GE Aestiva 5 Service Manual
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7 Theory of Operation and Specifications 1006-0939-0007-77-7 Breathing system schematic AB.23.106
Aestiva 7-81006-0939-000 7-8 Electrical block diagram O2 Sensor Flow Sensors Bag/Vent Switch Canister Release Breathing Circuit Module Absorber Control Panel CO 2 Bypass RS232C System switch O2 supply fail and flush switches AB.90.089 Tec 6 Outlet 100-120 Vac 220-240 Vac 50/60 Hz Task Light Connector Board Connector Board Front PanelPneumatic EngineSensor Interface Board MicroController Board BatteryTwo Stage FilterToroid AC Inlet Module - Fuses - Voltage Selector Assembly
7 Theory of Operation and Specifications 1006-0939-0007-97-9 Pneumatic circuits Gas supplies (items 1-6)Refer to Figure 7-8 for location of items. Gas goes into the system through a pipeline or cylinder connection. All connections have indexed fittings, filters, and check (one way) valves. Gauges show the cylinder and pipeline pressures. A regulator decreases the cylinder pressures to the appropriate system pressure. A pressure relief valve helps protect the system from high pressures. To help prevent problems with the gas supplies, install yoke plugs on all empty cylinder connections. ww w wWARNINGDo not leave gas cylinder valves open if the pipeline supply is in use. Cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. O 2 flow (items7-14, 27)Pipeline or regulated cylinder pressure supplies O2 directly to the pneumatic outlet and the ventilator (O 2 ventilators). A second regulator decreases the pressure for the flush valve and the auxiliary flowmeter. The flush valve supplies high flows of O 2 to the fresh gas outlet when you push the flush button. The flush switch uses pressure changes to monitor the position of the flush valve. A message on the ventilator tells you when Flush is ON. When the system switch is ON, O 2 flows to the rest of the system and there is a minimum flow of 25 to 75 mL/min through the O 2 flowmeter. A secondary regulator supplies a constant O 2 pressure to the flow meter. An electrical switch monitors the O 2 supply pressure. If the pressure is too low, an alarm appears on the ventilator. Air, N2O, and third gas flow (items 7, 8, and 15-23)Balance regulators control the flow of N2O and the optional gas (CO2, Heliox) to the flow control valves. Oxygen pressure at a control port adjusts the output of the regulator. This stops flow during an O 2 supply failure and makes sure that the hypoxic gas pressures increase and decrease with the O 2 supply pressure. A chain linkage on the N 2O and O2 flow controls helps keep the O2 concentration higher than 20% (approximate value) at the fresh gas outlet. Pipeline or regulated cylinder pressure directly supply Air to the ventilator (Air Ventilators). When the system switch is ON, air flows to the rest of the system. A secondary regulator supplies the air flow control valve. Because there is no balance regulator, air flow continues at the set rate during an O 2 supply failure.
Aestiva 7-101006-0939-000 7-10 Mixed gas (item 26)The mixed gas goes from the flowmeter outlet through the vaporizer that is ON, to the fresh gas outlet, and into the breathing system. A pressure relief valve sets the maximum outlet pressure. Key to Numbered Components1. Pipeline pressure gauge 2. Pipeline connection 3. Cylinder pressure gauge 4. Cylinder connection 5. Cylinder pressure regulator 6. Pressure relief (opens at approx. 918 kPa) 7. Supply connections for the ventilator 8. System switch 9. Alarm for low O 2 supply pressure 10.Secondary O 2 regulator 11.O 2 flow control valve 12.O 2 flow tube 13.Flush regulator 14.O 2 Flush a. Flush valve b. Switch (used with the ventilator) 15.N2O balance regulator 16.N 2O flow control valve 17.N 2O flow tube 18.Air secondary regulator 19.Air flow control valve 20.Air flow tube 21.Optional gas balance regulator 22.Optional gas flow control valve 23.Optional gas flow tube 24.Vaporizer port valve 25.Vaporizer 26.Pressure relief (opens at approx. 38 kPa) 27.Auxiliary flowmeter (optional) Key to Symbols Pneumatic Connection Direction of Flow Check Valve (approx. 10 L/min reverse flow -STP) Filter
7 Theory of Operation and Specifications 1006-0939-0007-117-11 Figure 7-7 • Pneumatic circuit AA.96.131
