GE Centiva-5 Plus Ventilator - Service Manual

GE Healthcare
Centiva/5 Plus
Technical Reference Manual
Caution U.S. Federal law restricts this device to sale by or on
the order of a licensed medical practitioner. Outside
the U.S.A., check local laws for any restriction
that may apply. Datex-Ohmeda products have unit
serial numbers with coded logic which indicates a
product group code, the year of manufacture, and a
sequential unit number for identi?cation.
AAA X 1234
The X represents a number indicating the year the
product was manufactured; 4 = 2004, 5 = 2005, etc.
TRM Centiva/5 plus, M1047448/ CM-922026, rev. 3.50.a of 11/05 FC

0 Table of content
1 Introduction 1.1 What this manual includes 1-2
1.1.1 Software and hardware revision 1-2
1.2 Standard service procedures 1-3
1.2.1 User Reference Manual 1-3
1.2.2 Ventilator tests 1-3
1.3 Symbols used in this manual or on the equipment 1-4
1.4 Abbreviations used in this manual or on the equipment 1-6
2 Theory of Operation 2.1 General description 2-2

2.2 Centiva/5 Plus CC ventilator features 2-3
2.2.1 Safety features 2-3
2.3 Centiva/5 Plus CC ventilator main assemblies 2-4
2.4 Electrical components 2-5
2.5 Pneumatic components 2-12
3 Post-Service Checkout 3.1 Post-service checkout 3-2
4 Tests and Calibrations 4.1 Self tests 4-2

4.1.1 Power-up test 4-2
4.1.2 System test 4-3
4.1.3 In-operation test 4-6
4.2 Test lung test 4-7
4.3 Service mode 4-10
4.4 Service mode check 4-13
4.5 Software and hardware revision 4-14
4.6 Ventilator “on-time” 4-15
4.7 Calibrations 4-16
4.7.1 O2 sensor calibration 4-17
4.7.2 Location of calibration points 4-19
4.7.3 AIR flow calibration 4-20
4.7.4 O2 flow calibration 4-22
4.7.5 Expiratory flow sensor calibration 4-24
4.7.6 Airway pressure sensor calibration 4-28
4.7.7 Overpressure relief valve calibration 4-30
4.7.8 Battery charging voltage calibration 4-31
4.8 Battery test 4-32
4.9 Diagnostic test 4-34
See next page for more
TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05 0-1

0 Table of Content
5 Troubleshooting 5.1 Troubleshooting instructions 5-2

5.2 Alarms 5-4
5.3 Messages 5-9
5.3.1 Messages during power-up test 5-9
5.3.2 Messages during system test 5-14
5.3.3 Messages during O2 sensor calibration 5-25
5.3.4 Messages during operation 5-26
5.3.5 System shut down messages 5-29
6 Maintenance 6.1 General instructions 6-2

6.2 Maintenance schedule 6-3
6.2.1 Every twelve (12) months 6-3
6.2.2 Every twenty-four (24) months 6-4
7 Repair procedures 7.1 General instructions 7-3

7.2 Open the system 7-4
7.2.1 Remove the exp. Valve 7-5
7.2.2 Remove the control panel 7-7
7.2.3 Open the control panel 7-8
7.2.4 Control panel assemblies 7-9
7.2.5 Open the main engine 7-10
7.2.6 Remove the control panel plate 7-11
7.2.7 Main engine assemblies 7-12
7.3 Service assemblies 7-14
7.4 Change the line voltage 7-15
7.5 Software replacement 7-16
7.5.1 Change the A EPROM 7-17
7.5.2 Change the B EPROM 7-18
7.6 Change the unit of pressure 7-19
7.7 Change fuses 7-20
7.7.1 Change the line fuses 7-20
7.7.2 Change the control panel fuses 7-21
7.7.3 Change the main engine fuses 7-22
7.8 Repair control panel components 7-23
7.8.1 Replace ComWheel encoder 7-23
7.8.2 Replace PC board A 7-24
7.8.3 Replace PC board DCU 7-26
7.8.4 Replace LCD screen 7-27
7.8.5 Replace front housing with touch screen 7-28
7.9 Repair main engine components 7-29
7.9.1 Remove back-up battery 7-29
7.9.2 Repair expiratory valve 7-30
7.9.3 Replace expiratory valve locking assembly 7-31
7.9.4 Repair inspiratory connection 7-32
7.9.5 Replace O2 sensor 7-33
0-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05

1 Table of Content
7 Repair procedures 7.9.6 Repair ON-Off switch 7-34

(continued) 7.9.7 Replace gas inlet connectors 7-35
7.9.8 Replace gas inlet filters 7-36
7.9.9 Replace pneumatic assembly 7-37
7.9.10 Replace free breathing valve 7-38
7.9.11 Replace PC board B 7-39
7.9.12 Replace alarm speaker B 7-40
7.9.13 Remove sub chassis 7-41
7.9.14 Replace transformer 7-42
7.9.15 Replace fan 7-43
7.9.16 Replace line connector 7-44
7.9.17 Replace DC mains connector 7-45
7.9.18 Replace ground connector 7-46
7.9.19 Replace serial data connector 7-47
8 Illustrated Parts 8.1 Special instructions 8-2

8.2 Service tools 8-2
8.2.1 Calibration accessories kit, ST 2 8-2
8.2.2 Test lung kit, ST 3 8-2
8.2.3 “Service” flow screen ST5 8-2
8.2.4 Tool kit, ST 4 8-3
8.2.5 Test equipment specifications 8-3
8.3 Software 8-4
8.4 Control panel spare parts 8-4
8.5 Expiration valve spare parts 8-9
8.6 Main engine spare parts 8-11
9 Schematics and Diagrams 9.1 Pneumatic diagram 9-2

9.2 Electrical diagram 9-4
9.3 Component layout, PC board B 9-6
9.4 Component layout, PC board A 9-7
9.5 Tubes and connectors 9-8
9.6 List of fuses 9-11
9.7 Screw connectors 9-12
9.8 Accepted ranges 9-13
9.9 Sensor data ranges 9-14
9.10 Serial data transfer 9-15

0 Table of Content
10 Configuration and 10.1 Centiva/5 Plus configuration mode 10-2

optionalization 10.1.1 Access to configuration mode 10-3
10.1.2 Configuration modality 10-5
10.1.3 Exit configuration mode 10-6
10.1.4 Configuration parameters 10-7
10.2 Optionalization mode 10-9
10.2.1 Access to optionalization mode 10-10
10.2.2 Optionalization modality 10-11
10.2.3 Exit optionalization mode 10-13
11 Optional accessories 11.1 External battery pack 11-2

11.2 Carts 11-3
11.3 Compressor 11-4
11.4 Support arm 11-5

1 Introduction
In this section 1.1 What this manual includes 1-2

1.1.1 Software and hardware revision 1-2
1.2 Standard service procedures 1-3
1.2.1 User Reference Manual 1-3
1.2.2 Ventilator tests 1-3
1.3 Symbols used in this manual or on the equipment 1-4
1.4 Abbreviations used in this manual or on the equipment 1-6

1 Introduction
1.1 What this manual includes
This manual covers the service information for the
Centiva/5 Plus CC ventilator
1.1.1 Software and This manual includes test and calibration procedures for software revision 3.01.p.
hardware revision and hardware revision 3/4, including options
- “Bi-level VG”
- “Newborn”
- “Trend”.
The software (SW) and the hardware (HW) revision code are displayed during the
ventilator power-up test and during the system test in the upper left corner in the
screen.
Centiva/5 + Bi-Level VG
Newborn
Trend
09:36:53
2005-03-21
SW 3.nn.p HW o/r
Bypass
system test
System test
Complete system set up, seal y-piece Unlock
exp. valve
Start system test by pressing <Enter>
Calibrate
O2 sensor
Align
touch screen
Ensure silver exp. valve is in place
Retain
Body weigth 55 kg trend data
Adult Pediatric Newborn Enter
The software revision code “3.nn.p” identifies:

- 3. = Centiva/5 Plus
- nn. = current base software release
- p = current patch number of software release (bug fixing level)
The hardware revision code “o / r” identifies:

- o = front panel hardware revision
- r = main engine hardware revision.

1 Introduction
1.2 Standard service procedures
1.2.1 User Reference You must have, and be familiar with, the user reference manual for this product.
Manual Study the Centiva/5 Plus CC ventilator user reference manual if you need further
information about the operation of the system.
1.2.2 Ventilator tests Service calibration functions let trained service personnel perform ventilator setup
functions, tests, measurements and calibrations from the front panel display.
Normal operational tests, calibrations and troubleshooting can be performed on
the Centiva/5 Plus without opening the system’s cabinet. Repair will require
opening the system’s cabinet. Calibration of the following parameters requires
opening the system’s cabinet:
• Inspiratory O2 flow
• Inspiratory AIR flow
• Expiratory flow
• Airway pressure
• Battery charging voltage
WARNING After the Centiva/5 Plus has been serviced, you must perform “Post
Service Checkout” to verify the system is properly functioning before
the system can be returned to clinical use.
WARNING Do not perform testing or maintenance on this instrument while it is

being used to ventilate a patient, possible injury may result.
Special notice Some information in this manual can possibly point the reader to electronic
troubleshooting and component repair/replacement level of service. This
information, when supplied, is only supplied to add clarity to service or
troubleshooting statements. Datex-Ohmeda Service Personnel are mandated by
Company Policy to service electronic equipment to a board replacement level only.
• Read completely through each step in every procedure before starting the
procedure; any exceptions can result in a failure to properly and safely
complete the attempted procedure.
• Unless otherwise specified, values in this manual are nominal.
• Sections in this manual begin on odd numbered or right-hand pages. If
there is no text on the preceding, backup even numbered page, it is labeled
“Notes” for your use if you wish.
• Figures that require more than one page have the title and main text on the
left (even numbered) page. Additional figure information is on the facing
(odd numbered) page.
The Centiva/5 Plus CC ventilator may be used together with additional accessories,
such as trolleys, compressors etc. These accessories come with a separate service
manual. Use this manual together with the manuals for additional accessories.

1 Introduction
1.3 Symbols used in this manual or on the equipment
Warnings and Cautions tell you about dangerous conditions that can
occur if you do not follow all instructions in this manual.
WARNING Warnings indicate a condition that can cause injury to the operator or the patient.
CAUTION Cautions indicate a condition that can cause damage to the equipment. Read and
follow all warnings and cautions.
Alarm silence touch key
Menu touch key
Normal screen touch key

Normal
screen
Left turn ComWheel to decrease value
Right turn ComWheel to increase value
Rotate ComWheel to change value
Push ComWheel to confirm selection (ENTER)
AC line supply active
+ -
DC supply active
Battery: 23 min. Internal battery supply active
Nebulizer active
Blue frame selection

1 Introduction
On (power)
Off (power)
Earth ground
Protective earth ground
Equipotential
Type B equipment
Input (Expiratory port)
Output (Inspiratory port)
Nebulizer gas supply
10101 Serial data transfer connection
This symbol indicates that the waste of electrical and electronic equipment must
not be disposed as unsorted municipal waste and must be collected separately.
Please contact an authorized representative of the manufacturer for information
concerning the decommissioning of your equipment.
Systems with this mark comply with the European Council Directive (93/42/EEC)
for Medical Devices when they are used as specified in their Operation and
Maintenance Manuals. The “xxxx” is the certification number of the Notified Body
xxxx used by the manufacturer’s Quality Systems.
Attention, refer to product instructions, EN/IEC 60601-1

1 Introduction
1.4 Abbreviation used in this manual or on the equipment
Vent. mode Ventilation mode

VCV Volume constant controlled Ventilation
a-VCV Assisted Volume controlled Ventilation
SIMV - VC Synchronized Intermittent Controlled Ventilation- volume constant
Bi-Level Bi Level pressure controlled ventilation
Bi-Level VG Bi Level pressure controlled, volume guarantee ventilation (optional)
PSV Pressure Support Ventilation
CPAP Continuous positive airway pressure
CPAP/PSV CPAP with apnea Bi-Level back up ventilation
APD Automatic patient detection

ARC Airway resistance compensation
ASR Automatic suction routine
NEB Nebulizer
NIV Non Invasive Ventilation
OCV Online oxygen calibration during ventilation
Endot.tube Endotracheal tube
Trach.tube Tracheal tube
NB Newborn extension (optional)
Newborn Newborn (optional)
Pmax Safety pressure, setting

Plimit Pressure limit, setting
Pinsp Inspiratory pressure, setting
PS Pressure Support pressure, setting
PEEP Positive End Expiratory Pressure, setting
Ppeak Highest airway pressure, measured within last breath, measured
Pplat Plateau pressure, measured
Pmean Mean airway pressure, measured
Pmin Lowest airway pressure, measured within last breath
Ppeep Positive End Expiratory Pressure, measured
PEEP i Intrinsic positive End Expiratory Pressure, measured
Paw Airway pressure in general
Rate Total number of breaths per minute, measured and setting

Ratesp Number of spontaneous breaths per minute, measured
I:E Inspiratory to Expiratory time ratio, setting
Ramp Ramp time between lower and upper Bi-level, setting
PS ramp Ramp time between PEEP level and PS pressure level, setting
Time window Trigger time window, setting
T-Insp Inspiration time, setting
I Inspiration time, calculated
E Expiration time, calculated
P Inspiratory pause time in % of inspiration time, calculated
t Time in general

1 Introduction
R Resistance of breathing system plus patient, measured

C Compliance of breathing system plus patient, measured
Vt Tidal volume, setting

TV Tidal volume, measured
MV Total minute volume, measured
MVsp Spontaneous minute volume, measured
MVsp % Percentage of spontaneous minute volume in total minute volume, calculated
I-Flow Inspiratory flow, setting
Trigg. Trigger flow required to trigger an assisted breath, setting
Byflow Bias flow, setting
PS endflow End-of-flow criteria for PS pressure support, setting
Flow Flow in general
Fi-O2 Inspiratory O2 concentration, setting

O2-I Inspiratory O2 concentration, measured
I On (power), line supply

O Off (power), line supply
or AC Alternating current
or DC Direct current
Ref Stock number

SN Serial number
Rev. x.nn.p Software revision number, nn = version, p = patch
O2 40 … 80 PSI O2 gas supply input with a pressure range of 40 … 80 PSI

AIR 40 … 80 PSI AIR gas supply input with a pressure range of 40 … 80 PSI
24V/3A DC DC supply input with a voltage of 24 V and a maximum current of 3 A

Serial Port Connection for serial data transfer

1 Introduction
Notes

2 Theory of operation
In this section 2.1 General description 2-2

2.2 Centiva/5 Plus CC ventilator features 2-3
2.2.1 Safety features 2-3
2.3 Centiva/5 Plus CC ventilator main assemblies 2-4
2.4 Electrical components 2-5
2.5 Pneumatic components 2-12

2.1 General description
The Centiva/5 Plus CC ventilator is a microprocessor based, electronically

controlled, pneumatically driven ventilator with built-in monitoring capabilities for
• Inspired oxygen concentration
• Airway pressure
• Airway flow
• Exhaled volume.
The ventilator is intended to be used:

• To ventilate patients, adults and children with 5 kg body weight and up
• To ventilate newborn patients with 2 kg body weight and up (optional)
• In intensive care, recovery room, intra clinical patient relocation, general
ventilation
The ventilator compensates for

• System compliance
• Inspiratory and expiratory resistance
• Leakage
The ventilator allows

• Invasive ventilation
• Non-invasive ventilation
• Nebulizer operation
The ventilator is capable of the following ventilation modes

(English name) (Language specific name)
• VCV, (a-VCV) VCV, CMV
• SIMV-VC SIMV/ASB, VACI/AI
• Bi-Level VG  Bi-Level VG  (optinal)
• Bi-Level Bi-Level/ASB
• CPAP/PSV CPAP/AI, CPAP/ASB

2.2 Centiva/5 Plus CC ventilator features
• On-board diagnostic software to ease servicing.

• Ventilator hardware is tested during the initial power-up system test.
• PEEP is generated electronically
• An exhalation valve modulates the patient’s pressure pattern.
• The exhalation valve assembly is electronically locked and can be
autoclaved.
• Double stage inspiration valves per gas modulate the patient’s flow pattern.
• Sensors in the breathing circuit are used to control and monitor patient
ventilation and measure inspired oxygen concentration.
• User settings and microprocessor calculations control breathing patterns.
• Main engine RS 232 serial digital communication port connects to and
communicates with external devices, using the Ohmeda Com 1.0 protocol.
• Front panel RS 232 serial digital communication port connects to and
communicates with external devices, such as:
• PC or Laptop for downloading trend and event data
• Additional hardware components for future options
• Configuration screen to customize Centiva/5 Plus to customer needs
• Multilanguage onboard software
• Touch screen capability
• Optionalization by serialized codes
2.2.1 Safety features • Dual redundant airway overpressure protection

• Electronically controlled (active) overpressure protection linked to P max.
• Passive overpressure relief valve, set at fixed value (75 mbar)
• Sub atmospheric pressure relief valve (free breathing valve)
• Single gas operation capability
• Back-up battery supply for minimum 30 minutes operation

2.3 Centiva/5 Plus CC ventilator main assemblies

The Centiva/5 Plus CC ventilator has three (3) user accessible main assemblies
• The main engine

• The control panel
• The expiration valve
The user can separate these three assemblies without using any tools.
Main engine
Control panel
Expiration valve
Standard Newborn

2.4 Electrical components
The Centiva/5 Plus electrical components are described in the following in order of
- Power supply
- Main engine
- Control panel.
On the next page an overview diagram shows all electrical components in one
diagram.
Most of the components are located on the two main boards

- Main board A (control panel)
- Main board B (main engine)
The following components are not located on the main boards
- EC 01, EC 02, EC 03, EC 04, EC 05, EB S10, EB S15 are located
within the mains engine’s cabinet
- EB S20 is located within the inspiratory connection
- EB M00, EB M03, EB M04, EB M08, EB M09, are located within the
pneumatic assembly
- EB M20, EB M21, EB M22 are located within the nebulizer add on of
the pneumatic assembly
- EA S05, EA S10, EA S11, EA S12, EA S13 are located within the
control panel’s cabinet.
- EA S15, EA S16, EA S20 are located within the front panel of the
control panel.


AC line supply Line supply gets via line inlet and fuse SI 0 (EC 01) to the integrated line main
switch (EC 02) from there to the transformer (EC 03). The transformer is designed to
be switched between 115 V and 230 V line voltages. For details see section 4.
“Change the line voltage”.
From the secondary side of the transformer the supply voltage gets to the
secondary transformer fuses (SI21/22) and from there to the base supply (EB P14)
via a relay switch (EB P01) that is controlled by the power management of micro B.
DC mains supply The 24 V DC main supply gets via external DC inlet (EC 04) to the DC line fuses (SI
23) and from there to the base supply (EB P14) via a relay switch (EB P02),
controlled by the power management of micro B.
Back up battery supply The internal battery supply (EC 05) gets via the battery fuse (SI 24) to the base
supply (EB P14) via a relay switch (EB P03), controlled by the power management
of micro B. To enable the recharging of the battery when necessary a charger (EB
P05) via a fuse (SI 25) feeds the battery, when the FET switch (EB P04) disconnects
the internal battery from the base supply (EB P14). This way the battery can be
charged by both main supplies, but only when the power management of micro B is
active. A deep discharge control (EB P06) cares for the internals battery life by
prohibiting deep discharging.
Power management Voltage sensors deliver information to the micro B about the current line voltage
(EB P11), the current external DC voltage (EB P12) and the internal battery voltage
(EB P13).
With the ON/OFF button (EB P00) signal micro B turns system on or off.
The micro B manages the three power sources. Line supply and DC main supply are
treated as priority mains supply. A ventilation mode can only be started, if one of
these two supplies is available.
When one of these supply lines is active micro B checks charging status of the
internal battery and recharges if necessary. If the main supply line fails the system
turns to supply via internal battery reduces power consumption by turning off the
expiratory valve heater and reducing the screen’s back light brightness.
Power supply priorities The priority in power supply is defined as

- # 1, AC line supply
- # 2, DC main supply
- # 3, back up battery supply

On board power supply micro B The main board B creates three bus supplies by a +13 V bus (EB P07) via a bus
fuse (SI 26), a +15V bus (EB P08) via a bus fuse (SI 27) and a +5 V bus (EB P09)
via a bus fuse (SI 28). For analog OP Amps a symmetrical +- 12 V supply is created
by EB P08.
The alarm system (EB S15), the fan (EB S10) and the control panel are supplied by
an OR from both +13V and +15V supply lines.
The watchdog (EB S02) controls the +13V (EBP30) and +15V (EBP31) power
supply of the safety functions of valve supply etc. In case of a detected malfunction
of one or both of the microprocessors the watchdog is able to move the system into
a fail-safe status by turning off the bus supplies.
Input micro B The following control sensors talk to the micro B.

- EB P11, EB P12, EBP13
- EB M00, EB P00, EB P10
- EB S11, EB S16, EB S20
- EB E11, EB E12
- EB M01, EB M06, EB E01, EB M11
- Data input from micro A is received via the internal serial port (EB S01, EB
S03
Output micro B Micro B talks to the following actors

- EB M02, EB M07, EB E02, EB M12, EB S25
- EB M03, EB M08, EB E03, EB E05
- EB M20, EB M21, EB M22
- Data output to micro A is made via the internal serial port (EB S01, EB
S03, EB S04)
- Data output to a serial communication ports is made via galvanic isolators
EB S30, EB P25 und SI 29.
- Data output to a nurse call system port is made via galvanic isolators EB
S35.
- Data output to the watchdog EB204.
Safety Micro B talks to the watchdog system (EB S02 on PC board B, enabling micro A to
react in case of a malfunction of micro B and to allow the watchdog to shut down
the system. The watchdog has access to the audible alarm too.

On board power supply micro A The control panel supply voltage with +13V/15V is delivered from the main engine
to the panel supply fuse (SI 1), the inverter supply fuse (SI 2) and the alarm supply
fuse (SI 4).
From SI 1 the +13V/15V (EA P08) is supplied to the +5V supply (EA P01), the 5.0V
reference (EA P03) and the alarm LED’s (EA S20). Beyond the fuse SI 3, the 5 V bus
EA P02 is distributed to the micro A (EA S00), the DCU Graphics board (EA S12),
the VGA display (EA S13), the buttons (EA S15) and the Com wheel (EA S16).
From SI 2 the +13V/15V is supplied to the back light inverter (EA S11), that
supplies the Display back lights (EA S10).
From SI 4 the +13V/15V is supplied to the alarm horn system (EA S05).
Input The interface components ComWheel (EA S16) and buttons (EA S15) talk to micro
A directly. Data input from micro B is received via the internal serial port (EA S01).
The alarm horn control (EA S06) talks to micro A.
Output Micro A controls output signals to the alarm LED’s (EA S20), the audible alarm (EA
S05) the back light inverter (EA S11) and the VGA display via the graphic DCU
board (EA S12). Data output to micro B is made via the internal serial port (EA
S01).
Safety Micro A talks to the watchdog system (EA S02) on PC board B, enabling micro B to
react in case of a malfunction of micro A. The watchdog has access to the audible
alarm too.
Microprocessor A The micro A handles all data to display in the screen, as well as audible and visual
alarm indicators within the control panel. The A EPROM is loaded with the language
specific issues. The A EEPROM allows storing a “shadow” data set. Disconnection
of the control panel during operation will cause the watchdog system to activate
and micro B to shut down the system.
Graphic display Graphic display of data in the VGA screen (EA 9) is performed via a DCU graphic
board (EA 8).

Exp. valve heater To prevent the expiratory flow sensor from condensing water the expiratory valve
assembly is heated by the Exp. valve heater (EB E10), supplied by the base supply
via the fuse SI 41. The temperature is controlled by micro B and the heater monitor
(EB E12).
AIR flow A pressure sensor for AIR supply (EB M04) tells the micro B about the pressure
status of the AIR gas supply. Micro B generates AIR flow by opening the
proportional, double staged AIR flow valve (EB M03). The AIR flow sensor (EB M01)
measures the generated AIR flow and reports this to micro B. To prevent the AIR
flow pressure sensor from drifting, the pressure sensor is periodically zeroed
(pneumatically) by use of an offset valve (EB M02).
O2 flow A pressure sensor for O2 supply (EB M09) tells the micro B about the pressure
status of the O2 gas supply. Micro B generates O2 flow by opening the
proportional, double staged O2 flow valve (EB M08). The O2 flow sensor (EB M06)
measures the generated O2 flow and reports this to micro B. To prevent the O2 flow
pressure sensor from drifting, the pressure sensor is periodically zeroed
(pneumatically) by use of an offset valve (EB M07).
Exp. Valve (PEEP) The expiratory valve is a magnetic proportional valve system (EB E03) that is
controlled by micro B. Built in the expiratory assembly the expiratory flow sensor
(EB E01) measures the expiratory flow via a stainless steel flow screen and a
pressure sensor. To prevent the exp. flow pressure sensor from drifting, the pressure
sensor is periodically zeroed (pneumatically) by use of an offset valve (EB E02).
P airway The airway pressure is measured by the airway pressure sensor (EB M11). To
prevent the airway pressure sensor from drifting, the pressure sensor is periodically
zeroed (pneumatically) by use of an offset valve (EB M12).
O2 sensor A fuel cell type O2 sensor (EB S20) measures the inspiratory O2 concentration and
reports to micro B. Calibration is semi automatic.
Over pressure relief valve A solenoid valve operates as an over pressure relief valve (EB S25) controlled by
micro B.

