Anesthesia Part 1

Aestiva/5 MRI
Operation Manual - Part 1

Software Revision 4.X
System Controls, Operation, Checkout
User Responsibility
This Product will perform in conformity with the description thereof contained
in this Operation manual and accompanying labels and/or inserts, when
assembled, operated, maintained, and repaired in accordance with the
instructions provided. This Product must be checked periodically. A defective
Product should not be used. Parts that are broken, missing, plainly worn,
distorted, or contaminated should be replaced immediately. Should repair
or replacement become necessary, Datex-Ohmeda recommends that a
telephonic or written request for service advice be made to the nearest
Datex-Ohmeda Customer Service Center. This Product or any of its parts
should not be repaired other than in accordance with written instructions
provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel.
The Product must not be altered without the prior written approval of
Datex-Ohmeda. The user of this Product shall have the sole responsibility
for any malfunction which results from improper use, faulty maintenance,
improper repair, damage, or alteration by anyone other than Datex-Ohmeda.
w CAUTION U.S. Federal law restricts this device to sale by or on the order of
a licensed medical practitioner. Outside the U.S.A., check local
laws for any restriction that may apply.
Datex-Ohmeda products have unit serial numbers with coded logic which
indicates a product group code, the year of manufacture, and a sequential
unit number for identification.
AAA F 12345
This alpha character indicates the year of product

manufacture and when the serial number was
assigned; “D” = 2000, “E” = 2001, “F” = 2002, etc.
“I” and “O” are not used.
Aestiva, S/5, PSVPro, Tec 5, Tec 6 and Tec 7 are registered trademarks of
Datex-Ohmeda Inc.
Other brand names or product names used in this manual are trademarks or
registered trademarks of their respective holders.
Table of Contents
Important MRI Compatibility Information . . . . . . . . . . . . . . . . . . . . . . . . . . i

i
1/Introduction
How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
What is an Aestiva/5 MRI? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
MRI compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Gauss alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Ventilators and monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . .1-5
2/System Controls and Menus

Anesthesia system controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Breathing system controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Optional features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
How to set controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
How to use the menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Menu map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
More about menu functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
How to change menu settings (example) . . . . . . . . . . . . . . . . . . . 2-17
Gauss alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
Optional CO2 bypass mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19
3/Operation and Tutorial

Turn On the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Set the alarm loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
Show or hide alarm limits and units . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Adjust patient data for Heliox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
Turn the Volume Alarms on or off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8
Set alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9
1006-0959-000 i
Aestiva/5 MRI
Set an audible alarm for circuit leaks . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

ii Set Cardiac Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Set the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Set ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Optional features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Ventilator controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Volume Control mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Pressure Control mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
SIMV mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
PSVPro mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21
Set inspiratory pause (volume modes) . . . . . . . . . . . . . . . . . . . . . 3-22
Set SIMV and PSVPro controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24
Silence alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26
Use the pressure waveform (Paw). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27
Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-30
Show the service settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-31
4/Preoperative Checklist
Every day before the first patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Every time a different clinician uses the system . . . . . . . . . . . . . . . . . . 4-3
Before every patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Appendix – Preoperative Tests

Test Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Outside the MRI room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
MRI compatibility check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Low-pressure leak test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Negative low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Inside the MRI room. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Minimize alarms (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-10
ii 1006-0959-000
Table of Contents
Checking vaporizer installation. . . . . . . . . . . . . . . . . . . . . . . . . . . .A-10

Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-11 iii
Flow control tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-13
Vaporizer back pressure test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-14
Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-15
Ventilator alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-16
Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-17
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-20
Gauss alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-22
Index
Warranty
1006-0959-000 iii
Aestiva/5 MRI
iv
iv 1006-0959-000
Important
Important MRI Compatibility Information

Any electronic medical device intended for use in the MRI suite requires
special design considerations to ensure MRI compatibility. Care was taken
during the design of the Aestiva/5 MRI to help ensure that the performance
specifications were the same as the existing Aestiva/5 Anesthesia System.
However, while the performance specifications have not changed, you as
users must take special precautions when using the Aestiva/5 MRI in the
MRI Suite.
This section of the Aestiva/5 MRI Operation and Maintenance Manual is
designed to provide you with the additional precautions you must take when
using this device in the MRI suite.
Important The Aestiva/5 MRI is MRI Compatible. The machine was tested in an active
shielded 1.5 Tesla MRI unit with a magnetic fringe field equal to or less than
300 gauss. The machine was tested in an active shielded 3.0 Tesla MRI unit
with a magnetic fringe field equal to or less than 300 gauss.
The Aestiva/5 MRI will function to specifications in an MRI environment that
does not exceed 300 gauss. Do not store or operate the Aestiva/5 MRI within
the 300 gauss line for your unit.
w WARNING Use only MRI compatible cylinders
Do not set up or service this machine in the MRI room.
Do not add or remove accessories or components in the MRI room.
Do not use or mount monitors or other accessories that are not MRI
compatible at the 300 gauss line. Check with the manufacturer of the
monitor or accessory equipment for MRI compatibility information.
Do not store any items in the drawer that are not MRI compatible.
The Aestiva/5 MRI does contain some ferromagnetic material and

will be attracted to the MR Imager if positioned closer than 300 gauss.
Always keep the Aestiva/5 MRI in magnetic fringe field of 300 gauss
or less.
Set the brake during use or storage in MRI room.
1006-0959-000 i
Aestiva/5 MRI
ii 1006-0959-000
1 Introduction 1-1
w WARNING Using an MRI system in conjunction with general anesthesia on cardiac

patients, febrile patients, and patients with impaired ability to perspire
may present a patient health hazard.
In this section How to use this manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

What is an Aestiva™/5 MRI? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . 1-5
1006-0959-000 1-1
Aestiva/5 MRI
How to use this manual

The Aestiva/5 MRI comes with several user manuals. This manual describes
the controls and how to use them.
1-2
Section 1 shows the different models and supplies information about the
symbols used on the equipment.
Section 2 shows control locations.
Section 3 tells you how to use the controls.
Section 4 is a two-page, preoperative checklist.
The appendix provides complete instructions for the preoperative tests shown
on the check list.
The Aestiva/5 MRI can be equipped with several optional ventilation
functions. References made in this manual to Heliox mode, and SIMV and
PSVPro modes, are only applicable to systems equipped with these functions.
Use this manual together with part 2, which includes setup, troubleshooting,
calibration, or maintenance procedures.
What is an Aestiva/5 MRI?

The Aestiva/5 MRI is a flexible, accessible, and intuitive anesthesia delivery
system. It provides the functional features of the Aestiva with the added
ability of use in an MRI environment. The standard Aestiva features are the
Datex-Ohmeda user interface, ventilation parameters of the SmartVent, and
the Aestiva breathing circuit. Safety features and devices within the Aestiva/5
MRI decrease the risk of hypoxic mixtures, agent mixing, complete power
failure, and sudden gas supply failures. Options include extra gas cylinders
and extra vaporizers.
Model 2 Vap.Trolley
Number of vaporizers 2
Number of gases 2 or 3
Optional gases (Heliox and CO2 are cylinder only) Air or Heliox; CO2
Total number of cylinders (maximum 2 per gas) Up to 4
MRI compatibility The Aestiva/5 MRI is constructed primarily of non-ferrous materials to

help prevent attraction to the cryogenic magnets in MRI systems. The
Aestiva/5 MRI will function to specifications in an MRI environment that does
not exceed 300 gauss. Do not store or operate the Aestiva/5 MRI within the
300 gauss line for your unit.
1-2 1006-0959-000
1 Introduction
The Aestiva/5 MRI is MRI compatible. The machine was tested in an active
shielded 1.5 Tesla MRI unit with a magnetic fringe field equal to or less than
300 gauss. The machine was tested in an active shielded 3.0 Tesla MRI unit
with a magnetic fringe field equal to or less than 300 gauss.
1-3
An integral gauss alarm warns the operator when the machine is located in an
MRI magnetic fringe field in excess of 300 gauss.
w WARNING Store only MRI compatible items in the drawer. Storage of non-MRI
compatible items in the drawer may result in injury to the patient
or user.
Important Set brake during use or storage in MRI room.
Gauss alarm The system includes an integral gauss alarm that monitors the strength of the
magnetic fringe field in which the machine is located. The alarm warns the
operator if the machine is moved into a magnetic fringe field that is greater
than 300 gauss.
Ventilators and monitors The system uses a microprocessor-controlled ventilator with: internal monitors,
electronic PEEP, multiple modes of ventilation, and a pressure waveform
display. Built-in connectors and communication software permit optional
cardiovascular and respiratory gas monitoring.
1006-0959-000 1-3
Aestiva/5 MRI
1-4
AA.96.254
Figure 1-1 • Aestiva/5 MRI system
1-4 1006-0959-000
1 Introduction
Symbols used in the manual or on the equipment

wWarnings and wCautions tell you about dangerous conditions that
can occur if you do not follow all instructions in this manual.
1-5
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.
Other symbols replace words on the equipment or in Datex-Ohmeda manuals.
No one device or manual uses all of the symbols. These symbols include:
l On (power)
Í Not autoclavable
O Off (power)
m Type B equipment
o Standby
µ Type BF equipment
q Standby or preparatory state for part of

the equipment H Type CF equipment
Electrical input Electrical output
Pneumatic inlet Pneumatic outlet
p “ON” only for part of the equipment

w Caution, ISO 7000-0434
œ “OFF” only for part of the equipment

wW Attention, refer to product
instructions, IEC 601-1
†
N
N
Direct current This way up
∏ Alternating current
π
Dangerous Voltage
x Protective earth ground REF Stock Number
y Earth ground
1006-0959-000 1-5
Aestiva/5 MRI
r Frame or chassis ground SN Serial Number
1-6
å Alarm silence button Systems with this mark agree with
the European Council Directive
XXXX (93/42/EEC) for Medical Devices
when they are used as specified in
their Operation and Maintenance
Manuals. The xxxx is the
certification number of
the Notified Body used by
Datex-Ohmeda’s Quality Systems.
Y Equipotential Read top of float
t Variability Vacuum inlet
T Variability in steps Suction bottle outlet
+ Plus, positive polarity O2 + O2 Flush button
- Minus, negative polarity Cylinder
P Lamp, lighting, illumination Isolation transformer
N Movement in one direction Linkage system
ˆ Movement in two directions Risk of Explosion
z Lock
Z Unlock
134°C
C Autoclavable Low pressure leak test
1-6 1006-0959-000
1 Introduction
R Bag position/ manual ventilation

r Mechanical ventilation
u Open drain (remove liquid)

U Close drain
1-7
q Inspiratory flow
Q Expiratory flow
t O2 sensor connection End case
The primary regulator is set to pressure The primary regulator is set to

