CARESCAPE R860 Technical Reference Manual Technical competence The procedures described in this Technical Reference manual should be performed by trained and authorized personnel only. Maintenance should only be undertaken by competent individuals who have a general knowledge of and experience with devices of this nature. No repairs should ever be undertaken or attempted by anyone not having such qualifications. Datex-Ohmeda strongly recommends using only genuine replacement parts, manufactured or sold by Datex-Ohmeda for all repair parts replacements. CAUTION Read completely through each step in every procedure before starting the procedure; any exceptions may result in a failure to properly and safely complete the attempted procedure. WARNING (EN) This service manual is available in English only. • If a customer's service provider requires a language other than english, it is the customer's responsibility to provide translation services. • Do not attempt to service the equipment unless this service manual has been consulted and is understood. • Failure to heed this warning may result in injury to the service provider, operator or patient from electric shock, mechanical or other hazards. ПРЕДУПРЕЖДЕНИЕ Това упътване за работа е налично само на английски език. (BG) VÝSTRAHA (CS) ADVARSEL (DA) WARNUNG (DE) UPOZORENJE (HR) • Ако доставчикът на услугата на клиента изиска друг език, задължение на клиента е да осигури превод. • Не използвайте оборудването, преди да сте се консултирали и разбрали упътването за работа. • Неспазването на това предупреждение може да доведе до нараняване на доставчика на услугата, оператора или пациентa в резултат на токов удар, механична или друга опасност. Tento provozní návod existuje pouze v anglickém jazyce. • V případě, že externí služba zákazníkům potřebuje návod v jiném jazyce, je zajištění překladu do odpovídajícího jazyka úkolem zákazníka. • Nesnažte se o údržbu tohoto zařízení, aniž byste si přečetli tento provozní návod a pochopili jeho obsah. • V případě nedodržování této výstrahy může dojít k poranění pracovníka prodejního servisu, obslužného personálu nebo pacientů vlivem elektrického proudu, respektive vlivem mechanických či jiných rizik. Denne servicemanual findes kun på engelsk. • Hvis en kundes tekniker har brug for et andet sprog end engelsk, er det kundens ansvar at sørge for oversættelse. • Forsøg ikke at servicere udstyret uden at læse og forstå denne servicemanual. • Manglende overholdelse af denne advarsel kan medføre skade på grund af elektrisk stød, mekanisk eller anden fare for teknikeren, operatøren eller patienten. Diese Serviceanleitung existiert nur in englischer Sprache. • Falls ein fremder Kundendienst eine andere Sprache benötigt, ist es Aufgabe des Kunden für eine entsprechende Übersetzung zu sorgen. • Versuchen Sie nicht diese Anlage zu warten, ohne diese Serviceanleitung gelesen und verstanden zu haben. • Wird diese Warnung nicht beachtet, so kann es zu Verletzungen des Kundendiensttechnikers, des Bedieners oder des Patienten durch Stromschläge, mechanische oder sonstige Gefahren kommen. Ovaj servisni priručnik dostupan je na engleskom jeziku. • Ako davatelj usluge klijenta treba neki drugi jezik, klijent je dužan osigurati prijevod. • Ne pokušavajte servisirati opremu ako niste u potpunosti pročitali i razumjeli ovaj servisni priručnik. • Zanemarite li ovo upozorenje, može doći do ozljede davatelja usluge, operatera ili pacijenta uslijed strujnog udara, mehaničkih ili drugih rizika. 1 ΠΡΟΕΙΔΟΠΟΙΗΣΗ (EL) ATENCION (ES) HOIATUS (ET) VAROITUS (FI) ATTENTION (FR) 2 Το παρόν εγχειρίδιο σέρβις διατίθεται μόνο στα αγγλικά. • Εάν ο τεχνικός σέρβις ενός πελάτη απαιτεί το παρόν εγχειρίδιο σε γλώσσα εκτός των αγγλικών, αποτελεί ευθύνη του πελάτη να παρέχει τις υπηρεσίες μετάφρασης. • Μην επιχειρήσετε την εκτέλεση εργασιών σέρβις στον εξοπλισμό αν δεν έχετε συμβουλευτεί και κατανοήσει το παρόν εγχειρίδιο σέρβις. • Αν δεν προσέξετε την προειδοποίηση αυτή, ενδέχεται να προκληθεί τραυματισμός στον τεχνικό σέρβις, στο χειριστή ή στον ασθενή από ηλεκτροπληξία, μηχανικούς ή άλλους κινδύνους. Este manual de servicio sólo existe en inglés. • Si el encargado de mantenimiento de un cliente necesita un idioma que no sea el inglés, el cliente deberá encargarse de la traducción del manual. • No se deberá dar servicio técnico al equipo, sin haber consultado y comprendido este manual de servicio. • La no observancia del presente aviso puede dar lugar a que el proveedor de servicios, el operador o el paciente sufran lesiones provocadas por causas eléctricas, mecánicas o de otra naturaleza. See teenindusjuhend on saadaval ainult inglise keeles • Kui klienditeeninduse osutaja nõuab juhendit inglise keelest erinevas keeles, vastutab klient tõlketeenuse osutamise eest. • Ärge üritage seadmeid teenindada enne eelnevalt käesoleva teenindusjuhendiga tutvumist ja sellest aru saamist. • Käesoleva hoiatuse eiramine võib põhjustada teenuseosutaja, operaatori või patsiendi vigastamist elektrilöögi, mehaanilise või muu ohu tagajärjel. Tämä huolto-ohje on saatavilla vain englanniksi. • Jos asiakkaan huoltohenkilöstö vaatii muuta kuin englanninkielistä materiaalia, tarvittavan käännöksen hankkiminen on asiakkaan vastuulla. • Älä yritä korjata laitteistoa ennen kuin olet varmasti lukenut ja ymmärtänyt tämän huolto-ohjeen. • Mikäli tätä varoitusta ei noudateta, seurauksena voi olla huoltohenkilöstön, laitteiston käyttäjän tai potilaan vahingoittuminen sähköiskun, mekaanisen vian tai muun vaaratilanteen vuoksi. Ce manuel d’installation et de maintenance est disponible uniquement en anglais. • Si le technicien d'un client a besoin de ce manuel dans une langue autre que l'anglais, il incombe au client de le faire traduire. • Ne pas tenter d'intervenir sur les équipements tant que ce manuel d’installation et de maintenance n'a pas été consulté et compris. • Le non-respect de cet avertissement peut entraîner chez le technicien, l'opérateur ou le patient des blessures dues à des dangers électriques, mécaniques ou autres. M1192872 A 08 2015 FIGYELMEZTETÉS (HU) PERINGATAN (ID) AÐVÖRUN (IS) AVVERTENZA (IT) 警告 (JA) M1192872 A 08 2015 Ezen karbantartási kézikönyv kizárólag angol nyelven érhető el. • Ha a vevő szolgáltatója angoltól eltérő nyelvre tart igényt, akkor a vevő felelőssége a fordítás elkészíttetése. • Ne próbálja elkezdeni használni a berendezést, amíg a karbantartási kézikönyvben leírtakat nem értelmezték. • Ezen figyelmeztetés figyelmen kívül hagyása a szolgáltató, működtető vagy a beteg áramütés, mechanikai vagy egyéb veszélyhelyzet miatti sérülését eredményezheti. Panduan Servis ini hanya tersedia dalam Bahasa Inggris. • Jika penyedia layanan pelanggan memerlukan bahasa di luar Bahasa Inggris, maka pelanggan bertanggung jawab untuk memberikan layanan tersebut. • Jangan mencoba menyervis peralatan ini, kecuali Panduan Servis ini telah dijadikan rujukan dan dipahami dengan baik. • Kelalaian memperhatikan Peringatan ini dapat menyebabkan cedera terhadap penyedia layanan, operator, atau pasien akibat bahaya kejutan listrik, mekanik, dan bahaya lainnya. Þessi þjónustuhandbók er aðeins fáanleg á ensku. • Ef að þjónustuveitandi viðskiptamanns þarfnast annas tungumáls en ensku, er það skylda viðskiptamanns að skaffa tungumálaþjónustu. • Reynið ekki að afgreiða tækið nema að þessi þjónustuhandbók hefur verið skoðuð og skilin. • Brot á sinna þessari aðvörun getur leitt til meiðsla á þjónustuveitanda, stjórnanda eða sjúklings frá raflosti, vélrænu eða öðrum áhættum. Il presente manuale di manutenzione è disponibile soltanto in lingua inglese. • Se un addetto alla manutenzione richiede il manuale in una lingua diversa, il cliente è tenuto a provvedere direttamente alla traduzione. • Procedere alla manutenzione dell'apparecchiatura solo dopo aver consultato il presente manuale ed averne compreso il contenuto. • Il mancato rispetto della presente avvertenza potrebbe causare lesioni all'addetto alla manutenzione, all'operatore o ai pazienti provocate da scosse elettriche, urti meccanici o altri rischi. このサービスマニュアルには英語版しかありません。 • サービスを担当される業者が英語以外の言語を要求される場 合、翻訳作業はその業者の責任で行うものとさせていただき ます。 • このサービスマニュアルを熟読し理解せずに、装置のサービ スを行わないでください。 • この警告に従わない場合、サービスを担当される方、操作員 あるいは患者さんが、感電や機械的又はその他の危険により 負傷する可能性があります。 3 ЕСКЕРТУ (KK) 경고 (KO) ĮSPĖJIMAS (LT) BRĪDINĀJUMS (LV) WAARSCHUWING (NL) ADVARSEL (NO) 4 Осы қызмет көрсету нұсқаулығы тек ағылшын тілінде қолжетімді. • Егер тұтынушылардың қызметтер жеткізушісі ағылшын тілінен басқа тілді талап етсе, аудару қызметтерімен қамтамасыз ету тұтынушының жауапкершілігіне кіреді. • Осы қызмет көрсету нұсқаулығын түсініп, ол туралы кеңес алмайынша жабдыққа қызмет көрсетуге тырыспаңыз. • Осы ескертуді орындамау электр тогының соғуы, механикалық немесе басқа да қауіптер салдарынан қызметтер жеткізушісінің, оператордың немесе емделушінің жарақаттануына алып келуі мүмкін. 본• 서비스 영어로만영어 이용하실 있습니다 . 경우 , 번 고객의 매뉴얼은 서비스 제공자가 이외의수언어를 요구할 서비스를매뉴얼을 제공하는참조하여 것은 고객의 책임입니다 • 역본 서비스 숙지하지 않은 이상. 해당 장비를 수리하려고 시도하지 마십시오 . • 는본 기타 경고 위험으로 사항에 유의하지 않으면제공자 전기 ,쇼크 , 기계적 위험 , 또 인해 서비스 사용자 또는 환자에게 부상을 입힐 수 있습니다 . Šis eksploatavimo vadovas yra tik anglų kalba. • Jei kliento paslaugų tiekėjas reikalauja vadovo kita kalba – ne anglų, suteikti vertimo paslaugas privalo klientas. • Nemėginkite atlikti įrangos techninės priežiūros, jei neperskaitėte ar nesupratote šio eksploatavimo vadovo. • Jei nepaisysite šio įspėjimo, galimi paslaugų tiekėjo, operatoriaus ar paciento sužalojimai dėl elektros šoko, mechaninių ar kitų pavojų. Šī apkopes rokasgrāmata ir pieejama tikai angļu valodā. • Ja klienta apkopes sniedzējam nepieciešama informācija citā valodā, klienta pienākums ir nodrošināt tulkojumu. • Neveiciet aprīkojuma apkopi bez apkopes rokasgrāmatas izlasīšanas un saprašanas. • Šī brīdinājuma neievērošanas rezultātā var rasties elektriskās strāvas trieciena, mehānisku vai citu faktoru izraisītu traumu risks apkopes sniedzējam, operatoram vai pacientam. Deze onderhoudshandleiding is enkel in het Engels verkrijgbaar. • Als het onderhoudspersoneel een andere taal vereist, dan is de klant verantwoordelijk voor de vertaling ervan. • Probeer de apparatuur niet te onderhouden alvorens deze onderhoudshandleiding werd geraadpleegd en begrepen is. • Indien deze waarschuwing niet wordt opgevolgd, zou het onderhoudspersoneel, de operator of een patiënt gewond kunnen raken als gevolg van een elektrische schok, mechanische of andere gevaren. Denne servicehåndboken finnes bare på engelsk. • Hvis kundens serviceleverandør har bruk for et annet språk, er det kundens ansvar å sørge for oversettelse. • Ikke forsøk å reparere utstyret uten at denne servicehåndboken er lest og forstått. • Manglende hensyn til denne advarselen kan føre til at serviceleverandøren, operatøren eller pasienten skades på grunn av elektrisk støt, mekaniske eller andre farer. M1192872 A 08 2015 OSTRZEŻENIE (PL) ATENÇÃO (PT-BR) ATENÇÃO (PT-PT) ATENŢIE (RO) ОСТОРОЖНО! (RU) M1192872 A 08 2015 Niniejszy podręcznik serwisowy dostępny jest jedynie w języku angielskim. • Jeśli serwisant klienta wymaga języka innego niż angielski, zapewnienie usługi tłumaczenia jest obowiązkiem klienta. • Nie próbować serwisować urządzenia bez zapoznania się z niniejszym podręcznikiem serwisowym i zrozumienia go. • Niezastosowanie się do tego ostrzeżenia może doprowadzić do obrażeń serwisanta, operatora lub pacjenta w wyniku porażenia prądem elektrycznym, zagrożenia mechanicznego bądź innego. Este manual de assistência técnica encontra-se disponível unicamente em inglês. • Se outro serviço de assistência técnica solicitar a tradução deste manual, caberá ao cliente fornecer os serviços de tradução. • Não tente reparar o equipamento sem ter consultado e compreendido este manual de assistência técnica. • A não observância deste aviso pode ocasionar ferimentos no técnico, operador ou paciente decorrentes de choques elétricos, mecânicos ou outros. Este manual de assistência técnica só se encontra disponível em inglês. • Se qualquer outro serviço de assistência técnica solicitar este manual noutro idioma, é da responsabilidade do cliente fornecer os serviços de tradução. • Não tente reparar o equipamento sem ter consultado e compreendido este manual de assistência técnica. • O não cumprimento deste aviso pode colocar em perigo a segurança do técnico, do operador ou do paciente devido a choques eléctricos, mecânicos ou outros. Acest manual de service este disponibil doar în limba engleză. • Dacă un furnizor de servicii pentru clienţi necesită o altă limbă decât cea engleză, este de datoria clientului să furnizeze o traducere. • Nu încercaţi să reparaţi echipamentul decât ulterior consultării şi înţelegerii acestui manual de service. • Ignorarea acestui avertisment ar putea duce la rănirea depanatorului, operatorului sau pacientului în urma pericolelor de electrocutare, mecanice sau de altă natură. Данное руководство по техническому обслуживанию представлено только на английском языке. • Если сервисному персоналу клиента необходимо руководство не на английском, а на каком-то другом языке, клиенту следует самостоятельно обеспечить перевод. • Перед техническим обслуживанием оборудования обязательно обратитесь к данному руководству и поймите изложенные в нем сведения. • Несоблюдение требований данного предупреждения может привести к тому, что специалист по техобслуживанию, оператор или пациент получит удар электрическим током, механическую травму или другое повреждение. 5 UPOZORNENIE (SK) OPOZORILO (SL) UPOZORENJE (SR) VARNING (SV) (TR) 6 Tento návod na obsluhu je k dispozícii len v angličtine. • Ak zákazníkov poskytovateľ služieb vyžaduje iný jazyk ako angličtinu, poskytnutie prekladateľských služieb je zodpovednosťou zákazníka. • Nepokúšajte sa o obsluhu zariadenia, kým si neprečítate návod na obluhu a neporozumiete mu. • Zanedbanie tohto upozornenia môže spôsobiť zranenie poskytovateľa služieb, obsluhujúcej osoby alebo pacienta elektrickým prúdom, mechanické alebo iné ohrozenie. Ta servisni priročnik je na voljo samo v angleščini. • Če ponudnik servisnih storitev za stranko potrebuje navodila v drugem jeziku, mora stranka sama poskrbeti za prevajanje. • Ne poskušajte servisirati opreme, ne da bi prej prebrali in razumeli servisni priročnik. • Če tega opozorila ne upoštevate, obstaja nevarnost električnega udara, mehanskih ali drugih nevarnosti in posledičnih poškodb ponudnika servisnih storitev, uporabnika opreme ali pacienta. Ovo servisno uputstvo je dostupno samo na engleskom jeziku. • Ako klijentov serviser zahteva neki drugi jezik, klijent je dužan da obezbedi prevodilačke usluge. • Ne pokušavajte da opravite uređaj ako niste pročitali i razumeli ovo servisno uputstvo. • Zanemarivanje ovog upozorenja može dovesti do povređivanja servisera, rukovaoca ili pacijenta usled strujnog udara ili mehaničkih i drugih opasnosti. Den här servicehandboken finns bara tillgänglig på engelska. . • Om en kunds servicetekniker har behov av ett annat språk än engelska, ansvarar kunden för att tillhandahålla översättningstjänster. • Försök inte utföra service på utrustningen om du inte har läst och förstår den här servicehandboken. • Om du inte tar hänsyn till den här varningen kan det resultera i skador på serviceteknikern, operatören eller patienten till följd av elektriska stötar, mekaniska faror eller andra faror. Bu servis kılavuzunun sadece ingilizcesi mevcuttur. • Eğer müşteri teknisyeni bu kılavuzu ingilizce dışında bir başka lisandan talep ederse, bunu tercüme ettirmek müşteriye düşer. • Servis kılavuzunu okuyup anlamadan ekipmanlara müdahale etmeyiniz. • Bu uyarıya uyulmaması, elektrik, mekanik veya diğer tehlikelerden dolayı teknisyen, operatör veya hastanın yaralanmasına yol açabilir. M1192872 A 08 2015 ПОПЕРЕДЖЕННЯ (UK) CẢNH BÁO (VI) 警告 (ZH-CN) 警告 (ZH-HK) 警告 (ZH-TW) M1192872 A 08 2015 Цей посібник із технічного обслуговування доступний лише англійською мовою. • Якщо постачальнику послуг із технічного обслуговування потрібна інформація мовою, відмінною від англійської, відповідальність за надання послуг перекладу несе користувач. • Технічне обслуговування обладнання можна виконувати лише після ознайомлення з посібником із технічного обслуговування та усвідомлення його змісту. • Недотримання цього попередження може призвести до травм постачальника послуг, оператора або пацієнта, спричинених дією електричного струму, механічних або інших пошкоджень. Hướng dẫn sử dụng dịch vụ này chỉ sẵn dùng bằng tiếng Anh. • Nếu nhà cung cấp dịch vụ của khách hàng yêu cầu ngôn ngữ khác ngoài tiếng Anh, thì khách hàng phải có trách nhiệm cung cấp các dịch vụ dịch thuật. • Không được tìm cách sửa chữa thiết bị trừ khi đã tham khảo và hiểu rõ Hướng dẫn sử dụng dịch vụ này. • Bỏ qua lời cảnh báo này có thể gây thương tích cho nhà cung cấp dịch vụ, nhân viên vận hành hoặc bệnh nhân do sốc điện, những nguy hiểm về máy móc hoặc yếu tố khác. 本维修手册仅提供英文版本。 • 如果客户的维修服务人员需要非英文版本,则客户需自行提供 翻译服务。 •• 未详细阅读和完全理解本维修手册之前,不得进行维修。 忽略本警告可能对维修服务人员、操作人员或患者造成电击、 机械伤害或其他形式的伤害。 本服務手冊僅提供英文版本。 • 倘若客戶的服務供應商需要英文以外之服務手冊,客戶有責任 提供翻譯服務。 • 除非已參閱本服務手冊及明白其內容,否則切勿嘗試維修設 備。 • 不遵從本警告或會令服務供應商、網絡供應商或病人受到觸 電、機械性或其他的危險。 本維修手冊僅有英文版。 • 若客戶的維修廠商需要英文版以外的語言,應由客戶自行提供 翻譯服務。 • 請勿試圖維修本設備,除非 您已查閱並瞭解本維修手冊。 • 若未留意本警告,可能導致維修廠商、操作員或病患因觸電、 機械或其他危險而受傷。 7 © Datex-Ohmeda, Inc. – All rights reserved. GE and GE Monogram are trademarks of General Electric Company. 8 Datex-Ohmeda, Inc., a General Electric Company, doing business as GE Healthcare. Service Disclaimer Addendum Multi-Language M1192872 A 08 2015 Printed in USA Class: Minor 8 1/2 x 11” 24#, White 2-Sided 7-Hole Punch When used in manuals, insert after front cover. Table of Contents 1 Introduction 1.1 Technical Reference Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 1.1.1 Manual overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 1.1.2 User's Reference Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 1.1.3 Conventions used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 1.2 Essential Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 1.3 CARESCAPE R860 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5 1.4 Ventilator overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7 1.5 Display controls and indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-9 1.6 Ventilator display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10 1.7 Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . 1-12 1.7.1 Symbols on the equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12 1.7.2 Symbols on the user interface . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14 1.7.3 Symbols on the packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16 2 Theory of Operation 2.1 Pneumatic operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2 2.1.1 Primary gas inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2 2.1.2 Expiratory circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6 2.1.3 Associated circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7 2.1.4 Electronic micropump nebulizer . . . . . . . . . . . . . . . . . . . . . . . . . .2-8 2.2 Electrical operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9 2.3 Display unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10 2.3.1 Display unit software requirements . . . . . . . . . . . . . . . . . . . . . . 2-10 2.3.2 Display unit connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10 2.3.3 Communication port connections . . . . . . . . . . . . . . . . . . . . . . . . 2-11 2.4 Main Enclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14 2.4.1 Ventilator Control Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14 2.4.2 Ventilator Monitoring Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 2.4.3 Power Management Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17 2.4.4 Other electronic items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17 2.4.5 Motherboard (backplane) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18 2065496-001 Rev G (2024 12) i CARESCAPE R860 2.4.6 Monitoring Interface Board – Monitoring Module Bays . . . . . . . . 2-19 3 Checkout Procedure 3.1 Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 3.1.1 Turn on system power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 3.2 System checkout overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4 3.2.1 System Check (Software 10 and 11) . . . . . . . . . . . . . . . . . . . . . . 3-4 3.2.2 System Check with O2 Therapy (Dual limb) (Software version 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6 3.3 Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8 3.4 Electrical safety tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9 4 A Configuration and Service Menus (Software 10) 4.1 System configuration and defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 4.2 Configuration menu (Super User) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3 4.2.1 Access the configuration menu (Software 10) . . . . . . . . . . . . . . . .4-3 4.2.2 Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4 4.2.3 Time and date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5 4.2.4 Ventilator Settings (Software 10) . . . . . . . . . . . . . . . . . . . . . . . . . 4-6 4.2.5 Assign mode favorites (Software 10) . . . . . . . . . . . . . . . . . . . . . . 4-6 4.2.6 Calibrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7 4.2.7 Copy Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-9 4.3 Assign facility default settings (Software 10) . . . . . . . . . . . . . . . . . . . . 4-11 4.3.1 Assign facility default views . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13 4.3.2 Factory Setting defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13 4.4 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17 4.4.1 Access the Service menus (Software 10) . . . . . . . . . . . . . . . . . . 4-17 4.4.2 Localization (Software 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18 4.4.3 Optional Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-19 4.4.4 Service Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22 4.4.5 Calibrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25 4.4.6 Airway Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30 ii 2065496-001 Rev G (2024 12) Table of Contents 4B Configuration and Service Menus (Software 11) 4.1 System configuration and defaults. . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 4.1.1 Configure passwords (Install or reset). . . . . . . . . . . . . . . . . . . . 4-2 4.2 Configuration menu (Super User). . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5 4.2.1 Access the Configuration menu (Software 11). . . . . . . . . . . . . . 4-5 4.2.2 Units. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7 4.2.3 Time and date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8 B Configuration and Service Menus (Software 11) 4.2.4 Ventilator Settings (Software 11). . . . . . . . . . . . . . . . . . . . . . . . 4-9 4.2.5 Assign mode favorites (Software 11). . . . . . . . . . . . . . . . . . . . 4-10 4.2.6 Calibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10 4.2.7 Copy Configuration (Software 11). . . . . . . . . . . . . . . . . . . . . . 4-12 4.2.8 Manage Passwords. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13 4.3 Assign facility default settings (Software 11). . . . . . . . . . . . . . . . . . . 4-17 4.3.1 Assign facility default views. . . . . . . . . . . . . . . . . . . . . . . . . . 4-20 4.3.2 Factory Setting defaults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20 4.4 Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24 4.4.1 Access the Service menus (Software 11). . . . . . . . . . . . . . . . .4-24 4.4.2 Localization (Software 11). . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26 4.4.3 Optional features (Software 11). . . . . . . . . . . . . . . . . . . . . . . .4-27 4.4.4 Service Log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30 4.4.5 Calibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34 4.4.6 Airway Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-39 4.4.7 Manage Passwords (Service). . . . . . . . . . . . . . . . . . . . . . . . . 4-42 2065496-001 Rev G (2024 12) iii CARESCAPE R860 5 Service Tests and Calibration 5.1 Calibration (super-user and service) . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 5.1.1 Calibration procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 5.2 Service level tests and calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 5.2.1 PC Service Application setup . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 5.2.2 Test setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 5.2.3 Vent engine debris clean-out . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5 5.2.4 Regulator output pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6 5.2.5 Vent engine leak test (low pressure) . . . . . . . . . . . . . . . . . . . . . . 5-8 5.2.6 Vent engine leak test (high O2 pressure) . . . . . . . . . . . . . . . . . . 5-11 5.2.7 Vent engine leak test (high Air pressure) . . . . . . . . . . . . . . . . . . 5-13 5.2.8 Calibrate airway pressure transducer Zero and Span . . . . . . . . . 5-15 5.2.9 Verify operation of free-breathing valve . . . . . . . . . . . . . . . . . . . 5-18 5.2.10 Verify operation of inspiratory effort valve . . . . . . . . . . . . . . . . . 5-20 5.2.11 VCB buzzer test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-22 5.2.12 Mechanical overpressure valve test . . . . . . . . . . . . . . . . . . . . . 5-22 5.3 Airway Module Tests and Calibration . . . . . . . . . . . . . . . . . . . . . . . . . 5-25 5.3.1 Gas Sampling Leak Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-25 5.3.2 Spirometry System Leak Test . . . . . . . . . . . . . . . . . . . . . . . . . . 5-27 5.3.3 Fan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29 5.3.4 Sample Flow Rate Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29 5.3.5 Reference Gas Flow Rate Check . . . . . . . . . . . . . . . . . . . . . . . .5-30 5.3.6 Zero Valve Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-30 5.3.7 Ambient Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-31 5.3.8 Fall Time Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31 5.3.9 Occlusion Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31 5.3.10 Air Leak Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-32 5.3.11 Spirometry Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-32 5.3.12 Airway Module Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-33 5.4 Touchscreen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-34 6 Installation and Maintenance 6.1 Ventilator installation checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3 iv 2065496-001 Rev G (2024 12) Table of Contents 6.1.1 Unpacking the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3 6.1.2 EVair Compressor option (if installed) . . . . . . . . . . . . . . . . . . . . . 6-5 6.2 Ventilator Planned Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6 6.2.1 Every twelve (12) months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6 6.2.2 Every twenty-four (24) months . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7 6.2.3 Every forty-eight (48) months . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7 6.3 Airway Module Planned Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . .6-8 6.3.1 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8 6.3.2 Visual inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8 6.3.3 Every twelve (12) months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8 6.3.4 Every forty-eight (48) months . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9 6.4 EVair Compressor Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10 6.4.1 Before and after every use (or every 48 hours of operation) . . . . 6-10 6.4.2 Every twelve (12) months (or after 5,000 hours of operation) . . . . 6-10 6.4.3 After 15,000 hours of operation . . . . . . . . . . . . . . . . . . . . . . . . . 6-10 6.5 Ventilator maintenance summary and schedule . . . . . . . . . . . . . . . . . . 6-11 6.5.1 Approved service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11 6.5.2 User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11 6.6 Component replacement schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13 6.6.1 Inspiratory safety guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13 6.6.2 Planned Maintenance Checklist 2065496-PMC . . . . . . . . . . . . . 6-13 6.7 Manufacturing date codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14 6.8 Battery performance test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16 6.8.1 Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17 6.8.2 Battery Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17 6.8.3 Storing the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18 6.9 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19 7 Troubleshooting 7.1 Troubleshooting checkout failures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2 7.1.1 Paw transducer check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2 7.1.2 Barometric pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4 7.1.3 Low pressure leak and compliance check . . . . . . . . . . . . . . . . . . 7-4 7.1.4 Safety valve relief and back pressure . . . . . . . . . . . . . . . . . . . . . 7-5 7.1.5 Exhalation valve calibration check . . . . . . . . . . . . . . . . . . . . . . . . 7-7 2065496-001 Rev G (2024 12) v CARESCAPE R860 7.1.6 Exhalation flow sensor calibration test . . . . . . . . . . . . . . . . . . . . 7-10 7.1.7 Measure breathing circuit resistance . . . . . . . . . . . . . . . . . . . . . 7-11 7.1.8 Air inspiratory flow sensor calibration check . . . . . . . . . . . . . . . . 7-11 7.1.9 O2 inspiratory flow sensor calibration check . . . . . . . . . . . . . . . . 7-12 7.1.10 O2 sensor test and calibration . . . . . . . . . . . . . . . . . . . . . . . . . 7-12 7.1.11 Neonatal flow sensor calibration check . . . . . . . . . . . . . . . . . . .7-13 7.1.12 Inspiratory limb resistance check . . . . . . . . . . . . . . . . . . . . . . . 7-14 7.2 Troubleshooting Vent Engine Leaks . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16 7.2.1 Vent engine leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16 7.2.2 Expiratory pressure circuit test . . . . . . . . . . . . . . . . . . . . . . . . . 7-19 7.3 Troubleshooting Vent Engine Components . . . . . . . . . . . . . . . . . . . . . 7-20 7.3.1 Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-20 7.3.2 Flow Valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-20 7.4 Troubleshooting Startup Screen (POST) messages . . . . . . . . . . . . . . .7-22 7.5 Troubleshooting the Display Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23 7.5.1 Troubleshooting the display (flowchart) . . . . . . . . . . . . . . . . . . . 7-25 7.6 Technical alarm and error message . . . . . . . . . . . . . . . . . . . . . . . . . . 7-26 7.7 Troubleshooting Service Application messages . . . . . . . . . . . . . . . . . .7-47 7.8 Troubleshooting Service Application messages (Software 11) . . . . . . . 7-65 7.8.1 Troubleshooting Service Application messages (Software 11 with O2 Therapy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-65 7.9 Troubleshooting Failed State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-68 8 Service Diagnostics and Software Download 8.1 Service Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3 8.1.1 Main menu and system information . . . . . . . . . . . . . . . . . . . . . . . 8-3 8.1.2 Erase Logs and Reset Passwords . . . . . . . . . . . . . . . . . . . . . . . . 8-4 8.2 Software Download . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6 8.2.1 Download process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7 8.2.2 Download complete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7 8.2.3 Software compatibility check . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8 8.3 Power Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9 8.3.1 Battery Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10 8.4 Reset Touchscreen Cal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11 8.5 System software upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12 vi 2065496-001 Rev G (2024 12) Table of Contents 8.5.1 Before upgrading system software . . . . . . . . . . . . . . . . . . . . . . .8-12 8.5.2 Upgrading system software . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13 8.5.3 Post system software download checkouts . . . . . . . . . . . . . . . . 8-13 8.6 Software option upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15 8.7 PC Service Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-18 8.7.1 Port setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-18 8.7.2 Main menu and system information . . . . . . . . . . . . . . . . . . . . . . 8-19 8.7.3 Log checkout results to file . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-20 8.7.4 Log calibration results to file . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21 8.7.5 VCB diagnostics and calibration . . . . . . . . . . . . . . . . . . . . . . . . 8-22 8.7.6 Sensirion sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-23 8.7.7 VCB input signal latch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-23 8.7.8 VCB channel configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-24 8.7.9 VCB outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-25 8.7.10 Calibrations and tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-26 8.7.11 Calibration tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-29 8.7.12 Neon tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-29 8.7.13 NVM error log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-31 8.7.14 VMB diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-31 8.7.15 VMB channel configurations . . . . . . . . . . . . . . . . . . . . . . . . . . 8-32 8.7.16 Acutronic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-32 8.7.17 VMB data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-33 8.7.18 Baro P cal (barometric pressure transducer) . . . . . . . . . . . . . . .8-33 9 Repair Procedures 9.1 Communication - isolation cable connections . . . . . . . . . . . . . . . . . . . . 9-4 9.1.1 Connecting to the Datex-Ohmeda Com communication port . . . . . 9-4 9.1.2 Connecting to the Nurse call communication port . . . . . . . . . . . . . 9-4 9.2 Circuit board replacement precautions . . . . . . . . . . . . . . . . . . . . . . . . . 9-6 9.2.1 Software download . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6 9.2.2 Required calibrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6 9.3 Bleed the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8 9.4 Access to chassis components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9 9.4.1 Removing the chassis from the housing . . . . . . . . . . . . . . . . . . . .9-9 9.4.2 Removing the Vent Engine from the chassis . . . . . . . . . . . . . . . .9-10 2065496-001 Rev G (2024 12) vii CARESCAPE R860 9.4.3 Replacing chassis mounted components . . . . . . . . . . . . . . . . . . 9-11 9.4.4 Replacing vent engine components . . . . . . . . . . . . . . . . . . . . . . 9-12 9.4.5 Replacing the outlet manifold and vent engine harness . . . . . . . .9-14 9.4.6 Replacing the vent engine harness . . . . . . . . . . . . . . . . . . . . . . 9-15 9.4.7 Replacing the Inspiratory Valve Assembly . . . . . . . . . . . . . . . . . 9-16 9.4.8 Replacing the free breathing valve . . . . . . . . . . . . . . . . . . . . . . .9-16 9.4.9 Replacing the Vent Engine assembly, complete . . . . . . . . . . . . . 9-17 9.4.10 Replacing the Vent Engine sub-assembly . . . . . . . . . . . . . . . . .9-18 9.4.11 Replacing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-18 9.5 Service the Display Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-20 9.5.1 Disassemble the Display Unit . . . . . . . . . . . . . . . . . . . . . . . . . . 9-21 9.5.2 Replacing components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-22 9.5.3 Replacing the alarm light (PWA) board . . . . . . . . . . . . . . . . . . . 9-23 9.5.4 Replacing the Carrier board and Com Express board assembly . 9-23 9.5.5 Replacing the LCD/Touch and front bezel assembly . . . . . . . . . . 9-24 9.5.6 Replacing the Keypad assembly . . . . . . . . . . . . . . . . . . . . . . . . 9-26 9.5.7 Replacing the CPU “coin” battery . . . . . . . . . . . . . . . . . . . . . . . .9-27 9.6 Display arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-29 9.6.1 Mounting the display arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-29 9.6.2 Removing the remote display arm . . . . . . . . . . . . . . . . . . . . . . . 9-31 9.6.3 Mounting to ISO 19054 Rail System (medi-rail) . . . . . . . . . . . . . 9-32 9.6.4 Removing the non-remote display arm . . . . . . . . . . . . . . . . . . . .9-32 9.6.5 Removing the non-remote display arm from the display unit . . . . 9-33 9.6.6 Mounting the non-remote display arm . . . . . . . . . . . . . . . . . . . . 9-34 9.7 Removing the ventilator from the cart . . . . . . . . . . . . . . . . . . . . . . . . . 9-35 9.8 Removing the compressor from the cart . . . . . . . . . . . . . . . . . . . . . . . 9-36 9.9 Replacing the cart base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-37 9.10 Replacing the cart casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-41 9.10.1 Production Marking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-44 9.11 Airway Module Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-45 9.11.1 Mounting and connecting the airway module bay . . . . . . . . . . . 9-45 9.12 Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-47 9.12.1 Attaching Key/BID labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-47 9.12.2 Attaching Feature labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-47 viii 2065496-001 Rev G (2024 12) Table of Contents 10 Illustrated Parts 10.1 Service tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3 10.1.1 Software tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3 10.1.2 Manual shut-off valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4 10.1.3 Special tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4 10.1.4 Leak test devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5 10.1.5 Lubricants and adhesives . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6 10.1.6 Touch-up paint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6 10.2 Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8 10.3 Neonatal Flow Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9 10.4 Exhalation valve heater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10 10.5 Communication isolation cables . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11 10.6 External components - front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-12 10.7 External components - rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-13 10.8 Display arm mounting hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-14 10.8.1 Remote mount display arm mounting hardware . . . . . . . . . . . 10-14 10.8.2 Non-remote mount display arm assembly . . . . . . . . . . . . . . . .10-15 10.9 Display Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-16 10.10 Main enclosure (external) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-18 10.11 Main enclosure (internal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-20 10.12 Vent Engine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-22 10.13 Outlet manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-25 10.14 Inlet Manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-27 10.15 AC power cords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-29 10.16 AC Inlet/Outlet Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-31 10.17 Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-34 10.18 Airway module rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-36 10.19 Airway module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-37 10.20 Airway Module Planned Maintenance Kits . . . . . . . . . . . . . . . . . . . 10-38 10.21 EVair Compressor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-39 10.22 Feature option labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-41 10.22.1 Vent Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-41 10.23 Key/BID label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-42 2065496-001 Rev G (2024 12) ix CARESCAPE R860 11 Schematics and Diagrams 11.1 Pneumatic system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2 11.2 Vent engine manifold flow diagram . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3 11.3 System cable/harness interconnections . . . . . . . . . . . . . . . . . . . . . . .11-4 11.4 Electrical architecture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5 11.5 Power distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6 11.6 Motherboard (backplane) block diagram . . . . . . . . . . . . . . . . . . . . . . 11-7 11.7 PMB block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8 11.8 VMB block diagram (sheet 1 of 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9 11.9 VMB block diagram (sheet 2 of 2) . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10 11.10 VCB block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11 11.11 Monitoring Module Rack block diagram . . . . . . . . . . . . . . . . . . . . . 11-12 11.12 AC outlet module; 100-120 V (with isolated outlets . . . . . . . . . . . . . 11-13 11.13 AC outlet module; 220-240 V (with isolated outlets) . . . . . . . . . . . . 11-14 x 2065496-001 Rev G (2024 12) Table of Contents Appendix A: Medical Grade Gases A.1 Medical-Grade Air Recommended Specifications . . . . . . . . . . . . . . . . A-2 A.2 Medical-Grade Air Auxiliary Filter Recommendations . . . . . . . . . . . . . A-3 A.3 Medical-Grade Oxygen Recommended Specifications . . . . . . . . . . . . A-4 Appendix B: Service Parts B.1 User Reference Manual part numbers . . . . . . . . . . . . . . . . . . . . . . . . B-2 B.2 Service parts (air hose assemblies) . . . . . . . . . . . . . . . . . . . . . . . . . . B-3 Appendix C: Vent Engine for FAS flow control valve C.1 Hardware and software compatibility . . . . . . . . . . . . . . . . . . . . . . . . . C-2 C.1.1 Identify system with FAS flow control valve . . . . . . . . . . . . . . . . C-3 C.1.2 Identify Ventilator Control Board . . . . . . . . . . . . . . . . . . . . . . . . C-4 C.2 Vent Engine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5 C.3 FAS flow control valve replacement . . . . . . . . . . . . . . . . . . . . . . . . . . C-8 Appendix D: CARESCAPE R860 Planned Maintenance Checklist, Installation Checklist, and Corrective Repair Checklist forms Planned Maintenance Checklist 2065496-001-PMC Installation Checklist 2065496-001-INC Corrective Repair Checklist 2065496-CRC 2065496-001 Rev G (2024 12) xi CARESCAPE R860 xii 2065496-001 Rev G (2024 12) 1 Introduction Introduction In this section 1.1 Technical Reference Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 1.1.1 Manual overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 1.1.2 User's Reference Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3 1.1.3 Conventions used. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 1.2 Essential Performance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 1.3 CARESCAPE R860. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5 1.4 Ventilator overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7 1.5 Display controls and indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 1.6 Ventilator display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10 1.7 Symbols used in the manual or on the equipment. . . . . . . . . . . . . . . .1-12 1.7.1 Symbols on the equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12 1.7.2 Symbols on the user interface. . . . . . . . . . . . . . . . . . . . . . . . . 1-14 1.7.3 Symbols on the packaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16 2065496-001 Rev G (2024 12) 1-1 CARESCAPE R860 1.1 Technical Reference Manual The information contained in this Technical Reference Manual pertains only to those models of products which are marketed by Datex-Ohmeda as of the effective date of this manual or the latest revision thereof. This Technical Reference Manual was prepared for exclusive use by Datex-Ohmeda service personnel in light of their training and experience as well as the availability to them of parts, proper tools and test equipment. Consequently, Datex-Ohmeda provides this Technical Reference Manual to its customers purely as a business convenience and for the customer's general information only without warranty of the results with respect to any application of such information. Furthermore, because of the wide variety of circumstances under which maintenance and repair activities may be performed and the unique nature of each individual's own experience, capacity, and qualifications, the fact that customer has received such information from Datex-Ohmeda does not imply in any way that Datex-Ohmeda deems said individual to be qualified to perform any such maintenance or repair service. Moreover, it should not be assumed that every acceptable test and safety procedure or method, precaution, tool, equipment or device is referred to within, or that abnormal or unusual circumstances, may not warrant or suggest different or additional procedures or requirements. This manual is subject to periodic review, update and revision. Customers are cautioned to obtain and consult the latest revision before undertaking any service of the equipment. CAUTION Servicing of this product in accordance with this Technical Reference Manual should never be undertaken in the absence of proper tools, test equipment and the most recent revision to this service manual which is clearly and thoroughly understood. 1.1.1 Manual overview This manual covers service information for the CARESCAPE R860 ventilator. This manual covers the following components: • • • • Display unit Integral electronics Gas delivery components Frame components Other equipment Other equipment may be attached to the system. Refer to separate documentation relative to these items for details. 1-2 2065496-001 Rev G (2024 12) 1 Introduction 1.1.2 User's Reference Manual Refer to the CARESCAPE R860 User’s Reference Manual for additional information about the operation of the system. Software 10 Users reference manual 2065490-001. Software 11 User's Reference manual 5839923. 1.1.3 Conventions used Hard keys Names of the hard keys on the face of the display and modules are written in bold typeface. Example: Home Menu selections Menu selections are written in bold italic typeface. Example: Procedures Messages Messages that are displayed on the screen are enclosed in single quotes. Example: ‘Temp High’ Sections and headings When referring to different sections or headings in this Technical Reference Manual, the name is written in italic typeface and is enclosed in double quotes. Example: "2 Theory of Operation" 2065496-001 Rev G (2024 12) 1-3 CARESCAPE R860 1.2 Essential Performance The essential performance of the system consists of: • Delivery of ventilation at the patient-connection port within the alarm limits set by the operator or the generation of an alarm. The ventilator provides alarms relating to the following areas: • • • • • • • Oxygen level Airway pressure Expired volume AC Mains failure Battery nears depletion Gas supply failure Gas failure cross flow Essential performance is maintained through using this Technical Reference Manual for repair, maintenance, and calibrations. See "3 Checkout Procedure", "5 Service Tests and Calibration", and "9 Repair Procedures". 1-4 2065496-001 Rev G (2024 12) 1 Introduction 1.3 CARESCAPE R860 The CARESCAPE R860 combines sophisticated technology and an intuitive user interface. Icons represent configurable views of past (historical trends), present (patient status), and future patient needs (clinical decision support). The ventilator consists of a display, ventilator unit, cart with AC outlet (optional), EVair compressor (optional), and module bay with gas module (optional). A wide selection of performance options give the user full control of the system configuration. This ventilator is a complete system featuring patient ventilation, monitoring, and the capability of interfacing with central monitoring. Full touchscreen capability allows the user to quickly and easily access patient information and procedures. This ventilator supports adult, pediatric, and neonatal patients. The basic ventilator is equipped with adult and pediatric patient type software. The neonatal software option can be added or the ventilator can be set to enable the Neonatal-Only option. When the Neonatal-Only option is set, the ventilator is only intended to be used for neonatal patients and will not be able to enter the adult or pediatric patient types. This ventilator comes with standard ventilation modes as well as a purchasable neonatal patient option, ventilation modes, and clinical decision support features. Configurations available for this product depend on local market and standards requirements. Illustrations or photos in this manual may not represent all configurations of the product. This manual does not cover the operation of every accessory. Refer to the accessory documentation for further information. The assembly of the ventilator system and modifications during its service life require evaluation to ensure the requirements of IEC 60601-1:2005 are met. 2065496-001 Rev G (2024 12) 1-5 CARESCAPE R860 Adult Menu No Alarm s Ins p Hol d Exp Hol d Manua l Breat h 14:3 8 FiO 2 30 PEEP e 5 % 40 22 Airwa y Pressur e Peak Pressur e 40 cmH2 O 10 3 cmH2 O cmH2 O 50 60 10 Pma x 40 Tidal Volum e Minute Volum e Respiratory Rat e 6.2 508 14 Ppea k 20 l/mi n ml 12 60 0 20 4 40 0 5 /mi n PEE P 0 -5 VTex p 50 8 FiO 2 Current Mod e 30 % Pins p 33 cmH2 O Rat e Tins p 10 1.7 /mi n s PEE P PS 5 5 cmH2 O cmH2 O Standb y AB.100.116 EXP Figure 1-1 • CARESCAPE R860 The system is designed for facility use, including within-facility transport, and should only be used under the orders of a clinician. It is designed to be operated on medical-grade gases only and should never be connected to gases that do not meet the medical-grade requirements listed in Medical-Grade Gases. 1-6 2065496-001 Rev G (2024 12) 1 Introduction 1.4 Ventilator overview Adult Menu No Alarm s Exp Hol d Ins p Hol d Manua l Breat h 14:3 8 FiO 2 30 5 22 Airwa y Pressur e Peak Pressur e PEEP e % 40 40 cmH2 O 10 3 cmH2 O cmH2 O 50 60 10 Pma x 40 Tidal Volum e Minute Volum e Respiratory Rat e 6.2 508 14 Ppea k 20 l/mi n ml /mi n 12 60 0 20 4 40 0 5 PEE P 0 -5 1 VTex p 508 FiO 2 Current Mod e 30 % Pins p 33 cmH2 O Rat e PS 10 1.7 Tins p PEE P 5 5 /mi n s cmH2 O cmH2 O Standb y 2 9 10 11 17 16 13 12 3 EXP 4 8 18 15 14 5 AB.100.088 6 7 Figure 1-2 • Front view . 1. 2. 3. 4. 5. 6. 7. 8. 9. Display Ventilator unit Inspiratory safety guard Ventilator lock [locks Ventilator unit (item 2) to Cart (item 5)] Cart Dovetail rails Caster (wheel) Airway module bay (optional) Nebulizer connection 2065496-001 Rev G (2024 12) 10. 11. 12. 13. 14. 15. 16. 17. 18. Exhalation valve housing Expiratory port (inlet) Expiratory flow sensor Gas exhaust port Occlusion port (leak test plug) Exhalation valve housing latch Water trap Auxiliary pressure port Inspiratory outlet 1-7 CARESCAPE R860 1 25 3 24 5 23 21 2 4 6 22 5 20 8 19 7 18 10 7 9 17 16 11 12 15 13 AB.100.100 14 Figure 1-3 • Rear view 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 1-8 Ethernet connection (not supported) Ethernet connection (not supported) USB connection (not supported) USB connection (Service connection) Display unit connection VGA connection (not for clinical use) Airway module bay connection AC inlet and fuse holder Power switch Equipotential stud Airway module bay mounting thumbscrews O2 supply connection (pipeline) O2 high-pressure inlet filter 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Air high-pressure inlet filter Air supply connection (pipeline) Retaining channel Ventilation unit fan filter Port 4 (Nurse call) Arm holder Port 1 (Neonatal flow sensor connection) Port 2 (not supported) Port 3 (Exhalation valve heater/PC App) Port 6 (RS232 Serial communication connection) Port 5 (RS232 Serial communication connection) Display unit fan filter 2065496-001 Rev G (2024 12) 1 Introduction 1.5 Display controls and indicators 1 AB.100.016 4 7 3 2 Figure 1-4 • Display controls and indicators . 1. Alarm light The integrated alarm light provides a visual alarm when an alarm condition occurs. The alarm light also provides a visual indicator when Audio Pause is active and alarm audio is silenced. 2. Trim knob control Turn the Trim Knob clockwise or counterclockwise to change a setting. Press the Trim Knob to confirm a setting. 3. Hard keys (key pad) Press the Audio Pause, Increase O2, Snapshot, Lock/Unlock, or Home hard keys to access the associated features. • Audio Pause: Push to silence alarms for 120 seconds. 4. LED indicator The green LED illuminates when the ventilator is connected to the main power supply. The internal battery is charging when the LED is lit. 2065496-001 Rev G (2024 12) 1-9 CARESCAPE R860 1.6 Ventilator display 12 7 13 7 11 1 10 2 3 4 8 5 AB.100.010 9 7 6 Figure 1-5 • Display user interface components . 1. Favorites Provides short-cuts for up to four procedures (as selected by the user). Use to select specific procedures such as Increase O2, Inspiratory Hold, Expiratory Hold, and Manual Breath. 2. Patient status The airway pressure bar shows a dynamic view of the patient airway pressure, Pmax, Ppeak, PEEP, FiO2, and VTexp. Use the tab on the pressure bar to collapse (hide) from view when available. 3. Navigation Select an icon to open the corresponding view. 4. Additional Information Shows current time and additional setting information. 5. Main power Indicates whether the ventilator is connected to the main power supply or is running on battery. Also shows battery status when running on battery. 6. Standby Select the Standby quick key to go into Standby (pause/stop ventilation). 1-10 2065496-001 Rev G (2024 12) 1 Introduction 7. Quick Keys Select to change the corresponding ventilator setting. Turn the Trim Knob to make a change. Select the quick key or press the Trim Knob to activate the change. When a quick key setting is selected, a Trim Knob visual cue indicates the change may be made by turning the Trim Knob and pressing to confirm the setting. 8. Current Mode and Mode Settings Shows the active ventilation mode. Select to access ventilation modes, and change mode settings. 9. General Messages Shows notices, procedure status, and system status information to the user. 10. Monitoring This area is used to view waveforms, measured data, and settings. 11. Menu Select to quickly access options such as: System menu, Procedures, Lung Mechanics, Suction, and Nebulizer. 12. Current Patient menu Select to enter the Current Patient menu. This menu allows entry of the patient ID using an alpha-numeric keyboard. Entered values for patient gender, height, and weight are used to calculate BSA (body surface area), and IBW (ideal body weight). This menu also allows the selection of tube type and diameter. 13. Alarm management Select to view alarms, alarm history, alarm setup, and alarm help. 2065496-001 Rev G (2024 12) 1-11 CARESCAPE R860 1.7 Symbols used in the manual or on the equipment Symbols replace words on the equipment, on the display, or in product manuals. Warnings and Cautions tell you about dangerous conditions that can occur if you do not follow all instructions in this manual. Warnings tell about a condition that can cause injury to the operator or the patient. Cautions tell about a condition that can cause damage to the equipment. Read and follow all warnings and cautions. 1.7.1 Symbols on the equipment . 1-12 On (power) Off (power) Refer to instruction manual or booklet (blue background) Caution: federal law prohibits dispensing without prescription Type BF applied part Type B applied part General warning (yellow background) Caution Warning; dangerous voltage Operating instructions Stock number Serial number Direct Current Alternating current Protective earth ground Earth ground Equipotential Fuse Plus, positive polarity Minus, negative polarity Movement in one direction Movement in two directions Pneumatic inlet Pneumatic outlet Electrical input Electrical output Air inlet Oxygen Inspiratory port Expiratory port 2065496-001 Rev G (2024 12) 1 Introduction Electronic micropump nebulizer Heat transfer Paux Maximum mass of configured mobile equipment USB Port Not a USB Port Display signal input/output VGA connection Network Serial port Electrical testing certification Electrostatic sensitive devices Airway module bay port Single use device Union made Functional Residual Capacity option is installed Date of manufacture Manufacturer Indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of equipment. CE mark Authorized representative in the European Community GOST R Russian certification Neonatal option is installed SpiroDynamics option is installed Non-ionizing electromagnetic radiation MR unsafe MRI not compatible Standby Batch number Use-by date Autoclavable Not autoclavable Active alarm 2065496-001 Rev G (2024 12) 1-13 CARESCAPE R860 Eurasian conformity Ukraine national conformity Unique device identifier Device contains phthalates XXXX indicates phthalate Medical device Ingress protection (IP) IP X X The level of protection offered by an electrical enclosure against solid objects and water. 1.7.2 Symbols on the user interface . 1-14 Menu Adult patient type Pediatric patient type Neonatal patient type Start (green) Stop (red) Alarm Alarm audio off Audio pause Alarm setup Setup Trends log view Increase O2 Information General Warning (yellow background) Help Battery power Main power Delta FRC (change in FRC) Home Standby Present /Patient Status workspace Basic view Basic Waveform view Advanced Waveform view Spirometry view 2065496-001 Rev G (2024 12) 1 Introduction Future/Clinical Decision Support workspace Measured values (numeric trends) view Graphic trends view Ventilator calculations view Charting view FRC view FRC view (Brazilian Portuguese, Portuguese, French) Save metabolics data Pass (green) Selected (white) Fail (red) Metabolics view Splitscreen view SBT (Spontaneous Breathing Trial) view SBT (Spontaneous Breathing Trial) view (Brazilian Portuguese) SBT (Spontaneous Breathing Trial) view (French) SBT (Spontaneous Breathing Trial) view (Portuguese) Dynostatic curve volume Snapshot trends view Past/Present Setting (Trends log view) Past/Present Alarm (Trends log view) Past/Present Event (Trends log view) No battery More/Top (scroll bar) Less/Bottom (scroll bar) Left (scroll bar) Right (scroll bar) Pause Past/Historical Trends workspace Invasive ventilation Non-invasive ventilation Mode favorites (partial list of ventilator modes) Full list of ventilator modes Patient data Ventilator data Lock: used to identify a control or function is locked or to show the locked status. Unlock: used to identify a control or function is not locked or to show the unlocked status. Single limb Dual limb O2 therapy (yellow at confirm activation) O2 therapy present view Fixed flow Descending flow 2065496-001 Rev G (2024 12) 1-15 CARESCAPE R860 Dual flow 1.7.3 Symbols on the packaging . 1-16 Humidity limitation Temperature limitation Do not stack Stacking limit by mass Fragile; handle with care Recyclable material Keep dry Protect from heat and radioactive sources This way up Atmospheric pressure limitation 2065496-001 Rev G (2024 12) 2 Theory of Operation Theory of Operation In this section 2.1 Pneumatic operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2 2.1.1 Primary gas inlet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2 2.1.2 Expiratory circuit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6 2.1.3 Associated circuits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7 2.1.4 Electronic micropump nebulizer. . . . . . . . . . . . . . . . . . . . . . . . . 2-8 2.2 Electrical operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9 2.3 Display unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10 2.3.1 Display unit software requirements. . . . . . . . . . . . . . . . . . . . . . 2-10 2.3.2 Display unit connections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10 2.3.3 Communication port connections. . . . . . . . . . . . . . . . . . . . . . . 2-11 2.4 Main Enclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14 2.4.1 Ventilator Control Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14 2.4.2 Ventilator Monitoring Board. . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15 2.4.3 Power Management Board. . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17 2.4.4 Other electronic items. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17 2.4.5 Motherboard (backplane). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18 2.4.6 Monitoring Interface Board – Monitoring Module Bays. . . . . . . . 2-19 2065496-001 Rev G (2024 12) 2-1 CARESCAPE R860 2.1 Pneumatic operation For a complete diagram of the pneumatic system, see "11.1 Pneumatic system". The ventilator requires medical-grade oxygen (O2) and medical-grade Air sources ranging from 2.4 to 6.5 bar (35 to 94 psi). See "A.1 Medical-Grade Air Recommended Specifications" for additional information regarding medicalgrade gases. Additional filtering will not be necessary if supplied gases are medical grade. If the supply gas does not meet specifications, see "A Medical Grade Gases" for information regarding risks and recommendations on filters The system includes two separate channels (Air and O2) to provide dynamic mixture control of the delivered O2 percentage. The air supply can include an optional compressor unit, shown below, for applications where pipeline air is not available or to provide a continued air supply if the pipeline supply drops below 225-265 kPa (32.6-38.4 psi). Air O2 AB.100.253 Air 2.1.1 Primary gas inlet Compressed gas enters the ventilator through an inlet fitting (2) that is particular to the institution’s supply system. The gas is filtered through a 2micron particulate filter (3) and then a 0.5-micron coalescing particulate filter (3a) as it enters the ventilator’s “pneumatic engine” manifold. The Air Pipeline Inlet filter assembly (3a) is standard on all configurations. The O2 Pipeline Inlet Filter assembly does not come standard, but is an orderable option. The 0.5- 2-2 2065496-001 Rev G (2024 12) 2 Theory of Operation micron filter protects the ventilator from pipeline particle and liquid aerosol contamination. A high-pressure transducer (4) having a dynamic range of 0 to 8.3 bar (0 to 120 psi) is tapped at the outlet of the filter. This transducer monitors the adequacy of the supply pressure. Failures of supply gas, coupling hoses or an occluded filter are identified by the supply pressure transducer. 4 High Pressure Transducer P 5 3 2 Primary Inlet Inlet Filter 3a Check Valve Standard Air 4 High Pressure Transducer 3 2 3a Optional 5 Check Valve AB.98.361 Primary Inlet Inlet Filter P Next in the downstream path of flow is a check valve (5). The check valve prevents backflow from the ventilator that would possibly contaminate the supply pressure lines. For example, if the O2 supply were to be lost, the check valve in the O2 channel will prevent Air from moving back into the O2 supply lines. Downstream from the check valve is a 172 kPa (25 psi) pressure regulator (6). (The regulator is a non-relieving type that does not bleed gas into the ventilator’s enclosure.) The regulator ensures a constant pressure supply to the flow valve (8). The regulated supply is flow rate dependent, which is compensated for in the flow valve’s on-site calibration. 2065496-001 Rev G (2024 12) 2-3 CARESCAPE R860 High Pressure Transducer P Primary Inlet Inlet Standard Filter Check Valve 6 Regulator 25 psi 172 kPa Test Port 7 Flow Sensor T H 8 Flow Valve Air High Pressure Transducer Primary Inlet Inlet Filter Optional P Check Valve 6 Regulator 25 psi 172 kPa Test Port 7 Flow Sensor T H 8 Flow Valve 9 AB.98.362 O2 Between the regulator and the flow valves is the inspiratory flow sensor (7). The sensor is a thermal mass-flow type that injects heat into the flow stream and monitors the associated temperature rise at a downstream location. The temperature change is dependent on the mass flow of the flow stream and the specific heat of the gas moving through the sensor. Because the composition of gas in the sensor is known, a conversion of mass-flow rate to volumetric flow at ambient conditions can be made using the ambient density of the gas. The sensor uses a laminar (two channel) flow element to split a portion of the flow through the sensor past the heat injection and temperature sensing elements. The sensor is pre-calibrated and includes an electronic PCB that produces direct digital output of mass flow through an RS-232 interface. Individual flow sensors measure the volume of gas dispensed from the O2 and Air channels during inspiration and expiration. The relative proportion of gas dispensed from each channel is continuously adjusted to precisely control the percentage of O2 delivered to the patient. Downstream of the flow sensor is a flow valve (8) that meters flows from approximately 0.05 l/min (leakage level) to a full flow value of 160 l/min. The valve is a normally-closed proportional solenoid that is powered by a current feedback loop. During calibration, the sensor is checked against the output of the O2 and Air flow sensors to ensure proper operation. Data comes from the Total Flow Sensor and is verified again by the Air or O2 Flow Sensors. Using data from the inspiratory flow sensor, a precise volumetric flow versus input current profile is developed that includes both the valve and regulator characteristics. A Bleed Resistor (9) is located in parallel with the O2 Flow Control Valve to prevent pressure build-up between the O2 regulator and the Flow Control Valve. This Bleed Resistor has a 35 ml/min nominal flow. Following the two individual flow valves is the Total Flow Sensor (10). This sensor is the same type as the individual flow sensors and is used to measure the combined inspiratory flow being dispensed from the system. Using a known 2-4 2065496-001 Rev G (2024 12) 2 Theory of Operation flow valve output along with atmospheric pressure and gas temperature information, mass-flow data from the sensor is converted to delivered volumetric flow towards the patient. During calibration, the sensor is checked against the output of the O2 and Air flow sensors to ensure proper operation. Flow Sensor T H Total Flow Ai r 10 T Flow Valve Flow Sensor T H H AB.98.363 O2 Following the Total Flow Sensor are the free-breathing check valve (11) and the inspiratory effort valve (12). During normal operation, the inspiratory effort valve is open, allowing the freebreathing check valve to admit flow if the patient draws a significant amount of inspiratory pressure, causing the airway pressure to become more negative than -0.5 cm H2O. The free-breathing check valve allows the patient to spontaneously breathe in case of a ventilation delivery failure. On occasion, to assess the patient’s tolerance to be weaned from the ventilator, clinicians can determine the amplitude of inspiratory effort that the patient can create. During this “procedure”, the inspiratory effort valve is closed, effectively locking out the free breathing valve from the patient circuit. Flow Sensor T Flow Valve H O2 Sensor Air Total Flow T Flow Sensor T 13 O2 Inspiratory 12 Effort Valv e Free Breathing Check Valve 11 AB.98.364 O2 H Flow Valve H Next in the flow path is the O2 sensor (13). The sensor is used to monitor the O2 concentration produced by the combined O2 and Air flows. 