SynoVent E3/B3/E5/B5 Ventilator Service Manual Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray does not assume any liability arising out of any infringements of patents or other rights of third parties. Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rent, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. 、 and are the registered trademarks or trademarks owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners. Contents of this manual are subject to changes without prior notice. Revision History This manual has a revision number. This revision number changes whenever the manual is updated due to software or technical specification change. Contents of this manual are subject to change without prior notice. Revision 1.0 is the initial release of the document. Revision number: 5.0 Release time: 2014-10 © Copyright 2011-2014 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved. I Preface Manual Purpose This manual provides detailed information about the assembling, dissembling, testing and troubleshooting of the equipment to support effective troubleshooting and repair. It is not intended to be a comprehensive, in-depth explanation of the product architecture or technical implementation. Observance of the manual is a prerequisite for proper equipment maintenance and prevents equipment damage and personal injury. This manual is based on the maximum configuration. Therefore, some contents may not apply to your monitor. If you have any question, please contact our Customer Service Department. Intended Audience This manual is geared for biomedical engineers, authorized technicians or service representatives responsible for troubleshooting, repairing and maintaining the ventilator machines. Password A password is required to access different modes within the ventilator machine. User maintenance: 1234 Factory maintenance: 1103 II Table of Contents 1 Safety ................................................................................................................................. 1-1 1.1 Safety Information .......................................................................................................... 1-1 1.1.1 Dangers .............................................................................................................. 1-2 1.1.2 Warnings ............................................................................................................ 1-2 1.1.3 Cautions ............................................................................................................. 1-4 1.1.4 Notes .................................................................................................................. 1-5 1.2 Equipment Symbols ........................................................................................................ 1-6 2 Theory of Operation ........................................................................................................ 2-1 2.1 Pneumatic System ........................................................................................................... 2-1 2.1.1 Pressure Unit Conversion Table ......................................................................... 2-1 2.1.2 Pneumatic Circuit Diagram ................................................................................ 2-2 2.1.3 Parts List ............................................................................................................ 2-3 2.1.4 Symbols.............................................................................................................. 2-5 2.1.5 Theory of Operation ........................................................................................... 2-6 2.2 Electrical System........................................................................................................... 2-17 2.2.1 Electrical System Diagram ............................................................................... 2-17 2.2.2 Auxiliary Output Assembly .............................................................................. 2-17 2.2.3 Electrical Subsystem of the Main Unit ............................................................ 2-17 2.2.4 Display Electrical Subsystem ........................................................................... 2-45 3 Checkout and Test ............................................................................................................ 3-1 3.1 System Inspection ........................................................................................................... 3-1 3.2 Power Failure Test (AC Power and Buzzer) ................................................................... 3-1 3.3 Pipeline Tests .................................................................................................................. 3-2 3.3.1 O2 Pipeline Test .................................................................................................. 3-2 3.3.2 Air Pipeline Test ................................................................................................. 3-2 3.4 System Test ..................................................................................................................... 3-3 3.5 Spontaneous Breathing Test ............................................................................................ 3-4 3.6 Humidifier Performance Test .......................................................................................... 3-4 3.7 Compressor Performance Test ........................................................................................ 3-4 3.8 Alarm Tests...................................................................................................................... 3-4 3.8.1 Prepare for Alarm Tests ...................................................................................... 3-4 3.8.2 O2 Concentration Monitoring and Alarm Test.................................................... 3-5 3.8.3 Minute Volume (MV) Alarm Test ...................................................................... 3-5 3.8.4 High Paw Alarm Test ......................................................................................... 3-6 3.8.5 Low Paw Alarm Test .......................................................................................... 3-6 3.8.6 Apnea Alarm Test ............................................................................................... 3-6 3.8.7 Breath Rate Alarm Test ...................................................................................... 3-7 3.9 Function Tests ................................................................................................................. 3-7 3.9.1 Testing the Standard Working Mode .................................................................. 3-7 1 3.9.2 Tidal Volume Test ............................................................................................... 3-7 3.9.3 Trigger Function Test ......................................................................................... 3-7 3.9.4 Spontaneous Breath Test in CPAP/PSV Mode ................................................... 3-8 3.9.5 Special Function Tests ........................................................................................ 3-8 3.10 Electrical Safety Inspection........................................................................................... 3-9 3.10.1 Auxiliary Electrical Outlet Test ........................................................................ 3-9 3.10.2 Electrical Safety Inspection Test .................................................................... 3-10 3.10.3 Electrical Safety Inspection Form ...................................................................3-11 4 Maintenance and Calibration ......................................................................................... 4-1 4.1 Equipment Maintenance.................................................................................................. 4-1 4.1.1 One-year Replaceable Parts ............................................................................... 4-2 4.1.2 Three-year Replaceable Parts ............................................................................. 4-6 4.2 Software Upgrade and Software Function Activation ..................................................... 4-7 4.2.1 Software Upgrade............................................................................................... 4-7 4.2.2 Software Function Activation .......................................................................... 4-15 4.3 System Test ................................................................................................................... 4-19 4.3.1 System Check ................................................................................................... 4-20 4.3.2 Check the Mechanical Ventilation Mode ......................................................... 4-21 4.3.3 Check the Sensor Zero Point ............................................................................ 4-23 4.3.4 Check the Flow Sensor Accuracy..................................................................... 4-24 4.3.5 Check the Pressure Sensor Accuracy ............................................................... 4-25 4.4 System Calibration ........................................................................................................ 4-27 4.4.1 Flow Calibration (User) ................................................................................... 4-29 4.4.2 Flow Calibration (Factory) ............................................................................... 4-30 4.4.3 O2% Calibration (User) .................................................................................... 4-33 4.4.4 O2 Calibration (Factory) ................................................................................... 4-34 4.4.5 Pressure and Flow Zeroing............................................................................... 4-36 4.4.6 Pressure Calibration (Factory) ......................................................................... 4-37 4.4.7 Expiration Valve Calibration (Factory) ............................................................ 4-42 5 Troubleshooting ................................................................................................................ 5-1 5.1 Introduction ..................................................................................................................... 5-1 5.2 Technical Alarm Check ................................................................................................... 5-1 5.3 Pneumatic System Problems ......................................................................................... 5-10 5.3.1 Commonly Used Equipment and Tools............................................................ 5-10 5.3.2 Gas Supply Subsystem ..................................................................................... 5-10 5.3.3 Flow Control Subsystem .................................................................................. 5-18 5.3.4 Safety Valve Subsystem ................................................................................... 5-20 5.4 Hardware and Electrical System Problems ................................................................... 5-21 5.5 Troubleshoot Sensor and Valve Related Failures by Using the Valve Test Tool ........... 5-24 5.5.1 Preparations before Using the Valve Test Tool................................................. 5-24 5.5.2 Correspondence between the Sensors & Valves on the Valve Test Screen and the Components .............................................................................................................. 5-24 2 5.5.3 Troubleshooting Methods Using Valve Test Tool ............................................ 5-28 6 Repair and Disassembly .................................................................................................. 6-1 6.1 Prepare for Disassembly ................................................................................................. 6-2 6.1.1 Tools ................................................................................................................... 6-2 6.1.2 Preparations ........................................................................................................ 6-2 6.2 Disassemble the Assemblies ........................................................................................... 6-3 6.2.1 Remove the Ventilator Power Assembly ............................................................ 6-3 6.2.2 Remove the AC-DC Power Board and DC-DC Power Board ........................... 6-3 6.2.3 Remove the Fan ................................................................................................. 6-4 6.2.4 Remove the Main Control Board, Monitoring Board, Extension Board, and Lithium Battery ........................................................................................................... 6-5 6.2.5 Remove the O2 Sensor ....................................................................................... 6-6 6.2.6 Remove the Expiration Valve Assembly ............................................................ 6-7 6.2.7 Remove the Flow Sensor Assembly ................................................................... 6-7 6.2.8 Remove the Expiration Valve Diaphragm Assembly ......................................... 6-8 6.2.9 Remove VT50 Kernel Assembly........................................................................ 6-8 6.2.10 Remove VT30 Kernel Assembly...................................................................... 6-9 6.2.11 Remove the Gas Supply Control Assembly ................................................... 6-10 6.2.12 Remove the Expiration Valve Seat Assembly .................................................6-11 6.2.13 Remove the Filters ......................................................................................... 6-12 6.2.14 Remove the Safety Valve Gas Reservoir Assembly ....................................... 6-12 6.2.15 Remove the Inspiration Module Board .......................................................... 6-13 6.2.16 Remove the Flow Sensor ............................................................................... 6-13 6.2.17 Remove the Proportional Valve...................................................................... 6-14 6.2.18 Remove the Pneumatic Assembly .................................................................. 6-14 6.2.19 Remove the 110 cmH2O Pressure Relief Valve Assembly ............................ 6-15 6.2.20 Remove the Safety Valve Assembly ............................................................... 6-16 6.2.21 Remove the Three-way Valve and Connection Line ...................................... 6-16 6.2.22 Remove the 10 cmH2O Pressure Relief Valve ............................................... 6-17 6.2.23 Remove the Electromagnet ............................................................................ 6-18 6.2.24 Remove the Safety Valve Diaphragm Assembly ............................................ 6-18 6.2.25 Remove the Safety Valve Seat Assembly ....................................................... 6-19 6.2.26 Remove the Gas Reservoir Assembly ............................................................ 6-19 6.2.27 Remove the O2 Sensor Transitional Part ....................................................... 6-20 6.2.28 Remove VT50 Expiration Module Board PCBA ........................................... 6-20 6.2.29 Remove VT50 Heating Plate Assembly ......................................................... 6-21 6.2.30 Remove the Three-Way Valve Assembly ....................................................... 6-22 6.2.31 Remove the Expiratory Flow Sensor Seat Assembly ..................................... 6-22 6.2.32 Remove the Three-way Valve and Connection Line ...................................... 6-23 6.2.33 Remove VT50 Expiration Valve and Connection Line .................................. 6-23 6.2.34 Remove the Muffler ....................................................................................... 6-24 6.2.35 Remove the PEEP Valve Seat Assembly ........................................................ 6-24 6.2.36 Remove the Expiration Valve Locking Bar .................................................... 6-25 3 6.2.37 Remove VT50 Display Front Housing Assembly .......................................... 6-26 6.2.38 Remove VT30 Display Front Housing Assembly .......................................... 6-27 6.2.39 Remove the Key Main Board ......................................................................... 6-28 6.2.40 Remove the Speaker ....................................................................................... 6-29 6.2.41 Remove the Inverter ....................................................................................... 6-30 6.2.42 Remove the Alarm Lamp Board..................................................................... 6-31 6.2.43 Remove the Display Bracket Assembly ......................................................... 6-32 6.2.44 Remove VT50 Key Scanning Board PCBA................................................... 6-33 6.2.45 Remove VT50 Power Switch Board PCBA ................................................... 6-34 6.2.46 Remove the Copper Axis Encoder Board....................................................... 6-35 6.2.47 Remove the Touchscreen ............................................................................... 6-35 6.2.48 Remove the Display ....................................................................................... 6-36 6.2.49 Remove the Main Unit Handle....................................................................... 6-37 6.2.50 Remove the Filter Water Trap at Gas Supply Inlet ......................................... 6-38 6.2.51 Remove the Auxiliary Output Assembly ........................................................ 6-39 6.2.52 Replace the Fuse ............................................................................................ 6-40 6.2.53 Remove the Humidifier Bracket Assembly .................................................... 6-40 6.2.54 Remove the Casters ........................................................................................ 6-41 6.2.55 Remove the Cart Base, Upright Post, and Panel ............................................ 6-41 7 Electrical and Pneumatic Connections........................................................................... 7-1 7.1 Pneumatic Connections ................................................................................................... 7-1 7.1.1 Pneumatic Connection Diagram......................................................................... 7-1 7.1.2 Tubing ................................................................................................................ 7-2 7.2 Electrical Connections .................................................................................................... 7-3 7.2.1 Electrical Connection A (main unit) ................................................................... 7-3 7.2.2 Electrical Connection B (auxiliary output assembly)......................................... 7-5 7.2.3 Electrical Connection C (Inspiratory connector assembly) ................................ 7-6 7.2.4 Electrical Connection D (Expiratory connector assembly) ................................ 7-8 8 Parts .................................................................................................................................. 8-1 8.1 E3 Ventilator Main Unit Assembly ................................................................................. 8-1 8.1.1 Exploded View ................................................................................................... 8-1 8.1.2 Parts List ............................................................................................................ 8-1 8.2 E5 Ventilator Main Unit Assembly ................................................................................. 8-2 8.2.1 Exploded View ................................................................................................... 8-2 8.2.2 Parts List ............................................................................................................ 8-2 8.3 E3 Ventilator Kernel Assembly ....................................................................................... 8-3 8.3.1 Exploded View ................................................................................................... 8-3 8.3.2 Parts List ............................................................................................................ 8-3 8.4 E5 Ventilator Kernel Assembly ....................................................................................... 8-4 8.4.1 Exploded View ................................................................................................... 8-4 8.4.2 Parts List ............................................................................................................ 8-4 8.5 E3 Ventilator Rack Assembly.......................................................................................... 8-5 4 8.5.1 Exploded View ................................................................................................... 8-5 8.5.2 Parts List ............................................................................................................ 8-5 8.6 E5 Ventilator Rack Assembly.......................................................................................... 8-6 8.6.1 Exploded View ................................................................................................... 8-6 8.6.2 Parts List ............................................................................................................ 8-6 8.7 Ventilator Power Assembly ............................................................................................. 8-7 8.7.1 Exploded View ................................................................................................... 8-7 8.7.2 Parts List ............................................................................................................ 8-7 8.8 E3 Display Front Housing Assembly .............................................................................. 8-8 8.8.1 Exploded View ................................................................................................... 8-8 8.8.2 Parts List ............................................................................................................ 8-9 8.8.3 E3 Display Assembly (configured with primary display) ................................ 8-10 8.8.4 E3 Display Assembly (configured with secondary display)............................. 8-12 8.9 E5 Display Assembly .................................................................................................... 8-14 8.9.1 Exploded View ................................................................................................. 8-14 8.9.2 Parts List .......................................................................................................... 8-14 8.10 E5 Display Front Housing Assembly .......................................................................... 8-15 8.10.1 Exploded View ............................................................................................... 8-15 8.10.2 Parts List ........................................................................................................ 8-15 8.10.3 E5 Display Assembly (configured with primary display) .............................. 8-16 8.10.4 E5 Display Assembly (configured with secondary display)........................... 8-18 8.11 Gas Supply Control Assembly (VT30/DISS) .............................................................. 8-19 8.11.1 Exploded View ............................................................................................... 8-19 8.11.2 Parts List......................................................................................................... 8-20 8.12 Gas Supply Control Assembly (VT30/NIST) ............................................................. 8-21 8.12.1 Exploded View ............................................................................................... 8-21 8.12.2 Parts List ........................................................................................................ 8-22 8.13 Gas Supply Control Assembly (VT50/DISS).............................................................. 8-23 8.13.1 Exploded View ............................................................................................... 8-23 8.13.2 Parts List ........................................................................................................ 8-24 8.14 Gas Supply Control Assembly (VT50/NIST) ............................................................. 8-25 8.14.1 Exploded View ............................................................................................... 8-25 8.14.2 Parts List ........................................................................................................ 8-26 8.15 Flow Control Assembly (VT50).................................................................................. 8-27 8.15.1 Exploded View ............................................................................................... 8-27 8.15.2 Parts List ........................................................................................................ 8-27 8.16 Safety Valve Gas Reservoir Assembly ........................................................................ 8-28 8.16.1 Exploded View ............................................................................................... 8-28 8.16.2 Parts List ........................................................................................................ 8-28 8.17 Gas Reservoir Assembly ............................................................................................. 8-29 8.17.1 Exploded View ............................................................................................... 8-29 8.17.2 Parts List ........................................................................................................ 8-29 8.18 Safety Valve Assembly ................................................................................................ 8-30 8.18.1 Exploded View ............................................................................................... 8-30 5 8.18.2 Parts List ........................................................................................................ 8-30 8.19 Safety Valve Seat Assembly ........................................................................................ 8-31 8.19.1 Exploded View ............................................................................................... 8-31 8.19.2 Parts List ........................................................................................................ 8-31 8.20 Expiration Module (E3/E5) ......................................................................................... 8-32 8.20.1 Exploded View ............................................................................................... 8-32 8.20.2 Parts List ........................................................................................................ 8-32 8.21 Expiration Valve Assembly (E3/E5) ........................................................................... 8-33 8.21.1 Exploded View ............................................................................................... 8-33 8.21.2 Parts List ........................................................................................................ 8-33 8.22 Expiration Valve Flow Sensor Assembly .................................................................... 8-34 8.22.1 Exploded View ............................................................................................... 8-34 8.22.2 Parts List ........................................................................................................ 8-34 8.23 Expiration Valve Seat Assembly ................................................................................. 8-35 8.23.1 Exploded View ............................................................................................... 8-35 8.23.2 Parts List ........................................................................................................ 8-36 8.24 Three-way Valve Assembly ......................................................................................... 8-37 8.24.1 Exploded View ............................................................................................... 8-37 8.24.2 Parts List ........................................................................................................ 8-37 8.25 Expiratory Flow Sensor Seat Assembly ...................................................................... 8-38 8.25.1 Exploded View ............................................................................................... 8-38 8.25.2 Parts List ........................................................................................................ 8-38 8.26 PEEP Valve Seat Assembly ......................................................................................... 8-39 8.26.1 Exploded View ............................................................................................... 8-39 8.26.2 Parts List ........................................................................................................ 8-39 6 1 Safety 1.1 Safety Information DANGER Indicates an imminent hazard that, if not avoided, will result in death or serious injury. WARNING Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury. CAUTION Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage. NOTE Provides application tips or other useful information to ensure that you get the most from your product. 1-1 1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this manual. 1.1.2 Warnings WARNING The ventilator must only be operated and used by authorized medical personnel well trained in the use of this product. It must be operated strictly following the Operator’s Manual. Before putting the system into operation, the operator must verify that the equipment, connecting cables and accessories are in correct working order and operating condition. The equipment must be connected to a properly installed power outlet with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect it from the power line. Use AC power source before the batteries are depleted. To avoid explosion hazard, do not use the equipment in the presence of flammable anesthetic agent, vapors or liquids. Do not place the ventilator adjacent to any barrier, which can prevent cold air from flowing, resulting in equipment overheat. Do not open the equipment housings. All servicing and future upgrades must be carried out by the personnel trained and authorized by us only. Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level may result in a hazard to the patient. Remember that alarm settings should be customized according to different patient situations and always keeping the patient under close surveillance is the most reliable way for safe patient monitoring. The physiological parameters and alarm messages displayed on the screen of the equipment are for doctor’s reference only and cannot be directly used as the basis for clinical treatment. Dispose of the package material, observing the applicable waste control regulations andkeeping it out of children’s reach. All staff should be aware that disassembling or cleaning some parts of the ventilator can cause risk of infection. Maintenance mode should be used only when the equipment is not connected to a patient. 1-2 WARNING Positive pressure breathing may be accompanied by some side effects such as barotrauma, hypoventilation, hyperventilation etc. Using the ventilator in the vicinity of high-frequency electrosurgery units, defibrillators or short-wave therapy equipment may impair correct functioning of the ventilator and endanger the patient. Do not use antistatic or conductive masks or breathing hoses. They can cause burns if they are used near high frequency electrosurgical equipment. Do not use the ventilator in a hyperbaric chamber to avoid potential fire hazard due to an oxygen-enriched environment. If the equipment internal monitoring system malfunctions, an alternative plan must be available to ensure adequate level of monitoring. The operator of the ventilator must be responsible for proper patient ventilation and safety under all circumstances. As required by the relevant rules and regulations, oxygen concentration should be monitored when the equipment is used on the patient. If your ventilator is not configured with such monitoring function or this function is turned off, use a monitor which complies with the relevant international rules and regulations for oxygen concentration monitoring. When auxiliary electrical outlets are configured, the voltage and current specifications of the devices connected to the electrical outlets must be within the permissible ranges for those of the electrical outlets. When the protection grounding is defective, connection of equipment to the auxiliary electrical outlet may increase the patient leakage current to values exceeding the allowable limits. When the auxiliary electrical outlet does not work normally, check if the corresponding fuse is burned. All analog or digital products connected to this system must be certified passing the specified IEC standards (such as IEC 60950 for data processing equipment and IEC 60601-1 for medical electrical equipment). All configurations shall comply with the valid version of IEC 60601-1-1. The personnel who are responsible for connecting the optional equipment to the I/O signal port shall be responsible for medical system configuration and system compliance with IEC 60601-1-1 as well. Do not touch the patient when connecting the peripheral equipment via the I/O signal ports or replacing the oxygen cell to prevent patient leakage current from exceeding the requirements specified by the standard. This product must be operated by doctors, respiration therapist or other specially trained and authorized personnel. Anyone unauthorized or untrained must not perform any operation on it. This equipment is not suitable for use in an MRI environment. 