< 345 kPa less than 345 kPa < 414 kPa pressure less than 414 kPa
Absorber on
European Union Representative
1006-0959-000 1-7
Aestiva/5 MRI
1-8
1-8 1006-0959-000
2 System Controls
and Menus
2-1
In this section Anesthesia system controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Breathing system controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Gauss alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Optional CO2 bypass mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19
1006-0959-000 2-1
Aestiva/5 MRI
Anesthesia system controls

w WARNING Explosion Hazard. Do not use Aestiva/5 MRI systems with
flammable anesthetic agents.
w WARNING Do not use antistatic breathing tubes or masks. They can cause
burns if you use them near high frequency surgical equipment.
2-2
AA.96.253
12
4
2
5
8
7 6
9
1
11
10
1. Breathing system (Figure 2-3)

2. Flow controls
3. Ventilator/monitoring display (Figure 2-5)
4. Dovetail rails
5. Vaporizers (Figure 2-4)
6. Gauge (cylinder pressure)
7. Gauge (pipeline pressure)
8. System switch
9. Flush button
10. Brake
11. Handle
12. Gauss alarm
Figure 2-1 • Aestiva/5 MRI (front view)
2-2 1006-0959-000
2 System Controls and Menus
Figure 2-1 shows these controls on the front of the Aestiva/5 MRI.
Item Description
System switch Set the switch to on to permit gas flow and to turn on the
monitoring.
On Standby
AA.96.103
2-3
Flow controls Turn the control counterclockwise to increase the flow and
clockwise to decrease. The system switch must be on.
Increase Decrease
AA.96.105
O2 flush Push O2 Flush to supply high flows of O2 to the breathing
system.
AA.96.106
Brake Push down to lock. Lift to release.
AA.96.100
1006-0959-000 2-3
Aestiva/5 MRI
The circuit breaker is on the rear panel of the Aestiva/5 MRI.
Item Description (Figure 2-2)

Circuit Breaker
System circuit breaker
2-4 Open Closed
AA.96.108
(No Power) (Power)
4
AA.96.261
1. Circuit Breaker for Mains Inlet

2. Mains Inlet
3. Pneumatic Outlet
4. Pipeline Connection
Figure 2-2 • Aestiva/5 MRI rear view
2-4 1006-0959-000
Breathing system controls

9
8
10
2-5
11
6
5a
12
4
5b
2
13
AB.23.003
1
1. Canister release
2. Auxiliary common gas outlet (optional)
3. Outlet switch (Auxiliary Common Gas Outlet)
4. Door
5. Flow sensor /patient connection (circuit connections)
a. Inspiratory (Open or circle circuit module) or to-fro connection (Mapleson/Bain circuit module)
b. Expiratory (Open or circle circuit module) or fresh gas connection (Mapleson/Bain circuit module)
6. Breathing circuit module (Circle)
7. Bag arm
8. Bag/vent switch
9. APL valve
10. Bellows
11. Pressure gauge
12. Check valves
13. O2 sensor
Figure 2-3 • Breathing system parts
1006-0959-000 2-5
Aestiva/5 MRI
Item Description
,
Bag/Vent switch When you first turn on the system, mechanical ventilation is always off. To start mechanical
ventilation, move the switch from Bag to Vent.
2-6 Mechanical ventilation On (gas to bellows)
AB.23.059
Mechanical ventilation Off (gas to bag arm)
AB.23.060
APL valve Limits breathing system pressure during manual ventilation. The scale shows approximate
pressures. Above 30 cm H2O, you will feel clicks as the knob turns.
Increase
70
MI
N
AB.23.066
30
20
(Setting is at about 20 cm H2O)
Bag arm One arm is adjustable (push in and turn). The other is not.
Adjustable Not adjustable

AB.23.023
AB.23.024
2-6 1006-0959-000
Item Description
Canister release Open to replace soda lime or remove the canisters. Note, this also opens the breathing
system.
Pull Turn
Open
2-7
AB.23.061
Turn Push
Close
(Also operates the optional CO2 Bypass mode.)

CO2 bypass Pulling and turning the canister release opens the canisters and activates the CO 2 bypass
(optional) mode. The CO2 bypass seals the breathing circuit when the canisters are open. This permits
continued ventilation and rebreathing of exhaled gases.
AB.23.179
2
Drain plug To remove condensate, turn the plug counterclockwise as shown. Turn clockwise to close.
AB.23.062
Outlet switch Sends fresh gas to the selected outlet when the system has an auxiliary common gas outlet.
(optional) Monitoring and ventilation turn off when the auxiliary outlet is selected.
Breathing system selected Auxiliary outlet selected
AB.23.063
1006-0959-000 2-7
Aestiva/5 MRI
Vaporizer controls
Refer to the description in this section and the vaporizer operation and maintenance
manual for more detailed information on the vaporizer.
Figure 2-4 shows these controls.
2-8 Item Description

Lock lever Turn the lever fully clockwise to lock the vaporizer in
position.
AA.43.062
Concentration Push the release and turn the concentration control to
control and release set the agent concentration.
AA.13.055
2-8 1006-0959-000
1006-0959-000
4.
3.
2.
1.
Lockbefore
use
5
3 2
4
!
K
e
3
e W
S p
e
Lock lever
uar
O e m pri
p n
F era an gh
a u
in
2
S cto tio a t a
e l g
t
re rv rs na for a
co ice aff l In ll
ti
N
m a ec s m
ex m nd ti tr e
t s
1
e m ng uc
se n
rv d a p tio
ic a in e n
e ti te rf s
da o
te n n orm .
s a
n a
ce n
ce
.8 .6 .4 .2
.
0%
Lobe
Tec 5
Of
ckfore
Filler Port Controls

use
En
1
U flu
se ra
nly
O ne
Figure 2-4 • Vaporizer controls

g es
Concentration Control
in m
n ll ti
ar at a .
W ght ions. ance
! ri r ct rm
up fo ru fo
p al st per ce
ee u In g nan
K an nal in te
m ct n
e io fe ai
5
Se erat af m ns
p rs d io
O to an at
e d
Fac ic en te
4
rv m da
Se m ice
co rv
U
re xt se
Ne
3
se
O
2
nly
Is
1 .8
ofl
Concentration Control Release

ura
ne
AA.13.032
4
4
2-9
2-9
Aestiva/5 MRI
Ventilator controls
Optional features The Aestiva/5 MRI can be equipped with several optional ventilation
2-10 Control panel Ventilator controls include:

• Touch keys
• Menu screens
• A control knob
1 2 3 4
AB90.025
5
13 6
12 11 10 9 8
1. Alarm silence (key)

2. Alarm message (display)
3. Ventilation mode (display)
4. Volume alarms On/Off (key)
5. Breathing circuit module (display)
6. Menu key
7. Control knob
8. Control settings
9. Selection key
10. Ventilator status (On or Off)
11. Mains indicator
12. End case (key)
13. Measured values
Figure 2-5 • SmartVent controls and monitored data
2-10 1006-0959-000
All but two ventilator controls are located on the Ventilation/Monitoring

display:
• The system switch also controls monitoring.
• The Bag/Vent switch starts and stops mechanical ventilation.
Refer to Figure 2-5 for the location of these items.
2-11
Item Description
Menu key Shows the main menu.
Alarm silence Silences most alarms for 120 seconds.

key and
indicator Pushing the key when no alarm is active pre-silences low
and medium priority alarms, except Minimum
Monitoring, for 90 seconds.
The "No O2 Pressure" alarm cannot be silenced
120
Remaining
silence time
Volume alarm Turns volume alarms on and off.
key and status
Vol Alarms On Vol Alarms Off
1006-0959-000 2-11
Aestiva/5 MRI
Item Description
End Case key End Case helps to prevent false alarms when no patient
is connected. It:
• Puts the apnea and volume alarms into Standby.
• Returns user selections to the most common settings:
Cardiac bypass off; Alarm limits shown; and Heliox
2-12 mode off.
• Sets the PEEP to 0 cm H2O (default value).
• Sets Plimit to one of two values: facility default or
40 cm H2O.
• Forces the circuit Leak Audio to On.
Mechanical ventilation must be off (set the Bag/Vent
switch to Bag or select the auxiliary common gas outlet).
2-12 1006-0959-000
How to set controls The bottom of the screen shows control settings.
Notes:
• The ventilator will not allow the setting of values it cannot supply. A reject
tone will sound or a message will appear on the screen.
• If the incorrect key is pushed, wait ten seconds or push the correct key.
• If the new setting is not saved, the ventilator continues to use the old setting.
2-13
Step 1
Push the selection key VT
AB.29.010
below the setting. 625mL
Step 2
Turn the knob to change
the setting.
AB.29.003
Step 3
Push the knob or the key VT
AB.29.011
700mL
to save the change.
Or
1006-0959-000 2-13
Aestiva/5 MRI
How to use the menu • Screens go back to the waveform display 25 seconds after the last action.
• During a calibration or other procedure, the screen shows the instructions.
Step 1
Push the Menu key to see
2-14 the main menu.
AB29.013
Step 2
Turn the knob to select an
option (highlight).
AB.90.036
Step 3
Push the knob to show
the next screen.
AB.90.037
AB.49.045
2-14 1006-0959-000
Menu map Figure 2-6 shows the menu map. The table tells you about some of
the options.
Main Menu
Ventilation Mode Volume Control
Alarm Settings Pressure Cntrl
AB.90.036
AB90.041
Setup/Calibration SIMV Mode
Screen and Audio PSVPro Mode 2-15
Cardiac Bypass Nw
Exit to Normal Screen
Alarm Settings
O2 18 75
VE Auto Limits 5.0 Off
AB90.054
VTE 600 Off
Circuit Leak Audio On
Go to Main Menu
AB90.045
Screen and Audio Setup
Display Contrast 5
Alarm Loudness 4
AB90.063
Alarm Limits Show
Units of Measure Show
Go to Main Menu
Note: If the Alarm Settings page shows VE Auto Limits during mechanical ventilation,
the system automatically calculates alarm limits.
Figure 2-6 • Menu map
1006-0959-000 2-15
Aestiva/5 MRI
More about menu functions
Menu Option Function

2-16 Main Cardiac Bypass Turns off volume and apnea alarms when these are not appropriate
(In Progess/No) (e.g., during heart lung bypass).
Alarm Settings Circuit Leak Turns off the alarm tone for circuit leaks. You must set the low V E alarm
(Audio On/Off) first. Select Audio off if the circuit has a known leak (for example, an
uncuffed endotracheal tube).
Setup/ SIMV/PSVPro Setup Shows additional ventilation settings for SIMV and PSVPro modes.
Calibration
Inspiratory Pause Adds an inspiratory pause time to volume control breaths.
Heliox Mode Tells the ventilator if heliox is in use.
(On/Off)
O2 Sensor Cal Shows menu for O2 sensor calibration.
About Ventilator... Shows service level settings: software version; if facility defaults or the
control settings from the previous case are used when the system is first
turned on; altitude; and drive gas (O2 or Air).
Screen and Alarm Limits ’Show’, displays alarm limits next to the data on the screen
Audio (Show/Hide)
VTE VTE
632 700
600 632
mL mL
Show Limits Hide Limits
Units of Measure ’Show’, displays units under the data on the screen.
(Show/Hide)
VTE VTE
632 700
600 632 700
600
mL
Show Units Hide Units
2-16 1006-0959-000
How to change menu This example changes alarm limits.