2065496-001 Rev G (2024 12) 2-5 CARESCAPE R860 The O2 sensor uses the paramagnetic principle (oxygen molecules are attracted in magnetic fields) to measure the oxygen concentration. The sensor includes two nitrogen-filled glass spheres mounted on a suspension containing a conductive coil that is located in a non-uniform magnetic field. When the system is disturbed by an impulse of current, the suspension begins to oscillate, inducing an EMF into the coil. The oscillation period of the induced EMF is dependent on the partial pressure of oxygen surrounding the suspension. As sample gas fills the sensor, oxygen that is present in the sample is attracted into the strongest part of the magnetic field. This congregation of O2 molecules alters the natural oscillation frequency of the suspension. Calculations based on the difference between the oscillation period for an oxygen sample and that for nitrogen, and readings from the absolute pressure transducer, determine the measured O2 percentage. As a safety measure, a relief valve (14), located downstream from the O2 sensor, can be energized to vent the full flow rate of the inspiratory delivery side of the system. If an overpressure condition is detected, the valve can be opened by either of the ventilator’s two control processors. To provide redundant safety, independent of the electronic circuits, the valve begins to mechanically relieve pressure at a nominal 115 cm H2O. Flow Valve Inspiratory Pressure H T Air 15 Total Flow T Flow Sensor T Flow Valv e H O2 Sensor O2 Inspiratory Zero Valve O2 Inspiratory Effort Valve H P Free Breathing Check Valve 14 Safety Relief Valve AB.98.365 Flow Sensor The inspiratory airway pressure transducer (15), along with its associated zeroing valve, is located just prior to the inspiratory outlet port. This transducer has a range of –20 to 120 cm H2O and serves as one of three airway pressure measuring devices in the ventilator. 2.1.2 Expiratory circuit At the expiratory side of the ventilator, a solenoid powered exhalation valve (16) controls exhaust from the breathing circuit. The valve contains an elastomer diaphragm that is held against a rigid seat by a solenoid (voice coil) driven piston. The valve achieves a balance between the pressure generated within its 21-mm diameter seat area and the force applied by the piston, releasing exhalation flow as necessary to maintain balance. The proportional solenoid controls the exhalation sealing pressure within a range of 0 to 100 cm H2O. Software control provides continuous oscillatory movement (dithering) of the exhalation valve to minimize static friction effects. 2-6 2065496-001 Rev G (2024 12) 2 Theory of Operation 20 30 mm Male Cone Pneumatic Resistor H Air Expiratory Zero Valve 18 P Expiratory Pressure Exhalation Flow Sensor 19 16 Exhalation Valve EXP 22 / 15 mm Male / Female From 28 Neonatal Flow Sensor (Optional) 17 H INSP 22 / 15 mm Male / Female To Micropump Nebulizer AB.100.255 Patient Immediately upstream of the exhalation valve is a tap for the expiratory pressure transducer (17) and its associated zeroing valve. The expiratory pressure tap is continuously purged with 35 ml/min of air to ensure that exhaled condensate does not occlude the tap. The air flow is established from the regulated Air supply using a fixed orifice (pneumatic resistor) (18). Downstream of the exhalation valve is the expiratory flow transducer (19). In principle, the transducer is similar to a hot-wire anemometer. A wire having a large “temperature to electrical resistance” relationship is placed in the flowstream. The wire is kept at a constant temperature using a Wheatstone bridge circuit. The current necessary to maintain the resistance of the sensor portion of the bridge is a function of the flow through the sensor. At the output of the flow sensor is a flapper type check valve (20) that prevents gas from being drawn in through the expiratory valve and minimizes patient rebreathing in the event of a ventilator failure. Located downstream on the patient wye is an optional Neonatal Flow Sensor (28). The sensing elements for the Neonatal Flow Sensor Subsystem consist of two hot wires each with its own drive circuitry and Wheatstone bridge. The hot wires reside off-board in a flow tube situated at the patient wye and electrically act as variable resistors in each of the bridges. The sensors hold a constant temperature at all times as they contain a linear resistance change with temperature. The Neonatal Flow sensor is connected to the Ventilator Monitoring Board (VMB) through the Motherboard via Port 1 and a 2+ meter long shielded cable, detachable at both ends. The other Wheatstone bridge resistors and all associated drive circuitry reside on the VMB. As gas (Air and Oxygen) flows, current through the hot wire elements increases. These currents are converted to a voltage, amplified, offset with a voltage reference and converted to a digital value by the 12-bit ADC. Because of the bidirectional nature of gas flow at the patient wye, a post that is situated between the elements serves to shadow the downstream element and reduce the downstream signal. By comparison of the individual signal levels of the two hot wire elements, flow direction can be ascertained. 2.1.3 Associated circuits Associated with the inspiratory and expiratory pressure transducers are two “zeroing” solenoid valves (21) and (22). These valves are used to disconnect 2065496-001 Rev G (2024 12) 2-7 CARESCAPE R860 the pressure transducers from circuit pressure and vent them to atmosphere during zero bias calibration. This zeroing procedure is conducted routinely (every 12 hours) under the control of the Vent Engine software. Flow Sensor T Flow Valve H Expiratory Zero Valve 25 Exhalation Pneumatic P Valve Resistor Expiratory Pressure Exhalation Flow Sensor EXP 22 / 15 mm Male / Female Neonatal Flow Sensor (Optional) Inspiratory Pressure Total Flow T T H Flow Valve O2 Sensor P Inspiratory Zero Valve O2 Patient 21 INSP 22 / 15 mm Male / Female Inspiratory Effort Valve 27 Safety Relief Valve Free Breathing Check Valve 23 24 Micropump Nebulizer Auxiliary Pressure Transducer Auxiliary Pressure Purge Valve P 26 Relief Valve AB.98.366 Flow Sensor H H Air O2 22 H 30 mm Male Cone Pneumatic Resistor Paux 1/8, 3/16,1/4 inch Stepped Hose Barb A third (auxiliary) pressure channel (23) is used to measure additional patient “airway” pressures at the discretion of the clinician. This port could be used to measure circuit pressure directly at the airway, laryngeal cuff pressures or pressures lower in the airway tract. The transducer circuit includes a valve (24) to provide a 35 ml/min purge flow as required by the particular clinical application. For example, in measuring airway pressure at the endotracheal tube the purge would most likely be turned on, but for measuring laryngeal cuff pressures (closed system) the purge would be turned off. The purge flow is established from the regulated Air supply using a fixed orifice (pneumatic resistor) (25). The relief valve (26) limits pressure in the auxiliary channel to less than 315 cm H2O. 2.1.4 Electronic micropump nebulizer The Aerogen® Professional Nebulizer System (Aerogen Pro and Aerogen Solo - disposable) by Aerogen, Inc. (27) is integrated into the ventilator. This nebulizer is electrically connected to the ventilator and uses proprietary technology to produce a fine-droplet, low-velocity aerosolized drug delivered into the breathing circuit. The Aeroneb Pro and Aeroneb Solo (disposable) is designed to operate in-line with standard ventilator circuits and mechanical ventilators. It operates without changing the patient ventilator parameters. 2-8 2065496-001 Rev G (2024 12) 2 Theory of Operation 2.2 Electrical operation For a complete diagram of the electrical system, see "11.4 Electrical architecture". The system includes 5 major processor control boards: • • • • • Display Unit: DU Ventilator Control Board Ventilation Monitoring Board: VMB Expiratory Flow Sensor Board Power Management Board The system includes 5 analog boards: • • • 2065496-001 Rev G (2024 12) Motherboard/backplane: Motherboard Monitoring Module Power Supply Board 3 Airway Pressure Transducer boards 2-9 CARESCAPE R860 2.3 Display unit The display unit is physically separate from the ventilator chassis (connected through a single cable running through the display arm). The display unit contains four circuit boards: COM Express Module, carrier board, touch screen controller, and alarm light. The COM Express Module contains the CPU and RAM. The carrier board is the main circuit board and provides connections between all subsystems within the DU. The touch screen controller manages the touch screen and communicates to the system with a serial connection. The alarm light provides a redundant visual alarm indicator. The display unit communicates with the remainder of the system via the Motherboard using five digital channels. Settings and alarm annunciation information are directly relayed to the VMB and VCB from the display unit. The display is a 38 cm active matrix LCD with 8 bits per color and a LED background. In the event of a display unit communications failure, the system will continue to ventilate at the current settings. 2.3.1 Display unit software requirements The display unit uses USB media to manage software upgrades and to run the Service Application diagnostics. 2.3.2 Display unit connections The display unit accommodates the following connections: 4 2-10 3 6 2 7 8 1 AB.100.019 5 2065496-001 Rev G (2024 12) 2 Theory of Operation 1. 2. 3. 4. 5. 6. 7. 8. Display unit connection VGA connection (not for clinical use) Port 6 - RS232 serial communication Port 5 - RS232 serial communication (service connection) Ethernet connection (not supported) Ethernet connection (not supported) USB connection - standard USB 2.0 interface (not supported) USB connection - standard USB 2.0 interface - system software download port (service use only) 2.3.3 Communication port connections Datex-Ohmeda Com connection Port 5 (1) and 6 (2) interface cables must be shielded. An authorized service representative is required to install the Datex-Ohmeda Com isolation cable prior to using the Ohmeda Com communication feature. Note The delay time from the onset of an alarm condition to the signal leaving the Ohmeda Com port is up to two seconds. The facility is responsible for any additional delays introduced by equipment connected to the display ports. Only the ventilator should be relied upon for alarm signal generation and information. Do not rely on the communication port connection for distribution and receipt of alarm signals. AB.100.137 The Port 5 (1) and Port 6 (2) connectors allow serial input/output of commands and data. The 9 pin connectors are located on the back of the display unit and are labelled Port 5 and Port 6. The output protocol is available at www.datexohmeda.com (under Products/Interfacing Commitment Products) or by contacting GE Healthcare at InterfaceCommitment@ge.com. 5 6 1 1. 2. 2 Port 5 Port 6 Figure 2-1 • Communication Port 5 and Port 6 2065496-001 Rev G (2024 12) 2-11 CARESCAPE R860 2 3 AB.100.138 5 Figure 2-2 • Port 5 and Port 6 RS232 Serial communication port pin configuration Isolation Cable (Datex-Ohmeda Com) Part Number - 2070435-001 Pin 2 Receive Pin 3 Transmit Pin 5 ISO Ground All other pins are not connected Nurse Call connection Port 4 may be used to output alarm signals to a nurse call system. The ventilator will signal an alarm with a normally open or normally closed signal. The nurse call will be triggered by all medium and high priority alarms. When alarm audio is paused, the nurse call signal will be off. Note The delay time from the onset of an alarm condition to the alarm signal leaving the nurse call port is up to two seconds. The facility is responsible for any additional delays introduced by equipment connected to the nurse call port. 10 11 AB.100.139 3 Figure 2-3 • Port 4 nurse call shown with isolation cables 2-12 2065496-001 Rev G (2024 12) 2 Theory of Operation Isolation Cable (Datex-Ohmeda Com) Part Number - 2070436-001 Pin 3 Relay common Pin 10 Normally open Pin 11 Normally closed Load current: Minimum: 100 uA at 100 mVdc Maximum: 1 A at 30 Vdc Relay isolated VMB Ventilator Monitoring Board Atmel ATmega 128 Processor RS - 422 38.4 Kbaud Mod Bus 500 Kbaud Airway Module RS - 422 921.6 Kbaud • • • Display Unit External I/O: DU Controls Atmel ATmega 163 Processor Color LCD Touch Controller Alarm light Ser ial 9.6 Kbaud LVDS Ser ial 9.6 Kbaud VIA Nano Com Express Module RS-232 RS-422 38.4 Kbaud VCB Ventilator Control Board Motorola Coldfire V4 Processor Power Management Board Atmel ATmega 128 Processor AB.100.148 Display Unit CPU 38.4 Kbaud USB 2.0 USB 2.0 Ether ne t Ether ne t RS-232 Serial RS-232 Serial VGA Figure 2-4 • Communication Channels 2065496-001 Rev G (2024 12) 2-13 CARESCAPE R860 2.4 Main Enclosure 2.4.1 Ventilator Control Board The ventilator control board (VCB) is a Motorola Coldfire V4 CPU powered assembly that collects information from all ventilator system sensors (some indirectly from the VMB), and controls all actuators necessary to affect ventilation delivery. The VCB computes and supplies all ventilation sensor monitoring data for display on the display unit. If there are alarms to be generated based on this monitoring data, the VCB notifies the display unit to post the appropriate alarm message and audio sequence. The VCB observes the display unit’s response to ensure that the alarm is adequately presented. To control ventilation, the VCB accepts ventilation parameters from the display unit. Measured data (waveform and numeric) is also sent to the display unit from the VCB. This data flow occurs on the 38.4 Kbaud, RS-422 communications link (VCB - display unit Data I/O). The VCB also communicates directly with the VMB every 2 ms, receiving expiratory flow, expiratory pressure and O2 sensor data on the 921.6 Kbaud, RS-422 interface (VMB Sensor Data I/O). Barometric pressure data is also received from the VMB, but at a lower data rate. The following sensor information is acquired directly by the VCB: • • • • • • Air Flow/Temp sensor through the 12C interface at 250 Hz O2 Flow/Temp sensor through the 12C interface at 250 Hz Total Flow/Temp sensor through the 12C interface at 250 Hz Inspiratory Pressure sensor via a differential analog signal – 12 bits at 1000 Hz Auxiliary Pressure sensor via a differential analog signal – 12 bits at 1000 Hz Proximal flow sensor via differential analog signal - 12 bits at 500 Hz The VCB contains actuator drive circuits for the following: • • • • Air and O2 Flow Valves Exhalation Valve Inspiratory Pressure Sensor zeroing valve Auxiliary Pressure Sensor purge flow valve The Flow Valve and Exhalation valve actuators are driven using current drive circuits and feedback controlled using current sense resistors. The VCB contains digital control signals for activating the inspiratory effort and safety relief valves (through the VMB) and the Piezo-Electric Nebulizer. The VCB receives 12.5 Vdc from the PMB, which it regulates down to various voltages for use by the board’s digital circuits and analog drivers. These voltage levels are self-tested on the VCB. An additional power line is separately connected to an auxiliary buzzer on the VCB that provides a backup audio alarm source. The buzzer is normally on and must be kept silent by both the VCB and through a dedicated digital line coming from the VMB. A reset or 2-14 2065496-001 Rev G (2024 12) 2 Theory of Operation failure of either the VCB or VMB is regarded as a system fault and the buzzer is activated. The VCB includes 1 MB of SRAM and 8 MB of Flash memory. The CPU is connected to a digital watchdog circuit to monitor continuous and properly sequenced execution of software code. As the core processor unit for the ventilator, the VCB includes two external serial I/O channels: one 115.2 Kbaud RS-422 channel (Expansion Port I/O #1 to External Connector 3) and one 115.2.2 Kbaud RS-422 channel (Expansion Port I/O #2 to External Connector 2). For additional details, see "11.10 VCB block diagram". VCB Vent Control Board Coldfire V4 CPU Circuit Power VMB Sensor Data I/O Expansion Port I/O #1 VCB Expansion Signals Insp Effort Valve Exh Valve Closed Safety Valve On/Off Exh Valve On/Off RS-422 38.4Kb VCB - DU Data I/O Power for Buzzer Power Regs 12 Bit ADC 16 CH MUX 1 MB SRAM V Checks 8 MB Flash Watchdog Neb Control Board Nebulizer Ai r Flow Valve Exhal Valve Drive w/ V & I Sense O2 Flow Valve Air Valve Drive w/ I Sense Exhal Valve O2 Valve Drive w/ I Sense RS-232 Air Flow/ Temp RS-232 O2 Flow/ Temp RS-232 Total Flow/ Temp 8 UARTS Seria l XCVRs Buzzer Control Buzzer Sense Current Lmt Control Expansion Signals Backup Buzzer Insp P PLD Insp P Zer o Valv e SPI for Neo flow sensor AB.100.153 Aux P Aux P Purge Valv e Figure 2-5 • Ventilator control board 2.4.2 Ventilator Monitoring Board The Ventilator Monitoring Board (VMB) is based on an Atmel Atmega 128 CPU. The VMB performs as an independent monitoring system that provides computational and oversight redundancy to the display unit and VCB (see the diagram in "2.4.1 Ventilator Control Board"). The VMB independently acquires sensor data relating to the ventilator’s three safety parameters: 2065496-001 Rev G (2024 12) 2-15 CARESCAPE R860 • • • Airway pressure (expiratory) Delivered O2 percentage Exhaled minute/tidal volume In addition, the VMB monitors the air and oxygen supply pressures: • • • • • • • Air High Pressure Supply via analog cable –10 bits at 20 Hz. O2 High Pressure Supply via analog cable – 10 bits at 20 Hz. Expiratory flow sensor data via an I2C cable interface at 250 Hz. O2 Concentration via a serial cable at 5 Hz. Expiratory Airway Pressure via analog signal – 12 bits at 1000 Hz. Barometric Pressure onboard VMB – 10 bits at 1 Hz. Proximal flow sensor via differential analog signal - 12 bits at 250 Hz. VM B Vent Monitor Board Circuit Power Atmel ATmega128 CPU Insp Effort Valve Control Exh Valve Closed UARTS Insp Effort Valve Insp Maneuver Valve Drive Safety Relief Valve Safety Valve Drive Air Pipeline P Safety Valve On/Off Exh Valve On/Off RS-422 38.4 Kb O2 Pipeline P I2C VMB - DU Data I/O Watchdog RS-422 VMB Sensor 921.6 Kb Buzzer Control Data I/O Buzzer Sense Expansion Port I/O #2 V Checks Baro P RS-232 ADC / MUX Exp Flow Sensor B d Exp Flow Infc B d Exp Flow Sensor O2 Sensor Exp P Expansion Port I/O #3 Circuit Power VCB Expansion Signals PLD Controlled by VCB 2 UARTS Neo Flow Sensor Circuit Exp P Zer o Valv e SPI for Neo Flow Sensor Analog Neo Flow AB.100.154 Nurse Call Enable Figure 2-6 • Ventilator Monitoring Board The VMB controls a safety valve actuator that enables it to unilaterally relieve pressure in the breathing circuit. Independent control from either the VMB and VCB can signal the barotrauma hazard within a 50 ms reaction time. The hazards associated with O2 concentration (improper mixture) and low exhaled minute volume (hypoventilation) have much slower reaction times (minutes) and are controlled under fault conditions by the VMB’s ability to unilaterally activate the backup buzzer. The VMB receives 12.5 Vdc from the PMB, which it regulates down to various voltages for use by the board’s digital circuits and analog drivers. These voltage levels are self-tested on the VMB. 2-16 2065496-001 Rev G (2024 12) 2 Theory of Operation The VMB communicates directly to the display unit via the bi-directional 38.4 Kbaud RS-422 channel (VMB - display unit Data I/O). A separate 921.6 Kb RS-422 link (VMB Sensor Data I/O) is used to transmit the VMB’s sensor data to the VCB. Neonatal Option For Neonatal patients, the VMB provides circuitry designed to interface with the VCB and VMB and a remote bidirectional gas flow sensor. The analog sensor signals are routed from outside of the ventilator housing to the VMB via an electrical harness to the back of the machine and are filtered on the Motherboard before entering the VMB through the Motherboard internal connector. This circuitry is provided 12.5V power via the Motherboard and regulates this down to 5V and 3.3V, independent of other VMB circuitry. 2.4.3 Power Management Board The power management board (PMB) is based on an Atmel Atmega 128 CPU. The PMB performs power selection between power sources in the following order: • • AC power mains Internal battery The PMB regulates the 24 Vdc power supply output down to raw 16 V and 12.5 V power rails that are used throughout the system (all boards locally regulate from these power rails). The PMB controls the charging operation of the internal battery, selecting trickle, bulk, or float charge status. The PMB communicates with the display unit through the 38.4 Kbaud, RS-232 link (PMB Data I/O). It sends status commands to the display unit concerning the charge status of the internal 24 V battery. The PMB uses this link as a communication interlock to manage the unit shutdown sequence. Once a signal is received by the PMB from the mechanical On/Standby switch, the PMB prompts the display unit for a confirmation signal that shutdown is appropriate (unit is not in a ventilation therapy state). Once the display unit relays this confirmation to the PMB, the power-off sequence is initiated. The PMB supports the operation of the ventilator chassis fan and the fan on the PMB heatsink. 2.4.4 Other electronic items The ventilator employs a separate AC to DC switching power supply for providing a nominal 24v voltage level to the PMB. The power supply is capable of regulating 150 W of power output. A power entry module contains fuses and filters for Mains AC input cables. Finally, two internal 12v batteries are 2065496-001 Rev G (2024 12) 2-17 CARESCAPE R860 connected in series to provide an internal backup 24v power source for the system. For additional details, see "11.7 PMB block diagram". PMB Power Management Board Power Entry Model Atmel ATmega 128 CPU 150W Mains Power Supply Fan 2 Fan 1 UARTS PMB Data I/O Backup Audio Power 16 V Reg V Checks 12.5V Reg Mains/Bat Select Battery Charge Cntlr Fan Cntrls Battery I & V Monitor Chassis Gnd 2-12 V 4AHr Batteries AB.100.155 Power Panel Connectors On/Standby & Safety Switch 2.4.5 Motherboard (backplane) The Motherboard (M1053184-S) provides backplane connectivity for the VCB, VMB and PMB assemblies in the chassis. Analog circuits on the board provide current limiting for external peripheral connections to ensure that the primary ventilation and monitoring functions are not compromised by excessive power draw. In addition, 10VA energy limit circuitry is provided for power connections within 20 cm of O2 exhaust outlets, in order to mitigate the risk of an oxygen enriched fire. The board features six external connectors that exit through the rear interface, see "2.3.3 Communication port connections". Patient Side Module (PSM) support connector, Neonatal Flow Sensor Not supported Exhalation valve heater, PC Service Application Nurse call (must use isolation cable) Main display unit connector (communication channel between display unit and ventilator) Monitoring Module Bay, Mod Bus connector 2-18 2065496-001 Rev G (2024 12) 2 Theory of Operation 2.4.6 Monitoring Interface Board – Monitoring Module Bays The ventilator accommodates an optional four-bay module assembly that supports compatible Datex-Ohmeda E-series and CARESCAPE series airway modules. The assembly includes a Monitoring Interface Board (MIB) that communicates with the display unit through the Mod Bus connector. The MIB includes circuitry that regulates the raw 16 V power down to +15 V (unregulated), ±15 V (regulated), and +5 V levels required by the E-series and CARESCAPE-series monitoring modules. I/O Panel Connectors GE Airway Gas Module(s) Bay 2 Bay 3 Bay 4 2065496-001 Rev G (2024 12) Monitor Interface Board +15VD -15V +15V +5V Neo Flow Sensor Nurse Call/DU RS-232 RS-422 #3 Filtering RS-422Heater/Service #1 App Filtering Expansion Port I/O #3 Expansion Port I/O #1 12.5V Expansion Port I/O #2 12.5V RS-422 #2 Future Expansion Filtering Mod Bus Filtering RS-485 16V PSM/Neo Flow Sensor Filtering PSM 16V AB.100.156 Bay 1 2-19 2-20 2065496-001 Rev G (2024 12) 3 Checkout Procedure Checkout Procedure In this section 3.1 Inspect the system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 3.1.1 Turn on system power. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 3.2 System checkout overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4 3.2.1 System Check (Software 10 and 11). . . . . . . . . . . . . . . . . . . . . . 3-4 3.2.2 System Check with O2 Therapy (Dual limb) (Software version 11). . 3-6 3.3 Power failure test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8 3.4 Electrical safety tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9 2065496-001 Rev G (2024 12) 3-1 CARESCAPE R860 3.1 Inspect the system WARNING After any repair or service of the ventilator, complete all tests in this section. • Before you do the tests in this section: • Complete all necessary calibrations and sub-assembly tests. Refer to the individual procedures for necessary calibrations. • Completely reassemble the system. • If a test failure occurs, make appropriate repairs and test for correct operation. Before testing the system, make sure of the following: • • • • • Equipment is not damaged. Components are correctly attached. Pipeline gas supplies are connected. Power cord is connected to a wall outlet. The green LED illuminates when the ventilator is connected to a main power supply. The internal battery is charging when the LED is lit. Casters are not loose and the brakes are set and prevent movement. Torque and mark casters if necessary, see "9.10 Replacing the cart casters". Note If the caster is found loose, but the caster hex is still in contact with the base casting, the caster can be safely re-tightened using the methods described in "9.10 Replacing the cart casters". If the caster is found loose such that threads of the caster stem are visible, it is likely that the caster stem has been damaged, and a failure is possible even if the caster is re-tightened. In this case, the caster should be replaced with a new one. 3.1.1 Turn on system power 1. Plug the power cord into an electrical outlet. • 2. Press the system switch on the back of the ventilator to the On position. • • 3-2 The mains indicator illuminates (green) to indicate AC mains power is connected. The start-up screen appears while the system runs a series of automated self tests (POST - Power On Self Tests). When the self tests pass, the system goes into Standby and the display shows the Standby screen. 2065496-001 Rev G (2024 12) 3 Checkout Procedure • 3. Listen for two distinctly different audio tones to sound to make sure the backup buzzer is working properly. • 2065496-001 Rev G (2024 12) If the self tests fail, the display shows an alarm. See Troubleshooting for additional information. If both the primary and backup audio tones do not sound when the ventilator is powered on, take the ventilator out of service. 3-3 CARESCAPE R860 3.2 System checkout overview Note If any of the System Checks fail, select the Information button or see "7.7 Troubleshooting Service Application messages" to troubleshoot a specific failure. Note The Standby and System Check screens are different if the O2 therapy option is enabled. To file a quality report or request technical assistance regarding a checkout failure, create and include a System Check log using the PC Service Application. For details, see "8.7.3 Log checkout results to file". AB.100.287 3.2.1 System Check (Software 10 and 11) Figure 3-1 • Standby screen showing System Check The ventilator is equipped with an automated System Check. • • For System Check on system power up, start at Step 1. For System Check after the system has been in use, start at Step 3. 1. Select New Patient from the Standby menu and confirm or select Previous Patient. Adjust patient settings (new patient) and confirm. Select System Check. The Run System Check menu appears. Attach the patient breathing circuit. Occlude the patient wye using the occlusion port (leak test port). Select Start. The System Check starts and shows the results of each check. The system runs the following checks. 2. 3. 4. 5. 6. 3-4 2065496-001 Rev G (2024 12) 3 Checkout Procedure • • • • • • • • • • • Paw transducer check Barometric pressure check Relief valve check Exhalation valve check Expiratory flow Sensor Check Air flow sensor check Oxygen sensor check O2 flow sensor check Neonatal Flow Sensor check (if applicable) Resistance Check Circuit Measurements check (Circuit Leak, Compliance, and Resistance) When performing the Resistance Check, the wye-piece and all breathing accessories such as D-lite(+)/Pedi-lite(+) sensor and HME should remain on the occlusion port. Important -- 7. Select the information icon to see the System Check Details menu. • • The System Check starts and shows the results of each check. Follow all on-screen system check instructions. As the System check runs, the results of each check are displayed as a green check mark (pass) or red X (fail). If a check fails a help icon displays next to the failed check (red X). Select the Help (?) button to view possible causes and help for troubleshooting a failure. AB.100.288 When the system check is complete, the Final Result line will display the patient type icon, a green check mark (pass) or red X (fail), and the date and time of the system Check. Figure 3-2 • System Check details menu 2065496-001 Rev G (2024 12) 3-5 CARESCAPE R860 AB.100.281 3.2.2 System Check with O2 Therapy (Dual limb) (Software version 11) Figure 3-3 • Standby screen showing System Check - Dual Limb The ventilator is equipped with an automated System Check. • • For System Check on system power up, start at Step 1. For System Check after the system has been in use, start at Step 3. 1. Select New Patient from the Standby menu and confirm or select Previous Patient. Adjust patient settings (new patient) and confirm. Select System Check. The Run System Check menu appears. Select the Dual limb circuit type. 2. 3. 4. 5. 6. 7. Attach the patient breathing circuit. Occlude the patient wye using the occlusion port (leak test port). Select Start. The System Check starts and shows the results of each check. The dual limb System Check includes the following checks. • • • • • • • • • • 3-6 Paw transducer check Barometric pressure check Relief valve check Exhalation valve check - includes calibration Expiratory flow sensor check Air flow sensor check Oxygen sensor check O2 flow sensor check Neonatal Flow Sensor check (if applicable) Resistance check 2065496-001 Rev G (2024 12) 3 Checkout Procedure • Circuit Measurements check (Circuit Leak, Compliance, and Resistance) When performing the Resistance Check, the wye-piece and all breathing accessories such as D-lite(+)/Pedi-lite(+) sensor and HME should remain on the occlusion port. Important -- 8. Select the information icon to see the System Check Details menu. • • The System Check starts and shows the results of each check. Follow all on-screen system check instructions. As the System check runs, the results of each check are displayed as a green check mark (pass) or red X (fail). If a check fails a help icon displays next to the failed check (red X). Select the Help (?) button to view possible causes and help for troubleshooting a failure. AB.100.280 When the system check is complete, the Final Result line will display the patient type icon, a green check mark (pass) or red X (fail), and the date and time of the system check. 2065496-001 Rev G (2024 12) 3-7 CARESCAPE R860 3.3 Power failure test 1. With the system switch set to On, unplug the power cord. • • • • • 2. Connect the power cord to the electrical outlet. • • • 3-8 If the batteries are not fully charged, the System shutdown in less than X minutes alarm may occur instead of the "Battery in use" alarm. Verify the “Battery in use" alarm sounds. Verify the “Battery in use” alarm shows with a yellow background in the alarm bar. Verify the display unit alarm light flashes yellow. Verify the AC icon changes to a green "Battery in use" indicator icon (located on lower right corner of display unit). Verify the "Battery in use" alarm no longer sounds. Verify the display unit alarm light no longer flashes. Verify the green "Battery in use" indicator icon changes to the AC icon (located on lower right corner of display unit). 2065496-001 Rev G (2024 12) 3 Checkout Procedure 3.4 Electrical safety tests WARNING Make sure the system is completely assembled and that the power cords are connected as illustrated in "10.15 AC power cords". Make sure all accessory devices are connected to electrical outlets. 1. Connect an approved test device (for example: UL, CSA, or AAMI) and verify that the leakage current is less than the value defined for the following voltages: • • 2. 2065496-001 Rev G (2024 12) 120/100 VAC: 300 μA 220/240 VAC: 500 μA Make sure that the resistance to ground is less than 0.2Ω between the equipotential stud and the ground pin on the power cord. 3-9 3-10 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) A Configuration and Service Menus (Software 10) In this section 4.1 System configuration and defaults. . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 4.2 Configuration menu (Super User). . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3 4.2.1 Access the configuration menu (Software 10). . . . . . . . . . . . . . . 4-3 4.2.2 Units. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4 4.2.3 Time and date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5 4.2.4 Ventilator Settings (Software 10). . . . . . . . . . . . . . . . . . . . . . . . .4-6 4.2.5 Assign mode favorites (Software 10). . . . . . . . . . . . . . . . . . . . . .4-6 4.2.6 Calibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7 4.2.7 Copy Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9 4.3 Assign facility default settings (Software 10). . . . . . . . . . . . . . . . . . . . 4-11 4.3.1 Assign facility default views. . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13 4.3.2 Factory Setting defaults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13 4.4 Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17 4.4.1 Access the Service menus (Software 10). . . . . . . . . . . . . . . . . 4-17 4.4.2 Localization (Software 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18 4.4.3 Optional Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19 4.4.4 Service Log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22 4.4.5 Calibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25 4.4.6 Airway Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-30 2065496-001 Rev G (2024 12) 4-1 CARESCAPE R860 4.1 System configuration and defaults This section describes how to configure facility defaults and how to use service tools such as calibrations, software upgrades, and view logs. The section "8 Service Diagnostics and Software Download" describes two other service applications, the Service Application and the PC Service Application. The "8.1 Service Application" runs from a USB media stick and is used to download system software and run service level diagnostics. The "8.7 PC Service Application" runs from a USB media stick on a Windows based computer and is used to perform service level tests and troubleshooting. 4-2 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) 4.2 Configuration menu (Super User) Use the Configuration menu to set facility configuration defaults and system setting defaults per patient type. The Super User function supports standard hospital configuration preferences such as setting colors, units, ventilator settings, alarm defaults, and access to Service menus such as, Calibration and Copy Configuration menus. WARNING Do not enter the Configuration menu when a patient is connected to the ventilator. CAUTION Changes made in the Configuration menu affect the system configuration. All settings are permanent and preserved until changed again. 4.2.1 Access the configuration menu (Software 10) 1. Power on the ventilator, the Standby screen displays. 1 Select the Setup icon. • 3 2065496-001 Rev G (2024 12) The keypad displays. AB.100.237 2. AB.100p.212 2 4-3 CARESCAPE R860 3. Enter the Super User password 101867 and Confirm. The Configuration menu displays with the alarm management bar and Standby button colored orange. AB.100.258 • 4. 5. Select the desired Configuration tabs to change or set values to facility defaults. Select Exit to leave the Configuration tabs. 4.2.2 Units AB.100.259 Use the Units tab to select the unit facility defaults for the ventilator. The default change is immediate. Select Exit to leave the Configuration tabs. 4-4 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) Menu Item Setting Default Paw Change Paw unit: kPa, cmH2O, mbar cmH2O CO2 Change CO2 unit: %, kPa, mmHg % Height Change height unit: cm or in cm Weight Change weight unit: kg or lb kg Energy Expenditure Change EE unit: kcal/d or kJ/d kcal/d Gas Supply Pressure Change gas supply pressure unit: kPa, psi, bar kPa Blood Gases Change blood gas unit: kPa or mmHg mmHg Hb Change hemoglobin unit: g/l, g/dl, mmol/l g/l Exit Exit menu Assign Defaults Access menus to assign system defaults 4.2.3 Time and date AB.100.260 Use the Time and date tab to set the clock format, time, and date for the ventilator facility defaults. The default change is immediate. Select Exit to leave the Configuration tabs. 2065496-001 Rev G (2024 12) Menu Item Values Default Clock format Set Hour: 12 h, 24 h 24 h Time Set Time: hh:mm:ss 0-59 Date Set day (1-31), month (XXX), and year (XXXX) Exit Exit menu Assign Defaults Access menus to assign system defaults 4-5 CARESCAPE R860 4.2.4 Ventilator Settings (Software 10) AB.100.430 Use the Ventilator settings tab to select default patient type (adult, pediatric, or neonatal), Timing, Flow, Flow Pattern, CPAP Rate, and System Configuration. The default change is immediate. Select Exit to leave the Configuration tabs. Menu item Values Default Default patient Select Adult, Pediatric, or Neonatal. This is the patient type Adult type you will set default settings for. The facility defaults are displayed for the patient type on power up. Timing Select timing setting: I:E, Tinsp, or Tpause. Tpause is only I:E available when Flow is set to On. Flow Select to use Flow settings or Insp Pause. Tpause Timing is available when Flow is set to On. Off CPAP rate Select On or Off to use Rate, Pinsp, and Tinsp for CPAP/ PSV. Off System Configuration Select Clinical or Bench. The Clinical setting is used for Clinical patient use only and the Bench setting is used for research only. After exiting the Configuration menu (Super User), a general message shows to indicate that the ventilator is in the bench configuration. Exit Exit menu Assign Defaults Access menus to assign system defaults 4.2.5 Assign mode favorites (Software 10) Use the Assign mode favorites tab to select ventilation modes that will show in the Current mode list. When a subset of modes are selected, the modes are 4-6 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) represented by a partial list icon in the Current Modes menu. When all modes are selected, a full list icon represents all ventilation modes that are available to the user in the Current Mode list. This icon designates the facility set ventilation modes that are listed in the Current Modes menu. AB.100.333 This icon designates the full set of ventilation modes that are available on the system. Menu item Message text Values Ventilation modes Select the modes to be used as facility defaults A/C VC, A/C PRVC, SIMV PC, BiLevel, VS, NIV, A/C PC, SIMV VC, CPAP/PS, APRV, BiLevel VG, nCPAP Exit Exit menu Assign defaults Access menus to assign system defaults 4.2.6 Calibrations The last date and time the system was calibrated is shown in the Calibrations menu. All Calibrations can be made from this menu by selecting the desired calibration procedure. Select Exit to leave the Calibrations tabs. 2065496-001 Rev G (2024 12) 4-7 AB.100p.218 CARESCAPE R860 . Menu item Message text Air FCV Start Air Flow Control Valve calibration and leak test. O2 FCV Exhalation valve Start O2 Flow Control Valve calibration and leak test. Patient must not be connected to circuit during calibration. Start exhalation valve calibration. Description 1. 2. 3. 1. 2. 3. Select O2 FCV. Open inspiratory port to atmosphere. Start O2 flow control valve calibration. 1. 2. Select Exhalation Valve. Attach the patient circuit to the ventilator and occlude the patient wye. Start exhalation valve calibration. 3. Airway module Select Air FCV. Open inspiratory port to atmosphere. Start air flow control valve calibration. Start gas calibration. Calibrate CO2 and O2 measurements. Gas Calibration is 1. enabled whenever an airway module is 2. installed. Gas Calibration is disabled if the airway module is warming up. 3. 4. Select Airway Module. Install the airway module and allow it to warm up. Make sure no airway alarms are active. Calibrate airway module CO2 and O2 measurements. See "5.3.12 Airway Module Calibration" for detailed calibration instructions. Calibration flag 4-8 Turn the Calibration required message On/Off. When the Cal. Flag is set to On, the "Calibration required" message appears in the general message area. 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) Menu item Message text Description Exit Exit menu Assign Defaults Access menus to assign system defaults Note The Calibration Flag menu item is used by the factory to activate the "Calibration required" alarm. It is set as a reminder that calibrations must be performed when the machine is set up for operation at its permanent location. After completing the O2 FCV, Air FCV, and the Exhalation Valve calibrations, set the Calibration Flag to Off. If the PC Service Application is connected, make sure DAC is set to 0 and the checkbox is marked. See "5.2 Service level tests and calibration" for additional information about performing the calibration. 4.2.7 Copy Configuration AB.100.219 Use the Copy Configuration menu to save ventilator settings to USB media, copy settings from USB media, or reset system default settings to the original factory default settings. Only Super User configurations may be saved to USB media or copied from USB media. For example, the language configuration cannot be saved. Select Exit to leave the Configuration tabs. 2065496-001 Rev G (2024 12) Menu item Message text Save to USB Select to save all configuration settings to a USB stick. Copy from USB Select to copy ventilator configuration settings. Factory Reset Select to save factory settings as facility defaults or reset system to original factory default settings. 4-9 CARESCAPE R860 USB media The USB media device may only be used as a service tool to transfer data. The drive must be 2.0 compatible. Drive size must be 4 GB to 8 GB. The table lists validated USB media drives. Results may be inconsistent if a validated USB media drive is not used. 4-10 Manufacturer Model Drive size Part Number Scandisk Cruzer 4 GB SDCZ36-004G-A11 Lexar Jumpdrive Twist Turn 4 GB LJDTT4GBASBNA Kingston Data Traveler 8 GB DTIG3/8GBZ 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) 4.3 Assign facility default settings (Software 10) Setting changes should only be made by the person responsible for the configuration of the ventilator. Note Facility default settings will be reset to the factory default settings after a factory reset of the ventilator. Set the facility default for each patient type using the Assign Default button at the bottom of the Configuration menus. If not already in Super User mode follow steps 1 through 4. If already in Super User mode continue to step 4. 1. Power on the ventilator or select Standby. 1 2. Select the Setup icon. 3 Enter the Super User password 101867 and Confirm. • 4. 2065496-001 Rev G (2024 12) The keypad displays. AB.100.237 • 3. AB.100p.212 2 The Configuration (Super User) menu displays with the alarm bar and Standby quick key colored orange. Select Assign Defaults to change or set values the facility default settings. 4-11 CARESCAPE R860 The currently set default view in the Present workspace displays. If no default view has been set, the Basic view displays. AB.100.258 • 5. Select the patient type for which you would like to change facility default settings. • Each patient type must have defaults assigned individually. The patient type selected appears in the Current Patient menu. The default settings will be applied to this patient type. Example of settings and views that can be configured: • • • • • • • 6. When all settings are correct, select Standby to confirm settings. • • • • 4-12 Data source Settings for Procedures such as Lung Mechanics, Nebulizer, and Suction Alarm limit settings Current/Backup ventilation mode settings Default ventilation modes Waveform settings Default and home views (See "4.3.1 Assign facility default views" for detailed instruction on setting default views). A warning message displays: 'Save changes to patient type settings?' Select Yes to save as defaults and go to Standby Select No to discard changes and go to Standby Select Cancel to return to Setup. 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) 4.3.1 Assign facility default views Default views can be assigned for each workspace. The default view for a particular workspace is the last view that was displayed before exiting Assign Defaults or changing the patient type. It is recommended to assign facility default views after assigning all other facility default settings for a patient type. 1. 2. Enter Assign Defaults. See "4.3 Assign Facility Default Settings (Super User)" for instructions accessing Assign Defaults in the Configuration (Super User) menu. Select the patient type for which you would like to change facility default settings. • 3. 4. 5. 6. 7. 8. Each patient type must have defaults assigned individually. The patient type selected is displayed in the Current Patient menu. The default settings will be applied to this patient type. Select the Past/Historical Trends workspace. Select the desired default Past/Historical Trends view. Select the Future/Clinical Decision Support workspace. Select the desired default Future/Clinical Decision Support view. Select the Present/Patient Status workspace. Select the desired Present/Patient Status view. The default Present/Patient Status view is the Home view that will be displayed when the Home hard key is pressed. Note -- 9. Select Standby to confirm default views. • • • • A warning message displays: ‘Save changes to patient type settings?’ Select Yes to save as defaults and go to Standby Select No to discard changes and to Standby Select Cancel to return to Setup. 4.3.2 Factory Setting defaults The table lists the parameters for ventilator factory defaults. . Current Mode Factory Default Settings Setting Adult Pediatric Neonatal Vent mode A/C PC A/C PC A/C PC Backup mode On On On 2065496-001 Rev G (2024 12) 4-13 CARESCAPE R860 Current Mode Factory Default Settings Setting Adult Pediatric Neonatal FiO2 50 50 50 VT 500 100 10 Pinsp 10 cmH2O (10 mbar, 1.0 kPa) 7 cmH2O (7 mbar, 0.7 kPa) 5 cmH2O (5 mbar, 0.5 kPa) Rate 10 15 25 I:E 1:2 1:2 1:2 Tinsp 1.7 1.7 0.4 Tpause 0 0 0 PEEP Off Off Off PS 5 cmH2O (5 mbar, 0.5 kPa) 3 cmH2O (3 mbar, 0.3 kPa) 0 Pmax 30 cmH2O (30 mbar, 3.0 kPa) 30 cmH2O (30 mbar, 3.0 kPa) 12 cmH2O (12 mbar, 1.2 kPa) Plimit 100 cmH2O (98 mbar, 9.8 kPa) 100 cmH2O (98 mbar, 9.8 kPa) 100 cmH2O (98 mbar, 9.8 kPa) Insp Pause 0 0 0 Phigh 10 cmH2O (10 mbar, 1.0 kPa) 7 cmH2O (7 mbar, 0.7 kPa) 5 cmH2O (5 mbar, 0.5 kPa) Plow Off Off Off Thigh 1.7 1.7 0.4 Tlow 4.25 2.3 0.8 Flow 40 l/min 20 l/min 1.5 l/min Rise Time 100 ms 100 ms 100 ms PS Rise Time 50 ms 50 ms 0 ms Pmin 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) Inspiratory Trigger 2 l/min 1 l/min 0.5 l/min Expiratory Trigger 25% 25% 25% Bias Flow 3 l/min 2 l/min 2 l/min Assist control On On On Leak comp Off Off Off Trigger comp Off Off Off Minimum Rate 10 15 25 Tsupp 4s 1.5 s 0.8 s Sweep Speed Fast Fast Fast 4-14 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) Current Mode Factory Default Settings Setting Adult Pediatric Neonatal Tube comp Off Off NA . Backup Mode Factory Default Settings Setting Adult Pediatric Neonatal Backup Mode A/C PC A/C PC A/C PC Backup VT 500 100 10 Backup Pinsp 10 cmH2O (10 mbar, 1.0 kPa) 7 cmH2O (7 mbar, 0.07 kPa) 5 cmH2O (5 mbar, 0.05 kPa) Backup Rate 12 12 25 Backup I:E 1:2 1:2 1:2 Backup Tinsp 1.7 1.7 0.4 Backup Tpause 0 0 0 Backup Insp pause 0 0 0 Backup Pmin 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) Backup Flow 40 l/min 20 l/min 1.5 l/min Backup Rise Time 100 ms 100 ms 100 ms . Alarm Factory Default Settings Setting Adult Pediatric Neonatal Low FiO2 44% 44% 44% High FiO2 56% 56% 56% Low Ppeak 4 cmH2O (4 mbar, 0.4 kPa) 4 cmH2O (4 mbar, 0.4 kPa) 4 cmH2O (4 mbar, 0.4 kPa) High Ppeak 30 cmH2O (30 mbar, 3 kPa) 30 cmH2O (30 mbar, 3 kPa) 12 cmH2O (12 mbar, 1.2 kPa) Low MVexp 2 l/min 1 l/min 0.2 l/min Low VTexp Off Off Off Low RR Off Off Off High RR Off Off Off Low ETO2 Off Off NA High ETO2 Off Off NA Low ETCO2 3% (3 kPa, 23 mmHg) 3% (3 kPa, 23 mmHg) NA High ETCO2 8% (8 kPa, 60 mmHg) 8% (8 kPa, 60 mmHg) NA High MVexp 10 l/min 5 l/min 0.4 l/min 2065496-001 Rev G (2024 12) 4-15 CARESCAPE R860 Alarm Factory Default Settings Setting Adult Pediatric Neonatal High VTexp Off Off Off Low PEEPe Off Off Off High PEEPe Off Off Off High PEEPi Off Off Off High Paux 30 cmH2O (30 mbar, 3 kPa) 30 cmH2O (30 mbar, 3 kPa) 30 cmH2O (30 mbar, 3 kPa) Apnea time 30 s 30 s 15 s Tdisconnect 30 s 30 s NA Patient Effort 50 s 50 s NA Leak Limit 50% 50% 50% Show alarm limits On On On Alarm volume 3 3 3 High alert audio 30 s 30 s 30 s 4-16 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) 4.4 Service 4.4.1 Access the Service menus (Software 10) The Service level function supports Calibration, Service menus, and provides access to the Service Log menus. When the service menu is entered, the date and time is entered into the Event log. WARNING Do not enter the Service menu when a patient is connected to the ventilator. The ventilator must be powered down in order to exit the Service menus and resume ventilation. 1. Power on the ventilator or select Standby. 1 2. Select the Setup icon. 3. 2065496-001 Rev G (2024 12) The keypad displays. AB.100.237 • 3 AB.100p.212 2 Enter the Service password: 189004 and Confirm. The Service menu displays with the alarm bar and Standby quick key colored orange. 4-17 AB.100.429 CARESCAPE R860 4. Select the desired Service tabs to change or set values to facility defaults. AB.100.332 4.4.2 Localization (Software 10) 4-18 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) Menu Item Values Comments Language Select language for screen: Default: English Brazilian Portuguese Chinese (simplified) Czech Danish Dutch English Finnish French German Greek Hungarian Italian Japanese Norwegian Polish Portuguese Russian Spanish Swedish Turkish Decimal Marker Select decimal marker: 0.01 Default: 0.01 or 0,01 Altitude Units Select altitude unit: m or ft Altitude Change altitude used for 300 m gas calculations: - 400 to 3000 m in 100-m increment Default: m 4.4.3 Optional Features See Section "8.6 Software option upgrade". 2065496-001 Rev G (2024 12) 4-19 AB.100.221 CARESCAPE R860 Item Description Optional Features Shows installed optional features: FRC, SpiroDynamics, Neonatal, Neonatal Only, SIMV-PRVC, BiLevel VG, nCPAP, APRV, and BiLevel. Note: SIMV PRVC and BiLevel VG cannot be loaded on the system at the same time. Current key Shows current key code for installed options. Or use this field to re-enter key code. Control Board ID Shows Control Board identification number. USB Upgrade Select to install optional features using USB media. Lost key code To request an option Key Code for a replacement Control Board, the following information must be provided. The new Key Code will be emailed to the address you provide. 1. 2. To obtain a lost key code, access the Key Code Generator web site: http:// www.docodes.com. Enter the required information and submit the request. (*Required Information) Step 1: Requestor Information. *Email Address *Full Name *Organization 4-20 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) End User Information Hospital Name Address 1 Address 2 City Postal Code Country Telephone Step 2: Information from the existing control board being removed. This information is available from the Service Optional Features screen or from the label located on the rear panel of the system. *Control Board ID Number *Control Board Key Code Step 3: Information from the replacement control board being installed. *Control Board ID Number Step 4: Submit Request. USB upgrade AB.100.222 A separate media stick must be used for each optional feature upgrade. See "8.5.2 Upgrading system software" for detailed instructions. 1. 2. 3. Select USB Upgrade to install optional features. Insert USB media stick. Select Check Media. • 4. 2065496-001 Rev G (2024 12) The system looks at the USB media for available optional features that may be uploaded to the system. Select Upgrade if optional feature is available or select Cancel. 4-21 CARESCAPE R860 • Verify that the optional feature is checked on the screen. 4.4.4 Service Log Service log history is represented by the Main, Error log, Event log, Alarm log, and SW/HW tabs. The Main tab shows total Running Hours, the Ventilator Serial Number, the ventilator model code, and the date when maintenance was last performed. Use the Copy Logs button to copy logs to USB media. AB.100.236 If the logs are saved to USB media, the ventilator’s serial number, date, and time are saved along with the current contents of the logs. Main The Service log menu is an organized listing of stored events. 4-22 2065496-001 Rev G (2024 12) AB.100.432 4 A Configuration and Service Menus (Software 10) Menu Item Message Text Total Running Hours Shows system information. Serial Number Shows the serial number for the ventilator. Model Code CARESCAPE R860 Maintenance Performed Shows the date last maintenance was performed. (Select Maintenance Performed button to record the date maintenance was performed.) Copy Logs Select Copy Logs to copy all Error, Event, and Alarm logs, along with the software/hardware configuration to a text file on USB media. Reset Logs Select Reset Logs to delete all Error and Alarm logs. Note: The Rest Logs feature was added with software revision 10, service pack 04 (10SP04). Error log The Error Log lists the last 200 errors, starting with the most recent. The system stores the last 1,000 errors. 2065496-001 Rev G (2024 12) 4-23 AB.100.224 CARESCAPE R860 Event log The Event Log records the service history of the ventilator. This includes: service calibrations, super-user calibrations, checkout results, entry into the service mode, options enabled, and software installation. In the event of a board replacement, this log like all others could be lost. AB.100.225 The Event log lists the last 200 events logged starting with the most recent. The Event log stores the last 1000 events. The Event log cannot be reset. Alarm log The Alarm log lists the last 1000 alarms, starting with the most recent. The Alarm log stores a total of 5000 entries. Only the most recent 1000 alarm logs are viewable using the Alarm log menu. Select the Main tab > Copy logs to copy all Error, Event, and Alarm logs, along with the software/hardware configuration to a text file onto USB media. 4-24 2065496-001 Rev G (2024 12) AB.100.226 4 A Configuration and Service Menus (Software 10) SW/HW (software and hardware) AB.100.227 The software and hardware tab shows the software and hardware configurations for the ventilator. Use the scroll bar to view the system software and hardware features. 4.4.5 Calibrations Select the desired Calibration procedure to perform. After a calibration is completed the date and time of the calibration will be recorded. 2065496-001 Rev G (2024 12) 4-25 AB.100.228 CARESCAPE R860 . Menu Item Message Air FCV Start Air Flow Control Valve calibration and leak test. O2 FCV Start O2 Flow Control Valve calibration and leak test. Procedure 1. 2. Select Air FCV. Open inspiratory port to atmosphere. 3. Start Air Flow Control Valve. 1. 2. Select O2 FCV. Open inspiratory port to atmosphere. Start O2 Flow Control Valve calibration. 3. Exhalation Valve Patient must not be connected to circuit during calibration. Start Exhalation Valve calibration. 1. 2. 3. 4-26 Select Exhalation Valve. Attach the patient circuit to the ventilator and occlude the patient wye. Start exhalation valve calibration. 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) Menu Item Message Procedure Airway Module Start gas calibration. Calibrate CO2 and O2 measurements. 1. Gas Calibration is enabled whenever 2. an MGAS module is installed. Gas Calibration is disabled if the MGAS 3. module is warming up. 4. Select Airway Module Install the airway module and allow it to warm up. Make sure no airway alarms are active. Calibrate airway module CO2 and O2 measurements. Touchscreen 1. 2. Select Touchscreen. Follow the on-screen instructions. Air FCV AB.100.229 Select the Air Flow Control Valve calibration procedure and follow the onscreen instructions. O2 FCV Select the O2 Flow Control Valve calibration procedure and follow the onscreen instructions. 2065496-001 Rev G (2024 12) 4-27 AB.100.230 CARESCAPE R860 Exhalation valve AB.100.231 Select the Exhalation Valve calibration procedure and follow the on-screen instructions. Airway module Select the Airway Module calibration procedure and follow the on-screen instructions. 4-28 2065496-001 Rev G (2024 12) AB.100.232 4 A Configuration and Service Menus (Software 10) Touchscreen AB.100.233 Select the Touchscreen calibration procedure and follow the on-screen instructions. 2065496-001 Rev G (2024 12) 4-29 CARESCAPE R860 AB.100.234 4.4.6 Airway Module Gas Data Note During the 2 minute and 5 minute warm-up periods, different data values will be dashed depending upon when data becomes available. Gas Module status data is not available during an 'Airway Module Gas Sampling Error' alarm condition. Resolve the alarm condition before adjusting gas module data. See the Gas Module Technical Reference Manual for detailed information. 4-30 2065496-001 Rev G (2024 12) AB.100.433 4 A Configuration and Service Menus (Software 10) . Menu Item Message text Value Comments Noise Meassurement Select to turn Noise Measurement On, Off On or Off. When On is selected the MGAS Noise Measurement will turn On (Noise %). Sample Gain Adjust Select gain adjustment value 0.200 to 2.000 Increments: 0.001 Enabled whenever the Gas Module menu is displayed, an MGAS module is installed, and the 2 minute warm-up period has completed. When confirmed, the MGAS Sample Gain is set to the confirmed value. Fall Time Measurement Select to start the Fall Time Measurement NA Enabled whenever the Gas Module menu is displayed, an MGAS module (except MiniC) is installed, and the 2 minute warmup period has completed. (Disabled whenever a MiniC module is installed.) When selected the Gas Data Page 2 menu is displayed in the right pane and the Fall Time Measurement start command is sent to the MGAS. 2065496-001 Rev G (2024 12) 4-31 CARESCAPE R860 Menu Item Message text Value Comments Pump Control Enabled whenever the Gas Select to turn Pump Control On or On, Off If the MGAS is Module menu is displayed, an Off. installed, the default MGAS module is installed, and the is read from the 2 minute warm-up period has MGAS, otherwise it is completed. On. When On is selected, the MGAS is commanded to turn the Pump On. Zero Valve Control Select to control the zero valve. Zero, Meas Enabled whenever an MGAS If the MGAS module module is installed. is installed, the When Zero is confirmed, the Zero default is read from Valve is commanded to the Zero the MGAS, otherwise state. it is Meas. When Meas is confirmed, the Zero Valve is commanded to the Measuring state. Occlusion Valve Control Select to control the occlusion valve Occl, Meas Enabled whenever an MGAS If MGAS module is module (except MiniC) is installed. installed, the default is read from the MGAS, otherwise it is Meas. AB.100.235 Spirometry Data Values are marked invalid during the 2 minute warm-up period, or if the module installed does not support Spirometry. 4-32 Menu Item Values VTinsp ml 2065496-001 Rev G (2024 12) 4 A Configuration and Service Menus (Software 10) 2065496-001 Rev G (2024 12) Menu Item Values VTexp ml MVinsp l/min MVexp l/min Paw cmH2O 4-33 4-34 2065496-001 Rev G (2024 12) 4B Configuration and Service Menus (Software 11) B Configuration and Service Menus (Software 11) In this section 4.1 System configuration and defaults. . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 4.1.1 Configure passwords (Install or reset). . . . . . . . . . . . . . . . . . . . 4-2 4.2 Configuration menu (Super User). . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5 4.2.1 Access the Configuration menu (Software 11). . . . . . . . . . . . . . 4-5 4.2.2 Units. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7 4.2.3 Time and date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8 4.2.4 Ventilator Settings (Software 11). . . . . . . . . . . . . . . . . . . . . . . . 4-9 4.2.5 Assign mode favorites (Software 11). . . . . . . . . . . . . . . . . . . . 4-10 4.2.6 Calibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10 4.2.7 Copy Configuration (Software 11). . . . . . . . . . . . . . . . . . . . . . 4-12 4.2.8 Manage Passwords. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13 4.3 Assign facility default settings (Software 11). . . . . . . . . . . . . . . . . . . 4-17 4.3.1 Assign facility default views. . . . . . . . . . . . . . . . . . . . . . . . . . 4-20 4.3.2 Factory Setting defaults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20 4.4 Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24 4.4.1 Access the Service menus (Software 11). . . . . . . . . . . . . . . . .4-24 4.4.2 Localization (Software 11). . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26 4.4.3 Optional features (Software 11). . . . . . . . . . . . . . . . . . . . . . . .4-27 4.4.4 Service Log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30 4.4.5 Calibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34 4.4.6 Airway Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-39 4.4.7 Manage Passwords (Service). . . . . . . . . . . . . . . . . . . . . . . . . 4-42 2065496-001 Rev G (2024 12) 4-1 CARESCAPE R860 4.1 System configuration and defaults This section describes how to configure facility defaults, how to manage passwords, and how to use service tools such as calibrations, software upgrades, and view logs. The section "8 Service Diagnostics and Software Download" describes two other service applications, the Service Application and the PC Service Application. The "8.1 Service Application" runs from a USB media stick and is used to download system software and run service level diagnostics. The "8.7 PC Service Application" runs from a USB media stick on a Windows based computer and is used to perform service level tests and troubleshooting. 4.1.1 Configure passwords (Install or reset) The Password change required prompt shows at startup during installation and after a password reset to factory defaults. The prompt shows at startup until the Service password and Configuration password are both changed from the factory default values. Note Consult the facility representative when configuring the password rules and when setting the Configuration password and the Service password. Power on the system. The Password change required prompt appears. Change both the Configuration and the Service passwords in order to suppress the prompt. 2. Select Change Password. The Manage Passwords menu shows. AB.100.335 1. 4-2 2065496-001 Rev G (2024 12) AB.100.336 4 B Configuration and Service Menus (Software 11) 3. AB.100.337 4. Set the Password Rules. See the following topic for additional information. "4.2.8 Manage Passwords" Select the Change Password tab. 5. 6. 7. Note Select the field next to the password to be changed. On initial install and following a password reset, the current passwords for the Configuration and Service fields are the factory default passwords. The factory default configuration password is 101867. The factory default Service password is 189004. Enter the default password. A Notification shows if the entered password is incorrect. Enter the new password. The new password must meet all set password rules and password character requirements. The Factory default password cannot be used as a new password. -- 2065496-001 Rev G (2024 12) 4-3 CARESCAPE R860 8. AB.100.338 9. Enter the new password again to confirm. Successfully changed password shows a green check mark. Repeat to change the next password. Note The Password change required prompt continues to show at system startup if only one of the passwords is changed at the initial installation or at password reset to factory default. The prompt shows at startup again at the password expiration as a reminder to reset the password. 4-4 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) 4.2 Configuration menu (Super User) Use the Configuration menu to set facility configuration defaults and system setting defaults per patient type. The Super User function supports standard hospital configuration preferences such as setting colors, units, ventilator settings, alarm defaults, and access to Service menus such as, Calibration and Copy Configuration menus. WARNING Do not enter the Configuration menu when a patient is connected to the ventilator. CAUTION Changes made in the Configuration menu affect the system configuration. All settings are permanent and preserved until changed again. 4.2.1 Access the Configuration menu (Software 11) Note Verify the current password with the facility representative as the password may have been changed from the factory default password. 1. Power on the ventilator or select Standby. The Standby screen displays. 1 AB.100.365 2 Figure 4-1 • Standby screen default 2065496-001 Rev G (2024 12) 4-5 CARESCAPE R860 1 AB.100.263 2 Figure 4-2 • Standby Screen with O2 Therapy Select the Setup icon. A Warning screen appears. 3. Select Configuration. The keypad displays. 3 4. 4-6 AB.100.237 AB.100.262 2. Enter the Configuration password and Confirm. 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) AB.100.257 The Configuration menu displays with the alarm management bar and Standby button colored orange. 5. 