VAULT COPY Datascope® is a U.S. registered trademark of Datascope Corp. Anestar™, Anestar Plus™, and Anestar S™ are U.S. trademarks of Datascope Corp. Krytox® is a U.S. registered trademark of E. I. du Pont de Nemours and Company Selectatec™ is a U.S. trademark of Datex Ohmeda Vac Kote® is a U.S. registered trademark of Ball Aerospace & Technologies Corp. Copyright © Datascope Corp., 2005. Printed in U.S.A. All rights reserved. Contents of this publication may not be reproduced in any form without permission of Datascope Corp. 0070-10-0526 Anestar™ Systems Service Manual Table of Contents Foreword ....................................................................................................................................................... v Warnings, Precautions and Notes..................................................................................................................... v Warnings ...................................................................................................................................................... v Precautions .................................................................................................................................................... vi Notes ............................................................................................................................................................ vii Theory of Operation ......................................................................................................... 1 - 1 Introduction ....................................................................................................................................................1 - 1 Conventions - References to Models .................................................................................................................. 1 - 1 Microprocessor-controlled Ventilator.................................................................................................................. 1 - 2 Breathing System ............................................................................................................................................ 1 - 3 Gas Conditioning Unit..................................................................................................................................... 1 - 3 The Ventilator Unit .......................................................................................................................................... 1 - 4 Adjustable Alarms........................................................................................................................................... 1 - 5 Fresh Gas Decoupling ..................................................................................................................................... 1 - 6 Compliance Compensation .............................................................................................................................. 1 - 6 Electrical Supply ............................................................................................................................................. 1 - 7 Line Terminal Block .................................................................................................................................. 1 - 7 Electrical components............................................................................................................................... 1 - 8 Power Supply Module (AVM 2-1)...................................................................................................................... 1 - 9 Assembly................................................................................................................................................ 1 - 9 Connectors ............................................................................................................................................. 1 - 10 Fuses ..................................................................................................................................................... 1 - 12 Battery charging / discharging control ....................................................................................................... 1 - 12 Battery control status indicators ................................................................................................................. 1 - 12 Module 1 — Communications/Display Controller ............................................................................................... 1 - 13 Advanced Functions.................................................................................................................................1 - 13 Module 1.1 Display Interface Board .......................................................................................................... 1 - 13 Module 1.2 EL or LCD Display PC Board.................................................................................................... 1 - 14 Connectors ............................................................................................................................................. 1 - 14 Ventilator Module 2, AVM 3-1 / AVM 3-2......................................................................................................... 1 - 15 Advanced Functions.................................................................................................................................1 - 15 Assembly................................................................................................................................................ 1 - 16 Connectors ............................................................................................................................................. 1 - 17 Display .......................................................................................................................................................... 1 - 19 Battery........................................................................................................................................................... 1 - 19 Ventilator Pneumatic — O2 Drive Gas ............................................................................................................... 1 - 19 Ventilator pneumatic drive ........................................................................................................................ 1 - 19 HP-High pressure regulator (29 psi [2 Bar])................................................................................................. 1 - 19 LP- Low pressure regulator (2.9 psi [200 mBar]) .......................................................................................... 1 - 19 Solenoid valves - MV1, MV2, MV3 and MV4 ............................................................................................. 1 - 20 Pneumatic driving module......................................................................................................................... 1 - 20 Flow metering module .............................................................................................................................. 1 - 21 Tube color coding.................................................................................................................................... 1 - 21 The Breathing System (Circle System) ................................................................................................................1 - 22 Top view of the Anestar Breathing System................................................................................................... 1 - 22 Top view on the Anestar S Breathing System ............................................................................................... 1 - 24 Bottom view of the Anestar Breathing System .............................................................................................. 1 - 25 Bottom view of the Anestar S Breathing System ...........................................................................................1 - 27 Breathing System ..................................................................................................................................... 1 - 29 Breathing System components ................................................................................................................... 1 - 36 Anestar™ Systems Service Manual 0070-10-0526 i Table of Contents Repair Information ........................................................................................................... 2 - 1 Warnings and Precautions ............................................................................................................................... 2 - 2 Warnings ............................................................................................................................................... 2 - 2 Precautions ............................................................................................................................................. 2 - 2 Troubleshooting Guidelines .............................................................................................................................. 2 - 3 Troubleshooting Chart ..................................................................................................................................... 2 - 4 Common symptoms and corrective actions for field service technicians...........................................................2 - 4 Common Anestar Messages...................................................................................................................... 2 - 6 Special Tools Required .................................................................................................................................... 2 - 9 Disassembly Instructions...................................................................................................................................2 - 10 Connecting and disconnecting vaporizers .................................................................................................. 2 - 10 Removing the auxiliary O2 Flowmeter ........................................................................................................ 2 - 10 Removing the compressed Gas Tanks......................................................................................................... 2 - 10 Removing the Waste Gas Scavenger ......................................................................................................... 2 - 10 Removing the Breathing System ................................................................................................................. 2 - 11 Removing the CO2 Absorber Canister........................................................................................................ 2 - 11 Removing the Bellows and Dome System .................................................................................................... 2 - 11 Removing the Airway Pressure Limiting Valve (APL) ...................................................................................... 2 - 12 Inspecting/replacing the Decoupling and Expiratory Valve Membrane........................................................... 2 - 12 Disassembling the Negative Pressure Relief, Inspiration, and Expiration Valves ...............................................2 - 12 Removing the Flow Meter Block ................................................................................................................. 2 - 13 Removing the Flow Tubes ......................................................................................................................... 2 - 13 Removing the Module 2 Circuit Board Set................................................................................................... 2 - 13 Removing the Power Supply Module .......................................................................................................... 2 - 14 Removing the Pressure Gauges.................................................................................................................. 2 - 14 Remove Module 1 Circuit Board Set .......................................................................................................... 2 - 14 Removing Internal Regulators, Proportional Valve and Flow Divider ............................................................... 2 - 14 Instructions for Removing and Installing the Docking Station Port:................................................................... 2 - 15 Diagrams.......................................................................................................................... 3 - 1 Anestar Pneumatic Circuit, O2 Drive.................................................................................................................. 3 - 2 Anestar Pneumatic Circuit, Air Drive.................................................................................................................. 3 - 3 Anestar Docking Station Pneumatic Connections ................................................................................................. 3 - 4 Anestar S Pneumatic Circuit, O2 Drive............................................................................................................... 3 - 5 Anestar S Pneumatic Circuit, Air Drive ............................................................................................................... 3 - 6 Anestar S Docking Station Pneumatic Connections .............................................................................................. 3 - 7 Anestar Pneumatic Circuit, O2 Drive with N2O/Air Switch .................................................................................. 3 - 8 Replacement Parts and Accessories ................................................................................... 4 - 1 Diagrams....................................................................................................................................................... 4 - 1 Parts List ........................................................................................................................................................4 - 20 ii 0070-10-0526 Anestar™ Systems Service Manual Table of Contents Calibration ....................................................................................................................... 5 - 1 Introduction .................................................................................................................................................... 1 Calibration Warnings, Precautions, and Notes ................................................................................................... 5 - 2 Anestar and Anestar S Test Procedure ............................................................................................................... 5 - 4 Machine Exterior Inspection ...................................................................................................................... 5 - 4 Inspecting/Replacing Consumable Parts ..................................................................................................... 5 - 4 Power Supply Checks............................................................................................................................... 5 - 11 Functional Tests ....................................................................................................................................... 5 - 12 Service Software............................................................................................................................................. 5 - 33 Navigation through Service Diagnostic Software Screens.....................................................................................5 - 34 The Main Menu....................................................................................................................................... 5 - 34 Troubleshooting Utilities............................................................................................................................ 5 - 36 Calibration ............................................................................................................................................. 5 - 47 Temperature Sensor ADC Min-Max calibration............................................................................................ 5 - 51 Checkout Recommendations...................................................................................................................... 5 - 65 Ventilator Performance .................................................................................................................................... 5 - 69 Performance check .................................................................................................................................. 5 - 69 Checkout Recommendations...................................................................................................................... 5 - 69 Preventive Maintenance.................................................................................................... 6 - 1 Maintenance Schedule .................................................................................................................................... 6 - 1 Functional Checkout ........................................................................................................................................ 6 - 1 Routine Maintenance Program.......................................................................................................................... 6 - 1 Cleaning........................................................................................................................................................6 - 9 Cleaning and Disinfecting the Apparatus.................................................................................................... 6 - 9 Cleaning and Sterilizing the Breathing System and Components....................................................................6 - 9 Battery Replacement and Maintenance ..............................................................................................................6 - 10 Battery Replacement ................................................................................................................................ 6 - 10 Battery Maintenance ................................................................................................................................ 6 - 10 How to Get Help ............................................................................................................................................ 6 - 10 Warranty ......................................................................................................................... 7 - 1 Warranty Statement ........................................................................................................................................ 7 - 1 Datascope's Responsibility........................................................................................................................ 7 - 2 Extended Warranty Statement ................................................................................................................... 7 - 2 Anestar™ Systems Service Manual 0070-10-0526 iii Table of Contents This page intentionally left blank. iv 0070-10-0526 Anestar™ Systems Service Manual Foreword Introduction Foreword This Service Manual is intended as a guide for technically qualified personnel performing repair and calibration procedures. This publication may have been updated to reflect product design changes and/or manual improvements. Higher revision manuals are available from Datascope or Datascope authorized distributors. Warnings, Precautions and Notes WARNINGS alert the user to potential serious outcomes (death, injury or serious adverse events) to the patient or user. PRECAUTIONS alert the reader to exercise special care necessary for the safe and effective use of the device. NOTES are a general information statement concerning the Anestar. Please read and adhere to all warnings, precautions and notes listed here and in the appropriate areas throughout this manual. Warnings WARNING: For continued protection against a fire hazard, replace all fuses with the specified type and rating. WARNING: In order to prevent an electric shock, the machine (protection class I) may only be connected to a correctly grounded mains connection (socket outlet with grounding contact). WARNING: Remove all accessory equipment from the shelf before moving the anesthesia machine over bumps or on any inclined surface. Heavy top loading can cause the machine to tip over causing injury. WARNING: Use only approved lubricant on any O-ring in contact with oxygen. Vac Kote® or Krytox® (U.S. Equivalent to Fomblin) are recommended oxygen service lubricants. Krytox is distributed by MediVac Technologies. Vac Kote is distributed by Ball Aerospace and Technologies Corp. WARNING: Possible explosion hazard. Do not operate machine near flammable anesthetic agents or other flammable substances. Do not use flammable anesthetic agents (i.e., ether or cyclopropane.) WARNING: The use of anti-static or electrically conductive breathing tubes, when utilizing high frequency electric surgery equipment, may cause burns and is therefore not recommended in any application of this machine. WARNING: Possible electric shock hazard. The machine may only be opened by Datascope qualified or Datascope authorized service personnel. Anestar™ Systems Service Manual 0070-10-0526 v Introduction Precautions WARNING: Compressed gasses are considered Dangerous Goods/ Hazardous Materials per I.A.T.A. and D.O.T. regulations. It is a violation of federal and international law to offer any package or over pack of dangerous goods for transportation without the package being appropriately identified, packed, marked, classified, labeled and documented according to D.O.T. and I.A.T.A. regulations. Please refer to the applicable I.A.T.A. Dangerous Goods Regulations and /or the Code of Federal Regulations 49 (Transportation, Parts 171-180) for further information. WARNING: Whenever flowing anesthetic gases, nitrous oxide, oxygen, or any hospital gas always follow the appropriate agent evacuation/collection procedures. Use the hospital gas evacuation system. Precautions vi CAUTION: After changing the CO2, absorbent, carry out a system leak test. CAUTION: Only Selectatec™ compatible vaporizers with InterlockSystem may be used with the Anestar unit. CAUTION: After each exchange of a vaporizer, carry out a system Leak test. CAUTION: Use cleaning agent sparingly. Excess fluid could enter the machine, causing damage. CAUTION: The patient dome of the bellows system cannot be autoclaved. It is not in contact with the ventilation gas. If soiled, the patient dome should be cleaned with water and liquid cleaning agent. The unit can be disinfected with a standard surface-disinfecting agent. Do not use alcohol. CAUTION: Do not clean the machine while it is on and/or plugged in. CAUTION: Pressing Quit at any time during the procedure will cancel the session’s settings and reload the previously-stored calibration coefficients. CAUTION: Do not leave gas cylinder valves open if the pipeline supply is in use and the system master switch is turned to 'ON'. If used simultaneously cylinder supplies could be depleted, leaving an insufficient reserve supply in the event of pipeline failure. CAUTION: Spent soda lime changes in color. Replace the soda lime if approximate 2/3 of the absorber content is discolored. CO2 absorbent can be safely changed without stopping mechanical ventilation. CAUTION: Refer to the maintenance intervals in the Preventive Maintenance section for guidance on which steps are to be performed and when. CAUTION: This machine must only be operated by trained, skilled medical staff. 0070-10-0526 Anestar™ Systems Service Manual Notes Introduction CAUTION: Direct the flow from the fresh gas outlet to the waste gas scavenger hose. Connect the other side of the hose to the Waste Gas Scavenger. Tee the connection at the fresh gas outlet to measure the agent gas as it flows to the scavenger. CAUTION: Perform the electrical safety inspection as the last step after completing a repair or after routine maintenance. Perform this inspection with all covers, panels, and screws installed. CAUTION: This device operates using compressed gas at high pressures. When attaching emergency gas tanks always open tank valves slowly, watching the cylinder gauge indicate the tank pressure. When disconnecting tanks always close valves slowly. Use the Anestar flow meters to bleed down the pressure, watching the cylinder gauge indicate the depleting tank pressure, before disconnecting the tank from the yoke. Always open and close tank valves fully. CAUTION: This device operates using compressed gas at high pressures from the hospital central supply. When connecting gas supply lines attach the hose connection to the machine before connecting the quick disconnect fitting to the hospital source. Disconnect the supply hose from the hospital source connection prior to disconnecting it from the Anestar gas connection fittings. Notes NOTE: Anestar™ Systems Service Manual Unauthorized servicing may void the remainder of the warranty. Check with the factory or with a local authorized Datascope distributor to determine the warranty status of a particular instrument. 0070-10-0526 vii Introduction Notes This page intentionally left blank. viii 0070-10-0526 Anestar™ Systems Service Manual 1.0 Theory of Operation 1.1 Introduction The AnestarTM Anesthesia Delivery Systems are flexible anesthesia workstations capable of applying and monitoring ventilation in open, closed and semi-closed circuits using high and low flow techniques. The Anestar Anesthesia Systems include the components described in subsequent topics in this chapter. 