Aisys CS2

Aisys CS²
User's Reference Manual

Software Revision 10.X
User responsibility
Datex-Ohmeda, Inc. a General Electric Company, doing business as GE
Healthcare.
This product will perform in conformity with the description thereof
contained in this User’s Reference manual and accompanying labels and/or
inserts, when assembled, operated, maintained, and repaired in accordance
with the instruction 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.
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
CAUTION the local laws for any restriction that may apply.
Table of Contents
1 Introduction
Intended use....................................................................................1-2
Indications for use....................................................................1-2
General information.................................................................1-2
Serial numbers.........................................................................1-4
Trademarks..............................................................................1-5
Symbols used in the manual or on the equipment...........................1-6
Symbols used on the equipment...............................................1-6
Symbols used on the user interface..........................................1-9
Typeface conventions used...........................................................1-10
Abbreviations...............................................................................1-11
System information......................................................................1-14
System classification..............................................................1-14
Device standards IEC 60601-1:2005......................................1-14
Device standards IEC 60601-1:1988......................................1-14
Integral system components...................................................1-15
Not integral system components............................................1-15
System accessories.................................................................1-15
System safety................................................................................1-16
Preparing for use....................................................................1-16
Inspecting the system.............................................................1-17
Electrical safety......................................................................1-18
2 System controls and menus
System overview............................................................................2-2
Using the brake........................................................................2-4
Using the O2 flush button........................................................2-4
Positioning the display.............................................................2-4
Advanced breathing system components........................................2-6
Using the bag support arm.......................................................2-7
Aladin cassette controls..................................................................2-8

2067226-001 i
Display controls..............................................................................2-9
Touch points...........................................................................2-10
Measured value touch points..................................................2-10
Active alarm touch points......................................................2-11
Anesthesia system display............................................................2-12
Digit fields.............................................................................2-13
Waveform fields.....................................................................2-13
Split screen field.....................................................................2-13
Display navigation........................................................................2-15
Using menus...........................................................................2-15
Using the ComWheel.............................................................2-16
Using quick keys....................................................................2-16
3 Operation
System operation safety..................................................................3-2

Turning on the system....................................................................3-3
Start a case......................................................................................3-4
Minimum Alveolar Concentration...........................................3-4
Starting a case using default settings........................................3-5
Starting a case using custom settings.......................................3-5
End a case................................................................................3-6
Turning off the system....................................................................3-7
Ventilator setup..............................................................................3-8
Changing ventilator mode........................................................3-8
Changing ventilator settings.....................................................3-8
Optional ventilator procedures.................................................3-8
Auto limits......................................................................................3-9
Setting auto limits....................................................................3-9
Gas setup......................................................................................3-10
Changing gas settings.............................................................3-10
Changing balance gas.............................................................3-10
Changing circuit type.............................................................3-10
System setup.................................................................................3-13
Patient demographics.............................................................3-13
ii 2067226-001
Screen setup menu.................................................................3-13
Fresh gas usage......................................................................3-16
Alarm setup..................................................................................3-17
Setting CO2 alarms................................................................3-17
Setting MV TV alarms...........................................................3-18
Setting alarm limits................................................................3-18
Viewing alarm history............................................................3-19
Setting alarm volume.............................................................3-19
Setting apnea delay................................................................3-19
Silencing leak audio alarms....................................................3-19
Setting auto MV limits...........................................................3-20
Setting to default limits..........................................................3-20
Alarms On Off..............................................................................3-21
Disable alarm limits...............................................................3-21
Next page......................................................................................3-22
Trends...........................................................................................3-23
Setting trends.........................................................................3-23
Spirometry....................................................................................3-24
Setting loop type....................................................................3-24
Setting loop graph scaling......................................................3-25
Setting patient and sensor type...............................................3-25
Setting the data source...........................................................3-25
Setting spirometry volume type..............................................3-26
Saving, viewing, and deleting spirometry loops.....................3-26
Procedures....................................................................................3-27
Pause gas flow........................................................................3-27
Cardiac bypass.......................................................................3-27
Vital capacity.........................................................................3-28
Cycling...................................................................................3-29
Timer function..............................................................................3-31
Using the timer.......................................................................3-31
ecoFLOW.....................................................................................3-32
Using ecoFLOW....................................................................3-33
Alternate O2 control.....................................................................3-34
Using Alternate O2 control....................................................3-34
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i
EZchange canister mode...............................................................3-36
Using EZchange canister mode..............................................3-37
Condenser.....................................................................................3-38
Draining the condenser..........................................................3-38
Auxiliary Common Gas Outlet.....................................................3-40
Using the ACGO....................................................................3-40
4 Preoperative checkout
Every day before your first patient.................................................4-2

Before every patient.......................................................................4-3
5 Preoperative tests
Aladin cassette installation.............................................................5-2

Flow and pressure calibration.........................................................5-3
Circuit compliance compensation...................................................5-4
Checkout menu...............................................................................5-5
Full test...........................................................................................5-6
Vent and gas.............................................................................5-6
Circuit leak...............................................................................5-6
Circuit O2 cell..........................................................................5-7
External gas monitor................................................................5-7
Individual tests...............................................................................5-8
Vent and gas.............................................................................5-8
Circuit leak...............................................................................5-8
Circuit O2 cell..........................................................................5-8
Low P leak...............................................................................5-8
Low P leak (machines with ACGO).........................................5-9
Agent delivery..........................................................................5-9
Positive low pressure leak test (ACGO systems only)..................5-10
6 Airway modules
Airway modules.............................................................................6-2
E and M series airway modules................................................6-3
CARESCAPE airway modules................................................6-4
iv 2067226-001
Connecting the airway module.......................................................6-5
Parameters setup.............................................................................6-6
Data source..............................................................................6-6
Automatic agent identification........................................................6-7
Calibrating the airway module........................................................6-8
7 Alarms and troubleshooting
Alarms............................................................................................7-2
Alarm priorities........................................................................7-2
Pausing alarms.........................................................................7-2
Cancelling audio pause............................................................7-3
Display changes during alarms.................................................7-3
De-escalating alarms................................................................7-3
Battery indicator.......................................................................7-3
Internal failure..........................................................................7-4
Informational tones..................................................................7-4
List of alarms..................................................................................7-5
Sustained pressure threshold..................................................7-12
Alarm ranges................................................................................7-13
Alarm tests....................................................................................7-15
Breathing system problems...........................................................7-17
Electrical problems.......................................................................7-18
Pneumatic problems.....................................................................7-19
8 Setup and connections
Setup safety....................................................................................8-2
Moving and transporting the system...............................................8-4
Setting up the absorber canister......................................................8-5

When to change the absorbent..................................................8-6
Removing a canister.................................................................8-7
Removing an EZchange canister..............................................8-7
Filling the Reusable Multi Absorber canister...........................8-8
Electrical connections...................................................................8-10
Mains inlet.............................................................................8-10
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Equipotential stud..................................................................8-10
Outlets....................................................................................8-10
Serial port...............................................................................8-11
Pneumatic connections.................................................................8-12
Pipeline inlets.........................................................................8-12
Scavenging.............................................................................8-12
Sample gas return port...........................................................8-14
Pneumatic power outlet..........................................................8-15
Vacuum suction regulator (optional)......................................8-15
Venturi suction regulator (optional).......................................8-16
Auxiliary O2 flowmeter (optional).........................................8-16
Installing gas cylinders.................................................................8-18
Installing cylinders with pin indexed yokes...........................8-18
Installing cylinders with DIN connections.............................8-18
Performing a high-pressure leak test......................................8-18
Attaching equipment to the top of the machine............................8-20
Passive AGSS...............................................................................8-21
Connecting passive AGSS.....................................................8-21
Active AGSS................................................................................8-22
Connecting active AGSS with a flow indicator......................8-22
Connecting active adjustable AGSS.......................................8-23
9 User maintenance
Maintenance safety.........................................................................9-2
Repair policy..................................................................................9-3
Maintenance summary and schedule..............................................9-4
Circuit O2 cell replacement............................................................9-5

Calibration menu............................................................................9-6
Flow and pressure calibration...................................................9-6
Circuit O2 cell..........................................................................9-6
Airway gas calibration.............................................................9-7
Water buildup...........................................................................9-7
10 Parts
vi 2067226-001
Flow sensor module......................................................................10-2
Breathing circuit module..............................................................10-3
Bellows.........................................................................................10-4
Complete advanced breathing system...........................................10-5
Absorber canister..........................................................................10-6
Exhalation valve assembly...........................................................10-7
AGSS............................................................................................10-8
EZchange canister system...........................................................10-10
Condenser...................................................................................10-11
Test tools and system parts.........................................................10-12
11 Specifications and theory of operation
System pneumatic circuit..............................................................11-2

Gas supplies...........................................................................11-4
O2 flow..................................................................................11-4
Air and N2O...........................................................................11-4
Mixed gas...............................................................................11-5
EZchange canister..................................................................11-5
Condenser..............................................................................11-5
Pneumatic specifications..............................................................11-6
Gas supplies...........................................................................11-6
ACGO port relief...................................................................11-6
Non-circle circuit relief..........................................................11-6
Pneumatic power outlet..........................................................11-7
Electrical block diagram...............................................................11-8
Electrical power..........................................................................11-10
Power cord...........................................................................11-10
Battery information..............................................................11-10
Flow specifications.....................................................................11-12
Breathing system specifications..................................................11-13
Gas scavenging....................................................................11-14
Physical specifications................................................................11-16
Lower dovetail loading.........................................................11-16
Upper dovetail loading.........................................................11-17
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i
Environmental requirements.......................................................11-18
Airway module specifications....................................................11-19
Gas specifications for E-, M-series modules........................11-19
Gas specifications for CARESCAPE modules.....................11-20
Typical performance............................................................11-21
Suction regulators (optional)......................................................11-22
Ventilator theory.........................................................................11-23
O2 monitoring theory of operation.......................................11-23
ecoFLOW theory of operation..............................................11-24
Ventilation modes................................................................11-24
Ventilation modes factory default settings...........................11-35
Ventilation mode transition..................................................11-36
Ventilator operating specifications.............................................11-37
Pneumatics...........................................................................11-37
Fresh gas compensation.......................................................11-37
Pressure................................................................................11-37
Volume.................................................................................11-37
Oxygen.................................................................................11-38
Ventilator accuracy data.............................................................11-39
Electronically controlled vaporizer and Aladin cassette.............11-40
Aladin2 cassettes..................................................................11-44
Aladin cassettes....................................................................11-44
Electromagnetic compatibility (EMC)........................................11-46
Cables...................................................................................11-46
Guidance and manufacturer’s declaration - electromagnetic

emissions.............................................................................11-47
immunity.............................................................................11-47
Power immunity..................................................................11-48
Radiated immunity..............................................................11-48
Recommended separation distances....................................11-50
12 Super user mode
Super user mode...........................................................................12-2

Gas usage......................................................................................12-3
vi 2067226-001
ii
Resetting cumulative gas usage..............................................12-3
Setting ecoFLOW..................................................................12-3
Setting agent costs..................................................................12-3
System configuration....................................................................12-5
Display settings......................................................................12-5
Ventilator settings..................................................................12-5
Alarm settings........................................................................12-6
Parameter settings..................................................................12-6
Trends setup...........................................................................12-8
Page setup..............................................................................12-8
Case defaults...............................................................................12-10
Configuring case defaults.....................................................12-10
Setting case name.................................................................12-10
Setting volume apnea defaults..............................................12-10
Default case type settings.....................................................12-11
Gas controls................................................................................12-15
Setting gas preset values......................................................12-15
Setting fresh gas controls.....................................................12-15
Procedures setup.........................................................................12-16
Setting vital capacity defaults...............................................12-16
Setting cycling controls and settings....................................12-16
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Aisys CS²
13 Vaporizer cassettes
Vaporizer......................................................................................13-2
Aladin2 cassette variants........................................................13-2
Aladin cassette variants..........................................................13-3
Changing a cassette during a case.................................................13-6
Removing a cassette.....................................................................13-7
Installing a cassette.......................................................................13-8
Cassette maintenance....................................................................13-9
Cleaning.................................................................................13-9
Draining cassettes..................................................................13-9
Draining halothane cassettes................................................13-10
Filling Aladin2 cassettes.............................................................13-11
Filling with Easy-Fil system.................................................13-11
Filling with Quik-Fil system................................................13-13
Filling with Saf-T-Fill bottle................................................13-14
Filling Aladin cassettes...............................................................13-16
Filling with keyed filler system............................................13-16
Filling with Quik-Fil system................................................13-17
Filling with Saf-T-Fil bottle.................................................13-18
Index
x 2067226-001
1 Introduction
In this section Intended use..................................................................................1-2

Symbols used in the manual or on the equipment.........................1-6
Typeface conventions used.........................................................1-10
Abbreviations..............................................................................1-11
System information.....................................................................1-14
System safety..............................................................................1-16
2067226-001 1-1
Aisys CS²
Intended use
The Aisys CS2 is scalable, flexible, and functionally integrated, featuring

the most advanced design, ventilation, respiratory monitoring, and breathing
system. Module bays allow for the physical integration of legacy Datex-
Ohmeda patient monitors and supports mounting of other GE Healthcare
monitors. Optionally, the open architecture design supports mounting of
non-Datex-Ohmeda patient monitors, record keeping, and connections to
the hospital information system. The INview movable display arm helps
keep the anesthetist’s focus on the patient by offering control of all
hemodynamic, gas delivery, anesthetic agent, and ventilation parameters.
This anesthesia system is designed for mixing and delivering inhalation
anesthetics, Air, O2, and N2O.
The anesthesia system’s small breathing system volume allows an
anesthetic agent delivery response time of less than 7 seconds. (Agent
response time defined as achieving 90% of the setting change measured
while in non-circle circuit with a 2 l/min fresh gas flow.)
This anesthesia system uses SmartVent ventilation technology offering
Volume Control Ventilation with tidal volume compensation and
electronic PEEP. The proven SmartVent technology also features optional
Pressure Control Ventilation, Pressure Support Ventilation with an Apnea
Backup (PSVPro) that is used for spontaneously breathing patients,
Synchronized Intermittent Mandatory Ventilation (SIMV) modes, Pressure
Control Ventilation- Volume Guarantee (PCV-VG), Continuous Positive
Airway Pressure
+ Pressure Support Ventilation (CPAP + PSV), and VCV Cardiac Bypass.
In Volume Control Ventilation, a patient can be ventilated using a minimal
tidal volume of 20 ml. In Pressure Control Ventilation, volumes as low as
5 ml can be measured. These advanced features allow for the ventilation of
a broad patient range.
This system is not suitable for use in an MRI

environment.
WARNING
Indications for use
The system is intended to provide general inhalation anesthesia and

ventilatory support to a wide range of patients (neonate, pediatric, and
adult). The device is intended for volume or pressure control ventilation.
General information
This anesthesia system uses the Advanced Breathing System (ABS).
This integrated breathing system is easy to remove and disassemble
and is autoclavable. Its fully integrated design
1-2 2067226-001
1 Introduction
enhances the system’s elegance while minimizing tube connections,

minimizing circuit volume, and increasing the work surface area.
This anesthesia system is designed for expansion and upgrades, so it is easy
to add new technologies and ventilation capabilities without investing in a
new system.
The anesthesia system is suitable for use in a patient environment. The
system must only be operated by personnel trained and qualified in the
administration of general anesthesia. The User’s Reference manual is
intended to provide training on the operation of the system. Operate the
system from the front with a clear view of the display. It must be operated
according to the instructions in this User’s Reference manual. Make sure
that all user documents are obtained from the manufacturer.
Refer to the Technical Reference manual for service information
including: special installation instructions, installation checklist,
means of isolating the supply mains, and replacement of fuses, supply
cord, and other parts.
Explosion Hazard. Do not use this system with flammable

WARNING anesthetic agents.
Configurations available for this product depend on local market and
Note standards requirements. Illustrations in this manual may not represent all
configurations of the product. This manual does not cover the operation of
every accessory. Refer to the accessory documentation for further
information.
2067226-001 1-3
Aisys CS²
AB.75.253
Figure 1-1 • Front view
Serial numbers
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. The serial number can be in one of two
formats.
1-4 2067226-001
1 Introduction
AAAX11111 AAAXX111111AA
The X represents an alpha character The XX represents a number indicating
indicating the year the product was the year the product was manufactured;
manufactured; H = 2004, J = 2005, etc. I 04 = 2004, 05 = 2005, etc.
and O are not used.
Trademarks
Aisys, Carestation, Advanced Breathing System, ComWheel, D-

fend, EZchange, Disposable Multi Absorber, Reusable Multi
Absorber, PSVPro, SmartVent, Easy-Fil, Aladin, and Aladin2 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.
2067226-001 1-5
Aisys CS²
Symbols used in the manual or on the equipment

Symbols replace words on the equipment, on the display, or in product
manuals.
Warnings and Cautions tell you about dangerous conditions that can occur
if you do not follow all instructions in this manual.
Warnings tell about a condition that can cause injury to the operator or the
patient.
Cautions tell about a condition that can cause damage to the
equipment. Read and follow all warnings and cautions.
Symbols used on the equipment
O2 Flush button O2 cell connection

Air Air
APL settings are approximate Anesthetic Gas Scavenging System

Maximum Vacuum
Serial number Stock number
Exhaust Bellows volumes are approximate
Plus, positive polarity Minus, negative polarity

Maximum mass of configured mobile
Caution: federal law prohibits dispensing
equipment
without prescription.
Autoclavable
On (power) Off (power)
Standby Interference
Type BF equipment Type B equipment
Dangerous voltage Frame or chassis ground
Protective earth ground Earth ground
Direct current Alternating current

Caution Refer to instruction manual or booklet
(blue background)
1-6 2067226-001
1 Introduction
Operating instructions General warning (yellow background)
Electrical input/output Sample gas inlet to scavenging
Pneumatic inlet Pneumatic outlet

Equipotential Lamp, lighting, illumination
Variability Variability in steps
Suction bottle outlet Vacuum inlet
Bag position/manual ventilation Mechanical ventilation
Inspiratory flow Expiratory flow
Movement in one direction Movement in two directions
Lock Unlock
Open drain (remove liquid) Low pressure leak test
This way up Not autoclavable
Read to center of float EZchange canister (CO2 bypass)
Systems with this mark agree with the

Authorized representative in the
European Council Directive (93/42/ EEC)
European Community
for Medical Devices when they are used as
specified in their User’s Reference
manuals. The xxxx is the certification
number of the Notified Body used by
Datex-Ohmeda’s Quality Systems.
Date of manufacture
Manufacturer
2067226-001 1-7
Aisys CS²
Indicates that the waste of electrical and GOST R Russian certification

electronic equipment must not be
disposed as unsorted municipal waste and
must be collected separately.
Please contact an authorized
representative of the manufacturer for
information concerning the
decommissioning of equipment.
Stepping prohibited When moving or transporting anesthesia
machine, place the display arm and shelf
in the transport position as shown.
Device contains phthalates Single use device
XXXX indicates phthalate
Possible phthalates include:
DBP: Di-n-butyl phthalate
DNPP: 1,2-Benzenedicarboxylic acid,
dipentylester, branched and linear; N-
pentyl-isopentylphthalate; Di-n-pentyl
phthalate; Diisopentylphthalate
BBP: Benzyl butyl phthalate
DEHP: Bis(2-ethylhexyl) phthalate; Di-
(2-ethylhexyl) phthalate
DMEP: Bis(2-methoxyethyl) phthalate
DIBP: Dissobutyl phthalate
Union made Stacking limit by mass
Keep dry Do not stack
Temperature limitation Fragile, handle with care
Protect from heat and radioactive

Recyclable material
sources
Humidity limitation Electrical test certification
USB port Network
Not a USB port VGA connection
Serial connection Pinch hazard
1-8 2067226-001
1 Introduction
Atmospheric limitation
Symbols used on the user interface
Lock
Lock/unlock button
Indicates the touchscreen is locked.
Button label to lock or unlock the
touchscreen.
O2% indicator on left and balance gas Gas indicator. Color associated with gas
indictor on right. Colors associated with settings.
gas settings.
Audio Pause Submenu
No battery/battery failure Battery in use. Bar indicates amount of battery

power remaining.
Airway module indicator ACGO active
Drop-down menu Start/end case
Pediatric Adult
Lung procedure Home screen
Timer Alarm off
Pipeline Cylinder
Test indicator: red for failure, yellow for

Alarm low and alarm high limit indicator
conditional outcome, and green for
pass.
Manual ventilation
Enhanced temperature sensing
Agent level sensing supported. Bar

Agent level unknown
indicates amount of agent remaining.
2067226-001 1-9
Aisys CS²
Typeface conventions used

Soft keys and menu items are written in bold italic typeface; for example,
System Setup.
Messages that are displayed on the screen are enclosed in single quotes; for
example, ‘Check sample gas out’.
When referring to different sections and other documents, the names are
written in italic typeface and enclosed in double quotes; for example,
"System controls and menus".
1- 2067226-001
10
1 Introduction
Abbreviations
Abbreviation Definition
A
AA Anesthetic agent
ABS Advanced breathing system
ACGO Auxiliary common gas outlet
AGSS Anesthesia gas scavenging system
Alt O2 Alternate O2
APL Adjustable pressure-limiting
APN Apnea
ATPD Ambient temperature and pressure, dry humidity
conditions
B
BTPS Body temperature, ambient pressure, saturated humidity
conditions
C
CGO Common gas outlet
CO Carbon monoxide
CO2 Carbon dioxide
Compl Compliance
CPAP + PSV Continuous positive airway pressure + pressure support
ventilation
E
EMC Electromagnetic Compatibility
ET End-tidal concentration
EtCO2 End-tidal carbon dioxide
EtO2 End-tidal oxygen
Exp Expiratory
F
FI Fraction of inspired gas
FiCO2 Fraction of inspired carbon dioxide
FiO2 Fraction of inspired oxygen
Flow-Vol Flow-volume loop
I
I:E Inspiratory-expiratory ratio
Insp Inspiratory
Insp Pause Inspiratory pause time
K
kg Kilogram
M
2067226-001 1-11
Aisys CS²
MAC Minimum alveolar concentration
MV Minute volume
MVexp Expired minute volume
MVinsp Inspired minute volume
N
N2O Nitrous oxide
O
O2 Oxygen
P
Paw Airway pressure
PCV Pressure control ventilation
PCV-VG Pressure control ventilation - volume guaranteed
PEEP Positive end expiratory pressure
Paw-Flow Pressure-flow loop
Pinsp Inspiratory pressure
Pmax Maximum pressure
Pmean Mean pressure
Ppeak Peak pressure
Pplat Plateau pressure
Psupport Support pressure
PSV Pressure support ventilation
PSVPro Pressure support ventilation with apnea backup
Paw-Vol Pressure-volume loop
R
Raw Airway resistance
RF Radio frequency
RR Respiratory rate
S
SIMV PCV Synchronized intermittent mandatory ventilation -
pressure control ventilation
SIMV PCV-VG Synchronized intermittent mandatory ventilation -
pressure control ventilation - volume guaranteed
SIMV VCV Synchronized intermittent mandatory ventilation - volume
control ventilation
T
Texp Expiratory time
Tinsp Inspiratory time
Tpause Time where breath is paused with no flow
TV Tidal volume
TVexp Expired tidal volume
TVinsp Inspired tidal volume
V
1- 2067226-001
12
1 Introduction
VCV Volume control ventilation
Vol Volume
2067226-001 1-13
Aisys CS²
System information
System classification
This system is classified as follows:
• Class I Equipment.
• Type B Equipment.
• Type BF Equipment (airway modules).
• Ordinary Equipment.
• Not for use with flammable anesthetics.
• Continuous operation.
Device standards IEC 60601-1:2005
Devices used with this anesthesia system shall comply with the
following standards where applicable:
• Breathing system and breathing system components ISO

80601-2-13.
• Anesthetic gas scavenging systems ISO 80601-2-13
• Anesthetic vapor delivery devices ISO 80601-2-13.
• Anesthetic agent monitors ISO 80601-2-55.
• Oxygen monitors ISO 80601-2-55.
• Carbon dioxide monitors ISO 80601-2-55.
• Exhaled volume monitors ISO 80601-2-13.
Device standards IEC 60601-1:1988
Devices used with this anesthesia system shall comply with the
following standards where applicable:
• Breathing system and breathing system components ISO 8835-

2.
• Anesthetic gas scavenging systems ISO 8835-3
• Anesthetic vapor delivery devices ISO 8835-4.
• Anesthetic agent monitors ISO21647.
• Oxygen monitors ISO 21647.
• Carbon dioxide monitors ISO 21647.
• Exhaled volume monitors IEC 60601-2-13.
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14
1 Introduction
Integral system components

This anesthesia system contains the following integral components,
monitoring devices, alarm systems, and protection devices that comply
with European, international, and national standards:
• Breathing system pressure-measuring device.

• Airway pressure-limitation device.
• Exhaled-volume monitor.
• Breathing system integrity alarm.
• Breathing system continuing-pressure alarm.
• O2 monitor (optional O2 cell).
• Anesthesia ventilator.
• Breathing system.
• Anesthetic vapor delivery device.
Not integral system components
These devices are not integral to this anesthesia system:
• CO2 monitor.
• Anesthetic agent monitor.
• O2 monitor (when O2 cell is not installed).
• Suction regulator.
• EZchange canister system.
• Condenser.
When adding devices to the anesthesia system, follow the installation

instructions provided by the device manufacturer. Whoever adds individual
devices to the anesthesia system shall provide instructions on how to
enable the individual devices. For example, a preoperative checklist.
System accessories
These devices can be used as accessories on this anesthesia system:
• Suction regulator.
• EZchange canister system.
• Condenser.
• Aladin and Aladin2 vaporizer cassettes.
2067226-001 1-15
Aisys CS²
System safety
Preparing for use
WARNING Read each component’s User’s Reference manual and

understand the following before using this system:
• All system connections.

• All warnings and cautions.
• How to use each system component.
• How to test each system component.
• Before using the system:
• Complete all of the tests in the "Preoperative tests"

section.
• Test all other system components.
• If a test fails, do not use the equipment. Have an
authorized service representative repair the
equipment.
• European, international, and national standards require the

following monitoring be used with this system:
• Exhaled volume monitoring.

• O2 monitoring.
• CO2 monitoring.
• Anesthetic agent monitoring be used when anesthetic
vaporizers are in use.
• Single-use products are not designed or validated to be

reused. Reuse may cause a risk of cross-contamination, affect
the measurement accuracy, system performance, or cause a
malfunction as a result of the product being physically
damaged due to cleaning, disinfection, re- sterilization, or
reuse.
• Be aware of the risks and precautionary measures related to
phthalates. The following types of procedures may increase
the risk of exposure to phthalates when a
1- 2067226-001
16
1 Introduction
device containing phthalates is used for treatment of

children or treatment of pregnant or nursing women:
• Exchange transfusion in neonates, total parenteral

nutrition in neonates, multiple procedures in sick
neonates, haemodialysis in peripuberal males, male fetus
and male infant of pregnant women, and lactating women;
and massive blood infusion into trauma patients. Although
these procedures have the potential for increased risk of
exposure, conclusive evidence of human health risks has
not been established. As a precautionary measure, to
reduce the potential for unnecessary exposures to
phthalates, the product must be used in accordance with
the instructions for use, and practitioners should refrain
from using this product beyond the period of time the
product is medically necessary or needed.
• Follow hospital procedures for the prevention and treatment of

malignant hyperthermia for patients sensitive to inhalation
anesthetic agents.
• Risk of fire. Limit the use of supplemental oxygen
concentrations to less than 30 percent when using a heat source
or device that may lead to combustion. Consult facility risk
management procedures to minimize the risk of fire if an
oxygen concentration of more than 30 percent is required for
any reason.
• This system is not intended for use where the surrounding
oxygen concentration is in excess of 25 percent. Increased
oxygen concentrations can result in an increased risk of fire.
See "Device standards IEC 60601-1 2005" and "Integral system
components" for information regarding monitoring built into this
device.
Inspecting the system
Before using the system, make sure that:
• The equipment is not damaged.

• Components are correctly attached.
• The breathing circuit is correctly connected and not damaged.
• The breathing system is correctly assembled and contains
sufficient absorbent. Refer to the “Cleaning and Sterilization”
manual for breathing system assembly instructions.
• The Aladin cassette is locked in position and contains sufficient
agent.
2067226-001 1-17
Aisys CS²
• Pipeline gas supplies are connected and the pressures are

correct.
• Cylinder valves are closed.
• Models with cylinder supplies have a cylinder wrench attached to
the system.
• Models with cylinder supplies have a reserve supply of O2
connected to the machine during system checkout.
• The necessary emergency equipment is available and in good
condition.
• Equipment for airway maintenance, manual ventilation, tracheal
intubation, and IV administration is available and in good condition.
In the case of system failure, the lack of immediate access to
alternative means of ventilation can result in patient injury.
• Applicable anesthetic and emergency drugs are available.
• Check that the brake is set to prevent movement.
• The power cord is connected to an electrical outlet. The mains
indicator comes on when AC power is connected. 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.
• If an optional suction regulator is present, ensure there is
adequate suction.
• If an optional O2 flowmeter is present, ensure there is adequate flow.
Electrical safety
Do not connect non-medical electrical equipment directly to the AC outlet
at the wall instead of an AC power source which uses a separating
transformer. Doing so may increase enclosure leakage current above levels
allowed by IEC 60601-1 in normal conditions and under single-fault
conditions. This may cause an unsafe electrical shock to the patient or
operator.
After connecting anything to these outlets, conduct a complete
system leakage current test (according to IEC 60601-1).
WARNING The system provides connections for items such as printers,

visual displays and hospital information networks (only
connect items that are intended to be part of the system).
When these items (non-medical equipment) are combined with
the system, these precautions must be followed:
• Do not place items not approved to IEC 60601-1

closer than 1.5 m to the patient.
• All items (medical electrical equipment or non- medical
electrical equipment) connected to the system by a signal
input/signal output cable must be
1- 2067226-001
18
1 Introduction
supplied from an AC power source which uses a separating

transformer (in accordance with IEC 60989) or be provided
with an additional protective earth conductor.
• If a portable multiple socket outlet assembly is used as an
AC power source, it must comply with IEC 60601-1-1.
The assembly must not be placed on the floor. Using
more than one portable multiple socket outlet assembly is
not recommended. Using an extension cord is not
recommended.
• An operator of the medical electrical system must not touch

non-medical electrical equipment and the patient
simultaneously. This may cause an unsafe electrical shock
to the patient.
• Use of portable phones or other radio frequency (RF)
emitting equipment (that exceed electromagnetic
interference levels specified in IEC 60601-1-2) near the
system may cause unexpected or adverse operation. Monitor
operation when RF emitters are in the vicinity.
• Use of other electrical equipment on or near this system may
cause interference. Verify normal operation of equipment in
the system before use on patients.
2067226-001 1-19
1-20 2067226-001
In this
section System overview...........................................................................2-2
Advanced breathing system components......................................2-6
Aladin cassette controls................................................................2-8
Display controls............................................................................2-9
Anesthesia system display..........................................................2-12
Display navigation......................................................................2-15
2067226-001 2-1
Aisys CS²
System overview
15
14
13
2
12 3
4
5
6
7
8
11
10
AB.75.251
1. Patient monitoring modules 9. Aladin cassette storage bay

2. Dovetail 10. Brake
3. Aladin cassette and active bay 11. O2 flush button
4. Light switch 12. Advanced breathing system
5. Alternate O2 control 13. Auxiliary O2 flow control
6. System switch 14. Anesthesia display
7. Mains indicator 15. Patient monitoring display
8. Integrated suction
Figure 2-1 • Front view
2-2 2067226-001
5
6
AB.75.255
11 7
9 8
10
1. Serial port 7. Mains inlet
2. Collection bottle connection 8. System circuit breaker
3. Cylinder wrench (key) storage 9. Equipotential stud
4. Cylinder yoke 10. Outlet circuit breaker
5. Anesthesia Gas Scavenging System 11. Isolated electrical outlet
6. Pipeline connections
Figure 2-2 • Rear view
2067226-001 2-3
Aisys CS²
Using the brake
The central brake holds the system in place.
WARNING Do not use the brake while moving the anesthesia system.
This could cause the machine to tip over. Only use the brake
to keep the system in place.
AC.22.009
1. Push down on the brake pedal to lock the system in place.
2. Lift up on the brake pedal to release the brake.
Using the O2 flush button
The O2 flush button supplies a high flow of O2 to the breathing

system.
1. Push the O2 flush button to deliver a high flow of O2.

2. Release the O2 flush button to stop the delivery of a high flow of O2.
Positioning the display
The display can be moved for optimal viewing.
1. Unlock the display arm.