1-3 WARNING When the ventilator input system fails or has faults, please contact us immediately for specified personnel to service the ventilator. Use the humidifiers with a CE mark or recommended by us only. The ventilator cannot use He and O2 mixed gas. Make sure that the ventilator altitude is set up correctly. Improper altitude setup may affect tidal volume measurement accuracy. After modifying the altitude setting value, perform flow calibration (factory) again. When the ventilator is restalled, or main control board is repalced, the altitude must be reset. After reseting the altitude value, perform flow calibration (factory) again. Make sure to remove the O2 sensor plug before installing the O2 sensor correctly. 1.1.3 Cautions CAUTION The ventilator must be inspected and serviced regularly by trained service personnel. To ensure patient safety, always prepare pulmotor for use. Always have a special person attend and monitor the operation of the equipment once the ventilator is connected to the patient. During the operation of the ventilator, do not disassemble the expiration valve and expiratory flow sensor, which, however, can be disassembled in standby mode. To ensure patient safety, use only parts and accessories specified in this manual. At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. Magnetic and electrical fields are capable of interfering with the proper performance of the equipment. For this reason make sure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation. This system operates correctly at the electrical interference levels identified in this manual. Higher levels can cause nuisance alarms that may stop mechanical ventilation. Pay attention to false alarms caused by high-intensity electrical fields. 1-4 CAUTION Before connecting the equipment to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the equipment’s label or specified in this manual. Always install or carry the equipment properly to avoid damage caused by drop, impact, strong vibration or other mechanical force. The ventilator keeps stable with a 10º tilt in typical configuration. Do not hang articles on both sides of the ventilator for fear of tipping over. 1.1.4 Notes NOTE Put the equipment in a location where you can easily see the screen and access the operating controls. Keep this manual close to the equipment so that it can be obtained conveniently when needed. The software was developed in compliance with IEC 60601-1-4. The possibility of hazards arising from software errors is minimized. This manual describes all features and options. Your equipment may not have all of them. 1-5 1.2 Equipment Symbols Alternating current Battery Equipotential Fuse RS-232 port CO2/calibration connection O2↑button O2 sensor connector VGA input and output connection VGA output connection Network connection USB port Air supply connection Oxygen supply connection Pneumatic outlet Flow sensor Expiratory port Inspiratory port Unlock Nebulizer connection Compressor status indicator Compressor alarm indicator Compressed air outlet (of the compressor) Central pipeline gas supply inlet (of the compressor) Manufacture date Manufacturer Serial number Attention: Consult accompanying documents (this manual) Type BF applied part. Defibrillation-proof protection against electric shock. Nurse call connection 1-6 The following definition of the WEEE label applies to EU member states only. This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health. For more detailed information with regard to returning and recycling this product, please consult the distributor from whom you purchased it. * For system products, this label may be attached to the main unit only. 1-7 FOR YOUR NOTES 1-8 2 Theory of Operation 2.1 Pneumatic System 2.1.1 Pressure Unit Conversion Table Pa hPa kPa Mpa mmHg 1 10-2 10-3 10-6 7.5 X10-3 9.8 X 10-6 1 X 102 1 1 X 10-1 1 X 10-4 0.75 1 X 10-3 10 1 1 X 10-3 7.5 6 4 1 X 10 1 X 10 2 1.33 X 10 1.33 3 1 X 10 98.1 0.98 9.8 X 10 1 X 02 1 0.1 1 X 105 1 X 103 1 X 102 3 6.89 X 10 68.9 6.89 -2 Bar (PSI) 1.02X10-2 1 X 10-2 1 X 10-5 1.45 X 10-4 9.8 X 10-4 1.02 1 1 X 10-3 1.45 X 10-2 9.8 X 10-3 10.2 10 1 X 10-2 0.145 1.32 X 10 0.101 1 9.8 X 10 -5 9.68 X 10 1 X 10-4 0.75 0.1 750 6.89 X 10 51.7 -3 1.36 1.33 10 1.33 X 10 1.93 X 10-2 -4 1 0.98 9.8 X 10 9.8 X 10-4 1.02 1 1 X 10-3 0.98 1.02 X103 1 X 103 6.8 X 10 2-1 145 -3 1.03 X103 1.01 X103 1.01 0.736 -3 4 1.02 X10 1 X 10 1.33 X 10 1 760 mbar 4 7.5 X 10 9.8 -4 1.01 X 105 1.01X103 101 cmH2O 3 1 0.133 atm -2 70.3 68.9 14.7 -4 1.42 X 10-2 1.45 X 10-2 1 14.5 -2 6.89 X 10 1 2.1.2 Pneumatic Circuit Diagram The above pneumatic circuit diagram is applicable to both E3 and E5, which do not have differences in pneumatic circuit diagram but differ in components and some parameter settings. 2-2 2.1.3 Parts List Symbol Name Function and Index Air Inlet Air supply connection Air supply inlet (with a supply pressure of 280 - 650 kPa) O2 Inlet O2 supply connection O2 supply inlet (with a supply pressure of 280 - 650 kPa) F1/F2 O2/air filter Filtering the foreign substance and water in the supplied gas (aperture: 5 µm) PS1/PS2 O2/air pressure switch Preset alarm limit of gas pressure (2.2 bar) CV1/CV2 O2/air check valve Ensuring unidirectional gas flow REG 1/REG 2 O2/control regulator Reducing and maintaining the supply pressure (1.72/2.2 bar at the rear end) PSOL 1 PSOL 2 O2/air proportional valve For E5 ventilators: peak flow of a single branch is greater than or equals to 180 L/Min, and stable flow is greater than or equals to 150 L/Min; For E3 ventilators: peak flow of a single branch is greater than or equals to 120 L/Min, and stable flow is greater than or equals to 100 L/Min. F3/F4 O2/air flow sensor filter screen Stabilizing air flow (aperture: 200 µm) Q1/Q2 O2/air flow sensor Monitoring the O2/air flow (range: 0 - 200 L/min) OS O2 sensor Monitoring the O2 concentration (range: 21% - 100%) SV Inspiratory safety valve When the ventilator works normally, the inspiratory safety valve is powered and closed. While in emergency, it is powered off and releases the pressure. RV1 10 cmH2O pressure relief valve The outlet of released gas during active pressure relief CV3 Check valve at spontaneously inspiratory port Ensuring unidirectional gas flow during spontaneous breath RV2 110 cmH2O pressure relief valve Releasing gas when the pressure of inspiratory hoses exceeds 110 cmH2O SOL1 Three-way valve for inspiratory pressure sensor zeroing Zeroing the inspiratory pressure sensor at a certain period PI Inspiratory pressure sensor Monitoring the pressure of inspiratory hoses F5 Inspiratory filter Preventing vapor and bacterium from entering the ventilator. The filter aperture is 0.3 µm. Humidifier Humidifier Humidifying the inhaled gas to ensure the temperature and humidity for patients WT Water trap Collecting water drops condensed in the hoses 2-3 Symbol Name Function and Index F6 Expiratory filter Preventing vapor and bacterium from entering the expiration module. The filter aperture is 0.3 µm. SOL2 Three-way valve for expiratory pressure sensor zeroing Zeroing the expiratory pressure sensor at a certain period PE Expiratory pressure sensor Monitoring the pressure of expiratory hoses EV Expiration valve Gas controlled expiration valve, which is fully opened or forming PEEP valve with certain pressure (0 - 100 cmH2O) during the expiratory phase, and fully closed or forming Plimit valve with certain pressure (0 - 100 cmH2O) during inspiratory phase CV4 Expiratory check valve Ensuring unidirectional gas flow Expiratory heater Heating the expiration valve and expiratory flow sensor to prevent vapor from being condensed in the expiration valve and expiratory flow sensor Q3 Expiratory flow sensor A diaphragm flow sensor that monitors the exhaled gas flow; When gas passes through it, pressure difference exists on both sides of the diaphragm. PQ3 Differential pressure sensor Monitoring the pressure difference generated by Q3 NCV Nebulizer control valve Opening or closing the nebulizer flow Nebulizer Nebulizer Aerosolizing medication which enters the respiratory tract with the inspiration of the patient R1 Resistor Controlling the nebulizer gas flow R2 Resistor Controlling the gas flow that flushes the expiratory pressure sensor R3 Resistor Restricting the PEEP exhaust speed and providing corresponding resistance PEEP valve PEEP proportional valve Controlling the PEEP ventilation volume to ensure that PEEP reach the set value PP PEEP pressure sensor Used to monitor PEEP pressure REG3 PEEP regulator Used for Level 2 regulation, to stabilize the gas supply pressure at the front end of the PEEP valve SOL3 Three-way valve for air/O2 connection selection Ensuring the gas supply when only a single source works EXH HTR 2-4 2.1.4 Symbols Filter Gas supply WT Water trap Humidifier On-off valve (two-way solenoid valve) Regulator 110 cmH2O RV2 O2 Nebulizer Humidifier Relief valve 10 cmH2O RV1 O2 sensor P Relief valve Pressure sensor Check valve R Resistor Nebulizer Q Flow sensor Three-way solenoid valve EXH HTR Heater Proportional valve (electromagnetic) Expiration valve 2-5 2.1.5 Theory of Operation The pneumatic system of the ventilator consists of six systems as shown below: 2.1.5.1 Gas Supply Subsystem The gas supply subsystem is the starting part the ventilator pneumatic circuit. It introduces the external pipeline supply into the ventilator. To protect the precision solenoid valve and flow sensor in the flow control module, regulator valve and filter are included in the gas supply module to process the supplied gas which is of high and unstable pressure and contains some foreign substances. A pressure switch is configured to monitor the gas supply pressure and check valve to prevent the gas flow inside the ventilator from going back into other external gas supplies. The gas supply subsystem consists of two parallel pneumatic circuits, namely O2 and air, as shown below: 2-6 There are some structural differences between the components of E5 and E3. The picture below is from E5: O2 inlet O2 filter F1 Air inlet Pressure switch PS1/PS2 Nebulizer control valve NCV Air filter F2 O2 regulator REG1 Air regulator REG2 PEEP regulator REG3 Air/O2 connection selection valve SOL3 Notes: as shown in the above picture, some components, such as the air/O2 connection selection valve SOL3, PEEP regulator REG3, PEEP control air connector , nebulizer control valve NCV, and nebulizer connector, are not included in the gas flow of the gas supply subsystem because some of the components are part of other subsystems. For detailed information, please refer to the ventilator pneumatic circuit diagram. Meanwhile, it can be seen from the above picture that the filters used for Air and O2 branches are both manual drainage filters. But they differ in the appearance. The size of the air filter is greater and the material of its base is plastic. For Air filter, water is drained at the bottom by rotating the handle. The material of the base of O2 filter is metal and water is drained by pushing the filter gas nozzle upward. 2-7 The E3 module differs from the E5 module in that the E3 assembly integrates the gas supply subsystem and the flow control subsystem. The gas supply subsystem of E3 is the same with that of E5, while the flow control subsystem is shown below: PEEP control gas connector Nebulization gas connector Proportional valve E3 PSOL1/PSOL2 Air outlet (connected with flow sensor Q1) O2 outlet (connected with flow sensor Q1) To fulfill the actual requirements, two kinds of connectors are configured for the air and O2 supplies, namely DISS and NIST, with AIR or O2 marks to indicate the supply gas. The central pipeline leads the supply gas into the ventilator through the air/O2 connector. The supply gas, with a pressure within the range of 280 - 650 KPa, flows through the filter F2/F1 and gets purified, and then through the check valves CV2/CV1, reaches the front end of the regulator. Check valves are used to prevent the gas from flowing back. A pressure switch is connected to the front end of the check valve to ensure that an alarm is triggered when the pressure is lower than the set value (220 KPa) and stops when the pressure restores to the set value. Air/O2 regulator is used to reduce the pressure of the supply gas and maintain it to the set value which for E5 ventilators is 172 KPa, and for E3, 220 KPa. What connects the rear end of the regulator is the flow control subsystem. 2-8 2.1.5.2 Flow Control Subsystem The flow control subsystem is mainly used to perform accurate control (by proportional valve) and monitoring (by inspiratory flow sensor) over the inspiratory flow and O2 concentration. Corresponding with the gas supply subsystem, the flow control subsystem also has two parallel branches: air and O2. The subsystem diagram is shown below: PSOL1 F3 Q1 F4 Q2 PSOL2 The structure of the flow control subsystem of E5 ventilators are shown below: Air inlet O2 inlet Proportional valve PSOL2 Proportional valve PSOL1 Filter screen F3/F4 Air flow sensor Q2 O2 flow sensor Q1 Air outlet O2 outlet 2-9 The flow control subsystem of E3 ventilators, as described previously, differs from that of E5 ventilators in the proportional valves of different types (PSOL1/PAOL2), which affects the flow speed of corresponding gas limb. For E3 ventilators, the maximum limb peak flow should be over 120 L/Min, and the stable flow speed should be over 100 L/Min, while for E5 ventilators, over 180 L/Min and 150 L/Min respectively. The E5 and E3 models share the same filter screens (F3/F4), air flow sensors, and O2 flow sensors. When the ventilator is working, the gas, after passing the gas supply subsystem, is under a pressure of corresponding set value. It flows through the air/O2 inlet of the flow control subsystem and enters the flow control submodule. Then the system opens the proportional valves PSOL1 and PSOL2, and the gas flows through the filter screen and reaches the flow sensors Q1 and Q2 of various limbs which measures the flow speeds in the limbs. The pressure of the gas from the flow sensor is close to the air pressure. Then the gas goes into the safety valve subsystem, where air and O2 are mixed. 2.1.5.3 Safety Valve Subsystem The safety valve subsystem is mainly used to monitor the inspiratory pressure and ensure that the pressure in the inspiratory limb is within the safe range. It also measures the amount of O2 in the inspiratory gas and maintains spontaneous inspiration when the system is powered off. Below is a diagram of the safety valve subsystem: P PI SOL1 OS O2 SV 110 cmH2O RV2 10 cmH2O RV1 CV3 2-10 And the corresponding components are: Gas reservoir Gas outlet Three-way valve for inspiratory pressure zeroing 10 cmH2O pressure relief valve Oxygen cell Air inlet Muffler Check valve at spontaneously inspiratory port 110 cmH2O pressure relief valve Electromagnet O2 inlet The figure below shows the components of the safety valve subsystem. Flowing out from the flow control subsystem, the air and O2 go through the flow sensor and the safety valve connector, and enter the safety valve subsystem. Then the air and O2 first flow through the muffler and get mixed, and then the mixed gas enters two limbs: one connected with the 110 cmH2O relief valve which opens to release gas when the inner pressure is over 110 cmH2O; and the other, as a main limb, leads the gas into the reservoir where an Oxygen cell is installed to monitor the O2 concentration of the output gas. At the front end of the reservoir, there is an electromagnet, a check valve ar spontaneous inspiratory port, and a 10 cmH2O relief valve. At the front end of the reservoir, there is an electromagnet, a check valve ar spontaneous inspiratory port, and a 10 cmH2O relief valve. The electromagnet is used to actively release pressure. When the pressure inside the ventilator reaches a set value, the electromagnet opens and the gas is released through the 10 cmH2O relief valve. It also ensures a pressure of over 10 cmH2O inside the ventilator. When the ventilator is powered off, the electromagnet valve core restores to normal position under gravitation, the safety valve opens, and the patient breathes spontaneously. When an inspiration is made, negative pressure is generated in the safety valve subsystem and makes the check valve at the spontaneous inspiration inlet open to the inner side, leading the gas into the safety valve subsystem and then through the gas reservoir into the patient's lungs, and thus completing an inspiration process. The safety valve subsystem external port is the outlet of the gas reservoir. This connector is a coaxial 22 mm conical connector, complying with ISO 5356-2:1987. 2-11 2.1.5.4 Nebulizer Control Subsystem The nebulizer control system is mainly used to control the nebulized gas flow by the nebulizer control valve, and thus realizing the control over the nebulizer. The pneumatic scheme of the nebulizer control system is as shown below: NCV R1 The picture below shows the structure of the components: Nebulizer control valve NCV Air/O2 connection selection valve SOL3 Nebulizer channel connector 2-12 The above picture shows the structure of nebulizer control valve NCV and nebulizer channel connector of E5 gas supply subsystem (similar to E3 module). The NCV is a two-way solenoid valve. The nebulizer channel connector is connected to the Φ6 PU hose in which a nebulizer resistor R1 is connected. The front end of the R1 resistor is connected with the rear-end gas through the air/O2 selection valve SOL3, and the rear end is connected to the nebulizer nozzle with the Φ6 PU hose. The picture below shows the structure of the inspiration module of E5 ventilators: Nebulizer resistor Nebulizer nozzle The metal connector of the nebulizer nozzle is outside the main unit of the ventilator. When the ventilator works well and the nozzle is connected to the nebulizer with corresponding hoses, the system opens the nebulizer control valve NCV to release the gas through nebulizer resistor R1 and into the nebulizer for nebulization. The nebulized flow should be within the range of 6 - 9 L/Min. 2-13 2.1.5.5 Expiration Assembly The expiration module is mainly used to realize pressure control and monitoring, and flow monitoring. It differs with the inspiration module in that the gas that passes through it is the expiratory gas from the patients, which results in the need to clean and disinfect the components after use. Below is the pneumatic diagram: The structure of expiration assembly is as shown below: Expiration heat keeper Resistor R2 PEEP control gas supply connector Expiration valve assembly (plastic) Patient gas inlet Expiration valve lock Water trap 2-14 PEEP pressure sensor PP Expiration pressure flushing limb Three-way valve for expiratory pressure sensor zeroing Expiration valve heater Differential pressure sensor PQ3 Expiratory flow sensor Q3 Gas outlet (outside the ventilator) Muffler Expiratory pressure sensor PE PEEP proportional valve PEEP control gas outlet (outside the ventilator) The gas inlet of expiration module is a coaxial 22 mm conical connector, complying with ISO 5356-2:1987. The patient end is connected to the expiration module with patient hose. When the ventilator is running, the expiratory gas flows through the hoses and enters the expiration module (plastic). At the entrance of the expiration module, there is a water trap used to collect condensed water in the hoses and expiration valve. The check valve in the water trap, when the water trap is installed, opens to lead the condensed water into the water trap. When the collected water reaches a certain amount, the water trap should be removed from the ventilator (which closes the check valve to avoid gas leakage) and drained to avoid airway blockage. When the expiratory gas enters the expiration valve, the system changes the PEEP value in the PEEP proportional valve to a set level, which makes the PEEP valve control gas to flow through the muffler and then out of the ventilator through the PEEP control gas outlet. As the PEEP control gas is from the inspiration module and thus clean and uncontaminated, it does not need any further cleaning or disinfection. The expiratory gas passes the expiration valve and enters the expiratory flow sensor Q3, a diaphragm flow sensor which, with the pressure sampling point, introduces the pressure difference between the front and rear end into the pressure difference sensor PQ3. 2-15 Due to the need for disinfection (steam autoclavable at maximum 134 ℃), the expiration valve and expiratory flow sensor are designed to be easy for removal and re-installation. In normal use, the expiration valve is fixed to the expiration assembly by expiration valve lock, and when you need to disinfect it, the lock can be easily unlocked for you to take the expiration valve and the expiratory flow sensor off. A heater and temperature sensor, controlled by the system, are located at the upper end of the expiration valve housing to prevent the vapor from being condensed in the expiration valve and expiratory flow sensor Q3. An expiration pressure flushing limb in which the flow is maintained at 60 ml/min is also added to prevent the vapor in the expiratory gas from being condensed in the pressure monitoring hoses and affecting the monitoring of expiratory gas pressure. 2.1.5.6 Patient Hose Patient hoses constitute the peripheral pneumatic circuit of the circuit and are independent from the ventilator main unit. Patient hoses can be configured as needed. They function to connect the ventilator and the patient and to humidify the patient’s inhaled gas. The pneumatic scheme is as shown below. F5 Humidifier WT Nebulizer Patient F6 WT There are two kinds of patient hoses: disposable and reusable. Generally, disposable hoses integrate hoses, water traps, and Y pieces etc. are made of medical-grade PVC materials. They are of low cost and are discarded after use. Reusable hoses, typically, are made of silicone which can be autoclaved for many times. The water traps and Y pieces can also be autoclaved. Despite the high cost, reusable hoses reduce clinical cost since they can be used for many times. 2-16 2.2 Electrical System 2.2.1 Electrical System Diagram Please refer to7.2Electrical Connections. 2.2.2 Auxiliary Output Assembly In practical application, the ventilator is generally used with humidifier, air compressor, and nebulizer. A power supply scheme is adopted to keep the connection compact and in order, as shown below. The auxiliary output assembly distributes the AC power input and supply power for other equipments through three auxiliary output outlets. It is connected to the ventilator with a relatively short power cord. 2.2.3 Electrical Subsystem of the Main Unit The electrical subsystem of the ventilator consists of main control board, monitoring module (including monitoring board, inspiration module board, and expiration module board), power module (including AC-DC power board and DC-DC power board), extension board, mother board, lithium battery, and related cables. 2-17 2.2.3.1 Main Control Board The main control board is the control core of the ventilator. It functions to: Process measurement and status information from various modules and user interface (display, buttons, encoder, and touch screen and so on); Control the parameter modules; Control, receive, and process communication requests; Exchange data with external devices; Upgrade various module programs. The main control board consists of CPU, FPGA, and peripheral circuit. The CPU is the ColdFire MCF5372L manufactured by FreeScale. The peripheral circuit includes DDR SDRAM (memory), Nor Flash, and EEPROM. FPGA is on the FlexBus main cable of the CPU. It is mainly used for display, which takes most of the FPGA sources (including logic sources and pin sources), and audio functions, and expands several serial ports. The following picture shows the main control board. Main control board 2-18 The pins of various critical connectors of main control board are defined as follows: Network connector, J9 Pin No. Pin name Function 1 TX+ Network transmitting signal + 2 TX- Network transmitting signal - 3 RX+ Network receiving signal + 4 CT1 - 5 CT1 - 6 RX- Network receiving signal - 7 CT2 - 8 CT2 - RS-232 connector, J4 Pin No. Pin name Function 1 NC No internal connection 2 RXD RS-232 receiving signal 3 TXD RS-232 transmitting signal 4 NC No internal connection 5 GND Ground 6 NC No internal connection 7 NC No internal connection 8 NC No internal connection 9 NC No internal connection Motherboard connector, J7 (refer to the definition of motherboard JUIC connector). 2-19 2.2.3.2 Monitoring Module The monitoring module consists of monitoring board, inspiration module board, and expiration module board. The monitoring board is mainly used to control the valves (solenoid valve, proportional valve etc.), acquire and calculate parameters, and drive heaters and fans. The inspiration module board and expiration module board are mainly for pre-processing analog signals and switching valve control signals and heater drive signals. There are two modules on the monitoring board, namely VCM (Ventilation Control Module), used for ventilation control, and VPM (Ventilation Protection Module), whose CPU is MCU, used for ventilation protection. The following pictures show the monitoring board, inspiration module board, and expiration board. Monitoring board 2-20 The pins of various critical connectors of monitoring board are defined as follows: Calibration/CO2 module connector, J2 Pin No. Pin name Function 1 12V 12V, CO2 module power supply 2 TXD1 Serial port transmitting signal (CO2 module) 3 RXD1 Serial port receiving signal (CO2 module) 4 NC No internal connection 5 GND Ground 6 12V 12V, CO2 module power supply 7 RXD2 Serial port receiving signal (calibration) 8 TXD2 Serial port transmitting signal (calibration) 9 GND Ground USB connector, J8 Pin No. Pin name Function 1 VCC_USB1 5V, USB power supply 2 USB_DM1 USB data signal - 3 USB_DP1 USB data signal + 4 GND Ground 5 VCC_USB2 5V, USB power supply 6 USB_DM2 USB data signal - 7 USB_DP2 USB data signal + 8 GND Ground Motherboard connector, J5 (refer to the definition of motherboard JVMC connector). Inspiration module board 2-21 The pins of various critical connectors of inspiration module board are defined as follows: Air/O2 pressure switch connector, J1/J4 Pin No. Pin name Function 1 PS Pressure switch signal 2 GND Ground O2/Air flow sensor connector, J2/J3 Pin No. Pin name Function 1 FLOW Flow signal 2 TEMP Temperature signal 3 TSI_VCC 5V, flow sensor power supply 4 GND Ground 5 SPI_DOUT SPI data output signal 6 SPI_CLK SPI clock signal 7 SPI_CS SPI chip selection signal 8 SPI_DIN SPI data input signal 9 SPI_WP SPI write protected signal 10 GND Ground Nebulizer valve connector, J6 Pin No. Pin name Function 1 VPP_IM 12V, nebulizer valve drive signal + 2 SOLV_NBL- Nebulizer valve drive signal - 3 SOLV_NBL- Nebulizer valve drive signal - Motherboard connector, J7 (refer to the definition of motherboard JIM connector). O2/Air inspiration valve connector, J8/J9 Pin No. Pin name Function VPPBK/VPP 7V/12V, inspiration valve drive signal + (7V for E3/B3 and 12V for E5/B5) 2 INSP- Inspiration valve drive signal - 3 INSP- Inspiration valve drive signal - 1 O2 sensor connector, J10 Pin No. Pin name Function 1 O2+ O2 sensor signal + 2 O2- O2 sensor signal - 2-22 Inspiratory pressure zeroing three-way valve connector for , J11 Pin No. Pin name Function 1 VPP_IM 12V, inspiratory pressure zeroing three-way valve drive signal + 2 ZERO_INSP_PAW- Inspiratory pressure zeroing three-way valve drive signal - 3 Reserved Reserved 4 Reserved Reserved Safety valve connector, J12 Pin No. Pin name Function 1 VPP_IM 12V, safety valve drive signal + 2 VPP_IM 12V, safety valve drive signal + 3 SV- Safety valve drive signal - 4 SV- Safety valve drive signal - Air/O2 connection selection valve connector, J13 Pin No. Pin name Function 1 VPP_IM 12V, Air/O2 connection selection valve drive signal + 2 SOLV_SWITCH- Air/O2 connection selection valve drive signal - 3 SOLV_SWITCH- Air/O2 connection selection valve drive signal - Expiration module board 2-23 The pins of various critical connectors of expiration module board are defined as follows: Expiratory pressure zeroing three-way valve connector, J3 Pin No. Pin name Function 1 VPP_EM 12V, expiratory pressure zeroing three-way valve drive signal + 2 ZERO_EXP_PAW- Expiratory pressure zeroing three-way valve drive signal - 3 Reserved Reserved 4 Reserved Reserved Motherboard connector, J4 (refer to the definition of motherboard JEM connector). PEEP valve connector, J6 Pin No. Pin name Function 1 PEEP+ PEEP valve drive signal + 2 PEEP- PEEP valve drive signal - 3 Reserved Reserved 4 Reserved Reserved Heating plate connector, J7 Pin No. Pin name Function 1 HEATER+ Heating plate drive signal + 2 HEATER- Heating plate drive signal - 3 TEMP1+ Heating plate thermistor + 4 TEMP1- Heating plate thermistor - 5 TEMP2+ Heating plate thermistor + 6 TEMP2- Heating plate thermistor - 2.2.3.3 Power Module The power module consists of AC-DC power board and DC-DC power board. The power module AC-DC power board switches the AC power input into DC voltage and transmits to the DC power board which then switches the voltage into several DC voltages that meet the requirements of the ventilator. The DC-DC power board can perform power on/off control, and AC/battery indicator drive functions. Additional, a battery charging board is configured on the DC-DC power board to provide charging and management of lithium batteries. The AC-DC power board and DC-DC power board can also protect the main voltages from overpressure and overcurrent. 2-24 The following pictures show the AC-DC power board and DC-DC power board. AC-DC power board The pins of various critical connectors of AC-DC power board are defined as follows: AC input connector, J1 Pin No. Pin name Function 1 AC-L AC power live wire 2 NC No internal connection 3 AC-N AC power neutral wire DC output connector, J2 Pin No. Pin name Function 1 VXBUS 15.2V, DC voltage of AC-DC output 2 GND Ground 2-25 DC-DC power board The pins of various critical connectors of DC-DC power board are defined as follows: Motherboard connector, J2 (refer to the definition of motherboard JPWR connector). Fan connector, J3 Pin No. Pin name Function 1 VPP 12V, fan power supply 2 FAN_CTRL Fan control signal 3 FAN_STATUS Fan status signal 4 GND Ground DC input connector, J4 Pin No. Pin name Function 1 VXBUS 15.2V, DC voltage of AC-DC output 2 GND Ground 2.2.3.4 Extension Board The extension board is used to drive SD cards and switch VGA and nurse all signals. The SD drive circuit is realized by an appropriative SD card controller which is a USB connector used to transform the USB signal from the main control board into SD card driving signals. 