settings (example) The screen goes back to the normal display 25 seconds after the last action.
Step 1
Select the correct menu.
2-17
Main Menu
Ventilation Mode
AB90.038
Alarm Settings
Setup/Calibration
Cardiac Bypass No
Step 2
Turn, then push the knob Alarm Settings
to select an option. O2 18 75
AB90.054
VTE 600 Off

Go to Main Menu
Alarm Settings
O2 18 75
AB90.055
VTE 600 Off

Go to Main Menu
Step 3
Turn the knob to change
the setting. 75 82
Step 4
Push the knob to save
the change. 82
1006-0959-000 2-17
Aestiva/5 MRI
Gauss alarm
The Aestiva/5 MRI will function to specifications in an MRI environment that
does not exceed 300 gauss.
The gauss alarm warns the operator by auditory and visual indication
whenever the anesthesia machine is moved into a magnetic fringe field that
2-18 is greater than 300 gauss.
AA.96.314
<275 Gauss 275-300 Gauss >300 Gauss
Less than 275 gauss The green light (<275 Gauss) indicates that the machine is properly located
where it will function to specifications.
275 to 300 gauss The amber light (275–300 Gauss) indicates that the machine is located close
to the upper limit for proper operation.
Greater than 300 gauss The gauss alarm sounds and the red light (>300 Gauss) flashes whenever the
machine is moved into an area where it may not operate to specification.
w WARNING Always keep the Aestiva/5 MRI in a magnetic fringe field of

300 gauss or less. Operation or storage in a magnetic fringe field
in excess of 300 gauss may damage the Aestiva/5 MRI.
w CAUTION The gauss alarm uses battery power even when the system is in
Standby mode. To maintain a fully charged battery, always store
the machine with the power cord connected to an AC mains
supply.
2-18 1006-0959-000
Optional CO2 bypass mode

Pulling and turning the canister release opens the canisters and activates the
optional CO2 bypass mode. The CO2 bypass seals the breathing circuit when
the canisters are open. This permits continued ventilation and rebreathing of
exhaled gases.
2-19
When the canisters are open, the medium priority alarm message “No CO 2
Absorption” is displayed. The alarm is downgraded to low priority after
silencing.
Close the absorber canisters to activate the Absorber mode. Closing the
canisters directs exhaled gas flow through the absorber, removing CO 2. Do the
breathing system tests as soon as possible after returning to Absorber mode.
When operating in CO2 Bypass mode, water condensate may collect in the
bypass assembly. The water drains automatically when the canisters are
closed.
Datex-Ohmeda strongly recommends using CO2 monitoring when using the

CO2 Bypass device.
Systems which have the optional CO2 Bypass mode installed have the
following label at the canister release.
AB.23.179
2
1006-0959-000 2-19
Aestiva/5 MRI
2-20
2-20 1006-0959-000
3 Operation and Tutorial
3-1
w WARNING In addition to volume apnea and low airway pressure alarms, other
ventilator alarms are included to indicate potential hazard conditions.
All alarms that occur should be investigated to ensure adequate
patient safety.
In this section This section describes specific tasks. Use it as a step-by-step guide or a training tool.
Turn On the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2

Set the alarm loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
Show or hide alarm limits and units . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Adjust patient data for Heliox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
Turn the Volume Alarms on or off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8
Set alarm limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9
Set an audible alarm for circuit leaks . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Set Cardiac Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Set the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Set ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Set SIMV and PSVPro controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24
Silence alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26
Reading the pressure waveform (Paw) . . . . . . . . . . . . . . . . . . . . . . . . . 3-27
Measure circuit compliance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-30
Show the service settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-31
1006-0959-000 3-1
Aestiva/5 MRI
Turn On the system
Step 1
Connect the power cord to a wall outlet.
The mains indicator comes on when
AB.29.076
AC Power is connected.
3-2
Step 2
On
Set the system switch to On (|).
AA.96.104
Step 3
The display shows the power-up
AB.90.018
screen, and the system does a series of
self tests.
Aestiva™/5 with SmartVent™
Software Version: 4.X ©2002 Datex-Ohmeda, Inc
Settings are from last case.

Always do the preoperative test before you use this system.
W Refer to the operation manual.
Self tests in progress
Step 4
Apnea Alarm Standby Vol Alarms Stdby
If the self tests pass, the display shows
AB.90.021
the waveform. VE O2 Pmax
--- 10.0
2.0 --- Off
21 ---
If a test fails, the screen shows an L/min % cmH2O
VTE Pmean ---

alarm. Refer to the troubleshooting
section. ---- 1000
Off -- 0 2 4 6 8 10 12 14 16
mL /min ---
Vent Off Volume Control Circle
VT Rate I:E Plimit PEEP
625
mL
10
/min
1:1.5 40
cmH20
Inactive
5 cmH20
3-2 1006-0959-000
Operation and Tutorial
Set the alarm loudness
Step 1
AB.29.013
Select the Screen and Audio Setup
menu.
• Push the menu key.
• Turn, then push the knob to select
Screen and Audio Setup.
3-3
AB90.036
Main Menu
Ventilation Mode
Alarm Settings
AB90.039
Setup/Calibration
Cardiac Bypass No
Step 2
Turn, then push the knob to select
alarm loudness. Screen and Audio Setup
Display Contrast 5
Important: Datex-Ohmeda
Alarm Loudness 4
recommends setting the
Alarm Limits Show
AB90.063
alarm loudness to the

maximum level (5) to help Units of Measure Show
ensure the alarm can be
heard above the noise of Go to Main Menu
the magnet.
Display Contrast 5
Alarm Loudness 4
AB90.043
Alarm Limits Show

Go to Main Menu
1006-0959-000 3-3
Aestiva/5 MRI
Step 3
Turn, then push the knob to adjust
the volume.
2 Then
• The volume range is 1 to 5
(loudest).
• As you change the volume, the
system sounds test tones.
• Push the knob to save the change.
3-4
3-4 1006-0959-000
Show or hide alarm limits and units

To simplify the displays, hide alarm limits and units of measurement. If the
alarm limits are hidden, the screen automatically shows the limits when:
• An alarm occurs
• Volume monitoring is off or the auxiliary common gas outlet is selected
(monitoring off)
• An individual alarm limit is set to Off.
When the system is set to Standby, alarm limits go back to Show.)
3-5
Show All Hide Units Hide Alarm Limits
VE VE VE
6.3 7.0
6.3 7.0
6.3
AB.90.033, 034, 035

6.0 6.0
L/min L/min
VTE VTE VTE

632 700
600 632 700
600 632
mL mL
Step 1
Select the Screen and Audio Setup
menu.
Screen and Audio Setup.
AB90.036
Main Menu
Ventilation Mode
Alarm Settings
AB90.039
Setup/Calibration
Cardiac Bypass No
1006-0959-000 3-5
Aestiva/5 MRI
Step 2
Alarm Limits or Units of Measure.
Display Contrast 5
Alarm Loudness 4
AB90.063
Alarm Limits Show
Go to Main Menu

3-6 Display Contrast 5
Alarm Loudness 4
AB90.044
Alarm Limits Show
Go to Main Menu
Step 3
Show or Hide. You must push the knob Show
to save the change.
Hide Then
3-6 1006-0959-000
Adjust patient data for Heliox1

The Aestiva/5 MRI can be equipped with several optional ventilation
PSVPro modes, are only applicable to systems equipped with these features.
When the Heliox mode is selected, the system automatically corrects
measurements for the lower density of Heliox (compared to air).
w WARNING The Heliox Mode must be set correctly for accurate volume
monitoring and delivery.
Step 1 3-7
AB.29.013
Select the Setup/Calibration
menu.
• Turn, then push the knob to
select Setup/Calibration. AB.90.036
AB.90.037
1. Units not set for Heliox show “No Heliox W.”
1006-0959-000 3-7
Aestiva/5 MRI
Step 2
Heliox Mode.
AB.90.045
Setup/Calibration
SIMV PSVPro Setup
AB.90.046
O2 Sensor Cal
Inspiratory Pause Off
3-8 Heliox Mode Off
About Ventilator ...
Go to Main Menu
Step 3
on or off. You must push the knob On Then
to save the change
Turn the Volume Alarms on or off

w WARNING Do not turn off volume alarms with a spontaneously breathing
patient. The system will not alarm for low volume.
The volume alarm key (◊E/VTE) turns volume alarms on and off. When the
alarms are off, a large X covers the limits.
Use this control to prevent false alarms if you switch to manual ventilation at
lower tidal volumes.
AB.29.014
Vol Alarms On
Use the End Case key (on control panel) to prevent apnea alarms between
patients.
3-8 1006-0959-000
Set alarm limits

Note: If the Alarm Settings page shows ◊E Auto Limits during mechanical
ventilation, the system is set to automatically calculate ◊E limits.
Step 1
AB.29.013
Select the Alarm Settings menu.
Alarm Settings.
3-9
AB.90.036
Main Menu
Ventilation Mode
Alarm Settings
AB.90.038
Setup/Calibration
Cardiac Bypass No
Step 2
Alarm Settings
Turn, then push the knob to select a limit.
O2 18 75
AB.90.054
VTE 600 Off

Go to Main Menu
Alarm Settings
O2 18 75
AB.90.055
VTE 600 Off

Go to Main Menu
1006-0959-000 3-9
Aestiva/5 MRI
Step 3
Turn, then push the knob to change
the limit.
80 Then
• Push the knob to save the change.
• The screen goes back to the normal
display 25 seconds after the last
change.
3-10
3-10 1006-0959-000
Set an audible alarm for circuit leaks

The patient circuit leak alarm is activated if less than half of the inspired volume
returns through the expiratory flow sensor during mechanical ventilation.
To prevent nuisance alarms from a known leak (e.g. an un-cuffed endotracheal
tube), set the audio to Off. Normal volume and apnea monitoring does
not change.
Note: This alarm is the first stage in detecting a circuit disconnect. The audible
leak alarm cannot be turned off unless volume alarms are on, and the low ◊E
limit is set to a value other than off.
3-11
Step 1
AB.29.013
Select the Alarm Settings menu.
Alarm Settings.
AB.48.072
Main Menu
Ventilation Mode
Alarm Settings
AB.48.075
Setup/Calibration
Cardiac Bypass No
1006-0959-000 3-11
Aestiva/5 MRI
Step 2
Turn, then push the knob to select Alarm Settings
circuit leak audio. O2 18 75
AB.90.054
VTE 600 Off
Go to Main Menu
3-12 Alarm Settings

O2 18 75
AB.90.056
VTE 600 Off
Go to Main Menu
Step 3
Turn, then push the knob to change the Audio On
setting. You must push the knob to save Audio Off Then
the change.
Set Cardiac Bypass