1.2 Conventions - References to Models This manual describes three Anestar models, the Anestar, Anestar Plus, and Anestar S. All general descriptions and any references to the Anestar Systems shall reflect all three versions. Descriptions specific to one model shall be identified using the specific model name, i.e., Anestar, Anestar Plus, or Anestar S. Anestar™ Systems Service Manual 0070-10-0526 1-1 Microprocessor-controlled Ventilator 1.3 Theory of Operation Microprocessor-controlled Ventilator The Microprocessor-controlled ventilator, with its dedicated Breathing System, allows timecontrolled, pressure limited, constant volume ventilation for all patient groups within a tidal volume range of (4 kg infant) 40 ml to (large adult) 1400 ml. The system compliance of the respiratory tubes in the breathing circuit and machine dead space are automatically compensated for by the ventilator so that low tidal volumes can be maintained and dosed accurately. The ventilator incorporates time-controlled, pressure limited and compliance compensated constant volume-controlled ventilation (CMV mode). This provides a viable ventilation method for complicated lung conditions. The ventilator also provides time-controlled, volume dependant ventilation, targeting a set (adjustable) plateau pressure (PVC mode). Automatic and comprehensive system startup tests and alarm management systems ensures controlled ventilation conditions in every mode of operation. The durable and ergonomically designed touchscreen user interface allow for easy operation of the ventilator. The glass touchscreen surface resists scratches and degradation from cleaning agents. The display provides the selected ventilation modes (CMV or PCV) and the following measured values: Tidal Volume, Peak Pressure, Mean Pressure, FiO2, Breath Rate, I:E Ratio, PEEP, Plateau Pressure, Alarm limits, and real-time Airway Pressure waveform. 1-2 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.4 Breathing System Breathing System The circle system is integrated into a compact aluminum block. This block is heated to body temperature to avoid humidified gases condensing within the Breathing System thus improving airway climatization for the patient's re-breathing of respiratory gases. The heated Breathing System contains: inspiratory valve with O2 adapter for FiO2 measurement, expiratory valve, emergency air intake valve to prevent negative end expiratory pressure (NEEP), emergency pressure relief button (Anestar only), APL valve, manual bag connection and internal expiratory flow sensor. The Breathing System is connected to the Anestar through a controlled motor drive which automatically senses connection and disconnection. A threaded shaft pulls the Breathing System toward the docking station. The Anestar S Breathing System is mechanically latched to the docking station. It can be unlocked by rotating a mechanical lever. This lever is located on the underside of the Docking Station where it connects to the Breathing System. 1.5 Gas Conditioning Unit The flowmeter block incorporates all necessary safety features such as O2 pressure loss alarm and N2O shutoff. An integrated pneumatically-controlled ratio system provides a minimum of 25% oxygen concentration in the fresh gas flow at settings above 500 ml total fresh gas flow. A 50:50 ratio of O2 to N2O is maintained at fresh gas flows between 250 ml and 500 ml. Anestar models above serial number 4600A41000 and all Anestar S and Anestar Plus models have the O2 Flush button, Common Gas Outlet and electronic connections for the FiO2 cell and electronic APL valve incorporated in the Breathing System's docking station. Anestar models below serial number 4600A41000 do not have a Common Gas Outlet and may not have an electronic APL valve. For models below serial number 4600A41000 the FiO2 cell, O2 cable connection and the O2 Flush button are present in a different location. Anestar™ Systems Service Manual 0070-10-0526 1-3 The Ventilator Unit 1.6 Theory of Operation The Ventilator Unit The microprocessor-controlled ventilator allows time-controlled, volume-constant (CMV) or, in the Anestar the option of plateau pressure targeted (PCV) mechanical ventilation without assisted or synchronized control functions. Both Anestar and Anestar S models provide airway pressure-limiting in the CMV mode, through alarm limits. Both the Anestar and Anestar S allow manual and spontaneous respiration of the patient, adjustable PEEP, breathing time ratios (I:E), and pressure sustaining plateau function. Volume-constant respiration is affected by the time control of the respirator and the fresh gas decoupling of the Breathing System. The ventilator computes the inspiratory flow required for the tidal volume (T Vol.), respiratory rate and the ventilation time ratio (I:E) settings resulting in highly accurate delivery. PEAK PRESSURE MEAN PRESSURE cm H2O cm H2O OPTIONS VENT MODE Fi O2 Vol.% l / min 9 24 MINUTE VOLUME 2.2 MUTE CMV 21 40 20 ALARM LIMITS 0 -5 0 VIEW SETTINGS 2 220 TIDAL VOL. FLOW 4 10 RESP. RATE 6 8 1: 2 10 12 14 2 I:E PS TRIGGER 16 PEEP ENTER PLATEAU PRESSURE TARGET TARGET PRESSURE FIGURE 1-1 Sample Ventilator Display 1-4 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.7 Adjustable Alarms Adjustable Alarms Minimum and maximum alarm limit settings are available for Peak Pressure, Mean Pressure and FiO2. Minimum alarm limit settings are available for Tidal Volume and Minute Volume. Peak Pressure Limiting on Alarm Violation Exceeding the peak pressure alarm limit automatically halts the inspiratory phase preventing airway pressure from exceeding the high alarm setting. In the CMV mode, when reaching this pressure limit, a warning (alarm) ‘‘Peak pressure greater than alarm limit’’ is displayed, and inspiration is discontinued. The next inspiration occurs at the regular time interval, preventing increase of the respiratory rate. The result is a decreased tidal volume (T Vol.) and minute volume (M Vol.). During pressure limitation, the ventilator displays the alarm message until the condition is corrected. 31 3.1 14 CMV 20 40 20 0 -5 0 2 4 6 8 10 12 14 16 Tidal Volume lower than Vtmin Peak pressure greater than alarm limit 310 10 1: 2 0 FIGURE 1-2 Peak pressure greater than alarm limit Anestar™ Systems Service Manual 0070-10-0526 1-5 Fresh Gas Decoupling 1.8 Theory of Operation Fresh Gas Decoupling Tidal volume (T Vol.) is adjusted independently of the adjusted fresh gas flow. This is achieved by fresh gas decoupling. During patient inspiration the decoupling valve closes, sending the measured contents of the bellows directly to the patient through the inspiratory valve. While the decoupling valve is closed, fresh gas from the source is diverted into the reservoir bag, which remains in the circuit. Excess volume escapes through the APL valve into the waste gas scavenger. During expiration the bellows is refilled with respiratory gas from three sources: 1. Fresh gas through the open decoupling valve, 2. Stored gas from the reservoir bag, and 3. Respired gas from the expiratory limb's CO2 absorber. 1.9 Compliance Compensation Compliance compensation automatically corrects for the volume of the flexible breathing circuit and for any small leaks associated with the breathing circuit and ventilator's inspiratory limb. In the CMV ventilation mode, system compliance is monitored by the ventilator to maintain the set tidal volume (+/-10%). The ventilator reacts to changes in the patient lung compliance by monitoring changes in the peak inspiratory pressure. The Compliance Test may be performed at machine power up or from the OPTIONS menu. The Compliance Test when BYPASSED recalls the previously passed breathing circuit's volume and leak characteristics. 1-6 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation Electrical Supply 1.10 Electrical Supply 1.10.1 Line Terminal Block The line cord of the Anestar is connected to an internal terminal block. Directly connected to this terminal are convenience receptacles and the unit itself. AC Line voltage to the receptacles is available with the line cord connected. Line supply for the unit is switched by the main switch at the right side of the unit. The switched power supply is protected by a 5A circuit breaker. The switched line supply is connected to the AC IN connector on power supply board AVM 2-1. The main switch is also connected, via the terminal block, to the board AVM 2-1 (X5:5, 6), enabling detection of a main switch OFF position or missing line supply. X5 pin 6 power supply board X5 pin 5 Line cord X5 pin 4 X5 pin 3 N 120/230 V L 120/230 V int. ground wiring PE 1 1 1 2 2 3 4 2 2 3 4 1 5 5 6 6 Circuit breakers 5A ventilator 1 2 8 7 Main switch 3 4 Power supply board Circuit breaker 5A battery Circuit Breakers 10 A Convenience receptacles FIGURE 1-3 Line terminal block, 120/230 VAC supply Anestar™ Systems Service Manual 0070-10-0526 1-7 Electrical Supply 1.10.2 Theory of Operation Electrical components FIGURE 1-4 Electrical components overview 1-8 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.11 Power Supply Module (AVM 2-1) Power Supply Module (AVM 2-1) The power supply module is located on the hinged door behind the flowmeter dosing system. This module serves as the voltage supply for the ventilator Modules 1 and 2, the flowmeter backlight, the Breathing System heating blanket and the charging/discharging control for the battery. 1.11.1 Assembly FIGURE 1-5 Power supply assembly Anestar™ Systems Service Manual 0070-10-0526 1-9 Power Supply Module (AVM 2-1) 1.11.2 Connectors CONNECTOR CONNECTED TO X1 Module 1 +5V Yellow Red X1-3 GND Green X1-4 +12V Red X2-1 +5V X2-2 GND X2-3 GND X2-4 +12V X2-1 - X2-2 - X2-3 GND X2-4 +12V X4-1 +5V X4-2 GND X4-3 GND X4-4 +12V Battery X5-1 BATT+ Brown Fuse for Battery X5-2 BATT- Black Main switch X11 RT110/22 X12 AC IN 1 - 10 COLOR / NUMBER GND X4 X7 RT110/12 FUNCTION / SIGNAL X1-1 X3 X6 RT110/12 PIN DEF. X1-2 X2 X5 Theory of Operation X5-3 Cir. break. bat. Black 6 X5-4 Cir. break. bat. Black 5 X5-5 Main switch Black 4 X5-6 Main switch. Black 3 Transformer X6-1 Sec. IIa 15VAC Blue Secondary X6-2 Sec. IIa Green X6-3 Sec. IIb 15VAC Blue X6-4 Sec. IIb Green Transformer X7-1 prim. I, L120/ 230VAC Black Primary X7-2 prim. I, N120/ 230VAC Orange X7-3 prim. II, L120/ 230VAC White Transformer Secondary X7-4 prim. II Violet X11-1 Sec.Ia 22VAC Red X11-2 Sec Ia Yellow X11-3 Sec. Ib 22VAC Red X11-4 Sec Ib Yellow Int. connection X12-1 AC, N 110Vl Blue Terminal X12-2 AC, L 110V Black 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation Power Supply Module (AVM 2-1) CONNECTOR CONNECTED TO PIN DEF. FUNCTION / SIGNAL COLOR / NUMBER X13 Module 2 X13-1 +12V Red Board X13-2 GND Blue AVM 3-2 X13-3 +5V(1) Red X14 X15 X16 X17 X22 X13-4 GND Blue Module 2 X14-1 +5V(2) Red Board X14-2 GND Blue AVM 3-2 X14-3 -12V Red X14-4 GND Blue X15-1 Control Sign. White Module 2 Board X15-2 Control Sign. White AVM 3-2 X15-3 Control Sign. White X15-4 Control Sign. White Module 2 X12-1 GND Blue AVM 3-2 X12-2 +31V Red Solid state relay X22-1 22VAC to heating blanket Black Heating blanket X22-2 22VAC to relay Black X22-3 + Control voltage Black X22-4 GND Black Red DC-AC convert. X22-1 + Supply voltage For flowmeter X22-2 - Illumination X22-3 - X22-4 GND Anestar™ Systems Service Manual 0070-10-0526 Black 1 - 11 Power Supply Module (AVM 2-1) 1.11.3 FUSE NUMBER Theory of Operation Fuses FUSE VALUE FUSE PROTECTS F1 4 A MT, medium slow-blow DC/DC-converter +5V F2 630 mA M, medium–blow +5V supply to AVM 3-1 F3 630 mA M, medium–blow +5V supply to AVM 3-2 F6 1.6 A M, medium–blow +12V supply to AVM 3-2 F7 8 A M, medium–blow DC/DC-converter +12V F8 8 A M, medium–blow Transformer, Sec. IIa F9 8 A M, medium–blow Transformer, Sec. IIb F10 10 A T, slow-blow Transformer, Sec. Ia F11 10 A T, slow-blow Transformer, Sec. Ib 1.11.4 Battery charging / discharging control The charging / discharging control for the battery is also located on the power supply board AVM 2-1. Status indicators as red, green and yellow LEDs are located on the board to show functions like check or charging of the battery. 1.11.5 1 - 12 Battery control status indicators LED LED LIGHT BATTERY STATUS LED yellow (V28) Continuous Charging LED yellow (V28) Flashing Check LED green (V37) Continuous Fully charged LED red (V38) Flashing or continuous. Defect 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.12 Module 1 — Communications/Display Controller Module 1 — Communications/Display Controller Ventilator Module 1 consists of two processor boards. Module 1.1 conditions touchscreen interface signals to the Module 2 ventilator pc board. Module 1.2 serves as video control for the display. Individual pc board versions are available for EL and LCD display technology. See Figures 1-6 and 1-7 below. All safety functions, e.g. the complete ventilator control, are located on ventilator Module 2. Module 1 is connected to Module 2 by means of an RS 232C-interface. Module 1 serves to give the functions for parameter and alarm settings to Module 2. Module 2 sends the measured parameters or generated alarm signals to Module 1 to display. Software updates affect one IC on Module 1.1 and one IC on Module 1.2. A dip-switch (S1) on the Module 1.1 printed circuit board sets either Anestar or Anestar S language and PCV capability per the table below. 1.12.1 Advanced Functions SWITCH 1.12.2 ANESTAR ANESTAR S ADD PCV ADD SIGH ADD PS 1 OFF ON N/A N/A N/A 2 ON OFF N/A N/A N/A 3 OFF ON N/A N/A N/A 4 OFF OFF OFF OFF OFF 5 OFF OFF OFF OFF OFF 6 OFF OFF OFF OFF ON 7 OFF OFF OFF ON OFF 8 OFF OFF ON N/A OFF Module 1.1 Display Interface Board FIGURE 1-6 Module 1.1 Display Interface PC Board Anestar™ Systems Service Manual 0070-10-0526 1 - 13 Module 1 — Communications/Display Controller 1.12.3 Theory of Operation Module 1.2 EL or LCD Display PC Board FIGURE 1-7 Module 1.2 EL or LCD Display PC Board 1.12.4 1 - 14 Connectors CONNECTOR CONNECTED TO PLUG CONF. FUNCTION / SIGNAL X4 Module 2 Pin 10 Communication with Module 2 X5 TFT Display Pin 20 Connected to the display X6 Power supply Pin 4 Power supply X7 Touch screen Pin 32 Communication with touchscreen X8 Module 2 Pin 14 Communication with Module 2 X9 Module 2 Pin 28 Communication with Module 2 X10 Selector switch Pin 14 Communication with the selector switch X19 LCD Display Flat cable connector Connected to the display X20 Display illumination Pin 4 Power supply display illumination 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.13 Ventilator Module 2, AVM 3-1 / AVM 3-2 Ventilator Module 2, AVM 3-1 / AVM 3-2 Ventilator Module 2 serves as the active ventilator control. Module 2 consists of two CPU boards, the CPU board AVM3-1 with µP1 serves as a continuous validation of control actions generated by CPU board AVM3-2 and for the communication between Module 2 and Module 1. The CPU board AVM3-2 with µP2 generates all active control signals, after a validation of these signals by µP1, AVM3-2 is enabled to operate the different active elements like the solenoid valves and proportional valve. Software updates affect one IC on AVM 3-1 and one IC on AVM 3-2. A dip-switch (S1) on the AVM 3-1 printed circuit board sets the Anestar or Anestar S language to read the APL valve position per the table below. Electronic APL valve is used only with software V1.4.0 or higher. Mechanical APL valves maybe used with all software versions 1.13.1 Advanced Functions . SWITCH ELECTRONIC APL VALVE MECHANICAL APL VALVE 1 OFF OFF 2 ON OFF 3 OFF OFF 4 OFF OFF 5 OFF OFF 6 OFF OFF 7 OFF OFF 8 OFF OFF Anestar™ Systems Service Manual 0070-10-0526 1 - 15 Ventilator Module 2, AVM 3-1 / AVM 3-2 1.13.2 Theory of Operation Assembly CPU - board AVM 3-2 CPU - board AVM 3-1 FIGURE 1-8 View of Module 2 1 - 16 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation Ventilator Module 2, AVM 3-1 / AVM 3-2 1.13.3 Connectors 1.13.3.1 Module 2, AVM 3-1 board CONNECTOR CONNECTED TO PLUG CONF. FUNCTION / SIGNAL X2 Module 1 Pin 28 Communication with Module 1 X3 Module 1 Pin 14 Communication with Module 1 X4 Module 1 Pin 10 Communication with Module 1 CONNECTOR CONNECTED TO PIN DEF. FUNCTION / SIGNAL COLOR / NUMBER X7 PT-100 sensor X7-1 Temperature dep. Blue X7-2 Resistance Red X9 FAN Fan ventilator X9-1 +12V Red Pneumatic Module X9-2 Fan control signal Yellow X9-3 n.c. X9-4 n.c. X9-5 GND Black Driving gas X11-1 +12V White Switch to detect a failure of the gas supply X11-2 GND Brown X11-3 n.c. X11-4 n.c. X10 Driving gas switch X11 HTSEC X11-5 n.c. Over temperature X11-1 22VAC when Black Switch (NC) patient block heating X11-2 Switch is open Black X11-3 n.c. X11-4 n.c. X11-5 n.c. Anestar™ Systems Service Manual 0070-10-0526 1 - 17 Ventilator Module 2, AVM 3-1 / AVM 3-2 1.13.3.2 PIN DEF. FUNCTION / SIGNAL COLOR / NUMBER Internal X5-1 Signal (+1-5 V) Orange Flow sensor X5-2 +10V Turquoise X5-3 GND. Violet X5-4 n. c. X5-5 n. c. X7-1 flow dep. signal. CONNECTED TO X5 IF X8 O2 X3 PV X11 1 - 18 Module 2, AVM3-2 board CONNECTOR X7 EF Theory of Operation External Flow sensor Oxygen cell Proportional Valve Solenoid valve block Red X7-2 n.c. X7-3 n.c. X7-4 n.c. X7-5 Flow dep. signal. X8-1 Reading #2, Flow Ext X8-2 + voltage fuel cell Red X8-3 - voltage fuel cell Blue X8-4 Reading #1, Flow Ext X8-5 n.c. X3-1 + 12V Blue Blue X3-2 n. c. X3-3 Control volt. 0-5V X3-4 n.c. X3-5 GND Green Gray X11-1 GND (MV4) Brown / 1 X11-2 + 10V (MV4) Red / 2 X11-3 GND (MV3) Orange / 3 X11-4 + 10V (MV3) Yellow / 4 X11-5 GND (MV1) Green /5 X11-6 + 10V (MV1) Blue / 6 X11-7 GND (MV2) Violet / 7 X11-8 + 10V (MV2) Gray / 8 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.14 Display Display The standard display is a monochrome EL type. 1.15 Battery The battery is a maintenance free, sealed lead-acid type. The recharging time is seven hours maximum with a fully depleted battery. The run time is approximately 30 minutes with a fully charged battery. To prevent unintended loss of battery operation, it is recommended that it be replaced with a new Datascope battery every three years. 1.16 Ventilator Pneumatic — O2 Drive Gas 1.16.1 Ventilator pneumatic drive Oxygen is the driving gas for the ventilator. In addition to the flowmeter block, a high pressure regulator, reducing the supply pressure to 2 BAR (29 psi), is supplied by the oxygen connection. This pressure represents the high pressure system of the ventilator, and is referenced HP pressure regulator in the drawing. The HP pressure regulator is placed ahead of the proportional valve that generates the driving gas flow during the inspiratory phase. This flow is led through the flow divider and fills the bellows dome that surrounds the silicone bellows. In response to the inspiratory and expiratory phases of a respiration cycle, the Bellows Valve, Decoupling Valve and Expiratory Valve (membrane valves) of the Breathing System are activated by solenoid valves MV1, MV3, MV2 respectively. Solenoid valves MV1, MV3, MV2 and MV4 are supplied by a second pressure regulator (referenced LP for low pressure system) with approximately 2.9 psi (200 mBar) of oxygen* pressure. The operator’s selection of ventilator settings, read by the user interface, signals the Module 2 processor, which controls the cyclic activation of the proportional valve and solenoid valves. NOTE: 1.16.2 Air is the driving gas for Anestar part number 0998-00-3012-00210 HP-High pressure regulator (29 psi [2 Bar]) The HP pressure regulator stabilizes of the supply pressure for the proportional valve. The flow generated by the proportional valve is therefore independent of pressure variations at the supply. The HP pressure regulator setting at 29 psi allows for a maximum inspiratory flow of 80 liters per minute at the respirator, +0/-5 l/min 1.16.3 LP- Low pressure regulator (2.9 psi [200 mBar]) This pressure regulator is supplied by the HP high pressure regulator, with oxygen, in parallel to the measuring tube block and ratio system, respectively. It reduces the input pressure from 29 psi (2 Bar) to approximately 2.9 psi (200 mBar). The output of the second step is connected to the solenoid valve bank. Anestar™ Systems Service Manual 0070-10-0526 1 - 19 Ventilator Pneumatic — O2 Drive Gas 1.16.4 Theory of Operation Solenoid valves - MV1, MV2, MV3 and MV4 The solenoid valves MV1, MV2, MV3 and MV4 are mounted behind the Breathing System docking station. Each valve is active in the controlled ventilation modes MV1: This solenoid valve activates the membrane valve for closing the outlet of the bellows dome (bellows control valve), when driving gas flows in for inspiration. It is supplied by the LP-double stage pressure reducer. NOTE: Air is the driving gas for Anestar part number 0998-00-3012-00210 MV3: This solenoid valve activates the membrane valve for the fresh gas decoupling valve. It is supplied by the LP-double stage pressure reducer. MV2: This solenoid valve activates the membrane valve closing the expiratory channel of the Breathing System (expiratory valve), via MV2. It is inspiratorily supplied with pressure by the LP-double stage pressure reducer via MV4. MV4: This solenoid valve is used for internal supply of MV2 with pressure of the LP - reducer. 1.16.5 Pneumatic driving module The driving module consists of the proportional valve and flow divider with an internal flow sensor. The proportional valve supplied by the HP pressure regulator, generates a driving gas flow of 0-80 l/min in relation to the control voltage of the proportional valve of 0-5VDC. The control voltage of the proportional valve, required for the pre-selected parameter settings, is generated by the CPU board AVM 3-2. The driving gas flow Qdrive gas is in the following relationship with the tidal volume: 1 - 20 Qdrive gas = VT/T with: Qdrive gas VT = driving gas flow = generated tidal volume T = time 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.16.6 Ventilator Pneumatic — O2 Drive Gas Flow metering module The flow metering module attached to the proportional valve consists of a flow sensor with a measuring range of 0-1 l/min and a flow divider. The flow divider splits the total flow in a ratio of 79:1, and the bypass flow is lead to the flow sensor. A closed loop that allows high accuracy and back-up generation of the tidal volume results from this configuration via the Module 2 CPU boards. 1.16.7 Tube color coding All the pneumatic tubes inside the apparatus will have the following color coding TUBE USA, VENEZUELA EL SALVADOR AUSTRALIA O2 GREEN WHITE N2O BLUE BLUE AIR YELLOW BLACK On the outside of the apparatus, the coding will be according to the color coding system of the country the apparatus was delivered to. Anestar™ Systems Service Manual 0070-10-0526 1 - 21 The Breathing System (Circle System) 1.17 The Breathing System (Circle System) NOTE: 1.17.1 Theory of Operation The Anestar and Anestar S each have a unique breathing system aluminum manifold. Although many parts within both aluminum manifolds are interchangeable, the aluminum manifolds themselves are not interchangeable. Top view of the Anestar Breathing System 2 1 4 18 3 16 6 7 5 6 8 10 19 15 11 12 13 9 14 17 FIGURE 1-9 Anestar Rear, top view 1 - 22 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation The Breathing System (Circle System) Parts - Anestar Rear POSITION DESCRIPTION 1 Expiratory valve 2 Airway pressure limiting valve (APL) 3 Inspiratory valve 4 Neg. Press. Rel. valve 5 Connector of expiratory flow sensor 6 Connectors of power supply heating blanket 7 Ground (Electrical) 8 PEEP valve 9 Port for O2 flush 10 PAW sampling part 11 Port for driving gas 12 Thread for spindle of motor drive 13 Bellows valve 14 Decoupling valve 15 Port for fresh gas 16 Bag arm 17 Temperature Sensor Connector 18 Manual Pop Off (emergency pressure release) 19 Port for MV-2 solenoid valve Anestar™ Systems Service Manual 0070-10-0526 1 - 23 The Breathing System (Circle System) 1.17.2 Theory of Operation Top view on the Anestar S Breathing System 2 13 3 4 1 12 6 5 6 7 8 14 9 15 10 11 FIGURE 1-10 Anestar S Breathing System, rear, top view (See Table) Parts - Anestar S Rear Breathing System 1 - 24 POSITION DESCRIPTION 1 Expiratory valve 2 Airway pressure limiting valve (APL) 3 Inspiratory valve 4 Neg. Press. Rel. valve 5 Connector of expiratory flow sensor 6 Connectors of power supply heating blanket 7 PEEP valve 8 PAW sampling part 9 Port for driving gas 10 Bellows valve 11 Decoupling valve & O2 FLUSH 12 Port for fresh gas 13 Bag arm 14 Port for MV-2 solenoid valve 15 Docking Station Locking Pin 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.3 The Breathing System (Circle System) Bottom view of the Anestar Breathing System 2 1 8 9 15 3 16 7 5 4 6 12 10 17 11 14 18 13 FIGURE 1-11 Anestar, Bottom view (See Table) Anestar™ Systems Service Manual 0070-10-0526 1 - 25 The Breathing System (Circle System) Theory of Operation Parts - Anestar Bottom 1 - 26 POSITION DESCRIPTION 1 Airway pressure gauge 2 Manual Pop-off outlet 3 Driving gas inlet and outlet to bellows dome 4 Mount for CO2 absorber canister 5 Inlet for re-breathing gas from absorber to Breathing System 6 Outlet from Breathing System to absorber 7 Connector for bellows 8 Inlet for ambient air valve / emergency air valve 9 Port for anesthetic gas scavenging tube (19 mm) 10 Bellows 11 Absorber canister 12 Prepack seal 13 Bellows dome 14 Bellows foam pad 15 Expiratory port 16 Inspiratory port 17 Absorber canister O-ring 18 Bellows Dome O-ring 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.4 The Breathing System (Circle System) Bottom view of the Anestar S Breathing System 13 1 6 12 7 3 2 4 5 14 8 9 11 15 10 FIGURE 1-12 Anestar S Bottom view (See Table) Anestar™ Systems Service Manual 0070-10-0526 1 - 27 The Breathing System (Circle System) Theory of Operation Parts - Anestar S Bottom 1 - 28 POSITION DESCRIPTION 1 Airway pressure gauge 2 Driving gas inlet and outlet to bellows dome 3 Inlet for re-breathing gas from absorber to Breathing System 4 Outlet from Breathing System to absorber 5 Connector for bellows 6 Inlet for ambient air valve / emergency air valve 7 Port for anesthetic gas scavenging tube (19 mm) 8 Bellows 9 Absorber canister 10 Bellows dome 11 Bellows foam pad 12 Expiratory port 13 Inspiratory port 14 Absorber canister O-ring 15 Bellows Dome O-ring 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.5 The Breathing System (Circle System) Breathing System Gas monitoring 2 3 5 4 P 8 16 12 7 14 8 9 V 17 10 19 18 V 13 FIGURE 1-13 Breathing System, pneumatic diagram (See Table) Parts - Breathing System, pneumatic POSITION DESCRIPTION 1 Patient's Y-piece 2 Side stream gas monitor 3 Inspiratory bacterial filter 4 Expiratory bacterial filter 5 Airway pressure monitor connection 6 Inspiratory valve (passive) 7 Expiratory valve (passive) 8 Flow sensor 9 Airway pressure limiting valve (APL) 10 Waste gas outlet 11 PEEP valve 12 Neg. Press. Rel. valve 13 Ventilator pneumatic control 14 CO2 absorber 15 Bellows 16 Decoupling valve 17 Bellows dome 18 Bellows valve 19 Reservoir / manual ventilation bag Anestar™ Systems Service Manual 0070-10-0526 1 - 29 The