2-26 The following picture shows the extension board. Extension board The pins of various critical connectors of extension board are defined as follows: Motherboard connector, J1 (refer to the definition of motherboard JEXT connector). Nurse call connector, J2 Pin No. Pin name Function 1 NURSE_CALL Nurse call signal VGA connector, J3 Pin No. Pin name Function 1 R VGA R signal 2 G VGA G signal 3 B VGA B signal 4 NC No internal connection 5 GND Ground 6 GND Ground 7 GND Ground 8 GND Ground 9 NC No internal connection 10 GND Ground 11 NC No internal connection 12 NC No internal connection 2-27 Pin No. Pin name Function 13 HS VGA horizontal synchronous signal 14 VS VGA vertical synchronous signal 15 NC No internal connection SD card connector, J4 Pin No. Pin name Function 1 DATA3 SD card data signal 2 CMD SD card command signal 3 GND Ground 4 VCF 3.3V, SD card power supply 5 CLK SD card clock signal 6 GND Ground 7 DATA0 SD card data signal 8 DATA1 SD card data signal 9 DATA2 SD card data signal 10 CD SD card in-place detection signal 11 WP SD card write protected detection signal 2.2.3.5 Motherboard The motherboard is mainly used to switch signals. The main control board, monitoring board, expiration module board, DC-DC power board, extension board, UI unit and lithium battery are connected to the motherboard with board-to-board outlet, while the inspiration module board is connected with cables. The following picture shows the motherboard. Motherboard 2-28 The pins of various critical connectors of motherboard are defined as follows: Battery socket, JBATA/JBATD Pin No. Pin name Function 1 BAT+ Battery + 2 BAT+ Battery + 3 BC Batter in-place signal 4 BAT- Battery - 5 NTC Battery internal thermistor + (the negative pole of the thermistor is connected to the negative pole of the battery) 6 BAT- Battery - 7 BAT- Battery - UI unit connector, JUI Pin No. Pin name Function 1 VCC 5V power supply 2 GND Ground 3 VPP 12V power supply 4 GND Ground 5 Reserved Reserved 6 Reserved Reserved 7 Reserved Reserved 8 UART6_TX RS-232 transmitting signal 9 UART6_RX RS-232 transmitting signal 10 VDD_LCD 3.3V, LCD power supply 11 VDD_LCD 3.3V, LCD power supply 12 GND Ground 13 LVDS_Y2M LVDS data signal - 14 LVDS_Y2P LVDS data signal + 15 GND Ground 16 LVDS_Y3M LVDS data signal - 17 LVDS_Y3P LVDS data signal + 18 GND Ground 19 LED_AC AC status indication signal 20 GND Ground 21 LED_BATT Battery status indication signal 22 GND Ground 23 UART0_RX RS-232 transmitting signal 24 UART0_TX RS-232 transmitting signal 25 GND Ground 26 LVDS_Y0M LVDS data signal - 2-29 Pin No. Pin name Function 27 LVDS_Y0P LVDS data signal + 28 GND Ground 29 LVDS_Y1M LVDS data signal - 30 LVDS_Y1P LVDS data signal + 31 GND Ground 32 LVDS_CLKM LVDS clock signal - 33 LVDS_CLKP LVDS clock signal + 34 5B 5V, standby power supply 35 PCON1 ON/OFF control signal 36 DIMMING Backlight brightness adjustment signal 37 BCON Backlight switch signal 38 Reserved Reserved 39 GND Ground 40 Color_sel LCD display color selection signal 41 IIC_SCL_UIC IIC bus clock signal 42 IIC_SDA_UIC IIC bus data signal 43 GND Ground 44 SPK- Speaker drive signal - 45 SPK+ Speaker drive signal + 46 GND Ground 47 Reserved Reserved 48 Reserved Reserved 49 Reserved Reserved 50 Reserved Reserved Main control board connector, JUIC Pin No. Pin name Function 1 GND Ground 2 LVDS_Y0M LVDS data signal - 3 LVDS_Y0P LVDS data signal + 4 GND Ground 5 LVDS_Y1M LVDS data signal - 6 LVDS_Y1P LVDS data signal + 7 GND Ground 8 LVDS_Y2M LVDS data signal - 9 LVDS_Y2P LVDS data signal + 10 GND Ground 11 LVDS_CLKM LVDS clock signal - 12 LVDS_CLKP LVDS clock signal + 13 GND Ground 14 LVDS_Y3M LVDS data signal 2-30 Pin No. Pin name Function 15 LVDS_Y3P LVDS data signal + 16 GND Ground 17 UART1_RX Serial port receiving signal 18 UART1_TX Serial port transmitting signal 19 GND Ground 20 UART2_RX Serial port receiving signal 21 UART2_TX Serial port transmitting signal 22 GND Ground 23 UART7_RX Serial port receiving signal 24 UART7_TX Serial port transmitting signal 25 GND Ground 26 Reserved Reserved 27 Reserved Reserved 28 Reserved Reserved 29 Reserved Reserved 30 Reserved Reserved 31 SD_CD SD card in-place detection signal 32 SD_WP SD card write protected detection signal 33 NC No internal connection 34 NC No internal connection 35 NC No internal connection 36 SPK- Speaker drive signal - 37 SPK+ Speaker drive signal + 38 GND Ground 39 R VGA R signal 40 G VGA G signal 41 B VGA B signal 42 HS VGA HS signal 43 VS VGA VS signal 44 GND Ground 45 Reserved Reserved 46 Reserved Reserved 47 GND Ground 48 Reserved Reserved 49 Reserved Reserved 50 GND Ground 51 Reserved Reserved 52 Reserved Reserved 53 Reserved Reserved 54 Reserved Reserved 55 GND Ground 2-31 Pin No. Pin name Function 56 VCC_USB1 5V, USB power supply 57 SD_USB_DM USB data signal - 58 SD_USB_DP USB data signal + 59 GND Ground 60 USB_DP1 USB data signal + 61 USB_DM1 USB data signal - 62 USB_DP2 USB data signal + 63 USB_DM2 USB data signal - 64 VCC_USB2 5V, USB power supply 65 VDD_LCD 3.3V, LCD power supply 66 GND Ground 67 Color_sel LCD display color selection signal 68 BCON Backlight switch signal 69 UART0_TX RS-232 transmitting signal 70 UART0_RX RS-232 receiving signal 71 GND Ground 72 UART6_TX RS_232 transmitting signal 73 UART6_RX RS-232 receiving signal 74 GND Ground 75 Reserved Reserved 76 Reserved Reserved 77 Reserved Reserved 78 GND Ground 79 IIC_SCL_UIC IIC bus clock signal 80 IIC_SDA_UIC IIC bus data signal 81 GND Ground 82 PCON2 ON/OFF control signal 83 Reserved Reserved 84 Reserved Reserved 85 AC_DET AC in-place detection signal 86 BATD_DET Battery in-place detection signal 87 BATA_DET Battery in-place detection signal 88 GND Ground 89 VDD 3.3V power supply 90 VDD 3.3V power supply 91 GND Ground 92 GND Ground 93 VCC 5V power supply 94 VCC 5V power supply 95 GND Ground 96 GND Ground 2-32 Extension board connector, JEXT Pin No. Pin name Function 1 VDD 3.3V power supply 2 VDD 3.3V power supply 3 VCC 5V power supply 4 VCC 5V power supply 5 Reserved Reserved 6 Reserved Reserved 7 Reserved Reserved 8 Reserved Reserved 9 GND Ground 10 GND Ground 11 GND Ground 12 Reserved Reserved 13 Reserved Reserved 14 GND Ground 15 Reserved Reserved 16 Reserved Reserved 17 GND Ground 18 NC No internal connection 19 Reserved Reserved 20 GND Ground 21 NC No internal connection 22 GND Ground 23 GND Ground 24 Reserved Reserved 25 Reserved Reserved 26 GND Ground 27 Reserved Reserved 28 NURSE_CALL Nurse call signal 29 GND Ground 30 Reserved Reserved 31 Reserved Reserved 32 GND Ground 33 GND Ground 34 GND Ground 35 GND Ground 36 GND Ground 37 GND Ground 38 GND Ground 39 GND Ground 2-33 Pin No. Pin name Function 40 GND Ground 41 R VGA R signal 42 G VGA G signal 43 B VGA B signal 44 HS VGA HS signal 45 VS VGA VS signal 46 GND Ground 47 Reserved Reserved 48 Reserved Reserved 49 GND Ground 50 Reserved Reserved 51 Reserved Reserved 52 GND Ground 53 Reserved Reserved 54 SD_CD SD card in-place detection signal 55 GND Ground 56 SD_WP SD card write protected detection signal 57 Reserved Reserved 58 GND Ground 59 Reserved Reserved 60 Reserved Reserved 61 GND Ground 62 Reserved Reserved 63 Reserved Reserved 64 GND Ground 65 Reserved Reserved 66 Reserved Reserved 67 Reserved Reserved 68 Reserved Reserved 69 Reserved Reserved 70 Reserved Reserved 71 Reserved Reserved 72 Reserved Reserved 73 Reserved Reserved 74 Reserved Reserved 75 GND Ground 76 Reserved Reserved 77 Reserved Reserved 78 GND Ground 79 Reserved Reserved 80 Reserved Reserved 2-34 Pin No. Pin name Function 81 GND Ground 82 NC No internal connection 83 Reserved Reserved 84 GND Ground 85 SD_USB_DM USB data signal - 86 SD_USB_DP USB data signal + 87 GND Ground 88 Reserved Reserved 89 Reserved Reserved 90 GND Ground 91 NC No internal connection 92 NC No internal connection 93 GND Ground 94 NC No internal connection 95 GND Ground 96 GND Ground Monitoring board connector, JVMC Pin No. Pin name Function 1 PCON1 ON/OFF control signal 2 VBUS Voltage after AC-DC output combined with battery 3 VXBUS DC voltage of AC-DC output 4 5B 5V, standby power supply 5 VCC_USB1 5V, USB power supply 6 VCC_USB2 5V, USB power supply 7 O2V+ O2 inspiration valve drive signal + 8 O2V- O2 inspiration valve drive signal - 9 AIRV+ Air inspiration valve drive signal + 10 AIRV- Air inspiration valve drive signal - 11 SV+ Safety valve drive signal + 12 SV- Safety valve drive signal - 13 VPPIM 12V power supply 14 Reserved Reserved 15 ZEROV_INSP_PAW- Inspiratory pressure zeroing three-way valve drive signal - 16 SOLV_NBL- Nebulizer valve drive signal - 17 GND Ground 18 SPI_CLK SPI clock signal 19 SPI_DOUT SPI data output signal 20 SPI_CS_O2 SPI chip selection signal 21 SPI_CS_EEPROM SPI chip selection signal 22 AC_DET AC in-place detection signal 2-35 Pin No. Pin name Function 23 GND Ground 24 P_PEEP PEEP pressure signal 25 VC 10.5V power supply 26 GND Ground 27 FLOW_O2 O2 flow signal 28 TEMP_O2 O2 temperature signal 29 FLOW_AIR Air flow signal 30 TEMP_AIR Air temperature signal 31 O2 O2 concentration signal 32 Reserved Reserved 33 GND Ground 34 GND Ground 35 GND Ground 36 GND Ground 37 FAN_CTRL Fan control signal 38 FAN_STATUS Fan status signal 39 Reserved Reserved 40 Reserved Reserved 41 Reserved Reserved 42 SOLV_SWITCH- Air/O2 switchover three-way valve drive signal - 43 Reserved Reserved 44 Reserved Reserved 45 Reserved Reserved 46 Reserved Reserved 47 PS_O2 O2 pressure switch signal 48 PS_AIR Air pressure switch signal 49 GND Ground 50 SPI_DIN SPI data input signal 51 SPI_WP SPI write protected signal 52 SPI_CS_AIR SPI chip selection signal 53 USB_DP1 USB data signal + 54 USB_DM1 USB data signal - 55 GND Ground 56 Reserved Reserved 57 AVCC 5V power supply 58 VREF 2.5V power supply 59 GND Ground 60 P_INSP Inspiratory pressure signal 61 Reserved Reserved 62 Reserved Reserved 63 NURSE_CALL Nurse call signal 2-36 Pin No. Pin name Function 64 Reserved Reserved 65 VDD 3.3V power supply 66 VDD 3.3V power supply 67 VCC 5V power supply 68 VCC 5V power supply 69 VPP 12V power supply 70 VPP 12V power supply 71 VBB Busbar voltage after powered on 72 VPPBK 7V power supply 73 ZERO_EXP_PAW- Expiratory pressure zeroing three-way valve drive signal - 74 VPP_EM 12V power supply 75 HEATER- Heating plate drive signal - 76 HEATER+ Heating plate drive signal + 77 PEEP- PEEP valve drive signal - 78 PEEP+ PEEP valve drive signal + 79 GND Ground 80 UART1_TX Serial port transmitting signal 81 UART1_RX Serial port receiving signal 82 UART2_TX Serial port transmitting signal 83 UART2_RX Serial port receiving signal 84 GND Ground 85 UART7_TX Serial port transmitting signal 86 UART7_RX Serial port receiving signal 87 USB_DP2 USB data signal + 88 USB_DM2 USB data signal - 89 Reserved Reserved 90 Reserved Reserved 91 GND Ground 92 FLOW_EXP Expiratory flow signal 93 Reserved Reserved 94 TEMP_HEATER1 Heating plate temperature signal 95 TEMP_HEATER2 Heating plate temperature signal 96 TEMP_POWER Power board temperature signal 2-37 Inspiration module board connector, JIM Pin No. Pin name Function 1 O2V+ O2 inspiration valve drive signal + 2 O2V- O2 inspiration valve drive signal - 3 AIRV+ Air inspiration valve drive signal + 4 AIRV- Air inspiration valve drive signal - 5 SV+ Safety valve drive signal + 6 SV- Safety valve drive signal - 7 VPP_IM 12V power supply 8 ZERO_INSP_PAW- Inspiratory pressure zeroing three-way valve drive signal - 9 VPP_EM 12V power supply 10 Reserved Reserved 11 SOLV_SWITCH- Air/O2 switchover three-way valve drive signal - 12 SOLV_NBL- Nebulizer drive signal - 13 PS_O2 O2 pressure switch signal 14 PS_AIR Air pressure switch signal 15 SPI_CLK SPI clock signal 16 GND Ground 17 SPI_DIN SPI data input signal 18 SPI_DOUT SPI data output signal 19 GND Ground 20 SPI_WP SPI write protected signal 21 SPI_CS_O2 SPI chip selection signal 22 SPI_CS_AIR SPI chip selection signal 23 SPI_CS_EEPROM SPI chip selection signal 24 NC No internal connection 25 Reserved Reserved 26 GND Ground 27 Reserved Reserved 28 GND Ground 29 Reserved Reserved 30 VC 10.5V power supply 31 GND Ground 32 Reserved Reserved 33 AVCC 5V power supply 34 GND Ground 35 Reserved Reserved 36 VREF 2.5V power supply 37 GND Ground 38 Reserved Reserved 39 P_PEEP PEEP pressure signal 2-38 Pin No. Pin name Function 40 GND Ground 41 Reserved Reserved 42 FLOW_O2 O2 flow signal 43 GND Ground 44 TEMP_O2 O2 temperature signal 45 P_INSP Inspiratory pressure signal 46 O2 O2 concentration signal 47 FLOW_AIR Air flow signal 48 TEMP_AIR Air temperature signal 49 Reserved Reserved 50 Reserved Reserved Expiration module board connector, JEM Pin No. Pin name Function 1 Reserved Reserved 2 Reserved Reserved 3 VPP_EM 12V power supply 4 HEATER- Heating plate drive signal - 5 HEATER+ Heating plate drive signal + 6 PEEP- PEEP valve drive signal - 7 PEEP+ PEEP valve drive signal + 8 GND Ground 9 Reserved Reserved 10 SPI_CLK SPI clock signal 11 SPI_DOUT SPI data output signal 12 GND Ground 13 Reserved Reserved 14 GND Ground 15 TEMP_HEATER2 Heating plate temperature signal 16 GND Ground 17 P_EXP Expiratory pressure signal 18 GND Ground 19 Reserved Reserved 20 Reserved Reserved 21 GND Ground 22 P_PEEP PEEP pressure signal 23 NC No internal connection 24 NC No internal connection 25 VPP_EM 12V power supply 26 HEATER- Heating plate drive signal - 27 HEATER+ Heating plate drive signal + 2-39 Pin No. Pin name Function 28 PEEP- PEEP valve drive signal - 29 PEEP+ PEEP valve drive signal + 30 GND Ground 31 Reserved Reserved 32 SPI_CLK SPI clock signal 33 SPI_DOUT SPI data output signal 34 GND Ground 35 Reserved Reserved 36 GND Ground 37 TEMP_HEATER2 Heating plate temperature signal 38 GND Ground 39 P_EXP Expiratory pressure signal 40 GND Ground 41 Reserved Reserved 42 Reserved Reserved 43 GND Ground 44 P_PEEP PEEP pressure signal 45 Reserved Reserved 46 Reserved Reserved 47 VPP_EM 12V power supply 48 HEATER- Heating plate drive signal - 49 HEATER+ Heating plate drive signal + 50 PEEP- PEEP valve drive signal - 51 PEEP+ PEEP valve drive signal + 52 GND Ground 53 GND Ground 54 GND Ground 55 GND Ground 56 GND Ground 57 GND Ground 58 GND Ground 59 GND Ground 60 GND Ground 61 GND Ground 62 GND Ground 63 GND Ground 64 GND Ground 65 GND Ground 66 GND Ground 67 Reserved Reserved 68 Reserved Reserved 2-40 Pin No. Pin name Function 69 VPP_EM 12V power supply 70 HEATER- Heating plate drive signal - 71 HEATER+ Heating plate drive signal + 72 PEEP- PEEP valve drive signal - 73 PEEP+ PEEP valve drive signal + 74 Reserved Reserved 75 Reserved Reserved 76 SPI_DIN SPI data input signal 77 SPI_WP SPI write protected signal 78 GND Ground 79 Reserved Reserved 80 GND Ground 81 TEMP_HEATER1 Heating plate temperature signal 82 GND Ground 83 FLOW_EXP Expiratory flow signal 84 GND Ground 85 VREF 2.5V power supply 86 AVCC 5V power supply 87 GND Ground 88 VC 10.5V 89 ZERO_EXP_PAW- Expiratory pressure zeroing three-way valve drive signal - 90 ZERO_EXP_PAW- Expiratory pressure zeroing three-way valve drive signal - 91 VPP_EM 12V power supply 92 HEATER- Heating plate drive signal - 93 HEATER+ Heating plate drive signal + 94 PEEP- PEEP valve drive signal - 95 PEEP+ PEEP valve drive signal + 96 Reserved Reserved 97 Reserved Reserved 98 SPI_DIN SPI data input signal 99 SPI_WP SPI write protected signal 100 GND Ground 101 Reserved Reserved 102 GND Ground 103 TEMP_HEATER1 Heating plate temperature signal 104 GND Ground 105 FLOW_EXP Expiratory flow signal 106 GND Ground 107 VREF 2.5V power supply 108 AVCC 5V power supply 109 GND Ground 2-41 Pin No. Pin name Function 110 VC 10.5V DC-DC board connector, JPWR Pin No. Pin name Function 1 IIC_SCL_UIC IIC bus clock signal 2 GND Ground 3 IIC_SDA_UIC IIC bus data signal 4 GND Ground 5 PCON2 ON/OFF control signal 6 Reserved Reserved 7 GND Ground 8 Reserved Reserved 9 AC_DET AC in-place detection signal 10 BATD_DET Battery in-place detection signal 11 GND Ground 12 BATA_DET Battery in-place detection signal 13 PCON1 ON/OFF control signal 14 GND Ground 15 BATD- Battery - 16 BATD+ Battery + 17 Reserved Reserved 18 Reserved Reserved 19 Reserved Reserved 20 Reserved Reserved 21 BCA Battery in-place signal 22 NTCA Battery internal thermistor + (the negative pole of the thermistor is connected to the negative pole of the battery) 23 VPPBK 7V power supply 24 VPPBK 7V power supply 25 GND Ground 26 GND Ground 27 GND Ground 28 GND Ground 29 GND Ground 30 GND Ground 31 GND Ground 32 VBUS Voltage after AC-DC output combined with battery 33 GND Ground 34 FAN_STATUS Fan status signal 35 FAN_CTRL Fan control signal 36 GND Ground 2-42 Pin No. Pin name Function 37 BATD- Battery - 38 BATD+ Battery + 39 Reserved Reserved 40 Reserved Reserved 41 Reserved Reserved 42 Reserved Reserved 43 BATA- Battery - 44 BATA+ Battery + 45 GND Ground 46 VBB Busbar voltage after powered on/off 47 GND Ground 48 VPP 12V power supply 49 GND Ground 50 VCC 5V power supply 51 GND Ground 52 VDD 3.3V power supply 53 GND Ground 54 VXBUS DC voltage of AC-DC output 55 GND Ground 56 TEMP_POWER Power board temperature signal 57 LED_AC AC status indication signal 58 LED_BATT Battery status indication signal 59 BATD- Battery - 60 BATD+ Battery + 61 Reserved Reserved 62 Reserved Reserved 63 Reserved Reserved 64 Reserved Reserved 65 BATA- Battery - 66 BATA+ Battery + 67 GND Ground 68 VBB Busbar voltage after powered on/off 69 GND Ground 70 VPP 12V power supply 71 GND Ground 72 VCC 5V power supply 73 GND Ground 74 VDD 3.3V power supply 75 GND Ground 76 VPP_FAN 12V power supply 77 GND Ground 2-43 Pin No. Pin name Function 78 5B 5V, standby power supply 79 PCON1 ON/OFF control signal 80 DIMMING Backlight brightness adjustment signal 81 BATD- Battery - 82 BATD+ Battery + 83 Reserved Reserved 84 Reserved Reserved 85 Reserved Reserved 86 Reserved Reserved 87 BATA- Battery - 88 BATA+ Battery + 89 GND Ground 90 VBB Busbar voltage after powered on/off 91 GND Ground 92 VPP 12V power supply 93 GND Ground 94 VCC 5V power supply 95 GND Ground 96 VDD 3.3V power supply 97 GND Ground 98 VPP_FAN 12V power supply 99 GND Ground 100 5B 5V, standby power supply 101 PCON1 ON/OFF control signal 102 DIMMING Backlight brightness adjustment signal 103 BATD- Battery - 104 BATD+ Battery + 105 Reserved Reserved 106 Reserved Reserved 107 Reserved Reserved 108 Reserved Reserved 109 BATA- Battery - 110 BATA+ Battery + 2-44 2.2.4 Display Electrical Subsystem The display electrical subsystem consists of key control board, key scanning board (left), key scanning board (right), power switch board, alarm lamp board, encoder board, inverter, LCD, touch screen, speaker, and corresponding cables. 2.2.4.1 Key Control Board The key control board is mainly used to process input messages of buttons, encoder, and touch screen, switch signals from speakers and alarm lamp, and also drive some LEDs. There are two controllers on the key control board, one is MCU used to process input messages from buttons and encoder, and the other is a touch screen controller used to process input messages on the touch screen. Both the controllers communicate with the main control board through RS-232 connector. The following picture shows the key control board: Key control board The pins of various critical connectors of key control board are defined as follows: Key scanning board (left) connector, J1 Pin No. Pin name Function 1 KEY_OUT1 Row scanning signal (output) 2 5V 5V power supply 3 KEY_OUT0 Row scanning signal (output) 4 GND Ground 2-45 Pin No. Pin name Function 5 RA0 Row scanning signal (input) 6 LED_AC+ AC indicator control signal 7 RA1 Column scanning signal (input) 8 LED_BATT+ Battery indicator control signal+ 9 RA2 Column scanning signal (input) 10 LED_BATT+ Battery indicator control signal- 11 RA6 Column scanning signal (input) 12 UR_H_IN Touchscreen input signal 13 LED_O2 O2↑ indicator control signal 14 LR_XL_IN Touchscreen input signal 15 LED_NEBUL Nebulizer indicator control signal 16 AD3_IN Touchscreen input signal 17 LED_LOCKSC REEN Lockscreen indicator control signal 18 UL_YT_IN Touchscreen input signal 19 PCON_SW Power switch signal 20 LL_YB_IN Touchscreen input signal Key scanning board (right) connector, J2 Pin No. Pin name Function 1 KEY_OUT3 Row scanning signal (output) 2 5V 5V power supply 3 KEY_OUT2 Row scanning signal (output) 4 ENCODE_A Rotary encoder input A 5 RA0 Column scanning signal (input) 6 ENCODE_B Rotary encoder input B 7 RA1 Column scanning signal (input) 8 ENCODE_Y Rotary encoder input Y 9 RA2 Column scanning signal (input) 10 GND Ground 11 RA6 Column scanning signal (input) 12 GND Ground 13 GND Ground 14 GND Ground 15 Reserved Reserved 16 GND Ground 17 Reserved Reserved 18 GND Ground 19 Reserved Reserved 20 Reserved Reserved 2-46 Inverter connector, J3 Pin No. Pin name Function 1 12V 12V power supply 2 12V 12V power supply 3 GND Ground 4 GND Ground 5 BCON Backlight switch signal 6 DIMMING Backlight brightness adjustment signal Main unit connector, J4 Pin No. Pin name Function 1 5V 5V power supply 2 PCON1 ON/OFF control signal 3 RS-232_KB_TX RS-232 transmitting signal (key control board CPU) 4 LED_AC AC status indication signal 5 RS-232_KB_RX RS-232 receiving signal (key control board CPU) 6 LED_BATT Battery status indication signal 7 GND Ground 8 GND Ground 9 5V 5V power supply 10 12V 12V power supply 11 RS-232_TC_TX RS-232 transmitting signal (touchscreen controller) 12 BCON Backlight switch signal 13 RS-232_TC_RX RS-232 receiving signal (touchscreen controller) 14 DIMMING Backlight brightness adjustment signal 15 GND Ground 16 GND Ground 17 SPK- Speaker drive signal - 18 IIC_SCL_UIC IIC bus clock signal 19 SPK+ Speaker drive signal + 20 IIC_SDA_UIC IIC bus data signal Speaker connector, J5 Pin No. Pin name Function 1 SPK+ Speaker drive signal + 2 SPK- Speaker drive signal - Alarm lamp board connector, J6 Pin No. Pin name Function 1 12V 12V power supply 2 GND Ground 2-47 Pin No. Pin name Function 3 IIC_SCL_UIC IIC bus clock signal 4 IIC_SDA_UIC IIC bus data signal 5 3.3V 3.3V power supply 2.2.4.2 Key Scanning Board (Left) The key scanning board (left) is mainly used to realize button input, LED indicating, and signal switch functions. The following picture shows the key scanning board (left): Key scanning board (left) The pins of various critical connectors of key scanning board (left) are defined as follows: Key control board connector, J1 (refer to the definition of key control board J1 connector). Touchscreen connector, J2 Pin No. Pin name Function 1 RL Touchscreen signal 2 RT Touchscreen signal 3 SG Touchscreen signal 4 LT Touchscreen signal 5 LL Touchscreen signal Power switch board connector, J3 Pin No. Pin name Function 1 PCON_SW Power switch signal 2 GND Ground 3 LED_AC AC status indication signal 4 5V 5V power supply 5 LED_BATT+ Battery status indication signal + 6 LED_BATT- Battery status indication signal - 2-48 2.2.4.3 Key Scanning Board (Right) The key scanning board (right) is mainly used to realize button input and signal switch functions. The following picture shows the key scanning board (right): Key scanning board (right) The pins of various critical connectors of key scanning board (right) are defined as follows: Encoder connector, J1 Pin No. Pin name Function 1 5V 5V power supply 2 Encode_A Encoder input signal 3 Encode_B Encoder input signal 4 Encode_Y Encoder input signal 5 GND Ground Key control board connector, J2 (refer to the definition of key control board J2 connector). 2.2.4.4 Power Switch Board The power switch is mainly used to power on/off the ventilator with buttons and run LED indicator drive. The following picture shows the power switch board: Power switch board The pins of various critical connectors of power switch board are defined as follows: Key scanning board (left) connector, J3 (refer to the definition of key scanning board (left) J3 connector). 2-49 2.2.4.5 Alarm Lamp Board The alarm board is mainly used to indicate alarms, which is realized by an LED driver with IIC connector. The following picture shows the alarm lamp board: Alarm lamp board The pins of various critical connectors of alarm lamp board are defined as follows: Key control board connector, J1 (refer to the definition of key control board J6 connector). 2-50 3 Checkout and Test WARNING After servicing the equipment or replacing its components, compelete all the tests in this section. Before doing the tests in this section, completely reassemble the equipment and refer to 4 Maintenance and Calibration to do necessary calibrations. 3.1 System Inspection NOTE Make sure that the breathing system is correctly connected and not damaged. Make sure that: 1. The equipment is not damaged. 2. All components are correctly attached. 3. The breathing system (including the expiration valve, humidifier, and nebulizer etc.) is correctly connected and the breathing tubes are not damaged. 4. The gas supplies are correctly connected and the pressures are correct. 5. Cylinder valves are closed on models with cylinder supplies. 6. The casters are not loose and the brake (s) is set and prevents movement. 7. The power cord is correctly connected. The AC mains indicator and the battery indicator work normally. 8. The ventilator is switched on or off normally. 3.2 Power Failure Test (AC Power and Buzzer) 1. Connect the ventilator to the AC power source. Both the AC power indicator and battery indicator should come on. If the AC power indicator is not lit, check the fuse and power board. 3-1 2. Turn on the ventilator. Set the switch to position. 3. Unplug the power cord with the system turned on. The massage [Battery in Use] is displayed. Meanwhile, the AC power indicator is extinguished and the battery indicator is flashing. 4. Reconnect the AC power, and press [Alarm Reset] button. The prompt message disappears. The AC power indicator is illuminated. The battery indicator stops flashing and stays on. 5. Remove the battery, and disconnect the AC power. The ventilator should be shut off and the buzzer buzz for more than 120 seconds. If the buzzer does not respond, check the buzzer circuit. 3.3 Pipeline Tests 3.3.1 O2 Pipeline Test 1. Connect an O2 pipeline supply. 2. Connect the test lungs. 3. Turn on the ventilator. 4. Select [New Patient] in standby mode. After entering the new patient screen, set patient type to [Adu] and vent type to [NIV]. Confirm the settings and exit. Select [Start Ventilation] to allow the ventilator to enter ventilation status. 5. Ensure that the ventilator ventilates well. 6. Disconnect the O2 pipeline supply. 7. As O2 pressure decreases, the alarm [O2 Supply Pressure Low] should occur. 3.3.2 Air Pipeline Test 1. Connect an air pipeline/compressor supply. 2. Connect the test lungs. 3. Turn on the ventilator. 4. Select [New Patient] in standby mode. After entering the new patient screen, set patient type to [Adu] and vent type to [NIV]. Confirm the settings and exit. Select [Start Ventilation] to allow the ventilator to enter ventilation status. 5. Ensure that the ventilator ventilates well. 3-2 6. Disconnect the air pipeline/compressor supply. 7. As air pressure decreases, the alarm [AIR Pressure Low] should occur. 3.4 System Test 1. Push the [Standby] key. Standby screen appears after your confirmation. The standby screen displays the latest system check time and system check result. Select [Syst. Check]. Connect air and oxygen supplies and block the patient wye as prompted. Select [Ok] to start system check item by item. 2. System check items include: 3. 4. O2 flow sensor test: test the O2 inspiratory valve and O2 flow sensor; Air flow sensor test: test air inspiratory valve and air flow sensor; Expiratory flow sensor test; Pressure sensor test: test the pressure sensors at the inspiratory and expiratory ports; Expiration valve test; Safety valve test; O2 sensor test; Leakage (mL/min); Compliance (mL/cmH2O); and Circuit resistance (cmH2O/L/s). System check result can be: Pass: indicates that check of this item is completed and is passed. Fail: indicates that check of this item is not completed and is failed. Cancel: indicates that check of this item is not completed; Gas supply not connected: indicates that air/O2 supply may not be connected when air/O2 flow sensor test is being carried out; Sensor Off: indicates that the sensor may not be turned on when O2 sensor test is being carried out. When system check is being performed, the system prompts [Running] on the right side of the current check item. In this case, if you select [Skip], the system stops check of this item immediately and displays [Cancel]. Check of the next item begins at the same time. If you select [Stop], the system stops check of the current item and also check of the remaining items, and displays [Cancel]. 3-3 5. When checks of all items are completed, if you select [Retry], the system starts a new round of check. When [Exit] is selected, the system exits check and enters standby screen. 6. Make sure that all the [Syst. Check] items pass the test. 3.5 Spontaneous Breathing Test 1. Turn off the ventilator. Wear a mask, and check if the spontaneous breathing is smoothful. 2. Turn on the ventilator and switch to [Standby] mode. Wear a mask, and check if the spontaneous breathing is smoothful. 3.6 Humidifier Performance Test For detailed performance test information, please refer to the Instructions for Use of the humidifier. Make sure that the humidifier works well. 3.7 Compressor Performance Test For detailed performance test information, please refer to the Instructions for use of the compressor. Make sure that the compressor works well. 3.8 Alarm Tests 3.8.1 Prepare for Alarm Tests 1. Connect test lungs to the Y piece patient connection. 2. Turn on the ventilator. Select [New Patient] in standby mode. Set [Patient Type] to [Adu] and [Vent Type] to [Invasive]. 3. Set the ventilator controls as follows: Ventilator mode: [V-A/C] O2 Concentration [O2%]: 40% Tidal volume [TV]: 300 ml Inspiration time/Inspiration and expiration ratio [Tinsp]/[I:E]: 2s/I:E 3-4 Breath rate [f]: 10 bpm Inspiratory flow [flow]: 20 L/min Positive end-expiratory pressure [PEEP]: 3 cm H2O Maximum pressure limit [Plimit]: 40 cmH2O Note: if no special clarification, the working mode of the ventilator in this chapter refers to standard working status. 4. Switch the ventilator to working mode. 5. Make sure that: The ventilator displays the correct data. The inspiration and expiration of the test lungs are in normal period. 3.8.2 O2 Concentration Monitoring and Alarm Test NOTE Make sure that the O2 sensor is turned on. 1. Connect to O2 supply only. 2. Set the [O2%] to 40%. Check the alarm message filed and make sure that the alarm [FiO2 Too High] is displayed on the screen. 3. Set the [O2%] to 100%. Check the alarm message filed and make sure that the alarm [FiO2 Too High] disappears. 4. Connect to Air supply only. 5. Set the [O2%] to 40%. Check the alarm message filed and make sure that the alarm [FiO2 Too Low] is displayed on the screen. 6. Set the [O2%] to 21%. Check the alarm message filed and make sure that the alarm [FiO2 Too Low] disappears. 7. Set the alarm limit to default value. 3.8.3 Minute Volume (MV) Alarm Test 1. Set the [MV Low Alarm Limit] to 5L. 2. Check the alarm message area and make sure that the alarm [MV Too Low] is displayed on the screen. 3. Set the lower alarm limit of [MV] to 2L. 3-5 4. Check the alarm message area and make sure that the alarm [MV Too Low] disappears. 5. Set the upper alarm limit of [MV] to 2.5L. 6. Check the alarm message area and make sure that the alarm [MV Too High] is displayed on the screen. 7. Set the upper alarm limit of [MV] to 5L. 8. Check the alarm message area and make sure that the alarm [MV Too High] disappears. 9. Set the alarm limit to default value. 3.8.4 High Paw Alarm Test 1. Set the pressure limit to 20 cmH2O. 2. Set the paw high alarm limit to 20 cmH2O. 3. Increase the tidal volume until the peek pressure reaches the high alarm limit. Make sure that the alarm [Paw Too High] is displayed on the screen. 4. Decrease the tidal volume until the peek pressure is lower than the high alarm limit. Make sure that the alarm [Paw Too High] disappears. 5. Set the alarm limit to default value. 3.8.5 Low Paw Alarm Test 1. In working mode, disconnect the test lungs. 2. Make sure that the alarm [Paw Too Low] is displayed on the screen. 3. Reconnect the test lungs, and the ventilator restores to normal working status. The alarm [Paw Too Low] disappears. 3.8.6 Apnea Alarm Test 1. In working mode, set the apnea alarm time to 15 s. 2. Set the breath rate to 3 bpm. Check the alarm message filed and make sure that the alarm [Apnea] is displayed on the screen. 3. Set the breath rate to 10 bpm. Check the alarm message filed and make sure that the alarm [Apnea] disappears. 4. Set the alarm limit to default value. 3-6 3.8.7 Breath Rate Alarm Test 1. In working mode, set the upper breath rate alarm limit to 15 bpm. 2. Set the breath rate to 20 bpm. Check the alarm message filed and make sure that the alarm [ftot Too High] is displayed on the screen. 3. Set the breath rate to 10 bpm. Check the alarm message filed and make sure that the alarm [ftot Too High] disappears. 4. Set the alarm limit and breath rate to default values. 3.9 Function Tests 3.9.1 Testing the Standard Working Mode Turn on the ventilator and switch on the gas supply, and make sure that the ventilator is in working mode. Ventilator mode: [V-A/C] O2 concentration [O2%]: 40% Tidal volume [TV]: 300 ml Inspiration time/Inspiration and expiration ratio [Tinsp]/[I:E]: 2s/I:E Breath rate [f]: 10 bpm Inspiratory flow [flow]: 20 L/min Positive end-expiratory pressure [PEEP]: 3 cmH2O Maximum pressure limit [Plimit]: 40 cmH2O 3.9.2 Tidal Volume Test Turn on the ventilator and connect the test lungs. When the tidal volume becomes stable, observe the tidal volume displayed on the screen. Make sure that the displayed data is stable and the monitoring results are consistent with the set value. 3.9.3 Trigger Function Test 1. Set the pressure trigger sensibility to -2 cmH2O. Wear a mask and inspire slightly. When the airway pressure is a bit lower than this set value, check if the ventilator starts ventilation, and if a trigger icon is displayed on the screen. 3-7 2. Set the flow trigger sensibility to 2 cmH2O. Wear a mask and inspire slightly. When the inspiration flow is a bit lower than this set value, check if the ventilator starts ventilation, and if a trigger icon is displayed on the screen. 3.9.4 Spontaneous Breath Test in CPAP/PSV Mode 1. Set the ventilator to CPAP/PSV mode, flow trigger to 2 L/min, pressure support level to 15 cmH2O, and other parameters to their default values. 2. Wear a mask and inspire slightly. When the trigger sensitivity is reached, make sure that inspiration starts and that the ventilator starts PSV ventilation. 3.9.5 Special Function Tests Inspiration Hold 1. In working mode, press and hold the [Insp. Hold] key for 5 seconds. Make sure that the ventilator starts inspiration hold function. 2. Release the [Insp. Hold] key, and make sure the ventilator enters expiration phase. Expiration Hold 1. In working mode, press and hold the [Exp. Hold] key for 5 seconds. Make sure that the ventilator starts expiration hold function. 2. Release the [Exp. Hold] key, and make sure that the ventilator enters inspiration phase. Oxygenation 1. In working mode, select Adult mode, and press [O2↑] button. Make sure that the ventilator starts to supply 100% oxygen. 2. Press the [O2↑] button again. Make sure that the ventilator restores to the previous working status. Suction 1. Push the [Main Menu] key and select [Tool], and then [Procedure]. Select [Suction] to access the suction procedure screen. Make sure that the ventilator enters the first phase: [O2↑ Before Suction]. 2. Disconnect the patient hoses. Make sure that the ventilator enters the second phase: [Suction Phase]. 3-8 3. Re-connect the patient hoses. Make sure that the ventilator enters the third phase: [O2↑ After Suction]. Nebulizer 1. In working mode, press [Nebulizer] button. Make sure that the ventilator starts nebulizer function, and if there is gas at the nebulizer output. 2. After one minute, press the [Nebulizer] button again. Make sure that the ventilator terminates nebulizer function. Manual Breath In working mode, press [Manual Breath] button. Make sure that the ventilator delivers a mechanical ventilation immediately. Sigh 1. Make sure that the ventilator is working. 