Exp. valve locking motor system The expiration valve locking motor system (EB E05) is controlled by micro B in
current limiting and movement direction.
Nebulizer valves The micro B controls the nebulizer valves (EB M20, EB M21 and EB M22) in gas
selection between O2 and Air and duration of opening.
Watchdog The watchdog (EB S02) controls both microprocessors A and B and turns off the +
15V WD and +13 V WD supply line, in case of detected malfunction of program or
micros. Thus the system is able to shut down in a fail-safe mode.
Fan To avoid possible O2 concentration increase within the housing, caused by leaks, a
fan (EB S10) is exchanging the gas within the housing. The fan supply is fused by
SI11. The fan’s proper operation is monitored by a rotation monitor (EB S11) that
reports to the micro B.
Microprocessor B The micro B handles all controls and sensors, as well as the audible alarm indicator
within the main engine and the serial port communication. The B EPROM is loaded
with the control software. The B EEPROM allows storing a “shadow” data set.
A and B EEPROM Both micros store data, such as calibration and “learned” values into the according
EEPROM in a “father” and “grandfather” sequence. For safety reasons this
sequence is doubled, which results in total in four data store sequences. That is
why successfully performing five (5) system test is necessary for rewriting of all
storage levels after replacing PC board A or B.

2.5 Pneumatic components

The Centiva/5 Plus’s pneumatic components are described in the following.
On the next page an overview diagram shows all pneumatic components in one
diagram.
Most of the components are located on the pneumatic assembly.
The following components are not located on the pneumatic assembly

- EB M01, EB M06, EB M11, EB E01, P05, P15, P22, P28 are located
within the PC board B
- EB 20, P23 are located within the inspiratory connector
- P26, P27, P29 are located within the expiratory valve system


Gas supply The gas supply connectors for O2 (P 01) and AIR (P 11) are screw connectors that
can be localized to country specific needs (NIST; DISS etc.). Within the gas
connectors there are easy to remove sinter filters for each gas, to protect the
system from particles.
Pressure reducer Pressure reducers for O2 (P 31) and AIR (P 32) regulate the input pressure to a
stabilized level of approx. 2.8 bar (39,5 PSI).
Pressure sensor Pressure sensors for O2 (P 02) and AIR (P 12) monitor the gas pressure input to be
above a minimum operating pressure of 1.9 bar (27 PSI).
O2 flow control Two proportional flow valves control the O2 flow, operating as double staged
valves. The first stage valve (P 03) controls the flow between 0 and approx. 43
l/min. Flow demands beyond this level will cause the second stage valve (P 04) to
open. A flow screen (P 06) generates a differential pressure from the generated
flow, which is measured by the O2 flow pressure sensor (EB M06). The offset valve
(P 05) allows zeroing the pressure sensor (pneumatically) for online offset
calibration.
AIR flow control Two proportional flow valves control the AIR flow, operating as double staged
valves. The first stage valve (P 13) controls the flow between 0 and approx. 43
l/min. Flow demands beyond this level will cause the second stage valve (P 14) to
open. A flow screen (P 16) generates a differential pressure from the generated
flow, which is measured by the O2 flow pressure sensor (EB M01). The offset valve
(P 15) allows zeroing the pressure sensor (pneumatically) for online offset
calibration.
Airway pressure The airway pressure within the breathing system is measured by the airway
pressure sensor (EB M11). The offset valve (P 22) allows zeroing the pressure
sensor (pneumatically) for online offset calibration.

Free breathing valve To avoid sub atmospheric pressure a free breathing valve (P 19) allows ambient air
intake in case of a gas supply problem.
Overpressure relief valves To avoid airway pressures beyond a level of 75 mbar (cmH2O) a passive over
pressure relief valve (P 20) is provided. To avoid airway pressures beyond an
adjustable level, set by the Pmax setting, an active over pressure relief valve (P 21)
is provided.
O2 sensor The inspiratory O2 sensor (EB S20) is located within the inspiratory port.
Patient connection The breathing circuit (P 24) connects the machine via the inspiratory port (P 23)
and the expiratory port (P 26) to the patient.
Expiratory valve The airway pressure within the system is controlled by the expiration pressure valve
(P 27).
Expiratory flow A flow screen (P 29) is built into the expiratory valve assembly and generates a
differential pressure from the generated flow, which is measured by the Exp. flow
pressure sensor (EB E01. The offset valve (P 28) allows zeroing the pressure sensor
(pneumatically) for online offset calibration. The second port of the differential
pressure is ambient.

Notes

3 Post-service Checkout
In this section 3.1 Post-service checkout 3-2
TRM, Centiva/5 Plus, M1047448 CM-922026, rev. 3.50.a of 11/05 3-1

3 Post service check out
3.1 Post-service checkout
After servicing the Centiva/5 Plus CC ventilator, perform the following test sequence:
• Power-up test (section 4.1.1)

• O2 sensor calibration (section 4.7.1)
• System test (section 4.1.2)
• Test lung test (section 4.2)
WARNING You must perform all post-service checks after maintenance or service
of the Centiva/5 Plus CC Ventilator. Failure to do so may result in patient
injury.
WARNING All components and accessories must be connected correctly. All

hoses and cables must be properly connected before returning the
ventilator to clinical use. Failure to do so may result in patient injury.
After servicing the Centiva/5 Plus CC ventilator, perform a device safety check and
record the results in a protocol. A proposal for a Centiva /5 device safety check
protocol is attached on the following page.

Centiva/5 Plus Device Safety Testing Protocol

Maintenance check every 12 months Product description: CC Ventilator
Organisation: S/N: 190
SW: HW:
Location: OPT:
Specs not fulfilled Test impossible / Test not necessary
ID/INV.-No.: Specs fulfilled Remarks/ measured values
1 Outside appearance
1.1 Housing, marking and buttons without damage
1.2 Power cord and appliance inlet without damage
1.3 O2 and Air hoses without damage
1.4 Expiration valve assembly without damage, flow screen clean
1.5 Accessories, rubber and silicone parts without damage
2 Functional tests (for details refer to the current TRM)
2.1 Power up and System test shall be performed without error message
2.2 Perform O2-Sensor calibration
2.3 Service mode values are within the specified ranges
2.4 Perform Service mode check according to TRM
2.5 Perform test lung test according to TRM
2.6 Verify measured O2- (O2-I)
2.7 Verify gas failure alarm for O2 and Air
2.8 Verify line power failure alarm and proper function of back up supply
2.9 Verify battery condition according to TRM
3 Test of electrical safety
3.1 Protective earth resistance < 0.2 Ω Value:
3.2 Enclosure leakage current < 0.1 mA Value:
3.3 Earth leakage current < 0.5 mA Value:
3.4 Insulation resistance >2MΩ Value:
3.5 Verify line power supply fuse to match with selected voltage
Remarks: Recharge back up battery after test !!
Device meets requirements
Test equipment used: Ser. No.: Repair required

Test facility:
Date: Tester:

Notes

4 Tests and Calibration
In this section 4.1 Self tests 4-2

4.1.1 Power-up test 4-2
4.1.2 System test 4-3
4.1.3 In-operation test 4-6
4.2 Test lung test 4-7
4.3 Service mode 4-10
4.4 Service mode check 4-13
4.5 Software and hardware revision 4-14
4.6 Ventilator “on-time” 4-15
4.7 Calibrations 4-16
4.7.1 O2 sensor calibration 4-17
4.7.2 Location of calibration points 4-19
4.7.3 AIR flow calibration 4-20
4.7.4 O2 flow calibration 4-22
4.7.5 Expiratory flow sensor calibration 4-24
4.7.6 Airway pressure sensor calibration 4-28
4.7.7 Overpressure relief valve calibration 4-30
4.7.8 Battery charging voltage calibration 4-31
4.8 Battery test 4-32
4.9 Diagnostic test 4-34
TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.50.a of 11/05 4-1

4 Test and calibration
4.1 Self tests
The Centiva/5 Plus CC ventilator software includes self tests that determine if the
operating software is functioning properly and if the electronic and pneumatic
circuits are functional.
The self test includes:

• Power-up test
• System test
• In-operation test
4.1.1 Power-up test The power-up test is started automatically when the system is turned ON and takes
at least 5 secs. The remaining test time counts down in the screen. During this
power-up test, Centiva/5 Plus will check proper function of
• Microprocessor A and B
• Watchdog
• RAM and ROM Centiva/5 + Bi-Level VG
Newborn
Trend
• Matching SW 3.nn.p HW 0/r
software System test

versions in Test active, wait for 4 secs.
EPROM A and
B
• External power
supply, AC and
DC (if
applicable)
• Internal battery
back-up
• Fan
• Heater
• Expiration valve locking system
• Audible alarm system
• Back up battery capacity
If a malfunction is
identified during this Centiva/5 + Bi-Level VG
Newborn
power up test, the SW 3.nn.p HW o/r
Trend
corresponding message
System test # 02_1
appears in the screen,
including the according No line supply
failure code. For details Check line power cord and fuse Unlock
of error messages refer

exp. valve
to section 5.3.1
“Messages during
power up test”.
Enter

4.1.2 System test After having passed the

power-up test, the Centiva/5 + Bi-Level VG
Newborn
09:36:53
2005-03-21
Centiva/5 Plus SW 3.nn.p HW 0/r
Trend
Bypass
ventilator prompts with a System test system test
short audible sound and Complete system set up, seal y-piece Unlock
moves to the “Start exp. valve
system test” screen: Calibrate
O2 sensor
Connect the Centiva/5

Align
touch screen
Plus ventilator to a Retain
Body weigth 55 kg
breathing circuit and trend data
seal the open end of the Adult Pediatric Newborn Enter

y-piece by pushing it
onto the sealer located on the expiratory valve block. Select the type of patient,
appropriate to the breathing circuit attached.
Note The system test parameter will vary with the patient type selected to match the
breathing circuit’s specifications.
Push the ComWheel to start the system test. This system test takes at least 40
secs. The remaining test time counts down in the screen.
During the system test, the system will check proper function of:
• O2 gas supply
• O2 flow valves
Centiva/5 + Bi-Level Newborn
VG
• O2 flow sensor SW 3.nn.p HW 0/r

Trend
• AIR gas supply System test

• AIR flow valves Test active, wait for 40 secs.
• AIR flow sensor

• Nebulizer gas
supply
• Pressure
sensors
• Expiration valve Adult
• Safety valves
• Exp. flow sensor
• O2 sensor
• Back up battery capacity

If a malfunction is
identified during this Centiva/5 + Bi-Level VG
Newborn
system test, the SW 3.nn.p HW o/r
Trend
corresponding message
System test # 24_1
appears in the screen,
including the according Exp. flow sensor value too high with AIR flow
failure code. For details Check oxygen sensor calibration

of error messages refer
Check expiration valve for resistance
Ensure valve matches selected patient type
to section 5.3.2 Repeat test by pressing <Enter>
“Messages during
system test”.
Enter
After having passed the

system test, the system Centiva/5 + Bi-Level VG
Newborn
prompts the user to SW 3.nn.p HW 0/r
Trend
open the y-piece, to System test

allow testing for
Open y- piece
inspiratory resistance.
Disconnect the y-piece
from the sealer. The
system will recognize
opening the y- piece
automatically and then
proceeds with the test. Adult
After calculating the

inspiratory resistance, Centiva/5 + Bi-Level VG
Newborn
the Centiva/5 Plus CC

Trend
SW 3.nn.p HW 0/r
ventilator will display the System test
measured data in the
screen.
System test OK. To start ventilation <Enter>
Compliance 2.3 ml/cmH2O

Resistance 0.8 cmH2O/L/s
Leakage 60 ml/min
Nebulizer flow 7.3 L/min
Adult

Special note To interpret deviation of measured data be aware, that:

• Values for compliance, resistance and leakage depend upon the
breathing circuit used.
• The compliance and leakage values represent the entire system
(breathing circuit, nebulizer (if applicable) and ventilator).
• The resistance value represents the inspiratory resistance of breathing
circuit and ventilator up to the y-piece.
• Filters and HME may significantly increase the resistance values.
• Other breathing circuit designs, such as co-axial systems, may
significantly increase the resistance values.
The nebulizer test is always performed, but the system detects automatically, if a
nebulizer is connected to the breathing circuit.
• If yes, the particular nebulizer flow of this type of jet nebulizer is measured,
displayed and stored within the EEPROM.
• If no, the nebulizer flow test is bypassed and the last measured flow data
(stored in the EEPROM) is used for compensation, if the user activates the
nebulizer function later.
Because of this measurement capability Centiva/5 Plus is able to learn the
particular jet nebulizer type, used by this user or hospital.

4.1.3 In-operation test During operation the Centiva/5 Plus CC ventilator continuously checks the
following safety relevant functions and parameters:
• Inspiratory flow sensors
• Expiratory flow sensor
• Inspiratory pressure sensor
• O2 sensor
• AIR gas supply
• O2 gas supply
• Line power supply
• Battery charging status
• Internal power supply
• Fan
• Heater
• Buttons and ComWheel
• Microprocessor A and B
• Watchdog
• Checksums of all safety relevant data
If a malfunction is identified, the system will display alarms or messages on the

screen. For details of error messages refer to section 5.3.4 “Messages during
operation”.

4.2 Test lung test
The Test lung test is used to verify the overall functionality of the ventilator and to
observe the results of the continuous in-operation tests. The power-up test and the
system test of the Centiva/5 Plus CC ventilator verify all safety relevant functions.
Perform the power-up test and the system test with a standard disposable
breathing circuit with:
• 22 mm corrugated dual lumen tube
• 70” length
At the end of the system test

1. Connect the test lung ( ST 3) to the y-piece.
2. Select patient type “Adult”.
3. Push the ComWheel or the <Enter> button to start ventilation.
The following screen will appear with the “Adult” default settings:
Bi-Level Adult
MV-E 12.5
15
2.5
3.5 L
10
M S
Insp.
5 Vt-E hold
Paw
cmH2O 2 4 6 8 10 12 14 16 18 20
350 mL
Ppeak 21 Exp.
40
20
14cmH2O hold
Flow
L/Min 2 4 6 8 10 12 14 16 18 20 Pmin
-20 3cmH2O Manual
breath
-40
O2-I 55
Ppeak 14 cmH2O PPEEP 3 cmH2O MV sp 0.0 L
45
50 % ASR
Pplat 14 cmH2O PPEEPi -.- cmH2O Rate sp 0 /Min Rate 40
Pmean 11 cmH2O R 7 cmH2O/L/s
Pmin 3 cmH2O C 34 ml/cmH2O 8
10 1/min
--
Fi02 Rate I:E Ramp P-Insp PEEP PS Trig. Normal
50 10 1:2.0 0.2 10 3 5 6.0 screen
% 1/Min sec cmH2O cmH2O cmH2O L/Min
Test lung graphics The graphical data will vary with the breathing circuit and test lung used. Verify that
the quality of the graphics is comparable to that shown on the screen above:

Default ventilator settings Verify the following ventilator settings:

• Ventilation mode = Bi-Level
• Patient type = Adult
• Soft key FiO2 = 50 %
• Soft key Rate = 10 /min
• Soft key I:E = 1 : 2
• Soft key Ramp = 0.2 s
• Soft key P-Insp. = 10 cm H2O
• Soft key PEEP = 3 cm H2O
• Soft key PS = 5 cm H2O
• Soft key Trigg. = 6.0 L/min
• Parameter menu PS Ramp = 0.2 s
• Parameter menu ByFlow = 3.0 L/m
• Parameter menu Time window = 60%
• Parameter menu PS endflow = 25%
• Parameter menu Buzzer = 100%
• Parameter menu Brightness = 100%
Default alarm settings Verify the following alarm settings (red figures) :
• Alarm limits MV E max = 12.0 L
• Alarm limits MV E min = 2.5 L
• Alarm limits Leakage = 25 %
• Alarm limits Pmax =23 cm H2O
• Alarm limits Apn.del. = 20 Sec
• Alarm limits Rate max = 40/Min
• Alarm limits Rate min = 8/Min
• Patient data O2-I max = 55 %
• Patient data O2-I min = 45 %
Test lung alarm Using the default ventilator and alarm settings will automatically cause an MV min
alarm. Thus, the visual and audible alarm system will be checked.

Test lung numeric data The measured data will vary with the breathing circuit and test lung used. Verify the
data to be in the following range of values:
• MV E = 1.5 to 2.5 L
• TV E = 130 to 230 mL
• Ppeak = 12 to 15 cmH2O
• Pmin = 2 to 5 cmH2Or
• O2-I = 45 – 55 %
• Rate = 9 – 11 /Min
Test lung test mode change To verify proper mode changing and volume accuracy:
1. Note the measured tidal volume (TV) in Bi Level mode.
2. Change the ventilation mode to VCV.
3. Verify the noted tidal volume (TV) to be the set VT in VCV.
4. Allow the ventilator to cycle for five (5) breaths to stabilize.
5. Verify that the quality of the graphics is comparable to that shown on the
screen below.
6. Verify that averaged measured tidal volume (TV) is within the tolerance:
TV = VT ± (15 ml + 10%) .
Note This software revision has BTPS correction. Using a test lunge will cause a constant
deviation of the measured volume of –2 %. To ease servicing this BTPS correction is
not active when in service mode.

4.3 Service mode

The Service Mode is used to test or troubleshoot the major components of the
Centiva/5 Plus CC ventilator.
For safety reasons the service mode is not accessible during the regular operation
mode. The service mode is only accessible during and at the end of the power-up
test or the system test.
For legal reasons the service mode is not accessible on a user level. Only trained
service technicians shall have access to the service mode.
To enter the service mode push the following sequence of buttons within a time
frame of 1 second:
1. ”Adult” left side
2. “Adult” right side
3. “ComWheel”.
Newborn
Trend
09:36:53
2005-03-21
SW 3.00.1 HW 11.0
Bypass
system test
System test
exp. valve
Calibrate
O2 sensor
Align
The system willsilver

display
exp. the following screen:
touch screen
Ensure valve is in place
Retain
Body weight 55 kg trend data
1 2 3

The system will prompt with the following service screen:
Pushing the “EXIT” button returns the system to normal operation.
Note Software revision 3.nn.p has BTPS correction. To ease servicing this BTPS
correction is not active when in service mode.
The service mode allows for verification of proper operation of the following
functions:
1. Pat. Pressure = airway pressure measurement
2. Exp. flow = expiratory flow measurement
a. Exp. Flow Adu = Silver exp. Valve detected at the last system test
b. Exp. Flow Nbo = Blue (NB) exp. Valve detected at the last system
test
3. Air flow = inspiratory AIR flow setting
a. Air flow ON = AIR supply pressure OK
b. Air flow OFF = Air supply pressure below 2.2 bar (32 PSI)
4. O2 flow = inspiratory O2 flow setting
a. O2 flow ON = O2 supply pressure OK
b. O2 flow OFF = O2 supply pressure below 2.2 bar (32 PSI)
5. O2 concentr. = inspiratory O2 concentration measurement.

The service mode allows for verification of the following internal values of the
system:
6. Line voltage = main bus supply voltage
a. Line voltage AC = AC line supply detected
b. Line voltage DC = DC line supply detected
7. Panel voltage = control panel supply voltage
8. Valve voltage = valve supply voltage
9. Battery voltage = internal back-up battery voltage
10. Controller A/B = microprocessor A/B supply voltage
11. Heater power = expiratory valve heater power dissipation
12. Temper. I/E = Inspiratory / expiratory temperature.
The service mode allows for verification of proper operation of the expiratory valve
locking mechanism.
13. Open = unlock the expiratory valve assembly
14. Close = lock the expiratory valve assembly
15. Drawer = detected status of locking mechanism
a. Drawer< - -> = exp. valve assembly removed
b. Drawer OK = exp. valve assembly position for lock in properly
detected
The service mode allows the following calibration to be initialized:

16. O2 cal = O2 sensor calibration.
The service mode displays the following elapsed times:

17. Power-on time = total time, device was supplied with mains supply.
18. Operation time = total time, device was in a ventilation mode.
The service mode displays the following PEEP valve data (Exp. valve):
19. G = gain value
20. GR = gain value corrected
21. O = offset value
22. OR = offset value corrected
23. K = correction factor

4.4 Service mode check

To identify possible malfunctions displayed as a result of the system test, the
following sequence should be used to verify proper gas supply and operation of the
inspiratory and expiratory valves.
1. Ensure proper O2, AIR and line supplies are connected before turning ON the
system.
2. Wait for the power-up test to complete, and then start the service mode
according to 4.3.
3. Check the actual sensor offset values for Pat. Pressure, Exp. flow, AIR flow and
O2 flow to be in the “no re-adjustment necessary” range according to section
9.9 “Sensor data ranges”.
4. Connect the inspiratory and expiratory ports with one tube.
5. Verify proper AIR supply pressure and proper function of the AIR pressure
switch by AIR flow “ON”.
6. Verify proper AIR flow function by selecting “AIR” and “x 10” and increasing the
flow by use of the ComWheel.
7. Use the ComWheel to verify that the AIR flow can be returned to zero.
8. Verify proper O2 supply pressure and proper function of the O2 pressure switch
by O2 flow “ON”.
9. Verify proper O2 flow function by selecting “O2 ” and “x 10” and increasing the
flow by use of the ComWheel.
10. Use the ComWheel to verify that the O2 flow can be returned to zero.
11. Verify proper expiratory flow function by comparing the data displayed with the
set O2 flow.
12. Select “AIR”, “x 1” and adjust the ComWheel for an AIR flow of 20 L/Min.
13. Verify proper Airway pressure function by selecting “Pressure” and increasing
the pressure setting by use of the ComWheel.
14. Verify proper O2 concentration while changing Air and O2 flows.

4.5 Software and hardware revision

The Centiva/5 Plus CC ventilator’s software is stored in two (2) independent
EPROM:
• The A EPROM is located on the control panel board (PC board A)
• The B EPROM is located on the main board (PC board B).
Note Both EPROM need to be at the same revision level. During the power-up test, the
system compares the software revisions in both EPROM. If they do not match, an
error message is displayed in the message box.
In normal operation mode during power-up and system test the current software
and hardware revision is displayed at the top left in the screen. See chapter 1.1.1.
In service mode the current software and hardware revision is displayed at the top
left of the service menu.
The software revision code “3.nn.p” identifies:

- 3. = Centiva/5 Plus
- nn. = current base software release
- p = current patch number of software release (bug fixing level)
The hardware revision code “o / r” identifies:

- o = front panel hardware revision
- r = main engine hardware revision.

4.6 Ventilator “on-time”
The Centiva/5 Plus CC ventilator’s software stores two “on times”.

• Power-on time
• Operation time.
The power-on time recognizes the total time that the system is connected to line
power supply AND is switched ON, no matter in what mode.
The operation time only counts the total time, the system is in a (any) ventilation
mode.
Both time information are displayed in the Service mode screen.

4.7 Calibrations
In the Centiva/5 Plus CC ventilator the following components may be calibrated

during service:
1. O2 concentration sensor
2. AIR flow sensor
3. O2 flow sensor
4. Expiratory flow sensor
5. Airway pressure sensor
6. Battery charging end voltage.
These procedures may be performed in any order. However, the procedures are
presented in a logical sequence to minimize the amount of disassembly and
reassembly required. This sequence also ensures best matching of inspiratory and
expiratory flow and volume data.
When performing the O2 calibration you do not need to open the system’s housing.
For all other calibrations open the main engine housing first, according to section
7.2.4.
Important note The expiratory flow sensor calibration is performed by the Centiva/5 Plus’s system
test every time, the system test is performed. That replaces the routine calibration
of the expiratory flow sensor.
Only in case of a B-Board change, requiring a basic calibration of the system or in
case of problems with the expiratory flow sensor data a re-calibration procedure is
necessary.
Important note Rated values may vary with software revisions.
Important note Always allow the Centiva/5 Plus to warm up for at least 15 minutes prior to any
calibration procedure.
BTPS correction note All software revisions have BTPS correction in operation mode. To ease servicing
this BTPS correction is not active when in service mode.

4.7.1 O2 sensor The Centiva/5 Plus CC ventilator performs an automatic calibration of the O2
calibration sensor during the O2 calibration routine. This routine requires an O2 gas supply.
The calibration routine performs the 100% (gain) calibration only.
Special notice To ensure proper gas mixture at the O2 sensor, connect a tube to the inspiratory
connector.
There are two ways to access the O2 calibration routine:

• In the user system test menu.
• In the service mode.
The calibration routines are identical.
Access in user system test Turn ON the

menu Centiva/5 Plus and Centiva/5 + Bi-Level VG
Newborn
09:36:53
2005-03-21
wait for the power-up SW 3.nn.p HW o/r
Trend
test to finish. The Bypass

system test
system test screen
System test
appears. exp. valve
Calibrate
O2 sensor
Align
touch screen
Retain
Body weigth 55 kg trend data
Select “Calibrate O2 sensor” and confirm the made selection by Calibrate

pressing the ComWheel. O2 sensor
Special notice Ensure that the UBD (use before date) of the O2 cell is at least 6 months.

Access in service mode When in service mode the O2 calibration is started by pushing the “O2cal” button.
O2 calibration procedure Do not connect a

breathing circuit to the Centiva/5 + Bi-Level VG
Newborn
inspiratory port of
Trend
SW 3.nn.p HW o/r
Centiva/5 Plus while Oxygen sensor calibration

performing this Oxygen Calibration time 43 secs
sensor calibration. The
O2-concentration 94 %
system prompts with the
following screen. The
calibration procedure
takes up to 60 secs. The
remaining test time counts
down on the screen. The Stop
system flows approx. 10

L/min in the inspiratory
line to stabilize the O2 Centiva/5 + Bi-Level Newborn
Trend
VG
sensor at 100% O2. The

SW 3.nn.p HW o/r
measured O2 Oxygen sensor calibration

concentration is displayed Calibration succesfully finished
on the screen. If problems
occur during calibration, a
message will be displayed
in the message box. For
details of error messages
refer to section 5.3.3
“Messages during O2
sensor calibration”. When calibration is successfully completed the system
prompts with a screen message and returns to the power-up test screen. The O2
sensors expected lifetime is > 12 months. The coming end of the lifetime is
indicated by more frequent required calibration procedures. The end of the O2
sensors life and a necessary replacement is indicated by a non-successful
calibration procedure.
Special notice After performing an O2 calibration, flush the system with AIR. This will avoid
possible misinterpretations of the FiO2 measurement, caused by high
concentrations of O2 within the internal tubes and pneumatic components.