6. Select the desired Configuration tabs to change or to set values to facility defaults. Select Exit to leave the Configuration tabs. 4.2.2 Units AB.100.437 Use the Units tab to select the unit facility defaults for the ventilator. The default change is immediate. Select Exit to leave the Configuration tabs. 2065496-001 Rev G (2024 12) Menu Item Setting Default Paw Change Paw unit: kPa, cmH2O, mbar cmH2O 4-7 CARESCAPE R860 Menu Item Setting Default CO2 Change CO2 unit: %, kPa, mmHg % Height Change height unit: cm or in cm Weight Change weight unit: kg or lb kg Energy Expenditure Change EE unit: kcal/d or kJ/d kcal/d Gas Supply Pressure Change gas supply pressure unit: kPa, psi, bar kPa Blood Gases Change blood gas unit: kPa or mmHg mmHg Hb Change hemoglobin unit: g/l, g/dl, mmol/l g/l Exit Exit menu Assign Defaults Access menus to assign system defaults 4.2.3 Time and date AB.100.438 Use the Time and date tab to set the clock format, time, and date for the ventilator facility defaults. The default change is immediate. Select Exit to leave the Configuration tabs. 4-8 Menu Item Values Default Clock format Set Hour: 12 h, 24 h 24 h Time Set Time: hh:mm:ss 0-59 Date Set day (1-31), month (XXX), and year (XXXX) Exit Exit menu Assign Defaults Access menus to assign system defaults 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) 4.2.4 Ventilator Settings (Software 11) AB.100.265 Use the Ventilator settings tab to select default patient type (adult, pediatric, or neonatal), Timing, Flow, Flow Pattern, CPAP Rate, and System Configuration. The default change is immediate. Select Exit to leave the Configuration tabs. Menu item Values Default Default patient Select Adult, Pediatric, or Neonatal. This is the patient type Adult type you will set default settings for. The facility defaults are displayed for the patient type on power up. 2065496-001 Rev G (2024 12) Timing Select timing setting: I:E, Tinsp, or Tpause. Tpause is only I:E available when Flow is set to On. Flow Select to use Flow settings or Insp Pause. Tpause Timing is available when Flow is set to On. Flow Pattern Select On or Off to use Dual, Descending, or Fixed for A/C Off VC mode or SIMV VC mode. CPAP rate Select On or Off to use Rate, Pinsp, and Tinsp for CPAP/ PSV. System Configuration Select Clinical or Bench. The Clinical setting is used for Clinical patient use only and the Bench setting is used for research only. After exiting the Configuration menu (Super User), a general message shows to indicate that the ventilator is in the bench configuration. Exit Exit menu Assign Defaults Access menus to assign system defaults Off Off 4-9 CARESCAPE R860 4.2.5 Assign mode favorites (Software 11) Use the Assign mode favorites tab to select ventilation modes that will show in the Current mode list. When a subset of modes are selected, the modes are represented by a partial list icon in the Current Modes menu. When all modes are selected, a full list icon represents all ventilation modes that are available to the user in the Current Mode list. This icon designates the facility set ventilation modes that are listed in the Current Modes menu. AB.100.266 This icon designates the full set of ventilation modes that are available on the system. Menu item Message text Values Ventilation modes Select the modes to be used as facility defaults A/C VC, A/C PRVC, SIMV PC, BiLevel, VS, NIV, A/C PC, SIMV VC, SBT, CPAP/PS, APRV, BiLevel VG, nCPAP, O2 Therapy (if installed) Exit Exit menu Assign defaults Access menus to assign system defaults 4.2.6 Calibrations The last date and time the system was calibrated is shown in the Calibrations menu. All Calibrations can be made from this menu by selecting the desired calibration procedure. Select Exit to leave the Calibrations tabs. 4-10 2065496-001 Rev G (2024 12) AB.100.436 4 B Configuration and Service Menus (Software 11) . Menu item Message text Air FCV Start Air Flow Control Valve calibration and leak test. O2 FCV Exhalation valve Start O2 Flow Control Valve calibration and leak test. Patient must not be connected to circuit during calibration. Start exhalation valve calibration. Description 1. 2. 3. Select Air FCV. Open inspiratory port to atmosphere. Start air flow control valve calibration. 1. 2. 3. Select O2 FCV. Open inspiratory port to atmosphere. Start O2 flow control valve calibration. 1. 2. Select Exhalation Valve. Attach the patient circuit to the ventilator and occlude the patient wye. Start exhalation valve calibration. 3. Airway module Start gas calibration. Calibrate CO2 and O2 measurements. Gas Calibration is 1. enabled whenever an airway module is 2. installed. Gas Calibration is disabled if the airway module is warming up. 3. 4. Select Airway Module. Install the airway module and allow it to warm up. Make sure no airway alarms are active. Calibrate airway module CO2 and O2 measurements. See "5.3.12 Airway Module Calibration" for detailed calibration instructions. 2065496-001 Rev G (2024 12) 4-11 CARESCAPE R860 Menu item Message text Description Calibration flag Turn the Calibration required message On/Off. When the Cal. Flag is set to On, the "Calibration required" message appears in the general message area. Exit Exit menu Assign Defaults Access menus to assign system defaults Note The Calibration Flag menu item is used by the factory to activate the "Calibration required" alarm. It is set as a reminder that calibrations must be performed when the machine is set up for operation at its permanent location. After completing the O2 FCV, Air FCV, and the Exhalation Valve calibrations, set the Calibration Flag to Off. If the PC Service Application is connected, make sure DAC is set to 0 and the checkbox is marked. See "5.2 Service level tests and calibration" for additional information about performing the calibration. 4.2.7 Copy Configuration (Software 11) Use the Copy Configuration menu to save ventilator settings to USB media, copy settings from USB media, or reset system default settings to the original factory default settings. Only Super User configurations may be saved to USB media or copied from USB media. For example, the language configuration cannot be saved. Select Exit to leave the Configuration tabs. AB.100.439 Note Passwords cannot be saved to USB media or copied from USB media. Manually set passwords on systems when copying configurations from USB media. 4-12 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) Menu item Message text Save to USB Select to save all configuration settings to a USB stick. Copy from USB Select to copy ventilator configuration settings. Factory Reset Select to save factory settings as facility defaults or reset system to original factory default settings. USB media The USB media device may only be used as a service tool to transfer data. The drive must be 2.0 compatible. Drive size must be 4 GB to 8 GB. The table lists validated USB media drives. Results may be inconsistent if a validated USB media drive is not used. Manufacturer Model Drive size Part Number Scandisk Cruzer 4 GB SDCZ36-004G-A11 Lexar Jumpdrive Twist Turn 4 GB LJDTT4GBASBNA Kingston Data Traveler 8 GB DTIG3/8GBZ 4.2.8 Manage Passwords There are two factory default passwords. The default Configuration password (101867) and the default Service password (189004). Change these passwords at initial installation of the system at the facility and after performing a password reset with the USB media stick. The Configuration password and the Service password are resettable individually or both at that the same time. Set the password rules and requirements when setting the passwords. Note The password criteria apply to both the Configuration password and the Service password. Note Procedures in this manual include instructions to enter the Configuration password and the Service password. Verify the current Configuration and Service passwords with the facility representative as the passwords may have been changed from the factory default passwords. See the following topics for additional information. "Password rules and requirements" "4.1.1 Configure passwords (Install or reset)" "Assign facility default password (Configuration)" "Assign facility default password (Service)" 2065496-001 Rev G (2024 12) 4-13 CARESCAPE R860 Password rules and requirements AB.100.268 Password criteria include rules and character requirements. The password criteria applies to both the Configuration password and the Service password. . Password Rules Field Description Settings Default Minimum Size The minimum number of characters that can be used to create a password. 6-255 8 Previously Used Passwords Prevents the user from reusing previous Off, 1-32 passwords. The number of prior passwords to reject includes the current password. For example, setting this to 1 prevents the user from reusing the current password. Setting this to 2 prevents the user from reusing the current password and the prior password. 10 Months Until Password Expiration The number of months 3 Off, 1-36 . Password Character Criteria Field Description Settings Default At least one letter The password must contain at least one letter. Off/On Off (Checkbox empty) At least one number The password must contain at least one number. Off/On Off (Checkbox empty) At least one symbol The password must contain at least one punctuation symbol. Off/On Off (Checkbox empty) Note The set password requirements show at the bottom of the Change Password tab. 4-14 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) Assign facility default password (Configuration) Setting changes should only be made by the person responsible for the configuration of the ventilator. Note Verify the current password with the facility representative as the password may have been changed from the factory default password. 1. 2. Enter the Configuration menu. See the following topic for additional information. "4.2.1 Access the Configuration menu (Software 11)" Select Manage Passwords. The Manage Passwords menu with the Password Rules tab shows. The password rules apply to both the Configuration password and the Service password. Note -- Set the Password Rules. Select the Change Password tab. 5. Select the Configuration Password field. The keyboard displays. 6. Enter the current Configuration password. AB.100.270 AB.100.275 3. 4. 2065496-001 Rev G (2024 12) 4-15 CARESCAPE R860 7. A notification shows if the entered password is incorrect. Enter the new password. The new password must meet all set password rules and password character requirements. The Factory default password cannot be used as a new password. Note -- 8. 9. 4-16 Enter the new password again to confirm. The entered password must match the new password entered in the previous step. Successfully changed password shows a green check mark. Select Exit to leave the Configuration tabs. 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) 4.3 Assign facility default settings (Software 11) Setting changes should only be made by the person responsible for the configuration of the ventilator. Note Facility default settings will be reset to the factory default settings after a factory reset of the ventilator. Note Verify the current password with the facility representative as the password may have been changed from the factory default password. Set the facility default for each patient type using the Assign Default button at the bottom of the Configuration menus. If not already in Super User mode follow steps 1 through 4. If already in Super User mode continue to step 4. 1. Power on the ventilator or select Standby. 1 AB.100.365 2 Figure 4-3 • Standby screen 2065496-001 Rev G (2024 12) 4-17 CARESCAPE R860 1 AB.100.263 2 Figure 4-4 • Standby screen with O2 Therapy 2. Select the Setup icon. The warning screen appears. AB.100.262 • Select Configuration. • 3 4-18 The keypad displays. AB.100.237 3. 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) 4. Enter the Configuration password and Confirm. • 5. The Configuration menu displays with the alarm bar and Standby quick key colored orange. Select Assign Defaults to change or set the values for the facility default settings. The currently set default view in the Present workspace displays. If no default view has been set, the Basic view displays. AB.100.257 • 6. Select the patient type for which you would like to change facility default settings. • Each patient type must have defaults assigned individually. The patient type selected appears in the Current Patient menu. The default settings will be applied to this patient type. Example of settings and views that can be configured: • • • • • • • 7. When all settings are correct, select Standby to confirm settings. • • • • 2065496-001 Rev G (2024 12) Data source Settings for Procedures such as Lung Mechanics, Nebulizer, and Suction Alarm limit settings Current/Backup ventilation mode settings Default ventilation modes Waveform settings Default and home views (See "4.3.1 Assign facility default views" for detailed instruction on setting default views). A warning message displays: 'Save changes to patient type settings?' Select Yes to save as defaults and go to Standby Select No to discard changes and go to Standby Select Cancel to return to Setup. 4-19 CARESCAPE R860 4.3.1 Assign facility default views Default views can be assigned for each workspace. The default view for a particular workspace is the last view that was displayed before exiting Assign Defaults or changing the patient type. It is recommended to assign facility default views after assigning all other facility default settings for a patient type. 1. 2. Enter Assign Defaults. See the following procedure for additional information. "4.3 Assign facility default settings (Software 11)" Select the patient type for which you would like to change facility default settings. • 3. 4. 5. 6. 7. 8. Each patient type must have defaults assigned individually. The patient type selected is displayed in the Current Patient menu. The default settings will be applied to this patient type. Select the Past/Historical Trends workspace. Select the desired default Past/Historical Trends view. Select the Future/Clinical Decision Support workspace. Select the desired default Future/Clinical Decision Support view. Select the Present/Patient Status workspace. Select the desired Present/Patient Status view. The default Present/Patient Status view is the Home view that will be displayed when the Home hard key is pressed. Note -- 9. Select Standby to confirm default views. • • • • A warning message displays: ‘Save changes to patient type settings?’ Select Yes to save as defaults and go to Standby Select No to discard changes and to Standby Select Cancel to return to Setup. 4.3.2 Factory Setting defaults The table lists the parameters for ventilator factory defaults. . Current Mode Factory Default Settings Setting Adult Pediatric Neonatal Vent mode A/C PC A/C PC A/C PC Backup mode On On On 4-20 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) Current Mode Factory Default Settings Setting Adult Pediatric Neonatal FiO2 50 50 50 VT 500 100 10 Pinsp 10 cmH2O (10 mbar, 1.0 kPa) 7 cmH2O (7 mbar, 0.7 kPa) 5 cmH2O (5 mbar, 0.5 kPa) Rate 10 15 25 I:E 1:2 1:2 1:2 Tinsp 1.7 1.7 0.4 Tpause 0 0 0 PEEP Off Off Off PS 5 cmH2O (5 mbar, 0.5 kPa) 3 cmH2O (3 mbar, 0.3 kPa) 0 Pmax 30 cmH2O (30 mbar, 3.0 kPa) 30 cmH2O (30 mbar, 3.0 kPa) 12 cmH2O (12 mbar, 1.2 kPa) Plimit 100 cmH2O (98 mbar, 9.8 kPa) 100 cmH2O (98 mbar, 9.8 kPa) 100 cmH2O (98 mbar, 9.8 kPa) Insp Pause 0 0 0 Phigh 10 cmH2O (10 mbar, 1.0 kPa) 7 cmH2O (7 mbar, 0.7 kPa) 5 cmH2O (5 mbar, 0.5 kPa) Plow Off Off Off Thigh 1.7 1.7 0.4 Tlow 4.25 2.3 0.8 Flow 40 l/min 20 l/min 1.5 l/min Rise Time 100 ms 100 ms 100 ms PS Rise Time 50 ms 50 ms 0 ms Pmin 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) Inspiratory Trigger 2 l/min 1 l/min 0.5 l/min Expiratory Trigger 25% 25% 25% Bias Flow 3 l/min 2 l/min 2 l/min Assist control On On On Leak comp Off Off Off Trigger comp Off Off Off Minimum Rate 10 15 25 Tsupp 4s 1.5 s 0.8 s Sweep Speed Fast Fast Fast 2065496-001 Rev G (2024 12) 4-21 CARESCAPE R860 Current Mode Factory Default Settings Setting Adult Pediatric Neonatal Tube comp Off Off NA . Backup Mode Factory Default Settings Setting Adult Pediatric Neonatal Backup Mode A/C PC A/C PC A/C PC Backup VT 500 100 10 Backup Pinsp 10 cmH2O (10 mbar, 1.0 kPa) 7 cmH2O (7 mbar, 0.07 kPa) 5 cmH2O (5 mbar, 0.05 kPa) Backup Rate 12 12 25 Backup I:E 1:2 1:2 1:2 Backup Tinsp 1.7 1.7 0.4 Backup Tpause 0 0 0 Backup Insp pause 0 0 0 Backup Pmin 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) 2 cmH2O (2 mbar, 0.2 kPa) Backup Flow 40 l/min 20 l/min 1.5 l/min Backup Rise Time 100 ms 100 ms 100 ms . Alarm Factory Default Settings Setting Adult Pediatric Neonatal Low FiO2 44% 44% 44% High FiO2 56% 56% 56% Low Ppeak 4 cmH2O (4 mbar, 0.4 kPa) 4 cmH2O (4 mbar, 0.4 kPa) 4 cmH2O (4 mbar, 0.4 kPa) High Ppeak 30 cmH2O (30 mbar, 3 kPa) 30 cmH2O (30 mbar, 3 kPa) 12 cmH2O (12 mbar, 1.2 kPa) Low MVexp 2 l/min 1 l/min 0.2 l/min Low VTexp Off Off Off Low RR Off Off Off High RR Off Off Off Low ETO2 Off Off NA High ETO2 Off Off NA Low ETCO2 3% (3 kPa, 23 mmHg) 3% (3 kPa, 23 mmHg) NA High ETCO2 8% (8 kPa, 60 mmHg) 8% (8 kPa, 60 mmHg) NA High MVexp 10 l/min 5 l/min 0.4 l/min 4-22 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) Alarm Factory Default Settings Setting Adult Pediatric Neonatal High VTexp Off Off Off Low PEEPe Off Off Off High PEEPe Off Off Off High PEEPi Off Off Off High Paux 30 cmH2O (30 mbar, 3 kPa) 30 cmH2O (30 mbar, 3 kPa) 30 cmH2O (30 mbar, 3 kPa) Apnea time 30 s 30 s 15 s Tdisconnect 30 s 30 s NA Patient Effort 50 s 50 s NA Leak Limit 50% 50% 50% Show alarm limits On On On Alarm volume 3 3 3 High alert audio 30 s 30 s 30 s 2065496-001 Rev G (2024 12) 4-23 CARESCAPE R860 4.4 Service 4.4.1 Access the Service menus (Software 11) Note Verify the current password with the facility representative as the password may have been changed from the factory default password. The Service level function supports Calibration, Service menus, and provides access to the Service Log menus. When the service menu is entered, the date and time is entered into the Event log. WARNING Do not enter the Service menu when a patient is connected to the ventilator. The ventilator must be powered down in order to exit the Service menus and resume ventilation. 1. Power on the ventilator or select Standby. The Standby screen displays. 1 AB.100.365 2 Figure 4-5 • Standby screen 4-24 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) 1 AB.100.263 2 Figure 4-6 • Standby screen with O2 Therapy Select the Setup icon. A Warning screen appears. 3. Select Service. AB.100.262 2. 3 4. 2065496-001 Rev G (2024 12) The keypad displays. AB.100.237 • Enter the Service password and Confirm. 4-25 AB.100.756 CARESCAPE R860 5. 6. The Service menu displays with the alarm bar and Standby quick key colored orange. Select the desired Service tabs to change or set values to facility defaults. Cycle power to exit the Service menus. AB.100.756 4.4.2 Localization (Software 11) 4-26 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) Menu Item Values Comments Language Select language for screen: Default: English Brazilian Portuguese Chinese (simplified) Czech Danish Dutch English Finnish French German Greek Hungarian Italian Japanese Norwegian Polish Portuguese Romanian Russian Spanish Swedish Turkish Decimal Marker Select decimal marker: 0.01 Default: 0.01 or 0,01 Altitude Units Select altitude unit: m or ft Altitude Change altitude used for 300 m gas calculations: - 400 to 3000 m in 100-m increment Default: m 4.4.3 Optional features (Software 11) See the following topic for additional information. "8.6 Software option upgrade" 2065496-001 Rev G (2024 12) 4-27 AB.100.340 CARESCAPE R860 Item Description Optional Features Shows installed optional features: FRC, SpiroDynamics, Neonatal, Neonatal Only, SIMV-PRVC, BiLevel VG, nCPAP, APRV, BiLevel, O2 Therapy. Note: SIMV PRVC and BiLevel VG cannot be loaded on the system at the same time. Current key Shows current key code for installed options. Or use this field to re-enter key code. Control Board ID Shows Control Board identification number. USB Upgrade Select to install optional features using USB media. Lost key code To request an option Key Code for a replacement Control Board, the following information must be provided. The new Key Code will be emailed to the address you provide. 1. 2. To obtain a lost key code, access the Key Code Generator web site: http:// www.docodes.com. Enter the required information and submit the request. (*Required Information) Step 1: Requestor Information. *Email Address 4-28 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) *Full Name *Organization End User Information Hospital Name Address 1 Address 2 City Postal Code Country Telephone Step 2: Information from the existing control board being removed. This information is available from the Service Optional Features screen or from the label located on the rear panel of the system. *Control Board ID Number *Control Board Key Code Step 3: Information from the replacement control board being installed. *Control Board ID Number Step 4: Submit Request. USB upgrade AB.100.222 A separate media stick must be used for each optional feature upgrade. See "8.5.2 Upgrading system software" for detailed instructions. 1. 2. 3. Select USB Upgrade to install optional features. Insert USB media stick. Select Check Media. • 2065496-001 Rev G (2024 12) The system looks at the USB media for available optional features that may be uploaded to the system. 4-29 CARESCAPE R860 4. Select Upgrade if optional feature is available or select Cancel. • Verify that the optional feature is checked on the screen. 4.4.4 Service Log Service log history is represented by the Main, Error log, Event log, Alarm log, and SW/HW tabs. The Main tab shows total Running Hours, the Ventilator Serial Number, the ventilator model code, and the date when maintenance was last performed. Use the Copy Logs button to copy logs to USB media. AB.100.431 If the logs are saved to USB media, the ventilator’s serial number, date, and time are saved along with the current contents of the logs. Main The Service log menu is an organized listing of stored events. 4-30 2065496-001 Rev G (2024 12) AB.100.432 4 B Configuration and Service Menus (Software 11) Menu Item Message Text Total Running Hours Shows system information. Serial Number Shows the serial number for the ventilator. Model Code CARESCAPE R860 Maintenance Performed Shows the date last maintenance was performed. (Select Maintenance Performed button to record the date maintenance was performed.) Copy Logs Select Copy Logs to copy all Error, Event, and Alarm logs, along with the software/hardware configuration to a text file on USB media. Reset Logs Select Reset Logs to delete all Error and Alarm logs. Note: The Rest Logs feature was added with software revision 10, service pack 04 (10SP04). Error log The Error Log lists the last 200 errors, starting with the most recent. The system stores the last 1,000 errors. 2065496-001 Rev G (2024 12) 4-31 AB.100.224 CARESCAPE R860 Event log The Event Log records the service history of the ventilator. This includes: service calibrations, super-user calibrations, checkout results, entry into the service mode, options enabled, and software installation. In the event of a board replacement, this log like all others could be lost. AB.100.225 The Event log lists the last 200 events logged starting with the most recent. The Event log stores the last 1000 events. The Event log cannot be reset. Password event log entries Password events are recorded on the Event Log when tasks requiring passwords are performed. Examples of possible event log entries: • 4-32 Changed service password. 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) • • Changed configuration password. Login failed. Incorrect password entered. Alarm log AB.100.226 The Alarm log lists the last 1000 alarms, starting with the most recent. The Alarm log stores a total of 5000 entries. Only the most recent 1000 alarm logs are viewable using the Alarm log menu. Select the Main tab > Copy logs to copy all Error, Event, and Alarm logs, along with the software/hardware configuration to a text file onto USB media. SW/HW (software and hardware) The software and hardware tab shows the software and hardware configurations for the ventilator. Use the scroll bar to view the system software and hardware features. 2065496-001 Rev G (2024 12) 4-33 AB.100.440 CARESCAPE R860 4.4.5 Calibrations Select the desired Calibration procedure to perform. After a calibration is completed the date and time of the calibration will be recorded. 4-34 2065496-001 Rev G (2024 12) AB.100.435 4 B Configuration and Service Menus (Software 11) . Menu Item Message Air FCV Start Air Flow Control Valve calibration and leak test. Procedure 1. 2. 3. O2 FCV Start O2 Flow Control Valve calibration and leak test. 1. 2. 3. Exhalation Valve Patient must not be connected to circuit during calibration. Start Exhalation Valve calibration. 1. 2. 3. Airway Module Start gas calibration. Calibrate CO2 and O2 measurements. 1. Gas Calibration is enabled whenever 2. an MGAS module is installed. Gas Calibration is disabled if the MGAS 3. module is warming up. 4. 2065496-001 Rev G (2024 12) Select Air FCV. Open inspiratory port to atmosphere. Start Air Flow Control Valve. Select O2 FCV. Open inspiratory port to atmosphere. Start O2 Flow Control Valve calibration. Select Exhalation Valve. Attach the patient circuit to the ventilator and occlude the patient wye. Start exhalation valve calibration. Select Airway Module Install the airway module and allow it to warm up. Make sure no airway alarms are active. Calibrate airway module CO2 and O2 measurements. 4-35 CARESCAPE R860 Menu Item Message Procedure Touchscreen 1. 2. Select Touchscreen. Follow the on-screen instructions. Air FCV AB.100.229 Select the Air Flow Control Valve calibration procedure and follow the onscreen instructions. O2 FCV Select the O2 Flow Control Valve calibration procedure and follow the onscreen instructions. 4-36 2065496-001 Rev G (2024 12) AB.100.230 4 B Configuration and Service Menus (Software 11) Exhalation valve AB.100.231 Select the Exhalation Valve calibration procedure and follow the on-screen instructions. Airway module Select the Airway Module calibration procedure and follow the on-screen instructions. 2065496-001 Rev G (2024 12) 4-37 AB.100.232 CARESCAPE R860 Touchscreen AB.100.233 Select the Touchscreen calibration procedure and follow the on-screen instructions. 4-38 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) AB.100.434 4.4.6 Airway Module Gas Data Note During the 2 minute and 5 minute warm-up periods, different data values will be dashed depending upon when data becomes available. Gas Module status data is not available during an 'Airway Module Gas Sampling Error' alarm condition. Resolve the alarm condition before adjusting gas module data. See the Gas Module Technical Reference Manual for detailed information. 2065496-001 Rev G (2024 12) 4-39 AB.100.433 CARESCAPE R860 . Menu Item Message text Value Comments Noise Meassurement Select to turn Noise Measurement On, Off On or Off. When On is selected the MGAS Noise Measurement will turn On (Noise %). Sample Gain Adjust Select gain adjustment value 0.200 to 2.000 Increments: 0.001 Enabled whenever the Gas Module menu is displayed, an MGAS module is installed, and the 2 minute warm-up period has completed. When confirmed, the MGAS Sample Gain is set to the confirmed value. Fall Time Measurement Select to start the Fall Time Measurement NA Enabled whenever the Gas Module menu is displayed, an MGAS module (except MiniC) is installed, and the 2 minute warmup period has completed. (Disabled whenever a MiniC module is installed.) When selected the Gas Data Page 2 menu is displayed in the right pane and the Fall Time Measurement start command is sent to the MGAS. 4-40 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) Menu Item Message text Value Comments Pump Control Enabled whenever the Gas Select to turn Pump Control On or On, Off If the MGAS is Module menu is displayed, an Off. installed, the default MGAS module is installed, and the is read from the 2 minute warm-up period has MGAS, otherwise it is completed. On. When On is selected, the MGAS is commanded to turn the Pump On. Zero Valve Control Select to control the zero valve. Zero, Meas Enabled whenever an MGAS If the MGAS module module is installed. is installed, the When Zero is confirmed, the Zero default is read from Valve is commanded to the Zero the MGAS, otherwise state. it is Meas. When Meas is confirmed, the Zero Valve is commanded to the Measuring state. Occlusion Valve Control Select to control the occlusion valve Occl, Meas Enabled whenever an MGAS If MGAS module is module (except MiniC) is installed. installed, the default is read from the MGAS, otherwise it is Meas. AB.100.235 Spirometry Data Values are marked invalid during the 2 minute warm-up period, or if the module installed does not support Spirometry. 2065496-001 Rev G (2024 12) Menu Item Values VTinsp ml 4-41 CARESCAPE R860 Menu Item Values VTexp ml MVinsp l/min MVexp l/min Paw cmH2O 4.4.7 Manage Passwords (Service) The password criteria is set in the Configuration menu. Password criteria apply to both the Configuration password and the Service password. See the following topic for additional information. "Password rules and requirements" Assign facility default password (Service) Setting changes should only be made by an authorized service representative. Note Verify the current password with the facility representative as the password may have been changed from the factory default password. 1. 2. Note Access the Service menus. See the following topic for additional information. "4.4.1 Access the Service menus (Software 11)" Select Manage Passwords. The Manage Passwords menu shows. The set password requirements (rules) are shown at the bottom of the screen. Password requirements are set through the Configuration menu and apply to both the Configuration password and the Service password. AB.100.315 -- 4-42 2065496-001 Rev G (2024 12) 4 B Configuration and Service Menus (Software 11) Select the Service Password field. The keyboard shows. 4. Enter the current Service password. A notification shows if the entered password is incorrect. Enter the new password. The new password must meet all set password rules and password character requirements. A notification shows if the password entered does not meet the set requirements. AB.100.316 3. AB.100.322 5. The Factory default password cannot be used as a new password. Note -- Enter the new password again to confirm. The entered password must match the new password entered in the previous step. Successfully changed password shows a green check mark. AB.100.319 6. 2065496-001 Rev G (2024 12) 4-43 4-44 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration Service Tests and Calibration In this section 5.1 Calibration (super-user and service). . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 5.1.1 Calibration procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2 5.2 Service level tests and calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 5.2.1 PC Service Application setup. . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 5.2.2 Test setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 5.2.3 Vent engine debris clean-out. . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5 5.2.4 Regulator output pressure test. . . . . . . . . . . . . . . . . . . . . . . . . . 5-6 5.2.5 Vent engine leak test (low pressure). . . . . . . . . . . . . . . . . . . . . . 5-8 5.2.6 Vent engine leak test (high O2 pressure). . . . . . . . . . . . . . . . . . 5-11 5.2.7 Vent engine leak test (high Air pressure). . . . . . . . . . . . . . . . . . 5-13 5.2.8 Calibrate airway pressure transducer Zero and Span. . . . . . . . . 5-15 5.2.9 Verify operation of free-breathing valve. . . . . . . . . . . . . . . . . . . 5-18 5.2.10 Verify operation of inspiratory effort valve. . . . . . . . . . . . . . . . 5-20 5.2.11 VCB buzzer test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22 5.2.12 Mechanical overpressure valve test. . . . . . . . . . . . . . . . . . . . 5-22 5.3 Airway Module Tests and Calibration. . . . . . . . . . . . . . . . . . . . . . . . . 5-25 5.3.1 Gas Sampling Leak Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-25 5.3.2 Spirometry System Leak Test. . . . . . . . . . . . . . . . . . . . . . . . . . 5-27 5.3.3 Fan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-29 5.3.4 Sample Flow Rate Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29 5.3.5 Reference Gas Flow Rate Check. . . . . . . . . . . . . . . . . . . . . . . 5-30 5.3.6 Zero Valve Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-30 5.3.7 Ambient Pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31 5.3.8 Fall Time Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31 5.3.9 Occlusion Detection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31 5.3.10 Air Leak Detection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-32 5.3.11 Spirometry Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-32 5.3.12 Airway Module Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . 5-33 5.4 Touchscreen calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-34 2065496-001 Rev G (2024 12) 5-1 CARESCAPE R860 5.1 Calibration (super-user and service) WARNING After adjustments and calibration are completed, always perform the Checkout procedure. See "3 Checkout Procedure". The ventilator includes integrated software that allows a qualified user to calibrate the O2 flow valve, the Air flow valves, Exhalation valve, airway module, and touchscreen. At a minimum, these calibrations should be completed every six months, whenever performance is questioned, or when associated components are serviced or replaced. These calibrations can be performed more frequently, as needed, for optimal performance. Note The valve calibrations in "5.1.1 Calibration procedures" can be performed without performing the service level tests and calibrations in "5.2 Service level tests and calibration". However, if the service level test and calibrations are performed, the valve calibrations should be performed again after the service level tests are completed and passed. Note To file a quality report or request technical assistance regarding a calibration failure, create and include a Calibration log while using the PC Service Application. For details, see "8.7.4 Log calibration results to file". Run the calibration while the PC Service Application is running and select Log Calibration Result. 5.1.1 Calibration procedures 1. 2. 3. If present, disconnect the patient circuit from the inspiratory port (open to atmosphere). Access the Calibrations menu. Select Standby, select the Setup icon. • • 4. On the Calibrations menu, select Air FCV. • • 5. Follow the on-screen instructions and select Start. Allow the system to perform the calibration procedure. On the Calibrations menu, select Exhalation Valve. • 5-2 Follow the on-screen instructions and select Start. Allow the system to perform the calibration procedure. On the Calibrations menu, select O2 FCV. • • 6. The keypad displays, enter the Configuration password or Service password. On the Service menu, select Calibrations. Follow the on-screen instructions and select Start. 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration • 7. On the Calibrations menu, select Airway Module. • • 8. Follow the on-screen instructions and select Start. Allow the system to perform the calibration procedure. On the Calibrations menu, select Touchscreen. • • 2065496-001 Rev G (2024 12) Allow the system to perform the calibration procedure. Follow the on-screen instructions and select Start. Allow the system to perform the calibration procedure. 5-3 CARESCAPE R860 5.2 Service level tests and calibration The service level tests require the Windows based PC Service Application, as described in PC Service application in "8.7 PC Service Application". Note After completing the Service level test and calibrations, perform the calibrations in "5.1.1 Calibration procedures". 5.2.1 PC Service Application setup 1. 2. 3. Connect a Windows based PC to the serial port (Port 3) of the ventilator using a USB to RS-422 converter, see "10.1.1 Software tools". Start the service application on the PC, and then open the VCB and VMB windows. Turn on the ventilator power to establish communication between the PC Service Application and the ventilator. • • Read only access is available in normal operation mode. Controlled access is available in Super User or Service modes. 5.2.2 Test setup 1. Connect a manual shut-off valve to each gas supply inlet. • • • 2. 3. 5-4 Remove the inlet fittings from the ventilator and ensure that the o-ring remains on the adapter. Connect the shut-off valve to the respective ventilator pipeline adapter. Connect the removed inlet fitting to the respective shut-off valve. Close both shut-off valves. Connect pipeline supplies to each shut-off valve. 2065496-001 Rev G (2024 12) AB.100.366 5 Service Tests and Calibration 5.2.3 Vent engine debris clean-out Important This clean-out procedure is not intended for, or recommended as a repair to a device that has been contaminated by external debris including particulates, liquid hydrocarbons, or moisture. This device and its components have been cleaned for breathing gas use and as such, any and all components contaminated by any substance that may compromise this level of cleanliness must be replaced. Note The intent of this procedure is to remove any internal debris that may be loosened during maintenance and service. This procedure is needed only if: • • The pneumatic system within the vent engine was serviced, that is, components were replaced or removed for evaluation. A gas inlet filter was replaced. Clean-out procedure 1. 2. 3. Open both shut-off valves. Verify that the inspiratory outlet is open to atmosphere (not plugged). On the VCB screen: • • • 4. After 20 seconds: • • 2065496-001 Rev G (2024 12) Verify that the Air and O2 Flow Valves are energized ( ). Set the Air DAC counts to 60,000 (fully open). Set the O2 DAC counts to 60,000 (fully open). Close both shut-off valves. Pulse the Air and O2 flow valves 5 times for 5 seconds. Set the Air DAC counts to zero (closed). 5-5 CARESCAPE R860 • Set the O2 DAC counts to zero (closed). Note Closing the shut-off valves before setting the flow DAC counts to zero, bleeds pressure from the system. 5.2.4 Regulator output pressure test Important The regulator output pressure should be checked during battery replacement intervals or whenever the unit is already opened for other reasons. Air regulator 1. 2. 3. 4. Remove the plug from the Air regulator outlet test port. Connect a test pressure gauge to the Air regulator outlet test port. Open the manual Air shut-off valve. On the VCB screen: • • 5. 6. 7. 8. Verify that the Air Flow Valve is energized ( ). Adjust the Air DAC reading (start at approximately 9,500) until the Air flow reading is 15 ±0.5 l/min. Verify that the test gauge indicates 172.4 ±3.4 kPa (25 ±0.50 psi). If required, adjust the regulator. Set to 172.4 ±0.7 kPa (25 ±0.10 psi). Make sure to tighten the locking nut after adjustment. Close the manual Air shut-off valve. Remove the test gauge and plug the test port. O2 regulator 1. 2. 3. 4. Remove the plug from the O2 regulator outlet test port. Connect a test pressure gauge to the O2 regulator outlet test port. Open the manual O2 shut-off valve. On the VCB screen: • • 5. 6. 7. 8. 5-6 Verify that the O2 Flow Valve is energized ( ). Adjust the O2 DAC reading (start at approximately 9,500) until the O2 flow reading is 15 ±0.5 l/min. Verify that the test gauge indicates 172.4 ±3.4 kPa (25 ±0.50 psi). If required, adjust the regulator. Set to 172.4 ±0.7 kPa (25 ±0.10 psi). Make sure to tighten the locking nut after adjustment. Close the manual O2 shut-off valve. Remove the test gauge and plug the test port. 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration O2 Regulator Air Adjust Air Regulator Test Port AB.98p.173 O2 Regulator Test Port 30 mm Male Cone High Pressure Transducer P Primary Inlet Inlet Filter Regulator 25 psi 172 kPa Flow Sensor Test Port T H Pneumatic Resistor Pneumatic Resistor H Inspiratory Pressure P Air Total Flow T High Pressure Transducer P Primary Inlet Inlet Filter Optional EXP Exhalation Valve P Expiratory Pressure Check Valve Standard Exhalation Flow Sensor Expiratory Zero Valve Flow Valve Regulator 25 psi 172 kPa Test Port Flow Sensor T H H Inspiratory Zero Valve O2 INSP Flow Valve Inspiratory Effort Valve Check Valve Free Breathing Check Valve O2 O2 Sensor Safety Relief Valve Auxiliary Pressure Transducer Auxiliary Pressure Purge Valve P Relief Valve AB.98.196 Paux Inlet Manifold 2065496-001 Rev G (2024 12) Vent Engine Manifold Outlet Manifold 5-7 CARESCAPE R860 Inlet Filter P P Inlet Filter O2 Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Atmosphere Paux Paux Pinsp Relief Pexp AB.98.119 O2 Sensor H INSP Paux EXP 5.2.5 Vent engine leak test (low pressure) There are two low pressure leak tests to perform: P1 and P2. Low P1 Test 1. 2. Verify that both shut-off valves are closed. On the VCB screen: • • • 3. 4. Attach the “low-pressure test tool” to the INSPiratory outlet. Plug the following ports: • • 5. 6. 5-8 Energize ( ) the Auxiliary Pressure Purge valve. Verify that the Air Flow Valve, O2 Flow Valve and the Exhalation Flow Valve are energized ( ). Set the Air DAC, O2 DAC, and the Exhalation DAC counts to 60,000, which will release all pressurized gas from the system. Expiratory inlet (EXP). Auxiliary pressure port (Paux). Using the low pressure test tool, increase the pressure in the low pressure side of the system until the measured Inspiratory Pressure (VCB) indicates 70 cmH2O. Verify Expiratory Pressure (VMB) readings also stabilize at 70 cmH2O, within 5 cmH2O. If not, continue with the low pressure leak test. 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration Failure to build pressure during this step is not an indication of an excessive expiratory circuit leak or purge flow issue. See "7.2.2 Expiratory pressure circuit test" for details about the Expiratory Pressure discrepancy. Note -- 7. 8. 9. When 70 cmH2O is reached, clamp the tube on the low pressure test tool to prevent gas flow from the Inspiratory outlet. On the VCB screen, select the Low P Leak Test tab, and then select the Low P Leak button to start the low pressure leak test. After the test is complete (15 seconds): • • • If the leak result does not exceed 10 ml/min, go to step 10. The Low P2 test is not required, if Leak result ≤ 10 ml/min. If Leak result is >10 ml/min and ≤ 35 ml/min, perform the Low P2 test. If the Leak rate exceeds 35 ml/min, see "7.2 Troubleshooting Vent Engine Leaks" to help identify the cause of the leak. AB.100.092 10. Remove the plugs from the Expiratory inlet and the Paux port. 11. De-energize ( ) the Auxiliary Pressure Purge valve. Low P2 Test 1. 2. Verify that both shut-off valves are closed. On the VCB screen: • • • • 3. 4. Attach the “low-pressure test tool” to the Inspiratory outlet. Plug the following ports: • • 2065496-001 Rev G (2024 12) Energize ( ) the Effort Valve Energized valve. Energize ( ) the Auxiliary Pressure Purge valve. Verify that the Air Flow Valve, O2 Flow Valve and the Exhalation Flow Valve are energized ( ). Set the Air DAC, O2 DAC, and the Exhalation DAC counts to 60,000 (this will release all pressurized gas from the system). Expiratory inlet (EXP). Auxiliary pressure port (Paux). 5-9 CARESCAPE R860 5. 6. 7. 8. Using the low pressure test tool, increase the pressure in the low pressure side of the system until the measured Inspiratory Pressure (VCB) reading indicates 70 cmH2O. Once 70 cmH2O is reached, clamp the tube on the low pressure test tool to prevent gas flow from the Inspiratory outlet. On the VCB screen, select Low P Leak to start the low pressure P2 leak test. After the test is complete (15 seconds): • • Verify that the displayed Leak result does not exceed 10 ml/min. If the Leak rate exceeds 10 ml/min, see "7.2 Troubleshooting Vent Engine Leaks" to help identify the cause of the leak. AB.100.092 9. Remove the plugs from the Expiratory inlet and the Paux port. 10. De-energize ( ) the Auxiliary Pressure Purge valve. 30 mm Male Cone High Pressure Transducer P Primary Inlet Inlet Filter H Pneumatic Resistor Regulator 25 psi 172 kPa Test Port Flow Sensor T H Flow Valve Pneumatic Resistor EXP Exhalation Valve P Expiratory Pressure Check Valve Standard Exhalation Flow Sensor Expiratory Zero Valve Inspiratory Pressure P Air Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP High Pressure Transducer P O2 Primary Inlet Inlet Filter Optional Check Valve Regulator 25 psi 172 kPa Test Port Flow Sensor T H Flow Valve Inspiratory Effort Valve Safety Relief Valve Free Breathing CheckValve Auxiliary Pressure Transducer Relief Valve P Auxiliary Pressure PurgeValve 5-10 Vent Engine Manifold Outlet Manifold AB.98.209 Inlet Manifold Paux 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration O2 Inlet Filter P P Inlet Filter Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Atmosphere O2 Sensor Pinsp Relief Pexp AB.98.210 Paux Paux H INSP Paux EXP 5.2.6 Vent engine leak test (high O2 pressure) Note The high O2 pressure leak test will not start if the O2 supply pressure is 35 psi or below. 1. 2. 3. Verify that the inspiratory outlet is open to atmosphere (not plugged). Open the manual O2 shut-off valve. On the VMB screen: • • 4. On the VCB screen: • • • • • • • 5. 2065496-001 Rev G (2024 12) Verify that the measured O2 Supply Pressure = pipeline pressure. Verify that the measured Air Supply Pressure = 0.0 psi. Energize ( ) the Effort Valve Energized valve. Energize ( ) the Auxiliary Pressure Purge valve. Verify that the Exhalation Flow Valve is energized ( ). Set the Exhalation DAC counts to 60,000. Verify that the Air Flow Valve is energized ( ). Set the Air DAC counts to 60,000. (This will release any air pressure in the system.) De-energize ( )the O2 Flow Valve. Plug the following ports: 5-11 CARESCAPE R860 • • • Expiratory inlet. Auxiliary pressure port (Paux). Inspiratory outlet. 6. 7. 8. Close the manual O2 shut-off valve. On the VCB screen, select High O2 Leak to start the test. After the test is complete (maximum 15 seconds), verify the displayed Leak rate does not exceed 26 ml/min. If it does, troubleshoot for leaks in the shaded area. 9. Remove the plugs from the Inspiratory, Expiratory, and Paux ports. 10. On the VCB screen: De-energize ( ) the Effort Valve Energized valve. De-energize ( ) the Auxiliary Pressure Purge valve. AB.100.093 • • 30 mm Male Cone Regulator 25 psi 172 kPa P Inlet Filter Test Port Flow Sensor T H Flow Valve Pneumatic Resistor EXP Exhalation Valve P Expiratory Pressur e Check Valve Standard Exhalation Flow Sensor Expiratory Zero Valve High Pressur e Transducer Primary Inlet H Pneumatic Resistor Inspiratory Pressur e P Air Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP High Pressur e Transducer Regulator 25 psi 172 kPa P O2 Primary Inlet Inlet Filter Optional Check Valve Test Port Flow Sensor T H Flow Valve Inspiratory Effort Valve Free Breathing CheckValve Safety Relief V alve Auxiliary Pressur e Transducer Relief Valve P Auxiliary Pressur e PurgeValve 5-12 Vent Engine Manifold Outlet Manifold AB.98.189 Inlet Manifold Paux 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration O2 Inlet Filter P P Inlet Filter Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Atmosphere O2 Sensor Paux Pinsp Relief Pexp AB.98.112 Paux H INSP Paux EXP 5.2.7 Vent engine leak test (high Air pressure) Note The high Air pressure leak test will not start if the Air supply pressure is 35 psi or below. 1. 2. 3. Verify that the inspiratory outlet is open to atmosphere (not plugged). Open the manual Air shut-off valve. On the VMB screen: • • 4. On the VCB screen: • • • • 5. 6. 7. 2065496-001 Rev G (2024 12) Verify that the measured Air Supply Pressure = pipeline pressure. Verify that the measured O2 Supply Pressure = 0.0 psi. Energize ( ) the Effort Valve Energized valve. Energize ( ) the O2 Flow Valve. Set the O2 DAC counts to 60,000. (This will release any O2 pressure in the system.) De-energize ( ) the Air Flow Valve. Plug the Inspiratory outlet. Close the manual Air shut-off valve. On the VCB screen, select High Air Leak to start the test. 5-13 CARESCAPE R860 8. After the test is complete (6 seconds maximum), verify that the displayed Leak rate does not exceed 50 ml/min. If it does, troubleshoot for leaks in the shaded area. Remove the plug from the Inspiratory outlet. AB.100.094 9. 10. On the VCB screen, de-energize ( ) the Effort Valve Energized. 30 mm Male Cone High Pressure Transducer Regulator 25 psi 172 kPa P Primary Inlet Inlet Filter Test Port Flow Sensor T H Pneumatic Resistor Flow Valve Pneumatic Resistor H EXP Exhalation Valve P Expiratory Pressure Check Valv Standard Exhalation Flow Sensor Expiratory Zero Valve Inspiratory Pressure e P Air Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP P Primary Inlet Inlet Filter Optional Check Valv e O2 Regulator 25 psi 172 kPa Test Port Flow Sensor T H Flow Valve Inspiratory Effort Valve Free Breathing Check Valve Safety Relief Valve Auxiliary Pressure Transducer Relief Valve P Auxiliary Pressure PurgeValve Paux AB.98.190 High Pressure Transducer Inlet Manifold Vent Engine Manifold 5-14 Outlet Manifold 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration O2 Inlet Filter P P Inlet Filter Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Atmosphere Paux Pinsp O2 Sensor Relief Pexp AB.98.113 Paux H Paux INSP EXP 5.2.8 Calibrate airway pressure transducer Zero and Span This procedure calibrates the Inspiratory, Expiratory, and Auxiliary pressure transducers. Note Use a Pressure Manometer with a minimum accuracy of ± 1% at 100 cmH2O of reading or better for the calibration of the pressure sensors. See "10.1.3 Special tools". Note If Air is not available, the O2 supply can be used to calibrate the pressure transducers. The PC Service Application senses which supply is available and, in step 4, activates the corresponding flow valve. 1. 2. Verify that the ventilator passes the low pressure leak test as detailed in "5.2.5 Vent engine leak test (low pressure)". Attach the test setup to the ventilator, as shown. • • • 2065496-001 Rev G (2024 12) Connect a tee adapter to the Inspiratory outlet. Connect a short patient circuit tube from the tee adapter to the Expiratory inlet. Connect a pressure sensing tube from the Inspiratory tee to a manometer and to the Auxiliary pressure port (Paux). 5-15 CARESCAPE R860 AB.100.095 To Manometer 3. Open the manual Air (O2) shut-off valve. Verify calibration of the machine by following steps 7, 8 , and 9. If the pressure readings are not within specifications, continue with step 4. Note -- 4. On the VCB screen: • • • • 5. 6. Important Verify that the Exhalation Flow Valve is energized ( ). Verify that the Air Flow Valve is energized ( ). Select Start Paw Span (~2 l/min established through Air (O2) flow valve). Adjust the Span DAC Value (Exhalation valve) reading (start at approximately 40,000) until the manometer reading equals 100 ±0.2 cmH2O. At 100 cmH2O, select End Paw Span. If using PC service Application version 10.2, select Message Log and verify that “Insp Span Passed”, “Aux Span Passed”, and “Exp Span Passed” displays.The results are not an indication of an accurate calibaration, but indicate functional transducers. If using an earlier version of the PC application (10.1 or earlier), select Message Log and verify that “Insp Span Passed” and “Aux Span Passed”. Manuallly check the functionality of the Expiratory pressure transducer. If the result is “Failed”, troubleshoot the failed transducer or check the test manometer and re-calibrate. AB.100.367 • 1 5-16 2 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration 7. On the VCB screen: Enter 3000 in the Air Flow field. Check the Set Air Flow checkbox. When the Air Flow is set this box will automatically uncheck and an Air DAC value displays. Enter 40,000 into Exh DAC field and use the up/down arrows until the manometer reading equals 100 ±0.2 cmH2O. • • • • 8. On the VCB screen: • 9. Verify that the Inspiratory Pressure VCB Diagnostics screen reads 100 ±0.2 cmH2O. On the VMB screen: • Verify that the Expiratory Pressure VMB Diagnostics screen reads 100 ±0.2 cmH2O. 10. On the VCB screen: • • • Enter 0 in the Air Flow field. Check the Set Air Flow checkbox. When the Air Flow is set this box will automatically uncheck and an Air DAC value of 0 displays. Enter 0 into the Exh DAC field. • 11. Close the manual Air (O2) shut-off valve. 12. Remove the test setup. Note If the span calibration is aborted or failed, the last known good calibration will be used. 30 mm Male Cone High Pressur e Transducer P Primar y Inlet Inlet Filter Expiratory Zer o Valve Regulator 25 ps i 172 kPa Test Port Flow Sensor T H Flow Valve Pneumatic Resistor EXP Exhalatio n Valve P Expiratory Pressur e Check Valv S tandard Exhalation Flow Sensor H Pneumatic Resistor Inspiratory Pressur e e P Ai r Total Flo w T O2 Sensor H Inspiratory Zer o Valve O2 INSP P Primar y Inlet Inlet Filter Optional Regulator 25 ps i 172 kPa Test Port Flow Sensor T H Flow Valve Inspiratory Effort Valve Check Valv e O2 Free Breathing Check Valve Safet y Reliefalve V Auxiliary Pressur e Transducer AB.98.192 High Pressure Transducer To Manometer Relie f Valve P Auxiliary Pressur e PurgeValve Inlet Manifold 2065496-001 Rev G (2024 12) Vent Engine Manifold Paux Outlet Manifold 5-17 CARESCAPE R860 O2 Inlet Filter P P Inlet Filter Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Paux Paux Pinsp O2 Sensor Pexp AB.98.115 Atmosphere Relief H INSP To Manometer Paux EXP 5.2.9 Verify operation of free-breathing valve 1. 2. 3. 4. 5. 5-18 Ensure both manual shut-off valves are closed. Connect a negative pressure squeeze bulb to the Inspiratory outlet. Fully depress the bulb a minimum of 10 times. On the VCB screen, verify the measured Inspiratory Pressure is more positive than -3 cmH2O at all times. If it is not, troubleshoot the freebreathing check valve and the inspiratory effort valve. Disconnect the squeeze bulb from the Inspiratory outlet. 2065496-001 Rev G (2024 12) AB.100.096 5 Service Tests and Calibration 30 mm Male Cone High Pressur e Transducer Regulator 25 psi 172 kPa P Primary Inlet Inlet Filter Test Port Flow Sensor T H Pneumatic Resistor Pneumatic Resistor H EXP Exhalation Valve P Expiratory Pressur e Check Valv Standard Exhalation Flow Sensor Expiratory Zero Valve Flow Valve Inspiratory Pressur e e P Air Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP Regulator 25 psi 172 kPa P Primary Inlet Inlet Filter Optional Test Port Flow Sensor T H Flow Valve Inspiratory Effort Valve Check Valve Free Breathing CheckValve O2 Safety Relief V alve Auxiliary Pressur e Transducer Relief Valve AB.98.193 High Pressur e Transducer P Auxiliary Pressur e PurgeValve Inlet Manifold 2065496-001 Rev G (2024 12) Vent Engine Manifold Paux Outlet Manifold 5-19 CARESCAPE R860 O2 Inlet Filter P P Inlet Filter Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Paux O2 Sensor Paux Pinsp Pexp AB.98.116 Atmosphere Relief H INSP Paux EXP 5.2.10 Verify operation of inspiratory effort valve 1. 2. Ensure both manual shut-off valves are closed. On the VCB screen: • • • • 3. 4. 5. 6. 5-20 Energize ( ) the Auxiliary Pressure Purge valve. Energize (close) the inspiratory effort valve ( Effort Valve Energized). Verify that the Air Flow Valve, O2 Flow Valve and the Exhalation Flow Valve are energized ( ). Set the Air DAC, O2 DAC, and the Exhalation DAC counts to 60,000. Connect a negative pressure squeeze bulb to the Inspiratory outlet. Plug the Expiratory inlet and the Auxiliary pressure port (Paux). Fully depress the squeeze bulb. The bulb should not fully inflate in less than 5 seconds. If it does, troubleshoot the inspiratory effort valve. Disconnect the squeeze bulb from the Inspiratory outlet and unplug the expiratory port. 7. De-energize (open) the inspiratory effort valve ( 8. Set the Air DAC, O2 DAC, and Exhalation DAC counts to zero. Effort Valve Energized). 2065496-001 Rev G (2024 12) AB.100.097 5 Service Tests and Calibration 30 mm Male Cone High Pressure Transducer P Primary Inlet Inlet Filter H Pneumatic Resistor Regulator 25 psi 172 kPa Test Port Flow Sensor T H Flow Valve Pneumatic Resistor EXP Exhalation Valve P Expiratory Pressure Check Valve Standard Exhalation Flow Sensor Expiratory Zero Valve Inspiratory Pressure P Air Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP P Primary Inlet Inlet Filter Optional Check Valve Regulator 25 psi 172 kPa Test Port Flow Sensor T H Flow Valve Inspiratory Effort Valve Free Breathing Check Valve O2 Safety Relief Valve Auxiliary Pressure Transducer AB.98.194 High Pressure Transducer Relief Valve P Auxiliary Pressure PurgeValve Inlet Manifold 2065496-001 Rev G (2024 12) Vent Engine Manifold Paux Outlet Manifold 5-21 CARESCAPE R860 O2 Inlet Filter P P Inlet Filter Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Atmosphere Paux Pinsp Relief Pexp AB.98.117 O2 Sensor Paux H INSP Paux EXP 5.2.11 VCB buzzer test Using the VCB screen in the Service software application, energize ( ) the Buzzer On. See "8.7.9 VCB outputs" for details. 2. Verify the VCB buzzer can be heard at a distance of 70 feet. AB.100.368 1. 5.2.12 Mechanical overpressure valve test 1. 2. 3. 5-22 Verify that the ventilator passes the low pressure leak test. See "5.2.5 Vent engine leak test (low pressure)" for details. Turn the ventilator off. Using a syringe, inject 60 ml of air into the ventilator through the Inspiratory port. 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration 4. After the entire volume is delivered, verify that the pressure reading on the manometer is greater than 100 and less than 130 cmH2O. If it is not, troubleshoot the safety relief valve. Note Pressure may spike higher than 130 cmH2O during 60 ml volume delivery if delivered at a rate greater than 4 l/min. AB.100.158 To Manometer 30 mm Male Cone High Pressure Transducer P Primary Inlet Inlet Filter Regulator 25 psi 172 kPa Test Port Flow Sensor T H Pneumatic Resistor Pneumatic Resistor H EXP Exhalation Valve P Expiratory Pressure Check Valv Standard Exhalation Flow Sensor Expiratory Zero Valve Flow Valve Inspiratory Pressure e P Air Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP P Primary Inlet Inlet Filter Optional Regulator 25 psi 172 kPa Test Port Flow Sensor T H Flow Valve Inspiratory Effort Valve Check Valve Free Breathing Check Valve O2 Safety Relief V alve Auxiliary Pressure Transducer Relief Valve P Auxiliary Pressure PurgeValve Inlet Manifold 2065496-001 Rev G (2024 12) Vent Engine Manifold Paux AB.98.191 High Pressure Transducer Outlet Manifold 5-23 CARESCAPE R860 O2 Inlet Filter P P Inlet Filter Air Standard Optional Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Atmosphere O2 Sensor Relief Pexp AB.98.114 Paux Paux Pinsp H INSP Paux EXP 5-24 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration 5.3 Airway Module Tests and Calibration Note Refer to the Respiratory Module Technical Manual M1211115 for detailed information on CARESCAPE-series respiratory airway modules. The following table shows airway modules that are compatible with the ventilator: E-series Airway Module CARESCAPE-series Airway Module E-miniC E-CO E-sCO E-COV E-sCOV E-COVX E-sCOVX E-CAiO E-sCAiO E-CAiOV E-sCAiOV E-CAiOVX E-sCAiOVX The letters in the airway module model number correspond to its model and capabilities: • • • • • • • • E = plug-in gas module s = Single airway module C = CO2 detection and N2O in compact airway modules (not supported) O = patient O2 detection A = anesthetic agent detection (not supported) i = anesthetic agent identification (not supported) V = patient spirometry capability X = metabolics Note The ventilator is not intended for use with anesthetic agents. It does not measure or display anesthetic agents. 5.3.1 Gas Sampling Leak Test E-series Check the gas sampling system for possible leaks. 1. 2. 3. 4. 5. 2065496-001 Rev G (2024 12) Remove compact airway module from the module bay. Connect a new D-fend water trap to the module. Connect a new gas sampling line to the sampling line connector in the water trap. Connect the other end of the gas sampling line to a pressure manometer and a pressure pump. Block the “Ref Gas In” and “Sample Gas Out” connectors. 5-25 CARESCAPE R860 6. 7. 8. Pump 100 mmHg ±20 mmHg pressure to the gas sampling system. Let the pressure stabilize for approximately 10 seconds. Check that the pressure reading does not drop more than 4 mmHg during one minute. Remove all tubing used for leak test from the compact airway module. 6 1 2 5 4 7 AB.100.369 3 Item Description Part Number 1 T-Fitting 1009-3011-000 2 Tubing 0994-6370-000 3 Positive Pressure Squeeze Bulb 002341 4 Sample Line 73318-HEL (2 m - package of 10) Used with all modules that measure Gas Exchange (ie. E-CAIOVX) 73319-HEL (3 m - package of 10) Used with all modules that do not measure Gas Exchange (ie. ECAIOV) 5 Tubing 0994-6370-010 6 4 mm Tubing 1001-3060-000 7 Local Purchase Use a Pressure Manometer with a minimum accuracy of ± 1% at 25 PSI of reading or better. CARESCAPE-series 1. 2. 3. Note Remove the airway module from the module bay. Detach the airway module front cover and casing. Block the OM reference tube with the forceps. Correct positioning of the forceps is indicated by the figure below. Be careful when attaching the forceps to the tube and avoid stretching the tube. Short pieces of silicone tubing on the forcep jaws can be used to protect the tube from breaks that may appear when the tube is compressed between the jaws. -- 5-26 2065496-001 Rev G (2024 12) AB.100.370 5 Service Tests and Calibration 4. 5. Connect a new D-fend Pro water trap to the module. Connect a new gas sampling line to the sampling line connector in the water trap. 6. Connect the other end of the gas sampling line to a pressure manometer and a pressure pump. 7. Block the sample gas out (gas exhaust) connector. 8. Carefully pump 80 mmHg +/- mmHg pressure to the gas sampling system. Let the pressure stabilize for 10-20 seconds. 9. Check that the pressure reading does not drop more than 2 mmHg during 25 seconds. 10. Release the forceps, and attach the module casing. Make sure that the tubing fits nicely into the module casing. 5.3.2 Spirometry System Leak Test E-series 1. 2. 3. 4. 5. Note Ensure the module is disconnected from the module bay. Connect a pressure manometer to the spirometry connectors. Pump 50 ±10 mmHg (~68 cmH2O) pressure to the Spirometry sampling system. Let the pressure stabilize for approximately 10 seconds. Verify that the pressure reading does not drop more than 3 mmHg during one minute. Remove all tubing used for leak test from the compact airway module. The spirometry pressure transducers are very sensitive to differential overpressure. A momentary differential pressure between the two spirometry connectors exceeding 25 cmH2O (18 mmHg) may damage the pressure sensors. To ensure that both pressure channels are equally pressurized, make sure that the tubing between the manometer and the two spirometry connectors is tightly connected, the tubes are the same length, thickness, and are not kinked. -- Note Do not overpressure the spirometry sampling system. A static pressure exceeding 300 cmH2O (220 mmHg) may damage the pressure sensor. -- 2065496-001 Rev G (2024 12) 5-27 CARESCAPE R860 4 1 3 5 AB.100.371 2 Item Description Part Number 1 T-Fitting 1009-3011-000 2 Positive Pressure Squeeze Bulb 002341 3 Tubing 0994-6370-010 4 Tubing (inside) 1001-3060-000 5 Use a Pressure Manometer with a minimum accuracy of ± 1% at 25 psi of reading or better. Local Purchase CARESCAPE-series Perform this test only for E-sCOV and E-sCAiOV series airway modules. Note The spirometry pressure transducers are very sensitive for differential overpressure. A momentary differential pressure between the two spirometry connectors exceeding 25 cmH2O (18 mmHg) may damage the pressure sensors. To ensure that both pressure channels are equally pressurized, make sure that the tubing between the manometer and the two spirometry connectors is connected tightly, both tubes are the same length and diameter, and are not kinked. Note Do not overpressure the spirometry sampling system. A static pressure exceeding 300 cmH2O (220 mmHg) may damage the pressure sensor. 1. 2. 5-28 Ensure the airway module is disconnected from the monitor. Connect a pressure manometer to the spirometry connectors. 2065496-001 Rev G (2024 12) AB.100.372 5 Service Tests and Calibration 3. 4. Pump ~68 cmH2O (50 mmHg +/- 10 mmHg) pressure to the spirometry sampling system. Let the pressure stabilize for approximately 10 seconds. Verify that the pressure reading does not drop more than 4 cmH2O (3 mmHg) during one minute. 5.3.3 Fan 1. 2. Insert the compact airway module into the module bay. Make sure the gas module fan is running. 5.3.4 Sample Flow Rate Check 1. 2. Check the sample flow rate. Enter the Service menu and select Airway Module. Gas measurement is not available during the first 2 to 5 minutes after the module is connected due to warm-up time. A message “Gas Module Warming Up” is shown in the Gas Module service screen. Wait until warmup is completed before proceeding with the following steps. Note -- 3. 4. 5. Connect the gas sampling line (2 m/7ft with COVX and CAiOVX, 3 m/10ft with CO, COV, CAiO, and CAiOV) to the Sampling line connector. Connect the other end of the gas sampling line connector to a flow meter. Check the sample flow rate reading from the flowmeter. The flow rate shall be within the specification limit of 200 ±20 ml/min for E-series modules. • 2065496-001 Rev G (2024 12) The flow rate shall be within the specification limit of 120 ±20 ml/min for CARESCAPE-series modules. 5-29 CARESCAPE R860 If the measured value is within the specification limit, see "5.3.5 Reference Gas Flow Rate Check". If measured value is not within the specification limit, continue to Step 6. Note -- Sample Flow Adjustment 6. Select Sample Gain Adjust from the Airway Module menu and use the Trim Knob to adjust sample flow and confirm value. • • 7. 8. To decrease the sample flow rate measured by the flowmeter by approximately 7.5 ml/min, add gain value by 0.05. To increase the sample flow rate measured by the flowmeter by approximately 7.5 ml/min, lower the gain value by 0.05. Push the Trim Knob to confirm the effect of the gain adjustment. Wait until the sample flow value shown in the calibration menu returns near to the nominal value 200 ml/min, and then check the actual measured flow rate from the flow meter. Repeat Steps 6 and 7 until the flow meter shows a 200 ±20 ml/min flow rate. • The flow rate shall be within the specification limit of 120 ±20 ml/min for CARESCAPE-series modules. Note Adjust the flow rate according to the reading in the flow meter. The flow rate reading in the Calibration menu is measured by the internal electronics and settles back to the nominal 200 ml/min independent on the real flow rate. 5.3.5 Reference Gas Flow Rate Check Check the flow rate in reference gas inlet: 1. 2. 3. 4. Keep the gas sampling line connected to the Sampling line connector. Leave the other end of the gas sampling line open to room air. Connect the flowmeter to the “Reference Gas” inlet with a piece of tubing. Check that the Reference Flow is within the following range: • • • 31 to 45 ml/min with CO, COV, CAiO, and CAiOV modules. 27 to 40 ml/min with COVX and CAiOVX modules. 10 to 50 ml/min with E-sCO, E-sCOV, E-sCAiO, and E-sCAiOV. 5.3.6 Zero Valve Operation Test the zero valve functionality: 1. 5-30 Connect the gas regulator to the calibration gas container. 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration 2. 3. Connect the end of the gas sampling line to the regulator on the gas container. Leave the regulator overflow port open to room air. Start feeding the specified calibration gas. Wait until the gas values shown in the Airway Module menu rise approximately to the level indicated in the labeling of the calibration gas container. The gas values in the Airway Module menu are in percentages (%). Note -- 4. 5. 6. 7. Open the Zero valve to room air by selecting Zero Valve Control > Zero. Check that the CO2, N2O, and anesthesia agent values drop back near 0% and the O2 reading near 21% (room air). Stop feeding the calibration gas. Select Zero Valve Control > Measure to return the zero valve back to the normal measurement position. 5.3.7 Ambient Pressure 1. 2. Use a barometer to check the operation of the absolute pressure sensor. Check that the ambient pressure value shown in the Airway Module > Gas Data menu does not differ more than ±10 mmHg from the value shown by the barometer. Note The ambient pressure value in the Gas Data menu is shown in mmHg. 5.3.8 Fall Time Measurement Note Not applicable to the CARESCAPE-series airway module. 1. 2. 3. Select Start Fall Time Measurement in the Airway Module menu. Feed calibration gas until the message “Feed” changes to “Ready”. Check that the measured fall times are within the following ranges: • • • 4. CO2 Fall Time: < 400 ms O2 Fall Time: < 400 ms CO2 - O2 delay: < 800 ms If necessary, repeat this procedure to get all the values on the screen. 5.3.9 Occlusion Detection 1. Block the tip of the sampling line using your finger. • 2065496-001 Rev G (2024 12) The Airway Module Gas Sampling Error alarm displays. 