ACM603 Aneasthetic machine

Operation Manual
For ACM603 Anaesthetic Machine
EDITION 00 00
REVISED IN April, 2002

BEIJING AEROSPACE CHANG

FENG MEDICAL DEVICE CO.,
LTD.
Compiled by Service Department

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 ACM603 Aneasthetic machine

CONTENTS
WARNING …………………………………………………….Ⅱ
IMPORTANCE ……………………………………………… Ⅲ
1 GENERAL………………………………………………………1
2 SYSTEM OPERATION PRINCIPLE ………………………. 2
3 MAIN TECHNICAL SPECS ………………………………….11
4 DIMENSIONS AND WEIGHT ……………………………….11
5 INSTALLATION AND CHECK ……………………………12
6 OPERATION PRECAUTION…………………………………16
7 TROUBLESHOOTING ……………………………………… 17
8 CLEANING AND MAINTENANCE………………………….18
9 STORAGE AND SHIPPING………………………………… .20
10 DETAILED LIST OF HOST MACHINE,
ACCESSORIES, AND CONSUMER GOODS……………… 21
11 UPGRADE………………………………………………………21

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 ACM603 Aneasthetic machine

WARNING

Please notice to refer to the Appended document

The user must read this manual, operation instruction of all the accessories,
and the warning and caution in detail before using the product. In order to
ensure the air compressor is in a good working state during operation, user
must check the safety performance of the machine.
 This medical device could never be serviced, covered or moved when
connected to a patient.
 Do not use this device if the alarm performance shows abnormally. This
may cause injury or death to patient or damage to the equipment.
 Do not open cover. If there are some troubles in machine, it should be
serviced by an authorized qualified service engineer.
 Operators must pay great attention to the working state of the machine
and the safety of the patient although the clinical safety of the machine is
considered in design and safety measures are built-in in advance.
 Notice to prevent the device from collision or violent vibration.
 ACM603 anaesthetic machine only can be operated by specialized
person.
 Place cable and solenoid carefully in order to prevent patient from being
twisted or asphyxiated.
 If feel a certain measuring value accurate not enough, firstly
countercheck the patient’s symptom by other instruments, and then recheck
ACM603 anaesthetic machine work normally or not.
 ACM606 is applicable for patient of over 25kg with standard set and for
child of over 12kg with bellows assembly and circles of child.

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 ACM603 Aneasthetic machine

 When the vaporizer is not the appointed product of manufacturer, the

performance of anaesthetic machine may descend.

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ACM603 Aneasthetic machine

IMPORTANCE
You are welcome to purchase and utilize Beijing Aerospace Chang Feng
Medical Devices Co., Ltd.’s equipment.

Please read thoroughly and carefully the Operation Manual before putting

the machine into operation and strictly follow all the procedures of

operation. Our company guarantees the quality of the product. Any time

and in any case when you need our help we are always ready to serve

you.

The company promises: if necessary, the relevant circuit diagrams and list
of elements and devices will be provided for the service persons
authorized by the company and users.

Welcome to contact with the company in the following address.

Company: Beijing Aerospace Chang Feng Co., Ltd. Medical Devices

Branch
Add.: No.3, 820-1, Jingouhe Road, Haidian District, Beijing,
China
P. C.: 100039
Tel: 010-68762611
Fax: 010-68385099

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ACM603 Aneasthetic machine

1 GENERAL

1.1 Overview
The ACM603 anaesthetic machine is developed and produced by Beijing Aerospace
Changfeng Co., Ltd Medical Devices Branch. It features entirely closed circulation,
semi-closed anaesthesia. This device can be operated conveniently, and the operation
is easy to learn and the machine is easy to use. The design of this product meets the
《ACM600 series anaesthetic machine》YZB/G2085-54-2004 standard.

1.2 Operational environment

a) Ambient temperature +15 C ~ +35C
b) Relative humidity no more than 80%
c) Atmospheric pressure 96kPa ~104kPa

1.3 Range for used

ACM603 is applicable for patient of over 25kg with standard set and for child of over
12kg with bellows assembly and circles of child.

