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GE Aestiva 5 Service Manual

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    							5 Alarms and Troubleshooting
    1006-0939-0005-55-5
    Apnea Alarm 
    StandbyLow Normal condition after 
    End Case, power-up, or 
    ACGO change from On to 
    OffMonitoring resumes after first 
    breath (mechanical) or 2 
    breaths within 30 seconds 
    (non-mechanical).- - -
    Apnea Alarm Off Low The cardiac bypass option 
    is selected (alarm limit 
    menu).Apnea alarms are normally 
    turned off when this option is 
    selected.- - -
    Aux Gas Outlet On Medium 
    (low after 
    acknowledged)The outlet selection 
    switch is set to the 
    auxiliary common gas 
    outlet.Connect the patient circuit to 
    the auxiliary outlet. For 
    mechanical ventilation or 
    manual ventilation with 
    monitoring, select the 
    common gas outlet.- - -
    Backup Mode 
    ActiveLow SIMV-PC + PSV mode 
    entered.Spontaneous breath rate fell 
    below the set breath rate- - -
    Battery Charger 
    FailLow The current in the battery 
    charging circuit is too 
    high.The system is operational, but 
    may fail later depending on 
    what caused this alarm. Contact a qualified 
    service 
    representative.
    Battery Charging  Low The battery is not fully 
    charged. If power fails, 
    the total backup time will 
    be less than 30 minutes.Leave the system plugged in 
    to charge the battery.- - -
    Battery Current 
    HighLow Battery current > 
    6 amps 
    for 10 seconds.The system continues to 
    operate, but may fail.Contact a qualified 
    service 
    representative.
    Battery Failure 
    HighLow Battery voltage > 16 V for 
    10 seconds.The system continues to 
    operate, but may fail.Contact a qualified 
    service 
    representative.
    Battery Failure Low Low The battery voltage is too 
    low (
    						
    							Aestiva 
    5-61006-0939-000
    5-6
    Cal Flow Sensors Low The last flow sensor 
    calibration failed.Calibrate the flow sensors. 
    Look for water in the flow 
    sensor tubes. Dry if 
    necessary.Contact a qualified 
    service 
    representative.
    Calibrate O
    2 
    SensorLow O
    2%>110% Does the sensor measure 
    21 %  O
    2 in room air?Calibrate O
    2 sensor.
    Canister open Medium The canister release is 
    open (large leak) without 
    a bypass mechanism.Close the canister release. A switch checks the 
    release position.
    Cannot Drive 
    BellowsLow The internal manifold 
    pressure is higher than 
    Paw + tolerance.Fill the bellows if empty. - - -
    Cardiac Bypass Low The alarm limit settings 
    are set for a patient on 
    cardiac bypass. Apnea 
    alarms are off.Use the alarm limits menu to 
    change this setting.- - -
    Check Flow 
    SensorsMedium 
    (low after 
    acknowledged)No flow or negative flow 
    on inspiratory sensor 
    during inspiration in a 
    circle system or negative 
    flow on expiratory sensor 
    in expiration (for 6 
    breaths in a row).Are the flow sensors correctly 
    installed? 
    Water build-up in the flow 
    sensor tubes?
    Is a flow sensor tube cracked 
    or broken?Inspect one way 
    valves (breathing 
    circuit module).
    Replace flow sensor 
    module with the 
    spare. Check the 
    condition of the flow 
    sensor and its tubing.
    Circuit Leak Audio 
    OffLow Control setting on the 
    Alarm limit menu.This message tells you that 
    the audio alarm for circuit 
    leaks was turned off. - - -
    Connect O
    2 Sensor Low The O2 sensor is not 
    connected to the cable.Connect the sensor. Contact a qualified 
    service 
    representative to 
    replace the cable. Message Priority Cause Action/Concerns Repair 
    						
    							5 Alarms and Troubleshooting
    1006-0939-0005-75-7
    Control Settings 
    Input has FailedMinimum 
    monitoring 
    (Medium)Ventilator malfunction. Ventilate manually. 
    Monitoring is still available.Contact a qualified 
    service 
    representative.
    CPU Failure Minimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative.
    CPU Internal Error Minimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative.
    Display Voltage 
    Out-Of-RangeMinimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative.
    Exp Flow Sensor 
    FailLow The system cannot read 
    the calibration data 
    stored in the sensor.Operation continues with 
    default values. 
    Replace the flow sensor.- - -
    Exp Reverse Flow Medium 
    (low after 
    acknowledged)Flow through the 
    expiratory sensor during 
    inspiration (for 6 breaths 
    in a row).Look at the check valves.
    Water build-up in the flow 
    sensor tubes?
    Is a flow sensor tube cracked 
    or broken?Replace the 
    expiratory check 
    valve.
    Check the condition 
    of the flow sensor.
    Flow Valve (DAC) 
    Failure 
    Flow Valve (current) 
    Failure Minimum 
    monitoring 
    (Medium)Ventilator malfunction. Ventilate manually. 
    Monitoring is still available.Contact a qualified 
    service 
    representative.
    Gas Inlet Valve 
    FailureMinimum 
    shutdown 
    (High)
    1
    Ventilator malfunction. Ventilate manually. 
    Monitoring is still available.Contact a qualified 
    service 
    representative.
    Hardware 
    Watchdog FailureMinimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative. Message Priority Cause Action/Concerns Repair 
    						