5-31 CARESCAPE R860 2. Check that the message 'Sample line occluded' appears within 30 seconds. 5.3.10 Air Leak Detection 1. Detach the D-fend water trap. • 2. 3. The Airway Module Gas Sampling Error alarm displays. Check that the message “Check D-fend” appears after 30 seconds. When replacing the D-fend, select Pump Control On to clear the alarm and message. 5.3.11 Spirometry Check Perform this test only for COV, COVX, CAiOV, and CAiOVX modules. Allow the gas module to warm up at least 10 minutes before performing the calibration check of flow calibration. 1. 2. 3. 4. 5. Access the Airway Module Spirometry Data menu. Connect a clean spirometry tube and D-lite to the compact airway module. Connect a 500 ml calibration syringe to the D-lite sensor (small end) and push the plunger in until it reaches a stop, this is the starting position for the syringe. Slowly and steadily pump the calibration syringe 6 times backwards and forwards. The measured flow values are shown in real-time in the VT insp and VTexp fields in the Airway Module Spirometry Data menu. The acceptance criteria is: • • If the VT insp and VTexp values differ less than ±30 ml of 500 ml, flow calibration is not needed. If the VTinsp and VTexp values differ more than ±30 ml of 500 ml, perform flow calibration according to the Compact Airway Technical Reference manual, M1153491 Section 4.3.3, Flow Calibration. Patient spirometry does not require regular service calibration during planned maintenance, or after the PVX (pressure transducer) unit has been replaced. The PVX measuring unit is calibrated at the factory and due to the unit’s design, spirometry calibration is not regularly needed in the field. The calibration data is saved into the board’s EEPROM. In case calibration is needed, it is recommended to perform the calibration both with adult values using the D-lite and with pediatric values using the Pedi-lite. See Section "5.3.2 Spirometry System Leak Test" 5-32 2065496-001 Rev G (2024 12) 5 Service Tests and Calibration 5.3.12 Airway Module Calibration 1. 2. 3. Power on the ventilator or select Standby. Select the Setup icon, enter the Service password and confirm. Allow the gas module to warm-up before starting calibration. • • Warm up for 2 to 5 minutes, if module has previously been powered on for at least 30 minutes. Warm up for 30 minutes, if module has not been previously powered on for at least 30 minutes. 4. 5. Attach the regulator to the calibration gas cylinder. Attach a new sampling line to the water trap. Connect the loose end of the sampling line to the regulator on the calibration gas cylinder. 6. 7. Select Calibrations > Airway Module. Follow the on-screen instructions and select Start. Calibration will begin as soon as the menu item is selected. Wait until “Feed Gas” appears after each gas. Open the regulator and feed calibration gas until the message “OK” or “Adjust” appears. 8. 9. • • If an error occurs during calibration or if no gas is fed, “Calibration error occurred. Select Start to recalibrate” appears after each gas. Select start to perform a new calibration. 10. If adjustments are needed: • • • • • 2065496-001 Rev G (2024 12) Select the gas to be adjusted and push the Trim Knob. Use the Trim Knob to change the value until it matches the calibration gas cylinder value. Push the Trim Knob to confirm the change. Repeat for each gas requiring adjustment. Select Standby to Exit. 5-33 CARESCAPE R860 5.4 Touchscreen calibration The touchscreen calibration uses a 4-point touch and hold test. 1. 2. 3. 4. 5. 6. From the Standby menu, select Setup, and enter the service password. Select Calibrations > Touchscreen to open the Touchscreen calibration menu. Select Start. The touchscreen calibration target appears. Touch the calibration targets. Make sure the arrow tracks with the touch of a finger. Select Accept to accept the calibration, select Redo to redo the calibration, or select Cancel to cancel the calibration. • 5-34 A checkmark (pass) or X (fail) appears along with the date and time of the calibration. 2065496-001 Rev G (2024 12) 6 Installation and Maintenance Installation and Maintenance In this section 6.1 Ventilator installation checklist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3 6.1.1 Unpacking the ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3 6.1.2 EVair Compressor option (if installed). . . . . . . . . . . . . . . . . . . . . 6-5 6.2 Ventilator Planned Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6 6.2.1 Every twelve (12) months. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6 6.2.2 Every twenty-four (24) months. . . . . . . . . . . . . . . . . . . . . . . . . . 6-7 6.2.3 Every forty-eight (48) months. . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7 6.3 Airway Module Planned Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . 6-8 6.3.1 Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8 6.3.2 Visual inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8 6.3.3 Every twelve (12) months. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8 6.3.4 Every forty-eight (48) months. . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9 6.4 EVair Compressor Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10 6.4.1 Before and after every use (or every 48 hours of operation). . . . 6-10 6.4.2 Every twelve (12) months (or after 5,000 hours of operation). . . 6-10 6.4.3 After 15,000 hours of operation. . . . . . . . . . . . . . . . . . . . . . . . .6-10 6.5 Ventilator maintenance summary and schedule. . . . . . . . . . . . . . . . . 6-11 6.5.1 Approved service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11 6.5.2 User maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11 6.6 Component replacement schedule. . . . . . . . . . . . . . . . . . . . . . . . . . .6-13 6.6.1 Inspiratory safety guard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13 6.6.2 Planned Maintenance Checklist 2065496-PMC. . . . . . . . . . . . . 6-13 6.7 Manufacturing date codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14 6.8 Battery performance test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16 6.8.1 Battery information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17 6.8.2 Battery Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17 6.8.3 Storing the ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18 6.9 Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19 2065496-001 Rev G (2024 12) 6-1 CARESCAPE R860 This section covers the regular maintenance procedures (minimum requirements) needed to make sure that the ventilator operates to specifications. WARNING Do not perform testing or maintenance on the ventilator while it is being used on a patient. Possible injury can result. • Items can be contaminated due to infectious patients. Wear sterile rubber gloves. Contamination can spread to you and others. • Obey infection control and safety procedures. Used equipment may contain blood and body fluids. 6-2 2065496-001 Rev G (2024 12) 6 Installation and Maintenance 6.1 Ventilator installation checklist . Serial Number: Date: (YY/MM/DD) Hospital: Performed by: Perform "6.8 Battery performance test" before using the system if it has been in storage for more than 3 months. Replace the batteries if the test fails. 6.1.1 Unpacking the ventilator Note Check for shipping damage, if any is found, take photos and notify the shipping carrier. Note Software 10 requires use of the system default Configuration (Super User) password and Service password. See "4.2 Configuration menu (Super User)" and "4.4.1 Access the Service menus (Software 10)" for details. Software 11 requires use of the Configuration and Service passwords set by the facility. See "4.2.8 Manage Passwords" for details. □ 1. Unpack and assemble the ventilator. Refer to Setup and Connections in the User’s Reference Manual (URM). □ □ □ 2. Remove protective tape from casters, if applicable (cart only). 3. Verify AC power cord configuration. See "10.15 AC power cords". 4. Depending upon system configuration, verify the AC power cord is fully seated in the power inlet connectors on the back of the ventilator, outlet panel, compressor, and the AC power cord clamp is tightened. Tighten the power clamp screws to 1.0 Nm. Tighten the inlet power cord retainer (1505-3033-000) screw to 0.45 Nm and the outlet power cord retainer (1505-3041-000) screw to 0.45 Nm. See Note in "10.15 AC power cords". □ 5. Power system On and access the Service menu. □ Verify the backup audio alarm buzzer sounds for two seconds as soon as the system switch is turned on, and that it can be heard from a distance of 70 feet. Initiate system power using the PC Service Application or request a second party to turn system on while standing 70 feet away from the unit. □ Verify the main audio alarm sounds briefly just before the system startup screen shows. If the self tests fail, the display shows an alarm. For details, see "7.5 Troubleshooting the Display Unit". □ □ □ Verify the display unit green LED illuminates. Verify the display unit alarm light activates. For software 11 (see "4.1.1 Configure passwords (Install or reset)" for additional information): • 2065496-001 Rev G (2024 12) Verify that the Password change required screen appears. 6-3 CARESCAPE R860 • • • • □ Verify the facility password requirements and assist the facility representative with updating the password rules and requirements. Verify the facility Configuration password and assist with updating the Configuration password. Verify the facility Service password and assist with updating the Service password. Restart the machine. Verify that the Password change required screen no longer appears at start up. 6. Access the Super User and Service menus. (For software 10 see "4 A Configuration and Service Menus (Software 10)".) (For software 11 see "4 B Configuration and Service Menus (Software 11)".) Change the following as required: □ Enter the Configuration menu using the facility Configuration password and then the Service menu using the facility Service password. Select the appropriate tab and record the following configuration parameters: • • • • • • • • • • • • Paw (Configuration menu > Units tab) Flow (Configuration menu > Units tab) CO2 (Configuration menu > Units tab) Height (Configuration menu > Units tab) Weight (Configuration menu > Units tab) Energy Expenditure (Configuration menu > Units tab) Gas Supply Pressure (Configuration menu > Units tab) Blood Gases (Configuration menu > Units tab) Hb (Super User > Units tab) Decimal marker (Service > Localization tab) Language (Service > Localization tab) Altitude (Service > Localization tab) □ Optional Features - (access Service > Optional Features). Verify the factory installed ventilation options match the configuration purchased with the machine. □ Copy Configuration (access Super User > Copy Configuration). Use the Copy Configuration tab to copy a configuration to USB media, and then copy the configuration to additional machines. □ Service Log (access Service > Service Log > Error and Alarm Log), select the Service Log and Alarm log and review error and alarm log entries. Ignore any logs that were entered previous to the facility installation, these are logs generated during the normal manufacturing process. If the system has 10SP04 or newer (Service Pack 04) it is recommended to reset the service logs. Note Service logs for software 10, see "4.4.4 Service Log". Service logs for software 11, see "4.4.4 Service Log". □ □ Touchscreen (access Service > Calibrations>Touchscreen), select the Touchscreen tab and perform the Touchscreen calibration. 7. Access the Service>Calibration menus and perform the following as required. See "5.1.1 Calibration procedures". • Calibration • • 6-4 O2 FCV Air FCV 2065496-001 Rev G (2024 12) 6 Installation and Maintenance • • • Exhalation Valve Airway Module • Cal Flag, set to off (uncheck). Set Favorites. For software 10, see "4.2.5 Assign mode favorites (Software 10)". • □ For software 11, see "4.2.5 Assign mode favorites (Software 11)". Power the system Off. 8. System Checkout: • • Power system On and verify the “Calibration Required” message is not shown in the lower left portion of the display. Perform System Checkout per the following: • • • • Inspect system ("3.1 Inspect the system") System Check (automated checkout) ("3.2 System checkout overview") Power Failure test ("3.3 Power failure test") Electrical Safety tests ("3.4 Electrical safety tests") 6.1.2 EVair Compressor option (if installed) □ □ 2065496-001 Rev G (2024 12) Perform a compressor Functional Pressure test Do the following steps if the compressor is not going to be used as the primary air source (backup source only) or to make setting change. □ Access Service mode and navigate to Change Settings. Refer to Section 5 in the “EVair Service Manual” (2066031-001) for Service mode instructions. □ Verify the pressure threshold settings for backup mode is appropriate for the hospital. Enter Service mode to adjust settings. □ Connect the Medical Air pipeline hose to the compressor Air IN (bottom connector). Use a 25 mm wrench to tighten the connector. 6-5 CARESCAPE R860 6.2 Ventilator Planned Maintenance . Serial Number: Date: (YY/MM/DD) Hospital: Performed by: 12 month, 24 month, 48 month, __________ 6.2.1 Every twelve (12) months □ □ 1. If required, adjust the display unit arm joints. □ 3. Check that casters are not loose and the brakes are set and prevent movement. Torque and mark casters if necessary. See "9.10 Replacing the cart casters". □ 4. Depending upon system configuration, verify the AC power cord is fully seated in the power inlet connector(s) on the back of the ventilator, outlet panel, compressor, and the AC power cord clamp(s) is secure. 2. Check movement of patient monitoring module rack arm. If necessary, use hex wrench to adjust tension ("10.18 Airway module rack"). Tighten the power clamp screws to 1.0 Nm. Tighten the inlet power cord retainer (1505-3033-000) screw to 0.45 Nm and the outlet power cord retainer (1505-3041-000) screw to 0.45 Nm. See Note in "10.15 AC power cords". □ □ □ □ CAUTION □ 5. Visually inspect Vent Engine fan filter. Clean or replace as needed. 6. Visually inspect display unit fan filter. Clean or replace as needed. 7. Visually inspect exhalation valve assembly. Clean or replace as needed. 8. Visually inspect gas inlet filters (O2 and Air). Replace as needed. Any visual signs of moisture or particulate matter indicates that the facility may have a problem with their Medical gas delivery system. Return the replaced filter to the appropriate authority in the facility so that they are aware of the problem and can correct as needed. If there is any indication of moisture in the filter, the main manifold must be inspected to ensure there are no visual signs of moisture entering into the ventilator engine. 9. Check backup audio alarm buzzer: • • • • 6-6 Power system On. Verify the backup audio alarm buzzer sounds for two seconds as soon as the system switch is turned On. Verify the main audio alarm sounds briefly just before the system startup screen shows. If the self tests fail, the display shows an alarm. See "7.5 Troubleshooting the Display Unit". Verify the display unit green LED illuminates. Verify the display unit alarm light activates. 2065496-001 Rev G (2024 12) 6 Installation and Maintenance □ 10. Complete the battery performance test ("6.8 Battery performance test"). □ □ 11. Complete Electrical safety tests ("3.4 Electrical safety tests"). 12. Complete all Service level tests and calibrations ("5.2 Service level tests and calibration"). □ 13. Acces Service Log > Main tab and press the Maintenance Performed button to time-stamp the date maintenance was performed. □ 14. Complete the System Check ("3.2 System checkout overview"). 6.2.2 Every twenty-four (24) months Replace the following parts every 24 months (2 years). Replacement may occur at the same time the 12 month maintenance is performed. □ Replace the system batteries (5953932-S). • Charge batteries for 8 hours. 6.2.3 Every forty-eight (48) months Replace the following parts every 48 months (4 years). Replacement may occur at the same time the 12 month maintenance is performed. □ 1. Replace Lithium battery (1009-5800-000) on display CPU board. See "9.5.2 Replacing components", for the location of the battery. □ 2. Inspect for visual accumulation of dust on display unit boards located behind fan. Use a soft brush and general-purpose aerosol duster designed for PC boards. The aerosol canister must be a moisture free formulation which leaves no residue. □ □ 3. Check regulator output ("5.2.4 Regulator output pressure test"). 4. Inspect for visual accumulation of dust on Main Enclosure fan. Important See the "6.6.2 Planned Maintenance Checklist 2065496-PMC" for detailed instructions. 2065496-001 Rev G (2024 12) 6-7 CARESCAPE R860 6.3 Airway Module Planned Maintenance E-series Airway Modules Replace the specified planned maintenance parts. Refer to the Compact Airway Module Technical Reference Manual, M1153491, Chapter 3 “Maintenance and Checkout”, Chapter 6 “Disassembly and reassembly” and Chapter 7, “Service Parts” for additional information. CARESCAPE-series Airway Modules Replace the specified planned maintenance parts. Refer to the Respiratory Modules Technical Reference Manual, M1211115, Chapter 3 “Maintenance and Checkout”, Chapter 6 “Disassembly and reassembly” and Chapter 7, “Service Parts” for additional information. 6.3.1 Cleaning The cleaning precautions, cleaning requirements, cleaning procedures, and recommended cleaning solution for the system are described in the CARESCAPE R860 User’s Reference Manual. For detailed information describing cleaning, disinfecting and sterilizing the accessories, see the instruction for use in the accessory package. 6.3.2 Visual inspection Detach the module from the module slot and check the following: □ □ □ □ □ 1. Front cover and the front panel sticker are intact. 2. All connectors are intact and are attached properly. 3. D-fend latch is moving properly. 4. Module box and latch are intact. 5. Metal D-fend connectors and the D-fend o-rings are clean and intact. 6.3.3 Every twelve (12) months Perform the following steps every 12 months. See the referenced section for detailed information about each step. □ 1. Install Planned Maintenance Kit. Refer to the Compact Airway Module Technical Reference Manual, M1153491. Replace the special tubes (Nafion) and check the condition of the internal tubing • • • • 6-8 Replace the occlusion filter in the pneumatic unit. Replace the reference gas filter assembly. Replace the D-Fend o-rings. Replace the fan filter in the front of the module. 2065496-001 Rev G (2024 12) 6 Installation and Maintenance □ □ □ □ □ □ 2. Visual inspection ("6.3.2 Visual inspection "). □ □ □ □ □ □ □ 8. Zero Valve Operation ("5.3.6 Zero Valve Operation"). 3. Gas Sampling System Leak Test ("5.3.1 Gas Sampling Leak Test"). 4. Spirometry System Leak Test ("5.3.2 Spirometry System Leak Test"). 5. Fan Check ("5.3.3 Fan"). 6. Sample Flow Rate Check ("5.3.4 Sample Flow Rate Check"). 7. Reference Gas Flow Rate Check ("5.3.5 Reference Gas Flow Rate Check"). 9. Ambient Pressure ("5.3.7 Ambient Pressure"). 10. Fall Time Measurement ("5.3.8 Fall Time Measurement"). 11. Occlusion Detection ("5.3.9 Occlusion Detection"). 12. Air Leak Detection ("5.3.10 Air Leak Detection"). 13. Spirometry Check ("5.3.11 Spirometry Check"). 14. Airway Module Calibration ("5.3.12 Airway Module Calibration"). 6.3.4 Every forty-eight (48) months □ 2065496-001 Rev G (2024 12) Replace the CO2 absorber. 6-9 CARESCAPE R860 6.4 EVair Compressor Maintenance Important Refer to the EVair Compressor Service Manual (2066031-001) for step-by-step instructions for compressor cleaning and maintenance. 6.4.1 Before and after every use (or every 48 hours of operation) □ □ Check and clean the outer surface. Check, clean, or replace the cabinet filter (302-031-000). 6.4.2 Every twelve (12) months (or after 5,000 hours of operation) Refer to the EVair Compressor Service Manual (2066031-001) for step-by-step instructions for compressor cleaning and maintenance. 6.4.3 After 15,000 hours of operation Refer to the EVair Compressor Service Manual (2066031-001) for step-by-step instructions for motor maintenance. 6-10 2065496-001 Rev G (2024 12) 6 Installation and Maintenance 6.5 Ventilator maintenance summary and schedule The maintenance schedule in this section shows the minimum intervals recommended by GE Healthcare. Refer to local regulations, which can have more maintenance requirements. GE Healthcare encourages compliance with local regulations that meet or exceed the minimum level of maintenance. 6.5.1 Approved service At a minimum of every 12 months, complete the scheduled service maintenance checks, tests, calibrations, and parts replacements, as specified in this Technical Reference Manual. System data The System menu shows data used for maintenance and service. Select Menu > System to see the following system information: • • • • • • Software version and release version Running hours Altitude O2 Pressure Air Pressure Battery status When an airway module is installed, the System menu shows the airway module data: • • • Module type Module version Last passed calibration Important The Last Passed Calibration data does not show until after the airway module is warmed up. 6.5.2 User maintenance Calibrate the system when any one of these occurs: • • • Performance is questionable, such as a System Check failure. Internal components are serviced or replaced. Every six months. For best performance of the system, calibrate more frequently. Do the schedule maintenance as shown in the table. 2065496-001 Rev G (2024 12) 6-11 CARESCAPE R860 Minimum Frequency Maintenance During cleaning and setup • Inspect the parts for damage and replace or repair, as necessary. As necessary • Empty the water trap on the exhalation valve housing. Empty the water trap on the air pipeline inlet fitting and replace the filter. Clean and replace the expiratory flow sensor. Clean or replace the neonatal flow sensor. Perform "6.8 Battery performance test" before using the system if it has been in storage for more than 3 months. Replace the batteries if the test fails. • • • • Monthly • Remove and clean fan filters for the display unit, vent housing, airway module, and compressor. Every two months • Calibrate the airway module, if one is installed. Every six months • • • • Calibrate the O2 Flow Control Valve* Calibrate the Air Flow Control Valve* Calibrate the Exhalation Valve* Perform "6.8 Battery performance test". Replace the batteries if the test fails. Annually • Check the performance on the internal battery. See "6.6.2 Planned Maintenance Checklist 2065496-PMC". Perform annual service and maintenance check for the ventilator, airway module, and compressor. • Important *If the ventilator is moved from the facility, calibrate the O2 Flow Control Valve, Air Flow Control Valve, and Exhalation Valve. 6-12 2065496-001 Rev G (2024 12) 6 Installation and Maintenance 6.6 Component replacement schedule This table indicates the minimum recommended maintenance. Replace the component at the frequency or number of processing cycles, whichever occurs first. Refer to the User’s Reference Manual for additional part replacement information and component reprocessing information. *Visually inspect components to determine if cleaning or replacement is needed. Look for deformation, cracks, or discoloration. Refer to the User’s Reference Manual for cleaning and re-processing information. . Component Minimum Frequency Reprocessing Cycles Exhalation Valve Assembly Exhalation Valve Diaphragm • 12 months 50 Expiratory flow sensor 6 months 50 Neonatal flow sensor 6 months 25 Cart mounted water trap Water trap connector tubing (hytrel tubing) • *As needed 50 D-lite sensor *As needed 50 Pedi-lite sensor *As needed 50 Inlet filter bowl *As needed *As needed Display and ventilator fan filters *As needed *As needed Compressor air inlet filter *As needed *As needed 6.6.1 Inspiratory safety guard The inspiratory safety guard cannot be cleaned. It is used to prevent patient gas from contaminating the inspiratory gas path of the ventilator. The inspiratory safety guard does not have to be replaced between patients; it must be replaced when patient gas has passed through the safety valve. This can occur in the following situations: • • • Excess or sustained pressure in the system, as indicated by the following alarm messages: Relief valve opened, Patient circuit occluded, Sustained airway pressure. Failure of the Air and O2 supply gases while connected to the ventilator. When the ventilator is ventilating and an internal error message displays. 6.6.2 Planned Maintenance Checklist 2065496-PMC Use the Planned Maintenance Checklist to record test results. The Planned Maintenance Checklist and Installation Checklist are included in Appendix C. Additional checklists are available to order. 2065496-001 Rev G (2024 12) 6-13 CARESCAPE R860 6.7 Manufacturing date codes The parts in the table shown below and the internal system battery pair (5953932-S) use manufacturing date codes which indicate the age of the part. The manufacturing date codes are important in troubleshooting and assisting in investigations when parts are replaced earlier than their documented life expectancy. Please ensure that manufacturing date codes are included on all warranty or unplanned maintenance service reports. Internal Battery Pair 5953932-S AB.100.460 The serial number format is: YYYYMMDDAAAABBCCTGXXX XZ YYYYMMDD=Date the batteries were paired/matched (Year YYYY Month MM Day DD) AAAABBCC=Date battery was made (Year AAAA Month BB Day CC) T=Battery Type (P = PS-1250) G=Factory (L=Sager Illinois, T=Sager Texas, C=Inventus China, M=Inventus Mexico) XXXX=Serial number to reset to 0001 with each pairing day Z= (A=First battery of the matched pair / B=Second battery of the matched pair Note The date code wheel shown on the parts below refers to the month and year the part was manufactured. Example: 03/2010. Flow Sensors 6-14 Neonatal Flow Sensor 1505-3272-000 AB.100.387 AB.100.386 Adult Flow Sensor 1505-3231-000 Manufacturing Date and Lot number are indicated on the packaging. 2065496-001 Rev G (2024 12) 6 Installation and Maintenance Exhalation Valve Housing and Diaphragm 2065496-001 Rev G (2024 12) Diaphragm 1505-3224-000-S AB.100.389 AB.100.388 Exhalation Valve Housing 1505-3222-000 Exhal Valve Assemblies: 1505-3848-000, 1505-8568-000 6-15 CARESCAPE R860 6.8 Battery performance test WARNING Perform a battery test every 6 to 12 months to make sure battery capacity is at least 30 minutes. Replace batteries when necessary. Only use batteries recommended by GE Healthcare. Dispose of used batteries in accordance with local regulatory requirements in effect at the place of disposal. Check the current software version of the system before replacing the batteries (Battery FRU Part number 5953932-S). The required system software version should be 10SP06 or 11SP02 or greater to replace the batteries (Battery FRU Part number 5953932-S). Important If the ventilator is used more than once a month on battery power, such as for patient transport within the facility, it is recommended that the battery performance test be completed every six months. Before testing the batteries, make sure that the PMB Diagnostics screen shows the battery is fully charged. Battery status will show “Float Charge”, which indicates that the battery is fully charged. See "8.3 Power Diagnostics" for details. 1. Connect the ventilator to the main power supply for eight hours to make sure the batteries are fully charged. • 2. 3. Connect a breathing circuit and artificial lung to the ventilator. Set the following parameters: • • • • • • 4. 5. 6. 7. Use the Service Application to view Power Diagnostics and Power Control. Page 1 of the Power Controller Power Diagnostics screen shows the ‘Date battery Tested’ (the last full battery discharge until the ventilator shut down) and the ‘Discharge Time’. • 6-16 Mode: A/C PC Rate: 12/min I:E: 1:2 Pinsp: 20 cmH2O PEEP/Plow: 5 cmH2O Bias Flow: 4 l/min Start ventilation. Disconnect the power cord from the main power source and allow the system to run on battery until it does an orderly shutdown. Reconnect the power cord to the main power supply. Boot the system with the Service Application (USB media), then access the Power Diagnostics function as detailed in "8.3 Power Diagnostics". • 8. To see battery status, select Menu > System. If ‘Discharge Time’ information is not displayed on the screen, the test has not been run. Repeat the test procedure. 2065496-001 Rev G (2024 12) 6 Installation and Maintenance • • 9. If the ‘Discharge Time’ is greater than 60 minutes, the batteries can be left in until the planned maintenance 24-month replacement interval. If the ‘Discharge Time’ is less than 60 minutes, both batteries should be replaced. Connect the ventilator to the main power supply and fully charge the batteries for at least eight hours before the next use 6.8.1 Battery information The ventilator can operate on battery power. • • A minimum of 30 minutes when the batteries are maintained in accordance to the battery performance procedure. Up to 85 minutes when the batteries are new and fully charged. WARNING Do a battery test every 6 to 12 months to make sure battery capacity is at least 30 minutes. Replace the batteries when necessary. Important The ventilator is not intended for use during the transport of patients between facilities or emergency transport. The batteries are intended for use as backup power in case of a main power failure. Transition to battery is done automatically by the system. The ventilator uses two internal 12 Vdc sealed lead-acid batteries to provide backup power when main power is not available. The battery is typically in a float charge state as long as the system is connected to a primary electrical source. Ventilator Battery Ampere-hour rating 5 Ah or greater Voltage requirement 12 Vdc Current requirement 7.5 A Recharge time Eight hours (from full discharge) Estimated life 2 years • • Actual operation time on battery power depends on ventilator settings, battery age, and level of battery charge. The battery capacity specifications are approximate. To maximize battery life, maintain a full charge and minimize the number of discharges. 6.8.2 Battery Status The following icons indicate what type of power the ventilator is operating on. These icons show in the bottom right-hand side of the display. 2065496-001 Rev G (2024 12) 6-17 CARESCAPE R860 Main power Battery power No battery available or battery error The battery icon shows when the ventilator is not connected to the main power. The color of the battery icon shows the approximate amount of time remaining on battery power. Select the battery icon to see a status of the approximate battery charge. The color of the status bar shows the approximate amount of time remaining on battery power. Use the following table to define the color of the batter icon and the status bar. Color Time remaining on battery power Green More than 20 minutes Yellow Between 10 and 20 minutes Red Less than 10 minutes The “No battery” icon shows when there is a battery error or battery power is not available. The Battery in use alarm becomes active when the ventilator changes from main power to battery power. If the ventilator continues to operate on battery power, it alarms to signal that approximately 20, 10, 5, and 1 minute of battery power is available. 6.8.3 Storing the ventilator WARNING Keep the ventilator connected to the main power even when it is not in use. It is recommended that the ventilator remain connected to the main power to prevent battery discharge and degradation. Use only Datex-Ohmeda recommended batteries. The green LED on the lower left side of the display unit is on when the ventilator is connected to the main power source. To see the battery status, select Menu > System. Note Perform "6.8 Battery performance test" before using the system if it has been in storage for more than 3 months. Replace the batteries if the test fails. 6-18 2065496-001 Rev G (2024 12) 6 Installation and Maintenance 6.9 Disposal Dispose of the ventilator, accessories, and packaging according to local, state, or country disposal recycling laws at the end of their expected service life. 2065496-001 Rev G (2024 12) 6-19 6-20 2065496-001 Rev G (2024 12) 7 Troubleshooting Troubleshooting In this section 7.1 Troubleshooting checkout failures. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2 7.1.1 Paw transducer check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2 7.1.2 Barometric pressure test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4 7.1.3 Low pressure leak and compliance check. . . . . . . . . . . . . . . . . . 7-4 7.1.4 Safety valve relief and back pressure. . . . . . . . . . . . . . . . . . . . . 7-5 7.1.5 Exhalation valve calibration check. . . . . . . . . . . . . . . . . . . . . . . 7-7 7.1.6 Exhalation flow sensor calibration test. . . . . . . . . . . . . . . . . . . .7-10 7.1.7 Measure breathing circuit resistance. . . . . . . . . . . . . . . . . . . . . 7-11 7.1.8 Air inspiratory flow sensor calibration check. . . . . . . . . . . . . . . .7-11 7.1.9 O2 inspiratory flow sensor calibration check. . . . . . . . . . . . . . . 7-12 7.1.10 O2 sensor test and calibration. . . . . . . . . . . . . . . . . . . . . . . . 7-12 7.1.11 Neonatal flow sensor calibration check. . . . . . . . . . . . . . . . . . 7-13 7.1.12 Inspiratory limb resistance check. . . . . . . . . . . . . . . . . . . . . . 7-14 7.2 Troubleshooting Vent Engine Leaks. . . . . . . . . . . . . . . . . . . . . . . . . .7-16 7.2.1 Vent engine leak test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16 7.2.2 Expiratory pressure circuit test. . . . . . . . . . . . . . . . . . . . . . . . . 7-19 7.3 Troubleshooting Vent Engine Components. . . . . . . . . . . . . . . . . . . . .7-20 7.3.1 Regulator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-20 7.3.2 Flow Valves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-20 7.4 Troubleshooting Startup Screen (POST) messages. . . . . . . . . . . . . . 7-22 7.5 Troubleshooting the Display Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23 7.5.1 Troubleshooting the display (flowchart). . . . . . . . . . . . . . . . . . . 7-25 7.6 Technical alarm and error message. . . . . . . . . . . . . . . . . . . . . . . . . . 7-26 7.7 Troubleshooting Service Application messages. . . . . . . . . . . . . . . . . 7-47 7.8 Troubleshooting Service Application messages (Software 11). . . . . . . 7-65 7.8.1 Troubleshooting Service Application messages (Software 11 with O2 Therapy). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-65 7.9 Troubleshooting Failed State. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-68 2065496-001 Rev G (2024 12) 7-1 CARESCAPE R860 7.1 Troubleshooting checkout failures If the System Check ( "3.2 System checkout overview") results in failures, use the following tables to troubleshoot a specific failure. Use the PC Service Application ("8.7 PC Service Application") while running all tests. Additional information regarding Checkout failures is available in the Event Log. To file a quality report or request technical assistance regarding a checkout failure, create and include a Checkout log using the PC Service Application, as well as, the Event Log. Important If multiple failures occur during Super User Calibrations, System Check, or Service Procedures, particularly those tests associated with air supply, it could be an indication of water or hydrocarbon contamination. If you suspect contamination of this type, inspect the pipeline inlet filters for signs of contamination. Contamination of this type would require the replacement of all contaminated components or the Vent Engine Sub-assembly, based on the extent of the contamination. 7.1.1 Paw transducer check The Paw transducer check zeroes the inspiratory and expiratory pressure sensors and verifies that the two pressures agree within a reasonable margin. If this check fails, all ventilation modes will still be available. . Event Log Messages Checkout Failure Troubleshooting Action Required Insp pressure zero out of range Inspiratory Pressure Sensor Zero Failure: With the Inspiratory Pressure Zero Valve actuated, raw counts from the Inspiratory Pressure Sensor must be between 631 and 968; if not, test results indicate Fail and the Pinsp sensor out of range message is displayed. • Expiratory Pressure Sensor Zero Failure: With the Expiratory Pressure Zero Valve actuated, raw counts from the Expiratory Pressure Sensor must be between 631 and 968; if not, test results indicate Fail and the Pexp sensor out of range message is displayed. • Exp pressure zero out of range 7-2 • • • • • • • • Use the PC Service Application to facilitate problem isolation. Ensure proper connections. Remove the Inspiratory Pressure Zero valve. If the Inspiratory Pressure Sensor valves are between 631 and 968 counts, replace the Zero valve. Replace the Inspiratory Pressure Sensor Board. Replace the Vent Control board (VCB). Use the PC Service Application to facilitate problem isolation. Ensure proper connections. Remove the Expiratory Pressure Zero valve. If the Expiratory Pressure Sensor values are between 631 and 968 counts, replace the Zero Valve. Replace the Expiratory Pressure Sensor Board. Replace the Vent Monitor board (VMB). 2065496-001 Rev G (2024 12) 7 Troubleshooting Event Log Messages Checkout Failure Troubleshooting Action Required Pressure too low Total flow too low Cannot achieve 34 cmH2O • pressure: The Air (O2) flow valve is set to • approximately 8 l/min and the test • is initiated if 33 cmH2O pressure is not achieved; test results indicate Fail but no alarm message is displayed. • • Use PC Service Application to facilitate problem isolation. Ensure supply gas is connected. Continue with other tests. If a significant internal leak is indicated; use the Low pressure leak test ("5.2.5 Vent engine leak test (low pressure)" ) to isolate and repair the leak. Calibrate Flow Valves. Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves" ). Meas insp/exp pressures disagree Paw insp and Paw exp are not • within 4 cmH2O when pressurized to 34 cmH2O. • Test results indicate Fail but no alarm message is displayed. • Use PC Service Application to facilitate problem isolation. Use the PC Service Application to calibrate sensors ("5.2.8 Calibrate airway pressure transducer Zero and Span"). Replace the affected Sensor board(s) or Zero valves, if calibration fails. Paw transducer check (Software 11) The Paw transducer check zeroes the inspiratory and expiratory pressure sensors. During dual limb system check the system verifies that the two pressures agree within a reasonable margin. During single limb system check the system verifies the inspiratory pressure zero valve is opening and closing by providing an inspiratory flow resulting in a positive inspiratory pressure. If this check fails, all ventilation modes will still be available. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low (1) Pressure too low (1) (Single limb system check only) Cannot achieve 2 cmH2O: The air (O2) flow valve is set to approximately 4 l/min then increase the air (O2) flow until 2 cmH2O of inspiratory pressure is achieved. If 1 cmH2O inspiratory pressure cannot be achieved with up to 60 l/min, a Failed message will appear. • 2065496-001 Rev G (2024 12) • • • • Ensure an inspiratory safety guard (ISG) is installed. Use the PC Service Application to facilitate problem isolation. Ensure proper supply gas connections. Continue with other tests. If a significant leak is indicated, use the "5.2.5 Vent engine leak test (low pressure)" to isolate and repair the leak. Check respective regulator and flow control valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves"). 7-3 CARESCAPE R860 Event Log Messages Checkout Failure Troubleshooting Action Required Insp Paw zero valve fail (Single limb system check only) After a pressure has been established, the inspiratory pressure transducer zero valve is opened to atmosphere and a check for zero cmH2O +/- 0.5 cmH2O is checked. If the pressure is out of range, a Failed message will appear. • Insp Paw zero valve fail (Single limb system check only) • • Use the PC Service Application to facilitate problem isolation. Ensure proper connections. Remove the Inspiratory Pressure Zero valve. If the Inspiratory Pressure Sensor values are between 631 and 968 counts, replace the Zero Valve. Replace the Inspiratory Pressure Sensor Board. Replace the Vent Control board (VCB). The inspiratory pressure • transducer zero valve is closed while a constant flow is provided • and a check for a minimum of 1 • cmH2O is checked. If the pressure does not achieve the minimum, a Failed message will appear. • • Use the PC Service Application to facilitate problem isolation. Ensure proper connections. Remove the Inspiratory Pressure Zero valve. If the Inspiratory Pressure Sensor values are between 631 and 968 counts, replace the Zero Valve. Replace the Inspiratory Pressure Sensor Board. Replace the Vent Control board (VCB). • • 7.1.2 Barometric pressure test The Barometric pressure test verifies that the measured barometric pressure reasonably matches the barometric pressure calculated based on user-set altitude. If this check fails, all ventilation modes will still be available and the calculations will use the input altitude as a basis for absolute pressure. . Event Log Messages Checkout Failure Troubleshooting Action Required Set altitude/cal baro pressures disagree • A failure indicates that the • difference between calculated barometric pressure based on the input altitude, and the measured barometric pressure is greater than • 20%. Verify correct altitude setting. If setting is correct, calibrate the barometric sensor ("8.7.18 Baro P cal (barometric pressure transducer)"). Replace the Vent Monitor board (VMB) recalibrate barometric sensor. 7.1.3 Low pressure leak and compliance check The Low pressure leak and compliance check measures the leak and compliance of the breathing circuit. If this check fails, all ventilation modes will be available but volume accuracy will be decreased. • 7-4 If the Leak is greater than or equal to 500 ml/min or Compliance cannot be measured or Resistance cannot be measured, the “Failed” message will display across from Circuit Check. 2065496-001 Rev G (2024 12) 7 Troubleshooting • • If the Leak is less than 500 ml/min and Compliance and Resistance can be measured, values will be displayed. (1) represents compliance in the service logs. (2) represents low pressure leak rate in the service logs. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low (1) Total flow too high (1) Pressure too low (1) The first calculation is compliance and is based on the amount of time it takes for a 3 l/min flow to create 34 cmH2O of pressure at the Pexp sensor. If this flow or pressure cannot be achieved, a "Failed" message will appear and no compliance information will be available. • No pressure difference (1) If there are errors in the calculation (negative values, divide by zero) the results will be dashed. Total flow too low (2) Total flow too high (2) Pressure too low (2) The second calculation is the low pressure leak rate. It is based on the amount of pressure decay from 25 cmH2O pressure in approximately 3 seconds. If 25 cmH2O cannot be achieved with 3.5 Lpm, a "Failed" message will display. No pressure difference (2) Negative pressure A correction based on the leak rate is applied to the compliance calculation and the information will be displayed. If there are errors in the calculation (negative values, divide by zero) the results will be dashed. Leak > 1 Lpm, compliance invalid If the leak rate is greater than 1 l/ min (@ 25 cmH2O), the compliance value will be dashed and the leak value will show “> 1000 ml/min.” This value can be useful in diagnosing other failures during checkout. • • • Use the PC Service Application to facilitate problem isolation. Ensure supply gas is connected. Continue with other tests. If a significant leak is indicated, use the Low Pressure Leak test ("5.2.5 Vent engine leak test (low pressure)"), to isolate and repair the leak. Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves" ). 7.1.4 Safety valve relief and back pressure The Safety Valve Relief test checks the ability of the Safety Relief Valve to relieve all patient pressure on demand. It then checks the back pressure with a flow of 75 l/min while the safety valve is open. 2065496-001 Rev G (2024 12) 7-5 CARESCAPE R860 If the safety valve cannot relieve 30 cmH2O within 250 msec or if the back pressure is greater than 15 cmH2O, ventilation will not be allowed. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low(1) Pressure too low Pressure not maintained Set the Air (O2) flow valve to 8 l/ • min. If at least 30 cmH2O cannot • be achieved within 4 seconds, the test indicates Fail but no alarm message displays. • • • Pressure not relieved Once pressure stabilizes, the Safety Relief Valve is opened. If Pexp does not go to less than 2 cmH2O within 250 msec, the test indicates Fail and the Ventilation not available message displays. Use the PC Service Application to simulate this test. • • Total flow too low (2) Total flow too high Pressure too high If a flow of 75 l/min creates more than 15 cmH2O pressure at Pexp sensor with the safety relief valve open, the test indicates Fail and the Ventilation not available message displays. If 75 l/ min cannot be achieved, the test indicates Fail but no message displays. Ensure supply gas is connected. If the Relief Valve opened during the compliance check, repeat the checkout. If the problem persists, replace the exhalation diaphragm. Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves" ). A leak is indicated. Use the PC Service Application and the Low Pressure Leak test ("7.2 Troubleshooting Vent Engine Leaks") to isolate and repair the leak. Repeat check. If pressure remains significantly above 2 cmH2O: • Listen for the valve actuator to “click” when actuating. Check the connections to the safety relief valve. • Ensure seat/seal interface is clean. • Replace the Manifold Assembly. If pressure is only slightly above 2 cmH2O: • Re-zero pressure sensors. • Ensure seat/seal interface is clean. • If Exhalation Valve Calibration Check also fails, replace the Pexp sensor. • Repeat check. Use the PC Service Application to simulate this test. • • • Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves"). Check the connections to the safety relief valve. Replace the Manifold, Insp Valve Assembly. Safety valve relief and back pressure (Software 11) The Safety Valve Relief test checks the ability of the Safety Relief Valve to relieve all patient pressure on demand. It then checks the expiratory back pressure for Dual Limb System Check and inspiratory back pressure for the Single Limb System Check with a flow of 75 l/min while the safety valve is open. During a Dual Limb System check, if the safety valve cannot relieve 30 7-6 2065496-001 Rev G (2024 12) 7 Troubleshooting cmH2O within 250 msec or if the back pressure is greater than 15 cmH2O, ventilation will not be allowed. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low(1) Pressure too low (Single limb system check only) Set the Air (O2) flow valve to 4 l/ • min. The Air (O2) flow valve is increased until a pressure of 3 • cmH2O is achieved. If an inspiratory pressure of 2 cmH2O is • • not achieved with up to 80 l/min, the test indicates Fail but no alarm message displays. • • Ensure an Inspiratory Safety Guard (ISG) is installed. Use the PC Service Application to facilitate problem isolation. Ensure supply gas is connected. Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves"). A leak is indicated. Use the PC Service Application and the Low Pressure Leak test ("7.2 Troubleshooting Vent Engine Leaks") to isolate and repair the leak. Repeat check. Pressure not relieved (Single limb system check only) Use the PC Service Application to simulate this test. Once the minimum pressure is achieved, the Safety Relief Valve is • If pressure remains constant: opened. If the Pinsp does not drop • Listen for the valve actuator to “click” when more that 0.75 cmH2O within 250 actuating. Check the connections to the msec, the test indicates Fail but no safety relief valve. alarm message displays. • Replace the safety relief valve. • Repeat the check. Total flow too low (2) Total flow too high Pressure too high (Single limb system check only) The inspiratory pressure Use the PC Service Application to simulate this test. transducer zero valve is closed • Check respective Regulator and Flow Control while a constant flow is provided Valve for proper operation ("7.3.1 Regulator" and a check for a minimum of 1 and "7.3.2 Flow Valves") . cmH2O is checked. If the pressure • Check the connections to the safety relief valve. does not achieve the minimum, a • Replace the Manifold, Insp Valve Assembly. Failed message displays. 7.1.5 Exhalation valve calibration check The Exhalation Valve Calibration check sets flow at 4 l/min as measured by the Total Flow Sensor and the expiratory valve to 34 cmH2O. When it is stable, it 2065496-001 Rev G (2024 12) 7-7 CARESCAPE R860 opens the Expiratory Valve and verifies that the exp Paw is less than 2 cmH2O within 250 ms. If this check fails, all ventilation modes remain available. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low Total flow too high Target flow cannot be achieved. The test indicates Fail but no alarm message displays. • • • • Ensure supply gas is connected and device can achieve at least 4 l/min at the 10 l/min calibration point. Calibrate the Exhalation Valve. leak is indicated; use the PC Service Application and the Low Pressure Leak test ("5.2.5 Vent engine leak test (low pressure)") to isolate and repair the leak. Repeat check. Pressure unstable Pressure too high Target flow cannot be achieved. If both the Relief Valve and Exhalation Valve tests fail and the leak rate is less than 2000 counts, the most likely problem is with the Pexp Sensor not returning to zero. Use the PC Service Application to apply 34 cmH2O of pressure until stable, then release the pressure using either the Exhalation Valve or the Safety Relief Valve. The Pexp value must return to less than 2 cmH2O within 250 msec. If not, re-zero and repeat or replace the Pexp sensor. Exh valve out of cal If only this check is failing, the exhalation valve may be out of calibration. • • • • No exh flow sensor Exhalation flow sensor is not detected by the system. • • Use the PC Service Application to verify at least 4 l/min is generated by the FCV. If not: • Recalibrate the FCV. • Replace the FCV. Remove the Exhalation Valve Assembly and ensure the Voice coil shaft is clean and dry and moves freely without binding. Replace the Exhalation Valve Assembly. Replace the Voice coil assembly. If an exhalation flow sensor is not installed, install the exhalation flow sensor and repeat the check. If an exhalation flow sensor is installed, replace the sensor and repeat the check. Exhalation valve calibration check (Software 11) The Exhalation Valve Calibration check calibrates the exhalation valve. The calibration is checked by setting flow at 4 l/min as measured by the Total Flow Sensor and the expiratory valve to 34 cmH2O. 7-8 2065496-001 Rev G (2024 12) 7 Troubleshooting When it is stable, it opens the Expiratory Valve and verifies that the exp Paw is less than 2 cmH2O within 250 ms. If this check fails, all ventilation modes will still be available. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low (1) Total flow too high (1) Target flow of 4 l/min cannot be achieved. The test indicates Fail but no alarm message displays. • • • • Pressure too high (1) If the Pexp is greater than 2.5 • cmH2O when there is 4 l/min of flow and the exhalation valve is open, the test indicates Fail but no • alarm message displays. • • Pressure too low Pressure not maintained 2065496-001 Rev G (2024 12) The exhalation valve is closed to • achieve 40 cmH2O when there is 4 l/min of flow. If 40 cmH2O cannot be achieved, the test indicates Fail but no alarm message displays. • Use the PC Service Application to facilitate problem isolation. Ensure supply gas is connected. Continue with other tests. If a significant leak is indicated, use the Low Pressure Leak test ("5.2.5 Vent engine leak test (low pressure)"), to isolate and repair the leak. Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves" ). Remove the Exhalation Valve Assembly and ensure the shaft is clean and dry and moves freely without binding. Use the PC Service Application to flow 4 l/min through an occluded patient circuit with the exhalation valve open. If pressure remains above 1.3 cmH2O: • Replace Exhalation Valve Assembly • Replace the Voice coil assembly • Replace the Pexp sensor Repeat check. • • Use the PC Service Application to verify at least 4 l/min is generated by the FCV. If not: • Recalibrate the FCV. • Replace the FCV. Remove the Exhalation Valve Assembly and ensure the Voice coil shaft is clean and dry and moves freely without binding. Replace the Exhalation Valve Assembly. Replace the Voice coil assembly. Calibration points are performed at • 30, 20, 10, 7.5, 5, 2.5, and 1.25 cmH2O. If the pressure drops more than 1.25 cmH2O during a calibration point, the test indicates • a Fail but no alarm message displays. • • Use the PC Service Application to verify at least 4 l/min is generated by the FCV. If not: • Recalibrate the FCV. • Replace the FCV. Remove the Exhalation Valve Assembly and ensure the Voice coil shaft is clean and dry and moves freely without binding. Replace the Exhalation Valve Assembly. Replace the Voice coil assembly. 7-9 CARESCAPE R860 Event Log Messages Checkout Failure Pressure too high (2) If the exhalation valve cannot open • to reduce Pexp less than 1.3 cmH2O while flowing 4 l/min, the indicates a Fail but no alarm • message displays. Exh valve cal high offset Troubleshooting Action Required • Remove the Exhalation Valve Assembly and ensure the shaft is clean and dry and moves freely without binding. Use the PC Service Application to flow 4 l/min through an occluded patient circuit with the exhalation valve open. If pressure remains above 1.3 cmH2O: • • Replace Exhalation Valve Assembly. • Replace the Voice coil assembly. • Replace the Pexp sensor. Repeat check. If the 1.25 cmH2O calibration point • is greater than 10000 counts, the test indicates Fail but no alarm • message displays. • • • Exh valve steep slope If the difference between 30 and 40 cmH2O calibration is greater than 6500 counts, the test indicates Fail but no alarm message displays. • • • • Pressure too low (1) If the 100 cmH2O calibration point • is greater than 65000 counts, the test indicates Fail but no alarm message displays. • • • Replace the Exhalation Valve Assembly diaphragm. Remove the Exhalation Valve Assembly and ensure the shaft is clean and dry and moves freely without binding. Replace Exhalation Valve Assembly. Replace the Voice coil assembly. Replace the Pexp sensor. Use the PC Service Application to verify at least 4 l/min is generated by the FCV. If not: • Recalibrate the FCV. • Replace the FCV. Remove the Exhalation Valve Assembly and ensure the Voice coil shaft is clean and dry and moves freely without binding. Replace the Exhalation Valve Assembly. Replace the Voice coil assembly. Use the PC Service Application to verify at least 4 l/min is generated by the FCV. If not: • Recalibrate the FCV. • Replace the FCV. Remove the Exhalation Valve Assembly and ensure the Voice coil shaft is clean and dry and moves freely without binding. Replace the Exhalation Valve Assembly. Replace the Voice coil assembly. 7.1.6 Exhalation flow sensor calibration test The Exhalation Flow Sensor Calibration test compares the Exhalation Flow Sensor output to the Total Flow Sensor output at 10 l/min. If the Expiratory Flow Sensor is within 20% of the Total Flow Sensor, the test passes and an Expiratory Flow normalization table is created to compensate for up to 10% of this discrepancy. 7-10 2065496-001 Rev G (2024 12) 7 Troubleshooting If this test fails, all ventilator functions remain available. The message Expiratory Flow Sensor Error may display. . Event Log Messages Checkout Failure Troubleshooting Action Required No exh flow sensor Exhalation flow sensor is not detected by the system. • • If an exhalation flow sensor is not installed, install the exhalation flow sensor and repeat the check. If an exhalation flow sensor is installed, replace the sensor and repeat the check. Total flow too low (1) Total flow too high (1) Exp/Total flows disagree Total flow too low (2) Total flow too high (2) Total/Norm ExpFlows disagree The inspiratory and expiratory • flows do not match. The Air and/or O2 Inspiratory Flow Sensor • calibration checks may also fail. • Use PC Service Application to facilitate problem isolation. Use the PC Service Application to determine the accuracy of the Total Flow Sensor. Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves" ). Leak too large for normalization The leak value measured in the • Low pressure leak and compliance check is greater than 500 ml/min. A leak is indicated; use the PC Service Application and the Low pressure leak test ("7.2 Troubleshooting Vent Engine Leaks" ) to isolate and repair the leak. Repeat check. • 7.1.7 Measure breathing circuit resistance The breathing circuit resistance is calculated from the amount of resistance created when 60 l/min (Adult and Ped) or 30 l/min (Neonatal) is flowing through the circuit. If this check fails, all ventilation modes will be available. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low (1) The system cannot establish the flow required for measuring resistance. • • Total flow too low (2) If there are errors in the calculation • (negative values, divide by zero) the results displayh dashed. Pressure too low Pressure is invalid. Use PC Service Application to facilitate problem isolation. Use the PC Service Application to determine the accuracy of the Total Flow Sensor. Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves" ). The inspiratory pressure sensor has failed. See "7.1.1 Paw transducer check". 7.1.8 Air inspiratory flow sensor calibration check This check verifies that the Air Flow Sensor is functioning and compares the flow and temperature measurements with the Total Flow Sensor at 30 l/min. Total flow and Air flow must be within 15% and temperature must be within 9°C. 2065496-001 Rev G (2024 12) 7-11 CARESCAPE R860 If this check fails, all ventilator functions remain available. The message may display. . Event Log Messages Checkout Failure Troubleshooting Action Required No Air Air supply pressure is < 24.3 psi Ensure air gas supply is connected. Total flow too low Total/Air flows disagree Total/Air temps disagree Failure can be due to lack of flow as well as flow or temperature differences. Use PC Service Application to simulate the test and isolate the problem. 7.1.9 O2 inspiratory flow sensor calibration check This check verifies that the O2 Flow Sensor is functioning and compares the flow and temperature measurements with the Total Flow Sensor at 30 l/min. Total flow and O2 flow must be within 15% and temperature must be within 9°C. If this check fails, all ventilator functions will still be available. The message Inspiratory Flow Sensor Error may be displayed. . Event Log Messages Checkout Failure Troubleshooting Action Required No O2 O2 supply pressure is < 24.3 psi Ensure oxygen gas supply is connected. Total flow too low Total/O2 flows disagree Total/O2 temps disagree Failure can be due to lack of flow as well as flow or temperature differences. Use PC Service Application to simulate the test and isolate the problem. 7.1.10 O2 sensor test and calibration This test/calibration will only be performed if both Air and O2 are connected. The O2 offset is calibrated while flowing 30 l/min of Air, and the O2 gain is calibrated with 30 l/ min of O2. Calibration is verified by flowing 15 l/min Air and 15 l/min O2 and comparing the sensor output to the calculated valve (approximately 60.5%). The test will Fail, if the O2 sensor is not within 5% of the calculated value. If this check fails, all ventilator functions will still be available. 7-12 2065496-001 Rev G (2024 12) 7 Troubleshooting Note This test is performed before the O2 inspiratory flow sensor calibration check. . Event Log Messages Checkout Failure Troubleshooting Action Required No Air No O2 O2 sensor comm. failure Air flow too low (1) Oxygen flow too low (1) Paracube failure - 21% Paracube cal fail (21%) Paracube failure - 100% Paracube cal fail (100%) • The O2 offset is calibrated while flowing 30 l/min of Air, and the O2 gain is calibrated with 30 l/min of • O2. The test will Fail if either Air or O2 fail to achieve 30 l/min flow. Oxygen flow too low (2) Airflow too low (2) Total flow too low Paracube/Sensirion O2 readings disagree Calibration is verified by flowing 15 l/min Air and 15 l/min O2 and comparing the sensor output to the calculated valve (approximately 60.5%). The test will Fail if O2 sensor is not within 5% of the calculated value. Use the PC Service Application to simulate the test and isolate the problem. Check both regulators and Flow Control Valves for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves"). 7.1.11 Neonatal flow sensor calibration check This test verifies the accuracy of both the inspiratory and expiratory flow sensor circuits in the Neonatal Flow Sensor at 20 l/min and 30 l/min. If this check fails, all ventilator functions remain available. . Event Log Messages Checkout Failure Troubleshooting Action Required NFS zero fail Neonatal flow sensor zero failed. • • 2065496-001 Rev G (2024 12) If a neonatal flow sensor is not installed, install the neonatal flow sensor and repeat the check. If a neonatal flow sensor is installed, replace the sensor and repeat the check. 7-13 CARESCAPE R860 Event Log Messages Checkout Failure Total flow too low (1) Total flow too high (1) Total flow too low (2) Total flow too high (2) NFS reports nonzero flow during 0 flow During this stage the circuit is Use the "8.7 PC Service Application" to simulate the occluded. The flow is set to 4 l/min test and isolate the problem. and the flow sensor should indicate 0 l/min. If not, the test will indicate Fail and the next step will be skipped (no message box will appear). Total flow too low(1) Total flow too high(1) Total/Neo Exp flows disagree Total/Neo Insp flows disagree NFS reports < 0 flow during > 0 flow (20 l/min) Total flow too low (2) NFS reports < 0 flow during > 0 flow (30 l/min) A message box is displayed requesting removal of the circuit occlusion. After detecting that Paw drops below 3 cmH2O, flow will be set at 20 l/min and then at 30 l/min. The exhalation valve is closed. • • Troubleshooting Action Required The Total Flow Sensor must be within 25% of the expiratory neonatal flow (absolute value) +4.59 l/min The Total Flow Sensor must be within 15% of the inspiratory neonatal flow (absolute value). Important Volume control and monitoring will be more accurate if the neonatal flow sensor is calibrated in the following situations: • • • • Before use, during the System Check. After replacing the flow sensor. After a power cycle. Daily, during use. 7.1.12 Inspiratory limb resistance check The resistance of the inspiratory limb of the breathing circuit is measured for adult and pediatric patient type after the wye is removed from the occlusion port. The breathing circuit resistance is calculated from the amount of resistance created in the inspiratory limb when 60 l/min is flowing through the circuit. It is calculated and displayed on the bottom of the screen. 7-14 2065496-001 Rev G (2024 12) 7 Troubleshooting If the Total resistance check was invalid, the event log indicates "Total resistance invalid" and Fails this check. If this check fails, all ventilation modes remain available. . Event Log Messages Checkout Failure Troubleshooting Action Required Total flow too low Pressure too low Total flow too low(1) The system cannot establish the flow required for measuring resistance. • Total flow too low(2) Pressure too low (1) If there are errors in the calculation • (negative values, divide by zero) the results will be dashed. 2065496-001 Rev G (2024 12) • Use the "8.7 PC Service Application" to simulate the test and isolate the problem. Use the "8.7 PC Service Application" to determine the accuracy of the Total Flow Sensor Check respective Regulator and Flow Control Valve for proper operation ("7.3.1 Regulator" and "7.3.2 Flow Valves"). 7-15 CARESCAPE R860 7.2 Troubleshooting Vent Engine Leaks Note Use the "8.7 PC Service Application" while running all tests. Do one of the following: • • If the vent engine leak test fails ("5.2.5 Vent engine leak test (low pressure)") by either being unable to build 70 cmH2O pressure or if the leak rate exceeds 10 ml/ min, see "7.2.1 Vent engine leak test". If the leak is marginal and you are able to build inspiratory pressure to 70 cmH2O inspiratory pressure, but unable to build 70 cmH2O of either expiratory pressure or auxiliary pressure, see "7.2.2 Expiratory pressure circuit test". To file a quality report or request technical assistance regarding a checkout failure, create and include a Checkout log using the "8.7 PC Service Application". 7.2.1 Vent engine leak test While retaining the leak test setup: 1. 2. Close the Air and O2 flow valves to limit the components tested, remove the checkmarks from the boxes next to the DAC counts. Repeat the Vent Engine Leak Test. • • 3. Repeat the Vent Engine Leak Test. • • 4. If the system passes, check the Free Breathing Valve diaphragm and o-ring seal. If the leak remains, toggle the safety valve open/closed. Repeat the Vent Engine Leak Test. • • 7-16 If the test passes, go to step 5. If the leak remains, toggle the Effort Valve closed. If the system passes, check the safety valve seal. If the leak remains, check the individual components in the Total Flow path. 2065496-001 Rev G (2024 12) AB.100.092 7 Troubleshooting 30 mm Male Cone High Pressur e Transducer Regulator 25 psi 172 kPa P Inlet Filter Primary Inlet T Pneumatic Resistor H EXP Exhalation Valve P Expiratory Pressur e Check Valve Standard Exhalation Flow Sensor Expiratory Zero Valve Flow Valve Flow Sensor Test Port H Pneumatic Resistor Inspiratory Pressur e P Ai r Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP High Pressur e Transducer Regulator 25 psi 172 kPa P O2 Inlet Filter Primary Inlet Optional Flow Valve Flow Sensor Test Port T Inspiratory Effort Valve H Check Valve Safety Relief Valve Free Breathin g CheckValve Auxiliary Pressure Transducer Relief Valve P Auxiliary Pressure Inlet Manifold Vent Engine Manifold Inlet Filter AB.98.186 Paux Purge Valve Outlet Manifold P P Inlet Filter O2 Ai r Optional Standard Ai r Regulator O2 Regulator Ai r Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Ai r Flow Valve Atmosphere Paux O2 Sensor Paux Pinsp Pexp Relief H INSP AB.98.120 Paux 2065496-001 Rev G (2024 12) EXP 7-17 CARESCAPE R860 5. 