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ACM603 Aneasthetic machine

2 SYSTEM OPERATION PRINCIPLE

ACM603 anaesthetic machine is anaesthetic system with continuous pneumatic
anaesthesia; it incorporates O2, N2O and inspirating-anaesthesia airway, the
respiration and monitoring system. The pneumatic system can use O2 and N2O
simultaneously (O2 is also the driving gas source of ventilator), either an anaesthetic
drug (the enflurane or isoflurane) can be selected in practical use. The pressure of O2
and N2O must be reduced to 0.4MPa before their feeding into anaesthetic machine via
high pressure resistant hose. O2 feeds into the flowmeter through the protective
regulation. N2O can feed into the flowmeter through joint valve under the condition
when the O2 pressure reaches 0.05MPa, otherwise the N2O cannot feed into the
anaesthetic machine airway. The flowrates of O2 and N2O are controlled by the
regulator in flowmeter. The mixed gas goes into vaporizer from flowmeter while a
part of anaesthetic gas is taken away, and afterwards enters into the patient respiratory
system from the common outlet. In the case of O2 flush, O2 feeds into the patient
respiratory system directly from the common outlet bypassing the flowmeter and
vaporizer. The anaesthetic gas or oxygen sent into patient respiratory system
maintains the patients breath process either in Manual or the machine controlled work
mode (decision by ventilator) according to the preset tidal volume and breath way.
There are also waste gas exhaust system, semi-closed valve and spill over valve in the
machine.
There are main switch and triple-coincidence socket. Main switch controls ventilator
and triple-coincidence socket. 220V, 50Hz electrical source is supplied by socket.

2.1 Figuration and Components

The figuration and components of ACM603 are shown in Fig. 1~Fig. 3.

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ACM603 Aneasthetic machine

Fig.1 ACM603 anaesthetic machine

1) Bellows integration 2) APL valve 3) Inspiration valve 4) Airway pressure gauge
5) Expiration valve 6) Expiratory outlet 7) Pothook 8) Inspiratory inlet
9) sodasorb 10) Manual bag 11) Impact handwheel 12) Oxygen flush switch
13) Drawer 14) Main switch 15) Tablet 16) Pressure gauge 17) Handle
18) Joint knob 19) Four-tube flowmeter 20) Vaporizer 21) Anaesthetic ventilator

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ACM603 Aneasthetic machine

Fig.2 ACM603 anaesthetic machine

22) Connected with flow sensor 23) Connected with pressure sampling pipe 24)
manual switch control interface 25) O2 inlet 26) N2 inlet 27) Common gas inlet 28)
Pothook 29) Rear wheel 30) Front wheel 31) Outfall 32) manual/auto shift switch 33)
Respiratory circuit 34) Mask

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ACM603 Aneasthetic machine

Fig.3 ACM603 anaesthetic machine

35) Triple-coincidence socket 36) Electric supply socket
37) Connected with breath path 38) Waste gas outlet
39) Connected with ventilator

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ACM603 Aneasthetic machine

2.2 Pneumatic System

The pneumatic system is designated for O2 and anaesthetic gas supply into the
patients respiratory circuit. The pressure shall be kept within the normal range to
enable the machine to work normally and ensure the patient safety. The principle of
direction of airway is shown in Fig.4
2.2.1 Parts and their function
a) gas source：The gas source must be connected with the anaesthetic machine through
the pressure-regulating valve. The required pressure is 0.4MPa so keeping the gas
pressure in the pneumatic system within the normal range: 0.3MPa ~ 0.4MPa; the
pressures of O2 and N2O shall be equal as required.
b) High pressure input hose：The high pressure of 0.6MPa should be withstood. O2
output pipe is marked by blue, and the N2O output pipe is marked by gray.
c) Pneumatic system
This part is in airway box, and consists of compression release valve, check valve, gas
control valve, and gas tank. It is designed for preventing gas from flowing backwards,
protecting pressure, lack of O2, N2O cut-off, and alarming when O2 supply is in
trouble. When there is no O2, N2O can not reach the flowmeter; N2O can feed into the
flowmeter when O2 pressure reaches over 0.05MPa, and alarm device will send sound
of no less than 57dB for over 7 seconds to alarm when O2 pressure lower than
0.08MPa~0.12MPa. The alarm device consists of gas tank, shift valve and whistle.
When gas source of anaesthetic machine works normally, there is 0.4Mpa gas storage
in the gas tank. When O2 gas source has a trouble, gas control valve shift direct, gas in
tank drives whistle to alarm. O2 pressure controlled by compression release valve in
airway is 0.3MPa. The compression release valve is adjustable. Counterclockwise
rotation the handle means output pressure increase, clockwise rotation means pressure
decrease.
d) Flowrate regulating switches
The O2 and N2O have their own regulating knob. Counterclockwise rotation means
flow increase, clockwise rotation — Decrease of flow. The O2 and N2O control
regulator is a joint-action one: The N2O increase is always accompanied by the
proportionally increase of O2. The decrease of O2 flow is accompanied by the
proportional decrease of N2O flow. But the only decrease of N2O or the only increase
of O2 have not the joint effect, the regulations shall happen independently. The
important role of this joint regulator is to prevent the very low concentration of O 2 in
the mixed gas at the start moment of N2O supply and cut-off moment of O2 supply, so
keeping the concentration of O2 no less than 25% in the whole process.