Aestiva 7-121006-0939-000 7-12 Suction regulators (optional) Venturi Suction RegulatorSupply: Air or O2 from system gas supply Drive gas consumption: 75 L/min Maximum Vacuum: 457 mm Hg with pipeline drive gas at 345 kPa Minimum flow: 20 L/min Sound level 53 dBA Accuracy: 5% of full scale Continuous Suction RegulatorSupply: External vacuum Vacuum levels: 0-200 mm Hg and full line vacuum Maximum flow: >20 L/min Accuracy: 5% of full scale O2 flowmeter (optional) Supply: O2 from system gas supply flow rates: 0-10 L/min Accuracy: 5% of full scale
7 Theory of Operation and Specifications 1006-0939-0007-137-13 Breathing system There are two types of breathing circuit modules (Figure 7-8): 1. Circle 2. Mapleson D or Bain (With Mapleson D/Bain circuits one flow sensor measures Inspiratory and expiratory flows. The other measures fresh gas.) Tabs on the circuit modules fit into infrared switches on the breathing system bulkhead. The ventilator uses these switches to identify the circuit module. Direct fresh gas connections (common and auxiliary outlets)When you make a direct connection to one of these outlets: •Mechanical ventilation is not available. •The pressure gauge, Bag/Vent switch, APL valve, and bag arm are not part of the circuit. •Volume and pressure monitoring are not available. •Flow from the auxiliary outlet to the O 2 sensor is: Module Patient Circuit ConnectionsOne-Way Valves Circle Left: inspiratory Right: expiratoryInspiratory and expiratory check valves Mapleson D/ Bain Left: to-fro Right: fresh gasNone 3 L 2L 1 L 1020 30 40 50 60 70 80 cmH2O Back pressure vs. flow to O 2 sensor
Aestiva 7-141006-0939-000 7-14 1. O 2 sensor (ventilator) Or plug 2. Inspiratory port 3. Tabs (identify the breathing circuit module to ventilator) 4. Expiratory port 5. To-Fro port 6. Fresh gas port 7. Flow sensor module connector (used with ventilator) 8. Optical switches (use tabs to identify circuit module) 9. Internal connection (exhaled gas flows to absorber during expiration) 10. Internal connection (to Bag/Vent switch) 11. Auxiliary Common Gas Outlet (some models) 12. Selector switch (Auxiliary Common Gas Outlet) 13. Common Gas Outlet 14. Internal connection (mixed gas from absorber during inspiration) 15. Internal connection (Aux. Com. Gas Outlet to O 2 sensor) 16. Pressure gauge tap 17. Drain valve (push in to drain water into the drain dish at bottom of absorber) Note: Items 11 and 13 are both called fresh gas outlets. Figure 7-8 • Breathing circuit modules and connections 1 Circle Module Mapleson D / Bain 7 8 9 10 11 12 13 14 15 16 234536 17 AB.23.210 AB.23.056
7 Theory of Operation and Specifications 1006-0939-0007-157-15 Breathing system specifications Volume 5500 mL Absorbent 1.35 kg (400 mL) / canister Connections Breathing circuit modules: Circle or Bain modules Common gas outlet: ISO 5356 type connector (Standard 22 mm OD or 15 mm ID conical friction fit connectors). Remove the breathing circuit module to access. Auxiliary outlet: ISO 5356 type connector on the front of the breathing system (Standard 22 mm OD or 15 mm ID conical friction fit connectors) (Optional). System leakage These values are for continuous pressure and are higher than those expected during mechanical ventilation. ≤ 300 mL/min total at 3 kPa; ≤75 mL/min for all connectors and two part tubes and ≤ 225 mL/min for all other breathing system assemblies. System compliance Volume of gas lost due to internal compliance (bag mode only) 5.15 mL/cmH 2O. Breathing system resistance Y piece or T piece adds ≤0.15 kPa expiratory resistance at 1 L/sec. 10 20 30 40 50 60 0 0 1 2 3 4 5 6 flow rate L/min Pressure drop cmH 2O Breathing System Resistance Inspiratory Expiratory
Aestiva 7-161006-0939-000 7-16 Pressure required to open inspiratory and expiratory valves Dry: 0.49 cmH 2O Moist: 0.91 cmH 2O Breathing system leakage (average during use) APL Valve Approximately 0 to 70 cmH 2O Pressure Flow Data (APL Valve Completely Open) System volume: 5500 mL Gas scavengingPassive scavenging: Positive pressure relief: 10 cmH 2O Negative pressure relief: 0.5 cmH 2O Outlet connector: 30 mm male taper swivel Active scavenging: Particle filter at the outlet has a pore size of 225 microns. All flow data uses a new filter. ** * * Other market-specific connectors may be available.Pressure Bag Mode (ml/min) Vent Mode (ml/min) 30 cmH 2O0.089 0.063 60 cmH 2ON/A 0.106 90 cmH 2ON/A 0.163 Flow (L/min) Flow (L/sec) APL Pressure cmH 2O 3 0.05 1.12 10 0.171.26 20 0.34 1.77 30 0.51 2.36 40 0.68 3.14 50 0.83 4.06 60 1.0 5.14 Disposal System Type Outlet Swivel Connector* Flow Range Pressure Low flow, high vacuum DISS EVAC 36 ±4 SLPM at 300 mmHg (12 inHg)300 mmHg (12 inHg) Minimum vacuum High flow BS6834 50 - 80 SLPM 1.6 kPa at 75 SLPM Venturi/Ejectorain. hose barb 30 - 100 SLPM n/a