CWH-3010 Ventilator

Operation Manual

Shenzhen Chenwei Electronic Co., Ltd

Please read this manual before operation

Content
Remarks of the picture, sign, term and abbreviation in the machine and manual...........................3
Safety item....................................................................................................................................... 6
Claim............................................................................................................................................... 7
General.............................................................................................................................................8
Function........................................................................................................................................... 8
Performance.....................................................................................................................................8
Adaption disease..............................................................................................................................8
Contraindication.............................................................................................................................. 8
The main structure and working principle for the ventilator...........................................................9
Main unit...................................................................................................................................9
Structure.............................................................................................................................9
Working Principle............................................................................................................ 10
Air compressor........................................................................................................................11
Structure...........................................................................................................................11
Working Principle............................................................................................................ 11
O2 and Air blender..................................................................................................................11
Working principle............................................................................................................ 11
Preparation.....................................................................................................................................12
Gas supply connection............................................................................................................12
O2 connection..................................................................................................................12
Air connection................................................................................................................. 13
Connection of breathing circuit pipe...................................................................................... 14
The installation and connection of exhalation valve.............................................................. 14
Installation and connection of O2 sensor............................................................................... 15
Installation of humidifier........................................................................................................ 15
Installation and use of pressure regulator............................................................................... 16
Installation and use.......................................................................................................... 16
On completion of operation............................................................................................. 16
Power supply.......................................................................................................................... 17
Main power—AC............................................................................................................ 17
Back-up battery................................................................................................................17
Main power supply -----Backup battery transition.......................................................... 17
Low voltage of back-up battery.......................................................................................17
Charge of back-up battery............................................................................................... 18
Discharge of back-up battery...........................................................................................18
Replacing of the back-up battery.....................................................................................18
Fuse replacing..................................................................................................................18
Check before operation..................................................................................................................19
Check interval.........................................................................................................................19
System check.......................................................................................................................... 20
Check for power supply alarm................................................................................................20
Gas supply check.................................................................................................................... 20
Ventilation function check...................................................................................................... 20
1
 Check for Alarm function....................................................................................................... 20
Operation....................................................................................................................................... 22
Operation of ventilator............................................................................................................22
Ventilator panel and operation key.................................................................................. 22
Start-up............................................................................................................................ 23
Selection of Child/Adult ventilation mode...................................................................... 23
Setting of ventilation mode and parameters.................................................................... 23
Reset of alarm parameter................................................................................................. 26
Start up for operation——IPPV ventilation mode.......................................................... 26
Start up for operation——PCV ventilation mode........................................................... 27
Start up for operation——A/C ventilation mode............................................................ 28
Start up for operation——SIMV ventilation mode......................................................... 29
Start up for operation——SPONT/CPAP ventilation mode............................................30
Start up for operation——PSV ventilation mode............................................................31
Start up for operation——SIGH ventilation mode..........................................................32
Start up for operation——MANU ventilation mode.......................................................33
Other operation key......................................................................................................... 33
Operation of Air and O2 blender............................................................................................ 33
Operation of air compressor................................................................................................... 33
On completion........................................................................................................................ 33
Alarm, warning and hint information............................................................................................ 34
Clearance and sterilization.............................................................................................................35
Clearance and sterilization of the contact part with patient....................................................36
Clearance and sterilization before first use......................................................................36
Clearance and sterilization of reusable part.....................................................................36
Using times for the reusable part..................................................................................... 36
Surface of the machine........................................................................................................... 36
Air compressor....................................................................................................................... 36
Maintenance...................................................................................................................................37
Before first operation..............................................................................................................37
After operation of every patient..............................................................................................37
Assemble after sterilization.................................................................................................... 37
Every day or in case of needed............................................................................................... 37
Every three months or incase of needed................................................................................. 37
Operation over 1200 hour or 6 months...................................................................................38
Every year or operation over 2500 hours............................................................................... 38
Every two years or operation over 5000 hours.......................................................................38
Alarm and disposal system............................................................................................................ 38
Fault and solution way...................................................................................................................43
Main technical specification.......................................................................................................... 44
Environment conditions..........................................................................................................44
Gas supply.............................................................................................................................. 44
Power supply.......................................................................................................................... 44
Electromagnetism compatibility.............................................................................................44
Breathing circuit pipe...................................................................................................... 45
Humidifier....................................................................................................................... 45
2
 Ventilation mode.....................................................................................................................45
Ventilation parameter adjustment........................................................................................... 46
Ventilation parameter Monitoring range.................................................................................47
Noise....................................................................................................................................... 47
Technical specification of compressor....................................................................................47
Additional part to ventilator:.................................................................................................. 48
Humidifier....................................................................................................................... 48
Alarm hint and protection.......................................................................................................48
Move, storage and transportation.................................................................................................. 49
Move....................................................................................................................................... 49
Storage.................................................................................................................................... 50
Transportation.........................................................................................................................50
Others.............................................................................................................................................50

3
Remarks of the picture, sign, term and abbreviation in the machine and
manual
“△
! “indicates you should read the operation manual
“△
! warning “ and “ △
! note
note” indicate if the instruction is not followed, there will be some
emergencies, please read and keep to all the “ warning” and “note” items
“△ Warning: indicates that if the instruction is not followed, the machine may be damaged , you
! “Warning:
and your patient may be injured.
Note: indicates that if the instruction is not followed , the machine may be damaged, and can not work
Note
normally.
Hint：indicate you should pay attention to the explanation.
In the machine and manual, the picture, sign, term and abbreviation are used to replace the language
remarks. However, all these picture, sign, term and abbreviation are not all involved in the machine and
manual.

Table 1 Remarks of the picture, sign, term and abbreviation in the machine and manual

Picture, sign, term and Remarks

abbreviation
△
! Read the operation manual

AC

B Class

Gas input

Mute

Lock

Unlock

Adult mode

Child mode

Main power supply indication

Battery supply indication

Indication for low voltage of battery

Dangerous voltage

Ground protection

Check valve
Ｉ（Green） Indication for inhalation
Ｉ（Red） Spont trigger indicate
Ｅ Indication for exhalation
IPPV IPPV

4
Picture, sign, term and Remarks
abbreviation
A/C AC
PCV PCV
SIMV SIMV
SPONT/ CPAP SPONT/CPAP
PSV PSV
（MAUN） MANU
Standby Standby surface
FiO2 O2 concentration of inhalation port
MV （Minute Volume） Minute Volume
VT （Tidal Volume） Tidal Volume
Freq （Frequency） Frequency
Ppeak Airway peak pressure
PEEP PEEP
C Dynamic lung compliance
Tinsp Inspiration time
TiP Holding time（Platform time、Inhalation platform）
SIGH Sigh time
Pc Pressure control
Ps Pressure support
PTr Pressure trigger
FTr Flow trigger

Flow Flow
Pcon Alarm of Continuous airway pressure
Apnoea Apnoea time
Paw—t Waveform of airway pressure and time
Flow—t Waveform of flow time
Power Power
� or OFF Off
| or ON On
O2% O2 concentration adjustment
O2 )2
Air Air

5
 Picture, sign, term and Remarks
abbreviation
Vmax Maximum volume
Bpm Beat per minute （Unit for frequency ）
S Second （Unit for time）
L Liter（Unit for capability）
L/min Liter per minute（Unit for volume）
DC Direct current
hPa Hpa（Unit for pressure）
kPa kPa（Unit for pressure）
MPa MPa（Unit for pressure）
V Voltage（Unit for voltage）
A Ampere（Unit for current）
Hz HZ（Unit for frequency）
VA VA（Unit for power）
db(A) Decibel（Unit for noise）
℃ Celsius（Unit for temperature）

Safety item
“△
! “ Note:
� Please read the operation manual carefully before operation, assemble, operate, and maintain the
machine in strict accordance with the manual.
� Please refer to the chapter of Installation and connection of expiratory flow sensor sampling tube and
expiratory valve and O2 sensor in this manual when install and connect the exhalation flow sensor
sampling tube and exhalation valve and O2 sensor.
� Please refer to the chapter of Clearance, Sterilization and Maintenance when do sterilization and
clearance.
� The storage and working condition, power, and gas should comply with the requirement in this manual.
� All the power lines, tubes, and steeve should be disassembled before any transportation and move.
� Keep the ventilator stable and balance during operation, transportation or move.
△! Warning
� Check the safety performance of the machine before using to ensure that it is in good working
conditions. Refer to the chapter of Check before use.
� If the alarm function is not working, do not use this machine. Otherwise, it may cause the injury or even
death of the patient, or damage of the machine.
� If there is alarm during the operation, safeguard the patient firstly, then check immediately to fix the
fault.
� This machine can only be operated by special qualified personnel after training.
� This machine can only be used under close observation. Though clinical safety has been fully considered
in the design of this machine, the operator should not neglect the observation of the machine status and

6
 the patient. Only in this way can fault be detected and corrected in time.
� The gas for this machine is O2 and Air.
� Never use the antistatic threaded pipe and facemask. It may be cause inflammation if use this kind of
threaded pipe and face mask near the high frequency electric operation equipments
� Be careful when arranging the respiration circuit (screwed pipe) and cables to avoid tangle or
suffocating the patient.
� Do not move, cover or repair the machine during the operation.
� Please keep the distance between the Back panel of the ventilator and wall or big barrier at least 0.5
meter to ensure the normal ventilation of the compressor.
� Never use this machine in environment with inflammable or explosive gas.
� Never use this machine in environment of Nuclear Magnetic Resonance
� Never use this machine for newborn babies
� Do not add additional accessories, part or component to the breathing system, or the pressure grads
between the breathing system and patient will go up, which will affect the safety of the patient.
� Do regular resection (Refer to the chapter for Maintenance) and replacement (Refer to the replacement
of battery) of the battery.
� When restart the air compressor ， please make sure there is no remaining gas in the air
compressor. If restart the compressor in short interval or there is gas in compressor，please
pull out the high pressure air hose (Item 1 in Fig 5)from the air input port (Item2in Fig 5)for 20
seconds to release the gas.
� Do not disassemble the ventilator without the authorization from Chenwei Electronic Co., Ltd.

