NEPTUNE ELECTRONIC VENTILATOR TECHNICAL MANUAL 3rd edition August 2007 MEDEC BENELUX NV All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronically, mechanically, by photocopying, recording or otherwise, without the prior written permission of Medec Benelux NV. Medec Benelux NV reserves the right to change specifications without prior notification. Careful attention has been paid to the compilation of this publication. Medec Benelux NV Lion D’Orweg 19 9300 Aalst Belgium Telephone : (32) 53 / 70.35.44 Fax : (32) 53 / 70.35.33 Website : www.medecbenelux.be E-mail : sales@medecbenelux.be 3rd edition August 2007 User responsibility The equipment described in this manual has been built to confirm with the specifications and instructions stated in this manual. To ensure proper and safe operation of the equipment, it must be checked and serviced at least according to the minimum standards laid out in this manual. The equipment must be repaired and serviced only in accordance with written instructions issued by Medec Benelux N.V. and must not be altered or modified in any way without written approval of Medec Benelux N.V. The user of this equipment shall have the responsibility for any malfunction which results from improper use, maintenance, repair, damage or alteration by anyone other than Medec Benelux N.V. or its appointed agents. The Neptune anaesthesia combination has been specially developed for anaesthetic applications. The system is built around the so-called bag in bottle principle. This system has for many years proved to be a reliable and safe system. One important aspect in this connection is that the gas exchange of the patient is completely separated from the machine by use of the bag mentioned. Another important aspect is that the Neptune anaesthesia system, whatever catastrophe might occur (compressed air, mains voltage failure or technical problems), always goes into the spontaneous / manual respiration mode. This way, the (manual) respiration of the patient is always guaranteed as long as the fresh gas supply is assured. The Neptune anaesthesia system may only be used in anaesthetic rooms which are conducting and are provided with proper ventilation and electrical wiring. The Neptune anaesthesia system may only be used in anaesthetic rooms conform with EN60601-1-2 level. RS232 output (optional) may only be used with devices conform with EN60601-1-2 level. Table of Contents 1. Electronic system 1.1 Electronic system overview 1.2 Power supply 1.2.1 Replacing the AC mains fuses 1.2.2 Block diagram 1.2.3 Schematic diagram 1.2.4 Power supply board layout 1.3 Backplane board 1.3.1 Block diagram 1.3.2 Schematic diagram 1.3.3 Backplane board layout 1.4 MMI board 1.4.1 Block diagram 1.4.2 Schematic diagram 1.4.3 MMI board layout 1.4.4 Build-in test software 1.4.5 Graphics display 1.5 O2 measurement 1.5.1 General 1.5.2 Operation 1.5.3 O2 measurement specifications 1.6 Master board 1.6.1 Block diagram 1.6.2 Schematic diagram 1.6.3 Build-in test software 1.6.4 Master board layout 1.7 Pneumatic board 1.7.1 Block diagram 1.7.2 Schematic diagram 1.7.3 Built-in test software 1.7.4 Pneumatic board layout 2. Pneumatic system 2.1 Pneumatic diagram 2.2 Manual/Spontaneous mode (MAN)& Anti-volutrauma 2.3 Controlled mandatory ventilation (CMV) 2.4 Pressure controlled ventilation (PCV) 2.5 Peep 2.6 Anti-barotrauma 2.7 Mechanical construction 2.7.1 Patient breathing unit 2.7.2 Bottle 2.7.3 Supply tank 2.7.4 Solenoid valves 1 5 5 8 11 12 14 16 17 19 25 27 53 54 54 55 56 58 61 69 70 72 77 85 86 88 91 93 95 95 96 100 102 103 3. Maintenance and calibration 3.1 Visual inspection 3.2 Battery backup 3.3 The calibration menu 3.4 The pressure transducers 3.5 The pressure regulators 3.6 The flow regulators 3.7 O2 flush 3.8 The input pressure switches 3.9 The bottle safety valve 3.10 Peep valve calibration 3.11 Valve test 3.12 Performing a leaktest 3.12.1 Entering the leaktest menu 3.12.2 Performing the leaktest 3.12.3 Leaving the leaktest menu 3.13 Maintenance instructions 3.14 Parts list 4. Classification and discard 4.1 Classification 4.2 Discard 5. Inspection 5.1 Visual inspection 5.2 Other inspections 6. Troubleshooting A. Checklist Neptune B. List replaced parts 104 105 106 109 114 117 119 120 125 126 127 130 132 135 136 141 142 143 144 145 148 165 166 1. ELECTRONIC SYSTEM 1.1 ELECTRONIC SYSTEM OVERVIEW The Neptune contains several electronic printed circuit boards, which are located on different locations in the machine. Electronic system overview Neptune ventilator 1 Technical manual • Mains AC input The AC inlet at the back of the ventilator contains a fuse holder and power switch. The AC mains voltage is connected to the AC/DC converter board. • AC/DC converter board The AC/DC converter board converts the AC mains voltage to +24V DC voltage. The +24V DC is fully isolated from the AC mains voltage to ensure safe working conditions. • DC/DC power supply The DC/DC power supply board generates different DC voltages and controls the battery charging current. A special battery controller device will charge the battery as safe as possible and under the best conditions to have a long battery lifetime. The DC/DC power supply output voltages are: o o o o • +5V DC +12V DC +24V DC +12V DC Extendable system set The extendable system set consists of 4 different boards that are connected by means of 2 elevated multiple pins connectors: o o o o MMI board Backplane board Master board Pneumatic board The 4 different boards have their own specific tasks. The MMI board, master board and the pneumatic board have one or more microprocessors and other electronic devices on board. The backplane board only contains connectors and has no microprocessor. The extendable system set is built so that further expansion of the electronics is possible by means of the elevated multiple pins connectors. • Backplane board The backplane board contains buzzer, O2 sensor, power switch and power supply connectors. The power connector is connected to the DC/DC power supply. The board is distributing the different DC voltages through the extendable system set. Neptune ventilator 2 Technical manual • MMI board The MMI board contains only one microprocessor. It’s reprogrammable so it can be upgraded if necessary. The microprocessor controls all the graphical display functions and is communicating - by means of the master board - with the pneumatic board. The microprocessor is also controlling the keyboard board, the control knob and the speaker. • Master board The master board contains one microprocessor and is also reprogrammable if necessary. The master board looks after the communication between the MMI board and pneumatic board. The master board microprocessor checks the proper working of the MMI and pneumatic board microprocessors. Otherwise, the MMI board microprocessor checks the proper working of the master and pneumatic board microprocessor and the pneumatic board microprocessor checks the MMI and master board microprocessors. Each microprocessor is checking the other microprocessors for errors or malfunctions, which makes the ventilator a very safe system. Once an error is found, the electronics stop working and a continuous beep is audible. Note: • The ventilator automatically switches over to manual mode after an error or malfunction is detected. Pneumatic board The pneumatic board contains one microprocessor. This microprocessor is reprogrammable for upgrades if necessary. The pneumatic board of course controls the pneumatic functions of the ventilator. There are six pressure transducers mounted on the board for measuring all kinds of parameters. The pneumatic board also drives the electrical valves on the manifold and bottle. The microprocessor receives settings from the MMI board and processes the values. The pneumatic board microprocessor sends information back to the MMI board like e.g.: actual airway pressure, alarms, patient status values, etc. • Keyboard board The keyboard board contains several switches and leds for interaction between the operator and the electronic system. The keyboard board is connected to the MMI board and processed by the microprocessor on the MMI board. Neptune ventilator 3 Technical manual • Graphical display The graphical display shows all kind of information. It consists of menus, settings, parameters, graphs, etc. The display is also responsible for interaction between the operator and the ventilator electronics. Along with the keyboard switches and leds, they form the operator’s interface. Neptune ventilator 4 Technical manual 1.2 POWER SUPPLY The AC mains inlet at the back of the ventilator is equipped with a power switch and a fuse holder block. The fuse holder contains two fuses type 2A slow. The AC mains voltage must be in the range from 100V AC to 240V AC. The AC mains frequency must be in the range from 50 Hz to 60 Hz. These are the absolute maximum ratings for the AC mains supply. 1.2.1 Replacing the AC mains fuses Replace the AC mains fuses by mean of the following instructions: Note: - Turn off the Neptune and disconnect the power cord from the mains inlet. - Insert a screwdriver in the small AC receptacle and pull out the fuse holder block. - Replace the blown fuses and place the fuse holder block back into the AC receptacle. - Connect the power cord back to the AC mains inlet. Always replace the blown fuses with the same type and ratings. 1.2.2 Block diagram The power supply block diagram is represented on the next page. Neptune ventilator 5 Technical manual Block diagram power supply Neptune ventilator 6 Technical manual The battery-charging unit charges the battery to maintain a maximum battery capacity and life. If the AC mains supply voltage is present, the battery is charged with a maximum current of approximately 0,9 Ampere. After a while, the charging current decreases and a minimum trickle current of 0.09 Ampere flows through the battery. To guarantee full recharge of an exhausted battery, connect the ventilator to the mains supply for at least a couple of hours. Note: The switch at the back of the ventilator must be turned ON to activate the battery charging. Note: The ventilator uses high voltages, capable of causing personal injury. Do not touch the AC mains voltage electronics during operation. If an AC mains power failure occurs, the power supply automatically switches over to battery supply. You can work approximately 1 hour on battery supply. The batterycharging unit monitors the battery voltage and checks for a battery voltage lower than 10,5 Volt. If the battery voltage is getting lower than 10,5 Volt, the power supply electronics is disconnected from the battery to prevent a totally exhausted battery. A totally exhausted battery will shrink the battery lifetime enormously. An audible alarm is activated during 20 seconds after the ventilator shuts off because of an empty battery. The power supply board is equipped with 5 fuses: - battery +5V DC +12V DC +24V DC +12V DC fuse F1: fuse F2: fuse F3: fuse F4: fuse F5: 3,15A slow 3,15A slow 3,15A slow 3,15A slow 3,15A slow The green LEDs indicate if a voltage is present: - LED D19 indicates the +24V DC input voltage from AC/DC converter LED D14 indicates the +5V DC output voltage LED D15 indicates the +12V DC output voltage LED D16 indicates the +12V DC output voltage LED D17 indicates the +24V DC output voltage The +24 Volt DC output voltage is not available when working on battery. This means that LED D19 and D17 aren’t lit in this situation. You can rapidly determine a blown fuse by taking a look at the LED indicators. There is no LED indicator provided on the battery input voltage to prevent a waste of battery power. Neptune ventilator 7 Technical manual The power supply board is provided with four connectors: • Connector P3: Pin number 1 2 3 4 5 6 • Connector P1: Pin number 1 2 3 4 5 6 • Description +5V DC output voltage GND +12V DC output voltage GND +24V DC output voltage GND Connector P2: Pin number 1 2 3 4 • Description +24V DC input voltage +24V DC input voltage GND GND Battery + input voltage Battery – input voltage Description +12V DC output voltage +12V DC output voltage GND GND Connector P4: Pin number 1 2 3 Description AC mains LED indicator voltage Ventilator ON/OFF switch input Ventilator ON/OFF switch input 1.2.3 Schematic diagram The schematic diagram of the power supply is represented on the following pages. Neptune ventilator 8 Technical manual 1 2 +24V 1 +24V 2 D D19 +24v R36 10K GREE GND 4 BAT+ 5 BAT- GND GND C GND Q8 BD242 GND 294K D2 8 11 9 10 GND S CLK D R MBR36 GND MBR36 +12V 4 C1 1µF/25 +24V GND GND 1 Neptune ventilator +12V R23 100R 2 BS25 D12 1N414 C3 10µF/25 D13 R16 100K +12V +12V R1 93K1 CD409 BZ X7 9C R14 20 1k R18 100 +12V GND BS17 B B1 GND R3 1k2 +12V C7 100N/40 GND R7 R243 3 2 14 15 8 5 6 12 11 GND GND Q6 4 U1 IN+ ININ+ INFB IN+ OP1 IN- OP1 IN+ OP2 IN- OP2 V+ OUT GND LM61 OUT CATHOD OUT OUT 1 9 7 10 GND GND U4A CD4013 +12V 14 16 6 3 5 4 S CLK D R V13 GND 1 2 Q Q GND GND Title Size GND Date: File: 2 3 9 BUZZE Q7 R17 100K 7 VCC GND C9 10µF/25 GND R20 R330 Q3 A4 GND 1 13 10 9 R6 18k CD409 7 7 8 R2 13k 14U3B 6 Q5 14 U3C GND 13 12 C BS25 +12V 5 SW_ON_OFF 47 0K Q2 11 12 +24v GND SW_ON_OFF SW_ON_OFF CD409 7 Q Q SW5V SW_ON_OFF 3 +12V VCC GND SW12 SW5V GND +12V 14 CD4013 U4B +12Vou SW12 MBR36 D SW16 BS17 R11 23k 100N +12V MBR36 GND C5 7 GND A D1 +24V BS17 7 CD409 R4 100K +24V D3 R10 R787 R13 +12V 14 2 C2 1µF/25 R12 R470 +16Vou +12Vou 2 U3D 3 680K D11 1n414 1 R9 107K POWER regulators.sc +16Vou GND 1 R22 GND MBR36 R19 C4 100N 14U3A 3 D6 D5 Q1 16 15 14 13 12 11 10 9 +12V R5 1M 2 MBR36 D4 UC390 1 B 3 R21 22K MBR36 +12V KEYBOAR P4 D7 SW16 Q9 RFP30P0 GND 6 c/sd.si. c/ld.so. c/s+ comp. v.in vol.sens c/s char.en. o.c.t. trik.bia gnd st.lev.con o.ch.ind p.i. +24v +VBA F1 R0.2 U2 C8 100N/40 3.15A/ R8 2 4 3 5 1 8 6 7 +24V 3 GND +24V 4 3 +24V DC INPUT P3 BS25 GND C6 2200µF/25 GND A POWER SUPPLY Number Revisio PSU042000V1 6-Jan-2003 C:\DOCUMENT\..\psu042000v1 Sheet 1 of 2 Drawn JP - KDP 4 Technical manual 1 2 SW12V SW5V SW_ON_OFF1 1 Vin FB GND Vsw Q4 1 68µH +16V 3.15A/T 2 R30 D10 MBR745 Vc + C12 470µF/63V GND +16V R29 2K7 9090 3 GND 4 R33 2K7 BS170 R31 1500 C19 GND 10N GND C15 1000µF/50V GND D16 D18 20V GND GND GND C U5 MIC4576BT 2 68µH 3 GND GND 3.3N/63V R24 3.15A/T D15 GND C R32 10K R28 2K7 C13 1000µF/50V 13K +24v F4 3.15A/T C17 MBR360 GND F3 D8 + C10 470µF/63V GND L1 IN OUT FB ON/OFF GND 1 4 5 GND R25 1K5 D17 GREEN SW_ON_OFF1 R35 100K D P2 F5 L3 4 GREEN SW5V +12Vout 5 LT1074CT GREEN SW12V SW_ON_OFF2 U7 2 +12Vout SW16V DC OUTPUT CONNECTOR 2 R34 100K GND SW16V SW_ON_OFF2 +16Vout 3 +16Vout 2 POWER SUPPLY 4 Q10 RFP30P05 1 3 D 3 GND GND GND DC OUTPUT CONNECTOR 1 P1 B GND + C11 470µF/63V MIC4576BT 2 IN OUT FB ON/OFF GND U6 1 4 5 L2 F2 68µH 3.15A/T R15 1K D9 C16 3 GND MBR360 3.3N/63V C14 R27 R4530 1000µF/50V GND GND R26 1K5 GND GND Size A4 Date: File: 1 Neptune ventilator 2 3 10 GND 5 +24V 4 GND 3 +12V 2 GND 1 +5V B GND Title A GND GREEN D14 GND GND 6 POWER SUPPLY - REGULATORS Number PSU042000V1 6-Jan-2003 C:\DOCUMENT\..\regulators.sch A Revision Sheet 2 of 2 Drawn By: JP - KDP 4 Technical manual 1.2.4 Power supply board layout Note: Fan drive output voltage indicated by D16 = 12 Volt Neptune ventilator 11 Technical manual 1.3 BACKPLANE BOARD 1.3.1 Block diagram The block diagram of the backplane board is represented on the next page. The DC voltages coming from the power supply are distributed on the backplane board. Connector P1 is the connection to the power board. Connector P2 and P3 are supplying the extendable system set of electrical power. Connector P5 is the power on/off connection to the power supply (P4). Connector P4 connects to the MMI board through a flatcable. Connector P6 is used to connect the buzzer and the O2 sensor. Neptune ventilator 12 Technical manual Block diagram backplane board Neptune ventilator 13 Technical manual 1.3.2 Schematic diagram The schematic diagram of the backplane board is represented on the next page. Neptune ventilator 14 Technical manual Neptune ventilator 15 Technical manual 1.3.3 Backplane board layout Neptune ventilator 16 Technical manual 1.4 MMI BOARD 1.4.1 Block diagram The block diagram of the MMI board is represented on the following page. There is only one microprocessor provided on the MMI board. This main microprocessor controls the control knob, the keyboard, the speaker sound, LCD and the communication. It is reprogrammable by means of the programming interface connector P1. All the graphical data is stored in the flash memory. This flash memory is also reprogrammable with the use of connector P1. The RAM memory is used as video memory. The video memory is copied through the LCD data bus to the on-board LCD controller. The LED indicators are located on the top of the MMI board and consist of four LEDs: one green LED and three red LEDs. They give you helpful information when an error occurs. More about errors and malfunctions of the ventilator is described later in this manual. The main microprocessor is communicating with the master board by means of connector P2. The MMI board sends to and receives information from the master board. The master board can transmit to and receive data from the pneumatic board. In this way the MMI board is communication with the pneumatic board. Neptune ventilator 17 Technical manual Block diagram MMI board Neptune ventilator 18 Technical manual 1.4.2 Schematic diagram The schematic diagram of the MMI board is represented on the following pages. Neptune ventilator 19 Technical manual 1 2 3 4 VCC R1 100K R2 100K R3 100K R4 100K D1 SW1 PF4 PF5 PF6 PF7 LCD 16MHz X1 GND CONTRAST_CS XSCL CLOCK DATA LEDBAR_CS 7SEG_CS ADC_SCK ADC_CS KB_INT ENC_B ENC_A LP BUZ_CS BUZ_ON_OFF PE1 PE0 B PF7 PF6 PF5 PF4 KEY_Y3 KEY_Y2 KEY_Y1 ADC_DATA A14 5 TOSC2 TOSC1 XTAL2 XTAL1 VCC PD7(T2) PB7(OC2/PWM2) PD6(T1)PB6(OC1B/PWM1B) PD5 PB5(OC1A/PWM1A) PD4(IC1) PB4(OC0/PWM0) PD3(INT3) PB3(MISO) PD2(INT2) PB2(MOSI) PD1(INT1) PB1(SCK) PD0(INT0) PB0(ss) 32 31 30 29 28 27 26 25 9 8 7 6 5 4 3 2 54 55 56 57 58 59 60 61 52 62 63 64 53 VCC RST U8C U6 18 19 C WR GND 20 PE7(INTR7) PE6(INTR6) PE5(INTR5) PE4(INTR4) PE3(AC-) PE2(AC+) PE1(PDO/TXD) PE0(PDI/RXD) PC7(A15) PC6(A14) PC5(A13) PC4(A12) PC3(A11) PC2(A10) PC1(A9) PC0(A8) PF7(ADC7) PF6(ADC6) PF5(ADC5) PF4(ADC4) PF3(ADC3) PF2(ADC2) PF1(ADC1) PF0(ADC0) VCC AREF AGND AVCC GND PA7(AD7) PA6(AD6) PA5(AD5) PA4(AD4) PA3(AD3) PA2(AD2) PA1(AD1) PA0(AD0) ATmega103L ALE RD WR GND RESET PEN ATMEGA128-16AI 23 24 21 17 16 15 14 13 12 11 10 PB7 PB6 PB5 PB4 MISO MOSI PB1 SS 42 41 40 39 38 37 36 35 A15 A14 A13 A12 A11 A10 A9 A8 44 45 46 47 48 49 50 51 AD7 AD6 AD5 AD4 AD3 AD2 AD1 AD0 VCC 43 ALE 34 RD 33 WR 22 1 GND 6 74VHC14 A15 13 9 8 U9C 10 11 U9D 12 U8B GND 3 1 11 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 74VHC14 OC CLK 2 3 4 5 6 7 8 9 1D 2D 3D 4D 5D 6D 7D 8D F_A15 F_A16 F_A17 F_A18 R_A15 R_A16 19 18 17 16 15 14 13 12 1Q 2Q 3Q 4Q 5Q 6Q 7Q 8Q 4 74VHC574 5 1 GND ALE 1 11 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 2 3 4 5 6 7 8 9 2 2 CS_F 74VHC32 1 74VHC14 U1 6 U9B U8A 3 U9A ADC_SCK 7 ADC_DATA 6 ADC_CS 5 O2 VCC CLOCK DATA BUZ_CS 19 18 17 16 15 14 13 12 A0 A1 A2 A3 A4 A5 A6 A7 A15 1 A14 2 GND CS_LCD 3 U10A 74VHC32 VCC SCLK DIN CS 4 KEY_Y2 5 1 U10B 6 KEY_Y3 9 10 74VHC32 U10C 74VHC32 2 13 U10D 11 KB_INT 74VHC32 20 U2 Fo VCC SCK Vref SDO Vin /CS C 1 1,2V 2 R12 3 4K7 4 GND AGND GND H W L + - OUT +12V 11 B 12 R13 13 18K 7 GND BUZZER MMI board Number A4 Date: File: 3 AGND BUZ_ON_OFF Size ENC_SW 12 8 C23 1N VCC GND Title KEY_Y1 D 2 Vout GND AGND U4 5 OC C 1D 1Q 2D 2Q 3D 3Q 4D 4Q 5D 5Q 6D 6Q 7D 7Q 74VHC573 8D 8Q C4 100N +12V 1 2 3 CS_R VCC 3 LTC2400CS8 14 74VHC32 C6 100N AGND 8 4 U7 C3 100N MAX6120EUR VCC A Neptune ventilator + C22 AGND 74VHC32 74VHC32 C5 100N U3 1 10 HEADER 2X1 VCC 6 GND D4 GND VDD 12P. C2 2 D3 DS-05 APEM 12P. C1 VCC R8 1K5 PB7 PB6 PB5 PB4 GND 2,2µ / 10V Tant. 1 10 9 8 7 6 D2 IN- Pspare 1 2 3 4 5 R7 1K5 9 LCD MMI_LCD.sch R6 1K5 SHDN MMI_MEMORY.sch D R5 1K5 4 MMI_SPI.sch VCC VSS MEMORY IN+ MMI_LED.sch MEMORY SPI 8 RS485 DRIVER 7SEG - LED MAX5437EUD 7 SEG-LED BAR 24-Mar-2004 C:\G\..