Set Cardiac Bypass to In Progress to prevent volume and apnea alarms when
the patient is on a cardio-pulmonary bypass.
When Cardiac Bypass In Progress is selected, the display shows:
• Cardiac Bypass
• Apnea Alarm off
• Vol Alarms off
Note: The mechanical ventilation must be off. When the mechanical
ventilation is turned back on, Cardiac Bypass returns to the No Bypass setting
and monitoring is available.
3-12 1006-0959-000
Step 1
AB.29.013
Select the Cardiac Bypass menu item:
Cardiac Bypass In Progress.
AB.90.036
3-13
Main Menu
Ventilation Mode
Alarm Settings
AB90.040
Setup/Calibration
Screen and Audio
Cardiac Bypass No
Main Menu
Ventilation Mode
Alarm Settings
AB90.068
Setup/Calibration
Screen and Audio
Cardiac Bypass In Progress
Step 2
Push the knob again to return to No.
Main Menu
Ventilation Mode
Alarm Settings
AB.90.040
Setup/Calibration
Screen and Audio
Cardiac Bypass No
1006-0959-000 3-13
Aestiva/5 MRI
Start mechanical ventilation

w WARNING Make sure the patient circuit is correctly assembled and the
control settings are correct before you start or stop ventilation.
Mechanical ventilation is off when you first turn on the system.
Step 1
Make sure the control settings are OK.
AB.90.025
3-14 OK?
Step 2
Turn off the auxiliary common gas outlet
(some models)
AB.23.065
Step 3
Set the Bag/Vent switch back to Vent.
• If mechanical ventilation is not
available, a message tells you
what to do. For example: “To start
mech vent set the Bag/Vent switch
to Bag and back to Vent.”
AA.96.258
3-14 1006-0959-000
Stop mechanical ventilation

w WARNING Make sure the patient circuit is correctly assembled and the
control settings are correct before you start or stop ventilation.
Step 1
Make sure control settings are OK. N
MI
70
3-15
OK?
AB.23.066
30
20
Step 2
Set the Bag/Vent switch to Bag.
AA.96.259
1006-0959-000 3-15
Aestiva/5 MRI
Set the ventilation mode

Text below the waveform shows the ventilation mode:
• Pressure controlled modes supply a set pressure during inspiration.
• Volume controllled modes supply a set tidal volume.
Pmax 40
39 30
20
3-16 cmH2O
10
AB.90.092
Pmean 24 0
Ppl-40% 30 0 2 4 6 8 10 12 14 16
sec
Volume Control Circle
Step 1
Select the Ventilation Mode. AB.29.013

• Push the knob to select Ventilation
Mode.
AB.90.036
Step 2
Turn, then push the knob to change Volume Control
the mode. Push the knob to save the
change.
Pressure Cntrl Then
SIMV Mode
PSVPro Mode
Note PSVPro is pressure supported ventilation with apnea backup.
3-16 1006-0959-000
Step 3
Set the highlighted control parameter. Pinspired
Each mode has one parameter that ---
AB.90.074
cmH2O
must be set (VT for Volume and SIMV,
Pinspired for Pressure, and Psupport Then
for PSVPro).
• Turn, then push the knob to set
the value. Pinspired
AB.90.075
47
• Until a value is set, the ventilator cmH2O
shows “---”. If any other key is 3-17

pressed at this time, a tone
will sound.
1006-0959-000 3-17
Aestiva/5 MRI
Set ventilator controls
Optional features The Aestiva/5 MRI can be equipped with several optional ventilation
The ventilator controls present are based on the ventilation mode.
Messages appear on the screen if:
• You try to set a value the system cannot supply.
3-18
• You change a setting but do not save it: “Push knob to confirm change
Turn knob to change setting”
Step 1
Pinspired
Push the selection key. 25
AB.90.076
cmH2O
Step 2
Pinspired
A tone sounds and a box flashes 25
AB.90.077
around the setting. cmH2O
Step 3
Turn the knob to set the value. Pinspired
47
AB90.078
cmH2O
Step 4
Pinspired
Push the knob to save the setting. 47
AB.90.079
cmH2O
• A tone sounds.
• The flashing stops.
3-18 1006-0959-000
Ventilator controls
Flow Trigger Level This parameter sets the minimum flow detected by the ventilator which triggers
the ventilator to deliver a mechanical breath to a spontaneously breathing
patient. Only active in SIMV and PSVPro modes.
I:E This control sets the inspiratory to expiratory ratio of mechanical breaths
supplied to the patient.
3-19
Insp. Termination Level This parameter sets the percentage of the peak inspiratory flow where the
ventilator stops a pressure supported breath. Only active in SIMV and PSVPro
modes.
PEEP This control sets the positive end expiratory pressure. This is only available
during mechanical ventilation, but the control can be set at any time.
w WARNING Do not use a separate mechanical PEEP valve; incorrect operation

and patient injury can result.
Pinspired This control sets the amount of pressure delivered to the patient in each
pressure controlled breath.
Plimit This control sets the maximum (and sustained) airway pressures tolerated in
the patient’s breathing system.
• If the high airway pressure limit is reached, inspiration stops and
exhalation starts.
• The limit is an absolute value. There is no offset for PEEP pressure.
Note: Pmax is the peak sensed airway pressure; Plimit is the airway pressure
limit set with front panel controls.
Psupport This control sets the delivered pressure during pressure support ventilation.
Only active in SIMV and PSVPro modes.
Rate This control permits you to set the frequency of mechanical breaths delivered
to the patient. It also establishes the apnea delay time in the PSVPro mode.
1006-0959-000 3-19
Aestiva/5 MRI
Tinspired This control sets the time in seconds for each timed inspiration. Only active in
SIMV and PSVPro modes.
Trigger Window This control sets the range as a percent of the exhalation phase within which
the patient may trigger the next mechanical breath. Only active in SIMV and
PSVPro modes.
VT This control sets the tidal volume delivered to the patient in the Volume
Control and SIMV modes.
3-20
Volume Control The figure and table below show Volume Control settings.
mode
AB.90.025
Settings VT Rate I:E Plimit PEEP
Range 20 - 1500 4 - 100 2:1 - 1:8 12 - 100 Off, 4 - 30
Increments varies* 1 bpm 0.5 1 cm H2O 1 cm H2O
*Increments of 1mL from 20 to 50, 5 mL from 50 to 100, 10 mL from 100 to 300, 25 mL from 300 to
1000, 50 mL from 1000 to 1500
Pressure Control The figure and table below show Pressure Control settings.
mode
Settings Pinspired Rate I:E Plimit PEEP

Range 5 - 60 4 - 100 2:1 - 1:8 12 - 100 Off, 4 - 30
Increments 1 cmH2O 1 bpm 0.5 1 cmH2O 1 cmH2O
SIMV mode The figure and table below show SIMV settings.
3-20 1006-0959-000
Settings VT Rate Tinspired Psupport PEEP

Range 20 - 1500 2 - 60 0.2 - 5.0 Off, 2-40 Off, 4 - 30
Increments varies* 1 bpm 0.1 s 1 cm H2O 1 cm H2O
*Increments of 1mL from 20 to 50, 5 mL from 50 to 100, 10 mL from 100 to 300, 25 mL from 300 to
1000, 50 mL from 1000 to 1500
3-21
PSVPro mode PSVPro is pressure supported ventilation with apnea backup.
The figure below shows PSVPro settings. In this mode the Pinspired, Rate, and
Tinspired parameters are not active, but they may be changed.
sec
Vent On PSVPro Mode Circle
Pinspired Rate Tinspired Psupport PEEP
20
cmH20
10
/min
1.5
sec
10
cmH20
5
cmH20
During backup ventilation, the ventilator will ventilate the patient using the
SIMV-PC + PSV mode. All parameters shown are active in this mode.
Settings Pinspired Rate Tinspired Psupport PEEP

Range 5 - 60 2 - 60 0.2 - 5.0 12 - 100 Off, 4 - 30
Increments 1 cm H2O 1 bpm 0.1 s 1 cm H2O 1 cm H2O
1006-0959-000 3-21
Aestiva/5 MRI
Set inspiratory pause You can only use inspiratory pause in the volume mode. In pressure mode,
(volume modes) Inspiratory Pause displays a message “No Pause w”.
When Pause is on, the inspiratory volume stays in the patient’s lungs for the set
pause time at the end of inspiration.
Pause can be set to off or five to 60 percent of inspiratory time in increments of
five percent.
Pause
Pmax 40
3-22
39 30
20
cmH2O
10
Pmean 24 0
Ppl-40% 30 0 2 4 6 8 10 12 14 16
AB.90.092
sec
Volume Control Circle
Insp. Exp.
When the ventilator is turned on, the inspiratory pause is at the value set when
the ventilator was last used.
Step 1
AB.29.013

menu.
• Turn, then push the knob
to select the Setup/
AB.90.036
Calibration menu.
AB90.037
3-22 1006-0959-000
Step 2
Setup/Calibration
Turn, then push the knob to SIMV/PSVPro Setup
select Inspiratory Pause. O2 Sensor Cal
AB90.083
Inspiratory Pause 40% of TI
Heliox Mode Off
Go to Main Menu
Step 3
Turn, then push the knob to 3-23
change the setting. You must 20% of Tl Then
push the knob to save the
change.
1006-0959-000 3-23
Aestiva/5 MRI
Set SIMV and PSVPro controls

The SIMV and PSVPro modes allow the user to set additional ventilator
controls. The Pinspired, Rate, I:E, Psupport and PEEP controls can be set
using the selection keys. The Plimit, Trigger Window, Flow Trigger Level, and
Inspiratory Termination Level may be set through the Setup/Calibration menu.
Step 1
AB.29.013
Select the SIMV/PSVPro Setup
3-24 menu.
select Setup/Calibration.
AB.90.036
AB90.037
Step 2
Push the knob to select SIMV/
PSVPro Setup.
AB90.045
wWARNING Most anesthetic agents will cause patients to have reduced ventilatory
responses to carbon dioxide and to hypoxemia. Therefore, triggered
modes of ventilation may not produce adequate ventilation.
wWARNING The use of neuromuscular blocking agents will reduce the patient’s
breathing response, which will interfere with triggering.
3-24 1006-0959-000
Step 3
Turn, then push the knob to
select a setting. SIMV/PSVPro Setup
Plimit (cmH20) 40
Trigger Window (%) 20
AB.90.073
Flow Trigger Level (L/min) 1.0
Insp. Termination Level (%) 25
Backup Mode Active (sec) 25
Go to Setup/Calibration Menu
3-25
Step 4
Turn, then push the knob to
change the setting. You must 40 Then
push the knob to save the
change.
1006-0959-000 3-25
Aestiva/5 MRI
Silence alarms
The alarm silence key silences current alarms for 120 seconds. When no alarm
is active, holding down the alarm silence key for one second pre-silences low
or medium priority alarms for 90 seconds. Minimum monitoring cannot be
pre-silenced.
• The screen shows the time remaining in the silence period.
• Pushing the alarm silence key while an alarm is silenced will reset the
countdown time to 120 seconds.
3-26 • High priority alarms always cause an audible tone and must be silenced
individually.
AB.29.004
120
Alarm tones tell you about the alarm priority:

