GE Aestiva 5 Service Manual
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2 Cleaning and Sterilization 1006-0939-0002-17 2-17 SS S S ttt t ee e e pp p p 66 6 6 Reinstall the canisters: a. Ensure seals and rim are free of soda lime dust. b. Place the canisters in the drain dish. c. Turn the canister release handle counterclockwise to its locked position while gently applying pressure on the canisters to hold them against the canister guides. SS S S ttt t ee e e pp p p 77 7 7 Test the Bag circuit for leaks according to the Breathing System tests in the Appendix section of Part 1 of the Operation manual. •Do the test in both the Absorber mode and the Bypass mode. •Ensure the alarm message “No CO 2 Absorption” activates when in Bypass mode. See “CO2 Bypass mode operation” in section 3 of Part 1 of the Operation manual. SS S S ttt t ee e e pp p p 88 8 8 Before you use the system, complete the Preoperative Test procedure. Refer to the ‘Appendix - Preoperative Tests’ section of the Operation Manual Part 1, System Controls, Operation and Checkout.
1006-0939-0003-1 3-1 III I mm m m pp p p oo o o rrr r ttt t aa a a nn n n ttt t Datex-Ohmeda strongly recommends that you use O2 monitoring with this equipment. Refer to local standards for mandatory monitoring. III I mm m m pp p p oo o o rrr r ttt t aa a a nn n n ttt t European Standard EN 740 requires anesthetic agent monitoring when anesthetic vaporizers are in use. III I mm m m pp p p oo o o rrr r ttt t aa a a nn n n ttt t European Standard EN 740 requires CO 2 monitoring during ventilation. ww w wWW W W AA A A RR R R NN N N III I NN N N GG G G SS S S Always make sure that the pipeline supply hoses and the breathing circuit components are not toxic and will not: •Cause an allergic reaction in the patient. •React with the anesthetic gases or agent to produce dangerous by-products. ww w wTo prevent incorrect values or equipment malfunction, use only Datex-Ohmeda cables, hoses and tubing. ww w wThis system operates correctly at the electrical interference levels of IEC 601-1-2. Higher levels can cause nuisance alarms that may stop mechanical ventilation. ww w wTo help prevent false alarms from devices with high-intensity electrical fields: •Keep the electrosurgical leads away from the breathing system and the flow and oxygen sensors. •Do not put the electrosurgical leads on any part of the anesthesia system. ww w wTo protect the patient when electrosurgical equipment is used: •Monitor the correct operation of all life support and monitoring equipment. •Keep backup manual ventilation available in case the electrosurgical equipment prevents safe use of the ventilator. •Do not use conductive masks or hoses. In this sectionBreathing system setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6 Pneumatic and electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8 How to install gas cylinders (high-pressure leak test) . . . . . . . . . . . . . . . . . . . . . . .3-11 How to attach equipment to the top shelves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15 How to install equipment on the foldout shelf . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17 Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18 3 Setup and Connections
Aestiva 3-21006-0939-000 3-2 Breathing system setup To assemble the patient circuit, start at step 5. Step 1 Install the main manifold. Step 2 Install the Bellows. •Make sure the release button aligns correctly. Step 3 Gently close the control panel. Step 4 Install the bag arm. • Install a rebreathing bag on the bag arm. AA.96p024 AA.96p022 AA.96p012 AA.96p019
3 Setup and Connections 1006-0939-0003-33-3 Step 5 Identify the breathing circuit module (Circle or Mapleson). Look at the tabs on the rear or the label on the front. Step 6 Install the breathing circuit module. You will feel some resistance. Continue to push. Step 7 Completely tighten the thumbscrew. Step 8 Install the O2 sensor. •Completely tighten the sensor. •Connect the cable. Mapleson CircleAB.23.211 AA.96p017 AA.96p016 AA.96p013, 014
Aestiva 3-41006-0939-000 3-4 Step 9 Install the flow sensor module. •You will hear a “click” when it locks into position. •Refer to Note 1 or the User Maintenance section. Step 10 Close the front panel. Step 11 Connect the patient circuit. AA.96p011 AA.96p009 Circle Module Mapleson D / Bain Module AB.23.104 AB.23.152 To-fro
3 Setup and Connections 1006-0939-0003-53-5 Note 1 Flow sensor assembly AA.96p039 AA.96p038
Aestiva 3-61006-0939-000 3-6 Canister setup Each canister holds 1.35 kg of loose absorbent or 1.13 kg of commercially packaged (pre-pack) absorbent. Datex-Ohmeda recommends Sodium or Bar- ium hydroxide based absorbent. w WW W W AA A A RR R R NN N N III I NN N N GG G G Change absorbent often to prevent the build up of non-metabolic gases when the system is not in use. Inspect absorbent at the end of a case. During non-use, absorbent can go back to the original appearance. Refer to the absorbent labeling for more information about color changes. If the absorbent completely dries out, it may give off CO (carbon monoxide) the next time you use it. For safety, replace the absorbent. Step 1 Pull the release forward. Step 2 Turn the release clockwise. AB.23.061 AB.23.061
3 Setup and Connections 1006-0939-0003-73-7 Step 3 Push in the buttons and install the top dish and drain dish. Pull down to make sure the top dish is locked in place. Step 4 Fill the canisters with absorbent and install them. Push down on the drain dish if necessary. Step 5 Turn the release counter-clockwise. Step 6 Push in the release. AA.96p054 AA.96p029 AA.96p028 AA.96p026
Aestiva 3-81006-0939-000 3-8 Pneumatic and electrical connections wWW W W AA A A RR R R NN N N III I NN N N GG G G Equipment connected to the electrical outlets can increase the leakage current. Regularly test the leakage current. wCC C C AA A A UU U U TT T T III I OO O O NN N N Use only medical grade gas supplies. Other types of gas supplies may contain water, oil, or other contaminants. The Aestiva gas supplies also supply these devices through internal connec- tions: •The venturi suction regulator (optional) •The external O 2 flowmeter (optional) •Ventilator drive gas •Pneumatic outlets Mains inlet Outlets Labels show outlet voltage ratings and circuit breaker amp ratings. Tec 6 power AA.96.116 AA.96.116 AA.96.095