4.7.2 Location of The calibration for

calibration points
1. AIR flow sensor (AIR
2. O2 flow sensor (O2)
3. Expiratory flow sensor (Exp.)
4. Battery changing end voltage (Ubat)
is performed with the main engine opened. The calibration adjustments are located
on PC board B. Removing the internal battery makes the calibration points easy to
reach.
The calibration points for the pressure/flow transducers are located right above the
corresponding pressure transducer and always with the offset to the left and the
gain to the right.
The calibration point for the charger voltage is located below the relays.
The calibration points are circled on the following drawing:

4.7.3 AIR flow The AIR flow calibration is divided into two parts
calibration
• The offset calibration
, • The gain calibration
The Offset calibration is performed with the use of the service mode only. The gain
calibration is performed by using an external flow measurement device.
Offset calibration To calibrate the AIR flow sensor follow this preparation sequence:
1. Ensure that the system is turned OFF and line power is disconnected.
2. Open main engine according to section 7.2.4.
3. Remove internal back-up battery according to section 7.9.1.
4. Re-insert exp. valve assembly.
5. Connect line power and gas supply and turn ON the system.
6. Verify that the system performs the power-up test.
7. Start the service mode according to section 4.3.
8. Use a 10” 22 mm tube to ACTUAL RATED
connect the external flow Pat.Pressure 0 mbar 0 mbar
measurement device to the Exp.flow
AIR flow ON
513 Digit
254 Digit
500 Digit
250 Digit
inspiratory connection. O2 flow ON 251 Digit 250 Digit
9. Verify that the direction of flow is correct for the measurement device.
10. Turn on the flow measurement device and let it warm up according to
manufacturers instructions
11. Select AIR for the measured gas on the
flow measurement device.
12. Select the “AIR” and “x 1” button.
13. Verify the flow to be 0 L/Min on the
external flow measurement device.
14. Check the “AIR flow” “Actual” to be at
the “Rated” value ± 50 digits.
15. If not, readjust the “Zero” for the AIR
flow sensor with R 316 on the main
board B to read “Rated” value ± 10
digits.

Continuation from previous page
16. Use the ComWheel to increase the AIR flow to read 30.0 L/min on the
“AIR flow” “Rated” The units in the service menu change from Digits to
L/Min.
17. Verify that the external flow meter device reads 30 ± 1.5L/Min.
18. If not readjust the “Gain” for the AIR flow sensor with R 313 on the main
board to read 30 ± 1.5 L/Min.
19. Use the ComWheel to decrease the AIR flow to read 0 L/min.
20. Check the “AIR flow” “Actual” to be at the “Rated” value ± 50 digits .
21. If not, readjust the “Zero” for the AIR flow sensor with R 316 on the main
board to read the “rated” value ± 10 digits.
“AIR flow” “Rated” The units in the service menu change from Digits to
L/Min”.
23. Verify that the external ACTUAL RATED
flow meter device reads Pat.Pressure 0 mbar 0 mbar
10 ± 0.5 L/Min. Exp.flow
AIR flow ON
513 Digit
350 Digit
500 Digit
10 L/Min
24. If not , go back to step O2 flow ON 251 Digit 250 Digit
16. Change setting for 30 l/min within the tolerance in the desired
direction to match the 10 ± 0.5 L/Min.
“AIR flow” “Rated”.
26. Verify that the external flow meter
device reads 60 ± 3.0 L/Min.
27. If not, go back to step 16. Change
setting for 30 l/min within the
tolerance in the desired direction
to match the 60 ± 3.0 L/Min.
28. If the AIR flow cannot be
calibrated within the three flow
specifications, check AIR gas
filter.
Note Best results for linearity match with all three test flows are received when initially
the “Gain” is adjusted at 30 l/min value of step 16. to read 29.8 L/min on the
external flow meter device.

4.7.4 O2 flow The O2 flow calibration is divided into two parts

calibration
• The gain calibration
Offset calibration The Offset calibration is performed with the use of the service mode only. The gain
calibration is performed by using an external flow measurement device.
To calibrate the O2 flow sensor follow this preparation sequence:
6. Verify that the system
performs the power-up test. ACTUAL RATED
Pat.Pressure 0 mbar 0 mbar
7. Start the service mode Exp.flow 513 Digit 500 Digit
AIR flow ON 254 Digit 250 Digit
according to section 4.3. O2 flow ON 251 Digit 250 Digit
8. Use a 10” 22 mm tube to

connect the external flow measurement device to the inspiratory
connection.
9. Verify that the direction of flow is correct for the measurement device.
10. Turn on the flow measurement device and let it warm up according to
manufacturers instructions.
11. Select O2 for the measured gas on
the flow measurement device.
12. Select the “O2” and “x 1” button.
external flow measurement device.
14. Check the “O2 flow” “Actual” to be
at the “Rated” value ± 50 digits.
15. If not, readjust the “Zero” for the O2
board B to read the “Rated” value ±
10 digits.

Gain correction 16. Use the ComWheel to increase the O2 flow to read 30.0 L/min on the “O2
flow” “Rated” The units in the service menu change from Digits to L/Min .
17. Verify that the external flow meter device reads 30 ± 1.5 L/Min.
18. If not, readjust the “Gain” for the O2 flow sensor with R 303 on the main
board to read 30 ± 1.5 L/Min.
19. Use the ComWheel to decrease the O2 flow to read 0 L/min.
20. Check the “O2 flow”
“Actual” to be at the ACTUAL RATED
Pat.Pressure 0 mbar 0 mbar
“Rated” value ± 50 digits. Exp.flow 513 Digit 500 Digit
AIR flow ON 254 Digit 250 Digit
21. If not, readjust the “Zero” O2 flow ON 351 Digit 10 L/Min
for the O2 flow sensor with
R 306 on the main board to read the “Rated” value ± 10 digits.
22. Use the ComWheel to increase the O2 flow to read 10.0 L/min on the “O2
flow” “Rated”.
23. Verify that the external flow meter device reads 10 ± 0.5 L/Min.
24. If not, go back to step 16. Change setting for 30 l/min within the tolerance
in the desired direction to match the 10 ± 0.5 L/Min.
25. Use the ComWheel to increase the O2 flow to read 60.0 L/min on the “O2
flow” “Rated”.
26. Verify that the external flow meter
device reads 60 ± 3.0 L/Min.
27. If not, go back to step 16. Change
setting for 30 l/min within the
tolerance in the desired direction to
match the 60± 3.0 L/Min.
28. If the O2 flow cannot be calibrated
within the three flow specifications,
check O2 gas filter.
Best results for linearity match with all three test flows are received when initially
Note the “Gain” is adjusted at 30 l/min value of step 16. to read 29.8 L/min on the
external flow meter device.

4.7.5 Expiratory flow The Expiratory flow sensor calibration is divided into two parts
sensor calibration
Offset correction The Offset calibration is performed with the use of the service mode only. The gain
calibration is performed by using the calibrated AIR flow system (refer to section
4.7.3.).
To calibrate the expiratory flow sensor follow this preparation sequence:
4. Re-insert exp. valve ACTUAL RATED
assembly. Pat.Pressure 0 mbar 0 mbar
Exp.flow 513 Digit 500 Digit
5. Connect line power and gas AIR flow ON 254 Digit 250 Digit
O2 flow ON 251 Digit
supply and turn ON the
250 Digit
system.
8. Use a 10” 22 mm tube to connect the
inspiratory and expiratory ports.
9. Select the “AIR” and “x 1” button.
“AIR flow” ” Actual” line.
11. Check the “Exp. flow” “Actual” to be at
12. If not, readjust the “Zero” for the Exp.
board to read the “Rated” value ± 10
digits.
Verify the AIR flow has been calibrated according to 4.7.3. before performing the
Note expiratory flow gain calibration.

Gain correction 13. Leave the expiration valve assembly

inserted in the Centiva/5 Plus. Unscrew
the flow screen retainer in the exp. valve
assembly For flow retainer with a visible
slot use the stainless steel plate of the
PEEP valve to unscrew. For other flow
retainer use the inspiration connection
nut from the tool kit ST4.
14. Carefully remove the flow screen and
store in a safe place to later return it back for regular operation. .
15. For calibration purpose insert the
“Service” Flow screen ST5 (zero
tolerance) and screw the flow retainer
again
16. Select the “Press” button and use the
ComWheel to increase the “Pat.
Pressure” “Rated “ to read to 10 mbar.
17. Select the “AIR” and “x1” button.
18. Use the ComWheel to ACTUAL RATED
increase the “AIR flow” Pat.Pressure 0 mbar 0 mbar
“Rated” to read 30 L/min. The Exp.flow
AIR flow ON
29,8 l/min
730 Digit
500 Digit
30 l/min
units in the service menu O2 flow ON 251 Digit 250 Digit
change from Digits to L/Min.

19. Check the “Exp. flow” “Actual” to read “Cal30” ± 0.5 L/Min.
20. If not, readjust the “Gain” for the exp. flow sensor with R 333 on the main
board to read “Cal30” ± 0.5 L/Min.
21. Use the ComWheel to decrease the
Exp. flow to read 0 L/min.
22. Check the “Exp. flow” “Actual” to be at
23. If not, readjust the “Zero” for the Exp.
board to read the “Rated” value ± 10
digits.
24. Use the ComWheel to increase the AIR
flow to read 10 L/min on the “AIR flow”
“rated” line.

26. If not, go back to step 18. Change setting for 30 l/min within the tolerance in
the desired direction to match the “Cal10” ± 0.5 L/Min.
27. Use the ComWheel to increase the AIR flow to read 60 L/min on the “AIR
flow” “Rated” line.
29. If not, go back to step 18. Change setting for 30 l/min within the tolerance in
the desired direction to match the “Cal60” ± 3.0 L/Min.
30. When all three values match, calibration is performed properly.
31. Now unscrew flow screen
retainer in the exp. valve
assembly. For flow retainer with
a visible slot use the stainless
steel plate of the PEEP valve to
unscrew. For other flow retainer
use the inspiration connection
nut from the tool kit ST4.
32. Remove “Service” Flow screen
and insert the original flow
screen (customer flow screen).
33. Screw the flow retainer.
34. Perform a system test to verify proper operation of the valve assembly.
Note For Centiva/5 NB (newborn extension) use always the silver Adult / Pediatric
(standard) expiration valve with the according “Service “ flow screen to perform
expiration flow sensor calibration

Calibration without “Service” In case expiration flow sensor calibration must be performed without a “service”
flow screen flow screen, follow this sequence:
Offset correction 35. . Perform offset calibration as described in steps 1 to 12 in chapter 4.7.5.
Gain correction 36. For the gain correction without using a “service” flow screen you need to know
the current flow screen’s tolerance. This tolerance is visible on the rim of the
flow screen.
37. For gain correction start with step 13 in chapter 4.7.5.and remove the built-in
flow screen according to step 14.
38. Read and note the “Insp.” % tolerance in the flow screen correction table
below.
39. Insert the flow screen again into the expiration valve assembly and screw the
flow screen retainer.
40. Perform gain correction as described in step 16 to 30 in chapter 4.7.5.

41. At step 19. use the new value from the flow screen correction table for step 19.
that matches with the noted flow screen tolerance.
(Example: Tolerance = + 4.5 %, calibration value for step 19. is 28.7 l/min)
(Example: Tolerance = + 4.5 %, calibration value for step 25. is 9.6 l/min)
(Example: Tolerance = + 4.5 %, calibration value for step 28. is 57.3 l/min).
Flow screen correction data Flow screen tolerance “Insp” New value New value New value
table for step 19. for step 25. for step 28.
+ 9.99 % to + 9.00 % 27.2 9.1 54.3
+ 8,99 % to + 8.00 % 27.5 9.2 54.9
+ 7.99 % to + 7.00 % 27.8 9.3 55.5
+ 6.99 % to + 6,00 % 28.1 9.4 56.1
+ 5.99 % to + 5.00 % 28.4 9.5 56.7
+ 4.99 % to + 4.00 % 28.7 9.6 57.3
+ 3.99 % to + 3.00 % 28.9 9.7 57.9
+ 2.99 % to + 2.00 % 29.3 9.8 58.5
+ 1.99 % to + 1.00 % 29.6 9.9 59.1
+ 0.99 % to + 0.5 % 29.8 9.9 59.7
0.00 % (“Service” flow screen) 30.0 10.0 60.0
- 0.5 % to – 0.99 % 30.2 10.1 60.3
- 1.00 % to – 1.99 % 30.5 10.2 60.9
- 2.00 % to – 2.99 % 30.8 10.3 61.5
- 3.00 % to – 3.99 % 31.1 10.4 62.1
- 4.00 % to – 4.99 % 31.4 10.5 62.7
- 5.00 % to – 5.99 % 31.7 10.6 63.3
- 6.00 % to – 6.99 % 32.0 10.7 63.9
- 7.00 % to – 7.99 % 32.3 10.8 64.5
- 8.00 % to – 8.99 % 32.6 10.9 65.1
- 9.00 % to – 9.99 % 32.9 11.0 65.7

4.7.6 Airway pressure The Airway pressure sensor calibration is divided into two parts
sensor calibration
The Offset calibration is performed with the use of the service mode only. The gain
calibration is performed by using an external pressure measurement device. To
calibrate the airway pressure sensor:
1. Ensure that the system is turned OFF and line power is disconnected
2. Open main engine according to section 7.2.4:
3. Remove internal back-up battery according to section 7.9.1:
4. Re-insert exp. valve assembly:
5. Connect line power and gas supply and turn ON the system:
6. Verify that the system performs the power-up test:
7. Start the service mode according to section 4.3.:
8. Connect the standard breathing system to the inspiratory and expiratory port.
Connect a standard 15 male/female y-piece elbow with a LUER lock gas
sample port to the y-piece:
9. Seal the open end of the y-piece elbow using the seal port on the exp. valve
assembly:
10. Connect the external pressure measurement device to the LUER lock
connection of the Y-piece elbow:
11. Turn on the pressure measurement device and let it warm up according to
manufacturers instructions:
12. Select the “PRESS” button and verify no flow is
activated:
13. Verify the pressure to be 0 mbar on the ext.
pressure meter.
14. Check the “Pat.Pressure” “Actual” to be at 0 ±
0.5 mbar:
15. If not, readjust the “Zero” for the Airway
pressure sensor with
R 326 on the main board to read 0 ± 0.1
mbar.

Gain correction 16. Select the “Press” button and use the ComWheel to increase the “Pat.
Pressure” “Rated “ to read to 60 mbar.
17. Select the “AIR” and “x1” button and use the ComWheel to increase the “AIR
flow” “Rated” to read 1 L/min. The units in the service menu change from
Digits to L/Min.
18. Check the “Pat.Pressure ” “Actual” to read the “external pressure
measurement device” value ± 0.6 mbar.
19. If not, readjust the “Gain” for the Airway pressure sensor with
R 323on the main board to read “external pressure measurement device
value” ± 0.6 mbar.
20. Reduce the test pressure to 0 mbar by
reducing the “Pat-pressure” rated to 0
mbar and the AIR flow to 0 L/min.
Open the seal at the y-piece.
21. Verify the pressure to be 0 mbar on
the ext. pressure meter.
22. Check the “Pat.Pressure” “Actual” to
be at 0 ± 0.5 mbar.
23. If not, readjust the “Zero” for the Airway
pressure sensor with
R 326 on the main board to read 0 ±
0.1 mbar.

4.7.7 Overpressure The overpressure relief valve calibration is performed with the use of the service
relief valve calibration mode.
To calibrate the overpressure relief valve:
7. Connect one tube to the
inspiratory port. ACTUAL RATED
Pat.Pressure 75,2 mbar
8. Seal the open end of the tube
92 mbar
Exp.flow 510 Digit 500 Digit
with a 22 mm stopper plug AIR flow ON
O2 flow ON
530 Digit
251 Digit
20 l/min
250 Digit
(e.g. P/N 2900-0001-000).
9. Select the “Air” and “x 1” button.
10. Use the ComWheel to increase the AIR flow to read 20 L/Min. Note: Increase
flow slowly by small steps to avoid oscillation of the over pressure relief
valve.
11. Watch the “Pat.Pressure” increase and stabilize at a certain pressure level.
12. Check the “Pat.pressure” “Actual” to be at 75 ± 2 mbar.
13. If not, readjust the overpressure relief valve by turning the valve cap until
“Pat.pressure” “Actual“ reads 75 ± 2 mbar.
Turning clockwise increases pressure, counterclockwise lowers pressure.

4.7.8 Battery charging The internal battery is recharged whenever the Centiva/5 Plus CC ventilator is
voltage calibration supplied by a main power supply (line power or 24 V DC external supply). To ensure
proper recharging of the sealed lead acid battery, the charger’s maximum voltage
needs to be adjusted whenever the battery is exchanged.
Perform the charging end voltage calibration by using an external voltmeter device.
To calibrate the maximum charging voltage:
7. Disconnect X 23, battery supply
connector, on main board.
8. Connect the negative voltmeter lead to
ground at the electric mounting plate.
9. Connect the positive voltmeter lead to
Pin 7 (+) on X23 on the main B board.
10. Verify that the voltage is 26.8 ± 0.1 V.
11. If not, adjust R 215 until the voltmeter
displays 26.8 ± 0.1 V.

4.8 Battery test a.

b.
The Centiva/5 Plus internal back up battery has an expected life time of 24 months
under standard operation conditions (10 to 35°C). After 24 months this battery
needs replacement.
Note When system is operated in extended temperature areas (10 to 40°C), such as
burn units, the expected life time is reduced and battery needs replacement after
12 months.
If in the meantime battery’s capacity is doubted, perform the following test to verify
proper battery capacity. A stop watch is needed.
1. Connect AC line supply to Centiva/5 Plus.

2. Turn ON Centiva/5 Plus and wait for the power up test to terminate.
3. Set up Centiva/5 Plus with a breathing system and perform the system test.
4. Start ventilation in default settings (Adult, Bi-Level) with a test lung (according
to section 4.2) connected.
5. Centiva/5 shows the operational screen. Check the battery status line to be
OFF as an indicator for a fully charged battery. If battery status line is active
wait until the battery is fully charged and the battery status indicator is OFF.
6. Turn OFF the AC line supply main switch to disconnect AC supply and start the
stop watch.
7. Centiva/5 Plus operates now on battery only. Be aware that during operation
and discharging the battery a high priority alarm for an empty battery will
appear.
8. Wait until either.
a. operation time is > 30 min
b. or a permanent alarm indicates a watchdog system failure “0036”
“battery empty and no line supply”
c. or Centiva/5 Plus automatically shuts down with a completely discharged
battery and then stop the stop swatch.
9. The operation time shown in the stop watch shall exceed 30 minutes.
a. If battery operation time is > 30 minutes, the battery is OK and can stay
within the Centiva/5 Plus until scheduled replacement has to take place
during standard maintenance.
b. If battery operation time is < 30 minutes perform battery refreshing
process, as described below.

Battery refreshing A battery with a capacity of less then 30 minutes can be refreshed to gain capacity
again by completely discharging and completely recharging. The main aspect in
that refreshing process is to empty the battery down to her lowest accepted level,
which is controlled by the Centiva/5 Plus’s power management, and fully charge
afterwards.
10. Perform the discharging and recharging process, as described in the battery
test procedure above, for three times in a row.
11. After the third charging and discharging process the operation time shown in
the stop watch should exceed 30 minutes.
a. If battery operation time is > 30 minutes, the battery is OK and can stay
within the Centiva/5 until scheduled replacement has to take place
during standard maintenance (24 months).
b. If battery operation time is < 30 minutes battery needs replacement.
Please note serial number of the Centiva/5 on top of the battery.
Special notice It is important that the discharging process and the recharging process are not
interrupted.

4.9 Diagnostic tests c.

d.
The Centiva/5 Plus CC ventilator software has diagnostic tests built-in to ease
servicing. When in service mode these diagnostic routines are active. Start the
service mode and the system will display the following screen:
Pat. Pressure The actual airway pressure is displayed here.
AIR flow The ON / OFF flag behind the AIR flow indicates the status of the pressure switch.
The flag is “ON” when an AIR supply pressure is detected with > 1.9 kPa (27 PSI).
The actual AIR flow data is displayed here.
O2 flow The ON / OFF flag behind the O2 flow indicates the status of the pressure switch.
The flag is “ON” when an O2 supply pressure is detected with > 1.9 kPa (27 PSI).
The actual O2 flow data is displayed here.
O2 concentration The actual O2 concentration is displayed here.
Line voltage The AC / DC flag behind the line voltage indicates the source of the mains supply.
The flag is “AC” when line supply is detected, the flag is “DC” when 24 V DC supply
is detected.
The line voltage is measured at the base supply line and represents
• the secondary transformer voltage, when connected to AC line supply.
Accepted voltage range is 19 to 29 V, which represents the following line
supply voltages
- 98 to 132 VAC at 115 VAC (50-60 Hz)
- 198 to 263 VAC at 230 VAC (50-60 Hz)
• the external DC voltage, when powered by DC line supply. Accepted
voltage range is 22.5 to 28 VDC .

Panel voltage The panel voltage measures the +13/+15V control panel supply. Accepted voltage
range is 12.5 to 17.0 V.
Valve voltage The valve voltage is measured at the main bus 13 V WD (WD = watchdog controlled
bus). Accepted voltage range is 11.5 to 15.0 V.
Battery voltage The battery voltage measures the internal back-up battery voltage. Accepted
voltage range is 22.5 to 29 V. Additional data:
• Ubatt > 29.0 V = Battery failure alarm

• Ubatt < 22.5 V = Battery low alarm+
• Ubatt < 22.0 V = Battery depleted alarm
Controll. A/B The controller voltage is measured for each microprocessor, the micro A and micro
B supply bus. Accepted voltage range is 4.5 to 5.5 V.
Heater power The heater power measures the power dissipation of the expiratory flow sensor
heating system. Accepted power dissipation is < 12.0 W.
Temperature The temperature measures the expiratory flow sensor temperature. Accepted
temperature is 5 to 48 °C.
Drawer “OK” indicates proper locking of the expiratory valve.

“< -- >” indicates properly unlocking of the expiratory valve.
ExpValve These data are used for manufacturing QM only.

Notes

5 Troubleshooting
WARNING Post-Service checkout is required after you have completed this

section. You must perform Section “3/Post-Service Checkout” after
performing maintenance, service or repair. Failure to do so may result
in patient injury.
In this section 5.1 Troubleshooting instructions 5-2

5.2 Alarms 5-4
5.3 Messages 5-9
5.3.1 Messages during power-up test 5-9
5.3.2 Messages during system test 5-14
5.3.3 Messages during O2 sensor calibration 5-25
5.3.4 Messages during operation 5-26
5.3.5 System shut down messages 5-29
TRM, Centiva/5 Plus,M1047448/ CM-922026, rev. 3.50.a of 11/05 5-1

5 Troubleshooting
5.1 Troubleshooting instructions
The Centiva/5 Plus CC ventilator software includes self test capability to identify
problems or malfunctions of the system. However, some ventilator problems may
not generate any message or alarm, even though the ventilator may not be
functioning correctly.
The self tests include:
• Power-up-test
• System test
• In-operation test
Additional self test capabilities are within the:
• O2 sensor calibration
User related alarms and messages will be displayed in the user selected language
to allow the operator to react, either by correcting the problem or by calling an
authorized service specialist.
The identified problem, malfunction or advice will be displayed with either an alarm
or a message on the screen.
Newborn
Trend
SW 3.nn.p HW o/r
System test # 02_1

No line supply
Check line power cord and fuse Unlock

exp. valve
Enter
While in power-up test, system test and O2 calibration the messages will appear in
the screen as shown above.
.
Be aware that system test messages may appear because of artifacts during the
system test sequence. These artifacts could be moving, manipulating and handling
of accessories and breathing circuit components while performing the tests. In this
case no malfunction of Centiva/5 Plus has created the message.
Performing the system test again will allow to pass the system test successfully.
TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05

5-2
5 Troubleshooting
Bi-Level Adult
MV-E 12.5
15
2.5
5.5
4.7 Liter
3.5
10
M S
Insp.
5 Vt-E hold
Paw
cmH2O 2 4 6 8 10 12 14 16 18 20
350 mL
Ppeak 21 Exp.
40 MV low
20
14cmH2O hold
Flow
L/min 2 4 6 8 10 12 14 16 18 20 Pmin
-20 3cmH2O Manual
breath
-40
O2-I 55
Ppeak 14 cmH2O PPEEP 3 cmH2O MV sp 1.2 L
45
50 % ASR
Pplat 14 cmH2O PPEEPi 1.2 cmH2O Rate sp 4 /min Rate 40
14 1/min
-- unit
Fi02 Rate I:E Ramp P-Insp PEEP PS Trigg. Normal
50 10 1:2.0 0.2 10 3 5 3 screen
% 1/min sec cmH2O cmH2O cmH2O L/min
While in operation, the messages will appear in the operation screen.

