~1100mA. Otherwise, it indicates that the valve drive circuit has an error. 6. After replacing the expiratory valve or VCM board, you can check if the problem is fixed using the same method. 6.6.3.5 Safety Valve Status Error There is safety risk when the safety valve cannot be opened (namely, always closed). The ventilator cannot perform normal mechanical ventilation when the safety valve cannot be closed (namely, always opened). By using the valve test tool, you can check if the safety vale can be opened or closed normally. 1. Enter the valve test menu. Set blower pressure to 80cmH2O. 2. Set the status of safety valve to ON and you can hear a subtle click. 3. Set expiratory valve pressure to 50 cmH2O and inspiratory valve opening flow to 5 L/min. Check the actual measured values of expiratory flow sensor and expiratory pressure sensor, both of which should near “0” (less than “0.5”).Otherwise, it indicates that the safety valve cannot be opened normally. 6-24 4. Based on the above operations, set the status of safety valve to OFF. Then, the measured value of expiratory flow sensor will near that of inspiratory flow sensor. The measured value of expiratory pressure sensor will near the expiratory valve opening pressure. Otherwise, it indicates that the safety valve cannot be closed normally. 5. If safety valve control error is found, it is possible that there is some problem with the drive voltage of safety valve. You can check the status value of safety valve in the valve test menu. When the safety valve control is OFF, its status voltage value should be 0V~0.5V. When the safety valve control is ON, its status voltage value should be about 9.5V~14.85V. Otherwise, it indicates that valve drive circuit has an error. 6. If the safety valve is faulty, replace the safety valve assembly. After replacing the safety valve assembly, you can check if the problem is fixed using the same method. 6.7 Pneumatic System Failures The pneumatic system is mainly composed of gas supply subsystem, nebulizer subsystem, blower fan and flow control subsystem, safety valve subsystem, and expiration module. This section details possible failures regarding the pneumatic system and how to troubleshoot them. 6.7.1 Commonly Used Devices and Tools The commonly used tools and devices for troubleshooting pneumatic failures are as listed below. S/N P/N Description 1 2 M6Q-030068--M6Q-0300659-- Connector. tube-to-tube straight connector 3106-04-06 Connector. tube-to-tube straight connector 3106-06-00 3 M6Q-030025--- Connector. tube-to-tube Y piece 3140-08-00 4 082-000021-00 Tube plug 3126-04-00 5 M6Q-120001--- Tube plug 3126-06-00 6 M6G-020046--- Tube. precision soft PU(polyether) tube 4mmX2.5mm transparent 7 M6G-020026--- Tube. precision soft PU (polyether) tube 4mmX6mm transparent 8 A21-000007--- Tube .Silicone,3/32"X7/32"X100ft 9 M6G-020017--- Tube. Adult silicone tube 450mm 10 115-002454-00 Tube adapter 11 / Hexagonal wrench 12 / Ventilator analyzer VT-PLUS 6-25 6.7.2 Pneumatic Failures List The pneumatic system failures are as listed below. Failure description The output pressure of regulator is not accurate. The output exceeds the range of 190~210Kpa. Nebulizer ineffective Nebulizer flow is a bit small or large. The output exceeds the range of 6~9L/min. The maximum flow output value of high pressure O2 limb is a bit small, flow output <120L/min. Low pressure O2 connector is loose, resulting in leakage. The flow measured by the O2 flow sensor fluctuates greatly. Possible cause Troubleshooting The output pressure setting of regulator is inaccurate. Re-set the regulator output pressure. The internal components are aged and ineffective (such as pressure drift caused by spring aging /leakage caused by sealing ring aging etc.) Re-set the pressure by following the correct method. If it still fails to satisfy the requirement, replace the regulator. The nebulizer tube is occluded. Clean or replace the nebulizer tube. The nebulizer switch valve is faulty. Replace the nebulizer switch valve. The nebulizer needle valve is occluded. Replace the O2 inlet assembly. The O2 proportional valve is faulty. Replace the O2 proportional valve The sintered copper filter at the high pressure O2 inlet is occluded. Replace the sintered copper filter. The low pressure O2 connector is damaged. Replace the low pressure O2 connector. Filter net is damaged. Replace the filter net. The O2 flow sensor is damaged. Replace the O2 flow sensor. 6-26 Reference 6.7.3.1Regulator Output Pressure Is Inaccurate 6.7.3.2Nebulizer Is Faulty or Flow Is Abnormal 6.7.3.2Nebulizer Is Faulty or Flow Is Abnormal 6.7.3.3Maximum Flow Output Value in the High Pressuer O2 Limb Is Small / 6.7.3.4Measured Flow Value by the O2 Flow Sensor Fluctuates Greatly Failure description Possible cause Troubleshooting The blower is faulty. Maximum output flow is a bit low, <180L/min. O2 concentration is inaccurate, deviation >(3%+1%*setting value) Leakage of insp. valve exceeds the limit. Insp. valve responds too slowly. Sponge aging results in airway occlusion. Replace the blower box assembly. The insp. valve filter screen is occluded. Replace the insp. valve filter screen. The voice coil motor is faulty. Replace the insp. valve assembly. The Air/O2 flow sensor is damaged. Replace the flow sensor. Other parts are leaky (such as connection part between the blower box and insp. valve, flushing limb, O2 sensor sampling limb etc.) Check the leaky point and troubleshoot. If replacing the sealing ring, check if it is assembled properly. The blower box is leaky. Replace the blower box assembly. Spring aging Replace the insp. valve assembly. The insp. valve diaphragm is aged or damaged. Replace the insp. valve assembly. The sealing part of insp. valve diaphragm has debris. Wash the insp. valve diaphragm. The sealing cover assembly of insp. valve is stuck. Replace the insp. valve assembly. The valve port of insp. valve is damaged. Replace the insp. valve assembly. The voice coil motor is faulty. Replace the insp. valve assembly. The insp. valve diaphragm is aged and sticky. Replace the insp. valve assembly. 6-27 Reference 6.7.4.1Maximum Output Flow Is Small 6.7.4.2O2 Concentration Is Inaccurate 6.7.4.3Leakage of Insp. Valve Exceeds the Standard 6.7.4.4Insp. Valve Response Time Is Long Failure description Possible cause Troubleshooting Reference Replace the damaged sealing ring or re-assembly the sealing ring. 6.7.5.1Safety Valve Is Leak The safety valve diaphragm 049-000654-00 is damaged or is not correctly installed. The sealing ring 082-000223-00 in the main channel of safety valve main body is damaged or lost. Safety valve leakage The sealing ring 082-000739-00 in the sampling limb of safety valve main body is damaged or lost. The sealing ring 082-001510-00 of safety valve plug is damaged or lost. The sealing ring 082-000324-00 of floating mechanism is damaged or lost. The electromagnet is faulty. Pressure relief is slow in the safety valve pressure relief channel. Safety valve selftest fails. Exp. valve leakage Replace the electromagnet. The safety valve diaphragm 049-000654-00 is not fully reset or the electromagnet is not fully reset. Replace the safety valve diaphragm or electromagnet. The exp. valve diaphragm is damaged. Replace the exp. valve diaphragm The exp. valve port is damaged. Replace the disinfectable exp. valve assembly. The voice coil motor is faulty. Replace the voice coil motor. 6-28 6.7.5.2Pressure Relief Speed of Safety Valve Pressure Relief Channel is Slow 6.7.6.1Exp. Valve Is Leaky Failure description Exp. flow has no measured value or has great measurement deviation. O2 sensor has great measurement deviation. Possible cause Troubleshooting The diaphragm is ineffective or broken. Replace the disinfectable exp. valve assembly. The sampling line or pressure sensor filter is occluded. Replace the sampling line or pressure sensor filter. The flushing limb is occluded. Replace the needle valve of flushing limb. The O2 sensor is faulty. Replace the O2 sensor. The O2 sensor sampling limb is occluded. Clear the O2 sensor sampling limb. Reference 6.7.6.2Exp. Valve Flow Test Has an Error 6.7.7O2 Sensor Has Great Measurement Error 6.7.3 Gas Supply Subsystem 6.7.3.1 Regulator Output Pressure Is Inaccurate The regulator reduces supply gas pressure and stabilizes the effect of supply gas pressure fluctuation upon the rear end. After long term of use, the output pressure of the ventilator regulator may be inaccurate. Generally, you need to check the regulator output pressure under the following situations: 1. Perform machine inspection at the client end. 2. The ventilator is faulty; for example, serious drift occurs to flow control. The commonly used tools required for checking and adjusting the regulator output pressure are as follows: 1. 