\MMI.sch Checked Revision MMI 092003v1 A v1.0 Sheet 1 of 5 Drawn By: HDH 4 Technical manual 1 2 3 4 6 5 D D 4 Mbit FLASH MEMORY C A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 A14 F_A15 F_A16 F_A17 F_A18 12 11 10 9 8 7 6 5 27 26 23 25 4 28 29 3 2 30 1 WR RD CS_F 31 24 22 U11 A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 A14 A15 A16 A17 A18 I/O0 I/O1 I/O2 I/O3 I/O4 I/O5 I/O6 I/O7 1 Mbit SRAM A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 A14 R_A15 R_A16 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 13 14 15 17 18 19 20 21 1 2 3 4 13 14 15 16 17 18 19 20 21 29 30 31 32 VCC WR RD CS_R WR OE CE 12 28 5 AM29F040B_90EC U12 A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 A14 A15 A16 I/O1 I/O2 I/O3 I/O4 I/O5 I/O6 I/O7 I/O8 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 6 7 10 11 22 23 26 27 C WR OE CE HY628100B LLT1-70 B B MEMORY VCC A C7 100N A C8 100N Size GND B Date: File: 1 Neptune ventilator 2 MMI MEMORY Title 3 4 21 5 Number Checked Revision MMI 092003v1 24-Mar-2004 C:\G\..\MMI_MEMORY.sch v1.0 Sheet 2 of 5 Drawn By: HDH 6 Technical manual Neptune ventilator 1 2 CLK LOAD(CS) A GNDGND C12 100N C9 100N Dout MAX7221CWG C10 100N C11 100N GND + C100 10µ / 10V Tant. 18 24 13 12 1 GNDGND + C101 10µ / 10V Tant. 3 22 Iset CLK LOAD(CS) DIN MAX7221CWG + C102 4 Dout 18 24 13 12 1 VCC GNDGND Title + C103 Size 10µ / 10V Tant. 10µ / 10V Tant. Date: File: B 5 4_SEGA 4_SEGB 4_SEGC 4_SEGD 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 4_DIG0 4_DIG1 4_DIG2 4_DIG3 4_DIG4 4_DIG5 4_DIG6 4_DIG7 14 16 20 23 21 15 17 22 2 11 6 7 3 10 5 8 R17 12K Iset CLK LOAD(CS) Number DIN MAX7221CWG 24-Mar-2004 C:\G\..\MMI_LED.sch 1_SEGA 11 10 1_SEGB 1_SEGC 8 6 1_SEGD 5 1_SEGE 12 1_SEGF 7 1_SEGG 1_SEGDP 9 16 15 3 2 1 18 17 4 a b c d e f g DP a b c d e f g DP a b c d e f g DP a b c d e f g DP D10 13 14 13 14 13 14 2_DIG4 2_DIG3 2_DIG6 2_DIG5 1_DIG4 2_DIG7 O2 1_DIG5 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 9 29 10 30 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 4_SEGA 4_SEGB 4_SEGC 4_SEGD 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 4_SEGA 4_SEGB 4_SEGC 4_SEGD 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 4_SEGA 4_SEGB 4_SEGC 4_SEGD 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 4_SEGA 4_SEGB 4_SEGC 4_SEGD 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 9 29 10 30 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 9 29 10 30 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 9 29 10 30 3_SEGA 3_SEGB 3_SEGC 3_SEGD 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 3_SEGA 3_SEGB 3_SEGC 3_SEGD 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 3_SEGA 3_SEGB 3_SEGC 3_SEGD 4_SEGA 4_SEGB 4_SEGC 4_SEGD 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 4_SEGA 4_SEGB 4_SEGC 4_SEGD 4_SEGE 4_SEGF 4_SEGG 4_SEGDP 4_SEGA 4_SEGB 4_SEGC 4_SEGD 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 9 29 10 30 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 3_SEGA 3_SEGB 3_SEGC 3_SEGD 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 3_SEGA 3_SEGB 3_SEGC 3_SEGD 3_SEGE 3_SEGF 3_SEGG 3_SEGDP MV59164 D16 Dout 7 SEGMENT DISPLAY - LED BAR MMI 092003v1 Revision MV59164 Aa Ab Ba Bb Ca Cb Da Db Ea Eb Fa Fb Ga Gb Ha Hb Ia Ib Ja Jb MV59164 Aa Ab Ba Bb Ca Cb Da Db Ea Eb Fa Fb Ga Gb Ha Hb Ia Ib Ja Jb MV59164 Aa Ab Ba Bb Ca Cb Da Db Ea Eb Fa Fb Ga Gb Ha Hb Ia Ib Ja Jb MV59164 Aa Ab Ba Bb Ca Cb Da Db Ea Eb Fa Fb Ga Gb Ha Hb Ia Ib Ja Jb MV59164 Aa Ab Ba Bb Ca Cb Da Db Ea Eb Fa Fb Ga Gb Ha Hb Ia Ib Ja Jb 11 12 13 14 15 16 17 18 19 20 11 12 13 14 15 16 17 18 19 20 11 12 13 14 15 16 17 18 19 20 11 12 13 14 15 16 17 18 19 20 11 12 13 14 15 16 17 18 19 20 11 12 13 14 15 16 17 18 19 20 4_DIG6 4_DIG5 4_DIG4 4_DIG3 4_DIG2 4_DIG1 4_DIG0 3_DIG7 3_DIG6 3_DIG5 3_DIG4 3_DIG3 3_DIG2 3_DIG1 3_DIG0 5 D11 C-562G PARALIGHT DIG2 DIG1 C-562G PARALIGHT DIG2 DIG1 C-562G PARALIGHT DIG2 DIG1 13 2_DIG2 2_DIG1 PEEP 1_SEGA 1_SEGB 1_SEGC 1_SEGD 1_SEGE 1_SEGF 1_SEGG 1_SEGDP 2_SEGA 11 2_SEGB 10 8 2_SEGC 6 2_SEGD 5 2_SEGE 12 2_SEGF 7 2_SEGG 2_SEGDP 9 16 15 3 2 1 18 17 4 a b c d e f g DP a b c d e f g DP D9 DIG 0 DIG 1 DIG 2 DIG 3 DIG 4 DIG 5 DIG 6 DIG 7 U13 VCC 19 2_SEGA 2_SEGB 2_SEGC 2_SEGD 2_SEGE 2_SEGF 2_SEGG 2_SEGDP 2_SEGA 11 10 2_SEGB 2_SEGC 8 2_SEGD 6 5 2_SEGE 12 2_SEGF 7 2_SEGG 2_SEGDP 9 16 15 3 2 1 18 17 4 C-562G PARALIGHT DIG2 DIG1 14 13 2_DIG0 1_DIG3 MEAN SEG A SEG B SEG C SEG D SEG E SEG F SEG G SEG DP 3_DIG0 3_DIG1 3_DIG2 3_DIG3 3_DIG4 3_DIG5 3_DIG6 3_DIG7 2 11 6 7 3 10 5 8 2_SEGA 2_SEGB 2_SEGC 2_SEGD 2_SEGE 2_SEGF 2_SEGG 2_SEGDP a b c d e f g DP a b c d e f g DP DIG2 C-562G PARALIGHT D8 V+ 3_SEGA 3_SEGB 3_SEGC 3_SEGD 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 14 16 20 23 21 15 17 22 R16 12K DIG 0 DIG 1 DIG 2 DIG 3 DIG 4 DIG 5 DIG 6 DIG 7 U15 VCC 19 16 15 3 2 1 18 17 4 2_SEGA 11 2_SEGB 10 2_SEGC 8 6 2_SEGD 5 2_SEGE 12 2_SEGF 7 2_SEGG 2_SEGDP 9 2_SEGA 2_SEGB 2_SEGC 2_SEGD 2_SEGE 2_SEGF 2_SEGG 2_SEGDP a b c d e f g DP 14 13 PLATEAU SEG A SEG B SEG C SEG D SEG E SEG F SEG G SEG DP 2_DIG0 2_DIG1 2_DIG2 2_DIG3 2_DIG4 2_DIG5 2_DIG6 2_DIG7 2 11 6 7 3 10 5 8 2_SEGA 11 2_SEGB 10 2_SEGC 8 2_SEGD 6 5 2_SEGE 12 2_SEGF 7 2_SEGG 2_SEGDP 9 1_DIG2 Aa Ab Ba Bb Ca Cb Da Db Ea Eb Fa Fb Ga Gb Ha Hb Ia Ib Ja Jb D15 GND DIN V+ DIG 0 DIG 1 DIG 2 DIG 3 DIG 4 DIG 5 DIG 6 DIG 7 2_SEGA 2_SEGB 2_SEGC 2_SEGD 2_SEGE 2_SEGF 2_SEGG 2_SEGDP DIG1 14 1_DIG1 13 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 9 29 10 30 3_SEGA 3_SEGB 3_SEGC 3_SEGD 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 3_SEGA 3_SEGB 3_SEGC 3_SEGD 3_SEGE 3_SEGF 3_SEGG 3_SEGDP 3_SEGA 3_SEGB 3_SEGC 3_SEGD D14 GND 1 4 9 12 14 16 20 23 21 15 17 22 a b c d e f g DP C-562G PARALIGHT DIG2 DIG1 1_DIG0 14 3 4 13 VCC 19 16 15 3 2 1 18 17 4 a b c d e f g DP a b c d e f g DP DIG2 D7 GND V+ 2_SEGA 2_SEGB 2_SEGC 2_SEGD 2_SEGE 2_SEGF 2_SEGG 2_SEGDP 1_SEGA 11 10 1_SEGB 1_SEGC 8 6 1_SEGD 5 1_SEGE 12 1_SEGF 7 1_SEGG 1_SEGDP 9 16 15 3 2 1 18 17 4 a b c d e f g DP DIG1 D6 GND 24 Iset SEG A SEG B SEG C SEG D SEG E SEG F SEG G SEG DP 1_DIG0 1_DIG1 1_DIG2 1_DIG3 1_DIG4 1_DIG5 1_DIG6 1_DIG7 2 11 6 7 3 10 5 8 1_SEGA 1_SEGB 1_SEGC 1_SEGD 1_SEGE 1_SEGF 1_SEGG 1_SEGDP 11 10 8 6 5 12 7 9 1_SEGA 1_SEGB 1_SEGC 1_SEGD 1_SEGE 1_SEGF 1_SEGG 1_SEGDP a b c d e f g DP D13 9 18 GND Dout R15 12K GND DIN DIG 0 DIG 1 DIG 2 DIG 3 DIG 4 DIG 5 DIG 6 DIG 7 U16 PEAK 4 LOAD(CS) GND SEG A SEG B SEG C SEG D SEG E SEG F SEG G SEG DP 1_SEGA 1_SEGB 1_SEGC 1_SEGD 1_SEGE 1_SEGF 1_SEGG 1_SEGDP 16 15 3 2 1 18 17 4 1_SEGA 1_SEGB 1_SEGC 1_SEGD 1_SEGE 1_SEGF 1_SEGG 1_SEGDP D5 9 CLK GND 1 TIDAL VOLUME MINUTE VOLUME 4 12 Iset 9 4 13 14 16 20 23 21 15 17 22 DATA D12 DATA 18 VCC 19 R14 12K 2 LEDBAR_CS V+ B CLOCK C 7SEG_CS 1 6 7SEG - LED D D17 D C B U14 24 MAX7221CWG GNDGND Checked A Sheet 3 of 5 Drawn By: HDH v1.0 6 Technical manual 1 2 3 4 6 5 D VCC C16 + C24 100N GND C14 100N 100N GND SPI C15 100N GND MOSIA R18 MISOA R19 SCKA R20 SSSLV1A R21 MOSIB 5K6 13 SCKB 5K6 SSSLV1B 5K6 U8F SS R22 +24V MISOB 5K6 12 1 2 3 4 5 6 7 8 9 10 MISO MOSI SCK SS DE1/RE1 DR1 DR2 DE2/RE2 DE3/RE3 DR3 RO4 DI4 DE4 RE4 OA1 OB1 OA2 OB2 OA3 OB3 OA4 OB4 GND MISOA MISOB MOSIA MOSIB 20 19 18 17 15 14 13 12 11 MOSIA MISOA SCKA SSSLV1A BUZZER +12V SCKA SCKB SSSLV1A SSSLV1B PS_ON_OFF O2 PMOSI KEY_X1 5 3 RST 11 10 9 6 O/IA BX BY O/IB CX CY O/IC 14 PB1 15 PE1 P3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 GND AGND 1_SEGA 1_SEGB 1_SEGC 1_SEGD 1_SEGE 1_SEGF 1_SEGG 1_SEGDP 1_DIG6 1_DIG7 KEY_X1 KEY_X2 KEY_Y1 KEY_Y2 KEY_Y3 PMOSI 4 1 U18 4 GND VCC B VCC P1 2 RST 3 RST MR MAX811L C13 100N PSCK PMISO INH VCC 1 3 5 7 9 GND PE0 A B C CY3 R10 1K5 2 4 6 8 10 VCC VCC R25 3K3 U8E 10 1K5 GND 2 4 6 8 10 GND GND GND 1K5 GND GND VCC R26 3K3 U8D R27 3K3 9 A 8 Title 74AHC14 HEADER 5X2 Size B GND Neptune ventilator GND HEADER 5X2 HAAKS GND VCC 1 3 5 7 9 74VHC14 2 CY1 R11 P4 11 A 1 CY2 R9 74HC4053 ENC_A GND AX AY C GND ENC_B 2 1 U19 R23 1K8 PS_ON_OFF GND ENC_SW PMISO KEY_X2 MOSIB MISOB SCKB SSSLV1B +24V VCC 2 4 6 8 10 12 14 16 18 20 HEADER 10X2 GND 12 13 1 3 5 7 9 11 13 15 17 19 GND DS36954 B Q1 P2 U17 PSCK SCK D18 R24 3K3 74VHC14 C 1K8 CONNECT TO KEYBOARD VCC MMBF170 C17 + C25 ZENER 20V 0,4W +12V 4µ7 / 16V Tant. 4µ7 / 16V Tant. D GND 3 Date: File: 4 23 5 MMI SPI Checked Number Revision MMI 092003v1 24-Mar-2004 C:\G\..\MMI_SPI.sch v1.0 Sheet 4 of 5 Drawn By: HDH 6 Technical manual 1 2 3 4 6 5 VCC VCC VCC 2 VCC STR2 L1 47µH 2E ISET POL D19 C31 MBR0540T1 R28 120K GND MAX629ESA C29 10µ / 35V Tant. Low ESR 270K WR OE CE GND GND BS62LV256SC-70 1 2 3 SCLK DIN CS H W L GND + - 9 VA15 VCC 5 C32 2.2µF / 10V GND U5 14 CLOCK DATA CONTRAST_CS 3 REF R31 GND R30 6k8 4 FB 68K VCC 10 2 2.2µF / 40V SHDN D20 R33 100pF / 40 V 5 C30 7 LX MBR0540T1 VCC 1 GND 27 22 20 GND A0 D0 A1 D1 A2 D2 A3 D3 A4 D4 A5 D5 A6 D6 A7 D7 A8 256 A9 A10 A11 A12 A13 A14 VD0 VD1 VD2 VD3 VD4 VD5 VD6 VD7 6 VWR 11 12 13 15 16 17 18 19 + C 10 9 8 7 6 5 4 3 25 24 21 23 2 26 1 R29 -22V U22 U21 VA0 VA1 VA2 VA3 VA4 VA5 VA6 VA7 VA8 VA9 VA10 VA11 VA12 VA13 VA14 OUT 11 12 C 13 7 SHDN GND 8 GND 4 C28 + 100N D 6 C21 VSS GND VDD GND IN- 1 GND IN+ 100N MAX5437EUD C20 100N 8 C18 100N 10µ / 35V Tant. Low ESR C19 D VCC 10P. GND OSC2 NC NC NC NC XD0 XD1 XD2 XD3 XD0 XD1 XD2 XD3 LP XSCL YD LP XSCL P5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 YD Vo D0 D1 D2 D3 /DOFF FLM N.C. CL1 CL2 VDD VSS VEE Vo VSS B GND +12V C27 10P. XD0 XD1 XD2 XD3 C26 10 MHz X2 VD0 VD1 VD2 VD3 VD4 VD5 VD6 VD7 55 29 46 48 49 10 9 8 7 OSC1 S1D13305F00A1 U20 26 25 24 23 22 21 20 19 18 17 16 15 14 12 11 CONNECT TO LCD DISPLAY VD0 VD1 VD2 VD3 VD4 VD5 VD6 VD7 YSCL YD YDIS WF LP XSCL XECL VA0 VA1 VA2 VA3 VA4 VA5 VA6 VA7 VA8 VA9 VA10 VA11 VA12 VA13 VA14 VA15 AD6 AD7 5 6 CS_LCD A0 AD0 AD1 AD2 AD3 AD4 AD5 54 B VRW VCE RES RD WR SEL2 SEL1 CS A0 D0 D1 D2 D3 D4 D5 D6 D7 RST RD WR 44 45 47 50 51 52 53 GND 56 57 59 60 1 2 3 4 43 42 41 40 39 38 37 36 35 34 33 32 31 30 28 27 VWR VA0 VA1 VA2 VA3 VA4 VA5 VA6 VA7 VA8 VA9 VA10 VA11 VA12 VA13 VA14 VA15 VCC 8 GND 7 6 A 5 Vin Vout GND GND GND GND NC NC U23 1 2 3 R32 1 82E P6 CONNECT TO LED BACKLIGHT 2 GND A VCC 4 LM78L05ACM 1 STR1 Title Size 2 B Date: File: 1 Neptune ventilator 2 3 4 24 5 Checked LCD INTERFACE Number Revision MMI 092003v1 24-Mar-2004 C:\G\..\MMI_LCD.sch v1.0 Sheet 5 of 5 Drawn By: HDH 6 Technical manual 1.4.3 MMI board layout Neptune ventilator 25 Technical manual Neptune ventilator 26 Technical manual 1.4.4 Built-in test software • Start-up test After turning the ventilator on, the MMI board will test the different functions. During start-up the following tests are executed: o Microprocessor internal functions tests: test internal program memory test internal SRAM memory test the timers test internal EEPROM memory test Watchdog o Microprocessor external functions tests: test external SRAM memory test external flash memory test LCD driver with Medec logo test keyboard for shorts buzzer test Neptune ventilator 27 Technical manual Visual test of the leds and the displays on the keyboard panel. All segments and leds are on. Visual test of the barograph The green leds light up from left to right and the red leds from right to left. o Microprocessor communication test: Tests the communication between MMI board and master board. When all these tests are executed successfully, the MMI board is ready to start working. If an error occurred, the type of error is displayed on the LED indicators. G Neptune ventilator R R 28 R Technical manual After start-up, the LED indicators can show the following errors: LED indicators Type error Device is working properly G R R R G R R R G R R R Microprocessor internal function error Microprocessor external function error Note: Communication error G R R R During error free operation of the ventilator, the LED indicators might be turned on and off by the software. This is quite normal and has nothing to do with error codes. To determine the exact error on the MMI board, you have to perform a specific test by using the build-in test software. Note: When executing a specific test on the MMI board, there will be no communication between the master board and the MMI board. The master board will interprete this as a communication error and a continuous beep is audible. This can be very annoying. To prevent this error, put the master board in internal test mode by setting dipswitch 1 high. For detailed instructions, see the master board section later in this manual. Neptune ventilator 29 Technical manual • Microprocessor internal function test If a microprocessor internal error is detected, execute an internal function test as follows: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o Display changes from normal to inverted to flashing o If no errors where found, all the red LEDs are off and the green LED is blinking o If an error is detected, the error is indicated on the red error LEDs and the green LED is off. The possible errors are illustrated in the table on the next page: Neptune ventilator 30 Technical manual INTERNAL FUNCTION TEST ERROR CODES Error LEDs Error code Description G R R R G R R R G R R R G R R R G R R R G R R R G R R R G R R R Neptune ventilator 0 NO ERRORS detected, test loop is running 1 Internal PROGRAM MEMORY error 2 Internal SRAM error 3 Internal TIMER error 4 Internal EEPROM error 5 Internal WATCHDOG error 6 Reserved 7 Reserved 31 Technical manual # Resolve internal function test error code 4 - Internal EEPROM error To fix error code 4 or internal EEPROM error, follow the next steps: o Turn the Neptune ventilator off o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o You will notice that all the LED indicators are blinking fast. This means that the MMI board EEPROM settings are restored to the factory settings. You need to check the values in the setup menu afterwards o Turn the ventilator off o Repeat the microprocessor internal functions test described on the previous page. If the EEPROM error still remains, contact an authorized service engineer Note: Restoring the MMI EEPROM settings will not affect the pneumatic board EEPROM settings. Calibration of the ventilator is not needed in this case. Just check the power-on parameters and the speaker sound volume in the setup menu. Warning: Try to resolve internal function error code 4 (EEPROM error) with the instructions described above. For all other internal function test errors, contact an authorized service engineer. Neptune ventilator 32 Technical manual • Microprocessor external function test If a microprocessor external error is detected, execute an external function test as follows: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o The Medec logo changes from time to time from normal to inverted to flashing o If no errors where found, all the red LEDs are off and the green LED is blinking. Some devices need to be visually checked for failures. o Visual test for the barograph: check that all red leds light up from right to left and the green leds from left to right. Neptune ventilator 33 Technical manual o 7 segment displays: all segments light up once. When a digit is done, the Dp segment is lit. After this test, a counter from 0 to F is displayed on all digits. Neptune ventilator 34 Technical manual o Leds on the keyboard panel: the test starts with all leds off. Each led is lit up once. Battery => Tidal volume => Minute volume => O2 High => O2 Low => CMV => PCV => Manual => Standby => High pressure Alarm => Low pressure alarm => Apnea alarm => Trigger => LCD led. After this test, the leds light up in the following sequence: 1° Standby (1) 2° Standby (1), High pressure (2) 3° Standby (1), High pressure (2), Low pressure (3) 4° Standby (1), High pressure (2), Low pressure (3), Apnea alarm (4) 5° Standby (1), High pressure (2), Low pressure (3), Apnea alarm (4), Trigger (5) 6° Standby (1), High pressure (2), Low pressure (3), Apnea alarm (4), Trigger (5) and LCD led (6) 2 3 4 5 6 1 o LCD contrast In the FiO2 