5-3
5 Troubleshooting
5.2 Alarms
No. Alarm Priority Set condition Action Reset condition

1 “Pressure high” High In all modes: High priority alarm. In all modes:
If Ppeak ≥ Pmax End inspiration (set Within the following
inspiratory flow to zero) breath
and start expiration (set If Ppeak< (Pmax–2
expiratory valve to PEEP) cmH2O)
Sequence #2 to follow: Additional to the above: and
If Ppeak > (Pmax + 2 cmH2O) Open inspiratory safety Inspiratory safety valve
valve is closed.
2 “Pressure low” High VCV, SIMV-VC mode: High priority alarm. VCV, SIMV VC mode:
If Ppeak < (PPEEP + 2 cmH2O) If Ppeak ≥ (PPEEP + 5
after 15 sec from start of cmH2O) within the
insp. following breath
Bi-Level VG mode: Bi-Level VG mode:
If Ppeak < (PPEEP + 2 cmH2O) If Ppeak ≥ (PPEEP + 2
after 15 sec from start of cmH2O) within the
insp. following breath
Bi-Level mode: Bi-Level mode:
If Ppeak < ((Pinsp + PPEEP) /2 ) – If Ppeak ≥ ((Pinsp + PPEEP)
0.5 cmH2O after 15 sec from /2 ) – 0.5 cmH2O
start of insp. within the following
breath.
In all modes: High priority alarm. And for all modes:
If Pairway < 0 cmH2O for more Open sub atmospheric If Pairway ≥ 0 cmH2O
than 0.5 sec or if “system pressure relief valve
open ?” criteria is set
3 “Pressure High In all modes: High priority alarm. In all modes:
sustained” If Pmin > (PPEEP + 2 cmH2O) End inspiration (set If Pmin < (PPEEP + 2
within one breath inspiratory flow to zero) cmH2O) within the
and start expiration (set following breath
expiratory valve to PEEP) and
In all modes: Additional to the above: Inspiratory safety valve
If Pairway > (Pset + 5 cmH2O) Open inspiratory safety is closed
within 0.5 sec valve

5-4
5 Troubleshooting

4 “Apnea” High VCV, SIMV-VC, Bi-Level VG, High priority alarm. VCV, SIMV-VC, Bi-
Bi-Level mode: Level VG, Bi-Level
System open (see messages) mode:
for longer than Apnea time Next expiration is
detected and
Rate > 3 bpm
CPAP/PSV mode: High priority alarm. CPAP/PSV mode:
Since the last expiration no Bi-Level mode is started. Restart CPAP/PSV
breath is detected in set Apnea time displayed on mode or start any
apnea time screen. other mode
or measured rate < 4 bpm After 5 min flashing and
visual alarm and audible next expiration is
alarms are turned OFF detected
and message remains in and
screen. Rate > 3 bpm.
5 “Leakage” High In all modes: High priority alarm. In all modes:
If ((Vinsp-Vexp) / Vinsp) * 100 > If ((Viinspi-Vexp) / Vinsp) *
set leakage (5% - 95%) 100 ≤ set leakage (5%
over a rolling average of 4 - 95%) within one
breaths breath
6 “Vt not High VCV, SIMV-VC, Bi-Level VG High priority alarm VCV, SIMV-VC, Bi-
delivered” mode: Level VG mode:
If Ppeak ≥ Plimit If Ppeak < Plimit
And And
Vt measured ≤ Vt set * 0.8 Vt measured > Vt set x
after 15 sec from start of 0.8 at the end of
inspiration inspiratory time
7 “MV low” High In all modes: High priority alarm. In all modes:
If calculated MV over 61 If calculated MV > set
seconds or over 10 breaths MV limit (0.5 – 50
(which ever is smaller) < set L/min)
MV limit (0.5 – 50 L/min)
8 “MV high” High In all modes: High priority alarm. In all modes:
If calculated MV over 61 If calculated MV < set
seconds or over 10 breaths MV limit (0.5 – 50
(which ever is greater) > set L/min)
MV limit (0.5 – 50 L/min)

5-5
5 Troubleshooting

9 “Sensor High In all modes: High priority alarm. In all modes:
mismatch” If any of the three flow sensor All of the three flow
delivers implausible data sensors reaches zero
Or if the insp. pressure range
sensor delivers implausible And
data the inspiratory flow
Or if the insp. pressure sensor reads > 5
sensor reads ≤ –9 cmH2O for L/Min and < 120
more than 500 ms L/min for more than
Or if the insp. pressure 0.5 sec
sensor reads > 80 cmH2O for And
more than 500 ms the expiratory flow
Or if an additional external sensor reads > - 5
flow is detected L/Min and ≤ 140
L/min for more than
0.5 sec
And
the inspiratory
pressure sensor
reaches zero range
And
the inspiratory
pressure sensor reads
> -9 cmH2O for more
than 0.5 sec
And
the inspiratory
pressure sensor reads
< 80 cmH2O for more
than 0.5 sec
And
[(Vinsp-Vexp)/Vinsp]*100
>
-25%
10 “Battery failure” High In all modes: High priority alarm In all modes:
If sensed battery voltage > Unit must be turned
29 V for more than 1 sec. OFF
11 “Battery low” High In all modes: High priority alarm In all modes:
If sensed battery voltage < If sensed battery
22.5 V for more than 1 sec. voltage > 24 V

5-6
5 Troubleshooting

12 “Line supply Low In all modes: Low priority alarm In all modes:
fail” If line supply voltage < 95 If 95 VAC (200 VAC) ≤
VAC (200 VAC) for more than line supply voltage ≤
100 msec 135 VAC ( 255 VAC)
Or If line supply voltage > And
135 VAC (255 VAC) Internal main bus 13v
> 12.2 V
13 “Fan failure” High In all modes: High priority alarm In all modes:
If sensed fan rotation is too If 1,600 rpm ≤ sensed
low fan rotation ≤ 2,600
Or If sensed fan rotation is rpm
too high
14 “Temperature Low In all modes: Low priority alarm In all modes:
error” If the heater temp is < 5° C If the heater temp is >
Or 5° C
if the heater temp is > 60 °C And
Or if the heater temp is <
if the heater current is too 60 °C
high And
Or if the heater current is
if heater power is too high < 700 mA
Or if the heater temp. is < And
42°C if heater power is <15
Or VA
if insp. temp. is > 48°C And
for more than 60 sec if the heater temp is >
42°C and < 48°C
15 “O2 supply fail” High In all modes: High priority alarm In all modes:
If FiO2 set > 0.21 If FiO2 set = 0.21
And Or
the O2 pressure < 29 PSI If the O2 pressure
control switch (2 bar,
29 PSI) is closed
And
If 0.5V < valve O2 <
11.5 V
16 “AIR supply fail” High In all modes: High priority alarm In all modes:
If FiO2 set < 1.0 If FiO2 set = 1.0
And Or
the AIR pressure < 29 PSI If the AIR pressure
control switch (2 bar,
29 PSI) is closed
And
If 0.5V < valve AIR <
11.5 V

5-7
5 Troubleshooting

17 “Rate low” High In all modes: High priority alarm In all modes:
If measured rate < set rate If measured rate ≥ set
low limit rate low limit
18 “Rate high” High In all modes: High priority alarm In all modes:
If measured rate > set rate If measured rate ≤ set
high limit rate high limit
19 “Power PCB High In all modes: High priority alarm In all modes:
fail” If main bus voltages are If main bus 13v ≤ 15 V
failing And
If main bus 15v ≥ 13 V
And
If main bus 15v ≤ 17 V
20 “Display failure” High In all modes: High priority alarm In all modes:
If connection between If CPU handshake is
control panel and main OK
engine is defective And
Or if display back light is If display back light
defective supply ≥ 12 V
21 “O2 sensor fail” High In all modes: High priority alarm In all modes:
If O2 measured value ≤ 10 % If 10% < O2 measured
Or value < 120 %
If O2 measured value ≥ 120
%
22 “O2 concentr. High In all modes: High priority alarm In all modes:
low” If O2 measured value < set If O2 measured value ≥
O2 low limit set O2 low limit
23 “O2 concentr. High In all modes: High priority alarm In all modes:
high” If O2 measured value > set If O2 measured value ≤
O2 high limit set O2 high limit
24 “P limit Low VCV, SIMV-VC, Bi-Level VG Low priority alarm VCV, SIMV-VC, Bi-Level
reached” mode: VG modes:
If Ppeak ≥ Plimit If Ppeak < Plimit at the
end of inspiratory time
25 “Button failure” Low In all modes: Low priority alarm Release button or
If a button is active for more replace front label
than 5 sec
26 “DC supply fail” High In all modes: High priority alarm Restore 24 V DC
If external 24 V DC supply supply or
fails or restore external battery
If external battery pack pack with fully charged
voltage < 22.5 V one or
supply system by AC
line supply

5-8
5 Troubleshooting
5.3 Messages
5.3.1 Messages during

power-up test
Code Message Type Set condition Action Reset condition
n/a No line Advice Line power supply fails Check line power supply, If line power supply is
supply. Or wall outlet, power cord, restored Or If external
external DC power supply plug, primary fuses and DC power supply is
fails line switch. Check reconnected
external battery charging
level, power cord and plug.
n/a Battery Advice Internal back up battery Recharge battery or If internal back up
depleted. empty replace, if necessary. batter is recharged
n/a “DC mains Advice External DC supply is active No service action If line power supply is
supply” necessary restored Or If external
DC power supply is
disconnected
n/a Test active, Advice System is in test procedure No service action If test is successfully
wait for xx for at least xx seconds necessary finished Or If test has
secs. identified any system
shutdown errors
00-1 Controller B System Controller problems are Check SIO and B board If communication
no function. shut identified functions and replace B between PC board A
down board, if necessary and B is OK
error
01-1 Watchdog System Watchdog problems are Check SIO and A board If communication
controller A shut identified functions and replace A- between PC board A
does not down uC board if necessary and B is OK
open. error
01-2 Watchdog System Watchdog problems are Check SIO and A board If communication
controller A shut identified functions and replace A – between PC board A
does not down uC board, if necessary and B is OK
close. error
01-3 Watchdog System Watchdog problems are Check SIO and B board If communication
controller B shut identified functions and replace B between PC board A
does not down board, if necessary and B is OK
open. error
01-4 Watchdog System Watchdog problems are Check SIO and B board If communication
controller B shut identified functions and replace B between PC board A
does not down board, if necessary and B is OK
close. error
02-1 No line Advice Line power supply fails Check line power supply, If line power supply is
supply, check wall outlet, power cord, restored
line power plug, primary fuses, line
cord and fuse. switch and fuses on B
board

5-9
5 Troubleshooting

02-2 External power Advice External power supply Check external supply If external power
supply failure, voltage is too high voltage supply voltage is in
voltage too the proper voltage
high, check range
external power
supply.
02-3 Internal power System Internal power supply fails. Check B board functions Repeat test or
supply failure. shut and replace B board, if Check power supply
System may not down necessary. system
be operated. error
Repeat test by
turning OFF and
ON again
03-1 Battery Advice The internal back up battery Recharge battery while Battery has reached
depleted is depleted. system is supplied with sufficient voltage
(voltage < line power or external DC level within 10
22.0V) System power. minutes of
not ready for If not successful, replace recharging.
operation. If battery Repeat test by
this message turning Centiva/5
appears for OFF and ON again.
more than 10
min, battery
needs
replacement.
03-2 Battery is empty Advice The internal back up battery Recharge battery while Battery has reached
(voltage < is empty. The battery voltage system is supplied with 24.0 V within 20
23.5V) is x V. line power or external DC minutes.
If 24.0 V is not power prior to operation. If not: Repeat test by
reached in 20 If not successful replace turning Centiva/5
min, battery battery OFF and ON again
needs
replacement.
03-3 Battery or System The internal back up battery Check power supply Battery and charger
recharger shut is depleted function or replace B are working properly
defective. down Or board
Repeat test by error The recharger for the internal
Readjust charger voltage
turning OFF and back up battery is defective.Check battery and replace
ON again. battery, if necessary
03-4 Battery cannot System The internal back up battery Check battery fuse and Battery works OK
be switched on! shut is not operable. replace battery, if
Repeat test by down necessary.
turning OFF and error If not successful, check
ON again. battery and replace, if
necessary

5-10
5 Troubleshooting

04-1 Fan failure. System shut The internal fan is not Check fan and replace Fan works OK
Repeat test by down error operable. fan, if necessary
turning OFF
and ON again.
04-2 Temperature System shut The inspiratory Check inspiratory temp Temperature sensor
sensor insp. down error temperature sensor is not sensor and connector delivers proper signal
flow operable. and replace pneumatic
malfunction. assembly, if necessary
Repeat test by
turning OFF
and ON again.
05-1 Watchdog System shut The heater is not Check expiration valve Heater can be turned off
does not turn down error operable. control system for proper
off heater. connections, if necessary
Repeat test by replace exp. valve control
turning OFF assembly or B board
and ON again.
05-2 Exp. Flow System shut Expiratory flow sensor Check expiration valve Heater can be turned on
sensor heater down error heater fails. control system for proper
cannot be connections, if necessary
switched on. replace exp. valve control
Repeat test by assembly or B board
turning OFF
and ON again.
05-3 Heater or System shut Expiratory flow sensor Check expiration valve Heater current limiter
heater current down error heater current limiter fails. control system for proper works OK
limiter failure. connections, if necessary
Repeat test by replace exp. valve control
turning OFF assembly or B board
and ON again.
05-4 Heater System shut Expiratory flow sensor Check expiration valve Heater temperature
temperature down error heater temperature control system for proper sensor works OK
sensor sensor malfunction or connections, if necessary
malfunction. defective. replace exp. valve control
Repeat test by assembly or B board
turning OFF
and ON again.
n/a Expiration Advice Expiration valve is not Insert expiration valve Insert expiration valve into
valve missing inserted assembly and let lock valve lock
or not in Or Expiration valve is not Or assemble expiration
proper properly assembled valve properly and
position. Or Expiration valve is not reinsert into valve lock
properly inserted

5-11
5 Troubleshooting

n/a Expiration Advice Expiration valve locking Remove expiration valve Unlock, remove and
valve mechanism was operated to from valve lock reinsert expiration
unlocked. unlock the expiration valve valve
Ready to be
removed
from device”
06-3 Malfunction System shut Expiratory flow sensor valve User may try to activate the Insert expiration valve
of locking down error lock malfunction or locking mechanism by into valve lock
mechanism defective. system test menu. If not Or assemble expiration
of expiration successful, replace valve properly and
valve. Unlock expiration valve locking reinsert into valve lock
exp. valve system
again via
system test
menu.
07-1 EPROM System shut Panel EPROM version and Check EPROM versions Exchange entire panel
versions do down error internal main board EPROM between A and B board. with a matching version
not match. versions do not match. Verify that the EPROM are
Check properly inserted
software rev.
no. of panel
and main
engine.
08-1 Controller or System shut Controller or RAM problems Repeat system test for 5 Controller or RAM is
RAM on main down error are identified on main PC times to load new data into identified to be OK.
PCB board EEPROM or replace B
defective. board, if necessary
Repeat test
by turning
OFF and ON
again.
08-2 Controller or System shut Controller or RAM problems Repeat system test for 5 Controller or RAM is
RAM on front down error are identified on panel PC times to load new data into identified to be OK.
PCB board EEPROM or replace A
defective. board, if necessary
Repeat test
by turning
OFF and ON
again.
09-1 EPROM on System shut EPROM problems are Check proper seating of EPROM is identified to
main PCB down error identified on main PC board EPROM in socket and be OK.
defective. replace B EPROM, if
Repeat test necessary
by turning
OFF and ON
again.

5-12
5 Troubleshooting

09-2 EPROM on System shut EPROM problems are Check proper seating of EPROM is identified to
front PCB down error identified on panel PC board EPROM in socket and be OK.
defective. replace A EPROM, if
Repeat test necessary
by turning
OFF and ON
again.
09-3 EEPROM on System shut EEPROM problems are Repeat system test for 5 EEPROM is identified to
main PCB down error identified on main PC board times to load new data into be OK.
defective. EEPROM or replace B
Repeat test board, if necessary
by turning
OFF and ON
again.
09-4 EEPROM on System shut EEPROM problems are Repeat system test for 5 EEPROM is identified to
front PCB down error identified on panel PC board times to load new data into be OK.
defective. EEPROM or replace A
Repeat test board, if necessary
by turning
OFF and ON
again.
10-1 Button Advice Any front panel button is Check button connection Check for permanently
defective or defective within control panel, if activated button on
permanently Or necessary replace front front panel
pressed. Any button is permanently label with buttons Or repeat test by
Repeat test activated turning OFF and ON
by turning again
OFF and ON
again.
10-2 Buzzer on System shut Buzzer problems are Check connection PC Buzzer is identified to
main PCB down error identified on main PC board board B and Alarm system, be OK.
defective. if necessary replace main
Repeat test alarm system
by turning
OFF and ON
again.
10-3 Buzzer on System shut Buzzer problems are Check connection PC Buzzer is identified to
front PCB down error identified on panel PC board board A and Alarm system, be OK.
defective. if necessary replace front
Repeat test alarm system
by turning ON
and Off
again.

5-13
5 Troubleshooting
5.3.2.Messages during
system test
Complete Advice System has successfully Complete system set up Proceed with system
system set up, passed power up test and is with breathing system and test by pushing
seal Y-piece. ready to start system test airway management <Enter>
Start system components intended to
test by be used upon following
pressing breathing mode. Seal y-
<Enter> piece by plugging y-piece
onto the sealer at the
expiration valve block
12-1 No O2 gas Advice Insufficient O2 supply Check for proper O2 gas O2 supply pressure
supply. pressure supply and for clean inlet exceeding 2 bar (28
Check O2 gas gas filters. PSI)
supply or for Or
single gas AIR- repeat test by
supply press pushing <Enter>
<Enter>
13-1 No AIR gas Advice Insufficient AIR supply Check for proper AIR gas AIR supply pressure
supply. pressure supply and for clean inlet exceeding 2 bar (28
Check AIR gas gas filters. PSI)
supply or for Or
single O2- repeat test by
supply press pushing <Enter>
<Enter>
14-1 Oxygen flow Advice O2 flow sensor is Recalibrate O2 flow line O2 flow sensor signal
sensor miscalibrated within proper offset
miscalibrated Or range
or defective, O2 flow sensor is defective Or
measured repeat test by
offset out of pushing <Enter>
range.
Repeat test by
pressing
<Enter>.

5-14
5 Troubleshooting

14-2 Oxygen flow Advice Insufficient O2 supply Check for proper O2 gas O2 supply pressure
valves do not pressure supply exceeding 2 bar (28
open or no PSI)
signal from Or
oxygen flow repeat test by
sensor. pushing <Enter>
Check O2 gas
supply and
press
<Enter>.”
14-3 Oxygen flow Advice O2 flow sensor offset valve Replace B board O2 flow offset valve
offset valve problem identified operates properly
does not react. Or
Repeat test by repeat test by
pressing pushing <Enter>
<Enter>.
15-1 Oxygen valves Advice O2 valves do not properly Check O2 valve and O2 valves operate
do not properly close replace pneumatic properly
close. Or assembly, if necessary Or
Check O2 gas O2 gas supply pressure repeat test by
supply or repeat too high pushing <Enter>
test by pressing Or O2 valve seat dirty.
<Enter>.
15-2 2nd oxygen flow Advice O2 flow valve problem Check O2 valve and 2nd O2 valve
valve does not identified replace pneumatic operates properly
react. Repeat assembly, if necessary or
test by pressing Proceed with system
<Enter>. test by pushing
<Enter>
15-3 Malfunction in Advice O2 flow valve problem Check O2 valve and Repeat test by
oxygen valve identified replace pneumatic pushing <Enter>
testing. Test assembly, if necessary
takes too long,
repeat test by
pressing
<Enter>.

5-15
5 Troubleshooting

15-4 Limited flow in Advice O2 flow sensor detects a Check gas supply hose, O2 flow sensor
oxygen gas max flow of < 110 L/Min, plug, line and filters for flow detects > 110 L/Min
supply. Check when 120 L/Min flow is restrictions. at 120 L/Min test
gas supply for tested Or
sufficient flow repeat test by
delivery”. pushing <Enter>
Repeat test by
pressing
<Enter>.
16-1 AIR flow sensor Advice AIR flow sensor is Recalibrate AIR flow line AIR flow sensor
miscalibrated miscalibrated signal within proper
or defective, Or offset range
measured AIR flow sensor is defective Or
offset out of repeat test by
range. Repeat pushing <Enter>
test by pressing
<Enter>.
16-2 AIR flow valves Advice Insufficient AIR supply Check for proper AIR gas AIR supply pressure
do not open or pressure supply exceeding 2 bar (28
no signal from PSI)
AIR flow sensor. Or
Check AIR gas repeat test by
supply pushing <Enter>
Repeat test by
pressing
<Enter>.
16-3 “AIR flow offset Advice AIR flow sensor offset valve Replace B board AIR flow offset valve
valve does not problem identified operates properly Or
react. Repeat repeat test by
test by pressing pushing <Enter>
<Enter>.
17-1 AIR valves do Advice AIR valves do not properly Check AIR valve and AIR valves operate
not properly close replace pneumatic properly
close. Check Or assembly, if necessary Or
AIR gas supply AIR gas supply pressure too repeat test by
or repeat test high pushing <Enter>
by pressing Or
<Enter>. AIR valve seat dirty.

5-16
5 Troubleshooting

17-2 2nd Air flow Advice Air flow valve problem Check AIR valve and Repeat test by
valve does not identified replace pneumatic pushing <Enter>
react. Repeat assembly, if necessary
test by pressing
<Enter>.
17-3 Malfunction in Advice AIR flow valve problem Check AIR valve and Repeat test by
AIR valve identified replace pneumatic pushing <Enter>
testing. Test assembly, if necessary
takes too long.
Repeat test by
pressing
<Enter>.
17-4 Limited flow in Advice Air flow sensor detects a Check gas supply hose, Air flow sensor
AIR gas supply. max flow of < 110 L/Min, plug, line and filters for detects > 110 L/Min
Check gas when 120 L/Min flow is flow restrictions. at 120 L/Min test or
supply for tested repeat test by
sufficient flow pushing <Enter>
delivery.
Repeat test by
pressing
<Enter>.
18-1 Pressure sensor Advice Pressure sensor is Recalibrate pressure Pressure sensor
miscalibrated miscalibrated sensor signal within proper
or defective, Or offset range
measured Pressure sensor is Or
offset out of defective repeat test by
range. pushing <Enter>
Repeat test by
pressing
<Enter>.
18-2 No pressure Advice No pressure increase Check PEEP membrane for Pressure increase is
increase in measured up to 30 cmH2O proper assembly and measured in the
breathing within 1 secs caused by a positioning and replace breathing circuit
circuit. Check non-sealed y-piece PEEP membrane, if Or
breathing Or necessary repeat test by
circuit and A leak in the breathing pushing <Enter>
expiration valve circuit
for leaks. Or
Press <Enter>. A leak in the expiration
valve

5-17
5 Troubleshooting

18-3 Pressure sensor Advice Pressure sensor offset valve Replace B board Pressure sensor
offset valve problem identified offset valve operates
does not react. properly Or repeat
Repeat test by test by pushing
pressing <Enter>
<Enter>.
19-1 Pressure sensor Advice Low pressure increase Check the breathing circuit Pressure increase is
malfunction. measured caused by a for leaks and check the measured in the
Leakage, check pressure sensor expiration valve for proper breathing circuit
expiration malfunction Or function and restart the Or
valve. Repeat a leak in the breathing system test. repeat test by
test by pressing circuit pushing <Enter>
<Enter>. Or
A leak in the expiration
valve
19-2 Electronic Advice Electronic over pressure Check pressure safety valve Electronic pressure
pressure safety relief valve in inspiration and replace pneumatic safety valve opens
valve in line does not react assembly, if necessary properly
inspiratory line Or Or
does not open. Pressure release too slow repeat test by
Repeat test by pushing <Enter>
pressing
<Enter>.
20-1 No pressure Advice No pressure increase Check the breathing circuit Pressure increase is
increase in measured above 50 cmH2O for leaks and seal y-piece measured in the
system. within 5 secs caused by a breathing circuit
Leakage xxx non-sealed y-piece Or
mL/min. Or repeat test by
Check y-piece, A leak in the breathing pushing <Enter>
breathing exceeding 1.000 mL/min
circuit and circuit
expiratory valve
for leaks.
Press <Enter>.
20-2 Leakage in Advice Leakage in breathing circuit Check the breathing circuit Seal leaks
breathing exceeds 1.000 mL/min. for leaks Or
circuit too high. repeat test by
Leakage xxx pushing <Enter>
mL/min. Check
y-piece,
breathing
circuit and
expiration valve
for leaks
Press <Enter>.

5-18
5 Troubleshooting

20-3 Operational Advice Pressure increase Do not squeeze breathing Proper pressure
valve measured with sealed circuit components while increase is measured
malfunction. valves in system test in the breathing
Repeat test by circuit
pressing Or
<Enter>. repeat test by
pushing <Enter>
20-4 Proportional or Advice Pressure increase Do not squeeze breathing Proper pressure
nebulizer valve measured with sealed circuit components while increase is measured
does not valves in system test or in the breathing
properly close. check valves for leaks and circuit
Repeat test by replace pneumatic Or
pressing assembly, if necessary repeat test by
<Enter>. pushing <Enter>
21-1 Total resistance Advice Total resistance exceeding Check breathing circuit for Total resistance
too high. Check 15 cmH2O /L/s kinked hoses or below 15 cmH2O
breathing components causing high /L/s
circuit and resistance and check Or
expiratory valve expiratory valve assembly Accept high
for resistance. resistance by
Accept by pressing the Accept
pressing the button or repeat test
Accept button by pushing <Enter>
or repeat test by
pressing
<Enter>.”
21-2 n/a
21-3 Expiratory valve Advice Expiratory valve data do Check breathing circuit for Expiratory valve data
data not not match with resistance kinked hoses or in proper range
matching. and compliance data components causing high Or
Check resistance repeat test by
breathing pushing <Enter>
circuit.
Press <Enter>.
21-4 Expiration valve Advice Expiration valve cannot Check breathing circuit for Expiration valve can
cannot control control pressure < 4 leaks and check expiratory control pressure < 4
P < 4 cmH2O. cmH2O. valve for proper assembly cmH2O
Check proper and check breathing Or
assembly of circuit for kinked hoses or Proceed with system
expiration valve components causing high test by pushing
or repeat test by resistance <Enter>
pressing
<Enter>.