• High Priority: 10 tones, 10 seconds pause, (repeat)...
• Medium Priority: 3 tones, 25 seconds pause, (repeat)....
• Low Priority: single tone.
Alarms appear at the top of the screen. The highest priority alarm will be shown
in Area 1, the next highest priority alarm in Area 2. If all areas are used, the
lowest priority alarms cycle in Area 4.
AB.29.022
AB.90.072
Area 1 Area 3
113 Area 2 Area 4
Note: Error mode messages may appear. Refer to ’Alarms and Troubleshooting’
in Part 2 of the Operation Manual for more information.
• Minimum Monitoring: Monitoring data is available but a failure prevents
mechanical ventilation.
• Minimum System Shutdown: Monitoring and ventilation are not possible.
3-26 1006-0959-000
Reading the pressure waveform (Paw)

Different points on the waveform are instantaneous values for measured
pressures. The horizontal axis indicates the time scale for the rate, I:E ratio,
and inspiratory pause (volume control setting). The vertical axis indicates
the pressure.
Volume Control Mode
AB.29.058
3-27
Pmean
Pmax
PEEP
Pressure Control Mode

AB.29.059
Pinsp
Pmax
PEEP
Scales The display automatically adjusts time and pressure scales to fit the control
settings.
The time scale changes with the breathing rate.
• 25 or less breaths per min. - time scale is 0 to 16 seconds,
• 26 to 75 breaths per min. - time scale is 0 to 8 seconds,
• 76 or more breaths per min. - time scale is 0 to 4 seconds,
• On a change, existing pressure data is erased and new waveform data
starts at time = 0.
The pressure scale change with Plimit:
• 12 to 40 Plimit, vertical-axis range is -5 to 40
• When the pressure scale changes, existing pressure data is erased and
new waveform data starts at time = 0.
1006-0959-000 3-27
Aestiva/5 MRI
Example Volume Control • PEEP: Off

• Maximum sensed inspiratory pressure (Pmax): 25
• Mean positive airway pressure (Pmean): 11
Vol Alarms On
VE O2 Pmax 40
5.0
L/min
6.0
3.0 40 100
25 25 30
20
% cmH2O
10
VTE Pmean 11 0
AB.90.004
3-28 500 700
300 10 0 2 4 6 8 10 12 14 16
mL /m i n sec
Vent On Volume Control Circle
VT Rate I:E Plimit PEEP
500
mL
10
/min
1:2 40
cmH20
Off
cmH20
Figure 3-1 • Paw waveform in Volume Control Mode
Example Pressure Control • Pmax: 34

• Upper pressure limit (Plimit): 40.
• PEEP: 10
Vol Alarms On
VE O2 Pmax 40
6.3
L/min
7.0
6.0 28 100
25 34 30
20
% cmH2O
10
VTE Pmean 19 0
632 700
600 10 0 2 4 6 8 10 12 14 16
mL /m i n sec
AB.90.002
Vent On Pressure Cntrl Circle
Pinspired Rate I:E Plimit PEEP
24
cmH20
10
/min
1:2 40
cmH20
10
cmH20
Figure 3-2 • Paw waveform in Pressure Control Mode
3-28 1006-0959-000
Example SIMV • Plateau pressure (Ppl): 15

• Inspiratory time (Tinspired): 1.5
• Inspiratory Pause: 60
Vol Alarms On
VE O2 Pmax 40
3.5
L/min
7.0
2.0 28 100
25 25 30
20
% cmH2O
10
VTE Pmean 12 0 3-29
500 700
400 8 Ppl-60% 15 0 2 4 6 8 10 12 14 16
mL /m in sec
Vent On SIMV Mode Circle
VT Rate Tinspired Psupport PEEP
AB.90.028
625
mL /min
4 1.5
sec
10
cmH20 cmH20
5
Figure 3-3 • Paw waveform in SIMV mode.
Example PSVPro • PEEP: 5

• Pressure Support: 10
• Mean positive airway pressure (Pmean): 24
Vol Alarms On
VE O2 Pmax 40
10.0
L/min
12.0
3.0 30 100
25 15 30
20
% cmH2O
10
VTE Pmean 7
0
820 1000
400 15 0 2 4 6 8 10 12 14 16
mL /m i n sec
Vent On PSVPro Mode Circle
AB.90.087
Pinspired Rate Tinspired Psupport PEEP
20
cmH20
10
/min
1.5
sec
10
cmH20 cmH20
5
Figure 3-4 • Paw waveform in PSVPro mode.
1006-0959-000 3-29
Aestiva/5 MRI
Measure circuit compliance

To measure compressible volume in patient tubes:
1. Set the ventilator to volume control mode.
2. Set a tidal volume (VT) of approximately 500 mL.
3. Set a rate of 10 breaths/min.
4. Set an I:E ration of 1:1
5. Set the Plimit control to 30 cm H2O.
6. Occlude the patient connection of the Y piece. Do not contaminate a clean
3-30
patient connection.
7. Turn on mechanical ventilation.
8. Monitor the exhaled tidal volume VTE and Pmax (measured peak airway
pressure).
The VTE measures the gas needed to fill the patient circuit at the measured
pressure.
The example shows how tubing compliance factor can be calculated.
VTE/(Pmax –2.51 cm H2O) = Compliance factor in mL per cm H2O
Example:
Pmax = 21 cm H2O
VTE = 24 mL
24/(21–2.5) = 1.3 mL/cm H2O
This factor can be used to calculate the approximate gas compression in
patient tubes.
For example, if the patient is requiring 30 cm H2O to ventilate,
30 X 1.3 = 39 mL of gas is compressed in the tubes each breath.
This gas (39 ml) is part of the set tidal volume but it does not reach the patient.
1 Force of the Bellows.
3-30 1006-0959-000
Show the service settings

The About Ventilator screen shows ventilator settings that can only be changed
by an approved service representative.
Look at the screen now and think about how the data affects you.
Item Use
Software Version If you call for service, a representative may ask
for this.
3-31
Factory defaults or Tells you if the system saves the current settings
last settings. when you turn it off or goes back to facility defaults.
Altitude Used for gas calculations. If the altitude is not
correct, O2 calibration can fail.
Drive gas (O2 or Air) Tells you which gas the ventilator uses to drive the
bellows. This gas comes from the same supply
(pipeline or cylinder) that the anesthesia machine
uses. If this gas comes from a cylinder, the cylinder
empties faster than you would expect from the
flowmeter settings.
Step 1
AB.29.013

menu.
select Setup/Calibration.
AB.90.036
AB.90.037
1006-0959-000 3-31
Aestiva/5 MRI
Step 2
About Ventilator.
AB.90.045
3-32 Setup/Calibration
SIMV PSVPro Setup
AB.90.047
O2 Sensor Cal Start
Inspiratory Pause 20%
Heliox Mode Off
Go to Main Menu

Software Version 4.0
AB.90.051
Facility defaults used @ powerup

Altitude 300 m
Drive Gas O2
Go to Setup/Calibration Menu
3-32 1006-0959-000
4 Preoperative
Checklist
In this section This section is a checklist of the necessary preoperative tests under different condi- 4-1
tions. For step-by-step instructions, refer to the appendix “Preoperative Tests.”
wW
WARNING Do not use this system unless you have read each component’s operation
and maintenance manual and understand:
• The system connections

• The warnings and cautions
• How to use each system component
• How to test each system component
wW
WARNING Before you use this system:
• Complete the tests in this section

• Test all other system components.
wW
WARNING If a test failure occurs, do not use the system. Have an approved service
representative repair the system.
Every day before the first patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Every time a different clinician uses the system . . . . . . . . . . . . . . . . . . . . . . 4-3
Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
1006-0959-000 4-1
Aestiva/5 MRI
Every day Outside the MRI room:

before the first patient
" Do MRI compatibility test.
" Check that the gas cylinders are MRI compatible.
" Check that only MRI compatible items are stored in the drawer.
" Inspect the system. Look for damage, necessary drugs and equipment,
correct breathing circuit setup, and hazardous conditions.
" Verify that the green (<275 Gauss) light is on.
" Turn on the system.
" Do a low-pressure leak test.
4-2
Inside the MRI room:
" Set the brake.

" Set the ventilator controls to decrease alarms.
" Do the pipeline and cylinder tests. Look for sufficient pressures and no
high pressure leaks (cylinders).
" Do the flow control tests:
•Minimum flows: O2 25-75 mL/min, all other gases no flow.
•Link system: Increase N2O flow to drive up O2 flow. Decrease O2 flow to
drive down N2O flow. The O2 flow is ≥ nominal 25%
•O2 supply failure alarm. Alarm operates when O2 pressure is decreased
below set limit. Air flow continues. All other gases stop.
" Do the vaporizer back pressure tests:
•Set the O2 flow to 6 L/min.
•Slowly turn on one vaporizer at a time.
•Make sure that the O2 flow stays above 5 L/min.
" Do the ventilator alarm tests:
•Make sure all monitors operate correctly.
•Make sure the O2 sensor operates correctly. It shows approx. 21% O2 in
room air and 100% O2 after two minutes in pure O2.
•Make sure these ventilator alarms operate correctly: high and low O 2;
low minute volume; high airway pressure; apnea and low airway
pressure; sustained airway pressure.
" Verify that the machine is positioned so that only the green (<275 Gauss)
or the amber (275–300 Gauss) light is on.
4-2 1006-0959-000
Preoperative Checklist
Every time a different Outside the MRI room:

clinician uses the system
" Do a low-pressure leak test.
" Verify that the green (<275 Gauss) light is on.
Before every patient Inside the MRI room:
" Look for damage, necessary drugs and equipment, correct breathing circuit set-
up, and hazardous conditions.
" Check vaporizer installation:
•Make sure the top of each vaporizer is horizontal (not on crooked). 4-3
•Make sure each vaporizer is locked and cannot be removed.
•Make sure you cannot turn on more than one vaporizer at the same time.
" Do the breathing system tests:
•Make sure the one way valves and auxiliary equipment operate
correctly.
•With a circle breathing-circuit module, push the drain button for ≥10 sec
to remove condensate.
•Ventilator circuit leak test.
•Bag/Manual circuit leak test.
• Bag/Manual circuit APL valve test.
•Circuit leak test.
" Set the appropriate ventilator controls and alarm limits for the case.
" Verify that the machine is positioned so that only the green (<275 Gauss)
or the amber (275–300 Gauss) light is on.
1006-0959-000 4-3
Aestiva/5 MRI
4-4
4-4 1006-0959-000
Appendix – Preoperative Tests
In this section Test Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Outside the MRI room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Inside the MRI room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
1006-0959-000 A-1
Aestiva/5 MRI
A-2
Test Intervals
The preoperative tests are done at one of three intervals:
1. Every day before the first patient
2. Every time a different clinician uses the system
3. Before each patient.
w WARNING Do not use this system unless you have read each component’s
operation and maintenance manual and understand:
• All system connections

• All of the warnings and cautions
• How to use each system component
• How to test each system component
Before you use this system:
• Complete all of the tests in this section

• Test all other system components
If a test failure occurs, do not use the equipment. Have a qualified

service representative repair the equipment.
A-2 1006-0959-000
Appendix - Preoperative Tests
Outside the MRI room