Claim
� Monitoring, alarm, and guard function for CWH-3010 ventilator:
——Measurement and control for FiO2
——Measurement and control for MV
——Measurement and control for Tidal volume
——Measurement and control for Frequency
——Measurement and control for ventilation pressure
——Measurement and control for PEEP
——Measurement for Dynamic lung compliance
——Measurement and control for continuous pressure
——Limitation for airway peak pressure
——Limitation for peak pressure of input gas
——Gas failure alarm
——Airway pressure alarm (Beyond the upper or low level )
——Minute ventilation alarm (Beyond the upper or low level )
——O2 concentration alarm (Beyond the upper or low level )
——Continuous pressure alarm
——Apnoea alarm
——Alarm when the pressure difference between O2 and Air is over 0.15Mpa.
——O2 or Air failure alarm
——AC failure alarm
——Low voltage of battery alarm
——Alarm when the temperature of compressor pump is too high.
� According to the national standard GB 9706.28, the humidifier, CO2 monitor, and oximeter should meet
7
 the following standards or be registered in national or provincial medical administration.
——Humidifier should meet the standard of ISO 8185：1997；
——CO2 monitor should meet the standard of ISO 9918：1993；
——Oximeter should meet the standard of ISO 9919：1992。
� According to the national standard GB 9706.28, breathing circuit equipped on ventilator should meet the
standards YY 0461-2003 or be registered in national or provincial medical administration.

General
CWH-3010 ventilator is used in various medical institutions for doing mechanical or assisted
ventilation to patient of respiratory failure or the patient who need mechanical ventilation therapy, and
monitoring and display the ventilation parameters.

Function
� For adult and child over 5 Kgs.
� Ventilation mode
——IPPV
——A/C
——PCV
——SIMV
——SPONT/ CPAP
——PSV
——SIGH
——MANU

Performance
� Electrical controlled and gas driven
� For adult and child
� 12.1TFT screen
� Function of volume control and pressure limit
� More ventilation mode
� More ventilation function
� More alarm function
� Compliance compensated function
� More accurate and stable O2 and Air blender
� Internal battery. The battery will work when the AC fails.

Adaption disease
� Ventilation therapy
� Respiration failure rescue

Contraindication
� As to the ventilator there is no absolute contraindication. But the operator should pay
attention to the relevant contraindication of mechanical ventilation. For example the patient
with grave lung disease should not use or use ventilator with great caution.
8
The main structure and working principle for the ventilator
△
! Note：Please refer to the manual of humidifier to learn the main structure and working principle of the
humidifier.

Main unit

Structure
� Ventilation parameters setting, monitoring, control and display system
� Ventilation system
� Safe guard and alarm system
� O2 and Air blending system
� Humidifier
� Air compressor
� Steeve
� Main frame
See Fig 1 the structure of ventilator

1 2
10

11

9
3
19
8 12
4
18
7 13
17 14
16 15

6 5

1 Parameter display screen 2 Main frame 3 Humidifier

4 Machine e 5 Castor 6 Compressor
7 Inhalation port 8 Expiration port 9 Steeve
10 O2 input port 11 Air input port 12 O2 adjusting knob
13 ～220V power input socket/Fuse box 14 Auxiliary socket
15 Auxiliary socket fuse box 16 Fuse box for ventilator socket
17 Auxiliary socket 18 Ventilator input power socket/Fuse box
19 Power switch
Fig 1 the structure of ventilator
9
Working Principle

Gas Source

Safety valve
O2 and Air blender Inhaling
valve

Flow
Pressure Flow
controlling
regulator valve sensor1

Exhalation
controlling valve

Pressure sensor
1

Flow Exhaling valve

Patient
sensor2

Power Micro computer Pressure

Cont panel sensor 2

Display Operation
panel

Fig 1-1 Graph for working principle

The gas source passes O2 and air blender and pressure regulator in turn, then enters flow
controlling valve.
� During inhalation, flow controlling valve is open, while the exhalation valve is closed. O2 will be
supplied to patient by passing flow controlling valve, and flow controlling valve will adjust the tidal
volume delivered to patient.
During exhalation, flow controlling valve is closed, while the exhalation valve is open. The
exhaling gas will be delivered to atmosphere by passing exhaling valve and flow sensor.
The micro computer panel will work under the ventilation mode and parameters set on the
operation panel, and process airway pressure and tidal volume sampled from flow and pressure
sensor, then control inhaling time, exhaling time, breathing rate, and tidal volume, and display
the monitored ventilation parameters on the screen.
When the monitored ventilation parameters are beyond the set alarm limit, the micro computer
10
panel will activate the sound and visible alarm.
When the airway pressure reaches to the set pressure of safety valve (Under 12.5kPa), the
safety valve will be open to release the pressure to avoid excessive airway pressure.
During the mode of SPONT, the inhalation valve will be open for inhalation, so that the patient
can breath the air from atmosphere.

Air compressor

Structure

1 3 4

2 5
6

1 Control panel 2 Switch 3 Fuse box

4 Output gas port 5 Input gas filter net 6 Air compressor
Fig 2 Air compressor structure

Working Principle
The gas enter the oil free compressor thought filter muffler, and is compressed into the high temperature gas
of 0.4Mpa.Then the gas will pass the cooler, filter and oil and mist separator for first water and impurity
elimination. The second water elimination will be do by membrane drier, then the gas will enter the
ventilator.
O2 and Air blender

Working principle
The O2 and Air blender is consist of equalizer, O2 concentration adjustment control device and alarm
device. The blender use high pressure compressed air and O2 and do pressure difference alarm by equalizer
and blender adjustment, and supply accurate mixture gas of different concentration in certain scale of
pressure difference.

11
Preparation
Gas supply connection

△
! Note:
1 The rated working pressure of ventilator is 0.4MPa±0.1MPa,and the maximum flow is 70L/min。
2 The gas source should be specialized for medical usage.
3 Be aware the impurity from the central gas pipe when use the central gas supply as gas source.
4 Make sure that gas has no oil, water, or impurity when use compressor as gas source.
5 The fresh gas can not be used as gas source.
6 Please use pressure regulator when use cylinder gas.
7 As to the installation and use of pressure regulator, please refer to the Chapter of Pressure regulator
installation and use.

Hint：
The connector to the central gas supply should be supplied by the manufacturer of the central gas system. If
the purchaser need the connector manufactured our company, the detailed technical information of the
connector should be provided in the PO.

O2 connection
� This machine can use central gas supply or high-pressure O2 cylinder as gas source.
� If take the center gas supply system as the gas source, it is only to connect the oxygen input port (Item
2 in Fig 3) with the central gas supply system by high pressure oxygen hose, but the supply pressure
must accord with requirement of this machine.
� If take the high-pressure oxygen cylinder as the gas source, pressure regulator must be used. Check and
adjust pressure regulator to ensure the output pressure within the range of 0.4MPa±0.1Mpa, then
connecting cylinder with the oxygen input port (fig 3-2) by high pressure oxygen hose.
△
! Note:
The pressure difference between oxygen source and air source should ＜0.1MPa

1 Filter

2 O2 port

3 Connector of high pressure O2 hose

Fig 3 O2 connection

12
 Air connection
△
! Warning
Warning：：
Pull out the dead lever before operation of the machine as picture 4 shows;
Before long distance transportation, please install the dead lever to the machine.
Way to pull out the dead lever：
Remove the filter net (Item 1);
Take off the screw ob the dead lever (Item 2);
Pull out the dead lever as picture shows;
Install the filter net (item 1)

1 Filter net 2Dead lever 3Air compressor

Fig 4 Way to pull out the dead lever from the air compressor

Air source can be gas from the air compressor of the ventilator, or from central gas supply. But the supply
pressure must accord with requirement of this machine.

When the machine is equipped with compressor：

Way of air connection (See Fig 5.1):
1） Fix the filter (Item 2 in Fig 5.1) on the air input port (Item 3 in Fig 5.1);

2） Fix high pressure hose for air (Item 1 in Fig 5.1) on the input port of filter (Item2 in Fig 5.1);
3） Connect the high-pressure air hose (Item 1 in Fig 5.1) with the air input connector (Item 2 in Fig 5.1);
4） The other end of the high-pressure air hose connect with the output port of compressor or the central gas
supply system.

