GE Aestiva 5 Service Manual
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2 Cleaning and Sterilization 1006-0939-0002-7 2-7 Disassemble the patient path Step 1 Open the access panel. Step 2 Push up on the latch located under the flow sensor module. Step 3 Remove the flow sensor module. You will feel some resistance. Continue to pull. Step 4 Disconnect the cable and remove the O 2 sensor. AA.96p.009 AA.96p.010 AA.96p.011 AA.96p013, 014
Aestiva 2-81006-0939-000 2-8 Step 5 Completely loosen the thumbscrew on the breathing circuit module. Step 6 Remove the module. You will feel some resistance. Continue to pull. Step 7 Push the metal button to the first stop. Pull out the bag arm. Step 8 Push the metal button to the second stop and open the top panel. AA.96p016 AA.96p017 AA.96p018 AA.96p020
2 Cleaning and Sterilization 1006-0939-0002-9 2-9 Autoclave assemblies marked 134°C. Refer to the Section “Clean and sterilize” for complete instructions. To assemble the circuit refer to the Setup section. Step 9 Push the release button and remove the bellows assembly (pull up). Step 10 Remove the main manifold. AA.96p021, 23 AA.96p024
Aestiva 2-101006-0939-000 2-10 Canister disassembly wCC C C AA A A UU U U TT T T III I OO O O NN N N To prevent damage, pull the release handle forward. Then turn the handle Step 1 Pull the release forward. Step 2 Turn the release clockwise. Step 3 Pull down and out on the canisters. wZ AA.96p026 AA.96p028 AA.96p029
2 Cleaning and Sterilization 1006-0939-0002-11 2-11 Continue with the next section or go to "Clean and sterilize". To assemble, refer to the Setup section. Step 4 Push in the buttons on each side of the top dish. Step 5 Lift up the drain dish. Remove the top dish and drain dish. AA.96p053 AA.96p054
Aestiva 2-121006-0939-000 2-12 Disassemble the scavenging path These parts send exhaled gas to the disposal system, not the patient. Exhalation valve Complete the basic disassembly procedure. Push in the latches and pull out the exhalation valve. Scavenging reservoir Loosen the knob and remove the rear cover. Pull the reservoir up and to the rear. Twist and pull down to remove the tube. AB.23.089 AB.23.090
2 Cleaning and Sterilization 1006-0939-0002-13 2-13 How to clean and disinfect the flow sensors ww w w CC C C AA A A UU U U TT T T III I OO O O NN N N Do not autoclave plastic flow sensors. ww w w Do not use high-pressure gas, or brushes to clean the flow sensors. ww w w Do not use cleaning solvents that are not approved for use with Polycarbonates (e.g. CIDEX Plus). CIDEX sterilizationBoth Datex-Ohmeda and the manufacturer of CIDEX (Johnson & Johnson) have tested this procedure. •CIDEX must be 14 day mixture, with activator vial REF REORDER # 2245 •One liter of this solution cleans four (4) flow sensors Procedure (Figure 2-3)1. Remove the flow sensor module from the absorber. Refer to “Disassemble the patient path” in this section. 2. Remove the flow sensors from the module. •Push in the latch. •Pull off the cover. •Remove the flow sensors. 3. Submerge the flow sensor and tubes in activated CIDEX solution. Keep the connector dry. 4. Keep the solution in the tubes for the sterilization period. 5. Submerge the flow sensor and tubes in distilled water. Again, do not get the connector wet. 6. Rinse as indicated in CIDEX instructions. 7. Do steps 5 and 6 again to remove all CIDEX. 8. COMPLETELY dry the flow sensor and the tubes before you use the sensor. Use a dry syringe, or connect vacuum or pressure to remove all liquid from the sensor (sensor, tubes, and connector): •Minimum time: 1 min •Maximum vacuum: 30 in Hg •Maximum flow: 10 L/min flow •Maximum pressure: 345 kPa (50 psi).
Aestiva 2-141006-0939-000 2-14 Figure 2-3 • Steps 2-8 Step 2 Steps 3 and 4 Steps 5, 6 and 7 Step 8 Dry for > 1 min with these precautions: • Maximum vacuum 30 in Hg • Maximum flow 10 L/min • Maximum pressure 345 kPa (50 psi)
2 Cleaning and Sterilization 1006-0939-0002-15 2-15 HH H H oo o o ww w w ttt t oo o o cc c c llll ee e e aa a a nn n n aa a a nn n n dd d d ss s s ttt t ee e e rrr r iiii llll iiii zz z z ee e e ttt t hh h h ee e e oo o o pp p p ttt t iiii oo o o nn n n aa a a llll CC C C OO O O22 2 2 bb b b yy y y pp p p aa a a ss s s ss s s aa a a ss s s ss s s ee e e mm m m bb b b llll yy y y These instructions assume that the system has the optional CO2 bypass feature installed. SS S S ttt t ee e e pp p p 11 1 1 Remove the absorber canisters. (Also described in “Canister disassembly” in this section.) a. Pull the canister release handle forward. wCC C C AA A A UU U U TT T T III I OO O O NN N N To prevent damage, pull the canister release handle forward before turning the handle. b. Turn the release handle clockwise. c. Lift out the canisters. Note: The canisters should drop under their own weight when released. If they do not, clean and lubricate the pins in the drain dish and sockets in the base. SS S S ttt t ee e e pp p p 22 2 2 Release the CO2 bypass assembly by pushing both buttons (one on each side of the assembly). SS S S ttt t ee e e pp p p 33 3 3 Pull down on the CO2 bypass assembly (a) to remove it and lift the drain dish (b) up. a b
Aestiva 2-161006-0939-000 2-16 SS S S ttt t ee e e pp p p 44 4 4 Clean and sterilize the bypass assembly: a. Immerse the assembly into a solution of mild detergent and water. b. Agitate the assembly in the solution while repeatedly actuating and releasing the plate. c. Rinse the assembly by immersing it in clean water and agitating it again with the plate actuated and released. d. Autoclave the assembly at 134°C. e. Cool about 40 minutes at room temperature. Note: Optionally, the bypass assembly can be divided into two smaller sections for easier cleaning by releasing the top clamp (a) and pulling the hose from the assembly. When reassembling, reattach the hose to the bottom part of the assembly. Secure the hose with the clamp and pinch the clamp one notch past finger-tight with pliers. SS S S ttt t ee e e pp p p 55 5 5 Reinstall the bypass assembly: a. Reinstall the drain dish. b. Insert the bypass assembly. c. Push back and adjust to locate the access holes for the top ports. d. Push the buttons on each side of the assembly and push the assembly up; both buttons should snap into place. e. Pull down on the assembly to make sure it is locked into place. a ab d c