A7 Service Manual V7.0 en

A7 Anesthesia Machine
Service Manual
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this product and this manual. This manual
may refer to information protected by copyrights or patents and does not convey any license
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Contents of this manual are subject to changes without prior notice.
Revision History
This manual has a revision number. This revision number changes whenever the manual is
updated due to software or technical specification change. Contents of this manual are subject
to change without prior notice. Revision 1.0 is the initial release of the document.
 Revision number: 6.0
 Release time: 2021-07
© Copyright 2013-2021 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights
reserved.
I
Preface
Manual Purpose
This manual provides detailed information about the assembling, dissembling, testing and
troubleshooting of the equipment to support effective troubleshooting and repair. It is not
intended to be a comprehensive, in-depth explanation of the product architecture or technical
implementation. Observance of the manual is a prerequisite for proper equipment
maintenance and prevents equipment damage and personal injury.
This manual is based on the maximum configuration. Therefore, some contents may not
apply to your monitor. If you have any question, please contact our Customer Service
Department.
Intended Audience
This manual is geared for biomedical engineers, authorized technicians or service
representatives responsible for troubleshooting, repairing and maintaining the anesthesia
machines.
Password
A password is required to access different modes within the anesthesia machine.
 Manage Configuration: 789789
 Factory maintenance: 558188
II
Contents
1 Safety ................................................................................................................................. 1-1
1.1 Warnings, Cautions, and Notes ....................................................................................... 1-1
1.1.1 Warnings............................................................................................................. 1-2
1.1.2 Cautions ............................................................................................................. 1-3
1.1.3 Notes .................................................................................................................. 1-3
2 Theory of Operation ........................................................................................................ 2-5

2.1 Introduction ..................................................................................................................... 2-5
2.2 Electrical Circuit ............................................................................................................. 2-7
2.2.1 Electrical Connections........................................................................................ 2-7
2.2.2 Power System ................................................................................................... 2-10
2.2.3 Display System................................................................................................. 2-14
2.2.4 Control System ................................................................................................. 2-20
2.3 Pneumatic Circuit .......................................................................................................... 2-52
2.3.1 Key to Symbols ................................................................................................ 2-54
2.3.2 Connections Between Pneumatic Circuit, Breathing System and Ventilator
Control Board ............................................................................................................ 2-55
2.3.3 Gas Supplies ..................................................................................................... 2-56
2.3.4 Anesthetic Gas Delivery System ...................................................................... 2-61
2.3.5 Breathing System ............................................................................................. 2-80
2.3.6 Pneumatically-Controlled Module of Anesthetic Ventilator ............................ 2-88
2.3.7 AGSS ................................................................................................................ 2-89
2.3.8 Operating Mode of the Breathing System ........................................................ 2-90
2.3.9 Breathing System Components ........................................................................ 2-95
2.3.10 Breathing System Heater................................................................................ 2-95
2.3.11 Ventilator Pneumatic - O2 Drive Gas ............................................................. 2-95
2.3.12 Drive Pressure - High Pressure Regulator (200 kPa, 29 psi).......................... 2-96
2.3.13 Drive Gas Assembly ....................................................................................... 2-96
2.3.14 Tube Color Coding ......................................................................................... 2-96
3 Installation Guide ............................................................................................................. 3-1

3.1 Preparation ...................................................................................................................... 3-1
3.2 Installation Procedures .................................................................................................... 3-1
3.2.1 Unpacking and Setup ......................................................................................... 3-1
3.2.2 Breathing System, Breathing System Accessories and Checkout Procedures . 3-15
3.2.3 AGSS Connections ........................................................................................... 3-15
3.2.4 Vaporizers ......................................................................................................... 3-16
3.2.5 Gas Cylinder(s) ................................................................................................ 3-19
3.2.6 Breathing Circuit and CO2 Absorbent ............................................................. 3-19
3.2.7 Monitoring Products Mounting and Electrical Connection (if available) ........ 3-20
3.2.8 Module Installation and Waste Gas Recycling ................................................. 3-20
3.3 Tests after installation.................................................................................................... 3-20
4 Testing ............................................................................................................................... 4-1

4.1 System Self Test .............................................................................................................. 4-1
4.1.1 Performing a System Self Test ........................................................................... 4-1
4.1.2 Startup Alarm Messages ..................................................................................... 4-3
4.2 Leak and Compliance Tests............................................................................................. 4-9
4.2.1 Automatic Circuit Leak and Compliance Test.................................................... 4-9
4.2.2 Manual Circuit Leak Test ................................................................................. 4-12
4.2.3 Troubleshooting—Leak Test ............................................................................ 4-15
4.3 BFCS Self Test .............................................................................................................. 4-16
1
4.3.1 Automatic Backup Flow Control Test .............................................................. 4-16
4.4 Gas Supply Tests ........................................................................................................... 4-18
4.4.1 O2 Pipeline Supply Test ................................................................................... 4-18
4.4.2 N2O Pipeline Supply Test ................................................................................ 4-19
4.4.3 Air Pipeline Supply Test ................................................................................... 4-19
4.5 Cylinder Supply Tests ................................................................................................... 4-20
4.5.1 N2O Cylinder Supply Test ............................................................................... 4-20
4.5.2 O2 Cylinder Supply Test .................................................................................. 4-21
4.5.3 Air Cylinder Supply Test .................................................................................. 4-21
4.5.4 Troubleshooting—Cylinder Supply Test .......................................................... 4-22
4.6 EFCS Accuracy Test...................................................................................................... 4-22
4.7 BFCS Function Tests..................................................................................................... 4-24
4.7.1 Checking Switchover Between the EFCS and BFCS....................................... 4-24
4.7.2 Checking Needle Valve Correspondence ......................................................... 4-24
4.7.3 Checking the Needle Valve Sensitive Switch ................................................... 4-24
4.7.4 Basal Flow Test in the BFCS State................................................................... 4-25
4.7.5 Testing the O2 and N2O Proportions and the N2O Cut-off Function in the BFCS
State (Only available for BFCS with N2O needle) ................................................... 4-25
4.8 Vaporizer Tests .............................................................................................................. 4-26
4.8.1 Vaporizer Interlock Test ................................................................................... 4-26
4.8.2 Vaporizer Back Pressure Test ........................................................................... 4-26
4.8.3 Vaporizer Accuracy Test ................................................................................... 4-26
4.8.4 Vaporizer Leak Test .......................................................................................... 4-28
4.9 Other Functional Tests .................................................................................................. 4-29
4.9.1 Auxiliary Gas Supply Test ................................................................................ 4-29
4.9.2 O2 Flush Test ................................................................................................... 4-29
4.9.3 ACGO Function Tests ...................................................................................... 4-30
4.10 Breathing circuit Tests ................................................................................................. 4-31
4.10.1 O2 Concentration Test .................................................................................... 4-31
4.10.2 APL Valve Test ............................................................................................... 4-32
4.10.3 Sample Gas Return Test ................................................................................. 4-32
4.11 AGSS Inspection ......................................................................................................... 4-33
4.12 Vacuum Suction Test ................................................................................................... 4-34
4.12.1 Pipeline Vacuum Suction Test ........................................................................ 4-34
4.12.2 Venturi Vacuum Suction Test ......................................................................... 4-34
4.13 Alarm Test ................................................................................................................... 4-35
4.13.1 Power Failure Alarm Test ............................................................................... 4-35
4.13.2 Breathing Circuit Not Installed Alarm Test .................................................... 4-35
4.13.3 Absorber Canister Alarm Test ........................................................................ 4-36
4.13.4 O2 Supply Failure and Drive Gas Pressure Low Alarm Test ......................... 4-36
4.13.5 Ventilator-Related Alarm Tests ....................................................................... 4-37
4.14 System Ventilation Performance Tests ........................................................................ 4-40
4.14.1 Manual Mode Ventilation Test ....................................................................... 4-40
4.14.2 VCV Adult Ventilation Mode Test ................................................................. 4-40
4.14.3 VCV Child Ventilation Mode Test ................................................................. 4-41
4.14.4 PCV Adult Ventilation Mode Test .................................................................. 4-42
4.14.5 PS Ventilation Mode Test ............................................................................... 4-43
4.15 Checking the Sensor Zero Point .................................................................................. 4-44
4.16 Constant Flow Test (Checking the Flow Sensor Accuracy) ........................................ 4-46
4.17 Constant Pressure Test (Checking the Pressure Sensor Accuracy) ............................. 4-49
4.18 Total Flow Sensor Self Test......................................................................................... 4-54
4.19 Electric Tests ............................................................................................................... 4-54
4.19.1 Auxiliary Power Receptacle Test.................................................................... 4-55
4.19.2 Work Light and Auxiliary Gas Supply Backlight Test ................................... 4-55
4.19.3 Electric Safety Inspection Test ....................................................................... 4-55
4.19.4 Electrical Safety Inspection Form .................................................................. 4-57
2
5 Factory Maintenance Menu ............................................................................................ 5-1
5.1 Calibration ....................................................................................................................... 5-1
5.2 Data Monitors ................................................................................................................. 5-2
5.3 Diagnostic Tests .............................................................................................................5-11
5.3.1 Valves Test........................................................................................................ 5-12
5.3.2 Insp. Valve Test ................................................................................................ 5-13
5.3.3 PEEP Valve Test ............................................................................................... 5-15
5.3.4 Safety Valve Test .............................................................................................. 5-15
5.4 FCS Tests ...................................................................................................................... 5-15
5.4.1 Manual Test ...................................................................................................... 5-16
5.4.2 Auto Test .......................................................................................................... 5-17
5.4.3 BFCS Test ........................................................................................................ 5-20
5.4.4 Solenoid Actuator Test ..................................................................................... 5-21
5.5 Review Logs ................................................................................................................. 5-22
5.6 System Info ................................................................................................................... 5-23
5.7 Demo Mode................................................................................................................... 5-24
5.8 Restore All Default........................................................................................................ 5-25
5.9 Factory Setup ................................................................................................................ 5-26
5.9.1 Function Activation .......................................................................................... 5-27
5.9.2 Drive Gas ......................................................................................................... 5-27
5.9.3 Flowmeter Standard ......................................................................................... 5-27
5.9.4 Flowmeter Pipeline .......................................................................................... 5-27
5.9.5 ACGO............................................................................................................... 5-27
5.9.6 Prediction History ............................................................................................ 5-28
5.9.7 Module Rack .................................................................................................... 5-28
5.9.8 AG Module ....................................................................................................... 5-28
5.9.9 BIS Module ...................................................................................................... 5-28
5.9.10 CO2 Module ................................................................................................... 5-28
5.9.11 NMT Module .................................................................................................. 5-28
6 Device Maintenance ......................................................................................................... 6-1

6.1 Maintenance Overview ................................................................................................... 6-1
6.2 Maintenance Period......................................................................................................... 6-1
6.3 Check Before Maintenance ............................................................................................. 6-2
6.4 One-year Maintenance Package Replacement ................................................................ 6-2
7 System Calibration ........................................................................................................... 7-1

7.1 Overview ......................................................................................................................... 7-1
7.2 Precautions ...................................................................................................................... 7-1
7.2.1 Warnings............................................................................................................. 7-1
7.2.2 Cautions ............................................................................................................. 7-2
7.2.3 Notes .................................................................................................................. 7-2
7.3 System Calibration .......................................................................................................... 7-2
7.3.1 Flow Calibration (User) ..................................................................................... 7-4
7.3.2 Flow Calibration (Service) ................................................................................. 7-9
7.3.3 Pressure Calibration (Service) .......................................................................... 7-31
7.3.4 Pressure and Flow Zeroing (Service) ............................................................... 7-45
7.3.5 EFCS Zeroing (User) ....................................................................................... 7-48
7.3.6 O2 Sensor Calibration ...................................................................................... 7-52
7.3.7 Total Flow Sensor Calibration (factory) ........................................................... 7-60
7.3.8 Built-in AG Calibration .................................................................................... 7-63
7.3.9 External AG Calibration ................................................................................... 7-64
7.3.10 CO2 Module Calibration ................................................................................ 7-65
7.3.11 High-Pressure Gas Cylinder Regulator Calibration ....................................... 7-65
7.4 Test After Calibration .................................................................................................... 7-67
8 Troubleshooting ................................................................................................................ 8-1
3
8.1 Electrical Safety .............................................................................................................. 8-1
8.2 Tools for Onsite Maintenance ......................................................................................... 8-1
8.2.1 Precautions for Using Circuit Adapter Test Fixture ........................................... 8-6
8.2.2 Precautions for Using Flow Sensor Pressure Sampling Pipeline Test Fixture ... 8-8
8.2.3 Precautions for Using Vaporizer Manifold Test Fixture ..................................... 8-9
8.2.4 Precautions for Using Negative Pressure Balls ................................................ 8-10
8.3 Common Faults and Solutions .......................................................................................8-11
8.4 Technical Alarms ........................................................................................................... 8-12
8.4.1 Startup Alarm Messages ................................................................................... 8-13
8.4.2 CPU Board Runtime Alarms ............................................................................ 8-18
8.4.3 Power Board Runtime Alarms.......................................................................... 8-19
8.4.4 Runtime Alarms of Flow Sensor Board ........................................................... 8-21
8.4.5 VCM Runtime Alarms ..................................................................................... 8-27
8.4.6 Runtime Alarms of External AG Module ......................................................... 8-31
8.4.7 Runtime Alarms of Internal AG Module .......................................................... 8-33
8.4.8 BIS Module Runtime Alarms ........................................................................... 8-34
8.4.9 CO2 Module Runtime Alarms.......................................................................... 8-37
8.4.10 NMT Module Runtime Alarm ........................................................................ 8-39
8.5 Circuit Leak Tests.......................................................................................................... 8-40
8.5.1 Circuit Leak Test in Mechanical Ventilation Mode .......................................... 8-40
8.5.2 Circuit Leak Test in Manual Ventilation Mode ................................................ 8-41
8.5.3 Troubleshooting: Leak Test .............................................................................. 8-42
8.6 Constant-flow Ventilation ............................................................................................. 8-44
8.7 Sensor and Valve Faults ................................................................................................ 8-44
8.7.1 Correspondence Between Menu Options and Pneumatic Circuit Components 8-45
8.7.2 Preparations Before Using the Diagnostic Tool ............................................... 8-46
8.7.3 Zero Point Errors of Sensors ............................................................................ 8-46
8.7.4 Connection and Measurement Faults of Flow Sensors .................................... 8-47
8.7.5 Connection and Measurement Faults of Pressure Sensors ............................... 8-48
8.7.6 Inspiratory Valve Faults ................................................................................... 8-49
8.7.7 PEEP Safety Valve Faults................................................................................. 8-49
8.7.8 PEEP Proportional Valve Faults ....................................................................... 8-50
8.8 Other Faults and Handling Methods ............................................................................. 8-50
8.8.1 Effectiveness Test for the Pipeline Pressure Gauge and Correction of the
Regulator ................................................................................................................... 8-50
8.8.2 Adjusting the Regulator of the Pipeline Gas Supply Inlet Assembly ............... 8-57
8.8.3 Leak Test for the O2 Flush Button Assembly .................................................. 8-57
8.8.4 Leak Test for the Flowmeter Assembly ............................................................ 8-58
8.8.5 Leak Test for the System Switch Assembly ..................................................... 8-61
8.8.6 Leak Test for the BFCS Limb .......................................................................... 8-63
8.8.7 Leak Test for the EFCS Limb........................................................................... 8-65
8.8.8 Leak Test for the 3-Way Valve Assembly......................................................... 8-66
8.8.9 Leak Test for the Vaporizer Manifold Assembly .............................................. 8-67
8.8.10 Leak Test for the Flow Sensor Pressure Sampling Pipeline ........................... 8-69
8.8.11 Leak Test for the Low-Pressure Pneumatic Circuit System ........................... 8-71
8.8.12 Breathing System Related Faults ................................................................... 8-78
8.8.13 Tidal Volume Related Faults .......................................................................... 8-80
8.9 Hardware and Electrical Faults ..................................................................................... 8-82
8.10 Software Upgrade and Software Function Activation ................................................. 8-84
8.10.1 Software Upgrade........................................................................................... 8-84
8.10.2 Software Function Activation......................................................................... 8-87
8.11 After-Service Tests ...................................................................................................... 8-89
9 Repair and Disassembly .................................................................................................. 9-1

9.1 Prepare for Disassembly ................................................................................................. 9-1
9.1.1 Tools ................................................................................................................... 9-1
9.1.2 Preparations ........................................................................................................ 9-1
4
9.1.3 Bleed Gas Pressure ............................................................................................. 9-2
9.2 Disassemble the Assemblies ........................................................................................... 9-2
9.2.1 Disassemble the Internal Assemblies of the Machine Upper Half ..................... 9-2
9.2.2 Disassemble Hardware Box ............................................................................. 9-13
9.2.3 Disassemble the Work Surface ......................................................................... 9-25
9.2.4 Disassemble the Auxiliary Work Surface ......................................................... 9-34
9.2.5 Disassemble the Display Assembly.................................................................. 9-37
9.2.6 Remove the Module Rack Cabinet Assembly .................................................. 9-48
9.2.7 Remove the Fan of the Module Rack ............................................................... 9-49
9.2.8 Disassemble the Pressure Gauge Panel Assembly ........................................... 9-50
9.2.9 Disassemble the Vacuum Suction Related Assembly ....................................... 9-57
9.2.10 Remove the Auxiliary Gas Supply Assembly ................................................ 9-62
9.2.11 Remove the Rotating Block of Breathing Circuit .......................................... 9-63
9.2.12 Remove the AGSS Assembly ......................................................................... 9-64
9.2.13 Remove the Electronically Controlled ACGO Drive Valve ........................... 9-65
9.2.14 Remove the Built-in Anesthesia Module (when configured with anesthesia
module) ..................................................................................................................... 9-66
9.2.15 Remove Anesthesia Module Inlet Pipeline Assembly (when configured with
anesthesia module) .................................................................................................... 9-68
9.2.16 Disassemble the Base Assembly .................................................................... 9-69
9.3 Disassemble the Breathing System ............................................................................... 9-75
9.3.1 Remove the O2 Sensor and O2 Cell Unit......................................................... 9-75
9.3.2 Remove the Breathing Tubes ........................................................................... 9-76
9.3.3 Remove the Flow Sensor ................................................................................. 9-77
9.3.4 Remove the Manual Bag .................................................................................. 9-78
9.3.5 Remove the Absorber Canister Assembly ........................................................ 9-78
9.3.6 Remove the CO2 Bypass Assembly ................................................................. 9-80
9.3.7 Remove the Prepak Handle .............................................................................. 9-82
9.3.8 Remove the Contact Switch of the L-shaped Handle ....................................... 9-82
9.3.9 Remove the Patient Circuit Assembly .............................................................. 9-83
9.3.10 Remove the Bellows Assembly ...................................................................... 9-83
9.3.11 Remove the Pop-off Valve Assembly ............................................................. 9-84
9.3.12 Remove the Expiratory/Inspiratory Check Valve Assembly .......................... 9-85
9.3.13 Remove the Water Collection Cup ................................................................. 9-85
9.3.14 Remove the Airway Pressure Gauge .............................................................. 9-86
9.3.15 Remove the Bag Arm Assembly .................................................................... 9-86
9.3.16 Remove the Back Upper Cover and Back Lower Cover Assemblies............. 9-87
9.3.17 Remove the Front Upper Cover, Median Plate and Front Lower Cover
Assemblies ................................................................................................................ 9-88
9.3.18 Remove the Automatic/Manual Ventilation Switch Assembly....................... 9-90
9.3.19 Remove the APL Valve Assembly .................................................................. 9-92
10 Parts Replacement ....................................................................................................... 10-1

10.1 Introduction ................................................................................................................. 10-1
10.2 Ordering Replaceable Parts ......................................................................................... 10-1
10.3 Diagrams and Tables ................................................................................................... 10-2
10.3.1 Structure ......................................................................................................... 10-2
10.3.2 Upper Half...................................................................................................... 10-5
10.3.3 Hardware Box ................................................................................................ 10-8
10.3.4 Work Surface .................................................................................................. 10-9
10.3.5 Main Body of the Breathing Circuit ..............................................................10-11
10.3.6 Pre-pak Absorber Canister Assembly ........................................................... 10-12
10.3.7 Expiratory Check Valve and Inspiratory Check Valve ................................. 10-13
10.3.8 O2 Cell Assembly ........................................................................................ 10-13
10.3.9 Display Assembly......................................................................................... 10-14
10.3.10 Main Body of Display Assembly ............................................................... 10-15
10.3.11 Vaporizer Mounting Manifold Assembly ................................................... 10-16
5
10.3.12 Auxiliary Gas Supply Assembly ................................................................ 10-17
10.3.13 Base Assembly ........................................................................................... 10-18
10.3.14 Cart Assembly ............................................................................................ 10-19
10.3.15 EFCS Assembly ......................................................................................... 10-20
10.3.16 BFCS Assembly (Configure with O2 and Air) ........................................... 10-21
10.3.17 Spare Needle Valve Telescopic Mechanism ............................................... 10-22
10.3.18 Tubes .......................................................................................................... 10-23
10.3.19 O-ring ......................................................................................................... 10-23
A Anesthesia Machine Tube Connection Diagrams......................................................... A-1

A.1 A7 System Tube Connection Diagram (European standard) ......................................... A-1
A.2 A7 System Tube Connection Diagram (A7 O2&AIR) .................................................. A-2
A.3 A7 System Tube Connection Diagram (A7 O2&N2O&AIR) ....................................... A-3
A.4 A7 System Tube Connection Diagram (European standard/large cylinder) .................. A-4
A.5 A7 System Tube Connection Diagram (A7 O2&N2O&AIR ELECTRIC) .................. A-5
A.6 A7 System Tube Connection Diagram (A7 O2&AIR ELECTRIC) .............................. A-6
A.7 Descriptions of A7 System Tube Connection................................................................ A-7
A.8 A7 Module Tube Connection Diagram ....................................................................... A-10
A.9 Descriptions of A7 Module Tube Connection .............................................................. A-11
B Test Items.......................................................................................................................... B-1

B.1 Test items after installation ............................................................................................. B-1
B.2 Test items after maintenance .......................................................................................... B-2
B.3 Test items after service ................................................................................................... B-3
6
1 Safety
1.1 Warnings, Cautions, and Notes
Please read and adhere to all warnings, cautions, and notes listed here and in the appropriate
areas throughout this manual.
WARNING
 A WARNING is provided to alert the user to potential serious outcomes (death,
injury, or serious adverse events) to the patient or the user.
CAUTION
 A CAUTION is provided to alert the user to use special care necessary for the safe
and effective use of the device. They may include actions to be taken to avoid
effects on patients or users that may not be potentially life threatening or result in
serious injury, but about which the user should be aware. Cautions are also
provided to alert the user to adverse effects on this device of use or misuse and the
care necessary to avoid such effects.
NOTE
 A NOTE is provided when additional general information is applicable.
1-1
1.1.1 Warnings
WARNING
 Whenever using anesthetic gases, nitrous oxide, oxygen, or any hospital gas, always
follow the appropriate agent evacuation/collection procedures. Use the hospital gas
evacuation system.
 Use only an approved lubricant on any O-ring in contact with oxygen. Krytox® is
the recommended oxygen service lubricant.
 For continued protection against fire hazard, replace all fuses with the specified
type and rating.
 In order to prevent an electric shock, the machine (protection class I) may only be
connected to a correctly grounded mains connection (socket outlet with grounding
contact).
 To avoid explosion hazard, do not use the equipment in the presence of flammable
anesthetic agent, vapors or liquids.
 Remove all accessory equipment from the shelf before moving the anesthesia
machine over bumps or on any inclined surface. Heavy top loading can cause the
machine to tip over causing injury.
 Possible explosion hazard. Do not operate machine near flammable anesthetic
agents or other flammable substances. Do not use flammable anesthetic agents
(e.g., ether or cyclopropane.)
 The use of anti-static or electrically conductive respiration tubes, when utilizing
high frequency electric surgery equipment, may cause burns and is therefore not
recommended in any application of this machine.
 Possible electric shock hazard. The machine may only be opened by authorized
service personnel.
 Compressed gasses are considered Dangerous Goods/Hazardous Materials per
I.A.T.A (International Air Transport Association). and D.O.T. (Department Of
Transport) regulations. It is a violation of federal and international law to
transport dangerous goods without the packages being appropriately identified,
packed, marked, classified, labeled and documented according to D.O.T. and
I.A.T.A. regulations. Please refer to the applicable I.A.T.A. Dangerous Goods
Regulations and /or the Code of Federal Regulations 49 (Transportation, Parts
171-180) for further information.
 Avoid exposure to respiratory gases by always directing the fresh gas flow from the
fresh gas outlet to the waste gas scavenger.
1-2
1.1.2 Cautions
CAUTION
 This device uses high pressure compressed gas. When attaching or disconnecting
backup gas cylinders, always turn the cylinder valves slowly. Use the A7 flow
meters to bleed down the pressure, watching the cylinder gauge indicate the
depleting cylinder pressure, before disconnecting the cylinder from the yoke.
Always open and close cylinder valves fully.
 This device operates using compressed gas at high pressures from the hospital
central supply. When connecting gas supply lines attach the hose connection to the
machine before connecting the quick disconnect fitting to the hospital source.
Disconnect the supply hose from the hospital source connection prior to
disconnecting it from the A7 gas connection fittings.
 Refer to Section 3.3 Periodical Maintenance Schedule for assistance when
performing scheduled periodic maintenance.
 Do not leave gas cylinder valves open if the pipeline supply is in use and the system
master switch is turned to 'ON'. If used simultaneously, cylinder supplies could be
depleted, leaving an insufficient reserve supply in the event of pipeline failure.
 Use cleaning agent sparingly. Excess fluid could enter the machine, causing
damage.
 This machine must only be operated by trained, skilled medical staff.
 Perform the electrical safety inspection as the last step after completing a repair or
after routine maintenance. Perform this inspection with all covers, panels, and
screws installed.
 After changing the CO2 absorbent, carry out a system leak test.
 Only Selectatec™ compatible vaporizers with Interlock-System may be used with
the A7 unit。
 After each exchange of a vaporizer, carry out a system Leak test.
 Do not clean the machine while it is on and/or plugged in.
 Pressing “cancel” at any time during the procedure will cancel the session's settings
and reload the previously-stored calibration coefficients.
 Depleted sodalime changes color. Replace the sodalime if approximately 2/3 of the
absorber content is discolored. CO2 absorbent can be safely changed without
stopping mechanical ventilation.
 This equipment contains parts sensitive to damage by electrostatic discharge
(ESD). Use ESD precautionary procedures when touching, removing, or inserting
parts or assemblies.The ventilator must be inspected and serviced regularly by
trained service personnel.
1.1.3 Notes
NOTE
 Unauthorized servicing may void the remainder of the warranty. Check with the
factory or with a local authorized distributor to determine the warranty status of a
particular instrument.
1-3
FOR YOUR NOTES
1-4
2 Theory of Operation
2.1 Introduction
The A7 Anesthesia System is a simple and convenient anesthetic gas delivery system that
produces anesthesia gas and controls delivery of anesthesia gas by using a configured
vaporizer. It supports automatic and manual ventilation. It can also monitor various
parameters of patients, such as the airway pressure, inspired tidal volume and expired tidal
volume.
The A7 Anesthesia System provides the following ventilation modes:

 Volume Control Ventilation (VCV), which includes the Pressure Limit Ventilation
(PLV) function
 Pressure Control Ventilation (PCV) with/without the Volume Guarantee (VG)
ventilation mode
 Synchronized Intermittent Mandatory Ventilation (SIMV) with the VC mode
 SIMV with the PC mode
 Pressure Support (PS) ventilation mode
 Spontaneous ventilation in Manual mode with the Airway Pressure Limit (APL) fully
open
 Manual Ventilation through the use of a breathing bag
 Electronic Positive End Expiratory Pressure (PEEP) is available in all ventilation modes.
Control over inspiratory flow (Tslope) is possible in PCV, SIMV, and PS modes.
Automatic fresh gas compensation helps patients suffer less from manual changes in
fresh gas flow rate. The traditional bellows system is driven by gas and makes patient
ventilation clearly visible.
The A7 fresh gas electronic flow metering system inherits the features of a traditional
anesthesia system and moreover is enhanced in ease of use. The dual-tube electronic flow
meter displays more precise readouts. A knob guard prevents inadvertent movement of the
flow control knobs. Gas supply gauges indicate the pipeline and cylinder gas supply
pressures in real time. An auxiliary O2 flow meter is placed on the upper left to make it
convenient to read the O2 flow rate. The O2 flush button is in the traditional position near the
front left corner of the table top.
Safety systems within the A7 work to prevent hypoxic mixtures from being delivered to the
patient. Nitrous oxide will not be delivered unless oxygen pressure is present. The O2 ratio
controller (ORC) of a mechanical safety system ensures that the oxygen content in the gas
mixture exceeds 21%.
2-5
The heating system of the A7 patient breathing circuit minimizes condensed water and sends
gas back to the patient. The pressure gauge, APL valve and manual breathing bag of the
patient breathing circuit support fast plug and unplug to facilitate their installation and
maintenance. The APL valve has a rotary knob that provides a clear view of the manual
breathing pressure setting. The sodalime absorber canister can be opened and closed quickly
through a handle. It can absorb sodalime in standard Pre-paks or loose-fill sodalime. A
drainage valve is configured for the sodalime absorber canister.
Two flow sensors are configured on the patient breathing circuit to monitor the flow of
inspired and expired gases and monitor the airway pressure. An O2 sensor is used to monitor
the inspired oxygen concentration. The operator can rotate and fix the patient breathing
circuit as required. In addition, the patient breathing circuit is equipped with a side plug for
gas leakage detection. The Anesthesia Gas Scavenging System (AGSS) connectors are at the
rear of the A7.
When the A7 uses AC power supply, the A7 power management system supplies power for
its main system while charging its internal battery. In case of an AC power failure, the A7
operates on battery power, two new batteries supporting normal running in a minimum of 90
minutes. The main system switch can power on and off the system. The four auxiliary AC
sockets on the A7 at the rear of the machine operate independent of the main system switch.
NOTE
 The heater for the patient breathing circuit system does not operate when the A7 is
working on battery power.
 If the main switch is set to OFF, the O2 supply is turned off.
2-6
2.2 Electrical Circuit
2.2.1 Electrical Connections
2-7
No. Description P/N
B1 Power Board 115-018145-00
B2 Battery Interface Board 801-0631-00109-00
B3 CPU Board 115-035003-00
B4 LED Indicator Board 051-001257-00
B5 Infrared Communication Board 801-0621-00165-00
B6 Anesthesia Signal Interface Board 801-0613-00033-00
B7 Display Interface Board 051-001258-00
Backlight Control Board (LED Backlight) 051-002448-00
B8
Inverter (Tube Backlight) 051-001519-00
B9 Alarm Indicator Board 801-0631-00019-00
B10 Touchscreen Control Board 801-0631-00018-00
B11 Encoder Board 051-001260-00
B12 Auxiliary Gas Supply Flow meter Backlight Board 801-0631-00002-00
B13 Top Lighting Board 801-0631-00039-00
B14 Mother Board (VGA) 115-040955-00
B15- 115-051206-00
Monitoring Module
16
B18 Electronic Flow Control System (EFCS) VCM 115-024754-00
B19 Air Flow Sensor Interface Board 115-044851-00
B20 Nitrous Oxide Flow Sensor Interface Board 115-044851-00
B21-
O2 Flow Sensor Interface Board 115-044851-00
22
B23 Total Flow meter Backlight Board 051-001256-00
B24 BFCS Position Switch Board 051-001286-01
P1 AC Input Socket and Connecting cable (Filter) 801-0631-00029-00
P2 breaker 250V 5A (not FDA) 801-0631-00130-00
P3-6 Breaker 250V 3A 801-0631-00031-00
Auxiliary Output Socket (Australian Standard) /
Auxiliary Output Socket (European Standard) /
Auxiliary Output Socket (American Standard) /
Auxiliary Output Socket (British Standard) /
P7-10
Auxiliary Output Socket (Indian Standard) /
Auxiliary Output Socket (Type-B Specification 220V) /
Auxiliary Output Socket (Large South African Standard) /
Auxiliary Output Socket (Brazilian Standard) /
P11 Speaker and Connecting cable 801-0631-00038-00
P12 Hardware Box Fan and Connecting cable 801-0631-00028-00
P13-14 Lithium Ion Battery 115-062081-00
P16 Touchpad 801-0631-00052-00
P17 Module Rack Fan and Connecting Cable 024-000407-00
P18 Touchscreen 801-0631-00014-00
P19 LCD 115-036373-00
2-8
No. Description P/N
P20-21 Rotary Encoder 115-034469-00
P22 Top Light Switch 009-000981-00
P23 Circuit Heater 115-034450-00
P24 O2 Cell 0611-10-45654
Auxiliary Output Connecting Cable (Australian and Brazil /
Standards)
Auxiliary Output Connecting Cable (European Standard) /
Auxiliary Output Connecting Cable (American Standard) /
C1-4
Auxiliary Output Connecting Cable (British Standard, Indian /
Standard, and Large South African Standard)
Auxiliary Output Connecting Cable (Type-B Specification /
220V)
Auxiliary Socket Power Connecting Cable /
C5 Auxiliary Socket Power Connecting Cable(Large South /
African Standard)
C6 AC power input line /
C7 Battery Connecting Cable /
C8 Indicator Light Connecting Cable /
C9 System Switch Connecting Cable /
C10 Touchpad Connecting Cable /
C11 Monitor Module Rack Connecting Cable /
C12 ACGO State Connecting Cable
C13 AG Module Communication Cable /
C14 Display Connecting Cable /
C15 Display Backlight Line /
C16 Display Backlight Board Connecting Cable /
C17 Alarm Indicator Connecting Cable /
C18 Touchscreen Control Board Connecting Cable /
C19 Encoder Board Connecting Cable /
C20 Auxiliary O2 Supply Backlight Connecting Cable /
C21 Lighting Board Power Connecting Cable /
C22 O2 Pressure Switch Connecting Cable At Gas Supply Inlet /
C23 O2 Cell Connecting Cable /
C24 2-pin O2 Sensor Pedestal /
C25 Connecting Cable of the Switch Within the Circuit /
C26 CO2 Absorber Canister Switch Connecting Cable /
C27 Pneumatic Block Connecting Cable /
C28 Pneumatic Component Connecting Cable /
C29 BFCS Position Switch Connecting Cable /
C30 Total Flow Meter Backlight Connecting Cable /
C31 Flow Meter Switch Signal Cable /
Backup Needle Valve Switch Connecting Cable (Without /
C32
N2O)
C33 Stepper Motor and Electromagnet Connection Connecting /
2-9
No. Description P/N
Cable
C34 Flow Sensor Connecting Cable /
Connecting Cable B of the Three-Way Valve for the Flow /
C35
Meter
Connecting Cable of the Proportional Valve for the Flow /
C36
Meter
C37 VCM Connecting Cable /
Connecting Cable A of the Three-Way Valve for the Flow /
C38
Meter
NOTE
 For board layouts in this document, pins are numbered as follows: the pin with a
triangle is pin 1, then comes pin 2, and so on. When pins are arranged into two
rows, they are numbered 1, 3, 5 and 2, 4, 6 in respective rows.
2.2.2 Power System

2.2.2.1 Power Board
The power board consists of two parts: AC-DC and DC-DC. The AC-DC part converts the
main supply input into 15.2 V DC power; the DC-DC part converts the 15.2V power output
from the AC-DC part or the power from lithium-ion batteries into DC voltages required by
the system, including 12 VA, 12 VB, 5.0 V and 3.3 V. The power board also provides
functions such as switch control, AC indicator and battery indicator driving, heating module
driving, and lithium-ion battery charging management.
During startup, the CPU of the power board power on the 3.3 V, 5 V and 12 VA (12 VB)
switches one by one when detecting a startup signal. During shutdown, it powers off 12 VA
(12 VB), 5 V and 3.3 V switches one by one. The 12 VA and 12 VB switches are powered on
and off at the same time.
Mother Board Interface, J3
Pin Name Function

1 RXD Power board serial port communication receive signal
2 TXD Power board serial port communication transmit signal
3 GND Ground
4 LCD-EN LCD backlight enable signal
5 LCD-BR LCD backlight brightness control voltage
6 3.3VBF 3.3V only for power-on/off (range: 3.135V~3.465V)
7 GND Ground
8 NTC2 Lithium battery #2 internal thermistor signal
9 GND Ground
10 NTC1 Lithium battery #1 internal thermistor signal
11 GND Ground
12 Heating wire drive voltage output (range:
P15V
12.42V~15.18V)
13 HRT22 Heating wire thermistor pin 1
2-10
Pin Name Function
15 GND Ground
16 3.3V 3.3V supply voltage output (range: 3.135V~3.465V)
17 GND Ground
18 GND Ground
19 GND Ground
20 12VB #2 12V supply voltage output (range: 10.8V~13.2V)
21 GND Ground
22 GND Ground
23 12VA #1 12V supply voltage output (range: 10.8V~13.2V)
24 15.2VB 15.2V supply voltage output (range: 14.44V~15.96V)
25 15.2VB 15.2V supply voltage output (range: 14.44V~15.96V)
26 PLAM Buzzer drive signal, driving the buzzer directly
27 SWITCH Circuit switch, reflecting if the circuit is in position.
28 P-FAN+ Power board cooling fan drive
29 LED-BAT Battery status indicator light drive output
30 LED-AC AC status indicator light drive output
31 Power on/off signal. LVTTL pulse signal. If this signal is
PCON at high level, the system is powered on; if this signal is at
low level, the system is powered off.
32 Lithium battery #2 input, connecting with battery positive
BAT2+
end
33 Lithium battery #2 availability signal. Low level indicates
BC2
battery available and high level battery unavailable.
34 Lithium battery #1 input, connecting with battery positive
BAT1+
end
35 Lithium battery #1 availability signal. Low level indicates
BC1
battery available and high level battery unavailable.
36 GND Ground
37 Heating wire drive voltage output (range:
P15V
12.42V~15.18V)
40 GND Ground
43 GND Ground
46
GND Ground

49 NC Not connected internally
2-11
2.2.2.2 Battery Interface Board
The battery interface board transfers lithium-ion battery signals to the mother board, most of
which will be transferred to the power board.
J3
Battery interface board (top view)

J1 J2
Battery interface board (bottom view)
Battery Interfaces, J1 and J2

Pin Name Function
1 BAT+ Battery Voltage+
2 BAT+ Battery Voltage+
3 BC Battery in-Position Signal
4 BAT- Battery Voltage-
5 NTC Battery Internal Thermistor
Battery Connecting cable Interface, J3

Pin Name Function
1 VBAT1 Battery Voltage
2 NTC1 Battery Internal Thermistor
3 BC1 Battery in-Position Signal
4 GND Ground
5 VBAT2 Battery Voltage
2-12
Pin Name Function
8 GND Ground
2.2.2.3 Auxiliary Output

Auxiliary outputs supply power for other devices or instruments. The voltage ranges and
frequencies of the power supplies should be the same as those of the input main supply for
the anesthesia system. The A7 Anesthesia System has four auxiliary outputs (three auxiliary
outputs for large south African anesthesia system), each with a breaker.
Auxiliary Outlet 1 Auxiliary Outlet 2 Auxiliary Outlet 3 Auxiliary Outlet 4
Breaker 1 Breaker 2 Breaker 3 Breaker 4
2.2.2.4 Other Components (Heating Module, Fan and Lithium-ion Battery)

The anesthesia machine also includes components such as the heating module, fans and
lithium-ion batteries. The heating module is driven by the power board and provides dual
overheating protection by means of software and hardware. Fans are used for cooling the
hardware box and module rack. Lithium-ion batteries ensure that the anesthesia machine can
operate properly when the mains supply is unavailable or abnormal.
2-13
2.2.3 Display System
2.2.3.1 Display Interface Board
The display interface board implements two functions: (1) providing interfaces for the
display backlight drive, alarm indicator drive and serial communication signals of the
touchscreen control board; (2) identifying two encoders.
J1 J5 J6 J2 J4
2
1
Display interface board (top view)
Display interface board (bottom view)

Inverter Interface, J1
Pin Name Function
1 VPP 12 V Power Supply for the Backlight Board (range: 10.8V~13.2V)
2 VPP 12 V Power Supply for the Backlight Board (range: 10.8V~13.2V)
3 GND Ground
4 GND Ground
2-14
5 BCON Display Backlight Enable Signal
6 DIMMING Display Brightness Control Signal
Alarm Indicator Board Interface, J2

Pin Name Function
1 VPP_OUT 12 V Power Supply (range: 10.8V~13.2V)
2 GND Ground
3 SDA CPU Board IIC Data Signal
4 SCL CPU Board IIC Clock Signal
5 VDD 3.3 V Power Supply (range: 10.8V~13.2V)
6 GND Ground
Touchscreen Control Board Interface, J4

Pin Name Function
1 5 V Power Supply for the Touchscreen Control Board
VCC
(range: 4.75V~5.25V)
2 Serial Port Receive Signal of the Touchscreen Control
RXD_Touch
Board
3 Serial Port Transmit Signal of the Touchscreen Control
TXD_Touch
Board
4 GND Ground
Display Control Signal Interface, J5

Pin Name Function
RXD_Touch
Board
TXD_Touch
Board
5 GND Ground
6 LED_AC Not Connected Internally
7 LED_BATT Not Connected Internally
8 SDA CPU Board IIC Data Signal
9 SCL CPU Board IIC Clock Signal
10 Serial Port Transmit Signal of the Display Interface
TXD_Encoder
Board
11 Serial Port Receive Signal of the Display Interface
RXD_Encoder
Board
12 Lighting Lighting Control Signal
13 USB+ USB Signal
14 USB- USB Signal
15 Lighting_12V Lighting 12 V Power Supply (range: 10.8V~13.2V)
16 VPP 12 V Power Supply (range: 10.8V~13.2V)
2-15
Pin Name Function
18 GND Ground
19 GND Ground
20 GND Ground
Encoder Board Interface, J6

Pin Name Function
1 VCC 5 V Power Supply (range: 4.75V~5.25V)
2 GND Ground
3 Encoder_A1 Output A of Encoder 1
4 Encoder_B1 Output B of Encoder 1
5 Encoder_Y1 Depress of Encoder 1 (Reserved)
2.2.3.2 Display and Touchscreen

The anesthesia machine is fitted up with a 15-inch 24-bit 1024x768 LVDS display as the
main output component, and a 15-inch touchscreen as the main input component (another
touchpad is available on the A7 anesthesia machine).
2.2.3.3 Other Components

The display system also includes the backlight control board, alarm indicator board,
touchscreen control board and encoder board. The backlight control board provides backlight
for the display; the alarm indicator board is used for reporting visual alarms on the anesthesia
machine; the touchscreen control board controls the inputs through the touchscreen and sends
processed touchscreen operation information through a serial port.
2.2.3.4 Backlight Control Board
J1
J2
Backlight Control Board (Top view)
2-16
Backlight Control Board (Bottom view)
Backlight Control Board Interface, J1

Pin Name Function
1 VPP 12 V Power Supply (Range: 10.8 V to 13.2 V)
2 GND Ground
5 NC No connections inside.
Backlight Control Board Interface, J2

Pin Name Function
1 GND GND
2 PWM Display Lightness Control PWM signal
3 LED EN Display Backlight Enable Signal
4 VPP 12 V Power Supply (Range: 10.8 V to 13.2 V)
2.2.3.5 Alarm Indicator Board
J1
Alarm indicator board (top view)
Alarm indicator board (bottom view)
Alarm Indicator Board Interface, J1
2-17
Pin Name Function
2 GND Ground
3 SDA CPU Board I2C Data Signal
4 CL CPU Board I2C Clock Signal
2.2.3.6 Touchscreen Control Board
Touchscreen control board (top view)
Touchscreen control board (bottom view)

Touchscreen Control Board Interface, J3
Pin Name Function
1 5 V Power Supply of the Touchscreen Control Board
VCC
(range: 4.75V~5.25V)
RXD_touch
Board
TXD_touch
Board
4 GND Ground
2-18
2.2.3.7 Encoder Board
J2 J1 J3
Encoder board (top view)
Encoder board (bottom view)

Encoder Board Interface, J1
Pin Name Function
2 GND Ground
Encoder Board Interfaces, J2 and J3
2-19
Pin Name Function
2 Encoder_A Output A of Encoder
3 Encoder_B Output B of Encoder
4 Encoder_Y Depress of Encoder (Reserved)
5 GND Ground
6 GND Ground
2.2.4 Control System

2.2.4.1 CPU Board
As the main control component for man-machine interaction, the CPU board drives the
display and speaker, and exchanges data with the VCM, power board, EFCS VCM,
touchscreen control board, infrared communication board, and anesthesia signal interface
board through serial ports.
J4 J9 J8
CPU board (top view)
2-20
CPU board (bottom view)
Network Port, J9
Pin Name Function
1 TX+ Positive End of the Transmit Signal
2 TX- Negative End of the Transmit Signal
3 RX+ Positive End of the Receive Signal
4 CT1 Undefined
5 CT1 Undefined
6 RX- Negative End of the Receive Signal
7 CT2 Undefined
8 CT2 Undefined
USB Port, J8
Pin Name Function
1 VCC0 USB Power Supply (range: 4.75V~5.25V)
2 DM0 USB Data Signal – (Negative)
3 DP0 USB Data Signal + (Positive)
4 GND0 Ground
5 VCC1 USB Power Supply (range: 4.75V~5.25V)
6 DM2 USB Data Signal – (Negative)
7 DP2 USB Data Signal + (Positive)
8 GND1 Ground
RS-232 Interface, J4
2-21
Pin Name Function
1 NC Not connected
2 RXD RS-232 Receive Signal
3 TXD RS-232 Transmit Signal
4 NC Not connected Internally
5 GND Ground
2.2.4.2 VCM
The VCM monitors the anesthesia machine and anesthesia breathing system by means of
pressure detection, flow detection, valve regulation, status information monitoring and
collecting, oxygen concentration monitoring, pressure and flow monitoring within the circuit,
and fine control of the tidal volume. The VCM comprises the monitor signal detection board
and valve drive board.
Monitor Signal Detection Board
J3 J1 J5 J7
J6
J12
Monitor signal detection board (Top view)
2-22
J3 J1 J5 J7
J6
J12
Monitor signal detection board (Bottom view)

Monitor Signal Detection Board Communication Interface, J1
Pin Name Function
1 TXD Serial Port Transmit
2 RXD Serial Port Receive
3 VA 12 V Power Supply (range: 10.8V~13.2V)
4 GND Ground
5 GND Ground
7 CLOSE_SAFE Pressure Relief Valve Control Signal
8 VZHU 5 V Power Supply (range: 4.75V~5.25V)
Sensor Interface Board Interface, J3

Pin Name Function
1 SDA I2C Data Signal
2 SCL I2C Clock Signal
3 V_TEMP Thermal Mass Flow Sensor Temperature Signal
4 V_FLOW Thermal Mass Flow Sensor Flow Signal
5 VA Sensor Power Supply (range: 10.8V~13.2V)
6 GND Ground
2-23
VT Calibration Communication Interface, J7
Pin Name Function
1 TXD Calibration Serial Port Transmit Signal
2 RXD Calibration Serial Port Receive Signal
3 GND Ground
Three-way Valve Control Interface, J6

Pin Name Function
1 12V Three-Way Valve Power Supply (range: 10.8V~13.2V)
2 SANTONG1 Three-Way Valve Control 1
Valve Drive Board Communication Interface, J5

Pin Name Function
1 TXD_VPM Valve Drive Board Serial Port Transmit Signal
2 RXD_VPM Valve Drive Board Serial Port Receive Signal
3 GND Ground
O2O2 Cell Detection Interface, J12

Pin Name Function
1 O+ O2 Cell +
2 O- O2 Cell -
3 GND Ground
Test Point Definition
Designator Function Range (Unit: V)

10V5 10.5 V Power Supply 9.957~11.025
R5V 5 V Reference Supply 4.75~5.25
7V 7 V Power Supply 6.65~7.35
A5V 5 V Power Supply 4.75~5.25
3V3 3.3 V Power Supply 3.15~3.45
1V3 1.3 V Power Supply 1.235~1.365
2-24
2V5 2.5 V Power Supply 2.375~2.625
R5V 5 V Power Supply 4.75~5.25
12V 12 V Power Supply 10.8~13.2
VH1~VH2 1.136 V Power Supply 1.079~1.193
VF1~VF3 0.278 V Power Supply 0.264~0.292
VP1~VP2 0.877 V Power Supply 0.833~0.921
SAN1 Three-way Valve Signal 1 0~12
Valve Drive Board
J3 J1 J5 J7
J6
J12
Valve drive board (Top view)
2-25
Valve drive board (Bottom view)
Proportional Valve and Safety Valve Drive Interface, J4

Pin Name Function
1 7V Safety Valve Power Supply (range: 6.65V~7.35V)
2 SAFE_VALVE Safety Valve Control Signal
3 7V Inspiration Valve Power Supply (range: 6.65V~7.35V)
4 INSP_VALVE Inspiration Valve Control Signal
5 7V PEEP Valve Power Supply (range: 6.65V~7.35V)
6 PEEP_VALVE PEEP Valve Control Signal
Power Supply Interface, J2

Pin Name Function
1 GND Ground
2 GND Ground
3 12V 12 V Power Supply (range: 10.8V~13.2V )
Status Detection Interface, J8

Pin Name Function
1 GND Ground
2 PNEUM_PRE_SW Pneumatic Block Pressure Switch Signal. High level
indicates that the drive gas supply is not in position and low
level indicates that the drive gas supply is in position. Range
of high level: 2.4V~3.5V. Range of low level: 0V~0.8V.
3 GND Ground
4 NC Not Connected Internally
5 GND Ground
6 NC Not connected
2-26
Pin Name Function
7 GND Ground
8 ACGO_PRE_SW ACGO Switch Signal. High level indicates that ACGO is
OFF and low level indicates that ACGO is ON. Range of
high level: 2.4V~3.5V. Range of low level: 0V~0.8V.
9 GND Ground
10 O2_PRE_SW O2 Pressure Switch Signal At Gas Supply Inlet. High level
indicates that the O2 supply is not in position and low level
indicates that the O2 supply is in position. Range of high
level: 2.4V~3.5V. Range of low level: 0V~0.8V.
11 GND Ground
12 MANU_AUTO_SW Auto/Manual Switch Signal. High level indicates Auto and
low level indicates Manual. Range of high level: 2.4V~3.5V.
Range of low level: 0V~0.8V.
Test Point Definition
Designator Function Range (Unit: V)

3V3-VCM 3.3 V Power Supply 3.15~3.45
1238mV 1.238 V Power Supply 1.176~1.300
V7V1 7V Power Supply 6.65~7.35
V5V1 7V Power Supply 6.65~7.35
SAFE1 Safety Valve Signal 0~12
7V 7V Power Supply 6.65~7.35
D5V 5V Power Supply 4.75~5.25
1V3 1.3V Power Supply 1.235~1.365
D3V3 3.3V Power Supply 3.15~3.45
2V5 2.5V Power Supply 2.375~2.625
R5V 5V Power Supply 4.75~5.25
2-27
2.2.4.3 EFCS VCM
The EFCS VCM is the core control component of the EFCS on the A7 anesthesia machine.
The EFCS VCM controls the oxygen, nitrous oxide and air flow by regulating the
proportional valves, and monitors and feeds back the oxygen, nitrous oxide and air flow by
using a flow sensor. It also monitors the oxygen flow sensor that measures the oxygen in the
total flow. The monitoring result is processed by the CPU of the EFCS VCM. In addition, the
EFCS VCM drives the three-way valves, electromagnet and stepper motor so that it can
switch to the backup mechanical flow control system when electronic components such as the
proportional valves and flow sensors fail.
J5
2 1
J6
J7
J3
1 2
J13
J10
1 2
J8
J1
1 2
EFCS VCM (top view)
2-28
EFCS VCM (bottom view)
EFCS VCM, J1
Pin Name Function
1 VBB2 CPU Power Supply (range: 14.44V~15.96V)
2 GND Ground
3 FPGA, NO and NC Valve Power Supply (range:
FPGA_VPP
10.8V~13.2V)
4 GND Ground
5 PROP_VALVE_VPP Proportional Valve
6 GND Ground
7 SAN_VPP Backup Three-Way Power Supply (range: 10.8V~13.2V)
8 GND Gnd
9 CPU_TXD_MB_BUF Communication with the CPU Board
2-29
Pin Name Function
10 GND Ground
11 CPU_RXD_MB Communication with the CPU Board
12 GND Ground
13 Backup Communication Between the FPGA and the CPU
FPGA_RXD_MB
Board
14 Backup Communication Between the FPGA and the CPU
FPGA_TXD_MB_BUF
Board
EFCS VCM, J3
Pin Name Function
1 VBB1 Solenoid Magnet Power Supply (range: 14.44V~15.96V)
2 VBB1 Solenoid Magnet Power Supply (range: 14.44V~15.96V)
3 GND Ground
4 GND Ground
5 STEP_VPP Stepper Motor Power Supply (range: 10.8V~13.2V)
6 STEP_VPP Stepper Motor Power Supply (range: 10.8V~13.2V)
7 GND Ground
8 GND Ground
EFCS VCM, J4
Pin Name Function
1 CPU_TXD_DEBUG 7129 Serial Port Transmit
2 CPU_RXD_DEBUG 7129 Serial Port Receive
3 GND Ground
4 FPGA_VPP Power Supply (range: 10.8V~13.2V)
EFCS VCM, J5
Pin Name Function
1 NC_VALVE+ Three-Way Valve Power Supply
2 NC_VALVE- Negative End of the Three-Way Valve
EFCS VCM, J6
Pin Name Function
1 SOLENOID_VPP Positive End of the Electromagnet
2 Power Supply of the Stepper Motor Drive Chip (range:
VA_STEP
10.8V~13.2V)
3 MOTOR_A1 A1 Connecting Cable of the Stepper Motor
4 MOTOR_A2 A2 Connecting Cable of the Stepper Motor
5 SOLENOID- Negative End of the Electromagnet
6 GND Ground
7 MOTOR_B1 B1 Connecting Cable of the Stepper Motor
8 MOTOR_B2 B2 Connecting Cable of the Stepper Motor
2-30
EFCS VCM, J7
Pin Name Function
1 P_VALVE+ Proportional Valve Power Supply
2 O2_VALVE- Negative End of the Oxygen Proportional Valve
4 AIR_VALVE- Negative End of the Air Proportional Valve
6 N2O_VALVE- Negative End of the Nitrous Oxide Proportional Valve
EFCS VCM, J8
Pin Name Function
1 EE_SCL IIC Clock Signal
2 C_DVCC Sensor Power Supply (range: 4.75V~5.25V)
3 EE_SDA IIC Data Signal
4 C_DVDD Sensor Signal Conversion Pin
5 GND Ground
6 GND Ground
7 FPGA_DVCC Sensor Power Supply (range: 4.75V~5.25V)
8 O2_SCL IIC Clock Signal
9 FPGA_3V3 Sensor Signal Conversion Pin
10 O2_SDA IIC Data Signal
11 AIR_SCL IIC Clock Signal
13 AIR_SDA IIC Data Signal
15 GND Ground
16 GND Ground
18 N2O_SCL IIC Clock Signal
20 N2O_SDA IIC Data Signal
EFCS VCM, J10

Pin Name Function
1 LED1_C_POWER Power Supply 5 V of the Glass Tube Light (Controlled)
2 GND Ground
3 LED2_C_POWER Power Supply 5 V of the Display Indicator (Controlled)
4 GND Ground
5 Needle Valve Position Switch 1. High level indicates that
the needle valve is open and low level indicates that the
NEEDLE_SWITCH1_IN
needle valve is closed. Range of high level: 2.4V~3.6V.
6 GND Ground
7 NEEDLE_SWITCH2_IN Needle Valve Position Switch 2. High level indicates that
2-31
Pin Name Function
8 GND Ground
9 Needle Valve Position Switch 3. High level indicates that
NEEDLE_SWITCH3_IN
10 GND Ground
11 Backup Needle Valve Position Switch 4. High level
indicates that the needle valve is open and low level
NEEDLE_SWITCH4_IN
indicates that the needle valve is closed. Range of high
12 GND Ground
NEEDLE_SWITCH5_IN
14 GND Ground
NEEDLE_SWITCH6_IN
16 GND Ground
17 BFCS Position Switch 1. High level indicates to move the
needle valve to leave the position where the micro switch is
BFCS_SWITCH1_IN located and low level indicates to move the needle valve to
reach the position where the micro switch is located. Range
18 GND Ground
20 GND Ground
22 GND Ground
24 GND Ground
25 O2_SWITCH O2 Supply Pressure Switch. High level indicates that the
O2 supply is not in position and low level indicates that the
2-32
Pin Name Function
O2 supply is in position. Range of high level: 2.4V~3.6V.
26 GND Ground
Air Supply Pressure Switch. High level indicates that the
Air supply is not in position and low level indicates that the
27 Air_SWITCH
Air supply is in position. Range of high level: 2.4V~3.6V.
28 GND Ground
29 N2O Supply Pressure Switch. High level indicates that the
N2O supply is not in position and low level indicates that
N2O_SWITCH
the N2O supply is in position. Range of high level:
2.4V~3.6V. Range of low level: 0V~0.4V.
30 GND Ground
2.2.4.4 Mother Board