2. Raise or lower the display arm to adjust the height of the
display.
3. Lock the display arm.
4. Rotate the display arm toward or away from the system to adjust the
horizontal position of the display.
5. Tilt the display up or down to adjust the vertical angle of the
display.
2-4 2067226-001
6. Tilt the display left or right to adjust the horizontal angle of the
display.
2067226-001 2-5
Aisys CS²
Advanced breathing system components
13
12
11
10
1
2
9
8
7
6 3
4
AB.75.252
1. Expiratory check valve 8. Breathing system release

2. Inspiratory check valve 9. Manual bag port
3. Inspiratory flow sensor 10. Adjustable pressure-limiting (APL) valve
4. Expiratory flow sensor 11. Bag/Vent switch
5. Absorber canister 12. Bellows assembly
6. Absorber canister release 13. Airway module
7. Leak test plug
Figure 2-3 • Advanced breathing system
2-6 2067226-001
2
3
1. Bag support arm

2. Auxiliary Common Gas Outlet (ACGO) switch
3. ACGO port
4. EZchange canister module (CO2 bypass)
5. Ezchange canister release
6. Condenser
7. Condenser drain button
Figure 2-4 • Breathing system options
Using the bag support arm
Use the optional bag support arm to hold the breathing circuit bag.
AB.82.023
1. To raise the bag support arm, squeeze the button and rotate the arm up
the top position.
2. To lower the bag support arm, squeeze the button and rotate the arm
down to the lower position.
2067226-001 2-7
Aisys CS²
Aladin cassette controls

The electronically controlled vaporizer consists of the internal
electronic control unit and the Aladin agent cassette. See the
"Vaporizer" section for more information.
4 3
1. Handle with release trigger

2. Lock
3. Liquid level indicator
4. Agent filling port
Figure 2-5 • Aladin2 cassette
2-8 2067226-001
Display controls
The system uses touchscreen technology, hard keys, and a
ComWheel to access system functions, menus, and settings.
The touchscreen has numerous touch point areas that make accessing
menus and settings quick and easy. The buttons on the right side of the
screen provide direct access to commonly used functions. The
ventilation quick keys enable setup of ventilation modes. The gas control
quick keys provide a method to set up the gas used for a case.
Touch only one touch point at a time to ensure the correct selection is
made.
Liquids on the display may degrade the performance of the

WARNING touchscreen. If liquids come in contact with the display, lock
the touchscreen and clean the display.
Unlock the touchscreen once the display has been
cleaned to resume use of the touchscreen.
Do not apply excessive force to the touchscreen as
CAUTION damage may occur.
AC.22.001
6 5 4 3 2 1
1. ComWheel Selects a menu item or confirms a setting. Turn clockwise or counterclockwise to scroll
through menu items or change settings.
2. Home key Removes all menus from the screen.
3. Screen Lock/Unlock Locks the touchscreen. Toggles between lock and unlock functions. key
4. Start/End Case key Initiates Start or End Case function.
5. Touchscreen Activates functions when touch areas on the screen are selected.
2067226-001 2-9
Aisys CS²
6. Audio Pause key Stops audio for 120 seconds for any active, eligible high and medium priority alarms. Prevents
audio (audio off) for 90 seconds when no medium or high priority alarms are active. Allows the
operator to acknowledge any non-active medium or high priority latched alarms.
Figure 2-6 • Display controls
Touch points
1 2
3
7
AB.75.256
6 5
1. Wave fields 5. Ventilator quick keys
2. Measured values 6. Gas quick keys
3. Function keys 7. Split screen values
4. Digit fields
Figure 2-7 • Normal/Full screen view with shaded touch point areas
Measured value touch points
Touching measured values provides access to the Alarm Setup

menu and alarm limits.
2-10 2067226-001
1. Touch the measured value to access the Alarm Setup menu.

2. The Alarm Setup menu displays.
3. Select the alarm limit and set it to the correct value. Touch the value
on the touchscreen or push the ComWheel to confirm the desired
setting.
4. Push the Home key, touch the waveform area of the display, or select
Close to close the menu.
Active alarm touch points
When an alarm sounds the alarm message is displayed at the top of the
screen and, if applicable, the alarming numeric field and digit field flashes.
The Alarm messages at the top of the screen are message alerts only and
not active touch points.
1. Touch the flashing numeric field to access the Alarm Setup

menu and alarm limits for the active alarm.
2. The Alarm Setup menu displays with the active alarm limit
highlighted. For example: If the ‘Ppeak high’ alarm activates, the high
alarm limit setting for Ppeak displays with the highlight.
3. Select the active alarm limit and change it to the desired setting.
2067226-001 2-11
Aisys CS²
Anesthesia system display
1 2 3 5 6
12 7
8
9
AB.75.258
11
10
1. Audio pause symbol and
Indicates when alarm audio is paused and the countdown clock until audio is on.
countdown clock
2. Alarm message fields Displays the active alarms.
3. Waveform fields Displays the waveforms of measured values. For example: Paw, Flow, and
CO2.
4. General message fields or lock
Displays general messages and the touchscreen lock indicator.
touchscreen indicator
5. Measured values fields Displays the measured values. For example: Paw, Flow, and CO2.
6. Clock Displays the current time.
7. Function keys Functions available are: Audio Pause, Alarm Setup, Alarms On/Off, Auto
Limits, System Setup, Next Page, Trends, Spirometry, Procedures, Timer, Start,
and End Case.
8. Digit fields Contains information for Spirometry, Resp, Agent, and Gases.
9. Ventilation mode Displays the selected ventilation mode. For example: Ventilator On, and
Volume Control.
10. Ventilator quick keys Displays Mode, associated ventilation parameters, and More Settings. For
example: Mode, TV, RR, I:E, PEEP, and More Settings.
2-12 2067226-001
11. Gas quick keys Displays O2, Total Flow, and Gas Setup.
12. Split screen Contains airway pressure, gas flow values, compliance, trends, and optional
ecoFLOW information.
Figure 2-8 • Typical Normal/Full view
Digit fields
The digit field can be set to show specific information such as gas types,
gas supply, flow, agent, respiration, and spirometry loops. If the digit field
is set to show agent and no airway module is inserted, the area is blank.
Paw, O2, and either TVexp or CO2 must show on the display during a
case. If any of these parameters are not selected to show on the display, the
right most digit field information is replaced with the missing parameter.
See "Screen setup menu" in the "Operation" section for more
information.
Waveform fields
Up to three waveforms can be shown on the normal screen view. Each

waveform can be set to show specific Paw, agent, flow, or CO2 data. The
corresponding numeric information shows in the measured values field to
the right of the waveform. If the waveform is set to show the agent and no
airway module is inserted, that waveform and numeric area is blank.
When one waveform is turned off, that waveform and the corresponding
numerics information are removed from the normal screen view. The
remaining waveforms and numerics increase in size to fill the waveform
area. When two waveforms are turned off, those waveforms and the
corresponding numerics information are removed from the normal screen
view. The remaining waveform is centered in the waveform area.
When in a case, touch the waveform field area to close the menu.
information.
Split screen field

The split screen field can be set to show gas metabolics, trends, spirometry
loops, Paw gauge, airway compliance, and optional ecoFLOW information.
If None is selected, the waveforms expand to fill the split screen area.
2067226-001 2-13
Aisys CS²
Touch the spilt screen field to directly open the Screen Setup menu.
information.
2-14 2067226-001
Display navigation
Use the touchscreen and ComWheel to navigate the display.
AB.75.257
1. Menu Displays the title of the open menu. For example: Start Case.
2. Instructions or help information This shows any additional instructions or help messages.
3. Menu items Shows Case Defaults, Volume Apnea Alarm, CO2 Alarms, Age, Ideal
Weight, and Start Case Now.
Figure 2-9 • Menu view and menu example
Using menus
Use the function keys to access the corresponding menus. When a menu
is selected, the menu field overlays the normal view and the waveform
fields start at the right edge of the menu.
1. Select the menu key to access the corresponding menu.
2067226-001 2-15
Aisys CS²
2. Select a menu item to choose the item, or turn the ComWheel left or
right to highlight a menu item and then push to confirm.
3. If the menu item selected is an adjustment, turn the ComWheel left or
right to make the setting and then push to confirm.
If the menu item has a drop-down list, select the desired value from
the list by touching the item.
4. Select Close, touch the waveform area, or push the Home key to
exit the menu.
Using the ComWheel
Use the ComWheel to scroll through the quick key settings and
function keys, make selections, change settings, and confirm settings.
• Push the ComWheel to make a selection.

• Turn the ComWheel to the right.
For menu items, the highlight moves down.
For quick keys, the highlight moves to the next key on the right. For
settings, the value changes to the next available setting.
For pull-down selections, the highlight moves to the next
available selection.
• Turn the ComWheel to the left.
For menu items, the highlight moves up.
For quick keys, the highlight moves to the next key on the left. For
settings, the value changes to the previous available setting.
For pull-down selections, the highlight moves to the previous
available selection.
• Push the ComWheel to confirm a setting.
Using quick keys
The gas settings and the main ventilator settings for each ventilation mode
can be changed using the quick keys.
1. Select a quick key to open the menu or select a parameter.

2. If Gas Setup, Mode, or More Settings is selected, a menu
displays. Select the desired value on the menu by touching the value.
If any other quick key is selected, the value displays with a
highlight. Turn the ComWheel left or right to set the desired
value.
3. Push the ComWheel or select the quick key to confirm the
change.
2-16 2067226-001
3 Operation
In this
section System operation safety................................................................3-2
Turning on the system...................................................................3-3
Start a case....................................................................................3-4
Turning off the system..................................................................3-7
Ventilator setup.............................................................................3-8
Auto limits....................................................................................3-9
Gas setup....................................................................................3-10
System setup...............................................................................3-13
Alarm setup................................................................................3-17
Alarms On Off............................................................................3-21
Next page....................................................................................3-22
Trends.........................................................................................3-23
Spirometry..................................................................................3-24
Procedures..................................................................................3-27
Timer function............................................................................3-31
ecoFLOW...................................................................................3-32
Alternate O2 control...................................................................3-34
EZchange canister mode.............................................................3-36
Condenser...................................................................................3-38
Auxiliary Common Gas Outlet...................................................3-40
2067226-001 3-1
Aisys CS²
System operation safety
WARNING Do not use antistatic or electrically-conductive breathing tubes

or masks. They can cause burns if used near high- frequency
surgical equipment.
• Explosion Hazard. Do not use this system with flammable
anesthetic agents.
• Ventilator alarms indicate potential hazard conditions.
Investigate all alarms that occur to help ensure adequate
patient safety.
• If an alarm occurs, safeguard the patient first before
performing troubleshooting or doing repair procedures.
Failure to safeguard the patient could result in patient
injury.
• Make sure that the patient breathing circuit is correctly
assembled and that the ventilator settings are clinically
appropriate before starting ventilation. Incorrect breathing
circuit assembly and incorrect ventilator settings can injure the
patient.
• Make sure that the breathing circuit is correctly connected and

not damaged. Replace the breathing circuit if it is damaged.
Maintain sufficient fresh gas flow when using
• sevoflurane.
Desiccated (dehydrated) absorbent material may produce
• dangerous chemical reactions when exposed to inhalation
anesthetics. Adequate precautions should be taken to ensure
that absorbent does not dry out. Turn off all gases when
finished using the system.
Do not leave gas cylinder valves open if the pipeline supply is
• in use. Cylinder supplies could be depleted, leaving
insufficient reserve supply in case of pipeline failure.
Unplug the system power cord to run the system on the
battery power if the integrity of the protective earth
• conductor is in doubt.
The top shelf weight limit is 45 kg (100 lb).
Do not subject the system to excessive shock and
• vibration. Equipment damage could occur.
• Do not place excessive weight on flat surfaces or drawers.
Equipment damage could occur.
•
3-2 2067226-001
3 Operation
Turning on the system
1. Plug the power cord into an electrical outlet. Make sure the
system circuit breaker is on.
• The mains indicator is lit when AC power is connected.

• Battery is charging if it is not already fully charged.
AB.91.044
1. System switch
2. Mains indicator
Figure 3-1 • Mains indicator and system switch
2. Check that the breathing system is properly connected.
CAUTION Do not turn on the system with the right-hand

(inspiratory) port plugged.
3. Turn the System switch to On.

The display shows the power-up screen.
The system does a series of automated self tests.
4. Perform a Full Test before the first case of the day.
5. Perform a preoperative checkout before each case. See the
"Preoperative checkout" section.
Note The system must perform a power-up self test after 12 hours of remaining
on. If the system has been on longer than 12 hours without a power-up
self test, the ‘Turn power Off and On for self tests’ alarm occurs. Turn the
power off and then back on between cases to resolve the alarm.
2067226-001 3-3
Aisys CS²
Start a case
Use the Start Case menu to set the case data and to start the gas flow.
A case can be started using default settings or using custom settings. The
default settings are configured by the Super User. See the "Super user
mode" section for information on the Start Case menu defaults.
Default Settings selection shows the first of five default case types when the
Start Case menu is accessed. Four of the default case types are configured
by the Super User. The fifth default case is Last Case.
The Ideal Weight, Age, and Volume Apnea Alarm values are set to the
pre-selected settings defined by the Super User corresponding to the case
type.
Make sure that the patient breathing circuit is correctly

assembled and that the ventilator settings are clinically
appropriate before starting ventilation. Incorrect breathing
WARNING circuit assembly and incorrect ventilator settings can injure the
patient.
Make sure that the preset alarm limits are appropriate for the
patient before starting ventilation. Incorrect alarm settings can
injure the patient.
•
Volume Apnea Alarm is not shown on the Start Case menu when the
Volume Apnea Selection is set to Disable in the Super User settings.
Note The TV for Ideal Body Weight menu item from the Patient
Demographics menu can only be accessed when the ventilation mode is
set to VCV, PCV-VG, SIMV VCV, and SIMV PCV-VG. Use this setting
for breath rate and tidal volume calculations based on the set patient weight.
Note
Minimum Alveolar Concentration
The adjusted Minimum Alveolar Concentration (MAC) is calculated based

on the patient age entered in the Start Case menu or the Patient
Demographics menu. The default patient age of the selected case type is
used if no patient age value is entered.
The MAC value is calculated from the exhaled gas concentration and the
related affects based on the age of the patient. Typically, younger patients
have better liver function and can clear a drug faster, resulting in a higher
MAC value. The MAC calculation used is based on the Eger formula.
When two agents are detected, the MAC values of each agent are added
together. The MAC value range is 0.0 to 9.9.
3-4 2067226-001
3 Operation
The adjusted MAC value shows on several areas of the screen including in
the mini-trend, agent waveform numeric information, agent digit field, and
graphical trends page.
Starting a case using default settings
Start a case using the default settings by case type defined by the Super
User.
Case Defaults contain five case type selections. Each case type has preset
values for Ideal Weight, Age, and Volume Apnea Alarm.
The first four default case types are configured and named by the Super
User. The fifth default case is Last Case.
1. Set the Bag/Vent switch to Bag.

2. Select Start Case.
The Case Defaults selection shows the first preset case type.
Ideal Weight, Age, CO2 Alarms, and Volume Apnea Alarm
show the default settings that correspond to the case type shown.
3. Verify or change the Case Defaults selected.
4. Verify the settings are clinically appropriate.
5. Select Start Case Now. Gas flow starts.
Starting a case using custom settings
Ideal Weight, Age, CO2 Alarms, and Volume Apnea Alarm can be
custom set on the Start Case menu before starting a case.
Additional ventilator settings, ventilation mode, alarm settings, and gas
settings can be custom set through the Vent Mode menu and other
ventilation quick keys, Alarm Setup menu, Gas Setup menu.

2. Select Start Case.
The Case Defaults selection shows the first preset case type.
Ideal Weight, Age, CO2 Alarms, and Volume Apnea Alarm
show the default settings that correspond to the case type shown.
3. Change Ideal Weight, Age, or Volume Apnea Alarm settings
on the menu.
The Case Defaults changes from the case name to Preset.
If the CO2 Alarms setting on the menu is changed, the Case
Defaults remains as previously selected.
2067226-001 3-5
Aisys CS²
4. To change ventilation mode, select Mode. Make the change.To

change the ventilation settings, select a ventilator quick key or More
Settings. Make the change.
5. To change alarm settings, select Alarm Setup. Make the
change.
6. To change the gas settings or the circuit type, select Gas Setup.
Make the change.
7. From the Start Case menu, select Start Case Now. Gas flow
starts.
See the "Ventilator setup" section for information on the Vent Mode
menu.
See the "Gas setup" section for information on the Gas Setup menu. See
the "Alarm setup" section for information on the Alarm Setup
menu.
End a case
Use the End Case menu to stop gas flow and end the patient
alarms.

2. Select End Case.
3. Select End Case Now on the menu to put the system in standby
(stops the gas flow and patient alarms). The End Case menu shows
the gas and agent usage for the case.
3-6 2067226-001
3 Operation
Turning off the system
1. Perform the "End a case" procedure, if appropriate.

2. Turn the System switch to Standby.
3. Turn the suction switch (optional) to the off position.
4. Rotate the Auxiliary O2 knob fully clockwise to turn off the flow.
5. Disconnect or turn off any scavenging.
2067226-001 3-7
Aisys CS²
Ventilator setup
Use the Vent Mode menu to set the ventilation mode. Use ventilator
quick keys and More Settings to change ventilator settings.
WARNING 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.
• The use of neuromuscular blocking agents will reduce the
patient’s breathing response, which will interfere with
triggering.
Important See the "Specifications and theory of operation" section for more
information on ventilation modes.
Changing ventilator mode
1. Select the Mode quick key. The Vent Mode menu shows.
2. Select the desired ventilation mode.
3. Set and confirm the primary ventilation setting to activate the
ventilation mode.
Controls that are frequently used in the ventilation mode can be
adjusted with the ventilator quick keys and the More Settings quick
key.
Changing ventilator settings
Change the ventilator settings for the ventilation mode when a case is
running.
1. Select the ventilation setting to be adjusted. Set the desired value.

2. Push the ComWheel to activate the change.
Optional ventilator procedures
See "Procedures" for more information on Vital Capacity and

Cycling procedures.
3-8 2067226-001
3 Operation
Auto limits
Use the Auto Limits menu to quickly set alarm ranges for ‘MV’, ‘TV’,
and ‘EtCO2’ during mechanical ventilation.
Setting auto limits
1. Select Auto Limits.

The menu shows the current measured values and the
proposed low and high alarm limits.
2. Check the proposed parameters.
• Select Confirm to use the proposed low and high alarm

limits.
• Select Cancel to leave the alarm limits unchanged.
• Select Case Default Limits to set the alarm limits to the
case default limits.
Note The proposed low and high alarm limits are shown in highlighted text.
The alarm limits that are not highlighted do not change.
2067226-001 3-9
Aisys CS²
Gas setup
Use the Gas Setup menu to adjust the Agent, O2% and total flow, to
change the balance gas, and to change the circuit type.
Changing gas settings
1. Select the Gas Setup quick key.

2. Select the setting to change from the Gas Setup menu.
3. Change the setting.
4. For Circuit, select the menu item and change using the drop- down
menu. Select Confirm.
5. For Other Gas, select the menu item and change using the
drop-down menu.
6. For Agent, O2%, and Total Flow, select the setting and make the
change using the ComWheel and push to confirm the setting.
Changing balance gas

2. Select the Other Gas menu item.
3. Select the balance gas to use with O2.
Changing circuit type

2. Select Circle or Non-Circle
3. Select Confirm.
3-10 2067226-001
3 Operation
Using the circle circuit

Use the circle circuit mode to combine fresh gas with recirculated gas from
the CO2 absorber. The combined gas flows out through the inspiratory port.
Patient gas is returned to the system through the expiratory port.
Mechanical ventilation and tidal volume monitoring are available
when using the circle circuit.
O2 monitoring of fresh gas is available automatically when using the circle
circuit if the system has the airway module option or the O2 cell
monitoring option. Systems with both an airway module and an O2 cell
will display the O2 values obtained from the airway module.

2. Select Circle.
Fresh gas oxygen concentration is displayed on the screen.
Fresh gas flow combines with the exhaled gas and exits out
through the inspiratory port.
3. Set the alarm limits to clinically appropriate settings.
Using the non-circle circuit

Use the non-circle circuit mode to divert fresh gas around the inspiratory
check valve and out through the inspiratory port. This fresh gas source
may be used with circuits that do not have CO2 absorbent capability (for
example, Mapleson variants). Mechanical ventilation is not available when
using the non-circle circuit. Tidal volume monitoring is not available when
using the non-circle circuit.
O2 monitoring of fresh gas is available automatically when using the non-
circle circuit if the system has the airway module option or the O2 cell
monitoring option. Systems with both an airway module and an O2 cell
will display the O2 values obtained from the airway module.
Do not use an external ventilator when using the non- circle

WARNING circuit. Do not use the non-circle circuit to drive external
ventilators or for jet ventilation.
The maximum pressure at the non-circle circuit can be up to 27
• kPa (4 psi). Use a breathing circuit with a pressure limiting
device to limit the pressure at the patient connection port,
during normal and single-fault conditions, to less than 12.5 kPa
(125 cmH2O) or to the maximum pressure required by local
standards.

2. Select Non-Circle.
Fresh gas flow is diverted around the inspiratory check valve and out
through the inspiratory port.
2067226-001 3-11
Aisys CS²
3-12 2067226-001
3 Operation
System setup
Use System Setup to access menus and settings for Patient
Demographics, Screen Setup, Fresh Gas Usage, System Status,
Calibration, and Checkout.
Note System Status shows the status of gas supplies, electrical supplies, and
the software version.
See the "User maintenance" section for information on the

Calibration menu item.
See the "Preoperative tests" section for information on the Checkout
menu item.
Patient demographics
Use the Patient Demographics menu to access menus and settings for
Age, Ideal Weight, TV for Ideal Body Weight, and Set Vent by
Weight.
Screen setup menu
Use the Screen Setup menus to customize the screen view. Areas of the
screen can be customized to show specific information.
Screen Setup contains the Layout, Scales, Time and Date, and
More Settings submenus.
Setting waveform fields

The waveforms can be set to show agent, CO2, flow, Paw, or set to Off. If
a waveform is set to the same value as another waveform, the previously
set waveform changes to off and is removed from the screen.
1. Select System Setup - Screen Setup.

2. Select the Layout tab.
3. Select the desired waveform button and select the value from the
drop-down menu.
4. Select Close.
Setting digit fields

The digit field can be set to show gas supply, flow, spirometry loops,
gases, respiration, or agent. If the digit field is set to show agent and no
airway module is inserted, the digit field will be blank.
2067226-001 3-13
Aisys CS²

3. Select the desired digit field button and select the value from the drop-
down menu.
4. Select Close.
Setting the split screen

Use the Split Screen setting to show metabolics, trends, spirometry
loops, Paw gauge, airway compliance, and optional ecoFLOW
information.
See the "ecoFLOW" for information on the ecoFLOW option.
Note Resistance (Raw) shows in the airway compliance split screen when the
system detects an airway module with spirometry and the module has
completed a warm-up phase.

3. Select Split Screen and select the desired view from the drop-
down menu.
4. Select Close.
Setting time and date

Use the Time and Date menu to set the time and date.
Note The Time and Date menu cannot be changed when a case is
running.

2. Select the Time and Date tab.
3. Select the time or date item to change. Make the change. The
clock format factory default is 24 hours.
• When the clock format is set to 12 h, the hour selections are in

‘1a’ format for a.m. and ‘1p’ format for p.m.
• When the clock format is set to 24 h, the hour selections are 0 to
23 in one hour increments.
4. Select Close.
Setting the data source

Use Data Source to specify the source of spirometry data.
1. Select System Setup - Screen Setup - More Settings or

Spirometry - Setup Loops.
2. Select Data Source.
3-14 2067226-001
3 Operation
3. Select Patient to have spirometry data sourced from the airway

module or Vent to have spirometry data sourced from the ventilator.
4. Select Back to view changes made and access other functions of the
Spirometry menu.
Setting sweep speed

Use the Sweep Speed setting to set the waveform draw rate to fast (6.25
mm/s) or slow (0.625 mm/s). When the sweep speed changes, waveforms
redraw at the new rate.

2. Select More Settings.
3. Select Sweep Speed and then select Fast or Slow.
4. Select Close.
Setting display brightness

Use the brightness setting to adjust the contrast level of the display.

3. Select Display Brightness.
4. Select the desired brightness level with 1 being the dimmest and 5
being the brightest.
5. Select Close.
Setting keypad brightness

Use the brightness setting to adjust the contrast level of the hard keys on
the bezel.

3. Select Keypad Brightness.
4. Select the desired brightness level with 1 being the dimmest and 5
being the brightest.
Set to 0 to turn off the keypad brightness.
5. Select Close.
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Aisys CS²
Setting fresh gas controls

Use the Fresh Gas Controls selection to set the gas control style to
O2% with Total Flow or to individual gas flow.
Selecting O2% shows O2% as the first quick key and Total Flow
l/min as the second quick key.
Selecting Flow shows balance gas l/min as one of the quick keys and O2
l/min as the other quick key.
Note Both O2% and Flow are available if User is selected by the Super User.
If User is not selected by the Super User, either O2% or Flow will be
unavailable.
Note Fresh Gas Controls cannot be accessed during a case.

3. Select Fresh Gas Controls.
4. Select O2% or Flow from the drop-down menu.
When set to O2%, balance gas adjusts automatically when either the
O2% or the Total Flow is changed using the gas quick keys.
When set to Flow, balance gas and the O2% are controlled
individually using the gas quick keys.
5. Select Close.
Fresh gas usage
Use Fresh Gas Usage to view the volume of O2, Air, N2O, and
agents used for the three most recent cases.
• Data only shows for gases available on the system.
• Agent data shows the three most recently used agents.
1. Select System Setup - Fresh Gas Usage.

2. Select Case Start Time to select the patient case to view.
3. Select Close.
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3 Operation
Alarm setup
Use the Alarm Setup menu to set and adjust alarm limits, alarm volume,
and other alarm settings and to view alarm history. The Alarm Setup
menu contains the Primary Limits, More Limits, Alarm History, and
Configure submenus.
Setting Leak Audio to Off silences audio alarms for small leaks. Leak
Audio is automatically set to On and cannot be changed when either the
Low MV alarm limits are off or the MV/TV Alarms is set to Off.
Selecting Change to Default Limits loads the default settings as set by

Note the Super User or the factory defaults if no Super User settings have been
entered.
Setting CO2 alarms
Use the CO2 Alarms setting to turn off the CO2 ‘Apnea’ alarm, ‘EtCO2
low’, ‘EtCO2 high’, and ‘FiCO2 high. Absorbent OK?’ alarms during
manual ventilation.
CO2 information is obtained from the airway module installed in the
anesthesia system module bay. The CO2 alarms setting has no effect if
there is no airway module in the anesthesia system.
1. Select Alarm Setup.

2. To turn off the CO2 alarms, set CO2 Alarms to Off.
The ‘CO2 Alarms Off’ message shows in the general message field.
The CO2 alarm limit waveform numerics shows dashes during a case.
The alarms remain disabled until the Bag/Vent switch is set to Vent,
the case is ended, or the CO2 Alarms is set to On.
3. To turn on the CO2 alarms, set CO2 Alarms to On.
4. Select Close.
Setting volume apnea alarm

Use the Vol Apnea Alarm setting to turn off the volume apnea alarm
during manual ventilation. The volume apnea alarm remains off until the
Bag/Vent switch is set to Vent or Vol Apnea Alarm is set to On.
Note Vol Apnea Alarm does not show on the Alarm Setup menu when the
Volume Apnea Selection has been disabled by the Super User. See the
"Super user mode" section for more information.
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Aisys CS²
2. To turn the volume apnea alarms off, select Vol Apnea Alarm
to Off.
‘Volume Apnea Off’ shows in the general message field.
• If mechanical ventilation is started, the volume apnea

alarms are active.
• If manual ventilation is restarted, a pop-up confirmation
window appears to resume the Off setting.
3. To turn the volume apnea alarms on, set Vol Apnea Alarm to
On.
4. Select Close.
Setting MV TV alarms
Use the MV/TV Alarms setting to turn off the MV and TV alarms.
Settings made during manual ventilation are not retained when
mechanical ventilation starts. Settings made during mechanical
ventilation are retained when manual ventilation starts.
For example, if MV/TV Alarms is set to Off during manual ventilation,
the alarms remain off until the Bag/Vent switch is set to Vent or the
MV/TV Alarms is set to On.
For example, if the MV/TV Alarms is set to Off during mechanical
ventilation, the alarms remain off when manual ventilation starts.

2. To turn the volume alarms off, set MV/TV Alarms to Off.
‘MV/TV Alarms Off’ appears in the general message field.
The volume alarm limits waveform numerics shows dashes
during a case.
3. To turn the volume alarms on, set MV/TV Alarms to On.
4. Select Close.
Setting alarm limits
WARNING Do not set alarm limits to extreme values. Setting limits to

extreme values can render the alarm useless.

2. From the Primary Limits and More Limits tabs, select the
alarm limit and make the change.
3. Push the Home key, touch the waveform area of the display, or select
Close to close the menu.
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3 Operation
Viewing alarm history
Use the Alarm History tab to view the list of the 12 most recent high and
medium priority alarms that occurred since the start of the case. The alarm
history clears at the start of a new case.

2. Select the Alarm History tab.
The list of alarms shows in the window.
3. Select Close.
Setting alarm volume

2. Select the Configure tab.
3. Set Alarm Volume to the desired value.
The alarm volume range is 1 to 5.
4. Select Close.
Setting apnea delay
Use the Apnea Delay setting to set the desired apnea time delay. The
apnea time delay is the amount of time that can pass without the system
detecting a measured breath before the apnea alarm occurs.

3. Set Apnea Delay to the desired time.
• The apnea time delay range is 10 to 30 seconds.

• The apnea time settings are in 1 second increments.
4. Select Close.
Silencing leak audio alarms
Use the Leak Audio setting to silence audio alarms of small leaks.

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Aisys CS²
3. Set Leak Audio to Off.

The audio alarms for small leaks are silenced.
4. To turn audio alarms back on, set Leak Audio to On.
5. Select Close.
Note If the Low MV alarm limits are off or MV/TV Alarms is set to Off,
Leak Audio is automatically set to On and cannot be changed.
Setting auto MV limits
MV alarm limits can be calculated automatically for mechanical ventilation

when in VCV or PCV-VG modes and volume compensation is enabled.
Use the Auto MV Limits setting to turn on automatic calculations of the
MV alarm limits.
If the automatic calculation of the low or high minute volume alarm limit
exceeds the allowable limit, the minimum or maximum alarm limit is
used.

3. Set Auto MV Limits to On.
The MV alarm limits are automatically calculated until Auto MV
Limits is set to Off or until an MV limit is manually adjusted during
mechanical ventilation. The MV alarm limits are automatically
calculated based on TV and RR settings.
4. Select Close.
Setting to default limits

Use Change to Default Limits to set alarm limits to the values set by
the Super User.

3. Select Change to Default Limits.
4. Select Close.
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3 Operation
Alarms On Off
Use the Alarms On/Off menu to turn On or turn Off the CO2 Alarms
Limits and MV/TV Alarm Limits during manual ventilation. Alarm limits
are enabled at the start of mechanical ventilation.
Note The CO2 ‘Apnea’ alarm cannot be turned off through the Alarms
On/Off menu. Only the ‘EtCO2’ and ‘FiCO2’ alarms are turned off
using this menu.
Disable alarm limits
1. Select Alarms On/Off.

2. View the alarm limit status.
3. Select Confirm to change the alarm limit settings. Select
Cancel to leave the alarm limits unchanged.
• If the CO2 Alarms Limits and MV/TV Alarm Limits are

On, the alarm limits change to Off.
• If the CO2 Alarms Limits or MV/TV Alarm Limits are On,
the alarm limits change to Off.
• If the CO2 Alarms Limits and MV/TV Alarm Limits are
Off, the alarm limits change to On.
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Aisys CS²
Next page
Select Next Page to change the screen view. A default view and four
configurable screen views are available. A general message displays
identifying the page number of the screen view.
See the "Super user mode" section for information on setting the
preset screen views.
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3 Operation
Trends
Use the Trends menu to view patient trends and set the time scale. There are
three views for patient trends: measured (numerical), settings, and graphical.
Trend information is saved every 15 seconds for the most recent 24 hours.
Setting trends
1. Select Trends.
2. Select the desired view.
3. Select Scroll to move through the current trend view.
4. Select Time Scale to select the desired scale from the drop-
down menu.
5. Select Next Page to view additional parameters.
6. Select Close.
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Aisys CS²
Spirometry
Use the Spirometry menu to:
• Set the loop type.

• Adjust the loop scaling.
• Save a loop to memory.
• Access the Setup Loops menu.
• View a saved loop.
• Delete a saved loop.
There are three types of spirometry loops: Pressure-Volume (Paw- Vol),

Flow-Volume (Flow-Vol), and Pressure-Flow (Paw-Flow). The
spirometry loops show in the spirometry window and can be set to show
alongside the waveforms as the split screen.
AB.98.039
1. Volume axis
2. Pressure axis
3. Real-time loop
4. Reference loop (appears on display in gray)
Figure 3-2 • Example of a Paw-Vol loop
Setting loop type
1. Select Spirometry.
2. Select Loop Type and select the loop from the drop-down list.
3. Select Close.
3-24 2067226-001
3 Operation
Setting loop graph scaling
Use Spirometry Scaling to set the scales of the spirometry loop

graph. The available settings for the volume, Paw, and flow graph axes
are dependent on the set patient type of adult or pediatric.
• Auto automatically adjusts the volume, Paw, and flow axes of the
loop based on the minimum and maximum breath reading shown in
the waveform.
• Linked links the adjustment of the volume, Paw, and flow axes of
the loop graph together. Change one of the scales and the remaining
two scales automatically change based on the one set scale.
• Indep. allows the axes of the loop graph to be changed
separately for the volume, Paw, and flow axes.
1. Select Spirometry - Setup Loops.