display appears a counter from 1 to 5. The contrast of the LCD changes with each value. Neptune ventilator 35 Technical manual o Alarm buzzer volume In the FiO2 display appears a counter from 1 to 5. The audio volume of the buzzer changes with each value. o O2 sensor In the FiO2 display appears O2. When no sensor attached, the value should be around 7FFFF When shorted, the value should be around 000000 A good sensor, should have a value around 3F8000 Neptune ventilator 36 Technical manual o If an error is detected, the error is indicated on the red error LEDs and the green LED is off. The possible errors are illustrated in the table below. EXTERNAL FUNCTION TEST ERROR CODES Error LEDs Error code Description G R R R G R R R G R R R G R R R G R R R G R R R G R R R G R R R Note: 0 NO ERRORS detected, test running 1 External FLASH/ROM error 2 External SRAM error 3 LCD DISPLAY DRIVER error 4 Reserved 5 Reserved 6 Reserved 7 Reserved The external function test is running continuously. When an error is detected, the error is indicated on the LED indicators, and the external function test is repeated. It’s not necessary to turn the ventilator on and off to repeat the external function test. Neptune ventilator 37 Technical manual # Resolve external function test error code 1 - External flash error There is a problem with the external flash memory. The microprocessor is only reading data from the flash memory for display on the graphics display. Contact an authorized service engineer if the problem cannot be resolved. # Resolve external function test error code 2 - External SRAM error There is a problem with the external SRAM memory. The microprocessor is reading data from and writing data to the external SRAM memory. Contact an authorized service engineer if the problem cannot be resolved. # Resolve external function test error code 3 - External display driver error There is a problem with the external display driver. It’s not necessary to connect the graphics display with the MMI board to perform an external display driver test. The microprocessor is writing data to and reading data from the display driver. Contact an authorized service engineer if the problem cannot be resolved. # Resolve external function test error code 4 - Keyboard error There is a problem with the keyboard. To define which error is detected on the keyboard controller, you can perform a specific keyboard controller test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display shows the Medec logo and all leds are off Neptune ventilator 38 Technical manual 15 2 1 3 12 13 4 5 6 7 14 8 9 10 11 o Press the volume mode key (1). The leds tidal volume (2) and minute volume (3) should come on. Release the key. The leds should be off. o Press the CMV key (5). The led CMV (4) should be on. Release the key. The leds should be off. o Press the PCV key (7). The led PCV (6) should be on. Release the key. The leds should be off. o Press the Manual key (9). The led Manual (8) should be on. Release the key. The leds should be off. o Press the Standby key (11). The led Standby (10) should be on. Release the key. The leds should be off. o Press the Silent key (13). The led LCD (12) should be on. Release the key. The leds should be off. o Press the rotary knob (14). The led battery (15) should be on. Release the key. The leds should be off. Neptune ventilator 39 Technical manual • Microprocessor communication test To perform a microprocessor communication test, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to o Change the dipswitch setting of the master board with a small screwdriver to o Turn the ventilator on. o If no errors found, the green LED is blinking. If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The red LED’s indicating the numbers of error’s detected (binary number between 1 and 7). • LED indicator test To test the error LED indicators, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o The error LEDs are blinking one by one Neptune ventilator 40 Technical manual • Showing a test pattern on the graphics display To test the display driver and/or graphics display, you can show a test pattern on the graphics display. Perform the following instructions: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display shows a test pattern Neptune ventilator 41 Technical manual • Alarm buzzer test To test the buzzer, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o In the FiO2 display (1) appears a counter from 1 to 5 The audio volume of the buzzer changes with each value Neptune ventilator 42 Technical manual • LCD contrast test To test the buzzer, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o In the FiO2 display (1) appears a counter from 1 to 5 The LCD contrast changes with each value Neptune ventilator 43 Technical manual • Barograph test To test the barograph, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o First test: the green leds light up from left to right in the airway pressure window. o Second test: the red leds light up from left to right in the airway pressure window. o Third test: both green and red leds light up from left to right in the airway pressure window. Neptune ventilator 44 Technical manual • Keyboard test To test the barograph, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo 15 2 1 3 12 13 4 5 6 7 14 8 9 10 11 o Press the volume mode key (1). The leds tidal volume (2) and minute volume (3) should come on. Release the key. The leds should be off. o Press the CMV key (5). The led CMV (4) should be on. Release the key. The leds should be off. o Press the PCV key (7). The led PCV (6) should be on. Release the key. The leds should be off. Neptune ventilator 45 Technical manual o Press the Manual key (9). The led Manual (8) should be on. Release the key. The leds should be off. o Press the Standby key (11). The led Standby (10) should be on. Release the key. The leds should be off. o Press the Silent key (13). The led LCD (12) should be on. Release the key. The leds should be off. o Press the rotary knob (14). The led battery (15) should be on. Release the key. The leds should be off. Neptune ventilator 46 Technical manual • Keyboard leds test To test the keyboard leds, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o First test: the leds light up one by one Neptune ventilator 47 Technical manual o Second test: the leds light up in the following way: 1° Standby (1) 2° Standby (1), High pressure (2) 3° Standby (1), High pressure (2), Low pressure (3) 4° Standby (1), High pressure (2), Low pressure (3), Apnea alarm (4) 5° Standby (1), High pressure (2), Low pressure (3), Apnea alarm (4), Trigger (5) 6° Standby (1), High pressure (2), Low pressure (3), Apnea alarm (4), Trigger (5) and LCD led (6) 2 3 4 5 6 1 Neptune ventilator 48 Technical manual • 7 segment display test To test the 7 segment displays, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o First test: each segment lights up once. When a digit is done, the decimal point segment is on. Neptune ventilator 49 Technical manual o Second test: on each display a counter from 0 to F is displayed Neptune ventilator 50 Technical manual • O2 sensor test To test the 7 segment displays, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo In the FiO2 display appears O2. When no sensor attached, the value should be around 7FFFF When shorted, the value should be around 000000 A good sensor, should have a value around 3F8000 Neptune ventilator 51 Technical manual • Encoder test To test the encoder, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o The displays are blank Turn the knob to the right. In the peep display appears a number. This number increments with each click of the encoder. Turn the knob to the right. This number decrements with each click of the encoder Note: Make sure that in normal operating mode of the Neptune ventilator the dipswitches of the MMI board, master board and pneumatic board are put in the following position: 1 Neptune ventilator 2 3 52 4 5 Technical manual 1.4.5 Graphics display The LCD display is quarter-VGA display. It has a contrast adjustment. The graphics display excels in a wide range of ambient lighting environments while effectively eliminating the blooming. The display consists of a cristal panel and control electronics. Note: The display generates voltages capable of causing personal injury (high voltage up to -24 VDC). Do not touch the display electronics during operation. The display is connected to connector P5 and P6 of the MMI board. After switching the ventilator on, the display will respond after a few seconds. Neptune ventilator 53 Technical manual 1.5 O2 MEASUREMENT 1.5.1 General The O2 measurement is integrated into the MMI board. 1.5.2 Operation The oxygen measurement is done with an O2 fuel cell. The oxygen sensor function is similar to a typical battery. The O2 fuel cell generates a small voltage that is linear with the oxygen concentration. The output voltage of a new O2 fuel cell is about 15,0 ± 2 mV at dry ambient air. The voltage is converted to a digital value through the 24-bit ADC converter. U2 generates a reference voltage equal to 1,2V used by the ADC converter U1. LED D1 is lit when the ADC converter is working properly. • O2 sensor test To test the O2 sensor, perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The graphics display continuously shows the Medec logo o The display fields plateau, mean and peep are showing a value When no sensor attached, the value should be around 7FFFF When shorted, the value should be around 000000 A good sensor should have a value around 3F8000 Neptune ventilator 54 Technical manual 1.5.3 O2 Measurement specifications • • • Ambient air calibration Minimum sensor input voltage: ± 4,3 mV Maximum sensor input voltage: ± 230 mV 100% O2 calibration Minimum sensor input voltage: Ambient air cal. voltage x 4 Maximum sensor input voltage: 1200 mV Recommended calibration Calibrate every 24 hours with ambient air and/or 100% O2. Neptune ventilator 55 Technical manual 1.6 MASTER BOARD 1.6.1 Block diagram The block diagram of the master board is represented on the following page. The master board looks after the communication between the MMI board and the pneumatic board. The master board contains a reprogrammable microprocessor (reprogrammable by means of connector P3). The real time clock keeps up the actual time and date. It contains also timer information like the total working time of the ventilator, service time, etc. The audible safety circuit contains a buzzer. The buzzer is driven by the microprocessor and the reset signal. If an error is detected, the buzzer generates an audible sound. The master board is also provided with a RS-232 interface. Neptune ventilator 56 Technical manual Ram memory Programming interface (connector P3) LED indicators Real time clock microprocessor audible safety circuit SPI communication with other boards (connector P2) RS-232 interface RS-232 interface (connector P4) Master board Block diagram master board Neptune ventilator 57 Technical manual 1.6.2 Schematic diagram The schematic diagram of the master board is represented on the following pages. Neptune ventilator 58 Technical manual 2 VCC C20 10nF 20 PA7(AD7) PA6(AD6) PA5(AD5) PA4(AD4) PA3(AD3) PA2(AD2) PA1(AD1) PA0(AD0) RESET GND 1 3 A GND Vout 2 MAX6045AEUR-T + A15 A14 A13 A12 A11 A10 A9 A8 44 45 46 47 48 49 50 51 AD7 AD6 AD5 AD4 AD3 AD2 AD1 AD0 43 ALE 34 RD 33 WR 22 1 GND RST U14 VCC ALE RD WR GND PEN 103L VCC C5 10µF PF7(ADC7) PF6(ADC6) PF5(ADC5) PF4(ADC4) PF3(ADC3) PF2(ADC2) PF1(ADC1) PF0(ADC0) VCC AREF AGND AVCC GND 42 41 40 39 38 37 36 35 4 5 6 SS VCC 1 PD0 2 PD1 3 PD2 GND A15 4 5 6 GND 1 ALE11 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 2 3 4 5 6 7 8 9 A B C E1 E2 E3 15 14 13 12 11 10 9 7 Y0 Y1 Y2 Y3 Y4 Y5 Y6 Y7 74HC138 U3 A B C E1 E2 E3 SS0 SS1 SS2 SS3 SS4 SS5 SS6 SS7 15 14 13 12 11 10 9 7 Y0 Y1 Y2 Y3 Y4 Y5 Y6 Y7 CS0 CS1 CS2 CS3 CS4 CS5 CS6 CS7 1 2 3 A14 A15 A12 4 5 6 27 22 20 RD CS1 11 12 13 15 16 17 18 19 A0 D0 A1 D1 A2 D2 A3 D3 A4 D4 A5 D5 A6 D6 A7 D7 A8 256 A9 A10 A11 A12 A13 A14 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 WR OE CE C RAM/ROM/FLASH 1 S5 0 1 S3 0 1 S1 0 WR 1 S6 0 1 S4 0 1 S2 0 A14 VCC VCC VCC LITHIUM 3V 1D 2D 3D 4D 5D 6D 7D 8D 19 18 17 16 15 14 13 12 1Q 2Q 3Q 4Q 5Q 6Q 7Q 8Q A0 A1 A2 A3 A4 A5 A6 A7 PF4 PF5 PF6 PF7 R6 R7 R8 SW1 10 9 8 7 6 Y0 Y1 Y2 Y3 Y4 Y5 Y6 Y7 15 14 13 12 11 10 9 7 CS8 CS9 CS10 CS11 CS12 CS13 CS14 CS15 GND R10 100K PF0 R15 10K 74HC138 GND R14 3K9 + 10µF GND PF1 + GND 1 2 3 4 5 6 7 8 9 10 11 12 GND VCC 24 23 22 21 20 19 18 17 16 15 14 13 U8 PWR X1 X2 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 GND VCC SQW Vbaux RCLR Vbat IRQ KS RD GND WR ALE CS DS1685 B PE4 RD WR ALE CS8 GND C3 Title GND A4 Date: File: 3 59 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 C4 10µF Size 2 R12 R11 GND DS-05 APEM R9 100K BAT1 32.768KHz +24V +12V U5 X2 1 2 3 4 5 GND Neptune ventilator WR OE CE D U7 10 9 8 7 6 5 4 3 25 24 21 23 2 26 1 A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 WR C6 100nF 1 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 A14 R5 OC C E1 E2 E3 11 12 13 15 16 17 18 19 RAM/ROM/FLASH 74HC138 U2 A B C 27 22 20 RD CS0 74HC573 A8 A9 A10 A0 D0 A1 D1 A2 D2 A3 D3 A4 D4 A5 D5 A6 D6 A7 D7 A8 256 A9 A10 A11 A12 A13 A14 100K 54 55 56 57 58 59 60 61 52 62 63 64 53 PC7(A15) PC6(A14) PC5(A13) PC4(A12) PC3(A11) PC2(A10) PC1(A9) PC0(A8) VCC PB7 PB6 PB5 PB4 MISO MOSI PB1 SS U4 U6 10 9 8 7 6 5 4 3 25 24 21 23 2 26 1 A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 100K PF7 PF6 PF5 PF4 PF3 PF2 PF1 PF0 PE7(INTR7) PE6(INTR6) PE5(INTR5) PE4(INTR4) PE3(AC-) PE2(AC+) PE1(PDO/TXD) PE0(PDI/RXD) PD3 1 PD4 2 PD5 3 23 24 21 17 16 15 14 13 12 11 10 D4 100K 9 8 7 6 5 4 3 2 XTAL2 XTAL1 VCC PD7(T2) PB7(OC2/PWM2) PD6(T1)PB6(OC1B/PWM1B) PD5 PB5(OC1A/PWM1A) PD4(IC1) PB4(OC0/PWM0) PD3(INT3) PB3(MISO) PD2(INT2) PB2(MOSI) PD1(INT1) PB1(SCK) PD0(INT0) PB0(ss) D3 R4 1K5 100K B PE7 PE6 PE5 PE4 PE3 PE2 PE1 PE0 TOSC2 TOSC1 ATmega103L C 32 31 30 29 28 27 26 25 PB7 PB6 PB5 PB4 GND U1 18 19 PD7 PD6 PD5 PD4 PD3 PD2 PD1 PD0 C2 33pF R3 1K5 100K 4MHZ C1 33pF GND D2 HLMP-1790 D1 X1 SPIBUS.sch R2 1K5 VCC 100K R1 1K5 D VCC HLMP-1700 SPI BUS VCC HLMP-1700 VCC 4 3 HLMP-1700 1 MASTER Number A Revision MASTER012000v1 15-Jan-2003 C:\DOCUMENT\..\master.sch v1.0 Sheet 1 of 2 Drawn By: JP-KDP 4 Technical manual 1 2 VCC VCC D U10 C24 100N 1 2 3 4 5 6 7 8 9 10 SS1 SS2 C25 100N GND SS3 SS4 VCC C26 100N C27 100N VCC 1 2 3 4 5 6 7 8 9 10 SCK C13 100N SS0 GND VCC 100K SSSLV1A SSSLV1B SSSLV2A SSSLV2B 15 14 13 12 11 OA3 OB3 OA4 OB4 GND SSSLV3A SSSLV3B SSSLV4A SSSLV4B DE1/RE1 DR1 DR2 DE2/RE2 DE3/RE3 DR3 RO4 DI4 DE4 RE4 R13 MOSIA R17 MISOA R18 SCKA R19 SSSLV0A R24 SSSLV1A R20 SSSLV2A R21 SSSLV3A R22 SSSLV4A OA1 OB1 OA2 OB2 OA3 OB3 OA4 OB4 GND 20 19 18 17 MISOA MISOB MOSIA MOSIB 15 14 13 12 11 SCKA SCKB SSSLV0A SSSLV0B MOSIA MISOA SCKA SSSLV0A SSSLV1A SSSLV2A SSSLV3A SSSLV4A VCC C14 100N C15 100N 2 1 PMOSI RPE0 5 3 RST GND +12V D7 VCC 1N4148 D6 BUZ1 PMISO TPE1 11 10 9 6 GND AX AY O/IA BX BY O/IB CX CY 5k6 5k6 GND O/IC 14 PB1 15 PE1 4 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 SSSLV0B + C21 22µF SSSLV1B SSSLV2B GND +12V SSSLV3B SSSLV4B + C22 22µF 1 4 GND VCC VCC GND PE0 RST 2 PSCK PMISO INH 3 RST MR max811L A B C C7 100nF GND C18 100N GND C19 100N GND +24V MOSIB MISOB SCKB SSSLV0B SSSLV1B SSSLV2B SSSLV3B SSSLV4B 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 GND +12V GND P4 1 3 5 7 9 GND PMOSI P3 VCC 2 4 6 8 10 GND U13 13 8 11 10 1 3 2 TPE1 PE2 + C8 R1 IN R2 IN T1 IN T2 IN C1+ C1 V+ 0.1µF 16V HEADER 5X2 2 4 6 8 10 HEADER 5X2 PE3 RPE0 12 9 14 7 4 5 6 R1 OUT R2 OUT T1 OUT T2 OUT C2+ C2 V- A C10 C11 VCC Q3 R27 Q2 C28 100N BS170M GND GND 1 Neptune ventilator C29 100N RST BS170M GND BS170M R26 100K PD7 Title 1K Size A4 GND + C9 0.1µF 16V + 0.1µF 16V Q1 B MAX202ECWE GND 74HC4053 R25 10K 1N4148 D VCC HEADER 18X2 GND 1 3 5 7 9 GND C HEADER 18X2 U12 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 GND VCC SCKB + B 12 13 5k6 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 U11 PSCK SCK 5k6 P2 C17 100N GND 5K6 R23 VCC C16 100N 5k6 MISOB 5k6 GND SP495 P1 MOSIB 5k6 GND U9 GND MISO MOSI C12 100N 20 19 18 17 OA1 OB1 OA2 OB2 SP495 GND C DE1/RE1 DR1 DR2 DE2/RE2 DE3/RE3 DR3 RO4 DI4 DE4 RE4 4 3 GND GND Date: File: 2 3 60 0.1µF 16V GND A SPIBUS Number Revision MAS012000v1 9-Jan-2003 C:\DOCUMENT\..