Intellisave AX700
Intellisave AX700
Intellisave AX700
Se r vi c e G ui de
IntelliSave AX700
Anesthesia Machine
Ane sthes ia Care
2 Theory of Operation 21
3 Installation 67
4 Maintenance 87
6 Calibration 209
7 Troubleshooting 239
8 Repair 253
B Schematics 431
1Introduction
This Service Guide contains technical details for the IntelliSave AX700 anesthesia machine.
This guide provides a technical foundation to support effective troubleshooting and repair. It is not a
comprehensive, in-depth explanation of the product architecture or technical implementation. It offers
enough information on the functions and operations of the anesthesia machine so that engineers who
maintain and repair it are better able to understand how it works.
NOTE For the EGM, ventilator, and gas module, the service tag is a 12 digit numerical code.
• Chapter “Repair“: Provides procedures for how to remove and replace faulty components in the
machine.
• Chapter “Service Parts and Tools“: Provides an overview of service parts, service kits, and tool kits
including part numbers that can be ordered.
• Appendix A “Technical Data“: Lists the technical data of the machine including default factory
settings.
• Appendix B “Schematics“: Provides detailed diagrams for relevant parts of the system.
Calibration / OK
Repair
Test Report
Hand Over to
Customer
This document contains proprietary information which is protected by copyright. All rights reserved.
Reproduction, adaptation, or translation without prior written permission is prohibited, except as
allowed under the copyright laws.
Philips Anesthesia Care A/S
1.6 Abbreviations
Abbreviations used in this guide are:
Abbreviation Description
the machine IntelliSave AX700 Anesthesia Machine
AA Anesthesia Agent
ABS CO2 Absorber
AGSS Anesthesia Gas Scavenging System
Air Compressed medical air
APL Adjustable Pressure Limit
BiB Bag-in-Bottle
DUT Device Under Test
EGM Electronic Gas Mixer
GUI Graphic User Interface
HLM Heart-Lung Mode
IBS Integrated Breathing System
MPL Maximum Pressure Limit
OS Operating System
NPL Negative Pressure Limit
PCV Pressure Controlled Ventilation
PEEP Positive End-Expiratory Pressure
PM Power Management
PSV Pressure Supported Ventilation
PRVT Pressure Regulated Volume Target
RoHS Restriction of Hazardous Substances Directive, short for Directive on the restriction of
the use of certain hazardous substances in electrical and electronic equipment.
Abbreviation Description
RR Respiration Rate
SIMV Synchronized Intermittent Mandatory Ventilation
STPD Standard Temperature (20°C or 68°F) and Pressure (1013 hPa (cmH2O), Dry
TV Tidal Volume
V(AC) Voltage Alternating Current
VAC Vacuum
VCV Volume Controlled Ventilation
VSV Volume Supported Ventilation
WAGD Waste Anesthesia Gas Disposal
Whispa Name of the ventilator platform used in the Siesta i Whispa, Dameca MRI508, Siesta i
TS, and IntelliSave AX700
• Double quotes (“..”) are used for messages displayed on the screen (such as alarm texts, messages
during the self tests, etc.).
Gas Color
Air Black
N2O Blue
O2 White
Mixed gas Red
VAC Yellow
1.9 Passwords
In order to access different modes within the machine a password may be required. The passwords are
listed below.
Enter passwords:
1 Go to Setup menu -> Service.
WARNING A warning indicates a potential risk for the patient or operator that they may be in danger of injury.
CAUTION A caution indicates a risk of damage to either the machine or other equipment.
Aux outputs
PM board
Ventilator PSU
PSU PCB EGM battery
1.12.1Warnings
• The machine must only be connected to properly grounded hospital-grade electrical outlets. The
machine must not be connected to an extension cord that is shared with other equipment.
• Prior to servicing, cleaning, or disinfection, unplug the power cord from the electrical outlet. Allow
the machine to dry completely before reconnecting the power cord to the electrical outlet.
• Spilled fluids can cause electrical shock.
• This machine must not be used in an environment that exceeds the EMC levels stated in the EN
60601-1-2 standard.
• External breathing systems used with this machine must comply with EN ISO 8835-2 or a similar
standard.
• Bacteria filters used with this machine must comply with ISO 23328-1 and ISO 23328-2 or a
similar standard.
• Anesthesia vaporizers connected to this machine must comply with ISO 8835-4, ISO 60601-2-13
or a similar standard.
• Heat and moisture exchangers used with this machine must comply with EN ISO 9360-1 and EN
ISO 9360-2 or similar standards.
• Humidifiers used with this machine must comply with EN ISO 8185 or a similar standard.
• External suction or vacuum controls used with this machine must comply with EN ISO 10079-3 or
similar standards.
• Medical gases or anesthesia agents used with this machine must comply with the US
Pharmacopoeia, European Pharmacopoeia, or local recognized requirements.
• The machine is compatible with medical gases of O2, Air, and N2O, and anesthesia agents of
Halothane, Enflurane, Isoflurane, Sevoflurane, and Desflurane.
• The wall supply used with this machine must comply with EN ISO 9170-2, ISO 7396-2, ISO
9170-1 and ISO 7396-1 or a similar standard.
• The machine should only be used with the power cord supplied by Philips/ Dameca.
• An AGS/WAGD system must always be activated when the machine is in use.
• No add-on’s, removals, or changes should be made to this machine unless authorized by Philips/
Dameca.
Explosion hazard
• Do not use oil or grease lubricant with this machine. This also applies to silicon-based lubricants
and noncombustible oils and grease. Only PTFE-based, oxygen-compatible lubricants can be used
(e.g. Philips/ Dameca special lubricant, P/N 453564416141).
• Do not use flammable anesthetic gases, such as ether or cyclopropane, with this machine. Use only
anesthetic agents that comply with the recommendations from the manufacturer of the anesthesia
vaporizer.
Patient safety
• Antistatic or electrically conducting breathing hoses and masks can cause burns if used with high-
frequency diathermy equipment and are therefore not recommended for use with this machine.
• After use, set the emergency fresh gas flow to a minimum before leaving the machine, as emergency
gas is a manual setting and does not default back to 5 L/min.
• The O2 concentration in the breathing system can differ significantly from the O2 concentration in
the fresh gas.
• Use of different anesthetic agents in the machine may result in the presence of residual agents (ppm)
within the machine (vaporizer back bar, etc.). These residuals can be minimized by setting a high
fresh gas flow for an extended period of time.
• The auxiliary O2 flowmeter (optional) bypasses the MPL valve. Thus, pressure from the flowmeter
may exceed the pressure from the fresh gas outlet.
1.12.2Cautions
• Before connecting the machine to the power supply, verify that the voltage and frequency comply
with the legal label in the rear of the machine.
• Do not attempt to connect any power cords to the auxiliary outlets other than those designed for
that socket.
• The maximum load on the table's side rails is 20kg (44.09lb). Heavy equipment attached to one of
the sides could cause the machine to overturn.
• The maximum torque on the table side rails is 20Nm. (14.75 lbf ft).
• The maximum load on the table top (including side rails) is 20kg (44.09lb)
• The maximum load on the top shelf is 30kg (66.13lb)
• Observe when closing the drawers that nothing gets caught or damaged, including the operator's
fingers.
• Vaporizers should be serviced at an authorized service center in accordance with the manufacturer's
directions.
• Use only original Philips/ Dameca O-rings; other O-rings may cause problems if they do not have
the same dimensions or materials.
• The reserve cylinder valves must be closed when the machine is using the wall supply. The regulated
pressure from the reserve cylinders may be higher than the wall supply pressure; thus, the cylinders
could be depleted.
• To reduce pollution, disconnect the machine from the power supply and wall supply when it is not
in use.
• The arm on the left side of the machine is supplied with the machine only in case a patient monitor
is used and ordered with the machine. As the arm is balanced with a 10-15kg (22-33lb) monitor, the
user must firmly hold the handle of the accessory arm when releasing the brake.
• If more than one external device is connected to the auxiliary electrical outlets (optional), a high
leakage current from one device (e.g., a defective ground conductor) will affect the leakage current
from the other equipment.
• The auxiliary electrical outlets have thermal fuses which may cause the power to be switched off
without warning if excessive current is drawn by external devices.
• The internal batteries only power internal systems, not the auxiliary electrical outlets.
• External equipment intended for connection to signal input, signal output, or other connectors shall
comply with the relevant product standard e.g. IEC 60950-1 for IT equipment and the IEC 60601-
series for medical electrical equipment. In addition, all such combinations – systems – shall comply
with the safety requirements stated in the collateral standard IEC 60601-1-1 or the general standard
IEC 60601-1, edition 2. Any equipment not complying with current leakage requirements in IEC
60601-1 shall be kept outside the patient environment i.e. at least 1.5 m from the patient support.
• Any person who connects external equipment to signal input, signal output, or other connectors has
formed a system and is therefore responsible for the system to comply with the regulatory
requirements. If in doubt, contact qualified medical engineer or your local Philips/ Dameca
representative.
• Patient hoses used with this machine must comply with the Patient hoses used with this machine
must comply with the EN ISO 5367:2014 corrected version 2014-11-12 standard, and the
respiration bags must comply with the EN 1820 standard. standard, and the respiration bags must
comply with the EN 1820 standard.
• US federal law restricts this device to sale by or on the order of a physician.
1.12.3Symbols
See documentation
Protective ground
Equipotentiality
ON/OFF
Neonatal
Manufacturer
Suction
WEEE symbol indicating that electronics must not be discarded as normal waste
Warning
This Way Up
Batteries
Electromagnetic radiation
Class
Gas Cylinder
Audio Paused
2Theory of Operation
This section provides an overview of the functions and components of the machine.
• “2.1 Product Description” on page 21
• “2.2 Pneumatics Description” on page 31
• “2.3 Electronics Description” on page 37
• “2.4 Software Description” on page 55
CAUTION US federal law restricts this device to sale by or on the order of a physician.
*optional
Fresh gas flow Last Self-test: Thursday 2. May 11:13 Stop watch
4 (L/min) 2013.05.02 09:57 Main
3.00 00:00:00 10
Screen
O2 set % Gas meas. (%)
3
33 Exp Insp
Rotameter % Setup
(L/min) 4 Exp CO2 O2 32 33 11
Menu
1.8 N 2O 64 63
2 Insp CO2
Resp. meas.
hPa Adult sensor At Y-piece Peak Alarm
17 30
8.0
13
40 MVexp(l) 5.8 4.0 Menu
Plateau
20
17 Exp
27
1.00 2.00 Compl. 34 mL/hPa RR(1/min) 12 4
15
TV set RR set I:E PEEP P Insp Vent. Pause 26
(mL) (1/min) Ratio (hPa) (hPa) mode
PSV/VSV settings
500 12 1:2 OFF 17 VCV STBY MAN VENT
(xx)
25 24 23 22 21 20 19 18 17 16
*optional
5 6 7 8 9
Fresh gas flow Last Self-test: Thursday 2. May 11:13 Stop watch
4 (L/min) 2013.05.02 09:57 Main
3.00 00:00:00 10
Screen
O2 set % O2 meas. (%)
3
33
33
Rotameter Adult sensor At Y-piece Setup
(L/min) 11
hPa
Peak Menu
17 30
40
Trend
2 12
Plateau Menu
17
Resp. meas.
20
Alarm
8.0
13
PEEP
MVexp(l) 5.8 4.0 Menu
3 Exp
25 24 23 22 21 20 19 18 17 16
*optional
The two main elements of the machine are the Pneumatic System and the Electronic System.
• The Pneumatic System directly interfaces to the patient by delivering ventilation and anesthesia
gases.
• The Electronic System has two primary functions: controlling mechanism and user interface. It is
the controlling mechanism in the machine, driving valves and reading sensors that measure
temperature, pressure, gas concentrations, etc. It also contains the user interface to the clinician.
This includes a 15 LCD display with a touch-screen and control dial.
Gas Inlet
The Machine can be supplied with O2, Air and N2O from wall pipeline, or spare cylinder. The gas
supplies are monitored on pressure gauges on the front of the machine.
The machine can optionally be equipped with vacuum, which in that case will drive the optional
patient suction unit.
The machine has an active AGSS/WAGD ejector, with an ON/OFF switch. The machine can
optionally have passive AGSS/WAGD, which requires an active AGS system from the customer (i.e. a
hospital installation).
SmartLog (Optional)
Every 2 sec all set and measurement data is sent to the RS232 port to the SmartLog PC. These data can
be dumped to a USB flash memory device via the GUI. The data can be used to recreate an anesthesia
session, or to verify an alarm message at a given time stamp etc.
NOTE The SmartLog is ONLY active when the machine runs on mains supply.
Ventilator
The ventilator is the controller for the IBS (integrated breathing system). It has its own power supply
and backup battery (i.e. the ventilator battery) with battery charger.
An electronic system (E-box) communicates with the GUI and controls a pneumatic manifold with
inspiration, expiration, and PEEP valves. The E-box has internal pressure transducers for monitoring
of airway pressure, calculation of tidal volume etc.
The patient suction unit is also located here.
2.1.4 Options
The list below describes the optional equipment that the customer must specify when ordering a new
machine:
• Air or O2 as Primary Gas Drive
• Active AGSS/WAGD
• Patient suction (source: vacuum or drive gas)
• Back bar for up to two Selectatec or Dräger vaporizers
• SmartLog PC
• Multigas module (external O2 fuel sensor installed as standard)
• One Air and / or one N2O yoke for pin-index cylinders (O2 yoke installed as standard)
• Removable wheelbase for pendant use
• Stand for large cylinders (ø 135mm - ø 150mm or 5.31” - 5.90”)
• Software options: PRVT, NEO, HLM
• Arm for patient monitoring, giving counterweights for the wheelbase
• Connector type, electrical output connectors at rear side of machines
Gas supply
• O2, Air and N2O alarms for low supply pressure.
• Built-in check valves to prevent reverse gas flow (out of the machine).
• Optional patient suction and optional active AGSS/WAGD are powered by drive gas (Air or O2).
• The optional patient suction can also be powered by VAC.
• If the primary drive gas fails, a drive gas valve will automatically switch to the secondary drive gas
(Air or O2).
Ventilator
• In the event of an airway pressure high alarm, the ventilator automatically switches to expiration
phase to prevent exposing the patient to excessive airway pressure.
• In addition, the ventilator has a built-in pressure relief valve (MPL) that opens at 90 hPa (cmH2O).
Compliance = 4 mL/hPa (mL/cmH2O) with adult hoses (22mm (0.866”) diameter and approx.
122cm (48”) length).
(This equals 120 mL at 30 hPa (cmH2O)
The i-SORB CO2 absorber in the breathing system is optimized with respect to the flow pattern inside
the absorber to ensure use of all the soda lime.
Ejector Filter
Solenoid proportional valve, spring Solenoid valve, 2-2 NC, spring return
return
Solenoid valve, 2-2 NO, spring Solenoid valve, 3-2, spring return
return
32 57 65
PEEP 0-75 hPa
valve
45 EXP
74 INSP/EXP
69 Flowsensor (Option
53 58 76
S2
46 77 Patient
46
P1 P2
P
Pat. Suction Pat. Suction Expiration
64
At E-box
At E-box
valve
INSP
S1 Bag/vent
Buffer Tank Pressure Switch valve
switch Insp. flow Pilot Valve
47 controller S3
66
49 51 O2 sensor (option)
6
Electronic O2 As primary drive gas S4
Gasmixer (Option)
IBS
48
Base
37 Ventilator 29 3 Bar reg. 79
36 ”E” Fresh gas 87
”E” Absorber 62
4 Bar Selector
Drive gas reg. Switch
7 P9
S3 S4
P
MPL valve
11 20
O2 Yoke ”B” 14
2 Bar O2 Flow
(Option)
84 O2 reg. controller P4
”H” At EGM AUX FG Cone at
10 P Outlet Table plate
6 7
1
O2 pipeline P9
Vaporizer back-bar 12
At EGM ”G” ”B”
P8
7 P 22 Air selector
33
”D” valve
25 P8
2 Bar ”D”
84 24
AIR reg.
Air Yoke 6 7 7
(Option) P7
3
AIR pipeline P
23 At EGM
AIR/N2O P5
At EGM ”I” Flow controller
7 P 9
5 ”A”
2 Bar
84 N2O reg. Vaporizer
27
N20 Yoke 4 6 7
(Option)
N2O pipeline 26 N2O
”K” ”J” ”A” Selector valve
2 Theory of Operation
33
2 Theory of Operation 2.2 Pneumatics Description
2.2.3 Oxygen
Oxygen is supplied from either the central inlet (1) or from the spare cylinder (2).
Via filters (6) and check valves (7) it is connected to the pressure sensor port (8) at the EGM giving an
audible and visual oxygen alarm if the pressure is below 2.0 (x100kPa)(29 psig).
The pressure is reduced to 2.0 (x100kPa)(29 psig) in the pressure regulator (10).
The O2 flow controller (11) is controlled by the EGM to give a user set flow, based on pressure sensor
(P4) connected to the pressure ports P8 and P9.
The flow is let to the back bar (12), and the fresh gas selector valve (13), which is controlled with the
fresh gas selector switch (87). The user can select either the AUX fresh gas outlet (14) or the integrated
breathing system (15). Additionally, oxygen is let to the auxiliary oxygen outlet (16) through the flow
restrictor (83).
The pipeline and cylinder pressures are monitored by the pressure gauges (84).
The pressure regulator (17) reduces the incoming pressure to 3.0 (x100kPa)(43.5 psig) for the Aux. O2
flow meter (18) giving 0 - 12 l/min O2. The reduced pressure is let to the Emergency fresh gas switch
(19), and the flow meter (20) can be set to give a flow of 5-15 l/min O2.
The O2 flush valve (21) is giving an O2 flow of 35-50 l/min. to the fresh gas selector valve (13), by-
passing the vaporizers connected to the back-bar (12). Finally, O2 is led to the drive gas selector valve
(37).
2.2.4 Air
Air is supplied from the central inlet (3) or from the gas cylinder (33). Via filters (6) and check valves
(7) it is let to the pressure sensor port (22). This pressure is giving a signal to the EGM, and activates an
audible and visual Air alarm if the pressure is below 2.0 (x100kPa)(29 psig).
The pressure is reduced to 2.0 (x100kPa)(29 psig) in the pressure regulator (23). If the user selects Air
as carrier gas the valve (24) is open and Air will flow to the Air/N2O flow control valve (25) controlled
by the EGM to give a user set flow, based on the pressure sensor (P5) connected to the pressure ports
P7 and P8.
The flow is let to the back bar (12), and the fresh gas selector valve (13), which is controlled with the
fresh gas selector switch (87). The user can select either the AUX fresh gas outlet (14) or the integrated
breathing system (15).
The pipeline and cylinder pressures are monitored by the pressure gauges (84).
2.2.5 N2O
N2O is supplied from either the central inlet (4) or from the spare cylinder (5). Via filters (6) and
check valves (7) it is connected to the pressure port (9) on the EGM giving an audible and visual N2O
alarm if the pressure is below 2.0 (x100kPa)(29 psig).
The pressure is reduced to 2.0 (x100kPa)(29 psig) in the pressure regulator (26). If the user selects
N2O as carrier gas the valve (27) is open and N2O will flow to the flow control valve (25) controlled
by the EGM to give a user set flow, based on the pressure port (P5) connected to the pressure ports P7
and P8.
The flow is let to the back bar (12), and the fresh gas selector valve (13), which is controlled with the
fresh gas selector switch (87). The user can select either the AUX fresh gas outlet (14) or the integrated
breathing system (15).
The pipeline and cylinder pressures are monitored by the pressure gauges (84).
The pressure of the auxiliary fresh gas outlet (14), is limited to 90 (x100Pa) by the MPL valve (35).
2.2.7 AGSS/WAGD
Drive gas is reduced to 4.0 (x100kPa)(58 psig) by a pressure regulator (30), and is supplied to the ON/
OFF switch (32). When switched on, the ejector (38) creates a vacuum that is continuously scavenging
exhaust gases from the reservoir that contains excess gases from the ventilator. This gas also contains
waste gas from the integrated breathing system (15). The AGSS/WAGD flow runs through the flow
marker (39) and continues to the AGSS outlet (40) on the back of the machine.
For hospitals with active scavenging systems, the machine can be delivered without the
ON/OFF switch (32) and the ejector (38).
If an external patient system is used, it can be connected to the Aux. AGSS outlet (41).
An open reservoir (85) and (42) prevents vacuum to be built-up in the AGS system.
Gas Powered
Drive gas is reduced to 4.0 (x100kPa)(58 psig) by a pressure regulator (30), and is supplied to the jet
suction unit (31) through the Adjust/OFF/MAX switch (43). The vacuum is controlled by the
regulator (44), and monitored by the vacuum gauge (45). A suction jar can be connected to the suction
connector (46).
VAC Powered
VAC is supplied from the central inlet (70). It is led to vacuum switch valves (80) and (81), which is
controlled by the Adjust/OFF/MAX switch (72). The vacuum is controlled by the regulator (73) and
monitored by the vacuum gauge (74). A suction jar can be connected to the suction connector (46).
2.2.9 Ventilator
NOTE The information below relates to IntelliSave AX700 Rel. 2.0 (see “1.3 What Is Covered” on page 9 for
serial numbers for Rel. 1.0 and rel. 2.0 respectively).
For information on Rel. 1.0 machines, see “B.0.1 Pneumatics Description for Rel. 1.0” on page 431.
For information on Rel. 2.0 machines, see “B.2 Pneumatics Diagram for Rel. 2.0” on page 437.
The ventilator (29) is pneumatically powered from the driving gas select valve (37) through the inlet
filter (6). A pressure switch (47) monitors the driving gas pressure, giving an alarm if the pressure is
below 1.5 (x100kPa)(21.8 psig).
Drive gas is let to the pressure regulator (48) reducing the pressure to 3.0 (x100kPa)(43.5 psig) for the
Insp. flow control valve (49). This valve is controlled by the ventilator electronics, selecting a correct
inspiratory flow according to the ventilator settings. A differential pressure transducer (P1) connected
to the pressure ports (S1) and (S2) measures the flow and during inspiration the signal to the insp. flow
valve is continuously adjusted, in order for the ventilator to give correct inspiratory flow to the bag in
bottle.