Breathing System (Circle System) 1.17.5.1 Theory of Operation CMV mode, inspiration Tidal volume (T Vol.) is adjusted independently of the adjusted fresh gas flow. This is achieved by fresh gas decoupling. While the decoupling valve is closed, fresh gas from the source is diverted into the reservoir bag, which remains in the circuit. Excess volume escapes through the APL valve into the waste gas scavenger. gas monitoring decoupling valve P PEEP valve V when reservoir pressure is > 2 mbar V bellows valve MV3 ="1" MV2 ="1" MV4 ="1" MV1 ="1" FIGURE 1-14 Breathing System pneumatics, CMV mode, inspiration 1 - 30 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.5.2 The Breathing System (Circle System) CMV mode, expiration As the patient exhales tidal volume into the expiratory limb fresh gas enters the bellows through the open Decoupling Valve. Fresh gas mixes with exhaled gas after the Absorber removes CO2. Excess fresh gas is stored in the reservoir bag. Expiratory pressures 2 cm H2O above atmospheric pressure pass through the fully opened APL valve to be scavenged. gas monitoring decoupling valve P PEEP valve V when reservoir pressure is > 2 mbar V bellows valve MV3 ="0" MV2 ="0" MV4 ="0" MV1 ="0" FIGURE 1-15 Breathing System pneumatics, CMV mode, expiration Anestar™ Systems Service Manual 0070-10-0526 1 - 31 The Breathing System (Circle System) 1.17.5.3 Theory of Operation Manual mode, inspiration As the anesthetist compresses the reservoir bag an internal pneumatic connection through MV2 flows gas to the PEEP Valve diaphragm. Closing this valve allows airway pressure to rise as the reservoir bag is compressed. gas monitoring decoupling valve P PEEP valve V when the set respiratory pressure is attained V bellows valve MV3 ="0" MV2 ="0" MV4 ="0" MV1 ="0" FIGURE 1-16 Breathing System pneumatics, manual mode, inspiration 1 - 32 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.5.4 The Breathing System (Circle System) Manual mode, expiration As the anesthetist releases the reservoir bag a drop in airway pressure occurs at the PEEP Valve diaphragm. Opening this valve allows expiratory flow through the peep valve. gas monitoring decoupling valve P PEEP valve V V bellows valve MV3 ="0" MV2 ="0" MV4 ="0" MV1 ="0" FIGURE 1-17 Breathing System pneumatics, manual mode, expiration Anestar™ Systems Service Manual 0070-10-0526 1 - 33 The Breathing System (Circle System) 1.17.5.5 Theory of Operation Spontaneous mode, inspiration The patient inhales fresh gas from the fresh gas dosing system through the open Decoupling valve. Excess fresh gas is stored in the reservoir bag. Expiratory pressures 2 cm H2O above atmospheric pressure pass through the fully opened APL valve to be scavenged. gas monitoring P decoupling valve Neg. Press. Rel. air valve opens at p < - 3 mbar PEEP valve V when reservoir pressure is > 2 mbar V bellows valve MV3 ="0" MV2 ="0" MV4 ="0" MV1 ="0" FIGURE 1-18 Breathing System pneumatics, spontaneous mode, inspiration 1 - 34 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.5.6 The Breathing System (Circle System) Spontaneous mode, expiration The patient exhales into the expiratory limb through the open PEEP valve. CO2 is removed from exhaled gases to be mixed in the reservoir bag with fresh gas. Expiratory pressures 2 cm H2O above atmospheric pressure pass through the fully opened APL valve to be scavenged. gas monitoring decoupling valve P PEEP valve V waste gas V bellows valve MV3 ="0" MV2 ="0" MV4 ="0" MV1 ="0" FIGURE 1-19 Breathing System pneumatics, spontaneous mode, expiration Anestar™ Systems Service Manual 0070-10-0526 1 - 35 The Breathing System (Circle System) Theory of Operation 1.17.6 Breathing System components 1.17.6.1 Ventilation bellows system The ventilator’s driving system can be described as a constant flow generator. The driving gas of this generator fills the bellows dome to compress the bellows. The breathing gas is pressed out of the bellows into the patient breathing circuit. Due to the weight of the descending bellows, it is self-filling when the driving gas flow is stopped. The bellows valve enables the escape of the driving gas to atmosphere. 1.17.6.2 Manual respiration bag / reservoir In the manual mode this device acts as a normal breathing bag, enabling the user to ventilate the patient manually. In mechanical ventilation mode, this bag acts as a reservoir for fresh gas in the inspiration phase. In the expiratory phase the re-breathing gas and the fresh gas are accumulated in this reservoir. Detecting a leak The reservoir bag and APL valve are integral parts of the circle system during mechanical ventilation. With the APL valve set to the OPEN position, the pressure in the bag is maintained at 2 cm H2O. If a leak were to occur, the bag would deflate breath by breath, until it finally collapses. The breathing bag will collapse if the leak is greater than the fresh gas flow. 1.17.6.3 CO2 absorber The soda lime inside the absorber retains the carbon dioxide from the re-spired gas. The Anestar uses standard sized PRE-PACs. The CO2 absorber can be removed from the Breathing System and the PRE-PACs replaced, without the need to stop controlled mechanical ventilation. While the absorber canister is detached the system continues controlled ventilation and expels exhaled gas into the ambient room air. The Anestar Breathing System only utilizes PRE-PACs. The Anestar S only utilizes loose-fill CO2 absorbent. 1.17.6.4 Inspiratory and expiratory valves To ensure gas flow direction to and from the patient, one-way-valves in the inspiratory limb and expiratory limb are integrated inside the Breathing System. These valves are clearly seen activating from the top of the Breathing System. 1.17.6.5 Airway pressure limiting valve In the OPEN position the APL valve connects the re-breathing line to the scavenging line and limits the reservoir pressure to a constant 2 cm H2O. In manual mode, the APL valve acts as a normal spring loaded pressure relief valve, limiting the maximum pressure in the rebreathing system. 1 - 36 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.6.6 The Breathing System (Circle System) Airway pressure relief button The airway pressure relief button is a push-to-engage pneumatic switch available to rapidly discharge airway pressure should the need arise. This feature is found only in the Anestar (not in the Anestar S). 1.17.6.7 Negative Pressure Relief This valve eliminates the possibility of developing negative airway pressure that may result from the filling of the descending bellows. In the unlikely loss of fresh gas flow, this valve prevents any negative pressure in the patient circuit by sensing the bellow’s descent and allowing ambient air (21% O2) to fill the bellows at atmospheric pressure. This valve ensures that patient ventilation is always given the highest priority. 1.17.6.8 Membrane valves During controlled ventilation, the membrane valves control the expiratory pressure, the bellows dome outlet flow and fresh gas decoupling. These valves are controlled by pressurized gas to open or close the valve’s path. All valves are open when not pressurized. The pressurized drive gas for these valves is controlled by the ventilator’s MV1 - MV4 solenoids using a supply pressure of about 2.9 psi (200 mBar) of O2 from the ventilator’s low pressure regulator. NOTE: 1.17.6.8.1 Air is the driving gas for Anestar part number 0998-00-3012-00210 Status of the membrane valves The membrane valves are pneumatically operated by solenoid valves. The following list shows the correspondence between membrane valve, solenoid valve and pressure port. DIAPHRAGM VALVE BELLOWS VALVE EXPIRATORY VALVE DECOUPLING VALVE Controlled by MV 1 MV 2 MV 4 MV 3 Connected to port # 5 1 3 6 In the following, the status of the diaphragm valves are shown corresponding to the selected ventilation mode of the ventilator. 1.17.6.8.2 Ventilator in Standby VALVE MV 1 MV 2 MV 3 MV 4 Activity OFF OFF OFF OFF Pressure on port 5, No 1, No 6, No No supply of MV2 Anestar™ Systems Service Manual 0070-10-0526 1 - 37 The Breathing System (Circle System) 1.17.6.8.3 VALVE Theory of Operation Manual / spontaneous mode, inspiration and expiration MV 1 MV 2 MV 3 MV 4 Activity OFF OFF OFF OFF Pressure on port 5, No 1, No 6, No No supply of MV 2 1.17.6.8.4 VALVE CMV child / adult mode, inspiration MV 1 MV 2 MV 3 MV 4 Activity ON ON ON ON Pressure on port 5, Yes 1, Yes 6, Yes Supply of MV 2 1.17.6.8.5 CMV child / adult mode, expiration VALVE MV 1 MV 2 MV 3 MV 4 Activity OFF OFF OFF OFF Pressure on port 5, No 1, No 6, No No supply of MV 2 1.17.6.8.6 CMV adult mode, expiration and PEEP VALVE MV 1 MV2 MV3 MV4 Activity OFF ON OFF ON Pressure on port 5, No 1, Yes 6, No Supply of MV2 1.17.6.8.7 Compliance test (options menu) The Breathing System compliance test is divided into three phases VALVE MV 1 MV2 MV3 MV4 Phase 1: Flow into the re-breathing system and test of flow sensors. Activity ON OFF ON ON Pressure on port 5, Yes 1, No 6, Yes No supply of MV2 Phase 2: Pressure increases up to test pressure for calculation of system compliance. Activity ON ON ON ON Pressure on port 5, Yes 1, Yes 6, Yes Supply of MV2 Phase 3: Test of pressure loss. 1 - 38 Activity ON ON ON ON Pressure on port 5, Yes 1, Yes 6, Yes Supply of MV2 0070-10-0526 Anestar™ Systems Service Manual Theory of Operation 1.17.6.8.8 VALVE The Breathing System (Circle System) Leak test (options menu) MV 1 MV2 MV3 MV4 Activity ON OFF OFF OFF Pressure on port 5, Yes 1, No 6, No No supply of MV2 Anestar™ Systems Service Manual 0070-10-0526 1 - 39 The Breathing System (Circle System) Theory of Operation This page intentionally left blank. 1 - 40 0070-10-0526 Anestar™ Systems Service Manual 2.0 Repair Information Introduction This chapter of the Service Manual provides the necessary technical information to perform repairs to the instrument. The most important prerequisites for effective troubleshooting are a through understanding of the instrument functions, as well as understanding the principles of operation. Anestar™ Systems Service Manual 0070-10-0526 2-1 Warnings and Precautions 2.1 Repair Information Warnings and Precautions In the event the instrument covers are removed, observe the following warnings and guidelines: 2.1.1 2.1.2 2-2 Warnings WARNING: Whenever flowing anesthetic gases, nitrous oxide, oxygen, or any hospital gas always follow the appropriate agent evacuation/collection procedures. Use the hospital gas evacuation system. WARNING: Use only approved lubricant on any O-ring in contact with oxygen. Vac Kote® or Krytox® (U.S. Equivalent to Fomblin) are recommended oxygen service lubricants. Krytox is distributed by MediVac Technologies. Vac Kote is distributed by Ball Aerospace and Technologies Corp. Precautions CAUTION: This device operates using compressed gas at high pressures. When attaching emergency gas tanks always open tank valves slowly, watching the cylinder gauge indicate the tank pressure. When disconnecting tanks always close valves slowly. Use the Anestar flow meters to bleed down the pressure, watching the cylinder gauge indicate the depleting tank pressure, before disconnecting the tank from the yoke. Always open and close tank valves fully. CAUTION: This device operates using compressed gas at high pressures from the hospital central supply. When connecting gas supply lines attach the hose connection to the machine before connecting the quick disconnect fitting to the hospital source. Disconnect the supply hose from the hospital source connection prior to disconnecting it from the Anestar gas connection fittings. 0070-10-0526 Anestar™ Systems Service Manual Repair Information 2.2 Troubleshooting Guidelines Troubleshooting Guidelines 1. Identify the problem — Due to the wide variety of potential symptoms, certain problems may be more subtle than others. Following the guidelines of the tests will help determine the problem, if one exists. 2. Avoid shorting component leads together — During repair procedures, it can be tempting to make a quick series of measurements. Always turn the power off before connecting and disconnecting the test leads and probes. The accidental shorting of leads can easily stress the components and cause a second failure (aside from the safety risk). 3. Use the proper equipment — The equipment listed below is suggested to fulfill a wide range of troubleshooting requirements. It is imperative to use the designated equipment in order to ensure proper results of any and all test procedures. 4. Clean up the repair area — After any repair, clean off the repair area. Anestar™ Systems Service Manual 0070-10-0526 2-3 Troubleshooting Chart 2.3 Repair Information Troubleshooting Chart The following table shows the reaction to a failed fuse on the power supply board. The information given indicate failures at startup and during mechanical ventilation. 2.3.1 Common symptoms and corrective actions for field service technicians MESSAGE/PROBLEM REASON SOLUTION Compliance Test leak > 300 ml/min. EXPLANATION: The leak is between decoupling and expiratory diaphragm valves O2 cell O-ring Replace leaky O2 cell diffuser Oring Breathing circuit leaks Replace breathing circuit Leak Test leak > 300 ml/min. EXPLANATION: With the Compliance Test Passed, the leak is in the expiratory limb between the decoupling and expiratory diaphragm valves Hand tighten Leaking bellows or dome Replace bellows Leaky docking station O-ring (C, F or G) See Section 3.0 for Docking Station O-ring locations 2.9 psi regulator out of cal (too low) Check/calibrate Pressure APL valve not set to MAX Set to MAX (Pressure) Cracked CO2 absorber canister Replace if cracked Reservoir bag is attached Connect Y-piece to bag arm Breathing circuit leaks Replace breathing circuit Vaporizers open or leaking Set vap dial to 0, or remove vaps Leaky docking station O-rings (A or E) See Section 3.0 for Docking Station O-ring locations Compliance Test Complete Leak Rate > 600 ml/min. Press ENTER to continue The ventilator will compensate for whatever leak exists. No action required Pressure reading out of tolerance Backpressure in the reservoir bag causes the Compliance Test to fail Remove the reservoir bag or relieve the pressure in the bag. and redo the Compliance Test. Compliance Test results in Flow Error Bag arm port blocked Attach bag to ensure no airway pressure 29 psi Regulator out of spec (too high) Calibrate the 29 psi regulator Prop Valve cal out of spec Calibrate: Int Flow, PV ADC, Charac PV Defective prop valve Replace Prop Valve; redo calibration steps P1 and P2 out of spec with breathing circuit removed. (diagnostic screen) Ensure P1 and P2 values are 0.0 +/ - 0.4 Ambient Air Intake OBSERVATION: The Negative Pressure Relief Valve is NOT moving while message is displayed. Negative baseline pressure is viewed while in Manual mode with no breathing circuit connected. 2-4 Loose valve rings Calibrate P1 and P2 as necessary per sections 5.4.3.2 and 5.4.3.3 0070-10-0526 Anestar™ Systems Service Manual Repair Information Troubleshooting Chart MESSAGE/PROBLEM REASON SOLUTION OBSERVATION: Peep pressure changes without being set. Scavenge path may be blocked Drain water from/check path of scavenger hose Defective APL or worn rubber membrane Replace APL valve and/or membrane Fresh gas flow rates higher than 10 liters/min. The ventilator's intrinsic PEEP is 2 cm H2O Clogged expiratory filter Replace clogged filter OBSERVATION: Breathing System not heating up. No screen messages. Defective Solid State Relay Replace SSR Defective power supply assembly Replace PSA Fan Error X9 connector on AVM 3-1 unplugged Plug it in Fan Broken Inspect it No Temp message Flow/Volume readings not available OBSERVATION: Ventilator CONTINUES with no tidal volume or minute volume readings displayed. Flow/Volume readings not available. OBSERVATION: Ventilator STOPS. Anesthetist may need to assist patient by manual ventilation. OBSERVATION: No airway pressure displayed during manual ventilation. OBSERVATION: Can't Remove Breathing System with OPTIONS control key Anestar™ Systems Service Manual Defective Module 2 (AVM3-1) Replace it X7 connector on AVM 3-1 unplugged Plug it in Docking Station connector broken Inspect it Broken temp sensor inside breathing system Replace it Defective Module 2 (AVM3-1) Replace it X7 connector on AVM 3-2 unplugged Plug it in Docking Station connector broken Inspect it Broken (ext) flow sensor inside breathing system Replace it Defective Module 2 (AVM3-2) Replace it X5 connector on AVM 3-2 unplugged Plug it in Broken (int) flow sensor inside Anestar enclosure Replace it X3 connector on AVM 3-2 unplugged Plug it in Broken proportional valve inside Anestar enclosure Replace it Defective Module 2 (AVM3-2) Replace it X11 connector on AVM 3-2 unplugged Plug it in Pressure not reaching P1 and P2 pressure transducers Inspect pneumatic connections from Breathing System to P1 and P2 Broken connection to solenoid valves (MV1-4) inside Anestar enclosure Inspect it Loss of 2.9 psi from pressure regulator Check it. See 5.4.2 Defective Module 2 (AVM3-2) Replace it Screen key doesn't activate Hold the screen key depressed for 5 seconds No drive gas pressure Attach Drive Gas No AC connected Attach AC, breakers and internal fuses The inline connector (red and blue wire) is unplugged Plug it in Loss of 31 volt supply Check it at Power supply connector X16. See 1.10.2 0070-10-0526 2-5 Troubleshooting Chart Repair Information MESSAGE/PROBLEM REASON SOLUTION OBSERVATION: Anestar is plugged into AC power. AC power lost using battery Check AC voltage, breakers and internal fuses Plug it in. Check them out Check F8 and F9 fuse on power supply pc board Replace it Defective Mains Switch Replace it OBSERVATION: The Breathing System is fully engaged into the Docking Station. Insert Breathing System appears on line voltage operation but not on battery operation. Check that line voltage is attached Plug it in Check F10 and F11 fuse on power supply pc board Replace it Patient Module doesn't heat up. (Troubleshoot in conditions defined in section 5.4.2; In this screen, the Anestar will heat to a worst-case max temp of 55°C. The Anestar S will reach 60°C and open the Over-Temp sensor. Normally the temperature is servo controlled. No 24VAC across two male banana jacks at the Docking Station Suspect Solid State Relay or overtemp cutoff switch is open 24VAC ok, 18VDC ok Check wiring continuity to SSR No 18vdc across pins 3 and 4 on X17 on the power supply pc board. (Toggle HEAT, ON and OFF in MISC diagnostic screen) Suspect power supply pc board Over-Temp sensor is always open Jump out the Over-Temp sensor The STOP button does not activate the switch Suspect the STOP switch is not being fully engaged - may be defective. See #2 Pressing STOP button stops the motor but does not light the screen indicator Tighten the STOP switch into the docking station Insert Breathing System displayed with the Breathing System attached tightly to the Docking Station. (Section 5.0, Motor Control screen utility) 2.3.2 Common Anestar Messages MESSAGE/PROBLEM REASON SOLUTION Compliance Test Passed Leak Rate < 300ml/min Press ENTER to continue The compliance test has passed No action required Compliance Test Complete Leak Rate between 300-600ml/min Press ENTER to continue The ventilator will compensate for whatever leak exists No action required Compliance Test Complete Leak Rate > 600ml/min Press ENTER to continue The ventilator will compensate for whatever leak exists No action required Pressure reading out of tolerance Backpressure in the reservoir bag causes the Compliance Test to fail Remove the reservoir bag or relieve the pressure in the bag. and redo the Compliance Test. Leak rate too high A significant leak is detected 1 No drive gas, system vented 2 3 4 5 6 7 8 2-6 0070-10-0526 Thread down the O2 cell and press it down into its mount Replace the breathing circuit Cap the sample line leading to the agent monitor Cap the Recirculation Port (if installed) located behind the auxiliary O2 flowmeter Leaking O-rings at y-piece seal Inspect bellows dome O-ring Check Neg. Pressure relief valve membrane is present Tighten INSP and EXSP ring Anestar™ Systems Service Manual Repair Information Troubleshooting Chart MESSAGE/PROBLEM REASON SOLUTION System resistance is too high The ventilator can't compensate for a breathing circuit either too long or blocked 1 2 Compliance out of range System pressurized OBSERVATION: Tidal Volume lower than the setting by more than 10%. OBSERVATION: Reservoir bag is not inflated 3 There is a leak in the machine-patient interface 1 2 3 OBSERVATION: Check for system leaks after changing CO2 absorbent or after mounting vaporizers. Perform a manual leak test 1 2 3 4 OBSERVATION: A leak causes pressure to bleeds down too quickly during manual leak test. The Compliance Test Passes. A leak in the expiratory limb is large enough to not hold pressure 1 2 3 4 5 6 7 Leak Test Complete … The Leak Test is designed for field service technicians. Anesthetists should perform a standard manual leak test. 1 2 3 4 Replace the breathing circuit Connect a breathing bag to the bag arm Re-run the Compliance Test. Ensure adequate trachea tube cuff inflation Re-do the Compliance Test with the current breathing circuit Replace breathing circuit and redo Compliance Test Set APL valve to 80 Block the Y-piece Fill the bag with gas and squeeze Check that the gauge holds pressure Verify bag fits tightly on bag arm Verify APL valve is closed (80) Verify vaporizer dial set to zero (0) Verify APL O-ring is metal-side up Check CO2 canister is not cracked and an O-ring is present Remove and re-seat Breathing System if a hissing sound is heard near Breathing System's handles Call Service to schedule preventive maintenance visit Set APL valve to 80 Block the Y-piece Fill the bag with gas and squeeze Check that the gauge holds pressure Ambient Air Intake A vacuum greater than 2 cm H2O is detected during exhalation. Room air is filling the vacuum. 1 2 3 Check patient Increase fresh gas flow Visually check for leaks OBSERVATION: Any alarm limit violation message Address the clinical reason why the patient parameter exceeds the alarm limit or reset the alarm limit by following the order of the solution column. 1 Press MUTE to silence the alarm Press ALARM LIMITS Press the bar graph number that is being exceeded Press the UP or DOWN arrow to set the limit so that it does not exceed the patient parameter reading Press ENTER to set the new alarm limit. 2 3 4 5 FiO2 lower than alarm limit OBSERVATION: No digital display in FiO2 area Anestar™ Systems Service Manual Loss of signal from O2 cell to Anestar 0070-10-0526 Press one end of the O2 cell cable into the O2 cell and the other end into the machine's connector 2-7 Troubleshooting Chart Repair Information MESSAGE/PROBLEM REASON SOLUTION OBSERVATION: No oxygen flow is available from the auxiliary O2 flowmeter Oxygen is likely not connected to the flowmeter Plug the green hose coming from the Auxiliary flow meter, into the mating oxygen port on the rear of the machine above where the oxygen hose is connected OBSERVATION: No vacuum flow is available from the patient suction regulator VAC is likely not connected to the suction regulator Plug a vacuum hose to the suction regulator port on it's mounting arm. Insert Breathing System FAILSAFE OPERATION: In the unlikely event of the Breathing System being left disconnected after sterilization Follow the order of the solution column 1 2 3 4 5 FAILSAFE OPERATION: In the unlikely event of loss of display or ventilator control Follow the order of the solution column to continue to manually assist the patient's ventilation and restart the ventilator. 1 2 3 4 5 6 7 8 2-8 0070-10-0526 Set the vent dial to Standby Grip the Breathing System with both hands Pull the Breathing System out from the Docking Station about one inch Firmly push the Breathing System into the Docking Station until the motorized action draws it in automatically Observe the Insert Breathing System message change to Standby. Turn Mains switch OFF and ON Set fresh gas flow controllers for patient need Set vaporizer dial to desired setting for patient Adjust APL valve to desired setting for patient Manually assist patient ventilation as necessary Set the ventilator dial to desired ADULT or CHILD setting Press PRESS HERE TO START the ventilator Conduct the Compliance Test when convenient (30 seconds). Anestar™ Systems Service Manual Repair Information 2.4 Special Tools Required Special Tools Required ITEM PART NUMBER DESCRIPTION 1 0070-00-0597 Anestar Operating Instructions 2 0070-00-0660-01 Anestar Plus/Anestar S Operating Instructions 3 0070-00-0541-01 Anestar Op/Service Manual 4 0070-00-0541-02 Anestar Systems Ops/Service Combo Manual 5 no part number Vaporizer Instruction Manual 6 no part number Pressure Meter 0-80 cm H20, +/-5% 7 no part number Safety Analyzer Dempsey 430 or equivalent 8 no part number Digital Volt Meter 3 1/2 digit 9 no part number Calculator 10 0138-00-0014 Temperature Simulator SPECIFICATION 0 and 60 Degrees C 11 no part number Mass Flow Meter 0-100 L/min. +/- 2% of reading. 12 no part number Agent (and N2O) Analyzer +/- 0.3 V/V% + 5% of reading 0-1Liter. +/- 5% of reading. 13 no part number Respirometer 14 0138-00-0012 Test Lung, Adult 15 no part number High Pressure Gauge 0-60 psig +/- 5% of reading 16 no part number Low Pressure Gauge 0-5 psig +/- 0.1 psi 17 0008-04-0002 Test tubing per foot 18 0008-00-0341 3 mm ID 1 Meter length 19 not applicable Central supplied O2, N2O, Air Min. 35 psi, DISS connections. 20 not applicable Tank gases O2, N2O, Air Full PISS yoke connections. 21 not applicable Connection hoses O2, N2O, Air 22 no part number Hand tools, Allen wrench set Metric 23 no part number Protective gloves 24 no part number Surface cleaner 25 0367-00-0080 Tank Wrench 26 0040-00-0372 Gasket Set 27 0103-00-0516 Docking Station test adapter Datascope Specification 28 0103-00-0508 Pneumatic Y-Fitting Y-port 15 mm connection 29 0004-00-0076 Breathing Tube (2 required) 0.6 meter silicone, 15 mm 30 0992-00-0139 Reservoir Bag 2.3 L silicone 31 0510-00-0020 Krytox Lubricant 32 0004-00-0051 Pressure tubing 1 foot length 33 0008-00-0337 Poly tube, green 6 mm, 10 inch length 34 0103-00-0521 Tee fitting 6 mm, push-in style 35 0684-00-0182 Catheter Extender Single 36 0103-00-0398-01 Male Lure (2 required) 37 0510-00-0016 High Vacuum Grease Anestar™ Systems Service Manual 0070-10-0526 2-9 Disassembly Instructions Repair Information 2.5 Disassembly Instructions 2.5.1 Connecting and disconnecting vaporizers 1. To connect the vaporizer, place it carefully onto the vaporizer manifold. The manifold is a Selectatec style. 