\SPIBUS.sch v1.0 Sheet 2 of 2 Drawn By: JP-KDP 4 Technical manual 1.6.3 Build-in test software After turning the ventilator on, the master board will test all his different functions. During start-up the following tests are executed: o Microprocessor internal functions tests: test internal program memory test internal SRAM memory test the timers test EEPROM memory test Watchdog o Microprocessor external functions test test external SRAM memory test external RS-232 test external real time clock o Microprocessor communication test test the communication between master board and display board test the communication between master board and pneumatic board When all these tests are executed successfully, the master board is ready to start working. If an error occurred, the type of error is displayed on the LED indicators. G R R R After start-up the LED indicators can show the following errors: LED indicators Type error Device is working properly G R R R Microprocessor internal function error G R R R Microprocessor external function error G R R R Communication error G R Neptune ventilator R R - 61 - Technical manual To determine the exact error on the master board, you have to perform a specific test by using the build-in test software. Note: During executing a specific test on the master board there will be no communication between the master board and the display board. The MMI board will interpret this as a communication error and a communication error code is displayed and also an alarm sound is audible. This can be very annoying. To prevent this error put the MMI board in internal test mode by setting dipswitch 1 high. See the MMI board section in this manual for detailed instructions. Note: The pneumatic board will also detect a communication error during a executing a specific test on the master board. Don’t pay any attention to it in this situation. • Microprocessor internal function test If a microprocessor internal error is detected, execute an internal function test as follow: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the master board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o If no errors where found, all the red LED’s are off and the green LED is blinking. o If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The possible errors are illustrated in the table on the next page: Neptune ventilator - 62 - Technical manual INTERNAL FUNCTION TEST ERROR CODES Error LED’s Error code Description G G G R R R R R R R R G R R R R G R R G R R Neptune ventilator 1 internal PROGRAM MEMORY error 2 Internal SRAM error 3 Internal TIMER error 4 Internal EEPROM error 5 Internal WATCHDOG error 6 Reserved 7 Reserved R R R NO ERRORS detected, test loop is running R G G 0 R R R R - 63 - Technical manual # Resolve internal function test error code 4 – Internal EEPROM error To fix error code 4 or internal EEPROM error follow the next steps: o Turn the Neptune ventilator off. o Change the dipswitch setting of the master board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o You will notice that all the LED indicators are blinking fast. This means that the master board EEPROM settings are restored to the factory settings. o Turn the ventilator off o Repeat the microprocessor internal functions test described on the previous page. If the EEPROM error still remains contact an authorized service engineer. Note: Restoring the master EEPROM settings will not affect the pneumatic board EEPROM settings. Calibration of the ventilator is not needed in this case. Warning: Try to resolve internal function error code 4 (EEPROM error) with the instructions described above. For all other internal function test errors contact an authorized service engineer. Neptune ventilator - 64 - Technical manual • Microprocessor external function test If a microprocessor external error is detected, execute an external function test as follow: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the master board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o If no errors where found, all the red LED’s are off and the green LED is blinking. o If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The possible errors are illustrated in the table on the next page: Neptune ventilator - 65 - Technical manual EXTERNAL FUNCTION TEST ERROR CODES Error LED’s Error code Description G R R R G R R R G G R R R R R R G R R R G Note: R R R 1 reserved 2 reserved 3 reserved 4 External REAL TIME CLOCK error 5 reserved 6 reserved 7 reserved R R R NO ERRORS detected, test running R G G 0 R R The external function test is running continuously. When an error is detected, the error is indicated on the LED indicators, and the external function test is repeated. It’s not necessary to turn the ventilator on and off to repeat the external function test. Neptune ventilator - 66 - Technical manual # Resolve external function test error code 4 – External real time clock error There is a problem with the real time clock. Device U8 contains the actual time and date and timer information. The microprocessor can send data or read data from device U8. Device U8 is equipped with a very accurate crystal and a backup battery. Contact an authorized service engineer if the problem cannot be resolved. If the test is running correctly the buzzer is set on and off every second. Communication test between master board and MMI board To test the communication between the master board and the MMI board perform the following test: o Turn the Neptune ventilator off. o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the master board with a small screwdriver to 1 2 3 4 5 o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o If no errors found, the green LED is blinking. If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The red LED’s indicating the numbers of error’s detected (binary number between 1 and 7). Neptune ventilator - 67 - Technical manual Communication test between master board and pneumatic board To test the communication between the master board and the pneumatic board perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the master board with a small screwdriver to 1 2 3 4 5 o Change the dipswitch setting of the pneumatic board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on. o If no errors found, the green LED is blinking. If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The red LED’s indicating the numbers of error’s detected (binary number between 1 and 7). • LED indicator test To test the error LED indicators perform the following test: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the MMI board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o The error LED’s are blinking one by one. Neptune ventilator - 68 - Technical manual 1.6.4 Master board layout Neptune ventilator - 69 - Technical manual 1.7 PNEUMATIC BOARD 1.7.1 Block diagram The block diagram of the pneumatic board is represented on the following page. The pneumatic board is provided with one microprocessor. The microprocessor is reprogrammable by means of connector P3. The A/D converter converts the signal of the pressure transducer, the +12V valves voltage and the +12V voltage to a digital value. There are two valve driver IC’s that can drive each 8 valves. Each output is provided with a green LED. You can see the valve state directly on the LED’s. Connectors P4 and P5 connecting the valve driver IC’s with the valves. The pneumatic microprocessor receives settings from the MMI board. On the basis of these settings and the signals from the transducers the microprocessor is calculating all the parameters needed to drive the pneumatic valves. The microprocessor must trigger the 12V safety circuit in a certain time. During a microprocessor failure the +12V safety circuit will not be triggered and the +12V voltage on the valves shuts off. The ventilator switches automatically over to MAN. mode in this situation (because no valves are driven). Neptune ventilator - 70 - Technical manual Programming interface (connector P3) RAM memory LED indicators Connector P6 Connector P4 Connector P5 Input switches LED Indicators LED Indicators Valve driver 1 Valve driver 2 12V SAFTY CIRCUIT microprocessor SPI communication with master board (connector P2) PTR1 Patient pressure PTR2 Peep valve exp.pressure PTR3 Patient flow PTR4 freshgas PTR5 Tank pressure PTR6 Peep valve insp. pressure 12v valve 12v Pneumatic board Block diagram pneumatic board Neptune ventilator - 71 - Technical manual A/D converter 1.7.2 Schematic diagram The schematic diagram of the pneumatic board is represented on the following pages. Neptune ventilator - 72 - Technical manual 1 2 4 3 R5 VALVES.sch 1K5 1K5 HLMP-1790 D1 D PNEUSPI.sch SENSORS.sch D2 D3 HLMP-1700 R6 HLMP-1700 R7 HLMP-1700 RS485 DRIVER R8 1K5 SENSORS 1K5 VCC VALVES D4 PB4 PB5 PB6 PB7 VCC GND C C2 33pF SW1 1 2 3 4 5 GND U1 PD7 PD6 PD5 PD4 PD3 12V ON/OFF VAL.CL VAL.EN. 32 31 30 29 28 27 26 25 9 8 7 6 5 4 3 2 ADINT B PE1 PE0 PF7 PF6 PF5 PF4 PF3 PF2 PF1 PF0 VCC 100R R16 C3 100N A 54 55 56 57 58 59 60 61 52 62 63 64 53 GND 20 TOSC2 TOSC1 XTAL2 XTAL1 VCC PD7(T2) PB7(OC2/PWM2) PD6(T1)PB6(OC1B/PWM1B) PD5 PB5(OC1A/PWM1A) PD4(IC1) PB4(OC0/PWM0) PD3(INT3) PB3(MISO) PD2(INT2) PB2(MOSI) PD1(INT1) PB1(SCK) PD0(INT0) PB0(ss) PE7(INTR7) PE6(INTR6) PE5(INTR5) PE4(INTR4) PE3(AC-) PE2(AC+) PE1(PDO/TXD) PE0(PDI/RXD) PC7(A15) PC6(A14) PC5(A13) PC4(A12) PC3(A11) PC2(A10) PC1(A9) PC0(A8) PF7(ADC7) PF6(ADC6) PF5(ADC5) PF4(ADC4) PF3(ADC3) PF2(ADC2) PF1(ADC1) PF0(ADC0) VCC AREF AGND AVCC GND PA7(AD7) PA6(AD6) PA5(AD5) PA4(AD4) PA3(AD3) PA2(AD2) PA1(AD1) PA0(AD0) RESET ALE RD WR GND PEN ATMEGA103 GND ATmega103L 18 19 23 24 21 17 16 15 14 13 12 11 10 VCC PB7 PB6 PB5 PB4 MISO MOSI PB1 SS 42 41 40 39 38 37 36 35 A15 A14 A13 A12 A11 A10 A9 A8 44 45 46 47 48 49 50 51 AD7 AD6 AD5 AD4 AD3 AD2 AD1 AD0 GND R2 R1 CS0 5 WR 6 10 9 8 7 6 PF4 PF5 PF6 PF7 VALSEL1 WR 8 CS1 9 10 VALSEL2 U6C C 74HC02 DS-05 APEM A15 A14 A13 1 2 8 A11 A10 A9 A8 9 74HC4075 U4B 3 4 5 U5 U4C 11 12 13 6 74HC4075 74HC4075 GND ALE 1 11 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 2 3 4 5 6 7 8 9 U2 OC C U3 1D 1Q 2D 2Q 3D 3Q 4D 4Q 5D 5Q 6D 6Q 7D 7Q 74HC573 8D 8Q 19 18 17 16 15 14 13 12 A0 A1 A2 A3 A4 A5 A6 A7 A4 A5 A6 A7 A12 1 2 3 4 5 6 A B C E1 E2 E3 74HC138 Y0 Y1 Y2 Y3 Y4 Y5 Y6 Y7 $100* 15 14 13 12 11 10 9 7 $107* CS0 CS1 CS2 CS3 CS4 CS5 CS6 CS7 2 A15 1 3 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 B WR OE CE RAM/ROM/FLASH 74HC02 1 S3 0 1 S1 0 WR WR 1 S4 0 1 S2 0 A14 A4 Date: File: A PNEUMATIC Number Revision PNEU012000v1 9-Jan-2003 C:\DOCUMENT\..\PNEUMATIC.sch 3 - 73 - 11 12 13 15 16 17 18 19 A0 D0 A1 D1 A2 D2 A3 D3 A4 D4 A5 D5 A6 D6 A7 D7 A8 256 A9 A10 A11 A12 A13 A14 A14 Size 2 27 22 20 RD U6A Title RST 10 9 8 7 6 5 4 3 25 24 21 23 2 26 1 A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 10 1 GND Neptune ventilator 4 U4A 43 ALE 34 RD 33 WR 22 1 U6B 74HC02 100K C1 33pF R3 100K R4 100K 6MHz 100K X1 D Sheet 1 of 4 Drawn By: JP-KDP 4 Technical manual v1.0 1 2 4 3 R17 VCC D 16 15 14 13 12 11 10 9 D 9 10 11 12 13 14 15 16 VCC 8*4K7 D5 GND D8 D9 C23 C24 100nF 100nF 100nF 100nF D10 D11 D12 GND U10 22 CLEAR OE 20 STROBE OUT1 19 IN1 OUT2 18 INT2 OUT3 17 INT3 OUT4 16 INT4 OUT5 15 INT5 OUT6 14 INT6 OUT7 MIC5801BN13 INT7 OUT8 12 INT8 COM 21 GND VDD MIC5801BN P4 VAL.EN. V1 V2 V3 V4 V5 V6 V7 V8 2 4 6 8 10 12 14 16 18 20 VCC AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 1 3 5 7 9 11 13 15 17 19 Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 12v val. 4K7 9 10 11 12 13 14 15 16 8*4K7 Q1 A GND 22 CLEAR OE 20 STROBE OUT1 19 IN1 OUT2 18 INT2 OUT3 17 INT3 OUT4 16 INT4 OUT5 15 INT5 OUT6 14 INT6 OUT7 MIC5801BN13 INT7 OUT8 12 INT8 COM 21 GND VDD MIC5801BN 2 4 6 8 10 12 14 16 18 20 VCC RFP30P05 4 1 3 5 7 9 11 13 15 17 19 Q2 R9 BS170M U8B Q CLR B A Q Cext 12 RCext 5 GND 14 C20 R20 CLR B A Q Cext 15 RCext 11 10 9 6 GND 7 74HC123 GND Title Size VALVES Number A Revision PNEU012000v1 9-Jan-2003 C:\DOCUMENT\..\VALVES.sch 3 - 74 - Q VCC 100K 74HC123 HEADER 10X2 2 3 2 1 330N A4 Neptune ventilator GND U8A Date: File: 1 C RD CS2 B 22K 13 P5 VAL.EN. V9 V10 V11 V12 V13 V14 V15 V16 1 19 R30 10K U9 HEADER 5X2 +12v D13 D14 D15 D16 D17 D18 D19 D20 1 2 3 4 5 6 7 8 9 10 11 2 4 6 8 10 R29 D21 8 7 6 5 4 3 2 1 VAL.CL VALSEL2 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 1 3 5 7 9 74HC541 R18 B P6 2 3 4 5 6 7 8 9 D1 D2 D3 D4 D5 D6 D7 D8 E1 E2 HEADER 10X2 GND U7 18 17 16 15 14 13 12 11 RST 1 2 3 4 5 6 7 8 9 10 11 D7 C22 12V ON/OFF C VAL.CL VALSEL1 AD0 AD1 AD2 AD3 AD4 AD5 AD6 AD7 D6 R19 8*100K C21 1 2 3 4 5 6 7 8 8 7 6 5 4 3 2 1 Sheet 2 of 4 Drawn By: JP-KDP 4 Technical manual v1.0 1 2 PATIENT PRESSURE 4 3 PEEP VALVE EXP. PRESSURE PATIENT FLOW FRESH GAS FLOW TANK PRESSURE SM5652-015-G-3-L CH0 C34 100N C45 100N 100N 11 R13 5 1 2 VO-Vexc VO+ +Vexc 3 4 PTR3 R14 100N 100N MAX197 A R31 10 47µF C27 0.01µF CH7 CH7 CH6 CH5 CH4 CH3 CH2 CH1 CH0 2 U17 3 5 2 C PTR5 C33 R15 R24 10K 12 13 14 15 16 4 8 9 6 7 3 Vref COM vVref BG Vref 2.5 Vref 5 Vo Vref 10 Vref Out RG SENSE RG V+in IAref V-in 1 AGND C8 100N INA125 v+ 4 C11 100N 100N VO-Vexc VO+ +Vexc 3 4 B AGND 10 11 C49 100N 5 2 PTR6 SM5652-015-G-3-L AGND Title A4 Date: File: 2 Neptune ventilator AGND AGND Size 1 sleep 7 12v val. R22 100K AGND VCC 2 OPA237 22µH R23 10K 11 +12v SENSORS U23 6 L1 C28 + AGND 10 100N +12v 22µF/35v 47µF CH6 3 PEEP VALVE INSP. PRESSURE RES1 MAX197 AD7 AD6 AD5 AD4 AD3 AD2 AD1 AD0 C18 100N + CS3 WR RD A0 100pF C26 AGND U11 1 28 CLK DGND 2 27 CS VDD 3 26 WR REF 4 25 RD REFADJ 5 24 HBEN INT 6 23 SHDN CH7 7 22 D7 CH6 8 21 D6 CH5 9 20 D5 CH4 10 19 D4 CH3 11 18 D3/D11 CH2 12 17 D2/D10 CH1 13 16 D1/D9 CH0 14 15 D0/D8 AGND AGND R21 100K C30 + B AGND C29 +12v SENSORS 100N SM5612-030-G-3-L C46 +12v AGND VO-Vexc VO+ +Vexc 3 4 D C19 INA125 Vref COM vVref BG Vref 2.5 Vref 5 Vo Vref 10 Vref Out RG SENSE RG V+in IAref V-in 1 PTR4 100N AGND C48 2 SM5652-003-D-3-L C43 VCC AGND C47 100N 100N 11 5 SM5652-003-D-3-L C40 ADINT 12 13 14 15 16 4 8 9 6 7 AGND 4 AGND 10 SM5652-015-G-3-L C37 U16 3 v+ sleep v+ 4 C44 100N 3 Vref COM vVref BG Vref 2.5 Vref 5 Vo Vref 10 Vref Out RG SENSE RG V+in IAref V-in 1 2 1 2 VO-Vexc VO+ +Vexc 3 4 PTR2 7 7 1 2 sleep v+ 4 R12 5 AGND 10 12 13 14 15 16 4 8 9 6 7 2 OPA237 CH4 PTR1 100N 100N 11 AGND 6 CH5 VO-Vexc VO+ +Vexc 3 4 1 2 1 1 2 C42 3 C7 INA125 2 R11 C41 100N 3 Vref COM vVref BG Vref 2.5 Vref 5 Vo Vref 10 Vref Out RG SENSE RG V+in IAref V-in U15 sleep 100N 100N 11 5 AGND 10 12 13 14 15 16 4 8 9 6 7 U22 2 OPA237 RES1 C39 AGND 6 1 VO-Vexc VO+ +Vexc 3 4 C38 100N 3 Vref COM vVref BG Vref 2.5 Vref 5 Vo Vref 10 Vref Out RG SENSE RG V+in IAref V-in 3 C6 INA125 CH3 1 C AGND 10 12 13 14 15 16 4 8 9 6 7 U14 RES1 RES1 R10 AGND U21 2 OPA237 CH2 100N 100N 3 6 C5 INA125 RES1 C36 100N 3 Vref COM vVref BG Vref 2.5 Vref 5 Vo Vref 10 Vref Out RG SENSE RG V+in IAref V-in U13 CH1 C35 12 13 14 15 16 4 8 9 6 7 U20 2 OPA237 4 4 AGND 6 C4 RES1 3 INA125 sleep U12 v+ 1 2 U19 2 OPA237 v+ 6 sleep U18 D 7 7 7 +12v SENSORS Revision PNEU012000v1 9-Jan-2003 C:\DOCUMENT\..\SENSORS.sch 3 - 75 - A SENSORS Number Sheet 3 of 4 Drawn By: JP-KDP 4 Technical manual v1.0 1 2 5 U27D 10 74HC00 12 8 74HC00 GND 11 13 D 74HC00 GND P1 GND MOSIA R25 MISOA R26 SCKA R27 SSSLV0A R28 1 5K6 SCKB 5K6 SSSLV0B 74HC00 C 1 2 3 4 5 6 7 8 9 10 MISO MOSI SCK SS DE1/RE1 DR1 DR2 DE2/RE2 DE3/RE3 DR3 RO4 DI4 DE4 RE4 SP495 OA1 OB1 OA2 OB2 OA3 OB3 OA4 OB4 GND 20 19 18 17 MISOA MISOB MOSIA MOSIB 15 14 13 12 11 SCKA SCKB SSSLV0A SSSLV0B P2 MOSIA MISOA SCKA SSSLV0A U24 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 GND GND GND MOSIB MISOB SCKB SSSLV0B 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 PSCK SCK 12 13 PMISO 2 1 5 3 11 10 9 RST 6 GND C9 100N U25 AX AY O/IA BX BY O/IB CX CY O/IC 14 PB1 15 PE1 4 + C32 GND C10 100N GND U26 GND VCC 4 RST 2 RST MR C15 100N max811L A B C PSCK PMISO INH C25 100nF GND GND +12V C GND C13 100N C12 100N 1 3 5 7 9 C16 100N C17 100N B C14 100N GND VCC P3 3 VCC VCC VCC GND PE0 GND HEADER 18X2 PMOSI 1 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 GND HEADER 18X2 B PMOSI + C31 GND +12V 3 2 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 GND VCC MISOB 5K6 U27A SS MOSIB 5K6 22µF/35v D U27C 9 6 22µF U27B 4 4 3 2 4 6 8 10 HEADER 5X2 GND 74HC4053 Title A Size A4 Date: File: 1 2 Neptune ventilator PNEUMATIC SPI Number PNEU012000v1 9-Jan-2003 C:\DOCUMENT\..\PNEUSPI.sch 3 - 76 - Sheet 4 of 4 Drawn By: JP-KDP 4 Technical manual A Revision v1.0 1.7.3 Build-in test software • Start-up test After turning the ventilator on, the pneumatic board will test all his different functions. During start-up the following tests are executed: o Microprocessor internal functions tests: test internal program memory test internal SRAM memory test the timers test EEPROM memory test Watchdog o Microprocessor external functions test test external SRAM memory test external 12V safety valve test external A/D converter o Microprocessor communication test test the communication between pneumatic board and master board When all these tests are executed successfully, the MMI board is ready to start working. If an error occurred, the type of error is displayed on the LED indicators. G R R R After start-up the LED indicators can show the following errors: LED indicators Type error Device is working properly G R R R Microprocessor internal function error G R R R Microprocessor external function error G R R R G R R R Communication error Neptune ventilator 77 Technical manual To determine the exact error on the pneumatic board, you have to perform a specific test by using the build-in test software. Note: During executing a specific test on the pneumatic board there will be no communication between the master board and the pneumatic board. The master board will interpret this as a communication error and a continuous beep is audible. This can be very annoying. To prevent this error put the master board in internal test mode by setting dipswitch 1 high. See the master board section later in this manual for detailed instructions. Note: The MMI board will also detect a communication error during a executing a specific test on the pneumatic board. To prevent this error put the MMI board in internal test mode by setting dipswitch 1 high. See the MMI board section in this manual for detailed instructions. • Microprocessor internal function test If a microprocessor internal error is detected, execute an internal function test as follow: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the pneumatic board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o If no errors where found, all the red LED’s are off and the green LED is blinking. o If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The possible errors are illustrated in the table on the next page: Neptune ventilator 78 Technical manual INTERNAL FUNCTION TEST ERROR CODES Error LED’s Error code Description G G G R R R R R R R R G R R R R G R R G R R Neptune ventilator 1 internal PROGRAM MEMORY error 2 Internal SRAM error 3 Internal TIMER error 4 Internal EEPROM error 5 Internal WATCHDOG error 6 Reserved 7 Reserved R R R NO ERRORS detected, test loop is running R G G 0 R R R R 79 Technical manual # Resolve internal function test error code 4 – Internal EEPROM error To fix error code 4 or internal EEPROM error follow the next steps: o Turn the Neptune ventilator off. o Change the dipswitch setting of the pneumatic board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o You will notice that all the LED indicators are blinking fast. This means that the pneumatic board EEPROM settings are reset. Turn the ventilator off o Repeat the microprocessor internal functions test described on the