5-19
5 Troubleshooting

22-1 Over pressure Advice Over pressure relief valve Check pressure safety Over pressure relief
relief valve P < reacts on pressure < 65 valve and recalibrate or valve operates
65 cmH2O. cmH2O replace pneumatic between 65 and 85
Repeat test by assembly, if necessary cmH2O
pressing Or
<Enter>. Proceed with
system test by
pushing <Enter>
22-2 Over pressure Advice Over pressure relief valve Check pressure safety Over pressure relief
relief valve P > reacts on pressure > 85 valve and recalibrate or valve operates
85 cmH2O. cmH2O replace pneumatic between 65 and 85
Repeat test by assembly, if necessary cmH2O
pressing Or
<Enter>. Proceed with
system test by
pushing <Enter>
23-1 Exp. flow sensor Advice Expiratory flow sensor is Recalibrate expiration flow Expiratory flow
miscalibrated miscalibrated sensor or clean or replace sensor signal within
or defective, Or expiratory flow screen, if proper offset range
measured Flow sensor is defective necessary Or
offset out of Or flow screen is dirty or Proceed with
range. blocked system test by
Repeat test by pushing <Enter>
pressing
<Enter>.
23-2 Expiration flow Caution Expiration flow sensor Check tube from exp. flow Expiration flow
offset valve offset valve problem sensor port on valve offset valve
does not react identified assembly to B board and operates properly
or wrong signal Or flow sensor is defective replace B board, if Or
from expiration Or flow screen is dirty or necessary Proceed with
flow sensor. blocked system test by
System may not pushing <Enter>
be operated.
Repeat test by
pressing
<Enter>.
23-3 Expiration flow Caution Expiration flow sensor Replace B board Expiration flow
offset valve offset valve problem offset valve
does not react identified operates properly
Repeat test by Or
pressing Proceed with
<Enter>. system test by
pushing <Enter>

5-20
5 Troubleshooting

24-1 Exp. flow sensor Advice Expiration flow sensor Check proper expiration Expiration flow
value too high value too high with AIR valve type is inserted sensor signal in
with AIR flow. flow. (silver for adult/pediatric proper range Or
Check oxygen Or flow screen is dirty or and blue for newborn) Proceed with
sensor blocked or remove expiration valve system test by
calibration. Or oxygen value incorrect from lock, reassemble and pushing <Enter>
Check Or blue Newborn valve reinsert prior to restart the
expiration valve assembly inserted with system test
for resistance, Adult/Pedia selection or recalibrate O2 cell
ensure valve or recalibrate Air flow line
matches or replace pneumatic
selected patient assembly
type or repeat
test by pressing
<Enter>.
value too low value too low with AIR valve type is inserted sensor signal in
with AIR flow. flow. (silver for adult/pediatric proper range Or
Check oxygen Or and blue for neonate) Proceed with
sensor Oxygen value incorrect or remove expiration valve system test by
calibration. Or from lock, reassemble and pushing <Enter>
Check silver Adult/Pedia valve reinsert prior to restart the
expiration valve assembly inserted with system test
for resistance, Newborn selection or recalibrate O2 cell
ensure valve or recalibrate Air flow line
matches or replace pneumatic
selected patient assembly
type or repeat
test by pressing
<Enter>.

5-21
5 Troubleshooting

value too high value too high with O2 valve type is inserted sensor signal in
with O2 flow. flow. (silver for adult/pediatric proper range Or
Check oxygen Or flow screen is dirty or and blue for neonate) Proceed with system
sensor blocked Or check proper expiration test by pushing
calibration. Or oxygen value incorrect valve type is inserted <Enter>
Check expiration Or blue Newborn valve (silver for adult/pediatric
valve for assembly inserted with and blue for newborn)
resistance, Adult/Pedia selection Or remove expiration valve
ensure valve from lock, reassemble and
matches reinsert prior to restart the
selected patient system test
type or repeat or recalibrate O2 cell
test by pressing or recalibrate Air flow line
<Enter>. or replace pneumatic
assembly
value too low value too low with O2 flow. valve type is inserted sensor signal in
with O2 flow. Or (silver for adult/pediatric proper range Or
Check oxygen Oxygen value incorrect and blue for neonate) Proceed with system
sensor Or Or check proper expiration test by pushing
calibration. silver Adult/Pedia valve valve type is inserted <Enter>
Check expiration assembly inserted with (silver for adult/pediatric
valve for Newborn selection and blue for newborn)
resistance, or remove expiration valve
ensure valve from lock, reassemble and
matches reinsert prior to restart the
selected patient system test
type or repeat or recalibrate O2 cell
test by pressing or recalibrate Air flow line
<Enter>. or replace pneumatic
assembly
25-1 Nebulizer flow Advice Expiration flow sensor Check nebulizer to match Expiration flow
with AIR out of value too low with AIR specs and for proper sensor signal in
range. Repeat Nebulizer flow. operation and tightness proper range Or
test by pressing Proceed with system
<Enter>. test by pushing
<Enter>
Or call authorized
service specialist

5-22
5 Troubleshooting

25-2 Nebulizer flow Advice Expiration flow sensor value Check nebulizer to match
Expiration flow
with O2 out of too low with O2 Nebulizer specs and for proper sensor signal in
range. Repeat flow. operation and tightnessproper range Or
test by pressing Proceed with
<Enter>. system test by
pushing <Enter>
Or call authorized
service specialist
25-3 Nebulizer flow Advice Nebulizer flow data Check nebulizer to match Nebulizer flow data
data does not incorrect specs and for proper in proper range or
match. Repeat operation and tightness proceed with
test by pressing and range of 4 – 12 system test by
<Enter>. l/min at given pressure pushing <Enter>
Or call authorized
service specialist
26-1 Oxygen sensor Advice Oxygen sensor value below Verify proper O2 supply Oxygen sensor
value too low. 19% at 21% setting. and re-calibrate the values in proper
Re-calibrate O2 oxygen sensor range or proceed
sensor. Press Or replace O2 cell with system test by
<Enter>.” pushing <Enter>
26-2 Oxygen sensor Advice Oxygen sensor above 24% Verify proper Air supply Oxygen sensor
value too high. at 21% setting. and re-calibrate the values in proper
Re-calibrate O2 oxygen sensor range Or Proceed
sensor. Press Or with system test by
<Enter>.” replace O2 cell pushing <Enter>
n/a Open y –piece. Advice The test sequence requires Open y-piece or remove Opened y-piece.
opening the y-piece to y-piece from sealer of
measure the inspiratory expiration block
resistance
27-2 Measured Advice Inspiratory resistance Check breathing circuit Inspiratory
inspiratory exceeding 6 cmH2O /L/s. for kinked hoses or resistance in proper
resistance too components causing high range Or accept
high. Check resistance high resistance by
breathing circuit. pressing the Accept
Accept by button or
pressing the repeat test by
Accept button or pushing <Enter>
repeat test by
pressing
<Enter>.

5-23
5 Troubleshooting

27-3 Measured Advice Breathing circuit resistance Check breathing circuit Breathing circuit
resistance out above 30 cmH2O /L/s for kinked hoses or resistance below
of range. Check Or components causing high 30 cmH2O /L/s
breathing Resistance could not be resistance and check Or resistance
circuit detected properly expiration valve for could be detected
Press <Enter>.” proper assembly and do properly
not manipulate breathingOr Proceed with
system while in test system test by
pushing <Enter>
n/a “Low battery Advice Battery capacity not Allow battery to recharge Battery capacity
capacity sufficient to support at for at least 30 minutes sufficient to supply
identified, least 2 minutes of device and repeat test device for a
either battery is operation in back up mode Or minimum of 2
discharged or replace battery minutes in back
defective” up mode
n/a System test OK. Advice System test is finished. Connect y-piece to n/a
To start Total Compliance, insp. patient and start
ventilation Resistance, total leakage, ventilation by pushing
<Enter>. nebulizer flow data of used <Enter>
Compliance xx breathing circuit are
mL/mbar identified and will be used
Resistance xx for compensation during
cmH2O/L/s following ventilation.
Leakage x Flow of adapted nebulizer is
mL/min measured or last measured
Nebulizer flow x value is used. Expiration
l/min flow sensor was readjusted
(last value) Exp.
flow sensor
data re-
adjusted“

5-24
5 Troubleshooting

O2 sensor calibration
n/a No signal: wrong Advi If sensor signal does not Ensure proper O2 gas supply Sensor signal
gas or sensor ce exceed 40% at calibration Or exceeds 40%at
defective. with 99% O2 Replace O2 sensor calibration with 99%
O2
n/a Signal low: Advi If sensor signal does not Ensure proper O2 gas supply If sensor signal is in
sensor used-up ce reach minimum data Or between minimum
or sensor failure. sheet value at 99% Ensure proper AIR gas and maximum data
Or supply sheet values at 21%
21% O2 Or with AIR
Replace O2 sensor And
99% with O2
n/a Signal high: Advi If sensor signal exceeds Ensure proper O2 gas supply If sensor signal is in
sensor failure or ce maximum data sheet Or between minimum
PCB failure. value at 99% Ensure proper AIR supply and maximum data
Or Or sheet values at 21%
21% O2 Replace O2 sensor with AIR
Or B board And
99% with O2
n/a Calibration Advi If calibration settles Finish the calibration n/a
successfully ce properly at procedure
finished. 21% with AIR
and
99% with O2

5-25
5 Troubleshooting

operation
No. Message Type Set condition Meaning Reset condition
1. Battery xx Min. Advice In all modes: System power supply In all modes:
If line power supply fails from internal back up If line power is
Or battery. Remaining reconnected
If external DC power operating time on Or
supply fails battery is “xx Min” If external DC power
Or supply is reconnected
If internal battery is Or
charging If internal battery is fully
charged
2. Tube: a, xx, yy% Advice In all modes: ARC is active for In all modes:
If Airway resistance a type of tube with If ARC is turned off
compensation ARC is xx mm diameter and
used yy % compensation
3. No test Advice In all modes: System test to identify Perform system test
If system test had not breathing circuits
been performed compliance, resistance
and leakage was not
performed. System uses
default data to
compensate.
4. Only O2 Advice In all modes: Only O2 gas supply with Perform system test with
If during system test setting FiO2 default to AIR gas supply
single gas operation for 100% in all modes
O2 only was confirmed
5. Only AIR Advice In all modes: Only AIR gas supply with Perform system test with
If during system test setting FiO2 default to O2 gas supply
single gas operation for 21% in all modes
AIR only was confirmed
6. Adult Advice In all modes: For all system settings Select “pediatric” or
System is in “adult” mode adult mode default “newborn” to change
values are used
7. Pedia Advice In all modes: For all system settings Select “adult” or
System is in “pediatric” pediatric mode default “newborn” to change
mode values are used
8. Newborn Advice In all modes: For all system settings Select “adult” or
System is in “newborn” newborn mode default “pediatric” to change
mode values are used
9. Standby Advice System was moved into System starts By-flow Connect a patient to the y-
standby mode after 15 secs to identify piece
reconnection of a patient Or activate the On/Off
(APD). All alarms are Button for more than 3
silenced secs to turn off the system

5-26
5 Troubleshooting

10. Apnea xx Caution No breathing action is Patient has stopped Perform breathing
detected within the last breathing for more than activities and start
apnea time delay. the apnea delay time. ventilation support
Elapsed time is xx secs
11. Apnea vent. Caution No breathing action is Patient has stopped Activate any ventilation
detected within the last breathing for more than mode in the vent. mode
apnea time delay. the apnea delay time. menu
System has started
apnea back up
ventilation mode
12. Pre oxygen xx. Advice Automatic suction Pre oyxgenation phase of Deactivate automatic
routine ASR activated. automatic suction suction routine ASR
1st phase routine is in operation Or Disconnect patient
13. Suction xx. Advice Automatic suction Suction is in process for Deactivate automatic
routine ASR activated. at least xx suction routine ASR
2nd. phase Or reconnect patient
14. Post oxygen xx. Advice Automatic suction Post oxygenation phase Deactivate automatic
routine ASR activated. of automatic suction suction routine ASR
3rd phase routine is in operation for
at least xx .
15. Freeze Advice Graphic freeze function Graphics in screen are Deactivate freeze function
was activated frozen free zed in place
for better analysis.
16. System open ? Advice Pressure below PEEP System cannot detect Reconnect patient Or
Or patient disconnected sufficient pressure Activate the On/Off button
Or system disconnected increase. for more than 3 secs to
turn off the system
17. Advice The nebulizer function Nebulizer function is Turn OFF nebulizer
was activated active. function.
18. Advice The external DC supply System is supplied by Turn OFF or disconnect
was activated. external DC power external power supply OR
supply. turn on AC mains line
supply.
19. Advice The AC supply was System is supplied by AC Turn OFF or disconnect AC
+ -
activated. line power supply. line supply OR
turn on DC mains line
supply.

5-27
5 Troubleshooting

20. I=xx s, P=yy %, Advice VCV, SIMV-VC, Bi-Level Information about the Push ComWheel to
E=zz s VG mode: absolute timing: confirm displayed data
A soft key with a direct I= xx s; inspiration time =
influence to the xx secs
ventilator timing was P= yy %; inspiratory
activated pause = yy % of
inspiration time,
E= zz s; expiration time =
zz secs
21. I=xx s, E=zz s Advice Bi-Level mode: Information about the Push ComWheel to
A soft key with a direct absolute timing: confirm displayed data
influence to the I= xx s; inspiration time =
ventilator timing was xx secs
activated E= zz s; expiration time =
zz secs
22. I:E=xx:yy, E=zz s Advice Bi-Level mode in Information about the I:E Push ComWheel to
newborn mode: ratio as a result of Tisnp confirm displayed data
A soft key with a direct and rate setting:
influence to the I:E= xx yy; inspiratory to
ventilator timing was expiratory ratio
activated E= zz s expiration time =
zz secs
23. “Switch off Advice System in Standby Software switch off of Push any button to return
device? Yes: Or system open ? Centiva /5 by activating to normal operation
Enter, No: any And On/Off button the <Enter> button
button” activated for more than
3 secs
24. “Battery not Advice System in Standby Battery is not yet fully Push any button to return
fully charged. Or system open ? charged and system to normal operation
Switch off: And On/Off button denies the demand for
<Alarm silence activated for more than turn off. If necessary
button>” 3 secs Software switch off of
AND internal back up Centiva /5 by activating
battery not fully charged the <Alarm silence>
button
25. “System error # System Any system error Refer to section 5.3.5
” shut detected during “System shut down
down permanent system messages”
message check
26. “Cross limits ? Advice Newborn mode: The system prevents to Accept to pass the cross
Confirm” Cross limit for either pass the cross limit limits by pushing the
Pinsp, Tinsp, PEEP or PS ComWheel
is reached.

5-28
5 Troubleshooting
5.3.5 System shut

down messages
The system shut down message displays in the format
“System shutdown error xxyy”
and is intended to be a help for complex failure analysis. The message consist of a
4 digit code “ xxyy”, that represents the last information status prior to the
microprocessor systems turn down.
• The “xx” represents the last “safe” status of micro controller A
• The “yy” represents the last “safe” status of micro controller B
Error code Alarming uC Set condition Possible failure Action
11yy A Timer 3 system Improper connection of Check cable from front panel
problem internal SIO cable bracket to X 14 on B board and
replace, if necessary
Improper connection of Check front panel cable and
external SIO cable (Control plug (Lemosa) and replace, if
panel cable) Or Connection necessary
problem with external SIO
cable connector (Lemosa
plug)
Defective uC controller A or Replace PC board A
Defective safety diode on PC
board A
Defective Fuse SI 21, SI 22 Check fuse SI 21 and SI 22
and replace, if necessary
13yy A Timer 6 system Defective uC controller A Replace PC board A
problem
14yy A Front side routine Defective uC controller A Replace PC board A
without function
15yy A SIO data non plausible ESD or EMI problem Check environment for ESD or
EMI source
plug)
Defective uC controller A Replace PC board A

5-29
5 Troubleshooting

16yy A SIO data not received ESD or EMI problems Check environment for ESD or
EMI source
plug)
17yy A SIO cannot send Defective uC controller A Replace PC board A
18yy A AD converter defective Defective uC controller A Replace PC board A
19yy A Improper Cable problem between PC Check cable and plug
communication board A and DCU board
between uC A and Defective uC controller A Replace PC board A
DCU board Defective PC board A Replace PC board A
Defective DCU board Replace DCU board
20yy to A Safety relevant data Defective uC controller A Replace PC board A
23yy non plausible
30yy A 5 V bus A out of range Fuse SI 3 defective Check fuse SI 3 and replace, if
necessary
Defective PC board A Replace PC board A
33yy A Panel supply voltage Fuse SI 1 defective Check fuse SI 1 and replace, if
out of range necessary
Defective PC board A Replace PC board A
Defective safety diode on PC Replace PC board B
board B

5-30
5 Troubleshooting

xx10 B AD converter defective Defective uC controller B Replace PC board B
xx11 B Timer 3 system Improper connection of Check cable from front panel
problem internal SIO cable bracket to X 14 on B board and
replace, if necessary
plug)
Defective uC controller B Replace PC board B
xx12 B Timer 5 system Defective uC controller B Replace PC board B
problem
xx13 B Timer 6 system Defective uC controller B Replace PC board B
problem
xx14 B Front side routine Defective uC controller B Replace PC board B
without function Software down Restart and check
xx15 B SIO data non plausible ESD or EMI problems Check environment for ESD or
EMI source
plug)
xx16 B SIO data not received ESD or EMI problems Check environment for ESD or
EMI source
plug)
xx17 B SIO cannot send Defective uC controller B Replace PC board B
xx20 to B Safety relevant data Defective uC controller B Replace PC board B
xx29 non plausible
and
xx50
xx27 B Check sum for Defective PC board B Replace PC board B
pressure sensor data Calibration does not match Recalibrate all sensors
incorrect

5-31
5 Troubleshooting

xx30 B 5 V bus B out of range Fuse SI 28defective Check fuse SI 28 and replace, if
necessary
Defective PC board B Replace PC board B
xx32 B 13 V bus (valve Defective power supply Replace PC board B
voltage) out of range system
xx33 B 15 V bus (panel Defective power supply Replace PC board B
voltage) out of range system
plug)
xx35 B Internal battery empty Battery empty Recharge internal battery
and fan too slow
xx36 B Internal battery Battery empty Recharge internal battery and
depleted check, if battery gets proper
recharged and replace if
necessary
xx40 n/a Watchdog relay turned Defective PC board B Replace PC board B
off Defective PC board A Replace PC board A

5-32
6 Maintenance
In this section 6.1 General instructions 6-2

6.2 Maintenance schedule 6-3
6.2.1 Every twelve (12) months 6-3
6.2.2 Every twenty-four (24) months 6-4

6 Maintenance
6.1 General instructions
WARNING Do not perform testing or maintenance on the Centiva/5 Plus CC

ventilator while it is being used to ventilate a patient. Possible injury
can result.
WARNING Items can be contaminated due to infectious patients. Wear sterile

rubber gloves to protect against the spread of infectious agents to you
and others.
WARNING Obey infection control and safety procedures. Used equipment may
contain blood and other body fluids.
WARNING The internal back up battery is a sealed lead acid type battery and
contains toxic material.
- Do not open the battery.
- Do not short circuit battery terminals.
- Do not dispose the battery into open fire.
- Do not charge in a sealed box.
- Do not apply mechanical shock.
- If exposed to electrolyte (acid) wash immediately with plenty of
water.
The battery must be disposed of in accordance with applicable
regulatory requirements in effect at the time and place of disposal.
WARNING The oxygen sensor is a fuel cell type sensor and contains toxic
material.
- Do not open the oxygen sensor.
- Do not dispose the oxygen sensor into open fire.
- Do not apply mechanical shock.
- If exposed to electrolyte (acid) wash immediately with plenty of
water.
The oxygen sensor must be disposed of in accordance with applicable
regulatory requirements in effect at the time and place of disposal.

6 Maintenance
6.2 Maintenance schedule

Perform the user maintenance from the procedures and schedules in the
Centiva/5 Plus CC ventilator User Reference manual.
6.2.1. Every twelve (12) Perform the following every twelve months:
months
1. Remove all user level breathing system assemblies and components from
the breathing system.
2. Remove the expiration valve from the main engine.
3. Open the main engine according to section 7.2.5.
4. Inspect the Centiva/5 ICU Ventilator and the removed components for
distortion, deterioration and/or cracks.
5. Inspect and replace, if necessary, the expiration valve components
according to section 7.9.2.
6. Replace the O2 sensor, if necessary, according to section 7.9.5.
7. Replace O-ring on NIST connector (if applicable) at supply hose for AIR and
O2.
8. Perform AIR flow sensor calibration according to section 4.7.3.
9. Perform O2 flow sensor calibration according to section 4.7.4.
10. Perform expiratory flow sensor calibration according to section 4.7.5.
11. Perform Airway pressure sensor calibration according to section 4.7.6.
12. Perform Overpressure relief valve calibration according to section 4.7.7.
13. Perform Battery charging voltage calibration according to section 4.7.8.
14. Perform Battery test according to section 4.8.
15. Reassemble and close the main engine.
16. Perform the Post-service checkout according to section 3.1.

6 Maintenance
17. Perform the electrical safety test for
• Ground resistance (< 0.2 Ω)
• Leakage current (< 500 uA)
• Insulation resistance (> 10 M Ω)

(according to VDE 751).
18. When device is operated in elevated temperature area replace the internal
back up battery according to section 7.9.1.
6.2.2. Every twenty four In addition to the 12 month requirements, perform the following every twenty-four
(24) months months:
1. Replace the internal back up battery according to section 7.9.1.
2. Replace the free breathing valve, if necessary, according to section 7.9.10.

7 Repair procedures
In this section 7.1 General instructions 7-3

7.2 Open the system 7-4
7.2.1 Remove the exp. Valve 7-5
7.2.2 Remove the control panel 7-7
7.2.3 Open the control panel 7-8
7.2.4 Control panel assemblies 7-9
7.2.5 Open the main engine 7-10
7.2.6 Remove the control panel plate 7-11
7.2.7 Main engine assemblies 7-12
7.3 Service assemblies 7-14
7.4 Change the line voltage 7-15
7.5 Software replacement 7-16
7.5.1 Change the A EPROM 7-17
7.5.2 Change the B EPROM 7-18
7.6 Change the unit of pressure 7-19
7.7 Change fuses 7-20
7.7.1 Change the line fuses 7-20
7.7.2 Change the control panel fuses 7-21
7.7.3 Change the main engine fuses 7-22
7.8 Repair control panel components 7-23
7.8.1 Replace ComWheel encoder 7-23
7.8.2 Replace PC board A 7-24
TRM, Centiva/5 Plus, M 1047448/CM-922026, rev. 3.50.a 7-1

7 Repair procedures
In this section 7.8.3 Replace PC board DCU 7-26

(continued) 7.8.4 Replace LCD screen 7-27
7.8.5 Replace front housing with touch screen 7-28
7.9 Repair main engine components 7-29
7.9.1 Remove back-up battery 7-29
7.9.2 Repair expiratory valve 7-30
7.9.3 Replace expiratory valve locking assembly 7-31
7.9.4 Repair inspiratory connection 7-32
7.9.5 Replace O2 sensor 7-33
7.9.6 Repair ON-Off switch 7-34
7.9.7 Replace gas inlet connectors 7-35
7.9.8 Replace gas inlet filters 7-36
7.9.9 Replace pneumatic assembly 7-37
7.9.10 Replace free breathing valve 7-38
7.9.11 Replace PC board B 7-39
7.9.12 Replace alarm speaker B 7-40
7.9.13 Remove sub chassis 7-41
7.9.14 Replace transformer 7-42
7.9.15 Replace fan 7-43
7.9.16 Replace line connector 7-44
7.9.17 Replace DC mains connector 7-45
7.9.18 Replace ground connector 7-46
7.9.19 Replace serial data connector 7-47
7-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a

7 Repair procedures
WARNING Post-Service Checkout is required after you complete this section. You
must perform Section 3, “Post-Service Checkout”, after performing
any maintenance, service or repair. Failure to do so may result in
patient injury.
WARNING When servicing the Centiva/5 Plus CC Ventilator, extreme care must
be taken to avoid introducing foreign debris, particularly metal chips
generated by screw threads, into the pneumatic flow passages of the
ventilator. Failure to do so may result in patient injury and damage to
the flow valve.
CAUTION Electrostatic discharge through circuit boards may damage the

components on them. Wear a static control wrist wrap before touching
the circuit boards
CAUTION Handle all circuit boards by their non-conductive edges. Use anti-
static containers when transporting them.
CAUTION To avoid damaging the pressure sensors on PC board B by over

pressure, caused by squeezed silicone pneumatic hoses, do not
squeeze the hoses during mounting or dismounting hoses at the port
of a transducer, or offset valve or hose connection.
Always touch the silicone hoses at a rigid part of the connection, such
as the pressure transducer port, the offset valve port, the hose
connector port.
TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a 7-3

7 Repair procedures
7.2 Open the System
The Centiva/5 Plus CC Ventilator has three (3) user accessible main assemblies
• The main engine
• The control panel
• The expiration valve

- for Adult/Pediatric
- for Newborn
These three assemblies can be separated by the user without using any tools. To be
able to open the system remove the expiration valve assembly first, to gain access
to all the three body screws.
Removing the control panel is necessary to gain access to the main engine from the
front side.