    							Aestiva 
    5-81006-0939-000
    5-8
    Heliox Mode is On Low Control setting on 
    ventilation setup menu.When Heliox is used, the 
    ventilator must adjust volume 
    calculations.- - -
    High O
    2Medium O2% > alarm high limit 
    setting.Is the limit set correctly? What 
    is the O
    2 flow?
    Did you just push Flush? Does 
    the sensor see 21% O
    2in 
    room air?Calibrate O
    2 sensor.
    Replace O
    2 sensor.
    High Paw High Paw is greater than Plimit. 
    The ventilator cycles to 
    expiration.Are Plimit and other controls 
    set correctly? Look for 
    blockages. 
    Check the patient connection.Calibrate the flow 
    sensors. 
    Replace the receiver 
    filter.
    High Ve Medium The minute volume is 
    greater than the set high 
    limit. This alarm is 
    suspended for 9 breaths 
    after you change the 
    ventilator settings.Check patient for 
    spontaneous breathing. 
    Adjust control settings.- - -
    High Vte Medium V TE is greater than high 
    alarm limit. This alarm is 
    suspended for 9 breaths 
    after you change the 
    ventilator settings.Check patient for 
    spontaneous breathing. 
    Check ventilator and alarm 
    settings.- - -
    Insp Flow Sensor 
    FailLow The system cannot read 
    the calibration data 
    stored in the sensor.Operation continues with 
    default values. 
    Replace the flow sensor.- - -
    Inspiration 
    StoppedHigh Drive gas safety switch 
    activated (high pressure)Adjust controls. Check 
    systems for blockages.- - -
    Insp Reverse Flow Medium 
    (low after 
    acknowledged)Flow through the 
    inspiratory sensor during 
    expiration (for 6 breaths 
    in a row).Look at the check valves.
    Water build-up in the flow 
    sensor tubes?
    Is a flow sensor tube cracked 
    or broken?Replace the 
    inspiratory check 
    valve.
    Check the condition 
    of the flow sensor. Message Priority Cause Action/Concerns Repair 
    						
    							5 Alarms and Troubleshooting
    1006-0939-0005-95-9
    Internal Ventilator 
    Clock Too FastMinimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative.
    Internal Ventilator 
    Clock Too SlowMinimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative.
    Invalid Circuit 
    ModuleLow The system does not 
    recognize the type of 
    circuit module installed.
    Normally the system uses 
    the ID tabs to Identify 
    circuits.Make sure the module is 
    correctly installed. Look for 
    broken ID tabs or tape on the 
    tabsContact a qualified 
    service 
    representative
    Limit Task Light Use Low The system is running on 
    battery power. Turn off the 
    light to save power.Turn off the light to extend 
    battery backup.- - -
    Loss of Backup 
    AudioMedium 
    (low after 
    acknowledged)The audio alarm will not 
    sound for a CPU failure.Monitor system operation. Contact a qualified 
    service 
    representative.
    Low Battery 
    VoltageMedium Voltage is 
    						
    							Aestiva 
    5-101006-0939-000
    5-10
    Low Paw Medium Paw does not rise at least 
    4 cm from the lowest 
    pressure measured 
    during the last 20 
    seconds.Are circuit connections OK? 
    Look at the Paw gauge on the 
    absorber.Look for circuit 
    disconnection.
    Low Ve Medium Exhaled minute volume 
    
    						
    							5 Alarms and Troubleshooting
    1006-0939-0005-115-11
    Monitoring Only  Medium A severe malfunction 
    prevents mechanical 
    ventilation. Other alarms 
    may also occur. Ventilate manually. Cycle 
    system power (On- Standby-
    On). If the alarm clears, 
    restart mechanical 
    ventilation.Contact a qualified 
    service 
    representative.
    No Circuit Module Low The patient circuit module 
    is not installed.Install a module. Refer to the 
    Setup section.Optical sensors look 
    for tabs on the back 
    of the module. Is the 
    module assembled? 
    are the sensors 
    dirty?
    No CO
    2 Absorption Medium 
    (low after 
    acknowledged)The canisters are open 
    (out of the circuit) but the 
    bypass mechanism 
    prevents a leak (optional 
    feature).User setting. Close the 
    canister release to remove 
    CO
    2 from exhaled gas- - -
    No Exp Flow Sensor 
    No Insp Flow 
    SensorMedium 
    (low after 
    acknowledged)Electrical signals show 
    the flow sensor is not 
    connected.Connect the flow sensors. 
    Make sure the flow sensor 
    module is on all the way.- - -
    No message, only 
    specific shutdown 
    messageHigh A severe malfunction 
    prevents mechanical 
    ventilation and 
    monitoring. Other alarms 
    may also occur. Ventilate manually. Use a 
    stand-alone monitor. Cycle 
    system power (On- Standby-
    On). If the alarm clears, 
    restart mechanical 
    ventilation.Contact a qualified 
    service 
    representative
    No O
    2 Pressure High
    (cannot be 
    silenced)The O2 supply has failed. Air flow will continue. 
    Ventilate manually if 
    necessary. Connect a pipeline 
    supply or install an O
    2 
    cylinder.- - -
    O
    2 Flush Failure Low The pressure switch that 
    detects flush flow has 
    seen a very long flush 
    (≥30 seconds).This alarm occurs if you hold 
    down the Flush button for 
    more than 30 seconds.If the alarm occurs 
    when flush is not in 
    use, contact a 
    qualified service 
    representative. Message Priority Cause Action/Concerns Repair 
    						