2. Select Spirometry Scaling and set the scale type from the
drop-down list.
Spirometry menu.
Setting patient and sensor type

Patient and sensor type refer to the style of airway adapter used with the
airway module. If spirometry data is obtained from the airway module, make
sure that the sensor type matches the type of airway adapter used. Adult or
pediatric patient types are available.
WARNING Make sure that the set sensor type corresponds to the type of
airway adapter in use. If the sensor type is not set correctly, the
information displayed may not be accurate.

2. Select Patient and Sensor and then select Adult or Pedi
depending on the sensor used.
Spirometry menu.
Setting the data source
Use Data Source to specify the source of spirometry data.
2067226-001 3-25
Aisys CS²
1. Select System Setup - Screen Setup - More Settings or

Spirometry - Setup Loops.
2. Select Data Source.
3. Select Patient to have spirometry data sourced from the airway
module or Vent to have spirometry data sourced from the ventilator.
Spirometry menu.
Setting spirometry volume type
The volume shown on the spirometry split screen can be set to

minute volume or tidal volume.

2. Select Show MV or TV and select MV or TV from the drop-
down list.
Set to TV to show TVinsp and TVexp on the spirometry split
screen.
Set to MV to show MVexp and TVexp on the spirometry split
screen.
Spirometry menu.
Saving, viewing, and deleting spirometry loops
Spirometry loops can be saved, viewed, and deleted through the

Spirometry menu.
1. Select Spirometry.
2. To store a loop to memory, select Save Loop. Up to six loops can
be saved.
3. To view a saved loop, set Show Ref. Loop to the time at which it
was saved.
4. To delete a saved loop, set Delete Ref. Loop to the time at
which it was saved.
5. Select Close.
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3 Operation
Procedures
Use the Procedures menu to pause the gas flow, start cardiac bypass,
perform or change settings for a vital capacity procedure, or perform or
change the settings for a cycling procedure.
Note Vital Capacity shows in the menu if it is set to Yes by the Super User.
Vital Capacity is only selectable during mechanical ventilation.
Note Cycling shows in the menu if it is set to Yes by the Super User.
Cycling is only selectable during mechanical ventilation.
Pause gas flow
Use Pause Gas Flow to temporarily suspend the flow of gas during a
case. Using Pause Gas Flow while the breathing circuit is disconnected
prevents the flow of gas into the room. Pause Gas Flow is available
during both mechanical ventilation and manual ventilation.
1. Select Procedures.
2. Select Pause Gas Flow.
The amount of time remaining in the gas flow pause shows in the
window.
Gas flow stops for 1 minute and automatically resumes after 1
minute.
If mechanical ventilation is on, mechanical ventilation stops for 1
minute and then automatically resumes after 1 minute.
3. Resume the flow of gas at any time during the pause by
selecting Restart Gas Flow.
Cardiac bypass
There are two types of cardiac bypass. Manual ventilation cardiac

bypass is standard. VCV cardiac bypass is optional.
Manual ventilation cardiac bypass suspends alarms for patients on cardiac
bypass when the ventilator is not mechanically ventilating. The volume,
apnea, low agent, CO2, and respiratory rate alarms are suspended. The
alarms are enabled when cardiac bypass is turned off or mechanical
ventilation is started.
Systems with the VCV cardiac bypass option enabled can mechanically
ventilate while in VCV mode. The VCV mode is the only ventilation mode
available while using VCV cardiac bypass. The volume, apnea, low agent,
CO2, low Paw, and respiratory rate alarms are suspended. The alarms are
enabled when VCV cardiac bypass is turned off or mechanical ventilation
is stopped.
2067226-001 3-27
Aisys CS²
WARNING Manual ventilation cardiac bypass and VCV cardiac bypass

modes should only be used when the patient is receiving
extra-corporeal oxygenation by means of a heart-lung
machine. These modes of ventilation are not intended to
provide metabolic levels of ventilation to the patient.
Using manual ventilation cardiac bypass

3. Select Start Cardiac Bypass.
The ‘Cardiac Bypass’ message shows in the waveforms and in the
general message field when manual ventilation cardiac bypass is
active.
4. Select Close.
Using VCV cardiac bypass
1. Start mechanical ventilation in VCV mode.

3. Select Start Cardiac Bypass.
PEEP is set to 5 cmH2O.
TV settings of less than 170 ml prior to starting cardiac bypass
remain at the set TV.
TV settings of more than 170 ml prior to starting cardiac bypass
change to 170 ml.
The ‘VCV Cardiac Bypass’ message shows in the waveforms and in
the general message field when VCV cardiac bypass is active.
PEEP and TV settings can be changed after entering cardiac bypass mode.
Note
4. Select Close.
Vital capacity
Use the Vital Capacity procedure to deliver a pressure breath for a set time.
The Vital Capacity procedure provides a simple way to deliver one
pressure breath during mechanical ventilation without making multiple
ventilator setting changes. The PEEP on Exit setting provides a way to
change the ventilation PEEP setting automatically at the end of the Vital
Capacity procedure.
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3 Operation
The Pressure Hold, Hold Time, and PEEP on Exit settings can be
preset by the Super User. These settings can be changed by the user before
starting the procedure.
Note PEEP on Exit shows if it is set to Yes by the Super User.
Using vital capacity

2. Select Start Vital Capacity.
One pressure breath is given at the set pressure. The
pressure is held for the set time.
PEEP is set to the PEEP on Exit setting.
3. Select Stop Vital Capacity at any time to stop the procedure.
4. Select Close.
Note If the procedure is stopped before completion, the PEEP on Exit

setting is not used.
Changing vital capacity settings

2. Select the setting to change and make the change.
• Set Pressure Hold to between 20 and 60 cmH2O.

• Set Hold Time to between 10 and 40 seconds.
• Set PEEP on Exit to Off or between 4 and 30 cmH2O.
3. Select Start Vital Capacity.

4. Select Close.
Cycling
Use the Cycling procedure to deliver pressure breaths through a series of

ventilation steps. The Cycling procedure provides a flexible way to deliver
pressure breaths during ventilation without making multiple ventilator
setting changes. Up to seven preset steps with multiple breaths are
available.
Each procedure defaults steps and ventilation settings which can be preset
by the Super User. The ventilation settings of each step can be changed by
the user before starting a procedure.
Note There is a limited amount of gas in the bellows. No additional gas enters
the bellows during the cycling procedure. Increase fresh gas flow to avoid
bellows collapse.
Using cycling
2067226-001 3-29
Aisys CS²
2. Select Cycling.
3. Select a Procedure to perform.
4. Select Start Cycling.
The procedure begins.
Procedure progress shows in the procedure window.
5. Stop the procedure anytime by selecting Stop Cycling.
6. Select Close.
Changing cycling settings

2. Select Cycling.
3. Select a Procedure to perform.
4. Select Adjust Settings.
The first setting of Step 1 in the procedure window is selected.
5. Push the ComWheel to enter the adjustment window.
6. Use the ComWheel to navigate the adjustment window and
change a value.
7. Select Start Cycling.
8. Select Close.
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3 Operation
Timer function
Use Start as a timer function. When selected a clock will display
counting up from zero.
Using the timer
1. Select Start to start the clock.

2. Select Stop to pause or stop the clock.
If Start is selected, the clock will resume operation.
If Start is selected and held for longer than 1 second, the clock will
reset to zero.
2067226-001 3-31
Aisys CS²
ecoFLOW
This feature provides a split screen view that shows the approximate
minimum O2 flow to maintain a preset inspired O2 concentration.
Also shown is the approximate agent used per hour and the cost.
40
20 60
0 80
-20 100
10 Total FlowAgent 1
15 21.91 2
9
3 100
9 2
8
10
7
6 O2 Total Iso
3
1.30 4 AC.22.041
Fi25 O2 flow
5 0.60
4
1. Agent Shows Agent cost and flow information.
2. Agent cost The cost of the current agent flow. This value is determined by the agent flow multiplied by the
agent cost set in Super user mode.
3. Agent flow The measured value of the liquid agent flow from the vaporizer. The agent flow may have a
delayed response. For example: Iso.
4. FiO2 flow marker The graphical representation on the flow tube of the FiO2 flow value. This marker can be
removed by disabling it in Super user mode.
5. FiO2 flow The minimum O2 flow needed to maintain the set inspired O2 flow. This item can be
disabled in Super user mode. For example: Fi25 O2 flow.
6. O2 total (numeric) The numeric representation of the total O2 flow. If N2O is the balance gas, this equals the set O2
flow. If Air is the balance gas, this is the set O2 flow plus 21% of the Air flow. For example: O2
Total.
7. O2 total (graphical) The graphical representation of the total O2 flow. If N2O is the balance gas, this equals the set
O2 flow. If Air is the balance gas, this is the set O2 flow plus 21% of the Air flow.
8. Remaining gas flow If N2O is the balance gas, this equals the set N2O flow. If Air is the balance gas, this N2 is 79%
of the Air flow.
9. Flow bobbin The height of this represents the total fresh gas flow delivered to the patient.
10. Total flow Shows Total Flow information.
Figure 3-3 • ecoFLOW feature
3-32 2067226-001
3 Operation
Using ecoFLOW

3. Select Split Screen and select ecoFLOW from the drop-down
menu.
4. Select Close.
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Aisys CS²
Alternate O2 control
WARNING The Alternate O2 control is not an auxiliary source of O2.

• When Alternate O2 control is enabled, flow from the
electronic mixer is stopped and the agent concentration is set
to off. O2 is flowing through the Alternate O2 control to the
breathing system. To activate anesthetic agent flow to the
breathing system, set the agent to the desired concentration.
Agent delivery cannot be activated in the case of certain
• electronic mixer or agent delivery failures. The Agent quick
key will be blank if agent delivery is unavailable.
Use the Alternate O2 control to deliver O2 through an independent
pneumatic path to the vaporizer and patient circuit. Alternate O2 is
connected to the system O2 supply. Alternate O2 control activates
automatically in the case of certain failures or errors. It can also be
activated manually.
The Alternate O2 control is available approximately 20 seconds after the
system is turned on. The Alternate O2 flow is adjustable to approximately 0.5
l/min to 10 l/min as indicated on the flow tube.
AB.91.077
1. ON/OFF button
2. Flow control
3. Flow tube
Figure 3-4 • Alternate O2 control
Using Alternate O2 control
1. Push the Alternate O2 ON/OFF button. The

O2 flow is indicated on the flow tube.
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3 Operation
2. Use the flow control to adjust the O2 flow.

3. Set the agent to the desired concentration.
4. To end Alternate O2 control, push the Alternate O2 ON/OFF
button.
2067226-001 3-35
Aisys CS²
EZchange canister mode

Use the optional EZchange canister mode for continued ventilation of the
patient while changing the absorber canister. The EZchange canister mode
seals the breathing circuit when the canister holder is down. While the
absorber canister is out of the breathing circuit, the patient re-breaths
exhaled gases without any gas passing through the absorbent.
Systems with EZchange canister mode have a label on the canister holder.
An EZchange canister has side rails that fit in the EZchange canister
holder.
AB.82.042
Figure 3-5 • EZchange canister holder label
1
AC.22p.010
1. Side rails
Figure 3-6 • EZchange canister
3-36 2067226-001
3 Operation
Using EZchange canister mode
Note Make sure that the absorber canister has side rails. If the canister does
not have side rails, it will not work in the EZchange canister holder.
1. Push the absorber canister release to activate the EZchange

canister mode.
The canister swings down to the EZchange position.
‘CO2 Absorber Out of Circuit’ shows in the waveform area on the
anesthesia display.
2. Remove the canister from the holder.
3. Install a canister with fresh absorbent into the holder.
4. Push the canister back up and snap it into absorber position. The
exhaled gas flows through the absorber, removing CO2.
2067226-001 3-37
Aisys CS²
Condenser
Use the optional condenser to remove water in the system that is produced
from the reaction of CO2 gas with the absorbent. The condenser is
connected between the outlet of the absorber canister and the inlet of the
circuit module. Moisture in the gas is condensed into water droplets,
which run into the condenser’s reservoir.
AB.82.043
2 1
1. Drain button
2. Reservoir
3. Condenser
Figure 3-7 • Condenser
Draining the condenser
1. Visually check the condenser reservoir daily. Drain the reservoir

daily.
2. Place a container under the reservoir.
3-38 2067226-001
3 Operation
3. Push the drain button to empty any water in the condenser.
2067226-001 3-39
Aisys CS²
Auxiliary Common Gas Outlet

Use the optional Auxiliary Common Gas Outlet (ACGO) switch to direct
the fresh gas flow through the ACGO port on the front of the system. The
ACGO may be used to provide fresh gas to an auxiliary manual breathing
circuit.
Mechanical ventilation is not available when using an auxiliary manual
breathing circuit with fresh gas from the ACGO. The Bag/ Vent switch,
APL valve, and CO2 absorber are not part of the external circuit. Volume
and pressure monitoring are not available.
O2 monitoring of fresh gas is available when the ACGO is selected if the
system has the airway module option or the O2 cell monitoring option.
Systems with both an airway module and an O2 cell will display the circuit
O2 value obtained from the airway module.
WARNING The Bag/Vent switch and the APL valve do not control the
ACGO or any breathing circuit connected to the AGCO. Do
not use these controls when using a breathing circuit with fresh
gas from the ACGO. Patient injury may occur.
Volume and pressure monitoring are not available through
• the system when using the ACGO port. Monitor the patient
using other methods.
Do not use an external ventilator on the ACGO. Do not use
• the ACGO to drive external ventilators or for jet ventilation.
The maximum pressure at the ACGO can be up to 55 kPa (8
psi). Use a breathing circuit with a pressure limiting device to
• limit the pressure at the patient connection port, during
normal and single-fault conditions, to less than 12.5 kPa (125
cmH2O) or to the maximum pressure required by local
standards.
Using the ACGO
1. Set the ACGO switch to the ACGO position.

Fresh gas flows through the ACGO port.
3. To stop fresh gas flow through the ACGO port, set the ACGO
switch to the circle circuit position.
Note Displayed fresh gas oxygen concentration may not reflect FiO2
during spontaneous breathing or in rebreathing circuits. Use an
external O2 monitor if using a rebreathing circuit on ACGO.
3-40 2067226-001
3 Operation
Note A sample of the fresh gas is diverted to the O2 cell in the breathing system.
The sample flow to the O2 cell is dependent on the pressure in the external
circuit. The sample flow reduces the fresh gas flow rate to the auxiliary
breathing circuit equal to the amount diverted to the O2 cell.
2067226-001 3-41
3-42 2067226-001
In this section
Every day before your first patient................................................4-2
Before every patient......................................................................4-3
2067226-001 4-
43
Aisys CS²
Every day before your first patient
□ Check that necessary emergency equipment is available and in

good condition.
□ Check that the equipment is not damaged and that

components are correctly attached.
□ Check that the pipeline gas supplies are connected. If equipped

with cylinders, check that there is sufficient reserve
capacity and that the cylinder valve is closed.
□ Connect scavenging and verify operation.

□ Check that the amount of liquid agent in the cassette is adequate.
Install the agent cassette into the active bay. The
cassette is properly inserted when the agent is identified on the
display.
□ Check that the breathing circuit is correctly connected, not

damaged, and the breathing system contains sufficient
absorbent in the canister.
□ Turn the System switch On.

□ Perform a Full Test from the Checkout menu.
□ Do an Agent Delivery check in the Checkout menu for each
agent cassette that will be used during the day.
□ Check that an adequate reserve O2 supply is available.
□ Check that the ventilator functions correctly:

• Connect a test lung to the patient breathing circuit
connection.
• Set the ventilator to VCV mode and the settings to TV to
400 ml, RR to 12, I:E to 1:2, Tpause to Off, and Pmax to 40
cmH2O.
• Set the gas flow to the minimum settings.
• Start a case.
• Set the Bag/Vent switch to Vent.
• Fill the bellows using O2 flush.
• Check that mechanical ventilation starts. Check that the
bellows inflate and deflate. Check that the display shows the
correct ventilator data. Check that there are no inappropriate
alarms.
□ Turn the system circuit breaker off and check that mechanical
ventilation continues while the system is running on battery
power. After completing the check, turn the system circuit
breaker on. The mains indicator is lit when AC power is
connected.
□ Set the appropriate controls and alarm limits for the case.
4-2 2067226-001
Before every patient
Note This check does not need to be done before the first case of the day if the
"Every day before your first patient" checklist was done.
□ Check that the necessary emergency equipment is available and in

good condition.
□ Select Checkout and perform a Low P Leak test.
□ If the cassette was changed since the last case:

• Check that the amount of liquid agent in the cassette is
adequate.
• Check that the cassette is properly inserted. The cassette
is properly inserted when the agent is identified on the display.
□ Check that an adequate reserve O2 supply is available.

□ Check that the breathing circuit is correctly connected, not
damaged, and the breathing system contains sufficient
absorbent in the canister.
□ Select Checkout and perform a Circuit Leak test.
□ Check that the ventilator functions correctly:

• Connect a test lung to the patient breathing circuit
connection.
• Set the ventilator to VCV mode and the settings for TV to
400 ml, RR to 12, I:E to 1:2, Tpause to Off, and Pmax to 40
cmH2O.
• Set the gas flow to the minimum settings.
• Start a case.
• Fill the bellows using O2 flush.
• Check that mechanical ventilation starts. Check that the
bellows inflate and deflate. Check that the display shows the
correct ventilator data. Check that there are no inappropriate
alarms.
• Set the appropriate controls and alarm limits for the case.
Make sure that the alarms function. See the "Alarm tests".
□ Set the appropriate controls and alarm limits for the case.
2067226-001 4-3
4-4 2067226-001
In this section
Aladin cassette installation...........................................................5-2
Flow and pressure calibration.......................................................5-3
Circuit compliance compensation.................................................5-4
Checkout menu.............................................................................5-5
Full test.........................................................................................5-6
Individual tests..............................................................................5-8
Positive low pressure leak test (ACGO systems only)................5-10
2067226-001 5-5
Aisys CS²
Aladin cassette installation
1. Using the liquid level indicator, check that the cassette is filled to the
appropriate level.
2. If using Aladin2, unlock the cassette handle before installing it into
the active bay.
3. Insert the cassette into the active bay until a click is heard. An
audible click indicates that the cassette is in position.
4. Turn the lock on the handle to the horizontal position (Aladin2
cassettes only).
5. The cassette is properly inserted when the agent is identified on the
display. Make sure that the displayed agent matches the cassette.
Note Store the cassettes in the cassette storage bay when they are not in use. See
the "Vaporizer cassettes" section for additional cassette information.
5-2 2067226-001
Flow and pressure calibration
Important Room temperature fluctuations of more than 5°C may affect sensor
measurements. Recalibrate the flow sensors if the room temperature
changes by more than 5°C.
Calibrate the flow sensors by removing the flow sensor module from the
system. On-screen instructions are available through System Setup -
Calibration - Flow and Pressure.

2. Remove the flow sensor module.
3. Wait for ‘No insp flow sensor’ and ‘No exp flow sensor’ alarms to
occur.
4. Reinsert the flow sensor module. Make sure the flow sensors are
securely latched when they are reinserted. Wait for alarms to clear.
5. Start mechanical ventilation when ready.
2067226-001 5-5
Aisys CS²
Circuit compliance compensation

The ventilator adjusts gas delivery and monitoring to compensate for the
compliance of the patient circuit if:
• The system has an airway module installed.

• The Circuit Compliance is set to On from Super User -
System Config. - Ventilator Settings.
• The Checkout is completed after the system is turned on.
Circuit compliance is determined during the Checkout - Full Test or

when the Vent and Gas check is done as an individual test. Circuit
compliance must be set by the Super User for the Circuit Compliance
compensation function to be active. See the “Super user mode” section for
information on the circuit compliance setting.
In volume modes, circuit compliance compensation increases the volume
delivered at the inspiratory port by taking into consideration the circuit
compliance value. In all modes, circuit compliance compensation adjusts
the volume measurements. Circuit compliance compensation provides
consistent ventilator accuracy at the patient circuit.
Perform a Vent and Gas test after changing the patient tube
WARNING type. Changing the patient breathing circuit after completing a
Vent and Gas test affects the volume measurements in all
modes.
Breathing circuits and breathing circuit components are
• available in many different configurations from multiple
suppliers. Attributes of the breathing circuits such as
materials, tube length, tube diameter, and configuration of
components within the breathing circuit, may result in hazards
to the patient from increased leakage, added resistance, or
changed circuit compliance.
5-4 2067226-001
Checkout menu
The Checkout menu shows on the display after turning on the system.
To access the Checkout menu between cases, select Checkout. Step-
by-step instructions show in the Checkout menu during the tests. Use
the Checkout menu to:
• Perform a Full Test.
• Perform any of the individual tests.
• View the Test Log.
• Start a case.
2067226-001 5-5
Aisys CS²
Full test
The Full Test or the individual tests must be performed at least once within
every 24-hour period.
Perform the Full Test at the start of each day. The full test runs
automatically and beeps to indicate when it is finished or if
interaction is required.
The Full Test does the following tests: Vent and Gas, Circuit Leak,
and Circuit O2 Cell (if circuit O2 cell is present). When one of the tests is
completed, the next test begins.
1. From the Checkout menu, select Full Test and follow the
instructions.
2. If a test fails, follow the instructions to perform a retest or accept the
results.
3. When the Full Test is completed, start a case.
Note In case of a patient emergency, the Full Test may be bypassed by selecting
Start Case. The general message ‘Please Do Checkout’ is displayed if a
Full Test or all of the individual tests are not completed with passing
results within 24 hours.
Vent and gas

The Vent and Gas test checks the agent delivery, airway module,
Bag/Vent switch, proper gas supply pressures, ventilator operation and
leak, battery and electrical power, circuit compliance, and flow control
operation. This is a two-step test.
To run this test, follow the on-screen instructions. When the test
passes, the next test starts.
Note Any cassette may be used during the test. Use a non-desflurane cassette
during the test to check the full functionality of the internal electronic
control unit.
Circuit leak
The Circuit Leak test checks the Bag/Vent switch, proper gas supply
pressures, airway pressure measurement transducer, APL valve, and
manual circuit leak.
To run this test, follow the on-screen instructions. When the test
passes, the next test starts.
5-6 2067226-001
Circuit O2 cell
The Circuit O2 Cell test measures the O2 percent.

To run this test, follow the on-screen instructions. Do not select Done
when 21 is first displayed. Allow the reading to stabilize, then select
Done. Calibrate the O2 cell if necessary.
External gas monitor
When External Gas Monitor is set to Yes by the Super User, the
External Gas Monitor reminder occurs. This is not a test. This is a
reminder to connect a respiratory gas monitor.
2067226-001 5-7
Aisys CS²
Individual tests
The Full Test or all of the individual tests must be completed with passing
results at least once within every 24-hour period.
Individual tests allow the user to perform any combination of single tests.
These tests are helpful if there is a specific problem/alarm and the user
wishes to test only that portion of the system.
The tests do not automatically move on to the next test. After completing a
test, do another or start a case. If a test fails, follow the instructions to
perform a recheck or accept the results.
Vent and gas

The Vent and Gas test checks the agent delivery, airway module,
Bag/Vent switch, proper gas supply pressures, ventilator operation and
leak, battery and electrical power, circuit compliance, and flow control
operation. This is a two-step test.
To run this test, follow the on-screen instructions.
control unit.
Circuit leak
The Circuit Leak test checks the Bag/Vent switch, proper gas supply
pressures, airway pressure measurement transducer, APL valve, and
manual circuit leak.
Circuit O2 cell
The Circuit O2 Cell test measures the O2 percent. To

run this test, follow the on-screen instructions.
Low P leak
The positive pressure Low P Leak test measures machine leaks before the
breathing system, between the common gas outlet and the high-pressure
pneumatics and includes the gas mixer and vaporizer. It measures low-
pressure pneumatic leaks with a pass or fail limit of 50 ml.
5-8 2067226-001
Low P leak (machines with ACGO)
The negative Low P Leak measures machine leaks before the breathing
system, between the common gas outlet and the high- pressure pneumatics
and includes the gas mixer and vaporizer. It measures low pressure
pneumatic leaks with a pass or fail limit of 50 ml.
Any cassette may be used during the check. Using a desflurane cassette
Note only checks for leaks between the vaporizer and common gas outlet.
Agent delivery
The agent delivery test checks the agent delivery systems and the cassette.
This check releases agent to the circuit.
control unit.
2067226-001 5-9
Aisys CS²
Positive low pressure leak test (ACGO systems only)
Note For ACGO machines, perform either a negative Low P Leak test or a
positive low-pressure leak test depending on local requirements.
CAUTION Do a positive-pressure leak test at the ACGO port only.
1. Connect the leak test device to the ACGO port with the positive-
pressure leak test adapter. Push the adapter into the ACGO port
throughout the test to get a good seal.
2. Fully open the needle valve on the test device. Keep the test
device flow tube vertical for accurate results.
CAUTION If the needle valve is not fully open, this test can damage the
pressure gauge on the test device.
3. Turn the ACGO switch to the ACGO position.

4. Set the O2 flow to 500 ml.
5. Make sure that the total flow through the flowmeter on the test
device is 0.5 l/min.
6. Make sure that the pressure gauge on the test device reads zero.
7. Close the needle valve on the test device until the test gauge reads
20 kPa (3 psi) (BSI) or 3 kPa (0.4 psi) (ISO).
8. If the flow through the test device is less than 0.45 l/min (ISO) or
0.4 l/min (BSI), there is a low pressure leak in the anesthesia machine.
See the "Alarms and troubleshooting" section for more information.
9. Remove the adapter and leak test device.
10. Set the O2 flow to 1 l/min and continue flow for one minute to
flush out any residual agent.
Agent mixtures from the low-pressure leak test stay in the

system. Always flush the system with O2 after the low-
WARNING pressure leak test (1 l/min for at least one minute).
5-10 2067226-001
6 Airway modules
In this section
Airway modules............................................................................6-2
Connecting the airway module.....................................................6-5
Parameters setup...........................................................................6-6
Automatic agent identification......................................................6-7
Calibrating the airway module......................................................6-8
2067226-001 6-1
Aisys CS²
Airway modules
The optional compact airway modules measure and monitor gases
delivered to the patient and exhaled through the breathing circuit. The
modules consist of:
• An infrared sensor for measuring CO2, N2O, and anesthetic

agents.
• A paramagnetic O2 sensor.
• A gas sampling system with D-fend water separation system.
Systems with both an airway module and an O2 cell will display the
patient inspired O2 value obtained from the airway module.
Respiratory rate is the frequency of peak (end tidal) CO2 measurements
per minute. A breath is defined as a change in the CO2 signal that exceeds
1% (8 mmHg). All concentrations are measured and displayed breath by
breath.
WARNING Remove the airway sampling line for the patient’s airway and
seal the sample port while nebulized medications are being
delivered. Nebulized medications interfere with accurate gas
reading.
• In the Spirometry menu, if the Data Source is set to Patient,
no Paw, Agent, or CO2 waveforms or numeric information is
displayed during the airway gas module warm-up period
(approximately 2 minutes). Set the Data Source to Vent to
display the waveforms and numeric information from the
ventilator during the airway gas module warm-up period.
Leaks in the gas sampling circuit (water trap and
• sampling line) may cause inaccurate readings.
Use only cables and accessories approved by GE Healthcare
CAUTION Finland Oy. Other cables and accessories may damage the
system or interfere with measurement. Single-use accessories
are not designed to be reused.
Strong scavenging suction on the monitor exhaust port may
• change the operation pressure of the monitor and cause
inaccurate readings or internal damage.
Use only airway modules that have anesthetic agent monitoring and O2
monitoring on this system. Refer to the manual supplied with the airway
modules for detailed information on the modules. The following modules
can be used on this system:
• E-series: E-CAiO, E-CAiOV, E-CAiOVX (software version 4.5

and above).
• M-series: M-CAiO, M-CAiOV, M-CAiOVX (software version 3.2
and above).
• CARESCAPE series: E-sCAiO and E-sCAiOV.
6-2 2067226-001
6 Airway modules
Letters in the airway module name indicate:
• E - E series plug-in gas module.

• M - M series plug-in gas module.
• E-s - CARESCAPE series plug-in gas module.
• C - CO2 and N2O.
• A - anesthetic agents.
• i - agent identification.
• O - patient O2.
• V - patient spirometry.
• X - gas exchange.
E and M series airway modules
6
2
3
5
MD.60.008
1. D-fend water trap

2. Sampling line connector
3. Water trap latch
4. Reference gas inlet
5. Sample gas outlet
6. Connectors for patient spirometry
Figure 6-1 • E- and M-series compact airway module
2067226-001 6-3
Aisys CS²
CARESCAPE airway modules
1
2
3
MD.60.013
5
1. Water trap latch

2. Gas sample connector
3. D-fend Pro water trap
4. Connectors for patient spirometry
5. Sample gas outlet
Figure 6-2 • CARESCAPE airway module (figure may not represent

all models)
6-4 2067226-001
6 Airway modules
Connecting the airway module
1. Check that the airway gas module is installed.

2. Check that the airway adapter connections are tight and that the
adapter is correctly installed.
3. Check that the water trap container is empty and properly
attached.
Empty the water trap container whenever the container is more than
half full. Under normal conditions, the D-fend container fills in 24
hours.
WARNING Before connecting the exhaust line to the sample gas outlet
on the compact airway module, ensure the other end is
connected to the sample gas return port on the anesthesia
machine. Incorrect connections may cause patient injury.
4. Connect a line from the airway module sample gas outlet to the
sample gas return port on the anesthesia machine.
5. Attach the gas sampling line to the sampling line connector on the
water trap.
6. Turn the system on. The system does a series of automated self tests.
The automatic agent identification is activated.
7. Connect the sampling line to the airway adapter. Take the gas sample
as close to the patient’s airway as possible. Position the adapter’s
sampling port upwards to prevent condensed water from entering the
sampling line.
3
AC.22.010
1. Airway module
2. Gas sampling line
3. Airway adapter with sampling line connector
Figure 6-3 • Airway gases setup with compact airway module
2067226-001 6-5
Aisys CS²
Parameters setup
Use the Spirometry menu to change the monitoring settings of the data
source, CO2, O2, agent, and spirometry. To access the Spirometry
menu, push the Spirometry button and then select Setup Loops.
Data source
Several monitoring parameters can be obtained from the ventilator or the

airway module. Information retrieved from the airway module is identified
with the module data indicator.
Figure 6-4 • Airway module data indicator
Set the Data Source to Patient or Vent to select the primary source for
information. If Patient is selected, the airway module will be the first
source for information. If Vent is selected, the internal sensors of the
ventilator will be the first source for information.
When setting the airway module as the data source, make sure that a D-lite
or Pedi-lite sensor is properly connected on the airway module. If the
sensor is not properly connected, but the airway module is installed, the
waveform shows no flow. The gas monitor samples and displays room air.
If information is not available through the airway module, information comes
from the internal ventilator sensors.
6-6 2067226-001
6 Airway modules
Automatic agent identification

Airway modules with agent identification automatically identify Halothane,
Enflurane, Isoflurane, Sevoflurane, and Desflurane. The inspiratory and
expiratory concentrations of the agent appear in the digit field or the agent
waveform field if selected.
Minimum concentration for the identification is 0.15% volume. The agent
selection remains active even if the concentration decreases below 0.15%
volume during the case.
Automatic agent identification operates after the normal warm up of the gas
module (approximately five minutes).
2067226-001 6-7
Aisys CS²
Calibrating the airway module

Calibrate airway modules once every six months or whenever there are
indications of errors in the gas readings. Use a manufacturer approved
calibration gas and regulator to calibrate the modules. See the "Parts"
section for the stock numbers of the calibration gas and regulator.
Only use manufacturer approved calibration gas. Do not use

WARNING any other calibration gases or the calibration will not succeed.
Dispose of calibration gas containers in accordance with local
environmental procedures.
The Calibration menu is not available during Checkout or during a
Note case.
During gas calibration, % units are used for CO2 regardless of selected
measuring units.
1. Turn on the power. Let the module warm up for 30 minutes

before starting calibration.
2. Attach the regulator to the calibration gas cylinder.
3. Attach a new sampling line to the water trap. Connect the loose end
of the sampling line to the regulator on the calibration gas cylinder.
4. Select the System Setup button.
5. Select Calibration.
6. Select Airway Gas.
7. Wait until ‘Feed Gas’ appears.
8. For regulators with a numbered gauge, open the regulator until the
gauge reads between 5 to 7 psi (34 to 48 kPa). For regulators with a
non-numbered gauge, open the valve.
9. Feed the calibration gas until ‘Adjust’ appears.
• If an error occurs during calibration or if no gas is fed,

‘Calibration error’ appears. Push the ComWheel to perform a
new calibration.
• Do not close the regulator until all the adjustments have been
made.
10. If a gas needs adjustment, select the gas to be adjusted. Use the
ComWheel to change the value until it matches the calibration gas
cylinder value. Push the ComWheel to confirm the change.
If a gas does not need adjustment, select the gas. Push the ComWheel
to confirm the value.
11. Close the regulator.
6-8 2067226-001
In this section
Alarms..........................................................................................7-2
List of alarms................................................................................7-5
Alarm ranges...............................................................................7-13
Alarm tests..................................................................................7-15
Breathing system problems.........................................................7-17
Electrical problems.....................................................................7-18
Pneumatic problems....................................................................7-19
2067226-001 7-1
Aisys CS²
Alarms
Alarms may be high priority, medium priority, or low. When an alarm
occurs during a case, an alarm tone sounds and the alarm message is
displayed in the alarm message field. The system checks for alarm
conditions at 1 second intervals. The alarm tone is from 47 to 78 db(A)
depending on the alarm volume setting.
CAUTION No repair should ever be attempted by anyone not having

experience in the repair of devices of this nature. See the
"Repair policy" in the "User maintenance" section.
WARNING If an alarm occurs, safeguard the patient first before
performing troubleshooting or doing repair procedures.
Alarm priorities
Alarm priority is indicated by the color of the alarm message and the audio
sequence.
• High-priority alarm messages appear in white text on a red

background.
• Medium-priority alarm messages appear in black text on a
yellow background.
• Low-priority alarms appear in black text on a blue background.
Pausing alarms
Selecting Audio Pause for an active alarm stops the audible tone for 120
seconds. The alarm message shows in the alarm message field. Selecting
Audio Pause when no medium or high priority alarms are active prevents
the audible alarm tones (audio off) for 90 seconds.
Alarms in the apnea alarm family have special silence behavior to
reduce apnea nuisance alarms. Apnea family alarms include ‘Apnea’,
‘EtCO2 low’, ‘MVexp low’, ‘RR low’, and ‘TVexp low’.
When pausing an apnea family alarm, the audio tone for the active alarm is
paused for 120 seconds. The audible tone for any additional apnea family
alarm that occurs during the audio paused period is silenced for the
remaining time shown on the audio pause countdown. Only the audible
alarm tone is silenced. The alarm messages still show in the alarm message
fields. ‘APN’ shows above the audio pause countdown when the audible
tone silence is in effect for the apnea family alarms.
7-2 2067226-001
Cancelling audio pause
Selecting and holding Audio Pause for 2 seconds will cancel the
audio pause function.
Display changes during alarms

Messages may appear in the waveform field during some alarms. If more
than one alarm has a message, the message for the highest priority alarm is
displayed. The message is removed when the alarm is resolved.
The color of the alarm text shown in the alarm message fields is
dependent on the alarm priority. Messages for high-priority alarms use
white text. Messages for medium-priority alarms use black text. Low-
priority alarm messages use black text.
When the O2 pipeline supply pressure drops to less than 252 kPa (36
psi), O2 supply information is displayed.
Some patient parameter alarms such as ‘Ppeak high’ and ‘FiO2 low’ will
latch when the alarm condition is corrected. When an alarm is latched, it is
displayed in gray text on a black background. The parameter box will stop
flashing. All the associated waveform, numeric, and digit field messages
are removed from the display. The alarm will remain in this condition until
it is acknowledged by selecting Audio Pause or until the alarm reoccurs.
When the alarm is acknowledged, it is removed from the screen. If an alarm
has latched and the alarm reoccurs before it is acknowledged, the alarm will
revert to an active state.
De-escalating alarms
Some device related alarms, such as ‘No insp flow sensor’ will de- escalate
priority when the alarm is acknowledged by selecting Audio Pause. The
alarm message shows at the low-priority alarm level until the alarm condition
is resolved and the alarm is cleared. If that alarm reoccurs after it has been
resolved, the alarm occurs at its standard priority level.
Battery indicator
The color and fill amount of the battery in use symbol indicates the
amount of battery power remaining.
• Green indicates greater than 10 minutes.