△
! Note：

a The airflow direction of the filter should face to the machine.

b The gasket, which between Filter and Air input connector, must be used.
△
! Hint：The pressure difference between oxygen source and air source should ＜0.1MPa

13
 1 2 3 1High pressure hose for air

2 Filter

3 Air inlet port

Fig 5.1 Connection of air

When the machine is not equipped with compressor：

� Air source can be gas from central gas supply, or from high-pressure gas cylinder. But the supply
pressure must accord with requirement of this machine.
� If take central gas supply as the gas source, connect the filter (item 2 in Fig 5.1) and the central gas
supply system with high-pressure air hose. But the supply pressure must accord with requirement of this
machine.
� If take the high-pressure air cylinder as the gas source, pressure regulator must be used. Check and
adjust pressure regulator to ensure the output pressure within the range of 0.4MPa±0.1Mpa, then
connecting cylinder with the filter (Item2 in Fig 5.1) by high pressure air hose.
△
! hint：

The pressure difference between oxygen source and air source should ＜0.1MPa

Water drain from filter (When the compressor is equipped)

The way for water drain
1） There is a semi-automatic drain button under the filter. When there is no pressure in filter, water will
outflow automatically. When there is pressure on filter, the button will close automatically. Refer to the
Fig 5.2-a;
2） When there is pressure on filter, up press the semi-automatic drain button to discharge the water. Refer to
Fig5.2-b;
3） You can close the button by hand when the pressure does not reach to the enough pressure for closing
automatically. You can pull the semi-automatic drain button down to the proper position. Refer to Fig
5.2-C.

a b c

Fig 5.2 Way for water drain

14
Connection of breathing circuit pipe

△! Note：
Never use the antistatic threaded pipe and facemask. It may be cause inflammation if use this kind of
threaded pipe and face mask near the high frequency electric operation equipments
Breathing circuit equipped on ventilator should meet the standards YY 0461-2003 or be registered in
national or provincial medical administration.

Refer Fig 6 for breathing circuit pipe connection

1 Exhalation port 2 Threaded pipe 1

1
3 Water trap 4 Threaded pipe 2

5 Y connector 6 Threaded pipe 3

10
9
2 7 Humidifier 8 Threaded pipe 4
8
9 Inhalation port 10 Antibacterial filter
7
3
Fig 6 Connection of breathing circuit pipe
4 5 6
When the set tidal volume is no less than 0.3L,
adult breathing system should be used, while the set
tidal volume is under 0.3L, child breathing system should be used.
Connection way of breathing system:
1) Connect the antibacterial filter(Part 10) on exhalation port. (Part 1)
2) Connect water trap (Part 3) by threaded pipe 2 with antibacterial filter (Part 10).
3) Connect Y connector (Part 5) and other end of water trap (Part 3) by threaded pipe 4.
4) Connect the other end of Y connector (Part 5) and Humidifier (Part 7) by threaded pipe 6.
5) Connect the inhaling port (Part 9) and Humidifier (Part 7) by threaded pipe 8.

The installation and connection of exhalation valve

The exhalation valve is installed already on the machine in our factory. If you need to re-install them,
please follow the following steps and refer to Fig 7.
1） Install the exhalation valve, cover, and exhalation connector in turn from Direction 1. Do not
leak the gas.

1 2 3
1 Exhalation valve
2 Cover
方向1 3 Exhalation connector
4 Exhalation flow sensor
sampling tube
5 Settle socket
方向2

15
5 4
Fig 7 The installation and connection of exhalation valve
Installation and connection of O2 sensor

The O2 sensor is installed already on the machine in our factory. If you need to re-install it, please
follow the following steps and refer to Fig 8.

1） Turn clockwise the o2 sensor (Item 2 in Fig 8). Do not leak the gas or turn with excess force.
2） Plug the plug of O2 sensor (Item 3 in Fig 8)into the port of O2 sensor.
3） Fix the cover board (Item 1 in Fig 8).

1 Cover board

2 O2 sensor

3 Plug of O2 sensor

1 2 3

Fig 8 The installation and connection of O2 sensor

Installation of humidifier
Please refer to Fig 9.

1 Humidifier

2 Bracket

1 2

Fig 9 Installation of humidifier

16
Installation and use of pressure regulator

Installation and use

△
! Warning：
1 ） Please make sure that O2 pressure regulator is only compatible with O2 cylinder, and Air pressure
regulator is only compatible with Air cylinder.
2）If there is any grease on the O2 pressure regulator or the O2 cylinder output port, the explosion will be
caused.

△
! Note：
1 The pressure regulator should meet the requirement of Standard of GB 7899
2 Before turning on the cylinder valve, the adjusting valve of pressure regulator should be unscrewed
anticlockwise fully. If not, the sudden pressure from the cylinder will break the membrane of the
pressure regulator, which will damage the pressure regulator and the operator.
3 When turning on the cylinder valve, the operator should not stand front or behind of the cylinder port or
pressure regulator.
4 Turn on the cylinder valve quickly, otherwise, the reverse pressure of discharged gas will turn the
cylinder down.

� Place the cylinder upright steadily;

� Stand at the side of cylinder. Turn on or off the cylinder valve quickly so as to clean the valve port；
� Confirm that the pressure regulator is in conformity with cylinder gas；
� Clean up any oil stain and impurity at inlet port of pressure regulator and the cylinder valve port.
� Turn the pressure adjusting valve of pressure regulator anticlockwise fully to release pressure adjusting
spring；
� Install the pressure regulator onto the relevant cylinder and tighten up with a wrench；
� Connect the relevant high-pressure hose and tighten with wrench
� The other end of high-pressure hose is connected to the relevant gas input port at rear panel of the
ventilator；
� Turn on the cylinder valve slowly and adjust pressure regulator so that the output pressure is in 0.4
MPa±0.1 MPa range.

On completion of operation
� Turn off the cylinder valve;
� Turn the pressure adjusting valve of pressure regulator anticlockwise fully to release pressure adjusting
spring；
� Check to see if the manometer of pressure reducer indicates to zero so as to check if the cylinder valve is
fully closed；
� If the pressure regulator is not used for prolonged period, remove the regulator from cylinder and have it
protected with protection sleeves at inlet and outlet. Put it indoors with good ventilation and free from
corrosive gases.

17
Power supply

Warning：
1、GB9706.15-1999 is applicable to connection of all medical devices and the connection between least
one medical device with one or more nonmedical devices. The nonfunctional connection on an auxiliary net
power socket between the separate parts of the device will come into the medical electronic system.. The
operator should be aware that the risk of leakage current will be escalating when the device is connected to
auxiliary net power socket.
2、The back-up battery cannot supply power to air compressor, so when the AC fails, the high pressure
air input port should connect with central gas supply system or high pressure air cylinder.

△
! Note：

The main power is ～220 V±10%，and frequency is 50Hz±2%.

Main power
power——AC
� Insert the power plug into the power input socket (item 13 in fig 1) at the rear panel of the ventilator and
the AC socket;
� Insert the other power plug into power output socket (item 18 in Fig 1) at the rear panel and the auxiliary
socket (Item 17 in Fig 1).

� When the power is supplied by AC, the power state indication place will display the signal of “ ”.

Back-up battery
� Back-up battery：
Model: BT-12M4.0AC
Capacity: 4Ah
Voltage：DC12V
Current：1.5A
� When the back-up battery is fully charged, the battery will supply power for the ventilator about 1.5
hour.
� If the machine is powered by battery, the power state indication place will display the signal of “ ”.
� When the power is changed from AC to back-up battery, the ventilator will keep same functions as
working under AC.

Main power supply -----Backup battery transition

� It will switch over to backup battery automatically when the main power supply fails during operation
� When the back-up battery power the ventilator, there is sound indication from the machine, and the
power state indication place will display the signal of “ ”.

Low voltage of back-up battery

� When the voltage of back-up battery is low (11.3V), the power state indication place will display the

18
 signal of “ ”，and there will be sound alarm.
� At this time, power supply should transit to AC or switch off the power of ventilator, and charge the
battery.
△
! Warning：
Power supply should transit to AC when the battery is low voltage.

Charge of back-up battery

� When the ventilator is supply by AC power, the battery will be charged automatically.
� Charge can be carry out continually, or interrupted
� The backup battery should be charged in time after using, generally it should be charged for more than 3
hours after using for one hour.

Discharge of back-up battery

� It should be discharged in regular time when no using for a long time.
� Discharge method: Do not connect the AC power, and supply the ventilator by backup battery till the
power state indication place display the signal of “ ”.
� It should be charged in time after discharging.
� Interval of discharge do not beyond 3 months.

Replacing of the back-up battery

� Usually, the battery can be used for 3- 6 years, if it is often used in over voltage state, or often power cut
or the environment temperature is excessive high, efficiency will become lower the and life will be
shorten.
� The battery should be replaced when the efficiency receded or shattered. Battery replacing should be
managed by special technical personal. When in replacing the battery, firstly switch off the AC, and then
open the cover to get the battery out. Pay attention to the specification of the battery and do not overturn
the polarity.

△
! ：
Warning：
Do not throw the battery into the fire in case of explosive; Do not open or destroy the battery, because it
contains injurant which may injure skin and eyes. Please dispose the battery under the local environment law.