The mother board provides signal interfaces for all boards and electrical components. The
mother board with VGA port can connect to displays of resolution of 1024*768.
J7 J12 J13 J1 J8 J9 J10 J11

1 4
5 8
2
1
1 2
65
33
1
49 50
J5
Mother board (top view, not configured with VGA connector)
2-33
Mother board (top view, configured with VGA connector)
50 34
33 18
17 1
37 20
19 1
25 14
13 1
J4 J3 J2
Mother board (bottom view)
2-34
VCM Interface, J1
Pin Name Function
1 SAFE_valve- Pressure Relief Valve Drive Signal
2 7Vin 7 V Power Supply (range: 6.65V~7.35V)
3 Xiqi_valve- Inspiration Valve Drive Signal
4 7 V or 5 V Power Supply (range: 6.65V~7.35V) or (range:
7Vin_or_5Vin
4.75V~5.25V)
5 peep_valve- PEEP Valve Drive Signal
6 SANTONG1- Three-Way Valve Drive Control Signal 1
10 Qilukuai_switch Pneumatic Block Pressure Switch Signal
12 ACGO_switch ACGO Tact Switch Signal
13 O2_switch O2 Pressure Switch Signal at Gas Supply Inlet
14 Control_switch Auto/Manual Switch Signal
15 GND Ground
16 CO2_switch CO2 Absorber Canister Switch Signal
17 O2+ O2 Concentration Signal
18 O2- O2 Concentration Signal
19 TXD_7024 7024 Serial Port Transmit Signal
20 RXD_7024 7024 Serial Port Receive Signal
21 GND Ground
22 SDA IIC Data Signal
23 SCL IIC Clock Signal
24 VT Thermal Mass Flow Sensor Temperature Signal
25 Thermal Mass Sensor Or Differential Pressure Sensor Flow
VF
Signal
26 GND Ground
27 TXD_33209_1 33209 Serial Port Transmit Signal
28 RXD_33209_1 33209 Serial Port Receive Signal
29 12V VCM Power Supply (range: 10.8V~13.2V)
30 GND Ground
31 Pressure Relief Valve Signal Pull-Up Power Supply (range:
5V
4.75V~5.25V)
32 5V VCM Power Supply (range: 4.75V~5.25V)
33 TXD_33209_2 Serial Port Transmit Signal for Calibration
34 RXD_33209_2 Serial Port Receive Signal for Calibration
35 GND Ground
36 12V Valve Drive Board Power Supply (range: 10.8V~13.2V)
2-35
Pneumatic Assembly Interface, J2
Pin Name Function
7Vin_or_5Vin
4.75V~5.25V)
2 SAFE_valve- Pressure Relief Valve Drive Signal
3 7Vin 7 V Power Supply (range: 6.65V~7.35V)
4 Xiqi_valve- Inspiration Valve Drive Signal
7Vin_or_5Vin
4.75V~5.25V)
6 peep_valve- PEEP Valve Drive Signal
7 ACGO+ Positive End of the ACGO Valve Drive Signal
8 ACGO- Negative End of the ACGO Valve Drive Signal
9 VBB1 Electromagnet Power Supply (range: 14.44V~13.2V)
10 GND Ground
11 12VB_4 Stepper Motor Power Supply (range: 10.8V~13.2V)
12 GND Ground
13 Reserved Three-Way Valve Power Supply (range:
12VB_5
10.8V~13.2V)
14 Power Supply of the EFCS VCM CPU And Total Flow Meter
VBB2
Backlight (range: 10.8V~13.2V)
15 GND Ground
16 12VB_2 Power Supply of the EFCS VCM (range: 10.8V~13.2V)
17 GND Ground
18 VF Differential Pressure Sensor Flow Signal
19 12VA_4 12 V Power Supply (range: 10.8V~13.2V)
20 GND Ground
21 12VB_3 Proportional Valve Power Supply (range: 10.8V~13.2V)
22 GND Ground
23 ACGO_switch ACGO Pressure Switch Signal
24 GND Ground
25 O2_switch O2 Pressure Switch Signal at Gas Supply Inlet
26 GND Ground
27 Qilukuai_switch Pneumatic Block Pressure Switch Signal
28 GND Ground
29 Control_switch Auto/Manual Switch Signal
30 GND Ground
31 CO2_ switch Circuit CO2 Absorber Canister Signal
32 GND Ground
33 Congyang O2 Flush Switch Signal
34 GND Ground
35 O2+ O2 Concentration Signal
36 O2- O2 Concentration Signal
37 Huilu_switch Circuit Switch
38 GND Ground
2-36
Pin Name Function
39 Temperature-R11 Signal of Thermistor 1
43 P15V Heater Drive Voltage Signal (range: 12.42V~15.18V)
44 P15V Heater Drive Voltage Signal (range: 12.42V~15.18V)
45 GND Ground
46 GND Ground
47 Power Supply of the A5 Electronic Flow Meter (range:
12VA_1
10.8V~13.2V)
48 GND Ground
49 RXD_FLOW Electronic Flow Meter Serial Port Receive Signal
50 TXD_FLOW Electronic Flow Meter Serial Port Transmit Signal
Display Interface, J3
Pin Name Function
1 LCD_EN Inverter Enable Signal
2 LCD_BR Inverter Brightness Control Signal
3 RXD_Touch Serial Port Receive Signal of the Touchscreen Control Board
4 TXD_Touch Serial Port Transmit Signal of the Touchscreen Control Board
6 LED_AC1 AC Indicator Light Drive Signal
7 LED_BAT1 Battery Indicator Light Drive Signal
8 SDA_CPU CPU Board IIC Signal
9 SCL_CPU CPU Board IIC Signal
10 TXD_KEY Serial Port Transmit Signal of the Display Interface Board
11 RXD_KEY Serial Port Receive Signal of the Display Interface Board
12 Lighting Lighting Control Signal
13 USB+ USB Data Signal+
14 USB- USB Data Signal-
15 Lighting_12V Lighting 12 V Power Supply (range: 10.8V~13.2V)
16 12 V (2 cables) 12 V Power Supply (range: 10.8V~13.2V)
17 GND Inverter Power Supply Ground
18 GND Inverter Power Supply Ground
19 TFT_VDD Display Power Supply (Directly Connected to the Display)
20 TFT_VDD Display Power Supply (Directly Connected to the Display)
21 GND Ground
22 GND Ground
23 LCDVGA1- Display Differential Signal
24 LCDVGA1+ Display Differential Signal
25 GND Ground
2-37
Pin Name Function
28 GND Ground
31 GND Ground
32 LCDCLK- Display Drive Clock
33 LCDCLK+ Display Drive Clock
34 GND Ground
37 GND Ground
Module Rack Interface for the Patient Monitor, J4

Pin Name Function
1 LED_AC1 AC Indicator Light Drive Signal
2 3.3V_Gasbench Infrared Backplane Power Supply
3 Infrared Backplane 12 V Power Supply (range:
12VA_6
10.8V~13.2V)
4 Infrared Backplane 12 V Power Supply (range:
12VA_6
10.8V~13.2V)
5 GND Ground
6 GND Ground
7 Three-Slot Infrared Module Rack Serial Port Receive
RXD_HW_OR_JH
Signal
8 Three-Slot Infrared Module Rack Serial Port Transmit
TXD_HW_OR_JH
Signal
9 12VA_5 Infrared, Power Supply (range: 10.8V~13.2V)
10 Fan_PWM2 Fan PWM Control Signal
11 Fan_State2 Yellow Cable, Status Signal
12 GND Ground
13 LED_BAT1 Battery Indicator Light Drive Signal
14 ACGO_State1 ACGO State Detection Signal 1
15 ACGO_State2 ACGO State Detection Signal 2
16 PCON+(3.3V) Power On/Off Circuit 3.3 V
17 PCON- Power On/Off Signal
18 Touchpad_5VOUT Touchpad 5 V Power Supply
19 GND Touchpad Ground Signal
20 Touchpad_usb+ USB+
21 Touchpad_usb- USB-
22 12VA_1 Built-in AG Module Power Supply (range: 10.8V~13.2V)
23 GND Ground
24 RXD_AG Built-in AG Module Receive Signal
25 TXD_AG Built-in AG Module Transmit Signal
2-38
Calibration Interface, J5
Pin Name Function
6 12V 12 V Power Supply (range: 10.8V~13.2V)
7 RXD_CALIBRATE Calibration Serial Port Receive Signal
8 TXD_CALIBRATE Calibration Serial Port Transmit Signal
9 GND Ground
Fan Interface, J7
Pin Name Function
1 12V3 12 V Power Supply (range: 10.8V~13.2V)
2 RSVD Reserved.
3 FAN1_STATE Fan Status Signal
4 GND Ground
Speaker Interface, J8
Pin Name Function
1 Speak+ Speaker Positive End
2 Speak- Speaker Negative End
Battery Interface Board Interface, J9

Pin Name Function
1 BAT1+ Battery Voltage
4 GND Ground
5 BAT2+ Battery Voltage
8 GND Ground
Power Board Interface, J10

Pin Name Function
1 PLAM Buzzer Drive and Control Signal
2 RXD_POWER Power Board Serial Port Receive Signal
3 Huilu_switch Circuit Switch, reflecting if the circuit is in position; (high
2-39
Pin Name Function
level indicates that the circuit is not in position and low
level indicates that the circuit is in position. Range of high
level: 3.135V~3.465V. Range of low level: 0V~0.4V)
4 Power Board Serial Port Transmit Signal (To the CPU
TXD_POWER
Board)
6 GND Ground
7 LED_BAT_NC Not Connected Internally
8 LCD_EN LCD Backlight Enable Signal
9 LED_AC AC Status Indicator Light Drive Output
10 LCD_BR LCD Backlight Brightness Control Voltage
11 Power ON/OFF Signal, LVTTL Pulse Signal. If this signal
is high level, the system is turned on; if this signal is low
PCON-
level, the system is turned off. (Range of high level:
3.135V~3.465V. Range of low level: 0V~0.4V)
12 3.3 V Signal that is only used for turn-on/off (range:
PCON+
3.135V~3.465V)
13 BAT2+ 2# Battery Input, Connecting to the Battery Positive End
14 GND Ground
15 2# Battery Availability Signal. Low level indicates battery
BC2F
available; high level indicates battery unavailable
16 NTC2 2# Lithium-Ion Battery Internal Thermistor Signal
17 BAT1+ 1# Battery Input, Connecting to the Battery Positive End
18 GND Ground
19 1# Battery Availability Signal. Low level indicates battery
BC1F
available; high level indicates battery unavailable
20 NTC1 1# Lithium-Ion Battery Internal Thermistor Signal
21 GND Ground
22 GND Ground
23 Drive Voltage Output of the Heater (range:
P15V
12.42V~15.18V)
24 Drive Voltage Output of the Heater (range:
P15V
12.42V~15.18V)
25 Temperature-R12 Thermistor Pin 1 of the Heater
29 GND Ground
30 GND Ground
31 3.3 V Power Supply Voltage Output (range:
3.3V
3.135V~3.465V)
32 3.3 V Power Supply Voltage Output (range:
3.3V
3.135V~3.465V)
33 5.0V 5.0 V Power Supply Voltage Output (range: 4.75V~5.25V)
34 GND Ground
35 GND Ground
2-40
Pin Name Function
36 GND Ground
37 #2 12V Power Supply Voltage Output (range:
12VB
10.8V~13.2V)
38 GND Ground
12VB
10.8V~13.2V)
12VB
10.8V~13.2V)
41 GND Ground
42 GND Ground
12VA
10.8V~13.2V)
44 GND Ground
12VA
10.8V~13.2V)
12VA
10.8V~13.2V)
48 15.2V Power Supply Voltage Output (range:
15.2V
14.44V~15.96V)
50 15.2V Power Supply Voltage Output (range:
15.2V
14.44V~15.96V)
CPU Board Interface, J11

Pin Name Function
A1 LCD3V3 LCD Power Supply (range: 3.36V~3.68V)
A2 GND Ground
A3 NC Not Connected Internally
A5 RXD_HW_OR_JH Infrared Backplane or Patient Monitor Receive Signal
A6 TXD_HW_OR_JH Infrared Backplane or Patient Monitor Transmit Signal
A7 GND Ground
A8 RXD_AG Built-in AG Module Receive Signal
A9 TXD_AG Built-in AG Module Transmit Signal
A10 GND Ground
A11 Touchpad_5V Touchpad 5 V Power Supply (range: 4.75V~5.25V)
A12 Touchpad_USB+ Touchpad USB Data Signal Positive
A13 Touchpad_USB- Touchpad USB Data Signal Negative
A14 GND Ground
A15 SCL_CPU Alarm Indicator Board IIC Clock
A16 SDA_CPU Alarm Indicator Board IIC Data
A17 GND Ground
A18 MAIN_ACGO_CTRL2 ACGO Control Signal 2
2-41
Pin Name Function
A20 ACGO_State1 ACGO State Signal 1
A22 FAN_State2 Fan Status Signal 2
A23 FAN_State1 Fan Status Signal 1
A24 GND Ground
A25 3V3 CPU Board 3.3 V Power Supply (range: 3.135V~3.465V)
A26 3V3 CPU Board 3.3 V Power Supply (range: 3.135V~3.465V)
A27 GND Ground
A28 GND Ground
A29 5V CPU Board 5 V Power Supply (range: 4.75V~5.25V)
A30 5V CPU Board 5 V Power Supply (range: 4.75V~5.25V)
A31 GND Ground
A32 GND Ground
B1 NC Not Connected Internally
B4 SPEAK- Speaker Drive Signal+
B5 SPEAK+ Speaker Drive Signal-
B6 GND Ground
B7 VGA_Red VGA Red Signal
B8 VGA_Green VGA Green Signal
B9 VGA_Blue VGA Blue Signal
B10 VGA_HSYNC VGA Line Frequency Signal
B11 VGA_VSYNC VGA Field Frequency Signal
B12 GND Ground
B13 RXD_POWER Power Board Serial Port Receive Signal
B14 TXD_POWER Power Board Serial Port Transmit Signal
B15 GND Ground
B16 RXD_FLOW EFCS Serial Port Receive Signal
B17 TXD_FLOW EFCS Serial Port Transmit Signal
B18 GND Ground
B19 Serial Port Receive Signal of the Touchscreen Control
RXD_Touch
Board
B20 Serial Port Transmit Signal of the Touchscreen Control
TXD_Touch
Board
B21 OUT2 Backup Output
B22 ACGO_State2 ACGO State Signal 2
B23 GND Ground
B25 DISPLAY_USB- Display Interface Board USB Data Signal-
B26 DISPLAY_USB+ Display Interface Board USB Data Signal+
B27 GND Ground
2-42
Pin Name Function
C1 GND Ground
C2 LCDVGA1- LVDS Data Signal
C3 LCDVGA1+ LVDS Data Signal
C4 GND Ground
C7 GND Ground
C10 GND Ground
C11 LCDCLK- LVDS Clock Signal
C12 LCDCLK+ LVDS Clock Signal
C13 GND Ground
C16 GND Ground
C17 RXD_33209_1 Monitor Signal Detection Board Serial Port Receive Signal
C18 TXD_33209_2 Monitor Signal Detection Board Serial Port Transmit Signal
C19 GND Ground
C20 TXD_7024 VPM Serial Port Receive Signal
C21 RXD_7024 VPM Serial Port Transmit Signal
C22 GND Ground
C23 RXD_KEY Serial Port Receive Signal of the Display Interface Board
C24 TXD_KEY Serial Port Transmit Signal of the Display Interface Board
C25 GND Ground
C26 Touchpad_CON Touchpad Power Supply Control Signal
C27 MAIN_ACGO_CTRL1 ACGO Valve Control Signal 1
C28 FAN_PWM1 Fan Control Signal
C29 FAN_PWM2 Fan Control Signal
C30 IN1 Backup Input Signal
C31 NC Not Connected Internally
C32 NC Not Connected Internally
2-43
Debugging Power ON/OFF Interface (short-circuit two pins can debug power-on/off), J12
Pin Name Function
1 PCON+ Power On/Off Signal
2 PCON- Power On/Off Signal
2.2.4.5 Others
The A7 anesthesia machine has many other boards, including the top lighting board, auxiliary
gas supply flow meter backlight board, infrared communication board, anesthesia signal
interface board, total flow meter backlight board, air flow sensor interface board, nitrous
oxide flow sensor interface board, oxygen flow sensor interface board, LED indicator board
and BFCS position switch board. Where, the top lighting board and auxiliary gas supply flow
meter backlight board are used for the lighting of the work surface and backlight of the
auxiliary flow meter; the infrared communication board converts the serial port
communication signal of the CPU board into the infrared communication signal for
communicating with the module rack; the anesthesia signal interface board converts the serial
port signal of the CPU board from TTL level to RS-232 level for communicating with the
anesthesia calculation module; the total flow meter backlight board is used for backlight of
the total flow meter; the air flow sensor interface board, nitrous oxide flow sensor interface
board and oxygen flow sensor interface board are installed with the air flow sensor, nitrous
oxide flow sensor and oxygen flow sensor of the EFCS respectively, and are connected to the
EFCS VCM; the LED indicator board indicates the AC and battery status; the BFCS switch
board are installed with four position switches for identifying the position of the backup
needle valve.
2.2.4.6 Top Lighting Board
J2 J3 J1
Top lighting board (top view)
Top lighting board (bottom view)

Auxiliary Gas Supply Flow Meter Backlight Board Interface, J1
Pin Name Function
1 12V 12 V Power Supply of the Auxiliary Gas Supply Flow
Meter Backlight Board (range: 10.8V~13.2V)
2 GND Ground
3 GND Ground
4 LIGHT_OUT Auxiliary Gas Supply Flow Meter Backlight Control
(when the top light switch is at low or high brightness
level, the range of control signal is 9.0V~13.2V. When
2-44
Pin Name Function
the top light switch is at OFF level, the range of control
signal is 0V~0.3V)
Top Light Grade Option Switch Interface, J2

Pin Name Function
1 HIGH_BRIGHTNESS High Brightness Grade
2 HIGH_BRIGHTNESS High Brightness Grade
3 OFF Closed Light Grade
4 OFF Closed Light Grade
5 LOW_BRIGHTNESS Low Brightness Grade
6 LOW_BRIGHTNESS Low Brightness Grade
Power Supply Interface, J3

Pin Name Function
1 12V 12 V Power Supply of the Top Lighting Board (range:
10.8V~13.2V)
2 GND Ground
3 12V_AUX 12 V Power Supply of the Auxiliary Gas Supply Flow Meter
Backlight Board (range: 10.8V~13.2V)
2.2.4.7 Auxiliary Gas Supply Flow Meter Backlight Board
J1
Auxiliary gas supply flow meter backlight board (top view)
Auxiliary gas supply flow meter backlight board (bottom view)

Auxiliary Gas Supply Flow Meter Backlight Board Interface, J1
Pin Name Function
1 12V 12 V Power Supply of the Auxiliary Gas Supply Flow
Meter Backlight Board (range: 10.8V~13.2V)
2 GND Ground
3 GND Ground
4 LIGHT_IN Auxiliary Gas Supply Flow Meter Backlight Control
Signal (when the top light switch is at low or high
brightness level, the range of control signal is 9.0V~13.2V.
When the top light switch is at OFF level, the range of
control signal is 0V~0.3V)
2-45
2.2.4.8 Infrared Communication Board
Infrared communication board (top view)
Infrared communication board (bottom view)

Infrared Communication Board Interface, J2
Pin Name Function
3 GND Ground
4 GND Ground
6 3.3 V Power Supply (IO Pull-Up Power Supply)
VDD
(range: 3.135V~3.465V)
Infrared Communication Board Interface, J4
Pin Name Function
1 INTERFACE_TX0 Infrared Communication Board Transmit Signal
2-46
Pin Name Function
2 INTERFACE_RX0 Infrared Communication Board Receive Signal
3 GND Ground
2.2.4.9 Anesthesia Signal Interface Board
Anesthesia signal interface board (top view)
Anesthesia signal interface board (bottom view)
Anesthesia Signal Interface Board Interface, P1

Pin Name Function
1 RXD_AG_TTL AG Module Receive Signal
2 TXD_AG_TTL AG Module Transmit Signal
3 GND Ground
4 VPP 12V Power Supply (range: 10.8V~13.2V)
Anesthesia Signal Interface Board Interface, P2

Pin Name Function
1 RXD_AG_232 AG Module Receive Signal
2 TXD_AG_232 AG Module Transmit Signal
3 GND Ground
2-47
Pin Name Function
7 GND Ground
8 GND Ground
2.2.4.10 Total Flow Meter Backlight Board
J1
Total flow meter backlight board (top view)
Total flow meter backlight board (bottom view)
Total Flow Meter Backlight Board Interface, J1

Pin Name Function
1 VCC 5 V Power Supply
3 GND Ground
2-48
2.2.4.11 Flow Sensor Interface Board
J1
Air
Flow sensor interface board (top view)
Flow Sensor Interface Board Interface, J1

Pin Name Function
2 GND Ground
3 VDD 3.3 V Power Supply
4 AIR_SCL Flow Sensor IIC Clock Signal
5 GND Ground
6 AIR_SDA Flow Sensor IIC Data Signal
Flow Sensor Interface Board Interface, J2
Pin Name Function
3 VDD 3.3 V Power Supply
4 GND Ground
5 AIR_SCL Flow Sensor IIC Clock Signal
6 GND Ground
7 AIR_SDA Flow Sensor IIC Data Signal
8 GND Ground
2-49
2.2.4.12 LED Indicator Board
J1
LED indicator board (top view)
LED indicator board (bottom view)
LED Indicator Board Interface, J1

Pin Name Function
1 LED_BAT Battery Indicator Light Drive Signal
2 LED_AC AC Indicator Light Drive Signal
3 GND Ground
2-50
2.2.4.13 BFCS Position Switch Board
BFCS position switch board (top view)
J1
BFCS position switch board (bottom view)
BFCS Position Switch Board Interface, J1

Pin Name Function
1 BFCS_Switch1 BFCS Position Switch 1
2 GND Ground
4 GND Ground
6 GND Ground
8 GND Ground
2-51
2.3 Pneumatic Circuit
The following figure shows the pneumatic circuit of the A7 and the following table lists
related components. The pneumatic circuit covers the electrical ACGO, mechanical ACGO
and anesthesia calculation module.
2-52
No. Description No. Description
1. Oxygen Pipeline Supply Connector 39. Check Valve 3

2. Oxygen Spare Cylinder Connector 40. Dual Vaporizer Support
3. Nitrous Oxide Pipeline Supply Connector 41. Ventilator
4. Nitrous Oxide Spare Cylinder Connector 42. Pressure-relief Valve (37.9 kPa)
5. Air Pipeline Supply Connector 43. Restrictor
6. Air Spare Cylinder Connector 44. Self-locking Valve
7. Spare Cylinder Pressure Regulator (360 45. Electronically Controlled Valve

kPa)
8. Pressure-relief Valve (758 kPa) 46. CPB
9. Built-in Pressure-relief Valve of High 47. CO2 Absorber

Pressure Reducer (550 kPa)
10. Filter 48. Check Valve
11. Pipeline Supply Pressure Gauge 49. Paw Gauge
12. Spare Cylinder Pressure Gauge 50. Inspiratory Flow Sensor
13. Check Valve 1 51. Expiratory Flow Sensor
14. Gas Supply Pressure Switch (220 kPa) 52. Water Collection Cup
15. Pressure Regulator (200 kPa) 53. Gas Bench
16. Pneumatic Block Pressure Regulator (200 54. Unilateral Shutoff Valve 1
kPa)
17. Inspiratory Flow Control Valve 55. APL Valve
18. Inspiratory Flow Sensor 56. Manual Exhalation Bag
19. Pneumatic Block Pressure-relief Valve 57. Bag/Mechanical Ventilation Switch

(110 cmH2O)
20. PEEP Safety Valve 58. Gas Reservoir Bellows
21. Drive Gas Pressure Switch (125kPa) 59. Pop-off Valve
22. Proportional PEEP Valve 60. Mechanical Pressure-relief Valve (1

kPa,10 cmH2O)
23. Pneumatic Block Air-resistor 61. Negative Pressure Valve
24. Exhalation Valve 62. Negative Pressure Check Valve (1cm

H2O)
25. Electronic Flow Control System 63. Gas reservoir 1
26. Quick Oxygen Charging Valve 64. Gas reservoir 2

27. System Switch 65. AGSS
28. Needle Valve 66. Auxiliary Flowmeter
2-53
29. muffler 67. Auxiliary Flow Regulator
30. Relief Valve (11kPa) 68. Unilateral Shutoff Valve 2
31. ACGO Switch 69. Negative Pressure Regulator

32. Check Valve 2 70. Negative Pressure Gauge
33. Flow Sensor 71. Overflow Protection Cup

34. Flow Control Valve 72. Filter
35. Three-way Valve 73. Liquid Collection Bottle
36. Pressure Sensor 74. Venturi Negative Pressure Generator
37. Pressure Sensor Back Pressure Valve 78. Spare Oxygen Supply Connector
38. Total Flowmeter / /
2.3.1 Key to Symbols
Filter Regulator
Pressure Gauge Check Valve
Gas Supply Connector Pressure Relief Valve
Flow Meter Flow Control Valve
Pressure Switch Flow Restrictor
2-54
Gas
Expiratory valve assembly
container
ACGO assembly (mechanically

controlled)
Mechanical ACGO assembly

(anesthesia calculation)
Three-way valve VCM
Anesthesia gas
calculation module
2-55
System and Ventilator Control Board
Two-way connector
Circuit interface ACGO assembly Electrical ACGO

Mechanical ACGO assembly assembly (anesthesia
(electrically controlled) Independent ACGO outlet Hardware box connector
block (anesthesia calculation) calculation)
Notes:
1. Tube 22# can be used to connect the circuit interface block to the ACGO assembly (electrically controlled) or connect the circuit interface block to the ACGO assembly (mechanically controlled).
Connect tube 22# based on the machine configuration.
2.3.2 Connections Between Pneumatic Circuit, Breathing
2. Tube 21# can be used to connect the independent ACGO outlet to the ACGO assembly (electrically controlled) or connect the independent ACGO outlet to the ACGO assembly (mechanically
controlled). Connect tube 21# based on the machine configuration.
3. When an internal anesthesia gas calculation module is configured, connect tubes 127#, 128#, 130#, and 143# depending on the mechanical or electrical ACGO assembly and check the connections.
4. The positions of tubes 21# and 22# are opposite for the mechanical ACGO assembly with and without the anesthesia calculation module. Pay special attention to the connections.
2.3.3 Gas Supplies
The A7 anesthesia machine supports three gas supplies: O2, N2O and AIR. All the gas supply
interfaces are designed based on IEC 60601-2-13, which prevents misconnection between
different gases. The A7 gas supply inlet assemblies comprise the pipeline gas supply inlet
assembly and cylinder gas supply inlet assembly.
The following describes the O2 gas flow. The difference between the O2 and the AIR/N2O
limbs lies in that the drive gas output and high-pressure O2 output are available at the
upstream end of the regulator (15) on the O2 limb. The configurations of other components
are the same. Compared with the mechanical pressure monitoring, the pressure sensor rather
than the pressure switch (14) and the mechanical pressure gauge (11) is adopted in the
electronic pressure monitoring. The configurations of other components are the same. The O2
pipeline supply inlet assembly includes filter 10, pressure gauge 11, pressure relief valve 8,
check valve 13, pressure switch 14 and regulator 15. The cylinder gas supply inlet assembly
includes the filter (10), pressure gauge (12), pressure reducing valve (7), pressure relief value
(9), check valve (13), pressure switch (14) and regulator (15). Where, the pressure switch (14)
and regulator (15) are shared by the pipeline and cylinder gas supply limbs. The following
figure is the block diagram.
High pressure
Drive gas
O2 output
output
assembly
O2 pipeline
supply
O2 cylinder
supply
Block Diagram of Gas Supply Inlet of the Mechanical Pressure Gauge

Electronic Pressure Monitoring: The oxygen pipeline gas supply inlet assembly is mainly
composed of the filter (10), gas supply electronic pressure sensor, pressure-relief valve (8),
check valve (13), and pressure regulator (15). The cylinder gas supply inlet assembly is
mainly composed of the filter (10), cylinder electronic pressure sensor, pressure reducer (7),
pressure-relief valve (9), check valve (13), and the pressure regulator. The following figure is
the block diagram.
2-56
Block Diagram of Gas Supply Inlet of the Electronic Pressure Gauge
The following table lists parameters of key components.

Name Supplier Description of Key Index
Functions
Adjusts pressure and Applied to compressed air, O2, N2O and CO2
ensures constant Pressure range: 0.05~1 MPa
Regulator Camozzi
output pressure at the
regulator outlet. Flow: 160 L/min (At 10 bar inlet pressure,
4bar outlet pressure, with 0.5bar droop)
Reports an alarm Precision: 0.5 to 100 PSI, +/- 0.5 tolerance on
when the gas supply the initial starting pressure
is insufficient. Alarm type: an alarm will be reported when
Pressure AIR
Pressure switches are the gas supply pressure reduces to 32 PSI.
switch LOGIC
configured on the
O2, N2O and air Pressure resistance: 300 PSI
limbs.
Startup pressure: 758 kPa±20 kPa
Pressure
Prevents overhigh Leakage volume requirement: The leakage
relief Mindray
gas pressure. volume should be smaller than 5 ml/min for a
valve
600 kPa pressure relief valve.
The following figure shows the physical pipeline gas supply inlet assembly of the system,
including the gas supply inlet assembly and regulators. The gas supply inlet assembly
integrates the filter, pressure relief valve, pressure switch and check valve. Gases regulated
by the regulator will be output to the flow control systems EFCS and BFCS.
2-57
Mechanical Pressure Gauge
Electronic pressure
sensor
Pressure regulator
Electronic Pressure Gauge
2-58
The following figure shows the models of the gas supply inlet assembly and regulator. The
gas from the pipeline gas supply (280~600 kPa) enters the system through the gas supply
connector. After being cleaned by the internal filter of the inlet assembly, the gas is output to
the regulator and degraded to about 200 kPa. (The filter can be replaced after the pipeline gas
supply connector is removed).
Regulator
Check valve
Pressure relief
valve
Gas supply
connector
Pressure gauge for
the pipeline gas
supply
Pressure Pressure switch
switch Gas inlet
2-59
As shown in the following figure, the gas from the cylinder gas supply is divided into two
limbs after being cleaned by the filter. One limb is directly connected to the high-voltage
pressure gauge (the mechanical pressure gauge or electronic pressure sensor) and the other
limb is degraded to 500 kPa by the high-voltage pressure reducing valve and then output
from the check valve. After the gas from the cylinder gas supply is mixed with the gas from
the pipeline gas supply, the gas mixture is output to the regulator. Currently, the system
provides only a cylinder connector. The connector complies with CGA V-1 and ISO407.
Cylinders of the E size are supported. The capacity of a cylinder is limited; therefore, it is
recommended that the cylinder gas supply is used as the backup gas supply to prevent gas
supply exhaustion.
2-60
2.3.4 Anesthetic Gas Delivery System
The anesthetic gas delivery system is connected to the gas supply, anesthetic gas delivery
device (vaporizer) and breathing system. The system inputs N2O, O2 and AIR from the gas
supply assembly and outputs gas mixture of the three gases and anesthetic agent (fresh gas),
pure O2 (high-pressure O2 output , auxiliary O2 supply and flushing O2), or AIR-O2 mixture.
The following figure shows the pneumatic circuit of the anesthetic gas delivery system.
BFCS oxygen and air supply configuration
BFCS oxygen and nitrous oxide supply configuration
The ACGO is configured in mechanical and electrical modes.
2-61
2.3.4.1 System Switch Assembly
The system switch assembly is the pneumatic circuit on-off valve of the breathing system. It
controls the on and off of the pneumatic circuit and provides system power-off signal when
the pneumatic circuit is switched on, implementing synchronous on/off control on the
pneumatic and electrical circuits of the system. When the system switch knob is rotated
clockwise, the valve stem pushes the valve core to switch on the pneumatic circuit and
triggers the tact switches on the system switch assembly to switch on the electrical circuit at
the same time. When the system switch knob is rotated counterclockwise, the pneumatic and
electrical circuits will be switched off at the same time. There is an exhaust limb on the
system switch, which functions to exhaust the residual gas in the backup limb at power-off to
prevent the residual gas in the backup limb from lifting the float of the total flowmeter.
The system switch assembly is equipped with two tact switches, providing the same functions
and located at symmetrical positions. This design is only used to ensure that one tact switch
can operate properly when the other tact switch fails. When the two PINs of either tact switch
are shorted, the system power supply will be switched on.
New gas outlet, from the System switch outlet, to the

downstream of the back System switch inlet, from O2 needle valve, EFCS O2
pressure valve and the rear end of the O2 inlet, or ACGO drive gas
upstream of the three-way pressure valve control valve
valve NO end
2-62
2.3.4.2 Flow Control System - EFCS
As the flow control system of the A7, the EFCS uses three solenoid proportional valves to
control the oxygen, air and nitrous oxide flow, uses three thermal mass flow sensors in the
downstream to monitor the actual flow, and provides feedback to the flow control unit. After
passing three independent check valves, the gases of the three limbs are mixed at the rear end
of the assembly and output. The O2-N2O ratio is fully controlled by a software algorithm.
The system display outputs the monitored values of parameters such as the limb flow and O2-
N2O ratio.
The EFCS also integrates a total flow sensor configured under the flow sensors of the three
limbs.
The following figure shows the position of the EFCS in the system.
2-63
The following figure shows the pneumatic block structure of the EFCS. The three gases, after
being regulated, goes through the proportional valves, through limb sensors, through the gas
mixing chamber, and into the three-way valve. Then, the gas mixture returns to the total flow
sensor and finally output to the mechanical float flow meter. Hardware boards and various
hardware interfaces are available under the pneumatic block.
O2 (from the AIR (from the N2O (from the ORC N2O
system switch) regulator) flow control valve)
Proportional
valve
From the COM
end of the three-
way valve
To the float
Limb flow total flow
sensor meter
Total flow
sensor
Gas mixing
chamber
To the NC end of the three-way valve
2-64
2.3.4.3 Flow Control System - BFCS
The BFCS of the A7 comprises three mechanical needle valves that are used to control the
flow of the O2, air and N2O limbs and control the O2-N2O ratio and O2-N2O cutoff by
means of the ORC. After passing through the three independent check valves in the mixing
chamber, the gases of the three limbs are mixed and finally output.
BFCS – Motor
The motor of the BFCS provides the force for withdrawing the backup needle valve assembly,
and locates and fastens the backup needle valve assembly by using electromagnet.
BFCS O2 and air configuration

Motor
Electromagnet Backup needle valve module

BFCS O2, N2O and air configuration
2-65
BFCS – Needle Valves
O2, N2O and Air configuration:
The needle valve assembly controls the valve port openness by converting the rotation
movement of the knobs into the linear movement of the valve core and thus controls the gas
flow. The needle valve assembly is configured with a tact switch. When a needle valve is
closed, the valve core triggers the tact switch to monitor the close status of the needle valve
and feed back the status to the control unit.
The following figure is a model of the BFCS backup needle valve module.
Gas connector
Needle valve knob Tact switch
From the regulator
To the gas mixing chamber
Output to the
N2O chamber
of the ORC
To the ORC O2 chamber and

the poppet valve
From the ORC N2O
From the system switch flow control valve
2-66
O2 and Air configuration:
The needle valve assembly controls the valve port openness by converting the rotation
movement of the knobs into the linear movement of the valve core and thus controls the gas
flow. The needle valve assembly is configured with a tact switch. When a needle valve is
closed, the valve core triggers the tact switch to monitor the close status of the needle valve
and feed back the status to the control unit.
2-67
ORC (BFCS with O2, N2O and Air configuration)
The ORC controls the O2-N2O ratio and ensures that the O2 concentration is not lower than
25%. The following figure shows the position of the ORC in the system.
The following figure shows a model of the ORC assembly and the corresponding interface
information.
N2O chamber inlet, from O2 chamber inlet, from
the N2O needle valve the O2 needle valve
outlet outlet
O2 chamber outlet.
The outlet is
N2O integrated with the
chamber poppet valve outlet,
outlet, to the to the gas mixing
gas mixing chamber.
chamber
O2 chamber
resistor
N2O
chamber
resistor
N2O flow regulator inlet, from the N2O flow regulator outlet, to the
N2O regulator outlet N2O needle valve inlet
2-68
Poppet Valve (BFCS with O2, N2O and Air configuration)
The poppet valve is used to solve the problem about insufficient maximum O2 flow. The
following figure shows the position of the poppet valve in the system.
The following figure shows the structure model and the corresponding interface information.
Poppet valve gas inlet, from Poppet valve gas outlet. The
the O2 needle valve outlet outlet is integrated with the
ORC O2 chamber outlet, to
the gas mixing chamber.
Poppet valve gas control

end, from the O2 needle
valve outlet.
2-69
(3) Back Pressure Valve
The back pressure valve stabilizes the pressure at the upstream inlet and prevents continual
fluctuation of the system flow due to load changes. The following figure shows the position
of the back pressure valve in the system.
Gas inlet, from the outlet of the gas

mixing chamber
Gas outlet, to the inlet of the three-

way valve NO end
2-70
2.3.4.4 Three-way Valve
The three-way valve is a two-position three-way solenoid valve with two inlets and one outlet.
The two inlets are connected to the outputs of the EFCS and BFCS respectively, whereas the
outlet is connected to the total flow meter. The three-way valve implements pneumatic circuit
switching between the EFCS and BFCS. Upon power-on, the EFCS limb is switched on and
the BFCS limb is switched off; upon power-off, the EFCS limb is switched off and the BFCS
limb is switched on. The following figure shows the position of the three-way valve in the
system.
2-71
2.3.4.5 Total Flow Meter
The mechanical float flow meter (range: 10 L/min, based on the central line of the float (steel
ball)) monitors the fresh gas flow. Located on the main limb of the pneumatic circuit, the
total flow meter can monitor the total flow of the EFCS or BFCS. The following figure shows
the position of the total flow meter in the system.
2-72
2.3.4.6 Vaporizer Manifold
The vaporizer manifold (installation type: Selectatec) is used to bear the vaporizers and
provide an airtight chamber. In the chamber, the gas mixture and anesthetic gas converge into
the fresh gas and output to the downstream ACGO assembly. Each column on the manifold is
a two-position three-way valve. When no vaporizer is installed, the columns are at the
original positions and the gas mixture is delivered to the downstream through the bypass
inside the manifold. When vaporizers are installed, the columns are bended and the gas
mixture is delivered to the manifold and output to the downstream. The following figure
shows the position of the vaporizer manifold in the system.
2-73
2.3.4.7 ACGO Assembly
The ACGO assembly is used to connect the fresh gas output from the vaporizer manifold and
the O2 output from the O2 flush device to the breathing circuit of the anesthesia machine or
to an independent outlet. Mechanical and electrical ACGO configurations are available.
The mechanical ACGO achieves the valve core movement along the axis by means a knob to
switch between ACGO ON and ACGO OFF.
The electrical ACGO pushes the valve core by gas pressure after switching on the control gas
supply at a corresponding end to switch the ACGO state. The following figure is the diagram.
For example, the status needs to be switched to ACGO OFF. When this order is received, the
drive gas control valve (two-position three-way solenoid valve in the upper part of the
following figure) of the electrical ACGO switch to the state shown in the following figure.
2-74
On the left side (as shown in the green arrows), the two connectors on the left and right of the
valve are connected and the gas outlet in the middle is closed; on the right side (as shown in
the black arrows), the connector on the left is disconnected and the connector on the right and
the gas outlet in the middle are connected. In this case, the drive O2 from the system switch
passes through the control valve on the left, outputs to the main ACGO valve shown at the
lower part of the following figure and drives the valve core in the middle rightwards. At the
same time, the residential gas on the left side of the valve core is released to the air through
the drive gas control valve on the right side. If the gas on the right side is not released, the
drive gas on the left side cannot push the valve core. Therefore, the two states must be
available at the same time. The valve core pushes rightwards by the drive gas to implement
ACGO state switching. Then, the fresh gas will be output from the patient circuit outlet of the
ACGO assembly.
System switch
Built-in AG sampling
connector (There will be no
such sampling connector if the
function for anesthesia
calculation is not configured.)
Fresh gas inlet
To ACGO
Sample gas return connector outlet
(There will be no such
sampling connector if the
function for anesthesia
calculation is not configured.) To the patient O2 flush inlet
circuit
2-75
If the system is configured with the anesthesia calculation function, corresponding sampling
connectors will be integrated on the ACGO valve block. The positions (under the work
surface) of the ACGO assembly with the two configurations in the system are similar. The
sampling connectors are on the back of the machine. They can be seen when the rear panel is
opened.
2.3.4.8 CGO assembly

Substitute CGO assembly for ACGO if there is no ACGO assembly. The common gas outlet
module includes the pressure-relief valve and the flow restrictor, as shown in the figure below.
For the 3D model of the ACGO assembly, see the 2.3.5.4 Anesthesia Calculation Module
(Optional).
Independent ACGO Outlet
When the ACGO assembly is switched to the ACGO state, the fresh gas will be output from
the independent ACGO outlet. Traditionally, the fresh gas is output from the ACGO limb
integrated on the patient circuit. By contrast, the independent ACGO outlet is independent
from the patient circuit. The following figure shows the position of the independent ACGO
outlet in the system. The gas input is from the ACGO outlet on the ACGO assembly.
2-76
2.3.4.9 O2 Flush Assembly

The O2 flush assembly is located on the work surface. When the O2 flush button is depressed,
O2 rushes into the pneumatic circuit, and will be cut off when this button is released. The O2
supply gas at 0.2 MPa, after being regulated, goes through the O2 flush valve and into the O2
flush inlet of the ACGO assembly. The O2 flush assembly is not affected by the system
switch. Flushing O2 can be performed as long as O2 supply is normal. The O2 flush valve
has a slide valve structure inside that ensures automatic reset each time the valve is depressed
and released via the spring. The following figure shows the position of the O2 flush valve in
the system.
2-77
2.3.4.10 Auxiliary Gas Supply Assembly

The auxiliary gas supply assembly is composed of the oxygen and air limbs. Two needle
valves are used to control the flow of the auxiliary oxygen and air supplies, and
corresponding glass tube flow meters are used for flow monitoring. After being mixed, the
oxygen and air are output. The following figure shows the position of the auxiliary gas supply
assembly in the system.
2-78
O2/AIR limb
flow meter
O2-AIR mixture outlet
External connector:
2.3.4.11 High Pressure O2 Output Assembly

The high pressure O2 input comes from the gas supply (280-600 kPa) directly and provides
high pressure O2 for the external ventilation device (jet ventilation devices). See the
Auxiliary Gas Supply Assembly.
2-79
2.3.5 Breathing System
The breathing system provides a closed loop for the anesthetic gas. The expired gas from the
patient can be inspired in the inspiration phase to maintain the temperature and humidity
conditions of the patient's expired gas. During inspiration, the drive gas depresses the bag
inside the bellows to force the inside gas to enter the patient's lung. During expiration, the
patient's expired gas goes into the bag inside the bellows. The sodalime absorber canister
(integrating 47 and 48) absorbs CO2 that the patient expires. The following figure shows the
pneumatic circuit of the breathing system.
2-80
The breathing system is connected to the anesthesia machine main unit through the circuit
adapter. The breathing system is highly integrated, as its tubes are all internal except the tube
connected to the patient and the O2 cell connecting cable, as shown in the following figure.
41. Auto/Manual
43. APL valve
switch
45. Bellows Bag arm

assembly
31.
40. Expiration Inspiration
valve
35. Paw gauge
Built-in bypass valve

Patient side (with built-in inspiratory
and expiratory flow sensors)
CO2 canister
Operating handle
Mechanical and manual ventilation modes are selected through the Auto/Manual ventilation
switch.
2-81
Excess water condensed from the exhaled gas is collected in the water collection cup, located
on the bottom side of the breathing system.
The breathing system is easily disassembled and is autoclavable at 134ºC.
2.3.5.1 Mechanical Ventilation
Expiratory
valve
Drive gas
Fresh gas
Drive Gas Path

In case of mechanical ventilation, during inspiration, gas flows through the Auto/Manual
ventilation switch (58), sodalime absorber canister (integrating 48 and 47), inspiratory check
valve (49), O2 sensor, airway pressure gauge (37), and inspiratory flow sensor (51) to the
patient. During expiration, gas flows through the expiratory flow sensor (52), expiratory
check valve (40), and Auto/Manual ventilation switch (58) to the bellows. Airway pressure is
monitored by the airway pressure gauge (37).
2-82
Fresh Gas Path
Expiratory valve
Drive gas
Fresh gas
 Red arrows: direction of the fresh gas.

 Black arrows: direction of the patient's expired gas.
 Blue arrows: input direction of the drive gas.
 Black dotted arrows: output direction of the drive gas.
2-83
2.3.5.2 Manual Ventilation
Flow Path
When the Auto/Manual switch is set to Manual, the operator squeezes the manual breathing
bag (57) to supply gas for the breathing system. The APL valve (56) is used to adjust the
pressure inside the pneumatic circuit in case of manual ventilation. When the Auto/Manual
switch is set to Auto, the ventilator mechanically assists or replaces the spontaneous
breathing of the patient. The ventilator controls the drive gas to depress the bag inside
bellows (59) and supply gas for the breathing system according to the selected ventilation
mode.
Expiratory
valve
Fresh gas
 Red arrows: direction of the fresh gas.

 Black arrows: direction of the patient's expired gas.
2-84
2.3.5.3 Gas Bench
As shown in the following figure, the gas bench is an internal path for the waste gas (used for
anesthesia concentration calculation) to return to the breathing circuit at the patient breathing
end. This path must ensure that the waste gas is filtered by the CO2 absorber canister and
then arrives at the inspiratory end of the patient. In this way, the waste gas can be recycled,
which increases the utilization of the anesthetic gas. In the following figure, the red arrows
indicate the direction of the anesthetic gas. Currently, this path is integrated into the main unit
of the patient breathing circuit.
Fresh gas
2-85
2.3.5.4 Anesthesia Calculation Module (If Available)
Combined with the built-in AG module, the anesthesia calculation function is realized by
sampling from the ACGO assembly. The anesthesia calculation supports the mechanical
ACGO anesthesia calculation and the electrical ACGO anesthesia calculation.
The schematic diagram of sampling positions for the mechanical ACGO anesthesia
calculation is shown in the figure below:
NOTE
 The anesthesia calculation inlet/outlet sampling connectors are relative to the
inlet/outlet of the anesthesia module.
2-86
The schematic diagram of sampling positions for the electrical ACGO anesthesia calculation
is shown in the figure below:
NOTE
 The anesthesia calculation inlet/outlet sampling connectors are relative to the
inlet/outlet of the anesthesia module.
The following figure shows the tube connection of the anesthesia calculation module.
2-87
2.3.6 Pneumatically-Controlled Module of Anesthetic
Ventilator
The pneumatically-controlled module of the anesthetic ventilator provides drive gas for the
patient to breathe. O2 (or AIR) from the gas supply inlet assembly enters the anesthetic
ventilator and is output in three pathways: drive gas entering the breathing system, drive gas
discharged through the AGSS outlet, and drive gas discharged through the PEEP outlet. The
ventilator controls drive gas flow to implement various ventilation modes and prevent
excessively high pressure inside the pneumatic circuit from injuring the patient. The
following figure shows the pneumatic circuit diagram of the anesthetic ventilator.
As shown in the preceding figure, the filter (10) filters drive gas again. The regulator (16)
regulates pressure (about 0.2 MPa) inside the pneumatic circuit. The proportional solenoid
valve (17) controls the inlet gas flow. Component 18 is a flow sensor of differential pressure
type that monitors gas flow in the drive gas circuit. The mechanical overpressure valve (19)
ensures that the pressure in the drive gas circuit does not exceed the safety pressure. It
releases excess gas when gas pressure exceeds 11 kPa (110 cm H2O). Component 24 is the
expiratory valve.
The PEEP function is performed through the expiratory valve. Component 22 is a low-flow
proportional solenoid valve. When it opens, gas is bled from the pneumatic resistor (23),
forming relatively stable pressure in the pneumatic circuit from component 22 to component
23. Such pressure is exerted on the membrane of the expiratory valve (24) to form PEEP.
To prevent excessively high pressure inside the pneumatic circuit from injuring the patient
and damaging the equipment, the pressure relief valve (20), which is a solenoid on-off valve,
is placed before the gas pathway of the expiratory valve. Component 21 is a pressure switch.
When the drive gas pressure is less than 125 kPa, an alarm is triggered. Component 37 is a
pressure sensor that monitors the pressure at the expiratory valve which is closed. The
mechanical pressure relief valve (61) ensures that the tube pressure after the expiratory valve
is less than 10 cm H2O.
The following figure is a picture of the pneumatically-controlled module of the anesthetic
ventilator.
2-88
Drive gas inlet, connected
to the upstream of the Regulator
To the pressure sensor pressure regulator
Exhalation
valve module Resistance
Output the gas

exhaled through
the PEEP valve
To a gas container
PEEP proportional
valve
Input/Output drive gas PEEP safety

valve
Inspiratory
flow
regulator
Flow sensor
2.3.7 AGSS
The AGSS is composed of the AGSS transfer system, the AGSS receiving system, and the
AGSS disposal system. Waste gas goes from the exhaust port of the anesthesia machine
through the AGSS transfer system and the AGSS receiving system to the hospital's waste gas
disposal system (AGSS disposal system), as shown in the following figure.
The AGSS transfer system is a clear tube with 30 mm purple conical connectors at both ends,
a female 30 mm conical connector as the inlet and a male 30 mm conical connector as the
outlet. The transfer system is connected to the receiving system through the male 30 mm
conical connector. The following figure shows the AGSS structure and the connections
between the AGSS transfer system, receiving system, and disposal system.
2-89
Receiving
system
Transfer system
Connecting to
the negative
pressure source
of the hospital
2.3.8 Operating Mode of the Breathing System

2.3.8.1 Introduction
The A7 breathing system supports three operating modes: mechanical ventilation, manual
ventilation, and standby. These modes allow the operator to apply proper ventilation
strategies based on the patient's needs.
The types of flow paths through the breathing system vary with the operating mode or status.
2-90
2.3.8.2 Automatic Mode, Inspiration
When the Auto/Manual switch is set to Auto, the system closes the manual ventilation path.
Drive gas pushes down on the bellows. Gas flows from the bellows, through the CO2
absorber canister, and through the inspiratory check valve to the patient.
During inspiration, fresh gas flows into the inspiratory limb, upstream of the inspiratory
check valve.
In volume mode, tidal volume is compensated for variations in fresh gas flow to ensure that
the volume delivered to the patient meets the set value.
In pressure mode, the inspiratory pressure is regulated by adjusting both gas flow and airway
pressure to ensure that the airway pressure is approximately equal to the set inspiratory
pressure during patient inspiration.
APL Valve
Auto/Manu
Bellows Switch NO
Breathing Bag
NC
Pop-Off
Drive Gas valve
Exhaust
valve
AGSS
Exp.
Valve
Exp. Flow
Sensor
Water
trap
cup
Absorber
Canister
Insp.
Valve Insp. Flow
Fresh Gas Sensor
O2
Cell
2-91
2.3.8.3 Automatic Mode, Expiration
When the Auto/Manual switch is set to Auto, the system closes the manual ventilation path.
Drive-gas flow stops and the expiratory valve opens. Exhaled gas flows from the patient,
through the expiratory check valve, and into the bellows.
Residual drive gas flows out through the bellows dome and enters the AGSS through the
expiratory valve.
If PEEP is selected, static pressure on the pilot port of the expiratory valve sets the PEEP
level.
During exhalation, fresh gas flows backwards through the CO2 absorber into the expiratory
limb, downstream of the expiratory check valve.
APL Valve
Auto/Manu
Bellows Switch NO
NC Breathing Bag
Pop-Off
Drive Gas valve
Exhaust
valve
AGSS
Exp.
Valve
Exp. Flow
Sensor
Water
trap
cup
Absorber
Canister
Insp.
Valve Insp. Flow
Fresh Gas Sensor
O2
Cell
2-92
2.3.8.4 Manual Mode, Inspiration
When the Auto/Manual switch is set to Manual, the system closes the Auto ventilation path.
Gas flows from the manual breathing bag under compression, through the CO2 absorber
canister, into the breathing circuit, and through the inspiratory check valve to the patient.
During inspiration, fresh gas flows from the machine into the inspiratory limb, upstream of
the inspiratory check valve.
If airway pressure exceeds the set value of the APL valve, the residual gas will be discharged
through the AGSS.
APL Valve
Auto/Manu
Bellows Switch NO
NC
Breathing Bag
Pop-Off
valve
Exhaust
valve
AGSS
Exp.
Valve
Exp. Flow
Sensor
Water
trap
cup
Absorber
Canister
Insp.
Valve Insp. Flow
Fresh Gas Sensor
O2
Cell
2-93
2.3.8.5 Manual Mode, Expiration
When the Auto/Manual switch is set to Manual, the system closes the Auto ventilation path.
Gas flows from the patient, through the expiratory check valve, and into the manual breathing
bag.
During exhalation, fresh gas enters the breathing system.
APL Valve
Auto/Manu
Bellows Switch NO
NC
Breathing Bag
Pop-Off
valve
Exhaust
valve
AGSS
Exp.
Valve
Exp. Flow
Sensor
Water
trap
cup
Absorber
Canister
Insp.
Valve Insp. Flow
Fresh Gas Sensor
O2
Cell
2.3.8.6 Pneumatic PEEP

The PEEP valve regulates the pressure at the open exhalation valve. Therefore, if PEEP is
selected, static pressure on the pilot port of the exhalation valve sets the PEEP level during
the automatic ventilation.
2.3.8.7 Ventilator in Standby

When the anesthesia system is in standby mode, both monitoring and automatic ventilation
are unavailable. The patient should not be ventilated when the system is in standby mode.
2-94
2.3.9 Breathing System Components
2.3.9.1 Bellows
The ventilator's driving system is a flow generator. Drive gas fills the bellows dome to
compress the bellows. The breathing gas is pressed into the patient breathing circuit from the
bellows. The bellows is refilled with fresh gas and the expired gas from the patient.
2.3.9.2 Manual Breathing Bag

A user can use the manual breathing bag to ventilate patients.
2.3.9.3 CO2 Absorber Canister

The sodalime inside the CO2 absorber canister absorbs CO2 in the exhaled gas. The CO2
absorber canister accommodates standard sized Pre-paks or loose-fill CO2 absorbent.
2.3.9.4 Inspiratory and Expiratory Valves

To ensure correct gas flow directions to and from the patient, check valves are integrated on
the inspiratory and expiratory limbs of the breathing system.
2.3.9.5 Quickly Releasing APL Valve

In manual mode, the APL valve works as a normal spring-loaded pressure relief valve,
limiting the pressure in the breathing system. It also has the function of quickly releasing the
pressure.
2.3.10 Breathing System Heater

The anesthesia system heater provides dual overheat protection for software and hardware.
The heater can change its operating mode automatically according to the ambient temperature.
2.3.11 Ventilator Pneumatic - O2 Drive Gas

Oxygen is the drive gas for the ventilator. In addition to the flow meter block, a high pressure
regulator reduces the supply pressure of the drive gas for the ventilator to 200 kPa (29 psi).
The drive pressure regulator is placed in front of the proportional valve that generates the
drive gas flow during the inspiratory phase. This flow is injected into the space between the
bellows and the bellows housing.
2-95
2.3.12 Drive Pressure - High Pressure Regulator (200 kPa, 29
psi)
The drive pressure regulator stabilizes the supply pressure upon the proportional valve.
The flow generated by the proportional valve is therefore independent of pressure variations
at the supply.
Setting the drive pressure regulator at 200 kPa (29 psi) allows for a maximum of inspiratory
flow of 110 L/min at the ventilator.
2.3.13 Drive Gas Assembly