6. Open only the O2 flow valve by selecting the O2 Flow Valve checkbox. Verify that 60,000 DAC counts are set. Repeat the Vent Engine Leak Test. • • If the test fails, check the individual components in the O2 Flow path. If the test passes, check the individual components in the Air Flow path. 30 mm Male Cone High Pressure Transducer Regulator 25 psi 172 kPa P Inlet Filter Primary Inlet Test Port T Expiratory Zero Valve Flow Valve Flow Sensor Exhalation Flow Sensor H Pneumatic Resistor Pneumatic Resistor H EXP Exhalation Valve P Expiratory Pressure Check Valve Inspiratory Pressure P Ai r Total Flow T O2 Sensor H Inspiratory Zero Valve O2 INSP High Pressure Transducer P O2 Inlet Filter Primary Inlet Regulator 25 psi 172 kPa Test Port Flow Sensor T H Inspiratory Effort Valve Flow Valve Check Valve Safety Relief Valve Free Breathing CheckValve Auxiliary Pressure Transducer Relief Valve P Auxiliary Pressure Purge Valve Vent Engine Manifold Inlet Manifold P Outlet Manifold AB.98.111 Paux P O2 Air Ai r Regulator O2 Regulator Ai r Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Ai r Flow Valve Atmosphere Paux O2 Sensor Paux Pinsp Pexp Relief H INSP EXP 7-18 AB.98.121 Paux 2065496-001 Rev G (2024 12) 7 Troubleshooting 7.2.2 Expiratory pressure circuit test If the low pressure vent engine leak test ("5.2.5 Vent engine leak test (low pressure)") fails step 6, the following steps will verify flow and integrity of the Expiratory pressure circuit. Flow in this circuit is restricted, therefore, failure to build pressure during the low pressure leak test is not an indication of an excessive circuit leak or purge flow issue. However, passing the low pressure leak test does indicate circuit integrity and therefore the following tests are only necessary, if step 6 fails. 1. 2. 3. Ensure the air shut-off valve is open and supply is available. Set the exhalation valve raw counts to 60,000 and activate by checking the box. While monitoring the expiratory pressure, plug the Expiratory Valve inlet. Pressure should rise to 70 cmH2O within 7 seconds. If it does, the purge flow is sufficient and the leak rate is not excessive. • • 4. If not, check the pressure port seal in the Exhalation Valve Assembly, and/or replace the Exhalation Valve Assembly and repeat the test. If the test still fails, continue. Remove the vent engine per "9.4.1 Removing the chassis from the housing". WARNING Before removing restrictors, shut off the supply valves and open the flow valves to bleed system pressure build-up. -- 5. 6. Remove the restrictor access cover next to the Air Flow Valve. Remove the restrictor and reinstall the restrictor access cover. Repeat steps 1 through 3. • • 7. Check the following seals on the individual components in the order listed, replace components as needed, and repeat the test. • • • • 8. Restrictor cover gasket Expiratory pressure zero valve gasket Expiratory pressure sensor o-ring Outlet manifold o-ring If the test fails, replace the following components in the order listed. • • • 2065496-001 Rev G (2024 12) If pressure rises to 70 cmH2O within 7 seconds, install a new restrictor and repeat the test. If not, or if the test fails with the new restrictor, continue. Expiratory pressure sensor assembly Outlet panel assembly Main manifold assembly 7-19 CARESCAPE R860 7.3 Troubleshooting Vent Engine Components If you encounter multiple failures during the Super User Calibrations, System Check, or during the Service Procedures, especially tests associated with air supply, it could be an indication of water or hydrocarbon contamination. If you suspect contamination of this type, inspect the pipeline inlet filters for signs of contamination. Contamination of this type would require the replacement of all contaminated components or the Vent Engine Sub-assembly, based on the extent of the contamination. 7.3.1 Regulator 1. Set up the PC Service application per "5.2.1 PC Service Application setup". 2. Attach a manual shut off valve to the gas supply for the Regulator Under Test (RUT). Enter the Super User mode. Calibrate the RUT per "5.2.4 Regulator output pressure test". Verify the pressure is stable and does not increase above 179 kPa (26 psi) when the Flow Valve is off. Turn off the shut off valve. Set the Flow Valve DAC to 60,000 for the gas being tested to bleed the trapped pressure. Re-set the Flow Valve DAC to 0. Slowly, open the shut off valve until pressure begins to rise. If pressure continues to rise above 179 kPa (26 psi), the regulator should be replaced. 3. 4. 5. 6. 7. 8. 9. 7.3.2 Flow Valves 1. 2. 3. 4. 5. 7-20 Set up the PC Service application per "5.2.1 PC Service Application setup". Calibrate the Flow Valve Under Test (VUT). Verify the Flow through the VUT is less than 200 ml. If not, perform a Vent engine clean-out per "5.2.4 Regulator output pressure test". From the VCB Screen, open the Cal Tables. Copy the counts from the 190 ml flow calibration point. 2065496-001 Rev G (2024 12) AB.100.441 7 Troubleshooting Paste the DAC count into the DAC value for the VUT and energize the valve. 7. Press and hold the arrow to increase counts while watching the Flow for the VUT. 8. When flow exceeds 200 ml, release the up arrow. AB.100.442 6. • • If flow is greater than 500 ml, perform the "5.2.3 Vent engine debris clean-out" and then repeat test. If opening flow is still greater than 500 ml, replace the VUT. 9. Adjust the counts for the VUT to achieve approximately 2000 ml flow. 10. Press and hold the down arrow to decrease counts until the flow is less than 200 ml. • • • 2065496-001 Rev G (2024 12) If flow will not decrease below 200 ml, perform "5.2.3 Vent engine debris clean-out" and repeat the test. If flow does not decrease below 200 ml but is less than 500 ml, it can be used but should be re-tested periodically to ensure it is stable. If flow does not decrease below 500 ml, replace the VUT. 7-21 CARESCAPE R860 7.4 Troubleshooting Startup Screen (POST) messages If the ventilator encounters a problem at startup (POST - Power On Self Test) to where it cannot initiate system software, a BIOS error message indicating the failure is displayed. ***Note: items generate 10 seconds of beeping. . Message What it indicates Troubleshooting Action Required ***NOTE: Alarm speaker not detected. Check connection. Service is required to correct a faulty connection to the speaker. Reconnect the speaker if possible. Replace the Carrier and Com Express board assembly if speaker connection cannot be corrected. ***NOTE: CMOS battery is weak. Please replace. Service is required to replace the Carrier board battery. Replace the battery on the Carrier board. Reload software and check out the system. Indicates 1.5V_CB, 5V_CB, or ***NOTE: CPU Board Supply Voltage Out of 3.3V_CB voltage out of range. Range. Replace the Carrier and Com Express board assembly. ***NOTE: RTC date/time error. Battery may be weak. Service is required to replace the Carrier board battery. Replace the battery on the Carrier board. Reload software and check out the system. ***NOTE: ECC failed. xx The RAM memory ECC circuitry is Replace the DU CPU board. faulty. Some system failures can result in a High Priority alarm. . Message What it indicates Troubleshooting Action Required ***ERROR: No bootable device available. This indicates a problem with the internal CF card. Check or replace the internal Compact Flash card. ***ERROR: Program load failed - CRC. This usually indicates a software file corruption. Reload the software and check out the system. ***ERROR: RAM memory error. This usually indicates a hardware failure. Replace the Memory Module. Replace the Carrier and Com Express board assembly. ***ERROR: System reset: ECxx xx xx... This usually indicates a software failure Report this error, along with the machine logs, to Technical Support. Reload the software. If problem persists, replace the internal COmpact Flash card and reload software. IF problem persists, replace the Carrier and Com Express board assembly. ***ERROR: System reset: FFFF FF FF Indicates the Carrier board has lost Replace the Carrier battery if below rated voltage. contact with the holder or the Install the software USB Flash Media to restore the battery is below voltage. system setups. ***ERROR: watchdog circuit failed. This indicates a hardware failure. 7-22 Replace the Carrier and Com Express board assembly. 2065496-001 Rev G (2024 12) 7 Troubleshooting 7.5 Troubleshooting the Display Unit . Symptom Resolution System will not boot from USB media during software installation process 1. 2. 3. BIOS Upgrade Error occurs when attempting a software download of 10.SP04. Verify that the USB media is the correct part number and is properly inserted. Note: Software USB media are formatted at the factory and cannot be copied. Insert a backup USB media device. Replace the Carrier Board and Com Express Board Assembly. The new hardware is not compatible with the software loader program. Check the USB stick and verfity the media version is 1.18. Rotary encoder fails to work 1. 2. 3. Open the DU and verify that the cable connecting the rotary encoder to the Carrier Board is properly seated within the mating connector. Replace the rotary encoder. Replace the Carrier Board and Com Express Board Assembly. Unit fails to boot and the green LED is on 1. 2. 3. 4. 5. 6. Open the DU and ensure that the lithium coin cell at J17 on the main PCB is properly installed. Replace the lithium coin cell at J17 on the main PCB. Verify that the internal Flash card at J10 on the main PCB is properly seated. Attempt to boot the system using a spare compact flash card and replace the card, if necessary. Attempt to boot the system from the external Compact Flash card. Replace the display unit main PCB. Excessive fan noise 1. 2. 3. 4. 2065496-001 Rev G (2024 12) Clean or replace the display case fan inlet filter. Check for obstructions within the case fan and verify source of fan noise. Open the display and verify Com Express fan noise. Replace either fan assembly if causing excessive noise. 7-23 CARESCAPE R860 Symptom Resolution Touchscreen fails to work 1. 2. 3. 4. Verify that the screen lock is not On. Check internal cables and connections. Replace the Touch Controller Board. Replace the Touch Bezel Assembly. 1. If liquids come in contact with the display, lock the touchscreen and clean the display. Unlock the touchscreen once the display has been cleaned to resume use of the touchscreen. Degraded touchscreen performance 2. “App Not Loaded” message is displayed 1. 2. Touch points are misaligned (out of calibration) Touch points are not accessible (out of calibration) 7-24 Load software. Replace CF card. Perform the Touchscreen calibration. 1. 2. Reset the Touchscreen Cal. See "8.4 Reset Touchscreen Cal". Perform the Touchscreen calibration. See "5.4 Touchscreen calibration". 2065496-001 Rev G (2024 12) 7 Troubleshooting 7.5.1 Troubleshooting the display (flowchart) Start - Turn on System Is the +12V Green LED illuminated (as viewed from the back of the display behind the cable cover)? No Yes Is the Green power indicator on dashboard illuminated? Unplug all external USB and Ethernet cables from display Yes Problem continues? Troubleshoot failure of external connected device No No Check for On/Standby Switch signal on Power Controller Board connector J4 - Pins 2 and 10 Yes Yes Ensure Mains Power is conncted. If connected, Troubleshoot the Power Inlet problem. Measured Voltage > 2.5V in Standby state and < 1.3V in ON state? No Replace the PCB Check On/Standby Switch Connections. Check On/Standby Operation. Check On/Standby associated harness connections. Does the GE or Datex Ohmeda Logo or any other information display? Check internal harness and/or reseat SODIMM Memory Module No Problem continues? Yes Yes Unplug the Touch Controller Board and reboot. Problem continues? No No Replace the Touch Controller Board Yes Keypad backlight illuminated? No Yes No Does the Keypad encoder backlight indicate activity (flashing)? Yes Is a single beep heard? No Problem Solved AC.22.053 Replace the LCD Touch Bezel Assembly AC.22.053 Yes 1) Replace the Compact Flash Card 2) Replace the Memory Module 3) Replace the Carrier Board and Com Express Board Assembly 2065496-001 Rev G (2024 12) 7-25 CARESCAPE R860 7.6 Technical alarm and error message Note Whenever “Check/replace harness” is indicated, ensure that all terminals are fully inserted into the connector body window and that all wires are properly crimped. Troubleshooting guidelines are listed in order of probability. The entire list does not need to be carried out if the problem is resolved. The list may not include all possible solutions. • • Alarm message is the message displayed in the alarm bar. Error log message is the message listed in the Error log or Event log. . Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Failed Self test failure or multi bit error detected. Continue ventilation. Sorted Exhalation Valve heater or cable. External device connected to one of the ports in rear. N/A Action/Troubleshooting -none- DU RAM ERROR • • -none- VCB: Expansion Power N/A Fail • • • -none- 7-26 Exhalation Valve Heater plugged into port 2 N/A High O2 supply pressure and air Continue 100% gas flow of supply pressure < 24.3 psi for whichever gas has the higher more than 0.5 seconds. pressure value at the onset of the alarm; if both are equal, use 100% O2. Check O2 and Air supply pressures. Check/replace harness between sensor and VMB. Check error log for reference voltage errors. Check/replace VMB. Air Supply Pres High • • • • • N/A Remove the heater cable from port 2 and plug cable into port 3. No Supply Pressure • • • • Air supply pressure high Check/Replace exhalation valve heater. Check/Replace exhalation valve heater cable. Remove External device from ports in the back of ventilator. PSM Power Failure • Air and O2 supply pressure low Cycle power. Replace display unit CPU board. Low Air supply pressure is greater May result in FiO2 low alarm. than 95 psi for more than 0.5 seconds. Check air supply. Disconnect sensor and verify output is zero gauge pressure. Interchange harness connections on both supply pressure sensors. If alarm follows the sensor, replace supply pressure sensor. If not, check/replace VMB. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Medium Air supply pressure is less than 24.3 psi for more than 0.5 seconds Unit shuts down Air supply and delivers 100% Oxygen Action/Troubleshooting Air supply pressure low Air Supply Pres Low • • • • • • Air supply pressure sensor error Check air supply. Disconnect sensor and verify output is zero gauge pressure. Interchange harness connections on both supply pressure sensors. If alarm follows the sensor, check sensor connector terminals. Replace supply pressure sensor if necessary. If not, check/replace harness. If not harness, check/replace VMB. Air Supply Pressure Sensor Out of Range • • • • • • • High Medium Airway module communicates hardware failure (RAM failure, ROM checksum error, Error in CPU EEPROM, Error O2 preamp EEPROM, Error in SSSboard EEPROM, Voltage error, or Lamp control failure.) The monitoring module detected is not compatible with system software. Remove and reseat Module. Check software revision in the Service Log. Replace Module. Neo module not compatible • Alarm condition is that Total Flow Sensor temperature is above 51°C. Replace Module Module Not Compatible Low • • • Total Flow Sensor temperature is above 51°Celsius. Check inlet air temperature. Use PC Service Application to check temperatures of Air and Total Flow sensors. If inlet air temp is NOT high, and if temperature from Total Flow Sensor reports more than 9°C higher than the air sensor, replace Total Flow Sensor. With a air flow of approximately 10 l/min, verify air and total flows are within 10% of each other. Airway module Module sensor Inop > error XX • Out of range Air supply pressure sensor data. Range is 195 to 4760 mV. Check air supply. Disconnect sensor and verify output is zero gauge pressure. Interchange harness connections on both supply pressure sensors. If alarm follows the sensor, check sensor connector terminals. Replace supply pressure sensor if necessary. If not, check/replace harness. If not harness, check/replace VMB. Air temperature Temp High high • • • Low Low Any airway module is installed in the airway module bay during neo patient type. Remove module or change patient type to adult or pediatric. 2065496-001 Rev G (2024 12) 7-27 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Medium Occlusion is detected in airway module sample gas oulet. Special Behavior/Comments Action/Troubleshooting Airway module Module Check Sample gas sampling Gas Out > 20 Sec error • • Check for an inclusion in the airway module sample gas outlet. Wait 30 seconds, and then press Home to resume gas sampling. Module D-fend Not Connected > 40 Sec • Low Airway module communicates: Residue buildup on the water trap membrane. This decreases airflow. Low Airway module flow was too slow for 20 seconds. Check for an occlusion in the patient circuit. Check the airway module gas sampling line connection. Check for an occlusion in the airway module gas sampling line. Airway module Module Source Dlite off High sensor error • • • • Airway pressure sensor error High The difference between expiratory pressure and inspiratory pressure is greater than 10 cmH2O for more than 350 ms. Check for an occlusion in the expiratory pressure port. Perform System Check. Paw Exp Sensor Out of High Range 7-28 Peak pressure measured by the airway module is below 3 cmH2O, and is also at least 5 cmH2O below the peak pressure measured by the ventilator. Verify tube connections at D-lite sensor. Replace D-lite sensor and tubing. Remove the neonatal flow sensor. Set the Data Source to Ventilator. Paw Cross Check • • Occlusion detected in airway module gas sampling line or Dfend water trap. Replace D-fend. Module Sample Flow Deviation • • • Medium Empty the D-fend water trap Check for an occlusion in the airway module gas sampling line. Replace the airway module gas sampling line. Module Inlet Filter Residue > 40 Sec • D-fend module is not detected. Check for an occlusion in the airway module gas sampling line connection. Module Line Blocked > 20 Sec • • • Medium Out of range Paw exp sensor data. Range is 10-4095 mV. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • Check/replace harness. Interchange Paux and Pexp connections. If Pexp alarm stops, replace Pexp sensor. If Pexp alarm continues, replace VMB. Paw Insp Sensor Out of High Range • • • Check/replace harness. Interchange Paux and Pinsp connections. If Pinsp alarm stops, replace Pinsp sensor. If Pinsp alarm continues, replace VCB. Paw Exp Zeroing Error • • • • • • Low If failed, vent uses previous known good offset value for Paw exp. Out of range Paw insp sensor data ≥ 50 ms or Inspiratory Pressure Zero Valve energized for ≥ 1 second. Range is 10-4095 mV Check/replace harness. Interchange Paux and Pinsp connections. If Pinsp alarm stops, replace Pinsp sensor. If Pinsp alarm continues, replace VCB. Paw Insp Zeroing Error Low • • • • • Range for zero pressure is 631- 968 mV (counts). Verify Pexp port is not occluded. Zero Pexp pressure sensor. Check/replace zeroing valve. Check/replace harness. Interchange Paux and Pexp connections. If Pexp alarm stops, replace Pexp sensor. If Pexp alarm continues, replace VMB. Paw Insp Sensor Out of High Range • • • Out of range Paw insp sensor data ≥ 50 ms or Inspiratory Pressure Zero Valve energized for ≥ 1 second. Range is 10-4095 mV Range for zero pressure is 631- 968 mV (counts) If failed, vent uses previous known good offset value for Paw insp. Zero Pinsp pressure sensor. Check/replace zeroing valve. Check/replace harness. Interchange Paux and Pinsp connections. If Pinsp alarm stops, replace Pinsp sensor. If Pinsp alarm continues, replace VCB. Air temperature Air Temperature Sensor Low sensor failure Failure 2065496-001 Rev G (2024 12) Out of range air temperature sensor data (range is 0-60 degrees C). Use total flow temperature for all air flow sensor calculations, including alarms. If Total Flow Sensor temperature is not available, use 55°C. 7-29 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • • Check inlet air temperature. If Communication Failure alarm is also active, check harness connections. With gas supplies disconnected and system temperature stabilized, use PC Service Application to check temperatures of Air and Total Flow sensors. Air Flow Sensor and Total Flow Sensor shall not differ by more than 9°C. Replace sensors. Alarm light error Alarm Light Failure Medium The alarm light is not working. The Alarm Light Failure alarm source is the DU. The alarm shall be removed once the system is turned off and back on and the alarm condition no longer exists. Backup ventilation on Backup Mode Active Apnea Medium Spontaneous breathing is insufficient. System goes into Backup Ventilation mode. • Ensure the patient’s spontaneous breathing and ventilatory support is adequate. This alarm could be triggered by user errors regarding patient ventilation requirements. See URM for details. Backup Mode Active MVexp Low • Barometric pressure sensor error • Battery error Low Out of range barometric pressure data. Range: 2163-4340 mV or 732-1196 cmH2O. The ventilator will use the entered altitude setting to determine the calculated barometric pressure value. Medium Battery voltage > 16.5 VDC and current >= 0.25A, -orbattery is not in Float charge or- battery has been trickle charging for > 12 hours. Shut down and unplug ventilator. Plug in and restart the ventilator. Verify unit has been connected to mains for more than 24 hours. Check error log for related messages. Use Service Application to determine charge state. If in trickle charge, replace batteries. Check/replace harness. Check/replace PMB. PMB to DU Com Error 7-30 Measured expired minute Alarm source is the DU. Uses volume is less than 50% of the preset settings (customer MVexp low alarm limit. configurable). Calibrate the barometric sensor (see "5.2.8 Calibrate airway pressure transducer Zero and Span"). Replace VMB (recalibrate barometric sensor). Degraded Battery • • • • • • Medium Ensure the patient’s spontaneous breathing and ventilatory support is adequate. This alarm could be triggered by user errors regarding patient ventilation requirements. See URM for details. Barometric Pressure Sensor Out of Range • Alarm source is the DU. Uses preset settings (customer configurable). Medium Communications from the power controller to the DC cannot be established for 10 seconds. PMB assumes failed state and allows system to shutdown without confirmation from DU. (This alarm allows vent to be shut down if DU communications is lost.) 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • • • • • • Check error logs for related messages. Check communication (no software information indicates no communication). If multiple failures, replace DU CPU board. Check / replace display cable. Check (reseat) all connections on all PC boards. Check/replace DU interface board. Replace motherboard. Replace PMB. Battery Charge Fail -orStandby Current High • • • • Medium While bulk, over, or float charging any battery is < 10 VDC (short). -orBattery has been charging for > 24h. Battery status indicator appears under clock. See "8.3 Power Diagnostics" for more information. Medium Any battery voltage is between -1.0 and +1.0VDC. Battery status indicator appears under clock. See "8.3 Power Diagnostics" for more information. Shut down and unplug ventilator. Plug in and restart the ventilator. Check connections/replace harness. Check/replace fuse. Replace batteries. Battery Not Connected • • • • See "8.3 Power Diagnostics" for more information. Shut down and unplug ventilator. Plug in and restart the ventilator. Check/replace harness. Replace batteries. Battery Missing • • • • The system is powered on with a battery current > 1.2A. -orSystem is in Standby and the charge current is > 1.7A. Shut down and unplug ventilator. Plug in and restart the ventilator. Check/replace harness. Replace Power Supply. Replace PMB. Battery Fail -orBulk Charge > 24 Hrs • • • Medium Medium Mains power not available. System powered by internal battery for more than 300 ms. Shut down and unplug ventilator. Plug in and restart the ventilator. Check connections/replace harness. Check/replace fuse. Replace batteries. Battery Reversed Connection 2065496-001 Rev G (2024 12) Medium Any battery voltage is less than -1.0VDC Battery status indicator appears under clock. See "8.3 Power Diagnostics" for more information. 7-31 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • • Shut down and unplug ventilator. Plug in and restart the ventilator. Check connections to battery. Replace batteries. Replace PMB. PMB Self Test Fail • • Battery in use Battery status indicator appears under clock. See "8.3 Power Diagnostics" for more information. Medium System is in Standby and the See "8.3 Power Diagnostics" charge mode is bulk charging for more information. and the duration has exceeded 12 hours. Shut down and unplug ventilator. Plug in and restart the ventilator. Check connections Replace batteries. Replace PMB. Low Internal Battery – 30 Min Medium Mains power not available. Internal battery supply < 30 minutes calculated via battery discharge algorithm. On Battery Low or Medium Mains power not available. • • • • • • • • Low alarm if system has been powered by internal battery for more than 3 seconds. Medium alarm if mains power is unavailable and the remaining internal battery time is less than 30 minutes. Check connection to AC supply (verify green LED on DU is lit). If LED is not lit, check AC mains source, check rear power cord clamp, check fuses. If LED is lit, check output of DC power supply at screw terminals. Range is 20-32 V. If out of range, disconnect DC power supply input harness and verify output is still out of range. Check/ replace DC power supply input harness. If out of range and harness is OK, replace DC power supply. Measure voltage at F1 (both sides) on PMB. Range is 20-32V. Check/replace fuse F1 on PMB. Replace PMB. PMB DC-DC Fail • • • • • Medium AC supply is OK but batteries Internal power failure. are being discharged. Check screw terminal connections and harness between AC-DC power supply and PMB. Check fuse F1. If not OK, replace PMB. Replace AC-DC power supply. CO2 inaccurate CO2 inaccurate 7-32 Power controller failed self tests (memory, voltages, or CPU). Shut down and unplug ventilator. Plug in and restart the ventilator. Replace PMB Standby Bulk Charge > 12Hrs • • • • Medium Low CO2 values from the module may be inaccurate. Check for respiratory rate of greater than 70 bpm. Recalibrate the airway module. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Carrier Board Overheat Medium An internal DU board has overheated. Source of the alarm is from the DU. Action/Troubleshooting Cooling fan error • • Replace cooling fan. Replace DU CPU board. CPU Fan Speed Fail Medium CPU fan speed less than 800 Source of the alarm is from RPM. the DU. CPU Overheat Medium Temperature reading of either DU thermistor > 80°C. Case Fan Speed Fail Medium Case fan speed less than 800 Source of the alarm is from RPM. the DU. • • • Verify fan connection. Verify fan is not spinning while powered. If not, then replace fan. Replace DU CPU board. Fan Fail • • • • High • • Source of the alarm is from the DU. Adult /Ped: Freeze vent engine volume (TVexp – TVinsp) > (0.3* compensation on first breath TVinsp) detected. or 100 ml whichever is greater for 6 consecutive breaths. Neonatal: (TVexp – TVinsp) > (0.3* TVinsp) or 18 ml whichever is greater for 6 consecutive breaths. Using PC Service Application, verify Inspiratory flows match Expiratory flow within tolerance stated above. Replace expiratory sensor as necessary. Replace exhalation flow sensor board (EFSB). Exhalation Flow Sensor High Comm Failure • • • Vicor power supply temperature exceeds 75°C. Check main fan filter. Check/replace fans. Check error log/power diagnostics for underlying causes such as fan failure indicators or voltage range errors. Verify ambient is < 40 degrees C. Replace PMB. Expiratory flow Exhalation Flow Sensor Medium sensor error Comparison • Fan Power Status Bits for are Source of the alarm is from the DU. low. Main fan or DC to DC converter fan is low. Check connections to fans. Replace broken fan(s). Power Supply Temp High • • • Medium Failed communications with exhalation flow sensor. Use open loop pressure control. Check harness connection between VMB and exhalation flow sensor PCB. Replace exhalation flow sensor PCB. Replace VMB. 2065496-001 Rev G (2024 12) 7-33 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments High/ Medium No Exhalation Flow Sensor connected. Use Open Loop pressure control. This alarm can be suspended. Action/Troubleshooting No Exhal Flow Sensor • • • • • FiO2 sensor error O2 Sensor Fail • • • • • • Flow control valve error Out of range O2 sensor data greater than 103% or communication error. High The ventilator is not delivering The Volume Delivery Error alarm source is the VCB. flow. Check the Air and O2 connections. FRC Invalid Low An FRC measurement was started for FRC or PEEP Inview, but unable to be completed within the last 5 seconds. FRC missed Low Another procedure or condition prevented the FRC series measurement from starting within the last 5 seconds. • • • • • • • • • • Series continues (only one measurement was missed). Ensure airway module is available and active. Stop any active procedures. Start a new FRC measurement. Ventilation setting changes will stop an FRC measurement. With gas module plugged in, check power supply status LEDs on MIB from bottom of sheetmetal enclosure. If any LEDs are lit, then unplug module. If LEDs remain lit, replace MIB. Replace gas module. Hard keys or Front Panel Com Fail trim knob error 7-34 Medium Calibrate O2 sensor with Checkout (ensure both Air and O2 gas supply are connected). Calibrate O2 sensor with PC Service Application (ensure both Air and O2 gas supply are connected). Verify O2 Concentration sensor voltage error is not present in error log. Check/replace harness. Check/replace O2 sensor. Check/replace VMB. Volume Delivery Error • FRC error Check Exhalation flow sensor connection. Replace Exhalation Flow Sensor. Warranteed for 90 days. Verify low pressure leak test passes. Check/replace interface PCB and flex circuit. Check/replace exhalation flow sensor PCB. High Display CPU board fails to send life tick for greater than 10 seconds. DU to allow power off confirmation, even in Therapy. (The Power lock popup will not appear.) Look for physical damage to the keypad. If damaged, disconnect the internal keypad cable. If the unit powers up with no failures indicated, replace the membrane switch assembly. If failure still exists, disconnect each of the remaining keypad connections (one-by-one) until the failed component is located. Replace the failed component. If failure still exists with all keypads disconnected, replace the CPU board. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Medium Loss of communication with Air Flow Sensor. Use Open Loop valve mixture control. Return to closed loop volume delivery control when cleared. Action/Troubleshooting Inspiratory flow Air Flow Sensor sensor error Communications Failure • • • Check Error Log for Air/O2 Insp Flow Sensor Supply Voltage. If yes: • Disconnect vent engine harness at air flow sensor. If voltage error stops, replace air flow sensor. • Disconnect vent engine harness at O2 flow sensor. If voltage error stops, replace O2 flow sensor. • Disconnect vent engine harness at VCB. If voltage error stops, replace harness. If no: • Check connection to Air Flow Sensor. • Interchange harness connection between air and Total Flow Sensor. • If problem stays with sensor, replace sensor. If alarm follows harness, check/replace harness. If harness is okay, replace VCB. O2 Flow Sensor Communications Failure • • • • Loss of communication with O2 Flow Sensor. Use Open Loop valve mixture control. Return to closed loop volume delivery control when cleared. Check Error Log for Air/O2 Insp Flow Sensor Supply Voltage. If yes: • Disconnect vent engine harness at air flow sensor. If voltage error stops, replace air flow sensor. • Disconnect vent engine harness at O2 flow sensor. If voltage error stops, replace O2 flow sensor. • Disconnect vent engine harness at VCB. If voltage error stops, replace harness. If no: • Check connection to O2 Flow Sensor. • Interchange harness connection between O2 and Total Flow Sensor. • If problem stays with sensor, replace sensor. If alarm follows harness, check/replace harness. If harness is okay, replace VCB. Total Flow Sensor Communications Failure • Medium High Out of range Total Flow Sensor data -orLoss of communication. Return to closed loop volume delivery control when cleared. Check Error Log for Total Flow Sensor Supply Voltage. • If yes: • Disconnect harness at flow sensor. If voltage error stops, replace flow sensor. • Disconnect vent engine harness at VCB. If voltage error stops, replace harness. • If no: • Check connection to Total Flow Sensor. • Interchange harness connection between air and total flow sensors. • If this alarm stops, replace Total Flow Sensor. If this alarm persists, check/replace harness. If harness is OK, replace VCB. Check the pressure regulators and ensure the pressures are within specified ranges. 2065496-001 Rev G (2024 12) 7-35 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting Inspiratory temperature sensor error Total Flow Temperature Low Sensor Failure • • • Check inlet air temperature. If Communication Failure alarm is also active, check harness connections. With gas supplies disconnected and system temperature stabilized, use PC Service Application to check temperatures of Air and Total Flow sensors. If either reports temperature out of range (0 to 60°C), replace that sensor. Air temperature Sensor Low Failure The ventilator is not able to The Air Temperature Sensor measure air flow temperature. Failure alarm source is the The delivered FiO2 may not VCB. match the set FiO2. O2 Temperature Sensor Low Failure Out of range O2 temperature sensor data (range is 0-60 degrees C). • • • • Nebulizer not connected • • • • 7-36 Low Nebulizer disconnected while nebulization procedure is running. Re-connect Nebulizer. Replace Nebulizer cable. Replace Nebulizer head. Replace Nebulizer board. Negative airway Negative Pressure pressure • The O2 Temperature Sensor Failure alarm source is the VCB. Check inlet O2 temperature. If Communication Failure alarm is also active, check harness connections. With gas supplies disconnected and system temperature stabilized, use PC Service Application to check temperatures of O2 and Total Flow sensors. O2 Flow Sensor and Total Flow Sensor shall not differ by more than 9°C. Replace sensors. Nebulizer not Connected • • • • Neonatal flow sensor error Out of range total temperature Use air flow temperature for sensor data or loss of Total Flow Sensor calculations, including alarms. communication. If air flow sensor temperature not available use 55°C. High Paw insp < -10 cmH20 for greater than 50 continuous ms. Compare Insp and Exp sensor values using the PC Service Application at zero and 100 cmH2O. The Insp and Exp pressure sensors should match within ±5 cmH20 (while at 0 cmH2O true pressure) and ±10 cmH2O (while at 100 cmH20 true pressure). Calibrate pressure sensors. See "5.3.6 Zero Valve Operation" for testing zeroing valve. Check harness connection on VCB and VMB. Replace sensor as needed. Neo Flow Sensor Contaminated Medium Neo flow sensor reporting flow > 32 l/min for 4 continuous seconds as measured by the VCB or VMB. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments (Neo TVexp - Neo TVinsp) > (0.3* Neo TVinsp) or 5 ml whichever is greater for 6 consecutive breaths. Freeze vent engine volume compensation on first breath detection. Action/Troubleshooting • • • • • • • Calibrate neo flow sensor. Clean neonatal flow sensor. Replace neo flow sensor. Replace neo flow sensor cable. Replace VMB. Replace motherboard. Replace VCB. Neonatal Flow Sensor Comparison • • • • • • • High Calibrate neo flow sensor. Check neo flow sensor and cable connections. Replace neo flow sensor. Replace neo flow sensor cable. Replace VMB. Replace motherboard. Replace VCB Neo - Total Flow Sensor High Comparison • • • • • • • • • • Freeze vent engine volume compensation on first breath detection. Calibrate neo flow sensor. Check neo flow sensor and cable connections. Calibrate expiratory flow sensor. Replace neo flow sensor. Replace neo flow sensor cable. Replace expiratory flow sensor. Replace Total Flow Sensor. Replace VMB. Replace motherboard. Replace VCB. Neo - Exh Flow Sensor Comparison • • • • • • • • • (Neo TVexp - Neo TVinsp) > (0.3* Neo TVinsp) or 30 ml whichever is greater for 6 consecutive breaths. High (Exh TVexp - Neo TVexp) > (0.3* Neo TVexp) or 30 ml whichever is greater for 6 consecutive breaths. Calibrate neo flow sensor. Check neo flow sensor and cable connections. Calibrate expiratory flow sensor. Replace neo flow sensor. Replace neo flow sensor cable. Replace expiratory flow sensor. Replace VMB. Replace motherboard. Replace VCB. 2065496-001 Rev G (2024 12) 7-37 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause High Neo flow sensor comparison alarm active or neo-total flow sensor comparison alarm active or neoexh flow sensor comparison alarm active. Special Behavior/Comments Action/Troubleshooting Neonatal Flow Comparison - System See Neo flow sensor comparison alarm, neo-flow sensor comparison alarm, or neo-exh flow sensor comparison alarm troubleshooting No Neonatal Flow Sensor - Standby • • • • • • • Neonatal flow sensor error 7-38 Both neonatal flow sensor hot wires reporting less than 20 ADC as measured by the VCB or VMB. High Neo flow sensor with 1 hot wire reporting less than 20 ADC and other hot wire reporting normal as measured by VCB or VMB. Calibrate neo flow sensor. Check neo flow sensor and cable connections. Replace neo flow sensor. Replace neo flow sensor cable. Replace VMB. Replace motherboard. Replace VCB. Neonatal Flow Sensor Reversed • • High Calibrate neo flow sensor. Check neo flow sensor and cable connections. Replace neo flow sensor. Neonatal flow sensor is warranteed for 90 days. Replace neo flow sensor cable. Replace VMB. Replace motherboard. Replace VCB. Neo Flow Sensor Failure • • • • • • • Both neonatal flow sensor hot wires reporting less than 20 ADC as measured by the VCB or VMB. Calibrate neo flow sensor. Check neo flow sensor and cable connections. Replace neo flow sensor. Replace neo flow sensor cable. Replace VMB. Replace motherboard. Replace VCB. No Neonatal Flow Sensor - Therapy • • • • • • • Low High The neonatal flow sensor is not installed correctly. Clean or replace the neonatal flow sensor. Reverse the direction of the neonatal flow sensor. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause High Patient Type is Neonatal, but Data Source is not set to Neonatal Flow Sensor. Low flow and volume measurements are less accurate from the ventilator sensors. Special Behavior/Comments Action/Troubleshooting Neonatal flow sensor not in use Neonatal Flow Sensor Off Set Data Source to NFS (Neonatal FLow Sensor). O2 inaccurate O2 inaccurate • • O2 supply pressure high O2 supply pressure low • • O2 supply pressure sensor error • • Occluded Patient Interface detected O2 supply pressure > 95 psi for more than 0.5 seconds. Medium O2 supply pressure < 24.3 psi Latched for more than 0.5 seconds. De-escalatable Go to 100% Air. Check O2 supply. Disconnect sensor and verify output is zero gage pressure. Interchange harness connections on both supply pressure sensors. If alarm follows the sensor, check sensor connector terminals. Replace supply pressure sensor if necessary. If not, then check/replace harness. If not harness, then replace VMB. O2 Supply Pressure Sensor Out of Range • • • • Low Check O2 supply. Disconnect sensor and verify output is zero gage pressure. Interchange harness connections on both supply pressure sensors. If alarm follows the sensor, replace supply pressure sensor. If not, check/replace harness. If not harness, check/replace VMB. O2 Supply Pres Low • • • • O2 values from the module may be inaccurate. Check for respiratory rate of greater than 70 bpm. Recalibrate the airway module. O2 Supply Pres High • • • • • • Low Low Out of range O2 supply pressure sensor data. Range is 195 to 4760 mV Check O2 supply. Disconnect sensor and verify output is zero gage pressure. Interchange harness connections on both supply pressure sensors. If alarm follows the sensor, check sensor connector terminals. Replace supply pressure sensor if necessary. If not, then check/replace harness. If not harness, then replace VMB. Occluded Patient Interface Detected 2065496-001 Rev G (2024 12) High Pressure detected at the patient inlet port. 7-39 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting Was an occluded patient interface connected during O2 Therapy in standby state? If yes, this is a user error. If no: • • • • • • • Patient detected Remove all tube connections from vent. If alarm persists, check exhalation pressure port and exhalation valve housing. Calibrate Flow control valves. Calibrate airway pressure transducers. Using the PC Service Application and occluded circuit, set 3 l/min flow, and set 11 cmH20 on exhalation Valve. Ensure both Insp and Exp pressure sensors read 11 ±3 cmH2O. Open circuit and verify pressure is <7 cmH20. Check/replace zero valves. Replace appropriate pressure sensor board. Replace appropriate flow control valve. Circ Unparked Patient Detect High Was patient connected during standby state? If yes, this is a user error. If no: • • • • • • • Paux high Paux High • • • • • Paux sensor error Remove all tube connections from vent. If alarm persists, check exhalation pressure port and exhalation valve housing. Calibrate Flow control valves. Calibrate airway pressure transducers. Using the PC Service Application and occluded circuit, set 3 l/min flow, and set 6 cmH20 on exh. Valve. Ensure both Insp and Exp pressure sensors read 6 ±3 cmH2O. Open circuit and verify pressure is < 2 cmH20. Check/replace zero valves. Replace appropriate pressure sensor board. Replace appropriate flow control valve. De-energize Paux purge valve (if purge valve is energized) until alarm condition clears. Low Paux sensor data out of range. Range is 10-4095 mV. Check/replace harness. Interchange Paux and Pexp connections. If Paux alarm stops, replace Paux sensor. If Paux alarm continues, replace VCB. Paux Zeroing Error 7-40 Paux > 100 cmH2O Verify Paux port (and any tubing that is connected to Paux port) is not occluded when purge valve is energized (purge is turned ON). Zero Paux pressure sensor. Use the PC Service Application to calibrate the Paux pressure sensor ("5.2.8 Calibrate airway pressure transducer Zero and Span"). Interchange Paux and Pexp connections. If Paux high alarm stops, replace Paux sensor. If Paux High alarm continues, replace VCB. Paux Sensor Out Of Range • • • Medium Low Range for zero pressure: 631-968 mV (counts). If failed, use previous known good offset value for Paux. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • • • Power supply error Power Supply Fail • Primary audio error Verify Paux port (and any tubing that is connected to Paux port) is not occluded when purge valve is energized (Purge is turned On). Zero Paux pressure sensor. Check/replace harness. Interchange Paux and Pexp connections. If Paux alarm stops, replace Paux sensor. If Paux alarm continues, replace VCB. High Main power supply is not available. The ventilator is powered by the battery. Check main power supply connections. Alarm Confirm Error High If the DU detects a speaker current sense bit false when attempting to sound the speaker. Audible in Standby and Deescalates to Low priority. VCB/VMB will receive data from DU indicating: 1. 2. 3. High priority alarm successfully sounded. High priority alarm not successfully sounded. No High priority alarm currently active. The VMB or VCB will activate the backup buzzer when condition 2 in the special behavior column is active or if condition 1 in the special behavior column is not detected within 15 seconds of the VCB or VMB issuing a high priority alarm. All high priority alarms that have the VCB or VMB as the source will activate this alarm. • • • • Adjust speaker volume to its highest volume. If alarm stops, replace DU speaker. Check DU speaker connection. Replace speaker. Replace DU CPU board. SBT completed SBT Completed successfully Low The SBT time remaining expired. Spontaneous Breathing Trial has completed successfully. The ventilator has are turned to the settings used prior to entering SBT. No action required. 2065496-001 Rev G (2024 12) 7-41 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments SBT ended - Apnea Low SBT ended - MVexp High Low SBT countdown time reaches 2 minutes Action/Troubleshooting SBT ended SBT ended - MVexp Low Low SBT ended - RR High Low SBT ended - RR Low Low • Secondary audio error No action required. Backup Buzzer POST • • • Medium Current to buzzer indicates audio is not sounding. This alarm is logged at startup and can be deescalated but cannot be cleared from the screen. The primary and backup alarm audio sounds upon every power-up of the system. Check harness connection between PMB/On-Standby switch. Check or replace the On/Off switch. Verify buzzer current with voltage measurement at TP15 on VCB. If voltage IS NOT present, replace PMB. If voltage IS present, replace VCB. System shutdown in less than 20 min. Low Internal Battery – 20 Min Medium Mains power not available. Internal battery supply < 20 minutes calculated via battery discharge algorithm. System shutdown in less than 10 min. Low Internal Battery – 10 Min High Mains power not available. Internal battery supply < 10 minutes calculated via battery discharge algorithm. System Low Internal Battery shutdown in – 5 Min less than 5 min. High Mains power not available Internal battery supply < 5 minutes calculated via battery discharge algorithm. System Low Internal Battery shutdown in – 1 Min less than 1 min. High Mains power not available. Internal battery supply < 1 minute calculated via battery discharge algorithm. • • • • • • • • 7-42 Normal alarm if system is operating on battery. Check connection to AC supply (verify green LED on DU is lit). If LED is not lit, check AC mains source, check rear power cord clamp, check fuses. If LED is lit, check output of DC power supply at screw terminals. Range is 20-32 V. If out of range, disconnect DC power supply input harness and verify output is still out of range. Check/ replace DC power supply input harness. If out of range and harness is OK, replace DC power supply. Measure voltage at F1 (both sides) on PMB. Range is 20-32V. Check fuse F1 on PMB, if open replace PMB. Replace PMB. Use Service Application to verify charge/discharge rate. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments High Power switch is set to Off. Non-silenceable. Action/Troubleshooting Turn off ventilator? Therapy Power Off • • • • • • Ventilation not available Safety Valve Checkout Failure • • • • Ventilator failure • High Failed Safety Relief Valve User cannot enter Therapy System Check. Paw reaches state after a powerup until 30 cmH2O within 4 seconds of removal criteria is met. the start of the check. Check for pneumatic leaks. Verify seat/seal interface is clean. Verify safety valve relief port (bottom of ventilator) is not blocked. Perform the Mechanical over-pressure valve test ("5.2.12 Mechanical overpressure valve test"). Removal requires successful checkout. DU to VCB Com Error • • • • Ventilator failure Normal operation if On/Standby switch is moved to standby while in therapy. Verify vent is in standby state prior to turning power On/Standby switch to standby. Verify display unit encoder accepts other inputs reliably. If not, replace encoder. Check/replace harness to On/Standby switch. Check/replace On/Standby switch. Check/replace PMB. Failed Proper communications from Continue ventilation. the DU to the VCB is not successfully completed within 90 seconds after startup or within a 10 second window after communications have been established with the DU. Cycle power. Check error log for underlying causes such as voltage range errors. Using service card, check DU communication to VMB. If multiple subsystem communication failures: • Check/replace DU cable. • Verify DU system interface PCB is fully inserted into DU CPU PCB. • Check/replace DU system interface PCB (connector panel assembly). • Check/replace DU CPU board. If not multiple subsystem communication failures: • Check/replace DU cable • Verify VCB is fully inserted into motherboard. • Verify yellow VCB communications activity indicator CR 16 (RX DU) is lit and blinking. If not blinking: • Replace VCB. • Check/replace motherboard. • Check/replace DU system interface PCB (connector panel assembly). • Check/replace DU CPU board. DU to VMB Com Error 2065496-001 Rev G (2024 12) Failed Proper communications from Continue ventilation. the DU to the VMB is not successfully completed within 90 seconds after startup or within a 10 second window after communications have been established with the DU. 7-43 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • • • Ventilator failure Processor Reset • • • • • Ventilator failure 7-44 Failed Sequential watchdogs cause a Vent Safe Operation. This processor reset on either VCB requirement is intended to or VMB. ensure that a SW or watchdog reset (indicating loss of processor control) of either the VCB or VMB will activate the backup audio alarm. Cycle power. Using service card, check error log for underlying causes such as voltage range errors. Using service card, check DU communication to VCB and VMB. If no VCB comm., check VCB CR10 red reset indicators. If lit, replace VCB. If no VMB comm., check VMB CR10 red reset indicators. If lit, replace VMB. Touchscreen Failure • Ventilator failure Cycle power. Check error log for underlying causes such as voltage range errors. Using service card, check DU communication to VCB. If multiple subsystem communication failures: • Check/replace DU cable. • Verify DU system interface PCB is fully inserted into DU CPU PCB. • Check/replace DU system interface PCB (connector panel assembly). • Check/replace DU CPU board. If not multiple subsystem communication failures: • Check/replace DU cable • Verify VMB is fully inserted into motherboard. • Replace VMB. • Check/replace motherboard. • Check/replace DU system interface PCB (connector panel assembly). • Check/replace DU CPU board. High See DU troubleshooting. VCB to DU Com Error Failed Proper communications from Continue ventilation. the VCB to the DU is not successfully completed within a 10 second window. Note: Timing does not start for 90 seconds after power up. 2065496-001 Rev G (2024 12) 7 Troubleshooting Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • • • Ventilator failure VMB to DU Com Error • • • • • Ventilator failure Cycle power. Check error log for underlying causes such as voltage range errors. Using service card, check DU communication to VMB. If multiple subsystem communication failures: • Check/replace DU cable. • Verify DU system interface PCB is fully inserted into DU CPU PCB. • Check/replace DU system interface PCB (connector panel assembly). • Check/replace DU CPU board. If not multiple subsystem communication failures: • Check/replace DU cable. • Verify VCB is fully inserted into mother board. • Verify yellow VCB communications activity indicator CR15 (TX DU) is lit and blinking. If not blinking: • Replace VCB. • Check/replace motherboard. • Check/replace DU CPU board. Failed Proper communications from Continue ventilation. the VMB to the DU is not successfully completed within a 10 second window. Note: Timing does not start for 90 seconds after power up. Cycle power. Check error log for underlying causes such as voltage range errors. Using service card, check DU communication to VCB. If multiple subsystem communication failures: • Check/replace DU cable. • Verify DU system interface PCB is fully inserted into DU CPU PCB. • Check/replace DU system interface PCB (connector panel assembly). • Check/replace DU CPU board. If not multiple subsystem communication failures: • Check/replace DU cable. • Verify VMB is fully inserted into mother board. • Replace VMB. • Check/replace motherboard. • Check/replace DU system interface PCB (connector panel assembly). • Check/replace DU CPU board. VMB to VCB Com Error Failed 2065496-001 Rev G (2024 12) Proper communication of the high speed sensor data from the VMB to the VCB is not successfully completed within a 50 ms window. 7-45 CARESCAPE R860 Alarm Message Error Log Message Priority Alarm Condition/Cause Special Behavior/Comments Action/Troubleshooting • • • • • • • Tidal volume not delivered VT not achieved • • Tidal volume not delivered Medium TVinsp< 80% of the set TV, or set TV - 5ml, whichever is greater, for six consecutive breaths. Ensure the Plimit, Pmax, and TV settings are appropriate for the patient’s condition. Ensure the pneumatic nebulizer flow setting is correct. VT not achieved - Neo • • 7-46 Cycle power. Check error log for underlying causes such as voltage range errors. Check DU/VMB and DU/VCB communication using Service Card. Verify VMB and VCB are fully inserted into motherboard. Check/replace VMB. Check/replace VCB. Check/replace motherboard. Medium TVinsp < 80% of the set TV, or set TV - 1ml, whichever is greater, for six consecutive breaths. Ensure the Plimit, Pmax, and TV settings are appropriate for the patient’s condition. Ensure the pneumatic nebulizer flow setting is correct. 2065496-001 Rev G (2024 12) 7 Troubleshooting 7.7 Troubleshooting Service Application messages The VCB Service App screen includes a Calibrations and Tests area ("8.7.10 Calibrations and tests"). This area includes a field “Calibration Running” that displays messages while a test is in progress. Some messages indicate that the test encountered a problem. Use the following table to help troubleshoot messages that result in a failed test or calibration. For additional Checkout failure messages see "7.1 Troubleshooting checkout failures". . Message in “Calibration running” field Reason Troubleshooting 120 Lpm flow test Prior to calibration flow valve, make sure system can flow 120 Lpm for at least 1 second. None 125 Cal Point Too High: Value Exhalation valve calibration point at 1.25 Verify exhalation housing and assembly are cmH2O was above 1.30 cmH2O. Value = seated properly. pressure (cmH2O x 100) recorded at the 1.25 cmH2O cal point. 190 point too high Flow valve calibration point targeting 190 ml/min could not be extrapolated. 1. 2. Verify low pressure vent engine system is not leaking. Verify gas flow from flow control valves. Recalibrate if necessary. Aborted Calibration or test in progress has been aborted. None Air Flow Sensor Chk Air Flow Sensor Check is in progress. None Air Flow Sensor Chk Complete Air Flow Sensor Check passed. None Air Flow Sensor Chk Fail Air Flow Sensor Check failed. See previous message in status log for cause of failure. Air Flow Sensor Fail: No Air Air Flow Sensor step of Checkout has failed because no low/no air supply pressure was detected. Verify proper supply pressure. Air Flush Time: Value Value = time (sec) needed to flush system sec with Air until stability of 0.1% O2 is reached. None Air Valve Cal Air Valve Cal in progress. None Air Valve Cal Complete Air Valve Cal passed. None Air Valve Cal Fail Air Valve Cal failed. See previous message in status log for cause of failure. 2065496-001 Rev G (2024 12) 7-47 CARESCAPE R860 Message in “Calibration running” field Reason Troubleshooting Aux Span Counts: Value Auxiliary pressure sensor DAC counts that correspond to 100 cmH2O. (range: 3026 to 3589) None Aux Zero Aux Zero Cal is in progress. None Aux Zero Complete Auz Zero Cal passed. None Aux Zero Fail: Value Auxiliary pressure sensor zero DAC is out of range. Value = measured zero DAC (normal range = 631 to 968) 1. 2. 3. Verify Paux port is open to atmosphere (either directly or via open tube). Replace zero valve. Replace pressure transducer. Bad Air Flow Not able to achieve proper flow during exhalation valve calibration. Set at 4 l/min. Verify FCV is opening to give flow. Should be at least 2 l/min. If no flow, replace FCV. Bad Low Pressure: Value Lowest pressure achieved during exhalation valve cal > 2.5 cmH2O. Value = lowest pressure achieved in cmH2Ox100 1. 2. Verify exhalation valve assembly is properly assembled and latched to outlet manifold. Verify tube connecting Insp port to Exp port is not occluded/kinked. Bad O2 Flow Not able to achieve proper flow during exhalation valve calibration. Set at 4 l/min. Verify FCV is opening to give flow. Should be at least 2 l/min. If no flow, replace FCV. Barometric Chk Barometric pressure sensor check in progress. None Barometric Chk Complete Barometric Check passed. None Barometric Chk Fail During Barometric pressure check, barometric See "7.1.1 Paw transducer check" or "Paw pressure sensor and calculated baro pressure transducer check (Software 11)". from set altitude differ by more than 20% of calculated baro pressure. Calibrating Flow Valve Calibrating Flow Valve. 7-48 None 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Troubleshooting Can’t Achieve 80 cmH2O Exhalation valve calibration can not generate 80 cmH2O pressure in the breathing circuit. 1. 2. 3. 4. 5. 6. 7. Can’t Establish Pressure: Flow During Checkout step, unable to achieve 8 Lpm with which to attempt to reach 34 cmH2O. 1. 2. 3. 4. Verify flow > 1 l/min from FCV. Recalibrate if necessary. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine system is not leaking. Verify clean exhalation housing seat/ seal. Replace parts as necessary. Verify power to exhalation valve actuator. Check/replace harness. Replace VCB. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine system is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Can’t Extrapolate Table During flow valve calibration, if a weak or Check for a weak or restricted gas supply restricted gas supply pressure requires the pressure. 140 or 160 l/min points to be extrapolated and the calculated value is > 65,000 DAC counts, this message comes up. This results in maximum flow limited to whatever is the highest flow point in the calibration table. Can’t Pressurize: Value During Paw transducer check, the breathing circuit could not reach 33 cmH2O. 1. During Relief Valve check, the breathing circuit could not reach 30 cmH2O. 2. During Exh Valve Cal Check, the exp pressure does not stabilize within 0.1 cmH2O 3. within 12 seconds. Value = max exp pressure achieved. 4. 2065496-001 Rev G (2024 12) Verify breathing circuit is connected and not leaking. Verify low pressure vent engine system is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. 7-49 CARESCAPE R860 Message in “Calibration running” field Reason Troubleshooting Can’t Pressurize1: Value During 1st half of Low Pressure leak check, the breathing circuit could not reach 34 cmH2O. Value = max exp pressure achieved. 1. 2. 3. 4. Can’t Pressurize2: Value During 2nd half of Low Pressure leak check, the breathing circuit could not reach 25 cmH2O. Value = max exp pressure achieved. 1. 2. 3. 4. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine system is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine system is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Checking Supply Press1 During FCV calibration, the source and None; normal operation. integrity of the gas supply (compressor or wall supply) is being tested. Checking Supply Press2 During FCV calibration, the source and None; normal operation. integrity of the gas supply (compressor or wall supply) is being tested. Checking Supply Press3: Value During FCV calibration, the source and None; normal operation. integrity of the gas supply (compressor or wall supply) is being tested. Value = measured supply pressure (psi) Checkout Aborted Checkout Aborted None Checkout Done Checkout Done None Ci*1000=Value Intermediate value in low pressure leak check None; for information only. compliance calculation. Disabling Leak value measured by checkout is greater normalization - invalid than 0.5 Lpm; expiratory flow sensor leak normalization is being disabled. 1. Verify breathing circuit is connected and not leaking. 2. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. 3. 4. 7-50 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Troubleshooting Disagree Temp: Value During Air (or O2) flow sensor check, air flow sensor temperature is more than 9°C different 1. than Total Flow Sensor temperature. Value = temperature difference (°C) 2. If only one flow check fails, replace that flow sensor. If both Air and O2 flow check fails, replace Total Flow Sensor. Disagree Tot: Value1 Air: Value2 During air flow sensor check, air flow sensor Check regulator for oscillation. Replace if is more than 15% different than total flow necessary. sensor at a nominal flow of 30 l/min. Value1 = measured total flow. Value2 = measured air flow. Downstream Flow Diff: Value Difference between flow measured by total flow sensor and expiratory wire of neonatal flow sensor during Checkout (ml/min). End Pressure: Value See "7.1.5 Exhalation valve calibration Exhalation valve check: check". Value = time required to relieve pressure in system from 34 cmH2O to less than 2 cmH2O. Must be less than 250 msec to pass. None; for information only. Exh Flow Sensor Chk Exhalation flow sensor check in progress. None Exh Flow Sensor Chk Exhalation flow sensor check passed. Complete None Exh Flow Sensor Chk Exhalation flow sensor check failed. If "Total/ Fail Norm ExpFlows disagree" is in the service logs as part of the checkout, it could also be the total flow sensor. See previous message in status log for cause of failure. Exhalation flow sensor failure or total flow sensor failure. Exh Valve Cal Exhalation valve calibration in progress. None Exh Valve Cal Chk Exhalation valve check in progress. None Exh Valve Cal Chk Complete Exhalation valve calibration passed. None Exh Valve Cal Chk Fail Exhalation valve cal check failed. See previous message in status log for cause of failure. Exh Valve Cal Complete Exhalation valve cal check passed. None Exh Valve Cal Fail Exhalation valve calibration failed. See previous message in status log for cause of failure. Exp Flow Cal Expiratory flow sensor calibration in progress. None Exp Valve Step Sweep Done Exp valve sweep complete. None Exp Valve Sweep Exp valve step sweep in progress. None FAIL No 120 Min: Value Flow valve cal timeout: never made it to 120 l/min of flow during flow valve cal. Check for weak or restricted gas pressure supply. If the PC Service Application is connected, insure flow valves and exhalation valve DAC counts are set to “0” and checked “on”. 2065496-001 Rev G (2024 12) 7-51 CARESCAPE R860 Message in “Calibration running” field Reason Failed 120l/min flow: Value During FCV calibration - could not hold 120 Check for weak or restricted gas pressure l/min flow for 1 second before supply pressure supply. drops below 30 psi. Failed Supply Press: Value During FCV calibration - inadequate supply pressure. Check gas supply source to see if it is too weak or restricted. Failed Supply Press2: During FCV calibration - inadequate supply Value pressure. Check gas supply source to see if it is too weak or restricted. Failed Supply Press3: During FCV calibration - inadequate supply Value pressure. Check gas supply source to see if it is too weak or restricted. Failed Supply Press4: During FCV calibration - inadequate supply Value pressure. Check gas supply source to see if it is too weak or restricted. Failed Supply Press5: During FCV calibration - inadequate supply Value pressure. Check gas supply source to see if it is too weak or restricted. Failed Supply Press6: During FCV calibration - inadequate supply pressure. Value Check gas supply source to see if it is too weak or restricted. Failed Supply Press7: During FCV calibration - inadequate supply Value pressure. Check gas supply source to see if it is too weak or restricted. Failed Supply Press8: During FCV calibration - inadequate supply Value pressure. Check gas supply source to see if it is too weak or restricted. Failed Supply Press9: During FCV calibration - inadequate supply Value pressure. Check gas supply source to see if it is too weak or restricted. fCompliance*1000= Value Troubleshooting Intermediate value in low pressure leak check None; for information only. compliance calculation. fCorrectedLeak*1000 Intermediate value in low pressure leak check None; for information only. = Value compliance calculation. Final Flow Achieved: Value Flow value (ml/min) achieved during current Checkout step. None; for information only. Final Rising Flow Achieved: Value Flow value (ml/min) achieved during current Checkout step. None; for information only. fLeak*1000 = Value Intermediate value in low pressure leak check None; for information only. compliance calculation. Flow Cal - Waiting for Total Flow Sensor is being set up to read the Sensiron proper gas for the current valve calibration. None Flow Diff: Value See "7.1.6 Exhalation flow sensor calibration test". 7-52 Exhalation flow sensor check: Value = flow difference between insp (total) flow sensor and exh flow sensor (ml/min). Must be less than 20% difference. |Exp flow - tot flow| < 0.20 * tot flow. 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Troubleshooting Flow Too High: Value During FCV calibration, the FCV is leaking more than 1150 ml/min. Value = leak in sml/min. 1. 2. Run approximately 160 l/min flow through the FCV to dislodge any debris that might be present on the valve seat/ seal. Recalibrate/Replace FCV. Flow Valve Cal Complete Flow valve cal passed. None Flow Valve Cal Fail Flow valve cal failed. See previous message in status log for cause of failure. Flow Valve DAC Too Low FCV- DAC counts went too low without a corresponding decrease in flow. Flow/O2 Disagree: Value1/Value2 During checkout, the O2 sensor check failed. O2 and Air flow set to 15 l/min. The O2% is 1. calculated from the O2 and Air flow sensors and compared to the measured O2% from the Paracube O2 sensor. If the absolute 2. difference between the O2 sensor and the calculated O2% from flow measurement is > 3. 5% O2, then the check fails. 4. Value1 = %O2 measured from flow sensors Value2 = %O2 measured from Paracube 1. 2. 5. 6. 7. 8. 9. Check flow sensor. Check for sticking valve. Using the PC Service Application, create a flow of approximately 15 l/min on the air channel. Verify (Tot Flow - Air Flow) < (0.15 * Air Flow). If not, replace air pressure regulator. Using the PC Service Application, create a flow of approximately 15 l/min on the O2 channel. Verify (Tot Flow - O2 Flow) < (0.15 * O2 Flow). If not, replace O2 pressure regulator. Recalibrate O2 sensor. Repeat tests 2 and 5. If only one fails, replace that channel's flow sensor. If both fail, replace Total Flow Sensor. Replace O2 sensor. fPressureDifference1* Intermediate value in low pressure leak check None; for information only. 10 00 = Value compliance calculation. fPressureDifference2* Intermediate value in low pressure leak check None; for information only. 10 00 = Value compliance calculation. 2065496-001 Rev G (2024 12) 7-53 CARESCAPE R860 Message in “Calibration running” field Reason Guaranteed Flow Not Could not bring the flow down to the target flow with the minimum flow command. Value Achieved: Value = minimum flow that was achieved (ml/min). Troubleshooting 1. 2. 3. 4. High Pres Air Leak Test Fail (Baro) Vent engine high air pressure leak test failed because of invalid (low) barometric pressure reading. 1. 2. 3. High Pres O2 Leak Test Fail (Baro) Vent engine high O2 pressure leak test failed because of invalid (low) barometric pressure 1. reading. 2. 3. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Verify correct altitude setting. If the seating is correct, calibrate the barometric sensor. Replace Vent Monitor Board (VMB) Verify correct altitude setting. If the setting is correct, calibrate the barometric sensor. Replace Vent Monitor Board (VMB). High Pressure Air Leak Test Vent engine high air pressure leak test in progress. None High Pressure Air Leak Test Complete Vent engine high air pressure leak test passed. None High Pressure Air Leak Test Fail Vent engine high air pressure leak test failed because measured leak was too high. See "5.2.7 Vent engine leak test (high Air pressure)". High Pressure O2 Leak Test Vent engine high O2 pressure leak test in progress. None High Pressure O2 Leak Test Complete Vent engine high O2 pressure leak test passed. None High Pressure O2 Leak Test Fail Vent engine high O2 pressure leak test failed See "5.2.6 Vent engine leak test (high O2 because measured leak was too high. pressure)" High Pressure: Aborted The Checkout step in progress was aborted due to high pressure. 1. 2. 7-54 Verify breathing circuit is properly connected for checkout. Verify proper flow and exhalation valve calibration. Recalibrate if necessary. 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Insp flow below target: Flow cannot be controlled down to the target flow because the measured flow is already >Target = Value1 >Insp = Value2 lower than the target flow. Troubleshooting 1. 2. Insp Span Counts: Value Inspiratory pressure sensor DAC counts that correspond to 100 cmH2O. (range: 3026 to 3589) Check for disconnected breathing circuit during Checkout. Verify proper flow valve calibration. Recalibrate if necessary. None InspFlowAccumulator Intermediate values in low pressure leak = Value1, _jj=Value2 check compliance calculation. None; for information only. Low Air Pressure: Value Air supply pressure < 30 psi Verify proper gas supply. Low Exp Pressure: Value1, Value2 During exh valve cal, the pressure dropped more than 1.25 cmH2O in 4 msec. Value1 = Current measured pressure (cmH2O x 100). Value2 = Current calibration point Check for disconnected breathing circuit during calibration. Low Max Flow: Value FCV - Indicator that system will use the degraded wall supply routine for FCV calibration. Check gas supply source to see if it is too weak or restricted if this causes problems. Low O2 Pressure: Value O2 supply pressure < 30 psi Verify proper gas supply. Low Pres Leak Test Fail (Baro) Vent engine low pressure leak test failed because of invalid (low) barometric pressure reading. 1. 2. 3. Verify correct altitude setting. If the setting is correct, calibrate the barometric sensor. Replace Vent Monitor Board (VMB) Low Pressure Leak Chk Breathing circuit leak check in progress. None Low Pressure Leak Chk Complete Breathing circuit leak check passed. None Low Pressure Leak Chk Fail Breathing circuit leak check failed. See previous message in status log cause of failure. Low Pressure Leak Test Vent engine low pressure leak test in progress. None Low Pressure Leak Test Complete Vent engine low pressure leak test in progress. None Low Pressure Leak Test Fail Vent engine low pressure leak test failed because leak was too high. See "5.2.5 Vent engine leak test (low pressure)" Measure Insp Resistance Check Inspiratory resistance check in progress. None 2065496-001 Rev G (2024 12) 7-55 CARESCAPE R860 Message in “Calibration running” field Reason Troubleshooting Measure Insp Resistance Check Complete Inspiratory resistance check passes. None Measure Insp Inspiratory resistance check failed. Resistance Check Fail See previous message in status log for cause of failure. Measure Insp Resistance Check Value Measured Insp Resistance value None; for information only. Measure Resis Chk Breathing circuit resistance measurement in progress None Measure Resis Chk Complete Breathing circuit resistance measurement completed successfully. None Measure Resis Chk Fail Breathing circuit resistance measurement failed. See previous message in status log for cause of failure. Measured Resistance: Resistance measured during Checkout. Value None; for information only. Measuring P 0.1 P0.1 procedure in progress None Minimum Flow not achieved: Value Could not achieve minimum flow required for step in Checkout. 1. Value = maximum flow that was achieved (ml/ min) 2. 3. 4. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Neo Flow Sensor Cal Neonatal flow sensor calibration in progress. None Neo Flow Sensor Cal Neonatal flow sensor calibration failed. Fail 1. 2. Neo Flow Sensor Cal Neonatal flow sensor calibration passed. Pass 7-56 Verify neonatal flow sensor is properly connected and properly occluded. Recalibrate the sensor. Clean or replace neonatal flow sensor. None 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Troubleshooting Neonatal Check Failed (20 Lpm) System was unable to achieve 20 Lpm of flow during the Neonatal checkout. 1. 2. 3. 4. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from control valves. Recalibrate if necessary. Neonatal Check Failed (Downstream) The expiratory flow measured by the neonatal See "7.1.11 Neonatal flow sensor calibration flow sensor is more than 25% different from check" the flow measured by the Total Flow Sensor. Neonatal Check Failed (Reaching 30) System was unable to achieve 30 Lpm of flow during the Neonatal Checkout. 1. 2. 3. 4. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Neonatal Check Failed (Reversed @20) The neonatal flow sensor indicated reversed flow during the 20 Lpm check during Checkout. Clean or replace neonatal flow sensor. Neonatal Check Failed (Reversed @ 30) The neonatal flow sensor indicated reversed flow during the 30 Lpm check during Checkout. Clean or replace the neonatal flow sensor. Neonatal Fail Failed Neonatal flow sensor check failed because no Verify proper gas supply. gas supply was detected. Neonatal Flow Check Neonatal flow sensor flow check is in progress. None Neonatal Zero Neonatal flow sensor zero check is in progress. None Neonatal Zero Failed Neonatal flow sensor zero check failed because no gas supply was detected. Verify proper gas supply. 2065496-001 Rev G (2024 12) 7-57 CARESCAPE R860 Message in “Calibration running” field Reason Troubleshooting Neonatal Zero Failed (4 Lpm) Neonatal flow sensor zero check failed because the system was unable to achieve 4 1. Lpm. 2. 3. 4. Neonatal Zero Failed (Expected 0 Flow) Neonatal flow sensor zero check failed because the neonatal flow sensor measured non-zero flow while occluded. 1. 2. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Recalibrate neonatal flow sensor and rerun the Checkout. Clean or replace the flow sensor. NFS Checkout Complete Neonatal flow sensor flow check completed. None No Air Supply pressure for Air is below 30 psi. Verify proper gas supply. No Exp Flow Sensor Expiratory flow sensor is not detected by system. Verify proper installation of expiratory flow sensor and exhalation housing. Replace expiratory flow sensor if necessary. No Gas Supply Supply pressure for both Air and O2 is below Verify proper gas supply. 30 psi. No Oxygen Supply pressure for O2 is below 30 psi. No Supply Pressure Supply pressure for both Air and O2 is below Verify proper gas supply. 30 psi. None No calibrations, zero measurements, or checkout tests are running Normalized Flow Comparison Failed: >Target = Value1 >I = Value2 >E = Value3 Normalized expiratory flow and total flow are more than 10% (or 200 ml, whichever is 1. greater) apart. Value1 = Normalization Table flow point being 2. tested (ml/min) Value2 = Inspiratory Flow measured by Total 3. Flow Sensor (ml/min) Value3 = Expiratory flow measured by 4. expiratory flow sensor (ml/min) Verify proper gas supply. None Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. O2 Flush Time: Value Value = time (sec) needed to flush system sec with O2 until stability of 0.1% O2 is reached. None O2 Sensor Fail Replace Paracube. 7-58 Failed Paracube communications during O2 sensor check 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Troubleshooting O2 Sensor: Failed 100% Cal Paracube Cal never competed, timed out during 100% O2 cal Check Paracube sensor. O2 Sensor: Failed 21% Cal Paracube Cal never competed, timed out during 21% O2 cal Check Paracube sensor. O2 Too Low for 100% Measured O2% < 41% during the 100% span Cal calibration of the O2 sensor. 1. 2. 3. O2 Too Low for 21% Cal Measured O2% < 8% during 21% calibration of O2 sensor. 1. 2. 3. Verify proper connection of gases to ventilator. Use the PC Service Application O2 Sensor cal to override limits on O2 sensor calibration. Replace Paracube. Verify proper connection of gases to ventilator. Use the PC Service Application O2 Sensor cal to override limits on O2 sensor calibration. Replace Paracube. O2 Valve Cal O2 Valve Cal in progress None O2 Valve Cal Complete O2 Valve Cal Passed. None O2 Valve Cal Fail O2 Valve Cal failed. See previous message in status log for cause of failure. Oxygen Flow Sensor Chk Oxygen Flow Sensor Check. None Oxygen Sensor Chk Complete O2 flow sensor check passed. None Oxygen Flow Sensor Chk Fail Oxygen Flow Sensor Check failed. See previous message in status log for cause of failure. Oxygen Flow Sensor Chk Fail: No O2 Oxygen Flow Sensor Check failed because oxygen supply not detected. Verify proper gas supply. Oxygen Flow Sensor Fail Oxygen Flow Sensor Check failed because system was unable to achieve 30 Lpm during 1. check. 2. 3. 4. 2065496-001 Rev G (2024 12) Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. 7-59 CARESCAPE R860 Message in “Calibration running” field Reason Troubleshooting Paracube Cal O2 Sensor calibration in progress. None Paracube Cal Complete O2 sensor check passed. None Paracube Cal Fail O2 sensor check failed. See previous message in status log for cause of failure. Paracube Chk Paracube (O2 sensor) check in progress. None Paracube Chk Complete Paracube (O2 sensor) check passed. Paracube Chk Fail Paracube (O2 sensor) check failed. Paracube Chk Fail (50/ 50 Air) Paracube (O2 sensor) check failed to reach 15 Lpm air flow for 50/50 cal. See previous message in status log for cause of failure. 1. 2. 3. 4. Paracube Chk Fail (Air) Paracube (O2 sensor) check failed 21% cal. Paracube Chk Fail (O2) Paracube (O2 sensor) check failed to reach 30 Lpm O2 flow for O2 cal. Paracube never completed 21% calibration. Check Paracube. 1. 2. 3. 4. Paracube Fail Paracube (O2 sensor) check failed to reach 30 Lpm air flow. 1. 2. 3. 4. 7-60 Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Paracube Sensor Fail Paracube (O2 sensor) check failed to reach (50/50 O2) 15 Lpm O2 flow for 50/50 cal. Troubleshooting 1. 2. 3. 4. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Paux Zeroing... Auxiliary pressure sensor is being zeroed at start of Span Cal. None Paw Xducer Check Airway pressure sensor check in progress None Paw Xducer Check Complete Airway pressure sensor check passed. None Paw Xducer Check Fail Airway pressure sensor check failed. See previous message in status log for cause of failure. Paw Xducer Check Fail (PressureZeroCal) Pressure sensors were not successfully zeroed. See "7.1.1 Paw transducer check" and "5.2.8 Calibrate airway pressure transducer Zero and Span". Paw Xducer OK Airway pressure sensor check passed. None Pressure not maintained: Value System was unable to maintain at least 25 cmH2O of pressure during relief valve check. 1. 2. 3. 4. Q1*1000 = Value Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Intermediate value in low pressure leak check None, for information only. compliance calculation. Relief Pressure: Value Safety Valve check: = back pressure generated from 75 l/min flow thru open relief valve. Must be less than 10 cmH2O to pass. See "7.1.4 Safety valve relief and back pressure". Relief Time: Value Safety Valve check: Value = time required to relieve pressure in system from 34 to less than 2 cmH2O. Must be less than 250 msec to pass. See "7.1.4 Safety valve relief and back pressure". Relief Valve Chk Relief valve check in progress. None Relief Valve Chk Complete Relief valve check passed. None 2065496-001 Rev G (2024 12) 7-61 CARESCAPE R860 Message in “Calibration running” field Reason Troubleshooting Relief Valve Chk Fail Relief valve check failed. See previous message in status log for cause of failure. Rising Flow Not Achieved: Value Could not achieve minimum flow required for step in Checkout. 1. Value = maximum flow that was achieved (ml/ min) 2. 3. 4. Sensor Disagree: Value During FCV calibration, if the Air (or O2) flow sensor disagree by more than: 20% of total 1. flow or 1500 ml/min, whichever is greater, the 2. calibration will fail. Value = flow difference between Air (or O2) flow sensor and Total 3. Flow Sensor. Sensor Removed Exhalation flow sensor removed prior or during checkout. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Check regulator for oscillation. If only one FCV cal fails, replace that flow sensor. If both FCV cal fail, replace Total Flow Sensor. Install exh flow sensor and rerun checkout. Skipping CHECKOUT A Checkout command was received by the Restart Checkout and allow it to allow it to - not in checkout state Vent Control Board (VCB) while it was not in complete. the Checkout sate. This is most often caused by a series of rapidly requested Checkout starts and aborts without allowing Checkout to run in between. Span Pressure transducer span calibration is in progress. None Start Normalization... Expiratory flow sensor normalization is in progress. None T1 = Intermediate value in low pressure leak check None; for information only. compliance calculation. T2 = Intermediate value in low pressure leak check None; for information only. compliance calculation. 7-62 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Troubleshooting Target flow not reached @ 300 Flow remains greater than the target flow with the minimum flow command during Checkout. 1. 2. 3. 4. Total: Value1 O2: Value2 During O2 flow sensor check, O2 flow sensor is more than 15% different than total flow 1. sensor at a nominal flow of 30 l/min. Value1 = measured total flow. 2. Value2 = measured O2 flow. Unable to pressurize The circuit could not be pressurized to 10 cmH2O. 1. 2. 3. 4. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Check regulator for oscillation. Replace if necessary. If only O2 flow sensor check fails, replace O2 flow sensor. If both Air and O2 flow sensor checks fail, replace Total Flow Sensor. Verify breathing circuit is connected and not leaking. Verify low pressure vent engine system is not leaking. Verify exhalation valve is properly connected and all seals are in place. Verify gas flow from flow control valves. Recalibrate if necessary. Unbounded Qin = Value Intermediate value in low pressure leak check None; for information only. compliance calculation. Upstream Flow Diff: Value Difference between flow measured by Total Flow Sensor and inspiratory wire of neonatal flow sensor during Checkout (ml/ min). None; for information only. Upstream Flow Failed The inspiratory flow measured by the (Upstream) neonatal flow sensor is more than 15% different from the flow measured by the Total Flow Sensor. See "7.1.11 Neonatal flow sensor calibration check" Valve Step Sweep Valve step sweep in progress. None Valve Step Sweep Aborted Valve step sweep aborted because maximum None; normal operation. flow was reached. Valve Step Sweep Done Valve step sweep completed. None Valve Sweep Valve sweep in progress. None Valve Sweep Done Valve sweep completed. None 2065496-001 Rev G (2024 12) 7-63 CARESCAPE R860 Message in “Calibration running” field Reason VMB Exp Flow Sensor Expiratory flow sensor calibration has failed. Cal Fail Troubleshooting Verify expiratory flow sensor and exhalation housing are properly installed. VMB Exp Flow Sensor Expiratory flow sensor calibration has passed. None Cal Pass Waiting for supply pressure FCV calibration - if a weak supply pressure is None; normal operation. used, system will occasionally pause and wait for supply pressure to come back up before resuming FCV calibration. Weak Supply Detected1: Value FCV calibration - Indicator that system will None; normal operation. A weak supply use the degraded wall supply routine for FCV pressure was detected when trying to ramp calibration. the flow up to 165 l/min. Weak Supply Detected2: Value FCV calibration - Indicator that system will None; normal operation. A weak supply use the degraded wall supply routine for FCV pressure was detected during the 120 l/min calibration. flow test. Weak Supply Detected3: Value FCV calibration - Indicator that system will None; normal operation. A weak supply was use the degraded wall supply routine for FCV detected during final flow ramp-up before first calibration. cal points are taken. Weak Supply Detected4: Value FCV calibration - Indicator that system will None; normal operation. A weak supply was use the degraded wall supply routine for FCV detected during final flow ramp-up before first calibration. cal points are taken if DAC output reached 65,000 counts before flow reached 170 l/min. Xducer Error: Value During Paw Xducer check, the insp and exp pressure difference > 4 cmH2O. Value = pressure difference. See "5.2.8 Calibrate airway pressure transducer Zero and Span". Zero flow samp Error in FCV calibration cal point projection. Check for weak or restricted gas pressure supply Zero for flow sampl2 Error in FCV calibration cal point projection. Check for weak or restricted gas pressure supply Zero out of range ADC counts are out of the acceptable zero pressure range for the inspiratory and/or expiratory pressure sensor. The acceptable range for each sensor is 631 to 968 ADC counts. See "5.2.8 Calibrate airway pressure transducer Zero and Span". Zero Pressure Sensors Airway pressure sensors are currently being zeroed. None Zero Pressure Sensors Complete Airway pressure sensor zeros are complete. None 7-64 2065496-001 Rev G (2024 12) 7 Troubleshooting 7.8 Troubleshooting Service Application messages (Software 11) The VCB Service App screen includes a Calibrations and Tests area ("8.7.10 Calibrations and tests"). This area includes a field “Calibration Running” that displays messages while a test is in progress. Some messages indicate that the test encountered a problem. Use the following table to help troubleshoot messages that result in a failed test or calibration. For additional Checkout failure messages see "7.1 Troubleshooting checkout failures". . Message in “Calibration running” field Reason Troubleshooting Cal Offset Too High Exhalation valve check calibration point at Replace exhalation valve diaphragm. 1.25 cmH2O is greater than 10000 counts. Cal Point Too High Exhalation valve check calibration points are greater than 65000 counts. Replace exhalation valve diaphragm. Cal Slope Too Steep Exhalation valve check calibration points between 30 cmH2O and 40 cmH2O is greater than 6500 counts. Replace exhalation valve diaphragm. Can't Achieve 40 cmH2O Exhalation valve check calibration cannot • generate 40 cmH2O pressure in the • breathing circuit. • • • • Verify flow > 1 l/min from FCV. Recalibrate if necessary. Verify breathing circuit is connected and not leaking. Verify clean exhalation housing seat/ seal. Replace parts as necessary. Verify power to exhalation valve actuator. Check/replace harness. Replace VCB. 7.8.1 Troubleshooting Service Application messages (Software 11 with O2 Therapy) . Message in “Calibration running” field Reason Troubleshooting Can't pressurize: Value During a Dual Limb Paw transducer check, the breathing circuit could not reach 33 cmH2O. During a Single Limb Paw transducer check, the inspiratory pressure could not reach 1 cmH2O. Verify an Inspiratory Safety Guard (ISG) is connected and not leaking. 2065496-001 Rev G (2024 12) 7-65 CARESCAPE R860 Message in “Calibration running” field Reason Troubleshooting Insp Paw Xducer Check Single Limb Paw Transducer check in progress. None. Insp Paw Xducer Check Fail Single Limb Paw Transducer check (Aborted) aborted. None. Insp Paw Xducer Check Fail The inspiratory pressure could not reach (Low Pressure) 1 cmH2O. • • • Verify an Inspiratory Safety Guard (ISG) is connected and not leaking. Verify low pressure vent engine system is not leaking. Verify gas flow from flow control valves. Recalibrate if necessary. Insp Paw Xducer Check Fail Single Limb Paw Transducer check failed. Verify proper gas supply. (No Gas Supply) Insp Paw Xducer Check Fail Inspiratory pressure sensor was not (PressureZeroCal) successfully zeroed. See "7.1.1 Paw transducer check" and "5.2.8 Calibrate airway pressure transducer Zero and Span". Insp Paw Xducer OK None. Single Limb Paw transducer check passed. See "7.1.1 Paw transducer check" and Insp Paw Xducer Zero Error: Inspiratory pressure sensor zero valve was not successfully opened and closed. "5.2.8 Calibrate airway pressure Value transducer Zero and Span". Insp Paw Xducer Check Complete Single Limb Paw Transducer check completed. None. Single Limb Relief Valve Chk Single Limb Relief Valve check in progress. None. Single Limb Relief Valve Chk Single Limb Relief Valve check Failed. Fail See previous message in status log for cause of failure. Single Limb Relief Valve Time: Value Single Limb Relief Valve check: Value = time required to relieve 0.75 cmH2O of pressure within 250 ms. See previous message in status log for cause of failure. Single Limb Relief Valve check Complete Single Limb Relief Valve check completed. None. Skipping Dual Limb CHECKOUT - not in checkout state A Dual Limb Checkout command was Restart Checkout and allow it to complete. received by the Vent Control Board (VCB) while it was not in the Checkout state. This is most often caused by a series of rapidly requested Checkout starts and aborts without allowing Checkout to run in between. Skipping Single Limb CHECKOUT - not in checkout state A Single Limb Checkout command was Restart Checkout and allow it to complete. received by the Vent Control Board (VCB) while it was not in the Checkout state. This is most often caused by a series of rapidly requested Checkout starts and aborts without allowing Checkout to run in between. 7-66 2065496-001 Rev G (2024 12) 7 Troubleshooting Message in “Calibration running” field Reason Troubleshooting Can't Establish Pressure: Flow During a Dual Limb Checkout step, unable to achieve 8 Lpm with which to attempt to reach 34 cmH2O. During a Single Limb Checkout step, unable to achieve a pressure. Verify an Inspiratory Safety Guard is connected and not leaking. Can't Establish Pressure: Pressure During a Single Limb Paw Transducer check, the inspiratory pressure cannot reach 1 cmH2O with 60 l/min of flow. During a Single Limb Relief Valve check, the inspiratory pressure cannot reach 2 cmH2O with 80 l/min of flow. See "Paw transducer check (Software 11)". 2065496-001 Rev G (2024 12) 7-67 CARESCAPE R860 7.9 Troubleshooting Failed State In the Failed state, normal operations are not possible due to a problem in the system. In Failed state condition, you can copy Error, Alarm, and Event logs to a USB stick. 1. 2. 3. With the system in the Failed state, insert a USB memory device into the display unit. Press the Snapshot key on the keypad to start the download. “Copying Logs” is displayed on the screen. Wait approximately 60 seconds while the logs are downloaded to the USB stick. • AB.100.443 • A green check mark displays to the right of “Copying Logs” when the download is complete. Do not remove the USB stick until the green check mark displays to indicate the download is complete. AB.100.282 Figure 7-1 • Software 10 Fail State screen Figure 7-2 • Software 11 Fail State screen 7-68 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download Service Diagnostics and Software Download In this section 8.1 Service Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3 8.1.1 Main menu and system information. . . . . . . . . . . . . . . . . . . . . . 8-3 8.1.2 Erase Logs and Reset Passwords. . . . . . . . . . . . . . . . . . . . . . . 8-4 8.2 Software Download. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6 8.2.1 Download process. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7 8.2.2 Download complete. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7 8.2.3 Software compatibility check. . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8 8.3 Power Diagnostics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9 8.3.1 Battery Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10 8.4 Reset Touchscreen Cal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11 8.5 System software upgrade. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12 8.5.1 Before upgrading system software. . . . . . . . . . . . . . . . . . . . . . 8-12 8.5.2 Upgrading system software. . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13 8.5.3 Post system software download checkouts. . . . . . . . . . . . . . . . 8-13 8.6 Software option upgrade. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15 8.7 PC Service Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-18 8.7.1 Port setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-18 8.7.2 Main menu and system information. . . . . . . . . . . . . . . . . . . . . .8-19 8.7.3 Log checkout results to file. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-20 8.7.4 Log calibration results to file. . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21 8.7.5 VCB diagnostics and calibration. . . . . . . . . . . . . . . . . . . . . . . . 8-22 8.7.6 Sensirion sensors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23 8.7.7 VCB input signal latch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23 8.7.8 VCB channel configurations. . . . . . . . . . . . . . . . . . . . . . . . . . . 8-24 8.7.9 VCB outputs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-25 8.7.10 Calibrations and tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-26 8.7.11 Calibration tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-29 8.7.12 Neon tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-29 8.7.13 NVM error log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-31 2065496-001 Rev G (2024 12) 8-1 CARESCAPE R860 8.7.14 VMB diagnostics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-31 8.7.15 VMB channel configurations. . . . . . . . . . . . . . . . . . . . . . . . . . 8-32 8.7.16 Acutronic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-32 8.7.17 VMB data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-33 8.7.18 Baro P cal (barometric pressure transducer). . . . . . . . . . . . . . 8-33 8-2 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 8.1 Service Application Note The DU uses USB media to download software. Use the Service Application to download software or to run various diagnostic functions from the ventilator. To run the application: Set the system power switch to Off. Insert the USB media into the open slot of the display unit (circled below). 3. Set the system power switch to On. The Service Application loads and displays the Main Menu along with the System Information page. AB.100.373 1. 2. 8.1.1 Main menu and system information The Main Menu appears on the left-hand side of the screen and the System Information appears on the right-hand side of the screen and displays the system information as shown. • • • 2065496-001 Rev G (2024 12) Select Software Download to access the Software Download function. Select Power Diagnostics to access Power Controller Readings pages. Select Reset Touchscreen Cal to reset Touchscreen Calibration. 8-3 CARESCAPE R860 . System Serial Number System Information ANA(Year)XXXXX Currently Installed Man Menu [SW10] Subsystem HW Rev Serial # SW Ver BootVer Software Download Front Panel Cntl n/a n/a XX.XX XXXX Power Diagnostics Power Monitor BD XXXX/A/XX ABCXXXXX XX.XX XXXX Reset Touchscreen Cal Vent Monitor Bd XXXX/A/XX ABCXXXXX XX.XX XXXX Vent Control Bd XXXX/A/XX ABCXXXXX XX.XX XXXX Main Menu [SW11] Display Unti BIOS XXXX/A/XX ABCXXXXX XX.XX n/a Software Download Display Unit App XXXX/A/XX ABCXXXXX XX.XX n/a Power Diagnostics Reset Touchscreen Cal Erase Logs Reset Passwords Note You cannot return to the Power Diagnostics or Reset Touchscreen Cal menus of the Service Application after entering the Software Download menu. You must reboot the system to exit Software Download. If a subsystem is not communicating, the message “Not communicating” will be shown instead of the information fields. If the system is running on battery power instead of AC power, the warning message “Running on battery” will be displayed in the bottom row of the Menu area on the left side of the screen. 8.1.2 Erase Logs and Reset Passwords AB.100.284 Software version 11 allows the erasure of system service logs. Software version 11 also includes functionality to reset the Configuration and Service passwords to the factory default passwords. Figure 8-1 • Software 11 Service Application Main Menu 8-4 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download Erase Logs 1. 2. From the Service Application Main Menu, select Erase Logs. The system displays the following notification: Erase Logs is normally used only as a part of the display battery replacement procedure AFTER the display battery has been replaced. OK to Erase Logs? Select one of the following options. No Yes AB.100.285 • • Figure 8-2 • Software 11 Erase Logs Reset Password 1. 2. From the Service Application Main Menu, select Reset Passwords. The system displays the following notification: Reset Passwords replaces customer set passwords with the factory default passwords for either Super User and/or Service Password. Select one of the following options. • • • • Set the passwords to the facility defaults. See "4.1.1 Configure passwords (Install or reset)". AB.100.286 3. Reset Super User Password Reset Service Password Reset Super User & Service Pwd Cancel Figure 8-3 • Software 11 Reset Passwords 2065496-001 Rev G (2024 12) 8-5 CARESCAPE R860 8.2 Software Download Use the Trim Knob to select Software Download to view the Software Download menu. Software Download Remarks Download New Downloads only new software versions not found on the system and compatible with installed subsystem hardware. Download All Downloads all software subsystems. Since downloading all the subsystem software can take up to 30 minutes, you should normally choose Download New to install only the updated subsystem software or software required for newly installed subsystem. . Software Loader for CARESCAPE R860, Ver X (Date)(Time) System Serial Number System Information ABCDXXXXXXXXX Currently Installed Software Download Subsystem HW Rev Serial # SW Ver Status Download New Front Panel Cntl n/a XX.XX XX.XX Xxxxxxx Download All Power Monitor BD XXXX/A/XXX XX.XX XX.XX Xxxxxxx Vent Monitor Bd XXXX/A/XXX XX.XX XX.XX Xxxxxxx Vent Control Bd XXXX/A/XXX XX.XX XX.XX Xxxxxxx Display Unti BIOS XXXX/A/XXX XX.XX XX.XX Xxxxxxx Display Unit App XXXX/A/XXX XX.XX XX.XX Xxxxxxx XX.XX XX.XX Xxxxxxx ModBus Controller n/a Note Whenever a Software Download is completed, a software compatibility table is written to internal media. This file is used by the DU application software to ensure that the system remains in an approved configuration when the application software is started. Note To ensure that all software versions on the system are compatible, the end result of “Download All” or “Download New” will be the same. The software loaded on the machine will exactly match what is on the USB Media. Be sure to have the latest/correct version of the software before attempting a download to avoid inadvertent overwrites of new software with a an older version. If during the Download New process, the compatibility checker detects a newer version of software component on the system, a Notice appears on the screen that asks you to confirm the downgrade. Download All will download all compatible software from the USB media to the system. If the compatibility checker detects a newer version of software component on the system a Notice appears on the screen that asks you to confirm the downgrade. 8-6 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 8.2.1 Download process The USB media includes only the latest software for each subsystem along with the functionality to use the Power Diagnostics menu. AB.100.448 Note If a "Bios Upgrade Error" appears during the software download, the new hardware is not compatible with the media version of the USB stick used with 10.SP04 software. Check the USB stick and verify the media version is 1.18. As each subsystem software segment is being downloaded, the following status messages describe the state of each subsystem and the result of the download: • • • • • • • • Waiting - Attempting to establish communications with the subsystem. No Comms- The subsystem is not communicating with the DU. In App - System is running its application code; not ready for download. Ready - System is in its boot code; ready for download. Loading - System is accepting download data. Done - Software download has completed successfully. Skipped - Software download was bypassed. Fail - Software download did not complete successfully. A “Fail” message will require reloading of the software; or repair of the system may be necessary. If the subsystem is communicating but the HW Rev or current SW Rev are not known, dashes will appear for those values. Note If a Communication Failure occurs during software download, power down the system, wait for 20 seconds, and restart system. 8.2.2 Download complete When all the required subsystem software is downloaded, the following message appears on the screen. You must shut down the system to exit the download function. DOWNLOAD IS COMPLETE. Remove AC mains power. Turn On/Standby switch to Standby. Then remove external USB media. Wait 20 seconds before restoring power to the system. Note After powering down the system, be sure to wait at least 20 seconds before restarting the system. 2065496-001 Rev G (2024 12) 8-7 CARESCAPE R860 8.2.3 Software compatibility check If Software Download detects an incompatible subsystem, an error message noting the incompatible subsystem is displayed ERROR!! INCOMPATIBLE SOFTWARE. The software version on the USB Media is not compatible with the installed XX subsystem. Installed part #: (Stock Number) (Rev X), sw ver XX.XX USB Media part #: (Stock Number) (Rev X), sw ver XX.XX 8-8 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 8.3 Power Diagnostics The Service Application (USB media) provides power supply diagnostics for the various circuit boards in the ventilator. Select Power Diagnostics to view the power status and measured voltages. There are two pages of diagnostics for the Power Controller. Problem voltages are displayed in red. Use the Trim Knob to scroll to the second page. Push the Trim Knob to return to the Main menu. Power Controller Readings, Page 1 Label Value Format AC Status OK, Fail Units Lower Limit Upper Limit 12 Vdc Supply XX.XX Vdc 11.70 12.30 3.3 Vdc X.XX Vdc 3.201 3.399 1.5 X.XXX Vdc 1.450 1.550 Battery Connected Yes, No Battery Status Fail, Bulck Chg, Over Chg, Float Chg, Trickle Chg, Discharge Battery Current X.XXX Battery 1 Volts XX.X Vdc <6.0 FAIL (red) <10 T Chg (yellow) 10-15.5 (green) 10.0 16.50 Battery 2 Volts XX.X Vdc <6.0 FAIL (red) <10 T Chg (yellow) 10-15.5 (green) 10.0 16.50 Calc Battery Time XX 0 to 30 *Date Battery Tested XX-ABC-XXXX *Last Full XXX Discharge Time A Min Min *The system must run for at least 30 minutes for data to show 2065496-001 Rev G (2024 12) 8-9 CARESCAPE R860 Power Controller Readings, Page 2 Label Value Format Units Board Temperature <65C OK (green) >65C <75C Warn (yellow) >75C Fail (red) Deg C Fan Speed Slow, Fast Fan 1 Voltage XX.XX Vdc (high fan speed = 23.7V typical) lwo fan speed = 20.7V typical Fan 1 Status Fail, OK Fan 2 Status Fail, OK Lower Limit Upper Limit 65 17.5 25.0 Note Fan 1 is located on the rear cage, Fan 2 is located on the PMB. 8.3.1 Battery Status The battery status is listed on the first page of the Power Controller Readings. Use the following table for Battery Status descriptions. 8-10 Battery Status Description Fail Battery is disconnected from Power Control Power Diagnostics and is in Trickle mode for >12 hours. Bulk Chg Initial phase of battery charging. Battery is at 600 mA when system is running and 1.2A when system is in standby. Over Chg Topping off remaining 5-10% of battery capacity and approaching full charge. Float Chg Battery is being maintained at full charge. Trickle Chg Independent of battery charger. Severely degraded batteries are charged at 25 mA constant current when either battery is 6-10 Vdc and batteries are not connected to Power Control Power Diagnostics. Discharge System is running on battery power. 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 8.4 Reset Touchscreen Cal Select Reset Touchscreen Cal from the Main menu of the Service Application to reset Touchscreen Calibration to factory defaults. Check touchscreen points for accuracy and run the Touchscreen calibration if necessary. See "5.4 Touchscreen calibration". Note When the touchscreen is reset there is no status message. If the touchscreen is reset a second time, the following message displays: ‘Already reset: file D:\ELOCAL.DAT not found.’ Disregard the message and run the Touchscreen calibration if necessary. 2065496-001 Rev G (2024 12) 8-11 CARESCAPE R860 8.5 System software upgrade AB.100.445 Important Major Software version upgrades (for example 10.X to 11.X) require one individual USB stick per system. The USB service stick has 1 license that is consumed during the software upgrade. If an attempt is made to use the same USB service stick to upgrade another system, a Warning will be displayed. You may use a USB service stick with a consumed license to perform the Software Download Function, as long as the software version of the system is the same as the USB service stick. Service pack upgrades (for example 10.SP01 to 10.SP02) can be made on multiple systems using the same USB upgrade stick. 8.5.1 Before upgrading system software Note Completing a software upgrade from version 10 to version 11 no longer requires manual recording of the configuration parameters below. The configuration parameters automatically persist as part of the software version 11 upgrade. 1. Access the Configuration menu (Super User) and then Service menus and record the following configuration parameters. • Enter the Configuration menu using the Super User password. Select the appropriate tab and record the following configuration parameters: • • • • • 8-12 Paw (Configuration menu > Units tab) CO2 (Configuration menu > Units tab) Height (Configuration menu > Units tab) Weight (Configuration menu > Units tab) Energy Expenditure (Configuration menu > Units tab 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download • • • • • Exit the Configuration (Super User) menu. Enter the Service menus using the Service password. Select the appropriate tab and record the following configuration parameters: • • • • 2. Decimal marker (Service > Localization tab) Language (Service > Localization tab) Altitude Units (Service > Localization tab) Altitude (Service > Localization tab) From the Service menu > Service Log > Main tab, copy the system logs before upgrading to new software. • 3. Gas Supply Pressure (Configuration menu > Units tab) Blood Gases (Configuration menu > Units tab) Hb (Configuration menu > Units tab) Use a USB media stick to download the service logs. A checkmark displays when logs are copied. Power down the system. 8.5.2 Upgrading system software Start up the machine using the USB media loaded with the new release of the system software. 1. 2. 3. Select Software Download. Select Download New to upgrade the machine to the latest system software version. When all required subsystem software is downloaded, follow the system message that displays on the screen. 8.5.3 Post system software download checkouts 1. 2. Start up the system. Access the Configuration menu (Super User) and Service menus. • Enter the Configuration menu using the Super User password. Select the appropriate tab and enter the previously recorded configuration parameters: • • • • 2065496-001 Rev G (2024 12) Paw (Configuration menu > Units tab) CO2 (Configuration menu > Units tab) Height (Configuration menu > Units tab) Weight (Configuration menu > Units tab 8-13 CARESCAPE R860 • • • • • • Exit the Configuration (Super User) menu. Enter the Service menus using the Service password. Select the appropriate tab and set the following configuration parameters: • • • • • Energy Expenditure (Configuration menu > Units tab) Gas Supply Pressure (Configuration menu > Units tab) Blood Gases (Configuration menu > Units tab) Hb (Configuration menu > Units tab) Decimal marker (Service > Localization tab) Language (Service > Localization tab) Altitude Units (Service > Localization tab) Altitude (Service > Localization tab) Verify all previously loaded configurations have been loaded. Changes made in the Configuration and Service mode will affect the system configuration. All changes made are permanent and preserved until changed again. There are several settings that may be changed in the Configuration/ Service mode. These settings should only be changed by the facility person (Super User) responsible for the configuration of the ventilator. CAUTION -- 3. 4. 5. 6. 8-14 Perform the calibration procedures as defined in "5.1.1 Calibration procedures". Verify active feature(s) /option(s) match the feature(s)/option(s) recorded prior to upgrade. Perform the checkout procedure as defined in "3.2 System checkout overview". Provide the customer with the new User’s Reference Manual. 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 8.6 Software option upgrade 1. Power on the ventilator or select Standby. • 2. Select the Setup icon. • 3. 4. 5. The Standby menu displays. The keypad displays. Enter the Service password. The Service menus and tabs display with the alarm management bar and the Standby key colored orange. Install the appropriate USB option stick into the back of the display unit as indicated. This USB port should be used by Service personnel only. Note AB.100.211 -- 6. 2065496-001 Rev G (2024 12) On the Service menu, select the Optional Features tab. 8-15 AB.100.381 CARESCAPE R860 AB.100.340 Figure 8-4 • Software 10 Optional Features Figure 8-5 • Software 11 Optional Features 7. Select USB Upgrade to enable the option on the USB stick • • 8. 8-16 Verify the USB upgrade menu displays the name of the option to be installed, for example FRC. SIMV PRVC and BiLevel VG cannot be loaded at the same time. For example: if SIMV PRVC is already loaded and the user wants to load BiLevel VG, SIMV PRVC must be uninstalled before loading BiLevel VG. Select Upgrade and OK. 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download • Verify the USB upgrade menu displays “Options enabled”. If the option is already installed, “Options already installed” displays. Note -- • Verify that the upgraded option is checked in the Optional Features menu. 9. Remove the USB option stick from the display unit. Repeat the above procedure for each additional upgrade, otherwise continue to next step. 10. From the Optional Features menu, record the Current Key and Control Board ID on the Key/BID label included in the upgrade kit. Replace old Key/BID label - see "9.12.1 Attaching Key/BID labels" 11. After completing the upgrade, record the serial number of the system upgraded and leave this information and the USB stick with the customer. 12. Perform the touchscreen calibration as defined in "5.4 Touchscreen calibration". 13. Verify active feature(s) /option(s) match the feature(s)/option(s) recorded prior to upgrade. 14. Perform the checkout procedure as defined in "3.2.1 System Check (Software 10 and 11)". 15. Provide the customer with the new User’s Reference Manual 2065490-001 (SW10) or 5839923 (SW11). 2065496-001 Rev G (2024 12) 8-17 CARESCAPE R860 8.7 PC Service Application The ventilator PC Service Application (1505-8001-000) runs on a Windows based computer and communicates with the ventilator through Port 3 on the back panel of the ventilator. The PC Service Application uses a RS-422/RS485 to USB converter (1505-8586-000) and cabling (1505-8587-000) to connect the ventilator display unit to the PC. For software, converter and cable parts information, see "10.1.1 Software tools". 1. 2. 3. Attach the USB connector of the converter cable to the PC. Attach the male d-sub connector to Port 3 on the back panel of the ventilator. From the Standby screen, select the Setup button. Enter the Service password to access the Service mode. 8.7.1 Port setup When the ventilator serial port is enabled, the PC Service Application displays the Port Setup screen that allows a COM port for the PC to be selected. Note Make sure no other applications, such as PDA hot-sync, are using this port while the PC Service Application is running. Select the appropriate COM port. Select OK to continue. AB.100.374 1. 2. 8-18 Menu Item Selections Default Port COM1, COM2, COM3, COM4, COM5, COM6, COM7, COM8, COM9, COM10 Com1 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 8.7.2 Main menu and system information AB.100.375 The PC Service Application main menu shows the Vent Control Board and Vent Monitor Board revision numbers for system hardware, software, and additional system components. The Main menu also shows the version number of the PC Service Application being used Note Closing the main menu, closes the PC Service Application. 1. 2. Check the Connection Status message area, which shows if the program is communicating with the ventilator. Select Gas Supply and PAW units. • • Menu Item Selections Default Gas Supply Units (VMB) psi, kPa, bar psi PAW Units (VCB/VMB) cmH2O, kPa, mbar cmH2O 3. Select the VCB window to display the VCB Diagnostics and Calibrations page or VMB window to display the VMB Diagnostics page. • • 2065496-001 Rev G (2024 12) Select Gas Supply units for gas units to display on the VMB screen. Select PAW Units for pressure units to display on the VCB and VMB screens. Both VCB and VMB Diagnostics pages can be displayed at the same time. When the VCB Diagnostics page is selected, the PC displays the window used to select the logging file. It is recommended to start logging calibration and test results immediately, see "8.7.3 Log checkout results to file" . 8-19 AB.100.376 CARESCAPE R860 • • The Default file name is the VCB serial number.log Select Open to create a new file. Selecting File Name starts the logging function, but does not display the log. To display the log select Message Log from the VCB page. Note -- 8.7.3 Log checkout results to file The ventilator does not have to be in the Service Mode to log the checkout results. Power on the system and wait for the first menu to display. Connect a PC to the system and start the PC Service Application software. Access the Log Calibration result to file area of the PC Service Application and select Find Log File. When Find Log File is selected the Open window appears. 4. Select the desired folder on the local PC hard drive to store Log Files AB.100.377 1. 2. 3. • • 5. 8-20 Rename the file, and then select OPEN. The suggested file naming convention is Serial Number+date+”ck.log” If a Log File does not exist a message window displays. Select Yes to create a Log File. Verify the file address location displayed in the Log Calibration results to file area and select Start Logging. The Status Log window displays and indicates that the log has been initialized. 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 6. 7. 8. From the ventilator, access the Standby screen and select System Check. Follow the screen instructions and select Start. Information from the ventilator will begin loading into the log after a few seconds. From the PC, select Stop Logging from the Status Log window after checks are complete. As each system checkout occurs the Status Log will display either Pass or Fail. If a checkout fails, the log will record and display information about the exact parameter that failed. This information is essential in determining the cause for checkout failure(s) Note Always include the Log file when customer quality reports are submitted. Log Calibration results to file: Enter file name (example D:\testlog1.log). Find Log File Searches for a log file that already exists. Start Logging Updates selected log as calibrations are completed. Note: The current log overwrites previous entries. Message Log Displays current log messages. Stop Logging Turns off the calibration log. 8.7.4 Log calibration results to file The ventilator must be in the Service Mode to log the calibration results. 1. AB.100.378 2. 3. 4. Power on the system. From Standby, select Setup, enter the Service password. Select the Calibrations menu. Connect a PC to the system and start the PC Application software. Access the Log Calibration result to file area of the PC Service Application, and then select Find Log File. 5. Select the desired folder from the PC hard drive to store Log Files. • 2065496-001 Rev G (2024 12) Rename the file and select OPEN. The suggested file naming convention is Serial Number+date+”cal.log” 8-21 CARESCAPE R860 • 6. 7. 8. If a Log File does not exist a message window displays. Select Yes to create a Log File. Verify the file address location displayed in the Log Calibration results to file area and select Start Logging. The Status Log window displays and indicates that the log has been initialized. From the Calibrations menu, select each calibration and follow the screen instructions to complete the calibrations. From the PC, select Stop Logging from the Status Log window after calibrations are complete. As each system calibration occurs the Status Log will display Pass or Fail. If a calibration fails, the log will record and display information about the exact parameter that failed. This information is essential in determining the cause of a calibration failure. Important Always include the Log file when customer quality reports are submitted. Log Calibration results to file: Enter file name (example D:\testlog1.log). Find Log File Searches for a log file that already exists. Start Logging Updates selected log as calibrations are completed. Note: The current log overwrites previous entries. Message Log Displays current log messages. Stop Logging Turns off the calibration log. 8.7.5 VCB diagnostics and calibration Select VCB Window from the PC Service Application main menu to show the VCB Diagnostics and Calibration page. This page is made up of five grouped areas: Sensirion Sensor, VCB Outputs, Calibration and Test, VCB Input Signal Latch, and VCB Channel Configurations. Each of these areas are described later in this section. Located on the lower-right side of the page is the area where Calibration results can be logged. 8-22 2065496-001 Rev G (2024 12) AB.100.379 8 Service Diagnostics and Software Download Figure 8-6 • CB Diagnostics and Calibration 8.7.6 Sensirion sensors The Sensirion (Inspiratory Flow) Sensors group shows the temperature and the flow through each flow sensor: Total flow, Oxygen, and Air. 8.7.7 VCB input signal latch The VCB Input Signal Latch group shows the status of the item in the group. If the item is within the acceptable range, “OK” is shown next to the value. If the item is out of the acceptable range, “FAIL” is shown. If the acceptable range is not currently known, the Status will show “---”. 2065496-001 Rev G (2024 12) 8-23 CARESCAPE R860 Item Description Module Power FAIL = Power to the monitor module has failed. OK = Module Power has not failed or module power has been manually shut off. Port 2 Power FAIL = Power to the Expansion Port 2 has failed. OK = Expansion Port 2 power has not failed or Expansion Port 2 power has been manually shut off. Insp Press Zero Valve ON = Inspiratory pressure zero valve on. OFF = Inspiratory pressure zero valve off. Aux Press Purge Valve ON = Auxiliary pressure purge valve on. OFF = Auxiliary pressure purge valve off. Exhalation Vlv Open YES = VMB is commanding the exhalation valve open. NO = The valve is not opened. VMB Buzzer On? YES = VMB is activating the buzzer. NO = Buzzer is not active or is activated by the VCB. Nebulizer Detected? YES = Nebulizer is connected. NO = Nebulizer is not connected. Buzzer Detected? NO = Buzzer current is too low. Valid when buzzer should be on. YES = Buzzer is sensed. NA = Buzzer not being activated. Over Pressure DETECTED = Inspiratory over-pressure currently detected. NOT DETECTED = Over pressure is not detected on the Inspiratory side. VCB PLD Rev Displays the revision number of the Programmable Logic Device software. 8.7.8 VCB channel configurations The VCB Channel Configurations group includes items that are measured from the VCB. If the item is within the acceptable range, “OK” is shown next to the value. If the item is out of the acceptable range, “FAIL” is shown. If the acceptable range is not currently known, the Status will show “---”. 8-24 Item Description Format Units Range Auxiliary Press Auxiliary pressure sensor measurement XXX.XX cmH2O -20 to 120 Inspiratory Press Inspiratory pressure sensor measurement XXX.XX cmH2O -20 to 120 Exhalation Volt Exhalation valve voltage XXXXX mV 0 to 12500 Exhalation Current Exhalation valve current XXX.X mA 0 to 815 O2 Flow Current O2 Flow Valve drive current XXX.X mA 0 to 198 Air Flow Current Air Flow Valve drive current XXX.X mA 0 to 198 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download Item Description Nebulizer Power Nebulizer power (when on) Nebulizer power (when off) Format Units Range XXXXX XXX mV mV On: 11500 to 12710 Off: 0 to 500 Ambient Temp Ambient temperature near the valve XXX.X drive circuits (10 mV per 1 degree K) C 0 to 55 Module Power 16V Circuit breaker for module power XXXXX mV 15200 to 16800 12.5V Supply 12.5V supply voltage XXXXX mV 12040 to 13330 5V Analog 5V analog supply voltage XXXXX mV 4800 to 5200 6V Analog 6V analog supply voltage XXXXX mV 5760 to 6240 -6V Analog -6V analog supply voltage XXXXX mV -6240 to -5760 5.5V Analog 5.5V analog supply voltage XXXXX mV 5280 to 5720 Insp Flow Power 9V power supply for the O2 and Air inspiratory flow sensor XXXXX mV 4800 to 5720 Total Insp Flow Pwr 9V power supply for the total inspriatory flow sensor XXXXX mV Not Applicable 4.096V Ref Analog measurement of the independent 4.096V voltage reference XXXXX mV 4055 to 4137 Ground Measurement of the analog ground at the A to D converter XXXXX mV 0 to 10 8.7.9 VCB outputs The VCB Outputs group controls items that can be turned On or Off. Items whose default state is “On”, initially have a checkmark in the checkbox. For items whose default state is “Off”, the checkbox is initially cleared. 2065496-001 Rev G (2024 12) Item Function Default Safe Valve Energized Opens/Closes Safety Valve. Not checked Effort Valve Energized Opens/Closes Inspiratory Effort Maneuver Valve. Not checked Nebulizer Enabled Enables/Disables power to the Nebulizer. Not checked Module Power On Turns Module Bus power on/off. Checked Port 2 Power On Turns Expansion Port 2 power on/off. Not checked Insp Press Zero Inspiratory pressure zero valve on/off. Not checked 8-25 CARESCAPE R860 Item Function Default Aux Press Purge Auxiliary pressure purge valve on/off. Not checked Buzzer On Controls the buzzer (On/Off) from the VCB. Not checked Nurse Call On Controls the Nurse Call (On/Off) from the VCB. (Port 4, Pins 3, 10 and 11) Not checked Air Flow Valve Enables/Disables Air flow valve. Disabled while a calibration is running. Checked Air DAC Set any DAC value from (decimal) 0 to 65535 for the Air Flow Valve. 0 Set Air Flow Sends the Air Flow value to the VCB. The Air Flow Not checked value will be sent when checked. When the DAC value is returned, the Set Air Flow will be cleared and the Air DAC will be updated with the returned value. Air Flow Set any air Flow value from 0 to 170, 000 ml/min for the Air Flow value. O2 Flow Valve Enables/Disables O2 flow valve. Disabled while a Checked calibration is running. O2 DAC Set any DAC value from (decimal) 0 to 65535 for the O2 Flow Valve. 0 Set O2 Flow Sends the O2 Flow value to the VCB. The O2 Flow Value will be sent when checked. When the DAC value is returned, the Set O2 Flow will be cleared and the O2 DAC will be updated with the returned value. Not checked O2 Flow Set any O2 Flow value from 0 to 170, 000 ml/min for the O2 Flow value. 0 Exhal Flow Valve Enables/Disables Exhalation flow valve. Disabled while a calibration is running Checked Exh DAC Set any DAC value from (decimal) 0 to 65535 for the Exhalation Flow Valve. 0 Dither DAC DAC value that adjusts the amplitude of the dither 50000 signal to the exhalation valve. 0 8.7.10 Calibrations and tests The Calibration and Tests group includes buttons and tabs so that a specific calibration or test can be accessed easily. Calibrations Calibrations may be accessed through buttons that are shown in the Calibrations and Tests group. The O2 Flow Valve DAC, Air Flow Valve DAC, and the Exhal Flow Valve DAC return to their default values when a calibration is completed. 8-26 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 1. 2. Select the desired calibration button. Verify that the Calibration Running shows the calibration status and the completion percent. Item Function O2 Flow Valve Runs the O2 Flow Valve test. See "5.1.1 Calibration procedures". O2 Sensor Runs the O2 sensor test. See "7 Troubleshooting" Exh Flow Zero Exhalation flow sensor zero. See "5.1.1 Calibration procedures". Zero Pressures Zeros the Inspiratory and Expiratory pressure sensors. Air Flow Valve Runs Air Flow Valve test. See "5.1.1 Calibration procedures" Valve Sweep Factory only, requires additional tools. Exhal Valve Runs the Exhalation Flow Valve test. See "5.1.1 Calibration procedures" Calibration running Shows the current calibration that is running. % Done The percentage of the calibration that is complete. Low P Leak Test 1. 2. 3. Select the Low P Leak Test tab. See "5.2.5 Vent engine leak test (low pressure)" for complete setup instructions. Select the Low P Leak button. Important Pressure of less than 70 cmH2O when the Low Peak button is pressed may result in false indications. • • • The Pressure Leak Test Messages box becomes active when a test is running and displays Pass, Fail, or provides guidance in case a test failure occurs. If the test fails, see "7 Troubleshooting". When the calibration has been completed, the Low Pressure Leak Result displays in ml/min. If the test fails, the Pressure Leak Test message box will show a prompt to run the Low P2 Test. Item Description Low P Leak Runs Low Pressure Leak test. Low Pressure Leak The measured leak from the last Low Pressure Leak test run. result: High P Leak Test 1. 2065496-001 Rev G (2024 12) Select the High P Leak Test tab. 8-27 CARESCAPE R860 2. 3. 4. 5. See for complete setup instructions. See "5.2.6 Vent engine leak test (high O2 pressure)" for complete setup instructions. Verify Air inlet filter is installed. If it is not, then clear the Air inlet installed checkbox. Verify O2 inlet filter is not installed. If it is installed, then check the O2 inlet filter installed checkbox. Select the High O2 Leak or High Air Leak button to start the test. • • The description of the test running shows in the Pressure Leak Test Messages box. When the calibration has completed, the Leak Result is shown in ml/ min. Item Description High O2 Leak Runs High O2 Pressure Leak test. O2 Leak Displays the calculated vent engine high pressure O2 leak. The value reported is based on the O2 inlet filter installed selection. O2 Flow Valve leak Displays the calculated vent engine high pressure O2 Flow Valve leak. Measurement includes bypass flow. If leak is greater than 200 ml, perform vent engine cleanout procedure in "5.2.3 Vent engine debris clean-out". If leak is greater than 500 ml, replace the flow valve. High Air Leak Runs High Air Pressure Leak Test. Air Leak Displays the calculated vent engine high pressure Air leak. The value reported is based on the Air inlet filter installed selection. Air Flow Valve Leak Displays the calculated vent engine high pressure Air Flow Valve leak. If leak is greater than 200 ml, perform vent engine cleanout procedure in "5.2.3 Vent engine debris clean-out". If leak is greater than 500 ml, replace the flow valve. Span Cal 1. 2. 3. 4. Select the Span Cal tab. Complete setup instructions. See "5.2.8 Calibrate airway pressure transducer Zero and Span" for complete setup instructions Enter desired Span DAC value. Select Reset to reset the Span DAC value to 0. Select the Start Paw Span to begin test and Paw Span to end the test. Note There is no indication of a successfully completed calibration other than a change in pressure readings. When Span Cal is complete, all three sensors should be within +/- 4 cmH2O of each other. 8-28 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download Item Description Start Paw Span Starts airway pressure transducer zero and span for all three pressure transducers (Insp, Exp, and Aux). End Paw Span Ends airway pressure transducer zero and span for all three pressure transducers (Insp, Exp, and Aux). Span DAC Valve Exhalation valve DAC counts for the Paw Span Test. Default = 0 Reset DAC Sets DAC value to zero. 8.7.11 Calibration tables AB.100.380 Displays a new window showing the calibration tables of the Air Flow Valve, O2 Flow Valve, and Exhal Valve tests. Select the Cal Tables button to open the calibration Tables window. 8.7.12 Neon tools AB.100.381 The Neon Toolbox group contains lists of counts, flows, and zero offsets related to the Neonatal Flow Sensor (NFS). Select the Neon tool button to open the Neon Toolbox window. The following section provides information and descriptions of VCB Flows, VMB Flows, Static Zeroing, and Offsets. 2065496-001 Rev G (2024 12) 8-29 CARESCAPE R860 VCB flows Item Function Unit Isnp Flow Displays the Inspiratory Flow counts reported by the Neonatal Flow Sensor. Counts Exp Flow Displays the Expiratory Flow counts reported by the Neonatal Flow Sensor. Counts Net Flow Net Flow is calculated from the counts reported by the Neonatal Flow Sensor and the current zero point. Inspiratory flow is displayed as positive net flow and expiratory flow is displayed as negative net flow. ml/min VMB flows Item Function Unit Isnp Flow Displays the Inspiratory Flow counts reported by the Neonatal Flow Sensor. Counts Exp Flow Displays the Expiratory Flow counts reported by the Neonatal Flow Sensor. Counts Net Flow Net Flow is calculated from the counts reported by the Neonatal Flow Sensor and the current zero point. Inspiratory flow is displayed as positive net flow and expiratory flow is displayed as negative net flow. ml/min Static zeroing Item Function Unit Isnp Offset The inspiratory point of the DAC, recorded from the last Counts static zero. Exp Offset The expiratory point of the DAC, recorded from the last Counts static zero. Zero NFS When selected, the system performs a static zero of the Neonatal Flow Sensor. Offsets 8-30 Item Function Unit Isnp Offset (DAC Counts) Displays the inspiratory DAC zero offset movement from the last recorded static zero. Updated by the dynamic zeroing. Counts Exp Offset (DAC Counts) Displays the expiratory DAC zero offset movement from the last recorded static zero. Updated by the dynamic zeroing Counts 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download Item Function Unit Isnp Offset (ADC Counts) Displays the calculated inspiratory zero offset since the Counts last DAC zero movement. Updated by the dynamic zeroing. Exp Offset (ADC Counts) Displays the calculated expiratory zero offset since the Counts last DAC zero movement. Updated by the dynamic zeroing. 8.7.13 NVM error log AB.100.382 The NVM (Non-volatile Memory) error log window shows the VCB NVM error log from the VCB. This file may be requested to assist in product investigations. If the error log is requested, do the following. 1. 2. 3. 4. Select the NVM Error Log button to open the window. Select GetError Log to show the VCB error log. Select all of the content in the window. Copy and paste the content into an e-mail or separate document and forward to requesting engineer. 8.7.14 VMB diagnostics Selecting VMB Diagnostics on the Main menu brings up the following page that contains these grouped areas: VMB Channel Configurations, Acutronic, VMB Data, and Baro P Cal. Each of these grouped areas are explained later in this section. 2065496-001 Rev G (2024 12) 8-31 AB.100.383 CARESCAPE R860 8.7.15 VMB channel configurations The VMB Channel Configurations group includes items that are measured from the VMB. If the item is within the acceptable range, “OK” is shown next to the value. If the item is out of the acceptable range, “FAIL” is shown. If the acceptable range is not currently known, the Status will show “---”. 8.7.16 Acutronic The Acutronic Flow Sensor is used in the ventilator. Use this window to view the Acutronic software version, and the Expiratory Zero ADC and DAC values. 8-32 Item Description SW Ver Software version of the acutronic Sensor software. Exp Zero ADC Displays the Analog to Digital Counter zero value for the expiratory flow sensor Exp Zero DAC Displays the Digital to Analog Counter used to zero the expiratory flow sensor. 2065496-001 Rev G (2024 12) 8 Service Diagnostics and Software Download 8.7.17 VMB data The VMB Data group shows the reported values for Expiratory Flow and O2 concentration. Item Description Format Units Exp Flow Expiratory flow sensor measurement. XXX.XX ml/min O2% Measured oxygen concentration from the oxygen sensor. XX.X % 8.7.18 Baro P cal (barometric pressure transducer) Baro P cal is used to calibrate the barometric pressure transducer. 2065496-001 Rev G (2024 12) Item Description Enter Pressure Enter the local barometric pressure in mmHg. The Baro P Calibration will use this value to calibrate the barometric pressure transducer. Baro P Cal Starts the barometric pressure transducer calibration. The calibration will Fail if nothing is entered in the Enter Pressure box. Status Displays the results of the barometric calibration (Passed or Failed). 8-33 8-34 2065496-001 Rev G (2024 12) 9 Repair Procedures Repair Procedures In this section 9.1 Communication - isolation cable connections. . . . . . . . . . . . . . . . . . . . 9-4 9.1.1 Connecting to the Datex-Ohmeda Com communication port. . . . .9-4 9.1.2 Connecting to the Nurse call communication port. . . . . . . . . . . . 9-4 9.2 Circuit board replacement precautions. . . . . . . . . . . . . . . . . . . . . . . . .9-6 9.2.1 Software download. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6 9.2.2 Required calibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6 9.3 Bleed the system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8 9.4 Access to chassis components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9 9.4.1 Removing the chassis from the housing. . . . . . . . . . . . . . . . . . . 9-9 9.4.2 Removing the Vent Engine from the chassis. . . . . . . . . . . . . . . 9-10 9.4.3 Replacing chassis mounted components. . . . . . . . . . . . . . . . . . 9-11 9.4.4 Replacing vent engine components. . . . . . . . . . . . . . . . . . . . . 9-12 9.4.5 Replacing the outlet manifold and vent engine harness. . . . . . . 9-14 9.4.6 Replacing the vent engine harness. . . . . . . . . . . . . . . . . . . . . . 9-15 9.4.7 Replacing the Inspiratory Valve Assembly. . . . . . . . . . . . . . . . . 9-16 9.4.8 Replacing the free breathing valve. . . . . . . . . . . . . . . . . . . . . . 9-16 9.4.9 Replacing the Vent Engine assembly, complete. . . . . . . . . . . . . 9-17 9.4.10 Replacing the Vent Engine sub-assembly. . . . . . . . . . . . . . . . 9-18 9.4.11 Replacing the Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-18 9.5 Service the Display Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-20 9.5.1 Disassemble the Display Unit. . . . . . . . . . . . . . . . . . . . . . . . . . 9-21 9.5.2 Replacing components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-22 9.5.3 Replacing the alarm light (PWA) board. . . . . . . . . . . . . . . . . . . 9-23 9.5.4 Replacing the Carrier board and Com Express board assembly. 9-23 9.5.5 Replacing the LCD/Touch and front bezel assembly. . . . . . . . . .9-24 9.5.6 Replacing the Keypad assembly. . . . . . . . . . . . . . . . . . . . . . . . 