• Yellow indicates between 10 and 5 minutes.
2067226-001 7-3
Aisys CS²
• Red indicates less than 5 minutes.
Internal failure
‘Internal problem prevents normal operation.’ shows on the display

during a software or hardware failure that requires service. If this
message occurs, contact an authorized service representative.
Informational tones
The system provides informational tones that are 47 to 78 dB(A)

depending on the alarm volume setting.
• Notification tone is a medium pitched tone that sounds for

approximately 480 milliseconds. This tone signifies that an
action must be taken.
• Reject tone is a low pitched tone that sounds for approximately 200
milliseconds. This tone signifies that the previous action was
rejected.
7-4 2067226-001
List of alarms
If corrective action does not resolve the alarm message, contact an authorized
service representative.
Circuit pressures and volumetric flows are measured by the ventilator and
airway gas module. If the Data Source is set to Patient the displayed
waveforms and numeric information are measured by the airway gas
module. Although not displayed, the ventilator measurements continue and
if a measured value violates an alarm setting, the appropriate alarm occurs.
The value highlighted in the parameter numeric box may not appear to have
violated the alarm setting. Changing the Data Source to Vent will
display the circuit pressures and volumetric flows measured by the
ventilator.
Message Priority Cause Action

AA, CO2 Medium No gas monitor is detected when the Connect or install a gas module in the
monitoring not External Gas Monitor setting in Super machine or set External Gas Monitor
connected User is set to No. setting to Yes if the system uses a
The monitor condition changes to stand-alone monitor for O2, AA, and
disconnected when the External Gas CO2.
Monitor setting in Super User is set to
Yes.
Agent mixture Medium Two different agents are detected by Make sure only one agent is on. Wait
the airway module and the MAC approximately two minutes for the first
calculation is greater than or equal to agent to wash out of the system.
3.
Agent mixture Low Two different agents are detected by Make sure only one agent is on. Wait
the airway module and the MAC approximately two minutes for the first
calculation is less than 3. agent to wash out of the system.
Agent output Medium Vaporizer detected a flow meter Contact an authorized service
inaccurate. temperature sensor failure and is using representative.
Contact service. a default temperature value.
Air pressure low. High O2% is set to Air at 21%. Air pipeline Ensure the Air pipeline and cylinder are
Increase O2 %. pressure is less than 252 kPa (36 psi) properly connected. Increase the O2%
and the air cylinder pressure dropped flow.
below 2633 kPa (381 psi) for one
second.
Air supply Medium Air pipeline pressure is less than 252 Ensure the air pipeline and cylinder are
pressure low kPa (36 psi) and the air cylinder properly connected.
pressure dropped below 2633 kPa
(381 psi) for one second.
Apnea Medium Apnea time delay (10-30 seconds) has Check for leaks in the patient circuit.
passed without a measured breath. Check for patient disconnection.
Apnea time delay (20-30 seconds) has
passed without a change in the
measured CO2 by at least 1%
Apnea >120 s High Apnea time exceeds 120 seconds. Check for leaks or blockages in the
breathing circuit. Ensure the Bag/Vent
switch is in the Vent position. Check the
patient.
2067226-001 7-5
Aisys CS²

Backup Mode Low No spontaneous breaths in set period Select a new ventilation mode. The
active of time (Backup Time) since starting number of consecutive patient triggered
PSVPro mode. breaths reaches the Exit Backup
setting.
Breathing system Low The breathing system is not latched. Push the breathing system onto the
loose frame and ensure it latches.
Calibrate Low Flow sensor calibration failure. Calibrate the flow sensors.
(remove) flow
sensors
Calibrate O2 Low Calibration failure or measured O2 is Calibrate the O2 cell. Replace O2 cell if
sensor greater than 110%. calibration fails.
Calibrate, dry, or Low Patient volume mismatch occurred Calibrate, dry or replace the flow
replace flow during the last case. sensors. Start a new case.
sensors
Cannot deliver Low Cassette output flow is 6 l/min or at Reduce the flow.
agent setting at maximum for more than 10 seconds.
set flow
Cannot identify Medium The identification coding of the Try another cassette. Contact an
cassette cassette cannot be interpreted. authorized service representative.
Cannot monitor Medium Air pipeline pressure is invalid. Check pipeline supply pressure.
Air pipeline
Cannot monitor Low Hardware failure. Contact an authorized service
gas supplies representative.
Cannot monitor Medium O2 pipeline pressure is invalid. Check pipeline supply pressure.
O2 pipeline
Cannot read gas Medium Transducer failure. Contact an authorized service
supply pressures representative.
Cass. overfilled. Medium Agent level sensor indicates the Try another cassette. Contact an
Replace cassette cassette is overfilled. authorized service representative.
Check agent. Do Low Cassette reporting a value of empty. Fill the cassette.
not fill vap in use.
Check cassette. Medium Cassette pressure is out of range. Try another cassette.
Set agent. Agent flow interrupted or control Remove and reinsert the cassette.
failure. Set the agent to the desired
concentration.
Check circuit Medium Breaths detected in the circle circuit Check circle circuit connections and
connections while non-circuit is selected. settings.
Check D-Fend Medium Water trap not attached. Check that the water trap is properly
attached to the airway module.
Check flow Medium System has detected an improper flow Ensure the flow sensors are connected
sensors pattern in the breathing circuit. correctly.
Check sample Medium Possible blockage in airway module Check for blockage in the airway
gas out sample gas outlet. module sample gas outlet. Remove
blockage.
Circuit leak Medium Vent TVexp is less than half of vent TV Check for leaks in the patient circuit.
insp for at least 30 seconds. Calibrate flow sensors. If problem
persists, replace flow sensors.
7-6 2067226-001

Circuit leak Low Setting on Alarm Setup menu. Vent Check the patient. Make sure Leak Audio
silenced TVexp is less than 50% of vent TVinsp Off is the appropriate setting for
for at least 30 seconds and Leak Audio the case. Check for leaks in the patient
is changed from On to Off. circuit. Calibrate flow sensors. If problem
persists, replace flow sensors.
Circuitry > 75C. Medium Power supply temperature exceeds 75 Shut down system as soon as possible.
Shutdown degrees C. Then, check cooling fans and filters.
possible.
Cooling fan Medium Fan reporting error. Shut down system as soon as possible.
needs service. Then, check cooling fans and filters.
System OK.
Cooling fans Medium Fan reporting error. May also be Shut down system as soon as possible.
failed. May caused by a display unit or CPU Then, check cooling fans and filters.
overheat. temperature sensor reporting error.
Display panel Medium Communication lost between panel Turn the system off and back on.
controls failure and key pad.
EtCO2 high High EtCO2 is greater than high alarm limit. Check the patient and EtCO2 settings.
Check if absorbent needs to be
changed.
EtCO2 low Medium EtCO2 is less than alarm limit. Ensure that patient is properly
intubated. Check for leaks or blockages in
the patient circuit.
EtDes high Medium EtDes is greater than alarm limit. The Set the alarm limits appropriately. Check
alarm priority escalates to High if the agent setting.
alarm is not resolved after 2 minutes.
EtDes low Low EtDes is less than alarm limit. Check the fill level of the vaporizers. Set
alarm limit appropriately. Check agent
setting.
EtEnf high Medium EtEnf is greater than alarm limit. The Set the alarm limits appropriately. Check
EtEnf low Low EtEnf is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
EtHal high Medium EtHal is greater than alarm limit. The Set the alarm limits appropriately. Check
EtHal low Low EtHal is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
EtIso high Medium EtIso is greater than alarm limit. The Set the alarm limits appropriately. Check
EtIso low Low EtIso is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
EtO2 high Medium EtO2 is greater than the high alarm Check the O2 concentration.
limit.
EtO2 low Medium EtO2 is less than the low alarm limit. Check the O2 concentration.
2067226-001 7-7
Aisys CS²

EtSev high Medium EtSev is greater than alarm limit. The Set the alarm limits appropriately.
alarm priority escalates to High if the Check agent setting.
EtSev low Low EtSev is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
FiCO2 high. High FiCO2 is greater than alarm limit. Check if absorbent needs to be
Absorbent OK? changed.
FiDes high Medium FiDes is greater than alarm limit. The Set the alarm limits appropriately.
FiDes low Low FiDes is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
FiEnf high Medium FiEnf is greater than alarm limit. The Set the alarm limits appropriately.
alarm is not resolved after 2 minutes
FiEnf low Low FiEnf is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
FiHal high Medium FiHal is greater than alarm limit. The Set the alarm limits appropriately.
FiHal low Low FiHal is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
FiIso high Medium FiIso is greater than alarm limit. The Set the alarm limits appropriately.
FiIso low Low FiIso is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
FiO2 high Medium FiO2 is greater than high alarm limit. Check the O2 setting. Recalibrate the
O2 cell and the airway module.
FiO2 low High FiO2 is less than low alarm limit. Check O2 setting. Check for leaks or
blockages in the patient circuit.
FiSev high Medium FiSev is greater than alarm limit. The Set the alarm limits appropriately.
FiSev low Low FiSev is less than alarm limit. Check the fill level of the vaporizers. Set
setting.
For mech vent, Low Bag/Vent switch is set to Bag and the Move switch to Vent position to start
set Bag/Vent ACGO switch is set to Circle. mechanical ventilation.
switch
Gas monitoring Medium Airway module hardware failure. Replace airway module. Then, turn
not available power off and back on between cases
to clear the alarm and receive module
data.
7-8 2067226-001

Increase low MV Medium Low MV limit is off in SIMV VCV, SIMV Increase low MV alarm limit to improve
limit PCV, SIMV PCV-VG, CPAP + PSV, or patient disconnection detection.
PSVPro modes.
Insert cassette Low Cassette removal detected during Reinsert the cassette.
active delivery.
Inspiration Medium High airway pressure. Check system for blockages.
stopped
Internal failure. High Power controller software failure. Contact an authorized service
System may shut representative.
down.
Internal failure. Medium Power controller software failure. Contact an authorized service
System may shut representative.
down.
Low gas sample Low Sample flow is less than 80% of Check for blockage in the airway
flow nominal flow for 20 seconds. module sample gas line.
Memory Low Software error. Contact an authorized service
(EEPROM) representative.
failure
Module fail. No Medium Airway module hardware failure. Replace module.
CO2, AA, O2
data.
Module not Low The monitoring module detected is not Remove the incompatible module. Use
compatible compatible with system software. a compatible module.
Move Bag/Vent Medium Bag/Vent switch was in the Vent Move switch to the Bag position.
switch to Bag position when the case was started.
MVexp high Medium MVexp is greater than MVexp high Set the alarm limits appropriately.
alarm limit (for nine breaths and one Check the ventilation settings.
minute has elapsed).
MVexp low Medium MVexp is less than MVexp low alarm Set the alarm limits appropriately.
limit (for nine breaths and one minute Check the ventilation settings.
has elapsed).
N2O supply Medium N2O pipeline pressure is less than 252 Ensure the N2O pipeline and cylinder
pressure low kPa (36 psi) and the N2O cylinder are properly connected.
pressure is less than 2633 kPa (381
psi).
Negative airway High Paw is less than -10 cmH2O. Check for blockages in the patient
pressure circuit.
No battery Medium Battery or charging failure. Between cases turn the system circuit
backup breaker off, then back on after 15
seconds to reset the system.
No exp flow Medium Electrical signals show the flow sensor Connect the flow sensor. Replace the
sensor is not connected. flow sensor if necessary.
No fresh gas High Possible patient detected while system Disconnect the patient or start the case.
flow! is in checkout state.
No fresh gas High Possible fresh gas flow occlusion or Switch to circle circuit or bag the
flow? loss of gas pressure. patient. Check pipeline supply
connection.
No insp flow Medium Electrical signals show the flow sensor Connect the flow sensor. Replace the
sensor is not connected. flow sensor if necessary.
O2 flush stuck Low Switch detected “on” continuously for Check flush valve. Ensure flush valve is
on? more than 30 seconds. not sticking.
2067226-001 7-9
Aisys CS²

O2 monitoring not Medium O2 cell not connected. Install airway gas module or connect the
connected O2 cell.
O2 supply High O2 pipeline pressure is less than 252 Ensure the O2 pipeline and cylinder are
pressure low kPa (36 psi) and the O2 cylinder properly connected.
pressure dropped below 2633 kPa
(381 psi) for one second.
PEEP high. High Paw greater than or equal to sustained Check for blockages in the patient
Blockage? limit for 15 seconds. See “Sustained circuit.
pressure threshold” section for more
information.
Plug in power Medium The mains supply is not connected or Ventilate manually to save power. Make
cable. On battery. has failed and the system is using sure the power cable is plugged in and
battery power. system breaker is on.
Ppeak high High Paw is greater than Pmax alarm limit. Check for blockages in the patient
circuit.
Ppeak low. Leak? Medium Peak airway pressure is less than low Checks for leaks in the patient circuit.
Pmin + 4 cmH2O for 20 consecutive
seconds if the set respiratory rate is
four or higher and 35 seconds if the set
respiratory rate is less than four
breaths/min.
Pressure limit Medium In PCV-VG or SIMV PCV-VG Reset the pressure limit setting to an
reached inspiratory pressure limit is reached. appropriate setting.
Replace D-Fend Medium Buildup in airway module sample line. Replace D-Fend.
Replace exp flow Low EEPROM calibration data read failure. Replace the expiratory flow sensor.
sensor
Replace insp flow Low EEPROM calibration data read failure. Replace the inspiratory flow sensor.
sensor
Replace O2 Low Measure O2 is less than 5%. Calibrate the O2 cell. Replace the O2
sensor cell if necessary.
Reverse exp flow. Medium Flow toward the patient seen in the Calibrate the flow sensors.
Check valves expiratory flow sensor during
OK? inspiration for six breaths in a row.
Reverse insp Medium Flow away from the patient seen in the Calibrate the flow sensors.
flow. Check inspiratory flow sensor during
valves OK? expiration for six breaths in a row.
RR high Medium RR is greater than high alarm limit. Set the alarm limits appropriately or
adjust the RR setting.
RR low Medium RR is less than low alarm limit. Set the alarm limits appropriately or
adjust the RR setting.
Sample line Medium Airway module sample line is blocked. Replace airway module sample line.
blocked
Service Low Calibration data is corrupt. Contact an authorized service
calibration representative.
advised
Set Alt O2 flow! Medium Multiple possible causes for the failure. Contact an authorized service
Agent delivery representative.
off!
Set Alt O2 flow! Medium Software or hardware failure prevents Contact an authorized service
Check agent mixed gas delivery. representative.
setting!
7-10 2067226-001

System leak? Low Leak detected between ventilator and Check for leaks in the breathing system.
patient circuit.
System shutdown High Remaining battery power is between Plug in the power cable. Check that the
in < 5 minutes zero and five minutes. system circuit breaker is on.
Touchscreen Medium Touchscreen interface is not working. Contact an authorized service
failure representative.
Try another Medium Vaporizer detected a cassette Insert a different cassette. Contact an
cassette. Contact temperature failure, cassette authorized service representative.
service. temperature data read error, or a
software compatibility failure.
Turn power Off Low System has been operating for longer Turn power off and back on between
and On for self than 12 hours without a power-up self cases to perform a self test.
tests test.
Turn switch On to High System is in therapy when System Turn the System switch to On to
continue use switch is turned to Standby. continue therapy. The system will return
to normal function. If System switch is
not turned to On within 8 seconds, the
system will shut down.
TV not achieved Low Measured tidal volume is less than set Check for leaks in the patient circuit.
tidal volume. Check for leaks in the breathing system.
TVexp high Medium TVexp is greater than TVexp high Set the alarm limits appropriately.
alarm limit (for nine breaths). Check ventilation settings.
TVexp low Medium TVexp is less than TVexp low alarm Set the alarm limits appropriately.
limit (for nine breaths). Check ventilation settings.
Unable to drive Low Bellows is collapsed. Check the drive gas. Increase fresh gas
bellows flow (or push the O2 flush button) to fill
the bellows.
Using battery. Medium Mains supply is OK, but the system is Shut down the system as soon as
Power Controller running on the battery. possible.
fail.
Vap leak? Try Medium Cassette leak. Agent filling attempted Try another cassette. Do not attempt to
another cassette. during delivery. Internal issue with fill agent cassette while delivering
agent delivery hardware. agent. Contact an authorized service
representative.
Vaporizer failure Medium Internal issue with agent delivery Change anesthesia method or use an
hardware. alternate machine. Shut down the
system as soon as possible and contact
an authorized service representative.
Vaporizer internal Medium Manifold temperature reading or Change the agent setting.
temp out-of-range cassette temperature reading is
outside of the limit.
Ventilate High Software or hardware failure prevents Use a manual bag to ventilate the
manually! mechanical ventilation. No pressure, patient or use an alternate machine.
no flow, and no volume monitoring Shut down the system as soon as
from ventilator. possible and contact an authorized
Ventilate Medium Software or hardware failure prevents Use a manual bag to ventilate the
manually! mechanical ventilation. patient or use an alternate machine.
Shut down the system as soon as
possible and contact an authorized
2067226-001 7-11
Aisys CS²

Ventilator has no High Drive gas supply is not sufficient to Check drive gas supply. Use a manual
drive gas mechanically ventilate. bag to ventilate the patient until drive
gas supply is restored.
Vol and Apnea Low Non circle circuit is selected. Message will clear when circle circuit is
monitoring off selected.
Vol vent only. No Medium Manifold pressure error. Pressure Use volume control ventilation mode.
PEEP or PSV. control unavailable. Bag/Vent switch is Shut down the system as soon as
in Vent and running PCV, PSVPro, possible and contact an authorized
SIMV PCV, CPAP + PSV, PCV-VG, or service representative.
SIMV PCV-VG mode.
Vol vent only. No Low Manifold pressure error. Pressure Use volume control ventilation mode.
PEEP or PSV. control unavailable. Bag/Vent switch is Shut down the system as soon as
in Vent and running VCV or SIMV VCV possible and contact an authorized
mode, Bag/Vent switch is in Bag, or service representative.
Non-circle circuit or ACGO is selected.
Volume sensors Low TVexp is greater than TVinsp for six Calibrate the flow sensors. Replace the
disagree breaths. flow sensors if the message does not
clear.
Sustained pressure threshold
The sustained pressure threshold is calculated from the maximum pressure

(Pmax) setting. The sustained limit is calculated as follows:
Mechanical Ventilation with

For Pmax less than 30 cmH2O, the sustained pressure limit is 6 cmH2O. For Pmax
PEEP Off:
between 30 and 60 cmH2O, the sustained pressure limit is 20% of Pmax.
For Pmax greater than 60 cmH2O, the sustained pressure limit is 12 cmH2O.
For Pmax less than 30 cmH2O, the sustained pressure limit is 6 cmH2O plus “set PEEP”
Mechanical Ventilation with minus 2 cmH2O.
PEEP On:
For Pmax between 30 and 60 cmH2O, the sustained pressure limit is 20% of Pmax plus
“set PEEP” minus 2 cmH2O.
For Pmax greater than 60 cmH2O, the sustained pressure limit is 12 cmH2O plus “set
PEEP” minus 2 cmH2O.
Mechanical Ventilation Off: For Pmax between 12 and 60 cmH2O, the sustained pressure limit is 50% of
Pmax.
For Pmax greater than 60 cmH2O, the sustained pressure limit is 30 cmH2O.
7-12 2067226-001
Alarm ranges
The alarm names are listed in the Primary Limits and More Limits tabs
on the Alarm Setup menu. See the "Super user mode" section for
more information on the alarm default settings.
Alarm Range Increment

Pmax (only high) 12-100 cmH2O 1 cmH2O
1.2 - 9.8 kPa 0.1 kPa
12 - 98 mbar, hPa 1 mbar, 1 hPa
9-73 mmHg 1 mmHg
MV High 0.5 - 30.0, Off l/min 0.5 l/min
MV Low Off, 0.1 - 10.0 l/min 0.1 l/min
TV High 20 -1600, Off ml 20 ml
TV Low Off, 1 - 5 ml 1 ml
5 - 20 ml 5 ml
20 - 1500 ml 20 ml
RR High 2 - 100, Off /min 1 /min
RR Low Off, 1 -99 /min 1 /min
EtCO2 High 0.1 - 15%, Off 0.1%
0.1 - 15, Off kPa 0.1 kPa 1
1 - 115, Off mmHg mmHg
EtCO2 Low Off, 0.1 - 14.9% 0.1%
Off, 0.1 - 14.9 kPa 0.1 kPa 1
Off, 1 - 114 mmHg mmHg
FiCO2 High 0.1 - 15%, Off 0.1%
0.1 - 15, Off kPa 0.1 kPa 1
1 - 115, Off mmHg mmHg
FiO2 High 19 - 100%, Off 1%
FiO2 Low 18 - 99% 1%
EtO2 High 19 - 100%, Off 1%
EtO2 Low Off, 1 - 99% 1%
FiIso High 0.1 - 7.0% 0.1%
FiIso Low Off, 0.1 - 6.9% 0.1%
FiSev High 0.1 - 10.0% 0.1%
FiSev Low Off, 0.1 - 9.9% 0.1%
FiDes High 0.1 - 20.0% 0.1%
FiDes Low Off, 0.1 - 19.9% 0.1%
FiEnf High 0.1 - 7.0% 0.1%
FiEnf Low Off, 0.1 - 6.9% 0.1%
FiHal High 0.1 - 7.0% 0.1%
FiHal Low Off, 0.1 - 6.9% 0.1%
EtIso High 0.1 - 7.0%, Off 0.1%
2067226-001 7-13
Aisys CS²
Alarm Range Increment

EtIso Low Off, 0.1 - 6.9% 0.1%
EtSev High 0.1 - 10.0%, Off 0.1%
EtSev Low Off, 0.1 - 9.9% 0.1%
EtDes High 0.1 - 20%, Off 0.1%
EtDes Low Off, 0.1 - 19.9% 0.1%
EtEnf High 0.1 - 7.0%, Off 0.1%
EtEnf Low Off, 0.1 - 6.9% 0.1%
EtHal High 0.1 - 7.0%, Off 0.1%
EtHal Low Off, 0.1 - 6.9% 0.1%
7-14 2067226-001
Alarm tests
Test the system to verify that alarms are functioning.
Note If an airway module is installed, the FiO2 readings are taken from the
module instead of from the O2 cell. A sample line must be connected from
the airway module to the breathing circuit to test the O2 alarms.
1. Connect a test lung to the patient connection.

2. Start a case.
3. Set the Bag/Vent switch to Vent.
4. Set the O2 concentration to 30%, and allow the O2 reading to
stabilize.
For machines configured to individual gas control, set the O2 flow to
approximately 500 ml/min and Air flow to approximately 5 l/min.
5. Test the O2 alarms:
• Set the FiO2 Low alarm limit to 50%. Make sure an FiO2
low alarm occurs.
• Set the FiO2 Low alarm limit back to 21% and make sure that
the FiO2 low alarm cancels.
• Set the FiO2 High alarm limit to 50%.
• Push the O2 flush.
• Make sure the FiO2 high alarm occurs.
• Set the FiO2 High alarm limit back to 100%. Make sure that the
FiO2 high alarm cancels.
6. Test the MVexp low alarm:
• Set the MV Low alarm limit to greater than the measured

minute volume.
• Make sure that a MVexp low alarm occurs.
• Set the MV Low alarm limit to Off.
7. Test the Ppeak high alarm:
• Set Pmax to less than the peak airway pressure.

• Make sure that the Ppeak high alarm occurs.
• Set Pmax to the desired level.
8. Test the PEEP high. Blockage? alarm:
• Close the APL valve.

• Set the Bag/Vent switch to Bag. Mechanical ventilation
stops.
• Block the patient connection and push the O2 flush button.
• Make sure that the PEEP high. Blockage? alarm occurs
after approximately 15 seconds.
9. Test the Ppeak low. Leak? alarm:
2067226-001 7-15
Aisys CS²
• Unblock the patient connection.

• Set the tidal volume and total flow to minimum.
• Other alarms such as MVexp low can occur.
• Make sure that the Ppeak low. Leak? alarm occurs.
10. Set all alarm limits to approved clinical values.
7-16 2067226-001
Breathing system problems
Symptom Problem Solution

Gas scavenging flow is too low or Scavenging extract flow problem. Use a different scavenging extraction system.
too high. Verify flow is within specification.
Filter blockage. Active systems have a Replace the filter. Refer to “Remove the
flow indicator. AGSS receiver filter” in the “Advanced
Breathing System Cleaning and
Sterilization” User’s Reference manual.
The bellows fills when the Bag/ Leak through Bag/Vent switch. Contact an authorized service
Vent switch is set to Bag or the representative to repair the system.
bag fills when the switch is set to
Vent.
The ventilator does not read the Ventilator or absorber malfunction. Ventilate manually. Contact an authorized
position of the Bag/Vent switch. service representative to repair the system.
APL valve does not operate APL valve problem. Replace APL valve seal and diaphragm.
correctly.
Large breathing system leak. Bag hose not connected properly. Make sure the bag hose is connected to the
bag port (below the APL valve).
Absorber canister not installed Reinstall the absorber canister. Make sure both
correctly. pins are engaged.
Bellows falls below top of Leak in the breathing system. Check, clean, or reposition the pressure relief
indicator during the Bellows valve. If the problem persists, replace the
assembly test. pressure relief valve, bellows base, or bellows
assembly.
During PCV-VG mode, Inspiratory pressure is limited to Increase the Pmax setting.
measured tidal volume is less Pmax minus 5 cmH2O.
than set.
2067226-001 7-17
Aisys CS²
Electrical problems
WARNING If a circuit breaker opens frequently, do not use the system.

Contact an authorized service representative to repair the
system.

Mains indicator is not on. The electrical power cable is not Connect the power cable.
connected.
The system circuit breaker (switch) is off. Turn the circuit breaker on.
The power cable is damaged. Replace the power cable.
The electrical socket the power cable Use a different electrical socket.
connects to has no power.
An internal fuse is open. Contact an authorized service
representative to repair the system.
One electrical outlet does The outlet circuit breaker is off. Turn the circuit breaker on.
not have power.
A circuit breaker opens Equipment connected to the outlet(s) uses Use a different power supply for some of the
frequently. more current than the circuit breaker rating. equipment.
The equipment connected to the outlet has Contact an authorized service

a short. representative to repair the system.
The real time clock on the The battery in the anesthesia display Contact an authorized service
anesthesia display does not needs to be replaced. representative to repair the system.
maintain accurate time and
date.
Audible alarm sounds. The Internal power converter failure. Turn the system off. Contact an authorized
system function stops. The service representative to repair the system.
screen is blank.
7-18 2067226-001
Pneumatic problems

High-pressure leak test fails. Controls are not set correctly. Make sure no gas is flowing, turn off the
auxiliary flow meter, and repeat the test.
Incorrect cylinder connection. Make sure that there is only one cylinder gasket,
the gasket is in good condition, and the
connection is tight.
Low-pressure leak. Anesthesia machine problem. Contact an authorized service
representative.
2067226-001 7-19
7-20 2067226-001
In this
section Setup safety..................................................................................8-2
Moving and transporting the system.............................................8-4
Setting up the absorber canister....................................................8-5
Electrical connections.................................................................8-10
Pneumatic connections...............................................................8-12
Installing gas cylinders...............................................................8-18
Attaching equipment to the top of the machine...........................8-20
Passive AGSS.............................................................................8-21
Active AGSS..............................................................................8-22
2067226-001 8-1
Aisys CS²
Setup safety
WARNING The manufacturer strongly recommends the use of O2

monitoring and anesthetic agent monitoring with this
equipment. Failure to use monitoring could result in injury to
the patient. Refer to local standards for mandatory monitoring.
Always make sure the pipeline supply hoses and the breathing
• circuit components are not toxic and will not:
• Cause an allergic reaction in the patient.

• React with the anesthetic gases or agent to produce
dangerous by-products.
Use only GE Healthcare approved cables, hoses, and tubing.