400KPa gas supply (high pressure cylinder with pressure regulating function) 2. Φ6 PU tube and quick connector 3. Ventilator analyzer VT-PLUS 4. Sleeve wrench and hexagon wrench 6-29 The regulator is as shown below. Regulator Nebulizer nozzle 6-30 To adjust the output pressure at the rear end of regulator, 1. Connect to the O2 cylinder supply. Adjust supply gas pressure to 400±10KPa. 2. Connect ventilator analyzer VT-PLUS high pressure port to the nebulizer connector via PU tube and quick connector. 3. Turn on nebulizer switch valve in the valve test tool under the ventilator service mode. Adjust the O2 proportional valve to flow of approximately 5L/Min. 4. Observe the readings on the VT-PLUS, which should be 200±10KPa. It the reading is outside the range, adjust the regulator. 5. To adjust the regulator, loosen the hexagonal nut on the front side of the regulator by using the sleeve wrench. Adjust the plastic screws by using M3x20 hexagonal wrench clockwise to increase pressure and counter clockwise to decrease pressure. While adjusting, pay attention to the readings on the pressure gauge. When the pressure value satisfies the requirement, tighten the hexagonal nut. When tightening the hexagonal nut, pay attention to the values on the pressure gauge too. Generally, the pressure will drop. This indicates that a margin should be reserved when adjusting pressure at the beginning. 6. If re-setting pressure detection by following the correct methods still fails to satisfy the requirement, it is possible that some parts of the regulator are already faulty. In this case, replace the regulator. 6.7.3.2 Nebulizer Is Faulty or Flow Is Abnormal Nebulizer switch valve 6-31 The nebulizer switch valve controls ON/OFF of nebulized gas flow. To judge if the nebulizer function is normal, 1. Connect to the high pressure O2 supply or cylinder. Make sure that the pressure of external gas supply satisfies the ventilator requirements and that gas supply is sufficient. 2 Control the nebulizer switch in the valve test tool under the service mode. Connect the ventilator analyzer VT-PLUS at the nebulizer nozzle via PU tube to test if the nebulized gas flow is normal. If there is no nebulized gas flow available and the failure still persists after replacing the nebulizer tube, it is possible that the nebulizer switch valve is faulty. Replace the valve. Control the nebulizer switch in the valve test tool under the service mode for multiple times (3 times recommended) to see if obvious click can be heard. If not, it is possible that the nebulizer switch valve is faulty. Replace the valve. If the nebulizer switch valve is normal, it is possible that the nebulizer needle valve is occluded, replace the O2 inlet assembly. 3. If nebulized gas flow is available but is abnormal, exceeding the range of 6~9L/min, it is possible that the nebulizer needle valve is occluded, replace the O2 inlet assembly. 6.7.3.3 Maximum Flow Output Value in the High Pressuer O2 Limb Is Small O2 proportional valve Sintered copper filter The maximum flow output of O2 inlet assembly is closely related to the performance of O2 proportional valve. The possible failure of this valve is that the maximum flow output value in the high pressure O2 limb is small. To troubleshoot this failure, 1. Check if the sintered copper filter is occluded. If yes, replace it. 2 Connect to the external gas supply or O2 cylinder. Make sure that the pressure of external gas supply satisfies the requirement of the ventilator and that the gas supply is sufficient. 6-32 3. In diagnosis mode, adjust DA of O2 proportional valve to 4095 to let the O2 proportional valve fully open. Observe if the reading of O2 flow sensor is ≥120L/min. If the maximum flow output value is small, generally, it is caused by the internal failure of proportional valve. In this case, replace it. 6.7.3.4 Measured Flow Value by the O2 Flow Sensor Fluctuates Greatly Filter net If the measured flow value by the O2 flow sensor fluctuates greatly, troubleshoot as follows, 1. Troubleshoot by using the machine selftest function. If O2 flow sensor selftest fails, it is possible that the flow sensor is faulty. In this case, replace the O2 flow sensor. 2 Check if the filter net assembly (049-000702-00) at the front end of the flow sensor is normal. If not, replace it. Then re-do the test to see if the measured data are improved. 6.7.4 Blower Fan and Flow Control Subsystem The blower fan and flow control subsystem is the core part of the machine. It is mainly composed of blower box assembly and insp. valve. 6.7.4.1 Maximum Output Flow Is Small Enter the valve diagnostic function under service mode. Adjust insp. valve control DA to 4095 and adjust the blower rotation speed to the maximum (44000-45000 rotation/min). Observe the reading of total flow sensor. If the reading deviates from 180L/min greatly, it indicates that the blower box assembly and insp. valve may be faulty. This problem is complicated. Troubleshoot as follows, 6-33 1. Close the insp. valve. Adjust the blower rotation speed to 39600 rotations and adjust pressure to 80cmH20. Observe “Blower rotation speed”, “Blower internal temperature” and “blower external temperature” displayed on the screen. If the blower rotation speed is far less than 39600 rotations, or if the blower temperature is higher than 85℃, it indicates that the blower may be faulty. Replace the whole blower box assembly. 2. If both blower rotation speed and working temperature are normal, remove the blower box assembly and do test. The test principle is as shown below. Connect the outlet of blower box assembly to the ventilator analyzer VT-PLUS or other flow test device via hose. By using the valve diagnostic function under service mode, adjust the blower rotation speed to the maximum (44000-45000 rotation/min). If the reading on the flow device is greater than 250L/min, it indicates that the blower box assembly is normal and that the failure lies in the insp. valve assembly. Then troubleshoot the insp. valve assembly. If the flow reading is less than 250L/min, it indicates that the blower box assembly is faulty. Replace the blower box assembly. 3. If the insp. valve assembly is located to be faulty, troubleshoot as follows. Check the filter net at the gas outlet of the insp. valve assembly. If the filter net is occluded, clean or replace the filter net (049-0007020-00). If the problem persists after replacing the filter net (049-0007020-00), it indicates that the insp. valve is faulty. Replace the insp. valve assembly. Filter net 6-34 6.7.4.2 O2 Concentration Is Inaccurate If the defect of inaccurate O2 concentration occurs to the machine, troubleshoot as follows. 1. Use the system check function to check the Air/O2 flow sensor. If “O2 Flow Sensor Test” and “Insp. Flow Sensor Test” fail, it indicates that the Air/O2 flow sensor may be faulty. Replace the Air/O2 flow sensor. 2 Check the leakage of other assemblies except the blower box assembly, focusing on the connection part between the blower box and insp. valve, leakage in the flushing limb, and leakage in the O2 sensor sampling limb. If leakage is detected, re-assemble the parts or replace the sealing components. 3 If tube disconnected or loose is found out, troubleshoot the exp. valve flushing limb and O2 sensor sampling limb. Re-connect the disconnected or loose tube. 4. If the problem persists after the above three steps, it is possible that the blower box assembly is leaky. Replace the blower box assembly. 6.7.4.3 Leakage of Insp. Valve Exceeds the Standard The leak test method for the insp. valve is as follows: Enter the valve diagnostic mode under service mode. Adjust DA of insp. valve to “0” and set the rotation speed of the blower to 39600 rotations. Observe the reading on the total flow sensor. If the reading is greater than 0. 