9-26 9.5.7 Replacing the CPU “coin” battery. . . . . . . . . . . . . . . . . . . . . . . 9-27 9.6 Display arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-29 9.6.1 Mounting the display arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-29 9.6.2 Removing the remote display arm. . . . . . . . . . . . . . . . . . . . . . .9-31 2065496-001 Rev G (2024 12) 9-1 CARESCAPE R860 9.6.3 Mounting to ISO 19054 Rail System (medi-rail) . . . . . . . . . . . . .9-32 9.6.4 Removing the non-remote display arm. . . . . . . . . . . . . . . . . . . 9-32 9.6.5 Removing the non-remote display arm from the display unit. . . . 9-33 9.6.6 Mounting the non-remote display arm. . . . . . . . . . . . . . . . . . . . 9-34 9.7 Removing the ventilator from the cart. . . . . . . . . . . . . . . . . . . . . . . . .9-35 9.8 Removing the compressor from the cart . . . . . . . . . . . . . . . . . . . . . . 9-36 9.9 Replacing the cart base. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-37 9.10 Replacing the cart casters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-41 9.10.1 Production Marking. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-44 9.11 Airway Module Bay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-45 9.11.1 Mounting and connecting the airway module bay. . . . . . . . . . . 9-45 9.12 Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-47 9.12.1 Attaching Key/BID labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-47 9.12.2 Attaching Feature labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-47 WARNING To prevent fires: • • Use lubricants approved for O2 environments, such as Krytox. Other lubricants may burn or explode in high O2 concentrations. All covers used on the system must be made from antistatic materials. Static electricity can cause fires in high O2 concentrations. WARNING Obey infection control and safety procedures. Used equipment may contain blood and body fluids. WARNING A movable part or a removable component may present a pinch or a crush hazard. Use care when moving or replacing system parts and components. WARNING Some internal parts have sharp edges and can cause cuts or abrasions. Use care when servicing internal components. WARNING When servicing the ventilator, extreme care must be taken to avoid introducing foreign debris into the pneumatic flow passages of the ventilator. This includes dust and contaminants on the vent engine and particularly metal chips generated by screw threads. Before removing components on the vent engine, secure a clean work area and thoroughly clean the vent engine to remove any contaminants. Failure to do so may result in damage to the internal components. WARNING After repairs are completed, always perform the System Check (Section 3) of this manual. CAUTION Electrostatic discharge through circuit boards may damage the components on them. Wear a static control wrist strap before touching the circuit boards. Handle all circuit boards by their non9-2 2065496-001 Rev G (2024 12) 9 Repair Procedures conductive edges. Use anti-static containers when transporting them Important If you encounter multiple failures during the Calibrations, System Check, or during the Service Checkout Procedures, especially tests associated with air supply, it could be an indication of water or hydrocarbon contamination. If you suspect contamination of this type, inspect the pipe inlet filters for signs of contamination. Contamination of this type would require the replacement of all contaminated components or the Vent Engine Sub-assembly, based on the extent of the contamination. 2065496-001 Rev G (2024 12) 9-3 CARESCAPE R860 9.1 Communication - isolation cable connections 9.1.1 Connecting to the Datex-Ohmeda Com communication port The port 5 and port 6 connectors allow serial input/output of commands and data. The 9 pin connectors are located on the back of the display unit and are labelled port 5 and Port 6. The output protocol is available at www.datexohmeda.com (under Products/Interfacing Commitment Products) or by contacting GE Healthcare at InterfaceCommitment@ge.com). 1. 2. 3. 4. Use a philips screwdriver and loosen the two captive screws that hold the display unit cable cover in place. Connect the isolation cable into port 5 (1) or port 6 (2) and guide the cable through the cable cover channel (3). Re-install the screws to secure the display unit cable cover Nudge the cover toward the left to release the mounting tab. 1 3 AB.23p015 2 9.1.2 Connecting to the Nurse call communication port Port 4 may be used to output alarm signals to a nurse call system. The ventilator will signal an alarm with a normally open or normally closed signal. The nurse call will be triggered by all audible medium and high priority alarms. When nurse call is paused, the nurse call signal will be off. Note The delay time from the onset of an alarm condition to the alarm signal leaving the nurse call port is up to two seconds. The facility is responsible for any additional delays introduced by equipment connected to the nurse call port. 1. 2. 9-4 Use a phillips head screwdriver and remove the screws from the port 4 cap (discard cap). Connect the nurse call isolation cable and tighten the connection screws. 2065496-001 Rev G (2024 12) 9 Repair Procedures 10 11 AB.100.139 3 2065496-001 Rev G (2024 12) 9-5 CARESCAPE R860 9.2 Circuit board replacement precautions The ventilator stores the system serial number and installed optional features, if any, in the following locations: • • • Display Unit CPU board Vent Control board (VCB) Power Monitor board (PMB) Each time the system is powered up, the software checks to ensure that the information stored in these locations is the same. If, on power up, only two of the three boards have matching information (such as would be if one of these boards is replaced), the software loads the information from the two matching boards to the third board. This scheme allows for replacement of these boards while retaining machine specific parameters. Note No checking or replication occurs when the Service Application is loaded. The unit must be powered up with system software. CAUTION Do not replace more than one of these boards at a time without first powering up the unit. Wait until the initial checkout menu appears to ensure that the machine specific information has been replicated. 9.2.1 Software download After replacing any of the following boards, download the current software for the newly installed subsystem. See "8.2 Software Download". • • • • Display Unit (Carrier board and Com Express board assembly) Power Monitor board (PMB) Vent Monitor board (VMB) Vent Control board (VCB) 9.2.2 Required calibrations When repairs are complete, if either the VMB or the VCB were replaced, the following calibrations must be performed before completing the checkout procedure. If the VMB is replaced, do the following: • • Calibrate the airway pressure transducers. Calibrate the barometric pressure transducer. If the VCB is replaced, do the following: • 9-6 Calibrate the airway pressure transducers . 2065496-001 Rev G (2024 12) 9 Repair Procedures • 2065496-001 Rev G (2024 12) Calibrate the flow control valves: O2 FCV, Air FCV, and Exhalation Valve. 9-7 CARESCAPE R860 9.3 Bleed the system Before disconnecting pneumatic fittings, do the following to bleed all gas pressure from the system. 1. 2. 3. 4. 5. 6. 9-8 Disconnect all gas supplies from the source. Disconnect all gas supplies from the source. Set the system switch to On. Make sure that all pressures read zero. Establish a flow for the affected gas to bleed down the pressure. Set the system switch to Standby. 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.4 Access to chassis components Most of the system components are mounted to a two-tier chassis (A) that slides out of the main housing (B) for access to the internal components. The pneumatic and related Vent Engine (C) components are mounted on a manifold that occupies the lower tier of the chassis. To access the pneumatic components, the entire manifold assembly can be removed from the chassis. The electrical and related circuit board components occupy the upper tier. Electrical components on the Vent Engine connect to the Ventilator Control Board (VCB) and the Ventilator Monitor Board (VMB) through a single, twoconnector harness. To diagnose the operation of the ventilator while still disassembled, the components (Vent Engine, circuit boards, display unit) can be arranged and reconnected with existing harnesses. A separate Display Unit Cable can be used as a service tool to make the connection between the Chassis and the Display Unit (D) less restrictive. See "10.1.3 Special tools". D B A AB.100.390 C 9.4.1 Removing the chassis from the housing 1. 2. 3. 2065496-001 Rev G (2024 12) To prevent the housing from tipping over when the chassis is removed, position the display unit as shown, centered over the housing. If applicable, remove any patient circuit components. Remove the Exhalation Valve. The chassis can not be removed with the Exhalation Valve in place. 9-9 CARESCAPE R860 A B AB.100.391 B B 4. 5. 6. B Disconnect the Display Cable (A) from the chassis connector. Loosen the four captured mounting screws (B) at each corner of the back panel. Slide the chassis out of the housing. Note When installing the chassis into the housing, hand start all four screws, starting with bottom two, and then torque to 2.0 Nm 9.4.2 Removing the Vent Engine from the chassis 1. 2. 3. 4. 5. 6. Remove the circuit board retainer (A). Disconnect the engine harness connectors from the circuit boards. Remove the four screws, two on each side (B), that hold the Vent Engine manifold to the chassis. Remove AIR gas inlet filter assembly, which includes the filter bowl o-ring and filter element. If applicable, remove optional O2 gas inlet filter assembly, which includes filter bowl o-ring and filter element. Slide the Vent Engine out of the chassis. AB.100.392 A B 9-10 B 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.4.3 Replacing chassis mounted components Most of the major components on the chassis can be replaced directly. Only a few less accessible components require you to remove other components before they can be replaced. AB.100.393 AB.100.394 The Power Management Board (PMB) has been updated to increase efficiency and reduce heat. The updated PMB is backwards compatible and the part number has not changed. The new version of the PMB does not use a heat sink and fan, and transferring the heat sink and the fan is no longer required. Prior PMB Updated PMB When replacing the prior version of the PMB with an older version, transfer the existing heat sink and fan (A) to the new board. AB.100.395 A Note See "9.2 Circuit board replacement precautions" for precautions regarding board replacement. After replacing a circuit board, download current software (see "9.2.1 Software download"), and then calibrate the system (see "9.2.2 Required calibrations"). 2065496-001 Rev G (2024 12) 9-11 CARESCAPE R860 9.4.4 Replacing vent engine components CAUTION The vent engine manifold bottom plate is not designed to be removed in the field. CAUTION When servicing the ventilator, extreme care must be taken to avoid introducing foreign debris into the pneumatic flow passages of the ventilator. This includes dust and contaminants on the vent engine and particularly metal chips generated by screw threads. Before removing components on the vent engine, secure a clean work area and thoroughly clean the vent engine to remove any contaminants. Failure to do so may result in damage to the internal components. If the vent engine manifold requires replacement, use one of the following options: • • • Manifold, Main Assembly Vent Engine Assembly Complete Vent Engine Sub-assembly Important Order the sub-assembly part only if vent engine water contamination/entry or hydrocarbon contamination occurs. All mounting hardware for Vent Engine components can be accessed from the top. When replacing a component, ensure that the o-ring or gasket under the component is properly seated in the manifold. AB.100.396 To remove the harness connector from the O2 Sensor, release the retaining tab with a small, thin-blade screwdriver. Twist the screwdriver slightly to release the tab. 9-12 2065496-001 Rev G (2024 12) 9 Repair Procedures Always perform Vent Engine Debris Cleanout after replacing components, see "5.2.3 Vent engine debris clean-out". Lubricate o-rings using a small amount, only enough to wet the surface of the o-ring, of Krytox prior to installation Important If you encounter multiple failures during the Super User Calibrations, System Check, or during the Service Procedures, especially tests associated with air supply, it could be an indication of water or hydrocarbon contamination. If you suspect contamination of this type, inspect the pipe inlet filters for signs of contamination. Contamination of this type would require the replacement of all contaminated components or the Vent Engine Sub-assembly, based on the extent of the contamination. Cleaning and repairing the Vent Engine 1. Use compressed air to blow any loose particulates and dust from the manifold and components prior to loosening fasteners. Use caution around small parts and elastomers such as o-rings and diaphragms. 2. Obtain alcohol prep pads or similar damp cleaning wipes before removing components. Do not use materials that will lose fibers or leave a residue on components. 3. Completely remove all fasteners and place in a temporary container before moving the component. 4. Carefully lift the component straight up and away from the manifold. Check to make sure all necessary o-rings and gaskets are present. Store components in a temporary container and not on the workspace tabletop. 5. If the component is going to be re-installed, place it on its side or back on a clean surface to protect the mating surface. 6. Using an alcohol prep pad, damp wipe clean the manifold surface by starting at the opening and wiping away from it. This will reduce the risk of loose material dropping into the manifold. 7. Carefully inspect the opening in the manifold. If there is any visual sign of contamination or discoloration, the manifold and any upstream components must be replaced. 8. If the component removed is to be reinstalled, clean it in a similar manner by wiping from any gas stream access points toward the outside edge. 9. Carefully inspect the component and seal. If there is any sign of contamination, knicks, small tears, or discoloration, the component and or seal must be replaced. 10. Carefully set the component back on the manifold directly over and aligned with the attachments. Avoid sliding the component after it is in contact with the manifold. 11. Reinstall the fasteners and torque them to the required specification as listed. Note Perform "5.2.3 Vent engine debris clean-out" after replacement of vent engine components. Note When replacing components, do not over tighten the mounting hardware. Use the following torque spec table to properly mount the component. 2065496-001 Rev G (2024 12) 9-13 CARESCAPE R860 Component Torque (Nm) Regulator 2.0 Flow Control Valve 2.0 O2 Sensor 2.0 O2 sensor to plate 0.3 O2 sensor plate to manifold 2.0 Flow Transducer 2.0 Inspiratory Valve Assembly Manifold 4.0 Inlet Manifold Sub-assembly 4.0 Outlet Manifold Sub-assembly 4.0 Pneumatic restrictor 1.0 Pneumatic Restrictor Plate 2.0 Legris Fitting 4MM 4.0 Zeroing Valve mounting screws 0.07 Pressure Sensor Assembly 1.0 O2 and Air Filter Adapter screws 1.2 9.4.5 Replacing the outlet manifold and vent engine harness 1. 2. AB.100.397 3. Remove the chassis from the housing per "9.4.1 Removing the chassis from the housing" . Remove the Vent Engine from the chassis per "9.4.2 Removing the Vent Engine from the chassis". Remove the two M5x20 socket head screws that secure the Outlet Manifold to the main manifold and remove the outlet manifold assembly with wiring harness. Cut the tie-wraps holding the wiring harness to the outlet manifold. 5. Transfer the following components from the old outlet manifold to the new outlet manifold assembly: AB.100.398 4. • • 9-14 Exhalation valve housing Voice coil assembly 2065496-001 Rev G (2024 12) 9 Repair Procedures • • • • • • 6. Rolling shaft seal PCA ultrasonic nebulizer control PCA Exhalation flow interface board Cable - exhalation flow sensor board PCA Exhalation flow sensor board Harness (vent engine to VCB/VMB) Remove the three outlet manifold o-rings from the main manifold and replace with the three new o-rings included in the kit. • Lubricate the o-rings sparingly; just enough to wet the surface with Krytox prior to installation. 7. Install the new outlet manifold assembly to the main manifold using two M5x20socket head screws and torque to 4.0 Nm. 8. Secure the wiring harness to the outlet manifold using the three tie-wraps included in the kit. (Refer to step 4). 9. Connect the wiring harness from the outlet manifold to the VCB and VMB. 10. Perform Service level tests and calibrations per "5.2 Service level tests and calibration" 11. Perform the Calibration procedure per "5.1 Calibration (super-user and service)". 12. Perform the System Check procedure per "3.2 System checkout overview". 9.4.6 Replacing the vent engine harness 1. 2. 3. 4. Remove the chassis from the housing per "9.4.1 Removing the chassis from the housing". Remove the Vent Engine from the chassis per "9.4.2 Removing the Vent Engine from the chassis". Cut the tie-wraps holding the wiring harness to the outlet manifold. Remove the following connections: • • • • • • 5. 6. 7. 8. 2065496-001 Rev G (2024 12) Flow control valves (Air and O2) Flow sensors (Air, O2, and Total) Pressure transducers (PAW, AUX, and Exh) O2 module Voice coil Exhalation flow sensor PCB Remove the harness. Install the new harness starting with the connections to the components in reverse order. Route the new harness along the outlet manifold in the same manner of the old harness. Secure the wiring harness to the outlet manifold using the three tie-wraps included in the kit. 9-15 CARESCAPE R860 9. Connect the wiring harness from the outlet manifold to the VCB and VMB. 10. Perform Service level tests and calibrations per "5.2 Service level tests and calibration" 11. Perform the Calibration procedure per "5.1 Calibration (super-user and service)". 12. Perform the System Check procedure per "3.2 System checkout overview". 9.4.7 Replacing the Inspiratory Valve Assembly 1. 2. 3. 4. 5. 6. 7. Remove the chassis from the housing per "9.4.1 Removing the chassis from the housing". Remove the Vent Engine from the chassis per "9.4.2 Removing the Vent Engine from the chassis". Disconnect the wiring harness from the inspiratory valve and safety valve actuators. Remove the four M4x12 socket head screws that secure the assembly to the main manifold and remove the Inspiratory Valve assembly. Install the new Inspiratory Valve assembly to the main manifold using four M4x12 socket head screws and torque to 2.0 Nm. Transfer or install the new Safety Valve Actuator (M1114504) and Seal (1505-8600-000) to the new Inspiratory Valve Assembly. Apply a small amount (only enough to wet the surface) of Loctite 271 to screw and torque to 2.0 Nm Perform Service level tests and calibrations per the following: • • • • • "5.2.3 Vent engine debris clean-out" "5.2.5 Vent engine leak test (low pressure)" "5.2.9 Verify operation of free-breathing valve" "5.2.10 Verify operation of inspiratory effort valve" "5.2.12 Mechanical overpressure valve test" 8. Install Vent Engine assembly into chassis per "9.4.4 Replacing vent engine components". 9. Install chassis into housing per "9.4.1 Removing the chassis from the housing" 10. Perform the Calibration procedure per "5.1 Calibration (super-user and service)". 11. Perform the System Check procedure per "3.2 System checkout overview". 9.4.8 Replacing the free breathing valve 1. 2. 9-16 Remove the chassis from the housing per "9.4.1 Removing the chassis from the housing". Remove the Vent Engine from the chassis per "9.4.2 Removing the Vent Engine from the chassis". 2065496-001 Rev G (2024 12) 9 Repair Procedures 3. Remove the Free Breathing Valve seat (1503-3204-000) from the main manifold. 4. Remove and discard Valve Flapper (0211-1454-100) and o-ring (M1136785). 5. Clean the Free Breathing Valve seal and Valve Flapper using an alcohol prep pad. 6. Pull the Valve Flapper through the hole in the Free Breathing Valve seat, and then cut off tip of flapper to approximately 7mm. 7. Apply a thin film of Krytox to o-ring (only enough to wet the surface of the o-ring) and fit o-ring into the groove located on the Free Breathing Valve seat. 8. Install the Free Breathing Valve seat into the main manifold and tighten valve until it is flush with the manifold. 9. Perform Service level tests and calibrations per "5.2 Service level tests and calibration" 10. Install Vent Engine assembly into chassis per "9.4.4 Replacing vent engine components". 11. Install chassis into housing per "9.4.1 Removing the chassis from the housing" 12. Perform the Calibration procedure per "5.1 Calibration (super-user and service)". 13. Perform the System Check procedure per "3.2 System checkout overview". 9.4.9 Replacing the Vent Engine assembly, complete 1. 2. 3. 4. 5. 6. 7. 8. 2065496-001 Rev G (2024 12) Remove the chassis from the housing per "9.4.1 Removing the chassis from the housing". Remove the Vent Engine from the chassis per "9.4.2 Removing the Vent Engine from the chassis". Replace the Vent Engine with new Vent Engine assembly and connect harness to the VCB and VMB. Perform Service level tests and calibrations per "5.2 Service level tests and calibration" Install Vent Engine assembly into chassis per "9.4.4 Replacing vent engine components". Install chassis into housing per "9.4.1 Removing the chassis from the housing" Perform the Calibration procedure per "5.1 Calibration (super-user and service)". Perform the System Check procedure per "3.2 System checkout overview". 9-17 CARESCAPE R860 9.4.10 Replacing the Vent Engine sub-assembly 1. 2. 3. Remove the chassis from the housing per "9.4.1 Removing the chassis from the housing". Remove the Vent Engine from the chassis per "9.4.2 Removing the Vent Engine from the chassis". Remove the following components from the Vent Engine assembly: • • • • • 4. 5. 6. Harness, vent engine to VCB/VMB (M1242276). Inspiratory Manifold Panel Assembly with safety valve (1505-8502-000). Outlet Manifold Panel Assembly, including all mounted components (2068710-S). O2 Pipeline Adapter from inlet manifold (1505-3206-000). AIR Pipeline adapter from inlet manifold (1505-3207-000). Clean and install the above removed parts on the new Vent Engine sub assembly per "9.4.5 Replacing the outlet manifold and vent engine harness". Connect the new Vent Engine assembly harness to the VCB and VMB. Perform Service level tests and calibration per "5.2 Service level tests and calibration". Note Do not install Vent Engine assembly into chassis until all tests and calibration in Step have been completed. -- 7. Install Vent Engine assembly into chassis per "9.4.4 Replacing vent engine components". 8. Install chassis into housing per "9.4.1 Removing the chassis from the housing" 9. Perform the Calibration procedure per "5.1 Calibration (super-user and service)". 10. Perform the System Check procedure per "3.2 System checkout overview". 9.4.11 Replacing the Batteries 1. 2. 3. Note 9-18 Remove the Chassis from the housing to replace the batteries, refer to the section "9.4.1 Removing the chassis from the housing". After sliding the chassis out of the housing, replace the batteries. Install the appropriate software. Refer to the section "8.2 Software Download". Check the current software version of the system before replacing the batteries (Battery FRU Part number 5953932-S). The required system software Version should be 10SP06 or 11SP02 or greater to replace the batteries (Battery FRU Part number 5953932-S). 2065496-001 Rev G (2024 12) 9 Repair Procedures 4. 5. 2065496-001 Rev G (2024 12) Install chassis into housing. Perform the System Check procedure. Refer to the section "3.2 System checkout overview". 9-19 CARESCAPE R860 9.5 Service the Display Unit Note The item numbers in the following illustrations in this section correspond to the parts list in "10.9 Display Unit". The fan filter and the cable cover can be replaced with the display unit in place. (5) AB.100.399 (4) To replace the filter (5), slide the filter downward to remove it from the display unit. To replace the cable cover (4), loosen the two captive screws that hold it in place: Nudge the cover toward the left to release the mounting tab AB.100.400 • To service other components of the display unit, you must first remove the display unit from the machine. 1. 2. 3. 4. 9-20 Disconnect all cables from the display unit. Remove the two bottom mounting screws. Loosen the two upper mounting screws. Slide the display unit toward the left to disengage it from the mounting plate. 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.5.1 Disassemble the Display Unit Place the display unit face down on an anti-static pad (wear static control wrist strap). 1. 2. 3. Using a small bladed screwdriver, gently pry the alarm light lens (20) from the display unit. Loosen the seven captive screws (L) that hold the rear housing. Remove the rear housing L L (20) L (31) (18) L S L L L AB.100.401 T (15) (21) (21) (6) (23) At this point, you can replace the following items (the item numbers refer to the parts list in ): • • • • • • • Encoder assembly (15) Speaker assembly (20) Ethernet and USB Connectors gasket (6) Carrier Board to Keypad harness (23) Key pad assembly (2) Alarm light harness (31) Alarm light (PWA) board (18) To access the remaining items you have to remove the carrier board shield (S). • • • • • • Note Cut the cable tie holding the two cables at the lower right side. Disconnect the touch controller cable (T). Disconnect the Keypad harness at the Carrier Board (23). Disconnect the encoder harness from the Carrier Board (15). Disconnect the speaker harness from the Carrier Board and set the speakers aside (21). Disconnect the alarm light harness from the Carrier Board (31). Do not loosen any screws that are dabbed with sealing compound. -- 2065496-001 Rev G (2024 12) 9-21 CARESCAPE R860 • • • • Loosen (do not remove) the five screws at top edge of shield just enough to raise the shield and slide. Loosen the four screws (keyhole) along each side of the shield. Remove the four screws at bottom edge of shield. Slide the shield to disengage the touch controller harness connector and flip it over the top edge of the display (see the following photo). 9.5.2 Replacing components At this point, you can replace the following items (the item numbers refer to the parts list in "10.9 Display Unit"): • • • • • • • • Blower fan (10) Battery (14) - refer to "9.5.7 Replacing the CPU “coin” battery" for details. Com Express fan (7) Touch Controller board (3 Touch Controller harness (24) CF Card (29) Memory Module (28) Alarm light (PWA) board (18) 10 18 1 7 29 28 14 8 3 AB.100.402 24 To replace the Carrier board and Com Express board assembly (8), refer to "9.5.4 Replacing the Carrier board and Com Express board assembly". 9-22 2065496-001 Rev G (2024 12) 9 Repair Procedures To replace the LCD/Touch Bezel assembly (1), refer to "9.5.5 Replacing the LCD/Touch and front bezel assembly". 9.5.3 Replacing the alarm light (PWA) board 1. 2. 3. Remove the back cover of the display unit. See "9.5.1 Disassemble the Display Unit". Pull the PWA board from the slot and replace (18). Reconnect the alarm light harness (31). 18 AB.100.403 31 9.5.4 Replacing the Carrier board and Com Express board assembly 1. Disconnect the following cables: • • • 2. 2065496-001 Rev G (2024 12) Blower fan cable (A); remove the p-clip (B) holding the harness to the Carrier board. Carrier board to LCD LVDS harness (22) - two connectors. Carrier board to Touch Controller board harness (24) Remove the Touch Controller board (3) - remove the standoffs. 9-23 CARESCAPE R860 22 A B 29 3 24 AB.100.404 22 3. 4. 5. 6. Remove six Carrier board mounting screws (circled). Remove the Carrier board and Com Express board assembly. Transfer the CF Card (29) to the new Carrier board and Com Express board assembly. Install the new Carrier board and Com Express board assembly. • • • • 7. 8. Secure the assembly with the six screws (circled). Install the Touch Controller board standoffs; secure the Touch Controller board to the standoffs; attach the Touch Controller harness (24). Attach the Carrier board to LCD LVDS harness (22) - two connectors. Attach the Blower fan cable (A); secure the p-clip (B) holding the harness to the Carrier board. Reassemble in reverse order. Perform the checkout procedure (Section 3). 9.5.5 Replacing the LCD/Touch and front bezel assembly 1. 2. 3. 9-24 Disassemble the display unit as detailed in "9.5.1 Disassemble the Display Unit" Disconnect the Blower fan cable (A); remove the p-clip (B) holding the harness to the Carrier board. Disconnect the Carrier board to LCD LVDS harness (22) - two connectors. 2065496-001 Rev G (2024 12) 9 Repair Procedures 4. Remove five LCD shield mounting screws (circled). • Do not loosen any screws that are dabbed with sealing compound. 22 A B 29 3 23 AB.100.405 22 5. Remove the LCD shield and Carrier board assembly from the LCD Touch Bezel assembly. 6. The Keypad assembly from the existing bezel assembly can not be reused, affix a replacement Keypad assembly to the new LCD Touch Bezel assembly (refer to "9.5.6 Replacing the Keypad assembly"). Transfer the following components to the new LCD Touch Bezel assembly. 7. • • 2065496-001 Rev G (2024 12) Carrier Board to Keypad harness (23). Encoder assembly (15). 9-25 CARESCAPE R860 AB.100.406 23 15 8. Mount the LCD shield and Carrier board assembly to the bezel assembly. • • • Guide the LCD harness connectors through the slots in the shield. Secure the shield to bezel assembly. Connect the LCD harness connectors to the Carrier board. 9. Attach the Blower motor fan cable; secure the p-clip holding the harness to the Carrier board. 10. Reassemble in reverse order. 11. Calibrate the Touchscreen "5.4 Touchscreen calibration". 12. Perform System Check "3.2 System checkout overview". 9.5.6 Replacing the Keypad assembly The encoder mounting hardware holds the keypad’s rubber overlay in place to help prevent liquid from entering the display unit 1. 2. Remove the encoder knob and mounting hardware. Remove existing Keypad: • 3. 4. Clean mounting surface with isopropyl alcohol. Remove all backing from new Keypad assembly to expose adhesive: • 9-26 Pull it away from the front Bezel assembly. from the pad (A) and from the circuit board (B). 2065496-001 Rev G (2024 12) 9 Repair Procedures A AB.100.407 B C 5. 6. 7. 8. 9. Engage top edge of Keypad with front Bezel assembly. Pockets in keypad are meant to engage with protrusions on top edge of bezel and must be fully seated before the next step. Rotate the bottom edge of the Keypad onto the bezel so that the pull tabs align with the mounting holes in the bezel. From the back of the bezel, pull the six tabs (C) through to secure the Keypad. Press the Keypad down onto the bezel so that it is completely affixed to the bezel. Apply pressure to all areas of the keypad to assure proper adhesion. Reinstall the encoder mounting hardware and the encoder knob. Washer should be under nut, in contact with keypad. 9.5.7 Replacing the CPU “coin” battery The Lithium 3-volt “coin” battery on the Carrier Board maintains the system Date and Time and certain configurations of the BIOS setup. If the battery is removed or becomes disconnected, the Time and Date needs to be restored. Replace the battery (System 10 with USB version 1.17 and prior): To replace the battery: 1. 2. Gently lift battery until it can be removed from holder. Touching only the sides of the battery, place the battery under the retaining clip. CAUTION When replacing the battery be careful to only touch the sides of the battery, not the top or bottom, as corrosion may occur. -- 3. 4. Configure the Time and Date for the device. Perform the System Check "3.2 System checkout overview" Replace the battery (System 11 or System 10 with USB version 1.18): 1. 2. 2065496-001 Rev G (2024 12) Gently lift battery until it can be removed from holder. Touching only the sides of the battery, place the battery under the retaining clip. 9-27 CARESCAPE R860 CAUTION When replacing the battery be careful to only touch the sides of the battery, not the top or bottom, as corrosion may occur. -- 3. 4. 5. 6. 7. 9-28 Restart the system using the Service USB Flash Media with Erase Logs feature. Use the ComWheel to select Erase Logs and bring up the Erase Logs screen. Select Yes to erase the logs. Restart the system and check the Time and Date. If time and date not correct enter the correct Time and Date. Perform the System Check "3.2 System checkout overview". 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.6 Display arm The display arm may be used to mount the display unit on an ISO 19054 Rail system (medi-rail). 9.6.1 Mounting the display arm CAUTION To prevent moisture from entering the system and damaging the ventilator, ensure appropriate white plugs have been inserted into the ventilator chassis. 1. Insert the large white plug (A) into the center M6 threaded hole of the ventilator chassis. If you are permanently remote mounting the display unit and the receiver is not used, insert the three small white plugs into the three M4 threaded holes of the ventilator chassis, as shown below. A B AB.100.408 B B Secure the remote mount receiver to the ventilator chassis using three flathead screws (B) and tighten to 2 Nm torque. 3. To prepare the arm for cable installation, open the primary latch (C). Seat the arm on the receiver or rail for leverage, close the primary latch, and then turn the arm 45° to the left. Open the primary latch and pull the secondary latch (D) to disengage the arm from the receiver or rail. 45° 4. 2065496-001 Rev G (2024 12) C D AB.100.409 2. With the part number towards the top, feed the cable (E) through the base of the arm. 9-29 CARESCAPE R860 E AB.100.410 F 5. 6. Attach the arm cover as shown using four self-threading screws (F) (0.5 Nm torque). Secure the display arm to the display unit: • • • Apply a very light coating of Loctite 222 to each of the four M4x8 socket head cap screws. Place the arm onto the back of the display. Use a Philips screwdriver to insert and start either the left or right, top and bottom screws (G) of the upper pivot into the back of the display unit. Tighten all four screws to 2 Nm torque. AC.23p.017 G 7. Secure the cable onto the display unit as shown. AC.23p.018 I 8. 9-30 Firmly hold the display unit at the junction of the display arm and display screen, and align the arm assembly with the receiver mount. Ensure the cable is positioned in the cable channel of the receiver mount 2065496-001 Rev G (2024 12) AB.100.411 9 Repair Procedures 9. Ensure the primary latch is open and seat the arm assembly onto the receiver mount. Listen for an audible click of the secondary latch. 10. Close the primary latch to secure the arm assembly onto the ventilator. If not already done, rotate arm back from 45° angle to normal position. 11. Connect and secure the upper end of the display cable to the display unit. 12. Connect and secure the lower end of the display cable to the ventilator chassis. 13. Perform System Check as defined in "3.2 System checkout overview". 9.6.2 Removing the remote display arm WARNING A movable part or a removable component may present a pinch or crush hazard. Use care when moving or replacing system parts and components. CAUTION The display unit is top heavy when removed from the ventilator. 1. 2. 3. 4. 5. 6. 2065496-001 Rev G (2024 12) Power down the ventilator and lock casters if using the ventilator cart. Position the display arm so that it is vertical and the display unit so that it is horizontal (screen facing up). Firmly hold the display unit at the junction of the display arm and display screen. Open the primary latch (1). Pull and hold the secondary latch (2) toward the front of the arm assembly to disengage the display unit. Carefully lift and remove the display unit from the ventilator. 9-31 1 1. 2. AB.100.058 CARESCAPE R860 2 Primary latch Secondary release latch Figure 9-1 • Removing the display unit 9.6.3 Mounting to ISO 19054 Rail System (medi-rail) Note Ensure the cable length is sufficient to reach from the system to the desired mounting location. 1. AB.100.059 2. Align and seat the arm onto the rail system. Listen for an audible click of the secondary latch Close the primary latch to secure the arm onto the rail system. 9.6.4 Removing the non-remote display arm WARNING A movable part or a removable component may present a pinch or crush hazard. Use care when moving or replacing system parts and components. CAUTION The display unit is top heavy when removed from the ventilator. 1. 9-32 Power down the ventilator and lock casters if using the ventilator cart. 2065496-001 Rev G (2024 12) 9 Repair Procedures 2. 3. 4. 5. 6. 7. Position the display arm so that it is vertical and the display unit so that it is horizontal (screen facing up). Disconnect the display cable from the back of the ventilator. Firmly hold the display unit at the junction of the display arm and display screen. Remove the three screw covers and recessed screws from the base of the non-remote arm using a No. 3 ball Allen wrench. Remove the display and arm assembly from the top of the ventilator chassis. Carefully place the display unit face down on an anti-static pad. 2 1 2 1. 2. AB.100.459 2 Display unit Recessed screws Figure 9-2 • Removing the non-remote display arm 9.6.5 Removing the non-remote display arm from the display unit The display unit attaches to the non-remote display arm pivot to the back of the display using screws. 1. 2. 3. 2065496-001 Rev G (2024 12) Disconnect the display cable from the display. Remove the four screws from the upper display arm pivot. There are two screws on each side of the pivot. Remove the display arm. 9-33 CARESCAPE R860 9.6.6 Mounting the non-remote display arm WARNING A movable part or a removable component may present a pinch or crush hazard. Use care when moving or replacing system parts and components. 1. 2. 3. 4. 5. 9-34 Power down the ventilator and lock casters if using the ventilator cart. Position the display arm so that it is vertical and the display unit so that it is horizontal (screen facing up). Firmly hold the display unit at the junction of the display arm and display screen. Install the three recessed screws through the base of the non-remote arm and into the ventilator chassis using a No. 3 ball Allen wrench. Install the three screw covers. 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.7 Removing the ventilator from the cart WARNING To avoid personal injury, two people are required to remove the ventilator from the cart 1. 2. Locate the latch (A) on the side of the cart. Pull out the latch, as shown, to unlock the ventilator housing from the cart. AB.100.412 A With a person on each side of the cart, lift the ventilator housing off of the cart AC.23p.019 3. 2065496-001 Rev G (2024 12) 9-35 CARESCAPE R860 9.8 Removing the compressor from the cart In routine cases, the compressor can be serviced without removing it from the cart. Refer to the EVair Technical Reference Manual (2066031-001) for removal procedure 9-36 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.9 Replacing the cart base 1. 2. Make sure the casters are locked on the ventilator cart. Loosen the 2 screws (A) from the back panel (if equipped). AB.100.413 A 3. 4. Remove the back panel by lifting it off of the base pins. Use a flat-blade screwdriver to remove the 2 locator pins (C). Retain locator pins for use in new base replacement. Remove the 3 screws (B) (2.5 mm hex) from the bottom cover plate of the cart. B AB.100.414 C 5. Lift the cover plate and place it next to the cart. Note Note: Carts without AC outlets have a weight at the bottom of the cart. -- 6. 2065496-001 Rev G (2024 12) If the cart has outlets, unplug the cable harness (E) from the inrush board to the toroid and the harness (D) from the AC outlets to the toroid. 9-37 CARESCAPE R860 D AB.100.415 E 7. Remove the first nut on the cover plate and remove the ground wire (G) from the toroid. Then remove the screw (F) (5 mm hex) that secures the toroid/weight to the bottom plate. Carefully lift the toroid/weight out of the internal compartment of the cart. G AB.100.416 F 8. 9. 9-38 Position the cover plate back inside the bottom of the cart and lay the cart on the front side. Position the cart upside down on its top handles being careful not to damage the cover plate (wires or inrush board). 2065496-001 Rev G (2024 12) AB.100.417 9 Repair Procedures Important Remove casters (if in good condition) from defective cart base and install them onto the new cart base. See "9.10 Replacing the cart casters". AB.100.418 -- 10. Unscrew the 6 bottom plate retaining screws (5 mm hex) and remove the bottom plate. 11. Remove the 6 screws (H) (5 mm hex T-handle) from the cart base and carefully lift the base from the 4 alignment roll pins (circled). • • 2065496-001 Rev G (2024 12) If necessary, use a flat-blade screwdriver to carefully pry the base from the uprights. If any of the alignment roll pins become dislodged during the removal of the base, use the pins included in the kit. 9-39 CARESCAPE R860 AB.100.419 H H 12. Install the replacement base by reassembling in reverse order. • • • • • Re-install the 6 screws from step 11 and apply Loctite 242 before threading the screws into the base uprights. A rubber hammer may be needed to seat the base tightly against the two side upright pieces. Note: Before putting the cart in the upright position make sure there is no gap between the base and the side upright pieces. If the compressor was removed, reinstall the compressor and plastic trim pieces. Re-install the locator pins that were removed in Step 4. Discard the old base according to local, state, or country disposal and recycling laws. Re-install any system accessories that may have been removed. Important Make sure the AC power cord is pushed all the way in before tightening the retainer. All power cord retainers that were loosened must be tightened to 0.45 Nm. -- 13. Perform an Electrical Safety Test after installing the ventilator and/or compressor to the cart. 14. Perform System Checkout "3.2 System checkout overview". 9-40 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.10 Replacing the cart casters Remove the ventilator and compressor (if applicable) from the cart before proceeding with the caster replacement procedures. Refer to the EVair Technical Reference Manual (2066031-001) for removal procedure. WARNING To avoid personal injury, two people are required to remove and install the ventilator and/or compressor. 1. 2. 3. 4. Lock all casters on the ventilator cart. Remove all system accessories if applicable. Lay the cart down on the opposite side of the caster that will be replaced. Remove the defective caster using the adapter included in the kit. Before replacing the caster, ensure the following: • • No oil or other contaminants are present on the replacement caster or in the base of the threaded hole (A), if oil or contaminants are present clean and remove loose debris. No thread damage to the base threaded hole. AB.100.420 A 5. Apply a line of Loctite 242 inside the cart base threaded hole (A) and on the threads of the replacement caster (B) prior to threading the caster into the base. AB.100.421 B WARNING Failure to apply Loctite and to properly torque the caster may allow potential loosening of the caster, resulting in caster stem failure. -- 6. 2065496-001 Rev G (2024 12) Attach the adapter included in the kit to the torque wrench at 90 degrees (perpendicular) to the torque wrench as shown. 9-41 AB.100.422 CARESCAPE R860 7. Torque the caster to 25Nm +/- 1 Nm (A). Do not make contact with raised edge on cart base (B). A AB.100.423 B CAUTION Use care when applying torque to the front casters. Avoid contact with the adapter and cart base while tightening. There is a raised edge (B) on the cart base and a false torque could occur if contact is made. -- Important If you are unable to use the method shown (adapter at 90 degrees) in step 6, it is possible to torque the caster with the wrench adapter in line with the torque wrench as shown below. If using this method, it is necessary to re-calculate the torque that will be set on the wrench to accommodate the additional length added by the adapter. Use the equation and image shown to determine the torque value that you should set the wrench -- A L Ta 9-42 Ta A 25 +/- 1 Nm 0.063 m Tw = (L x Ta) AB.100.424 Tw L Tw measure calculate (L + A) 2065496-001 Rev G (2024 12) 9 Repair Procedures Ta A L Tw Ta = Torque applied at the adapter. This is the value required for your caster application in Newton-meters. A = Length of adapter for your application in meters. L = Length from square drive to hand position (should be center of handle ) in meters. Tw = Torque valve that the wrench is set to in Newton-meters. 8. Once the caster is set to the proper torque and the caster collar is tightened, mark both the caster collar and the cart base using a permanent marker (preferably black). • • • Rotate the plastic collar on the caster clockwise (tighten). This takes up clearance between the plastic collar and the steel stem for consistent marking and inspecting. To aid in future inspection, make a small mark on the cart base (A) and caster collar (B). These marks will be used in the future to provide a visual aid to determine if the caster has loosened. If the base was previously marked, then remark the replacement caster collar using a permanent marker to align with the existing mark on the cart base (A). A AB.100.425 B 9. Before lowering the machine, make sure the caster turns freely. 10. Carefully lower the machine to the floor. 11. Reassemble the machine: • • • Install the ventilator on the cart. If the compressor was removed, reinstall the compressor - refer to the appropriate Technical Reference Manual. Tighten all power cord retainers that were loosened to 0.45 Nm. 12. Perform an Electrical Safety Test after installing the ventilator and/or compressor to the cart. 13. Perform a System Check "3.2 System checkout overview". 2065496-001 Rev G (2024 12) 9-43 CARESCAPE R860 9.10.1 Production Marking Grooves are now located on all four caster collars and corresponding locations on the cart base assembly. These grooves are intended to be used to provide a visual aid to determine if the caster(s) have loosened. If you are replacing a caster on a machine that has a production groove, use a permanent marker (preferably black) to mark the caster collar to align with the groove in the cart base. 1 AB.100.426 2 9-44 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.11 Airway Module Bay 9.11.1 Mounting and connecting the airway module bay The airway module bay may be mounted on either side of the ventilator. WARNING Do not place the airway module in the lower slot when the airway module is on the right side of the system. Exhaust from the gas exhaust port will adversely affect the accuracy of the airway module CO2 and O2 measurements. • Install only one airway module into the airway module bay. The system does not support the use of multiple airway modules. • Only install singe width airway modules (E-miniC and CARESCAPE respiratory modules) in the upper right slot of the airway module bay. The upper left slot of the module bay does not support communication between the module and the system. CAUTION The airway module bay port must only be used for connecting the module bay to the ventilator. 1. 2. Lock the ventilator cart wheels. Connect one end of the cable to the airway module bay connection on the back of the ventilator (A) and tighten the screws. Attach the module bay (B) to the desired side of the ventilator. 3. • • 4. Loosen the thumbscrews. Slide the airway module bay behind the thumbscrew and tighten. Connect the end of the cable to the airway module bay connection (C) and tighten the screws. A B 5. 6. 2065496-001 Rev G (2024 12) AB.100.427 C Slide the airway module into the upper slot of the airway module bay. Attach the tubing to the airway module. 9-45 CARESCAPE R860 Note Follow instructions in reverse order to disassemble. -- 9-46 2065496-001 Rev G (2024 12) 9 Repair Procedures 9.12 Labels 9.12.1 Attaching Key/BID labels If present, remove the existing Key/BID label from the back of the machine. Clean the area with Isopropyl alcohol. Affix the new Key/BID label to the machine. AB.98p192 1. 2. 3. 9.12.2 Attaching Feature labels Housing Attach the feature specific label into the recess in the label holder, which is molded into the front of the housing. Note Use the full set Neonatal label for Neonatal Only option ventilators. -- 2065496-001 Rev G (2024 12) 9-47 AB.100.428 CARESCAPE R860 9-48 2065496-001 Rev G (2024 12) 10 Illustrated Parts Illustrated Parts In this section 10.1 Service tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3 10.1.1 Software tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3 10.1.2 Manual shut-off valves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4 10.1.3 Special tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4 10.1.4 Leak test devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5 10.1.5 Lubricants and adhesives. . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6 10.1.6 Touch-up paint. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6 10.2 Exhalation valve assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8 10.3 Neonatal Flow Sensor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9 10.4 Exhalation valve heater. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10 10.5 Communication isolation cables. . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11 10.6 External components - front. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-12 10.7 External components - rear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-13 10.8 Display arm mounting hardware. . . . . . . . . . . . . . . . . . . . . . . . . . .10-14 10.8.1 Remote mount display arm mounting hardware. . . . . . . . . . . 10-14 10.8.2 Non-remote mount display arm assembly. . . . . . . . . . . . . . . 10-15 10.9 Display Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-16 10.10 Main enclosure (external). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-18 10.11 Main enclosure (internal). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-20 10.12 Vent Engine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-22 10.13 Outlet manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-25 10.14 Inlet Manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-27 10.15 AC power cords. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-29 10.16 AC Inlet/Outlet Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-31 10.17 Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-34 10.18 Airway module rack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-36 10.19 Airway module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-37 10.20 Airway Module Planned Maintenance Kits. . . . . . . . . . . . . . . . . . 10-38 10.21 EVair Compressor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-39 10.22 Feature option labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-41 2065496-001 Rev G (2024 12) 10-1 CARESCAPE R860 10.22.1 Vent Housing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-41 10.23 Key/BID label. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-42 10-2 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.1 Service tools 10.1.1 Software tools Item Description Part Number 1a R860 System Software/Service Application 10 SP06 (USB media 1.18) 5928181-S 1b R860 System Software/Service Application 11 SP02 (USB media) 5700092-S 1c SFW SERVICE USB MEDIA R860 W/APPL SFW V10 SP07 W/ LOADER APP REV 1.18 5931156-S 1d SFW SERVICE USB MEDIA R860 W/APPL SFW V11 SP03 5700114-S 2 Windows based PC Service Application 10.X (USB media) 1505-8001-000 3 Cable, 9-pin male/female D-sub connector 1505-8587-000 4 Converter, USB to RS-422/RS-485 (includes USB cable) 1505-8586-000 Male pin end (9-pin DSUB) Female pin end (9-pin DSUB) Port 3 (9-pin) 7 1 TX- 8 2 TX+ 9 3 RX+ 6 4 RX- 3 5 GND AB.100.344 3 AB.100.345 4 2065496-001 Rev G (2024 12) 10-3 CARESCAPE R860 10.1.2 Manual shut-off valves Item Tool Part Number 1 Manual shut-off valve — O2 Manual shut-off valve — Air 1505-8578-000 1505-8579-000 1a O-ring 1006-3614-000 2 AB.100.346 1 10.1.3 Special tools 10-4 Item Description Part Number 1 Cable, Remote Display Unit (2 meters). Used to connect M1236496 display unit to ventilator chassis when disassembled for repair and evaluation, see "9.4 Access to chassis components". 2 Tool, Nebulizer connector, see "10.13 Outlet manifold ". 1505-8506-000 3 Tube, 4MM OD Nylon. Unit of measure - Meter, see "5.2.4 Regulator output pressure test" 1001-3060-000 - Handle, Service Air Compressor – two required, see "9.8 5370055 Removing the compressor from the cart ". 4 Use a Pressure Manometer with a minimum accuracy of Local Purchase ± 1% at 25 PSI of reading or better for the calibration of the high pressure regulators. 5 Use a Pressure Manometer with a minimum accuracy of Local Purchase ± 1% at 100 cmH2O of reading or better for the calibration of the pressure sensors. 6 Hex wrench adapter, 41 mm. See "9.10 Replacing the cart casters". 2087398-001 Torque driver/wrench, accuracy 10% See "6 Installation and Maintenance" and "9 Repair Procedures" for torque values. Local Purchase 2065496-001 Rev G (2024 12) 10 Illustrated Parts 4 5 2 3 AB.100.347 1 6 10.1.4 Leak test devices 2065496-001 Rev G (2024 12) Item Tool Part Number – Leak test device kit (includes items 1 through 10) 1505-8590-000 1 Syringe, 60 cc 1505-3061-000 2 Clamp, tubing 7000-0000-097 3 Tee, 1/8 inch barb 7000-0000-186 4 Negative low-pressure leak test device 0309-1319-800 5 Tee, sensing 22-mm to 15-mm 0212-0763-100 6 Connector, Endo tube 0219-5060-530 7 Plug, 4-mm 1006-3530-000 8 Plug, stopper (2) M1210946 9 Silicone tubing 3/16 ID 1006-3666-000 10 Tubing, clear 0.125 ID 1605-1001-000 11 Inspiratory safety guard filter (qty. 1) - order separately 5830446 10-5 CARESCAPE R860 3 10 2 11 4 1 8 6 10 AB.100.348 9 5 7 10.1.5 Lubricants and adhesives Item Description Part Number –--- Lubricant, Krytox GPL 205, 2 oz 1001-3854-000-S –--- Thread Lock, Loctite 24221 (medium strength), 10 ml 0220-5017-300 –--- Thread Lock, Loctite 277 (high strength), 50 ml 0220-5026-300 –--- Thread Lock, Loctite 222 (medium strength), 10 ml 7000-0000-183 10.1.6 Touch-up paint 10-6 Item Description Part Number –--- Neutral gray N7 (dark gray), 18-ml bottle 1006-4198-000 2065496-001 Rev G (2024 12) 10 Illustrated Parts 2065496-001 Rev G (2024 12) Item Description Part Number –--- Neutral gray N9 (light white) 18 ml bottle 1006-4200-000 10-7 CARESCAPE R860 10.2 Exhalation valve assembly Item Description Part Number –--- Exhalation valve assembly (with flow transducer) 1505-3848-000 –--- Exhalation valve assembly (without flow transducer) 1505-8568-000 1 Diaphragm 1505-3224-000-S 2 Seal 1505-3223-000 3 Housing 1505-3222-000 4 Seal 1505-3257-000 5 Retaining ring 1505-3039-000 6 Flow transducer (includes check valve and screen) 1505-3231-000 7* O-ring 1503-3056-000 8 Plunger 1505-3245-000 9 Spring 1505-3013-000 10* O-ring 1505-3009-000 11 Water trap 1505-3244-000 *Lubricate the o-ring sparingly; just enough to wet the surface with Krytox prior to installation. Note A single-use exhalation valve assembly is available for use with the system. See the CARESCAPE R860 User Reference Manual for more information regarding the single-use exhalation valve assembly. 5 2 3 4 6 1 7 8 9 11 10-8 AB.100.342 10 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.3 Neonatal Flow Sensor Item Description Part Number 1 Neonatal Flow Sensor 1505-3272-000 2 Neonatal Flow Sensor Cable 1505-5604-000 1 AB.100.343 2 2065496-001 Rev G (2024 12) 10-9 CARESCAPE R860 10.4 Exhalation valve heater Item Description Part Number 1 Exhalation valve heater M1200693 2 Cable (order separately) M1188723 1 AB.100.349 2 10-10 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.5 Communication isolation cables Item Description Part Number 1 Cable isolation (Nurse call) 2070436-001 2 Cable isolation (Datex-Ohmeda Com) 2070435-001 2 AB.100.350 1 2065496-001 Rev G (2024 12) 10-11 CARESCAPE R860 10.6 External components - front Item Description Part Number 1 Display Unit See "10.9 Display Unit" 2 Airway module rack See "10.18 Airway module rack" 3 Cart See "10.17 Cart" 4 Handle, Left, Main Vent Housing M1185374 5 Handle, Right, Main Vent Housing M1185373 6 Screw #6x3/4 inch, Phillips, Pan Head M1221487 7 Foot with rivet, Main Vent Housing M1185376 8 Housing, Main Vent M1185368 1 7 6 4 5 6 2 8 AB.100.351 3 10-12 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.7 External components - rear 2065496-001 Rev G (2024 12) Description Part Number Main enclosure (external) Main enclosure (internal) See "10.10 Main enclosure (external)". See "10.11 Main enclosure (internal)" Display arm mounting hardware Remote mount display arm assembly See "10.8.1 Remote mount display arm mounting hardware" 10-13 CARESCAPE R860 10.8 Display arm mounting hardware 10.8.1 Remote mount display arm mounting hardware Item Description Part Number –--- Cable, Remote Display unit M1235310 Cable, Remote Display unit (2 meter) M1236496 Cable, Remote Display unit (5 meter) M1236498 1 Remote Mount arm M1231783 2 Remote Mount Receiver M1157300 3 Screw, Receiver, M4x0.7, 12 MM LG FL PH Head SST 0140-6226-112 4 Screw, Arm DU, M4x8 0140-6226-107 5 Yoke Cover, Arm (upper and lower) M1135997 6 Arm Cover M1135999 7 Plug, Large plug (1 req.) M1144306 8 Plug, Small plug (3 req.) M1144305 9 Screw, Arm Cover M1239269 1 6 5 3 4 9 8 2 10-14 2065496-001 Rev G (2024 12) AB.100.364 7 10 Illustrated Parts 10.8.2 Non-remote mount display arm assembly Item –--- Description Part Number Cable, Remote Display unit M1235310 Cable, Remote Display unit (2 meter) M1236496 Cable, Remote Display unit (5 meter) M1236498 1 Non-remote Mount arm M1162945 2 Screw, M4x10 Socket Head Cap (for mounint nonremote arm to ventilator chassis) 0140-6226-112 3 Yoke Cover, Arm (upper and lower) M1135997 4 Arm Cover M1135999 5 Screw, Arm cover, Pozi-Dr TRS M3-0 5x8 A-4 SST 1406-3242-000 6 Strain Relief, HPDU Cable M1151644 7 Screw, Strain Relief, M4x12, Socket head Cap 1102-3006-000 8 Screw, Arm to HPDU, M4x8 Socket Head Cap 9211-0640-083 1 4 3 2 8 7 5 AB.100.451 6 2065496-001 Rev G (2024 12) 10-15 CARESCAPE R860 10.9 Display Unit 10-16 Item Description Part Number –--- Display Unit (R860), complete with 15 inch LCD and Touch Screen M1229957-S 1* KIT, LCD Touch with beveled glass bezel assembly (Includes harness Item 21) 2077782-001 2 Keypad Assembly M1228578 3 KIT, Touch Controller Board M1220150 4 KIT, Cable Cover with Screws M1220152 5 Fan Filter, Multipack (10) M1220155 6 KIT, Gasket EMC, Connector Panel M1220156 7 KIT, Fan, Com Express M1220157 8 KIT, Carrier Board and Com Express Board assembly 2066858-001 (Includes battery Item 14, Memory Module Item 28, and EMC gasket item 6; does not include CF Card Item 29.) 9 Rear housing Assembly (includes captive screws) 2066859-001 10 Fan, Blower (inlcudes mounting hardware) 2076840-S 11 Screw, M3X12 PAN POZI-DR SST M1229946 12 Nut, M3 Keps 0144-3717-302 13 Screw, M3X5 PAN PS SST M1227729 14 Panasonic CR2477/BN, Capacity of 1000 mAh, Voltage 1009-5800-000 of 3V 15a Encoder, Rotary with Push-Button Switch 2067672-001 15b** Encoder, Rotary 16 position with Ferrite 2095742-001 15c*** Harness, Ground Strap 2095333-001 16 Standoff, 4-40 UNC 5mm M1229948 17 Knob, Encoder (Dark Blue) M1242118 17 Knob, Encoder (Purple) M1242120 18 Alarm light PWA M1227419-S 19 Gasket, EMC LCD, Horizontal (2 required) M1203117 20 Lens, Alarm Light M1242219 21 Harness, Carrier Board to LCD LVDS (Not Available) Order Item 1 22 Speakers, 4-ohm with Cable M1203144 23 Harness, Carrier Board to Keypad M1203148 24 Harness, Carrier Board to Touch Controller Board M1203151 25 Screw, Captive M4x14 PAN PH SST M1219215 26 Screw, Captive M3x14 PAN PH SST M1219217 27 Gasket, EMC LCD Vertical (2 required) M1227733 2065496-001 Rev G (2024 12) 10 Illustrated Parts Item Description Part Number 28 Memory Module, DDR2 SODIMM M1232960 29 CF Card (formatted for DU) M1238655 30 Jack Socket M 2.5 Ext 4-40 1505-3023-000 31 Harness, Carrier Board to Alarm Light M1203149 –--- Tie Cable Nylon 0203-5915-300 *Keypad assembly from existing bezel assembly cannot be reused, order the Keypad Assemble (Item 2) separately. **The 16 position Rotary Encoder with Ferrite (15b) is replacing 15a and is a backwards compatible part. *** The harness ground strap is necessary when using the 16 position Rotary Encoder (15b). 20 18 17 19 13 1 9 27 2 5 6 10 11 12 31 21 7 8 28 29 14 3 21 15 2065496-001 Rev G (2024 12) 6 22 22 23 AB.100.363 24 16 10-17 CARESCAPE R860 10.10 Main enclosure (external) Item Description Part Number 1 Mount Arm/PM Module Rack M1182471 2 Screw, M4x8 0144-2436-108 3 Screw Thumb M6x16 M1182842 4 Ring, Retaining External 4.8 SFT SST 1505-3035-000 5 (1) STDF Screwlock, #4-40 Female 1202-3092-000 6 Jacksocket, M2.5/M2 SST 1505-3023-000 7 Filter Guard (includes media), Fan 80MM 1505-3027-000 7a Filter media 1505-3029-000 8 (3) Screw M3x40 CTSK Socket Head 1505-3057-000 9 AC Inlet, Filter with fuseholder 1505-5001-000 10 Screw M3-0.5x8 Flat Head Pozidriv 9211-0530-083 11 Fuse Drawer, AC Inlet 1505-5002-000 12 Fuse, 2A 250V 5x20 mm Delayed Time 1503-3073-000 13 Switch, On/Standby DPST 1605-3043-000 14 Retainer, Power Cord 1505-3033-000 15 (4) Screw, M3x8 POSI Pan Head SEMS SST 0140-6219-130 16 Stud Equal Potential 0208-0070-300 17 (2) Gasket EMC 3x4 with pressure sensitive adhesive 1505-3002-000 18 M4-0.7x12 Pozidriv Pan Head Relieved SST 1504-3001-000 19 Lockwasher, M4 Internal 0144-1118-128 20 Cable, Display Unit "10.8.1 Remote mount display arm mounting hardware" 21 Cable, Patient Module Rack 1505-5601-000 22 Plug Button 1505-3015-000 23 Cable, AC Power Cord See "10.15 AC power cords" 24 O2 Pipeline Inlet Filter Adapter (See "10.14 Inlet Manifold " for Filter Part Numbers) 1505-3268-000 25 Air Pipeline Inlet Filter Adapter (See "10.14 Inlet Manifold " for Filter Part Numbers) 1505-3269-000 26 Cap, DSUB9 POSN Socket with screw M1141813 (1) Apply Loctite 277. (2) Total length = 1230 mm (300 mm top/bottom — 315 mm sides). (3) Item 9 retained with nut on inside of chassis (see "10.11 Main enclosure (internal)"). (4) Tighten screw at bottom to 0.45 Nm. Tighten screws on both sides to 1.0 Nm. 10-18 2065496-001 Rev G (2024 12) 10 Illustrated Parts 18 19 11 17 20 5 6 9 10 13 12 14 3 4 16 7 21 1 2 22 8 15 23 25 AB.100.362 24 2065496-001 Rev G (2024 12) 10-19 CARESCAPE R860 10.11 Main enclosure (internal) Item Description Part Number 1 Power Supply Module M1052831 2 Screw 4-40x3/16 Pozidriv Pan Sems 1505-3004-000 3 Harness (Power Supply to PMB) 1505-5700-000 4 Harness (AC Inlet to Power Supply) 1605-3261-000 5 Wire, chassis safety ground 1605-3060-000 6 Harness, Jumper AC Inlet 1505-5718-000 7 Nut, M4 KEPS 0144-3717-314 8 Lockwasher, M4 external 9213-0540-003 9 Harness (On or Standby) 1605-3059-000 10 Motherboard M1053184-S 11 Screw, M4X6 Pan Head SEMS 1505-3000-000 12 Power Management Board (PMB) 1505-5502-000-S 13 Heat Sink* 1505-5004-000 14 Screw, M3-0.5x20 Pan Head Pozidriv 0140-6719-103 15 Lockwasher, M3 external 9213-0530-003 16 Fan, 24Vdc 14CFM with harness* 1505-3025-000 17 Screw, M3x50 Pan Head Pozidriv SST 1505-3037-000 18 Lockwasher, M3 Split Lock SST 1505-3036-000 19 Washer, 3.18ID 8.64OD 0.76T SST 1006-5234-000 20 Vent Monitor Board (VMB) M1052980-S 21 Vent Control Board (VCB) M1227690-S 22 Retainer assembly (includes items 32 and 33), PCA/ Card Cage M1195740 23 Guide, Card 1505-3001-000 24 Harness (battery to PMB) 1505-5702-000 25 Tie wrap 0203-5915-300 26 Chassis fan kit (includes Screw, M3x40, 2 each) 1505-3024-000-S 27 Nut, M3 Keps 0144-3717-302 28 Strap, Battery Restraint 1504-3509-000 29 Battery Tray 1009-3133-000 30 Battery Sealed Lead Acid Rechargeable 12V Pair (Internal) 5953932-S 31 Label, Battery Service Instruction 1009-5530-000 32 M4-0.7x12 Pozidriv Pan Head Relieved SST 1504-3001-000 33 Star Washer 9213-0540-003 *The heat sink and fan are not required when replacing the motherboard with part M1053184-S. 10-20 2065496-001 Rev G (2024 12) 10 Illustrated Parts 4 5 6 7 8 9 3 19 18 17 16 10 15 14 13 12 20 21 11 2 AB.100.361 1 31 30 29 28 26 25 24 23 27 J1 Battery 2 22 Battery 1 Wire Color Black Red 32 33 2065496-001 Rev G (2024 12) 10-21 CARESCAPE R860 10.12 Vent Engine Machines with FAS flow control valve see "C Vent Engine for FAS flow control valve". Item Description Part Number –--- Vent Engine Assembly – Complete 2071409-S –--- Vent Engine Sub-assembly IMPORTANT Order this part only if vent engine water contamination/entry or hydrocarbon contamination occurs. (not shown) 2071410-001 Mounting screws, 4 M4x8 Pozidriv 0140-6226-107 Does not include the following: Harness, vent engine to VCB/VMB - M1242276 Inspiratory Manifold Panel Assembly with Safety Valve 1505-8502-000 Outlet Manifold Panel Assembly, including all mounted components - 2068710-S O2 Pipeline Adapter from inlet manifold - 1505-3206-000 AIR Pipeline adapeter from inlet manifold 1505-3207-000 10-22 A Manifold, Main Assembly (does not include mounted components) 1505-8504-000 B Pressure Sensor Assembly, expiratory – inspiratory (includes Items 13 through 19) 1505-8503-000-S C Manifold, Insp Valve Assembly (includes effort valve; does not include safety valve actuator or safety valve seal) 1505-8502-000 1 Regulator w/screws O-ring, EPR, 2-012 1505-3256-000 1503-3056-000 2 (1) Port, Regulator 1505-3260-000 3 Gasket, Port 1505-3261-000 4 Inlet manifold O-ring, EPR, 2-016 Screw, M5-0.8x30 SHCS See "10.14 Inlet Manifold " 1006-3616-000 1102-3049-000 5 Transducer Flow 0-160 LPM O-ring, EPR, 2-018 M1236348-S 0210-0684-300 6 Fitting, 4mm G1/8 Self Sealing Legris 1505-3266-000 7 Plug, 4mm dia Legris 1006-3530-000 8 Valve, Flow Control 160 LPM O-ring, EPR, 2-012 1505-3209-000-S 1503-3056-000 9 Restrictor, Pneumatic 1505-3218-000 10 Gasket, Pneumatic restrictor 1505-3220-000 11 Plate, Pneumatic restrictor 1505-3219-000 2065496-001 Rev G (2024 12) 10 Illustrated Parts Item Description Part Number 12 Screw, M4x8 Pan Head Pozidriv 9211-0440-083 13 Manifold, Zeroing Valve 1505-3248-000 14 Valve, Zeroing 3/2 1505-3249-000 15 O-ring, EPR, 2-007 1006-3213-000 16 (2) PCA Airway Pressure Sensing Board 1505-5506-000-S 17 Screw, M3x16 Pan Head Pozidriv A4 SST 1504-3003-000 18 O-ring, Buna-N, 2-005 1009-3306-000 19 Gasket, Zeroing Valve 1505-3211-000 20 Screw, M3x6 Pan Head Pozidriv A2 SST 0140-6219-128 21 Outlet manifold O-ring, EPR, 2-016 O-ring, EPR, 2-012 Screw, M5-0.8x20 SHCS See "10.13 Outlet manifold " 1006-3616-000 1503-3056-000 0144-2131-919 22 Transducer, O2 Concentrate 1505-3215-000 23 Plate, O2 Sensor 1505-3247-000 24 Screw, M2x6 Pan Head Pozidriv SST 0140-6712-102 25 O-ring, VITON, BS 4518 0171-16 1505-3059-000 26 Screw, M4-0.7x12 SHCS 1102-3006-000 27 Gasket, Inspiratory Manifold 1505-3262-000 28 Valve Seat, Free Breathing 1503-3204-000 29 (3) Valve Flapper, Free Breathing 0211-1454-100 30 O-ring, silicone rubber M1136785 31 Harness, R860 vent engine M1242276-S 32 Tie Wrap 0203-5915-300 33 Valve, Umbrella Check 1505-3267-000 34 Seal, safety valve with disc 1505-8600-000 35 Safety valve actuator (includes safety valve support) M1114504 36 Subplate, O2 Flow Control Valve (FCV) assembly M1079145 37 Screw M4x25 SHCS, O2 FCV and Subplate N122017 38 O-ring - 2, O2 FCV Subplate 1503-3056-000 39 Screw M4x10 SHCS, Air FCV N122015 (1) Apply Teflon tape to threads. (2) When replacing the PCA Airway Pressure Sensing board, ensure that the o-ring (15) is properly seated in the manifold before mounting the board in place. (3) Install the flapper valve from the threaded side of the valve seat. Trim the tail piece close to the outside surface of the seat (refer to removed flapper - see "9.4.8 Replacing the free breathing valve"). 