The drive gas assembly comprises the inspiratory circuit and PEEP circuit. The gas flow of
the inspiratory circuit goes through the inspiratory valve, which generates a gas flow of 0 to
110 L/min. The gas flow of the PEEP circuit goes through the PEEP valve, which also
generates gas pressure of 3 to 30 cm H2O. Both the PEEP and inspiratory valves are
proportional solenoid valves controlled by the valve drive board.
2.3.14 Tube Color Coding

All the pneumatic tubes used in the anesthesia system are transparent tubes.
2-96
3 Installation Guide
3.1 Preparation
The following additional materials are required before installation. The customer is
responsible for supplying this material. Missing items may result in delays, incomplete
installations, and/or additional service visits.
 Compatible emergency O2, N2O, and AIR cylinders
 Agent vaporizers and key fillers (if not purchased with the anesthesia system)
 Liquid agent medication
 CO2 absorbent Pre-Paks or loose fill
 Active O2, N2O, and AIR lines (280 to 600 kPa (40 to 87 psi))
 Dropdown hoses for ceiling-mounted medical gas utilities that are compatible with
quick-disconnect hoses (if not purchased with the anesthesia system)
 Negative pressure source, negative pressure source connection related hoses(if not
purchased with the anesthesia system)
3.2 Installation Procedures
NOTE
 The Anesthesia Machine is matched with its Breathing System Block via
calibration of its Flow Sensors. If the Breathing System Block is removed, ensure
that it is reinstalled on its matching Anesthesia Machine. If a different Breathing
System Block is reinstalled, then the Flow Sensors must be recalibrated.
3.2.1 Unpacking and Setup

1. When the A7 is delivered, IMMEDIATELY inspect the box for any damage.
a. If there is NO damage and ALL tip indicators on the box exterior are intact, then sign
and date the bill of lading or airway bill to indicate safe receipt of the anesthesia system.
3-1
b. If there is DAMAGE or ANY of the tip indicators on the box exterior have activated,
then conditionally accept the delivery and clearly describe the damages on the bill of
lading or airway bill. BOTH the carrier and recipient must sign and date the bill of
lading or airway bill. Save all damaged factory packaging until further instructed by
Mindray. The receiver should immediately contact Mindray Customer Service.
NOTE
 When unpacking the unit, keep as much of the plastic covering on the unit as
possible. When all parts are unpacked, return the packing material to its original
box. Place the smaller box inside the larger box.
2. Cut, remove, and discard the white shipping straps from the box.
3. Pull the box top straight up off the box and place on the floor near the unit. The box top
will be used later as a ramp when rolling down the A7 onto the floor.
3-2
4. Pull the box straight up and over the unit.
5. Remove the top foam piece on the A7.
6. Cut the plastic tie wrap as shown below. Roll down the plastic bag from the unit.
3-3
7. Using a pair of scissors, cut the plastic wrap from the A7 near the back of the unit. Take
care not to scratch or otherwise damage the unit. Remove and discard the plastic wrap.
Remove the empty box on the tray from the unit.
8. Remove the foam covering up the display and the tray.
9. After removing the plastic wrap and foam, check that there is a box on both sides of the
unit, as shown below. Remove the package.
3-4
10. Cut the two fiber packing belts on the base of the box platform.
11. Remove the piece of wood at the front of the A7. Then, remove the foam packing
material from around the front of the unit.
12. Remove the foam packing material from around the back of the unit.
3-5
13. Create a ramp for the unit by placing the top of the container next to the base of the
container as shown. The flat side of the wood should be facing up. The other side of the
wood has support to hold up the ramp. Secure the ramp to the container using the hook-
and-loop straps.
14. Rotate the casters 90° and carefully roll the A7 unit down the ramp. Remove the bag
from the unit. Save the bag in case repacking is needed.
Note: Pay attention to check the packing list in the following installation steps.
15. Open the bottom drawer and remove the Breathing Assembly and the Bag Arm
Assembly.
3-6
16. Install the Breathing Assembly on the side of the A7. Align the Assembly carefully, and
then push it firmly towards the A7 until the Assembly clicks into place.
17. Carefully open the small box that contains the Folding Bag Assembly (Bellows) and
Bellows Dome. Remove the plastic bags from the Assembly. Place the foam pieces and
plastic bags in the box.
18. Install the bellows on the Breathing System. Ensure that the bellows is stretched
completely around the lip on the breathing system when installed.
3-7
19. Install the bellows dome by placing it down on the breathing system and turning it
clockwise to lock it in place (the gradation markings on the bellows dome should face
front and be visible to the operator).
20. Install the Bag Arm Assembly, aligning the keyed features as shown below.
3-8
21. Then, push the Bag Arm Assembly into the Breathing System and tighten the knurled
collar as shown below.
22. Open the middle and bottom drawers and carefully remove the Removable absorber
Assembly, Waste Gas Scavenger Hose and the Waste Gas Scavenger Assembly.
3-9
23. Install the white absorber hose on the absorber assembly. Then, install the absorber
assembly without the canister in place. Install the lower part first, line up the pins with
the holes, and then align the top part. Push the top part in (upward) until both the front
and back latches click into place.
24. Add CO2 absorbent Pre-Pak or loose fill to the canister. Slide the canister into the
absorber Assembly. Turn the locking lever 90° counter-clockwise to lock the canister in
place.
3-10
25. Install the bracket for liquid collection bottle of vacuum suction device onto the proper
position on the left side of the machine.
26. Place the liquid collection bottle onto the bracket and connect the tubes properly.
27. Slide the Scavenger Assembly in the track on the lower left side (i.e., same side as the
Breathing Assembly) of the A7 and tighten the thumbscrew on the Scavenger Assembly
to lock it in place. Install one side of the Scavenger Hose to the Scavenger Assembly
and the other side of the Hose to the A7 as shown below.
3-11
28. Open the top drawer and check that it contains the following contents:
 Auxiliary O2/Air Reference Card
 Preoperative Checkout List
 Inspiratory Flow Sensor & Expiratory Flow Sensor
 Oxygen Cell Unit (Optional)
 Gas Cylinder Wrench (Optional)
 Drawer Key
3-12
29. Loosen the two fast locking screws to open the service door. Remove the two hand
screws to open the battery box. Install one or two batteries and make sure that the
batteries are placed with proper polarity. Close the battery box and tighten the hand
screws.
30. Before installing the gas cylinders at the rear of the A7, verify that the tank washers are
installed. Remove the tape holding washers in place. Then, install the gas cylinders.
Ensure that the cylinders are secured to their matching cylinder supply connections,
which are labeled “O2”, “Air”, and “N2O”.
31. Connect each gas supply by connecting the hose connectors to the gas supply connectors.
Turn the connectors clockwise to fasten them securely to the connectors. Verify that the
pressure of the gas supply is within the specifications of the machine.
32. Connect a manual ventilation bag (supplied by the user) to the bag arm on the breathing
system.
33. Connect a patient breathing circuit (supplied by the user) to the inspiratory and
expiratory connections.
WARNING
 Use breathing circuits and manual bags in accordance with ASTM F1208 and
compatible with standard 22mm male conical fittings per ASTM specifications
F1054.
34. At the AGSS tank, turn the knob on top of the scavenger until the float is between the
Min and Max markings. Connect the hose from the gas scavenger to the operating
room’s EVAC connector.
35. Install the oxygen sensor into the stainless steel housing and tighten it properly.
36. Connect the oxygen sensor cable between the oxygen sensor and the side of the A7,
aligning the yellow marks with the cable and connector.
3-13
37. Plug the power cord into a grounded socket. Power up the A7 by turning the main power
switch (located on the front of the A7) to the ON position. Wait until the LCD display
provides information about the leak test. Observe that the start-up self-test is successful.
Do not connect, disconnect or move the breathing circuits or breathing bags while the
self-test is in process.
38. Mount the monitor and arm as per the instructions in the monitoring kit.
WARNING
 Use only Mindray-approved monitors and arms with the A7.
39. Connect Hose (P/N: 115-015457-00) to the outlet of the gas module and to the Colder
fitting at the back of the A7 (above the EVAC connector). Place the unused hose in the
bottom drawer.
40. Place the following parts into the bottom drawer:
 A7 Operator’s Manual
 Washer, Seal
41. Hang the Pre-operative Checkout List and the Auxiliary O2/AIR Reference Card onto
the handle of the A7 unit.
3-14
3.2.2 Breathing System, Breathing System Accessories and
Checkout Procedures
2
4
3
1. Breathing System 2. AGSS Transfer Hose

3. AGSS 4. Liquid collection bottle for negative pressure suction device
5. CO2 absorber canister and absorbent
3.2.3 AGSS Connections

1. Remove the Anesthetic Gas Scavenging System (AGSS) from the foam and bag.
2. Mount the AGSS to the A7 via the GCX compatible rail system.
3. Attach the AGSS Transfer Hose between the inlet port of the AGSS and the exhaust port
of the A7.
3-15
3.2.3.1 Tank Wrench and Pre-operation Checklist
1 Mount the tank wrench on the rear of the A7 so that it can be used to open or close each
cylinder without disconnecting it from the machine.
2. Attach the pre-operation checklist to a location on the A7 where the operator can access
it.
3.2.4 Vaporizers
WARNING
 If the vaporizer is incompatible with the A7 Anesthesia System, the vaporizer will
not work at all. Use vaporizers with Selectatec mounting system that are compliant
to ISO 8835-4. Refer to the vaporizer manufacturer’s Instructions For Use for
filling or draining the vaporizer and other information.
 For the A7 Anesthesia System, using or turning on more than one vaporizer
simultaneously is mechanically prevented by the Selectatec mount system. Do not
attempt to override this safety feature.
 Use care in lifting and manipulating vaporizers during the mounting process as
their weight may be greater than expected, based on their size and shape.
NOTE
 The barometric pressure may differ from the calibration pressure of the anesthetic
vaporizer. This may cause an inaccurate output of the anesthetic agent. The
operator should continuously monitor the concentration of anesthetic agent during
system use.
3-16
1. Align the vaporizer over the valve cartridges of the mounting bar. Hang the vaporizer on
the mounting bar as shown below. Note that the locking mechanism handle is in the
unlocked position.
Locking Mechanism
Handle in the Unlocked
Position
2. Rotate the locking mechanism handle clockwise into the locked position as shown
below.
Locking Mechanism
Handle in the locked
Position
3-17
3.2.4.1 Assemble the Vaporizer
1. Mount the vaporizer onto the manifold.
2. Push and turn the locking lever clockwise to lock the vaporizer in position.
3. Ensure that the top of the vaporizer is horizontal. If not, remove the vaporizer and
reinstall it.
4. When reinstalling the vaporizer, lift each vaporizer straight up off the manifold rather
than pulling forward. Do not rotate the vaporizer on the manifold.
5. If a vaporizer unintentionally lifts off the manifold, install it again and complete steps 1
through 3. If the vaporizer lifts off a second time, do not use the system.
NOTE
 A Desflurane vaporizer may be mounted similarly as other vaporizers, but may
require a power cord. For more detailed instructions on installation and proper
use, refer to the specific manufacturer’s Instructions for Use of the Desflurane
vaporizer.
3.2.4.2 Fill the Vaporizer
NOTE
 The A7 should use vaporizers with Selectatec mounting system that are compliant
filling or draining the vaporizer and other information.
WARNING
 Ensure that the correct anesthetic agent is used. The vaporizer is designed with the
specific anesthetic agent name on it and further indicated by color coded label. The
concentration of the anesthetic agent actually outputted will vary if the vaporizer is
filled with the wrong agent.
3.2.4.3 Drain the Vaporizer
WARNING
 Do not reuse the agent drained from the vaporizer. Treat as a hazardous chemical
and follow local regulations for proper disposal.
NOTE
 The A7 should use vaporizers with Selectatec mounting system that are compliant
filling or draining the vaporizer.
3-18
3.2.5 Gas Cylinder(s)
1. Remove the cover from a new O2, N2O, and AIR cylinder.
2. Mount one cylinder at a time onto the rear of the anesthesia machine.
3. Discard the cylinder's tank washer. Always use the approved tank washer provided with
the A7.
4. Open the bail of each yoke and mount the cylinder over the tank washer.
5. Ensure the O2 cylinder mates to the O2 Pin Index Safety System (PISS) connection on
the O2 yoke. Close the yoke bail and use the hand-screw to tighten the cylinder to the
yoke port.
6. Ensure that the N2O cylinder mates to the N2O PISS connection on the N2O yoke.
Close the yoke bail and use the hand-screw to tighten the cylinder to the yoke port.
7. Ensure that the AIR cylinder mates to the AIR PISS connection on the AIR yoke. Close
the yoke bail and use the hand-screw to tighten the cylinder to the yoke port.
3.2.6 Breathing Circuit and CO2 Absorbent

1. Attach a breathing circuit to the inspiratory and expiratory ports as detailed in the
directions for use. Attach the breathing bag and any other respiratory accessories as
described.
2. Insert the Pre-Pak into the absorber canister.
3. Install the absorber canister with a quarter turn of the lever at the bottom the absorber
assembly, ensuring tight seal.
3-19
3.2.7 Monitoring Products Mounting and Electrical Connection
(if available)
1. Mount the monitor (if available) according to the manufacturer’s monitor assembly
instructions.
NOTE
 Use of other monitor and mounting hardware is performed by the installer.
2. After mounting a monitor to the A7, connect it to one of the AC outlets located on the
rear of the A7.
3. Turn on each monitor one at a time. Verify that the circuit breaker holds without
tripping.
4. Dress each line cord neatly along the side of the anesthesia machine or tucked inside the
monitor arm. An optional cable routing kit is available. The cable routing kit contains
three (3) clips, screws, and two (2) Ethernet cables. The clips attach to three (3) sets of
holes on the rear door of the A7. Ethernet and power cables can be routed through the
clips.
3.2.8 Module Installation and Waste Gas Recycling

1. An exhaust hole is available on the module installed in the module rack or the breathing
gas monitoring product to discharge waste gas. The exhaust hole on the gas monitor
must connect to the sample gas return port on the back of A7. The exhausted gas will
return to patient circuit through lines in the system to be reused, to reduce the waste and
pollution of anesthesia gas.
2. Make sure that a tight connecting fitting is attached to the exhaust port of gas monitor.
Make sure that the other end of the same tube is connected to the back of A7.
3.3 Tests after installation

Refer to B.1Test items after installation to start test after installation.
3-20
4 Testing
NOTE
 For any parameter that does not comply with the specifications, refer to Chapter 8
"System Calibration".
 A ventilation test can be performed only when the A7 system is powered on (using
AC mains instead of batteries) and the machine has been turned on for one hour.
4.1 System Self Test

When the system is powered on, it performs a self test to ensure that its alarm system
(including the alarm LED indicators, speaker, and buzzer) and hardware (flowmeter board,
VCM, VPM, power board, CPU board etc.) are properly functioning.
4.1.1 Performing a System Self Test

1. Turn the power switch on the front panel to the ON position. The equipment powers up
and begins its system self test. See Table 3-1 for the system self test items. See Table 3-
2 for the instructions of self-test status indicators.
After the system self test is completed, the test results are displayed on the screen.
Startup alarm messages may also be displayed. See 4.1.2 Startup Alarm Messages.
4-1
NOTE
 The picture shown above is the software screen of the united version number
02.09.00 of united version and the later version. The following introduction related
to this software is based on this version..
2. Continue to operate or troubleshoot the equipment based on the self test results.
Table 3-1
System Selftest Comment Remark
Item
1.Startup selftest The system will undertake a seldtest after Startup selftest is the
startup to make sure the alarm system (alarm mandatory item which cannot
LED, speaker, audio buzzer) and hardware be skipped. If the status
(flowmeter board, breathing machine board, indicator of the current
aux breathing machine board, power supply selftest item displays red or
board and CPU) work well. yellow, the system cannot
2.Check before Display the check procedures needed before skip from the current selftest
use using the system item to another selftest item.
3.Automatic Check if the breathing system leaks at the Otherwise, the system can
circuit leak test auto ventilation mode. skip from the current selftest
4.Manual circuit Check if the breathing system leaks at the item to any another selftest
leak test manual ventilation mode. item.
5.BFCS test Make sure the electromagnet, step motor,
position sensor and three-way valve work
well.
Table 3-2
Selftest Status Indicator Indication
The current activity screen
The selftest has not been performed.
The selftest passes
Fatal error and the machine can not be used
Partial error and the machine can be used normally,
4-2
4.1.2 Startup Alarm Messages
NOTE
 Startup alarms will not be reported in audible or visual form.
 Startup alarm priorities are displayed only in the alarm logbook.
 In case of a failure, the self test result column indicates the result when a startup
alarm is triggered, which may be All, Only Manual, and Non-Functional.
Table 3-3
Self
Test
Alarm Result
Message Cause Solution Remarks
Priority in Case
of a
Failure
Bundle Version An incompatible Non-
Error/Incompatibl firmware version is High Functio CPU board
e Version Found installed. nal
Upgrade the software to a
The self test result compatible version. Non-
Bundle Version: cannot be obtained
High Functio CPU board
Time out due to an internal
nal
communication error.
CPU error
RAM error
Address line error
Watchdog error
Flash error
O2 proportional valve
error
Air proportional valve Non- Electronic
Flowmeter Self 1. Restart the machine.
error High Functio flowmeter
Test Error 2. If the problem persists,
N2O proportional nal board
replace the flow sensor
valve error
board.
O2 circuit leakage
3. If the problem persists,
Air circuit leakage replace the CPU board.
N2O circuit leakage
Zero reading error
FPGA configuration
error
The self test result
Non- Electronic
Flowmeter Self cannot be obtained
High Functio flowmeter
Test: Time out due to an internal
nal board
CPU, Flash, or WTD 1. Restart the machine.
Aux Control error
2. Re-plug or replace the Non- Monitor
Module Self Test After power-on, the High communication cable Functio valve drive
Error/VPM Self CPU board cannot
between the CPU board and nal board
Test: Fail communicate with the
the auxiliary VCM.
auxiliary control
4-3
Self
Test
Alarm Result
Priority in Case
of a
Failure
board. 3. If the problem persists,
The self test result replace the auxiliary VCM.
Aux Control 4. If the problem persists, Non- Monitor
cannot be obtained
Module Self Test: High replace the CPU board. Functio valve drive
due to an internal
Time out nal board
CPU, timer, RAM,
TWD, EEPROM, or 1. Restart the machine.
Ventilator Self
AD error 2. Re-plug or replace the Non-
Test
After power-on, the High communication cable Functio VCM
Error/Ventilator
CPU board cannot between the CPU board and nal
Self Test: Fail
communicate with the the VCM.
VCM. 3. If the problem persists,
The self test result replace the VCM.
Non-
Ventilator Self cannot be obtained 4. If the problem persists,
High Functio VCM
Test: Time out due to an internal replace the CPU board.
nal
1. Restart the machine.
2. Measure the input voltage
of the VCM to check
whether it is within the
Ventilator Voltage
5 V or 12 V voltage normal range. Only
Error/Ventilator High VCM
error 3. If the input voltage is out Manual
Voltage: Fail
of range, replace the power
board or cable.
replace the VCM.
1. Check whether the
pressure sensor on the PEEP
circuit complies with the
specifications. Calibrate the
pressure sensor in the
service menu or replace the
sensor on the PEEP circuit
when a pressure error
occurs.
PEEP valve voltage 2. Measure the voltage at
PEEP Valve the corresponding test point. Only
error
Failure/PEEP Medium VCM
PEEP valve pressure 3. Check the connection Manual
Valve: Fail between the power supply
error
and the expiratory valve
assembly.
4. Replace the VCM when
necessary.
5. Replace the expiratory
valve assembly when
necessary.
6. Replace the power board
when necessary.
4-4
Self
Test
Alarm Result
Priority in Case
of a
Failure
1. Check whether the
inspiratory flow sensor
complies with the
specifications. Calibrate the
flow sensor in the service
menu or replace the flow
sensor when a flow error
occurs.
2. Measure the voltage at
Inspiratory valve the corresponding test point.
Insp Valve
voltage error Only
Failure/Insp Medium 3. Check the connection VCM
Inspiratory valve flow Manual
Valve: Fail between the power supply
error and the expiratory valve
assembly.
4. Replace the VCM when
necessary.
valve assembly when
necessary.
when necessary.
1. Measure the voltage at
the corresponding test point.
2. Check the connection
between the power supply
and the expiratory valve
Safety Valve assembly.
PEEP safety valve Only
Failure/Safety Medium 3. Replace the VCM when VCM
voltage error Manual
Valve: Fail necessary.
valve assembly when
necessary.
when necessary.
4-5
Self
Test
Alarm Result
Priority in Case
of a
Failure
1. Check whether the zero
point of the flow sensor
complies with the
specifications.
Flow Sensor 2. Check whether the values
The ventilator flow is measured by the flow sensor Only
Failure/Flow Low VCM
out of range. Manual
Sensor: Fail are within the normal range.
3. Replace the flow sensor
and calibrate it.
4. Replace the VCM and
calibrate it.
The calibration table is
not found in Perform service calibration.
Calibrate Flow EEPROM. For details about how to Only
Sensor and Insp Low VCM
The checksum of the calibrate the flow sensor, Manual
Valve
calibration table does see related section.
not match.
The calibration table is
not found in Perform service calibration.
Calibrate Pressure
EEPROM. For details about how to Only
Sensor and PEEP Low VCM
The checksum of the calibrate the pressure Manual
Valve
calibration table does sensor, see related section.
not match.
1.The calibration table
is not found in
EEPROM.
2.The checksum of the
calibration table does 1. Calibrate the O2 sensor
Calibrate O2 not match. again.
Low All VCM
Sensor 3. The difference 2. If the problem persists,
between 100% and replace the O2 sensor.
21% O2 concentration
AD values in the O2
sensor table is less
than 79AD.
4-6
Self
Test
Alarm Result
Priority in Case
of a
Failure
Ventilator After power-on, the 1. Restart the machine.
Non-
Initialization CPU board cannot 2. Re-plug or replace the
High Functio CPU board
Error/Ventilator send the parameter communication cable nal
Initialization: Fail settings to the VCM. between the CPU board and
the VCM.
The self test result 3. If the problem persists,
Ventilator Non-
cannot be obtained replace the VCM.
Initialization: High Functio CPU board
due to an internal
Time out 4. If the problem persists, nal
replace the CPU board.
1. Check whether gas is
supplied normally.
2. Short-circuit the pressure
switch and the alarm should
disappear. Otherwise, it
indicates that the pressure
switch is defective. Replace No
Drive Gas The drive gas pressure
High the pressure switch. If the effect in VCM
Pressure Low is low.
pressure switch is not use
defective, check the
connection between the
pressure switch and the
VCM.
replace the VCM.
Use the same method as that
O2 Supply The O2 supply No
of Drive Gas Pressure Low
Failure/O2 pressure is High effect in VCM
to check the O2 pressure
Supply: Fail insufficient. use
switch.
Power Supply 1. Measure the voltage at
Voltage
3.3 V, 5 V and 12 V the corresponding test point. Only Power
Error/Power High
voltage error 2. If the problem persists, Manual board
Supply Voltage:
replace the power board.
Fail
1.Check the power supply No
The AC power is not Power
AC power failure Low 2.Connect the AC power effect in
connected. board
supply use
There is no button 1. Replace the button cell on
battery cell in the No
RT Clock Needs the CPU board.
system, or the power High effect in CPU board
Battery 2. If the problem persists,
of the button battery use
replace the CPU board.
cell is depleted.
RT Clock 1. Restart the machine. No
The RT chip
Failure/RT Clock: High 2. If the problem persists, effect in CPU board
malfunctions.
Fail replace the VCM. use
1. Check the cable Non-
Keyboard Self Keypad board self test Keypad
High connection between the Functio
Test Error error board
keyboard and the CPU nal
4-7
Self
Test
Alarm Result
Priority in Case
of a
Failure
The self test result board.
Non-
Keyboard Self cannot be obtained 2. Restart the machine. Keypad
High Functio
Test: Time out due to a 3. If the problem persists, board
nal
communication error. replace the keyboard.
The self test of the 1. Re-plug the external AG No
External AG Self
external AG module Low module, and then start it. effect in AG module
Test Error
failed. 2. Check the cable use
connection between the gas
The self test result bench and the CPU board.
3. Check whether the gas No
External AG: cannot be obtained
Low bench works properly. effect in AG module
Time out due to a
use
communication error. 4. Replace the external AG
module.
The self test of the No
Internal AG Error 1. Restart the machine.
internal AG module Low effect in AG module
02 2. Re-plug the cable
failed. use
between the internal AG
The self test result module and the CPU board. No
Internal AG: Time cannot be obtained
Low 3. Replace the internal AG effect in AG module
out due to a
module. use
1. Re-plug the BIS module,
and then start it.
2. Check the cable
BIS Selftest Error connection between the gas No
The BIS module BIS
BIS Selftest Error: Low bench and the CPU board. effect in
malfunctions. module
Time out 3. Check whether the gas use
bench works properly.
4. Replace the BIS module.
1. Re-plug the CO2 module,

and then start it.
CO2 Selftest 2. Check the cable
No
Error The CO2 module connection between the gas CO2
Low effect in
CO2 Selftest malfunctions. bench and the CPU board. module
use
Error: Time out 3. Check whether the gas
4. Replace the CO2 module.
1. Re-plug the NMT
module, and then start it.
2. Check the cable
NMT Selftest
connection between the gas No
Error The NMT module NMT
Low bench and the CPU board. effect in
NMT Selftest malfunctions. module
3. Check whether the gas use
Error: Time out
4. Replace the NMT
module.
4-8
4.2 Leak and Compliance Tests
NOTE
 Perform leak test after maintaining the anesthesia machine, replacing parts, or re-
connecting tubes.
4.2.1 Automatic Circuit Leak and Compliance Test
This test checks if the pneumatic circuit has leakage in mechanical ventilation mode. The test
items include bellows, drive gas circuit, CO2 absorber canister, patient tube, vaporizer, flow
sensor, and flow sensor connector.
The following figure shows the Automatic Circuit Leak & Compliance Test screen.
To perform an automatic circuit leak test,
NOTE
 The system records the result of the last automatic circuit leak test in the [General]
tab, including if the test result is passed or failed, or the test is skipped. To view the
last test result, select [Main] > [General] on the main screen.
1. From system power-up:
4-9
If the system is being powered on, the system automatically initiates a system self test
and enters the Automatic Circuit Leak Test screen.
Or
From the main screen:
Select Main > General > Test Leak/Compliance.
2. Follow the directions on the screen.
a. Seal the Y-piece.
b. Ensure that the sample line port of the breathing circuit is blocked.
c. Ensure the vaporizer is closed and locked. (It reads zero)
d. Set the Auto/Manual switch to the Auto position..
e. Select Continue to proceed with the automatic circuit leak test.
NOTE
 The Continue button can be selected only when the Auto/Manual switch is set to
the Auto position.
3. Compare the test results with the results of the automatic circuit leak and compliance
test, and proceed accordingly.
Result Comments/Options
Automatic Circuit Leakage: Pass Leakage rate ≤ 200 mL/min
Compliance Test: XX.X mL/cmH2O Compliance test results are displayed in green.
Select Continue to enter the Manual Circuit Leak Test
screen.
Automatic Circuit Leakage: XXX 200 mL/min< Leakage rate ≤ 1000 mL/min
mL/min The compliance test has performed successfully.
Compliance Test: Success Select Continue to enter the Manual Circuit Leak Test
screen and use the previous compliance values .
Or
Select Retry to repeat the automatic circuit leak and
compliance tests.
Treatment measures:
1. Check if all the pipes are connected well.
2.Check if the Y-piece connector is blocked.
3.Check is the water collection cup is installed well and the
drain valve is closed.
4.Check is the sampling pipe is connected well.
Automatic Circuit Leakage: XXX 200 mL/min< Leakage rate ≤ 1000 mL/min
mL/min Select Continue to enter the Manual Circuit Leak Test
Compliance Test: Fail screen and use the previous compliance values (using fresh
gas to compensate the leakage)
Select Retry to repeat the automatic circuit leak and
compliance tests.
Treatment measures:
4-10
Automatic Circuit Leakage: Fail Leakage rate > 1000 mL/min
Compliance Test: Fail Fresh gas is not detected.
Follow directions on the screen for troubleshooting.
Or
Select Manual Only to enable only manual ventilation for
the equipment. The low-priority alarm "Automatic
Ventilation Disabled–Leak Test Failed" will be displayed
on the main screen.
WARNING
 Selecting Manual Only will disable
mechanical ventilation.
Treatment measures:
MACHINE NON-FUNCTIONAL The safety valve control test or pressure verification test
Automatic Circuit Leakage: Fail failed.
Compliance Test: XX.X mL/cmH2O Select Retry to repeat the automatic circuit leak and
Safety Valve Control: Fail compliance tests.
Or
Contact the customer service center if this error condition
persists.
NOTE
 Service Access button: This button is
available only to Mindray-authorized
service personnel and a service password
is required.
Treatment measures:
Check if the safety valve connection cable is connected
well.
NOTE
 The result of automatic circuit leak and compliance test is recorded in Service Log.
To view the test result, select [Main] > [Service] > [Review Logs] > [Service] on the
main screen.
4-11
4.2.2 Manual Circuit Leak Test
This test checks if the pneumatic circuit has leakage in manual ventilation mode. The test
items include APL valve, check valve, CO2 absorber canister, patient tube, flow sensor, and
flow sensor connector.
The following figure shows the Manual Circuit Leak Test screen.
To perform a manual circuit leak test,
NOTE
 If fresh gas is detected by the system before undergoing the manual circuit leak
test, a message is displayed on the screen for zeroing all flowmeters.
4-12
1. From system power-up:
If the system is being powered on, the system automatically initiates a system self test
followed by automatic circuit leak and compliance tests
Or
From the main screen:
Select [Main] > [General] > [Test Leak/Compliance].
a. Adjust the APL valve to the 50 cmH2O position.
b. Install the manual bag.
c.. Set the Auto/Manual switch to the Manual position.
d. Select [Continue] to proceed with the manual circuit leak test.
Or
Select [Skip] to directly enter the operational mode.
NOTE
 The Continue button can be selected only when the Auto/Manual switch is set to
the Manual position and no fresh gas is detected.
Pass Leakage rate <= 200ml/min.
Adjust the APL valve to the SP position.
Select Continue to enter the main screen.
Fail: XXX mL/min Leakage rate >200 ml/min & <=1000 ml/min.
Or
Adjust the APL valve to the SP position and select Accept
to enter the main screen.
Treatment measures:
4-13
Fail Leakage rate > 1000 mL/min.
Or
Adjust the APL valve to the SP position and select Accept
to enter the main screen.
Treatment measures:
Fail: Please cut off the fresh gas flow Open the fresh air.
Treatment measure:
Cut off the fresh air.
Choose Retry to repeat the test.

Time Out The test failed.
Choose Retry and repeat the automatic circuit leak and
compliance test.
OR
Choose Neglect to skip the test.
Treatment measures:
Backup Flow Control is enabled The BFCS is enabled.
Or
Select Accept to enter the normal operation mode. The
system uses the previous compliance values.
Treatment measures:
Shut down the backup flow control system.
NOTE
 The result of manual circuit leak test is recorded in Service Log. To view the test
result, select [Main] > [Service] > [Review Logs] > [Service] on the main screen.
4-14
4.2.3 Troubleshooting—Leak Test
The following table lists the commonly-encountered problems and recommends actions for
breathing system leak test in mechanical ventilation mode.
Fault Description Possible Cause Recommended Action
Leak test failure is The Auto/Manual switch is set to Set the Auto/Manual switch to
prompted immediately the Manual position and the the Auto position.
after [Start] is selected message [Manual Vent.] is
(typically, the leak test prompted.
requires at least 3
The reading on the drive gas Replace or connect gas supplies
minutes).
(O2) pressure gauge indicates and make sure that the drive gas
drive gas pressure low (lower pressure is at 280 to 600 kPa.
than 200 kPa) and the alarm of
[Drive Gas Pressure Low] is
produced.
During leak test, the 1. Before the leak test, the 1. Allow the bellows to be fully
pressure indicated by the bellows is not fully inflated. inflated before leak test.
airway pressure gauge 2. The Y piece on the breathing 2. Connect the Y piece on the
fails to reach 30 cmH2O. tube is not connected to the test breathing tube to the test plug.
plug. 3. Re-install the bellows housing.
3. The bellows housing is not 4. Block the sample gas return
properly installed. quick connector
4. The sample gas return quick
connector is not blocked.
4-15
4.3 BFCS Self Test
4.3.1 Automatic Backup Flow Control Test
The following figure shows the Automatic Backup Flow Control Test screen.
To performing an automatic backup flow control test,

1. After the anesthesia machine is powered on, the system automatically measures the
absolute value of the difference between the current time and the time of the previous
successful automatic backup flow control test. If the absolute value is greater than 168
hours, the system enters the manual circuit test screen after startup and the BFCS knob
is not deployed. When the manual circuit test is completed, the system enters the
Automatic Backup Control Test screen.
Clear the work surface near the BFCS and select Continue to perform a backup flow
control test (recommended).
Or
Select Skip to directly enter the operational mode.
4-16
Clear the work surface near the
The BFCS gets stuck. backup flow control system and
The BFCS fails to deploy
check if the BFCS is stuck.
during automatic backup
1. Re-start the machine.
flow control test.
The solenoid of BFCS is faulty, 2. Replace the parts of backup
flow control system.
The BFCS fails to retract 1. Re-start the machine.
The stepper motor of BFCS is
during automatic backup 2. Replace the parts of backup
faulty.
flow control test. flow control system.
When the three-way valve is
1. Check if the gas supply
switched to BFCS limb during
The three-way valve is connection and supply gas
BFCS automatic test, the
faulty. pressure are normal.
measured flow of total flow
2. Replace the three-way valve.
meter is less than 0.2L/min.
NOTE
 The result of automatic backup flow control test is recorded in Service Log. To
view the test result, select [Main] > [Service] > [Review Logs] > [Service] on the
main screen.
 If it is necessary to perform automatic backup flow control test actively, select
[Main] > [Service] > [Test BFCS] on the main screen.
4-17
4.4 Gas Supply Tests
4.4.1 O2 Pipeline Supply Test
NOTE
 Remove the O2 cylinder from the yoke before performing this test.
1. Connect the machine to the O2 supply connector on the wall via O2 supply hose.
2. Check that the O2 supply pressure gauge reads 280 to 600 kPa.
3. Turn on the system switch.
4. Depress the button for backup flow control system to let the machine enter BFCS work
mode.
5. Fully open the O2 needle valve.
6. Observe the float of total flowmeter, which should be at the top of the flowmeter.
7. Disconnect the O2 pipeline supply.
8. Make sure that the alarms of "O2 Supply Failure" and "Drive Gas Pressure Low" occur
with the decrease of O2 pressure.
9. Check that the O2 supply pressure gauge decreases to zero.
4-18
4.4.2 N2O Pipeline Supply Test
NOTE
 Remove the N2O cylinder from the yoke before performing this test.
1. Connect the machine to the O2 and N2O supply connectors on the wall via O2 and N2O
supply hoses.
2. Check that the O2 and N2O supply pressure gauges read 280 to 600 kPa.
3. Turn on the system switch. Set balance gas to N2O.
4. Adjust the N2O needle valve to set the flow of O2 to be 1L/min.
5. Observe the float of total flowmeter, which should be located between 3L and 5L.
6. Disconnect the N2O pipeline supply.
7. Make sure that the N2O supply pressure gauge decreases to zero.
4.4.3 Air Pipeline Supply Test

NOTE
 Remove the air cylinder from the yoke before performing this test.
1. Connect the machine to the Air supply connector on the wall via Air supply hose.
2. Check that the Air supply pressure gauge reads 280 to 600 kPa.
3. Turn on the system switch. Set balance gas to Air.
4. Fully open the Air needle valve.
5. Observe the float of total flowmeter, which should be at the top of the flowmeter.
6. Disconnect the Air pipeline supply.
7. Make that the Air supply pressure gauge decreases to zero.
4-19
4.5 Cylinder Supply Tests
4.5.1 N2O Cylinder Supply Test
1. Remove the N2O supply hose from the gas inlet assembly. Ensure that the O2 supply
hose is connected to the gas inlet assembly or the backup O2 cylinder is mounted on the
backup cylinder yoke and O2 supply is available.
2. Mount the backup cylinder full of N2O on the backup cylinder yoke. If necessary, place
a new clean washer between the cylinder and cylinder yoke to minimize leakage caused
by yoke connections.
3. Observe the reading on the N2O high pressure gauge for the entire system. Ensure that
the difference between the pressure displayed on the N2O high pressure gauge and the
pressure displayed on the cylinder pressure gauge does not exceed 1 Mpa.
4. In the EFCS state, set the balance gas to N2O and adopt the direct flow control mode.
Adjust the N2O flow to 6 L/min. The O2 flow increases to 2 L/min and the
corresponding value is displayed on the total flowmeter.
5. Press the emergency button to deploy the BFCS. The system has about 1 L/min basal
flow. Adjust the N2O needle valve to maximum. The value on the total flowmeter
should not increase above 6 L/min.
6. Turn off N2O and O2 needle valves, switch the system to the EFCS state, and set the
N2O and O2 flow to zero. Turn off the N2O cylinder.
7. Ensure that the pressure value displayed on the front panel N2O high pressure gauge
decreases by less than 10% within one minute.
8. Set the N2O flow to 6 L/min.
9. As N2O supply pressure decreases, an alarm "N2O Supply Failure" should occur. When
the N2O flow goes to zero, the O2 flow keeps unchanged.
10. Ensure that the N2O high pressure gauge goes to zero.
4-20
4.5.2 O2 Cylinder Supply Test
1. Remove the O2 supply hose from the gas inlet assembly.
2. Mount the backup cylinder full of O2 on the backup cylinder yoke. If necessary, place a
new washer between the cylinder and cylinder yoke to minimize leakage caused by yoke
connections.
3. Observe the reading on the O2 high pressure gauge for the entire system. Ensure that the
difference between the pressure displayed on the front panel O2 high pressure gauge and
the pressure displayed on the cylinder pressure gauge does not exceed 1.25 Mpa.
4. In the EFCS state, set the balance gas to None and adopt the direct flow control mode.
Adjust the O2 flow gradually. The total flowmeter fluctuates along with the set EFCS
flow.
flow. Adjust the O2 needle valve. The value on the total flowmeter fluctuates
accordingly.
6. Turn off the O2 needle valve and switch the system to the EFCS state. Set the O2 flow
to zero and turn off the O2 cylinder.
7. Ensure that the pressure value displayed on the front panel O2 high pressure gauge
decreases by less than 10% within one minute.
8. Set the O2 flow to 6 L/min.
9. As O2 supply pressure decreases, alarms "O2 Supply Failure" and "Drive Gas Pressure
Low" should occur.
10. Ensure that the O2 high pressure gauge goes to zero.
4.5.3 Air Cylinder Supply Test

1. Remove the air supply hose from the gas inlet assembly.
2. Mount the backup cylinder full of air on the backup cylinder yoke. If necessary, place a
new washer between the cylinder and cylinder yoke to minimize leakage caused by yoke
connections.
3. Observe the reading on the air high pressure gauge for the entire system. Ensure that the
difference between the pressure displayed on the air high pressure gauge and the
pressure displayed on the cylinder pressure gauge does not exceed 1.25 Mpa.
4. In the EFCS state, set the balance gas to air and adopt the direct flow control mode.
Adjust the air flow gradually. The total flowmeter fluctuates along with the set EFCS
flow.
4-21
flow. Adjust the air needle valve. The value on the total flowmeter fluctuates
accordingly.
6. Turn off the air needle valve and switch the system to the EFCS state. Set the air flow to
zero and turn off the O2 cylinder.
7. Ensure that the pressure value displayed on the air high pressure gauge decreases by less
than 10% within one minute.
8. Set the air flow to 6 L/min.
9. As air supply pressure decreases, an alarm "Air Supply Failure" should occur.
10. Ensure that the air high pressure gauge goes to zero.
4.5.4 Troubleshooting—Cylinder Supply Test

Ensure that the cylinder pressure
The difference between gauge is within the calibration
the pressure displayed on The error may be caused by period.
the high pressure gauge in the cylinder pressure gauge. Use another cylinder pressure gauge
the front panel and the and then check if the pressure
pressure displayed on the difference meets the requirement.
cylinder pressure gauge The error may be caused by
exceeds the limit. Replace the front panel high
the high pressure gauge of
pressure gauge.
the machine.
The sealing gasket of the Replace the sealing gasket with a
The leak test result is out
cylinder is damaged. new one and then perform the test
of the standard.
again.
4.6 EFCS Accuracy Test

Switch the system to the ACGO mode and connect the pipeline from the separate ACGO to
the test equipment (Alicat is recommended).
Verify the flow accuracy based on the following table.
Acceptance Criterion
Test Item Testing Method (Flow Value Displayed
on Alicat)
Direct flow control mode

Adjust the O2 flow knob to set the flow to
0.2 ± 0.05 L/min
0.2 L/min.
Accuracy of the O2
Adjust the O2 flow knob to set the flow to 1
electronic flowmeter 1.0±0.05 L/min
L/min.
(Balance gas setting:
None) Adjust the O2 flow knob to set the flow to 3
3.05±0.15 L/min
L/min.
Gas is set to O2 on Alicat
Adjust the O2 flow knob to set the flow to
15.25±0.75 L/min
15 L/min.
4-22
Adjust the air flow knob to set the flow to
15.25±0.75 L/min
15 L/min.
Accuracy of the air Adjust the air flow knob to set the flow to 3
3.05±0.15 L/min
electronic flowmeter L/min.
(Balance gas setting: Air) Adjust the air flow knob to set the flow to 1
1.0±0.05 L/min
Gas is set to air on Alicat L/min.
Adjust the air flow knob to set the flow to
0.2 ± 0.05 L/min
0.2 L/min.
NOTE
 For Alicat, read the mass flow, that is, SLPM value.
 A systematic deviation exists between the test value obtained using Alicat and the
full electronic flowmeter control value. Therefore, the actual acceptance criterion is
the set value divided by 0.983.
 When the flow is set to 0.2 L/min and 1 L/min, the 2 L-range Alicat should be used.
Measure the concentration of the mixed gas and O2 in total flow control mode.
O2 Concentration
Test Item Testing Method
(Using PF-300)
Adjust the O2 concentration knob to set O2 concentration to
21%. 21%~26%
Adjust the total flow knob to set the total flow to 10 L/min.
O2/Air 100%. 95%~100%
mixture
accuracy
(Balance gas Adjust the O2 concentration knob to set O2 concentration to
setting: air) 35%. 35%±5%
86%. 86%±5%
26%. 26±5%
O2/N2O Adjust the O2 concentration knob to set O2 concentration to
mixture 100%. 95%~100%
accuracy Adjust the total flow knob to set the total flow to 10 L/min.
(Balance gas Adjust the O2 concentration knob to set O2 concentration to
setting: 34%. 34%±5%
N2O) Adjust the total flow knob to set the total flow to 18 L/min.
83%. 83%±5%
4-23
4.7 BFCS Function Tests
4.7.1 Checking Switchover Between the EFCS and BFCS
When the system is powered on, press the emergency button in the EFCS state. Ensue that the
BFCS is automatically deployed and an alarm "Backup Flow Control is enabled" is reported.
Click Disable Backup Flow Control in the lower left corner of the screen. Disable the BFCS
when the needle valve is turned off.
The backlight of the total flowmeter should be lit on when the BFCS is deployed. The
backlight should be extinguished after the BFCS is retracted.
4.7.2 Checking Needle Valve Correspondence

Perform the following operations in the BFCS state:
Turn the O2 needle valve and verify that the flow on the total flowmeter continuously
increases from about 1 L/min to about 10 L/min. Turn off the O2 needle valve. The flow
should decrease to about 1 L/min (that is, only the basal flow is reserved).
Turn the air needle valve and verify that the flow on the total flowmeter continuously
increases from about 1 L/min to about 10 L/min. Turn off the air needle valve. The flow
should decrease to about 1 L/min.
(Only available for BFCS with N2O needle) Turn the N2O needle valve and verify that the
flow on the total flowmeter continuously increases from about 1 L/min. When the flow
reaches about 5 L/min, turn the N2O needle valve again. The flow, however, does not
increase any longer. After N2O reaches the maximum, turn on the O2 needle valve. The total
flow should continue to increase and reach the maximum. Turn off the O2 and N2O needle
valves.
4.7.3 Checking the Needle Valve Sensitive Switch

Press the emergency button. After the BFCS is deployed, turn on the O2 needle valve by
turning it about 1/2 rings and click Disable Backup Flow Control. A prompt message "Close
manual valves prior to disabling Backup Flow Control" is displayed. Turn off the O2 needle
valve. The prompt message disappears and the BFCS can be normally disabled.
Press the emergency button. After the BFCS is deployed, turn on the air needle valve by
turning it about 1/2 rings and click Disable Backup Flow Control. A prompt message "Close
manual valves prior to disabling Backup Flow Control" is displayed. Turn off the air needle
valve. The prompt message disappears and the BFCS can be normally disabled.
(Only available for BFCS with N2O needle) Press the emergency button. After the BFCS is
deployed, turn on the N2O needle valve by turning it about 1/2 rings and click Disable
Backup Flow Control. A prompt message "Close manual valves prior to disabling Backup
Flow Control" is displayed. Turn off the N2O needle valve. The prompt message disappears
and the BFCS can be normally disabled.
4-24
4.7.4 Basal Flow Test in the BFCS State
1. Connect the O2 pipeline supply or open the backup O2 cylinder.
2. Press the emergency button to deploy the BFCS.
3. Verify that the float of the total flowmeter is in the vicinity of 1 L/min.
The following operations are optional:
1. Set the system to work in ACGO mode.
2. Connect the pipeline from the ACGO to the inlet of the flow test equipment.
3. Verify that the basal O2 flow is 1±0.25 L/min.
NOTE
 The gas to be tested must be O2 and the O2 needle valve must be turned off.
4.7.5 Testing the O2 and N2O Proportions and the N2O Cut-off
Function in the BFCS State (Only available for BFCS with N2O
needle)
1. Connect the O2 pipeline supply or open the backup O2 cylinder.
2. Set the system to work in ACGO mode and connect the pipeline from the ACGO to the
O2 concentration test equipment (PF-300 or others).
3. Press the emergency button to deploy the BFCS.
4. Observe the total flowmeter and verify that the basal flow is about 1 L/min. The stably
displayed O2 concentration should range from 97% to 100%.
5. Adjust counter-clockwise the N2O needle valve to maximum and verify that the total
flow does not exceed 6 L/min. The stably displayed O2 concentration should range from
21% to 29%.
6. Turn off the N2O needle valve and adjust the O2 needle valve to ensure that the total
flow is about 3 L/min. Adjust counter-clockwise the N2O needle valve to maximum.
The stably displayed O2 concentration should range from 21% to 29%.
7. Disconnect the O2 pipeline supply (make no changes to N2O), press the O2 flush button
to quickly release the internal pressure of the entire system. As the flow displayed on the
total flowmeter gradually goes to zero, an alarm "O2 Supply Failure" occurs.
8. Reconnect the O2 pipeline supply. The total flow recovers and the alarm disappears.
4-25
4.8 Vaporizer Tests
4.8.1 Vaporizer Interlock Test
1. Attach two vaporizers to the vaporizer mounting manifold and lock them in proper place.
2. Rotate either of the vaporizer dial to 3% agent.
3. Verify that the other vaporizer dial cannot be rotated to a setting.
4. Set both vaporizer dials to 0.
5. Rotate the other vaporizer dial to 3%.
6. Verify that the first vaporizer dial cannot be rotated.
7. Rotate both vaporizer dials to T and remove both vaporizers.
8. Verify that the locking spring is intact.
9. Reconnect both vaporizers to the vaporizer mounting manifold.
4.8.2 Vaporizer Back Pressure Test

1. Connect the O2 pipeline supply or turn on the O2 cylinder valve.
2. Set the O2 flow to 6 L/min.
3. Ensure that the O2 flow stays constant.
4. Adjust the vaporizer concentration from 0 to 1%. Ensure that the O2 flow must not
decrease more than 1 L/min through the full range. Otherwise, repeat this step on
another vaporizer. If the problem persists, the anesthesia system malfunctions. Do not
use this system.
5. Test each vaporizer as per the steps above.
NOTE
 Do not perform this test on the vaporizer when the concentration control is
between "OFF" and the first graduation above "0" as the amount of anesthetic
drug outputted is very small within this range.
4.8.3 Vaporizer Accuracy Test

1. Set the APL valve to 70 cmH2O.
2. Set the Auto/Manual switch to the Manual position.
3. Connect one end of a breathing hose to the expiratory port. Connect the other end to the
bag arm.
4. Connect the sampling tee of the gas analyzer to the inspiratory port.
4-26
5. Use a breathing hose to connect the output end of the sampling tee to the scavenging
system.
6. Verify that the scavenging system is connected at the wall and the float is between MIN
and MAX.
7. Mount the vaporizers and fill with anesthetic agent (if necessary).
NOTE
 Do not fill past the indicator line on the vaporizer.
8. Turn on the equipment.

9. Test the vaporizer accuracy per the manufacturer's instructions.
10. Test each vaporizer in turn.
11. Test any vaporizer on the vaporizer storage mount.
12. Remove the measuring equipment.
13. Disconnect the waste gas scavenging system hose.
NOTE
 The deviation of the vaporizers due to change of barometric pressure (high
altitude) and the deviation of the Riken F-211 gas analyzer are the same. When the
vaporizers are tested using the Riken F-211 gas analyzer, the altitude can be
ignored as the deviations cancel each other out. If a different gas analyzer is used,
check the effect of change of barometric pressure before using in high elevations.
4-27
4.8.4 Vaporizer Leak Test
1. Set the Auto/Manual control switch to Manual.
2. Set ACGO to patient circuit. (If the machine is configured with ACGO function).
3. Set the APL valve to the SP position.
4. Connect the manual bag to the manual bag port.
5. Connect the Y-piece on the breathing circuit to the leak test port. And connect another
two ports to the expiratory port and inspiratory port respectively.
Note: When the AG module is configured, the sampling line of the module sample gas should
not be connected to the Y-piece sampling port and ensure that the Y-piece sampling port
is blocked.
6. Mount and lock the vaporizer onto the vaporizer mount. (Certain vaporizers need to be
set to at least 1% for correct testing. See the vaporizer manufacturer’s manual for
details.)
7. Set the fresh gas flow to 0.2 L/min.
8. Set the APL valve to 75cm H2O.
9. Push the O2 flush button until the airway pressure gauge value is about 30cmH2O
10. Release the flush button. Make sure there is no pressure decrease on the airway pressure
gauge.
4-28
11. Turn off the vaporizer.
12. Repeat Steps 6, 7, 8, 9,10 and 11 for the other vaporizer.
4.9 Other Functional Tests

4.9.1 Auxiliary Gas Supply Test
1. Connect the anesthesia machine to the O2 supply connector on the wall via O2 supply
hose. Or, open the O2 cylinder on the anesthesia machine. Adjust the O2 control knob
on the auxiliary gas supply assembly to verify that the flow can be adjusted from 0 to
15L/min. Disconnect O2 supply or close O2 cylinder.
2. Connect the anesthesia machine to the Air supply connector on the wall via Air supply
hose. Or, open the Air cylinder on the anesthesia machine. Adjust the Air control knob
on the auxiliary gas supply assembly to verify that the flow can be adjusted from 0 to
15L/min. Disconnect Air supply or close Air cylinder.
3. Press the unidirectional valve at the high pressure inlet with your finger when O2 supply
inlet is connected to O2 to confirm high pressure gas output.
4.9.2 O2 Flush Test

4.9.2.1 Auto State
1. Connect the O2 pipeline supply or open the O2 cylinder.
2. Set the Auto/Manual switch to the Auto position.
3. Let the anesthetic ventilator under standby or working state.
4. Occlude the patient connection port with test plug.
5. Set the ACGO to Off.
6. Let the bellows fully collapsed.
7. Press and hold O2 flush button . Measure the time for bellows to be fully inflated.
8. Repeat the above steps at least twice (opening the patient connection port can collapse
the bellows).
9. Check that the time for bellows to be fully inflated is 1 to 3 seconds.
4-29
4.9.2.2 Manual State
1. Connect the O2 pipeline supply or open the O2 cylinder.
3. Let the anesthetic ventilator under standby or working state.
4. Occlude the patient connection port with test plug.
5. Connect 3L or 1L bag to the bag arm port.
6. Set the ACGO to Off.
7. Let the bellows fully collapsed.
8. Adjust the APL valve to 75cmH2O.
9. Press and hold O2 flush button . Measure the time for bellows to be fully inflated.
10. Repeat the above steps at least twice (opening the patient connection port and squeezing
the bag can collapse the bellows).
11. Check that the time for bellows to be fully inflated is:
 For 3L bag: 3 to 6 seconds.
 For 1L bag: 1 to 3 seconds
4.9.3 ACGO Function Tests

4.9.3.1 Mechanical ACGO Function Test (Applicable to Equipment
Configured with Mechanical ACGO)
1. Set the fresh gas flow to 1 L/min, the mode to VCV, and Patient Size to Adult. Retain
default values for other parameters. Run the equipment for three to five cycles in normal
ventilation mode.
2. Turn the ACGO switch to the ACGO mode and verify that "VCV" in the display area in
system ventilation mode is replaced with "ACGO".
3. Block the inspiratory port of the patient circuit (for equipment configured with the
circuit ACGO) or the separate ACGO (for equipment configured with the separate
ACGO). The PAW waveform obviously fluctuates on the screen.
4. Turn the ACGO switch to the non-ACGO mode and verify that the system switches to
the VCV mode and the ventilation is normal.
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4.9.3.2 Electrically-Controlled ACGO Function Test (Applicable to
Equipment Configured with Electrically-Controlled ACGO)
1. Set the fresh gas flow to 1 L/min. In manual mode, click ACGO and set it to On. Verify
that "Manual" in the display area in system ventilation mode is replaced with "ACGO".
2. Block the separate ACGO (for equipment configured with the separate ACGO). The
pressure value in the PAW area obviously fluctuates on the main screen.
3. Click ACGO and set it to Off. Verify that the system switches back to the manual mode.
4.10 Breathing circuit Tests

4.10.1 O2 Concentration Test
NOTE
 When performing this test in the EFCS state, air must be set as the balance gas and
the direct flow control mode must be set. The system must be connected to O2 and
air supplies.
Set ventilator control parameters as follows:

Ventilator Control
Ventilator Setting
Parameter
Patient Size Adult
Ventilation Mode VCV
Vt 1000
Rate 10
I:E 1:2
Tp Off
PEEP 6
Adjust the O2 and air flow to 3 L/min. Wait for one minute till the O2 concentration is stable.
The concentration displayed on the screen is 60±3%. Verify that the concentration for
external standard equipment is 60±3% (optional).
Adjust the O2 and air flow to 300 L/min. Wait for three minutes till the O2 concentration is
stable. Observe the analyzer (optional) and find that the displayed O2 concentration is 60±3%.
Verify that FiO2 displayed on the screen is 60±3%.
Turn off all flow adjustment valves.
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4.10.2 APL Valve Test
1. Select the Discharge button in the Manual tab.
2. Follow the directions on the screen to discharge the patient and enter the standby mode.
4. Connect the manual bag to the bag arm port.
5. Connect the Y-piece on the breathing circuit to the leak test port.
6. Turn the APL valve control knob to 30 cmH2O.
7. Push the O2 flush button to inflate the manual bag.
8. Ensure that the value displayed on the PAW gauge ranges from 25 to 35 cmH2O.
9. Turn the APL valve control knob to SP (minimum) position.
10. Set the O2 flow to 3 L/min. Turn any other gases off.
11. Ensure that the value displayed on the PAW gauge is smaller than 5 cmH2O.
12. Push the O2 flush button continuously. Ensure that the value displayed on the PAW
gauge does not exceed 10 cmH2O.
13. Turn the O2 flow control knob to the minimum flow position. Ensure that the value
displayed on the PAW gauge does not decrease below 0 cmH2O.
4.10.3 Sample Gas Return Test

4.10.3.1 Checking the Sample Gas Exhaust Port
Press the leaf spring above the snap hook on the sample gas exhaust port and verify that the
snap hook supports self locking. In this state, the quick connector can be normally connected
(0632/supporting sample gas return).
4.10.3.2 Leak Test in Sample Gas Return Mode

Connect a quick connector (0632/supporting sample gas return) to the sample gas return port
at the rear end of the trolley on condition that the rear-end rubber hose is blocked. Set the
system to perform an automatic leak test. Follow directions on the screen for the test and
verify that the leak test is passed.
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4.10.3.3 Tidal Volume Test in Sample Gas Return Mode
When the module rack is installed with a module and the module has been warmed up,
connect the water bath to the rubber hose of the quick connector (0632/supporting sample gas
return) (PN: 115-015457-00) and connect the quick connector to the sample gas return port.
Set the O2 flow to about 1 L/min and set system parameters as follows:
VCV Adult Test 2 Setting
Vt 500
Rate 8
Tp 30
I:E 1:2
PEEP 5
After 10-waveform running in ventilation mode, ensure that the displayed Vt value is 455–
545 mL.
4.11 AGSS Inspection

1. Connect the vacuum hose to the EVAC port or vacuum port of the healthcare facility
and turn on the waste gas disposal system. Adjust the position of the float to be between
the MIN and MAX lines by turning its flow adjustment knob (counter-clockwise to
increase the flow, clockwise to decrease the flow).
2. Check if the float can rise and exceed the MIN line. If any blockage, tackiness, or
damage occurs to the float, disassemble the float, clean the filter, and assemble the float
again or replace the float.
3. Drain any moisture from the waste gas hose. Reconnect the waste gas hose to the AGSS
waste gas port.
NOTE
 Do not block the AGSS pressure compensation openings during the inspection.
4. If the float cannot rise, the possible reasons are as follows:

5. The float surface is tacky. Turn over the AGSS and check if the float moves up and
down freely.
6. The float is rising slowly. The filter may be blocked. Check if the filter is blocked.
7. The waste gas disposal system is not working or the pump rate is less than the minimum
flow value defined in the AGSS specification (that is, 50 L/min). Check the waste gas
disposal system.
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4.12 Vacuum Suction Test
4.12.1 Pipeline Vacuum Suction Test
1. Check that the suction tubes between the overfill protection cup, filter, and liquid
collection bottle are correctly connected.
2. Connect the external vacuum source and the anesthesia machine vacuum gas supply
inlet assembly via vacuum gas supply hose.
3. Fold the patient connection of the suction tube. Set the vacuum regulator to FULL and
check if the vacuum gauge displays the maximum negative pressure value.
4. Set the vacuum regulator to OFF and check if the pointer on the vacuum gauge returns
to zero position gradually.
5. Set the vacuum regulator to REG and turn the vacuum adjusting knob slowly. When
turning clockwise, the pressure value displayed on the vacuum gauge decreases
gradually until returning to zero position. When turning counterclockwise, the pressure
value displayed on the vacuum gauge increases gradually until reaching the maximum
value.
6. Set the vacuum regulator to OFF again. Loosen the folded suction tube.
7. Disconnect the vacuum gas supply hose.
If there is no reading on the vacuum gauge, the possible reasons are:

1. The external vacuum source has no vacuum output.
2. The vacuum suction tubes inside the anesthesia machine are not correctly connected.
3. The suction tubes are not correctly connected.
4. The overfill protection cup, filter, and liquid collection bottle are not correctly installed.
4.12.2 Venturi Vacuum Suction Test

1. Check that the suction tubes between the overfill protection cup, filter, and liquid
collection bottle are correctly connected.
2. Connect the external air source and the anesthesia machine air supply inlet assembly via
air supply hose.
3. Fold the patient connection of the suction tube. Set the vacuum regulator to FULL and
check if the vacuum gauge displays the maximum negative pressure value.
4. Set the vacuum regulator to OFF and check if the pointer on the vacuum gauge returns
to zero position gradually.
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5. Set the vacuum regulator to REG and turn the vacuum adjusting knob slowly. When
turning clockwise, the pressure value displayed on the vacuum gauge decreases
gradually until returning to zero position. When turning counterclockwise, the pressure
value displayed on the vacuum gauge increases gradually until reaching the maximum
value.
6. Set the vacuum regulator to OFF again. Loosen the folded suction tube.
7. Disconnect the air supply hose.
NOTE
 Do not occlude the exhaust port of the muffler when checking.
If there is no reading on the vacuum gauge, the possible reasons are:

1. The external air source has no air output or the pressure is less than 280kPa.
2. The vacuum suction tubes inside the anesthesia machine are not correctly connected.
3. The Venturi generator inside the anesthesia machine is occluded or failed.
4. The suction tubes are not correctly connected.
5. The overfill protection cup, filter, and liquid collection bottle are not correctly installed.
4.13 Alarm Test

4.13.1 Power Failure Alarm Test
1. Set the system switch to the On position.
2. Disconnect the AC mains.
3. Ensure that the AC power indicator and battery charge indicator are extinguished. An
audible alarm should sound and the prompt message "Battery in Use" should be
displayed on the main screen.
4. Reconnect the AC mains.
5. Ensure that an audible alarm should sound and the AC power indicator and battery
charge indicator are on. The prompt message "Battery in Use" should not be displayed
on the main screen.
6. Set the system switch to the Off position.
4.13.2 Breathing Circuit Not Installed Alarm Test

Remove the patient circuit. An alarm "Breathing System Not Mounted" should occur.
Reconnect the patient circuit. The alarm disappears.
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4.13.3 Absorber Canister Alarm Test
Open the handle of the absorber canister (the L-type arm handle is vertically downward). A
medium-priority alarm "CO2 Absorber Canister Not Locked" should occur. Close the handle
of the absorbent canister (the L-type alarm handle is horizontally towards the right). Verify
that the alarm disappears.
4.13.4 O2 Supply Failure and Drive Gas Pressure Low Alarm
Test
Initially adjust the input pressure of the gas source to be not lower than 300 Kpa. Set the
system to enter the manual mode.
4.13.4.1 O2 Supply Failure Alarm Test

Under the BFCS state, adjust the O2 needle valve to ensure that the reading on the total
flowmeter is about 10 L/min.
Disconnect the O2 supply. When the pressure drops until the alarm "O2 Supply Failure"
occurs on the anesthesia machine, check that the input pressure is 220 KPa±34 KPa.
Re-connect the O2 supply. Make sure that when the "O2 Supply Failure" alarm disappears,
the input pressure is 220 KPa±34 KPa.
4.13.4.2 Balance Gas Supply Failure Alarm Test (Only available for BFCS
with N2O needle)
Adjust the O2 needle valve to ensure that the reading on the total flowmeter is 3 L/min and
counter-clockwise adjust the N2O needle valve to maximum. Set the balance gas to N2O and
adjust the input pressure of the N2O supply. As the alarm "N2O Supply Failure" occurs on
the anesthesia machine, the input pressure is 220 KPa±34 KPa.Gradually increase the input
pressure of the N2O supply. When the alarm "N2O Supply Failure" disappears, the input
pressure is 220 KPa±34 KPa.
Clockwise turn off the O2 and N2O needle valves and counter-clockwise adjust the air needle
valve to maximum.Set the balance gas to air and adjust the input pressure of the air supply.
As the alarm "Air Supply Failure" occurs on the anesthesia machine, the input pressure is 220
KPa±34 KPa.Gradually increase the input pressure of the air supply. When the alarm "Air
Supply Failure" disappears, the input pressure is 220 KPa±34 KPa.
4.13.4.3 Drive Gas Pressure Low Alarm Test

Disconnect the pipeline supply of the drive gas. Make sure that the alarm “Drive Gas
Pressure Low” occurs after a period of time. Restore drive gas supply. Make sure that the
alarm “Drive Gas Pressure Low” disappears.
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4.13.5 Ventilator-Related Alarm Tests
4.13.5.1 Set Up
1. Ensure that the gas pressure for O2, N2O, and air is within the specified range.
2. Power on the anesthesia system.
3. Perform the startup tests as per the directions on the screen. Ensure successful
completion.
4. Attach a breathing circuit and breathing bag.
NOTE
 For testing purposes always use a reusable breathing circuit.
5. Attach an adult test lung to the Y-piece of the breathing circuit.