2. Lock the vaporizer with the locking lever 1/4 turn to the fully-locked position. 3. Only vaporizers with Interlock-System may be used with this system. 4. After each exchange of a vaporizer, perform a Leak Test. 2.5.2 Removing the auxiliary O2 Flowmeter 1. Unthread the flowmeter at the connection to the machine. 2. Connect a flowmeter in the reverse order. 2.5.3 Removing the compressed Gas Tanks 1. Ensure that the tank is closed. 2. Rotate the hand-tight knob that retains the tank against the port seat. 3. Flip the swiveling yoke collar 180 degrees. 4. Grip the tank firmly and remove it from the yoke. 5. Connect a new tank in reverse order, ensuring a single tank washer is present on the yoke port seat. 2.5.4 Removing the Waste Gas Scavenger 1. Remove the waste hose from the waste gas scavenger. 2. Remove the two screws while holding the scavenger assembly. 3. Remove the assembly. 4. Reinstall in reverse order. 2 - 10 0070-10-0526 Anestar™ Systems Service Manual Repair Information 2.5.5 Disassembly Instructions Removing the Breathing System 1. Remove the CO2 absorber dome and pre-packs. 2. Remove the bellows dome and bellows. 3. Remove the O2 cell cable from the O2 cell. 4. Remove the APL valve cable from the Docking Station if applicable. 5. Remove the scavenger hose. 6. Remove the breathing circuit. 7. (ANESTAR) Enter the OPTIONS window in the operating STANDBY mode. AC Power and Drive Gas are required. 8. (ANESTAR) Select UNLOCK and remove the Breathing System using the handles. 9. (ANESTAR) Enter the MOTOR screen in the TEST menu of the Service Program Main menu. AC Power is required. 10. (ANESTAR) Select UNLOCK and remove the Breathing System using the handles. 11. (ANESTAR S) Turn the locking handle 90 degrees to the unlock position and remove the Breathing System. 2.5.6 Removing the CO2 Absorber Canister 1. (ANESTAR) To release the absorber canister from the Breathing System, turn the unit counter-clockwise and unscrew the unit (ANESTAR, 1/4 turn; ANESTAR S, multiple turns). 2. Once released, remove the CO2 absorbent (ANESTAR, Pre-Pak; ANESTAR S, loose fill). 2.5.7 CAUTION: Spent soda lime changes in color. Replace the soda lime if approximate 2/3 of the absorber content is discolored. CO2 absorbent can be safely changed without stopping mechanical ventilation. NOTE: The discoloration of the spent soda lime disappears again after some time if it has not been used. If used again, the color discoloration returns. Dry soda lime becomes malabsorbent. Removing the Bellows and Dome System 1. Turn the unit counter-clockwise and unscrew the unit 1/4 turn. 2. Once released, remove the silicone bellows by pulling it down from the Breathing System fitting. Anestar™ Systems Service Manual 0070-10-0526 2 - 11 Disassembly Instructions 2.5.8 Repair Information Removing the Airway Pressure Limiting Valve (APL) 1. Unplug the APL valve cable from the docking station, if so equipped. 2. Unscrew the union nut. The top section can now be removed. 3. The membrane can be removed from the bottom section and replaced, if necessary. 4. The membrane is placed back into the bottom section with the metal facing upwards. 5. Replace the top part of the Airway Pressure Limiting valve by lining up the index line in its correct orientation. 6. Secure with union nut. NOTE: 2.5.9 The spring in the top of the APL valve may not be stressed. After removal from the bottom section place the top section to one side, taking care that the spring is not unduly loaded. Inspecting/replacing the Decoupling and Expiratory Valve Membrane 1. To replace the Breathing System rear side valves’ membrane, undo the coupling nut. 2. After removing the coupling sleeve, the membrane’s metal seat can be pulled out of the valve exposing the membrane. 3. Inspect and/or replace the silicone membrane, ensuring no crack or deformity that would cause a leak. Note the orientation of the membrane onto the membrane seat. 4. Assemble in reverse order. NOTE: 2.5.10 During transportation of the Breathing System, protect the rear component from damage. Disassembling the Negative Pressure Relief, Inspiration, and Expiration Valves 1. To dismantle the valves, the coupling ring must be unscrewed from the valve body. The valve cover can now be removed. 2. The O-ring and the metal baskets in the expiration or inspiration valve can now be removed. The valve plate can be removed. Assemble in reverse order. 3. The membrane of the emergency air valve can be carefully removed from the valve body after removing the coupling ring and the valve cover. Assemble in reverse order. 4. The O-rings of the valve bodies have only to be exchanged if the valves were pulled out of the Breathing System’s top. 2 - 12 0070-10-0526 Anestar™ Systems Service Manual Repair Information 2.5.11 Disassembly Instructions Removing the Flow Meter Block 1. Disconnect all sources of pressurized gas. 2. Remove the screws holding the swinging rear access panel. 3. Remove the inner access panel at the inside top left. 4. Remove the protective bar covering the flow control valve. 5. Remove the flow control valve knobs. 6. Remove the screw holding the Flow Meter Block. 7. Remove the green, yellow and blue hose connections as necessary to free the Flow Meter Block. 8. Disconnect backlight cable. 9. Remove the Flow Meter Block as a single unit. 10. Reinstall in the reverse order. 2.5.11.1 Removing the O2 or Air Flow control needle valve 1. Remove the protective bar covering the flow control valve. 2. Remove the flow control valve knob. 3. Do not remove the Flow Meter Module. 4. Remove the needle valve assembly from the front of the Anestar. Use a wrench to unthread the valve assembly taking care not to scratch the front panel. 5. Install the needle valve assembly in the position it comes out of the box. Do not rotate the shaft. 6. Rotate the knob clockwise until the raised dimple on top of the bonnet nut rests against the knob's internal notch. With the knob resting against the bonnet dimple, tighten down the allen screw that secures the knob to the shaft. 7. Reinstall the protective bar. 2.5.12 Removing the Flow Tubes 1. Remove the Gas Block Module. 2. Remove the spring-loaded flow tubes by pushing it up and removing from the bottom. 3. Reinstall in reverse order. 2.5.13 Removing the Module 2 Circuit Board Set 1. Disconnect AC power. 2. Remove the cables connecting the Module 2 circuit boards to the Anestar. 3. Remove the three nuts holding the Module 2 to the enclosure. 4. Remove the Module 2 circuit boards as a module. 5. Reinstall in reverse order. Anestar™ Systems Service Manual 0070-10-0526 2 - 13 Disassembly Instructions 2.5.14 Repair Information Removing the Power Supply Module 1. Disconnect AC power. 2. Remove the cables connecting the power supply module to the rest of the Anestar. 3. Remove the screws holding the board/module to the access panel. 4. Remove the power supply as a module. 5. Reinstall in reverse order. 2.5.15 Removing the Pressure Gauges 1. Remove the Gas Block Module. 2. Remove the metal compression fittings from the gauge. 3. Remove the gauges from the front panel enclosure. 4. Reinstall in reverse order. 5. Connect gas supplies to each gauge. Observe and test compression fittings for leaks. 2.5.16 Remove Module 1 Circuit Board Set 1. Remove the Module 2 circuit board set. 2. Remove the cables connecting the Module 1 circuit boards to the rest of the Anestar. 3. Remove the screws holding the Module 1 to the Front Plate of the enclosure. 4. Remove the Module 1 circuit boards as a module. 5. Reinstall in reverse order. 2.5.17 Removing Internal Regulators, Proportional Valve and Flow Divider 1. Disconnect all sources of pressurized gas. 2. Remove the access panel attached to the yoke assembly. 3. Remove the screws holding the swinging rear access panel. 4. Disconnect each gas hose and electric cable running between each section. 5. Disconnect the top section from the middle section by disconnecting fasteners. 6. Remove the top section exposing the internal regulators and proportional valve. Replace the targeted component. Replace each hose and cable. 7. Reconnect hoses and cables to the new component. 8. Rebuild in reverse order. 9. Apply gas pressure and power to functional test prior to final button-up. 2 - 14 0070-10-0526 Anestar™ Systems Service Manual Repair Information 2.5.18 Disassembly Instructions Instructions for Removing and Installing the Docking Station Port: 1. Remove the Breathing System from the Docking Station. 2. Locate the docking port(s) that needs to be replaced. 3. Using a socket wrench, needle-nose vice-grip pliers or similar tool, turn the original port counterclockwise to remove. 4. Remove all residual thread compound from the docking port's threads using a sharp tipped thread cleaning tool. 5. Connect unit to a supply of compressed oxygen. 6. Activate the flush button for a few seconds to ensure the loosened particles are released from the pen port(s). 7. Repeat cleaning and flushing of the ports until the residue is removed. 8. Apply a bead of silicon lubricant around the smaller (internally placed) o-ring of the new port. 9. Insert the new port into the docking station using a screwdriver. Turn the port clockwise until it stops. 10. Turn the port (back) counterclockwise ½ a rotation. 11. Confirm that the new docking port has some radial play for easy alignment of the patient module. 12. Lubricate all of the external docking station port o-rings with a coat of Krytox lubricant or equivalent. 13. Reinstall the Breathing System. 14. Perform the compliance test, automatic leak test and manual leak test prior to completing the Anestar Functional Checkout. Anestar™ Systems Service Manual 0070-10-0526 2 - 15 Disassembly Instructions Repair Information This page intentionally left blank. 2 - 16 0070-10-0526 Anestar™ Systems Service Manual 3.0 Diagrams The following pages include detailed pneumatic diagrams related to the Anestar/Anestar S Anesthesia machines. Key parts and accessories are indicated by numbered balloons. Anestar™ Systems Service Manual 0070-10-0526 3-1 Anestar Pneumatic Circuit, O2 Drive Anestar Pneumatic Circuit, O2 Drive 3-2 3.1 Pressure Reservoir O2 Valve A I R (OFF) Wall Pressure Gauge 50psi 29 psi > One Way Valves > AIR Flow Control AIR 50psi N2O Cutoff Valve 34.8 psi - 43.5 psi N2O Flow Control (ON) Pressure switch 50psi 29 psi Mains Switch To Module 2 (ON) O2 N 2 O (Ratio System) N2O O2 FLUSH (OFF) O2 Flow Control 29 psi 45 psi Filters 0070-10-0526 O 2 2.9 psi Cylinder Gauges 45 psi Over Pressure Relief 100 cmH2O 45 psi Auxilliary O2 Flowmeter 750 psi Atmosph. (1) MV4 (1) 1000 psi (0) (C) to P1 & P2 (Module 2 pcb) (0) MV3 (C) (1) Insp. Port O2 MV1 Atmosph. (0) (C) Air Valve Decoupling Valve Pressure Insp 1000 psi (1) Patient Conection MV2 (C) (0) CO2 Absorber DES Exp. Port O 2 Expir SEV PEEP Valve Wall Flow = 25 L/min Flow Ext. Flow Sensor APL Valve To Module 2 Proportional Valve Int. Flow Sensor Flow Devider Bellows Valve Atmosph. FIGURE 3-1 Pneumatic circuit for the Anestar with oxygen drive gas Diagrams Anestar™ Systems Service Manual N 2 O A I R Anestar Pneumatic Circuit, Air Drive Diagrams Anestar™ Systems Service Manual 3.2 Pressure Reservoir O2 Valve A I R (OFF) Wall Pressure Gauge 50psi 29 psi > One Way Valves > AIR Flow Control AIR 50psi N2O Flow Control N2O Cutoff Valve 34.8 psi - 43.5 psi (ON) Pressure switch 50psi 29 psi Mains Switch To Module 2 N 2 O (Ratio System) N2O (ON) O2 FLUSH (OFF) O2 O2 Flow Control 45 psi Filters 29 psi 0070-10-0526 O 2 2.9 psi Cylinder Gauges 45 psi Over Pressure Relief 100 cmH2O 45 psi Auxilliary O2 Flowmeter 750 psi Atmosph. MV4 (1) 1000 psi (0) (C) to P1 & P2 (Module 2 pcb) (1) (0) MV3 (C) (1) Insp. Port O2 MV1 Atmosph. (0) (C) Air Valve Decoupling Valve Pressure Insp 1000 psi (1) Patient Conection MV2 (C) (0) CO2 Absorber DES Exp. Port O 2 Expir SEV PEEP Valve Wall Flow = 25 L/minu APL Valve Flow Ext. Flow Sensor To Module 2 Proportional Valve Int. Flow Sensor Flow Devider Bellows Valve Atmosph. FIGURE 3-2 Pneumatic circuit for the Anestar with air drive gas 3-3 Anestar Pneumatic Circuit, Air Drive N 2 O A I R Anestar Docking Station Pneumatic Connections F O2 Flush O2 Source B 29 PSI Drive Gas Atmosph. MV4 2.9 PSI MV1 MV3 Atmosph. G Air Valve Fresh Gas Decoupling Valve Insp CO2 Absorber C 0070-10-0526 APL Valve Ext. Flow Sensor H Bellows Valve Flow Divider D E B D C Patient Module Int. Flow Sensor Proportional Valve A A Expiratory Valve Expir Anestar Docking Station Pneumatic Connections 3-4 3.3 H E F G FIGURE 3-3 Anestar Docking Station Connections Diagrams Anestar™ Systems Service Manual Docking Station Ports Anestar S Pneumatic Circuit, O2 Drive Diagrams Anestar™ Systems Service Manual 3.4 Pressure Reservoir O2 Valve A I R (OFF) Wall Pressure Gauge 50psi > One Way Valves > AIR Flow Control 29 psi AIR 50psi N2O Flow Control N2O Cutoff Valve 34.8 psi - 43.5 psi (ON) Pressure switch 50psi 29 psi Mains Switch To Module 2 (ON) O2 N 2 O (Ratio System) N2O O2 FLUSH (OFF) O2 Flow Control 45 psi Filters 29 psi Cylinder Gauges 45 psi O 2 2.9 psi Over Pressure Relief (1) 0070-10-0526 1000 psi 100 cmH2O 45 psi Auxilliary O2 Flowmeter 750 psi (C) to P1 & P2 (Module 2 pcb) Atmosph. MV4 (0) (1) (0) MV3 (C) (1) (0) Insp. Port O2 MV1 Atmosph. (C) Air Valve Decoupling Valve Pressure Insp 1000 psi (1) Patient Conection (C) Door Down = FGF to Breathing System MV2 (0) Door Up = FGF to Outlet CO2 Absorber DES Exp. Port O 2 N 2 O A I R Expir Common Gas Outlet SEV PEEP Valve Wall Flow = 25 L/minute APL Valve Flow Ext. Flow Sensor To Module 2 Proportional Valve Int. Flow Sensor Flow Devider Bellows Valve FIGURE 3-4 Pneumatic circuit for the Anestar S with oxygen drive gas 3-5 Anestar S Pneumatic Circuit, O2 Drive Atmosph. Anestar S Pneumatic Circuit, Air Drive Anestar S Pneumatic Circuit, Air Drive 3-6 3.5 Pressure Reservoir O2 Valve A I R (OFF) Wall Pressure Gauge 50psi 29 psi > One Way Valves > AIR Flow Control AIR N2O Cutoff Valve 50psi 34.8 psi - 43.5 psi N2O Flow Control (ON) Pressure switch 50psi 29 psi Mains Switch To Module 2 N 2 O (Ratio System) N2O (ON) O2 FLUSH (OFF) O2 O2 Flow Control 45 psi Filters 29 psi Cylinder Gauges 45 psi O 2 2.9 psi Over Pressure Relief 0070-10-0526 (1) 1000 psi 100 cmH2O 45 psi Auxilliary O2 Flowmeter 750 psi (C) to P1 & P2 (Module 2 pcb) Atmosph. MV4 (0) (1) (0) MV3 (C) (1) (0) Insp. Port O2 MV1 Atmosph. (C) Air Valve Decoupling Valve Pressure Insp 1000 psi (1) Patient Conection (C) Door Down = FGF to Breathing System MV2 (0) Door Up = FGF to Outlet CO2 Absorber DES Exp. Port O 2 N 2 O A I R Expir Common Gas Outlet SEV PEEP Valve Wall Flow = 25 L/minute APL Valve Flow Ext. Flow Sensor To Module 2 Proportional Valve Int. Flow Sensor Flow Devider Bellows Valve FIGURE 3-5 Pneumatic circuit for the Anestar S with air drive gas Diagrams Anestar™ Systems Service Manual Atmosph. Anestar S Docking Station Pneumatic Connections F O2 Flush O2 Source Diagrams Anestar™ Systems Service Manual 3.6 B 29 PSI Drive Gas Atmosph. MV4 2.9 PSI MV1 MV3 Atmosph. G Air Valve Fresh Gas Decoupling Valve Insp CO2 Absorber Expir APL Valve 0070-10-0526 Ext. Flow Sensor H Patient Module Int. Flow Sensor Bellows Valve Flow Divider Proportional Valve D E D A H E Docking Station Ports FIGURE 3-6 Anestar S Docking Station Connections F G 3-7 Anestar S Docking Station Pneumatic Connections B A Expiratory Valve Anestar Pneumatic Circuit, O2 Drive with N2O/Air Switch Anestar Pneumatic Circuit, O2 Drive with N2O/Air Switch 3-8 3.7 Pressure Reservoir O2 Valve A I R (OFF) Wall Pressure Gauge 50psi Air Cutoff (OFF) 29 psi > One Way Valves > AIR Flow Control AIR N2O/Air Switch N2O Flow Control 50psi 29 psi Pressure switch 50psi (ON) O2 N2O Cutoff (ON) 29 psi Mains Switch To Module 2 N 2 O (Ratio System) N2O O2 FLUSH (OFF) O2 Flow Control 45 psi Filters 29 psi Cylinder Gauges 45 psi O 2 2.9 psi 0070-10-0526 Over Pressure Relief (1) 1000 psi 100 cmH2O 45 psi Auxilliary O2 Flowmeter 750 psi (C) to P1 & P2 (Module 2 pcb) Atmosph. MV4 (0) (1) (0) MV3 (C) (1) (0) Insp. Port O2 MV1 Atmosph. (C) Air Valve Decoupling Valve Pressure Insp 1000 psi (1) Patient Conection (C) MV2 (0) CO2 Absorber DES Exp. Port O 2 N 2 O A I R Expir SEV PEEP Valve Wall Flow = 25 L/minute APL Valve Flow Ext. Flow Sensor To Module 2 Proportional Valve Int. Flow Sensor Bellows Valve Flow Devider FIGURE 3-7 Pneumatic circuit for the Anestar with oxygen drive gas and N2O/Air switch Diagrams Anestar™ Systems Service Manual Atmosph. 4.0 Replacement Parts and Accessories 4.1 Diagrams The following pages include detailed drawings related to the Anestar Anesthesia machine. Key parts and accessories are indicated by numbered balloons. The table which details information regarding these parts and accessories is located at the end of this section. See “Parts List” on page 4-20. Anestar™ Systems Service Manual 0070-10-0526 4-1 Diagrams Replacement Parts and Accessories 167 25 24 1 2 23 3 28 21 4 22 5 7 20 6 8 9 10 19 11 18 12 17 13 66 67 68 69 13 14 16 15 26 27 FIGURE 4-1 Anestar, Front View 4-2 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams 25 24 2 167 23 3 28 4 21 5 22 7 6 8 20 9 18 17 11 67 29 165 70 29 29 30 31 FIGURE 4-2 Anestar S, Front View Anestar™ Systems Service Manual 0070-10-0526 4-3 Diagrams Replacement Parts and Accessories 34 35 43 36 37 38 44 32 33 40 41 Ground 42 Ground 39 Area of Detail FIGURE 4-3 Main compartment, exploded view 4-4 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams 65 62 61 45 60 58 59 46 47 63 64 48 71 54 49 55 53 72 50 51 52 73 56 57 FIGURE 4-4 Anestar/Anestar S, rear view Anestar™ Systems Service Manual 0070-10-0526 4-5 Diagrams Replacement Parts and Accessories 75 74 76 FIGURE 4-5 Anestar Systems, Rear View (Australian Units) 4-6 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams 81 77 79 78 82 80 78 Area of Detail 83 84 85 FIGURE 4-6 Anestar Plus Check Valve Assembly 78 78 Area of Detail 84 86 85 FIGURE 4-7 Anestar S Check Valve Assembly Anestar™ Systems Service Manual 0070-10-0526 4-7 Diagrams Replacement Parts and Accessories 66 68 69 12 87 Area of Detail N2O m l/min m l/min AIR ml/m in O2 ml/m in Lin ePr essure m l/min O 2 AIR Ma n u a V l en t S ta n d b y C h ild (4 0 -4 0 0 m l) A d u t(3 l 0 0 -1 4 0 0 ml) N2O N2O O2 AIR NO2 FLUSH AIR O2 Cylinder Pr essure 88 FIGURE 4-8 Anestar Waste Scavenger 165 70 89 90 92 87 88 Area of Detail N2O m l/min m l/min AIR ml/m in O2 ml/m in Lin ePr essure m l/min O 2 AIR Ma n u a V l en t S ta n d b y C h ild (4 0 -4 0 0 m l) A d u t(3 l 0 0 -1 4 0 0 ml) N2O N2O NO2 O2 AIR FLUSH AIR Cylinder Pr essure O2 93 91 FIGURE 4-9 Anestar S Waste Scavenger 4-8 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories 112 or Diagrams 113 105 95 100 96 97 98 99 101 102 103 104 Area of Detail FIGURE 4-10 Anestar Breathing System, underside view Anestar™ Systems Service Manual 0070-10-0526 4-9 Diagrams Replacement Parts and Accessories 165 70 105 166 88 106 100 103 107 109 101 102 103 104 Area of Detail FIGURE 4-11 Anestar S Breathing System, underside view 4 - 10 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams 105 110 112 or 113 110 111 111 114 or 120 119 110 115 120 114 111 115 116 118 116 117 95 123 124 125 126 127 inside 122 121 131 132 131 133 134 134 Area of Detail N2O m l/min m l/min AIR ml/m in O2 ml/m in 110 110 Lin ePr essure m l/min O 2 AIR Ma n u a V l en t S ta n d b y C h ild (4 0 -4 0 0 m l) A d u t(3 l 0 0 -1 4 0 0 ml) N2O N2O NO2 O2 AIR FLUSH AIR O2 Cylinder Pr essure FIGURE 4-12 Anestar Breathing System, exploded view Anestar™ Systems Service Manual 0070-10-0526 4 - 11 Diagrams Replacement Parts and Accessories 105 110 110 113 111 111 114 114 110 115 115 120 111 120 118 108 116 116 117 163 106 135 136 130 124 123 130 128 137 129 128 129 Area of Detail N2O m l/min m l/min AIR ml/m in O2 ml/m in Lin ePr essure m l/min O 2 AIR Ma n u a lV e n t S ta n d b y C h ild (4 0 -4 0 0 m l) A d u t(3 l 0 0 -1 4 0 0 ml) N2O NO 2 NO2 O2 AIR FLUSH AIR O2 Cylinder Pr essure FIGURE 4-13 Anestar S Breathing System, exploded view 4 - 12 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams . 105 110 112 111 110 113 114 111 110 115 114 111 117 116 118 115 110 131 131 134 134 132 132 110 110 FIGURE 4-14 Anestar Plus Breathing System, exploded view Anestar™ Systems Service Manual 0070-10-0526 4 - 13 Diagrams Replacement Parts and Accessories 140 140 141 142 143 139 144 Area of Detail 48 FIGURE 4-15 Two-valve compartment 4 - 14 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams 146 147 145 145 Area of Detail m l/min NO 2 m l/min AIR ml/m in ml/m in O 145 145 145 145 Lin ePr essure 2 m l/min O2 AIR Ma n u a lV e n t S ta n d b y C h ild (4 0 -4 0 0 m l) A d u t(3 l 0 0 -1 4 0 0 ml) N2O N2O NO2 AIR O2 FLUSH AIR O2 Cylinder Pr essure 148 FIGURE 4-16 Flowmeter tubes, gauges and patient suction regulator Anestar™ Systems Service Manual 0070-10-0526 4 - 15 Diagrams Replacement Parts and Accessories 152 151 153 149 150 154 Area of Detail 155 47 46 FIGURE 4-17 Power Supply Board 4 - 16 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams 156 Area of Detail N2O m l/min m l/min AIR ml/m in O2 ml/m in Lin ePr essure m l/min O 2 AIR Ma n u a lV e n t C h ild (4 0 -4 0 0 m l) S ta n d b y A d u t(3 l 0 0 -1 4 0 0 ml) N2O N2O NO2 O2 AIR FLUSH AIR O2 Cylinder Pr essure 94 164 FIGURE 4-18 Anestar Plus Breathing System Docking Station, inside view 156 Area of Detail N2O m l/min m l/min AIR ml/m in O2 ml/m in Lin ePr essure m l/min O 2 AIR Ma n u a V l en t S ta n d b y C h ild (4 0 -4 0 0 m l) A d u t(3 l 0 0 -1 4 0 0 ml) N2O N2O NO2 O2 AIR FLUSH AIR O2 Cylinder Pr essure 94 164 FIGURE 4-19 Anestar S Breathing System Docking Station, inside view Anestar™ Systems Service Manual 0070-10-0526 4 - 17 Diagrams Replacement Parts and Accessories 159 160 157 158 162 161 FIGURE 4-20 Docking Station, Interior 4 - 18 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Diagrams 32 All Anestar Plus and Anestar below serial number 4600 A4 1000 33 All Anestar S and Anestar above serial number 4600 A4 1000 Whistle Adjustment FIGURE 4-21 Flow Meter Module Anestar™ Systems Service Manual 0070-10-0526 4 - 19 Parts List 4.2 Replacement Parts and Accessories Parts List REF. NO. DESCRIPTION DATASCOPE P/N 1 Front Panel, Flow Meter Module, Anestar 0200-00-0328 2 Gauge, Line Pressure, O2 0118-00-0030 3 Gauge, Line Pressure, Air 0118-00-0028 4 Gauge, Line Pressure, N2O 0118-00-0027 5 Knob, Flow Control, Air 0366-00-0115 6 Needle Valve and Knob, Flow Control, Air 0103-00-0064 7 Knob Flow Control O2 0366-00-0106 8 Needle Valve and Knob, Flow Control, O2 0103-00-0063 9 Gauge, Cylinder Pressure, O2 0118-00-0026 10 Gauge, Cylinder Pressure, Air 0118-00-0025 11 Gauge, Cylinder Pressure, N2O 0118-00-0029 12 Fitting, Plug 0103-00-0606 13 Faceplate, Drawer, Top/Middle, Anestar 0441-00-0182-09 14 Drawer, Bottom, Anestar 0997-00-0979 15 Faceplate, Lower Drawer 0441-00-0182-08 16 Handle, Drawer, Bottom, Anestar 0367-00-0073 17 Spring, Retained, Vaporizer Manifold 0214-00-0245 18 O-ring, Vaporizer Mount 0354-00-0103 19 Air-Vent, Snap-in 0105-00-0120 20 Knob Flow Control N2O 0366-00-0114 21 Knob, Vent Dial (NS) Knob, Vent Dial, Indicator Pin 0366-00-0128 0366-00-0129 22 Switch, Wired, Vent Dial 0012-00-1413 23 Touch Display, LCD Touch Display, EL 0160-00-0065 0160-00-0074 24 Top Shelf, 265 x 470 mm 0386-00-0281 25 Top Shelf, 694 x 444 mm 0386-00-0287 26 Caster, Locking, Anestar 0401-00-0029 27 Non-locking Caster, Anestar 0401-00-0030 28 Mount, Auxiliary O2, Complete 0997-00-0980 29 Drawer, Anestar S 0997-00-0803 30 Caster, Locking, Anestar S 0401-00-0041 31 Caster, Non-locking, Anestar S 0401-00-0042 32 Flow Meter Module, Complete Anestar below s/n 4600A41000 0997-00-0978 33 Flow Meter Module, Complete, USA Anestar/Anestar S s/n 4600A41000 and above Flow Meter Module, Complete, Australia 0997-00-1000 0097-00-0551 NS = Not Shown 4 - 20 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Parts List REF. NO. DESCRIPTION DATASCOPE P/N 34 PC Board, Module 1.1 0671-00-0227 35 Module 1.2, PC Board, Anestar (EL Display) 0671-00-0233 36 Module 1.2, PC Board, (LCD Display) 0671-00-0234 37 EL Display Cable 0012-00-1618 38 Cable, LCD Display 0012-00-1617 39 PCB Set, Module 2 0997-00-0967 40 T-fitting, Pneumatic, Thread-on 0103-00-0522 41 Retaining Band, Battery 0226-00-0027 42 Battery, 12V-6AH 0146-00-0075 43 Backlight, Flow Meter Module 0160-00-0068 44 Internal Cables Set 0040-00-0312 45 RS232 Optical Cable, Internal, Anestar 0012-00-1620 46 AC Receptacle, USA 0131-00-0264 47 Plate, Mounting, AC Receptacle 0386-00-0319 48 Fan 0119-00-0196 49 Cover and Filter Set, Fan 0202-00-0154 50 Yoke, Complete, Air 0103-00-0524 51 Yoke, Complete, O2 0103-00-0525 52 Cylinder Washer, Red 0354-00-0100 53 Knob, Cylinder Yoke 0366-00-0122 54 Yoke, Complete, N2O 0103-00-0523 55 Cylinder Washer, Black 0354-00-0101 56 Support Bracket, Cylinders, Anestar 0105-00-0121 57 Support Bracket, Cylinders, Anestar S 0105-00-0123 58 Strain Relief, Linecord 0358-00-0061 59 Nut, Strain Relief, Line Cord 0358-00-0060 60 Circuit Breaker, 5A 0261-00-0205 61 Circuit Breaker, 10A 0261-00-0204 62 Line Cord, Unterminated, 15A, USA 0012-00-1416 63 Mains Switch 0261-00-0203 64 Lamp, AC Mains, Green, 110V Lamp, AC Mains, Green, 230V (NS) Actuator insert, part of mains switch 0149-00-0024 0149-00-0026 0377-00-0024 65 Pneumatic Fitting, Female Luer 0103-00-0530 66 O2 Cell for Inspiratory Valve Mount 0600-00-0106 67 O2 Cable, Inspiratory Valve Mount 0012-00-1414 68 Diffuser for Inspiratory Valve Mount 0103-00-0425 69 O-ring, Diffuser, O2 Cell 0354-00-0113 70 Diffuser for Inspiratory Port Mount 0103-00-0589 71 GAS Inlet Module, Complete, USA 0992-00-0158 NS = Not Shown Anestar™ Systems Service Manual 0070-10-0526 4 - 21 Parts List Replacement Parts and Accessories REF. NO. DESCRIPTION DATASCOPE P/N 72 Water Trap Filter 0378-00-0051 73 Bottle, Water Trap 0202-00-0153 74 AC Receptacle, Australian 0131-00-0289 75 Line Cord, Unterminated, 10A, Australian 0012-00-1632 76 GAS Inlet Module, Complete, Australian 0997-00-0541-03 77 Primary Regulator, N2O 0119-00-0202 78 Primary Regulator, O2 and Air 0119-00-0193 79 Copper Tube, 3x1 mm 0009-00-0006 80 Copper Comp., Fitting, Line Gauge, 1 mm 0103-00-0518 81 Copper Tube, 6x1.55 mm, hard 0009-00-0007 82 Copper Comp., Fitting, PIN Index, 5 mm 0103-00-0517 83 Fitting, Right Angle, Push-on, 6 mm 0103-00-0520 84 One-way Valve, 6 mm 0119-00-0195 85 T-fitting, Pneumatic, Press-on 