A pressure transducer (P2) connected to the pressure port (P2) measures the system pressure (Bag-in-
Bottle chamber pressure). This pressure is limited to 90 (x100Pa) by the MPL valve (52)
During ventilation, the expiratory valve (53) is closed at all times, except if there is a high pressure
alarm. It is open in manual or standby mode. During inspiration the PEEP valve (54) is closed, and the
driving gas is let to the chamber (55) of the Bag-in-bottle system. The exhalation valve (57) is closed
during inspiration, and open during expiration when the bellows (56) is in top and the pressure in the
bellows is approx. 3 hPa higher than the pressure from the ventilator. Excess gases are evacuated
through the AGS system. During expiration the PEEP valve (54) is open, and the pressure in the
chamber (55) is released to the AGSS/WAGD system.
If a PEEP pressure (4 - 20 hPa) is selected, the insp. flow controller is set to a driving gas flow during
expiration. The PEEP valve (54) is fully open, at the beginning of an expiration. When the pressure in
the patient breathing system reaches the set PEEP level, the PEEP valve (54) will begin controlling the
PEEP pressure.
The ventilator pressure sensor P8 measures the PEEP pressure. This measured pressure controls the
PWM signal to the PEEP valve (54) keeping the PEEP pressure constant to the selected value.
The Patient Airway Pressure Gauge (PAW) (88) indicates the same pressure as the (P8) sensor
measures.
The drive gas is reduced to 3.0 (x100kPa)(43.5 psig) in the pressure regulator (48), and led to the pilot
valve (51). The pilot valve is controlled by the ventilator electronics. During STBY and MANUAL
status the valve is closed, and the Bag/vent valve (58) in the integrated breathing system (15) is set to
manual ventilation.
When the status is set to VENT, the pilot valve (51) is opened and the Bag/vent valve (58) in the
integrated breathing system (15) is set to automatic ventilation.
Manual Ventilation
During manual ventilation the Bag/vent valve (58), controlled by the ventilator, is set to manual
ventilation.
The patient breathing system is filled with fresh gas from the fresh gas selector switch (13), through the
inspiratory limb, the expiratory limb, and to the bag (59).
When the bag (59) is squeezed during inspiration, the gas will flow through the Bag/vent valve (58),
the absorber (62), the inspiratory valve (64), and the inspiratory limb to the patient. When the bag
(59) is released, the expiration gases flow through the expiratory limb, expiration valve (65), the Bag/
vent valve (58) to the bag (59).
The inspiratory pressure is limited in the APL valve (60), set by the user. Excess gases are evacuated
through the AGS system.
If the absorber is changed during use, the two absorber valves (76) and (77) will bypass the absorber
connection, so that gases are not lost.
The negative pressure relief valve (61) opens if the patient breathes spontaneously and the patient
breathing circuit is emptied for fresh gas (relief pressure is - 6hPa). A pressure relief valve (MPL valve)
(82) will open if fresh gas pressure exceeds 90(x100Pa).
Automatic Ventilation
During automatic ventilation the Bag/vent valve (58), controlled by the ventilator, is set to automatic
ventilation.
The patient breathing system is filled with fresh gas from the fresh gas selector switch (13), through the
inspiratory limb, the expiratory limb, and to the bellows (56).
When the bellows (56) is forced down during inspiration, the gas will flow through the Bag/vent valve
(58), the absorber (62), the inspiratory valve (64), and the inspiratory limb to the patient.
When the pressure in the chamber (55) is released, the expiration gases flow through the expiratory
limb, expiration valve (65), the Bag/vent valve (58) to the bellows (56).
The inspiratory pressure is limited by the ventilator high pressure alarm, set by the user.
Excess gases are evacuated through the exhalation valve (57) to the AGS system, through the ventilator.
2.2.11Volume Monitoring
Inspiratory/expiratory volumes can be measured by a flow sensor (option), which can be placed at the
Y-piece (69) or the expiratory port (63).
The flow sensor gives a differential pressure signal to the P9 pressure sensor of the ventilator. The
ventilator then calculates the actual patient flow over time which gives a volume reading.
During start-up and every 10 min. the two zero-valves (78 and 79) are activated by the ventilator for
approx. 3 sec. in order to do zero calibration of the P9 pressure sensor.
2.2.12Gas Monitoring
Gas concentrations can be measured by an integrated multigas module (68) (option).
This multigas module takes a sample flow from the Y-piece to analyze it. The sample flow is then
returned to the expiratory side of the patient breathing system.
If a multigas module is not installed, the inspired O2 concentration can be measured by an external O2
fuel cell sensor (66), (option).
NOTE The machine is compatible with the electrical safety requirements of IEC 60601-1.
Mains power enters the system via the power inlet. The power inlet contains fuses and a switch on both
the Live and Neutral wires.
The overall current rating of the inlet is 10 Amps.
A ground wire is soldered onto the ground tab of the inlet and connected to the equipotential point on
the case of the machine. All metal parts of the machine are also wired to this equipotential point.
The live and neutral wires connect from the power inlet to the power management board.
EXT2
EXT3
Vaporizer
Log PC 5V
Log PC Relay
Supply
Switch
Vent Power
Vent 24V Supply
Vent Backup
Vent BaƩ. Charger
34V AC
LED Downlights
Standby Switch
Power Management Board On/Oī
The toroidal type transformer has two primary coils and three secondary coils. Switches on the PM
board select whether the two primaries and first two secondaries of the transformer are connected in
series (for 230V) or in parallel (for 115V). A thermal fuse, built into the transformer, is connected in
series with the primary coils. The third secondary coil provides a 34V AC output from the transformer.
This supply is rectified and then used for the internal DC supplies on the machine. See the
specification of the main transformer for more details.
The mains voltage output from the main transformer is used to drive three auxiliary power outlets at
the back side of the machine, the vaporizer power outlet in the front of the machine, the ventilator and
the SmartLog PC. Each of the four power outlets is protected by a fuse. In addition a single common
fuse protects all four outlets.
The voltage from the transformer secondary coils passes through a relay before it goes to the ventilator
or the 5V power supply for the SmartLog PC. Once the internal DC supplies have been generated
from the third secondary of the main transformer, this relay switch is closed and the ventilator and
SmartLog PC are powered on.
NOTE The SmartLog PC is ONLY active when the machine runs on mains supply.
ON/OFF Switch
The ON/OFF switch comprises a 2-pole switch and an LED. The LED is powered from the 29V
supply and is illuminated whenever the machine is turned on. When the ON/OFF switch is pressed by
the user, the DC power supplies become enabled, and the various sub-systems start up.
When the ON/OFF switch is pressed again to turn off the machine, a 20 second delay starts. This
delay allows the EGM to carry out an orderly shut-down, and allows the user to turn the machine back
on in case the ON/OFF switch was pressed erroneously.
EGM Controller
The EGM controller microprocessor has flash memory available for storing software code, for running
the application. The primary function of this system is to control the valves on the Gas Mixer
manifold.
There are 2 proportional valves driven by PWM signals and controlled in PID control loops, and 2
ON/OFF valves. The PWM frequency is fixed on 6103Hz and has a duty cycle that can be controlled
to 11bits resolution. All valves are driven using high-side driver MOSFETs.
• Air Selector Valve and N2O Selector Valve
The machine must choose to mix either Air or N2O, with O2 in the Gas Mixer Manifold. These
ON/OFF valves are, therefore, connected in an either/or configuration with one valve being
normally open and the other being normally closed.
• Air/N2O Flow Control Valve
The amount of Air or N2O flow into the vaporizer is controlled using this valve. The flow is
measured using transducers which are read by the EGM controller. In this way a closed-loop control
system is established to maintain the desired gas flow.
Interface DSP
The Interface DSP is mainly responsible for gathering information and passing it to the GUI
controller. The Interface DSP gathers information from the following sources:
• The Ventilator
The DSP has an RS232 serial bus link to the ventilator.
• The multigas module
This information also comes via an RS232 serial link.
• The Touch-Screen Controller
This information comes via an I2C interface to the touch screen controller.
• The Control Dial
Rotation and presses of the control dial are detected by the DSP.
• Switch Inputs
The following switch inputs are monitored by the DSP:
– IBS switch
This is a contact switch to detect the presence of the IBS.
– ABS Switch
This is a contact switch to detect the presence of the absorber.
– Emergency O2 Switch
This is a toggle switch used by the operator to initiate the emergency O2 supply.
– External Fresh Gas Switch
This is a switch used by the operator to initiate fresh gas flow.
– ON/OFF Switch
This is the main ON/OFF switch used by the operator to start up or shut down the machine.
The signal that comes to the EGM is actually a logic signal from the Power Management (PM)
Board. If the operator has pressed the ON/OFF switch to shut down the machine, this signal
informs the EGM that the PM board will turn off the power supplies in 20 seconds.
– Battery Backup Indicator
This signal comes from the PM board and indicates that the voltage that is generated from the
mains supply has dropped to a level where the backup EGM battery has taken over.
The oxygen measurement technology relies on the paramagnetic properties of the oxygen molecules.
See “Oxygen Sensor” on page 45.
N 2O
Absorbance
CO2
3.5 4 4.5 5
Wavelength (μm)
2 2
Desflurane
Isoflurane
Enflurane
Absorbance
Sevoflurane
Halothane
7 8 9 10 11 12
Wavelength (μm)
No radiation will be absorbed if the measurement chamber is empty. The output signal from the
detector will thus have its maximum amplitude at a concentration of zero, with lower amplitudes at
higher concentrations.
To establish the zero reference amplitude, the zero valve is occasionally switched to direct ambient air
through the measurement chamber. If the measurement chamber is filled with a mixture of several
gases and more than one of the gases absorbs radiation at the selected wavelength (as is the case with the
anesthetic agents), the total radiation absorbed will be the sum of the absorbency of the individual
gases.
To identify seven different gases in a mixture, measurements must be done at seven wavelengths.
Measurements must also be done at a reference wavelength, which is why the multigas module contains
a filter wheel with eight optical filters.
To measure gases without automatic identification, measurements are done at the same number of
wavelengths as the number of present gases, and at a reference wavelength.
Pump module
The pump in the multigas module consists of two double-action voice coils and a dual chamber
membrane type pump housing. The high frequency of oscillation minimizes vibration and permits
flow control with very small variations. The pump module has built-in electronics including a flow
sensor and memory for storing flow calibration constants. The flow rate is controlled by the
microprocessor in the Base module.
Oxygen Sensor
The Servomex Paramagnetic Oxygen Sensor uses the paramagnetic susceptibility of oxygen; a physical
property that distinguishes oxygen from most other common gases. Inside the sensor are two nitrogen-
filled glass spheres mounted on a strong rare metal taut-band suspension. This assembly is suspended
in a symmetrical non-uniform magnetic field. In the presence of paramagnetic oxygen, the glass spheres
are pushed further away from the strongest part of the magnetic field.
The strength of the torque acting on the suspension is proportional to the oxygen concentration. See
“The paramagnetic oxygen sensors measurement principle” on page 46.
The measuring system is 'null-balanced'. The 'zero' position of the suspension assembly, as measured
in nitrogen, is sensed by a split photo sensor that receives light reflected from a mirror attached to the
suspension assembly. The output from the photo sensor is fed back to a coil wound around the
suspension assembly.
This feedback achieves two objectives. First, when oxygen is introduced to the cell, the torque acting
on the suspension assembly is balanced by a restoring torque from the feedback current in the coil. The
feedback current is directly proportional to the volume magnetic susceptibility of the sample gas and
hence, after calibration, to the partial pressure of oxygen in the sample. A voltage output is derived that
is proportional to the current, which in turn means that the voltage is proportional to the oxygen
concentration.
Second, the electromagnetic feedback "stiffens" the suspension, damping it significantly and increasing
its natural frequency, making the suspension resilient to shock.
Paramagnetic technology is non-depleting, which means that there are no consumable parts. This
ensures consistent performance over time. The selectivity of the paramagnetic measurement for oxygen
means that there is no interference from other respiratory gases. The small volume chamber allows a
rapid gas exchange, giving the capability for fast response oxygen measurement. Features of the device
include a stable and inherently linear measurement of oxygen that permits the use of two-point
calibration.There is no requirement for a reference gas during operation.
Water Traps
DRYLINE™ Water Trap consists of two parts: a filter housing incorporating a 0.45 μm hydrophobic
anti-bacterial filter, and a container for the separated waste.
Gas flows
The inlet to the water trap comes directly from the patient circuit. There are two outlets:
1 Sample Flow outlet: Provides the gas sample to the measurement chamber. Approximately 90
percent of the gas flow.
2 Secondary Flow outlet: Provides the driving power for the water separation function of the water
trap. Approximately 10 percent of the gas flow.
The water trap is designed to minimize the system rise time, facilitating accurate breath-to-breath
analysis, even at low sampling flows and high breath rates.
Purge function
If the total flow from the two outlets of the water trap falls below 40 ml/min for at least one second, a
built-in automatic purge function switches the gas flow so that a much larger proportion of the flow is
directed to the Secondary Flow for 12 seconds.
This is usually sufficient to clear the water trap if it is blocked with mucus or water droplets.
If purging does not succeed in clearing the obstruction (the flow rate remains below the limit value),
the purge sequence is repeated up to four times.
If the flow still remains below the limit value, an alarm is activated and further purge cycles are
inhibited.
DRYLINE™ Receptacle
The receptacle, which is designed to securely hold the water trap in place, also incorporates sensors for
water trap detection and identification, and the tubing for connection to the multigas module.
Water trap
presence switch
2.3.6 SmartLog PC
The SmartLog is a PC based module located in the upper part of the device.
Data is passed to the SmartLog module via an RS232 serial link from the EGM. The SmartLog PC has
both a serial connection and a USB connection.
The SmartLog module has its own AC-DC power supply that provides a 5V supply; see “Software
Block Diagram” on page 55 for a functional description of the SmartLog.
2.3.7 Ventilator
The function of the ventilator is to control the integrated Breathing System (IBS), by controlling
various valves on the ventilator manifold. A simplified block diagram of the ventilator electronics is
presented below.
The power supply to the ventilator comes from the secondary side of the transformer. In the power
cable to the ventilator the wires are looped through 5 ferrites: 2 at the Power Management board and 3
in the ventilator. These ferrites help to improve EMC performance.
The power input from the Power Management board drives an off-the-shelf AC-DC 24V supply. This
power supply is IEC 60601-1 approved and can supply 24V at 2.7 Amps.
A backup battery-pack (i.e. the ventilator battery) is provided in the ventilator. This battery-pack is
made up of 20 1.2V AA-size NiMH rechargeable batteries, connected in series, to provide a 24V
output. An off-the-shelf mains-powered battery charger keeps the battery pack charged when the
machine is switched on and the mains power is available.
A relay, K2, is used to connect the ventilator battery output to the ventilator electronics, only when the
29V power supply for the EGM has become active. This is in order to maintain battery charge when
the machine is turned off.
The two 24V supplies from the ventilator battery and from the power-supply are diode-ORed on the
ventilator CPU board, so that if the mains voltage disappears unexpectedly, the ventilator battery will
continue to power the sub-system. The positive and negative battery terminal voltages are monitored
by the electronics to ensure that it is connected properly and that it has sufficient charge to power the
ventilator.
CPU Watchdog
The ventilator CPU has an internal watchdog, which is triggered periodically by the application
software. If the software is unable to trigger this watchdog and it is allowed to time out, the ventilator
manifold valves are put in a state which enables manual ventilation (i.e. the ventilator will go into
Manual Ventilation mode). The ventilator alarm will sound if this occurs. Normal operation can only
be restored by restarting the machine.
Relay Outputs
There are four general-purpose relays and one solid-state relay on the CPU board that can be used to
switch valves or solenoids on or off. Relays, due to their mechanical construction, are not suitable for
high-speed switching. Therefore, these outputs cannot be used to drive proportional valves using
PWM.
• Relay 1 - Pilot Valve
The Pilot valve is used to switch between Manual Ventilation mode and Automatic Ventilation
mode. In Manual mode the Pilot valve is closed, which cuts off pressure from the Bag/Vent valve.
When the Pilot valve is opened, by closing Relay 1, this applies a pressure of 3 (x100 kPa) (43.5 psig)
to the bag/vent valve, thus enabling Automatic Ventilation. At system start-up and in the case of a
watchdog time out the Pilot valve is closed.
• Relay 2 - Expiration Valve
In Automatic Ventilation mode the Expiration valve is opened if a high-pressure alarm is triggered.
In Manual Ventilation mode this valve is open. At system start-up and in the case of a watchdog
timeout, the Expiration valve is opened by the CPU CPLD.
• Relay 4 - Offset Valve
This relay is used to control the Zero-calibration valves, which are activated at start-up, if the sensor
type is changed (Adult or Pediatric) by the operator, and every 10 minutes, in order to perform zero
calibration of the expiratory flow pressure sensor.
• Relay 5 - Battery Relay
This relay connects the Battery Relay (K2) to the switch input on the IO board connector J9 (called
X9 on the E-box). The signal has a pull-up resistor to 24V and the IO board. The relay effectively
acts as an enabling circuit for the IO board switch input. The status of the K2 Relay is read via
register group 0, bit 5 in the IO CPLD.
PWM Outputs
There are two MOSFET-driven outputs on the CPU board, connected to the CPU board connector J9
(called X2 on E-Box), which are driven from a PWM controller in the CPU CPLD. The PWM
controllers for both valves are identical (colored connectors).
The other side of the valve is connected to ground (black connector).
• PWM1 - Inspiration Flow Control Valve
The Inspiration flow control valve is a PWM-controlled proportional valve, which is used to control
the inspiratory pressure or flow during Automatic Ventilation mode. During expiration the
Inspiration flow control valve is only opened if the pressure falls below the set PEEP level.
• PWM2 - PEEP Valve
The PEEP valve is placed in parallel with the Expiration valve and is PWM-controlled to maintain
the required minimum pressure during expiration.
During pressure controlled ventilation the PEEP valve is used as a means to release pressure in case
of an overshoot during inspiration.
• Analog Inputs
An O2 sensor can be connected to a port on the back of the machine and from there to J8 on the IO
board (X8 on the E-Box).
The ventilator battery voltage is sensed, via IO board connector J9 (X9 on the E-Box), and
attenuated. It is read by an ADC converter.
• Pressure Transducers and Temperature Sensor
There are four differential pressure transducers on the IO Board, B1 to B4 (S1 to S4 on the E-Box).
These transducers are used to measure pressures relative to ambient and volume flows at various
points in the breathing system.
– Pressure Transducer B1
This measurement provides the flow volume of the inspiration flow by measuring the differential
pressure at 2 fixed points in the Ventilator manifold after the Inspiration Flow Controller valve.
The full-scale pressure range of this transducer is 10.3 kPa (1.5).
– Pressure Transducer B2
This measurement is the system pressure in the IBS, relative to atmospheric pressure. This
measurement is calibrated at 0 hPa (cmH2O) and at 80 hPa (cmH2O). These calibration values
are, then, used to translate ADC readings into pressure readings. The full-scale pressure range of
this transducer is 10.3 kPa (1.5).
– Pressure Transducer B3
This measurement is of the Inspiratory/Expiratory flow volume. This flow sensor can be placed in
the patient Y-piece or in the expiratory tube. The differential pressures read by this sensor are
much lower than those read by the other transducers. For this reason a more precise transducer is
used. The full-scale pressure range of this transducer is 1.0 kPa (0.15).
This measurement is calibrated every 10 minutes or if the Y-piece type is changed (Adult or
Pediatric). During calibration, the tubes on both sides of the flow sensor are opened to
atmospheric pressure.
– Pressure Transducer B4
This is a measurement of the airway pressure at the patient Y-piece relative to atmospheric
pressure. The tube that connects to this transducer also connects to sample return of the multigas
module. The full-scale pressure range of this transducer is 10.3 kPa (1.5).
– Temperature Sensor
There is a temperature sensor, U28, placed on the IO board which is used in the calibration of the
pressure transducers.
Alarm
A small speaker mounted on the ventilator chassis is driven by an audio amplifier on the IO board via
connector J9 (X9 on the E-box).
The alarm will sound automatically in case of a watchdog timeout.
Fan
The fan is turned on by the CPU at start-up by the 24V power supply.
The fan contains a Locked-Rotor output. This signal goes low if the Fan rotor stops turning. If this
happens, an alarm will be generated.
Communications
The only communications channel that is used on the ventilator is an RS232 connection to the EGM
via IO board connector J23 (L12 on the E-Box). The ventilator DC ground is isolated from the EGM
ground, so galvanic isolation is used in the serial bus.
Power Supplies
Power comes into the CPU board on connector J12 (X1 on E-box). There are two power supply
connections, one to the external 24V AC/DC supply and the other to the ventilator backup battery.
Each supply is protected by a 6.3 Amp resettable fuse. If the voltage from the power supply is correct
then the ventilator battery is disconnected from the power input using a MOSFET. If the power
supply voltage is not correct then the boards are powered from the ventilator battery.
Two lower DC voltages, +5V and +3.3V are generated using switch-mode generators to power the
electronics on the CPU board and IO board. All the valves use the chosen 24V supply (PSU or battery)
for their power.
Interface DSP
The interface DSP interfaces between several other processors. It acts as an intelligent switchboard for
the different signals and messages, where a CRC (checksum recovery correction) may be added or
checked. This processor also handles the control dial and forwards this information to the GUI
processor.
SmartLog
The SmartLog automatically logs all settings, measured values, alarms and diagnostic data every two
seconds during an anesthesia procedure. All logs are time-stamped, and synced with the set time from
the GUI.
The SmartLog PC has both a serial connection and a USB connection.
The serial port sends numeric and waveform data for e.g. a patient monitor. The USB port can be used
for configuration of the SmartLog, to upgrade the SmartLog software, to download PDF case reports,
and diagnostic data to a USB memory stick.
See “7.4.5 SmartLog Troubleshooting” on page 249 for specific information of the available log data.
See "IntelliSave AX700 Information Sheet for IntelliBridge" for information about data sent to a
patient monitor via the Philips IntelliBridge interface, and how to configure the data.
NOTE Diagnostic data and waveform data are only available on SmartLog version 2.0 build 52 or higher.
Ventilator Processor
The ventilator processor controls the automatic ventilation and measures different pressures and flows.
It interfaces with the GUI via the Interface DSP.