1L/min, it indicates that the leakage of insp. valve exceeds the standard. Troubleshoot as follows, 1. Remove the insp. valve shell and check if there is debris at the insp. valve diaphragm. If the sealing part of insp. valve diaphragm has debris, wipe or clean the diaphragm. Do not leave out the filter net when re-installing the insp. valve shell. 2. If the problem persists after cleaning the insp. valve diaphragm, it is possible that the insp. valve assembly is faulty. Replace the insp. valve assembly. Insp. valve diaphragm Filter net 6-35 6.7.4.4 Insp. Valve Response Time Is Long There are two reasons if the insp. valve response time is long: 1. The voice coil motor is faulty; 2. The insp. valve diaphragm is damaged or polluted, so that it is sticky to the valve port and affects valve port to open. If the insp. valve response time is long, troubleshoot as follows. 1. Remove the insp. valve shell and check if there is debris at the insp. valve diaphragm. If the sealing part of insp. valve diaphragm is polluted, wipe or clean the diaphragm. Do not leave out the filter net when re-installing the insp. valve shell. 2. If the problem persists after cleaning the insp. valve diaphragm, it is possible that the insp. valve assembly is faulty. Replace the insp. valve assembly. 6.7.5 Safety Valve Assembly 6.7.5.1 Safety Valve Is Leaky If the safety valve is leaky, troubleshoot as follows. 1. If clear leakage sound is heard, listen to find the leakage so as to confirm the faulty part. 2. Remove the safety valve detachable part. Perform visual inspection to see if the sealing ring on the safety valve is lost or damaged. If yes, replace it. For the position of sealing ring, refer to the explosive view of the safety valve detachable part. Sealing ring 3. Install the safety valve detachable part back to the machine. Open and close it for multiple times (three times recommended) in the valve test tool under the service mode to see if clear click can be heard. If not, it is possible that the solenoid is faulty. Replace the electromagnet. 6-36 4. Disconnect the safety valve power cord. When doing the leak test, depress the tail of the electromagnet to close the pressure relief channel. If leak test satisfies the requirement by using this method, it is possible that electromagnet is faulty. Replace the electromagnet. 6.7.5.2 Pressure Relief Speed of Safety Valve Pressure Relief Channel is Slow Diaphragm fixing knob If “Safety Valve Test” during system check fails, troubleshoot as follows. 1. Check if the safety valve is leaky. Refer to 6.7.5.1Safety Valve Is Leaky. 2. Check if the dustproof pad of safety valve is occluded. If yes, replace it. 3. Remove the safety valve detachable part. Observe the safety valve diaphragm 049-000654-00. Push the safety valve diaphragm and with fingers and then loosen the fingers to see if the safety valve diaphragm rebounds normally. If not, replace it. 4. Disassemble the diaphragm fixing knob and take out the safety valve diaphragm. Observe if the safety valve diaphragm is correctly installed. If not, re-install it. 5. Push the tail of the electromagnet in case of power failure and then loosen the fingers. Observe if the solenoid valve stem is reset with the help of spring. If not, the electromagnet is faulty, replace it. 6-37 6.7.6 Expiration Valve Assembly 6.7.6.1 Exp. Valve Is Leaky Exp. valve diaphragm Exp. valve port 6-38 If the exp. valve is leaky, troubleshoot as follows. 1. If clear leakage sound is heard, listen to find the leakage so as to confirm the faulty part. 2. Remove the disinfectable exp. valve assembly. Perform visual inspection on the exp. valve diaphragm to see if the exp. valve diaphragm is damaged. If yes, replace it. 3. Remove the exp. valve diaphragm. Perform visual inspection on the exp. valve port. If there is breach on the valve port, replace it. 4. Install the disinfectable exp. valve assembly back to the machine. Connect the exp. valve outlet with the safety valve outlet via a tube. In the valve test tool under the service mode, adjust the blower assembly and insp. valve to produce output flow of 2L/min. Adjust the exp. valve pressure to 80cmH20. Observe if the pressure reading in the exp. valve limb reaches 80cmH20. If not, it is possible that the voice coil motor is faulty. Replace the voice coil motor. 6.7.6.2 Exp. Valve Flow Test Has an Error If exp. valve flow test has an error, and there is no flow sampling data in the sampling limb or there is great deviation, troubleshoot as follows. 1. Observe if the flow sensor metal diaphragm is normal. If it is broken or damaged, replace it. If it cannot be replaced separately, replace the whole disinfectable exp. valve assembly. Damaged diaphragm 2. Normal diaphragm Check if the flushing limb and flushing needle valve are occluded. If yes, clean or replace it. To check if the flushing limb is occluded, disconnect the silicone tube from the exp. valve sampling port to enter the valve diagnostic function under the service mode. Adjust the blower rotation speed to 39600 rotations. Place one end of the tube into a container filled with water. If there is bubble at the tube, it indicates that the flushing limb is normal. If there is no bubble at the tube, it indicates that the flushing limb is occluded or not connected, clean or replace it. This method can be used to test if tube occlusion or disconnection occurs at the exp. valve sampling port, pressure sensor connector etc. 6-39 6.7.7 O2 Sensor Has Great Measurement Error O2 sensor Position of O2 sensor The O2 sensor detects the concentration of O2. Possible failure which can occur to this assembly is O2 sensor failure. This problem can be judged preliminarily by replacing the O2 sensor once a year. If the replacement time interval is short and O2 concentration detection is inaccurate, O2 concentration calibration is necessary. If O2 concentration detection is still inaccurate, judge if the O2 sensor is faulty. Judge as follows. 1. Connect to the high pressure O2 supply. Check if the HEPA filter at the Air inlet is occluded. If the high pressure O2 supply is not connected, or if the HEPA filter is occluded, it is possible that O2 sensor test is failed. 2. By using the system check function, if the result of “O2 Sensor Test” is “Pass”, it indicates that the O2 sensor is not damaged. If the result is “Fail”, it indicates that the O2 sensor is damaged. Replace the O2 sensor. 6-40 3. If the problem persists after replacing the O2 sensor, it is possible that the O2 sensor sampling line is occluded. Cleaning or replacing the sampling tube is recommended. 6.8 Hardware and Electrical System Failures Failure description Possible cause Recommended action At startup, the operational indicator light, AC indicator light, and the battery indicator light are not lit and there is no screen display available. Namely, the ventilator fails to start up. The AC power supply is not connected and the battery capacity is not sufficient. Check and make sure of the correct connection of AC power supply. The fuse of the AC mains inlet is burned out and the battery capacity is insufficient. Replace the fuse. If the problem persists, it indicates that the machine is internally short circuited. The display cable (at the motherboard or the main unit external connector) is disconnected or is not reliably connected. Check and make sure of reliable cable connection. Make sure that the cable captive screws are tightened. The cable related to power switch is disconnected or is not reliably connected. Check and make sure of reliable cable connection. There is no 18.8V power output and insufficient battery capacity is not sufficient due to AC-DC board hardware circuit failure. Replace the AC-DC board. There is no 5V, 3.3V, 7V, and 12V power output due to DC-DC board hardware circuit failure. Replace the DC-DC board. At startup, the AC indicator light and battery indicator light are lit while the operational indicator light is not lit. There is no screen display available. 