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ACM603 Aneasthetic machine

e) Flowmeter
O2 or N2O flowmeter consists of thick and thin tubes. The thin tube range is:
0.1L/min～2.0L/min. When flowrate is less than 1.0 L/min, measurement accuracy is
2.5; and when flowrate is between 2.5L/min and 10L/min, measurement accuracy is
± 10% of indication value. The thick tube range is: 2.5L/min ~ 10.0L/min,
measurement accuracy is ±10% of indication value.
f) Anaesthetic agent Vaporizer
ACM603 anaesthetic machine can use either enflurane or isoflurane vaporizer with
both high accuracy flowrate and temperature compensation capability. Agent
concentration range is: 0.5%~5.0%. When installation and operation vaporizer, the
lean angle is no more than 45 ° , max. input flowrate is 10 L/min, ambient
temperature is +15 C ~ +35C , relative humidity is no more than 80%, atmospheric
pressure is 96kPa ~104kPa, and the volume from the lowest level to the highest level
is 110ml.
g) O2 flush button
The O2 flush button is on the left side of the front panel. O2 directly feeds into the
common gas outlet bypassing the flowmeter and the vaporizer. The O2 flush happens
with flowrate of 35L/min ~ 75L/min when pressing the button, and the flush stops
when loosening the button.
h) The common gas outlet
This outlet is positioned on the left lower side of the pneumatic circuits box. O2, N2O
and the agent enter the patient respiratory circuit via hose from the common outlet.

2.2.2 Absorb system and respiratory circuit (outer airways) function

Integration structure is used for absorb system and respiratory circuit, so the frame is
compact and gas resistance is small. The surface of the system and circuit is black in
order to prevent visual fatigue after long operation.

a) Manual/machine control shift switch

There are two shift modes: manual and machine (ventilator) controlled. The shift is
flexible and convenient. It never be blocked and stopped in the middle place. The
manual means manually operate the respiratory bag to maintain the breathing process.
The machine means the breathing process is maintained by machine.
b) Adjustable pressure limit valve (APL valve)
It can be adjusted between 0.2kpa and 6.0kpa in manual mode. Color sign shows the
pressure range. Green sign means low-pressure range; red sign means high-pressure

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ACM603 Aneasthetic machine

range; and the yellow sign means the middle value.

Rotating clockwise the knob to limitation is the close state. The pressure limit value is
6.0kpa. Rotating the knob counterclockwise to limit, the pressure limit value is
0.2kpa.
In order to convenient for discharging waste gas, awl head that diameter is 22mm is
used in waste gas outlet (according with waste gas outlet in bellows base), and it can
be arbitrarily rotated in 360°range.
c) Pressure gauge in pneumatic system
Pressure gauge shows the change of airway pressure as the patient breathes each time.
It can be rotated in any plane angle in order to provide convenient watch angle for
anaesthetist.
d) Sodasorb
Its shell is made by macromolecule polycarbonate resin, so it can withstand high
temperature and impact. The volume of each sodasorb is 1000ml and it can
accommodate 1.3kg soda for over six hours continuous work. The sodasorb’s edge is
made in knife-edge shape, which is beneficial for sealing and preventing soda grain
entering seal ring.
e) Impact handwheel
It is positioned in base and used to replace the sodasorb. Rotating it clockwise means
loosening. As knife-edge shape and slap-up sealed ring are used in sodasorb, so it only
needs small strength to tighten it.
f) Drain valve
When shifting to the “drain”, the water, which is made by gas breathed out from
patient reacting with soda, is drained from this valve.
g) Inspiratory valve
It is made by polycarbonate resin, so it can withstand high temperature and impact.
Gas goes into the respiratory system from here.
h) Expiration valve
It is made with polycarbonate resin, so it can withstand high temperature and impact.
From it expired gas goes into sodasorb via corrugated pipe.
i) Pothook
Pothook is posited on the left side convenient for hanging the respiratory pipe.