Service
1. Password Versions
2. Password EGM
3. Password Whispa
Versions... EGM application
Calibration... Calibration DSP SW
Installation... O2 flow... submenu Gas Module SW
Miscellaneous... Air flow... submenu EGM boot
Previous menu N2O flow... submenu FPGA checksum
Main screen O2 inlet press... Touch SW ver.
submenu
Air inlet press... Strlib version
submenu
N2O inlet press... Strlib layout
submenu
Ventilator insp. flow Strlib records
BIB & Pat pressure Previous menu
Vol. sensor Adult Main screen
Vol. sensor Ped
Peep valve
Vent. temp. comp.
Gas module... submenu
Previous menu
Main screen
Installation
Carrier gas option
Pressure unit
Rotameter US
SIMV
Neonatal
HLM mode
Vent. set vol.
O2 Flow
Gain
Offset
Air Flow AD at 0.3 l/min
Gain AD at 0.6 l/min
Offset AD at 1.0 l/min
AD at 0.3 l/min AD at 2.0 l/min
AD at 0.6 l/min AD at 5.0 l/min
AD at 1.0 l/min AD at 10.0 l/min
AD at 2.0 l/min Calibration
AD at 5.0 l/min Previous menu
Calibration AD at 10.0 l/min
O2 flow... Calibration
Air flow... Previous menu
N2O flow...
O2 inlet press...
Air inlet press... N2O Flow
N2O inlet press... Gain
Ventilator insp. flow Offset
BIB & Pat pressure AD at 0.3 l/min
O2 Pressure AD at 0.6 l/min
Vol. sensor Adult
Gain AD at 1.0 l/min
Vol. sensor Ped
Offset AD at 2.0 l/min
Peep valve
Calibration AD at 5.0 l/min
Vent. temp. comp.
Previous menu AD at 10.0 l/min
Gas module...
Main screen Calibration
Previous menu
Main screen Previous menu
Air Pressure
Gain
Offset
N2O Pressure
Calibration
Gain
Previous menu
Offset
Main screen
Gas module Calibration
Hours of use: Previous menu
Pump hours: Main screen
Leak check
Previous menu
Main screen
Installation
Carrier gas option Fresh Gas
Pressure unit Fresh Gas safety
Rotameter US Min. fresh gas flow
SIMV Default flow
Neonatal Default O2%
HLM mode Default Carr. gas
Vent. set vol. Previous menu
Main screen
TV insp. option
Mean/Plateau
Printing
Fresh Gas
Gas measurement Gas measurement
Previous menu Gas module
Main screen Gas module sim.
Previous menu
Main screen
Service Menu
NOTE The Calibration, Installation and Miscellaneous menus are grayed out and inactive until you have
entered either the service password (gives access to all) or the super user password (give access to the
Installation menu). You can find the passwords in “1.9 Passwords” on page 13.
Versions Menu
Calibration Menu
Calibration Submenus
Installation Menu
Installation Submenus
Miscellaneous Menu
Miscellaneous Submenus
3Installation
Installation must only be carried out by qualified service personnel, either by the hospital’s biomedical
department, or by Philips Support.
The machine is suitable for use in all medically used rooms which fulfill the requirements stated in “3.1
Electromagnetic Emissions” on page 68.
For mechanical and electrical installation, you need technically qualified personnel with a knowledge of
English. Additionally, for machine configuration, you need clinically qualified personnel with a
knowledge of the use environment.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the equipotential point
on the rear side of the machine. The machine must be grounded; handle circuit boards on the edges
only and avoid touching board surfaces. Contaminants like skin oil attracts dust to accumulate which
could retain moisture and affect the circuit performance..
As the first step in preparing the machine for use, follow the installation instructions given in this
chapter.
• Preparation before the installation:
– “3.2 Site Preparation” on page 71
– “3.3 Site Requirements” on page 73
• Installation starts from “3.5 Installation Checklist” on page 74.
The machine is intended for use in the electromagnetic environment specified below. The customer or user of
the machine should assure that it is used in such an environment.
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment - guidance
Portable and mobile RF communications
equipment should be used no closer to any part
of the machine, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3 Vrms
IEC 61000-4-6 150 kHz to 80 MHz
outside ISM bandsa
10 Vrms 10 Vrms
150 kHz to 80 MHz
3 5
outside ISM bandsa d = --------- P
V1
12
d = ------ P
V2
12
d = ------ P 80 MHz to 800 MHz
E1
23
d = ------ P 800 MHz to 2,5 GHz
E1
The machine is intended for use in the electromagnetic environment specified below. The customer or user of
the machine should assure that it is used in such an environment.
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment - guidance
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a
The ISM (industrial, scientific, and medical) bands between 150 kHz and 80 MHz are 6.765 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.
b
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 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 the formulae used in calculating the recommended separation distance for transmitters in these
frequency ranges.
c Fields 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 machine is used exceeds the applicable RF
compliance level above, the machine should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the machine.
d Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended separation distances between portable and mobile RF communications equipment and the
AX700 anesthesia machine
The machine is intended for use in the electromagnetic environment in which radiated RF disturbances are
controlled. The customer or the user of the machine can help prevent electromagnetic interference by
maintaining a minimum distance between the portable and mobile RF communications equipment
(transmitters) and the machine as recommended below, according to the maximum output power of the
communications equipment.
12
12 d = ------ P 23
d = ------ P E1 d = ------ P
3 5 V2 E1
d = --------- P
V1
Rated maximum
output power of
transmitter (W)
0.01 0.12 0.12 0.12 0.23
0.1 0.37 0.38 0.38 0.73
Recommended separation distances between portable and mobile RF communications equipment and the
AX700 anesthesia machine
The machine is intended for use in the electromagnetic environment in which radiated RF disturbances are
controlled. The customer or the user of the machine can help prevent electromagnetic interference by
maintaining a minimum distance between the portable and mobile RF communications equipment
(transmitters) and the machine as recommended below, according to the maximum output power of the
communications equipment.
12
12 d = ------ P 23
d = ------ P E1 d = ------ P
3 5 V2 E1
d = --------- P
V1
Rated maximum
output power of
transmitter (W)
1 1.17 1.2 1.2 2.3
10 3.69 3.79 3.79 7.27
100 11.67 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 and 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 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 has been incorporated into the formulae used in calculating the recommended
separation distance for transmitters in these frequency ranges in the ISM frequency bands: between 150 kHz and 80
MHz and between 80 MHz to 2.5 GHz. This is intended 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.
NOTE If the device is configured with passive AGSS/WAGD, site requirements for AGSS/WAGD should still
be met as stated in “3.3 Site Requirements” on page 73. However, if the vacuum from the wall is too
high, a flow restrictor (PN 989803194321) can be ordered as an accessory to the system.
WARNING Only the power cable provided with the machine may be used. For reasons of safety, power (mains)
extension cables or adapters shall not be used.
CAUTION If more than one external device is connected to the auxiliary electrical outlets (optional), a high
leakage current from one device (e.g., a defective ground conductor) will affect the leakage current
from the other equipment.
3.4 Prerequisites
3.4.1 Tools Requirements
For the list of required tools, see “9 Service Parts and Tools” on page 323.
2 Remove the top plate by removing the 8 plastic locks from the top plate of transport box.
3 Remove the 2 upper locks which still are mounted on the left and right side.
Beware the side panels are now loose.
4 Open the transport box.
3 Ensure that the machine is in the correct position in the box, with wheels towards the floor, and tilt
the box to an upright position.
Take care not to tilt the box too much.
Mechanical Inspection
Open the package carefully and remove the machine and accessories. Examine each part of the
shipment for visible damage, such as broken connectors or controls, or scratches on the equipment
surfaces. If the shipping crate/ carton(s) is undamaged, check the cushioning material and note any
signs of severe stress as an indication of rough handling in transit. This may be necessary to support
claims for hidden damage that may only become apparent during subsequent testing.Check that the
contents are complete and that the correct options and accessories have been delivered according to the
packaging list.
Electrical Inspection
The instrument has undergone extensive testing prior to shipment. Safety testing at installation is not
required (except in situations where devices are interconnected forming a system. An extensive self
check may be performed. This recommendation does not supersede local requirements. All tests are
described in the Performance Verification section of this manual.
NOTE The Anesthesia Machine Pendant Interface (AMPI) is compatible with pendants mounted with a Cato
/ Cicero pendant interface.
For detailed instructions on installing and mounting the Anesthesia Machine Pendant Interface
(AMPI), refer to the Installation Note that was delivered with the pendant interface.
WARNING The AMPI can carry a maximum load of 200kg. Do not overload it. Refer to the technical data section
of the anesthesia machine and other peripheral equipment being loaded to the AMPI.
1 Remove the two M12 screws from the bottoms side of the anesthesia machine wheel base. (one on
each side of the machine)
3 Lift the machine by pressing the UP control button on the pendant until the wheel base is
fully detached (use the remote if available).
NOTE The M12 screws from the wheel base can be stored in the threads on the wheel base for later use.
3.8 Connections
3.8.1 Connect Supplies
Connect the machine to AC mains using the supplied power cord, and set the mains switch to ON.
WARNING • Always use the supplied power cord with the earthed mains plug to connect the machine to an
earthed AC mains socket. Never adapt the mains plug from the power supply to fit an unearthed AC
mains socket.
• Do not use AC mains extension cords or multiple portable socket-outlets. If a multiple portable
socket-outlet without an approved isolation transformer is used, the interruption of its protective
earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage
currents, so exceeding allowable limits.
• Do not connect any devices that are not supported as part of a system.
• Any non-medical device placed and operated in the patient’s vicinity must be powered via an
approved isolation transformer that ensures mechanical fixing of the power cords and covering of any
unused power outlets.
CAUTION The mains switch must always be switched on, when the machine is connected to the AC mains.
Otherwise the EGM backup battery will not be charged.
The ventilator battery is only charged when the machine is turned on.
Connect all supplies to the wall outlets including VAC and AGSS/WAGD using the supplied hoses.
CAUTION If the machine is equipped with DISS type gas connections, it is important to use AGSS/WAGD hose
(P/N 989803191601) to ensure adequate AGSS/WAGD flow.
3
1
1 Numeric data is sent from the GUI every 2 seconds, containing settings, measurement, alarm data
etc. to e.g. a patient monitor or a patient data management system
2 The serial SmartLog port is used to send waveform and numeric data to a patient monitor via a
IntelliBridge connection.
3 The SmartLog USB port is used for updating the SmartLog software and configuration, and
extracting alarm -and diagnostic data for troubleshooting to a USB stick.
2 Go to Setup menu -> Service -> Installation and check that Neonatal and HLM Mode are
enabled / disabled as ordered.
NOTE After a software installation you must first select any other setting than the actual set, and then go back
to the desired setting. Otherwise the Air/N2O selector valve might get stuck.
WARNING Before using the machine, check that the configuration meets the user requirements, especially patient
category and alarm limits.
If you are handing over the machine to the end-users directly after configuration, make sure to exit the
Service or Super User mode by restarting the machine.
Ensure that the users have access to the following documentation delivered with the machine:
• Instructions for Use - for detailed questions during use
WARNING All users must complete a training program and read the Instructions for Use before working with the
machine.
These training materials (in combination with this service guide) can also be used to train service
personnel on how to use and service the machine.
4Maintenance
This section provides step by step maintenance procedures for the machine.
To ensure maximum safety and reliability of all functions of the machine, planned preventive
maintenance must be performed once a year by a Philips certified engineer.
Preventive Maintenance includes performance verification and calibration described in the next
chapters. These steps are required to make sure the measurement results are accurate and thereby that
patient safety is optimized.
Start
Evaluation of Results
NOTE If any single step fails, testing must be discontinued immediately and the device under test must be
repaired or labeled as defective.
Tests Frequency
Preventive Maintenance O-rings, filters, tubes, gaskets for: Once every year, or more often if
specified by local regulations.
- Inlets
“4.4.3 1-Year Maintenance” on
- Pin index yokes
page 91
- Back bar
- Auxiliary fresh gas outlet
- AGSS/WAGD
- Fans
- Patient suction system
- Multigas module filter and tube Once every second year.
“4.4.5 2-year Maintenance” on
page 110
- EGM battery Once every fourth year.
- Ventilator backup battery “4.4.7 4-year Maintenance” on
- Ventilator reduction valve page 112
4.3 Prerequisites
• For information about the required tool kit, test kit and service kit and other parts, see “9 Service
Parts and Tools” on page 323.
• Review the latest service reports for the machine.
• Check the status of the machine, by running the initial self test before starting any preventive
maintenance. In case of any faulty conditions, these should be corrected before starting the
preventive maintenance.
WARNING High Voltage - Voltages dangerous to life are present in the machine when it is connected to the mains
power supply. Do not perform any disassembly procedures with power applied to the machine. Failure
to adhere to this warning could cause serious injury or death.
WARNING The electrical characteristics of anti-static mats should be checked before use, as described in the
manufacturer’s instructions for continued protection to both you and the equipment.
WARNING Use of standard oil or grease in the machine could cause an explosion. Use special grease P/N
453564416141 only.
WARNING Discard used parts on the hospital’s request, before installing the new service parts from the service kit,
to prevent mix-up.
WARNING Be sure only to use high pressure gaskets on the correct yoke; Red gaskets are ONLY for O2 and Air
yokes. Black gaskets are ONLY for N2O yokes
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the equipotential point
on the rear side of the machine. The machine must be grounded to earth. Handle circuit boards on the
edges only; avoid touching board surfaces. Contaminants like skin oil attracts dust to accumulate
which could retain moisture and affect the circuit performance..
CAUTION Before starting any maintenance or repair, release all gas pressures; first N2O, then O2 and Air
CAUTION Do not open the electronic box of the ventilator. Opening the box voids the warranty of the ventilator.
CAUTION Vaporizer functionality should be verified (Spot-check) at least once a year by authorized personnel.
CAUTION Always use the specified tools to avoid damage to the screws, nuts and other parts.
Wipe the machine's outer surfaces with a cloth moistened with a mild detergent or Isopropyl alcohol.
Afterward, dry the machine with a clean, dry cloth.
CAUTION Avoid abrasive or caustic cleaners, as they can damage the machine. Avoid organic liquids, such as
Acetone, Turpentine, and Thinners.
2 Remove the two screws from the inlet on the rear side, and dismount the inlet manifold.
NOTE This procedure may also be carried out without dismounting the inlet manifolds, by replacing the O-
rings and filters from the backside of the inlet manifolds.
WARNING Be sure only to use high pressure gaskets on the correct yoke; Red gaskets are ONLY for O2 and Air
yokes. Black gaskets are ONLY for N2O yokes
CAUTION Handle high pressure gaskets on the edges only and avoid touching the red/black rubber part.
Contaminants like skin oil attract dust to accumulate which could retain moisture and affect
performance of the part.
2 Remove gaskets.
3 Insert the new flow marker into the flow marker housing.
4 Mount the bottom screw cap and tighten using a 6mm hexagon screwdriver.
2 Connect a tube extension adapter between the old and the new clear AGSS/WAGD tube.
3 Remove the AGSS/WAGD tube from the bottom of the flow marker manifold on the inside of the
machine.
4 Pull the tube out of the machine from the top, while assisting the tube from the bottom.
5 Connect the new tube in both ends.
6 Remove the AGSS/WAGD reservoir tube from the ventilator manifold.
7 Twist the tube, while pulling it out to remove the tube from the left side of the machine.
8 To remove the tube from the machine, unscrew the two cable binders.
2 To disassemble, release the two screws at the bottom of the ejector unit.
NOTE Be careful not to drop the brass flow resistor after the o-ring and filter is removed.
3 Using the special tool, remove the three valves (A, B, C) from the bottom.
4 Release the adjustable pressure limit (APL) valve and remove it.
7 Remove the two O-rings, using the grooves and O-ring pick tool for easier access.
8 Remove the remaining three O-rings from the cones on the IBS.
10 Remove the blue O-ring, using the groove and O-ring pick tool for easier access.
11 Remove the spill valve cover, and remove the black O-ring inside.
12 Remove the membrane from the IBS and then remove the metal weight from the membrane.
CAUTION Before assembly, do a visual inspection and ensure that the IBS is clean.
CAUTION Before assembly, check that all new parts are clean and intact.
14 Mount the new membrane on the metal weight (mount against the side with the smooth surface).
15 Mount the membrane lightly with the metal weight on top and ensure that it stays on when you
pull it.
16 Press the O-ring into the track on the spill valve cover.
18 Press the blue O-ring into the IBS. Use a tool if needed, but not a sharp one.
19 Mount bellows and the chamber. To fix the O-ring, press down the chamber.
CAUTION Be aware of the direction, when mounting the rubber gaskets on the IBS base.
3 Mount new filter as shown below with the blue side in correct direction.
4 Remove the nafion sample tube from second connector (from the bottom).
5 Pull out the nafion sample tube from the water trap receptacle and remove the tube completely
from the machine.
8 Remove the o-rings on the water trap receptacle, and replace with new ones.
WARNING When removing and mounting the battery terminals and while they are unmounted, take care not to
short-circuit the terminals with the metal cover.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the equipotential point
on the rear side of the machine. The machine must be grounded to earth.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
5 Mount protection covers on the red (+) terminals (take from new batteries...).
6 Remove the remaining nuts from the cover and remove it.
Position the new valve, mount the valve seat and tighten firmly.
NOTE To fit correctly in the thread, it is crucial that it is aligned on the tool
6 Ensure that the spring inside the valve housing does not exceed the top of the housing.
5Performance Verification
After preventive maintenance or repair of a faulty machine, the service engineer must complete
performance verification to ensure that the machine is ready for use before handing it over to the
customer.
To prepare for the task, read “5.1 Prerequisites” on page 121.
In connection with preventive maintenance, all the procedures in “5.2 Performance Verification
Procedures” on page 123 must be followed from beginning to end and a test report should be filled
out. A Philips engineer uses an online tool to report back to Philips while non-Philips personnel should
make a copy of the checklist in “5.5.1 Test and Inspection Report” on page 191, and fill it out while
verifying the machine. The bold X in the procedure indicates that this is a valve that needs to be
recorded in the Test and Inspection Report.
See also the full sequence in “4.1 Preventive Maintenance Sequence” on page 87.
In addition to the performance verification procedures related to the AX700 itself, this chapter also
contains a procedure for spot check of the vaporizer used with the machine. See “Vaporizer Tests” on
page 203.
In connection with a repair, the specific performance verification procedures relevant after each repair
are described at the end of each repair procedure in “8 Repair” on page 253. Section “5.3.4 System
Test” on page 188 further lists the performance verification procedures required after repairs or
replacements in each specific functional block.
5.1 Prerequisites
• For instructions on how to access the machine see “Accessing the Machine” on page 255.
• All supplies that the machine is normally configured with, must be connected to wall outlets before
starting any of the performance verification tests in this section, unless otherwise is stated.
• The machine must be connected and switched on.
• At power up, complete the self-test unless you are instructed to do otherwise.
• The performance verification requires reference measuring instruments for:
– High pressure: 0-6x100 kPa (0-87 psig)
– Low pressure: -10 - +100 hPa(cmH2O)
– Flow: 0-100 L/min.
WARNING High Voltage - Voltages dangerous to life are present in the machine when it is connected to the mains
power supply. Do not perform any disassembly procedures with power applied to the machine. Failure
to adhere to this warning could cause serious injury or death.
CAUTION All measurement of flow and pressure must be done according to STPD conditions (atmospheric
pressure of 1013 hPa(cmH2O) and temperature of 21ºC (69.8ºF). The flow and pressure measuring
reference instruments must be able to convert the results to these conditions.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system.
CAUTION Do not save any calibration or test settings during performance verification. End tests by selecting
Reset settings & data, unless otherwise has been specified exclusively.
CAUTION When measuring volumes you must place a filter on inlet to the reference instrument, or between test
lung and the flow sensor.
CAUTION When testing the neonatal capabilities, use a neonatal test lung.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the equipotential point
on the rear side of the machine. The machine must be grounded to earth.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
• “5.2.32 System Pressure Alarm and Disconnection Alarm Test” on page 175
• “5.2.33 High Pressure Alarm Test” on page 176
• “5.2.34 O2 Fuel Cell Sensor Test” on page 176
• “5.2.35 Multigas Module Test” on page 176
• “5.2.36 Fans Test” on page 178
• “5.2.37 Auxiliary Power Outlets Test” on page 178
• “5.2.38 SmartLog Test” on page 179
• “5.3 Safety Tests” on page 180
• “5.3.4 System Test” on page 188
EGM Manifold
Perform the test on all five regulators.
Regulators: Test points:
A B C A
B E C
D E D
1 Connect a pressure measuring reference instrument to the corresponding test point, and check that
the pressure is within limits.
Ventilator
NOTE For Rel 2.0 machines: Use the steps below, otherwise go to step 1 after note below.
2 Mount a pressure measuring reference instrument on the regulator and activate it by pressing the
white knob on the pilot valve.
3 Check on the reference instrument that the pressure is X6 3.0 ± 0.2 (x100 kPa) (43.5 ± 2.9 psig).
If not, see “Calibrating the Internal Pressure Regulators” on page 235.
4 Remove the pressure measuring reference instrument and re-connect hose.
2 Mount a pressure measuring reference instrument on the regulator and activate it by pressing the
white knob on the pilot valve.
3 Check on the reference instrument that the pressure is X6 3.0 ± 0.2 (x100 kPa) (43.5 ± 2.9 psig).
If not, see “Calibrating the Internal Pressure Regulators” on page 235.
4 Remove the pressure measuring reference instrument and re-connect hose.
CAUTION Check that the cylinders are clean, undamaged, and intact before connecting to the machine.
3 On the high pressure tube for the pressure reference instrument, remove quick connector and
mount a T-piece as shown below:.
To EGM
To ref. instrument
N2O Air
O2
2 Open for the gas cylinder attached to the yoke under test.
3 For each Yoke in the table below, check on the reference instrument that the reduced pressure from
the gas cylinders is within the Expected Results, and remains stable after 2 minutes.
J
F G
5 For each Test Point in the table above, check on the reference instrument that the reduced pressure
from the gas cylinders is with the test limits, and remains stable after 2 minutes.
6 Close the gas cylinders, and start the stop watch on the screen.
7 Check on the pressure gauge for the corresponding gas, that the high pressure from the gas cylinder
has not dropped more than 10 (x100 kPa) (145 psig) after 2 minutes.
8 Check on the reference instrument, that the reduced pressure from the yoke remains stable after 2
minutes.