2. Push the [Main Menu] key. Select [System] and then [Ventilator]. Set sigh to [Δint.PEEP] and set [Δint.PEEP] to 5 cmH2O. Make sure that the ventilator starts sigh function once in every 3 minutes, and if the sigh started within two continuous ventilation cycles is effective. 3. Push the [Main Menu] key. Select [System] and then [Ventilator]. Set sign to [TV], and set the ventilation parameter [Sigh] to [ON]. Make sure that the ventilator starts a sign every one hundred breaths or 7 minutes (depending on which period is shorter), and if the started sigh delivers 1.5 times of the set tidal volume. 3.10 Electrical Safety Inspection NOTE Perform electrical safety inspection after servicing or routine maintenance. Before the electrical safety inspection, make sure all the covers, panels, and screws are correctly installed. The electrical safety inspection should be performed once a year. 3.10.1 Auxiliary Electrical Outlet Test Verify the mains voltage is present at each auxiliary outlet when the ventilator is connected with power. 3-9 3.10.2 Electrical Safety Inspection Test 1. Perform protective earth resistance test: a. Plug the probes of the analyzer into the protective earth terminal and equipotential terminal of the AC power cord. b. Test the earth resistance with a current of 25 A. c. Verify the resistance is less than 0.1ohms (100 mohms). d. Plug the probes of the analyzer into the protective earth terminal of the AC power cord and the protective earth terminal of any auxiliary outlet. Repeat steps b and c. e. If the resistance is larger than 0.1ohms (100 mohms) but less than 0.2ohms (200 mohms), disconnect the AC power cord and plug the probe that is previously plugged in the protective earth terminal of the AC power cord into the protective earth contact of the power outlet. Repeat steps a to d. 2. Connect the compressor, if configured, to the auxiliary electrical outlet. 3. Perform the following earth leakage current tests: 4. normal polarity; reverse polarity; normal polarity with open neutral; and reverse polarity with open neutral. Verify the maximum leakage current does not exceed 500 μA (0.5 mA) in the first two tests. While for the last two tests, verify that the maximum leakage current does not exceed 1000 μA (1 mA). NOTE Make sure the safety analyzer is authorized by certificate organizations (UL, CSA, or AMAI etc.). Follow the instructions of the analyzer manufacturer. If cart is not configured, do not perform auxiliary outlet related tests, and the above mentioned AC power outlet should refer to the power outlet of the equipment. 3-10 3.10.3 Electrical Safety Inspection Form Location: Technician: Equipment: Control Number: Manufacturer: Model: SN: Measurement equipment /SN: Date of Calibration: INSPECTION AND TESTING Pass/Fail 1 Auxiliary mains socket outlets 2 Protective Earth Resistance 3 Ω Limit Max 0.1 Ω Normal condition(NC) ____μA Single Fault condition(SFC) ____μA Max: NC: 500μA SFC: 1000μA Earth Leakage For periodically performance, all the test items included in the ELECTRICAL SAFETY INSPECTION FORM shall be performed. After the equipment is repaired with main unit disassembled, perform the test items 1 and 2 when the power supply PCBA is neither repaired nor replaced, or perform all the test items when the power supply PCBA is repaired or replaced. 3-11 FOR YOUR NOTES 3-12 4 Maintenance and Calibration WARNING When it comes to test and maintain the equipment, make sure that the patient is disconnected from the equipment. The equipment may have been used on patients carrying infectious diseases. Before testing or maintaining the equipment, wear sterile rubber gloves to reduce the risk of being infected. When the equipment to be maintained contains blood or other secretion, clean, disinfect and sterilize the equipment by strictly following the control and safety handling procedures for infectious diseases. 4.1 Equipment Maintenance To ensure the long-term reliability and stability of the ventilator, periodical maintenance of the equipment and replacement of its parts must be performed by authorized service personnel. For details about parts replacement, refer to 6Repair and Disassembly. Periodical parts replacement can be carried out every year and every three years after installation. Make records of the parts that have been replaced before the periodical replacement. NOTE These schedules are the minimum frequency based on typical usage of 2000 hours per year. You should service the equipment more frequently if you use it more than the typical yearly usage. To avoid equipment damage or personal injury, replace the parts which need to be replaced periodically even if they are not worn or damaged when the due date arrives. 4-1 4.1.1 One-year Replaceable Parts List of one-year service package (801-VT50-00114-00): SN P/N Description Qty 1 082-000739-00 Seal. O type 6.5 X1.5 Viton A75 Blake 4 2 082-000565-00 Seal. O type 31.47 X1.78 Silicone A50 Red 1 3 049-000081-00 Diaphragm for check valve 1 4 082-000753-00 Filter. Filter core (5 μm), (maintenance package) 2 5 082-001240-00 Filter core F92G-KIT 5um 1 6 082-001062-00 Small filter, accuracy of 0.22μm, diameter of 25mm 3 7 047-001349-00 Dust filter for PCB chamber 1 4.1.1.1 Parts Replacement 1. As required, replace the seal for expiration valve assembly (082-000739-00) every 12 months. Seal (082-000739-00) 4-2 2. As required, replace the seal for expiration valve cover (082-000565-00) every 12 months. Seal for the expiration valve cover (082-000565-00) 3. As required, replace the diaphragm for expiration valve/spontaneous breath check valve (049-000081-00) every 12 months. Check valve diaphragm (049-000081-00) 4-3 4. As required, replace the filter of the air supply inlet assembly every 12 months (filter core (5 μm), (082-000753-00)) (filter core. F92G-KIT 5um (082-001240-00)). Filter core F92G-KIT 5um (082-001240-00) Filter core (082-000753-00) 5. As required, replace the small filters at the front end of expiratory flow sensor and differential pressure sensor and the small filter at the front end of inspiratory pressure sensor every 12 months. The P/N of the small filter is “082-001062-00” (small filter, accuracy of 0.22μm, diameter of 25mm). Small filter (082-001062-00) 4-4 Replace the small filter (082-001062-00) between the sampling line of expiratory differential pressure sensor and sampling line of expiratory flow sensor. There are two sampling paths here. Replace the filter on each path. The filter end marked “PTFE 0.22um” is the inlet which should be connected to the sampling connector of expiratory flow sensor. Small filter (082-001062-00) Replace the small filter (082-001062-00) between the inspiratory pressure sensor and inspiratory pressure zeroing three-way valve. The filter end marked “PTFE 0.22um” is the inlet which should be connected to the inspiratory pressure zeroing three-way valve. 4-5 6. As required, replace the dust filter for PCB chamber (047-001349-00) every 12 months. Dust filter for PCB chamber (047-001349-00) 4.1.1.2 Checkout and Test of the Ventilator Perform the following mantenance procedures every 12 months: For detailed information, please refer to 3Checkout and Test and 4.4 System Calibration. 4.1.2 Three-year Replaceable Parts List of three-year service package (801-VT50-00115-00): SN P/N Description Qty 1 022-000008-00 Battery, Li-ion, 11.1V, 4500mAh, LI23S002A 1 or 2 2 M05-010R03--- Cell battery, Lithium, 3V, 35mAh, D12.5*2.0 1 Note: After replacing the cell battery, the system time should be reset. 4-6 4.2 Software Upgrade and Software Function Activation CAUTION Software upgrade and software configuration activation can be performed by professional service personnel only. You can perform software upgrade on the ventilator by downloading the upgrade software through network or by using USB device. You can also perform online upgrade of the software supported configuration through the activation code. 4.2.1 Software Upgrade You can upgrade the following programs on the ventilator by downloading the upgrade software through network: Booting software System software Multi-language library General configuration (requires password ) Main control board FPGA display drive software MO2B module software Monitoring module software Auxiliary monitoring module software Key board software CAUTION Before software upgrade, disconnect the ventilator from the patient and back up the important data. 4-7 NOTE Make sure that the version of the upgrade package is the desired one. To obtain the latest upgrade package, please contact us. Before upgrading the system software, check the version information of the booting software. If it is not the latest, upgrade the booting software to the latest version first and make sure of software compatibility. You can select the following operations to upgrade the corresponding software based on your requirement. You must perform 4.2.1.1 Network Connection before upgrading any software. 4.2.1.1 Network Connection NOTE Before upgrading any software, make sure that the network cable, Hub, and notebook computer are connected correctly and reliably. The recommended length of the network cable is not greater than 1 m. Perform network connection as follows before software upgrade: 1. Connect the ventilator, Hub and notebook computer by using the straight through cable. Connect the Hub to the power source and make sure that the network is connected. 2. Select [Main Menu] hot key and then [Set IP Address >>] to check the current IP address of the ventilator, which is 192.168.23.250 by default. 3. Set the IP address of the notbook computer. Make sure that the IP address of the ventilator is in the same IP segment with the notebook computer. For example, if the current IP address of the ventilator is the default “192.168.23.250”, the IP address of the notebook can be set to “192.168.23.23”. 4.2.1.2 Booting Software Network Upgrade CAUTION Switching off or powering off the equipment during booting software upgrade can cause system down. NOTE When selecting the upgrade package, make sure that the checksum and version are same to that provided by the factory. 4-8 To upgrade the booting software of the ventilator: 1. Run the network upgrade downloading software on the notebook computer to access the software upgrade screen. 2. Click [Select Package] to enter the [Select Package] menu. 3. Click [>>>]. Select the booting software of the ventilator (code: BIOS) in the dialog box and then click [Open] to confirm. 4. Check the checksum and version of the booting software as shown below: 5. If the checksum and version are correct, click [Ok]. 6. Click [Start (Single)] on the main screen. 7. Re-start the ventilator to start to upgrade the booting software. 8. Wait for the message prompting upgrade success. Select the [Main Menu] hot key, then [Maintenance >>], then [System Information >>], and then [Version Information >>] to check the version information of the booting software. 4-9 NOTE After completing booting software upgrade, turn on the ventilator to confirm the correctness of upgrade software version information. 4.2.1.3 System Software Network Upgrade NOTE Before upgrading the system software, check the version information of the booting software. If it is not the latest, upgrade the booting software to the latest version first and make sure of software compatibility. Before upgrading the system software, record the current settings of the ventilator so as to restore the pre-upgrade settings after software upgrade. When selecting the upgrade package, make sure that the checksum and version are same to those provided by the factory. You also need to check the machine code corresponding to the ventilator to be upgraded. Before upgrading the system software, note the matching between machine name and machine code as listed below: Machine name Machine Code Remarks VT 30/35 B3/E3 / VT 50/55 B5/E5 / To upgrade the system software: 1. Check and confirm that the booting software of the ventilator is of the latest version. If not, refer to 4.2.1.2 Booting Software Network Upgrade to upgrade to the latest version. 4-10 2. When selecting the system software upgrade package, confirm the correctness of checksum and version. You also need to check the machine code, as shown below: 3. Other operations are similar to those for booting software upgrade. Refer to 4.2.1.2 Booting Software Network Upgrade to finish the upgrade. NOTE After completing system software upgrade, turn on the ventilator to confirm the correctness of upgrade software version information. After completing system software upgrade, restore the pre-upgrade settings of the system settings which are saved in case of power failure. 4.2.1.4 Module Software Network Upgrade NOTE When selecting the upgrade package, make sure that the checksum and version are same to those provided by the factory. You also need to check the module code corresponding to the ventilator to be upgraded. 4-11 The module software mentioned here includes monitor module software, auxiliary monitoring module software, key board software and MO2B CO2 module software. Their upgrade procedures are similar to those for booting software upgrade except that when selecting the upgrade package, apart from making sure of the correctness of checksum and version, you also need to confirm the module code corresponding to the module to be upgraded. Before upgrading the module software, note the matching between module name and module code as listed below: Module name Module code Monitoring Module VCM Auxiliary module VPM monitoring Key board KEYBOARD MO2B CO2 0611-CO2-MO2B To upgrade the module software: 1. When selecting the module software upgrade package, confirm the correctness of checksum and version. You also need to check the module code, as shown below: 4-12 2. Other operations are similar to those for booting software upgrade. Refer to 4.2.1.2 Booting Software Network Upgrade to finish the upgrade. NOTE After completing module software upgrade, turn on the ventilator to confirm the correctness of upgrade software version information. 4.2.1.5 Combination Package Network Upgrade The operations to upgrade the combination package is the same with those for system software upgrade. Please refer to related section. NOTE After completing combination package software upgrade, you need to confirm the upgraded versions of each software. If the upgrade of an individual software fails, you will need to upgrade all the software in the combination package, including those upgraded successfully. 4.2.1.6 USB Device Upgrade NOTE Make sure that the version of the upgrade package is the desired one. To obtain the latest upgrade package, please contact us. 1. Save the upgrade package and the configuration file of the same name under the directory of UPGRADE of USB device. 2. Set the upgrade mode of USB device in the system software. Select [Main Menu] → [Service] → enter the required password → [Setup] → [System]. Set [Update] to [On]. 3. Insert the USB device into the USB port of the ventilator. Restart the ventilator and the ventilator enters upgrade process. 4. After upgrade is completed, remove the USB device and restart the ventilator. Check if the machine upgrade is completed. 4-13 NOTE When there are combination package and single upgrade package file in the USB device, the combination package is upgraded by default. To upgrade a single upgrade package, you need to delete the combination package from the USB device first. Each time when different packets for USB device upgrade are upgraded, the configuration files generated simultaneously need to be put in. After upgrading booting software upgrade packet, make sure to upgrade the system software upgrade package. When making the combination upgrage package, put VCM module software package on the last to prevent the buzzer from making sound during the upgrade. 4.2.1.7 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution During upgrade, the buzzer on the main control board buzzes long, resulting in upgrade failure. The BIOS program of the main control board is damaged due to possible power failure during upgrade or upgrade failure. Return the main control board to factory for repair. In case of system software upgrade, the upgrade screen can be accessed but upgrade is always failed. The version of BIOS program is incompatible with that of system software. The network is not stable. 1. Check the compatibility of software version. Select the appropriate version for upgrade. Refer to the system software-BIOS-upgrade tool compatibility table. 2. Check the network connection between the notebook computer, Hub and ventilator to make sure that the network cable is not loose. After software upgrade success, only V-A/C mode is available. The selected system software only supports V-A/C mode. 1. Check the upgrade package, and reply for another one. The upgrade booting screen is inaccessible. The network is not in good condition. 1. Re-check the network connection between the notebook computer, Hub and ventilator. Check that the network cable is connected 4-14 Failure description Possible cause Recommended solution correctly and reliably. 2. Make sure that Hub is powered on. After the system software or XX module software is upgraded, XX module communication stop is alarmed. The version of system software does not match that of XX module software. Or, the module is damaged. Re-confirm the version information of XX module software and the module code. If they are correct, return the faulty module to factory for repair. 4.2.2 Software Function Activation The factory can activate all the functions listed in the following table through activation codes. When the user wants to add any function listed in this table, the service engineer can apply to the factory for activation code so as to activate the corresponding function. Configurable function Influence on the software interface Remarks NTV Not involved Paid configuration DuoLevel PRVC APRV P0.1 PEEPi NIF Not involved. If none of the functions is configured, the special function property page is not displayed in the main menu. Suction WOB Not displayed RSBI 4-15 4.2.2.1 Apply for Software Function Activation Code NOTE To apply for activation code, you must provide the relevant information of the ventilator whose configurations are to be activated, such as machine ID, existing configuration and configuration to be activated. When the user wants to add any paid configuration listed in the above table, the service engineer must apply to the Service Department for the software function activation code based on the user's need. To apply for acctivation code: 1. Record the serial number of the ventilator whose configurations are to be activaed. 2. Record the machine ID and the current configuration of the ventilator. Select [Main Menu] hot key, [System Information >>], and then [Configuration Information >>] to access the [Configuration Information] menu: 3. Record the configuration the user wants to activate. 4. Return the recorded information to the Service Department to apply for the corresponding activation code. 4-16 4.2.2.2 How to Activate Software Function NOTE Before activation, check and record the user’s existing paid configurations and also the paid configurations to be added. After entering the activation code, make sure that the entered activation code is same to that provided by the factory. To activate software functions: 1. Accessing the [Activate Functions] menu: select [Main Menu] hot key, then [Maintenance >>, then [Factory Maintenance >>], and then [Activate Functions], as shown below: 2. If you select to activate the function by [Activation Code], enter the required activation code in the [Activate Functions] menu. If you select to activate the function by [USB Memory], plug the USB device with required activation code onto the ventilator. 3. Select [Activate]. If the entered activation code is correct, a prompt message is displayed as shown below: 4. Click [Ok] to restart the ventilator so as to activate the new configuration. 4-17 NOTE Powering off the ventilator before the message [Function activation completed! Please restart the ventilator to activate the function.] is prompted can damage the BIOS program on the main control board. After activation success is prompted, restart the ventilator to activate both the existing and new paid configurations after software upgrade. 4.2.2.3 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution After activation, restart the ventilator. The main control board buzzes long, resulting in restart failure. During activation, the ventilator is powered off or turned off before activation success is prompted, which damages the BIOS program on the main control board. Return the main control board to factory for repair. Invalid activation code is prompted. The activation code is entered improperly or the activation code itself is wrong. 1. Check that the activation code entered is same to that provided by the factory. 2. If the activation code is entered correctly and invalid activation code is still prompted, send the machine ID, existing configurations and the configurations to be added to the factory for confirmation. After system activation, the activated functions are not consistent with the user’s configurations. The factory activation code is wrong. Or, the existing configurations and the configurations to be added which are provided for the factory are not complete. Check the existing configurations and the configurations to be added again. Request the factory to generate activation code again. Activation code file not found is prompt for USB activation. The activation code file is damaged or does not exist in the USB device. Re-apply for an activation code. Activation code file error is prompt for USB activation. The activation code file is of wrong information. Re-apply for an activation code. 4-18 4.3 System Test Before the ventilator at the client end is maintained, some routine tests are required to check if the current status of the ventilator is normal. The following table lists the routine tests. SN 1 Test item System Check Function description 1. Check if the air flow sensor, O2 flow sensor, expitatory flow sensor, pressure sensor, expiration valve, safety valve, and O2 concentration sensor are in good condition. 2. Check the leakage, compliance, and circuit resistance of the system. 2 Check the mechanical ventilation mode 3 Check the sensors' zero point 4 Check the accuracy of flow sensors 1. Check if mechanical ventilation is provided normally and if an alarm occurs. 5 After each service or at the time of return visit 2. Check if the preset values of pressure and TV are same to the measured values. After each service or at the time of return visit Check if the zero points of all the flow sensors and pressure sensors inside the ventilator are within normal range so as to determine whether to zero the sensors or replace the monitoring board. After each service or at the time of return visit Check if the measurements made by the flow sensors inside the ventilator are consistent with each other. Check if the measurement made by any flow sensor inside the ventilator is accurate. Check the effectiveness of calibration result. Check the correctness of pressure sensors Test interval 1. Check if the measured values of the internal pressure sensors are consistent with each other. 2. Check if the measured value of each pressure sensor is correct. 3. Check the effectiveness of calibration result. 4-19 After each service or at the time of return visit After each service or at the time of return visit 4.3.1 System Check NOTE Before maintaining the ventilator, run system check first to test the key parts, like sensors and valves, and circuit leakage or occlusion for a basic understanding of the current status of the ventilator. System check includes tests on the working status of air inspiration valve, O2 inspiration valve, air flow sensor, O2 flow sensor, expiratory flow sensor, pressure sensor, expiration valve, safety valve, and O2 concentration sensor, as well as the leakage and resistance of the ventilator. The test items are listed below: SN Calibration item Function description Requirements to pass the tests 1 O2 flow sensor test Tests the O2 inspiration valve and O2 flow sensor The difference in the maximum flow to open the inspiration valve between the O2 flow sensor and O2 inspiration valve should be less than max (2 L/min, ±20%). 2 Air flow sensor test Tests the air inspiration valve and air flow sensor The difference in the maximum flow to open the inspiration valve between the air flow sensor and air inspiration valve should be less than max (2 L/min, ±20%). 3 Expiratory flow sensor test Tests the expiratory flow sensor The difference in the maximum flow to open the inspiration valve between the expiratory flow sensor and inspiration valve should be less than max (2 L/min, ±20%). 4 Pressure sensor test Tests the PEEP pressure sensor, inspiratory pressure sensor and expiratory pressure sensor When the expiration valve is blocked under different pressures, the change of the readings on the PEEP pressure sensor, inspiratory pressure sensor and expiratory pressure sensor are consistent with that of the open valve pressure. The values measured by the inspiratory pressure sensor and expiratory pressure sensor shall not deviate by 10cmH2O. 5 Expiration valve test Tests the expiration valve The same with the above one. 4-20 SN Calibration item Function description Requirements to pass the tests 6 Safety valve test Tests if the safety valve can be opened and closed as required The safety valve can be opened and closed as controlled by the monitoring board and auxiliary control board. 7 O2 sensor test Tests the O2 sensor In 100% air environment, the measured value is between 18% and 12%; in 100% O2 environment, the measured value is between 90% and 100%. 8 Leakage (ml/min) Calculates the pipe leakage When the airway pressure is between 50 and 60 cm H2O, the leakage is between 0 and 10 L/min. 9 Compliance (ml/cmH2O) Calculates the compliance of pipes The measured compliance value is between 0 and 20 ml/cmH2O. 10 Circuit resistance (cmH2O/L/s) Calculates the pipe resistance; thus reflecting if the pipes are blocked When the flow is 60 L/min, the pipe resistance is between 0 and 20 cm H2O/L/s. For detailed information, please refer to 3.4System Test . NOTE If the system check fails, you need to troubleshoot the failed test items (refer to 5Troubleshooting) and then run another system check until the system passes all the tests. 4.3.2 Check the Mechanical Ventilation Mode NOTE The main function of the ventilator is to provide breathing support--mechanical ventilation which complies with the doctor’s settings to the patient. The tests in this section are performed aiming to ensure that the machine is able to provide normal mechanical ventilation. The tests can help to judge if the ventilator operates normally. The tests are mainly checking the consistence between measurements made by the ventilator and the set value, the working status of the ventilator, and the alarms so as to determine if this ventilator operates normally. 4-21 4.3.2.1 Check Volume Control Ventilation (VCV) This test is mainly checking if the ventilator can provide volume control ventilation, including check on the control, feedback, and measurement of tidal volume, as well as correct ventilation alarms. To check VCV: 1. Make sure that the supply pressure is normal and that the tubes in the breathing circuit are correctly connected as required for mechanical ventilation. Connect a 2 L bag, which is used as the test lung, to the Y piece in the patient circuit. 2. Select V-A/C as the ventilation mode. 3. Set the following combinations of TV (tidal volume) and Rate respectively: (150 ml, 15 BPM), (300 ml, 12 BPM), (600 ml, 15 BPM), and (900 ml, 15 BPM). Set others to the defaults. Record the TVi reading in each setting stablized status. 4. Judge if the above measured data meet the following conditions: TV control and measurement are normal: the difference between the TVi reading and set value does not exceed 10% or 10 ml, whichever is greater. No other ventilation failure occurs: the pressure and flow waveforms are displayed normally and no technical alarms occur. If the above test requirements are not met, perform subsequent checks and do the test again. NOTE If any errors are detected during volume control ventilation test, perform troubleshooting as per 5Troubleshooting, and do the test again until the system is normal. 4.3.2.2 Check Pressure Control Ventilation (PCV) This test is mainly checking if the ventilator can provide pressure control ventilation, including check on the control, feedback, and measurement of pressure, as well as correct ventilation alarms. To check PCV: 1. Make sure that the supply pressure is normal and that the tubes in the breathing circuit are correctly connected as required for mechanical ventilation. Connect a 2 L bag, which is used as the test lung, to the Y piece in the patient circuit. 2. Select P-A/C as the ventilation mode. 3. Set the following combinations of Pinsp, Rate and PEEP respectively: (10 cmH2O, 15 BPM, OFF), (15 cmH2O, 12 BPM, 5 cmH2O), (20 cmH2O, 10 BPM, 8 cmH2O). Set others to the defaults. Record the displayed Peak and PEEP values in each setting stabilized status. 4-22 4. Judge if the above measured data meet the following conditions: Pressure control and measurement are normal: the difference between the displayed Peak value and the set Pinsp value does not exceed 2 cm H2O or 10% of the set value, whichever is greater; the difference between the displayed PEEP value and the set value does not exceed 2 cm H2O or 10% of the set value, whichever is greater. No other ventilation failure occurs: the pressure and flow waveforms are displayed normally and no technical alarms occur. If the above test requirements are not met, perform subsequent checks and do the test again. NOTE If any errors are detected during pressure control ventilation test, perform troubleshooting as per 5Troubleshooting, and do the test again until the system is normal. 4.3.3 Check the Sensor Zero Point NOTE If the zero point of the pressure sensor has an error, in ventilation status when PEEP is set to 0, the baseline of the pressure waveform is not at the zero point. If the zero point of the inspiratory/expiratory flow sensor has an error, in ventilation status, the baseline of the flow waveform is not at the zero point. If the zero point A/D value of any sensor is outside of the normal range, and if it can not be corrected, the monitor board must be replaced. The zero point A/D value of the PEEP pressure sensor and expiratory pressure sensor should fall within the normal range of 920 to 2000. The zero point A/D value of the inspiratory pressure sensor should fall within the normal range of 920 to 2000. The zero point A/D value of the expiratory flow sensor should fall within the normal range of 100 to 1300. The zero point A/D value of the air/O2 flow sensor should fall within the normal range of -0.5 to 1 L/min. The test is to check if the zero points of all the flow sensors and pressure sensors inside the ventilator are within normal range so as to determine whether to zero the sensors or replace the monitoring board. 4-23 To check the sensor zero point: 1. Turn off all fresh gases and position the Y piece connector in the patient circuit to the air. 2. Make sure that the system is Standby. Select [Main Menu] → [Maintain] → [Service] → [A/D Channel]. Select [VCM] and [VPM] respectively. Check the actual values of flow and pressure sensors. 3. Make sure that the actual measured value of each sensor is close to “0” (zero). If the measured value of any sensor is larger than 0.5, you need to calibrate the sensor. Record the zero point A/D value of each sensor and judge if the zero point falls within the normal range. If not, calibrate the corresponding sensor. For details about calibration, please refer to 4.4.5 Pressure and Flow Zeroing. 4.3.4 Check the Flow Sensor Accuracy NOTE If a great deviation of TV measured value occurs, test the measurement accuracy of expiratory flow sensors so as to determine whether to perform flow calibration again. This test can also validate the effectiveness of flow calibration. This test is mainly checking the consistency of measurement among the internal flow sensors and the accuracy of measurement of each flow sensor, as well as validating the effectiveness of flow calibration. To check the measurement accuracy of flow sensors: 1. Connect the inspiration/expiration connectors with breathing tubes, as shown below: Exp. port Gas flow direction Insp. port Hose 4-24 2. In standby mode, select [Main Menu] → [Maintain] → [Service] → [Diagnosis] to access the [Valve Test] menu. 3. Increase the value of air inspiration valve, causing the measured open valve flow to fall within the following ranges respectively: (3 ± 0.5) L/min, (10 ± 1) L/min, (20 ± 1) L/min, (30 ± 2) L/min, (60 ± 3) L/min. Record the measured flow values of the air inspiratory flow sensor and expiratory sensor in each setting stabilized status. Make sure that the deviation between the measured data of the air expiratory flow sensor and inspiratory flow sensor and that of the calibration device must not exceed max (0.5 lpm, ±5%); and that the deviation between the measured value of inspiration valve and that of the air flow sensor must not exceed max (2 lpm, ±20%). 4. Check the O2 inspiration valve, O2 flow sensor, and expiratory flow sensor as instructed above, and make sure that the deviations fulfills the accuracy requirements. 