GE Aestiva 5 Service Manual
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4 User Maintenance 1006-0939-0004-214-21 O2 sensor calibration - 100% O2 Note: If w appears on the screen, the 21% O2 calibration must be completed before the 100% O 2 calibration. Mechanical ventilation must be off to perform calibration. This procedure takes three minutes or less. Step 1 Push the menu key. Step 2 Turn the knob to select Setup/Calibration (highlight). Step 3 Push the knob to show the next screen. AB.29.003 AB29.002 AB90.036 AB90.037
Aestiva 4-221006-0939-000 4-22 Step 4 Turn, then push the knob to select O 2 Sensor Cal. Step 5 Select 100%. Then, push the knob. Step 6 With the O 2 sensor in the circuit, fill the circuit with 100% O 2: •Push the flush button. •Then flow 100% O 2 at 5 L/min. (circuit should be open). Step 7 Select Start Cal. Then, push the knob. AB29.002 AB.29.046 AB90.048 AB.90.050 AB.90.088 AB48.081
4 User Maintenance 1006-0939-0004-234-23 The screen shows “Calibrating . . . ”, followed by the result (“Complete” or “Failure”). If the calibration fails, •perform the calibration again. •decrease the airway pressure, and repeat the calibration. Before you use the system, complete the preoperative test procedure. Refer to "Appendix - Preoperative Tests" section of Part 1 of the Operation Manual.
Aestiva 4-241006-0939-000 4-24 Flow sensor calibration Minimum Frequency: Weekly The system automatically corrects for zero offset when you unplug the flow sensor connectors with power on. You must stop mechanical ventilation before you calibrate the flow sensors. Step 1 Push up on the latch under the flow sensor module. Remove the flow sensor module. You will feel some resistance. Continue to pull. Step 2 When calibration is complete, the screen shows, "No Insp flow sensor" and "No Exp flow sensor". Step 3 •Install the flow sensor module. AA.96p.010 No Insp Flow Sensor No Exp Flow Sensor
4 User Maintenance 1006-0939-0004-254-25 How to prevent water build-up wWW W W AA A A RR R R NN N N III I NN N N GG G G During the cleaning of the liquid collecting tray, avoid skin or eye contact with the contents of the absorber. In the event of skin or eye contact, immediately rinse the affected area with water and seek medical assistance. Why is water buildup a problem? Pooled water in the sensor or water in the sensing lines causes false alarms. How much water is too much?A thin layer of water or a foggy look in the flow sensors is OK. Drops of water is too much. Where does the water come from?Water comes from exhaled gas and a chemical reaction between CO2 and the soda lime in the absorber. At lower fresh gas flows more water builds up because less gas is scavenged and: •More CO 2 stays in the absorber to react and produce water. •More moist, exhaled gas stays in the absorber. Solutions•Drain the absorber each morning. •Drain all hoses as necessary. •Flow sensor tubes must point up so that they do not collect water. •With a circle breathing circuit, push the drain button before every case (listed in preoperative procedures). •If Check Flow Sensors alarm occurs during a VERY LONG case, replace the flow sensors. Allow the original flow sensors to dry before you use them again.
1006-0939-0005-1 5-1 5 Alarms and Troubleshooting wCC C C AA A A UU U U TT T T III I OO O O NN N N No repair should ever be attempted by anyone not having experience in the repair of devices of this nature. In this sectionAbout alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 Alphabetical list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 Breathing system problems (no alarm) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15 Electrical problems (power failure, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16 Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Aestiva 5-21006-0939-000 5-2 About alarms w WW W W AA A A RR R R NN N N III I NN N N GG G G If an alarm occurs, safeguard the patient first, before troubleshooting or repair procedures. Two areas on the screen show alarms. The area at the top of the display shows most alarms. If there are more than 4 alarms at the same time, the lower priority alarms cycle every two seconds. During severe malfunctions that prevent mechanical ventilation and/or monitoring, the area under the waveform shows minimum system messages. During normal operation, this area shows instructions (push the knob, etc.). Alarm priority depends on the level of danger to the patient. High priority alarms require immediate attention. AB.90.025 Alarms Priority Alarm tone Alarm silence Note High 10 tones, 10 second pause, repeat120 seconds or cannot be silencedReverse video Medium 3 tones, 25 second pause, repeat120 seconds --- Low Single tone Tone does not repeat ---
5 Alarms and Troubleshooting 1006-0939-0005-35-3 Alarm messages have three general causes. • Malfunctions: Some malfunctions cause reduced function (for example, no PEEP). Others prevent mechanical ventilation (Minimum shutdown). •Patient monitoring: These are high and low limit settings that you adjust. • Informational: Control settings or system conditions can change operation. For example, if the audible circuit leak alarm is Off, the screen shows “Circuit Leak Audio Off” as a low priority alarm.
Aestiva 5-41006-0939-000 5-4 Alphabetical list The instructions in this section tell you what you can do: •During a case to protect the patient •After the case to repair a problem This table does not include operator instructions. There are two special types of alarms: •Minimum monitoring alarms stop mechanical ventilation. •Minimum shutdown alarms stop mechanical ventilation and monitoring. Message Priority Cause Action/Concerns Repair +15V Analog Out- of-RangeMin. shutdown (High)Ventilator malfunction. Ventilate manually. Monitoring is not reliable.Contact a qualified service representative. -15V Analog Out- of-RangeMin. shutdown (High)Ventilator malfunction. Ventilate manually. Monitoring is not reliable.Contact a qualified service representative. 12 Hour Test Low System in use for more than 12 hours without a power-up self test.To do the test, move the system switch from Standby to On.Not necessary, informational. A/D Converter FailureMin. shutdown (High)Ventilator malfunction. Ventilate manually. Monitoring is not reliable.Contact a qualified service representative. Absorber panel openMedium The top panel is not completely closed.Close the panel. - - - Adjust Low Ve Limit Medium The audible circuit leak alarm is Off (Alarm menu) but the low VE alarm is not set. VE alarm is Off in SIMV or PSVPro modes.Set the low VE alarm. - - -