2.2.3 Bellows integration function

a) Bellows

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ACM603 Aneasthetic machine

The Bellows is upward foldable type, the mixed gas is stored inside the bellows from
which it goes into the patient respiratory circuit controlled by the ventilator sending
gas to compress bellows down, the bellows will have some sinking in if there is some
leak in the patient respiratory circuit, operator must pay attention to this phenomenon.
The tidal volume value is on the bellows barrel.

b) Spill over valve

It's inside the bellows base. It opens when the end tidal pressure reaches 0.2kPa ~
0.3kPa releasing the excessive gas.

c) Waste gas outlet

There are two outlets: One is a gas outlet (spill over valve) set at the middle of the
bellows’ base, Through pipes waste gas exhausts from outlet to outdoors. The other is
a gas outlet of the adjustable pressure limited valve (APL valve).

2.2.4 The ACM603 anaesthetic machine and ACM812A anaesthetic ventilator should
be used together. If anaesthetic ventilator is not the product appointed by
manufacturer, the performance of anaesthetic machine may be debased. The pressure
of drive outlet provided by anaesthetic machine is 0.3MPa ~0.4MPa, and the flowrate
is more than 70L/min. These data are obtained when anaesthetic machine disconnect
with ventilator.

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ACM603 Aneasthetic machine

Fig. 4

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ACM603 Aneasthetic machine

3 MAIN TECHNICAL SPECS

3.1 Ventilating performance

a) Flowrate control: O2 : 0.1 L/min ~ 10.0L/min
N2O: 0.1 L/min ~ 10.0L/min
b) O2 flush: 35 L/min ~ 75L/min
c) Anaesthetic agent concentration: The adjustable concentration range is 0.5%~5.0%

3.2 Safety index

Spill-over valve pressure: 0.2kpa ~ 0.3kpa

3.3 flow joint control device

Regulating O2 and N2O proportionally can ensure concentration of O2 over 25%

3.4 gas source:

a) O2 supply pressure: 0.30MPa ~0.40MPa
b) N2O supply pressure: 0.30MPa ~0.40MPa

3.5 Alarm performance

Low O2 alarm: When O2 source pressure is not enough, sound alarm occurs with time
of over 7s and sound of over 57dB.

4 VOIUME AND WEIGHT

4.1 Volume: 650mm x 650mm x 1430mm (L x W x H )

4.2 Weight: 75kg

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ACM603 Aneasthetic machine

5 INSTALLATION AND CHECKS

5.1 Anesthetic Machine Installation
5.1.1 Install pothook
Through four screws connect the two pothooks according to the Fig5.

Fig5
5.1.2 Insert the outer suspension into the left pole and fix it with knob.
See Fig 6

Fig 6
5.1.3 Install bellows integration
Through four screws fix the tray of bellows to the left side of anesthetic machine, and
then fix the bellows integration on the tray. See Fig 7

Fig 7

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ACM603 Aneasthetic machine

5.1.4 Fix the vaporizer on by-pass valve, and tightly lock the handle. See Fig 8

Fig. 8
5.1.5 Connect O2 and N2O pipelines with O2 inlet (25) and N2O inlet (26) on the rear
of anesthetic machine according to the Fig2. Connect gas outlet of anesthetic machine
and bellows integration with white threading pipe.

5.2 Pre-use Checks

5.2.1 Check installation
Strictly check the well-installed machine including the electrical connection, various
gas sources and airway connection hoses to guarantee their correctness and tightness.