6. Set the O2 flow to 2 L/min and disable the N2O and air flow rates.
7. Set breathing parameters.
Parameter Setting
Patient Size Adult
Vt 600
Rate 8
I:E 1:2
Tpause 10
PEEP Off
Plimit 50
8. Press the Set Mode button to begin ventilation.
4.13.5.2 FiO2 Too Low Alarm Test

1. Set the FiO2 low alarm limit to 50%.
2. Set the air flow control valve to 5 L/min.
3. Disable the O2 flow.
4. Verify that the following FiO2 low alarm signals activate within three ventilation cycles:
5. The FiO2 Too Low message appears on the screen.
6. An alarm tone sounds.
7. Set the FiO2 low alarm limit to 18%.
8. Verify that the alarm signals cease.
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4.13.5.3 FiO2 Too High Alarm Test
1. Set the FiO2 high alarm limit to 50%.
2. Set the O2 flow control valve to 5 L/min.
3. Disable the air flow.
4. Verify that the following FiO2 high alarm signals activate:
5. The FiO2 Too High message appears on the screen.
6. An alarm tone sounds.
7. Set the FiO2 high alarm limit to the maximum value.
4.13.5.4 Peak Pressure Alarms Test

1. Set the peak low alarm to the lowest setting.
2. Adjust the peak high alarm limit set point to a value about 5 to 8 cmH2O lower than the
peak pressure displayed on the screen.
3. Verify that the following (high) peak pressure alarms activate:
a. The Paw Too High message appears on the screen.
b. An alarm tone sounds.
c. Inspiration ends and expiration begins as the pressure meets the high alarm limit.
4. Set the PAW high alarm limit set point to 65 (cmH2O).
6. Set the PAW low alarm limit set point to 50 (cmH2O).
7. Verify that the following (low) peak pressure alarms activate:
a. The Paw Too Low message appears on the screen.
b. An alarm tone sounds.
8. Set the PAW low alarm limit to 12 (cmH2O).
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4.13.5.5 Minute Ventilation Alarm Test
1. Set the MV low alarm limit set point to the highest value.
2. Verify that the following alarms activate
 The MV Too Low message appears on the screen.
 An alarm tone sounds.
3. Set the MV low alarm limit to the minimum value.
5. Set the MV high alarm limit set point to the lowest value.
6. Verify that the following alarms activate
 The MV Too High message appears on the screen.
 An alarm tone sounds.
7. Set the MV high alarm limit set point to the highest value.
4.13.5.6 Apnea Alarm Test

2. Set the ventilation switch to the manual position.
3. Turn the APL valve control knob to set the APL valve to 10 cmH2O.
4. Inflate the manual bag using the O2 flush button and squeeze the manual bag to ensure
that a complete breathing cycle occurs on the screen.
5. Stop inflating the manual bag and wait for more than 30 seconds to ensure that an apnea
alarm occurs.
6. Inflate and squeeze the manual bag to ensure that the apnea alarm disappears.
4.13.5.7 Sustained Airway Pressure Alarm Test

2. Turn the O2 flow control knob clockwise to set the O2 flow to minimum.
3. Turn the APL valve control knob to set the APL valve to 30 cmH2O.
4. Set the ventilation switch to the manual position.
5. Push the O2 flush button for approximately 15 seconds. Ensure that an alarm occurs,
indicating that the sustained airway pressure is too high.
6. Disconnect the breathing circuit and ensure that the alarm disappears.
7. Reconnect the breathing circuit.
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4.14 System Ventilation Performance Tests
4.14.1 Manual Mode Ventilation Test
1. Set the mechanical Auto/Manual switch to the Manual position. Press the screen to
switch the system to the manual mode.
2. Set the APL valve to 25 cmH2O. Push the O2 Flush button to fill the breathing bag.
3. Set the air flow to 1 L/min using the flow control valve.
4. Squeeze the breathing bag once every 3 seconds.
5. Verify the inflation and deflation of the test lung.
6. Verify that a PAW waveform and all numeric values appear on the screen during bag
compressions.
7. Stop squeezing the breathing bag and set the APL valve to the open position (SP).
4.14.2 VCV Adult Ventilation Mode Test

NOTE

3. Attach a ventilation tester between the expiratory port and the breathing hose.
5. Set the Auto/Manual switch to the Auto position.
Parameter Setting
Patient Size Adult
Vt 600
Rate 8
I:E 1:2
Tpause 10
PEEP Off
Plimit 50
4-40
8. Verify that the pressure waveform, respiratory capacity, mean or plateau pressure,
respiratory rate, and minute ventilation appear on the screen.
9. Verify that the tidal volume displayed on the ventilation tester is within 7% (±42 mL) of
the set value within approximately the first 1 minute after ventilation starts.
10. Verify that the tidal volume displayed on the anesthesia machine is within 9% (±45 mL)
of the set value within approximately the first 1 minute after ventilation starts.
11. Verify that the measured O2 concentration is at least 97% after 5 minutes
12. Set the air flow to 3 L/min and disable the N2O and O2 flow rates.
13. Verify that the measured O2 concentration is 21% ±3% (volume fraction) after 5
minutes.
4.14.3 VCV Child Ventilation Mode Test

NOTE
NOTE
 Limit the volume in the test lung to provide sufficient airway pressure to satisfy the
Low Peak Pressure alarm. Or set the peak pressure alarm limit to a smaller value
to prevent the alarm when an adult test lung is used.
4. Set the O2 flow to 2 L/min and set the N2O and air flow rates to the minimum value.
Parameter Setting
Patient Size Child
Vt 120
Rate 15
I:E 1:2
Tpause 10
PEEP Off
Plimit 40
7. Verify that the pressure waveform, respiratory capacity, mean or plateau pressure,
respiratory rate, and minute ventilation appear on the screen.
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8. Verify that the displayed tidal volume is within 18 mL of the set value within
approximately the first 1 minute after ventilation starts.
9. Verify that the tidal volume, measured by a ventilation tester at the expiratory port, is
within 15 mL of the set value within approximately the first 1 minute after ventilation
starts.
4.14.4 PCV Adult Ventilation Mode Test

NOTE

Parameter Setting
Patient Size Adult
Ventilation Mode PCV
VtG Off
Pinsp 15
Rate 8
I:E 1:2
PEEP Off
Tslope 0.2
PlimVG NA
7. Verify that the peak value read on the display is within the set Pinsp ±2 cmH2O.
8. Verify that the pressure waveform, respiratory capacity, respiratory rate, and minute
ventilation appear on the screen.
9. Verify that the peak value measured by the ventilation tester reaches 15 ±2.5 cmH2O
within the beginning five breaths after ventilation starts.
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4.14.5 PS Ventilation Mode Test
NOTE

Parameter Setting
Patient Size Adult
Ventilation Mode PS
Min Rate 4
ΔP 20
Trigger 3
PEEP Off
Tslope 0.2

7. Trigger breaths by slightly squeezing the test lung and releasing. Maintain a continuous
breath rate.
8. Verify that a pressure waveform and all ventilation parameters appear on the screen.
9. Verify that the peak pressure read on the display is within ΔP + PEEP ±2.
10. Stop triggering breaths.
11. Verify that the ventilator delivers a breath and displays the "Apnea Ventilation" message
15 seconds later.
12. Verify that the system is ventilating at a frequency of 4 bpm.
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4.15 Checking the Sensor Zero Point
To check the sensor zero point, perform the following operations:
1. Turn off all fresh gases and position the Y piece in the patient circuit to the air.
2. Make sure that the system is standby.
3. Select [Main]> [Service]> [Data Monitors]> [Component]> [Zero Sensor] to access
the following menu.
1. The second column is the zero point of the current sensor and the third column is the
zero point in case of factory calibration.
DSP plateau zero point range:
The following table lists the normal range of the zero point of A7 pressure and flow sensors.
Sensor Normal Range of Zero Point (AD

Counts)
PAW sensor 7432~16206
PEEP pressure sensor 7432~16206
Inspiratory flow sensor 554~26457
Expiratory flow sensor 554~26457
Internal flow sensor 554~26457
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The zero point A/D value of the PAW sensor and PEEP pressure sensor should fall within the
normal range of 7432 to 16206.
The zero point A/D value of the inspiratory flow sensor and expiratory flow sensor should
fall within the normal range of 554 to 26457.
If there is a great deviation between the current zero point and the factory calibration zero
point, it indicates that the sensor is aging but it does not mean that normal measurement
cannot be performed.
If the current zero point exceeds the specified normal range, normal measurement is affected
and you need to calibrate the zero point again. If the zero point of the flow sensor is not
within 554 to 26457, or the zero point of the pressure sensor is not within 7432 to 16206,
replace the VCM. For the internal flow sensor, replace the flow sensor interface board.
EPSON Plateau Zero Point Range
The following table lists the normal range of the zero point of A7 pressure and flow sensors.
Sensor Normal Range of Zero Point (AD
Counts)
PAW sensor 200~800
PEEP pressure sensor 200~800
Inspiratory flow sensor 50~1800
Expiratory flow sensor 50~1800
Internal flow sensor 100~400
The zero point A/D value of the PAW sensor and PEEP pressure sensor should fall within the
normal range of 200 to 800.
The zero point A/D value of the inspiratory flow sensor and expiratory flow sensor should
fall within the normal range of 50 to 1800.
The zero point A/D value of the internal flow sensor should fall within the normal range of
100 to 400.
If there is a great deviation between the current zero point and the factory calibration zero
point, it indicates that the sensor is aging but it does not mean that normal measurement
cannot be performed.
If the current zero point exceeds the specified normal range, normal measurement is affected
and you need to calibrate the zero point again. If the zero point of the flow sensor is not
within 0 to 2000, or the zero point of the pressure sensor is not within 0 to 1200, replace the
VCM. For the internal flow sensor, replace the flow sensor interface board.
4-45
NOTE
 If the zero point of the pressure sensor is inaccurate in case of ventilation, the
baseline of the PAW waveform is not at the zero point and a great deviation exists
between pressure control and measurement.
 If the zero point of the inspiratory/expiratory sensor is inaccurate in case of
ventilation, the baseline of the PAW waveform is not at the zero point and a great
deviation exists between TV control and measurement.
 If the zero point A/D value of any sensor runs out of the normal range, it cannot be
corrected. Instead, the monitoring signal test board must be replaced.
 The software version before bundled version number 02.09.00 is EPSON plateau
and the later versions (bundled version 02.09.00 included)belong to DSP plateau.
4.16 Constant Flow Test (Checking the Flow Sensor

Accuracy)
NOTE
 If a great deviation occurs on the measured Vt value, perform a constant flow test
and test the measurement accuracy of flow sensors so as to determine whether
another flow calibration is necessary or replace the monitoring signal test board.
 You can use any flowmeter with an accuracy of at least ±2% for the accuracy
measurement of the flow sensors.
To check the measurement accuracy of flow sensors, perform the following operations:
1. Remove the bellows and water collection cup.
2. The pneumatic connections between the anesthesia machine and calibration device are
as shown in the following picture. You can connect the tube to a high-flow connector or
low-flow connector based on the requirements.
Calibration Device (VT Plus)
4-46
3. Set the calibration device as described below.
a. Flow Settings: Press the Flow button on the front calibration control panel. You
can set Range to High Flow or Low Flow as required.
b. Gas Settings: Press the Setup button, select Setting->ENTER->Gas Settings-

>MODIFY->Gas Type->O2.
4-47
c. Select BACK->BACK-> BACK.
4. When the system is standby, select Main -> Service-> Diagnostic Tests->Valves to
access the following menu.
4-48
5. Set Safety Valve to On.
6. Set PEEP Valve Pressure to 30 cmH2O.
7. Set Insp Valve Flow to the following values: (3±0.5)L/min, (10±1)L/min, (20±1)L/min,
(30±2)L/min, (60±3)L/min
Make sure that the deviation between the measured data of the inspiratory flow sensor,
expiratory flow sensor and ventilator flow sensor and that of the anesthesia machine
calibration device must not exceed 1 L/min or 5% of the measured value of the calibration
device, whichever is greater. Otherwise, perform flow calibration again.
Reinstall the bellows and the water collection cup. When testing the flow accuracy of (60±
3)L/min, only compare the accuracy of the inspiratory flow sensor and expiratory flow sensor.
It is no need to compare the ventilator flow sensor.
4.17 Constant Pressure Test (Checking the Pressure

Sensor Accuracy)
NOTE
 Generally, measurement deviations seldom occur to pressure sensors. However, in
case that the monitoring signal test board, solenoid valve assembly, or expiratory
valve assembly needs to be replaced, you must perform pressure calibration and
check the pressure sensor accuracy so as to confirm the effectiveness of calibration.
 You can use any flowmeter with an accuracy of at least ±2% for the accuracy
measurement of the pressure sensors.
To check the measurement accuracy of pressure sensors, perform the following operations:
1. Complete pneumatic connections as follows:
The following picture shows a four-way device.
4-49
a. Remove the top cover (3 captive screws).
b. Remove the two tubes marked as #72 and #9 from the pressure sensors (refer to a
figure below).
c. Connect the four-way tube to the pressure sensor P1 of the monitoring signal test
board, PEEP pressure sensor P2, the tube marked as #72, and the low pressure port of
Fluke VT-Plus. The tube marked as #9 will remain unconnected for this calibration.
BT Plus low
pressure +
Calibration Device (VT Plus)

2. Set the calibration device as described below.
To set the VT-Plus, perform the following operations:
a. Pressure Settings: Press the PRESSURE button on the front calibration control
panel. Select Range and then set it to Low Press.
4-50
4-51
b. Gas Settings: Press the Setup button, select Setting->ENTER->Gas Settings-
>MODIFY->Gas Type->O2.
c. Select BACK->BACK-> BACK.
4-52
3. When the system is standby, select Main-> Service-> Diagnostic Tests->Valves to
access the following menu.
4. Set Safety Valve to On.

5. Set PEEP Valve Pressure to the following values:
(5±1)cmH2O, (20±1)cmH2O, (50±1)cmH2O, (70±2)cmH2O, (90±2)cmH2O
6. Make sure that the deviation between the measured data of the PAW sensor, PEEP
pressure sensor and that of the anesthesia machine calibration device must not exceed 1
cmH2O or 2% of the measured value of the calibration device, whichever is greater.
Otherwise, perform pressure calibration again.
4-53
4.18 Total Flow Sensor Self Test
NOTE
 Perform this test after sensor calibration if the total flow sensor is replaced.
1. Turn on the O2 and N2O supplies, and ensure that O2 and N2O are within the normal
input pressure range.
2. If the system has been powered on and N2O has been adjusted, power off and then on
the system to ensure that the system is in the initial startup state.
3. Set the system to enter the EFCS mode and set the balance gas to N2O.
4. Adjust the N2O flow to a value (for example, 2 L/min) and retain this value for more
than 2 seconds. The N2O flow must not be set to zero in this period.
5. A message "Total Flow Sensor Self Test in Progress" is displayed on the main screen.
After the self test is successfully completed, the message disappears and the N2O flow
reaches the set value stably.
6. If the self test failed, the BFCS is displayed and an alarm "Electronic Flow Control
Error" is reported.
4.19 Electric Tests
WARNING
 Perform electrical safety inspection after servicing or routine maintenance. Before
the electrical safety inspection, make sure all the covers, panels, and screws are
correctly installed.
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4.19.1 Auxiliary Power Receptacle Test
AC voltage always exists on all auxiliary output receptacles, regardless of whether the
anesthesia system is enabled or disabled. Use a multimeter to test the voltage and grounding
performance of auxiliary output receptacles.
4.19.2 Work Light and Auxiliary Gas Supply Backlight Test

1. Turn on the top-mounted lamps on the bottom side of the top plate.
2. Verify that both lamps are turned on.
3. Verify that the work light works at the low brightness level when the switch is set to I,
works at the high brightness level when the switch is set to II, and is turned off when the
switch is set to O.
4. Verify that the auxiliary gas supply backlight can be lit on when the switch is set to I
and II.
4.19.3 Electric Safety Inspection Test
CAUTION
 The electrical safety inspection should be performed once a year.
1. Perform protective earth resistance test:

a. Plug the probes of the analyzer into the protective earth terminal and equipotential
terminal of the AC power cord.
b. Test the earth resistance with a current of 25 A.
c. Verify the resistance is less than 0.1ohms (100 mohms).
d. Plug the probes of the analyzer into the protective earth terminal of the AC power
cord and the protective earth terminal of any auxiliary outlet. Repeat steps b and c.
e. If the resistance is larger than 0.1ohms (100 mohms) but less than 0.2ohms (200
mohms), disconnect the AC power cord and plug the probe that is previously plugged in
the protective earth terminal of the AC power cord into the protective earth contact of
the power outlet. Repeat steps a to d.
2. Perform the following earth leakage current tests:
 normal polarity;
 reverse polarity;
 normal polarity with open neutral; and
 reverse polarity with open neutral.
4-55
3. Verify the maximum leakage current does not exceed 500 μA (0.5 mA) in the first two
tests. While for the last two tests, verify that the maximum leakage current does not
exceed 1000 μA (1 mA).
4. If configure BIS module, perform the following patient leakage current tests:
 normal polarity with open neutral;
 normal polarity with open earth;
 reverse polarity with open earth;
 normal polarity with mains on AP; and
 reverse polarity with mains on AP.
tests. For the next four tests, verify that the maximum leakage current does not exceed
500 μA (0.5 mA). And for the last two tests, verify that the maximum leakage current
does not exceed 5000 μA (5 mA).
6. If configure BIS module, perform the following patient leakage current tests between
each electrode to the others by turns:
 normal polarity with open neutral;
 normal polarity with open earth;
 reverse polarity with open earth.
tests. While for the last two tests, verify that the maximum leakage current does not
exceed 500 μA (0.5 mA).
NOTE
 Make sure the safety analyzer is authorized by certificate organizations (UL, CSA,
or AAMI etc.). Follow the instructions of the analyzer manufacturer.
4-56
4.19.4 Electrical Safety Inspection Form
Location: Technician:
Equipment: Control Number:
Manufacturer: Model: SN:
Measurement equipment /SN: Date of Calibration:
Pass/F
INSPECTION AND TESTING Limit
ail
1 Auxiliary mains socket outlets
2 Protective Earth Resistance Ω Max 0.1 Ω
Normal
____μA
condition(NC)
Max:
Earth
3 NC: 500μA
Leakage
SFC: 1000μA
Single Fault
____μA
condition(SFC)
Normal
____μA
condition(NC)
Patient Max:
4 Leakage NC:100μA, SFC:
Current 500μA
Single Fault
____μA
condition(SFC)
Max:
5 Mains on Applied Part Leakage ____μA
5000μA
Normal condition(NC) ____μA

Patient Max:
6 Auxiliary NC:100μA, SFC:
Current 500μA
Single Fault
____μA
condition(SFC)
4-57
For periodically performance, all the test items included in the ELECTRICAL SAFETY
INSPECTION FORM shall be performed. The following table specifies test items to be
performed after the equipment is repaired with main unit disassembled.
When neither power supply PCBA, Test items: 1, 2
transformer nor patient electrically-
connected PCBA is repaired or replaced
When power supply PCBA or transformer Test items: 1, 2, 3
is repaired or replaced
When patient electrically-connected PCBA Test items: 1, 2, 4, 5, 6
is repaired or replaced
When both power supply Test items: 1, 2, 3, 4, 5, 6
PCBA, transformer and patient electrically-
connected PCBA are repaired or replaced
.
4-58
5 Factory Maintenance Menu
5.1 Calibration
The calibration screen includes [Flow Sensors], [Pressure sensors], [Zero Sensors], [O2
Sensor], and [Total Flow Sensor] calibration buttons. When the machine is configured with
an AG module that has the paramagnetic oxygen module, the machine uses the paramagnetic
oxygen module rather than the O2 sensor to monitor the oxygen concentration. In this case,
the [O2 Sensor] calibration button is invisible; otherwise, the [O2 Sensor] calibration button
is visible.
Please refer to the following screens:
The [Flow Sensors], [Pressure Sensors], [O2 Sensor], and [Total Flow Sensor] buttons are
available only in standby mode. The [Zero Sensors] button is always available.
During the calibration or zero calibration process, when you close the calibration or zero
menu, the relevant calibration or zero calibration process stops.
During the calibration or zero calibration process, click the [Accept] button in the [Main]
menu. The system returns to the main screen, and the relevant calibration or zero calibration
process stops.
5-1
5.2 Data Monitors
Data Monitors provide A/D channel data monitors of VCM, VPM, Mainboard, Power System,
data monitors of Calibration Sensor, Zero Sensor, Trends, Status Monitor, and flow control
system (FCS).
5-2
The VCM screen can monitor the measured values of flow sensors sand pressure sensors in
real time, the power supply voltage and opening of valves, the power supply voltage of the
ventilator, fresh gas flow etc.
The following figure shows the screen display of VCM A/D channel data:
When the actual value in the table is displayed in red, this value exceeds the reference range
provided in the table. Further testing is required for confirmation. The fact that the pressure
remains 0 in the whole airway is normal because the fluctuation of AD sampling value will
lead to a very small negative value displayed in red in the pressure monitoring data and it is
unnecessary to deal with this situation.
5-3
The VPM screen can monitor the measured values of pressure sensors in real time.
The following figure shows the screen display of VPM A/D channel data:
provided in the table. Further testing is required for confirmation.
5-4
The Mainboard screen can monitor the fan speed of hardware box and module rack.
The following figure shows the screen display of mainboard A/D channel data:
1) [Fan Speed] monitors the fan speed of the hardware box.

2) [Fan Speed 2] monitors the fan speed of the module rack.
NOTE
 [Fan Speed 2] is displayed only when module rack is configured and [Module Rack]
configuration is opened. To check the status of [Module Rack], select
[Main]→[System]→[Configuration Info] on the main screen. To change the
configuration, refer to 5.9 Factory Setup.
5-5
The Power System screen displays the battery voltage and power supply voltage collected by
the power system in real time, and the voltage and temperature of the heating module.
The following figure shows the screen display of power system A/D channel data:
5-6
The Calibration Sensor screen can be accessed to check the calibration table data of valve,
sensor, and O2 concentration. The sensors include pressure sensor, ventilator flow sensor, and
EFCS flow sensor.
The following figure shows the screen display of the calibration data of each sensor:
5-7
The Zero Sensor screen can be accessed to check the zero point the sensor currently uses and
the zero point the zeroing table saves.
The following figure shows the screen display of the zero data of each sensor:
5-8
The Trends screen can be accessed to check the changing trend of such monitoring
parameters as pressure, tidal volume, resistance, and compliance within a period of time.
The following figure shows the screen display of trends:
5-9
The Status Monitor screen can be accessed to check all status information, including gas
supply, three-way valve, Auto/Manual switch, EFCS position switch etc.
The following figure shows the screen display of Boolean value:
The FCS screen can monitor the information related to all parts of the EFCS, including three-
way valve, solenoid actuator, stepper motor, CPU power supply, power supply and current of
proportional valve, flow of Air/O2/N2O limb.
5-10
The following figure shows the screen display of FCS.
Diagnostic Tests
The diagnostic function is available only in standby mode.
The diagnostic function includes valves test, inspiratory valve test, PEEP valve test, and
safety valve test.
During the test, when you click the [Done] button in the [Diagnostic Tests] menu, the system
returns to the [Service] menu, and the relevant test stops.
5.3 Diagnostic Tests

Diagnositc functions include the valve test, inspiration valve test, PEEP valve test, and the
safety valve test.
5-11
5.3.1 Valves Test
The valve test menu includes the safety valve setting, inspiratory valve flow setting,
inspiratory valve D/A setting, PEEP valve pressure setting, and PEEP valve D/A setting. For
details, see the following figure:
After setting relevant items, check the A/D value and actual value in the valve test table on
the right to judge whether the test item is accurately controlled. The A/D value is significant
for zero verification. When no air flows through the sensor (for example, obstruct the air
source, stop the fresh air flow, or enter standby mode), the displayed A/D value is the present
zero value. When there is no offset at zero, the actual value shall be 0.
However, if offset occurs to the sensor zero point, the actual value displayed is not always 0.
In this case, zero calibration is required to adjust the measured value to 0. For the internal
flow sensor, the range of AD value corresponding to normal zero point is 100-400. For the
inspiratory flow sensor and expiratory flow sensor, the range of AD value corresponding to
normal zero point is 50-1800. For the airway pressure sensor and PEEP pressure sensor, the
range of AD value corresponding to normal zero point o is 200-800.
5-12
5.3.2 Insp. Valve Test
An inspiratory valve test is conducted by checking whether the power supply voltage and
drive and feedback voltage of the inspiratory valve are within the normal range. For details
about the inspiratory valve test menu, see the following figure:
1. Click the [Start] button to start an inspiratory valve test. During the test, you can click
[Cancel] to cancel the test.
5-13
2. When you click [Cancel], a screen as shown in the following figure is displayed. You
can click [Retry] to test again.
3. If the inspiratory valve test fails, a screen as shown in the following figure is displayed.
You can click [Retry] to test again.
4. When the inspiratory valve test is successful, a screen as shown in the following figure
is displayed.
5-14
5.3.3 PEEP Valve Test
A PEEP valve test is conducted by checking whether the power supply voltage and drive and
feedback voltage of the PEEP valve are within the normal range. For the PEEP valve test
screen, refer to the inspiratory valve test.
5.3.4 Safety Valve Test

The safety valve test process is as follows: In the condition where drive gas is available, after
opening and then closing the safety valve, read the status of the gas drive pressure switch to
determine the actual status of the safety valve. If the status of the drive gas pressure switch
detects no pressure after you open the safety valve, or if the status of the drive gas pressure
switch detects pressure after you close the safety valve, the safety valve test fails. For the
safety valve test screen, refer to the inspiratory valve test.
5.4 FCS Tests

The FCS Tests function is available only in standby mode.
FCS Tests include Manual Test, Auto Test, BFCS Test and Solenoid Actuator Test.
During the test, when you click the [Done] button in the [FCS Tests] menu, the system
returns to the [Service] menu and the relevant test stops.
5-15
5.4.1 Manual Test
The Manual Test menu includes CPU controlled three-way valve setup, FPGA controlled
three-way valve setup, and proportional valve D/A setup of O2/N2O/Air limbs. For details,
see the following figure.
Manual test can control the status of three-way valve via the CPU and FPGA. When both
CPU and FPGA controlled three-way valves are in power-on status (H), the three-way valves
are switched to EFCS status. When either of CPU and FPGA controlled three-way valves is
in power-off status (L), the three-way valve is switched to BFCS status.
To set the valve opening D/A of proportional valve of O2/N2O/Air limb, you can check the
actual values in the Manual Test table on the right side to judge if the test item is controlled
accurately. You can test if zero drift occurs to the flow sensors of O2/N2O/Air limbs via this
screen. Set all the proportional valve D/A of O2/N2O/Air limbs to “0” and the actual values
displayed in the table on the right side are the zero point values of each sensor. When there is
no zero drift, the actual value should be zero.
However, if zero drift occurs to the sensor, the displayed actual value may not be “0”. In this
case, you need to change the measured value to zero via “Zero Flowmeter”.
5-16
5.4.2 Auto Test
The Auto Test menu includes Prop Valves Test and Prop Valves Test Data. Prop Valves Test
includes O2 Prop Valve Test, N2O Prop Valve Test, and Air Prop Valve Test. For details, see
the following figure.
5-17
To perform the O2 Prop Valve Test,
1. Click the [Start] button to start O2 Prop Valve Test. During the test, you can click
[Cancel] to cancel the test.
2. When you click [Cancel], a screen as shown in the following figure is displayed. You
can click [Retry] to test again.
5-18
3. When the O2 Prop Valve Test is successful, a screen as shown in the following figure is
displayed.
For the test steps of N2O Prop Valve, refer to the above descriptions of O2 Prop Valve Test.
For the test steps of Air Prop Valve, refer to the above descriptions of O2 Prop Valve Test.
The Auto Test function can test the proportional valves of Air/O2/N2O limbs respectively.
The EFCS software controls valve opening DA from 0 to 4095 with step of 100. There are 42
points in total and flow values of the corresponding 42 points are recorded.
You can query the proportional valve test data tables of Air/O2/N2O limbs on the Prop Valves
Test Data screen.
5-19
5.4.3 BFCS Test
The BFCS test screen can control the deployment and retraction of BFCS and monitor the
status of the four position switches of BFCS in real time. This screen can also control
backlight on/off.
The BFCS test screen is as shown below.
5-20
5.4.4 Solenoid Actuator Test
The Solenoid Actuator test screen can start solenoid actuator auto test and test solenoid
actuator on/off. This screen can also monitor the AD values and voltage values during
solenoid actuator on/off at the end of the test.
The Solenoid Actuator test screen is as shown below.
5-21
5.5 Review Logs
Review logs include fault logs, maintenance logs, operation logs, and alarm logs. Fault logs
record faults of the machine that do not trigger a technical alarm. A maximum of 500 such
records can be stored. Maintenance logs record maintenance operations on the machine. A
maximum of 500 such records can be stored. Alarm logs record the physiological and
technical alarms triggered on the machine. A maximum of 500 such records can be stored.
For details, see the following figure:
The preceding logs can be exported by choosing [Export data] in the [System] menu.
5-22
5.6 System Info
System information includes Software Version information, Running time, and Register.
Software version includes the joint version and the versions and release date of the system
program, bootstrap, FPGA program, VPM software, VCM software, and power board
software.
If the combination of all current software versions matches a joint version in the version file,
the joint version is displayed as the correct version.
If the combination of all current software versions does not match any joint version in the
version file, the joint version is displayed as Fail.
If the combination of all current software versions does not match any joint version in the
version file, the software version of the system program and the software versions of other
modules not matching the system program are displayed in red.
The running time includes the machine's running time and the ventilator's running time.
Register records data related to running exceptions of the machine.
5-23
5.7 Demo Mode
You can enter demo mode only in standby mode.
Demo mode has two types: demo mode with alarm and demo mode without alarm. You can
select either of the two types by clicking the [Demo mode] button.
In demo mode, only the [Demo mode] button is available in the maintenance menu.
The following figure shows the demo mode screen:
5-24
5.8 Restore All Default
The restoring all configuration function can be used to restore the current configurations of
patient-related configuration items, machine-related configuration items, and user
maintenance-related configuration items to factory defaults.
The event logs and loops are cleared once you restore all configurations.
The current patient category is switched to the default patient category once you use the
restoring all configuration function.
When you click the [Restore Partial Default] button, an operation confirmation dialog box
is displayed, as shown in the following figure:
5-25
5.9 Factory Setup
The password set by the factory is 558188.
Choose [Main] > [Service] and then enter the password set by the factory to access the
factory setting menu.
The factory setting menu includes function activation, drive gas setting, flowmeter standard
setting, flowmeter pipeline setting, ACGO setting, module rack setting, AG module setting,
BIS module setting, CO2 module setting, and NMT module setting. The preceding settings
can be reconfigured only in standby mode. After you modify some factory configurations,
you have to restart the machine for the modification to take effect. After you enter the
password set by the factory, a screen as shown in the following figure is displayed.
NOTE
 All setting items in the [Factory Setup] menu are enabled only in standby mode.
5-26
5.9.1 Function Activation
The system supports activation code-based activation and activation code file-based
activation.
The activation code file must be placed in the root directory of USB.
If both PCV and PCV-VG ventilation modes are activated for a machine, the system only
reserves the PCV-VG ventilation mode.
The newly activated function can take effect only after you restart the machine.
5.9.2 Drive Gas

This function is available only in standby mode.
Drive gas has two options, that is, O2 and AIR. Maintenance personnel shall configure this
function as required. Please note this option must match the configuration of the machine.
5.9.3 Flowmeter Standard

The Flowmeter Standard options include: American, European, Chinese, Canadian and
Custom.
NOTE
 The Canada-standard flowmeters are in the order of America-standard flowmeters
and in the color of Europe-standard flowmeters. Custom-standard flowmeters are
in the order of AIR, N2O, and O2 from left to right and are in the color of Europe-
standard flowmeters.
5.9.4 Flowmeter Pipeline

There are 3 options for the flowmeter pipeline: O2 + N2O + AIR, O 2+ AIR and O2 + N2O.
The maintenance personnel should configure this function according to the actual
requirements.
5.9.5 ACGO
ACGO has three options, that is, Off, ACGO with three-way valve, and electronic ACGO.
Among them, Off applies to the machine that does not need to be configured with ACGO,
machine that needs to be configured with a non-independent ACGO, and machine that needs
to be configured with independent ACGO without three-way valve. Independent ACGO with
three-way valve applies to the machine that needs to be configured with ACGO with three-
way valve. Electronically controlled ACGO applies to the machine that needs to be
configured with electronically controlled ACGO.
5-27
5.9.6 Prediction History
The prediction history provides two options: Open and Close.
When prediction history is set to Open, the history menu will display the trend of prediction.
When prediction history is set to Close, the history menu will display the trend of prediction.
5.9.7 Module Rack

The setting of module rack provides two options: Open and Close.
When module rack is set to Open, the machine can support to identify module plugging and
monitor the fan speed of module rack.
When module rack is set to Close, the machine cannot support to identify module plugging or
monitor the fan speed of module rack.
5.9.8 AG Module
The setting of AG module provides two options: Open and Close.
When AG module is set to Open, the machine can identify the external AG module.
When AG module is set to Close, the machine cannot identify the external AG module.
5.9.9 BIS Module

The setting of BIS module provides two options: Open and Close.
When BIS module is set to Open, the machine can identify the BIS module.
When BIS module is set to Close, the machine cannot identify the BIS module.
5.9.10 CO2 Module

The setting of CO2 module provides two options: Open and Close.
When CO2 module is set to Open, the machine can identify the external CO2 module.
When CO2 module is set to Close, the machine cannot identify the external CO2 module.
5.9.11 NMT Module

The setting of NMT module provides two options: Open and Close.
When NMT module is set to Open, the machine can identify the external NMT module.
When NMT module is set to Close, the machine cannot identify the external NMT module.
5-28
6 Device Maintenance
6.1 Maintenance Overview
The following table lists device maintenance operations of the A7 anesthesia system. Physical
check, disposables replacement, and performance check shall be conducted at regular
intervals according to the periods listed in the following table. The factory will bear no
liability if some parts are damaged or lost because the disposables are not replaced within the
suggested period. The preceding contents are described in Device Maintenance Period (see
section 6.2).
The following tools may be required for the maintenance:
 Metric hexagon screw spanner (2.5, 3, 4, 5, and 8 mm)
 Phillips screwdriver (#1 and #2)
 Diagonal pliers
 Flathead screwdriver
 Metric M3 and M4 socket screw driver
 Adjustable wrench
 Tweezers
 Krytox lubricant (P/N: 0510-00-0020)
6.2 Maintenance Period

The periodic maintenance package includes:
 One-year basic maintenance package, P/N：115-036367-00
 One-year extended maintenance package, P/N：115-036368-00
 One-year completer maintenance package, P/N：115-036369-00
Note: For the differences among one-year basic maintenance packages, please see 6.3 Check
Before Maintenance.
Device maintenance time table
After Each
Maintenance Operation Every 12 Months
Maintenance
Preoperative check ●
System check ●
Disposables replacement ●
Function test after maintenance ●
Test before operation ● ●
6-1
6.3 Check Before Maintenance
1. Ensure that the device is intact.
2. Ensure that the breathing system and Pre-pak absorbent canister are well connected.
3. Ensure that the vaporizer is filled with a defined amount of anesthetic agent.
4. Confirm the test list before additional operations.
5. Confirm the additional standby cylinder wrench.
6. Ensure that the AGSS transfer hose is not damaged. Drain the water build-up.
7. Ensure that the AC power cable is not damaged.
6.4 One-year Maintenance Package Replacement

The following table lists the parts that need to be replaced regularly inside the periodic
maintenance package. The replacement date is subject to the machine installation date.
Remarks: The materials in the table below are not sold separately. If you have any questions,
please consult with the engineer of the factory.
One-year One-year One-year

Basic Extended Fully
P/N Description Qty. Maintena Maintena Maintena
nce nce nce
Package Package Package
0348-00-0185 SPECIAL SEAL 3 Replace Replace Replace
082-000673-00 15.54X2.62 O-ring, 3 Replace Replace Replace
fluorine rubber A70
049-000143-00 Sealing washer of prepak 1 Replace Replace Replace
absorber canister
M6M-010058- 16X2 O-ring, fluorine 2 Replace Replace Replace
-- rubber A50, black
082-000665-00 8.5X2 O-ring, fluorine 2 Replace Replace Replace
rubber A70
082-000667-00 4.7X1.8 O-ring, fluorine 4 Replace Replace Replace
rubber A70
049-000145-00 Prepak sealing washer 1 Replace Replace Replace
049-000142-00 Sealing cushion for 1 Replace Replace Replace
bypass trigger plate
049-000240-00 pop-off rubber feet 1 Replace Replace Replace
082-000506-00 AGSS filter screen 1 Replace Replace Replace
049-000146-00 Prepak absorber canister 1 Replace Replace Replace
hose
049-000243-00 Sealing cushion for 1 Replace Replace Replace
bellows (0631)
082-000934-00 14X2.65 O-ring 4 Replace Replace Replace
082-001501-00 27X1.5 O-ring, silicon 2 Replace Replace Replace
rubber A50, colorless
082-001503-00 20X1.5 O-ring, silicon 2 Replace Replace Replace
082-001525-00 8.5X2 O-ring, silicon 1 Replace Replace Replace
silicon rubber A50,
colorless
6-2
silicon rubber A50,
colorless
082-000423-00 Filter.0.45um,TP026AA 1 Replace Replace Replace
TV004AD01
silicon rubber A50,
colorless
045-000241-00 Dust screen (0631) 1 Replace Replace Replace
040-000358-00 Bellow, chloroprene 1 / Replace Replace
rubber, black, 20%
discount
0611-10-45654 Sensor Oxygen, 1 / / Replace
MedicelMOX-2
115-008263-00 Inspiratory flow sensor 1 / / Replace
115-008262-00 Expiratory flow sensor 1 / / Replace
Replace the materials in the maintenance package as following steps. Ignore these steps, if
there are no such configurations on the machine.
1. The two sealing rings on the output ports of drive gas and AGSS (M6M-010058---).
Two sealing rings on the

output ports of drive gas and
AGSS
2. The two sealing rings on the fresh gas input port and ACGO (082-000665-00).
Two sealing rings on the fresh

gas input port and ACGO
3. The four sealing rings in sampling connectors (082-000667-00), in the interface.
6-3
Four new sealing rings
in sampling connectors
4. One sealing cushion for bellows (049-000243-00), and one bellow (040-000358-00).
Bellow
Sealing cushion
5.1 The two sealing ring for manual arm assembly (082-000673-00).
Two sealing ring for

manual arm assembly
5.2 The one sealing ring for O2 sensor cover (082-000673-00).
Sealing ring for

O2 sensor cover
6-4
6. The one sealing ring for PAW gauge (082-001524-00).
One sealing ring

for PAW gauge
7. The one POP-OFF valve.
POP-OFF valve
8. The one sealing ring on bellow base (082-001508-00).

One sealing ring on bellow base
6-5
9. The two sealing rings for valve cover (082-001501-00).
Two sealing rings for

valve cover
10. The two sealing rings for valve (082-001503-00).
Two sealing rings for valve
11. The one sealing ring for O2 sensor port, which is under the lower cover assembly. The
patient circuit should be disassembled.
One sealing ring for O2 sensor port
12. The one outer sealing cushion for absorber canister (049-000143-00).
One outer sealing cushion for absorber canister
6-6
13. The one inner sealing cushion for absorber canister (049-000145-00). Note: Cut the
unnecessary part after the replacement.
One inner sealing cushion for absorber
14. The one sealing cushion for Bypass trigger plate (049-000142-00).
One sealing cushion for bypass trigger plate
15.1 The two Bypass sealing rings (082-001504-00).
Two Bypass sealing rings
15.2 The one sealing ring for water collection cup (082-001504-00).
One sealing ring for water collection cup
16. The one absorber canister hose (049-000146-00).
6-7
One absorber canister hose
17. The four sealing rings for vaporizer base (082-000934-00). Note: After the replacement of
the sealing rings, hold the vaporizer vertically and install it horizontally, and lock the
vaporizer after ensuring it is locked.
Four sealing rings

for vaporizer base
18. The three sealing rings for cylinder base (0348-00-0185).
Three sealing rings for cylinder base
6-8
19. The one Filter (082-000423-00). The filter is for inner AG module. Note: Fix the filter
again with 2.5mm*10 package belts after the replacement.
Filter
20. The one AGSS filter screen (082-000506-00).

AGSS filter screen
21. The one Dust screen (045-000241-00)
Dust screen
22. The one inspiratory flow sensor assembly (115-008263-00), the one expiratory flow
sensor assembly (115-008262-00)
Inspiratory flow Expiratory flow

sensor sensor
6-9
23. The one O2 sensor MedicelMOX-2 (0611-10-45654).
MOX-2 O2 sensor
6-10
7 System Calibration
7.1 Overview
This section elaborates how to test and calibrate the A7 anesthesia machine. Calibration
refers to mechanical and electrical adjustments using test devices. The anesthesia machine
needs to be tested and calibrated after repairs or at regular intervals as part of routine
maintenance.
NOTE
 Functional tests must be performed after calibration to verify the calibration
result.
Ensure that all test materials including the drive gas, breathing circuits, test fixtures, tools,
and documents are the latest, available, and calibrated prior to calibration.
7.2 Precautions
7.2.1 Warnings
WARNING
 Use fuses of the specified type and rating to prevent fire.
 The machine (protection class I) can be connected only to a correctly grounded
power supply (including the socket with grounding contact) to prevent electric
shocks.
 Remove all auxiliary devices from the shelf before moving the anesthesia machine
on the rough road or any slope. The anesthesia machine with a weight on its top is
likely to tip over, causing personal injuries.
 To avoid the possible explosion hazard, do not operate the machine near flammable
anaesthetic agents or other flammable substances. Do not use flammable anesthetic
agents such as ether or cyclopropane.
 When high-frequency electric surgery equipment is used, anti-static or electrically
conductive breathing tubes may cause burns. Therefore, they are recommended at
no time.
 The electric shock hazard may exist. The machine can be opened only by
authorized service personnel.
 According to IATA and DOT regulations, compressed gases are dangerous.
Therefore, the packages or transport packages of dangerous goods must be
properly identified, packed, marked, classified, labeled, and documented in
accordance with the DOT and IATA regulations. For details, see the International
Air Transport Association – Dangerous Goods Regulations or Part 171-180
"Transportation" in Title 49 of the Code of Federal Regulations.
7-1
7.2.2 Cautions
CAUTION
 Refer to the maintenance period in the Chapter 5 Factory Maintenance Menu
when conducting periodic maintenance.
 If the pipeline gas supply is in use and the main switch of the system is set to the
ON position, ensure that the standby gas cylinder valve is not opened. Otherwise,
the cylinder gas supply could be depleted, resulting in an insufficient reserve in the
case of a pipeline gas supply failure.
 Use the cleaning agent sparingly. Excess fluid could enter the machine, causing
damage.
 The machine can be operated only by trained and skilled medical personnel.
7.2.3 Notes
NOTE
 Only bacterial filter with a low-flow resistance can be connected to the patient
module and/or patient pipe.
 Wear surgical gloves when touching or disassembling valves or other internal
components of the breathing system.
 Ensure that the gas supply of the machine always complies with technical
specifications.
 The APL valve and the PAW gauge marker are for reference only. The anesthesia
machine displays the calibrated airway pressure.
 If the machine malfunctions during initial calibration or testing, do not use it until
the fault is rectified by a professional service technician.
 After servicing, functional tests, sensor tests, and system tests must be carried out
prior to clinical application.
 The machine supports up to two vertical mounting brackets to accommodate
additional monitors and other devices. Unauthorized mounting accessories are not
recommended.
 Ensure that all devices on the top plate of the machine are secured.
7.3 System Calibration

NOTE
 The drive gas of the anesthesia machine and the drive gas set in the calibration
device must be consistent with the actual drive gas configured for the machine.
 If a test item concerning measurement accuracy fails in the system test, perform
relevant calibration.
 Fluke VT Plus: The zero point (baseline) of pressure measurements may slightly
drift with the temperature and time. Users can perform zeroing manually to
eliminate zero offset. In general, zeroing needs to be performed if the monitor
displays a non-zero reading in the case of no pressure. Perform zeroing on the
calibration device before making any measurements.
 You can use VT Plus to perform automatic calibration on pressure sensors or flow
sensors, or use other calibration devices meeting the accuracy requirement to
perform manual calibration.
7-2
The anesthesia machine provides the functions of monitoring the volume, pressure,
inspiratory O2 concentration, CO2 concentration, and gas concentration inside the machine.
Great measurement deviations of the monitored values are very likely to be caused by the
offset in measured values of relevant measurement components, and calibration needs to be
performed. After the machine is serviced, for example, the VCM or expiratory valve
assembly is replaced, the flow sensors or pressure sensors of the machine need to be
calibrated.
In standby mode, select [Main] > [General] to perform flow calibration (user) and O2 sensor
calibration (user); alternatively, select [Main] > [Service] > [Calibration] to perform flow
calibration (service), pressure calibration (service), and O2 sensor calibration (service), and
pressure and flow zeroing (service).
The following table lists the possible calibration items and calibration occasions.
No. Calibration Item Function Description Calibration Occasion
1 Flow calibration (user) Calibrates flow sensors 1. The TV measured value greatly
of the breathing system. deviates from the settings (with the
deviation of more than 9%) after
the flow sensors in the patient
circuit have been used for a long
time.
2. The flow sensors in the patient
circuit are replaced.
2 Flow calibration Calibrates the flow 1. The expiratory valve assembly is
(service) sensors and inspiration replaced.
valve of the anesthesia 2. The VCM is replaced.
machine. 3. The measured value of the built-
in flow sensor deviates from that of
the flow measuring device by 5%
of the reading or 1 L/min,
whichever is larger.
3 Pressure calibration Calibrates the pressure 1. The VCM is replaced.
(service) sensors and PEEP valve 2. The expiratory valve assembly is
of the anesthesia replaced.
machine. 3. The measured value of the
machine's pressure sensor deviates
from that of the standard pressure
gauge by 5% of the reading or
2cmH2O, whichever is larger.
4 Pressure and flow Calibrates zero offset in The flow or pressure waveform
zeroing (service) the VCM and VPM. deviates from the baseline.
5 EFCS flowmeter Calibrates zero offset in Zero offset exists in the EFCS
zeroing (user) the EFCS flowmeter. flowmeter. The EFCS flowmeter
still displays a non-zero flow
reading after all fresh gas supplies
are turned off.
6 O2 sensor calibration Calibrates the 1. The measured values of the O2
measurement accuracy sensor present a deviation of larger
of the O2 sensor at both than 3% in both the atmospheric
21% O2 and 100% O2. environment (21%) and pure
oxygen environment.
2. The O2 sensor is replaced.
3. The VCM is replaced.
7-3
7.3.1 Flow Calibration (User)
7.3.1.1 Principles
NOTE
 A new flow sensor must be calibrated.
 The measurement accuracy of flow sensors may be affected by the operating
environment, especially when they have been used for a long time, and the tidal
volume control may also experience a great deviation correspondingly. After-sales
engineers can call users to help them resolve the deviation problem through
calibration.
 Before a calibration, perform the auto circuit leak test and ensure that no leak
exists.
 During a calibration, ensure that the drive gas pressure is within the specified
range. Otherwise, the calibration may fail.
 Set the machine to work in EFCS mode for flow calibration.
This calibration item is used to calibrate only the flow sensors and inspiration valve in the
circuit. The built-in flow measurement base source of the machine is utilized to calibrate the
inspiratory flow sensor, expiratory flow sensor, and inspiration valve on the breathing system.
The VCM opens the inspiration valve based on inspiration valve DA values obtained from
service calibration, to inflate the circuit of the breathing system, records the flow of the built-
in flow sensor, and uses the measured value of the built-in flow sensor as well as AD values
collected by the inspiratory flow sensor and expiratory flow sensor as the data of one
calibration point for flow sensors, and uses the measured value of the built-in flow sensor as
well as the DA value of the inspiration valve as the data of one calibration point for the
inspiration valve. Change the DA value of the inspiration valve to obtain calibration data
under a series of flows, forming a flow calibration data table. The flow should be in the range
from 0 L/min to 120 L/min when the inspiration valve is opened during flow calibration.
7-4
If the inspiratory flow sensor and expiratory flow sensor have been used for months, for
example, three months after calibration, the measured tidal volume greatly deviates from the
settings (with the deviation of more than 9%) due to sensor aging or environmental factors; or
a flow sensor is replaced. In this case, the flow sensor needs to be calibrated. The flow
calibration (user) can be adopted.
FIGURE 1 Schematic Diagram of Flow Calibration (User)
7-5
7.3.1.2 Calibration Procedure
Perform the following steps to calibrate flow sensors.
1. Enter the standby mode.
2. Select [Setup] > [Calibrate] > [Calibrate Flow Sensors] (version 1.03.02 and earlier)
or select [Main] > [General]> [Calibrate Flow Sensors] (version 2.01.00 and later) to
enter the screen shown below.
3. Follow the instructions on the screen to set the machine and select [Next] to enter the
screen shown below.
7-6
4. Select [Begin] to calibrate the flow sensor. During the calibration, you can select
[Cancel] to abort.
5. The screen shown below is displayed if the ongoing calibration is aborted. Select [Try
Again] to do the calibration again or select [Done] to exit the calibration screen.
7-7
6. The screen shown below is displayed if the flow sensor calibration fails. Select [Try
7. The screen shown below is displayed upon a successful flow sensor calibration. Select
[Done] to exit the calibration screen.
NOTE
 If measurement deviations are not corrected after multiple flow sensor
calibrations, it is recommended that a flow sensor in the circuit be replaced and
then a calibration be performed for the new flow sensor. If the problem persists,
send the machine to the manufacturer for maintenance. After the problem is fixed,
perform the calibration and system tests.
7-8
7.3.2 Flow Calibration (Service)
7.3.2.1 Principles
Flow calibration (service) is classified into automatic flow calibration and manual flow
calibration.
In the automatic flow calibration, the anesthesia machine calibration device specified by the
manufacturer needs to be used to calibrate the inspiration valve, ventilator flow sensor,
inspiratory flow sensor, and expiratory flow sensor. The calibration principles are as follows:
The anesthesia machine calibration device can communicate with the VCM. The VCM opens
the inspiration valve based on a certain DA value. The ventilator flow sensor, inspiratory flow
sensor, expiratory flow sensor, and anesthesia machine calibration device collect the flow
value of the circuit. The calibration device sends the collected flow value to the VCM. The
VCM uses the flow measured by the calibration device and the AD values collected by the
flow sensors as the data of one calibration point for flow sensors, and uses the flow measured
by the calibration device and DA value of the inspiration valve as the data of one calibration
point for the inspiration valve. The VCM controls the inspiration valve to change the DA
value to obtain calibration data under a series of flows, forming a flow calibration data table.
The flow should be in the range from 0 L/min to 120 L/min when the inspiration valve is
opened during flow calibration.
In the manual flow calibration, any standard measuring device that meets the following
condition can be used for calibration: It can be pneumatically connected to the anesthesia
machine and the flow measurement accuracy complies with production specifications. The
major difference between manual calibration and automatic calibration is follows: The flow
collected by the standard measuring device cannot be sent to the VCM over the
communication cable in manual calibration, and customer service personnel need to manually
enter the monitored value of the standard measuring device.
FIGURE 2 Schematic Diagram of Flow Calibration (Service)
Inspiratory valve
Ventilator
flow sensor
Flow
Expiratory
flow sensor
Flow
Expiratory
valve
Water cup
P Resistor
Calibration
PEEP safety PEEP valve Pressure device
valve sensor
Flow
O2
7-9
7.3.2.2 Precautions
NOTE
 Ensure that tubes do not leak when connected. That is, they have passed the
leakage test.
 Do not move or press tubes during calibration.
 When connecting calibration tubes, ensure that the gas flow direction is correct.
Normally, the gas flows from the inspiration connector of the breathing system, the
high-flow inlet of the anesthesia machine calibration device, the anesthesia machine
calibration device, the high-flow outlet of the anesthesia machine calibration
device, to the expiration connector of the breathing system.
 Ensure that no sensor- or valve-related technical alarm is generated.
 Ensure that the drive gas pressure is sufficient during calibration. Otherwise, the
calibration may fail.
 You can use VT Plus for automatic calibration, or use a flow calibration device that
meets the accuracy requirement for manual calibration.
 For calibration devices with high and low flow channels, flow channel switchover is
required during automatic or manual calibration. Manual calibration is available
since version 1.03.00.
 Flow calibration (service) needs to be performed after the VCM or expiratory
valve assembly is replaced.
 Flow calibration (service) needs to be performed if the measured value of the built-
in flow sensor greatly deviates from that of a standard flow measuring device.
 Set the machine to work in EFCS mode for flow calibration.
 When the altitude changes significantly, if the TV precision is out of range,perform
the Flow Calibration (Service).
7-10
Automatic Calibration
Perform the following steps to calibrate flow sensors.
2. Select [Main] > [Service] > [Calibration] > [Flow Sensors] to enter the screen shown
below.
3. Select [Calibrate Automatically] to enter the screen shown below. Select the required
calibration device.
7-11
4. Connect the calibration device to the anesthesia machine by using a communication
cable.
 Connectors and settings related to VT Plus are shown below.
Cable connections at the anesthesia machine end
Cable connections at the calibration device (VT Plus) end
7-12
 Connectors and settings related to FPM are shown below.
Anesthesia machine end connection mode is same as Fluke VT Plus.
FPM dedicated calibration line
FPM interface and connection mode