Fuse replacing
� Fuse replacing for AC power
1. When the input AC power is normal, switch on the ventilator, there is no display on the
screen, but the unit connected to the auxiliary socket work normally, you should check
the fuse (Fuse model: 51T T1AL250V) of fuse box for ventilator socket (Item 16 in Fig 1)
and the fuse (Fuse model: 51T T1AL250V) of the ventilator input power fuse box (Item
18 in Fig 1).
2.
3. When the input AC power is normal, switch on the ventilator, the screen is normal, but
the unit connected to the auxiliary socket do not work, you should check the fuse
（Model：51T T1AL250V） of auxiliary socket fuse box (Item 15 in Fig 1).
19
 4. When the input AC power is normal, switch on the ventilator, there is no display on the
screen, and the unit connected to the auxiliary socket do not work, you should check the
fuse (Model: If the machine is equipped with compressor, the model is 5T-6.3AL250V；
If the machine do not have compressor, the model is 5T-2AL250V) of 220v power input
socket/fuse box (Item 13 in Fig 1).
5. Cut off the main power supply and open the fuse box by screwdriver to replace the fuse
if it is damaged.
6. When you replace the fuse you should care the specification and type of the fuse.
� Fuse replacing for air compressor
1. When the input AC power is normal, the screen of the ventilator is normal, but the
indicating light of compressor is not on, you should check the fuse (Model: 5T-4AL250V)
of the fuse box of compressor (Item 3 in Fig 2).
2. 2) Cut off the main power supply and open the fuse box by screwdriver to replace the
fuse if it is damaged.
3. 3) When you replace the fuse you should care the specification and type of the fuse.

� Fuse replacing for back-up battery

1. When the power is supplied by charged back-up battery, switch on the ventilator, but
there is no display on the screen, you should check the fuse of back-up battery (Model:
5T-2AL250V).
2. Open the back panel of the ventilator and the fuse box by screwdriver to replace the fuse
if it is damaged.
3. When you replace the fuse you should care the specification and type of the fuse.
� Specification of fuse
——AC 5T T1AL250V
51-4AL250V
5T-6.3AL250V
——Back up battery 5T-2AL250V

△! Warning：
1) Cut off the main power supply when you check or replace the fuse.
2) When you replace the fuse you should care the specification and type of the fuse.

Check before operation

△
! Warning：
1) In order to ensure the excellent performance in operation, the safety feature and ventilation function must
be checked before operation.
2) Do not use machine with problem. If there is alarm from the machine, do not use it, for machine may be
damaged, or the patient may be injured.
3） As to the check before operation of humidifier, please refer to the operation manual of humidifier.

Check interval
Please do check before operation under the following situation;

20
� First start up;
� Before usage of patient
� After maintenance and sterilization
� After servicing

System check
� Check all connection part is stable and correct;
� Check the breathing circuit pipe is in good condition and are connected stable and correct;
� Gas supply connection is good and correct;
� The connection of the power lines are stable Switch on the ventilator, the ventilator will work normally.

Check for power supply alarm

� Connect the machine with AC, switch on the ventilator, the power state indication place will display the

signal of “ ”.

� Cut off the main power, then the machine will be powered by back-up battery automatically, and there is
sound indication from the machine, the power state indication place will display the signal of “ ”.
� Connect the AC to the machine, then the sound indication will mute, and the power state

indication place will display the signal of “ ”.

Gas supply check

� The gas pressure of central gas supply should be 0.4MPa±0.1MPa
� If take cylinder as gas source, the gas in the cylinder should be full or enough for operation and the
output pressure of the pressure regulator should be 0.4MPa±0.1Mpa.
� If the compressor is equipped, switch on the compressor, pressure gauge on the compressor panel should
be 0.4Mpa when the compressor is working stably.

Ventilation function check

Check the ventilation function as the following steps;
1） Connect the machine with power and gas source, and connect the Y connect with breathing bag.
2） Switch on the ventilator, and check if tidal volume, frequency, Mv, O2 concentration, and airway pressure
are normal under various ventilation mode.
3） Breath at the Y connector under A/C mode to check if the trigger function is good or not.

Check for Alarm function

——Connect the Y connector with artificial lung;
——Switch on the ventilator;
——Set the ventilation parameters to the following value under ventilation mode IPPV (Adult);
Tidal volume：0.50 L Frequency：10 bpm；
I:E：1：2 PEEP:0
——Press start key
——The monitoring parameters displayed on the screen is correct;

21
 ——PEEP is 0kPa.
� Check for high MV alarm:
——Set the upper limit of MV to 8.0 L/min;
——Reset tidal volume and frequency to make the MV over upper limit of MV;
——When the MV overpass 8.0 L/min, there will be alarm for High MV alarm.
� Check for Low MV alarm:
——Set the low limit of MV to 6.0 L/min;
——Reset tidal volume and frequency to make MV under the low limit of MV;
——When the MV is lower than6.0 L/min, there will be alarm for low MV alarm.
� Check for High Ppeak alarm:
——Set the upper limit of Ppeak to 2.0kPa;
——Reset the tidal volume to make the Ppeak over the high Ppeak limit;
——When the Ppeak overpass 2.0 L/min, there will be alarm for High Ppeak alarm. When there is alarm
for High Ppeak, the pressure should be limited under 10kPa.
� Check for low Ppeak alarm:
——Set the low limit of Ppeak alarm to 1.0kPa;
——Reset the tidal volume to make Ppeak under the low limit;
——When the Ppeak is under the low limit, there will be alarm for low Ppeak alarm.
� Gas failure alarm
——Pull out the breathing circuit pipe;
——There will be alarm for gas failure lasting for 6 seconds.
� Check for continuous airway pressure:
——Set the PEEP to 2.0kPa, and continuous airway pressure upper limit to 1kPa;
——There will be alarm lasting 16 seconds.
� Check for High O2 concentration alarm:
——Set the upper limit of O2 concentration to 80%
——Adjust the O2 and air blender adjusting valve, and set the O2 concentration over 80%;
——There will be alarm for high o2 concentration.
� Check for low O2 concentration alarm:
——Set the low limit of o2 concentration to 40%;
——Adjust the O2 and air blender adjusting valve, and set the O2 concentration under 40%;
——There will be alarm for low o2 concentration.
� Set the Apnoea time under the SIMV mode, check if the Apnoea alarm is correct when
there is no spontaneous or Mechanical ventilation, and check if the mode can be changed
to A/C mode; After the change to A/C mode, when there is trigger ventilation, check if the
mode can changed to the former ventilation mode.

△
! Warning：

In order to ensure the excellent performance in operation, the safety feature and ventilation
function must be checked before operation.

22
Operation
△
! Warning：
1） This machine can only be operated by special qualified personnel after training.
2） Please read the operation manual carefully before operation. And operate the machine in strict accordance
with the manual.
3） This machine can only be used under close observation. Though clinical safety has been fully considered
in the design of this machine, the operator should not neglect the observation of the machine status and
the patient. Only in this way can fault be detected and corrected in time.
4） Set the ventilation parameters and alarm value according to the patient status.
5） Be careful when arranging the respiration circuit (screwed pipe) and cables to avoid tangle or suffocating
the patient.
6） Do not move, cover or repair the machine during the operation.
7） If there is alarm during operation, safeguard the patient firstly, then check immediately to fix the fault.
8） Any liquid into the machine may damage the machine or lead to electric shock.
9） Never use this machine in environment with inflammable or explosive gas.
10）Never use this machine in environment of Nuclear Magnetic Resonance
11）Keep the ventilator stable and balance during operation.
12）Please refer to the manual of humidifier about the operation of the humidifier.

Operation of ventilator

Ventilator panel and operation key

Refer to Fig 10 of the ventilator panel and operation key
1

2
Ventilator
3
Settings

Alarm
4
limits
5
6
MANU

Standby

1 Screen 2 Setting key 3 Alarm setting key

4 Manu ventilation key 5 Standby key 6 Mute key
7 Lock/Unlock key 8 Adjusting shuttle /confirmation key
Fig10 Panel of ventilator

23
Start-up
� Connect the power and gas source
� Switch on the ventilator switch, then the machine will enter the self-check surface.
� When self-check is finished, the machine will enter Child/Adult ventilation mode selection surface.
Refer to Fig 11.

Fig 11 Child/ Adult ventilation mode selection surface

Selection of Child/Adult ventilation mode

� Enter the surface of Child/Adult ventilation mode selection
——Switch on the ventilator;
——Turn adjusting shuttle /confirmation key (Item 5 in Fig 10)to choose Adult or child mode, press
adjusting shuttle /confirmation key for confirmation, then machine will work under chosen mode.
� Back to standby surface from working surface:
——Press Standby key (Item 5 in Fig 10) on the operation panel, and the machine will enter the surface
of Child/Adult mode selection.

Setting of ventilation mode and parameters

� Enter the surface of setting of ventilation mode and parameters
——Choose Adult or Child mode, and press confirmation key;
——Press Parameter setting key (Item 2 in Fig 10) in working surface, you can reset ventilation mode
and parameters.
——Fig 12.13.14.15.16 is the ventilation mode and parameter setting surface under IPPV, PCV, A/C,
SIMV, SPONT/CPAP and PSV mode.
� Ventilation mode selection:
——Turn shuttle/Confirmation key (Item 8 in Fig 10) to required mode, and press it for confirmation.
� Setting of parameter:
——Turn Shuttle/Confirmation key to the required parameter, and press it for confirmation;
——Turn Shuttle (Item 8 in Fig10) for setting (Turning clockwise will max the parameter; Turning
anticlockwise will minimum the parameter). Press Shuttle for confirmation when the required
parameter is set already.
——When confirmation is done, turn shuttle to Exit, press shuttle to exit the setting surface.
——The machine will work under the set mode and parameters.
Note: The machine will work under the former ventilation mode and parameters when do the settings.