previous page. If the EEPROM error still remains contact an authorized service engineer. Warning: Reset from the pneumatic board EEPROM settings will AFFECT the calibration parameters. Recalibration of the ventilator is necessary in this case. Refer to the maintenance and calibration procedure described later in this manual! Neptune ventilator 80 Technical manual • Microprocessor external function test If a microprocessor external error is detected, execute an external function test as follow: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the pneumatic board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o If no errors where found, all the red LED’s are off and the green LED is blinking. o If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The possible errors are illustrated in the table on the next page: Neptune ventilator 81 Technical manual EXTERNAL FUNCTION TEST ERROR CODES Error LED’s Error code Description G R R R G R R R G G R R R R R R G R R R G Note: R R R 1 reserved 2 External SRAM error 3 reserved 4 reserved 5 reserved 6 reserved 7 reserved R R R NO ERRORS detected, test running R G G 0 R R The external function test is running continuously. When an error is detected, the error is indicated on the LED indicators, and the external function test is repeated. It’s not necessary to turn the ventilator on and off to repeat the external function test. Neptune ventilator 82 Technical manual # Resolve external function test error code 2 – External SRAM error There is a problem with the external SRAM memory. The external SRAM memory is located on socket U5 on the pneumatic board. The microprocessor is reading data from and writing data to the external SRAM memory. Contact an authorized service engineer if the problem cannot be resolved. • Pneumatic function test You can test all the pneumatic functions of the pneumatic board as follow: o Turn the Neptune ventilator off o Remove the upper cover plate at the back of the Neptune. o Change the dipswitch setting of the pneumatic board with a small screwdriver to 1 2 3 4 5 o Turn the ventilator on o If no errors where found, all the red LED’s are off and the green LED is blinking. Each valve of each valve driver is driven one by one. o If an error is detected, the error is indicated on the red error LED’s and the green LED is off. The possible errors are illustrated in the table on the next page: Neptune ventilator 83 Technical manual PNEUMATIC FUNCTION TEST ERROR CODES Error LED’s Error code Description G R R R G R R R G G R R R R R R G R R R G R R R Neptune ventilator 1 Not able to start A/D converter 2 A/D converter busy 3 All A/D converter readings = $FFF 4 All A/D converter readings = $000 5 Not able to switch 12V safety circuit OFF within 20 ms 6 Not able to switch 12V safety circuit ON within 20 ms 7 No +12V input or +12V input too low R R R NO ERRORS detected, test running R G G 0 R R 84 Technical manual 1.7.4 Pneumatic board layout Neptune ventilator 85 Technical manual 2. PNEUMATIC SYSTEM 2.1 PNEUMATIC DIAGRAM The pneumatic diagram of the Neptune ventilator is represented on the next page. Neptune ventilator 86 Technical manual Neptune ventilator 87 Technical manual 2.2 MANUAL / SPONTANEOUS MODE (MAN) If the Neptune is set to Man/Spont mode, the hand balloon is connected through the patient breathing circuit and absorber to the patient. Squeezing the manual bag will initiate an inspiration phase. The CO2 is removed by the soda lime in the canister. Mixed gas from hand balloon and fresh gas flow goes directly to the patient. During this phase, with the ventilator switched to Man/Spont mode, the patient pressure is monitored and shown on the display. If the patient pressure exceeds the upper limit pressure setting, an audible and visual alarm is set. In this mode, the safety valve on the manual bag will guarantee the maximum pressure level that can be set. Man/Spont INSPIRATION Neptune ventilator 88 Technical manual Releasing the hand balloon will initiate an expiration phase. The patient can breath out. At the end of the expiration, parameters like PEEP, frequency, PIP and tidal volume are calculated and shown on the display. Man/Spont EXPIRATION Neptune ventilator 89 Technical manual In Man/Spont mode when the patient pressure is above 20hPa level for 6sec the change over valve will be activated to discharge the patient circuit via X6.when patient pressure becomes equal or lower than 3hPa the change over valve is switched OFF(*) for 2 sec to connect the hand balloon with absorber. This will be done 3 times to lower pressure in the circuit and discharge manual balloon. (*) there is a time out of 5sec,if patient pressure is not equal or lower than 3hPa within 5 sec the change over valve will be switched OFF for 2 sec. At same time an audible alarm and message is set on screen that the safety is active. Anti-Volutrauma Safety Neptune ventilator 90 Technical manual 2.3 CONTROLLED MANDATORY VENTILATION (CMV) The system is built around the so-called "bag in bottle principle". The figure on the next page represents the inspiration and expiration phase in CMV mode. Tank T is filled with an initial pressure calculated by the pneumatic microprocessor. The initial pressure is calculated on the basis of an algorithm comprising the following parameters: o o o o o o o o o Fresh gas flow Total circuit resistance Patient compliance Hose system compliance Frequency I/E ratio Tidal volume PEEP Leakage The contents of tank T flows into the bottle during inspiration, so that a pressure rise will occur in it, and this will compress the bag. The gas flows via the MAN/CMV valve, flow sensor and absorber to the patient. During inspiration, the gas is routed through the soda lime. The patient pressure is shown on the barograph or on the graphic. During inspiration, the PEEP/upper limit pressure valve will contain the set upper limit pressure. As soon as the patient pressure exceeds this limit, gas will be evacuated from the patient circuit. CMV INSPIRATION Neptune ventilator 91 Technical manual During expiration, the patient breathes out into the bag via the soda lime in the absorber, the flow sensor and the MAN/CMV valve. The bottle venting valve is open, causing the pressure in the bottle to become equal to atmospheric pressure. If the fresh gas flow is higher than the consumption by the patient or leakage, as appropriate, the system would become overfilled. This is prevented by the evacuation of the surplus gas via the PEEP/upper limit valve (X6). CMV EXPIRATION Neptune ventilator 92 Technical manual 2.4 PRESSURE CONTROLLED VENTILATION (PCV) In PCV mode the ventilator has to deliver the set peak pressure. At the start of inspiration the tank who is filled during last expiration is connected with bottle. This gives a decelerating flow, high at the start that comes to zero when the peak level is reached. V7 and V8 are used to give extra flow to keep the pressure at same level. For a smooth regulation activation from this valves is done in ‘PWM’ pulse wide modulation . V1,V2,V14,V15&V16 are used to open the bottle and keep the pressure at peak level. During the inspiration time ,the electronics will measure the patient pressure. If the pressure is not within limits a calculation is done to adjust the tank pressure setting for the next inspiration.. If the patient pressure becomes higher than the set peak pressure +5hPa/+5mbar, valve V13 will be set in expiration position, the amount of pressure that is too much can escape via the evacuation. When the patient pressure is within limits, valve V13 will be set in inspiration position. Each time valve V13 switches during inspiration the pressure in reservoir upper limit becomes lower.” The start pressure is 100hPa/100mbar”. During the expiration the exhaled patient flow is measured and tidal volume is calculated. If the PEEP (positive end expiration pressure) is higher than the set PEEP + 20hPa/+20mbar, the ventilator goes in Man/Spont mode and an error message is shown on display. Neptune ventilator 93 Technical manual PCV INSPIRATION PCV EXPIRATION Neptune ventilator 94 Technical manual 2.5 PEEP During expiration and a PEEP is set, a certain pressure is set behind the PEEP valve X6. This pressure is derived from the X6 back pressure during inspiration. At the start op expiration valve V13 is set to expiration mode. With a PEEP set, valve V9 is always on. Valve 10 is off for a certain time, during this time the back pressure from valve X6 can escape rapidly, to create the best expiration situation. Valve V10 is switched on after a certain time to load the PEEP reservoir with pressure. The time that valve V10 is switched on is calculated at the end of expiration, this time will be shorter for higher PEEP level and longer for lower PEEP level. PEEP regulation is the same for CMV and PCV mode. 2.6 Anti-barotrauma The Max pressure allowed during inspiration CMV mode is the calculated peak pressure +10hpa/ +10mbar Calculated peak is calculated from last measured expired volume and peak pressure. The min level is 30hPa / 30mbar if upper limit is higher. When the upper limit alarm level is lower then the calculated safety, the upper limit alarm level has priority. Neptune ventilator 95 Technical manual 2.7 MECHANICAL CONSTRUCTION 2.7.1 Patient breathing unit There are four main parts in the patient unit that need to be distinguished: o o o o PEEP and upper limit pressure valve MAN/CMV switching valve Flow sensor Latex free autoclavable bag PEEP and upper limit pressure valve MAN/CMV switching valve Flow sensor Neptune ventilator 96 Technical manual Latex free autoclavable bag ● PEEP and upper limit pressure valve Regulation of the PEEP and upper limit pressure is provided by the mushroom valve (C) which operates a plastic valve (D). C D During inspiration, the value set for the upper limit pressure is applied to the mushroom valve causing this to expand and thus exert the same pressure on the plastic valve. When a pressure higher than the upper limit pressure is built up on the underside, the valve will be lifted and gas is able to escape via the evacuation. The plastic valve ensures that the pressure is uniformly distributed so that the noise made by the escaping air is attenuated. During expiration, the value set for the PEEP is applied to the mushroom valve. The exhalation curve thus approaches the PEEP gradually. There are no sudden transitions, which results in a “smoothed shape”. The upper limit pressure thus ensures that the patient is not exposed to too high pressures during inspiration, while the PEEP ensures - when expiration occurs - that sufficient pressure remains in the lung. This is only applicable in CMV and PCV mode. Neptune ventilator 97 Technical manual ● MAN/CMV switching valve The changeover valve is always in the unpowered state in the Man/Spont mode. The valve (G) is in fact pressed up by a spring so that the absorber is connected directly to the hand balloon. If the ventilator mode is changed to CMV or PCV, pressure reaches the switching diaphragm via connection E. The valve is thereby pressed down and the hand balloon shut off. When this occurs, the connection to the bag (F) is opened so that the absorber is now connected to the bag. E F G Neptune ventilator 98 Technical manual ● Flow sensor The flow sensor is a derivative, developed by Medec Benelux NV, of the well- known Fleisch principle. To ensure laminar flow, special perforated rings are fitted. The flow sensor can measure flow up to 96 l/min. Differential pressure (∆P) is measured across the restriction by means of connections A and B, which are connected to transducer TRX3. ● Latex free autoclavable bag The bag is connected to the connection F intended for this purpose. It should be clearly understood that in the unpowered state (i.e. in the Man/Spont mode), the bag is not used. The bag is a special balloon and therefore cannot be replaced with a different type of balloon. Warning: Medec Benelux NV can only guarantee correct ventilator operation with the same type of balloon. Neptune ventilator 99 Technical manual 2.7.2 Bottle The feed-through plate of the bottle is provided with five connections. This plate ensures a gas-tight connection between the bottle and the patient breathing unit. This makes the patient breathing unit easy to remove and to clean. A B C E D A. B. C. D. E. MAN/CMV switching valve. PEEP and upper limit pressure valve. Outlet for gas evacuation from the mushroom valve. Measurement point, flow sensor positive. Measurement point, flow sensor negative and patient pressure. The bag is inserted in the bottle after which the patient breathing unit is attached to the bottle by means of the whale clip. The bottle is manufactured from aluminum. On the back of the bottle, there are two valves: o The bottle safety valve located on the top is adjusted to 120hPa/120mbar. So the pressure in the bottle (and thus also in the patients lung) never exceeds this value. o The bottle venting valve located on the bottom ensures that during inspiration, the bottle is shut off from the outside air so that the bag can be compressed. During expiration, this valve ensures that the bottle is vented, so that the bag can be filled again with the expired gas from the patient. Neptune ventilator 100 Technical manual bottle venting valve V13 X3 V7 V9 V6 V5 V8 X2 V12 V1 V2 V3 V14 V11 V15 V10 V16 V9 bottle safety valve Neptune ventilator 101 Technical manual 2.7.3 Supply tank The supply tank T (contents = 1,2 liter) provides the inspiration stroke volume. The tank is located around the bottle. The tank can be filled with the use of two low flow valves or one high flow valve. There’s another valve provided to connect the tank with the bottle. The supply tank T Bottle Neptune ventilator 102 Technical manual 2.7.4 Solenoid valves The solenoid valves are special maintenance-free low-power valves. Because of the special design, in which there is no sliding core but a corrosion-resistant metal diaphragm, the valve processes a number of unique properties. The ring which connects the coil and the valve housing may be unscrewed one turn in order to attend to the electrical connections. Never unscrew the ring entirely, to prevent vital parts being lost or damaged. Note: Never change the order of diaphragm and spacer ring, since these are specially calibrated. Neptune ventilator 103 Technical manual 3. MAINTENANCE AND CALIBRATION The aim of the maintenance and calibration procedure is to ensure proper and safe working of the Neptune ventilator. It must be performed by a qualified service engineer every 6 months. Always recalibrate the ventilator and execute a leaktest after replacing a component. 3.1 VISUAL INSPECTION Remove the cover plate of the Neptune ventilator. • Electronic system 1 Ensure that all the boards of the extendable system set are mounted correctly. 1 Check that all electrical connectors are latched. 1 Check all keyboard board switches for proper working 1 Check control knob switch and rotation for proper working • Pneumatic 1 Make sure that all tubes are properly connected and none are kinked or pinched. 1 Check the clear tubing for signs of water. If any is detected, replace the tubing or blow out the water by means of compressed air. 1 Check the air input water trap. Any presence of water must be removed by pressing the bottom pin of the water trap. Make sure that no water is flowing away into the ventilator. 1 Check the patient breathing system, the absorber and all external tubing. Neptune ventilator 104 Technical manual 3.2 BATTERY BACKUP The ventilator can work for at least 1 hour on battery when fully charged. Connect the ventilator for a couple of hours to the AC mains supply to assure a fully charged battery. Check the ventilator battery backup by means of the following instructions: Connect the power cord to the AC mains inlet Turn the AC mains switch at the back of the ventilator ON Turn the ventilator ON There is a mains plug drawn at the top of the display which means that the ventilator is working on AC mains supply o Set the ventilator to CMV mode o Check the battery backup by pulling the mains plug o There is a battery drawn at the top of the display which means that the ventilator is working on battery o o o o If the ventilator shuts off in less than 1 hour, replace the battery by a new one. We recommend replacing the battery every 3 years. Always replace the battery with the same type and ratings. Note: The battery does not require maintenance under normal circumstances. Always replace with same type every three years. Neptune ventilator 105 Technical manual 3.3 THE CALIBRATION MENU Enter the calibration menu as follows: o Turn the ventilator ON o Go to the Info menu o Press the buttons in the exact order as represented: 5 1 3 2 4 Neptune ventilator 106 Technical manual The calibration menu looks as follows: 9 8 7 6 5 1 4 2 3 1. Control buttons: with these buttons you can change the calibration settings, drive the +12 voltage of the valves, set valves on and off, etc. 2. Exit button: you can leave the calibration menu by pressing the exit button. The changes made in the calibration menu are stored to the EEPROM memory of the pneumatic board. 3. Input indicators: the input pressure switches, connected to connector P6 on the pneumatic board, are indicated over here. INPUT1 is connected to the air input pressure switch, INPUT2 is connected to the O2 input pressure switch and INPUT6 is connected to the N2O input pressure switch. INPUT3, INPUT4, INPUT5, INPUT7 and INPUT8 are not used. 4. Valve ON/OFF: you can set each valve individually ON and OFF. 5. +12V VALVES: you can turn the +12V voltage of the valves ON and OFF. Make sure that you set the +12V VALVES voltage on when you are testing each valve individually. The ADC reading value is the value that the analog / digital converter (ADC), located on the pneumatic board, indicates during converting the +12V VALVES voltage to a digital value. 