5. If any of the sensors fails the test, perform flow calibration again as per 4.4.2 Flow Calibration (Factory). If calibration fails, replace the corresponding sensor. 4.3.5 Check the Pressure Sensor Accuracy NOTE If a great deviation of pressure measured value occurs, test the measurement correctness of pressure sensors so as to determine whether to perform pressure calibration again. This test can also validate the effectiveness of pressure calibration. This test is mainly checking the consistency of measurement among the internal pressure sensors and the correctness of measurement of each pressure sensor, as well as validating the effectiveness of pressure calibration. 4-25 To check the measurement correctness of pressure sensors: 1. Make sure that the pressure sampling line and calibration devices (or other pressure measurement devices) are connected in parallel, as shown below: Inspiratory port Expiratory port The other end connects to the calibration connector of the ventilator. Calibration device The other end connects to the AC power supply. Positive end of pressure sensor 2. In standby mode, select [Main Menu] → [Maintain] → [Service] → [Diagnosis] to access the [Valve Test] menu. 3. Set the open valve flow of inspiration valve to 10 L/min. 4. Increase the pressure of expiration valve, causing the measured value of the close valve pressure of inspiration valve to fall within the following ranges respectively: (5 ± 1) cm H2O, (20 ± 1) cm H2O, (50 ± 1) cm H2O, (70 ± 2) cm H2O, (90 ± 2) cm H2O. Record the measured pressure values of the calibration devices, expiratory pressure sensor and inspiratory pressure sensor to which each setting corresponds respectively. 5. Make sure that the deviation between the measured data of the expiratory pressure sensor and inspiratory pressure sensor and that of the calibration devices must not exceed max (1cmH2O, ±2%); and that the deviation between the measured value of the expiration valve and that of the calibration device must not exceed max (5cmH2O, ±20%). If not, perform calibration again as per 4.4.6 Pressure Calibration (Factory) and 4.4.7Expiration Valve Calibration (Factory). If the ventilator fails the test after calibration, replace the corresponding sensor. 4-26 6. On condition that the above requirements are satisfied, make sure that the above groups of measured data shall satisfy this: the deviation between the measured value of the expiration valve (or inspiratory/expiratory pressure sensors) and that of the calibration device shall not exceed max (5cmH2O, ±20%). Otherwise, calibrate the sensor again as per 4.4.7 Expiration Valve Calibration (Factory). If the ventilator fails the test after calibration, replace the expiration valve. 4.4 System Calibration NOTE Perform the corresponding calibration if any of the system tests described in 4.3 System Test is failed. After replacing the monitor board, valve assemblies, or sensors, perform the corresponding calibration as described in this chapter. The ventilator provides the function of monitoring flow, pressure, volume, and inspiratory oxygen concentration etc. When these measured values have great deviations, it is very likely that measurement offset occurs to the relevant measurement parts. In this case, you need to perform calibration again. After equipment service, such as replacing the monitor board, valve assemblies, or sensors, you need to calibrate the flow or pressure sensors. The following table lists the possible calibration items and calibration time: SN Calibration item Function description Calibration time 1 Flow Calibration (User) Calibrate the expiratory flow sensor, O2 inspiration valve, and air inspiration valve. 1. The TVi and TVe measurement deviation is great after the flow sensor have been used for a long time. 2. The flow sensor is replaced. 2 Flow calibration (factory) Calibrate the expiratory flow sensor, O2 inspiration valve, and air inspiration valve. Apply pipeline air for factory calibration of the air limb. Otherwise calibration may be failed because of the condenser. 1. The deviation between the inspiratory flow sensor and the expiratory flow sensor exceeds 5% of the measured value or 1 L/min, whichever is greater. 2. The deviation between the inspiratory flow sensor and the inspiration valve exceeds 20% of the measured value or 2 L/min, whichever is greater. 3. The inspiration valve, flow sensor, monitor board, or inspiratory or expiratory interface board is replaced. 4-27 SN Calibration item Function description Calibration time 3 Oxygen concentration calibration (user) Calibrate the accuracy of O2 sensor at 21% and 100% oxygen. 1. The measured value of the O2 sensor has a great deviation. The deviationexceeds 3% both in Air and pure O2. Oxygen concentration calibration (factory) Calibrate the accuracy of O2 sensor at 21% and 100% oxygen. 4 2. The O2 sensor is replaced. 1. The measured value of the O2 sensor has a great deviation. The deviationexceeds 3% both in Air and pure O2. 2. The O2 sensor is replaced. 3. The monitor board is replaced. 5 Pressure and flow calibration (factory) Calibrate the deviation from zero points of the pressure sensor and flow sensor. (You can check the value of the zero point on the factory calibration menu). Pressure or flow waveforms deviates from the baseline. 6 Pressure and flow calibration (user) Calibrate the deviation from zero points of the pressure sensor and flow sensor. Pressure or flow waveforms deviates from the baseline. 7 Pressure calibration (factory) Calibrate the inspiratory/expiratory pressure sensors, and PEEP valve pressure sensor. 1. The deviation between the measured value of the ventilator’s pressure sensor and that of the standard pressure gauge exceeds more than 2% of the reading or 1cmH2O, whichever is greater. 2. The expiration valve or pressure sensor is replaced. 3. The monitor board is replaced. 8 Expiration valve calibration (factory) Calibrate the expiration valve based on completed pressure calibration. 1. The deviation between the control value of the ventilator’s expiration valve and the measured value of the standard pressure gauge (or ventilator’s inspiratory/expiratory pressure sensor) exceeds more than 20% of the reading or 5cmH2O, whichever is greater. 2. Replace the expiration valve or pressure sensor. Calibrate the expiration valve after performing pressure calibration. 3. Replace the monitor board. Calibrate the expiration valve after performing pressure calibration. 4-28 Select [Main Menu] → [Calibrate] to access the [Calibrate] menu, where you can perform flow calibration (user), pressure and flow zeroing (user) and oxygen concentration calibration (user). Select [Main Menu] → [Maintain] → [Service], and input the required service password to enter the [Service] menu. Select [Calibration] to perform flow calibration (factory), oxygen concentration calibration (factory), pressure and flow calibration (factory), pressure calibration (factory) and expiration valve calibration (factory). 4.4.1 Flow Calibration (User) NOTE The measurements performed by the flow sensors may be affected by the environment where the sensors are used. After the sensors have been used for a long time, great deviations may occur to the measurement results and tidal volume control as well. This problem can be fixed through flow sensor calibration. Calibrate flow sensors again after replacing sensors. Before calibration, perform leak test of the system first and make sure that the test is passed and there is no leakage in the hoses. During calibration, make sure that both the air and O2 supplies are connected with sufficient gas supply. Failure to do so may lead to calibration failure. It is recommended not to connect the humidifier to the ventilator before the calibration. This calibration is intended to calibrate the expiratory flow sensor, air inspiratory valve, and O2 inspiratory valve through the air inspiratory flow sensor and O2 inspiratory flow sensor of the ventilator. After the flow sensors have been used for several months, for example, three months after calibration, great deviations (more than 10% compared with the setting value) may occur to tidal volume measurement due to sensor aging or environmental factors. Or, the user replaces flow sensors. In this case, you need to re-calibrate flow sensors. You can perform user flow calibration as described below: 1. Select [Main Menu] → [Calibrate] to access the [Calibrate] menu. Then select [Flow]; 2. Connect the hoses and insert the Y piece into the leak test plug to close the breathing circuit; 3. Press the [Calibrate] button to start user flow calibration. 4-29 NOTE If measurement deviations are not corrected after multiple flow sensor calibrations, the user is recommended to replace the flow sensor and then perform calibration. If the problem persists, factory maintenance is necessary. After the problem is fixed, perform calibration and system test. 4.4.2 Flow Calibration (Factory) NOTE Factory flow calibration is necessary in case of replacing the monitor board, inspiratory or expiratory interface board, flow sensor, or valve assemblies. When a great deviation is detected between the measured value of the expiratory flow sensor, inspiratory flow sensor, and inspiration valve and that of the calibration device, you need to perform factory flow calibration. When the altitude of the ventilator changes, change the altitude setting value in the factory setup menu and then perform flow calibration (factory). It is recommended not to connect the humidifier to the ventilator before the calibration. This calibration is intended to calibrate the expiratory flow sensor, air inspiratory sensor, and O2 inspiratory sensor through the air inspiratory flow sensor and O2 inspiratory flow sensor of the ventilator. 4.4.2.1 Calibration Procedures NOTE Before calibration, perform leak test of the system first and make sure that the test is passed and there is no leakage in the hoses. Before calibration, make sure that no sensor, valve, or limb related technical alarms occurred. During calibration, make sure that both the air and O2 supplies are connected with sufficient gas supply. Failure to do so may lead to calibration failure. Do not move or press the tubes during calibration. 4-30 To perform factory flow calibration: 1. Select [Main Menu] → [Maintain] → [Service], and enter the required service password to access the [Service] menu. Select [Calibration] and then [Flow]; 2. Connect sufficient air and O2 supplies (pipeline Air and O2 supplies are required for factory calibration); 3. Connect the breathing hoses and insert the Y piece into the leak test plug; 4. Press the [Calibrate] button to start factory flow calibration. NOTE After flow calibration, check the measurement accuracy of the flow sensors as per 4.3.4Check the Flow Sensor Accuracy. In case of calibration failure, first fix the problem and then perform calibration again. 4.4.2.2 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution After [Calibrate] is selected, no ventilation sound is heard. Very soon, the prompt message of calibration failure is displayed. Failure message numbered [02] is displayed, indicating that the air supply pressure is not adequate. Failure message numbered [03] is displayed, indicating that the O2 supply pressure is not adequate. 1. Connect or replace the gas supplies to make sure that the gas pressure is between 350 and 450 kPa. Failure message numbered [30] is displayed, indicating calibration failure caused by air inspiratory limb failure. Failure message numbered [29] is displayed, indicating calibration failure caused by O2 inspiratory limb failure. 1. Check if there is inspiration valve failure as per 5.5.3.4Inspiratory valve status error. If so, replace the inspiration valve. 2. If the problem persists, replace the monitor board. Failure message numbered [09] is displayed, indicating zero point error. 1. Check if there is inspiration valve failure as per 5.5.3.4Inspiratory valve status error. If so, replace the inspiration valve. 2. If the problem persists, replace the monitor board. 4-31 Failure description Possible cause Recommended solution Soon after [Calibrate] is selected and ventilation sound is heard, the prompt message of calibration failure is displayed. Failure message numbered [04] is displayed, indicating that the open valve flow of the inspiration valve fails to reach 105 L/min. 1. Check the gas supplies to make sure that the drive gas pressure is between 350 and 450 kPa. 2. Check if there is inspiration valve failure as per 5.5.3.4Inspiratory valve status error. If so, replace the inspiration valve. 3. If the problem persists, replace the monitor board. Failure message numbered [05] is displayed, indicating that the maximum value cannot be found, i.e., when the inspiration valve is opened with a DA value within 1000 - 4000, no flow of 95 L/min is detected. Failure message numbered [06] is displayed, indicating that the minimum value cannot be found, i.e., when the inspiration valve is opened with a DA value within 200 - 2000, no flow of 1 L/min is detected. Replace the inspiration valve. Failure message numbered [13] is displayed, indicating that the air inspiration valve accuracy is low, ie., the average D/A value per L/min is less than 5. Failure message numbered [14] is displayed, indicating that the O2 inspiration valve accuracy is low, i.e., the average D/A value per L/min is less than 5. Replace the inspiration valve. Failure message numbered [16] is displayed, indicating that the expiratory flow sensor accuracy is low, i.e., the average A/D value per L/min is less than 5. Replace the expiratory flow sensor. 4-32 Failure description Possible cause Recommended solution After a while of calibration, the prompt message of calibration failure is displayed. Failure message numbered [10] is displayed, indicating VPM communication error, i.e., no VPM response is received within 0.5 s. 1. Restart the system and perform calibration again. 2. If the problem persists, replace the monitor board. Failure message numbered [07] is displayed, indicating a table error that more than two non-monotonic calibration points are detected in the calibration table. 1. Replace the insiration valve and expiratory flow sensor, and perform calibration again. 2. If calibration fails again, replace the monitor board. Failure message numbered [11] is displayed, indicating VPM table error, which means more than two non-monotonic calibration points are detected in the VPM calibration table. 1. Replace the insiration valve and expiratory flow sensor, and perform calibration again. 2. If calibration fails again, replace the monitor board. 4.4.3 O2% Calibration (User) NOTE Calibrate the O2 sensor again when a great deviation of O2 concentration monitored value occurs or when the O2 sensor or monitor board is replaced. Before calibration, observe if FiO2 displays numerics on the measure screen. If not, confirm that the O2 measure switch is turned on, check the O2 sensor connection line, or replace the O2 cell until measure numerics are displayed. Perform O2% calibration again when the measured value of the O2 sensor has a great deviation which exceeds 3% both in Air and pure O2, or the O2 sensor or monitoring board is replaced. To perform O2% calibration: 1. Select [Main Menu] → [Calibrate] to access the [Calibrate] menu. Then select [O2%]; 2. Make sure that Air and O2 supplies are connected. 3. Press the [Calibrate] button to start user O2% calibration. 4-33 4.4.4 O2 Calibration (Factory) NOTE Calibrate the O2% again when a great deviation of O2 concentration monitored value occurs or when the O2 sensor or monitoring board is replaced. Before calibration, observe if the O2 sensor displays numerics on the measure screen. If not, confirm that the O2 measure switch is turned on, check the O2 sensor connection line, or replace the O2 cell until measure numerics are displayed. Perform O2% calibration again when the measured value of the O2 sensor has a great deviation which exceeds 3% both in Air and pure O2, or the O2 sensor or monitoring board is replaced. 4.4.4.1 Calibration Procedures To perform O2% calibration: 1. Select [Main Menu] → [Maintain] → [Service], and enter the required service password to access the [Service] menu. Select [Calibration] and then [O2]; 2. Make sure that Air and O2 supplies are connected. 3. Press the [Calibrate] button to start factory O2% calibration. Perform O2% calibration first in air, and then in pure O2. 4-34 4.4.4.2 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution Soon after the [Calibrate] button is selected, the prompt message of calibration failure is displayed. Failure message numbered [02] is displayed, indicating that the air supply pressure is not adequate. Connect or replace the air supply to make sure that the gas supply pressure is in normal range. Failure message numbered [03] is displayed, indicating that the O2 supply pressure is not adequate. Connect or replace the O2 supply to make sure that the gas supply pressure is in normal range. Failure message numbered [31] is displayed, indicating falloff of O2 sensor during O2% calibration. Check the O2 sensor connection and make sure it is correctly connected. Then perform calibration again. After the calibration lasts for about 3 minutes, the prompt message of calibration failure is displayed. Failure message numbered [20] is displayed, indicating that O2 calibration 21% sampling value exceeds the upper limit, i.e., the AD value is greater than 850. Failure message numbered [21] is displayed, indicating that O2 calibration 21% sampling value exceeds the lower limit, i.e., the AD value is less than 100. Failure message numbered [22] is displayed, indicating that O2 calibration 100% sampling value exceeds the upper limit, i.e., the AD value is greater than 2300. Failure message numbered [23] is displayed, indicating that O2 calibration 100% sampling value exceeds the lower limit, i.e., the AD value is less than 900. Replace the O2 cell. Failure message numbered [10] is displayed, indicating VPM communication error, i.e., no VPM response is received within 10 s. 1. Restart the system and perform calibration again. 2. If the problem persists, replace the monitoring board. Failure message numbered [36] is displayed, indicating Replace the O2 cell. that the resolution ratio of O2 cell is low. That’s to say, the calibration result of O2 cell, 100% AD value subtracts 21% AD value of O2 cell, is less than or equal to 79. Failure message numbered [37] is displayed, indicating that the resolution ratio of VPM O2 cell is low. That’s to say, the calibration result of VPM O2 cell, 100% AD value subtracts 21% AD value of O2 cell, is less than or equal to 79. 4-35 Replace the O2 cell. 4.4.5 Pressure and Flow Zeroing During the operation of the ventilator, pressure and flow are zeroed automatically at a specific interval. You can also zero pressure and flow manually in the factory maintenance menu. Manual zeroing can eliminate the measurement deviations caused by zero offset immediately. 4.4.5.1 Zeroing Procedures 1. Select [Main Menu] → [Maintain] → [Service], and enter thee required service password to enter the [Service] menu. Select [Calibration] and then [Zero]. 2. Disconnect the ventilator from both air and O2 supplies. 3. Disconnect the breathing tubes from the patient. 4. Select [Paw and Flow Zero Cal.] to start manual zeroing. 5. If pressure and flow zeroing is passed, the message [Zeroing Completed!] is displayed. If pressure and flow zeroing is failed, the message [Zeroing Failure! Please try again.] is displayed. NOTE In case of zeroing failure, fix the problem first and then perform flow calibration. 4.4.5.2 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution Failure message numbered [21] or [22] is displayed. The voltage of the three-way valve switch exceeds the reasonable range. [21] indicates error in open status and [22] indicates error in closed status. Replace the three-way valve. Failure message numbered [01] is displayed. The sampling value of PEEP pressure sensor fluctuates greatly after the three-way valve is opened. Failure message numbered [02] is displayed. The sampling value of expiratory pressure sensor fluctuates greatly after the three-way valve is opened. Disconnect the gas supply and expel all the gas from the ventilator. Make sure that the inspiratory and expiratory ports are exposed to the air and that no pressure is generated in flow sensors and pressure sensors. Perform calibration again. 4-36 Failure description Possible cause Recommended solution Failure message numbered [03] is displayed. The sampling value of expiratory flow sensor fluctuates greatly after the three-way valve is opened. Disconnect the gas supply and expel all the gas from the ventilator. Make sure that the inspiratory and expiratory ports are exposed to the air and that no flow is generated in flow sensors and pressure sensors. Perform calibration again. Failure message numbered [04] is displayed. The zero point of PEEP pressure sensor is too high. Failure message numbered [05] is displayed. The zero point of PEEP pressure sensor is too low. Failure message numbered [08] is displayed. The zero point of expiratory pressure sensor is too high. Failure message numbered [09] is displayed. The zero point of expiratory pressure sensor is too law. 1. Unplug the sensor sampling line to eliminate the effects caused by sampling line occlusion or three-way valve. Perform zeroing again. 2. Replace corresponding sensors or valve assemblies, and then perform zeroing again. 3. If zero point error still persists, the monitoring board is faulty. Replace the monitoring board. Failure message numbered [12] is displayed. The zero point of expiratory flow sensor is too high. Failure message numbered [13] is displayed. The zero point of expiratory flow sensor is too low. Failure message numbered [20] is displayed. The zeroing duration exceeds the set time limit. 1. Restart the system and perform calibration again. 2. If the problem persists, replace the monitoring board. 4.4.6 Pressure Calibration (Factory) NOTE Factory pressure calibration is necessary in case of replacing the monitoring board, pressure sensor, or valve assemblies. When a great deviation is detected between the measured value of the built-in pressure sensor and that of the standard pressure measurement device, you need to perform factory pressure calibration. It is recommended not to connect the humidifier to the ventilator before the calibration. 4-37 This calibration is intended to calibrate the inspiratory/expiratory pressure sensors, and PEEP pressure sensor with the ventilator calibration device. 4.4.6.1 Calibration Procedures NOTE Before pressure calibration, make sure that the tubes are not leaky whenconnected. Do not move or press the tubes during calibration. 1. Select [Main Menu] → [Maintain] → [Service], and enter the required service password to access the [Service] menu. Select [Calibration] and then [Pressure]. 2. Connect sufficient gas supply. 3. Remove the expiration valve core. Replace the expiratory flow sensor with expiratory flow sensor clamp. Expiration valve core Clamo VT50-J08(end face sealed) Expiration flow sensor 4. Make sure that the pressure sampling line and calibration devices (or other pressure measurement devices) are connected in parallel, as described in 4.3.5Check the Pressure Sensor Accuracy. 5. Connect the calibration communication connector of the calibration device to that of the ventilator with the special communication cable. 4-38 6. Zero the ventilator calibration device manually: Start the calibration device to enter the startup screen followed by sensor heating screen (waiting for approximately 5 minutes as required by the prompt message) and then the zeroing screen. Press the [ZERO] key on the panel. After the new screen pops up, press the [OK] key on the panel to complete zeroing. 7. Press [Calibrate] to start factory pressure calibration. 8. After a successful calibration, re-place the expiration valve core and re-place the expiratory flow sensor just replaced. NOTE After pressure calibration, check the measurement correctness of the pressure sensors as per 4.3.5Check the Pressure Sensor Accuracy. In case of calibration failure, first fix the problem and then perform calibration again. 4.4.6.2 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution After [Calibrate] is selected, no ventilation sound is heard. Very soon, the prompt message of calibration failure is displayed. Failure message numbered [01] is displayed, indicating that the supply pressure is not adequate. Connect or replace the gas supplies to make sure that the drive gas pressure is between 350 and 450 kPa. 4-39 Failure description Possible cause Recommended solution Soon after [Calibrate] is selected and the ventilation sound is heard, the prompt message of calibration failure is displayed. Failure message numbered [06] is displayed, indicating that the minimum value cannot be found, i.e., when the expiration valve is opened with a D/A value within 1400-3000, no pressure of 1.5 cmH2O is detected. Possible cause: tube occlusion or expiration valve failure. 1. Check the tube connection, and in case of incorrect connection, fix the problem and perform calibration again. 2. Check if there is expiration valve failure as per 5.5.3.5Expiratory valve status error. If so, replace the expiration valve. 3. If the problem persists, replace the monitoring board. Failure message numbered [05] is displayed, indicating that the maximum value cannot be found, i.e., when the expiration valve is closed with a D/A value within 2000-3800, no pressure of 90 cmH2O is detected. Possible cause: safety valve or expiration valve failure. 1. Check if there is expiration valve failure as per 5.5.3.5Expiratory valve status error. If so, replace the expiration valve. 2. Check if there is safety valve failure as per 5.5.3.6Safety valve status error. If so, replace the safety valve. 3. If the problem persists, replace the monitoring board. Failure message numbered [17] is displayed, indicating that the inspiratory pressure sensor accuracy is low, i.e., the average A/D value per cmH2O is less than 10. Replace the inspiratory pressure sensor. Failure message numbered [18] is displayed, indicating that the expiratory pressure sensor accuracy is low, i.e., the average A/D value per cmH2O is less than 10. Replace the expiratory pressure sensor. Failure message numbered [15] is displayed, indicating that the expiration valve accuracy is low, i.e., the average D/A value per cmH2O is less than 2.5. Replace the expiration valve. 4-40 Failure description Possible cause Recommended solution After a while of calibration, the prompt message of calibration failure is displayed. Failure message numbered [12] is displayed, indicating a VTplus communication error that no data is received from the calibration device in 0.5 s. 1. Check the communication connection between the ventilator and calibration device, or reconnect the cables, to make sure that the communication cables are correctly connected. If the problem persists, replace the communication cable. 2. Check the configuration of the calibration device, and perform calibration again if needed. 3. Restart the ventilator and calibration device, and perform calibration again. Failure message numbered [10] is displayed, indicating a VPM communication error that no VPM response is received in 1 s. 1. Restart the system and perform calibration again. 2. If the problem persists, replace the monitoring board. Failure message numbered [07] is displayed, indicating a table error that more than two non-monotonic calibration points are detected in the calibration table. 1. Replace the expiration valve, inspiratory pressure sensor, and expiratory pressure sensor, and then perform calibration again. 2. If calibration fails again, replace the monitoring board. Failure message numbered [11] is displayed, indicating a VPM table error that more than two non-monotonic calibration points are detected in the VPM calibration table. 1. Replace the expiration valve, inspiratory pressure sensor, and expiratory pressure sensor, and then perform calibration again. 2. If calibration fails again, replace the monitoring board. 4-41 4.4.7 Expiration Valve Calibration (Factory) NOTE Factory pressure calibration is necessary in case of replacing the monitoring board, pressure sensor, or valve assemblies. Perform expiration valve factory calibration after factory pressure calibration is completed. When a great deviation is detected between the control effect of the expiration valve and the setting value, you need to perform expiration valve factory calibration. This calibration is intended to calibrate the expiration valve with the ventilator inside pressure sensor onto which pressure calibration has been performed as the calibration reference. Ventilator calibration device is not required. 4.4.7.1 Calibration Procedures NOTE Before expiration calibration, make sure that the tubes are not leaky when connected. Do not move or press the tubes during calibration. 1. Select [Main Menu] → [Maintain] → [Service], and enter the required service password to access the [Service] menu. Select [Calibration] and then [Exp. Valve]. 2. Connect sufficient gas supply. 3 Connect the hoses and insert the Y piece into the leak test plug to close the breathing circuit 4. Select [Exp. Pressure Sensor] as the calibration reference. 5. Press the [Calibrate] button to start expiration valve calibration. 4-42 NOTE After expiration valve calibration, check the measurement correctness of the pressure sensors as per 4.3.5Check the Pressure Sensor Accuracy. In case of calibration failure, first fix the problem and then perform expiration valve calibration again. 4.4.7.2 Commonly-encountered Problems and Recommended Actions Failure description Possible cause Recommended solution After [Calibrate] is selected, no ventilation sound is heard. Very soon, the prompt message of calibration failure is displayed. Failure message numbered [01] is displayed, indicating that the supply pressure is not adequate. Connect or replace the gas supplies to make sure that the drive gas pressure is between 350 and 450 kPa. Soon after [Calibrate] is selected and the ventilation sound is heard, the prompt message of calibration failure is displayed. Failure message numbered [34] is displayed, indicating zeroing the pressure sensor as reference is failed. 1. Check if the pressure sensor zero point is normal. Refer to 5.5.3.1Sensor zero point error.。 2. Calibrate again after the failure is eliminated. Failure message numbered [32] is displayed, indicating that the inspiration valve is unable to open to the specified target flow, which is 3lpm by default. If the tube leakage is great, the target flow is 6lpm. The possible cause is inspiration valve failure. 1.Check if the inspiration valve is faulty. Refer to 5.5.3.5Expiratory valve status error. If yes, replace the inspiration valve. 2.Perform calibration again. Failure message numbered [09] is displayed, indicating that the calibration zero point is wrong. When the expiration valve is not closed and the inspiratory target flow is 3lpm or 6lpm, the pressure of pressure sensor as calibration reference exceeds 1cmH2O. The possible cause is tube occlusion. Check the tube connection. In case of tube occlusion, fix the problem and perform calibration again. 4-43 Failure description Possible cause Recommended solution Failure message numbered [05] is displayed, indicating that the maximum value is not found. The point of 90cmH2O cannot be found when closing the expiration valve across the range of 2000~3800. The possible cause is tube leakage, safety valve failure, or expiration valve failure. 1.Check the tube connection. In case of tube occlusion, fix the problem and perform calibration again. 2.Check if the expiration valve is faulty. Refer to 5.5.3.5Expiratory valve status error. If yes, replace the expiration valve. 3.Check if the safety valve is faulty. Refer to 5.5.3.6Safety valve status error. If yes, replace the safety valve. 4.If the problem persists after the above actions are taken, replace the monitor board. Failure message numbered [06] is displayed, indicating that the minimum value is not found. Pressure value less than 5cmH2O cannot be found across the range of 1400~3000DA. The possible cause is tube leakage or expiration valve failure. 1.Check the tube connection. In case of tube occlusion, fix the problem and perform calibration again. 2.Check if the expiration valve is faulty. Refer to 5.5.3.5Expiratory valve status error. If yes, replace the expiration valve. 3.If the problem persists after the above actions are taken, replace the monitor board. Failure message numbered [35] is displayed, indicating that the pressure is a bit high and the resolution is not sufficient. The pressure to which the 2nd point in the calibration table is outside the range (>10cmH2). The possible cause is expiration valve failure. 1.Check if the expiration valve is faulty. Refer to 5.5.3.5Expiratory valve status error. If yes, replace the expiration valve. 2.If the problem persists after the above actions are taken, replace the monitor board. Failure message numbered [15] is displayed, indicating that the accuracy of expiration valve is not high enough. Namely, DA corresponding to average 1cmH2O is less than 2.5. Replace the expiration valve. 4-44 Failure description Possible cause Recommended solution After a while of calibration, the prompt message of calibration failure is displayed. Failure message numbered [07] is displayed, indicating table error that more than two non-monotonic calibration points are detected in the calibration table. 