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GE Aestiva 5 Service Manual

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    							2 Cleaning and Sterilization
    1006-0939-0002-17
    2-17
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    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.
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    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.
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    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
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    Datex-Ohmeda strongly recommends that you use O2 monitoring with this equipment. 
    Refer to local standards for mandatory monitoring.
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    European Standard EN 740 requires anesthetic agent monitoring when anesthetic 
    vaporizers are in use.
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    European Standard EN 740 requires CO
    2 monitoring during ventilation.
    ww w wWW W W
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    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    
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    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
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    Equipment connected to the electrical outlets can increase the leakage 
    current. Regularly test the leakage current.
    wCC C C
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    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 
    						
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