If the test fails, replace the yoke.
2 By using a T-piece, connect a pressure reference instrument in line with the inlet pressure tube, and
the connector for O2 on the EGM manifold.
To EGM
O2 Air N2O
To ref. instrument
3 Reconnect O2 supply.
4 Reduce the O2 inlet pressure using a pressure regulator and check that the “O2 supply pressure
low” alarm starts when the measured inlet pressure has dropped to 2.0 ± 0.2 (x100 kPa) (29 ± 2.9
psig) read on the pressure reference instrument. If yes, go to step 5.
5 If not, the O2 inlet pressure sensor must be re-calibrated (see “6.6 Calibrating the O2 Inlet
Pressure” on page 215) and then redo this test.
6 After testing, set status to STBY and in Setup menu, select Reset settings & data.
7 Remove test equipment, and reconnect the O2 supply.
To EGM
To ref. instrument
2 By using a T-piece, connect a pressure reference instrument in line with the inlet pressure tube, and
the connector for N2O on the EGM manifold.
To EGM
To ref. instrument
1 Connect a pressure measuring reference instrument to test point J on the EGM manifold.
Prerequisites
The PLT-01 Leakage Tester can be mounted on a rail e.g. the side rail, or on the table top of the
anesthesia machine.
Push
1 Ensure the anesthesia machine is turned on, and the self-test is bypassed.
2 Connect O2 gas supply hose from the wall outlet (3-6 (x100 kPa) (44-87 psig))) to the inlet of the
leakage tester.
NOTE If your country specific gas supply hoses does not have a NIST female connection, you need an adapter
from O2 NIST to the specific standard in your country.
See “Pneumatics Leakage Tester” on page 415.
NOTE Ensure that all flows are closed, including patient suction.
5 Adjust the Inlet Regulator to give a pressure of 2.8 to 2.9 (x100 kPa) (40.6 to 42 psig), measured
on TP-1.
A B C
NOTE A) Test adapter for NIST inlets. If there are mounted adapters for AFNOR or SIS hoses on the NIST
inlets, remove these in order to connect the test adapter for NIST. B) Test adapter for DISS.
C) If the DUT is configured without N2O, you must mount the N2O blind plug on the test adapters
N2O connector.
2 Connect the test hose between the leakage tester and test adapter.
3 Press O2 Flush on the DUT for approx. 1 second and wait 1 minute for the pressure to stabilize.
4 Set the switch on leakage tester to Leak Test, and wait approx. 2 minutes.
NOTE Under certain circumstances, the flowmeter ball can get stuck at the top of the flowmeter during
pressure alignment on both sides of the flow-meter. If this happens, tilt the PLT approx. 10° to the left,
and let it drop back into the upright position, and wait for the ball in the flowmeter to stabilize.
5 When the flowmeter ball is stable, check that the flowmeter on the leakage tester indicates a flow
(leakage) < 20ml/min. If yes, go to step 7.
6 If not, see “Table 7-6: High pressure, supply and drive gas O2/Air/N20” on page 244 in
Troubleshooting
7 After testing, set the switch on the leakage tester to Inlet Regulator, remove the test equipment,
and reconnect the gas supply hoses of the machine to the wall outlets
1 Connect test adapter to the Air inlet of the machine, and mount blind plugs on the test adapters
O2 and N2O connectors.
The O2 and N2O inlets should still be connected to the wall outlets.
NOTE A Test adapter is available for NIST and DISS inlets. If there are mounted adapters for AFNOR or SIS
hoses on the NIST inlets, remove the inlet adapter for Air in order to connect the test adapter for
NIST.
2 Connect the test hose between leakage tester and test adapter.
NOTE Under certain circumstances, the flowmeter ball can get stuck at the top of the flowmeter during
pressure alignment on both sides of the flow-meter. If this happens, tilt the PLT approx. 10° to the left,
and let it drop back into the upright position, and wait for the ball in the flowmeter to stabilize.
10 Check that the flowmeter on the leakage tester indicates a Air flow (leakage) < 20ml/min. If yes, go
to step 12.
11 If not, see “Table 7-6: High pressure, supply and drive gas O2/Air/N20” on page 244 in
Troubleshooting
12 After testing, set status to STBY and go to the Setup menu, select Reset settings & data.
13 Set the switch on the leakage tester to Inlet Regulator, remove test equipment, and reconnect the
gas supply hoses of the machine to the wall outlets.
1 Connect test adapter to the N2O inlet of the machine, and mount blind plugs on the test adapters
O2 and Air connectors.
The O2 and Air inlets should still be connected to the wall outlets.
NOTE A Test adapter is available for NIST and DISS inlets. If there are mounted adapters for AFNOR or SIS
hoses on the NIST inlets, remove the inlet adapter for N2O in order to connect the test adapter for
NIST.
2 Connect the test hose between leakage tester and test adapter.
NOTE Under certain circumstances, the flowmeter ball can get stuck at the top of the flowmeter during
pressure alignment on both sides of the flow-meter. If this happens, tilt the PLT approx. 10° to the left,
let it drop back into the upright position, and wait for the ball in the flowmeter to stabilize.
9 Check that the flowmeter on the leakage tester indicates a Air flow (leakage) < 20ml/min. If yes, go
to step 12.
10 If not, see “Table 7-6: High pressure, supply and drive gas O2/Air/N20” on page 244 in
Troubleshooting
11 After testing, set status to STBY and go to the Setup menu, select Reset settings & data.
12 Set the switch on the leakage tester to Inlet Regulator, remove test equipment, and reconnect the
gas supply hoses of the machine to the wall outlets.
3 Set status to MAN, and wait until the MPL valve opens (at 90-100 hPa). Note the MPL opening
pressure X1.
4 Set status to STBY and start the Stop Watch.
5 Check that the pressure has not dropped more than 20 hPa over 10 seconds.
6 If above step passes successfully, go to step 10. If not, go to step 7.
7 Wait until the pressure has dropped to the range of 30-50 hPa. Note the pressure X2, and start the
Stop Watch.
8 After 10 seconds, note the pressure again X3.
9 Verify that X2 has not dropped more than 20 hPa. Over 10 seconds. X4 = X2-X3 = <20.
10 After testing, set aux. fresh gas switch to OFF, and remove test equipment.
3 Turn the switch to MAX, and check on the reference instrument that the vacuum is X1 < -0.7
(x100 kPa) (-10.2 psig)(-525 mmHg).
4 Turn the switch to the left position, and check that the suction can be adjusted from 0.0 to < -0.7
(x100 kPa) (-10.2 psig)(-525 mmHg)
If yes, go to step 6.
5 If not, and the patient suction is powered by Air or O2, the suction unit placed on the back of the
machine could be defective or blocked.
6 Turn the patient suction knob to the left (adjust) and adjust VAC to highest suction.
7 Check on the reference instrument that the vacuum can be adjusted from 0 to < -0.7 (x100 kPa) (-
10.2 psig) (-525 mmHg). If yes, go to (step 9).
8 If not, see “Table 7-10: Integrated Patient Suction (VAC/pressure regulated)” on page 247 in
Troubleshooting.
9 After testing, switch off the patient suction and remove test equipment.
CAUTION As this test is dependent of the resistance in the hospitals central scavenging system, this procedure
must be performed in the room, where the machine is used, with the machine connected to the AGSS/
WAGD wall connector.
Prerequisites
1 Connect a 2L respiration bag to the Y-piece..
Active AGSS/WAGD
1 Activate the AGSS/WAGD flow.
2 For Rel. 1.0 machines, check that the yellow ball in the flow marker is visible in the clear area of
the flow marker.
NOTE For Rel. 2.0 machines, if the ball is in the lower red-area the flow is too low. If the ball is visible in the
upper red-area, the flow is too high.
For Rel 2.0 machines, check that the green ball in the flow marker is within the clear area of the flow
marker.
3 If yes, go to (step 5).
4 If not, the AGSS/WAGD ejector must be re-calibrated. See “Calibrating the Anesthesia Gas
Scavenging System (AGSS/WAGD)” on page 236.
Refer to Table 7-8 on page 246 for more troubleshooting hints.
5 After testing, switch off the AGSS/WAGD flow, and set status to STBY in the Setup menu, and
select Reset settings & data.
Passive AGSS/WAGD
If the machine have a passive AGS system (no ON/OFF switch on the flow marker) you should
perform following steps:
1 Activate the AGSS/WAGD flow from wall outlet.
2 Check that the ball in the flow marker is visible in the clear area of the flow marker.
If yes, go to (step 4).
3 If not, the AGSS/WAGD flow from the hospital must be adjusted to be within specification.
NOTE If the customer is using WAGD, and the flow is too high, the flow restrictor (PN 989803194321) can
be ordered. This part can also be ordered as an accessory to the system. See “6.18.2 Calibrating the
Passive AGSS/WAGD (Option # C10)” on page 238.
NOTE If the machine is equipped with an integrated multigas module, the sample tube to this module must
be connected at the Y-piece during the self-test. Otherwise the measurement of leakage will be
incorrect.
5 Check that no error messages appear during the self-test. If no errors, go to (step 7).
6 In case of errors, consult the list of alarms in the IntelliSave AX700 Instructions for Use.
7 When the self-test has finished, the machine is ready for use.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system (O2).
1 Connect a flow measuring reference instrument and an oxygen analyzer to the outlet of the
auxiliary O2 flowmeter.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system (O2).
3 Activate the O2 flush and check on the reference instrument that the flow is 100% O2 and
between X1 35 to 50 L/min. If yes, go to (step 5).
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system (O2).
1 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument and an
oxygen analyzer to the outlet.
2 Activate the emergency fresh gas flow and check that information appears on the display, telling
that the emergency fresh gas flow is activated.
If not, see “Table 7-7: Dose System” on page 245 in Troubleshooting and repeat from step 2.
5 After testing, deactivate the emergency fresh gas flow and check that the message disappears from
the screen.
6 Switch off the auxiliary fresh gas switch and remove the test equipment.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system (O2).
CAUTION The machine must be powered up for at least 30 minutes before performing this calibration, to ensure
accuracy of the calibration. It is recommended that the machine is in status MAN or VENT with 1 L/
min O2 and Air fresh gas flow for 30 minutes to ensure the valves reach normal working temperature.
1 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument and an
oxygen analyzer to the outlet.
2 On the screen, set status to MAN and O2 fresh gas flow to 0.3 L/min.
NOTE The carrier gas must be set to zero (0) during this test.
3 Check that the flow column appears after a little while and that no alarms are activated.
4 Check on the reference instrument that the O2 concentration is 100%.
5 Set the O2 fresh gas flow to the following values, and check that it is within limits.
If yes, go to step 7.
NOTE At all values, the flow column must be stable and without fluctuations.
6 If not, the O2 fresh gas flow must be re-calibrated (see “6.3 Calibrating the O2 Flow” on page 211)
and then redo this test.
7 After testing, set the auxiliary fresh gas switch to off, set status to STBY, and in Setup menu select
Reset settings & data.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system (Air).
CAUTION The machine must be powered up for at least 30 minutes before performing this calibration, to ensure
accuracy of the calibration. It is recommended that the machine is in status MAN or VENT with 1 L/
min O2 and Air fresh gas flow for 30 minutes to ensure the valves reach normal working temperature.
1 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument and an
oxygen analyzer to the outlet.
2 On the screen, set status to MAN and Air fresh gas flow to 0.3 L/min.
NOTE The O2 flow must be set to zero (0) during this test.
3 Check that the flow column appears after a little while and that no alarms are activated.
4 Check on the reference instrument that the O2 concentration is 21%.
5 Set the Air fresh gas flow to the following values, and check that it is within limits.
If yes, go to step 7.
NOTE At all values, the flow column must be stable and without fluctuations.
6 If not, the Air fresh gas flow must be re-calibrated (see “6.4 Calibrating the Air Flow” on page 212)
and then redo this test.
7 After testing, set the auxiliary fresh gas switch to off, set status to STBY, and in Setup menu select
Reset settings & data.
CAUTION The machine must be powered up for at least 30 minutes before performing this calibration, to ensure
accuracy of the calibration. It is recommended that the machine is in status MAN or VENT with 1 L/
min O2 and Air fresh gas flow for 30 minutes to ensure the valves reach normal working temperature.
NOTE This test can only be performed if test “5.2.14 O2 Fresh Gas Flow Test” on page 148 has been
completed successfully.
1 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument and an
oxygen sensor to the outlet.
NOTE Be sure to take the necessary precautionary measures for evacuation of the N2O gas flow.
2 On the screen, set status to MAN and O2 and N2O fresh gas flow to 0.3 L/min.
3 Check that the flow column appears after a little while and that no alarms are activated.
4 Set the O2 and N2O fresh gas flows to the following values, and check that the O2 concentration of
the mixture stabilizes within limits.
If yes, go to step 7.
NOTE At all values, the flow column must be stable and without fluctuations.
5 If not, the N2O fresh gas flow must be re-calibrated (see “6.5 Calibrating the N2O Flow” on
page 214) and then redo this test.
6 After testing, set the auxiliary fresh gas switch to off, set status to STBY, and in Setup menu select
Reset settings & data.
4 Set the fresh gas flow to 10 L/min and check on the reference instrument that measured flow is
0.00 L/min. If yes, go to step 6.
5 If not, an internal leakage in the fresh gas switch must be repaired.
6 Switch off the auxiliary fresh gas outlet and check that the message disappears from the display.
7 Connect the flow measuring reference instrument to the auxiliary fresh gas outlet.
8 Check on the reference instrument that measured flow is 0.00 L/min. If yes, go to step 10.
4 On the screen, set status to MAN and O2 fresh gas flow to 2 L/min.
5 Check on the reference instrument that the pressure is X1 = 90-100cm H2O.
If yes, go to step 8.
6 If not, adjust the MPL valve by firmly holding the valve house and adjusting the top of the MPL
valve.
Twist
Hold
4 On the screen, set status to MAN and O2 fresh gas flow to 2 L/min.
5 Check on the reference instrument that the pressure is X1 90-100 hPa(cmH2O).
If yes, go to (step 8).
6 If not, adjust the MPL valve by firmly holding the valve house and adjusting the top of the MPL
valve.
Twist
Hold
4 With the control dial Set O2 fresh gas flow to 2 L/min and check on the reference instrument that
pressure is X1 90-100 hPa(cmH2O).
If yes, go to step 7.
5 If not, adjust the MPL valve by firmly holding the valve house and adjusting the top of the MPL
valve.
3 Mount a reference instrument for flow and pressure to the valve block.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system.
9 Check on the reference instrument that the pressure is X1 90-100 hPa (cmH2O).
If yes, go to step 12.
10 If not, adjust the MPL valve by firmly holding the valve house and adjusting the top of the MPL
valve.
Prerequisites
The PLT-01 can be used as a pressure regulator in order to reduce the inlet pressure to the machine to
the required ranges for the test.
The PLT-01 Leakage Tester can be mounted on a rail e.g. the side rail on the table top on the
anesthesia machine.
Push
1 Connect O2 gas supply hose from the wall outlet (3-6 (x100 kPa) (44-9 psig))) to the inlet of the
tester.
NOTE If your country specific gas supply hoses does not have a NIST female connection, you need an adapter
from O2 NIST to the specific standard in your country.
See “Pneumatics Leakage Tester” on page 415.
4 Adjust the Inlet Regulator to give a pressure of > 3 (x100 kPa) (44 psig), measured on TP-1.
5 Connect test adapter to machine inlets.
Test adapter for NIST inlets. Test adapter for DISS. If the DUT is configured without
N2O, you must mount the N2O
If adapters for AFNOR or SIS
hoses have been mounted on the blind plug on the test adapters
NIST inlets, remove these in order N2O connector.
to connect the test adapter for
NIST.
NOTE A Test adapter is available for NIST and DISS inlets. If adapters for AFNOR or SIS hoses have been
mounted on the NIST inlets, remove the inlet adapter for Air in order to connect the test adapter for
NIST.
Drive Gas Selection and Drive Gas Alarm Test for Rel. 1.0
The below test applies to Rel. 1.0 machines.
For Rel. 2.0 machines, see “Drive Gas Selection and Drive Gas Alarm Test for Rel. 2.0” on page 161.
1 Connect a test lung to the Y-piece.
2 Set the Ventilator mode to VCV, Respiration Rate to 4, I:E ratio to 3:1, and TV to 200m/l.
3 Set status to VENT.
4 Connect a pressure reference instrument to test point E (drive gas) on the EGM manifold.
5 5Use the Inlet Regulator on the PLT tester to reduce the drive gas pressure to the machine, and
check that the machine switches (click) from the primary to the secondary drive gas, and issues the
alarms O2 drivegas low. Air is used as drivegas / Air drivegas low. O2 used as drivegas, when the
drive gas has dropped to:
2.0 (x100 kPa) (29 psig) - Rel. 1.0 machines
2.5 (x100 kPa) (36.3 psig) - Rel. 2.0 machines
Drive Gas Selection and Drive Gas Alarm Test for Rel. 2.0
This test verifies the adjustment of the pressure switches for the automatic drive gas selection, and the
drive gas low alarm. Is also verifies the function of the drive gas selection.
1 Connect a test lung to the Y-piece.
2 Set the Ventilator mode to VCV, Tidal Volume to 500 ml, I:E Ratio to 3:0:1, Respiration Rate to
4, and Fresh Gas Flow to 0.20 l/min (Air or O2).
3 If the drive gas is O2, fill the bellows by pressing the O2 flush.
4 Connect a pressure reference instrument to test point G (drive gas) on the EGM manifold.
Pressure switch
NOTE On the picture above the primary drive gas is configured as Air. If the primary drive gas was configured
as O2, the pressure switch would be located in the left side of the EGM manifold.
5 Disconnect the primary drive gas (O2 or Air) supply hose from the wall outlet and check on the
reference instrument that the machine switches to the secondary drive gas when the primary drive
gas pressure at the ventilator has dropped to 2.0 ± 0.2 (x100 kPa) (29 ± 2.9 psig), and that the
ventilator continues to function as before.
6 If not, go to “6.16.1 Calibrating the Automatic Drive Gas Selection” on page 232.
7 Disconnect the secondary drive gas supply hose from the wall outlet and check that the “Ventilator
drive gas low” alarm starts when the pressure of the secondary drive gas is 1.5 ± 0.2 (x100 kPa)
(21.8 ± 2.9 psig). If yes, go to step 9.
8 If not, go to “6.16.2 Adjustment of Ventilator Drive Gas Low Alarm” on page 233.
9 Connect the primary drive gas supply hose to the wall outlet. Check that the ventilator starts
functioning again and that it switches back to the primary drive gas.
10 Connect the secondary drive gas supply hose to the wall outlet and check that all alarms disappear.
11 After testing, set status to STBY and in Setup menu, select Reset settings & data.
6 Check that »Absorber disconnected« appears on the screen after approx. 20 sec.
7 Check that the bellows still go to the top of the chamber during expiration.
8 If not, the absorber valves may be defect.
9 Disconnect the IBS from the base and check that the ventilator stops and »Breathing system
disconnected« appears on the screen. If yes, go to step 11.
10 If not, see “Table 7-9: Integrated Breathing System (IBS)” on page 246 in Troubleshooting and
then redo this test.
11 After testing, connect the IBS to the base and lock it. Check that “Breathing system disconnected”
disappears from the screen.
12 Connect the CO2 absorber to the IBS and check that “Absorber disconnected” disappears from the
screen.
NOTE Before performing this test, the self-test must be performed using the same patient tube set to be used
in the test. This is to ensure that leakage and compliance measurements are accurate.
CAUTION Before performing this test, the machine must have been ventilating with a test lung for 30 minutes.
14 If not, the zero-calibration valves for the volume measurement might be leaking.
15 After testing, set status to STBY, and in Setup menu select Reset settings & data.
NOTE Before performing this test, the self-test must be performed using the same patient tube set to be used
in the test. This is to ensure that leakage and compliance measurements are accurate.
CAUTION Before performing this test, the machine must have been ventilating with a test lung for 30 minutes.
CAUTION The tidal volume is automatically regulated up to 10% 1minute after the last setting has been
confirmed. Therefore, read the measured VTI on the reference instrument after at least 5 respirations
within 1 minute.
CAUTION When measuring volumes you must place a filter on inlet to the reference instrument, or between
testlung and the flow sensor.
1 Connect the Y-piece to a volume measuring reference instrument and a test lung.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system.
CAUTION When testing the neonatal capabilities, use a neonatal test lung.
8 If not, the ventilator inspiratory flow must be re-calibrated (see “6.9 Calibrating the Ventilator
Inspiratory Flow” on page 219) and then redo this test.
9 After testing, set status to STBY and in Setup menu, select Reset settings & data.
10 Mount the bellows in the bag-in-bottle chamber.
NOTE Before performing this test, the self-test must be performed using the same patient tube set to be used
in the test. This is to ensure that leakage and compliance measurements are accurate.
CAUTION Before performing this test, the machine must have been ventilating with a test lung for 30 minutes.
CAUTION The tidal volume is automatically regulated up to 10% 1 minute after the last setting has been
confirmed. Therefore, read the measured VTE on the reference instrument after at least 5 respirations
within 1 minute.
CAUTION When measuring volumes you must place a filter on inlet to the reference instrument, or between test
lung and the flow sensor.
Pediatric volume measurement test, general Pediatric volume measurement test, neonatal
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system.
NOTE The set fresh gas must be the same gas as used for the machine’s drive gas
8 If measurements exceed the expected result, the pediatric flow sensor must be re-calibrated (see
“6.11 Calibrating the Flow Sensors” on page 224) and then redo this test.
9 After testing, set status to STBY.
NOTE Before performing this test, the self-test must be performed using the same patient tube set to be used
in the test. This is to ensure that leakage and compliance measurements are accurate.
CAUTION Before performing this test, the machine must have been ventilating with a test lung for 30 minutes.
CAUTION The tidal volume is automatically regulated up to 10% 1 minutes after the last setting has been
confirmed. Therefore, read the measured VTE on the reference instrument after at least 5 respirations
within 1 minute.
CAUTION When measuring volumes you must place a filter on inlet to the reference instrument, or between test
lung and the flow sensor.
1 Place an ADULT flow sensor in the patient system. Remember to place a filter between the test
lung and the flow sensor.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system.