0103-00-0556 86 Check-Valve, 4 mm 0119-00-0201 87 O-ring, 9.92 x 2.66 mm 0354-00-0092 88 Airway Pressure Gauge 0118-00-0031 89 Valve, O2 Flush 0104-00-0044 90 Lever, Common Gas Outlet, Complete 0261-00-0215 91 Tube, Reusable, Gas Scavenger Kit, Evac Hose w/water Trap 0004-00-0074 0040-00-0397 92 Inspiratory Port, Paw Gauge and O2 Mounts 0103-00-0594 93 Waste Gas Scavenger, Open Reservoir 0992-00-0145-01 94 O-ring, Docking Station Port 0354-00-0102 95 Breathing System, Anestar 0997-00-0802 96 Mount Absorber Can, Anestar 0348-00-0196 97 V-Groove, Seal, Absorber Can, Anestar 0354-00-0088 98 O-ring, Absorber Can, Anestar 0354-00-0098 99 Absorber Canister Assembly, Anestar 0997-00-0962 100 Mount, Bellows, Dome, Plastic Mount, Bellows, Dome, Metal 0352-00-0058 0352-00-0066 101 Bellows 0997-00-0964 102 Foam Pad, Bellows Dome 0992-00-0137 103 O-ring, Bellows Dome O-ring, Absorber Can, Anestar S 0354-00-0082 0354-00-0082 104 Bellows Dome 0992-00-0228 105 Bag Arm 0103-00-0608 106 Breathing System, Anestar S 0997-00-0602 107 Absorber Canister, Anestar S 0997-00-0601 108 Expiratory Valve Housing 0103-00-0565 NS = Not Shown 4 - 22 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Parts List REF. NO. DESCRIPTION DATASCOPE P/N 109 Flat O-ring, Absorber Can/Bellows Valve, Anestar S 0354-00-0134 110 Holding Ring, Diaphragm Valve, Breathing System 0352-00-0057 111 Valve Cover, EXSP/Neg. Press Relief Breathing System 0202-00-0150 112 APL Valve and Membrane Mechanical Anestar S/N 4600A41000 and below 0354-00-0094 113 APL Valve and Membrane, Electronic APL Valve and Membrane, Electronic, High Res 0354-00-0117 0354-00-0160 114 O-ring, INSP/EXSP, Valve Cover 0354-00-0095 115 Retainer, Disk, Expiratory/Inspiratory Breathing System 0352-00-0056 116 Silicone Disk, Inspiratory / Expiratory Valve 0354-00-0089 117 Membrane, APL Valve 0354-00-0093 118 Membrane, Neg. Press Relief Valve 0354-00-0091 119 Valve Cover, Inspiratory Breathing System, Anestar S/N 4600A41000 and below 0202-00-0151 120 O-ring, Bag Arm 0354-00-0104 121 Heating Element, Breathing System, Anestar 0997-00-0966 122 Coupling, Spindle Nut, Breathing System, Anestar 0376-00-0014 123 External Flow Sensor 0154-00-0007 124 Temp Sensor, Breathing System 0012-00-1621 125 Seal-Plate, Neg. Press Relieve Valve, Anestar 0119-00-0189 126 O-ring, Heat Blanket, 24 x 3 mm, Anestar 0354-00-0097 127 O-ring, Heat-Blanket, 9 x 3 mm 0354-00-0096 128 Membrane, Diaphragm Valve, Breathing System, Anestar S 0354-00-0161 129 Holding Ring, Diaphragm Valve, Breathing System, Anestar S 0386-00-0326 130 Body, Diaphragm Valve, Breathing System, Anestar S 0386-00-0325 131 Membrane, Diaphragm Valve, Breathing System, Anestar 0348-00-0197 132 Body, Diaphragm Valve, Breathing System, Anestar 0202-00-0152 133 (NS) O-ring, Diaphragm, 40 x 1.5 mm 0354-00-0090 134 Connector, Diaphragm Valve, Breathing System, Anestar 0103-00-0528 135 Heating Element, Breathing System, Anestar S 0354-00-0137 136 O-ring, Size, Breathing System, Anestar S N/S 137 Locking Post, Breathing System, Anestar S 0366-00-0127 NS = Not Shown Anestar™ Systems Service Manual 0070-10-0526 4 - 23 Parts List Replacement Parts and Accessories REF. NO. DESCRIPTION DATASCOPE P/N 138 (NS) O-ring, Screw, Insp/Exp/APL/Neg. Press, Anestar S 0348-00-0207 139 Pressure Switch 0261-00-0206 140 Regulator, Press, O2, Individual Regulator, Press, O2 Assembly, 29 and 2.9 PSI 0119-00-0194 0104-00-0047 141 Flow Divider & Prop Valve Assy, Complete 0104-00-0048 142 Internal Flow Sensor 0154-00-0006 143 Proportional Valve 0119-00-0188 144 Fitting, Right Angle, Push, 8 mm 0103-00-0560 145 Flowtube 0118-00-00XX 146 Arm, Mounting, Patient Suction Regulator 0436-00-0207 147 Patient Suction Regulator 0992-00-0146 148 Channel, Mounting, 19 inch 0436-00-0195 149 PC Board Assembly, Power Supply, Complete 0014-00-0243 150 Shield, Plastic, Power Supply PCB 0349-00-0329 151 Fuse, 10 AMP 0159-00-0051 152 Fuse, 8 AMP 0159-00-0049 153 DC-AC Converter 0014-00-0244 154 Fuse, 630 mA 0159-00-0048 155 Fuse, 1.6 AMP 0159-00-0050 156 Switch, Over Temp Cutoff, Docking Station 0263-00-0004 157 Solenoid Block, Complete 0391-00-0083 158 Solenoid Valve, Docking Station 0119-00-0210 159 Solid State Relay, Docking Station, Anestar 0148-00-0051 160 Start Switch, Docking Station, Anestar 0012-00-1604 161 Motor, Docking Station, Anestar 0119-00-0203 162 Stop Switch, Docking Station, Anestar 0012-00-1605 163 O-ring, Valve Seat, Insp/Exsp/Neg/APL, Anestar S 0348-00-0206 164 Port Docking Station 0103-00-0537 165 Extended Life O2 Cell w/diffuser for Inspirator Port Mount 0600-00-0107 166 O2 Cable, Inspiratory Port Mount 0012-00-1534 167 Touchscreen with Frame 0160-00-0091 NS O2 Plug, Inspiratory Valve, Anestar 0138-00-0017 NS 4-port Fitting, Pneumatic 0103-00-0526 NS Anestar S 36 Month PM Kit 0040-00-0345 NS Anestar S 12 Month PM Kit 0040-00-0346 NS Anestar S 6 Month PM Kit 0040-00-0347 NS Anestar 36 Month PM Kit 0040-00-0348 NS = Not Shown 4 - 24 0070-10-0526 Anestar™ Systems Service Manual Replacement Parts and Accessories Parts List REF. NO. DESCRIPTION DATASCOPE P/N NS Anestar 12 Month PM Kit 0040-00-0349 NS Anestar 6 Month PM Kit 0040-00-0350 NS Auxiliary O2 Flowmeter 0992-00-0218 NS Bulb, Snake Light 0150-00-0061 NS Cable, O2, Internal 0012-00-1602 NS Gasket Set 0040-00-0372 NS Kit, All Labels, Stick-on 0040-00-0314 NS Pre-operation checklist, laminated card 0070-00-0518 NS MOD 1.1 Adapter Cable 0012-00-1509 NS Software Rev. V1.3.0 for 0671-00-0227 0996-00-0085-01 NS Software Rev. V1.3.0 for 0671-00-0233 (EL) 0996-00-0085-02 NS Software Rev. V2.4.0 for 0997-00-0967 (AVM3-1) 0996-00-0085-03 NS Software Rev. V2.4.0 for 0997-00-0967 (AVM3-2) 0996-00-0085-04 NS Software Rev. V1.3.0 for 0671-00-0234 (LCD) 0996-00-0085-05 NS Software Rev. V1.4.0 for 0671-00-0227 0996-00-0099-01 NS Software Rev. V1.4.0 for 0671-00-0233 (EL) 0996-00-0099-02 NS Software Rev. V2.5.0 for 0997-00-0967 (AVM3-1) 0996-00-0099-03 NS Software Rev. V2.5.0 for 0997-00-0967 (AVM3-2) 0996-00-0099-04 NS Software Rev. V1.4.0 for 0671-00-0234 (LCD) 0996-00-0099-05 NS Software Rev. V1.4.0 for 0014-00-0243 0996-00-0099-06 NS Tube, Green, 4 mm ID (sold by the meter) 0008-00-0338 NS Tube, Green, 6 mm ID (sold by the meter) 0008-00-0337 NS Tube, Clear, 4 mm ID (sold by the meter) 0008-00-0343 NS Tube, Clear, 1.5 mm ID (sold by the meter) 0008-00-0344 NS Tube, Clear, 6 mm ID (sold by the meter) 0008-00-0352 NS Tube, Black, 2 mm ID (sold by the meter) 0008-00-0353 NS Tube, Blue, 2 mm ID (sold by the meter) 0008-00-0354 NS Tube, Green, 2.7 mm ID (sold by the meter) 0008-00-0355 NS Tube, Yellow, 4 mm ID (sold by the meter) 0008-00-0356 NS Tube, Silicone 0004-00-0076 NS Cable, Extension, APL Valve 0012-00-1575 NS Tubing, 4 mm OD, 2.7mm ID, White 0008-00-0358-02 NS Tubing, 6 mm OD, 4mm ID, White 0008-00-0358-04 NS Tubing, 8 mm OD, 6mm ID, White 0008-00-0358-05 NS Tubing, 6 mm OD, 4mm ID, Black 0008-00-0358-14 NS Tubing, 8 mm OD, 6mm ID, Black 0008-00-0358-15 NS Adapter Cable 0012-00-1509 NS Cable, APL Valve, Internal 0012-00-1603 NS Cable, Docking Station, Flow Sensor 0012-00-1606 NS = Not Shown Anestar™ Systems Service Manual 0070-10-0526 4 - 25 Parts List Replacement Parts and Accessories REF. NO. DESCRIPTION DATASCOPE P/N NS Cable, Docking Station, Temp Sensor 0012-00-1607 NS Cbl, Docking Stat, Over Heat Sw1 0012-00-1608 NS Cbl, Docking Stat, Over Heat Sw2 0012-00-1609 NS Cbl, Relay to Power Supply Bd 0012-00-1611 NS Cable, Motor Control 0012-00-1613 NS Cable, Module 2 to Power Supply 0012-00-1614 NS Cable, Solenoid Valves 0012-00-1615 NS Cable, Display,10 Pin Ribbon 0012-00-1616 NS Cable, PT100 Temp Sensor 0012-00-1621 NS Anestar S, Snake Light Kit 0040-00-0357 NS Anestar S, Extension Table Kit 0040-00-0358 NS Anestar, V1.4.0 Parts Kit, El 0040-00-0359-01 NS Anestar, V1.4.0 Parts Kit, Lcd 0040-00-0359-02 NS Anestar, Upgrade,electronic Apl Valve & O2 Cell 0040-00-0369 NS Anestar, V1.6.0 Parts Kit, El 0040-00-0371-01 NS Pcv Upgrade Kit 0040-00-0392 NS Anestar Australia O2 Cylinder Gauge 0118-00-0034-01 NS Anestar Australia N20 Cylinder Gauge 0118-00-0034-02 NS Anestar Australia Air Cylinder Gauge 0118-00-0034-03 NS Anestar Australia O2 Line Gauge 0118-00-0035-01 NS Anestar Austrailia N20 Line Gauge 0118-00-0035-02 NS Anestar Australia Air Line Gauge 0118-00-0035-03 NS Cover, O2 Cell Sensor 0198-00-0074-01 NS Switch Actuator, Flush Button, White 0261-00-0216 NS Anestar, Wrench, Tank Valve 0367-00-0080 NS = Not Shown 4 - 26 0070-10-0526 Anestar™ Systems Service Manual 5.0 Calibration Introduction Anestar service maintenance is comprised of four distinct activities: 1. Inspecting and/or replacing consumable parts 2. Adjusting individual potentiometers 3. Calibration of stored coefficients into memory 4. Functional testing Consult the Preventive Maintenance chapter of this manual to determine the appropriate interval for inspection and replacement of consumables, mechanical and electronic adjustments, testing and calibration. Ensure that all testing materials, including drive gas, breathing circuits, test fixtures, tools and documents are available and current, calibrated and in good working order prior to beginning. Testing and programming requires utilizing internal service software. A password is required to enter these screens. Datascope provides this password during biomedical technician training. When making individual adjustments, refer to drawings provided in the pullout page at the end of this chapter. Anestar™ Systems Service Manual 0070-10-0526 5-1 Calibration Warnings, Precautions, and Notes 5.1 5-2 Calibration Calibration Warnings, Precautions, and Notes WARNING: For continued protection against a fire hazard, replace all fuses with the specified type and rating. WARNING: In order to prevent an electric shock, the machine (protection class I) may only be connected to a correctly grounded mains connection (socket outlet with grounding contact). WARNING: Remove all accessory equipment from the shelf before moving the anesthesia machine over bumps or on any inclined surface. Heavy top loading can cause the machine to tip over causing injury. WARNING: Use only approved lubricant on any O-ring in contact with oxygen. Vac Kote® or Krytox® (U.S. Equivalent to Fomblin) are recommended oxygen service lubricants. Krytox is distributed by MediVac Technologies. Vac Kote is distributed by Ball Aerospace and Technologies Corp. WARNING: Possible explosion hazard. Do not operate machine near flammable anesthetic agents or other flammable substances. Do not use flammable anesthetic agents (i.e., ether or cyclopropane.) WARNING: The use of anti-static or electrically conductive breathing tubes, when utilizing high frequency electric surgery equipment, may cause burns and is therefore not recommended in any application of this machine. WARNING: Possible electric shock hazard. The machine may only be opened by Datascope qualified or Datascope authorized service personnel. WARNING: Compressed gasses are considered Dangerous Goods/ Hazardous Materials per I.A.T.A. and D.O.T. regulations. It is a violation of federal and international law to offer any package or over pack of dangerous goods for transportation without the package being appropriately identified, packed, marked, classified, labeled and documented according to D.O.T. and I.A.T.A. regulations. Please refer to the applicable I.A.T.A. Dangerous Goods Regulations and /or the Code of Federal Regulations 49 (Transportation, Parts 171-180) for further information. CAUTION: Refer to the maintenance intervals in the Preventive Maintenance section for guidance on which steps are to be performed and when. CAUTION: Do not leave gas cylinder valves open if the pipeline supply is in use and the system master switch is turned to 'ON'. If used simultaneously cylinder supplies could be depleted, leaving an insufficient reserve supply in the event of pipeline failure. CAUTION: Use cleaning agent sparingly. Excess fluid could enter the machine, causing damage. CAUTION: This machine must only be operated by trained, skilled medical staff. 0070-10-0526 Anestar™ Systems Service Manual Calibration Calibration Warnings, Precautions, and Notes NOTE: Only bacterial filters with a low flow resistance must be connected to the patient module and/or the patient connection. NOTE: Use surgical gloves whenever touching or disassembling valves or other internal components of the Breathing System. NOTE: Ensure that the gas supply of the machine always complies with the technical specification. NOTE: The APL valve and PressureAW gauge numerics are for reference only. Calibrated patient airway pressure is available on the ventilator screen. NOTE: If the machine should show faults during the initial calibration or testing, the machine should not be operated until the fault has been repaired by a qualified service technician. NOTE: After servicing, functional, sensor and system tests must be carried out before clinical use. NOTE: To accommodate additional monitors and other equipment the Anestar offers up to two vertical mounting tracks. Datascope authorizes specific accessories for mounting. Use of unauthorized mounting accessories is not recommended. NOTE: Always secure any equipment placed on the Anestar’s top shelf. Anestar™ Systems Service Manual 0070-10-0526 5-3 Anestar and Anestar S Test Procedure Calibration 5.2 Anestar and Anestar S Test Procedure 5.2.1 Machine Exterior Inspection 1. Ensure that the Service Manual, Operating Instructions and Checkout Recommendations (from the Operating Instructions) are present. 2. Ensure there is no external damage to machine and accessories by visual inspection. 3. Ensure all accessories are complete and functional by visual inspection 4. Verify breathing circuit consumables and CO2 absorbent are present. 5. Verify vaporizers are filled but not overfilled. 6. Verify tank wrench is attached. 7. Verify waste gas scavenger hose to APL valve is not damaged. Drain any moisture. 8. Verify O2, N2O, AIR, VAC and EVAC Supply Hoses are not damaged. 9. Verify that the AC line cord is not frayed or damaged. 5.2.2 Inspecting/Replacing Consumable Parts 1. Remove the Breathing System from the Anestar a. Turn on the Anestar and ensure adequate drive gas is present. b. Set dial to the Standby position. c. After boot-up press OPTIONS. d. Unplug the O2 cell cable and the waste gas scavenger hose. e. Press UNLOCK on the touch screen for 3 seconds to start the ejection motor. f. Remove the Breathing System by pulling it straight out. g. Verify that the Breathing System window changes from Unlock to Unlocked. 2. Remove the Breathing System from the Anestar S a. Turn the mechanical lever located under the Breathing System, to unlock it from the Docking Station. 1. Inspect to ensure that the O-ring on the CO2 Absorber dome and V-groove seal under the Breathing System are intact. (Anestar only) 2. Inspect to ensure that the O-ring on the CO2 absorber dome is intact (Anestar S only). 3. Inspect to ensure that the Flat Ring on the loose fill Absorber is intact (Anestar S only). 4. Inspect the threaded insert on the CO2 absorber canister connection to the breathing system (Anestar S only). 5. Inspect to ensure that the O-ring on the Ventilator Bellows Dome is intact. 6. Inspect to ensure that the four vaporizer mount O-rings located on the vaporizer manifold, are intact. 7. Inspect to ensure that all the O-rings of the Docking Station ports are all intact. Lubricate with a thin coat of approved O2 lubricant. WARNING: 5-4 Use only approved lubricant on any O-ring in contact with oxygen. Vac Kote® or Krytox® (U.S. Equivalent to Fomblin) are recommended oxygen service lubricants. Krytox is distributed by MediVac Technologies. Vac Kote is distributed by Ball Aerospace and Technologies Corp. 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure 8. Inspect the Spindle Nut on the Breathing System for wear. (Anestar only) 9. Inspect the O-ring washer between each tank and it's yoke connections. 10. Inspect that the O2 Cell diffuser O-ring is intact and is not leaking. 11. Inspect that the two O-rings on the breathing circuit Y-fitting plug are intact. 12. Inspect/Replace the two O-rings on Bag Arm. a. Remove the Locking Ring connecting the Bag Arm to the Breathing System. b. Pull out the Bag Arm and inspect the two O-rings for cracks and/or damage. c. Carefully reinstall the Bag Arm and tighten the Locking Ring onto the Breathing System. 13. Inspect to ensure that the Inspiratory valve disk and O-ring are intact. 14. Replace the O-ring on the (passive) Inspiratory valve seat if leaking or at annual intervals (Anestar S only). 15. Replace the O-ring under the (passive) Inspiratory valve seat screw if leaking or at annual intervals (Anestar S only). 16. Inspect to ensure that the Expiratory valve disk and O-ring are intact. 17. Replace the O-ring on the (passive) Expiratory valve seat if leaking or at annual intervals (Anestar S only). 18. Replace the O-ring under the (passive) Expiratory valve seat screw if leaking or at annual intervals (Anestar S only). 19. Inspect to ensure that the APL Valve membrane is intact. 20. Inspect to ensure that the Negative Pressure Relief Valve membrane is intact. 21. Replace the O-ring on the Negative Pressure Relief Valve seat if leaking or at annual intervals (Anestar S only). 22. Replace the O-ring under the Negative Pressure Relief Valve seat screw if leaking or at annual intervals (Anestar S only). 23. Inspect to ensure the Fresh Gas Decoupling, Bellows, and PEEP Valve membranes are intact (Anestar Only). 24. Inspect to ensure the Fresh Gas Decoupling, Bellows and PEEP valve bellows are intact (Anestar S only). 25. Replace the valve O-rings of the Decoupling, PEEP and Bellows valves if leaking or at annual intervals (Anestar S only). 26. Inspect the flat-rings of the Decoupling, PEEP and Bellows valves are intact (Anestar S only). 27. Inspect to ensure that the two airway pressure gauge O-rings are intact. Anestar™ Systems Service Manual 0070-10-0526 5-5 Anestar and Anestar S Test Procedure Calibration FIGURE 5-1 Supply inlet filters and water traps 28. Inspect the O2, N2O and AIR gas supply inlet filters and water traps. a. Verify that minimal to no condensation or dirt are present in the inlet filter and bottles. b. Clean and/or replace the contaminated inlet filters and O-rings, if necessary. NOTE: Disconnect the line pressure hose before removing inlet filter bottles. 29. Inspect to ensure that the bellows fits securely to its fitting connection and is intact. 30. Inspect to ensure that the bellows foam pad is intact. 31. Inspect to ensure that the fan filter is clean. 32. Inspect the date code on the battery indicates it's within 3 years old. 33. Inspect to ensure that the vaporizer manifold's vaporizer locking springs are intact and allow the vaporizer to lock to the manifold. 5-6 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure List of Consumable Items Anestar KEY FOR FIGURE 5-2 ON PAGE 5-8. 1. Inspiratory Valve disk (passive) 2. Expiratory Valve disk (passive) 3. Expiratory Valve membrane 4. APL Valve membrane 5. Neg. Pressure Relief Valve membrane 6. Decoupling Valve membrane 7. Bellows Valve membrane 8. Bag Arm O-rings 9. O-rings 10. Spindle Nut 11. V-Seal, Absorber Canister 12. O-ring, Absorber Canister 13. Bellows O-ring 14. O-rings Anestar™ Systems Service Manual 0070-10-0526 5-7 Anestar and Anestar S Test Procedure Calibration 9 8 2 5 11 4 12 1 3 10 6 13 7 14 FIGURE 5-2 Anestar Breathing System Consumable Parts 5-8 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure Anestar S KEY FOR FIGURE 5-3 ON PAGE 5-10. 1. Inspiratory Valve disk (passive) 2. Expiratory Valve disk (passive) 3. Expiratory Valve bellows 4. APL Valve membrane 5. Neg. Pressure Relief Valve membrane 6. Decoupling Valve bellows 7. Bellows Valve bellows 8. Bag Arm O-rings 9. O-rings 10. O-ring, Absorber Canister 11. Bellows O-ring 12. O-rings (2) 13. Inspect/Replace the threaded insert for the CO2 absorber (Anestar S only) 14. Flat ring, CO2 Absorber 15. O-rings (4), Docking Station Anestar™ Systems Service Manual 0070-10-0526 5-9 Anestar and Anestar S Test Procedure Calibration 1 9 9 8 2 5 4 3 7 6 12 13 10 14 11 15 FIGURE 5-3 Anestar S Breathing System Consumable parts 5 - 10 0070-10-0526 Anestar™ Systems Service Manual Calibration 5.2.3 Anestar and Anestar S Test Procedure Power Supply Checks 1. Initial Set Up a. Remove the six screws from the upper panel. Swing the door open exposing the power supply PC board. The power supply assembly is attached to the door. b. Carefully remove the plastic shield. c. Inspect the connector wiring integrity and with power disconnected, tighten any loose connections as necessary. 2. Calibrating the 5.25 VDC supply a. Place the positive measuring probe of a DVM to the lower side of fuse F2 (if present). b. Place the negative measuring probe of the DVM to the ground pin located to the right of F6 as meter ground. c. Adjust P1 on the Power Supply PCB for +5.25 VDC. 3. Calibration of the 12.50 VDC supply a. Place the positive measuring probe of a DVM to the lower side of fuse F6 (if present). b. Place the negative measuring probe of the DVM to the ground pin located to the right of F6 as meter ground. c. Adjust P2 on the Power Supply PCB for +12.50 VDC. 4. Reinstall the plastic shield to the Power Supply Assembly. +5.25v adjust P1 +12.50v adjust P2 Meter Ground +12.50v measure F6 +5.25v measure F2 FIGURE 5-4 Power Supply PC board Anestar™ Systems Service Manual 0070-10-0526 5 - 11 Anestar and Anestar S Test Procedure 5.2.4 Calibration Functional Tests 1. Test Flow controller linearity a. Connect Air pressure (only) from wall supply to the Anestar. b. With the Anestar power OFF rotate the Air flow control knob to ensure a continuous flow increase throughout it's range. 2. Test Minimal O2 Flow a. Disconnect Air and N2O from the Anestar. Provide only O2 gas pressure from the wall supply. b. Turn ON the Anestar. c. Set the O2 flow controller to minimum. d. Ensure minimal O2 flow of 250mL/min. +150 /- 50. e. Calibrate as required. 3. Test proper connection of gases to the Flow Meter Block. a. Disconnect Air and N2O from the Anestar. Provide only O2 gas pressure from the wall supply. b. Switch the Air/N2O switch to the N2O position (if Air/N2O switch is present). c. Fully rotate the N2O flow controller knob and verify no flow. d. Fully rotate the Air flow control knob and verify no flow. e. Switch the Air/N2O switch to the Air position. (if Air/N2O switch is present). f. Fully rotate the Air flow controller knob and verify no flow. g. Fully rotate the N2O flow control knob and verify no flow. h. Attach the N2O wall supply, along with the O2 supply. 4. Test the N2O/Air switch in the N2O position (if present) a. Switch the Air/N2O switch to the N2O position. (if present) b. Fully rotate the N2O flow controller knob and ensure flow is sustained. Observe the O2 flow rising along with rise in N2O flow. c. Ensure N2O flow throughout the range of both N2O flow meters. d. Fully rotate the Air flow control knob and verify no flow. e. Attach the N2O and Air wall supplies, along with the O2 supply. 5. Test the N2O/Air switch in the AIR position (if present) a. Switch the Air/N2O switch to the Air position. (if present) b. Fully rotate the Air flow controller knob and ensure flow is sustained. c. Fully rotate the N2O flow control knob and verify no flow. (if Switch is present) 5 - 12 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure 6. Verify operation of the O2, N2O and Air tank check valves, as applicable. a. Connect and open a full gas tank on each yoke b. Verify the cylinder gauges operate. c. Remove each central supply gas hose one at a time from the wall supply inlet. d. Verify the check valves prevent gas from escaping through the central supply gas hose. e. Verify there is no external damage to the gas supply inlet coupling on the Anestar. f. Reattach each central supply gas hose to the wall supply inlets. 7. Verify operation of the O2, N2O and Air supply check valves a. Shut off and remove all tanks. b. Drain the residual cylinder pressure by flowing O2, N2O and Air. c. Verify the cylinder gauges return to zero d. Verify the line pressure gauges operate. e. Verify the check valves prevent gas from escaping out the open tank yokes. f. Verify there is no external damage to the gas tank or yoke pins. g. Reconnect the tank(s) as necessary. 8. Test the Flush button a. Attach a flow meter to measure the flow from the INSP port. b. Close the APL valve (MAX). c. Block the Bag Arm port d. Push the FLUSH button. e. Ensure a sustained flow of 40 +/- 10 liters/minute at the INSP ports of the Breathing System while the button is depressed. 9. Switch on the snake light. (if present) a. Verify operation of snake light. 10. Test Flow Tube Backlight. a. Verify operation of flow meter backlight (line voltage connected). 11. Test the Patient Suction Regulator to each setting. a. Verify the Patient Suction Regulator operate in the OFF, LINE and REGULATE mode. Anestar™ Systems Service Manual 0070-10-0526 5 - 13 Anestar and Anestar S Test Procedure Calibration FIGURE 5-5 Suction Regulator 12. Test the Vaporizer Interlock Mechanism a. Place two vaporizers on the vaporizer manifold. b. Set the left side vaporizer to a numeric dial setting c. Verify the right vaporizer's dial can not be rotated to a numeric dial position d. Set the left vaporizer dial to the zero position e. Set the right vaporizer dial to a numeric dial setting f. Verify the left vaporizer dial can not be rotated to a numeric dial position 13. Test the Wheel Brakes a. Verify that each front wheel break operates. 5.2.4.1 Pneumatic tests 1. Technician's Manual Leak Test The Manual Leak Test detects smaller leaks than can be detected in the Automatic Leak Test. a. Ensure adequate gas supply (O2, N2O and Air) is connected. b. Turn ON the Anestar. c. Attach a reusable-silicone-rubber breathing circuit to the Breathing System. d. Tightly connect the Y-piece to the bag-arm port where the bag would normally be. e. Set the APL valve to the fully closed (80cm H2O or MAX) position. f. Rotate the O2 flow control valve until 60cm H2O pressure is observed on the airway pressure gauge. g. Setting the flow control valve to 500 ml flow should increase the pressure, or maintain the airway pressure for at least 30 seconds. h. If at 500 ml flow, the pressure decreases, but stays above 40 cm H2O for at least 30 seconds, the system is safe for clinical use. i. If at 500 ml flow, the pressure decreases below 40 cm H2O within 30 seconds, the unit should not be used clinically until the leak is resolved per the specification defined above. 