5.2.2 Check flowrate valve

The two floaters in the flowmeter tubes shall be rising to the max. flowrate while
rotating smoothly the O2 flowrate valve counterclockwise. Then close the O2 supply
valve and smoothly open the N2O flowrate regulating valve counterclockwise, at the
same time the O2 valve itself will be rotating concurrently, and the concentration of O2
shall be kept no less than 25%. Rotate the O2 flowrate valve smoothly and clockwise
to decrease the O2 flowrate, the N2O valve will be automatically concurrently rotating
resulting in the flowrate decrease of N2O. After the N2O flowrate firstly returns to "0"
position, then O2 flowrate reaches full stop. Then with the full open of O2 and N2O
flowrate to test separately the N2O decrease or O2 increase, in this case no mutual
joint effect shall happen between the two flowrate valves.

Note: One must gently rotate the flowrate valves and strictly stop the rotation when
reaching max. and/or mix indication, otherwise the valves may be damaged and can
not be used further for regulation at all.

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ACM603 Aneasthetic machine

5.2.3 Check O2 flush button

The fluidic sound shall be heard from the common outlet while the O2 flush button is
pressed down. When the button released, it self-rebounds and O2 supply stops

5.2.4 Check airtightness

Initially put the work mode switch in the "Manual", with the pressure gauge of the
pneumatic circuit in "0", rotate the APL valve clockwise up to max, connect the
Y-piece of the mask with the simulated lung, wear the manual breathing bag on the
adapter (under the work mode switch), press the O2 flush button or open the flowrate
valve until the pressure gauge reaches the indication 3kPa. Then release the O2 flush
button, close the flowrate valve and after 20s carefully observe the pressure drop
whose max. shall be 0.3kPa.

5.2.5 Check APL valve

First set the manual/machine control shift switch in “manual”, open the APL valve full,
press the O2 flush button, and check whether does gas spill from APL valve or not.
Then close the APL valve, fill the manual bag with O2 flush. Release the O2 flush
button, check whether does the value of airway pressure gauge hold between 5.5kpa
and 6.5kpa or not.

5.2.6 Check manual/machine control shift switch

Check the handle is locked or not when it is shifted from vertical state to horizontal
state. Check the handle is loose or not when it is shifted from horizontal state to
vertical state.

5.2.7 Check the sodasorb

When the sodasorb’s colour changes, replace the sodasorb in time.

5.2.8 Check spill over valve

First set all valves and knobs properly in accordance with the way checking
airtightness except the "work mode" knob. Shift the anaesthetic machine into the
"ventilator-machine controlled" mode, open the O2 supply enabling the foldable
bellows to expand to the top, O2 flowrate reaches 5L/min then. The pressure
indication of the pneumatic circuit shall not be higher than 0.3MPa when the bellows
are gently expanded, gas exhausts from the waste gas outlet also.

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ACM603 Aneasthetic machine

5.2.9 Check anaesthetic agent vaporizer

a) Injection of anaesthetic agent
Injection: Rotate the handwheel to the "Δ", Use the correct anaesthetic agent bottle.
Open inlet valve by rotated counterclockwise. Close outlet valve. Pour anaesthetic
agent into the filling spout-note liquid level on sight glass-fill to maximum mark only.
Close inlet valve completely. Close anaesthetic agent bottle.

b) discharge of anaesthetic agent

Draining: Turn handwheel to “Δ” until it engage. Hold an empty bottle for the
appropriate anaesthetic agent under the outlet nozzle of the filling spout. Open outlet
valve by about three revolutions, do not screw valve out. When no more anaesthetic
agent drains from the outlet nozzle, the Vapor is empty except for the anaesthetic
agent remaining in the wick. Do not fill bottle right to the top with anaesthetic agent.
Then: Close outlet valve again.

Note:
 Check the agent's level: One must carefully observe the level of the agent, in order
to have the stable output concentration of the agent.
 Check the handwheel: Press down the zero position pin, and rotate
counterclockwise the plane switch to reach the max. indication of concentration, and
then further rotate clockwise to "Δ". The zero position pin shall bounce up
automatically and the plane switch shall be rotating smoothly. This item should be
checked before injection.
 Only the stated agent can be used in practice. No mutually-joint effect exists
between both vaporizers. It is better to only fill one vaporizer when usage, and
exhaust the other one. Shift the plane switch to “Δ”.

Note: Don't shake and hold it up-side-down after the vaporizer charged.