NOTE The set fresh gas must be the same gas as used for the machine’s drive gas
9 If not, the Adult flow sensor must be re-calibrated (see “6.11 Calibrating the Flow Sensors” on
page 224) and then redo this test.
10 After testing, set status to STBY and in Setup menu, select Reset settings & data.
11 Remove test equipment.
CAUTION Before performing this test, the machine must have been ventilating with a test lung for 30 minutes.
1 Connect the pressure measuring reference instrument on the Y-piece, including the flow sensor,
spirometry tube and the sample tube.
NOTE The picture above shows the pressure measurement on the screen.
The BIB pressure and the measurement at the reference instrument should be equal ± 1 hPa(cmH2O)
The test is passed when the differences of the two measurements is within limits.
If OK, go to step 8.
Expected Results
Test Ref. instrument DUT Pass criteria
Pressure @ 0 hPa(cmH2O) X1 = 0 ± 1 hPa(cmH2O) X2 = 0 ± 1 hPa(cmH2O) X3 = |X1-X2| 0± 1
hPa(cmH2O)
Pressure @ 10-20 hPa(cmH2O) X4 = 10-20 hPa(cmH2O) X5 = 10-20 hPa(cmH2O) X6 = (X4-X5) 0± 1
hPa(cmH2O)
Expected Results
Test Ref. instrument DUT Pass criteria
Pressure @ 40-50 hPa(cmH2O) X7 = 40-50 hPa(cmH2O) X8 = 40-50 hPa(cmH2O) X9 = (X7-X8) 0± 1
hPa(cmH2O)
Pressure @ 70-80 hPa(cmH2O) X10 = 70-80 hPa(cmH2O) X11 = 70-80 hPa(cmH2O) X12 = (X10-X11) 0± 1
hPa(cmH2O)
7 If not, the BiB and Patient pressure must be calibrated (see “6.10 Calibrating the Bag-in-Bottle and
Patient Pressure” on page 223) and then redo this test.
8 After testing, press Main Screen.
9 Remove test equipment and mount bellows.
7 If the pressure is not stable, the PEEP valve must be recalibrated (see “6.12 Calibrating the PEEP
Valve” on page 227). Then redo this test.
8 After testing, set status to STBY and in Setup menu, select Reset settings & data.
CAUTION Before performing this test, the machine must have been ventilating with a test lung for 30 minutes.
NOTE The peak pressure is calculated as Pinsp above PEEP e.g. Pinsp = 17 + (PEEP (OFF) = 3) => 20
7 If the pressure is not stable, the PEEP valve must be re-calibrated (see “6.12 Calibrating the PEEP
Valve” on page 227). Then redo this test.
8 After testing, set status to STBY and in Setup menu, select Reset settings & data.
9 Remove test equipment.
Ensure that vacuum is available in order to perform this test, either within the machine, or through a
secondary source. This test uses the internal patient suction as vacuum source.
Test setup
1 Connect the tube from the patient suction inlet to the pressure and flow measuring reference
instrument.
3 Adjust the VAC flow so that the reference instrument reads X1 -4 ± 0.5 L/min.
Test
1 Connect the Y-piece to the output side of the pressure measuring reference instrument.
2 Check on the reference instrument that the opening pressure of the valve is between -5
hPa(cmH2O) and -7.5 hPa(cmH2O). If yes, go to step 5.
6 Set the patient suction knob to OFF and remove the test equipment.
3 Let the sample tube to the gas module draw room air, and check on the screen that measured O2
concentration is X1 21 ±1%.
4 In Service -> Calibration, select Gas module -> Leak check.
5 Within 10 seconds block the inlet on the gas module water trap.
10 Check on the screen that the gas concentrations are within limits as below.
NOTE If the CO2 unit is NOT set to “%”, go to Setup Menu -> Gas meas. setup -> CO2 unit and select %.
After testing, set the unit back to the initial unit (%, kPa, mmHg)
NOTE When the machine has been in STBY mode for more than 10 min, the multigas module sample pump
will stop. In order to start the pump, set the machine to MAN.
5.2.36Fans Test
This test verifies both the function of the fans, and the fan-sense system.
1 Check that both the upper and the lower fans are running.
2 Block the fans and check that the alarm messages “EGM fan stopped” and “Ventilator fan stopped”
appear on the screen.
3 If not, check the cables and plugs.
5.2.38SmartLog Test
This test verifies the communication to -and from the SmartLog, and it’s functionality.
NOTE Philips recommend using a USB memory stick with a built-in LED that indicates when the USB is
recognized by the system, and when there is communication to/from the USB.
1 On a USB stick, create two new folders named ‘configuration’ and ‘diagnostic_data’.
2 Insert the USB stick in the SmartLog USB port on the rear side of the machine.
3 Wait one minute for the SmartLog to detect the USB stick.
4 On the Trend menu, select Export log files... and wait one minute.
NOTE If EGM software version is 7.1.2 go to Setup Menu > Service… > Miscellaneous, select Dump logfiles
and wait 1 minute.
The files are all located in the root folder of USB memory stick, for example D:\ if D is the drive letter
of the USB memory stick. File name syntax can vary depending on smartlog software revision.
Note that the following data is only available on SmartLog version 2.0 build 52 or higher:
File Location
installed_version.txt D:\configuration
active_data_handler.conf D:\configuration
diagnostics.txt D:\diagnostic_data
monit_deamon.txt D:\diagnostic_data
5.3.1 Precautions
• These tests are well established procedures of detecting abnormalities that, if undetected, could
result in danger to either the patient or the operator.
• Disconnect the device under test from mains before performing safety tests. If this is not possible,
ensure that the performance of these tests does not result in danger to the safety analyzer operator,
patients or other individuals.
• Test equipment (for example, a Safety Analyzer) is required to perform the safety tests. Please refer to
Annex C of IEC/EN 62353 for exact requirements for the measurement equipment and for
measurement circuits for protective earth resistance and leakage currents. Refer to the
documentation that accompanies the test equipment. Only certified technicians should perform
safety testing.
• The consistent use of a Safety Analyzer as a routine step in closing a installation, maintenance or
repair and is emphasized as a mandatory step to maintain user and patient safety. You can also use
the Safety Analyzer as a troubleshooting tool to detect abnormalities of line voltage and grounding
plus total current loads.
• During safety testing, mains voltage and electrical currents are applied to the device under test.
Ensure that there are no open electrical conductive parts during the performance of these tests.
Avoid that users, patients or other individuals come into contact with touch voltage.
• For Europe, Asia/Pacific and US, the anesthesia machine complies with:
IEC 60601-1:1988 + A1:1991 + A2:1995 + Corr:1995; IEC 60601-1-1:2000; EC 60601-1-2:2007;
IEC 60601-1-4:1999; IEC 60601-1-6:2006; IEC 60601-1-8:2006 + A1:2012; IEC 60601-2-
13:2009.
• Local regulations supersede the testing requirements listed in this chapter.
• If a non-medical electrical device is connected to a medical electrical device, the resulting medical
electrical system must comply with IEC/EN 60601-1-1.
• Perform safety tests as described on the following pages.
Set-up example
NOTE Protective Earth Resistance Test: The test lead needs to go to parts that require protective earthing.
This may be a single connection or several tested after each other.
NOTE Equipment Leakage Current Test: The test lead needs to go to the grounded enclosure parts, the
ungrounded enclosure parts and all of the applied parts connected together.
NOTE The above graphics resemble the Fluke ESA-620 setup and are protected by copyright (Copyright
owned by Fluke).
NOTE The mains switch and the ON/OFF switch must both be switched ON during electrical safety testing.
Measuring circuit for the measurement of Protective Earth Resistance in medical electrical
equipment that is disconnected from the supply mains.
This measures the impedance of the Protective Earth (PE) terminal to all exposed metal parts of the
Device under Test (DUT), which are for safety reasons connected to the Protective Earth (PE).
You can find metal parts of the device at the equipotential connector.
Measurements shall be performed using a measuring device capable to deliver a current of at least 200
mA into 500 mOhms with maximum open circuit voltage of 24V.
This safety test is based on IEC/EN 62353.
Report the highest value (X1).
NOTE If the protective earth resistance test fails, testing must be discontinued immediately and the device
under test must be repaired or labeled as defective.
NOTE All values for current and voltage are the root mean square (r.m.s.) values, unless otherwise stated.
NOTE Flex the power cord during the protective earth resistance test to evaluate its integrity. If it does not
pass the test, exchange the power cord. Then repeat the test. If it still does not pass, follow the
instructions in the first bullet point of this note above.
Measuring circuit for the measurement of Equipment Leakage Current - Direct method according
to IEC/EN 62353.
This test measures leakage current of accessible conductive and non-conductive metal parts of the
anesthesia machine and the functional earth leakage current. It tests normal and reversed polarity.
Perform the test with S1 (mains switch) closed (Normal Condition).
There are no parts of the equipment that are not protectively earthed. Disconnect any data cables and
any connections that may provide an extraneous earth path. Do not touch the DUT during testing.
This safety test is based on IEC/EN 62353.
Report the highest value (X2).
NOTE All values for current and voltage are the root mean square (r.m.s.) values, unless otherwise stated.
Measuring circuit for the measurement of Equipment Leakage Current - Direct method according
to IEC/EN 62353.
This test measures leakage current of accessible conductive and non-conductive metal parts of the
anesthesia machine and the functional earth leakage current. It tests normal and reversed polarity.
Perform the test with S1 open (Single Fault Condition).
There are no parts of the equipment that are not protectively earthed. Disconnect any data cables and
any connections that may provide an extraneous earth path. Do not touch the DUT during testing.
This safety test is based on IEC/EN 62353.
Report the highest value (X3).
NOTE All values for current and voltage are the root mean square (r.m.s.) values, unless otherwise stated.
WARNING • Do not use additional AC mains extension cords or multiple portable socket-outlets. If a multiple
portable socket-outlet is used, the resulting system must be compliant with IEC/EN 60601-1-1 or
IEC 60601-1 edition 3 clause 16. Do not place multiple socket-outlets on the floor. Do not exceed
the maximum permitted load for multiple socket-outlets used with the system. Do not plug
additional multiple socket outlets or extension cords into multiple socket outlets or extension cords
used within the medical electrical system.
• Do not connect any devices that are not supported as part of a system.
• Do not use a device in the patient vicinity if it does not comply with IEC/EN 60601-1 or IEC
60601-1 edition 3 clause 16. The whole installation, including devices outside of the patient
vicinity, must comply with IEC/EN 60601-1-1 or IEC 60601-1 edition 3 clause 16. Any
nonmedical device placed and operated in the patient’s vicinity must be powered via a separating
transformer (compliant with IEC/EN 60601-1-1 or IEC 60601-1 edition 3 clause 16) that ensures
mechanical fixing of the power cords and covering of any unused power outlets.
After the testing of the device as a standalone device and as part of the system, check that the resulting
values (without connection and with connection to the system) do not differ by more than ± 10% from
each other.
If the devices in the medical electrical system are connected to a multiple portable socket outlet the
resulting protective earth leakage current needs to be determined. All system components must be
connected to the multiple portable socket outlet and be switched on during this measurement.
Refer to the documentation that accompanies the safety analyzer for further details on how to set up
the test.
NOTE All values for current and voltage are the root mean square (r.m.s.) values, unless otherwise stated.
NOTE All tests described in this chapter are required after preventive maintenance. The tests required after
installation are specified in “3.9 Checking the Machine” on page 83; the tests required after repairs and
replacements are listed in the table in “8.16 Test Requirements After Repairs” on page 316, specified
according to the affected functional block or part.
Measurement Equipment:
Description Manufacturer Type/Model No. Serial No. Calibration due date
(MM/YY)
Pressure measuring
reference instrument
Flow measuring reference
instrument
Pressure leakage tester
NOTE All values for current and voltage are the root mean square (r.m.s.) values, unless otherwise stated.
Notes:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Date/Signature: ____________________________________________________________________
CAUTION Check calibration of vaporizers regularly using a proper gas indicator (e.g. refractometer or similar).
CAUTION Vaporizers should be serviced according to the manufacturer’s instructions by an authorized service
center.
CAUTION To ensure correct readings, before performing this procedure, the vaporizer(s) must have obtained
room temperature (approx. 21ºC / 69.8ºF)
When moving the vaporizer(s) from places with big temperature changes, they need to stabilize for
approx. 4 hours to obtain room temperature.
CAUTION AGSS/WAGD should always be connected and activated when using the machine with anesthetic
agents.
NOTE Refer to the manufacturer of the vaporizer’s documentation e.g. user manual or service manual for
specific test procedures, tolerances and recommended test/service intervals.
NOTE The vaporizer should always be verified against a calibrated agent analyzer e.g. Riken or similar. This
could be a pre-verified anesthesia gas module in the anesthesia machine or from a patient monitor.
With the following test setup, perform a vaporizer output concentration test according to specifications
in the user or service documentation for the specific vaporizer.
1 Connect the Y-piece to the test adapter on the IBS and block the bag connection.
2 Connect a bacteria filter with a luer lock connection to the inspiratory port on the IBS.
3 Connect sample tube to bacteria filter with luer lock connection and to agent analyzer.
Notes:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Date/Signature: ____________________________________________________________________
6Calibration
Calibration can be required after long-time normal use of the machine. Therefore corrective actions are
part of the annual service if performance verification measurements are out of limit.
Calibration can also be part of troubleshooting and after a repair.
Read the Prerequisites section below before starting any calibration.
6.1 Prerequisites
• All supplies that the machine is normally configured with, must be connected to wall outlets before
starting any of the calibration steps in this section.
• Before calibration can start, the following performance verification tests must be carried out:
– “5.1.1 Visual Inspection” on page 122
– “5.2.1 Internal Pressure Regulators Test” on page 125
– “5.2.6 High Pressure Leakage Tests” on page 135
– “5.2.10 Running the Self-tests” on page 144
• The calibration requires reference measuring instruments for:
– High pressure: 0-6x100 kPa (0-87 psig)
– Low pressure: -10 - +100 hPa(cmH2O)
– Flow: 0-100 L/min.
WARNING High Voltage - Voltages dangerous to life are present in the machine when it is connected to the mains
power supply. Do not perform any disassembly procedures with power applied to the machine. Failure
to adhere to this warning could cause serious injury or death.
CAUTION The machine must be switched on for at least 30 min. before calibration is performed to ensure the
accuracy of the calibration. During at least 15 minutes of this time, it is recommended that the
machine be in VENT mode with 1 L/min O2 and Air fresh gas flow in order to activate the valves and
assure they reach normal working temperature. Remember to place a test lung on the Y-piece while the
machine is in VENT mode.
CAUTION All calibration of flow and pressure must be done according to STPD conditions (atmospheric pressure
of 1013 hPa(cmH2O) and temperature of 21ºC (69.8ºF)). The flow and pressure measuring reference
instruments must be able to convert the results to these conditions.
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system.
CAUTION When calibrating the patient flow sensor, it must be placed with the port labeled “PATIENT” facing
the flow measuring reference instrument.
Mechanical calibration:
• “6.16.1 Calibrating the Automatic Drive Gas Selection” on page 232
• “6.16.2 Adjustment of Ventilator Drive Gas Low Alarm” on page 233
• “6.17 Calibrating the Internal Pressure Regulators” on page 235
• “6.18 Calibrating the Anesthesia Gas Scavenging System (AGSS/WAGD)” on page 236
NOTE For flow calibration, the flow will automatically drop slowly, but you confirm the value of the actual
flow when the accuracy is within tolerances on the reference instrument.
NOTE When calibrating at 0.3 L/min, it can seem that the flow is stuck at zero. This is not the case, and flow
should be increased by turning the control dial clockwise. If flow is increased >0.3 L/min, turn the dial
counter-clockwise until the accurate flow is achieved.
Calibration Accuracy
0.3 L/min 0.29-0.31 L/min
0.6 L/min 0.59-0.61 L/min
1.0 L/min 0.99-1.01 L/min
2.0 L/min 1.98-2.02 L/min
5.0 L/min 4.95-5.05 L/min
NOTE For flow calibration, the flow will automatically drop slowly, but you confirm the value of the actual
flow when the accuracy is within tolerances on the reference instrument.
1 Select Air flow... to activate calibration of the Air fresh gas flow sensor.
2 Select Calibration.
3 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument to the
outlet.
Calibration Accuracy
0.3 L/min 0.29-0.31 L/min
0.6 L/min 0.59-0.61 L/min
1.0 L/min 0.99-1.01 L/min
2.0 L/min 1.98-2.02 L/min
5.0 L/min 4.95-5.05 L/min
NOTE For flow calibration, the flow will automatically drop slowly, but you confirm the value of the actual
flow when the accuracy is within tolerances on the reference instrument.
1 Select N2O flow... to activate calibration of the N2O fresh gas flow sensor.
2 Select Calibration.
3 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument to the
outlet.
NOTE Be sure to take the necessary precautionary measures for evacuation of the N2O gas flow.
Calibration Accuracy
0.3 L/min 0.29-0.31 L/min
0.6 L/min 0.59-0.61 L/min
1.0 L/min 0.99-1.01 L/min
2.0 L/min 1.98-2.02 L/min
5.0 L/min 4.95-5.05 L/min
NOTE For Rel. 1.0 machines: you need to have 6.0x100kPa (87 psig) available in order to this calibration.
For Rel. 2.0 machines: you need to have 2.5x100kPa (36.3 psig) available in order to this calibration.
Before performing this calibration see “Prerequisites” on page 231 until step 3
1 Select O2 inlet press... to activate calibration of the O2 inlet pressure sensor.
2 Select Calibration.
3 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument to the
outlet.
NOTE For Rel. 1.0 machines: Text “Connect O2 supply. Adjust O2 pressure to 6.0 x100kPa” appears.
Connect O2 supply and adjust inlet pressure to 6.0 x100kPa (87 psig).
For Rel. 2.0 machines: Text “Connect O2 supply. Adjust O2 pressure to 2.5 x100kPa” appears.
Connect O2 supply and adjust inlet pressure to 2.5x100kPa (36.3 psig).
NOTE For Rel. 1.0 machines: you need to have 6.0x100kPa (87 psig) available in order to this calibration.
For Rel. 2.0 machines: you need to have 2.5x100kPa (36.3 psig) available in order to this calibration.
Before performing this calibration see “Prerequisites” on page 231 until step 3
1 Select Air inlet press... to activate calibration of the Air inlet pressure sensor.
2 Select Calibration.
3 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument to the
outlet.
NOTE For Rel. 1.0 machines: Text “Connect Air supply. Adjust Air pressure to 6.0 x100kPa” appears.
Connect Air supply and adjust inlet pressure to 6.0 x100kPa (87 psig).
For Rel. 2.0 machines: Text “Connect Air supply. Adjust Air pressure to 2.5 x100kPa” appears.
Connect Air supply and adjust inlet pressure to 2.5 x100kPa (36.3 psig).
NOTE For Rel. 1.0 machines: you need to have 6.0x100kPa (87 psig) available in order to this calibration.
For Rel. 2.0 machines: you need to have 2.5x100kPa (36.3 psig) available in order to this calibration.
Before performing this calibration see “Prerequisites” on page 231 until step 3
1 Select N2O inlet press... to activate calibration of the N2O inlet pressure sensor.
2 Select Calibration.
3 Activate the auxiliary fresh gas outlet and connect a flow measuring reference instrument to the
outlet.
NOTE For Rel. 1.0 machines: Text “Connect N2O supply. Adjust N2O pressure to 6.0 x100kPa” appears.
Connect N2O supply and adjust inlet pressure to 6.0 x100kPa (87 psig).
For Rel. 2.0 machines: Text “Connect N2O supply. Adjust N2O pressure to 2.5 x100kPa” appears.
Connect N2O supply and adjust inlet pressure to 2.5 x100kPa (36.3 psig).
CAUTION Measured gas for flow and volume on the reference instrument must correspond to the actual gas used
in the patient system.
NOTE On the picture below the primary drive gas is configured as Air. If the primary drive gas was configured
as O2, the pressure switch would be located on the left side of the EGM manifold.
Pressure switch
NOTE For Rel. 1.0 machines, the primary drive gas is always Air.
Calibrate BOTH the ventilator inspiratory flow and the adult patient flow
sensor
NOTE For Rel. 1.0 machines, the primary drive gas is always Air.
If the default setting for volume sensor is either At Exp cone or At Y-piece connect the reference
instrument as shown below:
1 Select Ventilator Insp. flow to calibrate the sensor that measures the inspiratory flow from the
ventilator to the Bag-in-Bottle (BiB).
2 Remove bellows from the bag-in-bottle, remount the bag, and connect the external adult patient
flow sensor to the inspiratory port of the IBS and then to flow measuring reference instrument.
NOTE To ensure correct measurements, the sample line must be disconnected from the flow sensor during
this calibration. Instead, mount a luer lock plug to the flow sensor.
CAUTION When calibrating the patient flow sensor, it must be placed with the port labeled “PATIENT” facing
the flow measuring reference instrument.
Start calibration:
1 Mount a pressure measuring reference instrument on the test point on the valve block in the
ventilator.
2 Check on the reference instrument that the pressure is 2.8 - 3.2 (x100 kPa) (40.6 - 46.4 psig).
If not, see “Calibrating the Internal Pressure Regulators” on page 235.
NOTE The ventilator automatically generates a flow, which makes adjustment possible.
3 If yes, disconnect the pressure measuring reference instrument and re-connect the vent.
connection.
For Rel. 1.0 machines: Perform step 4-6, otherwise go to step 7.
4 Check on the reference instrument that inspiratory flow is 78-82 L/min.
NOTE During calibration, the screen shows the inspiratory flow measured by the ventilator according to data
from last calibration and the electrical signal to the insp. valve as “PWM”. Ignore this and use only the
reference instrument.
5 If not, adjust screw on top of inspiratory valve on the pneumatic block inside the ventilator.
Example
For Calibration value 25 L/min, adjust the flow to 25.1 L/min.
Press the control dial to confirm, and wait 10 seconds.
Continue to the next calibration value.
NOTE During calibration, the screen shows the inspiratory flow measured by the ventilator according to data
from last calibration and the electrical signal to the insp. valve as »PWM«. Ignore this and use only the
reference instrument.