• Other manufacturer’s cables, hoses, and tubing could cause
incorrect values or equipment malfunction.
Do not exceed electrical interference levels specified in IEC
• 60601-1-2. Electrical interference can cause nuisance alarms
that may stop mechanical ventilation. This system operates
correctly at the electrical interference levels of IEC 60601-1-2.
To help prevent false alarms from devices with high- intensity
electrical fields:
•
• Keep the electrosurgical leads away from the breathing
system, the flow sensors, and the oxygen cell.
• Do not allow the electrosurgical leads to contact any part
of the anesthesia system.
• Do not use cell phones near the anesthesia system.
To protect the patient when electrosurgical equipment is used:
• Monitor the correct operation of all life support and

• monitoring equipment.
• Keep backup manual ventilation available in case the
electrosurgical equipment prevents safe use of the
ventilator.
Use only reservoir bags that comply with EN1820 or ISO

5362 on this system.
8-2 2067226-001
• Use only breathing tubes that comply with EN12342 or ISO

5367 on this system.
• A malfunction of the medical gas central supply system may
cause all connected devices to stop.
• All gases supplied to the system must be medical grade. Use
of non-medical grade gases could result in equipment
damage.
• Do not modify this equipment without authorization from the
manufacturer. Unauthorized modifications could result in
damage to the equipment and/or cause patient injury.
See "System information" in the "Introduction" section for information
on specific monitoring requirements.
2067226-001 8-11
Aisys CS²
Moving and transporting the system
WARNING The system may overbalance or tip if tilted more than 10

degrees.
• Do not exceed specified load ratings when mounting
equipment on the top of the machine or on any of the side
rails.
See "Attaching equipment to the top of the machine" and
"Specifications and theory of operation" for system load ratings.
Before transporting or moving the system, fold all display arms into the
system and put the flip-up shelf in the down position. Tighten the
horizontal-positioning lock on the display arm. When using the brake on an
incline, be sure to lock the brake with the machine facing down the slope.
8-4 2067226-001
Setting up the absorber canister

The absorber canister is available in two versions: Disposable Multi
Absorber and Reusable Multi Absorber. Both are removed and installed on
the breathing system the same way.
Each canister holds 800 grams of loose absorbent. The manufacturer
recommends Medisorb TM absorbent.
Both absorber versions should only be used with mixtures of air, oxygen,
nitrous oxide, halothane, enflurane, isoflurane, desflurane and sevoflurane.
6 1
5
2
AB.74p042
4
7
AB.74p.043
1. Canister support pin

2. Canister handle
3. Disposable Multi Absorber canister
4. Absorbent
5. Expiratory water reservoir
6. Canister release latch
2067226-001 8-5
Aisys CS²
7. Reusable Multi Absorber canister
Figure 8-1 • Canister
WARNING Obey applicable safety precautions:
• Do not use the absorber with chloroform or

trichlorethylene.
• The Disposable Multi Absorber is a sealed unit which
should not be opened or refilled.
• Avoid skin or eye contact with the contents of the
absorber. In the event of skin or eye contact,
immediately rinse the affected area with water and seek
medical assistance.
• Do not remove the absorber canister to change the
canister or to change the absorbent while ventilating a
patient unless the system is equipped with the EZchange
canister module.
• Change absorbent often to prevent buildup of non-
metabolic gases when the system is not in use.
• Inspect absorbent color at the end of a case. During non-
use, absorbent can go back to the original color. Refer to
the absorbent labeling for more information about color
changes.
• If the absorbent completely dries out, it may give off
carbon monoxide (CO) when exposed to anesthetic
agents. For safety, replace the absorbent.
• Desiccated (dehydrated) absorbent material may produce
dangerous chemical reactions when exposed to inhalation
anesthetics. Adequate precautions should be taken to
ensure that absorbent does not dry out. Turn off all gases
when finished using the system.
When to change the absorbent
A gradual color change of the absorbent in the canister indicates absorption

of carbon dioxide. The color change of the absorbent is only a rough
indicator. Use carbon dioxide monitoring to determine when to change the
canister.
8-6 2067226-001
Immediately discard the absorbent if it has changed color. If left standing for
several hours, absorbent may regain its original color giving a misleading
indication of effectiveness.
Read the absorbent manufacturer’s instructions completely before using the
product.
Removing a canister
1. Hold the canister by the handle and push on the release latch to unlock
the canister.
AB.74p058
2. Remove the canister by tilting it downward and off the two
support pins.
Removing an EZchange canister
1. Hold the canister by the handle and push the canister cradle
release latch to unlock the canister cradle.
AB.75p088
2. Slide the canister up and out of the cradle.
2067226-001 8-7
Aisys CS²
AB.75p089
Filling the Reusable Multi Absorber canister
1. Turn the canister upside down and, using your thumbs, turn the cover
locking ring counterclockwise to unlock it.
AB.74p044
2. Push up to release the seal.

3. Lift off the cover to remove it.
AB.74p046
4. Remove and properly discard the foam filters, the absorbent, and
any water in the reservoir.
WARNING Be careful when draining condensate from the absorber.

The liquid is caustic and may burn skin.
8-8 2067226-001
AB.74p047
5. To clean and disinfect the canister, refer to “Absorbent canister
cleaning” in the “Cleaning and Sterilization” manual.
6. Place a new filter in the bottom of the canister, pour absorbent into the
canister and place a new filter over the absorbent before closing and
locking the cover. Wipe off any absorbent dust.
7. Align the cover slots with the canister locking tabs and press the cover
down into place. Turn the cover locking ring clockwise to lock the
cover in place. Ensure the cover is properly sealed to prevent leaks
and spillage. Alignment of the arrows helps to indicate correct
assembly.
AB.82p001
WARNING The filters must be in place to help prevent dust and

particles from entering the breathing circuit.
8. When replacing the canister, make sure that it is seated properly on the
support pins or in the EZchange canister module before latching it into
place.
2067226-001 8-9
Aisys CS²
Electrical connections
Mains inlet
The arrow shows the mains power inlet and cord.
AB.75p008
Equipotential stud
The equipotential stud is used to connect the anesthesia machine to an

equipotential grounding system by attaching a potential equalization
conductor. Equipotential grounding is used in some hospitals to enhance
electrical safety in critical care areas by attempting to keep the conductive
surfaces of all equipment in the patient care area at the same ground
potential, thereby minimizing unwanted current flow.
Outlets
Labels show outlet voltage ratings and circuit breaker amp ratings. These
are isolated outlets. Regularly test the leakage current.
8-10 2067226-001
AB.75p134
Serial port
The system has a Universal Serial Bus (USB) port on the back of the
display unit. This port is for use by authorized service personnel to load
software and access log files. It should not be used for other purposes.
Only insert USB memory sticks powered solely by the

CAUTION USB port. Do not plug in devices with batteries, or connect
to an external power source.
AB.75p133
2067226-001 8-
11
Aisys CS²
Pneumatic connections
CAUTION Use only medical grade gas supplies. Other types of gas
supplies may contain water, oil, or other contaminants which
could affect the operation of the pneumatic system.
The gas supplies provide gas to these devices through internal
connections:
• Venturi suction regulator (optional)

• Auxiliary O2 flowmeter (optional)
Pipeline inlets
AB.75p010
Scavenging
The AGSS assembly is located below the bellows on the breathing

system. Adapters may be necessary to interface to the scavenging
connector.
See "Passive AGSS" and "Active AGSS" for more scavenging
information.
8-12 2067226-001
1
2
AC.22p011
1. Auxiliary inlet
2. Sample gas scavenging port
3. Outlet connection
Figure 8-2 • AGSS connections
Scavenging the ACGO sample flow

When the ACGO port is in use, a sample of the fresh gas is diverted to the
airway module or the O2 cell in the breathing system. This sample is then
measured and displays the O2 numerics on the screen. This sample flow
should be scavenged when N2O or volatile anesthetics are delivered
through the ACGO. If scavenging is not connected, the sample flow will
enter the room through the breathing system. To connect the scavenging:
1. Attach a circle breathing circuit to the inspiratory and expiratory

ports.
2. Occlude the breathing circuit by connecting the wye-piece, or
patient connection, to the leak test plug located behind the
expiratory port.
3. Check for clinically correct settings.
4. Check the position of the Bag/Vent switch.
• If the Bag/Vent switch is set to mechanical ventilation mode, the

bellows fills slowly with the sample flow. When the bellows is
full, the sample gas flow goes to the AGSS. (Mechanical
ventilation does not start when the ACGO switch is set to
ACGO.)
• If the Bag/Vent switch is set to the bag mode, set the APL valve
to MIN, and attach a bag to the manual bag port. The bag fills
slowly with the sample flow. When the bag is full, the sample
flow goes to the AGSS.
2067226-001 8-
13
Aisys CS²
Scavenging from an auxiliary manual breathing

circuit
Scavenge the exhaust if an auxiliary manual circuit is used with N2O or
volatile anesthetics.
An auxiliary inlet is available on the AGSS. It provides a female
connection for use with a 30 mm - 30 mm male connector (or 30 mm
- 19 mm male connector) under the breathing system. Do not use these
connectors as an outlet for exhaust flow.
A separate hose is needed to connect the exhaust from the auxiliary manual
breathing circuit to the auxiliary inlet on the AGSS.
Scavenging a gas monitor sample flow

Sample gas from a gas monitor can be scavenged by connecting the exhaust
from the monitor to either the sample gas return port located on the front of
the machine or the tubing connector provided on the AGSS.
• To scavenge from a gas monitor using the sample gas return port,
connect the exhaust from the monitor to the sample gas return port
located on the front of the machine.
• To scavenge from a gas monitor using AGSS, connect tubing from
the monitor to the tubing connector on the bottom of the AGSS
underneath the breathing system.
Sample gas return port

Connect the sample gas exhaust tube to the gas return port. Exhaust gas will
be directed to the scavenging system.
AB.75p127
8-14 2067226-001
Pneumatic power outlet
AB.75p007
Vacuum suction regulator (optional)
The vacuum suction regulator uses an external vacuum supply.

Connect the vacuum connection to the source vacuum supply.
Connect the collection bottle connection to the collection bottle.
1. External vacuum connection

2. Overflow safety trap
3. Splash guard
4. Collection bottle connection
Figure 8-3 • External vacuum suction
2067226-001 8-
15
Aisys CS²
Venturi suction regulator (optional)

The venturi suction regulator uses the system air or O2 supply source.
Connect the collection bottle connection on the overflow safety trap to
the collection bottle.
1. Venturi muffler
2. Overflow safety trap
3. Splash guard
4. Collection bottle connection
Figure 8-4 • Venturi suction
Auxiliary O2 flowmeter (optional)
1. Auxiliary O2 outlet
8-16 2067226-001
2. Auxiliary O2 flow control
Figure 8-5 • Auxiliary O2 flowmeter
2067226-001 8-
17
Aisys CS²
Installing gas cylinders
CAUTION Do not leave gas cylinder valves open if the pipeline supply is
in use. Cylinder supplies could be depleted, leaving an
Installing cylinders with pin indexed yokes
1. Locate the cylinder wrench.

2. Close the cylinder valve on the cylinder to be replaced.
3. Loosen the tee handle.
4. Open the cylinder yoke.
5. Remove the used cylinder and the used gasket.
6. Remove the cap (if equipped) from the cylinder valve on the new
cylinder.
WARNING Make sure there is only one gasket on the cylinder

connection. No gasket or more than one gasket can cause
a leak.
7. Install a new gasket.

8. Align the cylinder post with the index pins.
9. Close the yoke gate and tighten the tee handle.
10. Make sure there is a cylinder plug and gasket in any empty
cylinder yokes.
11. Complete "Performing a high-pressure leak test".
Installing cylinders with DIN connections
1. Close the cylinder valve on the cylinder to be replaced.

2. Loosen the adapter and remove the cylinder.
3. Remove the cap from the cylinder valve on the new cylinder.
4. Install the cylinder.
5. Complete "Performing a high-pressure leak test".
Performing a high-pressure leak test
1. Turn on the system.

2. Disconnect pipeline supplies.
8-18 2067226-001
3. Turn off the auxiliary O2 flowmeter and venturi suction.

4. Open the cylinder.
5. Record the cylinder pressure.
6. Close the cylinder.
If the cylinder pressure decreases more than 690 kPa (100 psi) in one
minute there is a significant leak.
7. To repair a leak, install a new cylinder gasket and tighten the
adapter.
8. Repeat the leak test. If the leak continues, do not use the
system.
2067226-001 8-
19
Aisys CS²
Attaching equipment to the top of the machine
WARNING The top of the machine has a weight limit of 45 kg (100 lb).
Check the stability of the system in its final configuration.
• Make sure the weight is evenly distributed throughout the
system.
1. Locate the clips or straps.

2. Install the straps. See the "Parts" section for strap ordering
information.
3. Fully tighten the straps.
4. Make sure the straps hold the equipment in position.
Fully tighten the straps. If straps are not fully tightened,

WARNING equipment can fall off the top of the machine.
8-20 2067226-001
Passive AGSS
WARNING Always verify the proper operation of any gas scavenging

system. Make sure that the scavenging system is not occluded.
The optional passive anesthesia gas scavenging system (AGSS) is for use
in operating room environments that do not have an active gas extraction
system for waste gas disposal. The passive AGSS contains both positive
and negative pressure relief valves to protect the breathing system and the
patient.
Passive AGSS may be used with a non-recirculating ventilation system for
waste gas disposal. The tube connection from passive AGSS to the non-
recirculating ventilation system should be an open connection, essentially
at atmospheric pressure. For example, to an exhaust grill.
Connecting passive AGSS
1. Connect a large diameter tube to the 30-mm tapered connector on the

bottom of the AGSS receiver.
2. Route the large diameter tube from the passive AGSS to
exterior of the building or to a non-recirculating ventilation
system.
The tube should be as large in diameter and as short as
possible.
2067226-001 8-
21
Aisys CS²
Active AGSS
WARNING Always verify the proper operation of any gas scavenging

system. Make sure the scavenging system is not occluded.
There are several versions of the optional active Anesthesia Gas
Scavenging System (AGSS) available depending on the hospital’s type of
waste gas disposal system.
Each version has a two-liter reservoir to capture peak exhaust flows that
briefly exceed the extract flow. The disposal system normally entrains
room air through an air brake (located in a receiver underneath the
breathing system), but will spill from this port during extended periods of
high exhaust flow. Its effectiveness is limited by the extract flow of the
particular active AGSS device.
• The active low flow system is for use with high vacuum disposal
systems. It requires a vacuum system capable of a continuous nominal
flow of 36 l/min and 300 mmHg (12 inHg) or greater vacuum
pressure. A flow indicator on the system indicates when the unit is in
operation.
• The active high flow system is for use with low vacuum (blower
type) disposal systems. This requires a system capable of providing a
continuous nominal flow of 50 l/min. A flow indicator on the system
indicates when the unit is in operation.
• The active adjustable flow system provides the ability to adjust the
flow with a needle valve (located in a receiver underneath the
breathing system) and a visual indicator bag which should be properly
inflated. It requires a vacuum system capable of a continuous nominal
flow of 30 l/min and 300 mmHg (12 inHg) or greater vacuum
pressure.
• The active low flow system with a 12.7 mm hose barb connector is for
use with low vacuum disposal systems. It requires an external system
with flowmeter.
• The active low flow system with a 25 mm barb connector is for use
with low vacuum disposal systems. It requires an external
venturi/ejector system with 40 to 50 l/min extract flow. A flow
indicator on the system indicates when the unit is in operation.
• The active low flow system with 30 mm ISO taper is for use with low
vacuum disposal systems. It requires an external venturi/ ejector
system with 40 to 50 l/min extract flow. A flow indicator on the
system indicates when the unit is in operation.
Connecting active AGSS with a flow indicator
To use the optional active AGSS on a system that has a flow

indicator, connect it as follows.
8-22 2067226-001
1. Connect the proper hose to the AGSS outlet connector on the

bottom of the AGSS underneath the breathing system.
2. Attach the other end of the hose to the hospital disposal system.
3. With the AGSS operating, verify that the ball on the flow
indicator rises to the green zone, indicating adequate flow.
AC.22p002
Note The ball in the upper red zone indicates excessively high extraction flow.
The ball in the lower red zone indicates extraction flow rate is too low or a
blocked filter.
4. Complete the tests in the "Preoperative tests" section of this

manual.
Connecting active adjustable AGSS
The active adjustable AGSS option flow rate is limited to 30 l/min with
this option.
To use the optional active AGSS installed on the system which uses the
three-liter bag as a visual indicator, connect it as follows:
1. Connect a disposal hose to the DISS connector on the needle valve on

the bottom of the AGSS (underneath). The hose should be flexible and
reinforced to help prevent kinking and crushing.
2. Attach the other end of the hose to the hospital disposal system.
3. Attach the three-liter bag to the 30 mm auxiliary 1 port on the
bottom of the AGSS.
4. Adjust the flow rate to match the amount of gas being scavenged. Use
the bag as a visual indicator when adjusting the
2067226-001 8-
23
Aisys CS²
flow rate. The bag should remain partially inflated when the flow rate
is adequate.
AB.75p.110
5. Complete the tests in the "Preoperative tests" section.
8-24 2067226-001
9 User maintenance
In this
section Maintenance safety.......................................................................9-2
Repair policy................................................................................9-3
Maintenance summary and schedule............................................9-4
Circuit O2 cell replacement..........................................................9-5
Calibration menu..........................................................................9-6
2067226-001 9-1
Aisys CS²
Maintenance safety
WARNING To help prevent fires:
• Do not use lubricants that contain oil or grease. They may

burn or explode in high O2 concentrations.
• All covers used on the system must be made from
antistatic (conductive) materials. Static electricity can
cause fires.
• Desiccated (dehydrated) absorbent material may produce
dangerous chemical reactions when exposed to inhalation
anesthetics. Adequate precautions should be taken to
ensure that absorbent does not dry out. Turn off all gases
when finished using the system.
Obey infection control and safety procedures. Used equipment

• may contain blood and body fluids.
Moveable parts and removable components may present a
• pinch or a crush hazard. Use care when moving or replacing
system parts and components.
9-2 2067226-001
9 User maintenance
Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or have
the equipment serviced by an authorized service representative. After
repair, test the equipment to ensure that it is functioning properly, in
accordance with the manufacturer’s published specifications.
To ensure full reliability, have all repairs and service done by an
authorized service representative. If this cannot be done, replacement
and maintenance of those parts listed in this manual may be undertaken
by a competent, trained individual having experience in the repair of
devices of this nature.
Do not attempt to repair this device without appropriate

CAUTION training in the repair of devices of this nature. Equipment
damage could occur.
Replace damaged parts with components manufactured or sold by GE
Healthcare. Then test the unit to ascertain that it complies with the
manufacturer’s published specifications.
Contact the local authorized Field Service Representative for service
assistance.
2067226-001 9-3
Aisys CS²
Maintenance summary and schedule

These schedules indicate the minimum frequency of maintenance based
on typical usage of 2000 hours per year. Service the equipment more
frequently if it is used more than the typical yearly usage.
Local policies or regulations may require that maintenance be

Note performed more frequently than stated here.
Minimum Frequency Maintenance

Daily
• Clean the external surfaces.
• Perform a flow and pressure calibration.
• Empty the water reservoir and replace the absorbent in the canister.
Monthly
• Perform 21% and 100% O2 cell calibrations.
During cleaning and setup

• Inspect the parts for damage. Replace or repair as necessary.
As necessary
• Install new cylinder gaskets on cylinder yokes.
• Empty the water reservoir and replace the absorbent in the canister.
• Empty and clean the overflow trap on the optional suction regulator.
• Replace the circuit O2 cell. (Under typical use the cell meets
specifications for 1 year.)
• Replace the disposable flow sensor (plastic). (Under typical use the sensor
meets specifications for a minimum of 3 months.)
• Replace the autoclavable flow sensors (metal). (Under typical use the sensor
meets specifications for a minimum of 1 year.)
• Replace the receiver filter (active gas scavenging only).
• Calibrate the airway modules every 6 months or when there are indications of
errors in the gas readings. Calibrate airway modules that get extensive usage
every 2 months.
• Inspect and clean the fan filters (display, lower electrical enclosure, and
airway module).
Authorized service personnel

This is the minimum level of maintenance recommended. Local regulations
may contain additional maintenance requirements. Comply with all local
regulations which meet or exceed this minimum level of maintenance.
Minimum Frequency Maintenance

12 months Have an authorized service representative complete the scheduled service
maintenance checks, tests, calibrations, and parts replacements as defined in the
Technical Reference manual.
9-4 2067226-001
9 User maintenance
Circuit O2 cell replacement
WARNING Handle and dispose of O2 cells according to site biohazard

policies. Do not incinerate.
Note It may take a new O2 cell 90 minutes to stabilize. If the O2 cell
calibration fails after a new O2 cell had been installed, wait 90
minutes and repeat the calibration.
1. Pull the latch to unlock the flow sensor module from the
breathing system.
AB.74p052
2. Pull the flow sensor module from the breathing system.
3. Remove the O2 cell cable connector from the O2 cell and
unscrew the cell counterclockwise.
AB.74p065
4. Make sure the o-ring is on the cell. Install the replacement O2 cell.
Reconnect the O2 cell cable.
AB.74p083
5. Replace the flow sensor module on the system and push the latch
closed to secure the module.
6. Calibrate the new O2 cell according to the "Circuit O2 cell"
procedure.
2067226-001 9-5
Aisys CS²
Calibration menu
Access the Calibration menu by selecting the System Setup
button. Follow the instructions on the screen.
Note The Calibration menu is not available during Checkout or during a case.
See "Calibrating the airway module" in the "Airway modules" section

for information on calibrating the airway modules.
Flow and pressure calibration
Important Room temperature fluctuations of more than 5°C may affect sensor
measurements. Recalibrate the flow sensors if the room temperature
changes by more than 5°C.
Calibrate the flow sensors by removing the flow sensor module from the
system. On-screen instructions are available through System Setup -
Calibration - Flow and Pressure.

2. Remove the flow sensor module.
3. Wait for ‘No insp flow sensor’ and ‘No exp flow sensor’ alarms to
occur.
4. Reinsert the flow sensor module. Make sure the flow sensors are
securely latched when they are reinserted. Wait for alarms to clear.
5. Start mechanical ventilation when ready.
Circuit O2
cell
21% O2 calibration
1. Select System Setup.
2. Select Calibration on the System Setup menu.
3. Select Circuit O2 Cell 21%.
4. Follow the instructions on the screen.
100% O2 calibration
1. Ensure the wye-piece, or patient connection, is not plugged or there
is no patient tubing connected to the system.
2. (ACGO option only.) Set the ACGO switch to Circle.
3. Set the Bag/Vent switch to Vent.
4. Select Circuit O2 Cell 100%.
9-6 2067226-001
9 User maintenance
5. Follow the instructions on the screen.
Airway gas calibration
The airway gas selection is only available on the Calibration menu when
the system detects an airway module and the module has completed the
warm up phase. See the "Airway modules" section for calibration
instructions.
Water buildup
Small beads of water or a foggy appearance in the flow sensors is okay.

Pooled water in the flow sensors or water in the sensing lines may cause
false alarms.
Water results from exhaled gas and the chemical reaction between CO2 and
the absorbent that takes place within the absorber canister.
At lower fresh gas flows more water builds up because less gas is
scavenged and:
• More CO2 stays in the absorber to react and produce water.

• More moist, exhaled gas stays in the patient circuit and the
absorber.
How to help prevent water buildup

Suggested ways to prevent water buildup include:
• Equip systems with the optional condenser. See the "Parts"

section for information.
• Empty the water reservoir in the canister when changing the
absorbent.
• Ensure the water condensing in the breathing circuit tubes is kept
lower than the flow sensors and is not allowed to drain back into the
flow sensors.
• Water condensation in the breathing circuit tubing might be lessened
by using a Heat and Moisture Exchange (HME) filter at the airway
connection.
2067226-001 9-7
9-8 2067226-001
10 Parts
In this section
Flow sensor module....................................................................10-2
Breathing circuit module.............................................................10-3
Bellows.......................................................................................10-4
Complete advanced breathing system.........................................10-5
Absorber canister........................................................................10-6
Exhalation valve assembly..........................................................10-7
AGSS..........................................................................................10-8
EZchange canister system.........................................................10-10
Condenser.................................................................................10-11
Test tools and system parts.......................................................10-12
Note
This section lists user replaceable parts only. For other components, refer to
the Technical Reference manual.
2067226-001 10-9
Aisys CS²
Flow sensor module
AB.82.019
2
Item Description Stock number

- Flow sensor module (does not include flow 1407-7022-000
sensors)
1 Flow sensor cover 1011-3283-000
2 Flow sensor cuff 1407-3004-000
3 Flow sensor, disposable (plastic) 1503-3858-000
- Flow sensor, autoclavable (metal) 1503-3244-000
10-2 2067226-001
10 Parts
Breathing circuit module
AB.82.021
5

- Breathing circuit module (does not include O2 1407-7002-000
cell or plug, o-ring, or cable)
1 Check valves circuit lens 1407-3101-000
2 Check valve assembly 1406-8219-000
3 O-ring for O2 cell or plug 1406-3466-000
4 O2 cell (includes o-ring) 6050-0004-110
5 Cable, O2 cell 1009-5570-000
- Plug (includes o-ring; for systems without O2 1503-3857-000
sensing)
2067226-001 10-11
Aisys CS²
Bellows
3
12
4
11 5
6
10
9
8
AB.82.018
7

1 Bellows housing M1239264
2 Bellows 1500-3378-000
3 Rim 1500-3351-000
4 Pressure relief valve assembly 1500-3377-000
5 Latch, rim 1500-3352-000
6 Seal, base 1500-3359-000
7 Manifold, bellows base 1407-3702-000
8 Poppet, APL valve 1406-3332-000
9 Cage, APL 1406-3333-000
10 Diaphragm, APL 1406-3331-000
11 Ramp, APL 1407-3400-000
12 Bellows base with latch, green M1213265
10-4 2067226-001
10 Parts
Complete advanced breathing system
AB.82.001
Description Stock number

Complete breathing assembly includes:
• Flow sensor module (does not include flow
sensors).
• Breathing circuit module (does not include
APL valve, O2 cell or plug, o-ring, or cable).
• Complete bellows base.
• Canister not included.
Autoclavable breathing assembly, green M1234213
Autoclavable breathing assembly, Australia,
M1234214
green
2067226-001 10-5
Aisys CS²
Absorber canister
3
1
Item Description AB.82.017 Stock number

1 Multi absorber, reusable (includes 40 pack of 1407-7004-000
foam; does not include absorbent)
2 Cover assembly, CO2 canister 1009-8240-000
3 Foam, CO2 canister (pack of 40) 1407-3201-000
4 O-ring 1407-3204-000
5 Canister, CO2 with handle 1407-3200-000
- Multi absorber, disposable, white to violet (pack of 8003138
six)
- Multi absorber, disposable, pink to white (pack of 8003963
six)
10-6 2067226-001
10 Parts
Exhalation valve assembly
AB.82.035
Exhalation valve assembly 1407-7005-000
2067226-001 10-7
Aisys CS²
AGSS
Description Stock Number

Common
Cap 3.18 barb silicone 1406-3524-000
Connector, inlet 30 mm male to 19 mm male M1003947
Connector, inlet 30 mm male to 30 mm male M1003134
O-ring for connector, 21.95 ID 1406-3558-000
O-ring for receiver, 22 ID 1407-3104-000
O-ring for thumbscrews, 4.47 ID 1407-3923-000
Reservoir scavenger 1407-3903-000
Seal, down tube scavenger 1407-3904-000
Seal, receiver scavenger 1407-3901-000
Thumbscrew M6 X 28.5 1406-3305-000
Thumbscrew M6 X 43 1406-3304-000
Valve, unidirectional (complete assembly) 1406-8219-000

Passive AGSS
Adapter, outlet 30 mm female to 19 mm male 1500-3376-000
(pack of five)
Exhaust hose 8004461
Plug assembly 30 mm ISO 1407-3909-000
Screw, shoulder 4 diameter X 4 L M3 X 0.5 sst 1407-3915-000

Active AGSS, adjustable flow
Bag with 30 mm male connector 8004460
Plug assembly 30 mm ISO 1407-3909-000

Active AGSS, high flow
Filter, 225 micrometer nylon screen AGSS 1406-3521-000
Seal, filter scavenger 1407-3902-000
10-8 2067226-001
10 Parts

Active AGSS, low flow
Filter, 225 micrometer nylon screen AGSS 1406-3521-000
Seal, filter scavenger 1407-3902-000
2067226-001 10-9
Aisys CS²
EZchange canister system
1
3
2 4
AB.82.131
1 EZchange canister module, includes valve and cap 1407-7021-000
2 Valve 1407-7023-000
3 Cap 1407-3130-000
4 Condenser 1407-7024-000
- EZchange canister module with condenser 1407-7027-000
10-10 2067226-001
10 Parts
Condenser
AB.82.045
- Condenser assembly (includes module and 1407-7026-000
condenser)
1 Condenser module 1407-7025-000
2 Condenser 1407-7024-000
2067226-001 10-
11
Aisys CS²
Test tools and system parts

Airway module calibration gas 755583
Airway module calibration gas (U.S. variant only) 755571
Airway module exhaust line 8004463
Calibration gas regulator 755534
Calibration gas regulator (U.S. variant only) M1006864
Cylinder gasket (pin indexed cylinders only) 0210-5022-300
Cylinder wrench (DIN477 and high-pressure hose) 1202-3651-000
Cylinder wrench for pin-indexed cylinder 0219-3415-800
DIN O2 plug (cylinder connection) 1202-7146-000
Handle for yoke tee 0219-3372-600
Negative low pressure leak test device 0309-1319-800
Positive low pressure leak test device (BSI) 1001-8975-000
Positive low pressure leak test device (ISO) 1001-8976-000
Positive pressure leak test adapter 1009-3119-000
Ring, sealing gasket (for DIN 477 and O2 high-pressure 1001-3812-000
hose)
Ring, sealing gasket (for N2O high-pressure hose) 1202-3641-000
Test lung 0219-7210-300
Test plug M1210946
Yoke plug 0206-3040-542
Shelf mounting straps 0203-1481-300
Filter, dust, display (10 pack) M1220155
Cable management arm M1229718
Display cable wrap M1231281
Aladin2 bottle adapter Easy-Fil isoflurane 1100-3025-000
Aladin2 bottle adapter Easy-Fil enflurane 1100-3027-000
Aladin2 bottle adapter Easy-Fil sevoflurane 1100-3028-000
Aladin bottle adapter keyed halothane 1100-3003-000
Aladin bottle adapter keyed enflurane 1100-3001-000
Aladin bottle adapter keyed isoflurane 1100-3002-000
Aladin bottle adapter keyed sevoflurane 1100-3007-000
10-12 2067226-001
11 Specifications and theory of
operation
In this section
System pneumatic circuit............................................................11-2
Pneumatic specifications.............................................................11-6
Electrical block diagram.............................................................11-8
Electrical power........................................................................11-10
Flow specifications...................................................................11-12
Breathing system specifications................................................11-13
Physical specifications..............................................................11-16
Environmental requirements.....................................................11-18
Airway module specifications...................................................11-19
Suction regulators (optional).....................................................11-22
Ventilator theory.......................................................................11-23
Ventilator operating specifications............................................11-37
Ventilator accuracy data...........................................................11-39
Electronically controlled vaporizer and Aladin cassette............11-40
Electromagnetic compatibility (EMC)......................................11-46
Note
All specifications are nominal and subject to change without notice.
2067226-001 11-1
Aisys CS²
System pneumatic circuit
11-2 2067226-001
1. Auxiliary O2, 0-10 l/min (optional) 45. Inspiratory flow sensor

2. 241 kPa (35 psi) secondary O2 regulator 46. Patient wye (patient connection)
3. Pipeline: O2, Air, N2O 47. Airway transducer
4. Cylinder: O1, Air, N2O 48. Inspiratory flow transducer
5. 758 kPa (110 psi) relief 49. Expiratory flow transducer
6. Venturi drive gas connection 50. Manifold pressure transducer
7. Selector valve, O2, Air, N2O 51. Passive gas scavenging interface
8. O2 flush 52. 30 mm male to disposal system
9. 0-120 l/min flow 53. 0.3 cmH2O entrainment
10. Alternate O2 54. Reservoir
11. System switch 55. Adjustable gas scavenging interface
12. Alternate O2 disable valve 56. DISS EVAC connector
13. ACGO/non-circle port 57. Active gas scavenging interface
14. Vent drive gas select 58. Room air
15. O2 flow controller 59. Filter
16. Balance flow controller 60. High or low flow restrictor
17. Gas inlet valve 61. Flow indicator
18. Vent drive gas regulator 172 kPa (25 psi) at 15 62. To disposal system
l/min
19. Inspiratory flow control valve 63. ACGO variant
20. Drive gas check valve (3.5 cmH2O bias) 64. Circle or ACGO mode switch
21. Mechanical over pressure valve (110 cmH2O) 65. 22 mm ACGO port
22. Free breathing check valve 66. O2 cell
23. Atmosphere 67. Non-circle variant
24. Pressure relief valve 68. Circle or non-circle mode switch
25. Exhalation valve (2 cmH2O bias) 69. Non-circle circuit pressure limiting valve
26. Relief valve 10 cmH2O 70. Bag/Vent switch
27. 0-10 l/min drive gas, 0-10 l/min patient and fresh 71. Bag
gas, 0-10 l/min total typical flow
28. 200 ml reservoir 72. APL valve 0-70 cmH2O
29. Control bleed to ambient approximately 1 l/min at 3 73. Default factory connection
cmH2O if continuous (rate dependent)
30. Vent to ambient 74. Gas monitor
31. Flush switch 37.2 kPa (5.4 psi) 75. Negative pressure relief valve
32. Electronic vaporizer 76. Absorber
33. ACGO port relief valve 77. Drain
34. Cassette inflow measure 78. EZchange canister
35. Cassette inflow valve 79. Condenser
36. Cassette identification 80. Bypass back-pressure valve
37. Cassette outflow measure 81. Inflow check valve
38. Cassette flow control valve 82. Cassette pressure sensor
39. Liquid flow prevention valve 83. Cassette connection valve
40. Cassette outflow valve 84. Aladin cassette
41. Scavenging valve 85. Pneumatic power outlet
42. Cassette temperature sensor 86. Embedded temperature sensor (not available on all
cassettes)
43. Liquid level indicator (not available on all cassettes) 87. Fresh gas sample relief valve
44. Expiratory flow sensor
2067226-001 11-3
Aisys CS²
Gas supplies
Pressurized gas supplies enter the system through a pipeline or cylinder

connection. All connections have indexed fittings, filters, and check valves.
A regulator decreases the cylinder pressures to the appropriate system
pressure. A pressure relief valve helps protect the system from excessive
high pressures.
To help prevent problems with the gas supplies:
• Install yoke plugs on all empty cylinder connections.