5 - 14 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure 2. Test APL Valve a. With the reservoir bag connected to the bag arm and the test lung connected to the breathing circuit, set the APL valve to OPEN (or CMV/SP). b. Connect the calibrated pressure meter to the Luer fitting on the Y-piece. c. Set O2 flow to 5 l/m. d. Verify that the calibrated pressure meter and PAW gauge both read between 1.5 and 3.4 mbar. e. Set the APL valve to 30. f. Press the O2 FLUSH button to inflate the reservoir bag. g. Manually compress the bag 3 times, increasing the pressure to between 40 and 50 mbar with each compression. h. Disconnect the reservoir bag from the bag arm and attach the Y-piece to the end of the bag arm. i. Verify that the calibrated pressure meter reads 30 ±10 mbar. j. Verify that the PAW gauge reads ±2.0 mbar of the reading on the calibrated pressure meter. k. Set the O2 flow to minimum, APL valve to OPEN (or CMV/SP), and disconnect the calibrated pressure meter. 3. Compliance Test This test calibrates the ventilator for tubing compliance by pressurizing the breathing circuit to 40 cm H2O. This test pressurizes the inspiratory limb pneumatics by closing the decoupling and expiratory valves. The Compliance Test is available at the start of the machine and from the OPTIONS screen. a. Ensure adequate supply gas pressure (O2, N2O and Air). b. Turn the vent dial to the standby position. c. Turn ON the Anestar. After boot-up, the compliance test screen will appear. d. If the Anestar is already on, Press OPTIONS, then Compliance Test. e. Attach a breathing circuit to the Breathing System. f. Seal the Y-piece by attaching the open port to the parking place on the side of the Breathing System. g. Set the flow of gas to minimum flow. h. Press ENTER to start the test. i. Verify that less than a 300 mL/min. leak is indicated. Anestar™ Systems Service Manual 0070-10-0526 5 - 15 Anestar and Anestar S Test Procedure Calibration Compliance Test Compliance Test Passed Leak rate < 300 ml/min Please Enter to continue FIGURE 5-6 Compliance Test Passed 4. Automatic Leak Test. This test pressurizes the inspiratory limb, expiratory limb, vaporizer manifold and pneumatic lines leading to the flow control valves (flow meters). The automatic Leak Test is only available from the OPTIONS screen. a. Ensure adequate supply gas pressure (O2, N2O and Air). b. Turn the vent dial to the standby position. c. Turn ON the Anestar. After boot-up, press OPTIONS, then Leak Test. d. Attach a breathing circuit to the Breathing System. e. Connect the Y-piece to the bag-arm port where the bag would normally be. f. Set the flow of gas to minimum flow. g. Set the APL valve to the fully closed (80 cm H2O or MAX) position. h. Press and release the red pop-off button to depressurize the system. i. Press ENTER to start the test. j. Verify that less than a 300 mL/min. leak is indicated. 5 - 16 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure Options Compliance Test Leak Test Leak Test Passed Set APL valve to Vent OPEN position Cal 02 Sensor FIGURE 5-7 Leak Test Passed 5. N2O cylinder test a. Remove the N2O line pressure hose from the line pressure inlet on the unit. b. Mount a full N2O cylinder to the rear panel yoke. Make sure a new clean tank washer is placed between the tank and the yoke to minimize any leaks at the yoke connection. c. Turn the main switch to the OFF position. This will isolate the N2O Cylinder Pressure read near 750 psi or equivalent pressure units. d. Close the N2O cylinder. e. Observe the N2O cylinder gauge. The pressure gauge should not fall more than 20% of its initial pressure over 3 minutes. 5.2.4.2 Performance Verification 1. Initial Set Up a. Ensure adequate gas pressures (O2, N2O, Air) b. Set the vent dial to the Standby position. c. Power ON the fully assembled Anestar. d. Perform the Compliance Test per the on-screen instructions. Ensure successful completion. e. Attach a test lung to the y-piece of the breathing circuit. f. Press the O2 FLUSH button to fill the bag with volume. 2. Test ventilation assist capability in the Standby mode a. Set the APL valve to 20. b. Set the N2O/Air switch (if present) to Air. Flow 5 liter/minute of Air. c. Squeeze the reservoir bag once every 10 seconds. d. Verify that the test lung inflates and deflates to approximately 20cm H2O pressure. Anestar™ Systems Service Manual 0070-10-0526 5 - 17 Anestar and Anestar S Test Procedure Calibration Standby Use vent dial to select a ventilator mode FIGURE 5-8 Standby mode display 3. Calibrate the O2 Cell in the OPTIONS mode a. Press the OPTIONS key, then the O2 CAL key. b. Follow the directions on the screen. c. Press ENTER, then OPTIONS to return to the Standby screen. Options Compliance Test O2 Sensor calibration successful Leak Test Cal 02 Sensor FIGURE 5-9 O2 Sensor Cal Successful 5 - 18 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure 4. Test Assist Capability in MANUAL a. Set the Vent Dial to MANUAL. b. Set the APL valve to 20. c. Flow 5 liter/minute of Air. d. Squeeze the reservoir bag once every 10 seconds. e. Verify that the test lung inflates and deflates to a approximately 20cm H2O pressure. f. Verify that tidal volume, resp rate, minute volume, FiO2, and PEEP values appear on screen. g. Verify a pressure waveform appears on screen along with the bag compressions. h. A battery symbol may appear depending on the battery charge level. i. Set the APL to the OPEN (CMV/SP) position and stop squeezing the reservoir bag. --- 5 3.4 19 MAN 60 40 20 0 -5 0 1450 2 4 6 8 10 20 12 14 16 1 FIGURE 5-10 Manual mode display 5. Test the O2:N2O Ratio System a. Set the O2 and N2O flow control valves to minimum. b. Rotate the N2O flow controller until the top of the O2 flow meter's float rises to indicate one liter per minute. c. Add the N2O flow and O2 flow together and divide the O2 flow by the total. d. Verify the ratio is between 20% and 30%. e. Lower the N2O flow to minimum. 6. Calibrate as required For the 0997-00-0978 Flow Meter Module, Ratio System: 1. Remove the ratio system module by removing the two top screws. 2. Loosen the Locking Nut that holds the threaded collar. 3. Adjust the threaded collar clockwise to increase the ratio of O2 to N2O. 4. Reinstall the ratio system module and retest the O2:N2O ratio. Anestar™ Systems Service Manual 0070-10-0526 5 - 19 Anestar and Anestar S Test Procedure Calibration 5. Verify that the O2 concentration in percent (%) is not less than 20%, or more than 30%, in combination with N2O. Screws O2:N20 Ratio System Back Side Locking Nut Threaded Collar FIGURE 5-11 Flow Meter Module’s Ratio System For the 0997-00-1000 Flow Meter Module, Ratio System: 1. Attach a pressure meter to the O2 measurement port. 2. Set the O2 pressure regulator for 30 psi, +/- 2 psi. 3. Attach a pressure meter to the N2O measurement port. 4. Set the N2O pressure regulator for 40 psi +/- 2 psi. 5. Verify that the O2 concentration in percent (%) is not less than 20%, or more than 30%, in combination with N2O. 6. Remove the pressure meter attached to the N2O measurement port. 5 - 20 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure FIGURE 5-12 Flow Meter Module’s Ratio System 5.2.4.3 Test Manual Mode Alarms 1. APNEA Alarm a. Verify that the following APNEA alarm signals activate. Note that the onset of these alarm signals can be delayed in the ALARMS screen. b. APNEA appears on the screen c. Flashing red LED after 30 seconds d. Two audio beeps sound at approximately 30sec, 45sec, 60sec, 1:15 sec, 1:30 sec, 1:45 sec. e. A continuous alarm sounds at 2 minutes. 2. MUTE, Two Minute Silence a. Press the MUTE key b. Verify the audio portion of the alarms silences for 2 minutes, and then returns after 2 minutes. Anestar™ Systems Service Manual 0070-10-0526 5 - 21 Anestar and Anestar S Test Procedure Calibration --- --- -.- -- Apnea FiO2 30 99 MAN. 18 --- -- 0 FIGURE 5-13 Manual mode alarm screen 3. Low O2 Alarm a. Set the low O2 Alarm limit to 50% O2 b. Set the air flow control valve to 5 L/min. c. Set the O2 flow controller to minimum flow. d. Set the APL valve to 20 e. Squeeze the reservoir bag once every 10 seconds. f. Verify the following Low O2 alarm signals activate: FiO2 is lower than FiO2 alarm limit appears on the screen An oscillating audio tone sounds Flashing Red LED. g. Set the Low O2 alarm limit to 18%. h. Verify the alarm signals stop activating. i. Stop squeezing the bag. 4. High O2 Alarm a. Set the high O2 Alarm limit to 50% O2. b. Set the O2 flow control valve to flow 5 L/min. c. Set the Air flow controller to minimum. d. Set the APL valve to 20 e. Squeeze the reservoir bag once every 10 seconds. 5 - 22 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure f. Verify the following High O2 alarm signals activate: • FiO2 is greater than FiO2 alarm limit appears on the screen • An oscillating audio tone sounds • Flashing Yellow LED. g. Set the high O2 alarm limit to the max setting O2. h. Verify the alarm signals stop activating. i. Stop squeezing the bag. 5. Test Tidal Volume in the CMV ADULT mode a. Rotate the Vent Dial to Adult b. Set the O2 flow to 2 liter/minute c. Set the ventilator to the following settings: VENTILATOR CONTROLS VENTILATOR SETTINGS Vent Dial Adult Vent Mode CMV Tidal Volume 500 Breath Rate 10 I:E ratio 1:2 PEEP 0 Plateau Pressure OFF O2 Flow Controller 2 Liters/minute d. Place a tidal volume measuring device in line with the expiratory limb, attached to the Expiratory port. e. Press START Anestar™ Systems Service Manual 0070-10-0526 5 - 23 Anestar and Anestar S Test Procedure Calibration 35 2.2 10 43 CMV 40 20 0 -5 0 290 2 4 6 10 8 10 12 1: 2 14 16 0 FIGURE 5-14 CMV ventilation mode f. Verify that the measured tidal volume reaches the set value within 10 breaths. g. Verify the Tidal Volume display is within 10% of set value within 4 minutes. h. Verify that the O2 display reads greater than 95 within 8 minutes. 6. Test Red Pop-Off Button a. While the ventilator is running, press and hold down the manual POP OFF (Red) button on the Anestar. This red button is not available in Anestar S. b. Verify that the manual POP OFF button depressurizes the breathing system. c. Release the POP OFF button. d. Verify airway pressure returns to the circuit and is indicated on the display screen. 7. Test Airway Disconnect Alarm a. While the ventilator is running, disconnect the expiratory limb from the Expiratory Port on the Breathing System. b. Verify the following airway pressure disconnect alarm signals activate. • • • Oscillating audio tone Flashing Red LED ‘‘Airway Disconnected’’ message appears on screen. 8. Test the CMV ADULT mode a. Reset the ventilator to: 5 - 24 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure VENTILATOR CONTROLS VENTILATOR SETTINGS Vent Dial Adult Vent Mode CMV Tidal Volume 700 Breath Rate 10 I:E ratio 2:1 PEEP 4 Plateau Pressure 30% O2 Flow Controller 2 Liters/minute b. Verify the Tidal Volume settles within 10%, and PEEP settles within +/- 1 digit of set values within 4 minutes. 9. Test the CMV CHILD mode a. Reset the ventilator to: VENTILATOR CONTROLS VENTILATOR SETTINGS Vent Dial Child Vent Mode CMV Tidal Volume 200 Breath Rate 10 I:E ratio 1:2 PEEP 0 Plateau Pressure OFF O2 Flow Controller 2 Liters/minute b. Verify the Tidal Volume (DEFAULT Settings) settles within 10% of set value. 10. Test the PCV ADULT mode (if present) a. Set ventilator: VENTILATOR CONTROLS VENTILATOR SETTINGS Vent Dial Adult Vent Mode PCV Tidal Volume Flow 20 Breath Rate 10 I:E ratio 1:2 PEEP 0 Plateau Pressure 14-20 (note) O2 Flow Controller 2 Liters/minute NOTE: Select a Plateau Pressure that delivers a tidal volume of approximately 500ml. b. Verify the plateau pressure settles within 10% of the set value within 3 minutes Anestar™ Systems Service Manual 0070-10-0526 5 - 25 Anestar and Anestar S Test Procedure Calibration 22 30 5.0 50 PCV 40 20 0 -5 0 2 800 4 6 10 8 12 10 2: 1 14 16 30 0 FIGURE 5-15 PCV ventilation mode 5.2.4.4 Test Alarm 1. Initial Set Up a. Ensure adequate gas pressures (O2, N2O, Air). b. Set the vent dial to the Standby position. c. Power ON the fully assembled Anestar. d. Perform the Compliance Test per the on-screen instructions. Ensure successful completion. e. Attach a test lung to the y-piece of the breathing circuit. f. Press the O2 Flush button to fill the bag with volume. g. Set the ventilator to: VENTILATOR CONTROLS 5 - 26 VENTILATOR SETTINGS Vent Dial Adult Vent Mode CMV Tidal Volume 500 Breath Rate 10 I:E ratio 1:2 PEEP 0 Plateau Pressure OFF O2 Flow Controller 2 Liters/minute 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure 36 Vtmin 19 3.2 20 CMV P M.Vol. O2 Vol. 60 400 320 99 2.0 12 10 1: 2 18 0 FIGURE 5-16 CMV and PCV mode alarm screen 2. Test the Tidal Volume Alarm a. Start the Ventilator. b. Press the ALARM LIMITS key. c. Set the Vtmin alarm set point to 800. d. Verify the following Tidal Volume alarm activates. e. Tidal Volume lower than Vtmin appears on the screen. f. Oscillating audio tone. g. Flashing yellow LED. h. Set the Vtmin alarm set point to 350 (ml). 3. Test the Peak Pressure Alarms a. Set the Peak Pressure high alarm limit set point 5 digits below the Peak Pressure displayed on the upper left of the screen. b. Verify the following (high) peak pressure alarms activate: • Peak Pressure greater than alarm limit appears on the screen. • Oscillating audio tone. • Flashing Red LED. • Inspiration ends and expiration begins as the pressure meets the high alarm limit (horizontal line). c. Set the Peak Pressure high alarm limit set point to 65 (cm H2O). d. Verify the alarms signals cease. e. Set the Peak Pressure low alarm limit set point to 50 (cm H2O) f. Verify the following (low) peak pressure alarms activate: Anestar™ Systems Service Manual • Peak Pressure below alarm limit appears on the screen. • Oscillating audio tone. 0070-10-0526 5 - 27 Anestar and Anestar S Test Procedure • Calibration Flashing Red LED. g. Set the Peak Pressure low alarm limit to 12 (cm H2O). h. Verify the alarm signals cease. 4. Test the Minute Volume Alarm a. Set the Minute Volume alarm limit set point to the highest value. b. Verify the following alarms activate: • Minute Volume below alarm limit appears on the screen. • Oscillating audio. • Flashing Yellow LED. c. Set the Minute Volume alarm limit to minimum setting. d. Verify the alarm signals cease. 5 - 28 0070-10-0526 Anestar™ Systems Service Manual Calibration Anestar and Anestar S Test Procedure 36 Vtmin 19 3.2 20 CMV P M.Vol. O2 Vol. 60 400 320 99 2.0 12 10 18 1: 2 0 FIGURE 5-17 CMV and PCV mode alarm screen 5. Test the drive gas pressure loss alarm (whistle) and N2O cutoff. a. Ventilate a Test Lung in the CMV mode. b. Set the N2O/Air switch to the N2O position. (if present) c. Set the O2 flow for one (1) L/min. Set the N2O flow to one (1) L/min. using the flow control valves. d. Interrupt the O2 supply to the Anestar. e. Verify the flow of nitrous oxide stops. f. For all units except, P/N 0998-00-3012-00210, verify the following alarms are activated: • ‘‘No Drive Gas’’ appears on screen • Oscillating audio • Flashing Red LED • Whistle sounds for 5-9 seconds g. Verify that while O2 and N2O are lost, AIR is available in either Air or N2O switch position, by adjusting its flow control valve. h. For Anestar P/N 0998-00-3012-00210 interrupt the air supply to the Anestar verify that the expected results of step f are present. i. If necessary, adjust the time duration of the drive gas pressure loss whistle. See next steps. Anestar™ Systems Service Manual 0070-10-0526 5 - 29 Anestar and Anestar S Test Procedure Calibration Whistle Adjustment Screw FIGURE 5-18 O2 Whistle adjustment j. Calibrate the drive gas Pressure Loss Whistle • Disconnect the drive gas. • Adjust the screw adjacent to the whistle reservoir. Shorter duration whistles are somewhat louder. ((see FIGURE 5-18)) 6. Test the Line Voltage Alarm a. Before starting this test, verify a fully charged battery (no battery charging icon present on the upper right edge of the screen). The icon disappears when the battery is fully charged. b. Interrupt AC line voltage. c. Verify the following alarms activate: • Oscillating audio • Flashing Red LED • ‘‘Battery Operation’’ screen message d. (Each year) verify that a fully charged battery operates the ventilator for a minimum of 30 minutes. e. Plug the Anestar into AC line voltage. f. Verify that the alarms cease. g. Verify the presence of the battery charging icon. 5 - 30 0070-10-0526 Anestar™ Systems Service Manual Calibration 5.2.4.5 Anestar and Anestar S Test Procedure Vaporizer tests 1. Initial Set Up a. Rotate the Vent Dial to the Standby mode b. Press the OPTIONS key, then press Breathing System Unlock c. Unplug all cables leading to the Breathing System d. Remove the Breathing System e. Insert the agent measuring device sampling tube inside the Docking Station's fresh gas outlet. f. Set the O2 flow to 5 liters/minute CAUTION: Direct the flow from the fresh gas outlet to the waste gas scavenger hose. Connect the other side of the hose to the Waste Gas Scavenger. Tee the connection at the fresh gas outlet to measure the agent gas as it flows to the scavenger. PEEP Valve Bellows Valve Fresh Gas Outlet Driving Gas Outlet Decoupling Valve FIGURE 5-19 Docking Station connections 2. Fill the Vaporizer a. Fill the vaporizer with agent per the instructions in the vaporizer instruction manual. Do not overfill by filling past the indicator line on the vaporizer. Anestar™ Systems Service Manual 0070-10-0526 5 - 31 Anestar and Anestar S Test Procedure Calibration 3. Test the Vaporizer accuracy a. Rotate the dial of the vaporizer under test to the midrange setting. b. Verify that the measured agent matches the dial setting within the accuracy tolerance of the vaporizer. See the vaporizer instruction manual for testing details. c. Rotate the dial of the vaporizer under test to a setting between the lowest point and mid range. d. Verify that the measured agent matches the dial setting within the accuracy tolerance of the vaporizer. See the vaporizer instruction manual for testing details e. Rotate the dial of the vaporizer under test to a setting between midrange and the highest point. f. Verify that the measured agent matches the dial setting within the accuracy tolerance of the vaporizer. g. Set the vaporizer dial to zero (OFF). h. Verify no agent is detected. i. Test each vaporizer in turn. j. Test any vaporizer on the parking position. 4. Remove the measuring device from the docking station. 5. Install the Breathing System. Connect all cables leading to the Breathing System. 6. Check for N2O Trace Gas a. Initial Settings • Set the vent dial to the Standby position. • Perform the Compliance Test per the on-screen instructions. Ensure successful completion. • Attach a test lung to the y-piece of the breathing circuit. • Press the O2 Flush button to fill the bag with volume. VENTILATOR CONTROLS VENTILATOR SETTINGS Vent Dial Adult Vent Mode CMV Tidal Volume 500 Breath Rate 10 I:E ratio 1:2 PEEP 0 Plateau Pressure OFF O2 Flow Controller Minimum setting N2O Flow Controller 5 Liters/minute Vaporizer under test 1.0 Vol/Vol% • Press START. b. Trace Gas Testing 5 - 32 • Place the sampling point of the N2O measuring device along the edge of the open vaporizer, where it is mounted to the vaporizer manifold. • Verify that less than 1.0 V/V% of N2O and less than 0.2 V/V% agent is detected. 0070-10-0526 Anestar™ Systems Service Manual Calibration Service Software 7. Test the other vaporizer using steps above. 8. Corrective Action a. Replace the O-ring between the vaporizer and the mount to eliminate N2O or agent trace gases. 5.2.4.6 Electrical tests CAUTION: Perform the electrical safety inspection as the last step after completing a repair or after routine maintenance. Perform this inspection with all covers, panels, and screws installed. 1. Test convenience AC outlets. a. Verify AC voltage is present at each AC outlet with the Anestar Mains switch in both the ON and OFF positions. 2. Conduct electrical safety inspection. a. Withdraw the Power Supply cable(s) of all units from the convenience receptacles at the rear side of the Anestar. b. Plug the Anestar into the Safety Analyzer. c. Connect the case ground lead of the analyzer to the U-blade ground of one of the convenience receptacles. d. Perform the following tests with the case grounded: • Normal polarity • Normal polarity with open neutral e. Perform the following tests with the case ungrounded: • Normal polarity • Normal polarity with open neutral • Reverse polarity f. Verify the maximum leakage current does not exceed 300 µA (0.3 mA). g. Ground Resistance (between the U-blade ground on any convenience outlet to the Ublade ground on the AC line cord) 5.3 • Plug the Anestar into the safety analyzer. • Attach the resistance-measuring probe on the analyzer to the Anestar U-blade ground on any convenience outlet. • Invoke the resistance function on the safety analyzer, following the instructions for the analyzer. • Verify the resistance to ground is less than 0.1 ohms (100 mOhms). Service Software Calibration is accomplished through software driven service utilities. Access to these screens are restricted to trained service personnel. Contact Datascope to receive more information about biomedical equipment service seminars for both the Anestar and Anestar S models. Anestar™ Systems Service Manual 0070-10-0526 5 - 33 Navigation through Service Diagnostic Software Screens 5.4 5.4.1 Calibration Navigation through Service Diagnostic Software Screens The Main Menu This menu provides individual screens to calibrate the O2 Sensor, Temperature Sensor, P1 Pressure Sensor, P2 Pressure Sensor, Internal Flow Sensor, External Flow Sensor and Proportional Valve. A TEST menu containing troubleshooting utilities is also provided. Press the Test Menu key to enter the TEST sub-menu. O2 Sensor P1 Sensor P2 Sensor Temp. Sens Prop. V. Service Program Anestar Flow int. Charac. PV Flow exp. Test Menu Exit FIGURE 5-20 Main menu screen 5 - 34 0070-10-0526 Anestar™ Systems Service Manual Calibration 5.4.1.1 Navigation through Service Diagnostic Software Screens The Test menu screen This menu is a sub-menu of the Main menu. It contains software utilities used for troubleshooting the Breathing System Motor, the Pressure, O2 and Temperature sensors, the Proportional Valve, the Solenoid and diaphragm Valves, Power indicators, and Heating Blanket thermal control. Motor Service Program Anestar TEST P,O2,°C Charac. PV M1-M4 Misc. Quit FIGURE 5-21 Test menu screen Anestar™ Systems Service Manual 0070-10-0526 5 - 35 Navigation through Service Diagnostic Software Screens 5.4.2 Calibration Troubleshooting Utilities 1. Motor Control a. Initial Setup • Press TEST MENU • Press MOTOR • Press UNLOCK and verify the Breathing System moves away from the Docking Station • Remove the Breathing System from the Docking Station Unlock Lock STOP OFF OFF OFF S-Start S-Stop SERVICE Test Motor-control Quit FIGURE 5-22 Breathing System, motor control screen 5 - 36 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens b. Understanding the Motor Control utility • • • • • This utility is NOT active for the Anestar S. On Anestar machines, press the Start button located on the inside surface of the Docking Station and observe that it's screen indicator illuminates as the motorized screw rotates. The motor stops on its own after a few seconds. Press the STOP button located on the inside surface of the Docking Station and observe that its screen indicator illuminates. Reinstall the Breathing System by gently pushing it back into the Docking Station. The Start and Stop indicators will light when the motor finishes pulling in the Breathing System. Select QUIT to return to the Test menu. Start button Stop button FIGURE 5-23 Docking Station, Start / Stop buttons Anestar™ Systems Service Manual 0070-10-0526 5 - 37 Navigation through Service Diagnostic Software Screens Calibration 2. Pressure, O2 and Temp Positive or negative offsets in P1 and P2 may influence various pressure displays seen in normal operation and may cause inadvertent user messages to appear. P1 and P2 calibration is found in sections 5.4.3.2 and 5.4.3.3. a. Initial Set Up • Press TEST MENU. • Press the P, O2, °C key. 02 P1 P2 Temp 21.0 0.0 0.1 32.1 AVM 31 [%] [mBar] [mBar] [°C] 21.2 0.0 AVM 32 0.1 SERVICE Test P, O2 and T Sensors Quit FIGURE 5-24 P, O2, °C test screen 5 - 38 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens b. Understanding the P,O,C utility's O2 display • Attach a source of O2 pressure to the Anestar. Do not connect N2O or Air. • Attach the Y-piece to the Bag Arm port where the bag would normally go. • Set the APL Valve to the fully (clockwise) closed position. • Remove the O2 Cell from its mount. • Observe that the O2 displays 21% +/-1 digit after 2 minutes stabilization. • O2 calibration is found in section 5.4.3.1. 