A-3
Every day before the first patient and before every case, perform the following
anesthesia system checks.
w WARNING Do not move the Aestiva/5 MRI into the MRI room until you have
completed the following procedures: MRI compatibility check,
Inspect the system, Checking vaporizer installation, and Low-
pressure leak test. Complete the rest of the checkout using the
actual room, pipeline supplies, and MRI compatible gas cylinders
that will be used during the case.
MRI compatibility check The Aestiva/5 MRI will function to specifications in an MRI environment that
does not exceed 300 gauss. Do not store or operate the Aestiva/5 MRI within
the 300 gauss line for your unit.
w WARNING Datex-Ohmeda strongly recommends using only monitor sensors

that are compatible with MRI applications. Use of monitoring
device sensors (ECG monitor leads, oximetery probes, etc.) in
an MRI environment can cause injury. Check sensor locations on
the patient’s body for signs of discomfort, heating, or warming.
Refer to Accessory Equipment Considerations with Respect to MRI
Compatibility by Elaine K. Keeler et. Al. JMRI 1998; 8: 12-18,
for additional information on this subject.
1. Check that the gas cylinders are MRI compatible.
2. Check that the drawer and the area below the drawer only contain MRI
compatible items. Test any suspect items. Remove any items that are not
MRI compatible.
3. Remove any other accessories that are not MRI compatible.
4. Verify that the green (<275 Gauss) light is on.
w WARNING Datex-Ohmeda Tec 3 and Tec 6 vaporizers are not MRI compatible.
Do not attempt to modify the system to accept these vaporizers.
1006-0959-000 A-3
Aestiva/5 MRI
Low-pressure leak test The following test must be performed every day before the first patient and
A-4 every time a different clinician uses the anesthesia system.
w WARNING Do not use a system with a low-pressure leak. Anesthetic gas will
go into the atmosphere, not into the breathing circuit.
w The negative, ISO 5358, and BSI 4272 low-pressure leak test
devices are not MRI compatible. The Low-pressure leak test must
be performed outside the MRI room. The leak test devices must be
stored in an accessible location outside the MRI room.
Negative low-pressure 1. Turn on the auxiliary common gas outlet (AUX some models).
leak test
AB.23.063
AUX
2. Or, access the common gas outlet (CGO).
CGO
AB.23.099
3. Test the leak test device:
AB.23.063
>60 sec
•Put your hand on the inlet of the leak test device. Push hard for a
good seal.
A-4 1006-0959-000
•Remove all air from the bulb.

•If the bulb inflates in less than 60 seconds, replace the leak test device. A-5
4. Set the system switch to Standby.
5. Turn off all vaporizers.
6. Test the anesthesia machine for low-pressure leaks:
•Turn the flow controls one and a half turns counterclockwise.
•Connect the test device to the common or auxiliary gas outlet.
•Compress and release the bulb until it is empty.
•The vacuum causes the floats to move. This is usual. If the bulb inflates
in 30 seconds or less, there is a leak in the low-pressure circuit. Refer to
the Troubleshooting table (Part 2 of this manual).
•Disconnect the test device.
7. Test each vaporizer for low-pressure leaks:
•Set the vaporizer to 1%.
•Repeat step 6. If there is a low pressure leak, refer to the Set-up,
Maintenance and Troubleshooting Manual.
8. Turn all flow controls fully clockwise (minimum flow). Do not over tighten.
w WARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test
(1 L/min for one minute).
w WARNING Turn off all vaporizers at the end of the low-pressure leak test.
9. Remove all condensate from the breathing circuit module.

10. Assemble the breathing system.
11. Flush the system with O2:
•Turn on the system.
•Continue the O2 flow for one minute.
•Turn the O2 flow control fully clockwise (minimum flow).
•Set the system switch to Standby.
1006-0959-000 A-5
Aestiva/5 MRI
ISO 5358 or BSI 4272

A-6 low-pressure leak test
w WARNING Do not use a system with a low-pressure leak. Anesthetic gas will
go into the atmosphere, not into the breathing circuit.
w The negative, ISO 5358, and BSI 4272 low-pressure leak test
devices are not MRI compatible. The Low-pressure leak test must
be performed outside the MRI room. The leak test devices must be
stored in an accessible location outside the MRI room.
wC
CAUTION: You can only do a positive pressure test at the common gas outlet.
1. Access the common gas outlet (CGO).
CGO
AB.23.099
2. Connect the leak test device to the common gas outlet with a section
of tubing.
AB.23.101
A-6 1006-0959-000
•Turn off the auxiliary common gas outlet.

A-7
•Set the Outlet switch to common gas outlet.
•Keep the flow tube vertical for accurate results.
3. Fully close all flow controls.
4. Fully open the needle valve on the test device.
w CAUTION If the needle valve is not fully open, this test can damage the
pressure gauge on the test device.
5. Open the Air or N2O flow control and set a total flow of 0.4 L/min through
the flowmeter on the test device.
6. Make sure that the pressure gauge on the test device reads zero and that
all other flow controls are fully closed.
7. Close the needle valve on the test device until the test gauge reads:
BSI 20 kPa
ISO 5358 3 kPa
8. If the flow through the test device is less than 0.35 L/min (ISO) or
0.3 L/min (BSI), there is a low pressure leak in the anesthesia machine.
Refer to the Setup, Maintenance and Troubleshooting Manual.
9. Repeat this low-pressure leak test for each vaporizer:
•Set the applicable vaporizer to 1% and do steps 2 through 8.
•Fully open the needle valve on the test device to decrease the
back pressure.
•Turn the vaporizer off.
w WARNINGS Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test
(1 L/min for one minute).
Turn all vaporizers OFF at the end of the low-pressure leak test.
10. Remove all condensate from the breathing circuit module.
11. Assemble the breathing system.
12. Flush the system with O2:
•Turn the system ON.
•Continue the O2 flow for one minute.
•Turn the O2 flow control fully clockwise (minimum flow).
1006-0959-000 A-7
Aestiva/5 MRI
Inside the MRI room

Complete the rest of the tests using the actual room, pipeline supplies, and
A-8
gas cylinders that will be used during the case.
Important Set brake during use or storage in MRI room. Verify that the machine is
positioned so that only the green (<275 Gauss) or the amber (275–300 Gauss)
light is on.
Inspect the system
w WARNING Make sure that the breathing circuit is correctly connected and
not damaged.
w CAUTION The total weight on each accessory shelf must be less than 23 kg.
Systems without accessory shelves have a weight limit on the top

surface of 23 kg.
Make sure that:
1. The equipment is not damaged.
2. All components are correctly attached.
3. The breathing circuit is correctly connected, not damaged, and contains
sufficient absorbent.
4. The vaporizers are locked in position and contain sufficient agent.
5. Pipeline gas supplies are connected and the pressures are correct.
6. Cylinder valves are closed on models with cylinder supplies.
w WARNING Do not leave gas cylinder valves open if the pipeline supply is in
use. Cylinder supplies could be depleted, leaving an insufficient
reserve supply in case of pipeline failure.
7. Models with cylinder supplies have a cylinder wrench attached to the system.
8. The necessary emergency equipment is available and in good condition.
9. Equipment for airway maintenance, tracheal intubation, and IV
administration is available and in good condition.
10. Applicable anesthetic and emergency drugs are available.
A-8 1006-0959-000
11. Make sure the casters are not loose and the brake is set and prevents
movement. A-9
AA.96.100
12. Connect the power cord to a wall outlet. The mains indicator comes On
when AC Power is connected.
AB.29.076
•If the indicator is not on, the system does not have mains (electrical)
power. Use a different outlet. Close the circuit breaker or replace or
connect the power cable. Refer to Figure 2-2.
13. Set the system switch to On.

AA.96.104
1006-0959-000 A-9
Aestiva/5 MRI
Minimize alarms Set the ventilator controls to decrease the number of alarms:
A-10
(optional) 1. Control Keys:
•Volume alarms: OFF
•Plimit: 100 cm H2O
2. Alarm menu:
•Low O2: 21%
•High O2: OFF
•Bag/Vent switch: Bag
Checking vaporizer
installation
wWARNING Use only Tec 4 or Tec 5 vaporizers. The Tec 6 vaporizer is not MRI
compatible.
Do not use a vaporizer that lifts off the manifold when the lock lever
is in the locked position.
Do not use this anesthesia system if you can turn ON more than
one vaporizer at the same time.
The vaporizer storage bracket is not part of the vaporizer manifold.

You cannot use a vaporizer while it is on the bracket.
1. If the top of a vaporizer is not horizontal, remove the vaporizer and
reinstall it.
2. Set each vaporizer lock lever to the locked position.
3. Try to lift each vaporizer straight up off the manifold rather than pulling
forward. Do not rotate the vaporizer on the manifold.
4. If a vaporizer lifts off the manifold, install it again and complete steps 1,
2, and 3. If the vaporizer lifts off a second time, do not use the system.
5. Try to turn ON more than one vaporizer at the same time:
•Test each possible combination.
•If more than one vaporizer turns ON at the same time, remove the
vaporizers, install them again, and complete steps 1 through 5.
A-10 1006-0959-000
Pipeline and cylinder

tests A-11
w CAUTION To prevent damage:
• Open the cylinder valves slowly.

• Do not force the flow controls.
If your system does not use cylinder supplies, do not do steps 2 and 3.
1. Disconnect the pipeline supplies and close all cylinder valves.
If the pipeline and the cylinder pressure gauges are not at zero:
•Connect an O2 supply.
•Turn ON the system, if it is not already on.
•Set the flow controls to mid range.
•Make sure that all gauges but O2 go to zero.
•Disconnect the O2 supply.
•Make sure that the O2 gauge goes to zero. As pressure decreases,
alarms for low O2 supply pressure should occur.
2. Make sure that the cylinders are full:
•Open each cylinder valve.
•Make sure that each cylinder has sufficient pressure. If not, close the
applicable cylinder valve and install a full cylinder.
3. Test one cylinder at a time for high pressure leaks:
•Set the system switch to Standby, which stops the O2 flow.
•Disconnect all accessories from the pneumatic outlets.
•Turn OFF the auxiliary O2 flowmeter.
•Open the cylinder.
•Record the cylinder pressure.
•Close the cylinder valve.
•Record the cylinder pressure after one minute. If the pressure decreases
more than 690 kPa (100 psig) there is a leak:
•Install a new cylinder gasket and tighten the tee handle as shown in
the Set-up section of the Set-up, maintenance and troubleshooting
manual.
•Do this step again. If the leak continues, do not use the system.
•Repeat step 3 for all cylinders.
•Close cylinder valves.
1006-0959-000 A-11
Aestiva/5 MRI
w WARNING Do not leave gas cylinder valves open if the pipeline supply is in
A-12 use. Cylinder supplies could be depleted, leaving an insufficient
reserve supply in case of pipeline failure.
4. Connect the pipeline supplies.
5. Turn On the system.
6. Use the chart below to check pipeline pressure:
ANSI (USA and Intl.), Australian, Canadian, 345 kPa (50 psig)
French, Japanese
ISO, Italian, Scandinavian, South African, 414 kPa (60 psig)
Spanish, Swiss
Austrian, German 500 kPa (75 psig)
7. Connect equipment to the pneumatic outlets as appropriate.
A-12 1006-0959-000
Flow control tests