24
 Fig 12 Setting of mode and parameter under IPPV

Fig 13Setting of mode and parameter under PCV

Fig 14 Setting of mode and parameter under A/C

25
Fig 15 Setting of mode and parameter under SIMV

Fig 16 Setting of mode and parameter under SPONT/CPAP

Fig 17 Setting of mode and parameter under PSV

26
Reset of alarm parameter
� Reset of alarm parameter:
——Press alarm setting key (Item3 in Fig 10), the machine will enter Reset of alarm parameter surface.
Refer to Fig 18.
� Reset of the alarm parameter value:
——Turn shuttle (Item 8 in Fig 10) to the parameter to be adjusted;
——Press shuttle for confirmation;
——Turn Shuttle (Item 8 in Fig10) for setting (Turning clockwise will max the parameter; Turning
anticlockwise will minimum the parameter). Press Shuttle for confirmation when the required
parameter is set already;
——Repeat the previous step if there is a next alarm value to be adjusted;
——Turn shuttle to Exit, press shuttle to exit the setting surface, and the machine will work under set
values.
� Alarm clearance
——Turn shuttle to Alarm clearance, press shuttle for confirmation and exit, then the alarm information
on the screen will be cleared.

Fig 18 Reset of alarm parameter surface

Start up for operation——

operation—— IPPV ventilation mode
——IPPV
� Enter the mode of IPPV:
——Choose mode IPPV under the surface of ventilation mode and parameter setting;
——Press Shuttle for confirmation and machine will enter standby status;
——Turn shuttle to Exit, and press it for exit, and the machine will work under mode of IPPV.
� Working surface of IPPV mode：
Please refer to Fig 19.

27
 Fig 19 Working surface of IPPV mode

Illustration for the surface：

——(1)is Alarm mute indication place.
——(2) ～ (6) are respectively indication place for alarm of High continuous pressure, High (Low)
Airway pressure, High (Low) O2 concentration, High (Low) MV, No tidal volume.
——(7) is place for lock or unlock indication.
——(8)is place for Inhalation (Green), Spontaneous inhalation (Red) and exhalation.
——(9)is place for indication of AC or MC.
——(10)、(11)are respectively indication place for waveform of time-airway pressure and time-flow.
——(12)is indication place for ventilation mode and Child/Adult mode.
——Values in middle of (13) ～ (19) are monitoring values for O2 concentration, MV, tidal volume,
frequency, Ppeak, PEEP, and dynamic lung compliance.
——The values on the right side of the monitoring values of (13)、(14)、(17) are upper and low limit
for alarm of O2 concentration, MV and Ppeak.
——The values from (20) to (25) are set value for tidal volume, frequency, inhalation time, inhalation
platform. Sigh time and PEEP.
——The (26) is indication place for power supply status, including AC, Battery, and low voltage of
battery.

Start up for operation——

operation—— PCV ventilation mode
——PCV
� Enter the mode of PCV:
——Choose mode PCV under the surface of ventilation mode and parameter setting;
——Press Shuttle for confirmation and machine will enter standby status;
—— Turn shuttle to Exit, and press it for exit, and the machine will work under mode of IPPV.
� Working surface of PCV mode：
Please refer to Fig 20.

28
 Fig 20 PCV ventilation mode surface

Illustration for the surface：

——(1)is Alarm mute indication place
——(2) ～ (6) are respectively indication place for alarm of High continuous pressure, High (Low)
Airway pressure, High (Low) O2 concentration, High (Low) MV, No tidal volume.
——(7) is place for lock or unlock indication.
——(8)is place for Inhalation (Green), Spontaneous inhalation (Red) and exhalation.
——(9)is place for indication of AC or MC.
——(10)、(11)are respectively indication place for waveform of time-airway pressure and time-flow.
——(12)is indication place for ventilation mode and Child/Adult mode.
——Values in middle of (13) ～ (19) are monitoring values for O2 concentration, MV, tidal volume,
frequency, Ppeak, PEEP, and dynamic lung compliance.
——The values on the right side of the monitoring values of (13)、(14)、(17) are upper and low limit
for alarm of O2 concentration, MV and Ppeak.
——The values from (20) to (24) are set value for tidal volume, frequency, inhalation time, control
pressure and PEEP.
——The (25) is indication place for power supply status, including AC, Battery, and low voltage of
battery.

Start up for operation——

operation—— A/C ventilation mode
——A/C
� Enter the mode of A/C
——Choose mode A/C under the surface of ventilation mode and parameter setting;
——Press Shuttle for confirmation and machine will enter standby status;
——Turn shuttle to Exit, and press it for exit, and the machine will work under mode of A/C.
Working surface of A/C mode： Please refer to Fig 21.

29
 Fig 21 Working surface of A/C mode
Illustration for the surface：
——(1)is Alarm mute indication place
——(2) ～ (6) are respectively indication place for alarm of High continuous pressure, High (Low)
Airway pressure, High (Low) O2 concentration, High (Low) MV, No tidal volume.
——(7) is place for lock or unlock indication.
——(8)is place for Inhalation (Green), Spontaneous inhalation (Red) and exhalation.
——(9)is place for indication of AC or MC.
——(10)、(11)are respectively indication place for waveform of time-airway pressure and time-flow.
——(12)is indication place for ventilation mode and Child/Adult mode.
——Values in middle of (13) ～ (19) are monitoring values for O2 concentration, MV, tidal volume,
frequency, Ppeak, PEEP, and dynamic lung compliance.
——The values on the right side of the monitoring values of (13)、(14)、(17) are upper and low limit
for alarm of O2 concentration, MV and Ppeak.
——The values from (20) to (25) are set value for tidal volume, frequency, inhalation time, trigger
pressure. Trigger flow and PEEP.
——The (26) is indication place for power supply status, including AC, Battery, and low voltage of
battery.

Start up for operation——

operation—— SIMV ventilation mode
——SIMV
� Enter the mode of SIMV:
——Choose mode SIMV under the surface of ventilation mode and parameter setting ;
——Press Shuttle for confirmation and machine will enter standby status;
——Turn shuttle to Exit, and press it for exit, and the machine will work under mode of SIMV.
Working surface of SIMV mode： Please refer to Fig 22.

30
 Fig 22 Working surface of SIMV mode
Illustration for the surface：
——(1)is Alarm mute indication place.
——(2) ～ (6) are respectively indication place for alarm of High continuous pressure, High (Low)
Airway pressure, High (Low) O2 concentration, High (Low) MV, No tidal volume.
——(7) is place for lock or unlock indication.
——(8)is place for Inhalation (Green), Spontaneous inhalation (Red) and exhalation.
——(9)is place for indication of AC or MC.
——(10)is indication place for Apnoea alarm.
——(11)、(12) are respectively indication place for waveform of time-airway pressure and time-flow.
——(13) is indication place for ventilation mode and Child/Adult mode.
——Values in middle of (14) ～ (20) are monitoring values for O2 concentration, MV, tidal volume,
frequency, Ppeak, PEEP, and dynamic lung compliance.
——The values on the right side of the monitoring values of (14)、(15)、(18) are upper and low limit
for alarm of O2 concentration, MV and Ppeak.
——The values from (21) to (26) are set value for tidal volume, frequency, inhalation time, trigger
pressure, trigger flow and PEEP.
——The (27) is indication place for power supply status, including AC, Battery, and low voltage of
battery.

Start up for operation——

operation—— SPONT/CPAP ventilation mode
——SPONT/CPAP
� Enter the mode of SPONT/CPAP:
——Choose mode SPONT/CPAP under the surface of ventilation mode and parameter setting;
——Press Shuttle for confirmation and machine will enter standby status;
——Turn shuttle to Exit, and press it for exit, and the machine will work under mode of SPONT/CPAP.
� Working surface of SPONT/CPAP mode： Please refer to Fig 23.

31
 Fig 23 Working surface of SPONT/CPAPV mode
Illustration for the surface：
——(1)is Alarm mute indication place.
——(2) ～ (6) are respectively indication place for alarm of High continuous pressure, High (Low)
Airway pressure, High (Low) O2 concentration, High (Low) MV, No tidal volume.
——(7) is place for lock or unlock indication.
—— (8)is place for Inhalation (Green), Spontaneous inhalation (Red) and exhalation.
——(9)is place for indication of AC or MC.
——(10)is indication place for Apnoea alarm.
——(11)、(12) are respectively indication place for waveform of time-airway pressure and time-flow.
——(13) is indication place for ventilation mode and Child/Adult mode.
——Values in middle of (14) ～ (20) are monitoring values for O2 concentration, MV, tidal volume,
frequency, Ppeak, PEEP, and dynamic lung compliance.
——The values on the right side of the monitoring values of (14)、(15)、(18) are upper and low limit
for alarm of O2 concentration, MV and Ppeak.
——The values of (21) and (22) are set value for tidal volume, and continuous airway pressure.
——The (23) is indication place for power supply status, including AC, Battery, and low voltage of
battery.

Start up for operation——

operation—— PSV ventilation mode
——PSV
� Enter the mode of PSV:
——Choose mode PSV under the surface of mode and parameter setting ;
——Press Shuttle for confirmation and machine will enter standby status;
——Turn shuttle to Exit, and press it for exit, and the machine will work under mode of PSV.
Working surface of PSV mode： Please refer to Fig 24.