1.Calibrate again after replacing the expiration valve. 2.Replace the monitor board if calibration still fails. Failure message numbered [35] is displayed, indicating that the pressure of the last calibration point in the calibration table is a bit low (<80cmH2O). The possible cause is tube leakage, safety valve failure, or expiration valve failure. 1.Check the tube connection. In case of tube occlusion, fix the problem and perform calibration again. 2.Check if the expiration valve is faulty. Refer to 5.5.3.5Expiratory valve status error. If yes, replace the expiration valve. 3.Check if the safety valve is faulty. Refer to 5.5.3.6Safety valve status error. If yes, replace the safety valve. 4.If the problem persists after the above actions are taken, replace the monitor board. Failure message numbered [33] is displayed, indicating that the pressure is not stable during calibration. For any calibration point, after 2s of pressure stabilization (7s at the most), the pressure fluctuation at the first and last 5s exceeds 0.5cmH2O. The possible cause is tube leakage, safety valve failure, or expiration valve failure. 1.Check the tube connection. In case of tube occlusion, fix the problem and perform calibration again. 2.Check if the expiration valve is faulty. Refer to 5.5.3.5Expiratory valve status error. If yes, replace the expiration valve. 3.Check if the safety valve is faulty. Refer to 5.5.3.6Safety valve status error. If yes, replace the safety valve. 4.If the problem persists after the above actions are taken, replace the monitor board. 4-45 FOR YOUR NOTES 4-46 5 Troubleshooting 5.1 Introduction In this chapter, ventilator problems are listed along with possible causes and recommended actions. Refer to the tables below to check the ventilator, isolate and eliminate the problems. Once isolating the part you suspect defective, refer to 6 Repair and Disassembly to disassemble the equipment and repair and replace the defective part. 5.2 Technical Alarm Check Before troubleshooting the ventilator, check for technical alarm message. If an alarm message is presented, eliminate the technical alarm first. The following sections detail how to troubleshoot technical alarms related to the ventilator. For detailed information on possible causes and actions for technical alarm messages of other modules, refer to the Operator’s Manual. In the “Level” column of the following table, the default alarm level is indicated: H for high, M for medium, L for low and P for prompt message. Alarm message Level Possible cause Recommended action RT Clock Need Reset L There was no button cell available in the system or the battery had no capacity. 1. Replace with a new button cell. RT Clock Not Exist H Clock chip malfunction. 1. Restart the machine. 2. If the problem persists, replace the main control board. 2. If the problem persists, replace the board. IP Address Conflict L Loading Default Config. Failed L Restoring Last Config. Failed L The IP address conflicted with the IP address within the network. 1. Set the IP address again. There were configuration items not loaded successfully when loading the default configuration. 1. Load the configuration again. There were configuration items not loaded successfully during when restoring the last configuration items. 1. Load the configuration again. 5-1 2. If the problem persists, update the system software code or replace the main control board. 2. If the problem persists, update the system software code or replace the main control board. 2. If the problem persists, update the system software code or replace the main control board. Alarm message Level Possible cause Recommended action SD Storage Card Error M The storage card was damaged or the storage card was not installed correctly. 1. Install the storage card again. Insp. Hold Interrupted L The duration of the status of depressed Insp. Hold key exceeded the upper time limit set by the system. 1. Check the key for failure. Exp. Hold Interrupted L The duration of the status of depressed Exp. Hold key exceeded the upper time limit set by the system. 1. Check the key for failure. Keyboard Comm Stop H The communication cable between the keyboard and main control board was faulty. 1. Plug the keyboard communication cable again. 2. If the problem persists, replace the storage card. 2. Contact the vendor for repair if the key is failed. 2. Contact the vendor for repair if the key is failed. 2. Replace the keyboard communication cable. 3. Check if the keyboard software is correct. 4. If the problem persists, change the keyboard PCBA. 5. If the problem persists, change the main control board PCBA.. Keyboard Selftest Error H Keyboard software failure. 1. Restart the machine. 2. Replace the keyboard software. 3. If the problem persists, replace the keyboard. Ventilator Reset Error Key Error H M The ventilator main control board, keyboard, VCM, or VPM was reset. 1. Access the factory service menu to check the cause of this alarm. Key pressing timeout. 1. Correct the doctor’s operation if the doctor presses the key too long. 2. Replace the relevant board. 2. Replace the keyboard communication cable. 3. Replace the keyboard. 4. Replace the main control board. Memory Error H Memory data storage error. 5-2 Change the main control board. Alarm message Level Possible cause Recommended action PCON2 Selftest Error H POCN2 switch error. Replace the POCN2 switch. Board Mismatch H VCM board mismatch. Replace with matched VCM board. Battery in Use L The battery was being used. 1. Check the AC power supply connection. 2. If the AC power supply is connected normally and the voltage is normal, check the connection between the AC mains and power board and check the socket. 3. If the problem persists, replace the power board. Battery Undetected M No battery was installed, or the line between the battery and power module was not connected. 1. Check if the battery voltage is normal. 2. Check if the cable connection is normal. 3. Replace the battery. 4. If the problem persists, replace the power board. System DOWN for battery depletion! H The battery was faulty, resulting in charging failure. 1. Connect to AC power supply. Measure the battery voltage. Check if the battery is chargeable. The system software version did not match the machine type. 2. Check if the system software version matches the current machine type. If not, update the system software. 3. If the problem persists, replace the power board. Low Battery Voltage H The battery voltage was too low. 1. Connect to AC power supply immediately if the system is operational. 2. Check if the battery is normal. 3. Check if the charging circuit is normal. If charging is not possible, replace the power board. Internal Power Supply Error H Board internal power supply error. 1. Measure the voltage of the corresponding test point. 2. If the problem persists, replace the power board. 5-3 Alarm message Level Possible cause Recommended action Air Supply Pressure Low H The Air pressure was low. 1. Check if the Air pressure switch is normal. If not, replace it. 2. Check if the Air supply is turned on or if the supply pressure is adequate. If the Air supply is not turned on or if the supply pressure is not adequate, handle the case. O2 Supply Pressure Low H The O2 pressure was low. 1. Check if the O2 pressure switch is normal. If not, replace it. 2. Check if the O2 supply is turned on or if the supply pressure is adequate. If the O2 supply is not turned on or if the supply pressure is not adequate, handle the case. No Gas Supply Pressure H The Air and O2 supply pressures were low. 1. Check the Air pressure switch. Replace the switch if it is damaged. 2. Check the Air supply. If Air supply is not turned on, turn it on. If the supply pressure is not adequate, replace the gas supply. 3. Check the O2 pressure switch. Replace the switch if it is damaged. 4. Check the O2 supply. Airway Leak? L The tube at patient connection was leaky. 1. Check the tube at patient connection for leakage. If the tube is leaky, replace it. 2. Check the flow sensor. If it is not accurate, calibrate again. 3. Check the pressure sensor. If it is not accurate, calibrate again. Airway Obstructed? H The tube at patient connection was obstructed. 1. Check the tube at patient connection for obstruction. If the tube is obstructed, dredge it. 2. Check the flow sensor. If it is not accurate, calibrate again. 3. Check the pressure sensor. If it is not accurate, calibrate again. 5-4 Alarm message Level Possible cause Recommended action Tube Disconnected? H The tube at patient connection was disconnected. 1. Check if the tube at patient connection is disconnected or loose. If yes, connect again. 2. Check the flow sensor. If it is not accurate, calibrate again. 3. Check the pressure sensor. If it is not accurate, calibrate again. TV Not Achieved L The tidal volume did not reach the set value. 1. Check if the tube is leaky. If yes, connect again. 2. Check the flow sensor. If it is not accurate, calibrate again. 3. Check if the parameter settings are reasonable. Pinsp Not Achieved L The airway peak pressure did not reach the set value. 1. Check if the tube is leaky. If yes, connect again. 2. Check the flow sensor. If it is not accurate, calibrate again. 3. Check the parameter settings. Sustained Airway Pressure H PEEP Too High H The patient’s airway pressure is sustained at the relatively high level. 1. Check the parameter settings. PEEP is too high. 1. Check the pressure sensor. If it is not accurate, calibrate again. 2. Check the sensor. If it is not accurate, calibrate again. 2. Check the parameter settings. Tinsp Too Long Ctrl Module Comm Error L H In the PSV mode, the spontaneous breathing could not satisfy the breathing sensitivity all the time, which caused inspiration unable to end. 1. Check the parameter settings. The communication between the monitoring board and main control board was not stable. 1. Check the connector between the monitoring board and main control board. If the connection is not good, replace and connect again. 2. Check and replace the pressure and flow sensors. 2. Check the monitoring module for damage. If there is damage, replace the monitoring module. 3. Check the main control board for damage. If there is damage, replace the main control board. 5-5 Alarm message Level Possible cause Recommended action Ctrl Module Comm Stop H The communication between the monitoring board and main control board was interrupted. 1. Check the connector between the monitoring board and main control board for damage. If there is damage, replace the relevant board. 2. Check the monitoring module for damage. If there is damage, replace the monitoring module. 3. Check the main control board for damage. If there is damage, replace the main control board. 4. Check the software version for compatibility and update the software. Ctrl Module Selftest Error H Monitoring module hardware failure. Check and replace the monitoring module. Protection Module Comm Error H The communication between the protection module and main control board was not stable. 1. Check and replace the protection module. The communication between the protection module and main control board was interrupted. 1. Check and replace the protection module. Protection Module Comm Stop H 2. Check and replace the main control board. 2. Check and replace the main control board. 3. Check the software version for compatibility and update the software. Protection Module Selftest Error H Protection module hardware failure. Check and replace the protection module. Heating Module Failure L Heating module hardware failure. Replace the heating module. Fan Failure M Fan hardware failure. Replace the fan. Internal Temperature Too high M The temperature of the power board was too high. 1. Check if the fan works normally. If not, replace the fan. 2. Check if the power board works normally. If not, replace the power board. Pressure Sensor Failure H 1. The inspiratory pressure sensor was faulty. 1. Replace the inspiratory pressure sensor. 2. The expiratory pressure sensor was faulty. 3. Replace the PEEP pressure sensor. 3. The PEEP pressure sensor was faulty. 5-6 2. Replace the expiratory pressure sensor. Alarm message Level Possible cause Recommended action Exp. Flow Sensor Failure M The expiratory flow sensor was faulty. 1. Zero the expiratory flow sensor. O2 Sensor Failure M The O2 sensor was expired or was not installed. 1. Check if the O2 sensor is expired. If yes, replace the O2 sensor. 2. Replace the expiratory flow sensor. 2. Check if the O2 sensor cable is loose. If yes, connect the cable again. Please calibrate O2 sensor. L The O2 sensor was not calibrated. Perform 21% and 100% O2 sensor calibrations again. Air Insp. Limb Failure H 1. The Air inspiratory valve was faulty. 1. Check if the inspiratory valve works normally. If not, replace the inspiratory valve. 2. The inspiratory flow sensor in Air limb was faulty. O2 Insp. Limb Failure H 2. Check the inspiratory flow sensor. 3. Replace the inspiratory valve or inspiratory flow sensor and calibrate it. 1. The O2 inspiratory valve was faulty. 1. Check the inspiratory valve. If the valve is faulty, replace it. 2. The inspiratory flow sensor in O2 limb was faulty. 2. Check the inspiratory flow sensor. If the sensor is faulty, replace it. 3. Replace the inspiratory valve or inspiratory flow sensor and calibrate it. Ctrl Module Init Error H The monitoring module was faulty. Check the monitoring board hardware. If it is faulty, replace it. Please perform pressure calibration. H The pressure sensor was not calibrated. 1. Calibrate the pressure sensor. 2. Replace the monitoring module. 3. Replace the pressure sensor. Please perform flow calibration. H The flow sensor and inspiratory valve were not calibrated. 1. Calibrate the flow sensor and inspiratory valve. 2. Replace the monitoring module. 3. Replace the flow sensor. Insp. Gas Temp Too High The temperature of inspiratory gas exceeded the limit. 1. Check the heating module. If the module is faulty, replace it. The buzzer was damaged. Check and replace the buzzer. H Buzzer Failure L 5-7 2. Check the temperature sensor. If the sensor is faulty, replace it. Alarm message Level Possible cause Recommended action Volume Limited L In pressure ventilation mode, the gas volume delivered exceeded the set tidal volume and expiration was switched to. 1. Check the parameter settings. 2. Check the flow sensor. If the sensor is faulty, replace it. 3. Check if the software gives a false alarm. If yes, update the software. 4. Check the monitoring module. If the module is faulty, replace it. Nebulizer Valve Failure M Nebulizer valve control error. Check and replace the nebulizer valve. 3-way Valve Failure M Three-way valve control error. Check and replace the 3-way valve. Insp. Temperature Sensor Failure H The status of inspiratory temperature sensor was abnormal at power-on selftest. 1. Restart the ventilator. 2. Check the temperature sensor. If the sensor is faulty, replace it. 3. Check the heating module. If the module is faulty, replace it. Protection Module Init Error H The protection module was faulty. Check the protection module hardware. If it is faulty, replace it. CO2 Comm Stop H The communication between CO2 and main control board was interrupted. 1. Check CO2 and system software versions. 2. Check the CO2 communication cable. If the cable is faulty, replace it. CO2 Comm Error H The communication between CO2 and main control board was not normal. Check the CO2 communication cable. If the cable is faulty, replace it. CO2 Sensor High Temp L The temperature of the sensor assembly was too high (>63℃). Replace the CO2 module. Replace the CO2 module. CO2 Sensor Low Temp L The temperature of the sensor assembly was too low (<5℃). CO2 High Airway Pressure L The airway pressure was too high (>790 mmHg). Replace the CO2 module. CO2 Low Airway Pressure L The airway pressure was too low (<428 mmHg). Replace the CO2 module. Replace the CO2 module. L The barometric pressure was greater than 790 mmHg. CO2 High Barometric 5-8 Alarm message Level Possible cause Recommended action CO2 Low Barometric L The barometric pressure was less than 428 mmHg. Replace the CO2 module. 1. The external A/D sampling 2.5V was abnormal/ Replace the CO2 module. CO2 Hardware Error 2. The 12V power supply voltage was abnormal. H 3. The internal A/D sampling 2.5V was abnormal. 4. The pump was abnormal. 5. The 3-way valve was abnormal. CO2 Sampleline Occluded CO2 System Error The sampling line was abnormal or occluded. Replace the CO2 module. L The alarm was triggered by multiple system errors. Replace the CO2 module. L The water trap was disconnected or was not connected properly. Replace the CO2 module. L The parameter measured value was outside the measurement range (error range was counted). 1. Check if the measure mode is correct. The parameter measured value was outside the measurement range (error range was counted). 1. Check if the measure mode is correct. The CO2 module was faulty. Replace the CO2 module. L CO2 No Watertrap EtCO2 Overrange L FiCO2 Overrange CO2 Zero Failed L 2. Replace the CO2 module. 2. Replace the CO2 module. CO2 Init Error H An error occurred during CO2 module initialization. Replace the CO2 module. CO2 Selftest Error H An error occurred during CO2 module selftest. Replace the CO2 module. 5-9 5.3 Pneumatic System Problems The pneumatic system is mainly composed of gas supply subsystem, flow control subsystem, safety valve subsystem, and expiration module. This section details possible failures regarding the pneumatic system and how to troubleshoot them. 5.3.1 Commonly Used Equipment and Tools The commonly used equipment and tools for troubleshooting pneumatic circuit related failures are: 1. Commonly used tools such as cross screwdriver, Allen wrench, and ordinary wrench; 2. 1MPa test pressure gauge; 3. Φ4 and Φ6 PU tube, Φ6 silicone tube; 4. Y piece, 4 to 6 and 6 to 6 PU tube adapters (3106-04-06, 3106-06-00), Φ6 tee (3140-06-00), breathing tube and corresponding tube plug (3126-04-00, 3126-06-00) etc; 5. Calibration device. 5.3.2 Gas Supply Subsystem The following table lists the gas supply subsystem related failures. Failure description Possible cause Recommended action The DISS/NIST connector at the gas supply inlet gets loose, resulting in leakage. The internal sealing ring of the DISS/NIST connector is worn. Replace the NORGREN module inlet connector. The filter cup at the gas supply inlet is broken. Collision or other cause. Replace the filter cup. The ON/OFF value of pressure switch is not accurate. The setting of pressure switch is not accurate. Set the ON/OFF value of pressure switch again. The output pressure of Air/O2 regulator is not accurate. The setting of the regulator output pressure is not accurate. Set the regulator output pressure again. The ON/OFF value of pressure switch is not accurate. Set the ON/OFF value of pressure switch again. Air/O2 connection selection valve is faulty. Replace the NORGREN module parts. The nebulization pneumatic resistor is occluded. Clear the occlusion or replace the pneumatic resistor. The nebulization switch valve is faulty. Replace the NORGREN module parts. Air/O2 connection selection valve is failed. Nebulization is failed. 5-10 Failure description Possible cause Recommended action The filter cup at Air supply inlet is defective. The filter cup is broken and leaky etc. Replace the filter cup. The handle at the bottom of the filter cup is damaged. Replace the filter cup. The filter cup is broken and leaky etc. Replace the filter cup. The spring pin at the bottom of the filter cup is damaged. Replace the filter cup. The filter cup at O2 supply inlet is defective. 5.3.2.1 Loose DISS/NIST connector at the gas supply inlet, resulting in leakage The following picture shows the Air/O2 connector at the gas supply inlet. The head of this connector (there are DISS and NIST specifications available) connecting the gas supply tube can rotate freely for 360º in the vertical plane so as to adapt to the directional requirement for the gas supply tube. Therefore, sealing inside the gas supply connector is not static and the sealing ring may have the risk of leakage due to abrasion after long term of use. Because the gas supply tube connected at the front end of this part is the starting part of ventilator gas supply, and the supplied gas is adequate and is high pressure gas not regulated by the gas supply inlet assembly, severe leakage can be judged directly through the sound while subtle leakage cannot be judged through the sound, which, however, doe not affect the effect of the ventilator and is acceptable. To confirm leakage, turn off the ventilator, connect the gas supply tubes and connect them separately to Air/O2 supplies. Rotate the two connectors and listen if there is leaky sound. If the sound is heard, it indicates leakage. Replacing the module is necessary. The connections may have leakage. 5-11 5.3.2.2 Failure of filter cup at Air/O2 supply inlet The following picture shows the filter cup at Air/O2 supply inlet. For O2 filter cup, pressing the spring pin drains the water and releasing the spring pin resets automatically. For Air filter cup, water is drained by rotating the black handle at the bottom. After drainage, rotate the handle to reset (the handle is in horizontal position when reset and slight deviation is allowed). Primarily, there are two possible failures occurring to the filter cup: leakage and drainage failure. Generally, subtle leakage is not easily detected if not checked and will not affect the use and performance of the machine. However, if not corrected for a long time, subtle leakage can cause great leakage. When drainage failure occurs to the filter cup at Air/O2 supply inlet, leakage is usually resulted. Such leakage is generally caused by the failure at the drainage part and will be very large. And it is easily detected when connecting the gas supply. Meanwhile, because for air filter cup, the water is drained by rotating the drainage part, if knob is broken when draining the water, reset failure or drainage failure will be resulted. To troubleshoot the failure of filter cup getting broken, replace the service part directly. To troubleshoot the failure of drainage part of the filter cup, For Air filter cup: if the rotary handle is broken or if horizontal sealing is not possible, replace the filter cup directly. For O2 filter cup, if drainage failure occurs at the bottom, judge if the spring pin is damaged. If yes, replace the filter cup direclty. If the spring pin is able to move freely to reset, check if there are foreign substances at the bottom. Just clear the foreign substance. If the problem persists, replace the fitle cup directly. Drainage spring pin (push upward, reset automatically) 5-12 Drainage handle (rotate clockwise or counterclockwise) 5.3.2.3 Inaccurate ON/OFF value of pressure switch The ON/OFF value of the pressure switch relates to the gas supply pressure alarm function and Air/O2 connection selection valve switching function. If the ON/OFF value of the pressure switch has great deviations, inaccurate functions can be resulted or system mistrigger can be resulted if the case becomes much worse which will cause system malfunction and endanger the patient’s life. Therefore, it is necessary to check the ON/OFF value of the pressure switch. You need to check the ON/OFF value of the pressure switch in the following typical situations: 1. Assembly testing in case of production assembling; 2. FQC factory inspection; 3. Equipment service at the customer side (possible drift after long term of use; 4. Ventilator failure, such as frequent failure of Air/O2 connection selection valve, pressure alarm malfunction (false alarm or no alarm) etc. The primary tools necessary for checking the ON/OFF value of the pressure switch are: 1. Gas supply (high pressure cylinder with regulator); 2. Flathead screwdriver. 5-13 The following picture shows the pressure switch (some marks such as regulators in Air/O2 limbs, nebulization switch valve, and Air/O2 connection selection valve are given for the convenience of future description and they may not be used in this section). Use flathead screwdriver to turn here when adjusting the ON/OFF value of pressure switch Pressure switch (Air on the left and O2 on the right) Regulator in O2 limb Nebulization switch valve Air/O2 connection selection valve Regulator in O2 limb Nebulization flow test point 5-14 In the above picture, pressure switch in Air limb is on the left side and pressure switch in O2 limb is on the right side. When checking the ON/OFF value of the pressure switch, connect high pressure cylinders with regulating function. Test the ON/OFF value of the pressure switch as follows: 1. For pressure switch in Air limb: connect to Air supply alone and adjust the cylinder regulator. Observe that the supply gas pressure rises slowly from 150 kPa to 250 kPa through the regulator pressure gauge. During the pressure rise, listen to the pressure switch carefully. When a click is heard, record the value displayed on the pressure gauge, which represents the rising pressure ON/OFF value of pressure switch. This value is required to be 220±10 kPa. If the test value is outside the range, adjust using flathead screwdriver as shown in the picture. Turning clockwise decreases the ON/OFF value of pressure switch while turning counterclockwise increases the ON/OFF value of pressure switch. After completing adjustment of the ON/OFF value, do the test again. Note that the test after each adjustment must be done at the stage when the pressure rises from low to high. Do not test in the reverse order. After adjusting the rising pressure ON/OFF value of pressure switch, you need to confirm the falling pressure alarm value of pressure switch. Observe the pressure gauge. Adjust the regulator to control the supply gas pressure to fall slowly from 250 kPa. When a click is heard, record the value displayed on the pressure gauge, which represents the falling pressure ON/OFF value of pressure switch. This value is required to be not less than 180 kPa. If the value is outside the range, the pressure switch is not qualified. 2. For pressure switch in O2 limb, the adjustment method is the same. When adjusting, you need to close the gas supply in Air limb and remove the high pressure gas through the filter in Air limb. During the adjustment described above, if the pressure switch fails to reach the required value (220±10 kPa for rising pressure ON/OFF value and not less than 180 kPa for falling pressure ON/OFF value), it indicates that the pressure switch is damaged and the module needs to be replaced, 5.3.2.4 Inaccurate output pressure of Air/O2 regulator The regulator in Air/O2 limb functions to reduce the supply gas pressure and stabilize the effect of supply gas pressure fluctuation upon the rear part. After long term of use, the ventilator may have the problem of inaccurate output pressure of Air/O2 regulator. Generally, you need to check the output pressure of Air/O2 regulator in the following cases: 1. Assembly testing in case of production assembling; 2. FQC factory inspection; 3. Equipment service at the customer side; 4. Ventilator failure, such as severe drift of flow control. 5-15 The primary tools necessary for checking and adjusting the output pressure of Air/O2 regulator are: 1. Gas supply of 400 kPa (high pressure cylinder with regulating function); 2. Φ6 PU tube and quick-plug connector; 3. 1 MPa pressure gauge; 4. Ordinary wrench and hexagon wrench. Refer to the picture in the previous section. The procedures for adjusting the output pressure at the rear end of the regulator in Air limb are: 1. Connect to the cylinder gas supply and adjust the supply gas pressure to 400±10 kPa. 2. Connect the 1 MPa pressure gauge to the nebulization flow test point using PU tube and quick-plug connector. 3. Open the nebulization switch valve in the valve test tool of ventilator factory service mode. Adjust the proportional valve in Air limb to produce flow of approximately 5 L/min. 4. Observe the reading on the pressure gauge. The pressure should be between 220±5 kPa for E3 and 172±5 kPa for E5. Otherwise, adjust the regulator in Air limb. 5. To adjust the regulator, loosen the hexagon nut facing the regulator using ordinary wrench. Adjust the plastic screw using proper hexagon wrench. Turning clockwise increases the pressure while turning counterclockwise decreases the pressure. While adjusting, observe the reading on the pressure gauge. When the pressure value reaches the requirement, tighten the hexagon nut. When tightening the hexagon nut, observe the reading on the pressure gauge. Generally, the pressure falls a bit. In this case, reserve some margin at the beginning of adjusting pressure. The procedures for adjusting the output pressure at the rear end of the regulator in O2 limb are similar to that in Air limb. 5.3.2.5 Failed Air/O2 connection selection valve or nebulization The Air/O2 connection selection valve functions to ensure normal nebulization and PEEP control in case of single gas supply.This valve affects multiple ventilation modes and nebulization function. The nebulization switch valve functions to control the connection/disconnection of nebulization gas flow, which also affects patient therapy. 5-16 When the Air/O2 connection selection valve is failed, the function of connection selection is failed. Namely, when there is only O2 supply, nebulization and PEEP control is failed. When there is only O2 supply, nebulization switch and PEEP value are controlled through the valve test tool in the factory service mode. If there is no gas flow in nebulization and the PEEP value is always “0”, it indicates that the function of Air/O2 connection selection is failed. In this case, there are two ways to solve this problem: 1. Refer to the previous section to confirm that the pressure switch functions normally. 2. If both of the pressure switch function and ON/OFF value are normal, the fault goes to the Air/O2 connection selection valve. You need to replace the component. In the precondition that the function of Air/O2 connection selection is normal, connecting Air or O2 supply alone can judge whether the nebulization function is normal. Control nebulization switch through the valve test tool in the factory service mode and connect the nebulization exhaust port to anesthesia calibration device through a PU tube to test if the nebulization gas flow is normal. To judge whether the nebulization gas flow is normal: 1. The nebulizaton switch valve may be damaged if there is no nebulization gas flow. In this case, replace the component. 2. Check the nebulization resistor for obstruction or replace the nebulization resistor if the nebulization gas flow is not abnormal. 5-17 5.3.3 Flow Control Subsystem The flow control subsystem is the critical part of the ventilator to implement various ventilation modes. Its composition is relatively simple and it is mainly composed of proportional valve and inspiratory flow sensor. 5.3.3.1 Proportional valve failure The type of large flow proportional valve which the E5 ventilator uses is WOODWARD 1350-5102. The possible failures related to this valve are that the leakage exceeds the requirement when the valve is closed and that the minimum opening flow exceeds the requirement. Troubleshoot the proportional valve related failures in the following cases: The leakage exceeds the requirement when the proportional valve is closed: in the valve test tool of ventilator factory service mode, the DA value of the proportional valve is set to “0”. The flow measured by the inspiratory flow sensor exceeds the specified maximum leakage requirement, which is 50 ml/min. If this is detected during unit assembly, provide proportional valve with great excitation current (DA) and then set DA value to “0” and “4095” (maximum value). Repeat for multiple times (three times recommended). Observe again if leakage is normal. Otherwise, replace the proportional valve. When replacing the proportional valves, note that the two gas channels at the bottom of the proportional valves cannot be attached with foreign substance and that the proportional valves cannot collide with each other. The distance between the two proportional valves cannot be less than 2.5 cm. The minimum opening flow exceeds the requirement: in the diagnostic mode, the DA value of proportional valve is adjusted gradually from “0” to greater value. The minimum opening flow measured by the inspiratory flow sensor exceeds the specified requirement (such as 2 L/min). Generally, this is caused by the internal failure of proportional valve. You need to replace the proportional valve. Pay attention to the note mentioned before when replacing the proportional valve. WOODWARD proportional valve 5-18 5.3.3.2 Inspiratory flow sensor data error When connecting the calibration device to the inspiratory port to measure the flow of proportional valve, if the data from the ventilator internal inspiratory flow sensor and that from the calibration device differ greatly (deviation of more than 5% when the flow is between 0-120 L/min), troubleshoot as follows: 1. Make sure that the calibration device is within the valid calibration period. If it is out of calibration, use correct external tool. 2. Check if the filter screen assembly (115-008652-00) at the front end of inspiratory flow sensor is normal. If not, replace the assembly. Re-do the test and check if the measurement data are within the allowable error range. 3. If the problem persists, the inspiratory flow sensor may be failed. Troubleshoot this problem by referring to the section of hardware related failures. Inspiratory flow sensor 5-19 5.3.4 Safety Valve Subsystem The safety valve subsystem functions to ensure that the pressure of inspiratory limb is within the safety range, monitor O2 concentration, and support spontaneous breathing. 