Calibration Accuracy
0.0 L/min 0.0 L/min
1.0 L/min 0.95-1.05 L/min
2.0 L/min 1.95-2.05 L/min
5.0 L/min 4.95-5.05 L/min
10.0 L/min 9.9-10.1 L/min
15.0 L/min 14.9-15.1 L/min
20.0 L/min 19.9-20.1 L/min
25.0 L/min 24.9-25.1 L/min
30.0 L/min 29.9-30.1 L/min
40.0 L/min 39.9-40.1 L/min
50.0 L/min 49.9-50.1 L/min
60.0 L/min 59.9-60.1 L/min
80.0 L/min 79.8-80.2 L/min
NOTE To ensure correct measurements, the sample line must be connected to the flow sensor during this
calibration.
NOTE During calibration, the BiB pressure and the patient breathing system pressure measured by the
ventilator according to data from last calibration, appears on the screen as “BiB” and “Pat.”. Ignore this
and use only the reference instrument
NOTE The BIB & Pat. pressures shown on the screen should be equal ± 1 hPa(cmH2O)
5 Remount only the BiB chamber and open fresh gas flow by turning the control dial until stable
pressure reading on the reference instrument is 80 hPa(cmH2O).
Press the control dial to calibrate at 80 hPa(cmH2O).
NOTE This procedure requires that Drive Gas is Air. If Drive Gas is O2, disconnect and run the ventilator for
1 minute.
1 Select Vol. sensor Adult to calibrate the external adult patient flow sensor.
2 Remove bellows from bag-in-bottle, remount the bag, and connect the external adult patient flow
sensor to the inspiratory port of the IBS and then to flow-measuring reference instrument.
NOTE To ensure correct measurements, the sample line must be disconnected from the flow sensor during
this calibration. Instead, mount a luer lock plug to the flow sensor.
CAUTION When calibrating the patient flow sensor, it must be placed with the port labeled “PATIENT” facing
the flow measuring reference instrument.
Example
For Calibration value 25 L/min, adjust the flow to 25.1 L/min.
Press the control dial to confirm and wait 10 seconds.
Within this time, the flow should be within the range of 24.9 to 25.1.
If yes, continue to the next calibration value.
If not, cancel the calibration by pressing the Main Screen, and restart the calibration.
NOTE During calibration, the screen shows the inspiratory flow measured by the ventilator according to data
from last calibration and the electrical signal to the insp. valve as »PWM«. Ignore this and use only the
reference instrument.
Calibration Accuracy
0.0 L/min 0.0 L/min
1.0 L/min 0.95-1.05 L/min
2.0 L/min 1.95-2.05 L/min
5.0 L/min 4.95-5.05 L/min
10.0 L/min 9.9-10.1 L/min
15.0 L/min 14.9-15.1 L/min
20.0 L/min 19.9-20.1 L/min
25.0 L/min 24.9-25.1 L/min
30.0 L/min 29.9-30.1 L/min
40.0 L/min 39.9-40.1 L/min
50.0 L/min 49.9-50.1 L/min
60.0 L/min 59.9-60.1 L/min
80.0 L/min 79.8-80.2 L/min
NOTE This procedure requires that Drive Gas is Air. If Drive Gas is O2, disconnect and run the ventilator for
1 minute.
1 Select Vol. sensor Ped. to calibrate the external pediatric patient flow sensor.
2 Remove bellows from bag-in-bottle, remount the chamber, and connect the external ped. patient
flow sensor to the inspiratory port of the IBS and then to flow measuring reference instrument.
NOTE To ensure correct measurements, the sample line must be disconnected from the flow sensor during
this calibration. Instead, mount a luer lock plug to the flow sensor.
CAUTION When calibrating the patient flow sensor, it must be placed with the port labeled “PATIENT” facing
the flow measuring reference instrument.
NOTE During calibration, the screen shows the inspiratory flow measured by the ventilator according to data
from last calibration and the electrical signal to the insp. valve as “PWM”. Ignore this and use only the
reference instrument.
Example
For Calibration value 25 L/min, adjust the flow to 25.1 L/min.
Press the control dial to confirm and wait 10 seconds.
Within this time, the flow should be within the range of 24.9 to 25.1.
If yes, continue to the next calibration value.
If not, cancel the calibration by pressing the Main Screen, and restart the calibration.
NOTE During calibration, the screen shows the inspiratory flow measured by the ventilator according to data
from last calibration and the electrical signal to the insp. valve as »PWM«. Ignore this and use only the
reference instrument.
Calibration Accuracy
0.0 L/min 0.0 L/min
1.0 L/min 0.95-1.05 L/min
2.0 L/min 1.95-2.05 L/min
4.0 L/min 3.95-4.05 L/min
7.0 L/min 6.9-7.1 L/min
10.0 L/min 9.9-10.1 L/min
15.0 L/min 14.9-15.1 L/min
20.0 L/min 19.9-20.1 L/min
25.0 L/min 24.9-25.1 L/min
30.0 L/min 29.9-30.1 L/min
35.0 L/min 34.9-35.1 L/min
5 The PEEP valve temperature stabilizes during the next 5 min. period.
When the 5 min. period has ended, the next calibration step activates automatically.
6 The PEEP valve is now warming up slowly during a period of max. 20 minutes.
During this period, the temperature of the PEEP valve coil must be measured, using an infrared
temperature sensor.
When the temperature of the coil has reached 37-43ºC (98.6ºF- 109.4ºF), press the control dial to
start next calibration step.
NOTE Calibration is automatically cancelled if control dial is not pressed within 20 min.
NOTE If the valve gets too hot, then cancel the calibration by pressing Main Screen and wait until
temperature of the valve coil is below 30ºC (86ºF). Then restart the calibration.
Push
1 Connect O2 gas supply hose from the wall outlet (3-6 (x100 kPa) (44-9 psig))) to the inlet of the
tester.
NOTE If your country specific gas supply hoses does not have a NIST female connection, you need an adapter
from O2 NIST to the specific standard in your country.
See “Pneumatics Leakage Tester” on page 415.
4 Adjust the Inlet Regulator to give a pressure of > 3 (x100 kPa) (44 psig), measured on TP-1.
A. For Rel. 1.0 machines: The primary drive gas can only be Air.
5 Connect test adapter to the inlet for the primary drive gas (O2 or Air)A of the machine, and mount
blind plugs on the test adapters unused connectors.
A B
A) If the primary drive gas is Air. B) If the primary drive gas is O2.
NOTE A Test adapter is available for NIST and DISS inlets. If there is mounted adapters for AFNOR or SIS
hoses on the NIST inlets, remove the inlet adapter for Air in order to connect the test adapter for
NIST.
2 Set the Ventilator mode to VCV, Respiration Rate to 4, I:E ratio to 3:1, and TV to 200m/l.
3 Set status to VENT.
4 Fill bellows by pressing the O2 flush.
5 Use the Inlet Regulator on the PLT tester to reduce the primary drive gas (O2 or Air)A supply
pressure:
A. For Rel. 1.0 machines: The primary drive gas can only be Air.
6 During inspiration, turn the adjustment screw on top of the pressure switch on the EGM
manifold, until the drive gas selector valve switches to the secondary drive gas (with a click).
Check that the drive gas selector valve switches back to the primary drive gas (with a click).
8 If not, adjust the pressure switch again during inspiration, until the drive gas selector valve switches
back to the primary drive gas.
9 Repeat step 5 to step 8 until both calibrations have passed successfully without any adjustments.
10 Set status to STBY and remove the test equipment.
2 Set the Ventilator mode to VCV, Respiration Rate to 4, I:E ratio to 3:1, and TV to 200m/l.
3 Set status to VENT.
4 Fill bellows by pressing the O2 flush.
A. For Rel. 1.0 machines: The primary drive gas can only be Air.
5 Disconnect the pressure switch cable on the power management board (P19).
6 Use the Inlet Regulator on the PLT tester to reduce the primary drive gas (O2 or Air)A supply
pressure:
7 During inspiration, turn the adjustment screw on top of the pressure switch on the ventilator
manifold in a counterclockwise direction, until the “Ventilator drive gas low” alarm starts.
Release 1 Release 2
Ventilator
1 Release the lock-nut.
2 Using a 5mm allen key, adjust the regulator to the correct value.
See section “5.2.1 Internal Pressure Regulators Test” on page 125 in Performance Verification.
3 Lock the nut.
4 Check that the pressure is stable after adjustment, and does not rise slowly.
Prerequisites
1 Connect a 2L respiration bag to the Y-piece..
1 Adjust the flow resistor on the AGSS/WAGD ejector unit until the ball in the flow marker is visible
in the clear area of the flowmarker.
2 Unlock the thumb nut, and adjust the screw.
Lock
Adjust
NOTE For more information, see the instructions enclosed with the flow restrictor.
7Troubleshooting
This section explains how to troubleshoot the machine if issues arise. Irregularities can be found during
preventive maintenance or reported as an issue from the field. Links to tables that list possible machine
difficulties and symptoms are supplied, along with probable causes, and recommended actions to
correct the difficulty.
WARNING High Voltage - Voltages dangerous to life are present in the machine when it is connected to the mains
power supply. Do not perform any disassembly procedures with power applied to the machine. Failure
to adhere to this warning could cause serious injury or death.
If the boot sequence does not proceed as described above, consult “Table 7-1: Boot Sequence Failures”
on page 242.
NOTE Be sure to check all cable connections within the machine before proceeding to further
troubleshooting.
The most common problems in anesthesia machines are leaks. In order to locate a leak there are some
guidelines to be followed.
1 Locate the gas that is leaking (normally only one gas is leaking in the high pressure and dose
section).
2 Locate the leaking section.
A very useful aid in locating leaks is leak-finder spray.
WARNING Avoid spraying leak-finder spray on electrical or electronic wires and components.
NOTE These values are absolute max. values, normally the actual leaks will be much less than these values, or
no leaks at all.
When troubleshooting power-up and battery operation problems, at can also be a help to check the
LED status indicators on the Power Management Board.
Table 7-2: LED indicators on Power Management board
D34 D31
D42
D33
D36
If the touch operation is not functioning, you can still use the machine with manual ventilation. In this
situation, activate the Emergency O2. If the machine was in VENT status when the error occurred, this
will set the status back to MAN.
Table 7-4: Mains Power
Fuse blown in mains power inlet. Check fuses in the mains power inlet.
Fuse blown on Power Check fuses on the Power Management
Management Board. Board.
Ventilator mains power Fuse F21 is blown on the Power Check fuse F21 on the Power
failure. Management Board. Management Board.
Ventilator power caber cable Check Ventilator power cable.
between the Power Management
Board and Ventilator is
disconnected.
Yokes
Symptom Possible Cause Corrective Action
Large pressure drop at Inlet filter for the yoke is blocked. Change inlet filter and gasket.
normal flow.
Zero or wrong pressure High pressure gauges. Change pressure gauge.
displayed, pointer does
not show “0” at no
pressure.
Too Low pressure. Reduction valve adjustment is Replace the yoke.
Too High pressure. incorrect.
Reduced pressure Leakage in pressure regulator
increases -(internal
leakages).
High pressure leakage test Dust or metal parings present at
is OOR when there is the valve or in the yoke pressure
NO cylinder attached to regulator will cause this kind of
yoke leakage..
If that’s the case, they will most
likely be present in the one-way
valve for the reduced pressure as
well.
Central supply gases and ventilator drive gas
Symptom Possible Cause Corrective Action
Leaks in high pressure Pressure regulator(s) are leaking. Replace reduction valve cartridge.
section Pressure regulator on ventilator Rel. 1.0: Repair with reduction valve
manifold leaking. repair kit.
Rel. 2.0: Replace valve cartridge
AGSS/WAGD ON/OFF valve Replace AGSS/WAGD flow marker
leaking. holder
O2 flush valve leaking. Replace O2 flush valve.
O2 flowmeter leaking. Replace O2 flowmeter.
Air leakage test fails in “ Leakage from Air selector valve on Replace Air selector valve.
L(2): Air Selector Valve the EGM manifold.
Open Test” on page 137.
N2O leakage test fails in “ Leakage from N2O selector valve Replace N2O selector valve.
L(3): N2O Selector Valve on the EGM manifold.
Open Test” on page 138.
High whistling sound Malfunction in pressure regulator Repair with reduction valve repair kit.
from the ventilator on the ventilator pneumatic
during inspiration. The manifold.
higher tidal volume, the
higher sound.
Large pressure drops Reduced pressure on the Adjust pressure regulators until pressure is
when ventilating with a pneumatic manifold, and/or within limits.
high inspiratory flow ventilator manifold is too low.
(high set TV, PCV, and Blocked inlet filter in NIST Ensure that the gases from the central
PRVT modes). manifold. outlet comply with the required quality,
Or it is not possible to and replace inlet filters.
calibrate ventilator owing
to too low pressure.
Too Low pressure. Reduction valve adjustment is Adjust pressure regulator(s) until pressure
incorrect. is within limits.
Too High pressure.
Reduced pressure Leakage in pressure regulator Replace reduction valve repair kit
increases -(internal
leakages).
General
Symptom Possible Cause Corrective Action
Leakage from back bar Back bar valve leaking. Replace back bar valve.
with no vaporizer
connected.
Leakage from back bar O-rings on the back bar leaking. Replace O-rings.
with vaporizer connected.
Leakage from back bar Lock on vaporizer. Change vaporizer and consult a
because vaporizer is biomedical engineer or technician.
incorrectly connected to
Lock spring on back bar damaged. Replace lock spring.
the back bar.
No fresh gas is led to Leakage from the negative pressure Replace negative pressure relieve valve.
either the AUX fresh gas relieve valve.
outlet or the patient
system.
Emergency Fresh Gas Flow
Symptom Possible Cause Corrective Action
Information does not The micro switch or cable Replace ON/OFF switch.
appear on the screen. connection to the EGM is
defective.
The flowmeter does not The ON/OFF switch for Replace ON/OFF switch.
show any activity at all. emergency freshgas flow is
defective.
The flow is out of limit Flowmeter defective Replace the flowmeter
NOTE If the software version of the SmartLog is 1.52 the USB stick needs to be named PHILIPS.
NOTE Philips recommend using a USB memory stick with a built-in LED that indicates when the USB is
recognized by the system, and when there is communication to/from the USB.
1 On a USB stick, create two new folders named ‘configuration’ and ‘diagnostic_data’.
2 Insert the USB stick in the SmartLog USB port on the rear side of the machine
3 Wait one minute for the SmartLog to detect the USB stick.
NOTE If EGM software version is 7.1.2 go to Setup Menu > Service… > Miscellaneous, select Dump logfiles
and wait 1 minute.
The files are all located in the root folder of USB memory stick, for example D:\ if D is the drive letter
of the USB memory stick
Diagnostic data
The following files can be exported at all times, when mains power is connected to the machine.
NOTE The following data is only available on SmartLog version 2.0 build 52 or higher.
8Repair
The following section describes the removal and installation procedures for the major service parts in
connection with repairs. This section also describes the procedures for installing software, or changing
the software options and language in the machine.
NOTE After repairs, a series of tests is required to ensure that the repaired block functions correctly. A table
listing the required tests for each block can be found in “8.16 Test Requirements After Repairs” on
page 316. The minimum test requirement after each repair is the self-test and the electrical safety test.
WARNING High Voltage - Voltages dangerous to life are present in the machine when it is connected to the mains
power supply. Do not perform any disassembly procedures with power applied to the machine. Failure
to adhere to this warning could cause serious injury or death.
WARNING The electrical characteristics of anti-static mats or wrist strap should be checked before use, as described
in the manufacturer’s instructions for continued protection to both you and the equipment.
CAUTION After preventive maintenance or repair of a faulty machine, complete a performance verification to
ensure that the machine is ready for use before handing it over to the customer. See “5 Performance
Verification” on page 121 for the relevant information.
In connection with a repair, the specific performance verification procedures relevant after each repair
are described in “8 Repair” on page 253.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the machine.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
CAUTION Before starting any maintenance or repair, release all gas pressures; first N2O, then O2 and Air.
CAUTION Before removing any hoses, ensure a unique marking to reconnect correctly.
8.2 Prerequisites
For information about the required tool kit, test kit and service kit and other service parts, see “9
Service Parts and Tools” on page 323.
It is recommended that the machine is cleaned before starting repairs, See “Cleaning the IntelliSave
AX700” on page -90
CAUTION Be aware that the cover will not fall down unnoticed, when the last screw is removed.
3 Release the ON/OFF connector from the top cover by moving the white plastic part upwards.
WARNING Keep your feet and lower limbs out of the area below the system when lowering the system.
1 Remove the M12 screws from the wheel base, and align the orientation sticks with the
corresponding holes underneath the anesthesia machine.
2 Move the machine down by pressing the DOWN control button on the pendant until the
machine is fully attached to the wheel base(e.g. use the remote if available).
3 Mount the two M12 screws to secure the anesthesia machine to the wheel base.
CAUTION When mounting the top cover, ensure that it is tightly fixed to the cabinet in the front.
CAUTION Before removing any supplies and cables from the EGM, and if technical possible, ensure that you have
a complete value’s list of the customer and country specific settings.
If the EGM version is 7.1.3 or higher see “GUI (EGM) Software Installation” on page 305.
2 Get access to the machine as described in “8.4 Accessing the Machine” on page 255.
3 From the upper backside of the machine, remove all supplies from the EGM.
O2 N2O Air
P7 P9
P8
orange
green
brown
6 Remove the three communication cables (A = Ventilator, B = Gas Module, C = Ext. Serial).
A
B C
8 Remove the cables to power, the PM board and the control dial (“Swivel wheel” on label).
NOTE Ensure the control dial connector is correctly remounted, according to the illustrations below.
10 From the top of the machine, loosen the two screws on the backside of the SmartLog assembly.
11 Remove the two screws on the front side of the SmartLog assembly.
15 Before mounting the new EGM, remove the protection sealing from the screen. Mount the
protection sealing on the replaced EGM, for protection of the display.
16 Ensure that the screen has a sealing band mounted at the edge of the frame before further
mounting.
17 Mount the new EGM by following the steps above in reverse order
18 Assemble the machine. See “Assembling the Machine” on page 258.
19 Connect pneumatic supplies and switch on power.
NOTE The exchange EGM will come with the latest software and English language installed. You may need to
up or downgrade the EGM software during installation to ensure compatibility. See “8.16 Test
Requirements After Repairs” on page 316 and “8.14.1 GUI (EGM) Software Installation” on page 305
for software installation instructions.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the machine.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
1 Get access to the machine as described in “8.4 Accessing the Machine” on page 255.
2 Remove the pressure switch connection (P19) from the power management (PM) board.
4 Mark the tubes connected to the manifold as needed to ensure a correct reassembly.
NOTE See “1.8 Internal Color Coding for Gases” on page 13 for identification of the tubes.
13 Connect the flow control valves by remounting the wires with correct colors.
NOTE When mounting the wires, the polarity is not important for the valves.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the machine.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
NOTE It is not possible to update the Rel. 1.0 machine with Rel. 2.0 ventilator software; the complete
ventilator must be changed.
1 If possible check and note down the ventilator (Whispa) software version of the machine.
Go to Setup menu -> Service -> Versions.
2 Get access to the machine as described in “8.4 Accessing the Machine” on page 255.
3 Disconnect the ventilator startup relay (P22) from the power management (PM) board, by
removing the wire.
6 Disconnect the ventilator communication cable from the EGM, and pull it down through the back
of the machine..
7 Remove the nut on the backside of the earth connector to disconnect the earth wire to the
ventilator.
CAUTION Before removing any hoses, ensure a unique marking to reconnect correctly.
8 Disconnect the airway pressure connection to the IBS (S5 on the ventilator).
9 Disconnect the three 22mm hoses, and the two spirometry sample lines (S2 and S3) on the
pneumatic manifold in the ventilator.
To IBS To Res.
o AGSS/WAGD
10 If the patient suction option is installed, disconnect the plastic hoses from the patient suction unit,
and the drive gas hose from the pneumatic manifold on the ventilator.
12 Pull the quick releases on each side of the ventilator drawer, to dismount the ventilator drawer.
13 Go to step 19.
14 Disconnect AGSS/WAGD and ventilator drive gas male cones from the outlets on the ventilator
manifold.
15 Mark the two spirometry sample tubes (S3) and (S4) and disconnect.
16 Mark the tubes to the patient suction system (if option is installed) and drive gas, and disconnect.
NOTE The exchange ventilator will come with the latest software and english language installed. You may
need to up or downgrade the ventilator software during installation to ensure compatibility. See “8.16
Test Requirements After Repairs” on page 316 and “8.14.2 Ventilator (Whispa) Software Installation”
on page 308 for software installation instructions.
NOTE Compensating for Altitude: If the customer site is at altitudes above 1000 m. (3280.83 ft.), perform
the calibrations as described in “ Compensating for Altitude” on page 86.
NOTE If the machine is configured with O2 as the primary drive gas you need to recalibrate the new
ventilator.
See “Calibrating the Ventilator Inspiratory Flow” on page 219.
See “Calibrating the Flow Sensors” on page 224.
23 Complete the following performance verification procedures, before handing over the machine to
the customer:
“5.2.1 Internal Pressure Regulators Test” on page 125 (Ventilator ONLY)
“5.2.6 High Pressure Leakage Tests” on page 135
“ L(1): O2, Air and N2O Test” on page 136
“5.2.8 Integrated Patient Suction Test” on page 141
“5.2.10 Running the Self-tests” on page 144
“5.2.20 MPL Valve for Ventilator Test” on page 155
“5.2.21 Drive Gas Selection and Drive Gas Alarm Test” on page 158
“5.2.22 Mains Alarm Test” on page 162
“5.2.24 Volume Measurement Zeroing Function Test” on page 164
“5.2.25 Tidal Volume Test” on page 165
“5.2.26 Ped. Volume Measurement Test” on page 166
“5.2.27 Adult Volume Measurement Test” on page 168
“5.2.28 Pressure Measurement Test” on page 170
“5.2.29 PEEP Function Test” on page 171
“5.2.30 PCV Function Test” on page 172
“5.2.33 High Pressure Alarm Test” on page 176
“5.2.34 O2 Fuel Cell Sensor Test” on page 176
“5.2.36 Fans Test” on page 178
“5.3.3 Electrical Safety Testing” on page 185
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the machine.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
1 Get access to the machine as described in “8.4 Accessing the Machine” on page 255.
2 Unplug first the black cable and then the red cable to disconnect the EGM battery.
7 Unscrew the six screws to remove the circuit board from the assembly.
8 Place the old circuit board in the anti-static bag of the new board.
9 Replace with the new board and fix it to the cover.
Aux 2
Aux 1
P1 EGM battery
P2 EGM battery
P3 Trafo 3rd secondary (transformer)
P4 Multigas module (PSU)
P5 EGM battery charger
P6 EGM (PSU)
P9 Ventilator (PSU)
P10 Ext1 Pwr (Auxiliary outlet 1)
P11 Ext2 Pwr (Auxiliary outlet 2)
P12 Ext3 Pwr (Auxiliary outlet 3)
P13 MAINS (power)
P14 Trafo 1-2 secondaries
P15 Trafo Primary (transformer)
P16 ON/OFF switch
P17 LEDs
P18 Rear lamp
P19 Pressure switch
NOTE Aux 1, Aux 2 and Aux 3 are not mounted on Rel. 1.0 machines
Ordering information for the fuses available as service parts can be found in “9.2.29 Generic small
parts kits” on page 406 in the “Service Parts and Tools” chapter.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the machine.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
1 Get access to the machine as described in “8.4 Accessing the Machine” on page 255.
2 The following fuses on the power management board can be replaced.
3 Remove safety caps and remove the relevant fuses using a pair of tweezers and replace with new
ones.