5. Set the calibration device as follows.
 To set the VT-Plus, perform the following steps.
a. Gas settings: Press the [Setup] button, and select [Setting] > [ENTER] > [Gas
Settings] > [MODIFY] > [Gas Type] > [O2] > [BACK] > [BACK].
b. Correction Mode: Press the [Setup] button, and select [Setting] >
[ENTER] >[Correction Mode]> [BTPS]> [BACK]> [BACK]。
7-13
c. Zeroing mode settings: Press the [Setup] button, and select [Setting] >
[ENTER] > [Zero Mode] > [Manual]> [BACK] > [BACK].
d. Serial mode settings: Press the [Setup] button, and select [Setting] >
[System] >[Enter] > [Serial Mode] > [OTIS Ctrl] > [BACK] > [BACK].
7-14
e. The serial mode screen appears after the VT Plus is set.
 Set FPM as follows if FPM is selected as the calibration device:

(1) Start the machine and wait until the sensor is pre-heated.
（2）Zero the sensor without connecting any tubes.
（3）User Setup->Gas Type->O2
7-15
（4）User Setup->Measure Mode->BTPS
6. Select [Next] to enter the screen shown below.
7-16
 If VT Plus is selected as the calibration device, select low-flow channel first, as shown
below.Follow instructions on the screen to connect the anesthesia machine and the
calibration device in the same circuit in serial mode. Connect the low-flow channel of
the calibration device first, as shown in the following figure.
Pneumatic connection covering the calibration device (VT Plus)

 If FPM is selected, connect to the inspiratory flow sensor port (0～250 L/min) of the
anesthesia machine, as shown below.
Pneumatic connection with FPM

7. Select [Continue] to enter the screen shown below.
7-17
8. The screen shown below is displayed after the low-flow channel calibration is
completed.
9. Connect the high-flow channel of the calibration device, as shown in the following
figure.
7-18
10. Select [Continue] to enter the screen shown below.
11. The screens shown below are displayed after the calibration is completed.
The screen shown below is displayed if the flow sensor calibration fails. Read details
displayed on the calibration device, locate and rectify the fault. Select [Try Again] to do
the calibration again or select [Done] to exit the calibration screen.
7-19
The screen shown below is displayed upon a successful flow sensor calibration. Select
[Done] to exit the calibration screen.
7-20
Manual Calibration
Perform the following steps to calibrate flow sensors manually.
2. Select [Main] > [Service] > [Calibration] >[Flow Sensors] to enter the screen shown
below.
3. Select [Calibrate Manually] to enter the screen shown below.
7-21
4. Follow instructions on the screen to connect the inspiration port and expiration port of
the anesthesia machine by referring to step 0 in "Automatic Calibration."
5. Select [Begin] to enter the screen shown below.
6. The screen shown below is displayed after the first step of manual calibration is
completed.
7. Follow instructions on the screen to connect the low-flow channel (if available) of the
calibration device to the pneumatic circuit of the anesthesia machine by referring to step
0 in "Automatic Calibration."
7-22
8. When the calibration device needs to be switched to the high-flow channel, refer to step
0 in "Automatic Calibration" for connection.
NOTE
 If the calibration device has multiple channels, refer to the manufacturer's
specifications to get to know the channel switchover time.
9. Select [Continue] to enter the screen shown below. The system calibrates 32 calibration
points one by one. If [Waiting] is displayed in the cell, wait for the system to implement
flow control. If [Input Cal Value] is displayed in the cell, enter the standard flow value
displayed on the calibration device. You can select to re-calibrate any calibration point
during calibration. After entering standard flow values for all the 32 calibration points,
select Accept to check and save the calibration data.
7-23
10. Select [Accept]. The screens shown below are displayed.
The screen shown below is displayed upon a successful flow sensor calibration.
11. The screen shown below is displayed if the flow sensor calibration fails.
7-24
12. Select [Cancel.] The screen shown below is displayed.
7.3.2.4 Common Failures and Recommended Actions

Failure Description Possible Cause Recommended Action
After Begin is selected, The prompt message "Manual Set the Auto/Manual switch to the Auto
no ventilation sound is Vent." is displayed, indicating position.
heard. The prompt that the Auto/Manual switch is
message "Calibration set to the Manual position.
Failure! Please try The alarm "Drive Gas Pressure Change or connect the gas supply to
again." is displayed very Low" is generated. The pressure ensure that the drive gas pressure is
soon. indicated by the drive gas (O2) within the specified range.
pressure gauge is lower than 200
kPa.
A zero point error occurs in the Replace the VCM.
inspiratory/expiratory flow
sensor.
After Begin is selected, The sampling line of at least one Re-connect the sensor sampling line.
the ventilation sound is of the inspiratory flow sensor,
heard. The prompt expiratory flow sensor, and
message "Calibration ventilator flow sensor is not
Failure! Please try connected or connected
again." is displayed very incorrectly.
soon. The maximum flow is smaller Replace the expiratory valve assembly.
than 90 L/min when the
inspiration valve is opened.
1. An error occurs in the 1. Check the pneumatic circuit
pneumatic circuit connection connection between the anesthesia
between the anesthesia machine machine calibration device and the
calibration device and the VCM. VCM. Reconnect the pneumatic circuit
2. An error occurs in the if necessary.
communication connection 2. Check the communication connection
between the anesthesia machine between the anesthesia machine
calibration device and the calibration device and the anesthesia
anesthesia machine. machine, or reconnect them to ensure
7-25
3. The anesthesia machine normal communication. Replace the
calibration device is set communication cable if the problem
incorrectly. persists.
3. Check the settings of the anesthesia
machine calibration device. Set the
anesthesia machine again if necessary.
The prompt message Calibration data is incorrect. Replace the inspiratory and expiratory
"Calibration Failure! flow sensors and conduct calibration
Please try again." is again. If calibration still fails, replace
displayed 15 minutes the VCM.
after calibration is When the flow reaches 90 1. Replace the flow sensor in the circuit.
started. L/min, the collected AD value of 2. Replace the VCM.
the inspiratory flow sensor or
expiratory flow sensor is larger
than 3900, which is out of the
normal range.
[00 00 00 02] is The drive gas pressure is too 1. Check the drive gas supply.
displayed. low. 2. If the gas supply is normal, check the
gas supply pressure switch.
[00 00 00 04] is The Auto/Manual switch is set 1. Check whether the Auto/Manual
displayed. to the Manual position. switch is set to the Auto position.
2. Check whether the Auto/Manual
switch can switch normally.
[00 00 00 08] is A zero point error occurs in the 1. Check whether the fresh gas is turned
displayed. inspiratory flow sensor (the AD off.
value at zero point is larger than 2. Check whether the inspiration valve
or equal to 2000, or smaller than can be closed tightly. According to the
0). valve diagnosis tool, after the valve is
closed and the DA value is zero, if the
gas supply is disconnected and then
connected, the AD values of the
ventilator sensor basically remain
unchanged (the reading change does not
exceed 1%), indicating that the valve is
closed tightly.
3. Check the zero correctness of the
sensor.
4. Replace the VCM.
[00 00 00 10] is A zero point error occurs in the 1. Check whether the fresh gas is turned
displayed. expiratory flow sensor (the AD off.
value at zero point is larger than 2. Check whether the inspiration valve
or equal to 2000, or smaller than can be closed tightly. According to the
0). valve diagnosis tool, after the valve is
closed and the DA value is zero, if the
closed tightly.
3. Check the zero correctness of the
sensor.
4. Replace the VCM.
7-26
[00 00 00 20] is A zero point error occurs in the 1. Check the zero point of the sensor.
displayed. internal flow sensor (the AD 2. Check whether the inspiration valve
value at zero point is larger than can be closed tightly. According to the
or equal to 2000, or smaller than valve diagnosis tool, after the valve is
0). closed and the DA value is zero, if the
closed tightly .
3. Replace the VCM.
[00 00 00 40] is The measurement range of the 1. Check whether the sampling line is
displayed. inspiratory flow sensor is connected correctly.
abnormal. 2. Start the valve diagnosis tool in the
calibrated pneumatic connection
environment, close the expiratory valve
based on 4000 DA, open the inspiration
valve gradually, and observe the
measured value of the calibration
device under each DA value. If the
collected AD value of the inspiratory
flow sensor at the time point with the
device close to (smaller than) 90 L/min
is larger than 3900, the measurement
range of the inspiratory flow sensor is
abnormal. Replace the inspiratory flow
sensor.
3. Replace the VCM.
displayed. expiratory flow sensor is connected correctly.
abnormal. 2. Start the valve diagnosis tool in the
collected AD value of the expiratory
range of the expiratory flow sensor is
abnormal. Replace the expiratory flow
sensor.
3. Replace the VCM.
7-27
displayed. internal flow sensor is abnormal. connected correctly.
2. Start the valve diagnosis tool in the
collected AD value of the inspiratory
range of the ventilator flow sensor is
abnormal. Replace the ventilator flow
sensor.
[00 00 02 00] is The inspiratory flow sensor does 1. Check whether the unidirectional
displayed. not conform to monotonicity. valve is connected correctly.
2. Check whether the sampling line is
connected correctly.
3. Replace the inspiratory flow sensor.
4. Replace the VCM.
[00 00 04 00] is The expiratory flow sensor does 1. Check whether the unidirectional
displayed. not conform to monotonicity. valve is connected correctly.
2. Check whether the sampling line is
connected correctly.
3. Replace the expiratory flow sensor.
4. Replace the VCM.
[00 00 08 00] is The internal flow sensor does 1. Check whether the sampling line is
displayed. not conform to monotonicity. connected correctly.
2. Replace the internal flow sensor.
3. Replace the VCM.
[00 00 10 00] is The resolution of the inspiratory 1. Check the connection of the sampling
displayed. flow sensor is incorrect. line as well as the gas tightness.
2. Check the gas supply pressure.
3. Check the settings of the calibration
device.
4. Refer to 8.7.4 Connection and
Measurement Faults of Flow Sensors
to check if the sensor sampling line is
correctly connected.
5. Replace the relevant flow sensor in
the circuit.
6. Replace the VCM.
7-28
[00 00 20 00] is The resolution of the expiratory 1. Check the connection of the sampling
displayed. flow sensor is incorrect. line as well as the gas tightness.
2. Check the gas supply pressure.
3. Check the settings of the calibration
device.
4. Refer to 8.7.4 Connection and
Measurement Faults of Flow Sensors
to check if the sensor sampling line is
correctly connected.
5. Replace the relevant flow sensor in
the circuit.
6. Replace the VCM.
[00 00 40 00] is The resolution of the internal 1. Check whether the sampling line is
displayed. flow sensor is incorrect. connected correctly.
2. Replace the internal flow sensor.
3. Replace the VCM.
[00 00 80 00] is The output flow of the valve is 1. Check whether the gas supply is
displayed. low. sufficient for the whole calibration
process.
2. Check whether the maximum output
flow of the valve is larger than 90
L/min. If not, replace the inspiration
valve.
[00 01 00 00] is The valve resolution is low (the 1. Check whether the gas supply is
displayed. difference between the sufficient for the whole calibration
maximum valve opening DA process.
and the minimum valve opening 2. Check whether the calibration device
DA is less than or equal to works properly.
500DA). 3. Use valve diagnostic tools for
diagnosis: keep the calibration
pneumatic connection environment.
Enter valve diagnostic tools. Close the
expiration valve with 4000DA, open the
inspiration valve and increase
inspiration valve opening gradually.
Record the DA value of starting point of
inspiration valve (flow value measured
by calibration device is
0.5L/min~1.5L/min) and the DA value
of maximum opening of inspiration
valve (flow value measured by
calibration device reaches the
maximum saturation value for the first
time). If the difference between them is
less than or equal to 500DA, it indicates
that the inspiration valve is faulty.
Replace the inspiration valve.
7-29
[00 02 00 00] is The flow change is not 1. Check whether tubes are connected
displayed. unidirectional. as instructed.
2. Check whether the gas supply is
sufficient for the whole calibration
process.
3. Check whether the calibration device
works properly.
[00 04 00 00] is The communication with the 1. Check the communication connection
displayed. calibration device is interrupted. between the calibration device and the
anesthesia machine or reconnect them
to ensure normal communication.
Otherwise, replace the communication
cable.
2. Check the settings of the anesthesia
machine calibration device. Do the
settings again if required.
[00 08 00 00] is The system fails to write data 1. Perform the calibration again.
displayed. into EEPROM. 2. Replace the VCM.
[00 10 00 00] is The ACGO switch is in the ON 1. Check whether the ACGO switch is
displayed. position. set to OFF.
2. Check the monitoring status of the
ACGO switch on the screen of the
anesthesia machine.
[00 20 00 00] is The maximum value is not 1. Use the valve diagnosis tool for
displayed. found. diagnosis. (1) Open the inspiration
valve based on 4000 DA. The flow
measured by the calibration device is
larger than or equal to 90 L/min.
(2) Close the inspiration valve, increase
the opening of the inspiration valve
based on a certain DA value. When the
flow measured by the calibration device
is about 80 L/min, increase 10 DAs to
open the valve. If the flow increase
does not exceed 5 L/min, the maximum
point (the software does not find) may
exist. Recalibration is recommended.
2. Replace the inspiration valve.
[00 40 00 00] is The minimum value is not 1. Use the valve diagnosis tool for
displayed. found. diagnosis. Open the inspiration valve
within the 0-2000 DA. If the AD value
collected by the inspiratory flow sensor
increases gradually, recalibration is
recommended.
2. Replace the inspiration valve.
[FF FF FF FF] is A communication error occurs. 1. Restart the machine.
displayed. 2. Check the communication cable.
3. Check whether a communication
error alarm is generated. Replace the
VCM.
7-30
7.3.3 Pressure Calibration (Service)
7.3.3.1 Principles
In pressure calibration (service), the anesthesia machine calibration device specified by the
manufacturer needs to be used to calibrate the PEEP valve, Paw sensor, and PEEP pressure
sensor. The calibration principles are as follows: The anesthesia machine calibration device
can communicate with the VCM, which controls the tight closing of the inspiration valve.
The VCM opens the PEEP valve based on a certain DA value to make the circuit pressure
reach a certain value. The Paw sensor, PEEP pressure sensor, and anesthesia machine
calibration device collect the circuit pressure. The calibration device sends the collected
pressure to the VCM. The VCM uses the pressure measured by the calibration device and AD
values collected by the pressure sensors as the data of one calibration point for the pressure
sensors, and uses the pressure measured by the calibration device and DA value of the PEEP
valve as the data of one calibration point for the PEEP valve. The VCM controls the PEEP
valve to change the DA value to obtain calibration data under a series of pressures, forming a
pressure calibration data table. The gas pressure should be in the range from 0 cmH20 to 100
cmH20 when the VCM opens the PEEP valve.
FIGURE 3 Schematic Diagram of Pressure Calibration (Service)
Inspiratory valve
Ventilator
flow sensor
Flow
P Resistor
P
PEEP safety PEEP PEEP Paw sensor
valve valve pressure Calibration
sensor device
7.3.3.2 Precautions
NOTE
 Pressure calibration (service) needs to be performed if the VCM or expiratory
valve assembly is replaced.
 Pressure calibration (service) needs to be performed if the measured value of the
built-in pressure sensor greatly deviates from that of the standard pressure
measuring device.
7-31
Automatic Calibration
Perform the following steps to calibrate pressure sensors and the PEEP proportional valve.
1. Ensure that the anesthesia machine is in standby mode.
2. Select [Main] > [Service] > [Calibration] > [Pressure Sensors] to enter the screen
shown below.
7-32
3. Select [Calibrate Automatically] to enter the screen shown below.
3. Use a communication cable to connect the calibration device and the anesthesia machine
by referring to step 0 in "Automatic Calibration" in 7.3.2"Flow Calibration (Service)."
7-33
5. A four-way device is required to connect sampling tubes for pressure calibration. The
following figures show the four-way device, connectors on the calibration device, and
VCM involved in the pressure calibration.
Four-way device
connecting
sampling tubes for
pressure
calibration
Remove two tubes marked with #72 and #9 from the pressure sensors (see the following
figure).
Connect the four-way device to the pressure sensor P1 of the monitor board, PEEP
pressure sensor P2, sampling tube marked with #72, and low-pressure port of Fluke VT-
Plus (or sample port of FPM). The sampling tube marked with #9 is not connected for
this calibration.
Sampling tube marked
with #72
To the low-
pressure port of
Fluke VT Plus
A D
C
B
Sampling tube marked

with #9
Pressure sensor P2
Pressure sensor P1
7-34
For FPM as a calibration device, prepare the following plugs and sampling ports. Connect the
plugs, sampling ports and FPM inspiratory flow sensor ports as shown in the following figure.
Note that the tube length must not exceed 0.6m.
6. Power on the anesthesia machine calibration device and manually zero the calibration
device.
7. Set the calibration device.
Refer to step 0 in "Automatic Calibration" in 7.3.2"Flow Calibration (Service)."
7-35
9. After selecting the required calibration device, select [Begin] to enter the screen shown
below. During the calibration, you can select [Cancel] to abort.
7-36
10. The screens shown below are displayed after the calibration is completed.
The screen shown below is displayed if the pressure sensor calibration fails. Select [Try
11. The screen shown below is displayed upon a successful pressure sensor calibration.
Select [Done] to exit the calibration screen.
7-37
Manual Calibration
Perform the following steps to calibrate pressure sensors and the PEEP proportional valve.
1. Ensure that the anesthesia machine is in standby mode.
2. Select [Main] > [Service] > [Calibration] > [Pressure Sensors] to enter the screen
shown below.
7-38
3. Select [Calibrate Manually] to enter the screen shown below.
4. Use a communication cable to connect the calibration device and the anesthesia machine
by referring to step 0 in "Automatic Calibration" in 7.3.2"Flow Calibration (Service)."
5. Complete the pneumatic connection by referring to step 0 in Automatic Calibration.
7-39
7. The screen shown below is displayed after the first step of manual calibration is
completed.
8. Select [Continue] to enter the screen shown below. The system calibrates 32 calibration
points one by one. Of the 32 calibration points, points 1 to 16 map to the rising curve
while points 17 to 32 map to the falling curve. You can select to recalibrate any
calibration point during calibration. When a calibration point mapped to the falling
curve is calibrated, you cannot change the points mapping to the rising curve. If
[Waiting] is displayed in the cell, wait for the system to implement pressure control. If
[Input Cal Value] is displayed in the cell, enter the standard pressure displayed on the
calibration device. After entering standard pressures of all the 32 calibration points,
select [Accept] to check and save the calibration data.
7-40
9. Select [Accept]. The screens shown below are displayed.
The screen shown below is displayed upon a successful pressure sensor calibration.
10. The screen shown below is displayed if the pressure sensor calibration fails.
7-41
11. Select [Cancel]. The screen shown below is displayed.

After [Begin] is The alarm "Drive Gas Pressure Change or connect the gas supply to
selected, no Low" is generated. The pressure ensure sufficient drive gas pressure.
ventilation sound is indicated by the drive gas (O2)
heard. The prompt pressure gauge is lower than
message "Calibration 200 kPa.
Failure! Please try A zero point error occurs in the Replace the VCM.
again." is displayed Paw sensor or PEEP branch
very soon. pressure sensor. Refer to 4.15
"Check the sensor zero point ."
After [Begin] is The sampling line of at least Reconnect the sensor sampling line.
selected, ventilation one of the Paw sensor or PEEP
sound is heard. The branch pressure sensor is not
prompt message connected or connected
"Calibration Failure! incorrectly. Refer to 9.7 Sensor
Please try again." is and Valve Fault
displayed very soon. The maximum pressure Replace the expiratory valve.
generated by the PEEP valve is
smaller than 95 cmH2O.Refer
to 9.7 Sensor and Valve Fault
1. An error occurs in the 1. Check the pneumatic circuit
pneumatic circuit connection connection between the anesthesia
calibration device and the VCM. Reconnect the pneumatic
VCM. circuit if necessary.
2. An error occurs in the 2. Check the communication
communication connection connection between the anesthesia
calibration device and the anesthesia machine or reconnect them
anesthesia machine. to ensure normal communication.
3. The anesthesia machine Replace the communication cable if
calibration device is set the problem persists.
incorrectly. 3. Check the settings of the anesthesia
machine calibration device. Set the
anesthesia machine again if necessary.
7-42
The prompt message The calibration data is incorrect: Replace the VCM.
"Calibration Failure! The measurement range of
Please try again." is sensors is abnormal; the
displayed 15 minutes calibration data does not
after calibration is conform to monotonicity; the
started. sensor resolution is incorrect.
Refer to 5.13 Check the sensor
zero point
[00 00 00 02] is The drive gas pressure is too 1. Change or connect the gas supply to
displayed. low. ensure that the gas pressure ranges
from 350 kPa to 450 kPa.
2. If the gas supply is normal, check
the gas supply pressure switch.
[00 00 00 04] is The Auto/Manual switch is set 1. Check whether the Auto/Manual
displayed. to the Manual position. switch is set to the Auto position.
2. Check whether the Auto/Manual
switch can switch normally.
[00 00 00 08] is A zero point error occurs in the 1. Check the zero point.
displayed. Paw sensor. 2. Replace the VCM.
[00 00 00 10] is A zero point error occurs in the 1. Check the zero point.
displayed. PEEP pressure sensor. 2. Replace the VCM.
[00 00 00 20] is The measurement range of the 1. Check the pipeline connection and
displayed. Paw sensor is abnormal (AD gas tightness.
value of the point to which the 2. Check the gas supply pressure.
first pressure closing to 3. Check the settings of the calibration
90cmH2O (less than 90) device.
corresponds is greater than 4. Refer to 8.7.5Connection and
3900. The then range of sensor Measurement Faults of Pressure
may not reach the maximum Sensors to check if the pressure sensor
range specified) sampling line is correctly connected.
5. Replace the VCM.
[00 00 00 40] is The measurement range of the 1. Check the pipeline connection and
displayed. PEEP pressure sensor is gas tightness.
abnormal (AD value of the 2. Check the gas supply pressure.
point to which the first pressure 3. Check the settings of the calibration
closing to 90cmH2O (less than device.
90) corresponds is greater than 4. Refer to 8.7.5Connection and
3900. The then range of sensor Measurement Faults of Pressure
may not reach the maximum Sensors to check if the pressure sensor
range specified). sampling line is correctly connected.
5. Replace the VCM.
[00 00 00 80] is The calibration data of the Paw 1. Check the pipeline connection and
displayed. sensor does not conform to gas tightness.
monotonicity (the AD value of 2. Check the gas supply pressure.
the former calibration point is 3. Refer to 8.7.5Connection and
greater than that of the latter Measurement Faults of Pressure
calibration point). Sensors to check if the pressure sensor
sampling line is correctly connected.
4. Replace the VCM.
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[00 00 01 00] is The calibration data of the 1. Check the pipeline connection and
displayed. PEEP pressure sensor does not gas tightness.
conform to monotonicity (the 2. Check the gas supply pressure.
AD value of the former 3. Refer to 8.7.5Connection and
calibration point is greater than Measurement Faults of Pressure
that of the latter calibration Sensors to check if the pressure sensor
point).. sampling line is correctly connected.
4. Replace the VCM.
[00 00 02 00] is The resolution of the Paw 1. Check the pipeline connection and
displayed. sensor is incorrect. The gas tightness.
difference between the 2. Check the gas supply pressure.
maximum and minimum AD 3. Check the settings of the calibration
values is smaller than or equal device.
to 500AD. The resolution is 4. Replace the VCM.
smaller than 1 cmH20 ~2AD
when the difference between
two adjacent pressures is larger
than or equal to 1 cmH2O.
[00 00 04 00] is The resolution of the PEEP 1. Check the pipeline connection and
displayed. pressure sensor is incorrect. The gas tightness.
difference between the 2. Check the gas supply pressure.
maximum and minimum AD 3. Check the settings of the calibration
values is smaller than or equal device.
to 500AD. The resolution is 4. Replace the VCM.
smaller than 1 cmH20 ~2AD
when the difference between
two adjacent pressures is larger
than or equal to 1 cmH2O.
[00 00 08 00] is The output pressure of the valve 1. Check whether the gas supply is
displayed. is low. sufficient for the whole calibration
process.
2. Use the valve diagnosis tool to
check whether the maximum output
pressure of the PEEP valve is larger
than 90 cmH20. If not, replace the
airway module.
[00 00 10 00] is The pressure change is not 1. Refer to 8.7.5Connection and
displayed. unidirectional. Measurement Faults of Pressure
Sensors to check if the pressure sensor
sampling line is correctly connected.
2. Replace the VCM.
[00 00 20 00] is The communication with the 1. Check the connection between the
displayed. calibration device is interrupted. calibration device and the
communication cable.
2. Replace the calibration device and
perform the calibration again.
[00 00 40 00] is The system fails to write data 1. Perform the calibration again.
displayed. into EEPROM. 2. Replace the VCM.
[00 00 80 00] is The ACGO switch is in the ON 1. Check whether the ACGO switch is
displayed. position. set to OFF.
2. Check the monitoring status of the
ACGO switch on the screen of the
anesthesia machine.
7-44
[00 01 00 00] is The valve resolution is low. 1. Check whether the gas supply is
displayed. sufficient for the whole calibration
process.
2. Check whether the calibration
device works properly.
3. Replace the PEEP valve.
1. Use the valve diagnosis tool for
diagnosis. (1) Open the PEEP valve
based on 4000DA. The pressure
measured by the calibration device is
larger than or equal to 90 cmH2O.
(2) Close the PEEP valve and increase
[00 02 00 00] is The maximum value is not
the opening of the PEEP valve based
displayed. found.
on a certain DA value. The AD values
collected by the Paw sensor increase
gradually.
Recalibration is recommended if the
preceding conditions are met.
1. Use the valve diagnosis tool for
diagnosis. Open the PEEP valve within
the 0-2000DA. If the AD values
[00 04 00 00] is The minimum value is not
collected by the inspiratory pressure
displayed. found.
sensor increase gradually, recalibration
is recommended.
[FF FF FF FF] is A communication error occurs. 1. Restart the anesthesia machine
displayed. and/or calibration device.
2. Check the communication cable.
3. Check whether a communication
error alarm is generated.
4. Replace the VCM or calibration
device.
7.3.4 Pressure and Flow Zeroing (Service)

7.3.4.1 Principles
The anesthesia machine automatically performs pressure and flow zeroing at regular intervals
during operation. You can also perform pressure and flow zeroing manually in the factory
maintenance menu. Manual zeroing can immediately eliminate measurement deviations
caused by zero offset of sensors. The anesthesia machine supports automatic and periodic
pressure and flow zeroing. The first four zeroing operations are done automatically 5, 15, 30,
and 60 minutes after ventilation starts. Then automatic zeroing takes place every 120 minutes.
The three-way valve is opened and closed for valve flushing during mechanical ventilation
and before automatic zeroing. A dent appears in the waveform during zeroing, or opening and
closing of the three-way valve.
The zeroing principles are as follows: During manual zeroing in standby mode, the VCM
closes the inspiration valve and PEEP valve, and opens the three-way valve to start zeroing.
The VCM collects the pressures or flow AD values of the Paw sensor, PEEP pressure sensor,
inspiratory flow sensor, expiratory flow sensor, and built-in flow sensor, and uses them as the
AD values of the sensors at zero point. It closes the three-way valve and the zeroing ends.
The VPM is instructed to synchronize zeroing during manual zeroing in standby mode.
7-45
Processing in manual zeroing is the same as that in automatic zeroing during ventilation. The
opening and close of the three-way valve are controlled to zero the Paw sensor, inspiratory
flow sensor, and expiratory flow sensor. After zeroing is enabled, the three-way valve is
opened for zeroing, the pressure or flow AD value of each sensor is collected and used as the
AD value of each sensor at zero point. Then, the three-way valve is closed and the zeroing
ends.
7.3.4.2 Zeroing Procedure

Perform the following steps to zero pressure and flow sensors.
1. Select [Main] >[Service] > [Calibration] > [Zero Sensors] to enter the screen shown
below.
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2. Select [Begin] to enter the screen shown below. During the zeroing, you can select
[Cancel] to abort.
3. The screen shown below is displayed if the ongoing zeroing is aborted. Select [Try
Again] to do the zeroing again or select [Done] to exit the zeroing screen.
4. The screen shown below is displayed if the zeroing fails. Select Try Again to do the
zeroing again or select Done to exit the zeroing screen.
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5. The screen shown below is displayed upon a successful zeroing. Select [Done] to exit
the zeroing screen.
NOTE
 Other faults may exist in the machine if the zeroing fails. You must locate and
rectify the faults.
7.3.4.3 Zeroing Failure Troubleshooting

If the zeroing fails, perform the following steps to locate and rectify the fault.
1. Set the anesthesia machine to manual or standby mode. Turn off the fresh gas. Remove
breathing tubes from the breathing system so that the inspiration and expiration
connectors are exposed in the air. Bleed the residual gas inside the bellows. Ensure that
no flow or pressure enters the flow or pressure sensor inside the machine.
2. Check whether the zero points of sensors are normal by referring to 5.14 Checking the
Sensor Zero Point
3. If a zero point error is detected, remove the sampling line from the sensor to eliminate
effects caused by the sampling line occlusion or three-way valve. If the zero point is still
incorrect, the VCM is faulty. Replace the VCM.
4. If the zero points of sensors are correct but zeroing still fails, the three-way valve
assembly is faulty. Replace the three-way valve assembly.
7.3.5 EFCS Zeroing (User)

7.3.5.1 Principles
After the gas supply is disconnected, zero offset may occur in the sensor of the EFCS if the
pointer of the pressure gauge returns to zero but the EFCS still displays a non-zero flow value.
You can zero the flowmeter manually to immediately eliminate measurement deviations
caused by zero offset.
The principles are as follows: Close the air, O2, and N2O branch proportional valves when
starting zeroing. Switch the three-way valve to the BFCS state. Read the actual flows
measured by the Sensirion flow sensors in the three branches and use them as zero points of
the three branch flow sensors. Switch the three-way valve to the FECS state and the zeroing
ends.
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7.3.5.2 Zeroing Procedure
Perform the following steps to zero the EFCS.
1. Select [Main] > [General] > [Zero Flow Meters] to enter the screen shown below.
Select [Begin] to start zeroing.
2. The zeroing screen shown below is displayed. During the zeroing, you can select
[Cancel] to abort.
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3. The screen shown below is displayed if the ongoing zeroing is aborted. Select [Try
Again] to do the zeroing again or select [Done] to exit the zeroing screen.
4. The screen shown below is displayed if the zeroing fails. Select [Try Again] to do the
zeroing again or select [Done] to exit the zeroing screen.
7-50
5. The screen shown below is displayed upon a successful zeroing. Select [Done] to exit
the zeroing screen.
NOTE
 Other faults may exist in the EFCS if the zeroing fails. You must locate and rectify
the faults.
7.3.5.3 Zeroing Failure Troubleshooting

If the zeroing fails, perform the following steps to locate and rectify the fault.
Disconnect the gas supplies. Bleed the gas inside the machine or adjust the flowmeter for the
pointer of the pressure gauge to return to zero, and then perform zeroing again.
If the zeroing is successful, it is concluded that the previous zeroing failure is caused by the
mechanical failure in the three-way valve or faults in the proportional valves. Replace the
three-way valve assembly and proportional valve assemblies.
If the zeroing still fails, it is concluded that the cause is the fault in the Sensirion flow sensors
or the EFCS board. Replace Sensirion flow sensor assemblies and EFCS board.
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7.3.6 O2 Sensor Calibration
7.3.6.1 Principles
NOTE
 The O2 sensor needs to be calibrated when a great deviation occurs in the O2
monitored value or the O2 sensor or VCM is replaced.
 Observe whether the O2 sensor displays values on the measure screen before
calibration. If not, check whether the O2 measure switch is turned on, check the
connection cables of the O2 sensor, or replace the O2 sensor until values are
displayed.
 The O2 sensor needs to be calibrated at 21% O2 and 100% O2 and corresponding
standard O2 concentration gases are required.

Calibration at 21% O2
Perform the following steps to calibrate the O2 sensor at 21% O2.
1. Select [Main ]> [General]> [Calibrate O2 Sensor], or select [Main]> [System]>
[Calibrate/ Check Sensor], or select [Main]> [Service]> [Calibration]> [O2 Sensor]
to enter the screen shown below. The [General] tab displays only the O2 sensor
calibration at 21% O2. The [System] and [Service] tabs display the O2 sensor
calibration at 21% O2 and 100% O2, and need passwords. Follow the instructions on the
screen to set the machine. Select [Begin] to start calibration. The normal voltage range
of the O2 sensor is 4.44~13.69mv at 21% O2 and 19.25~67.41mv at 100% O2.
7-52
2. The calibration screen shown below is displayed after [Begin] is selected. During the
calibration, you can select [Cancel] to abort.
7-53
4. The screen shown below is displayed if the calibration fails. Select [Try Again] to do
the calibration again or select [Done] to exit the calibration screen.
5. The screen shown below is displayed upon a successful calibration (in standby mode).
Select [Done] to exit the calibration screen.
7-54
Calibration at 100% O2
NOTE
 The calibration at 100% O2 must be performed in standby mode.
 The calibration at 100% O2 can be performed only after the calibration at 21% O2
is performed successfully.
Perform the following steps to calibrate the O2 sensor at 100% O2.

2. Select [Main] > [System] > [Calibrate / Check Sensor] or select [Main] > [Service] >
[Calibration] > [O2 Sensor]. The [System] and [Service] tabs display O2 sensor
calibration at 21% O2 and 100% O2 and need passwords. The calibration screen shown
below is displayed after [100%] is selected. Follow the instructions on the screen to set
the machine and select [Next]. Set the Auto/Manual switch to the Auto position.
7-55
3. After Next is selected, the system turns off N2O and Air flows automatically, turns on
O2 flow which is greater than 8L/min automatically, and enters the calibration screen as
shown below. Follow the instructions on the screen to set the machine. Wait 2 minutes
and ensure that the O2 cell voltage has stabilized at the maximum value for at least 30s.
Select Begin.
4. The calibration screen shown below is displayed after [Begin] is selected. During the
calibration, you can select [Cancel] to abort.
7-56
6. The screen shown below is displayed if the calibration fails. The fonts in red indicate the
fault code. Select [Try Again] to do the calibration again or select [Done] to exit the
calibration screen.
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7. The screen shown below is displayed upon a successful calibration. Select [Done] to
exit the calibration screen.

After Begin is selected, a If the alarm "O2 Sensor Connect the O2 sensor.
calibration failure is Disconnected" is displayed, the O2
prompted. sensor is not connected.
The O2 supply pressure is lower Change or connect the gas
than 200 kPa. supply to ensure sufficient O2
supply pressure.
Calibration at 21% O2 has not Perform the calibration at
completed before the calibration at 100% O2 after completing the
100% O2 is started. calibration at 21% O2.
A calibration failure is The O2 collected value is out of Replace the O2 sensor.
prompted three minutes range. That is, The collected value
after the calibration is at 21% O2 is out of the range from
started. 150 to 560 and the collected value
at 100% O2 is out of the range
from 523 to 2123. Select Main >
Service > Data Monitors > VCM
to view the O2 collected value.
7-58
Error Code Description Recommended Action
00 00 00 02 The O2 supply pressure is low 1. Check whether cables of the O2 sensor
during the calibration at 100% are connected correctly.
O2. 2. Check the O2 supply pressure.
3. Check whether the output voltage of the
O2 sensor is stable in the calibration
menu.
Replace the O2 sensor.
00 00 00 04 The O2 sensor is not 1. Check whether the alarm "O2 Sensor
connected and the collected Disconnected" is displayed. If yes, check
data is larger than 2900 (AD whether the cables of the O2 sensor are
value). connected correctly.
O2 sensor is sable in the calibration menu.
00 00 00 08 The calibration value at 21% 1. Check whether cables of the O2 sensor
O2 is out of the range from are connected correctly.
150 to 560 (AD value). 2. Check whether the O2 sensor is in the
21% O2 environment.
menu.
00 00 00 10 The calibration value at 100% 1. Check whether cables of the O2 sensor
O2 is out of the range from are connected correctly.
523 to 2123 (AD value). 2. Check whether the O2 sensor is in the
100% O2 environment.
menu.
00 00 00 20 An error occurs when data is 1. Perform the calibration again.
written into EEPROM. Replace the O2 sensor.
3. Replace the CPU board.
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7.3.7 Total Flow Sensor Calibration (factory)
7.3.7.1 Principles
To support flow sensor selftest, it is necessary to find out the relationship of N2O
measurement between the O2 flow sensor in total limb and the flow sensor in N2O limb.
Therefore, it is necessary to vent in N2O to the machine to calibrate the O2 flow sensor in
total limb. This operation is performed manually.
When the EFCS opens the proportional valve in N2O limb with a fixed flow for a period of
time, read the N2O measured value by the O2 flow sensor in total limb. After averaging for a
certain period of time, this average value and the N2O measured value by the flow sensor in
N2O limb form a data point in the calibration table and so on. The points after calibration is
completed form a calibration table.
7.3.7.2 Precautions
NOTE
 Make sure that the N2O supply is connected and its pressure is within the normal
range.
 Make sure that the machine is under EFCS state.
 Make sure that the machine is under EFCS state. Connect the N2O supply and
make sure the gas supply pressure is within the normal range. In the manual test of
the FCS test menu, open the N2O valve to make the measured value of the N2O
flow sensor become 0, 0.5, 1, 2, 4, 6, 8, and 10 respectively. Then oberserve whether
the value of each point measured by the general branch flow sensor is within the
accuracy range and calibrate the value if it exceeds the accuracy range.
7-60
Perform the following steps to calibrate the total flow sensor.
2. Select [Main] > [Service] > [Calibration] > [Total Flow Sensor] to enter the screen
shown below. Prepare by following the instructed on the screen.
7-61
NOTE
 Realtime fresh gas flow is displayed on the [Calibrate Total Flow Sensor] screen.
Normally, only N2O and total flow values are greater than 0, and N2O and total
flow values ascend with the increase of calibration progress. Air and O2 values
should be 0 or less than 0 all the time.
4. The following screens are displayed after calibration is completed.

The screen shown below is displayed if total flow sensor calibration fails. Select [Try
Again] to calibrate again or [Done] to exit calibration.
The screen shown below is displayed after successful total flow sensor calibration.
Select [Done] to exit calibration.
7-62
5. The screen shown below is displayed if the ongoing calibration is cancelled. Select [Try
Again] to calibrate again or [Done] to exit calibration.

After Begin is selected, The machine is under Set the machine to EFCS state.
calibration failure is BFCS state.
displayed very soon. N2O supply pressure Replace or connect gas supply to make sure
is low. N2O pressure is within the specified range.
After Begin is selected, The calibration points Re-calibration is recommended.
calibration fails about are not in conformity
1min later. with monotonicity.
7.3.8 Built-in AG Calibration

Connect the built-in AG module to standard gases (concentration: CO2: 5%, O2: 45%, N2O:
45%, and DES: 5%), as the following figure shows.
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Preheat the module for 10 minutes. In Standby mode, access Main > System > Enter the
password (789789) > Accept, click Calibration, select Built-in AG, and access the built-in AG
calibration screen.
Turn on the gas cylinder switch and regulate the flow valve. Read the concentration of the
anesthesia gas DES, which should be (5 ± 0.2)%.
If the accuracy of the concentration of gases to be measured is beyond the preceding
indication range, click the button on the right of the displayed value to set the target value
based on the concentration of the standard gases, and click Calibration to calibrate the
module.
7.3.9 External AG Calibration
Connect the gas cylinder containing standard gases (concentration: CO2: 5%, O2: 45%, N2O:
45%, and DES: 5%), pressure reducing valve, water trap, and the anesthesia machine through
the sampling tube. Preheat the module and then perform the following test: Turn on the gas
cylinder valve, and access the System Gas Calibration Correlation Screen (The detailed mode
of access will be mentioned later). Observe the concentration of CO2 and O2 and make sure
that they are within the following range: CO2: 5.0% ± 0.2% and O2: 45% ± 2%. Note that the
concentration of O2 will not be displayed for the module irrelevant to O2.
Note:
a. Mode of access to the calibration screen: In Standby mode, access Main >
System > Enter the password (789789) > Accept, click Calibration, select External
AG, and access the system gas calibration screen.
b. If the accuracy of the concentration of gases to be measured is beyond the range,
set the target value to the value of the gas type corresponding to the standard gas,
and then click Calibration
7-64
7.3.10 CO2 Module Calibration
Pressure
Relief Three-way
connectors CO2 module
Valve
Cylinder
Before calibration, make sure that the module has been running for over 15 minutes: Click
Zero, select Continue, set "Connection Selection" to 5% on the CO2 module calibration
screen. Then feed the standard O2 (5%) and click Calibration Confirmation 20 s after the
reading become stable.
7.3.11 High-Pressure Gas Cylinder Regulator Calibration

Perform the following steps to calibrate the high-pressure gas cylinder regulator. The
following uses the N2O high-pressure gas cylinder regulator as an example. The calibration
procedure of O2 and air high-pressure gas cylinder regulators is the same as that of the N2O
high-pressure gas cylinder regulator.
The pressure in the cylinder must be 1000 psi at least for O2 and atmospheric air and 500 psi
at least for N2O.
For O2 and air, set the output pressure as per the following table. For N2O, set the output
pressure to 58 psi.
Cylinder Input Pressure (psi) Regulator Output Pressure (psi)

1000 59.2
1150 58.5
1400 57.2
1650 56.0
1900 55.1
2150 54.3
2400 52.9
2650 51.8
2900 50.7
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1. Turn off the power supply and all gas supplies. Open the service door.
Main unit rear

cover plate
Cart rear cover

plate
2. Open the main unit rear cover plate to remove the cart rear cover plate.
3. Unplug the tube connected to the unidirectional valve of the cylinder assembly and
connect the tube to a Φ8 wye. Connect another end to the unidirectional valve and the
other end to the pressure monitoring device.
Pressure inspection
4. Start the system, turn on the cylinder gas supply (turn off the pipeline gas supply), and
adjust the fresh gas flow to 1 L/min.
5. Remove the self-locking acorn nut at the head of the regulator.
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Self-locking
6. Rotate the regulating screw at the head slowly with a hex key (4 mm) to adjust the
output pressure range (rotate clockwise to increase the pressure and counterclockwise to
reduce the pressure) until the adjusted pressure is within the range listed in the preceding
table (±5%). After adjusting the pressure, reinstall and tighten the self-locking acorn nut.
7. Turn off the gas supply and restore the machine tube connections.
7.4 Test After Calibration

For test items after calibration, see B.3 Test items after service.
7-67
FOR YOUR NOTES
7-68
8 Troubleshooting
8.1 Electrical Safety
A series of quick measurement operations need to be performed during maintenance. Make
sure that the power supply is disconnected before connecting or disconnecting leads and
probes. Short circuits on leads easily damage components and thereby result security risks as
well as re-damage.
8.2 Tools for Onsite Maintenance

The following table lists the tools required for troubleshooting. The materials listed in the
following form are not sold separately. Please contact the manufacture’s engineer if any
questions.
Name Quantity P/N

Negative pressure ball 1 040-000814-00*
Injector (100 ml) 1 040-000040-00*
Circuit adapter test fixture 1 115-002452-00*
Flow sensor pressure sampling pipeline test fixture 1 115-002456-00*
Vaporizer manifold test fixture 1 115-002453-00*
1 MPa (10 bar) Test pressure gauge 1 0611-30-67602*
T-shaped Allen wrench (4*100) 1 M90-100111---*
3106-04-06 adapter connector 1 M6Q-030068---*
3106-10-00 adapter connector 2 082-000021-00*
Breathing tube adapter connector 1 115-002454-00*
3126-04-00 tube plug 2 082-000023-00*
3126-06-00 tube plug 3 M6Q-120001---*
3126-08-00 tube plug 4 M6Q-120002---*
3126-10-00 tube plug 3 082-000022-00*
Y piece 2 M90-100030---*
Breathing tube Y piece 1 M6Q-030028---*
3140-08-00 Y piece 1 M6Q-030025---*
PU tube (4X200) 1 M6G-020046---*
PU tube (6X100) 1
PU tube (6X200) 1 M6G-020026---*
PU tube (6X300) 1
PU tube (8X200) 2 M6G-020014---*
Breathing tube 4 M6G-020017---*
Φ6 silicone tube 3 A21-000007---*
046-004562-00
A7 service manual /
（CE）
Test lung, adult / 0138-00-0012
8-1
Name Quantity P/N
Tank wrench / 0367-00-0080
Y-Fitting 15 mm connection / 0103-00-0508
Respiration tube, 0.6 meter silicone, 15 mm 2 0004-00-0076
Breathing bag 2.3 L silicone / 0992-00-0139
Regulator calibration hose / 0453-00-1216
A7 troubleshooting kit / 115-009450-00
Vaporizer instruction manual / /
Safety analyzer Dempsey430 or equivalent / /
Digital voltmeter 31/2 digit / /
Agent (and NO2) Analyzer ± 0.3 V/V% + 5% of reading / /
BC biomedical DPM-2301751 NMC digital pressure meter / /
or equivalent
Central supplied O2, NO2, air minimum of 35 psi, DISS / /
connections
Cylinder gases O2, NO2, air Full PISS yoke connections / /
Hand tools, Allen wrench set metric / /
Gas flow analyzer with 2% accuracy / /
Communication box (required if using Fluke VT Plus gas / /
flow analyzer)
Lucer adapter connector / /
Ethernet crossover cable / 0012-00-1392-06
USB flash drive / 0992-00-0297-01
KRYTOX lubricant, white, 1 kg per can / 099-000107-00
The asterisk (*) indicates that the item is a part of the 115-009450-00A7 troubleshooting kit.
8-2
The following pictures shows the tools listed above.
(1) (2) (3) (4) (5) (6) (7)
(8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
(1) PU tube (4X200) (2) PU tube (6X100)

(3) PU tube (6X200) (4) PU tube (6X300)
(5) PU tube (8X200) (6) Φ6 silicone tube
(7) Breathing tube (8) 3106-04-06 adapter connector
(9) 3106-06-00 adapter connector (10) 3106-06-08 adapter connector
(11) 3106-10-00 adapter connector (12) Breathing tube adapter connector
(13) 3126-04-00 tube plug (14) 3126-06-00 tube plug
(15) 3126-08-00 tube plug (16) 3126-10-00 tube plug
(17) Y piece (18) 3140-08-00 Y piece
(19) Breathing tube Y piece
8-3
Negative pressure ball:
Circuit adapter test fixture:
Flow sensor pressure sampling pipeline test fixture:
8-4
Vaporizer manifold test fixture:
Anesthesia machine calibration device:
1 MPa (10 bar) Test pressure gauge:
8-5
8.2.1 Precautions for Using Circuit Adapter Test Fixture
There are four connectors for pressure sampling lines and four 6 quick plug-in connectors
with numbers marked on the circuit adapter test fixture, as shown below.
6 quick plug-in
connectors
The connectors for pressure sampling lines can be connected with Φ6 silicone tubes and the
Φ6 quick plug-in connectors with PU tube (6X100), PU tube (6X200) and PU tube (6X300),
as shown below.
8-6
The circuit adapter test fixture can be mounted either onto the circuit adapter or onto the
removed breathing system. The following pictures show the test fixture mounted in position.
If it is difficult to install and remove the test fixture, apply a layer of KRYTOX lubricant to
the seals (as shown below).
Seal (082-000667-00)
Seal (M6M-010058---) Seal (082-000665-00)
8-7
8.2.2 Precautions for Using Flow Sensor Pressure Sampling
Pipeline Test Fixture
There are two connectors for pressure sampling lines on the flow sensor pressure sampling
pipeline test fixture, as shown below.
The connector for pressure sampling line can be connected to Φ6 silicone tubes. When using
the flow sensor pressure sampling pipeline test fixture, remove the expiratory or inspiratory
flow sensor from the breathing system first. Then mount the flow sensor pressure sampling
pipeline test fixture onto the position where the expiratory or inspiratory flow sensor was
originally mounted and tighten the inspiration/expiration connector coupling, as shown below.
Perform testing after connecting the Φ6 silicone tube to the connector for pressure sampling
lines.
8-8
8.2.3 Precautions for Using Vaporizer Manifold Test Fixture
When using the vaporizer manifold test fixture, remove the ring seal on the vaporizer
manifold assembly. Then slide the test fixture onto the connector, as shown below.
Turn the knob clockwise until the bottom surface of the pressure head is in contact with the
top surface of the connector, as shown below.
8-9
8.2.4 Precautions for Using Negative Pressure Balls
Besides one sealing cover, the negative pressure ball also has two one-way valves at its front
end, as shown below. The built-in one is connected to the gas inlet of the ball to allow gas in,
and the exterior one allows gas out. If the front sealing cover is removed or loosened, the
sealing performance of the negative pressure ball will compromise. In this case, you need to
tighten the sealing cover.
Sealing cover Tighten the sealing cover Gas inlet
Exterior one-way valve (gas

outlet)
When the negative pressure ball is connected to the tested component, the ball allows gas in
only. However, it exhausts air out when being pressed.
Before using the negative pressure ball, make sure that it is not leaky. Check whether the
front sealing cover is tightened. Then flatten the negative pressure ball to remove the gas
inside. Install the gas outlet plug properly. Block the front gas inlet with your finger and then
release the ball. The ball should not visibly inflate for at least 30 seconds. If it does, replace
the ball.
8-10
8.3 Common Faults and Solutions
When the switch is No AC power supply is Check that the AC power supply is
turned to the ON connected and the batty capacity connected properly.
position, the AC and is insufficient.
battery indicators are The breaker for AC input is Reset the breaker. If the breaker is
off, the machine tripped and the battery capacity still tripped after reset, the machine
cannot ventilate and is insufficient. is short-circuited inside.
the screen is dark.
The fuse of the power board is Replace the fuse. If the machine still
blown and the battery capacity is cannot be started after the fuse is
insufficient. replaced, the machine is short-
circuited inside.
The auxiliary A/C The breaker of the auxiliary If there is still no voltage output
electrical outlet has no outlet is tripped. after the breaker is reset, short
voltage output. circuit or overcurrent occurs on the
A/C electrical outlet. Check that the
electrical outlet works properly and
its operating current is within the
normal range.
During the operation The VCM or valve is damaged. Choose [Main] > [Service] >
of the anesthesia [Diagnostic Tests] > [Valves]. Test
machine, ventilation the status of each valve and
stops suddenly but the reference power supply in the valve
display and buttons test window. If a valve malfunction
operate normally. or reference power supply fault is
detected, replace the VCM.
The standby needle The cable is not properly Check that the cable is properly
valve ejects connected for the adapter board connected.
automatically. of the flowmeter Air flow sensor.
The BFCS ejects automatically Check and make sure that the AC
when the alarm of low battery power supply is correctly connected
voltage is triggered. and that the BFCS can be retracted
manually via the button [Disable
Backup Flow Control] on the
screen after the alarm of low battery
voltage disappears.
The cable is not properly Check that the cable is properly
connected for the adapter board connected.
of the flowmeter N2O flow
sensor (Only available for BFCS
with N2O needle).
connected for the adapter board connected.
of the O2 flow sensor.
connected for the connected.
proportional valve of the
total flow sensor.
connected for the 3-way valve of connected.
the total flow Sensor
The adapter board of the air Replace the adapter board of the air
flow sensor is damaged. flow Sensor
The adapter board of the N2O Replace the adapter board of the
8-11
flow sensor is damaged (Only N2O flow Sensor
available for BFCS with N2O
needle).
The adapter board of the O2 Replace the adapter board of the O2
flow sensor is damaged. flow Sensor
The VCM of the total flow Replace the VCM of the total flow
sensor is damaged. sensor.
The standby needle The stepper motor is damaged. Replace the stepper motor.
valve does not eject The VCM of the total flow Replace the VCM of the total flow
after the BFCS sensor is damaged. sensor.
emergency button is
pressed manually.
8.4 Technical Alarms