• When a pipeline supply is connected, keep the cylinder valve
closed.
• Disconnect the pipeline supplies when the system is not in use.
WARNING Do not leave gas cylinder valves open if the pipeline supply is
in use. Cylinder supplies could be depleted, leaving an
O2 flow
Pipeline or regulated cylinder pressure supplies O2 directly to the O2

channel of the gas mixer and to the ventilator if O2 is configured as drive
gas. If the pressure is too low, an alarm appears on the display. A second
regulator decreases the pressure for the flush valve and the auxiliary O2
flowmeter.
The flush valve supplies high flows (between 25 and 75 l/min) of O2 to the
fresh gas outlet when the O2 flush button is pushed. The flush switch uses
pressure changes to monitor the position of the flush valve.
Air and N2O
Pipeline or regulated cylinder pressure supplies Air directly to the air channel
of the gas mixer and to the ventilator if Air is configured as drive gas. If the
pressure is too low, an alarm appears on the display.
Pipeline or regulated cylinder pressure supplies N2O directly to the N2O
channel of the gas mixer. If the pressure is too low, an alarm appears on
the display.
11-4 2067226-001
Mixed gas
Either Air or N2O can be selected as the balance gas. The balance gas
flow is controlled by the mixer. When Alternate O2 control is in use, only
O2 is flowing and balance gas is disabled.
The mixed gas goes from the mixer outlet through the vaporizer to the
fresh gas outlet and into the breathing system. A pressure-relief valve sets
the maximum outlet pressure.
Note When the total is adjusted toward the lower flow limit and the calculated
O2 flow is required to go below 100 ml, a message shows in the gas
settings area of the screen. The anesthesia system calculates the required
O2% to maintain the user-set total flow.
EZchange canister
When installed, EZchange provides a CO2 bypass mode that permits

continued ventilation during absorber canister change.
Condenser
The condenser removes water in the system that is produced from the
reaction of CO2 gas with the absorbent. When fresh gas flow settings of
less than the patient minute volume are used during ventilation, the
amount of re-breathed gases increases. More CO2 flows through the
breathing system increasing the absorbent consumption. The moisture
buildup in the breathing system is also increased.
The condenser is connected between the outlet of the absorber canister
and the inlet of the circuit module. Moisture in the gas is condensed
into water droplets, which run into the condenser’s reservoir.
2067226-001 11-5
Aisys CS²
Pneumatic specifications
CAUTION All gases supplied to the system must be medical grade.
Gas supplies
Pipeline gases O2, Air, N2O

Cylinder gases O2, Air, N2O (3 cylinder maximum)
Cylinder connections Pin indexed
Nut and gland DIN-477
Large cylinder kit available for O2 and N2O
Primary regulator output Pin indexed: The primary regulator is set to
pressure pressure less than 345 kPa (50 psi).
DIN-477: The primary regulator is set to
pressure less than 414 kPa (60 psi).
Pressure-relief valve Approximately 758 kPa (110 psi)
Pipeline connections DISS-Male; DISS-Female; DIN 13252; AS
(filtered) 4059 (Australian); S90-116 (French Air
Liquide); BSPP 3/8 (Scandinavian) or NIST
(ISO 5359). All fittings available for O2, Air,
and N2O.
Pressure displays On system display.
Pipeline inlet pressure 280-600 kPa (41-87 psi)
Flush flow 25 l/min to 75 l/min
Internal O2 supply pressure at O2 pipeline less than 252 kPa (36 psi). O2
which N2O shutoff cylinder less than 2633 kPa (381 psi).
ACGO port relief
A relief valve on the vaporizer manifold limits the fresh gas pressure at the
ACGO port to 55 kPa (8 psi) at 45 l/min.
Non-circle circuit relief
A relief valve limits the fresh gas pressure at the inspiratory port to 27 kPa
(4 psi) at 55 l/min when non-circle circuit is selected.
11-6 2067226-001
Pneumatic power outlet
The pneumatic outlet is supplied with the same gas supply pressure as the
attached oxygen medical gas pipeline supply. The anesthesia system is
rated for supply pressures between 280 kPa - 600 kPa.
The anesthesia system is designed to function normally with a
maximum flow of 8 l/min from the pneumatic outlet. Higher flows
from this connection are possible and may result in decreased
anesthesia system performance.
2067226-001 11-7
Aisys CS²
Electrical block diagram
1
8 9
2 3 4 5 6 7 10
1112
131415 17
16
18 55
54 56
19 24
21 20 23 25
22
26
58
57 59
27
29 60
61
28
33 37
38
30 39
40
43 41
44 42
31 32
45 34 35 36
46
47
48
49
50
51 52 53
6364
66
67
68
69
62 70
65
71
72
73
AB.75.265
77767574
1. Power cord 40. Flow control valve with cable

2. AC inlet and breaker 41. Gas inlet valve with cable
3. Inrush board 42. Expiratory and inspiratory flow sensors
4. Transformer 43. O2 cell
5. Fuse block 44. Light strip boards
6. Outlet box with breakers 45. Light strip switch
7. Agent delivery board 46. CGO valve
8. Power controller board 47. ACGO/non-circle circuit switch
9. power supply fan with cable 48. CGO switch
10. Power supply with batteries 49. Bag/vent switch
11. Display connector board 50. ABS connected switch
12. Anesthesia control board 51. EZchange canister switch
11-8 2067226-001
13. Airway module power supply board 52. LCD with touch screen
14. Airway module 53. O2 flush switch
15. Display carrier board and CPU 54. DC power in
16. Speaker 1 55. Communication to system
17. Speaker 2 56. ComWheel encoder
18. Display unit fan with cable 57. Cassette temperature sensor board
19. Network I/O port - 1 (Ethernet) 58. Inflow zero valve
20. Keypad 59. Outflow zero valve
21. USB I/O port (software upgrade only) 60. Inflow pressure sensor board
22. USB I/O port 61. Outflow pressure sensor board
23. Network I/O port - 2 (Ethernet) 62. Inflow shutoff valve
24. Patient monitoring on/standby 63. Outflow shutoff valve
25. Serial I/O port 64. Cassette
26. Consolidated Ventilator Interface board 65. Scavenging valve
27. Electronic gas mixer board 66. Cassette pressure sensor
28. I/O port 67. Proportional valve
29. Pan fan with cable 68. Cassette interface board
30. Air cylinder pressure transducer 69. Universal power supply
31. N2O cylinder pressure transducer 70. Auxiliary connector board
32. O2 cylinder pressure transducer 71. I/O port
33. Air pipeline pressure transducer 72. Battery backup for monitor
34. N2O pipeline pressure transducer 73. AC mains LED
35. O2 pipeline pressure transducer 74. Manifold temperature sensor board
36. Second O2 cylinder pressure transducer 75. Liquid level sensor (not available on all cassettes)
37. Alternate O2 switch 76. Embedded temperature sensor (not available on all
cassettes)
38. On/Standby switch 77. VGA Output
39. Vent engine board
2067226-001 11-9
Aisys CS²
Electrical power
Supply voltage 100-120, 220-240, or 120/220-240 Vac +/- 10% at 50

or 60 Hz
Inlet circuit 100-120 Vac 220-240 Vac 120/220-240 Vac
breakers 15 A 8A 8A
Outlet circuit 110-120 Vac Japan 220-240 Vac
breakers (3) 2 A (2) 2 A (3) 1 A
(1) 3 A (1) 4 A (1) 2 A
System leakage UL and CSA rated systems (U.S.A. and Canada): less than
current limit - do 300 μamps for the system and all systems connected to
not exceed electrical outlets.
IEC rated systems (not U.S.A. and Canada): less than 500
µamps for the system and all systems connected to
electrical outlets.
Note: Products connected to electrical outlets may
increase the leakage current above these limits.
Resistance to Less than 0.2 Ω
ground
Power cord
Length 5 meters
Voltage rating 100 to 240 Vac
Current capacity 10 A for 220-240 Vac
15 A for 100-120 Vac
10 A for 120/220-240 Vac
Type Three conduction power supply cord (medical
grade where required).
WARNING This equipment must be connected to a supply mains with a

protective earth to avoid the risk of electric shock.
Battery information
The system is not a portable unit. A sealed lead acid battery supplies backup
power in the event of a power failure.
• Capacity to operate for 50 minutes under typical operating

conditions and 30 minutes under extreme conditions.
11-10 2067226-001
• The system functions to specifications through the transition to

battery power. The system will automatically switch over to the
battery supply when adequate system supply cannot be maintained
from the mains input.
• The system functions to specifications while the battery is
recharging.
• Electrical outlets (if provided) will not function during a power
failure.
• Electrical outlets (if provided) will not function on battery power.
Only trained service representatives are to replace the battery. Batteries

must be disposed of in accordance with applicable regulatory requirements
in effect at the time and place of disposal. Contact a trained service
representative to disconnect the battery if the equipment is not likely to be
used for an extended time.
2067226-001 11-11
Aisys CS²
Flow specifications
Alternate O2
Minimum flow 500 ml/min to 700 ml/min
Maximum flow 10 l/min to 13 l/min
Indicator Flow tube
Indicator accuracy +/- 5% full scale
Fresh gas
Flow range 0 and 200 ml/min to 15 l/min
Minimum total flow O2 and balance gas is
200 ml/min
Total flow accuracy +/- 10% or +/- 40 ml/min of setting
(whichever is larger)
O2 flow accuracy +/- 5% or +/- 20 ml/min of setting (whichever is
larger)
Balance gas flow accuracy +/- 5% or +/- 20 ml/min of setting (whichever is
larger) Air/N2O
O2 concentration range 21%, 25% to 100%
O2 concentration accuracy +/- 2.5% of setting for total flow of greater
than or equal to 1 l/min and less than or equal
to 15 l/min
+/- 5% of setting for total flow of greater than or
equal to 0.4 l/min and less than 1 l/min
+/- 6.5% of setting for total flow of greater than
or equal to 0.2 l/min and less than 0.4 l/min
Electronic mixer response 500 ms (10% to 90% flow step)

time
Compensation Temperature and atmospheric pressure
compensated to standard conditions of 20°C and
101.3 kPa (14.7 psi)
Hypoxic guard Electronic
Note: Leakage from one gas inlet to another gas inlet is less than 10 ml per hour.
Note: The stated flow accuracy may not be met for total flows between 200 and
400 ml/min. The total flow will maintain a minimum of 21% O2.
11-12 2067226-001
Breathing system specifications
Volume Ventilator side 2730 ml; bag side 1215 ml

With EZchange canister system and condenser:
ventilator side 3145 ml; bag side 1630 ml
Absorbent 1250 ml canister
Connections Auxiliary Common Gas Outlet: ISO 5356 type
connector on the front of the system (standard 22 mm
OD or 15 mm ID conical friction fit connectors).
System leakage Less than or equal to 150 ml/min total at 3 kPa (30
cmH2O) with EZchange canister system and condenser
(both in absorber mode and with canister removed).
System compliance Volume of gas lost due to internal compliance (bag

mode only):
1.82 ml/0.098 kPa (1 cmH2O)
55 ml/3 kPa (30 cmH2O)
With EZchange canister system and condenser:
2.67 ml/0.098 kPa (1 cmH2O)
80 ml/3 kPa (30 cmH2O)
Pressure required to Dry: 0.49 cmH2O
open inspiratory or Wet: 0.91 cmH2O
expiratory valves
Pressure generated by a 0.81 cmH2O
wet unidirectional valve
APL valve Approximately 0 to 70 cmH2O

Negative pressure Minimum 30 l/min at -20 cmH2O
relief
Mechanical over- 25 l/min at 115 +/- 10 cmH2O
pressure valve
Inspiratory Breathing resistance in bag mode*

l/min kPa cmH2O
5 0.06 0.6
30 0.22 2.2
60 0.56 5.7
EZchange canister system and condenser, absorber mode
5 0.06 0.6
30 0.24 2.4
60 0.57 5.8
EZchange canister system and condenser, canister removed
2067226-001 11-13
Aisys CS²
Inspiratory Breathing resistance in bag mode*

l/min kPa cmH2O
5 0.06 0.6
30 0.21 2.1
60 0.49 5.0
*Values include patient circuit tubing and wye-piece 0.049 kPa (0.5 cmH2O) at
60 l/min. Patient circuit tubing and breathing system configurations affect
resistance.
Expiratory Breathing resistance in bag mode*

l/min kPa cmH2O
5 0.05 0.5
30 0.15 1.5
60 0.37 3.8
EZchange canister system and condenser, absorber mode
5 0.06 0.6
30 0.19 1.9
60 0.44 4.5
EZchange canister system and condenser, canister removed
5 0.06 0.6
30 0.19 1.9
60 0.44 4.5
*Values include patient circuit tubing and wye-piece 0.03 kPa (0.3 cmH2O) at 60
l/min. Patient circuit tubing and breathing system configurations affect resistance.
Pressure flow data (APL valve completely open)

Flow (l/min) Flow (l/s) APL pressure cmH2O
3 0.05 0.93
30 0.51 1.70
60 1.0 2.44
70 1.17 3.30
Gas scavenging
All scavenging
Positive pressure relief 10 cmH2O
11-14 2067226-001
Passive scavenging
Negative pressure relief 0.3 cmH2O
Outlet connector 30 mm male taper ISO
Active scavenging
Disposal system Outlet Flow range Pressure
type connector*
Adjustable DISS EVAC Up to 30 l/min not applicable
High flow, low BSI 30 mm 50 to 80 l/min not applicable
vacuum threaded
Low flow, high DISS EVAC 36 +/- 4 l/min 305 mmHg (12
vacuum inHg) minimum
vacuum
Low flow, low 12.7 mm hose 36 +/- 4 l/min not applicable
vacuum barb
Low flow, low 25 mm hose barb 40 to 50 l/min not applicable
vacuum
Low flow, low 30 mm ISO taper 40 to 50 l/min not applicable
vacuum
*Other market-specific connectors may be available.
Particle filter at the outlet has a pore size of 225 microns. All flow data uses a new
filter.
2067226-001 11-15
Aisys CS²
Physical specifications
All specifications are approximate values and can change without notice.
Do not subject the system to excessive shock and

CAUTION vibration.
Do not place excessive weight on flat surfaces or drawers.
•
Maintain system balance. When using rails or dovetails,
distribute equipment on each side of the system. Uneven system
WARNING balance could cause the system to tip.
System Height 151 cm

System Width 80 cm
System Depth 89 cm
Nominal machine mass (including 190 kg
three cassettes)
Maximum configured mass (includes 500 kg
external cylinders and maximum loads
on all mounting and storage locations)
Top of machine weight limit 45 kg

Optional top shelf weight limit, 45 kg
includes top of machine weight
Machine drawer weight limit 8 kg
Casters 13 cm
LCD and touchscreen display 304 x 228 mm (38 cm diagonal)
Lower dovetail loading

Maximum allowable lower dovetail loading is 22.7 kg and 16.2 Nm. See
"System overview" for the location of the lower dovetail.
11-16 2067226-001
25
20
15
10
AC.22.039
0
0 10 20 30 40 50 60 70 80
Figure 11-1 • Lower dovetail load in kg (vertical) versus load distance

from the lower dovetail in cm (horizontal).
Upper dovetail loading
Maximum allowable upper dovetail loading is 11.3 kg and 54 Nm. See

"System overview" for the location of the upper dovetail.
12
11
10
6
AC.22.020
5
40 45 50 55 60 65 70 75
Figure 11-2 • Upper dovetail load in kg (vertical) versus load distance

from the upper dovetail in cm (horizontal).
2067226-001 11-17
Aisys CS²
Environmental requirements
Operation Storage and Transport

Temperature 10 to 35°C -25 to 60°C
Oxygen cell 10 to 40°C Oxygen cell storage is -15 to 50°C, 10 to 95% RH, 500
to 800 mmHg
LCD display storage is -20 to 60°C
Aladin cassette storage is -25 to 50°C
Humidity 15 to 95% RH, non-condensing 15 to 95%, non-condensing
Altitude 537 to 800 mmHg 425 to 800 mmHg
(3000 to -440 meters) (4880 to -440 meters)
11-18 2067226-001
Airway module specifications

Use only airway modules that have anesthetic agent monitoring and O2
monitoring on this system. The following modules can be used on this
system:
• E-series: E-CAiO, E-CAiOV, E-CAiOVX (software version 4.5

and above)
• M-series: M-CAiO, M-CAiOV, M-CAiOVX (software version 3.2
and above)
• CARESCAPE series: E-sCAiO and E-sCAiOV
Gas specifications for E-, M-series modules
E- and M-series
Airway humidity 0 to 100% condensing
Sampling delay 2.5 seconds typical with a 3 m sampling line
Total system response time 2.9 seconds typical with a 3 m sampling line, including sampling delay and rise time
Warm-up time 2 minutes for operation with CO2, O2, and N2O 5
minutes for operation of anesthetic agents
30 minutes for full specifications
Respiration rate 4 to 60 breaths/min
Diversion flow 200 ml/min +/- 20 ml/min
Airway pressure -20 cmH2O to 100 cmH2O
E- and M-series airway modules: Accuracy under different conditions

Ambient temperature: 10 to 40°C
Ambient pressure: 500 to 800 mmHg, +/- 50 mmHg of calibration
Ambient humidity: 10 to 98% RH, +/- 20% RH of calibration
Automatic compensation for ambient pressure
Full module accuracy for Respiration rate of 4 to 35 breaths/min
During warm-up 10 to 30 minutes, under normal During warm-up 2 to 10 minutes (anesthetic
conditions agents 5 to 10 minutes), under normal
conditions
CO2 +/- (0.3 vol% + 4% of reading) +/- (0.4 vol% + 7% of reading)
O2 +/- (2 vol% + 2% of reading) +/- (3 vol% + 3% of reading)
N2O +/- (3 vol% + 3% of reading) +/- (3 vol% + 5% of reading)
Hal, Enf, Iso, +/- (0.2 vol% + 10% of reading) +/- (0.3 vol% + 10% of reading)
Sev, Des
2067226-001 11-19
Aisys CS²
Gas specifications for CARESCAPE modules
CARESCAPE
Airway humidity 0 to 100% condensing
Sampling delay 3.0 seconds typical with a 3 m sampling line
Total system response time Less than 3.8 seconds with a 3 m sampling line
Warm-up time 1 minute for operation with CO2, O2, and N2O 5
minutes for operation of anesthetic agents
Respiration rate 4 to 100 breaths/min
Diversion flow 120 +/- 20 ml/min
Airway pressure -20 cmH2O to 100 cmH2O
CARESCAPE airway modules: Accuracy under different conditions

Ambient temperature: 10 to 40°C
Ambient pressure: 495 to 795 mmHg
Ambient Humidity: 10 to 98% RH, non-condensing
Automatic compensation for ambient pressure
Full module accuracy for Respiration rate of 4 to 70 breaths/min
During stable condition During warm-up 1 to 10 minutes During warm-up 10-20 minutes
(anesthetic agents 5-10 minutes)
CO2 +/- (0.2 vol% + 2% of reading) +/- (0.4 vol% + 7% of reading) +/- (0.3 vol% + 4% of reading)
O2 +/- (1 vol% + 2% of reading) +/- (3 vol% + 3% of reading) +/- (2 vol% + 2% of reading)
N2O +/- (2 vol% + 2% of reading) +/- (3 vol% + 5% of reading) +/- (3% vol% + 3% of reading)
between 0 and 85 vol%
+/- (2 vol% + 8% of reading for
N2O between 85 and 100 vol%
Hal, Enf, Iso, +/- (0.15 vol% + 5% of reading) +/- (0.3 vol% +10% of reading) +/- (0.2 vol% +10% of reading
Sev, Des
11-20 2067226-001
Typical performance
M- and E-series CARESCAPE*

CO2 Measurement range 0 to 15 vol% (0 to 15 kPa, Measurement range 0 to 15 vol% (0 to 15 kPa,
0 to 113 mmHg). 0 to 113 mmHg).
Measurement rise time less than 400 ms Measurement rise time less than 260 ms
typical. typical.
Accuracy +/- (0.2 vol% + 2% of reading). 6 Accuracy +/- (0.2 vol% + 2% of reading). 6
hour drift less than 0.1 vol% hour drift less than 0.1 vol%
Gas cross effects less than 0.2 vol% (O2, Gas cross effects less than 0.2 vol% (O2,
N2O, anesthetic agents). N2O, anesthetic agents).
O2 Measurement range 0 to 100 vol%. Measurement range 0 to 100 vol%.
typical. typical.
Accuracy +/- (1 vol% + 2% of reading). 6 Accuracy +/- (1 vol% + 2% of reading). 6
Gas cross effects less than 1 vol% anesthetic Gas cross effects less than 1 vol% anesthetic
agents, less than 2 vol% N2O. agents, less than 2 vol% N2O.
N2O Measurement range 0 to 100 vol%. Measurement range 0 to 100 vol%.
typical. typical.
Accuracy +/- (2 vol% + 2% of reading). 6 Accuracy +/- (2 vol% + 2% of reading). 6
Gas cross effects less than 2 vol% anesthetic Gas cross effects less than 2 vol% anesthetic
agents. agents.
Anesthetic agents Measurement range Hal, Enf, Iso 0 to 6% vol Measurement range Hal, Enf, Iso 0 to 6% vol
%. %.
Measurement range Sev 0 to 8 vol%. Measurement range Sev 0 to 8 vol%. Measurement
Measurement range Des 0 to 20 vol%. range Des 0 to 20 vol%. Measurement rise time
Measurement rise time less than 400 ms Des, Enf, Iso, Sev less than 420 ms typical.
typical. Measurement rise time Hal less than 800 ms
Accuracy +/- (0.15 vol% + 5% of reading). typical.
6 hour drift for Hal, Enf, Iso, Sev less than 0.1 vol Accuracy +/- (0.15 vol% + 5% of reading).
% 6 hour drift for Hal, Enf, Iso, Sev less than 0.1 vol
6 hour drift for Des less than 0.2 vol% %
Gas cross effects less than 0.15 vol% N2O. 6 hour drift for Des less than 0.3 vol%
Gas cross effects less than 0.15 vol% N2O.
*The effects caused by N2O to the measurement of CO2, O2, and anesthetic agents are automatically compensated for. The
effects caused by anesthetic agents to the measurement of CO2 and N2O are automatically compensated for.
2067226-001 11-21
Aisys CS²
Suction regulators (optional)
Venturi Suction Regulator

Performance Category Pharyngeal Suction
Supply Air or O2 from system gas supply
Drive Gas Consumption* 28 l/min with pipeline drive gas at 280 kPa 52
l/min with pipeline drive gas at 600 kPa
Maximum Vacuum* 600 mmHg with pipeline drive gas at 280 kPa 550
mmHg with pipeline drive gas at 600 kPa
Maximum Flow* 29 l/min with pipeline drive gas at 280 kPa 32
l/min with pipeline drive gas at 600 kPa
Vacuum Gauge Accuracy +/- 5% of full scale
*Values are approximate.
Continuous Suction Regulator

Performance Category Pharyngeal Suction
Supply External vacuum
Maximum Vacuum* 540 mmHg with external vacuum applied of
540 mmHg and 40 l/min free flow
Maximum Flow* 39 l/min with external vacuum applied of 540
mmHg and 40 l/min free flow
Vacuum Gauge Accuracy +/- 5% of full scale
*Values are approximate.
11-22 2067226-001
Ventilator theory
The ventilator pneumatics are at the rear of the breathing system. A
precision valve controls gas flow to the patient. During inspiration, this
gas flow closes the exhalation valve and pushes the bellows down. During
expiration, a small flow pressurizes the exhalation diaphragm to supply
PEEP pressure. If the maximum pressure (pmax) is reached during
inspiration, the ventilator will cycle to expiration.
Volume and flow measurements come from flow sensors in the flow sensor
module. Two tubes from each sensor connect to a transducer that measures
the pressure change across the sensor, which changes with the flow. A third
transducer measures airway pressures at the inspiratory flow sensor.
The ventilator uses the data from the flow sensors for volume-related
numerics and alarms. The ventilator also uses the flow sensors to adjust its
output for changes in fresh gas flow, small leaks, and gas compression
upstream of the breathing circuit. There is adjustment for compression in
the patient circuit.
In volume ventilation modes, certain alarm conditions prevent the
automatic adjustment of ventilator delivery based on measured flow
values. In these cases, ‘TV accuracy decreased. Adjust manually.’ displays
above the ventilator setting area of the screen. When this message shows,
the ventilator may not be able to deliver within the accuracy range
specified. When this occurs, the tidal volume must be manually adjusted
until the volume delivered reaches the desired level. If compensation stops
for a number of breaths, the condition causing the hold shows as an alarm.
Automatic volume compensation resumes when the alarm conditions are
resolved.
For better precision a small quantity of gas bleeds through a resistor to
keep pressure on the exhalation valve constant. At high airway pressures,
this can cause a slight hiss during inspiration.
Always connect the expiratory flow sensor. If it is not

connected, the patient disconnect alarm cannot operate
WARNING correctly.
O2 monitoring theory of operation
O2 monitoring measures O2 concentration in the patient circuit. The O2

concentration measured from the O2 cell is shown on the ventilator
display.
The O2 cell is an electrochemical device (galvanic cell). Oxygen diffuses
through a membrane into the cell and oxidizes a base metal electrode. This
oxidation produces an electrical current proportional to the partial pressure
of the oxygen at the electrodes sensing surface. The base metal electrode
gradually wears out from the oxidation process.
2067226-001 11-23
Aisys CS²
The voltage from the cell cartridge is affected by the temperature of the
monitored gas mixture. A thermistor in the cell’s housing automatically
compensates for temperature changes in the cell.
O2 monitoring uses signal processing and analyzing circuitry to convert
the cell signal into a corresponding percent oxygen value. The system
displays this value and compares it to saved alarm limits. If the value
falls outside the limits, the monitor produces the appropriate alarms.
ecoFLOW theory of operation
The ecoFLOW option provides a split screen view that shows the
approximate minimum O2 flow to maintain a preset FiO2 value. It also
shows the approximate agent used per hour and the cost. Some information
associated with the ecoFLOW option is not provided when the airway
module is warming up, not present, or non- functional.
The split screen shows the Paw gauge in the upper area and the ecoFLOW
gauge in the lower portion of the screen. The ecoFLOW gauge consists of
a fresh gas flow tube, an agent flow indicator, and related parameters.
The fresh gas flow tube is a stacked flow tube showing the total O2 flow on
the bottom and the remaining gas (N2 or N2O) on top. These gases
determine the total fresh gas flow setting. Below the fresh gas flow tube is
the measured total O2 flow to the patient and the calculated FiO2 flow
value. The FiO2 flow value is based on the FiO2 Setting specified in
Super User mode. This is the minimum O2 flow needed to deliver a preset
inspired O2 concentration. The FiO2 flow value is specific to each patient
and case. It is calculated using the fresh gas settings, the patient O2 uptake,
the dilution effect of agent being delivered, and the effects of the circle
breathing system.
The agent flow indicator shows the amount of liquid agent flow as related
to the fresh gas setting. The calculated cost of the agent shows above this
indicator. This cost is based on agent flow and the values entered in the
Agent Costs menu set in Super User mode.
Ventilation modes
The system has the following standard mode of mechanical

ventilation:
• Volume control ventilation (VCV)
The system offers the following optional modes of mechanical

ventilation:
• Pressure control ventilation (PCV)

• Pressure control ventilation - volume guaranteed (PCV-VG)
11-24 2067226-001
• Synchronized intermittent mandatory ventilation - volume control

ventilation (SIMV VCV)
• Synchronized intermittent mandatory ventilation - pressure
control ventilation (SIMV PCV)
• Synchronized intermittent mandatory ventilation - pressure
control ventilation - volume guaranteed (SIMV PCV-VG)
• Pressure support ventilation with apnea backup (PSVPro)
• Continuous positive airway pressure + pressure support
ventilation (CPAP + PSV)
Volume control mode (VCV)

Volume control ventilation supplies a set tidal volume. The ventilator
calculates a flow based on the set tidal volume and the length of the
inspiratory time to deliver that tidal volume. It then adjusts that output by
measuring delivered volumes at the flow sensors. Since the ventilator
adjusts output, it can compensate for breathing system compliance, fresh
gas flow, and moderate breathing system leaks.
A typical volume-control pressure waveform increases throughout the
entire inspiratory period, and rapidly decreases at the start of expiration.
An inspiratory pause is available to improve gas distribution.
VCV mode settings:
• TV
• RR
• I:E
• Tpause
• PEEP
• Pmax
2
3 4
1
5
7
6
AB.98.036
1. Paw waveform
2. Tinsp
3. Insp Pause
2067226-001 11-25
Aisys CS²
4. Texp
5. PEEP
6. Flow waveform
7. TV
Figure 11-3 • Volume control waveform
Pressure control mode (PCV)

Pressure control ventilation supplies a constant set pressure during
inspiration. The ventilator calculates the inspiratory time from the
frequency and I:E ratio settings. A high initial flow pressurizes the circuit
to the set inspiratory pressure. The flow then decreases to maintain the set
pressure (Pinsp).
Pressure sensors in the ventilator measure patient airway pressure. The
ventilator automatically adjusts the flow to maintain the set inspiratory
pressure.
PCV mode settings:
• Pinsp
• RR
• I:E
• PEEP
• Pmax
• Rise Rate
2 3
4
1
5
6
AB.98.037
1. Paw waveform
2. Tinsp
3. Texp
4. Pinsp
5. PEEP
11-26 2067226-001
6. Flow waveform
Figure 11-4 • Pressure control waveform
PCV-VG mode
In PCV-VG, a tidal volume is set and the ventilator delivers that volume
using a decelerating flow and a constant pressure. The ventilator will adjust
the inspiratory pressure needed to deliver the set tidal volume breath-by-
breath so that the lowest pressure is used. The pressure range that the
ventilator will use is between the PEEP
+ 2 cmH2O level on the low end and 5 cmH2O below Pmax on the high
end. The inspiratory pressure change between breaths is a maximum of +/-
3 cmH2O. If a high airway pressure alarm is active due to the current
breath, the next breath’s target will be 0.5 cmH2O less than the current
breath’s pressure target.
This mode will deliver breaths with the efficiency of pressure controlled
ventilation, yet still compensate for changes in the patient’s lung
characteristics. PCV-VG begins by first delivering a volume breath at
the set tidal volume. The patient’s compliance is determined from this
volume breath and the inspiratory pressure level is then established for
the next PCV-VG breath.
PCV-VG mode setting:
• TV
• RR
• I:E
• PEEP
• Pmax
• Rise Rate
2 3
1
5
7
6
AB.98.034
1. Paw waveform
2. Tinsp
2067226-001 11-27
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3. Texp
4. Variable pressure to deliver desired TV
5. PEEP
6. Flow waveform
7. TV
Figure 11-5 • PCV-VG waveforms
SIMV VCV mode

Synchronized intermittent mandatory ventilation with volume control is a
mode in which periodic volume breaths are delivered to the patient at
preset intervals (time-triggered). Between the machine delivered breaths,
the patient can breathe spontaneously at the rate, tidal volume, and timing
that the patient desires.
At the specified time interval, the ventilator will not wait for the next
inspiratory effort from the patient. The sensitivity of this effort is adjusted
using the flow trigger level. When the ventilator senses the beginning of
inspiration within the Trigger window it synchronously delivers a volume
breath using the set tidal volume, and the inspiratory time (Tinsp) that is set
on the ventilator. If the patient fails to make and inspiratory effort during
the trigger window time interval, the ventilator will deliver a machine
breath to the patient. The ventilator will always deliver the specific number
of breaths per minute that the clinician has set.
In SIMV VCV, the spontaneous breaths can be pressure supported to assist
the patient in overcoming the resistance of the patient circuit and artificial
airway. When the Psupport level is set, the ventilator will deliver the
pressure support level to the patient during inspiration.
PEEP can also be used in combination with this mode.
Spontaneous breaths that occur during this mode are indicated by a color
change in the waveform.
SIMV VCV mode settings:
• TV
• RR
• Tinsp
• Tpause
• Psupport
• PEEP
• Pmax
• Trig Window
• Flow Trigger
• End of Breath
• Rise Rate
11-28 2067226-001
4
5 2
AB.91.040
TI
6
1. Mandatory SIMV breath

2. Spontaneous pressure supported breath
3. Paw
4. Psupport
5. PEEP
6. Time
Figure 11-6 • SIMV VCV waveform
SIMV PCV mode

Synchronized intermittent ventilation with pressure control ventilation
(SIMV PCV) delivers a relatively slow breathing rate with pressure-
controlled breathing. This mode combines mandatory breaths with
spontaneous breath support. If a trigger event occurs within the
synchronized window, a new pressure-controlled breath is initiated. If a
trigger event occurs elsewhere during the expiratory phase, a support for a
spontaneous breath is provided with pressure support added as set by the
clinician.
SIMV PCV mode settings:
• Pinsp
• RR
• Tinsp
• Psupport
• PEEP
• Pmax
• Trig Window
• Flow Trigger
• End of Breath
• Rise Rate
• Exit Backup
2067226-001 11-29
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2 3 4
5 6
1
AB.98.038
1. Paw waveform
2. Tinsp
3. Spontaneous breathing period
4. Trigger window
5. Pressure supported breath
6. Pinsp
7. Flow waveform
Figure 11-7 • SIMV PCV waveforms
SIMV PCV-VG mode