Caution: Don’t lift the top conversion plate.

5.2.10 Check low oxygen alarm

Connect the pipeline of anaesthetic machine, regulate the pressure of gas source to
0.4MPa, supply gas with this pressure for more than 2min. Permit oxygen pass
through the flowmeter, then decrease the pressure to zero; and anaesthetic machine
should alarm continuously for more than 7s.

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ACM603 Aneasthetic machine

6 PRECAUTION

6.1 Check and test the device under the requirements in 5.2 before use every time.
6.2 One should put the patient’s safety on the primacy during anaesthesia process. If
some malfunctions happen, do not disregard the patient but anxiously to get rid of the
troubles.
6.3 This medical device should not be operated with flammable anaesthetic agent such
as aether, cyclopropane and so on.
6.4 By pushing flush fill foldable bellows in bellows integration with oxygen before
use.
6.5 Four-tube flowmeter has linkage set. When use, knob should be gently rotated.
6.6 Red area on the APL valve is the cautious use area. Be careful of use。
6.7 The range between OFF position and the first dials of ventilator is not calibrated;
so do not use this range.

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7 TROUBLESHOOTING

See table 1
Table 1
Troubles Causes Methods
APL valve not closed when manual Close semi-close APL
control valve tightly
Sodasorb installed impropriety Reinstall
Patients breathing system Corrugated hose damaged or Replace or reinstall
leaks connector loose properly
Valve jar loose Retighten
"Manual/ventilator control" shift
Contact our company
switch damaged
Breathing frequency is too high Reset proper respiratory
under bigger tidal volume frequency
Patients’ respiratory loop leaks Check as the above method
At the end of respiration Turn on the flow regulating
Flow regulating switch closes
the bellows can not switch
expand to max. Spill-over valve pressure adjusts Contact our company
improperly
Working mode shift switch still in Shift the switch to
“manual position” ventilator control
Foldable bellow does not O2 flush valve out of work or leaks Contact our company
compress normally when Glass lid of bellows damage Replace
delivering gas Pneumatic system block Troubleshooting
Pressure is too high in
pneumatic system under Exhaust valve regulated improperly Regulate again properly
“ Manual breathe”

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ACM603 Aneasthetic machine

8 CLEANING AND MAINTENANCE

8.1 Cleaning and sterilization

8.1.1 Surface cleaning and sterilization
Clean the machine's panel and all surfaces with soft cloth soaked with the water
soluable sterilizing agent. The formation and preparation of the agent must be done in
accordance with the direction given by the manufacturer. One must prevent the
sterilising agent drops from entering the anaesthetic machine and the misusage of
organic agent for cleaning the machine.

8.1.2 Sterilization of rubber corrugated hose and manual respiratory bag

Every used rubber corrugated hose and manual respiratory bag must be firstly washed
carefully and after they were dried put them in the vapour sterilization chamber to
vapor and sterilize for a certain time or sterilize them as the rubber products require to
do. Don’t sterilize them with ultraviolet ray, or else it will result in the fast aging of
rubber products.

8.1.3 Bellows cleaning and sterilization

This must be done once a week according to the following procedure:
a) Rotate the organic cylinder (the lid) on a certain angle to loosen the base, then to
move ¡the cylinder on left or right and gently take it out.
b)Take out the lower edge of the bellows and clean the circular slot of the bellows
with the gauze soaked with the water-soluble agent. One must prevent the liquid, dust
and foreign matters entering the connector and adapters inputs.
c) Wash, dry and vapor sterilize the bellows as it was done for the corrugated hose
while the bellows should be fully expanded. Put some talcum powder on the external
wall of the bellows preventing the adhesion. But one must prevent the powder from
entering the bellows or the pneumatic circuits. Finally follow the reverse steps to
integrate the bellows with the glass cylinder and properly fix it as required.

8.1.4 Inspiratory and expiratory valves cleaning

Dismount the cover of the inspiratory and expiratory valves by rotating it counter
clockwise, then clean all parts of them with the germfree gauze socked with water
soluble sterilizing agent, after all parts cleaned and dried recover it in original
integration. Then one must check the leakage and the movement of the inspiratory and
expiratory valves in accordance with the required regulation and checking procedure.

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ACM603 Aneasthetic machine

Please handle all parts with care preventing any damage.