A technical alarm, as apposed to a parameter alarm, is an alarm condition that exists no
matter whether a patient is connected to the machine. Technical alarms include:
 Startup alarm messages
 CPU board runtime alarms
 Power board runtime alarms
 Runtime alarms of the flow sensor board
 VCM runtime alarms
 AG module runtime alarms
Before troubleshooting the anesthesia machine, check for technical alarm messages. If an
alarm message is presented, eliminate the alarm first.
The following sections detail how to troubleshoot technical alarms related to the modules
mentioned above.
For detailed information on possible causes and actions for other alarm and prompt messages,
see the Operator’s Manual.
8-12
8.4.1 Startup Alarm Messages
Message Priority Cause Solution
Bundle Version
Error Software versions are 1. Upgrade the software to a compatible
High
Bundle Version: incompatible. version.
Time out
The CPU, RAM, address line, 1. Restart the machine.
Flowmeter Self watchdog, Flash, O2/N2O/air
2. If the problem persists, replace the
Test Error proportional valve self-test
High flow sensor board.
Flowmeter Self error, O2/N2O/air branch
leakage, traffic zero point error, 3. If the problem persists, replace the
Test: Time out
FPGA self-test error. CPU board.
Aux Control 2. Re-plug or replace the
Module Self Test 1. CPU, Flash, WED error. communication cable between the CPU
Error 2. After restart, the CPU board board and the auxiliary VCM.
High
Aux Control cannot communicate with the 3. If the problem persists, replace the
Module Self auxiliary VCM. auxiliary VCM.
Test: Time out 4. If the problem persists, replace the
CPU board.
2. Re-plug or replace the
1. CPU, timer, RAM, WTD,
Ventilator Self communication cable between the CPU
EEPROM, or AD error.
Test Error board and the VCM.
High 2. After restart, the CPU board
Ventilator Self 3. If the problem persists, replace the
cannot communicate with the
Test: Time out VCM.
VCM.
CPU board.
2. Measure the input voltage of the
VCM to check whether it is within the
Ventilator normal range.
High 5 V or 12 V voltage error
Voltage Error 3. If the input voltage is out of range,
replace the power board or cable.
VCM.
1. Check whether the pressure sensor on
the PEEP circuit complies with the
specifications. Calibrate the pressure
sensor in the service menu or replace
the sensor on the PEEP circuit when a
pressure error occurs.
2. Measure the voltage at the
PEEP Valve 1. PEEP valve voltage error. corresponding test point.
Med
Failure 2. PEEP valve pressure error. 3. Check the connection between the
power supply and the expiratory valve
assembly.
4. Replace the VCM when necessary.
5. Replace the expiratory valve
assembly when necessary.
6. Replace the power board when
necessary.
8-13
1. Check whether the inspiratory flow
sensor complies with the specifications.
Calibrate the flow sensor in the service
menu or replace the flow sensor when a
flow error occurs.
1. Inspiratory valve voltage corresponding test point.
Insp Valve
Med error. 3. Check the connection between the
Failure
2. Inspiratory valve flow error. power supply and the expiratory valve
assembly.
necessary.
corresponding test point.
2. Check the connection between the
PEEP Safety assembly.
Med PEEP safety valve fault.
Valve Failure 3. Replace the VCM when necessary.
necessary.
1. Check whether the zero point of the
flow sensor complies with the
specifications.
2. Check whether the values measured
Flow Sensor The measurement of the flow
Low by the flow sensor are within the
Failure sensor is out of range.
normal range.
3. Replace the flow sensor and calibrate
it.
4. Replace the VCM and calibrate it.
1. No calibration table is found
Calibrate Flow Perform service calibration. For details
in the EEPROM.
Sensor and Insp Low about how to calibrate the flow sensor,
2. The checksum in the
Valve see related section.
calibration table is incorrect.
Calibrate Perform service calibration. For details
in the EEPROM.
Pressure Sensor Low about how to calibrate the pressure
and PEEp Valve sensor, see related section.
calibration table is incorrect.
in the EEPROM.
1. Calibrate the O2 sensor again.
Calibrate O2 calibration table is incorrect.
Low 2. If the problem persists, replace the
Sensor 3. The difference of AD value
O2 sensor.
of 100% O2 and 21% O2 in the
O2 sensor table is less than
79AD.
8-14
Ventilator 2. Re-plug or replace the
Initialization communication cable between the CPU
After power-on, the CPU board
Error board and the VCM.
High cannot send the parameter
Ventilator 3. If the problem persists, replace the
settings to the VCM.
Initialization: VCM.
Time out 4. If the problem persists, replace the
CPU board.
1. Check whether gas is supplied
normally.
2. Short-circuit the pressure switch and
the alarm should disappear. Otherwise,
it indicates that the pressure switch is
Drive Gas
High The drive gas pressure is low. defective. Replace the pressure switch.
Pressure Low
If the pressure switch is not defective,
check the connection between the
pressure switch and the VCM.
VCM.
Use the same method as that of Drive
O2 Supply
High O2 supply failure. Gas Pressure Low to check the O2
Failure
pressure switch.
Power Supply corresponding test point.
High 3.3 V, 5 V, 12 V voltage error.
Voltage Error 2. If the problem persists, replace the
power board.
AC power AC power supply 1. Check AC power supply.
Low
failure disconnection 2. Check AC power connection.
RT Clock
High The clock chip malfunctions. 2. If the problem persists, replace the
Failure
VCM.
1. Check the cable connection between
Keyboard Self
the keyboard and the CPU board.
Test Error
High The keyboard malfunctions. 2. Restart the machine.
Keyboard
Selftest: Timeout
keyboard.
1. Re-plug the external AG module, and
then start it.
External AG
Self Test Error The external AG module
Low the gas bench and the CPU board.
External AG: malfunctions.
3. Check whether the gas bench works
Time out
properly.
4. Replace the external AG module.
Internal AG Self 1. Restart the machine.
Test Error 02 The internal AG module 2. Re-plug the cable between the
Low
Internal A: Time malfunctions. internal AG module and the CPU board.
out 3. Replace the internal AG module.
8-15
1. Re-plug the BIS module, and then
start it.
BIS Self Test
the gas bench and the CPU board.
Error
Low The BIS module malfunctions. 3. Check whether the main cable is
BIS Self Test
connected.
Error: Time out
properly.
1. Re-plug the CO2 module, and then
start it.
CO2 Self Test
Error
Low The BIS module malfunctions. the gas bench and the CPU board.
CO2 Self Test
Error: Time out
properly.
1. Re-plug the NMT module, and then
start it.
NMT Self Test
Error
Low The BIS module malfunctions. the gas bench and the CPU board.
NMT Self Test
Error: Time out
properly.
4. Replace the NMT module.
8.4.1.1 EFCS Self Test Error Alarm Numbering Conventions
ID No. Cause Solution

0x00000001 CPU self test error.
0x00000002 RAM self test error. 1. Restart the machine.
Address line self test 2. If the problem still persists, it belongs to hardware
0x00000004 failure. It may be 0632 EFCS VCM board PCBA failure.
error.
Watchdog self test Replace with a new board and return the faulty board to
0x00000008 R&D.
error.
0x00000010 FLASH self test error.
1. Open the rear cover plate. Check if the proportional
valve cable J7 in the EFCS module is properly inserted.
2. If cable connection is checked in good condition, give
O2 Prop Valve self test
0x00000020 priority to replacing 0632 EFCS VCM board PCBA.
error.
3. If the problem still persists after board replacement,
replace the O2 Prop Valve and return the faulty board or
proportional valve to R&D.
AIR Prop Valve self
test error.
replace the AIR Prop Valve and return the faulty board or
8-16
N2O Prop Valve self
test error.
replace the N2O Prop Valve and return the faulty board or
1 Select [Main]→[Service]→[Data Monitors]→
[Component]→[FCS].
2. Check the value of “O2 Limb Flow”. Make sure that this
value exceeds 0.07LPM. Then disconnect O2 supply (eject
BFCS and open needle valve in O2 limb to exhaust the
excess gas to prevent gas inside the pipeline from affecting
0x00000100 O2 flow leakage. the leak test result). After restarting the machine, if this
alarm is still triggered, it is considered that Sensirion flow
sensor in O2 limb is faulty. Replace this flow sensor.
3. If the fault disappears after O2 supply is disconnected, it
can be considered that O2 Prop Valve cannot be closed.
Consider to replace O2 Prop Valve and return the faulty
flow sensor or proportional valve to R&D.
2. Check the value of “AIR Limb Flow”. Make sure that
this value exceeds 0.07LPM. Then disconnect AIR supply
(eject BFCS and open needle valve in AIR limb to exhaust
the excess gas to prevent gas inside the pipeline from
0x00000200 AIR flow leakage. affecting the leak test result). After restarting the machine,
if this alarm is still triggered, it is considered that Sensirion
flow sensor in AIR limb is faulty. Replace this flow sensor.
3. If the fault disappears after AIR supply is disconnected,
it can be considered that AIR Prop Valve cannot be closed.
Consider to replace AIR Prop Valve and return the faulty
2. Check the value of “N2O Limb Flow”. Make sure that
this value exceeds 0.07LPM. Then disconnect N2O supply
(eject BFCS and open needle valve in N2O limb to exhaust
the excess gas to prevent gas inside the pipeline from
0x00000400 N2O flow leakage. affecting the leak test result). After restarting the machine,
if this alarm is still triggered, it is considered that Sensirion
flow sensor in N2O limb is faulty. Replace this flow
sensor.
3. If the fault disappears after N2O supply is disconnected,
it can be considered that N2O Prop Valve cannot be closed.
Consider to replace N2O Prop Valve and return the faulty
Startup zero reading 1. Restart the machine.
0x00000800
error. 2. If the problem still persists, it belongs to hardware
failure. It may be 0632 EFCS VCM board PCBA failure.
FPGA configuration
0x00001000 Replace with a new board and return the faulty board to
error.
R&D.
8-17
8.4.2 CPU Board Runtime Alarms
1. Set the IP address again.
The IP address is the same as
IP Address 2. If the problem persists, upgrade the
Med that of another machine on
Conflict system software or replace the CPU
the local network.
board.
1. Check whether the fan stops or runs
slowly (about 4000 rounds/min
normally).
2. Re-plug the fan cable.
3. If the problem persists, check whether
The fan speed is 20% less the 12 V power supply for fans is within
Fan Failure Med
than the rated value. the normal range. If not, check the power
board.
fan.
CPU board.
1. Check whether the fan stops or runs
slowly (about 4000 rounds/min
normally).
2. Re-plug the fan cable.
3. If the problem persists, check whether
The fan speed of the gas
the 12 V power supply for fans is within
Fan Failure 02 Med bench is lower than 3640
the normal range. If not, check the power
rounds/min.
board.
fan.
CPU board.
8-18
8.4.3 Power Board Runtime Alarms
2. Re-plug the communication cable.
3. Remove the internal battery. Power on
the power board again 5 minutes after it
is powered off.
The CPU board fails to
4. Replace the communication cable.
Power System communicate with the
High 5. Check whether the power board
Comm Stop power board for 10
seconds. software is correct. Upgrade the software
when necessary.
power board.
CPU board.
2. Remove the internal battery. Power on
the power board again 5 minutes after it
Power Supply 3.3 V, 5 V, 12 V voltage
High is powered off. Repeat step 1.
Voltage Error error
power board.
4. If the problem persists, contact the
technical support personnel.
1. Check the connection to the AC
mains. Re-connect the AC mains
immediately.
The battery voltage is less
Low Battery 2. Check whether the battery voltage is
High than 10.6 V for a
Voltage! within the normal range.
consecutive of 5 seconds.
3. Check whether the charging circuit
works properly. If not, replace the power
board.
2. If the problem persists, check the
battery voltage in the service menu. If
the battery voltage is less than 10.2 V,
replace the battery.
System going 3. If the problem persists, connect to the
The battery voltage is less
DOWN, battery High normal mains supply. Make sure that the
than 10.2 V.
depleted! AC indicator is on and charge the battery
for 20 minutes.
battery.
power board.
1. Check whether the battery voltage is
within the normal range.
2. Check whether the cable is connected
Battery Undetected Med No battery is detected. correctly.
3. Replace the battery.
power board..
8-19
1. Check the connection to the AC
mains.
2. If the AC mains is connected correctly
and the voltage is within the normal
Battery in Use Low AC power failure.
range, check the connection between the
AC mains and the power board.
power board.
1. Check whether the fan on the power
module operates properly.
The power board
Power Board High 2. Stop using the machine for a period of
High temperature exceeds
Temp time. If the problem persists after the
95ºC.
machine is restarted, replace the power
board.
1. Both resistance 1. Restart the machine.
temperatures exceed 2. If the problem persists, check whether
106ºC for consecutive 20 the heating temperature and voltage are
Heating Module seconds. within the normal ranges. If not, replace
Low
Failure 2. Either resistance the power board.
temperature exceeds 3. If the problem persists, replace the
110ºC for consecutive 15 CPU board and upgrade the system
seconds. software.
1. Check that the circuit is installed
correctly.
Breathing Circuit No breathing circuit is
High 2. Test the connection between the
Not Mounted mounted.
connection line and the connector.
3. Replace the power board.
8-20
8.4.4 Runtime Alarms of Flow Sensor Board
1. CPU DVCC, CPU
DVDD, CPU AVDD or
FPGA VPP , FPGA DVCC,
FPGA 1.2V, FPGA 3.3V,
AVCC, voltage error.
2. 3-way valve error.
Electronic Flow See 8.4.4.1EFCS Failure Alarm
Med 3. The O2, N2O, or air flow
Control Error Numbering Conventions for details.
sensor is faulty.
4. The O2/balance gas flow
is not detected. Or the
O2/balance gas temperature
is too high.
5. FPGA error.
Fresh gas is turned off in
normally.
NO Fresh Gas Med manual or mechanical
2. Turn on the fresh gas and set it to a
ventilation mode.
proper value..
The O2 flow exceeds the normally.
O2 Branch Flow preset value by 10% or 0.2 2. Check whether the flow sensor
Low
Not Achieved L/min. The greater value complies with the specifications.
prevails. 3. Replace the flow sensor when
necessary.
The balance gas flow normally.
Balance Gas
exceeds the preset value by 2. Check whether the flow sensor
Branch Flow Not Low
10% or 0.2 L/min. The complies with the specifications.
Achieved
greater value prevails. 3. Replace the flow sensor when
necessary.
Backup Flow
Control The solenoid actuator
High 2. Replace components of the backup
Deployment malfunctions.
flow control system.
Failure
Backup Flow 1. Restart the machine.

The stepper motor
Control Retraction Med 2. Replace components of the backup
malfunctions.
Failure flow control system.
normally.
the alarm should disappear. Otherwise, it
indicates that the pressure switch is
defective. Replace the pressure switch. If
Air Supply Failure Med Air supply failure.
the pressure switch is not defective,
pressure switch and the flow sensor
board.
flow sensor board.
8-21
Use the same method as that of Air
N2O Supply
Med N2O supply failure. Supply Failure to check the N2O
Failure
pressure switch.
1. Alarm mechanism: the needle valve
contact switch detects signals and pass
them to the EFCS VCM, which reads
high/low level to judge the status of
needle valve etc.
Backup Flow The BFCS needle valve is 2. Check if the needle valve knobs of all
Control Valves Med not fully turned off when limbs of the BFCS are already fully
Open EFCS is used. closed. If yes, it is considered that the
position switch where the needle valve is
located or the 0632 EFCS VCM board
PCBA is faulty. Replace the position
switch or board and return the position
switch or board to R&D.
If the machine functions
properly, the backup flow 1. Retract BFCS manually on the main
control system is enabled interface.
Backup Flow manually. 2. Access the service menu and retract
Low
Control Enabled If the flow sensor BFCS.
malfunctions, the backup 3. Restart the machine.
flow control system is 4. Replace the flow sensor board.
enabled automatically.
The CPU control board fails the flow sensor board and the CPU
Flowmeter Comm to communicate with the board.
Med
Stop flow sensor board for 10 3. Replace the flow sensor board when
seconds. necessary.
4. Replace the CPU board when
necessary.
Keyboard Comm the keyboard and the CPU board.
Med communicate with the
Stop 3. Replace the keyboard when necessary.
keyboard for 10 seconds.
4. Replace the CPU board when
necessary.
The BFCS ejection position
sensor malfunctions.
The BFCS retraction
Backup Flow See 8.4.4.2 BFCS Failure Alarm
Med position sensor
Control Error Numbering Conventions for details.
malfunctions.
BFCS LED voltage input
errors occur.
8-22
8.4.4.1 EFCS Failure Alarm Numbering Conventions
CPU AVDD Voltage Too
0x00000001
Low
CPU AVDD Voltage Too
0x00000002
High
CPU DVDD Voltage Too
0x00000004
Low
CPU DVDD Voltage Too
0x00000008
High
CPU DVCC Voltage Too
0x00000010
Low
CPU DVCC Voltage Too
0x00000020
High
FPGA VPP Voltage Too 1. Restart the machine.
0x00000040
Low 2. If the problem still persists, it belongs to hardware
FPGA VPP Voltage Too failure. It may be cable failure or board failure. Re-plug
0x00000080 cables J1 and J3 of EFCS board.
High
FPGA DVCC Voltage 3. If the problem still persists after cable re-plugging,
0x00000100 replace with a new 0632 EFCS VCM board PCBA and
Too Low
FPGA DVCC Voltage return the faulty board to R&D.
0x00000200
Too High
FPGA3.3V Voltage Too
0x00000400
Low
0x00000800
High
0x00001000
Low
0x00002000
High
0x00004000 AVCC Voltage Too Low
0x00008000 AVCC Voltage Too High
Three-way valve power- 1. Restart the machine.
0x00010000
off voltage too low 2. If the problem still persists, check if cable J5 of
Three-way valve power- EFCS board is normally connected.
0x00020000
off voltage too high 3. Consider to replace the three-way valve if cable
connection is normal.
Three-way valve power- 4. If the problem still persists after replacement, replace
0x00040000
on voltage too high with a new 0632 EFCS VCM board PCBA and return
the faulty three-way valve or board to R&D.
1. Turn off the machine. Check if the flow sensor cable
Sensirion flow sensor in connection is normal. Restart the machine after making
O2 limb is faulty, sure that cable connection is normal.
namely, 12C 2. If the problem still persists, consider to replace 0632
communication between flowmeter O2 flow sensor adapter board in O2 limb.
0x00080000
FPGA and Sensirion flow 3. If this failure is still triggered after replacing the 0632
sensor in O2 limb is not flowmeter O2 flow sensor adapter board, consider to
successful for continuous replace the 0632 EFCS VCM board. Return the faulty
1s. 0632 flowmeter O2 flow sensor adapter board or 0632
EFCS VCM board to R&D.
8-23
AIR limb is faulty, sure that cable connection is normal.
communication between flowmeter AIR flow sensor adapter board in AIR limb.
0x00100000
sensor in AIR limb is not flowmeter AIR flow sensor adapter board, consider to
1s. 0632 flowmeter AIR flow sensor adapter board or 0632
N2O limb is faulty, sure that cable connection is normal.
communication between flowmeter N2O flow sensor adapter board in N2O limb.
0x00200000
sensor in N2O limb is not flowmeter N2O flow sensor adapter board, consider to
1s. 0632 flowmeter N2O flow sensor adapter board or 0632
1. Select [Main]→[Service]→[Review Logs]→
[Alarms]. Observe if there is “FPGA FAIL” item
available (ID:1000 0000) triggering “Electronic Flow
Control Error” alarm.
2. If this item is available, it indicates that there is
problem with the communication between FPGA and
CPU. Or FPGA stops running, restart the machine. If
O2 Branch Flow Not the problem still persists after restarting the machine,
0x00400000 Achieved exceeds replace 0632 EFCS VCM board PCBA.
0.4LPM 3. If there is no “FPGA FAIL” item available, the part
of flow sensor in O2 limb may have problem. In this
case, turn off the machine and check flow sensor cable
connection. If cable connection is in good condition and
the problem still persists after restarting the machine, it
can be considered that the flow sensor is fault. Replace
the flow sensor.
4. Return the faulty board or flow sensor to R&D.
Balance Gas AIR Branch the problem still persists after restarting the machine,
0x00800000 Flow Not Achieved replace 0632 EFCS VCM board PCBA.
exceeds 0.4LPM 3. If there is no “FPGA FAIL” item available, the part
of flow sensor in AIR limb may have problem. In this
the flow sensor.
8-24
Balance Gas N2O Branch the problem still persists after restarting the machine,
0x01000000 Flow Not Achieved replace 0632 EFCS VCM board PCBA.
exceeds 0.4LPM 3. If there is no “FPGA FAIL” item available, the part
of flow sensor in N2O limb may have problem. In this
the flow sensor.
1. Make sure that the temperature of O2 supply gas does
not exceed 50℃. If excess temperature does not occur
to the gas supply, it is probably Sensirion flow sensor
failure in O2 limb.
0x02000000 O2 temperature limit
2. Turn off the machine. Restart the machine after
making sure that cable connection is normal. If the
problem still persists, consider replacing the O2 flow
sensor.
1. Make sure that the temperature of AIR supply gas
does not exceed 50℃ (the possibility is very small). If
excess temperature does not occur to the gas supply, it
Balance gas AIR is probably Sensirion flow sensor failure in AIR limb.
0x04000000
temperature limit 2. Turn off the machine. Restart the machine after
problem still persists, consider replacing the AIR flow
sensor.
1. Make sure that the temperature of N2O supply gas
does not exceed 50℃ (the possibility is very small). If
excess temperature does not occur to the gas supply, it
Balance gas N2O is probably Sensirion flow sensor failure in N2O limb.
0x08000000
temperature limit 2. Turn off the machine. Restart the machine after
problem still persists, consider replacing the N2O flow
sensor.
Restart the machine. If the problem still persists, it
0x10000000 FPGA FAIL belongs to hardware failure. It may be board failure.
Replace with a new EFCS board.
8-25
1. Alarm mechanism: open a certain flow. Compare the
measured values of O2 and N2O flow sensors in the
respective limb with those of O2 flow sensor in the total
limb. This alarm is triggered only when the measured
values of flow sensor in the limb is not consistent with
those of O2 flow sensor in the total limb. It is not a
problem with proportional valve or EFCS board.
2. Restart the machine. Conduct flow sensor single self
Flow sensor single self
0x20000000 test again. If the problem still persists, check if the cable
test error
connection between the flow sensor in each limb and
that in the total limb, and tube connection between the
flow sensor in the total limb and the EFCS module are
normal.
3. If the problem still persists with normal cable
connection and tube connection, replace the flow sensor
in O2 or N2O limb according to the prompt message of
self test result and return the faulty flow sensor to R&D.
8.4.4.2 BFCS Failure Alarm Numbering Conventions

LED Power Voltage Too 1. Restart the machine. If the problem still persists, it
0x00000001
Low belongs to hardware failure. It may be cable failure or
0632 EFCS VCM board PCBA failure.
LED Power Voltage Too 2. If the problem still persists after re-plugging the
0x00000002
High cable, replace with a new board and return the faulty
board to R&D.
Position switch where 1. Restart the machine. If the problem still persists, it
0x00000004
BFCS ejects is faulty. belongs to hardware failure. It may be cable failure or
position switch failure where BFCS ejects.
Position switch where 2. If the problem still persists after re-plugging the
0x00000008
BFCS retracts is faulty. cable, replace with a new position switch and return
the faulty part to R&D.
1. Alarm mechanism: run BFCS auto self test. Switch
three-way valve to BFCS limb. The measured flow by
total flow sensor is less than 0.2/min.
2. Restart the machine. Conduct BFCS system self test
again. If the problem still persists, set several O2
flows of around 1LPM under EFCS. Select [Main]→
[Service]→[Data Monitors]→[Component]→
[FCS]. Check if total limb flow is obviously smaller
BFCS Three-way valve than O2 limb flow (by more than 0.2LPM). If yes, re-
0x00000010
failure plug the flow sensor and then confirm if the measured
values are consistent.
3. If total limb flow is still obviously smaller than O2
limb flow, replace the O2 flow sensor in the total limb
to make the measured values consistent. Then conduct
BFCS system self test again. If the problem still
persists, consider replacing the three-way valve and
return the faulty flow sensor or three-way valve to
R&D.
8-26
8.4.5 VCM Runtime Alarms
The CPU board fails to 2. Re-plug the communication cable.
Aux Control
communicate with the 3. If the problem persists, replace the
Module Comm High
auxiliary VCM for 10 auxiliary VCM.
Stop
seconds. 4. If the problem persists, replace the
CPU board.
2. Measure the input voltage of the
VCM to check whether the voltage is
within the normal range. Check
Ventilator
High 5 V or 12 V voltage error. whether the cable is defective.
Voltage Error
3. If the input voltage is out of range,
replace the power board or cable.
VCM.
1. Check whether the pressure sensor
on the PEEP circuit complies with the
specifications. Calibrate the pressure
the sensor on the PEEP circuit when a
pressure error occurs.
PEEP Valve 1. PEEP valve voltage error. corresponding test point.
Med
Failure 2. PEEP valve pressure error. 3. Check the connection between the
assembly.
necessary.
1. Check whether the inspiratory flow
sensor complies with the
specifications. Calibrate the flow
the flow sensor when a flow error
occurs.
1. Inspiratory valve voltage 2. Measure the voltage at the
Insp Valve error. corresponding test point.
Med
Failure 2. Inspiratory valve flow 3. Check the connection between the
error. power supply and the expiratory valve
assembly.
necessary.
8-27
2. Check the connection between the
PEEP Safety PEEP safety valve voltage assembly.
Med
Valve Failure error. 3. Replace the VCM when necessary.
necessary.
1. Check whether the zero point of the
flow sensor is within the normal range.
2. Check whether the values
1. The inspiratory flow is out measurement by the flow sensor is
of range. within the normal range.
Flow Sensor 2. The expiratory flow is out 3. Replace the flow sensor and
Low
Failure of range. calibrate it.
3. The internal flow sensor is 4. Check the cable connection for the
disconnected. internal flow sensor. Re-plug the
cables. Replace the sensor when
necessary.
1. Check the one-way valve.
2. Check whether the sampling lines of
Check Flow 1. Inspiratory reverse flow. the sensor are connected in correct
High
Sensors 2. Expiratory reverse flow. order.
3. Test the measurement status of the
sensor in the diagnostic test tool.
1. Check for breathing circuit leakage.
2. Check the measurement accuracy of
Pinsp does not reach the
Pinsp Not the pressure sensor.
Low preset value in pressure
Achieved 3. Calibrate the pressure sensor in case
mode.
of measurement failure.
1. Check for breathing circuit leakage.
The tidal volume does not 2. Check the measurement accuracy of
Vt Not Achieved Low reach the preset value in the flow sensor.
volume mode. 3. Calibrate the flow sensor in case of
measurement failure.
1. The expiratory tidal
volume is less than the
inspiratory tidal volume by 1. Check whether the circuit and flow
200 ml or 50% for 30 sensor are correctly connected.
seconds.
Patient Circuit 2. Check whether the tidal volume
Med 2. The inspiratory tidal
Leak measured by the flow sensor meets the
volume is less than the
accuracy requirements.
delivered tidal volume in
volume mode. 3. Check for breathing circuit leakage.
3. The patient is not
connected.
8-28
1. Re-mount the Co2 absorber canister.
2. Check the cable connected between
the CO2 absorber canister and the
CO2 Absorber VCM. Replace the cable when
The CO2 absorber canister is
Canister Not High necessary.
not mounted.
Locked 3. If the problem persists, replace the
switch on the CO2 absorber canister.
VCM.
1. Make sure that the cable is correctly
connected for the O2 sensor.
O2 Sensor The O2 sensor is
Low 2. Check the voltage O2 sensor output
Disconnected disconnected.
in the calibration menu.
3. Replace the O2 sensor.
1. Check the output voltage of the O2
Replace O2 The O2 value is less than sensor in the calibration menu.
Med
Sensor 5%. 2. Calibrate the O2 sensor again.
3. Replace the O2 sensor.
The O2 concentration value 1. Calibrate the O2 sensor again.
Calibrate O2 exceeds 110% or ranges 2. Replace the O2 sensor.
Low
Sensor from 5% to 15% for 3
seconds.
2. Re-plug the communication cable.
Ventilator 3. If the problem persists, replace the
High communicate with the VCM
Comm Stop VCM.
for 10 seconds.
CPU board.
normally.
the alarm should disappear. Otherwise,
it indicates that the pressure switch is
Drive Gas The drive gas pressure is
High defective. Replace the pressure switch.
Pressure Low low.
If the pressure switch is not defective,
pressure switch and the VCM.
VCM.
Use the same method as that of Drive
O2 Supply The O2 supply pressure is
High Gas Pressure Low to check the O2
Failure low.
pressure switch.
ACGO 3-way Med The status of the 3-way 1. Test the connection of the 3-way
Valve Failure valve is incorrect. valve.
2. Replace 3-way valve.
3. Replace the VCM.
8-29
Auto Ventilation Low The machine fails the startup 1. Restart the machine.
Disabled self-test and only manual 2. If the problem persists, check related
ventilation is applicable. modules based on the startup self-test
results.
3. If the problem persists, replace
related modules based on the startup
self-test results.
Auto Ventilation Low The automatic circuit leak 1. Check that the circuit and pipeline
Disabled - Leak test fails. are installed correctly. Check whether
Test Failed the sampling port is occluded and
whether condensate drain is closed.
2. Perform the leak test again.
Auto Ventilation High The machine can apply only 1. Turn the manual ventilation switch
Disabled manual ventilation, but the to the manual position.
manual ventilation switch is
turned to the auto position.
ACGO Failure Med The status of the ACGO 1. Check whether the drive gas
switch is incorrect. pressure is within the normal range. If
not, ensure that the drive gas pressure
is within the normal range. Then turn
on or off the ACGO switch.
ACGO switch.
CPU board.
VCM.
Electronic Low No electronic ACGO is 1. Check whether an electronic ACGO
ACGO detected. module is configured for the machine.
Undetected If not, enter password 558188 to access
the special service menu, and
configure a correct ACGO type based
on actual conditions of the machine.
2. If so, check the connections between
the ACGO module and the CPU board,
and between the ACGO module and
the VCM.
3. Replace the electronic ACGO
module when necessary.
4. Replace the CPU board or VCM
when necessary.
Aux Monitor Low Protective module 1.3V 1. Restart the anaesthesia machine.
Board Voltage power supply voltage is 2. Measure the supply voltage of the
Failure abnormal. aux control board to make sure the
supply voltage is within the specific
given range. Check if the cables are
invalid.
3. If the supply voltage is out of the
specific voltage, replace the power
supply board or cables.
VCM.
8-30
Pressure monitor Med 1. PEEP pressure sensor 1. Cut off the gas supply and
channel failure contra-connection disconnect the gas connection with
2. The measured value of patients. Observe the sampling value
airway pressure sensor or of the pressure sensor.
PEEP pressure sensor is 2. If the zero deviation is large, check
beyond the range. if the pressure sampling pipes were
3. Airway pressure sensor or contra-connected, blocked or
PEEP pressure sensor zero oppressed.
point abnormality. 3. Zero calibrating manually.
monitor card.
8.4.6 Runtime Alarms of External AG Module

AG Hardware The AG hardware
Med Replace the AG module.
Error malfunctions.
The O2 sensor
O2 Sensor Error Med Replace the AG module.
malfunctions.
1. Re-plug the AG module.
External AG Self An error occurs during 2. If the problem persists or the alarm
Low
Test Error AG module self-test. occurs repeatedly, replace the AG
module.
The AG module is not
AG Hardware
High properly installed or Replace the AG module.
Malfunction
malfunctions.
1. Re-plug the AG module.
An error occurs during 2. If the problem persists or the alarm
AG Init Error High
AG initialization. occurs repeatedly, replace the AG
module.
The AG watertrap is 1. Check the AG watertrap.
AG No Watertrap Low disconnected from the 2. Replace the AG watertrap.
anesthesia machine. 3. Replace the AG module.
The patient type is
AG Watertrap
Low infant/neonate, and Change the watertrap type.
Type Wrong
watertrap type is adult.
1. Check the AG watertrap.
AG Change The watertrap needs to
Med 2. Replace the AG watertrap.
Watertrap be replaced.
3. Replace the AG module.
The AG module 1. Replace the communication cable of
AG Comm Stop High malfunctions or the the AG module.
communication fails. 2. Replace the AG module.
The pump rate of the AG 1. Check the sampling of the AG
AG Airway module is below 20 module.
High
Occluded ml/min for more than 1 2. Replace the AG watertrap.
second. 3. Replace the AG module.
AG Data Limit The AG module
Med Replace the AG module.
Error malfunctions.
8-31
Zeroing for the AG 1. Zero the AG module again.
AG Zero Failed Low
module fails. 2. Replace the AG module.
Calibration for the AG 1. Calibrate the AG module again.
AG Cal. Failed High
module fails. 2. Replace the AG module.
O2 Accuracy The measured values 1. Calibrate the AG module again.
Low
Unspecified exceed the normal range. 2. Replace the AG module.
N2O Accuracy The measured values 1. Calibrate the AG module again.
Low
CO2 Accuracy The measured values 1. Calibrate the AG module again.
Low
Enf Accuracy The measured values 1. Calibrate the AG module again.
Low
Iso Accuracy The measured values 1. Calibrate the AG module again.
Low
Sev Accuracy The measured values 1. Calibrate the AG module again.
Low
Hal Accuracy The measured values 1. Calibrate the AG module again.
Low
Des Accuracy The measured values 1. Calibrate the AG module again.
Low
The AG module detected
two and more kinds of
Mixed Agent Low halogenated agents. Use only one type of halogenated agent.
The measured MAC is
less than 3.
halogenated agents. It
Mixed Agent Med Use only one type of halogenated agent.
cannot detect the specific
MAC value (invalid
value).
Mixed Agent and halogenated agents. The
Med Use only one type of halogenated agent.
MAC ≥ 3 measured MAC is
greater than or equal to
3.
1. Decrease the concentration of the
The monitored value monitored gas to normal range.
CO2 Overrange Low exceeds the measurement
2. Calibrate the AG module again.
range.
O2 Overrange Low exceeds the measurement
range.
N2O Overrange Low exceeds the measurement
range.
8-32
Hal Overrange Low exceeds the measurement
range.
Enf Overrange Low exceeds the measurement
range.
Iso Overrange Low exceeds the measurement
range.
Sev Overrange Low exceeds the measurement
range.
Des Overrange Low exceeds the measurement
range.
1. Decrease the respiratory rate to
The monitored value normal range.
Rate Overrange Low exceeds the measurement
range.
8.4.7 Runtime Alarms of Internal AG Module

Internal AG Error The AG hardware Replace the AG module.
Low
01 malfunctions.
Internal AG Error An error occurs during Replace the AG module.
Low
02 AG module self-test.
The AG module is not
Internal AG Error
Low properly installed or Replace the AG module.
03
malfunctions.
Internal AG Error An error occurs during Replace the AG module.
Low
04 AG initialization.
The AG module 1. Replace the communication cable of
Internal AG Error
Low malfunctions or the the AG module.
05
communication fails. 2. Replace the AG module.
Internal AG Error Zeroing for the AG 1. Zero the AG module again.
Low
07 module fails. 2. Replace the AG module.
Internal AG Error Calibration for the AG 1. Calibrate the AG module again.
Low
08 module fails. 2. Replace the AG module.
1. Check the substitutional device of the
The substitutional watertrap of the internal AG module.
Internal AG Error device of the watertrap
Low 2. Replace the substitutional device of
09 of the internal AG
the watertrap of the internal AG module.
module loosens.
8-33
1. Check the sampling of the AG
The pump rate of the module.
Internal AG Error AG module is below
Low 2. Replace the substitutional device of
10 20 ml/min for more
the watertrap of the internal AG module.
than 1 second.
1. Check the substitutional device of the
The substitutional watertrap of the internal AG module.
Internal AG Error
Low device of the watertrap 2. Replace the substitutional device of
11
needs to be replaced. the watertrap of the internal AG module.
The measured AG 1. Calibrate the AG module again.
Internal AG Error module parameter 2. Replace the AG module.
Low
12 values exceed the
normal range.
8.4.8 BIS Module Runtime Alarms

The system fails to
receive information 1. Re-plug the BIS module.
BIS Init Error High
about BIS module 2. Replace the BIS module.
initialization.
Waveform data packet
is not received for
1. Check the communication cable
continuous 2s; or, data
between BIS module and main
BIS Comm Abnormal High packet of BIS
system.
monitored parameters
is not received for
continuous 4s.
BIS Over Range The monitored value
exceeds the
BIS L Over Range Low Replace the BIS module.
measurement range of
BIS R Over Range the module.
The sensor is not
1. Check the contact between BIS
properly adhered to
BIS High Imped. Low sensor and patient skin.
the patient skin. The
2. Replace with a new BIS sensor.
impedance is too high.
The sensor falls off
BIS Sensor Off Low sensor and patient skin.
from the patient.
The impedance of BIS 1. Check the contact between BIS
BIS Electrode 1 High
Low electrode 1 is too sensor electrode 1 and patient skin.
Imped.
high. 2. Replace with a new BIS sensor.
BIS Electrode 1 Lead BIS electrode 1 falls
Low sensor electrode 1 and patient skin.
Off off from the patient.
Imped.
8-34
Imped.
high.。 2. Replace with a new BIS sensor.
Imped.
high.。 2. Replace with a new BIS sensor.
BIS Electrode G High
Low electrode G is too sensor electrode G and patient skin.
Imped.
BIS Electrode G Lead BIS electrode G falls
Low sensor electrode G and patient skin.
BIS Electrode C High
Low electrode C is too sensor electrode C and patient skin.
Imped.
BIS Electrode C Lead BIS electrode C falls
Low sensor electrode C and patient skin.
The impedance of BIS
BIS Electrode LE sensor electrode LE and patient
Low electrode LE is too
High Imped. skin.
high.
BIS Electrode LE BIS electrode LE falls sensor electrode LE and patient
Low
Lead Off off from the patient. skin.
BIS Electrode LT sensor electrode LT and patient
Low electrodeLT is too
High Imped. skin.
high.
BIS Electrode LT BIS electrode LT falls sensor electrode LT and patient
Low
BIS Electrode RE sensor electrode RE and patient
Low electrode RE is too
High Imped. skin.
high.
BIS Electrode RE BIS electrode RE falls sensor electrode RE and patient
Low
8-35
BIS Electrode RT sensor electrode RT and patient
Low electrode RT is too
High Imped. skin.
high.
BIS Electrode RT BIS electrode RT falls sensor electrode RT and patient
Low
BIS DSC
BIS DSC Error Low Replace the BIS module.
BIS DSC
malfunctions and
BIS DSC Malf Low Replace the BIS module.
turns off
automatically.
BIS cable is not 1. Check the BIS cable.
BIS No Cable Low
connected. 2. Replace the BIS cable.
BIS sensor is not 1. Check the BIS sensor.
BIS No Sensor Low
connected. 2. Re-install the BIS sensor.
1. Check if the use times of BIS
BIS Sensor Too Many BIS sensor is over- sensor exceeds the restricted times
Low
Uses used (100 times).
2. Replace the BIS sensor.
BIS SQI<50% Low SQI is low. sensor and patient skin.
SQI is very low,
prompting the user
BIS SQI<15% Low sensor and patient skin.
that BIS value is not
reliable.
SQI L is very low,
prompting the user
BIS SQI L<15% Low sensor and patient skin.
reliable.
BIS SQI L<50% Low SQI L is lower. sensor and patient skin.
SQI R is very low,
prompting the user
BIS SQI R<15% Low sensor and patient skin.
reliable.
BIS SQI R<50% Low SQI R is lower. sensor and patient skin.
1. Check the validity period of BIS
BIS Sensor Expired Low BIS sensor is expired. sensor.
BIS Electrode BIS sensor electrode
Low
Unconnected is not connected.
BIS cable is not 1. Check the interface between BIS
connected to the plug- cable and plug-in module.
BISx Disconnected Low in module or 2. Replace the BIS cable.
communication 3. Replace the plug-in module of
malfunctions. BIS module.
BIS Wrong Sensor Mindray undeclared 1. Check the type of BIS sensor.
Low
Type BIS sensor is used. 2. Replace the BIS sensor.
8-36
Sensor overcurrent, or
1. Check the BIS sensor.
BIS Sensor Failure Low positive electrode
error.
Overcurrent error
accumulates to three
times and positive
electrode error
accumulates to twice.
Disconnect/Reconnect It is necessary to
Low Re-plug the BIS sensor.
BIS power off and then
power on the BIS
module. The use shall
re-plug the BIS
module or BIS plug-in
box.
1. Re-plug the BIS module.
An error occurs to
BIS Self Test Error Low 2. If the problem persists, replace
BIS module self test.
the BIS module.
8.4.9 CO2 Module Runtime Alarms

1. Replace the communication cable
CO2 module error or
CO2 Comm Stop High for CO2 module.
Comm error.
CO2 Sensor Temp too Replace the CO2 module.
CO2 Sensor High
Low high(greater than 63°
Temp
C).
CO2 Sensor Low CO2 Sensor Temp too Replace the CO2 module.
Low
Temp low(lower than 5 °C)
1. Check the airway pressure.
Airway Press too
CO2 High Airway 2. Re-install the sampling line of
Low high(greater than
Press. CO2 module.
790mmHg)
1. Check the airway pressure.
Airway Press too
CO2 Low Airway 2. Re-install the sampling line of
Low low(lower than
Press. CO2 module.
428mmHg)
CO2 High Barometric is greater Replace the CO2 module.
Low
Barometric than 790mmHg
CO2 Low Barometric is lower Replace the CO2 module.
Low
Barometric than 790mmHg
1.External AD 2.5V Replace the CO2 module.
Error
2.12V Voltage Error
CO2 Hardware
High 3.Internal AD 2.5V
Error
Error
4.Air pump Error
5.3-Way Valve Error
1. Check the sampling line of CO2
CO2 Sampleline
Low Sampleline Occluded module.
Occluded
CO2 System Error Low multi-System error Replace the CO2 module.
8-37
1. Check the CO2 watertrap.
2. Re-install the CO2 watertrap.
CO2 No Watertrap or
3. If the problem is not eliminated,
CO2 No Watertrap Low Watertrap
replace the CO2 watertrap.
disconnected.
CO2 module.
The monitoring value
1. Re-calibrate the CO2 module.
EtCO2 Overrange Low exceeds the
measurable range.
The monitoring value
1. Re-calibrate the CO2 module.
FiCO2 Overrange Low exceeds the
measurable range.
Mindray CO2 module 1. Re-zero the CO2 module.
CO2 Zero Failed Low
Error 2. Replace the CO2 module.
CO2 Init Error High CO2 Init Error Replace the CO2 module.
The CO2 module Replace the CO2 module(not
Incompatible CO2
High detected is not applicable to M02A module).
Software Version
compatible.
The mainstream CO2
CO2 Sensor Error Low Replace the CO2 module.
module sensor Error
The mainstream CO2 1.Check the sensor of the
module sensor mainstream CO2 module
CO2 No Sensor Low
disconnection or 2. Replace the mainstream CO2
communication error module sensor
MiniMedi CO2 airway
CO2 Check Airway Low Replace the CO2 module.
abnormal or block
1.Check CO2 module sampling
MiniMedi CO2 pipe
CO2 No Sample line Low disconnected with 2.Replace CO2 module
sampling pipes. sampling pipe
3.Replace the CO2 module.
CO2 Main Board MiniMedi CO2
High Replace the CO2 module.
Error module Error
CO2 Check Sensor MiniMedi CO2
Low Replace the CO2 module.
or Main Board module Error
CO2 Replace MiniMedi CO2
Low Replace the CO2 module.
Scrubber&Pump module Error
MiniMedi CO2
CO2 Replace Sensor Low Replace the CO2 module.
module Error
CO2 15V Voltage MiniMedi CO2
High Replace the CO2 module.
Over Range module Error
MiniMedi CO2
module working
CO2 Temp Over
Low temperature is over Replace the CO2 module.
range
than that in regular
working status.
MiniMedi CO2
CO2 Check Cal. Low Recalibrate the CO2 module
module Error
8-38
8.4.10 NMT Module Runtime Alarm
NMT No Main Low NMT main cables Please check the connection between
Cables disconnected. the main cables and NMT module.
NMT No Sensor Low NMT sensor 1 Check the connection between the
disconnected sensor and NMT module to ensure
the normal connection.
2 If the alarm persists, please replace
the sensor.
NMT Stimulation Low NMT stimulating 1 Check the connection between the
Electrode off electrode fell off. stimulating cables and the main cable
to ensure the normal normal
connection.
2 If the alarm persists, please check
the connection between the patient
and the stimulating electro.
NMT Sensor Comm. Low NMT sensor comm. 1 Check the connection between the
Error error sensor and the main cable of NMT
module to ensure the normal
connection.
the sensor or NMT module
NMT Stimulation Low 1 Check the connection between the
current over Limit The stimulating stimulating cable and the main cable
current value of NMT to make sure the normal connection
module output between the patient and the
overanges the specific stimulating eletro.
value. 2 If the alarm persists, please replace
the NMT module or related
component.
NMT Comm. High Abnormal NMT 1 Re-plug the NMT module, main
Abnormal communication cable, sensor and the stimulating
electro, or plug the NMT to the other
machine. Eliminate the error
situations one by one.
component.
NMT Comm. Stop High NMT communication 1 Re-plug the NMT module, main
stops cable, sensor and the stimulating
electro, or plug the NMT to the other
machine. Eliminate the error
situations one by one.
component.
NMT Init Error High NMT initializes 1 Re-plug the NMT module or restart
incorrectly. the anaesthesia machine
the NMT module.
NMT Self Test Error Low NMT Self Test Error 1 Re-plug the NMT module or restart
the anaesthesia machine
the NMT module.
8-39
NMT Power Error High NMT mainstream 1 Please check the connection
disconnected or between the main cable and NMT
abnormal module.
communication 2 If the alarm persists, please replace
the NMT module.
ST-Ratio Over Range Low NMT power supply Replace the NMT module.
error.
TOF-Ratio Over Low ST-Ratio 1 Recalibrate the sensor.
Range measurement 2 Replace the sensor or NMT
overrange. module.
DBS-Ratio Over Low TOF-Ratio 1 Recalibrate the sensor.
Range measurement 2 Replace the sensor or NMT
overrange module.
8.5 Circuit Leak Tests

Note
 Perform pneumatic leak tests when maintaining the anesthesia machine, or after
replace components or re-connect lines.
8.5.1 Circuit Leak Test in Mechanical Ventilation Mode

This test aims to check whether the pneumatic circuit has leakage problems in mechanical
ventilation mode. Test items include bellows, drive gas circuits, CO2 absorber canisters,
patient tubes, flow sensors, and flow sensor connectors.
To perform the breathing system leak test in mechanical ventilation mode, do as follows:
1. You can access the automatic circuit leak and compliance test screen after power-on and
self-test. You can also open the Main and click the Test Leak/Compliance under the
General. Then you will see the automatic circuit leak and compliance test screen. The
following picture shows the automatic circuit and compliance test screen.
2. Perform the related operations according to the directions in the screen.
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Note
 In case of leak test failure, check all possible leak sources, including bellows,
breathing system tubes and CO2 absorber canister. Check that they are correctly
connected and their connectors are not damaged.
8.5.2 Circuit Leak Test in Manual Ventilation Mode

This test aims to check whether the pneumatic circuit has leakage problems in manual
ventilation mode. Test items include APL valves, one-way valves, CO2 absorber canisters,
patient tubes, flow sensors, and flow sensor connectors.
To perform the breathing system leak test in manual ventilation mode, do as follows:
1. You can access the manual circuit leak test screen after the automatic circuit leak and
compliance test is passed. You can access the Main in Standby and select Test
Leak/Compliance in the Calibrate menu to access the manual circuit leak test screen.
The manual circuit leak test screen is shown below.
2. Follow the setup directions in the screen.
Note
 If there is a leakage problem, check the pneumatic circuit system for leakage and
troubleshoot the problems as described in section 7.2.3 in chapter 7. After
troubleshooting the leakage problem, repeat the leak test.
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8.5.3 Troubleshooting: Leak Test
The following figures show the leak test for the low-voltage ventilation system. For details,
see the related section.
4. Leak test Figure c Leak

Fail test for
for all tubes
in the circuit internal tubes
Fail
adapter of the machine
1. Breathing Pass
system leak test Pass Figure b Leak Figure d
in mechanical test in manual Respiratory
ventilation mode ventilation mode circuit leak test
Fail
Check whether the bellow,
soda lime canister (clean the 1. Breathing
mouth and sealing pad), system leak test in
watertrap, airway pressure mechanical
gauge, and valve cover are ventilation mode
installed properly.
Figure a System leak test
7. Check the seals of Figure b Leak

Pass Check the Completed the support tubes on the Completed Fail
test in manual
2. Leak test seals for the intermediate board of ventilation
in manual manual the APL valve and mode
ventilation breathing bag those of the automatic/
mode and its manual ventilation
supports switch assembly Fail
For example, check the manual breathing bag. If you replace it after finding that it is
damaged, the screen for breathing system leak test in manual ventilation mode is Replace the
displayed. If the test fails, you can skip the step of checking the seals for the manual patient circuit
breathing bag and its supports, and directly go to the next step. End
Figure b Leak test in manual ventilation mode

Note
 After troubleshooting faults, perform the failed test again before proceed with the
current step. If the test fails again, perform the leak test based on the flowchart.
You can skip the steps after test success or component maintenance.
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Figure c Leak test for internal tubes of the machine
Figure d Respiratory circuit leak test

Note
 After troubleshooting faults, perform the failed test again before proceed with the
current step. If the test fails again, perform the leak test based on the flowchart.
You can skip the steps after test success or component maintenance.
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The following table lists the commonly encountered problems and recommended actions for
section 8.5.1 in chapter 8.
Leak test failure is The Auto/Manual ventilation Turn the Auto/Manual ventilation
prompted immediately switch is set to the manual switch to the mechanical
after Start is selected position and the message Manual ventilation position.
(Typically, the leak test Vent. is prompted.
requires at least 3 The read value on the drive gas Replace or connect the gas supply
minutes). (O2) pressure gauge indicates and make sure that the drive gas
drive gas pressure low (lower pressure ranges from 350 kPa to
than 200 kPa) and the alarm 450 kPa.
Drive Gas Pressure Low is
generated.
During the leak test, the 1. Before the leak test, the Check the pneumatic circuit
pressure measured by bellows is not fully inflated. connection and re-install the
the airway pressure 2. The Y piece on the breathing pneumatic circuit.
gauge is below 30 tube is not connected to the test
cmH2O. plug.
3. The bellow housing,
watertrap, airway pressure
gauge, valve cover, or CO2
absorber canister is not properly
installed.
8.6 Constant-flow Ventilation

For details about constant-flow ventilation, see the related section.
8.7 Sensor and Valve Faults

To use the valve diagnostic tool to troubleshoot the sensor or valve faults, you must be
familiar with the one-to-one correspondence between the menu options on the valve
diagnostic tool screen and the actual pneumatic circuit and hardware components.
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8.7.1 Correspondence Between Menu Options and Pneumatic
Circuit Components
The following figure shows the one-to-one correspondence between the sensors/valves on the
valves diagnostic tool screen and the actual components in the pneumatic circuit diagram
Correspondence between menu options and pneumatic circuit components
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The following figure shows how the sampling lines of the sensors are actually connected on
the VCM.
Airway pressure
PEEP pressure Inspiratory flow sensor
Gas flow direction
Expiratory flow sensor
8.7.2 Preparations Before Using the Diagnostic Tool

Make the following preparations before using the valve diagnostic tool to identify valve or
sensor faults:
1. Connect the pneumatic circuit according to the type of sensor or valve to be checked.
Before using the Diagnostic Tests menu, connect the tubes of the anesthesia machine
based on the constant-flow connection method to check the flow sensors and inspiratory
valve. For details, see section 6.3.2 in chapter 6.
2. Make sure that the supply gas pressure is within the normal range.
3. When the system is in standby mode, click Main and choose Service Diagnostic Tests
to access the Diagnostic Tests menu.
8.7.3 Zero Point Errors of Sensors

In the Diagnostic Tests menu, you can easily check whether the zero points of all the
pressure and flow sensors are within the normal range.
To diagnose the zero points of the sensors, do as follows:

1. Disconnect all gas supplies and make sure that the actual values of the sensors are 0.
2. Check the A/D count values of the sensors in the valve test tool menu, which are the
zero points of the sensors.
3. If the zero point of one sensor is beyond range, the VCM is faulty. You need to replace
the VCM.
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You can also check the zero points of the sensors by referring to section 3.10 in chapter 3.
Note
 For the normal range of sensors’ zero points, see section 3.10 in chapter 3.
8.7.4 Connection and Measurement Faults of Flow Sensors

A flow sensor has two sampling lines. Connection errors are listed as follows:
 The two sampling lines are connected reversely.
 One sampling line is not connected.
 Neither sampling lines is connected.
In the Diagnostic Tests menu, you can check whether the sampling lines are connected
correctly.
To diagnose the sampling line connection of a flow sensor, do as follows:

1. Connect the tubes of the anesthesia machine based on the constant flow connection
method. For details, see section 7.8.3 in chapter 7.
2. Make sure that gas supplies work properly. In Diagnostic Tests, set PEEP safety valve
to ON and the D/A value of the PEEP valve to a value more than 1500, making sure that
the PEEP valve is above 30 cmH2O.
3. Increase the D/A value of the inspiratory valve gradually and the A/D value of the flow
sensor should also increase. With the gradual increase of gas supplied:
 If the A/D value of one sensor decreases gradually, the two sampling lines of the
sensor may be connected reversely.
 If the A/D value of one sensor remains unchanged, the two sampling lines of the
sensor are broken or not connected.
 If the A/D value of one sensor is near the saturation value (above 4000) quickly,
the sampling line at the low pressure end (gas outlet) of the sensor may not be
connected.
 If sampling line connection errors are detected, re-connect all sampling lines and
check that they are connected correctly.
To diagnose the measurement error of a flow sensor, do as follows:

After confirming that both the zero point and the sampling line connections of the sensor are
correct, check the measurement accuracy of the flow sensor.
 With the gradual increase of the actual flow, the value measured by the flow sensor
should also increase. Otherwise, the calibration data is incorrect. You need to calibrate
the flow sensor again.
 Compared with the value measured by the standard flow measurement device
(anesthesia machine calibration device), the value measured by the flow sensor should
be accurate. Otherwise, the calibration data is incorrect. You need to calibrate the flow
sensor again.
For details, see section 3.11 in chapter 3.
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8.7.5 Connection and Measurement Faults of Pressure
Sensors
A pressure sensor has one sampling line. Connection errors are listed as follows:
 The sampling line is not connected.
 The sampling line is connected incorrectly.
In the [Diagnostic Tests] menu, you can check whether the sampling lines are connected
correctly.
To diagnose the sampling line connections of a pressure sensor, do as follows:
 During normal ventilation, if a sampling line connection error occurs, it can be easily
detected based on the Paw waveform and technical alarms. With the increase of the
actual pressure, pressure waveform data decreases and the alarm of Paw Too Low or
Patient Circuit Leak is generated simultaneously. This indicates that the sampling line of
the airway pressure sensor is connected incorrectly.
 You can access the [Diagnostic Tests] menu to set the PEEP safety valve to ON.
Gradually increase the D/A value of the PEEP valve and observe whether the A/D value
of the PEEP pressure sensor also increases gradually. If not, the PEEP pressure sensor
may be connected incorrectly.
To diagnose the sampling line connections of a pressure sensor in case of pressure calibration
failure, do as follows:
1. Connect the tubes of the anesthesia machine based on section 7.8.3 in chapter 7.
2. Make sure that the watertrap is remounted.
3. Make sure that gas supplies work properly. In the [Diagnostic Tests] menu, set the
PEEP safety valve to ON. Set [Insp. Valve] to [5 L/min].
4. Increase the D/A value of the PEEP valve gradually and the A/D value of the pressure
sensor should also increase due to the gradual increase of actual pressure.
 If the A/D value of one sensor decreases gradually, the sampling line of the sensor
may be connected incorrectly.
 If the A/D value of one sensor remains unchanged, the sampling line of the sensor
may not be connected.
 The pressure of the airway pressure gauge should increase. If not, the airway
pressure gauge is damaged.
5. If sampling line connection errors are detected, re-connect the sampling lines and check
that they are connected correctly.
To diagnose the measurement error of a pressure sensor, do as follows:

 With the gradual increase of the actual pressure, the value measured by the pressure
sensor should also increase. Otherwise, the calibration data is incorrect. In this case, you
need to calibrate the pressure sensor again.
 Compared with the value measured by the standard pressure measurement device
(anesthesia machine calibration device), the value measured by the pressure sensor
should be accurate. Otherwise, the calibration data is incorrect. In this case, you need to
calibrate the pressure sensor again.
For details, see section 3.12 in chapter 3.
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8.7.6 Inspiratory Valve Faults
In Diagnostic Tests, you can check whether the opening state of the inspiratory valve is
correct.
1. The methods for tube connections and settings of the anesthesia machine are the same as
those for sampling line connections of the flow sensors. For details, see section 7.8.3 in
chapter 7.
2. In the [Diagnostic Tests] menu, gradually increase the D/A value of the inspiratory
valve. If the values measured by the ventilator flow sensor, inspiratory flow sensor, and
expiratory flow sensor change a little bit and low gas flow is felt at the connector of the
watertrap, the inspiratory valve or the D/A on the VCM is faulty.
3. Normally, when the D/A value of the inspiratory valve is set to 2500, the flow measured
by the standard flow measurement device can reach 90 L/min.
4. If the D/A value of the inspiratory valve is set to a value greater than 4000 and the flow
measured by the standard flow measurement device fails to reach 90 L/min, flow sensor
calibration fails. In this case, you need to replace the expiratory valve assembly or the
VCM.
5. To check whether the D/A value on the VCM is improper, you can use a multimeter to
measure the D/A output on the VCM corresponding to the inspiratory valve. If the
voltage also increases when the D/A value increases, and the voltage is near 6 V when
the D/A value is set to a value greater than 4000, the D/A value on the VCM
corresponding to the inspiratory valve may be normal.
6. After the expiratory valve assembly or the VCM is replaced, you can use the similar
method to check whether the problem is fixed.
8.7.7 PEEP Safety Valve Faults

When the PEEP safety valve is steady off and the gas supplies work properly, the Drive Gas
Pressure Low alarm is generated.
In [Diagnostic Tests], you can check whether the opening states of the PEEP safety valve and
PEEP valve are correct.
To diagnose the opening state of the PEEP safety valve, do as follows:

1. Make sure that gas supplies work properly.
2. In the [Diagnostic Tests] menu, if the PEEP safety valve is turned on, a light sound is
heard.
3. Adjust the D/A value of the PEEP valve to ensure that the pressure measured by the
PEEP pressure sensor exceeds 0 cmH2O.
4. Turn off the PEEP safety valve. The pressure measured by the PEEP pressure sensor
should drop to 0 cmH2O immediately. Turn on the PEEP safety valve. The value
measured by the PEEP pressure sensor rapidly restores almost the same value to that
before the PEEP safety valve is turned off. During this period, gas flows at the PEEP
outlet and the volume changes when the PEEP safety valve is turned on or off. This is a
basis for checking whether the PEEP safety valve is turned on or off correctly.
5. If an error is detected, the PEEP safety valve or the safety valve drive voltage on the
VCM is defective. You can use a multimeter to measure the drive signals on the VCM
corresponding to the PEEP safety valve (measured at the corresponding socket). If the
PEEP safety valve is turned on, the drive voltage should be close to 6 V. If the PEEP
safety valve is turned off, the drive voltage should be close to 0 V. If these two
conditions are met simultaneously, the VCM functions normally.
6. If the PEEP safety valve is defective, replace the expiratory valve assembly. After
replacement, you can use the similar method to check whether the problem is fixed.
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8.7.8 PEEP Proportional Valve Faults
If the PEEP valve is defective, pressure related alarms are generated in mechanical
ventilation mode.
In [Diagnostic Tests], you can check whether the opening state of the PEEP valve is correct.
To diagnose the opening state of the PEEP valve, do as follows:

1. Make sure that gas supplies work properly. In the [Diagnostic Tests] menu, set the
PEEP valve to ON.
2. With the increase of the D/A value of the PEEP valve, the value measured by the PEEP
pressure sensor (or the anesthesia machine calibration device) should also increase. Note
that there is a non-response area for the PEEP valve when the D/A value is relatively
small. If the D/A value is smaller than the lower limit of the range, the PEEP valve
cannot be opened and the output is fixed at 0. If the D/A value is greater than the upper
limit of the range, the output pressure increases accordingly when the D/A value
increases. This phenomenon also exists for the inspiratory valve.
3. For subsequent diagnosis rules, see section 7.8.7 in chapter 7.
8.8 Other Faults and Handling Methods

The pneumatic system is mainly composed of the anesthetic gas delivery system, anesthetic
agent delivery device (vaporizer), anesthetic ventilator, breathing system, and anesthetic gas
scavenging system. This section describes possible faults regarding the pneumatic system and
rectification methods.
8.8.1 Effectiveness Test for the Pipeline Pressure Gauge and

Correction of the Regulator
The following table lists the faults relevant with the gas supplies and drive gas.