110 cmH2O pressure relief valve Electromagnet O2 sensor The possible failure related to this assembly is O2 sensor failure. Regarding the problem of O2 sensor failure, initial judgment can be made based on the replacement cycle of the O2 sensor (once per year). If the replacement duration is relatively short and the O2 concentration detection is not accurate, you need to calibrate O2 concentration. If O2 concentration detection is still inaccurate, judge if it is caused by O2 sensor failure. The judgment methods are: 1. Open the Air proportional valve alone and wait for O2 concentration measured value to become stable. Check if the O2 concentration is 21% (subtle deviation is allowed). If not, it indicates that the O2 sensor is failed. You need to replace the O2 sensor. If yes, continue with the following step. 2. Open the O2 proportional valve alone and wait for O2 concentration measured value to become stable. Check if the O2 concentration is 100% (subtle deviation is allowed). If yes, it indicates that the O2 sensor is not damaged. If not, replace the O2 sensor. To replace the O2 sensor, remove the connection cable at the tail directly. Remove the O2 sensor. Then install the new O2 sensor. When installing the new O2 sensor, tighten it properly to prevent damage or overtightness, causing inconvenience to the future service. 5-20 5.4 Hardware and Electrical System Problems Failure description Possible cause Recommended action At startup, the operational indicator lamp, AC indicator lamp, and the battery indicator lamp are not lit and there is no screen display available. Namely, the ventilator fails to start up. The AC power supply is not connected and the battery capacity is not sufficient. Check and make sure of the correct connection of the AC power supply. The fuse of the AC mains inlet is burned out and the battery capacity is insufficient. Replace the fuse. If the problem persists, it indicates that the machine is internally short circuited. The display cable (at the motherboard or the main unit external connector) is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. Make sure that the captive screw is in tightened status. The cable related to power switch is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The AC-DC board hardware circuit failure causes no 15.2V output and insufficient battery capacity. Replace the AC-DC board. At startup, the AC indicator lamp and battery indicator lamp are lit while the operational indicator lamp is not lit. There is no screen display available. The DC-DC board hardware circuit failure causes no DC current output of 5V, 3.3V, 7V, and 12V. Replace the DC-DC board. There is no screen display available (black screen). The inverter connection lines (including the inverter input line and output line) are disconnected or are not reliably connected. Check and make sure of the reliable connection of the cable. The inverter is damaged. Replace the inverter. The main control board hardware failure causes the backlight enable signals to output invalid level. Replace the main control board. The main control board software failure causes the backlight enable signals to output invalid level. Update the main control board software. The LCD is damaged. Replace the LCD. 5-21 Failure description Possible cause Recommended action There is no screen display available (white screen). The display cable (at the LCD) is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The main control board hardware failure causes no 3.3V output or output error. Replace the main control board. The LCD is damaged. Replace the LCD. There is screen display available but there is color error displayed (screen blurred). The display cable (at the LCD) is disconnected or is not reliably connected, which causes the loss of some color signals. Check and make sure of the reliable connection of the cable. The screen brightness cannot be adjusted. The DC-DC board hardware failure causes the backlight brightness adjustment signals unable to output normal signals. Replace the DC-DC board. The main control board hardware failure causes the backlight brightness adjustment signals unable to output normal signals. Replace the main control board. The inverter connection lines (including the inverter input line and output line) are disconnected or are not reliably connected. Check and make sure of the reliable connection of the cable. The inverter is damaged. Replace the inverter. The display cable is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The alarm lamp board connection line is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The main control board hardware failure causes failure to output normal alarm lamp control signals. Replace the main control board. The alarm lamp board hardware failure causes failure to drive the alarm lamp. Replace the alarm indicator lamp board. The alarm indicator lamp is not lit. 5-22 Failure description Possible cause Recommended action Key failure. The key related connection line is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The key control board hardware failure causes failure to respond to key input information. Replace the key control board. The encoder board connection line is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The rotary encoder is damaged. Replace the rotary encoder. The key control board hardware failure causes failure to respond to rotary encoder input information. Replace the button control board. The touchscreen related cable is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The key control board hardware failure causes failure to respond to touchscreen input information. Replace the button control board. The touchscreen is damaged. Replace the touchscreen. The speaker related cable is disconnected or is not reliably connected. Check and make sure of the reliable connection of the cable. The main control board hardware failure causes failure to output normal speaker drive signals. Replace the main control board. The speaker is damaged. Replace the speaker. Rotary encoder failure Touchscreen failure. Speaker failure. 5-23 5.5 Troubleshoot Sensor and Valve Related Failures by Using the Valve Test Tool 5.5.1 Preparations before Using the Valve Test Tool Make the following preparations before using the valve valve tool to locate the sensor or valve related failures: 1 Connect the pneumatic circuit according to the type of sensor or valve to be checked. Constant-flow connection method: Connect the tubes of the ventilator following the constant-flow connection method to check the flow sensors and inspiratory valve. For details, refer to 4.3.4Check the Flow Sensor Accuracy. Constant-pressure connection method: Connect the tubes of the ventilator following the constant-pressure connection method to check the pressure sensors and expiratory valve. For details, refer to 4.3.5Check the Pressure Sensor Accuracy. 2. Make sure that the supply gas pressure is normal. 3. When the system is Standby, select the Menu key and then select [Maintain >>] → [Service >>] → [Diagnosis >>] to access the [Valve Test] menu. 5.5.2 Correspondence between the Sensors & Valves on the Valve Test Screen and the Components To troubleshoot the sensors or valves related failures by using the valve test tool, you must be familiar with the correspondence between the menu options on the valve test tool screen and the actual pneumatic circuit and hardware components. 5-24 5.5.2.1 Correspondence with Pneumatic Components The following picture shows the correspondence between the sensors & valves on the valve test tool screen and the actual components in the pneumatic circuit diagram. 5-25 5.5.2.2 Correspondence with Hardware Components The following pictures show the actual sampling line connections of the sensors. Inspiration module interface board Inspiratory pressure sensor Inspiratory pressure sampling line Inspiratory module pneumatic and hardware connections 5-26 Low-pressure end of expiratory flow differential pressure PEEP pressure sensor Expiration module interface board Expiratory flow sensor Expiratory pressure sensor High-pressure end of expiratory flow differential pressure Expiratory module pneumatic and hardware connections 5-27 5.5.3 Troubleshooting Methods Using Valve Test Tool By using the valve test tool, you can troubleshoot the problems related to: Sensor zero point Sensor sampling line connection Sensor calibration data Inspiratory valve status Expiratory valve status Safety valve status 5.5.3.1 Sensor zero point error By using the valve test tool, you can easily detect if the zero points of all the pressure and flow sensors of the ventilator are normal. To diagnose sensor zero point error: 1. Disconnect all gas supplies. Disconnect the patient from the tubes. Make sure that the pressure and flow sensors are in the zero point environment. 2. Check the actual measured values of all sensors in the valve test menu. If the actual value is greater than “0.5”, it indicates that this sensor requires zeroing. 3. If the actual measured values of all sensors near “0”, check their zero point AD values. If the zero point AD value of some sensor is outside the valid range, it indicates that this sensor is faulty. You need to replace the sensor. After replacing the faulty sensor, perform zeroing again. If the zero point AD value of the sensor is still outside the valid range, it indicates that the monitoring board is faulty. You need to replace the board. NOTE For the normal range of sensors’ zero points, refer to 4.3.3Check the Sensor Zero Point. 5-28 5.5.3.2 Sensor sampling line connection error The expiratory flow sensor has two sampling lines. Generally, connection error can be: Two sampling lines are connected reversely; One sampling line is not connected; Two sampling lines are not connected. The pressure sensor has one sampling line. Generally, connection error can be: The sampling line is not connected; The sampling line is not correctly connected. By using the valve test tool, you can detect if the sensor sampling lines are connected normally. To diagnose the sampling line connection error of expiratory flow sensor: 1. Make sure that the gas supplies are normal. Access the valve test menu. 2. Increase the DA setting of the inspiratory valve gradually (open inspiration valve flow to 10L/Min). The AD value of the flow sensor should also increase. With the gradual increase of gas supplied, If the AD value of one flow sensor decreases gradually, it is possible that the two sampling lines of the flow sensor are connected reversely. If the AD value of one flow sensor nears zero point and keeps unchanged, it is possible that the two sampling lines of the flow sensor are not connected or the sampling line at the high pressure end is not connected. If the low pressure end of the flow sensor is not connected, the AD value of the flow sensor cannot help judgment of this situation. Disassemble the machine for inspection when necessary. 3. If sensor sampling line connection error is detected, re-connect the sampling lines by referring to the pneumatic connection process and make sure of connection correctness following this above described method. To diagnose the sampling line connection error of pressure sensor: 1. Make sure that the gas supplies are normal. Access the valve test menu. 2. Increase the DA setting of the expiratory valve gradually. Check if the AD values of expiratory pressure sensor and PEEP pressure sensor also increase. 3. If the AD value of one pressure sensor decreases gradually, it is possible that the sampling line of the pressure sensor is connected incorrectly. If the AD value of one pressure sensor keeps unchanged, it is possible that the sampling line of the pressure sensor is not connected. If sensor sampling line connection error is detected, re-connect the sampling line by referring to the pneumatic connection process and make sure of connection correctness following this above described method. 5-29 5.5.3.3 Sensor calibration data error After confirming that both the sensor zero point and sampling line connection are normal, you can judge the accuracy of sensor calibration data by checking the calibration table. To diagnose the calibration data error of flow sensor: Select [Service] to access [Cal. Data] menu. Check [Air Flow] and [O2 Flow] factory calibration data and user calibration data respectively. For [Flow], the maximum value in the factory calibration data table should be greater than 95 L/min and that in the user calibration data table should be greater than 60 L/min. In the [Flow] calibration data, Air/O2 flow, AD value of expiratory flow, AD value of VPM expiratory flow, and DA value of inspiratory valve should all be in descending tendency. If the calibration table does not satisfy the above requirement, do flow calibration. To diagnose the calibration data error of pressure sensor: Select [Service] to access [Cal. Data] menu. Check [Pressure] factory calibration data. The maximum value in the [Pressure] factory calibration data should be greater than 90 cmH2O. In the [Pressure] Calibration data, pressure, AD value of PEEP pressure, AD value of expiratory pressure, AD value of VPM inspiratory pressure, AD value of VPM expiratory pressure, and DA value of expiratory valve should all be in ascending tendency. If the calibration table does not satisfy the above requirement, do pressure calibration. 5.5.3.4 Inspiratory valve status error By using the valve test tool, you can check if the working status of inspiratory valve is normal. 1. In the [Valve Test] menu, set the DA value of inspiratory valve to “0”. If the measured values of inspiratory flow sensor, expiratory flow sensor, and standard equipment are all greater than 1 L/min, it indicates that the inspiratory valve cannot be fully closed or that there is some problem with the valve drive circuit. 2. In the [Valve Test] menu, gradually increase the opening of inspiratory valve (increase flow setting value). If all the measured values of inspiratory flow sensor, expiratory flow sensor, and standard equipment do not change much and that gas flow felt at the expiratory port is also very small, it indicates that the inspiratory valve is faulty or that there is some problem with the valve drive circuit. 5-30 3. If the flow measured by the standard flow measurement device still fails to reach 105 L/min when the DA value is set to more than “4000”, flow calibration is failed. In this case, you need to replace the inspiratory valve or monitoring board. 4. To locate if this is problem with the valve drive circuit, you can check the status values of Air valve and O2 valve in the [Valve Test] menu. With the increase of DA value, the status current sampling values of Air valve and O2 valve should also increase. Besides, when the inspiratory valve control DA value is adjusted above “4000”, its status current sampling value should be 100 to 160 mA for VT50 and 250 to 600 mA for VT30. Otherwise, it indicates that there is some problem with the valve drive circuit of inspiratory valve. 5. After replacing the inspiratory valve or monitoring board, you can check if the problem is fixed using the same method. 5.5.3.5 Expiratory valve status error By using the valve test tool, you can check if the working status of expiratory valve is normal. 1. Make sure that the gas supplies are normal. Access the valve test menu and set the inspiratory valve opening flow to 10 L/min. 2. Set the DA value of expiratory valve to 0. If the measured values of inspiratory pressure sensor, expiratory pressure sensor, and standard equipment are all greater than 1 cmH2O, it indicates that the expiratory valve is faulty or that there is some problem with the valve drive circuit. 3. Gradually increase the pressure setting value of expiratory valve. The measured value of expiratory pressure sensor (and the connected ventilator calibration device) also increases. If the measured values of expiratory pressure sensor and standard equipment do not change much, it is possible that the expiratory valve is faulty or the sampling line is disconnected, or that there is some problem with the valve drive circuit. 4. Note that there is a non-response area for the expiratory valve when the DA value is relatively small (less than “2000”). When the DA value is less than this area, the expiratory valve may not open and the output is “0” continuously. When the DA value exceeds this area, the output increases with the increase of DA value. 5. To locate if this is problem with the valve drive circuit, you can check the status value of expiratory valve in the [Valve Test] menu. With the increase of DA value, the status current sampling value of expiratory valve should also increase. Besides, when the expiratory valve control DA value is adjusted above “4000”, its status current sampling value should be 250 to 350 mA. Otherwise, it indicates that there is some problem with the valve drive circuit of expiratory valve. 6. After replacing the expiratory valve or monitoring board, you can check if the problem is fixed using the same method. 5-31 5.5.3.6 Safety valve status error There is some risk when the safety valve cannot be opened (namely, always closed). The ventilator cannot perform normal mechanical ventilation when the safety valve cannot be closed (namely, always opened). By using the valve test tool, you can check if the safety vale can be opened or closed normally. 1. Make sure that the gas supplies are normal. Access the valve test menu. 2. Set the status of safety valve to ON and you can hear a subtle click. 3. Set expiratory valve pressure to 50 cmH2O and inspiratory valve opening flow to 5 L/min. Check the actual measured values of expiratory flow sensor and expiratory pressure sensor, both of which should near “0” (less than “0.5”).Otherwise, it indicates that the safety valve cannot be opened normally. 4. Based on the above operations, set the status of safety valve to OFF. Then, the measured value of expiratory flow sensor will near that of inspiratory flow sensor. The measured value of expiratory pressure sensor will near the expiratory valve opening pressure. Otherwise, it indicates that the safety valve cannot be closed normally. 5. If safety valve control error is found, it is possible that there is some problem with the drive voltage of safety valve. You can check the status value of safety valve in the valve test menu. When the safety valve control is OFF, its status voltage value should be “0V”. When the safety valve control is ON, its status voltage value should be about “1.7V”. Otherwise, it indicates that there is some problem with the valve drive circuit of safety valve. 6. If the safety valve is faulty, replace the safety valve assembly. After replacing the safety valve assembly, you can check if the problem is fixed using the same method. 5-32 6 Repair and Disassembly WARNING To help prevent fires, only use lubricants approved for ventilator or O2 equipment. Do not use lubricants that contain oil or grease. They burn or explode in high O2 concentrations. Obey infection control and safety procedures. Used equipment may contain blood and body fluids. Movable parts and removable components may present a pinch or a crush hazard. Use care when moving or replacing system parts and components. Use care when disassembling the parts with sharp edges to avoid cuts. Pay attention to the screws during the disassembly to prevent screws from falling into the inside of the equipment. Failure to do so may cause short circuit. Make sure to bleed gas pressure before disassembling pneumatic fittings to avoid personal injury caused by high pressure gas. NOTE When re-assembling, inspect all parts for deterioration. Replace them if necessary. Use appropriate screws and parts. After repairs are completed or parts replaced, refer to 1 错误!表格结果无效。 to perform the checkout procedure. 6-1 6.1 Prepare for Disassembly 6.1.1 Tools During parts disassembling and replacing, the following tools may be required: Metric Allen wrench (2.5#, 3#, 4#, 5#) Phillips screwdriver Diagonal pliers Flathead screwdriver Metric M3 and M4 socket screwdriver Adjustable wrench Tweezers 6.1.2 Preparations Before disassembling the ventilator, do the following: Make sure that the ventilator is already turned off and that the ventilator is disconnected from AC power supply and backup battery. Remove all the accessories connected to the ventilator. Disconnect pipeline and cylinder gas supply connections. Prepare the tools required for disassembly. Wear antistatic gloves or hand rings when removing the boards. Maneuver the ventilator to an appropriate location and then step down the caster brake (cart configured) to fix the ventilator. CAUTION The internal parts may be contaminated during long-term use of the equipment. Wear special gloves during disassembling and inspecting. 6-2 6.2 Disassemble the Assemblies 6.2.1 Remove the Ventilator Power Assembly Take out the two screws as shown below. Hold the handle to pull out the ventilator power assembly. 6.2.2 Remove the AC-DC Power Board and DC-DC Power Board 1. After removing the ventilator power assembly. Remove the three screws on the power assembly as shown below. 6-3 2. Remove the two screws fixing the AC-DC power board. Disconnect the connection line to remove the AC-DC power board. Remove the two screws fixing the DC-DC power board. Disconnect the connection line to remove the DC-DC power board. Screw DC-DC power board AC-DC power board Screw 6.2.3 Remove the Fan 1. Remove the four sunk screws fixing the power panel. Disconnect the connection line to pull out the power box panel assembly. 2. Remove the four screws fixing the fan as shown below to remove the fan. 6-4 6.2.4 Remove the Main Control Board, Monitoring Board, Extension Board, and Lithium Battery 1. Remove the air filter for the module rack. Remove the four screws fixing the rear cover of module rack as shown below. Air filter 2. Take out the PCB disassembling tool. Pull out the main control board, monitoring board, extension board with the PCB disassembling tool. Take out the lithium battery. VT50 monitoring board PCB disassembling tool VT50 extension board Lithium battery 6-5 VT50 main control board Install the PCB disassembling tool onto the board holes to remove the board. WARNING When the ventilator is restalled, or main control board is repalced, the altitude must be reset. After reseting the altitude value, perform flow calibration (factory) again. 6.2.5 Remove the O2 Sensor 1. Open the O2 sensor door. 2. Pull out the O2 sensor connection line to remove the O2 sensor. O2 sensor door 6-6 O2 sensor 6.2.6 Remove the Expiration Valve Assembly Release the buckle to remove the expiration valve assembly. Expiration valve assembly Buckle 6.2.7 Remove the Flow Sensor Assembly 1. Do as the step described in 6.2.6Remove the Expiration Valve Assembly. 2. Pull out the flow sensor assembly from the expiration valve assembly. Flow sensor assembly 6-7 6.2.8 Remove the Expiration Valve Diaphragm Assembly 1. Do as the step described in 6.2.6Remove the Expiration Valve Assembly. 2. Remove the expiration valve cover to take out the expiration valve diaphragm assembly. Expiration valve diaphragm assembly Remove the expiration valve cover 6.2.9 Remove VT50 Kernel Assembly 1. Do as the step described in 6.2.6Remove the Expiration Valve Assembly. 2. Remove the screws on the power cord fixed plate to remove the fixed plate. 3. Remove the power leadin connecting the power box. 4. Remove the screw for the display connection line connector to remove the display connector. 5. Remove the four screws fixing the kernel assembly to pull out the kernel assembly. Screw Power cord fixed plate Screw Remove the connector for the display connection line 6-8 Remove the power leadin 6.2.10 Remove VT30 Kernel Assembly 1. Do as the step described in 6.2.6Remove the Expiration Valve Assembly. 2. Remove the screws on the power cord fixed plate to remove the fixed plate. 3. Remove the power leadin connecting the power box. 4. Remove the four screws fixing the kernel assembly to pull out the kernel assembly. Screw Screw Power cord fixed plate Remove the power leadin 5. Remove the screw for the display connection line connector to remove the display connector. Pull out the kernel assembly. Remove the connector for the display connection line 6-9 6.2.11 Remove the Gas Supply Control Assembly 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Remove VT50 inspiratory interface board connection line which connects the inspiration module. 3. Disconnect the hose connecting the gas supply control assembly. VT50 inspiratory interface board connection line 4. Disconnect the hose Remove the five screws fixing the gas supply control assembly. Pull backward and then lift the gas supply control assembly and safety valve gas reservoir assembly. Screw Screw 6-10 6.2.12 Remove the Expiration Valve Seat Assembly 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Disconnect the hose connecting the expiration valve seat assembly. 3. Remove the four screws fixing the expiration valve seat assembly and pull forward to remove the expiration valve seat assembly. Disconnect the hose Screw 6-11 6.2.13 Remove the Filters 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Disconnect the hoses connected to the filters to remove the filters. There are three filters in total. 6.2.14 Remove the Safety Valve Gas Reservoir Assembly 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Remove the four screws fixing the safety valve gas reservoir assembly. 3. Disconnect the relevant cable and hose. Pull forward to remove the safety valve gas reservoir assembly. 6-12 6.2.15 Remove the Inspiration Module Board 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Disconnect all the cables and hoses connecting the inspiration module board. 3. Remove the five screws fixing the inspiration module board to remove the board. 6.2.16 Remove the Flow Sensor 1. Do as the step described in 6.2.14Remove the Safety Valve Gas Reservoir Assembly. 2. Disconnect the connection line for flow sensor. 3. Pull out the flow sensor. VT50 kernel VT30 kernel Air flow sensor Air flow sensor O2 flow sensor 6-13 O2 flow sensor 6.2.17 Remove the Proportional Valve 1. Do as the step described in 6.2.16Remove the Flow Sensor. 2. Disconnect the cable connecting the proportional valve. 3. Remove the four screws fixing the proportional valve and remove the proportional valve. 6.2.18 Remove the Pneumatic Assembly 1. Do as the step described in 6.2.16Remove the Flow Sensor. 2. Disconnect the cables and hoses connecting the pneumatic assembly. 3. Remove the four screws fixing the board fixed mount for the pneumatic assembly to remove the fixed mount 6-14 4. Remove the five screws fixing the pneumatic assembly and remove the pneumatic assembly. 6.2.19 Remove the 110 cmH2O Pressure Relief Valve Assembly 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Remove the 110 cmH2O pressure relief valve assembly from the safety valve seat assembly. 110 cmH2O pressure relief valve assembly 6-15 6.2.20 Remove the Safety Valve Assembly 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Remove the four screws fixing the safety valve. 3. Disconnect the connection lines. 4. Remove the silicone tube and remove the safety valve assembly. Silicone tube 6.2.21 Remove the Three-way Valve and Connection Line 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Remove the two screws fixing the three-way valve and connection line. 3. Disconnect the relevant cable and hose and remove the three-way valve and connection line. Three-way valve and connection line 6-16 6.2.22 Remove the 10 cmH2O Pressure Relief Valve 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Remove the two screws fixing the fixed plate for pressure relief valve. Remove the fixed plate. 3. Take out the 10 cmH2O pressure relief valve. Check valve diaphragm Fixed plate for pressure relief valve 6-17 10 cmH2O pressure relief valve 6.2.23 Remove the Electromagnet 1. Do as the step described in 6.2.20Remove the Safety Valve Assembly. 2. Remove the four screws for electromagnet and pull out the electromagnet with effort. Electromagnet 6.2.24 Remove the Safety Valve Diaphragm Assembly 1. Do as the step described in 6.2.23Remove the Electromagnet. 2. Remove safety valve cover and remove the safety valve diaphragm assembly. Safety valve cover Safety valve diaphragm 6-18 6.2.25 Remove the Safety Valve Seat Assembly 1. Do as the step described in 6.2.14Remove the Safety Valve Gas Reservoir Assembly. 2. Do as the step described in 6.2.20Remove the Safety Valve Assembly. 3. Disconnect the connecting hose. 4. Remove the four screws fixing the safety valve seat assembly and remove the safety valve seat assembly. 6.2.26 Remove the Gas Reservoir Assembly 1. Do as the step described in 6.2.25Remove the Safety Valve Seat Assembly. 2. Remove the six screws fixing the sheet metal for safety valve assembly and remove the gas reservoir assembly. 6-19 6.2.27 Remove the O2 Sensor Transitional Part 1. Do as the step described in 6.2.26Remove the Gas Reservoir Assembly. 2. Pry up the O2 sensor press plate for O2 sensor transitional part. Take out the O2 sensor transitional par. O2 sensor transitional part O2 sensor press plate 6.2.28 Remove VT50 Expiration Module Board PCBA 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Disconnect the hoses and cables connecting the VT50 expiration module board PCBA. 3. Remove the four screws fixing the VT50 expiration module board PCBA. Take out the VT50 expiration module board PCBA. 6-20 6.2.29 Remove VT50 Heating Plate Assembly 1. Remove the kernel assembly following 6.2.9 or 6.2.10. 2. Remove the four screws fixing the heating plate fixed plate. Take out the fixed plate. 3. Disconnect the relevant cable and remove the VT50 heating plate assembly. Screw VT50 heating plate assembly 6-21 6.2.30 Remove the Three-Way Valve Assembly 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Disconnect the hoses and cables connecting the three-way vale assembly. 3. Remove the two screws fixing the three-way valve assembly and remove the three-way valve assembly. Three-way valve assembly 6.2.31 Remove the Expiratory Flow Sensor Seat Assembly 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Disconnect the hoses and cables connecting the expiratory flow sensor seat assembly. 3. Remove the two screws. Remove the expiratory flow sensor seat assembly. Expiratory flow sensor seat assembly 6-22 6.2.32 Remove the Three-way Valve and Connection Line 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Disconnect the hoses and cables connecting the three-way valve connection line. 3. Remove the two screws and remove the three-way vale and connection line. Three-way vale and connection line 6.2.33 Remove VT50 Expiration Valve and Connection Line 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Disconnect the hoses and cables connecting the expiration valve connection line. 3. Remove the two screws and remove the expiration valve and connection line. Expiration valve and connection line 6-23 6.2.34 Remove the Muffler 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Remove the muffler with wrench. 6.2.35 Remove the PEEP Valve Seat Assembly 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Disconnect the hoses and cables connecting the PEEP valve seat assembly. 3. Remove the six screws and remove the PEEP valve seat assembly. PEEP valve seat assembly 6-24 6.2.36 Remove the Expiration Valve Locking Bar 1. Do as the step described in 6.2.12Remove the Expiration Valve Seat Assembly. 2. Remove the two screws and remove the expiration valve locking bar. Expiration valve locking bar 6-25 6.2.37 Remove VT50 Display Front Housing Assembly 1. Loosen the two screws fixing the display cable connector from the main unit. Unplug the display cable connector. 2. Open the wire-wound cover on the display rear housing. Unwind the twisting display cable. 3. Remove the eight screws fixing the front and rear housings. Separate the display front housing assembly from the bottom. Unwind the twisting cable Display cable connector 4. Remove the display cable connector from the display front housing assembly. Remove the screw fixing the display cable and pull out the display front housing assembly (this step is not performed if LCD is not to be replaced). 5. When re-assembling, wind the display cable counterclockwise as per the arrow shown on the rear housing. 6-26 6.2.38 Remove VT30 Display Front Housing Assembly 1. Remove the four screws fixing the front and rear housings. Separate the display front housing assembly from the bottom. 2. Remove the display cable connector from the display front housing assembly. Pull out the display front housing assembly (this step is not performed if LCD is not to be replaced). AU display LG display 6-27 6.2.39 Remove the Key Main Board 1. Remove the display front housing assembly following 6.2.37 or 6.2.38. 2. Disconnect the cables connecting the key main board. 3. Remove the seven screws fixing the key main board and remove the key main board. VT30 display front housing assembly VT50 display front housing assembly 6-28 6.2.40 Remove the Speaker 1. Remove the display front housing assembly following 6.2.37 or 6.2.38. 2. Disconnect the cables connecting the speaker. 3. Remove the two screws fixing the speaker and remove the speaker. VT30 display front housing assembly VT50 display front housing assembly 6-29 Speaker cable leading-out position VT50 display speaker cable leading-out mode VT30 display speaker cable leading-out mode 4. When assembling the VT50 display assembly, wind the speaker and its connection line around the bolt which fixes the speaker counterclockwise for one circle and then insert them into the key control board. 