Synchronized intermittent mandatory ventilation with pressure control
volume guaranteed (SIMV PCV-VG) delivers a set rate of pressure
controlled breaths with a guaranteed volume to the patient. The patient can
breathe spontaneously between mandatory breaths.
Pressure support can be used to support the spontaneous breaths.
The mandatory breaths will deliver the set tidal volume using a
decelerating flow and a constant pressure. The ventilator will adjust the
inspiratory pressure needed to deliver the set tidal volume breath-by-
breath so that the lowest pressure is used. The pressure range that the
ventilator will use is between the PEEP + 2 cmH2O
level on the low end and 5 cmH2O below Pmax on the high end. The
inspiratory pressure change between breaths is a maximum of +/- 3
cmH2O. If a high airway pressure alarm is active due to the current breath,
the next breath’s target will be 0.5 cmH2O less than the current breath’s
pressure target.
SIMV PCV-VG begins by delivering a volume controlled breath. The
patient’s compliance is determined from the volume controlled ventilation
breath and the inspiratory pressure level is then established for the next
PCV-VG breath. The remaining mandatory
11-30 2067226-001
breaths will be pressure controlled with a guaranteed volume at the

inspiratory limb.
A portion of the exhalation phase is defined as the trigger window. If a
spontaneous breath is detected in this window, a new mandatory PCV-VG
breath is initiated. If a spontaneous breath is detected outside of this
window, support for this breath is provided according to the set pressure
support. The remainder of the trigger window is added to the next non-
triggering phase.
The inspiratory phase of supported breaths will end if the set End of Breath
is reached, if the airway pressure exceeds (PEEP + Psupport
+ 3 cmH2O). Supportive breaths have a maximum inspiratory time of 4
seconds.
SIMV PCV-VG mode settings:
• TV
• RR
• Flow Trigger
• Psupport
• PEEP
• Tinsp
• Pmax
• Trig Window
• End of Breath
• Rise Rate
• PSV Rise Rate
2 3 4
1 6
8
7
AB.98.153
1. Paw waveform
2. Tinsp
3. Spontaneous breathing period
4. Trig Window
5. Variable pressure to deliver desired TV
2067226-001 11-31
Aisys CS²
6. PEEP
7. Flow waveform
8. TV
Figure 11-8 • SIMV PCV-VG waveforms
PSVPro mode
PSVPro is pressure supported ventilation with apnea backup.
PSVPro is a spontaneous mode of ventilation that provides a constant
support pressure once the ventilator senses that the patient has made an
inspiratory effort. In this mode, the clinician sets the Pressure Support
(Psupport) and PEEP levels. The patient establishes the rate, inspiratory
flow, and inspiratory time. The tidal volume is determined by the pressure,
lung characteristics, and patient effort.
PSVPro uses an inspiration termination level that establishes when the
ventilator will stop the pressure-supported breath and cycle to the expiratory
phase. The inspiration termination level is user adjustable from 5 to 75%.
This parameter sets the percent of peak inspiratory flow that the ventilator
uses to end the inspiratory phase of the breath and to cycle into the
expiratory phase. If the inspiration termination is set to 30% then the
ventilator will stop inspiration when the flow decelerates to a level equal to
30% of the measured peak inspiratory flow. The lower the setting, the
shorter the inspiratory phase.
An apnea backup mode is provided if the patient stops breathing. When
setting this mode the clinician adjusts the inspiratory pressure (Pinsp),
respiratory rate (RR), and the inspiratory time (Tinsp). As long as the
patient is triggering the ventilator and the apnea alarm does not activate,
the patient will get pressure-supported breaths and the ventilator will not
deliver machine breaths.
If the patient stops triggering the ventilator for the set apnea delay time,
the apnea alarm will activate and the ventilator will automatically switch
to the backup mode that is SIMV PCV. Once in this mode the ventilator
will begin delivering machine pressure controlled breaths at the inspiratory
pressure level, inspiratory time, and rate that the user has set. If, during
this time, the patient takes spontaneous breaths in between the machine
breaths, the patient will receive pressure supported breaths.
PSVPro mode settings:
• Psupport
• PEEP
• Trig Window
• Flow Trigger
• End of Breath
• Pmax
• Backup Time
11-32 2067226-001
• Pinsp
• RR
• Tinsp
• Rise Rate
• Exit Backup
AB.91.041
TI
3
1. Paw
2. PEEP
3. Time
Figure 11-9 • PSVPro waveform
When the ventilator switches to the backup mode, the ‘Backup Mode
active’ alarm shows until PSVPro is reinstated or until another ventilation
mode is selected. PSVPro mode automatically resumes when the ventilator
registers the number of consecutive patient- triggered breaths set for the
Exit Backup setting. The factory default setting for Exit Backup is 2. When
Exit Backup is set to Off, the user must reselect the PSVPro mode to
reactivate PSVPro. Upon returning to PSVPro the ventilator immediately
begins providing pressure supported breaths to the patient using the
established settings.
CPAP + PSV mode

Continuous positive airway pressure + pressure support ventilation mode
is used on spontaneously breathing patients. This mode of ventilation
provides a constant support pressure once the ventilator senses that the
patient has made an inspiratory effort. In this mode, the clinician sets the
Pressure support (Psupport) and PEEP levels. The patient establishes the
rate, inspiratory flow, and inspiratory time. The tidal volume is
determined by the pressure, lung characteristics, and patient effort.
CPAP + PSV uses an inspiration termination level that establishes when the
ventilator will stop the pressure supported breath and cycle to the expiratory
phase. The inspiration termination level is user adjustable from 5 to 75%.
This parameter sets the percent of the peak inspiratory flow that the
ventilator uses to end the inspiratory phase of the breath and to cycle into
the expiratory phase. If the
2067226-001 11-33
Aisys CS²
inspiration termination is set to 30% then the ventilator will stop inspiration
when the flow decelerates to a level equal to 30% of the measured peak
inspiratory flow. The lower the setting the longer the inspiratory time and
conversely, the higher the setting the shorter the inspiratory phase.
If the spontaneous inspiratory effort does occur within the delay period,
the ventilator delivers pressure controlled breaths with the preset
inspiratory pressure to bring the breath rate up to the minimum rate. The
delay period calculation is 60 s/minimum rate + ([60 s/minimum rate] -
previous measured breath period).
The inspiratory support pressure and the inspiratory pressure settings are
linked at the start of each case. When the inspiratory support pressure
setting is changed, the inspiratory pressure setting is automatically adjusted
to match the inspiratory pressure setting. The link can be broken by
changing the Pinsp setting through the Vent Mode menu during the case.
CPAP + PSV settings:
• Psupport
• PEEP
• Flow Trigger
• End of Breath
• Pmax
• Pinsp
• Minimum RR
• Tinsp
• Rise Rate
2
AB.91.041
TI
3
1. Paw
2. PEEP
3. Time
Figure 11-10 • CPAP + PSV waveform
11-34 2067226-001
Ventilation modes factory default settings
The ventilation mode factory default settings for the ADULT case default
show in the following table. An * indicates the setting is not used for the
ventilation mode. See the "Super user mode" section for all other case
default values.
Setting Range Mode

VCV PCV PCV-VG SIMV VCV SIMV PCV SIMV PSVPro CPAP
PCV-VG +PSV
TV 20-1500 ml 500 * 500 500 * 500 * *
RR 4-100 bpm 12 12 12 * * * * *
RR 2-60 bpm * * * 12 12 12 12 *
Minimum RR 4-60 /min * * * * * * * 12
I:E 2:1 - 1:8 1:2 1:2 1:2 * * * * *
Tpause Off, 5-60% of Off * * Off * * * *
Tinsp
PEEP Off, 4-30 Off Off Off Off Off Off Off Off
cmH2O
Pmax 12-100 40 40 40 40 40 40 40 40
cmH2O
Pinsp 5-60 cmH2O * 5 * * 5 * 5 5
Psupport Off, 2-40 * * * 2 2 2 2 2
cmH2O
Tinsp 0.2-5 seconds * * * 1.7 1.7 1.7 1.7 1.7
Rise Rate Auto, 1-10 * Auto * Auto Auto * Auto Auto
Rise Rate 1-10 * * 5 * * 5 * *
PSV Rise Rate Auto, 1-10 * * * * * Auto * *
Trig Window Off, 5-80% of * * * 25 25 25 25 *
Texp
Flow Trigger 0.2-10 l/min * * * 2.0 2.0 2.0 2.0 2.0
End of Breath 5-75% of peak * * * 30 30 30 30 30
inspiratory flow
Backup Time 10-30 seconds * * * * * * 30 *

Exit Backup Off, 1-5 * * * * * * 2 *
spontaneous
breaths
2067226-001 11-35
Aisys CS²
Ventilation mode transition
Ventilation settings selectable though the quick keys and More Settings
are set to the factory default settings at start up of the system and at the end
of each case. The ventilation settings remain at the factory default until
changed by the user. If a ventilation setting is changed, the new setting
remains active in all applicable modes until the setting is changed again.
Exceptions include:
• For modes that use RR 4 to 100, the RR transfers to the new mode at
the set RR or 60 whichever is smaller. For example, if the mode in
use has a RR of 75 and the new mode does not support a RR of 75,
the RR is set to 60.
• For modes that use RR 2 to 60, the RR does not transfer to modes that
use RR 4 to 100. The RR is set to the factory default or the last set if
previously used during the case. For example, if during the first case
the RR (2 to 60) is set to 2 and the new mode uses RR 4 to 100, the
RR is set to the factory default.
• For modes that use I:E, when transferring to a mode that uses Tinsp,
the Tinsp is set to a calculation of I:E or 5 seconds whichever is
lower.
• For CPAP + PSV mode, Psupport and Pinsp settings are linked
during the patient case. When the Psupport setting is changed, the
Pinsp setting changes to the same value. The Pinsp setting shows in
the ventilation mode information above the ventilator settings. To
break the link during a case, change the Pinsp setting using the Pinsp
key.
11-36 2067226-001
Ventilator operating specifications

Based on the ventilator settings in use, the setting ranges may be
constrained so that the specifications stated are met.
Pneumatics
Gas source Anesthesia system

Gas composition Medical Air or O2
Nominal supply pressure 350 kPa (50 psi)
Pressure range at inlet 240 to 700 kPa (35 to 102 psi)
Peak gas flow 120 l/min at 240 kPa (35 psi), 0.75 seconds
Continuous gas flow 80 l/min at 240 kPa (35 psi)
Flow valve range 1 to 120 l/min at 240 kPa (35 psi)
Fresh gas compensation
Flow compensation range 0.20 to 15 l/min

Gas composition O2, N2O, Air, anesthetic agents
Pressure
Patient airway pressure range -20 to 120 cmH2O, +/- 1 cmH2O

resolution
High pressure alarm set range 12 to 100 cmH2O, 1 cm increment
Sustained pressure alarm range 6 to 40 cmH2O, 1 cm increment
Display range -20 to 120 cmH2O
Volume
Tidal volume display range less than 1 to 9999 ml, 1 ml resolution

Setting range 20 to 1500 ml
2067226-001 11-37
Aisys CS²
Minute volume less than 0.1 to 99.9 liters, 0.1 liter

resolution
Breath rate 4 to 100 bpm (non-spontaneous)
2 to 60 bpm (spontaneous)
1 bpm resolution
Volume sensor type Variable flow orifice
Oxygen
Display range 5 to 110% O2

Display resolution 1% increments
Sensor type Galvanic fuel cell
Measurement range 0 to 100% O2
Measurement accuracy Better than +/- 3% of full scale
Cell response time 35 seconds
Note: Response time of cell and adapters is
measured using the text method described in ISO
7767 (1997).
Low O2 alarm range 18% to 99%
High O2 alarm setting 19% to 100% or Off
Note: Low O2 limit may not be set above high O2
limit. High O2 limit may not be set below the low
O2 limit.
Expected cell life Four months of shelf life (23°C room air) and
one year of normal operation.
11-38 2067226-001
Ventilator accuracy data

The following accuracy data is based on patient conditions and settings
described in ASTM F1101. The ventilator is assumed to be operating in
volume mode. For the following to be true, the ventilator is operating with
100 percent oxygen in the breathing system, or it is connected to an
anesthesia gas analyzer. If the ventilator is operating without being
connected to an anesthesia gas analyzer, or at a temperature that differs
from when it was calibrated, additional errors may occur.
The minimum detectable breath size is 5.0 ml.
Delivery accuracy
Volume delivery accuracy Greater than 210 ml tidal volume - accuracy better than 7%.
Less than or equal to 210 ml but greater than or equal to 60 ml tidal
volume - accuracy better than 15 ml.
Less than 60 ml tidal volume - accuracy better than 10 ml.
Volume monitoring accuracy Greater than 210 ml tidal volume - accuracy better than 9%.
Less than or equal to 210 ml but greater than or equal to 60 ml tidal
volume - accuracy better than 18 ml.
Less than 60 ml tidal volume - accuracy better than 10 ml.
Inspiratory pressure delivery accuracy Greater of +/- 10% or +/- 3 cmH2O
PEEP delivery accuracy +/- 1.5 cmH2O
Pressure monitoring accuracy Greater of +/- 5% or +/- 2 cmH2O
Note: Gas composition errors may be in additions to the above normalized accuracy. When adding errors, positive errors can
have the effect of nulling out negative errors.
Note: Use of anesthetic agent could affect the errors by approximately -0.95%/% volume agent in normal mode. Note:
Temperatures greater than or less than 24°C may decrease BTPS accuracy.
Figure
AC.22.029
11-11 • Gas composition related errors
2067226-001 11-39
Aisys CS²
Electronically controlled vaporizer and Aladin cassette

Electronically controlled vaporizer for delivery of five agents: halothane,
isoflurane, enflurane, sevoflurane, and desflurane. The cassettes can be
handled safely without excessive leakage of anesthetic agent to the
environment. The electronically controlled vaporizer is calibrated using
100% O2 at multiple flows.
Agent setting ranges

Halothane, enflurane, isoflurane Off, 0.2 to 5% in fresh gas flow, resolution 0.1%
Sevoflurane Off, 0.2 to 8% in fresh gas flow, resolution 0.1%
Desflurane Off, 1 to 18% in fresh gas flow, resolution 0.2%
Response time
To 90% of step; measured at fresh gas outlet Less than 7 seconds at fresh gas flow of 2 l/min
AB.60.055
+20%, +1.0% v/v
+10%, +0.5% v/v
-10%, -0.5% v/v
18-25C
10-35C
-20%, -1.0% v/v
0
1000
3000
6000
8000
2000
4000
5000
7000
9000
10000
12000
13000
14000
15000
11000
1. Accuracy is greater of percent of setting (%) or volumetric percent (% v/v)

2. Fresh gas flow ml/min
3. All settings
4. Settings equal to or less than 9.0%
Figure 11-12 • Desflurane accuracy Aladin and Aladin2 Enhanced

Temperature Sensing
11-40 2067226-001
3 4 5 6
AB.60.056
+20%, +1.0% v/v
+10%, +0.5% v/v
-10%, -0.5% v/v
18-25C
10-35C
-20%, -1.0% v/v
0
2000
3000
5000
7000
1000
4000
6000
8000
9000
10000
11000
12000
13000
14000
15000
2

3. All settings
5. Settings equal to or less than 9%
Figure 11-13 • Desflurane accuracy Aladin2
AB.60.057
+20%, +0.4% v/v
+10%, +0.2% v/v
-10%, -0.2% v/v 18-25C

10-35C
-20%, -0.4% v/v

0
4000
6000
8000
9000
1000
2000
3000
5000
7000
10000
11000
12000
13000
14000
15000
2067226-001 11-41
Aisys CS²

3. All settings
Figure 11-14 • Enflurane accuracy
AB.60.059
+20%, +0.4% v/v
+10%, +0.2% v/v
-10%, -0.2% v/v
18-25C
10-35C
-20%, -0.4% v/v
0
1000
3000
5000
7000
2000
4000
6000
8000
9000
10000
11000
12000
13000
14000
15000
2

3. All settings
Figure 11-15 • Halothane and Isoflurane accuracy
11-42 2067226-001
3 4 5
AB.60.060
+20%, +0.4% v/v
+10%, +0.2% v/v
-10%, -0.2% v/v
18-25C
10-35C
-20%, -0.4% v/v
0
1000
3000
6000
8000
2000
4000
5000
7000
9000
10000
11000
12000
13000
14000
15000
2

3. All settings
Figure 11-16 • Sevoflurane accuracy
Note Accuracy specifications apply after a period of temperature stabilization

with output averaged at the common gas outlet over the latter minute of a 2
minute delivery at setting.
Note For a choice of settings and conditions, inaccuracy is the larger amount of
each specified pair percent setting (%) or volumetric percent (% v/v).
Applicable flow setting is inclusive of the right-hand boundary.
The effect of the fresh gas composition, back pressure (including

Note ventilation), and ambient pressure on the agent concentration are
included in the accuracy specifications.
The system delivers the same output in volumetric percent (% v/v)

Note within the specified altitude range.
For Aladin2 desflurane, if not operating in enhanced temperature sensing

Note mode, the output accuracy may be reduced.
2067226-001 11-43
Aisys CS²
Aladin2 cassettes
Filling
Filling system Easy-Fil: Adapter filler system for isoflurane, enflurane, and sevoflurane.
Quick-Fil: Filler system compatible to Abbot’s system for sevoflurane.
Saf-T-Fill: Filler system compatible to the Datex-Ohmeda Saf-T-Fil bottle for desflurane.
Filling speed Greater than 2 ml/s
Overfilling protection Overfilling prevention systems built into the cassettes.
Liquid capacity Enf, Iso, Sev Des

Maximum 220 ml 240 ml
Normal fill when indicator shows empty 125 ml (residual volume 95 ml) 140 ml (residual volume 100 ml)
Cassette
Empty weight 2.8 kg
Height 7 cm
Depth 24 cm
Width 14 cm
Aladin cassettes
Filling
Filling system Adapter filling: Rectangular keyed adapter filler system for halothane, isoflurane,
enflurane, and sevoflurane.
Quik-Fil: filler system compatible to Abbot’s system for sevoflurane.
Cylindrical keyed adapter: Filler system compatible to the Datex-Ohmeda Saf-T-Fil bottle for
desflurane.
Filling speed Greater than 2 ml/s
Overfilling protection Overfilling prevention systems built into the cassettes.
Liquid capacity
Maximum 250 ml
11-44 2067226-001
Liquid capacity
Normal fill when indicator shows empty 150 ml (residual volume 100 ml)
Cassette
Empty weight 2 kg: enflurane, isoflurane, sevoflurane with keyed filler
2.5 kg: halothane with keyed filler, sevoflurane with Quik-Fil 3
kg: desflurane
Height 7 cm
Depth 23 cm
Width 14 cm
16 cm with keyed filler
2067226-001 11-45
Aisys CS²
Electromagnetic compatibility (EMC)
WARNING Changes or modification to this equipment not expressly

approved by the manufacturer could cause EMC issues with
this or other equipment. Contact the manufacturer for
assistance. This device is designed and tested to comply with
applicable regulations regarding EMC as follows.
Use of portable phones or other radio frequency (RF) emitting
• equipment (that exceed electromagnetic interference levels
specified in IEC 60601-1-2) near the system may cause
unexpected or adverse operation.
Monitor operation when RF emitters are in the vicinity.
Use of other electrical equipment adjacent to or stacked with
• this system may cause interference. Verify normal operation
of equipment in the system before use on patients.
Cables
Cables used to obtain system electromagnetic emission and immunity

results are described below.
WARNING Use of any cables other than those specified by the

manufacturer may result in increased emissions or
decreased immunity of the anesthesia system.
Display optional output Cables used for EMC testing

ports
Ethernet Standard 8-pin RJ45 connector with unshielded
Ethernet cable - 7.6 m maximum length.
Ethernet Standard 8-pin RJ45 connector with unshielded

Ethernet cable - 7.6 m maximum length.
Universal Serial Bus (USB) Standard Type A connector USB cable with foil
shield - 1.8 m maximum length.
Universal Serial Bus (USB) The visible USB connector can be populated
with a memory stick.
Video Graphics Array (VGA) Standard VGA 15-pin D-subminiature three
row connector with shielded cable - 1.8 m
maximum length.
RS-232 Serial with On/ Part number M1023823.
STBY
11-46 2067226-001
Display optional output Cables used for EMC testing

ports
Monitor On/STBY Standard 9-pin D-subminiature male
connector with shielded cable - 1.8 m
maximum length.

emissions
The system is suitable for use in the specified electromagnetic environment.

The customer and/or user of the system should assure that it is used in an
electromagnetic environment as described below.
Emissions test Compliance Electromagnetic environment guidance

RF emissions Group 1 The system uses RF energy only for its internal function. Therefore, its RF emissions
CISPR 11 are very low and are not likely to cause any interference in nearby electronic
equipment.
RF emissions Class A The system is suitable for use in all establishments other than domestic and those
CISPR 11 directly connected to the public low-voltage power supply network that supplies
buildings used for domestic purposes.
Harmonic Class A The system is suitable for use in all establishments other than domestic and those
emissions IEC directly connected to the public low-voltage power supply network that supplies
61000-3-2 buildings used for domestic purposes.
Voltage Complies The system is suitable for use in all establishments other than domestic and those
fluctuations/flicker directly connected to the public low-voltage power supply network that supplies
emissions IEC buildings used for domestic purposes.
61000-3-3

immunity
The system is suitable for use in the specified electromagnetic environment.

The customer and/or user of the system should assure that it is used in an
electromagnetic environment as described below.
2067226-001 11-47
Aisys CS²
Power immunity
Power immunity
Immunity test IEC 60601-1-2 test level Compliance level Electromagnetic environment
guidance
Electrostatic discharge +/- 6 kV contact +/- 6 kV contact Floors should be wood, concrete, or
(ESD) IEC 61000-4-2 +/- 8 kV air +/- 8 kV air ceramic tile. If floors are covered with
synthetic material, the relative humidity
should be at least 30%.
Electrical fast transient/ +/- 2 kV for power supply +/- 2 kV for power supply Mains power quality should be that of a
burst IEC 61000-4-4 lines lines typical commercial and/or hospital
+/- 1 kV for input/output +/- 1 kV for input/output environment.
lines lines
Surge IEC 61000-4-5 +/- 1 kV line(s) to line(s) +/- 1 kV differential mode Mains power quality should be that of a
+/- 2 kV line(s) to earth +/- 2 kV common mode typical commercial and/or hospital
environment.
Voltage dips, short <5% UT (>95% dip in <5% UT (>95% dip in UT) Mains power quality should be that of a
interruptions, and UT) for 0.5 cycle for 0.5 cycle typical commercial and/or hospital
voltage variations on 40% UT (60% dip in UT) 40% UT (60% dip in UT) environment. If the user of the system
power supply input for 5 cycles for 5 cycles requires continued operation during
lines IEC 61000-4-11 70% UT (30% dip in UT) 70% UT (30% dip in UT) power mains interruptions, it is
for 25 cycles for 25 cycles recommended that the system be powered
<5% UT (>95% dip in <5% UT (>95% dip in UT) from an uninterruptible power supply or
UT) for 5 seconds for 5 seconds battery.
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should
(50/60 Hz magnetic be at levels characteristic of a typical
field IEC 61000-4-8 location in a typical commercial or
hospital environment.
Note: UT is the AC mains voltage prior to application of the test level.
Radiated immunity
Radiated immunity
guidance recommended
separation distance
Portable and mobile RF
communications equipment should be
used no closer to any part of the
system, including cables, than the
recommended separation distance
calculated from the equation applicable
to the frequency of the transmitter.
11-48 2067226-001
Radiated immunity
guidance recommended
separation distance
Conducted RF IEC 3 Vrms 10 Vrms (V1) D=0.35√P
61000-4-6 150 kHz to 80 MHz
outside ISM bands
10 Vrms 10 Vrms (V2) D=1.2√P
150 kHz to 80 MHz in
ISM bands
Radiated RF IEC 10 V/m 10 V/m (E1) D=1.2√P 80 MHz to 800 MHz
61000-4-3 80 MHz to 2.5 GHz D=2.3√P 800 MHz to 2.5 GHz
Where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter
manufacturer and D is the recommended
separation distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey, should be
less than the compliance level in each
frequency range.
Interference may occur in the vicinity of
equipment marked with the following
symbol:
• The ISM (industrial, scientific, and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz,
13.553 MHz to 13.567 MHz, 26.957 MHz to 27.283 MHz, and 40.66 MHz to 40.70 MHz.
• The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to
2.5 GHz are intended to decrease the likelihood that a mobile/portable communications equipment could cause
interference if it is inadvertently brought into patient areas. For this reason, an additional factor of 10/3 has been
incorporated into calculating the recommended separation distance for transmitters in these frequency ranges.
• Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the system is used exceeds the applicable RF
compliance level above, the system should be observed to verify normal operation. If abnormal performance is observed,
additional measures may not be necessary, such as re-orienting or relocating the system.
• Over the frequency range of 150 kHz to 80 MHz, field strengths should be less than 10 V/m.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects, and people.
2067226-001 11-49
Aisys CS²
Recommended separation distances
The system is intended for use in the electromagnetic environment in which

radiated RF disturbances are controlled. The customer and/or user of the
system can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications
equipment (transmitters) and the system as recommended below, according to
the maximum power of the communications equipment.
Separation distance in meters (m) according to frequency of the transmitter

Rated maximum 150 kHz to 80 MHz 150 kHz to 80 MHz in 80 MHz to 800 MHz 800 MHz to 2.5 GHz
output power of outside ISM bands ISM bands
transmitter watts
(W)
0.01 0.035 0.12 0.12 0.23

0.1 0.11 0.38 0.38 0.73
1 0.35 1.2 1.2 2.3
10 1.1 3.8 3.8 7.3
100 3.5 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance D in meters (m)
can be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power
rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz to 800 MHz the separation distance for the higher frequency range applies.
Note 2: The ISM (Industrial, Scientific, and Medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz,
13.553 MHz to 13.567 MHz, 26.957 MHz to 27.283 MHz, and 40.66 MHz to 40.70 MHz.
Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM
frequency bands between 150 kHz and 80 MHz and in the frequency range of 80 MHz to 2.5 GHz to decrease the likelihood
that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.
Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects, and people.
11-50 2067226-001
12 Super user mode
In this
section Super user mode.........................................................................12-2
Gas usage....................................................................................12-3
System configuration..................................................................12-5
Case defaults.............................................................................12-10
Gas controls..............................................................................12-15
Procedures setup.......................................................................12-16
2067226-001 12-1
Aisys CS²
Super user mode
WARNING Do not enter Super User mode when a patient is connected

to the system. Gas flow will cease, and the system must be
powered down in order to restart gas flow.
Changes made in Super User mode affect the system
• configuration. All changes made are permanent and preserved
until changed again.
Several settings can be changed in Super User mode. These changes
should only be made by the person responsible for the configuration
of the system.
To access the Super User mode, select System Setup and then Super
User. The Super User mode is password protected. Contact the sales
representative to obtain the password.
The system must be turned off to exit Super User mode.
Menu items are dependant on system configuration. Inactive menu items

Note are gray and are not selectable.
The menu selections shown in the examples are the factory default values.
Note The available settings are shown to the right of the menu.
12-2 2067226-001
12 Super user mode
Gas usage
Use the Gas Usage menu to view the total fresh gas usage since the last
reset, to reset the gas usage to zero, and view optional ecoFLOW and agent
cost information.
Resetting cumulative gas usage
1. From Super User mode, select Gas Usage and then Cumulative
Gas Usage. Gas and agent usage since the last reset will show.
2. Select Reset Usage. Notice that the gas and agent usage totals will
reset to zero and that Last Reset shows the current date.
3. Select Back to return to the Gas Usage menu.
Setting ecoFLOW
Use the ecoFLOW menu to set the split screen defaults for FiO2
Setting, FiO2 Line, and Agent Cost. This menu item is only
available on systems with the ecoFLOW option installed.
1. From Super User mode, select Gas Usage and then ecoFLOW.
2. Select the item to change. Make the change.
For FiO2 Setting, set the numeric value for FiO2 on the split
screen.
For FiO2 Line, select whether to show or hide the FiO2 line on the
split screen.
For Agent Cost, select whether to show or hide the agent
delivered costs on the split screen.
Setting agent costs
Use the Agent Costs menu to modify the currency and agent cost defaults
used to show the cost of agent delivered on the split screen. This menu item
is only available on systems with the ecoFLOW option installed.
1. From Super User mode, select Gas Usage and then Agent
Costs.
2. Select the Currency from the drop-down list.
3. Set the cost for each agent.
2067226-001 12-3
Aisys CS²
12-4 2067226-001
12 Super user mode
System configuration
Use the System Config. menu to set default information for the
system. Use the System Config. menu to access menus and settings
for Colors, Units, Ventilator Settings, Alarm Settings,
Parameter Settings, Trends Setup, and Pages Setup.
Display settings
Use the Colors menu to set the default colors for waveforms, digit
fields, and trends.
Use the Units menu to set the default units for parameters and
currency.
Setting colors
Set Paw, Flow, Respiratory, and CO2 parameters.
1. From Super User mode, select System Config. and then

Colors.
2. For each parameter, select the desired color from the drop-down list.
3. Select Back to return to the System Config. menu.
Setting units
Set Patient Weight, CO2, Gas Supply Pressure, Paw, and
Currency to the desired units. Currency is only available for
systems with the ecoFLOW option installed.
1. From Super User mode, select System Config. and then Units.
2. For each parameter, select the desired unit from the drop-down list.
Ventilator settings
Use the Ventilator Settings menu to set the default user settings for VCV
Cardiac Bypass, Circuit Compliance, Sample Compensation, and
TV for Ideal Body Weight.
Setting ventilator defaults

Ventilator Settings.
2067226-001 12-5
Aisys CS²
2. Select the item to change.

Set VCV Cardiac Bypass to Yes to enable alveolar support
during cardiac bypass. This menu item is only available on
systems with the VCV Cardiac Bypass option installed.
Set Circuit Compliance to On to allow tidal volume
compensation for circuit compliance.
Set Sample Compensation to On to allow tidal volume
compensation for gas module sampling.
Set the TV for Ideal Body Weight value to compute RR and TV on
a case.
Alarm settings
Use the Alarm Settings menu to set External Gas Monitor, Apnea
Alarm Filter, and Show Alarm Limits default settings.
Setting alarm defaults

1. From Super User mode, select System Config. and then Alarm
Settings.
Set External Gas Monitor to Yes only if the system uses a stand-
alone monitor for O2, agent, and CO2. Selecting Yes disables the O2
limit alarms and the ‘O2 monitoring not connected’ alarm when there
is no O2 cell or airway module detected in the system. The ‘AA, CO2
monitoring not connected’ alarm is also disabled.
Set Apnea Alarm Filter to Enable to use CO2 breaths to filter the
volume apnea alarms when patient weight is set to the minimum
setting. ‘Volume Apnea Off’ shows in the message field when the
apnea alarm filter conditions are met. Set Apnea Alarm Filter to
Disable to shut off the use of CO2 breaths for filtering volume apnea
alarms.
Set Show Alarm Limits to Yes to show the alarm limits for the
primary parameter in the numeric and digit fields.
Parameter settings
Use the Parameter Settings menu to set Principal Volume,

Principal O2, Principal Agent, TV Based on, CO2 Numbers, and
Insp Flow default settings.
12-6 2067226-001
12 Super user mode
Setting principal setting defaults

Parameter Settings.
For Principal Volume, select MV or TV from the drop-down list.
For Principal O2, select Et or Fi from the drop-down list.
For Principal Agent, select Et or Fi from the drop-down list.
Setting volume conditions and humidity

compensation
Individual volume calculation conditions are set for the ventilator and
airway module.
Note When set to ATPD, the volume calculation conditions are based on
ambient temperature and pressure, dry humidity conditions. When set to
BTPS, the volume calculation conditions are based on body temperature,
ambient pressure, saturated humidity conditions.

Parameter Settings.
• To set the volume calculation conditions, set Vent and Airway

Gas Module TV Basis. Set to ATPD/ATPD, ATPD/ BTPS,
or BTPS/BTPS.
• To set the humidity compensation type, set CO2 Numbers
to Dry or Wet.
Setting inspiratory flow

Parameter Settings.
2. Select Insp Flow to set the graphical display for flow data.
Select the plus symbol to graphically display inspiratory flow as a
positive value.
Select the minus symbol to graphically display the expiratory flow
as a positive value.
2067226-001 12-7
Aisys CS²
Trends setup
Use the Trends Setup menu to set the default trend graphical page
layout for the top, middle, and bottom trends for each page shown in the
user’s Trends menu.
Setting the default trend type

Trends Setup.
2. Select Default Trend and then select the trend type from the
drop-down list.
Graphical shows the graphical trends.
Measured shows the numeric trends.
Settings shows the trends for the settings.
3. See the "Setting graphical trends pages" section to continue setting
up trends or select Back to return to the System Config. menu.
Setting graphical trends pages

Use the Graphical Page section to configure the graphical trends pages
for the Trends menu.
The table shows the factory default settings for each trend page.
Default settings for Trends on each Page

Page 1 Page 2 Page 3 Page 4 Page 5
Top Pres O2 AA2 Bal RR + CO2
Middle TVexp N2O N2O MAC Compl
Bottom CO2 AA1 MAC MVexp Off
1. From the Super User mode, select System Config. and then
Trends Setup.
2. Use the drop-down lists to set Top Trend, Middle Trend, and
Bottom Trend to show the desired parameters.
3. Select Next Page to set up graphical trend defaults for another page
or Back to return to the System Config. menu.
Page setup
Use the Pages Setup menu to set the default screen views for
waveform fields, digit fields, and split screen areas. Four default
screen views can be configured.
12-8 2067226-001
12 Super user mode
Setting page views

The table shows the factory default settings for each page view.
Default settings for Page view setup

Page 1 Page 2 Page 3 Page 4
Top Paw Paw Paw Off
Middle Flow Flow Off Flow
Bottom CO2 CO2 CO2 CO2
Left Loops Off Loops Off
Middle Left Resp Resp Flow Off
Middle Right Agent Agent Agent Off
Right Gases Gases Gases Gases
Split Screen Paw Spiro Paw None
1. From Super User mode, select System Config. and then Pages
Setup.
2. Select the page to set up.
3. Select an item to change. Make the change.
Waveform fields can be set to AA, CO2, Flow, Paw, or Off.
Digit fields can be set to Gases, Respiration, Gas supplies, Flow,
Agent, Loops, or Off.
Split screen can be set to None, Trends, Spirometry, Paw,
Compliance, or optional ecoFLOW.
4. Select another item. Make the change.
5. When done, select Back to select another page to set up.
2067226-001 12-9
Aisys CS²
Case defaults
Use the Case Defaults menu to set the default case types that show on the
Start Case menu and access the Volume Apnea Setup menu.
Configuring case defaults

Set the case defaults for the case types that are selectable from the Start
Case menu. In each case type, the name, patient defaults, gas defaults,
screen layout defaults, alarm defaults, and ventilator settings for each
available ventilation mode can be preset.
1. From Super User mode, select Case Defaults.