Leak The gas supply tube is Replace the gas supply tube or the seal at the
damaged, or the seal at connection.
the connection is
damaged.
The quick plug-in Replace the quick plug-in connector or PU
connector leaks. tube (when the PU tube is not damaged, if the
tube is long enough, cut off a small segment
of the tube where the quick plug-in connector
is met, and then insert the tube in position).
The pipeline gas supply Check if the check valve of the pipeline gas
inlet assembly leaks. supplies inlet assembly leaks in the reverse
direction. Replace it if necessary. Check and
replace the damaged seal of the pipeline gas
supplies inlet assembly. If the problem
persists, replace the pipeline gas supplies inlet
assembly.
The drive gas pipeline Check and repair the expiratory valve
leaks. assembly based on section 8.8.11"Leak Test
for the Low-Pressure Pneumatic Circuit
System."
The pipeline The pipeline pressure Replace the pipeline pressure gauge.
pressure gauge gauge is damaged.
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shows inaccurate
readings or no
readings.
The readings on the The filter of the pipeline 1. After confirming that the pipeline gas
pipeline pressure gas supply inlet assembly pressure is stable, check the PU tube of the
gauge fluctuate or the PU tube of the pipeline pressure gauge and the filter of the
significantly. pipeline pressure gauge pipeline gas supply inlet assembly. If the tube
is occluded, or the or the filer is occluded, replace it.
pressure gauge is 2. If the problem persists, replace the pipeline
damaged. pressure gauge.
No "XX Supply The gas pressure switch Adjust the pressure switch of the XX gas
Failure" alarm of the XX gas supply supply inlet assembly to make the XX supply
occurs when the XX inlet assembly is pressure approach 0.2 MPa as much as
gas supply pressure ineffective. possible within the range from 0.15 MPa to
is low, or this alarm 0.25 MPa when this alarm occurs. If the
occurs when the adjustment fails, replace the pressure switch
supply pressure is (see section 8.8.1.3 "Adjusting the Pressure
within the specified Switch").
range.
No "Drive Gas The pressure switch on Adjust the pressure switch on the integrated
Pressure Low" alarm the integrated pneumatic pneumatic circuit of the expiratory valve
occurs when the circuit of the expiratory assembly to make the drive gas pressure
drive gas pressure is valve assembly or the approach 0.14 MPa as much as possible
low, or this alarm PEEP safety valve is within the range from 0.05 MPa to 0.2 MPa
occurs when the ineffective. Or, the filter when this alarm occurs. If the adjustment
drive gas pressure is on the integrated fails, replace the pressure switch. If the
within the specified pneumatic circuit of the problem persists after the pressure switch is
range. expiratory valve replaced, replace the integrated pneumatic
assembly is occluded. circuit of the expiratory valve assembly (see
section 8.8.1.3 "Adjusting the Pressure
Switch").
8.8.1.1 Testing the Pipeline Pressure Gauge and Correcting the

Regulator
Use the following tools to test the pipeline pressure gauge and the regulator of the pipeline
gas supply inlet assembly:
 1 MPa (10 bar) test pressure gauge (before the test, ensure that the 1 MPa [10 bar] test
pressure gauge is in good condition) (quantity: 1)
 3106-04-06 adapter connector (quantity: 1)
 PU tube (4 x 200) (quantity: 1)
Test procedures:
I. O2 supply inlet assembly:
1. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.
2. Disconnect tube 57. Pull out the tube end connected to the 4-way connector instead of
the tube end connected to the auxiliary O2 supply.
8-51
3. Connect the 1 MPa test pressure gauge to the 4-way connector through the 3106-04-06
adapter connector.
4. Turn on the O2 pipeline supply and record the reading on the O2 pipeline pressure
gauge. Observe the test pressure gauge. If the reading on the test pressure gauge is not
within the range from 0.15 MPa to 0.25 MPa (1.5 bar to 2.5 bar), adjust the regulator of
the O2 supply inlet assembly to make the reading on the test pressure gauge reach 0.2
MPa (2 bar). For operations of the regulator, see section 8.8.2"Adjusting the Regulator
of the Pipeline Gas Supply Inlet Assembly."
6. Reconnect tube 57.
7. Disconnect tube 39 which connects the O2 supply inlet assembly to the O2 pipeline
pressure gauge. Remove the end connected to the O2 supply inlet assembly.
8. Connect the 1 MPa test pressure gauge to the outlet of the O2 supply inlet assembly
through the 3106-04-06 adapter connector.
9. Turn on the pipeline gas supply and record the reading on the test pressure gauge. If the
difference between this reading and the reading on the O2 pipeline pressure gauge is
more than 0.1 MPa (1 bar), the O2 pipeline pressure gauge is damaged. Handle this
problem as described in the troubleshooting table.
Note:
 For numbers of all PU tubes, see section 0
II. N2O supply inlet assembly:

1. Turn off the pipeline gas supply. Open the needle valve to bleed the residual pressure
and close the needle valve. Disconnect tube 48. Pull out the tube end connected to the Y
piece and do not pull out the other end.
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2. Connect the 1 MPa test pressure gauge, pulled-out ends of tube 48 and Y piece through
the 3106-04-06 adapter connector and Y piece (17).
3. Turn on the N2O and O2 pipeline supplies. Adjust the regulator of the N2O supply inlet
assembly to the same value as measured/set for the O2 supply inlet assembly (see step 4
in O2 supply inlet assembly). Record the reading on the N2O pipeline pressure gauge.
4. Turn off the N2O pipeline supply and bleed the residual pressure by opening the N2O
flow regulator.
6. Pull out PU tube 40 which connects the N2O supply inlet assembly to the N2O pipeline
pressure gauge. Remove the tube end connected to the N2O supply inlet assembly.
7. Connect the 1 MPa test pressure gauge to the outlet of the N2O supply inlet assembly
8. Turn on the N2O pipeline supply and record the reading on the test pressure gauge. If
the difference between this reading and the reading on the N2O pipeline pressure gauge
is more than 0.1 MPa (1 bar), the N2O pipeline pressure gauge is damaged. Handle this
9. Reconnect the tube to the pressure gauge. Reconnect tube 40.
III. Air supply inlet assembly:

1. Turn off the pipeline gas supply. Disconnect tube 67. Pull out the tube end connected to
the four-way device instead of the end connected to the auxiliary gas supply.
2. Connect the 1 MPa test pressure gauge to the four-way device through the 3106-04-06
adapter connector.
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3. Turn on the air pipeline supply. If the reading on the test pressure gauge is not within the
range of 0.2±0.05 MPa (2.0±0. 5 bar), adjust the regulator to make the reading on the
test pressure gauge reach 0.2 MPa (2 bar). Record the reading on the air pipeline
pressure gauge.
4. Turn off the air pipeline supply and bleed the residual pressure by opening the air flow
regulator.
6. Pull out PU tube 41 which connects the air supply inlet assembly to the air pipeline
pressure gauge. Remove the tube end connected to the air supply inlet assembly.
7. Connect the 1 MPa test pressure gauge to the outlet of the air supply inlet assembly
8. Turn on the air pipeline supply and record the reading on the test pressure gauge. If the
difference between this reading and the reading on the air pipeline pressure gauge is
more than 0.1 MPa (1 bar), the air pipeline pressure gauge is damaged. Handle this
9. Reconnect PU tube 41 to the pressure gauge.
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8.8.1.2 Testing the Pressure Switch
Use the following tools to verify that the pressure switches of the O2 supply inlet assembly
and the expiratory valve assembly comply with the specifications:
 1 MPa (1 bar) test pressure gauge (quantity: 1)
 3140-08-00 Y piece (quantity: 1)
Test procedures:
1. Turn off the pipeline gas supply and bleed the residual pressure by pressing the O2 flush
button.
2. Disconnect tube 47. Pull out the tube end connected to the pressure regulator assembly
and do not pull out the other end.
3. Connect one PU tube (8 x 200) to the O2 inlet of the pressure regulator assembly.
Connect the other end of the PU tube and the pulled-out end of tube 47 to the two
connectors of the 3140-08-00 Y piece respectively.
4. Connect the test pressure gauge to the third connector of the 3140-08-00 Y piece
through the 3106-06-08 adapter connector and 3106-04-06 adapter connector.
5. Turn on the O2 pipeline supply.

6. Turn on the machine and set it to Standby.
7. Turn off all flow regulators.
8. Turn off the pipeline gas supply (if the reading on the test pressure gauge falls
significantly and continuously after the gas supply is turned off, one or more leaks in
occur in the O2 supply inlet assembly, expiratory valve assembly, O2 flush button
assembly, system switch assembly, and/or the O2 flow regulator. Perform the
subsequent operations after the leaks are repaired. Locate faults by using the methods
described in related sections, except the faults relevant with the O2 supply inlet
assembly).
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9. Manually adjust the O2 flow regulator until the O2 flow is approximately 1 L/min and
the reading on the test pressure gauge falls gradually to 0.25 MPa (2.5 bar).
10. Turn off the O2 flow to prevent the reading on the test pressure gauge from falling. If
the "O2 Supply Failure" alarm occurs 10 seconds later, the pressure switch of the O2
supply inlet assembly is damaged. Handle this problem as described in the
troubleshooting table.
11. Adjust the O2 flow regulator until the O2 flow is approximately 0.5 L/min and the
reading on the test pressure gauge falls gradually to 0.2 MPa (2 bar).
the "Drive Gas Pressure Low" alarm occurs 10 seconds later, the pressure switch on the
integrated pneumatic circuit of the expiratory valve assembly is damaged. Handle this
reading on the test pressure gauge falls gradually to 0.15 MPa (1.5 bar).
the "O2 Supply Failure" alarm does not occur 10 seconds later, the pressure switch of
the O2 supply inlet assembly is damaged. Handle this problem as described in the
troubleshooting table.
reading on the test pressure gauge falls gradually to 0.05 MPa (0.5 bar).
the "Drive Gas Pressure Low" alarm does not occur 10 seconds later, the pressure switch
on the integrated pneumatic circuit of the expiratory valve assembly is damaged. Handle
this problem as described in the troubleshooting table.
8.8.1.3 Adjusting the Pressure Switch

Adjust the O2 supply pressure switch and the drive gas pressure switch as described below.
Use a flathead screwdriver to adjust the O2 supply pressure switch, as shown below. Turn for
small degrees each time, for example, 30 degrees. Note that turning the pressure switch
clockwise will decrease its alarm limits and turning the pressure switch counterclockwise will
increase its alarm limits. Test the assembly after each pressure adjustment. Repeat the
preceding operations until the pressure switch meets the specification (nominal 220 kPa±10
kPa).
8-56
8.8.2 Adjusting the Regulator of the Pipeline Gas Supply Inlet
Assembly
Pull up the knob cover of the regulator. Turn the cover clockwise to increase the pressure or
counterclockwise to decrease the pressure, as shown below. Bleed the inside pressure of the
pipeline gas supply inlet assembly after each pressure adjustment by using the regulator
calibration hose (PN 0453-00-1216). Then, turn on the pipeline gas supply again. Observe the
pressure on the test pressure gauge and adjust it to 200 kPa.
8.8.3 Leak Test for the O2 Flush Button Assembly

Perform a leak test for the O2 flush button assembly by using the following tools:
 Negative pressure ball (quantity: 1)
 3106-06-00 adapter connector (quantity:1)
Test procedures:
2. Remove the work surface. Pull out PU tube 52 which connects the O2 flush button
assembly to the ACGO assembly. Disconnect the ACGO end.
3. Connect the inlet of the negative pressure ball to PU tube 52 through the 3106-06-00
adapter connector and then flatten the negative pressure ball to remove the gas inside.
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4. Release the negative pressure ball as shown below. If the negative pressure ball is fully
expanded within 30 seconds, the O2 flush button assembly is damaged.
8.8.4 Leak Test for the Flowmeter Assembly

Perform a leak test for the flowmeter assembly (flow regulator, gas mixer, back pressure
valve, 3-way valve, flow sensor, and total flowmeter) by using the following tools:
 3126-06-00 tube plug (quantity: 3)
Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual
pressure by opening the flow regulator.
2. Turn off the system switch. Turn on the flow regulator and turn it counterclockwise for
more than half a circle.
3. Pull out PU tube 25 which connects the total flowmeter to the vaporizer manifold
assembly. Disconnect the vaporizer manifold end.
4. Pull out PU tubes 45, 51, and 137 connected to the flow regulator. Disconnect the flow
regulator end.
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5. Occlude the pulled-out tube end on the flow regulator by using one 3126-06-00 tube
plug and two 3126-04-00 tube plugs.
6. Connect the other end of the negative pressure ball to the pulled-out end of PU tube 25
through the 3106-06-08 adapter connector, as shown below. Then flatten the negative
pressure ball to remove the gas inside.
7. Release the negative pressure ball. If the negative pressure ball is fully expanded within
30 seconds, the total flowmeter assembly is damaged. In this case, pull out the tube plug
at the needle valve inlet and perform subsequent operations.
8. Pull out PU tube 122 which connects the flow sensor to the total flowmeter. Disconnect
the total flowmeter end.
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9. Occlude the pulled-out tube end on the total flowmeter by using the 3126-08-00 tube
plug.
10. Compress the negative pressure ball connected to tube 25 to bleed the air inside.
30 seconds, the total flowmeter leaks.
12. Reconnect tube 25. Disconnect tube 58 and pull out its end connected to the back
pressure valve. Disconnect tube 26 and pull out its end connected to the total flowmeter.
13. Occlude the pulled-out tube end on the back pressure regulator by using one 3126-08-00
tube plug and connect the negative pressure ball to the pulled-out end of PU tube 26
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14. Compress the negative pressure ball to bleed the air inside.
30 seconds, the back pressure regulator leaks.
16. Pull out PU tubes 27, 28 and 29 which connect the flow sensor to the gas mixer.
Disconnect the gas mixer end.
17. Occlude the pulled-out tube end on the gas mixer by using three 3126-06-00 tube plugs.
18. Disconnect tube 58 and pull out its end connected to the back pressure valve. Connect
the negative pressure ball to the pulled-out end of tube 58 through the 3106-06-08
adapter connector.
19. Flatten the negative pressure ball to remove the gas inside.
30 seconds, the gas mixer leaks.
8.8.5 Leak Test for the System Switch Assembly

Perform a leak test for the system switch assembly by using the following tools:
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Test procedures:
I. Leak test for the system switch pipeline
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual
pressure by opening the flow regulator.
2. Pull out tube 45 which connects the system switch assembly to the flow regulator.
Disconnect the end of tube 45 connected with the 4-way connector, and connect the
pulled-out tube end to the negative ball through the 3106-06-00 adapter connector.
3. Pull out tube 43 which connects the system switch assembly to the four-way device.
Disconnect the four-way device end and occlude the pulled-out tube end through one
3106-06-08 adapter connector and one 3126-08-00 tube plug.
30 seconds, the tube connected with the system switch assembly is damaged.
6. Turn off the system switch.
7. Pull out the 3126-08-00 tube plug that occludes tube 43.
30 seconds during one of the two tests, the system switch is damaged. Replace the
system switch by referring to section 8.2.1.11.4 "Disassembling the System Switch" in
Chapter 8 "Maintenance and Disassembly."
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II. Leak test for the exhaust pipeline
1. Turn off the pipeline gas supplies and turn on the system switch.
2. Pull out tube 124 which connects the exhaust inlet of the system switch assembly to the
Y piece from the Y piece end and connect the pulled-out tube end to the negative
pressure ball through the 3106-06-08 adapter connector.
30 seconds, the exhaust pipeline connected to the system switch assembly is damaged.
8.8.6 Leak Test for the BFCS Limb

Perform a leak test for the BFCS limb by using the following tools:
BFCS with O2, N2O and Air configuration:
Test procedures:
1. Turn off the system switch and turn the 3-way knob of the standby needle valve
assembly clockwise to the off state.
2. Pull out the ends of PU tubes 139 and 110 connected to the two-way valves (Φ4 and Φ6)
and occlude the quick plug-in connector of PU tube 110 with the 3126-06-00 tube plug.
3. Connect the negative pressure ball to the standby needle valve assembly by using a PU
tube (6 x 100).
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30 seconds, the O2 limb of the standby needle valve assembly leaks.
6. To check whether the air pipeline leaks, pull out PU tube 142. To check whether the
N2O limb leaks, pull out PU tube 49 and use the 3106-04-06 adapter connector. For
other operations, see steps 3 to 5.
BFCS with O2 and Air configuration:

Test procedures:
1. Turn off the system switch and turn the needle valve assembly clockwise to the off state.
2. Pull out the ends of PU tubes 29 and 110 connected to the two-way valves (Φ4 and Φ6)
and occlude the quick plug-in connector of PU tube 110 with the 3126-06-00 tube plug.
3. Connect the negative pressure ball to the standby needle valve assembly by using a PU
tube.
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30 seconds, the O2 limb of the standby needle valve assembly leaks.
6. To check whether the air pipeline leaks, pull out PU tube 142. For other operations, see
steps 3 to 5.
8.8.7 Leak Test for the EFCS Limb

Perform a leak test for the EFCS limb by using the following tools:
Test procedures:
2. Pull out the EFCS end of PU tube 117.
3. Connect the negative pressure ball to the EFCS assembly by using a PU tube (6 x 100).
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30 seconds, the O2 limb of the EFCS leaks at the front end.
6. To check whether the Air limb leaks at the front end, pull out PU tube 118. To check
whether the N2O limb leaks at the front end, pull out PU tube 119 and use the 3106-04-
06 adapter connector. To check whether the EFCS leaks at the back end, pull out PU
tube 120 and use the 3106-04-06 adapter connector. For other operations, see steps 3 to
5.
8.8.8 Leak Test for the 3-Way Valve Assembly

Perform a leak test for the 3-way valve assembly by using the following tools:
Test procedures:
1. Turn the machine to the BFCS state or turn off the system switch.
2. Pull out the 3-way valve end of PU tube 120.
3. Connect the negative pressure ball to the 3-way valve by using the PU tube (8 x 200),
3106-06-08 adapter connector, and PU tube (6 x 100).
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30 seconds, the 3-way valve assembly leaks in the BFCS state.
6. To check whether the 3-way valve assembly leaks in the EFCS state, turn the machine to
the EFCS state and pull out PU tube 121. For other operations, see steps 3 to 5.
8.8.9 Leak Test for the Vaporizer Manifold Assembly

Perform a leak test for the vaporizer manifold assembly by using the following tools:
 Vaporizer manifold test fixture (quantity: 1)
Test procedures:
2. Remove the vaporizer.
3. Pull out PU tube 25 which connects the total flowmeter to the vaporizer manifold
assembly. Disconnect the vaporizer manifold end and occlude the pulled-out end with
the 3126-08-00 tube plug.
4. Pull out PU tube 53 which connects the vaporizer manifold assembly to the ACGO
assembly. Pull out the end connected to the vaporizer manifold assembly and connect it
to the negative pressure ball through the 3106-06-08 adapter connector.
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30 seconds, the rubber plain washer or its upper surface in contact with the mechanical
surface is damaged. Handle this problem as described in the troubleshooting table. If not,
continue the following test.
7. Remove the seal ring and mount the vaporizer manifold test fixture onto the connector
of the vaporizer manifold assembly (remove the seal between the connector and the
vaporizer when mounting the test fixture).
8. Repeat steps 5 and 6 each time when the vaporizer manifold test fixture is transferred to
the next position. If the negative pressure ball is fully expanded within 30 seconds, the
rubber plain washer or its lower surface in contact with the mechanical surface is
damaged. Handle this problem as described in the troubleshooting table. If all the four
tests are past, continue the following tests.
9. Put the seal ring back, mount the vaporizer, and turn it on.
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10. Repeat steps 5 and 6 each time when the vaporizer manifold test fixture is transferred to
the next position. If the negative pressure ball is fully expanded within 30 seconds, the
seal ring is damaged. If both tests are past, the vaporizer manifold assembly and the four
seal rings are normal.
8.8.10 Leak Test for the Flow Sensor Pressure Sampling

Pipeline
If the flow waveform is displayed irregularly, the flow sensor pressure sampling pipeline may
be leaky. Perform a leak test by using the following tools:
 Anesthesia machine calibration device (quantity: 1)
 Flow sensor pressure sampling pipeline test fixture (quantity: 1)
 Circuit adapter test fixture (quantity: 1)
 Injector (quantity: 1)
 Φ6 silicone tube (quantity: 3)
 Y piece (quantity: 1)
Test procedures:
I. Leak test for the flow sensor pressure sampling pipeline (All the four sampling pipelines of
the expiratory and inspiratory flow sensors are tested.)
2. Install the breathing system properly.
3. Remove the flow sensor assembly.
4. Mount the test fixture of the flow sensor pressure sampling pipeline onto the position
where the flow sensor assembly was originally mounted. Tighten the rotary cap of the
breathing connector.
5. Connect the Φ6 silicone tubes to the pressure sensor connector (positive pressure end)
on the anesthesia machine calibration device, the injector connector (pull out the push
rod of the injector before mounting), and the connector for the test fixture of the flow
sensor pressure sampling pipeline by using a Y piece, as shown below.
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6. Push in the push rod of the injector to make the pressure reading on the anesthesia
machine calibration device rise to 70-90 cm H2O and then stop pushing. Keep the
relative position between the push rod and the injector unchanged. If the pressure
reading on the anesthesia machine calibration device does not fall more than 5 cm H2O
within 15 seconds, the test is passed.
II. Leak test for the flow sensor pressure sampling pipeline inside the main unit (Perform this
test if test I fails.)
1. Mount the circuit adapter test fixture onto the circuit adapter assembly.
2. Connect the Φ6 silicone tubes to the pressure sensor connector (positive pressure end)
on the anesthesia machine calibration device, the injector connector (pull out the push
rod of the injector before mounting), and the connector (except connectors 1 to 6) for the
circuit adapter test fixture by using a Y piece, as shown below.
3. Push in the push rod of the injector to make the pressure reading on the anesthesia
reading on the anesthesia machine calibration device does not fall more than 5 cm H2O
within 15 seconds, the test is passed.
If test I is failed and test II passed, the flow sensor pressure sampling pipeline on the
breathing system is damaged. In this case, replace the breathing system. If both tests I and II
are failed, check the sampling lines and connectors inside the main unit, as well as seals and
solenoid valve of the circuit adapter assembly until test II is passed. Then perform test I. If
test I is still failed, the flow sensor pressure sampling pipeline on the breathing system is
damaged. In this case, replace the breathing system.
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8.8.11 Leak Test for the Low-Pressure Pneumatic Circuit
System
1. Leak test for the breathing system in mechanical ventilation mode
Perform the test in mechanical ventilation mode as described in section 8.5"Circuit Leak
Tests."
2. Leak test for the breathing system in manual ventilation mode
Tools required:
 Breathing tube (quantity: 3)
 Breathing tube Y piece (quantity: 1)
Test procedures:
(1) Set the system to Standby.
(2) Install the breathing system properly.
(3) Set the Auto/Manual ventilation switch to the Manual position.
(4) Set the pressure of the APL valve to maximum.
(5) Occlude the inspiratory & expiratory ports and bag arm port by using three
breathing tubes and one breathing tube Y piece, as shown below.
(6) Adjust the O2 flow to 0.2 L/min in the EFCS state.

(7) Push the O2 flush button to make the reading on the Paw pressure gauge rise to 30
cm H2O.
(8) Stop O2 flushing. If the reading on the Paw pressure gauge falls below 30 cm H2O,
the test is failed.
(9) If the reading on the Paw pressure gauge rises rapidly, turn off the O2 flow
regulator in time to prevent the damaged APL valve from causing overrange of the Paw
pressure gauge (the test which involves an O2 flow regulator turned off due to this
reason is considered to be passed).
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3. Test for the bellows housing and the Manual position of the Auto/Manual ventilation
switch
Tools required:
 Anesthesia machine calibration device (quantity: 1)
 Circuit adapter test fixture (quantity: 1)
 Injector (quantity: 1)
 Φ6 silicone tube (quantity: 2)
 PU tube (6 x 300) (quantity: 1)
 Y piece (quantity: 1)
Test procedures:
(1) Remove the bellows.
(2) Mount the bellows housing properly.
(3) Set the Auto/Manual ventilation switch to the Manual position.
(4) Remove the breathing system.
(5) Mount the circuit adapter test fixture onto the breathing system.
(6) Connect the Φ6 silicone tubes and PU tube (6 x 300) to the injector connector,
pressure sensor (of the anesthesia machine calibration device) connector (positive
pressure end), and connector 2 corresponding to the drive gas on the circuit adapter test
fixture by using a Y piece, as shown below.
(7) Push in the push rod of the injector to make the pressure reading on the anesthesia
reading on the anesthesia machine calibration device falls more than 10 cm H2O within
30 seconds, the test is failed. It indicates that the bellows housing or the Manual position
of the Auto/Manual ventilation switch is leaky. (Removing the bag arm indicated in the
picture has no impact upon the test because the drive gas does not pass through the bag
arm.)
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4. Leak test for all pipelines on the circuit adapter
Tools required:
 Negative pressure ball (quantity: 1)
Test procedures:
a)Fresh gas pipeline
(1) Turn off the system switch.
(2) Turn off the flow regulator.
(3) Remove the breathing system.
(4) Mount the circuit adapter test fixture onto the circuit adapter.
(5) Flatten the negative pressure ball to remove the gas inside. Then re-install the plug
to seal the ball. Connect the other end of the negative pressure ball to connector 7 (on
the circuit adapter test fixture) corresponding to the fresh gas pipeline, as shown below.
(6) Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30 seconds, the test for the fresh gas pipeline is failed. Locate the leak inside the
main unit based on the method described in the related section.
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b)Drive gas pipeline
(1) Turn on the system switch and set the system to Standby.
(2) Choose Setup > Service > Diagnostic Tests > Valves and set the A/D value of the
PEEP valve to make PEEP exceed 50 cm H2O. Set the A/D value of the inspiratory
valve to 0 to produce 0 L/min of flow. Set the PEEP safety valve to ON, as shown
below.
(3) Flatten the negative pressure ball to remove the gas inside. Then reinstall the plug
to seal the ball. Connect the other end of the negative pressure ball to connector 1
corresponding to the drive gas pipeline of the circuit adapter test fixture, as shown below.
(4) Release the negative pressure ball. If the negative pressure ball is fully expanded
within 30 seconds, the test for the drive gas pipeline is failed. Check the expiratory valve
assembly and the drive gas related pipeline inside the main unit.
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5. Test for the absorbent canister assembly
Tools required:
 VT PLUS (quantity: 1)
 Lucer adapter connector (quantity: 1)
 Injector (quantity: 1)
 Φ6 silicone tube (quantity: 2)
 Breathing tube (quantity: 3)
 Y piece (quantity: 1)
 Breathing tube Y piece (quantity: 1)
 Breathing tube adapter connector (quantity: 1)
 T-shaped Allen wrench (quantity: 1)
Test procedures:
(2) Disassemble the pre-pak assembly and remove the breathing system.
(3) Mount the pre-pak assembly.
(4) Remove the seals on the two connectors of the absorbent canister assembly.
Connect the two connectors of the lifting device by using two breathing tubes and one
breathing tube Y piece. Connect the other end of the breathing tube Y piece to the
breathing tube adapter connector through another breathing tube. Connect the injector
connector, pressure sensor (of the anesthesia machine calibration device) connector
(positive pressure end), and breathing tube adapter connector to a Y piece, as shown
below.
(5) Push in the push rod of the injector to make the pressure reading on the anesthesia
reading on the anesthesia machine calibration device falls more than 10 cm H2O within
30 seconds, the absorbent canister assembly is leaky. The test is failed. This step is
required when the absorbent canister assembly is in the bypass on or bypass off state.
Connected to the Φ6 Connected to the VT

silicone tube PLUS
Turn the blue part to lock the connector to the VT

PLUS
Lucer adapter connector
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Bypass off
Bypass on
(6) Check the seals on the two connectors of the lifting device. If they are damaged,
replace them and re-mount the lifting device onto the breathing system.
6. Test for the accessories and circuit inspiratory/expiratory parts

Test procedures:
(2) Check the manual bag and replace it if it is damaged.
(3) Check the breathing tube and replace it if it is damaged.
(4) Remove the Paw pressure gauge. Check the seal and replace it if it is damaged.
(5) Remove the water collection cup. Check the seal and replace it if it is damaged.
(6) Remove the O2 sensor (if there is no O2 sensor, remove the plug where the O2
sensor should be installed). Check the seal and replace it if it is damaged.
(7) Remove the check valve dome. Check the seal and replace it if it is damaged.
(8) Remove the bag arm. Check the seal and replace it if it is damaged.
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(9) Remove the pre-pak assembly as shown below. Check the seal and replace it if it is
damaged.
7. Check the APL valve, support tube on the median plate, and sealing components of the
Auto/Manual ventilation switch assembly.
The test requires a T-shaped Allen wrench.
Test procedures:
(2) Remove the APL valve. Check the seals and replace the damaged ones.
(3) Remove the support tube on the median plate. Check the seals and replace the
damaged ones.
(4) Remove the Auto/Manual ventilation switch. Check the seals and replace the
damaged ones.
8. Test for the ACGO assembly

Test methods for the mechanical ACGO and the electrically-controlled ACGO are the
same.
Tools required:
 Negative pressure ball (quantity: 1)
 3106-08-10 adapter connector (quantity: 2)
 3126-06-00 tube plug (quantity: 1)
Test procedures:
(2) Pull out PU tubes 21 and 22 which connect the ACGO assembly to the circuit
adapter. Pull out the tube ends connected to the ACGO assembly and do not pull out the
other ends, as shown below.
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(3) Occlude the pulled-out tube ends by using two 3126-10-00 tube plugs.
(4) Repeat steps 3 to 7 in the leak test for all pipelines on the circuit adapter (test 4). If
the test is failed, the connectors of the circuit adapter or seals are damaged. If leaks
occur, insert the pulled-out tubes into the ACGO assembly. Note that the positions of the
black lines on yellow PU tubes 21 and 22 shall be the same as those before pulling out.
(5) Pull out PU tubes 52 and 53 which connect the O2 flush button assembly and the
vaporizer manifold assembly to the ACGO assembly. Pull out the tube ends connected
to the ACGO assembly and do not pull out the other ends.
(6) Occlude the pulled-out tube ends by using the 3126-06-00 tube plug and 3126-08-
00 tube plug, as shown below.
(7) Repeat steps 3 to 7 in the leak test for all pipelines on the circuit adapter (test 4). If
the test is failed, the ACGO assembly is damaged. Check the seals in the ACGO
assembly or replace the damaged seals.
8.8.12 Breathing System Related Faults

The following table lists breathing system related faults.
Fault
Possible Cause Recommended Action
Description
Leak The sodalime canister is not installed Re-install the sodalime canister.
properly. Remove the sodalime at the
sealing connection. Ensure the
correct installation of sodalime
canister.
The sealing piece for the absorbent Replace the sealing component of
canister assembly is damaged, including the sodalime canister assembly. It
the two sealing cushions which are in is required to replace the seal once
direct contact with the absorbent canister a year.
and the two sealing rings (082-000629-00)
on the bypass upper cover which are in
contact with the circuit bottom housing.
The seal for the bag arm is damaged. Replace the seal for the bag arm.
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Fault
Description
It is required to replace the seal
once a year.
The water collection cup gets loose. Check and tighten the water
collection cup.
The seal for the water collection cup Replace the seal for the water
assembly is damaged. collection cup assembly. It is
required to replace the seal once a
year.
The seal for the circuit adapter assembly is Replace the seal, which is
damaged. required to be replaced once a
year.
The bellows housing or bellows is not Re-install the bellows housing or
installed properly. bellows. Ensure their correct
installation.
The bellows sealing cushion falls off or is Replace the bellows sealing
damaged. cushion, which is required to be
replaced once a year.
The valve cover of the breathing valve Re-install the valve cover and
assembly is not installed properly. ensure its correct installation.
The seal for the valve cover of the Replace the seal.
breathing valve assembly is damaged.
The O2 sensor is not installed properly. Re-install the O2 sensor and
ensure its correct installation.
The seal for the O2 sensor or the seal for Replace the seal.
the O2 sensor plug is damaged.
The breathing tube connecting the patient Replace the breathing tube.
is damaged.
The bellows is damaged. Replace the bellows, which is
required to be replaced once a
year.
The sealing connection of other parts of Repair or replace the sealing
the breathing system is damaged. connection as per the procedures
described in Adjusting the
Regulator of the Pipeline Gas
Supply Inlet
Assembly8.8.2Adjusting the
Regulator of the Pipeline Gas
Supply Inlet Assembly.
The condensate valve of the canister Re-install the condensate valve or
assembly is not installed properly or the replace the damaged seal inside.
seal inside is damaged.
O2 There is water built up on the measurement Remove the built-up water and
concentration surface of O2 sensor. allow the O2 sensor to air dry.
measurement The O2 sensor is not calibrated. Calibrate the O2 sensor as per the
fails or has procedures described in 7.3.6O2
great Sensor Calibration.
deviations. The O2 sensor is damaged. Replace the O2 sensor.
The airway The airway pressure gauge is damaged. Replace the airway pressure
pressure gauge.
gauge shows
inaccurate
reading or its
pointer
cannot move.
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Fault
Description
The flow The flow sensor assembly is not installed Re-install the flow sensor
wave is properly. assembly.
displayed There is water built up inside the flow Remove the flow sensor assembly
irregularly. sensor assembly. and clear its inside water build-up.
The membrane of the flow sensor Enter the service mode and
assembly is distorted, dirty or its inside calibrate the flow sensor.
resistance changes. Zero drift occurs to the
pressure sensor of the fresh flow sensor
board.
The flow sensor is damaged. Replace the flow sensor assembly.
The pressure sensor on the fresh flow Replace the fresh flow sensor
sensor board is defective. board.
The flow sensor pressure sampling Repair the flow sensor pressure
pipeline leaks. sampling pipeline after checking
as per the procedures described in
8.8.10 Leak Test for the Flow
Sensor Pressure Sampling
Pipeline.
8.8.13 Tidal Volume Related Faults

The following table lists tidal volume inaccuracy related faults.
Fault
Description
Inaccurate The flow sensor is not Re-install the flow sensor.
tidal volume installed properly.
The setting of fresh gas flow Adjust the fresh gas flow.
is inappropriate.
There are significant leaks in Repair the leaking points after checking as per the
the breathing system and the procedures described in sections 2.3.4Anesthetic Gas
fresh gas flow is too low. Delivery System and 2.3.5 Breathing System.
* There is water build-up Remove the flow sensor and clear its inside water
inside the flow sensor. build-up.
*The membrane of the flow Enter the service mode and calibrate the flow sensor
sensor assembly is distorted, as per section 7.3.2Flow Calibration (Service).
dirty or its inside resistance
changes. Zero drift occurs to
the pressure sensor on the
ventilator control board.
*The flow sensor pressure Repair the leaking points after checking as per the
sampling pipeline is leaky. procedures described in section8.8.10Leak Test for
the Flow Sensor Pressure Sampling Pipeline.
*The flow sensor is Replace the flow sensor.
damaged.
*The pressure sensor on the Replace the ventilator control board.
ventilator control board is
defective.
The inlet gas flow sensor on Replace the integrated pneumatic circuit of the
the integrated pneumatic expiratory valve assembly or replace the expiratory
circuit of the expiratory valve assembly.
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valve assembly is defective.
The current Plimit is set too Set Plimit to a higher value to cause Paw not to
low, which causes expiration exceed the limit.
to start in advance.
The displayed TVe and TVi In the valves test tool, compare the measurement error
are not the same. made by three sensors and judge whether to perform
calibration as per 7.3.2Flow Calibration (Service).
In the above table, possible causes marked “*” are related to inaccurate measured values by
flow sensors. Do the following to detect if tidal volume inaccuracy results from “*” marked
causes.
1. Turn off the flow regulators.
2. Make sure that the patient is disconnected from the system and that the bag/mechanical
ventilation switch is set to the mechanical ventilation position.
3. Remove the bellows and then install the bellows housing properly.
4. Remove the water collection cup.
5. Connect the inspiration and expiration connectors together by using a breathing tube, as
shown below.
The water
collection cup is
already removed.
6. Turn on gas supplies and enter Standby.

7. Select [Setup] → [Service] → [Diagnostic Tests] → [Valves] to set the A/D value of
the PEEP valve to make PEEP exceed 40 cmH2O. Set PEEP safety valve to ON, as
shown below.
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Set the A/D value of the inspiratory valve to cause the flow of inspiratory valve to reach a
certain value. In this case, the flows measured by the ventilator flow sensor, inspiratory flow
sensor, and expiratory flow sensor should be the same. Test multiple points by setting the A/D
value of the inspiratory valve. For each point, the flows measured by the three sensors should
be the same. If not, the measured value by the flow sensor is inaccurate. Troubleshoot the
possible causes marked “*” in the above table.
8.9 Hardware and Electrical Faults

The anesthesia The system switch is damaged. Replace the system switch.
machine cannot be The cable connected to the system Check and ensure that the
started. switch falls off. cable is connected properly.
The power board hardware fault causes Replace the power board.
no power output of 15.2 V, 3.3 V, 5 V, or
12 V.
The power board software fault causes Upgrade the software.
no power output of 15.2 V, 3.3 V, 5 V, or
12 V.
The screen of the The cable connected to the inverter falls Check and ensure that the
anesthesia machine off. cable is connected properly.
cannot be lit. The inverter is damaged. Replace the inverter.
The power board hardware fault causes Replace the power board.
abnormal output.
The power board software fault causes Upgrade the software.
abnormal output.
The screen of the The screen power supply fuse is burned Replace the fuse.
anesthesia machine out, which causes no 3.3 V output.
can be lit, but without The main control board fault causes no Replace the main control
any content. display. board.
The screen of the The failure of the power board causes Replace the power board.
anesthesia machine power fluctuations.
can be lit and displays
content, but the
screen flashes.
The time sequence of the main control Upgrade the software of the
board LVDS is abnormal. main control board. If the
problem persists, replace the
main control board.
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The heater is The heater driver and control circuit of Replace the power board.
ineffective. the power board are damaged.
The heater is damaged. Replace the heater.
The internal sensor of the heater is
damaged.
The cable connected to the heater falls Check and ensure that the
off. cable is connected properly.
The touch screen is The touch screen is damaged. Replace the touch screen.
ineffective. The control board of the touch screen is Replace the control board of
damaged. the touch screen.
The cable connected to the touch screen Check and ensure that the
or the control board of the touch screen cable is connected properly.
falls off.
Exiting the Standby The monitoring module fails the self- Replace the monitoring
mode fails. test. module.
Alarms are displayed The speaker is damaged. Replace the speaker.
on the screen, but no The cable connected to the speaker falls Check and ensure that the
alarm sound is off. cable is connected properly.
generated.
The network The network cable falls off. Check and ensure that the
connection fails. network cable is connected
properly.
The network cable is too long. Shorten the network cable.
The recommended cable
length is approximately 1.5
m.
The network cable is used incorrectly. The network cable has two
linear orderings which should
be distinguished.
No gas is exhausted The Auto/Manual ventilation switch is Check the screen to see if the
through the valve in damaged. anesthesia machine is in the
mechanical mechanical ventilation mode
ventilation mode. and if an alarm is triggered.
The valve cannot be turned on. 1. Set the tidal volume to
maximum.
2. Switch between the
standby and mechanical
states or between the manual
and mechanical states
repeatedly.
3. Replace the pneumatic
circuit block.
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8.10 Software Upgrade and Software Function
Activation
8.10.1 Software Upgrade
Note
 Update the software when replacing the main control board,monitoring signal
detection board, valve drive board, power board, fresh gas flow sensor control
board, or EFCS monitoring board..
 Read the update package accompanying document before updating A series.
1. Connect the Ethernet port of the PC to the Ethernet port of the A7 by using a crossover
network cable.
2. Before running the Mindray Anesthesia Machine and Ventilator Software Upgrade Tool,
set the IP address of the PC to 192.168.23.1 and the subnet mask to 255.255.255.0.
Check and set the IP address based on the specified instructions.
(1). Ensure that the IP address of PC and the anaesthesia machine network falls within the
same network segment. For example, if the IP address of the PC is 192.168.23.1, the IP
address of the anaesthesia machine should be 192.168.23.xxx..
(2) On the PC, click Start, Control Panel and then Network Connections.
(3).Right click Local Area Connection and then left click Properties.
(4).Scroll down to Internet Protocol (TCP/IP), click to Internet Protocol (TCP/IP and then
click Properties.
(5). Click the radio button for "Use the following IP address". Set the IP address and Subnet
mask and then click OK.
3. Ensure that the Upgrade Tool in the software package has been installed on the PC, and
that the version is correct. If the tool has not been installed, perform the following steps:
(1) Run the SystemUpdateToolForService.exe file.
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(2) When you are prompted to set a language, select [English] and click [OK].
(3) When the [Welcome] dialog box is displayed, click [Next].
(4) When the [Customer Information] dialog box is displayed, enter the following
information:
(5) User Name: Mindray
(6) Company Name: Mindray
(7) Serial Number: 26582640
(8) Click Next.
(9) When the Destination Location dialog box is displayed, click Next to accept the
default destination folder.
(10) When the Select Program Folders dialog box is displayed, click Next to accept the
default program folder.
(11) When the Install Shield Wizard dialog box is displayed, click Finish to complete
the installation.
4. Upgrade the software.
(1) From the desktop, run the Mindray Anesthesia Machine and Ventilator Software
Upgrade Tool. When the [Select Product Series] dialog box is displayed, select [A
Series(Non-FDA)] and [OK]. After the tool starts, perform the following operations to
upgrade the software:
(2) Choose [Select Package] from the top tool bar.
(3) In the Select Package dialog box, click [>>>].
(4) In the [Open] dialog box, select the folder in which the software package locate to
see details. Select the software “01_BIOS V01.16.00.00.pkg”.
Software Upgraded
Item Modules Included Version
Package
BIOS
01 Guide program V01.16.00.00
(V01.16.00.00)
United version number V02.16.00
System program V03.16.00
FPGA display program V1.4
Bundle FPGA voice program V1.5

02
(V02.16.00) Aux monitor module
V01.02.00
software
Monitor module software V01.04.00
Language V4.6
Key board software V01.00/01.01
03 Power (V1.7) Power supply card V1.7
04 EFCS (V50.07.00) EFCS software V50.07.00
EFCS_FPGA
05 FPGA EFCS V4.0
(V4.0)
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Note
 This is only an example of a latest software version/checksum table. Check the
technical bulletins to obtain the correct table for the software version installed.
 Upgrade one by one according to the order in the software package.
 Since the software version 02.16.00, BIOS is independent. It is upgraded
separately.
(5) Click [Open].

(6) Wait until a dialog box is displayed. Then click [OK].
(7) Click Start (Single) on the Mindray Anesthesia Machine and Ventilator Software
Upgrade Tool.
(8) Turn off the A7 unit and turn it on after 1 second or less.
(9) Check that the network icon on the PC indicates successful connection, and the
anesthesia machine enters the upgrade interface.
Note
 If the screen as shown above is not displayed after turning on the equipment, and
the equipment starts up normally and enters system check, please check the IP
setting and network cable.
(10) Check that the A7 unit displays messages indicating the software upgrade progress.
(11) When the upgrade is completed, the Mindray anesthesia machine displays
"Upgrade Completed！". The Mindray Anesthesia Machine and Ventilator Software
Upgrade Tool displays "update system successfully".
(13). Repeat steps 3 through 12 to update “02_A7 Bundle_V02.16.00.mpkg”,
“03_Power V1.7.pkg”, “04_EFCS V50.07.00.pkg” and “05_EFCS_FPGA V4.0.pkg”
software one by one.
Note
 It is normal that the upgrade of the power board software fails at the first time and
succeeds at the second time.
(13) After the software “02_A7 Bundle_V02.16.00.mpkg”, “03_Power V1.7.pkg”,

“04_EFCS V50.07.00.pkg” and “05_EFCS_FPGA V4.0.pkg” are upgraded, turn off the
A7 unit and restart it after one minute.
Note
 If the equipment fails to start up normally after completing upgrade, please find
the corresponding guide document in the upgrade package and operate by
following the instructions.
(14) To check the software version on the A7 unit, choose Main > Service, enter the
service password (789789), and press Enter. The service information is displayed, and
you can check system information and view the united version number. Check that the
United version number on the A7 unit conforms to the version on bundle.
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8.10.2 Software Function Activation
The functions in the following table can be activated. If you need to activate one of the
following functions, please contact the manufacturer to apply for the activation code.
Functions that can Description
be activated
SIMV-VG Synchronized intermittent mandatory
ventilation-volume Guarantee
PS Pressure support ventilation
CPAS/PS Pressure support ventilation/Continuous
positive airway pressure
Prediction Anesthesia prediction
Recruitment Recruitment
AA Calculation Anesthesia agent calculation
8.10.2.1 Application of Software Function Activation Codes

Note
 Please supply the following information on the anesthesia machine while applying
for an activation code: machine ID, current configurations, and functions need to
be activated.
If you need to activate functions listed in the above table, please contact the service
department of our company to apply the activation code of software function.
1. Record the anesthesia machine SN (see the label on the left side of the machine).
2. Record the machine ID and current configurations of the anesthesia machine. Select
[Main]→[System]→[Configuration Info], and open the [configuration Info] menu.
3. Record the functions need to be activated.

4. Supply the information above to the service department of our company, to apply
activation code.
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8.10.2.2 Activation Procedure
Note
 Record the current configurations and functions need to be activated before
activation.
 Ensure the input activation code is the same as the one offered by the
manufacturer.
Activate software functions as the following.

1 Select [Main]→[Service](enter correct password)→[Factory Setup]→[Activate
Functions].
2. Enter correct activation code in the following dialog box.
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3. Select [Activate] button. “Activation Completed! Please restart the machine to take
effect.” message appears if correct activation code is entered.
4. Restart the machine after selecting [Accept], to make the activated functions effective.
Note
 Ensure the anesthesia machine is powered on before activation completed or
error message appears, or BIOS program of anesthesia machine main board
will be damaged.
 After activation succeed message prompt, restart the anesthesia machine to make
the new functions effective.
8.11 After-Service Tests

For details, see B.3 Test items after service.
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FOR YOUR NOTES
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9 Repair and Disassembly
9.1 Prepare for Disassembly
9.1.1 Tools
During parts disassembly and replacement, the following tools may be required:
 Metric Allen wrench es (1.5, 2, 2.5, 3, 4, 5, 6, 8, 10mm)
 Phillips screwdriver (#1 and #2)
 Diagonal pliers
 Flathead screwdriver
 Metric M3 and M4 socket screwdriver
 Adjustable wrench
 Tweezers
 Krytox Lubricant (P/N: 099-000107-00)
9.1.2 Preparations
Before disassembly,
 Make sure that the anesthesia machine is turned off and disconnected from the A/C
power source.
 Bleed down the gas pressure inside the anesthesia machine as described below.
 Disconnect all pipeline and cylinder gas supplies.
 Prepare the tools required for disassembly.
 Maneuver the anesthesia machine to an appropriate location and then apply the brake.
CAUTION
 The internal parts may be contaminated. Wear special gloves during disassembly
and inspection.
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9.1.3 Bleed Gas Pressure
Make sure to bleed down the gas pressure inside the anesthesia machine before
disassembling pneumatic fittings to avoid personal injury or equipment damage. To bleed
gas pressure:
1. Close other cylinder valves and disconnect pipeline gas supplies. Do not disconnect
the O2 pipeline. If O2 pipeline is not available, connect O2 cylinder and open the O2
cylinder valve.
2. Set the system switch to ON.
3. Turn on all the flow controls (except O2).
4. Make sure that N2O and AIR pipeline pressure gauges read zero.
5. Disconnect the O2 pipeline supply (or close the O2 cylinder valve). Push the O2 flush
button to bleed O2 from the system.
6. Set the system switch to OFF.
9.2 Disassemble the Assemblies

9.2.1 Disassemble the Internal Assemblies of the Machine
Upper Half
9.2.1.1 Open the Service Door
Turn the two screws on the service door counter-clockwise one half turn to open the door.
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9.2.1.2 Remove the Gas Supply Inlet Assembly
1. Open the service door and refer to 9.2.1.1.
2. Disconnect the tubes from the N2O, AIR and O2 supply inlet assemblies.
3. Open the protection cover of the pressure switch from the N2O and AIR supply inlet
assemblies and disconnect the cables from the pins of the pressure switch. Disconnect
the plug for butt joint from O2 supply inlet assemby.
4. Remove the two screws to remove the assembly.
9.2.1.3 Remove the Pressure Regulator Assembly

2. Unplug the tubes from the pressure regulator assembly.
3. Remove the four screws on the pressure regulator assembly and remove it.
4. To remove a single pressure regulator, turn the base close to the metal sheet
anticlockwise to remove it from the metal sheet. If you want to install the pressure
regulator, after the installation, refer to Chapter 7 to calibrate the pressure regulator.
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9.2.1.4 Remove the Electronic Flow Control System Assembly
2. Unplug the related cables and tubes from the EFCS module.
3. Remove the three screws and remove the EFCS module.
9.2.1.5 Remove the Proportional Valve

1. Remove the EFCS module.
2. Disconnect the plug of the proportional valve from the flowmeter monitoring board.
3. Remove the two screws and remove the battery valve isolation metal sheet.
4. Remove the two screws and remove the proportional valve.
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9.2.1.6 Remove the Electronic Flowmeter
2. Disconnect the cables from the electronic flowmeter.
3. Remove the four screws to remove the O2, N2O and AIR electronic flowmeters. Take
care not to drop the sealing rings below the electronic flowmeters.
9.2.1.7 Remove the Total Electronic Flowmeter

2. Disconnect the cables from the flowmeter monitoring board.
3. Remove the four screws to remove the upper assembly.
4. Disconnect the cables from the electronic flowmeter.
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5. Remove the four screws to remove the O2, N2O and AIR electronic flowmeters.
Remove the sealing rings below the electronic flowmeters.
6. Remove the four screws to remove the flowmeter outlet assembly.
7. Disconnect the cables and remove the four screws to remove the total electronic
flowmeter.
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9.2.1.8 Remove the Flowmeter Monitoring Board
2. Disconnect the cables from the flowmeter monitoring board.
3. Remove the four screws to remove the upper assembly.
4. Remove the four screws to remove the flowmeter monitoring board.
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9.2.1.9 Remove the Poppet Valve Assembly
2. Unplug the tubes from the poppet valve assembly.
3. Remove the two screws on the valve to remove the poppet valve.
9.2.1.10 Remove the Gas Mixer Assembly

2. Unplug the tubes from the gas mixer assembly and the poppet valve assembly.
3. Remove the four screws on the gas mixer assembly to remove the assembly and
poppet valve assembly.
4. Remove the two screws on the valve to remove the gas mixer assembly.
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9.2.1.11 Remove the ORC Assembly
2. Unplug the tubes from the ORC assembly.
3. Remove the two screws on the ORC assembly to remove the assembly.
9.2.1.12 Remove the Back Pressure Valve Assembly

2. Unplug the tubes from the back pressure valve assembly.
3. Remove the four screws on the back pressure valve assembly to remove the assembly.
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9.2.1.13 Replace the Lithium-ion Battery
2. Remove the two screws on the battery box cover to take out the lithium-ion battery.
3. Place the new lithium-ion battery into the battery box in the original direction to
complete battery replacement.
9.2.1.14 Remove the Vaporizer Manifold

2. Unplug the tubes from the vaporizer manifold.
3. Remove the four screws and remove the vaporizer manifold.
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9.2.1.15 Remove the Three-way Valve Assembly
2. Unplug the tubes from the three-way valve assembly, and disconnect the cables.
3. Remove the four screws from the slide on the left side of the main unit to remove the
slide.
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4. Remove the two screws to remove the three-way valve assembly.
5. The removed three-way valve assembly is as shown below.
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9.2.2 Disassemble Hardware Box
9.2.2.1 Remove the Top Plate of the Hardware Box
1. Remove the three screws from the top plate of the hardware box.
2. Lift off the top plate to remove it.
9.2.2.2 Remove the Cell Battery from the CPU Board

1. Remove the top plate assembly and refer to 9.2.2.1.
2. Remove the cell battery from the CPU board.
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9.2.2.3 Remove the CPU Board
NOTE
 When replacing the CPU Board, software reinstallation may be required.
 Before the replacement of the CPU board, please record the settings of the service
menu. After the replacement of the CPU board, please restore the settings of the
service menu.