5. When assembling the VT30 display assembly, wind the speaker connection line around the speaker counterclockwise for two circles and then insert it into the key control board. 6.2.41 Remove the Inverter 1. Remove the display front housing assembly following 6.2.37 or 6.2.38. 2. Disconnect the cables connecting the inverter. 3. Remove the two screws fixing the inverter and remove the inverter. VT30 display front housing assembly 6-30 VT50 display front housing assembly 6.2.42 Remove the Alarm Lamp Board 1. Remove the display front housing assembly following 6.2.37 or 6.2.38. 2. Disconnect the cables connecting the alarm lamp board. 3. Remove the two screws fixing the alarm lamp board and remove the alarm lamp board. VT30 display front housing assembly 6-31 VT50 display front housing assembly 6.2.43 Remove the Display Bracket Assembly 1. Remove the display front housing assembly following 6.2.37 or 6.2.38. 2. Disconnect the encoder connection line, power switch connection line, and connection lines for left and right key boards. 3. Remove the five screws fixing the display bracket assembly and remove the display bracket assembly. VT30 display front housing assembly 6-32 VT50 display front housing assembly 6.2.44 Remove VT50 Key Scanning Board PCBA 1. Do as the step described in 6.2.43Remove the Display Bracket Assembly. 2. Remove the eight screws fixing the key scanning boards (four screws for each board) and remove the left and right VT50 key scanning board PCBAs. VT50 key scanning board (right) PCBA VT50 key scanning board (left) PCBA VT30 display front housing assembly 6-33 VT50 key scanning board (right) PCBA VT50 key scanning board (left) PCBA VT50 display front housing assembly 6.2.45 Remove VT50 Power Switch Board PCBA 1. Do as the step described in 6.2.43Remove the Display Bracket Assembly. 2. Remove the two screws fixing the power switch board and remove the VT50 power switch board PCBA. 6-34 6.2.46 Remove the Copper Axis Encoder Board 1. Do as the step described in 6.2.43Remove the Display Bracket Assembly. 2. Remove the two screws fixing the encoder mounting plate. Remove the copper axis encoder board and encoder mounting plate. 6.2.47 Remove the Touchscreen 1. Do as the step described in 6.2.44Remove VT50 Key Scanning Board PCBA. 2. Remove VT50 key scanning board (left) PCBA and remove the touchscreen. Touchscreen 6-35 6.2.48 Remove the Display 1. Do as the step described in 6.2.43Remove the Display Bracket Assembly. 2. Remove the four screws fixing the display. 3. Disconnect the relevant cable and remove the display. 12.1" display 10.4" display (AU) 6-36 10.4" display (LG) 6.2.49 Remove the Main Unit Handle Remove the four screws fixing the main unit handle. Remove the handle and handle connection post. VT50 enclosure VT30 enclosure 6-37 6.2.50 Remove the Filter Water Trap at Gas Supply Inlet Remove the filter water trap from the main unit. Pay attention to the sealing ring on the water trap. When re-assembling, install the water trap, which is same for VT50 and VT30. Filter water trap 6-38 6.2.51 Remove the Auxiliary Output Assembly Remove the six screws fixing the auxiliary output assembly from the cart. Remove the auxiliary output assembly. Auxiliary output assembly 6-39 6.2.52 Replace the Fuse Loosen the fuse cover with flathead screwdriver (the fuse cover will pop up automatically). Remove the fuse after the fuse cover pops up. After replacing with a new fuse, tighten the cover onto the fuse holder. In case of fuse for power socket, pry up the fuse cover with flathead screwdriver and press the fuse cover in after replacing the fuse. Pry up fuse cover Fuse for power socket 6.2.53 Remove the Humidifier Bracket Assembly 1. Pry up the two screw plugs from the cart column. 2. Remove the two screws fixing the humidifier bracket assembly. 3. Remove the humidifier bracket assembly. 6-40 6.2.54 Remove the Casters 1. Lay down the cart onto the ground. 2. Remove the caster screw bolts with wrench. 3. Remove the caster 6.2.55 Remove the Cart Base, Upright Post, and Panel 1. 2. 3. Lay down the cart onto the ground. Note to keep the cart in good appearance. Remove the 12 screws fixing the cart upright post. Separate the cart base, upright post, and panel assembly. When assembling the cart, put cart packaging foam to the upright post assembly to assemble the base, panel, and upright post. Fix the cart with 12 screws. Panel assembly Upright post assembly 6-41 Base assembly FOR YOUR NOTES 6-42 7 Electrical and Pneumatic Connections 7.1 Pneumatic Connections 7.1.1 Pneumatic Connection Diagram 7-1 7.1.2 Tubing No. Name Diameter Qty. for a single machine Affiliated assembly Length (mm ) P/N Silicone tube Silicone tube Expiration valve seat assembly Silicone tube 1 Silicone tube Silicone tube 2 3 4 5 7 5.6×2.4 A21-000007--- Silicone tube Gas supply control assembly Silicone tube Safety valve reservoir assembly Silicone tube Expiration valve seat assembly 1 130±5 PU tube Expiration valve seat assembly 1 80±5 Gas supply control assembly 1 240±5 2 80±5 PU tube 4×2.5 PU tube Expiration valve seat assembly PU tube Expiration valve seat assembly 6×4 PU tube 6 80±5 PU tube PU tube M6G-020046--- M6G-020026--- Gas supply control assembly 3 95±5 7 Silicone tube 5.6×2.4 Expiration valve seat assembly 1 30±3 A21-000007--- 8 Silicone tube 5.6×2.4 Expiration valve seat assembly 1 80±5 A21-000007--- 3 10±2 M6G-020046--- Expiration valve seat assembly 9 Transitional tube 4×2.5 Expiration valve seat assembly Gas supply control assembly 7-2 No. Name Diameter Affiliated assembly Qty. for a single machine Length (mm ) P/N 3 35±3 A21-000007--- Expiration valve seat assembly 10 Silicone tube 5.6×2.4 Expiration valve seat assembly Gas supply control assembly 7.2 Electrical Connections 7.2.1 Electrical Connection A (main unit) Electrical connection diagram 7-3 Notes: Hollow arrows indicate connections through board-to-board connectors while solid arrows indicate connections through cables. “Bxx” represents self-made boards and “Sxx” purchased materials. In Bxx/Bxx, the first Bxx stands for E3/B3 and the second Bxx for E5/B5. In Sxx/Sxx, the first Sxx stands for E3/B3 and the second Sxx for E5/B5. “#xx” represents cable. For E3/B3 ventilator, B3 is connected to B11 and S3 directly through #6, as shown by the broken lines in the above diagram. For E5/B5 ventilator, B3 is connected to B11 and S4 through #5 and #7 after they are interconnected, as shown by the real lines in the above diagram. For E3/B3 ventilator, S5 is connected to S3 through #8. For E5/B5 ventilator, S6 is connected to S4 directly through the accompanying cable. For E3/B3 ventilator, B11 is connnected to B8 and B12 through #12. For E5/B5 ventilator, B11 is connected to B8 through #13 and to B12 through #16. Wiring S/N Description P/N #1 VT50 AC-DC board AC input line 009-000639-00 #2 VT50 AC-DC board DC input line 009-000635-00 #3 Fan connection line / #4 Connection line for VT50 inspiratory connector board 009-000614-00 #5 VT50 main unit internal UI connection line 009-000627-00 #6 Vt50 display cable 10.4" AU screen 009-000625-00 #7 Vt50 display cable 12.1" AU screen 009-000626-00 #8 Connection line for TFT display backlight board 8000-21-10239 #9 Input line for VT50 10.4" display inverter 009-000633-00 #10 Input line for VT50 12.1" display inverter 009-000634-00 #11 Connection line for VT50 encoder board 009-000631-00 #12 Connection line for VT30 key board 009-001105-00 #13 Connection line for VT50 key board (right) 009-000629-00 #14 Speaker connection line / #15 Connection line for VT50 alarm lamp board 009-000632-00 #16 Connection line for VT50 key board (left) 009-000628-00 Touchscreen (10.4") connection line / Touchscreen (12.1") connection line / #18 Connection line for VT50 power switch board 009-000630-00 B1 VT50 AC-DC power board PCBA 051-000152-00 B2 VT50 DC-DC power board PCBA 051-000153-00 #17 7-4 S/N Description P/N B3 VT50 motherboard PCBA 051-000163-00 B4 VT30 monitoring board PCBA 051-000632-00 B5 VT50 monitoring board PCBA 051-000160-00 B6 VT50 extension board PCBA 051-000311-00 B7 VT50 main control board PCBA 051-000139-00 B8 VT50 key scanning board (right) PCBA 051-000180-00 B9 Copper axis encoder board 0010-30-43089 B10 VT50 alarm lamp board PCBA 051-000182-00 B11 VT50 key control board PCBA 051-000178-00 B12 VT50 key scanning board (left) PCBA 051-000179-00 B13 VT50 power switch board PCBA 051-000181-00 S1 Fan (U60T12MGA7-57) 024-000102-00 S2 Lithium battery 022-000008-00 S3 TFT LCD (10.4") 0010-10-12357 S4 TFT LCD (12.1") 0010-10-42633 S5 Inverter (used together with 10.4" screen) 0000-10-11020 S6 Inverter (used together with 12.1" screen) 022-000001-00 S7 Speaker 9200-21-10633 S8 Touchscreen (10.4") 0000-10-11086 S9 Touchscreen (12.1") 0000-10-10799 Notes: Fan “S1” is purchased material. The incoming material already has connection line “#3”. Fan “S7” is purchased material. The incoming material already has connection line “#14”. Touchscreen “S8/S9” is purchased material. The incoming material already has connection line “#17”. The BOM of “B10” already contains “#15”. 7.2.2 Electrical Connection B (auxiliary output assembly) Electrical connection diagram 7-5 Notes: Solid arrows indicate connections through cables. “Sxx” represents purchased material. “#xx” represents cable. The connection line between “S11” and “S12” is related to the power supply standards for China, Europe, Britain etc. “S12” already contains the cable under some standards. Therefore, the cable number is not given in the above diagram. Wiring S/N Description P/N #19 VT50 auxiliary output cable 009-000647-00 #20 VT50 main unit power cable 009-000624-00 S10 AC power put line (including Chinese, European, and British standards) / S11 Fuse (related to the power supply standards for China, Europe, Britain etc.) / S12 Auxiliary electrical outlet (including Chinese, European, and British standards) / 7.2.3 Electrical Connection C (Inspiratory connector assembly) Electrical connection diagram 7-6 Notes: Solid arrows indicate connections through cables. “Bxx” represents self-made boards and “Sxx” purchased materials. “#xx” represents cable. Wiring S/N Description P/N #21 Connection line for VT50 gas supply pressure switch 009-000615-00 Connection line for VT50 inspiration valve 009-000616-00 Proportional valve connection line 009-001502-00 #23 Connection line for VT50 safety valve 009-000617-00 #24 Connection line for VT50 three-way valve 009-000618-00 #25 Connection line for VT50 nebulization valve 009-000619-00 #26 Connection line for VT50 inspiratory flow sensor 009-000620-00 #27 Connection line for VT50 MOX-3 O2 cell 009-002591-00 B14 VT50 inspiration module board PCBA 051-000161-00 S13 O2 supply pressure switch / S14 Air supply pressure switch / S15 O2 inspiration valve / S16 Air inspiration valve / S17 Safety valve / S18 Three-way valve / S19 Nebulization valve (two-way valve) / S20 Three-way valve for Air and O2 switchover / S21 O2 inspiratory flow sensor / S22 Air inspiratory flow sensor / S23 O2 cell MOX-3 040-001275-00 #22 Notes: For E3/B3 ventilator, “#22” is “009-000616-00”. For E5/B5, “#22” is “009-001502-00”. 7-7 7.2.4 Electrical Connection D (Expiratory connector assembly) Electrical connection diagram Notes: Hollow arrows indicate connections through board-to-board connectors while solid arrows indicate connections through cables. “Bxx” represents self-made boards and “Sxx” purchased or outsourcing materials. “#xx” represents cable. Wiring S/N Description P/N #28 Connection line for VT50 expiration valve 009-000622-00 #29 Heating plate connection line / B15 VT50 expiration module board PCBA 051-000162-00 S24 Expiration valve (PEEP proportional valve) / S25 VT50 heating plate assembly 024-000087-00 S26 Three-way valve / Notes: Heating plate “S25” is purchased material. The incoming material already has connection line “#29”. 7-8 8 Parts 8.1 E3 Ventilator Main Unit Assembly 8.1.1 Exploded View 8.1.2 Parts List Note: The P/N of this assembly is 115-003793-00. S/N P/N Description Qty 1 M04-004015--- Cross recessed pan head screw with washer M3X8 12 2 115-003762-00 E3 display front housing assembly 1 3 115-003797-00 E3 display rear housing assembly 1 4 115-004524-00 Expiration Valve Assembly (E3/E5) 1 5 115-003798-00 E3 main unit enclosure assembly 1 6 115-003794-00 E3 ventilator kernel assembly 1 8-1 8.2 E5 Ventilator Main Unit Assembly 8.2.1 Exploded View 8.2.2 Parts List Note: The P/N of this assembly is 115-003799-00. S/N P/N Description Qty 1 115-003802-00 Main unit enclosure assembly (VT50) 1 2 115-003800-00 Ventilator kernel assembly (VT50) 1 3 115-004524-00 Expiration Valve Assembly (E3/E5) 1 4 M04-004015--- Cross recessed pan head screw with washer M3X8 4 8-2 8.3 E3 Ventilator Kernel Assembly 8.3.1 Exploded View 8.3.2 Parts List Note: The P/N of this assembly is 115-003794-00. S/N P/N Description Qty 1 115-003795-00 E3 ventilator rack Assembly 1 2 115-003792-00 Inspiration module assembly 1 3 115-003791-00 Expiration module 1 4 115-003787-00 Ventilator power Assembly 1 5 M04-004015--- Cross recessed pan head screw with washer M3X8 11 6 009-000614-00 Connection line for VT50 inspiratory connector board 1 8-3 8.4 E5 Ventilator Kernel Assembly 8.4.1 Exploded View 8.4.2 Parts List Note: The P/N of this assembly is 115-003800-00. S/N P/N Description Qty 1 115-003801-00 E5 ventilator rack Assembly 1 2 115-003791-00 Expiration module 1 3 009-000614-00 Connection line for VT50 inspiratory connector board 1 4 115-003792-00 Inspiration module assembly 1 5 M04-004015--- Cross recessed pan head screw with washer M3X8 11 6 115-003787-00 Ventilator power Assembly 1 8-4 8.5 E3 Ventilator Rack Assembly 8.5.1 Exploded View 8.5.2 Parts List Note: The P/N of this assembly is 115-003795-00. S/N P/N Description Qty 1 042-001083-00 E3 main unit rack 1 2 099-000078-00 PCB guide rail RBE-127 primary color nylon 66 3 3 051-000163-00 Motherboard 1 4 051-000160-00 Monitoring board 1 5 051-000311-00 Extension board 1 6 051-000139-00 Main control board 1 7 M05-010002-06 Lithium battery 11.1V4500mAh 2 8 034-000088-00 PCB disassembling tool 1 9 047-004728-00 Cushion for PCB disassembling tool 1 10 042-001073-00 Rear cover for module rack 1 11 047-001349-00 Air filter for module rack 1 12 024-000062-00 Conductive cushion for module rack rear cover 1 13 M04-004015--- Cross recessed pan head screw with washer M3X8 10 14 047-003426-00 Sealing cushion for ventilator motherboard 1 8-5 8.6 E5 Ventilator Rack Assembly 8.6.1 Exploded View 8.6.2 Parts List Note: The P/N of this assembly is 115-003801-00. S/N P/N Description Qty 1 042-001098-00 E5 main unit rack 1 2 099-000078-00 PCB guide rail RBE-127 primary color nylon 66 3 3 051-000163-00 Motherboard 1 4 051-000160-00 Monitoring board 1 5 051-000311-00 Extension board 1 6 051-000139-00 Main control board 1 7 M05-010002-06 Lithium battery 11.1V4500mAh 2 8 034-000088-00 PCB disassembling tool 1 9 047-004728-00 Cushion for PCB disassembling tool 1 10 042-001073-00 Rear cover for module rack 1 11 047-001349-00 Air filter for module rack 1 12 024-000062-00 Conductive cushion for module rack rear cover 1 13 M04-004015--- Cross recessed pan head screw with washer M3X8 10 14 047-003426-00 Sealing cushion for ventilator motherboard 1 15 009-000627-00 VT50 main unit internal UI connection line 1 8-6 8.7 Ventilator Power Assembly 8.7.1 Exploded View 8.7.2 Parts List Note: The P/N of this assembly is 115-003787-00. S/N P/N Description Qty 1 042-001459-00 Power box main body 1 2 047-002226-00 AC-DC insulating trip 1 3 051-000152-00 AC-DC power board 1 4 M04-004015--- Cross recessed pan head screw with washerM3X8 2 5 051-000153-00 DC-DC power board 1 6 041-001359-00 M3 screw 3 7 115-003788-00 Power panel assembly 1 8 M04-005005--- Cross recessed sunk screw M3x6 7 9 042-001075-00 Power box cover 1 10 047-004038-00 Insulating trip for power box cover 1 8-7 8.8 E3 Display Front Housing Assembly 8.8.1 Exploded View 8-8 8.8.2 Parts List Note: The P/N of this assembly is 115-003762-00, which is compatible with two types of LCD display. S/N P/N Description Qty 1 043-000509-00 Front housing (VT30) 1 2 9211-20-87295 Encoder mounting plate 1 3 0010-30-43089 Copper axis encoder board 1 4 043-000504-00 Alarm lamp 1 5 047-001195-00 Up-down waterproof strip (VT30) 2 6 047-001196-00 Left-right waterproof strip (VT30) 2 7 0000-10-11086 Groovy touchscreen electric resistance 10.4" five-wire antiglare 1 8 051-000180-00 VT50 key scanning board 2 1 9 051-000179-00 VT50 key scanning board 1 1 10 6800-20-50201 Power key 1 11 051-000181-00 VT50 system switch board 1 12 9211-20-87299 Knob 1 13 115-003763-00 E3 display assembly 1 14 043-000916-00 Key linkage plate 12 15 047-001205-00 Left key label (VT30) 1 16 047-001206-00 Right key label (VT30) 1 17 M04-003105--- Tapping screw PT3X8 10 18 M04-004015--- Cross recessed pan head screw with washer M3X8 8 8-9 8.8.3 E3 Display Assembly (configured with primary display) 8.8.3.1 Exploded View 8-10 8.8.3.2 Parts List Note: The P/N of this assembly is 115-003763-00. S/N P/N Description Qty 1 042-001025-00 E3 display bracket 1 2 047-004734-00 Internal shading plate for VT50 alarm lamp 1 3 0010-10-12357 AU LCD display TFT10.4" 1 4 M04-000805--- Cross recessed pan head screw M2x8 4 5 047-001202-00 Stop plate (VT30) 1 6 047-001197-00 Left-right touchscreen press strip (VT30) 2 7 047-001198-00 Up-down touchscreen press strip (VT30) 2 8 047-004733-00 External shading plate for VT50 alarm lamp 1 9 043-000505-00 Light block 1 10 051-000182-00 VT50 Alarm lamp board 1 11 0000-10-11020 Inverter DC/AC12VDC500Vrms6mA 1 12 7000-20-24417 Backlight board insulating trip 1 13 M04-051137--- Cross recessed pan head screw M2x4 2 14 051-000178-00 VT50 key main board 1 15 047-001200-00 Speaker cushion 2 1 16 042-001026-00 Speaker press plate 1 17 9200-21-10633 2.25" speaker and connection line 1 18 047-001199-00 Speaker cushion 1 1 19 M04-004015--- Cross recessed pan head screw with washer M3X8 8 8-11 8.8.4 E3 Display Assembly (configured with secondary display) 8.8.4.1 Exploded View 8-12 8.8.4.2 Parts List Note: The P/N of this assembly is 115-003763-00. S/N P/N Description Qty 1 042-001025-00 E3 display bracket 1 2 047-004734-00 Internal shading plate for VT50 alarm lamp 1 3 0010-10-11021 LG LCD display TFT 10.4" 1 4 042-001240-00 10.4" LG display support piece 2 1 5 047-001202-00 Stop plate (VT30) 1 6 047-001197-00 Left-right touchscreen press strip (VT30) 2 7 047-001198-00 Up-down touchscreen press strip (VT30) 2 8 047-004733-00 External shading plate for VT50 alarm lamp 1 9 043-000505-00 Light block 1 10 051-000182-00 VT50 Alarm lamp board 1 11 0000-10-11020 Inverter DC/AC12VDC500Vrms6mA 1 12 7000-20-24417 Backlight board insulating trip 1 13 M04-051137--- Cross recessed pan head screw M2x4 6 14 051-000178-00 VT50 key main board 1 15 047-001200-00 Speaker cushion 2 1 16 042-001026-00 Speaker press plate 1 17 9200-21-10633 2.25" speaker and connection line 1 18 047-001199-00 Speaker cushion 1 1 19 M04-004015--- Cross recessed pan head screw with washer M3X8 12 20 042-001239-00 10.4" LG display support piece 1 1 8-13 8.9 E5 Display Assembly 8.9.1 Exploded View 8.9.2 Parts List Note: The P/N of this assembly is 115-003757-00. S/N P/N Description Qty 1 115-003758-00 Display front housing assembly (VT50) 1 2 115-003759-00 Display rear housing assembly (VT50) 1 3 M04-004015--- Cross recessed pan head screw with washer M3X8 8 8-14 8.10 E5 Display Front Housing Assembly 8.10.1 Exploded View 8.10.2 Parts List Note: The P/N of this assembly is 115-003758-00, which is compatible with two types of LCD display. S/N P/N Description Qty 1 043-000503-00 Front housing (VT50) 1 2 043-000504-00 Alarm lamp 1 3 043-000916-00 Key linkage plate 12 4 047-001204-00 Right key label (VT50) 1 5 9211-20-87299 Knob 1 6 9211-20-87295 Encoder mounting plate 1 7 0010-30-43089 Copper axis encoder board 1 8 047-001203-00 Left key label (VT50) 1 9 047-001192-00 Up-down waterproof strip (VT50) 2 10 6800-20-50201 Power key 1 8-15 S/N P/N Description Qty 11 047-001191-00 Left-right waterproof strip (VT50) 2 12 051-000181-00 VT50 system switch board 1 13 051-000179-00 VT50 key scanning board 1 1 14 M04-003105--- Tapping screw PT3X8 10 15 M04-004015--- Cross recessed pan head screw with washer M3X8 7 16 115-003760-00 Display assembly (VT50) 1 17 051-000180-00 VT50 key scanning board 2 1 18 0000-10-10799 Groovy touchscreen electric resistance 12.1" five-wire 1 8.10.3 E5 Display Assembly (configured with primary display) 8.10.3.1 Exploded View 8-16 8.10.3.2 Parts List Note: The P/N of this assembly is 115-003760-00. S/N P/N Description Qty 1 042-001024-00 Display bracket (VT50) 1 2 047-004734-00 Internal shading plate for VT50 alarm lamp 1 3 0010-10-42632 LCD display TFT12.1"AU 1 4 047-001201-00 Stop plate (VT50) 1 5 6802-20-66739 Touchscreen press strip 4 2 6 6802-20-66738 Touchscreen press strip 3 2 7 M04-004015--- Cross recessed pan head screw with washer M3X8 14 8 022-000001-00 Inverter 1 9 9211-20-87387 TPI Backlight board insulating trip 1 10 043-000505-00 Light block 1 11 047-004733-00 External shading plate for VT50 alarm lamp 1 12 047-001200-00 Speaker cushion 2 1 13 051-000182-00 VT50 Alarm lamp board 1 14 9200-21-10633 2.25" speaker and connection line 1 15 042-001026-00 Speaker press plate 1 16 047-001199-00 Speaker cushion 1 1 17 051-000178-00 VT50 key main board 1 8-17 8.10.4 E5 Display Assembly (configured with secondary display) 8.10.4.1 Exploded View 8.10.4.2 Parts List Note: The P/N of this assembly is 115-003763-00. S/N P/N Description Qty 1 042-001024-00 Display bracket (VT50) 1 2 047-004734-00 Internal shading plate for VT50 alarm lamp 1 3 0000-10-11092 LG LB121S03 1 4 047-001201-00 Stop plate (VT50) 1 5 6802-20-66739 Touchscreen press strip 4 2 6 6802-20-66738 Touchscreen press strip 3 2 7 M04-004015--- Cross recessed pan head screw with washer M3X8 14 8 022-000001-00 Inverter 1 9 9211-20-87387 TPI Backlight board insulating trip 1 10 043-000505-00 Light block 1 11 047-004733-00 External shading plate for VT50 alarm lamp 1 12 047-001200-00 Speaker cushion 2 1 13 051-000182-00 VT50 Alarm lamp board 1 14 9200-21-10633 2.25" speaker and connection line 1 8-18 S/N P/N Description Qty 15 042-001026-00 Speaker press plate 1 16 047-001199-00 Speaker cushion 1 1 17 051-000178-00 VT50 key main board 1 8.11 Gas Supply Control Assembly (VT30/DISS) 8.11.1 Exploded View 8-19 8.11.2 Parts List Note: The P/N of this assembly is 115-007477-00. S/N P/N Description Qty 1 042-001569-00 Inspiration module fixing bracket 1 2 041-001536-00 Nebulizer connector 1 3 024-000101-00 SENSOR Flow Oxygen 300slpm 5VDC 1 4 024-000100-00 SENSOR Flow Air 300slpm 5VDC 1 5 041-003284-00 Nebulization pneumatic resistor 2 6 M04-004015--- Cross recessed small pan head screw with washer GB9074.5-88 M3X8 zinc plated, yellow 9 7 051-000161-00 VT50 inspiration module board PCBA 1 8 042-001069-00 Inspiratory board seat 1 9 M04-051139--- Cross recessed small pan head screw assembly GB/T9074.8 M4X12, zinc plated, yellow 5 10 115-007298-00 Ventilator pneumatic block assembly (VT30/DISS) 1 11 115-008652-00 Filter screen assembly at inspiratory port 2 12 082-000566-00 O-ring 21.2X1.8 silicone A50 2 8-20 8.12 Gas Supply Control Assembly (VT30/NIST) 8.12.1 Exploded View 8-21 8.12.2 Parts List Note: The P/N of this assembly is 115-007478-00. S/N P/N Description Qty 1 042-001569-00 Inspiration module fixing bracket 1 2 041-001536-00 Nebulizer connector 1 3 024-000101-00 SENSOR Flow Oxygen 300slpm 5VDC 1 4 024-000100-00 SENSOR Flow Air 300slpm 5VDC 1 5 041-003284-00 Nebulization pneumatic resistor 2 6 M04-004015--- Cross recessed small pan head screw with washer GB9074.5-88 M3X8 zinc plated, yellow 9 7 051-000161-00 VT50 inspiration module board PCBA 1 8 042-001069-00 Inspiratory board seat 1 9 M04-051139--- Cross recessed small pan head screw assembly GB/T9074.8 M4X12, zinc plated, yellow 5 10 115-007296-00 Ventilator pneumatic block assembly (VT30/NIST) 1 11 115-008652-00 Filter screen assembly at inspiratory port 2 12 082-000566-00 O-ring 21.2X1.8 silicone A50 2 8-22 8.13 Gas Supply Control Assembly (VT50/DISS) 8.13.1 Exploded View 8-23 8.13.2 Parts List Note: The P/N of this assembly is 115-007475-00. S/N P/N Description Qty 1 042-001569-00 Inspiration module fixing bracket 1 2 041-001536-00 Nebulizer connector 1 3 024-000101-00 SENSOR Flow Oxygen 300slpm 5VDC 1 4 024-000100-00 SENSOR Flow Air 300slpm 5VDC 1 5 041-003284-00 Nebulization pneumatic resistor 2 6 115-006564-00 Flow control assembly (VT50) 1 7 082-000739-00 O-ring 6.5X1.5 fluorine rubber A75 black 2 8 M04-004015--- Cross recessed small pan head screw with washer GB9074.5-88 M3X8 zinc plated, yellow 9 9 051-000161-00 VT50 inspiration module board PCBA 1 10 042-001069-00 Inspiratory board seat 1 11 M04-051139--- Cross recessed small pan head screw assembly GB/T9074.8 M4X12, zinc plated, yellow 5 12 115-007299-00 Ventilator pneumatic block assembly (VT50/DISS) 1 13 M04-021005--- Single coil spring lock washer, normal type, GB/T93-1987 4, zinc plated, yellow 4 14 M04-051073--- Hexagon socket cap head screw GB/T70.1-2000 M4X12 zinc plated, yellow 4 15 115-008652-00 Filter screen assembly at inspiratory port 2 16 082-000566-00 O-ring 21.2X1.8 silicone A50 2 8-24 8.14 Gas Supply Control Assembly (VT50/NIST) 8.14.1 Exploded View 8-25 8.14.2 Parts List Note: The P/N of this assembly is 115-007476-00. S/N P/N Description Qty 1 042-001569-00 Inspiration module fixing bracket 1 2 041-001536-00 Nebulizer connector 1 3 024-000101-00 SENSOR Flow Oxygen 300slpm 5VDC 1 4 024-000100-00 SENSOR Flow Air 300slpm 5VDC 1 5 041-003284-00 Nebulization pneumatic resistor 2 6 115-006564-00 Flow control assembly (VT50) 1 7 082-000739-00 O-ring 6.5X1.5 fluorine rubber A75 black 2 8 M04-004015--- Cross recessed small pan head screw with washer GB9074.5-88 M3X8 zinc plated, yellow 9 9 051-000161-00 VT50 inspiration module board PCBA 1 10 042-001069-00 Inspiratory board seat 1 11 M04-051139--- Cross recessed small pan head screw assembly GB/T9074.8 M4X12, zinc plated, yellow 5 12 115-007297-00 Ventilator pneumatic block assembly (VT50/NIST) 1 13 M04-021005--- Single coil spring lock washer, normal type, GB/T93-1987 4, zinc plated, yellow 4 14 M04-051073--- Hexagon socket cap head screw GB/T70.1-2000 M4X12 zinc plated, yellow 4 15 115-008652-00 Filter screen assembly at inspiratory port 2 16 082-000566-00 O-ring 21.2X1.8 silicone A50 2 8-26 8.15 Flow Control Assembly (VT50) 8.15.1 Exploded View 8.15.2 Parts List Note: The P/N of this assembly is 115-006564-00. S/N P/N Description Qty 1 M04-021005--- Single coil spring lock washer, normal type, GB/T93-1987 4, zinc plated, yellow 4 2 M04-051073--- Hexagon socket cap head screw GB/T70.1-2000 M4X12 zinc plated, yellow 4 3 082-000574-00 Proportional valve 1350-5102 2 4 082-000739-00 O-ring 6.5X1.5 fluorine rubber A75 black 4 5 M6Q-120036--- Plug, hexagon, 0919-00-10 2 6 M04-021063--- G1/8 nylon washer 0602 23 1020 2 7 041-002975-00 E5 inspiration valve seat 1 8-27 8.16 Safety Valve Gas Reservoir Assembly 8.16.1 Exploded View 8.16.2 Parts List Note: The P/N of this assembly is 115-003883-00. S/N P/N Description Qty 1 115-004729-00 Gas reservoir assembly 1 2 115-004728-00 Safety valve assembly 1 3 M04-051139--- Cross recessed small pan head screw assembly GB/T9074.8 M4X12, zinc plated, yellow 4 4 115-004727-00 Safety valve seat assembly 1 5 M04-000405--- Cross recessed sunk screw GB/T819.1-2000 M3X8 zinc plated, yellow 4 8-28 8.17 Gas Reservoir Assembly 8.17.1 Exploded View 8.17.2 Parts List Note: The P/N of this assembly is 115-004729-00. S/N P/N Description Qty 1 040-001275-00 O2 sensor 1 2 041-002966-00 O2 sensor transitional part 1 3 M6M-010015--- O-ring 17.17X1.78 silicone A70 black 1 4 043-000555-00 Safety valve gas reservoir 1 5 042-003013-00 O2 sensor press plate 1 6 049-000082-00 Sealing cushion for safety valve gas reservoir 1 7 042-003253-00 Safety valve assembly sheet metal 1 8 M04-004015--- Cross recessed small pan head screw with washer GB9074.5-88 M3X8 zinc plated, yellow 6 8-29 8.18 Safety Valve Assembly 8.18.1 Exploded View 8.18.2 Parts List Note: The P/N of this assembly is 115-004728-00. S/N P/N Description Qty 1 043-000554-00 Safety valve shell 1 2 M6M-010064--- O-ring 20X2 fluorine rubber A50 1 3 115-004653-00 Safety valve cover assembly 1 4 042-003014-00 Safety valve support plate 1 5 024-000119-00 Electromagnet 12V 48ohm range 6mm 1 6 M04-004015--- Cross recessed small pan head screw with washer GB9074.5-88 M3X8 zinc plated, yellow 6 7 033-000135-00 C-shape clamping ring 1 8 049-000081-00 Check valve diaphragm 1 9 042-001207-00 Pressure relief valve fixed plate 1 8-30 S/N P/N Description Qty 10 049-000175-00 Sealing silicone part for safety valve 1 11 115-001374-00 10cmH2O pressure relief valve 1 8.19 Safety Valve Seat Assembly 8.19.1 Exploded View 8.19.2 Parts List Note: The P/N of this assembly is 115-004727-00. S/N P/N Description Qty 1 041-001795-00 Safety valve seat 1 2 082-000533-00 Muffler G3/8,06700017 1 3 082-000566-00 O-ring 21.2X1.8 silicone A50 2 4 M04-021063--- G1/8 nylon washer 0602 23 1020 1 5 M6M-010020--- O-ring 12.42X1.78 EPT A70 black 1 6 M6Q-120036--- Plug, hexagon, 0919-00-10 1 7 M04-004015--- Cross recessed small pan head screw with washer GB9074.5-88 M3X8 zinc plated, yellow 2 8 041-002967-00 Plug for pressure relief valve 1 9 115-008960-00 11kPa pressure relief valve 2 10 M04-051094--- Stainless steel hexagon socket cap head screw GB/T70.1-2000 M3X16 passivation 2 11 082-000304-00 Valve, three-way valve, 12VDC, Air, normally ON 1 8-31 8.20 Expiration Module (E3/E5) 8.20.1 Exploded View 8.20.2 Parts List Note: The P/N of this assembly is 115-007524-00. S/N P/N Description Qty 1 115-004524-00 Expiration valve assembly (E3/E5) 1 2 115-003791-00 Expiration valve seat assembly 1 8-32 8.21 Expiration Valve Assembly (E3/E5) 8.21.1 Exploded View 8.21.2 Parts List Note: The P/N of this assembly is 115-004524-00. S/N P/N Description Qty 1 043-000551-00 Water trap 1 2 115-009283-00 Check valve assembly 1 3 M6M-010032--- O-ring 18X2.5 silicone red A50 1 4 043-000552-00 Expiration valve elbow pipe 1 5 M6M-010058--- O-ring 16X2 fluorine rubber A50 1 6 043-000532-00 Expiration module door 1 7 115-005288-00 Expiration valve flow sensor assembly 1 8 049-000081-00 Check valve diaphragm 1 9 043-000550-00 Expiration valve 1 8-33 S/N P/N Description Qty 10 049-000083-00 Expiration valve upper diaphragm 1 11 041-001415-00 Expiration valve diaphragm support part 1 12 049-000066-00 Expiration valve lower diaphragm 1 13 082-000565-00 O-ring 31.47X1.78 silicone A50 red 1 14 043-000553-00 Expiration valve cover 1 8.22 Expiration Valve Flow Sensor Assembly 8.22.1 Exploded View 8.22.2 Parts List Note: The P/N of this assembly is 115-005288-00. S/N P/N Description Qty 1 043-000733-00 Front end of expiration valve flow sensor 1 2 043-000776-00 Flow sensor bent pipe 1 3 0601-20-69702 Flow sensor diaphragm 1 4 043-000734-00 Rear end of expiration valve flow sensor 1 5 043-000985-00 Flow sensor filter 1 6 M6M-010016--- O-ring 23.60X2.65 silicone A70 red 3 8-34 8.23 Expiration Valve Seat Assembly 8.23.1 Exploded View 8-35 8.23.2 Parts List Note: The P/N of this assembly is 115-003791-00. S/N P/N Description Qty 1 041-001359-00 M3 screw 8 2 042-001079-00 Expiration module fixing bracket 1 3 M04-004015--- Cross recessed pan head screw with washer M3X8 10 4 051-000162-00 VT50 expiration module board PCBA 1 5 082-000453-00 Connector, tee 1 6 082-000571-00 Valve, metal needle valve, applicable to ID.1/8'' tube 1 7 115-003885-00 Three-way valve assembly 1 8 041-002290-00 Lock rod fixed seat 1 9 033-000054-00 Expiration valve latch spring 1 10 041-001670-00 Expiration valve lock rod 1 11 047-001351-00 Fixed plate for expiration valve shell heating plate 1 12 M90-100030--- Connector, Y,200Barb,1/8"ID,White Nylon 2 13 024-000087-00 VT50 heating plate assembly 1 14 045-000223-00 Expiration valve heat conductive cushion 1 1 15 041-003317-00 Expiration valve shell assembly 1 16 115-005336-00 Expiratory flow sensor seat assembly 1 17 041-002291-00 Expiration valve thermal baffle 2 18 115-006751-00 PEEP valve seat assembly 1 M04-051139--- Cross recessed small pan head screw assembly GB/T9074.8 M4X12, zinc plated, yellow 4 19 8-36 8.24 Three-way Valve Assembly 8.24.1 Exploded View 8.24.2 Parts List Note: The P/N of this assembly is 115-003885-00. S/N P/N Description Qty 1 041-001414-00 Three-way valve seat 1 2 082-000739-00 O-ring 6.5X1.5 fluorine rubber A75 black 2 3 M90-100060--- Connector.Thread,10-32UNF,1/4"Hex,1/8"ID 2 4 M04-051094--- Stainless steel hexagon socket cap head screw GB/T70.1-2000 M3X16 passivation 2 5 082-000304-00 Valve, three-way valve, 12VDC, Air, permanently ON 1 8-37 8.25 Expiratory Flow Sensor Seat Assembly 8.25.1 Exploded View 8.25.2 Parts List Note: The P/N of this assembly is 115-005336-00. S/N P/N Description Qty 1 M90-100060--- Connector.Thread,10-32UNF,1/4"Hex,1/8"ID 2 2 041-002973-00 Expiratory flow sensor seat 1 3 082-000739-00 O-ring 6.5X1.5 fluorine rubber A75 black 2 8-38 8.26 PEEP Valve Seat Assembly 8.26.1 Exploded View 8.26.2 Parts List Note: The P/N of this assembly is 115-006751-00. S/N P/N Description Qty 1 M04-051094--- Stainless steel hexagon socket cap head screw GB/T70.1-2000 M3X16 passivation 2 2 082-000575-00 Proportional valve VSONC-5S11-VAF0 1 3 M6M-010045--- O-ring 2.5X1 EPT A50 black 2 4 M6Q-030015--- Straight connector 3175-06-10 1 5 M6Q-030014--- Straight connector 3175-04-10 1 6 041-002974-00 PEEP valve seat 1 7 M04-021062--- M5 nylon washer 0602 29 93 15 2 8 M04-051144--- Hexagon socket cap head screw GB/T70.1-2000 M5X6 zinc plated, yellow 2 9 082-000532-00 Muffler.G1/4,06700013 1 10 047-003881-00 PEEP valve muffler gasket 1 8-39 FOR YOUR NOTES 8-40 P/N: 046-000997-00(5.0)