6-41 Failure description Possible cause Recommended action There is no screen display available (black screen). The inverter connection lines (including the inverter input line and output line) are disconnected or are not reliably connected. Check and make sure of reliable cable connection. The inverter is damaged. Replace the inverter. The main board hardware failure causes the backlight enable signals to output invalid level. Replace the main board. The main board software failure causes the backlight enable signals to output invalid level. Upgrade the main board software. The LCD is damaged. Replace the LCD. The display cable (at the LCD) is disconnected or is not reliably connected. Check and make sure of reliable cable connection. The main board hardware failure causes no 3.3V output or output error. Replace the main board The LCD is damaged. Replace the LCD. There is screen display available but there is color error displayed (screen blurred). The display cable (at the LCD) is disconnected or is not reliably connected, which causes loss of some color signals. Check and make sure of reliable cable connection. Screen brightness cannot be adjusted. The DC-DC board hardware failure causes the backlight brightness adjustment signals unable to output normal signals. Replace the DC-DC board. The main board hardware failure causes the backlight brightness adjustment signals unable to output normal signals. Replace the main board. The inverter connection lines (including the inverter input line and output line) are disconnected or are not reliably connected. Check and make sure of reliable cable connection. The inverter is damaged. Replace the inverter. There is no screen display available (white screen). 6-42 Failure description Possible cause Recommended action The alarm indicator light is not lit. The display cable is disconnected or is not reliably connected Check and make sure of reliable cable connection. The alarm light board connection line is disconnected or is not reliably connected. Check and make sure of reliable cable connection. The main board hardware failure causes failure to output normal alarm light control signals. Replace the main board. The alarm light board hardware failure causes failure to drive the alarm light. Replace the alarm light board. The key related connection line is disconnected or is not reliably connected. Check and make sure of reliable cable connection. The key control board hardware failure causes failure to respond to key input information. Replace the key control board. The encoder board connection line is disconnected or is not reliably connected. Check and make sure of reliable cable connection. The rotary encoder is damaged. Replace the rotary encoder. The key control board hardware failure causes failure to respond to rotary encoder input information. Replace the key control board. The touchscreen related cable is disconnected or is not reliably connected. Check and make sure of reliable cable connection. The key control board hardware failure causes failure to respond to touchscreen input information. Replace the key control board. The touchscreen is damaged. Replace the touchscreen. The speaker related cable is disconnected or is not reliably connected. Check and make sure of reliable cable connection. The main board hardware failure causes failure to output normal speaker drive signals. Replace the main board. The speaker is damaged. Replace the speaker. Key failure Rotary encoder failure Touchscreen failure Speaker failure 6-43 Failure description Possible cause Recommended action Wifi module error Wifi antenna is disconnected or broken. Re-plug the wifi antenna or replace the antenna. Wifi module is damaged. Replace the wifi module. Failure occurs to monitoring main board. Replace the monitoring board assembly. SpO2 module cable is disconnected. Re-plug the cables, including machine internal SpO2 module related cables. SpO2 module failure Replace the SpO2 board assembly. Communication error between the SpO2 module and monitoring module main board occurs. Replace the monitoring module board assembly. The connection line between the CO2 module and monitoring main board is disconnected. Re-plug or replace the relevant cables. CO2 module failure. Replace the CO2 module. Serial port communication error occurs to the monitoring module main board. Replace the monitoring module main board assembly. The fan is occluded. Check fan occlusion and clear the obstacles. The fan connection line is disconnected or the fan is failed. Re-plug the fan connection line or replace the fan. 12V power supply for the fan provided by the DC-DC board is damaged. Replace the DC-DC board. The turbofan is damaged. Replace the turbofan assembly. Blower drive circuit error Replace the monitoring module main board assembly. DC-DC board is failed. Replace the DC-DC board. SpO2 module error Mainstream CO2 or sidestream module error The cooling fan does not work. The turbofan does not work.. 6-44 7 Repair and Disassembly WARNING z To help prevent fires, only use lubricants approved for ventilator or O2 equipment. z Do not use lubricants that contain oil or grease. They burn or explode in high O2 concentrations. z Obey infection control and safety procedures. Used equipment may contain blood and body fluids. z Movable parts and removable components may present a pinch or a crush hazard. Use care when moving or replacing system parts and components. z Use care when disassembling the parts with sharp edges to avoid cuts. z Pay attention to the screws during the disassembly to prevent screws from falling into the inside of the equipment. Failure to do so may cause short circuit. z Make sure to bleed gas pressure before disassembling pneumatic fittings to avoid personal injury caused by high pressure gas. NOTE z When re-assembling, inspect all parts for deterioration. Replace them if necessary. Use appropriate screws and parts. z After repairs are completed or parts replaced, refer to 3Checkout and Test to perform the checkout procedure. 7-1 7.1 Prepare for Disassembly 7.1.1 Tools During parts disassembling and replacing, the following tools may be required: Metric Allen wrench (2.5#, 3#, 4#, 5#, 6#) Phillips screwdriver Diagonal pliers Flathead screwdriver Metric M3 and M4 socket screwdriver Adjustable wrench Tweezers 7.1.2 Preparations Before disassembling the ventilator, do the following: Make sure that the ventilator is already turned off and that the ventilator is disconnected from AC power supply and backup battery. Remove all the accessories connected to the ventilator. Disconnect pipeline and cylinder gas supply connections. Prepare the tools required for disassembly. Wear antistatic gloves or hand rings when removing the boards. Maneuver the ventilator to an appropriate location and then step down the caster brake (cart configured) fixing the ventilator. CAUTION z The internal parts may be contaminated during long-term use of the equipment. Wear special gloves during disassembling and inspecting. 7-2 7.2 Disassemble the Service Parts 7.2.1 Remove the Lithium Battery 1. Lay down the machine. Remove the 4 M3X8 self-locking screws on the main unit battery compartment door from the bottom to remove the battery compartment door. Battery compartment door 2. Pull out the slice on the battery to remove the lithium battery. Pull out the slice at here. 7-3 7.2.2 Replace the O2 Sensor 1. Pry the O2 sensor cover to pull out the O2 sensor holder. 2. Pull out the O2 sensor connection line from the O2 sensor. Then remove the O2 sensor by rotating it counter clockwise. 3. Re-install the O2 sensor by following the relevant steps. Pull out, remove the line, and remove the O2 sensor Pry open from here 7.2.3 Remove the HEPA Filter and Fan Dust Screen 1. Depress the snap on the baffle of main unit air inlet to remove the baffle. Snap Baffle of main unit air inlet 7-4 2. Depress the snap of HEPA filter to remove the filter. If the fan dust screen is to be replaced, remove the fan dust filter for replacement. Fan dust screen HEPA filter 7.2.4 Remove the Main Unit Dust Screen Remove the baffle of main unit air inlet as described in 7.2.3. Pull out the main unit dust screen from the bottom. Main unit dust screen with protruding block facing outward 7-5 7.2.5 Remove the Disinfectable Expiratory Valve Assembly and Safety Valve Detachable Part 1. Rotate the expiratory valve knob counter clockwise from the front of the machine to take out the disinfectable expiratory valve assembly. 2. Rotate the safety valve knob counter clockwise from the front of the machine to take out the safety valve detachable part. Disinfectable expiratory valve assembly Safety valve detachable part Note: The knob cannot be taken out until it has come to the corresponding unlock position. 7-6 7.2.6 Remove the Expiratory Valve Diaphragm and Expiratory Check Valve 1. Remove the disinfectable expiratory valve assembly as described in 7.2.5. 