6. +12V SUPPLY: over here you can see a read-out of the digital value of the +12V supply generated by the ADC converter. The +12V supply must always be present after turning the ventilator on. 7. Selection beam: you can scroll the selection beam through the calibration menu by rotating the control knob. The function of the control buttons at the left is depending on the position of the selection beam. 8. Pressure transducers: each pressure transducer (TRX) can be calibrated individually. TRX1 measures the airway pressure, TRX2 measures the PEEP pressure, TRX3 measures the patient flow located in the patient breathing unit, Neptune ventilator 107 Technical manual TRX4 measures the fresh gas flow, TRX5 measures the tank pressure and TRX6 measures the upper limit pressure. 9. Service time: the service time is used to check the time between the last maintenance and now. The service engineer has the possibility to zero this service time after the maintenance and calibration procedure is executed. The service timer is always running when the ventilator is on, regardless of standby mode, manual mode, PCV or CMV mode. Neptune ventilator 108 Technical manual 3.4 THE PRESSURE TRANSDUCERS 5 4 + +3 1 6 - 2 TRX1 TRX2 TRX6 TRX5 TRX4 TRX3 Zeroing the pressure transducer TRX1, TRX2, TRX5 and TRX6 o o o o o o o Disconnect patient breathing unit. Close fresh gas. Activate valve V5 to discharge the tank. Move the selection beam to transducer TRX1. Press the zero button. Transducer TRX1 is now zeroed. Repeat the 3 previous instructions for zeroing transducer TRX2, TRX5 and TRX6. Zeroing the pressure transducer TRX3 and TRX4 Warning: A zero and/or max. calibration of transducer TRX3 and/or TRX4 will erase the previous GAIN setting of the transducer. Make a note of these GAIN setting (they can be used later) before starting any zero or Max calibration transducer TRX3 and TRX4. The pressure transducer TRX3 and TRX4 are used to measure flow. They measure the differential pressure across the flow sensor. The pneumatic microprocessor uses a lookup table of the sensor to convert differential pressure to flow (liter/minute). There can be a very small deviation between the look-up table and the flow sensor. You can eliminate this deviation by adjusting the GAIN of the selected pressure transducer (only applicable Neptune ventilator 109 Technical manual on TRX3 and TRX4). You need a calibrated flow meter to compare the adjusted flow in the calibration menu with the reference flow measured. Warning: A zero and/or max. calibration of transducer TRX3 and/or TRX4 will erase the previous GAIN setting of the transducer. Adjustment of the GAIN is necessary to eliminate the deviation again. o Be sure that the fresh gas is closed. NOTE: It is not necessary to open the ventilator to do the zeroing TRX3. Be sure that patient breathing unit is disconnected. o Move the selection beam to transducer TRX3. o Press the zero button. o Transducer TRX3 is now zeroed. NOTE: Set back the factory setting from TRX3 where you have made a note from when only a zeroing from TRX3 is necessary. When also a Max calibration will be done, restore of factory gain you have to do after the Max calibration. NOTE: It is not necessary to open the ventilator to do the zeroing TRX4. Be sure that patient breathing unit is disconnected. o o o o o NOTE: Move the selection beam to transducer TRX4. Set a fresh flow of 0,3 liters/min. Press the zero button. Close the fresh gas flow. Transducer TRX4 is now zeroed. Set back the factory setting from TRX4 where you have made a note from when only a zeroing from TRX4 is necessary. When also a Max calibration will be done, restore of factory gain you have to do after the Max calibration. Neptune ventilator 110 Technical manual Maximum calibration of pressure transducer TRX1, TRX2 and TRX6 To perform the maximum calibration of the pressure transducers, you need a calibrated pressure gauge, a T-piece, silicon tubes, syringe and a pneumatic test connector. Connect in accordance with the next drawing: Connect to pressure transducer TRX by means of pneumatic test connector. Calibration set o Connect calibration set with transducer, see picture page 108 section 3.4 THE PRESSURE TRANSDUCERS o Move the selection beam to transducer TRX1. o Connect the calibration set to pressure transducer TRX1 by way of the pneumatic test connector. o Set a pressure of exactly 100hPa/100mbar by way of the syringe. o Check the OUT2 value of TRX1. If equal to 100hPa/100mbar, go to the next step. If not, perform a max. calibration by pressing the max. button. The TRX1 OUT2 value is now equal to 100hPa/100mbar. o Repeat the 4 previous instructions for the max. calibration of transducer TRX2, and TRX6 in the same way. Maximum calibration of pressure transducer TRX3 o Move the selection beam to transducer TRX3. o Connect the calibration set to the positive port pressure transducer TRX3 see picture page 108. o Set a pressure of exact 20hPa/20mbar by way of the syringe. o Perform a maximum calibration of TRX3 by pressing the max. button. ▪ It’s possible to eliminate the deviation between the microprocessor lookup table and the flow sensor to create an extremely accurate measurement of the flow. These steps are optional and can only performed when a calibrated digital flowmeter is available: Neptune ventilator 111 Technical manual NOTE: When you don’t have a calibrated digital flowmeter, set back the factory GAIN by pressing the gain+ or gain- button. Gain+ and GAIN- are in steps of 5, set back the value that is nearest the factory value where you have made a note from. Connect the digital flowmeter with one side to the left input connector of the patient breathing unit. Disconnect handset from right side patient breathing unit. Connect other side from flowmeter with fresh gas front outlet. Select fresh gas outlet front and push O2 flush. Make sure that no valves are active. Adjust the TRX3 OUT2 reading by manipulating the TRX3 GAIN. Change the GAIN by pressing the gain+ or gain- button. The digital flowmeter value must be equal to the TRX3 OUT2 reading. Maximum calibration of pressure transducer TRX4 o o o o Move the selection beam to transducer TRX4. Connect the calibration set to pressure transducer TRX4 + port. Set a pressure of exact 20hpa/20mbar by way of the syringe. Perform a maximum calibration of TRX4 by pressing the max. button. ▪ It’s possible to eliminate the deviation between the microprocessor lookup table and the flow sensor to create an extremely accurate measurement of the flow. These steps are optional and can only performed when an calibrated digital flowmeter is available: NOTE: When you don’t have a calibrated digital flowmeter, set back the factory GAIN by pressing the gain+ or gain- button. Gain+ and GAIN- are in steps of 5, set back the value that is nearest the factory value where you have made a note from. Neptune ventilator Set a fresh gas flow of 10 liters/min air. Make sure that no valves are active. Connect one side of the digital flowmeter to the fresh gas outlet at the front of the Neptune ventilator. Make sure the fresh gas front output is selected. Leave the other side of the digital flowmeter open. Adjust the TRX4 OUT2 reading by manipulating the TRX4 GAIN. Change the GAIN by pressing the gain+ or gain- button. The digital flowmeter value must be equal to the TRX4 OUT2 reading. 112 Technical manual Maximum calibration of pressure transducer TRX5 o Place the pressure gauge between the tube that connects the pressure transducer TRX5 with the tank. o Make use of VALVE7 or VALVE8 to build a pressure of 2000hPa/2bar in the tank. o Regulate the pressure so the pressure gauge is indicating 2000hPa/2bar. Check the OUT2 value of TRX5. If equal to approximately 2000hPa/2bar, go to the next step. If not, perform a max. calibration by pressing the max. button. The TRX5 OUT2 value is now equal to 2000hPa/2bar Checking the flow sensors readings o Reconnect the absorber and the patient breathing system in a correct way. o Set a fresh gas flow for example of 4 liters/min. The TRX3 OUT2 and TRX4 OUT2 value must be a positive value. If one of these readings is negative, you must check all tubes inside and outside the ventilator for proper connection. Warning: Leave the calibration menu by pressing the exit button. Now you’re sure that all the changes made in the calibration menu are stored to the EEPROM memory! Neptune ventilator 113 Technical manual 3.5 THE PRESSURE REGULATORS X7 X9 X6 X10 1 2 1. Air pressure regulator 3000hPa/3bar. 2. Air pressure regulator 500hPa/0.5bar. Neptune ventilator 114 Technical manual Check / calibrate AIR pressure regulator 3000hPa/3bar (1). o For the adjustment of the AIR pressure regulators, you need a test patient breathing unit. Test patient breathing unit o Make sure that the AIR input pressure is connected. Check the AIR input pressure on the manometer located on the front. The pressure must be higher than 3000hPa /3 bar. o Remove the patient breathing unit. o Connect the test patient breathing unit with the bottle. o Connect a pressure gauge with the connector output G. o Enter the calibration menu. o Set VALVE6 ON. Don’t forget to set the +12V VALVES voltage ON. o Check the pressure gauge readings. If equal to approximately 3000hPa /3bar, go to the next step. Otherwise, unfasten the locking ring of the AIR pressure regulator 1 and adjust the pressure so it’s equal to 3000hPa/3 bar (+/- 100hPa /0.1bar) by means of rotating the spindle. Fasten the locking ring again so that the adjustment spindle is locked. o Set VALVE6 OFF. Neptune ventilator 115 Technical manual Check / calibrate AIR pressure regulator 500hPa/0,5 bar (2). o Make sure that the AIR input pressure is connected. Check the AIR input pressure on the manometer located on the front. The pressure must be higher than 3000hPa /3bar. o Remove the patient breathing unit. o Connect the test patient breathing unit with the bottle. o Connect a pressure gauge with the connector output A. o Enter the calibration menu. o Set valve 13 and 11 ON. Don’t forget to set the +12V VALVES voltage ON. o Check the pressure gauge readings. If equal to approximately 500hPa /0,5 bar go to the next step. Otherwise, unfasten the locking ring of the AIR pressure regulator 2 and adjust the pressure so it’s equal to 500hPa /0,5bar (+/- 50hPa/0.5bar) by means of rotating the spindle. Fasten the locking ring again so that the adjustment spindle is locked. o Set valve 13 &11 OFF. Neptune ventilator 116 Technical manual 3.6 THE FLOW REGULATORS For the adjustment of the flow regulators you need the test patient breathing unit and a flowmeter. Follow the next steps: o o o o o o Remove the patient breathing unit. Connect the test patient breathing unit with the bottle. Connect a flowmeter with the connector output G. Enter the calibration menu. Set VALVE6 ON. Don’t forget to set the +12V VALVES voltage ON. Check the flowmeter readings. If equal to 4 liters/min, go to the next step. Otherwise, unfasten the locking ring of the flow regulator and adjust the flow so it’s equal to 4 liters/min (+/-0.1lpm) by means of rotating the spindle. Fasten the locking ring again so that the adjustment spindle is locked. Neptune ventilator 117 Technical manual o o o o Set VALVE6 OFF. Connect the flowmeter with the connector output A. Set VALVE11 and VALVE13 ON. Check the flowmeter readings. If equal to 1.6 liters/min, go to the next step. Otherwise, unfasten the locking ring of the flow regulator and adjust the flow so it’s equal to 1.6 liters/min (+/-0.1lpm) by means of rotating the spindle. Fasten the locking ring again so that the adjustment spindle is locked. o Set all the valves OFF. Neptune ventilator 118 Technical manual 3.7 O2 FLUSH o Connect flowmeter to front outlet. o Select the front fresh gas output. o Push O2 flush button. o Check the flowmeter readings. If equal to 35 liters/min, go to the next step. Otherwise, unfasten the locking ring of the flow regulator and adjust the flow so it’s equal to 35 liters/min (+/- 0.5lpm) by means of rotating the spindle. Fasten the locking ring again so that the adjustment spindle is locked. Neptune ventilator 119 Technical manual 3.8 THE INPUT PRESSURE SWITCHES To adjust the input pressure switches, follow the next steps: o Regulate the pressure at the O2 NIST input connector until it’s equal to 2500hPa/2.5 bar (+/-100hPa /0.1bar). o The input indicator I2 / O2 must be lit. If not, adjust the screw in the middle of the pressure switch until the I2 / O2 indicator is lit. o Let the O2 NIST input pressure decrease slowly. The I2 / O2 indicator will go out with a pressure equal to 2200hPa 2.2bar (+/-200hPa/0.2bar). Otherwise, adjust the screw a little bit more. O2 Neptune ventilator 120 Technical manual o Repeat the previous steps to adjust the input pressure switch of N2O. N2O Neptune ventilator 121 Technical manual o Regulate the pressure at the AIR NIST input connector until it’s equal to 2 bar and set switch drive gas to AIR. Set switch drive gas to AIR. o The input indicator DRV must be lit. If not, adjust the screw in the middle of the drive gas pressure switch until the I1 / DRV indicator is lit. DRV Neptune ventilator 122 Technical manual o Let the AIR NIST input pressure decrease slowly. o The I1 / DRV indicator will go out with a pressure equal to 1700hPa/1.7bar (+/-170hPa/0.17bar). Otherwise, adjust the screw a little bit more. o Regulate the pressure at the AIR NIST input connector until it’s equal to 2000hPa /2 bar (+/-200hPa/0.2bar). o The input indicator AIR must be lit. If not, adjust the screw in the middle of the drive gas pressure switch until the I3 / AIR indicator is lit. AIR Neptune ventilator 123 Technical manual o Let the AIR NIST input pressure decrease slowly. The I3 / AIR indicator will go out with a pressure equal to 2200hPa 2bar (+/-200hPa/0.2bar). Otherwise, adjust the screw a little bit more. Neptune ventilator 124 Technical manual 3.9 THE BOTTLE SAFETY VALVE This section of the manual describes the procedure to check and adjust the bottle safety valve: Remove the patient breathing unit. Connect the test patient breathing unit with the bottle. Connect a calibrated pressure gauge to connector output C. Connect connector output G to connector output D. Set VALVE3 ON. Set VALVE6 ON. The pressure will increase until the bottle safety valves opens. Check the pressure gauge readings. The valve relief pressure must be equal to 120hPa/120mbar. If not, adjust the screw at the top of the bottle safety valve so that the pressure is equal to 120hPa/120mbar. o Leave the calibration menu by pressing the exit button. o Reconnect the absorber and the patient breathing system in a correct way. o o o o o o o o Neptune ventilator 125 Technical manual 3.10 Peep valve calibration • • • • • • Connect tubes on patient circuit. Cork patient Y Go to calibration menu Activate 12V valves. Activate V3 & V6. Set fresh gas flow 8Lpm • Turn housing peep valve clockwise or counter clockwise and regulate until the reading on OUT2 for TRX1 = 01hPa /1mbar • Set lock screw free before turning the peep housing. + - Tighten lock screw ,don’t use high force when turning it in. Neptune ventilator 126 Technical manual 3.11 VALVES TEST This section of the manual describes how to check the different valves on there functionality and for possible leaks: 1. Leakage check V7,V8 and X2. o Enter the calibration menu. o Activate valve 5 and 12V valves to empty the TANK. o When Tank is empty, Set 12 v valves OFF and valve 5 OFF. o Verify or there is a pressure increase on sensor TRX5. If so, you have to determine which valve is leaking. Check valves V7, V8, and X2/V4. 2. Leakage check Tank o Enter the calibration menu. o Activate 12V valves. o Activate valve V7 and let the pressure in Tank increase to 1000hPa/1bar. o Close V7. o Verify or there is a pressure drop on sensor TRX5. o Pressure in tank may not drop more than 5hPa/5mbar in 1 minute. o In case of leakage, check connections with tank, check valve X3/V5,check tank (O-rings). 3. Test V7, V8 , X2/V4 , X3/V5. o Enter the calibration menu. o Activate 12V valves. o Activate valve V7 and let the pressure in Tank and bottle increase to 1000hPa/1bar. o Close V7. o Check/replace V7 if loading from tank is not possible o Activate V5 to discharge tank. o Activate valve V8 and let the pressure in Tank and bottle increase to 1000hPa/1bar. o Close V8. Neptune ventilator 127 Technical manual o Check/replace V8 if loading from tank is not possible Activate V5 to discharge tank. o Activate valve V4 and let the pressure in Tank and bottle increase to 1000hPa/1bar. o Close V4. o Check/replace X2/V4 if loading from tank is not possible o Activate V5 to discharge tank. 4. Leakage check Bottle. o o o o o o o o o o Enter the calibration menu. Remove the patient breathing unit. Connect the test patient breathing unit with the bottle. Use a tube to connect output connection C with output connection D. Activate valve 5 and valve 3. Activate valve V7 and let the pressure in Tank and bottle increase to 50hPa/50mbar Switch valve 7 OFF. Verify or there is a pressure drop on sensor TRX5. If so, you have to determine which valve is leaking. Check valves X5, X1, V1,V2,V14,V15 and V16 Leave the calibration menu by pressing the exit button. Reconnect the absorber and the patient breathing system in a correct way. 5. Test V1, V2 , V14, V15and V16. o o o o o o o o o o o o o o o o o o Enter the calibration menu. Remove the patient breathing unit. Connect the test patient breathing unit with the bottle. Use a tube to connect output connection C with output connection D. Activate valve 5 and valve 3. Activate valve V7 and let the pressure in Tank and bottle increase to 50hPa/50mbar Switch valve 7 OFF. ActivateV1 Pressure on TRX5 has be zero within 15 sec if not check/replace valve V1 Set valve V1 OFF Activate valve V7 and let the pressure in Tank and bottle increase to 50hPa/50mbar Switch valve 7 OFF. ActivateV2 Pressure on TRX5 has be zero within 15 sec if not check/replace valve V2 Set valve V2 OFF Activate valve V7 and let the pressure in Tank and bottle increase to 50hPa/50mbar Switch valve 7 OFF. ActivateV14 Neptune ventilator 128 Technical manual o Pressure on TRX5 has be zero within 15 sec if not check/replace valve V14 o Set valve V14 OFF o Activate valve V7 and let the pressure in Tank and bottle increase to 50hPa/50mbar o Switch valve 7 OFF. o ActivateV15 o Pressure on TRX5 has be zero within 15 sec if not check/replace valve V15 o Set valve V15 OFF o Activate valve V7 and let the pressure in Tank and bottle increase to 50hPa/50mbar o Switch valve 7 OFF. o ActivateV16 o Pressure on TRX5 has be zero within 15 sec if not check/replace valve V16 o Set valve V16OFF o Leave the calibration menu by pressing the exit button. o Reconnect the absorber and the patient breathing system in a correct way. Neptune ventilator 129 Technical manual 3.12 PERFORMING A LEAKTEST 3.12.1 Entering the leaktest menu Set the ventilator to standby mode and select leak test. Always disconnect the patient before entering the leak test menu. Note: It is not possible to enter the leak test menu when the airway pressure is greater than 2hPa/2mbar. Disconnect patient, so that pressure can decrease to 0hPa/0mbar. The leak test menu is drawn in accordance with the next drawing. Neptune ventilator 130 Technical manual 6 4 2 1 3 5 1. Patient circuit + internal bag button: press this button to select the patient breathing circuit and the internal balloon leaktest. 