7 Repair procedures
7.2.1 Remove the exp. The following procedures describe how to remove the expiration valve assembly of
valve the Centiva/5 Plus CC Ventilator when:
a. external power supply is available and the ventilator is able to control the
expiration valve locking mechanism.
b. no external power supply is available, but the ventilator is still able to
control the expiration valve locking mechanism.
c. there is no power available or the ventilator is no longer able to control the
expiration valve locking mechanism.
a) Ext. power supply is Operate the system with the external power supply.
available and exp. valve 1. Connect the system to line power.
control is working
2. Turn ON the system.
3. Wait for the automatic power-up test to finish.
4. Activate VCV Adult
button
“unlock
Centiva/5 + Bi-Level
15
10
Newborn
Trend
VG MV-E
2.5
12.5
09:36:53
3.5 L2005-03-21
M S
SW 3.nn.p HW o/r
expiration
Insp.
5 Vt-E Bypass
hold
System test 350 system test
valve”.
Paw
cmH2O 2 4 6 8 10 12 14 16 18 20 mL
Ppeak 21 Exp.
Complete system set up, seal y-piece
16cmH2OUnlock
20
hold
5. Push the 10
Flow
Pmin
exp. valve
ComWheel
L/Min 2 4 6 8 10 12 14 16 18 20
Start system test by pressing
-10
<Enter> 3 Manual
Calibrate
breath cmH2O
to confirm 55O2 sensor

-20
O2-I
Ppeak 16 cmH2O P 3 cmH2O MV sp 0.0 L PEEP 50
selection.
45 AlignASR %
Pplat 13 cmH2O P -.- cmH2O Rate sp 0 /Min Rate
PEEPi 40
touch screen
10
6. The locking Pmin 3 cmH2O C 27 ml/cmH2O 8
Retain
1/Min
Body weight 55 kg
mechanism -- trend data
releases Fi02
50
Rate
Adult10 1:2.0
I:E
Pediatric
Vt Plimit PEEP I-Flow Trig.
350 Newborn
30 3 25 OFF Enter
Normal
screen
the % 1/Min ml cmH2O cmH2O L/Min L/Min
expiration
valve
VCV Adult
assembly. Centiva/5 + Newborn

15
10
Bi-Level VG
Trend
MV-E
2.5
3.5
12.5
7. The
M S
SW 3.nn.p HW o/r Insp.
5 Vt-E hold
350
expiration System test
Paw
cmH2O 2 4 6 8 10 12 14 16 18 20 mL
Ppeak 21 Exp.
valve can
20
Expiration valve unlocked.
10
16 hold
cmH2O
Ready to be removed from device.
be removed
Flow
L/Min 2 4 6 8 Pmin
10 12 14 16 18 20
-10 3 Manual
breath
from the
cmH2O
-20
O2-I 55
50
system. Ppeak 16 cmH2O P
Pplat 13 cmH2O P
3 cmH2O MV sp 0.0 LPEEP
-.- cmH2O Rate sp 0 /Min Rate
PEEPi
45
40
ASR %
8. When re-
10 1/Min
inserting --
the Fi02 Rate I:E Vt Plimit PEEP I-Flow Trig. Normal
expiration 50 10 1:2.0 350
% 1/Min
30 3 25 OFF screen
ml cmH2O cmH2O L/Min L/Min
valve, the system automatically locks the valve assembly upon proper
insertion and performs a power-up test.
Note The re-locking of the expiration valve after re-insertion only works with an
appropriate external power supply (line or DC) connected.

7 Repair procedures
b) No power available or exp. Operate the system with the internal back-up battery.
valve control does not work 1. Turn ON the system.
2. The system will prompt with an alarm message indicating that line supply is
missing.
3. Activate
VCV Adult
button Centiva/5 + Newborn

15
Bi-Level VG
Trend
MV-E
2.5
3.5
12.5
“unlock
10
M S
SW 3.nn.p HW o/r Insp.
5 Vt-E hold
expiration System test # 02_1
Paw
cmH2O 2 4 6 8 10 12
350
14 16 18 20 mL
valve”
Ppeak 21 Exp.
20
No line supply
10
16 hold
cmH2O
4. Push the
Flow
L/Min 2 4 6 8 10 Pmin
12 14 16 18 20
Check line power cord and fuse

-10 3 Unlock Manual
breath
ComWheel to
cmH2O
55exp. valve
-20
O2-I
50
confirm Ppeak 16 cmH2O P
Pplat 13 cmH2O P
3 cmH2O MV sp 0.0 L
PEEP
-.- cmH2O Rate sp 0 /Min Rate
PEEPi
45
40
ASR %
selection. Pmean 8 cmH2O

Pmin 3 cmH2O
R 7 cmH2O/L/s
C 27 ml/cmH2O 8
10 1/Min
5. The locking --
mechanism Fi02 Rate I:E Vt Plimit PEEP I-Flow Trig. Normal
releases the 50 10 1:2.0 350
% 1/Min
30 3
ml
25 OFF screen
cmH2O cmH2O L/Min L/Min
expiration valve assembly.

6. The expiration valve can be removed from the system.
c) Ext. power supply is not Under normal conditions, the expiratory valve assembly can be removed by
available, but exp. valve selecting an option in the service menu or the system test menu. If this software
control is working function is no longer available or the locking mechanism is not functioning
properly, use the following procedure to remove the expiratory valve assembly and
gain access to the one housing screw. (Emergency case)
1. Remove the panel according to section 7.2.2.

2. Remove the panel mounting plate according to
3. Use a screwdriver to move up the locking mechanism of the expiratory valve
by inserting it into the screw hole of the motor assembly and rotating
upward. Be careful not to damage the motor or the gearbox.
4. Remove the expiratory valve.

7 Repair procedures
7.2.2 Remove the To remove the control panel assembly of the Centiva/5 Plus CC Ventilator, follow
control panel this sequence
1. Turn OFF the Centiva/5 Plus.

2. Move the control panel to a full angled position.
3. Push down the two stainless steel rods to disengage the control panel
upper locking mechanism and move the control panel forward. The upper
locking mechanism is now disengaged.
Hold the control panel tight.
4. Press the two locking pins of the lower locking mechanism together to
release the lower locking mechanism and move the control panel forward.
The lower locking mechanism is now disengaged.
Hold the control panel tight.
5. Disconnect the control panel connector from the main engine and remove
the control panel completely.
6. Place the control panel on the backside to not damage or scratch the
touch screen.
7. To reassemble follow instruction above in reverse.

7 Repair procedures
7.2.3 Open the control To open the control panel of the Centiva/5 Plus CC Ventilator, follow this sequence
panel
1. Remove the control panel from the main engine.
2. Remove the six screws securing the back cover and carefully remove the
back cover.
3. Pay attention to the serial cable in the back cover.
4. Upon reassembly pay attention to the position of serial cable to prevent
kinking of cables when mounting the back cover.

7 Repair procedures
7.2.4 Control panel The open control panel of the Centiva/5 Plus CC Ventilator.
assemblies
4) 5)
3)
2)
1)
9) 8) 7) 6)
1) Encoder for ComWheel

2) Internal serial communication port
3) PC board, inverter, back light supply
4) Battery for real time clock
5) Alarm speaker A
6) DCU board
7) A EPROM
8) Control panel external serial port
9) PC board A

7 Repair procedures
7.2.5. Open the main To open the main engine of the Centiva/5 Plus CC Ventilator follow this sequence:
engine
1. Turn ON the system.
2. Remove the expiration valve according to section 7.2.1.
3. Turn OFF the system.
4. Disconnect the line power supply.
5. Disconnect the gas supplies.
6. Turn the main engine upside down.
7. Use a 3 mm hex wrench to remove the three (3) screws in the bottom.
8. Turn main engine back on its feet.
9. Remove upper housing cover by lifting it up and back.

7 Repair procedures
7.2.6. Remove the To gain access from the front side of the main engine of the Centiva/5 Plus CC
control panel plate Ventilator follow this sequence:

2. Remove the front panel according to section 7.2.2.
3. Remove panel mounting plate on main engine by removing the two (2)
screws in front.
4. Disconnect ground connection at the expiration valve locking assembly.
5. Disconnect the serial connection “X14” at the PC board B.

7 Repair procedures
7.2.7 Main engine The open main engine of the Centiva/5 Plus CC Ventilator:
assemblies
1) 13)
12)
2)
3)
11)
4)
10)
5) 6) 7) 8) 9)

7 Repair procedures
Main engine The main engine assemblies:
1) PC board B.
2) Pneumatic assembly (below battery assembly).
3) Passive over pressure relief valve.
4) Expiration valve control assembly.
5) “Patient” tube.
6) Nebulizer port.
7) Patient connection assembly.
8) O2 sensor.
9) ON / OFF switch.
10) Line voltage selector.
11) Transformer.
12) Internal battery
13) B EPROM
Sub chassis The sub chassis assemblies

14) Sub chassis
15) Alarm speaker B
16) Fan

7 Repair procedures
7.3 Service assemblies

The following are the service assemblies of the Centiva/5 Plus CC ventilator:
1. Software service kit (A&B EPROM)
2. Control panel.
a. Encoder for ComWheel
b. ComWheel button (grey)
c. PC board, inverter, back light supply
d. Battery for real time clock
e. Alarm speaker A
f. DCU board
g. PC board A
h. TFT display
i. Front housing with touch screen
j. Rear housing with mounting system
3. Maine engine
a. Control panel mount.
b. Expiratory valve assembly.
c. Expiratory valve control assembly.
d. Patient connection assembly.
e. O2 sensor.
f. Internal battery assembly.
g. Transformer.
h. PC Board “B”, w/o B EPROM.
i. Pneumatic assembly.
j. Fan assembly.
k. Alarm speaker B.
l. Line connector assembly.
m. ON /OFF switch assembly.
n. DC main connector assembly.
o. Ground stud assembly.
p. Serial data connection assembly.
q. Tubing kits.
r. Lower housing.
s. Upper housing.
For more details refer to section 8. “Illustrated Parts”.

7 Repair procedures
7.4 Change the line voltage
The Centiva/5 Plus CC Ventilator is designed to run at both 230 VAC and at 115VAC,
but requires internal switching to the appropriate line voltage. To change the line
voltage, follow this sequence:
2. Ensure that the line power supply is disconnected.
3. Ensure that the line switch is turned OFF.
4. Disconnect the main tube at the pneumatic assembly and carefully pull it
forward through the space under the expiratory valve locking assembly.
5. Pull the three-position line power connector forward to disconnect it from
the transformer.
6. Change the line supply connector to the desired voltage according to the
following connection diagram and then reconnect it to the transformer. Be
sure to align the connector so that all three pins are engaged.
230 V 115 V
7. Change the line supply fuses SI 0 a & b inside the line connector according
to the line supply voltage used:
- 2 x 1.6 A slow blow at 115 VAC line voltage
- 2 x 0.8 A slow blow at 230 VAC line voltage
For details refer to section 7.7.1.
8. Verify proper insertion of fuses and installation of the internal connector to
the transformer prior to re-assembly.
9. Verify proper labeling for fuse and supply voltage.

7 Repair procedures
7.5 Software replacement
The Centiva/5 Plus CC Ventilator’s software is stored in two independent EPROM’s

that come together in one software service kit:
• The A EPROM is located on the control panel board (PC board A).
• The B EPROM is located on the main board (PC board B).
When installing a new software version, verify that both EPROM’s, the A and the B,
are from the same version. During the power-up test, the system compares the
software revisions in both EPROM’s. If they do not match, an according message is
displayed in the message box.
When installing a new software version or replacing EPROM, follow these general
instructions:
• Always exercise proper electro static discharge (ESD) process prior and during
handling of EPROM.
• Always use special EPROM removing tools.
• Use caution to prevent bending the EPROM pins
• For the “A” EPROM mark must match the mark in PC print.
• For the “B” EPROM mark must match mark of the socket.
• Seat EPROM in socket properly by pushing the EPROM into the socket as deep
as possible.
Correct
Wrong !

7 Repair procedures
7.5.1 Change the (A) Following languarges are available in the software of the Centiva/5 Plus CC
EPROM ventilator.
a) English
b) German
c) Polish
d) Spanish
e) French
f) Italian
g) Portuguese
h) Dutch
The language part of the software is stored in the A EPROM. There is one A EPROM
for all languages, because language selection is made via the configuration menu.
See chapter 10 for more details
Special notice Contact GE Healthcare to inquire about the availability of additional languages.
To replace the A EPROM:
2. Remove control panel from main engine according to section 7.2.2.
3. Open control panel according to section 7.2.3.
4. Use a chip extractor to remove the current A EPROM.
5. Insert the new A EPROM (mark facing the panel housing).
6. Verify that the EPROM is properly inserted.
To verify proper function, turn ON the system and perform the power-up test. To
configure desired language see chapter 10 for more details.

7 Repair procedures
7.5.2 Change the main To replace the B EPROM:

(B) EPROM
3. Use a chip extractor to remove the current B EPROM.
4. Insert the new B EPROM (mark toward the left side).
5. Verify that the EPROM is properly inserted.
To verify proper function, turn ON the system and perform the power-up test.

7 Repair procedures
7.6 Change the units of pressure

The Centiva/5 Plus CC ventilator allows changing the units of pressure via the
configuration menu. For more details see chapter 10.

7 Repair procedures
7.7 Change fuses

The Centiva/5 Plus CC ventilator’s electronic system is protected by several fuses,
indicated in the overview diagrams (see section 9). The fuses are located:
• in the line connector (SI O a and b)

• on PC board A ( SI 1 - SI 4)
• on PC board B (SI 10 - SI 41).
Always use the identical type and rating when replacing a fuse. For details see list
of fuses in section 9.7.
7.7.1 Change the line To replace the line fuses inside the line connector, located on the back side of the
fuses main engine, follow this sequence:
2. Remove line power cord from line connector.
3. Using a small screwdriver open the two clamps of the fuse compartment and
carefully pull it out. The fuses are located in a spring loaded mechanism for
easy replacement.
4. Replace fuses according to the line voltage used
- 2 x 1.6 A slow blow at 115 VAC line voltage.
- 2 x 0.8 A slow blow at 230 VAC line voltage.
5. Reinsert fuse compartment with the black nose facing downwards and apply
gentle pressure until both clamps lock in place.
6. Verify proper function by connecting the system to line supply, turning the
mains switch to ON, and confirming that the green ON-OFF button on the
front of the unit is illuminated.
7. If the fuse blows again, analyze the reason prior to another replacement of
fuses.

7 Repair procedures
7.7.2 Change the The Centiva/5 Plus CC ventilator’s control panel is protected by the following fuses:
control panel fuses
(in order from left to right)
a) SI 381 = + 5V controller voltage = 0.8 A slow blow.

b) SI 380 = control panel voltage input = 0.8 slow blow.
c) SI 300 = LCD Backlight supply = 0.8 A slow blow.
d) SI 2 = Alarm horn supply = 0.315 A slow blow.
e) SI 1 = battery supply = 0.032 A fast blow.
Note Always use the identical type and rating when replacing a fuse. For details see list
To replace the fuses inside the panel follow this sequence:

2. Remove panel from main engine according to section 7.2.2.
3. Open the panel according to section 7.2.3.
4. Replace fuse.
5. Verify proper function after reassembly by performing a power-up test.
6. In case the fuse blows again, analyze the reason prior to another
replacement of fuses.
For location details of fuses refer to the component print of PC board A in section 9.

7 Repair procedures
7.7.3 Change the main The Centiva/5 Plus CC ventilator’s main engine is protected by the following fuses
engine fuses that are all located on the PC board B:
• SI 10 = Alarm speaker B = 0.315 A slow blow.
• SI 11 = Fan = 0.315 A slow blow.
• SI 21 = Transformer secondary 1 = 3.15 A slow blow.
• SI 22 = Transformer secondary 2 = 3.15 A slow blow.
• SI 23 = Line 24 V DC inlet = 3.15 A slow blow.
• SI 24 = Back-up battery = 3.15 A slow blow.
• SI 25 = Battery charger = 0.5 A slow blow.
• SI 26 = + 13 V bus = 3.15 A slow blow.
• SI 29 = isolated power supply (serial) = 0.315 A slow blow.
• SI 41 = Exp. Valve heater = 1.0 A slow blow.
Note Always use the identical type and rating when replacing a fuse. For details see list
To replace the fuses on the PC board B inside the main engine follow this
sequence:
2. Disconnect the back-up battery connector X23.
3. Replace fuse.
5. If the fuse blows again, analyze the reason prior to another replacement of
fuses.
For location details of fuses refer to the component print of PC board B in section 9.
Note It is necessary to remove the battery according to section 7.9.1 to access SI 10, SI
11, SI 25, SI 28 SI 29. Replacement of these fuses requires the use of long nose
pliers.

7 Repair procedures
7.8 Repair control panel components
7.8.1 Replace To replace the Centiva/5 Plus’ control panel’s ComWheel follow this sequence:
ComWheel encoder
1. Remove the control panel according to section 7.2.2.
3. Remove the ComWheel knob.
4. Unplug the ComWheel encoder connector.
5. Use a 14 mm wrench to remove the ComWheel nut.
6. Remove the ComWheel encoder from the panel.
7. Insert the new ComWheel encoder and reassemble as shown in the picture
with the washer on the inner side of the control panel front housing.
8. Place the spring washer below the encoder nut on the outside of the control
panel front housing and carefully fix the nut using the 14 mm wrench.
9. Reconnect the encoder connection.
10. Close the panel according to section 7.2.3.
11. Place the ComWheel button onto the encoder. Play attention that the cut in
the ComWheel button matches the cut on encoder axis.

7 Repair procedures
7.8.2 Replace To replace the PC board A, follow this sequence:

PC board A 1. Remove the control panel according to section 7.2.2.
3. Disconnect main engine connector and remove rear housing.
4. Disconnect encoder connector, screen back light connector and touch screen
connector.
5. Disconnect TFT screen connector.
6. Unscrew the serial connector and remove plug carefully from front housing.
7. Unscrew the three metal screws at the PC board’s corners.
8. Unscrew the one nylon screw to loosen the PC board A.
9. Remove the PC board A.
10. Remove A EPROM, if applicable.
11. A new PC board A comes in a transport frame to protect flex connectors.
Remove the PC board A from that transport frame by carefully cutting the
small bridges with a cutting knife or a scissor. Pay attention not to damage
the flex connectors.
12. Insert either saved A EPROM or new A EPROM into new PC board A.
13. Insert the new PC board A, and fix the three metal screws.
14. Fix the one nylon screw at the encoder.
15. Reconnect the encoder.
16. Reconnect the back light.
17. Reconnect the touch screen.
18. Reconnect the TFT screen.
19. Reconnect main engine connector.
20. Mount the rear housing with the six screws.
21. Mount the control panel to the main engine.
22. Perform serialization of the spare PC board A according to the sequence on
the next page.
Important Note When replacing the PC board A serialization of the new board is necessary. A
spare part PC board A comes without a specific serial number on the EEPROM and
allows for one time to be serialized after installation. This one time serialization
needs no additional codes etc, but only works for one time per service PC board A.

7 Repair procedures
To serialize a spare PC board A follow this sequence:

Option menu 23. Start Centiva/5 Plus and wait for the power-up test to finalize.
Serial number 19000000
24. Verify proper function after reassembly
Option key 12345678 25. Start the optionalization mode according to section 10.2.1.
26. Move the frame to the serial number area. Note that the serial number is
“19000000”. Carefully enter the Centiav/5 Plus’ serial number (serial plate,
rear side of main engine) according to the procedure described in section
Important Note 10.2.2.
27. Verify proper serial number entering prior to activating the “Save” button.
Option menu Note that when pressing the “Save” button once the serial number cannot be
Serial number 190xxxxxx
changed anymore.
Option key 12345678 28. Move the frame to the option key area and enter the Centiva/5 Plus’ released
options (option key sticker, rear side of control panel) according to section
Option menu 10.2.2, if applicable.
Serial number 190xxxxxx
29. Verify proper optionalization according to section 10.2.
Option key 12345678 30. Perform five (5) system tests successfully to rewrite all storage levels in the A
EEPROM.

7 Repair procedures
7.8.3 Replace To replace the PC board DCU, follow this sequence:

PC board DCU

3. Disconnect main engine connector and remove rear housing
4. Carefully lift PC board DCU from its two PC connectors.
5. Squeeze the nylon board secure lock to allow removing the CDU board
6. Insert the new PC board DCU into the nylon board secure lock and onto the
two PC connectors
7. Push DCU board carefully to secure PC connection.
8. Close panel.

7 Repair procedures
7.8.4 Replace LCD To replace the LCD screen with integrated back lights, follow this sequence:
screen

3. Remove PC board A according to section 7.8.2.
4. Unscrew the four chassis bolds, using a 5 mm wrench.
5. Carefully remove the TFT screen.
6. Insert a new TFT LCD screen.
7. Carefully adjust the bolds.
8. Reassemble the PC board A according to section 7.8.2.

7 Repair procedures
7.8.5 Replace front To replace the front housing with integrated touch screen and EMI screen, follow
housing with touch this sequence:
screen
3. Remove PC board A according to section 7.8.2.
4. Remove TFT screen according to section 7.8.4.
5. Replace front housing with touch screen and EMV screen.
6. Reassemble TFT screen according to section 7.8.4.
7. Reassemble the PC board A according to section 7.8.2.

7 Repair procedures
7.9 Repair main engine components
7.9.1 Remove back-up The Centiva/5 Plus CC Ventilator is equipped with a built-in back-up battery that is
battery designed to provide a minimum of 30 minutes of battery operation.
To remove or replace the battery assembly BE-120104 follow this sequence:

2. Remove the control panel plate according to section 7.2.6.
3. Use a 7 mm nut driver to remove the two stop nuts left and right of the
battery.
4. Remove the battery from the battery bracket. If replacing the back-up
battery disconnect X 23
5. Use a 7 mm nut driver to loosen the two stop nuts mounting the battery
bracket to the transformer assembly. Do not remove the nuts from the bolts.
6. Shift the battery bracket backwards to center the stop nuts with the large
bore
7. Lift the battery bracket up to remove.
8. For some calibration procedures, the back-up battery assembly is removed
to allow better access to PC board B. In those cases, the back-up battery
must stay connected to PC board B.
9. If replacing the entire assembly screw the two stop nuts M4 to the
transformer bolts with several turns.
10. Insert the new battery bracket with the stop nuts facing the large bore in the
bottom of the bracket.
11. Move the battery bracket forward to center the stop nuts with the small bore.
12. Use a 7 mm nut driver to fix the stop nuts to the battery bracket while
carefully pulling the bracket forward to center the stop nuts properly with the
small bore while fastening.
13. Insert the battery block onto the battery bracket with its cable and
connectors facing the PC board B.
14. Fix the battery to the battery bracket with the two stop nuts by using a 7 mm
nut driver.
15. Connect the battery connector X 23 to the PC board B.
16. Mount the control panel plate.
17. Close the main engine.
Note Pay attention not to squeeze or damage cables or tubes when reassembling the
battery.

7 Repair procedures
7.9.2 Repair expiratory The Centiva/5 Plus CC Ventilator is equipped with an expiration valve locking
valve mechanism that uses a motor driven locking system to properly fix the expiration
valve inside the system. To repair and inspect expiration valve:

2. Remove membrane plate (1) to gain access to the PEEP membrane
assembly (2).
3. Remove the PEEP membrane assembly (2) from the base of valve (3) and
replace membrane, if necessary.
4. In case the PEEP membrane assembly (2) is apart, lock the PEEP membrane
assembly together by inserting the silicon lock at the PEEP top seal
membrane (2a) through the PEEP PSU plate (2b) (cut edge facing 2c) and
then through the PEEP silicone membrane (2c). Pull on the lock until the
locking lip is fully engaged.
5. Insert the PEEP membrane assembly into the expiration valve with the
sealing membrane (2c) facing down. The side of the top seal (2a) marked
“top” should be facing the top.
6. Inspect and clean flow measurement port.
7. Replace and grease o-ring (5) at flow measurement port.
8. Use the inspiration connection nut of service tools to remove the flow screen
retainer (8) by turning counterclockwise.
9. Carefully remove the flow screen (7) and o-ring (6).
10. Insert o-ring (8) and the flow screen (7).
11. Use the inspiration connection nut of service tools to fix the flow screen
retainer (8) by turning clockwise.
12. Verify proper function after reassembly by performing a system test.

7 Repair procedures
7.9.3 Repair expiratory The Centiva/5 Plus CC Ventilator is equipped with an expiration valve locking
valve locking assembly mechanism that uses a motor driven locking system to properly fix the expiration
valve inside the system. To remove the expiration valve locking assembly:

3. Remove the panel mounting plate according to section 7.2.6.
5. Remove back-up battery according to section 7.9.1.
6. Disconnect X 42 on PC board B.
7. Disconnect the ground connection at the front of the assembly.
8. Disconnect tube A from the expiration valve locking assembly (left side).
NOTE: Check caution note in section 7.1. !
9. Disconnect “patient” tube at the inspiratory connection.
10. Unscrew three screws at the bottom of the assembly, one on the left side, two
on the right side.
11. Remove the entire assembly by lifting it up and to the right.
12. When inserting the assembly place the three screws into the assembly before
placing it into the system.
13. Fix the three screws at the bottom of the assembly.
14. Reconnect “patient” tube at the inspiratory connection.
15. Reconnect tube A to the expiration valve locking assembly. NOTE: Check
caution note in section 7.1. !
16. Reconnect the ground connection at the front of the assembly.
17. Reconnect X 42 on PC board B.
18. Insert back-up battery according to section 7.9.1.
19. Close the main engine; add the control panel and expiratory valve.

7 Repair procedures
7.9.4 Repair inspiratory The inspiratory connection assembly includes the O2 sensor, the connection to the
connection pneumatic assembly and the connection to the pressure measuring port. To
replace the inspiratory connection assembly:

5. Disconnect cable X 31 at the O2 sensor connection.
6. Disconnect “patient” tube of pneumatic assembly at the inspiratory
connection.
7. Use the “inspiratory connection nut” from ST 5 to unscrew the black front nut
of the inspiratory connection.
8. Remove the inspiratory connection from the housing.
9. Disconnect tube B (patient pressure line) from the inspiratory connection.
10. Upon re-inserting the inspiratory connection pay attention to match the inner
housing of the inspiratory connection with the anti-turn of the lower cabinet.
11. Reconnect tube B from the inspiratory connection.
12. Use the “inspiratory connection nut” from ST 5 to fix the black front nut of the
inspiratory connection.
13. Reconnect cable X 31 at the O2 sensor connection.
14. Close the main engine, add the control panel and expiratory valve.

7 Repair procedures
7.9.5 Replace O2 The O2 sensor is located within the inspiratory connection assembly. To replace the
sensor O2 sensor:

3. Disconnect X 31 at the O2 sensor connection.
4. Remove the O2 sensor from the inspiratory connection assembly by turning it
counterclockwise.
5. Replace the O2 sensor and verify that the red seal is properly positioned
between the O2 sensor and the inspiratory connection. Do not use a tool, only
make hand tight.
6. Reconnect X 31 at the O2 sensor connection.
7. Insert the panel mounting plate according to section 7.2.6.
8. Insert the control panel according to section 7.2.2.
9. Allow the new O2 sensor to stabilize for approximately 5 minutes in room air
prior to calibration.
10. After reassembly, perform an O2 calibration according to section 4.7.1.
CAUTION Use only genuine spare parts when replacing O2 sensor.

7 Repair procedures
7.9.6 Repair ON-OFF The ON-OFF switch is located on the right lower side of the front. The ON-OFF switch
switch is illuminated whenever the system is supplied by mains power and the line switch
on the back of the unit is turned ON. To repair the light or the cover:
1. Turn OFF the system.