02 P1 P2 Temp 21.0 0.0 0.1 32.1 AVM 31 [%] [mBar] [mBar] [°C] 21.2 0.0 AVM 32 0.1 SERVICE Test P, O2 and T Sensors Quit FIGURE 5-25 Pressure, O2 and Temperature screen c. Understanding the P,O,C utility's P1 and P2 displays Anestar™ Systems Service Manual • Observe that P1 and P2 values for both the AVM31 and AVM32 rows display 0.0 +/-1.0 mbar when the O2 cell is disconnected. • Place the O2 cell back into it's mount. • Flow in fresh gas until P1 AVM31 reads approximately 40 cm H2O. • Observe that P1 and P2 values for both the AVM31 and AVM32 rows are within 2.0 mbar of each other after stabilization. P1 and P2 calibration is found in sections 5.4.3.2 and 5.4.3.3. • Release system pressure by opening the APL valve. • Select QUIT to return to the Test menu. 0070-10-0526 5 - 39 Navigation through Service Diagnostic Software Screens Calibration 3. Proportional Valve (Charac. PV) Testing This diagnostic screen is designed to observe the proportional valve output, monitored and servo-controlled by the internal flow sensor. With a precisely calibrated internal flow sensor and proportional valve, the accuracy of flow output shall be within +/- 10% of the setting. This diagnostic screen should not be confused with the calibration screen of the same name, located in the calibration (ANESTAR) menu. a. Initial Set Up • Press TEST MENU. • Press MOTOR. • Use the UNLOCK command to remove the Breathing System. • Press QUIT while in the Test menu. • Press CHARAC. PV. 1/min 0 1/min 0.0 0 20 40 60 80 100 1/min 0.0 1 2 4 6 AVM 31 AVM 32 8 10 12 15 20 25 30 35 40 45 50 55 60 65 70 75 SERVICE Test Char. Prop. Valve Quit FIGURE 5-26 Proportional Valve test screen 5 - 40 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens b. Understanding the Charac. PV Utility • Attach only drive gas pressure to the Anestar. • Attach a flow meter directly to the Drive Gas Outlet port on the Docking Station. • Use the UP/DOWN arrow keys to move the arrow to the desired flow. • Press ENTER to start the flow of gas. • Observe the AVM31 and AVM32 values. Set the flow rate to each screen setting (1-75) using the UP arrow to move the screen pointer arrow. The measured values' accuracy tolerance between 10-60 liters per minute must be within +/10% of the selected value. It is typical for the output flow to vary +/- 2% of reading after a 30 second stabilization period. • Use this utility to confirm a suspected problem with the proportional valve, Internal flow sensor or 29 psi regulator. • Press '0 l/min' to stop the flow of gas. • Select QUIT to return to the Test menu. • Reinstall the Breathing System using the Motor Control diagnostic screen. Driving Gas Outlet FIGURE 5-27 Docking Station, drive gas outlet Anestar™ Systems Service Manual 0070-10-0526 5 - 41 Navigation through Service Diagnostic Software Screens Calibration 4. MV1-MV4 a. Initial Set Up • Press TEST MENU. • Select MOTOR. • Select UNLOCK to remove the Breathing System. • Attach a (pressure) measuring device to the Docking Station's Expiratory valve connection. • Select QUIT. • Select M1-M4. MVI MV2 MV3 MV4 OFF OFF OFF OFF SERVICE TEST Solenoid Valves Quit FIGURE 5-28 Solenoid Valves MV-1 MV-4 test screen 5 - 42 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens b. Understanding the MV-1MV4 Utility • Attach only drive gas pressure to the Anestar. • Activate the MV1 valve by pressing its on-screen label. • Verify that there is a dead-end pressure between 1.8 and 4.0 psi measured at the Docking Station's Bellows Valve connection. • Deactivate MV1 and activate the MV3 Valve. • Verify that there is a dead-end pressure between 1.8 and 4.0 psi measured at the Docking Station's Fresh Gas Decoupling valve connection. • Deactivate MV3 and activate both MV2 and MV4. • Verify that there is a dead-end pressure between 1.8 and 4.0 psi measured at the Docking Station's PEEP Valve connection. • If necessary, calibrate the low pressure regulator to 2.9 psi. (see below) • If the pressure is within specification, Press QUIT to return to the Main menu. PEEP Valve Bellows Valve FGD Valve FIGURE 5-29 Docking Station Valve Ports Anestar™ Systems Service Manual 0070-10-0526 5 - 43 Navigation through Service Diagnostic Software Screens Calibration c. Calibrate the 2.9 psi Regulator • Activate the MV3 Valve. • Using a pressure measuring device measure the pressure at the Docking Station's FGD Valve connection. • Set the 2.9 psi regulator's adjustment screw to obtain a pressure of 2.9 psi +/0.4 psi. • Press QUIT to return to the Test menu. • Press MOTOR. Insert the Breathing System. • Observe draw-in and confirm the S-Stop illuminates. Low Pressure Regulator Adjustment Screw FIGURE 5-30 Low Pressure 2.9 psi Regulator 5 - 44 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens 5. Power and Heater Control (Misc.) a. Initial Set Up • Press TEST MENU. • If not already installed, install the Breathing System using the MOTOR test screen. • QUIT the MOTOR screen. • Press MISC. b. Understanding the Power Control Utility • Unplug the AC mains cable and observe the indicator changes from AC-OK to AC-Fail. • Plug in the AC mains cable and verify the BATT indicator flashes (charging) for several minutes before remaining lit (fully charged). • Select QUIT to return to the Test menu. HEAT OFF Power Control AC-OK BATT SERVICE Test Misc Quit FIGURE 5-31 Power and Heater Control Screen Anestar™ Systems Service Manual 0070-10-0526 5 - 45 Navigation through Service Diagnostic Software Screens Calibration c. Understanding the Heat Control Utility (Misc.) Use this utility to ensure heater activity during troubleshooting or to warm up the Breathing System prior to calibrating the External Flow Sensor. Observe that the Temp Max indicator will only illuminate on the Anestar S after reaching approximately 50 degrees C. The Anestar does not utilize the 'Temp Max' over-temperature sensor indicator. • Press HEAT to turn on the Breathing System's heating system. The indicator will display ON. Pressing QUIT will turn the heating system off. • Turn off the heating system by pressing HEAT to set the indicator to 'OFF'. • Press QUIT to return to the Test menu. • Press QUIT to return to the Main menu. HEAT OFF Power Control AC-OK BATT SERVICE Test Misc Quit FIGURE 5-32 Power and Heater Control Screen 5 - 46 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens 5.4.3 Calibration 5.4.3.1 O2 sensor ADC calibration Calibrate the O2 Sensor when performing an ‘‘O2 CAL’’ in the OPTIONS menu. 1. Initial Set Up a. Start in the Main Menu b. Press O2 SENSOR to enter the O2 sensor screen. MIN MAX Save 20.0 0% 20% 40% 60% 80% AVM31 100% 20.0 AVM32 SERVICE O2 Calibration Quit FIGURE 5-33 O2 Calibration in progress screen 2. Minimum range calibration. a. Place the oxygen sensor into room air (21% O2) for 2 minutes. b. Adjust O2 OFFS potentiometer (P5, AVM32) until the lower screen bar graph value shows 20% +/- 0.2%. Reference the trim pot locations from the pullout page at the end of this chapter. c. Press MIN on the touch screen to record the value. Anestar™ Systems Service Manual 0070-10-0526 5 - 47 Navigation through Service Diagnostic Software Screens Calibration 3. Maximum range calibration a. Place the oxygen sensor into 100% O2. b. Apply 100% oxygen until the cell stabilizes at 100% O2. c. Adjust O2 GAIN potentiometer (P6, AVM32) until the lower bar graph value indicates the highest value possible, not exceeding 80%. Reference the trim pot locations from the pullout page. d. Press MAX on the touch screen to record the value. e. Remove the source of 100% O2 and vent the O2 cell to (21%) room air. f. Verify that the 20% setting has not changed more than +/-0.2%. 4. Press SAVE on the touch screen to store both the minimum and maximum values into memory. 5. Press the SAVE key until the on-screen label changes from 'save' to 'saved'. 6. Press QUIT to return to the Main menu. 5.4.3.2 P1 Pressure sensor ADC Calibration Calibrate the P1 and P2 pressure sensor channels together at annual intervals, after changing the Module 2 pcb, if indications are that one is out of specification or if peak pressure readings in ventilation modes are suspected to be out of calibration. 1. Initial Set Up a. Start in the Main menu. b. Press P1 SENSOR to enter the P1 Sensor screen. MIN MAX Save 20.0 0% 20% 40% 60% 80% AVM31 100% 20.0 AVM32 SERVICE P1 Calibration Quit FIGURE 5-34 P1 Calibration screen 5 - 48 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens 2. Minimum range calibration a. Apply ambient pressure to the system by removing the breathing circuit from the Breathing System. b. Turn the P1 OFFS potentiometer (P11, AVM32) until the lower screen bar graph shows 20% +/- 0.2%. Reference the trim pot locations from the pullout page. c. Press MIN on the touch screen to record the value. 3. Maximum range calibration a. Attach a breathing circuit to the Breathing System. b. Attach the open port of the Y-piece to the Bag Arm port where the bag would normally be. c. Attach a calibrated pressure meter to the breathing circuit. A convenient place to measure this pressure is at a lure lock port at the breathing circuit's Y-piece. d. Set the APL valve to the MAX position (fully closed). e. Increase the fresh gas flow rate until a stabilized pressure of 80 cm H2O (58.8 mmHg) has been achieved as indicated by the pressure meter. f. Adjust the P1 GAIN potentiometer (P10, AVM32) until the lower screen bar graph shows 80%+/-0.2%. Reference the trim pot locations from the pullout page. 4. Press MAX on the touch screen. 5. Release the pressure and verify that the 20% setting has not changed more than +/0.2%. 6. Press SAVE on the touch screen to store both the minimum and maximum values in memory. 7. Press the SAVE key until the on-screen label changes from save to saved. 8. Press QUIT to return to the Main menu. 9. Vent the system by setting the APL valve to VENT (CMV). Anestar™ Systems Service Manual 0070-10-0526 5 - 49 Navigation through Service Diagnostic Software Screens 5.4.3.3 Calibration P2 Pressure sensor ADC Calibration Calibrate the P1 and P2 pressure sensor channels together at annual intervals, after changing the Module 2 pcb, if indications are that one is out of specification or if peak pressure readings in ventilation modes are suspected to be out of calibration. 1. Initial Set Up a. Start in the Main menu. b. Press P2 SENSOR to enter the P2 Sensor screen. MIN MAX Save 20.0 0% 20% 40% 60% 80% AVM31 100% 20.0 AVM32 SERVICE P2 Calibration Quit FIGURE 5-35 Calibration screen 2. Minimum range calibration a. Apply ambient pressure to the system by removing the breathing circuit from the Breathing System. b. Turn the P2 OFFS potentiometer (P8, AVM32) until the lower screen bar graph shows 20% +/- 0.2%. Reference the trim pot locations from the pullout page. c. Press MIN on the touch screen to record the value. 3. Maximum range calibration a. Attach a breathing circuit to the Breathing System. b. Attach the open port of the Y-piece to the Bag Arm port where the bag would normally be. c. Attach a calibrated pressure meter to the breathing circuit. A convenient place to measure this pressure is at a lure lock port at the breathing circuit's Y-piece. d. Set the APL valve to the MAX position (fully closed).Increase the fresh gas flow rate until a stabilized pressure of 80 cm H2O (58.8 mmHg) has been achieved as indicated by the pressure meter.Adjust the P2 GAIN potentiometer (P7, AVM32) until the lower screen bar graph shows 80%+/-0.2%. Reference the trim pot locations from the pullout page. 5 - 50 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens 4. Press MAX on the touch screen. 5. Release the pressure and verify that the 20% setting has not changed more than +/0.2%. 6. Press SAVE on the touch screen to store both the minimum and maximum values in memory. 7. Press the SAVE key until the on-screen label changes from 'save' to 'saved'. 8. Press QUIT to return to the Main menu. 9. Vent the system by setting the APL valve to VENT (CMV). 5.4.4 Temperature Sensor ADC Min-Max calibration Calibrate the temperature sensor after changing the sensor or after changing the Module 2 pcb. 1. Initial Set Up a. Start in the Main menu. b. Press TEMP.SENS to enter the Temperature Sensor screen. MIN Save MAX 20.0 0% 20% 40% 60% 80% AVM31 100% SERVICE Temp Calibration Quit FIGURE 5-36 Temperature Sensor screen 2. Minimum range calibration. a. Connect the Anestar Temp Simulator (0138-00-0014) directly to the X7 connector on the AVM31 PC board. Reference the X7 connector locations from the pullout page. b. Apply a simulated temperature of 0°C (Min). c. Turn the TEMP OFF potentiometer (P1, AVM31) until the bar graph value shows 20% +/- 0.2%. Reference the trim pot locations from the pullout page. d. Press MIN on the touch screen to record the value. Anestar™ Systems Service Manual 0070-10-0526 5 - 51 Navigation through Service Diagnostic Software Screens Calibration 3. Maximum range calibration. a. Apply a simulated temperature of 60° C (Max). b. Turn the TEMP GAIN potentiometer (P2, AVM31) until the bar graph value shows 80% +/- 0.2%. Reference the trim pot locations from the pullout page. c. Press MAX on the touch screen to record the value. d. Switch to minimum temp and verify that the 20% setting has not changed more than +/- 0.2%. 4. Press SAVE on the touch screen until the on-screen label changes from 'save' to 'saved'. 5. Press QUIT to return to the Main menu. 6. 5.4.4.1 Replace the Temp simulator with the original cable previously plugged into X7. High Pressure 29 psi Regulator Calibrate the 29 psi regulator annually or prior to calibrating the Internal Flow Sensor and Proportional Valve ADC Min-Max, or as indicated by the Test Mode's Charac PV flow rates being out of specification. Calibrating the 29 psi regulator mandates that the Internal Flow Sensor and Proportional Valve be calibrated afterward. 1. Initial Set Up a. Remove the drive pressure source from the Anestar. b. Disconnect the green hose from the input of the Proportional Valve. c. Place a pressure meter at the high pressure regulator output (end of the green hose). d. Reconnect the drive pressure source. 2. Calibrating the 29 psi regulator a. Adjust the high pressure regulator by loosening its locking nut and turning the adjustment screw until a pressure between 27 and 29 psi is displayed on the pressure meter. Do not set over 29 psi. b. Re-tighten the locking nut. 3. Restore the Pressure Connection a. Remove the drive pressure source. b. Remove the pressure meter and reconnect the green hose. c. Reconnect the drive pressure source. 5 - 52 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens Low Pressure Regulator Adjustment Screw High Pressure Regulator Output High Pressure Regulator Adjustment Screw FIGURE 5-37 High Pressure 29 psi Regulator Anestar™ Systems Service Manual 0070-10-0526 5 - 53 Navigation through Service Diagnostic Software Screens 5.4.4.2 Calibration Proportional Valve (PV) ADC Min-Max calibration Calibrate the (Prop V) analog to digital converter as a first step to completing the (Flow Int) internal flow sensor and proportional valve Charac PV calibration. NOTE: Never perform any one of these calibration actions without performing all in sequence, (Prop V.) Prop Valve ADC MinMax, Flow Divider Adjustment, (Flow Int.) Internal Flow Sensor and (Charac. PV) Proportional Valve. Calibrate these steps when changing either the internal flow sensor, proportional valve or after changing the flow divider adjustment. 1. Initial Set Up a. Press TEST MENU. b. Press MOTOR. c. Press UNLOCK to remove the Breathing System. d. Press QUIT to return to the Test menu. e. Press QUIT again to return to the Main menu f. Press PROP.V to enter the Proportional Valve screen. MIN 0% 20% MAX 40% 60% 80% Save 3.0 AVM31 3.0 AVM32 100% SERVICE Prop Valve Calibration Quit FIGURE 5-38 Proportional Valve Calibration screen 5 - 54 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens 2. Minimum range calibration. a. Attach a calibrated flow meter to the drive gas outlet (Proportional Valve output) on the Docking Station. b. Press MIN to close the Proportional Valve. The flow should go to zero. c. Turn the P.V.OFF potentiometer (P1, AVM32) until lower bar graph displays 3% +/ - 0.2%. Reference the trim pot locations from the pullout page. d. Press MIN again to record the value. MIN 0% 20% MAX 40% 60% 80% Save 3.0 AVM31 3.0 AVM32 100% SERVICE Prop Valve Calibration Quit FIGURE 5-39 Lower bar graph displays 3.0 percent 3. Maximum range calibration. a. Press MAX to open the Proportional Valve for maximum flow. b. Turn the P.V.GAIN potentiometer (P2, AVM32) until lower bar graph displays 97% +/- 0.2%. Reference the trim pot locations from the pullout page. c. Press MAX again to record the value. d. Press SAVE on the touch screen until the on-screen label changes from save to saved. Anestar™ Systems Service Manual 0070-10-0526 5 - 55 Navigation through Service Diagnostic Software Screens Calibration 4. Flow Divider Adjustment Calibrate the flow divider adjustment as part of completing the Prop Valve ADC (Prop V), internal flow sensor (Flow Int) and proportional valve (Charac PV) calibration. NOTE: Never perform any one of these calibration actions without performing all in sequence, (Prop V.) Prop Valve ADC MinMax, Flow Divider Adjustment, (Flow Int.) Internal Flow Sensor and (Charac. PV) Proportional Valve. Calibrate these steps when changing either the flow divider, internal flow sensor or proportional valve. a. With the Proportional Valve still open flowing at maximum, adjust the flow divider adjustment screw for 4.6 +/- 0.2vdc measured between X5-1 and Ground (AVM32 PC board) Reference X5 on the pull-out page. Flow divider adjustment screw FIGURE 5-40 Flow Divider adjustment Drive gas outlet FIGURE 5-41 Docking Station, drive gas outlet 5 - 56 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens b. Measure the flow at the Drive Gas Outlet and verify that it is 75 liters/minute +/- 5 liters/minute. c. Note the maximum flow rate measured. This flow rate value is required in when (Charac PV) characterizing the proportional valve. d. Press MIN to stop the flow. Press QUIT. 5.4.4.3 Internal Flow Sensor ADC Min-Max Calibration Calibrate the (Flow Int) analog to digital converter as the next step after completing the (Prop V) proportional valve analog to digital converter and before calibrating the (Charac.PV) proportional valve. NOTE: Never perform any one of these calibration actions without performing all in sequence, (Prop V.) Prop Valve ADC MinMax, Flow Divider Adjustment, (Flow Int.) Internal Flow Sensor and (Charac. PV) Proportional Valve. Calibrate these steps when changing either the internal flow sensor, proportional valve or after changing the flow divider adjustment. 1. Initial Set Up a. Press FLOW.INT to enter the Internal Flow Sensor screen. MIN MAX 2.8 0% 20% 40% 60% 80% Save AVM31 100% 2.8 AVM32 SERVICE int. Flowsensor Calibration Quit FIGURE 5-42 Internal Flowsensor Calibration screen 2. Minimum range calibration. a. Press MIN to close the Proportional Valve. The flow should go to zero. b. Press MIN again to record the value. 3. Maximum range calibration. a. Press MAX to open the Proportional Valve for maximum flow. b. Press MAX again to record the value. Anestar™ Systems Service Manual 0070-10-0526 5 - 57 Navigation through Service Diagnostic Software Screens Calibration 4. Press SAVE on the touch screen until the on-screen label changes from save to saved. 5. Press MIN on the touch screen to stop the flow of gas. 6. Press QUIT to return to the Main menu. 5.4.4.4 Proportional Valve Calibration Calibrate the (Charac PV) proportional valve as the last step after completing the (Prop V) proportional valve analog to digital converter and calibrating the (Flow Int) internal flow sensor. NOTE: Never perform any one of these calibration actions without performing all in sequence, (Prop V.) Prop Valve ADC MinMax, Flow Divider Adjustment, (Flow Int.) Internal Flow Sensor and (Charac. PV) Proportional Valve. Calibrate these steps when changing either the internal flow sensor, proportional valve or after changing the flow divider adjustment. 1. Initial Set Up a. Press CHARAC. PV to enter the Proportional Valve Calibration screen. b. Attach a flow meter to the drive gas outlet on the Docking Station. PEEP Valve Bellows Valve Driving Gas Outlet Fresh Gas Outlet Decoupling Valve FIGURE 5-43 Docking Station connections c. Verify the DAC value is at -- -- -- or 000. d. If not at -- -- -- or 000, then press -256 until 0 is displayed as a DAC value. Then press QUIT and re-enter the Charac PV calibration screen. 5 - 58 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens save 3821 DAC 4k 3k 2k 1k 0 1 2 4 6 8 10 12 15 20 25 30 35 40 45 50 55 60 65 70 75 SERVICE Char. Prop. Valve Calibration +256 +1 +16 +258 Quit FIGURE 5-44 Proportional Valve Calibration screen 2. Understanding the Charac. PV screen controls a. Calibrate the Proportional Valve by pressing the increment keys along the bottom edge of the screen, until the flow meter displays the number that the on-screen arrow is pointing to. b. When each flow is achieved within the limits specified press ENTER to advance the arrow to the right. c. Set the 75 liter/minute setting to a flow rate that is 2 Liters lower than the flow rate noted previously when adjusting the Flow Divider. d. Pressing ENTER sets the last (75 Liter/minute) value. e. If an adjustment error has been committed, QUIT the screen and begin again by pressing -256 as needed to ensure the DAC value starts at 000. 3. Start Calibrating the Proportional Valve a. Begin with 1 liter per minute b. Increment the 256, 16 or 1 screen keys as necessary to set each flow rate (measured by the flow meter) to a value within the limits specified in table 1 below. FLOW RATE SET POINT VOLUME/VOLUME% RANGE PERCENT OF READING 1 l/min +0 / - 0.1 10% 2 l/min +0 / - 0.1 5% 4 l/min +0 / - 0.1 3% 6 l/min +0 / - 0.1 3% 8 l/min +0 / - 0.2 3% 10 l/min +0 / - 0.4 4% 12 l/min +0 / - 0.5 4% 15 l/min +0 / - 0.6 4% 20 l/min +0 / - 0.7 3% 25 l/min +0 / - 0.8 3% Anestar™ Systems Service Manual 0070-10-0526 5 - 59 Navigation through Service Diagnostic Software Screens Calibration FLOW RATE SET POINT VOLUME/VOLUME% RANGE PERCENT OF READING 30 l/min +0 / - 0.9 3% 35 l/min +0 / - 1.0 3% 40 l/min +0 / - 1.2 3% 45 1/min +0 / - 1.3 3% 50 l/min +0 / - 1.5 3% 55 l/min +0 / - 1.6 3% 60 l/min +0 / - 1.6 3% 65 l/min +0 / - 2.8 3% 70 l/min +0 / - 3.5 5% 75 l/min +0 / - 7.5 10% 4. Saving Data into memory a. When all settings are made, press SAVE on the touch screen until the on-screen label changes from 'save' to 'saved'. b. Press SAVE on the touch screen again and watch the indicator flash again. c. Select QUIT to stop the flow of gas and return to the Main menu. 5. Test the Proportional Valve in the TEST menu's Charac PV screen. a. From the Main menu, press TEST MENU. b. Press Charac PV and refer to section 5.4.4.4, Proportional Valve Testing. c. Step through each flow rate and ensure that the flow rate settings inclusive of 10-50 liters/minute settings match the flow meter measurement +/- 10%. d. Select QUIT to stop the flow of gas and return to the TEST menu. 5.4.4.5 External Flow Sensor Calibration Calibrate the flow sensor channel when replacing the Module 2 printed circuit. Use the fine tuning method whenever practical to do so. 1. Initial Set Up a. Enter the Service Software b. Press TEST MENU. c. Press P,O,°C. d. Verify a Temp of 30 +/- 10° C. • If the temperature is too low, warm up the Breathing System. • If the temperature is within specification, go to the Flow Ext Screen. 2. Warming up the Breathing System a. Press MISC. b. Activate the Breathing System heater by pressing the HEAT key. The screen indicator will display ON. c. Wait 10 minutes for breathing system to warm. 5 - 60 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens HEAT OFF Power Control AC-OK BATT SERVICE Test Misc Quit FIGURE 5-45 MISC screen d. Switch to the P,O2,°C screen and monitor the temperature. e. Ensure a temperature reaches 30°C (+/-10°C), press QUIT twice (2x) to return to the Main menu. Anestar™ Systems Service Manual 0070-10-0526 5 - 61 Navigation through Service Diagnostic Software Screens Calibration 02 P1 P2 Temp 21.0 0.0 0.1 32.1 AVM 31 [%] [mBar] [mBar] [°C] 21.2 0.0 AVM 32 0.1 SERVICE Test P, O2 and T Sensors Quit FIGURE 5-46 P,O2,C screen f. Press FLOW EXT on the main (calibration) menu screen. 49.8 0% 0 20% 819 40% 1638 60% 2457 80% 3276 AVM31 100% 50.0 AVM32 899 DAC 4095 SERVICE ext. Flowsensor Calibration -16 -1 +1 +16 Quit FIGURE 5-47 External Flowsensor Calibration screen 3. Setting up the Flow Ext Screen a. With the Breathing System still warm, disconnect any breathing circuit that may be attached and verify that there is no gas flow at the EXSP or INSP ports on the Breathing System. b. Increase the DAC value using the increment keys until the screen (lower) bar graph (AVM32) descends to 50.0% +/- 0.2%. 5 - 62 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens 4. Measuring the DC Volts at V13 Pin 8 (or x8 Pin 4): a. Place the positive probe of a DVM to V13 Pin 8 on the AVM 3-2 pcb. b. Place the negative probe to the pcb ground lug. (Refer to the pullout page in this chapter.) c. Record the voltage at Pin 8 of V13 as Reading #1. 5. Measuring the DC Volts at the junction of R35 and R19 (or x8 Pin 1): a. Place the negative probe of a DVM to the junction of R35 and R19 (rear of AVM32 PC-board). b. Place the positive probe of the DVM to the pcb ground pin. Refer to the pullout page of this chapter. c. Record the voltage at the junction of R35 and R19 as Reading #2. 6. Calculate the Ratio a. Divide reading #2 by Reading #1 to derive the ratio 1.400 b. Adjust P3 on the AVM32 PC-board as necessary for a 1.400 +/- 0.04 ratio. 7. Fine Tuning Tidal Volume Adjustment P3 a. Return to the ‘External Flow Sensor Fine Tuning’ section. b. Adjust P3 as directed until the tidal volume displayed on the screen matches the tidal volume delivered +/- 10%. • Anestar™ Systems Service Manual Counter-Clockwise rotation of P3 increases the ratio and the tidal volume measurement. 0070-10-0526 5 - 63 Navigation through Service Diagnostic Software Screens 5.4.4.6 Calibration O2 Flow Calibration NOTE: The minimum flow may be adjusted on flow meter module part number 0997-00-0978). There is no minimum flow adjustment on flow meter module - part number 0997-001000). Flow Meter Module, Minimum O2 Flow Calibration (0997-00-0978) 1. Remove the O2, Air and N2O flow control knobs. 2. Slide the Flow Meter Module back far enough to access the adjustment screw. 3. Ensure the Flow Meter is level prior to adjusting the screw. 4. Adjust the Allen screw (see FIGURE 5-48) to 250 (+100/- 50) mL/min. 5. Reinstall the Flow Meter Module and replace the knobs. Adjustment Screw FIGURE 5-48 Flow Meter Module (0997-00-0978) 5 - 64 0070-10-0526 Anestar™ Systems Service Manual Calibration Navigation through Service Diagnostic Software Screens Adjustment Screw FIGURE 5-49 Flow Meter Module (0997-00-1000) 5.4.5 Checkout Recommendations Prior to certifying the Anestar ready for use, perform all steps in the Functional Checkout detailed in Chapter 6 of this instruction manual. Anestar™ Systems Service Manual 0070-10-0526 5 - 65 Navigation through Service Diagnostic Software Screens Calibration This page intentionally left blank. 5 - 66 0070-10-0526 Anestar™ Systems Service Manual TEMP GAIN TEMP OFF Temp Simulator Connector 8 READING #2: x8 PIN 1 READING #1: x8 PIN 4 O2 OFF Ground P3 4.60 VDC Pin 7 O2 GAIN 6 P2 OFFS 5 P2 GAIN 4 P1 OFFS 3 P1 GAIN 2 P.V.GAIN 1 P.V.OFF This page intentionally left blank. Ventilator Performance 5.5 Ventilator Performance 5.5.1 Performance check 1. Power on the fully assembled Anestar. 2. Perform the Compliance Test. Ensure successful completion. 3. Press the O2 Flush button to fill the bag with volume. 4. Ventilate a test lung in the STANDBY, MANUAL, CMV and PCV Adult and Pediatric modes. 