2065496-001 Rev G (2024 12) 10-23 CARESCAPE R860 5 4 3 1 2 9 A 1 10 6 6 7 39 8 8 7 11 12 36 28 20 C 12 B 31 34 35 21 B 26 22 36 16 33 16 32 14 19 B 13 38 18 17 37 15 28 35 AB.100.360 27 22 29 23 25 30 24 34 10-24 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.13 Outlet manifold Item Description Part Number A (1) Outlet Manifold Panel Assembly; includes EMC gaskets, 2068710-S Inspiratory port, Auxiliary pressure port, Occlusion port, O-rings, Exhalation housing latch, Aerogen labels, and Port cover. 1 Port, auxiliary pressure M1183965 2 O-ring, 2-011, EPR 017-923 3 Seal, Rolling Shaft 1505-3225-000 4 Ring, Retaining 1406-3540-000 5 Port, Occlusion Outlet Manifold (Adult and Neonatal) M1182480 6 Pull, Exhalation Housing Latch 1505-3236-000 7 Screw M4-0.7x12 SHCS 1102-3006-000 8 (2) PCA Ultrasonic Neb Control 2071388-001 9 Aerogen Nebulizer label M1204514 10 Inspiratory safety guard, disposable (1/pkg) 2066713-001 11 Screw M3-0.5x6 Pan Head Pozidriv Sems SST 0140-6219-128 12 Spring, Exhalation Housing Latch 1505-3237-000 13 Rod, Exhalation Housing Latch 1505-3238-000 14 Housing, Exhalation Housing Latch M1182830 15 Screw Shoulder M3x0.5-12.7 SS 1011-3147-000 16 Spring, Compression 6.1 OD 12.7L 1006-3735-000 17 PCA, Exh Flow Interface Board 1505-5508-000 18 Cable Exh Flow Sensor (Lubed cable) 1505-5603-000 19 PCA Exh Flow Sensor Board (for Rev 101 or higher) 1505-5507-000 20 Screw 6-32x1/4 PH Pan Head SST 0140-6524-102 21 Bracket, Voice Coil Connector 1505-3228-000 22 1505-3227-000 Actuator, Voice Coil and Magnet, Voice Coil See "10.12 Vent Engine" for Vent Engine outlet manifold o-rings. 23 Adapter, Voice Coil Magnet M1182828 (1) Assembly supports systems with and without the Exhalation Valve Heater power connector, which is for future use. (2) Use special tool ("10.1.3 Special tools") to remove collar from Nebulizer connector. Apply Loctite 271 to treads of connector when replacing collar. 2065496-001 Rev G (2024 12) 10-25 CARESCAPE R860 9 8 6 7 10 5 1 2 3 4 12 13 14 15 16 11 A 17 18 19 21 11 20 11 AB.100.359 23 22 Note When installing the voice coil, be sure to route the wires around the coil shown. Make sure the wires are below the thread engagement of item 23. Do not pinch the wires. 10-26 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.14 Inlet Manifold Item Description Part Number 1 Air Pipeline Inlet Assembly (includes Filter Bowl, O-ring, 1505-8595-000 and Filter Element) Standard 2 O2 Pipeline Inlet Assembly (includes Filter Bowl, O-ring, 1505-8594-000 and Filter Element) Optional 3 Filter Bowl with O-ring 1505-3062-000 4 O-ring, Filter Bowl 1503-3034-000 5 Filter Element 1505-3060-000 6 Transducer, Pressure 827 kPa (120 psi) 1011-3413-000 7 Adapter, O2 Pipeline 1505-3206-000 8 Adapter, Air Pipeline 1505-3207-000 9 Screw, M4 x 12 mm Socket Head Captive 5924298 10 O-ring, OD23.9 ID20.35 EPDM DURO70 -019 1006-3614-000 11 Manifold (includes EMC gasket) 1505-8501-000 12 O-ring, EPR 2-122 70 DURO 1504-3612-000 13 Filter Disc, Wire Mesh 2 Micron 1504-3708-000 14 Check Valve 1505-3273-000 15 Inlet fitting, Air See table below 16 Inlet fitting, O2 See table below Part Number Inlet Fitting 2065496-001 Rev G (2024 12) 1 - O2 2 - Air DISS 9913-6489-400 9913-6557-800 DISS Female 1505-3851-000 1505-3830-000 NIST 1001-5967-000 1001-5826-000 SIS 1505-3852-000 1505-3831-000 S90-116 1505-3274-000 1505-3275-000 10-27 CARESCAPE R860 3 4 5 1 2 6 13 12 11 7 9 14 AB.100.358 2 1 8 9 10 10-28 15 16 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.15 AC power cords Item Description Part Number 1 Power Cord –--- Australia, AS3112, 220-240V~, 50-60Hz 1500-3561-000 Brazil, NBR14136, 100-120V~, 50-60Hz 220-240V~, 50-60Hz, 4 mm M1217469 China, GB2099, 220-240V~, 50-60 Hz M1062785 Danish, Hospital Grade SB 107-2-D1, 220-240V~, 50-60 1505-3878-000 Hz 2065496-001 Rev G (2024 12) Europe, CEE 7/7, 220-240V~, 50-60Hz 1500-3291-000 India and South Africa, BS 546, 220- 240V~, 50-60Hz 1505-3817-000 Japan, JIS8303, 100-120V~, 50-60Hz M1098772 North America (NA), NEMA 5-15,100-120V~, 50-60Hz 1505-3816-000 Swiss, SEV 1011, 220-240V~, 50-60Hz 1500-3292-000 United Kingdom, BS1363, 220-240V~, 50-60 Hz 1500-3283-000 2 Power Cord Jumper, 1.0 meters 1505-3844-000 3 Retainer, Outlet Power Cord Jumper 1505-3041-000 4 Retainer, Inlet Power Cord 1505-3033-000 5 Screw, M3x8 Pozidrive Head Sems 0140-6219-130 10-29 CARESCAPE R860 2 1 2 1 1 1 3 5 4 Note Tighten screw on outlet retainer (3) to 0.45 Nm. Tighten screw on inlet retainer (4) to 0.45 NM. Tighten screws (5) on both sides to 1.0 Nm. 10-30 2065496-001 Rev G (2024 12) AB.100.357 1 10 Illustrated Parts 10.16 AC Inlet/Outlet Components Item Description Part Number 1 AC Inlet/Outlet module 1505-5006-000 2 Outlet Receptacle, Australia, AS 3112 1001-3305-000 Outlet, Receptacle, China GB2099 M1061131 Outlet Receptacle, Danish, Hospital Grade SB 107-2-D1 1011-3910-000 Outlet Receptacle, Europe, CEE 7/7 1202-3551-000 Outlet Receptacle, France/Belgium, CEE 7/4 1505-5008-000 Outlet Receptacle, India and South Africa, BS 546 1006-3805-000 Outlet Receptacle, Japanese JIS 8303 1006-3578-000 Outlet Receptacle, North America (NA), Nema 5-15 1006-3555-000 Outlet Receptacle, Swiss, SEV 1011 1006-3807-000 Outlet Receptacle, United Kingdom (UK), BS1363 1001-3309-000 Circuit Breaker, 1A, Rocker 1009-5722-000 Circuit Breaker, 2A Rocker 1009-5721-000 Circuit Breaker, 3A Rocker 1009-5720-000 Circuit Breaker, 4A Rocker 1009-5719-000 Circuit Breaker, 6A Rocker 1505-5007-000 4 Retainer, Outlet Power Cord Jumper 1505-3041-000 5 Retainer, Inlet Power Cord 1505-3033-000 6 Screw, M3x8 Posidriv Head SEMS SST 0140-6219-130 7a* Toroid, 120-240V 1009-5692-000 7b Toroid, Low inrush toroid transformer, 100-240V 2086517-001 8 Screw, M6x70 0144-2131-923 9 Lockwasher, M6 9213-0560-003 10 Washer 0402-1107-500 11a* Circuit board, Inrush, 100-120V Circuit board, Inrush, 220-240V 1006-3245-000-S 1006-3246-000-S 11b Universal Surge PCA, 100-240V M1077081 12 Harness, 120 V Inrush to toroid Harness, 220 V Inrush to toroid 1505-5709-000 1505-5715-000 13 Harness, AC inlet to Inrush 1505-5711-000 14 Harness, to 100/120 V toroid to outlets Harness, to 220/240 V toroid to outlets 1505-5710-000 1505-5716-000 15 Cable clamp 1009-3184-000 16 Phillips Pan Head Screw, ISO 7045, M4-0.7, X12mm Long 1007-M4C012-31 17 Lockwasher, M4 external 9213-0540-003 18 Plate, base cover M1190706 19 Screw, M4x8 Pozidriv Flat Head 0140-6226-107 3 2065496-001 Rev G (2024 12) 10-31 CARESCAPE R860 Item Description Part Number 20 Low inrush toroid transformer 100-240V Service Kit 2086517-001-S *If 7a or 11a can no longer be ordered you must order the low inrush toroid transformer 100-250V service kit (20). This kit includes both the toroid and the inrush circuit. 4 1 2 18 3 19 3 6 5 3 11a 7a 1 12 10 9 8 13 14 15 16 17 7b 1 AB.100.341 11b . Receptacle Power cord Receptacle Power cord AS 3112/GB2099 Austrailia/china 10-32 ME2853 Japan 2065496-001 Rev G (2024 12) 10 Illustrated Parts Receptacle Power cord 2065496-001 Rev G (2024 12) Receptacle Power cord Hospital Grade SB 107-2-D1 Denmark SEV 1011 Switzerland CEE 7/7 Europe (EURO) BS 1363 United Kingdom (UK) CEE 7/4 France/Belgium NEMA 5-15 North America (NA) BS 546 India and South Africa NBR 14136 Brazil 10-33 CARESCAPE R860 10.17 Cart Item Description Part Number 1 Front Panel M1190698 2 Lock Base M1190693 3 Lock Plate Assembly M1190695 4 Caster Kit, Locking (apply Loctite 242 to threads) M1144299-S 5 Base Casting M1190730 6 Handle, Back M1190696 7 Handle, Front M1190697 8 Panel, Rear Assembly M1190701 9 Locator Pin, Rear Panel M1190690 10 Weight Screw, M6x70 Lockwasher, M6 Washer 1009-3337-000 0144-2131-923 9213-0560-003 0402-1107-500 11 Plate cover base top M1190706 12 Rear panel bracket mounting M1190702 Not Shown: Dexcription (Quantity) Cart Lock Plate Repair Kit (does not include lock plate) M1232075 Cart Hardware Kit Roll pin 1/4x1 (2) Screw SS FHSCS M5x12 (4) Label, Sticker Screw, Cover (8) Screw M6x25 SS Socket Head Cap SST (6) Screw M6x16 Socket Head Cap SST (6) Screw M4x16 Socket Head Cap SST (1) Screw SHCS M8x22 ST II PL (2) Screw SHCS M4x18 SS (2) Screw M4x8 PPHMS Eco-Fix Zinc (2) Washer 5x15x1 (2) Screw M5x12 PPHMS Eco-Fix Zinc (2) Screw Fast-Lead Southco 12-P-403 (1) Retainer Southco 12-6-1 (1) M1232074 CAUTION Carts that do not include AC outlets have a weight installed in the base in place of the toroid. To reduce the risk of tipping the cart, do not remove the weight. 10-34 2065496-001 Rev G (2024 12) 10 Illustrated Parts 7 2 6 3 1 11 5 4 8 12 AB.100.356 10 9 2065496-001 Rev G (2024 12) 10-35 CARESCAPE R860 10.18 Airway module rack Item Description Part Number Module Rack, complete assembly 1505-3849-000 1 Housing (only), Module Rack 1505-3802-000 2 Screw, M3x0.5-12 Pan Head 1102-3078-000 3 Washer, Flat M3 0144-1003-132 4 Cable, Patient Module Rack 1505-5601-000 5 Port cap socket with screw (Lower module bay ports are capped - not supported) M1141813 6 Port (not supported) 1 2 3 AB.100.355 6 4 5 10-36 2065496-001 Rev G (2024 12) 10 Illustrated Parts AB.100p.003 10.19 Airway module The following E-gas airway modules are compatible with the ventilator: • • • • • • • • • • • • • E-miniC E-CO E-COV E-COVX E-CAiO E-CAiOV E-CAiOVX E-sCO E-sCOV E-sCAiO E-sCAiOV E-sCOVX E-sCAiOVX The letters in the airway module model number correspond to its model and capabilities. • • • • • • • • E = plug-in gas module s = spectrolite model C = CO2 detection and N2O in compact airway modules (not supported) O = patient O2 detection A = anesthetic agent detection (not supported) i = anesthetic agent identification (not supported) V = patient spirometry capability X = metabolics Important The ventilator is not intended for use with anesthetic agents. It does not measure or display anesthetic agents. 2065496-001 Rev G (2024 12) 10-37 CARESCAPE R860 10.20 Airway Module Planned Maintenance Kits . Item Description Replacement interval M1153491 Planned Maintenance (PM) Kit for Compact Airway modules The PM kit includes the required Nafion tubes, the occlusion filter for the pneumatic unit, the reference gas filter assembly with an o-ring and a new sticker, the D-fend o-rings and the fan filter. Note: The PM kit does not include the CO2 zero absorber. Once a year 895933 CO2 zero absorber Once every 4 years Note It is recommended to replace the D-fend water trap, the gas sampling line and the spirometry tube as part of the planned maintenance procedure. See User Reference Manual for compatible accessories. WARNING Only use Datex Ohmeda calibration gas. Do not use any other calibration gases or the calibration will not succeed. E Modules Calibration Gas Regulator E-miniC E-CO E-COV E-COVX E-sCO 755587 (US only) 7555581-HEL E-sCOV M1006864 (US only) 755534 E-sCOVX E-CAiO E-CAiOV E-CAiOVX E-sCAiO 755571 (US only) 755583-HEL E-sCAiOV E-sCAiOVX 10-38 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.21 EVair Compressor Item Description Part Number 1 EVair Compressor (only) 220-240V, 50-60 Hz 110-120V, 60Hz M1230849 M1230847 2 Air Connector Inlet, pipeline: –--- DISS 9913-6557-800 DISS Female 1505-3830-000 NIST 1001-5826-000 S90-116 Fitting 1010-7048-000 SIS 1505-3831-000 Seal 1010-3220-000 O-ring - 019 70 EPDM 1006-3614-000 Outlet hose, Air: –--- DISS/M16 2064368-001 SIS/M16 2064371-001 NIST/M16 2064369-001 S90-116/M16 2064370-001 DISS Body/M16 2064373-001 AC P-clip 1/4“ 2066647-001 AC P-clip 3/8” 2066648-001 Screw M4x12 for P-clip 0140-6226-111 Washer flat for P-clip 0144-1025-165 5 Trim, compressor Long (used without AC outlet box) 1505-3604-000 6 Trim, compressor Short (used with AC outlet box) 1505-3605-000 3 4 Not Shown: Fuse SPT 5x20 4 A (Ceramic) 220-240V 200-030-001 Fuse SPT 5x20 6.3 A (Ceramic) 110-120V 200-030-002 Inlet Filter (Qty 1) 302-031-000 Filter Kit (annual maintenance kit) 302-082-000 Motor Kit (15,000 hours) 230V/50 Hz 120V/60 500-017-000 For service information and parts, refer to the EVair Compressor Technical Reference Manual (2066031-001) 2065496-001 Rev G (2024 12) 10-39 CARESCAPE R860 1 3 5 6 4 10-40 AB.100.354 2 2065496-001 Rev G (2024 12) 10 Illustrated Parts 10.22 Feature option labels 10.22.1 Vent Housing Item Description Part Number 1 Neonatal Label 2070212-001 2 SpiroDynamics Label M1057707 3 FRC Label M1057705 4 Neonatal only Label 2065182-001 2 3 AB.100.353 1 4 2065496-001 Rev G (2024 12) 10-41 CARESCAPE R860 10.23 Key/BID label Item Description Part Number 1 Key/BID label 1504-3521-000 AB.100.352 1 10-42 2065496-001 Rev G (2024 12) 11 Schematics and Diagrams Schematics and Diagrams In this section 11.1 Pneumatic system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2 11.2 Vent engine manifold flow diagram. . . . . . . . . . . . . . . . . . . . . . . . . . 11-3 11.3 System cable/harness interconnections. . . . . . . . . . . . . . . . . . . . . . 11-4 11.4 Electrical architecture. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5 11.5 Power distribution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6 11.6 Motherboard (backplane) block diagram. . . . . . . . . . . . . . . . . . . . . . 11-7 11.7 PMB block diagram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8 11.8 VMB block diagram (sheet 1 of 2). . . . . . . . . . . . . . . . . . . . . . . . . . 11-9 11.9 VMB block diagram (sheet 2 of 2). . . . . . . . . . . . . . . . . . . . . . . . . .11-10 11.10 VCB block diagram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11 11.11 Monitoring Module Rack block diagram. . . . . . . . . . . . . . . . . . . . .11-12 11.12 AC outlet module; 100-120 V (with isolated outlets. . . . . . . . . . . . 11-13 11.13 AC outlet module; 220-240 V (with isolated outlets). . . . . . . . . . . . 11-14 2065496-001 Rev G (2024 12) 11-1 CARESCAPE R860 AB.100.382 11.1 Pneumatic system 11-2 2065496-001 Rev G (2024 12) 11 Schematics and Diagrams 11.2 Vent engine manifold flow diagram Inlet Filter P P Inlet Filter O2 Air Optional Standard Air Regulator O2 Regulator Air Test Port O2 Test Port O2 Flow Sensor O2 Flow Valve Total Flow Sensor Air Flow Sensor Air Flow Valve Atmosphere O2 Sensor Paux Pinsp Pexp AB.98.072 Paux Relief H INSP Paux EXP 2065496-001 Rev G (2024 12) 11-3 CARESCAPE R860 11.3 System cable/harness interconnections Insp Effort Valve Safety Relief V alve Air PipelineP O2 PipelineP H I2C Motherboard (backplane) RS 485 RS-232 NEO Sensor VMB PSM Port Vent Monitor Board Future Expansion Port 2 RS 422 Future Expansion Port 1 C VCB Vent Control Board PMB J8 Power Management Board A DU Port USB J1 J4 Ethernet J2 D E F Exhal Valve 2 - 12V 4AHr Batteries 150W Mains Power Supply G Back Panel Connectors Monitoring Module Monitoring Module Port J11 PMB Fan J3 Vent Engine Fan I2C Air Flow/ Temp I2C O2 Flow/ Temp I2C Total Flow/ Temp Insp P Insp P Zero Valve Ext Bat Connector On/Standby and Safety Switch Power Entry Module Aux P Aux P Purge Valve AB.98.060 B Nebulizer O2 Flow Valve J12 A. Display Unit cable B. Monitoring moduule cable C. Vent Engine harness D. Batter to PMB harness E. Power Supply to PMB harness F. On/Standby Switch harness G. AC Inlet to Power Supply harness H. Flex cable I. Nebulizer cable I Air Flow Valve DU serial Port Display Unit Serial O2 Sensor Piezo-Electric Neb Board Nurse Call Serial Exp Flow Sensor ExpP Zero Valve J10 RS 232 Exp Flow Infc Bd ExpP J7 RS 422 Exp Flow Sensor Bd 11-4 2065496-001 Rev G (2024 12) 11 Schematics and Diagrams AB.100.383 11.4 Electrical architecture 2065496-001 Rev G (2024 12) 11-5 CARESCAPE R860 11.5 Power distribution Display Unit CPU Board Step Down ISL9501 Step Down VCORE PMB Power Management Board +12.5V (switched bus voltage) F 150W AC-DC Power Supply +20V to +31V (battery voltage) FET 3 3V LCD FET 12 V - CE 45W 12.5V Reg F LDO 1 5 V CB Step Down 3 3 V CB 16V Reg F LDO 3 3 V CB Step Down 5 V FET 12 V - INV Step Down +1.2 V - VCCP +12V fan1 Step Down +1.5 V +3.3V Step Down +3.3 V +3.3V stdby Step Down +1.5 V - Phase 3.2 W Charger 15W F MGAS Monitoring Module Power Supply Board +5V Step Dwn I-LMT + 1 2 . 5 V (s w i t c h e d b u s v o l t a g e ) 24V Battery 26W 14.5W +15.1VDD LDO +15V LDO +/-17V Flyback -15V LDO NESTPR 7.8W 16W I-LMT PSM 16W VCB Ventilator Control Board 4W +3.3V +1.8V +5V +5.5VA 2W +5VA +6VA -6V 1W Neb 12V 9W Valve Drive (12V) VMB Vent Monitor Board 4W +5V Vdd +5VA +6V -6V 8W Exp Flw Snsr Valves (12V) +12.5V (10V A Internal Expansion) up to 20W +12.5V (10V A Ext Expansion Port 1) up to 20W +12.5V (10V A Ext Expansion Port 2) up to 20W 20W I-LMT AB.98.059 Power Entry Module AC Mains FET 5V CB Motherboard (backplane) 11-6 2065496-001 Rev G (2024 12) 11 Schematics and Diagrams 12.5VBUS EXPANSION (RS-422) PORT #2 J5 EMI Filters ESD Protection DU/MN COMM RS232 DU/MOD BUS & P SM COMM RS 485 DU/MOD BUS & PSM RESET DU/PMB COMM RS232 MONITOR ON/STANDBY 16V PO WE R MANAGE ME NT BO ARD CONNECTO R 12.5VBUS 12.5VBUS 16V Current Limiter EMI Filter MOD_& PSM PWR_FAIL ILIM_MOD_EN 12.5V Current Limiter EMI Filter THERAPY MODULE_PWR_FAIL 1 ILIM_TMP_EN_1 12.5V Current Limiter EMI Filter EMI Filters ESD Protection Service RS422 Application / Therapy Device Communication VMB 3rd RS422 MAINS LED EMI Filters ESD Protection EXPANSION (RS-422) PORT #3 J6 RS422_12.5V EMI Filters ESD Protection NEON Flow Sensor PORT #1 J4 RS422_12.5V MOD_BUS _16V MODULE BUS CONNECTOR NC EMI Filters ESD Protection EMI Filters NO MONITOR SERIAL / NURSE CALL CONNECTOR CO M DISPLAY INTERFACE CONNECTOR P SM/RS485_16V 11.6 Motherboard (backplane) block diagram 12.5VBUS THERAPY MODULE_PWR_FAIL 2 PWR_FAIL(3) ILIM_TMP_EN_1 ILIM_EN(3) AUX_AUDIO_PWR AUX_AUDIO_PWR DU/VCB COMM RS422 THERAPY COMMUNICATIONS (RS422) DU/VMB COMM RS422 Nurse Call Enable 12.5VBUS VCB/VMB COMM RS422 12.5VBUS VE NTILATOR MONITOR BOARD CONNE CT OR VM_BUZZER_ON BUZZER_SNSE VM_EXHAL_OPEN MNVR_OPEN VENTILATO R CO NT RO L BOARD CO NNE CTOR Neonatol Analog Flow Signals SAFE_CLSE OK_TO_ZERO RESET SPI BUS EXPD[7:0] BA[2:0] IRQ6 CNTL AB.100.384 EXP BUS CONTROL 2065496-001 Rev G (2024 12) 11-7 CARESCAPE R860 11.7 PMB block diagram VBUS VBAT PS_V_ADJ Fuse Isolated DC_DC Convert ENABLE Diode AC_GOOD Isolated DC_DC Convert ENABLE +12.5V +12V MODE BATT_STROBE FAN_HIGH SET_SYS_ON CLR_SYS_ON EXT_BA T_SEL FAN_ON AC_GOOD SYS_ON FAN_GOOD EXT_VBA T BATT_STAT_2 EXT_BA T_SEL ON/STBY_UP TEMP SENSOR Battery Connect Timer OR On/Standby Switch Connector BATT1_V BATT2_V BATT_I TEMP OPTO ISO RX VDD VFAN EXT_BA T_V EXT_BA T_I MUX RS-232 WATCHD0G BATT_DISCHARGE BATT_I WDOG ISP Connector FF CLR_SYS_ON Q SYS_ON VFAN1 VBUS Linear Reg FAN1_ON +12V VFAN2 FAN1_HIGH +3.3V (VDD) Linear Reg Speed Detect AUX_AUDIO_PWR SAFETY_SW MAINS_PWR VBAT FAN1_GOOD ISOLA TED PS OR EXT_VBA T Fan2 Connector FAN2_GOOD FAN2_ON VBAT BATT_DISCHARGE AC_GOOD Isolated Drive Circuit FAN_FAIL_DET_EN MAINS_LED_C MAINS_LED_A VBAT_SENSE CURRENT_SENSE PM_P MB C o nn e c to r OPTO ISO OVER_CHARGE /FLOAT_CHARGE +12.5V SYS_ON Internal Battery Trickle Charger +12V FAN2_HIGH VSTBY MAINS_PWR TRKLE_CHRG_CTRL VBAT MB C on n ec t or Step-Down SMPS Fuse Speed Detect Fan1 Connector MB C o n ne c t or VBUS LDO Battery Charger/ Discharge Detector CURRENT_SENSE VREF SET_SYS_ON VBAT Voltage/ Current Converter BATT_I Debug/Programming Connector VSTBY VBUS +3.3V (VDD) RESET ON/STBY_UP Step-Down SMPS BATT2_V MB C o n ne c t or BATT_STROBE Voltage Sense GND TX BATT_CONNECT Current Sense uC V_GND_1.5V VSTBY BATT1_V LDO A_GND Switch Voltage Sense +3.3V (VDD) +12.5V 12V VBAT Int Battery Connector LOW_CHG_RA TE BATT_STROBE EXT_BA T_ON_FULL EXT_BA T_I_LMT INT_BA T_DISABLE EXT_BA TT_CLK BATT_STAT_1 Switch Int Battery Connector BATT_CONNECT AND CHARGER_ON 11-8 BATT_STAT_2 Battery Charge Controller DRIVER AC_GOOD BATT_STAT_1 Logic Level Shifter PS_V_ADJ AB.98.057 ISO +3.3V (VDD) +16V M B C o n ne c to r P o w e r S u pp ly C o n n ec t or MAINS_PWR 2065496-001 Rev G (2024 12) 11 Schematics and Diagrams 11.8 VMB block diagram (sheet 1 of 2) 2065496-001 Rev G (2024 12) 11-9 CARESCAPE R860 11.9 VMB block diagram (sheet 2 of 2) 11-10 2065496-001 Rev G (2024 12) 11 Schematics and Diagrams 11.10 VCB block diagram R860 Ventilator Control Board NEB_PWR_ON MUX[0:2] NEB_12V BA[2:0] NEB_12V 12.5VBUS Clock Distribution +6VA D[31:24] D[31:16] D[31:0] -6VA Bidirectional Tranceivers (LVC/LCX) EXPD[7:0] Bidirectional Tranceivers (LVC/LCX) FD[31:16] 12P5_TEST 5VA_TEST Power 6VA_TEST Supply Monitors N6VA_TEST 5P5VA_TEST +5VA Power Supplies +5.5VA +5V +6VA -6VA +5.5VA +5V MUX_OUT 5V_TEST 8-Ch MUX AMB_TEMP MOD_PWR_FAIL Temp Sensor O2VLV_I 12-Bit ADC FL_WP EXHVLV_I 4.096V REF Development SRAM (512K X 16) MCF5407 Coldfire Microcontroller O2VLV_EN AUX_PRESS INP_PRESS SRAM (512K X 16) 2048VREF 4096V_ADC 4.096V REF SPI BUS I2C BUS AIRVLV_I EXP BUS_CONTROL AIRVLV_EN EXPD[7:0] EPLD CONTROL LINES EXHVLV_I I2C BUS ILIM_EN(3) EXHVLV_V MNVR_OPEN Clock Oscillator RESET Audio Alarm External Watchdog & Reset Current Sense Watchdog Logic Latch Control IRQs/ACK Interrupt Vectors UART INTERFACE SPI WD_STRB PURGEAUXP_EN ZEROINSP_ON PURGEAUXP_ON LATCH CONTROL IRQ2 CNTL(2) I2C Isolation SPI BUS IRQ6 CNTL(2) VALVE_EN Glue Logic RESET BUZZER_SNSE CURRENT LMT PWR FAIL SIGNALS Input Latch 16-bits (LVC/LCX) +3.3V Power Supply ZEROINSP_ON SPARE1 EXP_MBUS_RESET RS485 Tranceiver EXP_MBUS COMM EXP MBUS RESET VM_BUZZER_ON AUX_PRESS EEprom EEP_WP OVER_PRESS VREF NEB_12V NEB_TICK_LS VM_EXHAL_OPEN NEB_TICK_LS NEBULIZING_LS NEBULIZING_LS VM_BUZZER_ON MUX[0:2] FL_WP EEP_WP ZEROINSP_EN LATCH CONTROL Output Latch 16-bits (HC) PURGEAUXP_EN VC_BUZZER_ON EXHVLV_CNTL AIRVLV_CNTL O2VLV_CNTL NEB_STOP NEB_PWR_ON I2C TOTAL FLOW BUS OK_TO_ZERO I2C O2 FLOW BUS ILIM_EN(3) OVER_PRESS I2C AIR FLOW BUS MNVR_OPEN SAFE_CLSE AUX_AUDIO_PWR EXPBIT0 EXPBIT_CNTL Status LEDs YEL YEL YEL YEL RED YEL YEL 35P5 RXDU TXDU RESET INPZ AUXZ YEL 12.5VBUS 12.5VBUS 2065496-001 Rev G (2024 12) I2C AIR FLOW BUS OVER_PRESS PURGEAUXP_ON I2C O2 FLOW BUS BUZZER_SNSE +1.8V Power Supply Zero Valve Drivers INP_PRESS I2C TOTAL FLOW BUS Voltage Monitors ZEROINSP_EN EXP_BUS CONTROL VENT ENGINE CONNECTOR DITHER VALVE_EN SW OVP AB.100.212 VM_BUZZER_ON EXP1 COMM EXHVLV_EN EPLD Flow Sensor Enable VC_BUZZER_ON 16-Bit DAC DU/VCB COMM RS422 IA AUX_AUDIO_PWR RS422 Tranceivers UARTs 4 Channels (3 Used) 64-Byte FIFOs Bidirectional Tranceivers (LVC/LCX) DITHER VCB/VMB COMM RS422 BA[23:0] Comp D[31:24] Exh. Valve Driver 16-Bit DAC I2C EEPROM BUS D[7:0] RESET JTAG CONNECTOR 24mA Drivers (LVC/LCX) A[23:0] BPD[7:0] Power-up Configuration Termination IRQ2 CNTL(2) I2C BUS IRQ6 CNTL(2) BA[2:0] MOTHER BOARD CONNECTOR SAFE_CLSE 24mA Drivers (LVC/LCX) Air Valve Driver 16-Bit DAC OK_TO_ZERO EXP_MBUS_RESET O2 Valve Driver 16-Bit DAC EXHVLV_V RS232 Tranceiver BDM BUS AIRVLV_I NEB12VT 8-Ch MUX RESET Flash (8M X 16) O2VLV_I MUX_OUT IA EXPANSION PORT 3 +5V BDM CONNECTOR VBUS +5VA SPI BUS Clock Oscillator NEB12VT 11-11 CARESCAPE R860 Monitoring Module R ecepticle #1 MBUS_P_RESET MBUS_M_RESET MBUS_P_D ATA_485 MBUS_M_D ATA_485 16V_PWR_10V A_LIMIT Fly-Back SMPS Buck SMPS LPF -15V +5V Voltage Monitors RED RED RED RED +15V FAIL -15V FAIL +5V FAIL +15VD FAIL AB.98.066 LDO Monitoring Modu le R ecepticle #3 +15V Monitoring Module R ecepti cle #4 LDO Monitoring Module R ecepticle #2 +15VD MONITOR ING MODULE P OWER LDO max Vdropout 0.5V E SD Protection E SD Protection EMI Filters MOD BUS I/O 11.11 Monitoring Module Rack block diagram 11-12 2065496-001 Rev G (2024 12) 11 Schematics and Diagrams 11.12 AC outlet module; 100-120 V (with isolated outlets OUTLET ANE P L AC INLET/OUTLET MODUL E IEC 320 TO VENTILATOR OUTLET BREAKERS SYSTEM BREAKER AC INLET EQUIPOTENTIAL STU D COUNTRY SPECIFIC OUTLETS CHASSIS GROUND (BRN) R2 1.8 FUSIBLE 10% 5W LINE IN RV2 150V D6521ZOV151RA20 Differential Mode 1 2 NEUTRAL IN (BLU) Common Mode GND (GRN/YEL) 2065496-001 Rev G (2024 12) CR1 1.5KE250C 250V 1500W 10% G1 U-5B 250V 15% R1 10 20% 2W RV1 D6521ZOV141RA20 140V F1 1A 250VAC FUSE2AG ISOLATION TRANSLATION VIO K1 4 1 6 5 JH1A-W-AC120V-Q 1 IN 3 SOLID STATE DELAY OUT 4 TIMER 2 T1 KH111 LOAD 120V 2 G2 U-5B 250V 15% CONNECTOR THERMAL FUSE 130C BRN RED THERMAL FUSE 130C ORN RED BRN BLU BLK NEUTRAL OUT RV3 D6521ZOV141RA20 140V 1 BLK LINE OUT WHITE CHASSIS GROUND CONNECTOR NC NC AB.98.062 INRUSH PCA 100-120V 11-13 CARESCAPE R860 11.13 AC outlet module; 220-240 V (with isolated outlets) OUTLET PANEL AC INLET/OUTLET MODULE IEC 320 TO VENTILATOR OUTLET BREAKERS SYSTEM BREAKER AC INLET EQUIPOTENTIAL STUD COUNTRY SPECIFIC OUTLETS CHASSIS GROUND INRUSH PCA 220-240V LINE IN Differential Mode RV2 D65ZOV271RA140 275V 1 2 (BLU) GND (GRN/Y) RV1 D65ZOV271RA 140 275V NEUTRAL IN Common Mode G1 U-9B 470V 15% 10% 7W FUSIBLE CR1 1.5KE440CA 440V 5% 1500W R1 10 2W 20% CERAMIC F1 1A 250VAC FUSE2A G K1 4 1 LINE OUT 6 5 T1 KH115 240V 1 JH1A-W-AC240V-Q SOLID STATE DELAY TIMER 2 G2 U-9B 470V 15% VIO BLK 3 THERMAL FUSE 130C 4 RED BRN RED 2 BRN THERMAL FUSE 130C CONNECTOR NEUTRAL OUT RV3 D65ZOV27 1RA140 275V 1 ISOLATION TRANSFORMER ORN BLU BLK WHITE CHASSIS GROUND 11-14 CONNECTOR NC NC AB.98.063 (BRN) R2 6.8 2065496-001 Rev G (2024 12) Appendix A Medical Grade Gases Medical Grade Gases In this section A.1 Medical-Grade Air Recommended Specifications. . . . . . . . . . . . . . . . A-2 A.2 Medical-Grade Air Auxiliary Filter Recommendations. . . . . . . . . . . . . A-3 A.3 Medical-Grade Oxygen Recommended Specifications. . . . . . . . . . . . A-4 2065496-001 Rev G (2024 12) A-1 CARESCAPE R860 A.1 Medical-Grade Air Recommended Specifications The following information has been obtained from the Compressed Gas Association Compressed Gas for Human Respiration pamphlet G-7, unless otherwise noted. Limiting characteristic % (v/v) Balance predominantly N2 Gaseous 1 Atm/19.5% to 23.5% Hydrocarbons (condensed) in Mg/M3 of gat 5 ppm at NTTP Carbon Monoxide 10 ppm Odor None Carbon Dioxide 500 ppm Halogenated Hydrocarbons 2 2 ppm Dew point 2 39°F (4°C) at 50 psi Particulate 2 micron Note 1 The term atm (atmospheric) denotes the oxygen content normally present in atmospheric air; the numerical values denote the oxygen limits for synthesized air. Note 2 From NFPA 99 Health Care Facilities 2002 Edition. Note 3 From General Electric recommendation on filtering pipeline air. A-2 2065496-001 Rev G (2024 12) A Medical Grade Gases A.2 Medical-Grade Air Auxiliary Filter Recommendations The ventilator was designed to be operated using Medical-Grade Air. The generally accepted standards for medical air are ISO 8573-1:2002 (E) specifications quality class 1.2.1, Breathing Air. The key elements that relate to equipment reliability are liquid hydrocarbons, moisture, and particulates. In general the standards for medical air from an air compressor system calls for no particulates larger then 1.0 micron, a maximum pressure dew point of 39°F (4°C) at 50 psi, and a maximum oil content of 0.01 ppm. The ventilator has internal inlet filters, and optional inlet filters are available if the integrity of the customer’s ventilator pipeline is questionable. The intent of the internal filter is to block any large particles that may be introduced when the ventilator is not connected to a wall source or during the connection process, it does not filter particulates finer than 5 micron, oil or moisture. The optional inlet filter is provided to give a visual indication of contaminate problems. It has a clear bowl so that the filter material is visible to the user. If there is any indication of contamination from particulates or moisture, the ventilator should be removed from the source and the source must be cleaned. This inlet filter will not protect the ventilator from damage if a continuous source of particulate or moisture is present in the supply lines. Damage to the ventilator due to medical gas contamination is not a warranted condition. The ventilator should only be operated using medical-grade gas. GE Healthcare LSS Research and Development Engineering conducted tests to determine if a filter, or a combination of filters would effectively remove contamination from an unfiltered source. Listed below is the filter combination that provides the best results when used under ventilation conditions. None of the filters tested, including the filters listed were 100% effective. GE Healthcare does not warranty these filters nor make any specific claims of their efficacy or reliability. Use of these filters does not change the ventilator product warranty. GE Healthcare is not responsible for the maintenance or support of these filters. • • Wilkerson Particulate filter F28 Type A with automatic drain Wilkerson Coalescing filter M18 Type B with automatic drain The coalescing filter can capture particles down to 0.01 micron, so the particulate filter must be installed up stream of the coalescing filter, otherwise premature failure can occur. The filters must be properly maintained as recommended by the filter manufacturer. Only genuine replacement parts from the filter manufacturer must be used. GE Healthcare will not supply these filters or mounting hardware. All components must be sourced and assembled locally. The filters must be mounted to the cart or wall and a hose connection between these filters and the ventilator inlet is required to minimize stress on the inlet manifold. Adding filters to the pipeline source can cause a pressure drop to the ventilator. This pressure drop will increase as the filters degrade, replace filters frequently. Other manufacturers filters may be substituted if they meet or exceed all of the performance specifications of these filters. 2065496-001 Rev G (2024 12) A-3 CARESCAPE R860 A.3 Medical-Grade Oxygen Recommended Specifications The following information has been obtained from the Compressed Gas Association, Compressed Air For Human Respiration Pamphlet G-7 unless otherwise noted. A-4 Limiting characteristic Gaseous Liquified Oxygen min. % (v/v) 99.5% 99.5% Inerts Balance Balance Odor None None Water 6.6 6.6 Dew point °F -82°F -82°F Methane 50 ppm 25 ppm Ethane and other Hydrocarbons (such as Ethane) 6 ppm 3 ppm Ethylene 0.4 0.2 Acetylene 0.1 0.05 Carbon Dioxide 10 ppm 5 ppm Nitrous oxide 4 ppm 2 ppm Halogenated Refrigerants 2 1 Solvents 0.2 0.1 Other by Infrared 0.2 0.1 Permanent Particulates 1.0 mg/l 1 mm Fibers (40 g diameter) 6 mm 2065496-001 Rev G (2024 12) Appendix B Service Parts Service Parts In this section B.1 User Reference Manual part numbers. . . . . . . . . . . . . . . . . . . . . . . . B-2 B.2 Service parts (air hose assemblies). . . . . . . . . . . . . . . . . . . . . . . . . . B-3 2065496-001 Rev G (2024 12) B-1 CARESCAPE R860 B.1 User Reference Manual part numbers Use the table below to determine the appropriate User Reference Manual. . Language Part Number (User's manual for SW 10) Part Number (User's manual bundle for SW 11) English 2065490-001 5837608 English - USA 2065490-EN-USA 5837608 Brazilian Portuguese 2065490-PT-BR 5837608-PT-BR Bulgarian 2065490-BG 5837608-BG Chinese 2065490-ZH-CN 5837608-ZH-CN Croation 2065490-HR 5837608-HR Czech 2065490-CS 5837608-CS Danish 2065490-DA 5837608-DA Dutch 2065490-NL 5837608-NL Estonian 2065490-ET 5837608-ET Finnish 2065490-FI 5837608-FI French 2065490-FR 5837608-FR German 2065490-DE 5837608-DE Greek 2065490-EL 5837608-EL Hungarian 2065490-HU 5837608-HU Indonesian 2065490-ID 5837608-ID Italian 2065490-IT 5837608-IT Japanese 2065490-JA 5837608-JA Korean 2065490-KO 5837608-KO Latvian 2065490-LV 5837608-LV Lithuanian 2065490-LT 5837608-LT Norwegian 2065490-NO 5837608-NO Polish 2065490-PL 5837608-PL Portuguese 2065490-PT 5837608-PT Romanian 2065490-RO 5837608-RO Russian 2065490-RU 5837608-RU Serbian 2065490-SR 5837608-SR Slovak 2065490-SK 5837608-SK Spanish 2065490-ES 5837608-ES Swedish 2065490-SV 5837608-SV Turkish 2065490-TR 5837608-TR Ukrainian 2065490-UK 5837608-UK Vietnamese 2065490-VI 5837608-VI B-2 2065496-001 Rev G (2024 12) B Service Parts B.2 Service parts (air hose assemblies) See the CARESCAPE R860 User Reference Manual for the user replaceable parts list. Software 10 Users reference manual 2065490-001. Software 11 User's Reference manual 5839923. . Description Part Number O2 hose assembly NIST/HPO2 MK3 Probe 3 M long 1505-3853-000 Air hose assembly NIST/BCG MK3 Probe 3 M long 1505-3854-000 O2 hose assembly DISS/HPO2 DISS Hit 3 M long 1505-3855-000 Air hose assembly DISS/BCG DISS Hit 3 M long 1505-3856-000 O2 hose assembly DISS/HPO2 Diamond 3 M long 1505-3857-000 Air hose assembly DISS/BCG Diamond 3 M long 1505-3858-000 O2 hose assembly DISS/HPO2 NCG 3 M long 1505-3859-000 Air hose assembly DISS/BCG NCG 3 M long 1505-3860-000 O2 hose assembly DISS/HPO2 Puritan 3 M long 1505-3861-000 Air hose assembly DISS/BCG Puritan 3 M long 1505-3862-000 O2 hose assembly French HPO2 S90-116 3 M long 1505-3863-000 Air hose assembly French BCG S90-116 3 M long 1505-3864-000 O2 hose assembly Canada HPO2 DISS Sequential 3 M long 1505-3865-000 Air hose assembly Canada BCG DISS Sequential 3 M long 1505-3866-000 O2 hose assembly HPO2 DIN 3 M long 1505-3867-000 Air hose assembly BCG SIS 3 M long 1505-3868-000 O2 hose assembly HPO2 DIN 3 M long 1505-3869-000 Air hose assembly BCG DIN 3 M long 1505-3870-000 2065496-001 Rev G (2024 12) B-3 B-4 2065496-001 Rev G (2024 12) Appendix C Vent Engine for FAS flow control valve Vent Engine for FAS flow control valve In this section C.1 Hardware and software compatibility. . . . . . . . . . . . . . . . . . . . . . . . . C-2 C.1.1 Identify system with FAS flow control valve. . . . . . . . . . . . . . . . C-3 C.1.2 Identify Ventilator Control Board. . . . . . . . . . . . . . . . . . . . . . . . C-4 C.2 Vent Engine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-5 C.3 FAS flow control valve replacement. . . . . . . . . . . . . . . . . . . . . . . . . .C-8 2065496-001 Rev G (2024 12) C-1 CARESCAPE R860 C.1 Hardware and software compatibility The flow control valve and the ventilator control board must be compatible and require like kind replacement. Legacy flow control valves must be used with legacy ventilator control board (M1227690-S). FAS flow control valves (5839555-S) must be used with ventilator control board (M1247901-S) which requires software v11SP01 or newer. Flow control Valve VCB HW compatible? Software v11SP00 compatible? Software v11SP01 compatible? 1505-3209-000-S M1227690-S (legacy) Yes Yes Yes 1505-3209-000-S M1247901-S No (FAS compatible) No No 5839555-S (FAS) M1227690-S (legacy) No No No 5839555-S (FAS) M1247901-S Yes (FAS compatible) No Yes AB.100.452 Note An error message shows if an incompatible software installation is attempted. C-2 2065496-001 Rev G (2024 12) AB.100.455 C Vent Engine for FAS flow control valve 2 1 1. 2. Legacy VCB FAS compatible VCB Figure C-1 • VCB identification C.1.1 Identify system with FAS flow control valve Use the machine serial number to identify systems with a FAS flow control valve and software v11 SP01.The serial number is on the serial number plate located on the back of the machine. Machines built with FAS valves contain a number 4 as the first digit after the alphabetical prefix of the serial number. Example: CRBA4#### WBRA4#### AB.100.457 • • 2065496-001 Rev G (2024 12) C-3 CARESCAPE R860 C.1.2 Identify Ventilator Control Board AB.100.453 The Ventilator Control Board identification information is located on the on the SW/HW Service Log screen. C-4 2065496-001 Rev G (2024 12) C Vent Engine for FAS flow control valve C.2 Vent Engine Item Description Part Number –--- Vent Engine Assembly – Complete 5697373-VE-S –--- Vent Engine Sub-assembly IMPORTANT Order this part only if vent engine water contamination/entry or hydrocarbon contamination occurs. (not shown) 5697373-VE-SUBS 0140-6226-107 Mounting screws, 4 M4x8 Pozidriv Does not include the following: Harness, vent engine to VCB/VMB - M1242276 Inspiratory Manifold Panel Assembly with Safety Valve 1505-8502-000 Outlet Manifold Panel Assembly, including all mounted components - 2068710-S O2 Pipeline Adapter from inlet manifold - 1505-3206-000 AIR Pipeline adapeter from inlet manifold 1505-3207-000 2065496-001 Rev G (2024 12) A Manifold, Main Assembly (does not include mounted components) 1505-8504-000 B Pressure Sensor Assembly, expiratory – inspiratory (includes Items 13 through 19) 1505-8503-000-S C Manifold, Insp Valve Assembly (includes effort valve; does not include safety valve actuator or safety valve seal) 1505-8502-000 1 Regulator w/screws O-ring, EPR, 2-012 1505-3256-000 1503-3056-000 2 (1) Port, Regulator 1505-3260-000 3 Gasket, Port 1505-3261-000 4 Inlet manifold O-ring, EPR, 2-016 Screw, M5-0.8x30 SHCS See "10.14 Inlet Manifold " 1006-3616-000 1102-3049-000 5 Transducer Flow 0-160 LPM O-ring, EPR, 2-018 M1236348-S 0210-0684-300 6 Fitting, 4mm G1/8 Self Sealing Legris 1505-3266-000 7 Plug, 4mm dia Legris 1006-3530-000 8 Valve, Flow Control MPOS (includes screws and O-ring) 5839555-S 9 Manifold Flow Valve Adapter 5806189-S 10 Screw M4x10 SHCS, Air FCV N122015 11 Plate, Pneumatic restrictor 1505-3219-000 12 Screw, M4x8 Pan Head Pozidriv 9211-0440-083 13 Manifold, Zeroing Valve 1505-3248-000 C-5 CARESCAPE R860 Item Description Part Number 14 Valve, Zeroing 3/2 1505-3249-000 15 O-ring, EPR, 2-007 1006-3213-000 16 (2) PCA Airway Pressure Sensing Board 1505-5506-000-S 17 Screw, M3x16 Pan Head Pozidriv A4 SST 1504-3003-000 18 O-ring, Buna-N, 2-005 1009-3306-000 19 Gasket, Zeroing Valve 1505-3211-000 20 Screw, M3x6 Pan Head Pozidriv A2 SST 0140-6219-128 21 Outlet manifold O-ring, EPR, 2-016 O-ring, EPR, 2-012 Screw, M5-0.8x20 SHCS See "10.13 Outlet manifold " 1006-3616-000 1503-3056-000 0144-2131-919 22 Transducer, O2 Concentrate 1505-3215-000 23 Plate, O2 Sensor 1505-3247-000 24 Screw, M2x6 Pan Head Pozidriv SST 0140-6712-102 25 O-ring, VITON, BS 4518 0171-16 1505-3059-000 26 Screw, M4-0.7x12 SHCS 1102-3006-000 27 Gasket, Inspiratory Manifold 1505-3262-000 28 Valve Seat, Free Breathing 1503-3204-000 29 (3) Valve Flapper, Free Breathing 0211-1454-100 30 O-ring, silicone rubber M1136785 31 Harness, R860 vent engine M1242276-S 32 Tie Wrap 0203-5915-300 33 Valve, Umbrella Check 1505-3267-000 34 Seal, safety valve with disc 1505-8600-000 35 Safety valve actuator (includes safety valve support) M1114504 36 Subplate, O2 Flow Control Valve (FCV) assembly M1079145 37 Screw M4x25 SHCS, O2 FCV and Subplate N122017 38 O-ring - 2, O2 FCV Subplate 1503-3056-000 39 Restrictor, Pneumatic 1505-3218-000 40 Gasket, Pneumatic restrictor 1505-3220-000 (1) Apply Teflon tape to threads. (2) When replacing the PCA Airway Pressure Sensing board, ensure that the o-ring (15) is properly seated in the manifold before mounting the board in place. (3) Install the flapper valve from the threaded side of the valve seat. Trim the tail piece close to the outside surface of the seat (refer to removed flapper - see "9.4.8 Replacing the free breathing valve"). C-6 2065496-001 Rev G (2024 12) C Vent Engine for FAS flow control valve 5 4 3 1 2 1 39 40 A 6 6 7 7 10 9 8 8 11 12 9 36 28 20 C 12 B 31 34 35 26 22 21 B 36 16 33 16 32 14 19 B 13 38 18 17 37 15 28 35 AB.100.454 27 22 29 23 25 30 24 34 2065496-001 Rev G (2024 12) C-7 CARESCAPE R860 C.3 FAS flow control valve replacement See the "9 Repair Procedures" section for instructions on how to access the chassis components in order to perform this replacement. 1. 2. 3. Install the replacement flow control valve using the new screws and new orings included in the replacement kit. Fit the air and O2 supply lines in the orientation shown. Torque the mounting screws to 0.56 +/- 0.16 Nm. AB.100.456 4. 5. Remove the flow control valve from the vent engine manifold by removing the 2 mounting screws using a 2.5 mm hex wrench. Discard the screws, o-rings, and the flow control valve. 6. Check the M4 fasteners that mount the adapter manifold to the vent engine. If the fasteners are loose or were removed, re-torque them to 2 Nm. 7. Attach the harness from the flow control valve to the vent engine harness. 8. Install the vent engine into the chassis. 9. Install the chassis into the vent housing. 10. Install the housing onto the cart. 11. Calibrate the flow control valve. See the "4.2.6 Calibrations". 12. Perform the a checkout on the system following the"3 Checkout Procedure". C-8 2065496-001 Rev G (2024 12) Appendix D CARESCAPE R860 Planned Maintenance Checklist, Installation Checklist, and Corrective Repair Checklist forms CARESCAPE R860 Planned Maintenance Checklist, Installation Checklist, and Corrective Repair Checklist forms In this section Planned Maintenance Checklist 2065496-001-PMC Installation Checklist 2065496-001-INC Corrective Repair Checklist 2065496-CRC 2065496-001 Rev G (2024 12) D-1 CARESCAPE R860 TRM 2065496-001 Planned Maintenance Checklist . Customer Name: Service Record Number: System ID or Serial Number: Equipment ID: Software version: Date: Performed by: Circle the service month interval: 6, 12, 24, 48 Every 12 months Refer to the CARESCAPE R860 Technical Reference Manual 2065496-001 for detailed test and maintenance instructions. Inspect the system Important: Check all components' date wheels and verify that the date codes and part replacement schedules are compliant. . Procedure • • • • • • • • • Expected results Check that casters are not loose • or damaged. See "Replacing the cart caster" in the Technical Reference Manual for detailed information. • Visually inspect the display unit fan filter. • Visually inspect the vent engine fan filter. • Visually inspect the exhalation • valve assembly. Visually inspect the gas inlet • filters (O2 and Air). Check movement of the display • unit arm joints. Check movement of the patient monitoring module rack. Check that accessory • components are securely attached (if equipped). • Check that pipeline or compressor gas supplies are connected (if equipped). Casters roll and lock as needed and are firmly mounted to the machine base. Display unit fan filter is clean. Vent engine fan filter is clean. No physical damage. O2 and Air filters are clean. Arm is in good condition and tightened. Check movement of patient module rack arm. If necessary, use hex wrench to adjust tension. Accessory components are securely attached. Air and O2 are securely connected to gas inlets. Outcome Comments Pass / Fail 1 Power cords . Procedure Expected results • Verify AC power cord configuration. • • Check that all AC power • cords are fully seated. All power cords are seated correctly. • Check and if necessary • tighten the following: power clamp screws to 1.0 Nm; tighten the inlet power cord retainer (1503-3033-000) screw to 0.45 Nm; tighten the outlet power cord retainer (1505-3041-000) screw to 0.45 Nm. Power clamp screws are tightened to 1.0 Nm and the retainer and outlet screws are tightened to 0.45 Nm. Power cord configuration is correct. Outcome Comments Pass / Fail Verify annunciators . Procedure • • • • Expected results Power up system and listen for • the buzzer sounds. Verify main audio tones. Verify the display unit green • LED illuminates. Verify the display alarm LED bar is active. • • 2 Buzzer sounds for 2 seconds when switch is turned On. Main audio alarm sounds briefly just before the system startup screen displays. Verified the green LED illuminates. LEDs blink: red, yellow, blue. Outcome Comments Pass /Fail 2065496-001-PMC Rev. D (2024 12) Vent engine debris clean out . Procedure Expected results Outcome Comments Perform the vent engine debris clean out. No debris in vent engine. Pass / Fail Vent engine leak test (low pressure) . Procedure Expected results Perform the vent engine low • pressure leak test using the PC Service application. • Actual results Outcome Comments Pass / Fail P1 Leak result is less than or equal to 10 ml/ min. Pass / Fail / Not applicable P2 Leak result does not exceed 10 ml/ min. Vent engine leak test (high O2 pressure) . Procedure Expected results Perform the vent engine high O2 pressure leak test using the PC Service application. Leak rate does not exceed 26 ml/min. Actual results Outcome Comments Pass / Fail Vent engine leak test (high Air pressure) . Procedure Expected results Perform the vent engine high Air pressure leak test using the PC Service application. Leak rate does not exceed 50 ml/min. 2065496-001-PMC Rev. D (2024 12) Actual results Outcome Comments Pass / Fail 3 Calibrate airway pressure transducer Zero and Span . Procedure Expected results • • Using PC Service Application 10.2: Verify “Insp Span Passed”, “Aux Span Passed” displays in Message Log. Manually check the Expiratory pressure transducer for a reading of 100 cmH2O +/- 0.2 cmH2O when the proper DAC value has been entered. • Using PC Service Application 10.2 or higher: Verify “Insp Span Passed”, “Aux Span Passed”, and Exp Span Passed” displays in Message Log. Calibrate the airway pressure transducers, Zero and Span. Actual results Outcome Comments Pass / Fail / Not applicable Pass / Fail / Not applicable Free-breathing valve . Procedure Expected results Perform the free-breathing valve test using the PC Service application. Inspiratory pressure is more positive than -3 cmH2O. 4 Actual results Outcome Comments Pass / Fail 2065496-001-PMC Rev. D (2024 12) Inspiratory effort valve test . Procedure Expected results Actual results Perform the inspiratory effort Squeeze bulb does valve test using the PC not fully inflate in Service application. less than 5 seconds. Outcome Comments Pass / Fail VCB buzzer test . Procedure Expected results Outcome Comments Perform the VCB buzzer test. VCB Buzzer sounds. Pass / Fail Mechanical overpressure valve test . Procedure Expected results Perform the mechanical overpressure valve test Pressure is greater than 100 and less than 130 cmH2O. Actual results Outcome Comments Pass / Fail Touchscreen calibration . Procedure Expected results Outcome Perform Touchscreen calibration Touchscreen targets calibrated. Pass / Fail / Not Applicable Comments Super User/Administrator tests . Procedure Expected results Outcome Perform O2 valve calibration. Pass is displayed. Pass / Fail Perform Air valve calibration. Pass is displayed. Pass / Fail 2065496-001-PMC Rev. D (2024 12) Comments 5 Procedure Expected results Outcome Comments Perform exhalation valve calibration. Pass is displayed. Pass / Fail Checkout procedure . Procedure Expected results Outcome Comments Perform System Checkout. All checks pass. Pass / Fail Battery performance test . Procedure Expected results Perform the battery test. Discharge Time is greater than 60 minutes. Actual results Outcome Comments Pass / Fail Electrical safety test . Procedure Expected results Actual results Outcome Measure the ground resistance. The measured ground resistance is less than 0.2 Ohms. Pass / Fail Measure the leakage current. The measured leakage current is less than 300 μAmps @ 120 / 100 Vac and is less than 500 μAmps @ 220 / 240 Vac. Pass / Fail Comments Every 24 months (in addition to the 12 month tests and maintenance) Refer to the CARESCAPE R860 Technical Reference Manual 2065496-001 for detailed test and maintenance instructions. 6 2065496-001-PMC Rev. D (2024 12) Parts replacement Note Check the current software version of the system before replacing the batteries (Battery FRU Part number 5953932-S). The required system software version should be 10SP06 or 11SP02 or greater to replace the batteries (Battery FRU Part number 5953932-S). . Part Number Part Description 12-Month 24-Month 5953932-S System batteries X 48-Month Replaced Yes/No Comments Every 48 months (in addition to 12 month tests and maintenance) Refer to the CARESCAPE R860 Technical Reference Manual 2065496-001 for detailed test and maintenance instructions. Parts replacement . Part Number Part Description 12-Month 24-Month 1009-5800-000 Lithium battery 48-Month Replaced Yes/No Comments X Inspect boards for dust . Procedure Expected results Outcome Visually inspect boards located behind display unit fan for dust. Boards are clean. Pass / Fail Comments Regulator output pressure test . Procedure Expected results Perform the regulator output Pressure is 25 ± pressure test. 0.50 psi 2065496-001-PMC Rev. D (2024 12) Actual results Outcome Comments Pass / Fail 7 8 2065496-001-PMC Rev. D (2024 12) CARESCAPE R860 TRM 2065496-001 EVair compressor (if installed) Refer to the EVair Technical Reference Manual 2066031-001 for detailed instructions. Planned Maintenance Checklist . Customer Name: Service Record Number: System ID or Serial Number: Equipment ID: Software version: Date: Performed by: Circle the service month interval: 6, 12, 24, 48 Every 12 months The internal filter replacement is recommended to be replaced every 5,000 hours or annually, whichever comes first on compressors that are used as the primary source of air. Compressors that are used as backup only require filter inspection and functional checks annually. The internal filter replacement is still recommended at 5,000 hours. The information alert appears after 5,000 hours of operation. Refer to the EVair Compressor Technical Reference Manual 2066031-001 for detailed test and maintenance instructions. Inspect the System . Procedure Expected results Clean or replace the cabinet Cabinet filter is clean. filter. Outcome Comments Pass / Fail Annual kit installation . Procedure Expected results Outcome Install the annual filter kit. Filters have been installed Pass / Fail following the instructions in the EVair Compressor Technical Reference Manual. Comments 9 Pressure 01 functional test . Procedure Expected results Actual results Outcome Perform the following Difference in the procedure. two displayed "Functional test - Pressure pressure does not 01" exceed 60 kPa (0.6 The difference between the bar, 8.7 psi). two displayed pressures must not exceed 60 kPa (0.6 bar, 8.7 psi). Pass / Fail Perform the following procedure. "Functional test - Pressure 01" The compressor pressure should reach 300 kPa (3.0 bar, 43.5 psi) with in 15 seconds or less. Pass / Fail Compressor pressure reaches the 300 kPa (3.0 bar, 43.5 psi) with 15 seconds or less. Comments Pressure 02 functional test . Procedure Perform the following procedure. "Functional test - Pressure 02" Expected results • • Actual results Outcome Comments Pass / Fail Maximum pressure out does not exceed 50 kPa (0.5 bar, 7.3 psi) after 9 minutes. Maximum Pressure In value does not exceed 50 kPa (0.5 bar, 7.3 psi) after 20 seconds. Flow functional test . Procedure Expected results Perform the following procedure. "Functional test - Flow" Control valve is set at 300 +0/-20 kPa (3 bar, 43.5 psi) 10 Actual results Outcome Comments Pass / Fail 2065496-001-PMC Rev. D (2024 12) Procedure Expected results Perform the following procedure. "Functional test - Flow" The flow value measured is >35 L/ min. Actual results Outcome Comments Pass / Fail Electrical safety test . Procedure Expected results Actual results Outcome Measure the ground resistance. The measured ground resistance is less than 0.2 Ohms. Pass / Fail Measure the leakage current. The measured leakage current is less than 300 μAmps @ 120 / 100 Vac and is less than 500 μAmps @ 220 / 240 Vac. Pass / Fail Comments Every 15,000 hours In addition to the 12 month requirements, replace the following parts every 15,000 hours. All parts should be replaced before performing the checks, tests, and calibrations. . Procedure Expected results Install 15,000 Motor Kit after 15,000 hour Motor 15,000 hours of operation Kit is installed. (check hour meter). 2065496-001-PMC Rev. D (2024 12) Actual results Outcome Comments Pass / Fail 11 12 2065496-001-PMC Rev. D (2024 12) CARESCAPE R860 TRM 2065496-001 Airway module (if installed) Refer to the appropriate Airway Module Manual for detailed instructions. Planned Maintenance Checklist . Customer Name: Service Record Number: System ID or Serial Number: Equipment ID: Software version: Date: Performed by: Circle the service month interval: 6, 12, 24, 48 Required parts installation . Part number Part description 12 months Carescape respiratory module - M1206554 Planned maintenance kit X Carescape respiratory module - M1206555 CO2 absorber E-series module 8001760-HEL Planned maintenance kit E-series module 895933 CO2 absorber 48 months Comments X X X 13 Every 12 months . Procedure Expected results • • • • • • Verify the front cover and the front panel sticker are intact. Verify all connectors are intact and are properly attached. Verify the D-fend latch is moving properly. Verify the airway module box and latch are intact. Metal D-fend connectors and the D-fend o-rings are clean and intact. • • • • Front cover and the front panel sticker are intact. Connectors are intact and properly attached. D-fend latch is moving properly. Airway module box and latch are intact. Metal D-fend connectors and the D-fend o-rings are clean and intact. Outcome Comments Pass / Fail Install planned maintenance kit . Procedure Expected results Outcome Install all parts from the planned maintenance kit. All parts have been installed from the planned maintenance kit. Pass / Fail Comments Gas sampling system leak test . Procedure Expected results E-series: Perform Pressure reading does not steps 1 through 8 in drop more than 4 mmHg section 5.3.1. Check during one minute. that the pressure reading does not drop more than 4 mmHg during one minute. 14 Actual results Outcome Comments Pass / Fail 2065496-001-PMC Rev. D (2024 12) Gas sampling system leak test (Carescape-series) . Procedure Expected results Actual results Perform steps 1 Pressure reading does not through 10 in section drop more than 2 mmHg 5.3.1. Check that the during one minute. pressure reading does not drop more than 2 mmHg during one minute. Outcome Comments Pass / Fail Spirometry system leak test . Procedure Expected results Actual results Perform steps in Pressure reading does not section 5.3.2. Check drop more than 3 mmHg that the pressure during one minute. reading does not drop more than 3 mmHg during one minute. Outcome Comments Pass / Fail Fan check . Procedure Expected results Perform steps 1 and 2 in Airway module fan is running. section 5.3.3. Make sure the airway module fan is running. 2065496-001-PMC Rev. D (2024 12) Outcome Comments Pass / Fail 15 Sample flow rate check . Procedure Expected results Outcome Perform steps 1 through 5 in section 5.3.4. The flow rate shall be within the specification limit of 200 +/-20 ml/min for Eseries airway modules. The flow rate is within the specification limit of 200 +/-20 ml/min for E-series airway modules. Pass / Fail Comments Sample flow rate check (Carescape-series) . Procedure Expected results Outcome Perform steps 1 through The flow rate is within the 5 in section 5.3.4. The specification limit of 120 +/-20 flow rate shall be within ml/min for Carescape-series the specification limit of airway modules. 120 +/-20 ml/min for Carescape-series airway modules. Comments Pass / Fail Reference gas flow rate check . Procedure Expected results Perform steps 1 through 4 in section 5.3.5. Check that the reference flow is within the following range: Reference flow is within the following range: • • • 16 • 31 to 45 ml/min with CO, COV, CAiO, and CAiOV modules. 27 to 40 ml/min with COVX and • CAiOVX airway modules. 10 to 50 ml/min with E-sCO, E-sCOV, E-sCAiO, and E-sCAiOV • Actual results Outcome Comments Pass / Fail 31 to 45 ml/min with CO, COV, CAiO, and CAiOV modules. 27 to 40 ml/min with COVX and CAiOVX modules. 10 to 50 ml/min with EsCO, E-sCOV, EsCAiO, and E-sCAiOV. 2065496-001-PMC Rev. D (2024 12) Zero valve operation . Procedure Expected results Perform steps 1 through 7 in section 5.3.6. Check that the CO2, N2O, and anesthesia agent values drop back near 0% and the O2 reading new 21% (room air) The CO2, N2O, and anesthesia agent values drop back near 0% and the O2 reading near 21% (room air). Actual results Outcome Comments Pass / Fail Ambient pressure . Procedure Expected results Perform steps 1 and 2 in section 5.3.7. The ambient pressure value shown should not differ more than +/-10 mmHg from the value shown by the barometer. The ambient pressure value showed does not differ more than +/-10 mmHg from the value shown by the barometer. Actual results Outcome Comments Pass / Fail Fall time measurement (E-series) . Procedure Expected results Perform steps 1 through 4 in section Measured fall times are 5.3.8. Check that the measured fall times within the following ranges: are within the following ranges. • CO2 fall time: <400 ms • CO2 fall time: <400 ms • O2 fall time: <400 ms • O2 fall time: <400 ms • CO2-O2 delay: <800 • CO2-O2 delay: <800 ms ms Actual results Outcome Comments Pass / Fail Occlusion detection . Procedure Expected results Perform steps 1 and 2 in section 5.3.9. The “Airway module gas Check that the alarm “Airway module gas sampling error” displays, sampling error” displays, then press the then after pressing the help icon and check that the message: Help icon, the message: “Sample line occluded” displays within 30 “Sample line occluded” seconds. displays within 30 seconds. 2065496-001-PMC Rev. D (2024 12) Actual results Outcome Comments Pass / Fail 17 Air leak detection . Procedure Expected results Perform steps 1 through 3 in section 5.3.10. Check that the alarm “Airway module gas sampling error” displays, then press the help icon and check that the message: “Check D-fend” displays after 30 seconds. The “Airway module gas sampling error” displays, then after pressing the Help icon, the message: “Check D-fend” displays after 30 seconds. Actual results Outcome Comments Pass / Fail Spirometry check . Procedure Expected results Actual results Outcome Perform steps 1 through 5 in section The measured flow values 5.3.11. The measured flow values are are shown in real-time in shown in real-time in the VT insp and the VTinsp and VTexp VTexp fields in the airway module fields in the airway module spirometry data menu. The acceptance spirometry data menu. The criteria is: The VTinsp and VTexp values VTinsp and VTexp values should differ less than +/-30 ml of 500 ml. are less than +/-30 ml of 500 ml. Comments Pass / Fail Airway module calibration . Procedure Expected results Outcome Perform steps 1 through 10 in section 5.3.12. The message “OK” displays. Open the regulator and feed gas calibration gas until the message “OK” displays. Comments Pass / Fail Every 48 months (in addition to the 12 month procedure) . Procedure Expected results Replace the CO2 absorber The CO2 absorber has been replaced. 18 Actual results Outcome Comments Pass / Fail 2065496-001-PMC Rev. D (2024 12) CARESCAPE R860 TRM 2065496-001 Installation Checklist . Customer Name: Service Record Number: System ID or Serial Number: Equipment ID: Software version: Performed by: Date: Inspect the system Perform "Battery performance test" before using the system if it has been in storage for more than 3 months. Replace the batteries if the test fails. . Procedure • • • • Expected results Check for shipping damage. If • any damage is found, take photos and notify the shipping • carrier. Unpack and assemble the ventilator. Refer to "Setup and • Connections" in the User’s Reference Manual (URM). Remove protective tape from • cart casters, if applicable (cart only). Verify that casters are not loose or damaged. (Refer to "Replacing the cart caster" in the Technical Reference Manual TRM) for detailed information). No shipping damage was observed. Ventilator is unpacked and properly assembled. Protective tape has been removed from cart casters. Casters roll and lock as needed and are firmly mounted to machine base Outcome Comments Pass / Fail 1 Power cords . Procedure Expected results • Verify AC power cord configuration. • • Check that all AC power • cords are fully seated. All power cords are seated correctly. • Check and if necessary • tighten the following: power clamp screws to 1.0 Nm; tighten the inlet power cord retainer (1503-3033-000) screw to 0.45 Nm; tighten the outlet power cord retainer (1505-3041-000) screw to 0.45 Nm. Power clamp screws are tightened to 1.0 Nm and the retainer and outlet screws are tightened to 0.45 Nm. Power cord configuration is correct. Outcome Comments Pass / Fail Verify annunciators . Procedure • • • • Expected results Power up system and listen for • the buzzer sounds. Verify main audio tones. Verify the display unit green • LED illuminates. Verify the display alarm LED bar is active. • • 2 Buzzer sounds for 2 seconds when switch is turned On. Main audio alarm sounds briefly just before the system startup screen displays. Verified the green LED illuminates. LEDs blink: red, yellow, blue. Outcome Comments Pass /Fail 2065496-001-INC Rev. C (2022 09) Configuration/System tests . Procedure • • • • • • • • • • • • Expected results On initial installation, verify that • the password reset alert appears on start up. (SW 11) Obtain desired Configuration and Service passwords from facility. (SW 11) Update Password Rules and Requirements. (SW 11) • Update Configuration and Service passwords. (SW 11) Verify the factory installed ventilation options match the configuration purchased with the machine. Select Service log and Alarm • log and review error and alarm log entries that were entered previous to the facility installation. These are log • entries that were generated during the normal manufacturing process. Look for any new log entries that • have occurred after installation. Use the Reset logs (if you have SP04) after reviewing alarm • entries. Select the Touchscreen tab and perform the Touchscreen calibration. Access the Service Calibration menus and perform: • • O2 FCV • Air FCV • Exhalation valve • Set Calibration flag to Off (uncheck). Power system Off then On and • verify the “Calibration Required” message is not shown in the lower left portion of the display. • Perform System Check (automated checkout). If O2 Therapy is enabled perform the Dual Limb System Checkout. Perform Power Failure test. 2065496-001-INC Rev. C (2022 09) Outcome Password reset alert • appears on start up until Configuration and Service passwords are changed from factory defaults. (SW 11) Password reset alert no longer appears on start up after updating Configuration and Service passwords. (SW 11) Factory installed options match the configuration purchased. Reviewed error and alarm log entries to identify any installation failures. Touchscreen is calibrated and tracks touches accurately. Display indicates that calibration passes for each of the following: • • • Comments Pass / Fail O2 FCV Air FCV Exhalation valve Verified Calibration Flag is set to Off (unchecked) “Calibration Required” message is not displayed. All elements of the System checkout pass. The “On Battery” alarm and the battery indicator icon display. 3 Electrical safety test . Procedure Expected results Measure the ground resistance. The measured ground resistance is less than 0.2 Ohms. Pass / Fail Measure the leakage current. The measured leakage current is less than 300 μAmps @ 120 / 100 Vac and is less than 500 μAmps @ 220 / 240 Vac. Pass / Fail 4 Actual results Outcome Comments 2065496-001-INC Rev. C (2022 09) CARESCAPE R860 TRM 2065496-001 EVair compressor (if installed) Refer to the EVair Technical Reference Manual 2066031-001 for detailed instructions. Installation Checklist . Customer Name: Service Record Number: System ID or Serial Number: Equipment ID: Software version: Performed by: Date: Inspect the compressor . Procedure Expected results Outcome Check the AC power strain relief clamp. Power cord is secured by the strain relief clamp. Pass / Fail Comments Verify annunciator . Procedure Expected results Outcome Display LCD illuminates when compressor is plugged in AC. Display illuminates when Pass / Fail power is turned on. Comments 5 Pressure 01 functional test . Procedure Expected results Perform the • compressor pump-up test. • Actual results Outcome Comments Pass / Fail The difference between the two displayed pressures does not exceed 60 kPa (0.6 bar, 8.7 psi). The compressor pressure reached 300 kPa (3.0 bar, 43.5 psi) within 15 seconds or less. Pressure threshold settings . Procedure Expected results Perform the following • steps if the compressor is not going to be used as the primary air source (backup air source only). • • 6 Verify the pressure threshold setting • for the backup mode is appropriate for the facility. Connect the Medical Air pipeline hose to the compressor AIR IN connection. The lower pressure threshold at the AIR IN for the automatic backup start is 240 to 320 kPa (34.8 to 46.4 psi, 2.4 to 3.2 bar). The higher pressure threshold at the AIR IN for the automatic backup stop is 20 to 100 kPa (2.9 to 14.5 psi, 0.2 to 1.0 bar). Actual results Outcome Comments Pass / Fail 2065496-001-INC Rev. C (2022 09) Electrical safety test . Procedure Expected results Measure the ground resistance. The measured ground resistance is less than 0.2 Ohms. Pass / Fail Measure the leakage current. The measured leakage current is less than 300 μAmps @ 120 / 100 Vac and is less than 500 μAmps @ 220 / 240 Vac. Pass / Fail 2065496-001-INC Rev. C (2022 09) Actual results Outcome Comments 7 8 2065496-001-INC Rev. C (2022 09) CARESCAPE R860 TRM 2065496-001 Corrective Repair Checklist . Customer Name: Service Record Number: System ID or Serial Number: Equipment ID: Software version: Date: Performed by: Inspect the system CAUTION Before performing the tests: • Complete all necessary calibrations and sub-assembly tests. Refer to the individual procedures for a list of necessary calibrations. • Completely reassemble the system. If a test failure occurs, make appropriate repairs and test for correct operation. . Procedure The equipment is not damaged. • • • Expected results • • • Components are correctly attached. The casters are not • loose and the brakes are set and prevent movement. Power cord is connected to a wall outlet. The mains indicator turns on when AC Power is connected. Components attached. Gas supplies connected. Casters are not loose and brakes are operational. Mains indicator turns "ON." Outcome Comments Pass / Fail 1 Turn on system power . Procedure Expected results Outcome Plug the power cord into an electrical outlet. The mains indicator illuminates. Pass / Fail Push the system switch on the back of the ventilator to the On position. The system self tests pass and the display shows the Standby screen. Listen for two distinctly different audio tones to sound indicating the backup buzzer is working properly. Two different audio tones are heard. Comments Checkout procedure . Procedure Expected results Outcome Perform System Checkout. All checks pass. Pass / Fail Comments Power failure test . Procedure Expected results With the system switch set to On, unplug the power cord. System displays the Pass / Fail 'Battery in use' message and alarm sounds. • • • • 2 If batteries are not fully charged, system shutdown in less than X minutes alarm may occur. Verify the 'Battery in use' alarm shows with a yellow background in the alarm bar. Verify the display unit alarm light flashes yellow. Verify the AC icon changes to green Battery in use indicator icon (located on lower right corner of display unit). Outcome Comments 2065496-CRC Rev. 2 (2020 09) Procedure Expected results Outcome Connect the power cord to the electrical outlet. System cancels displayed alarm and audio sound. Pass / Fail • • • Verify the Battery in use alarm no longer sounds. Verify the display unit alarm light no longer flashes. Verify the green Battery in use indicator icon changes to the AC icon (located on lower right corner of display unit). Comments Electrical safety test . Procedure Expected results Measure the ground resistance. The measured ground resistance is less than 0.2 Ohms. Pass / Fail Measure the leakage current. The measured leakage current is less than 300 μAmps at 120 / 100 Vac and is less than 500 μAmps at 220 / 240 Vac. Pass / Fail 2065496-CRC Rev. 2 (2020 09) Actual results Outcome Comments 3 CARESCAPE R860 Technical Reference Manual English 2065496-001 Rev G (2024 12)
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