    							Aestiva 
    5-121006-0939-000
    5-12
    O2 Sensor out of 
    circLow O2 sensor not installed in 
    breathing circuit module; 
    sensor not measuring gas 
    in breathing circuit.Install a breathing circuit 
    module and an O
    2 sensor.- - -
    On Battery - Power 
    OK?Medium
    (low after 
    acknowledged)The mains supply is not 
    connected or has failed 
    and the system is using 
    battery power.Ventilate manually to save 
    power. At full charge, the 
    battery permits approx. 30 
    minutes of mechanical 
    ventilation.Make sure power is 
    connected and 
    circuit breakers are 
    closed. Check 
    ventilator fuse.
    Patient Circuit 
    Leak?Medium Exhaled volume 
    						
    							5 Alarms and Troubleshooting
    1006-0939-0005-135-13
    Pres/Vol Mon 
    InactiveMedium Outlet selection switch is 
    set to auxiliary gas outlet.Connect the patient circuit to 
    the auxiliary gas outlet or set 
    the switch to the common gas 
    outlet for normal operation.- - -
    Pressure Limit 
    Switch FailureMinimum 
    monitoring 
    (Medium)A pressure safety switch 
    activated at a Paw 
    						
    							Aestiva 
    5-141006-0939-000
    5-14
    Sustained Paw High Paw > sustained pressure 
    limit for 15 seconds
    3.Check tubing for kinks, 
    blockages, disconnects.Calibrate the flow 
    sensors.
    System Leak?  Medium Delivered volumes do not 
    match set volumes.If you are using Heliox, select 
    Heliox on the ventilator setup 
    menu. Look for leaks in the 
    manifold. Compare set to 
    delivered volumes.Calibrate the flow 
    sensors. 
    Drain water buildup 
    from the breathing 
    system.
    Vaux_ref Out-of-
    RangeMinimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative.
    Vext_ref Out-of-
    RangeMinimum 
    shutdown 
    (High)Ventilator malfunction. Ventilate manually. 
    Monitoring is not reliable.Contact a qualified 
    service 
    representative.
    Volume Apnea Medium No mechanical breaths or 
    spontaneous breaths >20 
    mL in last 30 seconds.Check patient. Bag as needed. 
    Check for disconnects. If the 
    patient is on a heart lung 
    machine, select Cardiac Bypass 
    on the main menu.- - -
    Vol Apnea > 2 min High No mechanical breaths or 
    spontaneous breaths >20 
    mL in last 120 seconds.See above. - - -
    Vt Not Achieved Low Tidal volume measured by 
    inspiratory flow sensor 
    < set value 6 breaths in a 
    row after the first minute 
    of mechanical ventilation.Adjust controls to supply 
    adequate tidal volumes. 
    Check I:E; Plimit; and volume 
    settings.Possible leak.
    Vte > Insp Vt Medium Expired volume > inspired 
    volume for 6 breaths with 
    a circle module. Check patient condition.  - - -
    1.When power is first turned on.
    2. Flow sensors are also used to measure pressures.
    3. The sustained pressure threshold is calculated from the pressure limit setting. When mechanical ventilation is on, the sustained limit is calculated as 
    follows: for pressure limits < 30 cmH
    2O, the sustained pressure limit is 6 cmH2O; for Plimit between 30 and 60 cmH2O, the sustained limit is 20% of 
    the pressure limit (Plimit); for pressure limits > 60 cmH
    2O, the sustained pressure limit is 12 cmH2O. If both PEEP and mechanical ventilation are on, 
    the sustained pressure limit increases by PEEP - 2 cmH
    2O (the compensated weight of the bellows). When mechanical ventilation is off, the sustained 
    pressure limit is calculated as follows: for pressure limits ≤ 60 cmH
    2O, the sustained pressure limit is 50% of the pressure limit (Plimit); for pressure 
    limits > 60 cmH
    2O, the sustained pressure limit is 30 cmH2O.
    Message Priority Cause Action/Concerns Repair 
    						
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