2. Patient circuit + handset button: press this button to select the patient breathing circuit and the external handset. 3. EXIT: select and press encoder knob to leave the leaktest menu. 4. PEEP valve leakage detected: this message appears when the PEEP valve leakage test fails. 5. Information window: follow these instructions to perform a leaktest. 6. Barograph: indicates airway pressure. Neptune ventilator 131 Technical manual 3.12.2 Performing the leaktest You can perform a leaktest on: - the patient breathing circuit and the external handset. the patient breathing circuit and the internal balloon. To perform a leaktest on the patient breathing circuit and the external handset, proceed as follows: - Select . Make all the connections in the patient breathing unit; see the operating instructions of the CO2 absorber. Close safety valve on handset. Close / disconnect sample tube of gas monitor (optional). Close the output of the Y-piece. Set a fresh gas flow. Let the airway pressure increase to 30 hPa. Close the fresh gas flow. The time in which the pressure decreases to 20 hPa must be 15 seconds or longer. If the leak test is not within the specifications, check all connections in the patient breathing circuit. If no leaks can be found, contact your service department. After successfully performing the previously described leaktest, you can perform a leaktest on the patient breathing circuit and the internal balloon. Proceed as follows: - Select . Close the output of the Y-piece. Set a fresh gas flow. Let the airway pressure increase to 30 hPa. Close the fresh gas flow. The time in which the pressure decreases to 20 hPa must be 15 seconds or longer. If the leak test is not within the specifications, check all connections in the patient breathing circuit. Also check the internal balloon for leaks. If no leaks can be found, contact your service department. Neptune ventilator 132 Technical manual When is selected, at the same time the PEEP valve located in the patient breathing unit is filled once with a pressure of ±100hPa/±100mbar. The pressure in the PEEP valve will continuously be monitored. If a pressure drop is detected within 15 sec, the message "PEEP valve leakage detected" will be displayed: To repeat the PEEP valve test, select followed by To determine either the PEEP leakage is intern in the ventilator or extern in the patient breathing unit, remove the patient circuit from bottle and close the PEEP output with finger in accordance with next drawing. PEEP output Keep your finger on the PEEP output and repeat the PEEP valve test. If the PEEP valve test succeeds, the problem is located in the patient breathing unit, otherwise the problem is probably intern in the ventilator. Neptune ventilator 133 Technical manual . Leakage in the patient breathing unit o Check/replace mushroom valve and O-ring in the patient breathing unit. o Check/replace blue O-ring in feed-through plate. . Leakage located in the ventilator o o o o o o o Remove the patient breathing unit. Connect the test patient breathing unit with the bottle. Connect a calibrated pressure gauge to connector output A. Set valve 13 and 12 ON. Set valve 11 ON until the pressure is between 80-100hPa/80 – 100mbar. Set valve 11 OFF. Check the pressure gauge readings and check for pressure drop. Neptune ventilator 134 Technical manual o Set valve 10 and valve 9 ON. o Set valve 13 OFF. o The PEEP reservoir will be filled with a certain amount off pressure delivered by the UPPER LIMIT reservoir. o Check the pressure gauge readings and check for pressure drop. o Leave the calibration menu by pressing the exit button. o Reconnect the absorber and the patient breathing system in a correct way. 3.12.3 Leaving the leaktest menu Leave the leaktest menu by selecting the exit standby mode. Neptune ventilator 135 . The ventilator will return to Technical manual 3.13 MAINTENANCE INSTRUCTIONS Warning: It is recommended that the Neptune should be checked at least twice a year by the Medec Benelux NV service department or by specially trained personnel. There are a number of parts which require either periodic maintenance or replacement. 5 Patient breathing unit • The mushroom valve and the switching diaphragm are to be replaced each service. • The MAN/CMV changeover valve is to be inspected at each service and if necessary cleaned. It is replaced annually. • The expiration valve (under the mushroom valve) is replaced annually. When fitting, it’s important to guide the valve gently onto its seating. • Check the flow sensor at each service and clean with alcohol if necessary. • Replace the O-rings (see detailed drawing patient breathing unit). • Replace the bag. Warning: Always replace with same type of bag to ensure satisfactory performance. In fact, the specifications of the Neptune are greatly dependent on the elasticity of the balloon. Warning: Never immerse the patient breathing unit in a liquid and only fit a dry unit! Neptune ventilator 136 Technical manual 8 1 16 10 16 2 7 10 9 6 10 10 4 Neptune ventilator 137 Technical manual 11 3 12 5 Bottle • The blue O-ring connections between the patient breathing unit and the bottle are checked and tested for gas tightness at each service. Replace the O-rings every two years. 13 14 13 Neptune ventilator 138 Technical manual 5 Solenoid valves • The solenoid valves must be checked for proper working each service time. 5 Bottle venting valve • Replace the bottle venting valve on the back of the bottle at each service. 5 5 Bottle safety valve • Check the bottle safety valve annually and, if necessary, re-adjust to ±120hPa/120mbar. Neptune ventilator 139 Technical manual 5 Fresh gas flow sensor • Inspect the sensor annually for pollution. The sensor can be checked easily by removing the plug on the side. Neptune ventilator 140 Technical manual 3.14 PARTS LIST • Item 1 2 3 4 • Item 1 2 3 4 5 6 7 8 9 10 11 12 16 • Item 13 14 • Item 15 Service Parts – Patient Circuit (half-yearly check) Quantity 1 1 1 1 Description Switching diaphragm Mushroom valve Gas bag O-ring 19X1 Part number 121213000 121227000 250035000 501190100 Service Parts – Patient Circuit (annual check) Quantity 1 1 1 1 1 1 1 1 1 4 1 1 2 Description Switching diaphragm Mushroom valve Gas bag O-ring 19X1 Venting valve Valve Expiration valve O-ring 14 x 1,78 silic. 70° shore O-ring 18 x 2 O-ring 32 x 2 O-ring 58 x 3,5 O-ring 25 x 2,5 O-ring 23.52 x 1,78 Part number 121213000 121227000 250035000 501190100 121250000 121236000 124228000 505140100 501180200 501320200 501580300 501250100 501235100 Service Parts (two-yearly check) Quantity 4 1 Description O-ring 3 x 3 silic. 70° blue O-ring 10 x 3 silic. 70° blue Part number 505030300 505100500 Service Parts (tree yearly check) Quantity 1 Neptune ventilator Description Battery 12v 7.2 Ah 141 Part number 668202000 Technical manual 4. CLASSIFICATION AND DISCARD 4.1 CLASSIFICATION • • Class I/ Type B/ IPX1. Do not use in presence of flammable anaesthetics. Neptune ventilator 142 Technical manual 4.2 DISCARD There is no risk for explosion when discarding. The electronic boards and display contain a small amount of lead. The battery is a sealed lead acid type. Please adhere to governmental related laws or regulations when discarding the Neptune. Neptune ventilator 143 Technical manual 5. Inspection 5.1 VISUAL INSPECTION o o o o o o o o o o o Wheels and brakes. Check or the can rotate freely and verify or the brakes can be activated. Drawer unit. The drawer must go in and out drawer case smoothly. Absorber. Empty canister, check glass on visual damage. Clean valve domes ,the dome glass must be free of contamination, valves must be visual without removing the valve domes. Check suction jar on visual damage. Check ventilator case, front layers, pressure gauges , keyboard , display and knobs on visual damage. Check flowmeter glass and spindles on visual damage. Check cover plate on visual damage. Check manual balloon and arm, the arm must move freely with no visual damage. Check patient circuit tubing Check / clean AIR input pressure watertrap reservoir . The watertrap glass must be free of contamination so that, in case there is water inside it is visual from the outside. Check filter inside watertrap and replace when contaminated. Check wheels and brakes. Neptune ventilator 144 Technical manual 5.2 OTHER INSPECTIONS 1.Ventilator keyboard & encoder: The functionality from the keys and encoder can be tested in the mode setup, the silent button can be tested in MAN mode. 2.Speaker test: The functionality speaker can be tested in setup A beep is generated when the volume level is changed. 3.Mains/ battery indicator : Set mains switch on and check mains indicator on Keyboard. Set ventilator ON. Check mains indicator on display. Set mains switch OFF and check batttery indicator, Led on keyboard must go OFF. 4.Fan and filter: The Fan has to rotate without making high noise level. Check filter at the bottom, replace/ clean if necessary. 5.Battery: Set mains switch OFF and verify or the ventilator can work for 1 hour on battery. Before starting this test be sure that the ventilator was connected with the mains power for at least 4 hours. 6.Internal connections: Check internal tubing and electrical connections. All tubing must be clear ,replace tubing who have indications from contamination or humidity. 7.Pressure regulators: See technical manual section 3.5 THE PRESSURE REGULATORS. Neptune ventilator 145 Technical manual 8.Flow regulators: See technical manual section 3.6 THE FLOW REGULATORS 9.O2 Flush: See technical manual section 3.7 O2 FLUSH 10.Pressure switches: See technical manual section 3.8 THE INPUT PRESSURE SWITCHES 11.ZERO and MAX calibration transducers : See technical manual section 3.4 THE PRESSURE TRANSDUCERS 12.Bottle safety valve: See technical manual section 3.9 THE BOTTLE SAFETY VALVE 13.Valve test: See technical manual section 3.10 VALVES TEST 14.Front absorber selector: Set selector knob in front position and verify or fresh gas comes out on front. Try to go in MAN mode. Check message on screen “Low Drive pressure” or “Fresh gas front output selected”. Set selector knob in absorber position and verify or fresh gas comes out on absorber. 15.Suction: Be sure that vacuum is connected on ventilator. Set Suction ON , block input suction jar and check for negative pressure on pressure gauge. Set suction OFF, No negative pressure may be seen on pressure gauge when blocking the input from the suction jar with the suction selector in OFF position. 16. Handset safety valve: Set the valve in close position and perform a leakage test. Close patient Y and set flow of 10Lpm Open fresh gas flow and verify max pressure, when valve is completely closed The max pressure that can build up is 60 hPa +/_ 5hPa 17.O2 Measurement: Go to setup menu section O2 calibration and perform a 21% and 100% calibration. Neptune ventilator 146 Technical manual Check also wire and connection with O2 cell. See users manual section 18.Connections: Check all external connection’s. 19.Absorber: See technical manual Absorber 20.Flowmeter: See technical manual Flowmeter 21.Gasovac: See technical manual Gasovac 22.Leaktest: See technical manual section 3.11 PERFORM A LEAKTEST 24.AERTH connection and mains output: Disconnect the mains power cable and measure resistance between earth connection on mains plug and earth connection on mains outlet on top cover plate. The resistance must be less then 0.2 Ohm. Measure resistance between earth connection on mains plug and cover plate The resistance must be less then 0.2 Ohm. 25.Working: Connect ventilator with test lung. Let the ventilator work in CMV mode with following parameters. TV: 500 PEEP 0hPa Freq: 16 Insp.Pause 0 I:E 1/2 Freshgas 1LPM Check volume on display with volume on testlung. Neptune ventilator 147 Technical manual 6. TROUBLESHOOTING Error code: 01 7 segment display code Tidal volume : Err Peak : 01 Plateau : 01 LCD display Error detected / error 01 / MMI board / Internal program memory error ¾ Problem: MMI board - Internal program memory error Action: See section 1.4 MMI BOARD- Microprocessor internal function test. Error code: 02 7 segment display code Tidal volume : Err Peak : 01 Plateau : 02 LCD display Error detected / error 02 / MMI board / Internal SRAM error ¾ Problem: MMI board - Internal SRAM error Action: See section 1.4 MMI BOARD- Microprocessor internal function test. Error code: 03 7 segment display code Tidal volume : Err Peak : 01 Plateau : 03 LCD display Error detected / error 03 / MMI board / Internal timer error ¾ Problem: MMI board - Internal timer error Action: See section 1.4 MMI BOARD- Microprocessor internal function test. Neptune ventilator 148 Technical manual Error code: 04 7 segment display code Tidal volume : Err Peak : 01 Plateau : 04 LCD display Error detected / error 04 / MMI board / Internal EEprom error ¾ Problem: MMI board - Internal EEprom error Action: Reset display parameters. See section 1.4 MMI BOARD- Microprocessor internal function test Resolve internal function test error code 4 – Internal EEPROM error Error code: 05 7 segment display code Tidal volume : Err Peak : 01 Plateau : 05 LCD display Error detected / error 05 / MMI board / Internal watchdog error ¾ Problem: MMI board - Internal watchdog error Action: See section 1.4 MMI BOARD- Microprocessor internal function test. Error code: 11 7 segment display code Tidal volume : Err Peak : 02 Plateau : 01 LCD display Error detected / error 11 / MMI board / External flash error ¾ Problem: MMI board - External flash error Action: See section 1.4 MMI BOARD- Microprocessor external function test Resolve external function test error code 1 – External flash error Neptune ventilator 149 Technical manual Error code: 12 7 segment display code Tidal volume : Err Peak : 02 Plateau : 02 LCD display Error detected / error 12 / MMI board / SRAM error ¾ Problem: MMI board - External SRAM error Action: See section 1.4 MMI BOARD- Microprocessor external function test Resolve external function test error code 2 – External SRAM error Error code: 13 7 segment display code Tidal volume : Err Peak : 02 Plateau : 03 LCD display Error detected / error 13 / MMI board / external display driver error ¾ Problem: MMI board - External display driver error Action: See section 1.4 MMI BOARD- Microprocessor external function test Resolve external function test error code 3 – External display driver error Error code: 15 7 segment code Tidal volume : Err Peak : 02 Plateau : 05 LCD display Error detected / error 15 / MMI board / 7 Segment lockup ¾ Problem: MMI board – 7 segement lockup Action: See section 1.4 MMI BOARD- Microprocessor internal function test Perform the internal function test See section 1.4 MMI BOARD- 7 segment display test Perform the 7 segment display test Neptune ventilator 150 Technical manual Error code: 16 7 segment code Tidal volume : Err Peak : 02 Plateau : 06 LCD display Error detected / error 16 / MMI board / Barograph lockup ¾ Problem: MMI board – barograph lockup Action: See section 1.4 MMI BOARD- Microprocessor internal function test Perform the internal function test See section 1.4 MMI BOARD- barograph test Perform the barograph test Error code: 17 7 segment code Tidal volume : Err Peak : 02 Plateau : 07 LCD display Error detected / error 17 / MMI board / Frontleds lockup ¾ Problem: MMI board – Frontleds lockup Action: See section 1.4 MMI BOARD- Microprocessor internal function test Perform the internal function test See section 1.4 MMI BOARD- led indicator test Perform the led indicator test Error code: 18 7 segment code Tidal volume : Err Peak : 02 Plateau : 08 LCD display Error detected / error 18 / MMI board / Buzzer lockup ¾ Problem: MMI board – buzzer lockup Action: See section 1.4 MMI BOARD- Microprocessor internal function test Perform the internal function test See section 1.4 MMI BOARD- buzzer test Perform the buzzer test Neptune ventilator 151 Technical manual Error code: 19 7 segment code Tidal volume : Err Peak : 02 Plateau : 09 LCD display Error detected / error 19 / MMI board / LCD lockup ¾ Problem: MMI Board - LCD lockup Action: See section 1.4 MMI BOARD- Microprocessor internal function test Perform the internal function test See section 1.4 MMI BOARD- showing a test pattern on the graphic display Perform the lcd pattern test See section 1.4 MMI BOARD- Microprocessor external function test Resolve external function test error code 3 – External