32
 Fig 24 Working surface of PSV mode

Illustration for the surface：

——(1)is Alarm mute indication place.
——(2) ～ (6) are respectively indication place for alarm of High continuous pressure, High (Low)
Airway pressure, High (Low) O2 concentration, High (Low) MV, No tidal volume.
——(7) is place for lock or unlock indication.
——(8)is place for Inhalation (Green), Spontaneous inhalation (Red) and exhalation.
——(9)is place for indication of AC or MC.
——(10)、(11)are respectively indication place for waveform of time-airway pressure and time-flow.
——(12)is indication place for ventilation mode and Child/Adult mode.
——Values in middle of (13) ～ (19) are monitoring values for O2 concentration, MV, tidal volume,
frequency, Ppeak, PEEP, and dynamic lung compliance.
——The values on the right side of the monitoring values of (13)、(14)、(17) are upper and low limit
for alarm of O2 concentration, MV and Ppeak.
——The values from (20) to (24) are set value for tidal volume, trigger pressure. Trigger flow,
supporting pressure and PEEP.
——The (25) is indication place for power supply status, including AC, Battery, and low voltage of
battery.

Start up for operation——

operation—— SIGH ventilation mode
——SIGH
� Before Choose of SIGH mode, please set the proper ventilation parameters under the mode of A/C.
� Choose Sigh ventilation under mode of SIMV and set the SIGH time.
� If there is no spontaneous or assisted ventilation during SIGH time, the mode will change to AC, and
there is alarm indication of Apnoea (Red color).
� If there are 5 times of Spontaneous ventilation after change mode to A/C, the mode will change to the
former ventilation mode, and there is alarm indication of Apnoea (Green color).

Note：When the sigh time is set to OFF, there will be no Sigh ventilation or Apnoea alarm indication.

33
Start up for operation——
operation—— MANU ventilation mode
——MANU
Press MANU key, the machine will supply the gas to the patient, and the screen will have indication of
“ ”. The machine will stop gas supply if you do not press the MANU key.

Other operation key

� Mute key（6 in Fig 10）：

When an alarm occurs, the alarm sound may be halted for 2 minutes by pressing muting key (item 6
in Fig. 10) and the alarm will resume if the trouble is not removed within 2 minutes.
When the sound alarm is muted, the alarm indication on the sreen will remain unless the problem is
solved properly.
� Lock key（Item 7 in Fig 10）：
Press lock key, the operation keys except Mute key and manual key will be locked.
Re-press the lock key, and the keys will be unlocked.
Operation of Air and O2 blender
� Turn the adjusting valve (Item 12 in Fig 1) of the blender to the required scale.

Operation of air compressor

� When the machine is connected to the main power, the indication light of power and fan will be on, and
the fan will start working.
� Switch on the air compressor, pressure gauge on the compressor panel should be 0.4Mpa when the
compressor is working stably.

△
! Hint：When restart the air compressor，please make sure there is no remaining gas in the

air compressor. If restart the compressor in short interval or there is gas in compressor ，
please pull out the high pressure air hose (Item 1 in Fig 5)from the air input port (Item2in Fig
5)for 20 seconds to release the gas.

On completion
When the operation is completed：
� Switch off the power switch of ventilator (Item 19 in Fig 1);
� Switch off the power of humidifier;
� Switch off the switch of the compressor (Item 2 in Fig 2);
� If take central gas supply as gas source, cut off the central gas supply;
� If take cylinder gas as the gas source, please refer to the chapter of On completion of operation under
Installation and use of pressure regulator;
� For there is interval between cut off O2 and Air, so there is alarm during the process of gas cut off,
which is normal.
� If there is a long interval to next use of the ventilator, pull out the power line from the main power
supply socket.

34
Alarm, warning and hint information

△
! Warning：
1） If there is alarm during operation, safeguard the patient firstly, then check immediately to fix the
fault.
2）As to the alarm of humidifier, please refer to the operation manual of humidifier.

Please refer to table 2 of the alarm and warning information.

Table 2 Alarm and warning information

Alarm and warning information Cause of alarm and warning

“No tidal volume” Gas failure in 6 second

“MV high” MV over the set upper alarm limit of MV

“Low MV” MV under the set low alarm limit of MV

“High Ppeak” Ppeak over the set upper alarm limit of Ppeak
Ppeak under the set low alarm limit of Ppeak in 5 to 20
“Low Ppeak”
seconds
“O2 high” Concentration over set upper alarm limit of O2 concentration

“O2 low” Concentration under set low alarm limit of O2 concentration

Continuous pressure over the set upper alarm limit of
“Continuous pressure high”
continuous pressure in 16 second
There is no spontaneous or assisted ventilation during SIGH
“Apnoea”（Red） time, the mode will change to AC, and there is alarm
indication of Apnoea (Red color)
There are 5 times of Spontaneous ventilation after change
“Apnoea”（Black） mode to A/C, the mode will change to the former ventilation
mode, and there is alarm indication of Apnoea (Black color).
Main power disconnection or problem, and the power is
“ ”
supplied by Battery.
Power supplied by Battery and the battery low voltage
“ ”
(Lower than 11.3V)
Alarm light of the compressor is on Temperature of compressor pump over 123℃

35
 Please refer to table 3 of the hint information.
Table 3 Hint information

Hint information Meaning of hint information

Power supply by main power

Mute

Lock

Unlock

Adult mode

Child mode

Ｉ（Green） Inhalation indication (Green)

Ｉ（Red） Spontaneous inhalation trigger indication (Red)

Ｅ Exhalation indication

Manual ventilation

Clearance and sterilization

△
! Warning：
1 ） Do not use talc, zinc stearate, CaCO3, cornstarch or similar material, which will enter the lung or
Respiratory tract of the patient.
2） Any liquid into the machine may lead to electric shock or damage to the machine.

△
! Note：
1） Read the operation manual of the clearing agent.
2） Read the operation of the disinfections equipment
3 ） Do not use irritation clearing agent of organic, halogenated, or petroleum Solvent, anesthesia agent,
detergent for glass, acetone.
4） Do not use abrasive clearing agent of steel wool, or sliver cleaner.
5） Put the liquid from the electronic parts.
6） No liquid into the inner of machine.
7） After clearance and sterilization, check the machine according to the Chapter of Check before operation.

8） As to the clearance and sterilization of humidifier, please refer to the operation manual of humidifier.

� After the apparatus is used with patients of communicable diseases, the “Y” connector, breathing circuit
pipe, facemask, tidal volume sampling tube, and water trap shall be washed with clean water and dried
by compressed air, then put them in the sterilizing cabinet or immerse them in 70% alcohol for 30
minutes. Or refer to the Code of Sterilization.
� After the apparatus is used with patients of incommunicable diseases, the “Y” connector, breathing
36
 circuit pipe, facemask, tidal volume sampling tube, and water trap shall be washed with clean water and
dried by compressed air, Or refer to the Code of Sterilization.
� Clean the surface of the machine with soft cloth soaked with water-soluble disinfector. Never use
organic solvent.
� The ventilator should be inspected and maintained by specialized personnel every 6 months.

Clearance and sterilization of the contact part with

patient

Clearance and sterilization before first use

� Clean the surface of the machine with soft cloth soaked with water-soluble disinfector.
� Wash and dry the high-pressure hoses.
� Wash breathing circuit pipes, Y connector, inhalation port, exhalation port, exhalation valve, tidal
volume sampling tube, water trap by water, and dry them by air, or refer to the Code of Sterilization.

Clearance and sterilization of reusable part

The reusable parts of this machine include Breathing circuit pipes, Y connector, inhalation port,
exhalation port, exhalation valve, tidal volume sampling tube and water trap.
Process for clearance and sterilization after operation:
� Remove the parts from the machine;
� Wash the parts by soapsuds;
� Wash the parts by clean water
� Put the parts in the sterilizing cabinet or immerse them in 70% alcohol for 30 minutes. Or refer to the
Code of Sterilization.
� Wash the parts by clear water.

Using times for the reusable part

Under normal condition, the Y connector, inhalation port, exhalation port, exhalation valve (Except
gasket and O type circle), tidal volume sampling tube and water trap can be used with unlimited times.
� Breathing circuit pipe, gasket and O type circle should be changed every year or after 2500 hours
operation.

Surface of the machine

Clean the surface of the machine with soft cloth soaked with water-soluble disinfector.
Never use organic solvent.

Air compressor
� Filter net of air compressor (Item 5 in Fig 2)

37
 Maintenance
△
! Warning：

1） Do not use machine with problem. If there is alarm from the machine, do not use it, for machine may be
damaged, or the patient may be injured.
2） The machine can only be repaired by authorized personnel.
3） Only authorized and qualified personnel can do calibration of the machine.
4） Do not throw the battery into fire in case of explosive; Do not open or destroy the battery, for it contains
injurant which may injure skin and eyes. Please dispose the battery under the local environment law.
5) Do not discard the replaced electronic and plastic parts, which will cause environment pollution. Please
dispose the battery under the local environment law.
6） As to the maintenance of humidifier, please refer to the operation manual of humidifier.

△
! Note：
After maintenance, check the machine according to the Chapter of Check before operation.

Before first operation

Before first operation, clean the surface of the machine everyday.
After operation of every patient
Do sterilization after operation of every patient.

Assemble after sterilization

Check the gasket of exhalation valve and O type circle and other part when doing assemble after
sterilization. If any part is broken, replace it immediately.
Every day or in case of needed
� Water drain of water trap (Fig 5.2). Turn clockwise the water trap, drain the water and turn
counterclockwise to install the water trap.
Every three months or incase o needed
Refer to Fig 25.
� Take off the back panel by cross screwdriver.
� Take off the input gas filter net and wash it by clear water. Assemble it after it is dry.