2. Pull out the expiratory valve diaphragm and expiratory check valve from the back of the disinfectable expiratory valve assembly. Expiratory valve diaphragm Expiratory check valve 7.2.7 Remove the Parts of the Disinfectable Part of the Safety Valve 1. Remove the disinfectable part of the safety valve as described in 7.2.5. 2. Remove the parts of the disinfectable part of the safety valve as shown below. 7-7 7.2.8 Remove the Upper Housing Assembly 1. Remove the lithium battery as described in 7.2.1. 2. Pry up the screw cover of the main unit upper housing with flathead screwdriver. 3. Remove the 4 M3X8 combination screws fixing the upper housing to remove the upper housing assembly. 7-8 7.2.9 Remove the Speaker 1. Remove the upper housing assembly as described in 7.2.8. 2. Disconnect the cables from the speaker and monitoring board and remove the speaker from the bottom up. Speaker connection line 7.2.10 Remove the WIFI Module (Optional) 1. Remove the upper housing assembly as described in 7.2.8 2. Disconnect the antenna from the WIFI module. Depress the two snaps on both sides of the board to remove the WIFI module. WIFI module WIFI antenna 7.2.11 Remove the SpO2 Module (optional) 1. Remove the upper housing assembly as described in 7.2.8 2. Disconnect the two cables from the SpO2 module. Remove the 3 M3X6 pan head screws fixing the SpO2 module to remove the SpO2 module. 7-9 7.2.12 Remove the Display Assembly After removing the upper housing assembly as described in 7.2.8, remove the 4 M4X12 combination screws fixing the display assembly. Disconnect the display connection line and keyboard connection line so as to remove the display assembly from the front. 7.2.13 Remove the Main Unit Front Housing 1. Remove the lithium battery as described in 7.2.1and the display assembly as described in 7.2.12. 2. Remove the disinfectable expiratory valve assembly and safety valve detachable part as described in 7.2.5. 3. Pry up the 4 screw covers on the main unit front housing to remove the 4 M3X8 combination screws on the front housing to remove the main unit front housing. 7-10 7.2.14 Remove the Monitoring Board Assembly 1. Remove the main unit front housing as described in 7.2.13. 2. Disconnect the cables from the monitoring board. Remove the 6 M3X8 combination screws fixing the monitoring board assembly. 7-11 7.2.15 Remove the Display Rear Housing and Key Control Board 1. After removing the display assembly as described in 7.2.12, pry up the 7 display screw covers with flathead screwdriver. 2. Remove the 7 M3X8 combination screws fixing the display rear housing assembly and the M3X8 combination screw fixing the cable cover to remove the rear housing assembly. 7-12 3. Remove the 4 M3X8 combination screws fixing the key control board. Disconnect the cables from the key control board to remove the key control board. 7.2.16 Remove the Alarm Light Board After removing the display rear housing assembly as described in 7.2.15, remove the 2 M3X8 combination screws fixing the alarm light board. Disconnect the connection lines from the alarm light board to remove the alarm light board. 7-13 7.2.17 Remove the Display Assembly After removing the key control board as described in 7.2.15, remove the 4 M3X8 combination screws fixing the display assembly to remove the display assembly. 7.2.18 Remove the Touchscreen 1. Remove the display assembly as described in 7.2.17. 2. Remove the touchscreen. Pay attention to the direction of the touchscreen as shown below. Touchscreen signal line, led out rightward The surface of the touchscreen which can see metal wiring is placed in the front. 7-14 7.2.19 Remove the Encoder 1. Remove the rear housing assembly as described in 7.2.15. 2. Disconnect the encoder connection line from the key board. 3. Use the small-sized hexagonal wrench to knock put the knob from the inside through the hole. Use the adjustable wrench to remove the nut fixing the encoder to remove the encoder (note to support the encoder board with hand when removing the nut to prevent damage caused by board rotation). Pass from this hole out of the knob Encoder Nut Knob 7.2.20 Replace the Pressure Sensor Filter 1. Remove the main unit front housing as described in 7.2.13. 2. Disconnect the tubes from the filter. Remove the filter from the Luer fitting. 3. Replace with a new filter and then connect the tubes properly following the tube connection diagram. 7-15 Luer fitting Pressure sensor filter 7.2.21 Remove the Safety Valve Seat Assembly 1. Remove the main unit front housing as described in 7.2.13. 2. Remove the 4 M3X8 combination screws fixing the safety valve seat to remove the safety valve seat assembly. 3. Remove the solenoid connection line and inspiratory pressure sampling line. Solenoid connection line Inspiratory pressure sampling line 7-16 7.2.22 Remove the Electromagnet 1. Remove the safety valve seat assembly as described in 7.2.21. 2. Remove the 4 M3X8 combination screws fixing the electromagnet to remove the electromagnet. electromagnet 7.2.23 Remove the Air Flow Sensor After removing the safety valve seat assembly as described in 7.2.21, pull out the Air flow sensor on the safety valve seat and cut the tape to remove the sensor connection line. Air flow sensor 7.2.24 Remove the Sensor Adapter Board 1. Remove the main unit front housing as described in 7.2.13. 2. Remove the three tubes from the sensor adapter board. Remove the connection lines from the sensor adapter board. 3. Remove the 3 M3X8 combination screws fixing the sensor adapter board to remove the sensor adapter board. Remove the three tubes 7-17 7.2.25 Remove the O2 Sensor Seat Assembly 1. Remove the main unit front housing as described in 7.2.13. 2. Remove the cables and tubes from the O2 sensor seat assembly (the tubes are properly connected when assembled following the tube number on the tube connection diagram). Remove the 2 M3X8 combination screws fixing the assembly to remove the O2 sensor seat assembly. O2 sensor seat assembly 7.2.26 Remove the Kernel Assembly Note: sort out cables and tubes after removing the kernel to prevent them from being hooked. 1. Remove the main unit front housing as described in 7.2.13. 2. Depress the snap on the baffle of main unit air inlet to remove the baffle. Baffle of main unit air inlet 7-18 3. Remove the expiratory valve external slide from the left side of the machine. Expiratory valve external slide 4. Remove the 4 M3X8 combination screws fixing the kernel assembly from the back of the machine. 5. Remove the 4 M3X8 combination screws fixing the kernel assembly from the front of the machine. If CO2 module is configured, remove the tubes and cables from the CO2 module (only mainstream CO2 module has cables). If SpO2 module is configured, remove the SpO2 module connection line. 7-19 6. Remove the speaker connection line from the top of the kernel. If WIFI is configured, remove the WIFI antenna to pull out the kernel assembly from the front. WIFI antenna Speaker connection line 7.2.27 Remove the AC-DC Power Board 1. Remove the kernel assembly as described in 7.2.26. 2. Remove the 4 M3X8 combination screws fixing the AC-DC power bracket from the front side and left side of the kernel. 7-20 3. After disconnecting the connected cables, remove the AC-DC power bracket and AC-DC power board. Remove the 4 M3X8 combination screws fixing the AC-DC power board to remove the AC-DC power board. 7.2.28 Remove the DC-DC Power Board 1. Remove the AC-DC power bracket as described in 7.2.27. 2. Remove the 5 M3X8 combination screws fixing the DC-DC power board. Disconnect the connected cables to remove the DC-DC power board. 7-21 7.2.29 Remove the Fan 1. Remove the DC-DC power board as described in 7.2.28. 2. Remove the 4 M3X8 combination screws fixing the fan from the back of the kernel. Disconnect the fan connection line to remove the fan. Fan 7.2.30 Remove the AC Power Socket 1. Remove the AC-DC power bracket as described in 7.2.27. 2. Remove the 2 M3X8 countersunk screws fixing the AC power socket and the M4 nut fixing the grounding cable so as to remove the AC power socket. 3. Pry up the fuse cover from the AC power socket to replace the fuse (note: if only fuse is to be replaced, do not disassemble the machine. Replace from the outside of the machine directly). 