2. Remove the green cover (1) by inserting a small screwdriver into the cover slot
and pulling forward.
3. Remove the white diffuser (2) with a small screwdriver.
4. Remove the bulb/LED (3) from switch body (4) with a 2 mm silicon tube or
small pliers.
5. Replace bulb/LED and reinsert white diffuser (3) and green cover (2).
To replace the entire ON-OFF switch:

5. Disconnect X 24 at PC board B.
6. Unscrew the plastic nut (5) on the inside of the housing.
7. Slide the nut over the switch body (4), cable and connector.
8. Pull the ON-OFF switch out from the front and replace.
9. Slide the nut over the switch body (4), cable and connector.
10. Fix the plastic nut (5) on the inside of the housing. Note that the slotted end of
the nut is toward the front.
11. Reconnect X 24 at PC board B.
CAUTION Centiva must be disconnected from AC- mains supply. Possible risk of
short-circuit when using metal tools when replacing bulb/LED. Switch
OFF the mains switch on the rear side and unplug the AC power cable.

7 Repair procedures
7.9.7 Replace gas inlet The pneumatic inlet has two gas connections, one for AIR and one for O2. To match
connectors connector needs of different standards these gas connections can be exchanged
without opening the main engine. To replace the gas inlet connectors:
1. Turn the unit upside down.

2. Use a 22 mm wrench to unscrew the gas connector for AIR first.
3. Use a 22 mm wrench to unscrew the gas connector for O2.
4. Replace gas connector and first screw connector for O2.
Note Check that the gas inlet filters are properly seated.
There are different gas inlet connector standards available (NIST, DISS f, DISS m,
S90-116, G 3/8 BSPP)
Caution Ensure that gas connector type matches correct gas inlet type.
(AIR – AIR, O2 – O2) The gas connector type is marked accordingly.

7 Repair procedures
7.9.8 Replace gas inlet Each of the gas inlets has a sinter filter to protect the pneumatic assembly for
filters foreign material. If the filter's resistance is increased due to debris, the system will
alarm with a message during system test to clean the filter element. To replace the
filter:
1. Remove the gas inlet connector according to section 7.9.7.

2. Remove and replace the gas filter from the gas connector.
Note Note that the filter for AIR and O2 are identical.

7 Repair procedures
7.9.9 Replace The pneumatic assembly contains the four inspiratory valves, the flow control for
pneumatic assembly O2 and AIR, the gas supply pressure sensors, the passive and the active over
pressure relieve valve, the free breathing valve and the pneumatic PC board with
temperature sensor. To remove the pneumatic assembly:
1. Remove the gas inlet connector according to section 7.9.7.

5. Remove the expiratory valve locking assembly according to section 7.9.3.
6. Remove battery assembly according to section 7.9.1.
7. Remove the “patient” tube from the pneumatic assembly.
8. Disconnect the nebulizer tube at the nebulizer front connection.
9. Disconnect the flow measurement tubes C/C’ and D/D’ at the tube
connectors.
Note Check caution note in section 7.1. !
10. Disconnect the common “ambient” tube of pressure sensors on the pneumatic
assembly. NOTE: Check caution note in section 7.1. !
11. Disconnect the flat cable X 44 on PC board B.
12. Disconnect ground connection at common ground on sub chassis.
13. Disconnect the transformer connector according to section 7.4.
14. Unscrew the one mounting screw of the pneumatic assembly.
15. Remove the pneumatic assembly by lifting it up about 4 mm and then forward.
16. Reassemble by following the instructions above in reverse.
The pneumatic assembly is tightly fitted within the assemblies. Remove it carefully.
To ease lifting either unscrew the transformer power connector from the sub chassis
or carefully bend the transformer power connector 2 mm to the right.
Reassembly of the common ground connection requires a contact washer between
sub chassis and first connector and a spring washer between the last connector
and the nut.

7 Repair procedures
7.9.10 Replace free The free breathing valve is mounted on the pneumatic assembly.
breathing valve To remove the free breathing valve:
1. Remove the pneumatic assembly according to section 7.9.9.

2. Disconnect the active pressure relief valve connector X8 from the pneumatic
assembly PC board.
3. Unscrew the two screws to remove the passive over pressure relief valve
solenoid.
4. Remove the solenoid moving core from the rod.
5. Turn the pneumatic assembly upside down.
6. Unscrew the four screws of the free breathing valve retainer.
7. Remove the free breathing valve retainer and the free breathing valve from the
pneumatic assembly.
8. While inserting the free breathing valve pay attention to proper seating.
Incorrect seating (e.g. with incorrect tension on the valve’s silicon springs) can
cause leaks.
9. Insert the free breathing valve retainer and fix it with the four screws.
10. Add the solenoid moving core to the rod.
11. Fix the two screws of the passive over pressure relief valve solenoid.
12. Reconnect the active pressure relief valve connector X8 to the pneumatic
assembly PC board.
Note The stainless steel rod, that connects with the over pressure relief valve, opens the
free breathing valve when activated. Ensure free moving of the rod after reassembly
of the over pressure relief valve.

7 Repair procedures
7.9.11 Replace PC The PC board B is located on the sub chassis. To replace the PC board B:
board B
5. Disconnect electrical connectors X 21, X 22, X23, X 10, X15, X16, X 24, X 31,
X 42 and X 44.
6. Disconnect exp. flow measuring tube A at the expiratory valve control
assembly. NOTE: Check caution note in section 7.1. !
7. Disconnect pressure measuring tube B at the tube connector.
8. Disconnect flow measurement tubes C/C’ and D/D’ at the tube connectors.
9. Disconnect “ambient” tube for the pressure transducers at the T-piece towards
the pneumatic assembly.
Note Check caution note in section 7.1. !
10. Unscrew the three nuts (top left, top middle and top right), fixing the PC board
B to the sub chassis by using a 5.5 mm wrench.
11. Remove the PC board B by lifting it forward and up.
12. Replace the PC board B and fix the three nuts.
13. Reconnect “ambient” tube, flow measurement tubes C/C’ and D/D’, pressure
measuring tube B and exp. flow measuring tube A.
14. Reconnect electrical connectors X 21, X 22, X23, X 10, X15, X16, X 24, X 31, X
42 and X 44.
15. Perform all calibrations according to section 4.7.1 to 4.7.8
16. Insert back-up battery according to section 7.9.2.
18. Perform five (5) system tests successfully to rewrite all storage levels in the B
EEPROM.

7 Repair procedures
7.9.12 Replace alarm The alarm speaker B is located on the rear of the sub chassis. To replace the alarm
speaker B speaker:

2. Unplug alarm speaker connector X 16.
3. Remove the two mounting screws of the alarm speaker on the back panel.
4. Replace the alarm speaker.
5. Mount the alarm speaker with a spacer per screw between sub chassis and
alarm speaker, the cable towards the middle of the sub chassis.
6. Connect the alarm speaker connector X 16.
7. Close the main engine, add expiratory valve.

7 Repair procedures
7.9.13 Remove sub The sub chassis contains the PC board B, the alarm speaker B, the transformer
chassis assembly and the fan. To replace fan or transformer the sub chassis must be
removed. The sub chassis must also be removed to gain access to the rear
connectors (AC mains connector, DC mains connector, ground connector, serial
connector). To remove the sub chassis:

5. Remove the expiratory valve locking assembly according to section 7.9.3.
6. Disconnect electrical connectors X 21, X 22, (X23), X 10, X15, X16, X 24, X 31,
(X 42) and X 44.
7. Loose tape fixing of cable X 10 on rear side of sub chassis.
8. Use a 7 mm nut driver to remove the common ground and disconnect all
ground lines from the sub chassis.
9. Disconnect the transformer connector according to section 7.4.
10. Disconnect pressure measuring tube B at the tube connector.
11. Disconnect flow measurement tubes C/C’ and D/D’ at the tube connectors.
12. Disconnect “ambient” tube for the pressure transducers at the T-piece towards
the pneumatic assembly.
13. Disconnect the “patient” tube at the inspiratory connection to gain better
access to the front left sub chassis fixing nut.
14. Use a 7 mm nut driver to remove the two nuts left and right in front of the
transformer and the two nuts left and right behind the transformer.
15. Lift the back of the sub chassis and move it up and forward.
16. Reassemble by following the instructions above in reverse.
Note Reassembly of the common ground connection requires a contact washer between
sub chassis and first connector and a spring washer between the last connector
and the nut.

7 Repair procedures
7.9.14 Replace The transformer is mounted on the sub chassis. To remove the transformer:
transformer
1. Remove the sub chassis according to section 7.9.14.
2. Disconnect the three primary wires at the line connector.
3. Use a 7 mm wrench to unscrew the two nuts in front.
4. Use a 7 mm nut driver to unscrew the one nut in the back of the transformer.
5. Replace the transformer.
6. When mounting the transformer pay attention to have the cables on the proper
side (left side seen from the front).
7. Fix the three nuts.
8. Reconnect the three primary wires at the line connector.
Connect the primary wires with the black lead in the center position.

7 Repair procedures
7.9.15 Replace fan The fan is located on the sub chassis. To remove the fan:

2. Unscrew the four screws with stop nuts.
3. Replace the fan.
4. When mounting the fan be sure to have the cable on the proper side (towards
the inside) and the airflow indicator arrow on the fan pointing down.
5. Fix the fan screws with stop nuts.

7 Repair procedures
7.9.16 Replace line The line connector is located on the rear of the main engine. To replace the line
connector connector:

2. Bend the top and bottom plastic locks together.
3. Remove the line connector to the outside.
4. Replace the line connector.
5. When replacing the line connector be sure to have the switch at the top and
remember to insert the proper line fuses according to the selected line voltage.
Note The line cable ferrite needs to be placed according to the photo to allow the sub
chassis to be mounted properly.

7 Repair procedures
7.9.17 Replace DC The DC mains connector is located on the rear of the main engine. To replace the
mains connector DC mains connector:

2. Disconnect the wires from connector X 22.
3. Use a 17 mm wrench to remove the nut from the connector on the inside of the
housing.
4. Remove the DC mains connector to the outside.
5. Replace the DC mains connector.
6. When replacing the DC mains connector be sure to reconnect the wires to
connector X 22 in the proper order.
4 orange
5 red X 22
blue
6

7 Repair procedures
7.9.18 Replace ground The ground connector is located on the rear of the main engine. To replace the
connector ground connector:

2. Use a 10 mm wrench to remove the nut from the connector.
3. Remove the ground connector to the outside.
4. Replace the ground connector.
5. When replacing the ground connector, be sure to properly mount the outside
label prior to reinsertion.

7 Repair procedures
7.9.19 Replace serial The serial data connector is located on the rear of the main engine. To replace the
data connector serial data connector:

2. Use a 5 mm nut driver to remove the nuts from the serial data connector.
3. Remove the serial data connector to the outside.
4. Replace the serial data connector.
Note Upon reinstallation pay attention to have the small side of the D sub 9 facing down.

7 Repair procedures
Notes

8 Illustrated Parts
In this section 8.1 Special instructions 8-2

8.2 Service tools 8-2
8.2.1 Calibration accessories kit, ST 2 8-2
8.2.2 Test lung kit, ST 3 8-2
8.2.3 “Service” flow screen ST5 8-2
8.2.4 Tool kit, ST 4 8-3
8.2.5 Test equipment specifications 8-3
8.3 Software 8-4
8.4 Control panel spare parts 8-4
8.5 Expiration valve spare parts 8-9
8.6 Main engine spare parts 8-11

8 Illustrated parts
8.1 Special instructions
Apply a thin coat of oxygen-use-approved lubricant to o-rings prior to installation

(unless otherwise noted).
When replacing fittings, position the barb end in the same direction as the original
fitting to make the routing and connection of tubing easier.
8.2 Service tools
8.2.1 Calibration The calibration accessories kit (P/N MA-640008) consists of

accessories kit, ST 2 • 2 x 22 mm corrugated tube, 15”
• 22 mm sealer.
8.2.2 Test lung kit ST 3 The test lung kit (P/N AZ-381501) consist of
• Test lung with built in resistor, Vt range = 50 – 500 ml
R approx. 15 – 25 mbar/l/s, , C approx. 10 - 30 ml/mbar
• Filter
Note This test lung kit is used for servicing the Centiva/5 Plus ventilator. Test lungs with
different compliance and resistance characteristics may not match test lung
related data in this service manual.
Note A minimum resistance of 5 mbar/l/s is required.
8.2.3 “Service” flow The “Service” flow screen (P/N CX-526165) is a flow screen with tolerance “0%”,
screen ST 5 used for calibration of the expiratory flow sensor according to chapter 4.7.5.The
flow screen comes in a plastic protection case.
8-2 TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.50.a

8 Illustrated parts
8.2.4 Tool kit ST 4 The tool kit (P/N MA-640007) consist of

• Pozidrive, screw driver, PH L1
• Inspiration connection nut
• Nut driver, size M 7
• Allen wrench, size M 3
• Nut driver, size M 5.5
• Nut driver, size M 20/22
• Tightening key
• Calibration screw driver
• EPROM grip
• Tool bag
This tool kit is designed for field service. Other tools can be used as long as their
sizes match the above.
8.2.5 Test equipment Instrumentation used to service the Centiva/5 ICU Ventilator must meet or exceed
specifications the following specifications:
• Pressure meter
• Pressure range 0 – 90 mbar
• Accuracy ± 0.1 mbar
• Flow meter
• Flow range 0 – 150 L/Min
• Accuracy ± 0.05 L/Min or 2% of reading,
• Calibrated for AIR and O2
• Multi meter
• Type Standard multi meter
• Parameter VAC, VDC, AAC, ADC, Ohm
• Accuracy ± 1%
TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.50.a 8-3

8 Illustrated parts
8.3 Software
Software service kit Pos. Order Number Description

1 BZ-529350 Centiva/5 Plus EPROM kit
The software service kit provides the latest released software revision and contains
both necessary EPROMs, including all options.
8.4 Control panel spare parts
Mounting bracket Pos. Order Number Description

1 CM-510126 Control panel mounting bracket
2 DB-449133 Screw M5 x 10 (not shown, 2 required)

8 Illustrated parts
ComWheel Pos. Order Number Description

1 898794 CW-769161, ComWeel button (grey) for
Encoder
2 ES-760290 Encoder for ComWheel with nut and washer
3
4
PC board DCU Pos. Order Number Description

1 M1054877 EB-720740 DCU board C+, multi language
2 DI-502921 PC board locker pin

8 Illustrated parts
PC board A Pos. Order Number Description

1 M1054879 BE-121050PC board A, C+,
in transport frame
with neutral serial number for one time
serialization
without EPROM
without PC board DCU
without PC board inverter
without alarm speaker A.
2 EF-761079 Fuse 0.8 A slow, 5 x 20 mm (not shown)
Note To protect flex connectors keep PC board A in transport frame until use.

8 Illustrated parts
PC board Inverter Pos. Order Number Description

1 EB-720727 PC board, inverter, back light supply
2 BE-120091 Cable to inverter PC board
3 DI-502702 Locker pin, 2 required
Display Pos. Order Number Description

1 M1054880 EB-720734 TFT display, 12”, with back light
2 DB-452322 Screw, M3 x 8, 4 required
3 DI-502810 Spacer, 3.6, 4 required

8 Illustrated parts
Alarm speaker A Pos. Order Number Description

1 M1054881 ES-754809 Alarm speaker C+
2 DI-501702 Locker pin, 2 required
3 DC-482804 Washer , plastic, 3,2 mm, 2 required
Control panel connecting Pos. Order Number Description

cable 1 M1049867 MA-120019 Control panel connecting
cable kit

8 Illustrated parts
8.5 Expiration valve spare parts
Expiration valve assembly Pos. Order Number Description

- Standard 1 BM-352385 Standard expiration valve assembly, (silver)
complete
Pos. Order Number Description

2 BM-352386 PEEP membrane assembly, complete
2a) CM-525531 PEEP TOP seal membrane
2b) CM-510130 PEEP PSU plate
2c) CM-510129 PEEP Silicone membrane
3 CM-510111 Stainless steel plate for PEEP membrane
4 DO-628232 O-ring 30 x 2
5 DO-628204 O-ring 6 x 1.5, for flow measurement port
6 CM-523034 Flow screen, Standard
7 CM-510133 Retainer for flow screen
- MA-640000 PEEP valve PM kit, consisting of Pos. 2, 4, 5
7 6 5 4 2 3

8 Illustrated parts
Expiration valve assembly Pos. Order Number Description

- Newborn 1 BM-352397 Newborn expiration valve assembly, (blue)
complete
Pos. Order Number Description

2 BM-352386 PEEP membrane assembly, complete
2a) CM-525531 PEEP TOP seal membrane
2b) CM-510130 PEEP PSU plate
2c) CM-510129 PEEP Silicone membrane
3 CM-510111 Stainless steel plate for PEEP membrane
4 DO-628232 O-ring 30 x 2
5 DO-628204 O-ring 6 x 1.5, for flow measurement port
6 CM-523035 Flow screen, Newborn
7 CM-510133 Retainer for flow screen
- MA-640000 PEEP valve PM kit, consisting of Pos. 2, 4, 5
7 6 5 4 2 3

8 Illustrated parts
8.6 Main engine spare parts
Expiratory valve control Pos. Order Number Description

assembly 1 BM-352383 Expiration valve control assembly (without
expiration valve assembly)
MA-352383 Expiration valve control assembly (without
expiration valve assembly). refurbished
2 DB-452322 Screw M3 x 8, 2 required
3 DH-473704 Washer, 3.2, 2 required
4 DA-444201 Screw M3 x 6, 1 required
5 CE-126092 Cable to B board

8 Illustrated parts
Patient connection assembly Pos. Order Number Description

1 BM-352210 Patient connection assembly, without O2
sensor, without patient tube
2 CM-510137 Front cone
O2 sensor Pos. Order Number Description

1 EB-758190 O2 sensor
2 CE-126096 Cable to O2 sensor
Patient tube Pos. Order Number Description

1 CS-615042 Patient tube, 22mm x 250 mm

8 Illustrated parts
Back-up battery assembly Pos. Order Number Description

1 M1054900 BE-120104 Battery pack, 24 V, complete
2 DE-490460 Nut, M4 with washer, 2 required
Transformer Pos. Order Number Description

1 BE-120088 Transformer
2 EX-744350 Connector, line power (not shown)
3 DE-490460 Nut, M4 with washer, 3 required

8 Illustrated parts
PC board B assembly Pos. Order Number Description

1 BE-120120 PC Board B, without B EPROM
MA-120120 PC Board B, without B EPROM, refurbished
2 EF-761080 Fuse 0.5 A slow blow, 5 x 20 mm (not
shown)
shown)
shown)
shown)
6 DG-463004 Nut, M3, 3 required
7 DI-502810 Spacer, 3.6, 3 required

8 Illustrated parts
Pneumatic assembly Pos. Order Number Description

1 BM-352396 Pneumatic assembly, complete
MA-352396 Pneumatic assembly, complete,
refurbished
2 DG-460460 Screw M4 x 35
Free breathing valve Pos. Order Number Description

1 DO-626000 Free breathing valve

8 Illustrated parts
Gas connectors Pos. Order Number Description

1 CM-530043 NIST connector AIR
2 CM-530044 NIST connector O2
3 CM-530045 DISS connector AIR
4 CM-530046 DISS connector O2
5 CM-530047 BSBP G ¼ connector AIR
6 CM-530048 BSBP G ¼ connector O2
7 CM-530049 BSBP G 3/8 connector AIR
8 CM-530050 BSBP G 3/8 connector O2
9 CM-530051 S90/116 connector AIR
10 CM-530052 S90/116 connector O2
11 CM-530053 DISS FEMALE connector AIR
12 CM-530054 DISS FEMALE connector O2
13 DO-628208 O-ring 8,3 x 2,4, fits all connectors
Gas connector filters Pos Order Number Description

1 CM-525764 Sinter filter universal
2 DO-628203 O-ring 5x1 to sinter filter

8 Illustrated parts
Fan assembly Pos. Order Number Description

1 EM-777213 Fan, complete
2 DA-444224 Screw, M4 x 12, 4 required
3 DG-463013 Nut, M4 self secure, 4 required
Alarm speaker B Pos. Order Number Description

1 BE-120101 Alarm system for PC board B, complete
2 DB-452322 Screw, M3 x 8, 2 required
3 DH-473704 Washer, 3.2, 8 required
4 DG-463004 Nut, M3, 2 required

8 Illustrated parts
Line connector assembly Pos. Order Number Description

1 BE-133434 Line connector assembly, complete
2 EF-761079 Fuse 0.8 A slow blow, 5 x 20 mm, (for 230 V
line voltage) (not shown, 2 required)
3 EF-761086 Fuse 1.6 A slow blow, 5 x 20 mm, (for 115 V
line voltage) (not shown, 2 required)
ON / OFF switch assembly Pos. Order Number Description

1 BE-120114 ON / OFF switch assembly, complete
2 ES-754476 Green cap
3 ES-754477 White inlay
4 EU-748295 LED light, green, 24 V
1) 4) 3) 2)

8 Illustrated parts
DC main connector assembly Pos. Order Number Description

1 BE-120095 DC Main connector assembly, complete
Ground stud assembly Pos. Order Number Description

1 EY-750840 Ground stud
2 EY-750842 Color code plate
3 CM-919026 Label (not shown)
4 DG-463008 Nut M6
5 BE-120112 Cable to common ground (not shown, 1
required)
6 DH-473763 Washer, contact M6/8 2-A4
7 DH-473707 Washer, spring A 6.5 (not shown, 1
required)
4) 6) 2) 1)

8 Illustrated parts
Serial data connector Pos. Order Number Description

assembly 1 BE-120094 Serial data connection assembly, complete
with nuts and bolts
Sub chassis Pos. Order Number Description

1 DE-490460 Nut M4 with washer (not shown, 4 required)
Tubing kit Pos. Order Number Description

1 MA-640002 Tubing kit, consisting of
tube set A
tube set B
tube set C
tube set D
Upper housing Pos. Order Number Description

1 BM-352408 Upper housing

8 Illustrated parts
Lower housing Pos. Order Number Description

1 CM-510157 Lower housing without assemblies
2 CW-768471 Housing feet (not shown, 4 required)
3 DG-460336 Screw, M4 x 70 mm (not shown, 1 required)
4 DG-460337 Screw, M4 x 110 mm (not shown, 2
required)
5 CX-526323 Locker pole (not shown, 1 required)
Labels Pos. Order Number Description

1 CM-919029 Serial number plate, without s/n
2 MA-640003 Labeling kit, 115V
3 MA-640005 Labeling kit, 230 V
Nebulizer parts Pos. Order Number Description

1 CM-522200 Nebulizer connection
2 DE-490708 Nut to nebulizer connection M8
3 CS-615052 PVC tube nebulizer, 4x1, 200 mm

8 Illustrated parts
Hardware kit Pos. Order Number Description

1 MA-640006 Hardware kit Centiva/5, consists of
different nuts
different bolds
different washers
different spacers
etc.
to build a Centiva/5
Service tools Pos. Order Number Description

1 AZ-381501 Test lung kit, ST3
2 MA-640007 Tool kit. ST4
Line plug locking spring Pos. Order Number Description

1 EY-750691 Line plug locking spring

9 Schematics and Diagrams
In this section 9.1 Pneumatic diagram 9-2

9.2 Electrical diagram 9-4
9.3 Component layout, PC board B 9-6
9.4 Component layout, PC board A 9-7
9.5 Tubes and connectors 9-8
9.6 List of fuses 9-11
9.7 Screw connectors 9-12
9.8 Accepted ranges 9-13
9.9 Sensor data ranges 9-14
9.10 Serial data transfer 9-15

9.1 Pneumatic diagram

Legend to pneumatic diagram
Identifier Description
P01 O2 input
P02 O2 supply pressure sensor
P03 Proportional solenoid, O2, flow # 1
P04 Proportional solenoid, O2, flow # 2
P05 Offset solenoid O2 flow
P06 Flow screen O2 flow
P07 Internal hoses
P11 AIR input
P12 AIR supply pressure sensor
P13 Proportional solenoid, AIR, flow # 1
P14 Proportional solenoid, AIR, flow # 2
P15 Offset solenoid, AIR flow
P16 Flow screen, AIR flow
P19 Spontaneous breathing valve (free breathing valve)
P20 Overpressure relief vale (passive)
P21 Pressure limiting solenoid (active)
P22 Offset solenoid airway pressure
P23 Inspiratory connector (patient connection)
P24 Breathing circuit
P25 y-piece
P26 Expiratory connector (exp. valve)
P27 Expiratory (PEEP) valve
P28 Offset solenoid expiratory flow
P29 Flow screen, expiratory flow
P31 Pressure reducer O2
P32 Pressure reducer AIR
P33 Nebulizer gas selection solenoid
P34 Nebulizer O2 solenoid
P35 Nebulizer AIR solenoid
P36 Nebulizer connection
EB M01 AIR flow sensor
EB M06 O2 flow sensor
EB M11 Airway pressure sensor
EB E01 Expiratory flow sensor
EB S20 O2 sensor
P 08, P 09, P 10, P17, P 18, Not applicable

P 30 Not applicable

9.2 Electrical diagram


9.3 Component layout, PC board B

9.4 Component layout, PC board A

9.5 Tubes and connectors
Main board B with offset valves “Fluid automation”

Connectors on PC board A
(control panel)
Identifier Where located To connect No. of pins

X1 Control Panel PC board A Alarm speaker, control panel 2
ST1, ST4 Control Panel PC board A DCU board 16
X3 Control Panel PC board A Back light inverter 8
X5 Control Panel PC board A ComWheel 6
X 12 Control Panel PC board A TFT screen 24
X 14 Control Panel PC board A SIO, to main engine 4
X30 Control Panel PC board A Touch screen 5
Connectors on PC board B
(main engine)
Identifier Where located To connect No. of pins