2. Select the case name to enter the adjustment window.
3. Select an item to change. Make the change.
4. Continue to select items and make changes.
5. Select Confirm.
6. Repeat to set the defaults for another default case.
Setting case name

2. Select the name of the case to enter the adjustment window.
3. Select Name.
• Select Clear to remove the existing name.

• Select up to 10 characters from the drop-down list.
• Select Delete to delete a character.
• Select Save to save the name and close the drop-down list.
• Select Reset to return the name to the factory default name.
• When the 10 character maximum is reached, the name is
automatically saved. The drop-down list closes.
4. Select Confirm when done.
Setting volume apnea defaults
Use the Volume Apnea Setup menu to enable or disable the user’s ability
to turn the volume apnea alarms off during manual ventilation.
12-10 2067226-001
12 Super user mode
2. Select Volume Apnea Setup.

3. Set Volume Apnea Selection to Enable or Disable.
Set to Enable to allow the user to turn the volume apnea alarm on or
off from the Start Case menu.
Set to Disable to set the volume apnea alarms as always on
during manual ventilation.
4. Set the Volume Apnea for each case default.
5. Select Back to return to the Case Defaults menu.
Note When the Volume Apnea Selection is set to Disable, the Volume
Apnea Alarm menu selection does not show on the user’s Start Case
menu and the Vol Apnea Alarm selection does not show on the Alarm
Setup menu.
Default case type settings
Each case has multiple settings. The default settings for the default case
types are shown in the following table. An * indicates that the setting is
not used for the default ventilation mode in the case type. Use the empty
columns to write in facility changes.
Note VCV ADULT settings are used as the default if the system does not have
an optional ventilation mode shown.
Page 1 Default settings for default case types

Settings ADULT PEDIATRIC LOCAL CUSTOM 1
Name ADULT PEDIATRIC LOCAL CUSTOM 1
Patient and Sensor Adult Pedi Adult Adult
Ideal Weight 70 18 70 70
Age 40 5 40 40
Other Gas Air Air Air Air
Circuit Circle Circle Circle Circle
Data Source Vent Vent Vent Vent
O2% 100 100 100 100
Total Flow 6 6 0.2 6
Auto MV Limits Off Off Off Off
Alarm Volume 3 3 1 3
MV/TV Alarms On On On On
2067226-001 12-11
Aisys CS²

Volume Apnea On On On On

Vent Mode VCV PCV VCV VCV
TV 500 150 500 500
RR 12 16 12 12
RR 12 16 12 12
Minimum RR 12 16 12 12
I:E 1:2 1:2 1:2 1:2
Tpause Off Off Off Off
PEEP Off Off Off Off

Pmax 40 40 40 40
Pinsp 5 5 5 5
Tinsp 1.7 1.7 1.7 1.7
Trig Window 25 25 25 25
Flow Trigger 2 2 2 2
Psupport 2 20 2 2
End of Breath 30 30 30 30

Backup Time 30 30 30 30
Rise Rate Auto Auto Auto Auto
Rise Rate 5 5 5 5
PSV Rise Rate Auto Auto Auto Auto
Exit Backup 2 2 2 2

Sweep Speed Fast Fast Fast Fast
Top Waveform Paw Paw Paw Paw
Middle Waveform Flow Flow Flow Flow
12-12 2067226-001
12 Super user mode

Bottom Waveform CO2 CO2 CO2 CO2
Split Screen Paw Paw Paw Paw
Left Digit Field Loops Loops Loops Loops
Middle Left Digit Resp Resp Resp Resp
Field
Middle Right Digit Agent Agent Agent Agent
Field
Right Digit Field Gases Gases Gases Gases

MV Low 2 2 Off 2
MV High 10 10 Off 10
TV Low Off Off Off Off
TV High 1000 1000 Off 1000
RR Low Off Off Off Off
RR High Off Off Off Off
EtCO2 Low 3 3 3 3
EtCO2 High 8 8 8 8
EtO2 Low Off Off Off Off
EtO2 High Off Off Off Off
FiCO2 High Off Off Off Off
FiO2 Low 21 21 21 21
FiO2 High Off Off Off Off

EtIso Low Off Off Off Off
EtIso High Off Off Off Off
FiIso Low Off Off Off Off
FiIso High 5 5 5 5
EtSev Low Off Off Off Off
EtSev High Off Off Off Off
FiSev Low Off Off Off Off
FiSev High 8 8 8 8
EtDes Low Off Off Off Off
EtDes High Off Off Off Off
FiDes Low Off Off Off Off
FiDes High 15 15 15 15
2067226-001 12-13
Aisys CS²

EtEnf Low Off Off Off Off
EtEnf High Off Off Off Off
FiEnf Low Off Off Off Off
FiEnf High 5 5 5 5

EtHal Low Off Off Off Off
EtHal High Off Off Off Off
FiHal Low Off Off Off Off
FiHal High 5 5 5 5
12-14 2067226-001
12 Super user mode
Gas controls
Use the Gas Controls menu to set the user’s Agents, Total Flow, and
O2% quick select preset values and the Fresh Gas Controls setting.
Setting gas preset values

Set five preset gas values that will show on the user’s Gas Setup
menu for Agents, O2%, and Total Flow. Set two combinations of
preset values for O2% and Total Flow.
1. From Super User, select Gas Controls.

2. Select Agents, O2%, Total Flow, or O2% and Total Flow.
3. Set the desired preset gas values.
4. Select Back to return to the Gas Controls menu.
Setting fresh gas controls
1. From Super User mode, select Gas Controls.

2. Set Fresh Gas Controls to O2%, Flow, or User from the drop-
down list.
If User is selected, the user will be able to select either O2% or
Flow for a case.
3. Select Close to exit.
2067226-001 12-15
Aisys CS²
Procedures setup
Use the Procedures menu to set the procedures available to the user.
From this menu select the default settings for Vital Capacity and
Cycling procedures.
Setting vital capacity defaults
1. From Super User mode, select Procedures.

2. Select Vital Capacity.
3. Set Show Vital Capacity to Yes to show this menu item on the
user’s Procedures menu. Set to No to hide this menu item on the
user’s Procedures menu.
4. Select Pressure Hold and set to the desired value.
5. Select Hold Time and set to the desired value.
6. Set Show PEEP on Exit to Yes to show this menu item on the
user’s Vital Capacity menu. Set to No to hide this menu item on the
user’s Vital Capacity menu.
7. Select PEEP on Exit and set to the desired value.
8. Select Back to return to the Procedures menu.
Setting cycling controls and settings
1. From Super User mode, select Procedures.

2. Select Cycling.
3. Set Show Cycling to Yes to show this menu item on the user’s
Procedures menu. Set to No to hide this menu item on the user’s
Procedures menu.
4. Select the procedure to modify from the drop-down list.
5. Select Actions to set up the cycling procedure. There are a
maximum of seven steps and a minimum of one step for a
cycling procedure.
Select Adjust Settings to make changes to the parameters for a
step.
Select Insert Step to add a step to the cycling procedure.
Select Delete Step to remove a step from the cycling procedure.
6. Select Close to exit the menu.
12-16 2067226-001
In this
section Vaporizer....................................................................................13-2
Changing a cassette during a case...............................................13-6
Removing a cassette....................................................................13-7
Installing a cassette.....................................................................13-8
Cassette maintenance..................................................................13-9
Filling Aladin2 cassettes...........................................................13-11
Filling Aladin cassettes.............................................................13-16
2067226-001 13-1
Aisys CS²
Vaporizer
The electronically controlled vaporizer consists of the internal electronic
control unit and the Aladin agent cassette. The agent cassettes are color
coded, have indexed filling ports, and are magnetically coded for each
agent. The electronic control unit governs the flow through the agent
cassette and the agent concentration in the fresh gas flow.
Both the Aladin2 and the Aladin cassettes can be used on this
system.
Remove the cassette from the active bay when not administering
anesthetic agent. Store cassettes in the cassette storage bay when they are
not in use. Store the cassettes and agent at the same temperature as the
system.
Aladin2 cassette variants

All Aladin2 cassettes have electronic agent level sensing. The agent level
shows graphically in the agent settings area of the screen. If the electronic
agent level sensing is not functioning, the agent level unknown symbol
shows on the screen. In this case, refer to the liquid level indicator.
Some Aladin2 cassettes have internal temperature sensing. An
enhanced temperature sensing symbol shows on the front of the
cassette and the symbol shows in the agent settings area of the screen
for cassettes that have internal temperature sensing.
There are three types of Aladin2 cassette filler systems. Enflurane and
isoflurane use a color-coded, Easy-Fil mechanism. Sevoflurane cassettes
are available with a color-coded, Easy-Fil or Quick-Fil mechanism. The
desflurane cassettes have a filling mechanism that is compatible with Saf-
T-Fil desflurane bottles.
Sevoflurane Quik-Fil Aladin2 cassettes are not available in all countries.

Note
Anesthetic agent Filling system Color code

Enflurane Easy-Fil Orange
Isoflurane Easy-Fil Purple
Sevoflurane Easy-Fil or Quik-Fill Yellow
Desflurane Compatible with Saf-T-Fill Blue
13-2 2067226-001
AB.60.050
4 3
Figure 13-1 • Aladin2 desflurane cassette with Saf-T-Fil system
AB.60.038
4 3
Figure 13-2 • Aladin2 cassette for enflurane, isoflurane, and

sevoflurane with Easy-Fil or Quik-Fil system
Aladin cassette variants
Aladin desflurane cassettes have electronic agent level sensing. No other

Aladin cassettes have electronic level sensing. The agent level shows
graphically in the agent settings area of the screen. If the electronic agent
level sensing is not functioning, the agent level unknown symbol shows on
the screen.
2067226-001 13-3
Aisys CS²
When electronic level sensing is unavailable for an Aladin cassette, the

agent level unknown symbol shows in the agent settings area of the
screen. In this case, refer to the liquid level indicator.
There are three types of Aladin cassette filler systems. Halothane,
enflurane, and isoflurane use color-coded, keyed fillers. Sevoflurane
cassettes are available with a color-coded, keyed filler or a Quik-Fil
mechanism. The desflurane cassettes have a filling mechanism that is
compatible with Safe-T-Fil desflurane bottles.
Note Sevoflurane Quik-Fil Aladin cassettes are not available in all

countries.
Anesthetic agent Filling system Color code

Halothane Keyed Red
Enflurane Keyed Orange
Isoflurane Keyed Purple
Sevoflurane Keyed or Quik-Fil Yellow
Desflurane Compatible with Saf-T-Fil Blue
AB.60.004
4 3 2
Figure 13-3 • Aladin cassette for halothane, enflurane, isoflurane,

and sevoflurane with keyed filler system
13-4 2067226-001
AB.60.005
3 2
Figure 13-4 • Aladin cassette for sevoflurane with Quik-Fill system
AB.60.003
3 2
Figure 13-5 • Aladin cassette for desflurane with Saf-T-Fil compatible

filler system
2067226-001 13-5
Aisys CS²
Changing a cassette during a case
1. Push the Agent quick key.

2. Set agent delivery to off.
3. Turn the lock on the handle to the vertical position (Aladin2
cassettes only).
4. Remove cassette from the active bay.
• Store the cassette in the cassette storage bay if it will not be used.
• Fill the cassette following the appropriate filling procedure if the
cassette requires filling.
5. Install a cassette following the Installing a cassette procedure. A

tone sounds.
The agent setting in the quick key area flashes.
If cassette of same agent type is installed during a case, the last agent
setting used shows the agent quick key.
6. Change or confirm the agent setting.
7. To confirm the agent setting:
• Push the ComWheel to confirm the setting.

• Push the Agent quick key to confirm the setting.
If the setting is not confirmed within 30 seconds, the agent

delivery is set to off.
8. To change an agent setting:
• Turn the ComWheel to the desired setting.

• Push the ComWheel or push the quick key to confirm the
setting.
13-6 2067226-001
Removing a cassette
Use the Changing a cassette during a case procedure when changing a
cassette while a case is in progress.
1. Turn the lock on the handle to the vertical position (Aladin2

cassettes only).
2. Remove the cassette from the active bay.
3. Store the cassette in the cassette storage bay if it will not be used.
4. Fill the cassette following the appropriate filling procedure if the
cassette requires filling.
2067226-001 13-7
Aisys CS²
Installing a cassette
1. Using the liquid level indicator, check that the cassette is filled to the
appropriate level.
2. If using Aladin2, unlock the cassette handle before installing it in the
active bay.
3. Insert the cassette into the active bay until a click is heard,
ensuring the cassette is in the correct position.
4. Turn the lock on the handle to the horizontal position (Aladin2
cassettes only).
5. The cassette is properly inserted when the agent is identified on the
display. Make sure that the displayed agent matches the cassette.
Note Store the cassettes in the cassette storage bay when they are not in use.
13-8 2067226-001
Cassette maintenance
Clean and drain the cassettes as recommended.
Cleaning
CAUTION Do not wipe the cassette with alcohol or alcohol-based

detergents. This may damage the surface of the cassette.
1. Remove the cassette from the system.

2. Clean the cassette surface with a cloth moistened in a mild soap
solution.
Draining cassettes
Note All types of Aladin cassettes must be emptied before shipping.

Package the cassettes in suitable wrapping when shipping.
1. Remove the cassette from the machine, and place it on a

horizontal surface.
• Make sure that the valve pins do not come in contact with the
system or any other object.
2. Connect an empty bottle with the appropriate filler type to the

cassette filler port and hold the connection tight.
3. Turn the cassette so that agent flows into the bottle and wait until
the cassette is empty.
4. To get the maximum amount of agent out of the cassette, rock the
cassette from left to right and tip it forward and backward several
times.
5. Remove the agent bottle from the cassette.
6. Return the cassette to the horizontal position.
7. After draining the cassette, dry out the cassette (except
halothane cassette).
• Insert the cassette into the active bay on a system.

• Run the system at least 15 minutes at a high fresh gas flow and a
high agent concentration.
Note Do not dry halothane cassettes.
2067226-001 13-9
Aisys CS²
Draining halothane cassettes
The decomposition of halothane causes the release of halides, which may

corrode metal components particularly in the presence of moisture. A
preservative, added to halothane by its manufacturers to impede
decomposition, can leave a residue which may cause cassette components to
stick.
• Have the halothane cassettes drained every two weeks.

• If halothane is used infrequently, have the halothane cassette
drained after use.
• Do not flow gas through the halothane cassette to dry out the
cassette.
13-10 2067226-001
Filling Aladin2 cassettes

Remove the cassette from the machine before filling the cassette. Make
sure that the cassette remains in a horizontal position during filling. If the
cassette is tilted, the flow of liquid is shut off to prevent overfilling.
Make sure that the valve pins on the back of the cassette do not come in
contact with the system or any other object that could press on the valve
pins and let gas out of the cassette. Observe the liquid level indicator of the
cassette during filling. When the liquid level reaches the full mark, stop
filling.
To avoid spray from anesthetic agent after filling, slowly

CAUTION remove the agent bottle from the filling port.
Always remove the cassette from the machine and put it on a
WARNING horizontal surface before filling. Never try to fill a cassette
while it is in the machine.
AB.60.054
Filling with Easy-Fil system
The Easy-Fil system consists of three elements:
• The bottle collar.

• The bottle adapter.
• The agent filling port.
2067226-001 13-11
Aisys CS²
AB.60.040
Figure 13-6 • Aladin2 cassette with Easy-Fil system
WARNING Do not open or press the cassette filling port or the gas
connection valves with fingers or any kind of instrument.
Anesthetic agent liquid or gas may squirt into the air.
1. Remove the cassette from the machine, and place it on a horizontal

surface. Make sure that the valve pins on the back of the cassette do
not come in contact with the machine or any other object.
2. Align the notches on the bottle adapter to the agent bottle collar, and
tighten the adapter onto the bottle.
To avoid exposure to the anesthetic agent during filling,

WARNING make sure that the bottle adapter is properly connected to the
bottle.
3. Remove the filling port cap from the cassette by turning the cap
counterclockwise.
4. Align the bottle adapter keys with the index slots in the filling
port.
5. Push the agent bottle firmly into the filling port.
• Let the agent flow into the cassette.

• Keep the agent bottle aligned with the filling port to prevent
leakage while filling the cassette.
6. Watch the liquid level indicator.
• When the liquid level indicator reaches the full mark, slowly
remove the bottle from the filling port.
13-12 2067226-001
Note Removing the bottle quickly may cause the agent to splash or squirt out
of the filling port.
7. Put the cap back on the filling port.

8. Remove the bottle adapter from the anesthetic agent bottle. Put the
cap back on the agent bottle.
Filling with Quik-Fil system
AB.60.041
Figure 13-7 • Aladin2 cassette with Quik-Fil system

2. Remove the yellow protective cap from the anesthetic agent
bottle. Check that the filling mechanism on the bottle is not
damaged.
counterclockwise.
4. Align the bottle nozzle keys with the index slots in the filling port.
5. Push the agent bottle firmly into the filling port. Let the agent
flow into the cassette.
2067226-001 13-13
Aisys CS²
Note Removing the bottle quickly may cause the agent to splash or squirt out
of the filling port.

8. Put the cap back on the agent bottle.
Filling with Saf-T-Fill bottle
AB.60.050
AB.60.049
Figure 13-8 • Aladin2 cassette with Saf-T-Fil mechanism
WARNING Do not store filled or partially filled desflurane cassettes above

the normal working temperature of 35C/95F. Storage at high
temperature may cause the overpressure valve to vent
desflurane vapor into the ambient air.
• Do not open or press the cassette filling port of the gas
13-14 2067226-001

2. Remove the cap from the desflurane bottle. Check that the o- ring
is correctly fitted on the bottle nozzle.
AA.43.129
1. Bottle cap
2. O-ring
Figure 13-9 • Removing the bottle cap
3. Insert the nozzle into the filling port, and push the bottle firmly
against the spring pressure until it stops.
4. Keep the bottle firmly inserted, and lift the bottle upwards.
5. Watch the liquid level indicator. Do not leave the bottle
unattended while it is attached to the cassette.
6. When the liquid level reaches the full mark, lower the bottle to the
lower stop position.
• Keep the bottle firmly inserted.

• Wait 5 seconds to allow the agent to drain from the filling port
back into the bottle.
7. Slowly remove the bottle from the filling port. Removing the bottle
quickly may cause the agent to splash or squirt out of the filling port.
2067226-001 13-15
Aisys CS²
Filling Aladin cassettes

Remove the cassette from the machine before filling the cassette. Make
sure that the cassette remains in a horizontal position during filling. If the
cassette is tilted, the flow of liquid is shut off to prevent overfilling.
Make sure that the valve pins on the back of the cassette do not come in
contact with the system or any other object that could press on the valve
pins and let gas out of the cassette. Observe the liquid level indicator of the
cassette during filling. When the liquid level reaches the full mark, stop
filling.
To avoid spray from anesthetic agent after filling, slowly

CAUTION remove the agent bottle from the filling port.
Always remove the cassette from the machine and put it on a
WARNING horizontal surface before filling. Never try to fill a cassette
while it is in the machine.
Inaccurate anesthetic agent dosages may temporarily occur
• after filling if the temperature of the liquid is considerably
different from the normal operating temperature.
Filling with keyed filler system
AB.60.019
Figure 13-10 • Filling Aladin cassette with keyed filler system
WARNING Do not open or press the cassette filling port of the gas

surface. Make sure that the valve pins on the back of
13-16 2067226-001
the cassette do not come in contact with the machine or any other
object.
2. Align the notches on the bottle adapter to the agent bottle collar and
tight the adapter onto the bottle.
3. Insert the keyed filler into the agent filling port on the cassette.
Make sure that the square end of the filler is flus with the cassette
body as shown.
4. Lock the keyed filler by turning the lock and fill wheel fully
clockwise.
5. Turn the bottle upside down.
• Check that the liquid flows evenly into the cassette.

• If liquid does not flow evenly into the cassette, tighten the
wheel until the liquid starts to flow.
6. Watch the liquid level indicator. When the cassette is full, lower the
bottle to stop the flow of liquid.
7. Turn the lock and fill wheel a half turn counterclockwise to close the
filling port. Wait for the residual anesthetic agent to trickle back into
the bottle.
8. Turn the lock and fill wheel fully counterclockwise, and remove the
keyed filler from the filling port.
9. Remove the bottle adapter from the anesthetic agent bottle. Put the
cap back on the agent bottle.
Filling with Quik-Fil system
AB.60.018
Figure 13-11 • Aladin cassette with Quik-Fil system
2067226-001 13-17
Aisys CS²

2. Remove the yellow protective cap from the anesthetic agent
bottle. Check that the filling mechanism on the bottle is not
damaged.
counterclockwise.
4. Insert the nozzle of the bottle into the filling port.
5. Push the agent bottle firmly into the filling port. Let the agent
flow into the cassette.
Removing the bottle quickly may cause the agent to splash or squirt
Note out of the filling port.

Filling with Saf-T-Fil bottle
AB.60.017
Figure 13-12 • Filling Aladin cassette with Saf-T-Fil bottle
CAUTION Do not attempt to fill the cassette with desflurane that is

warmer than 26C/78F. The overfill prevention system may
lock and prevent the filling of the cassette.
13-18 2067226-001
WARNING Do not store filled or partially filled desflurane cassettes above

the normal working temperature of 35C/95F. Storage at high
temperature may cause the overpressure valve to vent
desflurane vapor into the ambient air.
• Do not open or press the cassette filling port or the gas

2. Remove the cap from the desflurane bottle. Check that the o- ring
is correctly fitted on the bottle nozzle.
AA.43.129 2
Figure 13-13 • Removing the bottle cap
3. Insert the nozzle into the filling port, and push the bottle firmly
against the spring pressure until it stops.
4. Keep the bottle firmly inserted, and lift the bottle upwards.
5. Watch the liquid level indicator. Do not leave the bottle
unattended while it is attached to the cassette.
6. When the liquid level reaches the full mark, lower the bottle to the
lower stop position.
• Keep the bottle firmly inserted.

• Wait 5 seconds to allow the agent to drain from the filling port
back into the bottle.
7. Slowly remove the bottle from the filling port. Removing the bottle
quickly may cause the agent to splash or squirt out of the filling port.
2067226-001 13-19
13-20 2067226-001
Index
A Alarm history 3-19

Abbreviations 1-11 Alarm setup
Absorbent canister Auto MV limit 3-20
canister removal 8-7 EZchange CO2 alarms 3-17
canister removal 8-7 filling the default limits 3-20
canister 8-8 leak audio alarms 3-19
Absorbent color change 8-6 MV/TV alarms 3-18
Absorber canister setting alarm limits 3-18
parts 10-6 setting apnea delay 3-19
setup 8-5 volume apnea 3-17
when to change the absorbent 8-6 Alarm volume 3-19
ACGO Alarms
port relief 11-6 viewing alarm history 3-19
Active AGSS 8-22 Advanced Alarmsetup 3-17
breathing system Alternate O2 control 3-34
parts 10-5 Anesthesia system display 2-12
Advanced Breathing System Apnea delay 3-19
components 2-6 Auto MV Limit 3-20
definition 1-2 Automatic agent identification 6-7 Auxiliary
AGSS O2 flowmeter 8-16
active 8-22
connecting active adjustable 8-23 connecting B
active with a flow indicator 8-22 parts 10-8 Battery indicator 7-3
passive 8-21 Bellows assembly
Airway module parts 10-4
specifications 11-19 Brake 2-4
Airway modules Breathing circuit module
agent identification 6-7 parts 10-3
calibration 6-8 Breathing system
connection to a patient 6-5 gas scavenging 11-14
parameter setup 6-6 setting problems 7-17
the data source 6-6 specifications 11-13
Alarm
battery indicator 7-3
C
de-escalating 7-3
information 7-2 Calibration
internal failure 7-4 100% O2 9-6
list of 7-5 21% O2 9-6
pausing audio 7-2 airway module 6-8
priorities 7-2 circuit O2 cell 9-6
ranges 7-13 flow and pressure 5-3, 9-6
sustained pressure threshold 7-12 Cardiac bypass
tests 7-15 manual ventilation 3-28
Cardiacbypass
2067226-001 I-1
Aisys CS²
VCV 3-28
Changing circuit type 3-10 Exhalation valve assembly
Changing gas settings 3-10 parts 10-7
Changing ventilator mode 3-8 EZchange canister
Changing ventilator settings 3-8 filling the canister 8-8
Checkout parts 10-10
individual tests 5-8 removal 8-7
Circle circuit 3-11
Circuit F
circle 3-10
Flow and pressure calibration 5-3, 9-6
non-circle 3-10
Flow sensor module
Circuit compliance compensation 5-4
parts 10-2
Circuit leak test 5-8
Flow specifications 11-12
Circuit O2 cell test 5-8
Fresh gas controls 3-16
CO2 alarms 3-17
Fresh gas usage 3-16 Full
Condenser
test
operation 3-38, 3-38, 11-5
circuit leak 5-6
parts 10-11
circuit O2 cell 5-7
Controls
external gas monitor 5-7
on the display 2-9
vent and gas 5-6
Cycling
changing settings 3-30
G
D Gas cylinders
installation 8-18
Data source 7-5
installing DIN connections 8-18
Datasource 3-14, 3-25
installing pin indexed yokes 8-18
Digit field
Gas settings 3-10
setup 3-13
Gas setup
Digit fields 2-13
fresh gas control setup 3-16
Display
Gas supplies
controls 2-9
specifications 11-6
Display brightness 3-15
Display navigation 2-15
H
E Hard keys 3-15
High-pressure leak test 8-18
Electrical
block diagram 11-8
power cord 11-10
I
power specifications 11-10 Indications for use 1-2
problems 7-18 Intended use 1-2
safety 1-18
Electrical connections K
mains inlet 8-10
outlets 8-10 Keypad brightness 3-15
serial port 8-11
Electromagnetic compatibility (EMC) 11-46 L
End case 3-6 Leak audio alarms 3-19
Environmental requirements 11-18 Low P leak test 5-8
I-2 2067226-001
Index
M
Pressure control mode 11-26
MAC 3-4 Procedures
Maintenance Cycling 3-27
repair policy 9-3 Vital Capacity 3-27
safety 9-2 PSVPro mode 11-32
schedule 9-4
Measured values 2-10 R
Minimum Alveolar Concentration (MAC) 3-4
MV/TV alarms 3-18 Repair policy 9-3
N S
Next page 3-22 Sample gas return port 8-14
Non-circle circuit 3-11 Scavenging
Non-circle circuit relief 11-6 ACGO sample flow 8-13
auxiliary manual breathing circuit 8-14
O gas monitor sample flow 8-14
Screen setup 3-13
O2 cell Screen view 3-22
operation 11-23 Serial port 8-11
replacement 9-5 Setting alarm limits 3-18
O2 flow 11-4 Setup
O2 monitoring 11-23 changing circuit type 3-10
Outlets 8-10 changing gas and settings 3-10
safety 8-2
P vent 3-8
SIMV PCV mode 11-29
Parameters setup 6-6
SIMV PCV-VG mode 11-30
Parts
SIMV VCV mode 11-28
absorber canister 10-6 advanced
Specifications
breathing system 10-5 AGSS 10-8
airway module 11-19
bellows 10-4
breathing system 11-13
breathing circuit module 10-3
electrical power 11-10
condenser 10-11
flow 11-12
exhalation valve assembly 10-7
gas scavenging 11-14
EZchange canister 10-10
gas supplies 11-6
flow sensor module 10-2
physical 11-16
test tools and system parts 10-12
power cord 11-10
Passive AGSS 8-21, 8-21
ventilator 11-37
Patient demographics 3-13
Spirometry
Pause gas flow 3-27
menu functions 3-24
PCV-VG mode 11-27
setting loop type 3-24
Physicalspecifications 11-16
Spirometry setup
Pneumatic
loop graph scaling 3-25
problems 7-19 Pneumatic
setting patient and sensor type 3-25
connections
volume type 3-26
pipeline inlets 8-12
Split screen
scavenging 8-12
setup 3-14
Positive low pressure leak test 5-10
Split screen field 2-13
Standards 1-14
2067226-001 I-3
Aisys CS²
Start a case 3-4 Suction

regulators Typeface conventions 1-10
specifications 11-22
Super User menus U
alarm settings 12-6
USB port 8-11
case defaults 12-10
Using menus 2-15
display settings 12-5
Using quick keys 2-16
gas controls 12-15
Using the ComWheel 2-16
gas usage 12-3
parameter settings 12-6
procedures setup 12-16
V
system configuration 12-5 Vacuum suction regulator 8-15
ventilator settings 12-5 Vent and gas test 5-8 Ventilation
volume apnea 12-10 modes 11-24
Super user mode Ventilation modes
access to 12-2 CPAP+ PSV 11-33
exit 12-2 factory defaults 11-35
Sweepspeed 3-15 PCV 11-26
Symbols 1-6, 1-9 PCV-VG 11-27
System PSVPro 11-32
classification 1-14 SIMV PCV 11-29
device standards 1-14, 1-14 SIMV PCV-VG 11-30
information 1-2, 1-14 SIMV VCV 11-28
integral system components 1-15 transition 11-36
not integral system components 1-15 VCV 11-25
operation safety 3-2 Ventilator
overview 2-2 preparing accuracy data 11-39 changing
for use 1-16 safety 1-16 ventilator mode 3-8
symbols 1-6 changing ventilator settings 3-8
turn on 3-3 operating specifications 11-37
System controls and menus 2-1 setup 3-8
System pneumatic circuits 11-2 Ventilator specifications
oxygen 11-38
T pneumatics 11-37
pressure 11-37
Test tools
volume 11-37
parts 10-12
Ventilator theory
Time and date
O2 monitoring 11-23
setup 3-14
Venturi suction regulator 8-16
Timer 3-31
Vital capacity
Touchscreen changing settings 3-29
alarms 2-11
Volumeapnea 3-17
digit fields 2-13
measured values 2-10
split screen field 2-13
W
waveform fields 2-13 Water buildup 9-7
Trends Waveform
setup 3-23 setup 3-13
Turningsystemon 3-3 Waveform fields 2-13
I-4 2067226-001
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 the original delivery to the Buyer or 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 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 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.
Aisys CS²
User's Reference Manual
English
2067226-001
06 13 C 18 05 02
Printed in USA

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User's Reference Manual

2 System controls and menus

Aladin cassette controls..................................................................2-8

System operation safety..................................................................3-2

Every day before your first patient.................................................4-2

Aladin cassette installation.............................................................5-2

7 Alarms and troubleshooting

8 Setup and connections

Setting up the absorber canister......................................................8-5

Circuit O2 cell replacement............................................................9-5

11 Specifications and theory of operation

System pneumatic circuit..............................................................11-2

Guidance and manufacturer’s declaration - electromagnetic

12 Super user mode

Super user mode...........................................................................12-2

In this section Intended use..................................................................................1-2

The Aisys CS2 is scalable, flexible, and functionally integrated, featuring

This system is not suitable for use in an MRI

Indications for use

The system is intended to provide general inhalation anesthesia and

enhances the system’s elegance while minimizing tube connections,

Explosion Hazard. Do not use this system with flammable

Figure 1-1 • Front view

Aisys, Carestation, Advanced Breathing System, ComWheel, D-

Symbols used in the manual or on the equipment

Symbols used on the equipment

O2 Flush button O2 cell connection

APL settings are approximate Anesthetic Gas Scavenging System

Serial number Stock number

Exhaust Bellows volumes are approximate

Plus, positive polarity Minus, negative polarity

On (power) Off (power)

Dangerous voltage Frame or chassis ground

Protective earth ground Earth ground

Direct current Alternating current

Operating instructions General warning (yellow background)

Electrical input/output Sample gas inlet to scavenging

Pneumatic inlet Pneumatic outlet

Variability Variability in steps

Suction bottle outlet Vacuum inlet

Bag position/manual ventilation Mechanical ventilation

Inspiratory flow Expiratory flow

Movement in one direction Movement in two directions

Open drain (remove liquid) Low pressure leak test

This way up Not autoclavable

Read to center of float EZchange canister (CO2 bypass)

Systems with this mark agree with the

Indicates that the waste of electrical and GOST R Russian certification

Keep dry Do not stack

Temperature limitation Fragile, handle with care

Protect from heat and radioactive

Humidity limitation Electrical test certification

USB port Network

Not a USB port VGA connection

Serial connection Pinch hazard

Symbols used on the user interface

No battery/battery failure Battery in use. Bar indicates amount of battery

Lung procedure Home screen