7-22 Socket with accompanying fuse Fuse of T3.15AH Spring washer M4 nut Earth soldering lug Plain washer Kernel bracket Grounding cable fixing mode 7.2.31 Remove the DC Input Socket 1. Remove the AC-DC power bracket as described in 7.2.27. 2. Remove the 4 screws fixing the DC input socket. Disconnect the DC input line from the DC-DC power board so as to remove the DC input socket from the outside of the machine. Remove the plug 7-23 7.2.32 Remove the Expiratory Valve Seat Assembly 1. Remove the kernel assembly as described in 7.2.26. 2. Remove the 4 M3X8 combination screws fixing the expiratory valve seat assembly front the front face and side face of the kernel assembly. Disconnect the connection line of voice coil motor to remove the expiratory valve seat assembly. Re-fix and sort out the cables, as shown below. 7.2.33 Remove the Expiratory Valve Voice Coil Motor 1. Remove the expiratory valve seat assembly as described in 7.2.32. 2. Remove the 4 M3X8 combination screws fixing the voice coil motor from the inside of the valve seat. 7.2.34 Remove the Sidestream CO2 Module (optional) 1. Remove the kernel assembly as described in 7.2.26. 2. Remove the 4 M3X6 screws fixing the CO2 module from the side face of the machine. Disconnect the cables connecting the CO2 module to remove the CO2 module. 7-24 7.2.35 Remove the Blower Box Assembly 1. Remove the kernel assembly as described in 7.2.26. 2. Disconnect all the cables connecting the monitoring main board. Note: You need to reset the blower running time in factory service menu after changing the blower. 7-25 3. Remove the 4 M3X8 combination screws fixing the bracket top plate to remove the bracket top plate. Remove the two screws from the side face 4. Remove the 4 step screws fixing the blower box assembly by using 5# hexagonal wrench (note: do not remove other screws on the blower box assembly). NOTE z Note that when installing, the connector underneath the blower box assembly shall be placed inside the silicone tube and inspiratory valve connector. 7-26 Fully placed inside the inspiratory valve connector Fully placed inside the silicone tube 5. Disconnect the cables from the vacuum sensor board on the blower box assembly so as to remove the blower box assembly. Vacuum sensor connection line 7.2.36 Remove the Vacuum Sensor Board 1. Remove the sidestream CO2 module as described in 7.2.34. 2. Disconnect the board connected cables. Remove the 2 M3X8 combination screws fixing the board so as to remove the board. 7-27 7.2.37 Remove the Inspiratory Valve Assembly 1. Remove the blower box assembly as described in 7.2.35. 2. Remove the 4 M3X8 combination screws fixing the inspiratory valve assembly (note not to remove the screws fixing the plastic parts). Disconnect the tubes. Remove the inspiratory valve assembly upward after the whole assembly retracts. 3. Sort out the tubes and cables as shown below during re-installation. Tube No. 10 are led out from underneath the sensor Tubes Nos. 5 and 7 are led out on the solenoid and both are located on the right side of the solenoid cable. 7-28 7.2.38 Remove the Filter Net for Inspiratory Valve 1. Remove the blower box assembly as described in 7.2.35. 2. Take out the filter net from the valve outlet by using the tweezers. During re-installation, note to align the filter breach with the gas inlet Align the breath with the gas inlet 7.2.39 Remove the O2 Inlet Assembly 1. Remove the blower box assembly as described in 7.2.35. 2. Remove the 4 M3X8 combination screws fixing the O2 inlet assembly from the back and left side of the machine to pull out the O2 inlet assembly. Cables are lead out from the sheet metal breach 7-29 3. Disconnect the tubes and cables connecting the O2 inlet assembly. Cables on the O2 inlet assembly φ4PU tube, routing from the O2 inlet accompanying tube, routing underneath φ6PU tube 4. Disconnect the cables from the O2 flow sensor from the front of the machine to pull out the O2 sensor assembly. O2 flow sensor connection line at the O2 inlet 7-30 5. Cable as shown below during re-installation. The cable goes through the sheet metal from here and is pull out forward. Sensor fully placed inside the silicone tube 7.2.40 Remove the Proportional Valve and Nebulizer Valve 1. Remove the O2 inlet assembly as described in 7.2.39. 2. Remove the 4 M3X20 hexagonal screws fixing the proportional valve and nebulizer valve by using 2.5# hexagonal wrench. Disconnect the connection line between the valve and monitoring board to take out the proportional valve and nebulizer valve. 7-31 3. Re-install by following the requirements below. Proportional valve, this side up Nebulizer valve, this side up Lay the two connectors flat before installing the two valves 7.2.41 Remove the Pressure Regulator Assembly 1. Remove the O2 inlet assembly as described in 7.2.39. 2. Remove the 2 M3X20 screws fixing the pressure regulator assembly (note: do not remove the other two screws accompanying the pressure regulator). 7-32 3. Re-install by referring to the following requirements Align the pin holes with the pin columns 7.2.42 Remove the O2 Flow Sensor 1. Remove the O2 inlet assembly as described in 7.2.39. 2. Remove the 2 M3X20 combination screws fixing the O2 flow sensor anchor plate. Remove the O2 sensor and filter net. Two gas flow arrows are in the same direction Fixing sheet metal Filter net 7-33 7.2.43 Remove the Low Pressure O2 Connector 1. Remove the O2 inlet assembly as described in 7.2.39. 2. Disconnect the tubes connecting the low pressure O2 connector. Remove the fixing nut of low pressure O2 with adjustable wrench so as to take out the low pressure O2 connector. Low pressure O 2 connector M6Q-030107--- 7.2.44 Remove the Battery Adapter Board 1. Remove the kernel assembly as described in 7.2.26. 2. Remove the 4 M3X8 countersunk screws fixing the lithium battery box from the bottom of the machine to remove the lithium battery box. 3. Remove the two nuts fixing the battery adapter board to take out the battery adapter board. 7-34 7.2.45 Remove the Rear Housing Assembly 1. Remove the kernel assembly as described in 7.2.26. 2. The rear housing assembly is left after the kernel assembly is removed. 7-35 7.2.46 Remove the CO2 Parameter Connector Panel (optional) 1. Remove the rear housing assembly as described in 7.2.45. 2. Remove the 2 M2X6 tapping screws fixing the CO2 parameter connector panel from the outside. Disconnect the cables inside the cable tie so as to take out the CO2 parameter connector panel assembly from the outside. 7.2.47 Remove the WIFI Antenna (optional) 1. Remove the rear housing assembly as described in 7.2.45. 2. Remove the 4 M3X8 combination screws fixing the main unit handle to take out the main unit handle. 7-36 3. Tear out the WIFI antenna. 7.2.48 Remove the SpO2 Connector (optional) 1. Remove the rear housing assembly as described in 7.2.45. 2. Depress the cable tie on both sides of the SpO2 connector. Take out the SpO2 connector and installation box from the outside. 7-37 7.2.49 Remove the Trolley Support Table Assembly Remove the 4 M4X12 screws fixing the trolley support table assembly from the bottom up to take out the support table assembly. Trolley support table assembly 7.2.50 Remove the Trolley Handle Assembly 1. Remove the trolley support table assembly as described in 7.2.49. 2. Remove the 4 M8X25 hexagonal screws fixing the trolley handle to take out the trolley handle assembly. 7-38 7.2.51 Remove the Trolley Column 1. Remove the trolley handle assembly as described in 7.2.50. 2. Lay down the trolley. Remove the 4 M8X25 hexagonal screws fixing the trolley column from the bottom of the base to take out the trolley column. 7.2.52 Remove the Trolley Base Assembly 1. Lay down the trolley. Remove the 4 M8X25 hexagonal screws fixing the trolley base assembly from the bottom. 2. Remove the trolley base assembly. 7-39 7.2.53 Remove the Humidifier Fixing Assembly Remove the two set screws fixing the humidifier fixing assembly. Slide down along the column guide and remove from the breach. 7.2.54 Remove the Trolley Cylinder Fixing Assembly Remove the 2 M4X12 combination screws fixing the trolley cylinder fixing assembly to remove the trolley cylinder fixing assembly. 7-40 7.2.55 Remove the Trolley Lock Control Assembly 1. Remove the trolley support table assembly as described in 7.2.49. 2. Remove the 4 M4X8 combination screws fixing the trolley lock control assembly to remove the trolley lock control assembly. 