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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 
    						
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