2. Remove the three screws fastening the main control board to remove the board.
9.2.2.4 Remove the Ventilator Control Board
NOTE
 When replacing the Ventilator Control Board, software reinstallation may be
required.
2. Unplug the related cables and tubes from the ventilator control board.
3. Remove the four screws fastening the ventilator control board to remove it.
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4. Refer to the Section 2.3.2.
9.2.2.5 Remove the Power Board

1. Disassemble the top panel assembly and refer to 9.2.2.1.
2. Remove the two screws fastening the high-voltage protection cover to remove the
cover.
3. Disconnect the plug of filter cable. Remove the one screw from the support piece of
the power board and the three screws and one nut to remove the power board.
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4. Remove the one screw on the support piece of the power board to remove the support
piece.
9.2.2.6 Remove the Motherboard

2. Disconnect the three cables from the motherboard.

4. Remove the two screws on the CPU board output bracket and and one screw on the
main control board to remove the CPU board together with the metal sheet.
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5. Remove the power board and refer to 9.2.2.5.
6. Remove the three screws to and remove the wind shield.
7. Remove the power board insulation overlay.
8. Disconnect the cables from the motherboard.

9. Remove the two screws on the motherboard output bracket and the 12 screws
fastening the motherboard to remove the motherboard.
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9.2.2.7 Remove the Three-Way Valve Assembly
2. Unplug the relevant tubes and cables from the three-way valve assembly.
3. Remove the three screws on the three-way valve assembly to remove the assembly.
4. Refer to 2.3.2 Connections Between Pneumatic Circuit, Breathing System and

Ventilator Control Board.
9.2.2.8 Remove the Speaker

2. Unplug the speaker cables.
3. Remove the two screws to remove the speaker.
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9.2.2.9 Remove the Rocker Switch
2. Unplug the plug of the rocker switch and remove the rocker switch.
9.2.2.10 Remove the Top Light Board

2. Unplug the cables from the top light board.
3. Remove the five screws to remove this assembly.
4. Remove the four screws to remove the top light board.
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9.2.2.11 Disassemble the Rear Panel Assembly
2. Open the service door and refer to 9.2.1.1. Remove the cables and tubes from the
hardware box assembly.
3. Remove the three screws to remove the power cord and the power plug anti-pull hook.
4. Remove the two screws fastening the high-voltage protection cover to remove the
cover.
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5. Remove the 7 screws on the hardware box assembly and lift off the hardware box to
remove it.
6. Remove the cables of the AC filter and the fan.

7. Remove the 11 screws on the rear panel of hardware box to remove the rear panel
assembly.
9.2.2.12 Remove the Fan

1. Remove the rear panel of hardware box.
2. Remove the four screws on the fan to remove the fan.
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9.2.2.13 Remove the Filter
1. Remove the rear panel assembly of hardware box.
2. Remove the four screws and one nut on the filter to remove the filter.
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9.2.2.14 Remove the Auxiliary Electrical Outlet Assembly
1. Remove the rear panel assembly of the hardware box.
2. Disconnect the cables from the auxiliary electrical outlets to remove the outlets. A7 has
four auxiliary electrical outlets, as shown below.
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9.2.2.15 Remove the Breaker Assembly
1. Remove the rear panel assembly of the hardware box.
2. Remove the breaker screws to remove the breakers. The A7 has five breakers.
9.2.2.16 Remove Battery Adapter Board

1. Remove the rear panel assembly of the hardware box. And refer to steps 1 to 4 of
9.2.2.11.
2. Unplug the cables of the battery adapter board.
3. Remove the 6 screws to remove the battery compartment assembly.
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4. Remove the three screws to remove the battery adapter board.
9.2.3 Disassemble the Work Surface

9.2.3.1 Remove the Drawer Assembly
1. Pull out the drawer until the black locking piece on the rail can be seen.
2. Lift up the locking piece on the right rail of drawer, and press down on the locking
piece on the left rail at the same time.
3. Take out the drawer.
9-25
9.2.3.2 Remove the Work Surface Cover Plate
1. Remove the first drawer.
2. Pull out the auxiliary work surface if there is.
3. Remove the five screws on the work surface cover plate.
9-26
4. Lift off the cover plate from the work surface. When the cover plate is removed, the
internal structure of the work surface is shown as below:
9.2.3.3 Remove the Metal Cover Plate

1. Remove the work surface cover plate.
2. Remove the 8 screws on the metal cover plate to remove the cover plate.
9-27
9.2.3.4 Remove the Rear Cover Plate Assembly
1. Open the service door and refer to 1.2.1.
2. Unplug the AGSS transfer tube connecting to the exhaust tube and refer to 9.2.12.
3. Remove the 6 screws on the cart rear cover plate assembly and remove the cart rear
cover plate assembly (the picture on the right shows the configuration with high
pressure cylinder yoke assembly and built-in vacuum suction).
4. Remove the pentagonal knob on the cylinder yoke assembly (only applicable to the
configuration with high pressure cylinder yoke assembly).
9-28
5. Remove the four screws on the main unit rear cover plate and remove the main unit
rear cover plate. When configured with built-in vacuum suction, unplug the tube
connected to the overfill protection cup first.
6. Remove the sample gas return port (located above the cart exhaust port).
As show in above picture, the sample gas return connector can be removed only after
pulling out the tube of the sample gas return connector and removing the built-in nuts.
9.2.3.5 Remove the Expiration Valve Assembly

1. Remove the work surface cover plate.
2. Unplug the tubes and cables from the expiration valve assembly.
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3. Disconnect the cables from the pressure switch. Note to remove the jacket of the
switch before disconnecting the cables.
Jacket of
the switch
4. Remove the four screws on the expiration valve assembly to remove the assembly.
9.2.3.6 Remove the O2 Flush Assembly

1. Remove the work surface cover plate and refer to 9.2.3.2.
2. Remove the metal cover plate and refer to 9.2.3.2.
3. Unplug the tubes from the O2 flush assembly.
4. Remove the two screws on the bracket and remove it.
5. Remove the metal post on the right side of the O2 flush assembly.
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6. Remove the four screws around the O2 flush assembly to remove it.
9.2.3.7 Remove the Touchpad Assembly

3. Unplug the data line of Touchpad assembly.
4. Remove the 8 screws on the Touchpad to remove the Touchpad bracket and the
Touchpad assembly.
5. Remove the 3 screws on the Touchpad, the screw fixing the data line and the 4 screws
on the Touchpad mounting bracket to replace the Touchpad rail
9.2.3.8 Remove the ACGO Assembly (mechanical)

3. Unplug the tube and cables from the ACGO assembly(mechanical).
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4. Remove the 7 screws on the Touchpad bracket and the ACGO assembly to remove the
Touchpad bracket and the ACGO assembly
5. Remove the two screws behind the ACGO knob inside the work surface to remove the
ACGO knob.
9.2.3.9 Remove the ACGO Assembly (electronically controlled)

3. Unplug the tubes and cables from the ACGO assembly (electronically controlled).
4. Remove the three screws to remove the ACGO assembly (electronically controlled).
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5. Remove the cover sheet of separate ACGO outlet.:
Remove the four screws on the separate ACGO outlet,and pull out the outlet to remove
the cover sheet.
9.2.3.10 Remove the Cylinder Bracket Assembly

2. Remove the rear panel and refer to 9.2.3.4.
3. Remove the module rack cabinet assembly and refer to 9.2.5.
4. Remove the module rack bracket assembly and refer to 9.2.7.
5. Unplug the tubes from the cylinder bracket assembly.
6. Remove the copper pipe from cylinder bracket assembly.
7. Remove the four screws on the cylinder bracket to remove the assembly.
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8. Remove the four screws on the cylinder bracket to remove O2, N2O and AIR cylinder
bracket assemblies.
Cylinder yoke assembly before ECL 112 changes
Cylinder yoke assembly after ECL 112 changes
9.2.4 Disassemble the Auxiliary Work Surface

9.2.4.1 Remove the Auxiliary Work Surface Cover Plate
1. Remove the three drawers and refer to 9.2.3.1.
2. Remove the 16 screws and pull out the upper part of the auxiliary work surface
assembly horizontally.
9-34
3. Remove the 12 screws to remove the auxiliary work surface cover plate.
9.2.4.2 Remove the Slide of the Auxiliary Work Surface

1. Remove the auxiliary work surface cover plate and refer to 9.2.4.1.
2. Remove the 7 screws of each slide to remove the slide.
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9.2.4.3 Remove the Non-magnetic Touch Latch and Spring Mounting
Box
1. Remove the 6 screws to remove the rear cover plate of the cart.
2. Remove the four screws to remove the non-magnetic touch latch and spring mounting
box.
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9.2.5 Disassemble the Display Assembly
2. Remove the display connection line from the hardware box and remove the four
screws to remove the display assembly.
9.2.5.1 Remove the Alarm Lamp Board

1. Remove the display assembly and refer to 9.2.5.
2. Unplug the related cables from the alarm lamp board.
3. Remove the two screws on the alarm lamp board to remove the board.
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9.2.5.2 Remove the Display Adaptation Board
2. Remove the five screws on the cover plate of the display adaptation board.
3. Unplug the related cables from the display adaptation board.

4. Remove the four screws on the display adaptation board and remove the board.
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9.2.5.3 Remove the Touchscreen Control Board
2. Remove the four screws on the cover plate of the touchscreen control board to remove
the cover plate.
3. Unplug the related cables from the touchscreen control board.

4. Remove the two screws on the touchscreen control board to remove the board.
9-39
9.2.5.4 Remove the Backlight Inverter Board
2. Remove the four screws on the cover plate of the backlight inverter board to remove
the cover plate.
3. Unplug the related cables from the backlight inverter board.

4. Remove the two screws on the backlight inverter board to remove the board.
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9.2.5.5 Remove the Encoder Board
2. Unplug the related cables from the encoder board.
3. Remove the four screws on the encoder board to remove the encoder board.
9.2.5.6 Remove the Encoder Assembly

2. Remove the two screws on the encoder knob protection bar to remove the protection
bar.
9-41
3. Unplug the encoder knob assembly.
4. Remove the three screws to remove the encoder assembly.
5. Unplug the related cables from the encoder board and remove the four screws to
remove the encoder board.
6. Remove the two set screws. (Applicable for the encoder assemblies before ECL 112
changes)
9-42
7. Unscrew the two encoder fixation stud and remove the encoder. (Applicable for the
encoder assemblies before ECL 112 changes)
8. Unscrew the nut and remove the encoder. (Applicable for the encoder assemblies after
ECL 112 changes)
9.2.5.7 Remove the Touchscreen

2. Remove the four screws on the cover plate of the touchscreen control board to remove
the cover plate.
9-43
3. Unplug the related cables from the touchscreen control board.
4. Remove the 11 screws around the display backplane and then remove the display
backplane.
9-44
5. Slightly lift the touchscreen off the display front cover to remove the touchscreen.
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9.2.5.8 Remove the Display
1. Remove the display backplane and refer to the step 1, 2, 3, 4 in 9.2.5.7.
2. Remove the 9 screws on the display adaptation board cover plate and on the backlight
board cover plate.
3. Unplug the related cables from the display.
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4. Remove the four screws and remove the display.
9.2.5.9 Remove the Display Replacement Package

1. Remove the touchscreen.
2. After the above mentioned assemblies are removed from the display assembly, the
remaining part is the display replacement package.
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9.2.6 Remove the Module Rack Cabinet Assembly
2. Remove the rear panel assembly and refer to 9.2.3.4.
3. Disconnect the cables from the module rack cabinet assembly.
4. Remove the four screws to remove the module rack cabinet assembly.
5. Remove the five screws to remove the infrared communication board.
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9.2.7 Remove the Fan of the Module Rack
2. Disconnect the cable from the fan.
3. Remove the four screws to remove the module rack bracket assembly.
4. Remove the two screws to remove the fan and its bracket as well.
5. Remove the four screws to remove the fan of the module rack.
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9.2.8 Disassemble the Pressure Gauge Panel Assembly
2. Remove the rear panel assembly and refer to 9.2.3.4.
4. Disconnect the cables from the system switch, indicator board, and auxiliary needle
valve extension mechanism.
5. Unplug the related tubes from the gas supply pressure gauge and system switch
assembly of the instrument panel and unplug one end of the tubes from the total
flowmeter assembly and needle valve module.
6. Remove the three copper pipes on the high-pressure pressure gauges from cylinder
bracket assembly.
7. Refer to 9.2.3.2 to remove the work surface cover plate assembly.
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8. Remove one screw from the back of the machine to remove the BFCS support bar.
9. Remove the three screws from the back of the machine and fully loosen the captive
screw.
10. Remove the four screws on the gauge panel to remove the panel. When taking out the
gauge panel, note that high voltage test tube shall avoid the internal tubes and cables
of the machine.
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9.2.8.1 Remove the Pressure Gauges
1. Remove the panel of pressure gauge and refer to 1.2.7 .
2. Remove the two screws from the pressure gauge and remove gas supply pressure
gauge and high-pressure gauge.
3. If replacing the pressure gauge cover is necessary, remove the two screws to remove
the pressure gauge cover.
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4 If replacing the pressure gauge cover is necessary, take out the white gasket inside the
gauge cover. Then remove the gauge cover from the gauge panel. Before replacement,
clear the residual adhesive strip on the gauge panel.
White gasket inside the

gauge cover
9.2.8.2 Remove the Total Flowmeter

1. Remove the panel of the pressure gauge and refer to 9.2.8.
2. Remove the four screws on the total flowmeter to remove the total flowmeter.
9.2.8.3 Remove the System Switch Assembly

2. Remove the four screws on the system switch to remove the system switch assembly.
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9.2.8.4 Remove the Indicator Light Board
2. Remove the two screws on the indicator light board to remove the board.
9.2.8.5 Remove the Needle Valve Assembly

2. Disconnect the tubes and cables from the needle valve assembly.
3. Remove the three screws to remove the needle valve assembly.
4. Remove the two screws on the contact switch to remove the contact switch.
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9.2.8.6 Remove the Electromagnet
2. Disconnect the cable from the stepper motor.
3. Remove the three screws to remove the electromagnet assembly.
9.2.8.7 Remove the Motor Position Check Board

2. Disconnect the cable from the motor position check board.
3. Remove the four screws to remove the protective shield.
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4. Remove the two screws to remove the motor position check board and metal sheet.
5. Remove the three screws to remove the motor position check board.
9.2.8.8 Remove the Needle Valve Extension Mechanism

2. Remove the four screws to remove the needle valve extension mechanism and the
needle valve module.
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3. Remove the 6 screws to remove the needle valve extension mechanism.
9.2.9 Disassemble the Vacuum Suction Related Assembly

9.2.9.1 Remove the Overfill Protection Cup Assembly
2. Unplug the tube connected to the overfill protection cup and remove the three screws
fixing the cup to remove this assembly.
9.2.9.2 Remove the pipeline vacuum inlet assembly

2. Remove the rear cover plate assembly and refer to 9.2.1.14.
3. Unplug the tube connected to the pipeline vacuum inlet assembly.
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4. Remove the two screws fixing the pipeline vacuum inlet assembly to remove the
assembly.
9.2.9.3 Remove the Muffler Assembly

2. Unplug the tube connected to the muffler assembly.
3. Remove the four screws fixing the muffler assembly to remove the assembly.
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9.2.9.4 Remove the vacuum generator assembly
2. Unplug the tube connected to the vacuum generator.
3. Remove the four screws on the left side of the main unit which fix the rail to remove the
rail.
4. Remove the three screws fixing the vacuum generator to remove the assembly.
9-59
9.2.9.5 Remove the Vacuum Control Panel Assembly
2. Unplug the tube or plug connected to the vacuum control panel assembly and remove
the four screws as shown below.
3. Take out the vacuum control panel assembly from the front of the machine.
4. Remove the four screws to remove the vacuum control main body assembly FRU.
9-60
5. Remove the two screws to remove the negative pressure gauge assembly FRU.
6. Remove the two screws and then rotate the needle valve knob to remove the negative
pressure needle valve assembly FRU.
9-61
7. Remove the two screws to remove the selector switch and dialing switch. The
remaining part is needle valve knob and panel RFU.
9.2.10 Remove the Auxiliary Gas Supply Assembly

2. Unplug the related tubes from the auxiliary gas supply assembly.
3. Remove the two screws on the auxiliary gas supply assembly, pull the auxiliary gas
supply assembly to the side a little bit and disconnect the internal cable to remove the
assembly.
9-62
4. Remove the three screws to remove the backlight board PCBA of auxiliary gas supply
flowmeter .
9.2.11 Remove the Rotating Block of Breathing Circuit

2. Unplug the breathing system assembly from the rotating block.
3. Remove the four screws to lift off the rotating block. Disconnect the internal cable to
remove the rotating block.
4. Remove the circuit heater.
Remove the two screws and the heating plate spring on the circuit switch to remove
the circuit heater.
5. Remove the auto/manual contact switch.
9-63
Drive shaft
Small limit switch
As the above picture shows, remove the auto/manual contact switch there.
6. Remove the circuit switch.
Circuit
回路在位开关材 switch
As the above picture shows, the circuit switch is under the circuit adaptation block. To
remove the circuit switch, the fastening screw must be removed from below. .
9.2.12 Remove the AGSS Assembly

1. Unplug the transfer tube from the AGSS assembly.
2. Loosen the AGSS slide knob on the AGSS assembly. Lift the AGSS assembly along
the fixed slide block to remove the assembly.
9-64
9.2.13 Remove the Electronically Controlled ACGO Drive
Valve
1. Remove the 6 screws to remove the back cover plate of the cart.
2. Unplug the related tubes and cables from the ACGO drive valve.
3. Remove the two screws to remove the ACGO drive valve.
9-65
9.2.14 Remove the Built-in Anesthesia Module (when
configured with anesthesia module)

1. Remove the 6 screws to remove the back cover plate of the cart.
2. Unplug the related tubes and cables from the anesthesia module.
3. Remove the four screws to remove the anesthesia module and the metal sheet bracket
as well.
4. Remove the four screws to remove the anesthesia module.
9-66
5. Remove the anesthesia module adaptation board.
Anesthesia
麻醉模块转接板 module
adaptation board
After removing the built-in anesthesia module communication cable, remove the three
screws to remove the anesthesia module adaptation board.
9-67
9.2.15 Remove Anesthesia Module Inlet Pipeline Assembly
(when configured with anesthesia module)

2. Remove the rear panel and refer to 9.2.3.4.
3. Unplug the tubes from the anesthesia module and two-way connector.
4. Remove the two screws to remove the anesthesia module inlet pipeline assembly.
9-68
Cut the cable tie used to fix the filter and disconnect the tube from the filter to remove
the filter.
9.2.16 Disassemble the Base Assembly

9.2.16.1 Remove the Caster Assembly (Old base assemblies: four
casters are locked synchronously at the brake status)
1. Remove the breathing system and tilt the machine backward.
2. Remove the 5 screws and remove the caster assembly.
9-69
9.2.16.2 Remove the casters (New base assemblies: three casters are
locked and another one can rotate freely at the brake status.)
1. Remove the drawer assemblies according to 9.2.3.1 part.
2. Disassemble the rear panel referring to the third step of 1.2.3.4 part and remove the
real board of the cart.
3. Loose the ten screws fixed at two sides of the cart and carry the whole top part down.
4. Loose the four screws fixed at the base board and remove the base cover.
9-70
5. Loose the two screws used for fixing the decoration board at the sides of base.
6. Turn over the base assembly, loose the four screws used for fixing the two sides
decoration board at the base and remove the decoration board.
9-71
7. According to the replacement of the castors, loose the screws used for fixing the front
and rear housing of the base and remove the front and rear housing.
8. Loose the two screws used for fixing the ram and remove the ram.
9-72
9. Loose the two screws used for fixing the installation board of castors shaft and remove
the installation board and the drive shaft.
10. Loose the two screw used for fixing the castors and remove the castors.
9.2.16.3 Disassemble the front and rear housing of the base and the
decoration board.
Refer to the step 1 to 7 of 9.2.16.2 part.
9-73
9.2.16.4 Remove the Brake Indicator Drive Plate I and II
1. Tilt the machine backward.
2. Remove the two screws on the brake indicator drive plate I to remove the plate.
3. Remove the screw on the brake indicator drive plate II to remove the plate.
9.2.16.5 Remove the Brake Assembly

2. Remove the 6 screws on the brake assembly to remove the assembly.
9-74
9.2.16.6 Remove the Brake Main Axis
2. Remove brake assembly.
3. Remove the 6 screws and remove the brake main axis (10 screws are needed to be
removed for the new base assemblies).
9.2.16.7 Remove the Brake Connecting rod

2. Remove the brake indicator drive plate II.
3. Remove the three screws on the brake connecting rod to remove the rod.
9.3 Disassemble the Breathing System

9.3.1 Remove the O2 Sensor and O2 Cell Unit
1. Remove one end of the O2 cell unit from the corresponding connector on the breathing
circuit rotating block. Unplug the O2 cell unit from the port on the breathing
system by pulling it straight out.
9-75
2. Turn the O2 cell housing counterclockwise to take out of the O2 cell cable. Then turn
the O2 sensor counterclockwise to take it out of the O2 cell housing.
9.3.2 Remove the Breathing Tubes
NOTE
 When disassembling the breathing tube, hold the tube connectors at both ends of
the tube to prevent damage to the tube.
1. Remove the filter from the Y piece.
2. Disconnect the breathing tubes from the inspiration/expiration connectors on the

circuit.
9-76
9.3.3 Remove the Flow Sensor
1. Turn the locking nuts counterclockwise.
2. Pull out the inspiration and expiration connectors together with their locking nuts. And
then pull out the flow sensors horizontally.
3. The following pictures show the appearance of inspiratory and expiratory flow sensor
assemblies.
Inspiratory flow sensor assembly Expiratory flow sensor assembly
9-77
9.3.4 Remove the Manual Bag
Remove the manual bag from the bag arm assembly as shown below.
9.3.5 Remove the Absorber Canister Assembly

1. Hold and turn the rotary handle clockwise for 90 degrees.
2. Pull out the absorber canister assembly horizontally.
9-78
If it is necessary to replace or re-install the Pre-pak absorber sealing cushion (049-
000143-00), set the internal groove of the Pre-pak absorber sealing cushion in the side
flange of the Pre-pak absorber, as shown below.
Side flange of
the Pre-pak
absorber
Flat surface of the sealing

cushion faces upward.
Make sure that the sealing cushion is correctly installed. The comparison between
correct installation and incorrect installation is shown below.
Correct
installation
Incorrect
installation
WARNING
 Sodalime is a caustic substance and is a strong irritant to eyes, skin and
respiratory system. Affected areas should be flushed with water. If irritation
continues after flushing with water, seek medical assistance immediately.
9-79
9.3.6 Remove the CO2 Bypass Assembly
1. Remove the absorber canister assembly and refer to 9.3.5。
2. Press inward the fasteners on both sides and pull it downwards to remove the upper
part of CO2 bypass assembly. Then lift the chassis to remove the whole CO2 bypass
assembly.
3. Remove the canister hose from the CO2 bypass assembly and the chassis.
9-80
If it is necessary to replace or re-install the bypass trigger plate sealing cushion (049-
000142-00), pay attention to the matching between the interior convex rib of the
bypass trigger plate sealing cushion and the groove of the bypass trigger plate when
assembling the bypass trigger plate sealing cushion onto the bypass trigger plate, as
shown below.
Groove of the trigger

plate
bypass trigger plate

sealing cushion
Make sure that the sealing cushion is correctly installed. The comparison between
correct installation and incorrect installation is shown below.
Correct
installation
Incorrect
installation
9-81
9.3.7 Remove the Prepak Handle
1. Refer to 9.3.5 and 0 to remove the absorber canister assembly and CO2 bypass
assembly.
2. Remove the screw to remove the handle and the cam.
9.3.8 Remove the Contact Switch of the L-shaped Handle

1. Refer to 9.3.5 and 0 to remove the absorber canister assembly and CO2 bypass
assembly.
2. Remove the two screws to remove the handle and the cam.
9-82
3. Unplug the cable and, remove the two screws to remove the contact switch.
9.3.9 Remove the Patient Circuit Assembly

1. Refer to 9.3.6 to remove the CO2 Bypass assembly.
2. Pull the patient circuit assembly away from the circuit adaptation block assembly.
9.3.10 Remove the Bellows Assembly

1. Turn the bellows dome counterclockwise and lift off to remove the dome.
9-83
2. Remove the bellows from the bellows base.
9.3.11 Remove the Pop-off Valve Assembly

1. Remove the bellows assembly by referring to 9.3.10.
2. Remove the four locking screws to remove the Pop-off valve cover plate assembly.
3. Remove the Pop-off valve.
9-84
9.3.12 Remove the Expiratory/Inspiratory Check Valve
Assembly
1. Rotate the check valve cover counterclockwise to remove it.
2. Pull out the check valve as shown below.
9.3.13 Remove the Water Collection Cup

1. Rotate the water collection cup counterclockwise to remove it.
9-85
2. The removed water collection cup is shown below.
9.3.14 Remove the Airway Pressure Gauge

Lift the airway pressure gauge straight up to remove it.
9.3.15 Remove the Bag Arm Assembly

1. Depress and remove the locking nut counterclockwise and pull out the nut vertically.
9-86
2. Lift and remove the bag arm assembly.
9.3.16 Remove the Back Upper Cover and Back Lower Cover
Assemblies
1. Refer to 9.3.1, 9.3.2, 9.3.4, 9.3.9, 9.3.10, 9.3.13, 9.3.14, 9.3.14, 9.3.14, 9.3.15 to
remove the O2 sensor, breathing tubes, manual bag, absorber canister assembly, CO2
bypass assembly, patient circuit assembly, bellows assembly, water collection cup,
airway pressure gauge and bag arm assembly.
2. Fully loosen the 6 screws as shown below.
3. Fully loosen the hand screw as shown below.
9-87
4. Turn over the circuit. Pull up to separate the back upper cover assembly.
5. Pull leftwards to take out the back lower cover assembly.
9.3.17 Remove the Front Upper Cover, Median Plate and
Front Lower Cover Assemblies

1. Refer to 9.3.16 to remove the back upper cover and back lower cover assemblies .
2. Remove the two screws on the back cover.
9-88
3. Fully loosen the 6 screws on the upper cover.
4. Loosen the captive screws on the upper cover.
5. Hold the upper cover assembly tightly and pull it up to remove it.
9-89
6. Pull up the median plate assembly to remove it.
Median Plate
Assembly
Lower Cover
Assembly
9.3.18 Remove the Automatic/Manual Ventilation Switch
Assembly
1. Refer to 9.3.17 to remove the upper cover assembly.
2. Turn over the upper cover assembly and remove the three screws to remove the
automatic/manual ventilation switch assembly as shown below.
9-90
3. Remove the three screws to remove the bracket as show below.
4. Remove the O-ring and pull out the connection shaft and also the shaft of
automatic/manual ventilation switch.
Take out the sealing ring and pull out the

connection shaft
Shaft of automatic/manual
ventilation switch
Compression spring
5. Remove the compression spring and replace the two sealing rings (082-000669-00)
Sealing ring (082-

000669-00)
9-91
9.3.19 Remove the APL Valve Assembly
Rotate the locknut counterclockwise and pull the APL valve assembly straight up to remove
it.
9-92
10 Parts Replacement
10.1 Introduction
The A7 anesthesia system can be broken down into 18 big parts based on its structure and
functions. Each big part includes several replaceable parts. Table 9-1 through Table 9-17 list
the information about each replaceable part and Figure 9-1 through Figure 9-17 indicate the
position of each replaceable part on the A7. The selection of replaceable parts gives
consideration to the characteristics of the parts, cost of replacement, and maintenance
efficiency. When the parts whose sub components are not convenient to replace (such as the
electronic component on the card) are faulty, replacing the card can improve the maintenance
efficiency. For example, if a pressure gauge on the instrument panel is faulty, replacing the
pressure gauge can reduce the cost.
10.2 Ordering Replaceable Parts

Provide the following information to order replaceable parts:
FRU code of the parts
Number of the parts in the document table
Characteristics of the parts
For example: P/N: 801-0631-00001-00 Auxiliary gas source, NO.1
10-1
10.3 Diagrams and Tables
10.3.1 Structure
30
1 17
16
2
15
14
13
12
11
3
10
4
9
5 8
6
7a
10-2
Figure Description Part Number
No.
Auxiliary gas supply assembly (American
115-034401-00
1 standard)
Auxiliary gas supply assembly (European
115-034400-00
standard)
2 Breathing circuit unit FRU（0635） 115-025564-00
3 CO2 bypass assembly 115-036378-00
4 Vacuum control panel assembly (CE/0635) 115-022542-00
5 Total flowmeter 115-027534-00
6 BFCS assembly /
7 Drawer assembly 115-033978-00
7a Drawer handle 801-0631-00140-00
8 Drawer key 115-023320-00
9 O2 high pressure gauge assembly 115-024850-00
10 N2O high pressure gauge assembly 115-024851-00
11 Air high pressure gauge assembly 115-024852-00
12 N2O supply pressure gauge assembly 115-024848-00
13 Air supply pressure gauge assembly 115-024849-00
14 O2 supply pressure gauge assembly 115-024847-00
15 System switch knob 801-0631-00012-00
16 Backup vaporizer mounting manifold 801-0631-00076-00
17 Vaporizer mounting manifold 801-0631-00024-00
30 Instrument panel assembly (0635/Domestic
standard/backup cylinder/O2 and Air) 115-029980-00
Instrument panel assembly (0635/Domestic
standard/backup O2/O2 and Air 115-029981-00
standard/backup cylinder) 115-023188-00
standard/backup O2) 115-023189-00
Instrument panel assembly (0635/ electronic
pressure monitoring) 115-034875-00
Instrument panel assembly (0635/ European
standard) 115-023186-00
standard/O2&Air) 115-029978-00
standard/ big cylinder) 115-023187-00
standard/ big cylinder/O2&Air) 115-029979-00
Instrument panel assembly (0632/American
standard) 115-029974-00
Instrument panel assembly (0632/American
standard/O2&Air) 115-029976-00
10-3
No.
Instrument panel assembly (0632/ reverse
European standard) 115-029975-00
Instrument panel assembly (0632/ reverse
European standard/O2&Air) 115-029977-00
Instrument panel assembly (0635/electronic
115-040735-00
pressure monitoring)
29 28
18
19
27
20
21 26
22 25
24
23
30
31
Figure No. Description Part Number

18 Service door 115-026810-00
19 O2 cylinder yoke assembly (with copper coil) 115-034134-00
O2 cylinder yoke assembly (with copper coil/ air drive) 115-040983-00
O2 cylinder yoke assembly (0635/ electronic pressure 115-056631-00
monitoring)
O2 cylinder yoke assembly (0635/ electronic pressure 115-056628-00
monitoring/air drive)
20 N2O cylinder yoke assembly (with copper coil) 115-034136-00
N2O cylinder yoke assembly (0635/ electronic pressure 115-056632-00
10-4
monitoring)
21 Air cylinder yoke assembly (with copper coil) 115-034135-00
Air cylinder yoke assembly (with copper coil/ air drive) 115-040985-00
Air cylinder yoke assembly (0635/ electronic pressure 115-056631-00
monitoring)
Air cylinder yoke assembly (0635/ electronic pressure 115-056629-00
monitoring/air drive)
22 Caster assembly 034-000285-00
24 AGSS transfer tube 801-0631-00074-00
25 AGSS assembly(low flow) 115-017378-00
AGSS assembly(high flow) 115-017377-00
26 Vacuum suction liquid collection bottle bracket 115-017947-00
assembly
27 Overfill protection cup assembly 115-018131-00
28 Work surface cover plate assembly 801-0631-00120-00
29 Muffler assembly 115-018356-00
30 Cylinder lock block 041-002678-00
31 Tank knob 043-001266-00
10.3.2 Upper Half
2
8
3
7
10-5
9
10
11
12
20
19
13 14 15 16 17 18
10-6
2 N2O regulator assembly 801-0631-00086-00
3 O2&Air regulator assembly 801-0631-00087-00
4 EFCS system /
5 Vacuum generator assembly 115-017748-00
6 Back pressure valve 115-033064-00
7 3-way valve assembly 115-015898-00
Lithium battery 11.1V 4500mAh LI23S002A
8 115-062081-00
material package (delivered separately）
9 N2O supply inlet assembly (0632/DISS) 115-014825-00
N2O supply inlet assembly (0632/NIST) 115-015436-00
N2O supply inlet assembly (0632/NIST/electronic
115-056329-00
10 Air supply inlet assembly (0632/DISS) 115-014826-00
Air supply inlet assembly (0632/NIST) 115-015437-00
Air supply inlet assembly (0632/NIST/electronic
115-056331-00
11 O2 supply inlet assembly (0632/DISS) 115-014827-00
O2 supply inlet assembly (0632/NIST) 115-015435-00
O2 supply inlet assembly (0632/NIST/electronic
115-056327-00
12 Pipeline negative pressure inlet assembly (NIST) 115-018132-00
Pipeline negative pressure inlet assembly (DISS) 115-018133-00
13 System switch assembly (0632) 115-017877-00
14 Indicator light board PCBA 801-0631-00004-00
15 Pressure gauge tube (left) (O2) /
16 Pressure gauge tube (middle (air) /
17 Pressure gauge tube (right) (N2O) /
18 BFCS module /
Gas mixer assembly(0632)( O2, N2O,Air) 115-027532-00
19
as mixer assembly(0632)( O2, Air) 115-036456-00
20 Gulp valve 801-0631-00116-00
10-7
10.3.3 Hardware Box
9
8
7
6
5
11 4
12
13
2
14
15

No.
1 Top lighting board PCBA 801-0631-00039-00
2 Speaker and connecting cable 801-0631-00038-00
3 Brazilian-standard auxiliary electrical outlet 008-000229-00
British-standard auxiliary electrical outlet 008-000027-00
B-specification 220V auxiliary electrical outlet
and connection line 009-002044-00
Australian-standard auxiliary electrical outlet M39-000207---
Indian-standard auxiliary electrical outlet 008-000060-00
European-standard auxiliary electrical outlet M39-000208---
Big South African auxiliary electrical outlet 008-000487-00
4 Breaker (3.0 A) 801-0631-00031-00
5 Breaker (5.0 A) 801-0631-00130-00
6 Filter (AC supply input port) 801-0631-00029-00
7 Fan 801-0631-00028-00
8 Spare power board (0632) 115-018145-00
9 Wind shield /
115-035003-00 (without VGA)
11 CPU board
115-040956-00 (with VGA)
12 Battery interface board PCBA 801-0631-00109-00
13 Ventilator control board 115-051206-00
10-8
14 Mother board PCBA (0632) 115-040955-00 (with VGA)
15 3-way valve assembly (0631 ACGO) FRU 801-0631-00146-00
3-way valve assembly (0616) (without ACGO
configuration) 801-0631-00146-00
10.3.4 Work Surface
2 1
3
14
4
11
5
7
8 9 10
13
10-9
No.
1 Limit switch 801-0611-00097-00
2 Auto/manual spring 801-0631-00114-00
3 Drive shaft 801-0631-00113-00
4 Circuit heater 115-034450-00
5 Circuit conversion seat cover 801-0631-00068-00
6 O2 sensor connector 801-0631-00067-00
7 O2 flush assembly 801-0631-00044-00
8 Mechanical ACGO assembly 115-043752-00
Mechanical ACGO assembly (AG calculation) 115-043753-00
9 Track board FRU 115-017032-00
10 Touchpad 801-0631-00052-00
11 Expiration valve assembly maintenance
115-036693-00
standby(DSP)
13 Electronically controlled ACGO assembly 115-034440-00
Electronically ACGO assembly (AG calculation) 115-034441-00
14 Gas Reservoir Assembly 801-0616-00007-00
10-10
10.3.5 Main Body of the Breathing Circuit
1
14
13
3
12
11
5
10
9
7
8

1 Bellows housing 801-0631-00054-00
2 Bellows assembly 801-0601-00001-00
3 Paw gauge 115-051819-00
4. Breathing circuit unit FRU (0632) 115-025564-00
5 Expiratory flow sensor assembly 801-0631-00056-00
6 Inspiratory/expiratory connector 801-0631-00057-00
7 Inspiratory/expiratory connector turncap 801-0631-00059-00
8 Water collection cup (A series) 801-0631-00058-00
9 Inspiratory flow sensor assembly 801-0631-00060-00
10 O2 cell cover and O2 battery 801-0631-00102-00
11 Quick release APL valve assembly (0632) 115-012263-00
10-11
12 Auto/Manual switch assembly 801-0631-00065-00
13 Check valve 801-0631-00104-00
14 Bag arm assembly FRU 115-048600-00
10.3.6 Pre-pak Absorber Canister Assembly

No.
1 Breathing canister tube 801-0631-00092-00
2 Base plate 801-0631-00100-00
3 CO2 absorber canister 801-0631-00066-00
4 CO2 bypass assembly 115-036378-00
10-12
10.3.7 Expiratory Check Valve and Inspiratory Check Valve

No.
1 Valve cover 801-0631-00061-00
2 Valve shield 801-0631-00110-00
3 Disc 801-0631-00111-00
10.3.8 O2 Cell Assembly
1
2
10-13
1 O2 cell cover 801-0631-00090-00
2 MedicelMOX-2 O2 sensor 0611-10-45654
3 O2 cell cable 801-0631-00091-00
10.3.9 Display Assembly
3
2
4

No.
1 Encoder board 042-016029-00
2 Encoder 010-000257-00
3 Encoder knob (balance gas) 115-034072-00
4 Encoder knob (O2) 115-034071-00
10-14
10.3.10 Main Body of Display Assembly

1 Alarm lamp board PCBA 801-0631-00019-00
2 Touchscreen 801-0631-00014-00
3 Replacement package of display screen FRU (0634) 115-036373-00
4 Touchscreen control board 801-0631-00018-00
5 Display interface board PCBA (0632) 051-001258-00
10-15
10.3.11 Vaporizer Mounting Manifold Assembly

1 Connector (vaporizer mount) /
2 Valve of the vaporizer mounting manifold 801-0631-00106-00
3 Spring of the vaporizer mounting manifold 801-0631-00107-00
10-16
10.3.12 Auxiliary Gas Supply Assembly

Auxiliary gas supply flowmeter lighting board
1 PCBA 801-0631-00002-00
2 Auxiliary gas outlet fittings /
10-17
10.3.13 Base Assembly

No.
1 Spare brake assembly (new color) 115-016692-00
2a Long ram of the brake (0634) 042-016810-00
2b Short ram of the brake (0634) 042-017262-00
3 Indicator drive plate 801-0631-00072-00
4 Principal axis of the brake 041-022463-00
Spare bottom plate assembly base (national & large
5 cylinder) 115-044426-00
10-18
10.3.14 Cart Assembly
3
1
2
5

1 ACGO drive valve assembly 115-015948-00
2 M01A AION AG module (03-31 type) 115-002504-00
3 AG calculation inlet pipeline assembly(0632) 115-017879-00
4 Filter .0.45um,TP026AATV004AD01 082-000423-00
5 Anesthesia signal transfer board (service part) 801-0613-00033-00
10-19
10.3.15 EFCS Assembly

O2 flow sensor adapter board PCBA of the flowmeter (0632) 115-044851-00
1
N2O flow sensor adapter board PCBA of the flowmeter (0632) 115-044851-00
Air flow sensor adapter board PCBA of the flowmeter (0632) 115-044851-00
2 Spare EFCS control board 115-024754-00
3 Isolation pad of the EFCS control board (0632) /
4 Flow sensor holder (A7) /
Proportional valve assembly of the EFCS 115-018143-00
5
Proportional valve assembly of the EFCS（O2&Air） 115-024628-00
Note: After replace the flow sensor adapter board PCBA and EFCS control board of EFCS
module, it must to operate total flow sensor N2O calibration.
10-20
10.3.16 BFCS Assembly (Configure with O2 and Air)

1 O2 needle valve assembly (0632/with basal flow) 115-015639-00
O2 needle valve assembly (0632/with basal flow/
115-024630-00
O2&Air)
2 Air Needle valve assembly (0632) 115-014468-00
3 Needle valve knob 041-017715-00
4 Rolling bearing of the needle valve knob /
5 Air needle valve knob (0632) 041-006775-00
6 O2 needle valve knob (0632) 041-006773-00
7 Fender bracket(0632/O2/AIR/EUR/silk) 043-006012-00
10-21
10.3.17 Spare Needle Valve Telescopic Mechanism

Stepper linear motor 115-014519-01
1 Stepper linear motor(O2&Air) 115-029847-00
2 Solenoid 115-018144-00
3 BFCS position switch board 051-001286-01
10-22
10.3.18 Tubes
SN Description Part Number
1 7 mm x 10 mm transparent PU tube (polyether) 082-000519-00
2 3/32"X7/32"X100ft silicone A21-000007---
3 8 mm x 5 mm transparent soft precision PU tubing M6G-020014---
4 20 x 25 mm silicone M6G-020018---
5 4 x 6 transparent PU tube M6G-020026---
6 Tubing. 4mmx2.5mm transparent PU precision hose M6G-020046---
7 Tubing.MPF tube 2mmX3.5mm （1feet） M6G-020005---
8 PE Tubing.ID2XOD4 082-001198-00
9 ID3/32''XOD5/32'',Silicone 60-12140-00
10 Tubing.ID3/32''XOD5/32'',Silicon 9200-10-10556
11 System Tubing PUR.AION,1.4/2.8mm,60-12110-00 9200-10-10557
12 System Tubing PUR.AION, 2.2/4.4mm,60-12120-00 082-001461-00
13 Drive gas spring tube assemblies 115-034448-00
14 APL valve spring tube assemblies 115-034449-00
10.3.19 O-ring
SN Description Part Number Remarks
1 Valve port sealing cushion 049-000140-00 For the CO2 bypass shaft
2 CO2 bypass assembly washer 049-000142-00 /
Exterior washer of the absorber
049-000143-00 /
3 canister
Interior washer of the absorber
049-000145-00 /
4 canister
5 CO2 absorber hose 049-000146-00 /
6 Pop-off rubber pad 049-000240-00 /
Bottom washer of the bellows
049-000243-00 /
8 absorber canister
9 AGSS filter 082-000506-00 /
10 14 x 2.65 O-ring 082-000934-00 For the vaporizer mount
11 30 x 2 O-ring 082-001499-00 Bag arm base
12 25 x 2 O-ring 082-001500-00 APL valve
13 27 x 1.5 O-ring 082-001501-00 For the check valve dome
14 18 x 2.5 O-ring 082-001502-00 Breathing system base
15 20 x 1.5 O-ring 082-001503-00 For the check valve
For the water collection cup and
23.47 x 2.95 O-ring 082-001504-00
16 CO2 bypass assembly
17 52 x 2 O-ring 082-001505-00 Auto/Manual ventilation switch
18 29 x 2.62 O-ring 082-001508-00 Bellows base
19 6.07 x 1.78 O-ring 082-001514-00 Bottom of the breathing system
10-23
SN Description Part Number Remarks
cover screw
20 29.82 x 2.62 O-ring 082-001515-00 APL valve
21 40 x 2.2 O-ring 082-001520-00 Auto/Manual ventilation switch
22 8.5 x 2.0 O-ring 082-001525-00 O2 cell port
For the rotating block of
8.5 x 2 O-ring 082-000665-00
23 breathing circuit
4.7 x 1.8 O-ring 082-000667-00
For the Auto/Manual ventilation
6 x 1 O-ring 082-000669-00
25 switch
For the bag alarm and O2 cell
15.54 x 2.62 O-ring 082-000673-00
26 cover
27 4.47 x 1.78 O-ring 082-000679-00 For the CO2 bypass shaft
801-0631-00118-
28 O-ring (for the Paw gauge) For Paw gauge
00
16 x 2 O-ring M6M-010058---
801-0631-00141-
Maintenance kit for O rings /
30 00
10-24
A Anesthesia Machine Tube Connection
Diagrams
A.1 A7 System Tube Connection Diagram (European
standard)
A-1
A.2 A7 System Tube Connection Diagram (A7 O2&AIR)
A-2
A.3 A7 System Tube Connection Diagram (A7
O2&N2O&AIR)
A-3
A.4 A7 System Tube Connection Diagram (European
standard/large cylinder)
A-4
A.5 A7 System Tube Connection Diagram (A7
O2&N2O&AIR ELECTRIC)
A-5
A.6 A7 System Tube Connection Diagram (A7 O2&AIR
ELECTRIC)
A-6
A.7 Descriptions of A7 System Tube Connection
No. From To P/N

Vaporizer manifold
25 M6G-020045---
Total flowmeter assembly
Back pressure valve
26 Total flowmeter M6G-020045---
assembly
27 N2O needle valve Gas mixer assembly M6G-020046---
28 Air needle valve Y7 M6G-020046---
29 Y2 Gas mixer assembly M6G-020026---
29 O2 needle valve Y7 M6G-020046---
30 ORC assembly ORC assembly M6G-020046---
33 ORC assembly Y2 M6G-020026---
N2O cylinder yoke
34 Y1 or Y4 M6G-020045---
assembly
N2O large cylinder
34 Y4 M6G-020045---
supply inlet assembly
N2O pressure regulator
35 Y1 or Y4 M6G-020045---
assembly
Air cylinder yoke
36 Y1 or Y4 M6G-020045---
assembly
O2&Air pressure regulator
37 Y1 or Y4 M6G-020045---
assembly
38 Y4 Y1 M6G-020045---
O2 cylinder yoke
39 O2 supply pressure gauge M6G-020046---
assembly
N2O supply inlet
40 N2O supply pressure gauge M6G-020046---
assembly
Air supply inlet
41 Air supply pressure gauge M6G-020046---
assembly
O2&Air pressure
42 Y5 M6G-020026---
regulator assembly
43 Y5 System switch M6G-020026---
44 Y5 O2 flush assembly M6G-020026---
45 System switch Y2 or Y5 M6G-020026---
46 Y5 ORC assembly M6G-020026---
O2&Air pressure regulator
47 Y4 M6G-020045---
assembly
48 Y3 M6G-020046---
assembly
48 Y3 ORC assembly M6G-020046---
49 ORC assembly N2O needle valve M6G-020046---
O2&Air pressure
50 Y5 M6G-020026---
regulator assembly
51 Y6 Air needle valve M6G-020046---
ACGO assembly
52 O2 flush assembly M6G-020026---
(mechanical)
Mechanical ACGO assembly
52 O2 flush assembly M6G-020026---
(AG calculation)
52 O2 flush assembly ACGO assembly (electronic) M6G-020026---
A-7
Vaporizer manifold ACGO assembly
53 M6G-020045---
assembly (mechanical)
Vaporizer manifold
53 ACGO assembly (electronic) M6G-020045---
assembly
Air supply inlet
54 Y1 or Y4 M6G-020045---
assembly
Expiration valve
55 Gas reservoir assembly M6G-020026---
assembly
57 Y5 Auxiliary O2 M6G-020026---
Back pressure valve
58 EFCS module M6G-020045---
assembly
O2 supply inlet
59 Y4 M6G-020045---
assembly
O2 cylinder yoke
60 Y1 M6G-020045---
assembly
O2 large cylinder
60 Y1 M6G-020045---
61 Y1 Y1 M6G-020045---
N2O supply inlet
62 Y1 or Y4 M6G-020045---
assembly
63 Y1 Expiration valve assembly M6G-020045---
64 Auxiliary Air Y2 M6G-020026---
65 Auxiliary O2 Y2 M6G-020026---
66 Y2 Auxiliary gas outlet M6G-020026---
67 Y5 Auxiliary Air M6G-020026---
69 Y1 Auxiliary gas outlet M6G-020045---
73 O2 needle valve Y6 M6G-020046---
75 Y5 Poppet valve assembly M6G-020026---
76 Y5 Poppet valve assembly M6G-020026---
77 Poppet valve assembly Y2 M6G-020026---
79 Y4 O2 supply inlet assembly M6G-020045---
N2O large cylinder
83 N2O supply pressure gauge M6G-020046---
O2 large cylinder
85 O2 supply pressure gauge M6G-020046---
110 Y2 or Y5 Y6 M6G-020026---
111 Y5 Y2 M6G-020026---
Solenoid valve assembly
112 Y2 M6G-020026---
(up)
Solenoid valve assembly
113 Y2 M6G-020026---
(down)
Solenoid valve
114 ACGO assembly M6G-020026---
assembly (down)
Solenoid valve
115 ACGO assembly M6G-020026---
assembly (up)
117 Y2 or Y5 EFCS assembly M6G-020026---
118 Y5 EFCS assembly M6G-020026---
119 Y3 EFCS assembly M6G-020046---
assembly
120 EFCS module Three-way valve assembly M6G-020045---
121 Y1 Three-way valve assembly M6G-020045---
A-8
122 Y8 Y1 M6G-020045---
Three-way valve
assembly
124 Y1 System switch assembly M6G-020045---
125 Y1 or Y4 Air supply inlet assembly M6G-020045---
126 Y1 or Y4 N2O supply inlet assembly M6G-020045---
137 Y6 O2 needle valve M6G-020046---
139 Y6 Y5 M6G-020026---
142 Y5 Y6 M6G-020026---
145 Y1 Vacuum control panel M6G-020045---
146 Vacuum control panel Venturi tube assembly M6G-020045---
147 Pipeline vacuum inlet Vacuum control panel M6G-020045---
147 Venturi tube assembly Vacuum control panel M6G-020045---
148 Vacuum control panel Overfill protection cup M6G-020045---
149 Venturi tube assembly Muffler assembly M6G-020045---
154 Y1 or Y4 Y1 M6G-020045---
157 Y7 Y8 M6G-020026---
Y1 Three-way connector Φ8 082-000583-00
Y4 Four-way connector Φ8 082-001197-00
Y5 Four-way connector Φ6 082-001201-00
Y6 Two-way connector Φ4 to Φ6 082-001285-00
Y7 Three-way connector 2 Φ4 to Φ6 082-002302-00
Y8 Two-way connector Φ6 to Φ8 8 M6Q-030051---
A-9
A.8 A7 Module Tube Connection Diagram
A-10
A.9 Descriptions of A7 Module Tube Connection
No. From To P/N
1 Expiration valve assembly Flow sensor adapter board A21-000007---
2 Expiration valve assembly Hardware box tube connector A21-000007---
3 Expiration valve assembly Flow sensor adapter board A21-000007---
4 Three-way valve Monitoring board connector A21-000007---
5 Three-way valve Y2 A21-000007---
7 Y2 Monitoring board connector A21-000007---
10 Hardware box tube connector Y1 A21-000007---
11 Y1 Circuit adapter block M6G-020046---
18 Expiration valve assembly Gas reservoir assembly M6G-020018---
Separate ACGO pressure
ACGO assembly (electronic) monitoring
21 082-000519-00
ACGO assembly (mechanical) monitoring
ACGO assembly (electronic) Circuit adapter block
22 082-000519-00
ACGO assembly (mechanical) Circuit adapter block
23 Circuit adapter block Expiration valve assembly M6G-020039---
24 Circuit adapter block Gas reservoir assembly M6G-020042---
80 Hardware box tube connector Three-way valve A21-000007---
88 Y2 Three-way valve A21-000007---
94 Y1 Hardware box tube connector A21-000007---
M6G-020046---
95 monitoring assembly Y1
116 Circuit adapter block CPC connector M6G-020026---
127 AG calculation module Plug 9200-10-10556
128 AG calculation module AG calculation module 9200-10-10556
129 AG calculation module ACGO assembly 9200-10-10557
130 Two-way connector AG calculation module 115-017879-00
Gas reservoir assembly Waste gas scavenging
M6G-020018---
141 connector
A-11
No. From To P/N
143 ACGO assembly Two-way connector 082-001198-00
156 Y1 Y1 M6G-020046---
Y1 Two-way connector M90-100027---
Y2 Three-way connector M90-100030---
A-12
B Test Items
B.1 Test items after installation
Hospital name: Instrument SN:
Test Item After Installation Reference Section in Test
the Service Manual Completed
System self-test 4.1 □
Mechanical leakage test 4.2.1 □
Manual leakage test 4.2.2 □
BFCS self-test 4.3 □
Pipeline supply test 4.4 □
Cylinder supply test (perform this test when there is no 4.5 □
pipeline supply )
Vaporizer leakage test 4.8.4 □
Quick O2 supply test 4.9.2 □
ACGO function test 4.9.3 □
O2 concentration test 4.10.1 □
APL valve test 4.10.2 □
Test on the sample gas return function 4.10.3 □
VCV adult ventilation mode test 4.14.2 □
PCV adult ventilation mode test 4.14.4 □
B-1
B.2 Test items after maintenance
Hospital name: Instrument SN.:
Test Item After Maintenance Reference Section in Test
Needle valve correspondence test 4.7.2 □
Needle valve microswitch test 4.7.3 □
Basic flow test under BFCS 4.7.4 □
Power failure alarm test 4.13.1 □
Test on the function of reporting an alarm when the 4.13.2 □
breathing circuit is not installed
Absorber canister alarm test 4.13.3 □
System ventilation performance test 4.14 □
Sensor zero point check 4.15 □
Constant flow test 4.16 □
Constant pressure test 4.17 □
Total flow sensor self-test 4.17 □
B-2
B.3 Test items after service
Hospital name: Instrument SN.:
Reference Section in Test
Test Item After Service
System self-test 4.1 □
Pipeline supply test 4.4 □
Cylinder supply test 4.5 □
EFCS accuracy test 4.6 □
Check on the EFCS-BFCS switch function 4.7.1 □
Needle valve correspondence test 4.7.2 □
Needle valve microswitch test 4.7.3 □
Basic flow test under BFCS 4.7.4 □
O2-N2O ratio and N2O cut-off function test under BFCS 4.7.5 □
(Only available for BFCS with N2O needle)
Vaporizer interlock test 4.8.1 □
Vaporizer back pressure test 4.8.2 □
Vaporizer accuracy test 4.8.3 □
Auxiliary O2 supply test 4.9.1 □
Test on the sample gas return function 4.10.3 □
AGSS check 4.11 □
Power failure alarm test 4.13.1 □
Test on the function of reporting an alarm when the 4.13.2 □
breathing circuit is not installed
Absorber canister alarm test 4.13.3 □
Test on the O2 supply failure alarm and drive gas low 4.13.4 □
pressure alarm
System ventilation performance test 4.14 □
Sensor zero point check 4.15 □
Constant flow test 4.16 □
Constant pressure test 4.17 □
Total flow sensor self-test 4.18 □
Auxiliary power supply socket test 4.19.1 □
Work light and auxiliary gas supply backlight test 4.19.2 □
Electrical safety check 4.19.3 □
B-3
FOR YOUR NOTES
B-4
PN:046-004562-00(7.0)

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A7 Anesthesia Machine

Mindray intends to maintain the contents of this manual as confidential information.

、 , and are the registered trademarks or trademarks owned by

Contents of this manual are subject to changes without prior notice.

2 Theory of Operation ........................................................................................................ 2-5

3 Installation Guide ............................................................................................................. 3-1

4 Testing ............................................................................................................................... 4-1

6 Device Maintenance ......................................................................................................... 6-1

7 System Calibration ........................................................................................................... 7-1

8 Troubleshooting ................................................................................................................ 8-1

9 Repair and Disassembly .................................................................................................. 9-1

10 Parts Replacement ....................................................................................................... 10-1

A Anesthesia Machine Tube Connection Diagrams......................................................... A-1

B Test Items.......................................................................................................................... B-1

The A7 Anesthesia System provides the following ventilation modes:

2.2.2 Power System

Mother Board Interface, J3

Pin Name Function

47 12VA #1 12V supply voltage output (range: 10.8V~13.2V)

Battery interface board (top view)

Battery interface board (bottom view)

Battery Interfaces, J1 and J2

Battery Connecting cable Interface, J3

2.2.2.3 Auxiliary Output

Breaker 1 Breaker 2 Breaker 3 Breaker 4

2.2.2.4 Other Components (Heating Module, Fan and Lithium-ion Battery)

Display interface board (top view)

Display interface board (bottom view)

Alarm Indicator Board Interface, J2

Touchscreen Control Board Interface, J4

Display Control Signal Interface, J5

Encoder Board Interface, J6

2.2.3.2 Display and Touchscreen

2.2.3.3 Other Components

Backlight Control Board Interface, J1

Backlight Control Board Interface, J2

2.2.3.5 Alarm Indicator Board

Alarm indicator board (top view)

Alarm indicator board (bottom view)

Alarm Indicator Board Interface, J1

2.2.3.6 Touchscreen Control Board

Touchscreen control board (top view)

Touchscreen control board (bottom view)

Encoder board (top view)

Encoder board (bottom view)

Encoder Board Interfaces, J2 and J3

2.2.4 Control System

CPU board (top view)

Monitor signal detection board (Top view)

Monitor signal detection board (Bottom view)

Sensor Interface Board Interface, J3

Three-way Valve Control Interface, J6

Valve Drive Board Communication Interface, J5

O2O2 Cell Detection Interface, J12

Test Point Definition

Designator Function Range (Unit: V)

A5V 5 V Power Supply 4.75~5.25

3V3 3.3 V Power Supply 3.15~3.45

1V3 1.3 V Power Supply 1.235~1.365