display driver 20 Error code: 7 segment code Tidal volume : Err Peak : 02 Plateau : 04 LCD display Error detected / error 20 / MMI board / keyboard / encoder failure ¾ Problem: MMI board - Keyboard controller – Other failure Problems with keyboard layer/circuit or the encoder knob. Action: Verify that there is no key pressed. Verify the encoder knob is not locked. See section 1.4 MMI BOARD- Keyboard test Perform the keyboard test See section 1.4 MMI BOARD- Encoder test Perform the encoder test Error code: 28 7 segment code Tidal volume : Err Peak : 03 Plateau : 01 LCD display Error detected / error 28 / communication 25 ms timeout ¾ Problem: Board communication error - 25 ms timeout Communication with other boards is not possible. Action: A communication problem can be the result from problems on the display board but also from problems on other boards. Neptune ventilator 152 Technical manual In case of communication error: Perform an internal test for all boards. And verify or the tests on all boards pass. See section 1.4 MMI BOARD - Microprocessor internal function test. See section 1.7 MASTER BOARD - Microprocessor internal function test. See section 1.8 PNEUMATIC BOARD - Microprocessor internal function test. Perform an external test for all boards. See section 1.4 MMI BOARD – Microprocessor external function test. See section 1.7 MASTER BOARD - Microprocessor external function test. See section 1.8 PNEUMATIC BOARD - Microprocessor external function test. Perform a communication test between MASTER and DISPLAY board See section 1.7 MASTER BOARD - Communication test between master board and display board Perform a communication test between MASTER and PNEUMATIC board See section 1.7 MASTER BOARD - Communication test between master board and pneumatic board Error code: 29 7 segment code Tidal volume : Err Peak : 03 Plateau : 02 LCD display Error detected / error 29 / Parity error start-up ¾ Problem: Board communication error - Parity error start-up Communication with other boards is not possible. Action: Same action as for Error code: 28 Error code: 30 7 segment code Tidal volume : Err Peak : 03 Plateau : 03 LCD display Error detected / error 30 / parity error start-receive byte ¾ Problem: Board communication error - Parity error start-receive byte Communication with other boards is not possible. Action: Same action as for Error code: 28 Neptune ventilator 153 Technical manual Error code: 31 7 segment code Tidal volume : Err Peak : 03 Plateau : 04 LCD display Error detected / error 31 / Receive string length error ¾ Problem: Board communication error - Receive string length error Communication with other boards is not possible. Action: Same action as for Error code: 28 Error code: 32 7 segment code Tidal volume : Err Peak : 03 Plateau : 05 LCD display Error detected / error 32 / Eot counter out of range ¾ Problem: Board communication error - Eot counter out of range Communication with other boards is not possible. Action: Same action as for Error code: 28 Error code: 33 7 segment code Tidal volume : Err Peak : 03 Plateau : 06 LCD display Error detected / error 33 / Target slave not ready ¾ Problem: Board communication error - Target slave not ready Communication with other boards is not possible. Action: Same action as for Error code: 28 Neptune ventilator 154 Technical manual Error code: 34 7 segment code Tidal volume : Err Peak : 03 Plateau : 07 LCD display Error detected / error 34 / Transmit string wrong ¾ Problem: Board communication error - Transmit string wrong Communication with other boards is not possible. Action: Same action as for Error code: 28 Error code: 41 7 segment code Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 41 / Pneumatic board / Global error ¾ Problem: Pneumatic board global error. Action: Perform an internal test on pneumatic board. See section 1.8 PNEUMATIC BOARD - Microprocessor internal function test. Perform an external test on pneumatic board. See section 1.8 PNEUMATIC BOARD - Microprocessor external function test. Error code: 44 7 segment code Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 44 / Pneumatic board / Not able to start A/D converter ¾ Problem: Pneumatic board – Not able to start A/D converter Problem with analog digital converter on pneumatic board. Action: Perform an external test on pneumatic board. See section 1.8 PNEUMATIC BOARD - Microprocessor external function test. Neptune ventilator 155 Technical manual Error code: 45 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 45 / Pneumatic board / A/D converter busy time-out ¾ Problem: Pneumatic board – A/D converter busy time-out Problem with analog digital converter on pneumatic board. Action: Perform an external test on pneumatic board. See section 1.8 PNEUMATIC BOARD - Microprocessor external function test. Error code: 46 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 46 / Pneumatic board / A/D readings equal to $FFF ¾ Problem: Pneumatic board – A/D readings equal to $FFF Problem with analog digital converter on pneumatic board. Action: Perform an external test on pneumatic board. See section 1.8 PNEUMATIC BOARD - Microprocessor external function test. Error code: 47 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 47 / Pneumatic board / A/D readings equal to $000 ¾ Problem: Pneumatic board – A/D readings equal to $000 Problem with analog digital converter on pneumatic board. Action: Perform an external test on pneumatic board. See section 1.8 PNEUMATIC BOARD - Microprocessor external function test. Neptune ventilator 156 Technical manual Error code: 48 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 48 / Pneumatic board / Internal EEPROM memory error ¾ Problem: Pneumatic board – Internal EEPROM memory error Action: Perform an internal test on pneumatic board. See section 1.8 PNEUMATIC BOARD - Microprocessor internal function test Resolve internal function test error code 4 – Internal EEPROM error Reset from the pneumatic board EEPROM settings will AFFECT the calibration parameters. Recalibration of the ventilator is necessary in this case. Refer to the maintenance and calibration procedure described this manual! Error code: 49 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 49 / Pneumatic board / +12V input voltage too low ¾ Problem: Pneumatic board – 12V input voltage too low Action: Check 12V voltage on DC/DC converter. Connector P1: Pin number 3 4 Neptune ventilator Description +12V DC output voltage GND Perform a Pneumatic function test. See section 1.8 PNEUMATIC BOARD - Pneumatic function test. 157 Technical manual Error code: 50 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 50 / Pneumatic board / +12V valves enable circuit error ¾ Problem: Pneumatic board – 12V valves enable circuit error Input voltage is OK but circuit can’t switch ON the 12V valve voltage Action: Disconnect valve connectors Perform. Perform a Pneumatic function test. See section 1.8 PNEUMATIC BOARD - Pneumatic function test. Check for bad valve or short circuit if test is OK when valve connectors are disconnected. Check circuit Q1 / Q2 when test is not OK and valve connectors are disconnected. Q1 +12v R30 22K RFP30P05 U8A 4 13 Q CLR B A Q Q2 Cext 14 GND C20 330N 10K R9 BS170M 3 2 1 RCext R20 100K VCC 15 74HC123 GND Neptune ventilator 158 Technical manual Error code: 51 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 51 / Pneumatic board / +12V valves disable circuit error ¾ Problem: Pneumatic board – 12V valves disable circuit error Input voltage is OK but circuit can’t switch the 12V valve voltage OFF. Action: Disconnect valve connectors Perform. Perform a Pneumatic function test. See section 1.8 PNEUMATIC BOARD - Pneumatic function test. Check circuit Q1 / Q2 Q1 +12v R30 22K RFP30P05 U8A 4 13 Q CLR B A Q Q2 Cext 14 GND C20 330N 10K R9 BS170M 3 2 1 RCext R20 100K VCC 15 74HC123 GND Neptune ventilator 159 Technical manual Error code: 51 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 52 / Pneumatic board / Not able to fill tank ¾ Problem: Pneumatic board – Not able to fill tank A. When first starting in CMV or PCV mode the tank is filled with pressure for the first inspiration. There is a time limit on this filling and when this time is exceeds ERROR message 52 “Not able to fill tank ”is set on screen. B. During CMV or PCV mode, the tank will be filled with a calculated pressure during expiration, this filling has to be done before new inspiration starts. When this filling is still busy when new inspiration starts, ERROR message 52 “Not able to fill tank ”is set on screen. Action: Situation A: "Low input pressure or selector knob fresh gas in front position and input pressure switch disabled. Check selector knob fresh gas front absorber. Check input pressure ,more than 3000hPa/3bar. Check or input pressure switches are in ON position Go to next step 4 when previous checks are OK When the switches are in OFF position, the software will not check for low level input pressure and will try to fill tank by activating valve V4 or V7 and V8.When this filling is not possible within time, ERROR message 52 “Not able to fill tank ”is set on screen. Neptune ventilator 4 Go to calibration menu. Activate 12v valves. Activate valve V5 to discharge Tank. Verify tank pressure must be 0hPa/0mbar. Perform a zero calibration tank if not zero. Set valve V5 OFF. Activate valve 4 and let pressure in tank increase up to 2000hPa 2bar and set valve V4 OFF. If not possible, check valve 4 and X2.and connection V4. Activate valve V5 to discharge Tank. .Set valve V5 OFF. Activate valve 7,let pressure in tank increase up to 2000hPa / 2bar and set valve V7 OFF. If not possible, check valve 7 and connection V7. Activate valve V5 to discharge Tank. .Set valve V5 OFF. Activate valve 8,let pressure in tank increase up to 2000hPa / 2bar 160 Technical manual set valve V8 OFF. If not possible, check valve 8 & connection V8. Situation B: "Low input pressure or selector knob fresh gas to front position switched during CMV or PCV mode and input pressure switch disabled. Check selector knob fresh gas front absorber. Check input pressure ,more than 3000hPa / 3bar. Check or input pressure switches are in ON position Go to next step 4 when previous checks are OK When the switches are in OFF position, the software will not check for low level input pressure and will try to fill tank by activating valve V4 or V7 and V8.When this filling is not possible before next inspiration starts, ERROR message 52 “Not able to fill tank ”is set on screen. 4 Go to calibration menu. Activate 12v valves. Activate valve V5 to discharge Tank. Verify tank pressure must be 0hPa / 0mbar. Perform a zero calibration tank if not zero. Set valve V5 OFF. Activate valve 4 and let pressure in tank increase up to 2000hPa 2bar and set valve V4 OFF. If not possible, check valve 4 and X2. and connection V4. Activate valve V5 to discharge Tank. .Set valve V5 OFF. Activate valve 7,let pressure in tank increase up to 2000hPa / 2bar and set valve V7 OFF. If not possible, check valve 7 and connection V7. Activate valve V5 to discharge Tank. .Set valve V5 OFF. Activate valve 8,let pressure in tank increase up to 2000hPa / 2bar and set valve V8 OFF. If not possible, check valve 8 and connection V8. Error code: 53 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 53 / Pneumatic board Not able to stop tank filling ¾ Problem: Pneumatic board –Not able to stop tank filling When the tank is filled and the valves to fill the tank are switched OFF a check is done or the pressure is within limits. If the pressure is higher than the calculated value ERROR message 53 “Not able to stop tank filling ”is set on screen. Neptune ventilator 161 Technical manual A. When first starting in CMV or PCV mode, the tank will be discharged before filling. This has to be done within time .if not ERROR message 53 “Not able to stop tank filling ”is set on screen, because of high pressure in tank. B. During CMV or PCV mode, the tank will be filled with a calculated pressure during expiration, at the end of expiration the pressure in the tank is checked with the calculated pressure. When this pressure is higher then the calculated pressure value ERROR message 53 “Not able to stop tank filling ”is set on screen. Action: Situation A: "Low input pressure or selector knob fresh gas in front position and input pressure switch disabled. Check selector knob fresh gas front absorber. Check input pressure ,more than 3000hPa/3bar. Check or input pressure switches are in ON position Go to next step 4 when previous checks are OK When the switches are in OFF position, the software will not check for low level input pressure and will try to discharge tank pressure by activating valve V5.Activation from valve 5 is done electrical but X3 is pneumatically driven and activation will be not possible when there is no pressure. When discharging is not possible within time, ERROR message 53 “Not able to stop tank filling ”is set on screen. 4 Go to calibration menu. Activate 12v valves. Activate valve V5 to discharge Tank. If not possible check X3,V5 and connection V5. When X3/V5 is OK verify tank pressure, must be 0hPa / 0mbar. Perform a zero calibration tank if not zero. Perform a leakage check V7,V8 and X2 See section 3.10 VALVES TEST / Leakage check V7,V8 and X2. Situation B: " Checked Tank pressure at end of expiration is higher than calculated value. Neptune ventilator Go to calibration menu. Activate 12v valves. Activate valve V5 to discharge Tank. Verify tank pressure must be 0hPa / 0mbar. Perform a zero calibration tank if not zero. Set valve V5 OFF. Perform a leakage check V7,V8 and X2 See section 3.10 VALVES TEST / Leakage check V7,V8 and X2. 162 Technical manual Error code: 54 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 54 / Pneumatic board / Tank low flow valve close time ¾ Problem: Pneumatic board – Tank low flow valve close time When the tank is filled and the valves to fill the tank are switched OFF a check is done or the pressure is within limits. If the pressure is higher than the calculated value and valves V7 and V8 are used to fill tank, ERROR message 54 “Tank low flow valve close time” is set on screen. Action: Go to calibration menu. Activate 12v valves. Activate valve V5 to discharge Tank. Verify tank pressure must be 0hPa / 0mbar. Perform a zero calibration tank if not zero. Set valve V5 OFF. Perform a leakage check V7,V8 See section 3.10 VALVES TEST / Leakage check V7,V8 and X2. Error code: 55 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 55 / Pneumatic board / Tank high flow valve close time ¾ Problem: Pneumatic board – Tank high flow valve close time When the tank is filled and the valves to fill the tank are switched OFF a check is done or the pressure is within limits. If the pressure is higher than the calculated value and valve V4 / X2 is used to fill tank, ERROR message 55 “Tank high flow valve close time” is set on screen. Action: Go to calibration menu. Activate 12v valves. Activate valve V5 to discharge Tank. Verify tank pressure must be 0hPa / 0mbar. Perform a zero calibration tank if not zero. Set valve V5 OFF. Perform a leakage check valve X2. See section 3.10 VALVES TEST / Leakage check V7,V8 and X2. Neptune ventilator 163 Technical manual Error code: 56 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 56 / Pneumatic board / End exp. pressure to high ¾ Problem: Pneumatic board – End exp. pressure to high In CMV and PCV, the pressure is checked at the end of expiration. When this pressure is higher than the PEEP setting + 20 the ventilator Stops the working mode, switch over to manual and error message is set on screen. Action: Check evacuation port at back side ventilator for obstruction. Error code: 57 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 57 / Pneumatic board / PIP press. higher than upp.lim ¾ Problem: Pneumatic board – PIP press. higher than upp.lim. At end of inspiration CMV or PCV, the pip pressure is checked. If higher than the upper limit +20 hPa / +20mbar (MAX 105hPa / 105mbar) the ventilator stops the working mode, switch over to manual and error message is set on screen. Action: Check PEEP valve in patient breathing unit. Check valve V13 and V10 Error code: 58 Tidal volume : Err Peak : 00 Plateau : 00 LCD display Error detected / error 57 / Pneumatic board / Not able to lower tank pressure ¾ Problem: Pneumatic board – Not able to lower tank pressure. At start of expiration the tank is filled with pressure. When there is already a pressure in the tank that is higher than the calculated pressure, the tank pressure will be discharged. If this is not possible before next inspiration starts, the software will see that the discharging was still busy and an error message 58 is set on screen. Action: Check valve V5 and X3. Neptune ventilator 164 Technical manual CHECKLIST NEPTUNE. Serial number:……………… Total working hours:……… Done by:…………………….. Date:………/………/………… conform Y/N 1 Visual inspection 2 Keyboard & encoder 3 Speaker 4 Mains / battery indicator 5 Fan & filter 6 Battery 7 Internal connections 8 Pressure regulators 9 Flow regulators 10 Remarks O2 Flush 11 Pressure switches 12 Calibration transducer 13 Bottle safety valve 14 Valve test 15 Front/ absorber selector 16 Handset safety valve 17 Suction 18 O2 Measurement 19 Connections 20 Absorber 21 Flowmeter 22 Gasovac 23 Leak test 24 Earth connection 25 Working Neptune ventilator 165 Technical manual CHECKLIST NEPTUNE. Replaced parts: Part Nummer Quantity Remark 121213000 Switching diaphragm 121227000 Mushroom valve 250035000 Gas bag 501190100 O-ring 19X1 121250000 Venting valve 121236000 Valve 124228000 Expiration valve 505140100 O-ring 14 x 1,78 silic. 70° shore 501180200 O-ring 18 x 2 501320200 O-ring 32 x 2 501580300 O-ring 58 x 3,5 501250100 O-ring 25 x 2,5 501235100 O-ring 23.52 x 1,78 505030300 O-ring 3 x 3 silic. 70° blue 505100500 O-ring 10 x 3 silic. 70° blue 668202000 Battery 12v 7.2 Ah Neptune ventilator 166 Technical manual