1 Input gas filter net

2 Back panel
1

Fig 25 Clearance and replacement of input gas filter net

38
Operation over 1200 hour or 6 months
� Test of battery
1、 Discharge the battery. Please refer to the Chapter of Discharge of battery
2、 Charge over 12 hours. Refer to Chapter Charge of battery.
3、 Switch on the machine and work under power supply by battery, if the power state indication place
display the signal of “ ”, or the battery can not supply power for 30 minutes, the battery is broken,
so you have to replace the battery. Please refer to Chapter Replacing of the back-up battery

Every year or operation over 2500 hours

� Maintain, and check the machine completely;
� Replace the gasket and O type circle;
� Replace the input gas filter net of the compressor. Refer to Fig 25
� Check and calibrate:
——Monitoring value of tidal volume and minute ventilation;
——Monitoring value of frequency;
——Monitoring value of inhalation time;
——Monitoring value of pressure;
——Monitoring value of O2 concentration.

Every two years or operation over 5000 hours

� Ventilator：
——Replace the O2 sensor. Refer to Fig 8
——Replace of battery. Refer to Fig 10.
� Compressor:
——Replace the filter muffler;
——Replace the air filter core （AF20-02c）;
——Replace the air filter core （AFM20-02c）;
——Replace of drier core （IDG5-02.）

Alarm and disposal system

△! Warning：
1） If there is alarm during the operation, safeguard the patient firstly, then check immediately to fix the fault.
2 ） If power fails during operation, and the machine stop working, please do manual ventilation to the
patient.

� If there is alarm during the operation, safeguard the patient firstly, then check immediately to fix the
fault.
� The alarm priority is classified by the risk level to the patient.
� The high priority alarm should be disposed immediately.
� Alarm priority:

39
 Priority Alarm way

Continuous and repeated ten tones and with 7

High
second interval
Continuous and repeated three tones and
Medium
with 23 second interval

Low Odd tune

� Alarm information:
Default
Alarm Priority Setting range Alarming way
value
When the monitoring value over the
4.0 upper limit of Ppeak, there will
High Ppeap alarm High 2.0kPa ～ 10 kPa
kPa sound alarm and display High
Ppeak.

When the monitoring value under

0.4
Low Ppeak alarm Low 0 ～ 2.0 kPa low limit of Ppeak, there will sound
kPa
alarm and display Low Ppeak.

When the monitoring value over

5 L/min～99 L/min 10
High MV alarm Medium upper limit of MV, there will sound
1L/min～ 15 L/min L/min
alarm and display of MV High.

When the monitoring value under

0
Low MV alarm Medium 0 ～ 10L/min low limit of MV, there will sound
L/min
alarm and display of MV low.

If there is no tidal volume in 6

Gas failure alarm Medium -- -- seconds, there will sound alarm and
display of No tidal volume.

When the monitoring value of O2

concentration over the upper limit of
High O2 alarm High 16%～100% 99%
O2, there will be sound alarm and
display of O2 high.

When the monitoring value of O2

concentration under low limit of O2
Low O2 alarm High 15%～99% 18%
concentration, there will be sound
alarm and display of O2 low.

40
 Default
Alarm Priority Setting range Alarming way
value
If the airway pressure over or under
the set upper or low limit of
Continuous pressure
High 0.5kPa～8.0kPa 2.0kPa continuous pressure alarm in 16
alarm
seconds, there will be sound alarm
and display of alarm hint.

If there is no spontaneous or
assisted ventilation during SIGH
time, the mode will change to AC,
and there will be sound and display
of Apnoea (Red color). If there are 5
Apnoea alarm Medium 5s～60s OFF times of Spontaneous ventilation
after change mode to A/C, the mode
will change to the former ventilation
mode, and there will be sound alarm
and display of Apnoea (Green
color).

Main power disconnection or

problem, the machine power supply
Power failure alarm Low -- --
will be battery, there will be sound
alarm and display of “ ”.

When the voltage of back-up battery

is low (11.3V), the power state
Low voltage alarm Medium -- -- indication place will display the
signal of “ ”，and there will be
sound alarm.

Failure of one gas in

Low -- -- Sound alarm
and O2 blender

The pressure
difference of O2
Low -- -- Sound alarm
and Air over
0.15Mpa alarm

High pressure of Sound alarm and alarm indication

compressor pump -- -- --
alarm light will be on

� Cause of alarm and solution of the alarm:

41
 Alarm Cause Solution of alarm

1 Block of breathing circuit 1 Check the breathing circuit pipe

pipe
2 Block of patient airway. 2 Check the patient
High Ppeak 3 Upper limit of alarm is too 3 Re-set the upper limit of alarm.
alarm low.
4 Ventilation parameters are 4 Reset ventilation parameters.
not proper.

1 Leakage or disconnection of 1 Check and reconnect the pipe.

breathing circuit pipe
2 Low limit of alarm is too
Low Ppeak alarm high. 2 Reset the low limit of alarm
3 The compliance of patient
changes. 3 Check the patient status.

1 Upper limit of MV alarm is

too low. 1 Reset the upper limit of MV alarm.
High MV alarm
2 High frequency or High tidal 2 Reset frequency or tidal volume
volume

1 Reset the low limit of MV.

1 Low limit of MV is too high.
2 Leakage or disconnection of 2 Check and reconnect the pipe.
breathing circuit pipe
Low MV alarm 3 Low frequency or tidal
volume 3 Reset frequency or tidal volume
4 No input gas
5 Problem with flow sensor 4 Check the input gas supply
5 Check the flow sensor

1 Upper limit of alarm is too

1 Reset the upper limit of O2.
High O2 low.
concentration
2 Problem with Air and O2
alarm 2 Re-adjust the air and O2 blender.
blender adjustment
1 Low limit of alarm is too
high. 1 Reset the low limit of O2 alarm.
Low O2
concentration 2 problem of O2 sensor. 2 Calibrate the O2 sensor.
alarm 3 Problem with Air and O2 3 Re-adjust the air and O2 blender
blender adjustment

42
 Alarm Cause Solution of alarm

1 With upper limit of Ppwak 1 a Check the breathing circuit pipe

alarm 1 b Check the patient
a Block of pipe
b Block of airway
2 With low limit of Ppeak
Gas failure alarm alarm
a Leakage and disconnection 2 a Check and reconnect the pipe
of breathing circuit pipe. 2 b Check input gas supply
b No input gas. 2 c Check the patient status.
c No tidal volume
3 Problem with flow sensor 3 Check the flow sensor.

1 Problem with breathing 1 Check the pipe

circuit pipe 2 Check patient status
2 Block of patient airway 3 Check and reconnect the pipe
3 Leakage and disconnection
Apnoea alarm of breathing circuit pipe.
4 No input gas 4 Check the input gas supply
5 No tidal volume 5 Check patient status
6 Problem with flow sensor 6 Check the flow sensor

1 Block of pipe
1 Check and reconnect the pipe
2 Block of patient airway
Continuous 2 Check the patient status
3 Alarm limit of is too low
pressure alarm 3 Reset the alarm limit
4 Ventilation parameters are not
4 Reset the ventilation parameters
proper.
1 Main power disconnection or 1Check the main power supply
Power failure
problem
alarm 2 Replace the fuse
2 Problem with fuse

Alarm of low 1 Change the power supply to main

1 Low voltage of battery
voltage of battery power

1 problem with central gas

Alarm of one gas 1 Check central gas supply
supply
failure in air and 2 Change new cylinder
2 Cylinder gas is used up
O2 blender 3 Check the compressor
3 Problem with compressor

43
 Alarm Cause Solution of alarm

1 Problem with central gas 1 Check central gas supply

Alarm of pressure supply 2 Change new cylinder
difference of air 2 Gas in cylinder is used up
3 Check the compressor
and o2 in blender 3 Problem with compressor
over 0.15MPa 4 Regulate the pressure regulator to
4 Output pressure of pressure
0.4MPa
regulator is too low

1 ventilation of working place is 1Improve the condition of working

Alarm of high not good, and temperature of place
temperature of working place is too high.
compressor pump 2 Block of ventilation port. 2Clean the port.
3 Problem with fan 3 Change the fan

Fault and solution way

Cause to the fault and solution way:
Fault Cause Solution way

There is no 1 The main power is off 1 Check the power supply in the
display on 2 Power line disconnection working place
screen and 3 The switch of ventilator is off. 2 Connect the power line
ventilator do 4 Fuse is broken 3 Switch on the ventilator
not work. 4 Change the fuse

Abnormal 1 Loose connection of flow sensor 1 Re-connect the flow sensor

display of tidal sampling tube sampling tube
volume 2 Leakage of breathing circuit 2 Re-connect or change pipe
pipe
3 Leakage of exhalation valve 3 Check exhalation valve

Leakage of 1 Pipe broken or connector loose 1 Re-connect or change pipe

breathing 2 Leakage of exhalation valve
circuit pipe 2 Check exhalation valve

1 Leakage of the compressor 1 Check the airway of compressor

The output pressure
of compressor is
low
2 Block of air filter 2 Change new air filter
1 Power supply disconnection 1 Connect machine to main power
Compressor do not
2 Low voltage of main power 2 Check voltage of main power
work

44
Main technical specification
Environment conditions
� Working environment
Ambient temperature 5 ℃～ 40 ℃
Relative humidity ≤80 %
Atmospheric pressure 960 hPa～1040 hPa
� Storage environment
Ambient temperature －10 ℃～＋40 ℃
Relative humidity ≤90 %
Atmospheric pressure 860 hPa～1060 hPa
Gas supply
� Gas source O2（For medical use）
Air（For medical use）or compressor
� Rated working pressure 0.4MPa±0.1MPa
� Output pressure of regulator 0.4MPa±0.1MPa
� Safety valve 750kPa
Power supply
� Voltage ～220 V±22 V
� Frequency 50 HZ±1 HZ
� Input power 900VA
� Internal power DC12V 4Ah
� Fuse
——Main power 51T T1AL250V
5T-4AL250V
5T-6.3AL250V
——Internal power 5T-2AL250V

Electromagnetism compatibility

△
! Warning：
1） Cell phone and other radiation equipment used near the machine will cause unexpected problem to the
ventilator.
2 ） The other equipment added to ventilator will lead to disturbance to the machine. Before used to the
patient, check if the machine work normally under the set values.