5. Set each ventilator setting to various values within each one's range and verify pneumatic and display performance changes. 6. Turn the Anestar off. 31 14 3.1 CMV 20 40 20 0 -5 0 2 4 6 8 10 12 14 16 Tidal Volume lower than Vtmin Peak pressure greater than alarm limit 310 10 1: 2 0 FIGURE 5-51 Operating Ventilator’s screen display 5.5.2 Checkout Recommendations Prior to certifying the Anestar ready for use, perform all steps in the Functional Checkout detailed in Chapter 6 of this manual. Anestar™ Systems Service Manual 0070-10-0526 5 - 69 Ventilator Performance This page intentionally left blank. 5 - 70 0070-10-0526 Anestar™ Systems Service Manual 6.0 Preventive Maintenance 6.1 Maintenance Schedule The following is a list of activities required for periodic maintenance of the Anestar Anesthesia System. Physical inspection, replacement of consumables and performance checks should be periodically performed per the schedule listed below. Certain calibration adjustments are required only after replacing one or both of the active devices. Datascope is not responsible for component failure or loss resulting from the use of stated consumables beyond their recommended replacement interval. These are noted in the Preventive Maintenance Checklist on the following pages: 6.2 Functional Checkout The Functional Checkout is a set of service activities to be performed after initial installation or re-installation and after performing any internal servicing or preventive maintenance activity. 6.3 Routine Maintenance Program The Functional Checkout is a set of service activities to be performed after installation and after performing any internal servicing or preventive maintenance activity. The 6 Month Preventive Maintenance checkout is a set of activities to be performed six months (1250 hrs minimum) after initial installation and six months after the 12 Month Preventive Maintenance checkout. The 12 Month Checkout is a set of activities to be performed one year (2500 hrs minimum) after installation and 6 months after the 6 Month Preventive Maintenance checkout. The 36 Month Preventive Maintenance checkout is a comprehensive set of activities to be performed after 36 months (7500 hrs minimum) of use. Utilize this table as a checklist of activities that are described fully in the Calibration Procedure found in Chapter 5 of this Service Manual. Anestar™ Systems Service Manual 0070-10-0526 6-1 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER 0070-10-0526 1. Verify the Anestar has no physical damage that would prevent operation. INSPECT INSPECT INSPECT INSPECT n/a 2. Verify breathing circuit consumables and CO2 absorbent are present. INSPECT INSPECT INSPECT INSPECT n/a 3. Verify vaporizers are filled but not overfilled. INSPECT INSPECT INSPECT INSPECT n/a 4. Verify Preoperative Checkout List is attached. INSPECT INSPECT INSPECT INSPECT 0070-00-0518 5. Verify tank wrench is attached. INSPECT INSPECT INSPECT INSPECT 0367-00-0080 6. Verify waste gas scavenger hose to APL valve is not damaged. Drain any moisture. INSPECT INSPECT INSPECT INSPECT 0004-00-0074 7. Verify O2, N2O, Air, VAC and EVAC Supply Hoses (as applicable) are not damaged. INSPECT INSPECT INSPECT INSPECT n/a 8. Verify that the AC line cord is not frayed or damaged. INSPECT INSPECT INSPECT INSPECT n/a 9. Inspect/Replace the threaded insert for the CO2 absorber (Anestar S only) NOT REQUIRED NOT REQUIRED NOT REQUIRED INSPECT n/a 10. Inspect/Replace the spindle nut on the Breathing System. NOT REQUIRED NOT REQUIRED NOT REQUIRED INSPECT 0376-00-0014 FUNCTIONAL CHECKOUT 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER CONSUMABLE PARTS Inspect/Clean fan filter. INSPECT CLEAN CLEAN REPLACE 0202-00-0154 2. Inspect/Replace Decoupling valve membrane. NOT REQUIRED INSPECT REPLACE REPLACE 0348-00-0197 3. Inspect/Replace Bellows valve membrane. NOT REQUIRED INSPECT REPLACE REPLACE 0348-00-0197 4. Inspect/Replace Expiratory valve membrane. NOT REQUIRED INSPECT REPLACE REPLACE 0348-00-0197 5. Inspect/Replace O-ring of the CO2 Absorber. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0098 6. Inspect/Replace two O-rings on Bag Arm. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0104 7. Inspect/Replace V-seal of the CO2 Absorber. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0088 8. Inspect/Replace Breathing System's threaded insert for the CO2 Absorber is intact (Anestar S). NOT REQUIRED INSPECT INSPECT INSPECT n/a Preventive Maintenance Anestar™ Systems Service Manual 1. Routine Maintenance Program 6-2 VISUAL INSPECTION FUNCTIONAL CHECKOUT 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER 0070-10-0526 Inspect/Replace the spindle nut on the Breathing System. NOT REQUIRED INSPECT INSPECT INSPECT n/a 10. Inspect/Replace O-ring on Bellows dome. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0082 11. Inspect/Replace each vaporizer mount's two Orings on the manifold. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0103 12. Inspect/Replace drive gas O-ring on the docking station. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0102 13. Inspect/Replace fresh gas O-ring on the docking station. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0102 14. Inspect/Replace the O2 flush O-ring on the docking station. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0102 15. Inspect/Replace Inspiratory port O-ring on the docking station. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0102 16. Inspect/Replace Expiratory port O-ring on the docking station. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0102 17. Inspect/Replace the Flat O-Ring on the loose fill Absorber (Anestar S only) NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0134 18. Inspect/Replace the O-ring on the loose fill absorber (Anestar S only) NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0082 19. Inspect/Clean/Replace O2 water trap filter NOT REQUIRED INSPECT INSPECT REPLACE 0378-00-0051 20. Inspect/Clean/Replace N2O water trap filter NOT REQUIRED INSPECT INSPECT REPLACE 0378-00-0051 21. Inspect/Clean/Replace AIR water trap filter NOT REQUIRED INSPECT INSPECT REPLACE 0378-00-0051 22. Inspect/Replace RED O-ring between O2 tank and yoke. NOT REQUIRED INSPECT REPLACE REPLACE 0354-00-0100 23. Inspect/Replace BLACK O-ring between N2O tank and yoke. NOT REQUIRED INSPECT REPLACE REPLACE 0354-00-0101 24. Inspect/Replace BLACK O-ring between Air tank and yoke. NOT REQUIRED INSPECT REPLACE REPLACE 0354-00-0101 25. Inspect/Replace APL valve membrane. NOT REQUIRED REPLACE REPLACE REPLACE 0354-00-0093 26. Inspect/Replace Inspiratory valve O-ring. NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0095 27. Inspect/Replace Inspiratory valve disk. NOT REQUIRED NOT REQUIRED INSPECT REPLACE 0354-00-0089 28. Inspect/Replace Expiratory (passive) valve O-ring. NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0095 29. Inspect/Replace Expiratory (passive) valve disk. NOT REQUIRED NOT REQUIRED NOT REQUIRED REPLACE 0354-00-0089 Routine Maintenance Program 6-3 9. Preventive Maintenance Anestar™ Systems Service Manual CONSUMABLE PARTS FUNCTIONAL CHECKOUT 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER 0070-10-0526 Replace Decoupling valve bellow (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0208 31. Replace Decoupling valve O-ring (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0210 32. Replace Decoupling valve flat O-ring (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0134 33. Replace Bellows valve bellow (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0208 34. Replace Bellows valve O-ring (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0210 35. Replace Bellows valve flat O-ring (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0134 36. Replace Expiratory valve bellow (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0208 37. Replace Expiratory valve O-ring (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0210 38. Replace Expiratory valve flat ring (Anestar S only) NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0134 39. Inspect/Replace two O-rings on Airway pressure gauge. NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0102 40. Inspect/Replace each vaporizer's Locking Spring on the manifold. NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0214-00-0245 41. Replace O2 Cell diffuser O-ring. NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0113 42. Replace O2 Cell. NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0600-00-0070 43. Inspect/Replace the two O-rings on the (passive) expiratory valve seat (Anestar S only). NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0206 44. Inspect/Replace the O-ring under the expiratory valve seat screw (Anestar S only). NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0207 45. Inspect/Replace the two O-rings on the negative pressure relief valve seat (Anestar S only). NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0206 46. Inspect/Replace the O-ring under the negative pressure relief valve seat screw (Anestar S only). NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0207 47. Inspect/Replace the O-ring on the Inspiratory valve seat (Anestar S only). NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0206 48. Inspect/Replace the O-ring under the Inspiratory valve seat screw (Anestar S only). NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0348-00-0207 Preventive Maintenance Anestar™ Systems Service Manual 30. Routine Maintenance Program 6-4 CONSUMABLE PARTS FUNCTIONAL CHECKOUT 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER 0070-10-0526 Inspect/Replace O-rings on plug for the breathing circuit Y-fitting. NOT REQUIRED NOT REQUIRED REPLACE REPLACE 0354-00-0102 50. Inspect/Replace Negative Pressure relief valve membrane. NOT REQUIRED NOT REQUIRED NOT REQUIRED REPLACE 0354-00-0091 51. Inspect/Replace Bellows. NOT REQUIRED NOT REQUIRED INSPECT INSPECT 0997-00-0964 52. Inspect/Replace Bellows foam cushion. NOT REQUIRED NOT REQUIRED INSPECT REPLACE 0992-00-0137 53. Inspect/Replace the internal battery (3 years). NOT REQUIRED NOT REQUIRED INSPECT REPLACE 0146-00-0075 1. Verify Line and Cylinder gauges indicate appropriate pressures; O2, N2O, Air (as available). CHECK CHECK CHECK CHECK n/a 2. Verify minimum O2 flow of 250ml/min - with only O2 wall pressure attached. CHECK CHECK CHECK CHECK n/a 3. Successfully pass the Compliance Test at start up (leak < 300 mL/min). CHECK CHECK CHECK CHECK n/a 4. Verify that the O2 flow meter operates throughout it's range - with only O2 attached. CHECK CHECK CHECK CHECK n/a 5. Verify that the N2O and Air flow meters operate throughout their range - with all gases attached. CHECK CHECK CHECK CHECK n/a 6. Verify the HypoxicGuard (O2:N2O ratio) ensures: 20% < O2 < 30%. CHECK CHECK CHECK CHECK n/a 7. Successfully pass the Leak Test (no message with less than 300 mL/min). CHECK CHECK CHECK CHECK n/a 8. Verify that the O2 display reads 21% in room air and greater than 95 in 100% O2. CHECK CHECK CHECK CHECK n/a 9. Verify that the O2 Flush button delivers O2 - with only O2 line pressure attached. CHECK CHECK CHECK CHECK n/a 10. Verify that the APNEA alarm signals activate (MANUAL) after the designated delay time. CHECK CHECK CHECK CHECK n/a 11. Verify that the APL valve operates and a test lung can be ventilated in Manual and Standby modes. CHECK CHECK CHECK CHECK n/a 12. Verify operation of ventilation mode: CMV; Adult and Child modes. CHECK CHECK CHECK CHECK n/a 13. Verify the Tidal Volume (DEFAULT Settings) settles within 10% of set value using a test lung. CHECK CHECK CHECK CHECK n/a 6-5 Routine Maintenance Program 49. Preventive Maintenance Anestar™ Systems Service Manual CONSUMABLE PARTS FUNCTIONAL CHECKOUT 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER 0070-10-0526 Verify that the airway pressure disconnect alarm signals activate after breathing circuit disconnection. CHECK CHECK CHECK CHECK n/a 15. Verify that the Low O2 concentration alarm signals activate at the violation set point. CHECK CHECK CHECK CHECK n/a 16. Verify the N2O/Air switch allows activation of the selected gas and not the non-selected gas. CHECK CHECK CHECK CHECK n/a 17. Verify the drive gas pressure loss alarm signals activate after disconnecting drive gas source. CHECK CHECK CHECK CHECK n/a 18. Verify the N2O stops flowing when O2 pressure is disconnected. CHECK CHECK CHECK CHECK n/a 19. Verify that Air flows when O2 pressure is lost (With N2O/AIR switch in N2O position). CHECK CHECK CHECK CHECK n/a 20. Verify operation of ventilation mode: PCV; Adult and Child modes (if available). CHECK CHECK CHECK CHECK n/a 21. Verify battery operation and that the screen messages and/or icon appear. CHECK CHECK CHECK CHECK n/a 22. Verify battery charging icon appears on the screen after reconnecting AC power. CHECK CHECK CHECK CHECK n/a 23. Verify operation of snake light. CHECK CHECK CHECK CHECK 0150-00-0061 24. Verify operation of flow meter backlight CHECK CHECK CHECK CHECK 0160-00-0068 25. Verify the accuracy of the O2 sensors - in the P,O2,C test screen. CHECK CHECK CHECK CHECK n/a 26. Verify the accuracy of P1 and P2 sensors - in the P,O2,C test screen. CHECK CHECK CHECK CHECK n/a 27. Verify the accuracy of the prop valve flow output in CHARAC.PV test screen. CHECK CHECK CHECK CHECK n/a 28. Verify the Auxiliary O2 Flowmeter flows throughout it's range. (if applicable) CHECK CHECK CHECK CHECK n/a 29. Verify the Patient Suction Regulator operates in all modes (if applicable) CHECK CHECK CHECK CHECK n/a 30. Verify the vaporizer interlock allows one vaporizer dial to rotate at a time. CHECK CHECK CHECK CHECK n/a 31. Verify no trace gas concentrations at vaporizer base are measured. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a Preventive Maintenance Anestar™ Systems Service Manual 14. Routine Maintenance Program 6-6 CONSUMABLE PARTS FUNCTIONAL CHECKOUT 0070-10-0526 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER 32. Verify the locking of the front wheel breaks. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 33. Verify the O2 cylinder check valve's) prevents venting through the O2 line connection. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 34. Verify the N2O cylinder check valve prevents venting through the N2O line connection. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 35. Verify the Air cylinder check valve prevents venting through the Air line connection. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 36. Verify the O2 line supply check valve(s) prevents venting through the O2 yoke connection. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 37. Verify the N2O line supply check valve prevents venting through the N2O yoke connection. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 38. Verify the Air line supply check valve prevents venting through the Air yoke connection. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 39. Verify that the manual Pop-Off button depressurizes the breathing system. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 40. Verify that the Tidal Volume and Min. Vol. alarms activate at the violation set point. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 41. Verify that the Peak airway pressure alarms activate at the violation set point. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 42. Verify no trace gases are present at the vaporizer manifold. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 43. Verify AC line voltage at convenience outlets. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 44. Verify that the MOTOR test functions operate. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 45. Verify the 2.9 psi regulator is at accurate pressure (M1-M4 test screen). NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 46. Verify the 29 psi regulator is at accurate pressure. NOT REQUIRED NOT REQUIRED CHECK CHECK n/a 47. Verify that the APL valve pressure is within specification at 5 liters/min flow. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 48. Verify the Breathing System temp < 60C in MISC (heat/max temp) screen. NOT REQUIRED NOT REQUIRED NOT REQUIRED CHECK n/a 6-7 Routine Maintenance Program 6 MONTH PM OR AFTER 1250 HRS Preventive Maintenance Anestar™ Systems Service Manual CONSUMABLE PARTS FUNCTIONAL CHECKOUT Check the accuracy of all vaporizers mounted to the Anestar (S) per manufacturer's instructions CALIBRATION 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER CHECK CHECK CHECK CHECK n/a FUNCTIONAL CHECKOUT 6 MONTH PM OR AFTER 1250 HRS 12 MONTH PM OR AFTER 2500 HRS 36 MONTH PM OR AFTER 7500 HRS PART NUMBER 0070-10-0526 Successfully complete the O2 Cell calibration (OPTIONS screen) CALIBRATE CALIBRATE CALIBRATE CALIBRATE n/a 2. Set the scavenger vacuum flow to 2X the expected fresh gas flow. CALIBRATE CALIBRATE CALIBRATE CALIBRATE n/a 3. Calibrate the + 5VDC supply (Prior to calibrating any parameter below) AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 4. Calibrate the +12VDC supply (Prior to calibrating any parameter below) AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 5. Calibrate O2 SENSOR ADC (Only if P,O2,C indicates it is out of specification). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 6. Calibrate P1 SENSOR ADC. (Only if P,O2,C indicates it is out of specification). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 7. Calibrate P2 SENSOR ADC. (Only if P,O2,C indicates it is out of specification). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 8. Calibrate TEMP SENSOR MIN-MAX (Only after replacing the temperature sensor). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 9. Calibrate PROP.V ADC MIN-MAX. (Only if Tidal Volume measurement > +/-10% accurate). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 10. Calibrate FLOW INT. MIN-MAX (Only if Tidal Volume measurement > +/-10% accurate). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 11. Calibrate CHARAC. P.V. CALIBRATION (Only if Tidal Volume measurement > +/-10% accurate). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a 12. Calibrate FLOW EXT. CALIBRATION (Only if Tidal Volume display > +/-10% of accurate). AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED n/a Preventive Maintenance Anestar™ Systems Service Manual 1. Routine Maintenance Program 6-8 CHECK VAPORIZER ACCURACY 1. FUNCTIONAL CHECKOUT Preventive Maintenance Cleaning 6.4 Cleaning 6.4.1 Cleaning and Disinfecting the Apparatus Before cleaning, switch off apparatus and disconnect from mains. The apparatus housing can be cleaned with a cloth moistened with a liquid cleaning agent. To avoid abrasion, the cloth must be moist. A surface disinfecting agent may be used. Use cleaning agent sparingly. Excess fluid could enter the apparatus causing damage. 6.4.2 Cleaning and Sterilizing the Breathing System and Components 6.4.2.1 Procedure 1. Disconnect the Breathing System a. Disconnect the O2 cell and diffuser from its mount. b. Disconnect the scavenger hose from the APL valve port. 2. Remove Components a. Remove the CO2 absorber to be sterilized separately. b. Remove the bellows dome to be washed with warm soapy water. c. Remove the bellows to be sterilized separately. d. Remove the BAG arm to be sterilized separately. e. Remove the APL VALVE and it’s green membrane to be sterilized separately. f. Remove the Airway Pressure Gauge. 3. Remove the Breathing System a. Set the vent dial to Standby. b. Press the key labeled OPTIONS. c. Press the key labeled (Unlock Breathing System) for 3 seconds. d. Remove the Breathing System from the Anestar. 4. Loosen but do no remove the INSP. VALVE, EXP. VALVE, NEG. PRESSURE RELIEF VALVE valves rings. 5. Preparation a. Separately wrap the components identified in Step 2 for sterilization per the instructions supplied with the sterilizer. b. Do NOT sterilize the bellows dome. c. Do NOT sterilize the APL VALVE that has the integral cable. d. Do NOT sterilize the Airway Pressure Gauge. 6. Set the sterilizer controls a. Temperature275F, (134 ºC) b. Pressure30 PSI c. Duration:4 minutes d. Insert the Indicator Card into the sterilizer as directed in the sterilizer operating instructions. Anestar™ Systems Service Manual 0070-10-0526 6-9 Battery Replacement and Maintenance Preventive Maintenance 7. Unwrap the components a. Remove the components. b. Unwrap the components. c. Tighten the valve rings. d. Reassemble the components onto the Breathing System. 8. Reinsert the Breathing System. 6.5 Battery Replacement and Maintenance 6.5.1 Battery Replacement 1. Open the access door (located at the rear of the Anestar). 2. Disconnect the battery connections. 3. Remove the old battery. 4. Ensure the new battery is electrically connected and secured in the same manner as the original one. 5. Close battery access door. 6. Use only Datascope Battery (P/N 0146-00-0075). 6.5.2 Battery Maintenance Due to the self-discharge characteristics of this type of battery, it is imperative that it is charged after three months of storage (or when not in use). If not charged, a permanent loss of capacity may occur as a result of sulfation. The batteries used in the Anestar are of sealed lead acid construction. This battery type may be subject to local regulations regarding disposal. At the end of the battery life, dispose of the batteries in accordance with any local regulations. 6.6 How to Get Help Datascope maintains a network of factory-trained service professionals. Prior to requesting service, perform a complete operational check of the Anestar to verify proper control settings. If operational problems continue to exist, contact your Datascope distributor or the Datascope Service Department at (800) 288-2121 for assistance in determining your nearest Datascope distributor. 6 - 10 0070-10-0526 Anestar™ Systems Service Manual 7.0 Warranty 7.1 Warranty Statement Datascope Corp. warrants that the Anestar Anesthesia Delivery Machine, its non-consumable plumbing and electric and electronic components will be free of defects in materials and workmanship for the period of one year from the date of purchase. Datascope Corp warrants that consumable, one-time-use and disposable items will be free of defects in material and workmanship for their first use or one year from date of their purchase whichever comes first. These items include consumable, one-time-use or disposable devices such as batteries, rebuild kits and their components, filters and screens, or any other device specified as consumable, disposable or “one-time” or “limited-time” use. Datascope Corp. shall not be liable for any incidental, special, or consequential loss damage, or expense directly or indirectly arising from the use of its products, liability under this warranty and the buyers exclusive remedy under this warranty is limited to servicing or replacing as Datascope Corp's option at the factory or at an authorized Datascope Distributor, any product which shall under normal use and service appear to the Company to have been defective in material or workmanship. No agent, employee, or representative of Datascope Corp. has any authority to bind Datascope Corp. to any affirmation, representation, or warranty concerning its products, and any affirmation, representation or warranty made by an agent, employee or representative shall not be enforceable by law. This warranty is expressly in lieu of any other express or implied warranties, including any implied warranty of merchantability or fitness, and of any other obligation on the part of the seller. Anestar™ Systems Service Manual 0070-10-0526 7-1 Warranty Statement Warranty Damage to any product or parts through misuse, neglect, accident, or by affixing any non-Datascope accessory attachments or by any customer modification voids this warranty. Datascope Corp. makes no warranty whatever in regard to trade accessories, such being subject to the warranty of their respective manufacturers. A condition of this warranty is that this equipment, or any accessory which are claimed to be defective, be returned when authorized by Datascope, freight prepaid to an Authorized Datascope Distributor or Authorized Datascope Service Facility. Datascope Corp shall not have any responsibility in the event of loss or damage in transit. Certain calibration may be performed without the need to disassemble the instrument. It is the responsibility of the purchaser to perform calibration as necessary, in accordance with the instructions provided in the manual. 7.1.1 Datascope's Responsibility Datascope is responsible for the effects of safety, reliability and performance of the equipment only if: a) assembly operations, extensions, readjustments, modifications or repairs are carried out by Datascope service personnel; and b) the electrical installation of the relevant room complies with the appropriate requirements; and c) the equipment is used in accordance with the instructions for use. 7.1.2 Extended Warranty Statement Datascope Corp. warrants that the Anestar Anesthesia Machine, its non-consumable plumbing and electric and electronic components will be repaired or replaced at no charge for labor or materials for the number of years shown on the Datascope Invoice for extended warranty. Under this extended warranty, Datascope Corp. does not include or warrant consumable, one-time-use and/or disposable items, such as batteries, rebuild kits and their components, filters, screens, or any other device specified as consumable, disposable or “one-time” or “limited-time” use, unless specifically stipulated in the Extended Warranty Agreement. 7-2 0070-10-0526 Anestar™ Systems Service Manual Declaration of Conformity Manufacturer: Datascope Corp. 800 MacArthur Blvd Mahwah, NJ 07430 European Representative: Datascope BV Drs. W van Royenstraat 8, 3871 AN Hoevalaken, The Netherlands Product category: Anesthesia System Model Anestar, Anestar S Classification (per Annex II): Class IIb Conformity Route: Annex II, Clause 3 We herewith declare that the above mentioned product meets the provisions of the Council Directive 93/42/EEC for the Medical Devices. All Supporting documentation is retained under the premises of Datascope Corp., Mahwah, NJ 07430 Notified Body: TÜV NORD International GmbH & Co. KG Langemarckstraße 20 45141 Essen, Germany ID # 0044 EC Certificate: No.: 04 207-770/96 Start of CE-Marking: August 10, 2005 Signature: _________________________ Susan E. Mandy Director of Clinical and Regulatory Affairs Anestar™ Systems Service Manual 0070-10-0526 Printed in U.S.A. 0070-10-0526 Revision N 0070-10-0526 November 11, 2005 Anestar™ Systems Service Manual