X10 Main engine PC board B Serial com port 5
X12 Main engine PC board B N/A 4
X14 Main engine PC board B SIO, to control panel 4
X15 Main engine PC board B Fan 3
X16 Main engine PC board B Alarm speaker, main engine 2
X21 Main engine PC board B Mains, line supply, transformer 3
X22 Main engine PC board B Mains, external DC supply 3
X23 Main engine PC board B Internal battery 2
X24 Main engine PC board B On- Off switch 4
X31 Main engine PC board B O2 sensor 3
X42 Main engine PC board B PEEP valve assembly 10
X44 Main engine PC board B Pneumatic assembly 16

Tubes
Identifier From To Type
Within PC board B
A Transducer A Offset valve A Silicon, 5 mm φ
B Transducer B Offset valve B Silicon, 5 mm φ
C Transducer C Offset valve C Silicon, 5 mm φ
D Transducer D Offset valve D Silicon, 5 mm φ
From PEEP valve control assembly to PC board B

A Expiratory flow port Offset valve A Silicon, 5 mm φ
From inspiratory connection assembly to PC board B

B Patient (Airway) pressure Offset valve B Silicon, 5 mm φ
port
From pneumatic assembly to PC board B

C AIR flow, upper port Offset valve C Silicon, 5 mm φ
C’ AIR flow, lower port Transducer C – T piece -Offset Silicon, 5 mm φ, T piece
valve C
D O2 flow, upper port Offset valve D Silicon, 5 mm φ
D’ O2 flow, lower port Transducer D – T piece -Offset Silicon, 5 mm φ, T piece
valve D
n/a Ambient port T-piece - transducer A, Silicon, 5 mm φ, T piece
T-piece - transducer B,
T-piece - offset valve A,
T-piece - offset valve B
From inspiratory connection assembly to pneumatic assembly

n/a Inspiratory port Exit of pneumatic assembly “white” patient tube, 22 mm φ

9.6 List of fuses
230 V line voltage
Identifier Where located To secure Type Value

SI 0 a Line inlet connector Line supply 5 x 20 mm 0.8 A slow blow
SI 0 b Line inlet connector Line supply 5 x 20 mm 0.8 A slow blow
115 V line voltage

SI 0 a Line inlet connector Line supply 5 x 20 mm 1.6 A slow blow
SI 0 b Line inlet connector Line supply 5 x 20 mm 1.6 A slow blow
Internal fuses
SI 1 Control Panel PC board A Battery supply 5 x 20 mm 0.032 A fast blow
SI 2 Control Panel PC board A Buzzer supply 5 x 20 mm 0.315 A slow blow
SI 300 Control Panel PC board A LCD back ligth 5 x 20 mm 0.8 A slow blow
SI 380 Control Panel PC board A Control panel supply 5 x 20 mm 0.8 A slow blow
SI 381 Control Panel PC board A 5 V controller supply 5 x 20 mm 0.8 A slow blow
SI 10 Main engine PC board B Buzzer supply 5 x 20 mm 0.315 A slow blow
SI 11 Main engine PC board B Fan 5 x 20 mm 0.5 A slow blow
SI 21 Main engine PC board B Transformer sec. 1 5 x 20 mm 3.15 A slow blow
SI 22 Main engine PC board B Transformer sec. 2 5 x 20 mm 3.15 A slow blow
SI 23 Main engine PC board B Line DC inlet 5 x 20 mm 3.15 A slow blow
SI 24 Main engine PC board B Back-up battery 5 x 20 mm 3.15 A slow blow
SI 25 Main engine PC board B Battery charger 5 x 20 mm 0.5 A slow blow
SI 26 Main engine PC board B + 13 V bus 5 x 20 mm 3.15 A slow blow
SI 41 Main engine PC board B Exp. Valve heater 5 x 20 mm 1.0 A slow blow

9.7 Screw Connectors

Line connector
230 V 115 V
Transformer connector
1 grey
X 21 2 orange
3 grey
External DC connector
4 orange
X 22 5 red
6 blue
Internal battery connector
7 red
X 23
8 blue

9.8 Accepted ranges
Mains line supply Accepted range

AC line voltage 115 V 98.0 to 132 V AC, 50 to 60 Hz
AC line voltage 230 V 198 to 263 V AC, 50 to 60 Hz
DC mains voltage 22.5 to 28.0 V DC
Power consumption < 50 W
Breathing circuit Accepted range

Total compliance 0.5 to 5.0 mL/mbar
Insp. resistance < 6.0 mbar/L/s (SW rev. 2.21 +)
Total resistance < 15 mbar /L/s (SW rev. 2.21 +)
Resistance test flow 60L/min in Adult mode, 30 L/min in Pediatric mode
Total leakage < 1,000 mL/min
Nebulizer supply pressure 16 to 20 kPa, 22.5 to 28.2 PSI (at given flow range)
Nebulizer flow range 4.0 to 12.0 L/min
Nebulizer gas source AIR at FiO2 < 60%, O2 at FiO2 >= 60 %
Service menu Accepted range

Line voltage AC 19.0 to 29.0 V DC
Line voltage DC 22.5 to 28.0 V DC
Panel voltage 12.5 to 17.0 V
Valve voltage 11.5 to 15.0 V
(Back up) battery voltage 22.5 – 29.0 V DC
Controller A voltage 4.50 to 5.50 V DC
Controller B voltage 4.50 to 5.50 V DC
Heater power 0.0 to 12.0 W
Exp. temperature 5.0 to 48.0 °C
Insp. temperature 5.0 to 48.0 °C
Gas supply Accepted range

AIR supply pressure 280 to 600 kPa, 40 to 80 PSI
O2 supply pressure 280 to 600 kPa, 40 to 80 PSI
AIR pressure reducer setting 2.7 to 2.8 kPa, 38.0 to 39.5 PSI
O2 pressure reducer setting 2.7 to 2.8 kPa, 38.0 to 39.5 PSI
AIR supply pressure low signal 1.6 to 2.2 kPa, 23 to 31 PSI
O2 supply pressure low signal 1.6 to 2.2 kPa, 23 to 31 PSI
AIR supply flow Minimum 110 L/min
O2 supply flow Minimum 110 L/min
AIR supply flow low signal 106 to 108 L/min
O2 supply flow low signal 106 to 108 L/min
AIR 2nd stage flow valve turn on 42 to 45 L/min
O2 2nd stage flow valve turn on 42 to 45 L/min

9.9 Sensor data ranges

The following data ranges deal with the four pressure sensors, used to measure
• Pat. pressure = Airway pressure
• Exp. flow = Expiration flow, measured via differential pressure
• AIR flow = Inspiration flow AIR, measured via differential pressure
• O2 flow = Inspiration flow O2, measured via differential pressure
The sensor offset values are defined in different accepted ranges

• No readjust range = Offset value is within an area where re-
adjustment is not necessary.
• Max. auto correct range = Offset values are automatically
corrected by the software during auto zeroing
For sensor offset values that are outside the “No readjust” offset re-adjustment is
necessary.
According to the sensor’s warm-up drift always allow the Centiva/5 to warm up for
at least 15 minutes, before taking data or performing any calibration.
Rated values vary with software revisions.
Type of sensor Rated (Center) No readjustment necessary range Max. automatic correction range
Pat. pressure 0.00 mbar - 0.8 to + 0.8 mbar - 3.0 to + 3.0 mbar
Exp. flow 500 digits 375 to 625 digits 25 to 975 digits
AIR flow 250 digits 175 to 325 digits 25 to 475 digits
O2 flow 250 digits 175 to 325 digits 25 to 475 digits

9.10 Serial data transfer
Centiva/5 provides capabilities to transfer ventilation parameter, pressure - and

flow waveform, all measured values and alarms to an external data management
system via a serial data protocol.
Centiva/5 provides two protocols on demand to a data management system:

- Ohmeda Com 1.1
- SalTim™ Com 1.0
Without any request from an external data management on the serial port
Centvia/5 disables the serial data transfer.
With a request from an external data management on the serial port Centvia/5
activates the Ohmeda Com 1.1 protocol as the default.
With a special request for the SalTim protocol from an external data management
on the serial port Centvia/5 activates the SalTim Com 1.0 protocol.
Connection Connect a RS 232 data cable at the rear side of Centiva/5 at the serial data
connection (D-Sub 9 female) with the following Pin constellation:
- Pin 2 receive data
- Pin 3 transmit data
- Pin 5 signal ground
Correct connection is provided with serial cable P/N BE-120116.
Ohmeda Com 1.0 Centiva/5 uses the Ohmeda com 1.0 serial protocol (AESTIVA 7900 & 7100
Ventilators) as the default protocol. This allows connecting Centiva/5 to all data
management systems using this protocol.
When connecting to a /5 system use the DIS 7900 Non-Aestiva connection box.
This box provides the correct D-Sub 9 connector to connect to the Centiva/5. Do
not use the DIS 7900 AESTIVA with a D-Sub 15.
Proper communication with the DEIO Clinisoft data management system is tested.
For more details refer to information provided by the data management distributor.
SalTim Com 1.0 Centiva/5 uses the SalTim 1.0 serial protocol upon request by CED™ software. This
allows connecting Centiva/5 to CED software systems for service and data
management purpose.
Connect the RS 232 data cable at the rear side of Centiva/5 at the serial data
connection (D-Sub 9).
For more details refer to information about CED software provided by TIM GmbH
(www.tim-gmbh.de).

Notes

10 Configuration and optionalization
In this section 10.1 Centiva/5 Plus configuration mode 10-2

10.1.1 Access to configuration mode 10-3
10.1.2 Configuration modality 10-5
10.1.3 Exit configuration mode 10-6
10.1.4 Configuration parameters 10-7
10.2 Optionalization mode 10-9
10.2.1 Access to optionalization mode 10-10
10.2.2 Optionalization modality 10-11
10.2.3 Exit optionalization mode 10-13
TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.50.a of 11/05 10-1

10.1 Centiva/5 Plus configuration mode

Centiva/5 Plus allows user specific configuration of the default machine settings
according to hospital’s needs for the following parameters:
1. Language
2. Date format
3. Units of pressure
4. Units CO2 (not applicable)
5. Unit of ideal body weight
6. Patient type
7. Cross over weight
8. Start ventilation mode
For safety reasons (and with respect to ergonomic and user interface safety theory)
all Centiva/5 Plus within one particular application or operation area (e.g. within
one CC station) should be set to the identical configuration, so that all machines
within one operation area behave identical in terms of user surface and default
start.
Note This configuration is not accessible to the user to avoid miss-settings of default
configuration settings. It is only accessible for authorized service personal.
Newborn
Trend
SW 3.nn.p HW o/r
Option menu
Option key 123456
Default settings
Language English
Unit Meas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Patient type Adult

Cross over weight 35 kg
Start vent. Mode Bi-Level
Abort
Abort Safe
Save
10-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev.3.50.a of 11/05

10.1.1 Access to For safety reasons the Centiva/5 Plus’ configuration mode is not accessible during
regular operation mode. The configuration mode is only accessible during and at
configuration mode the end of the power-up test or the system test via the service mode.
To access the configuration screen first go into service screen:
For legal reasons the service mode is not accessible on a user level. Only trained
service technicians shall have access to the service mode.
To enter the service mode, push the following sequence of buttons within a time
frame of 1 second:
1. ”Adult” left side
2. “Adult” right side
3. “ComWheel”.
Newborn
Trend
09:36:53
2005-03-21
SW 3.nn.p HW o/r
Bypass
system test
System test
exp. valve
Calibrate
O2 sensor
Align
touch screen
Retain
Body weight 55 kg trend data
The system will display the following screen:
1 2 3

To now enter from service mode into the configuration mode push the following
sequence of buttons within a time frame of 1 second:
1. ”x 10”
2. “OPEN”
3. “ComWheel”.
1 2 3
Configuration mode now is activated and the system prompts with the following
screen:
Newborn
Trend
SW 3.nn.p HW o/r
Option menu
Option key 123456
Default settings
Language English
Unit Meas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Patient type Adult

Abort
Abort Safe
Save

10.1.2 Configuration All configurations operate with the same principle:

modality
1. Rotate the ComWheel to select the parameter to change by
moving a frame.
Default settings
Language English
Unit Meas. cmH2O
2. The selected parameter’s last value is Unit Co2 mmHg
framed. E.g. selected parameter Unit IBW kg
“Patient type”, last value “Adult”. Patient type Adult
3. Confirm made selection by pushing the ComWheel.
Default settings
Language English
Unit Meas. cmH2O
4. The frame inverts colors to identify Unit Co2 mmHg
that it is activated. Unit IBW kg
Patient type Adult

5. Rotate the ComWheel to select from different settings.
Default settings
Language English
Unit Meas. cmH2O
Unit Co2 mmHg
6. A new setting for the selected Unit IBW kg
parameter was chosen. E.g. selected
parameter “Patient type”, new value Patient type Pediatric
“Pediatric”.

8. Confirmed change is displayed. E.g. Default settings

selected parameter “Patient type”, Language English
confirmed new value “Pediatric”. Unit Meas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Patient type Pediatric

10.1.3 Exit After having made all desired changes to default settings exit the configuration
mode with pushing the “Save” button to save all made changes to the system.
configuration mode
Newborn
Trend
SW 3.nn.p HW o/r
Option menu
Option key 123456
Default settings
Language English
Unit Meas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Patient type Adult

Abort
Abort Safe
Save
The system immediately returns to the power up test screen allowing to

perform normal operation.
Pushing the “Abort” button makes the system load the previous settings,
delete all made changes and immediately return to the power up test screen.

10.1.4 Configuration Centiva/5 Plus allows user specific configuration of the default machine settings
parameters according to hospital’s needs for the following parameters:
1. Language
User language for screen information, messages and alarms
with the following selections:
a. English
b. German
c. French
d. Dutch
e. Spanish
f. Polish
g. Portuguese
h. Italian
2. Date format
Date and time format in trend and event views with the following
selections:
a. MM-DD hh:mm (ISO time and date format)
b. MM/DD hh:mm (US time and date format)
3. Unit of Meas.
Unit of pressure for all pressure related information and parameter with
the following selections:
a. mbar
b. hPa
c. cmH2O
4. Unit CO2
This option is not yet available
5. Unit IBW
Unit of ideal body weight with the following selections:
a. kg
b. lbs
6. Patient type
Default type of patient upon start up with the following selections:
a. Adult
b. Pediatric
c. Newborn (if newborn option is activated)

7. Cross over weight

Weight to determine between patient Adult or Pediatric with the following
selections:
a. kg
b. lbs
8. Start ventilation mode

Default ventilation mode upon start up in patient type selection
Adult/Pediatric with the following selections:
a. VCV
b. SIMV-VC
c. Bi-Level VG (if Bi-Level VG option is activated)
d. Bi-Level
e. CPAP
Note For safety reasons default ventilation mode upon start up in patient type
Newborn is always Bi-Level.

10.2 Centiva/5 Plus optionalization mode
Centiva/5 Plus allows for optionalizating several already on board available

software options by activating a particular option code.
This optionalizating is only possible for one particular serial number and for one
particular software version and for the desired options.
The option key consists of information about
1. serial number of the device to optionalize
2. software version this option is valid for
3. options desired
Note When ordering an option note the Centiva/5 Plus’ serial number, displayed in the
optionalization mode.
Software options come with a serialized 8 digit option key. This option key is printed
on a small sticker. Place this sticker after optionalization onto the rear side of the
Control Panel of the Centiva/5 Plus, so that in case it needs to be re-optionalized,
the option key is available at the machine.
Note If several options have to optionalized only one option key is necessary and one
optionalization clears all desired options at once,
With the current software release 3.01.p the following options can be cleared for
operation:
1. Newborn
This option allows to ventilate patients with a body weight from 2
to 6 kg.
This option requires a dedicated (blue) newborn expiration valve
assembly, that comes with the option.
2. Bi-Level VG
This option is a lung protective, automatic compliance
compensating pressure controlled ventilation mode with a
volume guarantee.
3. Trend and event

This option allows to store, to display and to download all
measured data, ventilator settings, alarm settings over a period
of 14 days and up to 1000 events (e.g. alarms system messages
etc).
This optionalization mode configuration is not accessible to the user.

It is only accessible for authorized service personal.

10.2.1 Access to The access to the optionalization mode is identical with the access to the
optionalization mode configuration mode. For details refer to section 10.1.1.
Now the option menu is available and the system prompts with the following screen
Newborn
Trend
SW 3.nn.p HW o/r
Option menu
Option key 123456
Default settings
Language English
Unit Meas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Patient type Adult

Abort
Abort Safe
Save

10.2.2 Optionalization To optionalize a received option key follow this sequence:

modality
1. Rotate the ComWheel to select the option key by moving a
frame.
2. The option key’s last value is Option menu

framed. Serial number 171050101
Option key 12345678
4. The last digit of the option key no is Option menu

framed. E.g. “8”. Serial number 171050101
Option key 12345678
Option menu
6. The frame inverts colors. Serial number 171050101
Option key 1234567 8
7. Rotate the ComWheel to select the according number for

this digit.
8. A new setting for the selected digit of Option menu

the option key is made. E.g. “1”. Serial number 171050101
Option key 1234567 1

10. New setting for the selected digit is Option menu

made.
Option key 12345671
11. Rotate the ComWheel to select the next digit to change.
Option menu
12. The next digit of the option key no is Serial number 171050101
framed. E.g. “7”.
Option key 12345671
13. Repeat steps 4. to 11. until all digits are changed according to the given
option key.
Note Do not push ComWheel twice to jump between digits. That will activate the main
frame and deletes all made changes.
14. When done with all digits push ComWheel again to return to
the main frame.
15. The main frame surrounds the option

Option menu
key and at the same time the released
option is displayed in the upper (+) Option key 12345678
area for options.
Newborn
Trend
SW 3.nn.p HW o/r
Option menu
Option key 123456
Default settings
Language English
Unit Meas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Patient type Adult

Abort
Abort Safe
Save

10.2.3 Exit After having released the desired options exit the optionalization mode as you exit
optionalization mode the configuration mode with pushing the “Save” button to save all made changes to
the system.
Newborn
Trend
SW 3.nn.p HW o/r
Option menu
Option key 123456
Default settings
Language English
Unit Meas. cmH2O
Unit Co2 mmHg
Unit IBW kg
Patient type Adult

Abort
Abort Safe
Save
The system immediately returns to the power up test screen allowing to

perform normal operation.
Pushing the “Abort” button makes the system load the previous settings,
delete all made changes and immediately return to the power up test screen.

Notes

11 Optional accessories
In this section 11.1 External battery pack 11-2

11.2 Cart 11-3
11.3 Compressor 11-4
11.4 Support arm 11-5

11.1 External battery pack

Replace battery The Centiva/5 Plus external batter y pack needs battery replacement every 24
months. To replace the battery follow this sequence:
1. Disconnect the external battery pack
from Centiva/5
2. Disconnect the external battery pack
from the charger.
3. Open the external battery pack by
unscrewing the screws on top of the
aluminum plate.
4. Disconnect batteries from the relays
and the connectors inside.
5. Remove the batteries from the
housing.
6. Insert the new batteries.
7. Connect batteries to each other, to
the relay and connector
8. Close the external battery pack
9. Connect the charger to the charging
port of the external battery pack.
10. Charge the battery pack at least 12
hours and verify proper charging.
Note Always replace both batteries at the same time.
Spare parts Product Order number

External Battery Pack complete AZ-391975
KE-749293 Power Supply for the External Battery M1055800
Pack 230/115 V, 50/60 Hz
EY-752151 Power supply line adapter for EU M1055801
EY-752152 Power supply line adapter for UK M1055802
EY-752153 Power supply line adapter for USA M1055803
Lead acid battery, one, (two needed) ES-759153
Fuse, 3.15 A slow, 5 x 20 mm EF-761090

11.2 Cart
Replace castor This replacement instruction deals with the following carts
- P/N AZ-382133
- P/N AZ 382132.
The Centiva/5 cart has in total four castors, two

with brakes in the front and two without brakes in
the rear.
To replace a castor follow this sequence:
1. Remove Centiva/5 from the cart.
2. Remove an active humidifier from the cart, if
applicable.
3. Remove the support arm from the cart.
4. Remove any additional parts mounted to the
cart.
5. Carefully lay down cart.
6. Remove castor by loosing upper castor bold
using a 10 mm wrench.
7. Remove castor.
8. Mount the new castor and verify that front
castors are with brakes and rear castors are
without brakes.
9. Tighten 10 mm bold.
10. Verify proper function of castor and brake, if
applicable.
Spare parts Product Order number

CW-768443 Castor for cart with brake M1054903
CW-768442 Castor for cart without brake M1054904
DE-495467 Cart “star” button for fixation M1054905

11.3 Compressor
For detailed repair instruction see compressor service instruction, supplied by the
manufacturer.
Spare parts Product Order Number

Air inlet filter 5412902
Air outlet hose DISS nut and nipple, CGA V-5 1505-3810-000
1160A
Air outlet hose, DISS body, ISO 5359 A3 1505-3812-000
Air outlet hose, SIS female, AS 2902 1505-3813-000
Air outlet hose, SS 87 524 30 1505-3814-000
Air outlet hose, NIST nut and nipple, ISO 5359 A3 1505-3811-000
Air outlet hose, NF S90-116 1505-3815-000
Mounting foam, 3 pieces 1505-3829-000
Mounting screws, M6x20 1505-3031-000
Nylon washer, M6 1505-3034-000
Pipeline air inlet O-rings (2) 1006-3614-000
Pipeline air inlet, DISS body, CGA V-5 1160A 9913-6557-800
Pipeline air inlet, DISS nut and nipple, ISO 5359 1505-3830-000
A3
Pipeline air inlet, SIS male, AS 2902 1505-3831-000
Pipeline air inlet, SS 87 524 30 1001-5854-000
Pipeline air inlet, NIST body, ISO 5359 A3 1001-2826-000
Pipeline air inlet, NF S90-116 1010-5154-000
Power cord clamp 1505-3033-000
Power cord clamp screws, M3x6 0140-6219-128
Power cord, 10A AS 3112 1500-3561-000
Power cord, 10A BS 1363 1500-3283-000
Power cord, 10A BS 546 1505-3817-000
Power cord, 15A NEMA 5-15 Hospital Grade 1505-3816-000
Power cord, CEE 7/7 1500-3291-000
Power cord, SEV 1011 1500-3292-000
Water bottle kit 5612315

11.4 Support arm
Replace tube holder Replacement of the tube holder does not require any tools.
To replace a tube holder follow this sequence:
1. Loosen the handle crimping the ball joint of the

tube holder.
2. Remove the tube holder out of the ball joint.
3. Replace tube holder.
4. Fix ball joint with handle.
Spare parts Product Order Number

Tube holder for support arm for breathing system AZ-389130
with 2 x 22 mm with ball joint
with 2 x 22 mm
with 1 x 22 mm

Notes

Notes
TRM, Centiva/5 Plus, M1047448/ CM-922026, rev. 3.50.a of 11/05

Manufactured for: Manufactured by:
Datex-Ohmeda, Inc. Salvia Lifetec Gmbh & Co KG

PO Box 7550 Niederhöchstädter Str. 62
Madison, WI 61476 Kronberg Germany
53707-7550, USA Tel 49 61 7393330
Tel 1 800 345 2700 Fax 49 61 73933329
Fax 31 608 221 4384 www.salvia-lifetec.de
0123
GE Healthcare Finland Oy
Kuortaneenkatu 2
Helsinki, Finland
FI-00510
Tel 358 10 394 11
Fax 358 9 146 3310
Datex-Ohmeda, Inc., a General Electric Company, going to market as GE Healthcare.

P.O. Box 7550
Madison, WI 53707-7550
USA
www.gehealthcare.com
Centiva/5 Plus
Technical Reference
Manual, English
M1047448/CM-922026
Printed in Finland
©TIM GmbH
All rights reserved
www.tim-gmbh.de
Rev. 3.50.a of 11/05

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GE Healthcare

TRM Centiva/5 plus, M1047448/ CM-922026, rev. 3.50.a of 11/05 FC

2 Theory of Operation 2.1 General description 2-2

3 Post-Service Checkout 3.1 Post-service checkout 3-2

4 Tests and Calibrations 4.1 Self tests 4-2

See next page for more

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05 0-1

5 Troubleshooting 5.1 Troubleshooting instructions 5-2

6 Maintenance 6.1 General instructions 6-2

7 Repair procedures 7.1 General instructions 7-3

0-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05

7 Repair procedures 7.9.6 Repair ON-Off switch 7-34

8 Illustrated Parts 8.1 Special instructions 8-2

9 Schematics and Diagrams 9.1 Pneumatic diagram 9-2

See next page for more

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05 0-3

10 Configuration and 10.1 Centiva/5 Plus configuration mode 10-2

11 Optional accessories 11.1 External battery pack 11-2

0-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05

In this section 1.1 What this manual includes 1-2

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05 1-1

1.1 What this manual includes

This manual covers the service information for the

Centiva/5 Plus CC ventilator

Adult Pediatric Newborn Enter

The software revision code “3.nn.p” identifies:

The hardware revision code “o / r” identifies:

1-2 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05

1.2 Standard service procedures

WARNING Do not perform testing or maintenance on this instrument while it is

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05 1-3

1.3 Symbols used in this manual or on the equipment

Alarm silence touch key

Menu touch key

Normal screen touch key

Left turn ComWheel to decrease value

Right turn ComWheel to increase value

Rotate ComWheel to change value

Push ComWheel to confirm selection (ENTER)

AC line supply active

Battery: 23 min. Internal battery supply active

Blue frame selection

1-4 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05

Protective earth ground

Input (Expiratory port)

Output (Inspiratory port)

Nebulizer gas supply

10101 Serial data transfer connection

Attention, refer to product instructions, EN/IEC 60601-1

TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05 1-5

1.4 Abbreviation used in this manual or on the equipment

Vent. mode Ventilation mode

APD Automatic patient detection

Pmax Safety pressure, setting

Rate Total number of breaths per minute, measured and setting

1-6 TRM, Centiva/5 Plus, M1047448/CM-922026, rev. 3.50.a of 11/05

R Resistance of breathing system plus patient, measured

Vt Tidal volume, setting

Fi-O2 Inspiratory O2 concentration, setting