45
Breathing circuit pipe
� Pressure and flow table
Flow（L/min） Pressure（kPa）
2 0.02

10 0.03

20 0.07

30 0.11

40 0.18

50 0.25

60 0.3

� Compliance: ≤0.01L/ kPa

� Internal capacity： ≤0.9L

Humidifier
� Pressure and flow table
Flow（L/ min） Pressure（kPa）
2 0.02

10 0.03

20 0.04

30 0.05

40 0.07

50 0.1

60 0.12

� Compliance: ≤0.01L/ kPa

� Internal capacity： ≤0.6L
Remarks：The abovementioned data are based on the humidifier of Infinium.

Ventilation mode
——IPPV
——A/C
——PCV
——SIMV
——SPONT/ CPAP
46
 ——PSV
——SIGH
——MAUN

Ventilation parameter adjustment

� Frequency
——Adjusting range 1 bpm ～ 100 bpm
(Under SIMV：1 bpm～ 40 bpm
All mode except SIMV：Adult 1 bpm～ 40 bpm
Child20bpm～ 100 bpm )
——Allowable error ± 15 %
� Inhalation time（I:E）（Tinsp）
——Adjusting range 0s～ 12s(4:1～ 1:8)
——Allowable error ± 15 %
� Tidal volume（VT）
——Adjusting range 0 L ～ 2L
And：
Adult: 0.25 L ～ 2L
Child 0 L ～ 0.30 L
� Minute ventilation（MV）
——Max MV
Adult ≥18 L/min
Child ≥10 L/min
� PEEP
——Adjusting range 0 kPa ～ 4 kPa
� CPAP
——Adjusting range 0 kPa ～ 2kPa
� Pressure trigger（PTr）
——Adjusting range － 2.0 kPa ～ 0kPa（Under PEEP）
——Allowable error
－400 Pa ～ ＋400 Pa ± 50 Pa
Other ± 15 %
� Pressure control（Pc）
——Adjusting range 0.5kPa ～ 8.0 kPa
� Pressure support（Ps）
——Adjusting range 0kPa ～ 8.0 kPa
� Flow trigger（FTr）
——Adjusting range 0.5 L/min ～ 30 L/min
——Allowable error
≥3L/min： ±15%
＜3L/min： ±0.5 L/min
� O2 concentration
——Adjusting range 21 %～100 %
——Allowable error ± 15 %
47
� Holding time（Inhalation platform）（TIP）
——Adjusting range 0 ～ 6s(Less than 50% of inhalation time)
� Max set working pressure
（pressure limit range） 2kPa ～ 10kPa
� Max pressure ＜12.5 kPa
� Output MV under manual ventilation ≥25L/min

Ventilation parameter Monitoring range

� Fig display：

Parameter Range Resolving power Accuracy

Frequency
1 bpm ～ 100 bpm 1 bpm ±15 %
（Freq）

Inhalation
0 s～12 s 0.1S ± 15 %
tim）（Tinsp）

Tidal volume ≥0.1 L：±15%

0 L～2.5L 0.01 L ＜0.1 L：±0.02 L
（VT）
Minute
≥3L/min：±15%
ventilation 0 L/min～99 L/min 0.1 L/min
＜3L/min：±0.5 L/min
（MV）

± （ 0.2kPa +4%×Monitoring
（Ppeak） 0 kPa ～10kPa 0.1 kPa
value of Ppeak）

O2
15 % ～ 100 % 0.1 % ±3%
concentration

� Waveform display：
——Time- airway pressure（under all modes）
——Time—flow（under all modes）

Remarks：The machine cannot record all the adjusting and monitoring values.

Noise
� Noise under normal working condition＜65dB(A)

Technical specification of compressor

� Rated output pressure： 0.4MPa±0.1MPa
� Continuous output flow: When the output pressure is 0.4 MPa，continuous output flow is
≥45L/min
� Peak flow： When duration is 1 second，the peak flow is ≥120L/min
� Dew point temperature： ≤ 5℃
� Alarm temperature： ≥123℃±10℃
48
� Power： 650VA
� Noise： ≤50dB(A)

Additional part to ventilator:

Humidifier
The humidifier should be qualified model.
Alarm hint and protection
� Main power failure alarm

When the power is supplied by AC, the power state indication place will display the signal of “ ”.

When the power is changed from AC to back-up battery , there is sound indication from the machine,
and the power state indication place will display the signal of “ ”.
� Alarm of low voltage of back-up battery
When the voltage of back-up battery is low (11.3V), the power state indication place will display
the signal of “ ”，and there will be sound alarm.
Alarm lasting time: ＞120 s

△
! Warning：：
If power fails during operation, and the machine stop working, please do manual ventilation to the
patient.

� Gas failure (No tidal volume) alarm

If there is no tidal volume in 6 seconds, there will sound alarm and display of No tidal volume.

Alarm lasting time ＞120 s

� High or low MV alarm

When the monitoring value over upper limit of MV or under low limit of MV, there will sound
alarm and display of alarm hint.
——Setting range of upper limit Adult:5 L/min ～ 99L/min
Child:1 L/min ～ 15L/min
——Setting range of upper limit 0 L/min ～10min
——Alarm accuracy ≥3 L/min ± 15 %
＜3 L/min ±0.5 L/min
� High or low Ppeak alarm
When the monitoring value of Ppeak over the upper limit or under the low limit in 5-20 seconds,
there will sound alarm and display of alarm hint.
——Setting range of upper limit 2kPa ～ 10kPa
——Setting range of low limit 0 kPa ～ 2 kPa
——Alarm accuracy ±（2%×upper limit value +4%×Monitoring value of
Ppeak）
� Continuous pressure alarm
If the airway pressure over the upper limit or under low limit of continuous pressure alarm in 16
seconds, there will be sound alarm and display of alarm hint

49
 ——Setting range 0.5kPa ～ 8kPa
� High or low O2 concentration alarm
When the monitoring value of O2 concentration over the upper limit of O2, or under the low limit,
there will be sound alarm and display of alarm hint.
——Setting range of upper limit 16 % ～ 100 %
——Setting range of low limit 15 % ～ 99 %
——Alarm accuracy ±3%
� Apnoea alarm
Choose Sigh ventilation under mode of SIMV and set the SIGH time. If there is no spontaneous or
assisted ventilation during SIGH time, the mode will change to AC, and there is alarm indication of
Apnoea (Red color).
If there are 5 times of Spontaneous ventilation after change mode to A/C, the mode will change to
the former ventilation mode, and there is alarm indication of Apnoea (Green color).
——Apnoea time setting range OFF，5 s ～ 60 s

△
! Note：
When there is Apnoea alarm, the mode will change to A/C. So if set Apnoea alarm under SIMV, proper
parameters should be set under A/C.

Note：When the sigh time is set to OFF, there will be no Sigh ventilation or Apnoea alarm indication.
� Mute
When an alarm occurs, the alarm sound may be muted for 2 minutes by pressing muting key but
the alarm indication will display on the screen, unless the problem is solved.
——Muting time ＜120 s
� Safety valve (APL)
When the airway press over the safety valve pressure, the safety valve will release the excess gas.
——safety valve pressure ＜12.5kPa

Move, storage and transportation

Move

△
! Note：
Keep the balance and stable of the machine when move the ventilator.

� Before the move, all the power line and breathing circuit pipes should be pull out from the machine.
� Keep the balance and stable of the machine when move the ventilator.

50
Storage
� The anesthesia apparatus shall be stored indoors with ambient temperature of －10℃～40℃, relative
humidity not exceeding 90％ and atmospheric pressure at 860 hPa～1060 hPa, free of corrosive gases
and not affected by strong magnetic field, and with good ventilation.

Transportation
� Ventilator to be transported shall be packed in package. Each set of machine shall be secured in its
package and soft material of adequate thickness shall be inserted in between the package and product to
protect against movement and rubbing against each other during transportation. The package shall be
protected from damp and rain to ensure that the product will not be damaged in natural condition.
� The packed ventilator can be transported by general means. The product shall be protected from rain,
damp, corrosion and against strong vibration. Turn over at handling is forbidden.

Others
Do not open the machine without authorization. Only authorized, qualified personnel can maintain the
machine.

51
2.782.038-B

Shenzhen Chenwei Electronic Co. Ltd.

Xinkecheng Industrial Park, District No.28, Baoan, Shenzhen
Postal code: 518101
Tel: (0755) 27570496

Sales centre: No.93,Shengtai West Road, Jiangning Development Zone,Nanjing,P.R.China.

Email: sales@chenwei-med.com

52