A-13
w WARNING The Link system cannot replace an O2 monitor. Sufficient O2 in the

fresh gas may not prevent hypoxic mixtures in the breathing circuit.
Nitrous oxide (N2O) flows through the system during this test. Use
a safe and approved procedure to collect and remove it.
Incorrect gas mixtures can cause patient injury. If the Link system
does not supply O2 and N2O in the correct proportions, do not use
the system.
To perform the flow control tests:
1. Connect the pipeline supplies or slowly open the cylinder valves.
2. Turn all flow controls fully clockwise (minimum flow).
3. Turn on the system.
4. Do not use the system if low battery or other ventilator failure alarms
occur.
5. Make sure the O2 flowtube shows approximately 25 to 75 mL/min. The
other flowtubes must show no gas flow.
w WARNING Keep the Link system engaged during steps 6 and 7:
• Adjust only the test control (N2O in step 6 and O2 in

step 7).
• Test the flows in sequence (N2O then O2).
• If you adjust the test control too far, set the flow controls to their
initial positions and do the step again.
• The O2 sensor used in steps 6 and 7 must be correctly
calibrated.
6. Test the N2O flow control:
•Turn the N2O and O2 flow controls fully clockwise (minimum flow).
•Slowly turn the N2O flow control counterclockwise.
•Make sure that the O2 flow increases.
The measured O2 concentration must be ≥21% through the full range.
1006-0959-000 A-13
Aestiva/5 MRI
A-14 7. Test the O2 flow control:

•Set the N2O flow to 9.0 L/min.
•Set the O2 flow to 3 L/min or higher.
•Slowly turn the O2 flow control clockwise.
•Make sure that the N2O flow decreases.
The measured O2 concentration must be ≥21% through the full range.
8. Set the flow controls to mid range and make sure that the flowtube floats
move smoothly.
9. Stop the O2 supply. Disconnect the pipeline supply or close the cylinder
valve.
10. Make sure that:
•The low O2 supply alarm occurs.
•N2O, CO2, Heliox, and O2 flows stop. The O2 flow stops last.
•Air flow continues.
•Gas supply alarms occur on the ventilator if the ventilator uses O 2 as the
drive gas.
11. Turn all of the flow controls fully clockwise (minimum flow).
12. Reconnect the pipeline supplies.
Vaporizer back
pressure test
w WARNING Anesthetic agent comes out of the common gas outlet during
this test. Use a safe, approved procedure to remove and collect
the agent.
w CAUTION To prevent damage, turn the flow controls fully clockwise

(minimum flow or OFF) before you turn ON the system.
1. Turn the system ON. Alarms can occur.
2. Set the O2 flow to 6 L/min.
3. Make sure that the O2 flow stays constant and the float moves freely.
A-14 1006-0959-000
4. Adjust the vaporizer concentration from 0 to 1% one click at a time.

The O2 flow must not decrease more than 1 L/min through the full range. A-15
If the O2 flow decreases more than 1 L/min:

•Install a different vaporizer and try this step again.
•If the O2 flow decreases less than 1 L/min with a different vaporizer,
the malfunction is in the first vaporizer.
•If the O2 flow also decreases more than 1 L/min with a different
vaporizer, the malfunction is in the Aestiva. Do not use the Aestiva
system until it is serviced.
5. Complete steps 3 and 4 for each vaporizer.
.
W ght ions. ance
p al st per ce
ee anu al In ing nan
ri r ct rm
Se erat af m ns
up fo ru fo
Fac ic en te
te
p rs d io
rv m da
ct n
O to an dat
Se m ice
e io fe ai
g es
co rv
in m
re xt se
n ll ti
Ne
Concentration
ar at a
e
n m
ckfore
K
Lobe
!
use 1 .8
2
3
s
e
4
g
5
m
in
ti
Control
.
ce
ll
n
re rvic rs na for a
n n orm .
ce n
ti te rf s
ar
n a
t
a in e n
S cto tio a t a
d a p tio
W
F era an gh
e m ng uc
O e m pri
m nd ti tr
s a
m a ec s
!
co e aff l In
l
u
u
p
e
e
K
o
e
S
Lockbefore
te
da
a
e
ic
rv
e
se
t
ex
N
use
5 Of
4
3 0%
2 1
.8 .6 .4 .2
ne
ura
ofl
Is
nly
O
se
U
AA.13.032
nly
O ne
se ra
U flu
En
Power failure test 1. Unplug the power cord with the system turned On.
2. Make sure that the power failure alarm comes On.
3. Connect the power cable again.
4. Make sure the alarm cancels.
1006-0959-000 A-15
Aestiva/5 MRI
Ventilator alarm tests 1. Connect a test lung to the patient connection.

2. Set the Bag/Vent switch to Vent.
A-16
3. Set the controls:
•Ventilation Mode: Volume control (Select from main menu)
•Ventilator:
Tidal Vol: 400 mL
Rate: 12
I:E Ratio:1:2
Plimit:40 cm H2O
PEEP:OFF
•Anesthesia Machine
O2 flow: minimum flow (25-75 mL/min)
All other gases: OFF
Push flush to fill the bellows.
4. Make sure that:
•Mechanical ventilation starts.
•A subatmospheric pressure alarm does not occur.
•The ventilator displays the correct data.
•The bellows inflate and deflate during mechanical ventilation.
5. Set the O2 flow control to 5 L/min.
6. Make sure that:
•The end expiratory pressure is approximately 0 cm H2O.
7. Test the O2 monitor and alarms:
•Make sure the sensor measures approximately 21% O2 in room air.
•Set the low O2 alarm to 50%. Make sure a low O2 alarm occurs.
•Set the low O2 alarm back to 21% and make sure that alarm cancels.
•Put the O2 sensor back in the circuit.
•Set the High O2 alarm to 50%.
•Push the flush button to fill the breathing system.
•Make sure the high O2 alarm comes On.
•Set the high O2 alarm back to 100% and make sure that alarm cancels.
•After 2 min. in pure O2, the sensor measures approximately 100% O2.
8. Test the low minute volume alarm:
•Go to the alarms menu.
•Set the alarm limit for low minute volume to 6.0 L/min.
•Make sure that a low minute volume alarm occurs.
A-16 1006-0959-000
•Go to the alarms menu.

•Set the low minute volume alarm to OFF. A-17
9. Test the high airway pressure alarm:
•Set Plimit to less than the peak airway pressure.
•Make sure that the high airway pressure alarm occurs.
•Set Plimit to the correct level.
10. Test the apnea and low airway pressure alarms:
•Remove the test lung from the patient connection.
•Other alarms such as low minute volume can occur.
•Make sure that the low airway pressure and apnea alarms occur. The
apnea alarm occurs after 30 sec.
11. Test the sustained airway pressure alarm:
•Set the controls:
APL Valve: Closed

Bag/Vent switch: Bag
•Mechanical ventilation stops when the Bag/Vent switch is set to Bag.

•Close the patient connection and push the O2 Flush button.
•Make sure that the sustained pressure alarm occurs after approximately
15 seconds at the sustained pressure limit (6-30 cm H2O varies with
pressure limit).
Breathing system tests Refer to the applicable operation and maintenance manuals.
At a minimum:
1. Make sure that the auxiliary equipment operates correctly.
2. Absorbers with active scavenging have a flow tube on the side. Make sure
that it shows a flow in the green (normal) region.
3. With a circle breathing module, push the drain button for 10 seconds or
more to drain condensate into the absorber
1006-0959-000 A-17
Aestiva/5 MRI
.
A-18
AB.23.100
4. Make sure that the one-way valves (breathing circuit module) work
correctly.
• The Inspiratory check valve rises during inspiration and falls at the start
of expiration.
• The expiratory check valve rises during expiration and fall at the start
of inspiration.
Note: The Bain/Mapleson D circuit module does not have one-way valves.
w WARNING Objects in the breathing system can stop gas flow to the patient.
This can cause injury or death:
On Circle systems, press the drain button for a minimum of

10 seconds to remove moisture buildup.
Do not use a test plug that is small enough to fall into the breathing
system.
w WARNING Make sure that there are no test plugs or other objects caught in the
breathing system.
A-18 1006-0959-000
5. Test the ventilator circuit for leaks:

A-19
•Set the Bag/Vent switch to Ventilator.
•Set all flow controls to minimum.
•Close the breathing circuit at the patient connection. Use your hand or
an approved test plug located in the handle of the breathing system.
•Push flush to fill the bellows.
•The pressure must not increase to more than 15 cm H2O on the gauge.
•If the bellows falls more than 100 mL/min, it has a leak. Refer to the
troubleshooting procedure in the Setup, Maintenance and
Troubleshooting manual.
•Turn on the system.
6. Test the Bag circuit for leaks:
•Set the Bag/Ventilator switch to Bag.
•Close the APL valve.
•Set the O2 flow to 250 mL/min.
•Close the patient connection (hand or test plug) and inflate the bag
(flush) to 30 cm H2O.
•Release the flush button. The pressure must not decrease. A pressure
decrease large enough to see on the gauge indicates a leak. Look for
and repair the leak (loose drain plug, open canister, breathing circuit
assembly not pushed on completely).
•If your system has CO2 bypass, move the absorber canister release to
the open position and do this test again to look for leaks in the bypass.
•Note: If the message window shows “Close absorber canister”, you DO
NOT have a CO2 bypass. Close the canisters and do step 6 again.
1006-0959-000 A-19
Aestiva/5 MRI
7. Test the APL valve:

A-20
•Fully close the APL valve.
•Set the total fresh gas flow to 3.0 L/min and make sure that the value on
the inspiratory pressure gauge is less than approximately 82 cm H 2O.
•Fully open the APL valve.
•Make sure that the value on the inspiratory pressure gauge decreases to
approximately zero.
•Push the flush button and make sure that the value on the inspiratory
pressure gauge stays near zero.
•Set the O2 flow to minimum and make sure that the value on the
inspiratory pressure gauge does not decrease below 0 cm H 2O.
8. Remove your hand (or the test plug - step 5) from the patient connection.
Monitor and ventilator 1. Connect a test lung to the patient connection.

tests 2. Set the Bag/Vent switch to Vent
3. Set the controls:
•Ventilation Mode: Volume control (Select from main menu)
•Ventilator:
Tidal Vol: 400 mL
Rate: 12
I:E Ratio:1:2
Plimit: 40 cm H2O
PEEP: Off
•Anesthesia Machine
O2 flow: minimum flow (25-75 mL/min)
All other gases: Off
Push flush to fill the bellows.
4. Make sure that:
•Mechanical ventilation starts.
•A subatmospheric pressure alarm does not occur.
Note: With active gas scavenging, too much scavenging flow can cause
subatmospheric alarms.
5. Set the O2 flow control to 5 L/min.
A-20 1006-0959-000
6. Make sure that:

A-21
•The end expiratory pressure is approximately 0 cm H2O.
•Note: Positive end expiratory pressure when PEEP is Off, may indicate
that the scavenging system is not removing enough gas.
7. Set the ventilator controls and alarm limits to clinically appropriate levels.
8. If the system will not be used immediately, set the system switch to
“Standby” and close all cylinder valves.
9. Make sure that you have:
•Equipment for: airway maintenance, manual ventilation, tracheal
intubation, and IV administration.
•Applicable anesthetic and emergency drugs.
10. Prepare the system:

•Turn all vaporizers off.
•Open the APL valve.
•Set the Bag/Ventilator switch to Bag.
•Set all flow controls to minimum.
•Set sufficient patient suction.
•Make sure that the breathing system is correctly connected and
not damaged.
w WARNINGS Make sure that the breathing circuit is correctly connected and
not damaged.
Before you connect a patient, flush the anesthesia machine with

5 L/min of O2 for at least one minute. This removes unwanted
mixtures and by-products from the system.
1006-0959-000 A-21
Aestiva/5 MRI
Gauss alarm tests In an MRI environment (1.5/3.0 Tesla):

A-22
1. Verify that only the green (<275 Gauss) light is on.
2. Very slowly move the machine toward the magnet.
3. As you approach the magnet, verify that the green light turns off and the
amber (275–300 Gauss) light turns on.
4. As you cross the 300 gauss line, verify that the amber light turns off, the
red (>300 Gauss) light turns on (flashes), and the alarm sounds.
w WARNING The Aestiva/5 MRI does contain some ferromagnetic material

and will be attracted to the MR Imager if positioned closer than
300 gauss. Always keep the Aestiva/5 MRI in magnetic fringe field
of 300 gauss or less.
5. Immediately move the machine away from the magnet.
•Verify that the audio alarm and the red light turn off.
•Verify that the amber light turns on before the green light.
Note For some magnets, depending on size and shielding, it may not be
possible to trigger the alarm in some or all machine orientations.
A-22 1006-0959-000
Index
A Breathing circuit Module

About Ventilator... 3-32 location 2-5
Airway pressure Breathing circuit module
pressure control 3-28 display 2-10
Alarm, see also Gauss alarm Breathing system
tone indicates priority 3-26 controls 2-5
Alarm limits Breathing system tests A-21
how to set 3-9
show or hide option 2-16 C
Alarm settings Canister release
menu function 2-16 function 2-7
Alarm Settings menu 3-9, 3-11 location 2-5
cardiac bypass 3-13 Cardiac bypass
Alarm silence how to use 3-12
location 2-10 Check valves
Alarm volume location 2-5
adjust 3-3 Circuit breakers
Alarms messages location 2-4
display area for 2-10 Circuit compliance 3-30
Altitude 3-31 Circuit leak audio 3-11
APL valve turn on or off 2-16
function 2-6 CO2 bypass
location 2-5 function 2-7
Apnea alarm Control knob
off during cardiac bypass 3-12 location 2-10
Audible alarm for circuit leaks 3-11 Control settings
Auxiliary gas outlet display 2-10
location 2-5
on/off 2-5 D
stops ventilation 3-14 Default settings 3-31
Auxiliary outlet Drain plug
switch function 2-7 function 2-7
Drive gas 3-31
B
Bag arm E
adjust position 2-6 End case key
location 2-5 location 2-10
Bag/Vent switch
function 2-6
how to stop mech vent 3-15
F
start mechanical ventilation 3-14 Flow control tests A-17
Bag/vent switch Flow controls 2-2
location 2-5 Flow Sensor
Bellows location 2-5
location 2-5
Brake
function of 2-3
1006-0959-000 xxvii
Aestiva/5 MRI
G O
Gas machine O2 flush
controls 2-2 function of 2-3
Gauge O2 sensor
airway pressure 2-5 location 2-5
cylinder pressure 2-2 O2 sensor cal
pipeline pressure 2-2 function 2-16
Gauss alarm Options 1-2
description 1-3, 2-18
test A-26 P
Pipeline connection
H location 2-4
Heliox Pneumatic outlet
adjust patient data for heliox 3-7 location 2-4
Heliox mode Power failure alarm A-19
function 2-16 Power-up screen 3-2
Preoperative checklist 4-1
I Preoperative test
Inspiratory pause Power failure test A-19
function 2-16 Preoperative tests
breathing system tests A-21
L flow controls A-17
Low pressure leak test A-8 monitor and ventilator tests A-24
recommended intervals A-6
vaporizer back pressure A-18
M vaporizer installation A-14
Mains indicator ventilator alarms A-20
location 2-10 Pressure control ventilation 3-16
Mains inlet Pressure waveform 3-27
location 2-4 scales 3-27
Measured values vol. control 3-28
display 2-10 PSVPro controls 3-24
Mechanical ventilation PSVPro mode
how to start 3-14 example 3-29
how to stop 3-15
Menu
S
how to change menu settings 2-17
Screen and Audio menu 2-16, 3-3, 3-5
how to change settings 2-17
Service settings 3-31
how to use 2-14
Setup/Calibration menu 2-16, 3-7, 3-22, 3-24,
menu map 2-15
3-31
what different functions do 2-16
Shelf weight limit A-12
Menu key
Show/hide
location 2-10
alarm limits 3-5
Minimum system 3-26
units 3-5
Monitor and ventilator tests A-24
SIMV controls 3-24
SIMV mode 3-29
Software version 3-31
xxviii 1006-0959-000
Index
System switch 2-2

function of 2-3
turn on 3-2
U
Units show/hide option 2-16
V
Vap. concentration control 2-8
Vap. Lock lever 2-8
Vaporizer controls 2-8
Vaporizer back pressure test A-18
Vaporizer installation A-14
VE auto limits 3-9
Ventilation mode
display 2-10
how to set 3-16
ventilator 3-18
Ventilator alarm tests A-20
Ventilator controls
how to set 2-13, 3-18
location 2-10
Ventilator status 2-10
Volume alarm key 2-10
Volume alarms 3-8
Volume control ventilation 3-16
1006-0959-000 xxix
Warranty
This Product is sold by Datex-Ohmeda under the warranties set forth in the
following paragraphs. Such warranties are extended only with respect to the
purchase of this Product directly from Datex-Ohmeda or Datex-Ohmeda’s
Authorized Dealers as new merchandise and are extended to the Buyer
thereof, other than for the purpose of resale.
For a period of twelve (12) months from the date of original delivery to Buyer or
to Buyer’s order, but in no event for a period of more than two years from the
date of original delivery by Datex-Ohmeda to a Datex-Ohmeda Authorized
Dealer, this Product, other than its expendable parts, is warranted against
functional defects in materials and workmanship and to conform to the
description of the Product contained in this User’s Reference manual and
accompanying labels and/or inserts, provided that the same is properly
operated under the conditions of normal use, that regular periodic
maintenance and service is performed and that replacements and repairs
are made in accordance with the instructions provided. This same warranty
is made for a period of thirty (30) days with respect to expendable parts.
The foregoing warranties shall not apply if the Product has been repaired other
than by Datex-Ohmeda or in accordance with written instructions provided
by Datex-Ohmeda, or altered by anyone other than Datex-Ohmeda, or if the
Product has been subject to abuse, misuse, negligence, or accident.
Datex-Ohmeda’s sole and exclusive obligation and Buyer’s sole and exclusive
remedy under the above warranties is limited to repairing or replacing, free
of charge, at Datex-Ohmeda’s option, a Product, which is telephonically
reported to the nearest Datex-Ohmeda Customer Service Center and which,
if so advised by Datex-Ohmeda, is thereafter returned with a statement of
the observed deficiency, not later than seven (7) days after the expiration
date of the applicable warranty, to the Datex-Ohmeda Customer Service and
Distribution Center during normal business hours, transportation charges
prepaid, and which, upon Datex-Ohmeda’s examination, is found not to
conform with above warranties. Datex-Ohmeda shall not be otherwise liable
for any damages including but not limited to incidental damages,
consequential damages, or special damages.
There are no express or implied warranties which extend beyond the
warranties hereinabove set forth. Datex-Ohmeda makes no warranty of
merchantability or fitness for a particular purpose with respect to the product
or parts thereof.
Aestiva/5 MRI
Operation Manual, Part 1
English
1006-0959-000
05 11 101 18 05 02
Printed in USA

Anesthesia Part 1

Uploaded by

Copyright:

Available Formats

Anesthesia Part 1

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Anesthesia Part 1

Uploaded by

Copyright:

Available Formats

Aestiva/5 MRI

Operation Manual - Part 1

This alpha character indicates the year of product

Important MRI Compatibility Information . . . . . . . . . . . . . . . . . . . . . . . . . . i

2/System Controls and Menus

3/Operation and Tutorial

Set an audible alarm for circuit leaks . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

Appendix – Preoperative Tests

Checking vaporizer installation. . . . . . . . . . . . . . . . . . . . . . . . . . . .A-10

Important MRI Compatibility Information

w WARNING Use only MRI compatible cylinders

Do not set up or service this machine in the MRI room.

Do not add or remove accessories or components in the MRI room.

The Aestiva/5 MRI does contain some ferromagnetic material and

Set the brake during use or storage in MRI room.

w WARNING Using an MRI system in conjunction with general anesthesia on cardiac

In this section How to use this manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

How to use this manual

What is an Aestiva/5 MRI?

MRI compatibility The Aestiva/5 MRI is constructed primarily of non-ferrous materials to

Symbols used in the manual or on the equipment

q Standby or preparatory state for part of

Electrical input Electrical output

Pneumatic inlet Pneumatic outlet

p “ON” only for part of the equipment

œ “OFF” only for part of the equipment

Direct current This way up

x Protective earth ground REF Stock Number

r Frame or chassis ground SN Serial Number

Y Equipotential Read top of float

t Variability Vacuum inlet

T Variability in steps Suction bottle outlet

+ Plus, positive polarity O2 + O2 Flush button

- Minus, negative polarity Cylinder

P Lamp, lighting, illumination Isolation transformer

N Movement in one direction Linkage system

ˆ Movement in two directions Risk of Explosion

R Bag position/ manual ventilation

u Open drain (remove liquid)

t O2 sensor connection End case

The primary regulator is set to pressure The primary regulator is set to

European Union Representative

In this section Anesthesia system controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Anesthesia system controls

1. Breathing system (Figure 2-3)

Figure 2-1 • Aestiva/5 MRI (front view)

The circuit breaker is on the rear panel of the Aestiva/5 MRI.

Item Description (Figure 2-2)

2-4 Open Closed

1. Circuit Breaker for Mains Inlet

Figure 2-2 • Aestiva/5 MRI rear view

Breathing system controls

Figure 2-3 • Breathing system parts

2-6 Mechanical ventilation On (gas to bellows)

(Setting is at about 20 cm H2O)

Adjustable Not adjustable

(Also operates the optional CO2 Bypass mode.)

2-8 Item Description

Filler Port Controls

Figure 2-4 • Vaporizer controls