8.1.5 Sterilization of sodasorb, pneumatic system and bellows base etc.

Either vapouring (temperature no more than 50℃)or immersion sterilization can be
used in practice, in case of immersion all sterilized parts must be dried with the high
pressure air or oxygen after sterilization.

8.2 Maintenance of Anaesthetic Machine

The life cycle of the machine depends upon the human factor in a certain sense, so
one must pay a great attention to the maintenance although the reliability of the
machine's work is considered as the first importance during designing.

8.2.1 Anaesthetic vaporizer

It's the most important part of the machine so notice to never lift the
concentration-regulating knob by hand. In case of regulating the concentration one
must firstly gently rotate the dial gauge, one mustn't further rotate the gauge forcibly
when reaching already the limitation. Suggest calibrating the vaporizer annually.
Oxygen should be used when checking the vaporizer. The flowrates passing through
the vaporizer are 1±0.1L/mi and 5±0.5L/min. Anaesthetic machine should be
posited in close state when calibrating concentration dial of vaporizer.

8.2.2 Flowmeter
It's the important part of the machine. It's glass cover is fragile. No shock and
vibration should happen during transportation. One must gently operate all regulators
and mustn't further rotate knobs forcibly when reaching already the max. and/or min.,
otherwise they can be damaged and malfunction.

8.2.3 Cleaning, sterilization, drying and correct installation of all easily polluted parts
Those parts that directly touch the patient are easily polluted, the sterilization must be
do. (methods detailed in 8.1) One must do strictly the correct installation the
connectors of airway and the parts of respiratory circuit without leakage after once
cleaning and sterilization. The recovered machine must be tested and ensured in good
condition before putting in reuse for patients. It must be here emphasized is that: After
installation, one must check the airtightness. The method is shown in the part
“checking airtightness” (5.2.4)

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ACM603 Aneasthetic machine

8.2.4 Inspiratory and Expiratory valves

Do not press the mica blades on inspiratory and expiratory valves curving. One must
handle them with care preventing damage when cleaning and sterilizing, and
installation and remove, if any, must replace them to guarantee normal reliable work.

8.2.5 The machine should be cleaned and maintained in accordance with the
requirements. It must be performed every year to maintain and service at least once,
that means to clean and sterilize, and check performances. Clean and sterilize the
anaesthetic machine with the requirements detailed in 8.1. Checking performance
includes calibrating the vaporizer, and checking flowrate regulating valve, O2 flush
switch, airtightness, APL valve, manual/machine control shift switch, spill over valve,
vaporizer and low oxygen alarm with the way detailed in 5.2.

9 STORAGE AND SHIPPING

This product should be stored in the room with temperature of -10C～+40C,

relative humidity of no more than 90%, atmospheric pressure range of 860hPa～1060
hPa, good ventilation and without corrosion gas and strong effect of magnetic field.

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ACM603 Aneasthetic machine

10 ETAILED LIST OF HOST MACHINE, ACCESSORIES, AND

CONSUMER GOODS
10.1 Host machine:
1) Anaesthetic machine’s frame 1
2) Enflurane (isoflurane) of vaporizer 1
3) Bellows integration 1
4) Outer suspension 1
10.2 Accessories：
1) Oxygen pipeline 1
2) Nitrous oxide pipeline 1
10.3 Consumer goods:
1) 0.8m silica corrugated hose 1
2) 1.2m silica corrugated hose 3
3) Manual bag 1
4) Elbow-bend 1
5) Y - bend 1
6) Mask 1
7) Polyurethane pipe 1
10.4 Appended documents：
1) Operation manual 2
2) Certificate of quality 1
3) Guarantee card 1
4) List of shipment 1
5) Report of set up 1
10.5 Optional parts：
1) Bellows assembly for children 1
2) Circles for children 1

11 UPGRADE：
ACM603 Anaesthetic machine can be upgraded according to the user’s requirement:
11.1. Two interlock vaporizers, enflurane vaporizers and isoflurane vaporize, made by
our company can be installed.
11.2 Oxygen inhalation inlet can be installed, and the oxygen inspirator can be
inserted directly to inhale oxygen.
11.3 Manipulator made by our company can be installed.
11.4 Monitor produced by our company can be installed

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