4 Remount the safety caps.
5 Assemble the machine. See “Assembling the Machine” on page 258.
6 Connect pneumatic supplies and switch on power.
7 Complete the following performance verification procedure, before handing over the machine to
the customer:
– “5.2.10 Running the Self-tests” on page 144
– “5.2.22 Mains Alarm Test” on page 162
– “5.2.37 Auxiliary Power Outlets Test” on page 178
– “5.3.3 Electrical Safety Testing” on page 185
– “5.3.4 System Test” on page 188.
8.10.2Ventilator Fuses
Before starting any replacement procedures, read the safety precautions and prerequisites sections in
this chapter. See Table 8-1: Fuse Ratings for correct fuse ratings.
CAUTION Before handling any circuit boards, wear the ESD wrist strap and connect it to the machine.
Handle circuit boards on the edges only; avoid touching board surfaces. Contaminants like skin oil
attracts dust to accumulate which could retain moisture and affect the circuit performance.
1 Get access to the machine as described in “8.4 Accessing the Machine” on page 255.
2 Remove the safety cap on the fuse box.
3 Remove the relevant fuses with a pair of tweezers and replace with new ones.
Fuses
4 Complete the following performance verification procedure, before handing over the machine to
the customer:
“5.2.10 Running the Self-tests” on page 144
“5.2.22 Mains Alarm Test” on page 162
“5.2.37 Auxiliary Power Outlets Test” on page 178
“5.3.3 Electrical Safety Testing” on page 185
“5.3.4 System Test” on page 188.
2 With the help of a screwdriver, pull out the fuse socket in the mains cable receptacle.
WARNING High Voltage - Voltages dangerous to life are present in the machine when it is connected to the mains
power supply. Do not perform any disassembly procedures with power applied to the machine. Failure
to adhere to this warning could cause serious injury or death.
1 Remove the lower rear cover, and pull out the ventilator drawer; see “Accessing the Machine” on
page 255
2 For release 1.0 machines: continue below.
3 For release 2.0 machines: go to “ Ventilator - Inspiratory Valve, New Gen.” on page 286
Description QTY
Valve coil 1
Valve body with plunger and spring 1
Lock 1
Screws 4
Required tools
Description Source/PN
3mm Allen screwdriver Purchase locally
4mm Allen screwdriver Purchase locally
Philips PH1 screwdriver Purchase locally
Adjustable Torque Screwdriver (0.5-15 Nm) Purchase locally
PH1 bit for torque screwdriver Purchase locally
Disassembly
1 Disconnect wires (3) from the valve coil.
2 Dismount the lock on top of the valve coil, by pushing in an outward motion (e.g. with the help of
a screwdriver), and remove valve coil from valve body
4 Remove valve body, plunger and spring from valve block assembly.
5 Discard all removed items (valve coil, valve body, plunger, spring and screws).
Assembly
NOTE Ensure that all surfaces are clean from dust or any other exterior particles before starting the assembly
procedure.
3 Tighten the screws in two sequences in the order shown on the pictures.
3 2 3 2
1 4 1 4
A) 0.5 Nm B) 1 Nm
5 Connect wires (3) as shown below (red, black and green/yellow wires).
Description QTY
Valve 1
Screws 2
O-rings 2
Required tools
Description Source/PN
3mm Allen screwdriver Purchase locally
4mm Allen screwdriver Purchase locally
Philips PH1 screwdriver Purchase locally
Qxygen Compatible Grease, liquid SPS/ 4535 644 16141
Disassembly
1 Disconnect the drive gas tube between the buffer tank and the ventilator valve block.
2 Remove buffer tank, by removing the 4 screws from the bottom side of the ventilator drawer.
3 Loosen the ventilator valve block, by removing the two screws from the bottom side of the
ventilator drawer. Move the valve block towards the right, to get room for a screwdriver.
Assembly
1 Lubricate O-rings and mount on the inspiratory valve as shown below.
3 Follow steps 1-4 in “ Disassembly” on page 287 in reverse order to reassemble wires, tubes and
buffer tank.
Complete the following performance verification procedures before handing over the machine to the
customer:
“5.2.1 Internal Pressure Regulators Test” on page 125
“5.2.6 High Pressure Leakage Tests” on page 135 - only (L1) is required
“5.2.10 Running the Self-tests” on page 144
“5.2.20 MPL Valve for Ventilator Test” on page 155
“5.2.21 Drive Gas Selection and Drive Gas Alarm Test” on page 158
“5.2.24 Volume Measurement Zeroing Function Test” on page 164
“5.2.25 Tidal Volume Test” on page 165
“5.2.26 Ped. Volume Measurement Test” on page 166
“5.2.27 Adult Volume Measurement Test” on page 168
“5.3.3 Electrical Safety Testing” on page 185
“5.3.4 System Test” on page 188
Follow “8.4 Accessing the Machine” on page 255 in reverse order to close the machine after repair.
WARNING High Voltage - Voltages dangerous to life are present in the machine when it is connected to the mains
power supply. Do not perform any disassembly procedures with power applied to the machine. Failure
to adhere to this warning could cause serious injury or death.
Description QTY
Valve Coil w. O-ring and membrane 1
Screw M6X16 4
WASHER Facet OD 6mm. Brass /Chrome 4
Required tools
Description Source/PN
3mm Allen screwdriver Purchase locally
4mm Allen screwdriver Purchase locally
5mm Allen screwdriver Purchase locally
Adjustable Torque wrench (0.5-15 Nm) Purchase locally
5mm Allen bit for torque wrench Purchase locally
Disassembly
1 Remove the lower rear cover, and pull out the ventilator drawer. See “Accessing the Machine” on
page 255.
NOTE For Rel. 1.0 machines: Go to step 4. Otherwise continue with step 2 below.
2 Disconnect the drive gas tube between the buffer tank and the ventilator valve block.
3 Remove buffer tank, by removing the 4 screws from the bottom side of the ventilator drawer.
4 Loosen the ventilator valve block, by removing the two screws from the bottom side of the
ventilator drawer.
NOTE Note the position of tubes and wires on the valve coils.
– AGSS tube.
CAUTION Be careful not to damage any of the tubes and hoses when re-orienting the valve block.
6 Place valve block with the expiratory valve facing upwards, and remove the 4 screws from the
expiratory valve.
S2
S1
10 Remove O-ring.
11 Discard all removed items (valve coil/body, plunger, spring, membrane, O-rings and screws/
spacers).
Assembly
NOTE Ensure that all surfaces are clean from dust or any other exterior particles before starting the assembly
procedure.
3 Tighten the screws in two sequences in the order shown on the pictures:
A) 6Nm B) 12Nm
3 2 3 2
1 4 1 4
4 Mount valve block wires and tubes and close machine following the Disassembly section step 2-5
in reverse order.
2 Adjust the 2 smaller Allen screws so that the IBS lock is aligned with the IBS console.
3 Position the IBS lock so that it is aligned with Alignment Tool 72084 in the same way on both
sides.
5 Check that the IBS lock is aligned with the IBS console..
6 Mount the IBS and ensure it is correctly fixed to the IBS console.
Required Tools
Description Source
Allen screwdriver 2.5mm Purchase locally
Torque wrench (1.5 Nm / 13 in-lbs) Purchase locally
with 14 fork or socket
Disassembly/Assembly
1 Disconnect the RS232 and power cable from the SmartLog if it is installed.
2 Dismount the upper rear cover, see “Upper Rear Cover” on page 255.
3 Disconnect the fan cable before removing the cover from the machine.
4 Disconnect the flat cable from the EGM.
NOTE Ensure the control dial connector is correctly remounted, according to the illustrations below.
CAUTION When reconnecting the cable, ensure that the cable connector is aligned with the connector on the
EGM.
5 Pull off the black knob on the front side of the machine.
6 Use a socket wrench to remove the nut and spacer, and dismount the encoder.
CAUTION When mounting the encoder in the frame of the MMI, it must be tightened to a torque value of
1.5Nm / 13 in-lbs.
8 Mount the brass spacer from the repair kit onto the encoder, and replace the spacer and nut from
step 7..
SW Package
The software package contains the latest compatible revisions of each software component for the
device. See “Software Compatibility Matrix” on page 314. for information about the latest revisions
across packages.
Starting with Rev. C of the AC Software Toolkit it is possible to have several SW packages for several
different machine types installed on a PC. The SW packages need to be installed in the C:\DL
directory in separate directories – see example below:
NOTE If a folder named GUI already exists in the DL folder this folder must be deleted for the AC Software
Toolkit to work properly.
The sub folders from a SW package zip-file must to be placed as sub folders for the package directory
for the SW Installation Tool to work (naming will depend on the SW package), see example below:
SW Package Installation
1 Extract the software zip-package to C:\DL\
2 In the folder C:\DL\<Package>\Ventilator, locate a file named either whispa_app_<buildXXX>.hex
or whispa_app.hex and copy the file to C:\flashhexfiles
3 If the file name included build information, <buildXXX>, rename the file to whispa_app.hex.
NOTE To see which options are installed on the machine, go to Setup menu > Service > Installation to check
if Neonatal and HLM Mode are enabled
To check if PRVT is installed go to the Main Screen, select Vent Mode and check if you can select
PRVT by turning the control dial.
1 Connect a null modem cable between the RS232 port on the rear side the machine, and the COM
1 port on your PC (e.g. by using the USB to RS232 converter).
2 Connect mains power, and press the ON/OFF switch on the front of the machine.
3 When the machine has booted up, bypass the selftest.
4 Go to Setup menu > Service, and enter the service password 91-34-80.
5 On your desktop, open the GUI Installation Tool application.
6 If the COM port for the USB serial cable is different from 1 (refer to your note in step 6 in section
“Change COM port settings”), change the COM port:
– Type S and press Enter to change the COM port.
– Enter the COM port number for the USB serial cable and press Enter.
7 On the anesthesia machine, go to Setup menu > Miscellaneous and select SW update.
8 Backup/clone customer specific settings if needed (optional step):
– Type C and press Enter to select Cloning.
– Type 1 and press Enter to select “Download settings from anesthesia machine.”
9 Type P and press Enter for a list of SW packages.
10 Type the number for the desired package and press Enter.
11 Type L and press Enter for a list of available country specific languages.
12 Enter the number for the desired language, and press Enter.
13 Type O and press Enter for a list of available customer specific options.
14 Choose the correct option according to the table below, and press Enter.
Option Option # Description Requirements
Selection
1 Standard VCV, PCV, SIMV, PSV, VSV N/A
2 V03 HLM mode HW opt. #M01
3 V01, V02, V03 All included HW opt. #M01
4 V02 Neonatal settings V01
5 V01 PRVT ventilation mode N/A
6 V01, V03 PRVT ventilation mode, HLM HW opt. #M01
mode
NOTE If you have retrieved the settings for cloning, the option selection above will be overwritten when
uploading the cloned settings afterwards.
CAUTION Consult a super user at the customer site or an applications specialist to setup all user default settings
correctly.
3 Disconnect the ventilator communication cable from the port labeled Ventilator on the EGM.
4 With the help of a gender changer, connect a null modem cable to the disconnected ventilator
communication cable, and the COM 1 port on your PC (e.g. by using the USB to RS232
converter).
NOTE Alarms should be disabled for the machine during the installation. Press the Cancel Alarms field to disable
the alarm sound for 120 seconds.
8 When the download is complete, press Terminate and turn OFF the machine.
NOTE Remember to tighten the thumb screws on the cable when reconnecting.
12 Complete the following performance verification procedure, before handing over the machine to
the customer:
“5.2.10 Running the Self-tests” on page 144
“5.3.3 Electrical Safety Testing” on page 185
“5.3.4 System Test” on page 188
This section describes how to upgrade to SmartLog OS software and how to configure the SmartLog.
The HW option #J01 needs to be installed to have this feature.
• “ Upgrade” on page 310
• “ Configuration” on page 314
Upgrade
The SmartLog OS software is installed on a compact flash (CF) card located in the SmartLog module.
In order to upgrade the SmartLog OS software, a new boot-able image file needs to be flashed to this
compact flash (CF) card.
1 Remove the upper rear cover, by removing the 4 screws with a 2.5mm Allen screwdriver.
2 Turn OFF the SmartLog module, by pressing the ON/OFF switch to zero (0).
NOTE If you are prompted to format the CF card, accept by pressing Format disk. A new window will open.
Proceed from step 8.
10 Click Start to format the disk. When the formatting has completed, click Close.
11 Start the Win32DiskImager.exe from your desktop (part of the see “Prerequisites” on page 254).
12 In Win32DiskImager select browse.
13 Browse to C:\DL\<Package>\SmartLog.
14 Under Files of type select *.*.
15 Select reduced_ax700_logpcimage_buildXX.bootable, and click Open (in some software packages
the reduced image is not part of the package. In this case the file
ax700_logpcimage_buildXX.bootable should be selected).
16 Select the device to write to from those listed under Device. In the example the drive letter I: is the
CF card.
17 Now select Write to transfer the bootable image file to the CF card.
18 A new window opens. Press Yes to confirm.
19 Press OK to complete.
To verify that the file was written successfully do the following steps:
20 Create a folder named “configuration” on a USB stick.
21 Insert the USB stick in the SmartLog USB port on the rear side of the machine..
22 Perform step 1 to step 5 in reverse order.
23 Wait for minimum 1 minute, while the SmartLog is starting up.
24 Remove the USB stick.
After the installation do the following:
25 Check the flash image build number in the file installed_version.txt, which is located on the USB
stick in the configuration folder. The build number should correspond to the build number for the
SmartLog software of the software package being installed. See “Software Compatibility Matrix”
on page 314. or the service bulletin announcing the latest software package.
26 Complete the following performance verification procedure, before handing over the machine to
the customer:
– “5.2.10 Running the Self-tests” on page 144
– “5.2.38 SmartLog Test” on page 179
– “5.3.3 Electrical Safety Testing” on page 185
– “5.3.4 System Test” on page 188
Configuration
IntelliSave AX700 comes with one basic configuration file installed. This configuration file is in
English. It uses cmH20 as the unit of measurement for pressures and displays 4 waveforms: AWPin,
AWF, AWP, and AWV. Additional configuration files are available on InCenter.
Follow the below procedure to install a different configuration.
Prerequisites
Go to InCenter, and locate and download the configuration file that you want to install. The title of
the file follows the naming convention:
Language_Measurement_Waveform1_Waveform2_Waveform3_Waveform4
Example: “EN_cmH20_ AWPin_AWF_AWP_AWV”
1 On your computer, insert a USB stick, and in the root directory, create a folder named
“Configuration”.
2 Unzip the file downloaded from InCenter, and copy the following files to the Configuration folder
on the USB stick:
– –spectabl.bin
– –spectabl.rpt
3 Insert the USB stick in the Smartlog USB port on the machine (see “Data communication” on
page 6).
4 Wait 30 seconds.
The configuration files are automatically updated in the Smartlog.
5 Remove the USB stick from the machine
NOTE Machines with Rel. 1.0 EGMs have serial numbers AM032013001-AM502012012 or DK30100001-
DK33500499.
For Rel. 2.0 machines, see the EGM's Service Tag for what exchange part to order- either RoHS or
Non RoHs. The exchange part is visible on the Service Tag under Service#. See “Service Tags” on
page 10.
NOTE Only the relevant parts are listed in the tables; that is, only those parts that can be requisitioned from
Philips for replacement or exchange.
CAUTION After preventive maintenance or repair of a faulty machine, complete a performance verification to
ensure that the machine is ready for use before handing it over to the customer. See “5 Performance
Verification” on page 121 for the relevant information.
In connection with a repair, the specific performance verification procedures relevant after each repair
are described in “8 Repair” on page 253.
Figure 9-11: Support Bar Assembly for Ø100, Ø109, Ø120 Cylinders
9.2.10Flowmeters
No. in Description Quantity
diagram
ns Flowmeter O2 0-14L/min. Rel. 1.0 453564407471
(32043)
ns Flowm. O2 0-12L/min - IntelliS., Rel2.0 453564453071
Continued ...
Yokes Kit
O2 - 453564514401, Air - 453564514411, N2O - 453564513341
Description Quantity
Color coding label(s) (2 for O2 or Air / 1 for N2O) 1 or 2
Yoke 1
Screw 1
Washer 1
Nut 1
Spacer 1
Angled quick coupling 1
High Pressure Gasket (Red for O2 and Air, black for N2O) 1
9.2.14Communications Board
* The flash card comes empty, and needs to have the correct SmartLog OS software installed before
use, see “SmartLog Software Installation” on page 310
NOTE Machines with Rel. 1.0 EGMs have serial numbers AM032013001-AM502012012 or DK30100001-
DK33500499.
For Rel. 2.0 machines, see the EGM's Service Tag for what exchange part to order- either RoHS or
Non RoHs. The exchange part is visible on the Service Tag under Service#. See “Service Tags” on
page 10.
CAUTION Ensure the correct EGM software is installed, according to “8.15 Software Compatibility Matrix” on
page 314
AIR O2
9.2.19Ventilator
CAUTION Ensure the correct ventilator software is installed, according to “8.15 Software Compatibility Matrix”
on page 314
CAUTION Ensure the correct ventilator software is installed, according to “8.15 Software Compatibility Matrix”
on page 314
Figure 9-36: Valve Block Assembly for Ventilator for Rel. 2.0
9.2.21IBS
9.2.22IBS Assembly
453564407431 (11975-100)
NOTE RoHS gas modules are marked with a sticker with the text "RoHS", positioned close to the serial
number label. If the gas module to be replaced is a RoHS part, you must order a RoHS exchange part.
If the gas module to be replaced is not RoHS compliant, order the Non RoHS exchange part.
Fittings
453564408981(36458-3000)
Fuses Kit
453564454951
This kit contains the below quantities of fuses. You can also fill up the Fuses kit by ordering
specific fuses in quantities of 10.
Description Quantity 12NC Part No.
Fuse M 1.6A L 250v 10 453564454761
Fuse M 3.15A L 250v 10 453564454791
Fuse T 400mA H 250v 10 453564454821
Fuse T 1.25A H 250v 10 453564454831
Fuse T 2.5A H 250v 10 453564454851
Fuse T 4A H 250v 10 453564454861
Fuse T 5A H 250v 10 453564454871
Fuse T 6.3A H 250v 10 453564454901
Fuse T 8A H 250v 10 453564454911
Fuse T 10A H 250v 10 453564454921
Fuse T 2.0A H 250v 10 453564458461
LittleFuse SMD T 3.5A 125V 10 453564454931
LittleFuse SMD T 375mA 125V 10 453564454941
9.2.30Vaporizers
25
2 9
1
5 11
8 10 17 18
14 23
13
24
4
3
6
12
7
21
28
16 29
27
30 15
19
32
37 35
36
31
26 34
22 33 20
Usage
No. in Description 12NC Part No. Source
picture
Standard Tools
1 1 set of Allen keys 1.5-10mm Wera IN
950PKL/9SM - CM
P/N: 05022087001 PM
2 1 Allen key 1/8” (Adjust CM
Reduction valves) PM
3 Allen screwdriver 2,2.5,3,4mm Wera IN
352 Ball end screwdriver for hexagon CM
socket screws PM
2.0mm: P/N: 05022800001
2.5mm: P/N: 05138070001
3.0mm: P/N: 05022805001
4.0mm: P/N: 05022810001
4 1 set of Philips screwdrivers No. Wera 350 PH or similar CM
0-1-2 PH0: P/N: 05008705001 PM
PH1: P/N: 05008710001
PH2: P/N: 05008720001
6 1 set of spanners 6-22mm Bahco CM
P/N: 111M/17T PM
17 pcs.
6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16,
17, 18, 19, 20, 21, 22
Usage
No. in Description 12NC Part No. Source
picture
7 Rel. 1.0 Only Bahco CM
24mm spanner for Nist filter P/N: 111M-24 PM
change
8 Torx 6 screwdriver (water trap Wera 367 CM
receptacle) TX6
P/N: 05028001001
9 Torx keys T10-T30+ Wera 967 SPKL/9 CM
P/N: 05024334001 PM
10 Socket wrench set 4-13mm Bahco SL25 CM
1/4" Socket set PM
P/N: SL25
12 Screwdrivers for slotted screws Wera 335 CM
2.5 - 3.5 - 4 - 5 mm 2.5: 05110000001 PM
3.5: 05008015001
4.0: 05110004001
5.5: 05110007001
13 Side Cutter for cable binders CM
PM
14 Snipe nose pliers CM
PM
ns 23mm spanner for Inlets O2, Purchase locally CM
N2O, Air PM
ns 25mm spanner for AGSS/ Purchase locally CM
WAGD PM
Special Tools
5 Hose clamp screwdriver - 7mm 453564416151 Wera CM
(72012) 391 Hose clamp screwdriver for 7mm PM
P/N: 05028150001
11 Rel. 1.0 Only 453564416201 Bahco CM
Tube Socket wrench 27mm for (72017) PN: 1936M-24-27 PM
Inlet manifold valve
15 Anti-static Service Kit CM
16 O-ring pick tool incl Tweezer 453564416221 CM
(72019) PM
17 Rel. 1.0 Only 453564419251 CM
Reduction valve seat tool (72230) PM
18 Tool f. Spindles Rotam.Box 453564419221 CM
(72202) PM
19 Tube cutter (Internal tubes Ø5/ 453564416211 Legris.com CM
Ø6) (72018) P/N: 3000 71 00
20 Tool for loosening of A,B and C 453564419991 CM
valve on IBS (11960-14) PM
21 Oxygen Compatible Grease 453564419181 CM
(36811) PM
Usage
No. in Description 12NC Part No. Source
picture
22 Oxygen Compatible Grease, 453564416141 CM
liquid (36825) PM
23 Special Tool Plastic Tubing 453564419241 CM
OD6/ID4mm (72206)
24 Special tool for 40096-505 and 453564420531 CM
40096-510 magnet valves (72240)
25 Adjustable Torque wrench (0.5- Purchase locally IN
15 Nm) CM
26 Loctite 242 - threadlocker 453564416131 CM
(36805)
27 Cable marking dispenser. 453564420451 CM
For usage when changing EGM (72020)
manifold
38 USB to RS232 adapter f. SW 453564420461 CM
update (72261)
39 Null modem Serial Cable DB9 Purchased locally CM
Female to DB9 Male
For SW updates (EGM and
Vent.)