7-41 FOR YOUR NOTES 7-42 8 Electrical and Pneumatic Connections 8.1 Pneumatic Connection 8.1.1 Pneumatic Connection Diagram 8-1 8.1.2 Tubes List Pneumatic assembly、Unit material No. Name Diameter Assembly Qty . Length (mm) P/N 5 Silicone tube 4.0x2.5 Integrated equipment 1 40±2 A21-000007--- 6 Silicone tube 4.0x2.5 Integrated equipment 1 180±5 A21-000007--- 7 Silicone tube 4.0x2.5 Integrated equipment 1 80±3 A21-000007--- 8 Silicone tube 4.0x2.5 Integrated equipment 1 40±2 A21-000007--- 9 Silicone tube 4.0x2.5 Integrated equipment 1 185±5 A21-000007--- 10 Silicone tube 4.0x2.5 Integrated equipment 1 215±5· A21-000007--- 12 Silicone tube 4.0x2.5 Integrated equipment 4 45±2 A21-000007--- 13 Silicone tube 4.0x2.5 Integrated equipment 2 70±3 A21-000007--- 14 Silicone tube 4.0x2.5 Integrated equipment 2 30±2 A21-000007--- 15 L-shaped silicone tube / Integrated equipment 1 L1=10±1 L2=30±2 049-000831-00 16 L-shaped silicone tube / Integrated equipment 1 L1=10±1 L2=30±2 049-000831-00 17 PU tube 6.0x4.0 O2 inlet assembly 1 150±5 M6G-020026--- 18 PU tube 4.0x2.5 Main unit bracket assembly 1 270±5 M6G-020046--- Y T-shaped connector 1/8"ID Integrated equipment 1 / M90-100030--- T T-shaped connector 3/32"ID Integrated equipment 2 / S1-0103-00-05 11 V Metal needle valve Resistor adjustable Integrated equipment 2 / 082-000571-00 F Filter / Integrated equipment 4 / 082-001903-00 Sensor board material 1 L-shaped silicone tube / Sensor board 1 L1=13±1 L2=43±2 049-000831-00 2 Silicone tube 1/16"X3/1 6" Sensor board 1 48±2 M6G-020006--- 3 Silicone tube 1/16"X3/1 6" Sensor board 1 70±3 M6G-020006--- 4 Silicone tube 1/16"X3/1 6" Sensor board 1 52±3 M6G-020006--- 11 L-shaped silicone tube / Sensor board 1 L1=13±1 L2=13±1 049-000831-00 T T-shaped connector 3/32"ID Sensor board 1 / S1-0103-00-05 11 8-2 Notes: Dimensions L1 and L2 of L-shaped silicone tube are as shown below. 8.2 Electrical Connection 8.2.1 Electrical Connection Diagram S5 S1 #1 S2 #2 #18 #17 #3 S3 B2 S4 B1 S4 B1 Purchased material/ connector Hardware board #5/#6 S18 S17 S16 #4 #16 #15 #4 S15 B10 S14 B3 S13 S6 S7 #13 B7 #7 #14 S8 S12 S11 B9 #12 S10 #12 B4 S9 #8 B6 #10 #9 #11 B5 8-3 B8 Notes: A hollow arrow indicates connection via board-board connectors while a solid arrow indicates connection via cables. “Bxx” indicates self-made board and “Sxx” indicates purchased material. “#xx” indicates cable material. 8.2.2 Electrical Connection List S/N Description P/N #1 EV20 AC-DC board AC input connection line 009-004076-00 #2 EV20 AC-DC board to DC-DC board connection line 009-004027-00 #3 EV20 external DC input connection line (inside the machine) 009-004077-00 #4 EV20 battery input connection line 009-004028-00 #5 EV20 DC-DC board and monitoring board communication cable 009-004344-00 #6 EV20 monitoring main board power input line 009-004029-00 #7 EV20 Sharp screen connection line 009-004548-00 #8 EV20 alarm light connection line 009-004032-00 #9 EV20 encoder connection line 009-004033-00 #10 EV20 key control board connection line 009-004031-00 EV20 sidestream CO2 module connection line 009-004034-00 EV20 mainstream CO2 module connection line 009-004035-00 #12 EV20 flow sensor connection line 009-004040-00 #13 EV20 O2 concentration sensor connection line 009-004041-00 #14 EV20 sensor adapter board connection line 009-004036-00 #15 EV20 vacuum sensor connection line 009-004042-00 #16 EV20 blower temperature sensor connection line 009-004043-00 #17 EV20 O2 proportional valve and connection line 009-004173-00 #18 EV20 nebulizer valve and connection line 009-004174-00 S1 AC input socket 009-004076-00 S2 AC-DC power board 022-000163-00 S3 DC input socket 009-004077-00 S4 Intelligent battery 115-025022-00 S5 Cooling fan 115-028052-00 S6 Speaker 115-028050-00 S7 Display 115-022782-00 S8 Touchscreen 021-000149-00 S9 O2 flow sensor 012-000019-00 S10 Total flow sensor 012-000018-00 S11 Safety valve 024-000566-00 S12 O2 sensor 040-001275-00 #11 8-4 S/N Description P/N S13 Inspiratory valve 115-020420-00 S14 Exp. proportional valve 024-000565-00 S15 Temperature sensor 009-004043-00 S16 Blower fan 115-028051-00 S17 O2 proportional valve 009-004173-00 S18 Nebulizer valve 009-004174-00 B1 EV20 battery adapter board PCBA 051-001551-00 EV20 DC-DC power board PCBA (without DC-IN) 051-001481-00 EV20 DC-DC power board PCBA (with DC-IN) 051-001777-00 EV20 main control board PCBA(configured with VGA and nurse call) 051-001780-01 EV20 main control board PCBA(standard configuration) 051-001779-01 B4 EV20 alarm light board PCBA 051-001554-00 B5 Copper shaft encoder fixing board DA8K-30-27114 B6 EV20 key control board PCBA 051-001552-00 EV20 monitoring module main board PCBA (configured with VGA and nurse call) 051-001780-01 EV20 monitoring module main board (standard configuration)PCBA 051-00177901 CO2 module (mainstream) 9211-20-87275 CO2 module (sidestream) 115-010077-00 B9 EV20 sensor adapter board PCBA 051-001555-00 B10 EV20 vacuum sensor board PCBA 051-001556-00 B2 B3 B7 B8 Notes: For cable material which contains the corresponding purchased component, P/N is the P/N of the cable material. EV20 AC-DC board AC input connection line “#1” is outsourced cable with material. Its incoming material already contains material “S1”. EV20 exterma DC input connection line (inside the machine)”3” is purchased cable. Its incoming material already contains material “S3”. EV20 vacuum sensor connection line “#16” is outsourced cable with material. Its incoming material already contains material “S15”. EV20 O2 proportional valve and connection line “#17” is outsourced cable with material. Its incoming material already contains material “S17”. EV20 nebulizer valve and connection line “#18” is outsourced cable with material. Its incoming material already contains material “S18”. 8-5 FOR YOUR NOTES 8-6 9 Parts 9.1 SV300/350/SV350 Ventilator Main Unit Assembly 9.1.1 Exploded View 9.1.2 Parts List S/N P/N Description Qty 1 049-000657-00 EV20 host front cover screw cap 4 2 115-028045-00 Front cover FRU (CE) 1 3 115-028049-00 Battery door FRU 1 4 115-025022-00 Li-ion battery kit 1 5 042-010558-00 EV20 power fixer 1 6 048-004133-00 Dustproof net 1 7 115-028048-00 Host inlet fence FRU(CE) 1 8 049-000656-00 EV20 host top cover screw cap 2 9 115-021483-00 EV20 host top cover assembly 1 10 115-028046-00 Host back cover FRU(CE) 1 9-1 S/N P/N Description Qty 11 043-004014-00 Outside guide slot of expiration valve 1 9.2 Display Assembly 9.2.1 Exploded View 9.2.2 Parts List S/N P/N Description Qty 1 049-000660-00 EV20 display screw cap 7 2 043-004019-00 EV20 display back cover 1 3 043-004020-00 EV20 display back cover cable Plate 1 4 045-001157-00 Right hinge assembly 1 5 045-001160-00 Left hinge assembly 1 9-2 9.3 Display Front Housing Assembly 9.3.1 Exploded View 9.3.2 Parts List S/N P/N Description Qty 115-028053-00 Display front cover FRU(SV300/350) 1 115-028054-00 Display front cover FRU(SV350) 1 2 043-005358-00 Alarm light cover 1 3 6200-30-09774 Encoder 1 4 043-004516-00 EV20 knob 1 5 049-000745-00 EV20 silence key(silkscreen) 1 6 049-000744-00 EV20 power key(silkscreen) 1 7 051-001554-00 EV20 Alarm LED PCBA 1 8 021-000149-00 Touch-panel resistive 12.1" 5-line wide 1 9 115-022782-00 EV20 Sharp display material package 1 10 115-028055-00 Key control PCBA FRU 1 1 9-3 9.4 Kernel Assembly 9.4.1 Exploded View 9-4 9.4.2 Parts List S/N P/N Description Qty 051-001780-01 EV20 control assembly(VGA&nurse call) 1 051-001779-01 EV20 control assembly(classic) 1 2 115-028051-00 Blower box FRU 1 3 115-020420-00 Inspiration valve 1 4 115-010077-00 CO2 Module Unit(M02C) 1 5 051-001555-00 EV20 Sensor Interface PCBA 1 6 082-001903-00 PTFE Syringe Filter 13mm 5.0µm 2 7 115-021480-00 O2 Mount of EV20 1 8 012-000018-00 SENSOR Flow Air 300slpm 1 9 M05-010R03--- Button cell Lithium 3V35mAh D12.5*2.0 1 10 051-000811-00 Cyberlink module PCBA 1 11 024-000188-00 Antenna 2400-2500MHz 2.15dBI 1 9-5 IPEX-II 1 9.5 Main Unit Bracket Assembly 9.5.1 Exploded View 9.5.2 Parts List S/N P/N Description Qty 1 051-001551-01 EV20 Battery Interface PCBA 2 2 041-010201-00 Case used for the post of EV20 2 051-001777-00 EV20 DC-DC power board PCBA(DC-IN) 1 051-001481-00 EV20 DC-DC power board PCBA(without DC-IN) 1 4 022-000163-00 POWER SUPPLY BOARD 18.8V 160W 1 5 0509-20-00098 Equipotential stud / lug 1 6 M07-00130F--- FUSE Time-lag 250V 3.15AD5X20 1 7 115-028052-00 Fan FRU 1 3 9-6 9.6 Main Unit Rear Housing Assembly 9.6.1 Exploded