40 Serial DB9 Female to Female Purchased locally CM
Adapter
ns Tool for filter change in Patient 453564416271 PM
suction (72530-04)
ns Adjustment tool for IBS lock 453564451951 CM
(72084)
ns USB 2.0 Compact Flash card E.g. use a Hama USB 2.0 Card CM
reader (only for SmartLog Reader 1.000 & 1
Software Installation)
Test Equipment
ns PLT-01, Pneumatic Leakage 453564424881 See “Pneumatics Leakage Tester” on CM
Tester (72975-020) page 415. PM
28 Test lung 453564420151 CM
(82699-01) PM
29 Test lung, Neonatal 453564420441 Maquet Neotestlung: 6301720 CM
(82699-03) PM
34 TSI pressure tube 453564416241 CM
(72233) PM
35 Digital Voltmeter Eg. Fluke 177 CM
Philips Tools Catalog PM
12NC: 242218181151
36 Calibration Gas - Artema Purchase locally or IN
453564420071 CM
(41035-300) PM
Usage
No. in Description 12NC Part No. Source
picture
37 Regulator for calibration gas, Purchase locally or IN
Artema 453564416301 CM
(41035-310) PM
ns Electrical Safety analyzer Fluke Biomedical ESA 620 or similar. IN
Philips Tools Catalog Tool code: CM
TC402 PM
ns Infrared Temp measuring Fluke 62 IR thermometer CM
instrument for calibration of 10:1 -30 -> +500C (or similar)
PEEP valve.
Requirement: Max=+100C or
more
ns Patient hose kit, disposable 453564538811 IN
CM
PM
TSI Kit- 453564416251 (72260)
30 TSI Certifier FA model 4080 453564416251 TSI 4088 CM
(72260) PM
31 TSI High flow module 453564416251 TSI 4081 CM
(72260) PM
32 TSI Low Flow module 4082 453564416251 TSI 4082 CM
(72260) PM
33 TSI Oxygen Sensor kit 453564416251 TSI 4073 CM
(72260) PM
453564424891
Usage
No. in Description Quantity
picture
1 Angled Suction connection 1 CM
PM
2 Catheter connection ISO 6.0mm 1 CM
PM
3 Plastic Tube 1 CM
PM
4 Clear Silicon Tube 1 CM
PM
5 Catheter connection ISO 3.5mm 1 CM
PM
6 T-piece connection 1 CM
PM
7 Plastic Tube (Black) 1 CM
PM
8 Blindplug 1 CM
PM
9 Silicon Adapter (Blue) 1 CM
PM
10 T-piece for O2 Fuel-cell Sensor 1 CM
PM
11 Ext. Connector OD7mm 1 CM
PM
12 MACH Connector ISO 22, Male To Hose Con. 1 CM
PM
13 Screw Cap Luer Lock 1 CM
PM
14 Plastic patient hose 40cm 1 CM
PM
14
4
5 8
10
7
6
9 11
2
13 12
1
3
The following matrix shows the most common wall connection types, and the accessories needed
together with the Pneumatics Leakage Tester:
A Technical Data
NOTE All flow and volume measurements are based on STPD conditions (Standard Temperature and
Pressure, Dry). STPD means atmospheric pressure of 1013 hPa (cmH2O) and temperature of 21ºC
(69.8°F).
A.1 General
Dimensions
Height 1550mm (45.27’inches)
Width 810mm / 920mm (31.88 inches / 36.22 inches) incl. IBS
Depth 790mm (31.10 inches)
Weight Approx. 150 kg (330.69lb) (depending on configuration)
Mechanical specifications
Maximum load on table's side rail 20 kg (44.09 lb)
Maximum torque on table's side rail 20 Nm (14.75 lbf ft)
Maximum load on table top 20 kg (44.09 lb)
Maximum load on top shelf 30 kg (66.14 lb)
Electrical
Class I
Type B
Power supply voltage 100/115/220/230 volt +/- 10% at 50/60 Hz
a
Power consumption 130 VA + 20 VA (multigas module) + DES vaporizer +
Smartlog
Battery capacity 1.5 Ah (ventilator), 7.2 Ah (EGM and multigas module)
Battery backup time Approx. 90 min
Battery type B1 = 20-Cell NiMH, 24V, 1.5Ah, Rechargeable
B2 = 12V Lead-Acid, 7.2 Ah, Rechargeable
B3 = 12V Lead-Acid, 7.2 Ah, Rechargeable
Batteries B2 and B3 are connected in series to provide 24V
Battery charge time Approx. 12 hours
Note There is no difference in performance when the machine is battery powered; however the Smart
Log (if installed) will not work during a mains power.
Auxiliary Electrical Outlets and Vaporizer Outlets (Optional)
Max. current from each individual outlet 1.25A (220/230V) / 2.5A (100V-115V)
Max. total current from 3 outlets on the 2.0A (220/230V) / 4.0A (100V-115V)
rear of the machine
Fuse for each outlet T1.6AH250V (220/230V) / T3.15AH250V (100V-115V)
Common Fuse for all 4 outlets T4AH250V (220/230V) / T8AH250V (100V-115V)
Voltage from each outlet - Approximately equal to supply voltage. There may be a small increase in the
outlet voltage compared to the supply voltage, when the outlets are lightly loaded. Max. voltage increase =
11V.
Service Life
10 years
Communication Ports
Frequency from each outlet Equal to supply frequency
RS232 Data output according to protocol, for data collection.
SmartLog (optional) USB: For storing data on USB stick
9-Pin: For connection to Philips IntelliBridge
a.*) Desflurane vaporizer power consumption depends on manufacturer and is not included in the power
consumption specification.
A.2 Gases
Note All gases and anesthetic agents must comply with the US Pharmacopoeia, European Pharmacopoeia
or local recognized requirements for medical gases.
Wall Supply
Inlet pressure Rel. 1.0: 400-600 kPa, 58-87 psig for O2, Air and N2O
Rel. 2.0: 300-600 kPa, 44-87 psig for O2, Air and N2O
Must comply with relevant national standards such as:
ISO 9170, Terminal Units for Use in Medical Gas Pipeline
Systems (Europe); CSA Z305.1, Nonflammable Medical Gas
Piping Systems (Canada); or JIS T 7101, Medical Gas
Pipeline Systems (Japan), or NFPA 99, Standard for Health
Care Facilities (USA).
Reserve Gas Supply (Optional)
Pin-index yokes Ø100, Ø109 and Ø120 Air and N2O
cylinders
Gauges
Central Gas Supply 0-1000 kPa, 0-145 psig for O2, Air and N2O
Gas cylinder 0-31500 kPa,0-4570 psig for O2 and Air
0-10000 kPa, 0-1450 psig for N2O
O2 Emergency Flow
Flow range 5.0-15.0 L/min ± 20%
O2 Flush Valve
Flow Approx. 45 L/min
A.4 Ventilator
Drive Gas (Air or O2)
Pressure Min. 300 kPa, 43.5 psig at 80 L/min
Max. consumption (Peak flow) 120 L/min
Mean consumption Max. 80 L/min at 280 kPa, 40.6 psig
Pressure Range
Pressure limitation (P. lim max.) 90 hPa (cmH2O) (mechanical, pressure limitation value)
Max. adjustable working pressure 80 hPa (cmH2O)
High-pressure alarm 10 to 80 hPa (cmH2O)
Min. expiration pressure (P. lim min) 1 hPa (cmH2O)
Cycling pressure 1-80 hPa (cmH2O)
Note Negative pressure is only possible if the patient is exclusively breathing spontaneously.
Set Parameters
Tidal volume 20 to 1500 mL
With neonatal specs. (optional): 10 to 1500 mL in PRVT
mode
Accuracy (VCV and SIMV mode) 20 to 250 mL: ± 10%, min. 10 mL
250 to 1500 mL: ± 7%, min. 25 mL
Resp. Rate 4 to 80 resp./min
I:E ratio 3:1 to 1:9.9
PEEP OFF, 4 to 20 hPa (cmH2O)
Inspiratory pressure 4 to 67 hPa (cmH2O)
Inspiratory pause 0 to 70%
Ventilation mode (controlled) Rel. 1.0: VCV, SIMV (optional), PCV, PSV (optional),
PRVT (optional), VSV (optional)
Rel. 2.0: VCV, SIMV, PCV, PSV, PRVT (optional), VSV
SIMV Settings
SIMV trigger point -0.5 to -10.0 hPa (cmH2O)
PSV/VSV Settings
Support pressure (PSV only) 4 to 50 hPa (cmH2O)
Inspiratory trigger 1 to 10 L/min
NOTE The humidity content in the sampled gas is adapted to ambient humidity level in the Nafion section of
the tubing that connects the multigas module with the DRYLINETM Receptacle. The multigas
analyzer then uses a fixed correction of 11 hPa (cmH2O) to compensate for the influence of water
vapor in the gas sample, when converting the gas readings to ATPD. Any other ambient H2O partial
pressure will dilute the gas sample to a different extent, causing a certain measurement error. Under
typical operating conditions however, this effect is not noticeable. An increase in the ambient H2O
partial pressure to 30 hPa (cmH2O) (i.e. 28OC, 80% RH or 33OC, and 60% RH) will cause a general
error for all gases of only -2% REL.
A.7 Environment
Storage and transportation temperature -20°C to +50°C (-4°F to + 122°F) (optional O2 fuel-cell
sensor: 0°C to +50°C (32°F to 122°F))
Working temperature 10°C to 40°C (50°F to 104°F)
Relative humidity 10 to 90% RH (non condensing)
Storage and transportation pressure 63 kPa to 106 kPa
Working pressure 70 to 106 mbar, equal to 3000 m to -100 m (9842.5 ft. to -
984.25 ft.)
A.8 Standards
The IntelliSave AX700 complies with the following standards
IEC 60601-1
IEC 60601-1-1
IEC 60601-1-2
IEC 60601-1-4
IEC 60601-1-6
IEC 60601-1-8
IEC 60601-2-13
ISO 8835-2
ISO 8835-3
ISO 8835-5
IEC 68-2-27
IEC 68-2-64
ASTM D 4169-01
ISO 10993-1
ISO 21647
ISO 5356-1
ISO 5359
ISO 7396-2
EN 980
EN 1041
EN ISO 10079-3
CGA C-9
CGA V-5
Classification according to EN 60601-1
Class I equipment Type of protection against electrical shock
Type B equipment Degree of protection against electrical shock
Continuous operation Mode of operation
Classification according to Directive 93/42EEC concerning medical equipment
The anesthesia machine, Model IntelliSave AX700, is classified as Class IIb.
BSchematics
This section gives a description of the pneumatics for Rel. 1.0 machines and provides large format
diagrams for both Rel. 1.0 and Rel. 2.0 machines; Rel. 2.0 pneumatics is described in “2.2 Pneumatics
Description” on page 31.
Oxygen
Oxygen is supplied from either the central inlet (1) or from the spare cylinder (2).
Via filters (6) and check valves (7) it is let to the pressure sensor port (8). This pressure is giving a signal
to the EGM, and activates an audible and visual oxygen alarm if the pressure is below 2.5 (x100 kPa).
The pressure is reduced to 2 (x100 kPa) in the pressure regulator (10).
The O2 flow control valve (11) is controlled by the EGM to give a user set flow.
A flow sensor is connected to the pressure ports P4 and P5 monitoring the O2 flow. The flow is let to
the back bar (12), and the fresh gas selector switch (13). The user can select either the AUX fresh gas
outlet (14) or the integrated breathing system (15). Additionally, oxygen is let to the auxiliary oxygen
outlet (16).
The pressure regulator (17) reduces the incoming pressure to 4 (x100 kPa) for the Aux. O2 flowmeter
(18) giving 0 - 14 L/min O2. The reduced pressure is led to the emergency fresh gas switch (19), and
the flowmeter (20) giving a 5-15 L/min O2 flow in conditions where the EGM is out of order.
The O2 flush valve (21) is giving an O2 flow of 35-50 L/min to the fresh gas selector valve (13), by-
passing the vaporizers connected to the back-bar (12). Finally, O2 is led to the drive gas selector valve
(37).
Air
Compressed medical air (Air) is supplied from the central inlet (3) or from the gas cylinder (33). Via
filters (6) and check valves (7) it is led to the pressure sensor port (22). This pressure is giving a signal
to the EGM, and activates an audible and visual Air alarm if the pressure is below 2.5 (x100 kPa). The
pressure is reduced to
2 (x100 kPa) in the pressure regulator (23).
If the user selects Air, the valve (24) is open and Air will flow to the Air/N2O flow control valve (25)
controlled by the EGM to give a user set flow. A flow sensor is connected to the pressure ports P6 and
P5 monitoring the Air flow.
N2O
N2O is supplied from either the central inlet (4) or from the spare cylinder (5). Via filters (6) and
check valves (7) it is let to the pressure port (9). This pressure is giving a signal to the EGM, and
activates an audible and visual N2O alarm if the pressure is below 2.5 (x100 kPa). The pressure is
reduced to 2 (x100 kPa) in the pressure regulator (26).
If the user selects N2O, the valve (27) is open and N2O will flow to the flow control valve (25)
controlled by the EGM to give a user set flow. A flow sensor is connected to the pressure ports P5 and
P6 monitoring the N2O flow.
The flow is led to the back bar (12) and the fresh gas selector switch (13). The user can select either the
AUX fresh gas outlet (14) or the integrated breathing system (15).
AGSS
Drive Gas is supplied to the ON/OFF switch (32). When ON, the ejector (38) will create a flow from
the spill valve in the integrated breathing system (15) through the flow marker (39) to the AGSS outlet
(40) on the back of the machine.
For hospitals with active scavenging systems, the machine can be delivered without the ON/OFF
switch (32) and the power unit (38).
If an external patient system is used, it can be connected to the Aux. AGSS outlet (41).
Open reservoirs (15) and (42) prevent vacuum to be built-up in the AGS system.
Ventilator
The ventilator (29) is pneumatically powered from the drive gas selector valve (37) through the inlet
filter (6). A pressure switch (47) monitors the drive gas pressure, giving an alarm if the pressure is below
2.5 (x100 kPa).
Drive Gas is led to the pressure regulator (48), reducing the pressure to 3 (x100 kPa) for the Insp. flow
control valve (49). This valve is controlled by the ventilator electronics, selecting a correct inspiratory
flow according to the ventilator settings. A differential pressure transducer connected to the pressure
ports P1 and P2 measures the flow, and during inspiration the signal to the insp. flow valve is
continuously adjusted, in order for the ventilator to give correct inspiratory flow to the Bag-in-bottle.
A pressure transducer connected to the pressure port P3 measures the system pressure (Bag-in-bottle
chamber pressure). This pressure is limited to 90 (x100Pa) by the MPL valve (52)
During inspiration the expiration valve (53) and the PEEP valve (54) are closed, and the drive gas is led
to the chamber (55) of the Bag-in-bottle system. The expiration valve (57) is closed during inspiration,
and open during expiration when the bellows (56) is in top and the pressure in the bellows is approx.
3 hPa higher than the pressure from the ventilator. Excess gases are evacuated through the AGS system.
During expiration the expiration valve (53) is open, and the pressure in the chamber (55) is released to
the AGS system.
If a PEEP pressure (4 - 20 hPa) is selected, the insp. flow controller is set to a drive gas flow during
expiration.
At the beginning of expiration, the expiration valve (53) and the PEEP valve (54) are fully open. When
the pressure in the patient breathing system reaches the set PEEP level, the expiration valve (53) is
closed and the PEEP valve (54) now controls the PEEP pressure.
The ventilator pressure sensor P8 measures the PEEP pressure. This measured pressure controls the
PWM signal to the PEEP valve (54) keeping the PEEP pressure constant to the selected value.
The drive gas is reduced to 3 (x100 kPa) in the pressure regulator (48), and is led to the pilot valve
(51). The pilot valve is controlled by the ventilator electronics. During STBY and MANUAL status the
valve is closed, and the Bag/vent valve (58) in the integrated breathing system (15) is set to manual
ventilation.
When the status is set to VENT, the pilot valve (51) is opened and the Bag/vent valve (58) in the
integrated breathing system (15) is set to automatic ventilation.
Manual Ventilation
During manual ventilation the Bag/vent valve (58), controlled by the ventilator, is set to manual
ventilation.
The patient breathing system is filled with fresh gas from the fresh gas selector switch (13), through the
inspiratory limb, the expiratory limb, and to the bag (59).
When the bag (59) is squeezed during inspiration, the gas will flow through the Bag/vent valve (58),
the absorber (62), the inspiratory valve (64), and the inspiratory limb to the patient. When the bag
(59) is released, the expiration gases flow through the expiratory limb, expiratory valve (65), the Bag/
vent valve (58) to the bag (59).
The inspiratory pressure is limited in the APL valve (60), set by the user. Excess gases are evacuated
through the AGS system.
If the absorber is changed during use, the two absorber valves (76) and (77) will bypass the absorber
connection, so that gases are not lost.
The negative pressure relief valve (61) opens if the patient breathes spontaneously and the patient
breathing circuit is emptied for fresh gas (relief pressure is - 6hPa).
Automatic Ventilation
During automatic ventilation the Bag/vent valve (58), controlled by the ventilator, is set to automatic
ventilation.
The patient breathing system is filled with fresh gas from the fresh gas selector switch (13), through the
inspiratory limb, the expiratory limb, and to the bellows (56).
When the bellows (56) is forced down during inspiration, the gas will flow through the Bag/vent valve
(58), the absorber (62), the inspiratory valve (64), and the inspiratory limb to the patient.
When the pressure in the chamber (55) is released, the expiration gases flow through the expiratory
limb, expiratory valve (65), the Bag/vent valve (58) to the bellows (56).
The inspiratory pressure is limited by the ventilator high pressure alarm, set by the user.
Excess gases are evacuated through the exhalation valve (57) to the AGS system, through the ventilator.
Volume Monitoring
Inspiratory/expiratory volumes can be measured by a flow sensor (option), which can be placed at the
Y-piece (69) or the expiratory port (63).
The flow sensor gives a pressure signal to the P9 pressure sensor of the ventilator. The ventilator then
calculates the actual patient flow over time, which gives a volume reading.
During start-up and at least every 10 min. the two Zero-calibration valves (78 and 79) are activated by
the ventilator for app. 3 sec. in order to do zero calibration of the P9 pressure sensor.
Gas Monitoring
Gas concentrations can be measured by an integrated multigas module (68) (option).
This multigas module continuously takes a sample from the Y-piece to analyze it. The sample flow is
then returned to the expiratory side of the patient breathing system.
If a multigas module is not installed, the inspired O2 concentration can be measured by an external O2
fuel cell sensor (66) (option).
At E-box
At E-box
P1 P2
Pat. Suction Pat. Suction Expiration
P
P
64
valve
INSP
S1 Bag/vent
Pressure Switch valve
switch Insp. flow Pilot Valve
47 controller S3
66
49 51 O2 sensor (option)
6
Electronic S4
Gasmixer
IBS
48
Base
Ventilator 29 3 Bar reg. 79
”E” ”E” Fresh gas 87
Selector Absorber 62
4 Bar
Drive gas reg. Switch
7 P9
S3 S4
P
Pat. Sensor
37 30 At E-Box
36
7 18
Reservoir, Reservoir,
40 Outlet AGSS/WAGD Atmosphere
Corner pole tube
42 85
At E-box
At E-box
P1 P2
Pat. Suction Pat. Suction Expiration
P
P
64
valve
INSP
S1 Bag/vent
Buffer Tank Pressure Switch valve
switch Insp. flow Pilot Valve
47 controller S3
66
49 51 O2 sensor (option)
6
Electronic O2 As primary drive gas S4
Gasmixer (Option)
IBS
48
Base
37 Ventilator 29 3 Bar reg. 79
36 ”E” Fresh gas 87
”E” Absorber 62
4 Bar Selector
Drive gas reg. Switch
7 P9
S3 S4
P
Pat. Sensor
37 30 At E-Box
36
7 18 90 hPa
82 MPL valve
Pressure Drive gas AUX O2
0-12 l/min Fresh gas
switch select valve
Selector 13
16 83 valve
AUX O2(option)
61
17
At EGM ON/OFF Negative Pressure
”F” ”C” ”C” O2 Flush
19 Emergency fresh gas 21 35 Relief valve
P 8 3 Bar
7 Flow 5-15 L/min -6hPa
2 O2 reg.
90 hPa
MPL valve
11 20
O2 Yoke ”B” 14
2 Bar O2 Flow
(Option)
84 O2 reg. controller P4
”H” At EGM AUX FG Cone at
10 P Outlet Table plate
6 7
1
O2 pipeline P9
Vaporizer back-bar 12
At EGM ”G” ”B”
P8
7 P 22 Air selector
33
”D” valve
25 P8
2 Bar ”D”
84 24
AIR reg.
Air Yoke 6 7 7
(Option) P7
3
AIR pipeline P
23 At EGM
AIR/N2O P5
At EGM ”I” Flow controller
7 P 9
5 ”A”
2 Bar
84 N2O reg. Vaporizer
27
N20 Yoke 4 6 7
(Option)
N2O pipeline 26 N2O
”K” ”J” ”A” Selector valve