View 9.6.2 Parts List S/N P/N Description Qty 1 115-028050-00 Speaker FRU 1 2 043-004111-00 Fence for dustproof of EV20 1 043-004975-00 Cover of the CO2 043-005204-00 CO2 cover(mainstream CO2)(silkscreen) 043-005205-00 CO2 cover(sidestream CO2)(silkscreen) 043-005203-00 CO2 cover(SpO2)(silkscreen) 043-005206-00 CO2 cover(SpO2+mainstream CO2)(silkscreen) 043-005207-00 CO2 cover(SpO2+sidestream CO2)(silkscreen) 4 040-000119-00 Dryline receptacle Mindray 60-13510-01 1 5 9200-10-10591 Mounting Frame.DRYLINE,Flush 1 3 9-7 1(different configuration corresponds to differed material) 9.7 O2 Inlet Assembly(NIST) 9.7.1 Exploded View 9.7.2 Parts List S/N P/N Description Qty 1 009-004173-00 EV20 O2 proportional value with cable 1 2 009-004174-00 EV20 Nebulizer value with cable 1 3 M6M-010069--- Seal, O ring 3X1.5 fluorine rubber black A50 2 4 049-000702-00 Filter net 1 5 012-000019-00 SENSOR Flow Oxygen 300slpm 1 6 115-011292-00 Main body of regulator 1 7 M6M-010032--- Seal, O ring 18X2.5 silicone red A50 1 8 0611-20-45600 Filter 1 9 M6Q-030107--- PP Panel mount hose barb PMCD160212 1 9-8 9.8 O2 Inlet Assembly(DISS) 9.8.1 Exploded View 9.8.2 Parts List S/N P/N Description Qty 1 009-004173-00 EV20 O2 proportional value with cable 1 2 009-004174-00 EV20 Nebulizer value with cable 1 3 M6M-010069--- Seal, O ring 3X1.5 fluorine rubber black A50 2 4 049-000702-00 Filter net 1 5 012-000019-00 SENSOR Flow Oxygen 300slpm 1 6 115-011292-00 Main body of regulator 1 7 M6M-010032--- Seal, O ring 18X2.5 silicone red A50 1 8 0611-20-45600 Filter 1 9 M6Q-030107--- Panel mount hose barb PMCD160212 1 9-9 9.9 Expiration Valve Assembly 9.9.1 Exploded View 9.9.2 Parts List S/N P/N Description Qty 1 024-000565-00 Voice coil motor 1 2 043-004013-00 Exp. valve seat 1 3 115-021461-00 Disinfectable exp. valve assembly 1 9-10 9.10 Safety Valve Assembly 9.10.1 Exploded View 9.10.2 Parts List S/N P/N Description Qty 1 115-021478-00 Detachable part of safety valve 1 9-11 9.11 Safety Valve Base Assembly 9.11.1 Exploded View 9.11.2 Parts List S/N P/N Description Qty 1 082-001510-00 O-RING. 36.17X2.62 Silicone, transparent, A50 1 2 024-000566-00 Electromagnet 12V 48Ohm 4.8mm 1 9-12 9.12 Safety Valve Detachable Part 9.12.1 Exploded View 9.12.2 Parts List Note: The P/N of this assembly is 115-021478-00。 S/N P/N Description Qty 1 043-005276-00 Safety valve main body (silkscreen) 1 2 049-000693-00 Membrane of check valve 1 3 082-000649-00 O-RING.25X1.8 Silicone, transparent, A50 1 4 043-004062-00 Body of check valve 1 5 082-000739-00 O-RING. 6.5X1.5 fluorine rubber black A75 1 6 049-000654-00 Membrane of safety valve 1 7 041-010186-00 Supporting of membrane 1 8 043-004061-00 Fixing nut of membrane 1 9 043-005277-00 Fixing nut of safety valve (silkscreen) 1 10 043-004059-00 Safety valve plug 1 11 082-000223-00 O-RING.29.87X1.78 Silicone, black, A60 2 9-13 9.13 Exp. Flow Sensor Sampling Seat Assembly 9.13.1 Exploded View 9.13.2 Parts List S/N P/N Description Qty 1 M90-100060--- O-RING. 6.5X1.5 fluorine rubber black A75 2 9-14 9.14 Disinfectable Expiration Valve Assembly 9.14.1 Exploded View 9.14.2 Parts List Note: The P/N of this assembly is 115-021461-00。 S/N P/N Description Qty 1 049-000778-01 Exp. valve membrane 1 2 049-000684-00 Exp. check valve 1 9-15 9.15 Blower Box Assembly 9.15.1 Exploded View 9.15.2 Parts List S/N P/N Description Qty 1 045-001333-01 HEPA filter 1 2 051-001556-00 EV20 negative pressure sensor PCBA 1 9-16 9.16 Inspiration Valve Assembly 9.16.1 Exploded View 9.16.2 Parts List Note: The P/N of this assembly is 115-020420-00. S/N P/N Description Qty 1 024-000565-00 Voice coil motor 1 2 082-000223-00 O-RING.29.87X1.78 Silicone, black, A60 1 3 049-000700-00 Mesh cushion of insp. valve 1 4 082-001498-00 O-Ring 17.17X1.78 SIL A50 Crystal 1 9-17 9.17 Trolley Assembly 9.17.1 Exploded View 9.17.2 Parts List S/N P/N Description Qty 1 115-022676-00 EV2O trolley humidifier fixed assembly 1 2 115-022677-00 EV20 trolley gas cylinder fixed assembly 1 9-18 9.18 Trolley Handle Assembly 9.18.1 Exploded View 9.18.2 Parts List S/N P/N Description Qty 1 044-000454-00 EV20 trolley front handle 1 2 042-011007-00 EV20 trolley arm support 1 3 115-028057-00 Trolley rear handle FRU 1 9-19 9.19 Trolley Support Platform Assembly 9.19.1 Exploded View 9.19.2 Parts List S/N P/N Description Qty 1 115-022678-00 EV20 trolley push-button assembly 1 9-20 9.20 Trolley Base Assembly 9.20.1 Exploded View 9.20.2 Parts List S/N P/N Description Qty 1 0020-10-12509 Caster.4" white, with brakes (FRU) 4 2 115-028056-00 Trolley base cover FRU 1 9-21 9.21 Trolley Gas Cylinder Fixed Assembly 9.21.1 Exploded View 9.21.2 Parts List S/N P/N Description Qty 1 040-001966-00 EV20 trolley magic tape 1 9-22 A Mindray SV300/350 Preventive Maintenance Report Customer Name Service Company Service Date (YYYY/MM/DD) A.1 Check before Preventive Maintenance System Total Running Time (hrs) (Syst. info->Maintain) S/N of Ventilator Software Ver. (Maintain->Servi ce->Setup->Versio ns) Main Board Software Items Operations Result Data Export Export log data from service menu via USB stick. □Yes □No System Self Test Check if machine pass all system check items and record leakage value □Pass (Leak □Fail Ventilation Check Check if machine pass ventilation test and no alarm □Pass □Fail (Alarm Check for any damage of the appearance. □Pass Visual check Ventilator Protection Module Ventilator Control Module A-1 ) □Fail ) A.2 Preventive Maintenance Items Operations Result Parts Replacement (Chapter 5.2.1) 1 Expiration valve membrane Replace as required. □Yes □No 2 HEPA filter Replace as required. □Yes □No 3 Fan dust filter Replace as required. □Yes □No 4 PTFE Syringe Filter 13mm 5.0µm Replace as required. □Yes □No 5 Touch screen calibration (Operator’s manual 11.7) Calibrate successfully. □Yes □No 6 Zero Calibrate successfully. □Yes □No 7 Flow calibration (factory) Calibrate successfully. □Yes □No 8 Pressure calibration (factory) Calibrate successfully. □Yes □No 9 O2 % calibration (factory) Calibrate successfully and record the AD value. □Yes □No (21% ______ 100% ______) 10 Air O2 calibration Calibrate successfully. □Yes □No 11 Expiration valve calibration (factory) Calibrate successfully. □Yes □No Calibrations (Chapter 5.3) A-2 A.3 Test after Preventive Maintenance A.3.1 System Self-Test No. Items Result Remarks 1 Blower test □Pass □Fail 2 O2 Flow Sensor Test □Pass □Fail 3 Total Flow Sensor Test □Pass □Fail 4 Exp. Flow Sensor Test □Pass □Fail 5 Pressure Sensor Test □Pass □Fail 6 Exp. Valve Test □Pass □Fail 7 Safety Valve Test □Pass □Fail 8 Leakage(mL/min) 9 Compliance(mL/cmH2O) 10 Circuit Resistance(cmH2O/L/s) 11 O2 Sensor Test <300ml/min acceptable □Pass □Fail A.3.2 Mechanical Ventilation Test (Chapter 5.1.2) Ventilation Mode V-A/C Groups Settings Measured Data Result 1 TV 150 ml TVi □Pass □Fail 2 TV 300 ml TVi □Pass □Fail 3 TV 600 ml TVi □Pass □Fail 4 TV 900 ml TVi □Pass □Fail △Pinsp 10 cmH2O Ppeak □Pass □Fail PEEP OFF PEEP □Pass □Fail △Pinsp 15 cmH2O Ppeak □Pass □Fail PEEP 5 cmH2O PEEP □Pass □Fail △Pinsp 20 cmH2O Ppeak □Pass □Fail PEEP 8 cmH2O PEEP □Pass □Fail 5 P-A/C 6 7 A-3 A.3.3 Zero Point Accuracy Test (Chapter 5.1.3) Items Sensor Name 1 Counts Actual Counts Range Result Total flow sensor -0.5~1L/min □Pass □Fail 2 O2 flow sensor -0.5~1L/min □Pass □Fail 3 Exp. Flow sensor 365~910 □Pass □Fail 3 Insp. pressure sensor 967~1875 □Pass □Fail 4 Exp. Pressure sensor 967~1875 □Pass □Fail A.3.4 Flow Sensor Accuracy Test (Chapter 5.1.4) Items Insp. Valve Settings (L/min) Total Flow Sensor Data Exp. Flow Sensor Data Result Air 1 3±0.5 □Pass □Fail 2 10±1 □Pass □Fail 3 20±1 □Pass □Fail 4 30±2 □Pass □Fail 5 60±3 □Pass □Fail Items O2 Proportional Valve Settings (L/min) O2 Flow Sensor Data / Result High Pressure O2 1 3±0.5 / □Pass □Fail 2 10±1 / □Pass □Fail 3 20±1 / □Pass □Fail 4 30±2 / □Pass □Fail 5 60±3 / □Pass □Fail A-4 A.3.5 Pressure Sensor Accuracy Test (Chapter 5.1.5) Items Exp. Valve Settings (cmH2O) Benchmark Device Data Insp. Pressure Sensor Data Exp. Pressure Sensor Data Result 1 5±1 □Pass □Fail 2 20±1 □Pass □Fail 3 50±1 □Pass □Fail 4 70±2 □Pass □Fail A.3.6 Electrical Safety Test (Chapter 3.9) Items Measured Data Pass Criteria Result <=0.1 □Pass □Fail Normal status(uA) <=500 □Pass □Fail Single Fault(uA) <=1000 □Pass □Fail Protective Earth Resistance (Ω) Earth Leakage Current A.4 Remarks Engineer Signature: Date: A-5 FOR YOUR NOTES A-6 PN:046-006348-00(3.0)